CONTACTS 

SUBJECTS
Meeting 081016 UCSF 1st Treatment 9th Cycle  2d Arm Clinical Study T

1903 -
1903 -    ..
1904 - Summary/Objective
1905 -
190501 - Follow up ref SDS 3 0000, ref SDS 2 215I.
190502 -
190503 -
190504 -
190505 -
190506 -
190508 -  ..
1906 -
1907 -
1908 - Progress
1909 -
190901 - Millie received ref DRT 1 0001 a letter from Gloria using Kaiser's
190902 - Knowledge Management system with dedicated email, and responding to
190903 - Millie's letter to the medical team on 081016, which initially
190904 - reported elevated INR 4.2. ref SDS 2 J37W
190906 -         ..
190907 -    1.  Thank you for taking your Protime/INR blood test. ref DRT 1
190908 -        0001
190910 -         ..
190911 -    2.  Your INR Result: INR 4.2 10/16/2008 (FROM UCSF), ref DRT 1 LY5L
190913 -  ..
190914 - Gloria reports INR from blood test at UCSF on 081016, ref SDS 1 K66J,
190915 - which was reported to Gloria at Kaiser in Millie's letter to the
190916 - medical team on 081016. ref SDS 2 J37W
190917 -
190918 -               [...in another record today, Millie notified Kaiser that
190919 -               INR 2.3 returned to normal range between 2.0 and 3.0
190920 -               with another blood test a week later on 081023 at UCSF.
190921 -               ref SDS 4 6V5T
190923 -  ..
190924 - For some reason, Gloria does not report getting Millie's letter a few
190925 - days later on 081019 advising of having resumed normal Coumadin
190926 - (warfarin) treatments. ref SDS 3 1H5H
190927 -
190929 -  ..
190930 - Kaiser's letter from Gloria continues...
190931 -
190932 -    3.  INR GOAL RANGE: 2.0 - 3.0. ref DRT 1 K25O
190933 -
190934 -    4.  **CONTINUE YOUR SAME WARFARIN DOSE BELOW.**
190935 -
190936 -        According to our records, your current Warfarin instruction is
190937 -        as follows:, ref DRT 1 M26H
190938 -
190939 -        a.  Using Warfarin 4MG Tablet (BLUE in color):
190940 -        b.  Take 6MG (1 & 1/2 tabs) every Thursday;
190941 -        c.  take 4MG ( 1 tab) all other days of the week.
190943 -         ..
190944 -    5.  Please have your next Protime/INR blood test on:  Follow up
190945 -        date: 10/28/08, ref DRT 1 937G
190947 -         ..
190948 -    6.  You can test at any Kaiser Permanente lab.  You do not need an
190949 -        appointment or lab slip.  We will contact you by phone or by
190950 -        mail with your results.  If you do not hear from us within 3-4
190951 -        days, please call us at the phone number below.  If at all
190952 -        possible, please do not have your INR lab done on Fridays or
190953 -        weekends unless specifically instructed to do so by the
190954 -        Anticoagulation Clinic. ref DRT 1 RT7F
190956 -         ..
190957 -    7.  **Please call us to report any changes in your medications,
190958 -        diet, health, activity level, any unusual bleeding/bruising
190959 -        symptoms, any dental/surgical procedures, any recent
190960 -        missed/extra warfarin doses, and/or if you are taking a
190961 -        different warfarin dose than what is listed above.  Thank you.
190962 -        ref DRT 1 RT7N
190964 -  ..
190965 - This seems a remarkable notice indicating failure to review Millie's
190966 - report in the letter on 081016 of changes in medication, health,
190967 - activity level, and recent missed warfarin doses. ref SDS 2 J38R
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1910 -