CONTACTS 

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

1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 56 0000. ref SDS 55 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
180903 -
180904 -        1.  Millie met Doctor Stritter during
180905 -            seminar presentation at Wellness
180906 -            Community cancer support
180907 -            group.............................. 081018, ref SDS 28 PQ6X
180909 -             ..
180910 -        2.  Doctor Stritter asked for copies of
180911 -            correspondence with the medical team
180912 -            on Millie's response to sunitinib
180913 -            treatment for cancer that supports
180914 -            Doctor Stritter's research on
180915 -            advanced cancer
180916 -            treatments......................... 081018, ref SDS 28 1Y4G
180918 -             ..
180919 -        3.  Doctor Stritter was helpful finding
180920 -            referral for resolving payment issues
180921 -            with Kaiser for Millie's treatment
180922 -            on referral to UCSF................ 081114, ref SDS 32 638G
180924 -             ..
180925 -        4.  Millie was confused, worried, and
180926 -            emotional about plans to maintain
180927 -            strong recovery from cancer and reduce
180928 -            side effects by adjusting treatments
180929 -            to tolerable levels on 081226,
180930 -            presented during meeting at
180931 -            UCSF............................... 081218, ref SDS 40 QW48
180932 -            as set out in the letter confirming
180933 -            understandings to the medical
180934 -            team............................... 081218, ref SDS 41 GF4V
180935 -            Millie submitted a copy to Doctor
180936 -            Stritter of the letter on 081218 to
180937 -            the medical team reporting results of
180938 -            examination at
180939 -            UCSF............................... 081218. ref SDS 41 4P7F
180941 -             ..
180942 -        5.  Millie sent a copy to Doctor Stritter
180943 -            of another letter to the primary care
180944 -            physician at Kaiser on 081219, requesting
180945 -            assistance managing the work plan at
180946 -            UCSF for Millie's treatment with
180947 -            sunitinib.......................... 081219, ref SDS 43 KY8Q
180948 -            noting that case management is
180949 -            difficult due to limited time and emotional
180950 -            feelings that prevent thorough analysis
180951 -            during meetings with
180952 -            doctors............................ 081219, ref SDS 43 SU8X
180954 -             ..
180955 -        6.  Millie's letter to Doctor Stritter
180956 -            requested second opinion on Millie's
180957 -            treatment with sunitinib staying at
180958 -            full strength and reducing or ending
180959 -            treatment with cyclophosphamide
180960 -            to reduce side
180961 -            effects............................ 081220, ref SDS 44 I69Q
180963 -             ..
180964 -        7.  Millie received a letter from Doctor
180965 -            Stritter with terms and conditions for
180966 -            2nd opinion, and transmitting a pdf file
180967 -            requesting patient history in a
180968 -            questionnaire...................... 081223, ref SDS 45 8N9M
180970 -             ..
180971 -        8.  Questionnaire could not be filled out
180972 -            in pdf file because Adobe Acrobat
180973 -            could not be configured; information
180974 -            requested in the form was
180975 -            entered in the
180976 -            record............................. 081223, ref SDS 45 DQ6J
180978 -             ..
180979 -        9.  Patient history for Doctor Stritter's
180980 -            2nd opinion support was developed
180981 -            in the SDS record.................. 090106, ref SDS 48 IP6H
180983 -             ..
180984 -       10.  Millie sent letter to Doctor Stritter
180985 -            with payment of $300 for 2nd
180986 -            opinion services................... 090106, ref SDS 48 S34O
180987 -            and listing objectives for
180988 -            conslutation....................... 090106, ref SDS 48 6H3Q
180990 -             ..
180991 -       11.  Doctor Stritter notified Millie that
180992 -            she was attending a professional conference
180993 -            on integrative oncology conference in
180994 -            Florida, and would respond to
180995 -            Millie's letter on
180996 -            090114............................. 090107, ref SDS 50 PJ3I ,
180998 -             ..
180999 -       12.  Doctor Stritter called and requested
181000 -            support reviewing Millie's complex
181001 -            patient history for 2nd opinion
181002 -            work............................... 090114, ref SDS 51 U271
181004 -             ..
181005 -       13.  Millie sent a letter to Doctor Stritter,
181006 -            ref SDS 54 3C5O, following up the letter
181007 -            on 090106 setting out scope of assignment,
181008 -            ref SDS 48 S34O, confirming understandings
181009 -            from the call on 090114, and submitting
181010 -            additional information on pathology
181011 -            reports and CT tests requested
181012 -            by the doctor...................... 090119, ref SDS 51 U271
181014 -             ..
181015 -       14.  Called Doctor Stritter about progress
181016 -            getting list of treatments that can
181017 -            help Millie; the doctor asked for
181018 -            information in a questionaire she
181019 -            submitted with a letter to Millie
181020 -            on 091223.......................... 090120, ref SDS 45 DQ6J
181022 -             ..
181023 -       15.  Millie sent a letter to Stritter
181024 -            Medical Consulting transmitting
181025 -            information requested in the
181026 -            Questionnaire received in
181027 -            the record on
181028 -            081223............................. 090121, ref SDS 56 C57O
181030 -             ..
181031 -       16.  Regrettably, time has become a factor
181032 -            because the cancer marker jumped to
181033 -            CA 15-3 303 for the lab on 090116.
181034 -            ref SDS 52 PQTQ; Millie needs
181035 -            input as soon as
181036 -            possible........................... 090121, ref SDS 56 SC5T
181038 -             ..
181039 -       17.  Dislocated shoulder from fall treatment
181040 -            in Emergency Department on 090122, and
181041 -            notice that UCSF ended Millie's
181042 -            treatment with sunitinib due to 6th
181043 -            relapse of IBC, and rising side
181044 -            effects; copy of letter to
181045 -            medical team sent to Doctor
181046 -            Stritter........................... 090123, ref SDS 58 KR4P
181048 -  ..
181049 - Millie sent a letter to Doctor Stritter following up her letter to the
181050 - doctor on 090121, ref SDS 56 C57O, and saying today...
181051 -
181052 -    1.  Subject: Treatment Options 2nd Opinion Sunitinib Study Ended 090122
181053 -        Date: Mon, 26 Jan 2009 11:57:35 -0800
181060 -         ..
181061 -    3.  On 090122 Doctor Rugo ended my treatment with the Sunitinib
181062 -        study due to rising symptoms of relapse [cited in the record of
181063 -        090123. ref SDS 59 TR7L
181065 -         ..
181066 -    4.  I'm feeling better with reduced side effects; however, rise of
181067 -        cancer marker CA 15-3 303, and physical symptoms of IBC
181068 -        spreading on my chest present urgency to starting follow on
181069 -        treatment, noted by my primary care physician at Kaiser in a
181070 -        call this past Friday on 090123. ref SDS 60 8K6K
181072 -         ..
181073 -    5.  Please note my treatment history is listed in the record on
181074 -        090106. ref SDS 48 K87F
181076 -         ..
181077 -    6.  I'm meeting with Doctor Rugo at UCSF on Thursday.  Your input
181078 -        to guide discussions at UCSF, and for independent consideration
181079 -        of treatment options would be very helpful.
181080 -
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1811 -