CONTACTS 

SUBJECTS
Examination Treatment Cetuximab 3rd Treatment 4th Cycle Chemotherapy

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 81 0000. ref SDS 78 0000.
040502 -
040503 - Millie had a fever early this morning, continued from last night; by
040504 - 0700 temperature was normal. ref SDS 0 AK6I  Treatment for Cellulitis
040505 - at Kaiser in Martinez at 0900, received treatment schedule for next 5
040506 - days, ref SDS 0 AK6H, nurse was not trained to use port catheter.
040507 - ref SDS 0 VQ5L  UCSF requested contact information at Kaiser.  Millie
040508 - responded, submitting the treatment schedules, and reported progress
040509 - recovering from Cellulitis. ref SDS 0 035H  Millie notified primary
040510 - care physician about Cellulitis diagnosis and treatment at UCSF
040511 - yesterday, ref SDS 0 6Q3N, and also reported progress today.
040512 - ref SDS 0 6Q6G  In the afternoon, fever returned, ref SDS 0 04BE,
040513 - later temperature was normal, then in evening fever climbed again to
040514 - 99.7, Cellulitis may be worsening. ref SDS 0 S44N  Late PM temperature
040515 - back to normal. ref SDS 0 F49G
040516 -
040517 -
040518 -
040519 -
040520 -
040522 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Temperature at 0500 was 100.3
040902 -
040903 - This continued fever of 100.2 from last night at 0030. ref SDS 81 JN6N
040905 -  ..
040906 - Millie took another Tylenol (prescription from Kaiser listed yesterday
040907 - on 070607. ref SDS 81 8L87
040908 -
040910 -  ..
0410 -
0411 -
0412 - 0700
0413 -
041301 - Temperature 98.6.
041302 -
041303 - Millie feeling and looking better.  Inflammation in the left arm
041304 - seems further reduced.
041305 -
041307 -  ..
0414 -
0415 -
0416 - 0809
0417 -
041701 - Temperature 97.3.
041702 -
041703 - Millie received a letter from Brigid, responding to the letter
041704 - yesterday, ref SDS 81 EF6J, submitting the record of discovering and
041705 - treating Cellulitis at UCSF, and saying...
041706 -
041707 -        Subject:  Cellulitis Recurrence Coordination UCSF Kaiser
041709 -         ..
041710 -        Date:  June 8, 2007 0719
041712 -         ..
041713 -        You had ceftriaxone IV 2gms, please let us know if you are
041714 -        still having fevers today.
041715 -
041716 -
041718 -  ..
041719 - Millie notified the medical team on progress this morning...
041720 -
041721 -            [...see further notice on condition. ref SDS 0 UH7Q
041722 -
041723 -        Subject:  Cellulitis Fever Broke Inflammation Subsides
041724 -
041725 -        Date:  June 8, 2007 0814
041727 -         ..
041728 -        Thanks for submitting the name of the IV treatment for fever
041729 -        and cellulitis given yesterday at UCSF, as shown below in your
041730 -        letter.  By copy I am notifying Kaiser, so they can coordinate
041731 -        treatment beginning this morning, per the record yesterday.
041733 -         ..
041734 -        This morning at 0500 my temperature was still elevated at
041735 -        100.3. ref SDS 0 AK6I
041737 -         ..
041738 -        However by 0700 it finally dropped to 98.6.  I took it again a
041739 -        few minutes ago and it was 97.3.  The rash has subsided
041740 -        substantially and I feel much better now, back to normal.
041741 -        ref SDS 0 AK7V
041743 -         ..
041744 -        I am leaving shortly for treatment at Kaiser in Martinez, per
041745 -        planning yesterday. ref SDS 81 8L46
041746 -
041747 -
041749 -  ..
0418 -
0419 -
0420 - 0900
0421 -
042101 - Treatment at Kaiser in Martinez.
042102 -
042103 - The nurse said I got the same medication, ceftriaxone IV 2gms, that
042104 - was used at UCSF yesterday, ref SDS 0 PQUW, indicating progress on
042105 - coordination between Kaiser and USCF, following up communications this
042106 - morning, per above. ref SDS 0 AK44
042108 -  ..
042109 - The nurse presented the following treatment schedule prescribed by the
042110 - primary care physician yesterday on 070607. ref SDS 81 8L46
042111 -
042112 -        070609 0930.................. Kaiser Walnut Creek
042113 -        070610....................... No treatment
042114 -        070611 0900.................. Kaiser Martinez
042115 -        070612 0900.................. Kaiser Martinez
042116 -        070613 0900.................. Kaiser Martinez
042118 -  ..
