APRIL 28, 2014:
Lynette Seid personally prepared hoax set of 13 VUCG
images--really only 7 different images
Lynette Seid
San Diego

Area Chief Financial
Officer at Kaiser
June 2010 – Present
updated April 2014

Board Member
LEAD San Diego

Board Member at Fred
Finch Youth Center

VP - Financial Systems
Kaiser Permanente
Nonprofit; 10,001+
employees; Hospital &
Health Care industry
January 2002 – June 2010
(8 years 6 months)
1800 Harrison St
Oakland,  CA 94612-3433
Spearhead vision, development,
and execution of major change
and improvement projects at all
levels of the organization.
Cultivate partnerships between
regions, entities, and functional
areas. Identify business needs,
plan initiatives, and achieve
consensus with Board of
Directors and other senior
leaders. Effectively align
technology with finance,
administration, and long-range
strategic planning. Manage all
phases of projects, including
scope, budgets, timelines,
teams, and implementation.
Currently implementing
PeopleSoft FCM 8.9
across the Kaiser
Permanente program.

Privately Held; 51-200
employees; Accounting
1997 – 2002 (5 years)

Public Company; 10,001+
employees; MCK;
Information Technology and
Services industry
1997 – 1999 (2 years)

Director, Error Free
Nestle Beverage Division
Logistics and Supply Chain
1981 – 1997 (16 years)

Air Liquide America
Public Company; AL;
Chemicals industry
1979 – 1981 (2 years)

Lynette Seid's

National University

San Francisco State
Bachelor of Arts, Business
Administration with an
emphasis in Accounting

Lowell High School San
Francisco, CA
Class of 1975

Lynette Seid's Summary

Highly accomplished business
leader with expertise directing
large-scale process and system
changes to drive world-class
financial and supply chain
operations. Creative, strategic
thinker with proven success in
the planning and execution of
major implementation projects,
valued over $300 million.
Competent in identifying and
resolving performance gaps by
leading major redesign and
improvement efforts. Results-
driven problem solver with a
passion for innovation, quality,
developing talent, and delivering
tangible, financial results.


Business process
improvements, system
implementations, and project
Thank Heaven for
Insurance Companies blog
KP On Call

Kaiser department rankings

Cancer score card

Cardiology score card
US Health Insurance
Kaiser Permanente executives

Retaliation by Kaiser
Missing Medical Records
Warnings deleted from
abnormal test results
Kaiser conflicts of interest
Kaiser fails to diagnose
Kaiser employees
consent form
Kaiser Permanente

Urology score card: x-rays on
thermal paper, missing x-rays
Comparison San Diego  hospitals

Kaiser: missing x-rays, x-rays
stored only on thermal paper
Kaiser arbitration

Kaiser peer review
Paul Bernstein and Kaiser
Healthcare reform
Remediating failure to diagnose
Nathaniel L. Oubré, Jr.

Mary Ann Barnes
Kaiser executives
George Halvorson, Kaiser
Permanente CEO
Profits grow as Kaiser cuts
patient care costs
Blog posts re Kaiser Permanente
Dr. Eugene Rhee, chief of
urology San Diego
LEAD San Diego
Improving San Diego’s
Leadership Landscape

View our esteemed
LEADERship Trust members.
Executive Committee and Board
of Directors

LEAD SAN DIEGO is fortunate
to have a dedicated and
influential group of community
leaders to serve as our board
of directors. Each director
brings a unique skill-set and
expertise to further enrich the
values of the LEAD
organization. Their guidance
and experience are a vital asset
and necessary to ensuring that
LEAD fulfills its mission and

LEAD San Diego’s board of
directors understands what
leadership is all about and
knows that even the board
requires a group of individuals
to take on executive positions
and provide leadership to the
LEAD’s governing body.
Members of the executive
committee are confirmed for
their positions each fiscal year
as a result of board action
taken during the last meeting of
the preceding fiscal year. In
certain circumstances, they are
delegated to act on behalf of
the full board.

