CONTACTS 

SUBJECTS
Chemotherapy Taxol Avastin Bevacizamub VEGF Treatments Begin Today 2
Blood Tests Cause Big Welt on Right Forearm Difficulty Finding Vein
Difficulty Finding Vein Blood Tests Cause Big Welt on Right Forearm
Port Catheter Not Used Blood Tests Difficulty Finding Vein Cause Big
Blood Tests Cause Big Welt on Right Forearm Difficulty Finding Vein

0807 -
0807 -    ..
0808 - Summary/Objective
0809 -
080901 - Follow up ref SDS 22 0000. ref SDS 21 0000.
080902 -
080903 -
080904 -
080906 -  ..
0810 -
0811 -
0812 - Progress
0813 -
081301 - Anne is the nurse today.
081303 -  ..
081304 - Millie had blood drawn here at the Chemotherapy Infusion clinic
081305 - yesterday.
081306 -
081308 -  ..
0814 -
0815 -
0816 - 1347
0817 -
081701 - Glutamine Procedures Clarified to Reduce Side Effects Taxol
081702 -
081703 - Follow up ref SDS 22 019A.
081704 -
081705 - Rosalie visited.
081706 -
081707 - Millie needs clarification on treatment protocol for Glutamine,
081708 - recommended by Rosalie last week on 040722. ref SDS 22 019A
081710 -  ..
081711 - Rosaile said to take Glutamine the day before treament, the day of
081712 - treament and for two days after.
081714 -  ..
081715 - She, also, advised that patients may feel some tingling sensations
081716 - after Taxol treatments, which indicates the Glutamine is having an
081717 - effect.
081718 -
081719 -
081721 -  ..
081722 - Schedule Meeting with the Doctor to Start Next Cycle on Aug 12
081723 -
081724 - Rosalie will visit with the doctor, when he returns from vacation, to
081725 - schedule a meeting with Millie prior to the next treatment on 040812,
081726 - as required by the protocol for Avastin, previously submitted by
081727 - Rosalie on 040318. ref SDS 1 P13J
081728 -
081729 -     [On 040807 submitted letter requesting time of meeting with the
081730 -     doctor on 040812. ref SDS 23 0001
081732 -      ..
081733 -     [On 040811 Millie submitted a follow up letter to request the time
081734 -     of the meeting. ref SDS 24 0001
081735 -
081737 -  ..
081738 - Persistant Coughing Normal Side Effect of Taxol Chemotherapy
081739 -
081740 - Rosalie feels that persistant coughing Millie is experiencing aligns
081741 - with normal side effects of chemotherapy.
081743 -  ..
081744 - Rosalie, also, feels that getting tired and low energy is another side
081745 - effect of chemotherapy.
081747 -  ..
081748 - Rosalie indicated these symptoms do not require investigation at this
081749 - time, similar to the report last week of pain that lasted for 20
081750 - minutes along the left side of the head, and extending down the neck
081751 - and to the arm. ref SDS 22 IT53
081752 -
081753 -
081754 -
081755 -
081756 -
081757 -
081758 -
081759 -
0818 -

SUBJECTS
Blood Tests White Cell Count Good 2nd Cycle 1st Treatment Chemothera
Urine Tests No Evident Problems
Blood Test Results Pass for Treatment

