CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000, ref SDS 6 4W5I.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - The letter today follows up patient history of 106 tasks from 081219
040902 - to 090331 arranging care for Millie to recover from 8th relapse of
040903 - cancer by treating cancer as a "chronic disease" reported in the
040904 - record on 090409 1520 for telecon with Doctor Johnson. ref SDS 4 4W5I
040906 -  ..
040907 - Patient history of 56 tasks from 090401 to 090409 is reported on
040908 - 090410. ref SDS 6 4W5I
040910 -  ..
040911 - Millie notified medical team on 090412 2241 that IBC was worsening,
040912 - ref SDS 7 9S8Y, and requested consideration of immediate treatment,
040913 - ref SDS 7 9S9V, after 7th relapse of IBC spreading to the lower left
040914 - arm, reported on 090331 2047. ref SDS 2 Q69V  Today, Millie submits
040915 - results of cancer marker on 090413 CA 15-3 271 that correlates to
040916 - progression of cancer again...
040917 -
040918 -    1.  Subject: IBC Spread Lower Left Arm CA 15-3 271 Rises Slightly
040919 -        Date: Wed, 15 Apr 2009 09:57:33 -0700
040927 -         ..
040928 -    2.  On 090412 reported IBC seems to be spreading on lower left arm,
040929 -        [along perimeter of areas treated with radiation and
040930 -        hyperthermia], ref SDS 7 9S8Y, following up Doctor Hsu's letter
040931 -        on 090331 [received 090401 0019] advising that coloration at
040932 -        this location was likely IBC. ref SDS 3 R24X
040934 -         ..
040935 -    3.  There has been further spread of rash [first reported on
040936 -        090331, ref SDS 2 Q69V].  It is still fairly light and occurs
040937 -        in isolated patches; but there are more of these now than a few
040938 -        days ago, i.e., they "filling in" [Millie requested immediate
040939 -        treatment in her letter on 090412 2241, ref SDS 7 9S9V].  This
040940 -        aligns with Doctor Johnson's analysis on 090213 that my cancer
040941 -        has become more aggressive, so that timely treatment becomes a
040942 -        big factor caring for the "chronic disease" scenario.
040943 -        ref SDS 1 GC6N
040944 -
040945 -            [On 090420 2352 Millie's letter to medical team submits
040946 -            agenda for meeting at UCSF on 090423 cites new IBC on lower
040947 -            left arm; and, also, reports a vertical line in the
040948 -            breastbone area of possible IBC or continuing reaction to
040949 -            radiation. ref SDS 12 MS5Q
040951 -             ..
040952 -            [On 090521 2006 Doctor Johnson's letter to Millie without
040953 -            copy to medical team refuses to prescribe treatment and
040954 -            tells Millie she can "choose" any treatment she wants,
040955 -            because no treatment is superior for Millie's patient
040956 -            profile, ref SDS 14 9Q9H; Doctor Johnson warns Millie that
040957 -            she needs treatment by the end of the week, which is in
040958 -            just 12 hours, because her 8th relapse of cancer is
040959 -            progressing rapidly, ref SDS 14 HC8O, and Kaiser tells
040960 -            Millie to call Medicare rather than Kaiser for prescribing
040961 -            her treatment to recover from 8th relapse of cancer.
040962 -            ref SDS 14 9Q9H
040964 -         ..
040965 -    4.  CA 15-3 271 for the lab on Monday, 090413, indicates stable to
040966 -        worsening condition rather than continuing decline, ref SDS 8
040967 -        PQTQ, as I had hoped would occur.
040969 -         ..
040970 -    5.  By copy to Doctor Davidson in Kaiser Radiology confirming
040971 -        discussion with Chris in the CT Department on 090413,
040972 -        ref SDS 9 KX4L, that Doctor Davidson planned to call the folks
040973 -        who prepare reports on the CT test and remind of requirements
040974 -        in Doctor Davidson's letter on [090409 2018] for Kaiser to
040975 -        publish findings from the CT test on 090413 in a single,
040976 -        consolidated report for a well ordered record that facilitates
040977 -        patient care. ref SDS 5 XZ6U
040979 -         ..
040980 -    6.  Further request that Kaiser submit the report on the CT test to
040981 -        the medical team by email so that a judgment can be made on
040982 -        starting treatment this week or next before my trip on 090426,
040983 -        [as requested in Millie's letter to the medical team on 090412
040984 -        2241, ref SDS 7 9S9V].  This or whether treatment can be
040985 -        delayed until I return OA 090508, as set out in the letter to
040986 -        the team on 090412, shown below.
040987 -
040988 -            [On 090415 0911 report Millie drove to Kaiser to get test
040989 -            reports; had problems, ref SDS 10 RY4Y, in afternoon at
040990 -            1511 Arlette read the CT test reports findings of
040991 -            progression of nodules in lungs, which Arlette indicated
040992 -            was likely lung cancer. ref SDS 10 RZ4U
040994 -             ..
040995 -            [On 090415 1424 Millie letter to primary care physician
040996 -            Doctor Johnson advises that report for CT test on 090413
040997 -            was not available for pick up at front desk in afternoon on
040998 -            090415 1300. ref SDS 11 GU7S
041000 -             ..
041001 -            [On 090423 0830 UCSF did not receive CT test report nor lab
041002 -            report from Kaiser. ref SDS 13 IO3I
041004 -         ..
041005 -    7.  I am going to a Wellness Community meeting this morning.  At
041006 -        noon, will stop at Kaiser to get results of the complete blood
041007 -        test results.  Becky in the Triage unit said she will have this
041008 -        available at the front desk of the Oncology Department, with
041009 -        ANC calculated.
041011 -         ..
041012 -    8.  If Doctor Davidson cannot transmit CT test results by email,
041013 -        then, if it has been completed, I would like to get a copy at
041014 -        the front desk of the Oncology Department as well.  I will then
041015 -        type it up and post for review by the medical team, as planned
041016 -        in the letter on 090412 (see below).
041017 -
041018 -            [On 090415 1424 Millie letter to primary care physician
041019 -            Doctor Johnson advises that report for labs at Kaiser on
041020 -            090413 was not available for pick up at front desk in
041021 -            afternoon on 090415 1300. ref SDS 11 GU7V
041023 -             ..
041024 -            [On 090423 0830 UCSF did not receive CT test report nor lab
041025 -            report from Kaiser. ref SDS 13 IO3I
041026 -
041033 -
041034 -
041035 -
041036 -
041037 -
041038 -
041039 -
0411 -