It seems if any patient and any Black patient questions any procedure at Kaiser, they will be accused of harassment.
Does Kaiser Know What a Letter Requesting a Reasonable Accommodation Is?
To Kaiser Member Services 11/3/2025
Comments or Questions : “To get a letter requesting a housing accommodation from Kaiser Permanente, you must first contact your doctor or a Kaiser social worker who can provide a verification letter for your housing provider. This letter should explain disability related needs, the specific accommodation required, based on the doctors evaluation. Then submit this letter to your landlord, and you should also check with your specific Kaiser region for any internal forms or procedures they might require, such as a housing and security referral form for their housing support services. Get a verification letter by having your healthcare provider write a letter on their professional letterhead. This letter says that you have a disability, describe the limitations your disability causes, explain why the requested accommodation is necessary for you to have full use and enjoyment of your home . Recommend specific reasonable accommodations.” (Kaiser Policy) My doctor(s) refuses to provide certification of ailments. What can I do?
Kaiser (Cindy) “said that a number of doctors told her that I have attacked them. She said I was
violating the hospital code of conduct. I told her I did not threaten anybody, attack
anybody or harass them.”
Editor: The above was posted to doctors on the Kaiser Portal October 30-31, 2025.
The Complaint Against Dr. Mehta
June 2, 2025
Appnt phone with Dr. Siegel May 2025
The Kaiser Permanente Doctors include Jimmy Arun Patel, Yagil Barasanti, and Jeffrey Siegel.
Kaiser documents say the patient’s current health issues are high, blood fat, vertigo, right hearing loss, disequilibrium, family, history of diabetes, history of concussion, diabetes, BPH, supraventricular, tachycardia, anxiety, PTSD, Ataxia. The PTSD and Ataxia were diagnosed within the last two weeks.
DOCTOR SIEGEL: So first thing I always do is I review with everyone if they have. Are you taking any medication?
PATIENT: I’m taking the blood pressure medicine.
DOCTOR: Okay. Do you check your blood pressure at home?
PATIENT: Yes.
DOCTOR: What is it running?
PATIENT: Well, today I checked it, but I wasn’t resting. It was a little high, but I checked it at 325 and it was 133 over 85.
DOCTOR: Okay. And what does it run on average at home?
PATIENT It’s been running about maybe 127 79. Yeah.
DOCTOR: So it’s. Is it always below 140 over 90?
PATIENT: Is it always below 140 over 90, I usually just check it once a day, like maybe an hour after breakfast.
DOCTOR: Okay. Okay. All right. So it’s always below 140 over 90.
You’re not detecting numbers that are high. Although in the hospital, I guess you or when you come in to doctor’s offices, they are high. Maybe you have some light hypertension. Is that the case?
PATIENT: Yeah, that’s what I noticed that in the doctor’s office it seems to be higher.
I mean, even if my machine wasn’t working properly, it’s still not that high. You know.
DOCTOR: Could BP at home, very high, very high at clinic. So the issue is there is we do have a. Most of the time we have a 24 hour blood pressure monitor.
The doctor who’s running that program is off right now. So we have to. But it is something that I would, I think would be a good idea for you because that monitor you could wear for a full day and it gives us a more honest reflection of blood pressure through a normal daily existence.
PATIENT. Yes, yes. I try to make sure I’m resting when I take it.
DOCTOR: No, I understand, but the machine actually goes off every 20 minutes irrespective of what someone’s doing. You wear it for a day. So I’m gonna. I will find out if there’s. I don’t even know if anyone is doing this.
I’m gonna see if there’s anyone who has taken over the program because the one doctor is temporarily moving to Philadelphia for her husband’s fellowship. Okay, so let me see if I can find out. Let’s see who is going to run Going to run the blood pressure program. VP the 24 hour blood pressure program.
DOCTOR: Okay, next. So my next question for you is your Your PSA tests, that’s been elevated, you have elevated psa. So I mean, the answer to that is that, you know, either you should get an MRI, you should get a biopsy, but there should be something done to evaluate that because it could reflect a problem. You’re aware of that?
