CONTACTS 

SUBJECTS
14th Cycle Treatment Taxotere Xeloda Capacitibine Chemotherapy 6th C

0503 -
0503 -    ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS A0 0000. ref SDS 97 0000.
050502 -
050503 - Received treatment with Taxotere to start another 3-week cycle with
050504 - capecitabine.  Blood counts are still pretty good, ref SDS 0 P560, and
050505 - INR for pulmonary embolism is okay, as well. ref SDS 0 SE6N  CA 15-3
050506 - cancer marker rising again is disappointing, pointing to treatment
050507 - becoming less effective. ref SDS 0 2N5J  Hemoglobin was low today, so
050508 - the doctor prescribed Procrit. ref SDS 0 DT7O  Bonnie the nurse today
050509 - was excellent setting up treatment with Taxotere, and also helping
050510 - with the first self-treatment with Procrit. ref SDS 0 CT7I  After
050511 - treatment, Millie felt well enough to drive home. ref SDS 0 F54N
050512 -
050513 -
050514 -
050515 -
050516 -
050517 -
050519 -  ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Treatment Regular 3 Week Schedule Steady Level Chemotherapy Agent
050902 -
050903 - Follow up ref SDS A0 407N, ref SDS 97 407N.
050904 -
050905 - Received treatment to begin 14th cycle overall of chemotherapy with
050906 - Taxotere and capecitabine (Xeloda), and the 6th treatment for 3rd
050907 - relapse of IBC.
050908 -
050909 -      1.  Cycle 09 and 01 for relapse........ 060721, ref SDS 84 407N
050910 -      2.  Cycle 10 and 02 for relapse........ 060814, ref SDS 92 LY6O
050911 -      3.  Cycle 11 and 03 for relapse........ 060908, ref SDS 95 407N
050912 -      4.  Cycle 12 and 04 for relapse........ 060929, ref SDS 97 407N
050913 -      5.  Cycle 13 and 05 for relapse........ 061020, ref SDS A0 407N
050914 -      6.  Cycle 14 and 06 for relapse........ 061110, ref SDS 0 407N
050915 -
050916 -
050917 -
050921 -  ..
050922 - Millie had a blood draw yesterday afternoon, Thursday, 061019.
050923 -
050924 -
050925 -
050926 -
050927 -
050928 -
0510 -

SUBJECTS
Side Effects Consultation Pharmacist Tired Fatigue Heavy Chest Short

1603 -
160401 -  ..
160402 - Breathing Difficulty Heavy Chest Pulmonary Emboli Side Effects
160403 - Side Effects Consultation Pharmacist Heavy Chest Difficult Breathing
160404 -
160405 - Follow up ref SDS A0 QU8K, ref SDS 97 QU8K.
160406 -
160407 - On 060724 diary showing history of side effects for 2nd phase taking
160408 - Taxotere and capecitabine (Xeloda). ref SDS 86 QX8K
160410 -  ..
160411 - Millie met with the pharmacist, Masha, briefly in the examination
160412 - room, per below, and notified of reduced side effects. ref SDS 0 TZ4I
160414 -             ..
160415 -            Tired, fatigued - pulmonary emoblism...
160416 -
160417 -               Millie's energy remains lower than normal for
160418 -               chemotherapy treatments; chronic fatigue prevents
160419 -               routine exercise at the gym, as reported on 061020 after
160420 -               starting Coumadin on 061002 for treating pulmonary
160421 -               embolism. ref SDS A0 SK9O
160423 -      ..
160424 -     [On 061110 these symptoms of pulmonary embolism were reported to
160425 -     primary care physician following treatment today in the Infusion
160426 -     Clinic. ref SDS A3 VD4G
160428 -             ..
160429 -            Heavy chest - shortness of breathing
160430 -
160431 -               This condition remains problematic; it is improved from
160432 -               conditions on 060929 when symptoms led to diagnosis and
160433 -               currently ongoing treatment for pulmonary emboli,
160434 -               however, extra exgertion walking up stairs, walking a
160435 -               few blocks from the BART station to the office in San
160436 -               Francisco, walking around at the shopping mall, cause
160437 -               shortness of breath and noticable fatigue.
160439 -             ..
160440 -            Cough - clearing throat
160441 -
160442 -               On 061108 Millie's diary reports new episodes of cough
160443 -               and clearning her throat, similar to prior symptoms
160444 -               first reported on 040607, which were later diagnosed as
160445 -               symptoms of pulmonary embolism. ref SDS A2 VR6F
160447 -             ..
160448 -            Dry hands.
160449 -
160450 -               Hands, fingers, cuticals bleeding slightly continue.
160451 -               Feet and fingers now tingling.
160453 -             ..
160454 -            Nausea
160455 -
160456 -               Uneasy, queazy feeling in stomache relieved by eating
160457 -               small amounts of food thorughout the day.
160459 -             ..
160460 -            Sores in mouth
160461 -
160462 -               None yet, cleaning mouth carefully to avoid problem.
160463 -
160464 -
160465 -
160466 -
160467 -
1605 -