Executive Committee 2011 –
*Number after name indicates
LEAD program graduation year

Marilyn Sawyer

Benjamin A. Haddad

Edward W. Kitrosser

Rosana Herrera-Ortega

Scott Peters

Philip C. Blair

W. Mark Leslie

Board of Directors 2011-2012

Armon Mills
Regional Director of Practice
Development J.H. Cohn LLP

Ben Haddad
Partner California Strategies,

Bill McClelland (09)
Vice President, International
Human Resources

Bill Trumpfheller
President/CEONuffer Smith

Daniel Murphy (89)
Principal Emeritus Barney &
Barney, LLC

Edward W. Kitrosser (88)
Community Volunteer

Erica L. Opstad (11)
Vice President & Manager

Jonathan Bailey (00f & 11)
CEO Bailey Gardiner

Judy Forrester
Senior Vice President, Market
Bank of America

Lauree Sahba (03)
Chief Operating Officer San
Diego Regional EDC

Lidia S. Martinez (11)
Manager, Corporate Community
Affairs Southwest Airlines Co.

Lynette Seid (11)
San Diego Area Chief
Financial Officer Kaiser
Foundation Hospitals &
Health Plan

Marilyn A. Sawyer (84)– Chair
Community Volunteer

Mark Leslie
Vice President, External Affairs
San Diego

Marla Black (88)
Senior Vice President, Region
Union Bank

Michelle M. Mueller (90)
External Affairs Vice President


Mona Sonnenshein (09)
Chief Operating Officer
Medical Center

Pamela Clifford (10)
Executive Vice President &
Manager,Wholesale Integration
Team Wells Fargo & Co.

Phil Blair - Chair Elect (83)
Executive Officer Manpower

Randy Frisch
President & Publisher
Diego Business Journal

Richard Kelley (11)
President and General
NBC San Diego

Scott Peters (95)
Chairman & Commissioner
of San Diego

Sheryl Wright (10)
Vice President, Government
Bridgepoint Education

Tom Fleming
Director, Strategy Planning &
Business Development

Victoria Garrison (99)
Director of Education
Diego Zoo/
Zoological Society
of San Diego

Downloaded 9-28-11
January 2011
San Diego Business
Journal;1/17/2011, Vol. 32
Issue 3, p12
Photographs of several
people who attended the
Economic Trends event at
Paradise Point Resort and
Spa on Mission Bay in San
Diego, California including
Mayor Jerry Sanders,
Lynette Seid and Paul
Bernstein of Kaiser
Permanente, and Trindi
Reeves of Barney and
Barney LLC are presented.
9:53:45 a.m.
Why did Kaiser
produce two copies
of this X-ray labeled
with different

9:53:53 a.m.
Why did Kaiser produce two
copies of this X-ray labeled
with different

9:53:53 a.m.
This is same
as #2

This is same as
#1—but with
"SCOUT" label
#11        28/56  
SAME AS #10 AND #13
Images must have been picked
from THREE different sets that
were printed out!

#12        29/50        

SAME AS #10 AND #11
Lynette Seid CFO
Kaiser Permanente San Diego Area
Chief Financial Officer and chief
administrator in charge of medical
Lynette Seid (Mulan7224) on
Life is truly wonderful when
you love what you do and you
have someone very special to
share your life!

[Maura Larkins response: it's
not so wonderful when your
medical records are
San Diego Education Report
San Diego
Education Report
I asked for my VUCG results to take to an
out-of-plan doctor, and in response,
Seid created a set of X-ray images.

It pretends to be a set of 13 images,
but it actually consists of
only 7 distinct images.

Four of the images appear twice, labeled with different
numbers, but with the exact same time stamp:
#1 is identical to #4;
#2 is identical to #3,
#7 is identical to #9, and  
#8 is identical #12.
One image appears three times!
(#10, #11 and #13 are identical).  

Some of the copies have labels added (“scout,” “voiding,” and “post-void”), but
the time stamped on each image identifies it precisely.
Image #6 is of particular interest; it is the one new image that Kaiser was willing
to produce for an out-of-plan doctor.

Making the whole episode even stranger is the fact that Lynette Seid
says these are not the original digital images, but rather images that were
printed out and then scanned!

