CONTACTS 

SUBJECTS
15th Cycle Treatment Taxotere Xeloda Capacitibine Chemotherapy 7th C

0503 -
0503 -    ..
0504 - Summary/Objective
0505 -
050501 - Follow up ref SDS A5 0000. ref SDS A2 0000.
050502 -
050503 - Treatment with Taxotere starts another 3-week cycle with capecitabine.
050504 - Blood counts are still pretty good, ref SDS 0 P560, and INR for
050505 - pulmonary embolism is okay on the high side, requiring moderating
050506 - Coumadin treatments. ref SDS 0 SE6N  CA 15-3 cancer marker keeps
050507 - rising further indicating the treatment protocol is becoming less
050508 - effective. ref SDS 0 2N5J  Hemoglobin is good, so treatment with
050509 - Procrit was not continued. ref SDS 0 LA5M  Masha submitted a letter on
050510 - instructions for taking Procrit 3 weeks ago.  Ing-Jeong Kim did a good
050511 - job presenting pharmacy issues, including review of side effects.
050512 - ref SDS 0 TZ4I  Abigail the nurse today was excellent setting up
050513 - treatment with Taxotere. ref SDS 0 P66O  After treatment, Millie felt
050514 - well enough to drive home. ref SDS A5 F54N
050515 -
050516 -    [On 070218 energy increases, shortness of breath, fatigue,
050517 -    weakness subside 10 weeks after ending treatment for 3rd
050518 -    relapse of IBC with Taxotere and cacecitabine; Millie is
050519 -    exercising in the gym again, playing tennis 2 days her pulse
050520 -    reached 144. ref SDS A8 N05H
050521 -
050522 -
050524 -  ..
0506 -
0507 -
0508 - Progress
0509 -
050901 - Treatment Regular 3 Week Schedule Steady Level Chemotherapy Agent
050902 -
050903 - Follow up ref SDS A5 407N, ref SDS A2 407N.
050904 -
050905 - Abigail brought Millie into the Infusion Clinic at 1445, about 15
050906 - minutes behind schedule.
050908 -  ..
050909 - Received treatment to begin 15th cycle overall of chemotherapy with
050910 - Taxotere and capecitabine (Xeloda), and the 7th treatment for 3rd
050911 - relapse of IBC.
050912 -
050913 -      1.  Cycle 09 and 01 for relapse........ 060721, ref SDS 85 407N
050914 -      2.  Cycle 10 and 02 for relapse........ 060814, ref SDS 93 LY6O
050915 -      3.  Cycle 11 and 03 for relapse........ 060908, ref SDS 96 407N
050916 -      4.  Cycle 12 and 04 for relapse........ 060929, ref SDS 98 407N
050917 -      5.  Cycle 13 and 05 for relapse........ 061020, ref SDS A2 407N
050918 -      6.  Cycle 14 and 06 for relapse........ 061110, ref SDS A5 407N
050919 -      7.  Cycle 15 and 07 for relapse........ 061201, ref SDS 0 407N
050920 -
050924 -  ..
050925 - Millie had a blood draw yesterday afternoon, Thursday, 061130.
050927 -  ..
050928 - As reported in another record, the primary care physician came into
050929 - the Infusion Clinic and asked Abigail to create a transaction in
050930 - Kaiser's computer system that schedules Millie to meet with the doctor
050931 - today. ref SDS A7 QS5N  The doctor said he would notify the nurse in
050932 - half an hour or so to bring Millie into the Oncology Clinic for the
050933 - meeting while she is getting treatment with Taxotere, as was done
050934 - previously on 060929. ref SDS 98 SB8G
050935 -
050936 -
050937 -
050938 -
050939 -
050940 -
050941 -
0510 -

