CONTACTS 
0201 - Kaiser Permanente - Shadelands       925 906 2200 x; 800 ...
020101 - Walnut Creek, CA
020102 - Ms. Sylvia Connolly, M.D.; Physician
020103 - Medicine Urgent Care =925 206 2040

SUBJECTS
Medical, Kaiser
Exam 990625 Knee, Physical, Prostrate Cancer
Healthwise Handbook Chapter 1
Questions, Suggestions

0507 -
0507 -    ..
0508 - Summary/Objective
0509 -
050901 - Follow up ref SDS 34 0000, ref SDS 19 0000.
050902 -
050903 - Making progress on accomplishing Kaiser's goal for medical partnership
050904 - through communication.  Sylvia has not received the letter on our
050905 - meeting last week.  She will follow up with Sue.  She has sent a
050906 - letter, which I have not received. Orthopedic people indicate new
050907 - therapies may not help, but further review needed based on original
050908 - source.  Pill therapies are not recommended.
050909 -
050910 -     [On 990706 received Sylvia's letter. ref SDS 36 0001]
050911 -
050912 -     [On 990706 Jeanne trying to transmit letter to Sylvia for work on
050913 -     990625. ref SDS 36 0001]
050914 -
050915 -
050916 -  ..
0510 -
0511 -
0512 - Discussion
0513 -
051301 - Sylvia called and said she has not received ref DIP 2, which was sent
051302 - to Sue Jeulis on 990628, for forwarding to Syliva, ref SDS 35 0448,
051303 - because there was no direct email address for her.
051304 -
051305 - Sylvia will ask Sue for a copy of the letter.
051306 -
051307 - We discussed briefly, the objective for her to read the material
051308 - online so she has access to related medical history and the article on
051309 - 8 new treatments for knees.
051310 -
051311 - Sylvia said she will try to accomplish this.
051312 -
051313 -     [On 990706 Jeanne trying to transmit letter to Sylvia for work on
051314 -     990625. ref SDS 36 9493]
051315 -
051316 - She got the message from Jeanne on 990629, and got a message from the
051317 - Medical Assistant that I wanted her to call, when I was at Kaiser on
051318 - 990628.
051319 -
051320 - Sylvia asked if I got her letter?
051321 -
051322 - I explained I have not received it, and asked when it was sent?
051323 -
051324 - Sylvia is not sure when it was sent.  Yesterday, she gave it to the
051325 - medical assistant to put in the mail.  It was mailed to Millie's
051326 - address in Concord.
051327 -
051328 - I will follow up.
051329 -
051330 -     [On 990706 received Sylvia's letter. ref SDS 36 0001]
051331 -
051332 -
051333 -  ..
051334 - Kaiser's Communication Goals Can be Implemented with Training Film
051335 -
051336 - Follow up ref SDS 34 3822.
051337 -
051338 - The record today, ref SDS 0 2295, showing strong efforts to perform
051339 - guidelines in Kaiser's Healthwise Handbook, indicate a training film
051340 - can help Kaiser communicate productively with patients, per the
051341 - suggestion developed on 990625. ref SDS 34 3822
051342 -
051343 -
0514 -
0515 -

SUBJECTS
Healthwise Handbook, Chapter 2
Communication, Discussion, Writing
Review Questions Feedback

1006 -
100601 -  ..
100602 - Kaiser Accomplishing Goal for Medical Partnership in Communication
100603 -
100604 - Follow up ref SDS 34 4185.
100605 -
100606 - Sylvia's call today is part of the requirements in Chapter 2.
100607 -
100608 - Her letter is a strong effort to follow guidelines on communication
100609 - for partnership, discussed on 990625. ref SDS 34 2541 and further at
100610 - ref SDS 34 1978
100611 -
100612 -
100613 -
100614 -
1007 -
1008 -

SUBJECTS
Medical, Knees,
Cartilage Pills to Repair
Therapies - 8 New Procedures
Examination

