CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 30 0000, ref SDS 29 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 081016 UCSF developed a work plan to evaluate Millie for
040902 - progression of disease, and in that case to switch treatments.  The
040903 - doctor proposed treating Millie in the sunitinib clinical study.
040904 - ref SDS 18 J38U
040906 -  ..
040907 - The first step in the work plan was to perform an FNA biopsy of a
040908 - swelled node in the left supraclavicular. ref SDS 18 J36R  On 081022
040909 - Millie had an FNA biopsy at Kaiser. ref SDS 22 NZ5N  The next day on
040910 - 081023 Doctor Daamen called and reported pathology for the biopsy on
040911 - 08122 was positive for breast cancer. ref SDS 24 4Q9Q  This is Millie's
040912 - 5th relapse of IBC.  Later in the evening, Doctor Rugo advised in a
040913 - letter from UCSF that positive aspiration from the biopsy ends
040914 - Millie's treatment on the cetuximab Carboplatin clinical trial.
040915 - ref SDS 25 D65G
040917 -  ..
040918 - The next day on 081024 Millie met with the primary care physician to
040919 - review the UCSF proposal for treatment with sunitinib.  The doctor
040920 - reported experience at Kaiser using sunitinib shows patients have
040921 - adverse side effects of skin propblems. ref SDS 27 XZ9V
040923 -  ..
040924 - Goals starting the new study are to optimize recovery, and minimize
040925 - cost.  Since sunitinib is an oral treatment, this will significantly
040926 - reduce costs for standard of care.
040928 -  ..
040929 - Research attending a cancer treatment seminar on 081018 indicated that
040930 - sunitinib may yield very good results recovering from Millie's 5th
040931 - relapse of IBC.
040933 -  ..
040934 - The work plan on 081016 calls for implementing screening tests for the
040935 - sunitinib clinical study. ref SDS 18 J44X
040937 -  ..
040938 - During the meeting on 081024, the primary care physician scheduled
040939 - screening tests specified in the Consent documents for the sunitinib
040940 - clinical study.  A letter to the medical team explained progress on
040941 - tasks in the work plan. ref SDS 27 IY5J
040943 -  ..
040944 - Glenna called on Monday to begin work on Millie starting treatment in
040945 - the sunitinib clinical trial.
040946 -
040948 -  ..
040949 - Work Plan Update Task List 081016 to Start Sunitinib Clinical Study
040950 -
040951 - Follow up ref SDS 18 J36R.
040952 -
040953 - On 080306 examination made findings that cancer was progressing,
040954 - ref SDS 11 NW3N; the doctor ordered adding Carboplating to cetuximab
040955 - for Millie to start the 2nd arm of the clinical study for cetuximab
040956 - and Carboplatin. ref SDS 11 NW7K  The following week, Millie had the
040957 - first treatment with both cetuximab and Carboplatin. ref SDS 12 TZ8I
040959 -  ..
040960 - Millie had a good response to treatment from adding Carboplatin, but
040961 - had difficulty holding blood counts, which caused missing three (3)
040962 - treatments in the first 3 cycles, shown by case study on 081023.
040963 - ref SDS 23 V19M  On 080403 the doctor ordered treatment with Neupogen
040964 - to increase blood counts. ref SDS 13 6Y9K  Later on 080606 Millie
040965 - learned that the doctor decreased the dose of Carboplatin to reduce
040966 - affect on blood counts, reported on 080529. ref SDS 14 PVUQ   This
040967 - combination of Neupogen and reduced Carboplatin chemotherapy was
040968 - generally affective enabling Millie to maintain regular treatments,
040969 - missing only 1 treatment in August because a Neupogen treatment was
040970 - missed. ref SDS 15 RV8O
040972 -  ..
040973 - Millie's letter to the medical team on 081016 confirmed examination by
040974 - Doctor Rugo diagnosed progression of disease, ref SDS 18 J34U, and
040975 - explained steps for a work plan to verify Millie's cancer has spread
040976 - to the lefe supraclavicular, beginning with an FNA biopsy. ref SDS 18
040977 - J36R  Over the next few weeks, additional information has been
040978 - received from UCSF that enables summarizing the UCSF work plan.
040980 -                ..
