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: July 2, 2008 01:19 PM Wednesday;
Rod Welch
Millie notifies medical team coordination meetings last week at UCSF and Kaiser.
1...Summary/Objective
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 0000, ref SDS 3 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie submitted a letter to the medical team saying...
040902 -
040903 -
040904 -
040905 - 1. Subject: Meeting 080626 UCSF and with Kaiser on 080627, INR 2.5 Referral Coordination
040906 - Date: Wed, 02 Jul 2008 13:30:46 -0700
040914 - ..
040915 - 3. This confirms understandings from meeting with the medical
040916 - team, and treatment at UCSF on 080626, and the next day at
040917 - Kaiser.
040919 - ..
040920 - 4. Blood tests at UCSF on 080626 show INR 2.5 continues steady...
040921 -
040922 - http://www.welchco.com/sd/08/00101/02/08/06/26/090028.HTM#PU7Y
040923 -
040924 - ...by copy, reporting to Gloria at Kaiser performing case
040925 - management on pulmonary embolism.
040927 - ..
040928 - 5. Labs on 080626 may have omitted a series of tests that have
040929 - been included on labs starting prior cycles....
040930 -
040931 - http://www.welchco.com/sd/08/00101/02/08/06/26/090028.HTM#HS7I
040933 - ..
040934 - 6. Brigid found in examination on Thursday that IBC appears
040935 - improved, responding to treatment, based on remembering
040936 - conditions from examination on 080501.
040938 - ..
040939 - 7. Jackie took pictures for comparison.
040941 - ..
040942 - 8. I feel better about response to treatment now than a few days
040943 - ago; and realize short term changes cause intensity of IBC rash
040944 - to rise and fall.
040946 - ..
040947 - 9. I am very pleased to express appreciation again to the medical
040948 - team for carefully managing my treatments with Carboplatin by
040949 - prescribing Neupogen at levels that maintain blood counts,
040950 - contain costs, and moderate side effects. This is a complex
040951 - process which UCSF and Kaiser have optimized.
040953 - ..
040954 - 10. I met with Doctor Johnson at Kaiser on Friday, 080627. The
040955 - doctor plans to write a letter to resolve the mix up in the
040956 - Kaiser Pharmacy on my Neupogen treatments that occurred on
040957 - 080609...
040958 -
040959 - http://www.welchco.com/sd/08/00101/02/08/06/09/233854.HTM#MG3I
040961 - ..
040962 - 11. This past week on Saturday and Sunday, I experienced for the
040963 - first time bone pain, headache, and fatigue...
040964 -
040965 - http://www.welchco.com/sd/08/00101/02/08/06/28/081739.HTM#6Q5J
040967 - ..
040968 - 12. With recurrent problems on Sunday I found an explanation of
040969 - these symptoms can be side effects of Neupogen...
040970 -
040971 - http://www.welchco.com/sd/08/00101/02/08/06/29/082943.HTM#RQ9I
040973 - ..
040974 - 13. At this time side effects seem manageable, again thanks to
040975 - Brigid for tailoring treatment to precise requirements for my
040976 - blood counts.
040978 - ..
040979 - 14. Exercise continues to increase doing longer distances at higher
040980 - speed.
040982 - ..
040983 - 15. Doctor Johnson indicated on Friday that surgery for the Power
040984 - Port on 080708 controls the CT test on 080718 in order to
040985 - resolve injury to may arm from the previous CT test on 080425,
040986 - found during examination at Kaiser on 080502...
040987 -
040988 - http://www.welchco.com/sd/08/00101/02/08/05/02/120049.HTM#WX6I
040990 - ..
040991 - 16. The doctor explained concerns at UCSF for compliance with
040992 - clinical study protocols, also, noted by Brigid at UCSF the day
040993 - before on 080626. Kaiser can submit a letter to UCSF
040994 - documenting CT testing was scheduled to meet needs for patient
040995 - care. Going forward, better planning on my part will help meet
040996 - study requirements.
040998 - ..
