HDTenEightyP/NetNews huggingface dataset:
From: fulk@cs.rochester.edu (Mark Fulk)
Subject: Re: Cervical Dysplasia Questions
Organization: University of Rochester
Date: Mon, 25 Jan 1993 03:14:43 GMT

In article <1993Jan22.193603.10478@ac.dal.ca> guruman@ac.dal.ca writes:
>I have a few questions about cervical dysplasia, any help would be appreciated.

I went through an experience with this with my SO several years ago;
take the following cum grano salis.

>1) Cervical dysplasia is a a)bacteria, b)virus c) a state of cells.

c) a state of cells.  A pathologist makes the determination based on the
appearance of cervical epithelial cells under the microscope; the cells
come in the Pap smear.

>2) CD is a communicable disease ?
>
>3) Venereal Warts are a majour cause of CD ?
>      if yes, must HPV be present in infected person, or is exposure to HPV
>      enough?
>4) Cervical Dysplasia can be carried by men. ??

It is believed that human papilloma virus, which causes warts, is responsible
for most or all cases of CD.  Virgin women never, or at least almost never,
get CD.  Women whose (male) partners have genital warts get CD more often.
I don't believe that exclusively homosexual women get CD very often, so it
probably depends on the introduction of HPV into the vagina.

>5) It is totally treatable, and any re-occurrence is a new infection. ??

It is impossible to tell a new occurrence from a relapse, but generally,
this is thought to be true, at least if the CD is caught early enough.

>6) If antibiotics are used to treat CD, then mustn't it be a bacteria?

I'm not aware of antibiotics being used to treat CD.  On the other hand,
I can imagine using antibiotics prophylactically if a surgical treatment
was fairly extensive (a "conization", say).

>Any help would alleviate a lot of confusion for me.
>Thanks very much in advance.
>-Rob
>guruman@ac.dal.ca

Remember Dr. Papanicalaou in your prayers.  His smear saves thousands of
women's lives, and many more uteruses, per year.
-- 
Mark A. Fulk			University of Rochester
Computer Science Department	fulk@cs.rochester.edu
From: hrubin@pop.stat.purdue.edu (Herman Rubin)
Newsgroups: sci.med
Subject: How complete?  Re: Complete Physical (was Re: Thyroid info needed)
Date: 27 Jan 93 19:13:37 GMT
Organization: Purdue University Statistics Department

In article <162@ky3b.UUCP> km@ky3b.pgh.pa.us (Ken Mitchum) writes:

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

>Again, you are right on target. Most of the gap between what people want from
We hear about complete physicals, but how complete are they?  As someone with
a modicum of scientific knowledge, there is no way that I could consider them
complete, and I suspect that a generation from now those looking at what is
done now will ask why this, that, and the other test were not routine.

>their doctors and what they perceive to get could be made up for by decent
>patient education from somewhere. Part of the problem is that many doctors
>assume that the patient understands things that he/she doesn't understand. I don't
>know how many times I have spent several minutes explaining something to a
>patient, only to find out later that he/she didn't understand what I was talking
>about.


>|> As for acute illness or injury, people go to emergency rooms because they
>|> don't know where else to go.  Yes, that means they haven't established a
>|> relationship with a doctor, but surely it isn't worth draining a couple of
>|> grand a year for tests that are rarely useful in the name of establishing
>|> such a relationship. 

>A major problem with our current system is that we have done everything possible
>to sabotage the traditional doctor-patient relationship, and the traditional
>generalist physician. We have made spending time with the patient, talking and
>examining the patient into activities which are seen as a waste of time, because
>they are not reimbursed. 


I agree with most of Dr. Mitchum's comments, but I think it necessary to go
farther in this respect.  It is extremely difficult to get a physician to
listen to the patient after the doctor thinks he has diagnosed the situation,
even if the patient still has observations not covered by that diagnosis.
Also, the doctor does not consider the gamut of alternatives available, 
especially in treating long-term conditions, which are becoming far more
important as a part of the medical problem.  How many physicians will 
discuss the alternative treatments in sufficient detail for the patient
to decide?  Not doing this IS a reason for mistrust.

