HDTenEightyP/NetNews huggingface dataset:
From: anita@ut-emx.uucp (Anita Cochran)
Newsgroups: sci.med
Subject: Re: Doctors' credentials
Date: 28 Sep 92 10:50:34 GMT
Distribution: usa
Organization: The University of Texas at Austin, Austin, Texas

In article <Sep.24.12.06.40.1992.18506@andromeda.rutgers.edu>, dmr@andromeda.rutgers.edu (Daniel Rosenblum) writes:
> Requesting an interview is not at all unreasonable, and I think
> it's a good idea in many cases.  But that doesn't mean that the
> doctor who grants the interview is obligated to do it for free.
> The interview is a use of the doctor's time in a professional
> context.  The doctor has a right to charge for that time.  That
> some doctors choose not to is a courtesy that they may choose
> to extend or not to extend, but not paying for a professional's
> time is not a right that someone seeking to consult with that
> professional may demand.


I fully agree with Daniel.  Much as it is reasonable to interview
a doctor, if you don't pay for it, he has to make up the revenue
from that used time somewhere.  Some of the questions you might
wish to ask can be answered by his staff, even over the phone.
Things I include in this category are which hospitals a doctor
has privileges in and what is the typical wait for a routine
appointment and for an emergency.  Also about the doctor's
education.  One it would never have occurred to ask came up
when I was dealing with doctors of my father's when he was very ill.
I had to call his family doctor on a saturday.  With my doctor, that
would get his service.  But Dad's doctor was very modern, with 
a digital pager.  Only, we don't have tone service at our house.
Fortunately, we have 1 phone which can generate tones if you
switch the switch after you have dialed.  Isn't modern technology
great?  Actually, I think it is unconscionable to have a system
which requires your patients have touch tone service, but I never
got around to telling him.

My Internist not only did not charge for an interview, he required one
before he would accept any new patient.  He explained that he wanted
to screen out patients who would have expectations of his service which
he couldn't or wouldn't meet.  We accepted one another so it was
okay, but I wonder what he was really screening for.


-- 
Anita Cochran   arpa:  anita@astro.as.utexas.edu  
                       anita@binkley.as.utexas.edu  
                snail: Astronomy Dept., The Univ. of Texas, Austin, TX, 78712
                at&t:  (512) 471-1471
Newsgroups: sci.med
From: dyer@spdcc.com (Steve Dyer)
Subject: Re: Medline access?
Organization: S.P. Dyer Computer Consulting, Cambridge MA
Date: Tue, 6 Oct 1992 20:15:13 GMT

In article <1992Oct5.011128.1513@cnsvax.uwec.edu> nyeda@cnsvax.uwec.edu (David A. Nye MD) writes:
>Does anyone know how I can access Medline through the Internet?
>I know I can access PaperChase through Compu$erve but that is
>an absolute last resort.

According to David Rind at the BIH, PaperChase internet access is due any
day now.  If you're a masochist, you can telnet to MEDLINE directly:

[arktos 47] telnet medlars.nlm.nih.gov
Trying 130.14.10.200 ...
Connected to medlars.nlm.nih.gov.
Escape character is '^]'.
PLEASE ENTER  LOGIN

but you'll need to have set up an account with them directly and use
the MEDLARS commands which are virtually indecipherable (and one reason
why front ends like Grateful Med were written.)  Mac/PC/X11 versions
of Grateful Med which used TCP/IP instead of a modem would be a godsend.
I wonder if anyone at NLM is thinking of this?

>I have found several university
>library systems that offer access to Medline but only to users
>within that system (I'm in the UWisc system -- so far I haven't
>been able to discover that they offer it).  Access to anything
>similar like SilverPlatter or Index Medicus would be helpful.
>
>Also, does anyone know if there is a medical informatics news-
>group (and if not, why not)?  It seems like the main focus of
>activity in medical informatics is in Compu$erve which I refuse
>to use.  


