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 18, 2008 09:00 AM Saturday; Rod Welch

Millie 2nd 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 A0 0000. ref SDS 94 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 A0 9W9I, ref SDS 94 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 - Hazel was Millie's nurse today.  She gave Millie 2 injections required
150922 - 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 A0 WJ4O, ref SDS 94 WJ4O.
160405 -
160406 - Millie's schedule for was last updated on 081004. ref SDS 90 WJ4O
160408 -  ..
160409 - Hazel updated the Neupogen schedule for December...
160410 -
160411 -                                                        UCSF Chemo
160412 -        Date    Time   Provider         Services      Cycle Treatmnt
160413 -        081024  1230   Infusion Nurse   Neupogen        9     2
160414 -        081025  0900   Infusion Nurse   Neupogen        9     2
160415 -        081031     Millie on vacation                   9     3
160416 -        081101     Millie on vacation                   9     3
160417 -        081108  1400   Infusion Nurse   Neupogen        9     4
160418 -         ..
160419 -        081110  0830   Infusion Nurse   Neupogen        9     4
160420 -        081114  1300   Infusion Nurse   Neupogen       10     1
160421 -        081115  0830   Infusion Nurse   Neupogen       10     1
160422 -        081121  1300   Infusion Nurse   Neupogen       10     2
160423 -        081122  0830   Infusion Nurse   Neupogen       10     2
160424 -         ..
160425 -     *  081128  0830   Infusion Nurse   Neupogen       10     3
160426 -        081129  0830   Infusion Nurse   Neupogen       10     3
160427 -        081205  1300   Infusion Nurse   Neupogen       10     4
160428 -        081206  0900   Infusion Nurse   Neupogen       10     4
160429 -        081212  1300   Infusion Nurse   Neupogen       11     1
160430 -        081213  0900   Infusion Nurse   Neupogen       11     1
160431 -        081219  1300   Infusion Nurse   Neupogen       11     2
160432 -        081220  0900   Infusion Nurse   Neupogen       11     2
160434 -            ..
160435 -        *  0830 on Friday 081128 is okay because Millie gets
160436 -           chemotherapy treatment at UCSF on Wednesday, 081126, because
160437 -           Thanskgiving is on 081127.  This complies with requirements
160438 -           for Neupogen 24 hours after chemotherapy, reported by Doctor
160439 -           Rugo at UCSF on 080821. ref SDS 64 4B4L
160440 -
160441 -
160442 -
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 A0 3E4K, ref SDS 94 3E4K.
170405 -
170406 - Millie did not got hiking today, because she is attending a cancer
170407 - support group event sponsored by the Wellness Community, and then is
170408 - attending a memorial for the husband of a friend from work at Nixon
170409 - Peabody.
170411 -  ..
170412 - Hiking will be reduced this week, because of working on the Sunitinib
170413 - Consent yesterday, ref SDS 99 DJ7N, and today there is the Wellness
170414 - Community event, and a memorial service...
170415 -
170416 -    Location             Miles  Minutes  Chemo  Neupo   Date
170417 -    ----------------------------------------------------------------
170418 -    Kaiser                                         x    081018, ref SDS 0 3E4K
170419 -    Kaiser                                         x    081017, ref SDS A0 3E4K
170420 -    UCSF                                     e          081016, ref SDS 98 V94O,
170421 -    Lafayette        5.50   90.1   115 154              081014, ref SDS 97 3E4K
170422 -    Lafayette        5.50   92.7   115 138              081013, ref SDS 96 3E4K
170423 -    Lafayette        8.25  146.4   180 224              081012, ref SDS 95 3E4K
170424 -    Kaiser                                         x    081011, ref SDS 94 3E4K
170425 -    Lafayette             5.50    93.3             x    081010, ref SDS 93 3E4K
170426 -    UCSF                                     e          081009, ref SDS 92 V94O
170427 -    Lafayette             5.50    92.1                  081006, ref SDS 91 3E4K
170428 -    Lafayette             2.75    48.5             x    081004, ref SDS 90 3E4K
170429 -    Lafayette             5.50    98.2             x    081003, ref SDS 89 3E4K
170430 -    UCSF                                     c          081002, ref SDS 88 V94O
170431 -    Lafayette             5.50    94.7                  080929, ref SDS 87 3E4K
170432 -    Lafayette             8.25   150.4                  080928, ref SDS 87 3E4K
170433 -    Kaiser                                         x    080927, ref SDS 86 UZ7K
170434 -    Lafayette       *     5.50    90.2             x    080926, ref SDS 85 3E4K
170435 -    UCSF                                     c          080925, ref SDS 84 V94O
170436 -    Lafayette             5.50    92.3                  080923, ref SDS 83 3E4K
170437 -    Lafayette             5.50    98.4                  080922, ref SDS 83 3E4K
170438 -    Lafayette             5.50    98.2                  080921, ref SDS 83 3E4K
170439 -    Lafayette             5.50   101.6             x    080920, ref SDS 82 3E4K
170440 -    Lafayette             5.50    89.3             x    080919, ref SDS 81 3E4K
170441 -    UCSF                                     c          080918, ref SDS 80 V94O
170442 -    Lafayette             2.75    46.2                  080916, ref SDS 81 3E4K
170443 -    Lafayette             5.50    91.8                  080915, ref SDS 79 FN5K
170444 -    Clayton Safeway       3.00    62.4                  080914, ref SDS 78 K16F
170445 -    Lafayette             8.25   129.7             x    080913, ref SDS 77 3E4K
170446 -    Lafayette             5.50    88.4             x    080912, ref SDS 76 3E4K
170447 -    UCSF                                     e          080911, ref SDS 75 V94O
170448 -    Lafayette             2.75    46.8                  080909
170449 -    Lafayette             5.50    89.2                  080908
170450 -    Lafayette             5.50    92.1                  080907
170451 -    Lafayette             2.75    45.3             x    080906, ref SDS 74 3E4K
170452 -    Lafayette             2.75    56.8             x    080905, ref SDS 73 3E4K
