Welch Company
San Francisco, CA


S U M M A R Y


DIARY: July 14, 2006 10:24 AM Friday; Rod Welch

Millie called said family member hospitalized again with pulmonary emboli.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Patient History Family Millie's Eldest Son Hospitalized 2nd Time for

1903 -
1903 -    ..
1904 - Summary/Objective
1905 -
190501 - Follow up ref SDS 3 RZ4I, ref SDS 2 RZ4I.
190502 -
190503 - Kim called Millie this morning and reported that Millie's oldest son
190504 - was taken to the hospital again yesterday with another episode of
190505 - pulmonary emboli, also called pulmonary edema.
190507 -  ..
190508 - She was not aware that Millie was treated for pulmonary emboli
190509 - beginning on 041104. ref SDS 3 RZ4I
190510 -
190511 -            [On 060722 research indicates 45% of patiens die on
190512 -            recurrence of pulmonary embolism. ref SDS 6 BI5J
190514 -  ..
190515 - Previously, Millie reported to the doctor on 040812 a family member
190516 - episode of pulmonary embolism the year before in 2003. ref SDS 2 MG5K
190517 - This was presented again to the doctor on 041104, when Millie was
190518 - diagnosed with pulmonary emboli. ref SDS 3 TE5L  At that time, Millie
190519 - was removed from treatment for cancer on the Avastin trial because of
190520 - documented association with pulmonary embolism based on family genetic
190521 - history; and, further, treatment with Coumadin, originally started on
190522 - 040819 with 1 MG, was increased 400% to 4 MG beginning on 041104.
190523 - ref SDS 3 QO4M
190524 -
190525 -            [On 101029 1733 Millie's son hospitalized painful
190526 -            breathing, possible diagnosis lung cancer, lymphoma,
190527 -            inoperable, systemic treatment planned. ref SDS 9 X06U
190529 -  ..
190530 - On 050922 Doctor Bailey recommended in a 2nd opinion that Kaiser
190531 - perform hypercoagulable state work up for genetic or acquired
190532 - disposition of blood clots. ref SDS 4 XD9X  On 051007 Kaiser ends
190533 - treatment for pulmonary emboli despite Millie cancer patient status,
190534 - because original diagnosis occurred during treatment on Avastin drug
190535 - trial. ref SDS 5 EQ7K
190537 -  ..
190538 - Severity of the situation is unclear at this time.
190539 -
190540 -    [On 060722 family member's doctor performed tests and found genetic
190541 -    disposition for blood clots that requires continuing treatment.
190542 -    ref SDS 6 3D9T
190544 -  ..
190545 - Millie will stop by the hospital on the way home.
190546 -
190547 -    [On 060724 notified Kaiser of family history genetic disposition
190548 -    for blood clot problems. ref SDS 7 NL5Q
190549 -
190550 -    [On 061002 Millie diagnosed with pulmonary emboli recurrence, and
190551 -    begins treatment with Lovenox and Coumadin again. ref SDS 8 MI5I
190552 -
190553 -
190554 -
190555 -
190556 -
190557 -
190558 -
1906 -