Subject: Re: Anatomy question
Date: Wed, 3 Jun 1998 18:35:43 -0400 (EDT)
From: Emma xxxxxx (xxxxxx@qlink.queensu.ca)
To: achung@emory.edu (Andrew Chung)

What causes finger joints to make a popping sound? Is something "displaced"? I seem to recall a science article saying it was nitrogen moving around.

emma
:)

Subject: RE: Anatomy question
Date: Wed, 3 Jun 1998 17:02:28 -0500
From: Scott xxxxxxx (xxxxxx@STB.com)
To: Andrew Chung (achung@emory.edu)

Hello,

Thanks Andrew for the information. I really appreciate it. I have an appointment with my doctor but I figured I might ask on the net while I wait for my appointment. I'm sure its nothing, but I'm sure you can understand that pronounced anatomical differences can be sort on unnerving especially when they seem to only pertain to you. My biggest fear right now (until I find out otherwise) is that my doctor is going to say "is that all?". On the other hand if it is something serious I have always heard that catching it early is a key to fixing the problem. By the way are you a doctor or a med student?

Scott

Subject: Personal Web Site
Date: Mon, 1 Jun 1998 08:49:06 +1200
From: I Bell (doc@docbell.com)
To: achung@emory.edu

Hello Andrew,

Thought you may like to add my homepage to your list of sites,

www.docbell.com

Thanks,

Iain Bell MB ChB
New Zealand

Subject: if this is an active email
Date: Sun, 31 May 1998 10:15:00 -0400
From: xxxxxx, Jim" (xxxxxx@gaatlanta1.btna.com)
To: achung@emory.edu

if this is an active email and you have have the time lets talk about some things: chronic prostatitis and antibiotics/bacteria

james xxxxxx

Subject: WPW
Date: Thu, 28 May 1998 22:53:27 -0500
From: Stuart xxxxxx (xxxxxx@tilc.com)
To: Andrew Chung

Andrew Chung

My 13 month old daughter has WPW, she was diagnosed at 4 months old after a severe incident of SVT, her BPM was 290 and ER doctors could not convert her. This as far as I know was her first incident of SVT. She was hospitalised for 2 weeks, WPW was diagnosed and she was released on medication, Tambocar.

Over the following few months we had breakthrough SVT due to her outgrowing her medication. We have had no breakthroughs and no medicine increases in almost 5 months now and her cardiologist is considering taking her off medication if she continues to do well.

Our cardiologist explained to us that at about a year old children can cease to have problems until they are of adolesence and if this is the case with my daughter he plans to do ablation at 10 years old. I understand why he wants to take her off medication and have spoke to others who have children who have come off medicine and been fine but I am trying to get as much information as possible as to whether this is the right thing to do. It frightens me that she will be off medicine and have attack of SVT as we nearly lost her at 4 months I cant go through all that again and she cant. Does risk of side affects of medicine outweigh risk of SVT.

Also I read in the newsgroup that I got you're e-mail address from a question from a guy that no-one has responded to yet. He asked if there was any significance to him always having sinus congestion at the onset of SVT. When my daughter had her first SVT she was congested, she was actually at the doctors office when SVT occurred, I was there to have the congestion checked out. I told them at the hospital that she was congested and they said it had no significance to her diagnoses, I figured I was very lucky she had been congested otherwise I wouldn't have been at the doctors office that morning. Every time since then that she has had SVT she has had sinus congestion and until I read this guys question I hadn't really realised it . Is this just shear co-incidence or is it of relevance in you're opinion.

Any help you could be would be appreciated.

Thank you so much for you're time

Karen xxxxxx

Subject: Your site
Date: Wed, 27 May 1998 12:41:56 -0600
From: xxxxxx@ix.netcom.com
To: achung@emory.edu

Enjoyed it very much. Will explore more at my leisure. A physician site you might want to add is Ed Friedlander "The Pathology Guy" at www.worldmall.com/erf
He has a truly comprehensive set of lecture notes for his classes at the University of Health Sciences in Kansas City, and tons of other interesting stuff written in a provocative and unique style. He also answers everybody's questions for free--at length!
Thanks for a great & helpful site. --Helen xxxxxx

Subject: SVT
Date: Wed, 27 May 1998 10:51:33 -0700
From: xxxxxx@webtv.net
To: achung@emory.edu

Hi, I am a 25year old m and have SVT,hr-120-160 and have been on Toprol 150mg for 6 months. My hr is now 60-70bpm.How long can safely take toprol?Thank you
Eddie xxxxxx

Subject: Hi there! I have a cardio question.
Date: Tue, 26 May 1998 23:00:20 -0700
From: "Caron, Harold & Norman" (xxxxxxx@sprint.ca)
To: achung@emory.edu

Hello,

I am new to the web. I found your page through the cardio newsgroup. Being newly diagnosed with hypertrophic cardiomyopathy has sent me in search of information while I wait to see a cardiologist. There were not many entries on cardiomyopathy from your page, however, I must say that I am really impressed that you take the time to write such clear responses to the many and varied queries that you do get. You must be a very nice person. I enjoyed your quip about Dr's who write books.

My story is:

Several dead family members and a 35 yr old cousin with a transplant have made my hopes of a mistaken diagnosis very slim. However, I am asymptomatic at present and am hoping to find that there is some kind of treatment which can increase my life expectancy, especially since I have an 8 month old son who could possibly have inherited the disease as well. Almost 20 years ago a 20 yr old cousin died from myocarditis. At the time my siblings and I were told that it was NOT hereditary, despite the fact that our mother had just died from a MI at age 43 yrs. Diagnostic tools back then consisted only of cholesterol tests and ECG's. Trust me, I had a few of them! Luckily our GP's didn't know too much about "autosomal dominant inheritance with variable penetration" (whatever that means!) back then because it enabled my sibs and I to live worry-free for the last 20 years.

My questions are: Where can I go for information on treatment for hypertrophic cardiomyopathy? Can I find out how quickly the disease usually progresses? (My family history has people dying in their 20's, 40's and 50's, the transplant cousin who was 35 (and is still going 3 yrs later) and his Mother who is diagnosed but asymptomatic in her 60's.)

I would sincerely appreciate any pointers for further information that you can offer.

Best wishes,

Caron xxxxxx

Subject: Re: Heart attack?
Date: Tue, 26 May 1998 23:46:27 -0400
From: "Lawrence xxxxxx" (xxxxxx@allie.com)
To: "Andrew Chung"

Thank you for the info and the access to your website. -Larry

Subject: Re: Help Again
Date: Tue, 26 May 1998 17:55:40 -0400
From: Qualman (xxxxxx@netmcr.com)
To: Andrew Chung

Dr. Chung,

Just wanted to thank you for your help. While I trust my cardiologist and have a good relationship with him it has made a difference knowing there is a site I can go to and receive answers. Keep up the good work!!!

D. xxxxxx

Subject: hernia repair home page
Date: Sun, 24 May 1998 23:16:31 +0200
From: Luigi (aluigi@masterweb.it)
To: achung@emory.edu

Please visit and link my home page at http://www.geocities.com/HotSprings/Spa/4382. I am an italian surgeon, living in Bordighera (near Sanremo, famous for the flowers, and Montecarlo - France - famous for the casino and the Grand Prix). Sorry for my poor english and congratulations for your page.

Luigi Amorosa

Subject: Kawasaki disease?!?
Date: Sun, 24 May 1998 15:03:18 EDT
From: xxxxxx@aol.com
To: achung@emory.edu

My nephew has been diagnosed with kawasaki's disease; yet the doctors aren't too sure what it is and how to treat it. Do you have any answers? Maybe you can help us.

Thank you,
Amanda xxxxxx

Subject: Comment
Date: Thu, 21 May 1998 11:05:11 +0100
From: "Graham xxxxxx" (xxxxxx@updata.co.uk)
To: achung@emory.edu

Nice work!
sam.

Subject: Comment
Date: Thu, 21 May 1998 11:05:11 +0100
From: "Graham xxxxxx" (xxxxxx@updata.co.uk)
To: achung@emory.edu

Nice work!
sam.

Subject: question
Date: Tue, 19 May 1998 19:47:47 EDT
From: xxxxxx@aol.com
To: achung@emory.edu

I saw your name in regards to high cholesterol count and am looking for someinformation..I have a friend who has been told that his cholesterol count is 787..is that possible,...he has been taking meds for almost a year..and his count has risen almost 200 points...please give me any help that you can..I appreciate your time

Subject: Strange Exercize Problem
Date: Mon, 18 May 1998 16:02:26 -0400 (EDT)
From: Mehrdad xxxxxx (xxxxxx@usa.dupont.com)
To: achung@emory.edu

Andrew:
Thank you very much for your knowledgeable responses on sci.med.cardiology. I had a particular problem over the weekend that I would rather ask directly, as it may not be applicable to most. I would appreciate your response:

I was bicycling uphill with heart rate monitor. As I was making my climb, my heart rate was at about 145. Suddenly I felt a feeling of quivering and cold sweat. I stopped and put myself in rest condition. but the quivering and "bad feeling" continued for a few more minutes, and my heart rate kept on climbing to about 160, even though I was at rest. Eventually my heart rate returned to about 100 (my normal rest heart rate is about 60). After that I was not feeling very well, and was able to return home very slowly. Every time I tried to have normal speed the same bad feeling and high heart rate continued. Generally I felt weak for about 3 more hours. My heart rate did not return to normal for about 5 hours. I am wondering what happened to me.

A few notes:

I bike a lot in hilly terrain without problems. I am a 45 year old male with a family history of iskemic heart desease. Did not feel any chest pain, but general discomfort. No lightheadedness. Had a strong cup of coffee before the ride.

Subject: New Emory Web link
Date: Mon, 18 May 1998 07:32:53 -0400
From: "Allan Platt, PA-C" (aplatt@emory.edu)
Organization: Sickle Cell Center
To: achung@emory.edu

Please add a link to The Sickle Cell Information Center at http://www.emory.edu/PEDS/SICKLE
Thanks
--
Allan Platt, PA-C
Clinical Instructor
Emory University School of Medicine, PA Program
Program Manager
The Georgia Comprehensive Sickle Cell Center
Grady Health System
1 404-616-5994 E-mail: aplatt@emory.edu

Subject: Thank you!!!and More...
Date: Thu, 14 May 1998 18:01:04 +0900
From: "Zhao xxxxxx" (xxxxxx@rdmpy.iwa.fujixerox.co.jp)
To: "Andrew Chung" (achung@emory.edu)

Hello Mr.Chung

I am in sincere appreciation of your valuable suggestions via email and reply on sci.med.cardiology. It give me much help on understanding about my situation.

Sorry for so many questions below. My main question is about 'EP'.

I have missed one thing about my recent physical examination in Japan, Doctor also check me using 'ultra-voice wave' or 'ultra-sound wave' and found no palpitation.What does it imply?

Now I am reading your article about WPW syndrome on your Web page. Owing to my lacking in medical words, I should go on with it.I also wonder what is 'EP' mentioned in your Re article on sci.med.cardiology, and is it true that there are only few EP specialist in the world? :-(. Do you know if I can find those people in Japan or Chinese? Do you have a figure about EP treatment fees?

Some years ago I learned my mother do have heart problem. And I want to know if I marriage with someone( not known yet), Is there a big possibility that our child (given I may have) will have this syndrome? What about future's efficacy of medicine?

Thank you for your time.

Best regards,
adam xxxxxx

Subject: Thank You
Date: Wed, 13 May 1998 17:19:12 -0400
From: Stanford xxxxxx (xxxxxx@erols.com)
To: Andrew Chung (achung@emory.edu)

Hi Andrew!

I am subscribed to the cardiology newsgroup and always read your posts. I appreciate your participation and have learned a number of things through the newsgroup. I am also subscribed to the Heart-List run by Jim Revkin at Yale (Jim Revkin ), although this list has not had any activity for some time.

I merely wanted to thank you for your participation. I am a 50 year old male who had an MI 5 years ago that was successfully treated with tPA therapy and angioplasty in the circumflex artery. I have made numerous lifestyle changes, and am trying my best to stay alive and avoid thoracic surgery!

Thanks again!

Stan xxxxxx

Subject: Enjoyed your URL
Date: Tue, 12 May 1998 16:46:38 -0500
From: anita (xxxxxx@phoenix.net)
To: achung@emory.edu

Hi..
always read your comment on sci.med.cardiology and find them very informative. now,today I'm cking out your Web Site .. learned a lot more !!!
thanks .. Knowledge IS power when it comes to one's health ..

'nita in Houston

Subject: Exercise Induced Hypertension
Date: Sat, 09 May 1998 22:12:55 -0600
From: Greg (xxxxxx@mci2000.com)
To: achung@emory.edu

Please excuse the direct e-mail - I haven't figured out Newsgroup posting yet -

I am a 50 year old cyclist riding 20 to 25 hours per week at a heart rate of about 130 bpm. It was noted during a recent cycling stress test that my blood pressure went from a baseline of 124/78 to 180/85 in the first 4 minutes, with a heart rate of 135, and to 210/85 8 minutes later at a heart max of 180. The technician called this 'exercise induced hypertension', and suggested I consult with my family physician. My PPO gatekeeper doctor's opinion was that nothing is really amiss. Aside from this, I am in excellent health. Is 210/85 for 10 hours at a time and OK situation, or should I be alarmed ?

Any insight you can offer would be appreciated.

Thanks,
Greg xxxxxx

Subject: Pulsing Abdomen -- Advice?
Date: Fri, 8 May 1998 17:09:35 +0100
From: Ed xxxxxx (xxxxxx@tiac.net)
To: achung@emory.edu

Dear Andrew,

I'm sending this note directly to you rather than the sci.med.cardiology board. If you can respond, please do so directly to me.

I wonder if you can offer me any advice: I am a 39 yo M in good health. For at least 4 or 5 years I have noticed that my abdomen pulses in time with my heart.

I am a little overweight (240 lbs, 6'8" tall) and my abdomen is soft. When I look down at my navel, I can see the whole thing pulsing in time with my heart. The pulsing isn't localized.

I never really thought about it until I happened to read about abdominal aortic aneurism. I then remembered that my grandmother had such an aneurism repaired when she was in her ?? early 60s.

I don't smoke (I did until about 10 years ago), eat moderately, exercise sparingly. I had a physical last year. BP 130/80, total cholesterol of 210, HDL of 70. I didn't think to ask about the pulsing at the time.

Because I am very tall and nearsighted, I was evaluated for Marfan's syndrome about 9 years ago. In the course of that evaluation, I had an echocardiogram of the heart which revealed normal mitral valve action. I don't recall having the abdominal aorta evaluated specifically then. I don't have any other striking Marfan's symptoms, and height runs in my family.

I think I've got med student's disease -- it never would have occurred to me to worry about the pulsing until I read about AAA, but I'm wondering if I should be concerned.

Thanks for any advice you can offer,

Ed X.

Subject: 'white coat hypertension'
Date: Wed, 6 May 1998 18:42:11 EDT
From: xxxxxx (xxxxxx@aol.com)
To: achung@emory.edu

Hey Dr.`Andrew,
I like your web page.

My name is Beth xxxxxx. I am a doctoral student in clinical psychology at Adelphi Unniversity, Garden City, NY. I am currently doing a research project on the effects of subliminal psychodynamic messages(via a tachtistoscope) on hypertensive patients who suffer from white coat effect.

Would you be willing to answer some questions I have?

I have run about 28 subjects and even though I am 'blind' to the positive message I am starting to see results with one field. My question is why some patients respond with a lower systolic after the intervention, some have a lower diastolic response and some patients respond with both systolic and diastolic pressures. Any random thoughts?

Hope to hear from you,
Beth

Subject: An aspiring medical student
Date: Mon, 04 May 1998 19:52:10 -0400
From: Michael xxxxxx(xxxxxx@prism.gatech.edu)
To: achung@emory.edu

Dr. Chung,

Hello. My name is Michael xxxxxx, and I am currently a Georgia Tech President's Scholar, majoring in chemical engineering. I am an aspiring medical student, with no past history of doctors in my family. I have networked with other students on the Tech campus, but I still have general questions about medicine, medical school, and research opportunities.

If you could let me know if it would be appropriate for me to ask you questions regarding these topics, I would appreciate it. I do not want to impose and that is why I am asking you first.

As both of us have had the "Tech experience," I hope that we will be able to relate on some topics relating to the undergraduate experience.

Thank you for your time, Dr. Chung, and I hope to hear from you soon.

