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 21, 2008 09:00 AM Friday; Rod Welch

Millie letter remind medical team order chemo drugs for next Friday.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000, ref SDS 3 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background is reported on 081117, ref SDS 6 FQ5I, when Millie sent a
040902 - letter to Glenna asking about prescribing Millie's chemotherapy drugs
040903 - needed on Friday, 081128, because Thursday is a holiday. ref SDS 6
040904 - PR8U
040906 -  ..
040907 - Today, Millie submitted a letter to Glenna with a copy to the medical
040908 - team....
040909 -
040910 -    1.  Subject: Kaiser Order Chemo Drugs Prescribed by UCSF
040911 -        Date: Fri, 21 Nov 2008 09:05:40 -0800
040922 -         ..
040923 -    3.  On 081117 I asked about coordinating prescription for adding
040924 -        chemotherapy drugs, Cyclophosphamide and Methotrexate, to my
040925 -        treatment scheduled to start during the week of 081128,
040926 -        ref SDS 6 ES6O, based on having started sunitinib on 081114.
040928 -         ..
040929 -    4.  My current plan is to take chemo on Mondays and Tuesdays,
040930 -        subject to approval by Doctor Rugo.  I would like to get drugs
040931 -        prescribed, and the order placed, to avoid scrambling at the
040932 -        last minute.
040933 -
040934 -            [On 081125 Millie did not hear from the medical team; sent
040935 -            another reminder for UCSF to coordinate with Kaier on
040936 -            timely procurement of chemotherapy drugs so that treatment
040937 -            can begin on schedule 081128 without delays caused by short
040938 -            staff during holiday season. ref SDS 8 XW6Q
040940 -         ..
040941 -    5.  Side effects so far have been manageable.  Most notable has
040942 -        been lowered pulse with higher blood pressure, shown in the
040943 -        case study on patient history today. ref SDS 7 LF8M
040945 -         ..
040946 -    6.  I will need an order for blood work next Wednesday on 081126,
040947 -        which includes CA 15-3 and INR in accordance with patient
040948 -        history the past 2 years at UCSF.
040950 -         ..
040951 -    7.  Response to 8 treatments has not been evident so far.  IBC rash
040952 -        seems to be spreading on the lower left abdomen, wrapping
040953 -        toward my back.  I recall starting treatment on 070201 with
040954 -        cetuximab, there was concern on 070301 about advancing disease.
040955 -        A week later improvement suddenly occurred, ref SDS 1 FO6H, and
040956 -        lasted nearly a year.
040958 -         ..
040959 -    8.  Have not hit the panic button, but looking forward to starting
040960 -        chemo treatments.
040962 -         ..
040963 -    9.  Sincerely,
040965 -         ..
040966 -   10.  Millie
040967 -
040968 -
040969 -
040970 -
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040972 -
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040974 -
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040976 -
0410 -