User talk:Kd4ttc

Contents

1 Links from initial Welcome note 2 Comments to and from Steve 2.1 References to Star Fleet Database of the Future 2.2 Ornament and Crime 2.3 A Wikipedia doctors group? 2.4 Bleeding 2.5 Another review request 2.6 Is WikiDoc moving? 2.7 Hepatitis 2.8 Bringing in New WikiDocs 2.9 Star Trek 2.10 Angiodysplasia 2.11 EGD 2.12 Mr Natural Health arbitration 2.13 Re: Mr-Natural-Health 2.14 Re: Mr-Natural-Health's CAM tags 2.15 Child-Pugh score 2.16 gedday

Links from initial Welcome note

How to edit a page, How to write a great article, Naming conventions, Manual of Style. You should read our policies at some point too.

If you have any questions, see the help pages, add a question to the village pump or ask me on my talk page. If you made any edits before you got an account, you might be interested in assigning those to your username. I hope you enjoy editing here and being a Wikipedian!

• If you ever think a page or image should be deleted, please list it at the votes for deletion page. There is also a votes for undeletion page if you want to retrieve something that you think should not have been deleted.

Comments to and from Steve

Want to say something? Well post below to your heart's content!

References to Star Fleet Database of the Future

Star Fleet... heh. As long as they keep it in the About pages and not pretending they're worth an encyclopedia article, I don't mind. Ensiform 05:52, 28 Feb 2004 (UTC)

• I always was amused that the computers on the various Start Trek shows had such minutae stored. Not that storage capacity wouldn't allow it, but just that someone took the effort to do all the data entry. I used to joke that in the future everyone was either a Star Fleet officer, or a data entry clerk. Then along came the World Wide Web. Of course! Everyone is entering all the data themselves! Kd4ttc 01:49, 2 Mar 2004 (UTC)

Ornament and Crime

Please could you take a look at this page again, based on the discussion on VfD, and see if you can verify the veracity of the re-write? If you know anything more about this, perhaps you could add something. Thanks, Mark Richards 18:49, 8 Mar 2004 (UTC)

Thanks! That's great - I vote to keep it on the basis of what you wrote - good work! Mark Richards 05:23, 9 Mar 2004 (UTC)

Love it, I think more articles could do with a few more whimsical pieces in them. One thing about a collaborative writing project is that you tend to remove a lot of the personality from the writing style - more of this please! Mark Richards 19:25, 9 Mar 2004 (UTC)

Yes, I am familiar with what Steely Dan was in the book, that made it a particularly funny inside joke to those who had read it! Mark Richards 22:33, 16 Mar 2004 (UTC)

A Wikipedia doctors group?

Hi, glad to notice another doctor around. I was wondering if you might be interested in a more coordinated effort on the medical side of wikipedia. I'm getting jealous of all those nice blue boxes at the bottom of non-medical wikipedia articles :-). Do you know what happened to the "WikiProject Medicine"? JFW 10:08, 8 Apr 2004 (UTC)

Yes, there are a few of us. Users with medical backgrounds would be a nice list. Article, not. Is there a mechanism in wiki to allow seaches for users with certain backgrounds? A young anesthesiologist, Alan, I believe, was editing the medicine article, where I met him. I didn't hear about the Medicine project. Now that would be REAL work. Interesting idea, though. The wiki structure allows rapid editing of the text, with the inherent plusses and minuses of that. There are some nicely formatted articles out there. How come the non-medical superformatters are not applying such artisanry to the medical pieces? Kd4ttc 14:05, 8 Apr 2004 (UTC)

Thank you for your kind reply. It appears you have also moved your name to the "doctors" list on User:Jfdwolff/WikiDoc! I'll be updating the WikiDoc page with some of the feedback I've been having. Would you mind directing any feedback at my talk page? A kind General Practicioner from Poland (User:Kpjas) gave me some useful advice on determining the kind of readership Wikipedia medical articles should be aimed at. I'll try to write some sort of proposal. JFW 19:27, 8 Apr 2004 (UTC)

PS The formatting is probably hard for someone who's got little medical background. A non-medic might put paroxysmal nocturnal hemoglobinuria under the urology header (it is one of the occasions gastroenterologists and hematologists have to cooperate: when a PNH patient develops Budd-Chiari syndrome). I'll see if I can trace Alan.

