CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 090423 Millie met with Tara in the Breast Care Clinic at UCSF for
040902 - examination, which showed recovery from side effects of radiation and
040903 - hyperthermia treatments during February and March 2009. ref SDS 8 QR3M
040904 - This was confirmed in Millie's letter to the medical team later that
040905 - day on 090423. ref SDS 9 ZL6T  Tara also found expanding IBC on the
040906 - lower left arm, ref SDS 8 DW6F, also confirmed in the letter to the
040907 - medical team. ref SDS 9 ZL7P
040909 -  ..
040910 - At that time, on 090423 Tara planned to discuss with Doctor Hsu in the
040911 - UCSF Radition Oncology Department concerns about slow healing of
040912 - radiation side effects in Millie's breastbone area. ref SDS 8 R15K
040913 - Collaboration plans were further confirmed in Millie's letter to the
040914 - medical team on 090423. ref SDS 9 ZL7V
040916 -  ..
040917 - In the afternoon on 090423 1315 Millie met with Doctor Hsu to check on
040918 - recovery from radiation side effects. ref SDS 8 4H5G  Doctor Hsu gave
040919 - Millie a "thumbs up" that she was well enough to take time from
040920 - treatment to go on a 2-week vacation, ref SDS 8 FJ6K, and despite
040921 - confirming diagnosis of IBC relapse on the lower left arm, ref SDS 8
040922 - 5G4G, and despite growing doubts about vertical line of sking infected
040923 - either by IBC or radiation side effects. ref SDS 8 EX4I  The doctor
040924 - recommended against taking a biopsy because the skin was thought to be
040925 - radiated, and surrounding tissue was radiated, and so this would delay
040926 - and prevent normal recovery from a biopsy wound. ref SDS 8 456H
040928 -  ..
040929 - On 090423 2337 Millie's letter to medical team reports Doctor Hsu's
040930 - favorable report that IBC cannot recur in treated areas, because
040931 - nothing can grow in treated areas. ref SDS 9 ZL9V  The letter further
040932 - confirms UCSF plans to treat IBC recurrence on the lower left arm as a
040933 - chronic disease with systemic agents prescribed by Doctor Rugo in the
040934 - Breast Care Clinic, ref SDS 9 ZL4X, and notes the meeting scheduled
040935 - with Doctor Rugo on 090514. ref SDS 9 ZL5Q
040937 -  ..
040938 - Yesterday on 090510 1553, Millie submitted an agenda for the meeting
040939 - on 090514 to start treatment of the 8th relapse. ref SDS 10 QH9J  The
040940 - letter was hurried to fit commitments for attending Mother's Day
040941 - family event.  In the afternoon on 090510 1953, after retrurning home,
040942 - Millie sent a second letter to further explain the agenda for meeting
040943 - on Thursday 090514 at UCSF with Doctor Rugo. ref SDS 11 FJ3G
040945 -  ..
040946 - This morning, called and talked to Amanda about coordinating to
040947 - facilitate the agenda for meeting with Doctor Rugo on Thursday,
040948 - 090514, particularly on requirements for blood tests at Kaiser, as
040949 - discussed in Millie's letter on 090510 1953. ref SDS 11 LJ7X
040951 -  ..
040952 - Amanda requested a copy of Millie's letter to the medical team that
040953 - explains details about getting a lab.  Millie sent the letter to
040954 - Amanda and requested clarification on requirements for a lab.
040955 - ref SDS 12 YN33  After sending the letter to Amanda this afternoon,
040956 - Kaiser notified Millie on 090511 1427 that Doctor Johnson has a
040957 - standing order at Kaiser for Millie to get a monthly blood test,
040958 - ref SDS 13 FJ5L; and, so Millie went to Kaiser for the lab.  She then
040959 - sent a letter notifying the medical team that the blood draw was done
040960 - so that people can be prepared for a productive meeting at UCSF on
040961 - 090514. ref SDS 13 FJ6G
040963 -  ..
040964 - Doctor Rugo sent the following letter...
040965 -
040966 -    1.  Subject:  Labs Standing Order Monthly
040967 -        Date: Mon, 11 May 2009 17:15:43 -0700
040976 -         ..
040977 -    2.  This [letter from Millie on 090511 1427 notifying the medical
040978 -        team that the lab was done at Kaiser today, ref SDS 13 FJ6G]
040979 -        would not be in my area of decision making Millie, it is up to
040980 -        Kaiser and Dr Johnson.
040981 -
040982 -           [On 090511 2313 Millie notifies Doctor Rugo that patient
040983 -           history shows UCSF specifies scope of lab work at Kaiser to
040984 -           support Millie's treatment at UCSF, and this is performed
040985 -           as a component of referral coordination. ref SDS 14 4Q6H
040986 -
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040994 -
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041003 -
0411 -