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 26, 2008 07:00 AM Wednesday; Rod Welch

Millie sunitinib #13 treatment IBC 5th relapse hiking 6 miles.

1...Summary/Objective
2...Sunitinib Metronomic Treatment Loading Dose Clinical Study UCSF
........Patient History Sunitinib Loading Dose 14 Days
3...Side Effects Sunitinib Study
4...Exercise Hiking Maintain Fitness Strengthen Immune System
5...Case Study on Pateint History Exercising


..............
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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 77 0000. ref SDS 76 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Sunitinib Metronomic Treatment Loading Dose Clinical Study UCSF
040902 -
040903 - Follow up ref SDS 77 505G, ref SDS 76 505G.
040904 -
040905 - On 081113 Millie received sunitinib drugs from UCSF to treat the 5th
040906 - relapse of IBC.
040908 -  ..
040909 - Millie began the 14 day "charging" treatment on 081114. ref SDS 63
040910 - EK7I After 14 treatments, if Millie tolerates sunitinib at the
040911 - prescribed dose, then she begins adding 2 chemotherapy drugs once a
040912 - day for 2 days a week as prescribed in the treatment protocol,
040913 - reviewed on 081017. ref SDS 49 004O
040915 -         ..
040916 -        Patient History Sunitinib Loading Dose 14 Days
040917 -
040918 -        Follow up ref SDS 77 OE6K, ref SDS 76 OE6K.
040919 -
040921 -        Cycle 1
040922 -        Cohort: 3
040924 -   ..
040925 -                             Sunitinib MG      Cyclophos    Metho
040926 -                         Amount  Today   Cum    phamide     trexate
040927 -  Days  Date  Time Cycle 25 12.5 Total  Total   Amnt Total Amnt Total
040928 -  --------------------------------------------------------------------
040929 -  Follow up ref SDS 75 PA8Y, ref SDS 74 PA8Y.
040930 -
040931 -    1.  081114 0700   1   1   1  37.5    37.5    0     0    0     0 ..... ref SDS 63 OE6K
040932 -    2.  081115 0700   1   1   1  37.5    75.0    0     0    0     0 ..... ref SDS 64 OE6K
040933 -    3.  081116 0700   1   1   1  37.5   112.5    0     0    0     0 ..... ref SDS 65 OE6K
040934 -    4.  081117 0700   1   1   1  37.5   150.0    0     0    0     0 ..... ref SDS 66 OE6K
040935 -    5.  081118 0700   1   1   1  37.5   187.5    0     0    0     0 ..... ref SDS 69 OE6K
040936 -    6.  081119 0700   1   1   1  37.5   225.0    0     0    0     0 ..... ref SDS 71 OE6K
040937 -    7.  081120 0700   1   1   1  37.5   263.5    0     0    0     0 ..... ref SDS 72 OE6K
040938 -    8.  081121 0700   1   1   1  37.5   301.0    0     0    0     0 ..... ref SDS 73 OE6K
040939 -    9.  081122 0700   1   1   1  37.5   338.5    0     0    0     0 ..... ref SDS 74 OE6K
040940 -   10.  081123 0700   1   1   1  37.5   376.0    0     0    0     0 ..... ref SDS 75 OE6K
040941 -   11.  081124 0700   1   1   1  37.5   413.5    0     0    0     0 ..... ref SDS 76 OE6K
040942 -   12.  081125 0700   1   1   1  37.5   451.0    0     0    0     0 ..... ref SDS 77 OE6K
040943 -   13.  081126 0700   1   1   1  37.5   488.5    0     0    0     0 ..... ref SDS 0 OE6K
040944 -
040945 -
040946 -
040947 -
0410 -

