CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 27 0000. ref SDS 26 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
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 - Carol was Millie's nurse.  She was very attentive for Millie today,
040906 - and said Millie has been a strong inspiration for the Kaiser Infusion
040907 - Clinic in Martinez.
040909 -  ..
040910 - Blood draw was difficult.  Took about an hour to get the 6 vials.  Jo
040911 - Ann assisted with ideas and support positioning Millie to optimize
040912 - blood flow.  Carol had to remove and replace the Huber needle.  She
040913 - also flushed the port several times with saline.  Carol eventually got
040914 - enough blood using syrenges to suction blood through the port.  She
040915 - feels Millie may be a bit dehydrated.  Millie normally drinks a lot of
040916 - water, so she has never had a blood flow problem in the past.
040917 -
040918 -            [On 100720 0900 next blood draw was routine, and easy; took
040919 -            only about 10 minutes. ref SDS 30 RE9R
040921 -  ..
040922 - When this ordeal was finally over, Carol hugged Millie for nearly a
040923 - minute, and said again through tears that she admires Millie's courage
040924 - and dignity, and that Millie is always so cheery, and enthusiasitic,
040925 - and seems to look great no matter what, like the ordeal today.
040927 -  ..
040928 - Millie thanked Carol for getting a difficult job done today, and not
040929 - giving up even though for some reason getting enough blood for the
040930 - tests took much longer than normal.  Mil promised to drink more water
040931 - before the next lab, and to do some pushups or something to get the
040932 - blood to flow better.
040933 -
040934 -            [On 100720 0900 next blood draw was routine, and easy; took
040935 -            only about 10 minutes. ref SDS 30 RE9R
040937 -  ..
040938 - Carol and Jo Ann laughed, and said good-by.
040940 -  ..
040941 - Blood test today shows mostly elevated counts across the board except
040942 - for platelets...
040943 -
040944 -                                 Results  Units         Range
040945 -        ..
040946 -       WBC COUNT            H      13.5   K/uL      3.5    -   12.5
040947 -       RED BLOOD CELLS COUNT        4.25  M/uL      3.60   -    5.70
040948 -       HGB                         12.4   g/dL     11.5    -   15.0
040949 -       HEMATOCRIT                  38.0   %        34.0    -   46.0
040950 -       MCV                         89     fL       80      -  100
040951 -       RDW, RBC             H      14.8   %        11.9    -   14.3
040952 -        ..
040953 -       PLATELETS COUNT      L      88     K/uL    140      -  400
040955 -        ..
040956 -       RBC'S
040957 -       MORPHOLOGY              NORMAL
040959 -        ..
040960 -       PLATELETS, BLDG QL
040961 -       MAN CT                DECREASE
040963 -        ..
040964 -       PT                          40.1   Sec       8.2    -   10.6
040965 -       PT INR                       3.7             2.0    -    3.0
040967 -        ..
040968 -       NEUTROPHILS %,
040969 -       AUTOMATED COUNT       H     82     %        41      -   81
040971 -        ..
040972 -       LYMPHOCYTES %,
040973 -       AUTOMATED COUNT       L     11     %        13      -   46
040975 -        ..
040976 -       MONOS %, AUTO                7     %         4      -   12
040978 -        ..
040979 -       EOSINOPHILS %,
040980 -       AUTOMATED COUNT              0     %         0      -    4
040982 -        ..
040983 -       BASOPHILS %,
040984 -       AUTOMATED COUNT              0     %         0      -    1
040986 -        ..
040987 -       NEUTROPHILS, ABSOLUTE,
040988 -       AUTOMATED COUNT       H     11.1   K/uL      2.1    -    7.7
040990 -        ..
040991 -       CA 15-3                   1116     U/mL             <   39
040992 -
040993 -            Arlette called on 100624 1603, and reported results of
040994 -            blood test on 100622.  This is a 500 point increase from
040995 -            the test on 100522, and reported by Doctor Johnson on
040996 -            100606 1604. ref SDS 28 8H5I
040998 -                  ..
040999 -                 [On 100702 1424 Millie received a letter in the mail
041000 -                 dated 100624, from Doctor Johnson transmitting
041001 -                 Kaiser's lab report for Millie's blood test on 100622.
041002 -                 The doctor provides no analysis, nor comment of any
041003 -                 kind except "CA 15-3 1116" is circled in ink.
041004 -                 ref SDS 29 NC3F
041006 -             ..
041007 -            Patient history on cancer marker listed on 090323 1352.
041008 -            ref SDS 1 J13O
041010 -        ..
041011 -       ALT (SGPT)             25      U/L           <  36        ALT
041012 -
041014 -        ..
041015 -       Creatine with GFR
041016 -       Creatinine              0.59   mg/dL         -< 1.11      CREATININE
041018 -          ..
041019 -         Note: Creatinine assay changed to IDMS standardization on
041020 -         February 4, 2008 causing decrease in results of approximately
041021 -         0.09 mg/dL
041023 -        ..
041024 -       GFR Non-Afr Am        >60      mL/min  > 60  -            eGFR if Caucasian     >60      mL/min                      GFRC
041025 -       GFR African AM        >60      mL/min  > 60               eGFR if African Amer  >60      mL/min                      GFRA
041026 -       GFR Note               **
041027 -
041028 -     *************************************************************
041029 -             Not Reported
041030 -     *************************************************************
041032 -        ..
041033 -       BILIRUBIN TOTAL              0.4   mg/dL     0.2    -    1.3
041035 -        ..
041036 -       PLATELETS,BLD,QL, MAN CT     ADEQUATE
041038 -        ..
041039 -       ANISOCYTOSIS                 1+
041040 -       MICROCYTES                   1+
041041 -       MACROCYTES                   1+
041043 -        ..
041044 -       Prealbumin                  17.5   mg/dL    18.0    -   41.0
041046 -        ..
041047 -       Albumin                      4.1   g/dL      3.3    -    4.7
041048 -
041049 -     *************************************************************
041050 -             Reported Lab 100511
041051 -     *************************************************************
041052 -
041053 -
041054 -
041055 -
041056 -
041057 -
041058 -
041059 -
0411 -
0412 -