CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 7 0000. ref SDS 6 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie sent a letter to the medical team yesterday asking for
040902 - treatment plan. ref SDS 8 278T
040903 -
040904 -
040905 -
040906 -
040907 -
040909 -  ..
0410 -
0411 -
0412 - 1331
0413 -
041301 - Nurse comes into the waiting lobby and asks for Millie to dress for
041302 - Millie's first radiation treatment, similar to work on 090205.
041303 - ref SDS 7 E57G
041304 -
041305 -        [On 090226 1342 received radiation plan dose levels from UCSF.
041306 -        ref SDS 14 D452
041308 -         ..
041309 -        [On 090317 0915 final treatment with radiation and
041310 -        hyperthermia. ref SDS 15 9L7K
041312 -  ..
041313 - Doctor Hsu and Doctor Chang and others performed xrays to refine the
041314 - planning for the treatment from work the past 10 days.  The purple
041315 - layout lines created on 090209 where upgraded today with green lines.
041317 -  ..
041318 - Millie described a meticulos process of doing radiation treatment over
041319 - an hour or so.  This is significantly different from radiation Millie
041320 - had in 2002 that only took a few minutes.
041321 -
041322 -
041324 -  ..
0414 -
0415 -
0416 - 1443
0417 -
041701 - Chris and Millie came into the lobby.  Millie has completed radiation
041702 - treatment, and is now ready to start hyperthermia.
041704 -  ..
041705 - Went into the treatment room.  This is small, approximate 10' by 20'
041706 - room, with a single treatment gurney.
041708 -  ..
041709 - Millie has already arranged for treatments to start in the morning,
041710 - as requested in the letter to the team yesterday.
041712 -  ..
041713 - The team layed out again today Millie's IBC locations for treatment.
041715 -  ..
041716 - Chris placed a grid on Millie's chest and placed electronic signal
041717 - probes around the area of treatment, fastened with a gel and suction.
041718 - The probes did not seem to penetrate the skin.  Probes send signals to
041719 - a computer program for monitoring progress during treatment.
041721 -  ..
041722 - Sounds like this will take about an hour.
041724 -  ..
041725 - Treatment starts today on the worst area of IBC in the breastbone
041726 - area.  This helps reduce the chance that cancer can spread internally
041727 - to other areas.
041729 -  ..
041730 - Chris took a photograph of Millie configured for treatment, showing
041731 - equipment and layout.
041733 -  ..
041734 - After Millie was configured and hyperthermia treatment started, met
041735 - with Chris briefly in the hallway.
041736 -
041737 -            [On 090220 0157 Millie's letter confirms request for copy
041738 -            of the picture showing configuration for Millie's
041739 -            hyperthermia and radiation treatments. ref SDS 9 EA3X
041741 -             ..
041742 -            [On 090220 0915 Chris requested an email address for
041743 -            submitting copies of the photograph showing configuration
041744 -            for hyperthermia treatments. ref SDS 10 MJ9J
041746 -             ..
041747 -            [On 090223 1438 Chris submitted the picture of Millie
041748 -            getting hyperthermia treatment at UCSF. ref SDS 13 GZ4H
041750 -  ..
041751 - Requested treatment plan, similar to the chemotherapy orders issued
041752 - for Millie's treatments in the Infusion Clinic, as requested in
041753 - Millie's letter to the medical team on 090218. ref SDS 8 TH5W
041755 -  ..
041756 - Chris is concerned that HIPAA prevents the hospital from subitting
041757 - patient information to the patient.
041759 -  ..
041760 - This was reviewed by UCSF Security Director on 080529. ref SDS 2 6O6F
041761 - Earlier on 071009 HIPAA was improperly invoked by Kaiser to extact
041762 - payment to UCSF from Millie, which was owed by Kaiser. ref SDS 1 JJ8F
041764 -  ..
041765 - Doctor Hsu happened to be walking down the hallway.  He stopped and
041766 - shook hands.  Commended Chris and Abby for good start to Millie's
041767 - treatment today.
041769 -  ..
041770 - Doctor Hsu approved distribution to Millie of the Radiation Order
041771 - specifying the scope of hyperthermia and radiation, according to the
041772 - treatment plan.
041774 -  ..
041775 - Chris will prepare the document, and Doctor Hsu will sign any release
041776 - Chris feels is needed for submission to Millie.
041778 -  ..
041779 - Thanked Doctor Hsu for assistance applying doctor/patient
041780 - partnership.
041782 -  ..
041783 - Chris submitted a business card with an email address.  He asked to
041784 - get a copy of the Millie's next letter, so he can submit the
041785 - photograph and other documents on Millie's treatment plan.
041786 -
041787 -            [On 090220 0157 Millie's letter to the medical team
041788 -            confirms request today for an explanation of the treatment
041789 -            plan, including the doctor's orders for radiation and
041790 -            hyperthermia treatments, similar to Chemotherapy Orders
041791 -            Millie received for care in the Infusion Clinic.
041792 -            ref SDS 9 EA4Q
041794 -             ..
041795 -            [On 090220 0915 UCSF submitted Notes memorandum dated
041796 -            090209 and which explains general planning for Millie's
041797 -            radiation and hyperthermia treatments at UCSF; additionally
041798 -            Chirs submitted a paper published in 2002 by BSD Medical
041799 -            that explains theory and practice using hyperthermia
041800 -            treatment for cancer. ref SDS 10 4254
041802 -             ..
041803 -            [On 090220 1548 reviewed UCSF notes for Radiation Oncology
041804 -            department planning Millie;s radiation and hyperthermia
041805 -            treatments to recover from 6th relapse of IBC. ref SDS 11
041806 -            PR4Y
041808 -             ..
041809 -            [On 090220 0915 not clear that Millie has received medical
041810 -            "orders" for radiation and hyperthermia, unless the Notes
041811 -            on planning treatment substitute for the doctor's order,
041812 -            which seems unlikely. ref SDS 10 MJ4L
041814 -             ..
041815 -            [On 090223 Millie received letter from Chris advising that
041816 -            he did not get a copy of this letter sent to the medical
041817 -            team today. ref SDS 12 PR4Y
041819 -             ..
041820 -            [On 090223 0237 Millie's letter notifies Chris that the
041821 -            email address on his business card is incorrect.
041822 -            ref SDS 12 T47R
041823 -
041824 -
041825 -
041826 -
041828 -  ..
0419 -
0420 -
0421 - 1614
0422 -
042201 - Millie completed hyperthermia treatment.
042202 -
042203 - She will take BART tomorrow for the meeting at 0915 to get the next
042204 - treatment.
042205 -
042206 -
042207 -
042208 -
042209 -
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042211 -
042212 -
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0423 -