CONTACTS 
0201 - Steven K. Olsen, DDS.
020101 - Dr. Steven K. Olsen
0202 - Steven K. Olsen, DDS.
020201 - Mr. Russel Harris, R.N.A.; Dentists

SUBJECTS
Cleaning
Gum Problem, Pockets
Remembering (Linked Records - Traceability,
Examples of SDS

0706 -
0706 -    ..
0707 - Summary/Objective
0708 -
070801 - Follow up ref SDS 21 0000, ref SDS 15 0000.
070802 -
070803 - No reports of new problems; appears current dental hygene practice is
070804 - adequate.  Russ wants to schedule examination periodontist on one
070805 - tooth, and I agreed to that.  We discovered some backgound on exams by
070806 - peridontist and considered new ways to manage patient information.
070807 -
070808 -
070810 -  ..
0709 -
0710 -
0711 - Progress
0712 -
071201 - Cleaning & Examination
071202 -
071203 - No problems.  Russ said my teeth have very little plack or buildup. He
071204 - showed this with a mirror on the lower front teeth, which are usually
071205 - the main area where buildup occurs.
071206 -
071208 -  ..
071209 - Xray Results Indicate No increase in Bone Loss Since 1989
071210 -
071211 - Xrays were taken last visit but no analysis was provided. ref SDS 15
071212 - 9630
071213 -
071214 - I waited about 20 minutes for Steve to break free to provide the
071215 - analysis.  He did not do this.  Russ said he will ask Steve to look at
071216 - the xrays when he gets time.  I suggested that Russ put a note on my
071217 - file saying that I would like Steve to call me on his findings from
071218 - checking the xrays.
071219 -
071221 -  ..
0713 -
0714 -
0715 - 1126 Russ called back
0716 -
071601 - He said Steve just looked at the xrays and found there is no apparent
071602 - increase in bone loss from the 1989 xrays, which reflects observation
071603 - by Curt when xrays were taken for the examination on 960604.
071604 - ref SDS 15 9630
071605 -
071606 -            [On 970617 1000 tooth #31 was identified on the lower right
071607 -            side as needing crown replaced. ref SDS 26 4503
071609 -  ..
071610 - Russ said that Steve suggested I be examined by the periodontist since
071611 - that has not been done since 1991.  I recalled this was done more
071612 - recently.  Russ said their records show it was in 1991, and so it
071613 - would be a good idea for the periodontist to make another review in
071614 - light of the most recent xrays, per Steve's recommendation today.
071616 -  ..
071617 - We did a report on "bone loss" in the SDS subject index, and found
071618 - that Steve made this same recommendation based on xrays during an
071619 - examination on 950518, ref SDS 6 8847.  Steve reported finding 4 teeth
071620 - which appeared to warrant examination by the peridontist.  The
071621 - periodontist made an examination on 950605, a month later, and
071622 - reported that the teeth Steve suspected of having problems were okay,
071623 - ref SDS 7 7420.
071625 -  ..
071626 - The periodontst found that a another tooth, which Steve had not cited,
071627 - might present a problem and so had me back the following month to take
071628 - another look.  At this second examination the periodontist reported
071629 - the suspect tooth was actually okay, but wanted to examin it again in
071630 - a year. ref SDS 8 8733
071632 -  ..
071633 - Russ wants to schedule the follow up examination for that tooth.  He
071634 - will set the examination for a few weeks from now, and they will
071635 - advise of the particular date and time.
071636 -
071637 -      [On 970220 called about schedule. ref SDS 25 8834]
071638 -
071639 -
071640 -
0717 -

SUBJECTS
Reading and Writing, Not Enough Time
Management Practice Want to Talk Not Use Computers
Intellectual Capital, ROI Increased by SDS
Time Saved SDS Organizes Record, Instant
Book Learning Saves Time, Example
Talking Seems Fast and Easy Knowledge,
Not Enough Time to Write Everything Down,
New World Order, Managers Mostly Talk and Listen
Metrics Writing and Linking Shows and
Empower Know Truth so there is Happier
Alice in Wonderland, No Time to Understand,
Civilization Has No Mechanism for Adults to Learn
Book Learning Saves Time, Example
SDS Design Shocking Conflicts Common Sense Traditional Practice Organ
People Resist Changing Methods
Book Learning No Time Busy Chopping Wood Fetching Water Harvesting Cr
Dentist Medical Management

3619 -
362001 -  ..