040999 - 17. Doctor Johnson further coordinated with Bella, the Charge
041000 - Nurse, in the Infusion Clinic at Kaiser for him, or someone
041001 - with a "certificate," to go to the Imaging Department on 080718
041002 - to press the button on injecting contrast medium for the CT
041003 - test through the Huber needle that will be placed by the nurse
041004 - in the Infusion Clinic to access the Power Port. [confirms
041005 - coordination in letter to medical team on 080619, ref SDS 2
041006 - YU6X, on implementing scheduling performed on 080617 for CT
041007 - test on 080718. ref SDS 1 OQ61]
041008 -
041009 - [On 080715 Millie's letter notifies Kaiser that UCSF will
041010 - leave the Huber needle accessing the Power Port for
041011 - chemotherapy treatment on 080717 in place for the CT test
041012 - the next day at Kaiser on 080718, so the schedule today for
041013 - the Infusion Clinic at Kaiser to access the port is not
041014 - needed. ref SDS 6 AW9S
041016 - ..
041017 - [On 080715 Arlette called and reported the doctor solved
041018 - coordination problems by arranging for a nurse in radiology
041019 - with certificate to support CT testing with Power Ports;
041020 - Millie's CT test is good to go on 080718. ref SDS 6 RB4N
041022 - ..
041023 - [On 080715 Millie's letter notifies Kaiser that UCSF will
041024 - leave the Huber needle accessing the Power Port for
041025 - chemotherapy treatment on 080717 in place for the CT test
041026 - the next day at Kaiser on 080718, so the schedule today for
041027 - the Infusion Clinic at Kaiser to access the port is not
041028 - needed. ref SDS 6 AW9S
041030 - ..
041031 - 18. Doctor Johnson also notified the surgeon that UCSF Infusion
041032 - Clinic needs a certificate from Kaiser showing Power Port
041033 - surgery on 080708 has been successfully tested, as requested by
041034 - Catherine on 080626...
041035 -
041036 - http://www.welchco.com/sd/08/00101/02/08/06/26/090028.HTM#MZ40
041038 - ..
041039 - [On 080708 Millie received letter from surgeon certifying
041040 - new Power Port was implanted and tested successfully ready
041041 - for use at UCSF. ref SDS 5 O14F
041043 - ..
041044 - 19. On Saturday, Laura in the Infusion Clinic at Kaiser requested
041045 - the UCSF Chemotherapy Orders on 080626 starting cycle 5 to
041046 - support Neupogen treatments...
041047 -
041048 - http://www.welchco.com/sd/08/00101/02/08/06/28/090025.HTM#VO8I
041050 - ..
041051 - 20. Since the copy I received for Chemotherapy Orders on 080626 do
041052 - not prescribe Neupogen treatments, Laura accepted the previous
041053 - document for cycle 4 dated 080529, which prescribes 2 Neupogen
041054 - treatments. Not sure we need to do anything more on this,
041055 - since on 080609 Zan relied on the Chemo Orders on 080529 to set
041056 - up the Neupogen treatment account at Kaiser...
041057 -
041058 - http://www.welchco.com/sd/08/00101/02/08/06/09/233854.HTM#L16I
041060 - ..
041061 - 21. During the meeting at Kaiser, also on 080627, Doctor Johnson
041062 - corrected the scheduling problem that omitted Neupogen
041063 - treatment on 080707.
041065 - ..
041066 - 22. Laura also explained that the prescription for Neupogen of 480
041067 - mg in the UCSF prescription, requires 2 shots at Kaiser, having
041068 - something to do with injury to the tissue from a large shot
041070 - ..
041071 - 23. I will check with Nola tomorrow on the schedule at UCSF which
041072 - omits treatment on 080731. It may have been just a printer
041073 - problem. I have penciled this date into the schedule...
041074 -
041075 - http://www.welchco.com/sd/08/00101/02/08/06/26/090028.HTM#2F8G
041077 - ..
041078 - 24. Thanks again to all for excellent care.
041079 -
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0411 -