CONTACTS 

SUBJECTS
Default Null Subject Account for Blank Record

0403 -
0403 -    ..
0404 - Summary/Objective
0405 -
040501 - Follow up ref SDS A6 0000. ref SDS A5 0000.
040502 -
040503 -
040504 -
040505 -
040506 -
040508 -  ..
0406 -
0407 -
0408 - Background
0409 -
040901 - On 010427 0830 meeting at Kaiser - Doctor Johnson notes Millie looks
040902 - so good nobody can believe she has such severe cancer, ref SDS 50
040903 - OJ6I; the doctor explained again Millie's cancer has mutated through
040904 - 11 relapses to resist chemotherapy.  The doctor advised that Kaiser
040905 - has a new strategy prescribing therapy that is effective for treating
040906 - cancer as a chronic disease by "targeting" the genetic profile of
040907 - cancer that has mutated in patients, like Millie, to resist
040908 - chemotherapy. ref SDS 50 SJ6N
040910 -  ..
040911 - On 100501 1037 Millie letter to medical team confirms understanding of
040912 - new strategy to treat Millie's cancer with targeted therapy.
040913 - ref SDS 51 F25O
040915 -  ..
040916 - On 100501 2017 Doctor Rugo reports plans to collaborate with Doctor
040917 - Johnson at Kaiser on work plan for Millie to recover from 11th relapse
040918 - of cancer caused by UCSF medical mistakes. ref SDS 52 HH4I
040920 -  ..
040921 - On 100502 2143 Kaiser confirms that some patients respond well to new
040922 - "targeted" therapies. ref SDS 54 YX8L  Kaiser contends that all of the
040923 - strategies for "targeted" therapies have been executed for Millie,
040924 - which seems conflicting with the record in this case. ref SDS 54 MZ4N
040926 -  ..
040927 - On 100503 1522 Millie notifies medical team that time of the essence
040928 - to get the next treatment going. ref SDS 55 TD5W
040930 -  ..
040931 - On 100503 1945 Kaiser notifies Millie to get remaining 2 treatments
040932 - with Abraxane chemotherapy that seems to be failing, and then after 3
040933 - more weeks without treatment, following a trip abroad, the doctor will
040934 - discuss "next steps." ref SDS 56 YL5N
040936 -  ..
040937 - On 100503 2338 Millie reports to medical team that she will implement
040938 - Kaiser's guidance to delay changing treatments, and takes Kaiser's
040939 - letter on 010503, as assurance that recovery will be equal to changing
040940 - treatment immediately on 100505. ref SDS 57 6X7S
040942 -  ..
040943 - On 100504 1609 Sara, Practice Manager for the UCSF Oncology Breast
040944 - Care Clinic, called and notified Millie that Doctor Rugo will soon
040945 - communicate with Doctor Johnson, or had already done so, to coordinate
040946 - with Kaiser on planning Millie's next treatment to recover from the
040947 - 11th relapse of cancer. ref SDS 58 NT5N
040949 -  ..
040950 - On 010505 0730 Millie received the 2nd treatment at Kaiser for the 3rd
040951 - cycle of Abraxane chemotherapy, as ordered by Doctor Johnson.
040952 - ref SDS 59 KE4K
040954 -  ..
040955 - On 100511 0900 cancer marker CA 15-3 520 increased another 100 points,
040956 - seemingly on an accelerating rise, which threatens to cascade out of
040957 - control, because Abraxane chemotherapy is not effective. ref SDS 60
040958 - L54I
040960 -  ..
040961 - On 100512 0730 Millie received 3rd treatment for 3rd cycle of
040962 - Abraxane. ref SDS 61 KE4K
040964 -  ..
040965 - On 100515 1415 Millie departed 2-week trip to Europe. ref SDS 62 PK9O
040967 -  ..
040968 - On 100527 0217 Millie files claim with Kaiser Claims Resolution
040969 - Department for standard of care to recover from 11th relapse of cancer
040970 - caused by medical mistakes getting radiation treatments at UCSF on
040971 - referral from Kaiser. ref SDS 63 IZ7N
040973 -  ..
