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Care Plan Demo Dr Laura Esserman This work is licensed under a Creative Commons Attribution 3.0 Unported License. © 2007 Laura J Esserman Patient: Elly Doe DoB: 01/01/1957 (50) Info Events/Tests Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Care Plan Elly Doe 01/01/1957 111 Main St San Francisco, Ca 94111 Trials Communicate Share My Plan with: Treatment Invite Sister Mom Dr. G. P. Daughter Phone: 415.555.1212 Cell: 415.555.1213 Email: [email protected] Share with Provider List Insurance: Mega Heartless Insurance of America Policy#: 1111111 Phone: 888.666.9999 Dr. Collins Dr. Shumay Dr. Foster Invite Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Trials Communicate Treatment Date: Event/Provider: Initial Consultation & Mammogram 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) S Eder: Patient information was collected and verified. Patient was provided with Information on breast cancer and possible Treatments. 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) Patient was taken to imaging center for Mammogram. 04/10/2007 04/10/2007 Results: Pathology Pending: Risk Mammogram shows small mass in left breast At 2 o’clock position. 04/10/2007 Pending: FISH Recommend patient return for FNA Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Date: Event/Provider: 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Trials Communicate Treatment Mammogram Mammogram shows small mass in left breast At 2 o’clock position. Recommend patient return for FNA Click for larger view Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Date: Event/Provider: 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Trials Mammogram Communicate Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Date: Event/Provider: 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Trials Communicate Treatment FNA D. Hamolsky: FNA was performed on mass at 2 o’clock position in left breast. Ordered Cytology Assessment on FNA sample. Patient: Elly Doe DoB: 01/01/1957 (50) Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Info Date: Care Plan Trials Communicate FNA Event/Provider: Definition 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) Definition: FNA Fine Needle Aspiration 04/10/2007 Pathology Biopsy Results: procedure that uses a very thin, hollow needle to 04/10/2007 Risk removePending: a sample of cells from the abnormal area of the breast. 04/10/2007 Pending: FISH Also called a fine needle biopsy. Close Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Trials Communicate Treatment Date: Event/Provider: Cytology 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo Pathologist: Examined Cells from FNA sample on patient. Cells are suspicious but Not definitive for diagnosis. 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Recommend further tests. Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Trials Communicate Treatment Date: Event/Provider: Core Biopsy 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk Dr. Esserman: performed core biopsy on Mass at 2 o’clock position in left breast. Requested pathology assessment for Specimen for IDC and DCIS as well as ER/PR. 04/10/2007 Pending: FISH Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Date: Event/Provider: 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Trials Communicate Treatment Pathology Results on Core Biopsy Sample Dr. Smith: Examined Cells from Core Biopsy on patient. Cells clearly show IDC, grade 2. ER: Positive PR: Positive Her-2: 2+ (indeterminate) Click to enlarge Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Date: Event/Provider: 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) 04/10/2007 04/10/2007 Results: Pathology Pending: Risk 04/10/2007 Pending: FISH Trials Communicate Treatment Pathology Results on Core Biopsy Sample Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Trials Communicate Treatment Date: Event/Provider: Initial Consultation & Mammogram 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) S Eder: Patient information was collected and verified. Patient was provided with Information on breast cancer and possible Treatments. 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) Patient was taken to imaging center for Mammogram. 04/10/2007 04/10/2007 Results: Pathology Pending: Risk Mammogram shows small mass in left breast At 2 o’clock position. 04/10/2007 Pending: FISH Recommend patient return for FNA Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Trials Communicate Treatment Date: Event/Provider: Initial Consultation & Mammogram 02/03/2007 02/03/2007 NP (S. Eder) Results: Mammo 02/21/2007 CNS (D. Hamolsky) S Eder: Patient information was collected and verified. Patient was provided with Information on breast cancer and possible Treatments. 