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: December 2, 2008 12:53 PM Tuesday; Rod Welch

Millie letter from Doctor Daamen assures biopsy findings triple negative.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 13 0000. ref SDS 12 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background reported in the record earlier this morning on 081202.
040902 - ref SDS 13 WR5I
040904 -  ..
040905 - Millie received a letter from Doctor Daamen at Kaiser responding to
040906 - the letter earlier this morning, ref SDS 13 UV5I, asking for specific
040907 - findings in the pathology report for the biopsy on 081107 that support
040908 - a conclusion of triple negative. ref SDS 13 GZ3T
040910 -  ..
040911 - Doctor Daamen says in her response...
040912 -
040913 -    1.  Subject: Re: Sunitinib Treatment Initial Success
040914 -        Date: Tue, 2 Dec 2008 12:25:57 -0800
040921 -         ..
040922 -    2.  Since the biopsy was done by Dr. Kahn, I did not hear from the
040923 -        immunohistochemistry doctor directly.
040925 -         ..
040926 -    3.  I have left a message for the pathologist who read the
040927 -        immunohistochemistry at San Francisco to call me back to
040928 -        clarify the results and ensure they are indeed triple negative.
040930 -  ..
040931 - There is no question about accuracy of triple negative status; the
040932 - question is about specific findings that support that conclusion in
040933 - relation possible changing criteria, as set out Millie's letter to
040934 - Kaiesr this morning. ref SDS 13 GZ3T
040935 -
040936 -            [On 081202 1314 Millie sent a letter to Kaiser clarifying
040937 -            the scope of requirements on obtaining additional findings
040938 -            form the lab on status change. ref SDS 14 3E8M
040940 -             ..
040941 -            [On 081202 1428 Doctor Daamen reports the pathology lab
040942 -            submitted the specimen from the biopsy on 081107 for FISH
040943 -            testing to determine HER2 neu status; but have not received
040944 -            numerical analysis. ref SDS 15 4P5N
040946 -             ..
040947 -            [On 081202 1456 Kaiser submitted results of pathology for
040948 -            biopsy on 081107 showing HER2 neu FISH test = 1.1,
040949 -            ref SDS 16 FG5G, well below criteria for positive 2.0, and
040950 -            below change in criteria to 1.6 reported under
040951 -            consideration on 071007. ref SDS 1 S68T
040953 -             ..
040954 -            [On 081202 1502 Millie letter to Kaiser commends Doctor
040955 -            Daamen for outstanding work investigating details of
040956 -            patient test history that affect options treating cancer to
040957 -            extend and enhance quality of life. ref SDS 17 FG5G
040958 -
040960 -  ..
040961 - Kaiser's letter to Millie continues...
040962 -
040963 -    4.  I hope to hear from her today, but I do not know when she will
040964 -        be able to get back to me.  I will let you know as soon as I
040965 -        hear from her.
040966 -
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0410 -