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 04:32 PM Thursday; Rod Welch

Mike asks Arlette add AST blood test at Kaiser for Millie treatment UCSF.

1...Summary/Objective


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SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 25 0000, ref SDS 24 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
0410 -
041001 - On 090610 Mike called and said for Millie to start treatment with the
041002 - MPA protocol Doctor Rugo needs the computer file for the CT test
041003 - requested by Doctor Hsu on 090609 0900, and ordered by Doctor Johnson
041004 - at Kaiser later that day on 090609 1430, and which Loretta in the
041005 - Kaiser CT Department scheduled Millie to get at Kaiser in Walnut Creek
041006 - on 090612 1120.
041008 -  ..
041009 - Kaiser was notified yesterday that UCSF needs the computer file for
041010 - the CT test on 090612, and agreed to copy the files onto a CD.
041012 -  ..
041013 - This afternoon, also, requested the computer files for the prior CT
041014 - test on 090413, so that Doctor Rugo can make a comparison. ref SDS 23
041015 - PV4P  In a follow up letter requested confirmation that Kaiser will
041016 - include files for the prior test on 090413, and that this work be done
041017 - first, so that after Millie's CT test at 090612 1120, only those files
041018 - have to be compied, which save 20 - 40 minutes starting the trip into
041019 - San Franciso, so that traffic is not a significant problem.
041021 -  ..
041022 - Mike called about 10 minutes ago, ref SDS 25 OC4F, and said that lab
041023 - Kaiser did for Millie on 090602 1300 to evaluate safety getting
041024 - treatment with Gemzar scheduled to start at Kaiser today at 1400, but
041025 - which was canceled because UCSF discovered they made a medical mistake
041026 - performing radiation treatment in February and March which UCSF is
041027 - responsible to correct, and so UCSF has decided to treat Millie with
041028 - MPA, and so requested a copy of Millie's most recent blood test, and
041029 - this was submitted to UCSF yesterday to evaluate safety getting
041030 - treatment with the MPA protocol, and so Mike explained in his call
041031 - that UCSF needs a test for AST. ref SDS 25 S25K
041033 -  ..
041034 - Upon discussion this afternoon, ref SDS 25 K98G, Mike sent a letter to
041035 - Arlette with a copy to Doctor Johnson asking Kaiser to perform the
041036 - additional test for AST, and Millie received a copy; and, Mike's
041037 - letter responds to Millie's letter on 090610 1044 sent to the medical
041038 - team addressed to Doctor Hsu at UCSF explaining UCSF's work plan to
041039 - correct the mistake in radiation treatent in February and March, and
041040 - based on Doctor Hsu's letter also on 090610.
041042 -  ..
041043 - Mike says to Arlette...
041044 -
041045 -    1.  Subject:  CT Test Jun 12 CD Scans for UCSF Gemzar Deferred Pending MPA Treatment
041046 -        Date: Thu, 11 Jun 2009 16:26:14 -0700
041055 -         ..
041056 -    2.  Along with the CT test tomorrow [requested in Doctor Hsu's
041057 -        letter to the medical team on 090610 and cited in Millie's
041058 -        letter confirming UCSF treatment plan also on 090610], could
041059 -        you please do a blood draw as well?  The MPA study this pt.
041060 -        will be on at UCSF needs an AST result as part of the
041061 -        eligibility criteria, and it looks like from the last labs she
041062 -        had done on 6/2/09 that AST wasn't done.
041063 -
041064 -           [On 090611 1637 Millie's letter to Arlette explains Kaiser
041065 -           is accessing the Power Port on 090612 1030, and so requests
041066 -           Arlette order AST lab with the port at that time, which
041067 -           takes about 10 minutes. ref SDS 26 VK6W
041069 -         ..
041070 -    3.  Let me know if this can work, and if I need to fax over a
041071 -        requisition.
041073 -  ..
041074 - This aligns with Paula's call yesterday, saying UCSF is liable to
041075 - Kaiser for the cost of Millie recovering from medical mistakes at
041076 - UCSF, and that she would coordinate with Kaiser Outside Referrals for
041077 - case management, reported on 090610 0930. ref SDS 22 FU5N
041079 -  ..
041080 - Offering a requisition topay for testing is a new experience in
041081 - patient history working with UCSF since 2007, since Kaiser has always
041082 - paid for this work, and has never requested a requisition.
041084 -  ..
041085 - UCSF offering to submit a "requisition" to pay for Millie to get lab
041086 - work at Kaiser therefore reflects UCSF performing on liability to
041087 - treat Millie with MPA ordered by Doctor Hsu, and in order for Millie
041088 - to recover from medical mistakes UCSF made providing radiation medical
041089 - services on referral from Kaiser, which Doctor Hsu discovered on
041090 - 090609, ref SDS 20 W65W  MPA is the UCSF work plan for correcting
041091 - medical mistake, ordered by Doctor Hsu, also on 090609. ref SDS 20
041092 - 1P42
041094 -            ..
041095 -           [On 090616 1245 Doctor Rugo advised that Millie's treatment
041096 -           has been transferred from Kaiser to UCSF for Millie to
041097 -           recover from UCSF medical mistakes, and so Millie should now
041098 -           call the Triage nurse at UCSF rather than at Kaiser.
041099 -           ref SDS 27 EE70
041101 -            ..
041102 -           [On 090616 1240 during meeting at UCSF Doctor Rugo notified
041103 -           Millie that UCSF and Kaiser have agreed in a letter that
041104 -           everybody is on board to treat Millie's cancer as a chronic
041105 -           disease for recovering from medical mistakes treating Millie
041106 -           with radiation at UCSF, and that Millie's next treatment
041107 -           after MPA will be with PARP. ref SDS 27 KD6L
041108 -
041128 -
041129 -
041130 -
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041132 -
041133 -
041134 -
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041137 -
0412 -