SUBJECTS
Side Effects Consultation Pharmacist Tired Fatigue Heavy Chest Short

1603 -
160401 -  ..
160402 - Breathing Difficulty Heavy Chest Pulmonary Emboli Side Effects
160403 - Side Effects Consultation Pharmacist Heavy Chest Difficult Breathing
160404 -
160405 - Follow up ref SDS A5 QU8K, ref SDS A2 QU8K.
160406 -
160407 - On 060724 diary showing history of side effects for 2nd phase taking
160408 - Taxotere and capecitabine (Xeloda). ref SDS 87 QX8K
160410 -  ..
160411 - Millie met with the pharmacist, Ing-Juong Kim, briefly while getting
160412 - Taxotere treatment in the Infusion Clinic, examination per below, and
160413 - notified of rising side effects. ref SDS 0 TZ4I
160415 -             ..
160416 -            Tired, fatigued - pulmonary emoblism...
160417 -
160418 -               Millie's energy continues lower than normal for
160419 -               chemotherapy treatments; as reported previously on
160420 -               061110, chronic fatigue prevents routine exercise at the
160421 -               gym, ref SDS A5 SK9O, after starting Coumadin on 061002
160422 -               for treating pulmonary embolism. ref SDS A2 SK9O
160423 -               Fatigue continues after 3 weeks of treatment with
160424 -               Procrit prescribed on 061110 to increase hemoglobin that
160425 -               causes anemia. ref SDS A5 DT7O  Blood counts today show
160426 -               hemoglobin is now within target range, but symptoms of
160427 -               pulmonary embolism, and side effects of chemotherapy
160428 -               continue, as reported a few days ago on 061108.
160429 -               ref SDS A4 VR6F
160431 -                ..
160432 -               On 061110 these symptoms of pulmonary embolism were
160433 -               reported to primary care physician, ref SDS A6 VD4G, and
160434 -               again today, following treatment in the Infusion Clinic.
160436 -             ..
160437 -            Heavy chest - shortness of breathing
160438 -
160439 -               This condition remains a problem, as reported on 061110.
160440 -               ref SDS A5 UL6L  Normal exgertion walking up stairs,
160441 -               walking a few blocks from the BART station to the office
160442 -               in San Francisco, walking around at the shopping mall,
160443 -               cause shortness of breath, occassional chest discomfort,
160444 -               and and noticable fatigue.
160445 -
160447 -             ..
160448 -            Cough - clearing throat
160449 -
160450 -               This condition continues, and shows improvement,
160451 -               compared to the report on 061110. ref SDS A5 8N4G
160452 -               Concern that continual clearing of throat was reported
160453 -               in Millie's diary on 061108, ref SDS A4 VR6F, when this
160454 -               problem was presented in a letter to Millie. ref SDS A4
160455 -               TP61
160456 -
160458 -             ..
160459 -            Dry hands and feet...
160460 -
160461 -               Hands, fingers, cuticals bleeding slightly continues.
160462 -               Nails are separating from fingers and toes.  Feet and
160463 -               fingers now tingling, inflammation, swelling, called
160464 -               "hand-foot" syndrome, about the same.
160466 -             ..
160467 -            Eyes tearing
160468 -
160469 -               This has been a continuing problem, but increased the
160470 -               past treatment cycle.
160471 -
160473 -             ..
160474 -            Nausea
160475 -
160476 -               Problem previously resolved, as reported on 061110.
160477 -               ref SDS A5 D19M
160478 -
160480 -             ..
160481 -            Sores in mouth
160482 -
160483 -               None yet, cleaning mouth carefully to avoid problem.
160484 -
160485 -
160486 -
160487 -
160488 -
160489 -
160490 -
1605 -

