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: March 13, 2008 08:13 PM Thursday; Rod Welch

Millie completes 10-day treatement with Keflex for Cellulitis.

1...Summary/Objective
2...Cellulitis Lymphedema NED 10-day Keflex Treatment Completed
3...Wellness Community Research Memebers Positive Experience Prozac
4...Prozac Treatment Stress Depression Favorable Report Wellness Community
5...Prosac Kaiser Requests Confirmation on Taking Prescribed Medication


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CONTACTS 

SUBJECTS
Cellulitis Left Arm Lymphedema Recurrence No Evidence Disease NED Sw

1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 24 0000. ref SDS 16 0000.
180502 -
180503 -
180504 -
180505 -
180506 -
180508 -  ..
1806 -
1807 -
1808 - Progress
1809 -
180901 - Cellulitis Lymphedema NED 10-day Keflex Treatment Completed
180902 -
180903 - Follow up ref SDS 24 V45J.
180904 -
180905 - Millie took the last pill for the 10-day treatment with Keflex begun
180906 - on 080304. ref SDS 24 V45J and ref SDS 24 106G
180908 -  ..
180909 - There is now no evident sign of inflammation and swelling that signify
180910 - Cellulitis, continuing favorable examination at UCSF on 080306.
180911 - ref SDS 26 NV42  This report supplements and aligns with the letter to
180912 - the medical team yesterday reporting Cellulitis has improved.
180913 - ref SDS 30 RU4Q
180914 -
180915 -     [On 080314 possible Cellulitis recurrence with sudden increased
180916 -     inflammation on upper left arm, ref SDS 31 V45J; Mil had no
180917 -     temperature which often occurs with Cetuximab, but went ahead and
180918 -     took another Keflex pill, ref SDS 31 JK6G; decided the next day
180919 -     based on inflammation subsiding that this was a reaction to
180920 -     cetuximab, and so stopped taking Keflex; therefore, the standard
180921 -     10-day treatment was successful. ref SDS 31 XS82
180923 -      ..
180924 -     [On 080409 Millie suffered recurrence of Cellulitis severe, and
180925 -     moderate swelling of lymphedema, temperature 101.9, ref SDS 34
180926 -     0001; treated in Kaiser Emergency department, and released same
180927 -     day for 14-day home treatment with Keflex. ref SDS 34 F142
180928 -
180929 -
180930 -
180931 -
1810 -

SUBJECTS
Prozac 2 Pills Stopped Taking Reconsider New Research Wellness Commu

4203 -
420401 -  ..
420402 - Wellness Community Research Memebers Positive Experience Prozac
420403 - Prozac Treatment Stress Depression Favorable Report Wellness Community
420404 -
420405 - Follow up ref SDS 30 RT8Y, ref SDS 25 KT4J.
420406 -
420407 - Millie submitted ref DIT 1 0001 to the primary care physician at
420408 - Kaiser saying...
420409 -
420410 -    1.  Thanks for document ID on the xray test. Typically, we need
420411 -        exactly what is shown in Kaiser's records so there is a direct
420412 -        correlation.  Sometimes this is difficult to get from your
420413 -        computer screen - thanks.
420415 -         ..
420416 -    2.  I attended a Wellness meeting yesterday.  Several ladies said
420417 -        they have been on Prozac for a year or more and indicated good
420418 -        results, so I am giving this another look.  As mentioned in my
420419 -        letter yesterday I somehow feel better now without Prozac,
420420 -        ref SDS 30 RT4W; maybe its exercise [also reported in the
420421 -        record on 080312, ref SDS 30 RT5X], maybe perspective [citing
420422 -        explanation by Doctor Rugo at UCSF on 080306, ref SDS 26 NW3N,
420423 -        and by the primary care phsyician at Kaiser, ref SDS 26 8Z7N],
420424 -        not sure.
420425 -
420426 -            [...below, primary care physician requests notice on
420427 -            whether Millie taking Prozac. ref SDS 0 UE5N
420429 -             ..
420430 -            [On 080403 meeting at UCSF Millie confirms she is not
420431 -            taking Prozac; emotional trauma subsides with improving
420432 -            health, better medical management and coordination,
420433 -            increased exercise. ref SDS 32 336H
420434 -
420435 -
4205 -

SUBJECTS
Prozac Reconsider Primary Care Physician  Rquests Confirmation Patie

7103 -
710401 -  ..
710402 - Prosac Kaiser Requests Confirmation on Taking Prescribed Medication
710403 -
710404 - Millie received ref DRT 1 0001 from the primary care physician
710405 - responding to Millie's letter earlier today notifying further research
710406 - indicates Prozac has helped women members in Millie's cancer support
710407 - group, per above. ref SDS 0 TA4U
710409 -  ..
710410 - The doctor today says...
710411 -
710412 -    1.  [Kaiser responded to Millie's letter earlier today saying she
710413 -        received favorable comments on Prozac prescribed to treat
710414 -        depression, stress, and emotional trauma...]
710416 -         ..
710417 -    2.  Let me know what your decision is. ref DRT 1 0001
710418 -
710419 -            [On 080403 meeting at UCSF Millie confirms she is not
710420 -            taking Prozac; emotional trauma subsides with improving
710421 -            health, better medical management and coordination,
710422 -            increased exercise. ref SDS 32 336H
710424 -             ..
710425 -            [On 080403 Millie submitted a letter to Kaiser transmitting
710426 -            the record of the meeting today at UCSF on 080403 and
710427 -            confirmed the report to UCSF that she is not taking Prozac.
710428 -            ref SDS 33 TS5W
710430 -             ..
710431 -            [On 080502 Millie notified the doctor that she is not
710432 -            taking Prozac because issues causing former emotional
710433 -            stress have subsided, and exercise helps relieve routine
710434 -            stress. ref SDS 35 HH4I
710435 -
710436 -
710437 -
710438 -
710439 -
710440 -
710441 -
7105 -