CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 19 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on objectives and requirements for biopsy on 081107 to
040902 - obtain findings that influence Millie's treatment options was reported
040903 - in the record earlier this morning on 081202. ref SDS 15 WR5I
040905 -  ..
040906 - After several letters to clarify the scope of requirements, Millie
040907 - received this afternoon a letter from Doctor Daamen with additional
040908 - findings for the biopsy on 081107 that indicate Millie's HER2 neu
040909 - negative status is based on FISH calculation of 1.1, which is well
040910 - below nominal criteria of 2.0 and also too far below possible
040911 - alternate criteria of 1.6 to give hope of expanding treatment options.
040912 - ref SDS 19 MA6T
040914 -  ..
040915 - Millie sent a letter to Kaiser commending Doctor Daamen's outstanding
040916 - work to obtain details that help guide patient care...
040917 -
040918 -    1.  Subject: Pathology Results Biopsy Nov 7th Clarified NEU2 1.1, Thanks
040919 -        Date: Tue, 02 Dec 2008 15:04:54 -0800
040926 -         ..
040927 -    2.  Thanks for extra work to chase down findings that seem to
040928 -        indicate HER2 neu tested at 1.1, ref SDS 19 FG5G, well below
040929 -        2.0, and also well below 1.6, which was a point of interest
040930 -        with respect to criteria for negative/positive status.
040931 -        ref SDS 19 MA6T
040933 -  ..
040934 - The challenge for health care, and other important work, e.g.,
040935 - national security, is to sustain energy and focus on small details.
040936 - Busy people constantly balance benefits against perceived chances of
040937 - success.  The tendency is that when good management does not yield
040938 - successful results, this experience breeds cynicysm that stifles
040939 - performance of protocols, standards and requirements on the grounds
040940 - there is not enough time to work carefully and thoroughly, even when
040941 - there is plenty of time (see POIMS, ref OF 3 MQ6J, and chances of
040942 - success are high, noted by the primary care physician on 040504.
040943 - ref SDS 1 WI8F
040945 -  ..
040946 - Tension between good and bad management is explained in POIMS.
040947 - ref OF 3 YZ4I
040949 -  ..
040950 - Millie's letter to Kaiser concludes...
040951 -
040952 -    3.  Who knows, if the medical team at Kaiser and UCSF can keep me
040953 -        going another few years, we may do this again.  It's been a
040954 -        great pleasure working with you.
040955 -
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040963 -
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040966 -
040967 -
040968 -
0410 -