CONTACTS 

SUBJECTS
Options; Surgery - Conventional
Laser Treatment
Remove blockage at broncial tube

0505 -    ..
0506 - Summary/Objective
0507 -
050701 - Called about 0600p, UC Med Center on Stockton Blvd, in
050702 - Sacramento.
050703 -
050704 -                      916 734 2011
050705 -
050706 - Could not get through.  Called back and talked to nurse, who said the
050707 - phone is temporarily disconnected, and we should call back in half an
050708 - hour.  Millie called back about 0700, and was told to call back again
050709 - in half an hour.
050710 -
050711 -
050712 -
0508 -
0509 -
0510 - Diane called this evening oa 2206
0511 -
051101 - She said there was a "pre-op" conference this afternoon on Lucille's
051102 - condition.  Diane said Lucille's phone is disconnected because it is
051103 - not good for her to talk while recovering from the several operations.
051104 - Talking makes her cough which causes her to expunge the scabs caused
051105 - by the laser treatment.
051106 -
051107 -        [On 001113 Diane contracted breast cancer.
051108 -
051109 -     This confuses me a bit, in that Diane seemed to indicate that
051110 -     Lucille needs to cough, yet talking is harmful because it causes
051111 -     coughing.
051112 -
051113 -
051114 - Diane asked that we call her for updates on Lucille's condition, and
051115 - gave her number:
051116 -
051117 -                         916 452 4524
051118 -
051119 -
051120 - Diane said Lucille has had 3 procedures and is scheduled for another
051121 - tomorrow.  I understood from Diane that the current treatments are
051122 - intended to remove the material resulting from the initial laser
051123 - treatment, or alternatively to complete the objective of creating a
051124 - breathing passage through the cancer on her bronchial tube.  Diane
051125 - believes the complete treatment will require an 8 - 11 day hospitali-
051126 - zation, rather than 3 - 5 days Lucille initially expected, ref SDS 5
051127 - 0000
051128 -
051129 -
051130 -  ..
051131 - Chemotherapy & Prognosis
051132 -
051133 - Diane indicated Lucille's expectation of driving herself for chemo-
051134 - therapy treatments may be optimistic.  She said Lucille has lost more
051135 - weight and is weak.  I did not get a strong sense about Lucille's
051136 - prognosis.  The discussion about chemotherapy actually sounds posi-
051137 - tive, since it implies a next step.  She indicated chemotherapy is
051138 - intended to shrink the cancer, but not to "cure" Lucille.  Doctors
051139 - have indicated a strong liklihood that cancer has spread to other
051140 - areas.
051141 -
051142 -
051143 -
051144 - Patient Team
051145 -
051146 - Diane asked if I know Dee Johnston, and I indicated our few visits,
051147 - including the annual walks across the bridge.  Diane said "Dee is
051148 - officious and is fouling up a bunch of stuff.",  causing disharmony
051149 - among Lucille's medical team.  Diane feels Lucille's doctors prefer to
051150 - work with her rather than with Dee.  Diane said she is acting as a
051151 - "GP" (general practitioner), to coordinate the work of the various
051152 - specialists involved in treating Lucille.   She feels a GP should
051153 - have been involved all along.
051154 -
051155 -
0512 -

SUBJECTS
Options; Surgery - Conventional
Scope/Diagnosis

0605 - Summary/Objective
0606 -
060601 - Diane said cancer has been found in Lucille's brain.  Upon further
060602 - discusison, she seemed less sure of this finding, so the status is
060603 - unclear.
060604 -
060605 - She indicated this may be a result or otherwise be related to an
060606 - earlier afliction from several years ago, that was treated with
060607 - surgery.
060608 -
060609 -
060610 -
0607 -