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1503 -
1503 -    ..
1504 - Summary/Objective
1505 -
150501 - Follow up ref SDS 56 0000. ref SDS 53 0000.
150502 -
150503 -
150504 -
150505 -
150506 -
150508 -  ..
1506 -
1507 -
1508 - Progress
1509 -
150901 - CT Test Kaiser in Oakland Use Power Port Huber Needle
150902 -
150903 - Follow up ref SDS 56 9W9I, ref SDS 53 9W9I.
150904 -
150905 - Got a number from Google...
150906 -
150907 -            Kaiser
150908 -            Radiology Department
150909 -            280 W MacArther
150910 -            Oakland CA
150911 -            510 752 1255
150912 -            510 752 0166      schedule   Valerie
150913 -            510 752 5324      supervisor Tammy
150915 -  ..
150916 - Valerie says coming from San Francisco take 580 past Highway 24
150917 - turn-off to Broadway Auto Row.
150918 -
150919 -                 Take Broadway to MacArther
150920 -                 Go North or South
150921 -                 MacArthur turns into W MacArthur
150922 -                 There is Shell station
150923 -                 Turn onto Piedmont.
150924 -
150926 -  ..
150927 - On 080829 Millie's doctor prescribed CT test at Kaiser in Oakland,
150928 - because they have experience using Power Port with Huber needle to
150929 - inject contrast medium. ref SDS 60 RP7V
150931 -  ..
150932 - Left message with CT Department that opens at 0800 for Millie's CT
150933 - test.
150934 -
150936 -  ..
1510 -
1511 -
1512 - 0940
1513 -
151301 - Called Valerie back at the Kaiser CT Department in Oakland and while
151302 - hiking at Lafayette Reservoir.
151304 -  ..
151305 - Valerie found the explanation entered in Kaiser's Knoweldge Management
151306 - system on 080829 why the test is needed at the Kaiser CT Department in
151307 - Oakland.
151309 -  ..
151310 - Valerie was able to schedule Millie for the CT test next week on
151311 - 080911 1330.
151313 -  ..
151314 - She said the test was still in the queu at the Kaiser CT Department in
151315 - Walnut Creek.  During the call, Valerie called the Kaiser CT
151316 - Department in Walnut Creek and got them to release the test from their
151317 - queue.
151319 -  ..
151320 - Valerie was then able to schedule the test for Millie in Oakland.
151322 -  ..
151323 - Turns out Kaiser has no CT tests scheduled on 080911, so Millie could
151324 - choose the time of the test beginning at 0830.  Set the test for 1330
151325 - about 90 minutes after getting treatment at UCSF.
151327 -  ..
151328 - Discussed leaving Power Port access with the Huber needle at UCSF in
151329 - place for work at Kaiser in Oakland to perform the CT test, as
151330 - discussed in the letter to the medical team on 080827. ref SDS 57
151331 - 513T, and citing recommendations at the Kaiser CT Department on
151332 - 080718. ref SDS 44 FL75  This implements planning on 080811,
151333 - ref SDS 54 4931, and Millie's letter to the medical team on this
151334 - issue. ref SDS 54 P43Y
151336 -  ..
151337 - Valerie said Kaiser in Walnut Creek has not had time to submit
151338 - correspondence on Millie's test to the CT Department in Oakland.  She
151339 - plans to call the doctor and ask him to make any requests on the Huber
151340 - needle access to Power Port at UCSF for Millie's CT test at Oakland.
151342 -  ..
151343 - There was discussion that the primary care physician sees a lot of
151344 - patients.  Remembering details on a test for one patient is very
151345 - difficult.  Valerie explained that she has a lot of work also.  There
151346 - are many patients waiting on hold for Valerie's help.
151348 -  ..
151349 - She feels the CT Department in Oakland cannot remind the doctor about
151350 - specific instructions needed.  The most she can do is ask the doctor
151351 - for any special instructions.  She suggested that Millie call the
151352 - doctor and remind him about planning for the CT test in Oakland.
151353 -
151354 -
151356 -  ..
