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SUBJECTS
Meeting Agenda Surgeon Evaluate Mastectomy Left Breast Follow Up Requ
Surgeon Notes on Meeting with Patient 050923 Received
Record Meeting with Surgeon on 050923 and Surgeon Notes Submitted to

0605 -
0605 -    ..
0606 - Summary/Objective
0607 -
060701 - Follow up ref SDS 61 0000. ref SDS 60 0000.
060702 -
060703 -
060704 -
060705 -
060706 -
060707 -
060709 -  ..
0608 -
0609 -
0610 - Progress
0611 -
061101 - Submitted ref DIT 1 0001 to Doctor Bailey, and with a copy to Doctor
061102 - Grissom, and saying...
061103 -
061104 -    1.  Thanks very much for timely submission of your opinion on
061105 -        September 20, which we received on the 22nd. ref SDS 58 HP3H
061106 -        Mil met with the surgeon the next day on Friday the 23rd.
061107 -        ref SDS 60 0001  Your opinion helped guide discussions.
061108 -        ref SDS 60 Z46K
061110 -         ..
061111 -    2.  The summary of meeting on Friday should give you a flavor of
061112 -        the surgeon's ideas and approach.  If you want to know more
061113 -        about anything, just click a link, or call me, and we can step
061114 -        through to what you want to know. ref DIT 1 4O6F
061116 -         ..
061117 -    3.  For the first time in 10 years working with Kaiser, ref DIT 1
061118 -        H97F, yesterday we received notes from the doctor on this
061119 -        meeting. ref SDS 61 0001
061121 -         ..
061122 -    4.  The doctor's notes generally align with the record of the
061123 -        meeting. ref DIT 1 H97K  A key point that requires consultant
061124 -        feedback is Kaiser's view that, if testing shows no disease,
061125 -        then a "standard mastectomy" can be performed.  This seems
061126 -        conflicting with your opinion. ref SDS 61 EU67
061128 -         ..
061129 -    5.  By copy, I am, also, asking Doctor Grissom to comment, if time
061130 -        permits. ref DIT 1 E68J
061132 -         ..
061133 -    6.  Later today, we will meet with Kaiser's plastic surgeon.  My
061134 -        sense is that this meeting is wired to reject the scope for a
061135 -        "very wide mastectomy," leading back to Kaiser's approach for a
061136 -        "standard mastectomy."  Millie indicated initially that, if all
061137 -        the tests are favorable, why fight city hall, -- go with the
061138 -        standard mastectomy that Kaiser proposes. ref DIT 1 S57O
061140 -         ..
061141 -    7.  If possible, we should try to layout reasoning why, if both PET
061142 -        tests, and thin skin biopsies (3 - 4 are planned) find no
061143 -        evidence of distant nor local cancer, what risks arise from a
061144 -        standard mastectomy? ref DIT 1 N68M  Originally, the surgeon at
061145 -        Kaiser, Doctor Riley-Paull, indicated on 040429, when IBC was
061146 -        detected by her biopsy, that treatment would be chemo,
061147 -        mastectomy, more chemo and maybe radiation. ref SDS 9 SD7F
061148 -        Curb side research on 040517 indicated that this is a common
061149 -        approach for IBC. ref SDS 10 XG7K  The primary care physician,
061150 -        Doctor Johnson, seems to feel this can work for Mil, and so is
061151 -        pressuring the Surgery Department along these lines.
061153 -         ..
061154 -    8.  That's where things stand.
061155 -
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061157 -
061158 -
061159 -
061160 -
061161 -
061162 -
061163 -
0612 -