CONTACTS 
0201 - Bard Access
020101 - Mr. Steve Sigl; District Manager
020103 - Executive Office

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 23 0000. ref SDS 22 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Bard Asks What Can Be Done to Assist Kaiser Using Bard Power Port
040902 -
040903 - Follow up ref SDS 23 HZ5I, ref SDS 22 HZ5I.
040904 -
040905 - Background is repored in a record earlier this morning on 081111.
040906 - ref SDS 22 WP5I
040908 -  ..
040909 - Steve's letter on 081111 asked how Bard can assist Kaiser for Millie's
040910 - next CT test. ref SDS 22 HZ5I
040912 -  ..
040913 - Millie's letter Steve proposed Steve read the record on 081107, and
040914 - that Bard support a protocol at Kaiser for using Power Port.
040915 - ref SDS 23 2X6X
040917 -  ..
040918 - In the telecon this afternoon, Steve recalled getting Millie's letter
040919 - on 081111, but did not have time to review the record of the test on
040920 - 081107.  Steve asked during the call today for a summary of what
040921 - happened during the CT test for Millie at Kaiser in Walnut Creek on
040922 - 081107, and how that relates to Bard marketing the Power Port at
040923 - Kaiser in Walnut Creek.
040925 -  ..
040926 - Upon discussion, Steve decided to read the record on 081107 to provide
040927 - a base for discussion of next steps. ref SDS 16 MX6K
040929 -  ..
040930 - After reading the record of Millie's CT test on 081107, Steve noted
040931 - the record provides comprehensive explanation of complexities that
040932 - caused performance failures, which are difficult to grasp from
040933 - spontaneous dialog.  Steve feels Millie's patient history justifies
040934 - urgency to assist Kaiser develop a protocol for using the Bard Power
040935 - Port for CT tests, as suggested by Heather. ref SDS 16 2F56
040937 -  ..
040938 - Steve related that a year ago, Bard tried very hard through Steve's
040939 - District office to assist the CT Department at Kaiser in Walnut Creek,
040940 - and was rejected.  At that time, Dennis, the supervisor, told Bard not
040941 - to bother Kaiser further, because the CT Department believed that CT
040942 - tests could be done for all patients without using Power Port
040943 - technology for pressure injection of contrast medium.
040945 -  ..
040946 - This may explain why Steve visited Angela at Kaiser in Oakland, where
040947 - there is support for the Bard Power Port, ref SDS 11 XN9C, but Steve
040948 - chose instead to call Dennis at Kaiser in Walnut Creek on 081030,
040949 - ref SDS 11 UF5H, rather than stop by to provide orientation, as Julie
040950 - had done for Angela prior to Millie's CT test at Oakland on 080911.
040951 - ref SDS 3 JG43
040953 -  ..
040954 - This may also be the reason that neither Steve nor Julie performed on
040955 - Julie's offer of 080801 and Millie's requests on 081031, and reminders
040956 - on 081106 to provide onsite support for Millie's CT test on 081107.
040957 - ref SDS 16 2F58
040959 -  ..
040960 - Today, Steve recalled that during his call on 081030, Dennis the
040961 - supervisor of the CT Department at Kaiser in Walnut Creek, seemed much
040962 - more receptive to Bard assistance, ref SDS 11 UF5H, than he was a year
040963 - ago telling Bard not to contact the CT Department at Kaiser in Walnut
040964 - Creek about using the Power Port technology.  Change of attitude
040965 - reflects Dennis' experience on 080718, when he apologized to Millie
040966 - for difficulties performing the CT test. ref SDS 1 FM74
040968 -  ..
040969 - Steve feels that Kaiser's experience on 080718 and now again on 081107
040970 - justifies Bard trying again to assist Kaiser develop a protocol, as
040971 - proposed in Millie's letter to Bard on 081111. ref SDS 23 2X6X  He
040972 - feels Kaiser in Walnut Creek can get a copy of the protocol used at
040973 - Kaiser in Oakland that will streamline the process.
040975 -  ..
040976 - The critical factor is to flag a patients medical chart showing the CT
040977 - technician to review the protocol in advance to prepare for the test.
040979 -  ..
040980 - Steve will send a letter to Dennis at Kaiser, as set out in the letter
040981 - to Steve on 081111, ref SDS 23 2X6X, and then call Dennis to follow up
040982 - on developing a protocol in time for Millie's next CT test in 5 weeks.
040984 -  ..
040985 - Steve will send a copy to Millie.
040986 -
040987 -
040988 -
040989 -
040990 -
040991 -
040992 -
040993 -
040994 -
040995 -
040996 -
0410 -