03/07/2007 Results: Cytology 03/16/2007 Dr. (L. Esserman) Patient was taken to imaging center for Mammogram. 04/10/2007 04/10/2007 Results: Pathology Pending: Risk Mammogram shows small mass in left breast At 2 o’clock position. 04/10/2007 Pending: FISH Recommend patient return for FNA Patient: Elly Doe DoB: 01/01/1957 (50) Info Choices Events/Tests Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Care Plan Decisions Communicate Schedule Pending Results Surgery:none 4/10/2007 Risk 4/10/2007 FISH Chemo:none Hormone:none Radiation:none Biologic:none Recommended Trials Need more info Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Choices Surgery:none Decisions none BCT mast. Chemo:none Hormone:none Radiation:none Biologic:none Recommended Need more info Trials Communicate Schedule Pending Results 4/10/2007 Risk 4/10/2007 FISH Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Care Plan Choices Surgery:none Decisions none BCT mast. Chemo:none Hormone:none Radiation:none Biologic:none Recommended Need more info Trials Communicate Schedule Pending Results 4/10/2007 Risk 4/10/2007 FISH Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Choices Events/Tests Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Care Plan Decisions Communicate Schedule Pending Results Surgery:BCT 4/10/2007 Risk 4/10/2007 FISH Chemo:none Hormone:none Radiation:none Biologic:none Recommended Trials Need more info Treatment Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Choices Care Plan Trials Decisions H S Communicate Treatment Schedule C Option 1: April May June July August September October November December January February March back Forward H S C Option 2: April May June July August September October November December January February March back Forward Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Choices Care Plan Trials Decisions H S Communicate Treatment Schedule C Option 1: April May June July August September December January February March back Surgery October November Forward H S C Option 2: April May June July August September October November December January February March back Forward Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Choices Care Plan Trials Communicate Decisions H S Treatment Schedule C Option 1: April May June July August September back Surgery October November Chemotherapy December January February March Forward H S C Option 2: April May June July August September October November December January February March back Forward Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Choices Care Plan Trials Communicate Decisions H S Treatment Schedule C Option 1: April May June July August September back Surgery October November Chemotherapy December January February March Forward Hormone Therapy H S C Option 2: April May June July August September October November December January February March back Forward Patient: Elly Doe DoB: 01/01/1957 (50) Info Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Events/Tests Choices Care Plan Trials Communicate Decisions Treatment Schedule Option 1: Choose a date for Surgery April May June July August September back Surgery October November Chemotherapy December January February March Forward Hormone Therapy Option 2: Choose a date for Surgery April May June July August September back Surgery October November Hormone Therapy Chemotherapy December January February March Forward Patient: Elly Doe DoB: 01/01/1957 (50) Info Events/Tests Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Care Plan Trials Communicate Treatment Tumor Bank Alfred Au 353-9984 After your surgery, a piece of tumor is saved for future research Breast Sympto ms Claudia West 476-5131 A study to identify problems such as lymphedema, nerve pain and changes in movement and strength that women may experience Hormon al Therapy for DCIS Juan Lessing 353-7408 This study looks at whether DCIS can be treated with 3 months of hormone blocking medications. Statins John Parr 353-4024 Patients with DCIS or early stage breast cancer planning to undergo mastectomy will be chosen by chance to take fluvastitin Targit Thea Sakata 353-7407 Patients will either take normal radiation therapy or radiation during surgery. Patient: Elly Doe DoB: 01/01/1957 (50) Info Events/Tests Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+ Care Plan Trials Communicate Health Blog Compose message: 4/10/07 From: Dr. E (UCSF) About your option1, start with chemo- gives us info about response, may get you to BCT To: UCSF Scheduler Dr Esserman Dr. Melisko Mom 4/11/07 From: Dr. H (Marin) Not sure you will get to BCT with option 1, you may have more DCIS, maybe surgery should come first Treatment Message: 4/14/07 From: Aunt Ellen (Pittsburgh) I did not have treatment that way 4/22/07 URGENT! From: Dr E (UCSF) Please call me 415-555-1212. New Entry Send