Spring 2006 - Volume 10 Number 1
This issue of The Permanente Journal explores exciting new technologies, devices, tests, and drugs and, at the same time, poses the questions rising from the many challenges these new technologies create, and tries to answer the question: How do I keep up with such rapidly changing medical advances?
Fantastic Voyage: Questions from the 21st Century
Advances in Imaging--The Changing Environment for the Imaging Specialist
Genetic Services in the KP Southern California Region: Delivering the Promises of Tomorrow Today
Kaiser Permanente Southern California Regional Technology Management Process: Evidence-Based Medicine Operationalized
Update on Interventional Neuroradiology
Implementation of a Teleradiology System to Improve After-Hours Radiology Services in Kaiser Permanente Southern California
Institute for Culturally Competent Care: Clinicians' Needs Assessment 2005
Gayle Hunt; Saleena Gupte, DrPH, MPH
This article describes the 2005 survey and the learnings gleaned from it.
A Successful Partnership to Help Reduce Health Disparities at Kaiser Permanente: The Institute for Culturally Competent Care and the Kaiser Permanente School of Anesthesia
Nilda Chong, MD, MPH, DrPH; Sassoon M Elisha, CRNA, MS, EdD; Maria Maglalang, RN, MN, NP; Karen Koh, MPH, DrPHi
This article describes the genesis evolution, and potential impact of an ongoing partnership between the KP school of Anesthesia and the California State University system in incorporating a formal cultural competence program.
Pay-for-Performance: At Last or Alas?
Michael J Pentecost, MD
This first in a series on health policy describes the pay-for-performance movement, its successes and downfalls.
Letters to the Editor
From our Readers
Stereotactic Radiosurgery: Indications and Results -- Part 2
Joseph C T Chen, MD, PhD; Michael R Girvigian, MD
This second of two parts presents indications for this increasingly important option in the treatment of central nervous system disease and discusses results reported in the medical literature.
Predictive Value of the Rapid Whole Blood Agglutination D-Dimer Assay (AGEN SimpliRED) in Community Outpatients with Suspected Deep Venous Thrombosis
Julieta E Hayag, MD; Prem P Manchanda, MD
The efficacy of using d-dimer assay to diagnose suspected deep venous thrombosis is reviewed in this retrospective study that considered electronic medical record results of d-dimer assay and compression ultrasonography.
Snoring Versus Obstructive Sleep Apnea: A Case Report
Paul Bernstein, MD, FACS; JoAnne Higa Ebba, MD
This case report examines the diagnosis and treatment of obstructive sleep apnea.
REBUILT: How Becoming Part Computer Made Me More Human
Last Chance in Texas: The Redemption of Criminal Youth
Soul of the Healer
Green Sea Turtle
Writing and Telling Our Clinical Stories to Improve the Art of Medicine
Restoring Our Humanity: Our Intention to Heal
Does Anyone Have a Case? The Balint Group Experience
Finding Meaning in Medicine
Things Happen in the Park
One of Our Stories
Doctoring My Doctor
Harpooning the Vein
The Wheezing Cherub, Her Earth Grandmama, and OUR LOSSES
The Young Father's Imperfect Gift of Life
Hypochondriacal Atopic Derm Adolescent