SUBJECTS
Schedule Treatment Regular 3-week Cycle on Friday 061222 1430 Blood

2003 -
200401 -  ..
200402 - Schedule Next Treatment Continue Fridays
200403 -
200404 - Follow up ref SDS A5 QK6L, ref SDS A2 QK6L.
200406 -  ..
200407 - Today, Millie's next treatment is scheduled for 061222 1430.
200409 -  ..
200410 - Blood draw is schedued for the day before on 061221 1600.
200412 -  ..
200413 - Meeting with the doctor also scheduled for 061222.  Not sure about
200414 - the time, because we can do it before or during treatment.
200416 -  ..
200417 - This schedule presents a conflict with Millie's plans to have the
200418 - family over for Christmas eve.  This is usually about 20 people.
200419 - Takes a lot of energy for planning and prepraation.  This year,
200420 - Christmas eve will occur on Sunday, which will be the 2nd day after
200421 - treatment on Friday, 061222.  Millie will not be feeling well on
200422 - Sunday.
200424 -  ..
200425 - Possibly treatment could be moved to Monday or Tuesday, since Monday
200426 - is Christmas day.
200427 -
200428 -
200429 -
200430 -
200431 -
200432 -
200433 -
200434 -
2005 -

SUBJECTS
Blood Tests Chemotherapy WBC White Cell Count Good 15th Cycle Taxote

2503 -
250401 -  ..
250402 - Blood Counts Good Dose Chemotherapy Taxol Normal
250403 -
250404 - Follow up ref SDS A5 Q659, ref SDS A2 Q659.
250406 -  ..
250407 - Abigail submitted the report on the blood test yesterday on 061130
250408 - showing...
250409 -
250410 -    Patient   Provider  Category   View      FR Date   To Date
250416 -     ..
250417 -    Procedure              Results             Reference Range
250418 -
250422 -
250423 -                  ** Marina Way South **
250425 -     ..
250426 -    Test Name            Value Unit     <-------- RANGE-------->
250427 -    @CBC
250428 -    WBC x 10-3               3.8 K/uL           3.5   -     12.5
250429 -    RBC x 10-6              3.75 M/uL           3.60  -      5.70
250430 -    Hemoglobin              12.8 g/dL          11.5   -     15.0
250431 -    Hematocrit              37.7 %             34.0   -     46.0
250432 -    MCV             H        101 fL            80.0   -    100.0
250433 -    RDW             H       18.8 %             11.9   -     14.3
250434 -    Plt x10-3              337   K/uL         140     -    400
250435 -     ..
250436 -    Neutrophils     H        76  %             50     -     70
250437 -    Lymphocytes              23  %             20     -     50
250438 -    Monocyte                  1  %              0     -     11
250439 -    Eosinophils               0  %              1     -      5
250440 -    Basophil                  0  %              0     -      2
250441 -    Bands             No Report  %              0     -      5
250443 -     ..
250444 -    CA 15-3         H         67 U/mL          -<     -     39
250446 -     ..
250447 -    Alkaline Phos     No Report  U/L           38     -    126
250448 -    Bili, Tot Adult          0.4 mg/dL        0.2     -    1.3
250449 -    Creatinine              0.78 mg/dL        0.6     -    1.2
250450 -    ALT (SGPT)                41 U/L           11     -     66
250451 -    AST (SGOT)        No Report  U/L
250453 -     ..
250454 -    RBC Morphology    No Report
250455 -    Poikilocytosis  * No Report
250456 -    Anisocytosis    * No Report
250457 -    Schistocytes    * No Report
250458 -    PLT Estimate      No Report
250459 -    PLT Morphology    No Report
250460 -
250461 -
250462 -
250463 -
2505 -

SUBJECTS
Anticoagulation Therapy Pulmonary Emboli INR High 3.3 PT Patient Hig

2803 -
280401 -     ..
280402 -    Anticoagulattion Therapy INR High 3.3 PT Patient High 33.0
280403 -
280404 -    Follow up ref SDS A5 SE6N, ref SDS A2 SE6N.
280405 -
280406 -    PT, patient    H        33.0 sec           8.9    -     11.1
280407 -    PT INR         H         3.3 sec           2      -      3
280409 -  ..
280410 - Gloria called earlier this afternoon, and said to skip Coumadin on
280411 - Sunday in order to reduce INR to below 3.
280412 -
280413 -
280414 -
280415 -
2805 -

