HDTenEightyP/NetNews huggingface dataset:
From: cease@carina.unm.edu (Cecilia De Blasi)
Subject: Re: Physician's Incomes
Date: Sun, 20 Dec 92 07:03:05 GMT
Organization: University of New Mexico, Albuquerque
Distribution: usa
Keywords: income

In article <gdavis.724690558@griffin> gdavis@griffin.uvm.edu (Gary Davis) writes:
>
> My guess would be that the first four undergraduate years could be 
>better used. Perhaps many of the biochemistry and general science     
>courses that populate the freshman year of medical school could be
>moved to years 3/4 of undergraduate study. Acceptance into medical
>school could take place in the sophomore year.
>
>As far as more information,your point is well taken,but studies show
>that even the best medical school students have essentially forgotten
>90 to 95 percent of what was taught by the time they do an internship!
>Surely there must be quick and better ways to train neophyte physicians.
>
>As for cost,the system seems to be saying the public be damned!
>If new MDS are persuing their careers for 200k to 300k incomes rather
>than the public good;I'd be first in line to reform the system.
>That is what I believe needs be done,but know it will not be done
>by the Clinton administartion or in any likely time interval in the
>next 20 to 30 years. Sigh!
>
>--
>                       Gary E. Davis /WQ1F/
>              Dpt. Electrical Engineering and Com Sciences
>              University of Vermont @ Burlington

I am a medical student at the University of New Mexico (that's in the
United States, you know.  :)  I received my B.S. in astrophysics with
a math minor.  My class is composed of students with an incredibly
diverse background, including anthropology, engineering, dance and
history; some of my classmates are parents, and many have worked in the
business world prior to medical school.  What you are proposing, Sir,
would yield a body of physicians who collectively knew very little of 
the world besides medicine.  I consider an undergraduate education (even,
or perhaps preferably, in fields having little to do with medicine)
before pursuing a medical degree to be an essential step in the
development of future doctors; such an education enriches one's mind
and prevents "medical myopia."  As to the suggestion of decreasing
the number of years spent in medical school, I suspect that my entire
class would have laughed as heartily as did I at the thought.  We are
struggling to learn the volumes of information presented to us in our
two years of classroom learning, and everything we are being taught is
important for any responsible and well-rounded physician to know.  If
anything, we need more time, not less.  I am surprised that anyone would
suggest the changes in medical education that you have when such changes
would probably produce doctors ill-prepared for practice.


- Cecilia De Blasi


-- 
| courtesy of Cease of the Not Well Defined at This Time |
|        cease@unmb.bitnet    cease@carina.unm.edu       |
|    We're only immortal for a limited time.  - Rush     |
**********************************************************
Newsgroups: sci.med
From: med50003@nusunix1.nus.sg (WANSAICHEONG KHIN-LIN)
Subject: Re: What causes toenails to die and what is the cure?
Organization: National University of Singapore
X-Newsreader: TIN [version 1.1 PL6]
Date: Fri, 18 Dec 1992 17:39:16 GMT

Just an additional point - the part we identify as the toenail is mostly
made up of keratin which is not alive. The grwth comes from the nail bed
primarily which pushes the kerain plate forward. A nail that is near
dying is not growing and you wouldn't have to cut it. As Gordan Banks
says, it may be cosmetically unacceptable but I don't think it is very
harmful.

gervais
From: nyeda@cnsvax.uwec.edu (David Nye)
Newsgroups: sci.med
Subject: Re: Grateful Med
Date: 12 Dec 92 23:34:21 -0600
Organization: University of Wisconsin Eau Claire

[reply to ramon@helix.nih.gov]
 
There is a list for discussion of this program (which is commercial,
released by the NIH) called GFULMED at ndsuvm1.bitnet.

