CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 41 0000. ref SDS 38 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 091202 Millie had the 3rd treatment in the 1st cycle of Navelbine.
040902 - ref SDS 21 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 22 4P7G, following up the letter on
040912 - 091112, ref SDS 17 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 18 UT7M  The following letter
040914 - confirms understandings from meeting on 091112, and sets agenda for
040915 - meeting at Kaiser on 091210.
040917 -  ..
040918 - On 091210 0830 Millie met with Doctor Johnson primary care physician;
040919 - examination showed possible progression of cancer after 1st cycle of
040920 - Navelbine, ref SDS 23 0J4L; doctor prescribed another cycle to
040921 - evaluate effectivness. ref SDS 23 BW53
040923 -  ..
040924 - On 091211 0018 Millie letter confirms understandings from meeting at
040925 - Kaiser and thanks thanked medical team for excellent care, ref SDS 24
040926 - BW8I, based on Doctor Johnson's report in the meeting at Kaiser on
040927 - 091210 that Kaiser is collaborating with Doctor Rugo for UCSF to
040928 - prescribe treatment targeted to Millie's patient profile. ref SDS 24
040929 - XM3X
040931 -  ..
040932 - On 091211 1452 Doctor Johnson reports collaborating with Doctor Rugo
040933 - for UCSF as planned during the meeting yesterday. ref SDS 25 BW8I
040935 -  ..
040936 - On 091211 1648 Millie notifies Doctor Johnson to submit correspondence
040937 - of Kaiser collaborating with Doctor Rugo at UCSF on prescribing
040938 - treatment targeted to Millie's patient profile. ref SDS 26 BW8I
040940 -  ..
040941 - On 091214 1649 Doctor Johnson notifies Millie that Doctor Rugo has not
040942 - replied to Kaiser's letter on 091211. ref SDS 27 BW8I
040944 -  ..
040945 - On 091215 0852 Millie asks Doctor Johnson about sending a copy of
040946 - Kaiser's letter to Tara for assisting Doctor Rugo developing UCSF's
040947 - treatment plan targeted to Millie's patient profile. ref SDS 28 BW8I
040949 -  ..
040950 - On 091215 1557 Millie reports blood counts fall, still permit getting
040951 - 1st treatment 2nd cycle Navelbine, ref SDS 29 BW8I, asks about
040952 - progress collaborating on prescribing next treatment to recover from
040953 - 10th relapse of cancer.
040955 -  ..
040956 - On 100103 1147 Millie asks medical team about progress prescribing
040957 - treatment targeted to Millie's patient profile to recover from 10th
040958 - relapse of cancer. ref SDS 30 BW8I  Millie reports new symptom of rash
040959 - on right side of forehead, which is swelling the right eye; requests
040960 - examination tomorrow to prescribe immediate remedy. ref SDS 30 FZ6V
040962 -  ..
040963 - On 100103 1652 Millie receives automated reply that Doctor Johnson is
040964 - out of the office until 100105, and so cannot make examination
040965 - tomorrow on 100104 requested in Millie's letter this afternoon.
040966 - ref SDS 31 BW8I
040968 -  ..
040969 - On 100103 2023 Millie reponds to notice that Doctor Johnson is out of
040970 - the office tomorrow and so cannot make examination requested in
040971 - Millie's letter earlier today. ref SDS 32 BW8I
040973 -  ..
040974 - On 100104 0830 Millie needs examination of facial blisters today.
040975 - ref SDS 33 BW8I
040977 -  ..
040978 - On 100104 2144 Mille notified medical team on results of meetings
040979 - today at Kaiser that diagnosed and prescirbed treatment for Shingles.
040980 - ref SDS 34 BW8I
040982 -  ..
040983 - On 100106 1327 Doctor Johnson called to ask about meeting with Millie,
040984 - on recovering from shingles, ref SDS 37 BW8I, diagnosed by Doctor
040985 - Zhang at Kaiser, as reported in Millie's letter to the medical team on
040986 - 100104 2144. ref SDS 34 BW8I  Millie is too ill for meeting at Kaiser;
040987 - hoping to be able to meet next week as currently scheduled on 100112.
