HDTenEightyP/NetNews huggingface dataset:
From: george@ibmpcug.co.uk (Michael Veltman)
Subject: Re: Cortisone
X-Disclaimer: The views expressed in this article are those of the author
	alone and may not represent the views of the IBM PC User Group.
Organization: The IBM PC User Group, UK.
Date: Tue, 28 Jul 1992 20:41:32 GMT

In article <1992Jul28.031822.4753@ux1.cts.eiu.edu> cfaks@ux1.cts.eiu.edu (Alice Sanders) writes:
>I just had a cortisone injection in my shoulder for tendonitis or a
>partial tear of the supraspinitus muscle.  It was several hours ago.  I
>don't feel so good.  Does cortisone injected like that make one feel ill?
>I did receive a message from someone who said his friend got ill
>(nauseous) from shots of cortisone.  What are the known side-effects of a
>local injection of cortisone with xylocaine?


1. The cortisone won't work for a day or two.  Don't panic.  
2. If you had lignocaine with it, you would have had good relief for a few
  hours until it wore off.  This is now where you are probably at.

3.  If you feel unwell in any way besides shoulder pain, particularly if
you think you are running a tempreture or have noticed yourself markedly
unwell in other ways, then it may be worth a phone call or visit to the
doc.... 

The main severe side effect of cortisone injections is that if there is
a concurrent infection, either elsewhere or particularly if in the joint,
then it can spread, often quite rapidly.  This needs urgent attention.

Michael.

-- 
Michael Veltman          |  george@ibmpcug.co.uk        | email direct, save                             |                              | some bandwidth

"At a cardiac arrest, the first step is to take your own pulse"     Samuel Shem      - The House of GOD -

Newsgroups: sci.med,connect.audit
From: george@ibmpcug.co.uk (Michael Veltman)
Subject: Re: Sex Organ Transplant - more info please
X-Disclaimer: The views expressed in this article are those of the author
	alone and may not represent the views of the IBM PC User Group.
Organization: The IBM PC User Group, UK.
Date: Wed, 29 Jul 1992 21:40:11 GMT

In article <1992Jul29.014137.10959@gateway.novell.com> terry@npd.Novell.COM (Terry Lambert) writes:
>	"I heard today in the news that Chineese doctors have performed
>	 the worlds first sex-organ swap operation between a man and a
>	 woman... they say that if everything goes satisfactorily, the
>	 next time, they'll use willing participants."
>
>
>	I find it extremely unlikely, given the extreme stigmata of having
>children in China, that there would be any sanction for potentially fertile
>transexuals, except perhaps as a deterrent to sex with people with unknown
>medical history.
>

I wasn't serious in my posting.

Given all the aspects of such a procedure and problems therein, I would
have considered getting two strangers with a good HLA match to be the
easy part of the procedure.



Yours,

Michael

-- 
Michael Veltman          |  george@ibmpcug.co.uk        | email direct, save                             |                              | some bandwidth

"At a cardiac arrest, the first step is to take your own pulse"     Samuel Shem      - The House of GOD -

From: sude@hpbbi4.BBN.HP.COM (#Susanne Denninger)
Date: Thu, 23 Jul 1992 07:48:28 GMT
Subject: Re: anovulatory cycts
Organization: Hewlett-Packard GmbH
Newsgroups: sci.med

Hi Toni,

I'd like to send you a mail message on this subject but my system somehow
cannot reach yours ...
Any hints via which mailnodes I should go ?

Susanne Denninger
sude@hpbbi4.BBN.HP.COM

Newsgroups: sci.med
From: simoni@strat.Stanford.EDU (Richard Simoni)
Subject: Home ultrasound for muscle therapy?
Reply-To: simoni@strat.stanford.edu
Organization: Stanford University
Date: Fri, 31 Jul 92 02:20:57 GMT


I have seen a handheld device marketed under the name "Sonassage" that
purports to be an ultrasound massager for relieving muscle and joint aches.
Has anyone out there tried this device (or perhaps a similar device under a
different brand name)?  Is this basically a home-use version of the
ultrasound devices used by physical therapists in the treatment of muscle
injury?  If you have one of these devices, are you satisfied with it?

