HDTenEightyP/NetNews huggingface dataset:
From: porten@eniac.seas.upenn.edu (Jeffrey  Porten)
Newsgroups: sci.med
Subject: Upcoming Short Courses at the University of Pennsylvania
Date: 28 Jul 92 21:54:56 GMT
Organization: University of Pennsylvania

Pulmonary Medicine: A Comprehensive Review and Update
September 18-21, 1992

Sponsored by the Pulmonary and Critical Care Division, University of 
Pennsylvania Medical Center, Department of Continuing Medical Education.

This course is intended to provide trainees preparing for the Subspecialty
Certifying Examination, as well as practicing pulmonologists, with a 
comprehensive review of Pulmonary Medicine and a critical analysis of recent
advances within the field.  The 3 1/2 day course will consist of 28 didactic
sessions divided between Review Topics of fundamental importance to the 
practice of Pulmonary Medicine and State of the Art Lectures on rapidly
evolving clinical issues.  


Three Exciting Sessions in Rheumatology, attend one or all:

Seventh Annual Clinical Update in Rheumatology, Nov. 11-12, 1992
 
Call for Abstracts
International Symposium on Laboratory Research in Rheumatology
Symposium on the Synovial Fluid, Nov. 9-10, 1992

Workshop on Practical Synovial Fluid Analysis, Nov. 9, 1992


For more information on any of the above, call Lois Porten at (215) 898-8005,
or e-mail to porten@eniac.seas.upenn.edu.






--
Jeff Porten, Annenberg School for Communication, UPenn
             Graduate Group in American Civilization, UPenn

As per usual, my opinions are my own, not Penn's, Pugwash's, or anyone else's.
From: mcovingt@athena.cs.uga.edu (Michael A. Covington)
Newsgroups: sci.med
Subject: Heart attack vs. indigestion; was: Re: Angiography
Date: 29 Jul 92 04:32:43 GMT
Organization: University of Georgia, Athens

What are some guidelines to help a patient distinguish between 
cardiac pain and indigestion?  

(That is, when does one decide to go to the emergency room
rather than merely taking a Tums?)


-- 
==========================================================================
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.
==========================================================================
Newsgroups: sci.med
From: hultquis@wk206.nas.nasa.gov (Jeff P. M. Hultquist)
Subject: Pregnancy with CTS
Organization: NASA Ames Research Center, CA USA
Date: 29 Jul 92 14:30:54
Reply-To: hultquis@nas.nasa.gov
Distribution: sci.med, misc.kids


Does anyone out there have information on the effects of carpal
tunnel syndrome during pregnancy?

I have had bilateral CTS for about a year now which was caused by 
excessive typing in the wrong position.  I know that many women 
experience CTS while pregnant, so I'm wondering if pregnancy is 
going to exacerbate the condition.  I am finally to a point where 
the nerves seem to be mostly healed (I didn't have the surgery),
but the tendonitis in both forearms still presents a problem.

I already have one child who is almost two, and I didn't have
ANY symptoms while pregnant with him.  The symptoms started when
he was 9 months old and I had been back a work for 5 months.

Also, I'm looking for physician recommendations for CTS in the
Bay Area.  The hand surgeon I have now is over-committed and is
willing to do surgery, but admits that it probably won't help.

Mary Hultquist
(on my husband's account)
--
Jeff Hultquist				hultquis@nas.nasa.gov
NASA - Ames Research Center		(415) 604-4970
From: dcox@relay.nswc.navy.mil (David Cox)
Newsgroups: sci.med
Subject: Estrogen in wheat ???
Date: 30 Jul 92 15:32:35 GMT
Followup-To: sci.med
Organization: NSWC

A friend just asked me what I think of his friend's
claim (supported by some diet plan's brochure) that
you shouldn't eat wheat (as in wheat bread) because
wheat contains estrogen which induces feminine traits
in males. I have heard a lot of unconventional notions
about food, and even believe some of them, but I have
never run up against this nugget before. I would like to
ask this group:
1) Does Wheat contain estrogen?
2) If so, would eating the estrogen contained in wheat have
     any effects?
3) Do males have naturally occurring estrogen in any
    amount in them?
Well, I have phrased questions better before, but I
hope those are clear enough. Thanks in advance any info
you can provide me.
From: John.Willis@p123.f349.n109.z1.fidonet.org (John Willis)
Sender: Uucp@blkcat.UUCP
Newsgroups: sci.med
Subject: Colonic irrigations
Date: Sat, 25 Jul 1992 09:35:00 -0500

 > From: bhjelle@triton.unm.edu ()
 > Newsgroups: sci.med
 > Organization: University of New Mexico, Albuquerque

 > In response to article <Brp1A5.DEy@hpbs654.boi.hp.com>
 > kmarko@hpbs654.boi.hp.com (Kurt Marko)

 > Sure, worms, plaque, gremlins, small foreign-made
                ^^^^^^
 > automobiles....
 > all have been recovered from the colons of
 > unsuspecting patients
 > (er, clients).

