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: December 19, 2008 11:30 AM Friday; Rod Welch

Millie 1st Neupgogen at Kaiser recover from sunitinib treatment.

1...Summary/Objective
2...Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
3...Schedule Neupogen Treatments Extended through August
4...Side Effects Neupogen Treatments Increase May Be Chemotherapy


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CONTACTS 

SUBJECTS
Neupogen Side Effects Bone Pain Fatigue No Headache Suffered Today A

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS D1 0000. ref SDS C8 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150508 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS D1 9W9I, ref SDS C8 9W9I.
150904 -
150905 - Patient history of low blood counts for NEUTS (ANC at Kaiser) showing
150906 - missing treatments at UCSF, and including Millie's current treatments
150907 - with sunitinib for the 5th relapse of IBC are reported in the record
150908 - on 081205. ref SDS C6 EC5N
150910 -  ..
150911 - Case study on 060809 shows Millie has often received chemotherapy when
150912 - blood counts are below the standard for safe treatments, and on some
150913 - occassions has received Neupogen to increase blood counts. ref SDS 9
150914 - HV45
150916 -  ..
150917 - Research on neutropenia was reported on 070301, ref SDS 10 O59H, when
150918 - Doctor Rugo was concerned about holding blood counts with weekly
150919 - Carboplatin treatments. ref SDS 10 VF6O
150921 -  ..
150922 - Background on Neupogen treatment is reported on 081107. ref SDS B9
150923 - 1M9O  Tara gave instructions at UCSF on 081126 to defer Neupogen with
150924 - NEUTS 1.50 until labs at UCSF on 081218. ref SDS C5 AT8U  On 081205,
150925 - Doctor Rugo clarified that Neupogen should not be self-medicated, and
150926 - is not needed until neutrophils are low. ref SDS C9 JE5I  On 081210
150927 - the primary care physician ordered Neupogen treatments according to
150928 - Kaiser standards and practices when NEUTS drop below 1.00 (ANC 1000).
150929 - ref SDS D4 J43V
150931 -  ..
150932 - On 081210 the primary care physician analyzed requirements for
150933 - Neupogen treatment to maintain blood counts under Millie's treatment
150934 - plan. ref SDS D4 H44M
150936 -  ..
150937 - On 081218 Doctor Rugo ordered Neupogen for today and tomorrow, 081219
150938 - and 081220. ref SDS D7 R65H,
150940 -  ..
150941 - Bella was Millie's nurse today.
150943 -  ..
150944 - Bella gave Millie 2 injections in the right arm for the 1st Neupogen
150945 - treatment using the UCSF protocol...
150946 -
150947 -            Neupogen 480 mcg SQ
150948 -
150949 - ...as shown in UCSF Chemotherapy Order on 080918, ref SDS 83 PWSY, and
150950 - ordered by primary care physician at Kaiser on 080609. ref SDS 38 L16I
150952 -  ..
150953 - Instructions on Kaiser protocol for 480 mcg be given with 2 injections
150954 - in the arm discussed on 080801 ref SDS 58 9W9I, and originally
150955 - presented by Laura on 080628. ref SDS 43 Q74G
150956 -
150957 -
150958 -
150959 -
150960 -
150961 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
160401 -  ..
160402 - Schedule Neupogen Treatments Extended through August
160403 -
160404 - Follow up ref SDS D1 WJ4O, ref SDS C8 WJ4O.
160405 -
160406 - Bella updated Millie's schedule for Neupogen.
160408 -  ..
160409 - Neupogen schedule....
160410 -
160411 -                                    UCSF Treatment Prescription
160412 -                                              Cyclophos  Metho
160413 -                         Neupogen  Sunitinib   phamide   trexate
160414 -    #   Date    Time NEUTS   MCG    #    MG    #   MG     #   MG    Neupogen            IBC Treatment
160415 -   =================================================================================================
160416 -    1.  081205  1300 0.624   480   22  826.0   8   400    3   15 .. ref SDS C8 KV84 and ref SDS C6 PY5I
160417 -    2.  081206  0900         960   23  863.5   9   450    4   20 .. ref SDS D1 BI4 and ref SDS D0 PY5I
160418 -        081210  1302 1.085         27 1013.5  13   650    4   20 .. ref SDS D3 QY6H and ref SDS D2 X59G
160419 -        081212  1300       canceled
160420 -        081213  0900       canceled
160421 -        081218  0700               35 1312.5  21  1050    6   30 .. ref SDS D5 MF5H
160422 -        081218  0830 0.740......................................... ref SDS D6 QY6H
160423 -    3.  081219  1130        1440................................... ref SDS 0 BI4J
160424 -    4.  081220  0900
160425 -    5.  081226  0930
160426 -    6.  081227  0930
160427 -    7.  090102  0800
160428 -    8.  090103  0930
160429 -    9.  090109  0830
160430 -   10.  090110  0930
160431 -   11.  090116  1030
160432 -   12.  090117  0930
160433 -   13.  090123  0830
160434 -   14.  090124  0930
160435 -   15.  090130  0830
160436 -   16.  090131  0930
160437 -
160438 -
160439 -
1605 -

SUBJECTS
Default Null Subject Account for Blank Record

1703 -
170401 -  ..
170402 - Side Effects Neupogen Treatments Increase May Be Chemotherapy
170403 -
170404 - Follow up ref SDS D1 SB8I, ref SDS C8 SB8I.
170405 -
170406 - Research on Neupogen side effects was reported on 080629. ref SDS 43
170407 - RQ9I
170409 -  ..
170410 - Millie last reported side effects on 081018 experiencing bone pain,
170411 - headache, and fatigue associated with Neupogen and chemotherapy.
170412 - ref SDS A3 Y17L
170414 -  ..
170415 - Kathi did not take vitals today. ref SDS D1 BI4J
170417 -  ..
170418 - Side effects of Neupogen may be increasing, reported on...
170419 -
170420 -               081205................, ref SDS C8 Y17L
170421 -               081018................, ref SDS A3 Y17L
170422 -               081011................, ref SDS 96 FL4H
170423 -               081010................, ref SDS 95 SB8I
170424 -               081006................, ref SDS 93 3E4K
170425 -               081004................, ref SDS 92 Y17L
170426 -               081002................, ref SDS 90 Y17L
170427 -               080930................, ref SDS 89 Y17L
170428 -               080923................, ref SDS 85 K16F
170429 -               080915................, ref SDS 81 9W9I
170430 -               080810................, ref SDS 63 9W9I
170431 -               080803................, ref SDS 59 9W9I
170432 -               080726................, ref SDS 56 9W9I
170433 -               080721................, ref SDS 54 9W9I
170434 -               080713................, ref SDS 48 RM94
170435 -               080629................, ref SDS 43 6Q5J
170436 -               080628................, ref SDS 41 6Q5J
170437 -
170438 -
170439 -
170440 -
170441 -
170442 -
170443 -
170444 -
170445 -
170446 -
1705 -