User talk:Davidruben/Archive 1

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Hey doc!
Hi Davidruben, you may be interested in joining WikiProject "Clinical medicine", the Wikipedia hangout for docs. JFW | T@lk  07:54, 5 Jun 2005 (UTC)

Unblocked IP address
Hi Davidruben,

I unblocked the block that is keeping you from accessing Wikipedia. Feel free to leave another note on my talk page if you still can't connect to Wikipedia via AOL. Be advised that this may happen again if the vandal "Erwin Rommel" starts vandalizing again. There is no good way to block troublesome AOL users without affecting innocent users. Sorry for any inconvenience. Bumm13 18:38, 26 Jun 2005 (UTC)

MGUS
You are right that "unclear" is not commonly used, so I've changed it. According to PubMed, "undetermined" is definitely the most commonly used form. My source for the 2-3% annual conversion rate is every UK haematologist I've spoken to so far, but Kyle & Rajkumar (PMID 10626144) have a more conservative estimate, so I'll rely on that.

PS Where are you based? I'm an SHO in London. JFW | T@lk  3 July 2005 19:03 (UTC)


 * Enjoy your holiday. JFW | T@lk  4 July 2005 06:33 (UTC)

Nephrotoxicity
If the table is from the RCP Edinburg's article, then the reference should be sufficient. Or do you have a different source? I reckon there will be further additions...

I note you've been using the ß for &beta;. How do you generate this? I tend to use &beta ; to avoid coding problems. I also think the ß is a German consonant... JFW | T@lk  19:50, 27 July 2005 (UTC)

Pharyngitis
A very good article! Very much aimed with the reader in mind, which is something I sometimes still find hard to do. I made some changes, but your content and its world-class references stand. I may reformat the references and add a PMID to facilitate Medline searching. JFW | T@lk  20:38, 27 July 2005 (UTC)

ECPs
Thanks for the kudos. Its all of course a work in progress, so please be bold in making any corrections. You are rather keen to note the estrogen/progestin issue with Preven, but Im not quite sure how to handle it, as the source literature (hidden in article - click "edit" to see) wasnt clear. Is it both, or is the progestin ratio based on some other daily dose figure? Im about done for today --at least until next time ;) Sinreg, St|eve 19:29, 29 July 2005 (UTC)


 * I'll get back to it later. FYI, theres been a related overview discussion on Wikien - the first thread being mine here. Discussion has "forked" a couple times - a date or thread search will show others. Though its probably a bit too political,its actually dealing with NPOV policy rel. terms, and how to treat the basic concepts most fairly. This is all in the context of wider related interest due to the impending US Supreme Court nomination, prospects of changes to Roe etc - various articles are getting flashlights on them. Pregnancy, etc. It would be nice, at some point, to have a UK Md take on it, just to offset WP:BIAS. Sinreg, -St|eve 21:32, 29 July 2005 (UTC)

Great. There was certainly a bit of ambiguity there that needed some detail. It was rather strange to find zero links between the ECP article and chemical abortion --certainly theres more than enough conceptual overlap to require any differences to be explained. Note, if MAP is out of style in medical terms, we should probably move the article to EC. Also, should start adding basic links to template:abortion. Ive been working on pregnancy which will also need a template:pregnancy. These templates serve to map the general branches of a larger topic in a type of heirarchy --while the category footers are brilliant, they dont serve the same role, and arent prominent enough to be useful while reading. Sinreg, St|eve 15:38, 1 August 2005 (UTC) P.S. re. Anon sig: even when no logged in, signing "User:Davidruben" is a good idea --particularly on longer article discussions, where people can get confused. :)
 * Is the term "late contraception" used? I think its a bit more straightforward than "emergency contraception." -St|eve 15:40, 1 August 2005 (UTC)

