THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: December 15, 2009 03:57 PM Tuesday; Rod Welch

Millie asks medical team for progress on treatment plan next relapse.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 18 0000. ref SDS 17 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091202 Millie had the 3rd treatment in the 1st cycle of Navelbine.
040902 - ref SDS 11 625I
040904 -  ..
040905 - She is experiencing some possible recovery, but also evident worsening
040906 - of cancer due to lack of treatment targeted to her patient profile.
040908 -  ..
040909 - On 091203, Millie submitted a letter notifying the medical team about
040910 - possible progression of disease, and requesting treatment targeted to
040911 - her patient profile, ref SDS 12 4P7G, following up the letter on
040912 - 091112, ref SDS 7 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 8 UT7M  The following letter
040914 - confirms understandings from meeting on 091112, and sets agenda for
040915 - meeting at Kaiser on 091210.
040917 -  ..
040918 - On 091211 0018 Millie letter confirms understandings from meeting at
040919 - Kaiser and thanks thanked medical team for excellent care, ref SDS 14
040920 - BW8I, based on Doctor Johnson's report in the meeting at Kaiser on
040921 - 091210 that Kaiser is collaborating with Doctor Rugo for UCSF to
040922 - prescribe treatment targeted to Millie's patient profile. ref SDS 14
040923 - XM3X
040925 -  ..
040926 - On 091211 1452 Doctor Johnson reports collaborating with Doctor Rugo
040927 - for UCSF as planned during the meeting yesterday. ref SDS 15 BW8I
040929 -  ..
040930 - On 091211 1648 Millie notifies Doctor Johnson to submit correspondence
040931 - of Kaiser collaborating with Doctor Rugo at UCSF on prescribing
040932 - treatment targeted to Millie's patient profile. ref SDS 16 BW8I
040934 -  ..
040935 - On 091214 1649 Doctor Johnson notifies Millie that Doctor Rugo has not
040936 - replied to Kaiser's letter on 091211. ref SDS 17 BW8I
040938 -  ..
040939 - On 091215 0852 Millie asks Doctor Johnson about sending a copy of
040940 - Kaiser's letter to Tara for assisting Doctor Rugo developing UCSF's
040941 - treatment plan targeted to Millie's patient profile. ref SDS 18 BW8I
040943 -  ..
040944 - On 091215 1557 Millie reports blood counts fall, still permit getting
040945 - 1st treatment 2nd cycle Navelbine, ref SDS 0 BW8I, asks about
040946 - progress collaborating on prescribing next treatment to recover from
040947 - 10th relapse of cancer.
040948 -
040950 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Millie's letter this afternoon supplemnts the letter earlier this
041302 - morning, ref SDS 18 BW8I, responding to Doctor Johnson's letter
041303 - yesterday on 091214 1649. ref SDS 17 BW8I, and saying...
041304 -
041305 -    1.  Subject: Lab ANC NEUTS 1.5 Okay for Treatment Order Neupogen?
041306 -        Date: Tue, 15 Dec 2009 16:19:14 -0800
041319 -         ..
041320 -    2.  Looks like ANC is 1.5 in the lab today; seems good for
041321 -        treatment tomorrow getting the 1st treatment for the 2nd cycle
041322 -        of Navelbine??
041324 -         ..
041325 -    3.  All of my wonderfully high blood counts from 2 weeks ago have
041326 -        disappeared, as a result of skipping Neupogen after the 3rd
041327 -        treatment of the 1st cycle.  My impression is that the other
041328 -        counts are still marginally low but okay, such that your plan
041329 -        to perform blood transfusions is still not needed??
041331 -         ..
041332 -    4.  I have Neupogen scheduled for Thursday.  The question is
041333 -        whether to order a 2nd treatment for Friday.  If the team feels
041334 -        1 is enough, this would reduce Neupogen side effects, but if we
041335 -        need 2 to get treatment next week, I am okay with that.  Just
041336 -        let me know.
041338 -         ..
041339 -    5.  Tomorrow afternoon or Thursday, CA 15-3 will be reported for
041340 -        the lab today.  Hopefully, Doctor Rugo will have followed up
041341 -        with a treatment plan to move forward [...cited in Millie's
041342 -        letter this morning asking if Doctor Johnson sent a copy of his
041343 -        letter to UCSF to Tara for assisting Doctor Rugo prescribe
041344 -        treatment targeted to Millie's patient profile for recovering
041345 -        from UCSF medical mistakes, reported on 091215 0852.
041346 -        ref SDS 18 I15R...], if needed, as discussed in your office
041347 -        last Thursday [reported on 091210 0950. ref SDS 13 0J65], and
041348 -        confirmed in my letter the next day on 091211. ref SDS 14 XM3X
041349 -        Rod will be in the hospital for achalasia surgery starting
041350 -        tomorrow, and for several days to possibly a week or so?  We
041351 -        need to be proactive advancing these issues, as much as
041352 -        possible, based on your feeling that time is of the essence to
041353 -        arrest the spread of cancer.
041355 -         ..
041356 -    6.  Thanks again.
041357 -
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0414 -