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: September 20, 2008 09:00 AM Saturday;
Rod Welch
Millie 2nd Neupgogen at Kaiser for 1st cancer treatment 8th cycle UCSF
1...Summary/Objective
2...Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
3...Schedule Neupogen Treatments Extended through August
4...Stomach Upset Hiking Possibly Due to Spicy Food or Neupogen
5...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 77 0000. ref SDS 73 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150508 - ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS 77 9W9I, ref SDS 73 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 61 ON5M Case study on neutropenia reported in the record for
150908 - 080828 shows continuing need for Neupogen. ref SDS 65 8O7I
150910 - ..
150911 - Kathi was Millie's nurse today. She gave Millie 2 injections required
150912 - for prescription of treatment...
150913 -
150914 - Neupogen 480 mcg SQ on D2 3 3 carbo
150915 -
150916 - ...as shown in UCSF Chemotherapy Order on 080821, ref SDS 62 PWSY, and
150917 - ordered by primary care physician at Kaiser on 080609. ref SDS 34 L16I
150919 - ..
150920 - Prior instructions describe Kaiser protocol calls for 480 mcg be given
150921 - with 2 injections, discussed on 080801 ref SDS 53 9W9I, and originally
150922 - presented by Laura on 080628. ref SDS 38 Q74G
150923 -
150924 -
150925 -
150926 -
1510 -
SUBJECTS
Default Null Subject Account for Blank Record
1603 -
160401 - ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 77 WJ4O, ref SDS 73 WJ4O.
160405 -
160406 - Millie's schedule was last updated on 080905. ref SDS 69 SY8G
160408 - ..
160409 - On 080913 Toni made corrections to move treatments on Friday scheduled
160410 - before noon to afternoon, ref SDS 73 MH8L, to comply with protocol for
160411 - Neupogen treatment 24 hours after chemotherapy which is always on
160412 - Thursday OA 1000.
160414 - ..
160415 - Today, Jessica printed Millie's schedule to show the corrections Toni
160416 - made last week.
160418 - ..
160419 - The schedule Millie received from Kaiser today shows...
160420 -
160421 - UCSF Chemo
160422 - Date Time Provider Services Cycle Treatmnt
160423 - 080926 1430 Infusion Nurse Neupogen 8 2
160424 - 080927 0900 Infusion Nurse Neupogen 8 2
160425 - 081003 1400 Infusion Nurse Neupogen 8 3
160426 - 081004 0900 Infusion Nurse Neupogen 8 3
160427 - 081010 1400 Infusion Nurse Neupogen 8 4
160428 - 081011 0900 Infusion Nurse Neupogen 8 4
160429 - 081017 1400 Infusion Nurse Neupogen 9 1
160430 - 081018 0900 Infusion Nurse Neupogen 9 1
160431 - 081024 1230 Infusion Nurse Neupogen 9 2
160432 - 081025 0900 Infusion Nurse Neupogen 9 2
160433 - ..
160434 - *1 081031 Millie on vacation 9 3
160435 - 081101 Millie on vacation 9 3
160436 - 081108 1400 Infusion Nurse Neupogen 9 4
160437 - 081110 0900 Infusion Nurse Neupogen 9 4
160438 -
160439 - 1. Millie will be on vacation from 081029 to 081106. She will
160440 - get chemotherapy treatment a day late at UCSF.
160442 - ..
160443 - She will get a blood test on 081106. NEUTS may be okay,
160444 - because she missed 2 weeks of chemotherapy, on 081030, and
160445 - treatment on 081107 will be with cetuximab only, which
160446 - generally does not affect blood counts.
160448 - ..
160449 - If the blood counts are good on 0801107, then Millie may cancel
160450 - 1 or both treatments on 081108 and 081110. ref SDS 0 F35O
160451 -
160452 -
160453 -
160454 -
160455 -
1605 -
SUBJECTS
Default Null Subject Account for Blank Record
1703 -
170401 - ..
170402 - Stomach Upset Hiking Possibly Due to Spicy Food or Neupogen
170403 - Exercise Hiking Maintain Fitness Strengthen Immune System
170404 -
170405 - Follow up ref SDS 77 3E4K, ref SDS 73 3E4K.
170406 -
170407 - Today, Millie went hiking at Lafayette Reservoir after Neupogen
170408 - treatment, and did 2 laps, about 5.50 miles. She ran part way. Her
170409 - time was 50+ minutes per lap, i.e., 100 minutes total, because she
170410 - suffered stomach problems and had to take several restroom breaks
170411 - along the trail. Mil attributed problems today to spicy packaged
170412 - Itallian pasta last night for dinner, and/or Neupogen treatments.
170413 - There is no prior record of similar symptoms from Neupogen.