040988 - ref SDS 37 TF4F  Doctor Johnson reported that Kaiser has not received
040989 - a response from UCSF to Doctor's letter requesting support for
040990 - Millie's treatment to recover from 10th relapse of cancer; doctor asks
040991 - if Millie has been contacted by Doctor Rugo. ref SDS 37 216K  Doctor
040992 - Johnson sent a copy to Tara of his letter on 091211 to Doctor Rugo, so
040993 - that Tara can assist Doctor Rugo developing a treatment plan in time
040994 - to be effective. ref SDS 37 CX5F  Doctor Johnson sent a copy of his
040995 - letter on 091211 to Doctor Rugo at UCSF to Millie, so that the medical
040996 - team can be supported by the doctor/patient partnership. ref SDS 37
040997 - KN66
040999 -  ..
041000 - On 100108 0852 Millie thanks the medical team for collaborating to
041001 - prescribe treatment in time to be effective recovering from the 10th
041002 - relapse of cancer. ref SDS 38 BW8I  Millie reports Doctor Johnson's
041003 - submission to Millie using "secure-email" of a letter Kaiser sent to
041004 - Doctor Rugo at UCSF on 091211 could not be accessed, and so requests
041005 - alternate submission. ref SDS 38 MW4P
041007 -  ..
041008 - On 100108 1053 Mona called and advised that Doctor Dossetor advanced
041009 - the date for follow up meeting to examine recovery from shingles to
041010 - 100111 1100, which was originally scheduled on 100118. ref SDS 39 Z35H
041012 -  ..
041013 - On 100108 1330 Millie notifies medical team that Kaiser Opthalmology
041014 - changed the date for follow up examination to evaluate recovery from
041015 - shingles was changed from 100118 to 100111. ref SDS 40 BW8I
041017 -  ..
041018 - On 100108 1618 drove to Kaiser in Walnut Creek and received from the
041019 - customer couner for Oncology an evelope that contained a printed copy
041020 - of Doctor Johnson's letter to Doctor Rugo dated 091211, ref SDS 41
041021 - BW8I; a second printed document on a single sheet of paper showed
041022 - Doctor Johnson's transmittal forwarding the letter on 091211 to Tara,
041023 - ref SDS 41 HT7L, and Tara's report back to Doctor Johnson saying Doctor
041024 - Rugo prescribes PARP at UC Davis, rather than at UCSF. ref SDS 41 FM5I
041026 -  ..
041027 - On 100111 1120 Millie examined by Doctor Dossetor found shingles
041028 - blisers worse than when examined on 100104, but much improved than
041029 - several days ago. ref SDS 0 BW8I  Examination found no evidence of
041030 - disease in the right eye.
041031 -
041032 -
041033 -
041035 -  ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Millie met this morning with Doctor Dossetor implementing Mona's call
041402 - on 100108 1052 advising that the doctor advanced the meeting to review
041403 - progress recovering from shingles, from 100118 1100 to today.
041404 - ref SDS 39 Z35H
041406 -         ..
041407 -        [On 100112 0047 Millie notified medical team of results meeting
041408 -        with Doctor Dossetor to examine recovery from shingles.
041409 -        ref SDS 42 BW8I
041411 -  ..
041412 - Doctor Dossetor reported that blisters on right side of the forehead
041413 - and right eye are much worse today than observed on 100104, when
041414 - shingles was diagnosed, ref SDS 34 0P6P, which was 3 days after
041415 - initial symptoms of a light rash.  Shingles recovery today follows 7
041416 - days of treatment listed in Millie's letter to the medical tream on
041417 - meeting with Doctor Zhang, and Doctor Dossetor for initial assessment
041418 - and prescription, reported on 100104 2144. ref SDS 34 0P4P
041420 -  ..
041421 - This aligns with Millie's recent report to the medical team that
041422 - shingles symptoms looked worse on 100108, even though she was
041423 - beginning to feel better. ref SDS 40 BW8I
041425 -  ..
041426 - Millie advised that shingles symptoms have begun to subside since
041427 - Saturday, 100109, and so actually look better today than yesterday.
