CONTACTS 

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

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS F0 0000. ref SDS E7 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150507 -
150509 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Neupogen Treatment at Kaiser Prescribed at UCSF for Clinical Trial
150902 -
150903 - Follow up ref SDS F0 9W9I, ref SDS E7 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 090108 Doctor Rugo prescribed a blood test today on 090116 to
150933 - evalute requirements for Neupogen, shown by Millie's letter to the
150934 - medical team on 090109, ref SDS E5 UF3W, and citing Glenna's letter
150935 - from UCSF the day before on 090108. ref SDS E4 UX4V
150937 -  ..
150938 - The blood test was performed by Debbie at Kaiser in the Oncology
150939 - Infusion Clinic using Millie's Power Port today, and reported in
150940 - another record on 090116 1030. ref SDS F1 6Z4F
150942 -  ..
150943 - Debbie did not have time to call Millie with results.
150945 -  ..
150946 - At 1315 visited the Oncology customer counter.
150948 -  ..
150949 - The attendant said that Arlette is at lunch.  She said that Debbie who
150950 - did the blood draw is at lunch, and so are Florida, Bella, Laura.
150951 - Seemed everyone was at lunch.  Asked for Cisi.  Cisi talked to the
150952 - attendant.  The attendant said she made a mistake.  Debbie is
150953 - available and will bring out the results of the blood test this
150954 - morning.
150956 -  ..
150957 - Debbie visited in the customer lobby for the Oncology Infusion Clinic
150958 - and submitted a copy of the report for the blood test this morning.
150960 -  ..
150961 - ANC 1768 for the test today is a very substantial rise from 870 last
150962 - week at UCSF and is well above the criteria of 1000 which Doctor
150963 - Johnson discussed on 081210 for Millie getting Neupogen. ref SDS D4
150964 - J43V  On 081223 Glenna called and advised that the medical team orders
150965 - Neupogen treatment for Millie when blood counts fall below NEUTS 1.000
150966 - (ANC 1000), ref SDS E1 4P4K; Millie sent a letter confirming UCSF
150967 - guidance on Neupogen. ref SDS E1 CV4M  On 090108 Glenna's letter
150968 - presented NEUTS 1.00 (ANC 1000) as the criteria for evaluating
150969 - Millie's treatments. ref SDS E4 UX4V
150971 -  ..
150972 - ANC 1768 therefore does not require Millie to get Neupogen today and
150973 - tomorrow.
150975 -  ..
150976 - Debbie will cancel the treatment tomorrow in Kaiser's computer.
150977 -
150978 -
150979 -
150980 -
1510 -

