CONTACTS 

SUBJECTS
Cellulitis Left Arm Lymphedema Swelling Minimal Red Rash Relapse Rec

1003 -
1003 -    ..
1004 - Summary/Objective
1005 -
100501 - Follow up ref SDS 6 4T9Y, ref SDS 4 ZH6I.
100502 -
100503 -
100504 -
100505 -
100507 -  ..
1006 -
1007 -
1008 - Progress
1009 -
100901 - This evening Millie suffered relapse of Cellulitis.  Her left arm
100902 - shows mild red rash at this time above and below the elbow, and with
100903 - minimal swelling.
100905 -  ..
100906 - Patient history shows Millie treated at Kaiser ER for Cellulitis when
100907 - temperature rises above 100.5, e.g., on 041202. ref SDS 1 IX9N
100909 -  ..
100910 - Temperature:  97.4
100912 -  ..
100913 - Earlier today, about 1540 Millie reported not feeling well, but there
100914 - was nothing specific.  Similar scenario not feeling well leading to
100915 - Cellulitis occurred on 061203. ref SDS 2 T55X
100917 -  ..
100918 - The last episode was at UCSF on 070607. ref SDS 4 ZH6I
100920 -  ..
100921 - Millie has Keflex previously prescribed on 070720 and received on
100922 - 070725, ref SDS 5 FC5M, for medication in case Cellulitis and
100923 - lymphedema swelling would have occurred while traveling on vacation
100924 - in Europe during September.
100926 -  ..
100927 - The prescription calls for 4 pills a day, i.e., every 6 hours, and for
100928 - 10 days. ref SDS 5 IZ71
100930 -      ..
100931 -     [On 071216 Cellulitis rash and lymphedema swelling seem to have
100932 -     completely subsided; Millie will continue Keflex for 10 day
100933 -     treatment protocol. ref SDS 8 0001
100935 -      ..
100936 -     [On 071220 Millie reported Cellulitis recurrence to Catherine, the
100937 -     nurse at the UCSF Infusion Clinic. ref SDS 9 EQ8J
100939 -  ..
100940 - Prior Cellulitis and lymphedema attacks are shown in case study on
100941 - 061203. ref SDS 2 YT4M
100943 -  ..
100944 - Mil took a Keflex pill.  Also wrapped her arm with an ice pack, which
100945 - she said has been used in the Emergency Room for prior cellulitis
100946 - treatments.
100947 -
100948 -        [On 080304 Cellulitis recurrence; Keflex and icing effective
100949 -        treatment. ref SDS 10 010G
100951 -  ..
100952 - The next pill is needed at 0200.
100954 -  ..
100955 - There is no evident cause for recurrence.  Ironically, there was
100956 - discussion with Brigid during the meeting yesterday at UCSF on
100957 - exercises that Millie can do to maintain fitness in the left arm, and
100958 - without causing Cellulitis. ref SDS 6 4T4S
100960 -  ..
100961 - Prior episodes typically show delayed correlation with lifting or
100962 - falling that caused trauma to the left arm, and also cat bites, and
100963 - adverse reaction to medication, shown by case study on 061203.
100964 - ref SDS 2 YT4M
100965 -
100966 -        [On 080304 Millie suffers recurrence Cellulitis, ref SDS 10
100967 -        V45J, only evident cause might be related to persistant low
100968 -        blood counts and delayed reaction to fall on 080125.
100969 -        ref SDS 10 0P44
100971 -  ..
100972 - Today, Millie assisted her daughter, Pam, volunteering to teach a
100973 - class of 2nd graders, and sponsored by PG&E where Pam works.  Millie
100974 - said there was nothing physically stressful involved.
100976 -  ..
100977 - On Tuesday, Millie worked out in the gym; was careful not to lift with
100978 - her left arm.  About 1100 we hiked aroung Lafayette reservoir; we did
100979 - our best time ever, about 45 minutes for 3 miles.  Wednesday she was
100980 - home all day baking Christmas pastries for the Infusion Clinic staff
100981 - at UCSF.  Thursday she had treatment; no physicial activity, except
100982 - possibly carrying baked pastries in a shopping bag for the staff.
100984 -  ..
100985 - Blood test on Thursday 071213 to start next cycle (12) of the clinical
100986 - trial treatment for IBC with cetuximab.
100988 -  ..
100989 - Magnesium reported low in the blood test. ref SDS 7 A14L  Millie was
100990 - treated with infusion of Magnesium through IV. ref SDS 7 HH5I
100992 -  ..
100993 - CT test on 071210 and reviewed at UCSF on 071213 found mildly enlarged
100994 - heart, ref SDS 6 SR5I, and atalectasis, which is not explained, but
100995 - appears to be a lung issue, possibly related to pulmonary embolism.
100996 - ref SDS 6 SR66
100997 -
100998 -
100999 -
101000 -
101001 -
101003 -  ..
1011 -
1012 -
1013 - 2113
1014 -
101401 - Temperature:  98.0
101402 -
101404 -  ..
1015 -
1016 -
1017 - 2149
1018 -
101801 - Changed ice packs on the left arm.
101802 -
101803 - Inspection seems to show no rapid advance of inflammation, which
101804 - typically occurs, shown by the last episode on 070607. ref SDS 4 ZH6I
101806 -  ..
101807 - Mil feels she is coming down with a cold or the flu.
101808 -
101809 -
101811 -  ..
1019 -
1020 -
1021 - 2229
1022 -
102201 - Temperature: 97.7
102202 -
102203 -
102204 -
1023 -

SUBJECTS
Notified Medical Team UCSF Kaiser  Cllulitis Lymphedema Recurrence L

1903 -
190401 -  ..
190402 - Medical Team UCSF and Kaiser Notified Cellulitis Recurrence
190403 -
190404 - Submitted ref DIT 1 0001 to the medical team, including Brigid
190405 - notifying of Cellulitis recurrence, per above, ref SDS 0 V45J, and
190406 - saying...
190407 -
190408 -    1.  Mil suffered recurrence of Cellulitis this evening.  So far no
190409 -        temperature.  She is taking Keflex left over from last episode
190410 -        diagnosed at UCSF on 070607. ref SDS 4 ZH6I
190412 -         ..
190413 -    2.  The record on this event is reported today. ref SDS 0 V45J
190415 -         ..
190416 -    3.  Will continue checking temperature, and for advance of disease.
190417 -
190418 -
190419 -
190420 -
190422 -  ..
1905 -
1906 -
1907 - 0207
1908 -
190801 - Millie took another Keflex pill.
190802 -
190803 - Checked rash, seems stable to possibly improved.
190805 -  ..
190806 - Temperature:  97.5
190807 -
190808 -
190809 -
190810 -
190811 -
190812 -
1909 -