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 11, 2008 08:30 AM Saturday;
Rod Welch
Millie 2nd 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 92 0000. ref SDS 89 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 92 9W9I, ref SDS 89 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 65 ON5M Case study on neutropenia reported in the record for
150908 - 080828 shows continuing need for Neupogen. ref SDS 69 8O7I
150910 - ..
150911 - Millie went early this morning hoping to get the 5 minute treatment
150912 - early in order to make it to San Francisco for an event. There was a
150913 - project of some kind in the Infusion Clinic, which delayed treatment.
150915 - ..
150916 - Barbara was Millie's nurse today. She gave Millie 2 injections
150917 - required for prescription of treatment...
150918 -
150919 - Neupogen 480 mcg SQ on D2 3 3 carbo
150920 -
150921 - ...as shown in UCSF Chemotherapy Order on 080918, ref SDS 80 PWSY, and
150922 - ordered by primary care physician at Kaiser on 080609. ref SDS 36 L16I
150924 - ..
150925 - Prior instructions describe Kaiser protocol calls for 480 mcg be given
150926 - with 2 injections, discussed on 080801 ref SDS 56 9W9I, and originally
150927 - presented by Laura on 080628. ref SDS 41 Q74G
150928 -
150929 -
150930 -
150931 -
1510 -
SUBJECTS
Default Null Subject Account for Blank Record
1603 -
160401 - ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 92 WJ4O, ref SDS 89 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 92 3E4K, ref SDS 89 3E4K.
170405 -
170406 - Millie did not got hiking today, because she has a meeting in San
170407 - Francisco to have lunch and see a play.
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 - Kaiser x 081011, ref SDS 0 3E4K
170416 - Lafayette 5.50 93.3 x 081010, ref SDS 92 3E4K
170417 - UCSF e 081009, ref SDS 91 V94O
170418 - Lafayette 5.50 92.1 081006, ref SDS 90 3E4K
170419 - Lafayette 2.75 48.5 x 081004, ref SDS 89 3E4K
170420 - Lafayette 5.50 98.2 x 081003, ref SDS 88 3E4K
170421 - UCSF c 081002, ref SDS 87 V94O
170422 - Lafayette 5.50 94.7 080929, ref SDS 86 3E4K
170423 - Lafayette 8.25 150.4 080928, ref SDS 86 3E4K
170424 - Kaiser x 080927, ref SDS 85 UZ7K
170425 - Lafayette * 5.50 90.2 x 080926, ref SDS 84 3E4K
170426 - UCSF c 080925, ref SDS 83 V94O
170427 - Lafayette 5.50 92.3 080923, ref SDS 82 3E4K
170428 - Lafayette 5.50 98.4 080922, ref SDS 82 3E4K
170429 - Lafayette 5.50 98.2 080921, ref SDS 82 3E4K
170430 - Lafayette 5.50 101.6 x 080920, ref SDS 81 3E4K
170431 - Lafayette 5.50 89.3 x 080919, ref SDS 80 3E4K
170432 - UCSF c 080918, ref SDS 79 V94O
170433 - Lafayette 2.75 46.2 080916, ref SDS 80 3E4K
170434 - Lafayette 5.50 91.8 080915, ref SDS 78 FN5K
170435 - Clayton Safeway 3.00 62.4 080914, ref SDS 77 K16F
170436 - Lafayette 8.25 129.7 x 080913, ref SDS 76 3E4K
170437 - Lafayette 5.50 88.4 x 080912, ref SDS 75 3E4K
170438 - UCSF e 080911, ref SDS 74 V94O
170439 - Lafayette 2.75 46.8 080909
170440 - Lafayette 5.50 89.2 080908
170441 - Lafayette 5.50 92.1 080907
170442 - Lafayette 2.75 45.3 x 080906, ref SDS 73 3E4K
170443 - Lafayette 2.75 56.8 x 080905, ref SDS 72 3E4K
170444 - UCSF c 080904, ref SDS 71 V94O
170445 - Lafayette 8.25 140.4 080903
170446 - Lafayette 5.50 94.9 080902
170447 - Kaiser x 080830
170448 - Kaiser x 080829
170449 - UCSF c 080828, ref SDS 68 V94O
170450 - Lafayette 5.50 93.6 080826
170451 - Lafayette 5.50 93.2 080825
170452 - Lafayette 5.50 93.2 x 080823
170453 - Lafayette 8.25 142.5 x 080822, ref SDS 66 3E4K
170454 - UCSF e 080821, ref SDS 65 V94O
170455 - Lafayette 5.50 94.7 080820
170456 - Lafayette 5.50 94.3 080819
170457 - Lafayette 8.25 141.7 080815