170414 -
170415 - [On 080923 Millie hiking the next 3 days does not suffer
170416 - recurrence of stomach problems today. ref SDS 78 BV7M
170418 - ..
170419 - [On 080923 Millie did not feel well on Sunday and Monday, but
170420 - went hiking, ref SDS 78 K16F; felt much better on Tuesday, more
170421 - energetic, went faster and injured her knee. ref SDS 78 UD7Y
170423 - ..
170424 - Location Miles Minutes Chemo Neupo Date
170425 - ----------------------------------------------------------------
170426 - Lafayette 5.50 101.6 x 080920, ref SDS 0 3E4K
170427 - Lafayette 5.50 89.3 x 080919, ref SDS 77 3E4K
170428 - UCSF c 080918, ref SDS 76 V94O
170429 - Lafayette 2.75 46.2 080916, ref SDS 77 3E4K
170430 - Lafayette 5.50 91.8 080915, ref SDS 75 3E4K
170431 - Clayton Safeway 3.00 62.4 080914, ref SDS 74 3E4K
170432 - Lafayette 8.25 129.7 x 080913, ref SDS 73 3E4K
170433 - Lafayette 5.50 88.4 x 080912, ref SDS 72 3E4K
170434 - UCSF c 080911, ref SDS 71 V94O
170435 - Lafayette 2.75 46.8 080909
170436 - Lafayette 5.50 89.2 080908
170437 - Lafayette 5.50 92.1 080907
170438 - Lafayette 2.75 45.3 x 080906, ref SDS 70 3E4K
170439 - Lafayette 2.75 56.8 x 080905, ref SDS 69 3E4K
170440 - UCSF c 080904, ref SDS 68 V94O
170441 - Lafayette 8.25 140.4 080903
170442 - Lafayette 5.50 94.9 080902
170443 - Kaiser x 080830
170444 - Kaiser x 080829
170445 - UCSF c 080828, ref SDS 65 V94O
170446 - Lafayette 5.50 93.6 080826
170447 - Lafayette 5.50 93.2 080825
170448 - Lafayette 5.50 93.2 x 080823
170449 - Lafayette 8.25 142.5 x 080822, ref SDS 63 3E4K
170450 - UCSF e 080821, ref SDS 62 V94O
170451 - Lafayette 5.50 94.7 080820
170452 - Lafayette 5.50 94.3 080819
170453 - Lafayette 8.25 141.7 080815
170454 - UCSF e 080814, ref SDS 60 V94O
170455 - Lafayette 5.50 93.8 080813
170456 - Lafayette 5.50 94.4 080812
170457 - Lafayette 5.50 94.2 080810
170458 - Lafayette 8.25 143.6 x 080809, ref SDS 58 3E4K
170459 - Lafayette 8.25 141.1 x 080808, ref SDS 57 3E4K
170460 - UCSF c 080807, ref SDS 56 V94O
170461 - Lafayette 8.25 143.7 080805
170462 - Concord 7.00 127.6 080804
170463 - Lafayette 8.25 143.2 080802
170464 - Lafayette 5.50 93.4 080801
170465 - Lafayette 5.50 92.2 080729
170466 - Lafayette 5.50 92.6 080728
170467 - Lafayette 8.25 142.6 080727
170468 - Lafayette 5.50 91.5 080726
170469 - Lafayette 8.25 140.8 080725
170470 - Lafayette 5.50 91.8 080723
170471 - Lafayette 5.50 91.3 080722
170472 - Lafayette 8.25 143.3 080720
170473 - Lafayette 5.50 90.7 080719
170474 - Lafayette 5.50 92.4 080716
170475 - Lafayette 2.25 46.8 080715
170476 - Lafayette 8.25 141.8 080712
170477 - Lafayette 5.50 92.9 080711
170478 - Lafayette 8.25 143.3 080704
170479 - Lafayette 5.50 90.2 080630
170480 - Lafayette 8.25 142.4 080628
170481 - Lafayette 5.50 91.4 080625
170482 - Lafayette 2.25 47.9 080623
170483 - Lafayette 5.50 94.2 080622
170484 - Lafayette 5.50 94.7 080621
170485 - Lafayette 2.25 48.3 080620
170486 - Mt Diablo 7.00 129.4 080616
170487 - Lafayette 5.50 90.8 080615
170488 - Lafayette 5.50 91.3 080614
170489 - Lafayette 5.50 89.7 080613
170490 - Lafayette 2.76 45.8 080611
170491 - Lafayette 5.50 90.5 080609
170492 - Lafayette 5.50 92.7 080607
170493 - Lafayette 5.50 94.2 080602
170494 -
170495 -
170496 -
170497 -
170498 -
170499 -
1705 -