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: February 15, 2007 02:27 PM Thursday;
Rod Welch
Millie gets prescription for cellulitis through UCSF and from Kaiser.
1...Summary/Objective
........Coordinating Care with Multiple Providers on Clinical Study
2...Kaiser Refers Prescription to UCSF for Baseline Control Clinical Study
3...Cellulitis Keflex Treatment Prescription Refill Coordinate UCSF
4...Coordinate Prescription with UCSF Kaiser Collaboration Clinical Study
........Commend UCSF Infusion Clinic Staff Operations
5...UCSF Prescribed Keflex Treatment Cellulitis Coordinated with Kaiser
..............
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CONTACTS
SUBJECTS
Cellulitis IBC Red Rash Upper Left Arm Request Refill Prescription A
1403 -
1403 - ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 9 0000. ref SDS 8 0000.
140502 -
140503 - Millie asks again about getting refill for prescription to treat red
140504 - rash observed on 070202, which might be cellulitis. ref SDS 0 VW4R
140505 - Primary care physician refers the matter to UCSF to maintain medical
140506 - control through the clinical study. ref SDS 0 HK5O Millie coordinated
140507 - with UCSF on the referral for prescription renewal. ref SDS 0 LK8H
140508 - Jackie called and advised that Doctor Rugo approved the referral, and
140509 - that she coordinated with Arlette at Kaiser notifying the primary care
140510 - physician to order the prescription refill. ref SDS 0 TU4M Millie
140511 - confirmed understandings in a letter to UCSF. ref SDS 0 TU5N
140512 -
140513 -
140514 -
140516 - ..
1406 -
1407 -
1408 - Progress
1409 -
140901 - Yesterday, Millie submitted ref DIP 1 0001 to the primary care
140902 - physician at Kaiser asking for a refill on the prescription for
140903 - cellulitus to treat the rash the doctor observed during the
140904 - examination at Kaiser on 070202. ref SDS 9 R66P
140906 - ..
140907 - Millie got a letter back today from Kaiser saying the primary care
140908 - physician is out of the office, and will return yesterday, which seems
140909 - conflicting and confusing.
140911 - ..
140912 - Millie submitted ref DIT 1 0001 to Arlette at Kaiser saying...
140913 -
140914 - 1. Thanks a bunch for sending over the report on CT test for
140915 - 070131, and CA 15-3 for Feb 8th. Looks like I should feel
140916 - healthier, and I really do. Didn't take long to type up.
140917 - Sometimes reports are several pages of small print with hazy
140918 - faxed characters. This was pretty easy. ref DIT 1 0001
140920 - ..
140921 - 2. I met with [the doctor] on Feb 2nd, and he noticed inflammation
140922 - in my upper left arm, which signals recurrence of cellulitis.
140923 - ref SDS 6 6Q5N, ref DIT 1 YL5N
140925 - ..
140926 - 3. This rash still seems present today. Yesterday, on 070214, I
140927 - wrote to the doctor asking about a prescription for Keflex,
140928 - ref SDS 9 R66P, which he prescribed for similar recurrence on
140929 - 061214. ref SDS 3 ZS5N, ref DIT 1 YL65
140931 - ..
140932 - 4. Not sure why this wasn't done during the last meeting, but it
140933 - just slipped all our minds going over the IBC stuff.
140934 - ref DIT 1 YL73
140936 - ..
140937 - 5. Got a letter from [the doctor] today, after returning from
140938 - treatment at UCSF, and saying the doctor is out of the office
140939 - and will be back on 070214, yesterday! Curiously, his letter
140940 - was dated 070214 at 6:54p! Not sure what is going on there.
140941 - ref DIT 1 YL76
140942 -
140943 -
140944 -
140945 -
1410 -
SUBJECTS
Coordinate Care Multiple Providers Kaiser UCSF on Clinical Study Nee
2803 -
280401 - ..
280402 - Coordinating Care with Multiple Providers on Clinical Study
280403 -
280404 - Follow up ref SDS 6 RM4G, ref SDS 4 RM4G.
280405 -
280406 - 6. When this happened on a prior occasion on the weekend, 061112,
280407 - ref SDS 2 029E, Doctor Sandra Seier looked up what Doctor
280408 - Johnson had prescribed and gave me a refill. Possibly, another
280409 - doctor can do this again today.
280411 - ..
280412 - Another possibility is that I'm supposed to get this done at
280413 - UCSF. I'm in a bit of a whirl about how to deal with multiple
280414 - providers on things like this. ref DIT 1 UL8G
280416 - ..
280417 - 7. Thanks for helping. ref DIT 1 2M9G
280419 - ..
