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: December 23, 2009 06:39 AM Wednesday; Rod Welch

Millie 2nd treatment 2nd cycle Navelbine at Kaiser recover 9th relaspe

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000. ref SDS 6 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Today starts the 2nd treatment of the 2nd cycle with Navelbine for
040902 - Millie to recover from the 9th relaspe of cancer.
040904 -  ..
040905 - Millie's voice is weak this morning.  She has to clear her throat
040906 - several times in 10 minutes.
040908 -  ..
040909 - Anne is the nurse again today in the Chemotherapy Infusion Clinic.
040910 - She is going to Disnyland next week with her family and friends.
040911 - Sounds like a big group.
040913 -  ..
040914 - Paula advised this morning that Kaiser now has a protocol for using
040915 - the Bard Power Port with Huber needles.  Kaiser is now supporting both
040916 - Lifeguard and Bard Huber needles.  Paula understands the protocol
040917 - specifies either Bard or Lifeguard Huber needles can be used.  She
040918 - indicated the protocol is filed in Kaiser's system under a heading of
040919 - some kind for "Nursing."
040921 -  ..
040922 - This new protocol will help solve the problem on 090919, when the CT
040923 - Department at Kaiser refused to use the Power Port for injecting
040924 - contrast medium, because the Emergency Room Department used a
040925 - Lifeguard Huber needle, and the team in the CT Department tried to
040926 - replace this with a Bard Huber needle, but could not find product in
040927 - stock. ref SDS 2 MI9Q  This traumatized the staff in the CT
040928 - Department, becasue they were unable to establish an adequate IV for
040929 - injecting contrast medium. ref SDS 2 6Q9G  Millie endured pain and
040930 - suffering until on the 4th try a second nurse finally found a vein
040931 - where an IV was set. ref SDS 2 GT5O
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0410 -