PATIENT. Yes, but.
DOCTOR: Okay. And I know that you’ve been offered those things, but it doesn’t look like you’re. You’re interested. Is that the case?
PATIENT: Well, I’m thinking about it. I just need time to think about it.
I mean, you know, you see people that are sick.You see. You see people that are sick every day. You see people that die every day. But that’s not a normal occurrence for me. So I have to do something to either accept it or think about it. Give myself some time.
DOCTOR: You’ve had it. You’ve had a year.
PATIENT: I don’t think I’ve had a year. But either way, what’s the difference?
I’m not comfortable with it. I’m not used to it. You are. Try to put yourself in my place.
DOCTOR: Mr. Johnson, you’re aware that you might have cancer and you’re not getting a biopsy.
PATIENT: I could die today. I wouldn’t give a damn. What I’m trying to say is try to put yourself in my place, and you can’t.
DOCTOR: I am.
PATIENT: No, you’re not. No, you’re not.
DOCTOR: I have my own medical issues.
PATIENT: Well, that’s. Good for you. Good for you. Okay. I guess we’re all human, right? We all have medical issues. Right? Try to accept the fact that I’m trying to deal with being prepared for it. I’ve never gone through this before. You have. I haven’t.
DOCTOR: Okay.
PATIENT: Not rocket science to me. I’m sorry to be upset, but it’s.You know, I am upset because of my health.
DOCTOR: Right. So the only way to help you is to diagnose and potentially help you.
PATIENT: Well, there’s 75,000 doctors at Kaiser. Not to be smart, but does anybody have any idea how to shrink it? Any. Any clues about that? I mean, I can go on. I can go online and try to figure it out if there’s no doctor there to available.
DOCTOR: All right, so listen, so I. The way to figure out what’s going on. You don’t just shrink something if you know that there’s a problem. You have to diagnose what the problem is.
PATIENT: Oh, I think you already know that it’s enlarged, so that would be a reason to shrink it.
DOCTOR: I think you need a diagnosis.
PATIENT: I thought you were giving me a diagnosis.
DOCTOR: I told you, it could be anything. The answer is you might not have cancer. You just may have elevated PSA and enlarged prostate, which happens all the time also.
PATIENT: That’s right.
DOCTOR: Okay, so the only way to know is by testing.
PATIENT: And you’re saying that I need to know? Are you saying YOU want to know?
DOCTOR: Well, I mean, look, if you end up getting sick from it, you need to know.
PATIENT: I might be already sick from it. I don’t know.
DOCTOR: Okay. All right. Okay. I mean, that’s. This is your choice. I mean, you’re hearing very clear, linear reasoning about what’s going on here. I don’t. We really can’t be any more linear than we’re being. I mean, in that regard.
PATIENT: I don’t know what the word linear means.
DOCTOR: Linear. Straight reasoning. Straight shooter. Straight. I’m telling you off the bat that you have an issue. That could be just an elevated prostate test and a big prostate, or it could be a cancer. Only way to know is to do testing. And you’ve been offered this.
PATIENT: Yes, And I have the right to refuse treatment, and you need to respect that.
DOCTOR: Well, it’s not treatment. It’s diagnosis.
PATIENT: Whatever you want to call it, I still have the right to deny it.
DOCTOR: Okay. Okay. So I just want you to know. I mean, I’m just documenting this. That you’re denying that you want to have that evaluated.
PATIENT: I just said I don’t want to have it right now until I think about it. And you seem to have an objection to me thinking about it.
DOCTOR: You’ve been thinking about it for a year.
PATIENT: Again. Again, you’re having an objection. And that doesn’t sound like a medical doctor’s position. That sounds like a person who is prejudiced.
DOCTOR: Prejudiced?
PATIENT: Prejudiced. You’re prejudiced because you feel I should act like you feel like I should act like you. Like you want me to act. Okay. I need to act what’s good for me, not what’s good for you. That’s prejudice.
