HDTenEightyP/NetNews huggingface dataset:
From: fzjaffe@othello.ucdavis.edu (Rory Jaffe)
Newsgroups: sci.med
Subject: Re: Anesthesia for plantar wart removal
Date: 27 Jul 92 16:08:46 GMT
Organization: University of California, Davis

In article <1992Jul27.063024.9833@seanews.akita.com> billmcc@seanews.akita.com (Bill McCormick) writes:
>I just had several plantar warts removed and it was an excruciating
>experience.
>
>Now I look in the medical library and I find the recent
>articles on plantar warts all seem to recommend nerve
>block anesthesia for such procedures, specifically anesthesia
>of the posterior tibial nerve. [...deleted..]
>
>So now my question to the net-experts before my followup
>visit.  Is there any common reason my physician did not
>use the nerve-block anesthesia?  Is it common to just use
>direct infiltration when surgically removing plantar
>warts?  Is the nerve-block injection just as painful as
>each plantar injection?  Why is injection into the
>plantar skin so much more painful than, say, into the
>hand or even face?
>

Your physician may not know how to do ankle nerve blocks.  I don't know
what percentage of non-anesthesiologists know how.  Also, if multiple
nerves need to be blocked, enough local will be used that you should
have an intravenous infusion, and available equipment in case of an
emergency--this obviously adds complexity and cost to the procedure.

>And a last question -- why is local anesthesia so painful
>in general? I read that it is directly caused by the
>acidic nature of the anesthetic -- but why does the anesthetic
>have to be so acidic?  Is it not possible to buffer it?

Lidocaine with epinephrine is acidic to stabilize the epinephrine.  It
can be buffered by adding 0.1 mEq/ml sodium bicarbonate.  The pH also is
higher (closer to 7.4) if the epinephrine is added to plain lidocaine
solution at the time it is going to be used (plain lidocaine has a
higher pH--no need to stabilize epinephrine).  It appears that buffering
does reduce pain on injection (but not all agree).  Again, I do not know
how many non-anesthesiologists know about this (no physician is
omniscient, and each knows more that is pertinent to his/her specialty
and less that is not).  Also, if this was done at a hospital, opening up
some bicarb to add to the solution will up your bill a bit (it's amazing
how much a hospital will charge for baking soda--I only found this out
when one of my patients complained about a bill, which included about
$200 charges for medications which cost <$10 wholesale!).
Xref: sparky sci.med:14668 alt.drugs:13648
From: af1x+@andrew.cmu.edu (Alan S. Ferrency)
Newsgroups: sci.med,alt.drugs
Subject: Re: What is the Health Risk from Smoking MJ?
Date: 28 Jul 92 17:26:11 GMT
Organization: Sophomore, Math/Computer Science, Carnegie Mellon, Pittsburgh, PA

>In article <1992Jul28.013619.11668@athena.cs.uga.edu> mcovingt@athena.cs.uga.edu (Michael A. Covington) writes:
>>"Marijuana has never caused a death" is a factoid that I hear quoted
>>often.  And I'm not inclined to believe it.  Hasn't even _one_ stoned
>
>I believe Bob Marley died from smoking so much ganga he got lung
>cancer.

I heard it was a brain tumor.

-me
Newsgroups: sci.med
From: carl@aoa.aoa.utc.com (Carl Witthoft)
Subject: Re: Declomycin
Organization: Adaptive Optics Associates
Date: Tue, 28 Jul 1992 12:27:08 GMT

In article <HLBK711965186@um.cc.umich.edu> Fran.Jackovich@UM.cc.umich.edu writes:
>My wife developed dental staining as a result of Declomycin therapy
>during childhood and has been bothered by the cosmetic effect since.
x
I don't have any info on cosmetic fixes.  I do worry a bit about
this "image problem" mentioned here.  Am I the only person who doesnt
care in the least whether my SO's teeth are white or yellow?
I've not heard of any males complaining about yellow teeth.  Is
this another example of women being pushed into someone's definition
of attractiveness?
Any responses based on controlled studies gratefully appreciated.


