THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net
S U M M A R Y
DIARY: July 24, 2006 08:11 AM Monday;
Rod Welch
Millie went to exercise class, shopping but feeling effects of chemo.
1...Summary/Objective
2...Effectiveness Treatment IBC Recurrence Left Breast
3...Xeloda Taxotere Effectiveness Treating IBC and Side Effects
4...Chemotherapy Taxotere Capecitabine Effectiveness Treating IBC
5...Case Study Side Effects Chemotherapy Taxotere Capecitabine Xeloda
..............
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CONTACTS
SUBJECTS
Lousy Weak Feeling Bad 3 Days After Chemotherapy Went to Exercise Cl
1103 -
1103 - ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 15 0000, ref SDS 14 0000.
110502 -
110503 - Millie is not feeling well this morning due to effects of chemotherapy
110504 - treatments begun on 060721. ref SDS 14 0001
110506 - ..
110507 - Yesterday, there was a bowel accident while driving to go shopping.
110508 - Had to rush home. We got everything cleaned up, and then got back in
110509 - the car and accomplished goals to go shopping.
110511 - ..
110512 - This morning despite feeling really lousy from treatment with Taxotere
110513 - and capecitabine (Xeloda), and reported previously on 050712,
110514 - ref SDS 10 QB7K, and earlier on 050520, when dosage of treatment was
110515 - reduced to make chemotherapy tolerable, ref SDS 8 NT3I, decided to go
110516 - to exercise class again today and do as much as possible. Will do
110517 - more shopping on the way home, following the doctor's advice to keep
110518 - active, during chemotherapy treatments, reviewed on 060722.
110519 - ref SDS 15 KT8G
110520 -
110522 - ..
1106 -
1107 -
1108 - 1230
1109 -
110901 - Millie resting.
110902 -
110903 -
110904 -
110905 -
1110 -
SUBJECTS
Diary Side Effects Chemotherapy Phase 2 Taxotere Capecitabine (Xelod
1303 -
130401 - ..
130402 - Effectiveness Treatment IBC Recurrence Left Breast
130403 - Xeloda Taxotere Effectiveness Treating IBC and Side Effects
130404 - Chemotherapy Taxotere Capecitabine Effectiveness Treating IBC
130405 - Case Study Side Effects Chemotherapy Taxotere Capecitabine Xeloda
130406 -
130407 - On 050415 Zan, the Pharmacist, recommended keeping a diary to report
130408 - chemotherapy effectiveness that assists the doctor in adjusting
130409 - treatment. ref SDS 6 2W6I The record on 050422 summarizes Millie's
130410 - diary of side efforts for treatment last year with Taxotere and
130411 - capecitabine (Xeloda). ref SDS 7 VE68
130413 - ..
130414 - Today, Vickie at Kaiser called Millie to ask about side effects.
130416 - ..
130417 - This record will maintain a similar summary of diaries on coping with
130418 - side effects from the 2nd phase of treatment with Taxoter and
130419 - capecitabine (Xeloda), prescribed during a meeting at Kaiser on
130420 - 060711, ref SDS 12 PF3O, and begun on 060721. ref SDS 14 0001
130421 -
130422 - 1. Tired wobbly after first
130423 - treatment; slightly disoriented
130424 - from combination of drugs;
130425 - could not drive home; went to
130426 - bed after dinner about
130427 - 1800............................. 060721, ref SDS 14 F54N
130429 - ..
130430 - 2. Millie went to exercise class;
130431 - made potato salad and had
130432 - dinner with her family and
130433 - grandchildren.................... 060722, ref SDS 15 0001
130435 - ..
130436 - 3. Son reports doctor found genetic
130437 - cause of pulmonary emboli
130438 - recurrence on 060714; may relate
130439 - to Millie's treatment if
130440 - Coumadin prescribed.............. 060722, ref SDS 15 3D9T
130442 - ..
130443 - 4. Went shopping; had physical
130444 - difficulties..................... 060723, ref SDS 0 UF6N
130446 - ..
