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1303 -
1303 -    ..
1304 - Summary/Objective
1305 -
130501 - Follow up ref SDS 3 0000, ref SDS 2 0000.
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130504 -
130506 -  ..
1306 -
1307 -
1308 - Progress
1309 -
130901 - Millie submitted a letter to Kaiser and the medical team at UCSF
130902 - notifying of steps taken on 080719, ref SDS 3 0001 to recover from
130903 - difficulities getting the CT test on 080718. ref SDS 2 0001
130904 -
130905 -    1.  Subject: Neupogen Treatment, Power Port Tested and Flushed
130906 -        Date: Mon, 21 Jul 2008 04:44:36 -0700
130914 -         ..
130915 -    3.  Thanks for timely response to the Hot Line call late Friday
130916 -        afternoon [on 080718], ref SDS 2 A46R, on arranging for follow
130917 -        up care yesterday [on 080719] in the Infusion Clinic at Kaiser.
130918 -        ref SDS 3 0001
130920 -         ..
130921 -    4.  Sharee and Julie were terrific. ref SDS 3 0001
130923 -         ..
130924 -    5.  I got Neupogen treatment [on 080719, ref SDS 3 SR37] as
130925 -        requested in Didi's Hot Line letter [on 080718, ref SDS 2
130926 -        A535].  The Power Port was accessed and worked beautifully.
130927 -        The port was maintained, following events on Friday, which
130928 -        prevented flushing according to protocol. ref SDS 3 HY6L  Julie
130929 -        changed to a 1" needle, which might relate to difficulties with
130930 -        the CT test. ref SDS 3 OH5H
130931 -
130932 -               [...below, UCSF responds to Millie's letter, ref SDS 0
130933 -               A13G, and advises bleeding incident from extravasation
130934 -               during failed CT test on 080718 does not affect blood
130935 -               counts, and so Neupogen should not be required.
130936 -               ref SDS 0 YU7N
130938 -                ..
130939 -               [On 080725 the letter today crediting the Infusion
130940 -               Clinic was not received nor mentioned to the Infusion
130941 -               Clinic staff. ref SDS 6 X69J
130943 -         ..
130944 -    6.  Julie noticed a slight gap in the surgical wound due to
130945 -        bleeding on Friday during the test.  Should this be referred to
130946 -        the surgeon?  She cleaned the incision wound and added fresh
130947 -        dressing. ref SDS 3 LD84
130949 -         ..
130950 -    7.  Please submit the report on the CT test by Tuesday or Wednesday
130951 -        for review to meet with the UCSF team on Thursday. [follow up
130952 -        request on 080718, ref SDS 2 PU7P].
130953 -
130954 -               [On 080723 Arlette reminded doctor about submitting CT
130955 -               test report to prepare for meeting at UCSF on 080724
130956 -               starting the next cycle, ref SDS 4 6V5I; doctor reported
130957 -               that CT Department delayed reading the CT test,
130958 -               ref SDS 4 R44O; report received lated PM. ref SDS 4 R45G
130960 -                ..
130961 -               [On 080724 UCSF did not received the CT test report from
130962 -               Kaiser. ref SDS 5 TG96
130964 -         ..
130965 -    8.  Will there be post-op review of CT test issues on 080718?
130966 -        Kathi mentioned she would do a report on lessons learned, and I
130967 -        should contact you for a copy. ref SDS 2 A39Q
130968 -
130969 -           [On 080811 Paula investigating solutions to support CT
130970 -           Department for Millie's next test OA 080912; issue has been
130971 -           elevated, but no progress from management reported at this
130972 -           time, ref SDS 7 LD3H; there seems to be at least three (3)
130973 -           solutions. ref SDS 7 CW3O  Paula coordinating with primary
130974 -           care physician about contacting Kaiser Oakland to perform
130975 -           Millie's next CT test. ref SDS 7 DE79
130977 -         ..
130978 -    9.  What follow up is needed to prepare for the next test in 8
130979 -        weeks?
130981 -         ..
130982 -   10.  Thanks again for timely support.
130983 -
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130990 -
130991 -
130993 -  ..
1310 -
1311 -
1312 - 0942
1313 -
131301 - Millie received a letter from Brigid commenting on Millie's report in
131302 - her letter to the medical team today, per above, ref SDS 0 CW8Q, on
131303 - getting Neupogen treatment at Kaiser on 080719, ref SDS 3 SR37,
131304 -
131305 -    1.  Subject:  CT Test 080718 Completed Successfully, Problems Using Power Port
131306 -        Date: Mon, 21 Jul 2008 07:08:38 -0700
131313 -         ..
131314 -    3.  We didn't feel that you needed the neupogen injection as you
131315 -        didn't receive chemotherapy and your counts were normal.  The
131316 -        plan will be that you will receive the neupogen injections
131317 -        after you receive Carboplatin, if you don't receive the
131318 -        Carboplatin you don't need the neupogen.
131320 -  ..
131321 - Brigid responds to Millie's notice to the medical team earlier today
131322 - about getting Neupogen treatment and having the Power Port maintained
131323 - at Kaiser per above. ref SDS 0 CW8V
131325 -  ..
131326 - Brigid's analysis today aligns with UCSF guidance on 080717 when labs
131327 - reported blood counts exceeded criteria for prescribing Neupogen.
131328 - ref SDS 1 V46L
131330 -  ..
131331 - UCSF letter continues...
131332 -
131333 -        The bleeding incident is not related to white blood cell count
131334 -        and neupogen injections.
131336 -  ..
131337 - Brigid citing the "bleeding incident" from failure using the Power
131338 - Port for the CT test indicates she reviewed the record on 080719 cited
131339 - in the letter to the medical team this morning, per above, ref SDS 0
131340 - CW8V, and in the previous letter to the team on 080718 which expressly
131341 - mentions the "bleeding incident." ref SDS 2 I46Q
131342 -
131343 -               [On 080814 UCSF says Neupogen was ordered on the Power
131344 -               Port issue, ref SDS 8 4Q5O; but Nuepogen not needed with
131345 -               labs showing blood counts NEUTS 1.37 below safe level
131346 -               for chemotherapy treatment because the medical team
131347 -               expects the body will replace needed blood in time for
131348 -               treatment the following week on 080821. ref SDS 8 UK3K
131350 -  ..
131351 - UCSF letter continues...
131352 -
131353 -        See you on Thursday
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