CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 29 0000. ref SDS 27 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie went to Kaiser in Walnut Creek for blood draw to evaluate
040902 - starting treatment to recover from 11th relapse of cancer.
040904 -  ..
040905 - This blood draw went smoothly today, correcting past problems on
040906 - 100104, ref SDS 3 4Q30, and again on 100105. ref SDS 14 QJ85  The
040907 - nurse said that Doctor Johnson gave instructions in Millie's medical
040908 - chart on 100427, directing use of Millie's Power Port for blood draws,
040909 - ref SDS 25 X74Q, and restating directions in the doctor's letter to
040910 - the Kaiser Walnut Creek Infusion Clinic on 091112, ref SDS 2 UN8F, and
040911 - so in Millie's case overrules the new policy change a few months ago
040912 - that prevented nurses from drawing blood using Millie's port, thereby
040913 - forcing Millie to get blood drawn from her arms infected with cancer,
040914 - causing her cancer to spread, and which conflicted with the doctor's
040915 - order to avoid blood draws and blood pressure procedures on Millie's
040916 - arms infected with cancer.
040918 -  ..
040919 - Blood counts for the test today show continuing elevated counts
040920 - across the board with...
040921 -
040922 -                                 Results  Units         Range
040924 -        ..
040925 -       WBC COUNT                   10.7   K/uL      3.5    -   12.5
040926 -       RED BLOOD CELLS COUNT        3.80  M/uL      3.60   -    5.70
040927 -       HGB                         11.4   g/dL     11.5    -   15.0
040928 -       HEMATOCRIT                  34.9   %        34.0    -   46.0
040929 -       MCV                         92     fL       80      -  100
040930 -       RDW, RBC                    15.4   %        11.9    -   14.3
040931 -        ..
040932 -       PLATELETS COUNT            243     K/uL    140      -  400
040934 -        ..
040935 -       PT                          35.4   Sec       8.2    -   10.6
040936 -       PT INR                       3.3             2.0    -    3.0
040938 -        ..
040939 -       NEUTROPHILS %,
040940 -       AUTOMATED COUNT             77     %        41      -   81
040942 -        ..
040943 -       LYMPHOCYTES %,
040944 -       AUTOMATED COUNT      L      11     %        13      -   46
040946 -        ..
040947 -       MONOS %, AUTO               10     %         4      -   12
040949 -        ..
040950 -       EOSINOPHILS %,
040951 -       AUTOMATED COUNT              2     %         0      -    4
040953 -        ..
040954 -       BASOPHILS %,
040955 -       AUTOMATED COUNT              1     %         0      -    1
040957 -        ..
040958 -       NEUTROPHILS, ABSOLUTE,
040959 -       AUTOMATED COUNT              8.2   K/uL      2.1    -    7.7
040961 -        ..
040962 -       BILIRUBIN TOTAL              0.4   mg/dL     0.2    -    1.3
040964 -        ..
040965 -       Creatine with GFR
040966 -       Creatinine              0.65   mg/dL         -< 1.11      CREATININE
040968 -          ..
040969 -         Note: Creatinine assay changed to IDMS standardization on
040970 -         February 4, 2008 causing decrease in results of approximately
040971 -         0.09 mg/dL
040973 -        ..
040974 -       GFR Non-Afr Am        >60      mL/min  > 60  -            eGFR if Caucasian     >60      mL/min                      GFRC
040975 -       GFR African AM        >60      mL/min  > 60               eGFR if African Amer  >60      mL/min                      GFRA
040976 -       GFR Note               **
040978 -        ..
040979 -       CA 15-3                    606     U/mL             <   39
040980 -
040981 -            This is another 100 point increase from the test on 100511,
040982 -            reported on 100511 0900. ref SDS 29 L54I
040983 -
040984 -                [On 100606 1604 Doctor Johnson reported CA 15-3 606 for
040985 -                lab test today. ref SDS 30 8H5I
040987 -                 ..
040988 -                [On 100702 1424 Millie received a letter in the mail
040989 -                dated 100624, from Doctor Johnson transmitting Kaiser's
040990 -                lab report for Millie's blood test on 100622.  The
040991 -                doctor provides no analysis, nor comment of any kind
040992 -                except he circuled in ink "CA 15-3 1116." ref SDS 31
040993 -                NC3F
040995 -             ..
040996 -            Patient history on cancer marker listed on 090323 1352.
040997 -            ref SDS 1 J13O
040999 -             ..
041000 -            Good news is that rate of increase has not accelerated, but
041001 -            has seemed to decline slightly, the past 3 weeks.
041002 -
041003 -
041004 -
041005 -     *************************************************************
041006 -             Not Reported
041007 -     *************************************************************
041009 -        ..
041010 -       Prealbumin                  17.5   mg/dL    18.0    -   41.0
041012 -        ..
041013 -       Albumin                      4.1   g/dL      3.3    -    4.7
041015 -        ..
041016 -       PLATELETS,BLD,QL, MAN CT     ADEQUATE
041018 -        ..
041019 -       ANISOCYTOSIS                 1+
041020 -       MICROCYTES                   1+
041021 -       MACROCYTES                   1+
041022 -
041023 -     *************************************************************
041024 -             Reported Lab 100511
041025 -     *************************************************************
041026 -
041027 -
041028 -
041029 -
041030 -
041031 -
041032 -
041033 -
0411 -
0412 -