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: March 12, 2002 09:30 AM Tuesday; Rod Welch

Millie had successful surgery for cancer at Kaiser in Walnut Creek.

1...Summary/Objective
2...Nuclear Medicine Injection Locates Infected Lymph Nodes
3...Admitting for Surgery
4...Surgery Advanced from 1330 to 1230
5...Surgery Completed, Discussion with Doctor on Results
6...Recovery Took 2.5 Hours Rather than One
7...Post-op Recovery and Discharge Instructions to Go Home
8...Home at Last and Good Wishes from All; Mamogram Reports No Cancer
9...Visit from Ron Jr., and Steve
10...Rest and Recovery at End of Long Day


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CONTACTS 

SUBJECTS
Meeting Schedule Surgery Report Results of Biopsy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
Living Arrangements So Millie is Not Alone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
Nuclear Medicine Injection for Operation at 1330                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
Meeting with Surgeon and Prepare for Surgery Tomorrow                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0506 -    ..
0507 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0508 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
050801 - Follow up ref SDS 7 0000, ref SDS 5 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050802 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050803 - The doctor was able to remove all of the cancer in the left breast,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050804 - indicating a successful surgery.  Some lymph nodes under the left arm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050805 - were identified as infected and were removed.  The lymph node material                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050806 - appeared cancerous, but will be analysed by a lab. ref SDS 0 Q78M  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050807 - surgeon will call Millie next week with results from the lab, and will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050808 - meet with Millie on 020321 to discuss further treatment under the care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050809 - of an oncologist.  At this time there is no further indication of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050810 - cancer; however, more testing will be recommended to verify the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050811 - condition.  It appears likely that radiation and some chemo therapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050812 - will be needed. ref SDS 0 Q78M  Back home after surgery, Millie had a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050813 - good laugh getting a report on her latest mammogram that said no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050814 - cancer was found. ref SDS 0 YV3O  Millie is grateful for everyone's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050815 - support.  Visits by Ron Jr., and Steve, and the flowers, calls and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050816 - letters from family and friends lifted her spirits. ref SDS 0 H66F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050817 - All in all, Millie said today was very "productive." ref SDS 0 K83O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050818 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050819 -            [On 020313 notified family and friends of progress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
050820 -            ref SDS 10 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
050822 -             ..
050823 -            [On 020327 0539 reexcission surgery to remove remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
050824 -            cancer tissue in left breast, again reported successful,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
050825 -            ref SDS 13 8R39, and following up initial surgery on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
050826 -            020312. ref SDS 8 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
050828 -             ..
050829 -            [On 131212 1751 letter to Mil's kids cites the record today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
050830 -            illustrating a fascinating episode in Millie's life                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
050831 -            battling cancer. ref SDS 23 VC9T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
050832 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050833 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050834 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050835 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
050837 -  ..
0509 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0510 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0511 - Progress                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0512 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
051201 - Nuclear Medicine Injection Locates Infected Lymph Nodes                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
051202 - 
051203 - We arrived at the parking lot at the Kaiser hospital in Walnut Creek                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
051204 - about 0910.  There was plenty of parking.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
051206 -  ..
051207 - There were quite a few people in the waiting room for Nuclear Medicine                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
051208 - when we arrived at 0915.  However, promptly at 0930 as scheduled,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
051209 - Millie was called to get the injection, as explained by the surgeon                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
051210 - yesterday. ref SDS 7 V48L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051212 -  ..
051213 - The injection procedure called....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
051214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051215 -                   sentinal node bioposy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
051216 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051217 - ...was performed by...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
051219 -                      ..
051220 -                     Doctor Isamu Y. Kang, MD Permanente Medical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051221 -                     Group, Inc. 1424 South Main Street Walnut Creek,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
051222 -                     CA  94596-5300 925 295 4800                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051224 -  ..
051225 - Material injected:  99MM TC sulfer collide.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
051227 -  ..
051228 - Amount:  55 cc (??)                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
051230 -  ..
051231 - This took about 20 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
051233 -  ..
051234 - We then drove to Ed Traille's office in Walnut Creek to deliver the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
051235 - documents for Millie's tax returns.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
051237 -  ..
051238 - We stopped at the Watch Doctor on North Main street to fix the watch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
051239 - per the meeting on Saturday, ref SDS 6 246F, but the store does not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
051240 - open until 1100.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
051241 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051242 -     [...below, Pan and I went back during recovry. ref SDS 0 H58I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
051243 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051244 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051245 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051246 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051247 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051248 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
051249 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0513 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Surgery at 1230                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Doctor's Comments Following Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0704 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070501 -  ..
