<article>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#article09_06_12_0352217</id>
	<title>Teen Diagnoses Her Own Disease In Science Class</title>
	<author>samzenpus</author>
	<datestamp>1244803080000</datestamp>
	<htmltext>18-year-old Jessica Terry suffered from stomach pain, diarrhea, vomiting and fever for eight years. She often missed school and her doctors were unable to figure out the cause of her sickness. Then one day in January someone was finally <a href="http://www.cnn.com/2009/HEALTH/06/11/teen.self.diagnosis/index.html">figured out what was wrong with Jessica</a>. That person was her. While looking under a microscope at slides of her own intestinal tissue in her AP science class, Jessica noticed an area of inflamed tissue called a granuloma, which is an indication of Crohn's disease. "It's weird I had to solve my own medical problem," Terry told CNN affiliate KOMO in Seattle, Washington. "There were just no answers anywhere. ... I was always sick."</htmltext>
<tokenext>18-year-old Jessica Terry suffered from stomach pain , diarrhea , vomiting and fever for eight years .
She often missed school and her doctors were unable to figure out the cause of her sickness .
Then one day in January someone was finally figured out what was wrong with Jessica .
That person was her .
While looking under a microscope at slides of her own intestinal tissue in her AP science class , Jessica noticed an area of inflamed tissue called a granuloma , which is an indication of Crohn 's disease .
" It 's weird I had to solve my own medical problem , " Terry told CNN affiliate KOMO in Seattle , Washington .
" There were just no answers anywhere .
... I was always sick .
"</tokentext>
<sentencetext>18-year-old Jessica Terry suffered from stomach pain, diarrhea, vomiting and fever for eight years.
She often missed school and her doctors were unable to figure out the cause of her sickness.
Then one day in January someone was finally figured out what was wrong with Jessica.
That person was her.
While looking under a microscope at slides of her own intestinal tissue in her AP science class, Jessica noticed an area of inflamed tissue called a granuloma, which is an indication of Crohn's disease.
"It's weird I had to solve my own medical problem," Terry told CNN affiliate KOMO in Seattle, Washington.
"There were just no answers anywhere.
... I was always sick.
"</sentencetext>
</article>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308663</id>
	<title>Re:Surprised?</title>
	<author>mickisdaddy</author>
	<datestamp>1244823300000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>I had my thyroid removed 6 years ago and had to start taking thryroid pills.  I started having symptoms of the thyroid hormone being off, but my doctor said the levels were fine.  He wanted to give me medicine for depression, insomnia, etc rather than try adjusting my thyroid meds.  I fired his but right then and there.</htmltext>
<tokenext>I had my thyroid removed 6 years ago and had to start taking thryroid pills .
I started having symptoms of the thyroid hormone being off , but my doctor said the levels were fine .
He wanted to give me medicine for depression , insomnia , etc rather than try adjusting my thyroid meds .
I fired his but right then and there .</tokentext>
<sentencetext>I had my thyroid removed 6 years ago and had to start taking thryroid pills.
I started having symptoms of the thyroid hormone being off, but my doctor said the levels were fine.
He wanted to give me medicine for depression, insomnia, etc rather than try adjusting my thyroid meds.
I fired his but right then and there.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</id>
	<title>The article says they had been taken for pathology</title>
	<author>Anonymous</author>
	<datestamp>1244809560000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>5</modscore>
	<htmltext>She obviously just requested her own tissues, RTFA<br> <br> <i>"she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal</i>"</htmltext>
<tokenext>She obviously just requested her own tissues , RTFA " she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal "</tokentext>
<sentencetext>She obviously just requested her own tissues, RTFA  "she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal"</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305951</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</id>
	<title>So what</title>
	<author>Rosco P. Coltrane</author>
	<datestamp>1244807280000</datestamp>
	<modclass>Funny</modclass>
	<modscore>4</modscore>
	<htmltext><p>I diagnoezd my own disleksya at skool yeers ago. Since zen I'v goten a lott beter.</p></htmltext>
<tokenext>I diagnoezd my own disleksya at skool yeers ago .
Since zen I'v goten a lott beter .</tokentext>
<sentencetext>I diagnoezd my own disleksya at skool yeers ago.