One benefit for Kaiser of that little trick is that it becomes hard to read the time
stamps on the images.  I got the time stamps off a set of the paper printouts.
I went to Kaiser on April 28, 2014 to get medical records. I
thought there might be something interesting to be found.  I was not disappointed.
The last doctor I visited at Kaiser wrote this:

I don't think Dr. Z meant to be quite so truthful about the
fact that she wasn't free to give an honest second opinion.


Can bad doctors create good knowledge?  I believe the answer is YES. Kaiser
Permanente, for example, has guidelines that require doctors to sacrifice many
patients for the purpose of increasing profits. At the same time, Kaiser collects
information that helps it improve the treatment of patients who can be helped at
low cost.

The Ethics Of Using Medical Data From Nazi Experiments
Baruch C. Cohen

Minnesota Scientist Plans to Publish Nazi Experiment on Freezing
New York Times
May 12, 1988

A university scientist specializing in hypothermia is planning to republish, along
with his own analysis, a Nazi study in which concentration camp prisoners were
subjected to extreme cold.

An undetermined number of the prisoners died in the experiment, and the plans of
the scientist have reopened a debate among medical ethicists and leaders of
Jewish groups about whether such data obtained in the Holocaust should be used
by postwar researchers.

The scientist is Dr. Robert Pozos, the 45-year-old director of the hypothermia
research laboratory at the Duluth campus of the University of Minnesota. He wants
to analyze for publication ''The Treatment of Shock From Prolonged Exposure to
Cold,'' compiled by doctors of the concentration camp at Dachau, Germany, to
show the study's possible application to modern hypothermia research.

The Dachau doctors, motivated in part by the loss of German pilots in the frigid
North Sea, used 100 to 300 prisoners for the experiment, Dr. Pozos said, although
the number who died is unclear. The doctors took physiological measurements of
subjects placed in vats of freezing liquid and also experimented with warming
techniques ranging from body-to-body contact to alcohol ingestion. 'Could
Advance My Work'...
Dr. Z wrote:

"When asked how I could help her, she [Maura Larkins] states that
"really I just wanted to meet you because when I asked Dr. X for a
transfer to another doctor,
[Dr. X] said anyone except Dr. Z".

Patient felt that... I would be honest and maybe go against
what my supervisor's might want me to do.
Discussed with the
patient that this wasn't the case at all...
Blog posts re Lynette Seid
Urology experts
Nature Reviews Urology
Chief Editor: Annette Fenner, MBBS, PhD Acting Chief Editor: Sarah Payton, PhD Senior
Editor: Melanie ... PhD; David Killock, PhD Cross-Journal Associate Editors: Tim Geach, PhD
Editorial Support Manager: ... Clinical Practice & Research.

See all posts re Lynette Seid.
News, information and ideas about our
education system

by Maura Larkins
Lynette Seid
downloaded Apr 29, 2014

As the Area Chief Financial
Officer for Kaiser Foundation
Hospitals and Health Plan in
San Diego,
Lynette is
responsible for the
financial leadership of
Kaiser Permanente San
Diego. She oversees all
aspects of financial
operations including
developing annual
financial forecasts,
consulting with senior
management to develop
and implement fiscal
plans and budget, and
evaluating the business
impact of new and
existing products.
has more than 20 years’
experience in financial
operations, leading complex
and high profile projects,
building productive working
relationships with senior
leaders and operations
managers, and effectively
managing people and
processes to achieve desired
results. Prior to joining Kaiser
Permanente, Lynette was a
consultant at McKesson
Corporation, where she
reengineered the $130M
rebate process. From 1981
to 1997, Lynette gained
accounting, finance, and
systems experience while
working at Nestle USA
Beverage Division. She holds
a Bachelor of Arts degree in
business administration with
an emphasis in accounting
from San Francisco State
May 1, 2014
Transcript of conversation with SR, manager of
Radiology Records

Lynette Seid, who is both CFO and chief of medical records at Kaiser
Permanente in San Diego, and Dr. Eugene Rhee, chief of urology, made up a
bizarre story to explain the absence of my digital X-rays on Kaiser San Diego's
main computer, but the story has fallen apart.

