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 17, 2008 02:00 PM Friday; Rod Welch

Millie 1st Neupgogen at Kaiser for 1st cancer treatment 9th 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 94 0000. ref SDS 93 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 94 9W9I, ref SDS 93 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 081016.
150907 - ref SDS 98 OK67
150909 -  ..
150910 - Case study on 060809 shows Millie has often received chemotherapy when
150911 - blood counts are below the standard for safe treatments, and on some
150912 - occassions has received Neupogen to increase blood counts. ref SDS 9
150913 - HV45
150915 -  ..
150916 - Research on neutropenia was reported on 070301, ref SDS 10 O59H, when
150917 - Doctor Rugo was concerned about holding blood counts with weekly
150918 - Carboplatin treatments. ref SDS 10 VF6O
150920 -  ..
150921 - Florida was Millie's nurse today.  She gave Millie 2 injections
150922 - required for prescription of treatment...
150923 -
150924 -            Neupogen 480 mcg SQ on D2 3 3 carbo
150925 -
150926 - ...as shown in UCSF Chemotherapy Order on 080918, ref SDS 81 PWSY, and
150927 - ordered by primary care physician at Kaiser on 080609. ref SDS 37 L16I
150929 -  ..
150930 - Prior instructions describe Kaiser protocol calls for 480 mcg be given
150931 - with 2 injections, discussed on 080801 ref SDS 57 9W9I, and originally
150932 - presented by Laura on 080628. ref SDS 42 Q74G
150933 -
150934 -
150935 -
150936 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS 94 WJ4O, ref SDS 93 WJ4O.
160405 -
160406 - Millie's schedule for was last updated on 081004. ref SDS 90 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 94 3E4K, ref SDS 93 3E4K.
170405 -
170406 - Millie did not got hiking today, because she invested the time to
170407 - create a record for the Consent documents to participate in the
170408 - Sunitinib clincial study at UCSF.  This took 4.5 hours, and so
170409 - prevented hiking. ref SDS 99 4E88
170411 -  ..
170412 - Hiking will be reduced this week, because of working on the Sunitinib
170413 - Consent, and tomorrow there is a Wellness Community event, and Millie
170414 - is attending a memorial for the husband of a work friend.
170415 -
170416 -    Location             Miles  Minutes  Chemo  Neupo   Date
170417 -    ----------------------------------------------------------------
170418 -    Kaiser                                         x    081011, ref SDS 0 3E4K
170419 -    UCSF                                     e          081016, ref SDS 98 V94O,
170420 -    Lafayette        5.50   90.1   115 154              081014, ref SDS 97 3E4K
170421 -    Lafayette        5.50   92.7   115 138              081013, ref SDS 96 3E4K
170422 -    Lafayette        8.25  146.4   180 224              081012, ref SDS 95 3E4K
170423 -    Kaiser                                         x    081011, ref SDS 94 3E4K
170424 -    Lafayette             5.50    93.3             x    081010, ref SDS 93 3E4K
170425 -    UCSF                                     e          081009, ref SDS 92 V94O
170426 -    Lafayette             5.50    92.1                  081006, ref SDS 91 3E4K
170427 -    Lafayette             2.75    48.5             x    081004, ref SDS 90 3E4K
170428 -    Lafayette             5.50    98.2             x    081003, ref SDS 89 3E4K
170429 -    UCSF                                     c          081002, ref SDS 88 V94O
170430 -    Lafayette             5.50    94.7                  080929, ref SDS 87 3E4K
170431 -    Lafayette             8.25   150.4                  080928, ref SDS 87 3E4K
170432 -    Kaiser                                         x    080927, ref SDS 86 UZ7K
170433 -    Lafayette       *     5.50    90.2             x    080926, ref SDS 85 3E4K
170434 -    UCSF                                     c          080925, ref SDS 84 V94O
170435 -    Lafayette             5.50    92.3                  080923, ref SDS 83 3E4K
170436 -    Lafayette             5.50    98.4                  080922, ref SDS 83 3E4K
170437 -    Lafayette             5.50    98.2                  080921, ref SDS 83 3E4K
170438 -    Lafayette             5.50   101.6             x    080920, ref SDS 82 3E4K
170439 -    Lafayette             5.50    89.3             x    080919, ref SDS 81 3E4K
170440 -    UCSF                                     c          080918, ref SDS 80 V94O
170441 -    Lafayette             2.75    46.2                  080916, ref SDS 81 3E4K
170442 -    Lafayette             5.50    91.8                  080915, ref SDS 79 FN5K
170443 -    Clayton Safeway       3.00    62.4                  080914, ref SDS 78 K16F
170444 -    Lafayette             8.25   129.7             x    080913, ref SDS 77 3E4K
170445 -    Lafayette             5.50    88.4             x    080912, ref SDS 76 3E4K
170446 -    UCSF                                     e          080911, ref SDS 75 V94O
170447 -    Lafayette             2.75    46.8                  080909
170448 -    Lafayette             5.50    89.2                  080908
170449 -    Lafayette             5.50    92.1                  080907
170450 -    Lafayette             2.75    45.3             x    080906, ref SDS 74 3E4K
170451 -    Lafayette             2.75    56.8             x    080905, ref SDS 73 3E4K
170452 -    UCSF                                     c          080904, ref SDS 72 V94O
170453 -    Lafayette             8.25   140.4                  080903
170454 -    Lafayette             5.50    94.9                  080902
