CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 43 0000. ref SDS 42 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 010427 0830 meeting at Kaiser - Doctor Johnson notes Millie looks
040902 - so good nobody can believe she has such severe cancer, ref SDS 12
040903 - OJ6I; the doctor explained again Millie's cancer has mutated through
040904 - 11 relapses to resist chemotherapy.  The doctor advised that Kaiser
040905 - has a new strategy prescribing therapy that is effective for treating
040906 - cancer as a chronic disease by "targeting" the genetic profile of
040907 - cancer that has mutated in patients, like Millie, to resist
040908 - chemotherapy. ref SDS 12 SJ6N
040910 -  ..
040911 - On 100501 1037 Millie letter to medical team confirms understanding of
040912 - new strategy to treat Millie's cancer with targeted therapy.
040913 - ref SDS 13 F25O
040915 -  ..
040916 - On 100501 2017 Doctor Rugo reports plans to collaborate with Doctor
040917 - Johnson at Kaiser on work plan for Millie to recover from 11th relapse
040918 - of cancer caused by UCSF medical mistakes. ref SDS 14 HH4I
040920 -  ..
040921 - On 100502 2143 Kaiser confirms that some patients respond well to new
040922 - "targeted" therapies. ref SDS 15 YX8L  Kaiser contends that all of the
040923 - strategies for "targeted" therapies have been executed for Millie,
040924 - which seems conflicting with the record in this case. ref SDS 15 MZ4N
040926 -  ..
040927 - On 100503 1522 Millie notifies medical team that time of the essence
040928 - to get the next treatment going. ref SDS 16 TD5W
040930 -  ..
040931 - On 100503 1945 Kaiser notifies Millie to get remaining 2 treatments
040932 - with Abraxane chemotherapy that seems to be failing, and then after 3
040933 - more weeks without treatment, following a trip abroad, the doctor will
040934 - discuss "next steps." ref SDS 17 YL5N
040936 -  ..
040937 - On 100503 2338 Millie reports to medical team that she will implement
040938 - Kaiser's guidance to delay changing treatments, and takes Kaiser's
040939 - letter on 010503, as assurance that recovery will be equal to changing
040940 - treatment immediately on 100505. ref SDS 18 6X7S
040942 -  ..
040943 - On 100504 1609 Sara, Practice Manager for the UCSF Oncology Breast
040944 - Care Clinic, called and notified Millie that Doctor Rugo will soon
040945 - communicate with Doctor Johnson, or had already done so, to coordinate
040946 - with Kaiser on planning Millie's next treatment to recover from the
040947 - 11th relapse of cancer. ref SDS 19 NT5N
040949 -  ..
040950 - On 010505 0730 Millie received the 2nd treatment at Kaiser for the 3rd
040951 - cycle of Abraxane chemotherapy, as ordered by Doctor Johnson.
040952 - ref SDS 20 KE4K
040954 -  ..
040955 - On 100511 0900 cancer marker CA 15-3 520 increased another 100 points,
040956 - seemingly on an accelerating rise, which threatens to cascade out of
040957 - control, because Abraxane chemotherapy is not effective. ref SDS 21
040958 - L54I
040960 -  ..
040961 - On 100512 0730 Millie received 3rd treatment for 3rd cycle of
040962 - Abraxane. ref SDS 22 KE4K
040964 -  ..
040965 - On 100515 1415 Millie departed 2-week trip to Europe. ref SDS 23 PK9O
040967 -  ..
040968 - On 100527 0217 Millie files claim with Kaiser Claims Resolution
040969 - Department for standard of care to recover from 11th relapse of cancer
040970 - caused by medical mistakes getting radiation treatments at UCSF on
040971 - referral from Kaiser. ref SDS 24 IZ7N
040973 -  ..
040974 - On 100528 0322 Millie requests support from Medicare to separate
040975 - recovery for medical mistakes getting radiation from UCSF, from health
040976 - care benefits limited by Medicare insurance coverage. ref SDS 25 QQ6N
040978 -  ..
040979 - On 100528 1031 called Medicare they have formed a team to review
040980 - Millie's case, and contacted Kaiser's Claims Resolution Department for
040981 - response to Millie's claim. ref SDS 26 4W5F
040983 -  ..
040984 - 100601 0830 Doctor Johnson reported that Kaiser has not had time to
040985 - collaborate with UCSF on treatment for Millie to recover from UCSF
040986 - medical mistakes.  He discussed treating Millie with MPA, but this was
040987 - not prescribed because Millie was treated with MPA in 2009, and UCSF
040988 - ended the treatment due to fears about blood clot side effects, which
040989 - were believed to cause breathing problems Millie had, though later
040990 - breathing problems were discovered to be caused by defective radiation
040991 - treatment.  Since Doctor Johnson said Kaiser has no more treatments
040992 - for Millie, the only way Millie can get relief from pain caused by
040993 - cancer that is progressing without treatment is get treatment in
040994 - Hospice.  Since Hospice is the only choice of care offered today,
040995 - Millie accepted this.
