CONTACTS 

SUBJECTS
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0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 5 0000. ref SDS 3 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - Background...
040902 -
040903 -    1.  On 090123 Doctor Johnson advised Millie that Doctor Rugo should
040904 -        prescribe treatment for Millie's 6th relapse of IBC, because
040905 -        her cancer has mutated to cells that are resistant to
040906 -        treatments available at Kaiser. ref SDS 1 8K6K
040908 -         ..
040909 -    2.  On 090123 Doctor Johnson noted that cancer marker CA 15-3 303
040910 -        at Kaiser on 090116 together with severe spread of IBC indicate
040911 -        timely treatment for Millie is urgent to prevent cancer from
040912 -        cascading out of control. ref SDS 1 XM6L
040914 -         ..
040915 -    3.  On 090127 Millie notified the medical team that Doctor Johnson
040916 -        authorized Doctor Rugo to prescribe treatment for Millie at
040917 -        UCSF. ref SDS 2 TY5W
040919 -         ..
040920 -    4.  On 090129 Doctor Rugo wrote a letter to Doctor Johnson at
040921 -        Kaiser prescribing hyperthermia with Doxil to treat Millie's
040922 -        6th relapse of IBC for local control.
040924 -         ..
040925 -    5.  On 090130 Krshna called to schedule Millie for hyperthermia
040926 -        treatment to recover from 6th relapse of IBC, but said that
040927 -        Kaiser has not filed an authorization. ref SDS 5 NM5H
040929 -  ..
040930 - Called Kaiser Oncology in Walnut Creek.
040932 -  ..
040933 - Arlette answered.
040935 -  ..
040936 - Explained call from Krshna in Doctor Hsu's office at UCSF asking for
040937 - Kaiser authorization of Millie's treatment with hyperthermia and
040938 - Doxil. ref SDS 5 PP8U  Reviewed patient history showing Doctor Johnson
040939 - asked Doctor Rugo to prescribe Millie's treatment for the 6th relapse
040940 - of IBC.  Most recently, Doctor Johnson advised on 090123 that CA 15-3
040941 - 303 in Kaiser Labs on 090119 and spread of IBC on Millie's chest
040942 - requires that Doctor Rugo prescribe a new treatment at UCSF because
040943 - Millie's cancer has mutated to cells that are resistant to treatments
040944 - available at UCSF. ref SDS 1 8K6K
040946 -  ..
040947 - Explained stopped at Oncology yesterday afternoon to coordinate Doctor
040948 - Johnson filing the authorization, but the doctor had already left,
040949 - because Millie was delayed leaving UCSF due to a hectic schedule
040950 - yesterday. ref SDS 4 3P7J
040952 -  ..
040953 - Arlette feels that cancer marker CA 15-3 303 requires immedicate
040954 - treatment.
040956 -  ..
040957 - Arlette said that Doctor Johnson has already left the Walnut Creek
040958 - hospital for the day again today.  He may be at the Kaiser campus in
040959 - Antiock, she is not certain.
040961 -  ..
040962 - We reviewed Doctor Johnson's comments on 090123 that CA 15-3 303 in
040963 - the lab at Kaiser on 090116 shows cancer is rising quickly.  Timely
040964 - treatment for Millie is essential to prevent cancer from cascading out
040965 - of control. ref SDS 1 RK6O
040967 -  ..
040968 - Arlette will try to contact the doctor by page and coordinate
040969 - immediate action so that UCSF can schedule Millie's treatment.
040970 -
040971 -
040972 -
040974 -  ..
0410 -
0411 -
0412 - 1559
0413 -
041301 - Arlette called back.
041302 -
041303 - Doctor Johnson answered the page.  He was in a meeting somewhere, and
041304 - said that this evening he will use his computer connection at home for
041305 - accessing the Kaiser Knowledge Management system to issue
041306 - authorization for Millie's treatment at UCSF with hyperthermia and
041307 - Doxil, as prescribed by Doctor Rugo in her letter to Doctor Johnson
041308 - yesterday.
041310 -  ..
041311 - Thanked Arlette for timely assistance.
041312 -
041313 -        [...in another record today on 090130 called UCSF Radiation
041314 -        Oncology Department and left message for Krshna that Doctor
041315 -        Johnson is issuing authorization for Kaiser to pay for Millie's
041316 -        treatment, and that UCSF should schedule treatment for Monday
041317 -        or Tuesday of next week, or as soon as possible in order
041318 -        avoiding losing control with cancer markcer CA 15-3 303
041319 -        reported on Kaiser's lab performed 090116. ref SDS 5 PPYR
041321 -         ..
041322 -        [On 090131 Millie received notice from primary care physician
041323 -        at Kaiser that authorization was issued on 090130 for treatment
041324 -        with hyperthermia and Doxil. ref SDS 6 GV4M
041326 -         ..
041327 -        [On 090201 Millie letter to medical team thanks Krshna at UCSF,
041328 -        and thanks Arlette for timely coordination supporting Doctor
041329 -        Johnson implementing request for referral from Doctor Rugo on
041330 -        090129. ref SDS 7 KN9Q
041331 -
041332 -
041333 -
041334 -
041335 -
041336 -
041337 -
041338 -
041339 -
0414 -