CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 22 0000. ref SDS 21 0000.
040502 -
040503 -
040504 -
040506 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091202 Millie had the 3rd treatment in the 1st cycle of Navelbine.
040902 - ref SDS 11 625I
040904 -  ..
040905 - She is experiencing some possible recovery, but also evident worsening
040906 - of cancer due to lack of treatment targeted to her patient profile.
040908 -  ..
040909 - On 091203, Millie submitted a letter notifying the medical team about
040910 - possible progression of disease, and requesting treatment targeted to
040911 - her patient profile, ref SDS 12 4P7G, following up the letter on
040912 - 091112, ref SDS 7 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 8 UT7M  The following letter
040914 - confirms understandings from meeting on 091112, and sets agenda for
040915 - meeting at Kaiser on 091210.
040917 -  ..
040918 - On 091211 0018 Millie letter confirms understandings from meeting at
040919 - Kaiser and thanks thanked medical team for excellent care, ref SDS 14
040920 - BW8I, based on Doctor Johnson's report in the meeting at Kaiser on
040921 - 091210 that Kaiser is collaborating with Doctor Rugo for UCSF to
040922 - prescribe treatment targeted to Millie's patient profile. ref SDS 14
040923 - XM3X
040925 -  ..
040926 - On 091211 1452 Doctor Johnson reports collaborating with Doctor Rugo
040927 - for UCSF as planned during the meeting yesterday. ref SDS 15 BW8I
040929 -  ..
040930 - On 091211 1648 Millie notifies Doctor Johnson to submit correspondence
040931 - of Kaiser collaborating with Doctor Rugo at UCSF on prescribing
040932 - treatment targeted to Millie's patient profile. ref SDS 16 BW8I
040934 -  ..
040935 - On 091214 1649 Doctor Johnson notifies Millie that Doctor Rugo has not
040936 - replied to Kaiser's letter on 091211. ref SDS 17 BW8I
040938 -  ..
040939 - On 091215 0852 Millie asks Doctor Johnson about sending a copy of
040940 - Kaiser's letter to Tara for assisting Doctor Rugo developing UCSF's
040941 - treatment plan targeted to Millie's patient profile. ref SDS 18 BW8I
040943 -  ..
040944 - On 091215 1557 Millie reports blood counts fall, still permit getting
040945 - 1st treatment 2nd cycle Navelbine, ref SDS 19 BW8I, asks about
040946 - progress collaborating on prescribing next treatment to recover from
040947 - 10th relapse of cancer.
040949 -  ..
040950 - On 100103 1147 Millie asks medical team about progress prescribing
040951 - treatment targeted to Millie's patient profile to recover from 10th
040952 - relapse of cancer. ref SDS 20 BW8I  Millie reports new symptom of rash
040953 - on right side of forehead, which is swelling the right eye; requests
040954 - examination tomorrow to prescribe immediate remedy. ref SDS 20 FZ6V
040956 -  ..
040957 - On 100103 1652 Millie receives automated reply that Doctor Johnson is
040958 - out of the office until 100105, and so cannot make examination
040959 - tomorrow on 100104 requested in Millie's letter this afternoon.
040960 - ref SDS 21 BW8I
040962 -  ..
040963 - On 100103 2023 Millie reponds to notice that Doctor Johnson is out of
040964 - the office tomorrow and so cannot make examination requested in
040965 - Millie's letter earlier today. ref SDS 22 BW8I
040967 -  ..
040968 - On 100104 0830 Millie needs examination of facial blisters today.
040969 - ref SDS 0 BW8I
040970 -
040972 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - Millie's symptoms are worse this morning.  Blisters have significantly
041302 - increased on the right side of her forehead, extending above the
041303 - hairline further onto her head.  Her right eye is now nearly swollen
041304 - shut.
041306 -  ..
041307 - Arlette does not work on Mondays, so there is no one available to take
041308 - charge and follow up to get things done.
041310 -  ..
041311 - Since Doctor Johnson is out of the office today, reported in his
041312 - letter yesterday on 100103 1652. ref SDS 21 BW8I, tried calling
041313 - Oncology to schedule emergency examination this morning with Doctor
041314 - Johnson's backup.  Another possibility is to get advice from the
041315 - triage nurse for guidance on rapidly worsening symptoms presented in
041316 - Millie's letter to the medical team yesterday, reported on 100103
041317 - 2023. ref SDS 22 RH7Y
041319 -  ..
041320 - Got message they do not open until 0900, and to call advice nurse for
041321 - urgent matters...
041322 -
041323 -                   925 295 4070
041325 -  ..
041326 - Called and talked to Christine.
041328 -  ..
041329 - Reported symptoms, and planning in the letter to the medical team
041330 - yesterday on 100103. ref SDS 22 RH9W
041332 -  ..
041333 - Christine feels Millie should contact her primary care physician.
041335 -  ..
041336 - Explained Doctor Johnson is out of the office today, reported in his
041337 - letter received on 100103 1652. ref SDS 21 BW8I  Asked Christine to
041338 - arrange an emergency meeting with Doctor Johnson's backup in Oncology.
041340 -  ..
041341 - Christine advised that she cannot figure out who is providing care for
041342 - Doctor Johnson's patients today.  She feels rapid advance of Millie's
041343 - symptoms should be examined by a doctor today, rather than wait for
041344 - Doctor Johnson to return to the office tomorrow.
041346 -  ..
041347 - Scheduled meeting in Adult Medicine at Kaiser Walnut Creek, with
041348 - Doctor Zhang at 1115, so this can be done after the meeting with
041349 - Doctor Sandhu at the VA at 0930. ref SDS 23 PP8W
041350 -
041351 -            [On 100104 1115 Millie met with Doctor Zhang in Adult
041352 -            Primary Care, ref SDS 24 BW8I, who diagnosed shingles,
041353 -            ref SDS 24 0P9S, and prescribed treatment, which may yield
041354 -            full recovery in 2 weeks. ref SDS 24 QB5K  Doctor Zhang
041355 -            ordered lab to evaluate impact on immune system, and asked
041356 -            Millie to coordinate with Coagulation Control Clinic on
041357 -            adjusting Coumadin. ref SDS 24 0P4S  Doctor Zhang arranged
041358 -            meeting with opthalmology to test for damage to eyes.
041359 -            ref SDS 24 EY8F  Doctor Zhang recommended Millie meet with
041360 -            Doctor Johnson this week, rather than wait for regularly
041361 -            scheduled meeting next week to review progress recovering
041362 -            from shingles. ref SDS 24 0P4Y
041364 -             ..
041365 -            [On 100104 1216 Kaiser Oncology Chemotherapy Infusion
041366 -            Clinic did not have enough time to spend 5 minutes
041367 -            accessing Millie's Power Port which was placed to
041368 -            facilitate blood draws, ref SDS 25 4P6K, in this case
041369 -            ordered by Doctor Zhang to evaluate requirements for
041370 -            treating shingles; Millie waited an hour and was fortunate
041371 -            that the lab technician was successful on the 1st try
041372 -            placing an IV to perform the blood draw today. ref SDS 25
041373 -            4Q40
041374 -
041376 -             ..
041377 -            [On 100104 2144 Millie notifies medical team that Doctor
041378 -            Zhang in Kaiser Adult Medicine diagnosed shingles, advises
041379 -            Millie should have been treated today in Kaiser's Emergency
041380 -            Department. ref SDS 26 0P9S
041382 -  ..
041383 - Thanked Christine for expediting care.
041384 -
041385 -
041386 -
041387 -
041388 -
041389 -
041390 -
041391 -
0414 -