040974 - On 100528 0322 Millie requests support from Medicare to separate
040975 - recovery for medical mistakes getting radiation from UCSF, from health
040976 - care benefits limited by Medicare insurance coverage. ref SDS 64 QQ6N
040978 -  ..
040979 - On 100528 1031 called Medicare they have formed a team to review
040980 - Millie's case, and contacted Kaiser's Claims Resolution Department for
040981 - response to Millie's claim. ref SDS 65 4W5F
040983 -  ..
040984 - 100601 0830 Doctor Johnson reported that Kaiser has not had time to
040985 - collaborate with UCSF on treatment for Millie to recover from UCSF
040986 - medical mistakes.  He discussed treating Millie with MPA, but this was
040987 - not prescribed because Millie was treated with MPA in 2009, and UCSF
040988 - ended the treatment due to fears about blood clot side effects, which
040989 - were believed to cause breathing problems Millie had, though later
040990 - breathing problems were discovered to be caused by defective radiation
040991 - treatment.  Since Doctor Johnson said Kaiser has no more treatments
040992 - for Millie, the only way Millie can get relief from pain caused by
040993 - cancer that is progressing without treatment is get treatment in
040994 - Hospice.  Since Hospice is the only choice of care offered today,
040995 - Millie accepted this.
040997 -  ..
040998 - On 100601 1531 Sharon called to schedule starting Hospice medical
040999 - services beginning tomorrow between 0900 - 1000. ref SDS 51 036C
041001 -  ..
041002 - On 100602 0913 Liz provides orientation on Hospice care; she confirms
041003 - Sharon's report yesterday, that if Kaiser performs on the insurance
041004 - agreement to provide standard of care for Millie's patient profile,
041005 - than Millie can elect to recover from 11th relapse of cancer, rather
041006 - than continue with Hospice support for dying peacefully. ref SDS 52
041007 - 036C
041009 -  ..
041010 - On 100602 1046 Diane received notice from Medicare to file claim for
041011 - Millie to get treatment for recovering from UCSF medical mistakes; she
041012 - is preparing a statement of claim. ref SDS 70 036C  Advised Diane to
041013 - use Millie's statement of claim submitted to Kaiser on 100527.
041014 - ref SDS 70 MZ5H  Eileen called later and reported that Kaiser denied
041015 - Millie's claim on the grounds that Medicare does not authorize payment
041016 - for treatment to recover from cancer, after a patient starts Hospice.
041017 - ref SDS 70 UN4M  Requested that Eileen read he claim and then make a
041018 - good faith determiantion. ref SDS 70 I33H  Eileen called back after
041019 - reading the claim and advised the denial of claim has been withdrawn,
041020 - and the matter is referred to Claims Resolution Department.
041021 - ref SDS 70 UN5P
041023 -  ..
041024 - On 100603 0449 Millie notified medical team that Kaiser called today
041025 - about moving forward to resolve medical mistakes getting radiation
041026 - treatment at UCSF on referral from Kaiser. ref SDS 71 IX9Q
041028 -  ..
041029 - On 100606 1604 Doctor Johnson notifies Millie that her cancer marker
041030 - has remained fairly stable the past 3 weeks since ending treatment
041031 - with Abraxane on 100512; actually went up less without Abraxane, than
041032 - with it, because Millie's cancer resists chemotherapy. ref SDS 72 036C
041034 -  ..
041035 - On 100606 1638 Millie thanks Doctor Johnson for submitting good news
041036 - cancer marker CA 15-3 606 much smaller rise than exptected after
041037 - ending treatment for 3 weeks. ref SDS 73 036C; asks if Doctor Rugo ever
041038 - returned Doctor Johnson's call from Kaiser, as planned in Doctor
041039 - Rugo's letter on 100501?
041041 -  ..