170458 - UCSF e 080814, ref SDS 63 V94O
170459 - Lafayette 5.50 93.8 080813
170460 - Lafayette 5.50 94.4 080812
170461 - Lafayette 5.50 94.2 080810
170462 - Lafayette 8.25 143.6 x 080809, ref SDS 60 3E4K
170463 - Lafayette 8.25 141.1 x 080808, ref SDS 59 3E4K
170464 - UCSF c 080807, ref SDS 58 V94O
170465 - Lafayette 8.25 143.7 080805
170466 - Concord 7.00 127.6 080804
170467 - Lafayette 8.25 143.2 080802
170468 - Lafayette 5.50 93.4 080801
170469 - Lafayette 5.50 92.2 080729
170470 - Lafayette 5.50 92.6 080728
170471 - Lafayette 8.25 142.6 080727
170472 - Lafayette 5.50 91.5 080726
170473 - Lafayette 8.25 140.8 080725
170474 - Lafayette 5.50 91.8 080723
170475 - Lafayette 5.50 91.3 080722
170476 - Lafayette 8.25 143.3 080720
170477 - Lafayette 5.50 90.7 080719
170478 - Lafayette 5.50 92.4 080716
170479 - Lafayette 2.25 46.8 080715
170480 - Lafayette 8.25 141.8 080712
170481 - Lafayette 5.50 92.9 080711
170482 - Lafayette 8.25 143.3 080704
170483 - Lafayette 5.50 90.2 080630
170484 - Lafayette 8.25 142.4 080628
170485 - Lafayette 5.50 91.4 080625
170486 - Lafayette 2.25 47.9 080623
170487 - Lafayette 5.50 94.2 080622
170488 - Lafayette 5.50 94.7 080621
170489 - Lafayette 2.25 48.3 080620
170490 - Mt Diablo 7.00 129.4 080616
170491 - Lafayette 5.50 90.8 080615
170492 - Lafayette 5.50 91.3 080614
170493 - Lafayette 5.50 89.7 080613
170494 - Lafayette 2.76 45.8 080611
170495 - Lafayette 5.50 90.5 080609
170496 - Lafayette 5.50 92.7 080607
170497 - Lafayette 5.50 94.2 080602
170498 -
170499 -
170500 -
1706 -
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 92 SB8I, ref SDS 89 SB8I.
180405 -
180406 - Research on Neupogen side effects was reported on 080629. ref SDS 42
180407 - RQ9I Previous case study on Neupogen side effects listed on 081002.
180408 - ref SDS 84 SB8I
180410 - ..
180411 - Millie previously reported Neupogen side effects on 080927, as shown
180412 - on 080930. ref SDS 87 Y17L
180414 - ..
180415 - Millie seemed well again today. She did not go hiking, because of
180416 - visiting friends in San Francisco, per above. ref SDS 0 3E4K
180418 - ..
180419 - This morning, Millie reported bone pain during the night. She rolled
180420 - over in bed to ease the pain in her hips. She also had a slight
180421 - headache, and took an aspirin.
180422 -
180423 - [On 081012 no evident side efficts of bone pain, headache, and
180424 - fatigue; significant elevated pulse reported. ref SDS 93 JV9I
180426 - ..
180427 - After returning from a long day, including riding on BART, and sitting
180428 - in the theater for several hours, she did not complain of any side
180429 - effects so far from Neupogen yesterday and today, nor from cetuximab
180430 - (which is less severe than chemotherapy) the day before on 081009.
180431 - ref SDS 91 V94O
180433 - ..
180434 - Side effects of Neupogen may be increasing, reported on...
180435 -
180436 - 081010................, ref SDS 92 SB8I
180437 - 081006................, ref SDS 90 3E4K
180438 - 081004................, ref SDS 89 Y17L
180439 - 081002................, ref SDS 87 Y17L
180440 - 080930................, ref SDS 86 Y17L
180441 - 080923................, ref SDS 82 K16F
180442 - 080915................, ref SDS 78 9W9I
180443 - 080810................, ref SDS 61 9W9I
180444 - 080803................, ref SDS 57 9W9I
180445 - 080726................, ref SDS 54 9W9I
180446 - 080721................, ref SDS 52 9W9I
180447 - 080713................, ref SDS 46 RM94
180448 - 080629................, ref SDS 41 6Q5J
180449 - 080628................, ref SDS 39 6Q5J
180450 -
180451 -
180452 -
180453 -
180454 -
180455 -
180456 -
180457 -
180458 -
180459 -
180460 -
180461 -
180462 -
1805 -