CONTACTS 

SUBJECTS
CA 15-3 520 Kaiser Lab 100511 Cancer Marker Rises Highest Patient Hi

0803 -
0803 -    ..
0804 - Summary/Objective
0805 -
080501 - Follow up ref SDS 27 0000, ref SDS 26 0000,.
080502 -
080503 -
080504 -
080505 -
080507 -  ..
0806 -
0807 -
0808 - Background
0809 -
080901 - On 100501 1037 Millie letter to medical team confirms Kaiser's new
080902 - strategy to treat Millie's cancer with "targeted therapy." ref SDS 17
080903 - F25O  Millie requests Kaiser immediately switch from Abraxane
080904 - chemotherapy that has failed, and implement Doctor Rugo's plan at UCSF
080905 - on 090616, to treat Millie with PARP that is "targeted" to Millie's
080906 - rare patient profile of "triple negative" and avoids pain and
080907 - suffering from chemotherapy side effects, and for the purpose of
080908 - recovering from UCSF medical mistakes. ref SDS 17 U47P and ref SDS 17
080909 - U49V
080911 -  ..
080912 - On 100501 2017 Millie received letter from Doctor Rugo saying she will
080913 - communicate with Doctor Johnson at Kaiser on the work plan for Millie
080914 - to recover from the 11th relapse of cancer. ref SDS 18 HH4I
080916 -  ..
080917 - On 100502 0140 Millie responds to Doctor Rugo's letter reporting
080918 - commitment to communicate with Doctor Johnson at Kaiser on the work
080919 - plan for Millie to recover from 11th relapse of cancer. ref SDS 19
080920 - HH4I
080922 -  ..
080923 - On 100502 0140 Millie responds to Doctor Rugo's letter reporting
080924 - commitment to communicate with Doctor Johnson at Kaiser on the work
080925 - plan for Millie to recover from 11th relapse of cancer. ref SDS 19
080926 - HH4I
080928 -  ..
080929 - On 100503 1522 Millie notifies medical team of difficulty using Kaiser
080930 - secure email; asks about getting treatment with Abraxane chemotherapy
080931 - scheduled for Wednesday, 100505, or switching to a "targeted" agent.
080932 - ref SDS 20 HH4I
080934 -  ..
080935 - On 100503 1945 Millie receives letter from Kaiser saying to continue
080936 - with Abraxane chemotherapy for 2 more treatments, and then after 2
080937 - weeks without treatment the doctor will discuss next steps in a
080938 - meeting at Kaiser. ref SDS 21 HH4I
080940 -  ..
080941 - On 100503 2338 Millie notifies medical team that Kaiser guidance will
080942 - be implemented to get 2 treatments that complete 3rd cycle of
080943 - Abraxane, ref SDS 22 HH4I,
080945 -  ..
080946 - On 100504 1609 Sara, Practice Manager for Breast Care Clinic, called
080947 - to confirm Doctor Rugo plans to call Kaiser about developing a work
080948 - plan for Millie to recover from 11th relapse of cancer caused by UCSF
080949 - medical mistakes. ref SDS 23 NT5N  Sara asked Millie if she has other
080950 - concerns; Millie concerned about getting response from medical team on
080951 - comparing treatment trade-offs pending for a year. ref SDS 23 FK9I
080952 - Reviewed UCSF medical mistakes, and pending issues. ref SDS 23 NT99
080953 - Sara investigating patients right to use public domain email for
080954 - expediting communications with medical team. ref SDS 23 ZV6M
080956 -  ..
080957 - On 100505 0411 Millie letter to medical team on UCSF investigating
080958 - medical mistakes to expedite recovery from 11th relapse of cancer.
080959 - ref SDS 24 NT5N
080961 -  ..
080962 - On 100511 0800, Millie had a blood test at Kaiser in Martinez.
080963 - ref SDS 25 AS5H
080965 -  ..
080966 - On 100513 1422 called Arlette this morning to get results of the
080967 - cancer marker for Millie's blood test on 100511, because these results
080968 - are not posted on Kaiser's Knowledge Mangement system for customers.
080969 - ref SDS 25 NK7F  Arlette called later with results.  Millie received a
080970 - letter in the afternoon from Arlette confirming her cancer marker has
080971 - increased to an all time high, saying CA 15-3 520. ref SDS 26 IZ7N
080973 -  ..
080974 - On 100527 0217 completed writing a claim to Kaiser Claims Resolution
080975 - Department, asking Paula to secure immedicate treatment for Millie
080976 - because her cancer marker shows he disease has increased to the
080977 - highest level in patient history, and that recovery for Millie from
080978 - medical mistakes UCSF made providing radiation medical services on
080979 - referral from Kaiser, and notifying Kaiser and UCSF that Millie's
080980 - recovery requires all reasonable and necessary efforts and costs, and
080981 - is not limited by benefits of her insurance policy, and medicare law.