280420 - Avoiding confusion coordinating among multiple providers was reviewed
280421 - in the record for the meeting at Kaiser on 070202, ref SDS 6 RM4G,
280422 - citing challenges authorizing referral reported on 070130. ref SDS 4
280423 - RM4G On 070201 Jackie provided a phone number to call UCSF for things
280424 - which are not clear. ref SDS 5 407N
280425 -
280426 - [On 070216 Jackie notifies Millie to call UCSF if fever and
280427 - rash increase. ref SDS 11 AM4N
280429 - ..
280430 - [On 070217 Millie requests clarification of coordination
280431 - planning on emergency treatment; notes that patient history
280432 - shows treatment at Kaiser Emergency does not require
280433 - calling a number, just show up; notes that driving to San
280434 - Francisco for emergency treatment at UCSF might enocunter
280435 - fatal traffic delays. ref SDS 12 4Q8O
280436 -
280437 -
280438 -
280439 -
280440 -
2805 -
SUBJECTS
Prescription Refill Antibiotic Keflex Treat Cellulitis Collaboration
5203 -
5204 - 1439
520501 - ..
520502 - Kaiser Refers Prescription to UCSF for Baseline Control Clinical Study
520503 -
520504 - Follow up ref SDS 0 VW6U, ref SDS 0 VW4R.
520505 -
520506 - Millie received ref DRT 1 0001 from the primary care physician
520507 - responding to Millie's letter yesterday. ref SDS 9 R66P
520509 - ..
520510 - Primary care physician says...
520511 -
520512 - 1. Responding to your letter, ref DIP 1 N56P, on February 14,
520513 - 2007, requesting prescription refill for Keflex, ref SDS 9
520514 - R66P, to treat recurrence of cellulitus...], ref DRT 1 0001
520516 - ..
520517 - 2. We are establishing a new baseline for the Clinical Trial,
520518 - that's what is important. We are looking for response to
520519 - treatment from here forward. The rash may be due to the drug
520520 - and therefore should be reported to Dr. Rugo for assessment.
520521 - These studies, as you know, want to know "everything" that
520522 - happens to a patient while on study.
520523 -
520524 - [On 070330 intensity of rash on upper left arm increased;
520525 - primary care physician diagnosed Cellulitis; there wasn't
520526 - enough time to check the record for alignment with clinical
520527 - study requirements, so Kaiser prescribed Keflex antibiotis,
520528 - ref SDS 14 7C5F; about 3 hours later the rash had subsided,
520529 - so Keflex was not taken by the patient. ref SDS 14 V66M
520530 -
520531 -
520532 -
520533 -
520534 -
5206 -
SUBJECTS
Thank You Appreciation Referral UCSF Coordination Treatment Prescrip
5703 -
5704 - 1448
570501 - ..
570502 - Millie submitted ref DIT 2 0001 responding to the letter from the
570503 - doctor, ref DRT 1 0001, reported above, ref SDS 0 HK5O, and saying...
570504 -
570505 - 1. Thanks for your letter. ref SDS 0 HK5O I sent a follow up note
570506 - to Arlette, and will let her know that this matter should be
570507 - referred to Doctor Rugo. ref DIT 2 0001
570509 - ..
570510 - 2. Hoping I don't have go all the way back to UCSF. I was just
570511 - there all morning. ref SDS 10 407N, ref DIT 2 NN5M
570513 - ..
570514 - 3. Anyway, thanks for letting me know how to handle this.
570515 - ref DIT 2 UN6F
570516 -
570517 -
570518 -
570519 -
5706 -
SUBJECTS
Cellulitis Keflex Treatment Prescription Refill Coordinate UCSF Kais
8403 -
8404 - 1511
840501 - ..
840502 - Cellulitis Keflex Treatment Prescription Refill Coordinate UCSF
840503 - Coordinate Prescription with UCSF Kaiser Collaboration Clinical Study
840504 -
840505 - Follow up ref SDS 0 HK5O, ref SDS 9 R66P.
840506 -
840507 - Millie followed instructions from primary care physician at Kaiser,
840508 - per above. ref SDS 0 HK5O
840510 - ..
840511 - Millie sumbitted ref DIT 3 0001 to Jackie at UCSF saying...
840512 -
840513 - 1. I met with [the doctor at Kaiser] on Feb 2nd, and he noticed
840514 - inflammation in my upper left arm, which may signal recurrence
840515 - of cellulitis. ref SDS 6 6Q5N, ref DIT 3 0001
840517 - ..
840518 - 2. This rash still seems present today, though reduced a bit.
840519 - Yesterday, on 070214, I wrote to [the doctor] at Kaiser asking
840520 - about a prescription for Keflex, which he prescribed for
840521 - similar recurrence on 061204. ref SDS 3 ZS5N, ref DIT 3 CQ6G
840523 - ..
840524 - 3. I just received a response from the doctor saying....