Michael xxxxxx
xxxxxx@prism.gatech.edu

Subject: Hello!!
Date: Wed, 29 Apr 1998 21:14:19 -0400
From: Allison xxxxxx (xxxxxx@gsu.edu)
To: achung@emory.edu

Hi there Dr. Chung,

I was just wondering if you are accepting new patients?? I live near Emory and am looking for a new primary care physician. :) I am extremely impressed by your advice and the content of this web page. I wrote to you once before some time ago about asthma and thought I would check in with you now about your availability.

Let me know, if you have a chance.
Thanks,
Allison

Subject: High Cholesterol
Date: Wed, 29 Apr 1998 09:48:12 -0400
From: JM (xxxxxx@blippybellsouth.net)
Organization: very little
To: Andrew Chung (achung@emory.edu)

Hi Dr. Chung:

First of all, I'd like to thank you for being so contributory to the cardiology NG. It's great when professionals in a part. field get involved in Usenet newsgroups.

But I have a question concerning Dr. Ornish's regression claims. In the short time I've been reading the card. group, and your posts, I can see that you clearly disagree with his theories. I've always realized that Ornish could well have the old agenda of selling books, programs, making a name for himself, etc., but I also felt that there would probably have to be at least some truth to what he was saying, else he would be opening himself up to all sorts of discredit. Without getting into a lot of the gory statistical details, do you believe that he is using bad data, or are the studies he uses to support his claims flawed?

I guess the idea of regression is very appealing to people, such as myself, who have some hereditary risk factors. But I'd really like to find the truth on this matter. Thanks again.

Jay

Subject: mitral valve prolapse an a-fib
Date: Tue, 21 Apr 1998 23:23:16 -0400
From: xxxxxx@webtv.net (James xxxxxx)
To: achung@emory.edu

Dear Mr. Chung,
I was recently diagnosed with mvp after attacks of a-fib that happened maybe four to six times a year since 93. I was also found to be suffering from pericarditis which was causing me alot of pain. I am taking lanoxin .125 1x a day, coumadin 2.5 1x a day and klonipin for the panic attacks i suffer. i have been feeling good since i got out of the hospital (mar 20) but for the last two days my heartbeat has been irregular and hitting 115-125 bpm at rest. when i take my lanoxin it lowers my heart to 70-85 bpm but my heart is still beating in a irregular fashion. is this irregular heartbeat dangerous in itself? i dont have health insurance and the clinic where i go is only open once a week. I also suffer from bi-polar disorder so when my heart feels funny my mind really plays tricks on me. also in your educated opinion when my heart is in the 115-125 range at rest is it safe to be active and at what heart rate does one enter the danger zone? i have problems with chest pain but since being put on anti-immflamatory for the effusion ive felt better. I have also been feeling sick to my stomach lately. is that a sign of mvp. im sorry to bombard you with all these questions but from what ive read in the cardiology bb i see you are a caring and knowledgable doctor. any help you could give me would be extremely helpful.
Also one last question. what do i do if im working and i feel these palpiations or bout of a-fib is it safe tobe running around (i work as a waiter)? thanks again and god bless james xxxxxx

Subject: 12 lead ecg
Date: Tue, 21 Apr 1998 11:50:02 EDT
From: xxxxxx (xxxxxx@aol.com)
To: achung@emory.edu

Do you have any info an the effect electrode position or placement has on ecg recordings? The 12 lead serial ecg. When the initial ecg is performed, the electrodes are removed. 8 hours later the next ecg ,,, the electrodes may not be in the same position as in the first set. Especially in V2,V3, V4, and V5. I have found important misleading changes when the electrodes are not placed in the original position.

Sincerely,

Steven xxxxxx

Subject: 2 questions..
Date: Mon, 20 Apr 1998 17:33:41 -0400
From: Chris (xxxxx@worldnet.att.net)
To: achung@emory.edu

Hi,

I have two simple questions: is "physical diagnosis" considered a rotation or clerkship ? Would that be taught exclusively by the department of internal medicine ?

Thanks for your answers. BTW interesting website.

Chris

Subject: hippocratic oath
Date: Mon, 20 Apr 1998 14:39:57 +1000
From: "Kellie xxxxxx" (xxxxxx@gmp.usyd.edu.au)
To: achung@emory.edu
could you please email me a version of the hippocratic oath in caligrahy . P.S, EMAIL address is xxxxxx@gmp.usyd.edu.au From a med student

Subject: Appreciate your knowledge and advice
Date: Sat, 18 Apr 1998 15:21:21 -0700
From: Sandy xxxxxx (xxxxxx@pacbell.net)
To: achung@emory.edu

Dr. Chung,
I hope you will not mind an email sent personally instead on the newsgroup. Your work you do on the internet is very impressive. I have really enjoyed and learned a tremendous amount of information from you.

In Dec. 1995 I fractured my back at the T-12. I have had progressive weakness since then with chest, hip, and leg pain. I had HMO insurance at that time and I have accepted my doctor's advice (a GP)that I may always have pain and weakness and nothing can be done. The weakness and tiredness grew worse. Since I was working nearly two full time jobs, I decided to leave my full time job and go on full time at my second job. I could no longer go on - I could barely make it through a 12 hour shift.

I changed my insurance now I pay the price to be able to go to any doctor of my choice, but since I have been with the same GP for so long and he has all my records, I have stayed with him. I work full time for Scripps based in the CCU as a Respiratory Therapist. I continue to have progressive weakness, cannot walk up a staircase without feeling like I am going to collapse, and have been having chest pain for several months.

I went to my Gen. Pract. He sain I am high risk for Heart problems and he put me on nitro and ordered a Stress Test for three weeks later. I asked for an Echo and he said there would be no need for one. He has done no other tests, not even an ECG, just ordered the nitro for me. I have some concerns and athough I believe we have a great team at Scripps, it is my wish to keep this personal. I do not want to be treated at the hospital that I work and I never want my co-workers doing my care. It is very personal to me. I don't even wish my work to know of any problem, unless it would become necessary.

My question to you - Do you know a Cardiologist in the San Diego area that you know their work and can highly recommend them? One which is not in the Scripps Hospital system please. I have the insurance to choose and do not have to go through a primary physician.

Thank you in advance,
Sandy xxxxxx

Subject: scenario
Date: Thu, 16 Apr 1998 21:01:09 -0500
From: bigeye (xxxxxx@io.com)
To: achung@emory.edu

Could you describe a scenario for me in which a man of 60 years being treated for high blood pressure but otherwise apparent good health, begins to feel shortness of breath and chest pains. He goes to the emergency room and it turns out he needs emergency heart surgery.

Is this scenario plausible? Could you describe what type of surgery this person would most likely need, etc?

thanks,
bigeye

Subject: hippocrates oath
Date: Tue, 14 Apr 1998 16:57:57 -0400
From: James and Lynn (xxxxxx@gte.net)
To: achung@emory.edu

Hello,
I came across your e-mail address while I was searching the web for information on the Hippocratic oath. I hope you don't mind me asking you a question as I am sure you are very busy. My question: Must every doctor / physician take the Hippocratic oath as a part of their medical school? Not just study about it, but actually take the oath. And if so can a medical board find you guilty of breaking the Hippocratic oath? Or is it just a nice statement of the medical profession? Kind of an anchor to ground the profession to something solid? It would be most helpful if you could find the time to answer my question.
Thank you for your time. James

Subject: webpage address change
Date: Mon, 13 Apr 1998 17:06:53 -0400
From: Joel S (jds1@usa.net)
To: achung@emory.edu

I'm listed on the Physician's Online page at an outdated address. It should be changed to:

http://www.geocities.com/HotSprings/1364/

Thanks,

Joel Selanikio
jds1@usa.net

Subject: perplexing wrist pain
Date: Thu, 09 Apr 1998 09:22:42 -0400
From: GA (xxxxxx@sunet.net)
To: achung@emory.edu

Any insight welcomed. Only 45 yrs old and falling apart already. Do not engage in ANY regular activity that can explain the following, except 50 or 100 push ups daily.

Right wrist pain, not carpal tunnel. Sudden onset. Cause totally unknown - no event or trauma whatsoever. I DO sleep on my arms and hands and this wrist is (was) typically placed under my right pelvis bone during sleep. I also do daily push-ups, sometimes with thumb spread from body of hand but there has been NO specific event that can be identified as underlying this sudden onset.

The pain, sometimes accompained by a popping or snapping of the wrist joint occurs at a point on the SIDE of the wrist directly above the thumb, where wrist flexion/bending occurs, at the point where a watch would encompass the wrist.

SLIGHT DISCOMFORT - if I simply spread my thumb and fingers to the extent one would to rub ones eyes and proceed to rub the eyes.

SEVERE DISCOMORT accompained by popping/snapping of the wrist - Forearm and hand facing down, spread the thumb and at the point where the thumb and index finger create an "L" (extreme flexion, 90 degree angle) AND simultaneous inward movement of the wrist.

The pain is associated with side to side/inward flexing of the wrist, NOT an up and down "goodbye waving motion", with the thumb spread - creating the V or L configuration. Grasping ability not effected. When disturbed the pain throbbing can persist for 20 seconds or so.

Thank you for your time. If this not within the realm of your expertise perhaps you can refer me an individual with familiarity in this area. Just purchased a carpal tunnel wrist splint to prevent and lessen general wrist movement.

Greg xxxxxx

Subject: Thank you
Date: Tue, 7 Apr 1998 10:34:05 -0400
From: "Gary Rimar" (gary@glolink.com)
To: achung@emory.edu

I appreciate being able to learn about Physician profiles on the web. You helped me find the links. Thanks!

Gary Rimar
Internet Consultant
GlobalLink New Media
248-433-0900, extension 225

Subject: Employment Opportunity
Date: Wed, 1 Apr 1998 17:32:48 -0800
From: "CAROL" (carol@gyro.net)
To: achung@emory.edu

Dr. Chung,

Hello, my name is Carol. I am an Internet Researcher employed by a recruiting firm located in Austin, Texas. We are currently hiring individuals with your work experience. I found your resume on the Internet, but it did not indicate if you would be interested in relocating. There are no fees involved, all positions are fee paid. If you are interested, please respond to this email.

This will be the only email you will receive from me, if you find it to be an intrusion please accept our apologies.

Enjoy your day!

Carol Schultz

Subject: Medical transcriptionist research
Date: Mon, 23 Mar 1998 04:18:46 EST
From: Wabewawa (xxxxxx@aol.com)
To: achung@emory.edu

Dr. Chung:

I am an MT fairly new to the Internet. I have accessed most, if not all, of the MT newgroups and boards and am getting a lot of info. there.

However, when it comes to esoteric research regarding product names, for example, I am not having a lot of luck. I have been referred to two multi- engine searches, Dogpile and Mamma, that did help with finding the correct spelling for "ChoICE guide wire," but I am having no luck finding info. an a "Bonnie/Bonni/Bonney balloon catheter" which has been dictated with two different spellings to myself and another MT.

Any information you might have regarding sites for product searches especially would be greatly appreciated.

Thank you,
Mariette xxxxxx

Subject: Web Page
Date: Sat, 21 Mar 1998 20:07:16 -0500
From: "Charles xxxxxx" (xxxxxx@worldnet.att.net)
To: achung@emory.edu

I would like to get a web page put togther like yours I have 20 years in Healthcare can you direct me to the sources?

Subject: ?????
Date: Sat, 21 Mar 1998 01:12:12 EST
From: MondoCane3 (xxxxxx@aol.com)
To: achung@emory.edu

These sentiments are nice.....it's just too bad that the members of the medical community seem to have forgotten them, or even worse, never learned them.

Subject: national resident organization
Date: Sat, 14 Mar 1998 07:12:46 -0500
From: "Paul Ambrose, M.D." (ambrose5000@Hitchcock.ORG)
Organization: Department of Community and Family Medicine
To: achung@emory.edu

Andrew-

We have a group of residents who gather throughout the year to reflect upon the residency experience and share common interests and concerns. These individuals typically come from the major specialty/trade associations with resident sections. Currently, however, we are attempting to make our presence known to a wider audience of residents. We have two national conferences scheduled for September 26-27, 1998. Our website is www.residents.org. Please forward this email to any interested residents. Please feel free to contact me at ambrose5000@dartmouth.edu.
Thanks..paul ambrose

Subject: information request
Date: Sat, 7 Mar 1998 15:51:02 EST
From: xxxxx (xxxxxx@aol.com)
To: achung@emory.edu

Please send me information re the Emory Univ School of Medicine Division of Hypertension: I would like more information re their research as it pertains to Blacks and hypertension control; please mail to Vera xxxxx, xxxxx Hopkins st , Inkster, Michigan 48141

Subject: hypertension
Date: Fri, 6 Mar 1998 19:12:28 -0500
From: xxxxx@webtv.net (ELIZABETH xxxxxx)
To: achung@emory.edu

What is the best medicine for lowering high-blood pressure apart from CARDIZEM CD? Please give me a feedback asap. Thank you in advance.

******************************************
NIKE

Subject: Heart Symptoms vs Costochondritis Symptoms
Date: Thu, 5 Mar 1998 16:13:37 -0500
From: xxxxxx@webtv.net (Edward xxxxxx)
To: achung@emory.edu

Dr. Chung,
A while back you posted an answer to a person who was going to participate in a TST. He said he was'nt sure what was causing his chest pain. You suggested sublingual nitroglycerin to make the distinction.

I brought this to the attention of my exercise physiologist who rejected the idea because of the way I wanted to do it. Occassionally, during some of my cardiac rehab exercises, which normally take 5 minutes each, I will experience a concentrated mild pain located right above and in the right nipple area. If it comes on at all, it comes on during the last 30 to 45 seconds of the particular exercise. If it comes on sooner, it quite often goes away with continued exercise.

In any case, as soon as the exercise is finished, the pain disappears. What I wanted to do, is to have the nitro at the ready while on the exercice machine and pop it into my mouth when the pain appears and continue exercising. She said, can't do. She was'nt too clear of the reason why. So, I dropped it.

My cardiologist said he is not so sure that it is angina. In fact, he knew of the pain before I took part in my last stress test and we were both watching for it during the test. The test lasted 9 min 15 sec and the pain showed up at about the 7th or 8th minute and then went away. I appear to be the only one concerned about it.

My cardiologist had me try Imdur for about 30 days a while back during which time, it had no effect on the pain.

Should I continue to drop the issue, or is there another way to use nitro as I wanted to?

I am 65 years old, had 3 bypasses in Feb '94, started to experience this pain in late Summer '96, a little over 2 1/2 years after surgery. In the past 4 years, I have maintained an exercise program and low saturated fat/cholesterol diet and hav'nt smoked since '64. I am a male and have taken part in chelation therapy beginning late last Summer and am now in a maintenance program for it. Some subtle other symptoms that are usually cardiac related have disappeared. I am also on a nutritional supplement program.
All this to avoid any more invasive procedures. One angiogram and CABG is enough. I would sincerely appreciate a suggestion on your part on how to nail down the source of the nipple pain.
Respectfully,
Edward xxxxxx

Subject: physicians
Date: Thu, 05 Mar 1998 11:18:22 -0800
From: Jim xxxxxx (xxxxxx@bhschools.org)
Organization: Bunker Hill School District
To: achung@emory.edu

My name is Mollie xxxxxx and I am doing a report on a job I want to be when I am older. I picked physician. I am 12 years old. I wanted to know if you could send me some info on what physicians do what kind of education you need the salary the diadvantages and advantages. Oh and also the growth of how many jobs will be open by the year 2000. My e-mail is xxxxxx@hotmail.com. I would be very thankful if you could send some information.

thanks,
Mollie xxxxxx

Subject: What is it?
Date: Tue, 24 Feb 1998 13:47:33 -0800
From: Denise xxxxxx (xxxxxx@bc.sympatico.ca)
To: achung@emory.edu

I am hoping that you can help me. I have been trying to find out what "Zestral" is and what it is used for?

Signed,
curious

Subject: drugs
Date: Mon, 23 Feb 1998 20:00:53 -0500
From: xxxxxxx (xxxxxx@astro.ufl.edu)
To: achung@emory.edu

OK what is the concensus on the following two?

avapro (irbesartan) and
monopril (fosinopril sodium)

are these two calcium beta blockers?

This is what Erika was prescribed.

