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
Therapies - 8 New Proceddures
Cortisone

0607 -
0607 -    ..
0608 - Summary/Objective
0609 -
060901 - Follow up ref SDS 36 0000, ref SDS 34 0000.
060902 -
060903 - Received letter from Doctor Connolly reporting initial research
060904 - indicates my condition is not amenable to new treatments for repairing
060905 - knees; suggests cortisone for pain.  Web site for knee treatments
060906 - seems to confirm Sylvia's initial findings.  Sylvia needs the report
060907 - on new therapies, and the history of prior treatments on my knee, to
060908 - complete consideration of treatment options.
060909 -
060910 - Sent ref DIT 1 to Jeanne Bradley, who is a coordinator at Park
060911 - Shadelands, with link to letter for Sylvia.  Jeanne was able to open
060912 - my letter to Sylvia, including the report on new knee therapies, but
060913 - had trouble opening tertiary links.
060914 -
060915 - Received copy of ref DRT 1 from Jeanne which requests help from
060916 - Kaiser's IT staff.  On an interim basis, she printed the report on
060917 - knee treatments and gave it to Sylvia.
060918 -
060919 -
060920 -
060921 -
0610 -
0611 -
0612 - Progress
0613 -
061301 -  ..
061302 - Doctor Reports Progress Reviewing Treatment Options for Knee
061303 -
061304 - Received ref DRT 2 dated 990625, from Sylvia.  It is a handwritten
061305 - letter that confirms our telecon on 990701, ref SDS 36 9662, and deals
061306 - with the knee examination on 990625. ref SDS 34 4420
061307 -
061308 - Her letter makes an additional point, not in the record on 990701, to
061309 - solve the knee problem. ref SDS 34 4420  Kaiser suggests cortisone
061310 - injections be an initial treatment. ref DRT 2 2340
061311 -
061312 - Generally, this solution seems to treat the pain, rather than fix the
061313 - problem that is causing the pain.
061314 -
061315 -    [On 990910 Doctor Craig Boulris confirmed this point. ref SDS 42
061316 -    5394]
061317 - ..
061318 - I checked the web site in the record on 990625 which is from the
061319 - article on knee therapies. ref SDS 34 5428  The section on arthritis
061320 - seems to confirm Kaiser's suggestion of treating pain.  It seems to
061321 - say that treatment to replace cartilage is not for arthritis.
061322 -
061323 - Need to get analysis from Kaiser after orthorpedist sees full record
061324 - of past surgery and article on new treatments, ref OF 1, then evaluate
061325 - best option.
061326 -
061327 -    [On 990713 Kaiser recommends exercise. ref SDS 38 7332]
061328 -
061329 -    [On 990713 sent letter to Syed to support Sylvia's efforts to send
061330 -    medical history to orthopedist. ref SDS 38 7332]
061331 -
061332 -    [On 990719 received information on Synvisc. ref SDS 40 9894]
061333 -
061334 -    [On 990722 sent letter to Sylvia. ref SDS 41 0001]
061335 -
061336 -
061337 -
061338 -
061339 -
0614 -

SUBJECTS
Medical, Kaiser
Exam 990625 Knee, Physical, Prostrate Cancer
Medical Practice
Plans, options, analysis
Kaiser Cannot Open Tertiary Links
Kaiser Computers Can't Open Links in Email
Patient Assistant