070502 - Admitting for Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070503 - 
070504 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0706 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0707 - 1110                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0708 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070802 -  ..
070803 - We returned to Kaiser and went to Admitting for Surgery on the 2nd                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070804 - floor of the hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070806 -  ..
070807 - Had some difficulty parking because the lot was very crowded, with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070808 - many cars waiting to find a stall.  There was valet parking on the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070809 - roof, but this required leaving the car keys with an attendant. We                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070810 - decided against this and eventually found a parking space.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
070812 -  ..
070813 - Millie signed in at the surgery admitting desk on the 2nd floor of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070814 - hospital, which is easily accessed from the main entrance to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070815 - hospital.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
070817 -  ..
070818 - A clerical nurse took Millie into a room to fill out more documents                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
070819 - for surgery.  The nurse asked questions and entered information into a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070820 - computer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
070822 -  ..
070823 - Pam arrived a few minutes later.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070825 -  ..
070826 - The nurse used Millie's Kaiser card and driver's license to prepare an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070827 - identification band for the patient's wrist.  Millie then gave me her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070828 - Kaiser card and driver's license to hold until after the surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070830 -  ..
070831 - After the documents were completed for admission to the surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070832 - department, Millie was taken to a pre-op area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
070834 -  ..
070835 - In leaving the Admissions room, Pam noticed the patient identification                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070836 - band was still on the desk.  Pam had the presence of mind to pick it                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070837 - up and ask if this should be placed on her mom's wrist?  The clerk                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070838 - thanked Pam for reminding about this.  She took the ID band and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070839 - fastened it to Millie's wrist, and advised that she is filling in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070840 - today during lunch, because the Admitting Department is short handed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070841 - Admitting is not her normal job.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070843 -  ..
070844 - Pre-op is just across the hall from Admitting.  This is a very large                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070845 - room with perhaps 20 or 30 cubicles separated by curtains on a rail in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070846 - the ceiling. The room seemed nearly full and there were 4 - 6 nurses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070847 - and many aids and orderlies.  A common workstation was in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070848 - center with room for each nurse to have a separate computer and a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070849 - place to prepare documents                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
070851 -  ..
070852 - Millie changed into a hospital patient's gown, and put her clothing in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070853 - a plastic bag provided by the hospital with her name on the front.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070854 - This bag can be stored in a closet until after the surgery, but we                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070855 - elected to hold them for Millie to reduce the chance of mix-ups.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
070857 -  ..
070858 - A male nurse took vital signs.  Blood pressure was above 170.  Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070859 - said this morning her blood pressure was about 140.  The nurse was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
070860 - reassuring in commenting that typically a surgery patient will have                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
070861 - elevated vital signs from anticipating the seriousness of surgery. The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070862 - pulse was about 55 showing a strong heart.  More paper work was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070863 - prepared using paper forms.  Kaiser has a lot of computers and a lot                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070864 - of paper.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
070866 -  ..
070867 - Another nurse connected an IV into Millie's right arm.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070869 -  ..
070870 - The nurse asked Millie where the surgery is to be performed.  Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070871 - confirmed the operation will be on the left breast.  The nurse used a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070872 - big felt marking pen to mark Millie's chest showing where the surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070873 - is to occur.  She said this helps avoid mistakes in the operating                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
070874 - room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070876 -  ..
070877 - The nurse said the surgery will take an hour.  After surgery, Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070878 - will be taken to a recovery room.  She will be in recovery for about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
070879 - an hour to awaken from the anesthetic.  She will then be moved back to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
070880 - the area where are now for post-op support and processing for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
070881 - discharge to go home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
070882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070883 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070884 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
070886 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0709 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Surgery at 1230                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0803 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080401 -  ..
080402 - Surgery Advanced from 1330 to 1230                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080403 - 
080404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0805 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0806 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0807 - 1230                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
0809 -    ..
080901 - After the nurse completed setting up the IV, she went to her desk a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080902 - few feet away.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080904 -  ..
080905 - Pam and I visited with Millie expecting a wait of about 60 minutes for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080906 - surgery which had been scheduled yesterday for 1330. ref SDS 7 V48L                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
080908 -      ..
