CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 29 OC9G, ref SDS 28 OC9G.
040502 -
040503 -
040505 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Kaiser Investigating Assignments for CT Test With Power Port on 080718
040902 -
040903 - Follow up ref SDS 29 2P3N, ref SDS 28 2P3N.
040904 -
040905 - Millie called Kaiser.  After several call backs, she finally talked to
040906 - Arlette.
040908 -  ..
040909 - Arlette said things are hectic today.  Doctor Johnson is in the
040910 - hospital but not seeing patients, and not currently in his office.
040912 -  ..
040913 - Arlette advised the Kaiser computer system is down, so she has not
040914 - reviewed Millie'a letter on 080712, ref SDS 29 2P3N, reporting issues
040915 - that need to be resolved for Millie's CT test using the Power Port
040916 - next Friday, 080718.
040918 -  ..
040919 - Arlette asked to hold the line while she searches for the doctor.
040921 -  ..
040922 - After 10 minutes, Millie called back and asked the receptionist to put
040923 - a note on Arlette's desk, that Millie will stop by for a visit at the
040924 - hospital in about 30 minutes.
040925 -
040927 -  ..
0410 -
0411 -
0412 - 1043
0413 -
041301 - Visited with Arlette at Oncology Department, Kaiser in Walnut Creek.
041302 -
041303 - Arlette still had not read Millie's letter, nor found the doctor.
041305 -  ..
041306 - She was thrilled to hear surgery for the Power Port went well last
041307 - week on 080708, ref SDS 25 0001, and proved fully operational in
041308 - treatment at UCSF on 080710. ref SDS 27 TZ8I  Arlette asked about the
041309 - scope of the problem today?
041311 -  ..
041312 - Reviewed explanation in Millie's letter on 080712 on need for CT test
041313 - department to resolve Power Port protocol requirements, which includes
041314 - finding a medical professional with the certificate for performing CT
041315 - tests with Millie's Power Port in time for Millie's CT test on 080718.
041316 - ref SDS 29 KZ5X
041318 -  ..
041319 - Arlette asked what special requirements are involved for the CT test
041320 - with the Power Port?
041322 -  ..
041323 - The "Power Port Patient Packet," ref SDS 25 DZ5O, has procedures for
041324 - "Power Injection," listed in the record on 080708. ref SDS 25 JE7N
041325 - Arlette received Millie's copy of the Patient Packet to facilitate
041326 - lining up assignments for the test on 080718.
041328 -             ..
041329 -            [On 080718 Nora with Kaiser Interventionary Radiology
041330 -            assigned to access the Power Port for Millie's CT test,
041331 -            ref SDS 31 2U8V; during procedure, Nora requests
041332 -            manufacturer's Instructions for Use on Power Injection
041333 -            procedures, ref SDS 31 NM5V, which was submitted to Kaiser
041334 -            on 080709, ref SDS 26 TR9X, review was requested on 080712,
041335 -            ref SDS 29 K13Q, and again today on 080715, per above.
041336 -            ref SDS 0 RB3T; complications occurred on power injection,
041337 -            contrast medium overflowed, CT test with Power Port failed.
041338 -            ref SDS 31 LK3R
041340 -  ..
041341 - Mentioned discussion with Ike in the CT Department on 080711 indicates
041342 - Kaiser Walnut Creek has 3 doctors with required certificate.
041343 - ref SDS 28 RG9M
041345 -  ..
041346 - Arlette asked for the names and telephone numbers of doctors. who are
041347 - certified to perform CT tests at Kaiser with Powr Ports.
041349 -  ..
041350 - Explained that Ike did not submit doctor contact data to the customer
041351 - on 080711.
041353 -  ..
041354 - Arlette will call the CT Test Department at the telephone number shown
041355 - in the record on 080711, ref SDS 28 2P3N, and coordinate with Ike to
041356 - get contact inforamtion on the 3 doctors who can do the CT test with
041357 - Millie's Power Port.
041359 -  ..
041360 - Arlette will find Doctor Johnson and see where things stand
041361 - coordinating everything in time for the test on Friday.
041362 -
041363 -
041364 -
041366 -  ..
0414 -
0415 -
0416 - 1133
0417 -
041701 - Infusion Clinic Does Not Have Time for Nurse to Go to CT Department
041702 -
041703 - Called Arlette while hiking at Lafayette Reservoir.
