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 10, 2009 01:22 AM Wednesday; Rod Welch

Notify Paula in Kaiser Claims Dep Medicare payment dispute resolved for
Millie's MPA treatment on referral from Kaiser for UCSF clincial trial.

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 19 0000. ref SDS 17 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040509 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie notified the medical team on Sunday night that side effects of
040902 - radiation treatment which ended on 090317 continued to cause serious
040903 - problems reported on 090607 2253. ref SDS 12 KS5N  On Monday, Doctor
040904 - Hsu scheduled a meeting for yesterday morning on 090609 0900 at UCSF
040905 - Radiology Oncology, reported on 090608 1331. ref SDS 13 KS5N  Millie
040906 - notified the medical team that Doctor Hsu scheduled to meet with
040907 - Millie on 090609 about treatment for continuing side effects of
040908 - radiation treatments in the breastbone area, reported on 090608 1346.
040909 - ref SDS 14 FC3K
040911 -  ..
040912 - Yesterday, on 090609 0900 Millie met with Doctor Hsu, as requested.
040913 - ref SDS 15 TP9L
040915 -  ..
040916 - The doctor made findings that the bleeding wound in the breastbone
040917 - area was not side effects of radiation, but was caused by progression
040918 - of cancer, which occurred because UCSF failed to treat IBC in the
040919 - breastbone area with radiation during February and March, ref SDS 15
040920 - W65W, contrary to treatment ordered by Doctor Rugo, reported to the
040921 - medical team on 090130 1722, ref SDS 2 4S8O, citing the meeting with
040922 - the doctor the day before on 090129, and authorized on referral by
040923 - Kaiser, reported on 090205 1426. ref SDS 4 278T
040925 -  ..
040926 - This appears to be a medical mistake.
040928 -  ..
040929 - Doctor Hsu advised that Millie's recent breathing problems with cough,
040930 - heavy chest, and shortnes of breath, especially hiking are caused by
040931 - buildup in the lungs resulting from progression of IBC that was not
040932 - treated during the Feb-Mar radiation and hyperthermia program.
040933 - ref SDS 15 EK8J  Allowing IBC to go untreated for 6 months has enabled
040934 - spread of disease, reported initially to the medcal team on 090331
040935 - 2047. ref SDS 6 Q69V  Millie's letter to the medical team earlier this
040936 - morning presented these understandings, reported on 090610 0043.
040937 - ref SDS 19 N630  Another concern is that UCSF over-radiated the lungs
040938 - while treating IBC outside the breastbone area, shown in the radiation
040939 - treatment plan received from UCSF on 090226 1342. ref SDS 5 D452
040940 - Millie may be suffering radiation injury from failure to accurately
040941 - coorelate radiation amounts with patient history of prior radiation
040942 - treatments, which was presented to UCSF during the meeting on 090205
040943 - 0830. ref SDS 3 PN8H  Doctor Hsu advised that the best course of
040944 - treatment for Millie to recover is with the MPA protocol in the Breast
040945 - Care Clinic, ref SDS 15 1P42, proposed by Doctor Rugo to Kaiser on
040946 - 090514. ref SDS 8 D647
040948 -  ..
040949 - Doctor Hsu requested a CT test to determine if Millie has fluid on the
040950 - lungs and whether if so, it is mild enough to still permit treatment
040951 - with MPA. ref SDS 15 1P3K
040953 -  ..
040954 - Called Kaiser yesterday afternoon and reported UCSF discovering
040955 - medical mistakes performing radiation in Feb-Mar, causing Millie's
040956 - cancer to get worse, and causing breathing problems, reported on
040957 - 090609 1427. ref SDS 17 MW5H  Doctor Johnson was not aware Millie is
040958 - entitled to all reasonable and necessry medical treatment required to
040959 - recover from UCSF medical mistakes. ref SDS 17 KS3K
040961 -  ..
040962 - Early this morning, Millie notified the medical team that UCSF
040963 - reported findings of medical mistake causing Millie's cancer to worsen
040964 - and causing breathing problems, reported on 090610 0043. ref SDS 19
040965 - N630
040967 -  ..
040968 - Sent following letter notifying Paula in Kaiser Claims Department,
040969 - following up the last letter on 090528, presenting a claim demanding
040970 - treatment, ref SDS 9 UD5H, and now notifying Paula that Millie is
040971 - entitled to be treated by UCSF to recover from medical mistakes, and
040972 - UCSF is responsible to Millie and to Kaiser for reasonable and
040973 - necessary costs of care for Millie to recover...
040974 -
040975 -    1.  Subject: Millie's Dispute with Kaiser Resolved by UCSF Mistake
040976 -        Date: Wed, 10 Jun 2009 01:37:05 -0700
040983 -         ..
040984 -    2.  Mil's issue with Kaiser now seems resolved, per meeting with
040985 -        UCSF yesterday reporting errors and omissions providing medical
040986 -        services for Millie on referral from Kaiser [reported on 090609
040987 -        0900, ref SDS 15 W65W, and medical team notified earlier today
040988 -        on 090610 0043, ref SDS 19 N630].
040990 -         ..
040991 -    3.  Kaiser is required and entitled to demand UCSF fix the problem
040992 -        they caused, by implementing their own recommendations for
040993 -        Millie's treatment [also reported on 090609 0900. ref SDS 15
040994 -        1P42
040995 -
040996 -            [On 090610 0930 called Paula - she advised that UCSF is
040997 -            liable to Kaiser for fixing medical mistakes performing
040998 -            radiation services for Millie on referral from Kaiser.
040999 -            ref SDS 20 855G
041001 -         ..
041002 -    4.  Can you tell me who at Kaiser can follow through on this
041003 -        situation?
041005 -         ..
041006 -    5.  I spoke with Doctor Johnson yesterday, and he seemed unaware
041007 -        that the equation has changed [reported on 090609 1427.
041008 -        ref SDS 17 KS3K]
041009 -
041010 -            [On 090610 0930 called Paula - she advised that she is
041011 -            coordinating with Kaiser Outside Referrals on case
041012 -            management to ensure that Millie gets timely treatment to
041013 -            recover from injuries. ref SDS 20 FU6Q
041015 -             ..
041016 -            [On 090611 1632 Doctor Rugo's coordinator for Millie's care
041017 -            at UCSF, sent a letter to Kaiser asking where to send a
041018 -            requisition to pay for lab work at Kaiser which was ordered
041019 -            for Millie's treatment at UCSF to recover from radiation
041020 -            medical mistakes. ref SDS 22 YU3N
041022 -             ..
041023 -            [On 090616 1240 during meeting at UCSF Doctor Rugo notified
041024 -            Millie that UCSF and Kaiser have agreed in a letter that
041025 -            everybody is on board to treat Millie's cancer as a chronic
041026 -            disease for recovering from medical mistakes treating
041027 -            Millie with radiation at UCSF, and that Millie's next
041028 -            treatment after MPA will be with PARP. ref SDS 23 KD6L
041030 -             ..
041031 -            [On 090616 1245 Doctor Rugo advised that Millie's treatment
041032 -            has been transferred from Kaiser to UCSF for Millie to
041033 -            recover from UCSF medical mistakes, and so Millie should
041034 -            now call the Triage nurse at UCSF rather than at Kaiser,
041035 -            ref SDS 23 EE70,
041037 -         ..
041038 -    6.  Hope all is well.
041039 -
041046 -
041047 -
041048 -
041049 -
041050 -
041051 -
041052 -
041053 -
0411 -