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: December 11, 2008 10:53 AM Thursday; Rod Welch

Arlette called Millie schedule blood test and access port for CT test.

1...Summary/Objective
2...Schedule Port Access Infusion Clinic 081230 1000 for CT Test at 1020
3...Schedule Blood Draw for CBC Test to Evaluate Neupogen 081212


..............
Click here to comment!

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 29 0000. ref SDS 28 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background on 081210 the primary care physician ordered follow up
040902 - blood test for Millie tomorrow on 081212 to evaluate getting more
040903 - Neupogen on 081212 and 081213. ref SDS 27 H46J  The doctor asked
040904 - Arlette to arrange for the blood draw in the Infusion Clinic
040905 - coordinated with previously scheduled Neupogen treatment at 1300.
040906 - ref SDS 27 HJ7J  This was confirmed in Millie's letter to the medical
040907 - team submitted this morning OA 0400. ref SDS 29 S27S
040909 -  ..
040910 - Also on 081210 the doctor scheduled Millie for a CT test on 081230
040911 - 1020, and planned coordination to schedule Millie for the Infusion
040912 - Clinic to access the Power Port needed to perform the CT test.
040913 - ref SDS 27 SX9O  The doctor submitted a letter confirming the CT test
040914 - on 081230 1020, received late yesterday afternoon on 081210.
040915 - ref SDS 28 GJ39  Millie's letter to Kaiser early this morning
040916 - confirmed requirements for coordination with the Infusion Clinic to
040917 - access the port on 081230. ref SDS 29 S29V
040918 -
040920 -  ..
040921 - Schedule Port Access Infusion Clinic 081230 1000 for CT Test at 1020
040922 -
040923 - This morning, Millie was exercising at the gym.
040925 -  ..
040926 - Arlette called and left a message saying that she scheduled Millie to
040927 - meet with the Infusion Clinic on 081230 1000 for a nurse to access the
040928 - Power Port required for power injection of contrast medium to perform
040929 - the CT test at 1020, scheduled by the doctor yesterday on 081210,
040930 - ref SDS 28 GJ36, implementing planning by the doctor in the call
040931 - earlier yesterday, ref SDS 27 SX9O, and confirmed in Millie's letter
040932 - to Kaiser this morning. ref SDS 29 S29V
040934 -  ..
040935 - Scheduling Power Port access at 1000 for a CT test at 1020 allows 20
040936 - minutes for the Infusion Clinic to process Millie into the clinic,
040937 - perform the work, including tape the Huber needle lead, then Millie
040938 - must walk over the Interventional Services (IS) to remind them about
040939 - the test, per planning on 081107 to solve prior notice problems,
040940 - ref SDS 2 Z14M, and then walk to the CT Department in the basement and
040941 - arrive by 1020.  This seems like tight scheduling.
040942 -
040943 -
040945 -  ..
040946 - Schedule Blood Draw for CBC Test to Evaluate Neupogen 081212
040947 -
040948 - Arlette further asked Millie in her telephone voice mail message to
040949 - call about scheduling the blood test tomorrow to evaluate getting
040950 - Neupogen treatment, per above. ref SDS 0 LW5I
040951 -
040952 -            [...below in the record today 081211, called Kaiser; Robin
040953 -            contacted Bella in the Infusion Clinic and scheduled Millie
040954 -            for a blood draw at 1300. ref SDS 0 IH6E
040956 -             ..
040957 -            [...below in the record today 081211, Arlette called and
040958 -            scheduled the blood draw for tomorrow at 1100. ref SDS 0
040959 -            4R5Q
040960 -
040961 -
040962 -
040963 -
040965 -  ..
0410 -
0411 -
0412 - 1113
0413 -
041301 - Called Kaiser.  Arlette was not available; talked to Robin.
041302 -
041303 - Explained the telephone message from Arlette earlier this morning for
041304 - Millie to call and schedule the blood draw tomorrow that will
041305 - determine getting Neupogen, already scheduled for tomorrow at 1300.
