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: October 10, 2008 01:30 PM Friday; Rod Welch

Millie 1st Neupgogen at Kaiser for 4th 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...Exercise Hiking Maintain Fitness Strengthen Immune System
5...Side Effects Neupogen Treatments Increase May Be Chemotherapy


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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 89 0000, ref SDS 88 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 89 9W9I, ref SDS 88 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 64 ON5M   Case study on neutropenia reported in the record for
150908 - 080828 shows continuing need for Neupogen. ref SDS 68 8O7I
150910 -  ..
150911 - Treatment was scheduled for 1400, shown in the record on 081004.
150912 - ref SDS 89 SY8G  Denise called Millie about 1300, and asked Millie to
150913 - come in early to accomodate the Infusion Clinic.  Denise explained her
150914 - schedule has changed, and so Millie coming in earlier would be a big
150915 - help.  Accomodating changing schedules was discussed previously with
150916 - Denise on 080829. ref SDS 69 UZ5J
150918 -  ..
150919 - Denise was Millie's nurse today.  She gave Millie 2 injections
150920 - required for prescription of treatment...
150921 -
150922 -            Neupogen 480 mcg SQ on D2 3 3 carbo
150923 -
150924 - ...as shown in UCSF Chemotherapy Order on 080918, ref SDS 79 PWSY, and
150925 - ordered by primary care physician at Kaiser on 080609. ref SDS 35 L16I
150927 -  ..
150928 - Prior instructions describe Kaiser protocol calls for 480 mcg be given
150929 - with 2 injections, discussed on 080801 ref SDS 55 9W9I, and originally
150930 - presented by Laura on 080628. ref SDS 40 Q74G
150931 -
150932 -
150933 -
150934 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 89 WJ4O, ref SDS 88 WJ4O.
160405 -
160406 - Millie's schedule for was last updated on 081004. ref SDS 89 WJ4O
160407 -
160408 -
160409 -
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 89 3E4K, ref SDS 88 3E4K.
170405 -
170406 - Today, Millie went hiking and did 2 laps.  She felt strong today, and
170407 - so the pace was faster.
170409 -  ..
170410 - Hiking was less steady last week, going out 4 days, but generally
170411 - continuing increased exercise...
170412 -
170413 -    Location             Miles  Minutes  Chemo  Neupo   Date
170414 -    ----------------------------------------------------------------
170415 -    Lafayette             5.50    93.3             x    081010, ref SDS 0 3E4K
170416 -    UCSF                                     c          081009, ref SDS 91 V94O
170417 -    Lafayette             5.50    92.1                  081006, ref SDS 90 3E4K
170418 -    Lafayette             2.75    48.5             x    081004, ref SDS 89 3E4K
170419 -    Lafayette             5.50    98.2             x    081003, ref SDS 88 3E4K
170420 -    UCSF                                     c          081002, ref SDS 87 V94O
170421 -    Lafayette             5.50    94.7                  080929, ref SDS 86 3E4K
170422 -    Lafayette             8.25   150.4                  080928, ref SDS 86 3E4K
170423 -    Kaiser                                         x    080927, ref SDS 85 UZ7K
170424 -    Lafayette       *     5.50    90.2             x    080926, ref SDS 84 3E4K
170425 -    UCSF                                     c          080925, ref SDS 83 V94O
170426 -    Lafayette             5.50    92.3                  080923, ref SDS 82 3E4K
170427 -    Lafayette             5.50    98.4                  080922, ref SDS 82 3E4K
170428 -    Lafayette             5.50    98.2                  080921, ref SDS 82 3E4K
170429 -    Lafayette             5.50   101.6             x    080920, ref SDS 81 3E4K
170430 -    Lafayette             5.50    89.3             x    080919, ref SDS 80 3E4K
170431 -    UCSF                                     c          080918, ref SDS 79 V94O
170432 -    Lafayette             2.75    46.2                  080916, ref SDS 80 3E4K
170433 -    Lafayette             5.50    91.8                  080915, ref SDS 78 3E4K
170434 -    Clayton Safeway       3.00    62.4                  080914, ref SDS 77 3E4K
170435 -    Lafayette             8.25   129.7             x    080913, ref SDS 76 3E4K
170436 -    Lafayette             5.50    88.4             x    080912, ref SDS 75 3E4K
170437 -    UCSF                                     c          080911, ref SDS 74 V94O
170438 -    Lafayette             2.75    46.8                  080909
170439 -    Lafayette             5.50    89.2                  080908
170440 -    Lafayette             5.50    92.1                  080907
170441 -    Lafayette             2.75    45.3             x    080906, ref SDS 73 3E4K
170442 -    Lafayette             2.75    56.8             x    080905, ref SDS 72 3E4K
170443 -    UCSF                                     c          080904, ref SDS 71 V94O
170444 -    Lafayette             8.25   140.4                  080903
170445 -    Lafayette             5.50    94.9                  080902
170446 -    Kaiser                                         x    080830
170447 -    Kaiser                                         x    080829
170448 -    UCSF                                     c          080828, ref SDS 68 V94O
170449 -    Lafayette             5.50    93.6                  080826
170450 -    Lafayette             5.50    93.2                  080825
170451 -    Lafayette             5.50    93.2             x    080823
170452 -    Lafayette             8.25   142.5             x    080822, ref SDS 66 3E4K
170453 -    UCSF                                     e          080821, ref SDS 65 V94O
170454 -    Lafayette             5.50    94.7                  080820
170455 -    Lafayette             5.50    94.3                  080819
170456 -    Lafayette             8.25   141.7                  080815
170457 -    UCSF                                     e          080814, ref SDS 63 V94O
170458 -    Lafayette             5.50    93.8                  080813
170459 -    Lafayette             5.50    94.4                  080812
170460 -    Lafayette             5.50    94.2                  080810
170461 -    Lafayette             8.25   143.6             x    080809, ref SDS 60 3E4K
170462 -    Lafayette             8.25   141.1             x    080808, ref SDS 59 3E4K
170463 -    UCSF                                     c          080807, ref SDS 58 V94O
170464 -    Lafayette             8.25   143.7                  080805
170465 -    Concord               7.00   127.6                  080804
170466 -    Lafayette             8.25   143.2                  080802
170467 -    Lafayette             5.50    93.4                  080801
170468 -    Lafayette             5.50    92.2                  080729
170469 -    Lafayette             5.50    92.6                  080728
170470 -    Lafayette             8.25   142.6                  080727
170471 -    Lafayette             5.50    91.5                  080726
170472 -    Lafayette             8.25   140.8                  080725
170473 -    Lafayette             5.50    91.8                  080723
170474 -    Lafayette             5.50    91.3                  080722
170475 -    Lafayette             8.25   143.3                  080720
170476 -    Lafayette             5.50    90.7                  080719
170477 -    Lafayette             5.50    92.4                  080716
170478 -    Lafayette             2.25    46.8                  080715
170479 -    Lafayette             8.25   141.8                  080712
170480 -    Lafayette             5.50    92.9                  080711
170481 -    Lafayette             8.25   143.3                  080704
170482 -    Lafayette             5.50    90.2                  080630
170483 -    Lafayette             8.25   142.4                  080628
170484 -    Lafayette             5.50    91.4                  080625
170485 -    Lafayette             2.25    47.9                  080623
170486 -    Lafayette             5.50    94.2                  080622
170487 -    Lafayette             5.50    94.7                  080621
170488 -    Lafayette             2.25    48.3                  080620
170489 -    Mt Diablo             7.00   129.4                  080616
170490 -    Lafayette             5.50    90.8                  080615
170491 -    Lafayette             5.50    91.3                  080614
170492 -    Lafayette             5.50    89.7                  080613
170493 -    Lafayette             2.76    45.8                  080611
170494 -    Lafayette             5.50    90.5                  080609
170495 -    Lafayette             5.50    92.7                  080607
170496 -    Lafayette             5.50    94.2                  080602
170497 -
170498 -
170499 -
1705 -

