CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000. ref SDS 6 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie had a CT test yesterday on 090612 1120, ref SDS 4 02D6
040902 -
040903 - Yesterday afternoon, Kaiser printed a report for additional lab work
040904 - on 090612 1030, ref SDS 3 OT8J,
040906 -  ..
040907 - Kaiser made a CD with computer files for the CT scans, and also made a
040908 - CD with computer files for the prior CT test on 090413.  These 2 CDs
040909 - were delivered to UCSF yesterday afternoon at 1500. ref SDS 5 UD5H
040911 -  ..
040912 - This evening her skin itches at the inner wrists, and inner elbows.
040914 -  ..
040915 - She feels the new problem may be caused by oral contrast medium for
040916 - the CT test.
040918 -  ..
040919 - She has not had these symptoms previously with the 50+ prior CT tests,
040920 - so this could be something else.  There is no evident conduct nor
040921 - other factor, like food, that might account for this problem.
040923 -  ..
040924 - She went to Longs Drugs and purchased...
040925 -
040926 -                     CVS
040927 -                     Allergy tablets
040929 -  ..
040930 - This is described as benadryl, which she often gets with chemotherapy
040931 - treatments.
040933 -  ..
040934 - Millie sent the following letter to the medical team with an agenda
040935 - for meeting on 090616 1200 at UCSF yesterday with Doctor Rugo...
040936 -
040937 -    1.  Subject: MPA Treatment Begin Tuesday Jun 16 Expedite Recovery
040938 -        Date: Sat, 13 Jun 2009 23:57:16 -0700
040950 -         ..
040951 -    2.  Thank you for expediting my treatment with MPA, adding a
040952 -        meeting to your schedule on 090616 1200.
040953 -
040954 -            [On 090614 1027 Doctor Rugo responds and confirms meeting
040955 -            scheduled for 90616 to start MPA treatment. ref SDS 8 XO6I
040956 -
040957 -            [On 090616 1245 Millie met with Doctor Rugo and Tara to
040958 -            start MPA treatment for recovery from 8th relapse of
040959 -            cancer. ref SDS 9 TP9L
040961 -         ..
040962 -    3.  By copy to Catherine and Diane, confirm I will get the blood
040963 -        test in the morning on Tuesday for the MPA protocol, and which
040964 -        Mike ordered in the Chemotherapy Infusion clinic on the 5th
040965 -        floor prior to meeting with you at noon in the Breast Care
040966 -        Clinic.
040968 -         ..
040969 -    4.  Friday [on 090612 1120] I got the CT test, ref SDS 4 02D6,
040970 -        requested by Doctor Hsu, and ordered by Doctor Johnson at
040971 -        Kaiser on 090609, ref SDS 2 PPVY, following examination at UCSF
040972 -        at 0900. ref SDS 1 1P3K, CDs for with computer files for the
040973 -        test, including the prior test on 090413 were delivered to your
040974 -        office on Friday at 1445, along with a report on additional
040975 -        blood work, which Mike requested, and which was done at Kaiser
040976 -        also on Friday on 090612; here is Kaiser's standard lab report.
040977 -        ref SDS 3 M85G
040979 -         ..
040980 -    5.  Please note Kaiser did a few more elements beyond AST requested
040981 -        by Mike.  There was a mix up in the Chemotherapy Clinic.  The
040982 -        orderer wasn't entered, so the nurse did an entire "liver"
040983 -        panel I think.  In any case this includes AST that Mike
040984 -        requested, and which was missing from the lab on 090602.
040986 -         ..
040987 -    6.  Friday evening I noticed some light rash on my inner wrist to
040988 -        the inner elbow on both arms, and it was ithcy.  Looked a
040989 -        little different from IBC, so hoping it is an anomaly, possibly
040990 -        related to the oral or injected contrast medium for the CT test
040991 -        at 1120 in the morning.  Friday, about 0730p I went to the drug
040992 -        store and purchased over the counter Benadryl (25 mg), and took
040993 -        a pill about 0900p.  This morning the rash had subsided, and I
040994 -        slept well.
040996 -         ..
040997 -    7.  Worked out in the gym on Thursday.  Friday was too hectic for
040998 -        anything but medical stuff.  Today, I rested.  Tomorrow going
040999 -        hiking at Lafayette Reservoir.
041001 -         ..
041002 -    8.  Realize my 8th relapse presents challenges.  Doctor Hsu advised
041003 -        on 090312 that hyperthermia can be effective with other
041004 -        modalities besides radiation; e.g., you originally discussed
041005 -        Doxil.  Can hyperthermia complement MPA?  If MPA proves
041006 -        ineffective, could severe IBC in the vertical line that is
041007 -        currently driving my IBC be treated with radiation, which
041008 -        worked well on my chest, and since this small area was not
041009 -        treated during February and March.  Just musing.
041011 -         ..
041012 -    9.  Looking forward to getting started Tuesday at noon.
041013 -
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0411 -