SUBJECTS
Schedule Treatment Regular 3-week Cycle on Friday 061201 1430 Blood

2003 -
200401 -  ..
200402 - Schedule Next Treatment Continue Fridays
200403 -
200404 - Follow up ref SDS A0 QK6L, ref SDS 97 QK6L.
200406 -  ..
200407 - Today, Millie's next treatment is scheduled for 061201 1430.
200409 -  ..
200410 - Blood draw is schedued forthe day before on 061130 1500.
200412 -  ..
200413 - Meeting with the doctor also scheduled for 061201.  Not sure about
200414 - the time, because we can do it before or during treatment.
200415 -
200416 -
200417 -
200418 -
200419 -
200420 -
200421 -
200422 -
2005 -

SUBJECTS
Blood Tests Chemotherapy WBC White Cell Count Good 14th Cycle Taxote

2303 -
230401 -  ..
230402 - Hemoglobin Low Blood Counts Anemia
230403 - Blood Counts Good Dose Chemotherapy Taxol Normal
230404 -
230405 - Follow up ref SDS A0 Q659, ref SDS 97 Q659.
230407 -  ..
230408 - Bonnie submitted the report showing...
230409 -
230410 -    Patient   Provider  Category   View      FR Date   To Date
230416 -     ..
230417 -    Procedure              Results             Reference Range
230418 -
230422 -
230423 -                  ** Marina Way South **
230425 -     ..
230426 -    Test Name            Value Unit     <-------- RANGE-------->
230427 -    @CBC
230428 -    WBC x 10-3               4.0 K/uL           3.5   -     12.5
230429 -    RBC x 10-6      L       3.28 M/uL           3.60  -      5.70
230430 -    Hemoglobin      L       10.8 g/dL          11.5   -     15.0
230432 -  ..
230433 - Hemoglobin is reviewed seperately below in connection with prescribing
230434 - Procrit. ref SDS 0 DT7O
230436 -     ..
230437 -    Hematocrit      L       32.2 %             34.0   -     46.0
230438 -    MCV                       98 fL            80.0   -    100.0
230439 -    RDW             H       16.6 %             11.9   -     14.3
230440 -    Plt x10-3              274   K/uL         140     -    400
230441 -     ..
230442 -    Neutrophils     H        72  %             50     -     70
230443 -    Lymphocytes              27  %             20     -     50
230444 -    Monocyte                  1  %              0     -     11
230445 -    Eosinophils               0  %              1     -      5
230446 -    Basophil                  0  %              0     -      2
230447 -    Bands             No Report  %              0     -      5
230449 -     ..
230450 -    CA 15-3         H         61 U/mL          -<     -     39
230452 -     ..
230453 -    Alkaline Phos     No Report  U/L           38     -    126
230454 -    Bili, Tot Adult          0.3 mg/dL        0.2     -    1.3
230455 -    Creatinine              0.72 mg/dL        0.6     -    1.2
230456 -    ALT (SGPT)                53 U/L           11     -     66
230457 -    AST (SGOT)        No Report  U/L
230459 -     ..
230460 -    RBC Morphology    No Report
230461 -    Poikilocytosis  * No Report
230462 -    Anisocytosis    * No Report
230463 -    Schistocytes    * No Report
230464 -    PLT Estimate      No Report
230465 -    PLT Morphology    No Report
230466 -
230467 -
230468 -
230469 -
2305 -

SUBJECTS
Anticoagulation Therapy Pulmonary Emboli INR High 3.0 PT Patient Hig

2603 -
260401 -     ..
260402 -    Anticoagulattion Therapy INR High 3.0 PT Patient High 29.9
260403 -
260404 -    Follow up ref SDS A0 SE6N.
260405 -
260406 -    PT, patient    H        29.9 sec           8.9    -     11.1
260407 -    PT INR                   3.0 sec           2      -      3
260408 -
260409 -
260410 -
260411 -
260412 -
260413 -
2605 -

