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: June 10, 2009 02:43 PM Wednesday; Rod Welch

Doctor Hsu requests CT test for UCSF effort treat Millie's 8th relapse.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000. ref SDS 10 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie notified the medical team on Sunday night that side effects of
040902 - radiation treatment which ended on 090317 continued to be serious
040903 - problem.  On Monday, Doctor Hsu scheduled a meeting for yesterday
040904 - morning on 090609 0900 at UCSF Radiology Oncology.
040906 -  ..
040907 - Yesterday, on 090609 0900 Millie met with Doctor Hsu, as requested.
040909 -  ..
040910 - The doctor made preliminary findings that IBC in the breastbone area
040911 - was not treated with radiation and hyperthermia, contrary to treatment
040912 - ordered by Doctor Rugo and authorized on referral by Kaiser.
040914 -  ..
040915 - This appears to be a medical mistake.
040917 -  ..
040918 - The doctor is concerned that Millie's recent symptoms of cough and
040919 - heavy chest may be caused by fluid on the lungs resulting from rapid
040920 - progression of IBC that was not treated during the Feb-Mar radiation
040921 - and hyperthermia program.  He feels Millie's best course of treatment
040922 - is the MPA protocol proposed by Doctor Rugo to Kaiser on 090514.
040924 -  ..
040925 - Doctor Hsu requested a CT test to determine if Millie has fluid on
040926 - the lungs and whether if so, it is mild enough to still permit
040927 - treatment with MPA.
040929 -  ..
040930 - In the afternoon, after returning home from UCSF in San Francisco,
040931 - Millie called Arlette at Kaiser in Walnut Creek, and asked Arlette to
040932 - facilitate a telecon with Doctor Johson in order to report Doctor
040933 - Hsu's findings, and request the CT test. ref SDS 7 MW5H
040935 -  ..
040936 - A few hours later on 090609 1430 Doctor Johnson called. ref SDS 8 MW5H
040938 -  ..
040939 - Doctor Johnson ordered the CT test requested by Doctor Hsu.
040940 - ref SDS 8 PPVY
040942 -  ..
040943 - Early this morning 090610 0043, Millie sent a letter to the medical
040944 - team confirming understandings, ref SDS 10 N630, from meeting with
040945 - Doctor Hus at UCSF the day before on 090609 0900. ref SDS 6 TP9L
040947 -  ..
040948 - Millie's letter explained Doctor Hsu requested a CT test to plan the
040949 - next treatment for Millie with MPA, ref SDS 10 W66W, and further
040950 - reported that Kaiser scheduled the test on 09612 1120. ref SDS 10 W67P
040952 -  ..
040953 - This afternoon, Doctor Rugo's assistant, Mike, called and advised that
040954 - Doctor Rugo wants the computer files for the CT test to review
040955 - directly evaluating Millie getting treatment with MPA.
040957 -  ..
040958 - After Mike's call, Millie received a letter from Doctor Hsu responding
040959 - to Millie's letter earlier this morning on 090610 0043. ref SDS 10
040960 - W66T  Doctor Hsu's letter says...
040961 -
040962 -    1.  Subject:  CT Test Scheduled Friday Jun 12 Evaluate Fluid in Lungs
040963 -        Date: Wed, 10 Jun 2009 14:32:48 -0700
040972 -         ..
040973 -    2.  Please get CT test this Friday and see if you are a candidate
040974 -        for the MPA study.  Let's take it one step at a time, no
040975 -        further planning until we have the CT result.
040977 -  ..
040978 - Doctor Hsu confirms request in the meeting yesterday at UCSF on 090609
040979 - 0900, for a CT test, ref SDS 6 W66T, and to treat Millie initially
040980 - with systemic cancer care using the MPA protocol, ref SDS 6 W66W, to
040981 - recover from the medical mistake failing to treat IBC with radiation
040982 - on the vertical line in the breastbone area, ref SDS 6 TP9L, as
040983 - explained in Millie's letter to the medical team on 090510.
040984 -
040985 -
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041005 -
041006 -
041007 -
041008 -
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041010 -
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0411 -