CONTACTS 

SUBJECTS
Cetuximab Carboplatin Clinical Study Drug Trial UCSF Schedule Millie

2003 -
2003 -    ..
2004 - Summary/Objective
2005 -
200501 - Follow up ref SDS 12 0000. ref SDS 11 0000.
200502 -
200503 - Millie can get dental work done on Monday, after starting treatment
200504 - tomorrow.  Jackie has scheduled Millie to meet with Doctor Rugo at
200505 - 1100 tomorrow before treatment. ref SDS 0 FA4J  Millie notified the
200506 - primary care physician about change in schedule from 070124 moved up
200507 - to tomorrow. ref SDS 0 638H  Jackie called back late in the afternoon
200508 - and said treatment may be delayed because Kaiser forgot to submit
200509 - authorization documentation over the past two weeks. ref SDS 0 YF8U
200510 - Tomorrow morning Jackie will coordinate with Kaiser to submit required
200511 - documentation. ref SDS 0 YF42  Millie notified the primary care
200512 - physician about the problem with authorization, and that UCSF will
200513 - call tomorrow to make arrangements so that treatment can proceed on
200514 - schedule prescribed by Doctor Rugo. ref SDS 0 PK6M
200516 -             ..
200517 -            [On 070119 Kaiser signed authorization for Millie to get
200518 -            treatment at UCSF; treatment delayed because there was not
200519 -            enough time for doctors to resolve policy conflict between
200520 -            Kaiser business units involving Medicare. ref SDS 14 AS4K
200521 -
200522 -
200524 -  ..
2006 -
2007 -
2008 - Progress
2009 -
200901 - 1st Treatment Takes Longer to Evaluate Side Effects Start 070119
200902 - Cetuximab Carboplatin Clinical Drug Trial UCSF Initial Discussion
200903 -
200904 - Follow up ref SDS 12 1G3K, ref SDS 11 1G3K.
200905 -
200906 -     [On 070118 followed up. ref SDS 13 VI5H
200907 -
200908 - Jackie received Millie's letter, ref DIP 3 0001, submitted yesterday,
200909 - 070117, ref SDS 12 G155, responding to UCSF's letter from Jackie,
200910 - ref DRP 3 0001, received earlier in the afternoon. ref SDS 12 0346
200911 - This hopefully resolves problems with mail delivery reported
200912 - yesterday. ref SDS 12 Y25Q
200914 -  ..
200915 - Jackie checked with Doctor Rugo, and the doctor said it is okay for
200916 - Millie to get dental work done scheduled next Monday, 070122.  Doctor
200917 - Rugo will provide antibiotics to protect Millie from risks dental work
200918 - presents when performed concurrently with chemotherapy.
200920 -  ..
200921 - Jackie advised that Millie is scheduled to meet with Doctor Rugo
200922 - tomorrow morning at 1100.
200924 -  ..
200925 - After the meeting, Millie will start treatment.  The first treatment
200926 - will take longer so that a doctor can monitor Millie's reaction on the
200927 - treatment with respect to severe side effects, as discussed by Jackie
200928 - yesterday. ref SDS 12 3E8J
200929 -
200930 -     [On 070118 Millie notified Kaiser Coagulation Treatment Clinic of
200931 -     change in medications that affect treatment with warfarin
200932 -     Coumadin. ref SDS 13 VI5H
200934 -  ..
200935 - Jackie will make arrangements between Kaiser and UCSF on payments, per
200936 - understandings between Millie's primary care physician at Kaiser and
200937 - Doctor Rugo in correspondence on 061230, ref SDS 3 3X6K, and reported
200938 - in the letter to UCSF last night. ref SDS 12 5F4Y
200939 -
200940 -     [...below, Jackie reports Kaiser forgot to prepare authorization
200941 -     for UCSF to treat Millie following agreement with Doctor Rugo 2
200942 -     weeks ago. ref SDS 0 YF8U
200944 -      ..
200945 -     [On 070119 Millie travels to San Francisco for meeting with Doctor
200946 -     Rugo, and get 1st treatment.  Jackie reports that Millie's primary
200947 -     care physician at Kaiser signed authorization for referral to
200948 -     UCSF; but, treatment was deferred because there was not enough
200949 -     time to resolve policy conflict between Kaiser business units to
200950 -     submit the doctor's referral authorization for UCSF to get paid
200951 -     for Standard of Care. ref SDS 14 AS9L
200953 -  ..
200954 - Millie confirmed that she cancelled travel plans for next week, which
200955 - were discussed with UCSF on 070116, ref SDS 11 VQ3G, and cited in
200956 - Millie's letter to UCSF yesterday. ref SDS 12 5F9W  Treatments can go
200957 - forward on regular schedule for Thursdays, per planning yesterday for
200958 - Millie to change her work schedule to Monday - Wednesday.
200959 -
200960 -
200961 -
200962 -
200963 -
2010 -

