CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 2 0000, ref SDS 1 0000,.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Yesterday, Millie had a blood test at UCSF that included INR 2.8.
040902 - ref SDS 1 PU7Y  Millie sent a letter to the medical team on results of
040903 - the meeting at UCSF on 081218.  Gloria, the case manager for Millie's
040904 - treatment for pulmonary embolism with Coumadin (warfarin), was
040905 - included in the distribution that reported INR 2.8. ref SDS 2 GF4S
040907 -  ..
040908 - This afternoon, Millie received a letter from Gloria responding to
040909 - Millie's letter, and transmitting another letter from Gloria with
040910 - instructions for Millie's Coumadin treatments. ref SDS 0 Z696
040911 -
040912 -    1.  Subject: Re: INR 2.8 Test at UCSF Today
040913 -        Date: Fri, 19 Dec 2008 13:48:06 -0800
040917 -         ..
040918 -        Thanks for the UPDATE!!  [responding to a copy of Millie's
040919 -        letter to the medical team on 081218, ref SDS 2 GF4S, which
040920 -        reported INR 2.8 for the blood test at UCSF on 081218,
040921 -        ref SDS 1 PU7Y], [attched is Kaiser's letter with instructions
040922 -        for treating pulmonary embolism with Coumadin (warfarin).
040923 -        ref SDS 0 Z696]
040924 -
040925 -            [On 081219 Millie letter to Gloria confirm understandings
040926 -            to continue current work plan for Coumadin to treat
040927 -            pulmonary embolism, ref SDS 3 QI7F, and to get another
040928 -            blood test for INR at UCSF on 090108 to evaluate changes to
040929 -            Coumadin dose levels. ref SDS 3 LT9V
040931 -             ..
040932 -            [On 090109 Millie letter to medical team advises Gloria
040933 -            that INR 3.1 in labs at UCSF on 090108, describes context
040934 -            and that current treartment will be continued unless Kaiser
040935 -            ordres changes. ref SDS 4 UF4S
040937 -             ..
040938 -            [On 090116 INR 3.1 again for labs at Kaiser; may reflect
040939 -            pausing cyclophosphamide the previous week. ref SDS 5 PU7Y
040941 -             ..
040942 -            [On 090116 Millie letter notified Gloria in Coagulation
040943 -            Control Clinic that INR 3.1 and context with plans to
040944 -            continue current dose. ref SDS 6 IT8X
040946 -         ..
040947 -        happy holidays
040949 -         ..
040950 -    2.  Anticoagulation Service
040951 -
040952 -
040953 - ******************************
040955 -  ..
040956 - Gloria's letter to Millie with instructions for Coumadin
040957 - treatments...
040958 -
040959 -    1.  Kaiser Permanente
040960 -        Anticoagulation Service
040961 -        phone (925) 372-1628
040963 -         ..
040964 -    2.  12/19/2008
040965 -
040975 -         ..
040976 -    3.  Thank you for taking your Protime/INR blood test.
040977 -
040978 -        Your INR Result:   Basename    Value     Date/Time
040979 -
040980 -                             INR        2.8      12/18/2008
040982 -         ..
040983 -        Your results are WITHIN the goal range.
040984 -
040985 -             INR GOAL RANGE = 2.0 - 3.0.
040987 -         ..
040988 -    4.  **CONTINUE YOUR SAME WARFARIN DOSE BELOW.**
040989 -
040990 -        According to our records, your current Warfarin instruction is
040991 -        as follows:
040992 -
040993 -            Sunday (mg): 4 MG
040994 -            Monday (mg): 4 MG
040995 -            Tuesday (mg): 4 MG
040996 -            Wednesday (mg): 4 MG
040997 -            Thursday (mg): 4 MG
040998 -            Friday (mg): 4 MG
040999 -            Saturday (mg): 4 MG
041001 -         ..
041002 -    5.  Please have your next Protime/INR blood test on: Follow up
041003 -        date: 1/27/09
041004 -
041005 -            [On 081219 Millie letter to Gloria confirm understandings
041006 -            to continue current work plan for Coumadin to treat
041007 -            pulmonary embolism, ref SDS 3 QI7F, and to get another
041008 -            blood test for INR at UCSF on 090108 to evaluate changes to
041009 -            Coumadin dose levels. ref SDS 3 LT9V
041011 -             ..
041012 -            [On 090109 Millie letter to medical team advises Gloria
041013 -            that INR 3.1 in labs at UCSF on 090108, describes context
041014 -            and that current treartment will be continued unless Kaiser
041015 -            ordres changes. ref SDS 4 UF4S
041017 -             ..
041018 -            [On 090116 INR 3.1 again for labs at Kaiser; may reflect
041019 -            pausing cyclophosphamide the previous week. ref SDS 5 PU7Y
041021 -             ..
041022 -            [On 090116 Millie letter notified Gloria in Coagulation
041023 -            Control Clinic that INR 3.1 and context with plans to
041024 -            continue current dose. ref SDS 6 IT8X
041026 -         ..
041027 -    6.  You can test at any Kaiser Permanente lab.  You do not need an
041028 -        appointment or lab slip.  We will contact you by phone or by
041029 -        mail with your results. If you do not hear from us within 3-4
041030 -        days, please call us at the phone number below.  If at all
041031 -        possible, please do not have your INR lab done on Fridays or
041032 -        weekends unless specifically instructed to do so by the
041033 -        Anticoagulation Clinic.
041035 -         ..
041036 -    7.  **Please call us to report any changes in your medications,
041037 -        diet, health, activity level, any unusual bleeding/bruising
041038 -        symptoms, any dental/surgical procedures,  any recent
041039 -        missed/extra warfarin doses, and/or if you are taking a
041040 -        different warfarin dose than what is listed above. Thank you.
041042 -         ..
041043 -    8.  Sincerely,
041044 -
041046 -         ..
041047 -    9.  GLORIA CLOSSON PHARMD
041049 -         ..
041050 -        Kaiser Permanente Anticoagulation Service, phone (925) 372-1628
041052 -         ..
041053 -   10.  NOTICE TO RECIPIENT:  If you are not the intended recipient of
041054 -        this e-mail, you are prohibited from sharing, copying, or
041055 -        otherwise using or disclosing its contents.  If you have
041056 -        received this e-mail in error, please notify the sender
041057 -        immediately by reply e-mail and permanently delete this e-mail
041058 -        and any attachments without reading, forwarding or saving them.
041059 -        Thank you.
041060 -
041061 -
041062 -
041063 -
041064 -
041065 -
041066 -
041067 -
041068 -
041069 -
041070 -
041071 -
0411 -