THE WELCH COMPANY
440 Davis Court #1602
San Francisco, CA 94111-2496
415 781 5700
rodwelch@pacbell.net


S U M M A R Y


DIARY: April 10, 2004 04:44 PM Saturday; Rod Welch

Rosalie responds to request for clarification on scheduling.

1...Summary/Objective
2...Meeting with Doctor Johnson Scheduled for 040416 1045
3...Time Limited Cannot Verify Accuracy of Communications
4...Schedule Treatment for Metastatic Cancer Commence on 040420
5...Treatment Scheduled to Commence Immediately Cleared by Doctor Johnson
6...Port Installation Scheduled for End of April
7...Dual Port Not Supported Kaiser Relies on New Medicines Avoid Clogging
8...2nd Opinion Requested Verify Scope of Problem and Treatment Planning
9...Kaiser Offers 4 Choices to Patients for Obtaining 2nd Opinion


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CONTACTS 

SUBJECTS
Meeting with Doctor Johnson in Two Weeks, Rosalie to Schedule

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 11 0000. ref SDS 9 0000.
040502 -
040503 - Rosalie clarifies the date and time of meeting with Doctor Johnson,
040504 - clearing prior confusion. ref SDS 0 YD4R  Rosalie says she has a
040505 - vacation coming up next week, and so does not have time to review and
040506 - provide feedback to verify accuracy of communciations during meetings
040507 - at the hospital with the patient. ref SDS 0 K175
040508 -
040509 -
040510 -
040512 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Meeting with Doctor Johnson Scheduled for 040416 1045
040902 -
040903 - Follow up ref SDS 11 YD4R, ref SDS 9 9M6O.
040904 -
040905 - Received letter, ref DRT 1 0001 dated 040409, from Rosalie responding
040906 - to Millie's letter yesterday, ref DIP 1 0001, asking for feedback on
040907 - the record. ref SDS 11 YC4Q
040909 -  ..
040910 - Rosalie says....
040911 -
040912 -    1.  I want to confirm with you that an appointment was made for Dr
040913 -        Johnson on 4-16 10:45pm.  Dr Johnson is not here on 4-20, and
040914 -        could not see you the same day as treatment.  I gave the
040915 -        appointment clerk several options for alternative days and a
040916 -        misunderstanding occured, appoinments were made for all the
040917 -        days.  It has been rectified, so your appointment is 4-16 at
040918 -        10:45.
040920 -  ..
040921 - Rosalie's letter accomplishes action item cited in Millie's letter
040922 - yesterday on 040409, ref SDS 11 YD4R, clarifies intent from
040923 - conflicting calls received from Kaiser, also, on 040409. ref SDS 11
040924 - 046B
040925 -
040926 -
040927 -
040928 -
0410 -

SUBJECTS
Scheduled Treatment Commence Immediately Cleared by Doctor Johnson C
Schedule Treatment for Metastatic Cancer Commence on 040420 Avastin
Millie Writes to Rosalie Submitting Record of Understandings Asking

0905 -
090601 -  ..
090602 - Time Limited Cannot Verify Accuracy of Communications
090603 - Schedule Treatment for Metastatic Cancer Commence on 040420
090604 - Treatment Scheduled to Commence Immediately Cleared by Doctor Johnson
090605 -
090606 - Follow up ref SDS 11 K175, ref SDS 9 HS63.
090607 -
090608 - Rosalie says in part....
090609 -
090610 -    1.  Please also note, I am leaving on vacation today and time is
090611 -        very short.  I have not looked at any records of our
090612 -        conversations, it is not usual for me to do this as this can
090613 -        become very time consuming for me.  I will assume that if you
090614 -        have questions or clarifications of your treatment that you
090615 -        will ask.
090617 -         ..
090618 -    2.  Thank You. If you have questions next week do not hesitate to
090619 -        call my coordinator Stephanie Agulair 925-295-5372
090621 -  ..
090622 - Rosalie responds to Millie's letter yesterday, ref DIP 1 UQ6G, asking
090623 - for review of the record of the meeting on 040402, ref SDS 8 0001,
090624 - and, when time permits, advise of anything important missed from
090625 - discussions at that time. ref SDS 11 YC4Q
090627 -  ..
090628 - Rosalie's report that there is not enough time to verify accuracy of
090629 - the record conflicts with Kaiser's Healthwise handbook, reviewed on
090630 - 990625, ref SDS 3 3190, that calls for a "ping pong" process to ensure
090631 - accurate understandings on important communications. ref SDS 3 3960
090632 -
090633 -     [On 040415 Millie responds noting common problem that everyone is
090634 -     busy these days, so there is never enough time to verify accuracy
090635 -     of communications. ref SDS 13 566S  Millie commends Rosalie and
090636 -     Kaiser for progress on action items. ref SDS 13 VL6V
090638 -  ..
090639 - Drucker, however, sides with Rosalie, noting people have given up on
090640 - trying to improve communication, reviewed on 931130, ref SDS 2 3851,
090641 - and Sylvia at Park Shadelands made the same point, reported on 990625.
090642 - ref SDS 3 1978  Additionally, Doctor Mioni at Mt Diablo Hospital
090643 - practices medicine similar to Rosalie where there isn't enough time
090644 - for accurate communications. reported on 020708. ref SDS 6 EY9N  On
090645 - 000207 Doctor Racha was supportive of accurate communications with
090646 - patients, ref SDS 4 VM68, and on 000208 the doctor found time for
090647 - submitting feedback reporting on accuracy of the record. ref SDS 5
090648 - 0001
090649 -
090650 -
090651 -
090652 -
090653 -
090654 -
090655 -
0907 -

SUBJECTS
Port Surgery Installation Scheduled by Rosalie
Port Installation Scheduled for End of April
Port Will Provide Partial Releif from Excessive Needle Insertions in

1505 -
150601 -  ..
150602 - Port Installation Scheduled for End of April
150603 - Dual Port Not Supported Kaiser Relies on New Medicines Avoid Clogging
150604 -
150605 - Follow up ref SDS 11 7J96, ref SDS 8 V750.
150606 -
150607 - Rosalie does not address this issue.
150608 -
150609 -     [On 040414 Kaiser scheduled surgery to install the port on 040419,
150610 -     ref SDS 11 194J, a day before treatments are scheduled to begin on
150611 -     040420. ref SDS 11 K175
150612 -
150613 -
150614 -
1507 -

SUBJECTS
2nd Opinion Metastatic Cancer Treatment Chemotherapy New Trial Drug
2nd Opinion Requested Millie Writes Letter to Rosalie Asking Doctor
Millie Talked to Marilyn and Feels Better Now about Getting a 2nd Op

2005 -
200601 -  ..
200602 - 2nd Opinion Requested Verify Scope of Problem and Treatment Planning
200603 - Kaiser Offers 4 Choices to Patients for Obtaining 2nd Opinion
200604 -
200605 - Follow up ref SDS 11 HS3O, ref SDS 7 AW6M.
200606 -
200607 - Rosalie does not address this issue, which was followed up separately
200608 - by Doctor Johnson's secretary Debra. ref SDS 11 7K4G
200609 -
200610 -     [On 040414 Debra called and advised the Tumor Board hearing is
200611 -     scheduled for 040416, ref SDS 12 HS3O, and Millie will have a bone
200612 -     scan performed to support review by the Board. ref SDS 12 XY5K
200613 -
200614 -
200615 -
200616 -
200617 -
200618 -
200619 -
200620 -
2007 -