042119 - The nurse could not explain why treatment is skipped on Sunday.
042121 -  ..
042122 - Millie asked about taking Keflex on Suday, 070610.  The nurse said to
042123 - check with the doctor.
042124 -
042125 -            [On 070609 Millie asked at Kaiser in Walnut Creek Infusion
042126 -            Clinic and the nurse indicated the computer shows Keflex
042127 -            has not been prescribed at this time. ref SDS 83 W34O
042129 -             ..
042130 -            [On 070610 primary care physician letter notifies Millie to
042131 -            begin taking oral antibiotics, ref SDS 84 OG9G, after 2nd
042132 -            IV treatment, and before completing work plan for 5-IV
042133 -            treatments presented today. ref SDS 0 AL39
042134 -
042136 -     ..
042137 -    Port Catheter Avoided Nurse Substitutes Needle Penetration for IV
042138 -    IV Needle Penetration Mimimal Damage Substitute for Port Catheter
042139 -
042140 -
042141 - Kaiser did not use the port catheter for IV treatment today, which
042142 - ordered by the doctor on 040318, because needle penetrations cause
042143 - severe trauma to Millie's right arm. ref SDS 3 CO3G
042145 -  ..
042146 - The nurse commented that conventional needle penetration can be used,
042147 - when the nurse is not trained to use the port catheter.  She said few
042148 - nurses get this training, because most patients don't have port
042149 - catheters.  Millie experienced Kaiser's process training people to use
042150 - the port catheter, while getting treatment on 061027 in Emergency for
042151 - Cellulitis. ref SDS 30 ZP43  Today, Millie did not want to
042152 - inconvenience Kaiser by asking for special treatment using the port
042153 - catheter.  By this time, she had forgotten complications weeks ago on
042154 - 070524 with needle penetrations for blood draws at UCSF.
042155 -
042156 -     [On 070611 same nurse used port catheter, indicating training was
042157 -     not an issue, resistance to using the port catheter may simply to
042158 -     avoid taking extra time and cost; using port catheter resolved
042159 -     issue of increasing trauma to Millie's right arm. ref SDS 85 ET3G
042161 -  ..
042162 - Today, the nurse inserted a needle in the top of the right hand, and
042163 - found a vien on the first try.  This minimized complications that
042164 - occurred at UCSF on 070524.  There is only a small bruise to the right
042165 - hand about 1" in diameter where the needle was inserted, contrary to
042166 - planning by the doctor on 040318. ref SDS 3 RX9O
042168 -  ..
042169 - The nurse apologized and said that since needles cannot be used to
042170 - draw blood or for IVs on Millie's left arm due to lymphedema, nor from
042171 - other locations, as ordered by the primary care physician on 040318,
042172 - ref SDS 3 OF7H, Kaiser had to use the right arm.
042174 -  ..
042175 - Millie said it is only a small bruise, and should heal in a few days.
042177 -  ..
042178 - Challenge will be where to insert needles for succeeding treatments,
042179 - per the schedule above, ref SDS 0 AL39, on an arm with limited real
042180 - estate, and a history of trauma from needle penetrations.
042182 -  ..
042183 - After the meeting at Kaiser, discussed considering asking Kaiser to
042184 - follow the doctor's orders to use the port for follow on treatments.
042185 -
042186 -     [On 070611 same nurse used port catheter, indicating training was
042187 -     not an issue, resistance to using the port catheter may simply to
042188 -     avoid taking extra time and cost; using port catheter resolved
042189 -     issue of increasing trauma to Millie's right arm. ref SDS 85 ET3G
042190 -
042191 -
042192 -
042193 -
042195 -  ..
0422 -
0423 -
0424 - 1027
0425 -
042501 - UCSF Contacting Kaiser Coordinate Divided Responsibilities Referral
042502 -
042503 - There was a voice mail from Brigid when Millie returned from getting
042504 - treatment at Kaiser.  Brigid requested contact information for
042505 - Millie's doctor to coordinate treatment planning, possibly to review
042506 - payment issues.
042507 -
042508 -          [On 070620 primary care physician reports communication
042509 -          channels are now open with UCSF. ref SDS 84 OG7F
042511 -           ..
