CONTACTS 

SUBJECTS
Kathleen and Bob                  ~
Mother & Bob
Patti and Pablito Utzurim
Robin Partee

0707 -
0707 -    ..
0708 - Summary/Objective
0709 -
070901 - Follow up ref SDS 15 0000, ref SDS 14 0000.
070902 -
070903 - Drove to the....
070904 -
070905 -
070906 -                 Arroyo Grande Community Hospital
070907 -                 345 South Halcyon Road
070908 -                 Arroyo Grande, CA  93430
070909 -                 805 473 7650
070910 -
070911 - Stopped at Von's market at Tefft and US 101.  Bought some books and
070912 - magazines, per Kath's ideas yesterday.
070913 -
070914 - Got two magazines on home decorating and landscaping to support Bob's
070915 - planning discussed this morning about improving their new home.
070916 -
070917 - Kath plans to review this material and discuss ideas with Bob during
070918 - visits over the next few days.
070919 -
070920 - Kath brought up treatment options to be discussed with the oncologist.
070921 - ..
070922 - She had another visit with Hioshi this morning.  Kath recalled
070923 - Hioshi confirmed this morning plans to discuss results of his
070924 - examination yesterday to guide treatment planning for Kath and the
070925 - oncologist.
070926 -
070927 - Kath asked about Doctor Vendigna's comments yesterday, so we discussed
070928 - that, as well as possible, without the record. ref SDS 15 HX8J
070929 - ..
070930 - Kath has been thinking about prospects for follow on treatment,
070931 - and speculated that radiation treatment aimed at cancer near to and
070932 - growing around the heart, could harm the heart.  How can this be
070933 - avoided?  We considered the prospect of stopping the growth of the
070934 - cancer with treatment, could be helpful, since at the moment Kath is
070935 - functioning well.  Mother commented yesterday driving home from the
070936 - hospital that it is difficult to believe Kath has cancer, because she
070937 - has no symptoms.  The only way cancer was detected was because of a
070938 - fluke fall, that led to checking out other things.
070939 -
070940 -      [On 010520 new information on cancer treatment that avoids
070941 -      harming surrounding tissue. ref SDS 18 6Z4F
070942 -
070943 -      [On 010522 Patty submits research indicating chemo therapy and
070944 -      radiation can cause cancer to recede from neighboring tissue.
070945 -      ref SDS 19 TV5G
070946 -
070947 - Therefore, if the growth of cancer can be halted, Kath may be able to
070948 - live a normal life for some time.  On the other hand, Doctor Hioshi
070949 - indicated yesterday, that without treatment the condition can worsen
070950 - rapidly.
070951 -
070952 -      [...below, oncologist proposes treatment. ref SDS 0 KP4M
070953 -
070954 - Halting the growth of the cancer, may not require aiming the radiation
070955 - at the cancer.  Aiming at the main mass to reduce it, may halt the
070956 - growth.
070957 -
070958 - While we were visiting, Doctor Ron Smith, the anesthesiologist who
070959 - assisted Kathleen prior to the operation came in, accompanied by an
070960 - assistant.  He was there to remove the needle connections to various
070961 - IV and other support systems.
070962 -
070963 - Kath asked Doctor Smith about his experience with treatments for
070964 - cancer patients?
070965 -
070966 - Doctor Smith said he is an anestheologist.  He advised that Doctor
070967 - Palcheck, the oncologist, will visit with Kathleen to discuss
070968 - treatment options.  Doctor Smith indicated his understanding that
070969 - Doctor Palcheck explains treatment plans to patients, and provides
070970 - written materials.  We discussed getting a report Kathleen can study
070971 - that proposes specific treatment plan options.
070972 -
070973 - Said goodby for now.
070974 -
070975 - Drove home to Concord.
070976 -
070977 -
070978 -
070979 -
070980 -  ..
0710 -
0711 -
0712 - 2030
0713 -
071301 - Called Kath from Concord.
071302 -
071303 - Kath explained that Doctor Palcheck, the oncologist, came by for a
071304 - visit  He proposes 3 sessions of chemo therapy to shrink the cancer,
071305 - and then evaluate to see if the cancer has shrunk enough for Doctor
071306 - Hioshi to operate and remove the cancer.
071307 -
071308 - There is also consideration of radiation to supplement chemo therapy.
071309 -
071310 -      [On 010516 Patty notified family of treatment plan. ref SDS 16
071311 -      0P6M
071312 -
071313 -      [On 010517 Kath to consider range of treatment options.
071314 -      ref SDS 17 NG4G
071315 -
071316 - Patty called and made it back home.
071317 -
071318 - Robin is coming over shortly, and will watch TV with Kath and Mother,
071319 - who is staying over night.
071320 -
071321 -
071322 -
071323 -
071324 -
071325 -
071326 -
071327 -
071328 -
071329 -
0714 -