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1...This record suggests coordination between Kaiser and referral hospital
CONTACTS
SUBJECTS
CT Scan Test Schedule Changed 070520 Correct Mistakes Kaiser Align W
1603 -
1603 - ..
1604 - Summary/Objective
1605 -
160501 - Follow up ref SDS 4 DT8I, ref SDS 3 3M6V.
160502 -
160503 -
160504 -
160505 -
160506 -
160508 - ..
1606 -
1607 -
1608 - Progress
1609 -
160901 - Millie received a call from Kaiser this morning requesting that she
160902 - have another blood test, because the test UCSF did on 070426 was
160903 - missing some results Kaiser needs in connection with Millie getting
160904 - the CT test, which Jackie coordinated and is currently scheduled
160905 - incorrectly on 070514. ref SDS 2 075H Millie gathered during the call
160906 - that Kaiser wants an updated test for creatinine, however, this was
160907 - part of the test on 070426. ref SDS 2 4B5G
160909 - ..
160910 - This record suggests coordination between Kaiser and referral hospital
160911 - was not effective for hundreds of blood tests performed at UCSF which
160912 - affect patient history also under review at Kaiser.
160913 -
160914 - [On 070517 Kaiser objects to reviewing a few CT films to assess
160915 - patient's risk of lung and heart disorders on grounds of saving
160916 - time and money to assist other patients, yet shows no concern
160917 - to avoid wasteful duplication of hundreds of blood tests.
160918 - ref SDS 8 3T9G
160920 - ..
160921 - [On 070525 Kaiser's medical chart shows results of the blood
160922 - test at Kaiser today on 070511, but does not list results at
160923 - UCSF on 070426. ref SDS 9 128S
160925 - ..
160926 - [On 070611 communications on coordinating care and treatment
160927 - plans between Kaiser and UCSF did not reach concensus, and
160928 - reasons for differences are not presented. ref SDS 11 JQ6F
160930 - ..
160931 - During this call, Millie asked to change the date of the test from
160932 - 070514 to 070520 to better align with requirements of the cetuximab
160933 - clinical study for testing on 8 week intervals, discussed with UCSF
160934 - yesterday on 070510. ref SDS 4 V36R Kaiser changed the date as
160935 - requested, and without protest, contrary to expectations at UCSF
160936 - yesterday. ref SDS 4 V36O
160937 -
160938 - [On 070516 Millie notified UCSF schedule changed to meet
160939 - requirements of clinical study. ref SDS 6 EF9M
160941 - ..
160942 - Millie went to Kaiser in Park Shadelands for the extra blood test, per
160943 - Kaiser's request to support the CT test. She also ordered another PT
160944 - and INR test for coagulation control to treat pulmonary embolism, and
160945 - she ordered a test for CA 15-3 to support the meeting with the primary
160946 - care physician scheduled for 070525, and cross-check work at the UCSF
160947 - Labs, showing remarkable improvement in the cancer marker. On 070307
160948 - this seemed "too good to be true." ref SDS 1 U85L
160950 - ..
160951 - [On 070514 Millie asks primary care physician at Kaiser for
160952 - results of CA 15-3 test today. ref SDS 5 IN5P
160954 - ..
160955 - [On 070516 Kaiser notifies Millie CA 15-3 56 and describes this
160956 - result as "stable," ref SDS 6 QN6M, which conflicts with
160957 - testing at UCSF. ref SDS 6 WV6L
160959 - ..
160960 - [On 070516 Millie asks Kaiser to verify accuracy of CA 15-3
160961 - test on 070511, and to notify UCSF to be prepared for meeting
160962 - with the patient on 070524. ref SDS 6 ZJ9N
160964 - ..
160965 - [On 070516 Millie notified UCSF CA 15-3 56 substantial rise in
160966 - test at Kaiser. ref SDS 6 J55T
160968 - ..
160969 - [On 070517 Kaiser advised that UCSF uses a different
160970 - calibration method for CA 15-3 that cannot be compared to the
160971 - Kaiser test results, like comparing apples and oranges.
160972 - ref SDS 8 NT3O
160974 - ..
160975 - [On 070517 Nurse's Notes show nurse practitioner ordered
160976 - another blood test to verify elevated CA 15-3 56 reported in
160977 - Kaiser's test on 070511; but did not perform the test, and
160978 - decided to wait another week to address the issue. ref SDS 7
160979 - FG6H
160981 - ..
160982 - [On 070517 Brigid discloses that coordinating divided
160983 - responsibilities on referral projects is difficult; and that
160984 - UCSF recommends limiting laboratory work rather than
160985 - cross-checking tests for accuracy. ref SDS 8 466H
160987 - ..
160988 - [On 070524 Kaiser's medical chart lists Millie's blood work on
160989 - 070511, without listing the date, and does not list any of the
160990 - blood tests submitted to Kaiser reported by UCSF, demonstrating
160991 - a gap in coordination for case management of referral work.
160992 - ref SDS 9 128S
160994 - ..
160995 - [On 070531 UCSF not concerned results of blood test today show
160996 - CA 15-3 37 rising 30% from the prior report on 070426, because
160997 - CT scans show no metastatic cancer, and IBC inflammation
160998 - appears to be subsiding. ref SDS 10 NQ6K
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1611 -