CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 2 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Millie went to Kaiser in Martinez for weekly blood draw to test immune
040902 - system and cancer marker for evaluating doctor's decision to avoid
040903 - treating cancer while Millie is recovering from shingles, and to test
040904 - for INR.
040906 -  ..
040907 - Mary Beth is Millie's nurse today.
040909 -  ..
040910 - Mary Beth advised that Kaiser has a new policy now to avoid drawing
040911 - blood from a Power Port, and instead to perform a conventional needle
040912 - penetration.  She explained that Kaiser has determined that some
040913 - patients may have a low risk for complications from Heprin used to
040914 - clean the port after blood draws and chemoterhapy infusion treatments.
040916 -  ..
040917 - Millie reported that on 091112 Doctor Johnson issued a letter to the
040918 - Chemothapy Infusion Cinic ordering blood draws and infusion treatments
040919 - to recover from cancer use Millie's Power Port because conventional
040920 - needle penetrations in Millie's arms have a high risk of compounding
040921 - cancer leading to death, since both arms are infected with cancer and
040922 - lymphedema. ref SDS 1 UN8F
040924 -  ..
040925 - Mary Beth explained that the doctor's order to use Millie's Power Port
040926 - for blood draws in order to avoid compounding cancer and lymphedema
040927 - for Millie's patient profile should be implemented, rather than the
040928 - new policy to use needle penetrations to draw blood that cause a much
040929 - higher risk in Millie's case.  The nurse indicated that policies are
040930 - general guidelines, and doctor's have responsiblity to direct the
040931 - actual work for patient care.
040933 -  ..
040934 - Need to keep Huber needle in Power Port for MRI test today at 1120.
040935 -
040936 -            [On 100119 1120 MRI test at Kaiser Radiology used Huber
040937 -            needle placed by Infusion Clinic in Martinez for injecting
040938 -            contrast medium requied to perform the MRI study.
040939 -            ref SDS 3 MO5I
040941 -  ..
040942 - Need blood test report for last week to get CA 15-3.
040943 -
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040950 -
040951 -
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0410 -