041042 - On 100606 2317 Millie receives letter from Doctor Johnson reporting
041043 - that Doctor Rugo has never returned his call asking UCSF for Millie's
041044 - treatment plan, which demonstrates failure to perform on Doctor Rugo's
041045 - commitment in UCSF letter sent to the medical team on 100501.
041046 - ref SDS 74 036C
041048 -  ..
041049 - On 100607 0932 called Cherry at Medicare about progress on contacting
041050 - Kaiser to process Millie's claim filed on 100527, and planned in the
041051 - call with Medicare (Cherry and Beth) as action item #8, planned the
041052 - next day on 100528 1031, ref SDS 65 PE6P; today, Cherry did not have
041053 - time to return the call. ref SDS 75 036C
041055 -  ..
041056 - On 100607 1021 called Paula at Kaiser - she said someone else is
041057 - handling Millie's claim, because the claim has not been denied, and
041058 - Paula only handles denied claims. ref SDS 76 036C; Paula further
041059 - reported that Kaiser no longer objects to demaning UCSF correct
041060 - medical mistakes, so Millie's claim should be easy to resolve.
041061 - ref SDS 76 QN9F
041063 -  ..
041064 - On 100607 1117 letter to Paula confirming Kaiser's work plan to
041065 - process Millie's claim for care promptly in order to save her life.
041066 - ref SDS 77 036C
041068 -  ..
041069 - On 100608 1521 called and talked to Cherry and Beth about expediting
041070 - Millie's claim at Kaiser. ref SDS 78 036C  Developed work plan to have
041071 - a conference call with Kaiser tomorrow. ref SDS 78 C354  Submitted
041072 - letter to Kasier and CMS Medicare confirming work plan for tomorrow.
041073 - ref SDS 78 G84Q
041075 -  ..
041076 - On 100609 1114 called CMS to expedite conference call on expediting
041077 - Millie's care. ref SDS 79 036C  Cherry called and schedule telecon with
041078 - Kaiesr and CMS today 1300. ref SDS 79 8O4H  Received letter from Cherry
041079 - at CMS confirming work plan for conference call at 1300. ref SDS 79
041080 - PRXY
041082 -  ..
041083 - On 100609 1232 letter to CMS and Kaiser submitts agenda for conference
041084 - call to review progress on Kaiser resolving Millie's claim for
041085 - recovery from UCSF medical mistakes. ref SDS 80 036C
041087 -  ..
041088 - On 100609 1300 CMS and Kaiser conference call to report progress on
041089 - reviewing Millie's claim for treatment to recover from UCSF medical
041090 - mistakes in time to be effective. ref SDS 81 036C
041092 -  ..
041093 - On 100609 1522 Jennifer called for assistance processing Millie's
041094 - claim to recover from medical mistakes getting radiation treatment at
041095 - UCSF on referral from Kaiser. ref SDS 82 036C
041097 -  ..
041098 - On 100611 1451 Jennifer advised Kaiser extended the date for
041099 - responding to Millie's claim from 100610 to 100624, based on Millie
041100 - filing updated statement of authorized representative. ref SDS 86 036C
041101 - Jennifer reported she reviewed 6-issues discussed on 100609, and will
041102 - address these issues responding to Millie's claim. ref SDS 86 FQ4G
041103 - Jennifer asked how Kaiser can treat Millie to recover from UCSF
041104 - medical mistakes, if Millie refuses chemotherapy and has entered
041105 - Hospice. ref SDS 86 FQ4M
041107 -  ..
041108 - On 100611 2326 Millie received Jennifer's letter confirming the date
041109 - for Kaiser to respond to Millie's claim has been extended to 100624,
041110 - ref SDS 87 CV4O, and further advising that issues Kaiser will determine
041111 - responding to Millie's claim for recovering from UCSF medical
041112 - mistakes, ref SDS 87 036C, are as set out in the record for telecon on
041113 - 100609. ref SDS 82 XK50  Jennifer will call on 100615, to report
041114 - progress on respnding to Millie's claim. ref SDS 87 6P53
041116 -  ..
