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: December 13, 2007 09:00 AM Thursday;
Rod Welch
Millie at UCSF 1st treatment 12th cycle cetuximab for 3rd relapse IBC.
1...Summary/Objective
2...Labs Blood Test
3...Magnesium Low Millie Treated with Magnesium IV
..............
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000. ref SDS 5 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Labs Blood Test
040902 -
040903 - Follow up ref SDS 3 MW7I, ref SDS 1 OB5H.
040904 -
040905 - During treatment, Catherine submitted results of the test.
040906 -
040921 - ..
040922 - Log#: 071213 08:00
040923 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
040924 - Type Results Units Normal ACRO Type Units Normal
040926 - ..
040927 - CBC with DIFF & PLT CT CBCD
040928 - ..
040929 - WBC COUNT L* 3.3 x10E9/L 3.4 - 10 WBC WBC x10-3 K/uL 3.4 - 10.0
040930 - RBC COUNT 4.57 x10E12/L 4 - 5.2 RBC RBC x10-6 M/uL 3.60 - 5.70
040931 - HEMOGLOBIN 14.7 g/dL 12 - 15.5 HGB Hemoglobin g/dL 11.5 - 15.0
040932 - HEMATOCRIT 41.2 PERCENT 36 - 46 HCT Hematocrit % 34.0 - 46.0
040933 - MCV 90 fL 80 - 100 MCV MCV fL 80.0 - 100.0
040934 - MCH 32.2 pg 26 - 34 MCH
040935 - MCHC 35.8 g/dL 31 - 36 MCHC
040936 - PLATELETS 226 x10E9/L 140 - 450 PLT Plt x10-3 K/uL 140 - 400
040937 - ..
040938 - (posted 070531, rex SDS 82 NQ6K)
040939 - CA 15-3 H* 48 U/mL < 31 CA15-3 CA 15-3 < 39
040940 -
040941 - Note new reference range and change in methodology. Performed
040942 - using the Roche Elecsys 2010 ECLIA method. Performed at UCSF
040943 - China Basin Lab, 185 Berry, San Francisco, CA 94107.
040944 - ..
040945 - (NEUTS x 1000 = ANC for Kaiser)
040946 - NEUTS 1.49 x10E9/L 1.8 - 6.8 N-A ANC 1500
040947 - Neutrophils Not Reported Neutrophils % 50 - 70
040949 - ..
040950 - LYMPHS 1.30 x10E9/L 0.9 - 2.9 L-A Lymphocytes % 20 - 50
040951 - MONOS 0.33 x10E9/L 0.1 - 0.6 M-A Monocyte % 0 - 11
040952 - EOS 0.17 x10E9/L 0 - 0.4 E-A Esoinophils % 1 - 5
040953 - BASOS 0.05 x10E9/L 0 - 0.1 B-A Basophil % 0 - 2
040954 - 0 - 5
040955 - ..
040956 - <----------------------- U C S F -----------------------> <------------- Kaiser -------------->
040957 - Type Results Units Normal ACRO Type Units Normal
040958 - ..
040959 - PT H 25.3 S 12.5 - 16.0 PT PT, patient sec 8.9 - 11.1
040960 - INL NRM Ratio H 2.3 0.9 - 1.2 INR PT INR sec 2.0 - 3.0
040961 - PARTIAL
040962 - THROMBOPLASTIN Not Reported S 22.4 - 33.3 PTT
040964 - ..
040965 - ELECTROLYTE PANEL LYTE
040966 - SODIUM 135 mmol/L 134 - 143 NA Sodium mEq/L 137 - 145
040967 - POTASSIUM 4.1 mmol/L 3.4 - 4.9 K Potassium mEq/L 3.5 - 5.3
040968 - CHLORIDE 103 mmol/L 98 - 107 CL
040969 - CARBON DIOX TOTAL 23 mmol/L 23 - 32 CO2
040970 - ANION GAP 9 3 - 14 ANGA
040972 - ..
040973 - UREA NITROGEN 10 mg/dL 8 - 23 BUN BUN mg/dL 7 - 17
040974 - CALCIUM 8.7 mg/dL 8.7 - 10.1 CA Calcium mg/dL 8.4 - 10.2
040975 - MAGNESIUM L* 1.7 mg/dL 1.8 - 2.3 MG Magnesium mg/dL 1.6 - 2.3
040977 - ..
040978 - CREATININE 0.7 mg/dL 0.6 - 1.2 CR Creatinine mg/dL 0.6 - 1.2
040979 - GLUCOSE 139 mg/dL 70 - 199 GLU Glucose mg/dL ? - ?
040980 - AST H* 48 U/L 16 - 41 AST AST (SGOT) U/L 14 - 36
040981 - ALT 28 U/L 11 - 54 ALT ALT (SGPT) U/L 11 - 66
040982 - BILIRUBIN TOTAL 0.7 mg/dL 0.3 - 1.3 BILT Bili Total mg/dL 0.2 - 1.3
040983 - ALKALINE PHOSPHATASE 63 U/L 29 - 111 ALKP Alkaline Ph U/L 38 - 126
040984 - PROTEIN TOTAL 6.0 g/dL 5.8 - 8.0 TP Protein, Total g/dL 6.3 - 8.2
040985 - ALBUMIN 4.2 g/dL 3.4 - 4.7 ALB Albumin g/dL 3.4 - 4.8
040986 -
040987 -
040988 -
040990 - ..
040991 - Magnesium Low Millie Treated with Magnesium IV
040992 -
040993 - Catherine called and notified Brigid that the blood test today shows
040994 - low Magnesium 1.7, slightly below the target range of 1.8. ref SDS 0
040995 - A14L
040997 - ..
040998 - Decided to treat this with infusion of Magnesium through IV, and this
040999 - was done during the 1 hour rest period after treatment with cetuximab.
041000 -
041001 - [On 080110 initial lab report received from UCSF shows no
041002 - report for magnesium to evaluate response to treatment today.
041003 - ref SDS 8 JH6F
041005 - ..
041006 - [On 080118 Catherine submitted another report on the labs for
041007 - 080110; it shows Magnesium was in fact tested and was at the
041008 - low end of the target range, indicating response to treatment
041009 - today. ref SDS 9 4F9G
041011 - ..
041012 - Research seems to indicate magnesium is a big part of bone
041013 - development. Low Magnesium contributes to anxiety, insomia, and
041014 - fatigue. Millie has experienced all of these somewhat lately.
041015 -
041016 - [On 080404 Magnesium again too low; UCSF orders treatment
041017 - through Kaiser, because the report was delayed due to mistake
041018 - ordering blood tests on 080403. ref SDS 10 OQ36
041020 - ..
041021 - Fatigue is also associated with pulmonary embolism, and atelectasis,
041022 - which are further possibly associated with cor pulmonale (enlarged
041023 - right ventricle), and possibly enlarged heart. Atelectasis and
041024 - enlarged heart were both reported in the CT test on 071210, received
041025 - today and reviewed with the medical team at UCSF this morning.
041026 - ref SDS 7 SR5I
041027 -
041028 -
041029 -
041030 -
041031 -
041032 -
041033 -