CONTACTS 

SUBJECTS
Meeting Doctor Assess Treatment Symptoms Rising Substantially CA 15-

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 12 0000. ref SDS 10 0000.
040503 -  ..
040504 - Major points initial impressions...
040505 -
040506 -                [...see final record on this meeting. ref SDS 16 0000
040507 -
040508 -    1.  CA 15-3
040509 -
040510 -        Cancer marker dropped slightly after a substantial rise from 88
040511 -        to 101.  The latest report is 100, essentially the same, and
040512 -        way above danger level of 80.
040514 -         ..
040515 -    2.  CT Test results
040516 -
040517 -        Results not available for CT test last week.
040519 -         ..
040520 -        The doctor called to get a verbal report on test results.  He
040521 -        got a message saying the report for Millie has not been posted.
040523 -         ..
040524 -    3.  MUGA test report not available.
040526 -         ..
040527 -    4.  Breast exam
040528 -
040529 -        Doctor initially commented that red coloration seems less
040530 -        intense today; noted this may be wishful thinking, because he
040531 -        sees so many patients it is hard to remember prior conditions
040532 -        unless something is written down in the medical chart.  Punch
040533 -        biopsy sore is better, but IBC getting worse.  Red inflammation
040534 -        across much of the breast, spreading toward the neck, and
040535 -        continued blistering from cancer sores, that first occurred a
040536 -        few weeks ago.  Worry things may be spinning out of control.
040538 -         ..
040539 -    5.  Treatment plan...
040540 -
040541 -        a.  AC will be discontinued because CA 15-3 way above danger
040542 -            level; clinical examin indicates slow to worsening disease.
040543 -            Since this is the 4th treatment, more AC could impact the
040544 -            heart, and MUGA test report not available.
040546 -             ..
040547 -        b.  Taxotere and Xeloda combination will be tried, beginning in
040548 -            three (3) weeks to maintain current cycle.
040550 -             ..
040551 -            Side effects hands and feet may show some redness.
040552 -            Pharmacist will call to schedule a meeting for review of
040553 -            all side effects and prescribe medications that reduce
040554 -            impacts.
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0406 -