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: January 10, 2008 09:00 AM Thursday;
Rod Welch
Millie at UCSF 1st treatment 13th cycle cetuximab for 3rd relapse IBC.
1...Summary/Objective
2...Labs Blood Test
3...Magnesium Low End of Target Range No Treatment
..............
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CONTACTS
SUBJECTS
Cetuximab 12th Cycle 3rd Treatment 18th Total Treatment Chemotherapy
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie had a blood draw in Infusion Clinic this morning at 0800.
040902 -
040903 - Diane did the work and was a delight to work with as usual.
040905 - ..
040906 - There was a slight problem today getting blood to flow to collect all
040907 - of the test vials. About 75% through the draw, blood seemed to flow
040908 - normally.
040909 -
040911 - ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Labs Blood Test
041302 -
041303 - Follow up ref SDS 9 BD6I, ref SDS 4 MW7I.
041304 -
041305 - During treatment, Catherine submitted results of the test.
041306 -
041307 - [On 080131 Millie had an interim blood test to evaluate
041308 - effects of fall on 080125, ref SDS 17 CX9O, and it showed no
041309 - ill effects. ref SDS 17 QY6H
041310 -
041325 - ..
041326 - Log#: 080110 08:15
041327 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
041328 - Type Results Units Normal ACRO Type Units Normal
041330 - ..
041331 - CBC with DIFF & PLT CT CBCD
041332 - ..
041333 - WBC COUNT L* 3.8 x10E9/L 3.4 - 10 WBC WBC x10-3 K/uL 3.4 - 10.0
041334 - RBC COUNT 4.34 x10E12/L 4 - 5.2 RBC RBC x10-6 M/uL 3.60 - 5.70
041335 - HEMOGLOBIN 13.9 g/dL 12 - 15.5 HGB Hemoglobin g/dL 11.5 - 15.0
041336 - HEMATOCRIT 39.6 PERCENT 36 - 46 HCT Hematocrit % 34.0 - 46.0
041337 - MCV 91 fL 80 - 100 MCV MCV fL 80.0 - 100.0
041338 - MCH 32.1 pg 26 - 34 MCH
041339 - MCHC 35.1 g/dL 31 - 36 MCHC
041340 - PLATELETS 201 x10E9/L 140 - 450 PLT Plt x10-3 K/uL 140 - 400
041341 - ..
041342 - (received 080117, ref SDS 16 KW8I)
041343 - CA 15-3 H* 51 U/mL < 31 CA15-3 CA 15-3 < 39
041344 -
041345 - Note new reference range and change in methodology. Performed
041346 - using the Roche Elecsys 2010 ECLIA method. Performed at UCSF
041347 - China Basin Lab, 185 Berry, San Francisco, CA 94107.
041348 -
041349 - 51 is an increase of 3 from 48 reported for the blood test on
041350 - 071213. ref SDS 9 A16M
041351 - ..
041352 - (NEUTS x 1000 = ANC for Kaiser)
041353 - NEUTS 1.25 x10E9/L 1.8 - 6.8 N-A ANC 1500
041354 - Neutrophils Not Reported Neutrophils % 50 - 70
041355 -
041356 - [On 080131 interim test NEUTS 1.61 rises to safe level for
041357 - treatment. ref SDS 17 OW7O
041359 - ..
041360 - LYMPHS 1.82 x10E9/L 0.9 - 2.9 L-A Lymphocytes % 20 - 50
041361 - MONOS 0.48 x10E9/L 0.1 - 0.6 M-A Monocyte % 0 - 11
041362 - EOS 0.21 x10E9/L 0 - 0.4 E-A Esoinophils % 1 - 5
041363 - BASOS 0.06 x10E9/L 0 - 0.1 B-A Basophil % 0 - 2
041364 - 0 - 5
041365 - ..
041366 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
041367 - Type Results Units Normal ACRO Type Units Normal
041368 - ..
041369 - PT H 25.8 S 12.5 - 16.0 PT PT, patient sec 8.9 - 11.1
041370 - INL NRM Ratio H 2.3 0.9 - 1.2 INR PT INR sec 2.0 - 3.0
041371 -
041372 - Performed at Mt Zion Clinic Lab, 1600 Divisadero, San
041373 - Francisco, CA 94115
041375 - ..