040981 -               [On 081031 Glenna reported that UCSF work plan has been
040982 -               effective for starting Millie on the sunitinib clinical
040983 -               study, ref SDS 38 5G5H; Glenna's letter confirms plans
040984 -               to start treatment on 081113. ref SDS 39 SJ3W
040986 -                ..
040987 -               [On 081101 Millie's letter while traveling on vacation
040988 -               asks about status to start treatment. ref SDS 42 TS5H
040990 -                ..
040991 -               [On 081102 submitted response to Millie traveling on
040992 -               vacation everything is set up to start treatment on
040993 -               081113. ref SDS 43 4P84
040994 -
040996 -             ..
040997 -        1.  FNA biopsy test cancer................. 081022 1400
040998 -
040999 -            Ordered by UCSF on 081016, ref SDS 18 J36R, and
041000 -            performed and Kaiser 081022, ref SDS 24 4Q9Q, results
041001 -            positive for breast cancer reported 081023. ref SDS 25 D65G
041003 -             ..
041004 -        2.  Millie on vacation..................... 081026 to 081106
041005 -
041006 -            Approved by primary care physician on 080829, and showing
041007 -            medical tasks can begin the next day on 081107. ref SDS 16
041008 -            RP7Y
041009 -
041010 -               [On 081105 Kaiser schedules Millie for Muga test on
041011 -               081106 1030; computer mistake conflicts with work plan
041012 -               for starting medical tasks on 081107. ref SDS 49 WO72
041013 -
041015 -             ..
041016 -        3.  Kaiser payment authorization........... 081107
041017 -
041018 -            Glenna is checking if the current authorization is adequate
041019 -            in order to avoid another big battle, per telecon on
041020 -            081027. ref SDS 30 7245
041022 -             ..
041023 -            On 080829 the primary care physician asked Millie to pursue
041024 -            continuing treatment at UCSF upon progression of disease,
041025 -            and would approve payment for treatment because Kaiser does
041026 -            not have double agent "trargeted" drugs required to treat
041027 -            Millie. ref SDS 16 RP9W
041029 -             ..
041030 -            On 081024 during meeting with primary care physician the
041031 -            doctor confirmed authorization for Kaiser to pay costs of
041032 -            Millie's treatment in the sunitinib clinical study that is
041033 -            a double agent "targeted" treatment, and Kaiser does not
041034 -            have equal or better treatments for Millie. ref SDS 27 ER4I
041036 -                ..
041037 -               [On 081031 Glenna called and advised that the primary
041038 -               care physician at Kaiser signed authorzation today for
041039 -               Millie's treatment at UCSF in the sunitinib clinical
041040 -               trial. ref SDS 38 5C7J
041042 -                ..
041043 -               [On 081031 Glenna's letter advises she is following up
041044 -               with the doctor to get Kaiser's authorization for
041045 -               payment of Millie's care. ref SDS 39 458L
041047 -                ..
041048 -               [On 081112 Glenna reported Kaiser has not issued
041049 -               authorization for payment which the doctor submitted for
041050 -               Millie's treatment at Kaiser. ref SDS 62 ZX8F
041052 -                ..
041053 -               [On 081112 Michelle in Expedited Claims Department
041054 -               advised that the doctor is in charge of ordering
041055 -               treatment for the patient, and Kaiser must implement the
041056 -               doctor's orders. ref SDS 62 P28U
041058 -                ..
041059 -               [On 081112 Doctor Johnson reported ordering on 081103
041060 -               authorization for payment of Millie's treatment on
041061 -               referral at UCSF in the sunitinib clinical study, and
041062 -               Kaiser management sent a denial to him on 081110.
041063 -               ref SDS 62 YH8I
041065 -                ..
041066 -               [On 090601 Glenna, Coordinator for Sunitinib Clinical
041067 -               Trial disclosed that Kaiser paid for all costs for
041068 -               Millie's treatment with Sunitinib as the best course of
041069 -               care for Millie's patient profile. ref SDS 64 N54G
041070 -
041072 -             ..
041073 -        4.  Costs to patient - ballpark estimate... 081107
041074 -
041075 -            Glenna is investigating, per telecon on 081027, ref SDS 30
041076 -            724H, and to answer the question to Doctor Rugo in Millie's
041077 -            letter on 081024. ref SDS 27 XZ9Y
041078 -
041079 -               [On 081031 Glenna investigating cost to patient.
