CONTACTS 

SUBJECTS
102+ Temperature Severe Red Rash Left Arm Cellulitus Complications L

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 5 0000, ref SDS 3 0000.
080502 -
080503 -
080504 -
080505 -
080507 -  ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Millie is still in the Emergency Room.  She is waiting to be assigned
080902 - a room in the hospital, but all the rooms are still full.
080904 -  ..
080905 - They have done the doppler, sonar test on her arm, planned last night
080906 - with Doctor Jain.
080908 -  ..
080909 - Mil said her temperature is down to normal now, and she is feeling
080910 - much better. Inflammation, red rash on her left arm is about the
080911 - same; so there has been no noticable improvement since last night.
080913 -  ..
080914 - She has a private room in the ER, and says everything is fine.
080915 -
080916 -        [On 080409 hospital no rooms available, Millie may have to stay
080917 -        in Emergency Yellow Department over night again. ref SDS 8 FZ8A
080918 -
080919 -
080920 -
080922 -  ..
0810 -
0811 -
0812 - 1149
0813 -
081301 - Called Millie.
081302 -
081303 - She is still in the ER.  Doesn't know when they will move her into a
081304 - room; hoping she can come home today, but they likely want the
081305 - inflammation in her arm to improve before releasing her.
081307 -  ..
081308 - She will call when she gets settled in her room.  We can then make a
081309 - list of the things she wants from the house.
081311 -  ..
081312 - Millie asked to call Pam, and Janna.
081313 -
081315 -  ..
0814 -
0815 -
0816 - 1207
0817 -
081701 - Called Pam.
081702 -
081703 - Explained background and circumstances.
081705 -  ..
081706 - Pam will call her mom.
081707 -
081708 -
081710 -  ..
0818 -
0819 -
0820 - 1212
0821 -
082101 - Called Ron Buck Jr., talked to Stephanie.
082102 -
082103 - Stephanie is home for the weekend from school in San Diego.
082105 -  ..
082106 - Ron and Kim are not home.
082108 -  ..
082109 - Explained what happened to her grandmother.
082111 -  ..
082112 - Steph will tell her folks when they get home.
082113 -
082114 -
082116 -  ..
0822 -
0823 -
0824 - 1217
0825 -
082501 - Called Steve.
082502 -
082503 - He is home from work sick today.  Evidently Amanda and Shane are also
082504 - sick, so he Steve is not feeling well.
082506 -  ..
082507 - Pete is still in the hospital.  Steve thinks he can come home today,
082508 - and evidently he will be staying in Burlingame, possibly because of
082509 - the sick people in Steve and Lilly's place in Grass Valley.
082511 -  ..
082512 - Steve will call his mom.  He understands that Millie does not want
082513 - them to get in the truck and come visiting, especially since they are
082514 - all sick.
082515 -
082516 -
082518 -  ..
0826 -
0827 -
0828 - 1223
0829 -
082901 - Called Lilly.  She is home from attending her Dad, who is in the
082902 - hospital in Burlingame.
082904 -  ..
082905 - Apparently, Pete is not being released today afterall.  His blood is
082906 - anemic, so they are keeping him another day to solve the problem.
082908 -  ..
082909 - Explained background on Mil, and said that she does not want Steve and
082910 - Lilly to come visit, and is doing much better, may be released today
082911 - or tomorrow.
082913 -  ..
082914 - Lilly is working at their shop.  While we talked, a customer came, so
082915 - she will call back.
082916 -
082917 -
082919 -  ..
0830 -
0831 -
0832 - 1231
0833 -
083301 - Called Janna.
083302 -
083303 - Explained Mil's situation, and that she does not want visitors, at
083304 - least for now.
083306 -  ..
083307 - Janna will call Millie at the hosptal.
083309 -  ..
083310 - Janna is doing okay with her knee and hip problems.  Her knee is
083311 - beter after getting an injection.
083313 -  ..
083314 - Janna feels that riding the stationary bike at the gym helps both her
083315 - hip and knee.  This is currently called "spinning."
083316 -
083317 -
083319 -  ..
0834 -
0835 -
0836 - 1244
0837 -
083701 - Called Peggy Ferris.
083702 -
083703 - Decided not to call Peggy for now.
083705 -  ..
083706 - Millie has been disappointed that Peggy and others have given Millie
083707 - the impression that they believe her illness results from negative
083708 - attitudes, and that if she would only read this or that book on the
083709 - best seller list then Millie would not be sick.
