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: April 23, 2008 12:22 PM Wednesday; Rod Welch

UCSF asks patient for scope blood test in doctor's Chemotherapy Orders.

1...Summary/Objective
2...Blood Draw Scope CBC UCSF Requests from Patient
3...Scope Blood Draw CBC UCSF Requests from Patient
4...Doctor Patient Partnership UCSF Requests Scope Blood Draw
5...UCSF Requests Scope Blood Draw CBC Using Doctor Patient Partnership
6...Blood Draw Treatment 080424 Scope Chemotherapy Orders 080403


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CONTACTS 

SUBJECTS
Staff Meeting Delay Blood Tests UCSF Requests Scope Labs from Patien

1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 16 0000. ref SDS 15 0000.
150502 -
150503 -
150504 -
150505 -
150507 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - Blood Draw Scope CBC UCSF Requests from Patient
150902 - Scope Blood Draw CBC UCSF Requests from Patient
150903 - Doctor Patient Partnership UCSF Requests Scope Blood Draw
150904 - UCSF Requests Scope Blood Draw CBC Using Doctor Patient Partnership
150905 -
150906 - Follow up ref SDS 16 P45J, ref SDS 15 P45J.
150907 -
150908 - Millie received ref DRT 1 0001 from Catherine responding to Millie's
150909 - letter, ref DIP 3 0001, earlier this morning, ref SDS 16 P45J,
150910 -
150911 -    1.  Unfortunately, we will not be able to draw your labs before
150912 -        8am.  I checked your orders and schedule, and it looks like we
150913 -        can draw the labs at 9am when you get seated.  (Are we just
150914 -        checking your CBC?)  It will not delay your cetuximab infusion.
150915 -        The results will be back in around 45 minutes.  The other
150916 -        option is going to the lab on the 1st floor, but that means a
150917 -        poke in the arm. ref DRT 1 0001
150919 -  ..
150920 - UCSF request for scope of blood test today aligns with reliance on
150921 - doctor patient partnership for referral coordination to order Neupogen
150922 - treatments from Kaiser prescribed by the doctor on 080403. ref SDS 5
150923 - 4U9O  Similarly, the next day on 080404 UCSF asked the patient to
150924 - write a letter notifying Kaiser that UCSF prescribed additional
150925 - treatment with Neupogen. ref SDS 8 O152
150926 -
150927 -            [...below Millie submits scope of blood draw. ref SDS 0
150928 -            ST3I
150930 -             ..
150931 -            [On 080626 blood tests missing from labs. ref SDS 17 HS7I
150933 -             ..
150934 -            [On 080703 review seemed to indicate that blood tests
150935 -            missing from laboratory work today is not specified in
150936 -            Chemotherapy Orders. ref SDS 18 TW3O
150938 -         ..
150939 -    2.  Thanks, and see you tomorrow,
150940 -
150941 -            [On 081017 doctor thanks Millie for coordinating work plan
150942 -            with Kaiser changing treatment to Sunitinib clinical study,
150943 -            when 5th relapse of IBC occurs from progression of disease,
150944 -            ref SDS 19 RI6I, cites challenge of complexity high volume
150945 -            information, and difficulty using handheld Treo computer
150946 -            like Palmpilot/Blackberry technology. ref SDS 19 6I6J
150947 -
150948 -
150949 -
150950 -
150951 -
150952 -
1510 -

SUBJECTS
Blood Tests Scope Labs 080424 0900 Chemotherapy Orders 080403 Treatm

2503 -
2504 - 1236
250501 -  ..
250502 - Blood Draw Treatment 080424 Scope Chemotherapy Orders 080403
250503 -
250505 -  ..
250506 - Millie submitted ref DIT 1 0001 to Catherine with copies to Brigid and
250507 - Jackie, responding to Catherine's question on scope of the blood
250508 - draw...
250509 -
250510 -    1.  Thanks for timely response in your letter this morning,
250511 -        ref DRT 1 0001 [received in the record above, ref SDS 0 P45J].
250512 -        Will see you at 0900.  As you explain, since there is no chemo
250513 -        tomorrow and no meeting with the medical team, delaying the
250514 -        blood draw to 0900 in the Infusion Clinic should not cause a
250515 -        delay in the work. ref DIT 1 0001
250517 -         ..
250518 -    2.  On the scope of the blood draw [requested in Catherine's letter
250519 -        today, ref SDS 0 P45J], please see Chemotherapy Orders dated
250520 -        080403 to start the current cycle.  This was submitted by
250521 -        Brigid and signed by Doctor Rugo on April 3rd.  The order says
250522 -        in part...
250523 -
250524 -             "CBC with differential and platelets."
250525 -             ref SDS 6 2N6N, ref DIT 1 666F
250527 -         ..
250528 -    3.  Everything else is on a 4 or 8 week interval.  By copy, Brigid
250529 -        or Jackie can confirm. ref DIT 1 666N
250530 -
250531 -            [On 080626 blood tests missing from labs. ref SDS 17 HS7I
250532 -
250533 -            [On 080703 review seemed to indicate that blood tests
250534 -            missing from laboratory work today is not specified in
250535 -            Chemotherapy Orders. ref SDS 18 TW3O
250536 -
250537 -
250538 -
250539 -
250540 -
250541 -
250542 -
250543 -
2506 -