Oh, I agree completely. The PNH example is a good choice. I was thinking of formatting in the very low level of how to put in side bars. A few of the military articles have nice examples of that. What you are talking to is the need for a system of specialized sysops. Sort of what an editor would be rather than mechanical in nature as the sysops are presently. (No offense intended. Th system works well) I like how lay folk go in and edit, even in medical articles. Much improved readability. I like participating in a general encyclopedia. BTW, I have in mind redoing the Celiac article. A special interest of mine.

• I will copy this to your talk. Email for me is a good technique. sholland at napervillegi dot com Kd4ttc 20:51, 8 Apr 2004 (UTC)

Hi Dr Holland (you might have noticed that I am from Holland, although presently living in the UK). The downside of sysops is, indeed, that they are not medically grounded. Frankly, I'm not sure if there are MD sysops around, and I do in fact wonder if a sysop would be needed for the things that we've been discussing (inserting "blue boxes", equalizing medical jargon, etc.)

I'd be delighted to see a good article on Celiac disease. There is, for example, nothing yet on tTG molecular mimicry etc. My best read on the subject recently was the review by Jabri and Green in The Lancet (2003).

My email is jfdwolff (a) doctors.org ; sadly, I'm not into Ham radio :-). JFW 21:14, 8 Apr 2004 (UTC)

A message over the WikiDoc network—
User:Ksheka is trying to move Heart attack to Myocardial infarction. This involves having the Redirect deleted at Myocardial infarction. Please vote for delete at: Wikipedia:Redirects_for_deletion#April_18.
JFW | T@lk 11:01, 22 Apr 2004 (UTC)

Bleeding

Hello Kd4ttc. Today I wrote a stubbly entry on Heyde's syndrome, which has been intriguing me for the past few months. I lack the expertise to say anything on the exact nature of angiodysplasia - would it be a generalisation to call them teleangiectasia of the gut? Do you have any pretty colonoscopy images? JFW | T@lk 13:29, 18 Apr 2004 (UTC)

Further to the above, I've done a basic rewrite on hepatitis. Any opinions? JFW | T@lk 14:11, 19 Apr 2004 (UTC)

Bad time this week. I will look next week. Steve Kd4ttc 03:09, 20 Apr 2004 (UTC)

Yow! Nicely done! on Heyde's syndrome. kudos!

I looked at both. Hepatitis needs a diagnosis section, and some slight changes from IgG antibodies to IgG anti-blahblahblah as appropriate. I'll get to the diagnosis section next week. Anyone can get specific on the IgG specificities. I dont have telangiectasia pics, but will get some in a short while. Kd4ttc 03:22, 20 Apr 2004 (UTC)

Thanks for the peer-review work (and the compliments). Concerning Heyde, a group from Canada (in Transfus Med Rev last year) maintains that high shear stress in the vasculature of the elderly might explain why they have a higher incidence of bleeding, even in the absence of aortic valve stenosis. We'll see— JFW | T@lk 03:29, 20 Apr 2004 (UTC)

Yes, that is an additional problem. The bleeding ofrom telangiectasias in the elderly can be a big problem. Interestingly, it will sometimes respond to estrogen adminitration. estrogen/progesterone combo BCP's are of use, using the high dose estrogen combo pills. Kd4ttc 20:18, 20 Apr 2004 (UTC)

Another review request

Hello Kd4ttc, I've just completed a huge revamp of the gastroesophageal reflux disease page, which was merged with gerd (no capitals), an older page that happened to contain an NIH patients' information document. There must be lots of little things I've inadvertedly left out. I'd be delighted if you could guide the way on this—
JFW | T@lk 00:42, 25 Apr 2004 (UTC)

Looks like were both hot on the GERD article! It needs more work. The main problem is it confuses heartburn with GERD. Also, it underestimates the aggressiveness needed to treat it. We'll keep working on it. Steve Kd4ttc 03:12, 25 Apr 2004 (UTC)

Uh, your editing basically reminded me of the many flaws I had left behind... Indeed, heartburn (or should we say pyrosis) deserves a seperate treatment, delineating the boundaries with GERD. JFW | T@lk 03:14, 25 Apr 2004 (UTC)