SUBJECTS
Default Null Subject Account for Blank Record

1803 -
180401 -  ..
180402 - Side Effects Neupogen Treatments Increase May Be Chemotherapy
180403 -
180404 - Follow up ref SDS 89 SB8I, ref SDS 88 SB8I.
180405 -
180406 - Research on Neupogen side effects was reported on 080629. ref SDS 41
180407 - RQ9I  Previous case study on Neupogen side effects listed on 081002.
180408 - ref SDS 83 SB8I
180410 -  ..
180411 - Millie previously reported Neupogen side effects on 080927, as shown
180412 - on 080930. ref SDS 86 Y17L
180414 -  ..
180415 - Millie seemed well and strong today, but only did 2 laps because her
180416 - Neupogen treatment was at 1400.
180418 -  ..
180419 - No side effects of Neupogen treatment after hiking.
180420 -
180421 -                  [On 081011 Millie reported bone pain and headache
180422 -                  during the night. ref SDS 92 FL4H
180424 -  ..
180425 - Side effects of Neupogen seem manageable, reported on...
180426 -
180427 -               081010................, ref SDS 0 SB8I
180428 -               081006................, ref SDS 90 3E4K
180429 -               081004................, ref SDS 89 Y17L
180430 -               081002................, ref SDS 87 Y17L
180431 -               080930................, ref SDS 86 Y17L
180432 -               080923................, ref SDS 82 K16F
180433 -               080915................, ref SDS 78 9W9I
180434 -               080810................, ref SDS 61 9W9I
180435 -               080803................, ref SDS 57 9W9I
180436 -               080726................, ref SDS 54 9W9I
180437 -               080721................, ref SDS 52 9W9I
180438 -               080713................, ref SDS 46 RM94
180439 -               080629................, ref SDS 41 6Q5J
180440 -               080628................, ref SDS 39 6Q5J
180441 -
180442 -
180443 -
180444 -
180445 -
180446 -
180447 -
180448 -
180449 -
1805 -