362002 - Investing Intellectual Capital is Rewarding
362003 -
362004 - Russ said there was an error in their records that led to the mix up
362005 - about relying on the 1991 exam by the periodontist to schedule another
362006 - visit, discussed above. ref SDS 0 7391
362007 - ..
362008 - He said they have two files and he was looking in the wrong one.
362010 -  ..
362011 - On 960821 similar problem occured on insurance payments. ref SDS 19
362012 - 2476
362013 -
362014 -     [On 001212 similar problem occurred on getting an occlusal.
362015 -     ref SDS 33 G29I
362017 -  ..
362018 - We discussed how Steve's staff has done an outstanding job compared
362019 - to problems reported by other medical professionals.
362020 -
362021 -     [On 990910 similar mistakes in medical practice. ref SDS 29 3038
362022 -
362023 -     [On 990912 report on high cost of medical mistakes. ref SDS 30
362024 -     0001
362026 -      ..
362027 -     [On 991207 national initiative to reduce medical mistakes.
362028 -     ref SDS 31 0889
362029 - ..
362030 - Russ feels the computer system we used to find the visit with
362031 - the periodontist in the SDS record is helpful but he said there isn't
362032 - enough time for their team to capture accurate information, reflecting
362033 - work at S&C Ford.....
362034 -
362036 -       ..
362037 -      Conversation to Expedite a Busy Schedule Causes Mistakes
362038 -
362039 -      S&C Ford found on 951031 that conversation causes mistakes in
362040 -      vehicle service, ref SDS 10 8530, which cause extra time, expense,
362041 -      and frustration. ref SDS 10 0896  On 961126 the Port of Oakland
362042 -      did not have enough time to read the record in order to avoid
362043 -      mistakes. ref SDS 20 4988.  Nobody has enough time to prepare and
362044 -      to understand, but everybody wants to be paid for showing up and
362045 -      talking, because talking is fast and easy, and seems to
362046 -      accomplish the critical need to "communicate."
362047 -
362049 -       ..
362050 -      Managers Buy-Off Mistakes Rather than Improve Management
362051 -
362052 -      The result is continual mistakes that are mostly bought off by
362053 -      reduced earnings, insurance payments, downsizing, recessions, or
362054 -      favorable market conditions, such as Intel or a government
362055 -      weapons system in a wartime setting.  Drucker points out that
362056 -      insulation from poor management does not last forever, and so
362057 -      prudence suggests investing in better management. ref SDS 2 1504
362058 -
362059 -         [See explanation from meeting with Intel, ref SDS 27 1144.]
362061 -          ..
362062 -         [See $7M error by executives who could not remember key
362063 -         details of events in which they participated a few weeks
362064 -         earlier, because busy schedules cloud the memory of busy
362065 -         minds, ref SDS 23 line 125.]
362067 -          ..
362068 -         [On 961222 Dr. Richard Popejoy does not having eough time to
362069 -         write, likes to talk, ref SDS 24 8402]
362071 -          ..
362072 -         [On 970728 analysis of executive mistakes bought off by
362073 -         insurance. ref SDS 27 1144]
362074 -
362075 - ..
362076 - I observed that investing intellectual capital should save time
362077 - and improve earnings, like putting money in the bank to earn interest.
362079 -  ..
362080 - That is the basis of an assignment I am doing with the Corps of
362081 - Engineers.  Knowing what happened and why, the true state of affairs,
362082 - improves decisions, reduces mistakes and discloses opportunities that
362083 - are otherwise overlooked due to the press of daily business.  This
362084 - should yield better performance, i.e., better care for the patient and
362085 - more money for the doctor, in the same way that it improves
362086 - construction of bridges and earnings for engineers and contractors and
362087 - auto mechanics.  The small example we encountered today, is replicated
362088 - everyday all over the world, as people and organizations drift off
362089 - course while struggling to keep up with an avalanche of information
362090 - each day.  Truth needs an ally on the Information Highway, ref SDS 17
362091 - line 206, ref SDS 18 line 217, and ref SDS 13 line 190,
362092 -
362094 -  ..
