CONTACTS 

SUBJECTS
Neupogen Magnesium Medications Kaiser  Pescription from Kaiser Pharm

2603 -
2603 -    ..
2604 - Summary/Objective
2605 -
260501 - Follow up ref SDS 67 0000, ref SDS 66 0000.
260502 -
260504 -  ..
2606 -
2607 -
2608 - Progress
2609 -
260901 - Commend Referral Coordination Order Medication for UCSF Prescription
260902 -
260903 - Millie submitted ref DIT 1 0001 to the primary care physician with
260904 - copies to the medical team at UCSF. ref DIT 1 00W3
260905 -
260906 -    1.  Thanks very much for coordinating medications prescribed by
260907 -        UCSF last week on 080404, ref SDS 66 6H9N, [and the day before
260908 -        on 080403. ref SDS 65 TS5U]  Arlette did a great job expediting
260909 -        everything. ref SDS 66 JW6J
260911 -         ..
260912 -    2.  The pharmacy attendant had me buy over-the-counter tablets that
260913 -        combine Calcium and Magnesium. ref SDS 67 J23S  Hopefully, that
260914 -        was okay.  Note for future reference:  the Park Shadelands
260915 -        pharmacy was closed Saturday, so I had to go to Walnut Creek.
260916 -        It took an extra hour or so because of mixups, but that's okay,
260917 -        because the price was right this time. ref SDS 67 7E5L
260918 -
260919 -           [On 080410 blood test shows Magnesium 1.9 which is within
260920 -           the target range, and indicates effective treatment ordered
260921 -           by UCSF on 080404. ref SDS 69 RW6F
260922 -
260924 -  ..
260925 - Neupogen Revise Order for Health Care Cost Containment Goals
260926 -
260927 -
260928 -    3.  I got Neupogen for 1 treatment, with 4 refills, and a syringe
260929 -        with 2 refills.  The plan to get disposable pre-filled Neupogen
260930 -        syringes did not work out for some reason. ref SDS 67 7F3F  In
260931 -        any case, this is a heads up that if more Neupogen is needed,
260932 -        we may have to revise the order.
260933 -
260934 -           [On 080502 the doctor revised the order in Kaiser's computer
260935 -           for Neupogen treatment in the Infusion Clinic to solve
260936 -           problems today, ref SDS 71 NM3M, there was still confusion
260937 -           and delay getting the correct treatment. ref SDS 71 NM6J
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2610 -

SUBJECTS
Energy Exercise High Worry Relieved Stress Anxiety Emotional Trauma

4403 -
440401 -  ..
440402 - Energy Exercise High Relieves Worry Stress Emotional Trauma
440403 - Thrilled Results Clinical Trial Cetuximab Carboplatin High Energy
440404 - Carboplatin Chemotherapy Well Tolerated Energy High Relieves Anxiety
440405 -
440406 - Follow up ref SDS 65 TS5W, ref SDS 63 VU7P.
440407 -
440408 - Millie's letter to Kaiser continues...
440409 -
440410 -    4.  I had been worried about adding Carboplatin to the treatment,
440411 -        because of past experience with chemotherapy causing
440412 -        debilitating loss of energy.  Jackie noted on 080306 that
440413 -        patients tolerate the drug well, but I was still concerned
440414 -        based on patient history. ref SDS 57 7V6M
440416 -  ..
440417 - Millie suffering severe loss of energy and vitality from side effects
440418 - of chemotherapy are reported in a case study on 050422. ref SDS 9 NT3I
440419 - A second case study on 060724 diary side effects for 2nd phase taking
440420 - Taxotere and capecitabine (Xeloda) chemotherapy shows steady rise of
440421 - debilitating side effects. ref SDS 10 QX8K
440423 -  ..
440424 - The same study shows that treatment with cetuximab alone beginning on
440425 - 070201 relieved side effects that cause fatigue, loss of energy that
440426 - prevents exercise and normal living. ref SDS 10 YP4I
440428 -  ..
440429 - During the meeting at Kaiser on 080305 Millie reported worry and doubt
440430 - about tolerating debilitating side effects that increase fatigue,
440431 - reduce energy, exercise, and fitness which in turn reduces blood
440432 - counts preventing treatments to recover from cancer from adding
440433 - chemotherapy Carboplatin to cetuximab weekly treatments. ref SDS 56
440434 - PC6M
440436 -  ..
440437 - Millie's letter to Kaiser continues...
440438 -
440439 -    5.  Things have turned out as Jackie predicted.  So far, there has
440440 -        been only a tiring effect on Saturday, 2 days after treatment.
440441 -        I have been able to increase working out in the gym, including
440442 -        Saturday, and hiking has also increased.  As I recall, side
440443 -        effects accumulate from chemotherapy, so things may slow down.
440444 -        But, at this time I am thrilled with results tolerating the
440445 -        addition of Carboplatin.  It also seems to be treating IBC,
440446 -        with noticeable subsidence of the rash.  Keeping my fingers
440447 -        crossed on CA 15-3??
440449 -             ..
440450 -            [...in another record today, Millie suffered Cellulitis
440451 -            recurrence and lymphedema, ref SDS 68 V45J; treatment in
440452 -            the Emergency Room department, ref SDS 68 0R4H, only
440453 -            evident cause is exercise that overextended left arm where
440454 -            lymph nodes were removed during surgery in 2002 and again
440455 -            in 2005; Millie hiked Lafatette Reservoir 2.75 miles in 45
440456 -            minutes, increasing speed considerably from prior best time
440457 -            of 47 minutes. ref SDS 68 0P44
440459 -             ..
440460 -            [On 080501 Millie reported to the medical team at UCSF
440461 -            continuing tolerance of Carboplatin chemotherapy adding
440462 -            distance and increasing pace of hiking workouts at
440463 -            Lafayette Reservoir and in the gym. ref SDS 70 FW5J
440465 -             ..
440466 -            [On 080502 examination by primary care physician at Kaiser
440467 -            finds favorable response to treatment, ref SDS 71 NH4N,
440468 -            despite getting only 50% of prescribed Carboplatin
440469 -            chemotherapy, ref SDS 71 NH4N, which Millie has tolerated
440470 -            well shown by significantly increased exercise. ref SDS 71
440471 -            ZD9O
440473 -             ..
440474 -            [On 080520 Millie reported in a letter to the Medical team
440475 -            again further increased energy and exercise showing
440476 -            continued tolerance of chemotherapy Carboplatin treatments
440477 -            at UCSF. ref SDS 72 TV6U
440479 -             ..
440480 -            [On 080520 Millie suffered recurrence Cellulitis and
440481 -            lymphedema treatment with Keflex, ref SDS 73 OU5J; reported
440482 -            Cellulitis recurrence to medical team, ref SDS 73 VN4O;
440483 -            primary care physician at Kaiser prescribed 10 day
440484 -            treatment. ref SDS 73 1K7H
440486 -             ..
440487 -            [On 080528 Millie sent another letter to the medical team
440488 -            reporting rising energy and exercise. ref SDS 74 IK5V
440489 -
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4405 -