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: January 30, 2009 02:53 PM Friday; Rod Welch

Millie call from Krshna schedule hyperthermia treatment at UCSF for IBC.

1...Summary/Objective


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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 3 0000, ref SDS 2 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Krshna works with Doctor Hsu in the Radiation Oncology Department at
040902 - UCSF.
040904 -                     ..
040907 -  ..
040908 - Krshan called about scheduling Millie to get hyperthermia treatment
040909 - for Millie's 6th relapse of IBC, prescribed by Doctor Rugo at UCSF
040910 - during the meeting yesterday [shown in Millie's letter to the medical
040911 - team on 090130. ref SDS 5 4S8O
040913 -  ..
040914 - Krshna said she needs authorization from Kaiser to schedule Millie's
040915 - treatment on Monday 090202.
040917 -  ..
040918 - We reviewed the record showing Millie needed treatment last Thursday
040919 - on 090129 due to rapidly increasing cancer. ref SDS 5 AY7X  Treatment
040920 - was delayed by communication problems a week earlier between UCSF and
040921 - Kaiser. ref SDS 5 AY8Q
040923 -  ..
040924 - Doctor Rugo sent a letter to Doctor Johnson yesterday recommending
040925 - Doctor Hsu provide hyperthermia treatment for Millie to recover from
040926 - the 6th relapse of IBC.  A copy was sent to Doctor Joe Hsu in the
040927 - Radiation Oncology Department. ref SDS 5 TZ6H
040929 -  ..
040930 - Krshna said she does not have access to Doctor Hsu's mail.  She was
040931 - asked to schedule Millie's treatment on Monday with hyperthermia, but
040932 - she cannot access the computer to schedule the work, because the
040933 - computer says UCSF has not received authorization from Kaiser.
040935 -  ..
040936 - Asked Krshna what needs to be done in order to schedule Millie's
040937 - treatment for Monday?
040939 -  ..
040940 - Krshna said she knows Pam in the Outside Referrals Department at
040941 - Kaiser in Walnut Creek.  She will call Pam to see if they have
040942 - authorization on file for Millie's treatment, but have not yet sent
040943 - the document to UCSF.
040945 -  ..
040946 - Asked for the fax number for Kaiser to submit authorization for
040947 - Millie's treatment.
040949 -  ..
040950 - Krshna said Pam knows the fax number, but she will verify Kaiser has
040951 - it to expedite Millie's treatment on Monday.
040953 -  ..
040954 - Thanked Krshan for extra effort to arrange for timely treatment of
040955 - Millie's 6th relapse of IBC.
040956 -
040957 -
040959 -  ..
0410 -
0411 -
0412 - 1503
0413 -
041301 - Krshna called back.
041302 -
041303 - She talked to Pam in Kaiser Outside Referrals.
041305 -  ..
041306 - Pam said they have nothing on file from Doctor Johnson authorizing
041307 - Millie's treatment with hyperthermia and Doxil, as recommended by
041308 - Doctor Rugo in her letter to Doctor Johnson yesterday on 090129, shown
041309 - in Millie's letter on 090130. ref SDS 5 TZ6H
041311 -  ..
041312 - Krshna said she discussed with Pam an understanding from the patient
041313 - that yesterday on 090129 Doctor Rugo ordered hyperthermia treatment
041314 - for Millie right away.  Krshna further said that Pam indicated she
041315 - would call Doctor Johnson in the Oncology Department at Kaiser in
041316 - Walnut Creek to expedite required documentation in order for Millie
041317 - get required treatment in time to be effective.
041318 -
041319 -        [...in another record today on 090130 notified medical team
041320 -        that Kirshna reports Kaiser authorization for Millie's
041321 -        treatment with hyperthermia and Doxil prescribed by Doctor Rugo
041322 -        on 090129 is not on file in the UCSF computer at the Radiation
041323 -        Oncology Department. ref SDS 5 AY9W
041325 -         ..
041326 -        [...in another record today on 090130 called Arlette at Kaiser
041327 -        to ask about Doctor Johnson's response to Doctor Rugo's letter
041328 -        on 090129 recommending treatment at UCSF with hyperthermia and
041329 -        Doxil. ref SDS 4 UI46
041331 -         ..
041332 -        [...in another record today on 090130 received call from
041333 -        Arlette at Kaiser reporting that Doctor Johnson will issue
041334 -        authorization for Millie's treatment with hyperthermia and
041335 -        Doxil recommended by Doctor Rugo in a letter to Kaiser on
041336 -        090129. ref SDS 4 PPYY
041338 -         ..
041339 -        [On 090131 Millie received notice from primary care
041340 -        physician at Kaiser that authorization was issued on 090130
041341 -        for treatment with hyperthermia and Doxil. ref SDS 6 GV4M
041343 -         ..
041344 -        [On 090201 Millie letter to medical team thanks Krshna at UCSF,
041345 -        and thanks Arlette for timely coordination supporting Doctor
041346 -        Johnson implementing request for referral from Doctor Rugo on
041347 -        090129. ref SDS 7 KN9Q
041349 -         ..
041350 -        [On 090202 Michelle at UCSF called and reported Kaiser has
041351 -        not submitted authorization for Millie's treatment on
041352 -        referral, and so UCSF cannot schedule urgent treatment.
041353 -        ref SDS 9 9Y5I
041355 -         ..
041356 -        [On 090202 Kaiser reports the doctor's authorization for
041357 -        Millie's urgent treatment on referral to UCSF has been
041358 -        witheld until the doctor returns to the office and can
041359 -        provide a code to complete the referral form. ref SDS 10