SUBJECTS
Default Null Subject Account for Blank Record

0503 -
050401 -  ..
050402 - Side Effects Sunitinib Study
050403 -
050404 - Follow up ref SDS 77 LF8M, ref SDS 76 LF8M.
050405 -
050406 - Sunitinib side effects are listed in the study Consent document,
050407 - reviewed on 081017. ref SDS 49 4G7G
050409 -  ..
050410 - Millie feels minor joint pain, ref SDS 49 U18H, and fatigue, side
050411 - effects listed for sunitinib on 081017, ref SDS 49 4G7G, are now
050412 - non-issues for sunitinib.
050414 -  ..
050415 - Minor heartburn continues occasionally, as reported on 081024.
050416 - ref SDS 76 HS9K  This was reported to the medical team during the
050417 - meeting at UCSF this morning.  Prilosec was prescribed to be taken as
050418 - needed.
050420 -  ..
050421 - Energy continues to be high.
050423 -  ..
050424 - Millie's record of exercising shows correlation between treatments and
050425 - exercise that indicates mild effects so far. ref SDS 76 X64F  She
050426 - plans continued hiking to work through side effects.
050428 -  ..
050429 - Blood pressure seems more normal for Millie again today.
050431 -     ..
050432 -                                   Date
050433 -    Description Adverse Event   Start  Stop     Medication
050434 -    ---------------------------------------------------------
050435 -    Follow up ref SDS 75 LF8M, ref SDS 74 LF8M.
050436 -
050437 -    Diarea                      081114 081114   Imodium........ ref SDS 63 LF8M
050438 -    Low pulse                   081120 081120   None........... ref SDS 72 LF8M
050439 -    Low pulse                   081121 081121   None........... ref SDS 73 7G8M
050440 -    BP 144 84 Pulse 48          081121 081121   Hiking......... ref SDS 73 LF8M
050441 -    Joint pain minor            081121 081121   Hiking......... ref SDS 73 LF8M
050442 -    Fatigue minor               081121 081121   Hiking......... ref SDS 73 LF8M
050443 -    Low pulse                   081122 081122   None........... ref SDS 74 7G8M
050444 -    Fatigue minor               081122 081122   Hiking......... ref SDS 74 LF8M
050445 -    Low pulse                   081123 081122   None........... ref SDS 75 7G8M
050446 -    BP 121 74 Pulse 53          081123 081123   Hiking......... ref SDS 75 LF8M
050447 -    Fatigue minor               081123 081122   Hiking......... ref SDS 75 LF8M
050448 -    BP 144 78 Pulse 52          081125 081125   Hiking......... ref SDS 0 LF8M
050449 -
050450 -
050451 -
050452 -
0505 -