SUBJECTS
Default Null Subject Account for Blank Record

1603 -
1604 - 1430
160501 -  ..
160502 - Schedule Neupogen Treatments Extended through August
160503 -
160504 - Follow up ref SDS F0 WJ4O, ref SDS E7 WJ4O.
160506 -  ..
160507 - In the afternoon, called Bella.
160509 -  ..
160510 - Turned out that Debbie had not canceled Neupogen for tomorrow, per
160511 - results of blood test today. ref SDS 0 YS8H  Bella canceled treatment
160512 - tomorrow.
160514 -  ..
160515 - Bella changed the schedule for Neupogen on 090213 from 0830 to 1100,
160516 - which is still a mistake, because this takes 5 minutes, and Millie
160517 - has a meeting with the doctor at 1140, which then requires waiting
160518 - for 35 minutes to an hour.
160520 -  ..
160521 - Still need to cancel Neupogen tests scheudle on 0901223 and 090124,
160522 - because Millie will not get another blood test until the meeting at
160523 - UCSF on 090129.
160524 -
160525 -            [On 090122 called and cancelled Neupogen on 090123 and
160526 -            090124; Millie fell and dislocated her shoulder; treatment
160527 -            in Emergency Department reported blood counts very high, so
160528 -            Neupogen not needed this week. ref SDS F2 W456
160530 -  ..
160531 - Neupogen schedule....
160532 -
160533 -                                    UCSF Treatment Prescription
160534 -                                              Cyclophos  Metho
160535 -                         Neupogen  Sunitinib   phamide   trexate
160536 -    #   Date    Time NEUTS   MCG    #    MG    #   MG     #   MG    Neupogen            IBC Treatment
160537 -   =================================================================================================
160538 -    1.  081205  1300 0.624   480   22  826.0   8   400    3   15 .. ref SDS C8 KV84 and ref SDS C6 PY5I
160539 -    2.  081206  0900         960   23  863.5   9   450    4   20 .. ref SDS D1 BI4 and ref SDS D0 PY5I
160540 -        081210  1302 1.085         27 1013.5  13   650    4   20 .. ref SDS D3 QY6H and ref SDS D2 X59G
160541 -        081212  1300       canceled
160542 -        081213  0900       canceled
160543 -        081218  0700               35 1312.5  21  1050    6   30 .. ref SDS D5 MF5H
160544 -        081218  0830 0.740.........paused.....paused.....canceled.. ref SDS D6 QY6H
160545 -    3.  081219  1130        1440................................... ref SDS D8 UZ7K
160546 -    4.  081220  0900        1920................................... ref SDS E0 UZ7K
160547 -        081226  1030 1.710......................................... ref SDS E2 QY6H
160548 -        081226  0930       canceled
160549 -        081227  0930       canceled
160550 -        090102  0800       canceled
160551 -        090103  0930       canceled
160552 -        090108  0820 0.87.......................................... ref SDS E3 QY6H
160553 -        090109  0700               50 1875.0..paused............... ref SDS E6 6C4J
160554 -    5.  090109  0830        2400................................... ref SDS E7 UZ7K
160555 -        090110  0700               51 1910.5..paused............... ref SDS E9 UV5H
160556 -    6.  090110  0930        2880................................... ref SDS F0 UZ7 
160557 -        090116  1030 1.768......................................... ref SDS F1 QY6H
160558 -        090116  1030       canceled................................ ref SDS 0 649J
160559 -        090117  0930       canceled................................ ref SDS 0 649J
160560 -        090123  0830       canceled...........notified .....090122, ref SDS F2 SV4H
160561 -        090124  0930       canceled...........notified......090122, ref SDS F2 SV4H
160562 -    7.  090130  0830
160563 -    8.  090131  0930
160564 -    9.  090206  1400
160565 -   10.  090207  0915
160566 -   11.  090213  1100        change to 1140 when Millie meets doctor
160567 -   12.  090214  0930
160568 -   13.  090220  1030
160569 -   14.  090221  0900
160570 -   15.  090227  0930
160571 -   16.  090228  0900
160572 -
160573 -
160574 -
1606 -

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 F0 SB8I, ref SDS E7 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  Prior to yesterday on 081219, ref SDS D8 UZ7K, Millie
170413 - had Neupogen treatments previously on 081205 and 081206. ref SDS D1
170414 - BI4J  The record today shows side effects of fatigue began OA 081130
170415 - about 4 days after starting treatment for cancer that added
170416 - chemotherapy to sunitinib. ref SDS D9 EV6J  Joint pain side effects
170417 - can occurs with Neupogen and commonly occur with cancer treatments.
170418 - Side effects of Neupogen last 2 - 3 days.  Millie began reporting
170419 - joint pain on 081216, ref SDS D9 V15F, about 10 days after her last
170420 - Neupogen treatment on 081206.  This patient history suggests daily
170421 - cancer treatments are causing continual joint pain side effects,
170422 - possibly compounded when Millie gets Neupogen treatments.
170424 -  ..
170425 - Bella took vitals today...
170426 -
170427 -                BP 173 83 48  Temp 97.3
170429 -  ..
170430 - Side effects of Neupogen reported on...
170431 -
170432 -               081018................, ref SDS A3 Y17L
170433 -               081011................, ref SDS 96 FL4H
170434 -               081010................, ref SDS 95 SB8I
170435 -               081006................, ref SDS 93 3E4K
170436 -               081004................, ref SDS 92 Y17L
170437 -               081002................, ref SDS 90 Y17L
170438 -               080930................, ref SDS 89 Y17L
170439 -               080923................, ref SDS 85 K16F
170440 -               080915................, ref SDS 81 9W9I
170441 -               080810................, ref SDS 63 9W9I
170442 -               080803................, ref SDS 59 9W9I
170443 -               080726................, ref SDS 56 9W9I
170444 -               080721................, ref SDS 54 9W9I
170445 -               080713................, ref SDS 48 RM94
170446 -               080629................, ref SDS 43 6Q5J
170447 -               080628................, ref SDS 41 6Q5J
170448 -
170449 -
170450 -
170451 -
170452 -
170453 -
170454 -
170455 -
170456 -
170457 -
1705 -