SUBJECTS
Absolute Neutrophils Count ANC 2888 Well Above 1500 Required for Tre

3103 -
310401 -  ..
310402 - ANC 2888 Well Above 1500 Criteria for Blood Counts Approve Treatment
310403 -
310404 - Follow up ref SDS A5 P560, ref SDS A2 P560.
310405 -
310406 - Millie has been worried lately that blood counts would not be high
310407 - enough for treatment, based on side effects reported to Kaiser this
310408 - afternoon, per above. ref SDS 0 SK9O  Experience since 2002 has shown
310409 - a strong correlation between feeling tired, reported today,
310410 - ref SDS A5 FG3N, and having low blood counts.
310412 -  ..
310413 - ANC seems to be dropping consistently, shown by reports...
310414 -
310415 -        6972................................ 060814, ref SDS 93 P560
310416 -        6390................................ 060908, ref SDS 96 P560
310417 -        5200................................ 060929, ref SDS 98 P560
310418 -        3869................................ 061020, ref SDS A2 P560
310419 -        2880................................ 061110, ref SDS A5 P560
310420 -        2888................................ 061201, ref SDS 0 P560
310422 -  ..
310423 - Formula for ANC, from record on 050128. ref SDS 50 TZ3N
310425 -  ..
310426 - Calculation from 060908 yielded 6390. ref SDS 96 P560
310428 -  ..
310429 - Note that bands are added to neutrophils, but both neutrophils and
310430 - bands have no report today.
310431 -
310432 -                  WBC               =   3.8
310433 -
310434 -                  Neutrophils       =    .76
310435 -                  Bands             =    no report
310437 -             ..
310438 -            ANC = 3.6 x 1000 x .76  = 2888  ???
310440 -  ..
310441 - ANC calculation was submitted by the nurse today.
310442 -
310443 -
310444 -
310445 -
310446 -
310447 -
3105 -

SUBJECTS
CA 15-3 67 Rise from 61 Cancer Marker Current Blood Test Reversing P

3303 -
330401 -  ..
330402 - CA 15-3 67 Rise from 61 Cancer Marker Current Blood Test
330403 -
330404 - Follow up ref SDS A5 2N5J, ref SDS A2 2N5J.
330406 -  ..
330407 - Report today for blood test yesterday showing CA 15-3 67, ref SDS 0
330408 - 5K6K, continues on slight increase compared to the report on 061110.
330409 - ref SDS A5 2N5J
330411 -  ..
330412 - There were actually two other CA 15-3 tests this period.  Recent
330413 - history shows...
330414 -
330415 -            061130......................... 67
330416 -            061116......................... 66
330417 -            061110......................... 56
330418 -            061109......................... 61
330420 -  ..
330421 - Reflects very slow progress of stable to worsening IBC rash on left
330422 - breast, as reported in the examination on 061110, ref SDS A6 RU6J, and
330423 - seen again today during follow up examination by the doctor.
330424 - ref SDS A7 025H
330425 -
330426 -
330427 -
330428 -
330429 -
330430 -
3305 -

