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: January 3, 2010 08:23 PM Sunday; Rod Welch

Millie submits work plan to treat facial blisters rising cancer.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 22 0000. ref SDS 21 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091202 Millie had the 3rd treatment in the 1st cycle of Navelbine.
040902 - ref SDS 12 625I
040904 -  ..
040905 - She is experiencing some possible recovery, but also evident worsening
040906 - of cancer due to lack of treatment targeted to her patient profile.
040908 -  ..
040909 - On 091203, Millie submitted a letter notifying the medical team about
040910 - possible progression of disease, and requesting treatment targeted to
040911 - her patient profile, ref SDS 13 4P7G, following up the letter on
040912 - 091112, ref SDS 8 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 9 UT7M  The following letter
040914 - confirms understandings from meeting on 091112, and sets agenda for
040915 - meeting at Kaiser on 091210.
040917 -  ..
040918 - On 091211 0018 Millie letter confirms understandings from meeting at
040919 - Kaiser and thanks thanked medical team for excellent care, ref SDS 15
040920 - BW8I, based on Doctor Johnson's report in the meeting at Kaiser on
040921 - 091210 that Kaiser is collaborating with Doctor Rugo for UCSF to
040922 - prescribe treatment targeted to Millie's patient profile. ref SDS 15
040923 - XM3X
040925 -  ..
040926 - On 091211 1452 Doctor Johnson reports collaborating with Doctor Rugo
040927 - for UCSF as planned during the meeting yesterday. ref SDS 16 BW8I
040929 -  ..
040930 - On 091211 1648 Millie notifies Doctor Johnson to submit correspondence
040931 - of Kaiser collaborating with Doctor Rugo at UCSF on prescribing
040932 - treatment targeted to Millie's patient profile. ref SDS 17 BW8I
040934 -  ..
040935 - On 091214 1649 Doctor Johnson notifies Millie that Doctor Rugo has not
040936 - replied to Kaiser's letter on 091211. ref SDS 18 BW8I
040938 -  ..
040939 - On 091215 0852 Millie asks Doctor Johnson about sending a copy of
040940 - Kaiser's letter to Tara for assisting Doctor Rugo developing UCSF's
040941 - treatment plan targeted to Millie's patient profile. ref SDS 19 BW8I
040943 -  ..
040944 - On 091215 1557 Millie reports blood counts fall, still permit getting
040945 - 1st treatment 2nd cycle Navelbine, ref SDS 20 BW8I, asks about
040946 - progress collaborating on prescribing next treatment to recover from
040947 - 10th relapse of cancer.
040949 -  ..
040950 - On 100103 1147 Millie asks medical team about progress prescribing
040951 - treatment targeted to Millie's patient profile to recover from 10th
040952 - relapse of cancer. ref SDS 21 BW8I  Millie reports new symptom of rash
040953 - on right side of forehead, which is swelling the right eye; requests
040954 - examination tomorrow to prescribe immediate remedy. ref SDS 21 FZ6V
040956 -  ..
040957 - On 100103 1652 Millie receives automated reply that Doctor Johnson is
040958 - out of the office until 100105, and so cannot make examination
040959 - tomorrow on 100104 requested in Millie's letter this afternoon.
040960 - ref SDS 22 BW8I
040962 -  ..
040963 - On 100103 2023 Millie reponds to notice that Doctor Johnson is out of
040964 - the office tomorrow and so cannot make examination requested in
040965 - Millie's letter earlier today. ref SDS 0 BW8I
040966 -
040967 -
040969 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Millie responds to Doctor Johnson's automated response, ref SDS 22
041302 - BW8I, to Millie's letter requesting examination tomorrow on 100104,
041303 - ref SDS 21 FZ6V, and says...
041304 -
041305 -    1.  Subject: Re: Treatment Plan 10th Relapse Cancer - Face Blisters Spreading New Symptom
041306 -        Date: Sun, 03 Jan 2010 20:35:28 -0800
041320 -         ..
