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: April 18, 2007 09:44 AM Wednesday; Rod Welch

Letter to UCSF coordinating for meeting with Doctor Rugo on 070419.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Meeting 040419 0830 Agenda Prepare Coordinate Planning UCSF Doctor R

1703 -
1703 -    ..
1704 - Summary/Objective
1705 -
170501 - Follow up ref SDS 4 0000. ref SDS 2 0000.
170502 -
170503 -
170504 -
170505 -
170507 -  ..
1706 -
1707 -
1708 - Progress
1709 -
170901 - Millie submitted ref DIT 1 0001 responding to Brigid's letter
170902 - reporting CA 15-3, ref DRP 1 0001, and received last week on 070406.
170903 - ref SDS 4 EQ6I  A copy was sent to Jackie for coordination at UCSF,
170904 - and to Michele for coordination with the primary care physician at
170905 - Kaiser.
170906 -
170907 -    1.  Thanks very much for your letter on April 6th, reporting CA
170908 -        15-3 33, ref SDS 4 EQ6I, and supporting Doctor Rugo's treatment
170909 -        strategy, as shown in patient history on 070329. ref SDS 1
170910 -        UZ8N, ref DIT 1 0001
170911 -
170912 -           [On 070419 meeting with Doctor Rugo to review progress
170913 -           reports improved coordination receiving test results from
170914 -           UCSF via email. ref SDS 5 RM4G
170916 -         ..
170917 -    2.  I'm really grateful for excellent work at UCSF and Kaiser
170918 -        seeing me through difficult times.  Right now, I cannot
170919 -        remember when I felt better than I do today. ref DIT 1 LY6H
170921 -            ..
170922 -           [On 070509 Millie commended UCSF and recognized Brigid for
170923 -           continued timely communication, coordination, and
170924 -           collaboration via email supporting an effective
170925 -           doctor/patient partnership. ref SDS 6 KR6K
170927 -         ..
170928 -    3.  If time permits, you might review the record on 070330
170929 -        reporting sudden changes in rash intensity [on the upper left
170930 -        arm, ref SDS 3 7C7F], and new rash [on the upper right chest
170931 -        below the collar bone, ref SDS 3 583G, observed at Kaiser the
170932 -        day after your examination at UCSF on 070329.  [The primary
170933 -        care physician] prescribed Keflex again. ref SDS 3 PF3O  Since
170934 -        these new rash conditions seemed to subside after the
170935 -        examination, I have not taken Keflex, ref SDS 3 KZ6L, and am
170936 -        notifying UCSF for further consideration, based on past
170937 -        practice, as noted in the record. ref SDS 3 V66M, ref DIT 1
170938 -        6V65
170940 -         ..
170941 -    4.  Notice that the rash on the upper right chest was previously
170942 -        reported in Nurse's Notes for treatment on 070315, explained
170943 -        with background on this new issue. ref SDS 3 DH4M, ref DIT 1
170944 -        6V76
170946 -         ..
170947 -    5.  There is also a list of pending side effects in my patient
170948 -        history for cetuximab treatments listed on 070329. ref SDS 2
170949 -        QU8K, ref DIT 1 6V84
170950 -
170951 -           [On 070419 coordination submitting side effects via email
170952 -           with precision access was not accessed during the meeting
170953 -           for comprehensive review. ref SDS 5 DI4F
170955 -         ..
170956 -    6.  Possibly the new rash issues are also side effects of
170957 -        cetuximab??? ref DIT 1 IL9F
170959 -         ..
170960 -    7.  Thanks again for sending CA 15-3 results. ref DIT 1 XL9I
170962 -         ..
170963 -    8.  Copy to Michele Hitch at Kaiser coordinates with primary care
170964 -        physician to advise of disposition on prescription for Keflex
170965 -        following examination on 070330. ref SDS 3 KZ6L, ref DIT 1 00W2
170967 -  ..
170968 - On 070330 the primary care physician said to coordinate through
170969 - Michele for referral issues at UCSF that relate to Kaiser. ref SDS 3
170970 - SM4J
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170972 -
170973 -
170974 -
170975 -
170976 -
170977 -
170978 -
170979 -
170980 -
170981 -
1710 -