CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 16 0000, ref SDS 12 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -        [On 081108 protocol for CT tests with Bard Power Port needed to
040508 -        expedite work for MRI tests. ref SDS 20 UN7I
040510 -         ..
040511 -        [On 081111 Millie notifies medical team with copy to Bard that
040512 -        CT test was completed on 081107, ref SDS 21 WP8G, Kaiser trying
040513 -        to improve the work to smooth out the rough edges using Bard
040514 -        Power Port technology. ref SDS 21 2F3R
040516 -         ..
040517 -        [On 081111 Steve District Manager asks how Bard can help Kaiser
040518 -        smooth out the "rough edges" on technology transfer using the
040519 -        Bard Power Port. ref SDS 22 4Q3H
040520 -
040521 -
040522 -
040523 -
040524 -
040526 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie checked in at the Administration counter for the CT Department
040902 - at Kaiser in Walnut Creek, CA.  She paid $50 for the test today.
040904 -  ..
040905 - Millie submitted a copy of the blood test at UCSF on 081023 showing
040906 - Creatinine 0.54, ref SDS 8 8U4N, as planned in the telecon with Pat on
040907 - 081024, ref SDS 10 K69H, and again with Virginia yesterday on 081106.
040908 - ref SDS 15 ED8P
040910 -  ..
040911 - The attendant submitted some forms to fill out that document patient
040912 - profile.   Millie did this, and then waited to be called for the test.
040914 -  ..
040915 - Earlier today, Millie drank the two bottles of Barium Sulfate contrast
040916 - medium, which the primary care physician ordered on 081024,
040917 - ref SDS 9 XZ9P, and was received from the Kaiser Pharmacy at Park
040918 - Shadelands clinic on 081025. ref SDS 11 FT5H
040920 -  ..
040921 - On 080911 Millie experienced upset stomach with Barium Sulfate
040922 - suspension CT contrast medium. ref SDS 6 S59G  Today, this problem
040923 - seemed less pronounced, possibly because Millie has not had any cancer
040924 - treatments since 081023. ref SDS 8 V94O
040925 -
040926 -            [On 081230 Barium Sulfate suspension contrast medium for CT
040927 -            test in combination with sunitinib treatment for cancer has
040928 -            severe side effects, ref SDS 35 FF4K; Millie considers
040929 -            changing back to Gastrografin. ref SDS 35 N66M
040930 -
040932 -  ..
0410 -
0411 -
0412 - 1315
0413 -
041301 - About 10 minutes later, Cassandra came into the waiting room and asked
041302 - for Millie to perform the CT test ordered by Doctor Johnson on 081024
041303 - for the neck, chest, abdomen, and pelvis.
041305 -  ..
041306 - Millie asked for support from the patient assistant.
041308 -  ..
041309 - Cassandra asked the assistant to stay in the waiting room, because
041310 - there isn't enough space for another person in the test room.  Millie
041311 - explained patient assistance provides accurate, comprehensive work
041312 - history.  Cassandra noted that Kaiser does not permit family nor
041313 - friends into the test room, unless the patient is infirm.  Cassandra
041314 - joked that Millie looks very healthy today.
041316 -  ..
041317 - Millie cited the prior test on 080718, when patient assistance
041318 - provided medical history, which Pat found helpful to perform the CT
041319 - test. ref SDS 2 S76I  Millie recalled the test room at that time was
041320 - quite spacious, enough room for 20 assistants.  She asked if testing
041321 - has been moved to another room?
041323 -  ..
041324 - Cassandra told Millie not to worry, noting all patients are nervous,
041325 - but everything will be fine, because she does CT tests all the time.
041326 - Cassandra further explained that Pat would assist her with Millie's CT
041327 - test today.  Pat also has years of experience, so there is more than
041328 - enough help to do Millie's CT test without support from the patient
041329 - assistant.
