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: November 8, 2006 12:39 PM Wednesday; Rod Welch

Millie coughing, clearing throat previous symptoms pulmonary emboli.

1...Summary/Objective
2...Cough Clearing Throat Chronic Fatigue Symptoms Pulmonary Embolism
3...Vigilence Hard Sustain Cancer Stressfull Denial Fast Easy Relief
4...Emotional Stress Relieved Denial Avoid Analysis Seems Like Death
5...Focus Getting Well Remembering Treatments Avoids Analysis Stressfull


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CONTACTS 

SUBJECTS
Coagulapathy Report Submit to Kaiser Oncology Genetic Disposition Bl

1203 -
1203 -    ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 22 0000. ref SDS 20 0000.
120502 -
120503 -
120504 -
120505 -
120506 -
120507 -
120508 -
120510 -  ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Cough Clearing Throat Chronic Fatigue Symptoms Pulmonary Embolism
120902 -
120903 - Follow up ref SDS 22 VR6F, ref SDS 14 0001.
120904 -
120905 - The past few days Millie has been coughing more than usual.  She has
120906 - also begun to clear her throat noticably more often, similar to
120907 - reports on 040607, ref SDS 6 MP6J, and which was later diagnosed on
120908 - 041104 as symptoms of pulumonary embolism. ref SDS 7 N43I  Millie
120909 - reported chronic fatigue on 060929, ref SDS 13 B56N, and again during
120910 - the meeting on 061020. ref SDS 16 VD4G  Her letter to the doctor on
120911 - 061027 reported continuing symptoms and slow recovery from pulmonary
120912 - embolism. ref SDS 17 MS5P
120914 -         ..
120915 -        [On 061110 meeting with doctor Millie reports continuing
120916 -        pulmonary embolism symptoms of fatigue, shortness of breath,
120917 -        heavy chest with routine activity. ref SDS 23 VD4G
120919 -  ..
120920 - On 061020 Millie asked the doctor how serious pulmonary embolism,
120921 - based on report of enlarged pulmonary right ventricle, ref SDS 16
120922 - VD44, and that this can cause heart failure. ref SDS 15 L35J
120924 -  ..
120925 - Submitted a letter to Millie answering a question, and saying in
120926 - part...
120927 -
120928 -        Mil,
120929 -
120930 -        There is nothing from Iris yet.
120932 -         ..
120933 -        The only thing I could find in your email correspondence on
120934 -        cancer, was a letter requesting an interview survey, which is
120935 -        attached, per your request.
120937 -         ..
120938 -        How are you feeling?
120940 -         ..
120941 -        I am concerned that recent cough, and also clearing your throat
120942 -        along with continued fatigue need review in relation to prior
120943 -        symptoms of PE.  We can wait until Friday, but it helps for the
120944 -        doctor to get a heads up to be prepared.
120946 -         ..
120947 -        You could call Arlette, or we could send a follow up letter on
120948 -        the coagulapathy report subitted last week. ref SDS 22 N17T
120950 -         ..
120951 -        Let me know what you think.
120952 -
120953 -
120954 -
1210 -

SUBJECTS
Vigilence Hard to Sustain Cancer Stressfull Denial Fast Easy Relief

2103 -
2104 - 1634
210501 -  ..
210502 - Vigilence Hard Sustain Cancer Stressfull Denial Fast Easy Relief
210503 - Emotional Stress Relieved Denial Avoid Analysis Seems Like Death
210504 - Focus Getting Well Remembering Treatments Avoids Analysis Stressfull
210505 -
210506 - Received a letter from Millie saying...
210507 -
210508 -        Thanks.  I would prefer to wait until Friday.  I'm taking
210509 -        coumadin so I should be okay.  Please do not send any messages
210510 -        under my name to anyone.  I know you are concerned, but with
210511 -        constant reminders from you I feel like any moment I'm going to
210512 -        die.
210514 -  ..
210515 - Pulmonary embolism is a big risk reported on 060722. ref SDS 11 BI5J
210517 -  ..
210518 - Depending on the study, pulmonary embolism is the top, second, or
210519 - third leading cause of death.  Most deaths from pulmonary emboli occur
210520 - spontaneously, and pulmonary emboli is only discovered from autopsy,
210521 - ref SDS 11 7P7F, often the patient's medical chart has many signs and
210522 - reports of symptoms, but first-line practitioners are too busy to
210523 - notice the overall profile, ref SDS 11 7P9F, presenting a "wicked
210524 - problem," also reviewed on 060722. ref SDS 11 346F
210526 -  ..
210527 - Cancer patients sometimes do not respond to treatment even when INR is
210528 - reported normalized. ref SDS 11 KN5L
210530 -  ..
210531 - The feeling that Coumadin is the only solution, may not fully address
210532 - the enlarged right ventricle problem, reported on 061012. ref SDS 15
210533 - 7E5L
210535 -  ..
210536 - Millie is expressing emotional fatigue that makes vigilence hard to
210537 - maintain.
210538 -
210539 -
210540 -
210541 -
210542 -
210543 -
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210552 -
2106 -