CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 5 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie was treated in the Emergency Department at Kaiser in Walnut
040902 - Creek CA yesterday on 090122 for shoulder injury from a fall during
040903 - exercise in aerobics class. ref SDS 5 0001  While at the hospital for
040904 - treatment, Millie received a call from Glenna who left a message on
040905 - the answering machine with instructions from Doctor Rugo on the
040906 - treatment plan for Millie to recover from 6th relapse of IBC.
040907 - ref SDS 7 K96F
040909 -  ..
040910 - Millie's letter to the medical team confirms understandings treatment
040911 - for shoulder injury, and treament plan for IBC relapse...
040912 -
040913 -    1.  Subject: Meeting Jan 23 Evaluate ER Treatment Review UCSF Planning
040914 -        Date: Fri, 23 Jan 2009 01:37:23 -0800
040928 -         ..
040929 -    2.  Thanks for submitting the report for the EKG test on 090112
040930 -        requested by UCSF [on 090108, and received with Kaiser's letter
040931 -        on 090122. ref SDS 6 WA4L  By copy transmitting results (shown
040932 -        below) to Glenna for distribution at UCSF.
040933 -
040934 -           [On 090123 primary care physician seems to indicate that
040935 -           cardiology report for EKG test on 090112 does not indicate
040936 -           evident heart problems. ref SDS 10 TF7O
040938 -            ..
040939 -           [On 090127 Millie received letter from Arlette asking for
040940 -           Glenna's fax number to send the cardiology report to UCSF
040941 -           for Millie's EKG test on 090112, ref SDS 13 OX6G, which was
040942 -           previously sent to UCSF by Bill Wilson on 090121,
040943 -           ref SDS 4 2K8L, and again by Millie's letter to the medical
040944 -           team today on 090123. ref SDS 0 KR8V
040946 -         ..
040947 -    3.  Here is the report on treatment in the ER yesterday to repair a
040948 -        separated shoulder.  Lucky this was the right and not the left
040949 -        shoulder that has lymphedema issues. ref SDS 5 0001
040950 -
040951 -           [On 090213 1140 primary care physician at Kaiser seemed
040952 -           familiar with the record of Millie's accident and treatment
040953 -           in the ER, submitted to the medical team today. ref SDS 14
040954 -           PQTX
040956 -         ..
040957 -    4.  At this time, things seem to be on the right track.  Doctor
040958 -        Lillenstein asked me to meet you today for follow up on several
040959 -        issues, ref SDS 5 1F3J, which he has submitted seperately to
040960 -        you. ref SDS 5 TQ8H  Please advise the time for me to come in.
040961 -
040962 -            [...in another record today on 090123 called Kaiser to get
040963 -            the time for meeting with the primary care physician; the
040964 -            nurse in the Infusion Clinic wrote another letter to the
040965 -            primary care physician to ask for the time to meet.
040966 -            ref SDS 8 P89F
040968 -             ..
040969 -            [...in another record today on 090123 the primary care
040970 -            physician called Millie and advised that medication for
040971 -            high blood pressure is not required by Millie's patient
040972 -            history. ref SDS 10 ZI5I
040974 -         ..
040975 -    5.  I am also scheduled to visit Orthopedics on 090129 1330 after
040976 -        meeting with Doctor Rugo at UCSF in the morning at 0830.
040978 -         ..
040979 -    6.  I got a message from Glenna today [actually on 090122 near
040980 -        midnight] saying Doctor Rugo has ended treatment with sunitinib
040981 -        and cyclophosphamide, ref SDS 7 K96F, based on rising IBC
040982 -        nodules in breastbone area, and CA 15-3 303 in Kaiser lab on
040983 -        090116. ref SDS 2 PQTQ
040985 -         ..
040986 -    7.  Glenna indicated [in the telephone message on 090122] Doctor
040987 -        Rugo plans to start me on a new treatment next Thursday, and
040988 -        wants to clear toxicity from current drugs over the next week.
040989 -        ref SDS 7 AT6N  I am very grateful for expedited work on this
040990 -        matter [with Glenna coordinating with Doctor Rugo reviewing
040991 -        drug regimens which UCSF plans for treating Millie's cancer as
040992 -        a chronic disease, ref SDS 7 J47F, based on Glenna's call the
040993 -        day before on 090121 asking Millie for assistance preparing a
040994 -        list of treatments UCSF has planned for Millie. ref SDS 3
040995 -        Y67L]
040996 -
040997 -           [On 090123 primary care physician at Kaiser called and
040998 -           approved UCSF prescribing follow on treatments; concerned
040999 -           that Millie's cancer has mutated to resist treatments
041000 -           available at Kaiser. ref SDS 10 8K6K
041002 -            ..
041003 -           [On 090127 Millie's letter notified medical team that
041004 -           primary care physician approves UCSF prescribing treatment
041005 -           for Millie's 6th relapse from IBC, because recent rise of
041006 -           cancer marker CA 15-3 303 for the labs at Kaiser on 090116
041007 -           indicated Millie's cancer has mutated to cells that now
041008 -           resist treatments available at Kaiser. ref SDS 12 TY5W
041010 -            ..
041011 -           [On 090126 Millie letter to Doctor Stritter reports UCSF
041012 -           ended treatment on sunitinib due to progression of disease
041013 -           and requests immediate input on follow on treatments for
041014 -           Millie's 6th relapse of IBC. ref SDS 11 Q59G
041016 -         ..
041017 -    8.  In the morning, need comment on elevated eosinophils 700% in
041018 -        labs at Kaiser on 090119. ref SDS 2 FV5M
041020 -         ..
041021 -    9.  WBC in the lab yesterday was reported at 8+, which is higher
041022 -        than at any time in the past several years.  Will get the
041023 -        actual test results in the morning while meeting at Kaiser.
041025 -         ..
041026 -   10.  By copy to Gloria, Doctor Lillenstein in Kaiser ER prescribed
041027 -        me to hold Coumadin for 2 days because INR was 3.7 yesterday
041028 -        [on 0901222. ref SDS 5 F56L  Changes to Coumadin [prescription
041029 -        shown in Kaiser's letter on 081219, ref SDS 1 EW3G] need to
041030 -        consider Doctor Rugo's order stopping treatment with sunitinib
041031 -        and cyclophosphamide.
041032 -
041033 -            [...in another record today on 090123 Millie received a
041034 -            call from Gloria who concurred with Doctor Lillenstein's
041035 -            order for Millie to hold Coumadin for 2 days; Gloria
041036 -            prescribed continuing with current treatment plan issued on
041037 -            081219, and to get another INR blood test at UCSF on
041038 -            090129. ref SDS 9 MG5L
041040 -         ..
041041 -   11.  Good teamwork today.
041042 -
041049 -
041050 -
041051 -
041052 -
041053 -
041054 -
0411 -