-- 
Steve Dyer
dyer@ursa-major.spdcc.com aka {ima,harvard,rayssd,linus,m2c}!spdcc!dyer
Newsgroups: sci.med
Subject: Re: Inderal
From: geb@cs.pitt.edu (Gordon Banks)
Date: 29 Sep 92 21:12:29 GMT
Reply-To: geb@cs.pitt.edu (Gordon Banks)
Distribution: sci.med
Organization: Univ. of Pittsburgh Computer Science

In article <3728@ra.nrl.navy.mil> lingane@i5160e.nrl.navy.mil (Kayleen Lingane) writes:
>I'm not sure I'm spelling the name of the drug right (I take the generic 
>version), but I am taking it for the prevention of Migraines.  I know it
>is also used in high blood pressure treatment.  The question is what are
>its long term effects?  My father-in-law says it actually causes heart 
>problems, is this true?  I get cluster migraines, that can last for up to

Inderal has no long term effects that I am aware of.  It is used as
a treatment for heart problems.  Patients who have heart failure
can be made worse by Inderal as can patients with asthma and depression.
But any effects will stop as soon as the Inderal is stopped.
It is one of the safest drugs known, far safer than aspirin.

>Any opinions of the drug, or alternate courses of treatment. 
>I take 80mg of Inderal daily and Midrin when I actully do get a headache, 
>which isn't too often as long as i'm taking the Inderal.
>
Sounds like you are having an excellent result.  You should be
very pleased.

-- 
----------------------------------------------------------------------------
Gordon Banks  N3JXP      | "I have given you an argument; I am not obliged
geb@cadre.dsl.pitt.edu   |  to supply you with an understanding." -S.Johnson
----------------------------------------------------------------------------
From: rind@binoc.bih.harvard.edu (David Rind)
Newsgroups: sci.med
Subject: Re: SHINGLES
Date: 5 Oct 92 20:54:16 GMT
Organization: Beth Israel Hospital, Harvard Medical School, Boston Mass., USA

In article <91704@netnews.upenn.edu> white@cattell.psych.upenn.edu
 (Janet White) writes:
>- what would perpetrate a severe and specific shingles attack on an
>	otherwise healthy person so suddenly?

How old was the person involved?  Shingles (Herpes Zoster) is very
common as people get older.

>- could there possibly be any connection between the taking of an
>	antidepressant (Pamelar, 3 1/2 months so far with good results)

More likely that depression itself causes immune system depression
and so could lead to shingles.

>- is this contagious? If one is recovering from shingles, could it
>	still be passed on to others by physical contact?

You can't catch shingles from someone with shingles.  If you've never
had chickenpox, though, you can get chickenpox.  Shingles is a
reactivation of your own chickenpox virus.

>- is it recommended that one have their eyes (esp. corneas)
>	checked frequently after one has eye shingles affecting
>	the eyes? Is there a distinct possibility of corneal damage?

Only while the shingles is active.  Once the acute episode is over,
there is no reason I know of for more frequent eye exams.  There
is a definite possibility of corneal damage with untreated ocular
shingles.

-- 
David Rind
rind@binoc.bih.harvard.edu
Newsgroups: sci.med
From:  vftim@finance.rostov-na-donu.su (V.F. Timofeyev)
Subject: Electronic remedy-store from Russia
Reply-To: vftim@finance.rostov-na-donu.su
Organization: Rostov School of Finance
Date: Thu,  1 Oct 92 19:42:01 +0300

                "Electronic remedy-store."

    We suggest:  Production and sale of the medical therapeutic.

    Our conception: We have the unique approach to set/determine
physical influence (electromagnetic field,acoustic and optical
radiation) significant parameters causing therapeutic effects
of a great number of medicines for vascular system diseases and
for autoimmune and oncological pathology.

    This is to some degree "ELECTRONIC REMEDY-STORE" rival for
pharmacological approach in practice.
    At present two specific methods are on offer out potential
partner: 1.Method to alleviate tachyarrythmia.
         2.Method for brain vascular tone reduction.
    We are ready to provide sufficient informaion or these to
allow convertion in the shortest term (4-6 months) to the serial
production of portable in expensive devices applyiry for the
afore-said methods.
    These devices are notable for non-invasion and usable for
many times as principally distinct from the used pharmaceutic
remedies.
    To demonstrate visually the efficiency and effectiveness of
the approach we cite statistically processed data and original
records of electrocardiograms (ECG) and rheoencephalograms (REG).