040997 -  ..
040998 - On 100601 1531 Sharon called to schedule starting Hospice medical
040999 - services beginning tomorrow between 0900 - 1000. ref SDS 13 036C
041001 -  ..
041002 - On 100602 0913 Liz provides orientation on Hospice care; she confirms
041003 - Sharon's report yesterday, that if Kaiser performs on the insurance
041004 - agreement to provide standard of care for Millie's patient profile,
041005 - than Millie can elect to recover from 11th relapse of cancer, rather
041006 - than continue with Hospice support for dying peacefully. ref SDS 14
041007 - 036C
041009 -  ..
041010 - On 100602 1046 Diane received notice from Medicare to file claim for
041011 - Millie to get treatment for recovering from UCSF medical mistakes; she
041012 - is preparing a statement of claim. ref SDS 31 036C  Advised Diane to
041013 - use Millie's statement of claim submitted to Kaiser on 100527.
041014 - ref SDS 31 MZ5H  Eileen called later and reported that Kaiser denied
041015 - Millie's claim on the grounds that Medicare does not authorize payment
041016 - for treatment to recover from cancer, after a patient starts Hospice.
041017 - ref SDS 31 UN4M  Requested that Eileen read he claim and then make a
041018 - good faith determiantion. ref SDS 31 I33H  Eileen called back after
041019 - reading the claim and advised the denial of claim has been withdrawn,
041020 - and the matter is referred to Claims Resolution Department.
041021 - ref SDS 31 UN5P
041023 -  ..
041024 - On 100603 0449 Millie notified medical team that Kaiser called today
041025 - about moving forward to resolve medical mistakes getting radiation
041026 - treatment at UCSF on referral from Kaiser. ref SDS 32 IX9Q
041028 -  ..
041029 - On 100606 1604 Doctor Johnson notifies Millie that her cancer marker
041030 - has remained fairly stable the past 3 weeks since ending treatment
041031 - with Abraxane on 100512; actually went up less without Abraxane, than
041032 - with it, because Millie's cancer resists chemotherapy. ref SDS 33 036C
041034 -  ..
041035 - On 100606 1638 Millie thanks Doctor Johnson for submitting good news
041036 - cancer marker CA 15-3 606 much smaller rise than exptected after
041037 - ending treatment for 3 weeks. ref SDS 34 036C; asks if Doctor Rugo ever
041038 - returned Doctor Johnson's call from Kaiser, as planned in Doctor
041039 - Rugo's letter on 100501?
041041 -  ..
041042 - On 100606 2317 Millie receives letter from Doctor Johnson reporting
041043 - that Doctor Rugo has never returned his call asking UCSF for Millie's
041044 - treatment plan, which demonstrates failure to perform on Doctor Rugo's
041045 - commitment in UCSF letter sent to the medical team on 100501.
041046 - ref SDS 35 036C
041048 -  ..
041049 - On 100607 0932 called Cherry at Medicare about progress on contacting
041050 - Kaiser to process Millie's claim filed on 100527, and planned in the
041051 - call with Medicare (Cherry and Beth) as action item #8, planned the
041052 - next day on 100528 1031, ref SDS 26 PE6P; today, Cherry did not have
041053 - time to return the call. ref SDS 36 036C
041055 -  ..
041056 - On 100607 1021 called Paula at Kaiser - she said someone else is
041057 - handling Millie's claim, because the claim has not been denied, and
041058 - Paula only handles denied claims. ref SDS 37 036C; Paula further
041059 - reported that Kaiser no longer objects to demaning UCSF correct
041060 - medical mistakes, so Millie's claim should be easy to resolve.
041061 - ref SDS 37 QN9F
041063 -  ..
041064 - On 100607 1117 letter to Paula confirming Kaiser's work plan to
041065 - process Millie's claim for care promptly in order to save her life.
041066 - ref SDS 38 036C
041068 -  ..
041069 - On 100608 1521 called and talked to Cherry and Beth about expediting
041070 - Millie's claim at Kaiser. ref SDS 39 036C  Developed work plan to have
041071 - a conference call with Kaiser tomorrow. ref SDS 39 C354  Submitted
041072 - letter to Kasier and CMS Medicare confirming work plan for tomorrow.
041073 - ref SDS 39 G84Q
041075 -  ..
041076 - On 100609 1114 called CMS to expedite conference call on expediting
041077 - Millie's care. ref SDS 40 036C  Cherry called and schedule telecon with
041078 - Kaiesr and CMS today 1300. ref SDS 40 8O4H  Received letter from Cherry
041079 - at CMS confirming work plan for conference call at 1300. ref SDS 40
041080 - PRXY
041082 -  ..