042512 -          [On 070611 thanked Brigid for taking initiative to begin
042513 -          communications with Kaiser on coordinating referral treatment
042514 -          at UCSF. ref SDS 85 JO5O
042516 -  ..
042517 - Millie submitted a letter to Brigid with a copy to Kaiser, saying..
042518 -
042519 -    1.  Subject:  Kaiser Contacts Coordination UCSF
042520 -
042521 -    2.  Date:  June 8, 2007 1040
042522 -
042523 -    3.  I have just returned from getting IV treatment at Kaiser in
042524 -        Martinez, and am responding to your voice mail received upon
042525 -        return from Kaiser. ref SDS 0 AK6H
042527 -         ..
042528 -    4.  The nurse at Kaiser this morning indicated that I received...
042529 -
042530 -             ceftriaxone
042531 -
042532 -        ...the same treatment at UCSF, shown in your letter this
042533 -        morning. ref SDS 0 PQUW
042535 -         ..
042536 -    5.  The nurse advised that I am scheduled to get another treatment
042537 -        tomorrow at Kaiser in Walnut Creek.  Treatment will be skipped
042538 -        on Sunday, and I will get treatment on Monday - Wednesday at
042539 -        Martinez again. ref SDS 0 AL39
042541 -         ..
042542 -    6.  I asked the nurse that, in skipping IV treatment on Sunday,
042543 -        whether I should take Keflex on that day.  She said to check
042544 -        with the doctor. ref SDS 0 AL48
042546 -         ..
042547 -    7.  By copy to Kaiser I am asking about that issue.
042549 -         ..
042550 -    8.  Your voice mail requested contact information for my doctor at
042551 -        Kaiser. ref SDS 0 035H  I assume you refer to my primary care
042552 -        physician at Kaiser.
042554 -         ..
042555 -    9.  Doctor Rugo had extensive contact with [the primary care
042556 -        physician] to launch the referral project in late December, and
042557 -        so should have an email address for him. ref SDS 35 OU5K  My
042558 -        records show his email address is...
042560 -         ..
042561 -   10.  He prefers not to be contacted through email by patients, so I
042562 -        do not copy him today.
042564 -         ..
042565 -   11.  I do not have a direct telephone number for [the primary care
042566 -        physician].  My contact has been through Arlette, and she has
042567 -        always been prompt and thorough facilitating communication with
042568 -        the doctor, as shown in the record yesterday coordinating
042569 -        treatment for Cellulitis. ref SDS 81 GY41
042571 -         ..
042572 -   12.  Arlette can be reached at the above email address.  The
042573 -        telephone number where I reach her is...
042574 -
042575 -            Oncology... 925 295 4030
042576 -            Appointments... 925 295 5022
042578 -         ..
042579 -   13.  I'm not sure Arlette works today, but someone will answer at
042580 -        those numbers who may be able to provide a direct contact for
042581 -        [the primary care physician].
042583 -         ..
042584 -   14.  I will send [the primary care physician] a letter through
042585 -        Kaiser's email system and let him know you want make contact,
042586 -        and give him your number and email address.  Kaiser is still
042587 -        working on developing the system and it does not yet support
042588 -        uniform distribution for efficient coordination, so I cannot
042589 -        include him in this letter.
042591 -         ..
042592 -   15.  I am pleased to see UCSF and Kaiser working on contacts for
042593 -        coordination.
042594 -
042595 -            [...below, Millie notifies primary care physician that UCSF
042596 -            needs contact information to improve coordination.
042597 -            ref SDS 0 6S8K
042599 -             ..
042600 -            [On 070620 primary care physician reports communication
042601 -            channels are now open with UCSF. ref SDS 84 OG7F
042603 -             ..
042604 -            [On 070611 thanked Brigid for taking initiative to begin
042605 -            communications with Kaiser on coordinating referral
042606 -            treatment at UCSF. ref SDS 85 JO5O
042607 -
042608 -
042609 -
042610 -
042611 -
042613 -  ..
0427 -
0428 -
0429 - 1044
0430 -
043001 - Late breakfast afer returning from Kaiser for treatment, per above.
043002 - ref SDS 0 AK6H
043004 -  ..
043005 - Millie had 2 medium pancakes, and an egg.  She ate half of this.
043006 -
043008 -  ..
0431 -
0432 -
0433 - 1103
0434 -
043401 - Millie watching television, French Open.  Feels chilled.  Wrapped her
043402 - in a blanket.
043404 -  ..
043405 - Temperature 98.2
043406 -
043407 -
043409 -  ..