Also now not reimbursed, and of considerable importance, is literature search
and consultation with other physicians.  Now several of the physicians posting
here are at medical schools, where this does take place, but those in private
practice, even at medium-sized clinics, say 50-100 physicians, do not do this.
-- 
Herman Rubin, Dept. of Statistics, Purdue Univ., West Lafayette IN47907-1399
Phone: (317)494-6054
hrubin@snap.stat.purdue.edu (Internet, bitnet)  
{purdue,pur-ee}!snap.stat!hrubin(UUCP)
From: duncan@ravel.ati.com (Jim Duncan)
Newsgroups: sci.med
Subject: Re: Canadian healthcare system
Date: 26 Jan 93 22:54:17 GMT
Reply-To: duncan@ravel.ati.com (Jim Duncan)
Organization: K-FOX 94.5 Classic Rock (KUFX, Gilroy-San Jose, California, USA)

In article <1993Jan25.130426.750@fuug.fi> an4140@anon.penet.fi writes:

>I heard a radio program extolling the virtues of the Canadian national
>health care program. 

This has been discussed on and off in soc.culture.canada.  Plus there
have been a number of American and Canadian television presentations on
comparisons of the US and Canadian health systems.

There are many pros and cons, and if the radio talk show wasn't able to
bring up the numerous negative points, then it was incompetently run.
One notion that keeps coming up is that the Canadian system couldn't
function as is without having the American medical service suppliers
just over the border to provide timely procedures to paying Canadian
patients.  One recent TV report showed where the New Brunswick health
ministry itself contracted with suppliers in Maine for radiation
treatments that simply weren't available in that region.  And so forth.

The American system has big time problems that are regularly discussed
nowadays, but it has to be noted that the Canadian model is definitely
not without its own serious problems and couldn't be adapted neatly. 
-- 
K-FOX|      w  ["]                            | WA6MBV      
94.5 |...   |___|_____..duncan@ravel.ati.com  | Jim Duncan  
KUFX |          H                             | 408.297.5977   
********  \_____I_____/  37 3 10N/121 59 10W  ************** 
Newsgroups: sci.med
From: kudzu@netcom.com (Michael Sierchio)
Subject: Re: Re: Cellular telephones and brain tumors
Organization: True Love, and Home-Grown Tomatoes
Distribution: usa
Date: Thu, 28 Jan 1993 18:10:11 GMT

In article <1993Jan28.042423.14397@pmafire.inel.gov> 
	russ@pmafire.inel.gov (Russ Brown) writes:

>Before everyone gets too excited about an anecdotal (anecdotal evidence
>ranks even lower than case-control analysis!) case of brain cancer,

>Absent such knowledge, attribution of a case of brain cancer to a
>particular "cause" doesn't make much sense.  Unfortunately, we have
>difficulty in accepting the fact that bad things happen for no good (or,
>more precisely, known) reason.  

Well, would you insist on a double-blind study to determine whether
your ass was on fire?

Anecdotal evidence is valid in that it may provide impetus to look at
the underlying mechanisms, if any.  There are known health risks
related to non-ionizing radiation.

If we accept that, at some level, such EMR is harmful, and if we
acknowledge the nature of emissivity -- that power falls off with the
cube of distance -- then a low-power source that is sufficiently close
*may* cause problems.

In any case, it merits further study.  There are no good studies on
this.  The manufacturers of such devices claim that they are entirely
safe, which is entirely irresponsible.  It would be equally
irresponsible to be a Jeremy Rifkin-type alarmist.

You responded to my terse response in which I refuted the analogy of
hand-held cellular telephones to living under TV transmitters.  I
claim that that refutation stands.
-- 
+--------------------------------------------------------------------------+
|  Michael Sierchio                          1563 Solano Avenue, Suite 123 |
|  kudzu@netcom.com                                Berkeley, CA 94707-2116 |
+--------------------------------------------------------------------------+
From: km@ky3b.pgh.pa.us (Ken Mitchum)
Newsgroups: sci.med
Subject: Re: Complete Physical (was Re: Thyroid info needed)
Date: 27 Jan 93 01:09:10 GMT
Organization: KY3B - Vax Pittsburgh, PA

In article <1993Jan18.160230.19693@speedy.aero.org>, nadel@attatash.aero.org (Miriam Nadel) writes:

|> It's my understanding that a routine complete physical is not terribly
|> useful.  Once in a while, somebody has a condition detected through routine
|> tests, but the probability is too low to make the cost worth it for 
|> asymptomatic people.  

Absolutely true. It has always been very difficult to get the point across
that "doing a physical" on someone without a complaint seldom results in
finding anything.

...


|> But most preventive care has little to do with doctors.  There are a handful
|> of routine exams that are useful.  But most of what I would consider
|> preventive care is a matter of education on things like nutrition and
|> what symptoms actually mean anything.  