SUBJECTS
Absolute Neutrophils Count ANC 2880 Well Above 1500 Required for Tre

2903 -
290401 -  ..
290402 - ACN 2880 Well Above 1500 Criteria for Blood Counts Approve Treatment
290403 -
290404 - Follow up ref SDS A0 P560, ref SDS 97 P560.
290405 -
290406 - Millie was worried that blood counts would not be high enough for
290407 - treatment.  Experience since 2002 has shown a strong correlation
290408 - between feeling tired, reported today, ref SDS 0 FG3N, and having low
290409 - blood counts.
290411 -  ..
290412 - ANC seems to be dropping consistently, shown by reports...
290413 -
290414 -        6972................................ 060814, ref SDS 92 P560
290415 -        6390................................ 060908, ref SDS 95 P560
290416 -        5200................................ 060929, ref SDS 97 P560
290417 -        3869................................ 061020, ref SDS A0 P560
290418 -        2880................................ 061110, ref SDS 0 P560
290420 -  ..
290421 - Formula for ANC, from record on 050128. ref SDS 49 TZ3N
290423 -  ..
290424 - Calculation from 060908 yielded 6390. ref SDS 95 P560
290426 -  ..
290427 - Note that bands are added to neutrophils, but both neutrophils and
290428 - bands have no report today.
290429 -
290430 -                  WBC               =   4.0
290431 -
290432 -                  Neutrophils       =    .72
290433 -                  Bands             =    no report
290435 -             ..
290436 -            ANC = 4.0 x 1000 x .72  = 2880
290438 -  ..
290439 - ANC calculation was submitted by the nurse today.
290440 -
290441 -
290442 -
290443 -
290444 -
290445 -
2905 -

SUBJECTS
CA 15-3 61 Rise from 56 Cancer Marker Current Blood Test Reversing P

3103 -
310401 -  ..
310402 - CA 15-3 61 Rise from 56 Cancer Marker Current Blood Test
310403 -
310404 - Follow up ref SDS A0 2N5J, ref SDS 97 2N5J.
310406 -  ..
310407 - Test today showing CA 15-3 61, ref SDS 0 5K6K, continues on slight
310408 - increase compared to the report on 061020. ref SDS A0 2N5J
310410 -  ..
310411 - Reflects very slow progress of IBC rash stable to worsening on left
310412 - chest.
310413 -
310414 -
310415 -
310416 -
310417 -
310418 -
310419 -
310420 -
310421 -
3105 -

SUBJECTS
Port Connection Prepare for Treatment 1 Try Required Bonnie Excellen

3303 -
3304 - 1442
330501 -  ..
330502 - Preparation for Treatment Required One (1) Attempt to Connect Port
330503 -
330504 - Follow up ref SDS A0 EB7J, ref SDS 97 EB7J.
330506 -  ..
330507 - Myrna did the administration with Bonnie to verify Millie gets the
330508 - correct treatment.
330510 -  ..
330511 - Millie explained having taken Decadron tablets according to the
330512 - prescription to take two tablets twice a day, per instructions on
330513 - 050415. ref SDS 56 8U4O
330515 -  ..
330516 - Decadron was not given by Bonnie again before treatment today, because
330517 - Millie took the pills this morning with her meal, as prescribed; and
330518 - Millie will take another treatment of Decadron tomorrow as part of
330519 - chemotherapy treatment with Taxotere today.
330520 -
330521 -        Generic name:  dexamethasone
330522 -
330523 -              http://www.tirgan.com/decadron.htm
330525 -         ..
330526 -        Description and purpose of Decadron is reported in the record
330527 -        on 060721. ref SDS 84 4I4Q
330529 -  ..
330530 - Compazine - Bonnie gave Millie a pill prior to treatment.  Millie took
330531 - this with a cup of water; this was after Julie and Bonnie did the
330532 - protocol verfication, per above, ref SDS A0 6O5G, which corrected the
330533 - mistake that occurred on 060929. ref SDS 97 NG55
330535 -  ..
330536 - Ativan - was not part of treatment today, previously given on 060721.
330537 - ref SDS 84 FZ5M
330538 -
330539 -        Generic name:  benzodiazepines
330540 -
330541 -        Purpose of Atiman reported on 060721. ref SDS 84 NF6K
330543 -  ..
330544 - Anzemet - was not part of treatment today, previously given on 060908.
330545 - ref SDS 95 O64I  This was reported ineffective on 060929. ref SDS 97
330546 - NR5F
330547 -
330548 -        Generic name:  dolasetron mesylate
330549 -
330550 -               http://www.anzemet.com
330551 -
330552 -
330553 -
330554 -
330556 -  ..
3306 -
3307 -
3308 - 1437
3309 -
330901 - Bonnie connected the IV tubes to the port....
330903 -       ..
330904 -      Interlink System Vented Paclitaxel set
330906 -  ..
330907 - This was done without incident, very professional and competent.
330908 -
330909 -
330910 -
3310 -

