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 02:28 PM Tuesday; Rod Welch

Millie letter from Doctor Daamen pathology report presents no specific findings on status change.

1...Summary/Objective


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SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 15 0000, ref SDS 14 0000.
040502 -
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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 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 - reporting efforts to verify conclusion of pathology report that biopsy
040913 - on 081107 was triple negative status.  Since this is different from
040914 - 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 sent a letter to the doctor today 081202 1314 clarifying
040920 - objective to get findings from pathology, ref SDS 15 3E9J, consisting
040921 - of numbers showing correlation with criteria that supports conclusion
040922 - of triple negative status in order to evaluate prospects of status
040923 - change in relation to reports that criteria for triple negative may
040924 - have changed. ref SDS 15 RE5V
040926 -  ..
040927 - Millie received a response from Kaiser saying...
040928 -
040929 -    1.  Subject: Re: Clarify Pathology Results Biopsy Nov 7th
040930 -        Date: Tue, 2 Dec 2008 14:18:44 -0800
040937 -         ..
040938 -    2.  I just got a message from the pathologist [responding to
040939 -        Millie's letter on 081202, ref SDS 15 3E9J], all of the testing
040940 -        was negative at their lab- the ER and PR definately negative.
040942 -         ..
040943 -    3.  They did, however, send out the specimen for FISH testing for
040944 -        Her 2 Neu, as stated in the path report I sent to you, which is
040945 -        a special test that can be more specific... the pathologist
040946 -        states that rarely their testing for Her 2 Neu can be negative
040947 -        and positive on FISH.  She just got the results and the FISH
040948 -        was also negative, though no report yet is available. They did
040949 -        not give me any numbers to go with the results.
040951 -             ..
040952 -            [On 081202 1456 Kaiser submitted results of pathology for
040953 -            biopsy on 081107 showing HER2 neu FISH test = 1.1,
040954 -            ref SDS 16 FG5G, well below criteria for positive 2.0, and
040955 -            below change in criteria to 1.6 reported under
040956 -            consideration on 071007. ref SDS 1 S68T
040958 -             ..
040959 -            [On 081202 1502 Millie letter to Kaiser commends Doctor
040960 -            Daamen for outstanding work investigating details of
040961 -            patient test history that affect options treating cancer to
040962 -            extend and enhance quality of life. ref SDS 17 FG5G
040964 -         ..
040965 -    4.  Hope this helps...
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0410 -