041117 - On 100614 0257 letter to Kaiser Medicar CMS claim team requests
041118 - immediate written proposal evaluating treatment options for Millie to
041119 - consider. ref SDS 88 036C
041121 -  ..
041122 - On 100616 0832 called Jennifer about her plan to call yesterday on
041123 - Tuesday to report progress Kaiser responding to Millie's claim, as set
041124 - out in Jennifer's letter on 100611. ref SDS 89 036C   Jennifer called
041125 - back to ask if Millie wants UCSF or Kaiser to pay for her damages
041126 - caused by UCSF medical mistakes. ref SDS 89 PSSV  Jennifer reported
041127 - delays communicating with Millie's medical team have delayed making
041128 - arrangements for Millie to start treatment recovering from UCSF
041129 - medical mistakes. ref SDS 89 OY4T  She plans to call on Friday, 100618,
041130 - to report progress responding to Millie's claim. ref SDS 89 1K5J
041132 -  ..
041133 - On 100618 0843 called Jennifer at Memeber Case Resolution Department
041134 - about progress responding to Millie's claim. ref SDS 90 036C
041136 -  ..
041137 - On 100620 1112 letter to Kaiser claim team with copy to Medicare, and
041138 - the medical team requests call on Monday 100621, planned for previous
041139 - Friday, 100628, to report progress getting Millie treatment.
041140 - ref SDS 91 036C  Recommends that delay communicating with medical team
041141 - that has delayed Millie starting treatment in time to be effective,
041142 - ref SDS 91 L59P, can be solved by hiring MD Anderson. ref SDS 91 L59X
041144 -  ..
041145 - On 100621 0853 called for Jennifer and left several messages,
041146 - including for her team lead. ref SDS 93 036C  Nobody had time today
041147 - for calling back. ref SDS 93 OP3N
041149 -  ..
041150 - On 100622 1027 Jennifer called and advised that Doctor Johnson
041151 - responded to request for comment on Millie's claim saying he cannot
041152 - provide care for Millie because she entered Hospice on 100601,
041153 - ref SDS 95 036C; recommended Jennifer check Kaiser's medical chart for
041154 - Millie meeting with Doctor Johnson to see Millie was given no choices
041155 - except to enter Hospice in order to avoid further pain and suffering.
041156 - ref SDS 95 NX68
041158 -  ..
041159 - On 100622 1511 letter to claim team and Medicare, and to Millie's
041160 - medical team confirming understanding in Jennifer's call that Millie's
041161 - medical team at Kaiser seems to refuse Millie standard of care to
041162 - recover from UCSF medical mistakes, because she was forced to enter
041163 - Hospice to get relief from pain caused by UCSF medical mistakes.
041164 - ref SDS 96 036C  UCSF delays compounded Millie's injuries, pain, and
041165 - suffering; caution must be exercised to enable recovery, based on
041166 - Millie's right to life. ref SDS 96 575U   Millie's patient history
041167 - shows the doctor's only issue, ref SDS 96 576V, is having time to
041168 - providing standard of care for Millie to recover from medical
041169 - mistakes, and if not, then Kaiser should assign someone who does.
041170 - ref SDS 96 583Y  Kaiser has violated Millie's human rights; a woman's
041171 - right to choose life for herself, should be no less than the right to
041172 - choose for her unborn child, since the right to life and due process
041173 - are protected by the US Constitution. ref SDS 96 584W  Kaiser can
041174 - easily solve the time problem by hiring other people to do the work,
041175 - and charging UCSF. ref SDS 96 585P
041177 -  ..
