CONTACTS 

SUBJECTS
2nd Opinion Retainer $300 Scope of Work  Rceived Support Medical Tea

1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 66 0000. ref SDS 64 0000.
180502 -
180503 -
180504 -
180505 -
180507 -  ..
1806 -
1807 -
1808 - Progress
1809 -
180901 - Background on working with Doctor Stritter is reported on 090106.
180902 - ref SDS 48 KI5I
180903 -
180904 -    1.  Millie met Doctor Stritter during
180905 -        seminar presentation at Wellness
180906 -        Community cancer support
180907 -        group.............................. 081018, ref SDS 28 PQ6X
180909 -         ..
180910 -    2.  Doctor Stritter asked for copies of
180911 -        correspondence with the medical team
180912 -        on Millie's response to sunitinib
180913 -        treatment for cancer that supports
180914 -        Doctor Stritter's research on
180915 -        advanced cancer
180916 -        treatments......................... 081018, ref SDS 28 1Y4G
180918 -         ..
180919 -    3.  Doctor Stritter was helpful finding
180920 -        referral for resolving payment issues
180921 -        with Kaiser for Millie's treatment
180922 -        on referral to UCSF................ 081114, ref SDS 32 638G
180924 -         ..
180925 -    4.  Millie was confused, worried, and
180926 -        emotional about plans to maintain
180927 -        strong recovery from cancer and reduce
180928 -        side effects by adjusting treatments
180929 -        to tolerable levels on 081226,
180930 -        presented during meeting at
180931 -        UCSF............................... 081218, ref SDS 40 QW48
180932 -        as set out in the letter confirming
180933 -        understandings to the medical
180934 -        team............................... 081218, ref SDS 41 GF4V
180935 -        Millie submitted a copy to Doctor
180936 -        Stritter of the letter on 081218 to
180937 -        the medical team reporting results of
180938 -        examination at
180939 -        UCSF............................... 081218. ref SDS 41 4P7F
180941 -         ..
180942 -    5.  Millie sent a copy to Doctor Stritter
180943 -        of another letter to the primary care
180944 -        physician at Kaiser on 081219, requesting
180945 -        assistance managing the work plan at
180946 -        UCSF for Millie's treatment with
180947 -        sunitinib.......................... 081219, ref SDS 43 KY8Q
180948 -        noting that case management is
180949 -        difficult due to limited time and emotional
180950 -        feelings that prevent thorough analysis
180951 -        during meetings with
180952 -        doctors............................ 081219, ref SDS 43 SU8X
180954 -         ..
180955 -    6.  Millie's letter to Doctor Stritter
180956 -        requested second opinion on Millie's
180957 -        treatment with sunitinib staying at
180958 -        full strength and reducing or ending
180959 -        treatment with cyclophosphamide
180960 -        to reduce side
180961 -        effects............................ 081220, ref SDS 44 I69Q
180963 -         ..
180964 -    7.  Millie received a letter from Doctor
180965 -        Stritter with terms and conditions for
180966 -        2nd opinion, and transmitting a pdf file
180967 -        requesting patient history in a
180968 -        questionnaire...................... 081223, ref SDS 45 8N9M
180970 -         ..
180971 -    8.  Questionnaire could not be filled out
180972 -        in pdf file because Adobe Acrobat
180973 -        could not be configured; information
180974 -        requested in the form was
180975 -        entered in the
180976 -        record............................. 081223, ref SDS 45 DQ6J
180978 -         ..
180979 -    9.  Patient history for Doctor Stritter's
180980 -        2nd opinion support was developed
180981 -        in the SDS record.................. 090106, ref SDS 48 IP6H
180983 -         ..
180984 -   10.  Millie sent letter to Doctor Stritter
180985 -        with payment of $300 for 2nd
180986 -        opinion services................... 090106, ref SDS 48 S34O
180987 -        and listing objectives for
180988 -        conslutation....................... 090106, ref SDS 48 6H3Q
180990 -         ..
180991 -   11.  Doctor Stritter notified Millie that
180992 -        she was attending a professional conference
180993 -        on integrative oncology conference in
180994 -        Florida, and would respond to
180995 -        Millie's letter on
180996 -        090114............................. 090107, ref SDS 50 PJ3I ,
180998 -         ..
180999 -   12.  Doctor Stritter called and advised she
181000 -        needs another $300 to provide a 2nd
181001 -        opinion on treatments for
181002 -        Millie............................. 090114, ref SDS 51 U290
181003 -        doctor requested support reviewing
181004 -        Millie's complex patient history
181005 -        for 2nd opinion
181006 -        work............................... 090114, ref SDS 51 U271
181008 -         ..
181009 -   13.  Millie sent a letter to Doctor Stritter,
181010 -        ref SDS 54 3C5O, following up the letter
181011 -        on 090106 setting out scope of assignment,
181012 -        ref SDS 48 S34O, confirming understandings
181013 -        from the call on 090114, and submitting
181014 -        additional information on pathology
181015 -        reports and CT tests requested
181016 -        by the doctor...................... 090119, ref SDS 51 U271
181018 -         ..