041307 -  ..
041308 - Robin placed the call on hold to coordinate with Bella, the Charge
041309 - Nurse today in the Infusion Clinic.
041310 -
041312 -  ..
0414 -
0415 -
0416 - 1122
0417 -
041701 - Robin came online.
041702 -
041703 - Robin advised that Bella indicated that the schedule tomorrow is very
041704 - hectic.  The Infusion Clinic wants Millie to come in at 1300 for the
041705 - previously scheduled Neupogen treatment.  Diana is scheduled to be
041706 - Millie's nurse.  Instead of getting Neupogen at 1300, Diana will do a
041707 - blood draw.  Millie will then standby for 40 minutes or so, possibly
041708 - have lunch, while the lab performs the blood test.
041710 -  ..
041711 - When results are posted by lab, a determination will be made by the
041712 - doctor about doing the Neupogen teatment, as planned by the primary
041713 - care physician yesterday during the call on 081210. ref SDS 27 H46X
041715 -  ..
041716 - Robin further noted that if Diana's schedule changes, for example
041717 - there is a cancellation, then she might call Millie to come in before
041718 - 1300 to do the blood draw.
041720 -  ..
041721 - Robin will notify Arlette about this call and results scheduling
041722 - Millie to get a blood draw at 1300 tomorrow.
041723 -
041724 -        [...below, Bella explains confusion that caused a mixup today
041725 -        scheduling Millie's meeting for a blood test tomorrow at 1100.
041726 -        ref SDS 0 4R4X
041727 -
041728 -
041729 -
041731 -  ..
0418 -
0419 -
0420 - 1133
0421 -
042101 - Millie submitted a letter to the medical team, including Dennis in the
042102 - CT Department, confirming understandings from Arlette's telephone
042103 - message, and discussion with Robin...
042104 -
042105 -    1.  Subject: Blood Test Tomorrow 1300, CT test Port Access 081230 1000
042106 -        Date: Thu, 11 Dec 2008 11:37:40 -0800
042115 -         ..
042116 -    2.  Arlette called this morning and left a message that meeting
042117 -        with the Infusion Clinic is scheduled for 081230 1000 to access
042118 -        the Power Port for the CT test scheduled at 1020, ref SDS 0
042119 -        IG54, which you set up during our call yesterday. ref SDS 27
042120 -        SX9O  After port access, I will walk over to the CT Department
042121 -        for the test using my Power Port.  Just a reminder to set the
042122 -        scope of the CT test to include the neck, as was done for the
042123 -        prior test.
042125 -         ..
042126 -    3.  Arlette further asked in her voice mail today for me to call
042127 -        about scheduling the blood test tomorrow.
042129 -         ..
042130 -    4.  Called and talked to Robin.
042132 -         ..
042133 -    5.  Robin advised that Bella in the Infusion Clinic wants me to
042134 -        come at 1300, previously scheduled for Neupogen.  The blood
042135 -        draw will be done at that time instead.  I will standby while
042136 -        samples are tested and a determination is made about the need
042137 -        for another Neupogen treatment, based on criteria you presented
042138 -        yesterday.
042140 -             ..
042141 -            [...below in the record today 081211, Arlette called and
042142 -            scheduled the blood draw for tomorrow at 1100. ref SDS 0
042143 -            4R5Q
042145 -         ..
042146 -    6.  Robin also advised that Diana is assigned in the Infusion
042147 -        Clinic for my care tomorrow.  Agreed that if Diana's schedule
042148 -        changes tomorrow and she wants me to come in earlier, I can do
042149 -        that.  Please call 925 680 8947 or my cell 415 377 8641.
042150 -
042158 -
042159 -
042160 -
042162 -  ..
0422 -
0423 -
0424 - 1202
0425 -
042501 - Millie received another call from Arlette.
