CONTACTS 
0203 - Stanford Medical Center                                                                                                                                            O-00000837 0304
020301 - Mr. Michael O'Connor-Vaux                                                                                                                                        O-00000837 0304
020302 - HIMS Frms Coordntr Release of Informtn Team Leader
020304 - Medical Records Department                                                                                                                                       O-00000837 0304

SUBJECTS
5 00801 BJ 041019ce 041019fc                           **Not Found**       04
05 00801 BJ 041019ce 041103fc                          **Not Found**       05
05 00801 BJ 041103ce 041103fc                          **Not Found**       06
05 00801 CF 00001 BK 041103ce                          **Not Found**       07
07 DG 980824g 010126ab 041103fc                        **Not Found**       08
08 02 04 02 CPKG 040517jg 041005ce                     **Not Found**       09
08 02 04 02 CPKG 040517jg 041019ce                     **Not Found**       10
08 02 04 02 CPKG 041005ce 041005fc                     **Not Found**       11
08 02 04 02 CPKG 041005ce 041019fc                     **Not Found**       12
08 02 04 02 CPKG 041019ce 01c                          **Not Found**       13
08 02 04 02 CPKG 041019ce 02p                          **Not Found**       14
08 02 04 02 CPKG 041019ce 06c                          **Not Found**       15
08 02 04 02 CPKG 041019ce 06g                          **Not Found**       16
08 02 04 02 CPKG 041019cm 041019fc                     **Not Found**       17
08 02 04 02 CPKG 041019gh 041019fc                     **Not Found**       18
08 02 04 02 CPKG 041019gh 041030ce                     **Not Found**       19
08 02 04 02 CPKG 041019gh 041103ce                     **Not Found**       20

2019 -
2019 -    ..
2020 - Summary/Objective
2021 -
202101 - Follow up ref SDS 17 0000. ref SDS 15 0000.
202102 -
202103 - Millie sent a letter to Stanford asking about progress mailing the
202104 - report for the consultation on 041019.  Called Medical Records and
202105 - Michael took responsibility for this transaction.  He found the
202106 - document in Stanford's files, still unsigned.  Michael followed up
202107 - with Doctor Guardino.  Sent a letter thanking Michael for excellent
202108 - work, and asked him to let us by email when the signed document has
202109 - been mailed. ref SDS 0 Z26F  Also requested the computer file for the
202110 - 2nd opinion in order to expedite command and control of the work.
202111 - ref SDS 0 V76T
202113 -        ..
202114 -       [On 041203 Michael is investigating how to submit the computer
202115 -       file. ref SDS 18 549J
202117 -        ..
202118 -       [On 041206 Mark explains difficulty contacting Doctor Guardino;
202119 -       and requests help contacting the doctor. ref SDS 19 319O
202121 -        ..
202122 -       [On 041209 received Doctor Guardino's 2nd opinion via US mail;
202123 -       excellent report within industry standards; took a lot of time
202124 -       to convert information into knowledge. ref SDS 21 LO5L
202126 -        ..
202127 -       [On 050819 did not ask Stanford for follow up on the next 2nd
202128 -       opinion, because timely, accurate communication was essential.
202129 -       ref SDS 20 AI8N
202130 -
202131 -
202132 -
202133 -
202135 -  ..
2022 -
2023 -
2024 - Progress
2025 -
202501 - Since Millie's primary care physician reported yesterday, that he has
202502 - not received Doctor Guardino's report from Stanford, Millie sent a
202503 - letter ref DIT 1 0001 asking Denise for help, based on the letter from
202504 - Denise on 041110 offering to facilitate distrubution of the report.
202505 - ref SDS 15 QY6U
202507 -  ..
202508 - Millie's letter says...
202509 -
202510 -    1.  Following up our correspondence on Nov 10, ref SDS 15 HT9J, I
202511 -        met with the primary care physician at Kaiser yesterday on
202512 -        041130, and he has not received the report from Doctor Guardino
202513 -        on her examination at Stanford on 041019. ref SDS 11 BV8N  I
202514 -        haven't received the Doctor's report either. ref DIT 1 0001
202516 -         ..