1205 -
120601 -  ..
120602 - Blood Counts Normal Dose Chemotherapy Taxol Adjusted Lower
120603 -
120604 - Follow up ref SDS 22 Q659, ref SDS 21 Q659.
120605 -
120606 - Millie requested report on blood test taken yesterday?
120608 -  ..
120609 - Barbara later submitted the report showing...
120610 -
120611 -    Patient   Provider  Category   View      FR Date   To Date
120617 -     ..
120618 -    Procedure              Results             Reference Range
120620 -     ..
120622 -
120623 -                  ** Walnut Creek Medical Center **
120625 -     ..
120626 -    @CBC
120627 -    WBC x 10-3               5.0 K/uL           3.5   -     12.5
120628 -    RBC x 10-6    L         3.33 M/uL           3.60  -      5.10
120629 -    Hemoglobin              11.0 g/dL          11.5   -     15.0
120630 -    Hematocrit    L         31.8 %             34.0   -     46.0
120631 -    MCV                       96 fL            80.0   -    100.0
120632 -    RDW           H         14.2 %             11.9   -     14.3
120633 -    Plt x10-3                211 K/uL         140     -    400
120634 -     ..
120635 -    Neutrophils   L           46 %             50     -     70
120636 -    Lymphocytes               39 %             20     -     50
120637 -    Monocyte                   3 %              0     -     11
120638 -    Eosinophil    H           11 %              0     -      4
120639 -    Basophil                   2 %              0     -      2
120640 -    Manual Diff?         NOT REQ
120642 -     ..
120643 -    CA 15-3       H           43 U/mL          -<     -     39
120644 -
120645 -
120646 -
120647 -
1207 -

SUBJECTS
CA 15-3 78 Smaller Rise than 10 Points Reported on 040318

1303 -
130401 -  ..
130402 - CA 15-3 Drops Again from 55 to 47
130403 -
130404 - Follow up ref SDS 22 2N5J, ref SDS 21 2N5J.
130405 -
130406 - Drops to 43 from 47, ref SDS 0 5K6K, reversing abrupt rise reported on
130407 - 040713. ref SDS 21 2N5J
130408 -
130409 -
130410 -
130411 -
130412 -
130413 -
1305 -

SUBJECTS
Prepare for Treatment Connect Equipment for Port Catheter
Tagiment Dexatron Administered to Prevent Alergic Reaction to Taxol
Port Catheter Required 3 Tried to Connect Infusion Equipment Prepare

1605 -
1606 - 1312
160701 -  ..
160702 - Preparation for Treatment Required One (1) Attempt to Connect Port
160703 -
160704 - Follow up ref SDS 22 EB7J, ref SDS 21 EB7J.
160705 -
160706 - Anne was effective connecting the port to the equipment that links
160707 - to the infusion tubing.
160709 -  ..
160710 - There was initial difficulty getting blood to flow from the port.
160711 - Millie explained that yesterday, when blood was drawn for the report
160712 - prior to treatment today, they had to flush the port 3 times
160713 - yesterday in order to get blood to flow.
160715 -  ..
160716 - After 4 or 5 attempts to use the "pump" that is part of the port
160717 - connection equipment
160719 -  ..
160720 - She reported that blood flows normally today from the port.
160722 -  ..
160723 - Anne brought Compazine pill for nausea.
160724 -
160725 -
160726 -
160728 -  ..
1608 -
1609 -
1610 - 1324
1611 -
161101 - Saline flush done today.
161102 -
161103 -
161105 -  ..
161106 - Vitals taken by Anne...
161107 -
161108 -    Blood pressure:  133 77
161110 -     ..
161111 -    Pulse........... 56
161113 -     ..
161114 -    Resperation.....
161115 -
161116 -
161117 -
161118 -
161120 -  ..
1612 -
1613 -
1614 - 1325
1615 -
161501 - Benadryl started.
161502 -
161503 -
161505 -  ..
1616 -
1617 -
1618 - 1337
1619 -
161901 - Benadryl completed alarm sounds.
161902 -
161903 -
161904 -
161906 -  ..
1620 -
1621 -
1622 - 1339
1623 -
162301 - Tagamet and Decadron administered prior to Taxol for prevention of
162302 - allergic reaction.
162303 -
162304 -
162306 -  ..
1624 -
1625 -
1626 - 1353
1627 -
162701 - Alarm sounds Tagamet and Decadron complete.
162703 -  ..
162704 - Millie seems more alert today after Benadryl.  Not sleepy, not
162705 - slurred speech.
162707 -  ..
162708 - Seems different from last week.
162709 -
162710 -
162711 -
1628 -

