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: October 31, 2008 05:13 PM Friday; Rod Welch

Glenna letter confirms Millie starts sunitinib treatment Nov 13th for 5th relapse IBC.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 17 0000. ref SDS 15 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a letter from Glenna confirming telecon today 081031,
040902 - ref SDS 17 5G5H, that discussed UCSF schedule for starting treatment
040903 - with the sunitinib clinical study...
040905 -             ..
040906 -            [...in another record later today on 081031 Millie's letter
040907 -            to the medical team cites Glenna's letter in this record
040908 -            scheduling Millie's treatment in the sunitinib clinical
040909 -            starts at UCSF on 081113. ref SDS 18 0R3I,
040910 -
040911 -    1.  Subject: Screen Procedure Schedule for Sutent Study
040912 -        Date: Fri, 31 Oct 2008 16:40:25 -0700
040919 -         ..
040920 -    2.  This email is to confirm the information given to Rod in my
040921 -        telephone conversation with him on Friday 10/31/08 from 4:15 to
040922 -        4:30PM
040924 -  ..
040925 - Glenna cites telecon earlier this afternoon, ref SDS 17 5G5H, which
040926 - implemented the letter to Glenna earlier in the morning. ref SDS 15
040927 - UM8M
040929 -  ..
040930 - Glenna's letter continues with UCSF schedule for Millie...
040931 -
040932 -    3.  For Millie's screen procedures for the Sutent study Millie has
040933 -        scheduled the following:
040934 -
040935 - "Stutent" is manufacturer's name for the sunitinib cancer drug.
040936 -
040937 -           [On 081101 Millie's letter while traveling on vacation asks
040938 -           about status getting set up to start treatment. ref SDS 19
040939 -           TS5H
040941 -            ..
040942 -           [On 081102 submitted response to Millie traveling on
040943 -           vacation everything is set up for Millie to start treatment
040944 -           on 081113. ref SDS 20 4P84
040946 -  ..
040947 - Glenna's letter continues with UCSF schedule for Millie...
040948 -
040949 -    4.  11/7/08:  Meet with Glenna the Study Coordinator here at Mt.
040950 -        Zion at 8:00AM to review and sign the consent form and to have
040951 -        the following labwork drawn:
040952 -
040953 -        a.  CBC with differential and platelets
040954 -        b.  Chemistry Panel
040955 -        c.  Urinalysis
040957 -  ..
040958 - Glenna's letter implements planning during the call earlier today
040959 - about coordinating treatment with lab work, ref SDS 17 XJ4F, using the
040960 - schedule for Millie's labs in the Infusion Clinic shown in the record
040961 - on 080918. ref SDS 5 YB5H
040963 -  ..
040964 - Schedules labs called out in the work plan on 081029. ref SDS 13 1H5G
040965 -
040966 -               [On 081103 Millie notified Catherine and Diane in the
040967 -               Infusion Clinic about blood draw on 081007. ref SDS 21
040968 -               MT9N
040969 -
040970 -               [On 081103 Glenna clarified that the blood draw on the
040971 -               5th for lab work on 081107 is required after meeting
040972 -               with Glenna on the 2nd floor. ref SDS 22 OA9H
040974 -                ..
040975 -               [On 081105 letter to Glenna with copy to priomary care
040976 -               physician at Kaiser requesting clarification of Millie's
040977 -               medical schedule because she received recorded messages
040978 -               from UCSF about a meeting the doctor on 081107 0900, and
040979 -               the schedule shows she does not meet the doctor until
040980 -               081113 0830; and also a message from Kaiser Nuclear
040981 -               Medicine about a meeting on 081106, and Millie is
040982 -               traveling on that date. ref SDS 23 HH8X
040984 -                ..
040985 -               [On 081105 0825 Glenna responded confirming Millie has
040986 -               nothing scheduled at UCSF with the doctor on 081107 0900
040987 -               or at any time on 081107, and that UCSF has not ordered
040988 -               testing with Nuclear Medicine for Millie's screening to
040989 -               participate in the sinitinub clinical study. ref SDS 25
040990 -               ZR7G
040992 -  ..
040993 - Glenna's letter continues with UCSF schedule for Millie...
040994 -
040995 -    5.  11/7/08:  chest/abdomen/pelvis CT with contrast, Kaiser, 1:00
040996 -        PM
040998 -  ..
040999 - This reflects schedule for CT entered by the primary care physician
041000 - during the meeting at Kaiser with Millie on 081024, ref SDS 10 XZ9P,
041001 - and then discussed with Dennis in the CT Department at Kaiser on
041002 - 081029, ref SDS 11 QK7M, and further telecon with Florida in the
041003 - Infusion Clinic who reported confirming with the CT Department to
041004 - schedule Millie for accessing the Power Port 081107 1230. ref SDS 12
041005 - 4E3G
041007 -  ..
041008 - Glenna's letter continues with UCSF schedule for Millie...
041009 -
041010 -    6.  11/8/08:  Brain MR - 10:45AM at Deer Valley
041012 -  ..
041013 - Brain MRI was ordered by the primary care physician at Kaiser on
041014 - 081030, ref SDS 14 FR5H, and was scheduled to be performed at Kaiser
041015 - in Antiock, per telecon with Laura on 081031. ref SDS 16 FR5H
041017 -  ..
041018 - Glenna's letter continues with UCSF schedule for Millie...
