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 13, 2008 03:51 PM Thursday; Rod Welch

Millie letter to Tara at UCSF asking about 2nd CT test report on neck. treatment.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 6 0000, ref SDS 3 0000.
040502 -
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040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie met with the medical team this morning at UCSF.  Doctor Rugo's
040902 - team reviewed reports on medical tests received from Kaiser, which
040903 - were requested in Millie's letter to Kaiser on 081111. ref SDS 2 2E5P
040904 - Millie was approved to start treatment tomorrow with sunitinib
040905 - metronomic protocol.
040907 -  ..
040908 - Millie submitted a letter to the primary care physician at Kaiser with
040909 - copies to full medical team, confirming understandings on follow up.
040910 - ref SDS 6 4P6I  Millie forgot to include the new nurse practitioner,
040911 - Tara, who ran the meeting this morning, in distribution of the record
040912 - confirming understandings.
040914 -  ..
040915 - Millie sent a letter to Tara, with a copy to Glenna, transmitting the
040916 - earlier letter to the medical team on the meeting this morning, and
040917 - further asking about a 2nd CT test report received from Kaiser today
040918 - that covered only the neck...
040919 -
040920 -    1.  Subject:  Sunitinib Treatment Begins at UCSF
040921 -        Date: Thu, 13 Nov 2008 15:54:23 -0800
040929 -         ..
040930 -    3.  Sorry forgot to include you in distribution with the medical
040931 -        team.
040933 -  ..
040934 - Millie refers to the first letter sent an hour or so ago with
040935 - understandings from the meeting this morning at UCSF. ref SDS 6 5P5H
040937 -  ..
040938 - Millie's letter to Tara at UCSF continues...
040939 -
040940 -    4.  Good meeting you, and thanks very much for excellent care
040941 -        today.
040943 -         ..
040944 -    5.  Did Kaiser send you folks the 2nd CT test report on the neck?
040945 -        They evidently did 2 separate reports.  All we saw this morning
040946 -        [during the meeting with you at UCSF] was the main test
040947 -        covering the lower neck down [including chest, abdomen, and
040948 -        pelvis, reported on 081112, ref SDS 4 RU6R].  A second report
040949 -        was done only for the neck [received from Kaiser later today
040950 -        after the meeting at UCSF. ref SDS 5 YO7M
040951 -
040952 -            [On 081217 Millie letter to the medical team to prepare for
040953 -            the meeting the next day at UCSF on 081218, cited Kaiser's
040954 -            2nd report on the next for the CT test on 081107.
040955 -            ref SDS 9 YJ5Q
040957 -             ..
040958 -            [On 081218 Tara advised that Kaiser did not submit to
040959 -            UCSF the 2nd report on the neck for the CT test on
040960 -            081107, and asked Millie to submit the report to UCSF.
040961 -            ref SDS 10 LM4I
040963 -             ..
040964 -            [On 081218 Millie's letter to Kaiser requests consolidated
040965 -            report for the CT test on 081230 in order to avoid
040966 -            confusion caused by Kaiser publishing multiple reports for
040967 -            the CT test on 081107. ref SDS 11 UY3T
040969 -             ..
040970 -            [On 081219 Millie met with primary care physician at Kaiser
040971 -            and requested clarifications of work order to consolidate
040972 -            findings into a single report for the CT test on 081230.
040973 -            ref SDS 12 PI5M
040975 -             ..
040976 -            [On 081230 Jennifer, CT Technologist at Kaiser CT
040977 -            Department in Walnut Creek CA added comments to the work
040978 -            order for the CT test to consolidate findings in a single
040979 -            report, ref SDS 13 FF8M, and to correct the test last month
040980 -            on 081107 by comparing with the previous test on 080911,
040981 -            rather than with the test on 080718. ref SDS 13 F34K
040983 -         ..
040984 -    6.  The 2nd test seems to describe a lot of nodes in the right
040985 -        side, but seems to indicate these are unchanged.  Not sure how
040986 -        that can be when we have never before done a scan of only the
040987 -        neck.  The 2nd test also also mentions the big lump on the left
040988 -        side palpated by Doctor Rugo on 081016, and which was biopsied
040989 -        etc, resulting in finding progression, landing me in your good
040990 -        hands with sunitinib.
040992 -         ..
040993 -    7.  See you in 2 weeks on Wednesday.
040994 -
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