181019 -   14.  Called Doctor Stritter who asked for
181020 -        information in a questionaire she
181021 -        submitted with a letter to Millie on
181022 -        091223, ref SDS 45 DQ6J, the doctor
181023 -        wants another $300 to provide a list
181024 -        of treatments that can
181025 -        help Millie........................ 090120, ref SDS 55 CM66
181027 -         ..
181028 -   15.  Millie sent a letter to Stritter Medical
181029 -        Consulting transmitting information
181030 -        requested in the Questionnaire
181031 -        received in the record on
181032 -        081223............................. 090121, ref SDS 56 C57O
181034 -         ..
181035 -   16.  Regrettably, time has become a factor
181036 -        because the cancer marker jumped to
181037 -        CA 15-3 303 for the lab on 090116.
181038 -        ref SDS 52 PQTQ; Millie needs
181039 -        input as soon as
181040 -        possible........................... 090121, ref SDS 56 SC5T
181042 -         ..
181043 -   17.  Dislocated shoulder from fall treatment
181044 -        in Emergency Department on 090122, and
181045 -        notice that UCSF ended Millie's
181046 -        treatment with sunitinib due to 6th
181047 -        relapse of IBC, and rising side
181048 -        effects; copy of letter to
181049 -        medical team sent to Doctor
181050 -        Stritter........................... 090123, ref SDS 58 KR4P
181052 -         ..
181053 -   18.  Millie letter notified Doctor Stritter
181054 -        that UCSF ended treatment with sunitinib
181055 -        due progression of
181056 -        disease............................ 090126, ref SDS 61 Q59G
181057 -        Millie meeting with UCSF on 090129
181058 -        asks Doctor Stritter for
181059 -        treatment options.................. 090126, ref SDS 61 066T
181061 -         ..
181062 -   19.  Doctor Stritter letter proposes teleon
181063 -        2nd opinion on 090203 or on 090205 at
181064 -        1600, and needs payment of another
181065 -        $300 paymnet in advance of
181066 -        consultation....................... 090127, ref SDS 62 L24J
181068 -         ..
181069 -   20.  Millie submitted payment of $300 and
181070 -        requests consultation on 090203,
181071 -        requests receipt................... 090127, ref SDS 62 HO5W
181073 -         ..
181074 -   21.  Doctor Stritter receives payment;
181075 -        says cannot have telecon on 090203;
181076 -        asks about having consultation
181077 -        on 090205 1600..................... 090130, ref SDS 64 4W6L
181079 -         ..
181080 -   22.  Millie responds to Gwen's letter on
181081 -        090130, ref SDS 64 4W6L, reports cancer
181082 -        is progressing [see Millie's letter to
181083 -        medical team on 090130, ref SDS 65 AY7X,
181084 -        and lining up treatment
181085 -        options has been
181086 -        difficult.......................... 090131, ref SDS 66 4W6L
181087 -        and shown in the letter to the
181088 -        medical team on 090130, with a copy
181089 -        to Gwen. ref SDS 65 W858
181091 -         ..
181092 -   23.  Primary objective for Stritter Medical
181093 -        is to submit research and written opinion
181094 -        listing treatments for IBC, and sources
181095 -        for Millie's complex patient profile,
181096 -        shown in Millie's letter to
181097 -        Gwen............................... 090131, ref SDS 66 H95S
181098 -        Obvious question is are there
181099 -        other treatments that can
181100 -        help me............................ 090131, ref SDS 66 H96U
181102 -         ..
181103 -   24.  Agenda requested a day or so before
181104 -        telecon consultation with a partial
181105 -        list of possible treatments, so
181106 -        people can be prepared with
181107 -        focused questions.................. 090131, ref SDS 66 H96X
181108 -
181110 -  ..
181111 - Millie received letter from Doctor Stritter responding to Millie's
181112 - letter on 090131, ref SDS 66 4W6L, asking for notice of treatments to
181113 - be presented in the 2nd opinion, ref SDS 66 H96X, and to be discussed
181114 - during telecon on 090205.
181115 -
181116 -    1.  Subject:  2nd Opinion Needed Urgtently
181117 -        Date: Mon, 2 Feb 2009 14:15:09 -0800
181124 -         ..
181125 -    2.  I am hard at work on your case.  I hope to have the preliminary
181126 -        research ready for you by tomorrow night.  We are confirmed for
181127 -        a telephone conference to discuss my findings on Thursday 2/5
181128 -        at 4 PM.  Please let me know what number to call.
181129 -
181130 -           [On 090203 2327 Millie receives Gwen's preliminary report
181131 -           with possible treatments to maintain Millie's quality of
181132 -           life, and which can guide telecon consultation scheduled for
181133 -           090205 1600. ref SDS 68 CF7J
181135 -         ..
181136 -    3.  In the meantime, I encourage you to start the Doxil and
181137 -        hyperthermia.
181138 -
181139 -           [On 090202 1932 letter from Doctor Rugo says Millie needs
181140 -           urgent treatment quickly in time to be effective recovering
181141 -           from 6th relapse of IBC. ref SDS 67 Y15J
181142 -
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1812 -