CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 10 0000, ref SDS 9 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
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 7 ED5J, citing Millie's letter to
040903 - Kaiser on 081111 requesting results on tests the past week,
040904 - ref SDS 6 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 - Today, Millie received a letter from Kaiser submitting parts ofthe
040913 - pathology report showing Millie's status has not changed, and remains
040914 - triple negative. ref SDS 10 5O8G
040916 -  ..
040917 - Millie made distribution of Kaiser's letter today notifying the
040918 - medical team that the biopsy on 081107 testing status change shows
040919 - that status has not changed since the original biopsy on 020304,
040920 - reported at Kaiser on 020321. ref SDS 1 6Q6J
040921 -
040922 -    1.  Subject: Status Change Biopsy Test Nov 7
040923 -        Date: Wed, 19 Nov 2008 15:23:24 -0800
040933 -         ..
040934 -    3.  Thanks for timely submission of results on the biopsy performed
040935 -        by Doctor Kahn at Kaiser on 081107, ref SDS 5 7P5O, shown in
040936 -        your letter today. ref SDS 10 5O8G
040938 -         ..
040939 -    4.  I am pleased to see "positive" reported in your letter today...
040940 -
040941 -               ER......... negative, positive on slide control
040942 -               PR......... negative, positive on slide control
040943 -               HER2neu.... negative, positive on slide control
040944 -
040945 -        ...but not sure how this correlates with the report received on
040946 -        020321 from Doctor Johnson for the biopsy on 020304, which
040947 -        showed triple negative at that time. ref SDS 1 6Q6J
040948 -
040949 -            [...in another record today on 081119 Kaiser clarifies the
040950 -            pathology report finds Millie remains triple negative.
040951 -            ref SDS 11 DN9L
040953 -         ..
040954 -    5.  By copy I am notifying the medical team, as called out in the
040955 -        UCSF work plan on 081016, updated on 081029. ref SDS 4 SF3P
040957 -         ..
040958 -    6.  What is the follow up for the note in your letter saying...
040959 -        "Specimen sent for fluorescence in situ hybridization" -- will
040960 -        this further clarify my status?
040962 -         ..
040963 -    7.  Has a pathology report been published?  By copy request support
040964 -        from Doctor Johnson to post the pathology report for inclusion
040965 -        in patient history.  I also need the report for the FNA biopsy
040966 -        on 081022.
040968 -  ..
040969 - Need pathology report to assess biochemestry findings.  On 071007,
040970 - Millie attended a seminar that reported criteria for HER2neu status
040971 - has changed, and in some cases patients may new be classified
040972 - positive, whereas previously were considered negative. ref SDS 2 S68T
040973 -
040974 -            [On 081120 Kaiser responded offering the entire pathology
040975 -            report for Millie's records. ref SDS 12 VU9N
040977 -             ..
040978 -            [On 081120 Millie requested complete pathology reports for
040979 -            the biopsy on 081022, and on 081107. ref SDS 13 VU9N
040981 -             ..
040982 -            [On 081120 Kaiser confirms plans to submit full pathology
040983 -            report to Millie using Kaiser's internal email system.
040984 -            ref SDS 14 VU9N
040986 -             ..
040987 -            [On 081120 Millie receives complete pathology report for
040988 -            biopsy on 081107, ref SDS 15 1E6K; presents criteria for
040989 -            determining status, ref SDS 15 LF9R, but does not present
040990 -            findings that support a conclusion of triple negative.
040991 -            ref SDS 15 QQ3K
040993 -             ..
040994 -            [On 081202 Millie's letter to Kaiser, ref SDS 16 UV5I, asks
040995 -            Doctor Daamen for findings in pathology report for biopsy
040996 -            on 081107 that support conclusion of triple negative.
040997 -            ref SDS 16 GZ4P
040999 -             ..
041000 -            [On 081202 1456 Kaiser submitted results of pathology for
041001 -            biopsy on 081107 showing HER2 neu FISH test = 1.1,
041002 -            ref SDS 17 FG5G, well below criteria for positive 2.0, and
041003 -            below change in criteria to 1.6 reported under
041004 -            consideration on 071007. ref SDS 2 S68T
041006 -  ..
041007 - Millie's letter to medical team concludes...
041008 -
041009 -    8.  Thanks again for keeping us posted.
041010 -
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041018 -
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041021 -
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0411 -