041330 -
041331 -        [On 081108 Kaiser relied on patient assistance for MRI test the
041332 -        next day. ref SDS 20 JU4I
041334 -  ..
041335 - Millie was relieved that Pat would support the test.  Since Pat had
041336 - assisted Dennis with Millie's CT test on 080718, she was familiar with
041337 - requirements using Millie's Power Port. ref SDS 2 A246  More recently,
041338 - on 081024, Pat called Millie to schedule the test today, and at that
041339 - time Pat instructed Millie on contacting the Infusion Clinic to access
041340 - the Power Port for the test today. ref SDS 10 208W  So Pat knows all
041341 - about what's going on today using the Bard Power Port for Millie's CT
041342 - test.
041344 -  ..
041345 - In the test room, Millie asked if the CT team was briefed on her test
041346 - today from the letter sent to Kaiser yesterday? ref SDS 16 XZ5F
041348 -  ..
041349 - Neither Cassandra nor Pat recalled a briefing.
041351 -  ..
041352 - Millie asked if Dennis would assist with the test?
041354 -  ..
041355 - Cassandra explained that Dennis is working outside in a trailer
041356 - testing facility today.  Sounds similar to Millie's test 2 months ago
041357 - on 080911 at Kaiser in Oakland.  The CT scan was in a mobile trailer
041358 - testing unit parked in the garage just ouside the hospital.
041359 - ref SDS 6 358L
041361 -  ..
041362 - Turned out that Pat did not recognize Millie from the prior test on
041363 - 080718, and did not remember calling Millie 2 weeks ago on 081024 to
041364 - set up the test today using Millie's Power Port. ref SDS 10 208W
041366 -  ..
041367 - Pat didn't say hello, welcome back.  Offered no words of encouragement
041368 - that things would go better today than last time.
041370 -  ..
041371 - Millie was then worried and annoyed about lack of focus today on
041372 - solving past problems.  She recognized that high volume work helping a
041373 - lot of patients everyday causes memories to fade over days, weeks, and
041374 - months.  She asked Cassandra about getting support from the assistant
041375 - in the waiting room.
041377 -  ..
041378 - Cassandra indicated this is unnecessary, and noted time is limited.
041380 -  ..
041381 - Cassandra began configuring Millie for a conventional IV to inject
041382 - contrast medium.
041384 -  ..
041385 - Millie became very concerned.
041387 -  ..
041388 - She looked at Pat and asked:  "Don't you remember my test today uses
041389 - the Bard Power Port?  On 081024, my doctor put in the referral to the
041390 - CT Department that the test would use my Power Port to inject contrast
041391 - medium.  Remember you called and said to go to the Infusion Clinic
041392 - today at 1230 and get the Power Port accessed with a Huber needle?"
041393 - ref SDS 10 208W
041395 -  ..
041396 - Millie slid her blouse aside and showed the Huber needle just accessed
041397 - in the Infusion Clinic, as Pat had instructed on 081024.
041399 -  ..
041400 - Pat did not remember.
041402 -  ..
041403 - Cassandra said that Technicians cannot access Power Ports to inject CT
041404 - contrast medium into a central artery.  She indicated that Kaiser
041405 - cannot do the test today using Millie's Power Port.
041407 -  ..
041408 - Millie noted this has been talked about for months, since last July.
041409 -
041410 -        [...below, Heather commented that Millie's case has been
041411 -        discussed in Interventional Services. ref SDS 0 Z14M
041412 -
041413 -        [On 081210 primary care physician plans to coordinate on
041414 -        notifying IS department about Millie's next CT test on 081230
041415 -        1020. ref SDS 31 T15L
041417 -  ..
041418 - It was discussed recently with Kaiser on 081024. ref SDS 10 PPVW
041419 - Kaiser got a letter on 081028 confirming understandings. ref SDS 12
041420 - PE6L  The next day on 081029 Kaiser was called again about using the
041421 - Power Port for the test today. ref SDS 13 QK90  Yesterday, Kaiser got
041422 - another letter to remind everybody about using the Power Port for the
041423 - CT test today. ref SDS 16 XZ5F
041425 -  ..