     If you are concerned with what we do,if you are look into
the world medicine future:
     Call us!  L.P. Shipilov
     Write us! Firm"ANION-MT"
               33A/47,October,Avenue,apt.#118
               Post/box 2225
               Rostov-on-Don,Russia,344038
               tel:+7-863-2-38-6469 w
                           32-3723  h
               E-mail: vftim@finance.rostov-na-donu.su
                       (For Shipilov)

                We could meet with you
    at "Hospital-92" Exibition in Sankt-Peterburg
     early from 9 to 11 October 1992 at 12:00AM
 Meeting place - a stand of "Krasnogvardejets" Company
From: geb@cs.pitt.edu (Gordon Banks)
Newsgroups: sci.med
Subject: Re: Sumatriptan
Date: 4 Oct 92 15:34:11 GMT
Reply-To: geb@cs.pitt.edu (Gordon Banks)
Organization: Univ. of Pittsburgh Computer Science

In article <1992Sep30.205408.21328@ccu.umanitoba.ca> umhudso7@ccu.umanitoba.ca (Wayne Hudson) writes:
>
>I heard there was some concern that it constricts bloodvessels in other
>parts of the body and may cause heart attacks/angina/etc...
>
As far as I know, there is no evidence of it or any other antimigraine
drug doing this.  However, the legal climate being what it is
and the theoritical possibility being there, I doubt if older patients
will be given the opportunity to get the drug.

>I'd really like to know more about Sumatriptan.  I think the FDA has 
>approved it in the US, any info about Canada???

Still on hold in the US.  Currently available in Canada and UK
(usual situation of the FDA being sloooooow).

-- 
----------------------------------------------------------------------------
Gordon Banks  N3JXP      | "I have given you an argument; I am not obliged
geb@cadre.dsl.pitt.edu   |  to supply you with an understanding." -S.Johnson
----------------------------------------------------------------------------
Newsgroups: sci.med
From: yazz@locus.com (Bob Yazz)
Subject: Re: Chest pain
Date: Mon, 05 Oct 1992 07:35:14 GMT


Let's not overlook the possibility that the original poster suffers
from mere gas pains.
-- 


Republicans understand the importance of bondage between a mother and child.
        -- Vice President Dan Quayle
Newsgroups: sci.med
From: jmd9888@zeus.tamu.edu (DURHAM, JAMES MICHAEL)
Subject: Blood Questions???????
News-Software: VAX/VMS VNEWS 1.41    
Organization: Texas A&M University, Academic Computing Services
Date: Tue, 6 Oct 1992 14:02:00 GMT


Howdy,
     I am doing some research on blood analysis.  Most of what I need I already
have from our medical library.  However there are a few thing that I need.
I was wondering if anyone here knew of or knew where I can get coppies of the
federal requirements (practices and proceedures) on blood analysis?
Any help would be greatfully appreciated.

Thanks, Michael



********************************************************************************
*They came for the 4th amendment, I said nothing for I wasn't a drug dealer.   *
*Then they came for the 2nd amendment, but I said nothing, I wasn't a gun owner*
*Then they came for the 6th amendment, but I kept quiet, I knew I wasn't guilty*
*Finally they came for the 1st amendment, and it was too late to say anything. *
********************************************************************************
From: ctobias@violet.ccit.arizona.edu
Newsgroups: sci.med
Subject: Multiple Chemical Sensitivity
Date: 30 Sep 92 20:09:41 GMT
Distribution: world,local
Nntp-Posting-User: ctobias

I would like to hear from people with multiple chemical sensitivity, esp.
formaldehyde.  I have acquired this as a result of working in a tightly sealed
building where formaldehyde was used in some areas, not vented out, but
recirculated into the general airflow.  I would like to know what are the
chances this will go away now that I am out of the building, how long will it
take?  Thanks, Cindy    cltobias@ccit.arizona.edu
Newsgroups: sci.med,talk.politics.animals
From: tony@nexus.yorku.ca (Anthony Wallis)
Subject: Another brain/aluminium question.
Organization: York University
Date: Thu, 1 Oct 1992 23:27:10 GMT

Right now most of my Italian neighbours are very _slowly_ cooking 
vast quantities of tomatoes down to paste in enormous _aluminium_
pots.  Last time I cooked something that acidic that long in aluminium
I noticed significant pitting of the metal and got scared enough
never to do it again.

What's the latest on the contribution of dietary Al to neural plaque
formation in Alzheimer's ?

Is there any correlation with ethnicity ?

(Do people named Tony have a higher incidence, for example :-) ? )

Or are we all eating aluminium-laced tomato paste anyway ?