0435 -
0436 -
0437 - 1153
0438 -
043801 - Millie sent a letter to the primary care physician at Kaiser
043802 - saying...
043803 -
043804 -        Subject:  Coordination at UCSF
043806 -         ..
043807 -        Date:  June 8, 2007 1200
043809 -         ..
043810 -        Thanks for the record of our meeting on 070525.  I sent results
043811 -        to Rosalie from the blood test on 070426, and asked her to let
043812 -        me know if she needs more current data.  I have not heard back.
043813 -        Were you notfied?
043815 -         ..
043816 -        Here is the record on Cellulitis response at UCSF, showing
043817 -        coordination with Kaiser yesterday on 070607. ref SDS 81 0001
043819 -         ..
043820 -        As usual, Arlette was timely and effective.
043822 -         ..
043823 -        I notified Kaiser and UCSF about follow up.  This morning at
043824 -        0500 temp was 100.2, but at 0700 fever finally dropped to
043825 -        normal.  The rash is much improved; we are going in the right
043826 -        direction.
043827 -
043828 -            [...below, fever returned, and Cellulitis may have worsened
043829 -            later in the afternoon. ref SDS 0 S44N
043831 -         ..
043832 -        Brigid left a voice mail requesting contact information for
043833 -        you. ref SDS 0 035H  She does most of the examinations and
043834 -        prescribes treatment for Doctor Rugo in my case.  Her email
043835 -        is...
043836 -
043837 -            [On 070620 primary care physician reports communication
043838 -            channels are now open with UCSF. ref SDS 84 OG7F
043840 -             ..
043841 -            [On 070611 thanked Brigid for taking initiative to begin
043842 -            communications with Kaiser on coordinating referral
043843 -            treatment at UCSF. ref SDS 85 JO5O
043845 -         ..
043846 -        She left a phone number, but I goofed and erased it by mistake.
043848 -  ..
043849 - Millie found Brigid's telephone number, and so sent another letter
043850 - to Kaiser saying...
043851 -
043852 -        Subject:  Coordination at UCSF Addition
043853 -
043854 -        Date:  June 8, 2007 1204
043856 -         ..
043857 -        I found a telephone number for Brigid...
043859 -         ..
043860 -        Again, she called this morning requesting contact information
043861 -        for you on coordinating care between Kaiser and UCSF.
043862 -        ref SDS 0 035H
043864 -         ..
043865 -        Thanks.
043866 -
043867 -            [On 070610 primary care physician at Kaiser reports
043868 -            communication channels are now open with UCSF, signaling
043869 -            progress toward coordination planning on referral projects.
043870 -            ref SDS 84 OG7F
043872 -             ..
043873 -            [On 070611 thanked Brigid for taking initiative to begin
043874 -            communications with Kaiser on coordinating referral
043875 -            treatment at UCSF. ref SDS 85 JO5O
043876 -
043877 -
043878 -
043879 -
043881 -  ..
0439 -
0440 -
0441 - 1217
0442 -
044201 - Temperature 97.8
044202 -
044203 - Feeling restless, uneasy.
044204 -
044205 -
044207 -  ..
0443 -
0444 -
0445 - 1328
0446 -
044601 - Temperature 99.5.
044602 -
044603 - Millie took another Tylenol.
044605 -  ..
044606 - Arm still appears to be improving.
044607 -
044608 -
044610 -  ..
0447 -
0448 -
0449 - 1406
0450 -
045001 - Notified medical team of current conditions.
045002 -
045003 -    1.  Subject:  Cellulitis Slight Fever 99.5
045005 -         ..
045006 -    2.  Date:  June 10, 2007 1409
045008 -         ..
045009 -    3.  Per your request this morning to be notified on my temperature,
045010 -        ref SDS 0 PQUW, here is the record of my condition. ref SDS 0
045011 -        AM5R
045013 -         ..
045014 -    4.  I'm tired and so taking a nap.
045015 -
045016 -
045017 -
045019 -  ..
0451 -
0452 -
0453 - 1412
0454 -
045401 - Millie sleeping.
045402 -
045404 -  ..
0455 -
0456 -
0457 - 1442
0458 -
045801 - Temperature 99.6.
045802 -
045803 - Took Tylenol pill, per Kaiser specification yesterday. ref SDS 81 8L87
045805 -  ..
045806 - Feeling stronger.
045808 -  ..