080909 -     When we got home about 1800 there was a message on the phone at                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080910 -     1000 asking that Millie come in early, because there was a surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080911 -     cancellation which enabled moving Millie up from 1330 to 1230.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080913 -  ..
080914 - We heard the nurse saying on the telephone that surgery was ready for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080915 - Millie now.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
080917 -  ..
080918 - The nurse came over and said Millie's surgery has been moved up.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080920 -  ..
080921 - Another nurse showed up to move Millie to the operating room.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080923 -  ..
080924 - A woman who had been in the cubicle next to Millie, said her surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080925 - had been cancelled.  She was dressed, and asked if Millie would like a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080926 - prayer.  Millie said yes, and so the woman said a prayer holding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080927 - Millie's had.  Millie held Pam's hand and the woman included Pam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080928 - in a prayer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080930 -  ..
080931 - The nurse then pushed Millie's gurney out of the pre-op room and we                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
080932 - followed down the hall to the entrance to the surgery area. The nurse                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080933 - directed Pam and I to the waiting room.  We kissed Millie and wished                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080934 - her good luck.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
080936 -  ..
080937 - I left the waiting room briefly, and while walking down the hall the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080938 - woman who said a prayer for Millie, saw me and commented further about                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
080939 - having good feelings for Millie's recovery, from a religious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
080940 - perspective.  She later was in a wheel chair for some reason that was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080941 - not clear, since when we saw her in the pre-op room she seemed to be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
080942 - walking without any difficulty. A man was pushing the woman so she                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
080943 - could speak to others in the waiting room and eventually the man                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
080944 - pushed her over and she spoke to Pam and I further about her feelings                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
080945 - arising from Millie's cancer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
080946 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080947 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080948 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080949 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080950 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
080951 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
0810 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Surgery at 1230                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
Doctor's Comments Following Surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
Treatment Chemotherapy Likely Breast Cancer after Surgery Remove Tum                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
Lymph Nodes Cancerous Surgery Remove Under Left Arm and Surgery Remo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1106 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1107 - 1345                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110801 -  ..
110802 - Surgery Completed, Discussion with Doctor on Results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110803 - 
110804 - The surgeon visited with Pam and I about results of the operation.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110806 -  ..
110807 - The doctor described the surgery as a left breast sentinel node                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110808 - procedure along with a left axillary disection and left breast                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110809 - lumpectomy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110811 -  ..
110812 - Surgery was successful.  The doctor observed a small cancerous mass                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110813 - (tumor) about the size of a dime in Millie's breast.  The surrounding                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110814 - area about twice that size was removed as a precaution to avoid                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110815 - regeneration of cancer by creating clear margins between the tumor and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110816 - uninfected tissue.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110817 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110818 -        [On 020318 the surgeon called and reported preliminary results                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110819 -        of pathology work confirms lymph material is cancerous;                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110820 -        discussed additional surgery to ensure clear margins, and that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110821 -        chemo therapy treatment may be needed. ref SDS 11 5V7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110823 -         ..
110824 -        [On 020321 primary care physician in Oncology explained                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110825 -        findings of triple negative and stage II cancer. ref SDS 12                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110826 -        GM7G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110828 -         ..
110829 -        [On 020327 0539 reexcission surgery to remove remaining                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110830 -        cancer tissue in left breast, again reported successful,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110831 -        ref SDS 13 8R39, and following up initial surgery on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110832 -        020312. ref SDS 8 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110834 -         ..
110835 -        [On 040309 relapse cancer found in the neck, initial planning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110836 -        not to remove with surgery. ref SDS 15 HD5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110838 -         ..
110839 -        [On 040429 recurrance "redness" found to be skin cancer on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110840 -        breast. ref SDS 16 IE6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110842 -  ..
110843 - Several lymph nodes under the left arm were found to be infected using                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110844 - the detection methods described yesterday. ref SDS 7 V48L  These                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110845 - infected lymph nodes were removed.  The surgeon found cancer that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110846 - appeared "out of capsule," which is a serious condition that may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110847 - require follow on treatment with radiation and chemotherapy.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110848 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110849 -     [On 020318 the surgeon called and reported preliminary results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110850 -     pathology work confirms lymph material is cancerous; discussed                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110851 -     additional surgery to ensure clear margins, and that chemo therapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110852 -     treatment may be needed. ref SDS 11 5V7I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110854 -      ..
