The following is an example of the persistence of our navigation team. We screened a patient on January 13th and despite the fact that her mammogram was negative the patient was advised to follow-up due to a clinical finding made by the nurse. The nurse noted some swelling in the right axilla. Within a few days of her screening exam our navigator spoke with her to advise her that a clinical breast exam with her primary doctor and a breast sonogram was suggested. The patient told our navigator she was currently not in New York and was leaving the country next week planning to return to New York the end of March. The patient stated she did not currently have a PCP but she would be willing to follow-up in a few months. Our navigator told her she would contact her in February to arrange a sonogram and a breast exam upon her return. The Navigator called the patient on 2/19/15. However, the patient's phone was not accepting calls or messages. The navigator then tried to call the patient's contact person's phone number which was not a working number. A letter was sent to her address in New York urging her to be in touch. An additional certified letter was mailed to the patient on 3/6/15. On 3/27/15 the patient called – she was back in New York but planned to leave the country again and would be back the middle of April. The navigator obtained an email address and was able to maintain contact. An appointment was arranged for 4/22/15 for a breast sonogram and a repeat CBE. The sonogram reveals no malignancy was present. The patient wrote a note to our navigator thanking her for her persistence. She stated "you really settled my mind – A BIG THANKS". Although this case was not closed within 60 days, the patient's needs were served within the patients personal parameters. Often working in cooperation with a patient's needs and limitations can be difficult and time consuming – but sometimes very rewarding as well.