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: July 9, 2009 07:14 PM Thursday; Rod Welch

Millie receives report on xray finding no injury to lungs causing
resperatory breathing problems.

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 24 0000. ref SDS 23 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 090514 0830 Doctor Rugo diagnosed Millie's breathing problems were
040902 - caused by radiation that increased ground glass opacities in the lungs
040903 - reported in the CT test on 090413. ref SDS 5 NL9I
040905 -  ..
040906 - On 090609 Doctor Hsu reported that UCSF made a mistake performing
040907 - radiation treatments for Millie under referral from Kaiser during
040908 - February and March. ref SDS 6 W65W  This caused cancer in the
040909 - breastbone area to go untreated for 6 months, causing cancer to
040910 - spread, noted in Doctor Hsu's letter to Millie on 090401. ref SDS 1
040911 - R24X  On 090609 Doctor Hsu diagnosed Millie's breathing problems
040912 - beginning in April, were caused by untreated IBC in the breastbone
040913 - area, that may have migrated into Millie's lungs. ref SDS 6 R24G
040915 -  ..
040916 - On 090609 Doctor Hsu also diagnosed that Millie's breathing problems
040917 - may have been caused by progressive radiation injury to the lungs.
040918 - ref SDS 6 R24G
040920 -  ..
040921 - Doctor Hsu ordered a CT test for Millie at Kaiser to evaluate the
040922 - scope of injury caused by mistakes providing radiation services.
040923 - ref SDS 6 W66T
040925 -  ..
040926 - On 090609 0900 Doctor Hsu prescribed treatment with MPA at UCSF for
040927 - Millie to recover from medical mistakes performing radiation earlier
040928 - at UCSF. ref SDS 6 W66W
040930 -  ..
040931 - On 090616 1240 Doctor Rugo provided MPA treatment for Millie to
040932 - recover from cancer spreading and new breathing problems, ref SDS 9
040933 - D647, prescribed by Doctor Hsu on 090609. ref SDS 6 W66W
040935 -  ..
040936 - On 090626 1140 Doctor Johnson reports in Kaiser's medical chart that
040937 - assessment from examination finds some dyspnea on exertion (DOE) which
040938 - aligns with reports of rising breathing problems caused by progressive
040939 - lung injury from UCSF medical mistakes providing radiation medical
040940 - services on referral from Kaiser. ref SDS 11 EF7R
040942 -  ..
040943 - On 090627 Millie reported another episode of persistant coughing that
040944 - was caused by breathing problems Doctor Hsu diagnosed on 090607 was
040945 - caused by mistakes providing medical services for radiation.
040946 - ref SDS 12 BF4K
040948 -  ..
040949 - On 090701 1200 Millie reported another episode of prolonged and
040950 - persistent cough, and requested treatment from UCSF. ref SDS 13 9T5K
040952 -  ..
040953 - On 090701 1652 Millie received a letter from Doctor Hsu, ref SDS 14
040954 - SF8I, saying he looked at scan files for Millie's CT test on 090612,
040955 - and found decrease in lung volume, noting he is not a diagnostic
040956 - radiologist. ref SDS 14 4P4K  The doctor advises that UCSF has a
040957 - treatment for Millie's breathing problems with symptoms of tightness
040958 - in the left side of her chest. ref SDS 14 4P51
040960 -  ..
040961 - On 090701 2156 Millie responds to Doctor Hsu's letter earlier in the
040962 - day, ref SDS 14 SF8I, responding to Millie's request for treatment of
040963 - breathing problems, ref SDS 13 9T5K, and submitting 2 reports Kaiser
040964 - published for the CT test on 090612, ref SDS 15 4Z4F, because Doctor
040965 - Hsu reported he could not find the reports in UCSF's files; and which
040966 - needed to be reviewed together for a complete analysis of Millie's
040967 - breathing problems; Millie asks about adding a cardio pulmonary
040968 - specialist to the medical team for evaluating breathing problems and
040969 - prescribing treatment for Millie to recover from by mistakes
040970 - performing radiation at UCSF during February and March.
040972 -  ..
040973 - On 090702 2241 Millie's letter to the medical team, ref SDS 17 OP6I,
040974 - responds to Doctor Hsu's letter yesterday on 080701 1652, ref SDS 14
040975 - SF8I, responding to Millie's request for treatment of breathing
040976 - problems, ref SDS 13 9T5K, and notifies the medical team that UCSF
040977 - Triage Department provided prescription for temporary treatment of
040978 - cough symptoms, ref SDS 17 DZ6U, and Millie suffers pain on her left
040979 - side, which may correlate to Doctor Hsu's report that he can treat the
040980 - problem. ref SDS 17 D13Q
040982 -  ..