Again, you are right on target. Most of the gap between what people want from
their doctors and what they perceive to get could be made up for by decent
patient education from somewhere. Part of the problem is that many doctors
assume that the patient understands things that he/she doesn't understand. I don't
know how many times I have spent several minutes explaining something to a
patient, only to find out later that he/she didn't understand what I was talking
about.

|> 
|> As for acute illness or injury, people go to emergency rooms because they
|> don't know where else to go.  Yes, that means they haven't established a
|> relationship with a doctor, but surely it isn't worth draining a couple of
|> grand a year for tests that are rarely useful in the name of establishing
|> such a relationship. 

A major problem with our current system is that we have done everything possible
to sabotage the traditional doctor-patient relationship, and the traditional
generalist physician. We have made spending time with the patient, talking and
examining the patient into activities which are seen as a waste of time, because
they are not reimbursed. 
 
|> Miriam Nadel

I don't remember seeing your posts before, but I think you are on target. What
a refreshing article!

-km
From: reed@cs.washington.edu (Renee Reed)
Newsgroups: sci.med
Subject: Question on Arthritis and Meds
Date: 25 Jan 93 22:40:05 GMT
Article-I.D.: beaver.1993Jan25.224005.11130
Organization: Computer Science & Engineering, U. of Washington, Seattle


I have a few questions which I hope to find a medical explanation answer for
-- as opposed to myth or lore.

I was diagnosed about 1 yr ago, with what appears to be Ankylosing Spondilitis.
Neither my Drs, nor I, are completely convinced of the diagnosis; but there 
is history and evidence of an inflammatory process.
[Pos bone scan & antigens, respond well to NSADs, reduced mobility, hot, 
painful joints, etc.]  It is early in the process -- no ankylosing evident yet.

The inflammation (and associated pain/stiffness) goes away when
I am either in a dry climate, or during the warm season here in
the Pacific Northwest.  So during those times, I do not take the
anti-inflammatory meds. I have begun to get stiff again, and notice 
pain on waking, etc., but it is not as bad as in the past and
I hesitate to take NSADs, for that reason only. (Indomethacin 75 mg SR)

My Questions:

	1.  Is a cold/wet climate a "factor" in the inflammation, ie..
	    could moving to a different climate do more than alleviate
	    some of the pain?  Is this known to have any effect on
	    slowing the inflammation and associated problems?
	    Conversely: Does living in a cold/damp climate accelerate it?

	2.  Should I use the anti-inflammatory drugs when I feel the onset
	    of pain/stiffness, even if the pain is "tollerable" ? 
	    Are they mostly for my comfort, or do they serve another purpose?

	3.  Last year most the pain was in the lower back and hips. Now
	    I am experiencing more of it in the neck/high back region.
	    It is getting painful to straighten my shoulders and harder
	    to maintain erect posture.  It's still possible -- but is
	    painful and I have to work on it in the mornings. 
	    Am I to expect this moving around of joint pain/stiffness?
	    (Maybe someone with AS knows the answer for this?)
	
Thanks  much,
-renee
(reed@cs.washington.edu)
From: jsmith@unixg.ubc.ca (JR Smith)
Newsgroups: sci.med
Subject: Re: vitamin and pregnancy questions
Date: 28 Jan 93 08:52:05 GMT
Organization: The University of British Columbia
NNTP-Posting-Host: unixg.ubc.ca

In <1k7jtfINN9ht@digex.digex.com> kfl@access.digex.com (Keith F. Lynch) writes:

>In article <jsmith.727601209@unixg.ubc.ca> jsmith@unixg.ubc.ca (JR Smith) writes:
>> The vitamin C supplementation leading to newborn scurvy was described in
>> two cases in 1965 in woman who received only 400mg supplement per day.

>Sounds bogus to me.  Anyone who eats reasonable amounts of fruit and
>vegetables should be getting at least 400mg of vitamin C already.

Sounds bogus to me too but I don't make these things up. Many things done
or stated in medicine have less evidence to back them up. But on the bright
side is that some recognize potentially bogus when they see/hear it!
                                              JR

Newsgroups: sci.med
From: Mark W. Dubin
Subject: Re: PHOSPHENES AND ELECTROMAGNATISM
Originator: dubin@spot.Colorado.EDU
Reply-To: dubin@spot.colorado.edu
Organization: Univ. of Colorado-Boulder
Distribution: usa
Date: Mon, 25 Jan 1993 17:54:11 GMT

jmains@engr.latech.edu (John P. Mains) writes:

asking about phosphenes and magnetic fields.

