CONTACTS 

SUBJECTS
1st Treatment 1st Cycle Taxotere Xeloda Capacitibine Chemotherapy Tr

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 48 0000. ref SDS 47 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Hazel is the nurse.
040902 -
040903 - Treatment today completes the schedule planned on 050329 for treatment
040904 - with four (4) cycles of Taxotere and Xeloda (capecitabine).
040905 - ref SDS 44 FP57
040907 -  ..
040908 - Hazel submitted Millie's schedule which shows that the doctor has
040909 - scheduled two (2) more treatments; and that the meeting with the
040910 - surgeon is changed from the 1st week in July to the end of July, which
040911 - appears conflicting with the doctor's plan to expedite review during
040912 - the current "window of opportunity" discussed on 050610. ref SDS 49
040913 - XQ41
040915 -  ..
040916 - After treatment in the clinic today, Millie prepared a Kaiser form
040917 - dated today at 1525 requesting a meeting to review changes in the
040918 - treatment plan developed on 050329, ref SDS 44 FP57, and discussed
040919 - just a few days ago with the doctor on 050610, when at that time,
040920 - there was discussion of extending treatments. ref SDS 49 AW5G
040921 -
040922 -     [On 050729 doctor explains treatments extended to maintain
040923 -     progress on recovery, and avoid relapse, ref SDS 51 Y86K; discuss
040924 -     new plans for chemotherapy holiday. ref SDS 51 VP4N
040925 -
040926 -
040927 -
040928 -
040929 -
040930 -
0410 -

SUBJECTS
Blood Tests White Cell Count Good 2nd Cycle 1st Treatment Chemothera
Urine Tests No Evident Problems
Blood Test Results Pass for Treatment

0805 -
080601 -  ..
080602 - Blood Counts Good Dose Chemotherapy Taxol Normal
080603 -
080604 - Follow up ref SDS 48 Q659, ref SDS 47 Q659.
080605 -
080606 - Millie had blood drawn this morning at 0635 by the Kaiser clinic in
080607 - Martinez.
080609 -  ..
080610 - Kathy submitted the report showing...
080611 -
080612 -    Patient   Provider  Category   View      FR Date   To Date
080618 -     ..
080619 -    Procedure              Results             Reference Range
080621 -     ..
080622 -    Log#: 540516800020      050617 06:40 Outpa WCR Req: RA Johnson, MD
080623 -
080624 -                  ** Martinez Medical Offices **
080626 -     ..
080627 -    @CBC
080628 -    WBC x 10-3     L         3.4 K/uL           3.5   -     12.5
080629 -    RBC x 10-6              3.78 M/uL           3.60  -      5.10
080630 -    Hemoglobin              12.2 g/dL          11.5   -     15.0
080631 -    Hematocrit              35.6 %             34.0   -     46.0
080632 -    MCV                       94 fL            80.0   -    100.0
080633 -    RDW            H        20.0 %             11.9   -     14.3
080634 -    Plt x10-3                292 K/uL         140     -    400
080635 -     ..
080636 -    Neutrophils    H          76 %             50     -     70
080637 -    Lymphocytes               21 %             20     -     50
080638 -    Monocyte                   2 %              0     -     11
080639 -    Eosinophils                0 %              1     -      5
080640 -    Basophil                   1%               0     -      2
080641 -    Bands              No Report %              0     -      5
080642 -    Manual Diff?           Chemo
080644 -     ..
080645 -    CA 15-3        Test Remote Collect         -<     -     39
080647 -     ..
080648 -    Seg Neutrophils    No Report %             50     -     70
080650 -     ..
080651 -    DIFF Method         Auto Dif
080652 -    Anisocytosis       No Report+
080653 -    Macrocytes         No Report+
080654 -    Plt estimate         Adequate
080656 -     ..
080657 -    Alkaline Phos             47 U/L           38     -    126
080658 -    Bili, Tot Adult          0.3 mg/dL        0.2     -    1.3
080659 -    Creatinine               0.7 mg/dL        0.6     -    1.2
080660 -    Phosphorus     Test Remote Collect
080661 -    Alt (SGPT)                24 U/L           11     -     66
080662 -    AST (SGOT)                36 U/L           11     -     66
080664 -     ..
080665 -    Cuomdin (Anticoag Ther WARFARIN
080666 -    PT, Patient     H       47.1 Sec         9.2           11.6
080667 -    PT, INR                  4.6 Ratio         2              3
080668 -
080669 -
080670 -
080671 -
080672 -
080673 -
0807 -

