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: June 22, 2010 03:11 PM Tuesday; Rod Welch

Woman's right to choose Millie's claim Kaiser Constitutional human rights.

1...Summary/Objective
........Woman's Right to Life Equals Right to Choose for Unborn Child
........Human Rights Violation Denial Life without Due Process
........Case Study Human Rights Violation Denial Life without Due Process
........Millie Denied Necessary Reasonable Care Recover UCSF Medical Mistakes
............Millie's Human Rights Violated Kaiser UCSF


..............
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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 95 0000. ref SDS 93 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 50
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 50 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 51 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 52 HH4I
040920 -  ..
040921 - On 100502 2143 Kaiser confirms that some patients respond well to new
040922 - "targeted" therapies. ref SDS 54 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 54 MZ4N
040926 -  ..
040927 - On 100503 1522 Millie notifies medical team that time of the essence
040928 - to get the next treatment going. ref SDS 55 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 56 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 57 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 58 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 60 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 61
040958 - L54I
040960 -  ..
040961 - On 100512 0730 Millie received 3rd treatment for 3rd cycle of
040962 - Abraxane. ref SDS 62 KE4K
040964 -  ..
040965 - On 100515 1415 Millie departed 2-week trip to Europe. ref SDS 63 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 64 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 65 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 66 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 51 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 52
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 71 036C  Advised Diane to
041013 - use Millie's statement of claim submitted to Kaiser on 100527.
041014 - ref SDS 71 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 71 UN4M  Requested that Eileen read he claim and then make a
041018 - good faith determiantion. ref SDS 71 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 71 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 72 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 73 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 74 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 75 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 66 PE6P; today, Cherry did not have
041053 - time to return the call. ref SDS 76 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 77 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 77 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 78 036C
041068 -  ..
041069 - On 100608 1521 called and talked to Cherry and Beth about expediting
041070 - Millie's claim at Kaiser. ref SDS 79 036C  Developed work plan to have
041071 - a conference call with Kaiser tomorrow. ref SDS 79 C354  Submitted
041072 - letter to Kasier and CMS Medicare confirming work plan for tomorrow.
041073 - ref SDS 79 G84Q
041075 -  ..
041076 - On 100609 1114 called CMS to expedite conference call on expediting
041077 - Millie's care. ref SDS 80 036C  Cherry called and schedule telecon with
041078 - Kaiesr and CMS today 1300. ref SDS 80 8O4H  Received letter from Cherry
041079 - at CMS confirming work plan for conference call at 1300. ref SDS 80
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 81 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 82 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 83 036C
041097 -  ..
041098 - On 100611 1451 Jennifer advised Kaiser extended the date for
041099 - responding to Millie's claim from 100610 to 100624, based on Millie
041100 - filing updated statement of authorized representative. ref SDS 87 036C
041101 - Jennifer reported she reviewed 6-issues discussed on 100609, and will
041102 - address these issues responding to Millie's claim. ref SDS 87 FQ4G
041103 - Jennifer asked how Kaiser can treat Millie to recover from UCSF
041104 - medical mistakes, if Millie refuses chemotherapy and has entered
041105 - Hospice. ref SDS 87 FQ4M
041107 -  ..
041108 - On 100611 2326 Millie received Jennifer's letter confirming the date
041109 - for Kaiser to respond to Millie's claim has been extended to 100624,
041110 - ref SDS 88 CV4O, and further advising that issues Kaiser will determine
041111 - responding to Millie's claim for recovering from UCSF medical
041112 - mistakes, ref SDS 88 036C, are as set out in the record for telecon on
041113 - 100609. ref SDS 83 XK50  Jennifer will call on 100615, to report
041114 - progress on respnding to Millie's claim. ref SDS 88 6P53
041116 -  ..
041117 - On 100614 0257 letter to Kaiser Medicar CMS claim team requests
041118 - immediate written proposal evaluating treatment options for Millie to
041119 - consider. ref SDS 89 036C
041121 -  ..
041122 - On 100616 0832 called Jennifer about her plan to call yesterday on
041123 - Tuesday to report progress Kaiser responding to Millie's claim, as set
041124 - out in Jennifer's letter on 100611. ref SDS 90 036C   Jennifer called
041125 - back to ask if Millie wants UCSF or Kaiser to pay for her damages
041126 - caused by UCSF medical mistakes. ref SDS 90 PSSV  Jennifer reported
041127 - delays communicating with Millie's medical team have delayed making
041128 - arrangements for Millie to start treatment recovering from UCSF
041129 - medical mistakes. ref SDS 90 OY4T  She plans to call on Friday, 100618,
041130 - to report progress responding to Millie's claim. ref SDS 90 1K5J
041132 -  ..
041133 - On 100618 0843 called Jennifer at Memeber Case Resolution Department
041134 - about progress responding to Millie's claim. ref SDS 91 036C
041136 -  ..
