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: January 29, 2007 11:03 AM Monday; Rod Welch

Millie letter asks Jackie for time of meeting at UCSF on Wednesday.

1...Summary/Objective
2...Treatment Request Time for Meeting on Wednesday at UCSF
3...Time Meeting Doctor Rugo and Treatment at UCSF on Wednesday
4...Treatment IBC Delayed to Friday After CT Test on Thursday
5...Schedule Treatment Changed from Wednesday to Friday After CT Test
6...Coordinate Schedule Meeting at UCSF and Kaiser on 070202
7...Treatment at UCSF on 070202 Conflicts with Meeting Doctor at 1440
8...Kaiser Authorization Problems Delayed Treatment 2 Weeks
9...Primary Care Physician Notified Schedule Conflict Meeting on 070202
10...Delay CT Test Creates Conflict Treatment and Meeting on 070202
11...070201 2000 CT Test Scheduled Baseline Clinical Study UCSF
12...CT Test Scheduled 070201 2000 Treatment Status Pulmonary Embolism
13...Coagulation Treatment Clinic Notified Change in Patient Medications


..............
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CONTACTS 

SUBJECTS
Time Requested for Meeting Doctor Rugo on 070131 at UCSF Start Treat

2903 -
2903 -    ..
2904 - Summary/Objective
2905 -
290501 - Follow up ref SDS 27 0000. ref SDS 26 0000.
290502 -
290503 - Millie asked UCSF for the time of the meeting on Wednesday, 070131,
290504 - ref SDS 0 YF8U  She called Kaiser for the date and time of the CT test
290505 - ordered by Doctor Rugo to evaluate effectiveness of treatment.  Kaiser
290506 - advised that the CT test is scheduled for 070201 2000.  Millie
290507 - reported this to UCSF. ref SDS 0 Z24H  UCSF notified Millie that
290508 - treatment cannot start until afer the CT test, and so proposed
290509 - delaying treatment from Wednesday until Friday on 070202. ref SDS 0
290510 - OZ4N  Millie notified UCSF and Kaiser that Millie already has a
290511 - meeting scheduled at Kaiser in Walnut Creek at 1420.  She asked Kaiser
290512 - to consider advancing the CT test in accordance with past practice, so
290513 - that treatment can be given without disrupting the original schedule
290514 - on 070131. ref SDS 0 OT9P  If the test date cannot be advanced by
290515 - Kaiser, then Millie suggests meeting with the doctor at Kaiser in
290516 - Walnut Creek on Friday as soon as she returns from treatment in San
290517 - Francisco, possibly about 1600 - 1700. ref SDS 0 OT5S  Millie also
290518 - notified the primary care physician of these scheduling conflicts, and
290519 - made the same suggestion. ref SDS 0 RQ6X  Millie sent a copy of her
290520 - letter to UCSF this morning, to Gloria at Kaiser's Coagulation
290521 - Treatmetn Clinic in Martinez, to let her know that treatment with
290522 - Cetuximab Carboplatin was delayed from 070119 to 070131. ref SDS 0
290523 - CS4X
290525 -                    ..
290526 -                   [On 070130 Jackie notifies Millie that Doctor Rugo
290527 -                   can meet with Millie on 070131 1300, and treatment
290528 -                   can be given on 070202 at 0800, so that Millie can
290529 -                   meet with primary care physician at Kaiser in Walnut
290530 -                   Creek later on 070202 at 1420. ref SDS 30 DH9N
290532 -                    ..
290533 -                   [On 070130 Millie notified Kaiser that UCSF changed
290534 -                   the schedule to avoid conflict, so that Millie can
290535 -                   meet with the primary care physician as regularly
290536 -                   scheduled on Friday, 070202 1420. ref SDS 30 LQ6K
290537 -
290538 -
290539 -
290540 -
290541 -
290543 -  ..
2906 -
2907 -
2908 - Progress
2909 -
290901 - Treatment Request Time for Meeting on Wednesday at UCSF
290902 - Time Meeting Doctor Rugo and Treatment at UCSF on Wednesday
290903 -
290904 - Follow up ref SDS 27 YF8U, ref SDS 26 YF8U.
290905 -
290906 - Millie has not been notified by UCSF nor by Kaiser about the time of
290907 - the meeting with Doctor Rugo, which was scheduled by Jackie in a call
290908 - on 070125. ref SDS 27 YF8U
290910 -  ..
290911 - Millie submitted ref DIT 1 0001 to Jackie at UCSF with copy to
290912 - Arlette at Kaiser, and saying...
290913 -
290914 -    1.  I am back from a short vacation [reported 070124, ref SDS 26
290915 -        KX9H], and was pleased to learn that authorization issues are
290916 -        resolved [reported 070124, ref SDS 26 6S6L].  Thanks to you
290917 -        [reported 070125, ref SDS 27 4Y5I, and Arlette at Kaiser for
290918 -        expediting the process [reported 070124, ref SDS 26 UE4O].
290919 -        ref DIT 1 0001
290921 -         ..
290922 -    2.  I understand Doctor Rugo has scheduled to meet on Wednesday,
290923 -        [reported 070125, ref SDS 27 YF8U], and after the meeting I
290924 -        will have treatment, as prescribed by Doctor Johnson during the
290925 -        meeting on 070105. ref DIT 1 VN6H
290926 -
290927 -                   [On 070130 Jackie notifies Millie that Doctor Rugo
290928 -                   can meet with Millie on 070131 1300, and treatment
290929 -                   can be given on 070202 at 0800, so that Millie can
290930 -                   meet with primary care physician at Kaiser in Walnut
290931 -                   Creek later on 070202 at 1420. ref SDS 30 DH9N
290933 -         ..
290934 -    3.  Please let me know the time for the meeting on Wednesday?  1100
290935 -        is a good time for me that allows for driving during off peak
290936 -        traffic, both going and returning from the City. ref DIT 1 VN6N
290938 -  ..
290939 - This reflects past practice meeting at 1100 on 070119. ref SDS 23 0001
290941 -  ..
290942 - Millie's letter this morning to UCSF continues below, discussing CT
290943 - test delay. ref SDS 0 Z24H
290944 -
290945 -
290946 -
290947 -
290948 -
2910 -