041321 -    2.  I received your letter this afternoon responding to my request
041322 -        for assistance at noon earlier today, and saying you are out of
041323 -        the office until the 5th, Tuesday 100105 [reported on 100103
041324 -        1652. ref SDS 22 BW8I].
041326 -         ..
041327 -    3.  First, the "rash" on my right forehead [reported in Millie's
041328 -        letter to the medical team on 100103 1147. ref SDS 21 FZ6V],
041329 -        understates the problem.  This area is infected with blisters
041330 -        that bubble the skin from the right ear to the middle of the
041331 -        forehead, extending above the hairline onto my head and also
041332 -        onto my right eye.
041334 -         ..
041335 -    4.  As reported in the earlier letter, the right eye is painful.
041336 -        ref SDS 21 TS9M
041338 -         ..
041339 -    5.  So, far the blisters are not painful.
041340 -
041341 -            [On 100104 1115 Millie meeting at Kaiser, Doctor Zhang
041342 -            diagnoses shingles, ref SDS 24 0P9S; the doctor asked why
041343 -            Millie was not treated sooner, ref SDS 24 6E9M, and
041344 -            prescribes 10-day treatment. ref SDS 24 QB5K
041346 -             ..
041347 -            [On 100104 1115 Millie meeting at Kaiser, Doctor Zhang
041348 -            concerned about injury to Millie's eyes from delay getting
041349 -            treatment for shingles. ref SDS 24 QR5K
041351 -             ..
041352 -            [On 100104 2144 Millie notifies medical team that Doctor
041353 -            Zhang at Kaiser Adult Medicine diagnoses shingles, advises
041354 -            Millie should have been treated today in Kaiser's Emergency
041355 -            Department. ref SDS 25 0P9S
041357 -         ..
041358 -    6.  I have a slight temperature 99.4 at this time, 2017.
041360 -         ..
041361 -    7.  In the morning, if blistering symptoms are stable, i.e.,
041362 -        unchanged, or improved, I will wait for your response on
041363 -        Tuesday, 100105, per your letter [reported on 100103 1652.
041364 -        ref SDS 22 BW8I].  This will maintain continuity of care for my
041365 -        patient profile, which is difficult for others to absorb, noted
041366 -        by Doctor Roth in the ER at Kaiser on 090919. ref SDS 6 PQ9V
041368 -         ..
041369 -    8.  If blisters on my face worsen by morning, then I will go to
041370 -        Kaiser in Walnut Creek and request initial review from Minor
041371 -        Injury, pending your return to the office on Tuesday.
041372 -
041373 -            [On 100104 0830 called Kaiser Oncology, the department was
041374 -            closed, so called advice nurse who scheduled meeting at
041375 -            1115 in Adult Primary Care. ref SDS 23 BW8I
041377 -         ..
041378 -    9.  If anyone else on the medical team is familiar with this
041379 -        symptom in relation to IBC, radiation, Navelbine, and or in
041380 -        combination with oxychodone and Vicodin, please advise any
041381 -        immediate care to avoid complications.
041382 -
041383 -            [On 100104 2144 Doctor Zhang at Kaiser Adult Medicine
041384 -            diagnoses shingles, advises Millie should have been treated
041385 -            today in Kaiser's Emergency Department. ref SDS 25 0P9S
041387 -             ..
041388 -            [On 100106 1324 Doctor Johnson called and discussed meeting
041389 -            with Millie for examination, ref SDS 26 BW8I, and decided
041390 -            that Millie is not feeling well enough for meeting a
041391 -            Kaiser; deferred meeting to previously schedule on 100112.
041392 -            ref SDS 26 TF4F
041400 -         ..
041401 -   12.  PS.  Copying Doctor Musci in the Oncology Department, who has
041402 -        supported your practice in my case previously, when you were
041403 -        out of the office.
041404 -
041405 -
041406 -
041407 -
041408 -
041409 -
041410 -
041411 -
0415 -