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: January 16, 2009 01:48 PM Friday; Rod Welch

Doctor Rugo notified Millie suffering side effects sunitinib.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 9 0000. ref SDS 8 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on 090108 Millie received a letter from Glenna summarizing
040902 - understandings for the work plan presented during the meeting earlier
040903 - at UCSF on 090108. ref SDS 5 LX7O  The next day on 090109, Millie
040904 - submitted a letter to the medical team presenting findings from the
040905 - examination and transmitting Glenna's work plan summary. ref SDS 6
040906 - UC4H
040908 -  ..
040909 - Glenna called this morning and asked about Millie's response to
040910 - treatment. ref SDS 9 JY6L
040912 -  ..
040913 - Reviewed the record of sunitinib treatments for yesterday on 090115,
040914 - ref SDS 8 124N, since the record today is not yet complete.
040916 -  ..
040917 - Glenna requested the report on the EKG test. ref SDS 9 JY8L
040919 -  ..
040920 - Glenna planned to write a letter to the doctor presenting Millie's
040921 - take on response to treatment, including side effects, and request
040922 - ideas for solving the problem of sore feet and toes that prevent
040923 - exercise essential for synergy with treatment to recover from cancer.
040924 - Glenna will further ask about follow on treatment. ref SDS 9 E98L
040926 -  ..
040927 - After returning from Kaiser for blood tests, Millie received a letter
040928 - from Glenna saying...
040929 -
040930 -    1.  Subject:  **** TC
040932 -        Date: Fri, 16 Jan 2009 09:56:03 -0800
040939 -         ..
040940 -    2.  As below what I sent to Dr Rugo as brief summary of phone call.
040941 -        I will meet with Dr Rugo today a bit later on, so if I have any
040942 -        new news, I'll certainly let you know before I leave today.
040943 -
040944 -            [On 090116 Millie thanks Glenna for coordinating case
040945 -            management. ref SDS 10 IT8P
040947 -             ..
040948 -            [On 090116 Millie provides background to Glenna on side
040949 -            effects of sunitinib treatment to prepare for meeting with
040950 -            the doctor. ref SDS 10 IT4Y
040952 -             ..
040953 -            [On 090121 Glenna schedules meeting with the doctor to
040954 -            discuss follow on treatments due to evident progression of
040955 -            disease from Millie's 6th relapse of IBC. ref SDS 12 N976
040957 -             ..
040958 -            [On 090122 called Glenna from Kaiser Emergency Department
040959 -            to report Millie's shoulder injury; left message asking
040960 -            about results of Glenna's meeting with Doctor Rugo.
040961 -            ref SDS 13 YT7J
040963 -             ..
040964 -            [On 090122 telephone message from Glenna reporting she met
040965 -            with Doctor Rugo to develop treatment plan for Millie, and
040966 -            schedules Millie to start new treatment on 090129.
040967 -            ref SDS 14 K96F
040969 -             ..
040970 -            [On 090123 Millie's letter to medical team reports progress
040971 -            at UCSF scheduling Millie to start on a new treatment.
040972 -            ref SDS 15 KR4P
040974 -         ..
040975 -    3.  Have a good one and talk soon,
040976 -
040980 -
040982 -  ..
040983 - Glenna attached the following letter which sent earlier to the doctor,
040984 - per planning this morning. ref SDS 9 E98L
040986 -         ..
040987 -    1.  Subject: Buck TC
040988 -        Sent: Friday, January 16, 2009 9:47 AM
040995 -         ..
040996 -    2.  I talked with Rod (Millie ****) today to check in.
040998 -         ..
040999 -    3.  He said her fatigue is pretty bad and the area on her
041000 -        breastbone looks worse.
041002 -  ..
041003 - Telecon this morning cited the record yesterday on response to
041004 - treatment, including the breastbone area, ref SDS 9 JY70, which
041005 - describes IBC at this location is stable to worse, and other IBC sites
041006 - seem improved to stable. ref SDS 8 124N
041007 -
041008 -               [On 090116 Millie's letter to Glenna clarifies breastone
041009 -               area looks stable to worse; everything else looks
041010 -               improved to stable. ref SDS 10 IS6G
041012 -                ..
041013 -               [On 090118 Millie's letter to the medical team submits
041014 -               complete results for the blood test. ref SDS 11 5350
041016 -                ..
041017 -               [On 090127 Millie's letter to medical team reported side
041018 -               effects of sunitinib treatment begin to subside 5 days
041019 -               after UCSF ended treatment with the sunitinib protocol.
041020 -               ref SDS 16 TY8T
041022 -  ..
041023 - Glenna's letter to the doctor continues...
041024 -
041025 -    4.  He said Millie is interested in dose reducing to help with SE,
041026 -        but is afraid of losing therapeutic benefit at a lower dose.
041028 -         ..
041029 -    5.  He also suggested there might be another study open now for
041030 -        which Millie might be a good fit?
041032 -         ..
041033 -    6.  Let me know your thoughts.
041034 -
041044 -
041045 -
041046 -
041047 -
041048 -
041049 -
041050 -
041051 -
041052 -
041053 -
0411 -