She was told they are the newest.
Newest does not always means safests(sic)

Thanks again
mariou

Subject: Running out of time: Hereditary Angioedema Type II
Date: Mon, 16 Feb 1998 11:38:51 EST
From: xxxxxx@aol.com
To: achung@emory.edu

Dr. Chung: I am not a regular web crawler, but am trying to become one for the sake of my son...and myself. We were diagnosed with Hereditary Angioedema Type II almost ten years ago, and my doctor was satisfied with keeping me barely functional on valiums and narcotics. I am "between" doctors; mine was felled by a massive stroke two months ago. My son, who suffers greatly from HAE, is a brave, wonderful and intelligent young man whose doctors have just...ignored the semi-definitive tests done ten years ago at Syracuse University Hospital. His symptoms are classical HAE, yet his pediatricians have consistently (and, IMHO, criminally) "band-aid" treated his gastro problems, his breathing problems, etc ad nauseum. They refuse to read the clinical info re: HAE. Probably too time consuming. Nevertheless, my son has survived, even thrived; he is currently a freshman (under heavy grant and loan status, we are not wealthy; in fact, I am on SSI because of HAE) at Cornell University, Ithaca, New York, College of Engineering. His health took a nose dive this past year, with breathing problems, and many of the neurological problems seen in HAE patients. A psych evaluation diagnosed him with ADD and depression (the school's idea) and he was subsequently sent to the campus clinic for monitoring....now a doctor THERE thinks the ADD diagnosis is wrong, and HAE may be heavily contributing to his severe health problems. He was placed on a selective serotonin reuptake inhibitor. She wants to give him an epinephrine pen, some antihistamine, etc, and she is willing to do a search of sorts, but she never heard of HAE until my son...She is THE FIRST doctor in a DECADE to give some credence to HAE, but I fear she may be out of her league, so to speak.

My son and I DESPERATELY need help getting this miserable hereditary disorder addressed. I am so tired....I faded out of "the fight" a few years back, but my son, my beloved, deserving son, is sick and getting sicker. I feel like Arnold in "the Terminator II", rallying that last amount of life force, to prevent tragedy; my son's symptoms seemed to abate some when he hit puberty, but it didn't last. THAT is why I turn to ANY source of hope. (I found your really cool web site when I did a search on Yahoo, and your "selected letters" was listed under "Hereditary Angioedema: 10,000+ references yeek!)

Please help...I try to keep my anxieties in check (they're not good for HAE, either) but sometimes,...I wonder, if today is going to be the day something dreadful happens to my son...he is sufferring greatly from the throat edema this past month.

I don't expect you to provide me with answers today. If you could acknowledge receipt of this long-winded obsessive letter, I would be much appreciative...

Thank you for reading, and I hope I have reached you...

Kyle xxxxxx
x xxxxxx Ave
Binghamton, NY xxxxxx
(607) xxx-xxxxx

email: xxxxxx@aol.com

Subject: excellent site and a question
Date: Sat, 14 Feb 1998 18:32:02 +0100
From: "E.J. xxxxxxx" (E.J.xxxxxxx@AMC.UVA.NL)
Organization: AMC - Amsterdam, NL
To: achung@emory.edu

Dear colleague,

First of all, my compliments on your excellent site, saves me a lot of time !! all those links.
As a last year resident in Internal Medicine at the Academic Medical Center in Amsterdan, the Netherlands I more and more am trying to use the Web as a medical resource but in Holland I am one of the few. I really am enjoying the ACP-Library on disk which I received as a present from ACP when they had a booth at the European Federation of Internal Medicine congres in Maastricht last October.

Furthermore I am chairman of the junior board and member of the board of the Netherlands Association of Internal Medicine (NIV) and I am very interested in implementing the electronic medical record in internal medicine practice. I therefore founded the "information technology" committee of the NIV and will attend the pre-course Electronic Medical Record of the ACP annual session in San Diego in April. Do you know relevant sites on this topic ?

Finally, I am looking for a discussion group just for doctor where they post there questions in the hope a colleague knows the answer. I do not find "sci.med" the proper place. And I am not a member of the ACP so I cannot use theirs. Any suggestions ?

P.S. I have a (out-)patient without a diagnosis: a 45 year old male, musician, married two kids: weightloss of some kg's now stable, nightswet without fever, obstipation and an uveitis, now cured with eye-drops; no medical history, all started after summer '97, no tropical visits, family-members healthy * no abnormalities at physical examination (apart from the uveitis OD.)
* laboratory abnormalities: SER 45, ASAT 54, ALAT 118, AF 182, GGT 292, ferritine 2070, (iron 35.2), IgG 27.3, ANA + in urine sediment
hep ABC, CMV EBV: - (anti-EBNA +) anti-DNA Farr: - / anti-RNP, Sm, SS-AA/B: - ACE / lysozym - brucellosis serology -, tuberculine skin test -, toxoplasmosis serology -, TPHA -
* normal chest X-ray, slight hepatomagaly at ultrasound, no glands, normal bowel X-ray with bariumcontrast
* liver biopsie performed yesterday: result follows

any suggestions ?

Looking forward to your reply, with kind regards

E.J. xxxxxx

Subject: Drug resistant tuberculosis
Date: Mon, 9 Feb 1998 19:54:16 EST
From: xxxxxxx@aol.com
To: achung@emory.edu

Dear Dr. Chung:
As you already know I am an eigth grade student at Riverdale Middle School. In the unit of tuberculosis we are now studying " drug resistant tuberculosis". I was wondering if you could give me some info on this topic and answer some questions. In dealing with drug resistant TB patients, what kind of medicine do you prescribe to them? Would it be Rifadin or Rifamate(Rifampin/Isoniazid) as the regular TB patients take or would it be something different? Also, what is the recommended dosage of Rifadin and Rifamate when prescribed to an active/inactive TB patient? Is the dosage based on the severity of the disease? I would greatly appreciate it if you could answer these questions. If you can't, that is fine also. I understand that you probably have a very busy schedule.
Sincerely,
Candace

Subject: Hemachromatosis
Date: Mon, 09 Feb 1998 14:58:05 -0800
From: xxxxxx (xxxxxx@ohmeda.boc.com)
Organization: Ohmeda MSD
To: achung@emory.edu

Hi Dr. Chung,
I'm not sure how to get my question onto your web-page so I'm e-mailing you. Perhaps you can place it there or perhaps you can answer my queston. My boyfriend was recently diagnosed with Hemachromatosis. I recently read somewhere that vitamin C helps absorb inorganic iron (from veggies & fruits). We both take about 3-5grams (yes grams) of vitamin C a day. Can the vitamin C can more absorption of iron, thus aggrivating the HH? If you post this on the internet would you please let me know so I can check for responses? Thanks.

Sherri

Subject: help me find Verdolin
Date: Tue, 03 Feb 1998 22:02:54 -0800
From: Eric xxxxxx (xxxxxx@flash.net)
To: achung@emory.edu

Dr. Chung,
I am a friend of Mike Verdolin from Bethesda (I'm now an anesthesia resident out in San Diego). I've been trying to get in touch with him through email. Do you happen to know his address or his homepage site? I can't seem to get through with my old ones (I haven't talked to him in about a year). I'm sure he has changed servers. I saw your name next to his on the homepages of Miami alumni. Appreciate the help.
-Eric xxxxxx

Subject: Tuberculosis
Date: Mon, 2 Feb 1998 17:50:53 EST
From: xxxxxx@aol.com
To: achung@emory.edu

Dear Dr. Chung:
My name is Candace and I am an 8th grade student at Riverdale Middle school. In my gifted class we are talking about TB and how it affects the body. I was wondering if you could answer a question for me. How do doctor's protect themselves or take precautions while treating a TB patient? Are you just a researcher of infectious diseases or a doctor (or both?)? I would be very thankful if you answered these questions for me. It would really help me out on my study of this disease.

Sincerely,
Candace

Subject: Throat constriction during exertion
Date: Mon, 2 Feb 1998 12:29:12 -0500
From: xxxxxx@webtv.net (James xxxxxx)
To: achung@emory.edu (Andrew Chung)

Dear Andrew Chung,
Thanks for your quick and informative reply.
I took your advice and started using a stairmaster about 5 times weekly for 30 minutes per session and have had more success than I expected!
I only had to use the inhaler twice and one of those was as a preventive measure prior to exercising.
Just a month ago I would not have been able to last more than five minutes on the S.M. without the inhaler. I am assuming this is because of the almost 4 weeks worth of Cardizem that I have taken since 1/8/98.
The Internist this AM prescribed Zocor 5mg daily to lower my cholesterol, he started me at a lower dose than usual because I have had twice weekly bouts with very loose bowel movements. I asked if this could be attributed to the Cardizem, but he thought it more likely as a lack of fiber in my recent diet change to low fat and low cholesterol foods. He suggested Metamucil, once a day.
I have already lost 7 lbs. in the past two weeks while exercising (after your honest but blunt assessment that I was 50 lbs. over ideal weight). I have been limiting my calorie intake to about 1600 per day with about 30 to 35 grams of fat and under 300 mgs of cholesterol.
I go see the Cardiologist this PM and will keep you posted.
By the way, the internist looking at the Stress test report said that I have never demonstrated Hypertension or high blood pressure readings either resting or during testing! So I still wonder why I am taking Cardizem even though I do feel better from it.
Thanks again, Jim xxxxxx

Subject: For Your Health
Date: Wed, 28 Jan 1998 17:53:27 -0800 (PST)
From: Heartoheart@earthlink.net
To: achung@emory.edu

Dear Andrew

While I was constructing my website I came across a variety of medical links that I would like to now share with you. I am providing these links to you for FREE. You are under no obligation at all to use any of these links. You can either visit and use these links or you can just delete this mail.
If this page is of use to you than feel FREE to bookmark this page for your future reference.

http://www.valentinas.com/health/health.html

Subject: Angina (Location)
Date: Wed, 28 Jan 1998 15:48:34 -0800
From: webmaster@ptca.org
Organization: 20th Anniversary of PTCA Project
To: Andrew Chung (achung@emory.edu)

Dear Dr. Chung:

I have been reading your postings on sci.med.cardiology with interest, especially your current interchange with Dr. Wayne. Your comments have been very reasoned, not "ablating" his side, only clarifying it and putting his comments into perspective.

I was writing to suggest that you check out our web site, if you haven't already, at http://www.ptca.org. I looked at yours and would like to include it under our "resources" links, if that's okay with you.

I've been to Emory many times, first back in the 80's when I interviewed Andreas Gruentzig on several occasions. You know, he originally only thought that 5-10% of patients could be helped by PTCA. He was very conservative publicly about making any kinds of claims that could not be thoroughly substantiated. He was interested in science and proof, although he did experiment with many new technologies.

Anyway, let me know if listing your site is okay.

Best Regards,
Burt Cohen
Webmaster
http://www.ptca.org

Subject: A-Fib
Date: Wed, 28 Jan 1998 13:47:20 EST
From: xxxxxxx (xxxxxx@aol.com)
Organization: AOL (http://www.aol.com)
To: achung@emory.edu

Andrew, I read a reply you gave to someone who has A-Fib. I'm hoping you can give me some info.

In June 97 I fell through a window and severed my brachial artery in my left arm. The ER doctor misdiagnosed the wound as a vein insted (sp) of an artery. He let me lay there for 5 hours before a surgeon recognized the mistake. Since then I have had A-Fib, arrhythmia. Is it possible that the blood loss caused this condition. I definately (sp) did NOT have this prior. Please E-Mail ASAP.

Thank you, John xxxxxx
xxxxxx@aol.com

Subject: mitral and tricuspid valves
Date: Fri, 23 Jan 1998 17:51:01 -0500 (EST)
From: xxxxxx@voicenet.com (xxxxxx)
To: Andrew Chung (achung@emory.edu)

Hi Andrew--

I haven't written to you in a while and I hope your holidays were pleasant!

If a female patient complains of chest pain, numbness and drawing in the left arm, and drawing and pressure below the xiphoid process... could this be something other than angina? She also has redundant mitral leaflets, tricuspid regurgitation and multifocal PVC's?

Thanks,

Bonnie

Subject: estrogen replacement
Date: Fri, 23 Jan 1998 14:42:42 -0800
From: "Wanda xxxxxx" (xxxxxx@email.msn.com)
To: achung@emory.edu
Could you give me the name of the new estrogen replacement medicine that will be out on the market soon. My doctor said that is the one I will be taking. It was just approved by the FDA. Do you know what company will be manufacturing it? If you don't have these two pieces of information, can you give me a source? Thank You. Wanda xxxxxx

Subject: Throat constriction during exertion
Date: Thu, 22 Jan 1998 09:15:25 -0500
From: xxxxxx@webtv.net (James xxxxxx)
To: achung@emory.edu

Dear Dr. Chung,
You were very helpful to my wife last May when she was experiencing a conduction delay. Now perhaps you could advise me.
I recently (since mid September) have experienced a constricting feeling in the base of my throat when I exert myself. It is a condition that arose suddenly, I rode a bike in the beginning of August for over 4 hours continuously in the heat of the day without any ramifications, but six weeks later I took my bike out for a leisurely ride in the neighborhood and felt like I had to walk it back home after about 10 minutes.
I also noticed while raking leaves in the Fall that I had to stop after about 5 minutes. I took a puff on my son's inhaler, which was albutol, and had almost instantaneous relief, raking for 3 hours without any further discomfort.
I went to an Internist who did the usual work up, BP 120/80, pulse 72.
He sent me for Blood work which came back with a Cholesterol of 299! He said that he was not so concerned because my "good" cholesterol was also high (I later learned that it was 46 which was not particularly high to me). He administered a PFT test to test lung capacity, function and flow and said that it was excellent. He referred me to a Cardiologist for a stress test which I did on Jan 8, 1998. The doctor kept asking me about hypertension history of which there is none either in me or my family history. He said that the test result was equivical? I was sent to SUNY-Stony Brook Hospital on Tuesday, 1/20/98 for a Cardiac Catherization and possible Angioplasty, he said because of my age (49), my smoker's history (I quit 8/1/97 after 35 years of 1 1/2 packs a day), my symptom with my throat, and my stress test.
I had the Cardiac Catherization on Tuesday and the doctor said that my arteries and veins were as clean as a whistle, no build up of any kind, my heart was functioning perfectly, and my BP afterwards while in recovery was 116/69 to 124/72.
He is perplexed but wants me to remain on the Cardizem (180mg) and a daily baby aspirin, I also use an inhaler, Combivent, which gives immediate relief of the constricted feeling. He referred me back to the internist for follow up and further testing, with a recommendation that I be put on medication for control of my cholesterol which in the hospital was 268 & 56.
Do you have any suspicions of what I should pursue in the future testing. The Cardizem has lessened the constriction slightly but not significantly. Some of the advice and explanations sound contradictory to me and I am confused as to where we are going now.
I am a 49 year old, male, 5'8" tall, 190 lbs., no known allergies, I would have to describe my life style as sedentery.
I would appreciate any suggestions or advice you might have for me. Thanks.
Respectfully,
Jim xxxxxx

Subject: Atrial Fibrillation
Date: 22 Jan 1998 09:40:35 +0000
From: "xxxxxx, John" (John.xxxxxxx@mcl.co.uk)
To: ACHUNG@EMORY.EDU

Dear Andrew,
not sure where you fit in here but I am looking for some information from the USA on AF. Have you any idea where to look. I have tried to look at your web page but due to restrictions placed by my company ( firewall ) I am unable to access your site.

I suffer with lone paroxysmal AF. I have seen on the net that Cardima www. cardima.com , have initiated a trail with a Catheter that burns the diseased tissue away in the atrium. and correct the problem. My understanding of the news and what Cardima are telling me. That there is no pace maker involved and no ongoing medication. In fact a cure. AF ablation

I have trawled the Net but I have not seen any references to this with the exception of the Cardima press releases.

Have you seen of heard anything over there.

hope you don't mind this mail.

regards

John xxxxxx

Subject: Hypertension
Date: Wed, 21 Jan 1998 05:13:46 -0600
From: Judette xxxxxx (xxxxxx@nckcn.com)
To: achung@emory.edu

Hello,

I would like your explanation of why it is important for an individual with hypertension not to use a hot tub or spa following strenuous exercise? Is in not true that those with hypertension are sometimes advised not to use a spa at all??

Thank you for your response.

