CONTACTS 

SUBJECTS
Kaiser Submits Text of Letter Dated 070108 to Doctor Rugo UCSF Askin

3403 -
3403 -    ..
3404 - Summary/Objective
3405 -
340501 - Follow up ref SDS 63 0000, ref SDS 62 0000.
340502 -
340503 -
340504 -
340505 -
340506 -
340508 -  ..
3406 -
3407 -
3408 - Progress
3409 -
340901 - Patient Requests Text of Kaiser's Letter to UCSF and CA 15-3 Results
340902 -
340903 - Follow up ref SDS 63 1G3K.
340904 -
340905 - Yesterday, on 070109 Millie submitted a letter, ref DIP 13 0001,
340906 - confirming a request during the meeting on 070105 for Kaiser to notify
340907 - UCSF that examination shows measurable disease spreading from left to
340908 - the right breast, and further to ask USCF when they can meet with
340909 - Millie to resume treatment, which Kaiser stopped pending treatment by
340910 - UCSF. ref SDS 63 V84X   Kaiser responded that the primary care
340911 - physician had already written the letter requested by the patient to
340912 - UCSF, but Kaiser failed to submit the text of Kaiser's letter sent to
340913 - UCSF on behalf of Millie. ref SDS 63 227N  Millie then submitted
340914 - ref DIP 14 0001 dated 070109 to the doctor requesting the missing
340915 - information. ref SDS 63 1G3K
340917 -  ..
340918 - Millie received ref DRT 1 0001 from the doctor responding to her
340919 - letter, ref DIP 14 0001 submitted yesterday, on 070109. ref SDS 63
340920 - 1G3K
340922 -  ..
340923 - Primary care physician says to Millie...
340924 -
340925 -    1.  This message was sent to Dr. Rugo 01/08/07:
340927 -             ..
340928 -        a.  Would you like for Mrs.  Buck to call for her own
340929 -            appointment with you, or will you arrange this for her??
340930 -            ref DRT 1 EE5M
340932 -             ..
340933 -        b.  RJ...................... ref DRT 1 8E6F
340935 -  ..
340936 - This letter does not align with planning during the meeting on 070105
340937 - for Kaiser to notify UCSF results of examination showing measurable
340938 - disease with IBC progressing from the left to the right breast, and as
340939 - confirmed in a letter to Kaiser on 070109. ref SDS 63 V84X
340940 -
340941 -            [On 070116 UCSF contacts Millie about starting treatment;
340942 -            submits consent documents for clinical study. ref SDS 65
340943 -            0001
340945 -             ..
340946 -            [On 070117 Millie notifies Kaiser that UCSF schedule
340947 -            treatment to start in a week; thanks primary care physician
340948 -            for pushing the case forward. ref SDS 66 638H
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SUBJECTS
Anticoagulation Therapy Pulmonary Emboli INR 2.3 PT Patient High 24.

3803 -
380401 -  ..
380402 - Anticoagulattion Therapy INR High 3.3 PT Patient High 33.0
380403 -
380404 - Follow up ref SDS 48 SE6N, ref SDS 46 SE6N.
380405 -
380406 - Letter from doctor continues...
380407 -
380408 -    2.  Your most recent labs are:
380409 -
380410 -        a.  PT, Patient H 24.4 Sec
380411 -            PT INR 2.3 Ratio................. ref DRT 1 PJ6H
380413 -  ..
380414 - This aligns with Kaiser's report to UCSF that patient is stable on
380415 - treatment with Coumadin, ref SDS 59 PN6R, considering treatment with
380416 - Cetuximab, which has "rare" side effects of blood clots in lungs.
380417 -
380418 -                [On 070116 consent form for Cetuximab drug trial cites
380419 -                rare side effect blood clots lungs. ref SDS 65 I75I
380420 -
380421 -
3805 -

SUBJECTS
CA 15-3 56 Test on 070104 Erratic Changes Aligns with IBC Rash Chang

5003 -
500401 -  ..
500402 - CA 15-3 56 Cancer Marker Erratic Changes Since 060928 Continue
500403 - IBC Rash Less Intense Area Appears Stable Not Advancing Nor Subsiding
500404 -
500405 - Follow up ref SDS 62 087J, ref SDS 51 087J.
500406 -
500407 - Millie's letter yesterday on 070109 requested submission results on
500408 - the CA 15-3 test on 070104. ref SDS 63 V86Q  The doctor's response,
500409 - did not submit this data. ref SDS 63 227N  Millie sent another letter
500410 - reminding Kaiser to submit CA 15-3 test results. ref SDS 63 4U6V
500412 -  ..
500413 - Millie's last CA 15-3 blood test was on 061218, and reported in the
500414 - record on 061227; at that time the report was 74. ref SDS 57 6P9F
500416 -  ..
500417 - Letter from doctor continues...
500418 -
500419 -        b.  CA 15-3 H 56 U/mL................ ref DRT 1 DK6N
500421 -  ..
500422 - This is another significant change in Millie's cancer marker dropping
500423 - 20 points from 74 down to 56.  It aligns with IBC subsiding intensity.
500424 - The rash has not gotten any smaller, and is still on the right breast,
500425 - but seems much less intense, similar to the report for Kaiser on
500426 - 061218, ref SDS 54 5M7Q, and citing self-examination on 061217.
500427 - ref SDS 53 QT5K
500428 -
500429 -        [On 070112 Millie notified doctor that improvement in CA 15-3
500430 -        aligns with IBC rash intensity subsiding. ref SDS 64 1G3K
500432 -         ..
500433 -        [On 070123 CA 15-3 68 rises again to near recent high.
500434 -        ref SDS 67 GK5B
500436 -         ..
500437 -        [On 070123 Millie notifies doctor treatment delay since 061201
500438 -        similar to delay in 2004, when CA 15-3 rose to 88. ref SDS 67
500439 -        GK5B
500440 -
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5005 -