SUBJECTS
Meeting UCSF Doctor Rugo Delayed 2 Days from 070131 to 070202 After

4503 -
4504 - 1622
450501 -  ..
450502 - Treatment IBC Delayed to Friday After CT Test on Thursday
450503 - Schedule Treatment Changed from Wednesday to Friday After CT Test
450504 -
450505 - Millie received ref DRT 1 0001 from Jackie responding to her letter
450506 - earlier today, per above. ref SDS 0 YF8U
450508 -  ..
450509 - Jackie says for UCSF to Millie...
450510 -
450511 -           1.  I am glad that you were able to get a CT scheduled at
450512 -               Kaiser.  Unfortuately, we can not start treatment until
450513 -               after the scan is done.  Luckily, I believe we may not
450514 -               have to wait for the results (but I will have to confirm
450515 -               with Dr.  Rugo).  If scans are done on Thursday, we will
450516 -               have to start on Friday.
450518 -                ..
450519 -           2.  I will contact you tomorrow regarding appointment times.
450520 -               Please let me know if you have any questions.
450521 -
450522 -                   [On 070130 Jackie notifies Millie that Doctor Rugo
450523 -                   can meet with Millie on 070131 1300, and treatment
450524 -                   can be given on 070202 at 0800, so that Millie can
450525 -                   meet with primary care physician at Kaiser in Walnut
450526 -                   Creek later on 070202 at 1420. ref SDS 30 DH9N
450527 -
450528 -
450529 -
450530 -
450531 -
450532 -
4506 -

