CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 26 0000. ref SDS 25 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091202 Millie had the 3rd treatment in the 1st cycle of Navelbine.
040902 - ref SDS 12 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 13 4P7G, following up the letter on
040912 - 091112, ref SDS 8 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 9 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 15
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 15
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 16 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 17 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 18 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 19 BW8I
040943 -  ..
040944 - On 091215 1557 Millie reports blood counts fall, still permit getting
040945 - 1st treatment 2nd cycle Navelbine, ref SDS 20 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 21 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 21 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 22 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 23 BW8I
040967 -  ..
040968 - On 100104 0830 Millie needs examination of facial blisters today.
040969 - ref SDS 24 BW8I
040971 -  ..
040972 - On 100104 2144 Mille notified medical team on results of meetings
040973 - today at Kaiser that diagnosed and prescirbed treatment for Shingles.
040974 - ref SDS 25 BW8I  Millie asked Gloria for any adjustments to Coumadin
040975 - (warfarin) needed to accomodate diagnosis shingles, ref SDS 25 0P5T,
040976 - including new treatments. ref SDS 25 0P4P
040978 -  ..
040979 - On 100105 1523 Millie received a letter from Gloria with adjustments
040980 - on warfarin (Coumadin) treating pulmonary embolim, as a result of
040981 - diagnosis and treatment for shingles. ref SDS 26 BW8I
040983 -  ..
040984 - On 100105 1602 Millie's letter to medical team responds to Gloria's
040985 - letter today presenting changes to Kaiser's prescription for warfarin
040986 - (Coumadin) to treat pulmonary embolism, and as a result of getting
040987 - shingles. ref SDS 0 BW8I
040988 -
040989 -
040991 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Millie's letter to Gloria says...
041302 -
041303 -    1.  Subject: Coumadin Adjust INR Drops 1.6, Shingles Begin Treatment
041304 -        Date: Tue, 05 Jan 2010 16:10:10 -0800
041313 -         ..
041314 -    2.  Thanks for your letter today confirming adjustments to Coumadin
041315 -        for managing my PE status [reported on 100105 1523, ref SDS 26
041316 -        BW8I], and based on changes in medical condition reported to
041317 -        the medical team on 100104 2342. ref SDS 25 0P9S
041319 -         ..
041320 -    3.  I will take the extra dose of Coumadin today, and will increase treatment
041321 -        tomorrow to 4 mg, as instructed.
041323 -         ..
041324 -    4.  My next blood test will be on Monday, 100111, because I am
041325 -        meeting with Doctor Johnson the next day on 101012 to evaluate
041326 -        continuing treatment for cancer with Navelbine chemotherapy.
041327 -        If we continue with Navelbine, then my next blood test will be
041328 -        the following week on Tuesday, 100119, in order to assess
041329 -        safety getting chemotherapy the next day.  I am hopeful Doctor
041330 -        Johnson and Doctor Rugo will prescribe a new treatment
041331 -        "targeted" to my patient profile that does not cause difficult
041332 -        side effects, which impact blood counts, as we had with
041333 -        cetuximab in 2007 - 2008.
041335 -         ..
041336 -    5.  My sense would be to check INR on both 100111 and 100119, based
041337 -        on your report that "prednisone taper that may effect...INR
041338 -        results" [see Kaiser's letter submitted by Gloria, earlir today
041339 -        on 100105 1523. ref SDS 26 VH9H].  If all goes well, treatment
041340 -        for shingles will conclude in 2 weeks, and we can return to my
041341 -        normal protocol for warfarin.
041342 -
041343 -            [On 100111 0830 Beth advised that the blood draw at Kaiser
041344 -            failed to include the INR test; Millie decided to use the
041345 -            test the following week on 100119, ref SDS 27 AS6Q, noted
041346 -            in the letter today. ref SDS 0 P75V
041348 -         ..
041349 -    6.  Thanks for assistance adjusting to new complications.
041350 -
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0414 -