The following may be helpful:

Marino AA  Becker RO
Biological effects of extremely low frequency electric and magnetic
     fields: a review.
Physiol Chem Phys (1977) 9(2):131-47


Lovsund P  Oberg PA  Nilsson SE
Magneto- and electrophosphenes: a comparative study.
Med Biol Eng Comput (1980 Nov) 18(6):758-64


Schenck JF  Dumoulin CL  Redington RW  Kressel HY  Elliott RT
   McDougall IL
Human exposure to 4.0-Tesla magnetic fields in a whole-body scanner.
Med Phys (1992 Jul-Aug) 19(4):1089-98


Lovsund P  Oberg PA  Nilsson SE  Reuter T
Magnetophosphenes: a quantitative analysis of thresholds.
Med Biol Eng Comput (1980 May) 18(3):326-34


Meyer BU  Diehl R  Steinmetz H  Britton TC  Benecke R
Magnetic stimuli applied over motor and visual cortex: influence of
     coil position and field polarity on motor responses, phosphenes, and
     eye movements.
Electroencephalogr Clin Neurophysiol Suppl (1991) 43:121-34


Marg E
Magnetostimulation of vision: direct noninvasive stimulation of the
     retina and the visual brain.
Optom Vis Sci (1991 Jun) 68(6):427-40


--the ol' (vision) professor
Newsgroups: sci.med
From: rob_hawley@taligent.com (Rob Hawley)
Subject: Re: earthquakes during surgery
Followup-To: ca.earthquakes
Organization: Taligent Inc.
Date: Fri, 22 Jan 1993 17:26:52 GMT

In article <C18LCt.2Hq@well.sf.ca.us>, casey@well.sf.ca.us (Kathleen
Creighton) wrote:
> 
> 
> I hate to turn myself in for this, but during one of those silly
> "prediction" times I had to have an MRI.  I'm a big girl, so instead of
> inserting me into one of those little GE MRI tubes, I had to go to the
> UCSF medical building where there's an MRI unit that's built like a
> sideways toaster.
> 
> So I got on the table and the MRI tech was trying to wedge me into the
> unit and all I could think of was that if there were an earthquake, here
> I was in this MRI unit in a *concrete* building on a hill in San Francisco.
> Which is to say I completely freaked out :-).  Fortunately, it's not
> unusual for folks to freak out over having an MRI, so while the tech was
> disgusted, I finagled a referral to another MRI facility in Redwood City,
> on landfill :-), but it was a unit I didn't have to get completely into.
> Much better for the nerves :-).

My wife is an MRI tech in Los Gatos.  Her MRI unit is the place I would
>prefer< to be in a large quake.  Email me if you would like more info.
From: larrabee@cse.ucsc.edu (Tracy Larrabee)
Newsgroups: sci.med
Subject: Seeking recommendation on California foot/ankle surgeon
Date: 26 Jan 1993 07:06:37 GMT
Organization: University of California, Santa Cruz (CE/CIS Boards)
Distribution: usa
NNTP-Posting-Host: arapaho.ucsc.edu


Twenty years ago my mother broker her ankle in more places than can
be counted (it was basically pulverized).  She can't really bend it
much.  In conjuction with some problem called "hammer toes," she has
a lot of trouble walking on the foot attached to the once-broken
ankle.  She can only walk if she wears a heal of the right height
(when bare-foot she limps a great deal).  A doctor of hers told her
she has one chance to have surgery on the ankle and improve it.  
She wants to get the best person she can to fix the ankle.  She is
in the awkward position of not having the nerve to ask her doctor 
friend for recommendations on surgeons who specialize in that area
since he also does work in that area and she doesn't want to insult
him (nor does she want to patronize him).  I would like to try to
get pointers to surgeons who could help her.  Southern California
surgeons would be best, but Norther California would do.  I just
want them to be the best around.  I promised her I would ask the 
net, and she is fascinated.  I hope someone has a good word for her.
Please don't tell me to tell her to level with her friend--she won't
do it, and I can't force her to.  I just want to give her any info
that I can glean.
--
Tracy Larrabee          larrabee@cse.ucsc.edu
Newsgroups: sci.med
From: jeff_marrs@msmgate.mrg.uswest.com (Jeff Marrs)
Subject: Med School Rating Info/Listserv?
XXXDate: Thu, 21 Jan 93 19:08:48 GMT
XUserAgent: Nuntius v1.1.1d8
XXXMessageID: <A784A5408401011B@jeff_marrs.mrg.uswest.com>
Organization: U S WEST
NntpPostingHost: jeff_marrs.mrg.uswest.com
Date: 22 Jan 93 01:20:10 GMT


I am currently in the process of applying to medical school.  I have
completed my applications and have gone on some interviews.  Now I have
more interview invitations than I can afford and will hopefully receive
multiple acceptances.  (I have one now.)