041360 -        J15F
041362 -         ..
041363 -        [On 090202 Kaiser Outside Referrals called and explained coding
041364 -        problem to holding up the doctor's referral authorization form,
041365 -        ref SDS 11 9Y5I; problem resolved satisfactorily, ref SDS 11
041366 -        QQ7N; called Kaiser back and was told authorization for
041367 -        Millie's urgent treatment was submitted to UCSF. ref SDS 11
041368 -        PQ9W
041370 -         ..
041371 -        [On 090202 UCSF confirmed Millie authorized for urgent
041372 -        treatment; schedules treatment needed last week in three (3)
041373 -        weeks on 090219. ref SDS 12 SP6H
041375 -  ..
041376 - Krshna also said that Doctor Hsu needs Millie's medical records from
041377 - Kaiser.  We reviewed the record showing Millie has a very large
041378 - medical records for seven (7) years of treatment for cancer at Kaiser.
041379 - Krshna feels that she can coordinate with Doctor Rugo's office to get
041380 - medical records on Millie for the past 2 years of treatment at UCSF.
041381 -
041382 -        [...in another record today on 090130 notified medical team
041383 -        that Krshha in the UCSF radiation oncology department asked
041384 -        about Millie's medical records. ref SDS 5 AY4P
041386 -         ..
041387 -        [On 090201 Millie's letter to Doctor Rugo advises again that
041388 -        Doctor Hsu's office requests medical records from Kaiser, and
041389 -        asks Doctor Ruog to coordinate with Doctor Hsu's office on any
041390 -        additional medical records Millie should bring from Kaiser to
041391 -        prevent delaying treatment. ref SDS 8 5R4S
041392 -
041393 -
041394 -
041396 -  ..
0414 -
0415 -
0416 - 1506
0417 -
041701 - Called Arlette at Kaiser in Walnut Creek.  Explained problem.
041702 -
041703 - Arlette feels that Millie's cancer marker CA 15-3 303 at Kaiser on
041704 - 090116, ref SDS 1 PQTQ, shows urgent treatment is required to prevent
041705 - cancer from cascading out of control.
041707 -  ..
041708 - Arlette will try to find Doctor Johnson to issue authorization for
041709 - Millie's follow on treatment at UCSF. ref SDS 4 RY4G
041710 -
041711 -        [...in another record today on 090130 called Arlette at Kaiser
041712 -        to ask about Doctor Johnson's response to Doctor Rugo's letter
041713 -        on 090129 recommending treatment at UCSF with hyperthermia and
041714 -        Doxil. ref SDS 4 UI46
041715 -
041717 -  ..
0418 -
0419 -
0420 - 1559
0421 -
042101 - Arlette called back and said Doctor Johnson is in a meeting, and will
042102 - issue authorization for Millie's treatment this evening.
042104 -         ..
042105 -        [...in another record today on 090130 received call from
042106 -        Arlette at Kaiser reporting that Doctor Johnson will issue
042107 -        authorization for Millie's treatment with hyperthermia and
042108 -        Doxil recommended by Doctor Rugo in a letter to Kaiser on
042109 -        090129. ref SDS 4 UI46
042110 -
042111 -
042113 -  ..
0422 -
0423 -
0424 - 1602
0425 -
042501 - Called the number Krshna gave for coordinating patient care.
042502 -
042503 - There is a recorded message about leaving a message.
042505 -  ..
042506 - Left a message that this evening Millie's primary care physician,
042507 - Doctor Johnson, will authorize hyperthermia and Doxil treatment for
042508 - Millie by Doctor Hsu in the Radiation Oncology Department at UCSF, as
042509 - prescribed by Doctor Rugo in her letter to Doctor Johnson yesterday.
042511 -  ..
042512 - Requested that UCSF schedule treatment for Millie with hyperthermia
042513 - and Doxil prescribed by Doctor Rugo, immediately on Monday, Tuesday of
042514 - next week, or as soon as possible, because the cancer marker, CA 15-3
042515 - 303 in Kaiser Labs on 090116, ref SDS 1 PQTQ, indicates disease is
042516 - cascading out of control.
042517 -
042518 -        [...in another record today on 090130 notified medical team
042519 -        that Kirshna reports Kaiser authorization for Millie's
042520 -        treatment with hyperthermia and Doxil prescribed by Doctor Rugo
042521 -        on 090129 is not on file in the UCSF computer at the Radiation
042522 -        Oncology Department. ref SDS 5 AY9W
042524 -         ..
042525 -        [On 090131 Millie received notice from primary care physician
042526 -        at Kaiser that authorization was issued on 090130 for treatment
042527 -        with hyperthermia and Doxil. ref SDS 6 GV4M
042529 -         ..
042530 -        [On 090201 letter to primary care physican at Kaiser and
042531 -        medical team at UCSF that message was left for Krshna in Doctor
042532 -        Hsu's office on Millie starting treatment on Monday, based on
042533 -        primary care physician having filed referral this evening on
042534 -        090130. ref SDS 7 KN4P
042536 -         ..
042537 -        [On 090202 Michelle at UCSF called and reported Kaiser has
042538 -        not submitted authorization for Millie's treatment on
042539 -        referral, and so UCSF cannot schedule urgent treatment.
042540 -        ref SDS 9 9Y5I
042542 -         ..
042543 -        [On 090202 Kaiser reports the doctor's authorization for
042544 -        Millie's urgent treatment on referral to UCSF has been
042545 -        witheld until the doctor returns to the office and can
042546 -        provide a code to complete the referral form. ref SDS 10
042547 -        J15F
042548 -
042549 -
042550 -
042551 -
042552 -
042553 -
042554 -
042555 -
042556 -
042557 -
0426 -