041080 -               ref SDS 38 PR71
041082 -                ..
041083 -               [On 090601 Glenna, Coordinator for Sunitinib Clinical
041084 -               Trial disclosed that Kaiser paid for all costs for
041085 -               Millie's treatment with Sunitinib as the best course of
041086 -               care for Millie's patient profile. ref SDS 64 N54G
041087 -
041089 -             ..
041090 -        5.  Meeting UCSF sign Consent documents.... 081107 0800
041092 -             ..
041093 -            Glenna proposed meeting at UCSF during the call on 081027.
041094 -            ref SDS 30 OT37
041095 -
041096 -               [On 081029 letter to UCSF confirms schedule to meet on
041097 -               081107 to sign Consent documents. ref SDS 0 C49R
041098 -
041099 -               [On 081031 Glenna called and confirmed meeting at UCSF
041100 -               on 081108 0800 to sign consent document and perform lab
041101 -               work to start the clinical study. ref SDS 38 ES5O
041102 -
041104 -             ..
041105 -        6.  CBC blood test......................... 081107 0830
041106 -
041107 -            Sunitinib clinical study Consent documents reviewed in the
041108 -            record on 081017 show requirements for blood tests.
041109 -            ref SDS 20 MI7S
041111 -             ..
041112 -            Glenna is checking to see if tests at UCSF on 081023 or on
041113 -            081016 are adequate.
041115 -             ..
041116 -            Schedule for Millie's labs in the Infusion Clinic are shown
041117 -            in the record on 080918. ref SDS 17 YB5H
041118 -
041119 -               [On 081031 Glenna reports another lab required for
041120 -               Millie to start sunitinib clinical trial at UCSF,
041121 -               ref SDS 38 XJ87; Glenna will order lab at UCSF Infusion
041122 -               Clinic on 081107 prior to meeting with Glenna to sign
041123 -               Consent documents at 0800. ref SDS 38 ES5O
041125 -                ..
041126 -               [On 081031 Glenna's letter confirms labs scheduled at
041127 -               UCSF after Millie meets to sign consent documents on
041128 -               081101 0800. ref SDS 39 SI4X
041130 -                ..
041131 -               [On 081103 Millie notified Catherine and Diane in the
041132 -               Infusion Clinic about blood draw on 081007. ref SDS 45
041133 -               MT9N
041135 -                ..
041136 -               [On 081103 Glenna clarifies that meeting on the 2nd
041137 -               floor scheduled 081107 0800 is a condition precendent to
041138 -               doing the blood draw for lab work on the 5th floor.
041139 -               ref SDS 46 SC5F
041141 -                ..
041142 -               [On 081107 blood drawn for labs and reports received.
041143 -               ref SDS 57 075H
041144 -
041146 -             ..
041147 -        7.  Urinalysis............................. 081107 0830
041148 -
041149 -            Consent documents for sunitinib clinical study reviewed on
041150 -            081017 do not show requirements for urinalysis, ref SDS 20
041151 -            MI7S, similar to status change biopsy test, below,
041152 -            ref SDS 0 SF3P, and brain MRI test, also not specified in
041153 -            Consent documents, per below. ref SDS 0 SE5Q
041155 -             ..
041156 -            Glenna's letter on 081027 presented this requirement and
041157 -            without citation to study documentation. ref SDS 29 309F
041159 -             ..
041160 -            Can this be done at UCSF on 081107 along with the FNA
041161 -            biopsy to check for status change?
041162 -
041163 -               [On 081031 letter to UCSF asks about scheduling
041164 -               urinalysis on 081107. ref SDS 36 NN5P
041165 -
041166 -               [On 081031 Glenna advises during a telephone call that
041167 -               the Consent documents for the sunitinib clinical study
041168 -               do not specify urnialysis. ref SDS 38 4G6N
041170 -                ..
041171 -               [On 081031 Glenna decides to order lab work to start
041172 -               sunitinib clinical trial at UCSF Infusion Clinic on
041173 -               081107 prior to meeting with Glenna to sign Consent
041174 -               documents at 0800. ref SDS 38 ES5O
041176 -                ..
041177 -               [On 081031 Glenna's letter confirms labs scheduled at
041178 -               UCSF after Millie meets to sign consent documents on
041179 -               081101 0800. ref SDS 39 SI4X
041181 -                ..
