care plan demo dr laura esserman this work is licensed under a creative commons attribution 3.0...

Care Plan Demo

Care Plan DemoDr Laura EssermanDr Laura Esserman

This work is licensed under a Creative Commons Attribution 3.0 Unported License.© 2007 Laura J Esserman

Info

Patient: Elly DoeDoB: 01/01/1957 (50)

Summary: 2.2cm IDC, Grade II, ER +, PR +, Her-2 2+

Elly Doe01/01/1957

111 Main StSan Francisco, Ca 94111

Phone: 415.555.1212Cell: 415.555.1213

Email: [email protected]

Insurance:Mega Heartless Insurance of AmericaPolicy#: 1111111Phone: 888.666.9999

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SisterMomDr. G. P.Daughter

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Dr. CollinsDr. ShumayDr. Foster

Dr. CollinsDr. ShumayDr. Foster

Events/Tests Care Plan Trials Communicate Treatment

Events/TestsInfo Care Plan Trials Communicate Treatment



Initial Consultation & Mammogram

S Eder: Patient information was collectedand verified. Patient was provided withInformation on breast cancer and possibleTreatments.

Patient was taken to imaging center for Mammogram.

Mammogram shows small mass in left breast At 2 o’clock position.

Recommend patient return for FNA






02/03/2007 NP (S. Eder)

02/21/2007 CNS (D. Hamolsky)

03/07/2007 Results: Cytology

03/16/2007 Dr. (L. Esserman)

04/10/2007 Results: Pathology

02/03/2007 Results: Mammo

04/10/2007 Pending: Risk

04/10/2007 Pending: FISH

Date: Event/Provider:


Mammogram



Mammogram





02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)






Click for larger view


MammogramMammogram



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)







FNA

D. Hamolsky: FNA was performed on mass at 2 o’clock position in left breast.

Ordered Cytology Assessment on FNA sample.

FNA

D. Hamolsky: FNA was performed on mass at 2 o’clock position in left breast.

Ordered Cytology Assessment on FNA sample.



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)







FNAFNA



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)






Definition: FNA

Fine Needle Aspiration

Biopsy procedure that uses a very thin, hollow needle to remove a sample of cells from the abnormal area of the breast. Also called a fine needle biopsy.

Definition

Close


Cytology

Pathologist: Examined Cells from FNA sample on patient. Cells are suspicious but Not definitive for diagnosis.

Recommend further tests.

Cytology

Pathologist: Examined Cells from FNA sample on patient. Cells are suspicious but Not definitive for diagnosis.

Recommend further tests.



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)







Core Biopsy

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.

Core Biopsy

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.



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)







Pathology Results on Core Biopsy Sample

Dr. Smith: Examined Cells from Core Biopsy on patient. Cells clearly show IDC, grade 2.

ER: PositivePR: PositiveHer-2: 2+ (indeterminate)


Dr. Smith: Examined Cells from Core Biopsy on patient. Cells clearly show IDC, grade 2.

ER: PositivePR: PositiveHer-2: 2+ (indeterminate)



02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)






Click to enlarge






02/03/2007 NP (S. Eder)



03/16/2007 Dr. (L. Esserman)






Care PlanEvents/TestsInfo Trials Communicate Treatment

Chemo:noneChemo:none

Hormone:noneHormone:none

Radiation:noneRadiation:none

Biologic:noneBiologic:none

Surgery:noneSurgery:none

Recommended Need more info

Pending Results

4/10/2007 Risk4/10/2007 FISH

4/10/2007 Risk4/10/2007 FISH



ChoicesChoices DecisionsDecisions ScheduleSchedule








Pending Results

4/10/2007 Risk4/10/2007 FISH

4/10/2007 Risk4/10/2007 FISH




noneBCTmast.








Pending Results

4/10/2007 Risk4/10/2007 FISH

4/10/2007 Risk4/10/2007 FISH




noneBCTmast.BCT






Surgery:BCTSurgery:BCT


Pending Results

4/10/2007 Risk4/10/2007 FISH

4/10/2007 Risk4/10/2007 FISH





Option 1:




AprilAprilAprilApril

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JulyJulyJulyJuly

AugustAugustAugustAugust

SeptemberSeptemberSeptemberSeptember

OctoberOctoberOctoberOctober

NovemberNovemberNovemberNovember

DecemberDecemberDecemberDecember

JanuaryJanuaryJanuaryJanuary

FebruaryFebruaryFebruaryFebruary

MarchMarchMarchMarch

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SS CCHH

Forward

Option 2:


MayMayMayMay

JuneJuneJuneJune

JulyJulyJulyJuly









back

Forward

HH SS CC


Option 1:





MayMayMayMay

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back

SS CCHH

Forward

Option 2:


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Forward

HH SS CC

SurgerySurgery


Option 1:





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SS CCHH

Forward

Option 2:


MayMayMayMay

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Forward

HH SS CC

SurgerySurgery ChemotherapyChemotherapy


Option 1:





MayMayMayMay

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back

SS CCHH

Forward

Option 2:


MayMayMayMay

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back

Forward

HH SS CC

SurgerySurgery ChemotherapyChemotherapy

Hormone TherapyHormone Therapy


Option 1: Choose a date for Surgery





MayMayMayMay

JuneJuneJuneJune

JulyJulyJulyJuly









backSurgerySurgery ChemotherapyChemotherapy

Hormone TherapyHormone Therapy Forward

Option 2: Choose a date for Surgery


MayMayMayMay

JuneJuneJuneJune

JulyJulyJulyJuly









backSurgerySurgery ChemotherapyChemotherapy

Hormone TherapyHormone Therapy Forward

TrialsEvents/TestsInfo Care Plan Communicate Treatment



Tumor Bank

Alfred Au

353-9984

After your surgery, a piece of tumor is saved for future research

Breast Symptoms

Claudia West

476-5131

A study to identify problems such as lymphedema, nerve pain and changes in movement and strength that women may experience

Hormonal 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.

CommunicateEvents/TestsInfo Care Plan Trials Treatment



To:UCSF SchedulerDr EssermanDr. MeliskoMom

To:UCSF SchedulerDr EssermanDr. MeliskoMom

Health Blog

4/10/07 From: Dr. E (UCSF)About your option1, start with chemo- gives us info about response, may get you to BCT

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

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.

4/10/07 From: Dr. E (UCSF)About your option1, start with chemo- gives us info about response, may get you to BCT

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

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.

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care plan demo dr laura esserman this work is licensed under a creative commons attribution 3.0...

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