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 15, 2009 02:18 PM Monday; Rod Welch

Mike calls schedules biopsy, lab, and start MPA tomorrow at UCSF.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000, ref SDS 5 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Mike called this afternoon.
040902 -
040903 - Mike said Doctor Rugo is waiving the protocol for performing tests and
040904 - evaluating results to verify Millie qualifies for the MPA trial,
040905 - because of emrgency for Millie to recover from untreated cancer in her
040906 - breastbone for 6 months.
040908 -  ..
040909 - Mike explained the doctor will start Millie's treatment tomorrow prior
040910 - to getting results of tests, including review of CT scans, and in
040911 - order to optimize chances of recovery.  He indicated that Doctor Rugo
040912 - has discretion to waive study criteria under the circumstances of UCSF
040913 - treating Millie with MPA to recover from problems with radiation,
040914 - reported by Doctor Hsu last week on 090609. ref SDS 4 W65W  They feel
040915 - MPA is the best treatment for Millie's patient profile to recover from
040916 - cancer and breathing problems, noted by Doctor Hsu, also, on 090609,
040917 - ref SDS 4 1P42, so leeway can be exercised in order that Millie gets
040918 - treatment in time to be effective, since time is running out.
040920 -  ..
040921 - This aligns with UCSF's work treating Millie with sunitinib clinical
040922 - study that included cyclophosphmaide, and methotrexate, reported on
040923 - 081016. ref SDS 3 J38U  Cyclophosphamide is the generic name for
040924 - Cytoxan, which Millie had received with Andriamycin twice previously.
040925 - The first time was stopped after 2 cycles in June 2002, because Doctor
040926 - Johnson determined treatment was ineffective, reported on 020603.
040927 - ref SDS 1 WO4O, and again with 4 cycles in January - March, 2005.  On
040928 - 050329, AC was ended again because Millie's cancer marker increased
040929 - with each treatment. ref SDS 2 T58M
040931 -  ..
040932 - Mike said report to Breast Care Clinic at 1000 tomorrow.  A
040933 - specialist MD will take a biopsy.
040935 -  ..
040936 - After taking tissue for a biopsy, Millie will go to 5th floor for
040937 - blood draw, and then come back to the Breast Care Clinic to meet with
040938 - Doctor Rugo for starting treatment with MPA at 1245.
040940 -      ..
040941 -     [On 090615 1516 Millie's letter confirms changes to schedule for
040942 -     starting treatment tomorrow. ref SDS 7 YW5J
040944 -      ..
040945 -     [On 090616 1245 Millie met with Doctor Rugo and Tara, and started
040946 -     MPA treatment for recovery from 8th relapse of cancer and
040947 -     breathing problems caused by medical mistakes getting radiation
040948 -     services at UCSF on referral from Kaiser. ref SDS 8 TP9L
040949 -
040950 -
040951 -
040952 -
040953 -
040954 -
040955 -
040956 -
040957 -
040958 -
0410 -