Lynette Seid is legally required to give me copies of my X-ray images. To avoid
doing that, she created a CD which she claimed was scanned thermal paper

Dr. Paul Bernstein and Dr. Andrew Golden started a review of the episode, but
canceled it within a week.

Much to the consternation of Seid and Rhee, the innocent underlings
at Kaiser keep telling the truth.
The technician who did my VUCG said my
digital video would be uploaded to the main Kaiser computer. It never was. A
clerk in Radiology records said that I could have a CD of the digital video for
$10. I sent the money, but I didn't get the CD.

For some reason, doctors wanted to conceal the VUCG results. I assume that
the reason is the typical one at Kaiser: saving money by denying care.

When I complained, Kaiser wrote to me that the digital video I had witnessed on
the computer monitor WAS NOT SAVED--except that a few THERMAL PAPER

In fact, the test had been done on a brand new digital fluoroscopy machine at
the brand new Garfield Specialty Center in San Diego. The Center had had a
grand opening one week earlier, and Kaiser Permanente's newsletter boasted
that all X-rays were digital. In fact, the "thermal paper" images were simply
digital images printed out on high quality paper.

This month, Ms. Seid's subordinate "SR" got caught flat-footed because she
had no idea she was supposed to claim that X-rays were saved only on thermal
paper in 2011. SR accidentally revealed information that Ms. Seid had gone to
a great deal of trouble to conceal.

On April 7, 2014 I submitted a request to Radiology Records for the VUCG
digital video.

Strangely, I was told by multiple individuals on April 7, 2014 that they had "still"
images for a procedure done on me on June 16 2011. I did not have any
procedure on June 16, 2011. My VUCG procedure was on June 15, 2011.

April 7, 2014

When I turned in my request at the radiology window, the young man who was
sitting there immediately started preparing a CD. I asked if it was a digital video
that he was preparing. He said it was a set of 13 still images from a procedure
that was dated June 16, 2011. He was going to charge me $15 for the CD—
from the wrong date! I said I wanted the digital video from June 15, 2011, not
still images dated June 16, 2011.

The young man went to get someone else to talk to me. He went and sat at
another desk and waited while a young woman named “V” sat down in his chair.

V asked me, “What are you going to play the CD on?

I was dumbfounded for a moment since this question seemed so bizarre. I was
planning to play it on, and upload it to, my computer, but I didn’t understand
why she was concerned about this. I figured I was free to do whatever I wanted
with it, including using it as a bookmark or a Frisbee.

V asked me again, “What are you going to play the CD on?

I finally shrugged and said, “Whatever I feel like playing it on.”

Van said there was no video.

But then she started talking about VHS tapes. “If it’s on VHS…” she said, but
then she didn’t finish her sentence. Perhaps eyebrows knitted and my mouth
dropped open when she started talking about VHS tapes.

Van went to get J.

J, who said her title was “a senior”, said, “We don’t have moving videos.”

J said her supervisor is SR, and SR’s supervisor is Mary Hanshaw, who is the
ADA for radiology files, but she refused to tell me who Mary Hanshaw’s
supervisor is.

She said I should call the two names she gave me, but she didn’t give me
phone numbers. Perhaps I was supposed to call out their names loudly?

I waited while J made a call. She wouldn’t give me SR’s phone number. Finally
she said SR will call me.

SR phone call April 7, 2014

SR called me on my cell phone. She identified herself as “Manager here at
Radiology Records.” I was not able to write fast enough to record every single
word, but I recorded most of the conversation.

SR: Was your procedure done in urology department?
ML: Yes.
SR: What date?
ML: June 15, 2011.
SR: I have June 16, 2011. I am not aware of any moving video. I know they
watch it on fluoroscopy which is like a video camera which is not actually taped.

SR: [With] fluoroscopy you can watch moving images. Those images are not
saved by videotape which I think is what you are referring to. Usually they take
pictures in between live video fluoroscopy. Fluoroscopy is live X-rays like a
video camera. You never record moving images. For that type of procedure it’s
not fully reported from beginning to end. Just spot pictures.

ML: “Spot pictures” are X-ray on a film?
SR: Correct.