041178 - 100624 1616 Jennifer called and asked to extend Kaiser's response to
041179 - Millie's claim another day or so, for review with her boss, and with
041180 - the customer. ref SDS 97 036C  Jennifer the original date for Kaiser to
041181 - respond on 100610, required by statute, and then amended to today on
041182 - 100624, can be further amended, and cited unclear authority about 30
041183 - days instead of 14. ref SDS 97 EG5P  Agreed that extending Kaiser's
041184 - response another few days until tomorrow, or Monday, is an acceptable
041185 - risk, even though Millie's cancer markier has increased significantly
041186 - to over 1000, and so that an equitable solution can be implented that
041187 - allows treatment in time to be effective for Millie. ref SDS 97 EG73
041188 - Jennifer will submit her draft response, and call tomorrow for
041189 - discussing Kaiser's solution. ref SDS 97 H98M
041191 -  ..
041192 - On 100625 0852 letter to Kaiser and Medicare claim teams confirming
041193 - Kaiser's request to extend date for responding to Millie's claim
041194 - another few days until Monday in order to get comprehensive solution.
041195 - ref SDS 98 036C
041197 -  ..
041198 - On 100626 0917 received letter from Cherry at Medicare, ref SDS 99
041199 - 036C, submitting CMS regulations, that control due date for Kaiser to
041200 - respond to Millie's claim. ref SDS 99 N64I
041202 -  ..
041203 - On 100628 0228 letter to claim teams at Medicare and Kaiser asking how
041204 - CMS regulations received on 100625, apply to extend Kaiser's response
041205 - date for expediting Millie's recovery. ref SDS A0 036C
041207 -  ..
041208 - On 100628 1033 called CMS Medicare for Beth Simone on regulations for
041209 - Kaiser to respond to Millie's claim.
041211 -  ..
041212 - On 100628 2318 submitted record of telecon with CMS, ref SDS A2 036C,
041213 - and that CMS learned today that Kaiser changed Millie's claim to a
041214 - Grievance, and notified CMS that Kaiser intends to delay response
041215 - until 100710, to Millie's claim filed on 100527.
041217 -  ..
041218 - On 100629 00003 received letter from Cherry transmitting Grievance
041219 - procedures, cited in the telecon yesterday as a change Kaiser made to
041220 - delay responding until 100710, to Millie's claim filed on 100527.
041221 - ref SDS A3 036C  Review of Grievance regulations show Kaiser required
041222 - to make timely response based on patient health. ref SDS A3 PN5S
041224 -  ..
041225 - On 100629 0013 letter thanks CMS for submitting regulations on
041226 - Grievance procedures, and notes requirements for Kaiser to respond
041227 - prior to maximum allowed of 30 days, based on patient health.
041228 - ref SDS A4 036C
041230 -  ..
041231 - On 100629 1631 called Medicare (CMS) on results of their
041232 - teleconference with Kaiser on expediting response to Millie's claim.
041233 - ref SDS A5 036C
041235 -  ..
041236 - On 100630 0027 Millie thanks Doctor Johnson for reporting on 100606,
041237 - that UCSF did not call Kaiser to provide care for Millie to recover
041238 - from UCSF medical mistakes. ref SDS A6 036C; she reports blood counts
041239 - are good, but cancer progressing because treatment was stopped on
041240 - 100601, for pain relief from chemotherapy. ref SDS A6 V83U  Kaiser has
041241 - deferred responding to Millie's claim, ref SDS A6 V87S, and needs to
041242 - know how soon her health status requires Kaiser to make a response.
041243 - ref SDS A6 V88T  Millie asks about deferring the meeting with Doctor
041244 - Johnson tomorrow, until Kaiser responds to Millie's claim, or, Millie
041245 - would love to meet, if Doctor Johnson has communicated with Doctor
041246 - Rugo on a work plan for Millie to recover from UCSF medical mistakes.
041247 - ref SDS A6 V89X
041249 -  ..
041250 - On 100630 1148 Doctor Johnson notfies Millie, and the Kaiser claim
041251 - team that he is confused about Millie's case, because Kaiser has
041252 - deferred determination on urgent requirement for care. ref SDS 0 036C
041253 - Doctor Johnson notes Millie is in Hospice and states that Millie's
041254 - disease is resistant to all forms of therapy, and that entering
041255 - Hospice is based on patient desire to forego therapy. ref SDS 0 PY4J
041256 - He asks if Millie wants to dis-enroll from Hospice. ref SDS 0 OY5G
041257 - Doctor Johnson further notes that public domain email conflicts with
041258 - HIPAA regulations. ref SDS 0 0W5U
041259 -
041261 -  ..
