--------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: EGL00000 Date: 12/16/97 From: HARRY SPICER Time: 02:27pm \/To: FRANK STARNS (Read 0 times) Subj: Re: Welcome to grand_rounds.. > 15 Oct 97 23:29, HARRY SPICER wrote to FRANK STARNS: > HS> New developments in the medical professional are very promising. > HS> Recently, there have been articles related to new approaches to > HS> helping young people (and adults) with attention deficit disorders > HS> (rather than "Ritalin"). The FDA has recently approved new treatment > HS> that may help people with Altzheimer's, Multiple-Schlerosis, PMS. > This is the last message my bbs has received. Is it still active? > Frank Starns > E-mail: fstarns@flash.net Frank...Just logged on another BBS, and glad to see renewed activity here. Several medical journals and 'Medline' continue to note new 'labels' for Prozac...an MAOI that may help persons addicted to smoking...and another of the newer Serotin meds labelled for panic-disorders as well as one that is promising for 'aggression'...perhaps some discussion(s) of 'cases' would interest the 'experts' wanting to keep GRAND_ROUNDS? Thanks, Harry --- DB 1.58/003132 * Origin: PLAZA COMMUNICATIONS BBS (1:284/10) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: EGL00001 Date: 12/16/97 From: HARRY SPICER Time: 02:37pm \/To: SAMUEL WONG (Read 0 times) Subj: Re: Medicine. > So, if anyone is out there... > How goes medicine as a profession these days? I'm applying for Medicine > at > Auckland and Otago, and want to know how everything is these days, apart > from what you hear in the media saying how badly under-funded hospitals > are. Higher numbers of physicians and health-related professionals in the U.S. are being 'limited' more on referrals and some types of 'necessary' medical treatment...to the major impact that HMOs are having on practices here. Many professionals are now 'employees' - with less autonomy in decisons related to diagnostic tests, referrals, and surgery - in some cases. There are also new guidelines/rules expected that relate to "Medicare" and "Medicaid" in merica. Under-funded hospitals...I suggest that many "for profit" hospitals are now owned by larger Corporations, where the bottom line is profits, not patient care. Harry --- DB 1.58/003132 * Origin: PLAZA COMMUNICATIONS BBS (1:284/10) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: EGQ00000 Date: 12/20/97 From: SAMUEL WONG Time: 12:04am \/To: HARRY SPICER (Read 0 times) Subj: Re: Medicine. The Force will be with you, Harry Spicer, always... 16-Dec-97 14:37:00, Jedi Master Harry Spicer communicated to Jedi Master Samuel Wong concerning Re: Medicine. HS> Higher numbers of physicians and health-related professionals in the .S. HS> are being 'limited' more on referrals and some types of 'necessary' HS> medical treatment...to the major impact that HMOs are having on ractices HS> here. Many professionals are now 'employees' - with less autonomy in HS> decisons related to diagnostic tests, referrals, and surgery - in some HS> cases. There are also new guidelinesules expected that relate to HS> "Medicare" and "Medicaid" in America. HS> Under-funded hospitals...I suggest that many "for profit" hospitals are HS> now owned by larger Corporations, where the bottom line is profits, not HS> patient care. I wouldn't say the same about hospitals here in New Zealand. The main problem here is straight funding. There are waiting lists a mile long, and few specialist centres which make things worse (but what would you expect from a country with a population of 3.5 million?). To make matters worse in some areas, hospitals or wards have been closing down to meet with a: Number of people per area to hospital beds ratio, so in rural areas, less beds have become available to cut down on health spending. Despite the fact that the medical profession is strongly sought after here in NZ (over a thousand students each year leaving secondary school trying for under 200 places, creating strong entrance competition), there seems to be little funding for those who go through up to 15 years of training. Just out of curiosity, what is your position in the medical profession? -=> Yours sincerely, Jedi Master Samuel Wong <=- .!. Die, my dear Doctor is the LAST thing I will do!! ___ T-TAG 1.13 [*UnReg*] --- Terminate 5.00 UnReg * Origin: Yavin IV, Jedi Academy. (3:774/500.60) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F1A00000 Date: 01/05/98 From: ALAN HESS Time: 03:25pm \/To: ALL (Read 0 times) Subj: future pain med? 01/02/98- Updated 01:30 AM ET Drug may be stronger than morphine A deadly poison from the skin of a South American frog provided the decisive clue for the discovery of a powerful new painkiller that researchers say may have all of the benefits of morphine but none of the damaging side effects. Researchers at Abbott Laboratories in North Chicago, Ill., developed the painkiller, called ABT-594, after National Institutes of Health (NIH) scientists isolated a poison from the skin of an Ecuadorian frog called Epibpedobates tricolor. John Daly of the National Institute of Diabetes and Digestive and Kidney Diseases found in 1976 that an extract from the frog's skin could