ML: Do you have some films from my procedure?
SR: I’m not sure. But we don’t have moving videos. If there is anything it would
be a film.
ML: Sometimes you do have plain film for people who have VUCGs?
SR: Yes, because we do it a lot on babies. I can find out if there are plain films.
ML: I’d like you to do that.

ML: So there are never any digital videos for VUCGs?
SR: For this particular exam, no. And that’s common practice, not just Kaiser.
Angiograms, they tape that.
ML: You know what a VUCG is?
SR: Yes, it’s a voiding urethrocystogram.
ML: And you know for a fact that they don’t make digital videos of them?
SR: I’m 99% positive. We do babies…
ML: How about adults?
SR: I don’t even think they have the capability to do it.

ML: This is the latest technology?
SR: Correct. That’s common practice.
ML: Can you find out if anybody gets digital videos for VUCGs?
SR: I’ve been here for 20 years and it’s something I’ve never known has been
done her as well as in the outside community. It’s not a standard of care.

ML: Can you find out?
SR: If it’s done at urology? I would have to call urology.
ML: You have an obligation to produce records if they exist. So you will call me
when you find out?
SR: Yes, I will.
ML: Thank you. Bye-bye.

April 8, 2014

Stephanie Ritter called back.

SR: I reached out to the chief of urology and confirmed that we do not tape.
You used the word video. We do not tape the full fluoroscopy for VUCGs. Your
X-ray jacket is in our main warehouse up in L.A. and we’ve ordered that to be
delivered and hope to have it by the end of this week so we can review if there
are any images in the jacket. [Maura Larkins’ thought: why would there be an X-
ray jacket if there were no images????] They can take plain film pictures
between the exam.

ML: Do they use thermal paper?

[I asked this because Dr. Rhee, Lynette Seid, Andrew Golden and everyone
else I talked to at Kaiser had previously told me that images from my procedure
had only been saved on thermal paper. This bizarre claim was even put in

SR: No. Thermal paper hasn’t been used in a long time. Thermal paper was
used in mammography more than 20 years ago.

ML: There were no digital images saved?
SR: You used the word “video”. There was no taping. That is not procedure.
ML: Are there digital images?
SR: I don’t know if they would be digital.
ML: Is there a possibility they might be digital?

SR: What do you mean by digital? [ML note: SR didn’t allow me to answer that
question.] It was probably around the time we started to convert to digital in
regular radiology, not necessarily in urology. Southern California, from L.A.
down, did start to convert to non-film images.

ML: When you say “converting to non-film”, you mean digital?

SR: Correct. But I want to be careful about what you’re understanding. A film
can be converted to digital and digital can be converted to film. [Maura Larkins’
thought: Why would anyone want to convert from digital to film????]

ML: Right now urology never uses digital X-rays or fluoroscopy?

SR: Fluoroscopy and digital are different things. We do not use video cameras.

ML: Fluoroscopy is never digital?

SR: I’m not going to say NO. Depending on type [page 6 begins here]of

ML: Sometimes fluoroscopy is recorded digitally?

SR: I’m not going to answer that because it does not relate to VUCG. For a
voiding urethrocystogram there is not recording of fluoroscopy.

ML: You talked to Dr. Rhee?

SR: Yes. I don’t want to mislead you.

ML: You don’t want to mislead me?

SR: Mrs. Larkins, please don’t put words in my mouth. I don’t want to
miscommunicate with you.
ML: You said, “I don’t want to mislead you.”
SR: I don’t want to mislead you into something you may not understand due to
dynamics of urology department.
ML: You don’t want to mislead me, do you?
SR: Mrs. Larkins, is there anything I can answer?
ML: I want you to answer this: you don’t want to mislead me, do you?
SR: I want to give you correct information. I want you to understand the
dynamics of procedures. You should call Mary Hanshaw. They gave you her

ML: They gave me her name, but not her number.
SR: [silence]
ML: They gave me her name, but not her number.
SR: [silence]
ML: Hint, hint.
SR: Are you asking me something?
ML: I’m asking for her number.
SR: 619 528 5527. Mary is on vacation.
ML: What is her title?
SR: Director of Radiology.
ML: Who is her supervisor?
SR: Dana Gascay.
ML: What is her position?
SR: Associate Medical Group Administrator. I don’t have her information.
ML: Who is her supervisor?
SR: Jim Malone.
ML: There must be someone between her and Jim Malone.
SR: Nope, there’s not.
ML: If there is an Associate Medical Group Administrator, wouldn’t there be a
Medical Group Administrator?
SR: Which is Jim Malone.

