CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 19 0000. ref SDS 18 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Left a message about sending the letter to Kaiser on Friday confirming
040902 - telecon with Zoe on 090601, and relating quality care issues that
040903 - require extreme caution for Millie getting Gemzar after just
040904 - completing extensive radiation treatment at UCSF on 090317.
040906 -  ..
040907 - Advised that after the call with Zoe on 090601, Millie received
040908 - information from Kaiser that said treating patients with Gemzar after
040909 - just receiving radiation requires extreme caution.
040910 -
040912 -  ..
0410 -
0411 -
0412 - 1031
0413 -
041301 - Received call from Zoe.
041302 -
041303 - Zoe said she has received Millie's letter sent last night transmitting
041304 - a copy of Millie's letter to Doctor Hsu at UCSF requesting treatment
041305 - for continuing adverse side effects of radiation, and further asking
041306 - for opinion on safety of Millie getting Gemzar treatment at Kaiser
041307 - beginning on 090611, with respect to Kaiser's guidance for extreme
041308 - caution, discovered on 090605.
041309 -
041310 -
041311 -
041312 -
041314 -  ..
0414 -
0415 -
0416 - 1332
0417 -
041701 - Called Zoe.
041702 -
041703 - Asked about her letter saying she did not emphasize in the call on
041704 - 090605 that her office should first assist Millie with the decision
041705 - to get Gemzare on 090611.
041707 -  ..
041708 - Asked if she feels we are "two ships passing in the night," not really
041709 - talking about the same things.
041711 -  ..
041712 - Zoe said that she agrees we did discuss addressing Gemzar first, and
041713 - she understands Millie needs feedback by Thursday, 090601.  She said
041714 - we are not "two ships passing in the night" not seeing each other's
041715 - meaning.
041717 -  ..
041718 - Zoe explained her letter was intended to say she is not a doctor and
041719 - so cannot discuss medical issues with Doctor Johnson.
041721 -  ..
041722 - We reviewed the current issue of quality care is only about medical
041723 - issues.
041725 -  ..
041726 - Zoe has a call for Doctor Johnson.  He has not returned the call.
041728 -  ..
041729 - Zoe did not say what she plans to discuss with Doctor Johnson, if not
041730 - the prescription for Gemzar.
041732 -  ..
041733 - She is talking further with her supervisor to develop a work plan.
041734 - She has a call into a doctor with Expedited Review.
041736 -  ..
041737 - Zoe talked about contacting the Kaiser Ombudsman for support.
041739 -  ..
041740 - Zoe asked to hold off on responding to her letter this morning, until
041741 - she does more work today about resolving the matter.
041743 -  ..
041744 - We can discuss it again tomorrow.
041745 -
041746 -
041748 -  ..
0418 -
0419 -
0420 - 1432
0421 -
042101 - Lois Kaye.
042102 -
042103 -           925 295 7789
042105 -  ..
042106 - She is the ombudsman for Kaiser.
042108 -  ..
042109 - Explained waiting for a call to go pick up Millie at BART, and so
042110 - cannot tie up the line.
042112 -  ..
042113 - Lois said she has just received via fax the letter to Zoe on 090605
042114 - explaining concerns about treatment with Gemzar.  She will review the
042115 - letter and then we can talk about whether she can assist with this
042116 - matter.
042118 -  ..
042119 - Lois does not know at this time, whether she can assist the medical
042120 - team in prescribing effective care for Millie.
042121 -
042123 -  ..
0422 -
0423 -
0424 - 1447
0425 -
042501 - Explained I just talked to Millie.  She is on BART at the Orinda
042502 - station, so we have about 20 minutes to discuss Millie's case further
042503 - before I have to go pick up Millie at the Concord station about 1515.
042505 -  ..
042506 - Lois said she read the letter to Zoe on 090605, which she received
042507 - from Zoe, per above. ref SDS 0 QW48  Lois initally commented that
042508 - Millie's situation is very complex.
042510 -  ..
042511 - She feels Millie's concerns about risks of survival getting Gemzar
042512 - beginning on Thursday 090611 can be resolved by her asking a
042513 - pharmacist to call Millie and explain side effects.  She asked why
042514 - Millie has not called the pharmacy to get clarifications.
042516 -  ..
042517 - Reviewed the record showing Kaiser has already called twice, and
042518 - failed to disclose issues that threaten Millie's health and survival.
042519 - At this time, Millie wants a letter signed by Kaiser addressing the
042520 - issues on Gemzar in the letter to Zoe on 090605.  Millie also wants a
042521 - letter on the treatment plan for the next treatment after Gemzar.
042523 -  ..
042524 - We reviewed the record on avoiding blood thinners.  Kaiser discussed
042525 - with Millie adjusting Coumadin.  This conflicts with Kaiser's
042526 - guidance.
042528 -  ..
042529 - Lois feels the doctor has to balance risks and benefits.
042531 -  ..
042532 - Lois said it's up to the doctor to prescribe care, based on all the
042533 - available information, so Millie should be confident she can take
042534 - Gemzar because despite Kaiser's published guidance to the contrary,
042535 - the doctor has balanced risks and benefits in Millie's case.
042537 -  ..
042538 - Reviewed the record on 040416 listing about 170 medical mistakes at
042539 - Kaiser and UCSF that have injured Millie. ref SDS 1 P66P  Explained
042540 - the record of continual mistakes suggests that prescribing Gemzar
042541 - against Kaiser published guidance is likely another mistake.
042543 -  ..
042544 - Lois advised that her job is to resolve conflict by facilitating
042545 - communications, so she does not have time to review evidence in
042546 - Millie's case.
042548 -  ..
042549 - Lois wished Millie good luck.
042550 -
042551 -        [On 100701 1213 Lois called to help resolve Millie's claim to
042552 -        recover from injuries caused by UCSF medical mistakes.
042553 -        ref SDS 21 V54O
042554 -
042555 -
042556 -
042557 -
042558 -
042559 -
042560 -
0426 -