041428 - She is hopefull that treatment is having a positive effect recovering
041429 - from shingles.  The appearance today is that much of the right
041430 - forehead is "bloody" from shingles blisters bursting.   Millie put a
041431 - gauze dressing held in place with a baseball cap, and her glasses.
041432 - This condition began on Friday, 100108, and has gradually improved.
041433 - There are now some spots on the right-side of the forehead where
041434 - normal skin is observed.
041436 -  ..
041437 - Millie has treated bursting shingles blisters with polysporin,
041438 - prescribed by Doctor Dossetor on 100104 2144. ref SDS 34 0P6P
041440 -  ..
041441 - Millie's recovery from shingles looking worse today, but actually
041442 - improved from initial examination on 100104, correlates with recovery
041443 - from the 7th relapse of cancer after starting MPA treatment at UCSF on
041444 - 090616.  She reported to the medical team on 090715 that IBC worsened
041445 - after starting treatment for several weeks, but by the end of the 3rd
041446 - week IBC cancer began to subside on the left arm and chest.
041447 - ref SDS 13 0I4Y  The next day, Tara confirmed that IBC looked worse on
041448 - 090716 than 4 weeks earlier on 090616. ref SDS 14 EE9U
041450 -  ..
041451 - Doctor Dossetor advised that she will report in the medical chart
041452 - progress toward recovery based on patient history reviewed during the
041453 - meeting today, per above. ref SDS 0 ML5G  Since Millie started to
041454 - recover a few days ago, per above, ref SDS 0 ML6G, the doctor expects
041455 - today that Millie will fully recover by the end of the week, as
041456 - originally expected for shingles having a 2 week cure period.
041458 -             ..
041459 -            [...below, Doctor Dossetor's medical chart reports shingles
041460 -            improving, and does not prescribe continung treatment nor
041461 -            follow up examination. ref SDS 0 MC61
041463 -             ..
041464 -            [On 100112 0043 Millie reported Doctor Dossetor's favorable
041465 -            prognosis to the medical team, ref SDS 42 IS8P, and that
041466 -            she is nearly out of prescribed medications. ref SDS 42
041467 -            IS9T
041469 -  ..
041470 - As a result, Doctor Dossetor did not prescribe continuing treatment
041471 - for shingles after the current prescription is completed in 2 days,
041472 - nor did the doctor schedule follow up examination to evaluate shingles
041473 - recovery.
041474 -
041475 -            [On 100112 0047 Millie reported to medical team shingles
041476 -            got worse, then improved following prior pattern of cancer
041477 -            disease trajectory. ref SDS 42 IS8U
041479 -             ..
041480 -            [On 100112 0830 during meeting at Kaiser, Millie's primary
041481 -            care physician, Doctor Johnson, extended Millie's treatment
041482 -            another 10-days, and he ordered delaying the 3rd cycle of
041483 -            Navelbine chemotherapy for Millie to recover from the 10th
041484 -            relapse of cancer, until after completing the 2nd 10-day
041485 -            treatment to recover from shingles. ref SDS 43 G65N
041487 -             ..
041488 -            [On 100128 2249 letter to medical team reports that 3rd
041489 -            10-day treatment for shingles prescribed during meeting at
041490 -            Kaiser on 100121, and this delayed again starting treatment
041491 -            with Navelbine chemotherapy to recover from cancer.
041492 -            ref SDS 44 FM4T
041494 -  ..
041495 - The doctor examined Millie's eyes and reported finding no evidence of
041496 - damage to the eyes or vision.  Millie asked about the cornea.  The
041497 - doctor dialated Millie's eyes and confirmed her findings of no injury
041498 - to the eyes from shingles.
041500 -  ..
041501 - The doctor prescribed continuing eye drops twice a day for the rest of
041502 - the week, in addition to applying polysporin antibiotic to prevent
041503 - infection from bursting shingles blisters, as prescribed on 100104.
041504 - ref SDS 34 0P6P
041506 -  ..
041507 - Millie requested a copy of the medical chart for the visit today.
041509 -  ..
041510 - Doctor Dossetor advised that sending medical information to the
041511 - patient required by HIPAA is difficult using Kaiser's Knowledge
041512 - Management System.
041514 -  ..
041515 - Millie reported that the primary care physician routinely submits the
041516 - medical chart to the patient for effective collaboration using the
041517 - doctor/patient partnership model.
