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: March 9, 2009 03:00 PM Monday;
Rod Welch
Millie Blood test at Kaiser check response to treatment and flush port.
1...Summary/Objective
2...Lab Blood Test CBC to Evaluate Neupogen and Cancer Treatment Plan
3...Laboratory Blood Test Results Posted Kaiser's Computer
..............
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 52 0000. ref SDS 47 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - 1. On 090108 Millie's blood counts were very low at UCSF.
040902 - ref SDS 48 YN8O Millie had a follow up blood draw at Kaiser on
040903 - 090116, showing further decline in blood counts. ref SDS 52
040904 - 075H A week later on 090122, Doctor Rugo stopped treatment
040905 - with sunitinib clinical study, ref SDS 57 AT6N; she scheduled
040906 - Millie for meeting at UCSF a week later to begin new treatment
040907 - for recovering from a 6th relapse of IBC.
040909 - ..
040910 - 2. On 090129 Millie had a blood draw at UCSF to guide examination
040911 - by the medical team in the Breast Care Clinic. ref SDS 58 075H
040913 - ..
040914 - Millie did not start a new treatment on 090129 due a
040915 - communication glitch, reported in the letter to the medical
040916 - team on 090130. ref SDS 59 AY8Q
040918 - ..
040919 - 3. On 090210 Doctor Rugo's office scheduled Millie to meet with
040920 - the doctor at UCSF on 090312 to evaluate response to treatment
040921 - which was delayed from 090129 to 090219. ref SDS 60 XU5N
040923 - ..
040924 - 4. On 090213 Doctor Johnson ordered a blood draw for 090310
040925 - (today) testing INR, and other diagnostics, including CA 15-3,
040926 - and to flush Milli'e port according to Kaiser requirements.
040927 - ref SDS 61 6P3F
040928 -
040930 - ..
040931 - Lab Blood Test CBC to Evaluate Neupogen and Cancer Treatment Plan
040932 -
040933 - Follow up ref SDS 52 6Z4F, ref SDS 47 6Z4F.
040934 -
040935 - This afternoon Millie went to the Infusion Clinic at Kaiser in Walnut
040936 - Creek, CA, for the blood draw ordered by the doctor on 090213.
040937 - ref SDS 61 WY5M
040939 - ..
040940 - Carrie is Millie's nurse today.
040941 -
040943 - ..
040944 - Laboratory Blood Test Results Posted Kaiser's Computer
040945 -
040946 - Follow up ref SDS 52 S65I, ref SDS 47 S65I.
040947 -
040948 - Previous lab at UCSF on 090129, ref SDS 58 075H, and 2 weeks earlier
040949 - at Kaiser on 090116. ref SDS 52 S65I
040950 -
040951 - [On 090310 0351 Millie's letter to medical team requests
040952 - report on blood test today for submission to UCSF guiding
040953 - meeting on 090312 to review progress recview recovering from
040954 - IBC. ref SDS 62 O63Q
040955 -
040957 - ..
040958 - Patient Provider Category View FR Date To Date
040972 - ..
040973 - 72/F Lab Results Summary
040975 - ..
040976 - Log#: 510906803174 090309 15:15
040977 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
040978 - Type Results Units Normal Type Units Normal ACRO
040979 - ..
040980 - CBC with DIFF & PLT CT CBCD
040981 - ..
040982 - WBC 4.0 K/uL 3.4 - 10.0 WBC x10-3 x10E9/L 3.4 - 10 WBC
040983 - RBC L 3.29 M/uL 3.60 - 5.70 RBC x10-6 x10E12/L 4 - 5.2 RBC
040984 - Hemoglobin L 10.3 g/dL 11.5 - 15.0 Hemoglobin g/dL 12 - 15.5 HGB
040985 - Hematocrit L 31.8 % 34.0 - 46.0 Hematocrit PERCENT 36 - 46 HCT
040986 - MCV 97 fL 80.0 - 100.0 MCV fL 80 - 100 MCV
040987 - RDW, RBC H 14.0 % 11.9 - 14.3 [Not Reported at UCSF]
040988 - MCH [Not Reported] MCH pg 26 - 34 MCH
040989 - MCHC [Not Reported] MCHC g/dL 31 - 36 MCHC
040990 - Lymphocytes 18 % 13 - 46 LYMPHS x10E9/L 0.9 - 2.9 L-A
040991 - Monocyte H 17 % 4 - 12 MONOS x10E9/L 0.2 - 0.8 M-A
040992 - ..
040993 - Eosinophils H 7 % 0 - 4 EOS x10E9/L 0.0 - 0.4 E-A
040995 - ..
040996 - On 090118 Millie letter to medical team asks about eosinophils 700%
040997 - high. ref SDS 54 PZ4Q
040999 - ..
041000 - Lab report continues...
041001 -
041002 - Basophil 4 % 0 - 1 BASOS x10E9/L 0.0 - 0.1 B-A
041004 - ..
041005 - What are implications for basophil 400% high?
041007 - ..
041008 - Lab report continues...
041009 -
041010 - Atypical Lymph 1 %
041011 - RBC Morphology NORMAL
041013 - ..
041014 - Platelets 245 K/uL 140 - 400 Plt x10-3 x10E9/L 140 - 450 PLT
041016 - ..
041017 - Shows good recovery compared to concerns in Millie's letter on 081218.