Happens with enemas, too, doesn't it?
From: hrubin@pop.stat.purdue.edu (Herman Rubin)
Newsgroups: sci.med
Subject: Re: Questions for MDs
Date: 31 Jul 92 20:20:06 GMT
Organization: Purdue University Statistics Department

In article <15910@pitt.UUCP> geb@dsl.pitt.edu (gordon e. banks) writes:
>In article <55409@mentor.cc.purdue.edu> hrubin@pop.stat.purdue.edu (Herman Rubin) writes:

>>>Herman and others reflect this misunderstanding that in a few minutes
>>>the physician can bring the patient up to an level of an expert in
>>>making medical decisions.  In the time available, all that could
>>>be done would be to spew out some meaningless statistics which would
>>>more likely scare the patient into doing nothing.

>>You have never seen such a statement from me.  There is a major difference
>>between emergency situations and those where time is available.  

>The time needed to satisfy your criteria would never be available.
>It would take many hours to cover sufficiently in many cases.
>Who is paying for all this time?  What about all the other patients
>that the doctor has to see?

Part of the procedure involved can be done by non-physicians.  I believe
that some hospitals have staff people, not physicians, who try to make
sure that the patients understand what they are signing.

Not everything has to be done in the presence of the physician.  Most
people are capable of reading.  I suspect that the physicians are not
themselves used to these quantitative considerations, and therefore 
are not prepared to present and discuss them with the patients.  One
of the things that one learns in statistics is that far too often
intuition does not even approximately get the right answers.  How
concerned are medical investigators even about Simpson's Paradox?
-- 
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: young@serum.kodak.com [Rich Young (x37176)]
Subject: Re: Leading causes of death
Originator: young@sasquatch
Reply-To: young@serum.kodak.com
Organization: Clinical Products Division, Eastman Kodak Company
Date: Tue, 21 Jul 92 22:33:38 GMT

In article <mathew.711739735@henry> mathew@elroy.jpl.nasa.gov (Mathew Yeates) writes:
>
>Can anybody tell me where I can find a listing of the top 15 leading
>causes of death in the U.S. From the CDC, for instance?

   Here are the top 13 causes "Based on National Center for Health Statistics
   1988 latest official estimates"  (this was a year or so ago)

	1. Heart diseases				767,400
	2. Cancer (malignant neoplasms)			488,240
	3. Strokes (cerebrovascular diseases)		150,300
	4. Accidents and adverse effects (actual 1986 data) 97,500
		Motor Vehicle		47,865
		Falls			11,444
		Poisoning		 5,740
		Fire			 4,835
		Drowning		 4,777
		Suffocation		 4,633
		Other Transportation	 3,060
		Medical mistakes	 2,873
		Environmental factors	 1,501
		Firearms		 1,452

	5. Chronic pulmonary disease			 81,960
	6. Pneumonia and influenza			 77,330
	7. Arterial disease				 46,320
	8. Diabetes					 39,610
	9. Suicide					 30,260
		By firearm		17,853
		By other means		12,407

	10. Liver disease				 26,080
	11. Kidney disease				 23,330
	12. Infectious/parasitic disease (incl. AIDS)	 22,570
	13. Homicide or legal intervention		 22,190
		By firearm		13,092
		By other means		 9,098

   NOTE: These data are at least four years old, and I'd be especially
	   suspicious of the AIDS category as it applies today.