OK. "Late contraception" seems rather proper to me (a simplicist), but emergency contraception is fine. "Abortifants" is POV. I agree that saying x is y is POV, but likewise there still needs to be some clearer explanation of the differences, in dealing with the pro-life claim of conception, as well as any outstanding issues that the drug works post-implantation. That's more what Im concerned about covering, though chemical abortion makes it clear that the drugs used are quite different. In any case theres plenty of work to do all around. Move?: No there is no consensus required for moves, unless its a rather hot topic with lots of editing. You and I constitute a consensus here. ;) Sig: Yeah, Ive also noticed WP logs me out rather quickly sometimes. What I do is use the preview button, which also lets me know if someone else has edited the page or section since I have been working on it. Some pages change too quickly. Sinreg, St|eve 00:50, 2 August 2005 (UTC)


 * SP: I noted that you spelled ECs with a cap Contraception. Proper form is lowercase unless its a proper name - for example, I just moved Yuzpe Regimen to Yuzpe regimen. -St|eve

EC
There are two types of IUD's: one type contains the hormone progestin and is only effective for 5 years- the second type contains copper and is effective for up to 12 years. Here's the source: http://plannedparenthood.com/pp2/portal/files/portal/medicalinfo/birthcontrol/pub-contraception-iud.xml Maybe we should differentiate between the two countries? The official website for Paraguard says 10 years (http://www.fei-womenshealth.com/about-paragard.html), but they always shorten "recommended use" for two reasons- sales and liability issues. Lepidoptera 23:57, 2 August 2005 (UTC)

Miscarriage
The truth is, my clinical experience with this problem is really quite thin. My main research interest is the interplay with thrombophilia and recurrent abortion. Your numbers are probably better than mine, and your English is undoubtedly of a higher standard :-). PS I fixed two red links on your userpage. JFW | T@lk  21:44, 6 August 2005 (UTC)

Categories
The category system is very powerful, but it is easily cluttered. I totally agree that Neisseria sepsis is a medical emergency, but the clinical manifestations of this have their own articles, and these are in the appropriate categories. The potential candidates for Category:Medical emergencies are endless. By extension of your logic, bee should be in this category because bee stings can cause angiooedema and anaphylactic shock :-) JFW | T@lk  13:57, 7 August 2005 (UTC)

Medicine Collaboration of the Week
Hi! You showed support for Pneumonia, this week's Medicine Collaboration of the Week. You are invited to help improve it! &mdash; Knowledge Seeker &#2470; 09:52, August 10, 2005 (UTC)

Constipation
Hi DR. Constipation has been an annoyance ever since I started working on Wikipedia. Tonight I tidied up the **** mess in one fell swoop diff. Could you glance it over and see if I've forgotten anything? JFW | T@lk  21:54, 10 August 2005 (UTC)


 * Glad you did that. I mentioned a whole host of things in the causes section but sorta left them out in the diagnosis section. Indeed, the cancer lump bit should be buried as deep as possible to stop people from panicking.


 * Strange that softeners are underused. In my previous SHO post (oncology) I achieved very satisfactory results with sodium docusate! But then we were throwing around macrogol liberally... JFW | T@lk  22:57, 10 August 2005 (UTC)

Sorry... used Wikipedia (laxative) as a source. Never do that. Indeed the only people I've had on liquid paraffin were those with intermittent bowel obstruction. Macrogol is fairly powerful, but I reckon it's gentler than lactulose. JFW | T@lk  22:50, 11 August 2005 (UTC)

Pneumonia
Hi. I cleaned up your edits to make them more general and less UK-centric. I suspect it's not just in the UK that GPs have problems getting X-ray reports, though the UK probably has many other eccentricities in its health system. Alex.tan 06:22, August 18, 2005 (UTC)


 * Thank you Alex.tan for your edits. David Ruben 19:40, 18 August 2005 (UTC)

Aptness
does jar, doesn't it? I only put it in because appropriateness jarred even more. I couldn't think of another word that might fit, and the thesauri were of no help. If you'd really prefer another word, David, maybe restructuring the sentence may help.— Encephalon | &zeta;  23:36:33, 2005-08-18 (UTC)

Suitability?— Encephalon | &zeta;  23:38:23, 2005-08-18 (UTC)