Subject: mybloodpressuregoesupafterihave sleptabouttwohours.itisnormalwhen
Date: Sat, 17 Jan 1998 18:19:10 -0700
From: xxxxxx@webtv.net (Ginny xxxxxx)
To: achung@emory.edu

igotobed.iwakeupwithschreechinginmyearsandbloodpressureover200ontopandover100onbottom.thishasbeenhappeningeverynightfortwoweeks.ithappenedabouteveryotherweekforabotthreemonthsihavetotakeseveralofmybloodpressurepillstogetitdown.iamveryweakafterandfeltiglinginmyhandsandarmsahdweaknessinmylegs.ialso h havepainimyneckandhead. ihavebeentoseveraldrs,andtheycantfigureitout either.doyouhaveanyideas/

Subject: none
Date: Sat, 17 Jan 1998 17:07:20 -0500
From: "Walter xxxxxx" (internationalfinancing@worldnet.att.net)
To: achung@emory.edu

Your(sic) the biggest wierdo ive(sic) seen in my life. Say hello to the birds your(sic) the only one thats(sic) speaks there(sic) language.

Subject: First, do no harm?
Date: Wed, 14 Jan 1998 16:57:08 -0800
From: xxxxxx@ix.netcom.com
Organization: Weintraub Genshlea & Sproul
To: achung@emory.edu

Where does this phrase:"First, do no harm?" come from? Is it derived from the Hippocratic "I will prescribe regimen for the good of my patients according to my ability and my judgment and never do harm to anyone?" Is it simply a modern restatment of this principle or does it have a source independent of the Hippocratic Oath? xxxxxx@Weintraub.com Thanks

Subject: website
Date: Sun, 04 Jan 1998 18:31:54 -0500
From: Mark xxxxxx (xxxxxx@gte.net)
Organization: Fuzzy, Inc.
To: achung@emory.edu

Nice website. Lot's of interesting stuff here. I have it bookmarked and will refer to it frequently. Thanks for all the hard work.
Happy New Year!

--
Mark xxxxxx, RN,CCRN,CEN,EMT-P
Good Shepherd Med. Center
Cardiac Cath Lab
Longview, Tx.

Subject: Positions Available
Date: Fri, 02 Jan 1998 10:14:43 -0600
From: Jim Pokladnik (CSESNON@IX.NETCOM.COM)
To: achung@emory.edu

Andrew;

I saw your resume on the internet and wondering if you were looking for a position?
My name is Mike Loftis and I am a medical recruiter. I work with facilities and Group Practices all over the country.

If you are interested or know of somebody that is interested - please contact me at:

Mike Loftis
888-663-0700
F-402-292-7830
csesnon@ix.netcom.com

Subject: Macular Degeneration
Date: Thu, 01 Jan 1998 20:05:52 -0500
From: xxxxxx@worldnet.att.net
To: achung@emory.edu

Hello,

I have a friend who has become blind as a result of "macular degeneration." Although there does not appear to be any effective treatment, CNN featured a special type of "glasses" which allow folks with M.D. to see. They were developed by Emory University.

If you are familiar with these "glasses" I would appreciate any comments which you might have.

Chris

Subject: Positive PPD
Date: Mon, 29 Dec 1997 01:03:05 +0100
From: Rosita xxxxxx (xxxxxx@ptialaska.net)
To: achung@emory.edu

I have a 5 year old who had a positive PPD in October and again on Dec.26th. I had her chest x-rayed, it was negative. She is now being given 200 mg of isoniazid per day for 9 months. This medicine is in the form of 2 tablets per day. My questions:
How much time is required to go by from the time of exposure 'til the time that a positive reading is possible?
Is it really as simple as someone coughing on someone to create this condition?
I assume that my whole family should be tested, and I plan to do that this week. Would that be your suggestion also?
My daughter has in the past had a history of asthma like symptoms every time she catches a cold. Does this have any impact on a positive PPD?
If my family is negative, what can I do to protect my 5 year old from a repeat exposure?
Is it possible that she was infected 2-3 weeks before testing? or would it have to be longer.
The red lump on her arm was measured at about 18 cm. I believe.

I'd appreciate any help you can give to help me to clarify this in my mind.
Thank you,
Rosita

Subject: your webpage
Date: Sun, 21 Dec 1997 22:20:09 -0500
From: xxxxxx (xxxxxx@mail.del.net)
To: achung@emory.edu

Hi Andrew.

I too am a Doctor, but of Physics not Medicine.
I saw your webpage when I did a search on Chrysler Laser
through Infoseek.

I see that you maintain the car yourself. Have you ever
changed the clutch?

I'm trying to find out how to do it, but I can't find
anything on the web about it.

Any advice would be really cool.

Regards,
Darryl

Subject: Thank you
Date: Fri, 19 Dec 1997 14:41:37 -0500
From: xxxxxx (xxxxxx@astro.ufl.edu)
To: achung@emory.edu

Dr Chung:

Once again you have been extremely helpful.

Merry Christmas

Mariou

Subject: grady phone card
Date: Thu, 11 Dec 1997 20:31:14 -0500
From: xxxxxx@moe.cc.emory.edu (Eric xxxxxx)
To: achung@emory.edu

hello Dr Chung,
where can i get one of your amazing grady phone cards? someone on my team
found one someplace and now everyone wants one!
thanks,
eric xxxxxx
surgery resident

Subject: THANKS
Date: Tue, 09 Dec 1997 15:28:42 -0500
From: Judy xxxxxx (xxxxxx@ingress.com)
To: Andrew Chung (achung@emory.edu)

Thanks very much for your excellent site, from which we are adding to Homework Heaven. We are featuring the Online Heart as a best site of the week.

We promised a JUMBO! yoyo as a token of thanks. If you would like us to send one to you or a friend, please let me have the address by email.

All the best.

Judy xxxxxx, Senior Editor
Homework Heaven

Subject: Sci.med FAQs
Date: Mon, 08 Dec 1997 17:42:41 -0800
From: "Cory xxxxxx." (xxxxxx@hotmail.com)
Organization: Malaspina University-College
To: achung@emory.edu

Hello.

I would just like to make a small comment about the FAQ pages. Besides the fact that they are very informative and quite useful, I would suggest categorizing the different questions. Sure this is easy for me to say b/c I don't have to do the work, but it sure would make it easier for one to find what one is looking for. The 'find' function on Netscape is useful, but it's too specific and one may miss info of a more general nature if there is no specific answer to one's question. Other than that, keep up the good work!

Subject: http://www.emory.edu/WHSC/MED/HTN/~achung/
Date: Sun, 7 Dec 1997 15:57:34 -0500
From: xxxxxx@acy.digex.net
To: achung@emory.edu

Great Web page. Thanks. As a librarian, I am always looking for reliable sources of information and good reference sites. I will pass this along to our reference librarians.
diane xxxxxx

Subject: Tiny error on (http://userwww.service.emory.edu/~achung/medfaqs.asp)
Date: Sat, 6 Dec 1997 17:05:29 -0800
From: Steve xxxxxx (xxxxxx@brecher.reno.nv.us)
To: achung@emory.edu

> Subject: Primary Physician
>
> What is the difference between internists, family and general practitioners?
>
> The differences arise in the postgraduate training (training after
>graduating from medical school with an M.D. degree). Family
> amd general practitioner's train for 2-3 years
^
^

Apostrophe excision is indicated.

Thanks for an informative site.

--
Steve xxxxxx

Subject: Web pages
Date: Tue, 02 Dec 1997 03:58:52 -0500
From: Ruth and Clinton xxxxxx (xxxxxx@gator.net)
To: achung@emory.edu

Thanks for such a wonderful and useful web page and links!!!!

Subject: CT scans
Date: Sun, 30 Nov 1997 15:19:06 -0600
From: Ellen xxxxxx (xxxxxx@xxxxxx@postoffice.worldnet.att.net)
To: achung@emory.edu

Is a CT scan a reliable way to rule out whether or not there is something somewhere in the airways causing air trapping? Or is bronchoscopy the only way. Also, if relying on CT, should inspiratory/expiratory scans be done?

Thanks for your help,
Ellen xxxxxx

Subject: Atlanta Cardiology Group Web Site
Date: Sun, 30 Nov 1997 08:57:19 +1100
From: David xxxxxx (xxxxxx@c3.telstra-mm.net.au)
To: achung@emory.edu

Hi Andrew

Your link to the above site is giving a FileNotFound
Cheers

David

Subject: Thank you
Date: Thu, 27 Nov 1997 09:42:39 -0500 (EST)
From: xxxxxx@aol.com
To: achung@emory.edu

Another pharmacist that "discovered" you in a newsgroup just sent me your homepage. Thank you for putting all the time and effort into your homepage and answers. While some of it goes over my head, most of it facinates me, and what a great way to learn! I work for a 1-800 line that "dispenses" information over the phone as a pharmacist. While I dont play doctor, and granted its not always an appropriate forum for counseling, I have a strong drive to learn and keep up with what is going on currently. I will be visiting frequently-Thanks again-Laurie xxxxxx Rph

Subject: Need help
Date: Thu, 27 Nov 1997 14:33:15 +0200
From: Rami xxxxxx (xxxxxx@infinity.com.eg)
To: achung@emory.edu

Dear Andrew

I have searched and asked in vain. I would be grateful if you could help.

I want to practice medicine in the UK. Do I take the PLAB or the MRCP? It is that simple.

I understand of course if you have no knowledge in that area.

Sincerely
Ramy

Subject: Hi!
Date: Wed, 26 Nov 1997 07:28:45 -0500 (EST)
From: Sally.xxxxxx@vtmednet.org
To: Andrew Chung (achung@emory.edu)

Andrew,

Just wanted to wish you and your family a Happy Thanksgiving!

BTW, since they started to look for the ictal-bradycardia syndrome at GWU they have found another case. Funny thing how you don't find something if you're not looking for it....

Take care,
Sally

Subject: BLOOD PRESSURE QUESTION
Date: Tue, 25 Nov 1997 21:25:35 +0000
From: James xxxxxx (xxxxxx@globalnet.co.uk)
To: Andrew Chung (achung@emory.edu)

Thanks very much for your quick response to my posting. I would be very grateful for a bit further explanation of the physics behind the pressure drop beyond the constriction. By reducing the diameter of the arterioles, the resistance increases, but I don't see why this should reduce the overall arterial blood pressure, i.e. why does vasoconstriction reduce blood pressure?

Thanks again,

James xxxxxx

Subject: LVEF & RVSP
Date: Mon, 24 Nov 1997 20:57:09 -0500 (EST)
From: xxxxxx@voicenet.com)
To: Andrew Chung (achung@emory.edu)

Hi Andrew!

Can you tell me what the normal range is for LVEF?
Also, what is the normal range for PA or RVSP?

Thanks,

Bonnie

Subject: Residency at Emory
Date: Sun, 23 Nov 1997 12:12:49 +0000 (GMT)
From: "madhav.xxxxxx" (xxxxxx@green.oxford.ac.uk)
To: achung@emory.edu

Dear Dr.Chung,
Greetings from Oxford.
I am a final year doctoral student at the University Department of Clinical Pharmacology.I have just been offered an interview at Emory for the Residency programme in Internal Medicine/Neurology. I have been going through your web pages and have found them full of useful "inside info"!!I wonder if you would have any advice on whom I could contact at Emory and find out more about the programme and the clinical rotations.It would be great to get in touch with someone who has actually started out on a residency recently ( and preferrably is as bad an E-mail junkie as I am!!)
I look forward to hearing from you.
sincerely,
Dr.Madhav xxxxxx

Subject: Congrats...
Date: Mon, 10 Nov 1997 20:11:08 -0600
From: John xxxxxx (xxxxxx@ix.netcom.com)
Organization: Sound Applications, Inc.
To: achung@emory.edu

Well, now I'm happy. Good stuff.

The Prof

Subject: Help needed - Drugs
Date: Sun, 09 Nov 1997 10:24:39 GMT
From: xxxxxx@bigfoot.com
To: achung@emory.edu
References: 1

I wonder if you could be so kind to give me your opinion.

Would a daily intake of 150mg of Clomipramine(Anafranil) SR antidepressant drug affect a breathalyser reading at all? eg by the chemcials it contains, or the effect it may have on the body in eliminating the alcohol. Would it slow the rate of elimination down?

Also the same question concerning 80mg of Half Inderal LA (Propranol) beta blocker drug.

If there is any hint at a suggestion that either of these drugs could cause the reading to be higher than normal when compared to a person not taking the drug, then that may well enable it to be used as a defense.

Please reply ASAP, is the matter is quite pressing. Many, many thanks!

Subject: crypto coccosis
Date: Sat, 8 Nov 1997 19:57:59 +1100
From: "David xxxxx" (xxxxx@oem.com.au)
To: (achung@emory.edu)

Hello Andrew,

You may recall the above Email late last year.

I'd like to thank you very much for your time to reply to me then, it provided some backgound detail which we were able to discuss with my wifes doctor.

She has made a complete recovery, but still has to do monthly blood tests to confirm the eradication of the problem.

She's had a number of CT scans and Bronchoscopies, and all is going well.

Thanks again for your help, we really appreciate it.

Regards,

David xxxxxx

Subject: Very nice
Date: Thu, 06 Nov 1997 21:44:04 -0500
From: Allison xxxxxx (xxxxxx@gsu.edu)
To: achung@emory.edu

Dr. Chung,

I read one of your posts on asthma and I was very seriously impressed. Thank you for sharing your knowledge with the readers of alt.support.asthma. I have asthma and try to be literate about the current medications. Reading the news on the web concerning asthma can be a mixed bag. :) Are you a praciticing physician at Emory?

Thanks again
Allison

Subject: Coumadin activity
Date: Wed, 05 Nov 1997 11:23:39 -0500
From: xxxxxx (xxxxxx@usaor.net)
To: Andrew Chung (achung@emory.edu)
References: 1 , 2

andrew,

Thanks for your response to my question in the cardiology newsgroup.

The input will be useful in formulating my questions as well as answers to my physician.

Thanks again,

John xxxxxx

Subject: Auscultation
Date: Wed, 5 Nov 1997 08:19:43 -0500 (EST)
From: xxxxxx@voicenet.com
To: achung@emory.edu

Hi --

I found your notes through a friend and I was wondering if you could answer a question or two.

Can you differentiate an atrial from a ventricular arrhythmia during auscultation?

Thanks-

Bonnie

Subject: Atrial fibrillation
Date: Sat, 1 Nov 1997 23:52:29 -0500
From: "conrad xxxxxx" (xxxxx@worldnet.att.net)
To: "Andrew Chung" (achung@emory.edu)

Dr. Chung,

Many thanks.

I had read your Sci.Med.FAQs with its summary statement. I'll see if I can get reinforcements with the citation you just sent as stimulus. I'm a statistician (as is my cardiologist), and had dug around for statistically significant, time-series reports with bias assessments in the Internet without luck. Maybe too many places to look? I'm glad to have the reference and thank you for it.

In the Abstract, I wonder about their use of the term "significant." Statistical significance with that sample size is hard to come by (at, say, the 95% confidence level), even with lab mice. Nothing's perfect but every such study is worth a check for non-random selection procedures, representativeness and other methodology and validation issues. It's tough to extrapolate from what I have read in other sources ("Yale Heart Book" esp.), but most agree with your (and the BHJ) conclusions. They're plausible, certainly, knowing the effect of alcohol on other tissues.

In that connection, isn't it reasonable to assume it is a matter of degree (what, how much, how often, whether with a meal - perhaps by body weight, diet, liver health, etc.) and individual differences otherwise.

I've almost put in my 3-score-and-10 (9 only) and am a regular drinker who 2 months ago earned my a-fib diagnosis. The cardioversion didn't convert. I want to put the statistical and representative definitions to rest and then at least consider the quality-of-life question before changing my happy cocktail custom of 50-years standing. Ha! Yes, it's conceivable I have my own bias. ;-)

Your Homepage is good and I value it. (And your response on another issue a while ago was also much appreciated.) I don't mean to gush, but it sure beats flaming (g).

Thanks again.

Conrad

Subject: Thallium Stress Test
Date: Thu, 30 Oct 1997 11:17:55 -0500
From: "John xxxxx" (xxxxxx@inforamp.net)
To: achung@emory.edu

Will a thallium stress test definitely rule out heart problems as a cause of chest pain?

Subject: I need your advice about High Blood Pressure
Date: Wed, 29 Oct 1997 15:47:14 -0600
From: Fred xxxxxx (xxxxxx@uvtv.com)
To: "'achung@emory.edu'" (achung@emory.edu)

I have HBP 140/90 and my teeth are bad (have several holes). Do you think that I need to fix my teeth so that they would trigger the HBP which would cause headache ? I have had headache (spining like motion syndrome) and my doctor told that the HBP and bad teeth are the causes. Is this true ?

Currently I am under Covera 180 mg (two tablets taken once a day at bedtime). What is the side effect of this medication if taken like 3 months already ? I worry that this medication will somehow damage my liver, etc. Any advise as to change medication to lower HBP ?

