Welch Company
San Francisco, CA


S U M M A R Y


DIARY: April 21, 2005 12:52 PM Thursday; Rod Welch

Knee treatments inquiry to prepare for meeting at Kaiser.

1...Summary/Objective
2...Experience Overcomes Ignorance Fear Denial Intelligence Trumps Privacy
3...Knowledge Management Dilemma Innovation Loop Resolved by Experience
4...Shock Objection Loss Privacy Balanced Benefits Working Intelligently
5...Dilemma Shock Worry Loss Confidentiality Overcome by Better Health


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CONTACTS 

SUBJECTS
Feel Good Management Driven by Emotional Decisions Management Develo
Knee Treatment Prepare for Meeting SDS on Internet Scalable Knowledg
Pandora's Box Shocking Complexity SDS Web of Links
Doctors Not Enough Time Follow Kaiser Guidelines for Medical Practic
1st Rule Sales Show Product Give People Experience Working Intellige

4207 -
4207 -    ..
4208 - Summary/Objective
4209 -
420901 - Follow up ref SDS 10 0000.
420902 -
420903 - A request today for more information to complement SDS reporting on
420904 - the Internet, ref SDS 0 YY6S, presents another knowledge management
420905 - dilemma.  Some people care about benefits of finding accurate answers
420906 - to questions for solving problems in time to be effective.  Others are
420907 - shocked by a sharing model for work history commonly considered
420908 - confidential, even when no actual harm occurs.
420909 -
420910 -
420911 -
420912 -
420913 -
420914 -
420916 -  ..
4210 -
4211 -
4212 - Progress
4213 -
421301 - Received ref DRT 1 0001 from a Kaiser patient asking about working
421302 - with the doctor on knee problems, saying...
421303 -
421304 -    1.  Dear Rod,
421306 -         ..
421307 -    2.  How's the knee I have an appointment with Boulris next month Is
421308 -        he any good ? IO read your diary.
421310 -         ..
421311 -    3.  Thanks for any tips dealing with Kaiser.
421313 -  ..
421314 - The record on 050322 explains benefits of links that add context to
421315 - inquiries about SDS diaries on the Internet, ref SDS 8 QZ8J, and cites
421316 - prior analysis on 050113. ref SDS 7 5X4S  The letter from Denis could
421317 - therefore benefit from adding links, as noted 050330. ref SDS 9 O63G
421319 -  ..
421320 - Patient use of the SDS records on the Internet accomplishes goals for
421321 - anytime, anywhere intelligence reported on 971021. ref SDS 1 JN6J
421322 - Medical history on the Internet requires a balance between people
421323 - finding help and people concerned about confidentiality, reviewed
421324 - recently on 050414. ref SDS 10 MQ4K  When people gain experience and
421325 - have time to consider equities of benefits saving lives weighed
421326 - against privacy interests, attitudes can change to support benefits,
421327 - especially where there is no actual harm caused by disclosure, as
421328 - reported on 050414. ref SDS 10 F44Q
421329 -
421330 -     [On 050422 doctor introduces Kelly at Kaiser prior to meeting with
421331 -     Millie, ref SDS 11 6U6K; Kelly comfortable with SDS support for
421332 -     timely, accurate communication, and, also case history for lessons
421333 -     learned that helps others. ref SDS 11 F499
421335 -  ..
421336 - Other applications of SDS record on the Internet for a new way of
421337 - working "intelligently" are listed on 010907. ref SDS 4 KX3L
421339 -  ..
421340 - Submitted ref DIT 1 0001 explaining experience working with Kaiser on
421341 - knee issues....
421342 -
421343 -    1.  Responding to your letter and answering your questions, Doctor
421344 -        Boulris is knowledgeable and thorough, ref DIT 1 0001,
421345 -        illustrated by the record on 990910. ref SDS 3 1224
421347 -         ..
421348 -    2.  As well, people working in large organizations need
421349 -        communication support for managing the record, ref DIT 1 HC5O,
421350 -        illustrated by experience at Boeing reported on 040203.
421351 -        ref SDS 5 N98M
421353 -         ..
421354 -    3.  Kaiser has an excellent program for a doctor patient
421355 -        partnership to strengthen communication, ref DIT 1 HC6M,
421356 -        reported on 990625. ref SDS 2 4185
421358 -         ..
421359 -    4.  My knee is much improved since following Doctor Boulris' advice
421360 -        to use Glucosimine and Chrondroitin, ref DIT 1 HC7I, reported
421361 -        in the meeting on 990910. ref SDS 3 5628
421363 -         ..
421364 -    5.  In my case, the pill form of this treatment turned out to be
421365 -        difficult to digest, and so I discontinued the medication for
421366 -        over a year; but, I also stopped playing tennis (with great
421367 -        reluctance), and so the problem with my knee was reduced.
421368 -        ref DIT 1 HPTX
421370 -         ..
421371 -    6.  Last year, Millie and I started walking the reservoir at
421372 -        Lafayette Park, which has a lot of hills.  Going down hill was
421373 -        difficult on my knee, so we had to stop. ref DIT 1 HC8M  By
421374 -        this time, Glucosimine and Chrondroitin was available in a
421375 -        liquid form, so I tried it again at the suggestion of a friend
421376 -        who indicated that improvement should be expected in a few
421377 -        months.  I am pleased to report that in about a week or so, my
421378 -        knee was much improved, and we were back walking the hills at
421379 -        Lafayette Park without further inconvenience, reported on
421380 -        040529. ref SDS 6 MN9P
421381 -
421382 -           [On 090306 0800 NIH of Complementary and Alternative
421383 -           Medicine (CAM) study found Glucosamine Chondroiten not
421384 -           effective for mild osteoarthritis (OA), further found this
421385 -           treatment provides significant relief for patients suffering
421386 -           severe knee pain. ref SDS 12 8Q8G
421388 -         ..
421389 -    7.  A few months ago, Millie started having knee problems just
421390 -        walking up stairs.  She tried Glucosimine and Chrondroitin.  It
421391 -        took several months, but as of last week the pain is now
421392 -        completely gone from her knee. ref DIT 1 H369
421393 -
421394 -            [On 110626 1030 Claudia taking Glucosamine Chondroitin;
421395 -            discussed potential to relieve knee and hip pain Ross
421396 -            suffering. ref SDS 13 5F3T
421398 -         ..
421399 -    8.  Again, I am sure you will enjoy working with Doctor Boulris and
421400 -        find his practice thorough and effective. ref DIT 1 PPWT
421402 -         ..
421403 -    9.  By copy letting Doctor Boulris know about success of his
421404 -        treatment in my case. ref DIT 1 00W2
421405 -
421406 -
421407 -
421408 -
421409 -
421410 -
421411 -
421412 -
4215 -

