RE: (unknown)

[Guest guest]

Marie, that was not an attachment, that was a url to my web area where I

posted the picture on my ISP's server.

Mikey

At 07:17 PM 1/3/2001 -0500, you wrote:

>Well I usually don't open attachments abecause I am so paranoid, but I had

>to see what Sunset Orange Metallic looked like; It looks a lot better than

>it sounds! I like the wheels! marie I hope it is running good now!

> (unknown)

>

>

> >Hey, here's my new 2001 Chevy Silverado Z71. Still need a cap. Color

> >is Sunset Orange Metallic

> >

> >http://www.ccia.com/~ashley/datruck.jpg

> >

> >

> >

> >

> >

[Guest guest]

Marie, that was not an attachment, that was a url to my web area where I

posted the picture on my ISP's server.

Mikey

At 07:17 PM 1/3/2001 -0500, you wrote:

>Well I usually don't open attachments abecause I am so paranoid, but I had

>to see what Sunset Orange Metallic looked like; It looks a lot better than

>it sounds! I like the wheels! marie I hope it is running good now!

> (unknown)

>

>

> >Hey, here's my new 2001 Chevy Silverado Z71. Still need a cap. Color

> >is Sunset Orange Metallic

> >

> >http://www.ccia.com/~ashley/datruck.jpg

> >

> >

> >

> >

> >

[Guest guest]

Marie, that was not an attachment, that was a url to my web area where I

posted the picture on my ISP's server.

Mikey

At 07:17 PM 1/3/2001 -0500, you wrote:

>Well I usually don't open attachments abecause I am so paranoid, but I had

>to see what Sunset Orange Metallic looked like; It looks a lot better than

>it sounds! I like the wheels! marie I hope it is running good now!

> (unknown)

>

>

> >Hey, here's my new 2001 Chevy Silverado Z71. Still need a cap. Color

> >is Sunset Orange Metallic

> >

> >http://www.ccia.com/~ashley/datruck.jpg

> >

> >

> >

> >

> >

[Guest guest]

OOOH! I like the color! My hubby (Fred) says it's just like ours except

the color and you have skid pads (??) underneath -- must be plannin' a lot

of back country stuff, huh? Ours is a 3/4 ton so we can pull the 5th

Wheel -- we do a lot of camping.

Charlotte

(unknown)

> Hey, here's my new 2001 Chevy Silverado Z71. Still need a cap. Color

> is Sunset Orange Metallic

>

> http://www.ccia.com/~ashley/datruck.jpg

>

>

>

>

[Guest guest]

OOOH! I like the color! My hubby (Fred) says it's just like ours except

the color and you have skid pads (??) underneath -- must be plannin' a lot

of back country stuff, huh? Ours is a 3/4 ton so we can pull the 5th

Wheel -- we do a lot of camping.

Charlotte

(unknown)

> Hey, here's my new 2001 Chevy Silverado Z71. Still need a cap. Color

> is Sunset Orange Metallic

>

> http://www.ccia.com/~ashley/datruck.jpg

>

>

>

>

[Guest guest]

Some say that the cramps are caused by a lack of potassium. Try having

him eat a banana or two each day...see of that helps. And moist heat.

Carol

linda blank wrote:

Hi crew, Shane is getting a lot of

leg cramps is there anything that I can get him to help this, his first

surgery is in February and we don't go back to the Neuro untill the 29th

of this month, any suggestions? These cramps are affecting his sleep,

and this makes him very grumpy as he like his sleep time very much. Thanks

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

[Guest guest]

Some say that the cramps are caused by a lack of potassium. Try having

him eat a banana or two each day...see of that helps. And moist heat.

Carol

linda blank wrote:

Hi crew, Shane is getting a lot of

leg cramps is there anything that I can get him to help this, his first

surgery is in February and we don't go back to the Neuro untill the 29th

of this month, any suggestions? These cramps are affecting his sleep,

and this makes him very grumpy as he like his sleep time very much. Thanks

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

[Guest guest]

Some say that the cramps are caused by a lack of potassium. Try having

him eat a banana or two each day...see of that helps. And moist heat.