Thanks,

Rich Simoni
simoni@strat.stanford.edu
Newsgroups: sci.med,connect.audit
From: george@ibmpcug.co.uk (Michael Veltman)
Subject: Re: FDA still at large
X-Disclaimer: The views expressed in this article are those of the author
	alone and may not represent the views of the IBM PC User Group.
Organization: The IBM PC User Group, UK.
Date: Tue, 28 Jul 1992 19:41:02 GMT

In article <1474@tnc.UUCP> m0102@tnc.UUCP (FRANK NEY) writes:
>
>> Those AMA-approved doctors have a pretty good record.
>
>Oh really?  Which news report did I just hear concerning an estimated
>100,000 deaths/injuries per year due to the negligence/incompetence of
>those 'approved' doctors?
>
>I won't even go into the times I've busted my butt to bring in a
>patient to the ER alive only to have some half-baked intern or
>burnt-out 'doctor' with a degree from South America kill him.
1. Conventional medicine has become so good in some areas that people
 seem to forget that we are saving the odd life or two.  (No - I'm
 not trying to pat myself on the shoulder - I have actually taken
 some of the stuff for granted myself until I thought what would 
 happen if we dont treat)

Pneumonia was an often fatal condition which killed young
people.  Many mothers died in childbirth (I gather it was about
5% ish - would love to know the historical figures myself).  Road
accidents would kill thousands more.   Broken bones would leave
people permanently deformed.   To name but a few.

  The point being that people do say - look how many people die
due to the doctors messing up (and I agree, its a large number),
but few people actually count the good points or the lives saved.

  The illnesses and deaths due to medical treatment are a reason
to review medicine, but not to abandon it.

2. Exactly how many deaths have you had from the E.D. doctors?

Michael

-- 
Michael Veltman          |  george@ibmpcug.co.uk        | email direct, save                             |                              | some bandwidth

"At a cardiac arrest, the first step is to take your own pulse"     Samuel Shem      - The House of GOD -

Newsgroups: sci.med
From: peter@access.digex.com (peter baltimore)
Subject: Frustrated with Fibrositis
Keywords: Arthritis, Fibrositis
Organization: Express Access Online Communications, Greenbelt, MD USA
Date: Mon, 27 Jul 1992 12:07:43 GMT


The MD's say I have Fibrositis and osteoarthritis of the neck and spine & have
prescribed antiinflamatories such as naprosyn, feldene etc.,which I have taken
off & on for about 8 years. I am worried that it will do me in! It hurts most 
in the A.M. and when I take a deep breath. Any suggestions for coping with this
frustrating problem would be very much appreciated. Please e-mail any personal
responses to peter@digex.com
















	
























-

-h
Newsgroups: sci.med
From: viking@iastate.edu (Dan Sorenson)
Subject: Re: Why are Butterfly Needles being banned by FDA?
Organization: Iowa State University, Ames IA
Distribution: usa
Date: Fri, 31 Jul 1992 04:04:53 GMT

In <1992Jul31.032616.13138@morrow.stanford.edu
> ME.DMG@forsythe.stanford.edu (David Gaba M.D.) writes:

	[on butterfly needles, possibly being banned]

>As of a month ago we certainly had them in our carts in the
>operating room (I'm on sabbatical now) -- I sincerely doubth
>that they have been banned by the FDA.
>  In general they aren't very good as IVs compared to plastic
>(or teflon) catheter over needle systems (common trade name ofr
>one manufacturer is Jelco).  Because the catheter is plastic,
>not metal, these are much better for staying in despite movement
>of the arm.  If inserted properly, these should be no more
>painful than a butterfly of equivalent size.  In anesthesia,
>we routinely administer a small "bump" of local anesthetic
>in the skin prior to inserting an IV through that anesthetized
>bump.  This is done with a very small needle (25 or 26 gauge)
>and although the anesthetic stings a bit, we don't inject much
>and patients usually don't find it too bad.  The IV then shouldn't
>hurt too much going in.  No one is perfect though at inserting
>IVs.

	I'll attest to the painlessness of this technique.  I went in
for inguinial hernia surgery about a year ago, and I was given a small
local injection in my left arm.  It felt like a mosquito had bitten me,
not what I associate with "needles."  A minute later a needle that seemed
to be the size of a small baseball bat was inserted.  I couldn't feel a
thing.  The initial injection was in the middle of my forearm.  I was
certain it would hit my elbow joint, and I kept expecting it.  No pain,
no wierd sensations, no problems.  It's a fine method so far as my
experience has shown.

	Now then, one minor quibble.  I went in for hernia surgery.  This
means a 4" long cut in my groin.  Why, then, do they put that tube down my
throat?  It made coughing a very likely thing, what with a raw throat thanks
to this tube and an oxygen-rich atmosphere, and after hernia surgery I don't
need this sort of thing.  Perhaps there might be another method of traching
somebody that doesn't cause the sort, scratchy throat?  Perhaps a light
water mist into the throat at specified intervals, or a losenge that would
coat it?  I'd bet you'd have less people pulling stitches afterwords.

