CONTACTS
SUBJECTS
Birthday Everywhere-Elegance-Personalized-Handbag Purse Purchased fr
0703 -
0703 - ..
0704 - Summary/Objective
0705 -
070501 - Follow up ref SDS C1 0000. ref SDS C0 0000.
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070505 -
070507 - ..
0706 -
0707 -
0708 - Progress
0709 -
070901 - Kathy seems to be suffering advancing symptoms from stage 4,
070902 - peritoneal cancer, which was diagnosed by Doctor Skilling in a meeting
070903 - at Kaiser on 210519 1030. ref SDS B8 JN42
070904 -
070905 - She cannot eat
070906 - Weight loss
070907 - Stomach bloating
070908 - Nausea
070910 - ..
070911 - Kathy sent letter to Kaiser saying...
070912 -
070914 - Sent:5/24/2021 9:29 AM PDT
070915 - To:BRONDA M BOMBOLA-MCCARTER RN
070916 - Subject:Cancer Symptoms Advancing
070918 - ..
070919 - Have advancing discomfort and nausea. Stomach bloating
070920 - increasing. Have tried calcium carbonate and Simethicone, but
070921 - they do no relieve pain. Coughing and sneezing. Concerned this
070922 - is cancer advancing. I am scheduled to get 1st treatment on
070923 - Friday May 28, after video meeting with Doctor Hui on
070924 - Thursday. Please let me know if I should come to the hospital
070925 - earlier for immediate treatment.
070926 -
070928 - ..
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0712 - 1037
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071301 - Kaiser responded....
071302 -
071303 - BRONDA M BOMBOLA-MCCARTER RN
071305 - ..
071306 - Received:05/24/2021
071308 - Message body:
071309 - Hi Kathy,
071311 - ..
071312 - We have been unable to find time on our schedule for Friday,
071313 - 5/28, so your 1st chemotherapy treatment is not yet scheduled.
071314 - If your symptoms are severe, please go to the Emergency
071315 - Department for immediate assessment.
071316 -
071318 - ..
071319 - There is concern that peritoneal cancer occurs in less than 7 people
071320 - out of 1,000,000, reported in research on 210519 1030. ref SDS B8 RL60
071321 - This suggests there is minimal experience evaluating symptoms.
071322 -
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071325 - ..
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0715 -
0716 - 1119
0717 -
071701 - Kathy sent another letter to...
071702 -
071703 - Sent:05/24/2021 at 1124
071704 - Subject: Stage 4 Peritoneal Cancer Symptoms Advancing
071706 - To JEFFREY STEVEN SKILLING MD (Not viewed)
071708 - ..
071709 - Thank you for seeing me on May 19, and arranging for
071710 - chemotherapy to recover from subject cancer. This morning I
071711 - reported advancing symptoms of stomach bloating - I look
071712 - pregnant, unable to eat - have lost 5 pounds since our meeting,
071713 - nausea, pain, cough and sneezing. Requested immediate
071714 - treatment. Bronda responded Kaiser cannot schedule me for
071715 - treatment. She said to go to the ER for severe symptoms.
071716 - Research indicates fewer than 7 people in 1,000,000 get
071717 - peritoneal cancer, so few people have experience with this
071718 - disease. I don't want to bother ER unnecessarily. Could you
071719 - please advise how I decide to go to ER - e.g. stomach increases
071720 - another inch, falling down, bleeding nose, pain level 2,
071721 - temperature 100, what?? Can Kaiser do a CT to see if cancer
071722 - has doubled? Very sorry to bother you with this.
071724 - ..
071725 - Thanks again for taking good care of me.
071727 - ..
071728 - Kathy
071729 -
071730 -
071732 - ..
0718 -
0719 -
0720 - 1129
0721 -
072101 - Kathy received response saying...
072102 -
072103 - JEFFREY STEVEN SKILLING MD
072105 - ..
072106 - Received:05/24/2021 at 1314
072109 - ..
072110 - Hi. Sounds like the fluid within your abdomen has
072111 - significantly increased (similair to the fluid around your
072112 - lung). If getting to uncomfortable, agree with recommendations
072113 - for going to the ER. I've sent a referral to interventional
072114 - radiology to tap the fluid, but not sure in what time frame
072115 - that will happen.