041519 -  ..
041520 - Doctor Dossetor asked Millie to ask Doctor Johnson, the primary care
041521 - physician, to submit the medical chart to the patient prepared by
041522 - Doctor Dossetor for the meeting today.
041523 -
041524 -
041525 -
041526 -
0416 -

SUBJECTS
Default Null Subject Account for Blank Record

0503 -
050401 -  ..
050402 - Medical Chart for Meeting Opthalmology Doctor Dossetor
050403 -
050404 - This is a test....
050405 -
050406 -    1.  Visit notes Chief Complaint SHINGLES
050408 -         ..
050409 -    2.  HPI:
050410 -
050411 -        ************** is a 73 Y female here today for f/up Shingles
050412 -        OD/Right side of face.
050414 -         ..
050415 -    3.  Current Eye Medications: Ocuflox bid OD.
050417 -         ..
050418 -    4.  Review of Systems:
050419 -
050420 -        Constitutional: Pt. denies having fever or Headache.
050425 -         ..
050426 -        Past ocular history Glaucoma Suspect
050427 -        Shingles Right side of Face
050428 -        Dilation drops @
050430 -         ..
050431 -    5.  Visual acuity Glasses Contacts sc Pinhole.
050432 -
050433 -        . OD 20 / 40+1 .
050434 -        . OS 20 / 30 .
050435 -
050437 -         ..
050438 -    6.  Glaucoma Noncontact IOP C/D ratio . . .
050439 -
050440 -        . OD 12 . . .
050441 -        . OS 14 . . .
050443 -         ..
050444 -        Not recorded
050446 -         ..
050447 -    7.  Progress Notes
050452 -         ..
050453 -    8.  Visit Notes
050455 -         ..
050456 -    9.  Chief Complaint SHINGLES
050458 -         ..
050459 -   10.  HPI:
050460 -
050461 -        ************** is a 73 Y female here today for f/up Shingles
050462 -        OD/Right side of face.
050464 -         ..
050465 -   11.  Current Eye Medications: Ocuflox bid OD.
050467 -         ..
050468 -   12.  Review of Systems:
050470 -         ..
050471 -        Constitutional: Pt. denies having fever or Headache.
050473 -         ..
050474 -        Mona D Fitzgerald 1/11/2010 11:24 AM
050476 -         ..
050477 -   13.  Past ocular history
050479 -         ..
050480 -   14.  Glaucoma Suspect
050481 -        Shingles Right side of Face
050483 -         ..
050484 -   15.  Visual acuity
050486 -         ..
050487 -   16.  OD cG: 20/40+1
050488 -        OS cG: 20/30
050490 -         ..
050491 -   17.  Intraocular pressure (by noncontact/air-puff)
050493 -         ..
050494 -   18.  OD 12
050495 -        OS 14
050496 -
050498 -         ..
050499 -        1/11/2010
050501 -         ..
050502 -   19.  FRANCES MARY DOSSETOR MD
050503 -
050505 -         ..
050506 -        Subjective: conj and ll swelling less
050508 -         ..
050509 -   20.  On exam:
050511 -         ..
050512 -   21.  sle: od: cornea: clear; ac quiet; ns and pscc
050514 -         ..
050515 -   22.  Os: cornea clear; ac quiet; ns and pscc
050517 -         ..
050518 -   23.  iop: see above
050520 -         ..
050521 -   24.  Fundus: dilated: discs and maculae: wnl
050523 -         ..
050524 -   25.  Assessment and Plan:  Shingles improving.
050525 -
050526 -            [...Doctor Dossetor's treatment plan in the medical chart
050527 -            aligns with understandings during the meeting this morning,
050528 -            shown above. ref SDS 0 6P8I
050529 -
050530 -            [On 100112 0043 Millie reported Doctor Dossetor's favorable
050531 -            prognosis to the medical team, ref SDS 42 IS8P, and that
050532 -            she is nearly out of prescribed medications. ref SDS 42
050533 -            IS9T
050534 -
050535 -
050536 -
050537 -
050538 -
050539 -
050540 -
050541 -
050542 -
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050551 -
0506 -