041426 - Cassandra explained that sometimes things fall through the cracks
041427 - because it is hard to remember details with so much going on.
041428 -
041429 -            [On 081126 forgetting to coordinate order for drugs may
041430 -            delay treatment for cancer with sunitinib protocol.
041431 -            ref SDS 30 UK4H
041433 -  ..
041434 - Cassandra asked Millie what should be done?
041436 -  ..
041437 - Millie was frantic.  She asked for help from the assistant in the
041438 - waiting room.
041440 -  ..
041441 - Cassandra explained there isn't enough time,  She asked Millie to
041442 - explain how the CT Department should perform the test today, otherwise
041443 - the test will be delayed, because other patients are waiting.
041445 -  ..
041446 - Millie recalled that for the test last month on 080911 at Kaiser in
041447 - Oakland, Angela just connected the injection equipment to the Huber
041448 - needle, and pressed a button.  It's very simple. ref SDS 6 LK3R
041450 -  ..
041451 - Cassandra said she is not aware of what happened in Oakland last
041452 - month.  Nobody has said anything about this.
041454 -  ..
041455 - Millie asked doesn't the referral specify the CT test using a Power
041456 - Port?  That's why Pat sent her to the Infusion Clinic at 1230 today.
041458 -  ..
041459 - Cassanda explained there isn't enough time to check the referral for
041460 - every patient.  CT Technicians follow standard procedure to save time.
041462 -  ..
041463 - Cassandra was firm that CT Techs at Kaiser in Walnut Creek cannot
041464 - connect contrast medium infusion equipment to Millie's Power Port.
041465 - This aligns with Paula's concerns on 081017, ref SDS 7 8Y8O, discussed
041466 - recently with Dennis on 081024. ref SDS 10 2061
041468 -  ..
041469 - Millie was angry and frightened.  She recalled that for the last test
041470 - Pat had assistance by two nurses.
041472 -  ..
041473 - Pat did not recall this.
041475 -  ..
041476 - Cassandra asked Millie for names of people who can help.
041478 -  ..
041479 - Millie could not remember.  She remembered another department with
041480 - name Inter... something-or-other.
041482 -  ..
041483 - Cassandra was exasperated, and indicated the test cannot be done today
041484 - without patient assistance.
041486 -  ..
041487 - Millie suggested asking the assistant in the waiting room.  She
041488 - recalled that when problems occurred with the test on 080718, the
041489 - nurse assisting the CT tech went to the lobby and got help from the
041490 - patient assistant, and then work advanced.
041492 -  ..
041493 - Cassandra said there isn't enough time.  She asked again if Millie can
041494 - think of any names who can help with the CT test today?
041496 -  ..
041497 - Millie then remembered Dennis worked with Pat doing the prior test on
041498 - 080718, ref SDS 2 A246, and he got the letter sent yesterday on
041499 - planning the test today.  Dennis, ref SDS 16 XZ5F, is the supervisor
041500 - of the CT Department, and so might know who to contact about doing the
041501 - test today.
041503 -  ..
041504 - Cassandra thanked Millie for suggesting the staff talk with the
041505 - supervisor, and asked why Millie didn't think of this sooner?  She
041506 - went into the Control Room and called for Dennis, who was working in
041507 - the outside trailer, per above. ref SDS 0 VR4L
041509 -  ..
041510 - Dennis remembered getting Millie's letter yesterday, ref SDS 16 XZ5F,
041511 - and then making arrangements for a nurse from Interventional Services
041512 - (IS) to support the CT test today.  He forgot to mention it to Pat and
041513 - Cassandra, due to a hectic schedule.  Dennis figured the patient
041514 - assistant, who helped with the last test, and coordinated the current
041515 - test, would explain everthing.  He knew Pat would be assisting, and
041516 - she was familiar with Millie's case from the last time, and from
041517 - scheduling the current test.  Dennis expected a Bard rep would be on
041518 - site to lend a hand, based on Millie's letter to the medical team
041519 - yesterday. ref SDS 16 XZ5F  An earlier letter to Dennis on 081028 with
041520 - a copy to Bard expressly requested Bard support for the test today.
