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: November 19, 2008 02:23 PM Wednesday; Rod Welch

Kaiser notified Millie pathology biopsy Nov 7th triple negative.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 6 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on biopsy status change test issue is shown in the earlier
040902 - record today on 081113, ref SDS 5 ED5J, citing Millie's letter to
040903 - Kaiser on 081111 requesting results on tests the past week,
040904 - ref SDS 4 DJ6N, to prepare for Millie to start treatment for cancer at
040905 - UCSF today, on 081113.
040907 -  ..
040908 - Objectives for testing status change are reported in the record on
040909 - 081022 for the first biopsy at Kaiser. ref SDS 3 RS8M
040911 -  ..
040912 - On 081113 Millie received preliminary report on results of biopsy,
040913 - ref SDS 6 QY5I performed at Kaiser on 081107.  Millie commended Kaiser
040914 - Doctor Daamen for timely notice of available data. ref SDS 7 R96I
040916 -  ..
040917 - Today, Millie received a follow up letter from Doctor Daamen at Kaiser
040918 - in Walnut Creek saying...
040919 -
040920 -    1.  Subject: Re: Status Change Biopsy Test Nov 7
040921 -        Date: Wed, 19 Nov 2008 13:40:11 -0800
040928 -         ..
040929 -    2.  Not sure if Dr Khan emailed you the results of the biopsy- they
040930 -        are listed below.  It appears they were all negative, though
040931 -        you will need to discuss with the oncologist because it is not
040932 -        clear to me...
040933 -
040934 -               [...in another record later today, on 081119 Millie
040935 -               thanks the doctor; makes distribution to medical team,
040936 -               and requests complete pathology report from Kaiser.
040937 -               ref SDS 8 L26U
040939 -             ..
040940 -        a.  Provider: TERESA MARIE STEINKIRCHNER ANDERSON M.D.
040942 -             ..
040943 -        b.  Collected: 11/7/2008 Case #: IHC08-11299
040945 -             ..
040946 -        c.  Immunohistochemistry Report
040948 -             ..
040949 -        d.  FINAL PATHOLOGIC DIAGNOSIS
040951 -             ..
040952 -        e.  IMMUNOHISTOCHEMISTRY (LEFT SUPRA CLAVICULAR LYMPH NODE,
040953 -            WCRS08-28763 A1)
040954 -
040955 -            1)  Estrogen Receptor - negative, positive on-slide control
040957 -                 ..
040958 -            2)  Progesterone Receptor - negative, positive on-slide
040959 -                control
040961 -                 ..
040962 -            3)  Her2neu - negative, positive on-slide control
040964 -                     ..
040965 -                    [...in another record today on 081119 Kaiser
040966 -                    clarifies the pathology report finds Millie remains
040967 -                    triple negative. ref SDS 9 DN9L
040969 -                     ..
040970 -                    [On 081120 Kaiser offers to submit entire pathology
040971 -                    report for the biopsy on 081107. ref SDS 10 VU9N
040973 -                     ..
040974 -                    [On 081120 Millie requested complete pathology
040975 -                    reports for the biopsy on 081022, and on 081107.
040976 -                    ref SDS 11 VG3X
040978 -                     ..
040979 -                    [On 081202 1456 Kaiser submitted results of
040980 -                    pathology for biopsy on 081107 showing HER2 neu
040981 -                    FISH test = 1.1, ref SDS 12 FG5G, well below
040982 -                    criteria for positive 2.0, and below change in
040983 -                    criteria to 1.6 reported under consideration on
040984 -                    071007. ref SDS 2 S68T
040986 -  ..
040987 - This seems to align with results for the biopsy on 020304, reported at
040988 - Kaiser on 020321. ref SDS 1 6Q6J
040990 -  ..
040991 - Kaiser's letter continues...
040992 -
040993 -        f.  [NOTE: Specimen sent for fluorescence in situ hybridization
040994 -
040995 -        g.  (FISH) analysis.]
040996 -
041015 -
041016 -
041017 -
041018 -
041019 -
041020 -
041021 -
041022 -
041023 -
041024 -
041025 -
041026 -
041027 -
041028 -
041029 -
041030 -
041031 -
041032 -
0411 -