CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 39 0000. ref SDS 20 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040508 -
040509 -
040511 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - Millie had a CT test yesterday on 081230. ref SDS 39 JR4L
040902 -
040903 - Yesterday, also on 081230, Millie notified the medical team about
040904 - favorable results of the blood test on 081226. ref SDS 37 JV5M
040906 -  ..
040907 - Case study of patient history on 081230 shows difficult dilemma
040908 - balancing effective treatment with sunitinib against pausing treatment
040909 - to restore blood counts and energy needed for daily sunitinib
040910 - treatments, and how to address study objectives for cyclophosphamide.
040911 - ref SDS 37 I87N
040913 -  ..
040914 - Today she submitted a letter notifying the medical team about
040915 - completing the test...
040916 -
040917 -    1.  Subject: CT Test Completed Using Power Port
040918 -        Date: Wed, 31 Dec 2008 17:14:49 -0800
040926 -         ..
040927 -    3.  The CT test yesterday used Power Port technology for pressure
040928 -        injection of contrast medium, which you ordered on 081210, and
040929 -        then clarified the referral on 081219.  The test took about 20
040930 -        minutes.  This improves by a factor of 10 work on 080425 trying
040931 -        to perform the CT test using conventional IV practices, which
040932 -        took about 3 hours. ref SDS 1 FP6F
040934 -         ..
040935 -    4.  The previous test last month on 081107 took about 60 minutes.
040936 -        ref SDS 20 0001
040938 -         ..
040939 -    5.  Saving 40 minutes on CT tests reflects synergy between advanced
040940 -        Bard Power Port Technology, good work in the Infusion Clinic,
040941 -        where Anne accessed the port in less than 10 minutes,
040942 -        ref SDS 38 UQ6L, and proactive efforts by Brenda in
040943 -        Interventional Services assisting Cassandra to coordinate the
040944 -        CT Department, as reported yesterday. ref SDS 36 MR6K  Today,
040945 -        Pat, the CT technologist, and Helen from Interventional
040946 -        Services collaborated to make the test go smoothly and quickly,
040947 -        with Helen connecting the Huber needle, ref SDS 39 FF74, and
040948 -        Pat doing the disconnect. ref SDS 39 V279
040950 -         ..
040951 -    6.  Jennifer Hernandez, RT, was also very helpful clarifying the
040952 -        record.  She added comments to the work order for a
040953 -        consolidated report, ref SDS 39 FF8M, in order to avoid
040954 -        confusion that occurred last month at UCSF on 081113 reviewing
040955 -        multiple reports that were issued days apart for the CT test on
040956 -        081107.  Jennifer seemed to explain that sometimes multiple
040957 -        reports are prepared by the analyst in order to correlate with
040958 -        account numbers assigned by the CT test equipment.  Since my
040959 -        test requires a pass for the area below the neck, and another
040960 -        pass for above the neck, 2 tracking numbers are assigned
040961 -        automatically either by software, or the CT scanning equipment.
040962 -
040963 -            [On 090106 Arlette advised that Kaiser issued 2 separate
040964 -            reports for the CT test today on 081230, rather than
040965 -            consolidate findings into a single report to prevent
040966 -            confusion and mistakes.
040968 -             ..
040969 -            [On 090106 Chris in CT Department talked to Dennis, and he
040970 -            suggested discussing the matter with the manager, Al
040971 -            Hutchins. ref SDS 40 L13L
040973 -         ..
040974 -    7.  Hopefully, duplication of narrative and multiple distributions
040975 -        that create confusion and doubt about findings with 2 reports,
040976 -        can be consolidated for the test yesterday into a single
040977 -        report.
040978 -
040979 -            [On 090107 Kaiser issued multiple reports again for
040980 -            Millie's CT test on 081230. ref SDS 41 J85F
040982 -         ..
040983 -    8.  Jennifer noted that the analyst may be able to facilitate
040984 -        comprehensive review, avoid confusion, and accomplish Kaiser
040985 -        accounting requirements by entering both account numbers
040986 -        associated with respective scans presented in a single report.
040988 -         ..
040989 -    9.  Jennifer also noted in the work order to compare results today
040990 -        with results on the prior test on 081107, and further to
040991 -        correct the report for the CT test on 081107 that compared with
040992 -        the test on 080718.  Jennifer asked the analyst to compare the
040993 -        test on 081107 with the previous test on 080911.
040995 -         ..
040996 -   10.  Excellent work by everyone today.
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0411 -