-- 
Bobby Newmark, aka  Carl Witthoft @ Adaptive Optics Associates
aoa!carl@bbn.com  carl@aoa.utc.com
54 CambridgePark Drive, Cambridge,MA 02140 617-864-0201
**Just say NO to HMOs**
From: Allan.Marain@f323.n107.z1.fidonet.org (Allan Marain)
Newsgroups: sci.med
Subject: Re: Medical records go with you?
Date: 11 Jul 92 00:31:00 GMT
Organization: FidoNet node 1:107/323 - E.B.B.B.S., East Brunswick NJ

This sounds like medical paternalism to me.  The patient who has sufficient maturity to seek his/her medical records will normally have sufficient maturity to either understand his/her records, or take them to someone who can explain them.  Sure there will be exceptions.  You would deny the many access to their records on account of the immaturity of the few?  Stop playing God!


--  
Internet: Allan.Marain@f323.n107.z1.fidonet.org
Xref: sparky sci.med:14408 talk.politics.drugs:5309 pnw.general:1610
From: atfurman@cup.portal.com (A T Furman)
Newsgroups: sci.med,talk.politics.drugs,pnw.general
Subject: Re: government still at large (was Re: FDA still at large)
Date: Fri, 24 Jul 92 11:23:56 PDT
Organization: The Portal System (TM)
  <1992Jul24.121817.14027@linus.mitre.org>

>BTW, does anybody else see parallels between Rearden metal and
>Hemp, as described in _The Emperor Wears no Clothes_?

By golly, you're right!  I like it!


    Alan T. Furman         | VOTE LIBERTARIAN!!  Marrou/Lord in 92!!
---------------------------+----------------------------------------
  atfurman@cup.portal.sig  |   (800)682-1776 for more information
Newsgroups: sci.med
From: annick@cortex.physiol.su.oz.au (Annick Ansselin)
Subject: Re: Sex Organ Transplant - more info please
Organization: Department of Physiology, University of Sydney, NSW, Australia
Date: Tue, 28 Jul 1992 08:36:46 GMT

In <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.

This has got to be a joke! For one thing, unless they were identical twins
(in which case the sex would be the same and the exchange impossible!)
the exhanged parts would be rejected without immunosuppression - for the
rest of their lives.
Newsgroups: sci.med
From: dyer@spdcc.com (Steve Dyer)
Subject: Re: monopril
Keywords: fosinopril sodium
Organization: S.P. Dyer Computer Consulting, Cambridge MA
Date: Tue, 28 Jul 1992 03:58:34 GMT

In article <1992Jul27.155354.17969@cbnewse.cb.att.com> gmark@cbnewse.cb.att.com (gilbert.m.stewart) writes:
>Anybody know anything about a drug called "monopril", or, generically,
>fosinopril sodium?
>What is it's effectiveness/sideffects?

From its name, I suspect it's a "me-too" ACE inhibitor, used in
the treatment of hypertension (high blood pressure) and cardiac
failure.  I don't know off-hand what might make this drug different
from the standards like captopril (Capoten) or enalapril (Vasotec).
Usually these newer drugs have longer durations of action to allow
once-a-day dosage.  And, as separate chemical entities, they're
patentable, allowing yet-another-drug-company to get in on the
goldmine. :-)

These drugs are pretty well tolerated as a class.  One of the most
common side effects of ACE inhibitors is a nagging cough.


-- 
Steve Dyer
dyer@ursa-major.spdcc.com aka {ima,harvard,rayssd,linus,m2c}!spdcc!dyer
Newsgroups: sci.med,misc.kids
From: mrp@world.std.com (Marjorie R Peskin)
Subject: Re: Spider bites and children
Organization: The World Public Access UNIX, Brookline, MA
Date: Thu, 30 Jul 1992 00:13:28 GMT

In article <_!nmtr+.shannah@netcom.com> shannah@netcom.com (Teri Miller) writes:
>In article <Brz7LF.578@world.std.com> mrp@world.std.com (Marjorie R Peskin) writes:
>>I don't think there is anything you can do to prevent spider bites save
>>use repellant, mosquito netting, and learn the quickest route to the
>>emergency room.
>>
>I think these are all good methods.  Another good method, though, is
>to have a pet cat who is a good hunter.