DOCTOR: I am not prejudging. Prejudice is prejudging someone based on information. You have results, multiple results that are not. I’m not prejudging. I am evaluating that information. And the information’s in front of us. And what we do with that information is you would do more testing. Do you hear what I’m saying?
PATIENT: Yes, I heard you. So move on to the next subject.
DOCTOR: Okay. All right. So, well, you called for another reason. Is that. Is. Is there something about. You want an FMLA or something?
PATIENT: Oh, let me ask you a question. Are you. I assume you’re able to read and comprehend English, so. I’ve written a lot of letters to the port, and I don’t pretend that you are capable of reading every single communication, but are you able to read any of them? Because if you’re asking me what’s going on, you would have read my communications, and then you would know what’s in the portal, so you wouldn’t need to ask me.Hey, what’s going on? Oh, I just wrote you three times the last three weeks. I mean, you know, it’s supposed to be a give and take situation here, and it seems like I’m writing the portal, but you’re not reading it, so what’s the object of me writing it?
DOCTOR: Okay, so why don’t you tell me what your next issue is?
PATIENT: I’m not able to drive. I’m having a little dizziness. When I get in the car, I cannot drive at all either to the grocery store. I can’t even drive outside the parking lot because I’m having. I don’t. I don’t know if it’s anxiety, but it doesn’t seem to be physical to me because I can sit in the apartment and I’m fine. So it’s something to do with the driving.
DOCTOR: Okay, so you’re not able to drive. What happens when you start driving?
PATIENT: Excuse me?
DOCTOR: When you start driving, you get dizzy?
PATIENT: No, I get just incredible anxiety or panic.I don’t get dizzy.
DOCTOR: Okay, so have you discussed with someone this anxiety?
PATIENT: Yes, it’s in the portal. Like I said, I’ve written different doctors and I’ve talked to the psychiatrist also. Excuse me, the therapist.That’s all in the portal.
DOCTOR: Okay, well, what is the psychiatrist told you. They don’t actually have their notes available to us.
PATIENT: Oh, I wouldn’t know. So it’s a therapist. I haven’t seen a psychiatrist yet, and the therapist says that it’s a PTSD.
DOCTOR: Okay. Okay, so the ptsd, from what experience was it?
PATIENT: Well, I. I’m not sure where they’re. I can’t quote this therapist, but she thinks it comes from when I was hit by a car many years ago and it’s just, just now starting to manifest.
DOCTOR: You were hit by a car many years ago?
So who is it? It’s. Is this [THERAPIST] Jessica Maldonada?
PATIENT: Yes.
DOCTOR: Okay, so I can reach out. So what? What? So in terms of.
So getting around, how are you? How do you get around?
PATIENT: Right now, I don’t get around. I’ve been on a leave of absence. I’ve been out sick since the catheter was inserted. And then about two weeks later, the catheter was taken out. During that whole time, I’m not able to drive, so I, I don’t know if it was the infection from the urinary tract, but ever since then I, I haven’t been able to drive.
DOCTOR: Okay. All right.
PATIENT: Not able to drive. I’m not able to get any type of public transportation. And the problem I was having, walking.Problem. Walking is still there. I haven’t, I haven’t fallen over like I was falling over. And let’s see. Was that February? Yeah.
DOCTOR: Are you able to, Are you, are you eating?
PATIENT: Yep, I eat regular and I try to make sure I drink enough water and I’m not dehydrated.
DOCTOR: Okay. And are you, are you sleeping okay? Sleeping okay.
PATIENT: A little bit restlessness certain nights, but basically I try to get eight hours sleep. Yes.
DOCTOR: Okay. Are you able to exercise at all?
PATIENT: I do some stretching, yes. You know, I have anxiety upon awakening, so I wait, you know, about 15 (45) minutes before I get out the bed. I still have the myoclonic jerks during the day, but, you know, they’re unpredictable, so I can’t say how many or how severe.
DOCTOR: So with the anxiety, I mean, there are, I mean, in terms of approaching anxiety, you say that the anxiety is somewhat free floating. It occurs at different times. When you wake up in the morning, it could be at other times. Have. What kind of treatment in the past in your life have you had for this?