Thank you for your info at your homepage, it is so helpful.

Once again thank you doctor,

Fred xxxxxx

Subject: memphis doctor
Date: Fri, 24 Oct 1997 14:08:50 -0500
From: Chris & Jill xxxxxx (xxxxxx@aeneas.net)
To: achung@emory.edu
I have a question and i was wondering if maybe u could help me. I have an appt. with a doctor in Memphis and i was wondering if there was any way of checking out his credentials before i went. Someone told me there was a web page where you could check up on any Dr. Are you aware of this web page and if you are could you please send me the URL ? Thank you so much for your time, Jill

Subject: Tuberculosis treatment
Date: Mon, 13 Oct 1997 23:17:28 +0300
From: xxxxxx (xxxxxx@pop.netaddress.usa.net)
To: achung@emory.edu

Dear Andrew,

Recently I've seen a posting of yours on the internet about TB treatment. You suggested 4 drugs for the treatment:

(1) INH + B6
(2) PZA
(3) Ethambutol
(4) Rifampin

Since I've been prescribed those drugs lately, I came up with some questions:

1. when is the best time to take those drugs ?

2. what is the correct dosage for each of those drugs ?
(I weigh about 175 pounds).

I will be obliged for your answer,

Thanks in advance,

xxxxxx

Subject: Osteoporosis
Date: Thu, 2 Oct 1997 13:02:32 -0500 (CDT)
From:xxxxxx@dmc10.com
To: achung@emory.edu

Please excuse the intrusion. Your email address was linked to an Osteoporosis site on the web. Consequently I thought I'd take a chance and write, perhaps you can help me.

I am looking for a Scientist to lead a lab unit in the Osteoporsis Research department to support the identification of therapeutic targets for osteoporosis. Someone to participate in the analysis of potential therapeutics through the use of biochemical and cellular biological assays; to develop new approaches to the determination of drug action on bone cells and tissues both in vitro and ex vivo.

A PhD in Biology, Cell Biology, Biochemistry, or related field with 2 years postdoctoral experience is required. We are a leading pharmaceutical company with research facilities in Conneticut and can provide excellent benefits (health insurance, dental, and vision plan, bonus program, paid vacation and more). A high impact, high profile position with excellent opportunity for advancement.

If you know someone that would be interested I can be contacted at: Scott xxxxxx by phone at xxx-xxx-xxxx Ext.218, fax xxx-xxx-xxx or E-Mail to xxxxxx@dmc10.com

Subject: Question
Date: Tue, 30 Sep 1997 01:27:18 -0500
From: "Peggy xxxxxx" (xxxxxx@bellsouth.net)
Organization: xxxxxx
To: Andrew Chung (achung@emory.edu)
References: 1 , 2

Hi Dr.Chung,
Is carisoprodol (soma) addictive? My daughter's best friend was rear-ended about 7 years ago and had a neck injury that could not be resolved thru surgery and has been on the above medication for that long. She kept asking her doctor if it was addictive and he kept saying no. She thinks it is and wondered if new info has become available that confirms that. I looked all over the internet and found nothing other than the drug is being abused because combined with something else.....I can't remember. I appreciate you taking the time with me. I decided not to post on the newsgroups because my address will be 'way too public'. Thanks again, xxxxxx

Subject: Plasma Renin Study
Date: Thu, 25 Sep 1997 11:38:18 +0000
From: "Larry xxxxxx" (xxxxxx@bucky.win.bright.net)
To: achung@emory.edu

Dr. Chung, I came upon your page on the computer, so I thought I would give this a try. We are sort of in a bind and hope that you can give a little guidance. Should my friend be concerned about her "plasma renin study" for her high blood pressure? She's 75, only 1 kidney, type II diabetes. The doctor in Mesa, AZ wants to pump 20000cc of normal saline into her in a couple of hours to see what it will do. What should it do? Should she do the test? What are the risks? That seems like a lot of fluids. Thank you, very, very much.
xxxxxx

Subject: Internal Medicine - Physician
Date: Tue, 23 Sep 1997 14:21:00 -0400
From: "xxxxxx" (xxxxxx@ix.netcom.com)
To: (achung@emory.edu)

I am seeking a recommendation for a doctor of internal medicine at Emory University. I need a physician that is a participant in the Aetna PPO Perferred Provider Plan.

My physical problem deals with Linchen symplex chronicus which has developed into possibly phlebitis. I have had two previous surgeries on my left leg with bone being removed. Also, same leg the knee cap has been broken since surgery. My last surgery was at the Piedmont Hospital performed by Dr. James xxxxxx - Piedmont Orthopedic.

If you have any recommendations, please forward them to me at: xxxxxx@ix.netcom.com

Thanks,
xxxxxx

Subject: patient care programs using molecular biology and genetics
Date: Mon, 15 Sep 1997 16:39:43 -0700
From: jerry xxxxxx (xxxxxx@concentric.net)
Organization: xxxxxx
To: achung@emory.edu

Hi Andrew. My name is jerry xxxxxx and I'm writing from the Queen's Medical Center in Honolulu. We're looking into what might be practical patient care applications in the area of molecular biology and genetics that have the business purpose of creating a leading service for us. Ran across your page while surfing and thought I drop you this note since your page is so friendly. Any hot links about the purpose I've stated that you could suggest that other hospitals might be into?? Thanks and good luck.

Subject: Usefulness of an MD/PhD
Date: Thu, 11 Sep 1997 14:42:50 -0400 (EDT)
From: David xxxxxx (xxxxxx@moccasun.utc.edu)
To: achung@emory.edu

Dr. Chung:

My name is David xxxxxx, and I am a senior at the University of Tennessee at Chattanooga majoring in Chemistry. I am currently applying for entrance into a number of medical scientist training programs (MSTP - combined MD/PhD degree). I noticed on your homepage that you had graduated from this type of program, and was wondering if I could trouble with some questions.

A little background on me:

* I have a strong research background in chemistry, and will have completed 6 semesters and 2 summers worth of research experience at UTC. Two papers are currently in press at JAC and four presentations at national chemistry meetings have been made.

* In addition to chemistry, I have a practical background with computers and information systems. I've worked as a CIO of an Internet Service Provider and also as an independent consultant for a number of Fortune 500 companies.
* I also have a large amount of clinical experience, almost 500 hours over the past 4 years.

I am hoping to tie all of the above together by a career in research, possibly working with MRI or other radiology areas.

With this in mind, a number of well respected chemists (including a nobel prize winner) have advised me to persue a Ph.D. and a M.D. degree seperately. They pointed to a statistic which indicated while the average PhD/MD took 8 years, the average PhD by itself took 6 years. "Obviously they are short changing somebody somewhere," I was told.

Do you feel that you were 'short changed' in your education in a combined MSTP program? Is a combined program better to join than doing them seperately?

I have also put my application in at Emory. Do you have any thoughts on their MSTP program in particular that you could share (admissions/curriculum/staffing)?

Any comments you can give would be greatly appreciated!

Thanks,

David xxxxxx

Subject: I said "hi!" to your Home Page!
Date: Sun, 07 Sep 1997 16:40:39 -0700
From: hhomler@ix.netcom.com
To: achung@emory.edu

Andrew, I enjoyed browsing through your home page. Yes, you're quite right, IgA nephropathy does have a worse prognosis than I had thought!
Thought you'd like to see my AMA page, although it's nothing compared to your site... http://www.ama-assn.org/iwcf/iwcfmgr206/SESSION_ID=7876/SESSION_AR=69/frm_name=aps_result?action_detail.x=hello&row=0&key=0&form_type=r

H2

Subject: a tuberculosis query
Date: Wed, 03 Sep 1997 16:28:37 -0400
From: xxxxxx (xxxxxx@doull.com)
Organization: Hollinger Digital
To: achung@emory.edu

Andrew - Sorry to bother you, but I came across your page via your tuberculosis post to sci.med.

My wife and I just moved to NYC from the UK and in the process of applying for green cards were given Tuberculin skin tests. While I reacted negatively, she reacted positively and the surmise of our doctor in the UK is that this was caused by the BCG inoculation she was given as a child. The US doctor has suggested that she follow a course of treatment, but we are concerned about the toxicity of this, particularly if it is not strictly necessary. IF we are confident hat the reaction was as a result of the BCG is there a downside to leaving well enough alone? My suspicion is that the US doctor is merely recommending treatment out of a heightened American sense of liability. Finally, is there a possibility that the subcutaneous reaction will be permanent, and should we be annoyed that having indicated that she had had a BCG, my wife was tested anyway? BTW she is 28 and incredibly healthy (she excercises 1.5 hours/day and has the cardiovascular system of a professional athlete).

Again, sorry to bother you - and please feel no need to reply if you are too busy (I can imagine how annoying random e-mail solicitaions for medical advice must be - sort of the '90s equivalent of meeting a doctor at a cocktail party and asking about a pain you've been having).

Matthew xxxxxx

Subject: Re: Shingles
Date: Wed, 3 Sep 1997 10:31:39 -0400
From: xxxxxx (xxxxxx@astro.ufl.edu)
Organization: Astronomy Dept. University of Florida
To: achung@emory.edu

Please forgive me for intruding.

Could you kindly tell me what the present consensus is about which drug one should take to lower ones chol.levels?
I have heard or rather read the side effects from those medications and I am absolutely terrified. My physicians do not share my fears I reckon But again it is not them that will have to consider taking the medications but me.

At any rate any suggetions or any directions towards any particular board/site to gather the information would be greatly appreciated

Subject: Home Page
Date: Mon, 01 Sep 1997 23:56:19 -0500
From: Joe xxxxxx (xxxxxx@linknet.net)
Organization: Linknet
To: achung@emory.edu

Great !!!!!!!!!!!!!! Thanks, Joe xxxxxx

Subject: medication for arrhythmia
Date: Sun, 31 Aug 1997 07:44:22 -0700
From: DQ (xxxxxx@win.bright.net)
To: Andrew Chung (achung@emory.edu)

Andrew,

I have been suffering from PAC's for about 2 years now. They don't seem to be getting better. I feel them a great deal, and it has caused me to stray away from physical activity. I was once extremely active, being a distance runner, and an avid outdoorsman. I am taking atenolol, but that really doesn't do much when I'm active. I get an irregular beat 2 to three times a minute doing any kind of moderate activity. Very very uncomfortable! I have asked my doctor to put me on a more formal anti-arrhythmic. But instead he sent me to a take biofeedback to see if I could learn to relax more because he thinks they are due to stress. Originally I think that was the cause. But right now the stress is the PAC's. I've come to the point where I really need some advice about what to do. I'm gaining weight and in kind of a depressive mental state. I'm only 42, but I feel like an old man, yet generally speaking I'm in good physical condition.

Why won't the doctor give me an anti-arrhythmic like quinidine or digoxin? I know there are risks, but isn't my mental state just as important for my health? I just don't get it.

Any suggestions?

Subject: American Cherokee Confederacy
Date: Thu, 28 Aug 1997 10:33:49 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Dr. Chung,
I am a Native American and am representing Chief William "Rattlesnake" Jackson of the American Cherokee Confederacy of Albany, Georgia. The ACC is in the process of becoming a federally regcognized tribe and are interested in DNA testing for some members who want to determine the amount of Native American blood they have. Is this possible and how do we go about having this done? Our next tribal meeting is on September 27, 1997 in Albany, GA and we would like to have this service available then to members who are interested in doing this. Can you provide this service? We appreciate any information that you can provide us with.
Thank you.

Laurie xxxxxx
xxxxxxx@aol.com

Subject: Merck lecture at WCU
Date: Sat, 23 Aug 1997 14:45:21 -0400
From: Tim Starn (tstarn@dec.cs.wcupa.edu)
Organization: Chemistry Dept., West Chester University
To: achung@emory.edu

Dear Dr. Chung,

I am organizing the Merck Scholars lecture series at West Chester University, and I wanted to contact you to see if you would be interested in presenting a seminar on your work with Dr. Wallace in mitochrondrial DNA. If so, would you be able to visit us sometime this academic year? We will, of course, pay for your travel expenses.

West Chester University is located about 25 miles West of Philadelphia and focuses primarily on undergraduate instruction. However, scholarship is very important to us as well.

If you are interested and available, please send me your mailing address so that I may send you a formal invitation. Some URL's you might be interested in checking out are www.wcupa.edu and www.cs.wcupa.edu/~tstarn/merck/merck.html for more information about WCU and the Merck program.

Thank you for your time and consideration.

Best Regards,

Tim Starn, Ph.D.
WCU Chemistry Dept.
610-436-2684
tstarn@wcupa.edu

Subject: Neuro-Borreliosis questions
Date: Sat, 23 Aug 1997 14:37:50 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

I'm in treatment for persistent Lyme, taking 2 g IV Rocephin and 200 mg Doxycycline daily. I'm responding well, and plan to finish treatment with multiple oral anti-biotics.

I had the ECM bite. I am reactive on ELISA , LUAT, PCR DNA ,and Western Blot. My SPECT scan shows hypoperfusion of my left temporal lobe . Cognitive/ NeuroPsych testing and all clinical symptoms are all consistent with Lyme.

I read your post on TB treatment, so I thought I'd ask you for any comments or feedback on Lyme treatment, especially compound therapies or adjunctive therapies.

Thanks, Paul xxxxxx

Subject: PHYSICIAN OPENING
Date: Thu, 21 Aug 1997 19:03:52 -0700
From: Daniel Gomez (med-serv@dzn.com)
Organization: medical staffing
To: achung@emory.edu

Dr. Chung,
My name is Daniel Gomez, I'm the Executive Director of Med-Serv. The reason I'm contacting you is to find out if you are interested in any positions we have availible and if you are willing to relocate for the right opportunity. We currently have Physician positions availible. If you would lide more information please feel free to respond and Iwould be happy to answer any questions you may have.

Sincerely,

Daniel A. Gomez
Med-Serv

Subject: what's new in hypertension therapy
Date: Thu, 21 Aug 1997 19:53:02 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Dear Dr. Chung,
I am a 39 year old woman with hypertension. I've been on medication for about four years. I don't smoke and I'm not overweight at all. Hypertension runs in my family and I always figured I would eventually get it, but not at such a young age.
At first I was on Vasotec. It worked well for about three years and then my blood pressure went up. In December I started on Cardizem, first 180 mg, then 240, and finally 300. My problem seems to be my diastolic number which is hard for me to keep under 90. I'm now trying the Cardizem 240 along with a diuretic. My numbers aren't much better. I was wondering if you had any new suggestions for me. I take my condition very seriously. I worry about my heart, kidneys, eyes, etc. I would appreciate any of your feedback. I was also wondering if you knew anything about biofeedback and its relationship (if any) to lowering blood pressure

Sincerely,
Cindy xxxxxx

Subject: Questions!
Date: Mon, 18 Aug 1997 20:55:13 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Hello - Your interest in Hypertension caught my eye and I wondered if you could answer some questions or refer me to someone how can.

I have a 17 year old daughter who was diagnosed with Takaysus Arteritis about a year ago. Since that time, she has had two stent placements and 4 Angio's and has another one schedule for tomorrow. Her doctor has been in touch with Dr.'s at Emory and he told us that the next stent placement she needs, he is sending us to Emory, because of the research and advancement on stents and radiation.

Are you familiar with Takaysus Arteritis at all? I feel confident in the Drs. here and what they have done for her, but want to make sure we know all we can.

I appreciate your time. Thank you!

Subject: about doctors, medical info etc...
Date: Sun, 3 Aug 1997 13:50:37 -0230 (NDT)
From: Adam xxxxxx (xxxxxx@InfoNET.st-johns.nf.ca)
To: Andrew Chung (achung@emory.edu)

I wonder if you may know if there is any mailing list or web page for asking about medical issues? Any way to find medical info besides just checking out a med news group from time to time? I figure maybe one may just have some dumb-ass questions one wouldn't want to bother people in a med news group about, or maybe embarassing, or just trivial sounding, so forth... What do you think? Thanks for any advice.

Subject: varied
Date: Tue, 15 Jul 1997 09:18:56 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

This past weekend I became cacertified personal fitness trainer. I became concerned about my health because of the constant emphasis on hypertension and cardiovascular preoblems. i also have a side issue.

I am taking 2 50 mg metroprolol-equivelent to lopressor. twice a day. I am having readings of 150,160 over 98,104. i am not overtly anxious or stressed.
Oct. a catherization was performed and i have a few arteries with 40 % blockage.