ML: I bet sometimes you don’t like your job, do you?
SR: I love my job.
ML: Surely you don’t enjoy telling me these things?
SR: I’m just telling you the truth.
ML: I hope you don’t have to do any more phone calls like this today. It really
must be stressful.
SR: Well, you have a wonderful afternoon.
ML: Okay. Bye-bye.

Email to Lynette Seid:

I sent an email to Lynette Seid on April 24, 2014 telling her that her
subordinates were not complying with the law.  She has not responded as of
May 1, 2014.

I then sent the above transcript to Lynette Seid AFTER SR had gone on leave
(see below), asking Ms. Seid to let me know if Kaiser found any errors in my

Follow-up phone calls to Mary Hanshaw:

I called Mary Hanshaw several times at 619 528 5527.  On April 24, 2014 I
called but no person or machine picked up.

On April 25, 2014 I called 619 528 5527 and talked to Elsa, who transferred me
to Mary Hanshaw’s answering machine. The recorded message said, “This is
Mary Hanshaw, Director of Diagnostic Imaging.”

I left this message: “This is Maura Larkins. On April 7 I submitted a request to
view records. 14 days have passed and I still haven’t seen records. It’s
supposed to be 5 days. Please call me...”

On May 1, 2014 I called and talked to a man, who transferred me to Mary
Hanshaw’s answering machine/voice mail.

I left a message:
This is Maura Larkins. I left a message on April 25 and I haven’t heard back. I
made a records request on April 7. I talked to SR. She said she would check my
X-ray chart [I meant to say “jacket”] but she hasn’t gotten back to me. I haven’t
heard from her since April 8. Please call me... And please send the records. I
believe you are beyond the legal limit for this request.

Follow-up call to SR:

On May 1, 2014  I called SR at 619 528 3297. Her personal greeting on her
voicemail said she’s out of the office. She continued, “If you need assistance,
contact the secretary at 528 5538” or the clerk at 619 528 5417.

Then the message switched to someone else’s voice:
“Sorry, the mailbox belonging to SR has an extended absence
greeting in place and will not accept new messages.”

May 2, 2014 update: It turns out that SR has gone on
emergency medical leave.

I'm guessing it hasn't been good for her health that her superiors,
particularly Lynette Seid, have prevented her from obeying the law
regarding my records request.  

Was SR ordered to go on leave in order to cover-
up Lynette Seid's wrongdoing?

I know that Kaiser sends employees home on the spot if they catch them giving
too much help to patients.

I once witnessed a head nurse at Kaiser's La Mesa nurse's clinic
sending a receptionist home as a punishment for giving me the number
Kaiser's complaint line.

On the other hand, maybe SR isn't on leave at all.  Maybe Kaiser is just
pretending she's on leave.
Lynette Seid has done
some very nice work
with altered VUCG
images; see transcript
The VUCG procedure that
triggered Lynette Seid's hoax
Are doctors the new lawyers?  See conflicts of interest.
May 2014 update on this story:
see transcript below
#9        31/47  

#10        28/56    10:08:36        
SAME AS #11 AND #13
Three (3!) copies of this
X-ray were labeled with
diffferent numbers!
How many times has Kaiser
committed silly fraud like this?
The VUCG procedure that triggered Lynette Seid's hoax

NEW image!!!!  Thank you,


Images must have been picked from TWO different sets
that were printed out in order to have two different labels
yet Kaiser denies that any digital records were saved.

How can Kaiser print out different sets if they don't have
images saved digitally?  In fact, it turns out that at least
three different sets were printed out.  See #10 below for proof.
See the full story, including Dr. Rhee emails.