Since zen I'v goten a lott beter.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28312541</id>
	<title>They have tests for that...</title>
	<author>Anonymous</author>
	<datestamp>1244838180000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I was diagnosed with Crohn's disease about 40 years ago, after years of symptoms similar to Jessica's.  When I finally decided it *wasn't* something I ate, and contacted my doctor, he made arrangements for me to see a specialist, and the specialist determined through various tests that I did indeed have the disease.  It's not surprising that Jessica's doctors missed the diagnosis early on, but after far less than 8 years I would think someone with specific training in gastroenterology  would be called in.  Now that she knows what she's dealing with, I wish her best luck with managing this fairly tedious condition.</p></htmltext>
<tokenext>I was diagnosed with Crohn 's disease about 40 years ago , after years of symptoms similar to Jessica 's .
When I finally decided it * was n't * something I ate , and contacted my doctor , he made arrangements for me to see a specialist , and the specialist determined through various tests that I did indeed have the disease .
It 's not surprising that Jessica 's doctors missed the diagnosis early on , but after far less than 8 years I would think someone with specific training in gastroenterology would be called in .
Now that she knows what she 's dealing with , I wish her best luck with managing this fairly tedious condition .</tokentext>
<sentencetext>I was diagnosed with Crohn's disease about 40 years ago, after years of symptoms similar to Jessica's.
When I finally decided it *wasn't* something I ate, and contacted my doctor, he made arrangements for me to see a specialist, and the specialist determined through various tests that I did indeed have the disease.
It's not surprising that Jessica's doctors missed the diagnosis early on, but after far less than 8 years I would think someone with specific training in gastroenterology  would be called in.
Now that she knows what she's dealing with, I wish her best luck with managing this fairly tedious condition.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28316265</id>
	<title>Re:Remeber it is practicing</title>
	<author>Nekomusume</author>
	<datestamp>1244815440000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>There's also the fact that a lot of doctors are lazy. Once they have defined the problem, they stop looking, even if the medical definition of the problem is the name for the collection of symptoms, rather than any given cause for that collection of symptoms.</p><p>I read a book some time back regarding ADD/ADHD. The author, a doctor, gave all kinds of examples of kids that had been diagnosed with ADD/ADHD, but rather than stopping there, and just throwing ritalyn at them, he actually took the time to investigate and found various causes for the symptoms, and treated those causes instead of just masking the symptoms with ritalyn.</p></htmltext>
<tokenext>There 's also the fact that a lot of doctors are lazy .
Once they have defined the problem , they stop looking , even if the medical definition of the problem is the name for the collection of symptoms , rather than any given cause for that collection of symptoms.I read a book some time back regarding ADD/ADHD .
The author , a doctor , gave all kinds of examples of kids that had been diagnosed with ADD/ADHD , but rather than stopping there , and just throwing ritalyn at them , he actually took the time to investigate and found various causes for the symptoms , and treated those causes instead of just masking the symptoms with ritalyn .</tokentext>
<sentencetext>There's also the fact that a lot of doctors are lazy.
Once they have defined the problem, they stop looking, even if the medical definition of the problem is the name for the collection of symptoms, rather than any given cause for that collection of symptoms.I read a book some time back regarding ADD/ADHD.
The author, a doctor, gave all kinds of examples of kids that had been diagnosed with ADD/ADHD, but rather than stopping there, and just throwing ritalyn at them, he actually took the time to investigate and found various causes for the symptoms, and treated those causes instead of just masking the symptoms with ritalyn.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28313037</id>
	<title>Re:How to get intestine cell?</title>
	<author>fredrickleo</author>
	<datestamp>1244839920000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>How does one obtain one's own intestine cells? Direct on the point answer please, thanks!</p></div><p>She had sample slides that had previously been taken by her pathologist.


How her pathologist got them? I'm not a doctor and I've never had an intestinal sample taken.</p></div>
	</htmltext>
<tokenext>How does one obtain one 's own intestine cells ?
Direct on the point answer please , thanks ! She had sample slides that had previously been taken by her pathologist .
How her pathologist got them ?
I 'm not a doctor and I 've never had an intestinal sample taken .</tokentext>
<sentencetext>How does one obtain one's own intestine cells?
Direct on the point answer please, thanks!She had sample slides that had previously been taken by her pathologist.
How her pathologist got them?