SUBJECTS
Blood Test Laboratory Analysis for Treatment UCSF Start 070119 Clini

2503 -
250401 -  ..
250402 - Blood Test Laboratory Analysis for Treatment UCSF 070119
250403 -
250404 - Jackie said that Millie will need blood work by the Laboratory at
250405 - Kaiser to meet protocol requirements for treatment starting tomorrow
250406 - with the cetuximab carboplatin clinical study, as planned today, per
250407 - above. ref SDS 0 1B5F
250409 -  ..
250410 - Millie advised that she went to Kaiser this morning and had a complete
250411 - lab done, including CBC ordered by the doctor during the meeting at
250412 - Kaiser on 070105 to prepare for treatment at UCSF. ref SDS 6 NX9N
250414 -  ..
250415 - Jackie will coordinate on getting results of the lab from Kaiser in
250416 - time for Millie to meet with Doctor Rugo tomorrow.
250417 -
250418 -            [...below, Millie submits letter advising Kaiser everything
250419 -            ready to start treatment tomorrow; thanks Arlette for
250420 -            coordination. ref SDS 0 HZ9H
250422 -             ..
250423 -            [On 070119 blood test incomplete, ref SDS 14 AS6M; Jackie
250424 -            coordinating with Kaiser. ref SDS 14 Q95H
250426 -             ..
250427 -            [On 070119 letter to Kaiser asks Arlette to check on
250428 -            submitting complete blood test to UCSF for treatment.
250429 -            ref SDS 14 0Z6T
250431 -             ..
250432 -            [On 070122 Kaiser ordered additional blood tests; still
250433 -            need report from Kaiser on test results, including CA 15-3.
250434 -            ref SDS 15 AS6M
250436 -             ..
250437 -            [On 070123 Millie went to Kaiser to get blood tests needed
250438 -            to start treatment at UCSF. ref SDS 16 AS6M
250440 -             ..
250441 -            [On 070123 treatment delayed at UCSF need referral
250442 -            authorization for payment from Kaiser. ref SDS 16 J43I
250444 -             ..
250445 -            [On 070130 Millie scheduled for treatment at UCSF on
250446 -            070201. ref SDS 17 MP4H
250448 -             ..
250449 -            [On 070131 UCSF requests another blood test before starting
250450 -            treatment on 070201. ref SDS 18 NZ4N
250451 -
250452 -
250454 -  ..
2505 -
2506 -
2507 - 1641
2508 -
250801 - Jackie called.
250802 -
250803 - She called to get results of blood tests, but was told the lab report
250804 - will not be available until tomorrow morning.
250805 -
250806 -
250807 -
250808 -
250809 -
2509 -

