CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 32 0000. ref SDS 30 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on difficulties performing FNA biopsy test for status
040902 - change is listed on 081031, ref SDS 29 5G5H, citing UCSF order for
040903 - medical services on 081016. ref SDS 10 J36R
040905 -  ..
040906 - UCSF offered on 081101 to perform FNA biopsy test for status change at
040907 - and disclosed this is not part of the sunitinib clinical trial, and
040908 - therefore requires separate authorization for payment. ref SDS 30 5G5H
040910 -  ..
040911 - Millie sent a letter to the medical team on 081102 reviewing
040912 - background on Kaiser failure to perform the FNA biopsy test for status
040913 - change, proposing to substitute core biopsy procedure, but deferring
040914 - the work 3 times due to high risks, and asking if the procedure is
040915 - necessary. ref SDS 31 AD5U  Millie reviewed patient history showing
040916 - medical necessity for FNA biopsy to test for status change,
040917 - ref SDS 31 AD5Y, and asking for the cost of UCSF performing the FNA
040918 - biopsy test for status change. ref SDS 31 AD6W
040920 -  ..
040921 - This morning Millie received a copy of a letter from the primary care
040922 - physician at Kaiser dated 081103 0859 responding to the UCSF letter on
040923 - 081101, ref SDS 30 5G5H, and making no reference to Millie's letter
040924 - yesterday to UCSF on 081102 asking about the cost of doing FNA biopsy
040925 - test for status change at UCSF, ref SDS 31 AD6W, and discussed in the
040926 - earlier record today. ref SDS 32 2M46
040928 -  ..
040929 - The letter from Kaiser this morning dated 081103 0859, says in
040930 - total...
040932 -         ..
040933 -        We will have the procedure performed at Kaiser. ref SDS 32 2M64
040935 -  ..
040936 - Issues flowing from brevity that fails to address issues are listed in
040937 - the record earlier this morning. ref SDS 32 4Q37
040938 -
040939 -            [On 081107 core biopsy was performed by Doctor Kahn in the
040940 -            Head and Neck Department at Kaiser in Walnut Creek.
040941 -            ref SDS 33 7P5O
040943 -  ..
040944 - Millie received a copy of UCSF letter responding to Kaiser and
040945 - saying in total...
040946 -
040947 -    1.  Subject:  Sunitinib Start Nov 13th Meeting Doctor Rugo
040948 -        Date: Mon, 3 Nov 2008 09:06:45 -0800
040954 -         ..
040955 -    2.  Great, thanks
040957 -  ..
040958 - This response improves on brevity of Kaiser's letter, discussed
040959 - earlier today. ref SDS 32 2M64
040960 -
040972 -  ..
040973 - What is the object of "great" identified in the letter that says
040974 - Kaiser will perform the procedure? ref SDS 32 E65J
040976 -  ..
040977 - On 031205 Millie received a similar letter from the primary care
040978 - physician that said simply "Great" handwritten on the bottom of a
040979 - pathology report on a CT test performed 031031. ref SDS 1 LK5L  This
040980 - overlooked a year of rising symptoms reported in tests, including
040981 - express notice of IBC symptoms, ref SDS 1 RH3Y  A few weeks later
040982 - notice of "great" on 031205, Millie was diagnosed with relapse,
040983 - ref SDS 2 WA4H, which later turned out to be IBC, reported on 040517,
040984 - ref SDS 3 7D6F, discovered only accidentally, because busy people do
040985 - not have time for review.
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0410 -