REQUEST:
WHAT IMPACT CAN AEROBICS HAVE ON THE BLOOD PRESSURE AND CARDIO - CAN THIS TAKE ME INTO A CRITICAL RANGE ??
IS THERE A MONITOR THAT CAN BE WORN FOR BP - I WEAR A POLAR HEART MONITOR.

DOES YOUR INSTITUTION HAVE ANY INFORMATION ON THE QUANTITY OF NEUCLEOTIDES IN INFANT FORMULAS

GEORGE

Subject: TTP
Date: Mon, 14 Jul 1997 09:27:32 +0000
From: xxxxxx (xxxxxx@pnp.co.za)
To: achung@emory.edu

Hi Andrew,

browsing through the net in desperate need for information, I saw your name in a newsgroup discussion. My girlfriend almost past away in january, when she was diagnosed with TTP. She is also a Cystic Fibrosis sufferer and a day after the plasma transfer, had a seizure, followed by 6 weeks of half coma during which she had a severe pneumonia and a renal failure. She is well now (considering she was 5 weeks on a respirator!), her hair is growing back (she had some Chemio), but she is now starting to realise the consequences. She is getting very panicky and the doctors here is South Africa don't give ou much info. We have got millions of unanswered questions, and it makes our life very tense.
Do you know somehow a way of reading about TTP? I thought at one stage I found a Homepage about TTP, but I can't find it anymore

Can you help us somehow?

Thanks a lot

Jean-Francois

Subject: Hypertension Problem
Date: Thu, 10 Jul 1997 00:15:56 -0400
From: Mike xxxxxx (xxxxxx@aol.com)
Organization: Talon Holding Corporation
To: achung@emory.edu

Hi Dr. Chung...

My name is Mike xxxxxx, and I live in Hollywood, Florida. The reason that I write to you is because I am concerned about my mother, who has been diagnosed many years ago with hypertension. At that time, she was put on certain medication to control the severity of the hypertension. Amongst the host of medicines prescribed, she was taking a drug called Caposide, which controls the water retension and the blood pressure.

During the last 6 months, she has suffered with these unusual and severe facial swellings and potentially dangerous swelling of the tongue and oral membranes. At first, her doctor attributed this to eating strawberries, even though the hospital staff told her that they suspected the Caposide. When the swellings failed to cease and became even more dangerous, and blocked her breathing passages, she decided to stop taking the drug Caposide.

Consequently, she no longer suffers from swelling membranes and breathing passages, but now her blood pressure is clearly out of control, measuring over 240/100 throughout each day. Even though her doctor has doubled all of her prescibed blood pressure medicines, without taking a single test or examination, this has caused an unusual fluctuation in the pressure, which drops down very low for the first 30 minutes after taking the medicine and then promptly returns to the high levels shortly thereafter. To make matters worse, my mother now suffers from headaches and nausea.

Quite frankly, I am very concerned about her and I really believe the doctors offices around this area are far too busy to pay any attention to my mother.

What would you suggest for a situation like this? She monitors her blood pressure daily, but lately she can't do this anymore, because the machine she uses stops at 240, and her pressure now exceeds this level.

Please give me your advice.

Thank you...

Mike xxxxxx

Subject: uncontroled hypertension
Date: Thu, 26 Jun 1997 21:02:05 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Dr. Chung,

I've been under treatment for hypertension for the past 10 years with little or no relief.
i' ve been treated with just about every medicine currently on the market. Ace inhibitors, Ca channel blockers, diuretics, you name it, i've been there, and still no relief.
I'm currently taking Diovan, 80 mg PO BID, Ziac, 10 mg PO QAM, and Cardura, 4mg PO QHS, with a BP of 180/110.
I've had renal ultrasound,KUB, and other renal studies which showed nothing. My Cardiologist is currently exploringan MRA of my renal arteries.

If you can offer any suggestions as to areas I have not yet explored, I would certainly appreciate it.
Thanx. Ron xxxxxx...............xxxxxx@AOL

Subject: how would I find out the Drs.
Date: Tue, 17 Jun 1997 16:45:05 -0400
From: "xxxxxx"
Reply-To: @hom.net
To: achung@emory.edu

in Neurology that treat Parkinsons Disease?

Subject: May I intrude?
Date: Tue, 17 Jun 1997 16:58:55 GMT
From: xxxxxx@mail.island.net (xxxxxx)
To: achung@emory.edu

Good Morning Andrew Chung,

Forgive me for barging into your email, but this morning, in searching Deja News for articles on irregular heartbeat, I noticed your post to a fellow and you mentioned "consider subacute thyroiditis in a post-viral setting".

Since I myself have been having these irregular heartbeats for a while now, with a peculiar thumpety-thump sensation, I am starting to question what is happening. Previous to this, there were times when I laid down to sleep and my heart raced like crazy and I felt and heard my pulse so strongly. Now... I'd like to question just what is causing this, in my forties, when I am perfectly healthy and without any other complaint of any sort.

I had been attributing this to a heart thing, yet I noticed you mentioned thyroid could be at the root of this. How can I find more information out about this sort of thing, please?

An interesting sidelight to all this, is that for the past two months I have been on a low carbohydrate foodstyle and lost 20 lbs. (Have 10 more lbs to lose). The interesting part is that prior to beginning this foodstyle, I was forever "internally" cold and could never warm up. But this foodstyle has seemingly changed all that. At any rate, this is the only change I have made in my lifestyle. And the extreme heart racing/blood pounding was before.... while I now have instead, this irregular beating.

There is no stress of any kind in my life.
I'm a pretty laid-back lady :-))
Somewhere.... there has to be an answer.

Would you be willing to tell me more about "subacute thyroiditis" ?

With many thanks,
xxxxxx

Subject: Holter test report
Date: Tue, 17 Jun 1997 11:56:44 +0800 (HKT)
From: xxxxxx (xxxxxx@hkabc.net)
To: achung@emory.edu

My Holter test says I have more then 8,000 aberrants and premature aberrants. My doctor cannot explain to me what is the difference between these two. He just said my arrhthmia is benign and don't worry. Will you recommend some books for me to read so that I can understand the subject better? You have helped a lot of people in cardiology newsgroup. Your email reply will be greatly appreciated. xxxxxx from Hong Kong. xxxxxx@hkabc.net

Subject: Job Opportunity
Date: Wed, 11 Jun 1997 19:55:23 +0000
From: "Sr. Consultant" (DHRST.Louis@worldnet.att.net)
To: achung@emory.edu

Hello -
My name is Brett Midgley and I'm an executive recruiter with DHR International. We have been retained by one of our clients, VHA, to fill a position for them consisting of an Accounting Manager for one of their many divisions. I was hoping to talk to you about this position to see if you know of anyone who is currently looking for a job, and who might be a qaulified candidate. The position is located in Atlanta, and VHA prefers to hire someone already located in Atlanta. Please feel free to call me and we can discuss this opportunity in greater length. I appreciate your time and help.

Brett Midgley
Senior Consultant
DHR International, Inc.
Phone: 314/725-1191
Fax: 314/725-9286
E-Mail: DHRSt.Louis@worldnet.att.net

Subject: seeking physician referral
Date: Wed, 4 Jun 1997 10:06:19 -0400
From: Judy xxxxxx (xxxxxx@earthlink.net)
To: "'achung@emory.edu'"

Dear Andrew,

Hello! I hope you don't mind my writing to you. I cam across your web page while surfing. I have a friend who has a pheochromocytoma. His doctor doesn't know where to send him for treatment. (The patient lives in Kentucky, but is willing to go anywhere in the US for treatment.) Do you know of anyone who can treat this? If you do, please let me know.

Thanks,
Judy

Subject: Quick Question
Date: Sun, 25 May 1997 21:20:34 -0700
From: xxxxxx (xxxxxx@nwrain.com)
To: achung@emory.edu

Andrew - in doing some research I came about your web page. I am a registered nurse (public health focus) working in Phnom Penh about 1/3 of my time (commute between Phnom Penh and Seattle due to the needs of an aged parent here in the USA).

In Phnom Penh the son of a lady who used to work for me in my apartment has a heart problem. Diagnosed (not be cardiologist) as ASD but sounds to me - using my tapes from physical assessment - as a VSD. We do not do any open or closed heart in Cambodia as you may guess. We do have echo - ecg - and xray facilities but there is no pediatric cardiologist to check the results.

Quick question comes - what specific tests or exams should I look for to confirm this locally in Cambodia? Any specific lab work? The boy in question is Vietnamese which is a minus factor in getting treatment there however he was born in Cambodia and is a "Citizen" under law. I can get some further workup at the Bangkok Christian Hospital but need enough to go on to know what I am dealing with to get a visa. The boy is 11 years in age but looks to be about 6-7 in size - family is poor but does feed him - failure to thrive. Other than a very pronounced beat at the apical area which you can see and feel, he has no clubbing, signes of poor arterial infusion in nail beds, etc. he plays normally but does need rest more often than his peers.

If there are specific things I should look for in the next workup we will do in Cambodia next month I will appreciate any ideas -

Paul xxxxxx, R.N.

Subject: Can you please help?
Date: Sat, 24 May 1997 12:03:36 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Hello.

My name is Maria Thomas and I just moved from NJ. I was wondering if you would be able to direct me to the individual I need to speak to about research work in the medical field here in Atlanta.

My brother has just completed his second year of medical school and is taking his Boards (part 2) in August. In the mean time, he would like to find some work doing research. He currently resides in NJ but is willing to move to GA if he can find the work. Is there someone you can direct me to who has more information?
I appreciate your assistance.

Maria xxxxxx (xxxxxx@aol.com)

Subject: lump under arm and chest pain
Date: Thu, 22 May 97 13:01:19 EDT
From: xxxxxx@aloft.micro.lucent.com (xxxxxx)
To: achung@emory.edu

Sorry to bother you via private email but perhaps you can point me in the right direction. I picked up your address from Sci.med.

For several months I've had pain in the left side of my chest that is easily bearable but its intensity seems to depend on the position of my body (angle of arms, head, neck, etc). The pain can be anywhere from my left armpit to fairly close to the center of the chest. Taking a quick deep breath also causes pain in the same region. Occasional moderate exercise or climbing stairs does not make it any worse. I believe the level of the pain has remained about constant over all this time.

In addition I occasionally have faint tingling sensation in parts of my left hand or arm.

Treatment so far has included EMG of the left arm (negative), chest xray (ok), CT scan of the neck (ok), and EKG (ok). My doctor is next considering an MRI based on the recommendation of an orthopedic specialist she sent me to.

One of the frustrations I have is that it's taking so long to diagnose this. Each new appointment with a specialist or for a test takes 2-3 weeks to set up and complete.

Should I get a 2nd opinion?

Regards, xxxxxx xxxxxx@lucent.com

Subject: New Link
Date: Tue, 20 May 1997 09:00:05 -0700
From: "Arash Tirandaz, MD" (tirandaz@dallas.net)
To: achung@emory.edu

Hi,

I am internist in Plano, Texas, and I was wondering if you could add my
page to your links:

http://www.dallas.net/~tirandaz/Arash/

Thanks.

--Arash

Subject: alternative approach to mild hypertension
Date: Sun, 18 May 1997 22:31:04 -0500
From: "Donna G. xxxxxx & K. Paul xxxxxx" (xxxxxx@calpha.com)
To: achung@emory.edu

dr. chung:
i am interested in a diet or herb approach to dealing with mild or borderline hypertension.
male, age 42, 6'2", 248 lbs, bp 135/95-100. beginning to walk on a regular
basis again, used to be a jogger; pretty athletic in younger years. now
plays golf, jet ski; retired from softball and racquetball. pretty good
health, just a little out of shape and heavy. ideal weight was about 210
6-7 years ago.
would be interested in articles or research findings, suggestions.
thanks,
k.paul xxxxxx
waco, texas
xxxxxx @clapha.com

Subject: Hypertension
Date: Wed, 14 May 1997 15:54:12 -0400 (EDT)
From: xxxxxx@aol.com
To: achung@emory.edu

Hi. I am 17 years old and I am doing a research project at school on
hypertension. I was wondering if there was any way that I could get some of
your information for my project; it seems like you have a lot of stuff on it.
Anything you could send would be great! Thanks!

~Busy Chic

Subject: heart disease
Date: Tue, 13 May 1997 12:39:52 -0700 (PDT)
From: Joseph xxxxxx <xxxxxxx@linfield.edu>
To: achung@emory.edu

Hi Andrew:

I'm looking for a list that covers heart disease where I can subscribe and
receive e-mail digests. Do you know of such a list?.

Iwas on a prostate list and it was very helpful

Thank you.

Joe xxxxxx
chemistry.

spelling no doubt incorrect - tailbone cyst. any advice on the best
manner/technique to implement to hasten healing of drainage
incision? cyst was (small) egg size, time from "development "to
incision - 4 days. incision/drainage was 5-1-97. everything back
to normal in 3 or 4 days except it appears 1/2" incision is having
difficulty healing due to rigors subject to by virtue of location. a
vertical incision in crease of buttocks. how is it possible for such
an incision to heal without sutures - ? thank-you, george xxxxxx

Thanks for the info, BTW nice web page.

I wish you well. Aren't those birds extremely messy?

PC from PC

Hello Andrew,

I've always appreciated your comments on the cardiology newsnet. Short
and to the point. As someone who suffers from PAC's I'd like a little
input. How good is verapamil in suppressing them? Any ideas?

By the way I think you have a great web page.

Andrew,

I have a friend who is under the care of Emory physicians and
endocrinololgists. She continues to decline. She was a runner 3 days a
week, ran 4 Peachtree Road Races, rode cycling events all over the
country and was vital part of the scientific/toxicological/biological
community here in Atlanta. She is now unable to go to work for 4
months. She has been to Drs. xxxxxx, xxxxxx, and xxxxxx. My friend
has lost 20 pounds, has heart palpatations and a myriad of other
symptoms. Under Dr. xxxxxx's direction she has gone to see a
physiciatrist who told her the symptoms were NOT physcosomatic and that
she needed to seek additional medical care until a physician was willing
to listen and help her. Where in the Atlanta Medical Community to you
suggest she find a practitioner who will sincerely try to find the
source of this incidious illness.

Sincerely, Kay xxxxxx
xxxxxx@bellsouth.net
home: xxx-xxx-xxxx

I4m a medical director of a life insurance company in Mixico, and I want to
start an HMO in Mixico City but I need some information about the history
of the HMO'S. Here in Mixico the medical rates are more or less based in
the rates of the U.S. so I4m wondering if you have some information about
the rates of all procedures (medical and surgical).
Thank4s for your help

Dr. Daniel xxxxxx xxxxxx FACC

Thankyou. Thankyou just does not seem a strong enough word that describes
what relief your reply has given me. Your email brought very comforting and
welcomed news, especially coming from a person with your educational
backgound and training.(you've done a great job on your home page!) I feel
much more at ease about the whole situation.

Thankyou,

Mike xxxxxx
xxxxxx@aol.com

Andrew,

Can you sugest any reading sources pertaining to the control of
hypertension with diet. I know that a low sodium diet is helpfull,
but it also seems that a low fat intake would also be beneficial. Any
good web sites would also help! Thanks for your time, Michael.

I am a 24 year old female with Hereditary Angioedema (HAE). My granfather
has HAE as well as my mother and my aunt. My family members all take
Winstrol for the HAE, I do not, although it is against doctor's orders. I
am able to maintain the HAE, but I'm really not sure how!! I am very
careful of the foods I eat, additives, aftificial sweeteners, etc, and I
am careful to consistently take synthroid for hypotyriodism and a
multivitamin daily.

I am in search of alternative maintenance and research on HAE. My
grandfather has developed liver damage over the 17 years of taking
winstrol. I don't want that to happen to my mom and aunt, or to me for
that matter.

I hope that you can help me.

Thanks.

Elizabeth xxxxxx
Special Education Department
Region 10 Education Service Center
xxxxxx@tenet.edu or xxxxxx@aol.com

Thank you for the information.

All I need now is a dictionary to translate :-)

pj

Hi!

I love your posts on sci.med. You must be a
terrific doctor.

regards,

anne

Dr. Chung, I admire your attempts to reasonably argue with Mr. xxxxxx and
others of his ilk.....
--
Edward J. xxxxxx, RPA-C
Family Practice
xxxxxx@servtech.com
----------------------------
"Diplomacy: the art of saying "nice doggie" until you find a rock....""

A few weeks ago you gave me you impressions on my Wife's cardiomyopathy diagnosis. We have since gone to see another Cardiologist for a second opinion. The information that you passed to me during a flury of e-mails. It gave me a better understanding of the condition and also enabled me to ask meaningful questions to the Cardiologist.