362095 - Investing Takes Faith, But is Rewarding
362096 -
362097 - Getting people to try new methods that seem to take more time is a
362098 - cultural challenge when the reward is deferred, as with any investment
362099 - strategy.
362101 -  ..
362103 -  ..
362104 - An example is learning to read and write.  This takes time relative to
362105 - the simple solution of talking.
362106 -
362107 - As a result, "book Learning" was resisted for centuries by people who
362108 - felt there wasn't enough time because they had water to fetch, wood to
362109 - chop and crops to harvest, discussed on 960501. ref SDS 14 PB8J
362110 - Eventually, though, people realized that investing time to grow new
362111 - knowledge makes it possible to fetch more water and harvest more
362112 - crops; and so today, we send our kids to school for 12 years to learn
362113 - to read and write.  If the kids had their way, they would not go to
362114 - school.  Like executives, they feel talking and watching TV is fast
362115 - and easy.  But adults force them to attend, even though they feel they
362116 - don't have enough time, because we believe the investment of time to
362117 - read and write yields bigger rewards than merely talking.
362118 -
362119 -      [On 990505 people feel adding intelligence to management is
362120 -      "off-the-wall" too busy for improving "book learning."
362121 -      ref SDS 28 8712
362123 -       ..
362124 -      [On 000227 resistance to adding intelligence to management was
362125 -      reviewed with Doug Engelbart's OHS/DKR team meeting at SRI.
362126 -      ref SDS 32 X84N
362127 - ..
362128 - Now the Welch system has advanced the intelligence process of
362129 - reading and writing, by using automation to help people strengthen the
362130 - underlying "wiring," or "web of connections," by which the human mind
362131 - converts information from conventional writing, into a more useful
362132 - resource called "knowledge."
362134 -  ..
362135 - This system lifts innate capacity to think, remember and communicate.
362136 - It takes time to learn, but, as we saw today, routinely investing
362137 - intellectual capital from daily dialog pays off by empowering people
362138 - to remember more accurately critical facts that impact key decisions,
362139 - provided we can overcome the emotional resistance to deferred rewards
362140 - endemic to investing time, per discussion at University of Santa
362141 - Clara, ref SDS 9 4444, citing work by Stephen Covey on the value of
362142 - "faith," ref SDS 1 8493.  Another benefit of investing intellectual
362143 - capital is that...
362145 -  ..
362146 -
362147 -     writing things down and linking is a "metric" of understanding
362148 -
362149 - ...that reveals nuance, correlations and implications, otherwise
362150 - overlooked in the rush to get things done and go home.  So we spend a
362151 - lot of time fixing mistakes and miss out on opportunities.
362153 -  ..
362154 - One approach to the time/information/analysis crunch, is to use
362155 - administrative support to capture the bulk of the record, so that
362156 - executives, like Steve and Russ, can simply review and flesh it out as
362157 - they deem necessary.
362158 -
362159 -      [On 961222 discussed this with Dr. Richard Popejoy. ref SDS 24
362160 -      9539]
362161 - ..
362162 - The central challenge at the dawn of the "Information Age" is
362163 - whether adults can formulate mechanisms to empower themselves to
362164 - discover this power in the absence of authority that forces them to
362165 - experience it, as we do in sending children to school? ref SDS 9 9471
362167 -  ..
362168 - How can people discover the power of investing intellectual capital in
362169 - light of worries about not having enough time to try methods that seem
362170 - counterintutive, ref SDS 16 1368.  Is there enough time to understand
362171 - so we can succeed, or do we only have enough time to fail?
362173 -  ..
362174 - Who can help the busy executive, as we help the busy child, come to
362175 - grasp the powerful nexus between time and information that produces
362176 - the foundation of civilization: knowledge and ideas?  How can meet
362177 - Henry Kissinger's challenge in his book "Diplomacy" of an "Alice in
362178 - Wonderland" future where nobody has enough time to understand because
362179 - everybody is "... late for a very important date." ref SDS 4 4238
362180 -
362181 -
362182 -
362183 -
362184 -
362185 -
362186 -
362187 -
362188 -
362189 -
362190 -
362191 -
362192 -
362193 -
362194 -
362195 -
3622 -