SUBJECTS
Benadryl Drip Treatment Prepares Patient for Taxotere Chemotherapy A

3603 -
3604 - 1447
360501 -  ..
360502 - Benedryl Reduce Side Effects Taxotere Chemotherapy Treatment
360503 -
360504 - Follow up ref SDS A0 DC7J, ref SDS 97 DC7J.
360505 -
360506 - Benadryl started.
360508 -         ..
360509 -        Purpose reported on 060721. ref SDS 84 DC7J
360510 -
360511 -
360513 -  ..
3606 -
3607 -
3608 - 1459
3609 -
360901 - Benedryl completed.
360902 -
360903 -
360904 -
360905 -
3610 -

SUBJECTS
Taxotere 102 MG Drip Treatment 14th Cycle and 6th Cycle for IBC Rela

3803 -
3804 - 1501
380501 -  ..
380502 - Taxotere Full Dose Blood Counts on Targets
380503 -
380504 - Follow up ref SDS A0 4N5M, ref SDS 97 4N5M.
380506 -  ..
380507 - Taxotere started - 102 MG.
380509 -  ..
380510 - There was no patient evaulation process today, which fits the
380511 - procedure the first time Millie was treated with Taxotere on 020610,
380512 - ref SDS 6 MR5I; later, on 050415 Kaiser performed patient evaluation
380513 - of side effects for Taxotere treatment. ref SDS 56 4333
380514 -
380515 -
380516 -
380518 -  ..
3806 -
3807 -
3808 - 1602
3809 -
380901 - Equipment beeped indicating treatment is over.
380903 -  ..
380904 - Bonnie disconnected the IV tubes.
380906 -  ..
380907 - She inserted Herceptin to flush the port.
380909 -  ..
380910 - She then removed the needle from the port, and swabbed the needle
380911 - wound, and placed a temporary bandage.
380913 -  ..
380914 - Bonnie took a blood draw for iron tibc and ferriten blood tests.
380915 -
380916 -
380917 -
380918 -
380919 -
380920 -
380921 -
380922 -
3810 -

SUBJECTS
Vitals Blood Pressure Pulse Temperature Taxotere 102 MG Drip Treatme

4103 -
4104 - 1434
410501 -  ..
410502 - Vitals Show Patient Stable
410503 -
410504 - Follow up ref SDS A0 AW4L, ref SDS 97 AW4L.
410505 -
410506 - Robert took vitals after starting Taxotere drip treatment...
410507 -
410508 -                    Blood
410509 -    Date   Time     Pressure   Pulse  Temprtr  Weight   So2
410511 -     ..
410512 -    061110 1534..... 136  83     73     97.0    150      98
410513 -    061020 1534..... 140  79     67     99.8    151      97
410514 -    060929 1452..... 141  78     66     98.3    149
410515 -    060908 1335..... 139  79     73     98.1    149
410516 -    060814 1610..... 139  80     59     98.2    151
410517 -    060722 1440..... 142  74     67     98.1    149
410518 -    060711.......... 172  87     54     97.5    147
410519 -    060623.......... 141  87     71     98.0    147
410520 -    060428.......... 129  73     80     99.4    149
410521 -    060217.......... 153  81     61     98.6    150
410522 -    050916.......... 120  80     80     98.5
410523 -
410524 -
410525 -
410526 -
4106 -

