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On a patient's first visit, Dr. Ishmael examined the patient
in order to determine the proper chemotherapy treatment (if any)
for that patient. When Dr. Ishmael prescribed a chemotherapy
treatment, his order for the patient's individualized
chemotherapy treatment was recorded in the patient's file, which
was maintained at the clinic where that patient received
treatment. Once a patient was evaluated and a chemotherapy
regimen had been prescribed, the patient began regular, periodic
treatments, which could continue for several months or years.
Dr. Ishmael wrote prescriptions for any drugs a patient needed
that were not administered by the clinics.
Once a patient began a chemotherapy regimen, that patient
would see Dr. Ishmael approximately every 4 to 6 weeks for
reevaluation. However, patients generally did not see Dr.
Ishmael each time they came to the clinic for treatment. While a
doctor had to be available in the office to respond to medical
emergencies during working hours, one was not required to be
present in the treatment room while a chemotherapy treatment was
being administered. When Dr. Ishmael was not available,
arrangements with other physicians ensured the availability of a
physician in the event of an emergency.
Prior to every chemotherapy treatment, a patient had blood
tests, which were performed at the clinics upon the patient's
arrival. A nurse drew the blood to be tested, and a lab
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Last modified: May 25, 2011