CONTACTS 

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

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 63 0000. ref SDS 62 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150507 -
150509 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS 63 9W9I, ref SDS 62 9W9I.
150904 -
150905 - Background on missing treatment at UCSF due to low blood counts, and
150906 - requirements for Neupogen are reported in the record on 080821.
150907 - ref SDS 60 ON5M   Case study on neutropenia reported in the record for
150908 - 080828 shows continuing need for Neupogen. ref SDS 64 8O7I
150910 -  ..
150911 - While waiting in the lobby of the Oncology Department, Millie saw
150912 - Barbara going into the Infusion Clinic about 1130, and asked her to
150913 - facilitate Neupogen treatment.
150915 -  ..
150916 - Barbara said that Denise is assigned to give Millie Neupogen treatment
150917 - today.  The meeting was scheduled for 1030, and Denise is now at lunch
150918 - until 1230.  Barbard advised that Denise was disappointed that Millie
150919 - coordinated Neupogen treatment, which Kaiser originally scheduled for
150920 - 1030, shown in the record on 080823, ref SDS 63 D28I, with Millie's
150921 - meeting the doctor at 1200.  Barbara asked why Millie couldn't wait a
150922 - few hours at the hospital to meet with the doctor after getting
150923 - Neupogen?
150924 -
150925 -        [On 081010 Denise called asked Millie to accomodate last minute
150926 -        change in the schedule for treatment that will facilitate
150927 -        Denise and the Infusion Clinic. ref SDS 65 BP7M
150929 -  ..
150930 - Millie apologized for causing confusion in the Infusion Clinic, saying
150931 - she should have called to explain schedule coordination.
150933 -  ..
150934 - Kaiser set the meeting with the doctor at 1200, which aligns with UCSF
150935 - protocol that requires getting Neupogen at least 24 hours after
150936 - treatment yesterday with chemotherapy at 1130, cited by Doctor Rugo
150937 - during the meeting a week ago on 080821. ref SDS 60 4B4L  The 1030
150938 - time frame proposed for Neupogen in the Infusion Clinic presented a
150939 - conflict, which Millie resolved in favor of the protocol based on
150940 - research showing published guidance to get Neupogen at least 24 hours
150941 - after chemotherapy, reviewed on 070301. ref SDS 8 R15F
150943 -  ..
150944 - Of course adjusting the time of Neupogen treatment to meet the doctor
150945 - and to comply with medical requirements can be stressful and
150946 - frustrating to busy health care providers, even though the task in
150947 - this case takes about 5 mintues.
150949 -  ..
150950 - Barbara was not successful arranging for Neupogen treatment before
150951 - 1200.  The treatment could have been given before 1230, because the
150952 - doctor was about 30 minutes late.  The Oncology nurse said a nurse
150953 - from the Infusion Clinic could come to the examination room, and give
150954 - Millie the treatment, but evidently there wasn't enough time.
150956 -  ..
150957 - After doctor's examination in Oncology, about 1310, Millie walked over
150958 - to the Infusion Clinic across the hall.
150960 -  ..
150961 - Denise was back from lunch, and busy treating another patient.  She
150962 - asked why Millie missed the 1030 meeting?
150964 -  ..
150965 - Millie related discussion with Barbara at 1140, per above. ref SDS 0
150966 - UZ62
150968 -  ..
150969 - Denise feels there isn't enough time now for Millie's treatment.
150971 -  ..
150972 - Anne was also busy treating several other patients.  She checked the
150973 - medical chart and found Zan's order for 480 mcg Neupogen, which aligns
150974 - with the Chemotherapy Order for Carboplatin received from UCSF
150975 - yesterday, and reported in the record on 080821. ref SDS 61 SF97
150977 -  ..
150978 - Anne was able to take 5 minutes giving Millie 2 injections required
150979 - for Neupogen treatment, implementing Kaiser protocols discussed on
150980 - 080801 ref SDS 53 9W9I, originally presented by Laura on 080628.
150981 - ref SDS 38 Q74G
150982 -
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150984 -
150985 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 63 WJ4O, ref SDS 62 WJ4O.
160405 -
160406 - The schedule Millie received from Kaiser today shows the changes Hazel
160407 - made last week on 080823. ref SDS 63 D28I
160409 -  ..
160410 - Cisi added the time for treatment on 080905 to 1100, as requested by
160411 - Hazel on 080823. ref SDS 63 JQ3G  This fits requirements for Neupogen
160412 - 24 hours after chemotherapy treatment the day before on 080904.
160413 -
160414 -
160415 -
160416 -
160417 -
1605 -

SUBJECTS
Default Null Subject Account for Blank Record

1703 -
170401 -  ..
170402 - Exercise Hiking Maintain Fitness Strengthen Immune System
170403 -
170404 - Follow up ref SDS 63 3E4K, ref SDS 62 3E4K.
170405 -
170406 - Millie did not go hiking today.
170407 -
170408 -
170409 -
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1705 -