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 16, 2009 11:45 AM Tuesday;
Rod Welch
Millie meeting Infusion Clinic UCSF blood draw to start MPA treatment.
1...Summary/Objective
2...Labs Blood Test
3...NEUTS 2.44 Decrease Without Getting Cheotherapy Since 090122
4...Blood Counts NEUTS 2.44 Rise Without Chemotherapy Since 090122 Weeks
5...Side Effects Neupogen Treatments Continue Mild Tolerance Acceptable
6...Coagulation Control INR Not Reported at UCSF Today
..............
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CONTACTS
SUBJECTS
White Blood Cell Condition Blood Test Shows Too Low Doctor Johnson A
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 69 0000. ref SDS 66 0000.
040502 -
040503 -
040504 -
040505 -
040507 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Meeting with Catherine for blood draw.
040902 -
040903 - Was suprised to see Catherine, because Nola said yesterday in a
040904 - telephone call that Catherine does not work Tuesdays, and that we
040905 - would see Diane.
040907 - ..
040908 - Catherine said today that she works Tuesday - Thursday, and that
040909 - Diane is on vacation for 3 weeks.
040911 - ..
040912 - Millie was greeted warmly by many of the nurses who provided care
040913 - assisting Catherine and Diane during 2007 - 2008.
040915 - ..
040916 - Catherine said Millie needs a urine test, so Millie drank several
040917 - glasses of water.
040918 -
040919 -
040920 -
040921 -
0410 -
SUBJECTS
Blood Tests Labs Infusion Clinic Evaluate Safe Chemotherapy 1st Trea
1203 -
1204 - 0750
120501 - ..
120502 - Labs Blood Test
120503 -
120504 - Follow up ref SDS 68 S65I, ref SDS 67 S65I.
120505 -
120506 - Millie's last blood draw at UCSF was on 090129. ref SDS 29 FW5N
120508 - ..
120509 - Millie had an interim and partial lab at Kaiser on 090612 to test
120510 - Creatinine for a CT test that day. ref SDS 68 S65I
120512 - ..
120513 - Previous lab at Kaiser on 090602, ref SDS 67 S65I, followed the lab at
120514 - Kaiser on 090512. ref SDS 65 S65I
120516 - ..
120517 - Catherine was Millie's nurse today for the blood draw...
120518 -
120533 - ..
120534 - Log#: 090616 11:50
120535 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
120536 - Type Results Units Normal ACRO Type Units Normal
120537 - ..
120538 - CBC with DIFF & PLT CT CBCD
120539 - ..
120540 - WBC COUNT 4.6 x10E9/L 3.4 - 10 WBC WBC x10-3 K/uL 3.4 - 10.0
120541 - RBC COUNT 4.01 x10E12/L 4 - 5.2 RBC RBC x10-6 M/uL 3.60 - 5.70
120542 - HEMOGLOBIN 12.0 g/dL 12 - 15.5 HGB Hemoglobin g/dL 11.5 - 15.0
120543 - HEMATOCRIT l 34.3 PERCENT 36 - 46 HCT Hematocrit % 34.0 - 46.0
120544 - MCV 86 fL 80 - 100 MCV MCV fL 80.0 - 100.0
120545 - MCH 30.0 pg 26 - 34 MCH
120546 - MCHC 35.0 g/dL 31 - 36 MCHC
120547 - ..
120548 - PLATELETS 292 x10E9/L 140 - 450 PLT Plt x10-3 K/uL 140 - 400
120549 - ..
120550 - ( )
120551 - CA 15-3 Not Reported U/mL < 33 CA153 CA 15-3 < 39
120552 -
120553 - Note new reference range [<33 changed from <31] and change in
120554 - methodology effective March 1, 2008. Performed using the
120555 - Siemens Centaur Chemiluminesence method. CA 15-3 result using
120556 - the Roche Elecsys assay is 75 U/mL. Ref range <31 U/mL. This
120557 - rebaseline value provided at no additional charge.
120559 - ..
120560 - This new note updates explanation of tests prior to 080301,
120561 - e.g., on 080207. ref SDS 6 A16M
120562 - ..
120563 - (NEUTS x 1000 = ANC for Kaiser)
120564 - NEUTS 2.44 x10E9/L 1.8 - 6.8 N-A ANC 1500
120565 - Neutrophils Not Reported Neutrophils % 50 - 70
120567 - ..
120568 - LYMPHS 1.49 x10E9/L 0.9 - 2.9 L-A Lymphocytes % 20 - 50
120569 - MONOS 0.42 x10E9/L 0.2 - 0.8 M-A Monocyte % 0 - 11
120570 - EOS 0.18 x10E9/L 0.0 - 0.4 E-A Esoinophils % 1 - 5
120571 - BASOS 0.05 x10E9/L 0.0 - 0.1 B-A Basophil % 0 - 2
120572 - ..
120573 - * LUC/ATYP LYMPHS [No report] x10E9/L 0.0 - 0.2 LALA
120575 - ..
120576 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
120577 - Type Results Units Normal ACRO Type Units Normal
120578 - PT [No report] s 12.0 - 14.1 PT PT, patient sec 8.9 - 11.1
120579 - INL NRM Ratio [No report] 0.9 - 1.1 INR INR 2.0 - 3.0
120580 -
120581 - Performed at Mt Zion Clinic Lab, 1600 Divisadero, San
120582 - Francisco, CA 94115
120584 - ..
120585 - * PARTIAL
120586 - THROMBOPLASTIN H [No report] s 22.2 - 34.2 INR PTT
120587 -
120588 - Performed at Mt Zion Clinic Lab, 1600 Divisadero, San
120589 - Francisco, CA 94115
120591 - ..
