CONTACTS 

SUBJECTS
Plan Schedule Meeting Letter to Rosalie Requesting Time of Meeting o
Hectic Schedule Not Enough Time Respond Correspondence Schedule Meet

0504 -
0504 -    ..
0505 - Summary/Objective
0506 -
050601 - Follow up ref SDS 12 0000, ref SDS 11 0000.
050602 -
050603 -
050604 -
050606 -  ..
0507 -
0508 -
0509 - Progress
0510 -
051001 - Hectic Schedule No Time to Schedule Meetings Required for Drug Trial
051002 -
051003 - Millie sent another letter today, ref DIT 1 0001, following up the
051004 - request on 040807, ref DIP 2 0001, asking Rosalie to submit the time
051005 - for meeting with the doctor on 040812, as required by the chemotherapy
051006 - drug trial protocol, ref SDS 12 0001, saying...
051008 -         ..
051009 -    1.  A few days ago on Aug 7, Rod submitted a letter requesting the
051010 -        time for meeting with the doctor on Thur, ref DIP 2 0001, per
051011 -        our discussion at the Chemo clinic on Jul 29. ref SDS 11 YH5G
051012 -        Since you have not responded, I assume you are on vacation, out
051013 -        sick, or have been backed up with a hectic schedule.  By copy
051014 -        will ask Stephanie to respond if you are not available.
051015 -        ref DIT 1 0001
051016 -
051017 -
051019 -  ..
0511 -
0512 -
0513 - 1013
0514 -
051401 - Received ref DRT 1 0001 from Rosalie to Millie responding to the
051402 - letter this morning asking about time of the meeting tomorrow, and for
051403 - the CT test report, per above. ref SDS 0 ES4R
051405 -  ..
051406 - Rosalie says in her letter today...
051407 -
051408 -    1.  Your appt with the doctor is at 1:30 tomorrow prior to your
051409 -        chemo.
051410 -
051411 -
051412 -
051413 -
0515 -

SUBJECTS
CT Test 040710 1 Month Late Received from Kaiser Communications Coor

2203 -
220401 -  ..
220402 - CT Test 040710 Request Report to Prepare for Meeting
220403 - Hectic Schedule Not Enough Time Sumbit Test Report Prepare for Meeting
220404 -
220405 - Follow up ref SDS 10 LK5L.
220406 -
220407 -    2.  Additionally, during a meeting on July 13 the primary care
220408 -        physician planned to submit the report on the CT test taken for
220409 -        the Avastin trial. ref SDS 10 LK5L
220411 -         ..
220412 -    3.  This report has not yet been received.  I have a meeting today
220413 -        in the Chemo Clinic to draw blood, and so would like to get the
220414 -        CT test report at that time to prepare for meeting with the
220415 -        doctor tomorrow.  Please ask the doctor to have the report
220416 -        available at the reception desk, and, also, please include the
220417 -        time for the meeting tomorrow, or indicate if the meeting is
220418 -        being delayed to another day. ref DIT 1 KE6F
220419 -
220420 -
220422 -  ..
2205 -
2206 -
2207 - 1013
2208 -
220801 - Rosalie says in her letter...
220802 -
220803 -    4.  CT report in infusion today. ref DRT 1 P85N
220804 -
220805 -
220806 -
220808 -  ..
2209 -
2210 -
2211 - 1322
2212 -
221201 - CT Test 040710 Received 1 Month Late from Kaiser
221202 -
221203 - Follow up ref SDS 10 LK5L.
221204 -
221205 - When Millie returned from the hospital after her blood test, she
221206 - brought the CT test report.
221208 -  ..
221209 - This complements the record of prior tests listed on 040416 reporting
221210 - on the CT test that set a baseline for the Avastin trial.
221211 -
221212 -              Prior tests....
221213 -
221214 -              040410 reported on 040416.............. ref SDS 6 HX4K
221215 -              040307 reported on 040318.............. ref SDS 5 LK5L
221216 -              031031 reported on 031205.............. ref SDS 4 IG9K
221217 -              030626 reported on 030710.............. ref SDS 3 AL6N
221218 -              030428 reported on 030508.............. ref SDS 2 LK5L
221220 -  ..
221221 - On 040517 the doctor advised that the report on 040416 marked not
221222 - finalized, was actually the finalized report. ref SDS 8 LK5L
221224 -  ..
221225 - On 040517 review found lesson learned that CT testing is problematic
221226 - and limited usefulness, ref SDS 8 RZ5O,, complementing the prior case
221227 - study on 040416. ref SDS 6 PTSX
221229 -  ..
221230 - CT test dated 040710 shows....
221232 -     ..
221233 -    Patient
221240 -     ..
221241 -    68/F Radiology Report               Exam  1 of 1
221242 -    Page 1
221244 -     ..
221245 -    CT of neck and chest (digital)
221247 -     ..
221248 -    Ordered by Robert A. Johnson, MD on 040710 1033 at WRC Outpatient
221249 -    Performed in:  WCR - Read by Hongtai Li, MD.
221250 -
221252 -     ..
221253 -    History
221255 -     ..
221256 -    Metastatic breast cancer on clinical trial.  S/p three cycles of
221257 -    treatment.  Follow up.
221258 -
221259 -
221260 -
221261 -
2213 -