David Nye
nyeda@cnsvax.uwec.edu
Newsgroups: sci.med
From: marco@sdf.lonestar.org (Steve Giammarco)
Subject: Re: aids testing and insurance
Organization: Best lil' ol' Pubnix in Texas
Date: Wed, 16 Dec 1992 12:26:31 GMT

> 
>I have individual life insurance through New England Life.  They test me for
>AIDS whenever I ask for a change ("Hey, my stroke was 19 years ago, and I
>haven't died yet; how 'bout a reduction in rates?").
> 
>So, you CAN get tested for AIDS by applying for life insurance.  Note that
>I'm saying nothing about the consequences of being found HIV-positive by a
>member of an industry that thrives on data bases.
> 
>**  Hugh Pritchard,  hapritch@mitre.org,  703/883-6616

Let's make that _probably will_ get tested for life insurance benefits of
$75,000 to $99,999 payable upon death.  Also _WILL_ get tested for benefits 
of $100,000 or more.  Problem is, if you _do_ test HIV+ thru the paramedic
agency the insurance co hires to perform the blood draw, you can bet your
booty your test results will become a line item in the Medical Information
Bureau's database (MIB) so that _any_ subscriber insurance organization will
know you have a "miscellaneous blood pathogen" that needs followup...
They do this to prevent insurance fraud...
-- 
Steve Giammarco/5330 Peterson Lane/Dallas TX 75240
marco@sdf.lonestar.org
loveyameanit.
Newsgroups: sci.med
From: thuyan@ravel.udel.edu (Thuy-An Hartman)
Subject: Re: Physician's Incomes
Keywords: income
Organization: University of Delaware
Distribution: usa
Date: Fri, 18 Dec 1992 00:45:37 GMT

In article <gdavis.724551414@griffin> gdavis@griffin.uvm.edu (Gary Davis) writes:
>120K is ofcourse,not entirely unreasonable when one considers the long
>and exhaustive training American MDS must persue,but is all this training
>really in the public's interest or can quality be maintained with a
>lower number of years spent in obtaining qualification.
>
>                       Gary E. Davis /WQ1F/
>              Dpt. Electrical Engineering and Com Sciences
>              University of Vermont @ Burlington

Interesting you should think this, when many Medical schools are
thinking about changing to 5 years of studies and then residency.

Think about the fact that every year, more info is added to what
physicians must know but none is taken away.  AIDS, for example, is now
a course of it's own, while they must still learn about the plague and
other disease which they may encounter someday.

No thanks.  I'll keep their training as long as it is.  There is a lot
to learn and I don't want someone who doesn't quite know what they are
doing, practicing on me.

Just my 2 cents.

Thuy-An
From: dyer@spdcc.com (Steve Dyer)
Newsgroups: sci.med
Subject: Re: Getting off Xanax
Date: 17 Dec 92 03:33:28 GMT
Article-I.D.: spdcc.1992Dec17.033328.22843
Organization: S.P. Dyer Computer Consulting, Cambridge MA

In article <1992Dec16.212706.0905072@locus.com> yazz@locus.com (Bob Yazz) writes:
>mdkline@rodan.acs.syr.edu (Mark D. Kline) writes:
>| Ask around, there are plenty of people who are quick to bad mouth
>| Valium.
>Mark, I haven't seen a single withdrawal-from-hell story about Valium
>here on sci.med, and I've seen loads of them about Xanax.  Not to suggest
>anything silly like Valium lacks addictive potential.  I'm just saying
>Xanax is specifically worse.  Much worse.

Um, has it occurred to you that Xanax is still heavily promoted and
widely used, while Valium had its heyday in the late 60's and the 70's??
Listen, Bob, you're betraying your young age or your innocence or both.
Horror stories about Valium were a dime a dozen back then.

>I originally based that opinion
>on conversations with a 12-stepping friend, and have had it backed up by
>story after story here on the net.

Duh.

>| Prescribing docs have better sources of information.  There is nothing
>| wrong with Xanax.
>With all due respect, I don't think you know what you're talking about.

Dyer's law: twice in one night!

