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 32 0000. ref SDS 31 0000.
080902 -
080903 -
080904 -
080905 -
080906 -
080908 -  ..
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 lunch.
081307 -  ..
081308 - After lunch, Millie went to the Cemotherapy Clinic, and I went back to
081309 - the Nuclear Medicine department to correct the problem with submission
081310 - of medical records for review at UCSF and at Stanford.
081311 -
081312 -
081314 -  ..
0814 -
0815 -
0816 - 1315
0817 -
081701 - Anne is the nurse today.
081703 -  ..
081704 - Millie's weight is 139.4 today.
081706 -  ..
081707 - Since I was gone most of the time fixing problems with assembling
081708 - medical records, this record does capture all of the activity for
081709 - treatment today.
081710 -
081711 -
081712 -
081713 -
081714 -
081715 -
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 Good Dose Chemotherapy Taxol Normal
120603 -
120604 - Follow up ref SDS 32 Q659, ref SDS 31 Q659.
120605 -
120606 - Millie requested report on blood test taken today?
120608 -  ..
120609 - Anna later submitted the report showing...
120610 -
120611 -    Patient   Provider  Category   View      FR Date   To Date
120617 -     ..
120618 -    Procedure              Results             Reference Range
120620 -     ..
120621 -    Log#: 510426701852      040923 12:10 Outpa WCR Req: RA Johnson, MD
120622 -
120623 -                  ** Walnut Creek Medical Center **
120625 -     ..
120626 -    @CBC
120627 -    WBC x 10-3               4.7 K/uL           3.5   -     12.5
120628 -    RBC x 10-6              3.76 M/uL           3.60  -      5.10
120629 -    Hemoglobin              11.9 g/dL          11.5   -     15.0
120630 -    Hematocrit              35.0 %             34.0   -     46.0
120631 -    MCV                       93 fL            80.0   -    100.0
120632 -    RDW                     13.9 %             11.9   -     14.3
120633 -    Plt x10-3                262 K/uL         140     -    400
120634 -     ..
120635 -    Neutrophils   L           40 %             50     -     70
120636 -    Lymphocytes               45 %             20     -     50
120637 -    Monocyte                   2 %              0     -     11
120638 -    Eosinophils    H          11 %              1     -      5
120639 -    Basophil                   1%               0     -      2
120640 -    Bands                      1 %              0     -      5
120641 -    Manual Diff?         NOT REQ
120643 -     ..
120644 -    CA 15-3              NO REPORT             -<     -     39
120646 -     ..
120647 -    Seg Neutrophils  L        40 %             50     -     70
120649 -     ..
120650 -    DIFF Method
120651 -    Anisocytosis               1+
120652 -    Macrocytes                 1+
120653 -    Plt estimate         Adequate
120654 -
120655 -
120656 -
120657 -
120658 -
120659 -
120660 -
120661 -
1207 -

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

1303 -
130401 -  ..
130402 - CA 15-3 Drops from 49 to Normal at 39, Lowest Reading Ever
130403 -
130404 - Follow up ref SDS 32 2N5J, ref SDS 31 2N5J.
130405 -
130406 - Today, we got the report for CA 15-3 that was part of the blood test
130407 - last week on 041007; it shows 39, down from 49 on the prior report.
130408 - ref SDS 32 5K6K  Since this was not in the original report on 041007,
130409 - Millie asked the nurse to print the report to update the record for
130410 - 2nd opinion consultations next week.
130411 -
130412 -        [On 041014 CA 15-3 was shown "in lab" in the report Kaiser
130413 -        prepared on the blood test today for distribution to obtain
130414 -        2nd opinions. ref SDS 33 SR7I
130416 -         ..
130417 -        [On 041018 Doctor Benz requested blood test report for
130418 -        041007 showing results for CA 15-3 39 to authenticate
130419 -        conversation that conveys the gist of patient history
130420 -        during 2nd opinion consultation, and to verify accuracy for
130421 -        a written analysis issued by UCSF. ref SDS 34 L16Q
130423 -  ..
130424 - CA 15-3 was not part of the test today, per above. ref SDS 0 Q659
130426 -  ..
130427 - This is a good start on the goal to achieve a distinct trend down and
130428 - below 39 for a period of a few months, cited by the doctor during the
130429 - meeting on 040812 as criteria showing remission. ref SDS 25 CT9J
130430 -
130431 -
130432 -
130433 -
130434 -
130435 -
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 32 EB7J, ref SDS 31 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 - Anne brought Compazine pill for nausea.
160716 -  ..
160717 - Anne flushed the port with Saline.
160718 -
160719 -
160720 -
160721 -
160722 -
1608 -

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

1703 -
1704 - 1137
170501 -  ..
170502 - Taxol Dosage Normal Because Blood Counts Above Targets
170503 -
170504 - Follow up ref SDS 32 4N5M, ref SDS 31 4N5M.
170505 -
170506 - Anne advised that Taxol has been adjusted back to normal of 90, up
170507 - from 65 last week, because Millie's blood counts are all good.
170509 -  ..
170510 - Taxol is started by Anne.
170511 -
170513 -  ..
170514 - Vitals...
170515 -
170516 -    Blood pressure..
170518 -     ..
170519 -    Pulse...........
170521 -     ..
170522 -    Temperature.....
170524 -  ..
170525 - I arrived late and so there is no detailed record on vitals, except
170526 - Anned commented that Millie's blood pressure has been consistently low
170527 - today.
170528 -
170530 -  ..
170531 - Taxol completed alarm sounds.
170532 -
170533 -
170534 -
170535 -
1706 -

SUBJECTS
Avastin Treatment Without Blood Pressure Testing

1803 -
1804 - 1241
180501 -  ..
180502 - Avastin Treatment Without Blood Pressure Testing
180503 -
180504 - Follow up ref SDS 32 PV4H, ref SDS 31 PV4H.
180505 -
180506 - Not given today.
180507 -
180508 -
180509 -
1806 -

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