SUBJECTS
Default Null Subject Account for Blank Record

0603 -
060401 -  ..
060402 - Exercise Hiking Maintain Fitness Strengthen Immune System
060403 -
060404 - Follow up ref SDS 77 3E4K, ref SDS 76 3E4K.
060405 -
060406 - Millie planned to stop at Lafayette reservoir and go hiking today on
060407 - the way home after meeting with the doctor in San Francisco.  Was
060408 - rainning very hard, so hiking was deferred today.
060410 -  ..
060411 - Millie has not had another attack of Cellulitis and lymphedema since
060412 - going to the emergency care unit on 080409. ref SDS 4 0001  There was
060413 - a slight flare up on 080520. ref SDS 6 OU5J
060415 -  ..
060416 - Millie had her 13th treatment with sunitinib this morning at 0700.
060417 - ref SDS 75 PA8Y
060419 -  ..
060420 - On 081110, Millie complained about diffiuclty lifting herself from a
060421 - full squatting position. ref SDS 61 HX67  She has since been
060422 - exercising to strengthen legs, and arms.
060424 -  ..
060425 - This morning Millie did...
060426 -
060427 -        Arm presses 3 sets of 10 leaning against bannister.
060428 -        Squats 3 sets of 10 vary depth useing bannister for leverage
060430 -  ..
060431 - There have been no indications of Cellulitis nor lymphedema that has
060432 - occurred previously with exercising the left arm, reported on 070607.
060433 - ref SDS 3 ZH6I
060434 -
060436 -  ..
060437 - Case Study on Pateint History Exercising
060438 -
060439 - Follow up ref SDS 77 X64F, ref SDS 76 X64F.
060440 -
060441 -                                          +- s = Sunitinib
060442 -                                          +- c = Carboplatin
060443 -                                          +- e = Erbatex cetuximab
060444 -                           Time     Pulse |
060445 -    Location        Miles Minutes  Avg Max  Chem Neupo  Date
060446 -    ----------------------------------------------------------------
060447 -    Lafayette                                 s         081126, ref SDS 0 3E4K
060448 -    Lafayette        4.00   73.7   105 127    s         081125, ref SDS 77 3E4K
060449 -    Lafayette        5.50   91.4   100 129    s         081124, ref SDS 76 3E4K
060450 -    Concord home                              s         081123, ref SDS 75 3E4K
060451 -    Lafayette        5.50   92.8    95 122    s         081122, ref SDS 74 3E4K
060452 -    Lafayette        5.50   94.4    85 112    s         081121, ref SDS 73 3E4K
060453 -    Lafayette        5.50   94.7    90 122    s         081120, ref SDS 72 3E4K
060454 -    San Francisco    1.00   60.0    65  75    s         081119, ref SDS 71 3E4K
060455 -    Lafayette        2.75   49.2    97 130    s         081118, ref SDS 70 3E4K
060456 -    Lafayette        5.50   93.6   115 138    s         081117, ref SDS 67 3E4K
060457 -    Concord home                              s         081116, ref SDS 65 Y68J
060458 -    Concord home                              s         081115, ref SDS 64 EK7I
060459 -    Concord home                              s         081114, ref SDS 63 XW6H
060460 -    Lafayette        5.50   94.2   115 138              081110, ref SDS 61 3E4K
060461 -    Lafayette        2.75   48.4   105 128              081109, ref SDS 60 3E4K
060462 -    Kaiser                                         x    081108, ref SDS 59 UZ7K
060463 -    Kaiser                                         x    081107, ref SDS 58 UZ7K
060464 -    Lafayette        5.50   90.2   120 143              081025, ref SDS 56 3E4K
060465 -    Kaiser                                         x    081025, ref SDS 56 UZ7K
060466 -    Kaiser                                         x    081024, ref SDS 55 UZ7K
060467 -    UCSF                                     c          081023, ref SDS 54 V94O
060468 -    Lafayette        5.50   90.6   115 141              081021, ref SDS 53 3E4K
060469 -    Lafayette        5.50   90.4   110 128              081020, ref SDS 52 3E4K
060470 -    Kaiser                                         x    081018, ref SDS 51 UZ7K
060471 -    Kaiser                                         x    081017, ref SDS 50 UZ7K
060472 -    UCSF                                     e          081016, ref SDS 48 V94O
060473 -    Lafayette        5.50   90.1   115 154              081014, ref SDS 47 3E4K
060474 -    Lafayette        5.50   92.7   115 138              081013, ref SDS 46 3E4K
060475 -    Lafayette        8.25  146.4   180 224              081012, ref SDS 45 3E4K
060476 -    Kaiser                                         x    081011, ref SDS 44 UZ7K
060477 -    Lafayette        5.50   93.3   116 138              081010, ref SDS 43 3E4K
060478 -    Kaiser                                         x    081010, ref SDS 43 UZ7K
060479 -    UCSF                                      e         081009, ref SDS 42 V94O
060480 -    Lafayette        5.50   92.1   113 137              081006, ref SDS 41 3E4K
060481 -    Lafayette        2.75   48.5   110 136         x    081004, ref SDS 40 3E4K
060482 -    Lafayette        5.50   98.2   117 136         x    081003, ref SDS 39 3E4K
060483 -    UCSF                                      c         081002, ref SDS 38 V94O
060484 -    Lafayette        5.50   94.7   115 142              080929, ref SDS 37 3E4K
060485 -    Lafayette        8.25  150.4   115 135              080928, ref SDS 37 3E4K
060486 -    Kaiser                                         x    080927, ref SDS 36 UZ7K
060487 -    Lafayette        5.50   90.2   120 140         x    080926, ref SDS 35 3E4K
060488 -    UCSF                                      c         080925, ref SDS 34 V94O
