CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 5 0000. ref SDS 4 0000.
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040504 -
040506 -  ..
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0407 -
0408 - Progress
0409 -
040901 - Millie had a CT test at Kaiser in Oakland yesterday. ref SDS 4 358L
040902 - Everything went well. ref SDS 4 LK3R  Problems that occurred on the
040903 - previous CT test on 080718, ref SDS 1 LK3R, at Kaiser in Walnut Creek
040904 - did not occur yesterday in Oakland.
040906 -  ..
040907 - This afternoon, the primary care physician submitted the pathology
040908 - report for the test.  It was transmitted through Kaiser's Knowledge
040909 - Management dedicated email system.  This was reviewed carefully in
040910 - another record later in the evening today 080912. ref SDS 7 6V5I
040912 -  ..
040913 - Initial review showed the analyst did not follow up Interstitional
040914 - lung disease, ref SDS 7 TS4J, which was reported as a new issue in the
040915 - CT test on 080718, reviewed a week later on 080723. ref SDS 2 TS4J
040917 -  ..
040918 - Millie sent a letter to the doctor using the dedicated email program
040919 - in Kaiser's Knowledge Mangaement system asking if failure of the
040920 - report to mention Interstitional Lung disease indicates the condition
040921 - is resolved, or that the analyst did not look for it. ref SDS 5 LO9U
040923 -  ..
040924 - Millie received a letter through Kaiser's Knowledge Management email
040925 - system from the primary care physician saying...
040926 -
040927 -    1.  Subject: CT Chest resultsPrinter-friendly version
040928 -        Date Received: 9/12/08 3:35 PM
040932 -         ..
040933 -    2.  If the interstitial disease was not mentioned, then it is not
040934 -        worsening and negligible enough not to comment on.
040936 -  ..
040937 - The doctor comments on Millie's question in a letter earlier today
040938 - about omission of findings in the CT test on 080911 on resolution or
040939 - condition of Interstitional lung disease, ref SDS 5 LO9U, reported in
040940 - the prior test on 080718, as shown by review today, reported later in
040941 - the evening today on 080912? ref SDS 7 TS4J
040942 -
040943 -            [On 080912 Millie requests confirmation that Kaiser's
040944 -            report for the CT test on 080911, shown in the record on
040945 -            080912, doesn not present findings on Institional Lung
040946 -            disease with other language, such that there are no follow
040947 -            up findings of any kind for the prior test on 080718,
040948 -            reported on 080723, and which would be recognized by an
040949 -            expert health care provider. ref SDS 6 O657
040951 -  ..
040952 - Does this reasoning apply to omission in the report on the CT test
040953 - performed 080911 of findings on cancer in the left supraclavicular
040954 - which was reported at UCSF on 080821, and a week later by the primary
040955 - care physician at Kaiser on 080829, shown by review later today on
040956 - 080912? ref SDS 7 5O6N
040958 -             ..
040959 -            [...in another record today on 080912 Millie asks if
040960 -            omission of findings for cancer in the left supraclavicular
040961 -            shows findings at UCSF on 080821, and by the primary care
040962 -            physician on 080829 have subsided? ref SDS 6 O664
040964 -             ..
040965 -            [On 080915 primary care physician at Kaiser responds to
040966 -            Millie's letter on 080912 and does not answer the request
040967 -            today asking if omission of findings on in the report on
040968 -            080912 (today) for the CT test on 08911 shows cancer in
040969 -            left supraclavicular has been resolved. ref SDS 8 XE9M
040971 -             ..
040972 -            [On 081113 report for CT test of the neck on 081107 finds
040973 -            cancer in right supraclavicular "increased" from prior
040974 -            test, ref SDS 9 4K5H, which is incorrect, because the prior
040975 -            test on 080718 reviewed on 080723, ref SDS 2 EO8F, and
040976 -            referenced in the report for the test on 081107 does not
040977 -            present findings of anything in the right supraclavicular,
040978 -            ref SDS 9 SE9H, and neither does any other test in
040979 -            patient's 7 year history of testing, including the report
040980 -            today for the test on 080911. ref SDS 7 5O6N
040982 -  ..
040983 - Letter from Kaiser concludes...
040984 -
040985 -    3.  I left a message with the Chief of Radiology in WCR regarding
040986 -        this.
040988 -  ..
040989 - The doctor follows up on Millie's request in her letter earlier today
040990 - to upgrade service for patients getting CT tests who need support
040991 - using Power Ports that avoid injury from excessive needle punctures.
040992 - ref SDS 5 LO4W
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