<Dan Sorenson, DoD #1066 |"There'll be angels on Ariels in leather>
<z1dan@exnet.iastate.edu | and chrome, Ridin' down from heaven    >
<viking@iastate.edu      | just to carry me home." -- R. Thompson >
< ISU thinks I need more education, which they provide for a fee. >
From: mdf0@GTE.com (Mark Feblowitz)
Newsgroups: sci.med
Subject: Re: irritable bowel syndrome
Date: 24 Jul 92 16:00:18 GMT
Organization: GTE Laboratories Inc.
In-reply-to: sdl@linus.mitre.org's message of 23 Jul 92 23:03:41 GMT


There's a mailing list for those suffering from IBD.  It has
approximately 100 readers.

Here's the trailer for the IBDlist digest:

======================================================================
The IBDList Digest appears as often as required.  Articles, items of
information or other mail to be published should be sent to:
mvac23!ibdlist@udel.edu, ibdlist%mvac23@udel.edu, ibdlist@mvac23.uucp,
or udel!mvac23!ibdlist

Send administrative items to mvac23!ibdlist-request@udel.edu,
  ibdlist-request%mvac23@udel.edu, ibdlist-request@mvac23.uucp,or
  udel!mvac23!ibdlist-request.
----------------------------------------------------------------------



So, to subscribe, send to the ibdlist-request address (not to the
ibdlist). There's a bit of a tradition of introducing youself and your
interest in IBDs when you subscribe.


--
Mark Feblowitz   GTE Laboratories, Inc., 40 Sylvan Rd.  Waltham, MA 02254
						(617) 466-2947
CSNET:  mfeblowitz@GTE.com
UUCP:   mfeblowitz@bunny.UUCP       old UUCP:  harvard!bunny!mfeblowitz
From: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med
Subject: Re: A Question/Proposal for "Health Care Consumers"
Date: 21 Jul 92 15:30:30 GMT
Distribution: usa
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <54475@mentor.cc.purdue.edu> hrubin@pop.stat.purdue.edu (Herman Rubin) writes:

>identified in virtually all cases.  In the above example, it is
>almost certain that at least one case of cancer has occurred because
>of the radiation from mammograms.  There are well documented cases of
>almost anything.  So we not only have to think in terms of careful

Why, Herman, I'm surprised at you!  How could you possibly document
in an individual case of breast cancer that it was caused by
radiation of mammograms?  You could only prove such a thing
statistically by studying large groups that got mammograms
at various frequencies.
-- 
----------------------------------------------------------------------------
Gordon Banks  N3JXP      | "Skepticism is the chastity of the intellect, and
geb@cadre.dsl.pitt.edu   |  it is shameful to surrender it too soon." 
----------------------------------------------------------------------------
From: mcovingt@athena.cs.uga.edu (Michael A. Covington)
Newsgroups: sci.med
Subject: Re: Colonic irrigations
Summary: Dept. of weird X-rays
Keywords: alt medicine
Date: 23 Jul 92 01:26:29 GMT
Organization: University of Georgia, Athens

In article <15782@pitt.UUCP> km@cs.pitt.edu (Ken Mitchum) writes:
>
>One of my favorite xrays from medical school showed a quart
>bottle of mayonaise in the transverse colon. The patient claimed
>to have accidentally sat on it and the laws of physics had done
>the rest. We didn't quite belive him.

There is a famous veterinary X-ray of a (complete, unbroken, full-sized)
60-watt light bulb inside a snake.
-- 
==========================================================================
Michael A. Covington, Ph.D. |  mcovingt@uga.cc.uga.edu  |  ham radio N4TMI
Artificial Intelligence Programs | U of Georgia | Athens, GA 30602  U.S.A.
==========================================================================
From: hrubin@pop.stat.purdue.edu (Herman Rubin)
Newsgroups: sci.med
Subject: Re: Questions For Mds
Date: 23 Jul 92 18:57:27 GMT
Organization: Purdue University Statistics Department

In article <23271@alice.att.com> ark@alice.UUCP () writes:
>In article <7716.2A5EF345@stjhmc.fidonet.org> Daniel.Prince@p0.f129.n102.z1.fidonet.org (Daniel Prince) writes:

>> I want to prevent them from LYING to me as so many other MDs have 
>> done.  I think that if I have copies of all the lab tests and 
>> everything they say on tape and they know that I will go to the 
>> medical library to check up on what they say they will be less 
>> likely to lie to me.