170455 -    Kaiser                                         x    080830
170456 -    Kaiser                                         x    080829
170457 -    UCSF                                     c          080828, ref SDS 69 V94O
170458 -    Lafayette             5.50    93.6                  080826
170459 -    Lafayette             5.50    93.2                  080825
170460 -    Lafayette             5.50    93.2             x    080823
170461 -    Lafayette             8.25   142.5             x    080822, ref SDS 67 3E4K
170462 -    UCSF                                     e          080821, ref SDS 66 V94O
170463 -    Lafayette             5.50    94.7                  080820
170464 -    Lafayette             5.50    94.3                  080819
170465 -    Lafayette             8.25   141.7                  080815
170466 -    UCSF                                     e          080814, ref SDS 64 V94O
170467 -    Lafayette             5.50    93.8                  080813
170468 -    Lafayette             5.50    94.4                  080812
170469 -    Lafayette             5.50    94.2                  080810
170470 -    Lafayette             8.25   143.6             x    080809, ref SDS 61 3E4K
170471 -    Lafayette             8.25   141.1             x    080808, ref SDS 60 3E4K
170472 -    UCSF                                     c          080807, ref SDS 59 V94O
170473 -    Lafayette             8.25   143.7                  080805
170474 -    Concord               7.00   127.6                  080804
170475 -    Lafayette             8.25   143.2                  080802
170476 -    Lafayette             5.50    93.4                  080801
170477 -    Lafayette             5.50    92.2                  080729
170478 -    Lafayette             5.50    92.6                  080728
170479 -    Lafayette             8.25   142.6                  080727
170480 -    Lafayette             5.50    91.5                  080726
170481 -    Lafayette             8.25   140.8                  080725
170482 -    Lafayette             5.50    91.8                  080723
170483 -    Lafayette             5.50    91.3                  080722
170484 -    Lafayette             8.25   143.3                  080720
170485 -    Lafayette             5.50    90.7                  080719
170486 -    Lafayette             5.50    92.4                  080716
170487 -    Lafayette             2.25    46.8                  080715
170488 -    Lafayette             8.25   141.8                  080712
170489 -    Lafayette             5.50    92.9                  080711
170490 -    Lafayette             8.25   143.3                  080704
170491 -    Lafayette             5.50    90.2                  080630
170492 -    Lafayette             8.25   142.4                  080628
170493 -    Lafayette             5.50    91.4                  080625
170494 -    Lafayette             2.25    47.9                  080623
170495 -    Lafayette             5.50    94.2                  080622
170496 -    Lafayette             5.50    94.7                  080621
170497 -    Lafayette             2.25    48.3                  080620
170498 -    Mt Diablo             7.00   129.4                  080616
170499 -    Lafayette             5.50    90.8                  080615
170500 -    Lafayette             5.50    91.3                  080614
170501 -    Lafayette             5.50    89.7                  080613
170502 -    Lafayette             2.76    45.8                  080611
170503 -    Lafayette             5.50    90.5                  080609
170504 -    Lafayette             5.50    92.7                  080607
170505 -    Lafayette             5.50    94.2                  080602
170506 -
170507 -
170508 -
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 94 SB8I, ref SDS 93 SB8I.
180405 -
180406 - Research on Neupogen side effects was reported on 080629. ref SDS 43
180407 - RQ9I  Previous case study on Neupogen side effects listed on 081002.
180408 - ref SDS 85 SB8I
180410 -  ..
180411 - Millie seemed well again today.  She did not go hiking, because of
180412 - doing work for UCSF on her new clinical trial, per above. ref SDS 0
180413 - 3E4K
180415 -  ..
180416 - Millie last reported side effects on 081011 experiencing bone pain,
180417 - headache, and fatigue associated with Neupogen and chemotherapy.
180418 - ref SDS 94 FL4H
180420 -  ..
180421 - Side effects of Neupogen may be increasing, reported on...
180422 -
180423 -               081011................, ref SDS 94 FL4H
180424 -               081010................, ref SDS 93 SB8I
180425 -               081006................, ref SDS 91 3E4K
180426 -               081004................, ref SDS 90 Y17L
180427 -               081002................, ref SDS 88 Y17L
180428 -               080930................, ref SDS 87 Y17L
180429 -               080923................, ref SDS 83 K16F
180430 -               080915................, ref SDS 79 9W9I
180431 -               080810................, ref SDS 62 9W9I
180432 -               080803................, ref SDS 58 9W9I
180433 -               080726................, ref SDS 55 9W9I
180434 -               080721................, ref SDS 53 9W9I
180435 -               080713................, ref SDS 47 RM94
180436 -               080629................, ref SDS 42 6Q5J
180437 -               080628................, ref SDS 40 6Q5J
180438 -
180439 -
180440 -
180441 -
180442 -
180443 -
180444 -
180445 -
180446 -
180447 -
180448 -
180449 -
180450 -
1805 -