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 31 0000. ref SDS 30 0000.
080902 -
080903 -
080904 -
080905 -
080906 -
080907 -
080909 -  ..
0810 -
0811 -
0812 - Progress
0813 -
081301 - Millie had blood drawn here at the Chemotherapy Infusion clinic
081302 - this morning.
081304 -  ..
081305 - After getting blood drawn, Millie and I went to the business office
081306 - and made arrangements for Kaiser to transfer medical records to UCSF
081307 - and to Stanford, as shown in another record.
081308 -
081310 -  ..
0814 -
0815 -
0816 - 0953
0817 -
081701 - Went to breakfast at the Hicory Pit on North Main.
081703 -  ..
0818 -
0819 -
0820 - 1043
0822 -    ..
082201 - After breakfast, we went to the Chemo Infusion Clinic to wait for the
082202 - meeting at 1100.
082203 -
082204 -
082205 -
082207 -  ..
0823 -
0824 -
0825 - 1052
0826 -
082601 - Diana is the nurse today.  She said they were ready earlier.
082603 -  ..
082604 - Millie's weight is 140.8 again today.
082606 -  ..
082607 - Vitals not taken prior to treatment, as was done last time.
082608 -
082609 -    Blood pressure:  ... ..
082611 -     ..
082612 -    Pulse........... ..
082614 -     ..
082615 -    Temperature..... ....
082617 -  ..
082618 - Diana and Kathy did an administrative procedure today that verified
082619 - Millie's name and treatment protocol.  They checked Millie's
082620 - identification band to cross-check treatment.
082621 -
082622 -
082623 -
082624 -
082625 -
082626 -
082627 -
0827 -

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 Low Dose Chemotherapy Taxol Adjusted Lower
120603 -
120604 - Follow up ref SDS 31 Q659, ref SDS 30 Q659.
120605 -
120606 - Millie requested report on blood test taken today?
120608 -  ..
120609 - Diana later submitted the report showing...
120610 -
120611 -    Patient   Provider  Category   View      FR Date   To Date
120617 -     ..
120618 -    Procedure              Results             Reference Range
120620 -     ..
120621 -    Log#: 510428101011      041007 09:30 Outpa WCR Req: RA Johnson, MD
120622 -
120623 -                  ** Walnut Creek Medical Center **
120625 -     ..
120626 -    @CBC
120627 -    WBC x 10-3    L          3.3 K/uL           3.5   -     12.5
120628 -    RBC x 10-6              3.85 M/uL           3.60  -      5.10
120629 -    Hemoglobin              12.2 g/dL          11.5   -     15.0
120630 -    Hematocrit              35.8 %             34.0   -     46.0
120631 -    MCV                       93 fL            80.0   -    100.0
120632 -    RDW                     14.2 %             11.9   -     14.3
120633 -    Plt x10-3                248 K/uL         140     -    400
120634 -     ..
120635 -    Neutrophils   L           38 %             50     -     70
120636 -    Lymphocytes               42 %             20     -     50
120637 -    Monocyte       H          13 %              0     -     11
120638 -    Eosinophils    H           6 %              1     -      5
120639 -    Basophil                   2%               0     -      2
120640 -    Bands             NO REPORT  %              0     -      5
120641 -    Alkaline Phos             43 U/L           38     -    126
120642 -    Bili Tot Adult           0.5 mg/dL           .2   -      1.3
120643 -    Creatinine               0.7 mg/dL           .6   -      1.2
120644 -    Manual Diff?         NOT REQ
120645 -    ANC                     1332                      >   1500
120646 -
120648 -     ..
120649 -    CA 15-3                   39 U/mL          -<     -     39
120650 -
120651 -          [On 041014 this part of the test for CA 15-3 was not provided
120652 -          until a week later because there is a lag in report by an
120653 -          outside contractor. ref SDS 34 2N5J
120654 -
120655 -          [On 041014 CA 15-3 was shown "in lab" in the report Kaiser
120656 -          prepared on the blood test today for distribution to obtain
120657 -          2nd opinions. ref SDS 33 SR7I
120659 -     ..
120660 -    Seg Neutrophils   NO REPORT  %             50     -     70
120662 -     ..
120663 -    DIFF Method
120664 -    Anisocytosis      NO REPORT
120665 -    Macrocytes        NO REPORT
120666 -    Plt estimate      NO REPORT
120667 -
120668 -
120669 -
120670 -
120671 -
120672 -
120673 -
120674 -
1207 -

