Welch Company
San Francisco, CA


S U M M A R Y


DIARY: May 1, 2010 08:17 PM Saturday; Rod Welch

Doctor Rugo plans to collaborate with Doctor Johnson on work plan for
Millie to recover from 11th relapse of cancer.

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 13 0000.
040502 -
040503 -
040504 -
040505 -
040507 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 100501 1037 Millie letter to medical team confirms Kaiser's new
040902 - strategy to treat Millie's cancer with "targeted therapy." ref SDS 13
040903 - F25O  Millie requests Kaiser immediately switch from Abraxane
040904 - chemotherapy that has failed, and implement Doctor Rugo's plan at UCSF
040905 - on 090616, to treat Millie with PARP that is "targeted" to Millie's
040906 - rare patient profile of "triple negative" and avoids pain and
040907 - suffering from chemotherapy side effects, and for the purpose of
040908 - recovering from UCSF medical mistakes. ref SDS 13 U47P and ref SDS 13
040909 - U49V
040911 -  ..
040912 - On 100501 2017 Millie received letter from Doctor Rugo saying she will
040913 - communicate with Doctor Johnson at Kaiser on the work plan for Millie
040914 - to recover from the 11th relapse of cancer. ref SDS 0 HH4I
040915 -
040917 -  ..
0410 -
0411 -
0412 - Progress
0413 -
041301 - The doctor says...
041302 -
041303 -    1.  Subject: Re: Cancer 11th Relapse Requires Targeted Therapy Overcome Resistance to Chemotherapy
041304 -        Date: Sat, 1 May 2010 17:21:56 -0700
041314 -         ..
041315 -    2.  Please take me off this email list.  I can not conduct
041316 -        communications with patients on unsecure email.
041317 -
041318 -            [On 100502 0140 Millie letter to medical team explains
041319 -            advantages of public domain email, and waives liability for
041320 -            UCSF and Kaiser from inadvertant breach of patient
041321 -            confidentility in her case. ref SDS 14 CO3W
041323 -             ..
041324 -            [On 100503 1945 Kaiser resubmitted letter sent initially
041325 -            with "secure email" for protecting patient confidentiality,
041326 -            and using public domain email with level of confidentiality
041327 -            acceptable to the patient for efficient communication.
041328 -            ref SDS 16 YL5N
041330 -             ..
041331 -            [On 100504 1609 Sara, Practice Manager for UCSF Oncology
041332 -            Breast Care Clinic, called and notified Millie that lawyers
041333 -            in the UCSF Risk Management Department want Millie to use
041334 -            secure email to comply with Federal regulations; Sara does
041335 -            not know what Federal regulations apply in this case, nor
041336 -            what the regulations say that justify denying the patient
041337 -            the right to choose the level of confidentiality suited to
041338 -            the patients need for communicating effectively with her
041339 -            medical team, and with transparency that encourages
041340 -            accuracy and timeliness. ref SDS 18 ZV6M
041342 -         ..
041343 -    3.  I will speak with Dr Johnston separately. [...responding to
041344 -        Doctor Johnson's work plan to contact Doctor Rugo for Millie to
041345 -        start treatment with PARP for recovering from UCSF medical
041346 -        mistakes, planned in the meeting at Kaiser on 100427 0830.
041347 -        ref SDS 11 WT9M , and confirmed in Millie's letter to the
041348 -        medical team on 100501, requesting immediate treatment,
041349 -        ref SDS 13 U44Y, implementing UCSF work plan agreed in a letter
041350 -        with Kaiser on 090616, prescribing "targeted" treatment with
041351 -        PARP, ref SDS 7 KD6L, for Millie to recover from 11th relapse
041352 -        of cancer caused by medical mistakes at UCSF, also cited in
041353 -        Millie's letter on 100501 1037. ref SDS 13 U47P and ref SDS 13
041354 -        U44V...]
041355 -
041356 -            [On 100502 0140 Millie letter to medical team thanks Doctor
041357 -            Rugo for committing to communicate with Doctor Johnson at
041358 -            Kaiser on Millie recovering from 11th relapse of cancer
041359 -            caused by medical mistakes at UCSF, ref SDS 14 HH4I, and
041360 -            Millie asks Doctor Rugo to provide medical support soon
041361 -            because time is of the essence. ref SDS 14 CO6S
041363 -             ..
041364 -            [On 100503 1522 Millie notifies medical team that time of
041365 -            the essence to get the next treatment going. ref SDS 15
041366 -            TD5W
041368 -             ..
041369 -            [On 100503 1522 Millie asks Doctor Johnson for results of
041370 -            communication with Doctor Rugo that relates to her health
041371 -            care, and for the purpose of comprehensive case management
041372 -            to get treatment in time to be effective. ref SDS 15 TD7U
041374 -             ..
041375 -            [On 100503 1945 Kaiser notifies Millie to get remaining 2
041376 -            treatments with Abraxane chemotherapy that seems to be
041377 -            failing, and then after 3 more weeks without treatment,
041378 -            following a trip abroad, the doctor will discuss "next
041379 -            steps." ref SDS 16 YL5N
041381 -             ..
041382 -            [On 100503 2338 Millie reports to medical team that she
041383 -            will implement the Kaiser's guidance to delay changing
041384 -            treatments, and takes Kaiser's letter today as assurance
041385 -            that recovery will be equal to changing treatment
041386 -            immediately on 100505. ref SDS 17 6X7S
041388 -             ..
041389 -            [On 100504 1609 Sara, Practice Manager for UCSF Oncology
041390 -            Breast Care Clinic, called and notified Millie that Doctor
041391 -            Rugo will soon communicate with Doctor Johnson, or had
041392 -            already done so, to coordinate with Kaiser on planning
041393 -            Millie's next treatment to recover from the 11th relapse of
041394 -            cancer. ref SDS 18 NT5N
041396 -             ..
041397 -            [On 100606 2314 Doctor Johnson reported that Doctor Rugo
041398 -            has still not returned his call from Kaiser requesting
041399 -            treatment plan for Millie to recover from UCSF medical
041400 -            mistakes. ref SDS 19 S66O
041401 -
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0415 -