041137 - On 100620 1112 letter to Kaiser claim team with copy to Medicare, and
041138 - the medical team requests call on Monday 100621, planned for previous
041139 - Friday, 100628, to report progress getting Millie treatment.
041140 - ref SDS 92 036C  Recommends that delay communicating with medical team
041141 - that has delayed Millie starting treatment in time to be effective,
041142 - ref SDS 92 L59P, can be solved by hiring MD Anderson. ref SDS 92 L59X
041144 -  ..
041145 - On 100621 0853 called for Jennifer and left several messages,
041146 - including for her team lead. ref SDS 94 036C  Nobody had time today
041147 - for calling back. ref SDS 94 OP3N
041149 -  ..
041150 - On 100622 1027 Jennifer called and advised that Doctor Johnson
041151 - responded to request for comment on Millie's claim saying he cannot
041152 - provide care for Millie because she entered Hospice on 100601,
041153 - ref SDS 95 036C; recommended Jennifer check Kaiser's medical chart for
041154 - Millie meeting with Doctor Johnson to see Millie was given no choices
041155 - except to enter Hospice in order to avoid further pain and suffering.
041156 - ref SDS 95 NX68
041158 -  ..
041159 - On 100622 1511 letter to claim team and Medicare, and to Millie's
041160 - medical team confirming understanding in Jennifer's call that Millie's
041161 - medical team at Kaiser seems to refuse Millie standard of care to
041162 - recover from UCSF medical mistakes, because she was forced to enter
041163 - Hospice to get relief from pain caused by UCSF medical mistakes.
041164 - ref SDS 0 036C  UCSF delays compounded Millie's injuries, pain, and
041165 - suffering; caution must be exercised to enable recovery, based on
041166 - Millie's right to life. ref SDS 0 575U   Millie's patient history
041167 - shows the doctor's only issue, ref SDS 0 576V, is having time to
041168 - providing standard of care for Millie to recover from medical
041169 - mistakes, and if not, then Kaiser should assign someone who does.
041170 - ref SDS 0 583Y  Kaiser has violated Millie's human rights; a woman's
041171 - right to choose life for herself, should be no less than the right to
041172 - choose for her unborn child, since the right to life and due process
041173 - are protected by the US Constitution. ref SDS 0 584W  Kaiser can
041174 - easily solve the time problem by hiring other people to do the work,
041175 - and charging UCSF. ref SDS 0 585P
041176 -
041177 -
041178 -
041179 -
041180 -
041181 -
041183 -  ..
0412 -
0413 -
0414 - Progress
0415 -
041501 - Letter to the claim team, with copy to medical team, and to Medicare
041502 - saying...
041503 -
041504 -    1.  Subject: Re: Millie's Claim Response Due June 24
041505 -        Date: Tue, 22 Jun 2010 16:08:14 -0700
041520 -         ..
041521 -    2.  Thanks for your call this morning, responding to the letter to
041522 -        the claim team on 100620, ref SDS 92 036C, and reporting you
041523 -        have received a letter from Doctor Johnson and his boss, Chief
041524 -        of Oncology for Kaiser in Walnut Creek [...reported on 100622
041525 -        1027, ref SDS 95 NX4U...].
041526 -
041527 -            [On 100624 1616 Jennifer called to request another few days
041528 -            delay issuing Kaiser's response to Millie's claim
041529 -            originally due on 100610, and in order from internal
041530 -            review; she will submit a draft, and call on Friday discuss
041531 -            the proposed response with the customer in order for Kaiser
041532 -            to provide a comprehensive solution. ref SDS 96 LE4G
041534 -         ..
041535 -    3.  You seemed to relate that the medical team has responded to
041536 -        Millie's claim filed on 100527, ref SDS 64 IZ7N, by refusing to
041537 -        provide standard of care for Millie to recover from UCSF
041538 -        medical mistakes.  You further indicated that Doctor Johnson
041539 -        and his colleague cite as grounds to justify failure to help
041540 -        Millie recover from UCSF medical mistakes, that on 100601,
041541 -        Millie was forced to enter Hospice in order to end a year of
041542 -        pain and suffering caused by UCSF medical mistakes. ref SDS 95
041543 -        NX49 [...and as shown in the record on 100601 0830. ref SDS 68
041544 -        4H3K...].
041546 -         ..
041547 -    4.  Kaiser cannot deny patients the right to recover from medical
041548 -        mistakes, in this case caused by UCSF.  Neither can Kaiser deny
041549 -        patients the right to choose life or death, nor to choose death
041550 -        (Hospice) rather than continued pain and suffering.  UCSF
041551 -        delays performing the work have compounded Millie's injuries,
041552 -        pain and suffering.  Caution must therefore be exercised on the
041553 -        side of recovery, rather than Hospice [...i.e., the right to
041554 -        life...].
041556 -         ..
041557 -    5.  Millie's claim on 100527 presents the following facts.
041558 -        ref SDS 64 X55V
041560 -         ..
041561 -    6.  Between 090616 and 100601, Millie filed approximately 15 [...
