CONTACTS
SUBJECTS
Default Null Subject Account for Blank Record
0403 -
0403 - ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 13 0000, ref SDS 11 0000.
040502 -
040503 -
040504 -
040506 - ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a recorded message from the Nuclear Medicine
040902 - Department at Kaiser in Walnut Creek, which said Millie has a meeting
040903 - tomorrow on 081106 1030. There is nothing in the schedule on this
040904 - meeting, so sent a letter to UCSF and Kaiser requesting clarification
040905 - of Millie's schedule. ref SDS 13 HH9W
040907 - ..
040908 - Called Kaiser Nuclear Medicine......... 925 295 4800
040910 - ..
040911 - Talked to Katie.
040913 - ..
040914 - Katie says the computer shows on 081103, the primary care physician
040915 - ordered a Muga test for Millie on 081106 1030.
040916 -
040917 - 1. [...in another record today on 081105 0115 sent a letter to the
040918 - medical team asking about requirements for test in Nuclear
040919 - Medicine. ref SDS 13 AH6N
040921 - ..
040922 - 2. [On 081105 letter notifies Millie's medical team that Kaiser
040923 - added Muga test to work plan. ref SDS 15 WX4Y
040925 - ..
040926 - 3. [...in another record today on 081105 0825 Glenna responded
040927 - that UCSF has not ordered testing with Nuclear Medicine for
040928 - Millie's screening to participate in the sinitinub clinical
040929 - study. ref SDS 14 ZR7G
040931 - ..
040932 - 4. [On 081106 primary care physician at Kaiser responds asking
040933 - if an echocardiogram was ordered instead of a Muga test.
040934 - ref SDS 16 1693
040936 - ..
040937 - 5. [On 081106 Millie responds to the medical team confirming that
040938 - an echocardiogram is scheduled for 081110 0930, ref SDS 17
040939 - WH9N, and asks if this duplicates the Muga test, then can the
040940 - Muga test be cancelled? ref SDS 17 T66S
040942 - ..
040943 - 6. [On 081106 1521 primary care physician asks patient to cancel
040944 - Muga test scheduled on 081111 0930. ref SDS 18 2J9M
040946 - ..
040947 - 7. [On 081106 1526 called and left message for Nuclear Medicine at
040948 - Kaiser in Walnut Creek that primary care physician authorized
040949 - canceling the Muga test scheduled for 081111 0930 because it
040950 - duplicates echocardiogram scheduled on 081110 0930. ref SDS 18
040951 - 4P6J
040953 - ..
040954 - 8. [On 081106 1557 Millie submits letter to medical team notifying
040955 - of call to Nuclear Medicine and message left canceling Muga
040956 - test ordered on 081103 and scheduled for 081111 because
040957 - duplicates ecocardiogram ordered on 081024 and scheduled the
040958 - day before on 081110. ref SDS 18 OW5R
040960 - ..
040961 - 9. [On 081110 echocardiogram test of heart; initial indications
040962 - Millie has strong heart that permits low blood pressure, no
040963 - evident signs of enlarged right ventricle, nor enlarged heart.
040964 - ref SDS 19 WL63
040966 - ..
040967 - Katie indicated the schedule was entered with the referral order using
040968 - Kaiser's Knowledge Management computer system, and does not show
040969 - alignment with original sources for requirements and correlation with
040970 - the work plan showing the patient on vaction until 081106 (Millie
040971 - returns to Oakland airport at 2000) and starting work on medical tasks
040972 - the next day on 081107. ref SDS 9 OS6G
040974 - ..
040975 - Computer mistake ordering the Muga test seems similar to the
040976 - transaction ordering FNA biopsy in the Surgery Department on 081021.
040977 - ref SDS 6 IW66
040979 - ..
040980 - The UCSF work plan was submitted to the medical team on 081031.
040981 - ref SDS 10 UM8M
040983 - ..
040984 - Earlier on 080829 the doctor approved Millie's vacation schedule.
040985 - ref SDS 4 RP7Y
040987 - ..
040988 - Millie's patient history for Muga tests is reviewed below. ref SDS 0
040989 - WI5L
040991 - ..
040992 - There is nothing in the record for the sunitinib clinical study about
040993 - a "Muga" test requirement. The Consent document reviewed on 081017
040994 - identifies screening, and does not specify Muga testing. ref SDS 5
040995 - YX9N
040997 - ..
040998 - The work plan on 081029 shows no record of Muga testing. Katie's
040999 - report today updates the work plan, ref SDS 9 MK7O, perhaps for
041000 - reasons reviewed below. ref SDS 0 WI5L
041002 - ..
041003 - On 081031 UCSF listed tests required for the sunitinib clinical study;
041004 - Muga testing is not included. ref SDS 11 SI4P
041006 - ..
