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: February 2, 2008 10:51 AM Saturday; Rod Welch

Millie considered going to Kaiser for examination of severe bruises from fall.

1...Summary/Objective


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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 20 0000. ref SDS 17 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
040502 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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040507 -  ..
0406 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0407 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0408 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0409 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040901 - Millie said today the right upper arm is still badly bruised.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040903 -  ..
040904 - Catherine advised on 080131 that treatment with Coumadin places Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040905 - in high risk from injuries Millie suffered on 080125. ref SDS 19 N65K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
040906 - Today, the right eye is much better, and the left eye is mostly                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040907 - healed.  Since the right arm is not recovering as quickly, we                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040908 - discussed getting an examination at Kaiser ER, which Catherine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040909 - suggested should have been done. ref SDS 20 UJ8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040911 -  ..
040912 - Millie went to the movies and shopping with her friend, Janna.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
040913 - Afterward they drove to Kaiser in Martinez for examination of Millie's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040914 - right arm injured on 080125. ref SDS 19 N65K  Mil was examined at UCSF                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
040915 - on 080131, but not the righ arm. ref SDS 20 546N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040917 -  ..
040918 - When she returned, Mil said there was no examination today.  Kaiser in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
040919 - Martinez does not have support for minor injuries.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
040921 -  ..
040922 - Millie feels Kaiser in Walnut Creek may have a minor injury clinic,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
040923 - and so plans to go on Monday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
040924 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
040926 -  ..
0410 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0411 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0412 - 2115                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0413 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041301 - Just looked at Mil's right arm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041302 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041303 - It is extremely black; worse than it was a few days after the fall on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041304 - 080125, ref SDS 19 N65K, suggesting significant internal bleeding.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
041305 - The arm does not seem swelled.  Millie feels there is been improvement                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
041306 - the past few days.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041308 -  ..
041309 - We discussed going to the Kaiser ER in Walnut Creek this evening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
041311 -  ..
041312 - Kaiser's letter on 080121 received on 080124 specifies notifying the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041313 - coagulation control unit at Kaiser, ref SDS 18 SK3U, of any unusual                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
041314 - bruising. ref SDS 18 D66I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041316 -  ..
041317 - Millie does not want to notify anyone at this time, and does not want                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041318 - to go to the ER at Kaiser in Walnut Creek.  She feels strongly about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041319 - this.  She wants to wait and go to a minor injury clinic at Kaiser in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041320 - Walnut Creek on Monday.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
041322 -  ..
041323 - Decided to consider going to the ER tomorrow morning for examination                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041324 - based on Catherine's explanation of high risk for Coumadin patients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
041325 - ref SDS 20 UJ8N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
041327 -    [On 080204 Millie examined at Minor Injury Clinic at Kaiser in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
041328 -    Walnut Creek; no finding of serious injury; no xrays were taken;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
041329 -    treatment was heat to speed recovery from bruises. ref SDS 21 546N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
041331 -     ..
041332 -    [On 080207 0900 severe bruising noted by Doctor Rugo during                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
041333 -    examination for cancer treatment; doctor asks if Millie wants                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
041334 -    to consult social worker to report cause and prevention of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
041335 -    further injuries. ref SDS 22 QY5I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
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0414 -