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 11, 2008 04:52 AM Tuesday; Rod Welch

Millie notifies medical team tests completed start sunitinib treatment at UCSF.

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 13 0000, ref SDS 12 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081016 Doctor Rugo prescribed a biopsy test for Millie to evaluate
040902 - continuing treatment with cetuximab and Carboplatin, shown in a work
040903 - plan. ref SDS 2 J36R  At that time, on 081016 the primary care
040904 - physician at Kaiser ordered the work to be performed at Kaiser.  On
040905 - 081022 the biopsy was performed by Doctor Daamen at Kaiser in Walnut
040906 - Creek.  The next day on 081023, Doctor Daamen reported the biopsy was
040907 - positive for cancer.  Doctor Rugo reported these results ended
040908 - Millie's treatment with cetuximab and Carboplatin. ref SDS 4 D65G  The
040909 - next day on 081024, Millie met with the primary care physician at
040910 - Kaiser. ref SDS 5 XZ8W  Doctor Johnson prescribed sunitinib metronomic
040911 - treatment at UCSF, and ordered tests required for Millie to begin
040912 - treatment. ref SDS 5 XZ9P  UCSF revised the work plan to incorporate
040913 - tests ordered by Kaiser on 081024, shown by the update plan on 081029.
040914 - ref SDS 6 LH4O
040916 -  ..
040917 - Yesterday, Millie had the echocardiogram test at Kaiesr. ref SDS 13
040918 - WL5G  This completes tests ordered by Kaiser on 081024 performing
040919 - requirements for referral to UCSF, ref SDS 5 XZ8W, as shown in the
040920 - work plan on 081029. ref SDS 6 4B5M
040922 -  ..
040923 - This morning, Millie notified the medical team that tests have been
040924 - completed, and asked the primary care phsyician to submit reports for
040925 - review in time to be prepared for meeting at UCSF on Thursday, 081113.
040926 -
040927 -    1.  Subject: Tests Completed Referral Treatment Sunitinib at UCSF
040928 -        Date: Tue, 11 Nov 2008 05:00:00 -0800
040940 -         ..
040941 -    2.  Dear Doctor Johnson,
040943 -         ..
040944 -    3.  Yesterday, I completed screening tests you ordered on 081024
040945 -        for my treatment on referral to UCSF beginning on Thursday,
040946 -        081113. Thanks to Glenna for planning and coordination, and to
040947 -        all for collaboration through the Kaiser team care process.
040949 -         ..
040950 -    4.  This accomplishes Glenna's schedule on 081031 implementing the
040951 -        UCSF work plan on 081029. ref SDS 6 0001
040953 -         ..
040954 -    5.  Please submit reports on findings in time to prepare for
040955 -        meeting with Doctor Rugo at UCSF on 081113 0830.  We need
040956 -        reports on...
040958 -         ..
040959 -        CT test on Friday............ Nov 7th.......... ref SDS 10 3G5I
040960 -        Core biopsy on Friday........ Nov 7th.......... ref SDS 11 7P5O
040961 -        Brain MRI on Saturday........ Nov 8th.......... ref SDS 12 ZH4K
040962 -        Echocardiogram Monday........ Nove 10th........ ref SDS 13 WL5G
040963 -
040964 -            [On 081113 UCSF received some reports from Kaiser, but not
040965 -            get the report on the biopsy test for status change; Millie
040966 -            was approved to start treatment. ref SDS 15 8Q8P
040968 -             ..
040969 -            [On 081113 Millie sent a letter to Kaiser, ref SDS 16 IV8K,
040970 -            asking Doctor Daamen about results of the biopsy on 081107
040971 -            testing for status change. ref SDS 16 IV4Y
040973 -         ..
040974 -    6.  Special thanks to Doctor Daamen and Doctor Kahn in Head and
040975 -        Neck for expediting the core biopsy to test for status change
040976 -        performed on 081107 1600. ref SDS 11 7P5O  Moving this ahead
040977 -        several weeks helps meet Doctor Rugo's schedule at UCSF
040978 -        ([...reported on 081106, ref SDS 7 LE6G].
040979 -
040980 -            [On 081113 letter to Doctor Daamen requests Kaiser submit
040981 -            results of the core biopsy on 081107 testing for status
040982 -            change. ref SDS 16 IR7K
040984 -         ..
040985 -    7.  INR and CA 15-3 were not drawn for labs at UCSF this past
040986 -        Friday, on 081107. ref SDS 8 075H
040988 -         ..
040989 -    8.  If we do another lab to start treatment next week on 081113,
040990 -        then we can do the normal scope, otherwise Gloria will be on my
040991 -        case to get her some numbers.
040993 -         ..
040994 -    9.  I need guidance on Neupogen.  I am scheduled through December
040995 -        20th at Kaiser [shown in the record on 081018, ref SDS 3
040996 -        WJ4O], but not sure this will be needed for the new treatment.
040997 -        We can discuss on 081113.
040998 -
040999 -            [On 081113 there was no comment on requirements for
041000 -            Neupogen to maintain blood counts. ref SDS 14 NU3H
041002 -         ..
041003 -   10.  Special thanks also to Paula and Anne in the Infusion Clinic,
041004 -        ref SDS 9 58A5, and to Dennis, Cassandra, and Pat in the CT
041005 -        Department, along with Heather in Interventional Services (IS)
041006 -        for getting us through the first use of the Bard Power Port for
041007 -        CT testing at Kaiser in Walnut Creek.  Pat feels things will go
041008 -        smoother next time.  I'm glad this is behind us for another 6
041009 -        weeks. ref SDS 10 7F40
041011 -         ..
041012 -   11.  Looking forward to the meeting at UCSF on Thursday.
041013 -
041014 -            [On 081113 Millie approved to start treatment with
041015 -            sunitinib for 5th relapse of IBC. ref SDS 14 VU4K
041016 -
041017 -
041024 -
041025 -
041026 -
041027 -
041028 -
041029 -
041030 -
041031 -
0411 -