CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000, ref SDS 5 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081016 UCSF ordered FNA biopsy to test for status change.
040902 - ref SDS 1 J36R  The record on 081022 reports background on scheduling
040903 - the biopsy at Kaiser. ref SDS 2 XK5H  On 081022 Kasier did an
040904 - excellent job performing the biopsy. ref SDS 2 NZ5N  Yesterday, on
040905 - 081023 Kaiser reported the FNA biopsy performed the day before on
040906 - 081022 could not be used to test for status change; Kaiser said
040907 - another hospital visit is required for the doctor to perform a "core"
040908 - biopsy. ref SDS 3 4Q5V  Doctor Daamen scheduled the work for 1130 this
040909 - morning, 10 minutes before Millie is scheduled to meet with the
040910 - primary care physician. ref SDS 3 667F
040912 -  ..
040913 - Later in the day on 081023, UCSF sent a number of letters, concluding
040914 - with Doctor Rugo saying hopefully Kaiser can test for status change
040915 - with an FNA biopsy used at UCSF, and would not use a core biopsy.
040916 - ref SDS 4 KY8R
040918 -  ..
040919 - Benefits and risks have not been presented by anyone of doing an FNA
040920 - or core biopsy for testing status change in the supraclavicular area
040921 - of the neck.
040923 -  ..
040924 - Millie sent a letter late last night to the primary care physician,
040925 - with copies to the medical team at Kaiser and UCSF, and summarizing
040926 - the goal to qualify Millie for participation in the sunitinib clinical
040927 - trial. ref SDS 5 V47L  The letter indicated willingness to try another
040928 - FNA biopsy to test for status change, ref SDS 5 4T9V, which would
040929 - implement UCSF guidance late yesterday. ref SDS 4 KY8R
040931 -  ..
040932 - This morning Kaiser responded to the UCSF letter yesterday, and not to
040933 - Millie's letter to the medical team. ref SDS 6 008H  Doctor Daamen
040934 - restated that Kaiser must perform a core biopsy to test for status
040935 - change, ref SDS 6 EF4H, which was ordered by Doctor Rugo in the work
040936 - plan on 081016. ref SDS 1 J36R
040938 -  ..
040939 - Millie sent a letter separately to the primary care physcian along
040940 - asking the doctor to coordinate a solution to test for status change
040941 - of triple negative ER PR HER2 neu....
040942 -
040943 -    1.  Subject: Biopsy Test Status Change
040944 -        Date: Fri, 24 Oct 2008 08:58:41 -0700
040951 -         ..
040952 -    3.  We seem to have a battle between FNA v core bopsy.  Maybe
040953 -        that's why you sent me to Surgery in the first place.
040955 -  ..
040956 - Millie references the letter from Doctor Daamen with Kaiser Head and
040957 - Neck this morning explaining that Kaiser Lab requires a core biopsy to
040958 - test for status change, ref SDS 6 008H, and reponds to Doctor Rugo
040959 - with UCSF oncology explaining UCSF tests for status change with FNA
040960 - biopsy and saying hopefully Kaiser will use the less invasive FNA
040961 - procedure. ref SDS 4 KY8R
040963 -  ..
040964 - Millie's letter to primary care physician continues...
040965 -
040966 -    4.  I don't care whether it's FNA or core biopsy.  So far, UCSF has
040967 -        not indicated any harm will occur if we do a core biopsy, but
040968 -        maybe there is -- more chance of infection or something if I am
040969 -        on chemo.  UCSF just seems very insistent, but not sure why.
040971 -         ..
040972 -    5.  Can you coordinate a solution so we test ER PR and HER2 status.
040973 -
040974 -           [On 081024 Doctor Wong confirms Kaiser cannot check for
040975 -           status change with core biopsy, ref SDS 7 KE6J; and relates
040976 -           that core biopsy is higher risk for Millie's patient
040977 -           profile than using less invasive FNA biopsy possible at
040978 -           UCSF. ref SDS 7 W183
040980 -            ..
040981 -           [On 081029 sunitinib work plan update proposes doing FNA
040982 -           biopsy at UCSF to check for status change. ref SDS 8 SF3P
040984 -         ..
040985 -    6.  See you after the biopsy at 1130.
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