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: October 31, 2006 05:08 AM Tuesday; Rod Welch

Millie called at Kaiser on progress toward release from hospital.

1...Summary/Objective
2...Coagulapathy Report Genetic Disposition PE Hypercoagulable State
3...Neupogen Prescribed Increase WBC for Chemotherapy Treatment Next Week


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CONTACTS 

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

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 10 0000. ref SDS 9 0000.
080502 -
080503 -
080504 -
080505 -
080506 -
080508 -  ..
0806 -
0807 -
0808 - Progress
0809 -
080901 - Mil reminded to put the trash out for pickup this morning.
080902 -
080903 - She sounded good.
080904 -
080905 -
080906 -
080907 -
0810 -

SUBJECTS
Coagulapathy Report Genetic Disposition Blood Clots Pulmonary Emboli

1503 -
1504 - 0832
150501 -  ..
150502 - Coagulapathy Report Genetic Disposition PE Hypercoagulable State
150503 -
150504 - Submitted ref DIT 1 0001 to Ron confirming telecon last night asking
150505 - for the coagulapathy report, ref SDS 10 IM90, as discussed with
150506 - primary care physician on 061020. ref SDS 6 626L
150507 -
150508 -    1.  This confirms telecon last night requesting the hypercoagulable
150509 -        state work up that presents genetic disposition for pulmonary
150510 -        emboli, ref SDS 10 PR8Q, as discussed at Kaiser for treating
150511 -        your mom on 061020. ref SDS 6 626L
150513 -         ..
150514 -    2.  As noted, Doctor Johnson received via fax a list of your
150515 -        medications, but actually needs the coagulapathy lab report.
150516 -
150517 -           [On 061102 coagulapathy report received on family history;
150518 -           indicates possible finding Millie has increased genetic risk
150519 -           for blood clots, including pulmonary embolism. ref SDS 12
150520 -           KJ3H
150522 -         ..
150523 -    3.  Again, your mother will be hospitalized another few days to
150524 -        verify recovery has stabilized and that treatments for
150525 -        cellulitus will be effective going forward.
150527 -         ..
150528 -    4.  The main number at Kaiser is 295 4000; ask for room 3051.
150530 -         ..
150531 -    5.  Thanks for support rounding up the study.
150532 -
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1506 -
1507 -
150701 -
1508 -

SUBJECTS
Cellulitis Improving Temperature Normal ANC Blood Counts Too Low Inc

2303 -
2304 - 0927
230501 -  ..
230502 - Neupogen Prescribed Increase WBC for Chemotherapy Treatment Next Week
230503 -
230504 - Millie called from the hospital.
230506 -  ..
230507 - She just visited with the primary care physician.  He reported that
230508 - WBC is way down today.  This is normally expected for the 2nd week of
230509 - chemotherapy with capecitabine (Xeloda) treatments.
230511 -  ..
230512 - The doctor decided to treat Millie with Neupogen to bring up WBC for
230513 - immune system protection in light of other complications, rather than
230514 - depend on natural rise of WBC during the week off treatment starting
230515 - this Friday.
230517 -  ..
230518 - The nurse made the injection of Neupogen along with other prescribed
230519 - medications Millie is getting to recover from Cellulitis and
230520 - lymphedema.
230521 -
230522 -        [On 061101 doctor prescribed 1 more treatment with Neupogen,
230523 -        ref SDS 11 OU5J; Kaiser Discharge Pharmacy claimed a charge of
230524 -        $450, ref SDS 11 JS4U; finally reduced to $40. ref SDS 11 JS81
230526 -  ..
230527 - Millie wants her cap, and some other things from the house.
230528 -
230530 -  ..
2306 -
2307 -
2308 - 1217
2309 -
230901 - Visited Millie at hospital.
230902 -
230903 - She looks well, and sounds optimistic.
230905 -  ..
230906 - She got a call from Ron Jr., and he evidently confirmed that he is
230907 - working on obtaining the coagulapathy report, per the letter earlier
230908 - today. ref SDS 0 FW8M
230910 -  ..
230911 - Pam also called.
230913 -  ..
230914 - Lunch was delivered.  Millie had a chicken salad sandwich with milk,
230915 - fruit juice, and some pudding.
230917 -  ..
230918 - Mary, the nurse, came in and gave Millie the Neupogen shot.
230920 -  ..
230921 - We discussed the challenge of putting patients in rooms who are highly
230922 - susceptible to contagion with other patients who have highly
230923 - contagious disease, like pneumonia.
230925 -  ..
230926 - Mary initially explained how the doctors and staff maintain close
230927 - scrutiney to avoid this situation in order to avoid spreading disease.
230929 -  ..
230930 - Millie used the notebook computer to see the pictures from the past
230931 - few days in the hospital.
230933 -  ..
230934 - She also reviewed the record on 061012 reviewing the analysts report
230935 - on the CT test on 060930. ref SDS 5 294Q   Millie saw research on
230936 - right ventricle enlargment that explains correlation with pulmnary
230937 - embolism. ref SDS 5 QO4F
230938 -
230939 -
230940 -
230941 -
230943 -  ..
2310 -
2311 -
2312 - 1511
2313 -
231301 - Left hospital for home.
231302 -
231303 -
231304 -
231306 -  ..
2314 -
2315 -
2316 - 1652
2317 -
231701 - Millie called.
231702 -
231703 - Doctor Kim visited her and said that Millie can go home tomorrow.  He
231704 - completed consultation with the infection department, and seems
231705 - satisfied that Millie can treat herself with antibiotics at home.
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2318 -