I've got 2 cats who are both good hunters.  Unfortunately, one is known
as the eradicator since he kills every bird, squirrel, and mouse that dares
to step onto our property.  With such a bounty, who needs spiders.  The other
cat is big on crunchy beetle type bugs, but not all that interested in
spiders.  So, its repellant for me!  Worthless pets...but so adorable!

Marjorie	mrp@world.std.com



>
>Two of our cats are good hunters, and in spite of living in a house 
>that is more hospitable to spiders than the Addams Family's, I have only
>gotten bitten once in 2 years.  (I'm not even sure that was a spider
>bite - might've been a mosquito.)  Sushi and Isis love chasing the 
>spiders around and tend to treat them as hors d'ouvres.  
>
>I don't know what it is about our house that the spiders love: I
>try to keep webs and such cleaned up.  Maybe it's the garden.  We
>have a lot of fruit trees in the back.
From: ah532@cleveland.Freenet.Edu (Mike Gleba)
Newsgroups: sci.med
Subject: Vanadyl Sulfate & gaba
Date: 23 Jul 92 16:21:31 GMT
Reply-To: ah532@cleveland.Freenet.Edu (Mike Gleba)
Organization: Case Western Reserve University, Cleveland, OH (USA)

Does anybody here know anything in the way of these two supplements.
They are both Bodybuilding supplements, and are supposed to be quite
effective. If you know anything, please send mail, or reply here. Thanks

-Mike

-- 
Bodybuilders and Volleyball Players Will Rule The World
Newsgroups: sci.med
From: draper@gnd1.wtp.contel.com (PAM DRAPER)
Subject: Re: Ancient Methods of Birth Control
News-Software: VAX/VMS VNEWS 1.3-4   
Reply-To: draper@gnd1.wtp.contel.com
Organization: GTE Government Systems, Federal Systems Division, Chantilly, VA
Date: Thu, 30 Jul 1992 20:47:45 GMT

In article <1992Jul28.222628.177@news.wesleyan.edu>, RGINZBERG@eagle.wesleyan.edu (Ruth Ginzberg) writes...
>In <1992Jul28.122927.2443@gdt.bath.ac.uk> ccsmh@gdt.bath.ac.uk writes:
> 
>> I recently read about an interesting method of birth control used in ancient
>> China.
>> 
>Even in Socrates' time, midwives (like Socrates's mother) knew both birth
>control and abortion techniques.  For ex., the rind of a citrus fruit was used
>by ancient Greek women much like a contemporary diaphragm.  A certain mold that
>grows on rye causes both hallucinations & uterine contractions, & was well
>known as an abortificient for centuries.

In Egypt, they used crocadile dung.  It was in sexual trivia pursuit.  

Don't ask me how they used it.   The smell was probably better than a
splash of cold water.




Newsgroups: sci.med
From: carl@aoa.aoa.utc.com (Carl Witthoft)
Subject: Re: Obesity in the US is stress related.
Organization: Adaptive Optics Associates
Date: Tue, 21 Jul 1992 16:44:26 GMT

In article <leonid.711407541@spssig> leonid@spss.com (Leonid Feygin) writes:
>It is evident to me, that the USA currently has much more "stress per
>capita", than any other country with comparable amount of relatively
x
Whoopee that it's evident to you.  You have given no refs or 
supporting docs.  Even if the US does have more stress, you need to
learn the difference between causal events and simultaneous events.

>BTW, another indication of the USA leadership in stress related problems
>comes from crime statistics, since stress causes not only medical but
>also social disorders.
Another totally unsubstantiated claim, not to mention the fact 
that "social disorder" is hardly a quantitative, or even definable
condition.


