CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS 64 0000. ref SDS 63 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 39 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 40 4P7G, following up the letter on
040912 - 091112, ref SDS 35 IL8L, and meeting with Doctor Johnson at Kaiser
040913 - later that day on 091112. ref SDS 36 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 41 0J4L; doctor prescribed 2nd cycle to evaluate
040921 - effectivness. ref SDS 41 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 42
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 42
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 43 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 44 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 45 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 46 BW8I
040949 -  ..
040950 - On 091215 1557 Millie reports blood counts fall, still permit getting
040951 - 1st treatment 2nd cycle Navelbine, ref SDS 47 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 48 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 48 FZ6V
040961 - Reports IBC seems worse, and so need UCSF work plan to recover from
040962 - medical mistakes. ref SDS 48 FZ7U
040964 -  ..
040965 - On 100103 1652 Millie receives automated reply that Doctor Johnson is
040966 - out of the office until 100105, and so cannot make examination
040967 - tomorrow on 100104 requested in Millie's letter this afternoon.
040968 - ref SDS 49 BW8I
040970 -  ..
040971 - On 100103 2023 Millie reponds to notice that Doctor Johnson is out of
040972 - the office tomorrow and so cannot make examination requested in
040973 - Millie's letter earlier today. ref SDS 50 BW8I
040975 -  ..
040976 - On 100104 0830 Millie needs examination of facial blisters today.
040977 - ref SDS 51 BW8I
040979 -  ..
040980 - On 100104 1115 Millie examination Doctor Zhang at Kaiser Adult Care
040981 - diagnoses facial blisters are shingles, 100104 1115, ref SDS 52 0P9S,
040982 - and prescribed 2 week treatment. ref SDS 52 QB5K
040984 -  ..
040985 - On 100104 2144 Mille notified medical team on results of meetings
040986 - today at Kaiser that diagnosed and prescirbed treatment for Shingles.
040987 - ref SDS 53 BW8I
040989 -  ..
040990 - On 100106 1327 Doctor Johnson called to ask about meeting with Millie
040991 - to review progress recovering from shingles, ref SDS 57 BW8I,
040992 - diagnosed by Doctor Zhang at Kaiser, as reported in Millie's letter to
040993 - the medical team on 100104 2144. ref SDS 53 BW8I  Millie is too ill
040994 - for meeting at Kaiser; hoping to be able to meet next week as
040995 - currently scheduled on 100112. ref SDS 57 TF4F  Doctor Johnson
040996 - reported that Kaiser has not received a response from UCSF to Doctor's
040997 - letter requesting support for Millie's treatment to recover from 10th
040998 - relapse of cancer; doctor asks if Millie has been contacted by Doctor
040999 - Rugo. ref SDS 57 216K  Doctor Johnson sent a copy to Tara of his
041000 - letter on 091211 to Doctor Rugo, so that Tara can assist Doctor Rugo
041001 - developing a treatment plan in time to be effective. ref SDS 57 CX5F
041002 - Doctor Johnson sent a copy of his letter on 091211 to Doctor Rugo at
041003 - UCSF to Millie, so that the medical team can be supported by the
041004 - doctor/patient partnership. ref SDS 57 KN66
041006 -  ..
041007 - On 100108 0852 Millie thanks the medical team for collaborating to
041008 - prescribe treatment in time to be effective recovering from the 10th
041009 - relapse of cancer. ref SDS 58 BW8I  Millie reports Doctor Johnson's
041010 - submission to Millie using "secure-email" of a letter Kaiser sent to
041011 - Doctor Rugo at UCSF on 091211 could not be accessed, and so requests
041012 - alternate submission. ref SDS 58 MW4P
041014 -  ..
041015 - On 100108 1053 Mona called and advised that Doctor Dossetor advanced
041016 - the date for follow up meeting to examine recovery from shingles to
041017 - 100111 1100, which was originally scheduled on 100118. ref SDS 59 Z35H
041019 -  ..