110855 -     [On 020321 pathology report shows 4 MM margins. ref SDS 12 6Q6J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110857 -      ..
110858 -     [On 020321 pathlogy report shows metastatic carcinoma tumor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110859 -     infiltrating through the capsule into the peri-nodal fatty tissue,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110860 -     left breast sentinel lymph node. ref SDS 12 4U8X                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110862 -      ..
110863 -     [On 020327 0539 reexcission surgery to remove remaining cancer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110864 -     tissue in left breast, again reported successful, ref SDS 13 8R39,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110865 -     and following up initial surgery on 020312. ref SDS 8 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110867 -      ..
110868 -     [On 021206 slight swelling along left side results from removing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110869 -     lymph nodes. ref SDS 14 KW5F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110871 -      ..
110872 -     [On 060106 patient reports new swelling, large bulge under left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110873 -     axillary; initial diagnosis is lymphadema. ref SDS 20 S164                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110875 -  ..
110876 - Pam asked if there has been any indication of cancer anywhere else in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110877 - her mom's body?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110879 -  ..
110880 - The doctor said xrays, blood work and other diagnostics performed so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110881 - far do not indicate there is more cancer in the body.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110882 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110883 -     [On 020321 Doctor Johnson ordered additional tests for metastatic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110884 -     cancer. ref SDS 12 FX5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110885 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110886 -     [On 040309 relapse cancer found in the neck, initial planning not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110887 -     to remove with surgery. ref SDS 15 HD5N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110889 -      ..
110890 -     [On 040429 recurrance "redness" found to be skin cancer on left                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
110891 -     breast. ref SDS 16 IE6K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110893 -  ..
110894 - The pathology report prepared on the material removed today will be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110895 - available in a few days.  If the material is cancerous as she suspects                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110896 - from observations of the removed lymph nodes, then prudence would                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110897 - require further diagnostics to look more carefully for other cancer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110898 - She seemed to indicate that a minimum regimen of radiation and chemo                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110899 - therapy may be recommended by the oncologist in the next phase of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110900 - Millie's recovery from cancer.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
110902 -      ..
110903 -     Research on the Internet seems to align with the doctor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110904 -     comments.  The location at....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110905 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110906 -        http://news.bbc.co.uk/hi/english/health/newsid_443000/443256.stm                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110908 -      ..
110909 -     Reports an article...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
110910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110911 -               Breast cancer tests "flawed"                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110913 -      ..
110914 -     ...saying in part that when women have a breast cancer removed,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110915 -     pathologists check their lymph nodes - a central part of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110916 -     immune system found in the armpit - to see if any of the tumour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110917 -     has got into the blood stream.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110919 -      ..
110920 -     If it has, the cancer may recur or spread to another part of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110921 -     body, so doctors use radiation or chemotherapy to destroy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110922 -     remaining cancer cells.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110924 -  ..
110925 - The doctor further seemed to indicate that there are several levels of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110926 - chemo therapy treatments.  If further testing does not reveal more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110927 - cancer, then a preventive maintenance, minimum chemo therapy program                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110928 - might be prescribed.  If further diagnostics reveal cancer beginning                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110929 - to form elsewhere, then a medium program might be tried.  If a serious                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110930 - problem exists, then aggressive treatment would be necessary.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110931 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110932 -     The same article further says in part...                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
110934 -      ..
110935 -     But the study, published in The Lancet medical journal, found that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110936 -     current tests missed many hidden tumours and their use was "no                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110937 -     longer clinically tenable".                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110939 -      ..
110940 -     The new method stains the tissue with a chemical that triggers an                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110941 -     immune-system response to highlight anything that should not be                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110942 -     there.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110944 -  ..
110945 - Since at this time there is no indication of other cancer the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110946 - implication is that a minimum preventive maintenance treatment may                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110947 - result.  But we don't really know, and will not know until more                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110948 - diagnostics are performed.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
110950 -  ..
110951 - The surgeon will call Millie next week to discuss findings of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110952 - pathology report.  A post-surgery follow up meeting with Millie is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110953 - sceduled for 020321 1445 to discuss next steps.  After that meeting,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110954 - Millie will begin working with an oncologist to develop a diagonstic                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110955 - and treatment program.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110957 -  ..
110958 - The doctor advised that the ace tube-top-like bandage from the surgery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
110959 - can be removed in the morning, and Millie can shower in 2 days.  The                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110960 - underlying gauze dressing on the surgery incision should remain in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
110961 - place until it falls off by itself after about a week of showering.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
110963 -  ..
