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 09:30 AM Wednesday; Rod Welch

Called Paula to expedite Millie's recovery from medical mistakes at UCSF
on referral from Kaiser and prescribing MPA 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 18 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
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 11 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 12 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 13 FC3K
040911 -  ..
040912 - Yesterday, on 090609 0900 Millie met with Doctor Hsu, as requested.
040913 - ref SDS 14 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 14
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 14 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 18 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 14 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 14 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 16 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 16 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 18
040965 - N630
040967 -  ..
040968 - Called Paula this morning following up letter notifying Paula in
040969 - Kaiser Claims Department that Millie is entitled to be treated by UCSF
040970 - to recover from medical mistakes, and UCSF is responsible to Millie
040971 - and to Kaiser for reasonable and necessary costs of care for Millie to
040972 - recover. 090610 0122, ref SDS 19 855G
040974 -  ..
040975 - Paula has received the letter sent last night on 090610 0122,
040976 - explaining Doctor Hsu discovered medical mistakes injured Millie
040977 - getting radiation treatments on referral from Kaiser. ref SDS 19 855G
040979 -  ..
040980 - She feels UCSF is resonsible to Kaiser for fixing problems performing
040981 - work on referral from Kaiser, and so UCSF should submit a work plan
040982 - demonstrating ability to perform, which will be supervised by Doctor
040983 - Johnson to approve medical determinations, and if UCSF work is not
040984 - effective, then Doctor Johnson will order alternate care from another
040985 - provider.
040987 -  ..
040988 - Paula feels that Doctor Mason with Outside Referrals Department in
040989 - Walnut Creek should be the Kaiser's lead on case management, since
040990 - Outside Referrals issued referral authorization A023141470 received on
040991 - 090205 1426. ref SDS 4 278T  She will call Doctor Mason to discuss
040992 - next steps.
040993 -
040994 -     [On 090610 1032 Doctor Mason was notified to make a demand on UCSF
040995 -     to provide medical services correcting mistakes performing
040996 -     radiation treaatments, which have cause Millie's cancer to spread
040997 -     and caused new problems of difficulty breathing. ref SDS 20 VQ9V
040999 -      ..
041000 -     [On 090611 1632 Doctor Rugo's coordinator for Millie's care at
041001 -     UCSF, sent a letter to Kaiser asking where to send a
041002 -     requisition to pay for lab work at Kaiser which was ordered for
041003 -     Millie's treatment at UCSF to recover from radiation medical
041004 -     mistakes. ref SDS 22 YU3N
041006 -      ..
041007 -     [On 090616 1240 during meeting at UCSF Doctor Rugo notified Millie
041008 -     that UCSF and Kaiser have agreed in a letter that everybody is on
041009 -     board to treat Millie's cancer as a chronic disease for recovering
041010 -     from medical mistakes treating Millie with radiation at UCSF, and
041011 -     that Millie's next treatment after MPA will be with PARP.
041012 -     ref SDS 23 KD6L
041014 -      ..
041015 -     [On 090616 1245 Doctor Rugo advised that Millie's treatment has
041016 -     been transferred from Kaiser to UCSF for Millie to recover from
041017 -     UCSF medical mistakes, and so Millie should now call the Triage
041018 -     nurse at UCSF rather than at Kaiser, ref SDS 23 EE70,
041020 -      ..
041021 -     [On 100527 0217 Millie files claim to recover from injuries
041022 -     caused by medical mistakes getting radiation treatments from
041023 -     UCSF on referral from Kaiser. ref SDS 24 IZ7N
041024 -
041025 -
041026 -
041027 -
041028 -
041029 -
041030 -
041031 -
0411 -