He ordered a nuclear stress test to determine if any heart damage might have occured from silent heat attacks as some of the EKG results indicate. He also insisted that her diabetes be closely followed as you mentioned and is increasing her dose of Vasotec.

Andrew I just wanted to say thanks for taking time and communicting with me all of this valuable information and to extend an open invitation to visit the most beautiful city in the south east, Charleston SC. If you happen to be in the area feel very free to call xxx-xxx-xxxx.

Sincerely,

Greg P. xxxxxx
xxxxxx@intplsrv.net
xxxxxx@aol.com

Dear Sir,

I have ound your email thanks to the internet.

We are group of people trying to help a 26 years old moroccan who has a rheumatic heart disease and who needs to be operated on. For that he needs two Standard Carbomedics prosthesis : Aortic #25 and mitral #29.Because they are very expensive in Morocco we are trying to see if we could bring them from elsewhere.

We kindly ask you to tell us, if you can, the prices for such prosthesis in America.

Thanking you very much or your time and hoping this request will not cause too much trouble,I remain

Sincerely yours,

Karim xxxxxx
C/O American School of Tangier
xxxxxx@marocnet.net.ma

Subject: Celiac/Cardiac Article
Date: Sun, 23 Mar 1997 21:21:37 -0500
From: Marilyn xxxxxx@gte.net
To: achung@emory.edu

Andrew,
I am having a problem sending messages to the newsgroups. That is why
I am E-mailing you. Just found out the problem with sending is with
my service provider - they are having problems.

A cardiologist thought he recently read an article in a journal about
Celiac and cardiac problems. Did you happen to see this article or
do you know where I might be able to check on finding this type of
article? I am a self diagnosed celiac.

Any info would be appreciated.

Marilyn

Subject: hyperytension in teenagers
Date: Sat, 22 Mar 1997 19:25:28 -0800
From: Jody xxxxxx@nternet.net
Organization: Fort Macon State Park
To: achung@emory.edu

I have been trying to locate some information on hypertension in
teenagers (13 year old) My main concern is with a 13 year old female
that has diabetes. If you know of any sources of information that may be
hellpful I would appreciate it.

Thank you,

Jody xxxxx

Subject: Can You Help?
Date: Mon, 17 Mar 1997 16:12:04 -0500 (EST)
From: xxxxxx@aol.com
To: achung@emory.edu

Hi Dr. Chung,

My name is Tim xxxxxx. I am a Ga Tech graduate of Physics and Computer
Sciences. I worked under Dr. Roger xxxxxx in molecular BioPhysics while
in Graduate school at Tech.

I am currently seeking a position as a research scientist/engineer and would
appreciate any suggestions you may have for persons to contact at Emory.

My resume is posted at http://members.aol.com/xxxxx

The resume as posted is slanted toward getting work as a programmer/analyst,
but as you can see, I have an extensive background in research and product
developement.

I enjoyed your Web page, and hope to hear from you soon.

Best Regards,

Tim xxxxxx

Subject: Lump on Tongue
Date: Thu, 13 Mar 1997 08:32:48 -0500
From: "Andre' xxxxxx" <axxxxxx@ix.netcom.com>
To: achung@emory.edu

Dr. Chung,

Thank you so much for your message. My mom actually got to see her Oral
Surgeon today. He said that the pea-sized lump within the tongue was most
likely caused by an inflammatory response to the surface activity. He
suspects an inflamed papillae (sp?) or mucous gland. He gave us a list of
other possible causes including cysts, but strongly doubts by its
presentation that it is anything serious.

He wants her to rinse with warm salt water and gently brush the area. He
will see her again in 1 week to re-examine and decide upon further action
if necessary. We are just praying that it will spontaneously resolve by then.

Thank you so very much for your message. It was truly appreciated.

P.S. I really enjoyed your home page. It is very well constructed and
organized. I also enjoyed reading about you and your background. It is
very comforting to know there is a knowledgeable, dedicated physician out
there who seems to truly love his craft as well as the people he deals with.

Thank you once again, and may God Bless you and your family.

Andre' xxxxxx

Subject: Cardiac Rx Classification
Date: Mon, 10 Mar 1997 10:58:38 -0800
From: John xxxxxx (xxxxxx@ally.ios.com)
Organization: San Diego CHARGERS
To: Andrew Chung

Andrew,

Thank you for this clarification. As I try to
learn more about coronary artery disease (my
74 yr. old mom has CAD), I find alot of seemingly
conflicting info...

As an aside, have you heard of EECP ? A hospital
local to us is offering it, and they're "marketing"
it heavily to angina sufferers. Any thoughts
would be greatly appreciated.

...john

Subject: Web Page
Date: Thu, 06 Mar 97 16:55:10 PST
From: Greg xxxxxx (xxxxxx@intplsrv.net)
To: achung@emory.edu

Dr. Chung

I have looked for your web page at the U of Emory and have had no
luck. The address at bottom of your last e mail did not work for me.

Thanks again for taking time to answer my questions. It's very
important to me as it envolves my wife. She happens to be in
charleston SC and I am with the USAF going to school in Oklohoma for
another 2 months.

Just trying to vacume information from any source.

Would you be interested in seeing her past evaluations on a consulting
basis? Money is no factor.

Thanks again

Greg
xxxxxx@intplsrv.net

Subject: Medical Web Pages
Date: Wed, 5 Mar 1997 23:26:50 -0800 (PST)
From: "Leonard J. Tyminski, M.D." (radiologist@earthlink.net)
To: achung@emory.edu

Check out my web page at:
http://home.earthlink.net/~radiologist/
While not entirely medical it is mostly so. Try out the "Case of the Week"
in the study. BTW, I did my internship at Emory/Grady. See my full CV at:
http://home.earthlink.net/~radiologist/cv/
Note:
16 bit color or better is recommended. The grayscale of the medical images
is hammered by browser dithering with 8 bit (256) color displays.

Subject: Dilated Cardiomyopathy
Date: Wed, 05 Mar 97 14:08:13 PST
From: Greg xxxxxx (xxxxxx@intplsrv.net)
To: achung@emory.edu

Mr. Chung,

Could you pls send me information on the possibility of the heart muscle
repairing damage after dilated cardiomyopathy has been diagnosed?

Greg

Subject: what was that site again?
Date: Wed, 05 Mar 1997 05:50:04 -0800
From: Howard xxxxxxx MD (xxxxxx@compuserve.com)
Organization: Fellow, American College of Physicians. Associate Clinical Professor of Internal Medicine at UC Davis Medical School
To: "Dr. Andrew Chung" (achung@emory.edu)

Andy, Could you please send me the URL for that site you have on
molecular biology/genetics? I lost it from a reply you made on the
sci.med.newsgroup because my computer froze temporarily. I was trying
to read more about acute fatty liver of pregnancy and LCHAD deficiency.
Thanks, H2

Subject: sci.med posting re antibiotic
Date: Wed, 5 Mar 1997 12:21:10 -0000
From: "Peter xxxxxx" (xxxxxx@derbes.com)
To: "'Andrew Chung'" (achung@emory.edu)

Thank you for your response to my March 2nd posting. I attach my original posting
for your convenience.

As you might have surmised, I am an attorney representing the family of the
48 year-old woman in question (Katherine xxxxxx, of New Orleans, LA). I am search
of an expert who can address the issue of whether the delay in giving her antibiotics
decreased her chance of survival.

With regard to your comments, the physician who admitted her from the E.R. to a
ward (at 1am Saturday) wanted to have a nephrology consult sometime later that day
(Saturday), and saw no need for an immediate consult. His orders, written at 1 am
Saturday, called for Timentin 2 gm. every 12 hours with 3.1 gm to be given after each
hemodialysis. Mrs. xxxxxx got the Timentin IVPB at either 4 am or 6 am that morning
(there appear to be two times written on the chart, with 4 [am] apparently written over
6 [am]), after she was resuscitated following a respiratory arrest at 3:15 am Saturday.
At 11:40 am Saturday, the Timentin is discontinued and Gentamycin (100mg IVPB x1)
and Vancomycin (1g IVPB x1) ordered and given at about 12:30 pm Saturday.

It is not clear when the blood culture work was done. There is a time stamp on the test
results suggesting either that the sample was taken, or the results obtained, on Saturday
at 00:30. Presumably some test result triggered the switch from Timentin to Gentamycin
and Vancomycin. Could cultures be done so quickly (i.e, between 8 pm and midnight)? I am
attaching a copy of the culture results, with apologies for the size of the file.

Finally, I have seen nothing in the record regarding hyperkalemia, or whether that was of
concern to anyone involved.

If you or someone you know would be interested in getting involved in this case as an
expert, please let me know. Feel free to call me or my associate, Frank xxxxxx, collect
at the number below. Your assistance to date is greatly appreciated.

Regards,
Peter xxxxxx
xxxxxx@derbes.com

p.s. Where might I put my hands on literature or documentation showing that the standard
of care requires a more timely administration of antibiotics?

Subject: good news
Date: Wed, 5 Mar 1997 08:17:44 +0100
From: xxxxx@axcasp.CASPUR.IT
To: achung@emory.edu

Dear Andrew and E-Lee:
A very good news. We just had the results of the amniocentesis.
The baby is fine, and she is a girl too!!!!! Laurie decided the name (I am
not too much convinced about) It will be Isabel Jacqueline (very long!!!).
A big hug. Ciao Antonio

Dr. Antonio xxxxxx
Dip. Genetica e Biologia Molecolare
Univ. "La Sapienza"

Subject: my homepage
Date: Tue, 04 Mar 1997 22:47:06 -0700
From: xxxxxx@v-wave.com (ADAM PORADZISZ)
To: achung@emory.edu

Hi !

You are invited to my homepage "www.agt.net/public/dradam/adam". I have a
links to more than 50 of other physician's homepages. Enjoy !

Dr. Adam Poradzisz
dradam@telusplanet.net

Subject: Re: Deja News Retrieved Document
Date: Tue, 4 Mar 1997 12:01:29 -0500
From: "Claudine xxxxxx" (xxxxxx@smb.com)
To: achung@emory.edu

Hi, I'm actually curious in reference to baby aspirin, I don't have a heart
condition but I do have a problem w/ clotting when I get my period.
I've been concerned that maybe I have poor circulation, & thought that mabye a
daily dose of baby aspirin .81 mg could be helpful.
I've been trying to conceive after a miscarriage two years ago, & had asked my
RE about it. She claims that there is no evidence that this is helpful.
Can you give me any information that may support my theory???

Regards,
Claudine xxxxxx

Subject: Fwd: Cardiology Newsgroup posting
Date: Mon, 3 Mar 1997 22:31:13 -0500 (EST)
From: xxxxxx@aol.com
To: AChung@emory.edu

Andrew, I had my 6 month echo done today.Your estimate of 40% EF was very
close. My Doctor couldn't get a Echoologist(?) to interpret it but he
estimates my EF in the mid 30's. I feel like I just dodged a bullet. My
Doctor said the 1 year mortality rate for a person with a 15% EF, which I
had, is about 25-30% and that the mortality rate for someone with an EF in
the mid 30's is about 3%. Does that sound about right?

I'm to get another echo done in 6 months. Care to venture another prediction
as to the EF then?

Thanks.

Dennis xxxxxx
xxxxxx@aol.com

Subject: GLAXO WELLCOME HELIX
Date: Sun, 2 Mar 1997 16:45:17 -0500
From: xxxxxx@erols.com
To: achung@emory.edu

Andrew Chung,

www.helix.com

This is a powerful medical research and continuing education site
that I highly recommend you visit. Besides offering free MEDLINE
searches, it offers many continuing education courses on line,
hyper links to numerous association/organization web sites, and hyperlinks
to medical news web sites such as the Medical Tribune.

You will need to register to use HELIX. When you get to the site click on
"professional registration" to register.

One of the best features of HELIX is MEDLINE which is updated weekly and
contains the entire database. Soon, AIDSLINE will be online at HELIX,
as wells as USP DI Vol. 1 and Vol 2., and virtual reality training seminars.

If you have any questions or comments on HELIX, please feel free to reply
to me via e-mail.

Subject: regarding anlage
Date: Fri, 28 Feb 1997 13:17:02 -0500 (EST)
From: Ildefonso xxxxxx (xxxxxx@emory.edu)
To: achung@emory.edu

Andrew:
Wonderful idea to have a inter-house-officer communication through the
internet. I want to be included in and let me know if I can be of any help
Thanks,
Ildefonso

Subject: Re: PLEASE RESPOND QUICKLY!!
Date: Wed, 26 Feb 1997 15:32:00 -0500
From: "xxxxxx, Lori " (xxxxxx@msgate.ColumbiaSC.NCR.COM)
To: Andrew Chung (achung@emory.edu)

Andrew:

Thank you for replying!!! What is prostatitus? Is that bad?

Thanks!!!!!!!!!

Lori

Subject: Cardiology Newsgroup posting
Date: Wed, 26 Feb 1997 13:54:49 -0500 (EST)
From: xxxxxx@aol.com
To: achung@emory.edu

Andrew, thank you for the attached response to my question on the Cardiology
newsgroup asking if and A/V fistula could cause Cardiomyopathy.

I have been off dialysis for 7 years and was advised not to remove my fistual
as there was no reason to remove it. Then I was diagnosed with dialated
cardiomyopathy with no blockages of valve problems found. I had the fistula
removed almost 6 months ago and was told it was circulating about 1.5 gallons
per minute. My EF measured 6 months ago was 15%. I am having another echo
done next week. Any predictions on my current EF?

Thanks.

Dennis

Subject: Blood problems NEED HELP !!
Date: Sun, 23 Feb 97 20:47 +0200
From: xxxxxx@vms.huji.ac.il
To: achung@emory.edu

Hi Andrew

I'm an internist here in Israel and queried the poster. It seems
that this patient has a rare Factor V deficiency. I suggested that
her internist in Tel Aviv refer this case to our hospital's
hematology unit whose director is one of the 5 top experts in the
world in Factor V deficiency.

Take care

Josh

Subject: primary pulmonary hypertension
Date: Thu, 20 Feb 1997 22:13:53 -0500 (EST)
From: xxxxxx@aol.com
To: achung@emory.edu

tell me what this is .

Subject: hypertension and arteriosclerosis
Date: Tue, 18 Feb 1997 13:13:56 -0800
From: marlene xxxxxx (xxxxxx@sympatico.ca)
To: achung@emory.edu

My husband is 73 years old and was diagnosed to be hypertensive at the age
of 24. He was discharged from the Canada Armed Forces in 1948 with a
severe nervous condition. At the present time he receives a 60% pension
for nerves from the Canadian Pension Commission. He wasn't treated
agressively until about 1980. Previous to this he was on diruetics and
rauwolfia drugs. Is there a possibility that hypertension (even though
remote) could lead to or cause arteriosclerosis? He has PVD and problems
with his heart valves and inferior wall problems. He also has problems with
his abdominal aorta.

Thank you,

xxxxxx@sympatico.ca

Subject: internet @ hospitals
Date: Sat, 15 Feb 1997 18:43:24 -0500
From: "Leigh xxxxxx" (xxxxxx@physio.emory.edu)
Organization: Emory University School of Medicine
To: achung@emory.edu

Hi Andrew -

Thanks for writing the MSTP re-entry page! I look forward to using it
when I finally find my way back to the VA (hopefully by the end of this
year).

Also, I've been meaning to get in touch with you for a few weeks... I am
part of a small team (including Bob xxxxxx, Judy xxxxxx, Andy
xxxxxx) working to establish 24-hour Internet access for our
faculty/residents/students at all of our hospitals by July 1. At their
last meeting, the GME Advisory Committee resolved that this should
"happen", and Bob & I are beginning to make contact with all of the
hospital CEOs, Information Services folk, librarians, etc. who will be a
needed part of this effort. I've also been in touch with Tom xxxxxx,
and we'll be working together to coordinate this project with the
planned renovations to the Grady 16th floor.

I'd very much like to get your perspectives & thoughts on our current
plans. (An aside: An impetus for doing this is the need to get our
LearnLink-based intranet available to the M3s & M4s on the wards). I'd
particularly like to hear your thoughts about the initial hardware &
software "specifications" we've developed, & any other ideas you wanna
share.

If you're interested, please lemme know. My evenings are usually pretty
flexible...

Thanks.