SUBJECTS
Pharmacist Orders Capecitabine (Xeloda) 14th Cycle Decadron Review S

5003 -
5004 - 1447
500501 -  ..
500502 - Procrit Prescribed Lift Energy Bonnie Demonstrates Procedures
500503 - Pharmacist Orders Capecitabine Decadron; Coordinate with Coumadin
500504 - Pulmonary Emboli Pharmacist Not Aware Communication Medication Fails
500505 -
500506 - Follow up ref SDS A0 TZ4I, ref SDS 97 TZ4I.
500507 -
500508 - Masha (Sin Lam) visited Millie during treatment in the Infusion
500509 - Clinic.  She verified that Millie is taking 1.5 pills of capecitabine
500510 - (Xeloda) twice a day.  Mysha has ordered a prescription for Millie to
500511 - purchase at the 2nd floor Pharmacy after treatment today.
500513 -  ..
500514 - Masha reviewed side effects, per above. ref SDS 0 QU8K
500516 -  ..
500517 - Masha explained Kaiser's feeling that Millie's chronic low energy and
500518 - fatigue correlates with consistently low blood counts for hemoglobin,
500519 - shown by the report today, per above....
500520 -
500521 -    Hemoglobin  L   10.8 g/dL 11.5 - 15.0..... 061110, ref SDS 0 0N7Q
500523 -  ..
500524 - Why does a single occurrance in 2006 with low hemoglobin require
500525 - treatment?  Case study shows 10 prior tests, many with consecutive
500526 - findings of low hemoglobin did not result in prescribing Procrit.
500527 -
500528 -            [On 061201 following treatment with Procrit, hemoglobin
500529 -            blood count increased to the target range, but side effects
500530 -            of chemotherapy, and symptoms of pulmomary embolism
500531 -            continue. ref SDS A4 FG3N
500533 -  ..
500534 - What is different about the current finding that supports a different
500535 - approach....
500536 -
500537 -    Hemoglobin      12.4 g/dL 11.5 - 15.0..... 061020, ref SDS A0 0N7Q
500538 -    Hemoglobin      12.1 g/dL 11.5 - 15.0..... 060929, ref SDS 97 0N7Q
500539 -    Hemoglobin      12.8 g/dL 11.5 - 15.0..... 060908, ref SDS 95 0N7Q
500540 -    Hemoglobin      13.2 g/dL 11.5 - 15.0..... 060814, ref SDS 92 0N7Q
500541 -    Hemoglobin      14.0 g/dL 11.5 - 15.0..... 060810, ref SDS 91 0N7Q
500542 -    Hemoglobin      12.5 g/dL 11.5 - 15.0..... 060711, ref SDS 84 0N7Q
500543 -    Hemoglobin  L   10.9 g/dL 11.5 - 15.0..... 050916, ref SDS 74 0N7Q
500544 -    Hemoglobin  L   11.2 g/dL 11.5 - 15.0..... 050819, ref SDS 71 0N7Q
500545 -    Hemoglobin  L   11.1 g/dL 11.5 - 15.0..... 050729, ref SDS 69 0N7Q
500546 -    Hemoglobin  L   11.0 g/dL 11.5 - 15.0..... 050708, ref SDS 66 0N7Q
500547 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 050617, ref SDS 64 0N7Q
500548 -    Hemoglobin  L   11.3 g/dL 11.5 - 15.0..... 050527, ref SDS 62 0N7Q
500549 -    Hemoglobin  L   11.4 g/dL 11.5 - 15.0..... 050506, ref SDS 59 0N7Q
500550 -    Hemoglobin      11.6 g/dL 11.5 - 15.0..... 050415, ref SDS 56 0N7Q
500551 -    Hemoglobin      11.6 g/dL 11.5 - 15.0..... 050325, ref SDS 53 0N7Q
500552 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 050225, ref SDS 51 0N7Q
500553 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 050128, ref SDS 49 0N7Q
500554 -    Hemoglobin  L   11.3 g/dL 11.5 - 15.0..... 050104, ref SDS 48 0N7Q
500555 -    Hemoglobin  L   11.3 g/dL 11.5 - 15.0..... 041021, ref SDS 43 0N7Q
500556 -    Hemoglobin      11.9 g/dL 11.5 - 15.0..... 041014, ref SDS 42 0N7Q
500557 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 041007, ref SDS 40 0N7Q
500558 -    Hemoglobin      11.9 g/dL 11.5 - 15.0..... 040923, ref SDS 39 0N7Q
500559 -    Hemoglobin      11.7 g/dL 11.5 - 15.0..... 040916, ref SDS 38 0N7Q
500560 -    Hemoglobin      11.7 g/dL 11.5 - 15.0..... 040909, ref SDS 37 0N7Q
500561 -    Hemoglobin      11.7 g/dL 11.5 - 15.0..... 040826, ref SDS 36 0N7Q
500562 -    Hemoglobin      11.7 g/dL 11.5 - 15.0..... 040819, ref SDS 35 0N7Q
500563 -    Hemoglobin  L   11.0 g/dL 11.5 - 15.0..... 040729, ref SDS 32 0N7Q
500564 -    Hemoglobin      12.6 g/dL 11.5 - 15.0..... 040615, ref SDS 27 0N7Q
500565 -    Hemoglobin  L   10.1 g/dL 11.5 - 15.0..... 040601, ref SDS 23 0N7Q
500566 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 040525, ref SDS 22 0N7Q