041020 - On 100108 1330 Millie notifies medical team that Kaiser Opthalmology
041021 - changed the date for follow up examination to evaluate recovery from
041022 - shingles was changed from 100118 to 100111. ref SDS 60 BW8I
041024 -  ..
041025 - On 100108 1618 drove to Kaiser in Walnut Creek and received from the
041026 - customer couner for Oncology an evelope that contained a printed copy
041027 - of Doctor Johnson's letter to Doctor Rugo dated 091211, ref SDS 61
041028 - BW8I; a second printed document on a single sheet of paper showed
041029 - Doctor Johnson's transmittal forwarding the letter on 091211 to Tara,
041030 - ref SDS 61 HT7L, and Tara's report back to Doctor Johnson saying Doctor
041031 - Rugo prescribes PARP at UC Davis, rather than at UCSF. ref SDS 61 FM5I
041033 -  ..
041034 - On 100111 1120 Millie examined by Doctor Dossetor found shingles
041035 - blisers worse than when examined on 100104, but much improved than
041036 - several days ago. ref SDS 62 BW8I  Examination found no evidence of
041037 - disease in the right eye.
041039 -  ..
041040 - On 100112 0047 Millie notified medical team of agenda meeting with
041041 - primary care physician at Kaiser today for prescribing treatment to
041042 - recover from 9th relapse, or changing treatment to begin recovering
041043 - from 10th relapse. ref SDS 63 BW8I
041045 -  ..
041046 - On 100112 0830 Millie met with Doctor Johnson, primary care physician,
041047 - at Kaiser and discussed issues in the agenda submitted to the medical
041048 - team earlier this morning, per above. ref SDS 64 6J4K, specifically
041049 - recovery from shingles and from 9th relapse of cancer, and progresss
041050 - prescribing treatment for the 10th relapse. ref SDS 64 BW8I
041052 -  ..
041053 - On 100120 0217 Millie prepared letter to medical team reporting
041054 - results of the meeting with Doctor Johnson at Kaiser last week on
041055 - 100112, ref SDS 64 BW8I, and submitting agenda for meeting tomorrow to
041056 - follow up. ref SDS 0 BW8I
041057 -
041058 -
041060 -  ..
0411 -
0412 -
0413 - Progress
0414 -
041401 - Agenda Review Record Pending Issues
041402 -
041403 - Follow up ref SDS 64 BW8I, ref SDS 41 BW8I.
041404 -
041405 - Millie's letter to the medical team, was also sent to the children for
041406 - information on progress recovering from 9th relapse of cancer, and to
041407 - supplement the prior letter to Kim on 090630 commending family support
041408 - and inspiration for Millie to continue treatment under difficult
041409 - clinical, logistical, and financial challenges. ref SDS 26 IY5H
041410 -
041411 -            [On 100121 1513 Millie attached this letter to a letter
041412 -            transmitting Christmas picture. ref SDS 66 BR8S
041414 -             ..
041415 -            [On 100123 1600 AT Millie's birthday party, the family
041416 -            encouraged Millie to plan a vacation cruise in the
041417 -            Meeteranian during May; hopefully, will relieve stress and
041418 -            worry handling difficult case manaqgement. ref SDS 67 XJ86
041420 -  ..
041421 - Millie's letter today says...
041422 -
041423 -    1.  Subject: Meeting at Kaiser Treatment Plan 10th Relapse, INR 3.7
041424 -        Date: Wed, 20 Jan 2010 13:24:00 -0800
041439 -         ..
041440 -    2.  First, I got a call from your assistant in Oncology at Kaiser
041441 -        that our meeting tomorrow is changed from 1200 to 1120, because
041442 -        you now have another commitment at 1200.  She also indicated
041443 -        you have another patient ahead of me, so tomorrow will hurried
041444 -        and hectic.  Therefore, I am taking time today for
041445 -        comprehensive review of issues, so the medical team can make
041446 -        progress, regardless of limited time in the meeting tomorrow.
041448 -         ..
041449 -    3.  Second, for Gloria, case manager in Kaiser's Coagulation
041450 -        Control Clinic, INR 3.7 was reported for the lab yesterday on
041451 -        100119, implementing guidance from Kaiser adjusting Coumadin,
041452 -        reported in patient history on 100105. ref SDS 54 VH4M
041454 -         ..