block pain 200 times more effectively than morphine. He called the compound epibatidine. Although it appeared to be a painkiller in rats, it was too toxic to use in humans. Ten years later, NIH researchers used new analytic tools to determine the chemical structure of epibatidine. A brief report on the compound, along with a diagram of its chemical structure, was published in the journal Science. Researchers at Abbott realized that the chemical structure was close to a group of experimental drugs that the company was testing for treatment of Alzheimer's disease. They screened some 500 compounds and selected the drug ABT-594 for further testing. Its chemical structure closely resembles epibatidine, but it doesn't have the elements that made the frog compound toxic. In Friday's Science, Abbott scientist Michael Williams and his colleagues report that in animal studies, ABT-594 appears to be many times more powerful than morphine, but it lacks the serious side effects. According to Science, there are 30 million to 40 million Americans with moderate to severe pain that is not affected by common analgesics. And there are thousands with chronic pain who depend on morphine, despite its side effects - respiratory problems, constipation, addiction - just to get through the day. Many experts say there is an urgent need for new painkillers. "If it works in people, it's going to be a completely new kind of pain reliever," Howard Fields, professor of neurology at the University of California, San Francisco, said in Science. ABT-594 is now in human safety testing, and the results should be known by the summer, Williams says. By The Associated Press --- Msged/2 4.10 * Origin: Nerve Center - Source of the SPINAL_INJURY echo! (1:261/1000) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F1G00000 Date: 01/11/98 From: ALAN HESS Time: 08:07pm \/To: ALL (Read 0 times) Subj: AAAAGGGGHHHH!!! I CAN'T TAKE IT ANYMORE!! While watching the AFC Championship game today, there were constant blurbs about tonight's "Dateline", which featured Reggie Brown's "inspirational" recovery. For those who don't know, Reggie Brown plays for the Detroit Lions, and suffered a spinal cord injury a couple of weeks ago. He was paralyzed, and stopped breathing on the field. It turned out his cord was bruised around C-1. Since the injury, Brown has recovered most, if not all, of his function and sensation. That's great, no question about it. But "inspirational?" Hardly. Damn lucky, yes. Inspirational, no. Neither recovery from SCI nor living with SCI is inspirational - it's just the break life gives you. A good break, and you recover. A bad break, and you stay paralyzed. No "inspiration" either way. *adh* --- Msged/2 4.10 * Origin: Nerve Center - Source of the SPINAL_INJURY echo! (1:261/1000) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F1I00000 Date: 01/13/98 From: DOUGLAS ANDERSON Time: 04:55pm \/To: ALAN HESS (Read 0 times) Subj: AAAAGGGGHHHH!!! 11 Jan 98 20:07, Alan Hess wrote to all: AH> It turned out his cord was bruised around C-1. Since the injury, AH> Brown has recovered most, if not all, of his function and sensation. AH> That's great, no question about it. But "inspirational?" Hardly. AH> Damn lucky, yes. Inspirational, no. Neither recovery from SCI nor AH> living with SCI is inspirational - it's just the break life gives AH> you. A good break, and you recover. A bad break, and you stay AH> paralyzed. No "inspiration" either way. *adh* C'mon now, Alan. Reggie Brown's story _is_ inspirational. Just because you don't find it so doesn't mean that others won't. Douglas doogie@fiona.umsmed.edu --- Msged/386 4.10 * Origin: Dr. Doogie's Pill Point 2 (1:3632/72.2@fidonet) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F1J00000 Date: 01/14/98 From: ALAN HESS Time: 02:50pm \/To: DOUGLAS ANDERSON (Read 0 times) Subj: AAAAGGGGHHHH!!! Whilst masticating on , Douglas Anderson (1:3632/72.2@fidonet) wrote to Alan Hess: DA> C'mon now, Alan. Reggie Brown's story _is_ inspirational. Just DA> because you don't find it so doesn't mean that others won't. What's inspiring about it? He was seriously injured, almost paralyzed, but was damn lucky and escaped both death and paralysis. What type of inspiration can one take from that? Another person who breaks his neck may not be as lucky, no matter how often he thinks of Reggie Brown and Reggie's recovery. Does that make the other person a worse person who wasn't worthy of recovering? Mark Buoniconti broke his neck playing football, and remains paralyzed, though I'm sure early on following his injury he was told about all sorts of inspirational people like Reggie Brown. I've lived through crap like that since I broke my neck 17 years ago. People will say things like, "This person broke their neck at the same place you did, and he's back to normal now," or "Look at this guy - he's a quadriplegic just like you, and he does this and that and this." We're all individuals, and our injuries and subsequent abilities are all individual - if the spinal cord suffers enough damage, no amount of "inspiration" or stories of people who were lucky enough to avoid paralysis will make the injury victim recover. The stories may well