CONTACTS 

SUBJECTS
Meeting Schedule Surgery Report Results of Biopsy
Biopsy Taken 020304 Show Cancer Results Received Today 4 Weeks After

0904 -
0904 -    ..
0905 - Summary/Objective
0906 -
090601 - Follow up ref SDS 4 0001, ref SDS 3 JH4J.
090602 -
090603 - Pam went with Millie today for a meeting with a surgeon, to get
090604 - results of a biopsy test ordered by Doctor Jordon on 020208.
090605 - ref SDS 1 0001
090606 -
090607 -
090608 -
090610 -  ..
0907 -
0908 -
0909 - 1735
0910 -
091001 - Millie called and said she has been diagnosed with cancer in her
091002 - left breast.
091004 -  ..
091005 - The results of the mammary examination on 020211 were not yet
091006 - available. ref SDS 2 0001
091007 -
091008 -        [On 020313 results of mamography test were received in the mail
091009 -        after returning from surgery for breast cancer, and reported
091010 -        that the test showed no evidence of breast cancer. ref SDS 6
091011 -        YV3O
091013 -  ..
091014 - Results of the biopsy taken two days ago on 020304 and ordered by the
091015 - doctor on 020208, ref SDS 1 DH7H, show a tumor in the left breast,
091016 - diagnosed as...
091018 -           ..
091019 -          Infiltrating carcinoma, left breast mass needle biopsy at 12
091020 -          o'clock. ref OF 1 PPTP, and ref OF 1 PPTP
091022 -           ..
091023 -          Immunohistochemistry Analysis, ref OF 1 676G
091025 -           ..
091026 -          Estrogen Receptor..........................(X)...Negative
091027 -          ref OF 1 0245
091028 -
091029 -              No staining of infiltrating tumor cells with estrogen
091030 -              receptor specific antibody.
091032 -           ..
091033 -          Progesterone Receptor......................(X)...Negative
091034 -          ref OF 1 IT3J
091035 -
091036 -              No staining of infiltrating tumor cells with progesterone
091037 -              receptor specific antibody.
091039 -           ..
091040 -          HER2/NEU...................................(X)...Negative
091041 -          ref OF 1 IT4L
091042 -
091043 -              No specific surface membrane staining of infiltrating
091044 -              tumor cells seen with the HER2/NEU antibody.
091045 -
091046 -                 [On 020321 primary care physician in oncology seems to
091047 -                 indicate that Her2/neu negative is a good condition
091048 -                 for recovery. ref SDS 7 YF5M
091050 -                  ..
091051 -                 [On 041117 2nd opinion reports patient not candidate
091052 -                 for Herceptin because HER-2/neu negativity.
091053 -                 ref SDS 8 YN4I
091055 -                  ..
091056 -                 [On 050907 recommends retesting for status change that
091057 -                 could have a huge impact on treatment options.
091058 -                 ref SDS 9 TX6J
091059 -
091061 -  ..
091062 - The surgeon recommends surgery, but pointed out that some patients
091063 - elect to consider other treatment options based on findings in this
091064 - biopsy report, and often consult with oncology in advance of having
091065 - surgery.
091066 -
091067 -      [On 020321 Millie meets with oncology after surgery on 020312,
091068 -      and receives from the oncologist a copy of the pathology report
091069 -      on the biopsy discussed today. ref SDS 7 YE5N
091071 -  ..
091072 - Millie asked why the mammary examination in April of 2001 did not
091073 - recognize cancer?
091075 -  ..
091076 - The surgeon advised that mammery examinations are a diagnostic aid
091077 - that give indications of possible problems, but are not comprehensive.
091078 -
091079 -      [On 020311 mammogram on 020211 also reported no cancer.
091080 -      ref SDS 5 PZ50
091082 -  ..
091083 - Millie told the doctor that she wants to procede with surgery
091084 - immediately, in light of delayed diagnosis.
091086 -  ..
091087 - The hospital will notify Millie of a date for surgery.
091088 -
091089 -      [On 020311 Millie meets with surgeon, operation scheduled for
091090 -      020312. ref SDS 5 V48L
091091 -
091092 -      [On 020312 surgery performed to remove tumor in left breast, and
091093 -      remove cancerous lymph nodes, ref SDS 6 0001, initial evaluation
091094 -      is hopeful for successful recovery. ref SDS 6 Q78M
091096 -  ..
091097 - Millie is having dinner at Pam's this evening.
091098 -
091099 -
091101 -  ..
0912 -
0913 -
0914 - 2048
0915 -
091501 - Called Millie at home.
091503 -  ..
091504 - Sounded like she was in bed, and seemed to have been crying.
091506 -  ..
091507 - We did not talk long.  Just assurred her that the family is there for
091508 - her, and will do that is required to help in the period ahead.
091510 -  ..
091511 - Looks like some different living arrangements may be needed so that
091512 - Millie is not alone.
091513 -
091514 -
091515 -
091516 -
091517 -
091518 -
091519 -
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091521 -
091522 -
0916 -