From: Navya Krishna newkrishna37@gmail.

com
Subject: Re: Research Paper
Date: April 28, 2019 at 9:15 PM
To: Foster, Elyse Elyse.Foster@ucsf.edu

Dear Dr. Foster:

Thank you so much, I'll definitely look into that.

Sincerely,
Navya Krishna

On Sun, Apr 28, 2019 at 1:14 PM Foster, Elyse <Elyse.Foster@ucsf.edu> wrote:

One thought would be the two journals that are listed.

You might think about looking at the author instructions and submitting it as a letter, which is
more likely to get published.

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ELYSE FOSTER, M.D.,
Professor Emeritus of Clinical Medicine
Department of Medicine
Division of Cardiology 415-353-9156
University of California, San Francisco
415-353-8687 Fax
505 Parnassus Ave., M314A
e-mail: foster@medicine.ucsf.edu
San Francisco, CA 94143-0214 http://cardio.ucsf.edu
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From: Navya Krishna <newkrishna37@gmail.com>

Date: Wednesday, April 24, 2019 at 6:03 AM
To: "Dr. Elyse Foster" <elyse.foster@ucsf.edu>
Subject: Re: Research Paper

Dear Dr. Foster:

I hope you're doing well. I'm still working on my metacognitive analysis, but once I'm done, I'll
incorporate it into my paper. I'm also looking at medical journals where I can publish my paper,
so if you know of any, I'd really appreciate any advice.

Sincerely,
Navya Krishna

On Wed, Apr 3, 2019 at 11:55 AM Navya Krishna <newkrishna37@gmail.com> wrote:

Dr. Foster:
I want data from maternal mortality initiatives, which is why I chose these papers.
I want data from maternal mortality initiatives, which is why I chose these papers.

Sincerely,
Navya Krishna
On Apr 1, 2019, at 8:03 PM, Foster, Elyse <Elyse.Foster@ucsf.edu> wrote:

What were the specific criteria you used to choose these papers?

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This email communication and any attachments may contain confidential and privileged
information for the use of the designated recipients named above. Distribution,
reproduction or any other use of this transmission by any party other than the intended
recipient is prohibited.
====================================================================
====
ELYSE FOSTER, M.D.,
Professor Emeritus of Clinical Medicine
Department of Medicine
Division of Cardiology 415-353-9156
University of California, San Francisco
415-353-8687 Fax
505 Parnassus Ave., M314A
e-mail: foster@medicine.ucsf.edu
San Francisco, CA 94143-0214 http://cardio.ucsf.edu
====================================================================
====

From: Navya Krishna <newkrishna37@gmail.com>

Date: Thursday, March 28, 2019 at 5:58 AM
To: "Dr. Elyse Foster" <elyse.foster@ucsf.edu>
Subject: Re: Research Paper

On Mar 28, 2019, at 8:57 AM, Navya Krishna <newkrishna37@gmail.com> wrote:

Dear Dr. Foster:

I have narrowed the sources down to these five, but I would love any feedback you could
give me. Thank you for your help.

Sincerely,
Navya Krishna

On Mar 27, 2019, at 12:50 AM, Foster, Elyse <Elyse.Foster@ucsf.edu> wrote:

It was difficult for me to access these articles; do you have a bibiography in another
format?
** CONFIDENTIALITY NOTICE**
This email communication and any attachments may contain confidential and
privileged information for the use of the designated recipients named
above. Distribution, reproduction or any other use of this transmission by any party
other than the intended recipient is prohibited.
=================================================================
=======
ELYSE FOSTER, M.D.,
Professor Emeritus of Clinical Medicine
Department of Medicine
Division of Cardiology 415-353-9156
University of California, San Francisco
415-353-8687 Fax
505 Parnassus Ave., M314A
e-mail: foster@medicine.ucsf.edu
San Francisco, CA 94143-0214 http://cardio.ucsf.edu
=================================================================
=======

From: Navya Krishna <newkrishna37@gmail.com>

Date: Thursday, March 14, 2019 at 6:07 AM
To: "Dr. Elyse Foster" <elyse.foster@ucsf.edu>
Subject: Re: Research Paper

Dear Dr. Foster:

I hope you’re well. I am now starting the metacognitive analysis part of my research,
and I am collecting sources for the data. I have some, but I was hoping you could
review them and possibly refer me to some others. Thank you.

