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: October 30, 2004 08:25 PM Saturday;
Rod Welch
Submitted record on visit to Stanford request 2nd opinion report.
1...Summary/Objective
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CONTACTS
0201 - Stanford Medical Center O-00000837 0706
020101 - Dr. Ellie Guardino, MD, PHD O-00000837 0706
020102 - Assistant Professor Brest Oncology
020104 - Department of Medicine
020105 - Cancer Center O-00000837 0706
0202 - Stanford Medical Center O-00000837 0709
020201 - Ms. Denise Ricigliano, NP O-00000837 0709
020202 - Medical Oncology Nurse Practitioner
020204 - Department of Medicine
020205 - Cancer Center O-00000837 0709
SUBJECTS
Letter to Stanford Confirm Understandings from Meeting with Doctor G
2nd Opinion Stanford Medical Center Treatment Plan Recover IBC Cance
2nd Opinion Written from Doctor Stanford Issue Report on Findings an
2nd Opinion Written Doctor at Stanford Issue Report on Findings and
Stanford Meeting 2nd Opinion on Scope of Disease Treatment Options D
IBC Symptoms Increased Gradually from 021206 to Diagnosis on 040614
Stanford Issue Written Report on Findings and Recommendations for 2n
Letter Request 2nd Opinion from Examination at Stanford on 041019 to
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1510 - ..
1511 - Summary/Objective
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151201 - Follow up ref SDS 3 0000, ref SDS 1 0000.
151202 -
151203 - Millie submitted ref DIT 1 0001 to Denise at Stanford Cancer Center,
151204 - who can submit to Todd and to Doctor Guardino.
151205 -
151206 - 1. Here is the record on meeting with you and Todd, supporting
151207 - Doctor Guardino on Oct 19 at the Cancer Center. ref SDS 3 0001
151209 - ..
151210 - 2. I'm grateful for the attention given my case; hoping to get
151211 - Doctor Guardino's report to prepare for meeting at Kaiser next
151212 - week. You can also reach me at 925 680 8948.
151214 - ..
151215 - This complements the record submitted to Doctor Benz at UCSF on
151216 - 041018. ref SDS 2 0001
151217 -
151218 - [On 041209 received Stanford's 2nd opinion 5 weeks after meeting
151219 - with Kaiser, and Stanford addressed the 2nd opinion to Kaiser,
151220 - rather than to the patient. ref SDS 4 WY9I
151221 -
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151224 - ..
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1515 - 2229
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151601 - Millie sent another letter, ref DIT 2 0001, clarifying submission of
151602 - the record on 041019 on the issue of worsening conditions for IBC.
151603 -
151604 - 1. Just noticed I sent you the record of our meeting on Oct 19
151605 - from Rod's email program, while getting his mail caught up.
151606 - ref DIT 2 0001 To avoid confusion, I am submitting the record
151607 - again showing understandings from meeting with you and Todd
151608 - supporting Doctor Guardino. ref SDS 3 5W6H
151610 - ..
151611 - 2. Again, I'm very grateful for efforts by Stanford. Please let
151612 - me know when to expect the doctor's report on a 2nd opinion so
151613 - I can prepare for a meeting at Kaiser next week. You can also
151614 - reach me at 925 680 8948 or at work 415 984 8291 if you have
151615 - any questions. ref DIT 2 SR5N
151617 - ..
151618 - 3. Rod mentioned that during a call a day or so after we met at
151619 - Stanford you asked what Doctor Guardino commented about IBC
151620 - symptoms "fluctuating." ref DIT 2 00W2 I don't think she
151621 - commented on this when she met with us after you and Todd
151622 - gathered patient history. ref SDS 3 0R49 "Fluctuating" is not
151623 - a good explanation of my case. Since we did not know about IBC
151624 - until May of this year, symptoms were not charted day-to-day.
151625 - We were increasingly alarmed to request several examinations
151626 - through 2003 as conditions got worse shown by the chronology
151627 - you and Todd reviewed, and summarized in the record on 041019,
151628 - ref SDS 3 TX36, reporting we requested biopsies, and other
151629 - diagnostics, which were deferred by Kaiser until April 2004,
151630 - when I ordered a biopsy myself during a minor procedure to
151631 - install a port for weekly chemotherapy treatments.
151633 - ..
151634 - 4. You mentioned that delayed treatment impacts morbidity. What
151635 - can we do to address this?
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Distribution. . . . See "CONTACTS"