041521 - ref SDS 12 PE4W  Dennis expected the IS nurse would show up at 1pm,
041522 - and support Millie's test, rather than wait to be called.  All this
041523 - "fire power" seemed sufficient to accomplish Millie's CT test, so that
041524 - Dennis could perform duties elsewhere.
041525 -
041526 -            [On 081126 Research Coordinator assigned to support another
041527 -            meeting; not enough time for medical team to collaborate on
041528 -            ordering Millie's drugs to start next phase of cancer
041529 -            treatment. ref SDS 30 EG8O
041531 -             ..
041532 -            [On 081126 forgetting to coordinate order for drugs may
041533 -            delay treatment for cancer with sunitinib protocol.
041534 -            ref SDS 30 UK4H
041536 -  ..
041537 - At this point, Pat suddenly remembered Millie from the prior test on
041538 - 080718. ref SDS 2 A246  She connected that memory with the work plan
041539 - she set up during call a few weeks ago, when Pat instructed Millie to
041540 - get Power Port access in the Infusion Clinic.  Pat then remembered
041541 - working on 080718 with Nora and Kathi from Interventional Radiology,
041542 - which Dennis called IS today.
041544 -  ..
041545 - Pat rushed to the phone and called IS, while Cassandra was still
041546 - getting guidance from Dennis on another phone line.
041548 -  ..
041549 - Heather in IS asked what happened?  She was briefed that Millie's test
041550 - was at 1 pm, and she would be called when to come to the CT
041551 - Department?
041553 -  ..
041554 - Pat explained things are hectic today; nobody could remember to call
041555 - IS.
041557 -  ..
041558 - After talking to Dennis, and learning that Pat had already called IS,
041559 - Cassandra ended her support for Millie's CT test.  She left the test
041560 - room to help other patients beginning to back up in the waiting room.
041562 -  ..
041563 - Heather arrived about 5 mintues later.
041565 -  ..
041566 - Heather asked Millie for the Bard Power Port patient instruction card,
041567 - which Millie received on 080708, ref SDS 1 QQRZ, when Doctor
041568 - Riley-Paull implanted the Bard Power Port.
041570 -  ..
041571 - Millie became concerned again.  This happened when things went bad
041572 - during the last test on 080718. ref SDS 2 2U8V  People tried to
041573 - interpret instructions in the heat of a hectic day, and made mistakes.
041574 - ref SDS 2 LK3R
041576 -  ..
041577 - Millie got the Bard Instruction Card from her purse.
041579 -  ..
041580 - Heather and Pat examined Bard "Instructions for Use" of Power Ports,
041581 - and discussed what to do.
041583 -  ..
041584 - Millie explained that Angela did the same thing for the last test on
041585 - 080911 in Oakland. ref SDS 6 UE6L  But, after being told Millie has a
041586 - Bard Power Port, she stopped looking at the Instruction Card to figure
041587 - out what to do, and said the Bard rep was on site the day before and
041588 - said to just connect the equipment and do the test.  Settings are the
041589 - same as for a conventional IV. ref SDS 6 JG43,
041591 -  ..
041592 - Pat said looking at the card that it seems like there is nothing to
041593 - do, or change.  She asked if anyone from Bard has been by to help CT
041594 - people in Walnut Creek, like they did for Angela in Oakland?
041595 - ref SDS 6 OY7M
041597 -  ..