SUBJECTS
CA 15-3 78 Smaller Rise than 10 Points Reported on 040318

0903 -
090401 -  ..
090402 - CA 15-3 Drops from 49 to Normal at 39, Lowest Reading Ever
090403 -
090404 - Follow up ref SDS 48 2N5J, ref SDS 47 2N5J.
090405 -
090406 - Reading not available.
090407 -
090408 -
090409 -
090410 -
090411 -
090412 -
090413 -
0905 -

SUBJECTS
Prepare for Treatment Connect Equipment for Port Catheter
Tagiment Dexatron Administered to Prevent Alergic Reaction to Taxol
Port Catheter Required 3 Tried to Connect Infusion Equipment Prepare

1205 -
1206 - 1349
120701 -  ..
120702 - Preparation for Treatment Required One (1) Attempt to Connect Port
120703 -
120704 - Follow up ref SDS 48 EB7J, ref SDS 47 EB7J.
120705 -
120706 - Vitals taken by Karen...
120707 -
120708 -    Blood preasure    119  81
120709 -    Pulse              73
120710 -    Temperature        98.9
120712 -  ..
120713 - Laura took admin with Hazel to verify Millie's identification and
120714 - treatment.
120716 -  ..
120717 - Hazel asked Millie about taking Decadron 2 tablets twice a day, per
120718 - instructions on 050415. ref SDS 45 8U4O
120720 -  ..
120721 - Millie confirmed that yesterday and today, she is taking 2 Decadron
120722 - pills twice a day, and will do this again tomorrow per instructions
120723 - during the meeting on 050422. ref SDS 47 8U4O
120725 -  ..
120726 - Hazel gave Millie a pill for Compazine 10 prior to treatment that
120727 - reduces nausea rather than as a drip treatment to avoid allergic
120728 - reaction.
120729 -
120731 -  ..
1208 -
1209 -
1210 - 1355
1211 -
121101 - Hazel connected the port.
121103 -       ..
121104 -      Interlink System Vented Paclitaxel set
121106 -  ..
121107 - Millie's blood counts are good, so there is no requirement to take
121108 - Nupigen again to strengthen the immune system.
121109 -
121110 -
121112 -  ..
1212 -
1213 -
1214 - 1358
1215 -
121501 - Benedryl started.
121502 -
121503 -
121505 -  ..
1216 -
1217 -
1218 - 1416
1219 -
121901 - Benedryl completed.
121902 -
121903 -
121904 -
121905 -
121906 -
121907 -
121908 -
121909 -
1220 -

SUBJECTS
Taxol Treatment Delayed 30 Minutes Because Lab Has Not Prepared Trea
AC Adriamycin Cytoxin Treatment Begun Today on New Regimine Replacin

1504 -
1505 - 1418
150601 -  ..
150602 - Taxotere Full Dose Blood Counts Above Targets
150603 -
150604 - Follow up ref SDS 48 4N5M, ref SDS 47 4N5M.
150606 -  ..
150607 - Taxotere started.
150609 -  ..
150610 - Millie is getting a full dose of Taxotere because her blood counts are
150611 - well above minimum. ref SDS 0 0N7Q
150612 -
150613 -
150614 -
150615 -
150616 -
150618 -  ..
1507 -
1508 - 1518
1509 -
150901 - Taxotere completed.
150902 -
150903 - Saline flush was run for a few minutes.
150905 -  ..
150906 - Hazel removed the drip treatment tube from the port, and applied
150907 - Hepren to reduce clotting, and avoid infection.
150909 -  ..
150910 - Hazel did not vitals at the end of treatment, as was done last time.
150911 -
150912 -   Temperature......... 97.6
150913 -   Pulse............... 145 77
150914 -   Blood Pressure...... 57
150915 -
150916 -
150917 -
150918 -
150920 -  ..
1510 -
1511 -
1512 - 1542
1513 -
151301 - We went to the Pharmacy and picked up the prescriptions for...
151302 -
151303 -            Xeloda
151305 -  ..
151306 - The co-payment on these drugs was approximatley $60.  The full price
151307 - was about $1,300, saving $1,240.
151308 -
151309 -
151310 -
151311 -
151312 -
151313 -
151314 -
151315 -
1514 -

SUBJECTS
Tired Wobbly on Feet after Treatment In Asleep by 1900
Tired Wobbly on Feet after Treatment Asleep by 1900 Not Today After

1704 -
1705 - 1537
170601 -  ..
170602 - Alert Energetic After Treatment Marked Change from Prior Treatments
170603 -
170604 - Follow up ref SDS 48 F54N, ref SDS 47 F54N.
170605 -
170606 - Millie seemed okay after treatment today.  No immediate wobbliness.
170607 - She was okay to drive, and seemed alert the rest of the day.
170608 -
170609 -
170610 -
170611 -
170612 -
170613 -
170614 -
1707 -