CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000. ref SDS 10 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on Millie getting Neupogen treatment last week are reported
040902 - on 081207, ref SDS 7 673J, and citing Kaiser's recommendation for
040903 - Millie to get a 3rd Neupogen treatment this week, reported on 081205.
040904 - ref SDS 2 X35F  This was confirmed in Millie's letter to the medical
040905 - team on 081205. ref SDS 4 NN6P  Millie sent a follow up letter on
040906 - 081206 asking about a 3rd Neupogen treatment, and another blood test
040907 - this week. ref SDS 5 2K6P
040909 -  ..
040910 - Glenna seemed to indicate during a call today having talked to Doctor
040911 - Rugo about Millie's letter to the medical team yesterday on 081209,
040912 - ref SDS 8 RL6W, and that the doctor approved Millie for Neupogen
040913 - treatments when neutrophils are low based on Kaiser's standards and
040914 - practices, ref SDS 10 6S56, and that Kaiser's determination will
040915 - satisfy control which Doctor Rugo requested in UCSF letter to Millie
040916 - on 081205. ref SDS 3 JE5I  Glenna further asked Millie to coordinate
040917 - with Kaiser because of difficulties experienced by UCSF on this
040918 - matter. ref SDS 10 6S56
040920 -  ..
040921 - Called Arlette at Kaiser to implement UCSF request for support
040922 - coordinating Millie's care getting a follow blood test to evaluate
040923 - getting Neupogent treatments. ref SDS 10 6131
040925 -  ..
040926 - Arlette ordered a blood test for Millie today.
040928 -  ..
040929 - On 081210 Millie went to Kaiser and got laboratory work for a blood
040930 - test. ref SDS 12 L84V  Kaiser posted partial eesults in the afternoon
040931 - showing neutrophils are low, and that calculation applears to show ANC
040932 - 1085. ref SDS 12 QY6H
040934 -  ..
040935 - Millie submitted a letter to the medical team following up the letter
040936 - yesterday, ref SDS 8 RL6Q, and saying...
040937 -
040938 -    1.  Subject: ANC 1085 Neupogen Treatments?
040939 -        Date: Wed, 10 Dec 2008 16:03:16 -0800
040948 -         ..
040949 -    3.  Thanks to Arlette and Glenna coordinating to schedule the blood
040950 -        test today. ref SDS 10 6S56  [responding to Millie's letter to
040951 -        the medical team on 081205, ref SDS 4 NN6P, the follow up on
040952 -        081206, ref SDS 5 2K6P, another follow up on 081209.
040953 -        ref SDS 8 RL6Q]
040955 -         ..
040956 -    4.  Partial results received [from Kaiser] OA 1512 [today 081210]
040957 -        indicate ANC 1085 (WBC 3.1, neutrophils .35 no Bands
040958 -        reported??). ref SDS 12 QY6H  This shows substantial
040959 -        improvement rising 400+ points from 624 for the test last week
040960 -        on 081203, with 2 Neupogen treatments [reported today on
040961 -        081210, ref SDS 9 RD6H], of 480 mcg this past Friday and
040962 -        Saturday - total 960 mcg. [shown on 081206, ref SDS 6 HS5M]
040964 -         ..
040965 -    5.  ANC is still 415 points below the target range of 1500 with
040966 -        daily treatments for cancer (see the chart today. ref SDS 9
040967 -        OE6K
040969 -         ..
040970 -    6.  Do I need a 3rd Neupogen (supplemental) treatment today or
040971 -        tomorrow? [discussed by Bonnie in the Infusion Clinic at Kaiser
040972 -        Walnut Creek on 081205, ref SDS 2 X35F]
040974 -         ..
040975 -    7.  Should I also get 1 or both Neupogen treatments scheduled for
040976 -        Friday and Saturday?
040977 -
040978 -               [On 081210 primary care physician called Millie and
040979 -               advised that ANC 1085 in blood test on 081210 does not
040980 -               require Neupogen until ANC falls below 1000, ref SDS 13
040981 -               J43V; doctor ordered follow up blood test to evaluate
040982 -               ANC below 1000 based on patient history indicating ANC
040983 -               falling 120+ points per day on sunitinib treatment
040984 -               protocol. ref SDS 13 H44M
040986 -         ..
040987 -    8.  Note that I am scheduled for a blood test next week [On
040988 -        081218] at UCSF for a regularly scheduled evaluation starting a
040989 -        new cycle of treatment with sunitinib.
040991 -         ..
040992 -    9.  Progress on scheduling the CT test also presented in the letter
040993 -        on 081209? ref SDS 8 YL9I
040994 -
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0411 -