CONTACTS 

SUBJECTS
Cetuximab 12th Cycle 3rd Treatment 18th Total Treatment Chemotherapy

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 23 0000. ref SDS 19 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Doctor Rugo ordered another blood test this morning to evaluate safe
040902 - treatment for Millie, since counts have been consistently low for
040903 - several cycles, reported on 080207. ref SDS 22 IU3F
040905 -  ..
040906 - As a result, treatment was delayed pending results of the test.
040908 -  ..
040909 - Diane did the blood test.
040911 -  ..
040912 - Diane asked about bruising on Millie's right arm?
040914 -  ..
040915 - Millie explained the CT test on Tuesday, 080212.  The tech had
040916 - problems again finding a vein to inject contrast medium.
040917 -
040918 -
040919 -
040921 -  ..
040922 - Labs Blood Test
040923 -
040924 - Follow up ref SDS 3 MW7I, ref SDS 1 OB5H.
040925 -
040926 - During treatment, Catherine submitted results of the test.
040927 -
040942 -     ..
040943 -    Log#:                   080214 09:04
040944 -    <----------------------- U C S F -----------------------> <-------------  Kaiser -------------->
040945 -    Type                 Results   Units        Normal        ACRO   Type            Units        Normal
040947 -     ..
040948 -    CBC with DIFF & PLT CT                                     CBCD
040949 -     ..
040950 -    WBC COUNT    L*         3.3    x10E9/L     3.4  -   10     WBC   WBC x10-3        K/uL     3.4  -  10.0
040951 -    RBC COUNT               4.27   x10E12/L      4  -   5.2    RBC   RBC x10-6        M/uL    3.60  -  5.70
040952 -    HEMOGLOBIN             13.3    g/dL         12  -   15.5   HGB   Hemoglobin       g/dL    11.5  -  15.0
040953 -    HEMATOCRIT             38.7    PERCENT      36  -   46     HCT   Hematocrit       %       34.0  -  46.0
040954 -    MCV                    91      fL           80  -   100    MCV   MCV              fL      80.0  -  100.0
040955 -    MCH                    31.3    pg           26  -   34     MCH
040956 -    MCHC                   34.4    g/dL         31  -   36     MCHC
040957 -    PLATELETS             222      x10E9/L     140  -  450     PLT   Plt x10-3        K/uL     140  -  400
040958 -    ..
040959 -     (NEUTS x 1000 = ANC for Kaiser)
040960 -    NEUTS                   1.32   x10E9/L     1.8  -  6.8     N-A   ANC                      1500
040961 -    Neutrophils    Not Reported                                      Neutrophils       %        50  -  70
040963 -     ..
040964 -    LYMPHS                  1.42   x10E9/L     0.9  -  2.9     L-A   Lymphocytes       %        20  -  50
040965 -    MONOS                   0.35   x10E9/L     0.1  -  0.6     M-A   Monocyte          %         0  -  11
040966 -    EOS                     0.16   x10E9/L       0  -  0.4     E-A   Esoinophils       %         1  -  5
040967 -    BASOS                   0.07   x10E9/L       0  -  0.1     B-A   Basophil          %         0  -  2
040969 -     ..
040970 -    ELECTROLYTE PANEL     In Lab
040971 -
040973 -  ..
040974 - CA 15-3 63 was reported today for the for labs last week. ref SDS 23
040975 - A16M  This is a 12 point increase from 51, reported last month on
040976 - 080110. ref SDS 15 A16M  The cancer marker has now jumped
040977 - significantly (400%) compared to only 3 point rise last month.
040978 - Accelerated rise of CA 15-3 from 51 to 63 for the labs on 080207, may
040979 - be due in part to trauma the body suffered from the severe fall on
040980 - 080125, ref SDS 18 N65K, reported in Millie's letter to UCSF later
040981 - today, per below. ref SDS 24 WH7H
040982 -
040983 -            [On 080214 Millie's letter to Doctor Rugo cites possibility
040984 -            that rise of CA 15-3 may be related to suffering trauma
040985 -            from a severe fall. ref SDS 24 WH7H
040987 -             ..
040988 -            [On 080219 Doctor decided to defer increasing treatment by
040989 -            adding Carboplatin until starting the next cycle on 080306,
040990 -            ref SDS 25 I35G; allows time to assess next blood test to
040991 -            see if trauma of serious fall on 080125 could have caused
040992 -            cancer marker to rise in test on 080207, rather than
040993 -            signaling greater advance of IBC. ref SDS 25 CL4I
040995 -  ..
040996 - Received a letter from Jackie reporting Doctor Rugo wants to meet on
040997 - 080219 1100. ref SDS 24 N94Y  Notified the primary care physician of
040998 - these developments.
041000 -  ..
041001 - There is no report yet that UCSF has received from Kaiser the report
041002 - for the biopsy for 040419, which Doctor Rugo requested during the
041003 - meeting on 080207 to assess status change. ref SDS 22 6S6G  Follow up
041004 - letter was submitted to remind about this issue pending.
041006 -         ..
041007 -        [On 080214 letter to UCSF asks if data on status change has
041008 -        been received from Kaiser. ref SDS 24 Y86G
041009 -
041010 -
041012 -  ..
0411 -
0412 -
0413 - 1028
0414 -
041401 - Blood test results taking longer today for processing.
041402 -
041403 - Diane reported partial results show NEUTS 1.32. ref SDS 0 QY6H  This
041404 - is still low, but shows a substantial rise of about 20% from the test
041405 - last week on 080207. ref SDS 22 IU3F
041407 -  ..
041408 - Millie has started exercising again, going to the gym 3 or 4 times
041409 - since Saturday.  She is starting to feel better after a traumatic
041410 - experience on 080125.  If this continues, more exercise may help
041411 - stabalize labs at better levels.
041412 -
041413 -
041414 -
041415 -
041416 -
041417 -
041418 -
0415 -