-- 
Bobby Newmark, aka  Carl Witthoft @ Adaptive Optics Associates
aoa!carl@bbn.com  carl@aoa.utc.com
54 CambridgePark Drive, Cambridge,MA 02140 617-864-0201
**Just say NO to HMOs**
Newsgroups: sci.med
From: dyer@spdcc.com (Steve Dyer)
Subject: Re: More fluoxetine and bulimia
Organization: S.P. Dyer Computer Consulting, Cambridge MA
Date: Tue, 28 Jul 1992 03:51:23 GMT

In article <1992Jul26.223844.1@amherst.edu> akcobb@amherst.edu writes:
>Is there any medicine that can actually inhibit the vomiting
>action?

There are anti-nauseant medications which can control nausea and the
resulting urge to vomit--these are frequently used in certain disease
states, and during cancer chemotherapy.  Fluoxetine is not usually
considered one of these.  In fact, nausea isn't all that uncommon
a side effect of fluoxetine.

>I ask in relation to treatment of bulimia with Prozac
>(fluoxetine); I have known people to actually not be able to
>vomit, even after a physically painful binge, after being on
>Prozac for 2-4 weeks.  Is this as unfounded as it seems?
>Perhaps it is just psychological somehow.

I don't know of any drugs which prevent so-called "voluntary"
self-induced vomiting.  I doubt fluoxetine or any other pharmacotherapy
of bulemia works in this way.

-- 
Steve Dyer
dyer@ursa-major.spdcc.com aka {ima,harvard,rayssd,linus,m2c}!spdcc!dyer
Newsgroups: sci.med
Subject: Beta-blocker? 
From: donna@filly.calstate.edu (Morag ni Shabhain)
Date: 23 Jul 92 10:38:20 PDT
Distribution: world
Organization: California State University


What's a beta-blocker?  My mother's doctor says she is taking something 
for her blood pressure called "tennorman" (sounds like 10-Norman) which is 
a 'beta-blocker' which blocks beta?  What is a beta?  Thanks.



Newsgroups: sci.med
From: jgnassi@athena.mit.edu (John Angelo Gnassi)
Subject: Re: athlete's foot and ringworm
Organization: Massachusetts General Hospital - Lab of Computer Science
Date: Wed, 29 Jul 1992 20:46:26 GMT

In article <1992Jul29.051212.31974@ux1.cts.eiu.edu> cfaks@ux1.cts.eiu.edu (Alice Sanders) writes:
>   I read recently that the same fungus that causes ringworm is what causes
>   athlete's foot?  Also, thrush is the same thing, only in the mouth.  Any
>   clarification out there?

Sort of.  Ringworm is caused by many species of Microsporum and
Trichophyton, and occasionally other fungi too.  Athlete's foot is
usually caused by Trichophyton species, and occasionally others.  So,
at least they are caused by similar oragnisms, although not usually
the same species.  Many prefer to lump these organisms together as
"tinea".  Treatment is the same regardless of the species (at least
initially).

Thrush is caused by Candida species, which are commonly lumped together
as "yeasts", and are also fungi.  Treaments tend to be a little
different than for the tineas, although many will work for both.

--
     John Angelo Gnassi			Lab of Computer Science
   jgnassi@hstbme.mit.edu		Massachusetts General Hospital
     "Eternal Student"			Boston, Massachusetts, USA
		"24 years of school down, 2 to go!"
From: fzjaffe@hamlet.ucdavis.edu (Rory Jaffe)
Newsgroups: sci.med
Subject: Re: Heart attack vs. indigestion; was: Re: Angiography
Date: 30 Jul 92 05:27:28 GMT
Organization: University of California, Davis

In article <15899@pitt.UUCP> km@cs.pitt.edu (Ken Mitchum) writes:
>When you go to the ER with chest pain, you do not have to wait.

Hopefully.  Of course when my father went to Kaiser, they made him wait.
New onset, prolonged chest pain in a 64-year-old.  So of course they
sent him home.  It was a fairly big ischemic area (sufficient to put him
into cardiogenic shock).  He ended up getting a balloon pump, then
emergent CABG elsewhere.  After a short note from me, Kaiser paid the
medical bills (they were initially reluctant).  Sort of put me off of
HMO's.