I basically like the article. I am going to add more to flesh out the heartburn part of it. Keeping it in the same article is of use. There is a line of thinking that does put chronic heartburn in the GERD group. Sort of GERD characterized by normal histology. Whether it is GERD is getting at semantics. I want to include the data on elevation of the head of the bed +/- H2 blockers being 95% effective. With OTC H2's now available in the US it is very cheap treatment. Kd4ttc 15:20, 26 Apr 2004 (UTC)

The H2 statistic is news to me, but it sounds great. I put in the highly selective vagotomy in as an historical anecdote—does it belong here or in the peptic ulcer page? JFW | T@lk 15:42, 26 Apr 2004 (UTC)

Both! It was better treatment for PUD. Was it really used for GERD? That was back when the Sippe diet was in vogue. Ah for the days of metabolic alkalosis! Re PUD: For antacids in PUD dosing 7 times a day needs to be mentioned, in contrast to H2 blockers BID, PPI q day, and eradication therapy 1 course. Kd4ttc 20:31, 26 Apr 2004 (UTC)

Is WikiDoc moving?

Please follow this link for some information.
JFW | T@lk 12:30, 3 May 2004 (UTC)

Hepatitis

Compliments on your improvements on hepatitis. I wrote a page on Non-alcoholic steatohepatitis a while back; would you mind checking if I made any mistakes (I've got little clinical experience with that disease).
JFW | T@lk 12:42, 7 May 2004 (UTC)

Yes, I'd be pleased to. I didn't know we had that. I'll link the hepatitis article subpart to the NASH article later. The NASH article you wrote is an excellent summary and hits a number of highlights. I'll just end up adding some flesh to it and a little perspective on NASH being the up and coming Hep C of the future. Steve Kd4ttc 22:06, 7 May 2004 (UTC)

Hi Steve, thanks for the talk page message. I spotted the either/or distiction in the cirrhosis section, and tried to preserve it during my editing spree. I'll have another go.
One of my first patients ever was an Indonesian immigrant who—in retrospect—probably had NASH. It's made me forever fascinated with liver disease (see alpha 1-antitrypsin deficiency).
JFW | T@lk 21:47, 8 May 2004 (UTC)

Bringing in New WikiDocs

While I'm all for expanding our numbers by looking for doctors and those that write medical articles on the wiki, I am personally a bit suspect of the amount of plagerized work User:Statkit1 has added to the wiki. As per his talk page, I'm probably not alone. Besides, I think it's moot, since his last edits were months ago. Ksheka 10:35, May 22, 2004 (UTC)

• Children start life doing reports by copying out of the encyclopedia. It is quite rational - why reinvent the wheel? The Chinese do not see see copyright the same way as we in the west do, they having a philosophy of freedom of knowledge. Isn't a person copying showing interest that could be directed to conformity with western standards of copyright respect? Kd4ttc 17:23, 22 May 2004 (UTC)

 :-) Ksheka 17:33, May 22, 2004 (UTC)

Is that a Buddha smile, a parent smile, or a colleague smile? Kd4ttc 19:50, 22 May 2004 (UTC)

Yes. Yes it is. Ksheka 19:59, May 22, 2004 (UTC)

 :-) Kd4ttc 23:32, 22 May 2004 (UTC)

Star Trek

Well, it is, after all, "the most popular science fiction franchise of the late 20th century."  :) Ensiform 22:59, 23 May 2004 (UTC)

Angiodysplasia

Please see... JFW | T@lk 22:36, 2 Jun 2004 (UTC)

Done. Thanks for the invitation. You do nice work. Ever try the estrogen trick? Kd4ttc 23:27, 2 Jun 2004 (UTC)

Estrogen... I forgot to mention that. I must admit I do not manage many patients myself at the moment; I'm just a mere "senior house officer" (=junior resident). JFW | T@lk 09:15, 3 Jun 2004 (UTC)

EGD

Steve, I finally wrote Esophagogastroduodenoscopy. Could you review and expand?? And link to that guy who invented fibreglass (Basil whatever)... JFW | T@lk 19:49, 3 Jun 2004 (UTC)

• More a title than an article, but then it was my job, anyway ;-). I plan on adding pics, history, complications, who does it, and some other details. Not a bad start, though. Are you in GB? Any chance you are at Royal Free and know Dame Sheila Sherlock? Kd4ttc 21:13, 3 Jun 2004 (UTC)

My compliments on EGD. I have done my usual editorial sweep. Please check if you can concur with my edits.
I happened to be in the Royal Free today, but I don't (yet) have Dame Sherlock's acquaintance. At the moment, I'm locumming, and I will start a full-time post in August... JFW | T@lk 23:28, 3 Jun 2004 (UTC)

