PSReport 0602
December 30, 2014
Jorge Frieze, MD
Department of Radiation Oncology
Brookfield Medical Center
30 University Place
Fort Worth, TX 76104
RE: Lawrence Johnson, Jr.
Dear Dr. Frieze:
This is a letter of introduction for the above-named patient. A 14-month-old male with a unilateral sporadic
retinoblastoma of the left eye, who I am referring to you for consideration of external beam radiotherapy.
According to the patient’s mother, she first noted a white reflex in the left eye several months ago. Initially, he was
treated by Linda Sams, MD, his pediatrician, for a conjunctivitis. When he returned for followup, he was noted to
have a white reflex in the left eye. He was then referred to Wills Eye Hospital in Philadelphia, and was seen on
December 22 in consultation.
Mother also noted that her son had been more clumsy – walking into walls and falling more often. When watching
T.V. he must be close up and tilts his head towards the right.
At Wills Eye Hospital he was seen by Dr. R. Sowers. He was found to have a unilateral sporadic retinoblastoma in
the left eye, abutting the optic disc and measuring 5.9 mm. Some calcified and some viable seeds were noted.
Examination of the right eye was normal. The therapeutic options were considered to be external beam radiotherapy
verses enucleation. Dr. Sowers suggested that the patient receive external beam radiotherapy and his parents
concurred.
Thank you for agreeing to participate in the referred patients’ care. If I can provide any addition information, please
feel free to contact me. Please keep me informed of his progress. At the completion of radiotherapy, I will provide
the oncologic followup, and Dr. Sowers will provide the ophthalmologic followup.
Sincerely yours,
Albert J. Eisner, MD
Chief Division of Pediatric Hematology Oncology
AE/ps
Cc: file (johnson.law)
R. Sowers, MD
Linda Sams, MD