CONTACTS 

SUBJECTS
Cellulitis Red Rash Left Arm Relapse Recurrence No Evident Cause Tre

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000. ref SDS 4 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - This evening Millie suffered relapse of Cellulitis.  Her left arm
040902 - shows mild red rash at this time above and below the elbow, and with
040903 - minimal swelling.
040905 -  ..
040906 - Patient history shows Millie treated at Kaiser ER for Cellulitis when
040907 - temperature rises above 100.5, see case study on prior Cellulitis
040908 - episodes reported 061203. ref SDS 2 YT4M
040910 -  ..
040911 - Temperature:  97.4
040913 -  ..
040914 - Earlier today, about 1540 Millie reported not feeling well, but there
040915 - was nothing specific.  Similar scenario not feeling well leading to
040916 - Cellulitis occurred on 061203. ref SDS 2 T55X
040918 -  ..
040919 - The last episode was at UCSF on 070607. ref SDS 3 ZH6I
040921 -  ..
040922 - Millie has Keflex from treating the prior problem.  The prescription
040923 - calls for 4 pills a day, i.e., every 6 hours.
040925 -  ..
040926 - Mil took a Keflex pill.  We also wrapped her arm with an ice pack,
040927 - which she said has been used in the Emergency Room for prior
040928 - cellulitis treatments.
040930 -  ..
040931 - The next pill is needed at 0200.
040933 -  ..
040934 - There is no evident cause for recurrence.
040936 -  ..
040937 - Prior episodes typically correlated with lifting or falling that
040938 - caused trauma to the left arm, and also cat bites, and adverse
040939 - reaction to medication, shown by case study on 061203. ref SDS 2 YT4M
040941 -  ..
040942 - Today, Millie assisted her daughter, Pam, volunteering to teach a
040943 - class of 2nd graders, and sponsored by PG&E where Pam works.  Millie
040944 - said there was nothing stressful involved.
040946 -  ..
040947 - On Tuesday, Millie worked out in the gym; was careful not to lift with
040948 - her left arm.  About 1100 we hiked aroung Lafayette reservoir; we did
040949 - our best time ever, about 45 minutes for 3 miles.  Wednesday she was
040950 - home all day baking things to take to UCSF for the Infusion Clinic
040951 - staff.  Thursday she had treatment, no physicial activity.
040953 -  ..
040954 - Blood test on Thursday to start next cycle (12) of cetuximab,
040955 - Magnesium reported low. ref SDS 5 A14L  Millie was treated with
040956 - infusion of Magnesium through IV. ref SDS 5 HH5I
040958 -  ..
040959 - CT test on 071210 and reviewed at UCSF on 071213 found mildly enlarged
040960 - heart, ref SDS 4 SR5I, and atalectasis, which is not explained, but
040961 - appears to be a lung issue, possibly related to pulmonary embolism.
040962 - ref SDS 4 SR66
040963 -
040964 -
040965 -
040966 -
040967 -
040969 -  ..
0410 -
0411 -
0412 - 2113
0413 -
041301 - Temperature:  98.0
041302 -
041304 -  ..
0414 -
0415 -
0416 - 2149
0417 -
041701 - Changed the ice packs on the left arm.
041702 -
041703 - Inspection seems to show no rapid advance of inflammation, which
041704 - typically occurs, shown by the last episode on 070607. ref SDS 3 ZH6I
041706 -  ..
041707 - Mil feels she is coming down with a cold or the flu.
041708 -
041709 -
041711 -  ..
0418 -
0419 -
0420 - 2229
0421 -
042101 - Temperature: 97.7
042102 -
042103 - Sent letter to medical team notifying of new development.
042104 -
042105 -
042107 -  ..
0422 -
0423 -
0424 - 0207
0425 -
042501 - Millie took another Keflex pill.
042502 -
042503 - Checked rash, seems stable to possibly improved.
042505 -  ..
042506 - Temperature:  97.5
042507 -
042508 -
042509 -
042510 -
042511 -
042512 -
0426 -