>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>|<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<
Rich Young                             | Phone: (716) 253-7176
Eastman Kodak Company                  | FAX: (716) 253-7254
Clinical Products Division             | Internet: young@serum.kodak.com
100 Carlson Road                       |
Rochester, New York, USA   14653-9122  | These are MY opinions, not Kodak's!!!
>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>|<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<<

Don't get angry, get accurate information.
Newsgroups: sci.med
From: cfaks@ux1.cts.eiu.edu (Alice Sanders)
Subject: Re: MRI, is it safe?
Date: Thu, 23 Jul 1992 01:51:39 GMT
Organization: Eastern Illinois University

>(Alice Sanders writes:)

>   I need some feedback asap.  I'm supposed to have an MRI on my shoulder
   tomorrow a.m.  Is it completely safe?  Hurry.  Thanks.

(Douglas Rand writes:_)
>
>There aren't any known side effects -- unless you have metal in
>your body.  Then the strong magnets could, ah, apply force to the
>metal and thus to you.  But it's safe otherwise.
>
(NEW)
What about fillings in your teeth and/or wire orthodontic braces?  WOuld
those cause any harm?

Thanks.

Alice
From: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med
Subject: Re: Telephones and Doctors
Date: 25 Jul 92 01:30:34 GMT
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <1992Jul22.160205.21344@eng.umd.edu> georgec@eng.umd.edu (George B. Clark) writes:
>
>On the other hand, if people assume all doctors are rich, then
>doesn't telling people you are a doctor help you meet women?

But I want to meet *rich* women, not women who are looking to
marry a rich doctor. :-)

-- 
----------------------------------------------------------------------------
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: km@speedy.cs.pitt.edu (Ken Mitchum)
Newsgroups: sci.med
Subject: Re: Telephones and Doctors
Date: 21 Jul 92 23:34:24 GMT
Reply-To: km@cs.pitt.edu (Ken Mitchum)
Organization: Computer Science Dept., University of Pittsburgh

In article <1992Jul20.092305.24854@samba.oit.unc.edu> Nigel.Allen@bbs.oit.unc.edu (Nigel Allen) writes:

>If you are a doctor and you have just moved to a new house or apartment,
>make sure you tell the phone company that you're a doctor when you
>order your phone service.

Well, I guess this cannot hurt, since the rates are regulated.
However, in most economic encounters, it is definitely NOT to
one's advantage to be identified as a physician. Once they find
out you're a doctor, you may end up paying too much for something,
or paying for unnecessary services. Physicians are widely believed
to have more money than time, and to be willing to pay more to get
something fixed or settled quickly without hassle. 

The last time I bought a car I spent three hours haggling with the
dealer to get the price I wanted. He found out I was a doctor after
the deal was done.

 -Ken Mitchum MD
 km@cs.pitt.edu

Xref: sparky sci.med:14517 talk.politics.drugs:5346
From: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med,talk.politics.drugs
Subject: Re: FDA still at large
Date: 26 Jul 92 22:46:11 GMT
Followup-To: sci.med
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <HALL.92Jul22083956@cheetah.cheetah.cs.uidaho.edu> hall@cheetah.cs.uidaho.edu writes:

>>Since the cancer is so advanced, the chemotherapists did not object to her
>>decision not to do the chemo - she's too weak, already, and there is less than
>
>Who the hell are the chemotherapists to object to her decisions about her
>own body, anyway?
>
As was pointed out recently, if they felt that chemotherapy would
help, and they failed to object (and in writing), they become liable
for lawsuits against them for failure to provide adequate
"informed refusal".

[On going to Tijuana for crackpot treatments]
>
>Did these people promise one thing and deliver another?  That's the

Almost always they do that, yes, indeed.  They make all kinds of
promises, but can't deliver.


-- 
----------------------------------------------------------------------------
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: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med
Subject: Re: Colonic irrigations
Date: 30 Jul 92 16:22:14 GMT
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <92211.154937RFLOOD@ESOC.BITNET> RFLOOD@ESOC.BITNET writes:

>Well, I suppose it is *just* remotely possible, unlike the story I heard
>from an Irish MD last week about the man with a large nut screwed onto the
>same organ. Now, what's the innocent explanation for that, I wonder ? Just
>servicing the car in the nude and he slipped into the tool box ?!
>
It is not uncommon in the ER to see people coming in after having
slipped a hard ring around their penis.  As common sense should tell
any male, once the penis becomes engorged with blood, getting the
ring off will not be simple.  Such cases need immediate attention
to cut the ring off.  



