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: May 12, 2006 10:07 AM Friday; Rod Welch

Millie letter to Kaiser on CT test results and treatment planning.

1...Summary/Objective
2...CT Contrast Study FDG Right Axillary Left Supraclavicular Scheduled
3...FDG Right Axillary Left Supraclavicular Schedule Contrast CT Study
4...Schedule CT Contrast Study Left Supraclavicular FDG Right Axillary
5...Doctor's Notes for Meeting 060428 Timely Communications
6...Communications Doctor Submits Work Plan Doctor/Patient Partnership
7...Doctor/Patient Partnership Communications Doctor Submits Work Plan
8...Vacation Notice Planning Treatment Schedule
9...Treatment Planning Schedule Accomodate Planned Holiday Travel
........Radiation Treatment Left Neck Tumor Board Recommendations
10...Status Change Retest Biopsy 040419 Treatment Options
11...Treatment Options Status Change Retest Biopsy 040419

ACTION ITEMS.................. Click here to comment!

1...Please submit the analyst's report on the CT test, ref DIT 1

CONTACTS 

SUBJECTS
CT Test 060505 Request Report Doctor Progress Notes Medical Chart Me

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 76 0000. ref SDS 75 0000.
150502 -
150503 - Mil requests the report on the recent CT test, ref SDS 0 4S7H, and the
150504 - doctor's notes for the meeting on 060428, ref SDS 0 WZ6L, offering to
150505 - pick up these documents at the hospital, if the doctor does not have
150506 - enough time to submit via email. ref SDS 0 4T5P  Submits notice of
150507 - vacation schedule for planning treatments. ref SDS 0 576N  Asks about
150508 - radiation of left supraclavicular based on Tumor Board hearing.
150509 - ref SDS 0 4T3S  Ask about status change. ref SDS 0 X54M
150510 -
150511 -
150512 -
150513 -
150515 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - CT Contrast Study FDG Right Axillary Left Supraclavicular Scheduled
150902 - FDG Right Axillary Left Supraclavicular Schedule Contrast CT Study
150903 - Schedule CT Contrast Study Left Supraclavicular FDG Right Axillary
150904 -
150905 - Follow up ref SDS 76 II4L, ref SDS 75 II4L.
150906 -
150907 - Millie had a CT test on 060505, ref SDS 77 II4L, planned in the
150908 - meeting on 060428 to follow up PET test findings of possible relapse
150909 - issues. ref SDS 74 K64X
150911 -  ..
150912 - Millie submitted ref DIT 1 0001 asking Arlette to forward the letter
150913 - to the doctor, saying...
150914 -
150915 -    1.  I tried to send a letter to the doctor with Kaiser's system.
150916 -        While writing the letter, there was a message that said the
150917 -        system was about to shut down.  I clicked the thingy to keep
150918 -        going, but then my letter went away.  I had to start over.
150919 -        ref DIT 1 0001  Therefore, please forward this to Doctor
150920 -        Johnson, and, when time permits, remind him of the following...
150922 -  ..
150923 - The doctor reported on 051121 Kaiser business system of electronic
150924 - correspondence. ref SDS 61 V25O  On 060106 report on experience using
150925 - Kaiser email system shows slow, cumbersome, inefficient capability,
150926 - citing 1000 character limit for patients. ref SDS 63 1O8F
150928 -  ..
150929 - Millie's letter to the doctor continues...
150930 -
150931 -    2.  Please submit the analyst's report on the CT test, ref DIT 1
150932 -        VN7I, performed on 060505. ref SDS 77 II4L
150934 -  ..
150935 - This follows up planning on 060428. ref SDS 74 K64X
150936 -
150937 -
150938 -
150939 -
150940 -
150941 -
150942 -
1510 -