>Let me be more clear.  I think that those who specialize in addiction
>recovery (some docs, some not) generally know much more than prescribing
>physicians do about this whole issue.  I think that's unfortunate, but I
>also think it's true.

Snort.

>| We [ prescribing docs ] should prescribe Ativan?  Takes a slighter
>| higher milligram
>| dose, but duration of action, potential for rebound/withdrawal
>| phenomena are the same as Xanax.  
>
>How about duration and severity of that withdrawal?  I don't have an answer
>for you.  A lot of people seem to think that short duration of action is
>what's responsible for withdrawal, so maybe all short duration anxiolytics
>are the problem.  But we also know that Xanax, as opposed to the other
>benzos, works better in Panic Disorder, so there's got to be something
>different about it.

We don't know that it works better.  There's a good reason to think that
any benzo in equi-sedative doses would be as efficacious in panic disorder.

>I suggest you find a colleague whose opinion you trust (this here is
>just "the net", after all), whose specialty is in addiction recovery,
>and ask his or her opinion of Xanax in comparison to the other benzos.
>You may change your prescribing practices as a result.

Where's my Valium?  I've got to stop reading this stuff...

-- 
Steve Dyer
dyer@ursa-major.spdcc.com aka {ima,harvard,rayssd,linus,m2c}!spdcc!dyer
From: oispeggy@ubvmsd.cc.buffalo.edu (Peggy Brown)
Newsgroups: sci.med
Subject: Re: Physician's Incomes
Keywords: income
Date: 16 Dec 92 15:10:00 GMT
Organization: University at Buffalo
News-Software: VAX/VMS VNEWS 1.41

In article <BzBrD5.D5x@news.cso.uiuc.edu>, magdi@uxh.cso.uiuc.edu (Magdi N Azer) writes...
>While I agree with Peggy's general comments, that same logic should mean
>that Ph.D's should get even more than MD's because we go to scho
>achool 6 to 7 years post B.S or B.A.  Unfortunately, this isn't the case
> 
>Just a thought
> 
>Magdi
> 
>P.S. before I get flamed for my inability to spell, excuse me, my editor 
>is not working.`

Maybe they do if they work in research, I don't know.  I've 
worked on university campuses since 1979 and sorry, but PH.Ds  
working at universitys seem to have it made in the shade. :)  I 
don't think their stress and workload can be compared to a 
doctor's.

- Peggy -
From: werner@soe.berkeley.edu (John Werner)
Newsgroups: sci.med
Subject: Re: Dominant vs non-dominant eyes
Followup-To: sci.med
Date: 14 Dec 1992 01:19:21 GMT
Organization: UC Berkeley School of Education
Distribution: world
NNTP-Posting-Host: 128.32.157.31

In article <64920001@hpcss01.cup.hp.com>, jat@hpcss01.cup.hp.com (Joseph
Talmadge) wrote:

> I'm staring at something close to me (say, my finger, held out about two
> feet from my face), and trying to line it up with something about twenty
> feet away.  If I keep both eyes open and focus on my finger, then I see
> *two* images of the object that's far away.  With most people, I am led
> to understand that instead of seeing two distinct images of the distant
> object, the distant object just gets fuzzy.

I think this has more to do with simple geometry than with dominant eyes. 
When you're looking at an object close to you, your eyes are pointed
slightly inward to aim at it.  This means that the distant object is to the
right of where your right eye is pointed, and to the left of your left eye.
 Therefore you see two images of the distant object, somewhat fuzzy because
your eyes' focal length has changed to make the closer object look sharp.  

--
John Werner                         werner@soe.berkeley.edu
UC Berkeley School of Education     510-642-9651
From: werner@dewey.soe.berkeley.edu (John Werner)
Newsgroups: sci.med
Subject: Re: post-Prozac reactions
Date: 16 Dec 1992 19:39:30 GMT
Organization: School of Education, U.C. Berkeley
NNTP-Posting-Host: dewey.soe.berkeley.edu

In article <1992Dec15.172745.27468@newstand.syr.edu> Mark D. Kline writes:
>I have started more than 600 people on prozac since 1987.  I have seen no
>unusual discontinuation effects, and I have seen no unusual suicidality
>or violent behavior.  

