CONTACTS 

SUBJECTS
Meeting 2nd Opinion at Kaiser Surgery Department Evaluate Surgery to

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
110502 -
110503 -
110504 -
110505 -
110506 -
110508 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - Millie went to Kaiser this morning to get another opinion on surgery
110902 - for a masectomy on the left breast.  This meeting was scheduled by the
110903 - surgeon to follow up the meeting on 050324, ref SDS 12 O85O, when the
110904 - surgeon indicated limited experience performing a masectomy on a
110905 - patient afflicted with the disease of IBC, ref SDS 12 QJ44, including
110906 - performing skin grafts to resolve the dilemma presented by the primary
110907 - care physician who feels there are "pockets of resistance" to
110908 - chemotherapy. ref SDS 12 GK9M
110910 -  ..
110911 - Pam supported the meeting.
110913 -  ..
110914 - Doctor Choi made the examination.
110916 -  ..
110917 - Millie advised that the doctor looked quite young, and indicated 6
110918 - years experience.  There was no discussion of the doctors experience
110919 - treating patients with IBC.
110921 -  ..
110922 - The doctor has training and experience in oncology and surgery.
110924 -  ..
110925 - The doctor complimented the surgeon, who met with Millie on 050324,
110926 - for work in breast surgery, echoing favorable remarks by the primary
110927 - care physician on 050329. ref SDS 13 YV95
110929 -  ..
110930 - The doctor said that surgery is not a good option at this time for
110931 - Millie, and that surgery should not be considered until the IBC
110932 - condition is cleared.  There was evidently a strong statement along
110933 - the lines that performing surgery on the left breast at this time
110934 - would be "criminal."
110935 -
110936 -     [On 050727 follow up examination by surgeon shows biopsy wound
110937 -     fully healed, and IBC has healed sufficiently for surgery after 5
110938 -     treatments with Taxotere and capecitabine. ref SDS 14 TN4Q
110940 -  ..
110941 - There was no report on the doctor's thoughts about criteria for when
110942 - to perform surgery on a patient infected with IBC, as discussed with
110943 - the surgeon on 050324. ref SDS 12 O16N
110944 -
110945 -
110946 -
110947 -
110948 -
110949 -
110950 -
110951 -
110952 -
110953 -
110954 -
1110 -