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: January 12, 2007 04:04 PM Friday; Rod Welch

Millie letter to Kaiser asking about Medical Chart lung cancer report.

1...Summary/Objective
2...Cancer Marker Improvement Aligns IBC Rash Intensity Subsides
3...Lung Cancer Lymph Nodes Patient Requests Clarification Medical Chart


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CONTACTS 

SUBJECTS
CA 15-3 56 Test on 070104 Improvement Aligns with IBC Rash Less Inte

0703 -
0703 -    ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS 65 0000. ref SDS 64 0000.
070502 -
070503 -
070504 -
070505 -
070506 -
070507 -
070509 -  ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - Cancer Marker Improvement Aligns IBC Rash Intensity Subsides
070902 -
070903 - Follow up ref SDS 65 087J.
070904 -
070905 - On 070110, Millie received a letter from the doctor reporting results
070906 - of CA 15-3 cancer marker test on 070104, which dropped 20 points down
070907 - to 56.  Today, she notifies the doctor this test reflects improvement
070908 - in IBC red rash that seems less intense, reported on 070110.
070909 - ref SDS 65 5O6W
070911 -  ..
070912 - Millie submitted, ref DIT 1 0001, to the doctor saying...
070913 -
070914 -    1.  Thanks for submitting your letter to UCSF on 070108, and the CA
070915 -        15-3 test results showing a dramatic fall from 74 down to 56,
070916 -        even without treatment since 061201.  This improvement aligns
070917 -        with IBC rash intensity subsiding, while the area of rash seems
070918 -        stable, since your last examination on 070105 reported in the
070919 -        Medical Chart. ref DIT 1 0001
070921 -  ..
070922 - Erratic IBC rash and CA 15-3 was reported previously on 061218,
070923 - ref SDS 55 5M7Q, and citing self-examination on 061217. ref SDS 54
070924 - QT5K  Later on 061227, the rash worsened again. ref SDS 58 DY9T
070925 -
070926 -
070927 -
070928 -
070929 -
0710 -

SUBJECTS
Lung Cancer Lymph Nodes Report Medical Chart Meetings 070105 and 061

1603 -
160401 -  ..
160402 - Lung Cancer Lymph Nodes Patient Requests Clarification Medical Chart
160403 -
160404 - Follow up ref SDS 58 Z84Y, ref SDS 52 G25K.
160405 -
160406 - Doctor Progress Notes in the Medical Chart received from Kaiser for
160407 - the meeting on 061208 showed an entry that indicated lung cancer.
160408 - ref SDS 52 G25K  This was cited in a letter to the doctor on 061227
160409 - discussing work on improving accuracy in medical practice. ref SDS 58
160410 - Z84Y
160412 -  ..
160413 - The doctor has not commented.  The same entry appears in the Medical
160414 - Chart for the meeting on 070105. ref SDS 63 G25K
160416 -  ..
160417 - Millie's letter to Kaiser continues...
160418 -
160419 -    2.  Your report on 061208 says in the section on Imp...
160420 -
160421 -            1.  Metastatic breast cancer (IBC)lung and lymph node;
160422 -                chest wall recurrence, ref DIT 1 6A6G
160424 -         ..
160425 -    3.  This is repeated in the report for the meeting at Kaiser on
160426 -        070105. ref SDS 63 G25K  There is no prior similar reference
160427 -        for the past 5 years. ref DIT 1 HA6M
160429 -         ..
160430 -    4.  Please explain evident association of "cancer" with "lung" and
160431 -        "lymph node." ref DIT 1 UA7H  The last report on swelled nodes
160432 -        was the CT test on 060505 that found activity in the right
160433 -        paratrachael, reviewed on 060523. ref SDS 31 4O8P
160434 -
160435 -            [On 070117 primary care physician cited several CT tests
160436 -            reported small pulmonary nodules involving the right lung,
160437 -            which are smaller than 5 mm, and so do not appear in PET
160438 -            scan tests. ref SDS 69 TS8G  Case study on patient history
160439 -            confirms that CT tests beginning in 2002 identify nodules
160440 -            in the lungs; none are identified as cancer, ref SDS 69
160441 -            4Q46; abnormalities are also identified in the left lung,
160442 -            which are also not presented as cancer, need review for
160443 -            correlation with abnormal nodules in the right lung.
160444 -            ref SDS 69 6U40
160446 -  ..
160447 - This link failed because Kaiser sheared off the ending character of
160448 - the anchor.
160449 -
160450 -            [On 070113 Millie sent a letter to the Kaiser web master
160451 -            notifying of email program defect. ref SDS 66 LG3K
160453 -  ..
160454 - Millie's letter to the doctor continues...
160455 -
160456 -    5.  Are there other reports that discuss this issue? ref DIT 1 5B8F
160458 -         ..
160459 -    6.  Thanks again for expediting work with UCSF.  I still have not
160460 -        heard from Doctor Rugo. ref DIT 1 GB8I
160461 -
160462 -            [On 070116 Jackie at UCSF contacted Millie to schedule
160463 -            treatment the following week. ref SDS 67 NK8F
160464 -
160465 -            [On 070117 Millie's thanks primary care physician for
160466 -            coordinating with UCSF to qualify Millie for treatment in a
160467 -            clinical study. ref SDS 68 638H
160468 -
160469 -
160470 -
160471 -
160472 -
160473 -
160474 -
160475 -
160476 -
1605 -