THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: May 16, 2005 09:16 AM Monday;
Rod Welch
Millie called the doctor on side effects of Xeloda chemotherapy.
1...Summary/Objective
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CONTACTS
SUBJECTS
Tired Possible Side Effects Treatments Taxotere Xeloda Reported in D
Eyes Tearing Possible Side Effects Treatments Taxotere Xeloda Report
Tingling Left Arm on Side Where Surgery was Performed on Lymph Nodes
Nauseous Queasy Anxious Possible Side Effect Chemotherapy Treatments
0906 -
0906 - ..
0907 - Summary/Objective
0908 -
090801 - Follow up ref SDS 16 0000. ref SDS 15 0000.
090802 -
090803 -
090804 -
090806 - ..
0909 -
0910 -
0911 - Progress
0912 -
091201 - Millie talked to an advice nurse in the oncology department.
091202 -
091203 - Millie confirmed the report to Kaiser on 050514 that severity of side
091204 - effects have suddenly escalated. ref SDS 16 QC8M
091206 - ..
091207 - Millie explained that taking capecitabine (Xeloda) has turned out to
091208 - be very difficult to tolerate. She feels terrible, like the "walking
091209 - dead," beyond constant tearing of her eyes, and blistering of her feet
091210 - that led to recently stopping treatment on Saturday, 050514.
091211 - ref SDS 16 RU9M
091213 - ..
091214 - She said it would be better to just die than continue with this
091215 - treatment. She might consider taking capecitabinve (Xeloda) on a
091216 - reduced treatment level, but wants to take a break until meeting with
091217 - the doctor on 050520.
091218 -
091219 - [On 050520 dramatic improvement after 2 cycles of treatment with
091220 - Taxotere and capecitabine (Xeloda), ref SDS 17 025H, despite
091221 - temporarily stopping treatments beginning on 050514 due to severe
091222 - side effects, ref SDS 16 RU9M; on 050520 treatment dose for
091223 - capecitabine (Xeloda) reduced to reduce side effects. ref SDS 17
091224 - NT3I
091226 - ..
091227 - [On 050729 side effects escalate, very difficult to tolerate
091228 - again, even with 25% reduced dose on 050520, ref SDS 18 DS5J,
091229 - doctor maintains strength of capecitabine (Xeldoa) for two (2)
091230 - more treatments to guard against another relapse. ref SDS 18 VP4N
091232 - ..
091233 - [On 050729 Vivian, the pharmacist, explained strategy to start
091234 - patients with maximum strength of capecitabine (Xeloda), then
091235 - experiment to reduce the dose down to a level patients can
091236 - tolerate. ref SDS 19 407N
091238 - ..
091239 - [On 061201 1530 doctor proposes treatment with Navelbine or
091240 - Genzar; advises side effects similar to capeticabine. ref SDS 20
091241 - JK6I
091243 - ..
091244 - The advice nurse renewed guidance for Millie to stop taking Xeloda
091245 - until further notice from the doctor. The advice nurse said she will
091246 - notify the doctor of Millie's condition.
091248 - ..
091249 - Today, the blisters on Millie's feet seem less severe. The feet are
091250 - much less red (inflamed) after stopping treatments with capecitabine
091251 - (Xeloda) on 050514. ref SDS 16 QC4E
091253 - ..
091254 - Yesterday evening we put another coat of balm medication on the
091255 - blistered feet, following up work on 050514. ref SDS 16 PQ3U
091257 - ..
091258 - This morning, Millie put more balm on her feet.
091259 -
091260 - [On 050729 Vivian, the pharmacist, suggested using generous
091261 - amounts of balm and wearing socks overnight while sleeping to
091262 - maximize treatment of blisters on the feet. ref SDS 19 S23H
091264 - ..
091265 - We discussed opportunities for reducing the dosage of Xeloda from the
091266 - current regimine of 2 pills twice a day for 2 weeks in order to reduce
091267 - side effects while maintaining treatment. Possibilities include...
091268 -
091269 - 2 pills once a day, and 1 pill once a day.
091270 -
091271 - 1 pill twice a day.
091273 - ..
091274 - 1 pill twice a day for only 1 week.
091276 - ..
091277 - 2 pills every other day.
091279 - ..
091280 - 1 pill every other day.
091281 -
091282 -
091283 -
091284 -
091285 -
091286 -
091287 -
091288 -
0913 -