041598 - Millie explained that on 080801 Bard offered to help with the test
041599 - today. ref SDS 3 OW41  A week ago on 081028, Millie sent a letter to
041600 - Dennis with a copy to Steve at Bard, asking for help with the test
041601 - today. ref SDS 12 PE4W  On 081030, Dennis reported that Kaiser was
041602 - "good to go" for the test today using Bard access technology.
041603 - ref SDS 14 UF5H  Millie sent a letter last night asking Bard for
041604 - on-site support on the test today. ref SDS 17 7U3S  It looks today
041605 - like nobody is available due to a hectic schedule.  Millie suggested
041606 - checking in the waiting room, like Nora did for the test on 080718,
041607 - when questions came up about the Bard Patient "Instructions for Use"
041608 - card.
041609 -
041610 -        [On 081108 Steve asks how the test went at Kaiser using the
041611 -        Bard Power Port; explains Bard could not support the Power Port
041612 -        customer on 081107, proposed by Bard on 080801, ref SDS 3 OW41,
041613 -        requested by customer on 081028, and reminded on 081106,
041614 -        because Bard was busy attending a class to support future
041615 -        customers for Bard radiographic technology. ref SDS 19 4P4K
041617 -         ..
041618 -        [On 081111 Steve District Manager asks what Bard can do to
041619 -        assist Kaiser with technology transfer using the Bard Power
041620 -        Port. ref SDS 22 4Q3H
041622 -         ..
041623 -        [On 081111 Millie's letter to Bard, ref SDS 23 2X9K, proposes
041624 -        that Bard offer assistance to Kaiser on developing a protocol
041625 -        to using the Bard Power Port according to manufacturer's
041626 -        guidance, ref SDS 23 2Y3T, as suggested by Heather in IS at
041627 -        Kaiser today, per below. ref SDS 0 2F56
041629 -         ..
041630 -        [On 081117 Steve explains Bard did not attend Millie's CT test
041631 -        on 081107 because Kaiser told Bard not to attempt further help
041632 -        for Kaiser because CT tests can be done for all patients
041633 -        without using Power Port technology. ref SDS 29 M559
041635 -         ..
041636 -        [On 081117 after reviewing the record of difficulties Kaiser
041637 -        has with Millie's CT test on 081107, Steve recalled that Dennis
041638 -        the supervisor seemed more receptive to his call offering help
041639 -        on 081030, ref SDS 29 PQ3P, possibly reflecting difficulties
041640 -        Dennis had noted with Millie's first CT test using the Power
041641 -        Port on 080718, ref SDS 2 FM74; Steve plans to offer again to
041642 -        assist Kaiser in Walnut Creek develop a protocol with
041643 -        instructions on using the Bard Power Port for CT tests in time
041644 -        for Millie's next test in 6 weeks. ref SDS 29 JH3N
041646 -  ..
041647 - Heather decided to take a chance and rely on Millie's memory, and
041648 - Pat's interpretation of the Bard Power Port "Patient Instruction"
041649 - Card. ref SDS 0 2F4Y  Heather connected the CT injection equipment to
041650 - the Huber needle accessed earlier in the Infusion Clinic.  There was
041651 - no attempt to change settings.
041653 -  ..
041654 - Pat then pushed the button.
041656 -  ..
041657 - The equipment ran through the test cycle, and then the CT test
041658 - sequence executed.  Took about 15 minutes.
041660 -  ..
041661 - Worked perfectly, just like in Oakland on 080911. ref SDS 6 LK3R
041663 -  ..
041664 - The test was done with Millie's arms raised above her head in order
041665 - for scan rays to access the upper body from all sides, and not be
041666 - obstructed by the arms.
041668 -  ..
041669 - A second scan test was done of the neck that took only a few minutes.
041670 - Millie's arms were lowered to her side for full access to all sides of
041671 - the neck.
041672 -
041673 -        [On 081111 Millie's letter to medical team requests Kaiser
041674 -        submit the report on the CT test today in time for people to
041675 -        prepare for meeting at UCSF on 081113. ref SDS 21 2E5P
041677 -         ..