This reminds me of a question I've been meaning to ask for a while.
All of the medical professionals here say that there have been no
reports Prozac causing suicidal or violent behavior.  But occasionally
people will post anecdotal evidence: "It happened to me!"

So my question is: what gives?  Did these people not report the
reactions to their doctors?  Did the doctors think it had nothing to
do with Prozac?  Did the doctors not want to deal with reporting it to
the FDA?  Would anyone like to speculate?

I don't really have an axe to grind here, by the way.  I'm inclined to
believe that most of these "reactions" aren't really caused by the
drug.  I started taking it a week ago and haven't noticed anything
unusual.

Another aside: I was amazed at how easy it was for me to get the
Prozac.  I didn't even see my doctor (a Family Practicioner); I saw
her "physician's assistant", whatever that means.  He asked the usual
checklist "are you depressed?" questions and then gave me a week's
supply.  When I asked about side-effects the only two he mentioned
were insomnia and a high-strung "wired" feeling.  I got the impression
that I knew more about antidepressants (just from reading sci.med)
than he did.  A bit scary.



-- 
John Werner                        werner@soe.berkeley.edu
UC Berkeley School of Education    510-642-9651
Newsgroups: sci.med
From: t35123n@taltta.hut.fi (Yoghurt (Tapio Vorlund))
Subject: Re: Peter Breggin, _Toxic Psychiatry_ (Q)
Organization: Helsinki University of Technology, Finland
Date: Tue, 15 Dec 1992 14:45:40 GMT

From: T.Vorlund@hut.fi
Newsgroups: sci.med
Subject: Re: Peter Breggin, _Toxic Psychiatry_ (Q)
Summary: 
Expires: 
Followup-To: 
Distribution: 
Organization: Helsinki University of Technology, Finland
Keywords: 

In article <1992Dec11.014655.2269@ucbeh.san.uc.edu> egf48542@ucbeh.san.uc.edu writes:
>
>	In the August 27th, 1992 "New England Journal of Medicine" there is a
>small scale study (which needs to be replicated and confirmed) of 13 persons
>with schizophrenia who underwent high-resolution MRI scans.  They had
>previously been assessed for their degree of thought disorder.  The scans
>revealed that all had brain tissue loss in as section of the left temporal
>lobe.  The degree of tissue loss correlated DIRECTLY and STRONGLY with the
>degree of thought disorder.  Some persons who have had temporal lobe
>abnormalities such as temporal lobe epilepsy have symptoms that mimic
>schizophrenia (visual and auditory hallucinations, etc.).

     Just a few questions cause I'm interested

     Do the neurolepts repair the loss of brain tissue or is
it permanent ? I guess that if the loss of brain tissue is due to
loss of neurons, it will be permanent.
          
     Does the use of neurolepts stop the loss of brain tissue or
do brains continue to "shrink" even if the patient has no positive
symptoms like hallucinations ? Do neurolepts only help with the
symptoms and not the disease ?

     What if the patients had "shrunken" brains even before they
got schitzophreny ? What if schitzophreny doesnt lead to abnormal
brains but abnormal brains lead to schitzophreny ?

     What are the newest predictions for patients diagnosed with
schitzophrenia. I have read some books and they were very pessimistic.
Even if the patient uses his medications he will propably not
be capable to work and live a normal life. And even if he will,
his capabilities will be in a "lower level". Is this old information ?