SUBJECTS
Port Connection Prepare for Treatment 1 Try Required Abigail Excelle

3503 -
3504 - 1456
350501 -  ..
350502 - Preparation for Treatment Required One (1) Attempt to Connect Port
350503 -
350504 - Follow up ref SDS A5 EB7J, ref SDS A2 EB7J.
350506 -  ..
350507 - Another nurse did the administration with Abigail to verify Millie
350508 - gets the correct treatment.
350510 -  ..
350511 - Millie explained having taken Decadron tablets according to the
350512 - prescription to take two tablets twice a day, per instructions on
350513 - 050415. ref SDS 57 8U4O
350515 -  ..
350516 - Decadron was not given by Abigail again before treatment today,
350517 - because Millie took the pills this morning with her meal, as
350518 - prescribed; and Millie will take another treatment of Decadron
350519 - tomorrow as part of chemotherapy treatment with Taxotere today.
350520 -
350521 -        Generic name:  dexamethasone
350522 -
350523 -              http://www.tirgan.com/decadron.htm
350525 -         ..
350526 -        Description and purpose of Decadron is reported in the record
350527 -        on 060721. ref SDS 85 4I4Q
350529 -  ..
350530 - Compazine - Abigail gave Millie a pill prior to treatment.  Millie
350531 - took this with a cup of water; this was after Julie and Abigail did
350532 - the protocol verfication, per above, ref SDS A2 6O5G, which corrected
350533 - the mistake that occurred on 060929. ref SDS 98 NG55
350535 -  ..
350536 - Ativan - was not part of treatment today, previously given on 060721.
350537 - ref SDS 85 FZ5M
350538 -
350539 -        Generic name:  benzodiazepines
350540 -
350541 -        Purpose of Atiman reported on 060721. ref SDS 85 NF6K
350543 -  ..
350544 - Anzemet - was not part of treatment today, previously given on 060908.
350545 - ref SDS 96 O64I  This was reported ineffective on 060929. ref SDS 98
350546 - NR5F
350547 -
350548 -        Generic name:  dolasetron mesylate
350549 -
350550 -               http://www.anzemet.com
350551 -
350552 -
350553 -
350554 -
350556 -  ..
3506 -
3507 -
3508 - 1459
3509 -
350901 - Abigail connected the IV tubes to the port....
350903 -       ..
350904 -      Interlink System Vented Paclitaxel set
350906 -  ..
350907 - This was done without incident, very professional and competent.
350908 -
350909 -
350910 -
3510 -

SUBJECTS
Benadryl Drip Treatment Prepares Patient for Taxotere Chemotherapy A

3803 -
3804 - 1502
380501 -  ..
380502 - Benedryl Reduce Side Effects Taxotere Chemotherapy Treatment
380503 -
380504 - Follow up ref SDS A5 DC7J, ref SDS A2 DC7J.
380505 -
380506 - Benadryl started.
380508 -         ..
380509 -        Purpose reported on 060721. ref SDS 85 DC7J
380510 -
380511 -
380513 -  ..
3806 -
3807 -
3808 - 1512
3809 -
380901 - Benedryl completed equipment beeps.
380902 -
380903 - Barbara was treating the patient next to Millie, and so tended the
380904 - equipment.
380905 -
380906 -
380907 -
380908 -
3810 -

SUBJECTS
Taxotere 102 MG Drip Treatment 15th Cycle and 6th Cycle for IBC Rela

4003 -
4004 - 1513
400501 -  ..
400502 - Taxotere Full Dose Blood Counts on Targets
400503 -
400504 - Follow up ref SDS A5 4N5M, ref SDS A2 4N5M.
400506 -  ..
400507 - Taxotere started - 102 MG.
400509 -  ..
400510 - Barbara started Taxotere treatment, because she near at hand when the
400511 - beep signaled the end of Benedryl treatment. ref SDS 0 7R6H
400513 -  ..
400514 - There was no patient evaulation process today, which fits the
400515 - procedure the first time Millie was treated with Taxotere on 020610,
400516 - ref SDS 7 MR5I; later, on 050415 Kaiser performed patient evaluation
400517 - of side effects for Taxotere treatment. ref SDS 57 4333
400518 -
400520 -  ..
4006 -
4007 -
4008 - 1557
4009 -
400901 - A nurse from Oncology came into the Infusion Clinic and advised that
400902 - the doctor was ready to meet with Millie.  The nurse assisted Millie
400903 - walking over to Oncology while still connected to the IV for Taxotere
400904 - chemotherapy treatment, as planned earlier this afternoon, reported
400905 - above. ref SDS 0 4O9M
400906 -
400907 -
400909 -  ..
4010 -
4011 -
4012 - 1613
4013 -
401301 - Equipment beeped indicating treatment is over.
401302 -
401303 - Since Millie was in the Oncology Clinic waiting to meet with the
401304 - doctor, walked over to the Infusion Clinic and reminded Abigail to
401305 - disconnect Millie's IV.
401307 -  ..
401308 - Abigail came into the doctor's examination room, but only turned off
401309 - the equipment, so it would stop beeping.
401310 -
401312 -  ..
4014 -
4015 -
4016 - 1703
4017 -
401701 - After Millie's meeting with the primary care physician in the Oncology
401702 - Department, Abigail assisted Millie walking back to the Infusion
401703 - Clinic.
401705 -  ..
401706 - Abigail disconnected the IV tubes.
401708 -  ..
401709 - She inserted Herceptin to flush the port.
401711 -  ..
401712 - She then removed the needle from the port, and swabbed the needle
401713 - wound, and placed a temporary bandage.
401714 -
401715 -
401716 -
401717 -
401718 -
4018 -