-- 
----------------------------------------------------------------------------
Gordon Banks  N3JXP      | "Skepticism is the chastity of the intellect, and
geb@cadre.dsl.pitt.edu   |  it is shameful to surrender it too soon." 
----------------------------------------------------------------------------
Newsgroups: sci.med
From: mazur@inmet.camb.inmet.com (Beth Mazur)
Subject: Re: Carbohydrate addiction?
Organization: Intermetrics Inc, Cambridge MA
Date: Fri, 31 Jul 1992 14:33:43 GMT

In article <1992Jul29.021219.10990@access.digex.com> kfl@access.digex.com (Keith F. Lynch) writes:
>> Carbo Addicts (more than 12g ofc arbos at one meal only) ...
>
>Are you saying if one typically eats more than 12 grams of carbs per
>meal, one is a carbohydrate addict?  Well, if one gets 2/3 of one's

No, I'm saying that the Carbohydrate Addicts diet suggests two low-carbo
meals (I stole the number 12 from another low-carbo diet recommended
in the book Type II Diabetes) to manage carbohydrate cravings.  The
only restriction on the third meal is that you have to finish eating
in an hour, but you can have as many carbs as you want.

>> ... a reasonable compromise between what I was doing and Atkins.
>
>Why compromise?  I've been maintaining a 160 pound weight loss for
>years, without hunger or exhaustion, by doing the exact opposite of
>what Atkins suggests, and eating all the carbs I want, often more
>than 12 ounces (340 grams) in one meal.

Well, good for you.  However, I am only going to be able to maintain
my 100 pound loss (at this eating level) if I keep up my 900 calorie
a day exercise habit.  But I want to lose another 25, which really
means I have to get my eating under control.  And I want to do this
anyways, because I'm tired of beating myself up for overeating, even
if I'm not gaining weight.

Some of this is "I like to eat", some of this is psychological (Jung
supposedly said "all neurosis is based on the attempt to avoid 
legitimate suffering") and some of it may well be physiological.  It
may well be that spending years greatly obese screws up the body's
ability to eat like a normal person.

At this point, there are really no good screening tools that help us
figure out what percentages of gluttony, psychology, and physiology
contribute to any one person's obesity.  So all I'm saying is that
I am trying different things to see what works for *me*.  Your loss
may be inspirational (and the fact that you've kept it off for
years admirable), but when it comes down to it, just because you can
eat all the carbos you want doesn't mean that everyone else can.

Beth Mazur                   "...life is more than a vision.  The sweetest
mazur@inmet.inmet.com         part is acting after making a decision."
...!uunet!inmet!mazur                                  -- The Indigo Girls
From: billm@hplvec.LVLD.HP.COM (Bill Miner)
Date: Tue, 28 Jul 1992 19:53:42 GMT
Subject: Benzodiazepine Reaction
Organization: Hewlett-Packard Co., Loveland, CO
Newsgroups: sci.med

Benzodiazepine Reaction

A number of years ago I took Valium for back spasms.  A few years later I had
Versed for surgery.  About a year ago I had Valium/Demerol combo (IV) for a
gastroscopy.  On every occassion I had an interesting/frustrating reaction.
For two to four months afterward I had a speech problem where it was very 
difficult to say some specific words, blocking and stuttering.  I had a slight
problem with this (mostly under stress) as a kid 35 to 40 years ago and very 
rarely as an adult.  Without fail taking a benzodiazepine triggers a severe
bout and, needless to say, I now avoid this class of drugs.  One other time for 
some outpatient surgery I had Phenergan and had no problem at all.  I am
generally sensitive to CNS acting drugs, but don't usually have adverse
reactions.  The literature I've read doesn't specifically identify this speech 
thing as an adverse reaction and physicians whom I've asked shrug their
shoulders and say they've not seen it clinically except for me.  I'm curious
if anyone on the net might know or can take an educated guess as to the
mechanism at work here.  Has anyone seen this response clinically?

Thanks for responding.

Bill

--------------------------------------
Bill Miner (billm@hpmtlbm.lvld.hp.com)
-----------------------------------------
Is this midlife crisis or midcrisis life?
Why must our daughters go to expensive private universities?
------------------------------------------------------------
From: kingsley@hpwrce.mayfield.hp.com (Kingsley Morse)
Date: Mon, 27 Jul 1992 17:34:41 GMT
Subject: Anti-vitamin bill passes committee
Organization: HP Western Response Center
Newsgroups: sci.med

You may remember a new bill that proposes making vitamins illegal, and giving
the FDA broadly expanded powers.

