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: July 29, 2005 12:45 PM Friday; Rod Welch

Doctor Shim called about opinion on masectomy.

1...Summary/Objective


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CONTACTS 
0201 - Kaiser Medical Clinic, Oakland, CA                                                                                                                                 O-00000847 0804
020101 - Ms. Veronica C. Shim, MD; Surgeon                                                                                                                                O-00000847 0804
020102 - Surgery Department

SUBJECTS
2nd Opinion Surgery Collaboration Kaiser Walunt Creek with Surgeon w

1403 -
1403 -    ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 2 0000.
140502 -
140503 - Follow up this morning on planning for 2nd opinion and consultation
140504 - on surgery to perform mastectomy on the left breast.
140505 -
140506 -
140507 -
140509 -  ..
1406 -
1407 -
1408 - Progress
1409 -
140901 - Doctor Shim called on referral from the surgeon at Kaiser in Walnut
140902 - Creek, per meeting at on 050725. ref SDS 2 YY7F  This begins work to
140903 - implement planning at that time for due diligence and collaboration to
140904 - leverage experience on treating a patient with surgery who has IBC and
140905 - metastatic disease. ref SDS 2 O85O
140907 -  ..
140908 - Doctor Shim reported having reviewed Millie's CT scans, and reports on
140909 - lab tests, which are listed in the record on 050610. ref SDS 1 NL4N
140911 -  ..
140912 - Doctor Shim recommended against surgery on both breasts, which Millie
140913 - asked about during the meeting on 050727. ref SDS 2 NT9G
140915 -  ..
140916 - There was no discussion on scope of removal on the left breast and
140917 - closing the wound with healthy tissue to reduce chance of relapse by
140918 - avoiding using tissue from the left breast that has proven susceptible
140919 - to disease, cited in criteria issues on 050727. ref SDS 2 E863
140920 -
140921 -     [On 050826 following examination, and before reviewing patient
140922 -     history, the surgeon in Oakland proposed not removing both
140923 -     breasts. ref SDS 6 T24G
140925 -  ..
140926 - Doctor Shim discussed doing surgery 10 days after Millie returns from
140927 - vacation on 050908, scheduled recently on 050727. ref SDS 3 ST5O
140929 -  ..
140930 - This timing means a masectomy could be performed on 050918.
140931 -
140932 -     [...in another record today, primary care physician asks about
140933 -     schedule for surgery. ref SDS 4 BZ56
140934 -
140935 -     [On 050805 Millie received a letter from Doctor Shim's assistant
140936 -     requesting that Millie meet with the doctor; scheduled meeting for
140937 -     050826 0930. ref SDS 5 V15F
140938 -
140939 -
140940 -
140941 -
140942 -
140943 -
140944 -
140945 -
1410 -
Distribution. . . . See "CONTACTS"