THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: April 8, 2002 02:00 PM Monday; Rod Welch

Meeting at Kaiser to examine surgery on 020327 and schedule follow up.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Surgery Breast Cancer Follow Up Today on 020327 Surgeon
Doctor's Comments Following Surgery
Meeting with Surgeon Examine Recovery from Surgery on

1105 -
1105 -    ..
1106 - Summary/Objective
1107 -
110701 - Follow up ref SDS 14 0000, ref SDS 11 0000.
110702 -
110703 - The surgeon reviewed understandings from the meeting with the primary
110704 - care physician in Oncology on 020405. ref SDS 15 QV8I  The surgeon
110705 - confirmed that the pathology report shows "clear margins" were
110706 - achieved.  There is no evidence of additional tumor in the material
110707 - removed during the second surgery on 020327, which was the doctor's
110708 - goal explained following surgery. ref SDS 14 Q78M
110710 -  ..
110711 - The surgeon examined the scar from the operation on the left breast,
110712 - and found it seems to be healing adequately.
110714 -  ..
110715 - The surgeon explained that the breast fills with fluid following
110716 - surgery and this fluid maintains a normal shape.  The doctor seemed to
110717 - say that the breast will grow new tissue to replace the material
110718 - removed by the two surgeries.
110720 -  ..
110721 - The surgeon advised there will be periodic follow up examinations
110722 - every three (3) months for the next few years so that effectiveness of
110723 - surgery can be monitored in relation to objectives for recovery from
110724 - cancer.  This will supplement work by the doctor in the Oncology
110725 - Department, who is managing overall treatment, as Millie's new primary
110726 - care physician, and confirms prior understandings during the meeting
110727 - on 020321. ref SDS 13 029O
110728 -
110729 -     [On 040318 discussed advantage of meeting with the surgeon further
110730 -     review following diagnosis of distant metastasis, ref SDS 16 HC8M,
110731 -     and in light of pathology finding of persistant redness in the
110732 -     breast that was originally treated with surgery. ref SDS 16 IM6J
110734 -      ..
110735 -     [On 040419 surgeon performs minor operation to install a
110736 -     port-catheter to facilitate transfussions for chemotherapy, and
110737 -     for blood tests; surgeon explains why follow up examinations
110738 -     planned today where no performed for past 2 years; surgeon examins
110739 -     left breast and observes severe red rash (inflammation); surgeon
110740 -     performs punch biopsy procedure on left breast. ref SDS 17 PPSW
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110744 -
110745 -
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110749 -
110750 -
110751 -
1108 -
1109 -