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 04:10 PM Wednesday; Rod Welch

Doctor Davidson explains how Millie can get CD of CT test at Kaiser.

1...Summary/Objective


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CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 13 0000. ref SDS 11 0000.
040502 -
040503 -
040504 -
040506 -  ..
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 be serious
040903 - problem.  On Monday, Doctor Hsu scheduled a meeting for yesterday
040904 - morning on 090609 0900 at UCSF Radiology Oncology.
040906 -  ..
040907 - Yesterday, on 090609 0900 Millie met with Doctor Hsu, as requested.
040909 -  ..
040910 - The doctor made preliminary findings that IBC in the breastbone area
040911 - was not treated with radiation and hyperthermia, contrary to treatment
040912 - ordered by Doctor Rugo and authorized on referral by Kaiser.
040914 -  ..
040915 - This appears to be a medical mistake.
040917 -  ..
040918 - The doctor is concerned that Millie's recent symptoms of cough and
040919 - heavy chest may be caused by fluid on the lungs resulting from rapid
040920 - progression of IBC that was not treated during the Feb-Mar radiation
040921 - and hyperthermia program.  He feels Millie's best course of treatment
040922 - is the MPA protocol proposed by Doctor Rugo to Kaiser on 090514.
040924 -  ..
040925 - Doctor Hsu requested a CT test to determine if Millie has fluid on
040926 - the lungs and whether if so, it is mild enough to still permit
040927 - treatment with MPA.
040929 -  ..
040930 - In the afternoon, after returning home from UCSF in San Francisco,
040931 - Millie called Arlette at Kaiser in Walnut Creek, and asked Arlette to
040932 - facilitate a telecon with Doctor Johson in order to report Doctor
040933 - Hsu's findings, and request the CT test. ref SDS 7 MW5H
040935 -  ..
040936 - A few hours later on 090609 1430 Doctor Johnson called. ref SDS 8 MW5H
040938 -  ..
040939 - Doctor Johnson ordered the CT test requested by Doctor Hsu.
040940 - ref SDS 8 PPVY
040942 -  ..
040943 - Early this morning 090610 0043, Millie sent a letter to the medical
040944 - team confirming understandings, ref SDS 10 N630, from meeting with
040945 - Doctor Hus at UCSF the day before on 090609 0900. ref SDS 6 TP9L
040947 -  ..
040948 - Millie's letter explained Doctor Hsu requested a CT test to plan the
040949 - next treatment for Millie with MPA, ref SDS 10 W66W, and further
040950 - reported that Kaiser scheduled the test on 09612 1120. ref SDS 10 W67P
040952 -  ..
040953 - This afternoon, Doctor Rugo's assistant, Mike, called and advised that
040954 - Doctor Rugo wants the computer files for the CT test, ref SDS 11 S537,
040955 - to directly review evaluating Millie getting treatment with MPA, and
040956 - Mike also requested a report on the blood test on 090602. ref SDS 3
040957 - OT8J
040959 -  ..
040960 - After Mike's call, Millie received a letter from Doctor Hsu responding
040961 - to Millie's letter earlier this morning on 090610 0043. ref SDS 10
040962 - W66T  Doctor Hsu confirmed request in the meeting yesterday at UCSF on
040963 - 090609 0900, for a CT test, and to treat Millie initially with
040964 - systemic cancer care using the MPA protocol, ref SDS 12 G63H, to
040965 - recover from the medical mistake failing to treat IBC with radiation
040966 - on the vertical line in the breastbone area, ref SDS 6 TP9L, as
040967 - explained in Millie's letter to the medical team on 090510.
040969 -  ..
040970 - Millie sent a letter to the medical team confirming planning and
040971 - progress on starting MPA treatment; she submitted the report for the
040972 - blood test at Kaiser on 090602, ref SDS 13 9F4J, and requested
040973 - assistance on getting the CD for the CT test scheduled on 090612 1120
040974 - at Kaiser for submission to Doctor Rugo at Kaiser. ref SDS 13 TG8U
040976 -  ..
040977 - Millie received a letter from Doctor Davidson, Director of Radiology
040978 - for the Kaiser Diablo Region, responding to Millie's letter an hour
040979 - ago on 090610 1503. ref SDS 13 TG8U
040980 -
040981 -    1.  Subject:  CT Test Jun 12 Need CD for Doctor Rugo at UCSF; Submit Blood Test on June 2nd
040982 -        Date: Wed, 10 Jun 2009 15:50:33 -0700
040992 -         ..
040993 -    2.  Please call the Walnut Creek Radiology File room.  They  will
040994 -        instruct you on how to obtain the CD.  There is a form that
040995 -        needs to be filled out in advance, but they can either send
040996 -        that to you or instruct you how to get the form of the KP
040997 -        website.  The number is:  (925) 295-4793
040999 -         ..
041000 -    3.  Thanks!
041001 -
041002 -            [On 090610 1713 visited Ricardo at CT Department customer
041003 -            counter Kaiser Walunt Creek and coordinated getting CD with
041004 -            computer file for CT test and hour after Kaiser performs
041005 -            the test for patient to deliver from Kaiser to UCSF in the
041006 -            afternoon on 090612. ref SDS 14 UQ87
041008 -             ..
041009 -            [On 090610 2213 letter to medical team including Doctor
041010 -            Davidson, commends the doctor's timely response required
041011 -            for exigent treatment of advancing cancer. ref SDS 15 WX6R
041013 -             ..
041014 -            [On 090612 1120 Millie got the CT test; the department had
041015 -            already prepared a CD with files for the prior CT test on
041016 -            090413, ref SDS 16 UD5H; after the test, received the CD
041017 -            with computer files for the CT test
041018 -            on 090612 1120;
041020 -             ..
041021 -            [On 090706 0301 Millie received a letter from Mike, Doctor
041022 -            Rugo's coordinator, saying his investigation discovered
041023 -            that nobody at UCSF ordered review of Millie's CT test scan
041024 -            files, ref SDS 18 1L6N, which were same-day hand- delivered
041025 -            to UCSF on 090612, ref SDS 17 UD5H, per Mike's request on
041026 -            090610 for timely review by UCSF. ref SDS 11 S537
041028 -         ..
041029 -    4.  Lee Davidson, MD
041030 -        Chief of Radiology / Imaging Services,
041031 -        Diablo Service Area
041032 -        Kaiser Permanente, No. California Region.
041033 -        Office:  (925) 295-4784 (KP Tie line 8-470)
041034 -        Cell:  (925) 451-1535
041035 -        Pager:  (925) 295-8800
041036 -        Text msg: www.usamobility.com
041037 -
041039 -         ..
041040 -    5.  NOTICE TO RECIPIENT:  If you are not the intended recipient of
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041042 -        otherwise using or disclosing its contents.  If you have
041043 -        received this e-mail in error, please notify the sender
041044 -        immediately by reply e-mail and permanently delete this e-mail
041045 -        and any attachments without reading, forwarding or saving them.
041046 -        Thank you.
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