HDTenEightyP/NetNews huggingface dataset:
From: rind@binoc.bih.harvard.edu (David Rind)
Newsgroups: sci.med
Subject: Re: Diabetic coma
Date: 13 Aug 92 01:31:56 GMT
Organization: Beth Israel Hospital, Harvard Medical School, Boston Mass., USA

>In article <1992Aug12.000812.5891@javelin.sim.es.com-
 bgeer@javelin.sim.es.com writes:
[in response to Ken Mitchum]
>-energy than unnecessarily flaming someone disagreeing with your use of
>-"juvenile" & "adult", terms with which I am completely unfamiliar.  I
>-do know something about the distinction between Type I & Type II
>-diabetes, however.

The idea that there is a "correct" classification system for DM is
just wrong.  There are several different classifications, all of which
have problems with some patients.  Most patients fit quite well into
the juvenile/adult dichotomy with most juvenile-onset diabetics being
Type I and adult-onset Type II.  For clinicians, distinguishing between
non-insulin dependent, insulin dependent, and insulin requiring diabetics
is often most helpful.  But people don't always fit nicely into the
intellectual categories we try to create.  In a net-discussion,
however, anyone familiar with diabetes would have had no problem
understanding what groups of patients Dr. Mitchum was talking about.

-- 
David Rind
rind@binoc.bih.harvard.edu
From: mdf0@GTE.com (Mark Feblowitz)
Newsgroups: sci.med
Subject: Re: ********  MICROWAVE HAZARDS *******
Date: 19 Aug 92 16:23:35 GMT
	<1992Aug19.035420.28371@athena.cs.uga.edu>
Reply-To: mfeblowitz@gte.com
Organization: GTE Laboratories Inc.
In-reply-to: mcovingt@athena.cs.uga.edu's message of 19 Aug 92 03:54:20 GMT

Is there any known danger when a microwave oven ages? Microwaces have
been in many homes for several years, and are bound to deteriorate in
some fashion. Are there any reliable diagnostic measures to be taken
to ensure that they remain safe?
--
-------------------------------------------------------------------------
Mark Feblowitz,   GTE Laboratories Inc., 40 Sylvan Rd.  Waltham, MA 02254
mfeblowitz@GTE.com, (617) 466-2947, fax: (617) 890-9320
Xref: sparky sci.med:16152 misc.kids:21565
From: amym@oakhill.sps.mot.com (Amy Moseley Rupp)
Newsgroups: sci.med,misc.kids
Subject: Re: Hepatitis vaccine
Date: 17 Aug 92 16:34:44 GMT
Organization: Motorola Inc., Austin Tx.

In article <1992Aug14.222808.13806@umiami.ir.miami.edu> ahelmers@umiami.ir.miami.edu writes:
>In article <1992Aug14.135306.7399@spdcc.com>, dyer@spdcc.com (Steve Dyer) writes:
>> In article <1992Aug14.124727.15244@kodak.kodak.com> salvaggi@sunshine.Kodak.COM (Nanette Salvaggio) writes:
>>>He has never had a child that lives a healthy CLEAN life style come
>>>down with hepatitis, so therefore feels that until further testing
>>>is performed that it is not worth the risk.  Just thought an opposing
>>>opinion might be useful.
>
>>  I'd imagine it would come down to issues of economics
>> and the ability of infants and children to make protective
>> antibodies, and the advantages of a population with "herd immunity"
>> to control the overall spread of Hep B.  I am ignorant of any details.
>> 
>> On the other hand, a line like
>> 	He has never had a child that lives a healthy CLEAN
>> 	life style come down with hepatitis
>> makes you think of biker babies, first graders who are IV
>> drug users and rampantly promiscuous pre-pubescents in
>> middle school, not to mention a mom who thinks it's OK
>> if such "bad seeds" get sick and die.  I mean, really,
>> Nannette: the sentiment is revolting enough without
>> your capitalizing CLEAN.
>
>
>Oh for heaven's sake, in the interest of being politically correct, Steve, you
>are being ridiculous!  My ped. told me basically the same thing that Nanette's
>did; the fact is that this type of Hepatitis is spread primarily through
>contaminated needles and sexual contact.  He said that it tends to be more of a
>problem in people living closer in contact to that type of activity, i.e.
>inner city children rather than *AS A RULE* other children living a 
>"middle-class" lifestyle.  He was also honest enough to say that the Academy of
>Pediatrics recommendation for immunization as a blanket statement was more
>motivated by political concerns rather than the reality of the need for
>protection for the majority of children.  And...he agreed that the vaccine has
>not been tested long enough for his own satisfaction to give it to all of his
>practice.