Carol

linda blank wrote:

Hi crew, Shane is getting a lot of

leg cramps is there anything that I can get him to help this, his first

surgery is in February and we don't go back to the Neuro untill the 29th

of this month, any suggestions? These cramps are affecting his sleep,

and this makes him very grumpy as he like his sleep time very much. Thanks

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

[Guest guest]

Potassium...hmmm. Keeps coming up

Marnie had posted that quinine was the only thing that helps her cramps. Which I found very interesting because the excessive proliferation and conductance of potassium in NF2 schwannomas can be reduced by quinidine.Quinidine blocks those K+(potassium)channels and reduces Nf2 schwannoma growth by up to 85%(only done on cell lines, ie. in vitro not tested in vivo yet)

Why don't you run this past a dr?????

Sorry to press a point guys, but I am curious enough about this to have a whole lot of blood tests done to see what is going on with potassium and other things.....

on 19/1/01 9:20 AM, Ken & Carol at horizons@... wrote:

Some say that the cramps are caused by a lack of potassium. Try having him eat a banana or two each day...see of that helps. And moist heat.

Carol

linda blank wrote:

Hi crew, Shane is getting a lot of leg cramps is there anything that I can get him to help this, his first surgery is in February and we don't go back to the Neuro untill the 29th of this month, any suggestions? These cramps are affecting his sleep, and this makes him very grumpy as he like his sleep time very much. Thanks

Get Your Private, Free E-mail from MSN Hotmail at http://www.hotmail.com.

[Guest guest]

Aliceanne, Basal and demand doses sounds right to me. Boy, that was driving me

nuts, sure couldn't find anything anywhere. Now, on your question about Ca and

what book to buy, I'm not sure what you mean because then you mention

Cardio/Pulmonary. When I see Ca, I think of cancer and I understand Stedman's

has a good new Oncology word book. The Cardio/Pulmonary word book is excellent

also, the new one will be out in June. Margaret

>>> Alice A Sawyer 05/22/01 04:51PM >>>

Do you think the basal andaman doses might be and demand doses?

Aliceanne

TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to

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[Guest guest]

Thanks. What I meant was this patient's cancer was in the lungs so I

thought maybe the Cardiology and Pulmonary book would have something on

oncology too.

Aliceanne

On Tue, 22 May 2001 17:00:01 -0400 " Margaret Grant "

writes:

> Aliceanne, Basal and demand doses sounds right to me. Boy, that was

> driving me nuts, sure couldn't find anything anywhere. Now, on your

> question about Ca and what book to buy, I'm not sure what you mean

> because then you mention Cardio/Pulmonary. When I see Ca, I think

> of cancer and I understand Stedman's has a good new Oncology word

> book. The Cardio/Pulmonary word book is excellent also, the new one

> will be out in June. Margaret

>

> >>> Alice A Sawyer 05/22/01 04:51PM >>>

> Do you think the basal andaman doses might be and demand doses?

> Aliceanne

>

> TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to

> nmtc-unsubscribe

>

> PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc

>

>

[Guest guest]

Thanks. What I meant was this patient's cancer was in the lungs so I

thought maybe the Cardiology and Pulmonary book would have something on

oncology too.

Aliceanne

On Tue, 22 May 2001 17:00:01 -0400 " Margaret Grant "

writes:

> Aliceanne, Basal and demand doses sounds right to me. Boy, that was

> driving me nuts, sure couldn't find anything anywhere. Now, on your

> question about Ca and what book to buy, I'm not sure what you mean

> because then you mention Cardio/Pulmonary. When I see Ca, I think

> of cancer and I understand Stedman's has a good new Oncology word

> book. The Cardio/Pulmonary word book is excellent also, the new one

> will be out in June. Margaret

>

> >>> Alice A Sawyer 05/22/01 04:51PM >>>

> Do you think the basal andaman doses might be and demand doses?

> Aliceanne

>

> TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to

> nmtc-unsubscribe

>

> PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc

>

>

[Guest guest]

Per my Lab/Path book that would be PCR (polymerase chain reaction). Margaret

>>> 06/04/01 04:53PM >>>

The LP that she had done in the emergency room was

consistent with aseptic meningitis; however, a *PCR*

done on the spinal fluid was inconclusive because of

sample inadequacy.

Not sure if this should be PCR or PCr.

Thanks for any help..

TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to

nmtc-unsubscribe

PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc

[Guest guest]

Hi! I did a search on Google of polymerase chain reaction and found that it

was associated in diagnosing viral illnesses such as aseptic meningitis.

So, I would go with PCR. Hope this helps!

(unknown)

The LP that she had done in the emergency room was

consistent with aseptic meningitis; however, a *PCR*

done on the spinal fluid was inconclusive because of

sample inadequacy.

Not sure if this should be PCR or PCr.

Thanks for any help..