041705 -  ..
041706 - She has found the primary care physician and talked to him about
041707 - Millie's CT test on Friday.
041709 -  ..
041710 - The doctor was adament that the Infusion Clinic in the Oncology
041711 - Department cannot support Ike's request on 080711 for a nurse to go
041712 - with Millie to the CT Test Department in order to insert the Huber
041713 - needle according to manufacturer's Instructions for Use on Power
041714 - Injection Procedures, and then remove the needle and flush the port
041715 - after the test. ref SDS 28 JQ98  Infusion Clinic management reports
041716 - today being short-staffed.  There is not enough time for a nurse
041717 - experienced using Huber needles to leave for 30 minutes or so to
041718 - assist the CT Department doing a test for the first time using new
041719 - technology ordered by the Oncology Department.
041721 -         ..
041722 -        [On 080718 Nora with Kaiser Interventionary Radiology assigned
041723 -        to access the Power Port for Millie's CT test, ref SDS 31 2U8V;
041724 -        during procedure, Nora requests manufacturer's Instructions for
041725 -        Use on Power Injection procedures, ref SDS 31 NM5V, which was
041726 -        submitted to Kaiser on 080709, review was requested on 080712,
041727 -        ref SDS 29 K13Q, and again today on 080715, per above.
041728 -        ref SDS 0 RB3T; complications occurred on power injection,
041729 -        contrast medium overflowed, CT test with Power Port failed.
041730 -        ref SDS 31 LK3R
041732 -         ..
041733 -        [On 080801 Bard field service represetative reports efforts to
041734 -        train Kaiser on using Huber needles to access Power Ports for
041735 -        high pressure injection of contrast medium performing CT tests.
041736 -        problem is how to cross-train CT technologists while they gain
041737 -        skill from experience. ref SDS 32 N58H
041739 -         ..
041740 -        [On 080811 Kaiser reorganization took nurses trained to support
041741 -        Power Port technology from the Infusion Clinic to work in a new
041742 -        Interventionary unit, rather than use the Infusion Clinic staff
041743 -        to support CT tests. ref SDS 33 DE74
041745 -  ..
041746 - Decided Millie can return to the Infusion Clinic after the CT test for
041747 - a nurse to remove the Huber needle.
041749 -  ..
041750 - Another idea to save time for the Infusion Clinic is to leave the
041751 - Huber needle in place that UCSF uses to access the port for Millie's
041752 - treatment on Thursday, similar to the surgeon leaving a Huber needle
041753 - in the new Power Port last Tuesday during surgery, ref SDS 25 BF4K,
041754 - which was used 2 days later on Thursday at UCSF for Millie's
041755 - treatment, reported on 080710. ref SDS 27 TZ6H  Millie is scheduled
041756 - for the Infusion Clinic to access the port with a Huber needle on
041757 - 080718 1030, half an hour before the test in the CT department at
041758 - 1100.  Leaving the Huber needle from work on Thursday in place will
041759 - save time and money for Kaiser on Friday, as well.
041761 -  ..
041762 - Arlette feels that using the Huber needle at Kaiser which UCSF sets up
041763 - the day before for chemotherapy treatment may be a good supplement to
041764 - work plans on 080711, ref SDS 28 JR88, and meets goals for health care
041765 - cost containment.
041767 -  ..
041768 - Arlette explained that the doctor is still working to line up someone
041769 - with a certificate to connect the CT test equipment cable for contrast
041770 - medium to the Huber needle, and press the button, discussed with Ike
041771 - on 080711. ref SDS 28 RG9O  Arlette seemed to indicate the doctor
041772 - supports Ike's idea to use a conventional IV rather than delay the
041773 - test, since delay conflicts with UCSF clinical study requirements.
041774 - ref SDS 28 JR40  The cancer marker CA 15-3 141 from the labs for
041775 - surgery on 080708, ref SDS 25 05YW, rising to new highs in patient
041776 - history adds urgency to timely CT testing.
041778 -  ..
041779 - We reviewed 10 ways Kaiser can accomplish the CT test for Millie on
041780 - 080718 using the Power Port. ref SDS 28 JR88
041781 -
041782 -
041783 -
041785 -  ..
0418 -
0419 -
0420 - 1334
0421 -
042101 - Kasier Solved Problems CT Test with Power Port Scheduled for Friday
042102 -
042103 - Returned home from hiking at Lafayette Reservoir.
