CONTACTS 

SUBJECTS
Examination Treatment Cetuximab 3rd Treatment 4th Cycle Chemotherapy

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 79 0000. ref SDS 78 0000.
040502 -
040503 - Fever still down in the early AM.  Cellulitis inflammation seems
040504 - better now. ref SDS 0 AK6I  Millie got the 2nd treatment for
040505 - Cellulitis in the Infusion Clinic at Kaiser in Walnut Creek; the nurse
040506 - used the port catheter. ref SDS 0 IM8H  She went shopping after
040507 - treatment, and may have overextended; temperature increased again in
040508 - the late afternoon, ref SDS 0 PR4Y, but fell back to normal in the
040509 - evening. ref SDS 0 2Q7H
040510 -
040511 -
040512 -
040513 -
040514 -
040516 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Temperature at 0500 was 98.5.
040902 -
040903 - This continued no fever status of 98.5 from last night at 2142.
040904 - ref SDS 79 F49G
040906 -  ..
040907 - Has not taken Tylenol since yesterday at 1948. ref SDS 79 S44N
040909 -  ..
040910 - Arm looks much better this morning.
040911 -
040913 -  ..
0410 -
0411 -
0412 - 0900
0413 -
041301 - Millie went to Kaiser in Walnut Creek for the 2nd IV treatment.
041302 -
041303 - Temperature 98.6.
041305 -  ..
041306 - She requested IV treatment through the port catheter, in order to
041307 - correct problems yesterday at Kaiser Martinez. ref SDS 79 VQ5L  Nurses
041308 - in the Infusion Clinic are trained for this work, and had no problems
041309 - using the port catheter for the IV treatment.
041311 -  ..
041312 - Millie feels a bigger effort should be made to use the port catheter
041313 - for future treatments at Kaiser in Martinez.
041315 -  ..
041316 - Millie asked the nurse if she should take Keflex along with IV
041317 - treatment, and/or tomorrow, when the schedule calls for no IV
041318 - treatment, per meeting at Kaiser yesterday on 070608. ref SDS 79 AL39
041320 -  ..
041321 - The nurse said that Kaiser's computer shows only IV treatment with
041322 - ceftriaxone is prescribed at this time.  She suggested that good
041323 - practice would be to avoid combining treatments without doctor's
041324 - orders.  Millie explained having subitted this issue to her doctors at
041325 - Kaiser and to UCSF yesterday, ref SDS 79 0R8V, but there wasn't
041326 - enough time for anyone to respond.
041328 -  ..
041329 - The nurse said that nurse's do not prescribe medications.  She
041330 - explained that Keflex is a similar treatment to Ceftriaxone, and said
041331 - that normally, if treatment is scheduled to be skipped then another
041332 - similar treatment should not be taken in its place, since that defeats
041333 - the purpose of skipping treatment.
041335 -         ..
041336 -        [On 070610 primary care physician letter notifies Millie to
041337 -        begin taking oral antibiotics, ref SDS 80 OG9G, after 2nd
041338 -        IV treatment, and before completing work plan for 5-IV
041339 -        treatments presented today. ref SDS 79 AL39
041341 -  ..
041342 - After treatment, Millie drove to a shopping mall in Walnut Creek and
041343 - did some browsing.
041344 -
041346 -  ..
0414 -
0415 -
0416 - 1221
0417 -
041701 - Millie arrives home.  She looks tired.  She feels that shopping may
041702 - have been too much.  She had to hold the hand rail walking down stairs
041703 - at the shopping mall.
041705 -  ..
041706 - She does not have a temperature.
041708 -  ..
041709 - Millie has a light lunch, and lays down to sleep.
041710 -
041712 -  ..
0418 -
0419 -
0420 - 1446
0421 -
042101 - Millie is up and wants to go to Costco for more shopping.
042102 -
042103 - Does not seem very energetic.
042104 -
042106 -  ..
0422 -
0423 -
0424 - 1651
0425 -
042501 - Back from shopping.  Millie seems tired, but okay.
042502 -
042503 - Light dinner.  Meatloaf and backed potatoes, vegetables, milk.
042505 -  ..
042506 - Ate a little more than yesterday.
042508 -  ..
042509 - Hand healing from needle penetration yesterday for treatment.
042510 - ref SDS 79 VQ5L
042511 -
042513 -  ..
0426 -
0427 -
0428 - 1841
0429 -
042901 - Temperature 99.2.
042902 -
042903 - Millie watching television, resting.
042905 -  ..
042906 - Cellulitis on left arm looks possibly slightly worse than this
042907 - morning. ref SDS 0 AK6I
042909 -  ..
042910 - Takes Tylenol tablet.
042912 -  ..
042913 - Millie may have over extended her condition with shopping today.
042915 -  ..
042916 - Discussed making tomorrow a day of total rest.
042917 -
042919 -  ..
0430 -
0431 -
0432 - 2141
0433 -
043301 - Temperature 98.3.
043302 -
043303 - Seems to be doing better.
043304 -
043305 -
043306 -
043307 -
043308 -
043309 -
0434 -