CONTACTS 

SUBJECTS
Meeting Doctor Johnson
CA 15-3 62 Rises from 60 to 70 Reversing Trend of Past 6 Months

0604 -
0604 -    ..
0605 - Summary/Objective
0606 -
060601 - Follow up ref SDS 59 0000. ref SDS 58 0000.
060602 -
060603 - Doctor Johnson cleared Millie to begin chemotherapy by changing the
060604 - diagnosis from cellulitus to radiation reaction, which will be treated
060605 - with different medicine. ref SDS 0 SY6J  He will see Millie in two
060606 - week, scheduled by Rosalie, who is administering the trial for
060607 - Avastin.
060608 -
060609 -    [On 040409 Kaiser notifies next meeting with Doctor Johnson is on
060610 -    040416. ref SDS 62 0001
060611 -
060612 -
061409 -
0615 -

SUBJECTS
Cancer Cells Detected in Biopsy of Lumps in Neck Taken on 040303 by
Johnson, Robert Doctor Called Left Message Millie Considered for Tri
Meeting with Doctor about Lump in left breast and Under Left Arm Cau
Patient Symptoms Guide Kaiser for Performing Treatment of Cancer Rel
Symptom New Lump Under Arms where Cancer Surgery Performed on 020312
Lump Under Left Arm Scar Tissue Cancer Harder to Touch Small Isolate
Recurrence Likely Due to High Risk Factors in Millie's Case Doctor P
Testing Indicates Presence of Cancer Activity but No Clinical Observ
No Clinical Observable Symptoms of Cancer Delays Commencement of Sec
Tests Shows No Evidence Progression Distant Metastasis Stable Condit
Trial on New Cancer Treatment Double Blind Test Alternative Approach
Doctor Called and Reported Cancer Cells Detected in Biops
Treatment Cancer and Trial on New Cancer Treatment Double Blind Test
Surgery Not Prescribed for Lymph Cancer Schedule Chemo Therapy Cance
Approves Clears Millie for Receiving Cancer Treatments Enrolled in A

2517 -
251801 -  ..
251802 - Treatment Scheduled to Recover from Cancer in Neck Lymph Nodes
251803 - Cancer Cells Reported in Biopsy of Lumps in Neck Treatment Scheduled
251804 - Chemotherapy Prescribed Surgery Not Effective for Lymph Node Cancer
251805 - Surgery Not Prescribed for Lymph Node Cancer Chemotherapy Scheduled
251806 -
251807 - Follow up ref SDS 59 8R6M, ref SDS 58 0001.
251808 -
251809 - After visiting with Rosalie, reported in another record today,
251810 - ref SDS 60 BK8M, the doctor examined Millie as called out in the
251811 - protocol consent for the Avastin trial. ref OF 10 UJ44
251813 -  ..
251814 - The doctor was disappointed that the antibiotics did not clear up the
251815 - redness in the left breast.  He explained analysis of this record
251816 - suggests that the problem may not be cellulitus, which would have
251817 - delayed starting treatment in the Avastin trial; but, instead the
251818 - problem seems more likely a delayed reaction to radiation treatment
251819 - that was performed in 2002. see below, ref SDS 0 IM6J
251821 -  ..
251822 - The doctor prescribed a low dosage of a steriod which he indicated has
251823 - been successful treatment for reaction to residual effects of
251824 - radiation treatments.
251826 -  ..
251827 - As a result, Millie can proceed to get treatment immediately, in line
251828 - with planning on 040318, ref SDS 59 PU6M, rather than wait for further
251829 - treatment of the redness problem.  The doctor advised Rosalie to go
251830 - ahead and schedule Millie to prepare for starting treatments, as
251831 - reported in another record today. ref SDS 60 9739
251832 -
251833 -     [On 040407 Rosalie called and scheduled treatments to begin on
251834 -     040420. ref SDS 61 3S6L
251836 -      ..
251837 -     [On 040409 Millie wrote to Rosalie confirming understandings on
251838 -     scheduling treatments to begin on 040420. ref SDS 62 NE7K
251839 -
251840 -
251841 -
251842 -
2519 -

SUBJECTS
Meeting with Doctor Johnson in Two Weeks, Rosalie to Schedule

2603 -
260401 -  ..
260402 - Meeting with the Doctor in Two Weeks, Rosalie to Schedule
260403 -
260404 -
260405 - Doctor Johnson indicated he will see Millie again in two weeks, and
260406 - that Rosalie will schedule the meeting.
260407 -
260408 -     [On 040409 Millie wrote to Rosalie asking for clarification on
260409 -     conflicting information from the staff that scheduled the meeting
260410 -     on two different dates. ref SDS 62 YD4R
260412 -      ..
260413 -     [On 040409 Kaiser called and confirmed next meeting with Doctor
260414 -     Johnson is on 040416. ref SDS 62 046B
260415 -
260416 -
260417 -
260418 -
260419 -
260420 -
2605 -

SUBJECTS
Rosalie Lead Contact Coordination Expediter Case Manager Project Man

3003 -
300401 -  ..
300402 - Rosalie Lead Contact Coordination Expediter Case Manager
300403 -
300404 - The work today suggests that, since Rosalie is taking the lead on
300405 - managing the administration of the Avastin protocol, and since Millie
300406 - is now enrolled in the protocol, Rosalie will be the lead contact for
300407 - patient communications going forward.
300408 -
300409 -     [On 040409 Millie wrote to Rosalie commending her work on
300410 -     coordinating management of the case. ref SDS 62 NF8M
300412 -  ..
300413 - Rosalie has demonstrated proactive management and strong communication
300414 - skills for performing this role, reported in another record today.
300415 - ref SDS 60 JP82 and ref SDS 60 6E4K
300416 -
300417 -
300418 -
300419 -
300420 -
300421 -
3005 -