I tried to trim these quotes but they look pretty trim.  I was musing
about this HepB vaccine and one thing I thought of while driving by a 
day care place was this:  what IF your child was sexually abused by
a caregiver, a kidnapper, etc.?  At least they would be immune to hepatitis.
This is one "dirty" lifestyle that you may not be able to fully protect
your child against; SOMEBODY's kids are abused.  Or heck, by a relative!

I wonder what the stats are about the frequency of sexual abuse to children
versus the risk of complications of the hepatitis vaccine.  My revised
opinion on HepB might be to wait until the child is going to day care, etc.
-- 
Amy Moseley Rupp			Needed:  one witty, appropriate,
amym@oakhill.sps.mot.com		businesslike .sig that will perfectly
(512) 329-7117				reflect my philosophy of life and will
14 weeks and counting			fit in four lines or less.
Newsgroups: sci.med
Subject: PHLEBOTOMY
From: Dave.Waldman@f270.n110.z1.fidonet.org (Dave Waldman)
Date: 19 Aug 92 12:32:48 GMT
Organization: FidoNet node 1:110/270 - The Blue Byte, Enon OH

I am preparing to take the phlebotomy certification course at Sinclair 
College. Can anyone give me some insight into the profession or has anyone 
completed this course and would be willing to tell me the pros and cons 
involved. My goal is to get started in the healthcare profession and then look 
for fields of related interest to study. Any tips or hints would be 
appreciated.            Thank you



 

--  
Internet: Dave.Waldman@f270.n110.z1.fidonet.org
Newsgroups: sci.med
From: perry1@husc9.harvard.edu (Alexis Perry)
Newsgroups: sci.med
Subject: <none>
Date: 22 Aug 92 05:25:38 GMT
Article-I.D.: husc3.1992Aug22.012539.15007
Distribution: usa
Organization: Harvard University Science Center

In article <38012@unix.SRI.COM> cole@unix.SRI.COM (Susan Cole) writes:
>
>So -- this discussion has gone on and on, and no one has yet mentioned
>whether this particular nasty side effect applies to women too.  Does it?  
>
 I was on 20 then 40 mgs of Prozac a day for bulimia for a few months and
I'm not sure if it was the Prozac or the eating disorder, but my sex drive
just about completely turned off.  At the time I was 5'3" and 96-98 lbs and
amenorrheic, so I guess my estrogen levels weren't all the way up there.  
Before I lost the weight, I had a pretty normal sex drive for a 17 year old
("hey, I know how we could kill some time waiting for this traffic light to
change...").  After the weight loss but before Prozac, I wouldn't start anything but would get into it once coaxed into starting.  While on Prozac (once again
I don't know if this was due to Prozac, my weight or my partner) I could have
gotten up and left in the middle 98% of the time.  Now that I'm off it (and
down to 88-90 lbs) I'm back to about the second level.
	Since I'm on the topic (and, obviously, still in need of any help
anyone might offer), anybody have any suggestions for bulimia?  Also, how
damaging are the missed periods going to be in the long run?  I'm 18 and haven't
had one since Dec.
From: mcovingt@athena.cs.uga.edu (Michael A. Covington)
Newsgroups: sci.med
Subject: Re: Beta blockers & Olympics
Date: 19 Aug 92 00:44:06 GMT
Organization: University of Georgia, Athens

I believe beta-blockers have been used for "stage fright" because of their
ability to block adrenalin.  This could make them performance-enhancing in
some situations.  

-- 
+ Michael Covington - Artificial Intelligence Programs - U of Georgia - USA 
+ Unless otherwise noted, these are private opinions, not official statements.
+ VOTE NO GEORGIA LOTTERY - don't tie education to an unpredictable income.
Newsgroups: sci.med
From: liberato@dri.com (Jimmy Liberato)
Subject: Need info on TENS electro stimulator
Reply-To: liberato@dri.com (Jimmy Liberato)
Organization: Novell/Desktop Systems Group, Monterey Development Center
Distribution: na
Date: Fri, 14 Aug 92 19:16:04 GMT

A chiropractor I went to used a TENS (I think he said that stands for 
trancutaneous electro neural stimulation or somthing like that) unit on 
my back.  It is a cigarette pack sized device that has four wires on it 
that attach to electrodes attached to the skin.  I opened it up and it
is powered by a 9 volt alkaline battery.  From what I can surmise, it 
simply pulses the 9 volt DC and then steps the voltage way up to to a 
point that causes a very mild shock (there are dials on the unit to adjust 
the output).  I found the effect somewhat pleasant and it certainly diminished
the spasm I was suffering (more so than any of his spinal manipulations).

