CONTACTS
SUBJECTS
CA 15-3 66 Drops from 68 Reversing Trend of Past Few Months
0703 -
0703 - ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS 47 0000. ref SDS 44 0000.
070502 -
070503 - CA 15-3 has dropped slightly for the first time in 8 months, rather
070504 - than continue to rise. ref SDS 0 SM6M This is a helpful sign. There
070505 - was discussion about doing another PET scan test. ref SDS 0 7C6W The
070506 - decision was made instead to do another CT scan test rather than a
070507 - PET. ref SDS 0 H75F Prior symptoms of dizziness have been reduced as
070508 - a result of treatment. An xray was taken to evaluate an ongoing stiff
070509 - neck condition that is likely not related to the cancer issue, but
070510 - requires investigation. ref SDS 0 WS47
070511 -
070512 -
070513 -
070514 -
070515 -
070517 - ..
0706 -
0707 -
0708 - Discussion
0709 -
070901 - Recovery Progress CA 15-3 Cancer Marker Drops from 68 to 66
070902 - CA 15-3 Cancer Marker Reverses Trend and Shows Slight Drop
070903 -
070904 - Follow up ref SDS 47 SM6M, ref SDS 44 SM6M.
070905 -
070906 - Blood test reported during the meeting today showed CA 15-3 cancer
070907 - marker dropped from 68 to 66, halting the rise that began on 030220,
070908 - up 30% in a few months, but still seemingly well below a level that
070909 - indicates treatment has failed, as reported on 030220. ref SDS 42 ZL4X
070911 - ..
070912 - 030912......... 66 H............. 030915, ref SDS 0 SM6M
070913 - 030708......... 68 H............. 030710, ref SDS 47 SM6M
070914 - 030503......... 54 H............. 030508, ref SDS 43 SM6M
070915 - 030403......... 45 H............. 030508, ref SDS 43 SM6M
070916 - 030220......... 46 H............. 030220, ref SDS 42 5E6L
070917 - 030106......... 37 H............. 030109, ref SDS 40 SM6M
070918 - 021202......... 41 H?............ 021204, ref SDS 36 SP5G
070919 - 021102......... 36 H?............ 021113, ref SDS 35 Y65I
070920 - 021023......... 33 H?............ 021023, ref SDS 34 SQ5I
070921 - 020930......... 33 H?..29........ 021002, ref SDS 33 SQ5I
070922 - 020917......... 36 H?............ 020924, ref SDS 32 SQ5I
070923 - 020717......... 59 H?............ 020726, ref SDS 31 YN5K
070924 - 020629......... 75 H ............ 020705, ref SDS 29 UX6I
070925 - 020608........ 67 H ............ 020614, ref SDS 25 0001
070926 - 020603........ 108 H ............ 020607, ref SDS 23 X67F
070927 - 020511........ 117 H ............ 020603, ref SDS 22 PJ4J
070928 - 020419......... 81 H ............ 020430, ref SDS 18 7N5H
070929 - 020321......... 85 H ............ 020405, ref SDS 8 6T8K
070930 -
070931 -
070932 -
070934 - ..
0710 -
0711 -
0712 - Analysis
0713 -
071301 - 30% Rise CA 15-3 Cancer Marker May Have Stabilized
071302 -
071303 - Follow up ref SDS 47 GJ5M, ref SDS 44 GJ5M.
071304 -
071305 - The doctor was pleased that the rise in CA 15-3 has stopped for the
071306 - current period, ref SDS 0 SM6M, since if the past trend were to have
071307 - continued CA 15-3 would have reached the level of 80 - 100, and this
071308 - would be suggestive that further treatments were needed, as discussed
071309 - on 030730. ref SDS 47 WS42
071311 - ..
071312 - Discussed CA 15-3 in connection with treatment planning below.
071313 - ref SDS 0 7C6W
071314 -
071315 -
071316 -
071317 -
071318 -
0714 -
SUBJECTS
PET Scan Findings Show Previous Metastatic Lymphadenopathy No Longer
Distant Metastasis New Nonspecific May be Post Treatment Trauma Infla
CT Scan Performed for Comparison with PET Scan to Evaluate New Metast
CT Scan Findings Show Previous Metastatic Lymphadenopathy No Longer A
2 New 1 CM Masses in Area of Prior Surgery for Lymph Nodes CT Scan Fi
Distant Metastasis Not Reported in CT Test on 030508
50% Growth 1 CM Masses Increase to 1.5 CM But Not Identified as Cance
CT Scan Test Ordered Instead of PET Scan Test and Compare with Origin
1610 -
161101 - ..
161102 - CT Scan Shows No Evidence of Carcinoma Activity
161103 -
161104 - Follow up ref SDS 47 LK5L, ref SDS 44 LK5L.
161105 -
161106 - There was no review of prior CT scan tests, because testing was halted
161107 - last month. ref SDS 47 WS3M The last CT test was performed on 030626,
161108 - and reviewed with the doctor at Kaiser on 030710. ref SDS 47 LK5L
161109 - This followed the prior test on 030428, and discussed with the doctor
161110 - on 030508. ref SDS 43 LK5L
161112 - ..
161113 - Decided to schedule another CT test, discussed in relation to overall
161114 - symptoms below. ref SDS 0 7C6W
161115 -
161116 -
161117 -
161118 -
161119 -
1612 -
SUBJECTS
Patient Symptoms Guide Kaiser for Performing Treatment of Cancer Rela
Symptom New Lump Under Arms where Cancer Surgery Performed on 020312
Relapse Likely Due to High Risk Factors in Millie's Case Doctor Payin
Age Not Factor Against Law to Withhold Treatment on Basis of Age
No Clinical Observable Symptoms of Cancer Delays Commencement of Seco
Doctors Do Not Have to Follow Kaiser Guidelines for Medical Practice C
PET Scan Test Requested by Patient to Plan Treatment of Rising Sympt
2309 -
231001 - ..
