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: November 9, 2005 04:46 PM .......; Rod Welch

Commend Doctors Bailey, Grissom, Shim on favorable results following 2nd opinions.

1...Summary/Objective
2...Disease-free NED Complete Response to Treatment Following Mastectomy
3...Update Doctors Who Provided 2nd Opinions Millie Making Strong Recovery
........CA 15-3 Cancer Marker Drops Dramatically to 34 Lowest Ever


..............
Click here to comment!

CONTACTS 

SUBJECTS
Commend 2nd Opinions Doctors Bailey Grissom Shim Notify Favorable Re

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 16 0000.
150502 -
150503 - Letter of appreciation for excellent work on 2nd opinions; notified
150504 - favorable results following advice rendered for Millie's case.
150505 -
150506 -
150507 -
150508 -
150510 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Disease-free NED Complete Response to Treatment Following Mastectomy
150902 - Update Doctors Who Provided 2nd Opinions Millie Making Strong Recovery
150903 -
150904 - Follow up ref SDS 16 KS5N.
150905 -
150906 - Yesterday, letter commended Doctor Guardino at Stanford, and Doctor
150907 - Benz at UCSF on 2nd opinions in 2004, and reported favorable results
150908 - following advice. ref SDS 16 0001  Today, another letter is send
150909 - commending three (3) doctors for recent 2nd opinions that contributed
150910 - to Millie's recovery.
150912 -  ..
150913 - Background on due diligence performing 2nd opinons can be seen in a
150914 - case history on 050812. ref SDS 3 V436  On 050811 began project to
150915 - perform due diligence on mastectomy surgery proposed by primary care
150916 - physician on 050729. ref SDS 1 U24K  Primary inquiry was to develop a
150917 - work plan to reduce risk of relapse. ref SDS 2 0001
150918 -
150920 -         ..
150921 -        CA 15-3 Cancer Marker Drops Dramatically to 34 Lowest Ever
150922 -
150923 -
150924 - Submitted ref DIT 1 0001 to Doctor Bailey with copies to Doctor
150925 - Grissom and to Doctor Shim....
150926 -
150927 -    1.  Here is a letter to Doctor Benz at UCSF commending his support
150928 -        that contributed to Mil's recovery. ref DIP 1 0001  The letter
150929 -        explains surgery on 051021, ref SDS 14 0001, follow up biopsy
150930 -        results on 051027 indicate Millie is now disease free,
150931 -        ref SDS 15 M58G, and CA 15-3 cancer marker has dropped to 34,
150932 -        significantly below test bench mark of 39. ref DIP 1 NO6O
150934 -         ..
150935 -    2.  You and Doctor Grissom played a major role in Millie's
150936 -        recovery.  Doctor Shim on referral at Kaiser's Oakland office
150937 -        was also instrumental for decision support.  Full attribution
150938 -        is presented in the record. ref DIT 1 PJ6J
150940 -  ..
150941 - Met with Doctor Shim at Kaiser in Oakland on 050826.  Doctor Shim made
150942 - an examination, ref SDS 6 0001, and in a 2nd opinion received on
150943 - 050907 proposed that Millie have surgery to cure stage IV disease
150944 - diagnosed as secondary IBC, and based on history of CT tests showing
150945 - no distant metastatic disease. ref SDS 7 F49H
150947 -  ..
150948 - Millie was examined by Doctor Bailey on 050909, ref SDS 8 0001, after
150949 - referral from Doctor Benz at UCSF, on 050823. ref SDS 5 AI8N  Doctor
150950 - Bailey's 2nd opinion received on 050922 recommended against surgery,
150951 - ref SDS 11 XD6U, and said that if surgery is performed, it should
150952 - remove a wide area of skin with immediate reconstruction to reduce the
150953 - chance of relapse. ref SDS 11 XD8P  On 050912 Millie met with Doctor
150954 - Grissom, also, referred by by UCSF. ref SDS 9 0001  The doctor's 2nd
150955 - opinion received on 050920 said that systemic treatment would be an
150956 - acceptable substitute for surgery, ref SDS 10 XL6S, and if surgery is
150957 - attempted a very wide mastectomy and immediate reconstruction to close
150958 - the surgical wound should be performed, ref SDS 10 XL8U, and further
150959 - the scope of surgical removal should be guided by performing a series
150960 - of surgical test biopsies to establish boundaries of skin not still
150961 - infected with IBC. ref SDS 10 GT3M   Doctors Bailey and Grissom
150962 - proposed PET scan tests, and both concurred with Doctor Shim to retest
150963 - the biopsy on 040419 to check for status change that will increase
150964 - treatment options in the event of relapse.
150966 -  ..
150967 - Doctor Grissom noted in her 2nd opinion that Millie's patient profile
150968 - represents a difficult decision on treatment strategy, and offered
150969 - follow up consultation. ref SDS 10 XL4V  Doctor Bailey also noted
150970 - difficulty of Millie's situation. ref SDS 11 XD54
150972 -  ..
150973 - Most of these ideas were implemented in Millie's treatment, leading to
150974 - favorable report of NED on 051027. ref SDS 15 0001
150976 -  ..
150977 - Letter to Doctory Bailey, copy to Doctors Shim and Grissom
150978 - continue...
150979 -
150980 -    3.  If the current status holds for a month or a year, Millie will
150981 -        always be grateful for your hard work and willingness to be
150982 -        proactive in helping shape the scope and details of her
150983 -        treatment. ref DIT 1 MK7F
150985 -  ..
150986 - Doctor Grissom provided follow up consultation on 051010, explaining
150987 - Millie's opportunity for cure. ref SDS 12 GW4I
150989 -  ..
150990 - Doctor Bailey provided follow up consultation on 051011, explaining
150991 - opportunity for mastectomy to reduce risk of relapse, ref SDS 13 G69U,
150992 - and that current disease-free status suggests there is no role for
150993 - palliation surgery at this time. ref SDS 13 G66W
150995 -  ..
150996 - Letter to Doctory Bailey, copy to Doctors Shim and Grissom
150997 - continue...
150998 -
150999 -    4.  Surgery was reported on 051021. ref SDS 14 0000
151001 -         ..
151002 -    5.  Follow up exam and biopsy findings are reported on 051027.
151003 -        ref SDS 15 0000
151005 -         ..
151006 -    6.  It has been a pleasure working with each of you.  Please let me
151007 -        know if you have any questions. ref DIT 1 RL8J
151008 -
151009 -
151010 -
151011 -
151012 -
151013 -
151014 -
151015 -
151016 -
151017 -
151018 -
151019 -
151020 -
151021 -
151022 -
151023 -
151024 -
151025 -
1511 -