Winter 2000 - Volume 4 Number 1

Clinical Contributions

A Retrospective Review of 2076 Prostate Ultrasonograms in One Urology Practice.
Richard B. Thompson, MD; Ira M. Fielding, MD, FACS
This article presents data about a large number of prostate ultrasound examinations done from 1989-1997 as a screen for prostate cancer. Almost all had biopsies, usually multiple ones. The article includes much information about relationships of traits (eg, prostate size, PSA levels, digital rectal exam results, age, and ultrasound data, singly and in combination) to likelihood of cancer.

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Improvement in Quality-of-Life Indicators for Patients Suffering from Chronic Pain Syndromes.
Phillip J. Tuso, MD, FACP
This article describes the use of a special Internal Medicine Pain Clinic for the purpose of addressing physician and patient concerns about chronic pain management for nonmalignant conditions. Subjective questionnaire responses indicated improvement in most categories, including severity of pain. The author attributes much of this improvement to the supportive atmosphere of the special clinic.

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Kaiser Permanente Medicine 50 Years Ago:
Acute Catarrhal Hepatitis: A Study of Twenty-Two Cases, with Current Day Commentary.
Phillip J. Raimondi, MD
Commentary by Leon Kaufman, MD
The reprinted 56-year-old article by an early Kaiser Permanente physician about infectious hepatitis describes clinical, laboratory, and pathology features as well as the scanty information then available about epidemiology, etiology, prognosis, and treatment. The accompanying current Commentary points out what was known and unknown in 1944 in the context of many features of current understanding of viral hepatitis.

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The Medicine Wheel: Understanding "Problem" Patients in Primary Care
Louis T. Montour, MD, CM; CCFP; ABFP
A physician who is also a full-blooded Mohawk Indian describes how the Medicine Wheel concept from Native American culture has influenced his own life philosophy and his approach to patients. The universality of the Medicine Wheel concept and the benefits of its application when caring for patients are discussed in a highly personal way.

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Health Systems

Permanente Medicine:

A Conversation With Jed Weissberg, MD, On Defining Permanente Medicine
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The Principles of Permanente Medicine
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The Permanente Medicine Roundtable: Defining our Practice Principles
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The Permanente Medicine Map
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Culturally Competent Health Care.
Oliver Goldsmith, MD

A cutting-edge commentary on a topic so important to all Permanente clinicians.
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Notes From the Permanente Executive Conference--Improving the Health Care Value Equation: Access, the Care Experience and Resource Management.
Jon Stewart

Readers will find this summation of a recent Permanente leadership conference to be interesting and complementary to the other articles on Permanente Medicine in this section.
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A Functionally Interactive Intranet Clinical Information and Tracking System for Managing Pediatric Populations Affected with Chronic Diseases.
Ronald E. Williams, MD; Enrique Gaete, Pharm D, MBA; John R. Moran, BSAM; Edward Curry, MD, FAAP
This paper illustrates the potential that present day technology can offer to assist both clinicians and patients.

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Editors' Comments

High Tech--High Touch: Dilemma or Solution
Tom Janisse, MD, Editor-in-Chief
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Wave that Kaiser Permanente Flag with Pride!
Lee Jacobs, MD, Associate Editor, Health Systems
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External Affairs

Patients' Bill of Rights? Or Wrongs?
Donald W. Parsons, MD
Don Parsons gives us his insight on what is happening with the Patients' Bill of Rights Act of 1999 legislation now in conference committee. He looks at what the final version of the bill sent to the President might look like and what impact this legislation will have on the managed care industry and specifically Kaiser Permanente.

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Mission: Cataract USA
Cinde Breedlove
Since 1996, a dedicated group of Kaiser Permanente physicians, nurses, and clinical staff from Sacramento, California have donated their time to provide free cataract surgery to uninsured patients. This program has benefited the community by returning people to gainful employment and improving quality of life. The program has received a local business community award and many thanks from the grateful recipients of their expert care.

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Abstracts of articles authored or coauthored by Permanente clinicians
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Book Reviews

"Protecting The Gift: Keeping Children and Teenagers Safe (and Parents Sane)"
Gavin De Becker
Review by Robin Kittrelle, RNP
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Death of the Good Doctor: Lessons from the Heart of the AIDS Epidemic
Kate Scannell, MD
Review by Keegan A. Checkett

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Primer of Epidemiology, 4th Ed.
Gary D. Friedman, MD
Review by Robert F. Anda, MD, MS

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Soul of the Healer

Brad Becker, MD

Laryngeal Tumor
Stephen E. Beebe

Joe's Place
Michael Stine, MS, LPC

Brad Becker, MD

Brad Becker, MD

Out of the Closet--Why Gay and Lesbian Doctors Have an Important Role to Play in Healthcare
Michael Horberg, MD
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