202517 -    2.  I called Medical records a few weeks ago, as you suggested on
202518 -        041103, ref SDS 13 WL5M, and talked to Barbara in the new
202519 -        patient department.  She said the computer shows that Medical
202520 -        Records has me on the distribution list (thanks for your help
202521 -        on that), and that they had already sent the report, on Doctor
202522 -        Guardino's examination, out for distribution. ref SDS 17 7L4J
202523 -        She said there is no point in contacting Medical Records
202524 -        because the report is out of their hands. ref DIT 1 V56F
202526 -         ..
202527 -    3.  Hopefully, I am not being an "impatient" patient, but is there
202528 -        anything we can to get Doctor Guardino's report for planning
202529 -        next steps? ref DIT 1 F66N
202530 -
202531 -            [...see below called Michael in Medical Records; he is
202532 -            expediting signature and distribution. ref SDS 0 N86H
202534 -             ..
202535 -            [...see below another letter notifies Denise that Michael
202536 -            is taking care of this, and thanking Denise for extra
202537 -            effort. ref SDS 0 1O4M
202538 -
202539 -
202540 -
202541 -
202543 -  ..
2026 -
2027 -
2028 - 1647 Called Medical Records
2029 -
202901 - Talked to Dong...
202902 -
202903 -                          650 725 6255
202905 -  ..
202906 - We reviewed the record on 041124 showing Stanford indicated that
202907 - Doctor Guardino's report had been sent to the doctor for signature and
202908 - distrubution.
202910 -  ..
202911 - Dong said her computer shows that the document should have been sent
202912 - to Doctor Guardino, but she cannot confirm this from the record she
202913 - has available on her computer.
202915 -  ..
202916 - Dong asked me to hang on for a minute while she investigates.
202918 -  ..
202919 - Dong came back on line, and said there is something wrong with the
202920 - record on this transaction.  She transferred the call to her
202921 - supervisor.
202922 -
202924 -  ..
2030 -
2031 -
2032 - 1658
2033 -
203301 - Talked to Michael.
203303 -  ..
203304 - He found the report that Doctor Guardino prepared on the examination
203305 - for Millie on 041019. ref SDS 11 BV8N
203307 -  ..
203308 - Michael said the report is addressed to the primary care physician at
203309 - Kaiser, but it is not yet signed.
203311 -  ..
203312 - Michael also said that he has Millie's address to follow the patient's
203313 - request for a copy of the report.
203315 -  ..
203316 - We discussed at some length whether anything further is needed from
203317 - the patient to authorize distribution to the patient, and to Kaiser,
203318 - per the letter to Stanford earlier, per above, ref SDS 0 RT3N, and
203319 - further in light of the record showing that Millie signed all
203320 - documents requested by Stanford and paid for the report in full on
203321 - 041019. ref SDS 11 BA7H
203323 -  ..
203324 - Michael advised that Stanford has all required authority at this time
203325 - for making distribution to the patient and to Kaiser, in accordance
203326 - with Doctor Guardino's plan for issuing a 2nd opinion on 041019.
203327 - ref SDS 11 BV8N
203328 -
203329 -        [...below, letter from Michael confirms Stanford has authority
203330 -        required to distributed 2nd opinion. ref SDS 0 AA8V
203332 -  ..
203333 - Michael will send the report to Doctor Guardino for signature, and
203334 - then he will make distrubution to Millie and to Doctor Johnson at
203335 - Kaiser, per the record on 041019. ref SDS 11 BV8N
203337 -  ..
203338 - Michael will send a letter confirming these understandings with a copy
203339 - to Doctor Guardino, showing the patient needs the report.
203340 -
203341 -        [...below, Michael's letter to Doctor Guardino transmits the
203342 -        report for signature and requests return of signed document for
203343 -        distribution. ref SDS 0 XR6Y
203344 -
203345 -
203347 -  ..
2034 -
2035 -
2036 - 1620
2037 -
203701 - Millie sent a letter, ref DIT 2 0001 to Denise letting her know that
203702 - Michael is working the problem, and thanking Denise for extra
203703 - effort....
203704 -
203705 -    1.  Rod just talked to Michael in Medical Records.
203706 -
203707 -        To make a long story short, Michael says they have the report,
203708 -        but for some reason have not made distribution.  Guess we "fell
203709 -        through the cracks" again.  Michael is sending the report to
203710 -        Doctor Guardino for signature and distribution, so please
203711 -        ignore my last letter asking for help on this. ref SDS 0 E59S
203713 -         ..