1307 -
130701 -  ..
130702 - Knee Exam Shows Possible Problems that Require Corrective Work
130703 -
130704 - Follow up ref SDS 34 4420.
130705 -
130706 - Sylvia explained having spoken to an orthopedic surgeon about my
130707 - condition, and recollection of seeing an article with 8 new therapies.
130708 -
130709 - She indicated the surgeon told her that my recollection on 2 of the 8
130710 - therapies sounded like approaches which have not been successful for
130711 - my condition, when tried at Kaiser.
130712 -
130713 -     [On 990706 Sylvia's letter relates recommendation to try cortisone
130714 -     injections. ref SDS 36 0001]
130715 -
130716 - I related having found the article, and that is included with the
130717 - letter, ref DIP 1, to Sylvia concerning the meeting on 990625, which
130718 - was submitted through Sue Jeulis, per above. ref SDS 0 2295
130719 - ..
130720 - Sylvia said it would be helpful for Kaiser to review the actual
130721 - article on knee therapies, rather than rely on verbal explanations of
130722 - patient recollections from a month ago.
130723 -
130724 - She will contact Sue Juelis to get the letter with the article, in
130725 - order for Kaiser to complete its analysis of the knee issue.
130726 -
130727 -     [On 990706 Jeanne Bradley is trying to get the letter on the web
130728 -     for Sylvia to review online. ref SDS 36 2107]
130729 -
130730 -     [On 990713 sent letter to Syed asking him to help Sylvia submit
130731 -     record to orthopedic surgeon. ref SDS 37 7332]
130732 -
130733 -     [On 990719 advertisement on Synvisc reported. ref SDS 38 9894]
130734 -
130735 -     [On 990722 sent letter to Sylvia explaining Syed is now handling
130736 -     this matter, since he has the article on therapies. ref SDS 39
130737 -     2646
130738 -
130739 - I mentioned there is a website listed in the article for getting
130740 - professional explanations.
130741 -
130742 - Sylvia will investigate and let me know the results.
130743 -
130744 -     [On 990706 I reviewed website - did not find helpful information.
130745 -     ref SDS 36 2494]
130746 -
130747 -
130748 -
130749 -  ..
130750 - Surgery on Left Knee in 1972, 1988; New Problems Right Knee
130751 -
130752 - Follow up ref SDS 34 5152.
130753 -
130754 - I mentioned including in the record links to the last surgery in 1988
130755 - on my left knee. ref SDS 34 5152
130756 -
130757 - Sylvia said the record of prior surgery is helpful in assessing the
130758 - potential of new therapies to improve current problems, which she
130759 - reported on 990625. ref SDS 34 0882
130760 -
130761 -
130762 -  ..
130763 - Kaiser Has Not Had Success with "Pill" Therapies for Knees
130764 -
130765 - Follow up ref SDS 34 5400.
130766 -
130767 - I asked about Kaiser's recommendations on "pill" therapies for
130768 - repairing damaged cartilage, which is entered in the record submitted
130769 - to Sylvia via ref DIP 2, per ref SDS 34 1568
130770 -
130771 - Specifically cited...
130772 -
130773 -                        Osteokinetics
130774 -
130775 -    ...pills, manufactured by Shaklee, discussed on 990324. ref SDS 26
130776 -    3828
130777 - ..
130778 - Sylvia said that Kaiser is not prescribing these pill therapies
130779 - because there is no record of testing showing patients are helped. She
130780 - related that some patients attest to improvement, but lack of clinical
130781 - studies does not invite confidence in this method.
130782 -
130783 -     [On 990719 Synvisc seems to be supported by clinical studies, but
130784 -     may not permit strenuous activity. ref SDS 38 9865]
130785 -
130786 - She asked for the ingredients?
130787 -
130788 - I looked at the bottle but could not read the small print even with a
130789 - magnifying glass.
130790 -
130791 - Sylvia noted that digestion typically breaks down ingredients in
130792 - pills.  Getting the medication to specific cartiglage problems in
130793 - effective dosage seems problematic using this method.
130794 -
130795 -     [On 990719 Synvisc is an injected fluid. ref SDS 38 9894 may not
130796 -     permit strenuous activity. ref SDS 38 9865]
130797 -
130798 -     [On 990910 Doctor Craig Boulris recommended a "pill" therapy.
130799 -     ref SDS 40 5628]
130800 -
130801 -
130802 -
130803 -
130804 -
1309 -