0413 -
0414 -
0415 - Progress
0416 -
041601 - Doctor Johnson's letter to Millie and Kaiser's claim team says...
041602 -
041603 -    1.  Subject: Re: Work Plan Recover UCSF Mistakes - Defer Meeting Jul 1 Pending Claim Response
041604 -        Date: Wed, 30 Jun 2010 08:57:18 -0700
041612 -         ..
041613 -    2.  I am confused by this statement, "Kaiser, however, has still
041614 -        not responded, nor offered grounds to delay determination on
041615 -        urgent requirement for care". [...citing Millie's letter to the
041616 -        medical team, and claim teams earlier this morning on 100630
041617 -        0027. ref SDS A6 V87S...]
041619 -  ..
041620 - Doctor Johnson's confusion about Millie's claim arises from Kaiser's
041621 - failure to respond according to Medicare regulations, reported in
041622 - Millie's letter to the doctor on 100630 0027, ref SDS A6 V87S; without
041623 - guidance from Kaiser management, Doctor Johnson has no instructions
041624 - for providing care for Millie to recover from UCSF medical mistakes,
041625 - and so Kaiser is not prepared for a productive meeting scheduled
041626 - tomorrow, asked in Millie's letter on 100630 0027. ref SDS A6 V88Y
041628 -             ..
041629 -            [On 100630 1537 Millie's letter responding to Doctor
041630 -            Johnson, notes Kaiser failed to provide essential medical
041631 -            opinion on Millie's health status to guide claim team
041632 -            response to Millie's claim requesting treatment to recover
041633 -            from UCSF medical mistakes; Millie interprets Kaiser's
041634 -            representation that her cancer resists chemotherapy to
041635 -            indicate Millie's health status requires urgent care.
041636 -            ref SDS A7 M96P
041638 -             ..
041639 -            [On 100701 1140 Doctor Johnson canceled meeting at Kaiser
041640 -            scheduled originally on 100601, and because Kaiser delayed
041641 -            response to Millie's claim filed on 100527, to provide
041642 -            support for the doctor to provide standard of care for
041643 -            Millie to recover from UCSF medical mistakes. ref SDS A9
041644 -            036C
041646 -             ..
041647 -            [On 100702 1424 Millie received a letter in the mail
041648 -            dated 100624, from Doctor Johnson transmitting
041649 -            Kaiser's lab report for Millie's blood test on 100622.
041650 -            The doctor provides no analysis, nor comment of any
041651 -            kind except "CA 15-3 1116" is circled in ink.
041652 -            ref SDS B0 NC3F
041654 -  ..
041655 - Doctor Johnson's letter from Kaiser concludes...
041656 -
041657 -    3.  You are in Hospice, your disease is resistant to all forms of
041658 -        therapy now, why are you talking about an " urgent requirement
041659 -        for care"??  Please clarify??  Enrollment in Hospice is based
041660 -        on a patient's desire to forego any additional aggressive
041661 -        therapies.
041663 -  ..
041664 - Millies complex case requires well-ordered record to avoid confusion
041665 - and mistakes, reported in case study on 061020 1640. ref SDS 4 T25H
041667 -  ..
041668 - For example, Doctor Rugo was confused on 090401, withholding treatment
041669 - for cancer until the wound healed that was diagnosed as reaction to
041670 - radiation in Millie's breastbone, ref SDS 11 4J4F, when the wound
041671 - could only heal with treatment for cancer, because the "wound" was
041672 - cancer untreated for 3 months.  Doctor Johnson earlier, made a similar
041673 - mistake confusing cancer for reaction to radiation, and could not
041674 - clear up the mistake for a year and a half, reported on 040504.