203714 -    2.  Thanks again for being so thoughtful and kind. ref DIT 2 ON6H
203715 -
203716 -
203717 -
203718 -
203720 -  ..
2038 -
2039 -
2040 - 1855
2041 -
204101 - Received ref DRT 1 0001 from Michael saying....
204102 -
204103 -        Per our conversation earlier today, I have sent Dr. Guardion a
204104 -        copy of the report for the 10/19/04 visit to be signed. A copy
204105 -        will go to Dr. Robert Johnson and the patient Mildred B*** as
204106 -        per the patients request.
204108 -         ..
204109 -        No further signatures on Mildreds behalf are necessary to
204110 -        acquire her report.
204112 -  ..
204113 - This aligns with understandings in the call with Michael, per above.
204114 - ref SDS 0 AA59
204116 -  ..
204117 - Michael's letter continues...
204118 -
204119 -        Unfortunately I couldn't find Dr. Guardions e-mail so I must
204120 -        send a letter informing Dr. Guardino of the current situation.
204121 -        I also will send a copy of this e-mail along with the report.
204122 -        I hope this helps. If you happen to have a phone number to Dr.
204123 -        Guardino that I could have that would be great. Please feel
204124 -        free to contact me about any other questions or concerns you
204125 -        may have.
204126 -
204128 -  ..
204129 - Received ref DRT 2 0001 from Michael to Doctor Guardino saying....
204130 -
204131 -    1.  My name is Michael and I am from the Release of Information
204132 -        section of the Medical Records Department here at Stanford.
204134 -         ..
204135 -    2.  I need your help.
204137 -         ..
204138 -    3.  I just received a call from a Rod Welch asking the status of a
204139 -        clinic visit report his ex- wife Mildred B*** had with you on
204140 -        10/19/04.
204142 -         ..
204143 -    4.  It was to be signed and sent to a [Millie's primary care
204144 -        physician] in Walnut Creek as well as a copy to have gone to
204145 -        the patient Mildred B***.  Neither party has since received the
204146 -        report.  Now you may have signed it and we just haven't
204147 -        received it to scan or you may not have.  But as of now I need
204148 -        you to sign it so the patients' physician, Dr.  Johnson, may
204149 -        have a copy to continue care for the patient.
204151 -  ..
204152 - Michael's explanation aligns with the call earlier this afternoon,
204153 - shown above. ref SDS 0 N86H
204155 -  ..
204156 - Michael continues to Doctor Guardino...
204157 -
204158 -    5.  Please sign and send this back to me right away so that I may
204159 -        send a copy to both parties.  I appreciate your help in getting
204160 -        this back to me in a timely manner.
204161 -
204162 -
204164 -  ..
204165 - Submitted ref DIT 3 0001 to Stanford thanking Michale for excellent
204166 - work managing the record, and taking responsibility for getting
204167 - things done.  The letter says...
204168 -
204169 -    1.  Thanks very much for following up to complete distribution on
204170 -        Stanford's 2nd opinion for Millie, ref DIT 3 0001, per your
204171 -        letter below, reflecting our telecon. ref SDS 0 N86H
204173 -         ..
204174 -    2.  Great to see someone out there taking responsibility, and using
204175 -        sound procedures for command and control of the work.  Bet you
204176 -        have a degree in this stuff. ref DIT 3 666J
204178 -         ..
204179 -    3.  Could you please send me an email notifying when the document
204180 -        is put in the mail, or let me know if there is any further
204181 -        snag?
204182 -
204183 -
204184 -
204185 -
2042 -

SUBJECTS
Computer File Request for 2nd Opinion from Stanford MC

2403 -
240401 -         ..
240402 -        Computer File Request for 2nd Opinion from Stanford MC
240403 -
240404 -    4.  We of course need a signed report, which you are providing.  Is
240405 -        there any chance we can get the computer file so we don't have
240406 -        to type everything to manage the record?  UCSF gave us both a
240407 -        signed report, and a computer file, which the New Patient
240408 -        Co-ordinator attached to an email, reported on 041117.
240409 -        ref SDS 16 6L9O
240411 -         ..
240412 -    5.  If you could do that, also, it would be a big time saver, even
240413 -        if the computer file is a bit messed up, as it was from UCSF.
240414 -
240415 -            [On 041203 Michael is investigating how to submit the
240416 -            computer file. ref SDS 18 549J
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2405 -