041182 -               [On 081103 Millie notified Catherine and Diane in the
041183 -               Infusion Clinic about blood draw on 081007. ref SDS 45
041184 -               5U6U
041186 -                ..
041187 -               [On 081107 test specimen for labs and reports received
041188 -               on urinalysis. ref SDS 57 BP4J
041189 -
041191 -             ..
041192 -        8.  CT test scheduled...................... 081107 1300
041193 -            ref SDS 27 XZ9P
041195 -             ..
041196 -            This requires meeting with the Infusion clinic at 1230 to
041197 -            access the Power Port.  Also requires confirmation that
041198 -            Kaiser CT Dep in Walnut Creek is ready to do tests with
041199 -            Power Port technology.
041200 -
041201 -               [...in another record today, confirm Kaiser CT
041202 -               department approves doing test using Millie's Power
041203 -               Port, access scheduled in Infusion Clinic 081107 1230.
041204 -               ref SDS 31 4E3G
041206 -                ..
041207 -               [On 081029 Steve called from Kaiser in Oakland; he will
041208 -               discuss with Angela procedures for the prior test on
041209 -               080911, and he will call Dennis at Kaiser in Walnut
041210 -               Creek with orientation for Millie's next test on 081107
041211 -               using the Bard Power Port. ref SDS 32 8G6T
041213 -                ..
041214 -               [On 081030 Steve with Bard called and reported talking
041215 -               to Angela with the CT Department at Kaiser in Oakland,
041216 -               and then to Dennis at Kaiser in Walnut Creek; Steve
041217 -               feels Kaiser in Walnut Creek is good to go for Millie's
041218 -               CT test on 081107. ref SDS 35 XN9C
041220 -                ..
041221 -               [On 081107 CT test performed using Bard Power Port at
041222 -               Kaiser in Walnut Creek. ref SDS 58 7F40
041223 -
041225 -             ..
041226 -        9.  Core biopsy test status change......... 081107 1600
041227 -            Status Change Core Biopsy
041229 -             ..
041230 -            Core biopsy test for status change ordered by UCSF with FNA
041231 -            biopsy on 081016. ref SDS 18 J36R  This evaluates prospects
041232 -            for Millie to benefit from multi-targeted treatment by
041233 -            re-evaluating Millie's triple negative status set
041234 -            originally with the biopsy on 020304, reported in the
041235 -            record meeting at Kaiser on 020321. ref SDS 1 6Q6J
041237 -             ..
041238 -            On 081016 letter to UCSF review of Consent document does
041239 -            not show requirement for status change biopsy test,
041240 -            ref SDS 18 J44R, similar to urinalysis test, ref SDS 0
041241 -            SE6W, and brain MRI test, which are also not specified.
041242 -            ref SDS 0 SE5Q  On 081017 the doctor responds that "it is
041243 -            not a study for triple negative alone." ref SDS 19 6J3T
041245 -             ..
041246 -            During a seminar on 081018, Doctor Stritter advised that
041247 -            sunitinib is designed for multi-targeted cancer treatment.
041248 -            ref SDS 21 IT8V  This may relate to Doctor Rugo's order for
041249 -            biopsy to test for change of Millie's triple negative
041250 -            status.  If Millie is no longer ER, PR, HER2neu negative,
041251 -            this may provide more "targets" for sunitinib metronomic
041252 -            treatments to relieve IBC symptioms, and prevent
041253 -            recurrence. ref SDS 21 NR5M
041255 -                ..
041256 -               [On 081031 Glenna advised that biopsy for status change
041257 -               is not a requirement for the sunitinib clinical study,
041258 -               and so recommended contacting Doctor Rugo and Doctor
041259 -               Johnson. ref SDS 36 T27H
041261 -             ..
041262 -            Performed at Kaiser on 081022, ref SDS 22 NZ5N; pathology
041263 -            on 081023 failed to test for status change. ref SDS 24 4Q5V
041264 -            Core biopsy for status change test rescheduled for 081024,
041265 -            ref SDS 24 667F; on 081024 Kaiser again rescheduled to
041266 -            081107, ref SDS 26 W15J; on 081027 Kaiser rescheduled again
041267 -            at Kaiser on 081117 1130, reported by Karen on 081027.
041268 -            ref SDS 28 G15K
041270 -             ..
