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: July 1, 2009 12:18 PM Wednesday; Rod Welch

Millie requests treatment again from UCSF for recurrent breathing problems.

1...Summary/Objective


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CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 8 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Progress
0409 -
040901 - On 090609 0900 during a meeting at UCSF, Doctor Hsu diagnosed Millie's
040902 - cancer spreading and new breathing problems was caused by errors and
040903 - omissions performing radiation treatments at UCSF during February and
040904 - March, and on referral from Kaiser. ref SDS 2 W65W
040906 -  ..
040907 - On 090609 0900 Doctor Hsu prescribed treatment with MPA at UCSF for
040908 - Millie to recover from medical mistakes performing radiation earlier
040909 - at UCSF. ref SDS 2 W66W
040911 -  ..
040912 - On 090616 1240 Doctor Rugo provided MPA treatment for Millie to
040913 - recover from cancer spreading and new breathing problems, ref SDS 6
040914 - D647, prescribed by Doctor Hsu on 090609. ref SDS 2 W66W
040916 -  ..
040917 - On 090626 1140 Millie met with the primary care physician at Kaiser
040918 - to review UCSF treatment plan for Millie to recover from mistakes
040919 - providing medical services at UCSF for radiation.
040921 -  ..
040922 - On 090627 0010 Millie sent a letter to medical team reporting results
040923 - meeting with Doctor Johnson yesterday at Kaiser.
040925 -  ..
040926 - On 090627 1922 Millie requested treatment from the medical team for
040927 - relief from continuing breathing problems manifested by recurrence of
040928 - persistent cough. ref SDS 8 BF4K
040930 -  ..
040931 - On 090701 1218 Millie suffered prolonged, persistent cough again, and
040932 - so asked the medical team again for treatment to relieve the problem.
040933 -
040934 -    1.  Subject: Persistent Cough Interim Remedy
040935 -        Date: Wed, 01 Jul 2009 12:42:25 -0700
040943 -         ..
040944 -    2.  A few days ago on 090627 2134 I reported to the medical team
040945 -        another severe coughing episode that lasted a good part of the
040946 -        day [reported on 090627 2122. ref SDS 8 BF4K].  I think Doctor
040947 -        Rugo is on vacation, and Doctor Johnson at Kaiser has been very
040948 -        busy, so I hope you can comment today if time permits.
040950 -         ..
040951 -    3.  Persistent cough is occurring again.  Thankfully, today, the
040952 -        problem is not as bad on 090623, and I have no fever; however,
040953 -        I would like to prevent the situation from getting out of hand,
040954 -        as occurred on 090403, when you ordered examination at Kaiser,
040955 -        and then again the other day on 090627.  At that time on
040956 -        090627, I asked the medical team for recommendations on
040957 -        over-the-counter remedies to suppress the cough; or, might
040958 -        something be prescribed that will help? ref SDS 8 MH5R
040960 -         ..
040961 -    4.  Today, I'm just doing light housework, e.g., dusting, hanging
040962 -        pictures, vacuuming, laundry, etc.  Just walking around I am
040963 -        out of breath, and constantly coughing.  Would it help to lay
040964 -        down and elevate my feet?  Take a deep breath and count to 10??
040965 -
040966 -            [On 090701 1652 Doctor Hsu responded to Millie's request
040967 -            for treatment to relieve breathing problems, ref SDS 9
040968 -            SF8I, advising that he has a treatment if Millie's
040969 -            breathing problems include tightness in the left side of
040970 -            her chest. ref SDS 9 4P51
040972 -             ..
040973 -            [On 090701 2121 Millie notifies medical team that Jean Anne
040974 -            in UCSF Triage Department responded to Millie's many
040975 -            request for treatment of breathing problems the past few
040976 -            months, and with a prescription to relieve symptoms while
040977 -            the medical team continues research to find a remedy to
040978 -            recover Millie's former strong breathing capacity.
040979 -            ref SDS 10 DZ6U
040981 -             ..
040982 -            [On 090708 0301 Doctor Johnson calls and advises that
040983 -            Kaiser has also ordered a pulmonary funciton test (PFT) to
040984 -            further evaluate Millie's breathing problems. ref SDS 16
040985 -            FS6G
040987 -         ..
040988 -    5.  In the meeting on 090609 you indicated these new symptoms in my
040989 -        lungs could be related to IBC still in my breastbone area,
040990 -        ref SDS 2 W65W, and proposed a CT test for evaluation.
040991 -        ref SDS 2 W66T  The test was performed on 090612. ref SDS 4
040992 -        PPWX  CDs were delivered to your office with computer files for
040993 -        the CT test on 090612, and for the prior test on 090413
040994 -        [reported on 090612 1439. ref SDS 5 UD5H  The following
040995 -        Tuesday, on 090616 Doctor Rugo advised that UCSF is reviewing