SUBJECTS
Privacy Attitudes Change Experience People Get Used to New Way of Wo
Complaint Patient SDS Record on Internet Stifles Case Study Scalable
Privacy Attitudes Change Experience People Get Used to New Way of Wo
Culture Change Resisted Overcome by Relentless Pressure Converts Res
Relentless Pressure Steady Exposure to SDS Records Applies Theory of

5707 -
570801 -  ..
570802 - Experience Overcomes Ignorance Fear Denial Intelligence Trumps Privacy
570803 - Knowledge Management Dilemma Innovation Loop Resolved by Experience
570804 - Shock Objection Loss Privacy Balanced Benefits Working Intelligently
570805 - Dilemma Shock Worry Loss Confidentiality Overcome by Better Health
570806 -
570807 - Follow up ref SDS 10 AD5I.
570808 -
570809 - Submitted ref DIT 1 0001 to Kelly saying...
570810 -
570811 -    1.  In our correspondence last week on Thursday you mentioned a
570812 -        meeting scheduled with Doctor Johnson for this week,
570813 -        ref DIT 2 0001, and planned to discuss SDS records reporting on
570814 -        prior work with Millie. ref SDS 10 TF4Q
570816 -         ..
570817 -    2.  Millie is meeting with the doctor this afternoon.  Just
570818 -        wondering if you went ahead and discussed Millie's case with
570819 -        Doctor Johnson, and if so did anything helpful result?  If time
570820 -        permits, please let me know to prepare for our meeting later
570821 -        today. ref DIT 2 JL5L
570823 -         ..
570824 -    3.  Post Script, ref DIT 2 00W2
570825 -
570826 -        By coincidence yesterday another Kaiser patient bumped into an
570827 -        SDS record on the Internet. ref SDS 0 EU5I  In that case the
570828 -        patient requested more information on knee treatments,
570829 -        ref SDS 0 V66O, which illustrates the idea of lessons learned
570830 -        from case study that helps everyone, which you asked about last
570831 -        week on 050414. ref SDS 10 TE4W
570832 -
570833 -            [On 050422 meeting with Kelly at doctor's office; she liked
570834 -            seeing SDS records on Internet helping patients and doctors
570835 -            work on difficult problems. ref SDS 11 F444
570836 -
570837 -
570838 -
570839 -
570840 -
570841 -
570842 -
570843 -
570844 -
570845 -
570846 -
570847 -
5709 -