--
tony@nexus.yorku.ca = Tony Wallis, York University, Toronto, Canada


Newsgroups: sci.med
From: mrl@nerus.pfc.mit.edu
Subject: RE: Chest pain
Organization: MIT PLASMA FUSION CENTER
Date: Fri, 2 Oct 1992 15:34:08 GMT

In a previous article, geb@cs.pitt.edu (Gordon Banks) wrote:
>I received the following from a person who wanted to remain
>anonymous.  I told the person that this is not in my area of
>expertise but I would post it for comment.  Please don't
>send me any email about it.  Post your response.
> 

It sounds very much like costal-chondritis (spelling?), or inflammation of the
rib joints.  This can be confirmed by an orthopedic doctor.  There usually is a
very sore area that can be felt near the rib joint in the middle of the body,
but the pain can be felt all along the chest.  I have had this problem, and it
can occur on both sides, and can last for a long time and can reoccur, and the
pain seems to be able to strike at any time (driving would make use of the arms
which could have aggravated it).  There is nospecific reason why it occurs.
Note:  It is very common with a condition known as fibromyalgia, which I have,
and which occurs mainly in women.  I suspect it is also caused by stress since
tight muscles in the chest might be putting pressure on the joins.


Mark
From: markmc@sierra.com (Mark McWiggins)
Newsgroups: sci.med
Subject: Laser eye surgery approved yet?
Date: 1 Oct 92 21:57:43 GMT
Organization: Sierra Geophysics Inc.,  Kirkland, Wa

I've noticed some local medical organizations advertising "informational
seminars" on laser eye surgery to correct astigmatism and nearsightedness.

Has this been approved by the feds yet, or is approval imminent? I'd have
thought there would've been more media exposure if so, and I haven't seen
any, but ...

Thanks in advance.

--
Mark McWiggins           +1 206 822 5200x377 days      Box 31356
markmc@sierra.com        +1 206 632 1905 24 hrs.       Seattle WA 98103-1356
Newsgroups: sci.med
From: locke@4ccvw54.scg.hac.com (Anne Locke)
Newsgroups: sci.med
Subject: One Pupil Dilated....
Date: 28 Sep 92 16:06:39 GMT
Reply-To: locke@caesi.scg.hac.com (Anne Locke)
Distribution: usa
Organization: Hughes Aircraft Co., El Segundo, CA

I had a strange experience last Friday on my drive to work.  My vision
got blurred out of my left eye.  The street lights and brake lights all
had a "streak" of light below them... it was as if I had a film of
vaseline on my eye.  It was definitely the left eye because I closed each
eye and isolated the problem to be in my left eye.

After I got to work, I looked at my eye in the mirror and the left pupil
was *much* bigger than the right and it appeared to be oval-shaped rather
than round.  I had several people look at it who also confirmed what I 
saw.

I called my optometrist (who is out of town) and was referred to an
opthamologist (also out of town).  I was given 3 more names.  I got an
appointment with one at 11:00 A.M.  Of course by the time I got to the
office my eye was completely back to normal.

First of all, when I told him the story, he refused to believe my des-
cription of my pupil.  He said people have a hard time describing their
own pupils.  When I told him that other people also confirmed what I saw,
he still said people can't describe a pupil.  When he asked me how long
this condition lasted, my best guess was about an hour.  Apparently, this
was not a good answer.  He seemed confused by the fact that it didn't last
longer.

He basically said it could be one of 2 things:  a visual migraine or
something that mostly females were susceptible to.  This second unnamed
"something" supposedly also has other symptoms... but he wouldn't tell me
what they are (presumably so I wouldn't "get" them).  He said that he 
would ignore it for now and if it happens again, I should get into the
office while it's still happening.  He did check the pressure in that
eye and said it was normal.

Well, I can't seem to stop thinking about that 2nd unnamed mysterious
condition...  Does anyone know what it might be?  Should I be concerned
and seek out another doctor, or is this just something I should wait
and see if it happens again?

Any help is greatly appreciated,
Thanks,
Anne.

-------------------------------------------------------------
|  Anne Locke                locke@caesi.scg.hac.com        |
|  **********                                               |
|  Hughes Aircraft Company / Space and Communications Group |
|  Computer Aided Engineering and System Integration        |
|  El Segundo, Ca.                                          |
|  (310) 416-5634                                           |
-------------------------------------------------------------

Newsgroups: sci.med
From: nakagawa@minko.hyg.med.kyoto-u.ac.jp (Shin-ichi Nakagawa)
Subject: Re: Inderal
Organization: Dept. Hygiene, Facl. Medicine, Kyoto Univ., Kyoto, Japan
Distribution: sci.med
Date: Tue, 29 Sep 1992 03:11:07 GMT

Hi.

