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: December 2, 2005 09:15 AM Friday; Rod Welch

Millie meet surgeon at Kaiser on seepage from mastecomy wound.

1...Summary/Objective
2...Seepage Incision Examination Left Breast No Clinical Evidence
3...Examination Left Breast No Evidence Incision Seepage No Swelling
4...Return to work approval for Patient Status NED
5...Status Change Retest Biopsy 040419 Treatment Options
6...Treatment Options Status Change Retest Biopsy 040419


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CONTACTS 

SUBJECTS
Meeting Surgeon Evaluate Masectomy Left Breast Healing Complications

1303 -
1303 -    ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 91 0000. ref SDS 90 0000.
130502 -
130503 - The surgeon examined the surgical wound and found no evidence of
130504 - continued seepage nor swelling.  The doctor indicted the surgery is
130505 - healing beautifully, supporting prior findings by the primary care
130506 - physician. ref SDS 0 025H  As a result, the doctor approved Millie for
130507 - return to work. ref SDS 0 LY96
130508 -
130509 -
130510 -
130511 -
130512 -
130514 -  ..
1306 -
1307 -
1308 - 1818
1309 -
130901 - Seepage Incision Examination Left Breast No Clinical Evidence
130902 - Examination Left Breast No Evidence Incision Seepage No Swelling
130903 -
130904 - Follow up ref SDS 91 025H, ref SDS 90 025H.
130905 -
130906 - The doctor examined the surgical incision wound, following up reports
130907 - of seepage on 051129, ref SDS 91 025H, and advised it is healing
130908 - beautifully, continuing improvement reported by the surgeon during the
130909 - meeting on 051027, ref SDS 88 RI6I, and more recently observed by the
130910 - primary care physician on 051121. ref SDS 89 025H
130912 -  ..
130913 - The doctor indicated that dramatic drop in CA 15-3 following surgery,
130914 - and reported on 051121, ref SDS 89 FV5M, may suggest microscopic
130915 - cancer cells were in the left breast, but which were not detected with
130916 - PET scan testing, nor with the biopsy reported on 051027. ref SDS 88
130917 - 616P
130919 -  ..
130920 - Seepage may have occurred from buildup from the drains that were
130921 - removed on 051027. ref SDS 88 RD3M
130923 -  ..
130924 - Millie advised she was recently denied a protheses on the grounds that
130925 - her surgical wound exhibits swelling, that must be resolved prior to
130926 - fitting for the protheses.
130928 -  ..
130929 - The doctor said there is no evident swelling, and the condition
130930 - appears normal in all respects for mastectomy surgery.
130931 -
130932 -     [On 060106 meeting with primary care physician reported no further
130933 -     evidence of seepage. ref SDS 92 ZN7I
130934 -
130935 -
130936 -
130937 -
130938 -
1310 -

SUBJECTS
Return to Work Approved Surgeon Prepares Disability Documentation

1703 -
170401 -  ..
170402 - Return to work approval for Patient Status NED
170403 -
170404 - Follow up ref SDS 89 J29L, ref SDS 88 5Q3H.
170406 -  ..
170407 - The doctor prepared a return to work approval for 3 days per week, per
170408 - examination today, and prior findings that patient has no evidence of
170409 - disease (NED), by primary care physician on 051121. ref SDS 89 J29L
170410 -
170411 -
170412 -
170413 -
170414 -
1705 -

SUBJECTS
Status Test for Change ER PR HER2/neu from Negative to Positive Trea

1903 -
190401 -  ..
190402 - Status Change Retest Biopsy 040419 Treatment Options
190403 - Treatment Options Status Change Retest Biopsy 040419
190404 -
190405 - Follow up ref SDS 89 ZR6J, ref SDS 88 964L.
190406 -
190407 - Retesting for status change, follow up meeting on 051027.
190408 - ref SDS 88 124O
190410 -  ..
190411 - The doctor will ask again about retesting; and will ask about testing
190412 - the tissue removed during mastectomy on 051021, if the Pathology
190413 - Department cannot find the biopsy taken on 040419, or if the biopsy
190414 - slide does not have enough tissue for retesting for status change.
190416 -  ..
190417 - The doctor asked about the scope for status change?
190419 -  ..
190420 - Millie related recommendations from Veronica in Kaiser's Oakland
190421 - office, shown in her letter received on 050907, ref SDS 61 JX9P, and
190422 - reviewed with the surgeon during the meeting on 050923. ref SDS 70
190423 - 7J67
190424 -
190425 -
190426 -
190427 -
190428 -
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190430 -
190431 -
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1905 -
1906 -