042502 -
042503 - Arlette advised that she has scheduled Millie for the blood draw
042504 - tomorrow at 1100.  She did not mention having talked to Robin or being
042505 - aware that Bella had already scheduled the meeting for 1300, per
042506 - above. ref SDS 0 IH6E
042507 -
042508 -            [...below, Bella explains confusion that caused scheduling
042509 -            Millie twice for the blood test tomorrow; Millie decided to
042510 -            get blood work at 1100. ref SDS 0 4R4X
042512 -  ..
042513 - Evidently, Arlette did not have time to review correspondence
042514 - confirming Millie's blood draw at 1300 tomorrow, per above.
042515 - ref SDS 0 YQ6Q
042517 -  ..
042518 - Evidently, Robin did not have time to talk to Arlette explaining
042519 - Bella's schedule for Millie to get the blood draw at 1300. ref SDS 0
042520 - V58N
042521 -
042523 -  ..
0426 -
0427 -
0428 - 1333
0429 -
042901 - Called Bella at Kaiser Infusion Clinic.
042902 -
042903 - Left a message asking whether Millie should get the blood draw
042904 - tomorrow at 1100 or 1300, per conflicting instructions. ref SDS 0 4R5Q
042905 -
042906 -
042908 -  ..
0430 -
0431 -
0432 - 1402
0433 -
043301 - Bella called back.
043302 -
043303 - Bella advised that Millie can come in either at 1100 or at 1300;
043304 - either time is okay.
043306 -  ..
043307 - Bella explained that yesterday, Arlette contacted her about doing
043308 - Millie's blood draw on Friday.  At that time, Bella advised Arlette
043309 - that the Chemotherapy Department was very busy, and suggested Arlette
043310 - check with the Infusion Department.
043312 -  ..
043313 - This presents a distinction that is not normally a factor in Millie's
043314 - dealings with the Infusion Clinic getting Neupogen treatments since
043315 - June.  The nurse lets Millie into the clinic and takes her to a work
043316 - station.  Sometimes this is the small area immediately to the left on
043317 - entering the clinic, and other times it is one of the two larger
043318 - areas.  Turns out the larger area is called the "Chemotherapy
043319 - Department," and the smaller area the "Infusion Clinic."  In Millie's
043320 - case, she goes wherever directed by the nurse, since it all looks the
043321 - same.  Bella related today that yesterday, Arlette followed the
043322 - suggestion and walked into the small Infusion Clinic area.  She
043323 - scheduled Millie for a blood draw tomorrow at 1100.
043325 -  ..
043326 - This was not presented in Arlette's telephone message this morning.
043327 - The instruction was to call back to make arrangements for the blood
043328 - draw, which in fact had already been done. ref SDS 0 6Z4F
043330 -  ..
043331 - As a result, when Robin contacted Bella this morning, neither Robin
043332 - nor Bella were aware that Millie was already scheduled at 1100 for the
043333 - blood draw, and so Bella told Robin to have Millie come in at the
043334 - previously scheduled time of 1300. ref SDS 0 IH6E
043336 -  ..
043337 - Confusing discussions causing conflicting communications today,
043338 - reflect communication difficulties yesterday that created mistakes and
043339 - delays in the work. ref SDS 20 BB5F
043341 -  ..
043342 - Bella asked when Millie wants to meet for the blood draw?
043344 -  ..
043345 - Millie decided the earlier the better, and so chose 1100.
043347 -  ..
043348 - Bella will update the schedule for the Infusion Clinic showing Millie
043349 - will get the blood draw at 1100.  She notify Diana, so that she does
043350 - not call Millie tomorrow to come in earlier than 1300, if Diana's
043351 - schedule changes, as earlier planned between Bella and Robin, per
043352 - above. ref SDS 0 IH83
043354 -  ..
043355 - Since there is something on the books for Millie to get a blood draw
043356 - tomorrow some how or other, decided not to send another letter
043357 - correcting understandings in the letter this morning, per above.
043358 - ref SDS 0 YQ6Q
043359 -
043360 -
043361 -
043362 -
043363 -
043364 -
043365 -
043366 -
043367 -
0434 -