CONTACTS 
0204 - University of California San Franci                                                                                                                                O-00000835 0404
020401 - Ms. Sheridan L. Tinker                                                                                                                                           O-00000835 0404
020402 - New Patient Coordinator
020404 - Admissions                                                                                                                                                       O-00000835 0404
0205 - University of California San Franci                                                                                                                                O-00000835 0406
020501 - Ms. Margaret Rubino                                                                                                                                              O-00000835 0406
020502 - New Patient Coordinator
020504 - Admissions                                                                                                                                                       O-00000835 0406

SUBJECTS
2nd Opinion UCSF Letter Requests Criteria for Surgery Mastectomy IBC
2nd Opinion #2 UCSF Letter Requests Criteria for Surgery Mastectomy

0804 -
0804 -    ..
0805 - Summary/Objective
0806 -
080601 - Follow up ref SDS 18 0000. ref SDS 15 0000.
080602 -
080603 - Verified UCSF received the letter requesting a 2nd opinion, and have
080604 - the machinery in motion to schedule work on this project. ref SDS 0
080605 - TM65  In the afternoon, sent follow up to ask about time for feedback
080606 - and mentioning idea of a Tumor Board at UCSF. ref SDS 0 TQ6S  Margaret
080607 - responded saying she has not heard back from any of the doctors on the
080608 - UCSF staff. ref SDS 0 O46L
080609 -
080610 -     [On 050823 UCSF responded with referral to surgeons in Berkeley.
080611 -     ref SDS 20 AI8N
080612 -
080613 -
080615 -  ..
0807 -
0808 -
0809 - Progress
0810 -
081001 - Called UCSF to check on progress receiving the letter, ref DIP 5 0001,
081002 - and scheduling someone to provide 2nd opinion, following up work on
081003 - 050819. ref SDS 18 AI8N
081005 -    ..
081006 -   415 353 7070 #1
081008 -  ..
081009 - Asked for follow up examination.
081011 -  ..
081012 - Receptionist transferred the call to Sandi, a nurse practitioner.
081014 -  ..
081015 - Reviewed background submitting ref DIP 5 0001 to Sheri at UCSF last
081016 - week on 050819, requesting 2nd opinion on Millie having surgery.
081017 - ref SDS 18 AI8N
081019 -  ..
081020 - Sandi advised that Doctor Benz is in the clinic today, and is seeing a
081021 - patient.
081023 -  ..
081024 - Sandi will locate Sheri to initially find the letter to UCSF,
081025 - ref DIP 5 0001, which was submitted on 050819, ref SDS 18 AI8N, and
081026 - then make a deterination about Millie's case with respect to
081027 - scheduling a meeting and/or commenting on criteria for surgery, based
081028 - on planning on 050811. ref SDS 15 AY81
081029 -
081030 -
081031 -
081033 -  ..
0811 -
0812 -
0813 - 1149
0814 -
081401 - Margaret called back.
081402 -
081403 - Margaret advised that Sheri has been off work sick.  We reviewed
081404 - objectives for a follow up review by Doctor Benz or another doctor
081405 - with experience treating IBC.
081407 -  ..
081408 - Margaret asked that the letter sent to Sheri be forwareded to her.
081410 -  ..
081411 - Did this.
081413 -  ..
081414 - Margaret read through the letter, ref DIP 5 0001, submitted to UCSF on
081415 - 050819. ref SDS 18 AI8N
081417 -  ..
081418 - While we talked, Margaret said she printed the letter.
081420 -  ..
081421 - We reviewed the idea of getting multiple opinions, in the event that a
081422 - doctor might have a bias against surgery.
081424 -  ..
081425 - Margaret decided to submit the letter to several doctors, in addition
081426 - to Doctor Benz, and aske for feedback on who is willing to comment.
081428 -  ..
081429 - Margaret commented that the letter seems comprehensive.  She feels
081430 - this will assist doctors in making a timely review, and offer cogent
081431 - remarks to assist Millie and the Kaiser team in this case.
081433 -  ..
081434 - Margaret tried opening some of the links.  She was able to open the
081435 - link for the chronology of patient history, ref SDS 18 PC4P, listed in
081436 - the record on 050812. ref SDS 16 6L4M
081438 -  ..
081439 - Margaret decided that, rather than print the letter to Sheri, and then
081440 - distribute a paper document to doctors, she will forward the letter,
081441 - ref DIP 5 0001, via email so that doctors are empowered with precision
081442 - access into case history by clicking links, as set out in the post
081443 - script of the letter to Sheri, ref DIP 5 00W2, and explained in NWO.
081444 - ref OF 12 5H4J
081445 -
081446 -     [On 050823 UCSF responded with referral to surgeons in Berkeley.
081447 -     ref SDS 20 AI8N
081448 -
081449 -
081451 -  ..
0815 -
0816 -
0817 - 1636
0818 -
081801 - Submitted follow up to Margaret saying...
081802 -
081803 -    1.  Subject: 2nd Opinion Surgery on IBC Millie Buck
081804 -        Date: Mon, 22 Aug 2005 16:36:13 -0700
081810 -         ..
081811 -    2.  Margaret,
081813 -         ..
081814 -    3.  Just wondering about progress on scheduling review of Mil's
081815 -        case, per our telecon this morning, and transmitting the letter
081816 -        to UCSF on Aug 19 requesting a 2nd opinion. ref DIP 5 0001
081818 -         ..
081819 -    4.  Another idea might be to consider a Tumor Board hearing, since
081820 -        there is a common record for everyone to use.  When time
081821 -        permits, please let me know when you expect to have some
081822 -        feedback on this.
081824 -         ..
081825 -    5.  Thanks again for your help.
081827 -         ..
081828 -    6.  Rod
081829 -
081830 -
081832 -  ..
0819 -
0820 -
0821 - 1718
0822 -
082201 - Received letter from Margaret saying...
082202 -
082203 -    1.  Subject: RE: 2nd Opinion Surgery on IBC Millie ******
082204 -        Date: Mon, 22 Aug 2005 17:01:41 -0700
082208 -         ..
082209 -    2.  Rod,
082210 -
082211 -        I have not gotten an answer back from the oncologist.
082212 -        Margaret
082213 -
082214 -            [On 050823 UCSF responded with referral to surgeons in
082215 -            Berkeley. ref SDS 20 AI8N
082216 -
082217 -
082218 -
082219 -
082220 -
082221 -
082222 -
082223 -
082224 -
082225 -
0823 -