SUBJECTS
CT Test 040710 Distant Metastasis No Evidence Lymphadenopahy Improve

3403 -
340401 -  ..
340402 - Distant Metastatis No Evidence CT Test Report on 040710
340403 - CT Test 040710 Significant Improvement Decrease Lymphadenopathy
340404 - Recovery Significant Progress CT Test 040710 No Distant Metastasis
340405 -
340406 -
340407 -    Findings
340409 -     ..
340410 -    Technique:  Contrast neck and chest CT was performed.
340411 -
340413 -     ..
340414 -    Comparison:  CT of 040410. ref SDS 6 7U9O
340416 -     ..
340417 -    There is significant interval decrease in the size of the
340418 -    previously-seen two lymph nodes in the neck.  The left
340419 -    posterolateral retrosternocleidomastoid node now measures 4 mm vs.
340420 -    13 mm previously.  Left scalene node measures 4 mm vs 14 mm
340421 -    previously.  There are no new enlarged lymph nodes.
340423 -  ..
340424 - The report dated 040410 shown in the record on 040416 seems to
340425 - identify a 13 mm node in the neck, ref SDS 6 7U4O, but there does not
340426 - seem to be mention of a 14 mm node in the neck, as discussed in this
340427 - report today for the test on 040710.  There is discussion in the
340428 - report dated 040410 of a 14 mm node and a 15 mm node in the chest.
340429 - ref SDS 6 7V3R
340431 -  ..
340432 - CT test comparison continues...
340433 -
340434 -    The structures of nasopharynx, oropharynx, hypopharynx and larynx
340435 -    ae grossly normal. The parotid, submandibular and thyroid glands
340436 -    are normal.  There is no mediastinal or hilar adenopathy.  The
340437 -    largest lymph node in the left axilla measures 8 mm vs 18 mm
340438 -    previously.  The largest lymph node in the right axilla measures 9
340439 -    mm vs 18 mm previously.  There are no new lymph nodes in the axilla
340440 -    bilaterally.
340442 -  ..
340443 - The report dated 040410 shown in the record on 040416 seems to
340444 - identify multiple axillary lymph nodes, the largest on the right
340445 - measuring 15 x 9 mm and the largest on the left measuring 14 x 10 mm.
340446 - There is nothing evident in this part of the report that says 18 mm.
340447 - ref SDS 6 7V3R  There is another part of the report on 040410 that
340448 - says 18 mm nodes in both axili, unchanged from prior study, post op
340449 - changes are seen on the left. ref SDS 6 EH47  There is nothing in the
340450 - report on 040410 nor in the report that reconciles the two parts of
340451 - the report on 040416 that discuss axillary lymph nodes, and nodes in
340452 - both axili.
340454 -  ..
340455 - There seem to be at least two lymph nodes lost in the record, similar
340456 - to the problem discussed on 031205, ref SDS 4 2F4I, adding to the
340457 - weight of lesson learned reported on 040517. ref SDS 8 RZ5O
340458 -
340459 -     [On 040812 doctor explains conflicts in test reports reflects
340460 -     medical practice for accuracy lower that precision common to
340461 -     engineering work. ref SDS 14 LQ5L
340463 -  ..
340464 - CT test comparison continues...
340465 -
340466 -    Again noted is scar tissue in the left lung apex.  There is a 2 mm
340467 -    nodule in the right middle lobe just anterior to the major fissure
340468 -    (image #37), unchanged.  There are no other pulmonary nodules.
340469 -    Heart size is normal.  There is no pericardial or pleural
340470 -    effusion.  Scans of the upper abdomen demonstrate normal adrenal
340471 -    glands.  No abormalities are seen of the visualized portions of
340472 -    the liver, spleen, pancreas and kidneys.  There is no adenophay
340473 -    or fluid in the uppoer abdomen.
340475 -  ..
340476 - Why doesn't the report say there is a cyst that is "unchanged" or
340477 - "stable" from prior tests, as set out in tests dated 040410 received
340478 - on 040416, ref SDS 6 EH57, and also, the test on 040307 which was
340479 - received on 040318? ref SDS 5 VZ5Z
340480 -
340481 -        [On 041104 same error not reporting stable condition in follow
340482 -        on CT test report. ref SDS 16 CW91
340484 -  ..
340485 - CT test comparison continues...
340486 -
340487 -    Impression
340489 -     ..
340490 -    Interval improvement in the neck and bilateral axillary adenopathy.
340492 -     ..
340495 -     ..
340496 -    DD:  040716   DT:  040716   PZW
340497 -
340498 -
340499 -
340500 -
340501 -
340502 -
340503 -
340504 -
340505 -
340506 -
340507 -
3406 -