CONTACTS 

SUBJECTS
Meeting UCSF 080403 Feedback Referral  Cordination Notify Kaiser Sta

1603 -
1603 -    ..
1604 - Summary/Objective
1605 -
160501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
160502 -
160503 - Millie submitted a letter to Kaiser reporting meeting today at UCSF on
160504 - results from treatment on clinical study with cetuximab and
160505 - Carboplatin.  Examination shows recovery from IBC metastatic disease.
160506 - Improving medical prospects reduce emotional trauma.  Millie disclosed
160507 - that she is not taking Prozac prescribed a month ago to treat anxiety
160508 - and stress. ref SDS 0 TS5W  A copy to UCSF confirmed understandings.
160509 - Millie coordinated UCSF prescription for Neupogen treatment for Kaiser
160510 - to implement under referral arrangements. ref SDS 0 TS5U
160511 - Consideration for health care cost containment was presented.
160512 - ref SDS 0 TS8Y  Millie reported to UCSF that Kaiser scheduled the next
160513 - CT test for 080426 and asked Kaiser to submit the report on the test
160514 - in time to prepare for meeting at UCSF on 080501 to start the next
160515 - cycle of treatment. ref SDS 0 TS4Q  The Kaiser Coagulation Control
160516 - Clinic was notified of INR results on the blood test at UCSF today,
160517 - needed to manage Coumadin treatment for pulmonary embolism.
160518 - ref SDS 0 TS5S
160519 -
160520 -
160521 -
160523 -  ..
1606 -
1607 -
1608 - Progress
1609 -
160901 - Kaiser Notified UCSF Examination
160902 -
160903 - Follow up ref SDS 13 S55F, ref SDS 12 KB9J.
160904 -
160905 - Yesterday, on 080402 Millie submitted ref DIP 1 0001 to Jackie at UCSF
160906 - to coordinate starting treatment today with cetuximab and Carboplatin,
160907 - ref SDS 12 KB9J, including ordering blood tests to correct earlier
160908 - snafus. ref SDS 12 Q24T  Earlier today, Millie met with Doctor Rugo
160909 - and the medical team at UCSF for examination to start the next cycle
160910 - of treatment with cetuximab and Carboplatin. ref SDS 13 0001  The
160911 - doctor asked Millie to coordinate UCSF planning with Kaiser.
160912 - ref SDS 13 4U9O
160914 -  ..
160915 - Millie subitted ref DIT 1 0001 to the primary care physician at
160916 - Kaiser with copies to the medical team at UCSF, and to Arlette to
160917 - help the primary care physician follow up....
160919 -         ..
160920 -    1.  Today, I met with Doctor Rugo, and her team at UCSF to start
160921 -        the 2nd cycle on the 2nd arm of the Clinical Study that adds
160922 -        Carboplatin to treatment with cetuximab, ref SDS 13 QY5I, as
160923 -        noted in the letter on 080402. ref SDS 12 KB9J, ref DIT 1 0001
160924 -
160925 -
160926 -
160927 -
1610 -