840525 -
840526 - "We are establishing a new baseline for the Clinical Trial,
840527 - that's what is important. We are looking for response to
840528 - treatment from here forward. The rash may be due to the drug
840529 - and therefore should be reported to Dr. Rugo for assessment.
840530 - These studies, as you know, want to know "everything" that
840531 - happens to a patient while on study." ref SDS 0 HK5O,
840532 - ref DIT 3 3R6O
840534 - ..
840535 - 4. Accordingly, could you please inquire with Doctor Rugo on this
840536 - matter. I am concerned about the rash getting out of hand, as
840537 - occurred on 061027, when I was hospitalized for 5 days.
840538 - ref SDS 1 V65J, ref DIT 3 NK7N
840539 -
840540 - [On 070218 Millie played tennis; left arm seemed more
840541 - swollen; she began taking Keflex antibiotic to treat
840542 - cellulitis. ref SDS 13 N074
840544 - ..
840545 - 5. Again, at this time, the rash appears deminimus, and less than
840546 - on 070202. However, assuming this is cellulitis, and not a
840547 - reaction to cetuximab, this would be the 3rd relapse since last
840548 - November, suggesting a persistent problem. ref DIT 3 NK8L
840550 - ..
840551 - 6. If medication is prescribed, hoping I can get it at Kaiser's
840552 - Park Shadelands Pharmacy, a few blocks away, so I don't have to
840553 - come into the City again. ref DIT 3 NK8R
840555 - ..
840556 - 7. I'm home this afternoon, so call if we need real time
840557 - coordination. ref DIT 3 CS9K
840558 -
840559 - [On 070218 Millie played tennis; left arm seemed more
840560 - swollen; she began taking Keflex antibiotic to treat
840561 - cellulitis. ref SDS 13 N074
840562 -
840563 -
840564 -
840565 -
8406 -
SUBJECTS
Commend UCSF Infusion Clinic Staff Operations Catherine Great Work P
9103 -
910401 - ..
910402 - Commend UCSF Infusion Clinic Staff Operations
910403 -
910404 -
910405 - 8. Post Script
910406 -
910407 - Please tell Doctor Rugo that Catherine and the staff in the
910408 - Infusion Clinic are great! ref DIT 3 00W2
910409 -
910410 -
910411 -
9105 -
SUBJECTS
Cellulitis Keflex Treatment Prescription Refill Ordered by UCSF Coor
AH03 -
AH04 - 1538
AH0501 - ..
AH0502 - UCSF Prescribed Keflex Treatment Cellulitis Coordinated with Kaiser
AH0503 -
AH0504 - Follow up ref SDS 0 LK8H, ref SDS 0 HK5O.
AH0505 -
AH0506 - Millie called and left a message for Jackie about the letter,
AH0507 - ref DIT 3 0001, per above, and further explained we are traveling to
AH0508 - Southern California tomorrow for a memorial service, and so would like
AH0509 - timely support getting the prescription filled at Kaiser after
AH0510 - returning in a few days.
AH0511 -
AH0512 -
AH0514 - ..
AH06 -
AH07 -
AH08 - 1711
AH09 -
AH0901 - Jackie called. She received Millie's letter, ref DIT 3 0001, and has
AH0902 - coordinated with Doctor Rugo who approved prescription for Keflex
AH0903 - refill at Kaiser to treat possible cellulitis recurrence, per above.
AH0904 - ref SDS 0 LK8H Jackie also called Arlette to notify Kaiser about
AH0905 - writing a presciption for Millie.
AH0906 -
AH0907 -
AH0909 - ..
AH10 -
AH11 -
AH12 - 1731
AH13 -
AH1301 - Millie submitted ref DIT 4 0001 to Jackie confirming understandings
AH1302 - from telecon, and saying...
AH1303 -
AH1304 - 1. Thanks very much for exigent support on a prescription to treat
AH1305 - Cellulitis, reported in my letter to UCSF earlier today citing
AH1306 - examination at Kaiser on 060202 by [primary care physician],
AH1307 - ref SDS 6 JP6F, and continuing rash on the upper left arm.
AH1309 - ..
AH1310 - 2. You indicated in your call having coordinated review by Doctor
AH1311 - Rugo, and then contacting Arlette at Kaiser for [the primary
AH1312 - care physician] to write a prescription to treat Cellulitis.
AH1314 - ..
AH1315 - 3. By copy to Arlette requesting prescription to the pharmacy at
AH1316 - Park Shadelands.
AH1317 -
AH1318 - [On 070216 UCSF schedules meeting to examine report new
AH1319 - rash on left arm; proactive management may be spread of
AH1320 - IBC. ref SDS 11 VE3K
AH1321 -
AH1322 -
AH1323 -
AH1324 -
AH1325 -
AH1326 -
AH1327 -
AH1328 -
AH1329 -
AH1330 -
AH1331 -
AH1332 -
AH1333 -
AH14 -