170453 -    UCSF                                     c          080904, ref SDS 72 V94O
170454 -    Lafayette             8.25   140.4                  080903
170455 -    Lafayette             5.50    94.9                  080902
170456 -    Kaiser                                         x    080830
170457 -    Kaiser                                         x    080829
170458 -    UCSF                                     c          080828, ref SDS 69 V94O
170459 -    Lafayette             5.50    93.6                  080826
170460 -    Lafayette             5.50    93.2                  080825
170461 -    Lafayette             5.50    93.2             x    080823
170462 -    Lafayette             8.25   142.5             x    080822, ref SDS 67 3E4K
170463 -    UCSF                                     e          080821, ref SDS 66 V94O
170464 -    Lafayette             5.50    94.7                  080820
170465 -    Lafayette             5.50    94.3                  080819
170466 -    Lafayette             8.25   141.7                  080815
170467 -    UCSF                                     e          080814, ref SDS 64 V94O
170468 -    Lafayette             5.50    93.8                  080813
170469 -    Lafayette             5.50    94.4                  080812
170470 -    Lafayette             5.50    94.2                  080810
170471 -    Lafayette             8.25   143.6             x    080809, ref SDS 61 3E4K
170472 -    Lafayette             8.25   141.1             x    080808, ref SDS 60 3E4K
170473 -    UCSF                                     c          080807, ref SDS 59 V94O
170474 -    Lafayette             8.25   143.7                  080805
170475 -    Concord               7.00   127.6                  080804
170476 -    Lafayette             8.25   143.2                  080802
170477 -    Lafayette             5.50    93.4                  080801
170478 -    Lafayette             5.50    92.2                  080729
170479 -    Lafayette             5.50    92.6                  080728
170480 -    Lafayette             8.25   142.6                  080727
170481 -    Lafayette             5.50    91.5                  080726
170482 -    Lafayette             8.25   140.8                  080725
170483 -    Lafayette             5.50    91.8                  080723
170484 -    Lafayette             5.50    91.3                  080722
170485 -    Lafayette             8.25   143.3                  080720
170486 -    Lafayette             5.50    90.7                  080719
170487 -    Lafayette             5.50    92.4                  080716
170488 -    Lafayette             2.25    46.8                  080715
170489 -    Lafayette             8.25   141.8                  080712
170490 -    Lafayette             5.50    92.9                  080711
170491 -    Lafayette             8.25   143.3                  080704
170492 -    Lafayette             5.50    90.2                  080630
170493 -    Lafayette             8.25   142.4                  080628
170494 -    Lafayette             5.50    91.4                  080625
170495 -    Lafayette             2.25    47.9                  080623
170496 -    Lafayette             5.50    94.2                  080622
170497 -    Lafayette             5.50    94.7                  080621
170498 -    Lafayette             2.25    48.3                  080620
170499 -    Mt Diablo             7.00   129.4                  080616
170500 -    Lafayette             5.50    90.8                  080615
170501 -    Lafayette             5.50    91.3                  080614
170502 -    Lafayette             5.50    89.7                  080613
170503 -    Lafayette             2.76    45.8                  080611
170504 -    Lafayette             5.50    90.5                  080609
170505 -    Lafayette             5.50    92.7                  080607
170506 -    Lafayette             5.50    94.2                  080602
170507 -
170508 -
170509 -
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 A0 SB8I, ref SDS 94 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 did not feel well today.  She was nausious this morning, and
180412 - took a Zofran pill.  Millie reported emotional stress from changes in
180413 - treatment discussed on Thursday, 081016.  She is concerned about
180414 - effectivenss treating a 5th relapse of IBC. ref SDS 99 006S and side
180415 - effects.  She is concerned about getting approval, since this is a
180416 - phse I trial. ref SDS 99 YX9N
180418 -  ..
180419 - She had a long day, going to Kaiser for Neupogen treatment, then to
180420 - the event at the Wellness Community, and then to San Francisco for a
180421 - memorial service.  This evening she is very tired.  She got a call
180422 - from her friend Janna; this cheered her up.
180424 -  ..
180425 - Millie last reported side effects on 081011 experiencing bone pain,
180426 - headache, and fatigue associated with Neupogen and chemotherapy.
180427 - ref SDS 94 FL4H
180429 -  ..
180430 - Side effects of Neupogen may be increasing, reported on...
180431 -
180432 -               081018................, ref SDS 0 Y17L
180433 -               081011................, ref SDS 94 FL4H
180434 -               081010................, ref SDS 93 SB8I
180435 -               081006................, ref SDS 91 3E4K
180436 -               081004................, ref SDS 90 Y17L
180437 -               081002................, ref SDS 88 Y17L
180438 -               080930................, ref SDS 87 Y17L
180439 -               080923................, ref SDS 83 K16F
180440 -               080915................, ref SDS 79 9W9I
180441 -               080810................, ref SDS 62 9W9I
180442 -               080803................, ref SDS 58 9W9I
180443 -               080726................, ref SDS 55 9W9I
180444 -               080721................, ref SDS 53 9W9I
180445 -               080713................, ref SDS 47 RM94
180446 -               080629................, ref SDS 42 6Q5J
180447 -               080628................, ref SDS 40 6Q5J
180448 -
180449 -
180450 -
180451 -
180452 -
180453 -
180454 -
180455 -
180456 -
180457 -
180458 -
180459 -
180460 -
1805 -