041562 -        actually 44...] letters requesting medical care to recover from
041563 -        UCSF medical mistakes.  AT all times, UCSF promised to perform,
041564 -        and was obligated to provide care for Millie to recover [...as
041565 -        shown in statement of patient history in Millie's claim on
041566 -        100527 0217. ref SDS 64 X933..., and as seen from following
041567 -        case study...]
041569 -         ..
041570 -        Woman's Right to Life Equals Right to Choose for Unborn Child
041571 -        Human Rights Violation Denial Life without Due Process
041572 -        Case Study Human Rights Violation Denial Life without Due Process
041573 -        Millie Denied Necessary Reasonable Care Recover UCSF Medical Mistakes
041574 -
041575 -        1.  Millie's letter to medical team requested
041576 -            treatment for recrrent IBC (cancer) diagnosed
041577 -            by Doctor Hsu at UCSF, after completing
041578 -            radiation treatment on
041579 -            referral from
041580 -            Kaiser............................. 090401 0046, ref SDS 6 RE8P
041582 -             ..
041583 -        2.  Doctor Rugo notifies medical team that treating
041584 -            Millie's cancer at UCSF must be delayed until
041585 -            the wound heals in Millie's breastbone area
041586 -            diagnosed by Doctor Hsu as reaction
041587 -            to radiation....................... 090401 0121, ref SDS 7 K56O
041589 -             ..
041590 -        3.  Millie's letter to medical team
041591 -            reports IBC getting
041592 -            worse.............................. 090412 2241, ref SDS 11 9S6K
041593 -            requests treatment next week to
041594 -            prevent cancer from cascading out
041595 -            of control......................... 090412 2241, ref SDS 11 9S9Y
041597 -             ..
041598 -        4.  Millie reports tissue in breastbone still
041599 -            looks much worse, not healing like other
041600 -            skin suffering radiation reaction; she
041601 -            requests biopsy to differentiate
041602 -            reaction to radiation from
041603 -            cancer............................. 090510 1953, ref SDS 12 LJ5T
041605 -             ..
041606 -        5.  UCSF reported medical mistakes that
041607 -            injured Millie, providing radiation
041608 -            services on referral from
041609 -            Kaiser............................. 090609 0900, ref SDS 14 W65W
041610 -            Millie asked UCSF for work plan
041611 -            to recover from medical
041612 -            mistakes........................... 090609 0900, ref SDS 14 1P3K
041614 -             ..
041615 -        6.  Millie letter to medical team confirms
041616 -            UCSF medical mistakes, and UCSF to
041617 -            submit work plan for Millie
041618 -            to recover......................... 090610 0043, ref SDS 15 N630
041620 -             ..
041621 -        7.  Doctor Rugo reports that "everybody is
041622 -            on board" at Kaiser and UCSF for work
041623 -            plan treating Millie at UCSF to
041624 -            recover from UCSF medical
041625 -            mistakes........................... 090616 1245, ref SDS 16 D647
041626 -            UCSF work plan for Millie to
041627 -            recover will treat cancer as chronic
041628 -            disease with agents "targeted" to
041629 -            cancer starting first with
041630 -            MPA, and then with
041631 -            PARP............................... 090616 1245, ref SDS 16 KD6L
041633 -             ..
041634 -        8.  Millie's letter to medical team confirms
041635 -            UCSF work plan agreed in letter with Kaiser
041636 -            to treat Millie at UCSF first with
041637 -            MPA and then with
041638 -            PARP............................... 090617 0112, ref SDS 17 VS9P
041640 -             ..
041641 -        9.  Millie notifies medical team UCSF delayed
041642 -            starting treatment with PARP until September,
041643 -            and Doctor Rugo sent letter asking Kaiser to
041644 -            treat Millie with Gemzar chemotherapy until
041645 -            PARP is ready in September, because UCSF
041646 -            paying Kaiser for treating Millie at
041647 -            Kaiser would be cheaper for UCSF
041648 -            than treating her with Gemzar
041649 -            at UCSF............................ 090716 2106, ref SDS 18 EE6P
041651 -             ..
041652 -       10.  Millie's letter requests standard of care
041653 -            comparing trade-offs on
041654 -            treatments......................... 090725 2017, ref SDS 19 T55W
041655 -            to recover from UCSF medical
041656 -            mistakes........................... 090725 2017, ref SDS 19 T53W
041658 -             ..
041659 -       11.  Doctor Johnson worried Millie's cancer spreading
041660 -            with treatment using Gemzar chemotherapy; plans
041661 -            to collaborate with Doctor Rugo on schedule
041662 -            for Millie to start PARP at UCSF
041663 -            in order to recover from
041664 -            medical mistakes................... 090909 1344, ref SDS 21 VF60
041666 -             ..
