THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: August 17, 2006 08:47 AM Thursday; Rod Welch

Millie good news CA 15-3 falls shows response to treatment for IBC.

1...Summary/Objective
2...IBC Red Rash Continues Subside CA 15-3 73 Drops 14 in Short Time
3...Report Red Rash Subsides Ask About CA 15-3 Cancer Marker Blood Test
4...CA 15-3 73 Drops Dramatically Demonstrates Delayed Response Treatment
5...Congratulations Kaiser Team Well Done Patient on the Mend
6...Patient Swings Medical Condition Emotional Roller Coaster


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CONTACTS 

SUBJECTS
IBC Progressing Rapidly Ask About Changing Treatment Rather than Con

1703 -
1703 -    ..
1704 - Summary/Objective
1705 -
170501 - Follow up ref SDS 28 0000. ref SDS 26 0000.
170502 -
170503 - Millie still feeling bad from side effects of treatment with Taxotere
170504 - on Monday.  Doctor reports that CA 15-3 dropped significantly,
170505 - indicating that patient has begun to respond to treatment.  Very good
170506 - news that makes feeling bad feel a lot better.
170507 -
170508 -
170509 -
170510 -
170511 -
170513 -  ..
1706 -
1707 -
1708 - Progress
1709 -
170901 - Millie feeling worse side effects today than yesterday, 3 days after
170902 - starting the 2nd cycle (10th overall) of chemotherapy treatment with
170903 - Taxotere and Xeloda. ref SDS 32 407N  This evening during a call to
170904 - Janna, she described her body aching all day at work.
170905 -
170906 -        [...see below, good news IBC red rash continues to break up and
170907 -        subside, ref SDS 0 CJ3H, and CA 15-3 dropping dramatically.
170908 -        ref SDS 0 U24M
170910 -  ..
170911 - Tearing eyes and running nose have increased, but are manageable.
170913 -  ..
170914 - Side effects of chemotherapy (summarized on 060724 for this phase of
170915 - treatment, ref SDS 22 IF9I) are expected from patient history reported
170916 - on 050422, ref SDS 6 JY3N, and discussed in planning on 060814 to
170917 - schedule treatments that minimize side effects interfering with work
170918 - schedule. ref SDS 32 QK6L
170919 -
170920 -
170921 -
1710 -

SUBJECTS
CA 15-3 73 Big Drop 14 from 87 and 7 Below 80 Cancer Signal Response

2403 -
240401 -  ..
240402 - IBC Red Rash Continues Subside CA 15-3 73 Drops 14 in Short Time
240403 -
240404 - Follow up ref SDS 30 025H, ref SDS 28 7Q95.
240405 -
240406 - On the positive side, IBC red rash appears like there is continuing
240407 - breakup with inflammation subsiding, following favorable examination
240408 - on 060808. ref SDS 30 VO6G  This reverses previous report on 060806
240409 - that inflammation was spreading rapidly. ref SDS 28 7Q95
240411 -         ..
240412 -        [...see below, good news CA 15-3 dropping dramatically.
240413 -        ref SDS 0 U24M
240414 -
240415 -
240416 -
240417 -
240418 -
240419 -
2405 -

SUBJECTS
CA 15-3 73 Big Drop 14 from 87 and 7 Below 80 Cancer Signal Response

2903 -
290401 -  ..
290402 - Report Red Rash Subsides Ask About CA 15-3 Cancer Marker Blood Test
290403 -
290404 - Follow up ref SDS 32 2N5J, ref SDS 31 2N5J.
290405 -
290406 - Millie submitted ref DIT 1 0001 to the backup doctor at Kaiser
290407 - saying...
290408 -
290409 -        I had a CA 15-3 lab draw on Tuesday 8/15/2006 and would like to
290410 -        know the results before Friday (8/18).  I know [the primary
290411 -        care physician] is still on vacation so I am asking you to
290412 -        follow through on this request.  Thank you for your assistance
290413 -        in this matter.  FYI, the rash is getting better. ref DIT 1
290414 -        0001
290415 -
290416 -
290418 -  ..
2905 -
2906 -
2907 - 1619
2908 -
290801 - CA 15-3 73 Drops Dramatically Demonstrates Delayed Response Treatment
290802 -
290803 - Received ref DRT 1 0001 from the backup doctor responding to Millie's
290804 - letter asking about results of CA 15-3 blood test, per above.
290805 - ref SDS 0 NU6L
290807 -  ..
290808 - The doctor says...
290809 -
290810 -    1.  [Responding to your letter today, asking about results of blood
290811 -        test on the CA 15-3 breast cancer marker...
290813 -         ..
290814 -    2.  Good news. It is down to 73 from 87 last time. ref DRT 1 0001
290816 -  ..
290817 - This is a dramatic reversal of medical condition that significantly
290818 - improves the report on 060810. ref SDS 31 5T9J  Dropping so much in so
290819 - short a span of time, indicates chemotherapy is having a strong
290820 - theraputic effect on IBC, consistent with observable improvement, per
290821 - above. ref SDS 0 CJ3H
290823 -  ..
290824 - Further demonstrates response to treatment, initially reported on
290825 - 060808, ref SDS 30 VO6G, explained by favorable factors under scenario
290826 - #1, ref SDS 30 J16O, and reported again today, per above, ref SDS 0
290827 - NU6L, and strongly validating doctor's decision to continue treatment
290828 - with Taxotere and Xeloda (capecitabine). ref SDS 30 PF3O
290829 -
290830 -
290831 -
290832 -
290833 -
2909 -

SUBJECTS
Congratulations Kaiser Team Well Done Patient on the Mend Patient Dr

3503 -
3504 - 1629
350501 -  ..
350502 - Congratulations Kaiser Team Well Done Patient on the Mend
350503 - Patient Swings Medical Condition Emotional Roller Coaster
350504 -
350505 - Follow up ref SDS 30 Y642, ref SDS 14 Y642.
350506 -
350507 - Millie submitted ref DIT 2 0001 responding to good news from the
350508 - backup doctor's letter, per above. ref SDS 0 PQWQ
350510 -  ..
350511 - Millie says...
350512 -
350513 -    1.  Thanks very much for your report today, showing that the blood
350514 -        test on August 15 for the CA 15-3 breast cancer marker dropped
350515 -        to 73, down 14 from 87 less than a week ago.  This is really,
350516 -        really good news -- an abrupt change in direction in a short
350517 -        time. ref DIT 2 0001
350519 -         ..
350520 -    2.  You can imagine what went through mind when the 87 came in just
350521 -        2 days after we met.  Talk about an emotional roler coaster.
350522 -        (reviewed on 060808, ref SDS 30 Y642)  So, now I'm a little
350523 -        wiser about the meaning of "delayed response." Positive test
350524 -        results give us another "dot" as Doctor Johnson says, showing
350525 -        we may be back on the mend, because the way my chest seems to
350526 -        be improving is more than just wishful thinking. ref DIT 2 HH6F
350528 -         ..
350529 -    3.  Right now, I feel great feeling lousy physically from treatment
350530 -        on Monday.  I know I'll feel better tomorrow especially because
350531 -        I'm getting better. ref DIT 2 KH6O
350533 -         ..
350534 -    4.  Hugs to everyone at Kaiser. ref DIT 2 UH7J
350536 -  ..
350537 - Commendation to Kaiser Oncology team follows up notice on 060615 for
350538 - good work in the ER and Resperatory departments. ref SDS 13 TB3P
350539 -
350540 -
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3506 -