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: November 6, 2008 03:21 PM Thursday; Rod Welch

Doctor Johnson cancels Muga test duplicates echocardiogram.

1...Summary/Objective


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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 13 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a telephone recorded message from UCSF saying she has
040902 - a meeting with a doctor at UCSF on Friday 081107 0900. ref SDS 9 UY5G
040903 - Later in the evening Millie received a second recorded message.  This
040904 - was from the Nuclear Medicine Department at Kaiser in Walnut Creek,
040905 - which said Millie has a meeting on 081106 1030. ref SDS 9 6H6F
040907 -  ..
040908 - Called Kaiser Nuclear Medicine on 081105 and learned that on 081103
040909 - the primary care physician ordered a Muga test for Millie and
040910 - scheduled the work on 081106 1030. ref SDS 10 WO6O  Kaiser initially
040911 - changed this to 081111 1400 because Millie is out of town on 081106
040912 - (today). ref SDS 10 Q13N  Katie then called back and changed the time
040913 - for the test on 081111 from 1400 to 0930. ref SDS 10 N54H
040915 -  ..
040916 - Millie submitted a letter late yesterday afternoon on 081105 notifying
040917 - the medical team about these changes so that everybody is working from
040918 - the same schedule. ref SDS 12 LR9F
040920 -  ..
040921 - This morning Millie received a letter on 081106 0959 from the primary
040922 - care physician with copies to the medical team, and responding to
040923 - Millie's letter yesterday on 081105 1807, and further asking if an
040924 - echochardiogram test was scheduled instead of a Muga? ref SDS 13 WH9N
040926 -  ..
040927 - Millie responded in a letter today 081106 1453 sent to the medical
040928 - team that on 081024 Kaiser scheduled Millie for an echocardiogram on
040929 - 081110 0930. ref SDS 14 T65T
040931 -  ..
040932 - The primary care physician at Kaiser responded today 081106 1506
040933 - saying...
040934 -
040935 -    1.  Subject:  Echocardiogram Scheduled Nov 10, Muga Scheduled Nov 11th
040936 -        Date: Thu, 6 Nov 2008 15:06:42 -0800
040941 -         ..
040942 -        Yes, OK to cancel the MUGA.
040943 -
040944 -            [...below on 081106 1536 called and left message for
040945 -            Nuclear Medicine at Kaiser in Walnut Creek that primary
040946 -            care physician authorized canceling the Muga test scheduled
040947 -            for 081111 0930 because it duplicates echocardiogram
040948 -            schedule on 081110 0930. ref SDS 0 4P6J
040950 -             ..
040951 -            [...below, in another letter on 081106 1602 Millie notified
040952 -            medical team, including primary care physician that message
040953 -            was left canceling the Muga test. ref SDS 0 OW5R
040954 -
040966 -
040967 -
040969 -  ..
0410 -
0411 -
0412 - 1536
0413 -
041301 - Called Kaiser Nuclear Medicine......... 925 295 4800
041302 -
041303 - Implemented guidance from primary care physician earlier today on
041304 - 081106 1506 to cancel Muga test, per above. ref SDS 0 2J42
041306 -  ..
041307 - Following up call yesterday, when Katie notifed Millie is scheduled
041308 - for Muga test. ref SDS 10 WO6O
041310 -  ..
041311 - Today, nobody answered.
041313 -  ..
041314 - Provided Millie's medical number.
041316 -  ..
041317 - Left message on voice mail system that primary care physician in
041318 - Oncology at Kaiser Walnut Creek asked the patient to cancel a Muga
041319 - test ordered on 081103 and scheduled by Katie yesterday for 081106
041320 - 0930, ref SDS 10 N54H,
041322 -  ..
041323 - Advised that Muga test scheduled for 081111 0930 duplicates
041324 - echocardiogram test scheduled for the day before on 081110 0930.
041326 -  ..
041327 - Explained authority for cancelling the Muga test is letter from the
041328 - doctor received earlier today on 081106 1506, per above. ref SDS 0
041329 - 2J42  Asked Nuclear Medicine to check with the doctor for
041330 - verification.
041331 -
041332 -
041334 -  ..
0414 -
0415 -
0416 - 1557
0417 -
041701 - Millie submitted letter responding to the doctor's letter sent earlier
041702 - on 081106 1506, per above, ref SDS 0 2J9M, and notifying primary care
041703 - physician with copy to medical team...
041704 -
041705 -    1.  Subject: Muga Test Message Left for Nuclear Medicine to Cancel
041706 -        From: Millie Buck
041707 -        Date: Thu, 06 Nov 2008 16:02:44 -0800
041715 -         ..
041716 -    3.  Nuclear Medicine was called, and message left on voice mail
041717 -        system that you authorized canceling a Muga test scheduled for
041718 -        me on 081111 0930, and as shown in your letter earlier today.
041719 -        (...081106 1506). ref SDS 0 2J42
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