SUBJECTS
Neupogen Current Medications Referral Coordination UCSF Prescription

4903 -
490401 -  ..
490402 - Neupogen Treatment Prescribed by UCSF
490403 -
490404 - Follow up ref SDS 13 XU6H.
490405 -
490406 - Millie's letter to Kaiser continues...
490407 -
490408 -    2.  The blood test today shows ANC (NEUTS at UCSF) at 1.34 (1340
490409 -        Kaiser's scale), slightly below the target range of 1.5 (1500
490410 -        at Kaiser), and which requires doctor approval to get
490411 -        chemotherapy treatment. ref SDS 13 I165, ref DIT 1 2P5N
490413 -         ..
490414 -    3.  Doctor Rugo approved treatment with Carboplatin today, but also
490415 -        ordered Neupogen to bolster blood counts. ref SDS 13 XV4G  She
490416 -        requested coordination by the patient, ref SDS 13 4U9O, noting
490417 -        this saves her time on hold and playing phone tag. ref SDS 13
490418 -        IM87  Accordingly, I agreed to coordinate, with  a copy to
490419 -        Doctor Rugo, as she requested to verify correct understandings
490420 -        and follow up. ref DIT 1 2P6J
490422 -         ..
490423 -    4.  Initially, this regimen requires just 1-treatment of Neupogen
490424 -        within 3 days of starting treatment today.  Doctor Rugo
490425 -        indicated that either Friday (tomorrow), or Monday, 080407 are
490426 -        acceptable to account for the weekend. ref SDS 13 6Y9K  In any
490427 -        case, I am available to come in or go to the Kaiser Pharmacy
490428 -        through the weekend as well, at Kaiser's convenience.
490429 -        ref DIT 1 2P7H
490431 -         ..
490432 -    5.  Brigid, the Nurse Practitioner, prepared a UCSF order showing a
490433 -        "Start Date" of 080405, which is Saturday. ref SDS 13 QX4I
490434 -        Again the doctor approved tomorrow (Friday), or Monday are
490435 -        adequate. ref DIT 1 2P7P
490437 -         ..
490438 -    6.  The order reads in part...
490439 -
490440 -              1)  ANC = 1.34; Day 2 Neupogen 480 meg SQ x T
490442 -         ..
490443 -    7.  This is a handwritten order.  I am not sure of the
490444 -        transcription. ref SDS 13 SF4M  By copy to Brigid, please
490445 -        clarify, if necessary.  Brigid gives a contact number -- 415
490446 -        353 7070 for questions. ref DIT 1 PL8H
490447 -
490448 -            [On 080404 Brigid at UCSF received the copy of this letter
490449 -            to Kaiser. ref SDS 15 OP4O
490451 -             ..
490452 -            [On 080404 UCSF revises prescription for medication adding
490453 -            Magnesium to Neupogen to treat low blood counts.
490454 -            ref SDS 15 O059
490456 -             ..
490457 -            [On 080404 primary care physician at Kaiser orders Neupogen
490458 -            treatment. ref SDS 15 JW6J
490460 -             ..
490461 -            [On 080405 Millie gets Neupogen from Kaiser Pharmacy in
490462 -            Walnut Creek, after long, complex transaction, ref SDS 16
490463 -            H656, charged $12 for 1 treatment, because Infusion Clinic
490464 -            was closed. ref SDS 16 XQ6O and takes medication prescribed
490465 -            by UCSF. ref SDS 16 RU6I
490466 -
490467 -
490469 -  ..
490470 - Cost Effective Order Requested from Kaiser for Neupogen
490471 -
490472 -
490473 -    8.  Please note there seems to be considerable cost difference in
490474 -        the way the order is placed.  The report on 061101 (November 1,
490475 -        2006) shows I was initially charged $450 for 1-shot of
490476 -        Neupogen.  Thanks to your assistance this was eventually
490477 -        corrected to about $40 for treatment that is pre-configured,
490478 -        and does not require me to draw medication from a vial.
490479 -        ref SDS 1 JS4U, ref DIT 1 VP9H
490481 -         ..
490482 -    9.  I would like the treatment with a disposable syringe.
490483 -        ref DIT 1 LM4G
490485 -  ..
490486 - UCSF worked today for cost effective care prescribing just 1 treatment
490487 - with Neupogen rather than 5. ref SDS 13 QX4I  Millie asks Kaiser to
490488 - support cost containment for medical costs of her health care.
490489 -
490490 -            [On 080405 Pharmacist discloses patient must pay $12.00 for
490491 -            self-injection Neupogen drugs, and cannot get IV injection
490492 -            treatment as previously provided, because the Infusion
490493 -            Clinic in the hospital is closed on Saturday, ref SDS 16
490494 -            XQ7U; Neupogen not pre-configured in disposable syrenge,
490495 -            ref SDS 16 158O, 20 minute transaction takes over 2 hours.
490497 -             ..
490498 -            [On 080409 notify primary care physician of discrepancies
490499 -            in the work performed by Kaiser pharmacy. ref SDS 18 OP4O
490500 -
490501 -
490502 -
490503 -
490504 -
490505 -
490506 -
490507 -
490508 -
4906 -