 T{ss{p{ sitten se piste siknature
 .....  .   ..... . .....   .   . :...: ..... .     .   .  .   . ... 
   :   ...  :...: : :   :    . .  :   : :...: :     :   :  ::. : :  :
   :  .   . :     : :...:     .   :...: :  :  :.... :...:  : ::: :..:
From: richard@TIS.COM (Richard Clark)
Newsgroups: sci.med
Subject: O2 or not O2, or O3, or H2O2
Date: 11 Dec 92 18:16:27 GMT
Reply-To: richard@TIS.COM
Organization: Trusted Information Systems


	OK now. Waitaminit. I'm confused. I mean I'll listen to just
about anything and weigh it to see if any part of it can make some sense,
but now I'm lost...

	On the left I've been reading about the horrors of free-oxygen-
radicals, and how we aught to be eating things which remove them from our
bodies... bad oxygen, bad bad bad.

	Now on the right, I read about the wonders of injecting O3 and
swimming about in a bathtub of H2O2... What? Are these confined-oxygen-
conservatives? :)

	And in the middle, I'm wondering if I should either stop breathing or
hyper-ventilate a few times a day... :(

	Can someone clarify the difference(s) and put an end to this
quandry?




-----------------------Relativity Schmelativity-----------------------------
 Richard H. Clark				My opinions are my own, and
 LUNATIK - watch for me on the road...		ought to be yours, but under
 It's not my fault... I voted PEROT!		no circumstances are they
 richard@tis.com				those of my company...
-----------------------------------------------------------------------------
From: nyeda@cnsvax.uwec.edu (David Nye)
Newsgroups: sci.med
Subject: Re: AIDS therapy using DMSO and isopropyl alcohol
Date: 16 Dec 92 05:11:53 -0600
Organization: University of Wisconsin Eau Claire

[reply to dyer@spdcc.com]
 
>I recommend wearing a hat when you go out into the sun from now on.
 
Yes, and be sure to line it with tinfoil to keep out the cosmic rays.
Isn't it wonderful that the vote went through on misc.health.alternative?

David Nye
nyeda@cnsvax.uwec.edu
From: oispeggy@ubvmsd.cc.buffalo.edu (Peggy Brown)
Newsgroups: sci.med
Subject: Re: Physician's Incomes
Date: 19 Dec 92 00:52:00 GMT
Organization: University at Buffalo
News-Software: VAX/VMS VNEWS 1.41

In article <1992Dec18.232913.11952@netcom.com>, sue@netcom.com (Sue Miller) writes...
>In article <BzFp5C.4E1@acsu.buffalo.edu> oispeggy@ubvmsd.cc.buffalo.edu (Peggy Brown) writes:
>>In article <92352.175212DGS4@psuvm.psu.edu>, DGS4@psuvm.psu.edu writes...
>>>In article <BzDIG5.DKv@acsu.buffalo.edu>, oispeggy@ubvmsd.cc.buffalo.edu (Peggy
>>>Brown) says:
>>>>
>>>>In article <92351.153826DGS4@psuvm.psu.edu>, DGS4@psuvm.psu.edu writes...
>>>>>In article <BzBHyG.4vJ@acsu.buffalo.edu>, oispeggy@ubvmsd.cc.buffalo.edu     y
>>>>(Pegg
>>>>>Brown) says:
>>>>>>
>>>>>>In article <gdavis.724433998@griffin>, gdavis@griffin.uvm.edu (Gary Davis)
>>>>>>writes...
>>>>>>>
>>
>>Since you seem to have misunderstood my point, I'll repeat it.
>>I do not favor civil-service type systems (sometimes called 
>>socialized medicine).  Whether other countries have systems like 
>>this I do not know.  However, I would beware of any system that 
>>did not reward doctors (or anyone else) for working extra hard,
>>or a system that did not give them opportunity, to reach their 
>>full potential.
>>
> 
>But this statement of yours is just a straw man, since you seem to
>know next to nothing about any health care system anywhere.  Why
>are you making it?

Ever hear of free enterprise?  The concepts involved can be 
applied to any industry/profession.

