CONTACTS 

SUBJECTS
White Blood Cell Condition Blood Test Shows Too Low Doctor Johnson A

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 60 0000. ref SDS 58 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - When we arrived at the front desk in the Breast Care Clinic on the 2nd
040902 - floor, Marie said that Millie is not scheduled for a meeting today at
040903 - 1000.
040905 -  ..
040906 - Asked Marie to contact Mike.
040908 -  ..
040909 - Marie called Mike.
040911 -  ..
040912 - Mike came into the customer lobby and consulted with Millie and Marie.
040914 -  ..
040915 - Mike advised that Doctor Rugo did not schedule Millie for a meeting in
040916 - the hospital at 1000 because the biopsy this morning is for the MPA
040917 - study.  Mike seemed to indicate that not scheduling the meeting was a
040918 - cost accounting issue.
040920 -  ..
040921 - Mike said that when a room becomes available, Marie will send Millie
040922 - in for the biopsy.
040924 -  ..
040925 - It seems difficult to believe that a doctor will standby waiting for a
040926 - room to "become available."
040927 -
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040929 -
040931 -  ..
0410 -
0411 -
0412 - 1025
0413 -
041301 - Millie called from the customer waiting lobby into the clinic
041302 - treatment area.  Got vitals - still good, no signs of losing weight.
041303 -
041305 -  ..
0414 -
0415 -
0416 - 1032
0417 -
041701 - Millie waiting for doctor in Procedure Room II.
041702 -
041704 -  ..
0418 -
0419 -
0420 - 1053
0421 -
042101 - Mike arrives for Millie to sign consent to have punch biopsy
042102 - performed by Doctor Michael Alvarado.
042104 -  ..
042105 - Mike says Millie is the 5th person of the 5 person study at UCSF who
042106 - will get MPA alone.  This aligns with Doctor Rugo's plan on 090514.
042107 - ref SDS 60 2659
042109 -  ..
042110 - Mike said he has coordinated with the Infusion Clinic so they know
042111 - Millie will be late for her 1030 meeting to get a blood draw.  They
042112 - are prepared to perform the blood draw in time for Millie to have
042113 - labs available for Millie's meeting with Doctor Rugo at 1200.
042115 -  ..
042116 - Mike asked Millie for the report on the CT test at Kaiser last Friday
042117 - on 090612 1120. ref SDS 62 02D6  He said that Doctor needs the report
042118 - for the meeting at 1200.
042120 -  ..
042121 - Millie asked why the doctor needs Kaiser's report since last week on
042122 - 090610 UCSF requested the actual computer files to make a thorough
042123 - radiology review, ref SDS 61 S537, and the CT test scan computer files
042124 - were delivered last Friday on 090612. ref SDS 63 UD5H
042126 -  ..
042127 - Mike explained that UCSF has not completed review of Millie's CT test
042128 - scan files.  Doctor Rugo needs Kaiser's report on the CT test on
042129 - 090612 in order to supplement the UCSF review of Millie's breathing
042130 - problems.
042132 -  ..
042133 - Millie explained that Doctor Johnson has not submitted the report.
042134 - Patient history shows that typically tests have been ordered a week in
042135 - advance of meeting with Doctor Rugo, so there is enough time for
042136 - Kaiser to publish the report and transmit to the medical team.
042137 - Typically for a test on Thursday or Friday, Kaiser sends the report on
042138 - Wednesday.  Since Doctor Rugo was forced to expedite the Thursday
042139 - meetings by moving to Tuesday to make up for previous delays starting
042140 - treatment needed a month ago, Kaiser's report is not yet ready.
042142 -  ..
042143 - Suggested Mike call Arlette at Kaiser, and ask her to see if the
042144 - report is ready.
042145 -
042147 -  ..
0422 -
0423 -
0424 - 1121
0425 -
042501 - Doctor Alvarado arrives with the team, David and Emilia, students.
042502 -
042503 - Punch biopsy on back of right arm tricept.
042505 -  ..
042506 - Numbing the arm.
042508 -  ..
042509 - After the biopys, discuss stitches.  Applied a steri-strip.
042510 -
042511 -
042512 -
042513 -
042515 -  ..
0426 -
0427 -
0428 - 1134
0429 -
042901 - Work completed.
042902 -
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0430 -