041019 -
041020 -    7.  11/10/08:  Echocardiogram - Kaiser, 9:30AM
041022 -  ..
041023 - Echocardiogram was scheduled by the primary care physician on 081024.
041024 - ref SDS 10 XZ9S
041025 -
041026 -               [On 081105 Katie reports that primary care physician at
041027 -               Kaiser on 081103 ordered Muga test for heart damage,
041028 -               ref SDS 24 WO72, prior to starting sunitinib clinical
041029 -               study that has heart related side effects. ref SDS 24
041030 -               PO37
041032 -                ..
041033 -               [On 081105 letter notifies Millie's medical team that
041034 -               Kaiser added Muga test to work plan. ref SDS 26 WX4Y
041036 -                ..
041037 -               [On 081106 primary care physician at Kaiser responds
041038 -               asking if an echocardiogram was ordered instead of a
041039 -               Mega test. ref SDS 27 1693
041041 -                ..
041042 -               [On 081106 primary care physician notified that Millie
041043 -               is scheduled for echocardiogram test on 081110.
041044 -               ref SDS 28 T65Q
041046 -                ..
041047 -               [On 081106 primary care physician cancels Muga test.
041048 -               ref SDS 29 2J42
041050 -  ..
041051 - Glenna's letter continues with UCSF schedule for Millie...
041052 -
041053 -    8.  11/13/08:  Clinic Visit with Dr. Rugo, 8:30AM to begin the
041054 -        study.
041056 -  ..
041057 - Glenna advised in the telecon on 081030 that Millie will start
041058 - treament on 081113 after meeting with Doctor Rugo at 0830, keeping a
041059 - previously scheduled meeting. ref SDS 17 L57F
041060 -
041061 -               [...in another record today on 081031 Millie commends
041062 -               Kaiser and UCSF for timely transition to the new
041063 -               treatment with sunitinib, ref SDS 18 0R3I
041065 -  ..
041066 - Glenna's letter continues with UCSF schedule for Millie...
041067 -
041068 -    9.  Please let me know what questions you have regarding this
041069 -        schedule.
041070 -
041071 -               [On 081105 letter to Glenna with copy to priomary care
041072 -               physician at Kaiser requesting clarification of Millie's
041073 -               medical schedule because she received recorded messages
041074 -               from UCSF about a meeting the doctor on 081107 0900, and
041075 -               the schedule shows she does not meet the doctor until
041076 -               081113 0830; and also a message from Kaiser Nuclear
041077 -               Medicine about a meeting on 081106, and Millie is
041078 -               traveling on that date. ref SDS 23 HH8X
041080 -                ..
041081 -               [On 081105 Glenna responded confirming Millie has
041082 -               nothing scheduled at UCSF with the doctor on 081107 0900
041083 -               or at any time on 081107, and that UCSF has not ordered
041084 -               testing with Nuclear Medicine for Millie's screening to
041085 -               participate in the sinitinub clinical study. ref SDS 25
041086 -               ZR7G
041088 -                ..
041089 -               [On 081105 Katie reports that primary care physician at
041090 -               Kaiser on 081103 ordered Muga test for heart damage,
041091 -               ref SDS 24 WO72, prior to starting sunitinib clinical
041092 -               study that has heart related side effects. ref SDS 24
041093 -               PO37
041095 -                ..
041096 -               [On 081105 letter notifies Millie's medical team that
041097 -               Kaiser added Muga test to work plan. ref SDS 26 WX4Y
041099 -         ..
041100 -   10.  As you know, authorization for Millie to participate in our
041101 -        study is pending from Kaiser.  I will follow-up with the
041102 -        authorization request submitted by Dr Johnson and will keep
041103 -        you posted on its status.
041105 -  ..
041106 - Glenna reported in a call earlier today that she talked to the primary
041107 - care physician, and was told that authorization was submitted for
041108 - Kaiser to pay costs of Millie's treatment at UCSF in the sunitinib
041109 - clinical study. ref SDS 17 5C7J
041110 -
041111 -               [On 081112 Glenna reported Kaiser has not issued
041112 -               authorization for payment which the doctor submitted for
041113 -               Millie's treatment at Kaiser. ref SDS 30 ZX8F
041115 -                ..
041116 -               [On 081112 Paula McPhail reported that Kaiser's records
041117 -               show on 081103 Millie's doctor ordered her treatment on
041118 -               referral to UCSF. ref SDS 30 UV4O
041120 -                ..
041121 -               [On 081112 Michelle in Expedited Claims Department
041122 -               advised that the doctor is in charge of ordering
041123 -               treatment for the patient, and Kaiser must implement the
041124 -               doctor's orders. ref SDS 30 P28U
041126 -                ..
041127 -               [On 081112 Doctor Johnson reported ordering on 081103
041128 -               authorization for payment of Millie's treatment on
041129 -               referral at UCSF in the sunitinib clinical study, and
041130 -               Kaiser management sent a denial to him on 081110.
041131 -               ref SDS 30 TH49
041133 -  ..
041134 - Glenna's letter continues with UCSF schedule for Millie...
041135 -
041136 -
041137 -   11.  I look forward to seeing you again Millie, and to meeting you
041138 -        Rod, on 11/7/08 at 8:00AM in the lobby of the 2nd floor clinic
041139 -        here at Mt. Zion.
041140 -
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0412 -