CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background reported in the record earlier this morning on 081202.
040902 - ref SDS 13 WR5I
040904 -  ..
040905 - Millie sent a letter this morning on 081202 1038 to Doctor Daamen at
040906 - Kaiser, ref SDS 13 UV5I, asking for specific findings in the pathology
040907 - report for the biopsy on 081107 that support a conclusion of triple
040908 - negative. ref SDS 13 GZ3T
040910 -  ..
040911 - Millie received a response from the doctor today 081202 1253 and
040912 - indicating efforts to verify conclusion of pathology report that
040913 - biopsy on 081107 was triple negative status.  Since this is different
040914 - from Millie's requirements to verify findings in relation to possible
040915 - evolving standards, ref SDS 14 4P4F, Millie sent a letter to clarify
040916 - objectives...
040918 -  ..
040919 - Millie's response to Kaiser says.
040920 -
040921 -    1.  Subject: Clarify Pathology Results Biopsy Nov 7th
040922 -        Date: Tue, 02 Dec 2008 13:19:52 -0800
040929 -         ..
040930 -    2.  Thanks for following up [Kaiser's letter earlier today on
040931 -        081202, ref SDS 14 9I8K].  I'm sure triple negative results are
040932 -        correctly reported [Kaiser's letter on 081120, ref SDS 11
040933 -        LF4R].  Just hoping to get a clarification on specific findings
040934 -        from pathology that support the conclusions, to see if I might
040935 -        be close to positive on any elements, and especially HER2 neu.
040936 -
040937 -            [On 081202 1428 Doctor Daamen reports lab confirms finding
040938 -            of triple negative status. ref SDS 15 PV4I
040940 -         ..
040941 -        This interest comes from a report on 071007 that criteria has
040942 -        or may have changed at some labs. ref SDS 1 S68T
040944 -         ..
040945 -    3.  As you can see, the report talks about possible relaxation of
040946 -        HER2neu criteria from 2.0 down to 1.6. ref SDS 1 S68T  However,
040947 -        I don't see anything in the pathology on my biopsy that seems
040948 -        correlated with this criteria [shown on 081120, ref SDS 11
040949 -        QS4J].  It is possible I misunderstood the issue entirely.
040950 -
040951 -            [On 081202 1428 Doctor Daamen reports the pathology lab
040952 -            submitted the specimen from the biopsy on 081107 for FISH
040953 -            testing to determine HER2 neu status; but have not received
040954 -            numerical analysis. ref SDS 15 4P5N
040956 -             ..
040957 -            [On 081202 1456 Kaiser submitted results of pathology for
040958 -            biopsy on 081107 showing HER2 neu FISH test = 1.1,
040959 -            ref SDS 16 FG5G, well below criteria for positive 2.0, and
040960 -            below change in criteria to 1.6 reported under
040961 -            consideration on 071007. ref SDS 1 S68T
040963 -             ..
040964 -            [On 081202 1502 Millie letter to Kaiser commends Doctor
040965 -            Daamen for outstanding work investigating details of
040966 -            patient test history that affect options treating cancer to
040967 -            extend and enhance quality of life. ref SDS 17 FG5G
040969 -         ..
040970 -    4.  I am grateful for your assistance.
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0410 -