- Peggy -
From: hamish@sybase.com (Innocent Abroad)
Newsgroups: sci.med
Subject: Myeloma information, anyone?
Date: 15 Dec 92 03:02:38 GMT
Reply-To: hamish@sybase.com (Innocent Abroad)
Organization: Sybase Inc, Emeryville CA USA

A close relative has been diagnosed as having "Myeloma".  I'd like to
know more about the disease (its prognosis, longer-term symptoms,
etc.), but neither of my medical guides says anything at all about this
condition (some sort of bone cancer (?) with immune system side-effects
by the sound of things).

Any clues?

Thanks,
	Hamish
---------------------------------------------------------------------------
Hamish Reid       Sybase Inc, 6475 Christie Ave, Emeryville CA 94608 USA
+1 510 596-3917   hamish@netcom.com  hamish@sybase.com  uunet!sybase!hamish
From: chae@mpd.tandem.com (Chae Yon)
Newsgroups: sci.med
Subject: Immunotherapy
Keywords: Immunotherapy for liver cancer
Date: 17 Dec 92 03:04:02 GMT
Followup-To: sci.med
Organization: Tandem Computers (MPD) Austin, TX

Is there anybody who knows about immunotherapy(?) as cancer treatment??  
My mom had a couple of cancer surgeries this year and too weak to get chemo or
radial therapy - she is about 70 (lb) now.  The result from CAT scan has 
revealed a month ago that she now has at least a couple of tumors on her liver.
I have heard of immunotherapy sometime this year.
Seem like that is the only hope now.  But I don't know anything about it.
Is there anybody can help me about it or provide any helpful information?? 
Please help me, time is running out for her.
Please email me (chae@devnull), post it, or call me at 
(512) 244-8139 (lease a message).
Thank you very much in advance.
-Jaymin (chae@devnull)
Newsgroups: sci.med
From: sasghm@theseus.unx.sas.com (Gary Merrill)
Subject: Re: Peter Breggin, _Toxic Psychiatry_ (Q)
Originator: sasghm@theseus.unx.sas.com
Date: Tue, 15 Dec 1992 14:06:11 GMT
Organization: SAS Institute Inc.


In article <2277@hsdndev.UUCP>, rind@binoc.bih.harvard.edu (David Rind) writes:

|> 
|> There is an entity called streptococcal toxic shock syndrome (quite
|> similar to staphylococcal TSS).  The organism that causes scarlet
|> fever is strep.  How will identifying the microorganism help?
|> Further, staph and strep are normal skin flora -- what site are
|> you planning on culturing? (I once cared for someone who developed
|> TSS that seemed to be due to staph growing in a pimple.)

Yeah.  Naturally when you take a child to the pediatrician and the child
presents with classic symptoms of scarlet fever the pediatrician
cultures the skin.  Who are you trying to kid?  It is these kinds of
misdirected and specious responses that weaken your own position.

|> |> The reason you have been getting the responses you've gotten is
|> |> that you are truly posting out of ignorance.  Why don't you see if
|> |> you can get a tour of your local state psychiatric institute and
|> |> try to find people who you think are being held against their
|> |> will just because they don't fit some psychiatrist's view of
|> |> "normal".
|> 
|> >If I decide to terminate my chemotherapy for cancer, I can simply
|> >do so and walk away from the hospital (suffering whatever consequences
|> >there may be).
|> 
|> You are ducking the question.  You posted stating that schizophrenia

Not at all.  Your above suggestion states quite clearly that I should
*try* to find people who are being held against their will.

|> was not a well-defined illness, and I suggested that you might
|> want to see some people with schizophrenia.  I am not suggesting
|> that state mental patients have the option to leave -- rather

Well, thank you finally for *that* admission.
-- 
Gary H. Merrill  [Principal Systems Developer, C Compiler Development]
SAS Institute Inc. / SAS Campus Dr. / Cary, NC  27513 / (919) 677-8000
sasghm@theseus.unx.sas.com ... !mcnc!sas!sasghm