CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 20 0000. ref SDS 19 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040507 -
040508 -
040510 -  ..
0406 -
0407 -
0408 - Progress
0409 -
0410 -
041001 - Talked to Danni at the front desk.
041003 -  ..
041004 - Danni had the forms prepared for Millie to get the computer files for
041005 - the CT test on 090413 included with the files for the test today, and
041006 - as requested in Millie's letter to the medical team yesterday on
041007 - 090611 1538, ref SDS 23 GS55, and further clarified in Millie's follow
041008 - up letter also on 090611 1604. ref SDS 24 GS55
041010 -  ..
041011 - Added to the form the date of 04-13-09.
041013 -  ..
041014 - Asked that the File management team start the CT to load the files
041015 - for the test on 090413, so that after Millie's test today it is only
041016 - necessary to load the new files.
041018 -  ..
041019 - Danni said this has already been done.
041021 -  ..
041022 - This implements planning with Doctor Davidson and Katie Garcia in the
041023 - letter to the medical team yesterday. on 090611 1604. ref SDS 24 GS55
041024 -
041025 -            [On 090612 1309 drove to Kaiser in Walnut Creek and picked
041026 -            up Radiology Department 2 CDs with computer files for CT
041027 -            test on 090413 and for the test on 090612; there was no
041028 -            charge for either CD, ref SDS 26 UD5H, so saved $40, and
041029 -            received same-day service rather than 3-business days as
041030 -            quotated initially by Kaiser on 090610 1640, ref SDS 22
041031 -            2X72,
041033 -             ..
041034 -            [On 090706 0301 Millie received a letter from Mike, Doctor
041035 -            Rugo's coordinator, saying his investigation discovered
041036 -            that nobody at UCSF ordered review of Millie's CT test scan
041037 -            files, ref SDS 30 1L6N, which were same-day hand- delivered
041038 -            to UCSF on 090612, ref SDS 27 UD5H, per Mike's request on
041039 -            090610 for timely review by UCSF. ref SDS 21 S537
041040 -
041041 -
041043 -  ..
0411 -
0412 -
0413 - 1103
0414 -
041401 - Millie arrived in the CT Department.  She had to stop in the restroom
041402 - along the way from the Oncology Department, because of reaction to
041403 - Barrium Sulfate Suspension.
041405 -  ..
041406 - Immediately on arriving in the CT Department, Millie neded another
041407 - restroom visit.
041409 -  ..
041410 - While filling out the forms required to get the test, Millie needed
041411 - to use the restroom again.
041413 -  ..
041414 - Millie is now under extreme duress.  Her cloths are soiled.
041416 -  ..
041417 - Rebecca, a CT Technologist said Millie's doctor should prescribe
041418 - Gastrogafin, because this is easier on Millie's system.
041419 -
041420 -     [On 090612 2029 in the evening Millie suffers possible reaction to
041421 -     injection contrast medium, or possibly oral contrast medium; buys
041422 -     Benadryl for relief. ref SDS 28 EQ5H
041423 -
041424 -
041426 -  ..
0415 -
0416 -
0417 - 1140
0418 -
041801 - Rebecca came into the lobby and said they would take Millie in for
041802 - her CT test is a few minutes.
041804 -  ..
041805 - Millie explained restroom problems she is having.
041807 -  ..
041808 - Rebecca said she will provide care for Millie so she will be fine.
041809 -
041810 -
041812 -  ..
0419 -
0420 -
0421 - 1148
0422 -
042201 - Talked to Dennis.
042202 -
042203 - Dennis confirmed what Rebecca said earlier, that Millie's doctor can
042204 - prescribe Gastrogafin for oral contrast medium, rather than Barium
042205 - Sulfate Suspension.
042207 -  ..
042208 - Asked Dennis to notify Millie's doctor.
042210 -  ..
042211 - Dennis feels the patient should make the request.
042213 -  ..
042214 - Explained that Millie has asked her doctor several times to order
042215 - Gastrogafin, and he has indicated he cannot do this, because Kaiser no
042216 - longer supports that treatment.
042218 -  ..
042219 - Dennis suggested that Millie send a letter to her doctor with a copy
042220 - to him and to Doctor Davidson, making the request and cite the meeting
042221 - today confirming that the CT Department supports Gastrogafin oral
042222 - contrast medium.
042224 -  ..
042225 - Thanked Dennis for support.
042226 -
042228 -  ..
0423 -
0424 -
0425 - 1154
0426 -
042601 - Cassandra brought Millie into the CT test room for the test.
042603 -  ..
042604 - Asked Cassandra to attend Millie for relief from restroom problems
042605 - resulting from Barium Sulfate Suspension.
042607 -  ..
042608 - Explained emotional trauma from the situation, and that cleanup op may
042609 - be needed.
042611 -  ..
042612 - Cassandra said she would provide this care.
042613 -
042615 -  ..
0427 -
0428 -
0429 - 1157
0430 -
043001 - Talked to Trudy.
043002 -
043003 - Offered to leave cell phone number, so the team can call when the CD
043004 - is ready.
043006 -  ..
043007 - Trudy feels very sure that Millie can go to lunch after the CT test,
043008 - and in 30 - 40 minutes the CD will be ready for pickup.
043010 -  ..
043011 - She said to pickup the CD at the check-in counter for the Radiology
043012 - Department next to the elevators, and where the Interventional
043013 - Radiology Department is located.
043014 -
043016 -  ..
0431 -
0432 -
0433 - 1214
0434 -
043401 - CT test completed.
043402 -
043403 - This was 20 minutes, for the 2nd time in a row, which is a significant
043404 - improvement using Millie's Power Port compared to 4 hours using
043405 - conventional IV injection, reported on 080423. ref SDS 3 FP6F
043406 -
043407 -     [On 090612 1213 Millie returned to the Infusion Clinic after the
043408 -     CT test and Barbi removed the Huber needle from the Power Port.
043409 -     ref SDS 25 UD5H
043411 -      ..
043412 -     [On 090612 1300 received CD from Kaiser Radiology Department,
043413 -     there was a nice surprise of no charge;
043415 -      ..
043416 -     [On 090612 2029 in the evening Millie suffers possible reaction to
043417 -     injection contrast medium, or possibly oral contrast medium; buys
043418 -     Benadryl for relief. ref SDS 28 EQ5H
043420 -      ..
043421 -     [On 090617 1500 received results for CT test today, ref SDS 29
043422 -     GM3N, showing increased ground glass opacities. ref SDS 29 RV78
043424 -      ..
043425 -     [On 090720 1437 Millie had emergency CT test to evaluate painful
043426 -     breathing. ref SDS 31 RW43
043427 -
043428 -
043429 -
043430 -
043431 -
043432 -
043433 -
043434 -
043435 -
0435 -