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: June 7, 2009 11:37 PM Sunday; Rod Welch

Millie notifies Zoe that Gemzar risks conflict with Kaiser quality care
requirements; and explains problems with radiation treatments last March.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 14 0000. ref SDS 12 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie received a call on Wedensday, 090603 1524, from Queenie in the
040902 - Oncology Pharmacy for Kaiser in Walunt Creek. ref SDS 10 6W9H  This
040903 - followed up the call from Brad on 090601 advising that Doctor Johnson
040904 - prescribed Gemzar for Millie. ref SDS 8 PQ7V
040906 -  ..
040907 - At that time on Wednesday, Queenie talked to Millie for 30 - 40
040908 - minutes telling her to be sure and do various things to prepare for
040909 - getting Gemzar, and efforts Kaiser is taking to mitigate side effects
040910 - of treatment. ref SDS 10 7J9L
040912 -  ..
040913 - Queenie was asked to send a letter to Millie confirming the long
040914 - complex discussion explaining how Kaiser's general guidance relates to
040915 - Millie's patient history. ref SDS 10 7J4P
040917 -  ..
040918 - On 090605 Millie received a letter that only mentions plans to treat
040919 - neausa with compazine, and ignores many extreme risks getting Gemzar
040920 - that cause death or infirmity for Millie's patient profile.
040922 -  ..
040923 - This evening Millie noted there is still a bleeding sore on her
040924 - breastbone that has not healed.
040926 -  ..
040927 - Submitted letter to medical team requesting examination for treatment
040928 - of severe side effects from radiation treatment in February that ended
040929 - on 090317; at that time UCSF planned to treat side effects that lasted
040930 - for more than 2 months with Vitamin E and Trentle. ref SDS 14 KS62
040932 -  ..
040933 - Millie submitted another letter this evening to Zoe who has been
040934 - investigating quality care problems arising from Kaiser prescribing
040935 - Gemzar that has extreme risks for Millie's patient profile, reported
040936 - on 090605. ref SDS 13 4Q5O   This letter adds the problem of severe
040937 - side effects from radiation...
040938 -
040939 -    1.  Subject: Gemzar Risks with Radiation
040940 -        Date: Sun, 07 Jun 2009 23:41:28 -0700
040948 -         ..
040949 -    3.  I understand you are planning to conference with Rod and Doctor
040950 -        Johnson tomorrow on Kaiser's prescription for me to start
040951 -        Gemzar this Thursday, June 11th [discussed in the letter to Zoe
040952 -        on 090605 2215, ref SDS 13 LF6U, This has now taken on added
040953 -        urgency.
040955 -         ..
040956 -    4.  I sent the attached letter to Doctor Hsu at UCSF asking his
040957 -        opinion on new information received on Friday from Kaiser
040958 -        saying use "extreme caution" giving Gemzar to patients who have
040959 -        just received radiation.  This sounds scary. [see Millie's
040960 -        letter to Doctor Hsu on 090607 2253, ref SDS 14 MU6S].  Doctor
040961 -        Hsu gave me radiation and hyperthermia at UCSF on referral from
040962 -        Doctor Johnson in February and ending March 17th.
040964 -         ..
040965 -    5.  Thanks for helping me get quality care review with Rod.
040966 -
040967 -            [On 090608 1209 Zoe resonds that planning in Kaiser Quality
040968 -            Control Department to facilitate quality care with medical
040969 -            team was a mistake. ref SDS 15 CN4G
040971 -         ..
040972 -    6.  Please respond to Rod.
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0410 -