041018 - ref SDS 43 TY8O
041020 - ..
041021 - CBC blood test continues...
041022 -
041023 - Log#: 510906803174 090309 15:15
041024 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
041025 - Type Results Units Normal Type Units Normal ACRO
041026 - (posted 090323, ref SDS 68 Y077 for test on 090317, ref SDS 67 PQ6R,
041027 - CA 15-3 H* 251 U/mL < 39 CA 15-3 U/mL < 33 CA153
041029 - ..
041030 - During the blood draw, Carrie forgot to include CA 15-3. Millie
041031 - reminded that on 090213 the doctor ordered this test. ref SDS 61 6P3F
041033 - ..
041034 - Carrie filled another study tube for CA 15-3 and attached a label.
041035 -
041036 - [On 090312 0830 meeting at UCSF cancer marker CA 15-3 not
041037 - included in Kaiser's report for the lab on 090309,
041038 - ref SDS 64 8V5M,
041039 -
041040 - [On 090312 1437 called Kaiser and the Charge Nurse said that
041041 - CA 15-3 was not ordered for the lab on 090309, and
041042 - recommended that Millie contact her doctor. ref SDS 65 6Z4F
041044 - ..
041045 - [On 090313 0943 called Kaiser; Arlette will check with
041046 - primary care physician on getting CA 15-3 results for the
041047 - blood test on 090309. ref SDS 66 3R7J
041049 - ..
041050 - [On 090317 1120 called Kaiser and talked to Arlette; hectic
041051 - schedule on 090313 prevented following up on plans to discuss
041052 - CA 15-3 results for blood test on 090309. ref SDS 67 Y077
041054 - ..
041055 - [On 090317 1120 Arlette ordered make up blood draw to test CA
041056 - 15-3. ref SDS 67 YP6S
041058 - ..
041059 - [On 090317 1120 Millie went to Kaiser on the way home from
041060 - treatment at UCSF and got another blood draw to test CA 15-3.
041061 - ref SDS 67 PQ6R
041063 - ..
041064 - [On 090323 results of blood draw on 090317 shows CA 15-3 251.
041065 - ref SDS 68 Y077
041067 - ..
041068 - CBC blood test continues...
041069 -
041070 - Log#: 510906803174 090309 15:15
041071 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
041072 - Type Results Units Normal Type Units Normal ACRO
041073 - (calculated with formula on 081205. ref SDS 23 JG6F)
041074 - ANC 2120 -> 1500 NEUTS x10E9/L 1.8 - 6.8 N-A
041075 - Seg...
041076 - Neutrophils 51 % 41 - 81 Neutrophils
041077 - Bands 2 % 0 - 5
041078 -
041079 - ANC = WBC x 1000 x (Neutrophils + Bands)
041081 - ..
041082 - 4.0 x 1000 x (.51 + 2) = 2120
041084 - ..
041085 - CBC blood test continues...
041086 -
041087 - Log#: 510906803174 090309 15:15
041088 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
041089 - Type Results Units Normal Type Units Normal ACRO
041090 - PT, Patient H 21.6 sec 8.2 - 10.6 PT s 12.0 - 14.1 PT
041091 - PT INR H 2.2 INL NRM Ratio 0.9 - 1.1 INR
041092 -
041094 - ..
041095 - Log#: 510906803174 090309 15:15
041096 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
041097 - Type Results Units Normal Type Units Normal ACRO
041098 - Total Protein [No Report] g/dL 6.0 - 7,7 PROTEIN, TOTAL g/dL 5.8 - 8.0 TP
041099 - ALBUMIN [No Report] g/dL 3.3 - 4.7 ALBUMIN g/dL 3.4 - 4.7 ALB
041100 - Calcium [No Report] mg/dL 8.5 - 10.3 CALCIUM mg/dL 8.7 - 10.1 CA
041101 - ..
041102 - Magnesium [No Report] mg/dL 1.7 - 2.3 MAGNESIUM mg/dL 1.8 - 2.3 MG
041103 - Glucose Random [No Report] mg/dL 60 - 159 GLUCOSE mg/dL 70 - 199 GLU
041104 - ALT (SGPT) 28 U/L -< 36 ALT U/L 11 - 54 ALT
041106 - ..
041107 - Log#: 510906803174 090309 15:15
041108 - <------------------- KAISER -----------------------><----------------- UCSF --------------------->
041109 - Type Results Units Normal Type Units Normal ACRO
041110 - Bili Tot Adult 0.2 mg/dL 0.2 - 1.3 CALCIUM mg/dL 8.7 - 10.1 CA
041111 - Creat with GFR
041112 - Creatinine 0.73 mg/dL -< 1.11 CREATININE mg/dL 0.42 - 1.06 CR
041114 - ..
041115 - Note: Creatinine assay changed to IDMS standardization on
041116 - February 4, 2008 causing decrease in results of approximately
041117 - 0.09 mg/dL
041119 - ..
041120 - GFR Non-Afr Am >60 mL/min > 60 - eGFR if Caucasian >60 mL/min GFRC
041121 - GFR African AM >60 mL/min > 60 eGFR if African Amer >60 mL/min GFRA
041122 - GFR Note **
041123 -
041124 -
041125 -
041126 -
041127 -
041128 -
041129 -
041130 -
041131 -
041132 -
0412 -