PATIENT: Well, I called it crippling, crippling anxiety. But it seems to be different degrees and it’s. It, I mean, I got, I’m in the apartment now. I don’t feel anxiety, but I think the other doctor neurologist said that he felt the anxiety was there all the time. But if I go out to the car or I try to walk somewhere, then that’s when it kind of is more pronounced.
But other than that, I’m not aware of any treatment or medicine that I’ve been given. No.
DOCTOR: So in terms of how to treat this, there are multiple approaches to treating this. There’s obviously self care, which people do, and then there is. I’m just trying.
Well, I’m looking to see what doctor, Dr. Kazmira, for. He said he was. You were clearly Ataxic, so you have trouble walking, mildly weak. He’s just trying to see what his explanation for things are. So he ordered an MRI and a study for the system, your balance and the EEG. Let’s see, were you able to do. Okay, so the MRIs are ordered. They haven’t been done yet.
PATIENT: My MRI was scheduled for next Monday, but they had to reschedule because they said they had the wrong order. So it was due next Monday, but then they rescheduled, I think for the 30th of June.
DOCTOR: Okay, so MRI is to be done now. What about in terms of your anxiety? Have you ever tried any medication for anxiety to see if it might help you?
PATIENT: No one’s recommended any medication. So.
DOCTOR: Okay. Well, I mean there and again you had these symptoms over years, anxiety?
PATIENT: Yes.
DOTOR: Is it one year, five years, 10 years?
PATIENT: Well, I’ve been with Kaiser since I think it was, let me see, 2007, I believe, and I believe the psychiatrist diagnosed anxiety at that time.
DOCTOR: So you think that you’re, you’re having anxiety since at least 2007?
PATIENT: Off and on and different degrees. In other words, it’s become more pronounced. Obviously if I’m having trouble driving or sitting in the car or sitting on the train, it’s, it’s more pronounced. But yeah, I’ve had it a while. Yes, Kaiser has diagnosed it for a while.
DOCTOR: So the thing, the thing to do based on where we are and just how much, you know, long this is going on for. I mean you, it would make sense to start a medication to see if you could at least get your baseline functionality improved. You know, that, that would be a reasonable thing to start.
PATIENT: Well, I don’t know, I, I don’t know.
DOCTOR: I’m saying this. I mean if you have this anxiety that’s free floating, it’s there on an on and off relatively often basis. You know, there’s probably an element of biochemistry to the whole issue. The thing to do is to start treating it.
PATIENT: Yeah, well, I’ve talked to the…..
DOCTOR: Would you be willing to take medicine for that?
PATIENT: I’m willing to consider the medicine. I’ve talked to the neurologist, they haven’t recommended any medicine. And see, I talked to the therapist, but she has to refer me to the psychiatrist and I think I have a psychiatrist appointment for this week. This, I’m sorry, next week coming up.
DOCTOR: Okay, so you will talk to psychiatry.
About it, I believe, on Tuesday?
PATIENT: Yeah, next Tuesday.
DOCTOR: Let me see who it is that you’re gonna see. You’re going to talk to Dr.
Looks like Mitten, Andrew Mitten.
PATIENT: It’s a psychiatrist in there somewhere. I don’t know if I have to see a therapist next or I’m not sure when the psychiatrist appointment is. I think it is next month.
DOCTOR: You will be talking to him. Six, two. All right, so I am just so you can reach back to me. So. Are you having any other Symptoms? Any chest pain or breathing problems?
PATIENT: No, no, not really. I have a little like. I don’t know what you call it when you.
You try to breathe through your nose and then it kind of clogs up or something. I don’t know what that is, but that’s kind of intermittent. But it doesn’t. Doesn’t stop me from breathing.
DOCTOR: Okay, so are you having any fevers?
PATIENT: Fevers? No, no, no fevers, no headaches.
DOCTOR: Okay, so. Okay. Okay, so no fevers. Are you bleeding anywhere?