041007 - Katie feels there may have been a mistake in the computer system. She
041008 - said there has been a lot of that lately.
041010 - ..
041011 - Katie changed the meeting for the Muga test to 081111 1400 to occur
041012 - after the battery of tests already scheduled, and prior to meeting
041013 - with Doctor Rugo at UCSF on 081113 to start treatment in the sunitinib
041014 - clinical study.
041015 -
041016 - [...below Katie called back and reported another computer
041017 - mistake; required changing the time for the test from 1400 to
041018 - 0930. ref SDS 0 N54H
041020 - ..
041021 - [On 081105 letter notifies Millie's medical team that Kaiser
041022 - added Muga test to work plan. ref SDS 15 WX4Y
041024 - ..
041025 - [On 081106 primary care physician at Kaiser responds asking
041026 - if an echocardiogram was ordered instead of a Mega test.
041027 - ref SDS 16 1693
041029 - ..
041030 - This makes 4 tests Millie will have in a row, shown in the work plan
041031 - on 081029, ref SDS 9 4B5M, and confirmed in Glenna's letter on 081031.
041032 - ref SDS 11 SI6R
041034 - ..
041035 - Katie advised there is no pre-test preparation for the Muga test, as
041036 - there is for a CT test.
041038 - ..
041039 - Katie said she looked at Millie's schedule, and feels comfortable that
041040 - the battery of 4 tests Millie will have on consecutive days are not
041041 - conflicting nor cumulatively damaging to Millie. She explained that
041042 - the only restriction is for Millie not to have had chemotherapy within
041043 - 3 days of the Muga test. Millie's last cheotherapy was at UCSF on
041044 - 081023. ref SDS 7 V94O Katie feels Millie is therefore okay for the
041045 - Muga test on 081111.
041047 - ..
041048 - Background...
041050 - ..
041051 - Millie had a Muga test on 050328 to evaluate safety of additional
041052 - chemotheray with Adriamycin Cytoxan (AC). Background on reason for
041053 - Muga testing related to treatment with Adriamycin Cytoxan (AC)
041054 - chemotherapy is shown in the record on 050328. ref SDS 1 0001 On
041055 - 050422 results of MUGA test presented by Kaiser indicate no evidence
041056 - of heart damage, and potential for Millie to receive additional
041057 - treatments with AC, based on clinical representation during
041058 - examination. The test report was not provided for the record.
041059 - ref SDS 2 UG4H
041061 - ..
041062 - Cytoxan is the brand name for cyclophosphamide, which is one of the
041063 - drugs in the sunitinib clinical study, cited in review of consent
041064 - documents on 081017. ref SDS 5 004O Review at that time on 081017
041065 - indicated Adriamycin (duxorubicin) and not cyclophosphamide is cited
041066 - for risk of heart damage
041068 - ..
041069 - Heart problems are listed as 1% - 10% (less likely) from sunitinib,
041070 - ref SDS 5 VV4L include...
041071 -
041072 - Increased heart muscle enzyme levels
041073 - Decreased heart muscle function
041075 - ..
041076 - Rare but serious side effects related to the hear include...
041077 -
041078 - Weakness of the heart muscle; irregular heartbeat,
041079 - ref SDS 5 4O6L
041081 - ..
041082 - Patient history on heart related issues, e.g., irregular heart beat,
041083 - PE, enlarged right ventricle, is listed in review of the sunitinib
041084 - Consent document on 081017. ref SDS 5 0Y6L
041086 - ..
041087 - Possibly the Muga test was ordered as a precaution.
041089 - ..
041090 - Posted today to work plan on 081029. ref SDS 9 MK7O
041092 - ..
041093 - In another record, medical team notified for comment.
041094 -
041095 -
041096 -
041098 - ..
0411 -
0412 -
0413 - 1305
0414 -
041401 - Katie called back.
041402 -
041403 - She described another problem occurred with the computer at Kaiser.
041404 - The schedule for Millie's Muga test scheduled earlier this morning for
041405 - 081111 1400 to correct the mistake on 081106, turned out to be another
041406 - mistake. ref SDS 0 QC8M
041408 - ..
041409 - Katie changed the time for the test from 1400 to 0930 next Tuesday.
041410 -
041411 - [On 081105 letter notifies Millie's medical team that Kaiser
041412 - added Muga test to work plan. ref SDS 15 WX4Y
041413 -
041414 - [On 081106 primary care physician at Kaiser responds asking
041415 - if an echocardiogram was ordered instead of a Mega test.
041416 - ref SDS 16 1693
041418 - ..
041419 - Katie feels "three's a charm," and promised this would be the last
041420 - call on Millie's Muga test.
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0415 -