042105 -  ..
042106 - There were two messages from Arlette, following up coordination
042107 - discussions earlier today, per above. ref SDS 0 PPYR
042109 -  ..
042110 - The first message merely said the doctor is working to resolve CT test
042111 - assignment problems.
042113 -  ..
042114 - Arlette's second message said...
042115 -
042116 -        "Good news; the doctor found a nurse in the Radiology
042117 -        Department with the required certificate to support the CT test
042118 -        using Millie's Power Port on Friday.  Everything is set up."
042120 -  ..
042121 - This seems to indicate we are good to go using the Power Port on
042122 - Friday, solving problems presented in the CT Department last week on
042123 - 080711, ref SDS 28 JR7Y, and earlier in the Infusion Clinic.
042124 - ref SDS 28 PP5J
042125 -
042126 -            [On 080716 Ike called and confirmed that Kaiser has made
042127 -            arrangements for Millie to get a CT test using her Power
042128 -            Port. ref SDS 30 PZ4L
042130 -             ..
042131 -            [On 080718 Nora with Kaiser Interventionary Radiology
042132 -            assigned to access the Power Port for Millie's CT test,
042133 -            ref SDS 31 2U8V; during procedure, Nora requests
042134 -            manufacturer's Instructions for Use on Power Injection
042135 -            procedures, ref SDS 31 NM5V, which was submitted to Kaiser
042136 -            on 080709, review was requested on 080712, ref SDS 29 K13Q,
042137 -            and again today on 080715, per above. ref SDS 0 RB3T;
042138 -            complications occurred on power injection, contrast medium
042139 -            overflowed, CT test with Power Port failed. ref SDS 31 LK3R
042140 -
042142 -  ..
0422 -
0423 -
0424 - 0014
0425 -
042501 - Millie submitted a letter to the doctor with copies to the medical
042502 - team, and saying...
042503 -
042504 -    1.  Subject: CT Test 080718 Schedule Problem Solved, Thanks
042505 -        Date: Wed, 16 Jul 2008 00:21:32 -0700
042510 -         ..
042511 -    2.  Dear Doctor Johnson,
042513 -         ..
042514 -    3.  Arlette called and left a message [today] that you solved the
042515 -        schedule problem, ref SDS 0 RB4N, presented last Friday in the
042516 -        CT test department, ref SDS 28 JR7Y, noted in my letter to the
042517 -        medical team on 080712. ref SDS 29 KZ5X
042518 -
042519 -           http://www.welchco.com/sd/08/00101/02/08/07/15/101651.HTM#RB4N
042521 -         ..
042522 -    4.  I understand that we are good to go for the test using the
042523 -        Power Port on Friday July 18th 1100.
042525 -         ..
042526 -    5.  Please forward this letter to the CT Department saying thanks
042527 -        to Ike for timely coordination.
042528 -
042529 -            [On 080716 Ike reported the CT Department did not get a
042530 -            copy of Millie's letter today commending work expediting
042531 -            preparations for Millie's CT test. ref SDS 30 PZ51
042533 -         ..
042534 -    6.  As well, please send a copy to Paula, Cesi, and Bella in the
042535 -        Infusion Clinic to let them know I will ask Catherine to leave
042536 -        the Huber needle in place after treatment at UCSF on Thursday
042537 -        for the CT test at Kaiser on Friday, similar to Doctor
042538 -        Riley-Paull accessing the port with a Huber needle after
042539 -        surgery last Tuesday for my treatment at UCSF on Thursday.
042540 -        ref SDS 25 BF4K
042542 -  ..
042543 - This modifies planning on 080617 for the Infusion Clinic at Kaiser to
042544 - access the Power Port. ref SDS 16 OQ61
042546 -  ..
042547 - Millie's letter to Kaiser continues...
042548 -
042549 -    7.  After the test, I will go to the Infusion Clinic for removal of
042550 -        the Huber needle, or will the Radiology nurse do that?  I'm
042551 -        sure this will be worked out some way.
042553 -         ..
042554 -    8.  Again thanks to Doctor Johnson and to Ike; and special hugs to
042555 -        Arlette for being the "little engine" saying "I think I can"
042556 -        climb this mountain, and then did it!  That's the "engine"
042557 -        needed at GM, Ford, IBM, DOD, Harvard, Microsoft...
042558 -
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0426 -