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KAISER PERMANENTE RESPONDS TO CHARGES IN AIDS TREATMENT OF JOHN KUIVENHOVEN

 KAISER PERMANENTE RESPONDS TO CHARGES
 IN AIDS TREATMENT OF JOHN KUIVENHOVEN
 John Kuivenhoven's attorney scheduled a press conference for this afternoon to reiterate allegations that Kuivenhoven was falsely diagnosed and treated for AIDS. Kaiser Permanente issued the following fact sheet today clarifying Kuivenhoven's diagnosis and treatment:
 -- Kuivenhoven's initial diagnosis of AIDS was partially based on his statements of prior treatment, high risk behavior, and probable exposure to the virus. He presented with AIDS-like symptoms and corroborating evidence meeting CDC guidelines defining AIDS at that time. An HIV antibody test was not then required for such a diagnosis.
 -- The additional testing verifying that Kuivenhoven does not have AIDS was the result of prudent monitoring and diagnostic work by his attending physicians, who detected that his disease was not progressing in the way one would expect. Kuivenhoven's repeated failure to submit to the additional testing delayed this effort.
 -- The extent of treatment with AZT and other drugs was at lower levels and for a far shorter period of time than Kuivenhoven and his lawyer have indicated. Drug treatment was not continuous for a six-year period, and AZT treatment was only for a two-month period early on.
 -- Medical records do not substantiate Kuivenhoven's statements that he was admitted and diagnosed with pneumocystis pneumonia at our Santa Teresa Community Hospital in 1986. They do indicate he was referred to an AIDS specialist because of his symptoms and high risk lifestyle, and that he declined the referral. His subsequent treatment for AIDS at our San Francisco Medical Center was partially based on his self-reported prior diagnosis and treatment for pneumocystis pneumonia.
 -- Communication with Kuivenhoven regarding additional testing -- and the test results -- were not limited to a letter and phone call, as he alleges. The attending physicians initiated repeated requests to Kuivenhoven to come in for additional testing when it became apparent that the illness was not progressing as one would anticipate. The letter was a last resort to inform Kuivenhoven he was acting against medical advice if he did not come in for additional testing. The test results were discussed with him face-to-face following a telephone call to schedule a meeting.
 CONTACT: Beverly Hayon of Kaiser Permanente, 510-987-2703.
 -0- 10/26/92


CO: Kaiser Permanente ST: California IN: HEA MTC SU:

ML-TM -- SF010 -- 5069 10/26/92 17:40 EST
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Date:Oct 26, 1992
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