083711 -  ..
083712 - This seems to overlook the 2nd law of thermodynamics, reviewed on
083713 - 040312. ref SDS 1 566F
083714 -
083715 -
083716 -
083718 -  ..
0838 -
0839 -
0840 - 1422
0841 -
084101 - Lilly called back.
084102 -
084103 - We had a little time to talk between customers.  Congratulated her on
084104 - going into business.
084106 -  ..
084107 - She said it is hectic to run the business and also manage her home,
084108 - with a sick father and three (3) kids to look after.  There was
084109 - discussion that managing a home is good training for managing a
084110 - business.
084112 -  ..
084113 - Lilly explained what happened to her dad.  He was released from the
084114 - hospital with instructions to take medication.  Lilly took him to
084115 - dinner.  Her dad forgot to take his medicine, and so began to relapse,
084116 - so he she had to rush him to the emergency room for immediate
084117 - treatment.
084119 -  ..
084120 - While we talked, another customer came in, so we said good by.
084121 -
084122 -
084124 -  ..
0842 -
0843 -
0844 - 1525
0845 -
084501 - Called Millie again.
084502 -
084503 - Got through this time.
084505 -  ..
084506 - She needs a call to Kaiser to cancel the meeting with a physical
084507 - therapyst on Monday, 061030.
084509 -  ..
084510 - Millie had a long call with Marilyn, and also talked to Janna.
084512 -  ..
084513 - Millie is being treated again by Doctor Sunitha Rao Annamaneni, who
084514 - was very effective treating Millie for pneumonia on 060608.
084515 - ref SDS 4 V944
084517 -  ..
084518 - The doctor said that if cellulitus symptoms of rash and swelling do
084519 - not improve by Monday, the hospital will take a biopsy for further
084520 - evaluation of diagnosis.
084521 -
084522 -    [On 061112 Millie treated on exigent examination of cellulitus
084523 -    relapse; Doctor Seier could not find on Kaiser's computer results
084524 -    of this examination today for patient history on diagnosis and
084525 -    treatment. ref SDS 7 XS5J
084527 -  ..
084528 - Would be nice to get the left breast condition biopsied at the same
084529 - time.
084531 -  ..
084532 - When Doctor Jain examined Millie last night, it appeared that swelled
084533 - lymphatics were trailing from the left breast rash area to the left
084534 - shoulder and down into the left arm.  Maybe it is the same thing.
084535 -
084536 -
084537 -
084539 -  ..
0846 -
0847 -
0848 - 1557
0849 -
084901 - Called Kaiser Physical Therapy...
084902 -
084903 -            925 906 2055
084905 -  ..
084906 - Cancelled Mil's meeting for Monday, 061030.
084908 -  ..
084909 - Will visti this afternoon OA 1700.  We can get a hamburger for
084910 - dinner.
084912 -  ..
084913 - Millie gave a list of things she needs.
084914 -
084916 -  ..
0850 -
0851 -
0852 - 1709
0853 -
085301 - Arrived at hospital.
085302 -
085303 - The attendant said that her computer says Millie has been moved to her
085304 - room in the hosptial.  She said that may only mean that Kaiser is
085305 - getting ready to move Millie, and she that she is still in the
085306 - Emergency Room Department, so she let me into the ER.
085308 -  ..
085309 - Found Millie in the Yellow Section, room 16.
085311 -  ..
085312 - She looks pretty well.  Very alert, and energetic for her
085313 - circumstances.
085315 -  ..
085316 - She went through the bag of things from the house, and feels
085317 - everything is there that she needs.
085319 -  ..
085320 - Mil has removed her wig, and wants it taken home, along with her
085321 - underwear and socks.  The hospital gave her replacements.
085323 -  ..
085324 - Millie has not heard anything about being moved, mentioned by the
085325 - clerk in the Emergency Room admitting area, per above. ref SDS 0 PRTY
085327 -  ..
085328 - Doctor Annamaneni plans a PET scan, and a biopsy.  She has already
085329 - performed the "sonar" or doppler test of the left arm, but the results
085330 - have not been reported.
085331 -
085332 -    [On 061112 Millie treated on exigent examination of cellulitus
085333 -    relapse; Doctor Seier could not find on Kaiser's computer results
085334 -    of this examination today for patient history on diagnosis and
085335 -    treatment. ref SDS 7 XS5J
085337 -  ..