041455 -    4.  On 100112 Doctor Johnson extended treatment for shingles
041456 -        another 2 weeks [actually 10 days, ref SDS 64 G65N].  Please
041457 -        advise of adjustments in warfarin to meet the target range 2.0
041458 -        - 3.0.
041460 -         ..
041461 -    5.  For the medical team, I had hoped to have full recovery from
041462 -        shingles by this time, [suggested by Doctor Zhan during
041463 -        examination at Kaiser on 100104 1115], more than 2 weeks after
041464 -        initial symptoms. ref SDS 52 QB59  As of yesterday, bleeding
041465 -        blisters still covered about 33% of my right forehead, which
041466 -        causes considerable pain.  Thankfully, Oxychodone (Percocet)
041467 -        helps control pain.
041469 -         ..
041470 -    6.  Good news -- today suddenly shingles has significantly cleared
041471 -        on my forehead, so maybe this will be over soon.
041473 -         ..
041474 -    7.  On 100112 Doctor Johnson paused treatment for cancer 2 weeks
041475 -        due to diagnosis of shingles. ref SDS 64 G68H  This 2-week
041476 -        "treatment holiday" was confirmed by a call yesterday afternoon
041477 -        from Anne in the Oncology Chemotherapy Infusion Clinic.  I
041478 -        cannot find research that explains association between shingles
041479 -        and cancer/chemotherapy, other than concern about immune system
041480 -        [...cited by Doctor Zhang at Kaiser on 100104. 100104 1115,
041481 -        ref SDS 52 PS49; and, which aligned with guidance from Kaiser's
041482 -        pharmacy on 090601 0818. ref SDS 20 FR8L...].
041484 -         ..
041485 -    8.  Research shows several vaccines are available to reduce risks
041486 -        of shingles recurrence [reported on 100104 1115. ref SDS 52
041487 -        IS5I], and can be given to me after I recover from the first
041488 -        attack [see further research on 100112, ref SDS 64 0941],
041489 -        hopefully in a week or so.  Since my age is a major risk factor
041490 -        for shingles recurrence [also shown on 100104. ref SDS 52
041491 -        N76I], tomorrow I would like to schedule getting the shingles
041492 -        vaccine.  Several people have told me they got shingles
041493 -        multiple times, so I want to avoid this risk.
041495 -         ..
041496 -    9.  H1N1 flue vaccine can also be discussed tomorrow.
041498 -         ..
041499 -   10.  The MRI test was performed yesterday [reported on 100119 1130.
041500 -        ref SDS 65 MO5I], which you ordered during the meeting last
041501 -        week on 100112, to evaluate severe headaches. ref SDS 64 KC5J
041502 -        Lori, the MRI technician advised that the analyst's report
041503 -        takes 5 days.  She further explained that you can get a "wet
041504 -        read" today to support the meeting tomorrow.  If possible, I
041505 -        would like to get preliminary results to prepare for the
041506 -        meeting tomorrow.
041508 -         ..
041509 -   11.  During the meeting last week on 100112 there was discussion of
041510 -        getting a CT scan that includes vital organs in the neck,
041511 -        chest, abdomen and pelvis, as we have been doing the past 8
041512 -        years.  You demurred seeming to indicate that nothing in a CT
041513 -        test would influence treatment, and so only the head was
041514 -        scanned yesterday to evaluate recent headaches [reported on
041515 -        100112 0830. ref SDS 64 L54N].
041517 -         ..
041518 -   12.  Tomorrow, I want to consider getting a full CT scan for best
041519 -        evidence on cancer spreading to internal organs and bones.  A
041520 -        big lump has developed the past few weeks at the left collar
041521 -        bone near my throat.  Bones seem to ache in my chest where
041522 -        radiation was performed in February and March 2009.  The past
041523 -        number of weeks I have felt bad inside my chest.  I forgot to
041524 -        mention this during the meeting last week, because there are so
041525 -        many things to remember [see report on 100112 0830. ref SDS 64
041526 -        448F].  Oxychodone has saved the day with welcome relief.  Some
041527 -        days I feel like my whole body is failing.  As noted, today I
041528 -        feel much better with shingles subsiding considerably, so my
041529 -        face does not look so bad.
