I believe that health care is set in the context of an individual's personal beliefs about health and wellness and that is in the context of one’s greater social (and spiritual) beliefs. Therefore, it is important for the individual to be actively involved in their choices of approach to treatment and management of their health. It is important to recognize what science has shown us about what is safe and effective. This balance is what is termed integrative, whole person care and includes all of a persons' individual, physical, mental, emotional and spiritual value systems in the context of their broader social situation and relationships with their family and greater community. I believe in an integrative approach for the individual and also for the health care team, which is why it is an absolute honor and pleasure to work at the Kaiser Permanente system. In the Kaiser Permanente system, we offer opportunity to work collaboratively with all disciplines in medical care and it is my practice to communicate with all of your physicians and providers to maintain a focus on what is your chosen treatment algorithm. I know of no other practice opportunity than the Kaiser Permanente system that provides this integration so robustly. I encourage you to discuss all the concerns that you have in order for us to choose what is the very best possible approach to your care for you. The Permanente Medical Group has the unique advantage of integrating the care experience of our patient across disciplines and medical centers to maximize your benefit.