TO REMOVE YOURSELF FROM THIS MAILING LIST send a blank email to

nmtc-unsubscribe

PLEASE VISIT THE NMTC WEB SITE - http://go.to/nmtc

[Guest guest]

Unfortunately, Senator Graham is correct. If you read the US Constitution as it

was written you will see the local EMS is a State issue....

BUT

SInce the Federal Government has intervened in everyother area of our lives

where they have no constitutional authority why draw the line here?

Dudley

[Guest guest]

I'm not a Constitutional expert, but I don't think the State has a mandate

constitutional or other wise, or we wouldn't have a problem. Real problem is we

are no ones mandated problem except by city ordinances. There was the EMS Act

(federal) of 1973.

Ron

Re: (unknown)

Unfortunately, Senator Graham is correct. If you read the US Constitution as

it was written you will see the local EMS is a State issue....

BUT

SInce the Federal Government has intervened in everyother area of our lives

where they have no constitutional authority why draw the line here?

Dudley

[Guest guest]

I do think the Fed's have a Constitutional Mandate to protect it's citizens

regardless of the threat.

Ron

Re: (unknown)

Unfortunately, Senator Graham is correct. If you read the US Constitution as

it was written you will see the local EMS is a State issue....

BUT

SInce the Federal Government has intervened in everyother area of our lives

where they have no constitutional authority why draw the line here?

Dudley

[Guest guest]

The more I think about Sen Gramm is perhaps right on the Constitution. Is he

obligated as a Senator from Texas to look after his constituents public health

and safety? I do not have a problem with Sen. Gramm as a person and he's done

allot of good, but let's remember who pays his check, and who his employer is,

as well all elected officials. So hang with those elected folks that allow EMS

to be a step child with low pay, and pick up the crums they throw you.

Ron

Re: (unknown)

Unfortunately, Senator Graham is correct. If you read the US Constitution as

it was written you will see the local EMS is a State issue....

BUT

SInce the Federal Government has intervened in everyother area of our lives

where they have no constitutional authority why draw the line here?

Dudley

[Guest guest]

I don't have stats but I just put together a short program on this subject.

If you would like a copy e-mail me privately and I'll fax you a copy.

wwiktorik@...

Wanda Wiktorik, RN

Trauma Coordinator

Trinity Medical Center

Brenham, Texas

> ----------

> From: Gene Bell[sMTP:emtgeno@...]

> Sent: Wednesday, August 15, 2001 9:12 AM

> To:

> Subject: (unknown)

>

> I am putting together a training program on how to recognize and avoid

> heat

> related illnesses for plant workers and would like to include stats on

> heat

> related illnesses and deaths this year. If anyone has any information in

> this regard, please forward it to me. Thanks.

>

> Gene Bell EMT-P

> Fire Chief

>

>

> _________________________________________________________________

> Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

>

>

>

>

>

[Guest guest]

Nope. Perfectly legal, as long as you can show that the information, if related

to patient health history, is only received by the involved crews (MDT, pager,

etc.) and not transmitted over public airwaves (anything that can be monitored

by a scanner and heard without decoding). Hazard information is always legal

and should probably (IMHO) be transmitted over radio so that anyone who could

possibly be responding hears it.

The crew is liable, however, for ensuring that the information is erased/deleted

so that nobody else can access it, otherwise HIPAA regs may come back to haunt

you.

Mike

(unknown)

I have a question that perhaps someone in the group could answer for my

chief...

Is there a specific law (state or federal) that prevents dispatch from

notifying incoming emergency crews of communicable disease status of

patients or of premise hazards. By 'notify' he means either through MDT,

radio or other electronic means.

Thanks for the help - I've always believed in going to the experts!!

_________________________________________________________________

Get your FREE download of MSN Explorer at http://explorer.msn.com/intl.asp

[Guest guest]

In a message dated 8/16/01 8:25:55 AM Pacific Daylight Time,

steve_dralle@... writes:

> That is not the understanding I have, I have been told by my EMD

> colleagues that they are not authorized to send that information to the

> crews by any method.

>

> Steve Dralle

>

>

Just as information, I know of one EMS service in the Dallas/Fort Worth area

that dispatches there units and if the patient is known to have Aids, HIV, or

other communicable disease have a code for it such as " Code 27 " . They seem

to work well using that system.

[Guest guest]

That is not the understanding I have, I have been told by my EMD

colleagues that they are not authorized to send that information to the

crews by any method.

