CONTACTS 

SUBJECTS
Johnson, Doctor Meeting at Kaiser
CA 15-3 60 Drops from 62 Reversing Trend of Past Few Months

0504 -
0504 -    ..
0505 - Summary/Objective
0506 -
050601 - Follow up ref SDS 50 0000. ref SDS 48 0000.
050602 -
050603 - CA 15-3 dropped again slightly. ref SDS 0 SM6M  The main purpose of
050604 - the meeting today was to investigate a report of a new lump on the
050605 - neck. ref SDS 0 WP7L  Examination showed this is most likely a
050606 - swelling of lymph nodes, and is not cancerous.  Antibiotics were
050607 - prescribed. ref SDS 0 6S6N A more thorough examination will be
050608 - performed on the next regularly scheduled visit.
050609 -
050610 -
050611 -
050612 -
050614 -  ..
0507 -
0508 -
0509 - Discussion
0510 -
051001 - Recovery Progress CA 15-3 Cancer Marker Drops from 68 to 66
051002 - CA 15-3 Cancer Marker Reverses Trend and Shows Slight Drop
051003 -
051004 - Follow up ref SDS 50 SM6M, ref SDS 48 SM6M.
051005 -
051006 - Blood test reported during the meeting today showed CA 15-3 cancer
051007 - marker fell from 62 to 60, continuing the drop from a high of 68 on
051008 - 030708; only half the drop from the prior test on 031205. It remains
051009 - below a level that indicates treatment has failed, as reported on
051010 - 030220. ref SDS 42 ZL4X
051012 -           ..
051013 -          040205......... 60 H............. 040211, ref SDS 0 SM6M
051014 -          031205......... 62 H............. 031205, ref SDS 50 SM6M
051015 -          030912......... 66 H............. 030915, ref SDS 48 SM6M
051016 -          030708......... 68 H............. 030710, ref SDS 47 SM6M
051017 -          030503......... 54 H............. 030508, ref SDS 43 SM6M
051018 -          030403......... 45 H............. 030508, ref SDS 43 SM6M
051019 -          030220......... 46 H............. 030220, ref SDS 42 5E6L
051020 -          030106......... 37 H............. 030109, ref SDS 40 SM6M
051021 -          021202......... 41 H?............ 021204, ref SDS 36 SP5G
051022 -          021102......... 36 H?............ 021113, ref SDS 35 Y65I
051023 -          021023......... 33 H?............ 021023, ref SDS 34 SQ5I
051024 -          020930......... 33 H?..29........ 021002, ref SDS 33 SQ5I
051025 -          020917......... 36 H?............ 020924, ref SDS 32 SQ5I
051026 -          020717......... 59 H?............ 020726, ref SDS 31 YN5K
051027 -          020629......... 75 H ............ 020705, ref SDS 29 UX6I
051028 -          020608........  67 H ............ 020614, ref SDS 25 0001
051029 -          020603........ 108 H ............ 020607, ref SDS 23 X67F
051030 -          020511........ 117 H ............ 020603, ref SDS 22 PJ4J
051031 -          020419......... 81 H ............ 020430, ref SDS 18 7N5H
051032 -          020321......... 85 H ............ 020405, ref SDS 8 6T8K
051033 -
051034 -
051035 -
051037 -  ..
0511 -
0512 -
0513 - Analysis
0514 -
051401 - Drops in CA 15-3 Cancer Marker Suggests Condition Stable
051402 -
051403 - Follow up ref SDS 50 GJ5M, ref SDS 48 GJ5M.
051404 -
051405 - The meeting today was ahead of the schedule set on 031205 for another
051406 - meeting in March, and was for the purpose of evaluating a new lump,
051407 - per below.  As a result, there was no consultation to evaluate CA 15-3
051408 - today, other than to note there is continued decline, but at a reduced
051409 - rate.  This could indicate there is a battle underway for the cancer
051410 - to return and this is being held in check by Millie's immune system,
051411 - perhaps aided by residual effects of chemo therapy.
051412 -
051413 -     [On 040318 the doctor diagnoses metastatic cancer due to
051414 -     recurrence. ref SDS 54 8R6M
051415 -
051416 -
051417 -
051418 -
051419 -
051420 -
0515 -

SUBJECTS
PET Scan Findings Show Previous Metastatic Lymphadenopathy No Longer Ac
Metastasis New Nonspecific May be Post Treatment Trauma Inflammatory Ch
CT Scan Findings Show 2 New 1 CM Masses in Area of Prior Surgery for Ly
CT Scan Findings Show 1 CM Masses Increased to 1.5 CM 50% Growth
CT Scan Test Shows No Evidence Progression Distant Metastasis Stable Co

1407 -
140801 -  ..
140802 - CT Scan Shows No Evidence of Carcinoma Activity
140803 -
140804 - Follow up ref SDS 50 LK5L, ref SDS 48 LK5L.
140805 -
140806 - The doctor noted that speculation about implications of CA 15-3 are
140807 - difficult based on lack of evidence of metastasis activity from
140808 - testing, as reported on 031205. ref SDS 50 LK5L
140809 -
140810 -      [On 040309 pathology of biopsy on lymph nodes in the neck reports
140811 -      cancer. ref SDS 53 0001
140813 -       ..
140814 -      [On 040318 the doctor diagnoses metastatic cancer due to
140815 -      recurrence. ref SDS 54 8R6M
140816 -
140817 -
140818 -
140819 -
1409 -