1310 -
131001 -  ..
131002 - Communication Issues Using Internet for Medical History
131003 -
131004 - Follow up ref SDS 36 0001, ref SDS 35 0448.
131005 -
131006 - We are having difficulty getting the record submitted via Internet
131007 - because Kaiser's computers do not seem to be configured to support
131008 - this objective, as reported on 990628. ref SDS 35 1026
131009 -
131010 - Called and talked to Jeanne Bradley to clarify spelling on Doctor
131011 - Boulris (???), which is cited by Sylvia in her letter, ref DRT 2
131012 - ..
131013 - Jeanne advised that...
131014 -
131015 -                      Patient Assistance
131016 -
131017 - ..., cited in record on 990625, ref SDS 34 1456, at Park Shadelands is
131018 - provided by...
131019 -
131020 -                        Mark Margrai
131021 -                        925 906 2209
131022 -
131023 - Jeanne says Mark may be able to help with the computer problem Sue
131024 - Juelis encountered on 990628. ref SDS 35 0448
131025 -
131026 - I explained initial goal is merely to solve the problem Sue cited on
131027 - 990628, ref SDS 35 0448, that she cannot open the letter to Sylvia on
131028 - the web, and so cannot forward it to Sylvia and Syed to provide
131029 - medical history.
131030 - ..
131031 - Jeanne thinks she can open links in email, so will try sending
131032 - her the letter for Sylvia, ref DIP 2, for work performed on 990625.
131033 - ref SDS 34 0001
131034 -
131035 - Her email address is...
131036 -
131037 -                 jeanne.bradley@ncal.kaiperm.org
131038 -
131039 - Jeanne related Sylvia's deep feelings about not using the computer.
131040 -
131041 - Her husband, Tom, is a strong user, so this presents an interpersonal
131042 - conflict that we should try to avoid.
131043 -
131044 - Sent letter, ref DIT 1, to Jeanne, with link to the letter for Sylvia,
131045 - ref DIP 1, asking Jeanne to try and forward to Sylvia and Syed.
131046 -
131047 -
131048 -
131049 -
1311 -
1312 -
1313 - 1326 called Jeanne
1314 -
131401 - Jeanne has not received the email.
131402 -
131403 - She explained a notice Kaiser employees have recieved of possible
131404 - problems with their computer system.
131405 -
131406 - Jeanne clarified that merely getting the letter and printing it for
131407 - Sylvia is not our goal, since she needs access to the linked material,
131408 - including medical history on 990625.
131409 -
131410 - Jeanne asked for the web site address to get the letter directly.
131411 -
131412 - I gave her...
131413 -
131414 -       http://www.welchco.com/sd/08/00101/02/99/06/25/094518.HTM
131415 -
131416 - She will call me with the results of this effort.
131417 -
131418 -
131419 -
1315 -
1316 -
1317 - 1428
1318 -
131801 - Email bounced back because address is incorrect.
131802 -
131803 - Called Kaiser.  Jeanne is in a meeting.
131804 -
131805 - Person who answered said norcal part is wrong.  Use "ncal."
131806 -
131807 -
131808 -
131809 -  ..
131810 - Kaiser Computers Opened Email Links; Cannot Open Tertiary Links
131811 -
1319 -
1320 -
1321 - 1530 Jeanne called back
1322 -
132201 - Jeanne received the email transmitting the letter to Sylvia. ref DIP 2
132202 - She was able to open the letter to Sylvia, which solves the problem
132203 - Sue Juelis encountered on 990628. ref SDS 35 0448
132204 -
132205 - She was able to open links in the letter, but she could not open any
132206 - tertiary links, i.e., below the second level.
132207 -
132208 - For example she opened the article on knee therapies, but could not
132209 - open the web site at the bottom of the file.
132210 -
132211 -     [On 991227 report medical executive unable to follow links.
132212 -     ref SDS 43 9844]
132213 -
132214 - She opened the SDS record on the examination, but she could not use
132215 - any of the links in the Summary to jump to detail, and she could not
132216 - open any links in the record to other SDS records and documents.
132217 -
132218 - This is the first time this problem has occurred using Communication
132219 - Metrics on the web.
132220 - ..
132221 - Jeanne will send Erick Martinez, in Kaiser IT Department, a
132222 - letter forwarding my letter, ref DIT 1, and ask what can be done to
132223 - permit all of the links to work.
132224 -
132225 -    [On 000207 Jeanne demonstrated this problem has been solved.
132226 -    ref SDS 44 0168]
132227 -
132228 - She will send me a copy of the letter to Erick.
132229 -
132230 -    Later received ref DRT 1 from Jeanne to Erick transmitting my
132231 -    letter, ref DIT 1 linked to letter for Sylvia, ref DIP 2, and
132232 -    asking for help opening links.
132233 -
132234 -    I called and left a message for Erick about fixing the computer
132235 -    problem, so Sylvia and Syed and review medical history.
132236 -
132237 -        [On 990708 called Erick to follow up. ref SDS 37 4896]
132238 -
132239 -        [On 990719 letter from Tracy says Kaiser reviewed medical
132240 -        history. ref SDS 39 0888]
132241 -
132242 - She will print the article on knees and give it to Sylvia.
132243 -
132244 -        [On 990708 this was done. ref SDS 37 0001]
132245 -
132246 - We discussed printing the record on the visit on 990625, ref SDS 34
132247 - 0001, but finally decided it would be too burdensome for Sylvia.
132248 -
132249 - We will try to get the online access problem fixed, then, if that
132250 - works, we will submit the record for Sylvia to review.
132251 -
132252 - Decided to re-submit a truncated record omitting review of Healthwise
132253 - Handbook, so that the record can be printed for Sylvia, and it will
132254 - not appear so imposing, nor take as long to read.
132255 -
132256 -        [On 990713 record was submitted to Syed with recommendation
132257 -        that he assist Sylvia on the kneee issue, since he has access
132258 -        to the medical history. ref SDS 38 0001 and ref SDS 38 7332]
132259 -
132260 -        [On 990719 letter from Tracy says Kaiser reviewed medical
132261 -        history. ref SDS 39 0888]
132262 -
132263 -        [On 990721 sent letter to Sylvia on progress. ref SDS 41 0001]
132264 -
132265 -
132266 -
132267 -
1323 -
1324 -
1325 - 1551 called Jeanne
1326 -
132601 - Advised there is a revised record for 990625 that focuses only on
132602 - meeting with Sylvia, which might be worth printing for her, or showing
132603 - it to her online, and asking if she would like to have it printed.
132604 -
132605 -    [On 990708 this was not done. ref SDS 37 6699]
132606 -
132607 -
132608 -
1327 -
1328 -