SUBJECTS
Payment Authorization Kaiser Not Enough Time UCSF Cannot Find Docume

5903 -
590401 -  ..
590402 - Treatment May be Delayed Paperwork Nobody Can Find
590403 - Payment Authorization UCSF Cannot Find Documentation May Halt Treatment
590404 -
590405 - Jackie needs authorization from Kaiser for UCSF to perform the work.
590406 - She called for the doctor at Kaiser, but has not made contact.  Jackie
590407 - asked the Oncology department nurses at Kaiser for assistance.  The
590408 - nurses were not aware that the doctor arranged for Millie to get
590409 - treatment at UCSF.
590411 -  ..
590412 - Jackie said this happens often.  People forget to prepare documents in
590413 - time to manage the work, even when the work takes only a few minutes.
590414 - She said UCSF needs a number of some kind, possibly a billing or
590415 - authorization account.  She talked to Doctor Rugo, who recalls there
590416 - was agreement with Millie's primary care physician in a letter on
590417 - 061230 for Kaiser to pay any costs not covered by the trial.
590418 - ref SDS 3 3X6K  Since then, neither UCSF nor Kaiser has had time to
590419 - prepare authorization which requires the doctor to sign a document.
590421 -  ..
590422 - Snafus in medical management are reviewed on 040416. ref SDS 1 GN7J
590423 -
590424 -            [On 070119 Millie travels to San Francisco for meeting with
590425 -            Doctor Rugo, and get 1st treatment.  Jackie reports that
590426 -            Millie's primary care physician at Kaiser signed
590427 -            authorization for referral to UCSF; but, treatment was
590428 -            deferred because there was not enough time to resolve
590429 -            policy conflict between Kaiser business units to submit the
590430 -            doctor's referral authorization for UCSF to get paid for
590431 -            Standard of Care. ref SDS 14 AS9L
590433 -  ..
590434 - Follow up on this matter was discussed with the priamry care physician
590435 - at Kaiser during the meeting on 070105.  At that time, Millie's
590436 - request for Kaiser to submit reminders to UCSF about making timely
590437 - arrangements for Millie's treatment was described as conflicting with
590438 - professional protocol, and so would be embarrassing and insulting,
590439 - since everyone knows what needs to be done.  Jackie feels that even
590440 - though people know what needs to be done, critical details are omitted
590441 - because they are not needed immediately, there is plenty of time to
590442 - perform tasks later, and other tasks require immediate attention.
590443 - These kinds of tasks, commonly pending "action items," are hard to
590444 - manage.
590446 -  ..
590447 - Arranging for patients to be treated by other health care providers is
590448 - a familiar process at Kaiser.  Arlette's letter to Millie on 060809
590449 - reported that doctors routinely sign athorization to sends patients
590450 - out for treatment by other providers. ref SDS 2 NT9X
590452 -  ..
590453 - Now that Millie is scheduled to get treatment tomorrow, preparing
590454 - authorization, which could been done anytime during the past 2 weeks,
590455 - becomes another crisis task that requires immediate attention which
590456 - will push other tasks that are critical but not needed until later
590457 - into a crisis when later eventually arrives, as with the current
590458 - crisis.
590460 -  ..
590461 - Jackie plans to follow up in the morning to obtain authorization from
590462 - Kaiser.  She will call before 0930 to advise of any delays with the
590463 - paperwork, and in that case treatment scheduled for tomorrow will be
590464 - deferred to next week while authoriztion documentation is submitted by
590465 - Kaiser.
590466 -
590467 -
590469 -  ..
5905 -
5906 -
5907 - 0825
5908 -
590801 - Payment Authorization Form Notify Kaiser UCSF Following Up Tomorrow
590802 -
590803 - Millie submitted ref DIT 2 0001 to the primary care physician that
590804 - Kaiser needs to provide authorization tomorrow morning in order for
590805 - Millie to get treatment, per Jackie's call above. ref SDS 0 YF8U
590807 -  ..
590808 - Millie's letter to primary care physician at Kaiser says...
590809 -
590810 -    1.  Doctor Rugo's assistant, Jackie called this morning and said
590811 -        they want me to start treatment tomorrow.  I'm supposed to meet
590812 -        with Doctor Rugo at 1100, then get treatment. ref SDS 0 1G3K
590813 -        I'm planning to leave here at 0930 to get there on time.
590814 -        ref DIT 2 0001
590816 -         ..
590817 -    2.  Jackie called back about 5pm and said UCSF cannot find some
590818 -        paperwork needed from Kaiser.  She called the Oncology
590819 -        department at Kaiser, but the person she talked to was unable
590820 -        to help. ref SDS 0 YF8U ref DIT 2 UU6G
590821 -
590822 -            [On 070119 primary care physician at Kaiser signed
590823 -            authorization; new Medicare regulations are confusing;
590824 -            Kaiser and UCSF are working to resolve the problem.
590825 -            ref SDS 14 4R4M
590827 -         ..
590828 -    3.  This is a heads up that Jackie plans to call your office again
590829 -        first thing in the morning for authorization, and if there is a
590830 -        snag, then everything will be delayed. ref SDS 0 YF42  I recall
590831 -        seeing one of Doctor Rugo's letters saying UCSF would make all
590832 -        the arrangements.  Hopefully, there will be time in the morning
590833 -        to resolve everything. ref DIT 2 JU6M
590835 -  ..
590836 - The record on 070101 indicates that UCSF was planning to make
590837 - arrangements for Millie to meet with Doctor Rugo and get treatment.
590838 - ref SDS 4 E23W
590839 -
590840 -            [On 070119 Kaiser signed authorization for Millie to get
590841 -            treatment at UCSF; treatment delayed because there was not
590842 -            enough time for doctors to resolve policy conflict between
590843 -            Kaiser business units involving Medicare. ref SDS 14 AS4K
590844 -
590845 -
590846 -
590847 -
5909 -