PATIENT: Oh, that’s funny, because I had a little bit of a nosebleed this morning on the right side, but it went away. I don’t know. I mean, I normally blow my nose or wipe my nose daily, so that was the first time I saw a little bit of blood.
But I put a little ice up there. It went away.
DOCTOR: Okay.
PATIENT: I only noticed it because I went to wipe my nose. That’s when I noticed it.
DOCTOR: Okay, other. Let me think, let me see what These other issues you’ve got, Laboratories you did in October were actually those that I ordered that you did, they were all normal at that time. Interestingly, you did some laboratories on May 23rd that were good. So we can go.
[CRAZY. He skipped over the entire period of the catheritization, anti-biotics, further infection, and catheter removal and his refusal to tell me how long the catheter should stay in, the effect of the antibiotics on me, etc.Editor)
PATIENT: Not sure where it was. I think it was an office visit.
DOCTOR: All right.
PATIENT: I had went to urgent care. I believe urgent care did it.
DOCTOR: Okay, so tell me what, what other symptoms are going on?
PATIENT: That’s. That. That’s the only ones, really. I mean, I. From my standpoint, I don’t really know if I’m. If this is caused by me being. Me having too much energy or too little energy. I. I can’t diagnose myself. But, yeah, I don’t know if it’s. If it’s, you know, too much energy, too little energy. I don’t know. I don’t know how to try to self, you know, self. Treat it.
DOCTOR: Okay.
DOCTOR: Okay. Are there any other new symptoms I should be aware of?
PATIENT: No. You know, I. I guess I was supposed to look at the blood test.
So I saw that there was something in the blood, and then they took the test again. They said it was nothing there, but I saw the H, HDB and the HCT looked like they were not normal. But then they took the blood again and it looks like the hg, hgc, let’s see, hgb, HCT are normal now.
DOCTOR: Let’s see, the last time they were checked here, it was. Yeah. On repeat on May 23, they were normal. Yeah. So.Yeah. All right, so. Are there are other things I should know. I mean, are you, how are you urinating?
PATIENT: Since the catheter was removed, the urination looks good. The stream is, I think, pretty good. The color is good. I don’t see any, any blood or blood clots. I still have the incontinence during the day and at night, but not, not as severe.
DOCTOR: All right, so incontinence. Good.
PATIENT: So I do, I do wear, When I go out, I do wear adult diapers.
DOCTOR: Okay. Okay. So is there anything else in terms of discussion that you want to reflect to me about what’s going on?
PATIENT: No, mainly just, you know, I, I wish I could figure this out about the, the driving and the sitting in the, if I sit in the car, I get the anxiety, and if I get in transportation, I just wish I could figure that out. And I’m off work, sick right now, so I, I, I’m hoping, you know, by next week or the following week I’ll be well enough to drive. But I test myself twice a day, and it’s just not getting better. It’s, it’s not as severe as it was. Let’s see. Oh, maybe a week or two ago, uh, when I was, uh, when I had the catheter and, but yeah, I wish I could figure it out, but, yeah, it’s just, it’s just not going away. That’s the problem.
DOCTOR: Okay. All right, well, let’s, let’s see what we can come up with. I mean, I think after you talk to Dr. Mitten, see if, you know what he thinks with your discussion regarding how to help you get up and get around.
PATIENT:I don’t know if it’s something. I don’t know if it’s mental or physical.
I think it’s something physical, but I can’t, you know, I can’t really be the judge of what it is. I mean, I don’t know if it’s something in my back or legs. I, I don’t know.
DOCTOR: Okay, well, again, you’ll talk to him and then, I mean, you do. It would be helpful to get, obviously, those imaging studies right now. Are you having a hard time walking around your house?
PATIENT: Just a touch. Balance issues. But once I get out the bed and start moving, I’m pretty much, you know, 90%.
DOCTOR: Okay. And you get, and you walk around your house?
PATIENT: Yes, I use the wheelchair or the walker, and especially when I first get up and, you know, during the day, I may use the wheelchair again, but yeah, I, I basically, you know, feel pretty good walking around. I just, just when I go outside. Like, I went to the car and I felt a little, you know, balance issue, just going to the car.