SUBJECTS
Medical, Kaiser
Healthwise Handbook Chapter 1
Questions, Suggestions
Medical History
Web Page for Handbook

1608 - 1439
1609 -
160901 -  ..
160902 - Healthwise Web Site Review
160903 -
160904 - Follow up ref SDS 34 3822.
160905 -
160906 - Opened Healthwise web site...
160907 -
160908 -                   http://www.healthwise.org
160909 -
160910 - Healwise promotes the concept of partnership...
160911 -
160912 -        Being wise about health is more than just having information.
160913 -        Wise patients are active partners in their health, continually
160914 -        learning to use resources to make the best choices for managing
160915 -        their health.
160916 -
160917 -
160918 -
160919 - There does not seem to be an email address for contacting these folks
160920 - from the web site.  I tried the contact link, and it merely gave
160921 - address and phone numbers.
160922 -
160923 - Called...
160924 -
160925 -                         800 706 9646
160926 -
160927 - Talked to Jenny
160928 -
160929 - Asked for Healthwise Handbook online, or the computer file.
160930 -
160931 - Asked for an email address.
160932 -
160933 - Jenny asked me to hold.
160934 -
160935 - Talked to...
160936 -
160937 -     Molly Murphy.
160938 -
160939 - Molly said she is sitting in today for...
160940 -
160941 -                  Maggy Frole-spurling    800 706 9646 Ext 6949
160942 -                  Regional Manager for West Coast
160943 -
160944 - Molly handles the West Coast, small accounts.
160945 -
160946 - Maggy will be back in the office next week.
160947 - ..
160948 - I explained I need the Healthwise book online.
160949 -
160950 - Molly said Healthwise does not give the book out to patients.
160951 - Healthwise wants patients to use the paper book.
160952 -
160953 - She will try to find someone who can address the potential for
160954 - Healthwise to expand service of its website by offering patients
160955 -
160956 -
160957 -
160958 -
160959 -
160960 -
160961 -