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 21, 2008 08:23 PM Tuesday;
Rod Welch
Millie submitted Consent for Sunitinib clinical trial to primary care physician.
1...Summary/Objective
2...Sunitinib Clinical Study Consent Data Entry Command Control Record
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SUBJECTS
Sunitinib Clinical Study Drug Trial Consent Dcument 080828 Data Ent
0903 -
0903 - ..
0904 - Summary/Objective
0905 -
090501 - Follow up ref SDS 9 0000, ref SDS 7 0000.
090502 -
090503 -
090504 -
090505 -
090506 -
090508 - ..
0906 -
0907 -
0908 - Progress
0909 -
090901 - Sunitinib Clinical Study Consent Data Entry Command Control Record
090902 -
090903 - Follow up ref SDS 9 HF5H, ref SDS 7 J34R.
090904 -
090905 - On 081016 Doctor Rugo identified possible progression of cancer based
090906 - on increased intensity on Millie's left arm, and swelled lymph node in
090907 - the left supraclavicular identified by palpation at UCSF on 080821,
090908 - ref SDS 4 4C6O, again on 080829 by the primary care physician at
090909 - Kaiser, ref SDS 5 RP8T, and again at UCSF on 081016 by Brigid.
090910 - ref SDS 7 J34X
090912 - ..
090913 - At that time the doctor proposed treatment in a new clinical trial
090914 - using Sunitinib. ref SDS 7 J38U
090916 - ..
090917 - During treatment in the Infusion Clinic, Glenna, the coordinator, for
090918 - the Sunitinib study, delivered a printed Consent document, ref OF 1
090919 - 0001, to Millie while she was getting treatment in the Infusion Clinic
090920 - for cancer with the cetuximab clinical study. ref SDS 6 KV4O
090922 - ..
090923 - Millie's letter to the medical team on 081016 planned to submit the
090924 - Consent documents to the primary care physician in order to prepare
090925 - for a meeting with Millie on 081024. ref SDS 7 J34R
090927 - ..
090928 - On 081017, Millie entered the consent document, ref OF 1 0001, into
090929 - the record for case management. ref SDS 9 4E88
090931 - ..
090932 - Earlier today, the doctor made arrangements with the Surgery
090933 - Department for Millie to get a biopsy of the node in the left
090934 - supraclavicular, ref SDS 13 YR6O, ordered by Doctor Rugo on 081016 for
090935 - the work plan to qualify Millie to get treatment with the Sunitinib
090936 - clinical trial. ref SDS 7 J36R Coordination with Kaiser resulted in
090937 - changing the work to the Head and Neck Department, because Doctor Rugo
090938 - Ordered FNA, and this work is done in Head and Neck, rather than
090939 - Surgery. ref SDS 13 03GE Millie sent a letter to the primary care
090940 - physician notifying of this change and requesting support contacting
090941 - the Head and Neck Department tomorrow about expediting the work in an
090942 - attempt to get the FNA and status check work done in time to review
090943 - results while meeting with the primary care physician on Friday,
090944 - 081024, to consider the UCSF proposal for Millie to enter the
090945 - Sinitinib clinical trial. ref SDS 14 XK79
090947 - ..
090948 - This eventing, Millie sent another letter to the primary care
090949 - physician transmitting the patient Consent documents for the Sunitinib
090950 - clinical trial, planned in the letter to the medical team on 081016,
090951 - and in order for the doctor to be prepared to conduct a productive
090952 - meeting on 081024. ref SDS 7 J34R
090954 - ..
090955 - Millie submitted the following letter...
090956 -
090957 - 1. Subject: Sunitinib Clinical Study Consent Documents
090958 - Date: Tue, 21 Oct 2008 20:27:53 -0700
090965 - ..
090966 - 3. This past Thursday, on 081016, Doctor Rugo gave me a Consent
090967 - document for the sunitinib clinical trial. ref SDS 6 KV4O
090969 - ..
090970 - 4. There is a review on 081017 of specific issues linked into the
090971 - Consent document. ref SDS 9 YX9N
090973 - ..
090974 - 5. Some of my questions were addressed, if not resolved, by
090975 - comments at the Wellness Community seminar this past
090976 - Saturday... 081018, ref SDS 10 PQ6X
090978 - ..
090979 - Millie cites favorable comments by Doctor Stritter during seminar last
090980 - Saturday on 081018, and submitted to the primary care physician at
090981 - Kaiser on 081019. ref SDS 11 DZ6X
090982 -
090983 - [On 081024 primary care phsyician prescribes treatment for
090984 - Millie at UCSF with sunitinib metronomic and multi-agent
090985 - protocol, ref SDS 16 XZ8W, because Millie's advancing
090986 - cancer has become resistant to chemotherapy and so requires
090987 - double agent drugs, and Kaiser only has single agent
090988 - treatments which will be ineffective to treat Millie's 5th
090989 - relapse of IBC, and further, becauser Kaiser's experience
090990 - with sunitinib indicates this can be effective for Millie.
090991 - ref SDS 16 ER4I
090993 - ..
090994 - Millie's letter to Kaiser continues...
090995 -
090996 - 6. The Consent document by itself is at... ref OF 1 0001
090998 - ..
090999 - 7. I typed this up from papers UCSF submitted on Thursday. Took
091000 - about 4 hours, so I missed hiking that day. I replaced bullets
091001 - with numbers for lists to facilitate discussion. Everything
091002 - else is the same.
091004 - ..
091005 - 8. I'll bring the paper on Friday for your file. Let me know if
091006 - you need it sooner.
091007 -
091008 - [On 081022 Millie hand carried a printed copy of Consent
091009 - document to primary care physician at Kaiser in Walnut
091010 - Creek to prepare for meeting to review sunitinib clinical
091011 - study and consider approval for this treatment. ref SDS 15
091012 - XK5H
091014 - ..
091015 - [On 081024 Millie reviewed sunitinib clinical study consent
091016 - document with primary care physician at Kaiser, and the
091017 - doctor approved this treatment for Millie on referral at
091018 - UCSF, ref SDS 16 XZ8W;
091019 -
091027 -
091028 -
091029 -
091030 -
091031 -
091032 -
091033 -
091034 -
091035 -
091036 -
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091038 -
091039 -
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091041 -
0911 -