CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 73 0000. ref SDS 71 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
040901 -  ..
040902 - Lab Blood Test Supplement Test 090602 to Start MPA Treatment at UCSF
040903 -
040904 - Follow up ref SDS 73 6Z4F, ref SDS 71 6Z4F.
040905 -
040906 - Yesterday on 090611 1632 Mike called and explained UCSF needs more
040907 - blood work on Millie, ref SDS 76 SC5M, to evaluate safely treating
040908 - Millie with MPA to recover from 8th relapse of IBC caused by mistake
040909 - omitting treatment of IBC in the breastbone area, discovered by Doctor
040910 - Hsu during examination at UCSF on 090609 0900. ref SDS 74 TP9L  Mike
040911 - then sent a letter to Arlette asking Kaiser for another lab on AST
040912 - only, ref SDS 76 YU3N, to the lab at Kaiser on 090602, which included
040913 - ALT, but omitted AST. ref SDS 73 GT9I   Millie sent a follow up letter
040914 - to Kaiser on 090611 1637 to Arlette and explaining that since Kaiser
040915 - is accessing the Power Port on 090612 1030, asks Arlette to order the
040916 - additional AST lab with the port at that time, which takes about 10
040917 - minutes. ref SDS 77 VK6W
040919 -  ..
040920 - Today, Florida was assigned to care for Millie, rather than Kathi,
040921 - discussed with Cisi on 090611 1032. ref SDS 75 8I64
040923 -  ..
040924 - The Chemotherapy Clinic was very busy, so Millie was treated in a
040925 - special care/isolation room normally reserved for patients who are in
040926 - bed and need close order support.
040928 -  ..
040929 - There were a lot of people standing around observing operations.
040930 - Florida said many of these technical support folks on site to help the
040931 - nurses learn a new computer system Kaiser has begun to implement durig
040932 - the past few days.
040934 -  ..
040935 - Millie asked if Florida has been recently certified to access Power
040936 - Port technology with a Huber needle, since Florida has not previously
040937 - done this work for Millie the past 2 years.
040939 -  ..
040940 - Mentioned patient history yesterday calling Kaiser 090611 1032; at
040941 - that time, Cisi, the Charge Nurse, said that Kathi would be Millie's
040942 - nurse today, because Kathi was originally scheduled to give Millie
040943 - Gemzar chemotherapy yesterday.  Since the Gemzar treatment was
040944 - replaced with MPA by UCSF due to new problems that came to light on
040945 - 090609, Kathi would access Millie's port today at 1030, ref SDS 75
040946 - 8I64, for the CT test at 1120.
040948 -  ..
040949 - Florida said there are several problems...
040950 -
040951 -        1.  Kathi does not work on Friday, so someone assigned Florida
040952 -            by mistake to access Millie's port, because Millie is
040953 -            correct that Florida does not have credentials nor training
040954 -            to do the work.
040956 -             ..
040957 -        2.  Florida She could not find an order for Millie's blood work
040958 -            requested by Mike at UCSF in a letter to Arlette yesterday,
040959 -            with a copy to Doctor Johnson.
040961 -  ..
040962 - Florida left the Chemotherapy Infusion Clinic to find Arlette for
040963 - clarification of blood draw scope.
040965 -  ..
040966 - Florida returned in about 10 mintues, and said that Arlette is busy in
040967 - a bone marrow procedure, and so she could not facilitate work on
040968 - Millie's lab today.
040970 -  ..
040971 - Florida then consulted with others for another 5 minutes.
040973 -  ..
040974 - She returned saying everything is straightened out.  Cisi or Bella,
040975 - or possibly Sheree, someone entered an order for Millie to get the
040976 - additional blood draw today requested by Mike at UCSF yesterday.
040977 - Florida had the test tube for that work.
040979 -  ..
040980 - Barbi came into the room where Millie was to have the work done.  She
040981 - is experienced accessing Power Ports.
040983 -  ..
040984 - She asked for the size of the Huber needle?
040986 -  ..
040987 - Reviewed the record that accessing Millie's Power Port for injecting
040988 - CT test contrast medium requires a 1" Huber needle, reported at UCSF
040989 - on 080710.
040991 -  ..
040992 - Barbi used the 1" needle to access Millie's Power Port.  This was
040993 - excellent work, accomplished on the first try.
040995 -  ..
040996 - She drew blood with test tubes for the lab order.
040998 -  ..
040999 - Florida assisted Barbi, and reported that someone entered an orderr
041000 - for a "liver panel," which includes the AST blood element requested by
041001 - Mike for Doctor Rugo at UCSF.  As a result, the test today includes 6
041002 - blood elements rather than just the AST. ref SDS 0 OT8J
041003 -
041004 -
041006 -  ..
041007 - Laboratory Blood Test Results Posted Kaiser's Computer
041008 -
041009 - Follow up ref SDS 73 S65I, ref SDS 71 S65I.
041010 -
041011 - Previous lab at Kaiser on 090602, ref SDS 73 S65I, followed up prior
041012 - blood work at Kaiser on 090512, ref SDS 71 S65I, followed the lab on
041013 - 090413, ref SDS 70 S65I, followed up test on 090309, ref SDS 62 OT8J,
041014 - and a week later on 090317 to get CA 15-3 that was omitted on 090309.
041015 - ref SDS 65 Y04R  Prior test at UCSF on 090129, ref SDS 58 075H, and 2
041016 - weeks earlier at Kaiser on 090116. ref SDS 52 S65I
041018 -     ..
041019 -    Patient   Provider  Category   View      FR Date   To Date
041027 -                       ..
041028 -              SITE:   Kaiser Clinical Laboratory
041029 -                      Marina Way South
041030 -                      Walnut Creek, CA
041031 -                      San Francisco, CA  94115
041033 -     ..
041034 -    72/F Lab Results Summary
041036 -     ..
041037 -    Log#: 510916302342       090612 10:35
041038 -    <------------------- KAISER -----------------------><-----------------  UCSF --------------------->
041039 -    Type                 Results   Units        Normal        Type                  Units         Normal       ACRO
041040 -    Alkaline Phos          58      U/L       37  -  117       ALKALINE PHOSPHATASE  U/L          29  -  111     ALKP
041041 -    BUN                    11      mg/dL    8.5  -  10.3      CALCIUM               mg/dL       8.7  -  10.1    CA
041042 -    AST (SGOT)      H      41      U/L       10  -  40        AST                   U/L          11  -  54      ALT
041043 -    ALT (SGPT)             18      U/L       11  -  66        ALT                   U/L          11  -  54      ALT
041045 -     ..
041046 -    Log#: 510916302342       090612 10:35
041047 -    <------------------- KAISER -----------------------><-----------------  UCSF --------------------->
041048 -    Type                 Results   Units        Normal        Type                  Units         Normal       ACRO
041049 -    Bili Tot Adult          0.5    mg/dL    0.2  -   1.3      BILIRUBIN TOTAL       mg/dL       8.7  -  10.1    CA
041050 -    Creat with GFR
041051 -    Creatinine              0.59   mg/dL         -< 1.11      CREATININE            mg/dL      0.42  -  1.06    CR
041053 -       ..
041054 -      Note: Creatinine assay changed to IDMS standardization on
041055 -      February 4, 2008 causing decrease in results of approximately
041056 -      0.09 mg/dL
041058 -     ..
041059 -    GFR Non-Afr Am        >60      mL/min  > 60  -            eGFR if Caucasian     >60      mL/min                      GFRC
041060 -    GFR African AM        >60      mL/min  > 60               eGFR if African Amer  >60      mL/min                      GFRA
041061 -    GFR Note               **
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0411 -