040996 -        the test data. ref SDS 6 JH48  She seemed to cite requirements
040997 -        for radiology tests to be read within 24 hours. ref SDS 6 FS6M
040999 -         ..
041000 -    6.  Have you had a chance to review the CT test data, as planned on
041001 -        090609 to assess radiation injury to my lungs, advance of
041002 -        cancer, or other factors that could be causing symptoms?
041003 -
041004 -            [On 090701 1652 Doctor Hsu in UCSF Radiation Oncology
041005 -            reports taking a quick look at files of scans for Millie's
041006 -            CT test on 090612 and he finds there may be reduced
041007 -            breathing volume in the left lung, noting this looks pretty
041008 -            good. ref SDS 9 LK4M
041009 -
041010 -
041012 -         ..
041013 -    7.  You mentioned the first effort to resolve both IBC and my lung
041014 -        problems would be Doctor Rugo's MPA clinical trial [reported on
041015 -        090609 0900, ref SDS 2 W66W].  This treatment was started on
041016 -        090616.  On Monday, I was at UCSF and blood was drawn to
041017 -        evaluate dose levels.  Mike, the study coordinator, said I will
041018 -        get a call today or tomorrow on findings from the lab on
041019 -        whether we need to increase the amount of MPA I am taking
041020 -        daily.
041022 -         ..
041023 -    8.  In the meantime, can you please submit findings from UCSF
041024 -        review of the CT test data submitted on 090612, and assessment
041025 -        of risks for worsening symptoms?  Even if MPA arrests advance
041026 -        of IBC will this necessarily address radiation injury, if any
041027 -        is occurring?
041028 -
041029 -            [On 090701 1652 Doctor Hsu in UCSF Radiation Oncology
041030 -            reports taking a quick look at files of scans for Millie's
041031 -            CT test on 090612 and he finds there may be reduced
041032 -            breathing volume in the left lung, noting this looks pretty
041033 -            good. ref SDS 9 LK4M
041035 -         ..
041036 -    9.  What additional measures can be tried to solve the problem so
041037 -        that my normal breathing is restored, and cough is resolved?
041038 -
041039 -            [On 090701 1652 Doctor Hsu responded to Millie's request
041040 -            for treatment to relieve breathing problems, ref SDS 9
041041 -            SF8I, advising that he has a treatment if Millie's
041042 -            breathing problems include tightness in the left side of
041043 -            her chest. ref SDS 9 4P51
041045 -             ..
041046 -            [On 090702 2241 Millie reports to the medical team rising
041047 -            pain on the left side for the past 2 weeks. ref SDS 11 D13Q
041049 -             ..
041050 -            [On 090702 2241 Millie reports fear about breathing
041051 -            problems that have increased since completing radiation
041052 -            treatments at UCSF in March, and she woke up again late at
041053 -            night from persistent cough. ref SDS 11 D14S
041055 -             ..
041056 -            [On 090705 0301 Millie reports untreated IBC in
041057 -            breastbone area worse to stable, still bleeding; other
041058 -            areas may be improved to stable, ref SDS 12 FT4T'
041059 -            Millie asks about other ways to recover from UCSF
041060 -            medical mistake failing to treat breastbone area?
041061 -            ref SDS 12 FT5R
041063 -             ..
041064 -            [On 090706 0301 telecon with Mike, Doctor Rugo's
041065 -            coordinator, discussed UCSF work plan for Millie to
041066 -            recover from medical mistakes providing radiation
041067 -            services on referral from Kaiser, and which caused
041068 -            radiation injury to Millie's breathing, and spread
041069 -            Millie's cancer. ref SDS 13 QY5H
041071 -             ..
041072 -            [On 090706 0301 Millie received a letter from Mike, Doctor
041073 -            Rugo's coordinator, saying his investigation discovered
041074 -            that nobody at UCSF ordered review of Millie's CT test scan
041075 -            files, ref SDS 14 1L6N, which were same-day hand- delivered
041076 -            to UCSF on 090612, ref SDS 5 UD5H, per Mike's request on
041077 -            090610 for timely review by UCSF. ref SDS 3 S537
041079 -             ..
041080 -            [On 090708 1343 Doctor Johnson ordered further tests at
041081 -            Kaiser to evaluate Millie's breathing problems caused by
041082 -            progressive radiation injury from medical mistakes
041083 -            providing radiation services provided by UCSF. ref SDS 15
041084 -            FS6G
041086 -         ..
041087 -   10.  Again, it would be great if there is an over-the-counter
041088 -        interim remedy to help reduce my coughing.
041090 -         ..
041091 -   11.  Your assistance is appreciated.
041092 -
041099 -
041100 -
041101 -
041102 -
041103 -
041104 -
041105 -
041106 -
041107 -
0412 -