041271 -            Preferably FNA biopsy test might be done at UCSF when
041272 -            Millie signs the consent document on 081107, since Kaiser
041273 -            requires a core biopsy to test for status change, and this
041274 -            presents increased risks for Millie's patient history,
041275 -            cited by Doctor Wong at Kaiser on 081024. ref SDS 26 W183
041276 -            Doctor Rugo says in a letter on 081023 that UCSF can do
041277 -            status check with less invasive FNA biopsy. ref SDS 25 KY8R
041278 -
041279 -               [On 081029 letter to UCSF discusses doing FNA biopsy for
041280 -               status check at UCSF instead of core biopsy at Kaiser.
041281 -               ref SDS 0 C49U
041283 -                ..
041284 -               [On 081031 letter to UCSF with copy to Kaiser asks about
041285 -               doing FNA biopsy at UCSF. ref SDS 36 NN5S
041287 -                ..
041288 -               [On 081031 Millie submits letter to medical team asking
041289 -               about doing the FNA biopsy to test status change at UCSF
041290 -               to reduce risks of core biopsy method. ref SDS 40 AJ6U
041292 -                ..
041293 -               [On 081101 Doctor Rugo says FNA biopsy to check for
041294 -               status change is not part of sunitinib clinical study;
041295 -               requires Kaiser approval of payment which would be very
041296 -               cost effective since FNA biopsy at UCSF would cost much
041297 -               less than the more invasive and problematic core biopsy
041298 -               Kaiser has scheduled for Millie on 081113. ref SDS 41
041299 -               5G5H
041301 -                ..
041302 -               [On 081102 Millie's letter to Doctor Rugo with copy to
041303 -               primary care physician at Kaiser asks how much the FNA
041304 -               biopsy to test for status change will cost at UCSF, and
041305 -               notes this should be less expensive than doing the core
041306 -               biopsy at Kaiser. ref SDS 44 AD3F
041308 -                ..
041309 -               [On 081103 primary care physician at Kaiser responded to
041310 -               Doctor Rugo's letter on 081101 offering to perform FNA
041311 -               biopsy test for status change and saying this requires
041312 -               separate payment authorization, by advising that Kaiser
041313 -               "will perform the procedure," without clarifying using
041314 -               FNA or core biopsy procedure. ref SDS 47 2M64
041316 -                ..
041317 -               [On 081103 UCSF responds saying in total "Great."
041318 -               ref SDS 48 BY3H
041320 -                ..
041321 -               [On 081106 Doctor Daamen called and changed the schedule
041322 -               again, ref SDS 52 5F5H, for the core biopsy back to
041323 -               081107 1600. ref SDS 52 5F68
041325 -                ..
041326 -               [On 081106 1213 letter notifies medical team that core
041327 -               biopsy to test for status change advanced from 081117 to
041328 -               081107 1600. ref SDS 54 7P68
041330 -                ..
041331 -               [On 081106 1631 Kaiser called back and said Millie was
041332 -               not scheduled for the core biopsy tomorrow on 081107
041333 -               1600, because Doctor Kahn would not be in the office,
041334 -               and Doctor Wong's schedule had changed, so nobody could
041335 -               do the biopsy. ref SDS 52 IP7L
041337 -                ..
041338 -               [On 081106 1643 Kaiser called back and advised after
041339 -               investigation that Millie is scheduled to meet with
041340 -               Doctor Kahn on 081107 1600 for the core biopsy as
041341 -               scheduled by Doctor Daamen, and the earlier problem was
041342 -               computer user issue. ref SDS 52 PQ9Y
041344 -                ..
041345 -               [On 081107 1600 status change core biopsy test performed
041346 -               at Kaiser. ref SDS 59 7P5O
041348 -                ..
041349 -               [On 081119 Kaiser submits summary of final pathology
041350 -               report, ref SDS 63 5O8G, for the biopsy on 081107,
041351 -               ref SDS 59 496L, and it shows status unchanged, ER, PR,
041352 -               Her2neu still triple negative. ref SDS 63 UQ5P
041353 -
041355 -             ..
041356 -       10.  Echocardiogram......................... 081110 0930
041357 -
041358 -            Reported in the letter to the medical team on 081024.