041667 -       12.  Millie's letter requests guidance from
041668 -            Doctor Rugo on Kaiser's recommendation to
041669 -            continue Gemzar, which was prescribed by
041670 -            UCSF for performance at Kaiser to mitigate
041671 -            damages recovering from medical mistakes
041672 -            getting radiation services from
041673 -            UCSF on referral from
041674 -            Kaiser............................. 090922 0028, ref SDS 22 NW6P
041675 -            Millie asks for UCSF treatment plan
041676 -            starting PARP, and review of other
041677 -            targeted therapies for Millie to
041678 -            recover from UCSF medical
041679 -            mistakes........................... 090922 0028, ref SDS 22 NW6S
041681 -             ..
041682 -       13.  Millie's letter to medical team requested
041683 -            treatment to recover from UCSF medical
041684 -            mistakes, citing Doctor Rugo's report
041685 -            on 090616, that everybody at Kaiser
041686 -            and UCSF is on board for treating
041687 -            Millie at UCSF to recover from
041688 -            medical mistakes................... 091019 0007, ref SDS 23 0Z4U
041690 -             ..
041691 -       14.  Millie's letter to medical team requested
041692 -            again treatment to recover from UCSF medical
041693 -            mistakes, and cited evidence on her right
041694 -            to recover from injuries suffered
041695 -            from mounting delays getting
041696 -            standard of care................... 091112 0752, ref SDS 24 L64X
041698 -             ..
041699 -       15.  Millie's letter notifies medical team cancer
041700 -            spread  to the entire right side, caused by
041701 -            untreated cancer in the breastbone area due
041702 -            medical mistakes getting radiation services
041703 -            at UCSF on referral from Kaiser; and cites
041704 -            Kaiser's report collaborating with Doctor
041705 -            Rugo for UCSF to schedule treatment for
041706 -            Millie to recover from UCSF
041707 -            medical mistakes................... 091203 1017, ref SDS 26 A98Y
041709 -             ..
041710 -       16.  Millie's letter notifies medical team
041711 -            Kaiser collaborating with Doctor Rugo at
041712 -            UCSF to prescribe treatment with PARP
041713 -            targeted to Millie's patient profile
041714 -            and planned by Doctor Rugo on
041715 -            090616, for Millie to recover
041716 -            from from UCSF medical
041717 -            mistakes........................... 091211 0018, ref SDS 27 XM3X
041719 -             ..
041720 -       17.  Millie's letter thanks Doctor Johnson
041721 -            for his letter collaborating with Doctor Rugo
041722 -            on prescribing treatment with PARP targeted
041723 -            to Millie's patient profile for recovering
041724 -            from UCSF medical mistakes, and confirms
041725 -            request for copies of all correspondence
041726 -            on her health
041727 -            care............................... 091211 1648, ref SDS 28 174W
041729 -             ..
041730 -       18.  Doctor Johnson's letter notifies Millie that
041731 -            Doctor Rugo has not responded to Kaiser's letter
041732 -            on 091211; the doctor does not submit a copy
041733 -            of Kaiser's letter to Doctor Rugo demanding
041734 -            UCSF provide treatment for Millie to
041735 -            recover from UCSF medical
041736 -            mistakes........................... 091214 1649, ref SDS 29 BW8I
041738 -             ..
041739 -       19.  Millie's letter thanks Doctor Johnson for
041740 -            notice that UCSF has not responded to Kaiser's
041741 -            letter requesting UCSF's treatment plan
041742 -            to help Millie recover from UCSF
041743 -            medical mistakes................... 091215 0852, ref SDS 30 BW8I
041745 -             ..
041746 -       20.  Millie notifies medical team blood counts
041747 -            are high enough to start 1st treatment 2nd
041748 -            cycle of Navelbine, but have fallen substantially,
041749 -            and so asks about prescribing 2 treatments
041750 -            with Neupogen to complete
041751 -            2nd cycle.......................... 091215 1557, ref SDS 31 BW8I
041752 -            Millie also asks about UCSF progress
041753 -            prescribing treatment targeted to Millie's
041754 -            patient profile, so that low blood counts
041755 -            will not prevent getting treatment
041756 -            required for quality of life to
041757 -            recover from UCSF medical
041758 -            mistakes........................... 091215 1557, ref SDS 31 5U6V
041760 -             ..
041761 -       21.  Millie's letter to medical team requests
041762 -            work plan for providing standard of care
041763 -            comparing trade-offs on treatments for
041764 -            recovering from UCSF medical
041765 -            mistakes........................... 100103 1147, ref SDS 32 BW8I
041766 -            Millie reports new symptoms later
041767 -            diagnosed as shingles which can be a
041768 -            fatal infection, caused by UCSF
041769 -            prescribing chemotherapy that
041770 -            is resisted by Millie's
041771 -            patient profile.................... 100103 1147, ref SDS 32 FZ6V
041772 -            Millie requests feedback from Doctor
041773 -            Rugo on progress at UCSF collaborating
041774 -            with Kaiser on treatment to recover
041775 -            from UCSF medical
041776 -            mistakes........................... 100103 1147, ref SDS 32 FZ7X
041778 -             ..