045809 - Hungry.  Late lunch, spagetti with avacado.  Milk.
045811 -  ..
045812 - Feels chilled.  Sat outside in the sun for 5 minutes.
045813 -
045814 -
045816 -  ..
0459 -
0460 -
0461 - 1554
0462 -
046201 - Temperature 99.2
046202 -
046203 - Millie watching television.
046205 -  ..
046206 - Chills seem to be gone.
046208 -  ..
046209 - Drinking grape juice diluted with water on ice.
046210 -
046211 -
046212 -
046214 -  ..
0463 -
0464 -
0465 - 1613
0466 -
046601 - Kaiser Proposes Dedicated Email Does Not Support Uniform Distribution
046602 -
046603 -
046604 - Millie got a letter from Arlette at Kaiser in Walnut Creek, saying...
046605 -
046606 -        Subject:  Cellulitis Recurrence Coordination UCSF Kaiser
046608 -         ..
046609 -        Date:  June 8, 2007 1547
046611 -         ..
046612 -        Glad to be of help, but you must e-mail this to [the primary
046613 -        care physician] so he can answer you and it will be in your
046614 -        record.
046615 -
046616 -           [...below, Millie sends another letter to Kaiser asking the
046617 -           doctor about Arlette's request to send more email.
046618 -           ref SDS 0 6S8K
046620 -            ..
046621 -           [On 070610 primary care physician reports he does not need
046622 -           more information from the patient. ref SDS 84 OG85
046624 -  ..
046625 - Arlette does not say what "this" is.  Kaiser has been copied on all of
046626 - the letters to UCSF Subject....
046627 -
046628 -            Cellulitis Fever Broke Inflammation
046629 -            Subsides............................. 0814, ref SDS 0 AK44
046630 -
046631 -            Kaiser Contacts Coordination
046632 -            UCSF................................. 1040, ref SDS 0 AL66
046634 -             ..
046635 -            Cellulitis Slight Fever 99.5......... 1409, ref SDS 0 YH5O
046637 -  ..
046638 - Based on the "subject" of Arlette's letter, she responds to none of
046639 - these letters sent today, but to a letter sent late last night on
046640 - 070807. ref SDS 81 EF6J
046642 -  ..
046643 - Arlette's request to send the record yesterday to the doctor reporting
046644 - work at UCSF to treat Cellulitis, ref SDS 0 JY43, has already been
046645 - done, per above. ref SDS 0 6Q3N
046646 -
046647 -           [...below, Millie sends another letter to Kaiser asking the
046648 -           doctor about Arlette's request to send more email.
046649 -           ref SDS 0 6S8K
046651 -            ..
046652 -           [On 070610 primary care physician reports he does not need
046653 -           more information from the patient. ref SDS 84 OG85
046655 -  ..
046656 - Kaiser's practice to get patient communications in Kaiser's computer
046657 - has not been effective for case management.  On 070516 the doctor
046658 - reported CA 15-3 was "stable" based on a listing in Kaiser's medical
046659 - chart. ref SDS 80 RH9H  This was incorrect.  Two (2) days earlier, the
046660 - doctor received notice using Kaiser's email program which Arlette
046661 - proposes using today, that Millie's CA 15-3 had dropped dramatically
046662 - to 29.  Several weeks earlier, Millie used Kaiser's email system to
046663 - report CA 15-3 had dropped to 36.  None of this data was listed in the
046664 - report submitted by the doctor on 070516, indicating nothing submitted
046665 - to the doctor using Kaiser's email system was posted into the medical
046666 - chart. ref SDS 80 WV6L
046667 -
046668 -
046670 -  ..
0467 -
0468 -
0469 - 1617
0470 -
047001 - Millie responded to Arlette's letter requesting more information for
047002 - the doctor using email. ref SDS 0 GW9G
047003 -
047004 -        Subject:  Coordinating with the Doctor
047006 -         ..
047007 -        Date:  June 8, 2007 1622
047009 -         ..
047010 -        Okay, I'm trying. [to sent email to the doctor, per Arlette's
047011 -        request, ref SDS 0 JY43]
047013 -         ..
047014 -        Sorry to trouble you with my troubles.  I don't know how to
047015 -        include the doctor in my distribution for uniform coordination
047016 -        with everyone.  I have sent him some things with Kaiser's
047017 -        special program, ref SDS 0 6Q3N, but that takes extra time, and
047018 -        right now I'm not feeling so well.
047020 -         ..