I inquired into purchasing my own unit and he replied that they are only 
available to medical professionals.  Indeed, I did notice a sticker on the 
TENS unit that said that federal law prohibits distribution except as 
prescribed by a physician.

My questions are:  

What is dangerous about this technology that would restrict its availability?  
It is not so pleasurable that I would be inclined to overindulge and I don't 
have a pacemaker. :-)

His comment about availability doesn't quite jibe with the above mentioned
sticker.  In otherwords, maybe chiropractors are unable to prescribe it but
MDs are?  I live in California if that makes any difference. 

If a physician can prescribe the unit does any one know the name of the company
(it is not on the unit) that manufactures it so that I can obtain literature
on it to educate myself and my GP?  If it is not available for enduser use in
the US, is it available in Canada? 

Thanks for any comments! 

--
Jimmy Liberato   liberato@dri.com
                 ...uunet!drivax!liberato




Newsgroups: sci.med
From: M20614@mwvm.mitre.org (Hugh Pritchard)
Subject: Last _Consumer_Reports_ health article
Organization: The MITRE Corporation, McLean VA 22102
Date: Thu, 20 Aug 1992 11:44:12 GMT

The most recent _Consumer's_Reports_ contains the last in a 3-part series
of articles on U.S. health care.
 
Incidentally, in the Letters column there is a letter, concerning those
health-care articles, by a "B.J.H., MD" of Avon, Connecticutt.  Could this
be our own Brian Hjelle?  (-:
 
**  Hugh Pritchard,  hapritch@mitre.org,  703/883-6616
Xref: sparky sci.med:15711 misc.kids:20992
From: smergen@luna.dpl.scg.hac.com (Sandra Mergen)
Newsgroups: sci.med,misc.kids
Subject: Hepatitis vaccine
Date: 12 Aug 92 21:29:31 GMT


mbb@soac.bellcore.com writes:
>Does anyone know anything about a vaccine for hepatitis C?
>My doctor said it is new and my 1 yr old should get it.
>The baby books I have do not mention this vaccine.

  Brian writes:
  >Are you sure you are not talking about the Hemophilus   
  >Influenza Vaccine?  I don't think an HCV vaccine is 
  >even on the horizon.

Parents Magazine wrote an article about the new hepatitis
vaccine that is available.  I called my pediatrician and she
said that the vaccine is available now.  Her practice is now
giving it to newborns on their 2 week checkup.  There is a
total of 3 vaccines for this.  She said that she isn't sending
out a notice to other parents yet, because she isn't ready
for the deluge of parents bringing their children in for the
vaccines yet.  She told me that parents can request the
vaccine and it will be given then.  I'm going to wait for
my child's well check up and then get the first of the 3 
shots.

My pediatrician said that she will send out a notice soon
though.

It is good to get immunized against this disease.  Ask your
pediatrician.

Sandy
From: clissman@ccvax.ucd.ie
Newsgroups: sci.med
Subject: R: Hepatitis Vaccine
Date: 14 Aug 92 09:15:47 GMT
Distribution: world
Organization: University College Dublin

RE The new Hep Vaccine
Is this the same product which has newly come on line in Ireland and the UK
under the brand name HAVRIX ? The supplier claims that three injections are
needed, after one month and after a year, to provide up to 10 years' cover.
As a frequent traveller to Asia, I'd be interested to hear comments on the
efficacy and duration of cover provided by this vaccine, especially compared to
Gamma Globulin

Thanks
Ciaran
CLISSMAN@CCVAX.UCD.IE <Dept Comp Sci, UCD, Dublin, IReland
Anyone know how to create a .sig ?
Organisation: European Space Operation Centre (E.S.O.C)
Date: Thursday, 13 Aug 1992 11:20:43 CET
From: <RFLOOD@ESOC.BITNET>
Newsgroups: sci.med
Subject: Re: Hand numbness after extended cycling

I wonder if hand numbness after extended cycling is more prevalent
now that so many people use mountain bikes (with straight bars)
whereas formerly the 'in' bike was a racer (with dropped bars) ?
Straight bars offer far fewer positions for the hand 'n wrist than
dropped bars.
I've just added handlebar extensions ("horns") to my mountain bike,
they stretch up and forwards at about 30 degrees, giving me an alternative
position for use on smooth trails - and a lot more flexibility in where I
can place my hands. So far the hand problem seems to have gone away....
RaF
From: mcovingt@athena.cs.uga.edu (Michael A. Covington)
Newsgroups: sci.med
Subject: Re: Request for Information: CMV
Date: 18 Aug 92 18:55:46 GMT
Organization: University of Georgia, Athens

re: most of the population being CMV survivors

Amen!  I know someone who was denied health insurance because she had had 
CMV.  That insurance company was looking for excuses...