041376 - PARTIAL
041377 - THROMBOPLASTIN Not Reported S 22.4 - 33.3 PTT
041379 - ..
041380 - ELECTROLYTE PANEL LYTE
041381 - SODIUM 138 mmol/L 134 - 143 NA Sodium mEq/L 137 - 145
041382 - POTASSIUM 4.3 mmol/L 3.4 - 4.9 K Potassium mEq/L 3.5 - 5.3
041383 - CHLORIDE 106 mmol/L 98 - 107 CL
041384 - CARBON DIOX TOTAL 25 mmol/L 23 - 32 CO2
041385 - ANION GAP 7 3 - 14 ANGA
041387 - ..
041388 - UREA NITROGEN 10 mg/dL 8 - 23 BUN BUN mg/dL 7 - 17
041389 - CALCIUM 8.8 mg/dL 8.7 - 10.1 CA Calcium mg/dL 8.4 - 10.2
041390 - ..
041391 - MAGNESIUM 1.8 mg/dL 1.8 - 2.3 MG Magnesium mg/dL 1.6 - 2.3
041392 -
041393 - There was no report for magnesium today, per below.
041394 - ref SDS 0 HH5I Later it turned that Magnesium was added to
041395 - the scope of testing, and so results were reported here to
041396 - have comprehensive listing.
041397 -
041398 - [On 080118 Catherine submitted another report on the labs
041399 - for 080110 (today), and it shows Magnesium was in fact
041400 - tested today, and was at the low end of the target range,
041401 - indicating response to treatment with improvement today
041402 - from the labs last month on 071213. ref SDS 16 4F9G
041404 - ..
041405 - CREATININE 0.8 mg/dL 0.6 - 1.2 CR Creatinine mg/dL 0.6 - 1.2
041406 - GLUCOSE 102 mg/dL 70 - 199 GLU Glucose mg/dL ? - ?
041407 - AST H* 48 U/L 16 - 41 AST AST (SGOT) U/L 14 - 36
041408 - ALT 27 U/L 11 - 54 ALT ALT (SGPT) U/L 11 - 66
041409 - BILIRUBIN TOTAL 1.0 mg/dL 0.3 - 1.3 BILT Bili Total mg/dL 0.2 - 1.3
041410 - ALKALINE PHOSPHATASE 53 U/L 29 - 111 ALKP Alkaline Ph U/L 38 - 126
041411 - PROTEIN TOTAL 6.3 g/dL 5.8 - 8.0 TP Protein, Total g/dL 6.3 - 8.2
041412 - ALBUMIN 4.0 g/dL 3.4 - 4.7 ALB Albumin g/dL 3.4 - 4.8
041413 -
041414 -
041415 -
041417 - ..
041418 - Magnesium Low End of Target Range No Treatment
041419 -
041420 - Follow up ref SDS 9 HH5I.
041421 -
041422 - The Chemotherapy order issued on 070201 for Millie's treatment in the
041423 - clinical study for cetuximab shows Magnesium should be tested every 4
041424 - weeks to align with starting a new cycle of treatment, ref SDS 2 5594,
041425 - as involved here.
041427 - ..
041428 - During the meeting this morning with the medical team, Brigid advised
041429 - that magnesium was not tested today, per above, ref SDS 0 5K8H,
041430 - because there is no reason to test this diagnostic every month.
041431 - ref SDS 15 JH6F
041433 - ..
041434 - Discussion centered on advisability of testing until recovery is
041435 - demonstrated. ref SDS 15 JA3G
041436 -
041437 - [On 080118 Catherine submitted another report on the labs for
041438 - 080110 (today), and it shows Magnesium was in fact tested
041439 - today, and was at the low end of the target range, indicating
041440 - response to treatment with improvement today from the labs last
041441 - month on 071213. ref SDS 16 4F9G
041442 -
041443 -
041444 -
041445 -
041446 -
041447 -
041448 -
041449 -
041450 -
0415 -