An illustration · invented records
What happened when
Short chronology. Each line links to the record it comes from. “We” is Mom and her daughter unless a line says otherwise. Maintained by the daughter; last updated September 8.
| Date | What happened | Where it is written down |
|---|---|---|
| Aug 12 | Screening mammogram; callback for a right-breast asymmetry | Mentioned in the imaging report; no separate record in our file |
| Aug 19 | Diagnostic mammogram and ultrasound. 1.8 cm mass, BI-RADS 5. Lymph nodes look normal on ultrasound. Biopsy recommended | Imaging report |
| Aug 22 | Core needle biopsy performed at the imaging center | Procedure date in the biopsy report |
| Aug 26 | Biopsy report signed: invasive breast carcinoma, grade 2. Receptor studies ordered, to follow in an addendum | Biopsy report |
| Aug 28 | Results visit with the breast surgeon. Surgery options introduced; referral to medical oncology | Visit summary |
| Sep 2 | Pathology addendum signed: ER positive, PR positive, HER2 negative. (It reached Mom’s portal on Sep 6) | Addendum |
| Sep 3 | First medical oncology visit. Surgery first; treatment after surgery to be decided on final pathology; labs drawn. Mom remembers a “test on the tumor” being mentioned; the summary does not name one | Visit summary · Our notes · Labs |
| Sep 4 | Second opinion requested by phone. Appointment Sep 15, 10:30 am. Records list received | Intake call |
| Sep 5 | Imaging report, biopsy report, and both visit summaries uploaded to the second-opinion office. Mom sends the portal question about the tumor test | Upload record · Portal thread |
| Sep 6 | Addendum appears in Mom’s portal | Noted in the addendum |
| Sep 7 | Second-opinion office confirms four records attached; asks for the addendum. Daughter uploads it the same evening | Receipt confirmation |
| Sep 8 | Oncology nurse names the test (Oncotype DX, 21-gene recurrence score); not ordered, usually after surgery. Call to the second-opinion office: addendum upload seen, not yet attached; callback promised by Sep 10 | Test clarification · Clinic call |
| Sep 8 | Mom sets out what she wants from the visit | What matters to Mom |
| Sep 15 | Second-opinion visit, 10:30 am. Mom and her son | The brief |
Not in this file: any scan of the rest of the body (none was ordered; see our notes), a surgery date (not yet scheduled), and the pathology slides (requested between the two institutions on Sep 4; status unknown to us). “Not in this file” means we have no record of it. It does not mean it did not happen.