SUBJECTS
Progress Notes Doctor Medical Chart Meeting 060428 Request CT Test 0

2203 -
220401 -  ..
220402 - Doctor's Notes for Meeting 060428 Timely Communications
220403 - Communications Doctor Submits Work Plan Doctor/Patient Partnership
220404 - Doctor/Patient Partnership Communications Doctor Submits Work Plan
220405 -
220406 - Follow up ref SDS 76 FE4I, ref SDS 75 FE4I.
220407 -
220408 - For some reason, the doctor has not answered Millie's requests for
220409 - notes of the meeting on 060428, as submitted in the letter on 060503,
220410 - ref SDS 75 FE4I, and following up on the doctor's request for a
220411 - reminder to submit the record prepared during the meeting on 060428.
220412 - ref SDS 74 FE4I
220414 -  ..
220415 - Millie's letter to the doctor continues...
220416 -
220417 -    3.  Further, please submit the doctor's contemporaneous notes of
220418 -        the meeting with me on 060428. ref SDS 74 FE4I  If these cannot
220419 -        be conveniently submitted via email (e.g., problems with the
220420 -        system, per above), then print them.  I can pick them up at the
220421 -        front counter today, and type them over again. ref DIT 1 0F6M
220423 -         ..
220424 -    4.  Here are my understandings from the meeting on 060428, pending
220425 -        receipt and correction with the doctor's notes. ref DIT 1 K67G
220426 -        To save time, just read the Summary/Objective. ref SDS 74 0001
220428 -         ..
220429 -    5.  Again, I am home today, and can stop by and pick up the
220430 -        reports, if for some reason they cannot be submitted
220431 -        electronically. ref DIT 1 X69M
220432 -
220433 -
220434 -
220435 -
220436 -
2205 -

SUBJECTS
Treatment Plan IBC 3rd Relapse Schedule Chemotherapy Compatible with

5403 -
540401 -  ..
540402 - Vacation Notice Planning Treatment Schedule
540403 - Treatment Planning Schedule Accomodate Planned Holiday Travel
540404 -
540405 - Follow up ref SDS 74 AW5G.
540407 -  ..
540408 - Millie's letter continues...
540409 -
540410 -    6.  If another phase of treatment is needed, ref DIT 1 2G8F, I
540411 -        would like to schedule around previously planned trips (1) OA
540412 -        060538 - 060605, and (2) OA 060629 - 060707.
540413 -
540415 -         ..
540416 -        Radiation Treatment Left Neck Tumor Board Recommendations
540417 -
540418 -    7.  Treatment options were discussed briefly on 060428. ref SDS 74
540419 -        K36G  The report for the Tumor Board hearing on 040414 was
540420 -        received on 040517 and indicates the Board discussed
540421 -        post-surgery radiation of left supraclavicular, ref SDS 29
540422 -        F77M, which aligns with recent PET scan findings.  With surgery
540423 -        on 051021, should the Tumor Board get another crack at this
540424 -        issue; has the analysis been updated or superseded by
540425 -        intervening events? ref DIT 1 FG8K
540426 -
540427 -           [On 060523 favorable CT test report defers consideration of
540428 -           radiation of left supraclavicular for treatment option.
540429 -           ref SDS 78 4T3S
540431 -            ..
540432 -           [On 060623 Tumor Board requested to develop strategy for IBC
540433 -           3rd relapse post-mastectomy. ref SDS 79 K36G
540434 -
540435 -
540436 -
540437 -
5405 -

SUBJECTS
Status Test for Change More Urgent with Signs of Relapse ER PR HER2/

5703 -
570401 -  ..
570402 - Status Change Retest Biopsy 040419 Treatment Options
570403 - Treatment Options Status Change Retest Biopsy 040419
570404 -
570405 - Follow up ref SDS 74 ZR6J. ref SDS 65 ZR6J.
570407 -  ..
570408 - Millie's letter continues...
570409 -
570410 -    8.  Discussion of treatment options lends priority to status change
570411 -        review. ref DIT 1 YG9L  Can anything be done on this?
570412 -        ref SDS 74 ZR6J
570413 -
570414 -            [On 060523 as a result of favorable CT test report,
570415 -            consideration of status change can be deferred. ref SDS 78
570416 -            X54M
570417 -
570418 -
570419 -
570420 -
570421 -
570422 -
570423 -
570424 -
570425 -
570426 -
570427 -
570428 -
570429 -
5705 -