047021 -        I'm glad the doctor puts communications in my record.  That's
047022 -        what I do.  Everything is put in the appropriate record for
047023 -        timely access.  If the doctor calls, says something during a
047024 -        meeting, or hands me a pamphlet, a test report, references an
047025 -        article in a magazine, if he sends a letter in Kaiser's
047026 -        program, or if I get a letter from you, or anyone else that
047027 -        impacts case management, it all goes into the record connected
047028 -        into a chronology based on context.
047030 -         ..
047031 -        I love working with you and the doctor, and will continue to
047032 -        support Kaiser the best I can.  I just don't time right now to
047033 -        send things out several times.  I can barely do it once.
047034 -
047035 -
047036 -
047037 -
047039 -  ..
0471 -
0472 -
0473 - 1729
0474 -
047401 - Temperature 98.6
047402 -
047403 - Arm now seems at best stable, and maybe worse than this morning, even
047404 - a few hours ago.  Still better than yesterday at UCSF. ref SDS 81 8J44
047405 - This is very subjective.
047407 -  ..
047408 - Millie has no specific ill feelings.
047410 -  ..
047411 - Dinner yogart and pineapple.  Half glass milk.
047413 -  ..
047414 - Ice cream small scoop with chocolate sauce.
047415 -
047416 -
047418 -  ..
0475 -
0476 -
0477 - 1743
0478 -
047801 - Millie contacts primary care physician about Arlette's letter this
047802 - afternoon saying the doctor needs more information. ref SDS 0 GW9G
047803 -
047804 -        Subject:  Kaiser's Email Record
047806 -         ..
047807 -        Date:  June 8, 2007 1746
047809 -         ..
047810 -        I got a letter from Arlette saying you need more information
047811 -        for the file. ref SDS 0 GW9G  I've sent some things and worry
047812 -        about overloading your busy schedule. ref SDS 0 6Q3N
047813 -
047814 -           [On 070610 primary care physician reports he does not need
047815 -           more information from the patient. ref SDS 84 OG85
047817 -         ..
047818 -        Yesterday must have been hectic.  Arlette coordinated things
047819 -        well for Kaiser, so I tried to keep her in the loop, because
047820 -        the staff at UCSF like working with her, execpt today, Brigid
047821 -        asked about contacting you, ref SDS 0 035H, which I mentioned
047822 -        earlier. ref SDS 0 6Q67
047824 -         ..
047825 -        Were you and Brigid able to connect?  I havn't seen any follow
047826 -        up.
047828 -         ..
047829 -        Today was a lot better than yesterday.  My temperature bumped
047830 -        up a bit in the afteroon, but now seems back to normal again.
047831 -        My arm is much better than yesterday, but right now seems
047832 -        possibly a little worse than this morning. ref SDS 0 WQ3I  Not
047833 -        sure because it is subjective.  Here's the record. ref SDS 0
047834 -        AM5R
047835 -
047836 -
047837 -
047839 -  ..
0479 -
0480 -
0481 - 1948
0482 -
048201 - Temperature 99.7
048202 -
048203 - Took 2 Tylenol.
048205 -  ..
048206 - Drinking water.
048208 -  ..
048209 - No evident distress.
048211 -  ..
048212 - Cellulitis seems somewhat worse now, or maybe stable.
048214 -  ..
048215 - Plans to go shopping tomorrow after treatment at Kaiser, per schedule
048216 - above, ref SDS 0 AL39, look less realistic.
048218 -  ..
048219 - Discouraged by persistant fever compared to prior experience with
048220 - treatment for Cellulitis at Kaiser Emergency on 061027. ref SDS 30
048221 - V78N
048222 -
048223 -
048225 -  ..
0483 -
0484 -
0485 - 2104
0486 -
048601 - Millie sleeping.
048602 -
048603 -
048605 -  ..
0487 -
0488 -
0489 - 2142
0490 -
049001 - Temperature 98.5.
049002 -
049003 - Millie asks to open the window to cool off the bedroom.
049004 -
049005 -
049006 -
049008 -  ..
0491 -
0492 -
0493 - 0010
0494 -
049401 - Millie sleeping soundly.
049402 -
049403 - Forehead does not seem overheated.
049404 -
049405 -     [On 070609 temperature 98.5 at 0500 next morning; arm looks much
049406 -     better, less rash and swelling. ref SDS 83 AK6I
049407 -
049408 -
049409 -
049410 -
049411 -
049412 -
0495 -