 * suitability is better. A word reorder would be 'sputum cultures are usually used only to retrospectively confirm the infection's sensitivity to the antibiotic already started.' as it focuses on the fact that treatment is about targeting an infection and gets the word 'sensitivity' that of course all lab reports list suitable antibiotics under. (being more precise and using 'bacteria' rather than 'infection' scans poorly) David Ruben 23:48, 18 August 2005 (UTC)
 * Done.— Encephalon | &zeta;  23:53:44, 2005-08-18 (UTC)
 * Much easier to jointly edit sections like this. I'm tempted add 'Collaboration request' on the Wikipedia_talk:WikiProject_Clinical_medicine, except all our lists of articles just starting on (and to be left alone by others) and completed and for review just vanished from page... ah, someones archived it all - yet this is active notices to the rest of the wo:Clinical-Medicine community. Hmmm this needs correcing...(give me a moment) David Ruben 00:13, 19 August 2005 (UTC)

Rheumatoid arthritis on WP:MCOTW
Hi! You showed support for Rheumatoid arthritis, this week's Medicine Collaboration of the Week. You are invited to help improve it! &mdash; Knowledge Seeker &#2470; 07:34, August 24, 2005 (UTC)

Talk:Prescription drug
Hey David Ruben. Thanks for making those changes to the Prescription drug article, but I think you are confused. Actually an anonymous user at 193.41.37.3 made those comments but he/she put them in the actual article so I moved them into the talk page where they belong. But seriously, thanks again for making the edits, which I guess I should've done in the first place. On a completely different topic: Any hope of getting a peer-review for Health issues and the effects of cannabis (the last time we spoke). =] Peace man. --Howrealisreal 17:27, 24 August 2005 (UTC)

Categorization
Sorry for not knowing what low-level category each article should belong to; it is definitely not my forte to know the exact category. Of course I am not being lazy; as I continue working in parasitology my work should improve. Thank you for helping. As far as the Theodor Bilharz Institute is concerned, I think I and my stub may be falling prey to idealism insofar as I am hoping that someone who knows a little more about the article subject may come along and expand the article. Even though parasitology is tremendously underepresented vis a vis its public health impact, I am perhaps being too optimistic about this and other articles and their development in the Wiki environment. I am grateful just to be able to contribute these original stubs. --McDogm 05:43, 25 August 2005 (UTC)


 * PS I will go to the Bilharz Institute site tomorrow and write a decent stub or hopefully an article. Thanks for commenting. --McDogm 05:46, 25 August 2005 (UTC)

Hi, thanks for your letter. You know, I struggle with the material because I need to learn it, to read it and also to write some, without being too intrusive. At Talk:Parasitology (or Talk:Parasite, I forget which), I wrote about something I actually know something about. It makes me look a lot smarter than the work I am doing learing the ropes and how to make tax boxes, etc. I plan to continue contributing to Wikipedia, and I will also spend time on Wikispecies. Since my study time goes to the material covered in the Talk:Parasitology article I spend less time in pure science than I would certainly like. Its the first article in that particular talk section. Thanks again for your letter. --McDogm 21:12, 27 August 2005 (UTC)

Category
Hi there, being bold I placed you in the physician category. Hope you don't mind. Let me know what you think of it. --Nomen Nescio 02:05, August 27, 2005 (UTC)


 * Look at the bottom of your user page for the template Physician Wikipedians. It directs to the category mentioned: http://en.wikipedia.org/wiki/Category:Physician_Wikipedians. Will try and find more to add but for now this list is not bad. :-)--Nomen Nescio 21:54, August 27, 2005 (UTC)

Please take care
Heavens! What happened, David? I just assumed you'd gone on a break, as I seem to remember you telling us that was on the cards. The ICU. Goodness. Well, you're out of it now, that's what's important. Do take all the rest you need, and don't worry about WP. Or MCOTW. In fact, Seeker has declared something of a break on that. Please do take care, David, and let us know if there's anything you'd like us to do. You're in my thoughts. All the very best wishes— encephalon ????fa???   00:29:52, 2005-09-13 (UTC)




 * Dr. Ruben, Encephalon just mentioned your recent hospitalization to me. I am glad that you are out of the hospital and appear to be on the road to recovery. We're glad to have you back! But don't feel obligated to spend too much time on Wikipedia: your health comes first! &mdash; Knowledge Seeker &#2470; 04:38, September 13, 2005 (UTC)


