INTEGRATED ORTHOPEDICS INC
SC 13D/A, EX-99.8, 2000-08-04
HEALTH SERVICES
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                                  Exhibit 99.8

                           WEIL, GOTSHAL & MANGES LLP
                                  700 Louisiana
                                   Suite 1600
                           Houston, Texas  77002-2784
                                 (713) 546-5000
                              FAX:  (713) 224-9511



                              July 31, 2000




VIA FACSIMILE


Mr. Jose E. Kauachi
Chairman of the Board
Integrated Orthopaedics, Inc.
5858 Westheimer, Suite 500
Houston, Texas  77057

     RE:  July 24, 2000 Agreement

Dear Mr. Kauachi:

     This letter will serve to clarify 2 provisions of the Agreement executed by
you  and  others  on  July 24 and 25, 2000.  Please sign below  evidencing  your
acknowledgement  and clarification of the points addressed in  this  letter.   A
copy  of the Agreement is attached for your convenience.  Defined terms in  this
letter have the meaning ascribed to them in the Agreement.

      First, under paragraph 1 of the Agreement, the Release is effective in the
event the B Holder chooses to convert is Series B Preferred Stock into shares of
the  Company's common stock at a Conversion Price of $1.50 or higher (i.e.,  the
Reduced  Conversion Price).  This letter will serve to clarify that the  Reduced
Conversion  Price  of $1.50 or higher is satisfied by receipt  of  an  effective
price  received by the B Holder of a $1.50 or higher.  For example, the  Reduced
Conversion Price of $1.50 or higher is met under the Agreement if the  B  Holder
converts  some of its shares at a price of less than $1.50 so long  as  it  also
forfeits,  waives,  transfers, and assigns its remaining shares  for  no  money,
resulting in an effective price for all shares or $1.50 or higher.

      Second,  it  appears  that a mutual mistake was made  by  the  parties  in
paragraph 7 of the Agreement.  Paragraph 7 contains the defined term "Integrated
Orthopaedics."  No  such  term is defined in the  Agreement.   Instead,  in  the
introductory  paragraph of the Agreement "B Holder" is  the  phrase  defined  to
include  Integrated  Orthopaedics  and that phrase  should  have  been  used  in
paragraph 7 of the Agreement.  As a result, "B Holder" should be substituted for
"Integrated  Orthopaedics"  in paragraph 7 of the Agreement.   With  the  mutual
mistake  corrected, paragraph 7 would read as follows (the only changes are  the
underlined terms):

           7.    Any  reference to the "party" or the "parties" shall  mean  and
     refer  to  B  Holder or Kauachi or both and each of B Holder's  affiliates,
     subsidiaries, parent corporations, successors-in-interest, predecessors-in-
     interest,  agents,  servants,  employees,  partners,  officers,  directors,
     attorneys,  consultants, and representatives, if any, whether  specifically
     named herein or not, and any other person in privity with any of them.

      Please sign below acknowledging your understanding and acceptance of these
clarifications.

     If you have any questions, please call me.

                              Very truly yours,


                              Mike Stenglein


AGREED TO AS ABOVE:



Jose E. Kauachi



        The undersigned, understand and agree to the clarifications outlined in
this Letter dated July 31, 2000, addressed to Jose E. Kauachi regarding the
Agreement, as follows:



William F. Donovan, M.D


Sharon Ann Donovan


Elwayne Hafen


Ray Bishop


Mark Gerstenfeld


Fred Bressler


George Valente


Gerry Dye


William Papenhagen


Dean Lousberg


Brian Rothman





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