SUBJECTS
Vitals Blood Pressure Pulse Temperature Taxotere 102 MG Drip Treatme

4303 -
4304 - 1513
430501 -  ..
430502 - Vitals Show Patient Stable
430503 -
430504 - Follow up ref SDS A5 AW4L, ref SDS A2 AW4L.
430505 -
430506 - Abigail took vitals after starting Taxotere drip treatment...
430507 -
430508 -                    Blood
430509 -    Date   Time     Pressure   Pulse  Temprtr  Weight   So2
430511 -     ..
430512 -    061201 1534..... 123  76     76     97.5    150
430513 -    061110 1534..... 136  83     73     97.0    150      98
430514 -    061020 1534..... 140  79     67     99.8    151      97
430515 -    060929 1452..... 141  78     66     98.3    149
430516 -    060908 1335..... 139  79     73     98.1    149
430517 -    060814 1610..... 139  80     59     98.2    151
430518 -    060722 1440..... 142  74     67     98.1    149
430519 -    060711.......... 172  87     54     97.5    147
430520 -    060623.......... 141  87     71     98.0    147
430521 -    060428.......... 129  73     80     99.4    149
430522 -    060217.......... 153  81     61     98.6    150
430523 -    050916.......... 120  80     80     98.5
430524 -
430525 -
430526 -
430527 -
4306 -

SUBJECTS
Pharmacist Orders Capecitabine (Xeloda) 15th Cycle Decadron Review S

4903 -
4904 - 1543
490501 -  ..
490502 - Pharmacist Orders Capecitabine Decadron; Coordinate with Coumadin
490503 - Pulmonary Emboli Pharmacist Not Aware Communication Medication Fails
490504 -
490505 - Follow up ref SDS A5 TZ4I, ref SDS A2 TZ4I.
490506 -
490507 - An Oncology pharmacist, Ing-Juong Kim, visited Millie during treatment
490508 - in the Infusion Clinic.  She verified that Millie is taking 1.5 pills
490509 - of capecitabine (Xeloda) twice a day.  Ing-Juong has ordered a
490510 - prescription for Millie to purchase capecitabine treatments at the 2nd
490511 - floor Pharmacy after treatment and meeting with the doctor today.
490513 -  ..
490514 - Ing-Juong asked Millie about side effects?
490516 -  ..
490517 - Millie reported side effects listed in the record shown above,
490518 - ref SDS 0 QU8K, and citing the patient's diary on 060724. ref SDS 87
490519 - IF9I
490520 -
490521 -
490522 -
490523 -
490524 -
4906 -