041675 - ref SDS 3 PM5H
041677 -  ..
041678 - Today, Doctor Johnson confuses Millie's request in her letter to the
041679 - medical team on 100601, to forego treatment in order to avoid pain and
041680 - suffering from chemotherapy, ref SDS 66 1Q3Y, with her request for the
041681 - medical team to perform the UCSF work plan to treat her with therapy
041682 - targeted to cancer that does not cause pain and suffering. ref SDS 66
041683 - 1Q6P  During the meeting with the doctor at Kaiser, later in the
041684 - morning, Millie related that chemotherapy was too painful for her to
041685 - continue, so she was forced to enter Hospice to get pain relief,
041686 - ref SDS 67 4H3K, while Doctor Johnson and Doctor Rugo solved problems
041687 - using email and the telephone to implement Kaiser's work plan for
041688 - Millie to recover from medical mistakes, reported on 100601 0830.
041689 - ref SDS 67 4F6I
041691 -  ..
041692 - On 100602, Eileen Mofitt in Kaiser Expedited claims investigated
041693 - denying Millie's claim on 100527, on grounds that Millie has entered
041694 - Hospice, ref SDS 70 UN72, and Eileen reported that Kaiser withdrew
041695 - it's denial letter because Kaiser cannot deny patient right to recover
041696 - from medical mistakes. ref SDS 70 UN5P
041698 -  ..
041699 - The statment that Millie's cancer is resistant to all forms of therapy
041700 - seems conflicting with the record.  On 030606, Doctor Johnson
041701 - indicated that resistance and response to therapy is a genetic
041702 - variable that can only determined by experimentation. ref SDS 2 RY5J
041703 - For example, Millie's cancer resisted the first treatment she
041704 - received, which was commonly regarded as the best therapy to recover
041705 - from cancer at that time.  So, the doctor switched to another
041706 - chemotherapy, Taxotere, and this yielded better results, reported on
041707 - 020603. ref SDS 1 WO4O
041708 -
041709 -            [On 100630 1537 Millie's letter responding to Doctor
041710 -            Johnson, notes Kaiser failed to provide essential medical
041711 -            opinion on Millie's health status to guide claim team
041712 -            response to Millie's claim requesting treatment to recover
041713 -            from UCSF medical mistakes; Millie interprets Kaiser's
041714 -            representation that her cancer resists chemotherapy to
041715 -            indicate Millie's health status requires urgent care.
041716 -            ref SDS A7 M96P
041718 -             ..
041719 -            [On 100702 1424 Millie received a letter in the mail dated
041720 -            100624, from Doctor Johnson transmitting Kaiser's lab
041721 -            report for Millie's blood test on 100622.  The doctor
041722 -            provides no analysis, nor comment of any kind except he
041723 -            circuled in ink "CA 15-3 1116." ref SDS A0 NC3F
041725 -             ..
041726 -            [On 100710 1343 Kaiser's claim determination dated 100708,
041727 -            disputes no facts in Millie's 32-page claim, and presents
041728 -            no denial of Millie's request for care, presented on
041729 -            100527, ref SDS 63 IZ7N; but neither does the determination
041730 -            notify that Kaiser orders action to hold Millie harmless
041731 -            from UCSF medical mistakes; rather Kaiser offers a sole
041732 -            remedy of Millie meeting and discussing "concerns" with
041733 -            Doctor Johnson, ref SDS B1 X530, which conflicts with
041734 -            Millie's letter today on 100630, saying that after 44 such
041735 -            discussions and written requests for care over the past
041736 -            year, listed on 100622 1511. ref SDS 96 576S, which Kaiser
041737 -            ignored, further discussion can only be productive to
041738 -            implement authority for the doctor to hold Millie harmless
041739 -            from UCSF medical mistakes, ref SDS A6 V89U
041741 -  ..
041742 - Doctor Johnson's letter from Kaiser concludes...
041743 -
041744 -    4.  Do you want to dis-enroll from Hospice??
