CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 32 0000. ref SDS 29 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background...
040902 -
040903 -    1.  On 090108 examination at UCSF showed possible progression of
040904 -        IBC in breastbone area.  Millie reported severe side effects.
040905 -        Medical team prescribed another cycle sunitinib treatment, with
040906 -        paused until blood counts to a safe level.
040908 -         ..
040909 -    2.  On 090108 Millie received a letter from Glenna summarizing
040910 -        understandings for the work plan presented during the meeting
040911 -        earlier at UCSF on 090108. ref SDS 14 LX7O
040913 -         ..
040914 -    3.  On 090109, Millie submitted a letter to the medical team
040915 -        presenting findings from the examination and transmitting
040916 -        Glenna's work plan summary. ref SDS 15 UC4H
040918 -         ..
040919 -    4.  On 090116 Glenna called about Millie's response to sunitinib
040920 -        treatments. during 3rd cycle of sunitinib. ref SDS 21 JY6L
040921 -        Reviewed record on 090115 reporting IBC rash looks improved to
040922 -        stable, and nodules in the breastbone area seem stable to
040923 -        worse, ref SDS 19 124N, relative to detailed review on 090110,
040924 -        ref SDS 16 124N, and after 7 days of treatment with only
040925 -        sunitinib, and 21 total treatments with sunitinib since the
040926 -        pause on 081218 and resuming on 081226, ref SDS 19 6C4J,
040928 -         ..
040929 -    5.  Millie talked on 090116 morning about reducing the dose of
040930 -        sunitinib in order to reduce side effects. ref SDS 21 JY7J  She
040931 -        seems at this point still committed to trying the current
040932 -        higher dose in order to optimize recovery, planned in the
040933 -        meeting with the medical team on 090108, noted in Millie's
040934 -        letter on 090109. ref SDS 15 UF3T
040936 -         ..
040937 -    6.  Asked Glenna about remedy to relieve side effects, mainly of
040938 -        sore toes that prevent exercise that maintains immune system
040939 -        for recoverying from cancer. ref SDS 21 PPUQ
040941 -         ..
040942 -    7.  On 090116 Millie received Glenna's letter planning a meeting
040943 -        with Doctor Rugo to discuss Millie's case, ref SDS 23 YN9H, and
040944 -        which attached a letter Glenna sent to the doctor describing
040945 -        IBC in the breastbone area has worsened. ref SDS 23 FW3J
040947 -         ..
040948 -    8.  On 090116 Millie's letter to Glenna clarifies breastone area
040949 -        looks stable to worse; everything else looks improved to
040950 -        stable. ref SDS 24 IS6G  Millie further reports rising side
040951 -        effects of treatment, and requests remedy. ref SDS 24 IT4V
040953 -         ..
040954 -    9.  On 090118 Millie talks about wanting to end treatment with
040955 -        sunitinib that seems now less effective and has severe side
040956 -        effects after adding cycloposphamide. ref SDS 25 UC41
040958 -         ..
040959 -   10.  On 090121 Glenna called to discuss patient history showing
040960 -        progression of cancer; Millie's 6th relapse of IBC. ref SDS 29
040961 -        AJ3J  Side effects continue to rise. ref SDS 29 TW53  Glenna
040962 -        asked about Doctor Rugo's plans for follow on treatments.
040963 -        ref SDS 29 Y67L  Glenna wrote a letter to the doctor scheduling
040964 -        a meeting to discuss changing treatment for Millie, ref SDS 29
040965 -        N976, cited previously in Glenna's letter on 090116.
040966 -        ref SDS 23 YN9H
040968 -         ..
040969 -   11.  On 090122 Glenna called and left message she met with Doctor
040970 -        Rugo and scheduled Millie to start a new treatment next week on
040971 -        090129, and that Millie should stop treatment with sunitinib in
040972 -        order to remove toxicity from the body to prepare for starting
040973 -        another treatment. ref SDS 32 K96F
040975 -         ..
040976 -   12.  On 090123 Millie letter to the medical team confirms UCSF order
040977 -        to stop treatment with sunitinib in order to prepare for
040978 -        starting a new treatment on 090129. ref SDS 33 KR4P
040980 -  ..
040981 - Glenna received Millie's letter sent last night to the medical team.
040982 - ref SDS 33 KR8Y  She was pleased to hear Millie is recovering this
040983 - morning.
040985 -  ..
040986 - Thanked Glenna for meeting with Doctor Rugo yesterday, and expediting
040987 - transition to a new treatment next Thursday on 090129, because Millie
040988 - is getting worse every day, and cancer marker has escalated to CA 15-3
040989 - 303 in the test at Kaiser on 090116, as reported to Glenna when she
040990 - called on 090121. ref SDS 29 N976
040992 -  ..
040993 - Asked Glenna for documentation on the new treatment Millie starts next
040994 - Thursday on 090129 0830, as presented in Glenna's telephone message
040995 - yesterday on 090122, notifying that Doctor Rugo ended Millie's
040996 - treatment with sunitinib clincial study due to rising symptoms of
040997 - cancer Marker CA 15-3 303 in labs at Kaiser on 090116, ref SDS 22
040998 - PQTQ, and spread of IBC on Millie's chest, showing 6th relapse of IBC.
040999 - ref SDS 32 K96F
041001 -  ..
041002 - Glenna advised that she did not meet with Doctor Rugo, planned in the
041003 - discussion on 090121. ref SDS 29 N976   She received a letter from the
041004 - doctor to coordinate referral from Kaiser for Millie's next treatment
041005 - on 090129.
041007 -  ..
041008 - Glenna indicated during the call this morning that she is not aware
041009 - yet of the specific treatment the doctor has prescribed.  Glenna
041010 - explained that a hectic daily schedule presents difficult challenges
041011 - allocating time for colleagues to deliberate in meetings on planning
041012 - patient care.  She has therefore not been able to meet with the doctor
041013 - planned in the letter to Millie on 090116, ref SDS 23 YN9H, and
041014 - discussed on 090121. ref SDS 29 N976
041015 -
041016 -        [On 090123 Doctor Johnson, Millie's primary care physician at
041017 -        Kaiser called and advised that Doctor Rugo can prescribe follow
041018 -        on treatment for Millie because her cancer has become resistant
041019 -        to drugs available at Kaiser. ref SDS 34 8K6K
041021 -         ..
041022 -        [On 090130 letter to medical team reports communication delay
041023 -        cited during meeting the day before at UCSF on 090129 Doctor
041024 -        Rugo explained Glenna was coordinating a week earlier, i.e., on
041025 -        090122, with Kaiser for referral to provide hyperthermia
041026 -        treatment to Millie in time to be effective. ref SDS 35 AY8Q
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