SUBJECTS
2nd Opinion Metastatic Cancer Treatment Chemotherapy New Trial Drug
600 Dollars Patients Must Pay for 2nd Opinion Metastatic Cancer Trea

3404 -
340501 -  ..
340502 - Second Opinion Verify Scope of Problem and Treatment Planning
340503 -
340504 - Follow up ref SDS 59 AW6M.
340505 -
340506 - There was not time today for discussion on this matter.
340508 -  ..
340509 - Millie feels this issue requires further consideration, based on
340510 - research in the record on 040318. ref SDS 59 425H
340511 -
340512 -
340513 -
340514 -
431209 -
4313 -

SUBJECTS
Redness Returns to Left Breast Diagnosed as Cellulitus Treated with
Breast Softer Change May Indicate Recovery from Trauma of Surgery
Diagnosis Changed from Cellulitus to Radiation Reaction Treated with
Cancer Treatment Delayed Cellulitus Diagnosed Treated with Antibioti
Breast Redness Returns to Left Breast Diagnosed as Cellulitus Treate
Breast Redness Diagnosis Changed from Cellulitus to Radiation Reacti

5208 -
520901 -  ..
520902 - Chemotherapy Cleared to Start Avastin Trials on 040420
520903 - Treatment Proceeds Diagnosis Cellulitus Changed to Radiation Reaction
520904 - Redness Breast Diagnosis Changed from Cellulitus to Radiation Reaction
520905 - Radiation Reaction Redness Breast Diagnosis Changed from Cellulitus
520906 -
520907 - Follow up ref SDS 59 IM6J, ref SDS 51 7C6W.
520908 -
520909 - Examination showed that redness in left breast has increased following
520910 - treatment for cellulitus prescribed on 040318. ref SDS 59 PY4N
520912 -  ..
520913 - The doctor changed the diagnosis today from cellulitus to "reaction to
520914 - radiation treatment," which was performed during August and September
520915 - 2002, reported on 020924. ref SDS 36 0J7H  Previously, on 030710 an
520916 - "impression" in a CT test report said something similar. ref SDS 51
520917 - GJ69
520919 -  ..
520920 - The doctor prescribed a low dose of a steriod, which he indicated has
520921 - been successful treating reaction to residual effects of radiation
520922 - treatments.
520923 -
520924 -        [On 040416 the doctor examined the left breast and found that
520925 -        redness had reduced slightly, so treatment was ended.
520926 -        ref SDS 63 IM6J
520928 -         ..
520929 -        [On 040419 biopsy taken to further evaluate inflammation in
520930 -        left breast. ref SDS 64 789F
520932 -         ..
520933 -        [On 040517 received pathology report; diagnoses inflammatory
520934 -        breast cancer. ref SDS 65 7D6F
520936 -         ..
520937 -        [On 051021 pathology on biopsies taken for left breast finds no
520938 -        further evidence of IBC, and mild inflammation that may be
520939 -        reaction to radiation. ref SDS 66 546F
520941 -         ..
520942 -        [On 051021 pathology on left breast biopsy tests reports no
520943 -        evidence of IBC, and evidence of inflammation consistant with
520944 -        minimal to mild radiation effect. ref SDS 66 7B4O
520946 -  ..
520947 - Millie recalled that steriods prescribed during the original cancer
520948 - treatments in 2002 caused hyper energy levels, making sleep difficult
520949 - for a day or two after each chemotherapy treatment.
520951 -  ..
520952 - The doctor explained that the prescription today calls for a declining
520953 - dose of steriod treatments over the next 2 weeks, which may minimize
520954 - side effects, but in any case, the condition needs treatment.  Rarely
520955 - can all side effects be entirely avoided.
520957 -  ..
520958 - The change in diagnosis from cellulitus resulted in clearance for
520959 - Rosalie to schedule Millie for starting chemotherapy treatments by
520960 - participating in the Avastin and Taxol trial protocol, per above,
520961 - ref SDS 0 8R6M, and, also, reported in another record today on 040402.
520962 - ref SDS 60 9739
520963 -
520964 -     [On 040407 Rosalie called and scheduled treatments to begin on
520965 -     040420. ref SDS 61 3S6L
520966 -
520967 -
520968 -
520969 -
5210 -

SUBJECTS
Port for New Treatments Administered Intravenously Avoids Pain and D
Blood Tests Cause Painful Conditions Requires Higher Skilled Technic

5904 -
590501 -  ..
590502 - Blood Tests Causing Painful Condition on Right Arm
590503 - Port to Support New Treatments Administered Intravenously
590504 -
590505 - Follow up ref SDS 59 CO3G, ref SDS 54 CO3G.
590506 -
590507 - In another record today, on 040402 Rosalie explained where a "port" is
590508 - installed to facilitate intravenous cancer treatments, and will
590509 - schedule outpatient operation to get this work done to prepare for
590510 - starting treatments. ref SDS 60 V750
590512 -  ..
590513 - Need feedback on dual port issue, set out in the record of the meeting
590514 - with Rosalie. ref SDS 60 6C6I
590515 -
590516 -     [On 040407 Rosalie called and explained that Kaiser does not use a
590517 -     "dual" port procedure. ref SDS 61 3S6L
590518 -
590519 -
590520 -
590521 -
590522 -
590523 -
590524 -
5906 -