P.S.  Kaiser has improved markedly since then.  I think the general
headaches now produced by various third-party payors and other factors
making private practice less appealing have improved the quality of
physicians seeking work in HMO's.
From: David.McKendrick@f152.n253.z2.fidonet.org (David McKendrick)
Newsgroups: sci.med
Subject: NHS Support Federation Campaign News Issue 2/2
Date: 13 Jul 92 13:10:00 GMT
Organization: FidoNet node 2:253/152 - UK Healthlink, Wigan UK

CODE OF LOYALTY FOR HOSPITAL STAFF

Peter Fisher, Chairman of the NHS Consultants Association, suggests the 
priorities should be:

1st - To our patients and potential patients in the community we serve.
2nd - To the original concepts of the NHS with all that this implies.
3rd - To the hospital unit in which we work.


THE WAITING LIST SCAM

If a patient is moved from one ward to another or transferred to the care of 
another consultant in the same hospital, she/he now counts as another patient 
treated. Or to put it another way - one more patient off the waiting list.
 The best way of keeping your waiting list down to a politically acceptable 
level is to close it for a while, tactfully suggesting GPs try elsewhere 'for 
quicker treatment'.
 And all those patients who are still waiting for an outpatient appointment 
heven't been counted at all. Birmingham Health Authority is to be 
congratulated for starting to record these patients. They found they have 
4,959 people waiting to go on the waiting list.
 
 
THE ECR SCAM (and the incredible shrinking service)
 
Some Trusts have started excluding certain services from their contracts to 
save money - or they are making the most expensive services into Extra 
Contractual Referrals. This means that if an NHS patient needs the excluded 
service it will cost their local District Health Authority more - money the 
DHA is unlikely to have.
 
 
ROBBING PETER TO PAY JIMMY'S
 
Leeds Permanent Building Society used to have collecting boxes for the local 
Hospice in many of its branches - that was until the local Trust persuaded 
them to start collecting for St James Hospital instead.
 
 
WHO'S COUNTING?
 
 "We currently have 702 available beds for acute services."
   - Chief Executive of St Mary's Paddington, reacting to press reports       
of bed shortages and difficulties admitting patients (Nov '91)
 
  Extract of letter to Paddington doctor from NHS Management Executive
 (April '92)
 
 "The information you requested on local beds is attached."
 ... and attached is a table setting out the number of local acute beds as 447 
- supplied by St Mary's Unit.
 
  - Cont'd



 

--  
Internet: David.McKendrick@f152.n253.z2.fidonet.org
Newsgroups: sci.med,talk.politics.drugs,pnw.general
From: chuckh@apex.com (Chuck Huffington)
Subject: Re: government still at large (was Re: FDA still at large)
Keywords: FDA, unconstitutional illegal action,single-issue blindness
Organization: Apex Computer Company
Date: Sun, 26 Jul 1992 15:45:10 GMT

In article <1992Jul25.180505.2817@eskimo.celestial.com> kurt@eskimo.celestial.com (Kurt Cockrum) writes:
>In article <1992Jul24.063341.13871@apex.com> chuckh@apex.com (Chuck Huffington) writes:
>>In article <1992Jul23.185038.3415@eskimo.celestial.com> kurt@eskimo.celestial.com (Kurt Cockrum) writes:
>>>Another thing I've never liked is the concept and apparent necessity of having
>>>to sell one's toil/time or the best part of one's life to others in order to
>>>stay alive (or the other leg of the so-called "free choice": starve), an
>>>inherently irreversible transaction.  In other words, "work sucks".
>>
>>You would prefer that someone else toil and spend the best part of
>>their life so that you would not have to?
>
>This is such a pitiful rejoinder that, beyond this, I will not dignify it
>with a reply.
>
None the less, I stand by it.  Would you care to explain what is wrong with it?

>>I have no problem with support of those who can not support themselves.
>>But only on a private basis.  The cost of govt programs is too great.
>
>Do you have a problem with panhandlers on the street?  They are trying
>on a private basis to support themselves.  Yet there are those who would
>make such acts illegal.  It really sticks in some people's craw (usually
>some "hard-working" mean-spirited Pioneer Square boutique owner or feather
>merchant) to see somebody making a go of it panhandling (or trying to, at
>any rate), and they want to fuck it up.