>The easiest and most certain way to avoid lying to you
>is simply not to speak to you at all.

In that case, they are not providing you with the medical information
you are paying them for.  Other than surgery, in the extended sense,
physicians provide the patient with words upon which to act.
-- 
Herman Rubin, Dept. of Statistics, Purdue Univ., West Lafayette IN47907-1399
Phone: (317)494-6054
hrubin@pop.stat.purdue.edu (Internet, bitnet)  
{purdue,pur-ee}!pop.stat!hrubin(UUCP)
Newsgroups: sci.med
From: jac1@ra.msstate.edu (Jennifer Cox)
Subject: Re: amnesiac drugs
Organization: Mississippi State University
Date: Sat, 25 Jul 1992 16:06:37 GMT

brian@ucsd.edu (Brian Kantor) writes:

>My memory of the last time I underwent something of the sort with
>Versed was the doctor asking me to "count backward from 99", a sense of
>the world becoming grandly distorted, and my reply of "I can't do that,
>I'm too stoned.", followed by snapping awake about 45 minutes later
>with a mildly sore throat where the camera had been.  I found the tape
>of the procedure interesting because I didn't remember any of it.

I had a similar experience after having my stomach scoped.  I had
worked in the lab and was familiar with the patients disorientation
and not believing that the procedure had been done.  I woke up
and asked then when they were going to do the procedure and I had been
asleep for 2 hours.  When talking with the nurse afterwards she said I
talked with them, and resisted when they tried to get me to swallow the
scope.  I'm really glad I don't remember it.  
.
From: hrubin@pop.stat.purdue.edu (Herman Rubin)
Newsgroups: sci.med
Subject: Re: Questions for MDs
Date: 31 Jul 92 19:47:15 GMT
Organization: Purdue University Statistics Department

In article <15907@pitt.UUCP> km@cs.pitt.edu (Ken Mitchum) writes:
>In article <55409@mentor.cc.purdue.edu> hrubin@pop.stat.purdue.edu (Herman Rubin) writes:
>>I suggest that the medical people learn
>>about the problems involved in making decisions under uncertainty, and
>>how complicated they become even in supposedly simple situations. 

>This is what happens every day! One of the first things you learn
>as an intern is how to take care of someone who's dying when you
>don't know what they have! This is not just emergencies: tests,
>cultures, etc. always take time, and the patient has to be
>treated in the interim. This is one reason that doctors will
>always look like idiots to some people, and why we have such great
>problems with insurers and utilization review people. The U.R. person
>reviewing the chart knows the final diagnosis, and can't understand
>why the doctor wasted all that time with all those negative tests!

I believe you misunderstand my point.  It is not uncommon that 
apparently simple problems where there is considerable uncertainty
require numerical computation, and in some cases quite difficult
computation, to come up with even an approximation of the method
which maximizes the expected utility.  One cannot escape using
these technical ideas; I have no brief for the insurers and review
people using their 20/20 hindsight.  In statistics, we are always
dealing with uncertainty, and rarely even find out the "truth."
Reducing the chances that factors are involved is important to me.

This type of problem has been discussed and treated by statisticians
for MANY years.  One of the things we have learned is that very often
intuition is wrong, and that computations are necessary.  Quality
control, even using destructive tests, has been used on a large
scale for almost 50 years, and the medical problems have greater
complexity, and require more computation, than most which have
been done in industry.
-- 
Herman Rubin, Dept. of Statistics, Purdue Univ., West Lafayette IN47907-1399
Phone: (317)494-6054
hrubin@pop.stat.purdue.edu (Internet, bitnet)  
{purdue,pur-ee}!pop.stat!hrubin(UUCP)
Newsgroups: sci.med
From: Woody.Weaver@p0.f63.n161.z1.fidonet.org (Woody Weaver)
Newsgroups: sci.med
Subject: Re: BP of 150/90?
Date: 13 Jul 92 13:08:30 GMT
Organization: FidoNet node 1:161/63.0 - The Greatful Med, Concord CA


 -=> Quoting Ned Canepa to All <=-

 NC> I take Visken, 10 mg twice a day for hypertension.  When I go to the
 NC> doctor, even while taking the medication my BP reading might be like
 NC> 150/90 or sometimes a little better.  ONce and a while I even get a
 NC> 120/80...Then, at home with an electronic device, it is consistently
 NC> in the 120/80 range.. I suspect maybe I have "white coat" syndrome. 

