CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 3 0000, ref SDS 2 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081016 Doctor Rugo developed a work plan to change Millie's
040902 - treatment in the event of progression of disease.  The doctor ordered
040903 - FNA biopsy of left neck supraclavicular node for cancer to evaluate
040904 - progression of cancer, and to perform a status check to evaluate
040905 - possibility of expanding treatments for Millie. ref SDS 1 J36R
040907 -  ..
040908 - Earlier today, Millie received a letter from the primary care
040909 - physician at Kaiser setting a meeting in the surgery department on
040910 - Thursday 081023 1050 to triage the biopsy procedure, and saying the
040911 - actual biopsy would be done later. ref SDS 3 KS8K
040913 -  ..
040914 - Calls to Kaiser determined that the referral to the Surgery Department
040915 - did not specify FNA biopsy of node in the left supraclavicular and
040916 - perform a status check. ref SDS 3 PQ7T  The Surgery Department
040917 - transferred the referral to the Head and Neck Department, ref SDS 3
040918 - 03GE, and suggested following up tomorrow on scheduling and to verify
040919 - scope of work. ref SDS 3 5T31
040921 -  ..
040922 - Millie sent a follow up letter to the primary care physician for
040923 - assistance implementing the FNA biopsy and status check with Head and
040924 - Neck Department.
040925 -
040926 -    1.  Subject: Work Plan Biopsy FNA Status Change Prepare Sunitinib Clinical Study
040927 -        Date: Tue, 21 Oct 2008 19:39:18 -0700
040935 -         ..
040936 -    3.  Thanks for scheduling a biopsy of the lump on my neck,
040937 -        implementing the work plan requested by Doctor Rugo at UCSF.
040938 -        ...reported 081021, ref SDS 3 YR6O
040940 -         ..
040941 -    4.  Biopsy was scheduled in the Surgery Department on Thursday
040942 -        081023 at 1050. ref SDS 3 0X9T
040944 -         ..
040945 -    5.  Since I get back to Concord after treatment on Thursday about
040946 -        0130p, this is too late for the 1050 time slot.  I called and
040947 -        talked to Anne, Advice Nurse in the Surgery Department, to
040948 -        change the time. ref SDS 3 4Q4C
040950 -         ..
040951 -    6.  She talked to Doctor Riley-Paull, who evidently sent the order
040952 -        to Head and Neck, ref SDS 3 03GE, because the Surgery people do
040953 -        not perform FNA, requested in the order issued by UCSF on
040954 -        081016. ref SDS 1 J36R
040956 -         ..
040957 -    7.  Anne hand carried the referral to Jane, the Advice Nurse in
040958 -        Head and Neck Department. ref SDS 3 WY6L
040960 -         ..
040961 -    8.  Anne suggested following up with Head and Neck tomorrow to try
040962 -        and get the biopsy tomorrow or Thursday afternoon, Friday at
040963 -        the latest.  If not, it may have to wait until I get back from
040964 -        vacation, after 081106.
040965 -
040966 -           [On 081022 Millie visits Kaiser Head and Neck Department;
040967 -           Advise Nurse reported that Kaiser can perform the FNA biopsy
040968 -           on the neck in the afternoon at 1400; Millie submitted the
040969 -           UCSF order for the FNA biopsy and request to check for
040970 -           status change. ref SDS 4 HD85
040972 -            ..
040973 -           [On 081022 FNA biopsy performed at Kaiser; pathology report
040974 -           expected within a few days to a week, ref SDS 4 NZ5N; if
040975 -           pathology negative for cancer, Kaiser proposes retest with
040976 -           core biopsy, a more rigorous procedure. ref SDS 4 HH99
040978 -         ..
040979 -    9.  By copy to the UCSF medical team I am letting Doctor Rugo know
040980 -        of this schedule change.
040982 -         ..
040983 -   10.  Anne said Head and Neck does a triage for scope of referral.
040984 -        ref SDS 3 5T31
040986 -         ..
040987 -   11.  She suggested adding to the referral "FNA left supraclavicular
040988 -        node and status check."
040990 -         ..
040991 -   12.  Please let me know if you need the order sheet Brigid prepared.
040992 -        I can bring it to your office tomorrow, if necessary.
040993 -
040994 -           [On 081022 Millie visits Kaiser Head and Neck Department;
040995 -           Advise Nurse reported that Kaiser can perform the FNA biopsy
040996 -           on the neck in the afternoon at 1400; Millie submitted the
040997 -           UCSF order for the FNA biopsy and request to check for
040998 -           status change. ref SDS 4 HD85
041000 -            ..
041001 -           [On 081022 FNA biopsy performed at Kaiser; pathology report
041002 -           expected within a few days to a week, ref SDS 4 NZ5N; if
041003 -           pathology negative for cancer, Kaiser proposes retest with
041004 -           core biopsy, a more rigorous procedure. ref SDS 4 HH99
041006 -         ..
041007 -   13.  Thanks for getting the ball rolling.
041009 -         ..
041010 -   14.  See you Friday.
041011 -
041016 -
041017 -
041018 -
041019 -
041020 -
0411 -