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: February 7, 2008 09:30 AM Thursday; Rod Welch

Millie at UCSF 1st treatment 14th cycle cetuximab for 3rd relapse IBC.

1...Summary/Objective
2...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 19 0000. ref SDS 17 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040508 -
040510 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Labs Blood Test
040902 -
040903 - Follow up ref SDS 15 BD6I, ref SDS 8 BD6I.
040904 -
040905 - Millie had a blood draw at 0800 this morning to develop data for
040906 - review by the medical team meeting at at 0900. ref SDS 22 QY5I
040908 -  ..
040909 - During treatment, Catherine submitted results of the test.
040911 -  ..
040912 - Millie had an interim lab on 080131 to evaluate effects of a fall.  It
040913 - was only half to one third of the regular test. ref SDS 19 QY6H
040914 -
040929 -     ..
040930 -    Log#:                   080207 08:20
040931 -    <----------------------- U C S F -----------------------> <-------------  Kaiser -------------->
040932 -    Type                 Results   Units        Normal        ACRO   Type            Units        Normal
040934 -     ..
040935 -    CBC with DIFF & PLT CT                                     CBCD
040936 -     ..
040937 -    WBC COUNT               3.4    x10E9/L     3.4  -   10     WBC   WBC x10-3        K/uL     3.4  -  10.0
040938 -    RBC COUNT               4.18   x10E12/L      4  -   5.2    RBC   RBC x10-6        M/uL    3.60  -  5.70
040939 -    HEMOGLOBIN             13.7    g/dL         12  -   15.5   HGB   Hemoglobin       g/dL    11.5  -  15.0
040940 -    HEMATOCRIT             38.2    PERCENT      36  -   46     HCT   Hematocrit       %       34.0  -  46.0
040941 -    MCV                    92      fL           80  -   100    MCV   MCV              fL      80.0  -  100.0
040942 -    MCH                    32.8    pg           26  -   34     MCH
040943 -    MCHC                   35.9    g/dL         31  -   36     MCHC
040944 -    PLATELETS             227      x10E9/L     140  -  450     PLT   Plt x10-3        K/uL     140  -  400
040945 -    ..
040946 -       (posted 080214, ref SDS 23 VR8N)
040947 -    CA 15-3      H*        63      U/mL             <  31    CA15-3  CA 15-3                        <  39
040948 -
040949 -         Note new reference range and change in methodology.  Performed
040950 -         using the Roche Elecsys 2010 ECLIA method.  Performed at UCSF
040951 -         China Basin Lab, 185 Berry, San Francisco, CA  94107.
040952 -
040953 -             [On 080306 CA 15-3 59 improves prior to starting treatment
040954 -             with chemotherapy Carboplatin. ref SDS 25 KK5M
040956 -              ..
040957 -             [On 080306 reference range increased to <33, and method
040958 -             changed to Siemens Centaur Chemiluminesence effective
040959 -             080301. ref SDS 25 WV4F
040960 -    ..
040961 -     (NEUTS x 1000 = ANC for Kaiser)
040962 -    NEUTS        L          1.19   x10E9/L     1.8  -  6.8     N-A   ANC                      1500
040963 -    Neutrophils    Not Reported                                      Neutrophils       %        50  -  70
040965 -     ..
040966 -    LYMPHS                  1.64   x10E9/L     0.9  -  2.9     L-A   Lymphocytes       %        20  -  50
040967 -    MONOS                   0.33   x10E9/L     0.1  -  0.6     M-A   Monocyte          %         0  -  11
040968 -    EOS                     0.15   x10E9/L       0  -  0.4     E-A   Esoinophils       %         1  -  5
040969 -    BASOS                   0.07   x10E9/L       0  -  0.1     B-A   Basophil          %         0  -  2
040970 -                                                                                                 0  -  5
040971 -     ..
040972 -    <----------------------- U C S F -----------------------> <-------------  Kaiser -------------->
040973 -    Type                 Results   Units        Normal        ACRO   Type            Units        Normal
040974 -     ..
040975 -    PT              H      26.1    S          12.5  - 16.0     PT    PT, patient       sec     8.9  -  11.1
040976 -    INL NRM Ratio   H       2.4                0.9  -  1.2     INR   PT INR            sec     2.0  -  3.0
040977 -    PARTIAL
040978 -     THROMBOPLASTIN  Not Reported  S          22.4  - 33.3     PTT
040979 -
040980 -            [On 080226 INR 2.4 results submitted to Kaiser for Coumadin
040981 -            management pulmonary embolism. ref SDS 24 LZ9H
040983 -     ..
040984 -    ELECTROLYTE PANEL                                          LYTE
040985 -    SODIUM          L     127      mmol/L      134  -  143     NA    Sodium            mEq/L   137  -  145
040986 -    POTASSIUM               4.0    mmol/L      3.4  -  4.9     K     Potassium         mEq/L   3.5  -  5.3
040987 -    CHLORIDE        L      96      mmol/L       98  -  107     CL
040988 -    CARBON DIOX TOTAL  L   22      mmol/L       23  -  32      CO2
040989 -    ANION GAP               9                    3  -  14      ANGA
040991 -     ..
040992 -    UREA NITROGEN          12      mg/dL         8  -  23      BUN   BUN               mg/dL     7  -  17
040993 -    CALCIUM                 8.7    mg/dL       8.7  -  10.1    CA    Calcium           mg/dL   8.4  -  10.2
040994 -    MAGNESIUM               1.8    mg/dL       1.8  -  2.3     MG    Magnesium         mg/dL   1.6  -  2.3
040996 -     ..
040997 -    CREAT with eGFR
040998 -    CREATININE              0.63   mg/dL      0.42  - 1.06     CR    Creatinine        mg/dL   0.6  -  1.2
040999 -
041000 -         Note: Creatinine assay changed to IDMS standardization on
041001 -         February 4, 2008 causing decrease in results of approximately
041002 -         0.09 mg/dL
041004 -       ..
041005 -      eGFR if Caucasian     >60    mL/min                      GFRC
041006 -      eGFR if African Amer  >60    mL/min                      GFRA
041008 -     ..
041009 -    GLUCOSE                95      mg/dL        70  -  199     GLU   Glucose           mg/dL     ?  -   ?
041010 -    AST                    35      U/L          16  -  41      AST   AST (SGOT)        U/L      14  -  36
041011 -    ALT                    23      U/L          11  -  54      ALT   ALT (SGPT)        U/L      11  -  66
041012 -    BILIRUBIN TOTAL         0.8    mg/dL       0.3  -  1.3     BILT  Bili Total        mg/dL   0.2  -  1.3
041013 -    ALKALINE PHOSPHATASE   58      U/L          29  -  111     ALKP  Alkaline Ph       U/L      38  -  126
041014 -    PROTEIN TOTAL           6.4    g/dL        5.8  -  8.0     TP    Protein, Total    g/dL    6.3  -  8.2
041015 -    ALBUMIN                 4.0    g/dL        3.4  -  4.7     ALB   Albumin           g/dL    3.4  -  4.8
041016 -
041017 -
041018 -
041019 -
041020 -
041021 -
041022 -
0411 -