SUBJECTS
Taxol Treatment Delayed 30 Minutes Because Lab Has Not Prepared Trea

1703 -
1704 - 1354
170501 -  ..
170502 - Taxol Dosage Normal Because Blood Counts Above Targets
170503 -
170504 - Follow up ref SDS 22 4N5M, ref SDS 21 4N5M.
170505 -
170506 - Taxol is started by Anne
170508 -  ..
170509 - Anne advised dosage is normal today, because blood counts are normal
170510 - again, per above, ref SDS 0 0N7Q, continuing conditions from treatment
170511 - on 040629. ref SDS 20 4N5M
170512 -
170513 -
170514 -
170516 -  ..
1706 -
1707 -
1708 - 1411
1709 -
170901 - Vitals taken by Tony...
170902 -
170903 -    Blood pressure:  142 80
170905 -     ..
170906 -    Pulse........... 58
170908 -     ..
170909 -    Resperation.....
170910 -
170912 -  ..
170913 - Speech a little slurred now, feeling effects of Benadryl; but, still
170914 - not sleepy nor cold.  Has not requested a blanket.
170915 -
170916 -
170917 -
170919 -  ..
1710 -
1711 -
1712 - 1429
1713 -
171301 - Anne takes blood pressure and temperature again.
171302 -
171303 -    Blood pressure:  143 78
171305 -     ..
171306 -    Pulse........... 55
171308 -     ..
171309 -    Resperation.....
171311 -     ..
171312 -    Temperature..... 99.4
171313 -
171314 -
171316 -  ..
1714 -
1715 -
1716 - 1445
1717 -
171701 - Vitals again by Anne
171702 -
171703 -    Blood pressure:  163 69
171705 -     ..
171706 -    Pulse........... 56
171708 -     ..
171709 -    Resperation.....
171711 -     ..
171712 -    Temperature..... 99.2
171713 -
171715 -  ..
171716 - Anne will check on preparing Avastin so the treatment is available
171717 - when Taxol completes in about 15 minutes.
171718 -
171719 -
171721 -  ..
1718 -
1719 -
1720 - 1458
1721 -
172101 - Taxol completed alarm sounds.
172102 -
172103 -
172104 -
172105 -
172106 -
172107 -
1722 -

SUBJECTS
Avastin Treatment Without Blood Pressure Testing

1803 -
1804 - 1458
180501 -  ..
180502 - Avastin Treatment Without Blood Pressure Testing
180503 -
180504 - Follow up ref SDS 22 PV4H, ref SDS 21 PV4H.
180505 -
180506 - Diana starts to set up Avastin, but Anne arrives and completes the
180507 - task.
180508 -
180510 -  ..
1806 -
1807 -
1808 - 1459
1809 -
180901 - Vitals again by Anne
180902 -
180903 -    Blood pressure:  137 73
180905 -     ..
180906 -    Pulse........... 55
180908 -     ..
180909 -    Resperation.....
180911 -     ..
180912 -    Temperature..... 98.5
180913 -
180915 -  ..
1810 -
1811 -
1812 - 1520
1813 -
181301 - Millie falling asleep.
181302 -
181303 -
181305 -  ..
1814 -
1815 -
1816 - 1530
1817 -
181701 - Avastin complete alarm sounds.
181702 -
181703 -
181704 -
181705 -
181706 -
1818 -

SUBJECTS
Tired Wobbly on Feet after Treatment In Asleep by 1900

1903 -
1904 - 1537
190501 -  ..
190502 - Alert Energetic After Treatment Marked Change from Prior Treatments
190503 -
190504 - Follow up ref SDS 22 F54N, ref SDS 21 F54N.
190505 -
190506 -
190507 -
190508 -
190509 -
190510 -
190511 -
1906 -