130447 - 5. Feeling lousy; went to exercise
130448 - class, and then shopping;
130449 - took nap from 1230 to
130450 - 1600............................. 060724, ref SDS 0 LG7I
130452 - ..
130453 - 6. Kaiser requested feedback on
130454 - side effects of chemotherapy..... 060724, ref SDS 17 0001
130455 - submitted this diary per
130456 - guidance from Pharmacist......... 060724, ref SDS 0 QX8K
130458 - ..
130459 - 7. Work - going into office;
130460 - feeling stronger this morning
130461 - 4 days after starting
130462 - chemotherapy..................... 060725, ref SDS 18 0001
130464 - ..
130465 - 8. Energetic, positive mental
130466 - frame 7 days after starting
130467 - Taxotere, and continuing to
130468 - take 1500 MG capecitabine
130469 - (Xeloda) per day................. 060726, ref SDS 19 0001
130471 - ..
130472 - 9. Physically recovered from side
130473 - effects 1st cycle chemotherapy
130474 - treating IBC relapse; going to
130475 - exercise class, strong,
130476 - energetic........................ 060806, ref SDS 20 7Q8H,
130478 - ..
130479 - 10. Feeling lousy at work 3 days
130480 - after treatment on 060814
130481 - switched to Monday for
130482 - experiment; body aching all
130483 - over; eyes tearing, and nose
130484 - running.......................... 060817, ref SDS 21 7Q8H
130486 - ..
130487 - 11. Still not recovered from chemo
130488 - side effects 5 days ago on
130489 - 060814; day off work; slept
130490 - most of the day; went to dinner
130491 - with friend, home by 1930, and
130492 - asleep at 2018................... 060818, ref SDS 21 7Q8H
130494 - ..
130495 - 12. Side effects moderate report
130496 - to pharmacist; dry hands, loose
130497 - bowels, no diarrea; nausea,
130498 - queazy stomache.................. 060908, ref SDS 22 QU8K
130500 - ..
130501 - 13. Patient falls at BART station due
130502 - to fatigue, dizziness, shortness
130503 - of breath; injures finger on left
130504 - hand causing lymphedema on
130505 - left arm to increase
130506 - significantly.................... 060914, ref SDS 23 ZQ5I
130508 - ..
130509 - 14. Breathing difficult, heavy chest,
130510 - tired; previously caused by
130511 - pulmonary emboli, reported on
130512 - 041104, ref SDS 5 N43I, other
130513 - side effects moderate - nausea
130514 - queazy stomache solved eating
130515 - small amounts food throughout
130516 - the day.......................... 060929, ref SDS 24 QU8K
130518 - ..
130519 - 15. Pulmonary emboli recurrence
130520 - diagnosed by CT test; Millie must
130521 - resume treatment previously ended
130522 - on 051007........................ 061002, ref SDS 26 MI5I
130524 - ..
130525 - 16. Fatigue, shortness of breath
130526 - continues; less severe after
130527 - starting treatment for pulmonary
130528 - emboli........................... 061020, ref SDS 27 SK9O
130530 - ..
130531 - 17. Dry hands cracking and bleeding
130532 - at cuticals...................... 061020, ref SDS 27 UM32
130534 - ..
130535 - 18. Nausea queasy stomache relieved
130536 - by eating small amounts of
130537 - food throughout the
130538 - day.............................. 061020, ref SDS 27 D19M
130540 - ..
130541 - 19. Past few days coughing more than
130542 - usual; also begun to clear throat
130543 - noticably more often, similar to
130544 - symptoms in 2004 that later were
130545 - diagnosed as PE.................. 061108, ref SDS 29 VR6F
130547 - ..
130548 - 20. Fatigue, tired, shortness of
130549 - breath, heavy chest with normal
130550 - activity, dry hands, cracked,
130551 - and bleeding, reported to
130552 - Kaiser........................... 061110, ref SDS 30 SK9O
130554 - ..