041359 -            ref SDS 27 XZ9S
041360 -
041361 -               [On 081106 primary care physician at Kaiser responds
041362 -               asking if an echocardiogram was ordered instead of a
041363 -               Mega test. ref SDS 53 1693
041365 -                ..
041366 -               [On 081110 echocardiogram performed at Kaiser in Walnut
041367 -               Creek. ref SDS 61 318F
041369 -                ..
041370 -               [On 081110 echocardiogram test of heart; initial
041371 -               indications Millie has strong heart that permits low
041372 -               blood pressure, no evident signs of enlarged right
041373 -               ventricle, nor enlarged heart. ref SDS 61 WL63
041374 -
041376 -             ..
041377 -       11.  Brain MRI.............................. 081108 1045
041378 -
041379 -            This is not specified in the Consent documents for
041380 -            sunitinib clinical trial, like status change biopsy test,
041381 -            ref SDS 0 4B5N, and urinalysis, above, ref SDS 0 SE6W,
041383 -             ..
041384 -            Glenna requested Millie get a brain MRI in a letter on
041385 -            081027. ref SDS 29 ML8R  Later on 081027, Glenna reports in
041386 -            a phone call that requirements for a brain MRI test are not
041387 -            in the Consent document submitted to Millie for the
041388 -            sunitinib clinical study; requirements for brain MRI are
041389 -            listed in other study protocol documents. ref SDS 30 OS68
041391 -             ..
041392 -            Millie's letter on 081027 to Glenna with copy to primary
041393 -            care physician asking Kaiser to schedule brain MR test.
041394 -            ref SDS 30 GR8V
041396 -                ..
041397 -               [...in another record today, telecon with Florida in
041398 -               Kaiser Infusion Clinic sending internal message to
041399 -               primary care physician about ordering brain MR for
041400 -               Millie. ref SDS 33 FR5H
041402 -                ..
041403 -               [On 081030 brain MRI ordered by primary care physician,
041404 -               ref SDS 34 FR5H; have to call back next day to schedule
041405 -               the time for doing the work. ref SDS 34 609T
041407 -                ..
041408 -               [On 081031 brain MRI scheduled 081108 1045 at Kaiser
041409 -               Deer Valley hospital in Antiock. ref SDS 37 IO63
041411 -                ..
041412 -               [On 081108 brain MRI performed at Kaiser in Antioch.
041413 -               ref SDS 60 ZI3K
041414 -
041416 -             ..
041417 -       12.  Muga test for heart damage............. cancelled
041418 -
041419 -               [On 081105 primary care physician at Kaiser on 081103
041420 -               ordered Muga test for heart damage, ref SDS 49 WO72,
041421 -               prior to starting sunitinib clinical study that has
041422 -               heart related side effects. ref SDS 49 PO37
041424 -                ..
041425 -               [On 081105 patient history on prior Muga testing for
041426 -               evaluating extended AC chemotherapy treatments.
041427 -               ref SDS 49 WI5L
041429 -                ..
041430 -               [On 081105 0825 letter from Glenna reports that UCSF has
041431 -               not ordered testing with Nuclear Medicine for Millie's
041432 -               screening to participate in the sinitinub clinical
041433 -               study. ref SDS 50 ZR7G
041435 -                ..
041436 -               [On 081105 letter notifies Millie's medical team that
041437 -               Kaiser added Muga test to work plan. ref SDS 51 WX4Y
041439 -                ..
041440 -               [On 081106 primary care physician at Kaiser responds
041441 -               asking if an echocardiogram was ordered instead of a
041442 -               Mega test. ref SDS 53 1693
041444 -                ..
041445 -               [On 081106 Millie notifies primary care physician at
041446 -               Kaiser that on 081024 echochardiogram was scheduled by
041447 -               the doctor for 081110. ref SDS 55 WH9N
041449 -                ..
041450 -               [On 081106 primary care physician at Kaiser asks patient
041451 -               to cancel Muga test at Nuclear Medicine as duplicating
041452 -               scope for echocardiogram. ref SDS 56 2J42
041454 -                ..
041455 -               [On 081106 Nuclear Medicine called; left message doctor
041456 -               wants to cancel Muga test for Millie on 081111, due to
041457 -               duplication with echocardiogram test the day before on
041458 -               081110. ref SDS 56 4P6J
041460 -                ..
