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 06:54 PM Thursday; Rod Welch

Millie letter to Dennis coordinating CT test at Kaiser tomorrow. Port.

1...Summary/Objective


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SUBJECTS
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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 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on ordering the CT test at Kaiser in Oakland is in the
040902 - record on 081024. ref SDS 13 285H  At that time, the primary care
040903 - physician asked Millie to coordinate with the CT Department at Kaiser
040904 - in Walnut Creek to perform the CT test using Millie's Power Port for
040905 - injecting contrast medium. ref SDS 13 V58K
040907 -  ..
040908 - After meeting with the primary care physician on 081024 in the
040909 - Oncology Department on the 2nd floor of Kaiser in Walnut Creek, Millie
040910 - walked to the CT Department in the basement.  She left word for
040911 - Dennis, the supervisor to call about coordinating Millie's next CT
040912 - test on 081107.
040914 -  ..
040915 - Arriving home from Kaiser on 081024, there was a message on the
040916 - answering machine from Pat with the CT Department.  Called and talked
040917 - to Pat, and then to Dennis the supervisor.  During this call, Dennis
040918 - requested background on doing the CT test with Millie's Power Port at
040919 - Oakland a month ago on 080911. ref SDS 13 PPVW
040921 -  ..
040922 - On 081028, Millie submitted a letter with background on the work plan
040923 - for doing Millie's CT test, as requested by Dennis. ref SDS 14 PE6L
040924 - The next day on 081029 called and talked to Dennis about doing
040925 - Millie's CT test at Kaiser in Walnut Creek. ref SDS 15 QK7M  On 081029
040926 - also talked to Florida in the Infusion Clinic at Kaiser in Walnut
040927 - Creek.  She confirmed Kaiser CT department approves doing test using
040928 - Millie's Power Port, access scheduled in Infusion Clinic 081107 1230.
040929 - ref SDS 16 4E3G
040931 -  ..
040932 - The next day on 081030 Steve with Bard called and reported talking to
040933 - Angela with the CT Department at Kaiser in Oakland, and then to Dennis
040934 - at Kaiser in Walnut Creek; Steve feels Kaiser in Walnut Creek is good
040935 - to go for Millie's CT test on 081107. ref SDS 19 XN9C
040937 -  ..
040938 - This afternoon, Millie submitted a letter to Dennis for the CT
040939 - Department, with a copy to Paula for the Infusion Clinic, and to the
040940 - medical team on coordinating the CT test tomorrow at Kaiser in Walnut
040941 - Creek...
040942 -
040943 -    1.  Subject: CT test at Kaiser Walunt Creek Nov 7 1pm Using Power Port
040944 -        Date: Thu, 06 Nov 2008 19:04:38 -0800
040955 -         ..
040956 -    2.  Looking forward to the test tomorrow.
040958 -         ..
040959 -    3.  Heads up for the Infusion Clinic to use a Huber needle with
040960 -        high pressure tubing discussed in the letter on 081028.
040961 -        ref SDS 14 PE6T
040962 -
040963 -            [On 081106 letter to Bard requests on-site support during
040964 -            CT test on 081107 at Kaiser in Walnut Creek. ref SDS 20
040965 -            7U3S
040967 -         ..
040968 -    4.  Paula indicated on 080725 that the Infusion Clinic has these on
040969 -        hand. ref SDS 3 FQ37  I believe the test at Kaiser in Walnut
040970 -        Creek on 080718 used a Bard Powerloc Safety Infusion Set, but
040971 -        not sure.  I know that the test in Oakland last month used a
040972 -        Lifeguard Safety Needle that accessed the port by the Infusion
040973 -        Clinic at UCSF.
040974 -
040975 -            [On 081106 letter to Bard mentions requirements for care to
040976 -            use the correct Huber needle. ref SDS 20 7U3S
040978 -             ..
040979 -            [On 081107 coordination effective; Paula had briefed the
040980 -            Infusion Clinic on requirements and was prepared to use
040981 -            Huber needle equipment that meets requirements for
040982 -            accessing the Bard Power Port. ref SDS 21 58A5
040984 -             ..
040985 -            [On 081108 Steve asks how the test went at Kaiser using the
040986 -            Bard Power Port; explains Bard could not support the Power
040987 -            Port customer on 081107, proposed by Bard on 080108,
040988 -            ref SDS 4 OW41, requested by customer on 081028, and
040989 -            reminded on 081106, because Bard was busy attending a class
040990 -            to support future customers for Bard radiographic
040991 -            technology. ref SDS 23 4P4K
040993 -             ..
040994 -            [On 081111 Millie notifies medical team with copy to Bard
040995 -            that CT test was completed on 081107, ref SDS 24 WP8G,
040996 -            Kaiser trying to improve the work to smooth out the rough
040997 -            edges using Bard Power Port technology. ref SDS 24 2F3R
040999 -             ..
041000 -            [On 081111 Steve asks how Bard can help Kaiser smooth out
041001 -            the rough edges on technology transfer for the Bard Power
041002 -            Port, ref SDS 25 HZ5I, aligns with Bard's letter on 081108
041003 -            offering to help. ref SDS 23 MT5Q
041005 -         ..
041006 -    5.  The doctor on 081024 specified the test tomorrow to include the
041007 -        neck in order to evaluate a new lump in the left
041008 -        supraclavicular.  Doctor Daamen noticed on 081022 the scans for
041009 -        the prior test on 080911 in Oakland did not include enough of
041010 -        the neck to evaluate this lump. ref SDS 9 MU3I
041012 -         ..
041013 -    6.  I will go to Infusion Clinic at 1230 to access the Power Port,
041014 -        and then see you at 1p.
041015 -
041016 -            [On 081107 Dennis, the supervisor of CT tests at Kaiser in
041017 -            Walnut Creek, was not available to support the CT test usig
041018 -            new technology for the 2nd time, ref SDS 22 VR4L; Pat who
041019 -            had worked on Millie's prior test using the Power Port for
041020 -            the 1st time, and had scheduled the current test, did not
041021 -            remember Millie nor that the test would use Bard Power Port
041022 -            technology, ref SDS 22 MX4L, Steve, District Manager for
041023 -            Bard, who had talked to Dennis and said Kaiser was ready to
041024 -            do the CT test with the Power Port, and Julie, who had
041025 -            offered to support the test on-site, did not have time to
041026 -            visit Kaiser to support the 2nd attempt to prform a CT test
041027 -            using Bard equipment which had previously failed on the 1st
041028 -            attempt, at Kaiser in Walnut Creek;, ref SDS 22 2F6S;
041029 -            communications to collaborate on coordinating the work,
041030 -            failed by relying on memory of people under stress with
041031 -            limited time. ref SDS 22 2F32
041033 -             ..
041034 -            [On 081111 Millie notifies medical team with copy to Bard
041035 -            that CT test was completed on 081107, ref SDS 24 WP8G,
041036 -            Kaiser trying to improve the work to smooth out the rough
041037 -            edges using Bard Power Port technology. ref SDS 24 2F3R
041038 -
041044 -
041045 -
041046 -
041047 -
041048 -
041049 -
041050 -
041051 -
041052 -
041053 -
0411 -