When I was in grad school, I would visit the Health Center, and my worst
reading was 140/117.  I altered my diet, developed a strict exercise
program, and a couple months later had 140/90.  Since then 150-130/90-70 are
typical.  The Heath Center attributed the problem to a too-small cuff.
Mechanical error is a possibility.  You might consider mentioning your
"white coat" syndrome next time you go in, and bring your sphygnomanometer,
and ask that you be tested using that device.  It would help to bring a
variable under control.

... Friends, Romans, countrymen, lend me your taglines!

 

--  
Internet: Woody.Weaver@p0.f63.n161.z1.fidonet.org
From: cecilw@access.isc-br.com (Cecil Williams)
Newsgroups: sci.med
Subject: Red Hot Chili Peppers...(was: Colonic irrigations)
Keywords: alt medicine
Date: 27 Jul 92 20:55:25 GMT
Organization: ISC-Bunker Ramo, Spokane, WA


 (gordon e. banks) writes:

>Well try this one on for common-sense:  why do you think evolution/God
>designed us so poorly that our colons need to be artificially
>cleaned out?  If you have worms, cleaning the colon is *not* the
>proper treatment.  You won't get all the worms and they will
>just multiply again.  You need a treatment of vermicide.  Very
>few people in your social class have worms.  Maybe in Africa...
>

While we're talking about worms here, I would like to throw out this
highly speculative theory of mine for comment...  Ever since my first
trip around Asia and my first taste of hot (HOT!!!) curried chicken,
I've had the idea that people in third world countries tend to eat
extremely spicy hot food because the hot spices would drive parasites
from the body (or kill them, or maybe just make them unhappy, and we all
know how difficult it is to procreate when you're unhappy...) People
who eat the hottest foods would therefore be the healthiest, and have
the greatest longevity...


Cecil
Newsgroups: sci.med
From: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med
Subject: Re: Inderal vs. Inderal LA
Date: 30 Jul 92 18:17:30 GMT
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <8398.2A715AA6@stjhmc.fidonet.org> Tom.Kashuba@f99.n101.z1.fidonet.org (Tom Kashuba) writes:

>Lora, I've suffered acute, crippling Type I Migraines (full aura with all 
>popular effects - grin) for 20 years and have tried just about every 
>preventive and suppressing drug (including Inderal) - except the Beta blockers 
>and related designer drugs which I'm leary of.
>
Inderal is a beta blocker.  Designer drugs are not related to beta blockers
but are opiates designed by amateur chemists to avoid statuatory laws
against heroin, morphine, and other similar drugs.



-- 
----------------------------------------------------------------------------
Gordon Banks  N3JXP      | "Skepticism is the chastity of the intellect, and
geb@cadre.dsl.pitt.edu   |  it is shameful to surrender it too soon." 
----------------------------------------------------------------------------
From: dzimmerman@falcon.navsses.navy.mil
Newsgroups: sci.med
Subject: Indoctrinating Interns
Date: 30 Jul 92 21:28:22 GMT
Organization: NSWCCD, Naval Ship Systems Eng Sta, Phila PA

>...a reasoned arguement about force-training interns....

I hate to jump on this, because it sounds so reasonable.  But it is,
of course, utter BS.  Doctors are the only profession I know of that
train this way--and it's about the single worst way to train anyone
for anything.  I can't drag out statistics, though I know that
studies have been done, and are being done.  But I can speak from
military experience and threory.

If you want to train someone in something...anything...you drill,
drill, drill.  And you go out of your way in the training schedule to
ensure that the trainee is reasonably rested and in good shape because
tired bodies make for tired minds.  Class work in the morning and drill
in the afternoon, for instance.

If, on the other hand, you want to break down personalities and inculcate
attitudes which will stick with the person (whether they will it or no)
then you drive them as hard as you can.  Give them difficult problems to
solve at the most awkard times, and force them to do it right then.  Hammer
on them constantly, drive up the pressure and don't offer any relief.  You
weed out the ones who can't take it, and the ones who survive will tend to
believe and behave the way you want them to.

I can look at the way medicine is taught today, and tell you exactly what
it is for--and it's only indirectly related to medical knowledge.  The
repetitive drill aspects do tend to emphasize learning--but they would do
that in the same way in any structured program.  The pressure is simple
indoctrination, however subtle.

And, in my opinion, not completely unnecessary in, say, an ER doctor or a
surgeon.  There are some fields of medicine that can put a great deal of
pressure on a person.  But there are others that do not, and the same
standards of professionalism should apply to them as to any other profession.
   
   Standing by to be flamed,
   
   Dave Zimmerman
   
   (My opinions are my own...mostly)