041461 -               [On 081106 medical team notified message left for
041462 -               Nuclear Medicine that doctor wants to cancel Muga test
041463 -               on 081111. ref SDS 56 OW5R
041464 -
041466 -             ..
041467 -       13.  Treatment begin Sunitinib clinical study..... 081113 0830
041468 -
041469 -            Millie's last treatment at UCSF was on 081023. ref SDS 23
041470 -            V94O
041471 -
041472 -                [On 081031 Glenna called and reported Millie is
041473 -                scheduled to begin treatment in the sunitinib clinical
041474 -                study on 081113, starting with meeting Doctor Rugo at
041475 -                UCSF at 0830. ref SDS 38 L57F
041477 -                 ..
041478 -                [On 081031 UCSF letter confirms Millie scheduled to
041479 -                start treatment in sunitinib clinical study on 081113.
041480 -                ref SDS 39 SJ3W
041482 -                 ..
041483 -                [On 081101 Millie's letter while traveling on vacation
041484 -                asks about status getting set up to start treatment.
041485 -                ref SDS 42 TS5H
041487 -                 ..
041488 -                [On 081102 submitted response to Millie traveling on
041489 -                vacation everything is set up for Millie to start
041490 -                treatment on 081113. ref SDS 43 4P84
041492 -             ..
041493 -            Previously, when switching treatments there were
041494 -            administrative delays reported on 070119. ref SDS 3 YF8U
041495 -
041496 -                Millie had treatment on 061201
041497 -                at Kaiser and could not start
041498 -                treatment for 2 months at
041499 -                UCSF until..................... 070201, ref SDS 4 0001
041501 -                 ..
041502 -                Millie had treatment on 041021
041503 -                at Kaiser and could not get
041504 -                treatment for 3 months
041505 -                until.......................... 050104, ref SDS 2 0001
041506 -
041507 -
041509 -  ..
0416 -
0417 -
0418 - 1501
0419 -
041901 - Work Plan Update Submitted to UCSF Request Feedback on Progress
041902 -
041903 - Millie sent a letter today following up the letter to Glenna on 081027
041904 - 1611. ref SDS 30 TU5I  The letter today submits the updated work plan
041905 - prepared today, ref SDS 0 LH4O, to Glenna, study coordinator for the
041906 - sunitinib drug trial, at UCSF.
041907 -
041908 -    1.  Subject: Sunitinib Work Plan Update
041916 -         ..
041917 -    2.  Things seem to be moving on getting started with the new
041918 -        treatment.  On 081016 Doctor Rugo developed an initial work
041919 -        plan. ref SDS 18 J36R
041921 -         ..
041922 -    3.  Please check the revised work plan in the record today, and let
041923 -        me know where things stand. ref SDS 0 LH4O
041924 -
041925 -            [On 081031 letter to Glenna coordinating progress on work
041926 -            plan. ref SDS 36 UM8M
041927 -
041929 -  ..
041930 - Consent Documents Signature Meeting UCSF 081107
041931 -
041932 -
041933 -    4.  Please confirm we can meet next Friday 081107 at 0800 to sign
041934 -        consent documents [discussed with Glenna during telecon on
041935 -        081027, ref SDS 30 OT37 and listed in work plan 081029,
041936 -        ref SDS 0 LL6Q].  I usually get to UCSF at 0600 to avoid
041937 -        traffic, and work in the cafeteria until business hours at
041938 -        0800.  If you arrive early, we can meet at 0700, 0730, 0745 at
041939 -        your convenience.  Just let me know.  Since Kaiser moved the
041940 -        core biopsy from 081107 to 081117, I can meet with you in San
041941 -        Francisco, and have time to drive back to Walnut Creek in time
041942 -        for the CT test that starts at 1230 to access by port.
041943 -
041944 -            [On 081031 letter to UCSF asks about meeting on 081107 0800
041945 -            to sign Consent documents. ref SDS 36 NN5X
041946 -
041948 -  ..
