CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 65 0000. ref SDS 62 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 -    1.  On 090108 Millie's blood counts were very low at UCSF.
040902 -        ref SDS 48 YN8O  Millie had a follow up blood draw at Kaiser on
040903 -        090116, showing further decline in blood counts. ref SDS 52
040904 -        075H  A week later on 090122, Doctor Rugo stopped treatment
040905 -        with sunitinib clinical study, ref SDS 57 AT6N; she scheduled
040906 -        Millie for meeting at UCSF a week later to begin new treatment
040907 -        for recovering from a 6th relapse of IBC.
040909 -         ..
040910 -    2.  On 090129 Millie had a blood draw at UCSF to guide examination
040911 -        by the medical team in the Breast Care Clinic. ref SDS 58 075H
040913 -         ..
040914 -        Millie did not start a new treatment on 090129 due a
040915 -        communication glitch, reported in the letter to the medical
040916 -        team on 090130. ref SDS 59 AY8Q
040918 -         ..
040919 -    3.  On 090210 Doctor Rugo's office scheduled Millie to meet with
040920 -        the doctor at UCSF on 090312 to evaluate response to treatment
040921 -        which was delayed from 090129 to 090219. ref SDS 60 XU5N
040923 -         ..
040924 -    4.  On 090213 Doctor Johnson ordered a blood draw for 090310
040925 -        (today) testing INR, and other diagnostics, including CA 15-3,
040926 -        and to flush Milli'e port according to Kaiser requirements.
040927 -        ref SDS 61 6P3F
040929 -         ..
040930 -    5.  On 090309 Millie had a blood draw at Kaiser to support
040931 -        examination at UCSF on 090312. ref SDS 62 S65I
040933 -         ..
040934 -    6.  On 090310 0351 Millie's letter to medical team requests report
040935 -        on blood test the day before on 090309 for submission to UCSF
040936 -        guiding meeting on 090312 to review progress recview recovering
040937 -        from IBC. ref SDS 63 O63Q
040939 -         ..
040940 -    7.  On 090311 1517 Millie went to Kaiser and received a copy of the
040941 -        report, ref SDS 65 CV83, for the blood test on 090309,
040942 -        ref SDS 62 OT8J; however, the report for the lab did not
040943 -        include CA 15-3. ref SDS 65 CV9M
040945 -         ..
040946 -    8.  On 090312 0800 blood test report was submitted to the medical
040947 -        team at UCSF for review meeting, ref SDS 66 337K; the report
040948 -        was missing results for CA 15-3 cancer marker, which
040949 -        complicated evaluation of reponse to treatment. ref SDS 66 YX5F
040950 -
040952 -  ..
040953 - Lab Blood Test CBC to Evaluate Neupogen and Cancer Treatment Plan
040954 -
040955 - Follow up ref SDS 65 6Z4F, ref SDS 62 6Z4F.
040956 -
040957 - After returning from meetings with UCSF this morning in San Francisco,
040958 - called Kaiser to get results for CA 15-3 on the blood test at Kaiser
040959 - this past Monday on 090309, ref SDS 62 PQTQ, in order to complement
040960 - analysis on Millie's response to treatment discussed with Tara in the
040961 - Breast Care Clinic, ref SDS 66 YX5F, and also, noted by Doctor Hsu
040962 - discussing objective metrics for response to treatment during the
040963 - meeting in the Radiation Oncology Department.
040965 -  ..
040966 - Was on hold again this time for about 90 minutes, getting periodic
040967 - messages saying to hold the line, because someone would answer
040968 - shortly.  Yesterday, on 090311 1517 was on hold for 60 minutes trying
040969 - to contact the Chemotherapy Clinic. ref SDS 65 6Z4F
040970 -
040971 -            [On 090317 1120 Arlette reported she could not get through
040972 -            using the telephone from the Oncology Department down the
040973 -            hall to the Chemotherapy Clinic to order a follow up lab
040974 -            that corrects mistakes omitting cancer marker, and so had
040975 -            to walk over to the clinic and make arrangements directly
040976 -            with the staff. ref SDS 68 YP6S
040978 -             ..
040979 -            [On 090325 0830 primary care physician disappointed by
040980 -            continual delays submittng data to UCSF, and notes conflict
040981 -            with requirements to streamline delivery of care in order
040982 -            to treat Millie's 6th relapse of cancer as a chronic
040983 -            disease. ref SDS 69 RB3G
040985 -             ..
040986 -            [On 090415 0911 Millie had problems getting the report for
040987 -            the blood test on 090413; the first report was incorrect
040988 -            omitting 90% of the data, ref SDS 70 RY4Y; after finally
040989 -            getting the full report, it was still missing ANC required
040990 -            for evaluating ability to get treatment. ref SDS 70 QP68
040992 -             ..
040993 -            [On 090420 1451 Doctor Mason reported that other patients
040994 -            do not have problems getting lab reports from Kaiser for
040995 -            referral work at UCSF.
040997 -  ..
040998 - Finally got a voice, and asked for Arlette.  She was not available, so
040999 - asked for Bella in the Chemotherapy Infusion Clinic to get results of
041000 - the CA 15-3 for Millie's the blood test on 090309. ref SDS 62 PQTQ
041002 -  ..
041003 - Cisi came on line.
041005 -  ..
041006 - Explained the report received from Kaiser on Wednesday, 090311, did
041007 - not include CA 15-3, and this caused problems during the meeting at
041008 - UCSF this morning. ref SDS 66 YX5F
041010 -  ..
041011 - Asked if results for CA 15-3 have been posted to Kaiser's computer yet
041012 - for the test on 090309? ref SDS 62 PQTQ
041014 -  ..
041015 - Cisi checked the computer.  She said that CA 15-3 was not ordered for
041016 - the blood test on 090309.
041018 -  ..
041019 - We reviewed the record on 090213 showing Doctor Johnson ordered CA
041020 - 15-3 for the blood test on 090309. ref SDS 61 6P3F
041022 -  ..
041023 - Cisi said there is nothing she can do.  She suggested calling
041024 - Millie's doctor to order another test.
041025 -
041026 -        [On 090313 0943 called Kaiser; Arlette will check with primary
041027 -        care physician on getting CA 15-3 results for the blood test on
041028 -        090309. ref SDS 67 3R7J
041030 -         ..
041031 -        [On 090317 1120 called Kaiser and talked to Arlette; hectic
041032 -        schedule on 090313 prevented following up on plans to discuss
041033 -        CA 15-3 results for blood test on 090309. ref SDS 68 Y077
041035 -         ..
041036 -        [On 090317 1120 Arlette ordered make up blood draw to test CA
041037 -        15-3. ref SDS 68 YP6S
041039 -         ..
041040 -        [On 090325 0830 primary care physician disappointed by
041041 -        continual delays submittng data to UCSF, and notes conflict
041042 -        with requirements to streamline delivery of care in order
041043 -        to treat Millie's 6th relapse of cancer as a chronic
041044 -        disease. ref SDS 69 RB3G
041046 -         ..
041047 -        [On 090420 1451 Doctor Mason reported that other patients
041048 -        have not reported problems having labs performed at Kaiser
041049 -        and submitted to UCSF for referral treatment. ref SDS 71
041050 -        2H8J
041051 -
041052 -
041053 -
041054 -
041055 -
041056 -
041057 -
0411 -