CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 ZP6N. ref SDS 5 K66J.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081023 UCSF ordered Millie's treatments stopped with cetuximab and
040902 - Carboplatin due to progression of cancer, which indicated that these
040903 - treatments were no longer effective. ref SDS 1 D65G  This changed the
040904 - chemestry of taking daily Coumadin for treating pulmonary embolism.
040906 -  ..
040907 - On 081114 Millie began taking sunitinib, ref SDS 3 505G, ordered by
040908 - UCSF the day before on 081113 to replace cetuximab and Carboplatin to
040909 - treat advancing cancer. ref SDS 2 Q79M  This further altered chemestry
040910 - in relation to daily Coumadin treatments.
040912 -  ..
040913 - The blood test at UCSF on 081126 showed elevated INR 3.4. ref SDS 5
040914 - K66J  Millie notified Gloria at the Kaiser Coagulation Control Clinic
040915 - in Martinez. ref SDS 6 J45H  Gloria prescribed changes in Coumadin,
040916 - which was confirmed in a letter from Kaiser, ref SDS 7 VQ8V, and
040917 - further ordered an interim blood draw today, 081203, ref SDS 7 VQ9W,
040918 - to evaluate effectiveness of changes to Coumadin treatments for
040919 - pulmonary embolism, now being taken with sunitinib, cyclophosphamide,
040920 - and mehotrexate for treating cancer, also, discussed with Gloria on
040921 - 081202. ref SDS 6 J06X
040923 -  ..
040924 - This morning, Millie went to the Kaiser Coagulation Control Clinic in
040925 - Martinez and had blood drawn to test INR, prescribed by Gloria in her
040926 - letter on 081126, ref SDS 7 VQ9W, confirming discussions earlier in
040927 - the day. ref SDS 6 J089
040929 -  ..
040930 - Kaiser also tested today for ANC (which is NEUTS at UCSF), and other
040931 - labs, which were ordered by the primary care physician on 081202.
040932 - These expanded laboratory tests respond to notice in Millie's letter
040933 - to the medical team on 081202 reporting continuing fatigue and
040934 - possible minor symptoms of a cold or other infection, which could
040935 - signal low blood counts, ref SDS 8 AT8U, and so asked again about
040936 - evaluating need to get Neupogen treatments, ref SDS 8 AT8X, which had
040937 - been presented a week earlier in Millie's letter on 081125 asking
040938 - about effects of changing from weekly treatments with cetuximab and
040939 - Carboplatin to daily treatments with sunitinib and cyclophosphamide.
040940 - ref SDS 4 XX4S
040942 -  ..
040943 - Expanded blood tests today can further assess recent reports of
040944 - fatigue which has reduced exercise and fitness, reported yesterday, on
040945 - 081203, ref SDS 9 LF8M, and cited further in Millie's letter to the
040946 - medical team also yesterday on 081202. ref SDS 8 AT8U
040947 -
040948 -        [...in another record today on 081203, Glenna reported in a
040949 -        telephone call today, responding to Millie's letter on 081202,
040950 -        that other patients treated with the sunitinib protocol also
040951 -        experience fatigue. ref SDS 10 XN43
040953 -         ..
040954 -        [On 081205 results of blood test today, ref SDS 0 7N82, show
040955 -        NEUTS 0.624, ref SDS 11 QY6H, at the lowest level in patient
040956 -        history. ref SDS 11 EC5N
040958 -         ..
040959 -        [On 081205 NEUTS patient history neutropenia from chemotherapy
040960 -        everyday with cyclophosphamide is reported in case study on
040961 -        081205. ref SDS 11 EC5N
040963 -         ..
040964 -        [On 081205 Millie notified medical team about low blood counts.
040965 -        ref SDS 12 YF5I
040967 -         ..
040968 -        [On 081205 Kaiser calculates NEUTS 0.624, ref SDS 13 CH40, and
040969 -        so treats Millie with Neupogen to increase blood counts.
040970 -        ref SDS 13 CH6X
040972 -         ..
040973 -        [On 081205 UCSF notifies that Neupogen is needed with low
040974 -        neutrophils. ref SDS 14 JE5I
040976 -         ..
040977 -        [On 081206 Millie submitted complete lab to UCSF. ref SDS 15
040978 -        2K4U
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0410 -