SUBJECTS
Schedule Conflict Coordinate Meeting Treatment UCSF and Meeting Kais

7303 -
7304 - 1647
730501 -  ..
730502 - Coordinate Schedule Meeting at UCSF and Kaiser on 070202
730503 - Treatment at UCSF on 070202 Conflicts with Meeting Doctor at 1440
730504 -
730505 - Millie submitted ref DIT 2 0001 responding to Jackie with a copy to
730506 - Arlette, and to Michelle, because Arlette is off work on Mondays.
730508 -  ..
730509 - Millie said to Jackie at UCSF...
730510 -
730511 -           1.  Thanks for your letter this afternoon, indicating that
730512 -               Kaiser's schedule for the CT test on 070201, reported in
730513 -               my letter this morning will require delaying treatment
730514 -               until the following day on 070202. ref DIT 2 0001
730516 -                ..
730517 -           2.  The test scheduled for 070202 2000 and then meeting
730518 -               Doctor Rugo the next day on Friday is good for me, since
730519 -               this aligns with my work schedule, i.e., I have Friday
730520 -               off. ref DIT 2 PM6F
730521 -
730522 -                   [On 070130 UCSF scheduled Millie for meeting with
730523 -                   Doctor Rugo the same day, 070130, and coordinating
730524 -                   with Kaiser to change CT test to 070131, so that
730525 -                   Millie can be treated at UCSF on 070201. ref SDS 30
730526 -                   JM4J
730528 -                ..
730529 -           3.  My primary care physician, ************** has scheduled
730530 -               to meet with me on Friday at 1440, to follow up
730531 -               examination on 070105. ref DIT 2 PM6L
730532 -
730533 -                   [On 070130 UCSF revised schedule to avoid conflict
730534 -                   with schedule for Millie to meet with primary care
730535 -                   physician on 070202. ref SDS 30 LQ6K
730537 -                ..
730538 -           4.  Treatment on Friday at UCSF would have to be OA 1100, in
730539 -               order to get back to Walnut Creek by OA 1440.
730540 -               Typically, a meeting scheduled will be 20 minutes to an
730541 -               hour or so late.  I would like to keep the meeting with
730542 -               [my primary care physician at Kaiser in Walnut Creek],
730543 -               and simply arrive from San Francisco after treatment,
730544 -               and see [the doctor] when he has time in the afternoon.
730545 -               ref DIT 2 PM6Q
730547 -                ..
730548 -           5.  Kaiser has demonstrated ability to meet customer
730549 -               requirements.  On 041103 I was given a CT test out of
730550 -               sequence on the Avastin trial, after Doctor Benz noticed
730551 -               in a 2nd opinion consultation symptoms of pulmonary
730552 -               embolism and indicated this should be investigated.
730553 -               The next day Kaiser took me off the Avastin trial.  More
730554 -               recently, on 060929 Doctor Johnson ordered a follow up
730555 -               test for pulmonary embolism.  I was told the test would
730556 -               be in about 10 days.  The next day I received a call
730557 -               from Kaiser in the morning, and was told the doctor
730558 -               wanted the test immediately, and could I come in later
730559 -               that evening, after required fasting, etc.  This was
730560 -               done, and of course we then discovered PE relapse.
730561 -               Kaiser has always met exigent circumstances. ref DIT 2
730562 -               PM7O
730564 -                ..
730565 -           6.  Arlette indicated in a call last Friday, the CT test now
730566 -               pending would be the next day on Saturday, or Sunday, or
730567 -               at the latest on Monday to meet UCSF schedule for
730568 -               treatment on 070131.  By copy to Arlette and Michelle,
730569 -               since Arlette is off work today, I will ask for
730570 -               coordination with Kaiser's imaging test department.  If
730571 -               delaying treatment a couple more days until Friday is
730572 -               okay then that is more convenient for me. ref DIT 2 PM8R
730573 -