041678 -        [On 081112 Millie submits reminder to Kaiser on issuing
041679 -        reports on tests needed for meeting at UCSF on 081113 so
041680 -        that Millie can begin treatment for cancer. ref SDS 24 SM7K
041682 -         ..
041683 -        [On 081112 Millie received report from Kaiser on CT test
041684 -        performed today on 081107. ref SDS 25 6V5I
041686 -         ..
041687 -        [On 081113 test reports were received at UCSF and the doctor
041688 -        requested clarification from Kaiser about evident errors and
041689 -        conflicts with patient history, ref SDS 26 VL5L, review by
041690 -        Doctor Rugo resulted in approving Millie for full treatment in
041691 -        the sunitinib clinical study. ref SDS 26 OG5H, and cited in
041692 -        Millie's letter to the medical team confirming review of the CT
041693 -        test report. ref SDS 28 8Q8P
041695 -         ..
041696 -        [On 081113 Millie received a second report on the CT test today
041697 -        for the 2nd scan of the neck; turned out the 1st report was
041698 -        incomplete. ref SDS 27 6V5I
041700 -         ..
041701 -        [On 081217 Millie's letter to the medical team cited confusion
041702 -        caused by getting multiple reports for the CT test on 081107.
041703 -        ref SDS 32 YJ5Q
041705 -  ..
041706 - Heather then disconnected the Huber needle from the injection
041707 - equipment, and flushed the port with saline.
041709 -  ..
041710 - Millie explained that Anne will maintain the port with Heparin when
041711 - she removes the Huber needle in the Infusion Clinic, in a few minutes
041712 - after the CT test.
041713 -
041714 -        [...in another record today 081107 1343 Millie went to the
041715 -        Infusion Clinic on the 2nd floor in Oncology; Anne completed
041716 -        work on the CT test by removing the Huber neeedle and
041717 -        maintaining the Power Port according to protocol. ref SDS 18
041718 -        W8DG
041720 -  ..
041721 - Millie thanked everyone for excellent work solving difficult problems
041722 - without assistance, briefing, nor notice on scope of work.  This
041723 - reduced time and cost from several hours for the test on 080718 to
041724 - only about 1 hour today.  Pat feels the time for Millie's CT test
041725 - using the Power Port can be reduced with better coordination to take
041726 - even less time than conventional IV injection procedures.
041728 -         ..
041729 -        [On 081229 notification problems occurred again, ref SDS 34
041730 -        5F5M, but were resolved in a meeting the day before the test.
041731 -        ref SDS 34 MR6K
041733 -         ..
041734 -        [On 081230 Millie's CT test took about 20 minutes using the
041735 -        Bard Power Port for pressure injection of contrast medium,
041736 -        rather than conventional IV procedures. ref SDS 35 DU52
041738 -  ..
041739 - Pat appologized for taking so long to remember things today, and
041740 - commented that this experience will make people better prepared for
041741 - the next test.  She noted how using new technology for the first time,
041742 - like today, needs assistance, because it is hard to remember details
041743 - and interpret instructions at the last minute, and with such a hectic
041744 - schedule doing the same steps day after day.  Pat remembered Millie
041745 - bleeding on the test table last time, and said thank God, we had
041746 - better luck today.
041748 -  ..
041749 - Heather walked out with Millie to the waiting room.  Millie apologized
041750 - for having a hard time remembering names. ref SDS 0 MY92  She asked
041751 - Heather to thank Cassandra for calling Dennis to find out "what's
041752 - going on."  For the next test in six (6) weeks, Millie will go first
041753 - to Interventional Services, and then walk over to the CT department
041754 - with the nurse; or maybe the nurse can wait 10 mintues or so for
041755 - Millie to check in and prepare patient profile documentation.  This
041756 - will eliminate some of the problems relying on ambiguity of human
041757 - memory.
041759 -  ..