Steve Dralle

Re: (unknown)

Nope. Perfectly legal, as long as you can show that the information, if

related to patient health history, is only received by the involved

crews (MDT, pager, etc.) and not transmitted over public airwaves

(anything that can be monitored by a scanner and heard without

decoding). Hazard information is always legal and should probably

(IMHO) be transmitted over radio so that anyone who could possibly be

responding hears it.

The crew is liable, however, for ensuring that the information is

erased/deleted so that nobody else can access it, otherwise HIPAA regs

may come back to haunt you.

Mike

(unknown)

I have a question that perhaps someone in the group could answer for

my

chief...

Is there a specific law (state or federal) that prevents dispatch from

notifying incoming emergency crews of communicable disease status of

patients or of premise hazards. By 'notify' he means either through

MDT,

radio or other electronic means.

Thanks for the help - I've always believed in going to the experts!!

_________________________________________________________________

Get your FREE download of MSN Explorer at

http://explorer.msn.com/intl.asp

[Guest guest]

I know of several systems that use this method. It was explained to me (by a

dispatch coordinator, not by a lawmaker) that as long as public-listenable

mechanisms were not used, that transmission of sensitive health-realted

information to answering crews was acceptable. As the information is pertinent

and clearly of medical use, and as the transfer of information between involved

providers is legal (and an EMD dispatcher is a in the provider chain), the real

barrier is usually finding an acceptable transmission-control method. MDT's are

nice because you can determine exactly who is receiving the message, and that

they received it. As long as the public must take steps to decode the message

(usually an illegal act in and of itself, intercepting and decoding

transmissions that are meant to be secured), it should be legal. Of course,

your mileage may vary.

Going by what you've been told, giving an MPD code over the air (say 26A26,

" penis problems " , a potentially embarassing thing to have known to everyone)

could constitute the same " offense " (being an offense to the person who called

and expected private treatment). Imagine the local newspaper listening to a

scanner and listing the address, time and determinant (in english) of every call

you make. Certainly legal (unless you use encoded transmissions)... many papers

publish run logs from public data. But just the same, it's health data...

should your crews not get determinants?

Mike

(unknown)

I have a question that perhaps someone in the group could answer for

my

chief...

Is there a specific law (state or federal) that prevents dispatch from

notifying incoming emergency crews of communicable disease status of

patients or of premise hazards. By 'notify' he means either through

MDT,

radio or other electronic means.

Thanks for the help - I've always believed in going to the experts!!

_________________________________________________________________

Get your FREE download of MSN Explorer at

http://explorer.msn.com/intl.asp

[Guest guest]

Thank you Mike,

What exactly are you going to do differently knowing this information enroute as

opposed to when you get on scene? IF you are told this info on the patient's

who volunteer it over the phone (and probably when you arrive on scene

too)...what about the scores of patient's who don't tell you until later in the

call IF at all?

One issue of giving out this information (as well as myriads of other

information such as " patient is ETOH " or " patient has no real complaints " , etc)

is it pre-disposes health care providers treatments. And with communicable

diseases, if it consciously or subconsciously predisposes your treatment, then

you are opening up a liability issue of discrimination.

I agree certain information is necessary such as a chief complaint, type of

call, and potential threats (guns, knives, baseball bats, etc) where we would

delay entry until PD arrives, but I cannot nor could I ever understand why we

need to know about communicable diseases prior to arrival.

Body Substance Isolation procedures must be used consistantly to be effective.

If you only use the equipment when you are told of a disease...again you are at

risk with many other patients who never tell you. It is like body armor, works

great if you wear it on EVERY call all the time....doesn't work too great when

you only put it on when the dispatcher tells you that there was a shooting or

stabbing....

Just my thoughts...

Dudley

[Guest guest]

Our EMD instructor states that even using a code is a violation, that you can

not put any information over any wireless transmission whether scrambled,

encoded, etc.. about a patients health history. If there is any possible way to

intercept the information, EMD courses state do not put the information out even

in code form because someone will eventually figure out your code.

Re: (unknown)

In a message dated 8/16/01 8:25:55 AM Pacific Daylight Time,

steve_dralle@... writes:

> That is not the understanding I have, I have been told by my EMD

> colleagues that they are not authorized to send that information to the

> crews by any method.

>

> Steve Dralle

>

>

Just as information, I know of one EMS service in the Dallas/Fort Worth area

that dispatches there units and if the patient is known to have Aids, HIV, or

other communicable disease have a code for it such as " Code 27 " . They seem

to work well using that system.