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: May 11, 2009 11:13 PM Monday; Rod Welch

Doctor Rugo notified Kaiser defers to UCSF on labs for meetings at UCSF.

1...Summary/Objective


..............
Click here to comment!

CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 19 0000. ref SDS 17 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 090423 Millie met with Tara in the Breast Care Clinic at UCSF for
040902 - examination, which showed recovery from side effects of radiation and
040903 - hyperthermia treatments during February and March 2009. ref SDS 13 QR3M
040904 - This was confirmed in Millie's letter to the medical team later that
040905 - day on 090423. ref SDS 14 ZL6T  Tara also found expanding IBC on the
040906 - lower left arm, ref SDS 13 DW6F, also confirmed in the letter to the
040907 - medical team. ref SDS 14 ZL7P
040909 -  ..
040910 - At that time, on 090423 Tara planned to discuss with Doctor Hsu in the
040911 - UCSF Radition Oncology Department concerns about slow healing of
040912 - radiation side effects in Millie's breastbone area. ref SDS 13 R15K
040913 - Collaboration plans were further confirmed in Millie's letter to the
040914 - medical team on 090423. ref SDS 14 ZL7V
040916 -  ..
040917 - In the afternoon on 090423 1315 Millie met with Doctor Hsu to check on
040918 - recovery from radiation side effects. ref SDS 13 4H5G  Doctor Hsu gave
040919 - Millie a "thumbs up" that she was well enough to take time from
040920 - treatment to go on a 2-week vacation, ref SDS 13 FJ6K, and despite
040921 - confirming diagnosis of IBC relapse on the lower left arm, ref SDS 13
040922 - 5G4G, and despite growing doubts about vertical line of sking infected
040923 - either by IBC or radiation side effects. ref SDS 13 EX4I  The doctor
040924 - recommended against taking a biopsy because the skin was thought to be
040925 - radiated, and surrounding tissue was radiated, and so this would delay
040926 - and prevent normal recovery from a biopsy wound. ref SDS 13 456H
040928 -  ..
040929 - On 090423 2337 Millie's letter to medical team reports Doctor Hsu's
040930 - favorable report that IBC cannot recur in treated areas, because
040931 - nothing can grow in treated areas. ref SDS 14 ZL9V  The letter further
040932 - confirms UCSF plans to treat IBC recurrence on the lower left arm as a
040933 - chronic disease with systemic agents prescribed by Doctor Rugo in the
040934 - Breast Care Clinic, ref SDS 14 ZL4X, and notes the meeting scheduled
040935 - with Doctor Rugo on 090514. ref SDS 14 ZL5Q
040937 -  ..
040938 - Yesterday on 090510 1553, Millie submitted an agenda for the meeting
040939 - on 090514 to start treatment of the 8th relapse. ref SDS 15 QH9J  The
040940 - letter was hurried to fit commitments for attending Mother's Day
040941 - family event.  In the afternoon on 090510 1953, after retrurning home,
040942 - Millie sent a second letter to further explain the agenda for meeting
040943 - on Thursday 090514 at UCSF with Doctor Rugo. ref SDS 16 FJ3G
040945 -  ..
040946 - This morning, called and talked to Amanda about coordinating to
040947 - facilitate the agenda for meeting with Doctor Rugo on Thursday,
040948 - 090514, particularly on requirements for blood tests at Kaiser, as
040949 - discussed in Millie's letter on 090510 1953. ref SDS 16 LJ7X
040951 -  ..
040952 - Amanda requested a copy of Millie's letter to the medical team that
040953 - explains details about getting a lab.  Millie sent the letter to
040954 - Amanda and requested clarification on requirements for a lab.
040955 - ref SDS 17 YN33  After sending the letter to Amanda this afternoon,
040956 - Kaiser notified Millie on 090511 1427 that Doctor Johnson has a
040957 - standing order at Kaiser for Millie to get a monthly blood test,
040958 - ref SDS 18 FJ5L; and, so Millie went to Kaiser for the lab.  She then
040959 - sent a letter notifying the medical team that the blood draw was done
040960 - so that people can be prepared for a productive meeting at UCSF on
040961 - 090514. ref SDS 18 FJ6G
040963 -  ..
040964 - Doctor Rugo sent a letter saying that scope for labs at Kaiser
040965 - performed to support examinations at UCSF should be determined by
040966 - Kaiser rather than by UCSF. ref SDS 19 RF4J
040968 -  ..
040969 - Millie sent a private letter to the doctor saying...
040970 -
040971 -    1.  Subject: Labs at Kaiser for Work at UCSF
040972 -        Date: Mon, 11 May 2009 23:17:35 -0700
040979 -         ..
040980 -    3.  Thanks for comment in your letter today [received 090511 2013]
040981 -        saying Doctor Johnson should decide the scope of labs.
040982 -        ref SDS 19 RF4J
040984 -         ..
040985 -    4.  Doctor Johnson asks me what you want for labs to support your
040986 -        examinations [see meeting at Kaiser on 090325 0830, ref SDS 9
040987 -        V86J], in this case on Thursday May 14th.  Previously, Jackie
040988 -        faxed orders for labs to Kaiser [reported on 070119.
040989 -        ref SDS 2 AS6M].  When mistakes mounted [see case study on
040990 -        090325 0830, ref SDS 9 KZ6N], we switched and did labs in your
040991 -        shop [reported on 070201 0800, ref SDS 3 G59O], and everything
040992 -        went well.  In February, Doctor Johnson wrote a letter saying
040993 -        he is worried about me "slipping through the cracks," [reported
040994 -        on 090205 1318, ref SDS 5 278T].  I guess if "Aristotle's rule"
040995 -        [least initial deviation from truth multiplied 1000 times, see
040996 -        NWO, ref OF 10 JV3G], can bring down mighty Enron [reported on
040997 -        020204, ref SDS 1 EX5O, Bear Stearns, GM, AIG, et al [see
040998 -        Madoff and Ponzi financial fiasco, reported on 090320 0857,
040999 -        ref SDS 8 V54M], then I am at risk of snafus at Kaiser reaching
041000 -        critical mass.
041001 -
041002 -           [On 090513 1654 Millie submits lab results at Kaiser to UCSF
041003 -           for the meeting on 090514. ref SDS 20 ZH6R
041005 -         ..
041006 -    5.  Just glad you're in my corner.
041008 -         ..
041009 -    6.  See you Thursday.
041010 -
041017 -
041018 -
041019 -
041020 -
041021 -
041022 -
0411 -