I am a cardiologist in Japan.

In article <3728@ra.nrl.navy.mil> lingane@i5160e.nrl.navy.mil (Kayleen Lingane) writes:

 >I'm not sure I'm spelling the name of the drug right (I take the generic 
 >version), but I am taking it for the prevention of Migraines.  I know it
 >is also used in high blood pressure treatment.  The question is what are
 >its long term effects?  My father-in-law says it actually causes heart 
  
Inderal is one of  catecholamine beta receptor  blocking agents , that 
would make your heart rate and heart contractivities decrease . Because
your migraine seems due to hypertension . 

>problems, is this true?  I get cluster migraines, that can last for up to
>2 months.  I also have MS, so my neurologist considers it very important 

Which do you mean MS as multiple screrosis , or Mitral valve stenosis ?

 >to control the migraines.  When I have severe migraines it seems to set off
 >the MS.
 >Any opinions of the drug, or alternate courses of treatment. 
 >I take 80mg of Inderal daily and Midrin when I actully do get a headache, 
 >which isn't too often as long as i'm taking the Inderal.

Anyway , I think your dose is not so high . Then it would not make 
any problems . 

Thank you . 

--

       Shin-ichi Nakagawa
       Department of hygiene Faculty of medicine Kyoto University .
       E-mail:nakagawa@minko.hyg.med.kyoto-u.ac.jp
       Tel   : +81 75 753 4456 , fax +81 75 753 4451

Newsgroups: sci.med
From: taob@generic.uucp (Brian Tao)
Subject: Re: How many chromatids in a normal cell?
Organization: Terra*Net Public Access Unix BBS.  (416) 731-{3468,9867}, 237-0308
Date: Fri, 02 Oct 1992 05:55:06 GMT

cease@carina.unm.edu (Cecilia De Blasi) writes:
>
>Am I incorrect in remembering that a cell usually has only *one* copy
>of Dad's chromosomes and one copy of Mom's chromosomes, and that we do
>not get two chromatids per chromosome until the DNA replication stage
>just prior to mitosis or meiosis?

    That's how I, as an undergrad bio student, understand it.  When
the cell isn't actively undergoing mitosis or meiosis, the chromatin
is in an unorganized form in the nucleus.  There aren't any defined
chromatids or even chromosomes for that matter.  Each chromosome has
*two* chromatids.  Maybe your prof meant to say there are two copies
of each chromosome, i.e.: four chromatids?  Seems to confuse the matter
unnecessarily.
-- 
Brian T. Tao    =*8-) | ::::::::> tcomtaob@chasm.scar.utoronto.ca <::::::::
Dept. of Exobiology   | :::::> generic!terranet!taob@zoo.toronto.edu <:::::
University of Toronto | "Though this be madness, yet there is method in't."
From: fzjaffe@hamlet.ucdavis.edu (Rory Jaffe)
Newsgroups: sci.med
Subject: Hospital equipment markups, was  Re: Cost Concerns in Med School?
Date: 26 Sep 92 22:12:12 GMT
Organization: University of California, Davis

In article <Ieki79W00Uh74105gs@andrew.cmu.edu> sean+@andrew.cmu.edu (Sean McLinden) writes:
>
>The hospital does mark up the price of the device. Typically this markup is
>not that high and is used to defray the cost of stocking, inventory tracking,
>and the like. The vendor takes their share as well.
>
My hospital certainly does mark things WAY up.  They claim it is
community standard pricing.  I can tell you that the main motivation is
cost-shifting (since government programs, e.g. MediCaid, pay way below
cost of care).  Another word for this is "hidden taxation".

The standard markups are:
Acquisition cost	% markup	flat rate
0.01-0.59				$5.50 
0.60-15.45		900% (X10)	
15.46-19.89				$155.00 
19.90-37.60		690% (X7.9)	
37.61-46.79				$297.50 
46.80-77.65		537% (X6.37)	
77.66-91.92				$495.00 
91.93-102.43		439% (X5.39)	
102.44-132.61				$552.50 
132.62-533.70		317% (X4.17)	
533.71-689.32				$2,226.00 
689.33-1043.20		223% (X3.23)	
1043.21-1531.99				$3,370.00 
1532.00+		120% (X2.20)	

When every little thing is billed for, it can really add up!