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 11, 2009 04:18 PM Thursday; Rod Welch

Mike called for AST lab evaluate MPA safe treatment for Millie at UCSF.

1...Summary/Objective


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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 26 0000. ref SDS 25 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
0410 -
041001 - Yesterday on 090610 Mike called and said that Doctor Rugo needs the
041002 - computer file on Millie's CT test tomorrow in order to evaluate fluid
041003 - on lungs which Doctor Hsu diagnosed may have occurred, and so ordered
041004 - a CT test at Kaiser to evaluate safety of MPA protocol which Doctor
041005 - Hsu recommended for Millie on 090609 to recover from medical mistake
041006 - that caused severe IBC to go untreated during February and March
041007 - treatments with radiation and hyperthermia.
041009 -  ..
041010 - Sent a letter to Doctor Davidson, and asked how to get this done.
041011 - Doctor Davidson responded explaining procedure to sign a request at
041012 - the Customer Couner for the Radiology Department at Kaiser in Walnut
041013 - Creek.  Millie drove to Kaiser and signed documents requesting the
041014 - computer file for the CT scans that will be generated by the equipment
041015 - for Millie's test tomorrow at 1120.  Ricardo at the front desk in the
041016 - CT Department arranged for the File office to prepare the CD
041017 - immediately after Millie's test, so that Millie can get the CD around
041018 - 1p - 2p, and then take it to Doctor Rugo in San Francisco.
041020 -  ..
041021 - Doctor Rugo may want to compare the current test with results for the
041022 - prior test on 090413. ref SDS 10 0E4I  About 20 minutes ago this
041023 - afternoon, Millie sent a letter to the medical team asking the Kaiser
041024 - Radiloogy Department to include computer files for the prior test on
041025 - the CD for the files on the CT test tomorrow. ref SDS 25 PV4P
041027 -  ..
041028 - This afternoon, called the CT Department at Kaiser in Walnut Creek and
041029 - asked Loretta, who schedules CT tests, to include files for the CT
041030 - test on 090413 on the CD for the CT test tomorrow.
041032 -  ..
041033 - Millie sent a letter to Katie who was very helpful on 090407 assisting
041034 - Doctor Davidson resolve a prior policy problem, and requesting today
041035 - verification of arrangements to get from Kaiser tomorrow after
041036 - Millie's CT test on 090612 1120 the CD for the CT tests on 090413, and
041037 - for the test tomorrow on 090612.
041039 -  ..
041040 - Mike called this afternoon at 1618.
041042 -  ..
041043 - Miked thanked Millie for submitting results yesterday on 090610 of the
041044 - lab at Kaiser on 090602, ref SDS 21 OT8J, which UCSF requested in
041045 - Mike's call yesterday on 090610 in order for Doctor Rugo to evaluate
041046 - safety treating Millie with MPA protocol proposed by Doctor Hsu during
041047 - the meeting at UCSF on 090609 0900, ref SDS 22 TP9L, and for the
041048 - purpose of recovering from UCSF medical mistake that omitted radiation
041049 - of IBC in a portion of the breastbone area during treatment on
041050 - referral from Kaiser during February and March, and discovered during
041051 - the meeting at UCSF on 090609 0900. ref SDS 22 W65W
041053 -  ..
041054 - Mike advised that Kaiser's lab on 090602 did not report results for
041055 - AST to complement ALT test that was reported.  UCSF needs additional
041056 - lab work for the AST test.  Mike said he can order this in the UCSF
041057 - lab, but then Millie would have to come into the City.
041059 -  ..
041060 - We reviewed patient history showing Millie now gets all blood drawn
041061 - and other IV procedures through her Power Port, per recommendations of
041062 - Brigid during the meeting at UCSF on 080501. ref SDS 3 766K
041064 -  ..
041065 - Since Kathi scheduled Millie this morning on 090611 1032 to get the
041066 - port accessed tomorrow on 090612 1030, ref SDS 24 LN45, at the Kaiser
041067 - Oncology Chemotherapy Infusion Clinic in Walnut Creek for the CT test
041068 - at 1120, the nurse can draw blood after accessing the port at 1030 for
041069 - the AST lab UCSF needs to evaluate safety giving Millie treatment with
041070 - the MPA protocol, and there will still be enough time for Millie to
041071 - get the CT test at 1120, because accessing the port only takes a few
041072 - minutes, and the blood draw takes nother 10 minutes.
041074 -  ..
041075 - Mike asked how UCSF can get Kaiser to order the additional lab for an
041076 - AST test?
041078 -  ..
041079 - Discussed Mike responding to Millie's letter to the medical team
041080 - yesterday on 090610 1109 and addressed to Doctor Hsu, Doctor Rugo's
041081 - colleague, and in that letter Millie explains plans for Kaiser to
041082 - access Millie's port Friday morning for the CT test on 090612 1120,
041083 - Mike can suggest Kasier draw the lab for AST along with accessing the
041084 - port for the CT test.
041086 -  ..
041087 - Mike will send his letter to Arlette, with a copy to Millie's Doctor
041088 - Johnson, who is Millie's primary care physician at Kaiser, and is
041089 - authorized to order labs for Millie.
041090 -
041091 -        [On 090611 1632 letter from Mike requests adding AST lab to
041092 -        prior lab on 090602. ref SDS 27 YU3N
041094 -         ..
041095 -        [On 090611 1637 Millie's letter to Arlette explains Kaiser
041096 -        is accessing the Power Port on 090612 1030, and so requests
041097 -        Arlette order AST lab with the port at that time, which
041098 -        takes about 10 minutes. ref SDS 28 VK6W
041099 -
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041101 -
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041103 -
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0412 -