• Oooh. Real nice. I like your editing style. You also cranked up the sophistication level a notch. We could use a few non-medical volunteers to see if we are at the right sophistication level. An ideal person would be a wikipedia user who had an EGD to see if we got the wanted info. By the way, we could use some nurses around here. They often do the brunt of teaching with patients. Kd4ttc 01:44, 4 Jun 2004 (UTC)

Mr Natural Health arbitration

Thank you for your additional complaint in this matter. I have moved it out of the section for votes and comments by arbitrators up to the complaint section. You are welcome to add evidence regarding the matter. Keep in mind, however that the arbitrators will (usually) not get into the content of articles, including links to arguably unrelated areas. The presence of the link to MNH's complementary medicine project will be left up to the editing process if possible. Fred Bauder 13:07, Jun 3, 2004 (UTC)

1. Fred: Thanks for taking the time to move my comment to the appropriate place. I think leaving that up to editing makes sense. Steve, Kd4ttc 20:32, 3 Jun 2004 (UTC)

Re: Mr-Natural-Health

crossposted to each others' talk pages; James F., Kd4ttc

Dear Mr. Forrester. I regret seeing the MNH matter come to the point it has, but thank you for being willing to participate in the process. I read the policy. Am I correct in understanding that at this point Accept votes means that the request for arbitration has been accepted by three committee members, but that at this time no decision has yet been made either to arbitrate or for a decision on what to do? I ask merely to understand the process, with comments regarding the matter on the arbitration page. Respectfully, Dr. Holland, Kd4ttc 03:19, 8 Jun 2004 (UTC)

Yes, that is indeed correct; until another Arbitrator votes to accept, or four Arbitrators vote to reject, or, indeed, if a sufficient number of Arbitrators recuse themselves, such as that quorate would fall to three.

I agree with you that it regretful that this particular disagreement, or, indeed, any such fraças, has been felt necessary to refer to the Arbitration Committee.

Yours,

James F. (talk) 09:29, 8 Jun 2004 (UTC)

Having said that, the case has now been accepted; see Wikipedia:Requests for arbitration/Mr-Natural-Health.

James F. (talk) 10:19, 8 Jun 2004 (UTC)

Re: Mr-Natural-Health's CAM tags

Crossposted from my talk page:

Thank you for adding an outside, neutral voice to the CAM tagging of articles. I agree with your advice, entirely. Kd4ttc 15:30, 6 Jun 2004 (UTC)

You are very welcome, Dr. Holland. Thank you for agreeing with my posting. I hope Mr-Natural-Health reads it, calms down and goes back to building Wikipages. However, not only has he ignored my posting, he has removed it without a single reply. I am rather disappointed. -- PFHLai 01:24, 2004 Jun 9 (UTC)

Thanks for noticing my contribution. I have some things I'd like to say about MNH too, but I think they're best left unsaid given the proceedings at the moment  ;o) It's a shame because it would be such a release to say them, grrrrr! --bodnotbod 00:05, Jun 10, 2004 (UTC)

Child-Pugh score

Is this correct? JFW | T@lk 21:43, 20 Jun 2004 (UTC)

Hey, you found my calculator! A better calculator is the autoimmune hepatitis calculater, my first Javascript program.

And have I made mistakes in ascites? JFW | T@lk 14:07, 23 Jun 2004 (UTC)

I added albumin gradient. Ascites is thought to follow hyperaldosteronism rather than preceed it. That pathophysiology paragraph needs a further tweak in that regard. Kd4ttc 00:32, 9 Jul 2004 (UTC) Ooops. Ascites preceeds the renal changes. Kd4ttc 23:40, 18 Jul 2004 (UTC)

Would you mind making the relevant additions? I'm not sure if I will get this right! There is also a lot to say about carcinomatous ascites - whether it is a production or a resorption problem, the role of VEGF and fenestrae in the vasculature... (Once heard a difficult talk about it.)JFW | T@lk 08:47, 9 Jul 2004 (UTC)

gedday

hey Steve, sorry to hear about the toad :-( Erich 07:31, 11 Jul 2004 (UTC)

Your condolences are warmly felt, even if related to the cold blooded. Kd4ttc 23:37, 18 Jul 2004 (UTC)