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: July 25, 2008 01:00 PM Friday; Rod Welch

Millie Neupogen at Kaiser notifies Infusion Clinic about CT mistakes.

1...Summary/Objective
2...Infusion Clinic Notified Difficulties Using Power Port for CT Test


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

1403 -
1403 -    ..
1404 - Summary/Objective
1405 -
140501 - Follow up ref SDS 5 0000. ref SDS 4 0000.
140502 -
140503 -
140504 -
140505 -
140507 -  ..
1406 -
1407 -
1408 - Progress
1409 -
140901 - Millie got the first of two (2) Neupogen treatments prescribed for
140902 - this week.  Work was performed in the Infusion Clinic at Kaiser.
140904 -  ..
140905 - She received a single injection for the protocol prescribed yesterday
140906 - by UCSF in the Chemotherapy Order on 080724, ref SDS 6 PWSY, and
140907 - reflecting the treatment schedule by Zan in the Kaiser Oncology
140908 - Pharmacy on 080609. ref SDS 1 L16I
140909 -
140910 -        [On 080726 Bonnie used the protocol for 2 Neupogen treatments.
140911 -        ref SDS 7 983L
140913 -         ..
140914 -        [On 080801 Florida disclosed that Kaiser Infusion Clinic has
140915 -        standardized the protocol for Neupogen treatments using 2
140916 -        injections for 480 mcg. ref SDS 8 9W9I
140918 -  ..
140919 - Discussion with Zan today in the Oncology Pharmacy Department
140920 - indicated that on 080711 he put a note in Millie's medical chart to
140921 - schedule Neupogen treatments for the next cycle in August. ref SDS 2
140922 - RW3F  He explained today that Neupogen treatments have not been listed
140923 - in Millie's schedule at Kaiser the past few weeks, because the
140924 - Infusion Clinic has to enter the schedule for each treatment in
140925 - Kaiser's computer.  Evidently, the Infusion Clinic has not had time to
140926 - schedule the work, as shown in the record on 080711. ref SDS 2 T25F
140927 - Zan suggested mentioning to Paula that continuing treatments need to
140928 - be scheduled.
140930 -  ..
140931 - Discussion with Paula revealed that work has been hectic in the
140932 - Infusion Clinic the past few weeks.  During this discssion, two other
140933 - people were waiting to get Paula's attention on matters that require
140934 - immediate attention.  Paula made a note to have someone schedule
140935 - Millie's Neupogen treatments for another 4 weeks.
140936 -
140937 -        [On 080726 Bonnie entered in Kaiser's computer system Millie's
140938 -        schedule for Neupogen treatments for August. ref SDS 7 BS5H
140940 -         ..
140941 -        [On 080809 Donna extended Millie's schedule of Neupogen
140942 -        treatments through September. ref SDS 9 NQ4O
140943 -
140944 -
140945 -
1410 -

SUBJECTS
Default Null Subject Account for Blank Record

1503 -
150401 -  ..
150402 - Infusion Clinic Notified Difficulties Using Power Port for CT Test
150403 -
150404 - Follow up ref SDS 3 0001, ref SDS 2 OC9G.
150405 -
150406 - Paula asked about results of the CT test last Friday on 080718,
150407 - ref SDS 3 0001, following up discussions on 080711, when Paula
150408 - recommending that Millie coordinate with the CT Department to verify
150409 - that everything was lined up for the test a week later. ref SDS 2 OC9G
150411 -  ..
150412 - Mentioned briefly that pressure injection of contrast medium for the
150413 - CT test overflowed the Power Port, causing the test on 080718 to fail.
150414 - ref SDS 3 NW5M  Commended work in the Infusion Clinic the next day on
150415 - 080719 by Sheree and Julie helping Millie recover from problems the
150416 - day before. ref SDS 4 OG6F  Millie's letter to Kaiser on 080721
150417 - credited Kaiser's work on 080719. ref SDS 5 FT5I
150419 -             ..
150420 -            [On 080811 Paula investigating solutions to support CT
150421 -            Department for Millie's next test OA 080912; issue has been
150422 -            elevated, but no progress from management reported at this
150423 -            time, ref SDS 10 LD3H; there seems to be at least three (3)
150424 -            solutions. ref SDS 10 CW3O  Paula coordinating with primary
150425 -            care physician about contacting Kaiser Oakland to perform
150426 -            Millie's next CT test. ref SDS 10 DE79
150428 -  ..
150429 - Paula said the Infusion Clinic did not get a copy of the letter on
150430 - 080721.  She appreciated hearing today that the Infusion Clinic was
150431 - effective helping recover from problems.
150433 -  ..
150434 - Discussed the report from Azita at UCSF yesterday that the UCSF CT
150435 - Department notified the UCSF Infusion Clinic that Huber needles for CT
150436 - tests require "high pressure tubing" for CT test pressure injection of
150437 - contrast medium. ref SDS 6 OK63
150439 -  ..
150440 - Paula said the Kaiser Infusion Clinic in Walnut Creek has these
150441 - needles on hand for high pressure injection of contrast medium to
150442 - perform CT tests.
150444 -  ..
150445 - She asked who did the work accessing port, and seemed to indicate
150446 - communication channels between Infusion Clinic with Interventionary
150447 - Radiology may support constructive review to strengthen performance
150448 - for the next test in 7 weeks.
150450 -  ..
150451 - After the meeting at Kaiser for Neupogen and scheduling follow on
150452 - work, submitted the record to Paula on the CT test last week...
150453 -
150454 -    1.  Subject: CT Test Last Friday, and Assistance by Infusion Clinic
150455 -        Date: Fri, 25 Jul 2008 15:25:01 -0700
150459 -         ..
150460 -    2.  Paula,
150462 -         ..
150463 -    3.  While I was getting Neupogen treatment today, Rod talked to you
150464 -        about my CT test last Friday on July 18th.  There may be some
150465 -        lessons learned that can help future tests with collaboration
150466 -        among the departments at Kaiser.
150468 -         ..
150469 -    4.  Here is the record on the CT test.  It has links to related
150470 -        events, for example when we met the week before and you
150471 -        suggested I check with the CT people to make sure everything
150472 -        was going to be okay (I did my best!!).  Please avoid clicking
150473 -        links, and if you do, click the "Back" button in the browser to
150474 -        return to the main record on July 18th. ref SDS 3 0001
150475 -
150476 -            [On 080811 Paula investigating solutions to support CT
150477 -            Department for Millie's next test OA 080912; issue has been
150478 -            elevated, but no progress from management reported at this
150479 -            time, ref SDS 10 LD3H; there seems to be at least three (3)
150480 -            solutions. ref SDS 10 CW3O  Paula coordinating with primary
150481 -            care physician about contacting Kaiser Oakland to perform
150482 -            Millie's next CT test. ref SDS 10 DE79
150484 -         ..
150485 -    5.  Thanks to you, Cisi, and Bella, and to all the nurses for
150486 -        taking such good care of me in the Infusion Clinic.
150487 -
150488 -
150489 -
150490 -
150491 -
150492 -
1505 -