110964 - She said there are no restrictions on eating.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110966 -  ..
110967 - Personal physical therapy exercises were explained yesterday,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
110968 - ref SDS 7 RK7O, to recover from adhesions that will result from                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
110969 - incisions under the arm,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
110971 -  ..
110972 - The doctor said that Millie will be in recovery for about an hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
110973 - until 1445, then she will be moved to post-op which is the same room                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
110974 - where were with Millie for pre-op.  Millie will be processed for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
110975 - release from post-op in about another hour.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
110976 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110977 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110978 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
110979 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1110 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Recovery 2 1/2 Hours Not One Hour                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
120401 -  ..
120402 - Recovery Took 2.5 Hours Rather than One                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
120403 - 
120404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1206 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1207 - 1400                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
1209 -    ..
120901 - Pam and I took a walk a few blocks away to the Watch Doctor on North                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120902 - Main in Walnut Creek. ref SDS 9 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
120904 -  ..
120905 - Millie and I had stopped there earlier this morning to get a watch                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120906 - fixed, but the shop did not open until 1130.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
120907 - ..
120908 - We got the watched fixed.
120910 -  ..
120911 - Pam used her cell phone to try calling Marilyn, Millie's childhood                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120912 - friend from Chicago.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120914 -  ..
120915 - The line was busy for several hours.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120917 -  ..
120918 - She called Bill, maybe Steve and Ron Jr., since they all have cell                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120919 - phones.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120921 -  ..
120922 - Interestingly, the admitting nurse had a place in the online form to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120923 - get a cell phone number for Pam as an additional contact method,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
120924 - indicating the cell phone is becoming a universal presence.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120926 -  ..
120927 - Pam may have finally gotten through to Marilyn and related results of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120928 - surgery.  Pam mentioned that Marilyn is available to visit and care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
120929 - for Millie during recovery from surgery and the coming treatments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
120930 - Marilyn's sister Bernie recently passed away after a long battle with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120931 - cancer, and so Marilyn's experience caring for her sister is a great                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
120932 - aid and comfort in helping Millie with what lies ahead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
120933 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120934 -     [...below Drisc and Bob invited Millie to visit them for care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
120935 -     during the period ahead. ref SDS 0 5Y4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
120936 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
120938 -  ..
1210 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1211 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1212 - 1500                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
1213 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121301 - By this time Millie should have been moved from recovery to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121302 - post-op area.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
121304 -  ..
121305 - Since we had not heard anything, Pam and I walked over to post-op.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121307 -  ..
121308 - The nurse said they have not have heard anything.  We expected Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121309 - any moment, so we went to the admitting area just outside the post-op                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121310 - room, rather than return to the waiting room for surgery, which is                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121311 - across the hall.  The nurse said she would come and get us, as soon as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
121312 - Millie is brought in.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
121314 -  ..
121315 - An hour later, after checking several more times we still had not                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
121316 - heard anything.  This was a little troubling since the surgeon had                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
121317 - indicated Millie would be returned to post-op by about 1445.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
121318 - ref SDS 0 H56N                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
121320 -  ..
121321 - We walked to the surgery area.  A doctor or nurse offered to assist                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121322 - us, and we asked if Millie is still in recovery?  The woman left and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121323 - returned about 5 minutes later, and said Millie is still sleeping in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
121324 - the recovery room.  They will wake her in about 20 minutes and take                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
121325 - her to post-op.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121326 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121327 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121328 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
121329 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1214 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Post-op an Discharge                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
1303 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130401 -  ..
130402 - Post-op Recovery and Discharge Instructions to Go Home                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130403 - 
130404 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1305 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1306 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
1307 - 1630                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
1309 -    ..
130901 - Pam and I returned to the waiting room for surgery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130903 -  ..
130904 - Pam noticed a Reader's Digest among the magazines available in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130905 - waiting room, and drew attention to an article about mistakes in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130906 - medical practice.  We recalled the report on 990912 about the high                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130907 - cost of medical mistakes, ref SDS 1 0001, which led a few months later                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
130908 - on 991207 to a national initiative on helping doctors, nurses and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130909 - administrators strengthen medical practice. ref SDS 2 0001  Pam                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130910 - recalled a recent inquiry in the Kaiser Papers that raised concern                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130911 - about improvement needed at Kaiser. ref SDS 4 0001  Today, Pam's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130912 - alertness helped avoid adding to the statistics, as we seemed to get                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130913 - through with a minimum of snafus.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130915 -  ..
