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: August 26, 2008 02:49 PM Tuesday; Rod Welch

Kaiser called to schedule CT test for Millie on 080912.

1...Summary/Objective


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SUBJECTS
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1803 -
1803 -    ..
1804 - Summary/Objective
1805 -
180501 - Follow up ref SDS 4 N66E, ref SDS 3 L45M.
180502 -
180503 -
180504 -
180505 -
180507 -  ..
1806 -
1807 -
1808 - Progress
1809 -
180901 - After returning from the hike today, there was a message for Millie
180902 - from the Scheduling branch of the CT Department for Kaiser in Walnut
180903 - Creek.
180905 -  ..
180906 - Called the number left with the telephone message.
180908 -  ..
180909 - Talked to Lisa with the Scheduling branch of the CT Department for
180910 - Kaiser in Walnut Creek.
180912 -  ..
180913 - Reviewed background on 080822.  At that time, Arlette advised that
180914 - Millie's next CT test is scheduled for 080911 at Kaiser in Oakland.
180915 - ref SDS 4 N66E  This implemented planning at Kaiser on 080811 to solve
180916 - problems doing Millie's CT test, ref SDS 3 L465, because personnel in
180917 - the Walnut Creek hospital are not trained to use Power Port and Huber
180918 - needle technology for injecting contrast medium to perofrm CT tests,
180919 - reported by Ike on 080711. ref SDS 1 JQ55
180921 -  ..
180922 - Lisa said the computer shows that the CT Department at Kaiser in
180923 - Oakland sent the order for Millie's CT test back to the CT Department
180924 - at Kaiser in Walnut Creek.  This confirms Arlette's good work
180925 - scheduling Millie's CT test at Kaiser in Oakland on 080822.
180926 - ref SDS 4 N66E, implementing Paula's plans on 080811 for Millie to get
180927 - the CT test at Kaiser in Oakland where the CT Department has
180928 - experience using Power Port and Huber needle technology for injecting
180929 - contrast medium. ref SDS 3 L465
180931 -  ..
180932 - We briefly reviewed requirements for the CT test to use Millie's Power
180933 - Port, and that on 080711 Ike notified Millie that the CT Department in
180934 - Walnut Creek does not have experience using Huber needles with Power
180935 - Ports to inject CT contrast medium. ref SDS 1 JQ55  On 080718 the CT
180936 - Department tried to do Millie's test, and failed, ref SDS 2 LK3R, due
180937 - to inexperience using Power Port and Huber needle technology for
180938 - injecting contrast medium, reported on 080711. ref SDS 1 JQ55
180940 -  ..
180941 - Lisa called the CT Department for Kaiser in Walnut Creek.
180942 -
180943 -
180944 -
180946 -  ..
1810 -
1811 -
1812 - 1455
1813 -
181301 - Lisa said the CT Department at Kaiser in Walnut Creek, told her to
181302 - call "management" about Millie's next CT test.
181304 -  ..
181305 - Lisa then called Al in "management."
181307 -  ..
181308 - Al advised Lisa that he is contacting the head of Interventionary
181309 - Radiology to make arrangements for Millie's CT test applying Power
181310 - Port and Huber needle technology at Kaiser in Walnut Creek.
181311 -
181312 -        [On 080905 Paula reported Kaiser management is aware of
181313 -        Millie's case and is working on upgrading test services in the
181314 -        CT department to use Power Port technology for injecting
181315 -        contrast medium. ref SDS 6 6S7H
181316 -
181317 -
181319 -  ..
1814 -
1815 -
1816 - 1523
1817 -
181701 - Loretta called back for Lisa.
181702 -
181703 - Kaiser management proposes doing Millie's CT test with staff from
181704 - Interventionary Radiology again, and asked about doing the test
181705 - on Tuesday, Wednesday, and Thursday.
181707 -  ..
181708 - Loretta was not familiar with difficulties doing the CT test on 080718
181709 - with staff from the Interventionary Radiology. ref SDS 2 2U8V
181711 -  ..
181712 - Loretta said the notice they received from the CT Department in
181713 - Oakland was for Millie to have the CT test done on 080911.
181715 -  ..
181716 - Loretta said the CT Department at Kaiser in Walnut Creek can only do
181717 - Millie's CT test on Thursday, 080911 at 1100.
181719 -  ..
181720 - Reviewed requirements for the test on 080912, and that 080911 was only
181721 - needed, if the test was done at Kaiser in Oakland, so that Millie can
181722 - stop at Oakland on the way home from UCSF after treatment.
181724 -  ..
181725 - If the test is done in Walnut Creek, then it can be scheduled at the
181726 - regular date of 080912, to comply with treatment protocol that
181727 - requires tests every 8 weeks.
181728 -
181729 -            [On 080827 Millie sent a letter to the primary care
181730 -            physician asking Kaiser to present work plans for the next
181731 -            CT test on 080912, ref SDS 5 506P; copy was sent to Paula
181732 -            who was helpful on 080811. ref SDS 3 LD3H
181734 -  ..
181735 - Loretta feels there is flexibility to advance the test to Tuesday or
181736 - Wednesday.  If the test is advanced a day or so, this will provide
181737 - Kaiser more time to prepare the report, so that it can be distributed
181738 - to everybody in time to prepare for meeting with the medical team at
181739 - UCSF on 080918.
181741 -  ..
181742 - Kaiser CT Department in Walnut Creek needs to upgrade performance on
181743 - doing CT tests with Power Port and Huber needle technology, as related
181744 - in the record on 080811. ref SDS 3 4956
181746 -  ..
181747 - Loretta will notify the CT test staff about requirements for a work
181748 - plan to implement manufacturer's instructions on using Power Port and
181749 - Huber needle technology for injectig contrast medium in a manner that
181750 - avoids problems on 080718. ref SDS 2 2U8V  Kaiser can review the cause
181751 - of problems listed at that time. ref SDS 2 WI7G
181753 -  ..
181754 - Loretta said she will try to get an address for submitting the record
181755 - of work in the CT Department on 080718 to the CT Department, so that
181756 - everyone can communicate and collaborate planning the next test.
181757 -
181758 -            [On 080827 Millie sent a letter to the primary care
181759 -            physician asking Kaiser to present work plans for the next
181760 -            CT test on 080912, ref SDS 5 506P; copy was sent to Paula
181761 -            who was helpful on 080811. ref SDS 3 LD3H
181763 -             ..
181764 -            [On 080905 Paula reported Kaiser management is aware of
181765 -            Millie's case and is working on upgrading test services in
181766 -            the CT department to use Power Port technology for
181767 -            injecting contrast medium. ref SDS 6 6S7H
181768 -
181769 -
181770 -
181771 -
181772 -
181773 -
181774 -
181775 -
1818 -