CONTACTS 

SUBJECTS
Cellulitis Left Arm No Teperature Red Rash  Iflammation Relapse Recu

1003 -
1003 -    ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 4 0000, ref SDS 3 0000.
100502 -
100503 -
100504 -
100505 -
100507 -  ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - Yesterday afternoon, Millie noticed evident Cellulitis recurrence on
100902 - the left arm.  Examination showed mild swelling and inflammation
100903 - compared to previous Cellulitis infection, most recently on 080409,
100904 - ref SDS 3 0001, when Millie was treated in the Emergency department at
100905 - Kaiser. ref SDS 3 0R4H
100907 -  ..
100908 - Millie had no temperature, so there was hope this problem would
100909 - subside.
100911 -  ..
100912 - Mil was awake at midnight.  She noticed inflammation had increased.
100913 - Her arm was warm, as occurs with Cellulitis.  There were by this time
100914 - some slight inflammation spots on the lower left arm.
100916 -  ..
100917 - Her temperature was 97.4
100918 -
100919 -            [On 080606 surgeon indicated diminished lymphatic system
100920 -            from removing cancerous lymph nodes may eventually
100921 -            strengthen because remaining lymph nodes become more
100922 -            robust, which reduces occurance of lymphadema and
100923 -            Cellulitis. ref SDS 8 4P7L
100925 -  ..
100926 - Decided that rather than go to the Emergency Department again, started
100927 - treatment with Keflex at 0100 this morning.
100929 -  ..
100930 - Millie has Keflex on hand, reported on 080409, ref SDS 3 106G, from
100931 - proactive prescription by the doctor on 080305. ref SDS 2 5M3F  Most
100932 - of this treatment is still available, because Kaiser issued a new
100933 - 14-day treatment for Keflex for the episode that struck on 080409.
100934 - ref SDS 3 F149
100935 -
100936 -
100937 -
100939 -  ..
1010 -
1011 -
1012 - 0500
1013 -
101301 - When Millie got up at 0500, Cellulitis inflammation was the same or
101302 - slightly worse.
101303 -
101305 -  ..
1014 -
1015 -
1016 - 0700
1017 -
101701 - Millie continued treatment with Keflex at 0700, applying the 6 hour
101702 - interval for treatments, shown in the record on 080409. ref SDS 3 J06M
101703 -
101705 -  ..
1018 -
1019 -
1020 - 0950
1021 -
102101 - Millie submitted ref DIT 1 0001 to the primary care physician at
102102 - Kaiser with copies to the medical team. ref DIT 1 00W3
102103 -
102104 -    1.  Last night OA 1900 I noticed some minor rash on my left arm
102105 -        where Cellulitis has previously occurred, ref SDS 0 OU5J, most
102106 -        recently on 080409. ref SDS 3 0R4H
102108 -         ..
102109 -    2.  I was tired and so went to bed early by about 2000.  When I
102110 -        woke about midnight to go to the bathroom, I noticed
102111 -        inflammation had spread slightly, but was still not severe, as
102112 -        we have seen previously.  I took my temperature and it was
102113 -        okay, i.e., 97.4. ref SDS 0 WR6O  I also noticed some isolated
102114 -        splotches of rash on the lower arm.  This seems atypical, since
102115 -        normally Cellulitis presents a continuous rash.  So, I'm still
102116 -        not sure about what this is, that's why I didn't mention it in
102117 -        the letter last night. ref SDS 5 GS88
102119 -         ..
102120 -    3.  As a precaution, at 0100 I took a Keflex from inventory you
102121 -        prescribed on 080305. ref SDS 0 OU75  I took another Keflex at
102122 -        0700 this morning, following the prescription of 6 hour
102123 -        intervals. ref SDS 0 PPVP  The rash has subsided somewhat on
102124 -        the upper arm, and perhaps on the lower arm.  Still no
102125 -        temperature.
102127 -         ..
102128 -    4.  I don't think this needs examination, as long as the condition
102129 -        continues to improve.
102130 -
102131 -            [On 080528 Millie reported progress to UCSF and Kaiser on
102132 -            recovering from Cellulitis. ref SDS 6 IJ5V
102134 -  ..
102135 - On 080304 UCSF recommended examination at the hospital, but at that
102136 - time, Millie had a temperature. ref SDS 1 6S7I
102137 -
102138 -
102139 -
102140 -
102141 -
102142 -
1022 -

SUBJECTS
Cellulitis Left Arm 10-day Treatment Keflex  Pescribed Relapse Recur

2003 -
2004 - 1641
200501 -  ..
200502 - Kaiser Prescribes 10-day Keflex Treatment for Cellulitis
200503 -
200504 - Millie received ref DRT 1 0001 from the doctor responding to her
200505 - letter earlier this morning, per above. ref SDS 0 VN4O
200506 -
200507 - UCSF did not respond.
200509 -  ..
200510 - The doctor at Kaiser says...
200511 -
200512 -        I would complete a 10 day course since you started. ref DRT 1
200513 -        0001
200515 -  ..
200516 - The doctor further concurs that Millie does not need examination at
200517 - the hospital, proposed in Millie's letter this morning, per above.
200518 - ref SDS 0 UU7S
200519 -
200520 -            [On 080528 Millie reported progress to UCSF and Kaiser on
200521 -            recovering from Cellulitis. ref SDS 6 IJ5V
200523 -             ..
200524 -            [On 080529 examination at UCSF showed recovery from
200525 -            Cellulitis after completion of 10-day treatment with
200526 -            Keflex. ref SDS 7 KH6F
200528 -             ..
200529 -            [On 080606 surgeon indicated diminished lymphatic system
200530 -            from removing cancerous lymph nodes may eventually
200531 -            strengthen because remaining lymph nodes become more
200532 -            robust, which reduces occurance of lymphadema and
200533 -            Cellulitis. ref SDS 8 4P7L
200534 -
200535 -
200536 -
200537 -
200538 -
200539 -
200540 -
200541 -
200542 -
200543 -
200544 -
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200546 -
2006 -