080982 - ref SDS 27 IZ7N
080984 -  ..
080985 - 100528 0322 letter to Jullin at Medicare transmitting Millie's claim
080986 - to Kaiser, and asking Jullin to assist Kaiser make timely review
080987 - required Medicare law. ref SDS 0 QQ6N
080988 -
080989 -
080991 -  ..
0810 -
0811 -
0812 - Progress
0813 -
081301 - Millie submitted letter to Jullin...
081302 -
081303 -    1.  Subject: Claim Recovery Medical Mistakes Need Immediate
081304 -        Treatment 11th Relapse Cancer CA 15-3 520
081305 -        Date: Fri, 28 May 2010 03:46:55 -0700
081315 -         ..
081316 -    2.  Yesterday, I filed a claim with Paula McPhail in Kaiser's
081317 -        Claims Resolution Office [reported in the record on 100527
081318 -        0217. ref SDS 27 IZ7N
081319 -
081320 -            [On 100528 1031 Jullin notifies Millie that Medicare
081321 -            received request for support, and has forwarded to Amma who
081322 -            is handling the Kaiser account for CMS. ref SDS 28 QQ6N
081324 -             ..
081325 -            [On 100528 1031 telecon Cherry and Beth at Medicare report
081326 -            CMS processing Millie's request for support on her claim
081327 -            against Kaiser and UCSF. ref SDS 28 4295
081329 -         ..
081330 -    3.  Kaiser is charging Medicare through my Senior Advantage
081331 -        insurance account, for costs of medical services which are
081332 -        actually owed by UCSF for me to recover from medical mistakes.
081334 -         ..
081335 -    4.  In October 2007, you were effective getting Paula and Kaiser's
081336 -        Claims Resolution Department to resolve a prior matter, so I am
081337 -        asking for Medicare to review the current problem [...reported
081338 -        on 071006 1539. ref SDS 1 Z87L...]
081340 -         ..
081341 -    5.  Briefly, this past year Kaiser has been charging Medicare and
081342 -        me for medical services, which seem recoverable from UCSF for
081343 -        injuries I suffered from medical mistakes providing radiation
081344 -        treatment on referral from Kaiser [...reported on 090609 0900.
081345 -        ref SDS 12 W65W...]  At first, UCSF took responsibility.  On
081346 -        090616, Doctor Rugo said at UCSF that "Everybody is on board"
081347 -        to fix the problem. ref SDS 13 VD8M   But after a month, UCSF
081348 -        stopped performing.  I was told this was only a "delay until
081349 -        September," and that UCSF was paying for and directing my care
081350 -        at Kaiser [...reported on 090716 2106. ref SDS 14 EE5W...]
081351 -        Recent events indicate this was a story, and that UCSF simply
081352 -        defaulted. [...reported on 100503 2338. ref SDS 22 6X8W...]  I
081353 -        have further learned that Kaiser has not billed UCSF, as
081354 -        originally agreed [...reported on 091112 1229. ref SDS 15
081355 -        A593...] Moreover, Kaiser with UCSF complicity has treated me
081356 -        with chemotherapy that Kaiser had previously disclosed is
081357 -        ineffective for my patient profile, and causes painful side
081358 -        effects.
081360 -         ..
081361 -    6.  This creates a payment issue for Medicare, and quality care
081362 -        problem for me, because Kaiser limits my care to Medicare
081363 -        benefits, rather than provide necessary and reasonable care for
081364 -        me to recover from UCSF medical mistakes, as related in the
081365 -        claim filed yesterday. ref SDS 27 IZ7N
081367 -         ..
081368 -    7.  Paula has been wonderful, helping navigate a confusing and
081369 -        difficult problem.  I am concerned that Kaiser resists
081370 -        demanding performance from UCSF in order to maintain "good
081371 -        business relations" with UCSF [reported by Paula on 091112
081372 -        1229. ref SDS 15 A593].  It cannot be "good business" to
081373 -        collect from the government costs chargeable to others, and to
081374 -        cover up medical mistakes, rather than give UCSF the
081375 -        opportunity to correct mistakes, and improve their work.
081377 -         ..
081378 -    8.  Your support is appreciated.
081379 -
081380 -            [On 100528 1031 Jullin notifies Millie that Medicare
081381 -            received request for support, and has forwarded to Amma who
081382 -            is handling the Kaiser account for CMS. ref SDS 28 4W5F
081384 -             ..
081385 -            [On 100528 1031 telecon Cherry and Beth at Mecidare,
081386 -            showing CMS processing Millie's request for support on her
081387 -            claim against Kaiser and UCSF. ref SDS 28 4295
081389 -         ..
081390 -    9.  Please let me know what actions Medicare takes in this matter.
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