041531 -         ..
041532 -   13.  Obviously, evidence of cancer spreading impacts Hospice
041533 -        considerations, listed in your medical chart.  If a CT test
041534 -        shows I am a "lost cause," I would prefer to spend my remaining
041535 -        time without the constant burden of medical logistics.  Can a
041536 -        CT scan provide a better picture on how much effort to invest
041537 -        on further treatment? [...requested during meeting at Kaiser on
041538 -        100112, and not ordered by Doctor Johnson on the grounds that
041539 -        CT testing would not influence treatment planning. ref SDS 64
041540 -        L54N...].
041542 -         ..
041543 -   14.  During an earlier meeting at Kaiser last year, when I was
041544 -        hospitalized for painful breathing, you noted that even though
041545 -        the past 20 or so CT/PET/MRI tests over the past 8 years have
041546 -        never found evidence of cancer in my internal organs, there is
041547 -        likely cancer at very low levels, which is resisted by synergy
041548 -        between treatments and my immune system, strengthened with
041549 -        vigorous exercise.  This combination was very effective until
041550 -        July, when UCSF changed the prescription from "targeted" to
041551 -        general chemotherapy, first with Gemzar and now Navelbnine.
041552 -        While I got through the 8th relapse of cancer under this
041553 -        regimen, former synergy between treatment and exercise was
041554 -        reduced to zero.  Therefore, I am great risk until the team
041555 -        prescribes targeted treatment so that synergy is restored
041556 -        between treatment and exercise, as you explained during the
041557 -        meeting on 030606.
041559 -         ..
041560 -   15.  My last CT test on 090919 ordered in the ER to assess painful
041561 -        breathing found no evidence of cancer, not even in lymph nodes,
041562 -        including the neck, which have been early warnings in the past.
041563 -        Therefore, if a new CT test shows my cancer has not spread
041564 -        internally, e.g., to bones, lungs, liver, pancreas, etc., and
041565 -        if we can find a "targeted" treatment that does not have
041566 -        debilitating side effects, then I am prepared to continue work
041567 -        treating my "stage V" cancer as a "chronic disease," as you
041568 -        prescribed on 090213. ref SDS 16 GC6N
041570 -         ..
041571 -   16.  Good news -- the lab last week, and again yesterday the lab on
041572 -        100119 show rising blood counts, signaling evident strength of
041573 -        my immune system, with ANC 5100 (NEUTS 5.1 at UCSF), just about
041574 -        the highest  I have ever had 8 years.  Elevated WBC 7.0 may
041575 -        reflect the immune system is reacting to shingles infection,
041576 -        but now my red blood cell counts have finally increased to
041577 -        within specified targets, after 4 - 5 months of low labs.
041579 -         ..
041580 -   17.  Better news -- CA 15-3 212 for the test last week on 100112,
041581 -        declined after rising 2 weeks earlier to 248.  Improvement in
041582 -        the cancer marker aligns with your examination at Kaiser later
041583 -        that same day on 100112 finding significant response to
041584 -        Navelbine chemotherapy. ref SDS 64 3U7H  IBC on my left arm and
041585 -        across my chest, as well as lymphedema, all improved, except
041586 -        for one lump on the upper left chest near shoulder joint.
041588 -         ..
041589 -   18.  Again, as noted, this morning I am feeling very energetic with
041590 -        the prospect of brighter days ahead, now that my breathing has
041591 -        improved, and shingles seems to be ending.  No doubt the "chemo
041592 -        holiday" also helps a lot.
041594 -         ..
041595 -   19.  We can discuss in the meeting tomorrow at Kaiser resuming
041596 -        treatment for cancer starting the 3rd cycle of Navelbine next
041597 -        week on 100127, in order to give the medical [time] time to
041598 -        assess trade-offs of available "targeted" treatments [case
041599 -        study on 090725 shows requests for trade-offs on alternative
041600 -        treatments to optimize Millie's care. ref SDS 30 X66O].
