CONTACTS 

SUBJECTS
Exercise Energy Strength Vigor Restored Working Out in Gym 1st Time
Fitness Improves Working Out Training Hard in Gym Strengthens Immune

1404 -
1404 -    ..
1405 - Summary/Objective
1406 -
140601 - Follow up ref SDS 4 0000, ref SDS 3 CV5L.
140602 -
140603 -
140605 -  ..
1407 -
1408 -
1409 - Progress
1410 -
141001 - Millie has been significantly more energetic the past few days,
141002 - continuing a trend, probably starting on 061201 when Millie had her
141003 - last treatment on the Taxotere and capecitabine protocol. ref SDS 1
141004 - 0001
141006 -  ..
141007 - Yesterday, she finally went to the gym.  Had a good work out.  She
141008 - did a not of chores yesterday.  Today, she went to the gym again, and
141009 - afterwards still feels okay.
141011 -  ..
141012 - Millie submitted ref DIT 1 0001 to Arlette at Kaiser for distribution
141013 - to the doctor and to Jackie for the medical team at UCSF.
141014 -
141015 -    1.  Please let [the doctor] know that I finally got up the courage
141016 -        to follow his advice on 070105. ref SDS 2 G35K  Numerous time
141017 -        the past month I have put my gear in the trunk with good
141018 -        intentions of going to the gym after work, but always chickened
141019 -        out, and wound up coming home.  This was partly feeling tired,
141020 -        and partly afraid about PE not being controlled. ref DIT 1 0001
141022 -         ..
141023 -    2.  Yesterday, I finally did it.  Went to the gym 2 days after
141024 -        treatment with cetuximab and did a full class.  This was my
141025 -        first workout in 6 months.  Had a little trouble keeping up
141026 -        with the young ones, but got through it with my heart rate up
141027 -        and sweating  good.  This morning I did the stationery bike for
141028 -        about 45 minutes, and then did some free weights. ref DIT 1
141029 -        EI6F
141030 -
141031 -           [On 070218 energy increases, shortness of breath, fatigue,
141032 -           weakness subside 10 weeks after ending treatment for 3rd
141033 -           relapse of IBC with Taxotere and cacecitabine; Millie is
141034 -           exercising in the gym again, playing tennis 2 days her pulse
141035 -           reached 144. ref SDS 7 N05H
141037 -         ..
141038 -    3.  My energy is definitely up, attributed in part to decadron on
141039 -        Thursday, but normally that wears off after the 2nd day.
141040 -        ref DIT 1 EI6N
141042 -         ..
141043 -    4.  By copy to UCSF, reporting no adverse side effects from 1st
141044 -        cetuximab treatment.  My chest still seems to be improving,
141045 -        which tracks with lastest CA 15-3 down again, at 56 for the
141046 -        test on 070131, which is near the low for this 3rd relapse that
141047 -        started on 060721. ref DIT 1 EI7I
141049 -         ..
141050 -    5.  So far so good; just keeping my fingers crossed. ref DIT 1 TS7M
141051 -
141052 -
141054 -  ..
141055 - Mt Diablo Goal 15 Mile Hike Up and Back Recover from Cancer
141056 -
141057 -
141058 -    6.  When I got cancer in 2002, I set a goal to hike up Mt Diablo
141059 -        again with my daughter.  Pam still does this a couple times a
141060 -        month, but I have been sidelined.  Up until today, I was
141061 -        beginning to think this was beyond reach.  Now, I'm hopeful
141062 -        again that the great care I get at Kaiser, and with support
141063 -        from UCSF, maybe Pam and I can try it again before too long.
141064 -        We'll see what happens. ref DIT 1 EI7R
141065 -
141066 -            [On 080616 Millie tried Mt Diablo trail again and made it
141067 -            to Deer Flat, a 7 mile hike while getting chemotherapy
141068 -            treatment at UCSF. ref SDS 11 7L6O
141069 -
141071 -  ..
141072 - CT Test Kaiser Evaluate Pulmonary Embolism
141073 -
141074 -
141075 -    7.  This further confirms understandings with [the primary care
141076 -        physician] during the meeting on 070202. ref SDS 5 P45O  He
141077 -        will order a CT test to affirmatively evaluate pulmonary
141078 -        embolism for reasons discussed at UCSF on 070130. ref SDS 3
141079 -        915J, ref DIT 1 EI8Q
141081 -         ..
141082 -    8.  [The primary care physician] requested a 1 month notice from
141083 -        UCSF on when the next CT test is needed for the cetuximab
141084 -        protocol, so that he can order the test in time for the Walnut
141085 -        Creek facility to allocate time for using the equipment that
141086 -        does this test. ref SDS 5 8F4M, ref DIT 1 EI9O
141088 -             ..
141089 -            [On 070208 UCSF received notice that Kaiser needs about a 1
141090 -            month notice to order the CT test that checks both response
141091 -            to treatment for IBC under the clinical study, and, also,
141092 -            for pulmonary embolism. ref SDS 6 PR5L
141094 -             ..
141095 -            [On 070301 Jackie discussed Kaiser requirements for 1 month
141096 -            notice to order a CT test to evaluate patient progress on
141097 -            the clinical study, and that this would allow time to
141098 -            specify that the test also evaluate pulmonary embolism,
141099 -            ref SDS 8 5Z6L; the doctor advised the next test for the
141100 -            study will be needed to start the 3rd cycle of treatment on
141101 -            070329; Brigid prepared a radiology request to get the CT
141102 -            test before 070328, and asked the patient to coordinate
141103 -            communications with Kaiser rather than rely on medical
141104 -            professionals. ref SDS 8 UR9J
141106 -             ..
141107 -            [On 070302 Millie submitted a letter to Kaiser presenting
141108 -            results of the meeting today, and conveying UCSF request
141109 -            for CT test before 070328, and specifying testing for
141110 -            pulmonary embolism. ref SDS 9 EZ6T
141112 -             ..
141113 -            [On 070306 follow up letter to Kaiser reminding to order CT
141114 -            test in time for starting next cycle on 070329, and to
141115 -            order test for pulmonary embolism. ref SDS 10 HS3X
141117 -         ..
141118 -    9.  Work schedule has been adjusted, per planning on 070117.
141119 -        Looking forward to treatment on Thursday. ref DIT 1 EI4L
141121 -         ..
141122 -   10.  Thanks very much,
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1412 -