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 19, 2008 05:07 AM Sunday; Rod Welch

Letter to medical team implementing work plan for sunitinib study.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
Work Plan Treatment 5th Relapse IBC Biopsy FNA Fine Needle Aspiratio

3803 -
3803 -    ..
3804 - Summary/Objective
3805 -
380501 - Follow up ref SDS 3 0000, ref SDS 2 0000.
380502 -
380503 -
380504 -
380506 -  ..
3806 -
3807 -
3808 - Progress
3809 -
380901 - Letter to primary care physician and the medical team, with copy to
380902 - Doctor Stritter, and confirming efforts to prepare for starting
380903 - treatment of Millie's 5th relapse of IBC with the sunitinib clinical
380904 - study drug trial...
380905 -
380906 -    1.  Subject: Sunitinib Clinical Study Work Plan Undersay
380907 -        Date: Sun, 19 Oct 2008 05:16:47 -0700
380916 -         ..
380917 -    3.  While in the Infusion Clinic for Neupogen treatment yesterday,
380918 -        I talked to Arlette.  She indicated you are ordering the biopsy
380919 -        with status change evaluation, ref SDS 3 UP6I, requested by
380920 -        Doctor Rugo this past Thursday, as set out in the letter to the
380921 -        team on 081016. ref SDS 2 J36R
380923 -         ..
380924 -    4.  Hoping to get this done before meeting with you next Friday.
380925 -
380926 -               [On 081022 FNA biopsy performed at Kaiser; pathology
380927 -               report expected within a few days to a week,
380928 -               ref SDS 8 NZ5N; if pathology negative for cancer,
380929 -               Kaiser proposes retest with core biopsy, a more
380930 -               rigorous procedure. ref SDS 8 HH99
380932 -         ..
380933 -    5.  I also talked to Paula in the Infusion Clinic. ref SDS 4 7N5H
380934 -        She indicated the Radiology people in Walnut Creek are talking
380935 -        to Kaiser in Oakland about steps to upgrade service, so I can
380936 -        get the CT test using my Power Port in Walnut Creek,
380937 -        ref SDS 4 8Y8O, as you requested and noted in the letter to the
380938 -        team 081015. ref SDS 1 K34V
380940 -         ..
380941 -    6.  Yesterday [on 081018], I attended a Wellness Community event.
380942 -        Doctor Stritter gave an excellent presentation on new
380943 -        treatments coming along for breast cancer. ref SDS 5 IS74
380945 -         ..
380946 -    7.  Doctor Stritter is familiar with the Sunitinib clinical trial
380947 -        at UCSF [prescribed by Doctor Rugo on 081016, ref SDS 2 J34R].
380948 -        She cited research indicating this can be a strong solution in
380949 -        my case. ref SDS 5 PQ6X
380950 -
380951 -           [On 081218 Millie sent a copy to Doctor Stritter of a letter
380952 -           notifying the medical team about the meeting at UCSF that
380953 -           reported finding good response to treatment with sunitinib
380954 -           helping Millie recover from a 5th relapse of IBC.
380955 -           ref SDS 11 N55I
380957 -         ..
380958 -    8.  Looking forward to our meeting next week.
380959 -
380960 -           [On 081021 Consent document for Sunitinib clinical study
380961 -           sent to primary care physician to prepare for meeting on
380962 -           081024. ref SDS 7 W83I
380964 -            ..
380965 -           [On 081024 primary care phsyician prescribes treatment for
380966 -           Millie at UCSF with sunitinib metronomic and multi-agent
380967 -           protocol, ref SDS 9 XZ8W, because Millie's advancing cancer
380968 -           has become resistant to chemotherapy and so requires double
380969 -           agent drugs, and Kaiser only has single agent treatments
380970 -           which will be ineffective to treat Millie's 5th relapse of
380971 -           IBC, and further, becauser Kaiser's experience with
380972 -           sunitinib indicates this can be effective for Millie.
380973 -           ref SDS 9 ER4I
380975 -            ..
380976 -           [On 081114 Doctor Stritter submitted more ideas for finding
380977 -           support to maintain Millie's care at UCSF through Kaiser.
380978 -           ref SDS 10 FJ5J
380979 -
380986 -
380987 -
380988 -
380989 -
380990 -
380991 -
380992 -
380993 -
380994 -
3810 -