041602 -         ..
041603 -   20.  During the meeting last week on 100112, you reviewed PARP
041604 -        treatments, ref SDS 64 N586, prescribed by Doctor Rugo at UCSF
041605 -        on 090616, and again in UCSF's recent letter to Kaiser on
041606 -        100105 [received in the record on 100108 1618]. ref SDS 61 FM5I
041607 -
041608 -            [On 100302 0830 Doctor Johnson advised that Doctor Rugo has
041609 -            still not had time to return Kaiser's calls on starting
041610 -            Millie on PARP at UCSF in order for Millie to recover from
041611 -            cancer spreading due to UCSF medical mistakes. ref SDS 69
041612 -            L86L
041614 -         ..
041615 -   21.  At that time while meeting in your office at Kaiser on 100112,
041616 -        you also reviewed an article in the Fall 2009 issue of "Cure,"
041617 -        which on page 52 explains PARP technology that is targeted to
041618 -        my triple negative patient profile, and so attacks my cancer
041619 -        without debilitating side effects.  Recall this "targeted"
041620 -        feature of PARP was the basis for Kaiser prescribing cetuximab
041621 -        at UCSF on 070105. ref SDS 2 VQ5K
041622 -
041623 -            [On 100218 1000 Millie discouraged by severe side effects
041624 -            from chemotherapy and difficulty getting timely care to
041625 -            recover from advancing cancer caused by medical mistakes at
041626 -            UCSF;, ref SDS 68 XE6I; Doctor Johnson reminds Millie she
041627 -            has a lot to live for, and that new treatments are becoming
041628 -            available everyday. ref SDS 68 XE6X
041630 -         ..
041631 -   22.  Since Kaiser's prior prescription of care "targeted" to my
041632 -        patient profile provided a high quality of life for nearly 2
041633 -        years, allowing me to work, exercise, and contribute to family
041634 -        and community, this presents an effective standard of care for
041635 -        treating my looming 10th relapse of cancer, which is likely to
041636 -        occur in the next few weeks, based on patient history with
041637 -        sunitinib and Gemzar, particularly since we were forced to
041638 -        pause treatment due to shingles.  Investing time to be prepared
041639 -        for the 10th relapse of cancer, reflects your many warnings
041640 -        that because Kaiser and UCSF have been successful treating my
041641 -        stage IV cancer for 5 years, my cancer has moved to a much more
041642 -        aggressive "stage V" condition that requires starting the next
041643 -        treatment quickly following progression.  Since this is a new
041644 -        condition, there are few treatments available, opening an
041645 -        opportunity to innovate both treatment and s
041647 -         ..
041648 -   23.  In your review of PARP treatments last week, there was
041649 -        discussion that Kaiser typically does not support phase 1
041650 -        clinical trials, because this conflicts with evidenced-based
041651 -        medicine practiced at Kaiser.
041653 -         ..
041654 -   24.  In this case, Kaiser should make a reasonable effort to recover
041655 -        from UCSF medical mistakes failing to treat cancer in my
041656 -        breastbone area, which caused cancer to spread, and severely
041657 -        impacted my breathing, both beginning on 090401.  At that time,
041658 -        on 090401 I requested treatment.  UCSF delayed treatment until
041659 -        the "wound" in my breastbone healed, mistakenly believing this
041660 -        was reaction to radiation.  On 090609 Doctor Hsu in the UCSF
041661 -        Radiology Oncology Department discovered the "wound" is
041662 -        actually cancer that was untreated for nearly 6 months, causing
041663 -        cancer to spread.   UCSF took immediate control of the case and
041664 -        within 7 days on 090616, started me on MPA prescribed by Doctor
041665 -        Hsu to recover from radiation mistakes.
041667 -         ..