130916 - About 15 minutes later, an attendant said Millie has been moved to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130917 - post-op and can receive visitors.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130919 -  ..
130920 - Millie looked well under the circumstances.  She seemed understandably                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130921 - tired from her ordeal.  Her voice was slow and tired.  The equipment                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130922 - was still connected (e.g., IV, breathing support).  She was thirsty,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130923 - so we got her some water.  Made 3 or 4 trips for this.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130925 -  ..
130926 - The nurse, Claire Conger, gave Millie some crackers to eat as a test                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130927 - to see how she is functioning in advance of release to go home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130929 -  ..
130930 - Earlier the post-op room had been almost empty, but now it was filling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130931 - up again, and there seemed to be only one or maybe two nurses                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130932 - attending all of the patients.  This meant that getting released was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130933 - extended by about 30 to 40 minutes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130935 -  ..
130936 - Millie commented that there was some dissension among the nurses in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130937 - the recovery room.  She recalled hearing a supervisor say something                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130938 - about "writing up" one of the nurses for infractions in performing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130939 - various duties.  She was surprised to hear nurses arguing in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130940 - presence of patients.  This issue may have contributed to the extra                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130941 - two hours in recovery, since obvsiously Millie was awake in Recovery,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130942 - and then eventually went back to sleep.  Pam and I did not observe any                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130943 - evident dissention among staff.  Everyone seemed to be doing their                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130944 - jobs in a professinoal, efficient and congenial manner.  In the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130945 - surgery area where we went to ask about Millie there were 5 or 6                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130946 - doctors and nurses standing around laughing about something, so we did                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130947 - not observe the dissention that Millie recalled.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130949 -  ..
130950 - After 30 - 40 minutes, the nurse in post-op began processing Millie                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130951 - for release. Pam helped Millie dress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130953 -  ..
130954 - Nurse Claire walked me over to a window and showed where to park the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130955 - car in front of the hospital for emergency patient pickup.  Millie has                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130956 - to be taken out of the facility in a wheelchair.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130957 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130958 -     [On 051022 Millie had a much more serious operation, and was                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130959 -     released to walk out of the hospital. ref SDS 18 NE4T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130961 -  ..
130962 - I went and got the car on the 5th floor of the parking garage, and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130963 - drove to the emergency patient parking in front of the hospital on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130964 - South Main.  All of the parking spaces were taken.  Parked along a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
130965 - curb that was not marked for parking, but other cars were there, so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130966 - hoped this would be okay.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
130968 -  ..
130969 - Back in post-op, the nurse was still attending other patients.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
130971 -  ..
130972 - The nurse seemed really busy handling so many matters, i.e., new                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
130973 - patients coming in and many to process for release, so we were patient                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130974 - and did not press to expedite Millie's release.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130976 -  ..
130977 - Claire finally got to Millie and read through instructions on a form                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130978 - that included a restricted diet this evening.  This conflicted with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130979 - understandings from the surgeon, however, we did not review the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130980 - matter.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
130982 -  ..
130983 - Instructions for removing the large ace bandage tomorrow aligned with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130984 - the surgeon's direction above. ref SDS 0 RR4M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
130985 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
130986 -      [On 020313 removed bandage. ref SDS 10 VO4F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
130988 -  ..
130989 - Millie was fitted with a sling which seemed to conflict with doctor's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130990 - instructions that personal physical therapy should commence as soon as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130991 - possible to minimize the formation of adhesions from the surgery under                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
130992 - the arm.  The nurse said the sling is only intended for today and                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
130993 - possibly tomorrow.  She noted instructions for PT to commence early.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
130995 -  ..
130996 - Nurse Clair wrote her name and phone number on the release forms that                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130997 - Pam signed for Millie, so if we got a ticket for parking in the wrong                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
130998 - place downstairs, she would take care of it.  She said this happens                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
130999 - sometimes.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
131001 -  ..
131002 - We then had to round up an orderly with a wheelchair.  Several                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
131003 - patients were taken down, then it was Millie's turn.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131005 -  ..
131006 - In leaving, we complimented nurse Clair for doing a good job handling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131007 - so many patients without any help.  She was comptent and attentive in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
131008 - performing her duties performed under a lot of stress from patients                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131009 - and family members anxious to be released, and others were being                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
131010 - admitted.  It looked like a lot for one person to handle.  We were                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
131011 - grateful for her professionalism caring for Millie.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
131013 -  ..
