CONTACTS 

SUBJECTS
Kathleen and Bob
Mother & Bob
Patti and Pablito Utzurim
Candi and Larry Suddjian

0706 -    ..
0707 - Summary/Objective
0708 -
070801 - Follow up ref SDS 22 0000, ref SDS 21 0000.
070802 -
070803 - Received ref DRT 1 0001 from Patty, which is a copy of a letter to
070804 - Eddie, ref DRT 1 0002, explaining Kath is having difficulty repeating
070805 - to everyone in separate phone calls her situation.
070806 -
070807 - Patty relates her telecon with Amy last night. ref SDS 22 673N
070808 -
070809 - Amy and Michael will try to come to visit Kathleen sometime soon.  She
070810 - is going to check with her Mom to see if all of you can come together.
070811 - That will mean a lot to Mom.  Pablito and Patty will make plans to be
070812 - there also so we can all visit. ref DRT 1 H66G
070813 -
070814 - Patty cites our telecon last night, ref SDS 22 MB6J, and relates
070815 - understandings that Kath will start Chemo on June 7th. ref DRT 1 O86M
070816 -
070817 -
070818 -  ..
0709 -
0710 -
0711 - 1112
0712 -
071201 - Received letter, ref DRT 2 0001, from Candi noting the copy of the
071202 - letter sent to her yesterday of the letter to Patty on a possible
071203 - referral for Kathleen to get treatment at the NCCC, ref SDS 22 XF3I,
071204 - Candi notes things are not well for Kath.
071205 -
071206 -  ..
0713 -
0714 -
0715 - 1117
0716 -
071601 - Received ref DRT 3 0001 from Patty addressed to Amy, with copies to
071602 - the family.  This letter supplements Patty's earlier letter to Ed this
071603 - morning, per above. ref SDS 0 0001
071604 -
071605 - Patty relates understandings from a new contact she has made to
071606 - explains possible reasons for lack of success for the surgery on
071607 - 010514, ref SDS 15 SQ5I, attributed to Doctor Hioshi being a pulmonary
071608 - surgeon, and what Kath needs is a cardiac surgeon. ref DRT 3 UN6F
071609 - ..
071610 - Patty gathered from her contact that Chemo Therapy may stop the
071611 - growth and further spread of the tumor.  This would shrink the roots
071612 - so they retract from the outlining areas.  Then Radiation treatment
071613 - would be able to focus on the tumor itself and make removal via
071614 - surgery possible. ref DRT 3 LQ7I
071615 -
071616 -    This seems to align with treatment possibilities mentioned by
071617 -    Doctor Hioshi on 010514, ref SDS 15 FP9G, and proposed by Doctor
071618 -    Palchek on 010516. ref SDS 17 UR7H  It addresses Kathleen's concern
071619 -    on 010515 about danger to the heart area. ref SDS 16 HX5J  This
071620 -    treatment plan seems to have been confirmed in the meeting Kath had
071621 -    yesterday with Palchek. ref SDS 22 6X5J
071622 -
071623 - Patty explains impact of chemo therapy.....
071624 -
071625 -       rapid weight loss of about 30%,
071626 -       skin color changes, the
071627 -       hair loss, and
071628 -
071629 - Overall reaction of the human body to chemo is quite devastating.
071630 - Everything will be up to Mom and how much she can handle.  We all need
071631 - to prepare ourselves for the coming events. We need to support each
071632 - other outside of Moms witness.  Do lots of unselfish listening and
071633 - loving to Mom letting her know she has us all and is not alone and
071634 - leaving no words unspoken. ref DRT 3 7Z7N
071635 -
071636 -
071637 -
071638 -  ..
071639 - Treatment Plan 2 weeks Cheo Therapy, 30 Days Later CAT Scan
071640 -
071641 -
0717 -
0718 -
0719 - 1436
0720 -
072001 - Received call from Bob Welch.
072002 -
072003 - This follows up telecon with Mother last night about talking to Bob
072004 - for results of Kathleen's meeting with Palchek, the oncologist, on
072005 - 010521. ref SDS 22 SL6N
072006 - ..
072007 - Today, Bob indicated he got a good feeling from the meeting with
072008 - Palchek.  He said Palchek disclosed during the meeting that Hioshi had
072009 - submitted findings from the surgery on 010514, at least that is Bob's
072010 - understanding from the meeting yesterday.  Not sure Bob actually saw
072011 - Hioshi's report to determine scope and effectiveness.
072012 -
072013 -     This addresses concern from Sunday, when Kath said Palchek had not
072014 -     seen Hioshi's report. ref SDS 21 UY4K
072015 -
072016 -     [On 010526 Pablito indicated family received report, and forwarded
072017 -     to his mother for oncology advice. ref SDS 24 LH6N
072018 - ..
072019 - Bob feels Palcheck was business like, did not sugar coat
072020 - anything, and seemed to know his stuff.
072021 -
072022 -     [On 010525 Patty was disappointed by Palchek's apparent impersonal
072023 -     communication practice; she is investigating alternate ocnology
072024 -     support. ref SDS 23 0001
072025 -
072026 - Bob did not say whether Palchek, or the family, tape recorded the
072027 - meeting, per Patty's question last night. ref SDS 22 MB6J  Seems
072028 - likely this was not done, becaue it is unusual, and so if it had been
072029 - done, Bob would likley have mentioned it.  But, don't know for sure
072030 - on this.
072031 -
072032 - The first chemo treatment is scheduled for 010607, per telecon with
072033 - Kathleen yesterday. ref SDS 22 6X5J
072034 -
072035 - There will be another treatment a week later.  Bob understood Palchek
072036 - to be planning a CAT scan about a month (30 days) after the 2nd chemo
072037 - treatment.  Palcheck also proposes doing another test, something that
072038 - sounded like "PETA" or "PEDA" scan, that will have to be done in Santa
072039 - Barbara, because the technology is not available anywhere nearer to
072040 - Nipomo.
072041 - ..
072042 - Submitted ref DTI 1 0001 to Patty with information from Bob, per
072043 - above.
072044 -
072045 - Any progress on investigating alternative treatment referrals, per Bob
072046 - Chapman's submission on 010521. ref SDS 22 0001
072047 -
072048 -     [On 010525 Patty disappointed with Doctor Palchek, investigating
072049 -     other oncology doctors. ref SDS 23 0001
072050 -
072051 -     [On 010526 Peggy Chapman inquires about progress on referral.
072052 -     ref SDS 24 P06F
072053 -
072054 -     [On 010526 Pablito was not familiar with NCCC indicating Patty may
072055 -     not have received the letter with Bob's referral. ref SDS 24 LH6N
072056 -
072057 -
072058 -
072059 -
072060 -
072061 -
072062 -
072063 -
072064 -
072065 -
072066 -
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0721 -