500567 -    Hemoglobin      12.2 g/dL 11.5 - 15.0..... 040518, ref SDS 21 0N7Q
500569 -  ..
500570 - Masha advised that the primary care physician has prescribed...
500571 -
500572 -                    Procrit
500573 -
500574 - ...to increase Millie's energy by increasing her blood count for
500575 - hemoglobin.
500577 -  ..
500578 - Masha did an excellent job explaining a lot of details about Procrit
500579 - treatments.  Her accent and the speed of presentation prevented
500580 - remembering all of this guidance.
500582 -  ..
500583 - Masha said she would submit a letter confirming what was said so that
500584 - the customer need not worry about remembering a lot of details.
500585 -
500586 -            [On 061110 primary care physician did not have time to
500587 -            discuss Procrit prescription today. ref SDS A3 PZ6N
500589 -             ..
500590 -            [On 061201 Masha did not submit the letter to confirm
500591 -            understandings; but plans to do so. ref SDS A4 LA5M
500593 -             ..
500594 -            [On 061201 Masha submitted letter confirming discussions on
500595 -            061110. ref SDS A4 894K
500597 -  ..
500598 - Previously, on 040615 the doctor prescribed both Procrit and Nupigen.
500599 - However, these treatments were not given because Millie's blood counts
500600 - were high enough for chemotherapy treatments. ref SDS 27 3P5O
500601 -
500602 -            [On 061201 following treatment with Procrit, hemoglobin
500603 -            blood count increased to the target range, but side effects
500604 -            of chemotherapy, and symptoms of pulmomary embolism
500605 -            continue. ref SDS A4 FG3N
500607 -  ..
500608 - The day before, on 040614, the doctor explained that bone marrow
500609 - creates new blood.  This natural biological process slows with
500610 - advancing age.  At that time, the week off between treatments was not
500611 - enough time for bone marrow to replace blood damaged by chemotherapy
500612 - treatments, shown by consistently low blood counts. ref SDS 26 6T7F
500613 - The doctor never-the-less approved treatment for Millie, as shown by
500614 - the study above, ref SDS 0 DT7O, because of her physical conditioning.
500615 - ref SDS 26 356L
500616 -
500617 -
500618 -
500619 -
500621 -  ..
5007 -
5008 -
5009 - 1529
5010 -
501001 - Bonnie gave a demonstration of the injection process.
501002 -
501003 - She provided instructions and assisted with the first treatment
501004 - today.
501006 -  ..
501007 - Bonnie mentioned that the infusion clinic can now treat a lot more
501008 - cancer patients, after moving the blood draw section to the Martinez
501009 - clinic, and using the space for chemotherapy treatments.
501011 -  ..
501012 - Discussed Debbie's comment on 061020 that the Oncology Clinic in
501013 - Walnut Creek is averaging 200 new patients a month. ref SDS A0 Z63F
501014 - Bonnie said that there are more cancer patients in Contra Costa county
501015 - than anywhere else in the country.  She said until recently the county
501016 - had the highest rate of cancer in the world, but now there are a few
501017 - other locations with higher rates.
501018 -
501019 -
501020 -
501021 -
501022 -
501023 -
5011 -

SUBJECTS
Energy Normal Stable Alert Drive Home After Treatment IBC 3rd Relaps

5403 -
5404 - 1733
540501 -  ..
540502 - Energy Normal Stable After Treatment Taxotere Support Drugs
540503 -
540504 - Follow up ref SDS A0 F54N, ref SDS 97 F54N.
540505 -
540506 - Millie was alert after treatment today, and not wobbly nor
540507 - disoriented.
540509 -  ..
540510 - She was fine transacting business at the 2nd Floor Pharmacy to
540511 - purchase the prescription for capecitabine (Xeloda) and Decadron.
540513 -  ..
540514 - Millie drove home.  We had a steak and salad for dinner.  She was
540515 - asleep by about 2000, after taking the 1st treatment of capecitabine
540516 - (Xeloda) to start the new cycle.
540518 -  ..
540519 - On 060724 diary side effects for 2nd phase taking Taxotere and
540520 - capecitabine (Xeloda). ref SDS 86 QX8K
540521 -
540522 -
540523 -
540524 -
540525 -
540526 -
540527 -
5406 -