CONTACTS 

SUBJECTS
INR 2.4 Blood Tests 070329 Notify Kaiser Coagulation Control Clinic

1203 -
1203 -    ..
1204 - Summary/Objective
1205 -
120501 - Follow up ref SDS 6 SE6N, ref SDS 4 UH4M.
120502 -
120503 -
120504 -
120506 -  ..
1206 -
1207 -
1208 - Progress
1209 -
120901 - Millie had a blood test at UCSF yesterday on 070329. ref SDS 6 Q659
120902 - The report showing INR 2.4 is needed to manage Coumadin treatments for
120903 - pulmonary embolism. ref SDS 6 SE6N  Since Millie's INR has remained
120904 - stable within the normal range, Coumadin treatments should stay the
120905 - same, per Gloria's last instruction on 070307. ref SDS 4 723G
120907 -  ..
120908 - Four weeks ago, Millie notified Gloria about the previous blood test
120909 - on 070301, with a letter to Kaiser on 070302. ref SDS 1 K14H  A few
120910 - days later on 070305 Millie submitted clarifications to correlate UCSF
120911 - blood test criteria with Kaiser requirements for managing Coumadin
120912 - treatments. ref SDS 2 B18H  The next day, on 070306 Millie was worried
120913 - that Kaiser had not followed past practice and submitted instructions.
120914 - ref SDS 3 UI5H  She sent a follow up letter requesting confirmation
120915 - that prior instructions should continue under the blood test received
120916 - from UCSF, even though criteria for "normal" is much different.
120917 - ref SDS 3 FJ9K
120919 -  ..
120920 - Gloria called on 070307.  As noted, she confirmed current Coumadin
120921 - treatments should continue, because Millie's INR has stabalized.
120922 - ref SDS 4 723G
120924 -  ..
120925 - Gloria apologized for a hectic schedule that prevented responding to
120926 - Millie's letters. ref SDS 4 UH5N  She noted importance of timely
120927 - feedback to verify accuracy that reduces the high cost of medical
120928 - mistakes, ref SDS 4 YN5F
120930 -  ..
120931 - INR 2.4, per above, ref SDS 0 5G5I, shows continued stability within
120932 - the target range of 2.0 to 3.0, per above, ref SDS 0 5G8H, for
120933 - Coumadin treatment regimen to continue under current instructions, per
120934 - above. ref SDS 0 5G8H
120936 -  ..
120937 - Millie submitted ref DIT 1 0001 to Gloria at the Kaiser Coagulation
120938 - Control Clinic in Martinez; this was discussed with the medical team
120939 - at UCSF yesterday. ref SDS 5 FE9I
120941 -  ..
120942 - Millie's letter reports to Kaiser...
120943 -
120944 -    1.  Here are results of the blood test at UCSF yesterday.
120945 -        ref SDS 6 SE6N, ref DIT 1 0001
120947 -         ..
120948 -    2.  INR 2.4 has been stable for several months.  Next blood test
120949 -        will be in 4 weeks on 070426, unless I hear from you.
120950 -        ref DIT 1 GI5M
120952 -         ..
120953 -    3.  I will continue with current regimen until further notice. [as
120954 -        planned in telecon on 070307, ref SDS 4 723G]  Glad we seem to
120955 -        finally have some stability.  Hope you have a great weekend.
120956 -        ref DIT 1 GI6H
120957 -
120958 -            [On 070330 primary care physician notified about INR 2.4
120959 -            results, and that Coagulation Control Clinic was also
120960 -            notified for managing Coumadin to treat pulmonary embolism.
120961 -            ref SDS 7 793M
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1210 -