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: August 9, 2008 09:00 AM Saturday; Rod Welch

Millie 2nd Neupgogen at Kaiser for 3rd treatment 6th cycle UCSF.

1...Summary/Objective
2...Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
3...Schedule Neupogen Treatments Extended through August
4...Exercise Hiking Maintain Fitness Strengthen Immune System


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CONTACTS 

SUBJECTS
Neupogen Side Effects Bone Pain Fatigue No Headache Suffered Today A

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 56 0000. ref SDS 55 0000.
150502 -
150503 -
150504 -
150505 -
150507 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS 56 9W9I, ref SDS 53 9W9I.
150904 -
150905 - Millie had the 3rd treatment with Carboplatin for the 6th cycle in the
150906 - 2nd arm of the clinical study at UCSF.  Yesterday, she got the first
150907 - treatment with Neupogen, and today she gets the 2nd treatment of
150908 - Neupogen.
150910 -  ..
150911 - Donna Crill was the nurse today for Millie's Neupogen treatment, and
150912 - used 1 injection, following discussion last week 080801 on Kaiser
150913 - protocols, ref SDS 52 9W9I, presented by Laura on 080628. ref SDS 37
150914 - Q74G
150915 -
150916 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 42 RW3F, ref SDS 34 YY88.
160406 -  ..
160407 - Millie's Neupogen treatments for August were scheduled by Bonnie on
160408 - 080726. ref SDS 51 LN5N
160410 -  ..
160411 - Today, while getting treatment in the Infusion Clinic, Millie advised
160412 - Donna that next week is the 4th treatment in the cycle and so she
160413 - might not need Neupogen treatment because she does not get Carboplatin
160414 - and only gets cetuximab treatment, which nominally does not affect
160415 - blood counts.  Skipping chemotherpay in the 4th week of the cycle at
160416 - UCSF on Thursday 080814, may cause her blood counts to be high enough
160417 - to skip Neupogen treatment currently scheduled at Kaiser on 080815 and
160418 - 080816, shown in the record on 080711. ref SDS 42 LT8K
160420 -  ..
160421 - Donna said it is easier to cancel than to add treatments to Kaiser's
160422 - computer schedule for the Infusion Clinic.  She suggested today that
160423 - Kaiser continue the current schedule for Millie to get treatment next
160424 - Friday and Saturday, shown on 080711. ref SDS 42 LT8K  If blood counts
160425 - next Thursday on 080814 lead UCSF to determine that treatment is not
160426 - needed next week because blood counts are good, then Millie can notify
160427 - the Infusion Clinic at Kaiser next Thursday or Friday to cancel
160428 - treatment on 080815 and 080816.
160430 -  ..
160431 - Donna checked the computer and said there is a mistake.
160433 -  ..
160434 - There is no Neupogen treatment for 080823, ref SDS 0 NI9I, which
160435 - Bonnie planned to schedule during the meeting at Kaiser on 080726.
160436 - ref SDS 51 BS5H  This continues problems using the computer system for
160437 - case management reported on 080627, ref SDS 36 RT73, and earlier on
160438 - 080609 trying to correct mistakes in the Pharmacy. ref SDS 33 IS4P
160440 -             ..
160441 -            [On 080822 Kaiser's schedule still omits Neupogen treatment
160442 -            on 080823; Florida adds this to the computer schedule again
160443 -            ref SDS 57 GW73
160445 -             ..
160446 -            [On 080823 the next day, Hazel discovered the computer
160447 -            mysteriously changed the schedule received 080822, causing
160448 -            2 new problems scheduling Millie's Neupogen treatments.
160449 -            ref SDS 58 5T6N
160451 -  ..
160452 - Donna will add Millie's Neupogen treatment for 080823 to the computer
160453 - schedule, and also add treatments for September, as follows...
160454 -
160455 -                                                        UCSF Chemo
160456 -        Date    Time   Provider         Services      Cycle Treatmnt
160457 -        080815  0900   Infusion Nurse   Neupogen        6     4
160458 -        080816  0900   Infusion Nurse   Neupogen        6     4
160459 -        080822  0900   Infusion Nurse   Neupogen        7     1
160460 -         ..
160461 -        080823  0900   Infusion Nurse   Neupogen        7     1
160462 -        080829  0900   Infusion Nurse   Neupogen        7     2
160463 -        080830  0900   Infusion Nurse   Neupogen        7     2
160464 -        080905  0900   Infusion Nurse   Neupogen        7     3
160465 -        080906  0900   Infusion Nurse   Neupogen        7     3
160466 -        080912  0900   Infusion Nurse   Neupogen        7     4
160467 -        080913  0900   Infusion Nurse   Neupogen        7     4
160468 -        080919  0900   Infusion Nurse   Neupogen        8     1
160469 -        080920  0900   Infusion Nurse   Neupogen        8     1
160470 -        080926  0900   Infusion Nurse   Neupogen        8     2
160471 -        080927  0900   Infusion Nurse   Neupogen        8     2
160472 -
160473 -
160474 -
160475 -
160476 -
1605 -

SUBJECTS
Default Null Subject Account for Blank Record

1703 -
170401 -  ..
170402 - Exercise Hiking Maintain Fitness Strengthen Immune System
170403 -
170404 - After getting Neupogen treatment, Millie went to Lafayette Reservoir
170405 - and hiked 3 laps again, about 8.25 miles.
170406 -
170407 -
170408 -
170409 -
170410 -
170411 -
170412 -
1705 -