CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 10 0000. ref SDS 9 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 100203, Millie resumed treatment after a 3-week pause ordered by
040902 - Doctor Johnson, on 100112 0830, ref SDS 3 G68H, while Millie was
040903 - treated to recover from a very severe case of shingles infection,
040904 - reported earlier on 100104 1115. ref SDS 2 0P9S
040906 -  ..
040907 - On 100217 0730 Millie got the 3rd treatment of the 3rd cycle with
040908 - Navelbine for Millie to recover from the 9th relaspe of cancer.
040910 -  ..
040911 - On 100218 1000 Millie got Neupogen treatment at Kaiser to maintain
040912 - blood counts essential for getting Navelbine chemotherapy treatment
040913 - for cancer. ref SDS 4 ER95
040915 -  ..
040916 - On 100218 1000 Millie had emergency meeting with Doctor Johnson,
040917 - primary care physician at Kaiser, after getting Neupogen treatment;
040918 - the doctor diagnosed relapse of shingles, and prescribed a 4th cycle
040919 - of treatment, but only with Acyclovir (Zovirax) 800 MG tablets,
040920 - ref SDS 4 0Y6O; the doctor also diagnosed Millie's 10 relapse of
040921 - cancer, and ordered switching treatment from Navelbine to Abraxane,
040922 - beginning on 100303. ref SDS 4 023N   The doctor further ordered a CT
040923 - test to evaluate rising pain. ref SDS 4 ES40
040925 -  ..
040926 - On 100218 1230 Millie had emergency CT test. ref SDS 4 PQ6R
040928 -  ..
040929 - On 100301 0005 letter to medical team reports improvement from CT test
040930 - on 100218, and increased energy may indicate Navelbine can continue
040931 - another cycle. ref SDS 5 ER95
040933 -  ..
040934 - On 100302 0830 meeting at Kaiser, ref SDS 6 ER95; Doctor Johnson
040935 - prescribed Abraxane for Millie starting treatment tomorrow for
040936 - recovering from 10th relapse of cancer. ref SDS 6 FB67  Blood counts
040937 - dropped significantly, ref SDS 6 IC4N; since Abraxane side effects
040938 - reduce blood counts this increases chances of shingles recurrence; the
040939 - doctor advised that treatment for cancer will be paused again, if
040940 - shingles recurs. ref SDS 6 FC68  Only way for Millie to get treatment
040941 - for shinges concurrent with cancer is to switch from Abraxane to a
040942 - "targeted" treatment for cancer that does not injure bone marrow
040943 - producing blood. ref SDS 6 IC85
040945 -  ..
040946 - On 100303 0730 Millie received 1st treatment 1st cycle Abraxane at
040947 - Kaiser Oncology Chemotherapy Clinic in Walnut Creek. ref SDS 7 625I
040949 -  ..
040950 - On 100304 2251 Millie notifies medical team that 1st treatment of 1st
040951 - cycle started with Abraxane to recover from 10th relapse of cancer.
040952 - ref SDS 8 ER95  Reports possible recurrence of shingles. ref SDS 8
040953 - OP6W  Millie asks Kaiser for written report on trade-offs for
040954 - prescribing agents "targeted" to treat her cancer that do no injure
040955 - the bone marrow producing new blood. ref SDS 8 OQ4Y
040957 -  ..
040958 - On 100305 0822 Millie notifies medical team that shingles seems to
040959 - have subsided again, so that treatment with Abraxane can continue.
040960 - ref SDS 9 ER95  Millie requests prescription for medication to have
040961 - available in time to treat shingles recurrence so that treatment for
040962 - cancer can continue. ref SDS 9 0W3T  Millie further requests that the
040963 - medical team submit analysis of trade-offs for alternative oncologic
040964 - treatments. ref SDS 9 0W3W
040966 -  ..
040967 - On 100309 1238 Millie notifies medical team that Kaiser's Knowledge
040968 - Management system is off-line, and so requests results of blood test
040969 - to evaluate getting treatment with Abraxane chemotherapy tomorrow for
040970 - recovering from cancer. ref SDS 10 ER95
040972 -  ..
040973 - On 100309 1643 Millie notifies medical team that results of lab today
040974 - show "good-to-go" for getting 2nd Abraxane treatment tomorrow.
040975 - ref SDS 0 ER95
040976 -
040978 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Millie's letter to medical team says...
041302 -
041303 -    1.  Subject: Blood Counts Good for 2nd Treatment Abraxane March 10
041304 -        Date: Tue, 09 Mar 2010 16:57:10 -0800
041311 -         ..
041312 -    3.  About 1230, Nadine, in the Oncology Chemotherapy Infusion
041313 -        Clinic, called and advised that the lab had not posted results
041314 -        for the blood draw this morning.
041316 -         ..
041317 -    4.  Rod stopped at Kaiser to get results this afternoon OA 1548.
041318 -        The parking lot was full on all 5 floors, East and West wing,
041319 -        so could not get to Oncology for results of the lab this
041320 -        morning, and other documentation requested in the letter to
041321 -        Kaiser earlier this afternoon (see below).
041323 -         ..
041324 -    5.  About 20 minutes ago, I received a letter from Kaiser advising
041325 -        that results for the blood test have been reported.
041327 -         ..
041328 -    6.  Normal access to Kaiser's Knowledge Management system is still
041329 -        reporting "out of order."  Using a link in the letter from
041330 -        Kaiser, yielded access to test results.
041332 -         ..
041333 -    7.  Looks like I am "good to go" for treatment tomorrow with WBC at
041334 -        7.0 and Neutrophils at 60%.  The lab has not yet calculated
041335 -        ANC, but with components well above minimum targets, ANC
041336 -        (NEUTS) should be good for the next treatment with Abraxane.
041337 -
041338 -
041339 -
0414 -

SUBJECTS
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0503 -
050401 -  ..
050402 - Commend Doctor Johnson Kaiser Oncology Prescribing 1 Neupogen Treatment
050403 -
050404 -
050405 -    8.  This supports your decision on 100302 to order a single
050406 -        Neupogen treatment for last week, when blood counts were much
050407 -        lower than today. ref SDS 6 EP7O  Favorable blood test results
050408 -        today justify continuing your order for 1 Neupogen treatment
050409 -        this week.  Congratulations on avoiding over-medicating.
050410 -        Neupogen contributes to fatigue, so holding this to a minimum
050411 -        is a blessing.  Today, I finally have energy to get up and do
050412 -        stuff.  Tomorrow should be okay.  Then fatigue from chemo and
050413 -        Neupogen occur again.
050415 -         ..
050416 -    9.  Impression after 1 week with Abraxane is that I am no worse,
050417 -        and possibly improved.  Will know better if we get through the
050418 -        1st cycle.
050419 -
050425 -
050426 -
050427 -
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050429 -
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0505 -