041779 -       22.  Millie's letter notifies medical team Doctor
041780 -            Zhang at Kaiser Adult Medicine diagnosed shingles,
041781 -            and advised that chemotherapy conflicts with
041782 -            standard of care for Millie's patient profile
041783 -            by increasing risk of fatal
041784 -            infections......................... 100104 2144, ref SDS 35 0P9S
041785 -            Millie requests "targeted" treatment
041786 -            with PARP or equal to replace chemotherapy
041787 -            for recovering from UCSF medical mistakes
041788 -            without exposure to fatal
041789 -            infection like
041790 -            shingles........................... 100104 2144, ref SDS 35 0P6V
041792 -             ..
041793 -       23.  Millie's letter to medical team asks
041794 -            Kaiser for correspondence with UCSF on
041795 -            progress starting treatment with
041796 -            PARP............................... 100108 0852, ref SDS 36 MW3U
041797 -            Glenna at UCSF to assist Doctor Rugo
041798 -            submit a treatment plan for Millie to
041799 -            recover from UCSF medical
041800 -            mistakes........................... 100108 0852, ref SDS 36 MW5Q
041802 -             ..
041803 -       24.  Millie notified medical team that cancer
041804 -            in her breastboan area, that was untreated
041805 -            by UCSF due to medical mistake providing
041806 -            radiation services on referral from Kaiser,
041807 -            has gotten worse; Millie has also suffered
041808 -            collateral pain and suffering from shingles
041809 -            caused by UCSF failure to treat with "targeted"
041810 -            agents, and instead prescribing chemotherapy
041811 -            that caused shingles infection; Millie
041812 -            requests standard of care comparing
041813 -            trade-offs on treatments to recover
041814 -            from UCSF medcial
041815 -            mistakes........................... 100112 0047, ref SDS 37 IS5P
041817 -             ..
041818 -       25.  Millie notified medical team that Doctor
041819 -            Johnson was forced to pause treatment for
041820 -            several weeks causing cancer to spread
041821 -            because shingles prevents treatment
041822 -            with chemotherapy, elevating requirement
041823 -            for "targeted" treament for cancer with
041824 -            PARP or equal that can be given
041825 -            concurrent with recovery from
041826 -            shingles........................... 100120 0217, ref SDS 39 HL3X
041827 -            Millie requests Kaiser demand UCSF
041828 -            provide standard of care with treatment
041829 -            using PARP to recover from UCSF
041830 -            medical mistakes................... 100120 0217, ref SDS 39 HL7V
041832 -             ..
041833 -       26.  Millie notifies medical team that UCSF
041834 -            work plan needed to treat Millie's
041835 -            cancer with "targeted" drugs
041836 -            for concurrent recovery
041837 -            from shingles fatal
041838 -            infection.......................... 100128 2249, ref SDS 40 FM5Y
041840 -             ..
041841 -       27.  Doctor Johnson notified Millie discouraged
041842 -            life torture with progressing chemotherapy
041843 -            side effects, and compounded by shingles
041844 -            caused by chemo horrible, painful, frightening
041845 -            worse than death; complains UCSF delay
041846 -            providing "targeted" treatment to recover
041847 -            from medical mistakes with quality of
041848 -            life physically and emotionally
041849 -            overwhelming....................... 100218 1000, ref SDS 41 XE6I
041851 -             ..
041852 -       28.  Millie notifies medical team IBC extensive
041853 -            progression on her right chest, expanding
041854 -            cancer from her breastbone area which
041855 -            has been an open oozing wound for
041856 -            a year............................. 100301 0005, ref SDS 44 ON6V
041857 -            cancer progressing rapidly shown by
041858 -            significant rise of cancer marker due to
041859 -            3 week pause treating IBC, because UCSF
041860 -            failed to provide "targeted" treatment
041861 -            that enables concurrent recover
041862 -            from shingles...................... 100301 0005, ref SDS 44 OO3X
041863 -            Kaiser Pharmacist called and warned
041864 -            that Kaiser's proposal to treat Millie
041865 -            with Abraxane chemotherapy presents
041866 -            significant risks of fatal infection
041867 -            for Millie's patient
041868 -            profile............................ 100301 0005, ref SDS 44 OO5X
041869 -            Millie requests again that Kaiser
041870 -            provide standard of care for her patient
041871 -            profile with written opinion comparing trade-offs
041872 -            on 20 treatments "targeted" to cancer that
041873 -            do not cause severe side
041874 -            effects............................ 100301 0005, ref SDS 44 OO7T
041875 -            Millie reminded medical team of
041876 -            patient history - Doctor Johnson and Doctor
041877 -            Rugo both asked Millie for list of treatments
041878 -            "targeted" to cancer because UCSF lost their
041879 -            list, and because Millie's cancer has
041880 -            mutated to resist chemotherapy,
041881 -            and side effects of chemo are
041882 -            increasingly difficult to
041883 -            tolerate........................... 100301 0005, ref SDS 44 OO7W
041884 -            Millie's letter cites Kaiser's
041885 -            medical chart on 091112, showing standard
041886 -            of care for evidence-based health care
041887 -            practice requires the doctor to compare
041888 -            trade-offs for treatments on results and
041889 -            costs in terms of time and side effects
041890 -            causing pain and suffering, as presented
041891 -            in Millie's letter on 100725, and Millie's
041892 -            letter further notes Kaiser has failed to
041893 -            perform this standard of care for a year;
041894 -            and Millie requests submission of
041895 -            Kaiser's records on this
041896 -            matter............................. 100301 0005, ref SDS 44 OO9S
041897 -            Millie's letter notes repeated
041898 -            recurrence of shingles exposing fatal
041899 -            infection for her patient profile, and
041900 -            requests "targeted" treatment for cancer
041901 -            concurrent with recovering from shingles,
041902 -            rather than pause chemotherapy that
041903 -            allows cancer to cascade
041904 -            out of control..................... 100301 0005, ref SDS 44 OP6Q
041906 -             ..
