CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a letter from NP dated 080225, asking about Millie's
040902 - status on medical leave.  Today, Millie submitted a letter explaining
040903 - medical leave status continues due to relapse of cancer, and starting
040904 - a new treatment, the 2nd arm of the cetuximab and carboplatin clinical
040905 - trial...
040906 -
040907 -    1.  Subject: Leave of Absence and Interactive Process
040908 -        Date: Tue, 01 Apr 2008 15:38:41 -0700
040916 -         ..
040917 -    3.  Thanks very much for your call yesterday afternoon, following
040918 -        up the letter on February 25th.
040920 -         ..
040921 -    4.  A few weeks ago I submitted documentation you requested to the
040922 -        doctor at UCSF.  Doctor Rugo explained they have a department
040923 -        or group that does the processing.  I am meeting with Doctor
040924 -        Rugo on Thursday to hopefully adjust my treatment for better
040925 -        results, and will ask about progress responding to NP's
040926 -        documentation.
040928 -         ..
040929 -    5.  I guess you heard that on February 19th the doctor determined I
040930 -        have suffered another relapse of IBC disease.  This was a heart
040931 -        breaker because I had been doing well.  UCSF scheduled
040932 -        increased treatment beginning on March 13th.  However, there
040933 -        have been set backs starting the new regimen, which will be
040934 -        addressed on Thursday.
040936 -         ..
040937 -    6.  As a result, my status with NP remains unchanged.  If the new
040938 -        treatment is effective, and side effects are not debilitating
040939 -        then prospects for returning to work seem good.  We should know
040940 -        within a few cycles.   I am sending a copy to Jackie, who
040941 -        coordinates case management for Doctor Rugo.  She has been
040942 -        outstanding assisting me with a great many details, so please
040943 -        feel free to contact Jackie if you need more technical
040944 -        information on my medical condition.
040946 -         ..
040947 -    7.  Thanks very much for initiating an interactive process on my
040948 -        status, noted in your letter on February 25th.  One of the big
040949 -        challenges I face is exposure to infectious disease.
040950 -        Chemotherapy reduces the immune system, so being around people,
040951 -        like at the office, but especially taking BART for several
040952 -        hours a day, increases my risks.   At the same time, all of my
040953 -        doctors urge keeping involved, because activity strengthens the
040954 -        immune system.
040956 -         ..
040957 -    8.  So in a way working is good therapy provided we can moderate
040958 -        risks, and debilitating effects of chemo can be overcome.
040959 -        Since we are just beginning this treatment, we need a little
040960 -        experience to fully assess prospects.
040962 -  ..
040963 - Millie's primary care physician at Kaiser reported on 030606 that
040964 - cancer patients recover better by staying involved with work and
040965 - routine activity at home, as much as possible. ref SDS 1 LZ3L  On
040966 - 041019 Doctor Guardino made a similar recommendation during a meeting
040967 - at Stanford Cancer Center. ref SDS 2 NN6N
040968 -
040969 -            [On 080725 Millie notifies NP experience on 2nd arm of
040970 -            clinical study demonstrates sufficient recovery from cancer
040971 -            relapse in February for Millie to return to work, as
040972 -            recommended by her doctor for increasing recovery.
040973 -            ref SDS 3 645J
040975 -             ..
040976 -            [On 080729 N&P requests clearance from physician stating
040977 -            limitations Millie may have on working. ref SDS 4 RG8P
040979 -             ..
040980 -            [On 080804 Millie notified the doctor at UCSF that NP
040981 -            requests physician release to work. ref SDS 5 GU4W
040983 -             ..
040984 -            [On 080807 UCSF responded and approved Millie for return to
040985 -            work. ref SDS 6 SX4O
040987 -             ..
040988 -            [On 080807 Millie thanks UCSF for timely response, and
040989 -            submitted to NP the UCSF letter with physician release for
040990 -            return to work from medical leave. ref SDS 7 AF5J
040992 -             ..
040993 -            [On 080808 Tim Blevins at NP requested signed copy of UCSF
040994 -            physician release from medical leave for Millie to return
040995 -            to work; and to delay starting work on 080811 so that NP
040996 -            has time to review recent changes to staffing. ref SDS 8
040997 -            F55H
040999 -  ..
041000 - Millie's letter to NP continues...
041001 -
041002 -    9.  One form of accommodation, which you raise in your letter,
041003 -        would be to work from home, telecomuting, so to speak.  I have
041004 -        used this type of support from time to time when things get
041005 -        backed up.  My familiarity with N&P formats and requirements
041006 -        might make this a reasonable solution.
041008 -         ..
041009 -   10.  Thanks again to you and firm for consideration in helping me
041010 -        work through this transition.
041012 -         ..
041013 -   11.  I'll call tomorrow to explore further ideas.
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0411 -