131014 - Took about 15 minutes to drive home.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
131015 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131016 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131017 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131018 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
131019 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
1311 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Get Well Wishers Ron, Steve, Drisc, Kim, Girls (Steph, Amy), Dorothy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2103 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
2104 - 1825                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
210501 -  ..
210502 - Home at Last and Good Wishes from All; Mamogram Reports No Cancer                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
210503 - 
210504 - As we drove into the garage, Millie noticed some things on the front                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210505 - door step.  We could see a balloon tied to the door knob.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
210506 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210507 -     [On 050823 Millie scheduling meeting with doctor who was past                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
210508 -     president of ACS, Calif Div, and wrote in support of mamograms.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210509 -     ref SDS 17 SE5J                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
210511 -  ..
210512 - We got the mail, and were amazed to find a report on Millie's recent                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210513 - mammogram ordered on 020208. ref SDS 3 DH7H  The report said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
210514 - congratulations there was no evidence of breast cancer found in the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210515 - mamography test.  We had to laugh, and say thanks for Millie pulling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210516 - through breast cancer surgery this morning. ref SDS 0 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
210517 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210518 -     [On 051027 biopsy on mastectomy surgery finds ductal carcinoma in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
210519 -     situ (DCIS) in nipple tissue that is commonly discovered with                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
210520 -     mammogram tests, and conflicts with PET scan and mammogram testing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210521 -     which reported no findings of cancer. ref SDS 19 615K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210523 -      ..
210524 -     [On 130425 0956 Peggy Orenstein article New York Times "Our                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210525 -     Feel-Good War on Breast Cancer" explains tenuous effectivenss of                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210526 -     mamograms. ref SDS 22 F641                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210528 -  ..
210529 - Millie was thrilled to get flowers and a card from Ron and Kim and the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210530 - girls, Stephanie and Amy, along with a teddy bear and flowers.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
210532 -  ..
210533 - Ron Jr left a separate card.  At first we thought it might be from Ron                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210534 - Sr, but Millie recognized the handwriting was Ron Jr.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
210536 -  ..
210537 - Ron Jr. called a few minutes after we arrived and said he would stop                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210538 - by for a visit later this evening.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
210540 -  ..
210541 - There was a phone message from Steve wishing his mom well.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
210543 -  ..
210544 - Millie's friend Janna called, and my mother called.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210546 -  ..
210547 - Millie explained being tired from the long day, anxiety and physical                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210548 - ordeal of surgery, but feels she came through this first step, in good                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210549 - shape and is glad to be started on the road to recovery.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
210551 -  ..
210552 - Driscilla called and left a message asing about results of surgery,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210553 - and reminding that Millie can come and stay with her and Bob while                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
210554 - recovering from surgery and undergoing further treatments.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
210555 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210556 -     [...above Pam is discussing with Marilyn coming to care for                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210557 -     Millie. ref SDS 0 QR5M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
210559 -      ..
210560 -     [On 020313 Drisc called on this again. ref SDS 10 1J3H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210562 -  ..
210563 - Millie received a lot of email and messages from family and friends                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210564 - responding to the letter, ref DIP 1 0001, submitted last night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
210565 - ref SDS 7 6A5G                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210566 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210567 -      Richard from Fuji, Japan. ref DRT 1 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210568 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210569 -         Submitted ref DIT 1 0001 telling Richard that Millie and I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
210570 -         recently saw the movie Black Hawk Down about US troops in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
210571 -         Somalia on a mission that went bad due to lack of political                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210572 -         will, and were glad about Ross' report that Richard is safe in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210573 -         Japan training soldiers for Afghanistan theater.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
210575 -       ..
210576 -      Ed called and left message in San Francisco asking about Millie's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210577 -      progress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
210579 -       ..
210580 -      Ross from Danbury, CN. ref DRT 2 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
210582 -       ..
210583 -      Suzanne sent a nice card from Sacramento; she and Dick, who are                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
210584 -      long-time tennis friends from the San Francisco days, are pulling                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
210585 -      for Millie.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
210587 -       ..
210588 -      Patty called and left a message in San Francisco                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
210590 -       ..
210591 -      Wayne sent letter wishing Millie well. ref DRT 3 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
210593 -       ..