Sincerely,
Navya Krishna

Scholarly
Articles: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5001799/pdf/nihms810951.pdf,
https://jhu.pure.elsevier.com/en/publications/pregnancy-related-mortality-in-the-united-states-
2006-2010,
https://linkinghub.elsevier.com/retrieve/pii/S0140673615008387,
https://protect2.fireeye.com/url?k=fa8cf5ce-a6ccc0f0-fa8cd2d3-0cc47ad9c120-
dad4d5d5f81d4bb0&u=https://www.ajog.org/article/S0002-9378(15)00457-3/fulltext,
https://protect2.fireeye.com/url?k=63ccd425-3f8ce11b-63ccf338-0cc47ad9c120-
53e2241334529aac&u=https://protect2.fireeye.com/url?k=f7fec4ea-abbef1d4-f7fee3f7-0cc47ad9c120-
d7961d70562c3605&u=https://www.cmqcc.org/news/publication-pregnancy-related-cardiovascular-deaths-california-
beyond-peripartum-cardiomyopathy, https://www.publichealth.nc.gov/docs/2018-NC-MedicalSocietyLegislativeReport-
101518.pdf, https://protect2.fireeye.com/url?k=086d4488-542d71b6-086d6395-0cc47ad9c120-
1af0a34dc5d0cedd&u=https://protect2.fireeye.com/url?k=83e98536-dfa9b008-83e9a22b-0cc47ad9c120-
fd8b0409ba337726&u=http://healthymaryland.org/wp-content/uploads/2018/05/MMR-Report-
2017__FINAL.pdf, https://protect2.fireeye.com/url?k=22711f3d-7e312a03-22713820-
0cc47ad9c120-ad8936d54fcab1f7&u=https://protect2.fireeye.com/url?k=dcf48ad0-
80b4bfee-dcf4adcd-0cc47ad9c120-
41502a93e7c8ed62&u=http://reviewtoaction.org/sites/default/files/national-portal-
material/Report%20from%20Nine%20MMRCs%20final_0.pdf
material/Report%20from%20Nine%20MMRCs%20final_0.pdf

On Mar 5, 2019, at 1:45 PM, Navya Krishna <newkrishna37@gmail.com> wrote:

Dear Dr. Foster:

Thank you so much. This praise means a lot, especially coming from you. Your
advice is very helpful and these comments will really help me elevate the paper.
Thank you again.

Sincerely,
Navya Krishna

On Mar 5, 2019, at 12:08 PM, Foster, Elyse <Elyse.Foster@ucsf.edu> wrote:

Navya,

This is really quite amazing. As I read it it¹s extraordinary coming from

a student in high school.

The comments are meant to be only suggestions rather than criticism.

I would suggest some reorganization to frame your paper. All of these

elements are in the paper but just need to moved around.

I would start with the Maternal mortality in the US and how it compares to
other countries. Including a table or figure might be helpful.

Then you can address the causes of maternal mortality in broad strokes:
Obstetrical, Cardiovascular, etc and why Cardiovascular is so important.

Then bring in the cardiac physiology of pregnancy - why the heart is

stressed during pregnancy, during labor and delivery and in the post
partum period. You will need to define these terms (perhaps use a
glossary)

Then define who is at greatest risk for cardiovascular mortality during

pregnancy:
1) Those with known pre-existing heart disease (congenital, rheumatic
etc)
2) Those at risk for CV complications without known heart disease
History of Hypertension, Diabetes, smoking, obesity
History of illicit drug use
Pre-existing heart disease (such as some congenital lesions or valve
disease) that was undiagnosed but become symptomatic
during pregnancy
for the first time.
3) Diseases that are unique to pregnancy especially peri-partum
cardiomyoathy

Finally, present solutions

1) What¹s been done in California and other countries
2) What physicians and other providers can do
3) What are systems problems (e.g.. Lack of universal access to health
care) that need to be addressed.
Again it¹s an amazing job!

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This email communication and any attachments may contain confidential and
privileged information for the use of the designated recipients named
above. Distribution, reproduction or any other use of this transmission
by any party other than the intended recipient is prohibited.
===============================================================
=========
ELYSE FOSTER, M.D.,
Professor Emeritus of Clinical Medicine
Department of Medicine
Division of Cardiology 415-353-9156
University of California, San Francisco
415-353-8687 Fax
505 Parnassus Ave., M314A
e-mail: foster@medicine.ucsf.edu
San Francisco, CA 94143-0214 http://cardio.ucsf.edu
===============================================================
=========

On 3/5/19, 5:43 AM, "Navya Krishna" <newkrishna37@gmail.com> wrote:

Dear Dr. Foster:

I hope all is well. I¹m just checking in to see if you have had a chance
to look at the latest draft of my paper that I send you last week. If you
haven¹t been able to, that¹s fine, but I would really appreciate any
feedback you could give me. Thank you for your consideration.

Sincerely,
Navya Krishna

On Feb 25, 2019, at 9:34 PM, Navya Krishna <newkrishna37@gmail.com>

wrote:

Dear Dr. Foster:

I hope you¹re well. Attached is the latest draft of my research paper,
and I would love to know your thoughts on it. Thank you for all of your
help.

Sincerely,
Navya Krishna

<IR Paper draft 2 (3).docx>

<IR Paper draft 2 (3).docx>