085338 - We decided to investigate, and if there is an hour or so, before
085339 - Millie will be moved, then can buy a hamburger and fries at Taxi Cab
085340 - restaraunt across the street from the hospital, and have a picnic in
085341 - her room.
085343 -  ..
085344 - Checked with nurses at the control station.
085346 -  ..
085347 - They said that Gary is the lead nurse who can check on when Millie
085348 - will be moved.
085350 -  ..
085351 - Gary was helping the patient in the room next to Millie.
085353 -  ..
085354 - When he had a moment, discussed when Millie will be moved?  Gary said
085355 - that the Oncology section now has a room for Millie.  He will try to
085356 - find out whether this will occur in the next 20 minutes, or take
085357 - another hour or so.
085359 -  ..
085360 - Gary went to his desk and placed a call.  This call took about 20
085361 - minutes; seemed like the call was not about transporting Millie.
085363 -  ..
085364 - While waiting for Gary to complete his call, the mother of the young
085365 - man in the room next to Millie asked a nurse at the control center
085366 - when her son would be moved?  She was distraught, and described errors
085367 - she feels Kaiser has made caring for her son.  The woman complained
085368 - that her son has been rushed to the Emergency Room 5 times the past
085369 - week or so, and sent home.  Today, he was finally diagnosed with
085370 - penumonia, and is being transported to the San Ramone hospital via
085371 - ambulance for treatment, evidently, because the hospital in Walunt
085372 - Creek does not have any beds available.
085374 -  ..
085375 - The woman was further concerned that her son was not getting
085376 - medication on time.  She flipped through several pages on a yellow pad
085377 - where she was tracking a long list of treatments for her son, with
085378 - dates and times.
085380 -  ..
085381 - Gary finally completed his call.  He started to discuss Millie's
085382 - situation.  Suggested that he assist the woman and her son, with
085383 - their transport and treatment issues.  The woman appreciated getting
085384 - Gary's attention.
085386 -  ..
085387 - Discussed dinner with Millie.  Decided to go ahead and pick up
085388 - something from Taxi Cab, because the hospital cafeteria is closed.  If
085389 - ER moves Millie to her room in oncology, then we can eat there.
085391 -  ..
085392 - She wants a hamburger, fries, onion rings, and a soft drink.
085394 -  ..
085395 - Went to Taxi Cab and ordered the stuff.
085396 -
085397 -
085398 -
085400 -  ..
0855 -
0856 -
0857 - 1913
0858 -
085801 - Arrived back at Millie's room.
085802 -
085803 - She was still in the ER.
085805 -  ..
085806 - Millie could only eat a few bites of the hamburger.  She ate a lot of
085807 - the onion rings and some of the french fries.  She sort of liked the
085808 - soft drink, a combination of carbonated rasberry and lemonade.
085810 -  ..
085811 - Discussed prospect that cellulitus in left arm has travelled from the
085812 - rash on the left breast, based on examination by Doctor Jain last
085813 - night, reported on 061027, ref SDS 5 V79M, and considered earlier
085814 - today, per above. ref SDS 0 3342
085816 -  ..
085817 - Mil will talk to Doctor Annamaneni tomorrow about doing a biopsy of
085818 - the left breast along with the left arm to evaluate issues developed
085819 - yesterday on diagnosis. ref SDS 5 Z546
085820 -
085821 -
085822 -
085824 -  ..
0859 -
0860 -
0861 - 2026
0862 -
086201 - Arrived home.
086202 -
086203 -
086204 -
086205 -
086206 -
086208 -  ..
0863 -
0864 -
0865 - 2108
0866 -
086601 - Millie called.
086602 -
086603 - She has now been moved into the main hospital on the 3rd floor.
086605 -  ..
086606 - Her room number is:
086607 -
086608 -                       3055a
086610 -  ..
086611 - Direct telephone...
086612 -
086613 -                       925 295 6542
086615 -  ..
086616 - Millie is concerned that another patient in her room has pneumonia,
086617 - and this conflicts with requirements for Millie to avoid risks of
086618 - infection, because her blood counts are reduced by chemotherapy
086619 - treatments for cancer.
086620 -
086621 -        [On 061029 Millie was moved to a private room to reduce risks
086622 -        of infection. ref SDS 6 K95J
086623 -
086624 -
086625 -
086626 -
086627 -
086628 -
0867 -