CONTACTS 

SUBJECTS
Adriamycin Cytoxan AC 2 Cycles Doctor Prescribes Additional Cycles a
Treatment Plan Extend Adriamycin Cytoxan AC 2 Additional Cycles Orde
MUGA Test on Heart for Continuing AC Chemotherapy Treatments

1305 -
1305 -    ..
1306 - Summary/Objective
1307 -
130701 - Follow up ref SDS 13 0000. ref SDS 10 0000.
130702 -
130703 - Millie went to Kaiser this morning and was tested by Nuclear Medicine.
130704 - They injected test material, and she had to wait 20 minutes, but they
130705 - actually waited 45 minutes before the actual imaging was performed.
130707 -  ..
130708 - This test was scheduled in the meeting on 050311, ref SDS 12 J55L, to
130709 - carry out planning on 050204 for evaluating safety of Millie getting
130710 - additional treatments with Adriamycin Cytoxen (AC), making a total of
130711 - 8 prescribed. ref SDS 10 J544  On 041230 plans to increase
130712 - chemotherapy with AC disclosed risks of accumulating damage to the
130713 - heart, which may become significant after 4 treatments. ref SDS 7 XQ84
130715 -  ..
130716 - At that time on 041230, 2 additional treatments of AC were prescribed,
130717 - which made a total of 4 in Millie's patient history, dating back to
130718 - May of 2004; seemed consistent with guidance on limiting risks of
130719 - heart damage. ref SDS 7 XQ41  A few days later on 040104 the nurse
130720 - disclosed that the Chemotherapy Order prescribed 4 additional
130721 - treatments with AC, which made a total of 6, 50% more than guidance to
130722 - limit risk of heart damage. ref SDS 9 DB6G  As a result, after
130723 - prescribing another 2 cycles of AC, making a total of 8 on 050204,
130724 - ref SDS 10 J544, Kaiser planned to perform a Muga test for heart
130725 - damage. ref SDS 10 FH68
130727 -         ..
130728 -        [On 050329 Kaiser changed prescription from AC to treat 1st
130729 -        relapse of IBC to capecitabine and Taxotere. ref SDS 14 T58M
130731 -         ..
130732 -        [On 050422 MUGA test report shows no evidence heart damage.
130733 -        ref SDS 15 UG4H
130734 -
130735 -
130736 -
130737 -
130738 -
130739 -
130740 -
130741 -
130742 -
1308 -