041907 -       29.  Millie letter to medical team confirms
041908 -            request to Doctor Johnson during meeting
041909 -            at Kaiser on 100302, asking again to submit
041910 -            analysis of trade-offs for treatments "targeted"
041911 -            to Millie's patient profile which do not injure
041912 -            bone marrow, and so avoid recurrence of
041913 -            shingles, while treating cancer
041914 -            to recover from UCSF medical
041915 -            mistakes........................... 100304 2251, ref SDS 45 OQ4Y
041917 -             ..
041918 -       30.  Millie asks medical team again to submit
041919 -            work plan for recovering from UCSF medical
041920 -            mistakes with standard of care for Millie's
041921 -            patient profile analyzing trade-offs to
041922 -            compare treatments "targeted" against cancer
041923 -            without killing healthy cells and degrading
041924 -            bone marrow, thereby avoiding risk of
041925 -            shingles recurrence, and providing
041926 -            quality of life without pain and
041927 -            suffering caused by
041928 -            chemotherapy....................... 100305 0822, ref SDS 46 0W3W
041930 -             ..
041931 -       31.  Millie's letter asks medical team again for
041932 -            standard of care to compare trade-offs on
041933 -            alternative oncology treatments in time for
041934 -            Millie to recover from UCSF medical mistakes
041935 -            that caused her cancer to
041936 -            spread............................. 100319 0843, ref SDS 47 1T5V
041938 -             ..
041939 -       32.  Millie notifies medical team again to submit
041940 -            trade-offs comparing oncology treatments in
041941 -            time to recover from next relapse of
041942 -            cancer............................. 100329 2322, ref SDS 48 WA9U
041944 -             ..
041945 -       33.  Millie's letter confirms medical team strategy
041946 -            for Millie to recover from UCSF medical mistakes
041947 -            using treatment "targeted" to genetic
041948 -            profile of cancer that enables
041949 -            quality of life with minimal
041950 -            side effects....................... 100501 1037, ref SDS 51 U44R
041951 -            Doctor Johnson's examination at
041952 -            Kaiser on 100427, found Millie's
041953 -            cancer getting worse
041954 -            requires switching
041955 -            treatment.......................... 100501 1037, ref SDS 51 U46S
041956 -            cancer marker rises to CA 15-3 424
041957 -            for lab on 100424, highest in patient history
041958 -            aligns with Doctor Johnson finding Millie's
041959 -            cancer progressing; shows chemotherapy
041960 -            ineffective for Millie's patient
041961 -            profile............................ 100501 1037, ref SDS 51 U44U
041962 -            Millie reports cancer continues to rise
041963 -            after examination on 100427, fears losing
041964 -            control, and so Millie requests
041965 -            changing treatments................ 100501 1037, ref SDS 51 U44V
041966 -            Millie again requests medical team
041967 -            provide standard of care comparing trade-offs
041968 -            for treatments on effectiveness,
041969 -            side effects, and
041970 -            cost............................... 100501 1037, ref SDS 51 U44Y
041972 -             ..
041973 -       34.  Doctor Rugo notifies medical team that
041974 -            UCSF will contact Doctor Johnson at Kaiser
041975 -            on treatment for Millie to recover from
041976 -            cancer spreading caused by UCSF
041977 -            medical mistakes................... 100501 2017, ref SDS 52 456L
041979 -             ..
041980 -       35.  Millie letter to medical team thanks Doctor
041981 -            Rugo for committing to communicate with Doctor
041982 -            Johnson at Kaiser on Millie recovering from
041983 -            UCSF medical mistakes, and cited Doctor Johnson's
041984 -            report on 100427 that Millie needs treatment
041985 -            "targeted" to cancer which is now crucial
041986 -            to Millie's survival and quality
041987 -            of life,........................... 100502 0140, ref SDS 53 HH4I
041988 -            Millie notified UCSF to provide
041989 -            because time is of the
041990 -            essence............................ 100502 0140, ref SDS 53 CO6S
041992 -             ..
