CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 16 0000. ref SDS 15 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 Service Region, responding to Millie's letter an
040979 - hour ago on 090610 1503 requesting assistance getting the CD for the
040980 - CT test scheduled on 090612 1120 at Kaiser for submission to Doctor
040981 - Rugo at UCSF to evaluate Millie's treatment with MPA protocol to
040982 - recover from medical mistake UCSF made providing radiation services on
040983 - referral from Kaiser during February and March, and which caused
040984 - severe progression of Millie's cancer, ref SDS 13 TG8U, as reported in
040985 - Doctor Davidson's letter received 30 minutes ago on 090610 1610.
040986 - ref SDS 14 TH5G
040988 -  ..
040989 - Drove to Kaiser in Walnut Creek.
040991 -  ..
040992 - Went to the CT Test Department in the basement of the hospital after
040993 - meeting with Arlette in the Oncology Department on the 2nd floor to
040994 - arrange for the Chemotherapy Infusion Clinic to access Millie's Power
040995 - Port to support the CT test on 090612 1120, and while Millie went into
040996 - the Radilogy customer check in lobby to order the CD, ref SDS 15 2X6J,
040997 - which Doctor Rugo needs for the CT test on Friday, 090612 1120, and
040998 - which was requested in Mike's call this afternoon, ref SDS 11 S537,
040999 - and confirmed in Millie's letter to the medical team a little later on
041000 - 090610 1530. ref SDS 13 TG7R
041002 -  ..
041003 - In the CT test Department met Millie.
041005 -  ..
041006 - Talked to Ricard, the attendant at the customer counter for the CT
041007 - test Department.
041009 -  ..
041010 - Richardo said that he can coordinate with the File Department to
041011 - create the CD Doctor Rugo needs for Millie's CT test on 090612 within
041012 - an hour or so after the test is completed at 1120.  This will save 3
041013 - business days, and enable delivering the CD to Doctor Rugo at UCSF on
041014 - Friday on 090612 OA 1500, rather than waiting the following Wedensday,
041015 - proposed in the Radiology Customer Check In Department.  While meeting
041016 - with Ricardo, he called the File Department and explained the customer
041017 - needs expedited work.  Ricardo confirmed that the File Department
041018 - commits today to providing save day service for the CD.  He said
041019 - Millie can go have lunch after the test at 1120, and return in an hour
041020 - or so, and the CD will be ready for pickup at the Radiology Check-in
041021 - Counter next to the elevators, here in the basement.
041023 -  ..
041024 - Richardo checked Kaiser's computer.  He said there is nothing that
041025 - shows Kaiser will produce a report that consolidates all findings,
041026 - rather than issue multiple reports for a single test, as done
041027 - previously in error, causing confusion and medical mistakes.
041029 -  ..
041030 - Richardo checked Kaiser's computer.  He said Loretta did not schedule
041031 - an IS nurse to support Millie's test.  There is nothing in Kaiser's
041032 - computer showing this is scheduled.  Ricardo will investigate and try
041033 - to get this scheduled in time for the test on 090612 1120.
041035 -  ..
041036 - Thanked Ricard for assistance.
041037 -
041038 -
041039 -
041040 -
041041 -
041042 -
041043 -
0411 -