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 18, 2009 01:48 AM Sunday; Rod Welch

Millie submits blood test report cites Eosinophilia problem.

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 7 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on blood test purpose, requirements, and objectives is
040902 - presented on 090116. ref SDS 6 LW5I
040904 -  ..
040905 - The test was performed at Kaiser on 090116. ref SDS 6 S65I
040907 -  ..
040908 - Before getting the test, Millie received a call from Glenna in the
040909 - morning on 090116 asking how Millie is responding to treatment, and
040910 - requesting results of the EKG heart test Millie had on 090112.
040911 - ref SDS 5 JY8L
040913 -  ..
040914 - In the discussion with Glenna, cited the record on 090115, ref SDS 5
040915 - JY70, shows Millie's response to treatment. ref SDS 3 124N
040917 -  ..
040918 - Explained Millie has talked about reducing the dose of sunitinib.
040919 - ref SDS 5 JY7J
040921 -  ..
040922 - In the afternoon on 090116, after returning from Kaiser for the blood
040923 - test, Millie received a letter from Glenna, ref SDS 8 YN9H, with a
040924 - copy attached of a letter Glenna sent to the doctor reporting
040925 - understandings from the call in the morning on 090116 saying that
040926 - Millie is very fatigued with the sunitinib protocol, and that recovery
040927 - from IBC in the breastbone area is "worse." ref SDS 8 FW3J
040929 -  ..
040930 - Millie sent a letter on 090116 to the medical team thanking Glenna for
040931 - submitting the letter to the doctor, and clarifying Millie's condition
040932 - to assist the doctor evaluating what action to take. ref SDS 9 IS6G
040934 -  ..
040935 - Millie cited dissapointment about slow recovery from IBC with
040936 - sunitinib, in her letter on 090116. ref SDS 9 IT9R
040937 -
040938 -        [On 090118 Millie talks about wanting to end treatment with
040939 -        sunitinib that seems now less effective and has severe side
040940 -        effects after adding cycloposphamide. ref SDS 10 UC41
040942 -  ..
040943 - Millie's letter on 090116 notified Kaiser's Coagulation Clinic that
040944 - INR 3.1 was slightly high for the 2nd week in a row, and she would
040945 - continue with the current dose of Coumadin, ref SDS 9 IT8X, Millie
040946 - summarized favorable results for the blood test that day, ref SDS 9
040947 - IT9U; advised that Millie would add cyclophosphamide to the treatment
040948 - regimen, per Glenna's letter on 090108, and requested that UCSF
040949 - confirm this in light of record showing difficult side effects,
040950 - ref SDS 9 IT9X, Millie asked for a remedy to side effects of painful
040951 - feet and toes aht prevent hiking and walking, ref SDS 9 IT4V; Millie
040952 - asked Kaiser to submit results of the EKG test on 090112 for review by
040953 - the medical team, ref SDS 9 IT8U, and she planned to submit the
040954 - complete record on the blood test. ref SDS 9 IT5T
040956 -  ..
040957 - Millie submitted a letter to the medical team, including Doctor Rugo,
040958 - sending the full blood test report, and citing new problem of possible
040959 - eosinphilia...
040960 -
040961 -    1.  Subject: Labs at Kaiser Feb 16 NEUTS 1.768 Eosinphils 700% High
040962 -        Date: Sun, 18 Jan 2009 01:52:26 -0800
040972 -         ..
040973 -    3.  As planned in the letter on Friday, 090116, ref SDS 9 IT5T,
040974 -        here is the complete report for the lab at Kaiser. ref SDS 6
040975 -        S65I
040977 -         ..
040978 -    4.  NEUTS 1.768, ref SDS 6 QY6H, meet criteria in your letter on
040979 -        090108, so, ref SDS 1 UX59, I resumed cyclophosphamide
040980 -        yesterday on 090117 the day after the test at Kaiser on 090116.
040982 -         ..
040983 -    5.  Platelets 145 remain above the target level of 140. ref SDS 6
040984 -        DM6J
040986 -         ..
040987 -    6.  Eosinophils seem 700% (??) high. ref SDS 6 0255  Patient
040988 -        history indicates this diagnostic has been steady until the
040989 -        past few weeks. ref SDS 6 FV5M  [consideration on 090116
040990 -        indicates elevated eosinophils may be a design of sunitinib
040991 -        that increases white blood cells to fight skin infection, in
040992 -        Millie case IBC. ref SDS 4 B48L]
040994 -         ..
040995 -    7.  Reminder to Kaiser about submitting results of the EGK on
040996 -        090112, ref SDS 2 DB5I, [follow up letter on 090116 to medical
040997 -        team asking Kaiser for the report on the EKG test. ref SDS 9
040998 -        IT8U].
040999 -
041006 -
041007 -
041008 -
041009 -
041010 -
0411 -