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: March 3, 2010 07:30 AM Wednesday; Rod Welch

Millie 1st treatment 1st cycle Abraxane at Kaiser recover 10th relaspe

1...Summary/Objective


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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 19 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Recent background is listed on 100301 0005. ref SDS 21 625I
040902 -
040903 - Today starts 1st treatment of the 1st cycle with Abraxane for Millie
040904 - to recover from the 10th relaspe of cancer, diagnosed on 100218 during
040905 - emergency meeting with Doctor Johnson. ref SDS 20 PP5Y  Abraxane was
040906 - planned on 091112, for treatment after Navelbine, ref SDS 4 KB4F
040908 -  ..
040909 - Yesterday, on 100302 0830 Doctor Johnson confirmed prescription to
040910 - change treatment.  The doctor confirmed diagnosis that Millie's cancer
040911 - has progressed.  He ended treatment with Navelbine, and ordered
040912 - treatment to start today with Abraxane. ref SDS 22 FC34
040914 -  ..
040915 - There was discussion during the meeting on 100302, that if Millie's
040916 - cancer marker declined or remained stable, then another cycle of
040917 - Navelbine might be possible.  This morning CA 15-3 426 shows another
040918 - 100 point rise over the past 2 weeks, while Millie was off treatment
040919 - for the bye-week.
040921 -  ..
040922 - This major rise of 200 in the cancer marker supports examination
040923 - yesterday finding Millie's cancer has mutated again causing Navelbine
040924 - to fail.  Strong evidence that Millie's cancer is progressing more
040925 - vigorously requires switching treatments, as presented in the letter
040926 - to the medical team on 100301. ref SDS 21 OO3X  Yesterday, during the
040927 - meeting at Kaiser on 100302 0830, Doctor Johnson decided to order
040928 - treatment with Abraxane as the first effort for Millie to recover from
040929 - her 10th relapse of cancer. ref SDS 22 FC34
040930 -
040931 -        [On 100319 0843 cancer marker CA 15-3 360 dropped about 60
040932 -        points - aligns with evident reduction in IBC rash that
040933 -        signals some recovery achieved with first 2 treatments
040934 -        using Abraxane. ref SDS 23 1T4R
040936 -         ..
040937 -        [On 100330 0830 examination at Kaiser by Doctor Johnson,
040938 -        primary care physician, and starting 2nd cycle of Abraxane
040939 -        chemotherapy, Millie shows response to 1st cycle of treatment,
040940 -        ref SDS 24 FB9Y, including "drying up" of IBC nodules.
040941 -        ref SDS 24 HR9K
040943 -  ..
040944 - Additinally, the doctor ended Millie's treatment for shingles with
040945 - Acyclovir (Zovirax), reported on 100302 0830. ref SDS 22 FU5F
040947 -  ..
040948 - Anne is Millie's nurse today.
040950 -  ..
040951 - Anne confirmed there is no evidence of shingles recurrence this
040952 - morning, so treatment can be given with Abraxane, per Doctor Johnson's
040953 - guidance in the meeting yesterday on 100302 0830. ref SDS 22 FC68
040955 -  ..
040956 - Anne reviewed side effects of Abraxane, which were submitted by Zan,
040957 - and reviewed with Doctor Johnson yesterday, ref SDS 22 FC46, based on
040958 - the letter to the medical team on 100301 0005. ref SDS 21 OO5X
040960 -  ..
040961 - Anne said that Abraxane is very expensive, because it is a new drug
040962 - that extends capabilities of Taxol, and is only prescribed for
040963 - patients like Millie who have received multiple treatments due to
040964 - cancer mutating.  Millie's patient profile shows she is getting
040965 - treatment for her 10th relapse, reported in the record on 090213 1140.
040966 - ref SDS 1 AC6G
040967 -
040968 -
040969 -
040970 -
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040972 -
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040974 -
040975 -
0410 -