SUBJECTS
CT Scan Test Evaluate Progression Disease Clinical Trial Cetuxiab Ca

6603 -
660401 -  ..
660402 - CT Test Coordinated by UCSF
660403 -
660404 - Follow up ref SDS 13 669L, ref SDS 2 6V5I.
660405 -
660406 - Millie's letter to Kaiser continues...
660407 -
660408 -   10.  Additionally, the another CT test is needed. ref DIT 1 EM4I
660410 -         ..
660411 -   11.  Jackie coordinated the work.  I received a call this afternoon
660412 -        from Kaiser scheduling the test for 080426 0820.  This provides
660413 -        time to get results to prepare for meeting with the medical
660414 -        team on 080501 starting the next cycle. ref DIT 1 VP4L
660416 -         ..
660417 -   12.  By copy to Arlette -- thanks for timely follow up on the CT;
660418 -        please remind about ordering the Neuopgen treatment.
660419 -        ref DIT 1 VP4R
660420 -
660421 -
660422 -
6605 -

SUBJECTS
INR 2.3 UCSF Blood Test Coordination Submitted Kaiser Coumadin Warfa

8203 -
820401 -  ..
820402 - INR Blood Test Submitted Kaiser Coumadin Warfarin Pulmonary Embolism
820403 - Coumadin Warfarin Pulmonary Embolism INR Blood Test Submitted Kaiser
820404 -
820405 - Follow up ref SDS 6 EX5H.
820406 -
820407 - Millie's letter to Kaiser continues...
820408 -
820409 -   13.  INR 2.3 in the blood test today, ref SDS 14 PU7Y, continues
820410 -        stable PE diagnostics; by copy notifying Gloria in the
820411 -        Coagulation Control Department. ref DIT 1 VP5M
820413 -  ..
820414 - Millie sent a copy of the letter to Gloria who is the case manager for
820415 - her Coumadin treatment in the Coagulation Control Clinic at Kaiser in
820416 - Martinez, CA.  The letter today follows up reporting last month on
820417 - 080307. ref SDS 6 EX5H
820418 -
820419 -
820420 -
820421 -
820422 -
8205 -

SUBJECTS
IBC Examination Stable to Improved Condition After 1 of 3 Prescribed

9403 -
940401 -  ..
940402 - Examination UCSF Stable No Evident Progression of Disease
940403 - Patient Feels Well Emotional Trauma Subsides Not Taking Prozac
940404 - Prozac Not Needed Patient Feeling Good Emotional Trauma Subsides
940405 -
940406 - Follow up ref SDS 13 S55F.
940407 -
940408 - Millie's letter to Kaiser continues...
940409 -
940410 -   14.  Examination today shows stable condition, there is no evident
940411 -        increase in IBC disease.  Palpation identified no findings of
940412 -        concern. ref SDS 13 SA5J  There was discussion of possible
940413 -        improvement after just 1 treatment with Carboplatin on 080313;
940414 -        however this is speculative without comparing photographs.
940415 -        ref SDS 13 I26H  Examination shows full recovery of bruising on
940416 -        the right arm and eye area from the fall on 080125.  Lifting
940417 -        the right arm no longer presents discomfort. ref SDS 13 SA63  I
940418 -        have not started Prosaic because at this time, things seem
940419 -        favorable -- I feel good. ref SDS 13 336H, ref DIT 1 VP5R
940421 -  ..
940422 - Report that Prozac is not being used answers Kaiser's question in a
940423 - letter from the primary care physician on 080313. ref SDS 8 UE5N
940424 -
940425 -
940426 -
940427 -
940428 -
9405 -

SUBJECTS
Disability Status Benefits Entitlement Documentation Employer Nixon

A803 -
A80401 -  ..
A80402 - Disability Status Report Progress Processing Insurance Report
A80403 -
A80404 - Follow up ref SDS 13 I33H. ref SDS 4 QQ3I.
A80405 -
A80406 - Millie's letter to Kaiser concludes...
A80407 -
A80408 -   15.  The UCSF medical team plans to check with the department that
A80409 -        responds to disability documentation for my employer, which was
A80410 -        submitted several weeks ago for processing. ref SDS 13 I33H  I
A80411 -        received a call from the office yesterday asking about status.
A80412 -        ref DIT 1 VP6R
A80414 -  ..
A80415 - Millie sending copy to UCSF confirms understandings that UCSF is
A80416 - taking timely action responding to requests for patient medical
A80417 - history. ref SDS 13 I33H
A80418 -
A80419 -            [On 080409 Millie submitted letter to UCSF asking about
A80420 -            progress preparing documentation requested by N&P and Unum
A80421 -            Insurance company on Millie's entitlement to medical
A80422 -            disability benefits. ref SDS 17 OX3S
A80423 -
A80424 -
A80425 -
A80426 -
A80427 -
A805 -