041668 -   25.  Doctor Rugo advised on 090616 that "everybody at Kaiser and
041669 -        UCSF is on board" for treating my cancer as a chronic disease
041670 -        targeted to my patient profile.  The doctor further indicated
041671 -        that after MPA, UCSF would treat me with PARP, as the newest
041672 -        line of targeted treatments for my cancer. ref SDS 24 D647
041674 -         ..
041675 -   26.  Since UCSF is responsible for the cost to recover from medical
041676 -        mistakes providing radiation medical services on referral from
041677 -        Kaiser during 090219 - 090317, Kaiser is responsible to fairly
041678 -        represent my interests.  This requires making the best judgment
041679 -        of treatment for me based on the best evidence possible for my
041680 -        case.  I have tried my best to be a team player and accept
041681 -        severely debilitating treatment the past 6 months with
041682 -        conventional chemotherapies using Gemzar and Navelbine that are
041683 -        not "targeted" to my patient profile.  Since I spend most of my
041684 -        time in bed due to these treatments, and apart from the recent
041685 -        shingles affliction, I would like a written explanation
041686 -        comparing trade-offs for expected effectiveness and side
041687 -        effects of the many "targeted" treatments under consideration
041688 -        in my case, and cited in the letter submitted to the medical
041689 -        team at your request on 090326 0947, ref SDS 19 QM3V [and
041690 -        citing the letter earlier that day on 090326 0058. ref SDS 18
041691 -        DW5S - case study on 090725 shows requests for trade-offs
041692 -        comparing treatments based on best evidence. ref SDS 30 X66O].
041694 -         ..
041695 -   27.  Since my case is complicated, making a detailed review of
041696 -        available treatments takes a lot of time.  Your assistant
041697 -        called today and said that you have to compress our meeting
041698 -        scheduled tomorrow at 1200, which typically takes an hour or
041699 -        so, because you have another commitment at 1200, and so want to
041700 -        meet me at 1120, and that you have another patient ahead of me.
041701 -        As you know, I have no problem accommodating your schedule.
041702 -        Indeed I greatly admire your work ethic taking on so many
041703 -        responsibilities.  Limited time, however, does not relieve
041704 -        Kaiser and UCSF from responsibility to recover from medical
041705 -        mistakes in this case.
041707 -         ..
041708 -   28.  In the meeting on 090909, you expected to have time for this
041709 -        work, ref SDS 31 VF60; but, like today, your schedule later
041710 -        changed, since this has not been done.  Similarly, Doctor Rugo
041711 -        has not had time to make this review.  Kaiser should therefore
041712 -        hire someone to perform the work on identifying my next
041713 -        treatment based on the best evidence possible for my case.
041714 -        Costs to recover for UCSF medical mistakes are chargeable to
041715 -        UCSF.
041717 -         ..
041718 -   29.  Since I have received most treatments for breast cancer,
041719 -        protocols now have to be adjusted to treat my stage V condition
041720 -        in order to recover from medical mistakes that caused cancer to
041721 -        spread beginning on April 1, 2009.   Doctor discretion has
041722 -        supported numerous waivers of protocols for my care the past 8
041723 -        years, and so can be applied now to provide essential care in
041724 -        time to be effective.  This needs to be investigated to
041725 -        prescribe treatment, like PARP, targeted to my patient profile,
041726 -        so I do not suffer further debilitating side effects.
041728 -         ..
041729 -   30.  Kaiser and UCSF have a lot of talent and resources for
041730 -        innovation and medical care.  Therefore, the fact that Doctor
041731 -        Johnson and Doctor Rugo are busy should not prevent recovery
041732 -        from medical mistakes reported on 090609, that occurred from
041733 -        UCSF providing care on referral from Kaiser during February and
041734 -        March 2009.
041736 -         ..
041737 -   31.  Since I am ECOG performance score 0, this is nominally a long
041738 -        way from Hospice.  I would none-the-less like to get review of
041739 -        available treatments and testing to see if this might be an
041740 -        appropriate choice me at this time.
041741 -
041747 -
041748 -
041749 -
041750 -
041751 -
041752 -
041753 -
041754 -
041755 -
041756 -
041757 -
0418 -