make the paralyzed victim feel worse about himself because he apparently didn't "deserve" to recover the way the individuals in the stories did, or make the victim feel that he's not a "good" quadriplegic because he is unable to do what the quads in the stories do. SCI victims ALL believe we'll recover after we're told we're permanently paralyzed - the overwhelming majority don't recover. We non-recoverers are no worse or better than the lucky folks who do recover. When I was at rehab, there was a guy there who had broken C-1 and C-2. He "died" twice (heart stopped), and was brought back (I only came close to death once - when I finally blacked out under water after the accident and stopped breathing. CPR restarted my breathing after I was finally hauled out of the water. My heart never stopped.) Anyway, this guy wound up making a near full recovery - he was walking around the rehab center in his halo vest (just like Reggie Brown), while I and most of the other quadriplegic patients were wearing our vests in wheelchairs. He walked out of rehab - we rolled. He was damn lucky, and knew it. Inspiring? No - there was nothing we could do to be like him, as much as we wanted to be, and as much pain and effort we went through in rehab. An inspiring person is one who makes a choice to do something brave or difficult when he has the option to do otherwise. Good luck is not inspirational. Living as a quad is not inspirational, since there's no other choice besides suicide - a quadriplegic can't choose to not be a quad and still be alive. *adh* --- Msged/2 4.10 * Origin: Nerve Center - Source of the SPINAL_INJURY echo! (1:261/1000) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F1K00000 Date: 01/15/98 From: STU TURK Time: 04:17pm \/To: ALL (Read 0 times) Subj: Echo Rules GRAND_ROUNDS Conference Rules The purpose of this conference is for the free exchange of medical related information, ideas, and assistance, and it is open to everyone. Medical problems, medical information, treatment or anything oriented toward medicine and health is on topic. While this echo is for the discussion of medical topics and questions it should NOT be substituted for consultations with your own physician. You can't expect someone to diagnose or treat your illness over the modem. Also, even if someone signs their message as "Dr Kildare", you have no way of knowing if they are really an MD. Even if the person answering your question is an MD, there is a (slight) chance his/her answer may not be correct for your case and we strongly believe that you have no right to sue him/her for malpractice because you haven't established a professional relationship with him/her. If you post medical information, please state your sources or qualifications so that the readers of this echo can judge its creditability and check the facts for themselves. Messages should be in English. Please do not use any 'hi-bit' graphic characters and/or "cute" signature lines which take up lots of space. Do not post encrypted messages or PGP signature 'fingerprints'. Please quote only enough of the thread or message so that the reply is put into the proper context. Private messages, persononal messages, and messages dealing with strictly local topics that cannot be of any interest to other members of the conference should not be in this (or any National) Echo. Such messages should be sent NetMail. Users should contact their SysOp for information on his/her NetMail policy. Personal attacks against people whose opinions differ from yours are not permitted. The object is to learn from others, not argue with, or insult them. While they are not encouraged, the use of "handles" is permitted, providing that the message is signed with a real name. Commercial advertisements and BBS ads should not be posted in this (or any national) Echo. Note that this does not forbid messages about specific products or services or BBS ads in response to request for information. Please do not reply to BBS ads, "test" or "off topic" messages. Let the Moderators deal with such messages (usually via NetMail). If you feel a problem merits the attention of the moderators, please notify one of the moderators by direct netmail, not a message in this conference. All messages must have a Origin line with a FidoNet address. GRAND_ROUNDS Co-Moderators: Kurt Ullman, 1:231/875 Indianapolis IN Stu Turk, 1:129/26 Pittsburgh Pa --- timEd 1.10+ * Origin: SoundProof Point, Pittsburgh PA (1:129/26.2) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F3400000 Date: 03/03/98 From: WILLIE PRYOR Time: 07:51pm \/To: ALL (Read 0 times) Subj: Fibromyalia Does any know of any new info on fibromyalia? --- WFIDO 1.10c * The Fort on Vulcan Lewisville, TX (1:124/7020) --------------- FIDO MESSAGE AREA==> TOPIC: 228 GRAND ROUNDS Ref: F3E00000 Date: 03/04/98 From: STU TURK Time: 02:34pm \/To: WILLIE PRYOR (Read 0 times) Subj: Fibromyalia Willie Pryor wrote in a message to ALL: WP> Does any know of any new info on fibromyalia? I don't, but there is a separate Echo for it called FIBROM. Check and see if you can find it on a BBS or ask your sysop to turn it on for you. --- timEd 1.10+ * Origin: SoundProof Point, Pittsburgh PA (1:129/26.2)