041993 -       36.  Millie asks medical team again for written
041994 -            explanation of work plan comparing trade-offs
041995 -            on treatment options, including ending
041996 -            treatment, in order to be prepared
041997 -            for discussions meeting
041998 -            with the doctor in 4
041999 -            weeks.............................. 100503 2338, ref SDS 57 6X9P
042001 -             ..
042002 -       37.  Millie notifies medical team that time of
042003 -            the essence to switch treatments in time
042004 -            to be effective recovering from UCSF medical
042005 -            mistakes, and cites Doctor Johnson's
042006 -            emergency meeting on 100218, when he
042007 -            switched treatments immediately
042008 -            when cancer was much less
042009 -            severe than it is
042010 -            today.............................. 100503 1522, ref SDS 55 TD5W
042012 -             ..
042013 -       38.  Kaiser refuses to switch treatments immediately
042014 -            plans to discuss "next" steps after Millie has
042015 -            been without effective treatment for 4-weeks
042016 -            to recover from UCSF medical
042017 -            mistakes........................... 100503 1945, ref SDS 56 YL5N
042019 -             ..
042020 -       39.  Millie notifies medical team that she will
042021 -            rely on Kaiser's guidance to delay changing
042022 -            treatment for a month, as Kaiser's quality care
042023 -            assurance that recovery from advancing cancer
042024 -            caused by UCSF medical mistakes will
042025 -            be equal to changing treatment
042026 -            immediately........................ 100503 2338, ref SDS 57 6X7S
042027 -            Millie asks medical team why rising
042028 -            cancer with CA 15-3 426 required emergency
042029 -            meeting to immediately change treatment
042030 -            ordered by Doctor Johnson on 100218,
042031 -            ref SDS 41 MD4H; yet, worse
042032 -            medical circumstances on
042033 -            100503 are ignored
042034 -            for an entire
042035 -            month?............................. 100503 2338, ref SDS 57 6X7V
042036 -            Millie asks Doctor Johnson for
042037 -            notice of Doctor Rugo fulfilling
042038 -            commitments on 100501, to communicate
042039 -            with Kaiser on providing care for Millie
042040 -            to recover from UCSF medical mistakes,
042041 -            UCSF failure to communicate indicated
042042 -            UCSF defaulted on referral
042043 -            obligations........................ 100503 2338, ref SDS 57 6X8W
042045 -             ..
042046 -       40.  Millie notifies medical team that UCSF
042047 -            Practice Manager called and confirmed UCSF
042048 -            work plan for Doctor Rugo to call and collaborate
042049 -            with Doctor Johnson on prescribing Millie's
042050 -            treatment. in time to be effective
042051 -            recovering from UCSF medical
042052 -            mistakes........................... 100505 0411, ref SDS 59 8J5W
042054 -             ..
042055 -       41.  Millie filed claim requesting treatment
042056 -            targeted to cancer with PARP or equal to
042057 -            recover from UCSF medical
042058 -            mistakes........................... 100527 0217, ref SDS 64 IZ7N
042060 -             ..
042061 -       42.  Millie notified medical team that cancer
042062 -            progressed because Kaiser delayed treament
042063 -            4-weeks; she requests timely treatment targeted
042064 -            to cancer using PARP or equal for recovering
042065 -            from UCSF medical mistakes, and that she
042066 -            refuses chemotherapy because this method
042067 -            is ineffective and harmful for her patient
042068 -            profile, noted in Kaiser's medical chart
042069 -            on 100330, ref SDS 49 Y889, and causes
042070 -            severe pain and suffering as set
042071 -            out Millie's claim filed
042072 -            with Kaiser on
042073 -            100527............................. 100601 0136, ref SDS 67 1P6U
042075 -             ..
042076 -       43.  Doctor Johnson reported he could not communicate
042077 -            with Doctor Rugo at UCSF by email nor by telephone
042078 -            for an entire month, and so Kaiser was unable to
042079 -            prescribe treatment for Millie to recover from
042080 -            medical mistakes getting radiation treatments
042081 -            at UCSF on referral from Kaiser, and thereby
042082 -            forcing Millie to enter Hospice for relief
042083 -            from pain and suffering caused by
042084 -            cancer and chemotherapy that
042085 -            comes with death................... 100601 0830, ref SDS 68 D658
042087 -             ..
042088 -       44.  Doctor Johnson reported that Doctor Rugo
042089 -            has still not returned his call from Kaiser
042090 -            requesting treatment plan for Millie to
042091 -            recover from UCSF medical
042092 -            mistakes........................... 100606 2314, ref SDS 75 S66O
042094 -             ..
042095 -       45.  Millie letter to Doctor Johnson asks
042096 -            again for a work plan on standard of care
042097 -            to hold Millie harmless from UCSF medical
042098 -            mistakes, as essential condition precendent
042099 -            for further meetings and discussion
042100 -            with the doctor.................... 100630 0027, ref SDS 97 KZ5N
042102 -         ..
