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: January 21, 2008 04:23 AM Monday; Rod Welch

Submit labs at UCSF to Kaiser on Millie's Coumadin treatments for PE.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 4 BD6I.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Gloria has called several times, and sent letters asking Millie for
040902 - results of blood tests at UCSF, which Kaiser needs to manage Millie's
040903 - Coumadin treatments for PE.
040905 -  ..
040906 - We have gotten behind on submitting labs to Kaiser, because time was
040907 - diverted to resolve billing disputes between Kaiser and UCSF.
040908 -
040909 -    1.  Subject: Millie's Blood Tests for PE Coumadin Treatment
040910 -        Date: Mon, 21 Jan 2008 04:27:14 -0800
040915 -         ..
040916 -    2.  Gloria,
040918 -         ..
040919 -    3.  Thanks for keeping after me on submitting blood tests at UCSF
040920 -        for Mil.  We have been backed up that past few months and this
040921 -        crowded out investing time for medical intelligence.
040923 -         ..
040924 -    4.  As we have discussed, throughout last year Millie's INR tests
040925 -        stabilized between 2.0 and 3.0, thanks to your work managing
040926 -        her medication.  The recent labs 2 weeks ago at UCSF on 080110
040927 -        shows INR 2.3. ref SDS 4 PU7Y
040929 -         ..
040930 -    5.  The test a month before on 071213 reported INR 2.3. ref SDS 3
040931 -        PU7Y
040933 -         ..
040934 -    6.  Millie related your recent call noting Kaiser evaluates patient
040935 -        diligence reporting blood tests.  Diligence is limited by time
040936 -        and resources.  If the customer is forced to allocate time
040937 -        researching billings, there is less time to report blood test
040938 -        results.  See for example review on 070830. ref SDS 2 0000
040940 -         ..
040941 -    7.  Without reading through the whole thing, you can see a level of
040942 -        diligence that helped Kaiser and UCSF resolve problems, which,
040943 -        according to UCSF, threatened termination of Millie's
040944 -        treatment.  Doctor Johnson found during examination on 080118
040945 -        that treatment at UCSF has been very effective.  This placed a
040946 -        high priority on diligence to avoid termination.  For
040947 -        background, "diligence" is reviewed in NWO. ref OF 14 PQ4M
040949 -         ..
040950 -    8.  Millie's is grateful to you and your team for a high level of
040951 -        professional care reminding that blood tests are required for
040952 -        effective referral treatment at UCSF.  By copy to Doctor
040953 -        Johnson I am pleased to commend the excellent work of your
040954 -        department. We continue to work hard toward constructive
040955 -        partnership called out by Kaiser's Healthwise Handbook.
040956 -
040957 -
040959 -  ..
0410 -
0411 -
0412 - 1353
0413 -
041301 - Received letter from Gloria at Kaiser responding to submission of
041302 - labs to Kaiser for managing Coumadin treatment of PE...
041303 -
041304 -    1.  Subject:  Millie's Blood Tests for PE Coumadin Treatment
041305 -        Date: Mon, 21 Jan 2008 17:31:28 -0800
041309 -         ..
041310 -    2.  thank you!  I updated our computer and sent a letter to Millie
041311 -        today:  I am only guessing that she will test in 4-6 weeks from
041312 -        her last test on 1/10/08??  I recorderd her next INR to be done
041313 -        no later that 2/25/08.  I hope that works for Millie as well.
041314 -        take care
041315 -
041316 -            [On 080124 Millie received letter from Gloria at Kaiser
041317 -            dated 080121 and setting 080225 for her next blood test.
041318 -            ref SDS 7 EX5H
041319 -
041329 -
041330 -
041332 -  ..
0414 -
0415 -
0416 - 2355
0417 -
041701 - Submitted response to Gloria reporting schedule of blood tests at UCSF
041702 - for Millie getting treatment on clinical trial...
041703 -
041704 -    1.  Subject:  Millie's Next Blood Test at UCSF 080209
041705 -        Date:  Tue, 22 Jan 2008 00:07:11 -0800
041710 -         ..
041711 -    2.  Dear Gloria,
041713 -         ..
041714 -    3.  Thanks for your letter today, shown below, and asking about the
041715 -        schedule for Millie's blood tests at UCSF.
041717 -         ..
041718 -    4.  UCSF does labs every 4 weeks to evaluate and approve Millie for
041719 -        treatments on clinical trial, as planned during the meeting on
041720 -        070201. ref SDS 1 XR40
041722 -         ..
041723 -    5.  The last test was on 080110, ref SDS 5 MU8T, shown in the
041724 -        letter to Kaiser yesterday. ref SDS 5 WS5H
041726 -         ..
041727 -    6.  Therefore, Millie's next lab is scheduled for Feb 9th.
041729 -         ..
041730 -    7.  Millie sent a letter today asking the coordinator at UCSF,
041731 -        Jackie, to confirm recent schedule changes that set Feb 9th for
041732 -        the next labs when she meets with the medical team at UCSF.
041733 -
041734 -            [On 080122 letter sent correcting the date of the next lab
041735 -            is scheduled for 080207. ref SDS 6 6D5V
041737 -         ..
041738 -    8.  This schedule provides ample time to meet plans for Kaiser to
041739 -        receive INR results NLT 080205 (Feb 25th), noted in your letter
041740 -        today. ref SDS 0 RT5J
041742 -         ..
041743 -    9.  Going forward, we will try to enter the date of each succeeding
041744 -        test with submission of current results, so your records can be
041745 -        posted in sync with UCSF's work on Millie's care.
041747 -         ..
041748 -   10.  Sincerely,
041750 -         ..
041751 -   11.  Rod
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