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: November 10, 2008 09:30 AM Monday; Rod Welch

Millie Echocardiogram test Kaiser Walnut Creek for sunitinib clinical study.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 XZ9S.
040502 -
040503 -
040505 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081024 the primary care physician ordered an echocardiogram test at
040902 - Kaiser, ref SDS 4 XZ9S, to accomplish screening requirements for
040903 - Millie's treatment in the sunitinib clinical study, shown by review on
040904 - 081017. ref SDS 3 LH53
040906 -  ..
040907 - This supplements the CT test on 081107, ref SDS 7 0001, and the brain
040908 - MRI test the next day on 081108. ref SDS 8 ZI49  On 081105 the primary
040909 - care physician ordered a Muga test for the heart. ref SDS 5 WO6O  The
040910 - next day, the Muga test was canceled because the scope duplicates
040911 - echocardiogram. ref SDS 6 2J9M
040913 -  ..
040914 - Echocardiogram tests the heart with soundwaves, and takes about 60
040915 - minutes. ref SDS 3 LH53
040917 -  ..
040918 - Millie checked in at Station D and paid $50 for the test.
040920 -  ..
040921 - She was sent to Station C, and in about 10 minutes she was called
040922 - into the Clinic for the test.
040923 -
040925 -  ..
0410 -
0411 -
0412 - 0945
0413 -
041301 - Millie in the Kaiser EKG Clinic at Walnut Creek 1st floor for
041302 - echocardiogram test.
041304 -  ..
041305 - Jeff was the technician.
041307 -  ..
041308 - He commented during the test that Millie has low blood pressure.
041310 -  ..
041311 - Millie asked how he could tell?
041313 -  ..
041314 - Jeff noted that the image on his computer screen during the test
041315 - indicates a strong, well functioning heart.
041317 -  ..
041318 - Millie was "heartened" by this report.
041319 -
041320 -        [On 090123 primary care physician seems to indicate that
041321 -        cardiology report for EKG test on 090112 does not indicate
041322 -        evident heart problems. ref SDS 9 TF7O
041324 -  ..
041325 - Millie asked if anything jumps out about the right ventricle, since
041326 - this was diagnosed as over-sized in the CT test  on 060929, reviewed
041327 - on 061012. ref SDS 1 7E5L
041329 -  ..
041330 - Jeff explained this kind of thing will be addressed by the doctor who
041331 - reports on test findings.
041333 -  ..
041334 - Millie explained patient history that getting comprehensive reporting
041335 - on follow up to prior issues expressly cited in test reports has
041336 - proven difficult to accomplish.  The attendant at the CT Department
041337 - for Kaiser in Oakland commented on 080911 that test analysts regularly
041338 - meet to consider ways for responding to requests from front-line
041339 - doctors for reports, and indicated this is a work in progress.
041340 - ref SDS 2 US4S
041342 -  ..
041343 - Jeff seemed to indicate everything looks generally okay.
041345 -  ..
041346 - The test today only took 20 minutes.
041347 -
041348 -
041349 -
041350 -
041351 -
041352 -
041353 -
041354 -
041355 -
0414 -