SUBJECTS
Pharmacist Submits Letter Explain Procrit Prescribed Treat Anemia Lo

5903 -
590401 -  ..
590402 - Procrit Prescription Kaiser Confirms Understandings on Guidance
590403 -
590404 - Since hemoglobin blood count is within the target range, per the test
590405 - report above, ref SDS 0 0N7Q, Procrit prescription was not continued
590406 - today.
590407 -
590408 - Masha said that she did not submit a letter confirming verbal guidance
590409 - on 061110 concerning Procrit, and contrary to Masha's plan to support
590410 - the patient, ref SDS A5 XE4J, because her boss told her not to send a
590411 - verbatim transcript of what was said.
590413 -  ..
590414 - We reviewed standard practice authenticating accuracy of verbal
590415 - communications in meetings and calls does not require verbatim
590416 - transcripts; case study on 011011 indicates this reduces productivity.
590417 - ref SDS 4 PJ8J  In this case Masha spoke for about 20 minutes.
590418 - Writing that summarizes important guidance assists the patient in
590419 - accurately carrying out objectives for prescribing treatment within
590420 - the doctor/patient partnership model presented in Kaiser's Healthwise
590421 - Handbood, reviewed on 990625. ref SDS 2 4185  Writing further provides
590422 - a binary check that what was said was correct, clear, concise, and
590423 - complete, as explained in POIMS. ref OF 7 21G6
590425 -  ..
590426 - Masha said she can do this.
590427 -
590429 -  ..
5905 -
5906 -
5907 - 2213
5908 -
590801 - Millie received ref DRT 1 0001 with a copy to the primary care
590802 - physician, and another person at kaiser, from Masha saying...
590803 -
590804 -    1.  I'd like to write to you regarding what we have discussed [on
590805 -        November 10, 2006, ref SDS A5 6Z8J] about your treatment with
590806 -        Procrit for chemotherapy-induced anemia. ref DRT 1 0001
590808 -         ..
590809 -    2.  Since your hemoglobin test was 10.8 at baseline, that indicates
590810 -        that you have anemia that is most likely associated with
590811 -        chemotheapy treatment.  We'd like to initiate a red blood cell
590812 -        growth factor (Procrit) to help improve your energy levels and
590813 -        maintaining your red blood cell counts. ref DRT 1 X35N
590815 -  ..
590816 - This confirms understandings from the meeting on 061110, showing
590817 - Kaiser prescribed Procrit when hemoglogin was below target range once
590818 - during this treatment phase for the 3rd relapse of IBC, but not for 2
590819 - prior phases when hemoglobin was low for 10 times. ref SDS A5 DT7O
590821 -  ..
590822 - Masha's letter from Kaiser continues...
590823 -
590824 -    3.  You will receive 30,000 units given under the skin once weekly,
590825 -        and we will order the iron test (a blood test to determine if
590826 -        you are also iron-deficient that may be one factor to cause
590827 -        anemia).  We'll follow up with you every 3-4 weeks, and
590828 -        evaluate your blood levels to adjust the Procrit dose as
590829 -        needed.  In the case if your iron test shows that you are iron
590830 -        deficient, we'll discuss about the addition of iron supplement
590831 -        to Procrit with you.  In clinical studies, about 60-70% of
590832 -        patients undergoing chemotherapy respond to Procrit, that is,
590833 -        to help maintain/improve the energy level and the Hgb levels.
590835 -         ..
590836 -    4.  The most common side effects associated with Procrit is
590837 -        irritation around injection sites.  Blood clots and
590838 -        cardiovascular problem such as heart attacks have also been
590839 -        reported, which occur rarely.
590841 -  ..
590842 - How does Procrit risk of blood clots and cardiovascular problems
590843 - relate to patient diagnosis with pulmonary embolism, and enlarged
590844 - right ventricle reported in findings of CT scan test on 060930,
590845 - received on 061012? ref SDS A1 294Q
590847 -  ..
590848 - Masha's letter from Kaiser continues...
590849 -
590850 -    5.  Please feel free to call the clinic if you have further
590851 -        questions.  We will also call you at home once a month to
590852 -        follow up on your results.
590853 -
590854 -
590855 -
590856 -
590857 -
590858 -
5909 -

SUBJECTS
Energy Normal Stable Alert Drive Home After Treatment IBC 3rd Relaps

6303 -
6304 - 1705
630501 -  ..
630502 - Energy Normal Stable After Treatment Taxotere Support Drugs
630503 -
630504 - Follow up ref SDS A5 F54N, ref SDS A2 F54N.
630505 -
630506 - Millie was alert after treatment today, and not wobbly nor
630507 - disoriented.
630509 -  ..
630510 - On 060724 diary side effects for 2nd phase taking Taxotere and
630511 - capecitabine (Xeloda). ref SDS 87 QX8K
630512 -
630513 -
630514 -
630515 -
630516 -
630517 -
630518 -
6306 -