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 31, 2008 07:01 AM Friday; Rod Welch

Millie letter to Glenna on work plan, and doing FNA biopsy at UCSF.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 6 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On Wednesday, 081029, Millie submitted a letter to Glenna, the study
040902 - coordinator for the sunitinib drug trial, ref SDS 7 H96H  The letter
040903 - transmitted the work plan updated to show progress for setting up to
040904 - start treatment in the sunitinib clinical study. ref SDS 7 LH4O
040906 -  ..
040907 - Later in the afternon, Glenna could not discuss progress on pending
040908 - issues, and said she would call back. ref SDS 7 HE6F
040910 -  ..
040911 - Key issues are...
040912 -
040913 -    1.  Schedule meeting with Glenna on 081107 0800 for Millie to sign
040914 -        the consent document. ref SDS 7 LL6Q
040915 -
040916 -    2.  Urinalysis schedule at UCSF on 081107. ref SDS 7 SE6W
040918 -         ..
040919 -    3.  Brain MR test schedule at Kaiser. ref SDS 7 SE5Q
040921 -         ..
040922 -    4.  Perform FNA biopsy at UCSF to test status change. ref SDS 7
040923 -        SF3P
040925 -         ..
040926 -    5.  Cost estimate to Millie for treatment drugs. ref SDS 7 SS7L
040928 -         ..
040929 -    6.  Kaiser authorization for treatment. ref SDS 7 NQ7L
040931 -         ..
040932 -    7.  Begin treatment. ref SDS 7 0U8N
040933 -
040935 -  ..
040936 - This morning, Millie submitted letter to Glenna, following up the
040937 - letter on 081029 1504, submitting updated work plan, ref SDS 7 H96H,
040938 - about coordinating pending issues to start Millie's treatment...
040939 -
040940 -    1.  Subject: Sunitinib Work Plan Schedule Treatment at UCSF
040941 -        Date: Fri, 31 Oct 2008 07:11:07 -0700
040949 -         ..
040950 -    2.  Please see my letter on 081029 ref SDS 7 H96H, on status of
040951 -        work plan, ref SDS 7 LH4O and let me know if anything more
040952 -        needs to be done.  You called for Rod on Wednesday, but things
040953 -        were hectic, and he forgot to call back for clarifications.  If
040954 -        time permits, please call him at 925 680 8947.
040955 -
040956 -            [...in another record today, below Glenna called and
040957 -            advised that the work plan is comprehensive, covering all
040958 -            tasks, ref SDS 10 XJ73; Millie has been scheduled to start
040959 -            treatment in the new sunitinib clinical study on 081113
040960 -            0830. ref SDS 10 L57F
040962 -             ..
040963 -            [On 081031 Glenna submitted letter for UCSF, ref SDS 11
040964 -            5G5H, confirming Millie's schedule to begin treatment on
040965 -            081113. ref SDS 11 SJ3W
040967 -         ..
040968 -    3.  Urinalysis needs to be scheduled [as shown in work plan on
040969 -        081029, ref SDS 7 SE6W].  Since all the labs for past 2 years
040970 -        have been at UCSF, should this be scheduled for when we meet
040971 -        next Friday on 081107?
040972 -
040973 -            [...in another record, Glenna called and decided to
040974 -            schedule this at UCSF on 081107. ref SDS 11 SI4X
040976 -         ..
040977 -    4.  Core biopsy for status change is scheduled at Kaiser on 081117.
040978 -        FNA biopsy for status change maybe can be done at UCSF, if the
040979 -        medical team feels core biopsy is risky, as discussed in work
040980 -        plan. ref SDS 7 SF3P [updating discusison in letter to UCSF on
040981 -        081029. ref SDS 7 C49U]
040982 -
040983 -            [...in another record, Glenna advises that status change is
040984 -            not required for the sunitinib clinical study, and says to
040985 -            contact Doctor Rugo about follow up. ref SDS 10 T27H
040987 -             ..
040988 -            [On 081101 Doctor Rugo says FNA biopsy to check for
040989 -            status change is not part of the sunitinib clinical
040990 -            study; requires Kaiser approval of payment which would
040991 -            be very cost effective since FNA biopsy at UCSF would
040992 -            cost much less than the more invasive and problematic
040993 -            core biopsy Kaiser has scheduled for Millie on 081113.
040994 -            ref SDS 12 5G5H
040996 -             ..
040997 -            [On 081102 Millie's letter to Doctor Rugo with copy to
040998 -            primary care physician at Kaiser asks how much the FNA
040999 -            biopsy to test for status change will cost at UCSF, and
041000 -            notes this should be less expensive than doing the core
041001 -            biopsy at Kaiser. ref SDS 13 AD3F
041003 -         ..
041004 -    5.  Have a good weekend.  Looking forward to our meeting next
041005 -        Friday on 081107 0800.
041007 -         ..
041008 -    6.  By copy I am thanking Doctor Johnson at Kaiser for ordering the
041009 -        brain MRI.  Rod will call Radiology later today for scheduling
041010 -        the work [per instructions from Kaiser on 081030. ref SDS 8
041011 -        609T
041012 -
041018 -
041019 -
041021 -  ..
0411 -
0412 -
0413 - 1519
0414 -
041401 - Called Glenna.
041402 -
041403 - She is in the middle of a project.  Glenna will call back in about an
041404 - hour.
041405 -
041406 -        [...in another record today, Glenna called back. ref SDS 10 5G5H
041407 -
041408 -
041409 -
041410 -
041411 -
041412 -
041413 -
0415 -