1514 -
1515 -
1516 - 1338
1517 -
151701 - Millie submitted a letter to the primary care physician at Kaiser
151702 - saying...
151703 -
151704 -    1.  Subject:  CT Test Scheduled for Oakland Sep 11
151705 -        Date: Wed, 03 Sep 2008 13:46:18 -0700
151710 -         ..
151711 -    2.  Dear Doctor Johnson,
151713 -         ..
151714 -    3.  Per your work plan in the meeting at Kaiser last Friday on
151715 -        080829 [shown in Millie's letter to Kaiser, ref SDS 60 RP7V].
151716 -        I called today and talked to Valerie in the CT Department at
151717 -        Kaiser in Oakland.
151719 -         ..
151720 -    4.  After some computer manipulations, Valerie found the
151721 -        explanation that you entered during the meeting on 080829.
151722 -        [cited in Millie's letter to the medical team on 080829.
151723 -        ref SDS 60 RP7V]  She said my test was still in the queue at
151724 -        Kaiser in Walnut Creek, but she called someone and they entered
151725 -        a release, so that she was able to transfer the test to
151726 -        Oakland.
151728 -         ..
151729 -    5.  The test is now scheduled in Oakland Sep 11 0130p.
151730 -
151731 -           [On 080915 Jill, new Clinical Research Coordinator, submits
151732 -           letter requesting results of CT test to prepare for meeting
151733 -           with Millie at UCSF a few days later on 080918. ref SDS 63
151734 -           4P88
151736 -         ..
151737 -    6.  Valerie confirmed that the Oakland CT Department has experience
151738 -        using Power Port and Huber needle technology [as Paula reported
151739 -        on 080811, ref SDS 54 L465].  I go first to the Infusion Clinic
151740 -        to access the port, then to the CT trailer, which is outside
151741 -        next to the Infusion Clinic.  I will stop by tomorrow on the
151742 -        way home from treatment at UCSF to get familiar with the
151743 -        driving route, parking, and getting to the Infusion Clinic at
151744 -        Oakland.
151746 -         ..
151747 -    7.  Valerie said she would call you today about you notifying the
151748 -        Infusion Clinic and the CT Department in Oakland that I can use
151749 -        the Huber needle for the CT test that accesses the Power Port
151750 -        for treatment at UCSF an hour earlier, rather than remove it at
151751 -        UCSF, and then access the port again at Oakland.  This
151752 -        procedure was proposed by Kathi in the CT Department at Kaiser
151753 -        in Walnut Creek for the prior test on 080718. ref SDS 44 FL61
151755 -         ..
151756 -    8.  Since [on 080710] UCSF used a Huber needle access to the Power
151757 -        Port at Kaiser 2 days earlier [on 080708], ref SDS 38 I27G, it
151758 -        seems reasonable that Kaiser can use a Huber needle access
151759 -        performed at UCSF an hour earlier [for my test on -080911].
151761 -         ..
151762 -    9.  One issue is the specification for the Huber needle to perform
151763 -        power injection of contrast medium is more stringent than for
151764 -        chemotherapy treatment.  UCSF advises the Infusion Clinic uses
151765 -        the same Huber needle that is used for CT tests.  The product
151766 -        specification for the [Lifeguard Safety Infusion Set Huber
151767 -        needle] was submitted by Catherine on 080724. ref SDS 47 MV7Y,
151768 -        to facilitate review at Kaiser with respect to this support
151769 -        initiative.
151770 -
151771 -               [On 080911 Catherine reported the UCSF Infusion Clinic
151772 -               team discussed requirements for accessing Millie's Power
151773 -               Port using a Lifeguard Safety Infusion Set Huber needle
151774 -               that will support her CT test at Kaiser in Oakland later
151775 -               on 080911. ref SDS 62 V64G
151777 -                ..
151778 -               [On 080911 after Millie's treatment, Diane flushed the
151779 -               Lifeguard Safety Infusion Set Huber needle and then
151780 -               configured it for use later at Kaiser for Milllie's CT
151781 -               test. ref SDS 62 O55I
151783 -                ..