(Word of advice: If you want insurance, don't go to a doctor who is good at,
and interested in, identifying viruses!)

-- 
+ Michael Covington - Artificial Intelligence Programs - U of Georgia - USA 
+ Unless otherwise noted, these are private opinions, not official statements.
+ VOTE NO GEORGIA LOTTERY - don't tie education to an unpredictable income.
Newsgroups: sci.med,connect.audit
From: george@ibmpcug.co.uk (Michael Veltman)
Subject: Re: Paralytics...
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, 12 Aug 1992 19:52:41 GMT

>
>    I am doing some research on paralytics.  In particular, short acting
>ones such as "succs".  Is anyone aware of any others similar, or better,
>to facilitate endotracheal intubation in the very acute setting?  These
>would be used before paralytics like norcuron or pavulon.  I'm
>specifically interested in short half-lives.  Not short pt. lives!
>    This would be used on a Mobile Intensive Care Unit.  If anyone is
>familiar with any helicopter service or MICU usages (protocols), please


1.  No paralysing agent works faster than suxamethonium, which acts
as quickly as it takes the blood to circulate it to the neuromuscular 
junction.


2.  Work is being undertaken to produce agents with very short half
lives in a slightly different category of drugs - the non depolarising
muscle relaxants.  In the UK, the shortest acting agent commonly
available is atracurium, which has a duration of effect of about
12 minutes to reversibility, and about 25-45 minutes duration.

3. There are shorter acting agents than atracurium.  In the US, I
believe that Mivacurium is a short acting agent (I am happy to 
stand corrected on this if others know better, I've never even 
seen it).



The real question is what do you want it for????

Intubation?

Ventilation?

Operation?

Intubation may not require paralysis, but does require removing
the reflex laryngospasm that occurs with intubation.  It can be
done with an anaesthetic agent alone.  For example (Not that I'm
suggesting that this is optimal) a large dose of Alfentanyl could
be used to obtund reflexes in combination with, say propofol.

This could be reversed almost immediately with some naloxone.

This is a purely hypothetical point, because it would usually 
complicate the post intubation management to give naloxone.

However, it is worth considering. 


What do you want such an agent for?


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 -

Newsgroups: sci.med
From: horst@tasman.cc.utas.edu.au ()
Subject: watch size heartbeat monitoring device ?
Organization: Computing Centre, University of Tasmania, Australia.
Date: Thu, 20 Aug 1992 01:26:09 GMT

Hi there,

I'm looking for a small light device (maybe like a watch) that can 
measure the heart frequency while while you are jogging. Does anybody
know whether something like this is on the market?

Thanks,   Horst
From: geb@dsl.pitt.edu (gordon e. banks)
Newsgroups: sci.med
Subject: Re: Headache help
Date: 19 Aug 92 15:13:47 GMT
Organization: Decision Systems Laboratory, Univ. of Pittsburgh, PA.

In article <10001.2A8E5676@stjhmc.fidonet.org> Raymond.Miller@p0.f10.n260.z1.fidonet.org (Raymond Miller) writes:
>I would like to obtain information on the proceedure known as
>TRIGEMENIAL RADIO FREQUENCY RHIZOTOMY (and similar proceedures used
>to destroy nerves in chronic headpain sufferers that do not respond to 
>conventional treatments. I am one such person, going into the third year of 
>unbearable pain. I know this is a drastic step, but desperation brings us 
>places we never thought possible.
>     What type specialist does this? Neurosurgeon perhaps? How sucessful 
>is the proceedure effective? what are the risks to the recipient? Anything 
>else I should know before proceeding?