730574 -                   [On 070130 UCSF scheduled Millie for meeting with
730575 -                   Doctor Rugo the same day, 070130, and coordinating
730576 -                   with Kaiser to change CT test to 070131, so that
730577 -                   Millie can be treated at UCSF on 070201. ref SDS 30
730578 -                   JM4J
730579 -
730580 -
730582 -  ..
7306 -
7307 -
7308 - 1658
7309 -
730901 - Kaiser Authorization Problems Delayed Treatment 2 Weeks
730902 -
730903 - Millie received ref DRT 2 0001 from the primary care physician at
730904 - Kaiser responding to Millie's letter, ref DIP 11 0001 submitted last
730905 - week on 070123, ref SDS 25 J94L, and at the request of UCSF staff who
730906 - reported delays getting authorization from Kaiser for Millie's
730907 - treatment. ref SDS 25 LC7I
730909 -  ..
730910 - Primary Care Physician says to Millie...
730911 -
730912 -               I think that this has all been straightened out??
730913 -               ref DRT 2 0001
730915 -  ..
730916 - The doctor seems to be correct.  Delay reported on 070119, ref SDS 23
730917 - AS96, was corrected on 070125, when UCSF scheduled treatment on
730918 - 070131. ref SDS 27 YF8U
730919 -
730921 -  ..
730922 - Primary Care Physician Notified Schedule Conflict Meeting on 070202
730923 - Delay CT Test Creates Conflict Treatment and Meeting on 070202
730924 -
730925 - Today, UCSF reports delay scheduling CT test at Kaiser, reported
730926 - below, ref SDS 0 Z24H, delays starting treatment another 2 days until
730927 - 070202, and conflicts with scheduled meeting on 070202 with primary
730928 - care physician at Kaiser in Walnut Creek.
730930 -  ..
730931 - Millie submitted ref DIT 3 0001 to the doctor, saying...
730932 -
730933 -           1.  This confirms understanding in your letter today,
730934 -               ref SDS 0 4R4S, that authorization problems for my
730935 -               treatment at UCSF seem to be fixed. ref DIT 3 0001
730937 -                ..
730938 -           2.  Doctor Rugo wants another CT test.  Arlette called while
730939 -               I was on vacation, and left a message that the test
730940 -               would be Saturday, Sunday, or Monday to meet UCSF
730941 -               schedule for treatment on 070131, reported on 070126.
730942 -               ref SDS 28 D76L, ref DIT 3 7I5M
730944 -                ..
730945 -           3.  This morning I was told by Kaiser that the CT test is on
730946 -               070202 8p.  I notified UCSF, per below. ref SDS 0 Z24H
730947 -               They advised late today that treatment has to be after
730948 -               the CT test, and so bumped treatment to 070202, per
730949 -               above. ref SDS 0 OZ4N  That is the day I am scheduled to
730950 -               meet with you at 2:20p, ref DIT 3 7I62
730951 -
730952 -                   [On 070130 Millie notified Kaiser that UCSF changed
730953 -                   the schedule to avoid conflict, so that Millie can
730954 -                   meet with the primary care physician as regularly
730955 -                   scheduled on Friday, 070202 1420. ref SDS 30 LQ6K
730957 -                ..
730958 -           4.  Please check scope of CT test to evaluate PE.  Arlette
730959 -               said she submitted UCSF request to the substitute
730960 -               doctor, but did not know what happened.  Can you further
730961 -               check to see if the test can be advanced to tomorrow so
730962 -               we can keep the schedule for treatment on 060131.  This
730963 -               would remove conflicts on meeting with you on 070202?
730964 -               ref DIT 3 7I69
730966 -                ..
730967 -           5.  Otherwise I could just come by after getting back from
730968 -               SF on Friday, maybe 4pm - 5pm or so, and meet when you
730969 -               have time. Shouldn't take long. ref DIT 3 7I76
730970 -
730971 -                   [On 070130 Millie notified Kaiser that UCSF changed
730972 -                   the schedule to avoid conflict, so that Millie can
730973 -                   meet with the primary care physician as regularly
730974 -                   scheduled on Friday, 070202 1420. ref SDS 30 LQ6K
730975 -
730976 -
730977 -
730978 -
730979 -
730980 -
7310 -