130555 - 21. Fatigue, tired, shortness of
130556 - breath, heavy chest with normal
130557 - activity, dry hands, cracked,
130558 - and bleeding, nails separating
130559 - from fingers and toes, and eyes
130560 - tearing, reported to
130561 - Kaiser........................... 061201, ref SDS 31 SK9O
130563 - ..
130564 - 22. Millie feels very badly from
130565 - side effects of chemotherapy
130566 - beginning on Friday, 061201,
130567 - with Taxotere, and continuing
130568 - with capecitabine (Xeloda) for
130569 - the next several
130570 - weeks............................ 061204, ref SDS 32 F45O
130572 - ..
130573 - 23. Debilitating side effects of
130574 - chemotherapy very difficult
130575 - on 3rd and 4th days after
130576 - treatment; Millie slept most
130577 - of this time..................... 061205, ref SDS 33 343F
130579 - ..
130580 - 24. Cetuximab start new treatment no
130581 - side effects, energy normal after
130582 - treatment........................ 070201, ref SDS 34 QX8K
130584 - ..
130585 - 25. Millie has significantly increased
130586 - energy, working out in the
130587 - gym.............................. 070204, ref SDS 35 HF5H
130589 - ..
130590 - 26. Cetuximab 2nd treatment still no
130591 - side effects of low energy,
130592 - continues to feel
130593 - stronger......................... 070208, ref SDS 36 F54N
130595 - ..
130596 - 27. Millie playing tennis, working out
130597 - at the gym with increased energy
130598 - and strength, indicating no side
130599 - effects from cetuximab
130600 - treatments....................... 070218, ref SDS 37 N05H
130602 - ..
130603 - 28. Cetuximab 5th treatment side
130604 - effects of low energy seems to
130605 - be occurring the past week or
130606 - so; Millie starting to feel
130607 - weaker........................... 070301, ref SDS 38 F54N
130609 - ..
130610 - 29. Cetuximab 6th treatment energy and
130611 - strength recovering, eliminating
130612 - side effects of low energy the
130613 - week before Millie now feeling
130614 - stronger......................... 070308, ref SDS 39 F54N
130616 - ..
130617 - 30. Cetuximab 9th treatment still no
130618 - side effects of low energy,
130619 - continues to feel
130620 - stronger......................... 070329, ref SDS 40 F54N
130622 - ..
130623 - 31. IBC progression of disease requires
130624 - adding Carboplatin chemotherapy to
130625 - cetuximab on clinical trial
130626 - at UCSF.......................... 080219, ref SDS 41 3J4I
130628 - ..
130629 - 32. Worry stress anxiety about suffering
130630 - debilitating side effects fatigue loss
130631 - of energy reducing exercise ability
130632 - to maintain blood counts cause
130633 - significant emotional trauma about
130634 - starting treatment adding
130635 - chemotherapy Carboplatin to
130636 - cetuximab........................ 080219, ref SDS 41 I35G
130638 - ..
130639 - 33. Worry about loss of energy and
130640 - quality of life delays adding
130641 - chemotherapy Carboplatin to
130642 - clinical trial study
130643 - regimen.......................... 080306, ref SDS 42 7V6M
130645 - ..
130646 - 34. Millie reported burst of energy
130647 - after treatment with Carboplatin
130648 - chemotherapy increasing exercise
130649 - more than any time in the
130650 - past 4 years..................... 080402, ref SDS 43 Q25V
130652 - ..
130653 - 35. Millie thrilled improvement recovering
130654 - from IBC disease; energy and exercise
130655 - have increased despite adding Carboplatin
130656 - chemotherapy to cetuximab for the
130657 - clinical trial regimen; reduced
130658 - emotional trauma from stress,
130659 - anxeity, doubt, and
130660 - worry about the
130661 - future........................... 080409, ref SDS 44 W14P
130662 -
130663 -
130664 -
130665 -
130666 -
130667 -
130668 -
130669 -
130670 -
130671 -
130672 -
130673 -
130674 -
130675 -
130676 -
1307 -