060489 -    Lafayette        5.50   92.3   116 138              080923, ref SDS 33 3E4K
060490 -    Lafayette        5.50   98.4   112 134              080922, ref SDS 33 3E4K
060491 -    Lafayette        5.50   98.2   114 137              080921, ref SDS 33 3E4K
060492 -    Lafayette        5.50  101.6   110 133         x    080920, ref SDS 32 3E4K
060493 -    Lafayette        5.50   89.3   115 144         x    080919, ref SDS 31 3E4K
060494 -    UCSF                                      c         080918, ref SDS 30 V94O
060495 -    Lafayette        2.75   46.2   117 139              080916, ref SDS 31 3E4K
060496 -    Lafayette        5.50   91.8   117 142              080915, ref SDS 29 3E4K
060497 -    Clayton Safeway  3.00   62.4    98 118              080914, ref SDS 28 3E4K
060498 -    Lafayette        8.25  129.7   123 147         x    080913, ref SDS 27 3E4K
060499 -    Lafayette        5.50   88.4   118 146         x    080912, ref SDS 26 3E4K
060500 -    UCSF                                      c         080911, ref SDS 25 V94O
060501 -    Lafayette        2.75   46.8   113 140              080909
060502 -    Lafayette        5.50   89.2   117 143              080908
060503 -    Lafayette        5.50   92.1   115 138              080907
060504 -    Lafayette        2.75   45.3   120 144         x    080906, ref SDS 24 3E4K
060505 -    Lafayette        2.75   56.8    93 120         x    080905, ref SDS 23 3E4K
060506 -    UCSF                                      c         080904, ref SDS 22 V94O
060507 -    Lafayette        8.25  140.4   116 131              080903
060508 -    Lafayette        5.50   94.9   115 134              080902
060509 -    Kaiser                                         x    080830
060510 -    Kaiser                                         x    080829
060511 -    UCSF                                      c         080828, ref SDS 21 V94O
060512 -    Lafayette        5.50   93.6   120 137              080826
060513 -    Lafayette        5.50   93.2   117 138              080825
060514 -    Lafayette        5.50   93.2   123 136         x    080823
060515 -    Lafayette        8.25  142.5   110 131         x    080822, ref SDS 20 3E4K
060516 -    UCSF                                      e         080821, ref SDS 19 V94O
060517 -    Lafayette        5.50   94.7   115 137              080820
060518 -    Lafayette        5.50   94.3   115 135              080819
060519 -    Lafayette        8.25  141.7   118 134              080815
060520 -    UCSF                                      e         080814, ref SDS 18 V94O
060521 -    Lafayette        5.50   93.8   120 136              080813
060522 -    Lafayette        5.50   94.4   116 139              080812
060523 -    Lafayette        5.50   94.2   119 133              080810
060524 -    Lafayette        8.25  143.6   114 132         x    080809, ref SDS 16 3E4K
060525 -    Lafayette        8.25  141.1   117 135         x    080808, ref SDS 15 3E4K
060526 -    UCSF                                      c         080807, ref SDS 14 V94O
060527 -    Lafayette        8.25  143.7   115 132              080805
060528 -    Concord          7.00  127.6   105 118              080804
060529 -    Lafayette        8.25  143.2   112 134              080802
060530 -    Lafayette        5.50   93.4   115 138              080801
060531 -    Lafayette        5.50   92.2   118 140              080729
060532 -    Lafayette        5.50   92.6   116 137              080728
060533 -    Lafayette        8.25  142.6   114 134              080727
060534 -    Lafayette        5.50   91.5   120 143              080726
060535 -    Lafayette        8.25  140.8   117 135              080725
060536 -    Lafayette        5.50   91.8   122 141              080723
060537 -    Lafayette        5.50   91.3   120 139              080722
060538 -    Lafayette        8.25  143.3   115 133              080720
060539 -    Lafayette        5.50   90.7   125 144              080719
060540 -    Lafayette        5.50   92.4   123 142              080716
060541 -    Lafayette        2.25   46.8   116 137              080715
060542 -    Lafayette        8.25  141.8   116 136              080712
060543 -    Lafayette        5.50   92.9   116 139              080711
060544 -    Lafayette        8.25  143.3   113 137              080704
060545 -    Lafayette        5.50   90.2   121 147              080630
060546 -    Lafayette        8.25  142.4   116 138              080628
060547 -    Lafayette        5.50   91.4   118 138              080625
060548 -    Lafayette        2.25   47.9   116 136              080623
060549 -    Lafayette        5.50   94.2   112 138              080622
060550 -    Lafayette        5.50   94.7   115 133              080621
060551 -    Lafayette        2.25   48.3   110 129              080620
060552 -    Mt Diablo        7.00  129.4   130 153              080616
060553 -    Lafayette        5.50   90.8   120 146              080615
060554 -    Lafayette        5.50   91.3   124 144              080614
060555 -    Lafayette        5.50   89.7   122 143              080613
060556 -    Lafayette        2.76   45.8   120 147              080611
060557 -    Lafayette        5.50   90.5   123 145              080609
060558 -    Lafayette        5.50   92.7   115 138              080607
060559 -    Lafayette        5.50   94.2   118 139              080602
060560 -    Lafayette        5.50   96.2   110 202              080507, ref SDS 5 WO8M
060561 -
060562 -
060563 -
060564 -
060565 -
060566 -
0606 -