072117 - ..
072118 - JEFFREY STEVEN SKILLING MD
072119 -
072120 -
072122 - ..
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0724 - 1158
0725 -
072501 - Kathy received another letter saying...
072502 -
072503 - JEFFREY STEVEN SKILLING MD
072505 - ..
072506 - Received:05/24/2021 at 1317
072508 - Message body:
072509 - Hi. Interventional radiology needs a blood test done before
072510 - the procedure. I've entered the order into the system. Please
072511 - go in to your local Kaiser lab to have drawn.
072513 - ..
072514 - JEFFREY STEVEN SKILLING MD
072515 -
072516 -
072518 - ..
0726 -
0727 -
0728 - 1413
0729 -
072901 - Kathy measured her stomach................ 35"
072902 -
072903 -
072905 - ..
0730 -
0731 -
0732 - 1919
0733 -
073301 - Kathy measured her stomach................ 36"
073302 -
073303 - Kathy said she does not feel like eating. Made her 3 Triscuts with
073304 - brie cheese. She ate part of 1.
073306 - ..
073307 - Made asparagus, cauliflower, tuna cottage cheese dish. Kathy could
073308 - not eat anything. She had few bites ice cream and banana.
073310 - ..
073311 - Reviewed Kaiser website and found Doctor Stilling ordered a lab to
073312 - evaluate cancer marker CA 125 again. Doctor Hui also ordered CA 125
073313 - and some electrolyte labs.
073315 - ..
073316 - Kathy wants to get this blood draw tomorrow.
073317 -
073318 -
073320 - ..
0734 -
0735 -
0736 - 2132
0737 -
073701 - Kathy measured her stomach................ 35"
073702 -
073703 - Seems stable afterall. Could have been mis-measured at 1919.
073705 - ..
073706 - Kathy says she is not in distress. She has been coughing earlier in
073707 - the evening, but this has stopped the past few hours.
073709 - ..
073710 - Decided not to go into ER this evening.
073711 -
073713 - ..
073714 - Would CT test compared with CT on 210501 2034, ref SDS A8 FA8G, and
073715 - cited in Doctor Skillings progress notes on 210519 1030. ref SDS B8
073716 - Z25I, give confidence that waiting for Kaiser scheduling issues to
073717 - resolve will not present undue risk, or alternatively that Kathy needs
073718 - immediate treatment to prevent her cancer from cascading out of
073719 - control, beyond ability of any treatment to be effective.
073720 -
073721 -
073723 - ..
0738 -
0739 -
0740 - 0007
0741 -
074101 - Kathy sent another letter to the team saying...
074102 -
074103 - Date............................... 210525 0012
074105 - TO: Skilling, Jeffrey Steven (M.D.)
074106 - Obstetrics & Gynecology Oncology
074107 - Skilling, Jeffrey Steven (M.D.) Obstetrics & Gynecology Oncology
074108 - SUBJECT*: Stage 4 Peritoneal Cancer Symptoms Advancing
074110 - ..
074111 - Glad the team is moving forward with more labs, including CA
074112 - 125 ordered by you and Doctor Hui, and that you have ordered
074113 - fluid in my abdomen to be tapped. Have not received notice of
074114 - when this will occur; maybe they are waiting for the blood
074115 - draw. I will get this at Kaiser in Walnut Creek in the
074116 - morning, as I am staying with a friend in Concord. My stomach
074117 - measured 35" at 1413, then 36" at 1919, but receded to 35" at
074118 - 2132. Have been pain level 0 most of the day. Have been
074119 - unable to eat anything, except a few bites of toast this
074120 - morning. Would like CT in ER tomorrow. If it shows cancer
074121 - advancing compared to CT on 210501, then should get immediate
074122 - treatment with taxol and carboplatin, per protocol. I'm
074123 - concerned that if treatment is too late, we will lose control.
074124 - I don't have communication with Doctor Hui, so please
074125 - collaborate with her and let me know what the team thinks.
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