DOCTOR: All right, so you’ll see these folks and go from there in terms of, of what the next steps are. All right. And see what psych has to say. I can, I’ll communicate with them after you talk with them.
PATIENT: Okay?
DOCTOR: Okay. All right. All right, we’ll talk more.
PATIENT: Okay. Have a good day.
DOCTOR: thank you.
[Background is that the Doctor was requested to provide a certification of ailments or limitations months ago maybe October 2024 thru the portal but does not mention the request. He was asked repeatedly to provide the certification of limitations and given the Leave of Absence package of documents around May 16 2025 but he makes no mention of the specifics. He does not mention the two times patient went to Urgent Care and once to emergency and does not mention that two doctors took patient off work sick for a few days. He does not mention the importance of the wheelchair. He does not specifically address any communications to the Kaiser portal. Editor.)
May 19, 2025
Complaint against Dr. Siegel
Against Jeffrey David Siegel. I reserve the right to file a similar complaint with the state Medical Board. Siegel is my assigned primary doctor. The doctor ignored my medical records from a past non-Kaiser doctor, acted in an unprofessional manner, acted in an incompetent manner, did not provide me a written differential diagnosis of my ailments. The doctor participated with other Kaiser staff in denying me continuity of care. A request for certification of my ailments has been ignored, a certification that Kaiser claims I am entitled to as a Kaiser member as well as I am entitled to letters requesting a reasonable accommodation that can be given to my employer and housing provider – both of these letters have not been provided. Please revoke Siegel’s medical license. License number. G80444.
February 22, 2025
To: COMPLAINT@MBC.CA.GOV <complaint@mbc.ca.gov>
Sent: Friday, February 14, 2025 at 08:24:42 PM PST
Subject: Complaint against Kaiser Permanente, West Los Angeles, Medical Center
1. Since around January 2024, I have requested from various Kaiser doctors a letter of request for reasonable accommodation as regards my employer and a second letter as regards my housing provider. I have not received those letters as of the writing of this complaint. Three of the doctors I deal with seem to understand what these type of letters are, but one doctor said that he did not have enough information yet, and another doctor just did not supply the letters. Still another doctor felt that they were not qualified to write such letters. I disagreed with the doctor. None of the doctors referred me to the RECORDS department, but I found out on my own that the RECORDS department is involved and has a form that the doctors have to fill out certifying my restrictions or limitations. None of the doctors or staff mentioned this to me.
2. From each doctor that I have been assigned to, I have requested a written letter of differential diagnosis of my medical ailments. To the date of this writing, I have not received such a letter, but I believe the doctors do understand what I’m requesting.
3. I believe my association with Kaiser goes back to 2007, ended around 2019 —-spanning 12years, but I recently in 2024 had become a Kaiser member again. My medical record is over 1000 pages.
4. I have filed grievances with I believe Medicare grievance process, but I find that the process is useless.
5. I believe there is a lack of continuity of care at Kaiser because Kaiser has refused to order my medical records from previous medical doctors or facilities. In addition, Kaiser has refused to order the medical records of my brother and my mother who are deceased.
6. A number of times appointments have been canceled and I believe that there should’ve been other doctors in place to fulfill those appointments rather than just cancel them and have me have to arrange for another appointment.
7. My contacts with the Kaiser records department has shown them to be illiterate.
8. I ask that the medical license or certification of Kaiser West Los Angeles, be suspended on the herein grounds.
9. Doctors I have been assigned to or have complained to include: Jeffrey David Siegel, MALIHE Rivaz, Jimmy Arun Patel, Yagil Barazani, Juan Diego San Juan, Carrie Owen Plietz, Maria Ansari, Michelle Gaskin – Hames, Ramon Davidoff.
10. One doctor, the urologist , accused me of not being concerned with my ailments . But Ishowed him that I had communicated in writing to Dr. Barazani at least 18 times which to me show that he was making a false and misleading statement.
Sincerely,
Geary Juan Johnson 1522 Hi Point St #9 Los Angeles, CA. 90035
Phone…..