CONTACTS 

SUBJECTS
CA 15-3 59 Big Jump from 49 Accelerated Rise Requires Careful Review

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 84 0000. ref SDS 83 0000.
150502 -
150503 - Another big rise in CA 15-3 signals evidence of cancer replapse; seems
150504 - entirely conflicting with image testing with PET scan tests, and CT
150505 - tests. ref SDS 0 UQ5Q  Request comparison of recent tests and
150506 - recommended in PET scan test report. ref SDS 0 UQ5X  Request comments
150507 - from doctor on theories of cancer or errors in testing? ref SDS 0 DB4O
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150512 -
150514 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Comparison CT Test 060505 with PET Test 060414 Not Evident
150902 -
150903 - Follow up ref SDS 84 4C6G, ref SDS 83 4C6G.
150904 -
150905 - Millie is back from vacation today; she received ref DRT 1 0001 dated
150906 - 060528 from the doctor responding to Millie's letter, ref DIP 5 0001,
150907 - submitted on 060526. ref SDS 84 7D8K
150909 -  ..
150910 - The doctor says...
150911 -
150912 -        Thanks [for your letter on May 26, 2006 clarifying date formats
150913 -        on medical tests, ref DIP 5 0001, and explaining scope of
150914 -        analysis needed on conflicting medical tests to analyse rising
150915 -        CA 15-3, ref DIP 5 UH5O]. We'll talk at your next visit.
150917 -  ..
150918 - For some reason the doctor has not indicated follow up on the request
150919 - in the letter on 060526 to analyse rising CA 15-3 by requesting
150920 - further analysis of the CT test to compare with the PET scan test on
150921 - 060414, ref SDS 84 JD5K, as requested by the analyst of that test,
150922 - reported on 060428. ref SDS 77 K64X
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150926 -  ..
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1512 - 1318
1513 -
151301 - CA 15-3 Rises to 59 Requires Close Scrutiny to Plan Treatment
151302 - Meetings Be Prepared Submit Analysis Theories to Guide Discussions
151303 -
151304 - Millie submitted ref DIT 1 0001 to the doctor saying...
151306 -         ..
151307 -    1.  [Responding to your letter, ref DRT 1 0001, on May 28, 2006,
151308 -        per above, ref SDS 0 4C6G, answering my letter on May 26,
151309 -        ref DIP 5 0001, requesting the analyst compare the CT test on
151310 -        May 5th, with the recent PET scan test on April 14, 2006,
151311 -        ref SDS 84 JD5K...]
151313 -         ..
151314 -    2.  I'm home and glad to be among familiar things, and that I have
151315 -        a few days to rest up from vacation. ref DIT 1 XK5N
151317 -         ..
151318 -    3.  Naturally, I'm concerned about CA 15-3 now at 59, and on an
151319 -        accelerating rise. ref DIT 1 003I  This seems conflicting with
151320 -        tests as noted in prior correspondence on May 24. ref SDS 83
151321 -        4C6G  My patient history has shown CA 15-3 has been an accurate
151322 -        predictor of new cancer activity.
151324 -  ..
151325 - Report on a blood test taken 060522 shows CA 15-3 has made another big
151326 - jump to 59, rising from 49 just a few weeks ago, reported on 060523,
151327 - ref SDS 82 MC4F, continuing the trend reported during the last meeting
151328 - on 060428, ref SDS 77 087J, and discussed with the doctor. ref SDS 77
151329 - GJ5M
151331 -  ..
151332 - Millie's letter continues...
151333 -
151334 -    4.  If convenient, I would like to have the analyst verify results
151335 -        of the CT test in relation to the PET scan test on 060614.
151337 -  ..
151338 - This implements planning during the meeting on 060428, ref SDS 77
151339 - K64X, and requested on 060524, ref SDS 83 KG4W, and again on 060526.
151340 - ref SDS 84 JD5K
151342 -  ..
151343 - Millie's letter continues...
151344 -
151345 -        Also, it would help me prepare for our next meeting if you
151346 -        could jot down a few theories which you feel most likely
151347 -        account for rising CA 15-3.  Where might cancer be forming that
151348 -        is not captured by image tests, or might cancer have been
151349 -        captured, but simply overlooked in the review process?  Can CA
151350 -        15-3 rise continuously, and there be no cancer?  That would be
151351 -        a happy thought. ref DIT 1 XK6O
151353 -         ..
151354 -    5.  Again, if time permits, I would like a reply on this; otherwise
151355 -        we can wait for the next meeting. ref DIT 1 6N7O
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