I don't care for it, but I tolerate it, until it becomes aggressive.
They have a right to beg, but no one can be required to support them.
What service/goods are they selling?  Nothing.  They live on the good
will of working people.  The mean-spirited merchants pay a lot
for store fronts.  If customers are kept away by aggressive panhandlers,
I would expect them to be upset.

Have you ever offered food to a panhandler who has just asked for money
"for a hamburger and coffee".  I did a couple of times.  It was a learning
experience.  I would never do it again.  It's dangerous.
Newsgroups: sci.med
From: mdkline@rodan.acs.syr.edu (Mark D. Kline)
Subject: Re: Sleep
Organization: Syracuse University, Syracuse, NY
Date: Fri, 24 Jul 92 22:41:34 EDT

In article <10970007@hplred.HP.COM> dsouza@hplred.HP.COM (Roy D'Souza) writes:
>I am interested in reducing the hours that I sleep.
>Recently I went from eight hours a night to seven.
>I would like to go even lower. Much lower.
>My question is: "how do I tell when I have gone below
>the amount of sleep that my body really needs?"

As soon as you detect a decrease in your ability to concentrate 
or sustain your attention, your fine motor coordination, or your
reaction time, you're getting less than your ideal amount.  
Easily measurable cognitive decrements are detectable in sleep
deprived people even before the subjective drowsiness, irritability,
etc.    Although its certainly possible to accustom oneself to sleeping
less, it is not clear that its possible to feel of function your best
on less than something near your optimal number of hours of sleep per day.

Normal sleep needs (in terms of total hours) vary enormously from 
person to person.  Some famous people (Chou Enlai, Napolean) are
said to have gotten along on less than four hours sleep per 24.

William Dement - famous sleep research guy -- recently suggested that
many people can improve their cognitive abilities and sense of well
being by getting more than 8 hours per day, that is, that 8 hours per day
may not be the average ideal amount.  

Well, I guess we can always dream about having more hours in the day :)

--
=================================================================
mark kline                                mdkline@mailbox.syr.edu
suny health science center, syracuse      voice: (315) 422-1050
================= courtesy of syracuse university ================
Newsgroups: sci.med,talk.politics.drugs,pnw.general
From: davidb@zeus.ce.washington.edu (David W. Barts)
Subject: the lumpenproletariat (was Re: government still at large)
Followup-To: sci.med,talk.politics.drugs,pnw.general
Keywords: FDA, unconstitutional illegal action,single-issue blindness
Organization: University of Washington
Date: Tue, 28 Jul 1992 16:14:44 GMT

In article <1992Jul27.184456.29377@eskimo.celestial.com>, kurt@eskimo.celestial.com (Kurt Cockrum) writes:
> Would you say that the work of somebody who takes a lumber company
> over, and then starts felling old growth timber at a rapid rate in
> order to pay off the debts incurred from the takeover, is being
> "productive", and does *not* constitute a burden to their fellow
> human beings?  Would you rate that human being as somehow more worthy
> than the panhandler, because they are occupied with "work"?

B I N G O ! !

This is something that always strikes me as odd...  There are a lot of
social parasites on Wall Street who contribute nothing useful to
society (you just described an instance in your allusion to Plum Creek
Timber and BN Resources), while at the same time extract a tremendous
*cost* from society.  Many of these people have deliberately planned and
executed their actions in detail.

Then there are those who provide nothing useful, but at least don't
extract a whopping big cost either.  Many of these people have fallen
into this lifestyle through no fault of their own or simply by following
the path of least resistance.

And of the two, who gets attacked as a "parasite" and who is rewarded
and upheld as a success?

The mind boggles.

--
David Barts  N5JRN                      UW Civil Engineering, FX-10
davidb@ce.washington.edu                Seattle, WA  98195
Newsgroups: sci.med,connect.audit