041746 -  ..
041747 - Millie wants Kaiser to provide standard of care for her to recover
041748 - from UCSF medical mistakes, as requested in her claim filed on 100527,
041749 - ref SDS 63 IZ7N, and then she can make a reasoned judgement on having
041750 - a quality of life with treatment that justifies ending Hospice, as
041751 - related to Jennifer on 100609 1522, ref SDS 82 KX4M, and cited in
041752 - Jennifer's letter on 100611, citing 6-issues Kaiser will address
041753 - responding to Millie's claim. ref SDS 87 036C
041754 -
041755 -            [On 100630 1537 Millie notifies medical and claim teams she
041756 -            wants to dis-enroll from Hospice based on Kaiser providing
041757 -            standard of care for Millie to recover from UCSF medical
041758 -            mistakes, responding to Millie's claim filed on 100527,
041759 -            ref SDS 63 IZ7N, and cannot possibly give up pain
041760 -            medication in Hospice until Kaiser demonstrates with
041761 -            written work plan that Millie will be treated to recover
041762 -            from cancer without pain and suffering caused by
041763 -            chemothearpy. ref SDS A7 M93Y
041765 -             ..
041766 -            [On 100701 0915 received call from Carol saying she is
041767 -            Chief of Hospice, and that she was told Millie wants to
041768 -            dis-enroll from Hospice, ref SDS A8 Q85S, which conflicts
041769 -            with the record of notice to Kaiser in the letter on 100630
041770 -            1537. ref SDS A7 M93Y
041772 -             ..
041773 -            [On 100710 1343 Kaiser's claim determination dated 100708,
041774 -            disputes no facts in Millie's 32-page claim, and presents
041775 -            no denial of Millie's request for care, presented on
041776 -            100527, ref SDS 63 IZ7N; but neither does the determination
041777 -            notify that Kaiser orders action to hold Millie harmless
041778 -            from UCSF medical mistakes; rather Kaiser offers a sole
041779 -            remedy of Millie meeting and discussing "concerns" with
041780 -            Doctor Johnson, ref SDS B1 X530, which conflicts with
041781 -            Millie's letter today on 100630, saying that after 44 such
041782 -            discussions and written requests for care over the past
041783 -            year, listed on 100622 1511. ref SDS 96 576S, which Kaiser
041784 -            ignored, further discussion can only be productive to
041785 -            implement authority for the doctor to hold Millie harmless
041786 -            from UCSF medical mistakes, ref SDS A6 V89U
041788 -  ..
041789 - Doctor Johnson's letter from Kaiser concludes...
041790 -
041791 -    5.  Also, please understand, as I have stated many times before,
041792 -        that communicating in this manner through unsecured e-mail is
041793 -        not in compliance with  current HIPAA regulations.  Please use
041794 -        "secure mail" as provided by Kaiser with future communications
041795 -        as it is intended to protect your privacy.
041797 -  ..
041798 - Doctor Johnson's statement that communicating with unsecure email does
041799 - not comply with HIPAA regulations conflicts with the record, shown in
041800 - Millie's letter to the medical team on 100502 0140. ref SDS 53 CO3W
041801 - On 100601, Doctor Johnson reported he and Doctor Rugo could not
041802 - communicate with secure email for an entire month, and so he could not
041803 - provide treatment for Millie. ref SDS 67 OK91  This record does not
041804 - support relying on secure email for mission critical work.
041806 -  ..
041807 - Doctor Johnson's letter from Kaiser concludes...
041808 -
041809 -    6.  I am pleased that you are feeling better.
041811 -  ..
041812 - Doctor Johnson does not respond to Millie's question about deferring
041813 - the meeting tomorrow, reported on 100630 0027, ref SDS A6 V88Y
041814 -
041815 -
041832 -
041833 -
041834 -
041835 -
041836 -
041837 -
041838 -
041839 -
041840 -
041841 -
041842 -
041843 -
041844 -
041845 -
0419 -