041083 - On 100609 1232 letter to CMS and Kaiser submitts agenda for conference
041084 - call to review progress on Kaiser resolving Millie's claim for
041085 - recovery from UCSF medical mistakes. ref SDS 41 036C
041087 -  ..
041088 - On 100609 1300 CMS and Kaiser conference call to report progress on
041089 - reviewing Millie's claim for treatment to recover from UCSF medical
041090 - mistakes in time to be effective. ref SDS 42 036C
041092 -  ..
041093 - On 100609 1522 Jennifer called for assistance processing Millie's
041094 - claim to recover from medical mistakes getting radiation treatment at
041095 - UCSF on referral from Kaiser. ref SDS 43 036C
041097 -  ..
041098 - On 100610 0352 Millie submitted a letter to Kaiser and CMS claim teams
041099 - confirmtion understandings from calls yesterday to guide Kaiser
041100 - response to Millie's claim for recovering from injuries caused by
041101 - medical mistakes getting radiation treatment at UCSF on referral from
041102 - Kaiser. ref SDS 0 036C
041103 -
041104 -
041105 -
041107 -  ..
0412 -
0413 -
0414 - Progress
0415 -
041501 - Millie's letter to CMS and Kaiser says...
041502 -
041503 -    1.  Subject: Determination of Claim Due June 10
041504 -        Date: Thu, 10 Jun 2010 04:20:47 -0700
041519 -         ..
041520 -    2.  This confirms several telecons yesterday on subject matter.
041522 -         ..
041523 -    3.  You called late this afternoon, implementing Irene's work plan
041524 -        for Kaiser to complete determination of my claim filed on
041525 -        100527, ref SDS 24 IZ7N, by COB today, 100610 [...reported in
041526 -        conference call with CMS and Kaiser yesterday on 100609 1300,
041527 -        ref SDS 42 6F64...], and as shown in Rod's record of the call
041528 -        with reps at CMS and Kaiser.  For Irene, Susan, Cherry, et al,
041529 -        please submit additions or corrections, if needed. ref SDS 42
041530 -        036C
041531 -
041532 -            [On 100611 1521 Jennifer reported receiving Millie's
041533 -            letter, ref SDS 45 FP5M, submitting the record of telecon
041534 -            with Jennifer on 100609 1522. ref SDS 43 036C
041536 -         ..
041537 -    4.  The record is still unclear, if Irene plans follow up call in
041538 -        the morning with the claim teams [...reported on 100609 1300.
041539 -        ref SDS 42 6G3X...].  Seems like Jennifer's call to Rod may
041540 -        have obviated the need for this additional call [...Jennifer
041541 -        indicated she will today to follow up on Kaiser's proposed
041542 -        solution, reported on 100609 1522. ref SDS 43 488I...].  Of
041543 -        course, things may shake out differently...
041545 -         ..
041546 -    5.  Jennifer -- in your discussion with Rod yesterday, you
041547 -        identified issues to be determined in my claim, as set out in
041548 -        patient history of the call. ref SDS 43 XK50
041550 -         ..
041551 -    6.  I would like you and Rod to discuss these further in the
041552 -        morning toward finalizing Kaiser's determination by COB today.
041553 -
041554 -            [On 100611 2326 Millie received Jennifer's letter
041555 -            confirming that Kaiser will respond, ref SDS 46 036C, to
041556 -            6-issues listed in the record of telecon on 100609,
041557 -            ref SDS 43 XK50, and transmitted to the Kaiser and CMS
041558 -            claim teams, and to Doctor Johnson and Doctor Rugo in
041559 -            Millie's letter on 100610. ref SDS 0 DZ4X
041561 -         ..
041562 -    7.  When you called back later yesterday, you mentioned plans to
041563 -        call Doctor Johnson to coordinate your work.  Here are recent
041564 -        communications that can guide discussion with the doctor.
041565 -        100609 1522, ref SDS 43 XM42
041567 -         ..
041568 -    8.  By copy I alert Doctor Johnson, and Doctor Rugo and Doctor Hsu
041569 -        at UCSF of your progress on my claim.
041571 -         ..
041572 -    9.  This morning I will go to Kaiser Park Shadelands Member
041573 -        Services and file updated Authorization for Representation,
041574 -        requested with your letter yesterday. 100609 1522, ref SDS 43
041575 -        4S93
041576 -
041577 -            [On 100610 0930 Millie signed and subitted updated
041578 -            Statement of Authorized Representative; it was faxed to
041579 -            Jennifer at 0959, with report of successful transmission at
041580 -            1001. ref SDS 44 S07R
041582 -         ..
041583 -   10.  Thanks again to all for stellar efforts on my behalf.
041584 -
041591 -
041592 -
041593 -
041594 -
041595 -
041596 -
0416 -