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 -