120592 - * FIBRINOGEN [No report] mg/dL 202 - 430 FIB
120593 -
120594 - New test added today, 080818; Catherine says similar to INR.
120595 -
120596 -
120597 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
120598 - Type Results Units Normal ACRO Type Units Normal
120599 - URINALYSIS, ROUTINE
120600 - GLUCOSE NEG mg/dL NEG GLUA
120601 - BILIRUBIN NEG NEG BIUA
120602 - KETONES NEG mg/dL NEG KEUA
120603 - SPECIFIC GRAVITY 1.010 1.02 - 1.030 SGU
120604 - HEMOGLOBIN NEG NEG HBUA
120605 - PH 5.5 4.5 - 8.0 PHUA
120606 - PROTEIN NEG mg/dL NEG PRUA
120607 - NITRITE NEG NEG NIUA
120608 - WBC ESTERASE ,UR NEG NEG WBCE
120609 -
120610 - Performed at Mt Zion Clinic Lab, 1600 Divisadero, San
120611 - Francisco, CA 94115
120613 - ..
120614 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
120615 - Type Results Units Normal ACRO Type Units Normal
120616 - ELECTROLYTE PANEL LYTE
120617 - SODIUM [No report] mmol/L 134 - 143 NA Sodium mEq/L 137 - 145
120618 - POTASSIUM [No report] mmol/L 3.4 - 4.9 K Potassium mEq/L 3.5 - 5.3
120619 - CHLORIDE [No report] mmol/L 98 - 107 CL
120620 - CARBON DIOX TOT[No report] mmol/L 23 - 32 CO2
120621 - ANION GAP [No report] 3 - 14 ANGA
120622 - ..
120623 - * UREA NITROGEN [No report] mg/dL 8 - 23 BUN BUN mg/dL 7 - 17
120624 - GLUCOSE [No report] mg/dL 70 - 199 GLU Glucose mg/dL ? - ?
120625 - AST 35 U/L 16 - 41 AST AST (SGOT) U/L 14 - 36
120626 - ALT [No report] U/L 11 - 54 ALT ALT (SGPT) U/L 11 - 66
120627 - BILIRUBIN, TOTAL 0.7 mg/dL 0.3 - 1.3 BILT Bili Total mg/dL 0.2 - 1.3
120628 - ALKALINE PHOS [No report] U/L 29 - 111 ALKP Alkaline Ph U/L 38 - 126
120629 - ..
120630 - PROTEIN, TOTAL [No report] g/dL 5.8 - 8.0 TP Protine Total g/dL 6.3 - 8.2
120631 - ALBUMIN [No report] g/dL 3.4 - 4.7 ALB Albumin g/dL 3.4 - 4.8
120632 - CALCIUM [No report] mg/dL 8.7 - 10.1 CA Calcium mg/dL 8.4 - 10.2
120633 - ..
120634 - MAGNESIUM [No report] mg/dL 1.8 - 2.3 MG Magnesium mg/dL 1.6 - 2.3
120635 - PHOSPHORUS [No report] mg/dL 2.4 - 4.6 PO4 Phosphorus
120637 - ..
120638 - CREAT with eGFR
120639 - CREATININE 0.76 mg/dL 0.42 - 1.06 CR Creatinine mg/dL 0.6 - 1.2
120640 -
120641 - Note: Creatinine assay changed to IDMS standardization on
120642 - February 4, 2008 causing decrease in results of approximately
120643 - 0.09 mg/dL
120645 - ..
120646 - eGFR if Caucasian >60 mL/min GFRC
120647 - eGFR if African Amer >60 mL/min GFRA
120648 -
120649 - eGFR corrected for 1.73 sq meters of body surface area
120650 - Note: eGFR is only an estimation. Please see online Lab Manual
120651 - for potential limitations.
120652 - Performed at Mt Zion Clin Lab, 1600 Divisadero, San Francisco,
120653 - CA 94115
120654 -
120655 -
130425 -
130426 -
1305 -
SUBJECTS
Absolute Neutrophils Count ANC 6850 Above 1500 NEUTS 6.85 Above 1.5
2203 -
220401 - ..
220402 - NEUTS 2.44 Decrease Without Getting Cheotherapy Since 090122
220403 - Blood Counts NEUTS 2.44 Rise Without Chemotherapy Since 090122 Weeks
220404 -
220405 - Follow up ref SDS 29 PU6K, ref SDS 18 PU6K.
220406 -
220407 - Blood counts decrease slightly, and despite having no chemotherapy,
220408 - from prior test on 090602 when NEUTS 2.7 were reported by Kaiser.
220409 - ref SDS 67 B35J
220411 - ..
220412 - MPA treatment started today at UCSF do not affect blood counts.
220413 -
220414 -
220415 -
220416 -
2205 -
SUBJECTS
Default Null Subject Account for Blank Record
2303 -
230401 - ..
230402 - Side Effects Neupogen Treatments Continue Mild Tolerance Acceptable
230403 -
230404 - Follow up ref SDS 29 SB8I, ref SDS 18 SB8I.
230405 -
230406 - Fitness from hiking is listed in case study on 081021. ref SDS 10 8G5M
230407 -
230408 - MPA starting today should have minimal side effects.
230409 -
230410 -
230411 -
230412 -
230413 -
230414 -
2305 -
SUBJECTS
Default Null Subject Account for Blank Record
3803 -
380401 - ..
380402 - Coagulation Control INR Not Reported at UCSF Today
380403 -
380404 - Follow up ref SDS 29 K66J, ref SDS 18 K66J.
380405 -
380406 - Labs today did not include INR.
380407 -
380408 -
380409 -
380410 -
380411 -
380412 -
380413 -
380414 -
3805 -