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 21, 2002 03:15 PM Thursday; Rod Welch

Millie meeting with Doctor Riley-Paull to schedule follow up surgery.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Treatment Options Radiation and Chemo Therapy Likely                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                
Meeting Doctor Reily-Paull Post-op Review of Surgry Recovery and Trea                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
Pathology Report Shows Cancer Need Follow Up Surgery Chemo Therapy Ba                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
Meeting 020321 1430 with Oncologist Meeting with Surgeon Bumped to af                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
Surgery Healing Under Arm May Need to be Drained on 020321 Causing Mi                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
Surgery Scheduled 020327 to Complete Extraction of Cancerous Lymph No                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
0908 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0908 -    ..
0909 - Summary/Objective                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                  
0910 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091001 - Follow up ref SDS 10 0001 ref SDS 7 0000.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091002 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091003 - A nurse, Kim, intially did some paper work, including taking Millie's                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091004 - blood pressure.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091006 -  ..
091007 - We asked about getting a yellow patient folder that Chris said this                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091008 - morning Millie needs to bring with her for surgery on 020327.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091009 - ref SDS 12 1G8O                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091011 -  ..
091012 - Kim said the yellow patient folder Millie received on 020311,                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
091013 - ref SDS 6 PX51, for the surgery on 020312 is adequate for setting up                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                        
091014 - this next surgery on 020327.  As a result, Millie did not have to fill                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091015 - out all of the forms again.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091017 -  ..
091018 - The surgeon came in a few minutes later....                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091022 -  ..
091023 - She explained having just talked with the Oncologist about his meeting                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091024 - with Millie earlier today.  The surgeon further advised that she will                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091025 - continue to see Millie for the next year or so, but less frequently                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091026 - than will the oncology doctor, who will become Millie's primary care                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091027 - physician (PCP).  This aligns with understandings from the meeting in                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091028 - Oncology earlier today, reported on 020321 1430. ref SDS 13 MA3F                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091029 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091030 -     [On 020408 the doctor set a schedule to see Millie about every                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091031 -     three (3) months to supplement work by Doctor Johnson. ref SDS 14                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                       
091032 -     WX4K                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                          
091034 -  ..
091035 - The purpose of the reexcision surgery scheduled for next week 020327                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                              
091036 - is to widen the area of the prior surgery to achieve "clear margins."                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091037 - This evidently relates to removing cancer cells at the edges of the                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091038 - tissue removed in the first surgery, and for the purpose of preventing                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            
091039 - further cancer growth, similar to removing spoiled tissue in an apple                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                             
091040 - or cauliflower.  Success getting "clear margins" in this reexcision                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                               
091041 - surgery will reduce chances Millie's cancer will recur.                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                           
091042 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
091043 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                   
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0911 -                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                     
0912 -