THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: January 14, 2009 04:29 PM Wednesday; Rod Welch

Doctor Stritter respond to Millie's request for 2nd opinion on
treatments and consult to find cancer health care providers.

1...Summary/Objective


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CONTACTS 

SUBJECTS
2nd Opinion Retainer $300 Scope of Work  Rceived Support Medical Tea

1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 50 0000. ref SDS 48 0000.
180502 -
180503 -
180504 -
180506 -  ..
1806 -
1807 -
1808 - Progress
1809 -
180901 - Background on working with Doctor Stritter is reported on 090106.
180902 - ref SDS 48 KI5I
180904 -  ..
180905 - Patient history needed for Doctor Stritter's support was also set out
180906 - on 090106. ref SDS 48 IP6H
180908 -  ..
180909 - On 090106, Millie submitted a letter, ref DIP 1 0001, to Doctor
180910 - Stritter submitting payment, ref SDS 48 S34O, and listing objectives
180911 - for conslutation. ref SDS 48 6H3Q  The next day on 090107, Millie
180912 - received ref DRP 1 0001, from Doctor Stritter saying she was attending
180913 - a professional conference on integrative oncology conference in
180914 - Florida, and would respond to Millie's letter on 090114, ref SDS 50
180915 - PJ3I,
180916 -
180918 -  ..
1810 -
1811 -
1812 - Discussion
1813 -
181301 - The doctor called today, and reported on a conference attended in
181302 - Florida last week.
181304 -  ..
181305 - The doctor explained growing interest in integrative oncology.  The
181306 - conference was well attended.  She seemed to indicate helpful ideas
181307 - were presented for cancer treatment.
181309 -  ..
181310 - Discussed briefly Doctor Stritter's patient advocacy practice set out
181311 - in scope of services reviewed on 081018, ref SDS 28 IS6U, and further
181312 - on 081018, Doctor Stritter's medical practice seemed to complement
181313 - Kaiser planning for Palliative Care Project discussed with Millie's
181314 - primary care physician on 080118. ref SDS 24 KJ40
181337 -  ..
181338 - The doctor requested the following to facilitate 2nd opinion...
181339 -
181340 -            [On 090119 Millie sent a letter to Doctor Stritter linked
181341 -            to this record confirming understandings, and submitting
181342 -            information requested. ref SDS 51 1K5K
181344 -         ..
181345 -    1.  Pathology reports on biopsies...
181346 -
181347 -        a.  Core biopsy left supraclavicular 081107.
181348 -
181349 -            Received on 081119...................... ref SDS 33 5O8G
181351 -             ..
181352 -        b.  FNA biopsy left supraclavicular 081022
181353 -
181354 -            Received on 081023...................... ref SDS 29 4Q9Q
181356 -             ..
181357 -        c.  Surgery left mastectomy 051021
181358 -
181359 -            Received on 051027....................... ref SDS 16 YB5H
181361 -             ..
181362 -        d.  Left breast biopsy 040419.
181363 -
181364 -            Received on 040517....................... ref SDS 9 736K
181366 -         ..
181367 -    2.  CT scan reports 081230, 081107, 080911
181368 -
181369 -            Test reports are listed on
181370 -            090107................................... ref SDS 49 GM3N
181372 -         ..
181373 -        PET/CT report 061227
181374 -
181375 -            Listed on 070102......................... ref SDS 19 XT4M
181377 -  ..
181378 - The doctor charges $150 per hour.
181380 -  ..
181381 - Millie has paid $300, submitted with her letter on 090106. ref SDS 48
181382 - 6G5Y
181384 -  ..
181385 - The doctor indicated she will charge another $300 to complete review
181386 - of the record and submit a written opinion, including any additional
181387 - discusison for assistance understanding patient history.
181389 -  ..
181390 - It may turn out that Millie's case is too complex, stretching over 7
181391 - years, for the doctor to feel comfortable making an adequate review of
181392 - patient history.
181393 -
181394 -     [On 090120 Doctor Stritter confirmed that a 2nd opinion on
181395 -     treatments that can help Millie will cost another $300, and she
181396 -     requested information in a questionnaire to guide review of
181397 -     patient history. ref SDS 52 KO7O
181399 -      ..
181400 -     [On 090121 Millie sent a letter to Stritter Medical Consulting
181401 -     transmitting information requested in the Questionnaire received
181402 -     in the record on 081223. ref SDS 53 C57O
181403 -
181404 -
181405 -
181406 -
181407 -
181408 -
181409 -
1815 -