This is a destructive procedure that wipes out the trigeminal ganglion.
It is often effective in ending trigeminal neuralgia.  If the diagnosis
is not correct, of course, it is unlikely to help at all.  The
main problem is the face then is anesthetic, and in a certain percentage
of cases, the patient develops what is called anesthesia dolorosa,
or painful anesthesia.  In some cases, this can be worse than the
trigeminal neuralgia was.  If I had trigeminal neuralgia that did
not respond to baclofen and/or carbamazepine, I would probably opt
for microvascular decompression, an operation done by a neurosurgeon.
The operation was developed by Peter Janetta, and since he is at
my institution, he would be the one I would choose to do it on me.
It is more expensive than the destructive procedure, but leaves
your facial sensation intact.  It does require opening the posterior
fossa, which scares people sometimes.
-- 
----------------------------------------------------------------------------
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: ctobias@violet.ccit.arizona.edu
Newsgroups: sci.med
Subject: ex
Date: 17 Aug 92 20:11:32 GMT
Distribution: world,local
Nntp-Posting-User: ctobias

I have been given the choice of having regular hernia surgery or laparoscopic
surgery for an inguinal hernia.  Has anyone had this surgery via laparoscopy? 
Does anyone know the recurrence rates with either type?  I was told it was new
and the surgeon couldn't give me stats because it's too soon to know.  A little
scary to risk something new, but it sounds a lot easier than the big incision.

Thanks, Cindy
cltobias@ccit.arizona.edu
From: hrubin@pop.stat.purdue.edu (Herman Rubin)
Newsgroups: sci.med
Subject: Re: Keeping Vitamins Legal 3/3
Date: 20 Aug 92 13:47:20 GMT
Organization: Purdue University Statistics Department

In article <10146.2A91AA6D@stjhmc.fidonet.org> Robin.Salmansohn@f715.n273.z1.fidonet.org (Robin Salmansohn) writes:

> To: John.Willis@p123.f349.n109.z1.fidonet.org (John Willis)

			.....................

>This is NOT a flame:

>         The FDA is mandated by law to establish a set of rulings
>that is what they honestly believe to be the best and correct way
>to protect the general public. I have seen (not addressing Dr. Wright
>directly) some very unsafe and sleezy claims for products that have
>shown to be unquestionably unsafe.

This is not, and never was, the mandate of the FDA.  Recently, there
was a situation where the FDA did what they should have been doing all
along, namely, seeing that information is provided and letting people
make up their minds, but even here they prohibited this in many cases.
The Commissioner even has been quoted as saying that people should not
be given certain types of information "because they cannot handle it."
-- 
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: hykwong@undergrad.math.waterloo.edu (Thomas Kwong)
Subject: 'skin care'
Organization: University of Waterloo
Date: Sat, 15 Aug 1992 17:41:38 GMT

	Recently, I had an accident and this left a noticeble scar on my face.
Does anyone know any drugs or lotion that smoothen the face. Is there any particular diet that would improve the complexion of the skin ( especially the face part). What are the well-known skin care lotion available in the market ??
Please advise. Thank You.

Unlucky & Unhappy.

Mike.

Newsgroups: sci.med
From: jgd@dixie.com (John De Armond)
Subject: Re: Mercury in dental fillings?
Date: Sat, 15 Aug 92 05:27:51 GMT
Organization: Dixie Communications Public Access.  The Mouth of the South.

geb@dsl.pitt.edu (gordon e. banks) writes:

>In article <BswGn5.CJL@wpg.com> russ@wpg.com (Russell Lawrence) writes:
>>
>>Of the 100,000 (plus/minus) dentists in north america, I'll bet that
>>99% of them had prayed (literally or figuratively) at one time or
>>another that amalgams really were toxic;  yet the scientific research
>>demonstrated that this simply wasn't the case.  Both the ADA and 
>>the AGD took a lot of flak after exposing the prevalence 
>>and nature of this particular bit of quackery, and several 
>>employees very nearly lost their jobs because they stood up for 
>>the truth, rather than economic self-interest. 
>>
>Listen, this is really going too far, Russ.  

Amen.  Any dentist worth his salt is way overworked.  The last thing he
needs or wants is to be forced to use some new restorative material
that will not last and thus has to be replaced more often.  None of the 
substitutes come anywhere near lasting as long as amalgam.  Disregarding
the humanity side for a moment, mercury substitutes are a logistical
nightmare.  Regarding the humanity side, any dentist who does something
that makes his patients come back and go under the needle and drill 
more often is going to lose those patients to dentists who don't.  
The only dentists whom I've heard about using substitutes generally 
don't fit well with my first full sentence.

Disclaimer:  I'm not a dentist and don't even play one on TV.  But I
come from a long line of 'em.  When yer sitting around the dinner table full of 
dentists and doctors, it's damn hard to keep the conversation steered 
toward computers and cars, my two interests.

John
-- 
John De Armond, WD4OQC               |Interested in high performance mobility?  
Performance Engineering Magazine (TM) |
Marietta, Ga                         |Interested in high tech and computers? 
jgd@dixie.com                        |Write me about PE Magazine
Need Usenet public Access in Atlanta?  Write Me for info on Dixie.com.
Newsgroups: sci.med