231002 - Symptoms Stable CA 15-3 Cancer Marker Does Not Require Treatment
231003 - Kaiser Relies on Patient Symptoms to Determine Treatment for Relapse
231004 -
231005 - Follow up ref SDS 47 7C6W, ref SDS 44 7C6W.
231006 -
231007 - Patient requested a PET scan test and such other tests as the doctor
231008 - feels would be helpful for proactive management to prevent distant
231009 - metastasis and recurrence, under the common rule: "better to be safe
231010 - than sorry," and in accordance with planning during the meeting on
231011 - 030606. ref SDS 44 P97J
231013 - ..
231014 - The doctor recalled the meeting on 030710, when he indicated that a
231015 - rise of CA 15-3 to 80 in another patient had triggered an alarm that
231016 - something serious was occurring in the patient. ref SDS 47 WS42 He
231017 - noted today that CA 15-3 has stabilized for the time being, and
231018 - actually shows a slight drop to 66, rather than a rise to over 80 as
231019 - expected from trends over the past 8 months.
231021 - ..
231022 - This result is cause for cautious optimism.
231024 - ..
231025 - The doctor advised that the PET scan performed 9 months ago, and
231026 - reported on 030109, ref SDS 40 LK5L, provides adequate information to
231027 - evaluate conditions, and so he feels an updated PET scan is not needed
231028 - at this time.
231030 - ..
231031 - The doctor advised that Kaiser does not require nor discourage doctors
231032 - from prescribing PET scan tests in order to reduce costs of patient
231033 - care by reducing diagnostics that aid patient care. The doctor seemed
231034 - to say that the PET scan reported on 030109 showed several places of
231035 - interest for continued monitoring, ref SDS 40 L66M, and that this can
231036 - be accomplished better with a CT test, rather than another PET scan
231037 - test at this time.
231039 - ..
231040 - The doctor cited recent stability in patient condition shown by CA
231041 - 15-3 test that fell from 68 to 66, per above, ref SDS 0 GJ5M, as
231042 - indicating a PET scan test is not useful at this time.
231044 - ..
231045 - "Stable" conditions for CA 15-3 were previously reported on 021023,
231046 - 030106 and on 030403; yet, since 020930 there has been continued rise
231047 - from 33 to 66, i.e., a 100% increase. A single occurrence of a slight
231048 - drop in CA 15-3 is better than continued rise, but requires continued
231049 - vigilance to perform close order surveillance, rather than allow
231050 - problems to compound to a point where effectiveness of treatment is
231051 - put at risk.
231053 - ..
231054 - The doctor advised that early detection of some conditions, like
231055 - prostate cancer, are amenable to prevention treatments, but that
231056 - breast cancer is among a class of cancers that cannot be treated for
231057 - prevention. This restates the doctor's explanation on 030710, that
231058 - treatments for recurrence of breast cancer are deferred until clinical
231059 - symptoms are experienced by the patient. ref SDS 47 FZ55
231061 - ..
231062 - As a result, the doctor recommends doing another CT scan test for
231063 - evaluation in two (2) months, per above. ref SDS 0 LK5L
231064 -
231065 -
231066 -
231067 -
231068 -
231069 -
2311 -
SUBJECTS
Dizziness Caused by Blockage in Ear Treatment Prescribed by Doctor Ro
Survivor Patients Dislike Phrase Survivor Feelings in Treatment Recov
Ear Blockage Causing Dizziness Treatment Prescribed by Doctor Robert
Neck Head Back of Neck Stiff Xrays Ordered to Investigate
Xrays Ordered to Investigate Head Back of Neck Stiff
3107 -
310801 - ..
310802 - Dizziness Other Symptoms Abated; Continued Stiffness in Neck
310803 -
310804 - Follow up ref SDS 47 WS47
310805 -
310806 - Patient advised that dizziness has been greatly reduced by treatment
310807 - with "Bi-lateral Ear Washing" performed on 030710, and also ear drop
310808 - medicaition, both prescribed by Doctor Johnson on 030710. ref SDS 47
310809 - LY6K
310811 - ..
310812 - Doctor Johnson again observed that the patient seems very fit and
310813 - healthy, cited previously on 030710. ref SDS 47 FZ4N
310814 -
310815 - [On 060217 dizziness symptoms occurred again following mastectomy
310816 - surgery on 051021, and subsequent recovery from IBC, and return to
310817 - vigorous exercise. ref SDS 49 PT4K
310819 - ..
310820 - [On 060308 similar treatment was not effective relieving dizziness
310821 - symptoms. ref SDS 50 TO9G
310823 - ..
310824 - [On 060428 doctor notified dizziness symptoms continue; decide to
310825 - defer further treatment pending recovery from prior treatment.
310826 - ref SDS 51 PT4K
310828 - ..
310829 - Since there has been persistent, periodic stiffness in the left side
310830 - of the neck area, beginning with the report on 030109, ref SDS 40
310831 - II34, the doctor ordered an xray, and this was performed later in the
310832 - afternoon after visiting the doctor. Results will be reported at the
310833 - next visit in November.
310834 -
310835 -
310836 -
310837 -
310838 -
310839 -
310840 -
310841 -
310842 -
3109 -