CONTACTS 

SUBJECTS
Plastic Surgery Examination Lipoma Lump on Back Confirmed Diagnosis

0603 -
0603 -    ..
0604 - Summary/Objective
0605 -
060501 - Follow up ref SDS 37 0000, ref SDS 36 OP5G.
060502 -
060503 - Very professional meeting and consultation.  Confirmed scope of
060504 - problem is most likely lipoma.  Will monitor condition, and decide on
060505 - removing this lump if conditions get worse.  Right now, no treatment
060506 - is required.
060507 -
060508 -
060509 -
060510 -
060511 -
060512 -
060514 -  ..
0606 -
0607 -
0608 - Background
0609 -
060901 - Activity leading to this meeting...
060902 -
060903 -        Primary care physician diagnosed
060904 -        lipoma............................... 051222, ref SDS 33 P18O
060906 -         ..
060907 -        Doctor scheduled meeting with
060908 -        plastic surgeon on 060207 for
060909 -        further evaluation................... 060105, ref SDS 35 HA4X
060911 -         ..
060912 -        Meeting with plastic surgeon
060913 -        changed to 060131.................... 060112, ref SDS 37 GU5S
060914 -
060916 -  ..
060917 -  ..
060918 - The doctor called the meeting promptly at 1100.
060920 -  ..
060921 - He examined the small lump on the back, and indicated diagnosis is
060922 - lipoma, which aligns with the assessment of the primary care physician
060923 - on 051222. ref SDS 33 P18O
060925 -  ..
060926 - He asked how long the lump has existed.  We reviewed the record on
060927 - 051209, when Millie observed the lump, and Teresa in Doctor Lee's
060928 - office reported this finding to the Primary Care Physician.
060929 - ref SDS 30 3X5F  The doctor seemed to feel the lump has been there
060930 - longer, even a matter of years, before being noticed.
060932 -  ..
060933 - The doctor said that since the lump is not causing any pain, which is
060934 - the most common condition, i.e., lipoma is usually benign, and since
060935 - the lump is fairly small, then there is no urgency about removing it,
060936 - and no risk to health by not removing it at this time.
060938 -  ..
060939 - We considered taking a biopsy.  The doctor indicated that the lump can
060940 - be removed in the time it takes for obtaining a biopsy sample.
060942 -  ..
060943 - We reviewed Millie's report on having a similar lump removed about 15
060944 - years ago that was uncomfortable and painful.  Based on this
060945 - experience, removal seems an unnecessary measure.
060947 -  ..
060948 - The doctor commented that his practice for this surgery causes no
060949 - discomfort nor pain to the patient.
060951 -  ..
060952 - We decided to monitor the condition.  If the problem becomes more
060953 - severe, we can follow up.
060955 -  ..
060956 - The doctor noted that the patient can contact the Plastic Surgery
060957 - group directly anytime over the next year to request a procedure that
060958 - removes the lipoma lump.
060959 -
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0610 -