151784 -               [On 00911 Catherine submitted the product specification
151785 -               for the Lifeguard Safety Infusion Set Huber needle for
151786 -               Millie to give to the CT technologist at Kaiser to avoid
151787 -               confusion about suitability for high power injection of
151788 -               contrast medium. ref SDS 62 O65N
151790 -         ..
151791 -   10.  When I visit with the Infusion Clinic folks in Oakland, I will
151792 -        mention this.  Valerie asked me to get you involved as well.
151794 -         ..
151795 -   11.  Thanks very much for facilitating these arrangements.
151796 -
151803 -
151804 -
151806 -  ..
1519 -
1520 -
1521 - 1557
1522 -
152201 - Valerie called from the Kaiser CT Department in Oakland.
152202 -
152203 - Valerie has talked to Doctor Johnson, planned in the discussion this
152204 - morning, per above. ref SDS 0 4Q53
152206 -  ..
152207 - The doctor presented a work plan to Valerie for Millie's CT test on
152208 - 080911.  The nurse in the Infusion Clinic at UCSF, Catherine, will
152209 - flush the Power Port, per protocol, after Millie's treatment with
152210 - cetuximab, but will not remove the Huber needle.  UCSF will tape the
152211 - needle in place for use at the Kaiser CT Department, as discussed with
152212 - Kathi at Kaiser in Walnut Creek on 080718. ref SDS 44 FL61
152214 -  ..
152215 - After treatment at UCSF, Millie will drive home, and stop on the way
152216 - at the Kaiser CT Department in Oakland.
152218 -  ..
152219 - Valerie said Millie can go directly to the CT Department, rather than
152220 - report to the Infusion Clinic to access the port.  After the test,
152221 - Millie will go to the Infusion Clinic for a nurse to flush the port
152222 - and remove the Huber needle.
152224 -  ..
152225 - Valerie gave instructions for driving to the Kaiser CT Department in
152226 - Oakland.
152227 -
152228 -        1.  Highway 580 crossing the Bay bridge, go past the highway
152229 -            24 turn-off for Walnut Creek about 1 mile.
152230 -
152231 -        2.  Broadway/Auto Row turn-off, and go North to Piedmont or to
152232 -            West MacArther.
152234 -             ..
152235 -            There is a parking garage off of Piedmont, and the CT test
152236 -            trailer is sitting inside the parking garage in front of
152237 -            the entrance to the Infusion Clinic.
152238 -
152239 -
152241 -  ..
1523 -
1524 -
1525 - 1230
1526 -
152601 - After Millie's treatment today, we stopped at Kaiser in Oakland to
152602 - test driving instructions for getting to Millie's CT test next week,
152603 - per above. ref SDS 0 5G4J
152605 -  ..
152606 - We had problems from turning "South" rather than "North" to get to
152607 - Kaiser.  We wound up on Telegraph street.
152609 -  ..
152610 - Stopped and got directions.
152612 -  ..
152613 - Telegraph goes to West MacArther, turn South (right), and go about 4
152614 - blocks past Kaiser on the left to Piedmont.  There is a Shell station
152615 - at Piedmont and West MacArther.
152617 -  ..
152618 - We turned left, which is the wrong way, and so went around the block
152619 - on Webster.
152621 -  ..
152622 - Turning onto Piedmont about 50 yards there is an entrance to the
152623 - parking garage.  The CT Department trailer is visible in the parking
152624 - garage.
152626 -  ..
152627 - We went into the building and found the Infusion Clinic on the left,
152628 - immediately after entering the building from the parking garate and
152629 - across from the CT Department trailer.
152631 -  ..
152632 - The clerk has Millie scheduled to get the CT test next Thursday at
152633 - 1330.
152635 -  ..
152636 - We left the Infusion Clinic and walked over to the CT Department
152637 - trailer.  The attendant also shows Millie scheduled to get a test
152638 - next Thursday.
152639 -
152640 -
152641 -
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152645 -
1527 -