I am finding it somewhat difficult to narrow my list of preferred schools
down further than I have already.  The only information I have to go on
is a short review from U S NEWS & World Reports which is a couple of
years old.  I am wondering if there are more current and comprehensive
ratings for medical schools which include a variety of parameters in the
analysis.  I so, where might I find them?

Also, a fellow interviewer at one school mentioned the existence of a
listserv (sp?) for medical schools.  If anyone knows of its existence,
please tell me how to subscribe.  (I have never subscribed to such a
service and don't really understand how.)

Thanks in advance for any and all information.

Please respond either by EMail or News Posts (your preference).

Jeff Marrs

Pretend you see a standard disclaimer here:
Xref: sparky sci.med:24608 sci.environment:14891 sci.energy:7322
From: jimmosk@eniac.seas.upenn.edu (Jim J Moskowitz)
Newsgroups: sci.med,sci.environment,sci.energy
Subject: Science Fair JUDGES WANTED [repost]
Date: 27 Jan 93 15:35:45 GMT
Followup-To: sci.med
Distribution: pa
Organization: University of Pennsylvania


   The Delaware Valley Science Fairs are seeking research-experienced
scientists, engineers, and technologists willing to volunteer one (1) day to
help one of the most important science education programs in the Delaware
Valley.  The 1993 DVSF will be judged Thursday, April 1st, 1993 at the
Philadelphia Civic Center.  Judging requires a full day.  Criteria for
evaluating science projects will be provided (as will breakfast and lunch).
   Contact with student scientists in a Science Fair is an interesting
experience for scientists or technicians with training and recent experience
in any field of medicine, science, or engineering.  To volunteer as a
Science Fair judge, contact:

Dr. Lee Bennett
The Franklin Institute
Franklin Parkway at 20th St.
Philadelphia PA  19103
(215) 448-1269

or email your name and mailing address to jimmosk@eniac.seas.upenn.edu

--
_______________________________________________________________________________
Jim Moskowitz                   "All you can logically say about 
jimmosk@eniac.seas.upenn.edu     a guy who thinks he's a poached egg
                                 is that he's in the minority." - James Burke
Newsgroups: sci.med
From: ralf@iqsc.COM (Ralf)
Subject: Colon Cancer
Organization: IQ Software Corp.
Date: Mon, 25 Jan 1993 22:53:55 GMT

  What are some of the symptoms of colon cancer, thanks

-- 
Ralf P. Loserth               UUCP: uunet!iqsc.com!ralf
IQ Software Corporation       Internet: ralf@iqsc.COM
400 N Loop 1604 E, Suite 100
San Antonio, TX  78232        (210) 490 6684 X23 Fax: (210) 490-3590
Newsgroups: sci.med
From: brandon@caldonia.nlm.nih.gov (Brandon Brylawski)
Subject: Re: sprain advice
Organization: National Library of Medicine
X-Newsreader: Tin 1.1 PL4
Distribution: na
Date: Tue, 26 Jan 93 21:49:27 GMT

holly@sybase.com (Innocent Bystander) writes:
: 
: 
: Hi.
: My left thumb was sprained six days ago.  The urgent care physician
: had it x-rayed to be sure it wasn't broken (he was uncertain because it
: was badly bruised and swollen) and splinted it.  It's still too painful 
: to use, and somewhat swollen, though most of the bruising has faded.  
: My question is, is this normal, or should I seek help from a specialist?
: Thanks,
: holly
: --

Sprains vary quite a lot in severity, so general guidelines are always 
fuzzy. If the sprain was substantial, it could well take two weeks,
uncommonly more, until it can be used for most things without pain, and
longer until it is back to full strength. 6 days is not at all unusual.
If after two weeks it is still just as painful as it is now, you should
see a doctor again; sometimes one cannot see certain small fractures
on first examination. This is unlikely, though; you probably just need
more time to heal.

Brandon Brylawski