041760 - Heather said there's no need to apologize.  She explained that medical
041761 - practice is complicated, so it's easy for things to slip through the
041762 - cracks.  This makes patients nervous, because doctors and nurses get
041763 - mixed up handling a lot of details with limited time that cause stress
041764 - for everyone, especially after what happened to Millie last time.  She
041765 - said that Nora and Kathi will be happy to hear things turned out okay
041766 - today, and related that Millie's case has been discussed in IS.
041767 -
041768 -        [On 081219 1140 things "fell through the cracks" again when
041769 -        someone changed the doctor's order for Millie's CT test on
041770 -        081230. ref SDS 33 V76L
041772 -         ..
041773 -        [On 090205 1318 Doctor Johnson wants better communication for
041774 -        coordinating treatment at UCSF of Millie's 6th IBC relapse,
041775 -        so that critical details do "fall through the cracks."
041776 -        ref SDS 36 256K
041778 -  ..
041779 - Heather commented that lessons learned today on difficulty remembering
041780 - critical details, ref SDS 0 9J9M, and from the prior test on 080718,
041781 - ref SDS 2 A39Q, could help write up a protoccol.  Experience today
041782 - shows the Bard Power Port makes CT tests fast and easy.  Going through
041783 - the exercise getting people involved writing up a protocol to
041784 - implement manufacturer's instructions can smooth out "rough edges," so
041785 - everybody knows what to do without so much stress, doubt, worry, and
041786 - frustration.
041787 -
041788 -        [On 081108 protocol for CT tests with Bard Power Port needed to
041789 -        expedite work for MRI tests. ref SDS 20 UN7I
041791 -         ..
041792 -        [On 081111 Millie notifies medical team with copy to Bard that
041793 -        CT test was completed on 081107, ref SDS 21 WP8G, Kaiser
041794 -        improving work to smooth out "rough edges" using Bard Power
041795 -        Port technology. ref SDS 21 2F3R
041797 -         ..
041798 -        [On 081111 Steve District Manager asks how Bard can help Kaiser
041799 -        smooth out the "rough edges" on technology transfer using the
041800 -        Bard Power Port. ref SDS 22 4Q3H
041802 -         ..
041803 -        [On 081111 Millie's letter to Bard, ref SDS 23 2X9K, proposes
041804 -        that Bard offer assistance to Kaiser on developing a protocol
041805 -        to using the Bard Power Port according to manufacturer's
041806 -        guidance, ref SDS 23 2Y3T, as suggested by Heather in IS at
041807 -        Kaiser today, per below. ref SDS 0 2F56
041809 -         ..
041810 -        [On 081117 Steve explains Bard did not attend Millie's CT test
041811 -        on 081107 because Kaiser told Bard not to attempt further help
041812 -        for Kaiser because CT tests can be done for all patients
041813 -        without using Power Port technology. ref SDS 29 M559
041815 -         ..
041816 -        [On 081117 after reviewing the record of difficulties Kaiser
041817 -        has with Millie's CT test on 081107, Steve recalled that Dennis
041818 -        the supervisor seemed more receptive to his call offering help
041819 -        on 081030, ref SDS 29 PQ3P, possibly reflecting difficulties
041820 -        Dennis had noted with Millie's first CT test using the Power
041821 -        Port on 080718, ref SDS 2 FM74; Steve plans to offer again to
041822 -        assist Kaiser in Walnut Creek develop a protocol with
041823 -        instructions on using the Bard Power Port for CT tests in time
041824 -        for Millie's next test in 6 weeks. ref SDS 29 JH3N
041826 -  ..
041827 - Millie left the CT Department and returned to the Infusion Clinic to
041828 - have the Huber needle removed, ref SDS 18 W8DG, according to the work
041829 - plan discussed with Dennis on 081030. ref SDS 12 PE6Q
041830 -
041831 -
041832 -
041833 -
041834 -
041835 -
041836 -
041837 -
041838 -
0419 -