040983 - On 090705 2248 Millie notifies medical team coordinating examnation at
040984 - UCSF on 090716 to start second cycle of MPA treatment to recover from
040985 - medical mistakes caused by UCSF providing radiation medical services
040986 - on referral from Kaiser. ref SDS 18 FS6G  Millie asks UCSF for
040987 - analyst's reports on CT test scan files delivered to UCSF on 090612 at
040988 - the request of Doctor Rugo for evaluating severity of Millie's lung
040989 - injury from radiation mistakes. ref SDS 18 FT9U
040991 -  ..
040992 - On 090706 1009 telecon with Mike developed work plan and schedule for
040993 - UCSF to recover from medical mistakes providing radiation services
040994 - that caused evident lung injury that makes breathing difficult for
040995 - Millie, and has spread her cancer. ref SDS 19 QY5H
040997 -  ..
040998 - On 090706 1643 Millie receives letter from Mike reporting that UCSF
040999 - failed to use CT tests same-day hand-delivered to UCSF for evaluating
041000 - work plan for Millie to recover from medical mistakes that caused
041001 - radiation injury to Millie's lungs and spread of cancer. ref SDS 20
041002 - FS6G
041004 -  ..
041005 - On 090708 1343 Millie notifies medical team that Arlette called and
041006 - advised that Doctor Johnson, Millie's primary care physician at
041007 - Kaiser, who made the referral for radiation services to UCSF, has
041008 - ordered xray test to evaluate Millie's persistent breathing problems
041009 - from progressive radiation injury caused by medical mistake getting
041010 - radiation medical services at UCSF. ref SDS 21 FS6G
041012 -  ..
041013 - On 090708 1633 Millie notifies medical team that Doctor Johnson called
041014 - after Arlette's call, and advised that he has also ordered a pulmonary
041015 - function test (PFT) to further evaluate Millie's breathing problems
041016 - from progressive radiation injury caused by UCSF medical mistakes
041017 - providing medical services for Millie on referral from Kaiser.
041018 - ref SDS 22 FS6G
041020 -  ..
041021 - On 090709 1510 Millie notifies medical team that xray test was
041022 - completed today, and requests findings; Millie also asks for the date
041023 - the PFT test is scheduled at Kaiser. ref SDS 23 FS6G
041025 -  ..
041026 - On 090709 1646 Doctor Johnson letter notifies medical team that the
041027 - pulmonary function test (PFT) for Millie has not yet been scheduled,
041028 - and that Kaiser has not yet published findings for the xray test
041029 - Millie had earlier today. ref SDS 24 FS6G
041031 -  ..
041032 - On 090709 1914 Millie received a letter from Arlette, Doctor Johnson's
041033 - assistant at Kaiser, transmitting the radiology report on the xray
041034 - test performed earlier today at Kaisre to evaluate Millie's breating
041035 - problems, and finding no evident injury. ref SDS 0 FS6G
041036 -
041037 -
041038 -
041040 -  ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Arlette's letter from Kaiser to Millie says...
041402 -
041403 -
041404 -
041405 -    1.  Subject: xray
041406 -        Date: Thu, 9 Jul 2009 16:01:17 -0700
041410 -         ..
041411 -    2.  Results
041413 -         ..
041414 -    3.  XR CHEST, PA AND LATERAL..
041417 -         ..
041418 -        Result Information
041419 -        Status
041420 -        Provider Status
041421 -        Final result (7/9/2009 10:34 AM)
041422 -        Open
041424 -         ..
041425 -    4.  Radiology Information
041426 -        Exam Date Exam Time................. 7/9/2009 10:07 AM
041428 -         ..
041429 -    5.  Transcription....................... 07/09/200910:07:13WCRX0101
041430 -        Type
041431 -        ID.................................. 03573704
041432 -        Date................................ 7/9/2009
041433 -        Author.............................. JUNG, DALE GREGORY (M.D.)
041434 -        Procedure Note
041436 -         ..
041437 -    6.  Document Text
041438 -
041439 -        CHEST, TWO VIEWS
041440 -
041441 -    7.  ** HISTORY **:
041442 -        Shortness of breath
041443 -
041444 -    8.  ** FINDINGS **:
041445 -
041446 -        PA and lateral views of the chest were obtained.  Comparison is
041447 -        made to prior study of 7/8/08.
041449 -         ..
041450 -        There is a Port-A-Cath with its tip in the right atrium.  There
041451 -        are no infiltrates. The heart is normal.
041452 -
041453 -    9.  ** IMPRESSION **:
041454 -
041455 -        No acute disease.
041456 -
041457 -
041461 -         ..
041462 -   10.  DD: 07/09/2009 DT: 07/09/2009 DGJ
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0415 -