An aquaintance who runs a local vitamin store said HR 3642 has passed the
House Energy and Commerce committee on 7/9/92. The vote was along party lines.
All the Democrats voted for it, all the Republicans voted against it.

Orin Hatch has countered it (HR 3642) with another bill that protects our right
to eat what we want whether it is a health food supplement, vitamin, or not.

I suggest you ask your Senator and Representative to vote against HR 3642 and
for Orin Hatch's bill.
Newsgroups: sci.med,alt.drugs,talk.politics.drugs,talk.politics.misc
From: mccurdy@bestsd.sdsu.edu (McCurdy M.)
Subject: Disease, weakness, or ?   Was: Definition of an addict.
News-Software: VAX/VMS VNEWS 1.4-b1  
Organization: San Diego State University - Dept. of Redundancy Dept.
Date: Wed, 29 Jul 1992 16:15:00 GMT

In article <1992Jul29.045645.33995@ux1.cts.eiu.edu>, cfaks@ux1.cts.eiu.edu (Alice Sanders writes...
>>
>I think the most absurd example of behavior that is termed a 'sickness'
>was when that baseball player Pete Rose tried to excuse his activities by
>claiming to have a gambling addiction.  From what I could tell, he also
>had a lying addiction, an irresponsibility addiction, and was some kind of
>sociopath because he didn't think anybody could see through it all.  I
>think we have made a big mistake claiming 'illness' for controllable
>behavior.  

This topic area interests me as many members of both sides my family have 
had what I consider to be an alcohol problem. 

My mother drank every night after work, three hard, mixed drinks, not
enough to get really sloppy, just buzzed. She drank more on the weekend.
Several of her romantic relationships (my parents were divorced when I was 
six) have involved men who were heavy drinkers. One of them died when he 
was 43. She held down a responsible job and was very reliable. I now
consider her to have been an alcoholic, but a functional one.

My mothers mother had one glass of Sherry, occasionally.

My father gradually worked his way up to non-functioning, full-on 
alcoholism, no question. Recently, after a personal setback involving a 
romantic relationship, he began drinking again, fairly heavily, after not 
having had anything to drink for 10 years. Fortunately, he seems to have 
gotten a "hold" on himself and has either stopped or cut way back. He is 62 
years of age, a psychology/crisis care professional and knows the score. 

Neither of his parents drank at all and were/are very "religious."

My aunt-in-law and step-uncle drink daily and in recent years, I saw them 
both begin to get "sloppy" on a regular basis. They are both former athletes 
- my aunt taught P.E., my uncle played basketball ... 

My step-grandfather used to get heavily medicated, but just on the weekend.

I drink infrequently, a bottle of German beer with a meal occasionally.

I have a very hard time with alcoholism "as a disease." Perhaps it's my 
bitterness about my own personal experiences with it. 

I do think that people get into behavior patterns that get hard-wired in 
there and can be very difficult to get out of. 

Mike



Mike McCurdy			Disclaimer:
VAX Systems Management		     
San Diego State University		"Everything I say may be wrong."
mccurdy@bestsd.sdsu.edu  	

Newsgroups: sci.med
From: bilgic@ecf.toronto.edu (BILGIC Taner)
Subject: Familial Mediterranean Fever info sought
Organization: University of Toronto, Engineering Computing Facility
Distribution: na
Date: Wed, 22 Jul 1992 20:12:30 GMT

Hello,

I need to know some people who are specialized in Familial Mediterranean
Fever (FMF).
My concerns are basically practical, about a specific sufferer of FMF.
I would also need to know if there is any treatment to FMF and where
is it available.

Please e-mail me at: bilgic@spring.rose.utoronto.ca
or fax : (416) 978-1279

Thanks.
Taner Bilgic
From: fzjaffe@hamlet.ucdavis.edu (Rory Jaffe)
Newsgroups: sci.med
Subject: Re: Sex Organ Transplant - more info please
Date: 28 Jul 92 02:30:38 GMT
Organization: University of California, Davis

In article <swood.712269911@vela> swood@vela.acs.oakland.edu (Scott Wood - EVENSONG) writes:
>I heard a quick tidbit the other day about a sex change operation that
>was alledgedly just completed somewhere in East Asia (Japan I think)
>in which two willing individuals (one male and one female) agreed to have
>their sexual organs exchanged to allow for a change in their gender as
>per sexual preference.

Actually, I think they swapped the lower half of each body.  That way
he->she could have her's->his love child.
Newsgroups: sci.med