CONTACTS 

SUBJECTS
Feedback Requested Verify Accuracy Follow Up Coordination Communicat

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 7 0000, ref SDS 6 U24Y.
150502 -
150503 -
150504 -
150506 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Coordinate Communication Kaiser UCSF INR Blood Test Standards Coumadin
150902 -
150903 - Follow up ref SDS 7 2C6L, ref SDS 7 SN5O.
150904 -
150905 - Millie was worried about not having received a call or letter from
150906 - Gloria with instructions and feedback confirming that blood test at
150907 - UCSF on 070301 requires no change in Coumadin treatment for pulmonary
150908 - embolism.  Normally, Gloria calls, and then sends a letter to confirm
150909 - instructions on Friday or Monday at the latest telling Millie to
150910 - continue with past protocol or make a change of some sort.
150912 -  ..
150913 - For example, recently on 070215, Gloria called and left a message that
150914 - INR 2.5 required no change in Coumadin protocol, and blood testing for
150915 - INR should be skipped the following week on 070222. ref SDS 4 IC9O   A
150916 - week earlier on 070208, Gloria called and then sent a confirming
150917 - letter. ref SDS 3 JR6I  Millie submitted a response requesting
150918 - clarification of blood testing, ref SDS 3 CS8O, and Gloria sent a
150919 - reply to confirm revised understandings. ref SDS 3 4R5M
150921 -  ..
150922 - Feedback is a common practice at Kaiser...
150923 -
150924 -    1.  On 061002 the primary care physician requested feedback to
150925 -        verify Millie resumed Coumadin treatment for pulmonary
150926 -        embolism. ref SDS 1 JK80
150927 -
150928 -    2.  On 061214 Gloria requested feedback from Millie to verify
150929 -        accuracy understandings from communications on changing
150930 -        Coumadin treatments because of elevated INR, ref SDS 2 GN6M,
150931 -        similar to issue currently considered, reported yesterday on
150932 -        070305. ref SDS 7 K14H
150934 -  ..
150935 - Millie submitted ref DIT 1 0001 to Gloria with copies to Arlette at
150936 - Kaiser, and to Jackie and Brigid at UCSF, saying...
150937 -
150938 -    1.  Following up my letter to Brigid yesterday, with a copy to you,
150939 -        when time permits, please let me know if you are satisfied with
150940 -        reporting on the blood test at UCSF as shown in patient history
150941 -        for 070301, ref SDS 5 PU7Y, and as further clarified in
150942 -        Brigid's letter yesterday afternoon on 070305. ref SDS 7 SN5O,
150943 -        ref DIT 1 0001
150945 -         ..
150946 -    2.  Absent notice, I am continuing the current regimen for Coumadin
150947 -        to treat pulmonary embolism, but feel more comfortable getting
150948 -        your confirmation, when time permits, continuing past practice.
150949 -        ref DIT 1 XW6I
150950 -
150951 -            [On 070307 Gloria confirmed Millie's current Coumadin
150952 -            treatment should be continued based on UCSF blood test
150953 -            reporting. ref SDS 8 UH4M
150954 -
150955 -
150956 -
150957 -
150958 -
150959 -
150960 -
1510 -