CONTACTS 

SUBJECTS
Examination Left Arm Cellulitis IBC Confirm Schedule 070222 Request

1103 -
1103 -    ..
1104 - Summary/Objective
1105 -
110501 - Follow up ref SDS 15 0000. ref SDS 14 0000.
110502 -
110503 -
110504 -
110505 -
110506 -
110507 -
110508 -
110510 -  ..
1106 -
1107 -
1108 - Progress
1109 -
110901 - UCSF Schedules Examination New Rash Left Arm for IBC Cellulitis
110902 -
110903 - Follow up ref SDS 15 VE3K, ref SDS 14 VE3K.
110904 -
110905 - On 070215 Millie submitted a letter, ref DIP 5 0001, notifying UCSF
110906 - that the primary care physician reported findings of a new rash on the
110907 - upper left arm, ref SDS 14 LK8H, during an examination at Kaiser on
110908 - 070202. ref SDS 9 JP6F  Yesterday, on 060216 Jackie, Clinical Research
110909 - Coordinator at UCSF, notified Millie that UCSF wants to meet on 070222
110910 - at 0830 and prior to previously scheduled Millie getting treatment in
110911 - the Infusion Clinic at UCSF on clinical study.  Jackie further
110912 - requested that Millie confirm she can attend the meeting on 070222 at
110913 - 0830. ref SDS 15 UK5M
110915 -  ..
110916 - Millie submitted ref DIT 1 0001 to UCSF saying...
110917 -
110918 -    1.  We're back from the memorial service.  Thanks again for
110919 -        expediting prescription to treat cellulitis, and thanks to
110920 -        Kaiser.  I got a letter from the primary care physician and
110921 -        from Arlette saying the prescription is ready.  I will get it
110922 -        tomorrow. ref DIT 1 0001
110923 -
110924 -            [On 070218 Millie played tennis; left arm seemed more
110925 -            swollen; she began taking Keflex antibiotic to treat
110926 -            cellulitis. ref SDS 16 N074
110928 -             ..
110929 -            [On 070222 examination at UCSF indicates rash on upper left
110930 -            arm more likely expanding IBC. ref SDS 17 B64F
110932 -         ..
110933 -    2.  Thanks, also, for scheduling review of cellulitis next
110934 -        Thursday, 070222 0830.  There is naturally a question whether
110935 -        this is cellulitis, which seems likely, or IBC, in light of
110936 -        Doctor Rugo's examination on 070130. ref SDS 7 M68J,
110937 -        ref DIT 1 L65P
110938 -
110939 -            [On 070222 examination indicates rash on upper left arm
110940 -            more likely expanding IBC. ref SDS 17 E93J
110942 -         ..
110943 -    3.  Can you please coordinate with Catherine to let her know that
110944 -        my treatment in the Chemotherapy Clinic will be delayed by 30
110945 -        minutes or so for Brigid's examination, assuming she can start
110946 -        on time, which was problematic a few weeks ago. ref DIT 1 L66O
110947 -
110948 -            [On 070222 report that Infusion Clinic has flexibility on
110949 -            the time for treating patients. ref SDS 17 1M6H
110950 -
110951 -
110952 -
110953 -
110954 -
110955 -
1110 -

SUBJECTS
Coordination Plan Kaiser UCSF Emergency Treatment Cannot Afford Comp

2603 -
260401 -  ..
260402 - Emergency Care Coordination UCSF Kaiser
260403 -
260404 - Follow up ref SDS 15 AM4N, ref SDS 14 VW6U.
260406 -  ..
260407 - Millie's letter to UCSF continues...
260408 -
260409 -    4.  On your 2nd point of going through the UCSF call center for
260410 -        emergencies, will this wind up so I get treatment by Kaiser's
260411 -        Emergency folks?  I have done this on 4 or 5 occasions, and
260412 -        find their service excellent.  Particularly, since Kaiser has
260413 -        access to patient history, critical for taking immediate
260414 -        action.  I don't have to call Kaiser for emergency treatment.
260415 -        Standing orders are to go to ER when my temp gets above 100.5,
260416 -        e.g., on 061027. ref SDS 4 HP52, ref DIT 1 L67L
260418 -  ..
260419 - Millie's favorable history getting Emergency treatment at Kaiser is
260420 - reported on 070216. ref SDS 15 UW9I
260421 -
260422 -            [On 070228 Millie's letter to UCSF with copy to Kaiser
260423 -            requests draft coordination plan, and cites analysis today
260424 -            on patient history showing favorable results relying on
260425 -            Kaiser Emergency care. ref SDS 18 T16M
260427 -  ..
260428 - The problem to be solved is during an emergency there is no one
260429 - available at UCSF who knows Millie's patient history, and there are no
260430 - instructions on her getting treatment at Kaiser.  Case study on 070130
260431 - indicates communication problems could delay treatment. ref SDS 7 4T5N
260433 -  ..
260434 - Millie's letter to UCSF continues...
260435 -
260436 -    5.  I don't want to drive to UCSF for an emergency.  Might not make
260437 -        it through traffic.  Does UCSF have arrangements with Kaiser on
260438 -        this issue?  Hope I'm not being a pill.  Just want to have
260439 -        things work smoothly in emergencies, as they have in the past.
260440 -        ref DIT 1 L68M
260442 -         ..
260443 -    6.  We cannot afford to have complicated mechanics for emergencies.
260444 -        ref DIT 1 PK8N
260446 -         ..
260447 -    7.  Maybe you are just saying to call UCSF and let them know if I
260448 -        go to Emergency.  Obviously, I'm confused on this???  Your help
260449 -        is appreciated. ref DIT 1 L69L
260451 -         ..
260452 -    8.  By copy alerting Arlette this may be an issue for collaboration
260453 -        with Kaiser. ref DIT 1 4L9K
260454 -
260455 -           [On 070222 Jackie proposes coordination plan; scope review
260456 -           lists emergency treatment procedures. ref SDS 17 KL5G
260457 -
260458 -           [On 070228 letter to UCSF with copy to Kaiser requests draft
260459 -           of coordination plan for review during meeting on 070301.
260460 -           ref SDS 18 LQ6R
260461 -
260462 -
260463 -
260464 -
260465 -
260466 -
260467 -
260468 -
2605 -