Ms. F is a 33-year-old Latina woman from Peru with a history of calcifications in the breast.
She was a new patient who came for high blood pressure and as part of our new patient outreach received an initial screening. Each new patient is informed at the clinic of the breast care program and encouraged to register for an appointment for CBE, preventive care, and to review risk factors for breast cancer. Near the end of January, she had a CBE screening and our patient Navigator was able to access her previous medical records which revealed a previous ultrasound with findings classified as “probably benign” with a recommendation of follow up ultrasound and biopsy. Once the Patient Navigator was aware of this history, at the screening CBE visit, a follow-up an ultrasound was ordered, and it came back “suspicious” with recommendation for biopsy.
She was referred to our partner at Breast cancer connections, who arranged for the biopsy. The ultrasound was done at the end of January and the biopsy completed early March).
Although her results were negative, she needed a six month follow-up appointment and ultrasound.
When the Breast Care Clinic Coordinator contacted her about her follow-up appointment, Ms. F told her that she and her roommates had decided to move to a small town in Nevada outside of Las Vegas due to a $600 hike in their annual rent. The Breast Care Clinic Coordinator maintained contacted with her and called the patient 3 times over a few weeks, emphasizing the importance to follow up and to ensure that she made an appointment at a local public hospital.
The Breast Clinic Coordinator also assisted with the records release to her new doctor by assisting with completion of the transfer of records form to her new doctor and continues to follow up with the patient to ensure that the she kept the appointment.
The patient was seen by the new physician in Nevada. We are proud of the excellent patient navigation services provided by our dedicated staff to ensure that our patients are able to navigate the healthcare system no matter where they reside.