SUBJECTS
CT Test Scheduled 070201 2000 Baseline Clinical Study Drug Trial IBC

A503 -
A50401 -  ..
A50402 - 070201 2000 CT Test Scheduled Baseline Clinical Study UCSF
A50403 - CT Test Scheduled 070201 2000 Treatment Status Pulmonary Embolism
A50404 -
A50405 - Follow up ref SDS 27 Z24H, ref SDS 26 PQ4Q.
A50407 -  ..
A50408 - Millie's letter to UCSF continues from above... ref SDS 0 CR6V
A50409 -
A50410 -    4.  On Saturday, I picked up medicine from the Kaiser Pharmacy as
A50411 -        Arlette instructed [on 070126, ref SDS 28 0I31, to prepare for
A50412 -        another CT test.  I called this morning and was told the test
A50413 -        is scheduled for 070201 2000, which is the earliest date Kaiser
A50414 -        has available.  Hope this does not present a conflict with
A50415 -        treatment starting the day before on 070131. ref DIT 1 VN7J
A50417 -  ..
A50418 - Kaiser delaying CT test to 070201, caused UCSF to delay treatment from
A50419 - 070131 to 070202, the day after the treatment, per above. ref SDS 0
A50420 - OZ4N
A50422 -  ..
A50423 - Millie's letter to UCSF continues...
A50424 -
A50425 -    5.  I appreciate UCSF ordering a CT test to evaluate pulmonary
A50426 -        embolism and the enlarged right ventricle.  [My doctor]
A50427 -        indicated in a meeting on 070105 that I am cleared for regular
A50428 -        exercise in the gym.  I would like to have on file a test
A50429 -        report that supports vigorous exercise to restore fitness.  I
A50430 -        also want  a comparison on severity and direction of disease,
A50431 -        which was missing from the report for the prior PET/CT test on
A50432 -        061227, as reported on 070102. ref SDS 13 AK9H, ref DIT 1 VN7R
A50433 -
A50434 -
A50435 -
A50436 -
A50437 -
A505 -

SUBJECTS
Anticoagulation Clinic Notify Treatment Cetuximab Carboplatin Schedu

AH03 -
AH0401 -  ..
AH0402 - Coagulation Treatment Clinic Notified Change in Patient Medications
AH0403 -
AH0404 -
AH0405 - Millie's letter to Jackie at UCSF continues...
AH0406 -
AH0407 -    6.  By copy notifying Gloria in Kaiser's Coagulation Treatment
AH0408 -        Clinic in Martinez, that treatment with Cetuximab and
AH0409 -        Carboplatin did not start on 070119, as reported in my letter
AH0410 -        to Kaiser on 070118, ref SDS 22 VI5H, but is now scheduled to
AH0411 -        begin on 070131, and that treatment with Coumadin (warfarin)
AH0412 -        can be adjusted accordingly. ref DIT 1 VN8S
AH0414 -  ..
AH0415 - Gloria will need further notice about delaying treatment another 2
AH0416 - days after Kaiser and UCSF settle on the actual schedule, per letter
AH0417 - to Jackie at UCSF, and Arlette at Kaiser, shown above. ref SDS 0 OT5S
AH0418 - Similar issue was presented to primary care physician, also, per
AH0419 - above. ref SDS 0 RQ7Y
AH0421 -             ..
AH0422 -            [On 070202 Millie notified Gloria that treatment with
AH0423 -            cetuximab was delayed again and actually started at UCSF on
AH0424 -            070201. ref SDS 31 428G
AH0425 -
AH0426 -
AH0427 -
AH0428 -
AH0429 -
AH0430 -
AH0431 -
AH05 -






































iser AH0429 - confimring these understandings. ref SDS 31 428G AH0430 - AH0431 - AH0432 - AH0433 - AH0434 - AH0435 - AH0436 - AH0437 - AH0438 - AH05 -