THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rod@welchco.com
S U M M A R Y
DIARY: January 4, 2010 01:55 PM Monday;
Rod Welch
Millie meeting Kaiser Opthalmology evaluate shingles impact on eyes.
1...Summary/Objective
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CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 28 0000. ref SDS 27 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 14 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 15 4P7G, following up the letter on
040912 - 091112, ref SDS 10 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 11 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 17
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 17
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 18 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 19 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 20 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 21 BW8I
040943 - ..
040944 - On 091215 1557 Millie reports blood counts fall, still permit getting
040945 - 1st treatment 2nd cycle Navelbine, ref SDS 22 BW8I, asks about
040946 - progress collaborating on prescribing next treatment to recover from
040947 - 10th relapse of cancer.
040949 - ..
040950 - On 100103 1147 Millie asks medical team about progress prescribing
040951 - treatment targeted to Millie's patient profile to recover from 10th
040952 - relapse of cancer. ref SDS 23 BW8I Millie reports new symptom of rash
040953 - on right side of forehead, which is swelling the right eye; requests
040954 - examination tomorrow to prescribe immediate remedy. ref SDS 23 FZ6V
040956 - ..
040957 - On 100103 1652 Millie receives automated reply that Doctor Johnson is
040958 - out of the office until 100105, and so cannot make examination
040959 - tomorrow on 100104 requested in Millie's letter this afternoon.
040960 - ref SDS 24 BW8I
040962 - ..
040963 - On 100103 2023 Millie reponds to notice that Doctor Johnson is out of
040964 - the office tomorrow and so cannot make examination requested in
040965 - Millie's letter earlier today. ref SDS 25 BW8I
040967 - ..
040968 - On 100104 0830 Millie needs examination of facial blisters today.
040969 - ref SDS 26 BW8I
040971 - ..
040972 - On 100104 1115 Millie met with Doctor Zhang in Adult Primary Care,
040973 - ref SDS 27 BW8I, who diagnosed shingles, ref SDS 27 0P9S, and prescribed
040974 - treatment, which may yield full recovery in 2 weeks. ref SDS 27 QB5K
040975 - Doctor Zhang ordered lab to evaluate impact on immune system, and
040976 - asked Millie to coordinate with Coagulation Control Clinic on
040977 - adjusting Coumadin. ref SDS 27 0P4S Doctor Zhang arranged meeting with
040978 - opthalmology to test for damage to eyes. ref SDS 27 EY8F Doctor Zhang
040979 - recommended Millie meet with Doctor Johnson this week, rather than
040980 - wait for regularly scheduled meeting next week to review progress
040981 - recovering from shingles. ref SDS 27 0P4Y
040983 - ..
040984 - On 100104 1216 Kaiser Oncology Chemotherapy Infusion Clinic did not
040985 - have enough time to spend 5 minutes accessing Millie's Power Port
040986 - which was placed to facilitate blood draws, ref SDS 28 4P6K, in this
040987 - case ordered by Doctor Zhang to evaluate requirements for treating
040988 - shingles; Millie waited an hour and was fortunate that the lab
040989 - technician was successful on the 1st try placing an IV to perform the
040990 - blood draw today. ref SDS 28 4Q40
040992 - ..
040993 - On 100104 1355 Millie meets Doctor Dossetor in Opthalmology at Kaiser
040994 - Park Shadelands; examination findings no injury nor infection to eyes
040995 - from shingles. ref SDS 0 BW8I Doctor prescribed Polysporin antibiotic
040996 - to reduce pain and infection from bursting shingles blisters.
040997 - ref SDS 0 GH51
040998 -
040999 -
041001 - ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Millie met with Doctor Dossetor the Kaiser Park Shadelands
041402 - Opthalmology Clinic, per arrangements earlier today by Doctor Zhang in
041403 - Kaiser Adult Care. ref SDS 27 EY8F
041405 - ..
041406 - Testing seems to show no injury to my eye so far.
041408 - ..
041409 - The doctor prescribed an antibiotic Polysporin. She explained that
041410 - Polysporin can be applied on the blisters to ease pain and to avoid
041411 - infection, discussed by Doctor Zhan during the meeting this morning on
041412 - 100104 1115. ref SDS 27 0P4S
041413 -
041414 - [On 100104 2144 Millie notifies medical team of favorable
041415 - examination by Opthalmology. ref SDS 29 0P6P
041417 - ..
041418 - She also provided eye drops - Ofloxacin ophthalmic solution 0.3% 5 ml,
041419 - manufactured by Falcon Pharmaceuticals.
041421 - ..
041422 - Doctor Dossetor wants follow up review within 2 weeks.
041423 -
041425 - ..
0415 -
0416 -
0417 - 1622
0418 -
041801 - Mona called and advised that Doctor Dossetor scheduled follow up
041802 - examination on 100118 1100].
041803 -
041804 - [On 100108 1057 Mona called and advised that Doctor
041805 - Dossetor advanced the date for follow up meeting from
041806 - 100119 to 100111 1100. ref SDS 33 Z35H
041808 - ..
041809 - [On 100111 1120 meeting with Doctor Dossetor finds shingles
041810 - blisters worse than today on 100104, with forehead bloody from
041811 - sores bursting, ref SDS 35 ML5G; treatment with polysporin
041812 - antibiotic prevents infection. ref SDS 35 ML7I Examination by
041813 - Doctor Dossetor found no injury to Millie's right eye from
041814 - shingles infection. ref SDS 35 ML7M
041815 -
041816 -
041817 -
041818 -
041819 -
041820 -
041821 -
0419 -