SUBJECTS
Fitness Exercise Improve General Health Positive Attitudes Doctors M
CA 15-3 Not Recommended for Use by ASCO Published Guidance
Patient Fitness Appearance Much Younger than Chronological Age Due t
Recurrence Metastatic Cancer Cure Impossible Due to High Risk Factor
Testing Indicates Presence of Cancer Activity but No Clinical Observ
No Clinical Observable Symptoms of Cancer Delays Commencement of Sec
Fitness Exercise General Health Positive Attitude Millie Has Conditi
Tests Shows No Evidence Progression Distant Metastasis Stable Condit

2410 -
241101 -  ..
241102 - Good Looking Young Vital Fit Patient No Symptoms Cancer
241103 - Symptoms Patient Fitness Appearance Younger than Actual Age
241104 - Fitness Patient Appearance Younger than Actual Chronological Age
241105 - Kaiser Relies on Patient Symptoms to Determine Treatment for Relapse
241106 -
241107 - Follow up ref SDS 50 7C6W, ref SDS 48 7C6W.
241109 -  ..
241110 - The doctor noted again today Millie's good health and physical
241111 - condition belies her chronological age.
241112 -
241113 -
241114 -
241115 -
2412 -

SUBJECTS
Lump Under Left Arm Scar Tissue Cancer Harder to Touch Small Isolated
Pea-like Cluster and Firmness Indicates Cancerous Lumps Not Present
Cancerous Lumps Not Present Pea-like Cluster and Firmness Indicates
Neck New Lump Left Side Lymph Node Swelling No Indication of Cancer
Lymph Node Swelling on Left Side of Neck No Indication of Cancer

3007 -
300801 -  ..
300802 - Lymph Node Swelling on Left Side of Neck No Indication of Cancer
300803 - Neck New Lump Left Side Lymph Node Swelling No Indication of Cancer
300804 - Lump New Left Side Neck Lymph Node Swelling No Indication of Cancer
300805 -
300806 - Follow up ref SDS 50 WP7L, ref SDS 32 RP4F.
300807 -
300808 - Millie reported recent stiffness in the neck, and asked the doctor to
300809 - check what seems like a slight lump on the left side.  She explained
300810 - this occurs from time to time, so it's probably from sleeping wrong or
300811 - straining to check for cars in the next lane, something like that.
300813 -  ..
300814 - The doctor examined the neck and found a lump.  He indicated it does
300815 - not have the feel of cancer.  Previously, on 030606 cancer was
300816 - described as have a small "pea-like cluster condition.  The doctor
300817 - compared the condition of the lump on the neck today as more like the
300818 - tip of the nose, which was explained, also, on 030606 as being more
300819 - likely a temporarily inflamed lymph node. ref SDS 44 N66J
300820 -
300821 -        [On 040303 Doctor Laio head and neck specialist found 3 or 4
300822 -        lumps and ordered surgery. ref SDS 52 VF77
300824 -  ..
300825 - The doctor explained that lymph nodes can flare up periodically due to
300826 - benign infections from small variations in health, including illness
300827 - such as the cold or the flue, which Millie had several weeks ago.
300828 - These flare ups that appear as mushy lumps typically recede on their
300829 - own.
300830 -
300831 -        [On 040303 Doctor Laio offered similar opinion. ref SDS 52 VG5F
300833 -         ..
300834 -        [On 040309 pathology report on biopsy shows cancer cells.
300835 -        ref SDS 53 HD5N
300837 -         ..
300838 -        [On 040517 Millie diagnosed with inflammatory breast cancer
300839 -        (IBC), ref SDS 55 7D6F; research indicates that swelled lymph
300840 -        nodes in the neck above the collar bone are symptoms of IBC.
300841 -        ref SDS 55 M67I
300843 -         ..
300844 -        [On 040607 Millie learns diagnosis IBC, ref SDS 56 GX6G; jokes
300845 -        about being lucky getting treatment from telling the doctor
300846 -        about a stiff neck. ref SDS 56 MP8M
300848 -  ..
300849 - The doctor prescribed pennicilen for an antibiotic to treat the new
300850 - lump on the neck.
300851 -
300852 -        [On 040227 examination showed only slight reduction in
300853 -        swelling, so further examination ordered by Head and Neck
300854 -        specialist. ref SDS 51 0001
300856 -         ..
300857 -        [On 040309 pathology report on biopsy shows cancer cells.
300858 -        ref SDS 53 HD5N
300860 -         ..
300861 -        [On 040318 doctor diagnoses metastatic cancer due to
300862 -        recurrence. ref SDS 54 8R6M
300864 -         ..
300865 -        [On 040517 Millie diagnosed with inflammatory breast cancer,
300866 -        ref SDS 55 7D6F, research indicates swelled lymph nodes in the
300867 -        neck above the collar bone are symptoms of IBC. ref SDS 55 M67I
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3009 -