SUBJECTS
Notify Kaiser Oncology Schedule Treatment UCSF Clinical Study Drug T
Blood Test Laboratory Analysis for Treatment UCSF Start 070119 Clini

7904 -
7905 - 1137
790601 -  ..
790602 - Kaiser Advised Treatments Start 070119
790603 -
790604 - Follow up ref SDS 12 638H, ref SDS 9 II4R.
790605 -
790606 - Millie submitted ref DIT 1 0001 to Arlette, the Advice Nurse for
790607 - Oncology submitting a copy of Millie's letter, ref DIP 3 0001, to
790608 - Jackie at UCSF sent yesterday, ref SDS 12 G155, and responding to the
790609 - letter from Jackie, ref DRP 3 0001, sent earlier on 070117 to confirm
790610 - planning for Millie to start treatment tomorrow on 070119. ref SDS 12
790611 - 0346
790613 -  ..
790614 - Millie's letter to Kaiser says...
790615 -
790616 -    1.  Just want to thank you for all your help coordinating support
790617 -        from UCSF.  [My primary care physician at Kaiser] has been
790618 -        excellent making arrangements with Doctor Rugo, and now I am
790619 -        scheduled to start treatments tomorrow, after meeting with
790620 -        Doctor Rugo at 1100, per telecon with Jackie this morning.
790621 -        ref SDS 0 1G3K, ref DIT 1 0001
790623 -         ..
790624 -    2.  I went to Martinez early this morning and had blood work done,
790625 -        so that is all set, ref SDS 0 5S6L, and thanks to [the primary
790626 -        care physician] for expediting everything, I don't have to get
790627 -        another PET or CT test done because we are still in the window
790628 -        for using the last test on 061227. ref DIT 1 U25O
790629 -
790630 -            [On 070119 UCSF reports blood test incomplete. ref SDS 14
790631 -            AS6M
790633 -             ..
790634 -            [On 070122 additional blood testing ordered by Kaiser
790635 -            primary care physician. ref SDS 15 LX6V
790637 -             ..
790638 -            [On 070123 Millie went to Kaiser to get blood tests needed
790639 -            to start treatment at UCSF. ref SDS 16 AS6M
790641 -             ..
790642 -            [On 070123 treatment delayed at UCSF need referral
790643 -            authorization for payment from Kaiser. ref SDS 16 J43I
790645 -         ..
790646 -    3.  Please let [the primary care physician] know I am starting
790647 -        treatment tomorrow, per telecon this morning, and
790648 -        correspondence with UCSF yesterday, ref SDS 12 G155, responding
790649 -        to Jackie's letter on the same date. ref SDS 12 0346,
790650 -        ref DIT 1 376N
790652 -         ..
790653 -    4.  Thanks again.
790654 -
790655 -
790657 -  ..
7907 -
7908 -
7909 - 1316
7910 -
791001 - Millie received ref DRT 1 0001 from Arlette at Kaiser responding to
791002 - the letter, ref DIT 1 0001, submitted earlier this morning, per above.
791003 - ref SDS 0 638H
791004 -
791005 -    1.  Dear Millie,
791007 -         ..
791008 -    2.  Your welcome!  Good Luck! ref DRT 1 0001
791010 -         ..
791011 -    3.  Arlette
791012 -
791013 -
791014 -
791015 -
791016 -
791017 -
7911 -