042103 -    7.  Most recently, on 100501, Doctor Rugo promised in a letter to
042104 -        the medical team that UCSF would contact Doctor Johnson on
042105 -        arranging for Millie's care. ref SDS 52 456L  UCSF was notified
042106 -        on 100503, that failure to perform would place UCSF in default
042107 -        on its referral obligations. ref SDS 57 6X8W
042109 -         ..
042110 -    8.  Kaiser gave UCSF an entire month to perform, and on 100601,
042111 -        Doctor Johnson disclosed that UCSF had not submitted a work
042112 -        plan for Millie to recover from UCSF medical mistakes, nor
042113 -        returned his calls. ref SDS 68 4F6I
042115 -         ..
042116 -    9.  Accordingly, Millie entering Hospice to avoid pain and
042117 -        suffering caused by UCSF medical mistakes, does not justify
042118 -        withholding necessary and reasonable care for Millie to recover
042119 -        from medical mistakes [...discussed with Jennifer 100611,
042120 -        showing Millie was presented a Hobson's choice to suffer pain
042121 -        and agony because Kaiser and UCSF refused standard of care
042122 -        providing necessary and reasonable treatment for Millie to
042123 -        recover from UCSF medical mistakes, or enter Hospice.
042124 -        ref SDS 87 FQ5K...]
042126 -         ..
042127 -   10.  Standard of care for evidence-based medical practice at Kaiser
042128 -        is presented in Millie's claim. 100527 0217, ref SDS 64 X560
042130 -         ..
042131 -   11.  The only issue for Doctor Johnson is whether he has time to
042132 -        provide standard of care, which has not been done for the past
042133 -        year, for Millie to recover from UCSF medical mistakes; or, if
042134 -        work to prescribe her care as called out in the claim, 100527
042135 -        0217, ref SDS 64 X655, will overburden his practice; or, if
042136 -        UCSF failure to perform has somehow compromised Doctor
042137 -        Johnson's ability to treat Millie in good faith, then he should
042138 -        ask for someone else to perform the work, and in order to hold
042139 -        Millie harmless from UCSF medical mistakes.  In that case, a
042140 -        doctor at Kaiser in Oakland, Antiock, San Ramone.., San
042141 -        Francisco, should be assigned to make the necessary referrals
042142 -        for Millie to choose a road to recovery or continue in Hospice.
042144 -         ..
042145 -   12.  A woman's right to choose life for herself, should be no less
042146 -        than the right to choose for her unborn child, since the right
042147 -        to life and due process are protected by the Constitution.
042149 -             ..
042150 -            Millie's Human Rights Violated Kaiser UCSF
042151 -
042152 -            Kaiser and UCSF violated my human rights by denying me the
042153 -            right to choose life with treatment to avoid pain and
042154 -            suffering from cancer and by torturning me for a year with
042155 -            chemotherapy which enabled my cancer to spread, and made
042156 -            Hospice my only choice to avoid pain and suffering.  The
042157 -            only evident motive was to avoid accountabiity for medical
042158 -            mistakes, and save money by charging Medicare for
042159 -            ineffective chemotherapy that destroys the will to live,
042160 -            rather than charge UCSF for the cost of necessary and
042161 -            reasonable care to recover from UCSF medical mistakes, and
042162 -            thereby extend survival without pain and suffering using at
042163 -            least 20 treatments targeted to the genetic profile of
042164 -            cancer, listed in the claim filed with Kaiser on 100527
042165 -            0217. ref SDS 64 X77U
042167 -         ..
042168 -   13.  Up until now, Doctor Johnson reported he has not provided
042169 -        standard of care, because Doctor Rugo at UCSF has failed to
042170 -        return his calls, most recently in his letter to Millie on
042171 -        100606. ref SDS 75 036C
042172 -
042173 -            [On 100702 1612 Lois, Kaiser's Ombudsman, reports Doctor
042174 -            Johnon cannot find providers on the Internet for PARP, does
042175 -            not satisify Kaiser's duty to provide Millie standard of
042176 -            care for necessary and reasonable treatment to recover from
042177 -            UCSF medical mistakes; violates Millie's human rights
042178 -            denying life without due process. ref SDS 98 IS7I
042180 -         ..
042181 -   14.  This is easily solved by authorizing the doctor to arrange for
042182 -        others to provide care, and bill UCSF, since UCSF is in default
042183 -        on its referral obligations.
042184 -
042185 -            [On 100624 1616 Jennifer called to request another few days
042186 -            delay issuing Kaiser's response to Millie's claim
042187 -            originally due on 100610, and in order from internal
042188 -            review; she will submit a draft, and call on Friday discuss
042189 -            the proposed response with the customer in order for Kaiser
042190 -            to provide a comprehensive solution. ref SDS 96 LE4G
042191 -
042197 -
042198 -
042199 -
042200 -
042201 -
042202 -
042203 -
042204 -
042205 -
042206 -
0423 -