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

1303 -
130401 -  ..
130402 - CA 15-3 Drops Dramatically 39 Down from 49
130403 -
130404 - Follow up ref SDS 31 2N5J, ref SDS 30 2N5J.
130405 -
130406 - Eureka!!   Finally, got CA 15-3 down to target level of 39, per above.
130407 - ref SDS 0 5K6K
130409 -  ..
130410 - This seems to align with favorable CT test report dated 040921, and so
130411 - may help resolve in part the dilemma cited by the doctor during the
130412 - meeting on 041005. ref SDS 32 GJ5M
130413 -
130414 -        [On 041014 this is cited again, getting CA 15-3 down to
130415 -        normal. ref SDS 34 2N5J
130416 -
130417 -
130418 -
130419 -
130420 -
130421 -
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 - 1107
160701 -  ..
160702 - Preparation for Treatment Required One (1) Attempt to Connect Port
160703 -
160704 - Follow up ref SDS 31 EB7J, ref SDS 30 EB7J.
160705 -
160706 - The port connection was done earlier this morning when Millie had
160707 - blood drawn, per above, ref SDS 0 407N, so the procedure did not have
160708 - to be done again.  Saves time and wear and tear on the patient.
160710 -       ..
160711 -      Interlink System Vented Paclitaxel set
160713 -  ..
160714 - Diana brought Compazine pill for nausea.
160716 -  ..
160717 - Diana flushed the port with Saline.
160718 -
160719 -
160721 -  ..
1608 -
1609 -
1610 - 1108
1611 -
161101 - Tagamet and Decadron administered first today prior to Benadryl, and
161102 - prior to Taxol for prevention of allergic reaction.
161103 -
161105 -  ..
1612 -
1613 -
1614 - 1121
1615 -
161501 - Alarm sounds that Tagamet and Decadron treatment completed.
161502 -
161503 - Bonnie, a nurse for another patient checked the equipment and
161504 - found this was a false alarm.  She reset controls so that Benadryl
161505 - would complete.  This took only about 60 seconds, so Bonnie then
161506 - changed the infusio.
161507 -
161509 -  ..
1616 -
1617 -
1618 - 1125
1619 -
161901 - Benadryl infusion started.
161902 -
161904 -  ..
1620 -
1621 -
1622 - 1135
1623 -
162301 - Alarm sounds.
162302 -
162303 - Tagamet and Decadron infusion completed.
162305 -  ..
162306 - Bonnie is in the area.  She switches Millie to a saline drip, which
162307 - seems like a new procedure.
162309 -  ..
162310 - Bonnie asks Diana across the room, if she can start the Avastin?
162312 -  ..
162313 - Diana says to start Avastin.
162314 -
162316 -  ..
1624 -
1625 -
1626 - 1137
1627 -
162701 - Diana arrives
162702 -
162703 -
162704 -
162705 -
1628 -

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

1703 -
1704 - 1137
170501 -  ..
170502 - Taxol Dosage Reduced Because Blood Counts Below Targets
170503 -
170504 - Follow up ref SDS 31 4N5M, ref SDS 30 4N5M.
170505 -
170506 - Diana advised that Taxol has been adjusted from normal of 90 down to
170507 - 65 today, because Millie's ANC blood test is low today.
170509 -  ..
170510 - Taxol is started by Diana.
170511 -
170512 -
170514 -  ..
1706 -
1707 -
1708 - 1137
1709 -
170901 - Vitals taken by Diana...
170902 -
170903 -    Blood pressure:  133 79
170905 -     ..
170906 -    Pulse........... 56
170908 -     ..
170909 -    Temperature..... 98.1
170910 -
170911 -
170912 -
170914 -  ..
1710 -
1711 -
1712 - 1154
1713 -
171301 - Alarm sounds treatment stopped, pending taking vitals.
171302 -
171303 - Bonnie restarts Taxol infusion, and takes blood pressure and
171304 - temperature again.
171305 -
171306 -    Blood pressure:  141 81
171308 -     ..
171309 -    Pulse........... 49
171311 -     ..
171312 -    Temperature..... 98.1
171313 -
171315 -  ..
1714 -
1715 -
1716 - 1211
1717 -
171701 - Alarm sounds.
171702 -
171703 - Bonnie takes blood pressure and temperature again, resets Taxol to
171704 - continue infusion.
171705 -
171706 -    Blood pressure:  149 80
171708 -     ..
171709 -    Pulse........... 47
171711 -     ..
171712 -    Temperature..... 97.5
171713 -
171715 -  ..
1718 -
1719 -
1720 - 1226
1721 -
172101 - Alarm sounds.
172102 -
172103 - Another nurse takes blood pressure and temperature again, resets Taxol
172104 - to continue infusion.
172105 -
172106 -    Blood pressure:  143 86
172108 -     ..
172109 -    Pulse........... 50
172111 -     ..
172112 -    Temperature..... 98.5
172113 -
172114 -
172115 -
172117 -  ..
1722 -
1723 -
1724 - 1240
1725 -
172501 - Taxol completed alarm sounds.
172502 -
172504 -  ..
172505 - Anne takes blood pressure and temperature again.
172506 -
172507 -    Blood pressure:  150 92
172509 -     ..
172510 -    Pulse........... 51
172512 -     ..
172513 -    Temperature..... 99.2
172514 -
172515 -
172516 -
172517 -
172518 -
172519 -
172520 -
1726 -

SUBJECTS
Avastin Treatment Without Blood Pressure Testing

1803 -
1804 - 1241
180501 -  ..
180502 - Avastin Treatment Without Blood Pressure Testing
180503 -
180504 - Follow up ref SDS 31 PV4H, ref SDS 30 PV4H.
180505 -
180506 - Avastin started by Anne.
180507 -
180508 -
180510 -  ..
1806 -
1807 -
1808 - 1310
1809 -
180901 - Avastin completed.
180902 -
180903 - Diana started a flushing op with saline.
180904 -
180905 -
180906 -
180907 -
180908 -
180909 -
1810 -

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 31 F54N, ref SDS 30 F54N.
190505 -
190506 -
190507 -
190508 -
190509 -
190510 -
190511 -
1906 -