--Leigh xxxxxx

Subject: Pancreatitis
Date: Tue, 11 Feb 1997 08:17:06 -0500
From: Robert xxxxxx (xxxxxx@lhccorp.com)
To: "'andrew chung @ emory'" (achung@emory.edu)

Andrew

I saw your posting regarding pancreatitis in usenet. My sister, Stacy,
(30 years old) is currently hospitalized in Florida with pancreatitis
and is on an IV. She has had her gallbladder removed and has had an
ERCP. After seeing your posting, I was wondering what your thoughts
might be for treatment in the case of a stricture in the pancreatic
duct. Apparently, that is what the docs in Florida have diagnosed.

Also, I have read a lot lately that the use of anti-oxidants seems to be
effective in minimizing the symptoms of pancreatitis. Do you have any
thoughts about this?

Finally, my sister has been to Atlanta and is thinking of moving here.
She clearly has a medical condition which requires escalated medical
care. I would like to learn more about the resources available at Emory
to treat folks with pancreatitis. Are there practices based at Emory
which focus on this disease? Are there any docs you could recommend?
How about you, what is your position at Emory and are you accessible to
patients?

Any information you provide will be appreciated.

Sincerely,

Rob xxxxxx

Subject: adding webpage
Date: Mon, 10 Feb 1997 16:59:17 +0000
From: Olivier Wenker (wenker@bcm.tmc.edu)
Organization: Baylor College of Medicine
To: achung@emory.edu

I just surfed onto your page. Please link to my home page at
http://www.ispub.com/wenker.htm

My name is Olivier C. Wenker, M.D.

Thank you

Olivier Wenker

Subject: cardio-myopathy
Date: Fri, 7 Feb 1997 21:38:32 -0500 (EST)
From: xxxxxx@aol.com
To: achung@emory.edu

Andrew- thanks so much for the advice. I just found this site and I think you
and the other proffesionals who respond to patient's questions here provide a
wonderful service. If you have time, some other questions I forgot to ask
are, what would a flat "t" wave in "v6"on an ecg signify? non-specific st
changes? 72mm "r" wave in v6? Could quinidine and dig. together produce
dangerous arrythmias? and, What are "bigeminal patterns"? I know these are
alot of questions and you must be a very busy guy. so no hurry to get back to
me.

david xxxxxx

Subject: Need other opinions
Date: Tue, 4 Feb 1997 17:07:36 EST5EDT
From: "Jacob xxxxxx" (xxxxxx@radonc.som.sunysb.edu)
Organization: Radiation Oncology SUNY Stony Brook
To: Andrew Chung (achung@emory.edu)

Andrew,

Thanks so much for getting back to me. I spoke with another
physician I know here at the hospita, who also mentioned damage to
the pituitary gland as a factor in the child's blood pressure
problem. Last night they had to transfuse her because her
hemaglobin value was going critical. Today, her blood pressure was
going all over the place, and I hear they are trying a new
medication. The family is now in contact with a homeopath in
Ontario, trying to find other viewpoints and advice.

Thanks for your kind words. Take care.


-Jacob

Subject: Thanks for Posts
Date: Sun, 02 Feb 1997 11:37:10 -0700
From: "David xxxxxx" (xxxxxx@ix.netcom.com)
To: Andrew Chung (achung@emory.edu)

Andrew,

Just wanted to stop and say thanks for your posts on the
sci.med.cardiology newsgroup. Although I scan the group every day for
heart rhythm related subjects (atril fib. and PVC's) I always stop and
read your posts no matter what the subject. I appreciate the truly
professional information.

David xxxxxx

Subject: Thanks for the response
Date: Tue, 28 Jan 1997 17:42:08 -0500
From: "Josh xxxxxx" (xxxxxx@ix.netcom.com)
To: (achung@emory.edu)

Andrew -

Thanks for the response regarding my father's problems with coumadin and
his current internal bleeding. The situation, as you correctly assessed,
is a catch-22. The problem right now is that they can't seem to locate the
source of the bleeding. They removed a polyp from his stomach (which they
subsequently lost before they were able to perform a biopsy on it).
However, they are not sure that the location of the former polyp is the
spot from which he is bleeding.

I was hoping that there might be some nutritional changes he could make
that would thin his blood to a consistency that would be safe for his valve
without having him continue on the coumadin.

Josh xxxxxx

Subject: Where to look for historical views on heart failure.
Date: Mon, 27 Jan 1997 12:32:22 -0600
From: Blake xxxxxx (xxxxxx@bellsouth.net)
Organization: Med-Travel Books
To: achung@emory.edu

Andrew,

I'd appreciate any info you can give that would point the way to
medical books that describe the earliest known teartments for any kind
of heart failure. I'm trying to trace and record the earliest
understandings and treatments of CHF to the present day understanding
and treatment. Any help would be greatly apporeciated. Thanks very
much.

Blake xxxxxx
xxxxxx@bellsouth.net

PS/ I don't care what earlt ideas or treatments were employed--just the
facts describing the thoughts about the disease and its various
treatments.

Subject: Swelling around belly-button... should I get it examined?
Date: Fri, 24 Jan 1997 22:36:59 -0800
From: "Jeff xxxxxx" (xxxxxx@agora.rdrop.com)
To: "Andrew Chung" (achung@emory.edu)

Thanks, I thought it might be hernia too, but I've never heard of
hernias around one's belly button. I'll have it checked out.

-- Jeff

Subject: M.D. xxxxxxx
Date: Wed, 22 Jan 1997 19:45:10 -0800
From: xxxxxx@ix.netcom.com
To: achung@emory.edu

I live in Nashville, TN and a Doctor here has recomended I see a Doctor
in the Atlanta area whose name is xxxxxxx. Is there anyway you
know of to get some information about this Physician or their practice?
The telephone number information hasn't proved helpful. Thank you.

Casey xxxxxx

Subject: left ventr. filling pressure
Date:Wed, 22 Jan 1997 06:45:58 -0600
From: xxxxxx (xxxxxx@onramp.net)
Organization: Home
To: achung@emory.edu

I enjoyed your "horse analogy: to heart failure. I am not a medical
professional but would reason that "getting a new horse" would be one
solution to your dilemma.

If you get a chance please read my entry from last Sunday seeking info
on Amyloidosis.

Add to my note:

I just got an echo report which shows mild elargement of LA, RV, septum
and aortic root. I have S4 but no S3. Grossly normal LV wall motion
(whatever that means). EF = 65%. Heart valves normal and otherwise
normal heart.

Thanks

Steven xxxxxx

Subject: New Cold Medicine
Date: Tue, 21 Jan 1997 09:40:23 -0800
From: xxxxxx (xxxxxx@globalserve.net)
To: achung@emory.edu

Hi,

I read your site - very interesting and impressive. I know you like to
"give without expecting anything in return" so how about a little free
advice. I'm from Canada and I've heard about a new cold medicine
available in the US called "Cold-Ease". Apparentlty it reduces the
length of a cold by 50%. Have you ever heard of this? Do you know the
manufacturer? Is it perscription?

I really appreciate any help you can offer.

Sincerely,

Robert xxxxxx
xxxxxx@globalserve.net

Subject: Searching for MEDLINE program
Date: Wed, 15 Jan 1997 14:56:46 +0100 (MET)
From: Ricardo xxxxxx (xxxxxx@pinon.ccu.uniovi.es)
To: Andrew Chung (achung@emory.edu)

Thanks about your information of MedLine,
just tell me if you want anything from
Spain ...

Bye.

Subject: When to stop Asthma Treatment?
Date: Sat, 11 Jan 1997 18:57:48 +0800
From: Andy xxxxxx (xxxxxx@post1.com)
To: Andrew Chung (achung@emory.edu)

Hi Andrew

Can you please advise? I am 63 years old and have been suffering from asthma since my childhood days. For more than 15 years I have been relying on Ventolin Inhaler (salbutamol BP 0.1mg per dose). I used one puff at night before going to bed, and sometimes one puff in the morning. Occasionally, I had to use more than twice a day. Since my asthma was under control, I rarely had to see a doctor.

A few months ago, my asthma got a little worse and I had to use my Ventolin Inhaler 4 to 5 times a day. I decided to see a government doctor. He prescribed Becotide Inhaler (beclomethasone dipropionate BP 50 mcg) and asked me to inhale 2 puffs 2 times daily. Since I switched to Becotide Inhaler, I did not have to use Ventolin Inhaler. I do not get any more asthmatic attacks.

I have already finished one Becotide Inhaler (200 doses). I understand I have to carry on using Becotide Inhaler until I am told to stop. The reason why I am not going to see the doctor is that he is so busy seeing so many patients a day, that I can predict what he is going to tell me.He spends less than 5 mins per patient, on the average.

So what I would like to know is that if I do not get any more asthmatic attacks, can I reduce my dosage from 2 times a day to once a night. And if I still don't get any more attacks, can I further reduce from 2 puffs a night to one puff a night? Finally, if no more asthma on one puff at night, how long do I have to continue with Becotide? When can I completely stop using Becotide?

Any advice you can give will be greatly appreciated.

Thank you .

Andy

Subject: would you like me to show you mine?
Date: Sat, 11 Jan 1997 17:03:29 -0800
From: Howard xxxxxx MD (xxxxxx@compuserve.com)
Organization: Fellow, American College of Physicians. Associate Clinical Professor of Internal Medicine at UC Davis Medical School
To: achung@emory.edu

Very nice www page! I thought the intern survival guide was great!
It's something every teaching institution should have! Some of your
links didn't go through---not sure if the site was tied up or the
site obsolete... Let me know if you want me to show you my
"bookmarks"--
I don't have my own www home page yet...H2

Subject: Re: Anlage
Date: Sun, 8 Dec 1996 11:15:39 -0500 (EST)
From: "Beth xxxxxx" (xxxxxx@emory.edu)
To: Andrew Chung (achung@emory.edu)

ANDREW,
HOW DO YOU SEND MAIL TO THE VA HOSPITAL? I HAVE TRIED USING @ATLANTA.VA.GOV AND IT ALWAYS SAYS "HOST UNKNOWN."
THANX
BETH

Subject: Cancer patient in the Philippines
Date: Sat, 07 Dec 1996 11:08:21 -0800
From: Telmo & Mariella xxxxxx (xxxxxx@pacbell.net)
Organization: Fog City Services
To: achung@emory.edu

Hello Dr.
I'm not sure if you can help me. I have a co-worker that has a cousin living in the Philippines with cancer . She is following a certain therapy from a the Dr. Gerson "cancer therapy". Have you ever heard of this doctor? Anyway, the lady has to be fed with liquid food. something similar to "Ensure" sold here is the USA. It is extremely expensive in the Philippines so, my Co-worker, her cousin is looking for the product here in the USA to send it to her. I tried looking for the Dr. Gerson's home page but I haven't found him. Can you help me?
Please answer to xxxxxx@pacbell.net
Thank you!
Mariella xxxxxx

Subject: pacemaker programmed rates
Date: Mon, 25 Nov 1996 18:35:21 +0100
From: MarGe (xxxxxx@pi.net)
Organization: Planet Internet
To: achung@emory.edu

Hai there... I visited your homepage and reayour replies in the various newsgroups and I just thought that you might be able to help me as well. Maybe you have already seen my message in the newsgroups, but I am sending you my e-mail nevertheless. Do you have any experience with pacemakers and the programmed rate? I am having a =pm myself, and it is programmed at 45 bpm (just a few weeks ago it was even set at 40 bpm). I notice that this seems a bit low, considering my activities etc. I also wonder if the one lead (VVI mode) is enough for me now.
The pm paces quite a lot during the daytime, and it is a nuisance if and when the device starts pacing. It also seems that the heart has "problems" following the pacing. It starts pounding heavily after ten or fifteen pacings (at a stretch). I hope that you understand a little of what I am saying....

Do you have any information at all as far is the programming is concerned? For your information: I am 29 years old and diagnosed with (fast deteriorating) SSS with bradys/tachys and asystolie. The PVC's are also occurring more often, but I don't think this is such a big problem.

If you could find the time to answer me, please do. I would highly appreciate your help and info. Thanks.
Regards, Mariette+++

Subject: New medical site . . .
Date: Thu, 07 Nov 1996 13:20:37 +0000
From: Carole xxxxxx (xxxxxx@arena.com)
To: achung@emory.edu

Hello,

We noticed that you had a link to a similar site and were wondering whether you would oblige us by adding a link to our site also.

The Montreal Institute for Reproductive Medecine offers to infertile couples, among others, services in fertility and genetics counselling, In Vitro fertilization, insemination and a sperm bank.

http://www.infertility.ca

Combining research, the latest technological and ethical developments, diagnostics, clinics and teaching, the Montreal Institute for Reproductive Medecince offers services to infertile couples: fertility, infertility, urology, genetics and psychology consultations; medically induced ovulation, superovulation, In Vitro fertilization, inseminations, sperm microinjection, epididymal or testicular sperm aspiration; embryo freezing, sperm cryopreservation; endocrinology and andrology laboratories, and semen analysis.

Thank you in advance.

Carole xxxxxx
xxxxxx@arena.com

Subject: HyperMed Pediatrics software
Date: Thu, 07 Nov 1996 12:12:48 -0800
From: Josepha xxxxxx (xxxxxx@jer1.co.il)
Organization: HyperMed Ltd.
To: achung@emory.edu


Hello,

I invite you to view the new HyperMed Pediatrics web site at: http://www.hm1.com

Click the free zone icon and view the chapter of the week.

Could you please add us to your general medical resources list? We would appreciate that.

Sincerely,
Josepha xxxxxx

Subject: Neil Schulman, MD
Date: Thu, 31 Oct 1996 10:10:15 -0500
From: Sandy xxxxxx (xxxxxx@acpub.duke.edu)
To: achung@emory.edu

I'm trying to get Dr. Neil Schulman's e-mail address. Is is available in the Emory directory or on-line? Have tried several paths, so could use your assistance. Thank you.

Sandra xxxxxx

Subject: newsletter
Date: Mon, 14 Oct 1996 18:25:14 -0400 (EDT)
From: Edward xxxxxx (xxxxxx@emory.edu)
To: Andrew Chung (achung@emory.edu)

hi andrew

why dont you remind all the third year residents that we need to register for the BOARDS before 12/1/96

edward

Subject: What do you call medicine under capitalism?
Date: Sun, 13 Oct 1996 01:20:50 -0700
From: Garrett xxxxxx (xxxxxx@adnc.com)
To: achung@emory.edu

PROFIT MOTIVE!!!!
If you are a med student, congrats, maybe you'll let me wax your Mercades.

Garrett.
B.A. English/Lit.

Subject: ICAM-1 Hypothesis in Atherosclerosis by Ron xxxxxx
Date: Sat, 12 Oct 1996 17:45:20 -0700 (MST)
From: xxxxxxxx@CBE.AB.CA
To: achung@emory.edu

Dear Dr. Chung:
I wonder if you would be good enough to read over the following paper,
and offer any comments that come to mind? Thanks in advance for your time.
Ron xxxxxxx

ICAM-1 Hypothesis in Atherosclerosis
by Ron xxxxxx

This article is intended as suggestive, only.
(body of article omitted)

Subject: P-Trax
Date: Thu, 10 Oct 1996 20:47:09 -0400 (EDT)
From: xxxxxx@emory.edu
To: Andrew Chung (achung@emory.edu)

Thanks for the alert, Andrew.
-Mike

Subject: Just What Is Aortic Insufficieny??????????????????????????????
Date: Thu, 10 Oct 1996 14:19:17 -0700
From: xxxxxx@ix.netcom.com
To: Andrew Chung (achung@emory.edu)

Dear Andrew,
Thank you for your information I appreciate it. I do have a couple of more questions though; one being why not corrective surgery now? And why would the doctor tell my girlfriend her life expectancy will be shorter, or at least a good chance of it. If you know more on the subject I'd love to hear it if you have the time. And if you respond could you e-mail me directly?
Thank you again,
Brian

Subject: Mitrochondrial Myopathia
Date: Wed, 9 Oct 1996 19:40:32 -0800
From: xxxxx_xxxxx@mindlink.bc.ca
To: Andrew Chung (achung@emory.edu)

Andrew,
Thanks for your speedy reply...it's much appreciated. I'll pass the info on to Ted in Italy.
Best regards-- Art

Subject: Need laymans general info on nephrotic syndrome
Date: Wed, 9 Oct 1996 14:40:54 -0400
From: xxxxx@aol.com
To: achung@emory.edu


My mother-in-law is a 70 year old diagnosed with nephrotic syndrome. I would like any general info on treatment, outlook, causes, etc. Thank you.

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