 * Thanks for the kind messages, I'll email a more personal reply to Encephalon, Knowledge Seeker & Jfdwolff David Ruben 20:54, 15 September 2005 (UTC)

medical records
Thanks for completing the tagging. Though, if you wish to create a separate article for the administrative structure behind medical records, I think you should create a more specific title than "medical records".

lots of issues | leave me a message 12:06, 24 September 2005 (UTC)

Paid Editing Project
Hi: My name is Tess and I work for a global independent research firm in New York. I am interested in hiring you for a Wikipedia editing project, based on your technology and medical experience and expertise. I attempted to email you through your user page. If you received it, please read it over and contact me with any questions. If you did not receive this email, please let me know and I would be more than happy to tell you more about this project. (You can call 512-651-1797 or email tfurman@glgroup.com). Thank you and I hope to hear from you soon! Tess - Gerson Lehrman Group 18:56, 28 September 2005 (UTC)

Translation
Hallo David! I have translated my german article de:Neurofibromatose Typ 2 to an english version Neurofibromatosis Type 2. Would you please be so kind to help me with some advice for the improvement of the article. I wrote some other articles in the area of neurocutaneous diseases wich are lacking in the english wikipedia and wich can easily be translated if there is an interest. Greetings Andy.we 22:13, 29 September 2005 (UTC)

adding biomedical content to Wikipedia
Hello, Dr. Ruben. I totally agree with your comments on my talkpage. The Gerson Lehrman Group apparently has a roster of experts interested in contributing biomedicine-related content to Wikipedia but need assistance doing so, and I can certainly give them a helping hand. I don't mind typing, and it's an extra opportunity to read and learn. Getting paid is a pretty good "side effect". Maybe this will evolve into a job for me when I finish school ? :-) .... I have sent them my CV, as requested. I haven't heard from them since, so maybe I ain't good enough for them -- I am still a graduate student. .... As I've asked in the welcoming msg to Wikitess, I suspect they need a wiki website like Wikipedia, not necessarily Wikipedia. I'll ask this question again if they get back to me. -- PFHLai 02:13, 30 September 2005 (UTC)

Clarification
I’m sorry about the confusion I have created. Please excuse my lack of knowledge and inexperience. I became a Wikipedia member to try and connect with some of the most avid users who are also medical professionals. Gerson Lehrman Group is working within our servers and we are simply using Wiki technology. We will NOT be making entries on Wikipedia. I encourage you to visit our website: www.glgroup.com for more information regarding our line of business. If you are not interested in working on the Wiki project, perhaps you would be interested in joining our HealthCare Council, a network of medical professionals who engage in paid consulting projects. If you have further questions or comments, please email me at tfurman@glgroup.com. Thank you for your interest in GLG. We look forward to working with you. Tess - Gerson Lehrman Group 14:07, 30 September 2005 (UTC)

Re: Nephrotic Syndrome
thanks! feedback does make you feel what you're doing is worthwhile (esp considering there are all these websites for kidney patients)

also i have to stop getting carried away and write as if i am addressing medical residents/students...i still am not sure i have the right perspective for a lay reader, so i hope i can get some constructive criticism Hswapnil 13:00, 1 October 2005 (UTC)

IgA nephropathy
hi, could you take a look at this, i think the therapy part has become a bit confusing? Hswapnil 14:29, 6 October 2005 (UTC)

Pneumonia on WP:MCOTW
Hi! You showed support for Pneumonia, this week's Medicine Collaboration of the Week. You are invited to help improve it! &mdash; Knowledge Seeker &#2470; 05:00, 13 October 2005 (UTC)

Emergency department
I wonder if you would consider supporting this article by voting for it at Article Improvement Drive to improve it towards feature article status. I hope to increase the profile of clinical medicine and related subjects on wikipeda. The current article is basic, in particular with regards to EDs around the world.--File Éireann 20:52, 13 November 2005 (UTC)

Moisturiser
I am going to tidy up the moisturiser area that you previously edited. Comments on its talk page.Obina 23:24, 27 December 2005 (UTC)