041949 - FNA Biopsy Status Change at UCSF Reduce Risks Core Biopsy at Kaiser
041950 -
041951 -
041952 -    5.  Doctor Rugo indicates FNA biopsy at UCSF can test for status
041953 -        change [letter 081023. ref SDS 25 KY8R].  Doctor Wong at Kaiser
041954 -        indicates testing status change requires core biopsy [meeting
041955 -        at Kaiser on 081024, ref SDS 26 KE6J], but notes this has
041956 -        higher risk for my patient profile. [ref SDS 26 W183], Please
041957 -        take a moment to review Doctor Wong's concerns, and discuss
041958 -        with Doctor Rugo possibility of doing FNA biopsy for status
041959 -        change at UCSF [shown in work plan on 081029, ref SDS 0 LH4O].
041960 -
041961 -                [On 081031 letter to UCSF with copy to Kaiser asks
041962 -                about doing FNA biopsy at UCSF. ref SDS 36 NN5S
041964 -                 ..
041965 -                [On 081031 Millie submits letter to medical team asking
041966 -                about doing the FNA biopsy to test status change at
041967 -                UCSF to reduce risks of core biopsy method. ref SDS 40
041968 -                AJ6U
041970 -                 ..
041971 -                [On 081101 Doctor Rugo says the biopsy to check for
041972 -                status change is not part of the sunitinib clinical
041973 -                study; requires Kaiser approval of payment which would
041974 -                be very cost effective since FNA biopsy at UCSF would
041975 -                cost much less than the more invasive and problematic
041976 -                core biopsy Kaiser has scheduled for Millie on 081113.
041977 -                ref SDS 41 5G5H
041979 -                 ..
041980 -                [On 081102 Millie's letter to Doctor Rugo with copy to
041981 -                primary care physician at Kaiser asks how much the FNA
041982 -                biopsy to test for status change will cost at UCSF, and
041983 -                notes this should be less expensive than doing the core
041984 -                biopsy at Kaiser. ref SDS 44 AD3F
041986 -                 ..
041987 -                [On 081003 primary care physician at Kaiser responded
041988 -                to Doctor Rugo's letter on 081101 offering to perform
041989 -                FNA biopsy test for status change and saying this
041990 -                requires separate payment authorization, by advising
041991 -                that Kaiser "will perform the procedure," without
041992 -                clarifying using FNA or core biopsy procedure.
041993 -                ref SDS 47 2M64
041995 -                 ..
041996 -                [On 081103 UCSF responds saying in total "Great."
041997 -                ref SDS 48 BY3H
041999 -                 ..
042000 -                [On 081106 Doctor Daamen called and changed the
042001 -                schedule again, ref SDS 52 5F5H, for the core biopsy
042002 -                back to 081107 1600. ref SDS 52 5F68
042004 -                 ..
042005 -                [On 081106 1213 letter notifies medical team that core
042006 -                biopsy to test for status change advanced from 081117
042007 -                to 081107 1600. ref SDS 54 7P68
042009 -                 ..
042010 -                [On 081106 1631 Kaiser called back and said Millie was
042011 -                not scheduled for the core biopsy tomorrow on 081107
042012 -                1600, because Doctor Kahn would not be in the office,
042013 -                and Doctor Wong's schedule had changed, so nobody could
042014 -                do the biopsy. ref SDS 52 IP7L
042016 -                 ..
042017 -                [On 081106 1643 Kaiser called back and advised after
042018 -                investigation that Millie is scheduled to meet with
042019 -                Doctor Kahn on 081107 1600 for the core biopsy as
042020 -                scheduled by Doctor Daamen, and the earlier problem was
042021 -                computer user issue. ref SDS 52 PQ9Y
042023 -         ..
042024 -    6.  As you know, I am out of town.  Please call Rod for any
042025 -        clarification of the work plan.
042026 -
042033 -
042034 -
042036 -  ..
0421 -
0422 -
0423 - 1510
0424 -
042401 - Coordinate Work Plan Progress UCSF Study Coordinator
042402 -
042403 - Called Glenna at UCSF to discuss updated work plan. ref SDS 0 LH4O
042405 -  ..
042406 - She got the letter from Millie on updating the work plan, per above.
042407 - ref SDS 0 H96H
042409 -  ..
042410 - Glenna said her schedule is hectic.  She will review Millie's letter,
042411 - and the updated work plan.  Glenna will call back later today on
042412 - progress, and revisions for comprehensive planning.
042413 -
042414 -            [On 081031 letter to Glenna coordinating progress on work
042415 -            plan. ref SDS 36 UM8M
042416 -
042417 -
042418 -
042419 -
042420 -
042421 -
042422 -
0425 -