THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: January 31, 2008 08:30 AM Thursday;
Rod Welch
Millie at UCSF 4th treatment 13th cycle cetuximab for 3rd relapse IBC.
1...Summary/Objective
2...Fall Injury Right Eye Right Arm Examination Blood Test
3...Labs Blood Test
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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 17 0000. ref SDS 16 0000.
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040504 -
040505 -
040506 -
040507 -
040508 -
040510 - ..
0406 -
0407 -
0408 - Progress
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0410 -
SUBJECTS
Examination UCSF Right Eye Left Eye Head During Treatment UCSF Cance
1303 -
130401 - ..
130402 - Fall Injury Right Eye Right Arm Examination Blood Test
130403 -
130404 - Follow up ref SDS 18 N65K.
130405 -
130406 - Millie explained the fall suffered on 080125, ref SDS 18 N65K, that
130407 - caused bruises on the right eye, and to a lessor extent on the right
130408 - eye. The bruise on the upper right arm was not visible, and Millie
130409 - did not mention this issue to Catherine.
130411 - ..
130412 - Catherine reported this to Brigid.
130414 - ..
130415 - Brigid ordered blood tests. This was only a part of the normal range
130416 - of tests Millie gets to evaluate safety of betting chemotherapy
130417 - treatments.
130418 -
130420 - ..
130421 - Labs Blood Test
130422 -
130423 - Follow up ref SDS 15 BD6I, ref SDS 8 BD6I.
130424 -
130425 - During treatment, Catherine submitted results of the test.
130426 -
130441 - ..
130442 - Log#: 080131 09:10
130443 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
130444 - Type Results Units Normal ACRO Type Units Normal
130446 - ..
130447 - CBC with DIFF & PLT CT CBCD
130448 - ..
130449 - WBC COUNT 3.7 x10E9/L 3.4 - 10 WBC WBC x10-3 K/uL 3.4 - 10.0
130450 - RBC COUNT 4.44 x10E12/L 4 - 5.2 RBC RBC x10-6 M/uL 3.60 - 5.70
130451 - HEMOGLOBIN 13.9 g/dL 12 - 15.5 HGB Hemoglobin g/dL 11.5 - 15.0
130452 - HEMATOCRIT 40.2 PERCENT 36 - 46 HCT Hematocrit % 34.0 - 46.0
130453 - MCV 91 fL 80 - 100 MCV MCV fL 80.0 - 100.0
130454 - MCH 31.2 pg 26 - 34 MCH
130455 - MCHC 34.5 g/dL 31 - 36 MCHC
130456 - PLATELETS 223 x10E9/L 140 - 450 PLT Plt x10-3 K/uL 140 - 400
130458 - ..
130459 - CA 15-3 No Test U/mL < 31 CA15-3 CA 15-3 < 39
130460 - ..
130461 - (NEUTS x 1000 = ANC for Kaiser)
130462 - NEUTS L* 1.67 x10E9/L 1.8 - 6.8 N-A ANC 1500
130463 - Neutrophils Not Reported Neutrophils % 50 - 70
130465 - ..
130466 - LYMPHS 1.51 x10E9/L 0.9 - 2.9 L-A Lymphocytes % 20 - 50
130467 - MONOS 0.37 x10E9/L 0.1 - 0.6 M-A Monocyte % 0 - 11
130468 - EOS 0.13 x10E9/L 0 - 0.4 E-A Esoinophils % 1 - 5
130469 - BASOS 0.06 x10E9/L 0 - 0.1 B-A Basophil % 0 - 2
130470 - 0 - 5
130471 - ..
130472 - Tests show no evidence of collateral damage from the fall last week.
130474 - ..
130475 - Good news is ANC (NEUTS) increased above the level safe for treatment,
130476 - ref SDS 0 QZ67, compared to the test for NEUTS 1.25 on 080110 that was
130477 - very low. ref SDS 15 QY6H
130479 - ..
130480 - Catherine advised that injuries like Millie suffered present increased
130481 - risks for patients treated with Coumadin for pulmonary embolism. She
130482 - explained to Millie that if there is a recurrence, she should go to
130483 - the ER for immediate treatment.
130484 -
130485 - [On 080202 right arm still significantly bruised with very dark
130486 - skin; considering going to ER for examination. ref SDS 19 PPWU
130488 - ..
130489 - [On 080204 Millie examined at Minor Injury Clinic at Kaiser in
130490 - Walnut Creek; no finding of serious injury; no xrays were taken;
130491 - treatment was heat to speed recovery from bruises. ref SDS 20 546N
130493 - ..
130494 - [On 080207 0900 severe bruising noted by Doctor Rugo during
130495 - examination for cancer treatment; doctor asks if Millie wants
130496 - to consult social worker to report cause and prevention of
130497 - further injuries. ref SDS 21 QY5I
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