210594 -      Rob responded wishing Millie well. ref DRT 4 0001                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                      
210596 -  ..
210597 - Millie was not hungry.  She wanted a ginger ale.  We have Sprite so                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
210598 - fixed that with some ice.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
210599 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210600 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210601 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210602 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
210603 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2107 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Visitors Ron Jr, Steve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2203 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
220401 -  ..
220402 - Visit from Ron Jr., and Steve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
220403 - 
220404 - Ron Jr. arrived about 1900.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
220405 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220406 - We reviewed the days events and the Doctor's comments after surgery,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
220407 - per above. ref SDS 0 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
220409 -  ..
220410 - Ron explained that Kim and the girls are at volleyball practice in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
220411 - Antiock.  Millie was pleased to hear that Amy is following in her big                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
220412 - sister Stephanie's footsteps as a scholar-athlete.  Next year Steph                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
220413 - will be a senior and Amy will be a freshman in the same high school,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
220414 - so that is quite a milestone.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
220416 -  ..
220417 - Millie commented how both Amy and Amanda, now both in the 8th grade                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
220418 - and beginning to come of age as bright and responsible teenagers are a                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
220419 - great joy, and make the whole family proud of their progress.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
220421 -  ..
220422 - Ron related there is a volleyball tournament this weekend where                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220423 - Stephanie and Amy are competing.  If Millie is feeling up to a short                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
220424 - trip to Tracy, this might be fun to attend.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
220426 -  ..
220427 - About this time, there was a knock at the door.  Millie was surprised                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
220428 - to see Steve stopping by to visit.  He had mentioned in his phone                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
220429 - message that he was in the area and would be stopping by.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
220431 -  ..
220432 - Steve had talked to his sister earlier, and Pam had filled him in on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
220433 - results of the surgery, per above. ref SDS 0 Q78M                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
220435 -  ..
220436 - This was a great thrill to have two sons visiting during a week night.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
220438 -  ..
220439 - Steve had a job interview in San Ramone, so he was here in the East                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
220440 - Bay today.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
220442 -  ..
220443 - Millie asked about Steve's interview?                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
220445 -  ..
220446 - Steve felt the interview went well.  The position would involve                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220447 - training and developing a training program for using CAD software to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
220448 - prepare design drawings for engineering and architecture.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                         
220450 -  ..
220451 - By this time it was about 2000.  Millie was tired, so the boys said                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
220452 - good bye.  Millie thanked them for visiting and looked forward to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
220453 - keeping in close touch in the period ahead.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
220454 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220455 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220456 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
220457 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2205 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     

SUBJECTS
Range of Motion Personal Physical Therapy                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
Rest and Recovery                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
Physical Therapy Maintain Range of Motion Avoid Adhesions from Formin                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
2505 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
250601 -  ..
250602 - Rest and Recovery at End of Long Day                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250603 - 
250604 - Millie tested the range of motion in her arm, and was pleased there                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250605 - was no pain in reaching up and even behind her head, as the doctor                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
250606 - demonstrated during the meeting yesterday. ref SDS 7 RK7O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250608 -  ..
250609 - After an hour or so, she removed the sling that the nurse set up as                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250610 - part of the discharge procedure earlier this afternoon. ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250611 - KG7M,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250613 -  ..
250614 - She watched television and read her book on breast cancer purchased                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250615 - yesterday, and then was asleep by about 2130 or so.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250617 -  ..
250618 - Millie commented that we got a lot done today.  She recounted going to                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250619 - Nuclear Medicine, ref SDS 0 RJ7L, delivering tax information to the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
250620 - accountant, ref SDS 0 BJ37, getting her operation done, ref SDS 0                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250621 - Q68F, and fixing the watch. ref SDS 0 H58I                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250623 -  ..
250624 - Millie said it was a productive day, so she felt good.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
250626 -  ..
250627 - That's our Millie.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
250628 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250629 -            [On 131212 1751 letter to Mil's kids cites the record today                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250630 -            illustrating a fascinating episode in Millie's life                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                    
250631 -            battling cancer. ref SDS 23 VC9T                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                 
250632 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250633 -            [On 140227 1007 letter to Sally citing her comments on                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
250634 -            having a "pretty good day" getting things done on her                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
250635 -            birthday. ref SDS 24 UE5H                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
250636 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250637 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250638 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250639 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250640 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250641 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250642 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250643 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250644 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250645 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250646 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250647 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
250648 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
2507 -