I'm not a doctor and I've never had an intestinal sample taken.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305965</id>
	<title>Hmm... pretty self-evident</title>
	<author>Anonymous</author>
	<datestamp>1244807460000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Having ulcerative colitis and having had had my colon removed due to colon cancer which was caused by it, I could have told her without even looking at the microscope that she had either ulcerative colitis or Crohn's. I don't know what makes it so incredibly hard for doctors to diagnose. In my case I had symptoms for about 6 months before I realized that I must have either one. From this point on it took 4 different doctors before they could tell what it was. The first 3 were just incompetent morons thinking that "hey, I don't see any hemorrhoids in your ass, but you're bleeding from your ass, so it has to be hemorrhoids!".</p><p>In my case I had my samples misdiagnosed by the first pathologist, but pressed my doctor to send them to another one. He immediately recognized what it was and even told my I had developed dysplasia which later developed to cancer. Way to go doctors!</p></htmltext>
<tokenext>Having ulcerative colitis and having had had my colon removed due to colon cancer which was caused by it , I could have told her without even looking at the microscope that she had either ulcerative colitis or Crohn 's .
I do n't know what makes it so incredibly hard for doctors to diagnose .
In my case I had symptoms for about 6 months before I realized that I must have either one .
From this point on it took 4 different doctors before they could tell what it was .
The first 3 were just incompetent morons thinking that " hey , I do n't see any hemorrhoids in your ass , but you 're bleeding from your ass , so it has to be hemorrhoids !
" .In my case I had my samples misdiagnosed by the first pathologist , but pressed my doctor to send them to another one .
He immediately recognized what it was and even told my I had developed dysplasia which later developed to cancer .
Way to go doctors !</tokentext>
<sentencetext>Having ulcerative colitis and having had had my colon removed due to colon cancer which was caused by it, I could have told her without even looking at the microscope that she had either ulcerative colitis or Crohn's.
I don't know what makes it so incredibly hard for doctors to diagnose.
In my case I had symptoms for about 6 months before I realized that I must have either one.
From this point on it took 4 different doctors before they could tell what it was.
The first 3 were just incompetent morons thinking that "hey, I don't see any hemorrhoids in your ass, but you're bleeding from your ass, so it has to be hemorrhoids!
".In my case I had my samples misdiagnosed by the first pathologist, but pressed my doctor to send them to another one.
He immediately recognized what it was and even told my I had developed dysplasia which later developed to cancer.
Way to go doctors!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307743</id>
	<title>Re:Doesn't surprise me.</title>
	<author>an unsound mind</author>
	<datestamp>1244819940000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>As someone who has suffered from incredible pain and fatigue for six years now - I do feel much the same.</p><p>I got labeled a fat hypochondriac and was suggested exercise and whining less. Eventually, the real cause was discovered - congenital brain damage.</p></htmltext>
<tokenext>As someone who has suffered from incredible pain and fatigue for six years now - I do feel much the same.I got labeled a fat hypochondriac and was suggested exercise and whining less .
Eventually , the real cause was discovered - congenital brain damage .</tokentext>
<sentencetext>As someone who has suffered from incredible pain and fatigue for six years now - I do feel much the same.I got labeled a fat hypochondriac and was suggested exercise and whining less.
Eventually, the real cause was discovered - congenital brain damage.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306451</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306217</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Thanshin</author>
	<datestamp>1244810040000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>Life isn't black and white</p></div><p>Unless you suffer from a severe case of color blindness.</p><p>Or you're blind and have an electronic vision implant.</p><p>Or you're not human but a member of some creature that only sees the presence or absence of light.</p><p>Or you're a radical fanboy of a certain game, fruit of the forbidden union of Populous and a Tamagochi.</p></div>
	</htmltext>
<tokenext>Life is n't black and whiteUnless you suffer from a severe case of color blindness.Or you 're blind and have an electronic vision implant.Or you 're not human but a member of some creature that only sees the presence or absence of light.Or you 're a radical fanboy of a certain game , fruit of the forbidden union of Populous and a Tamagochi .</tokentext>
<sentencetext>Life isn't black and whiteUnless you suffer from a severe case of color blindness.Or you're blind and have an electronic vision implant.Or you're not human but a member of some creature that only sees the presence or absence of light.Or you're a radical fanboy of a certain game, fruit of the forbidden union of Populous and a Tamagochi.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305951</id>
	<title>Where did she get the intestinal tissue?</title>
	<author>Anonymous</author>
	<datestamp>1244807340000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p><i>While looking under a microscope at slides of her own intestinal tissue in her AP science class</i></p></htmltext>
<tokenext>While looking under a microscope at slides of her own intestinal tissue in her AP science class</tokentext>
<sentencetext>While looking under a microscope at slides of her own intestinal tissue in her AP science class</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308137</id>
	<title>Re:The fresh pair of eyes have it</title>
	<author>ceoyoyo</author>
	<datestamp>1244821260000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Someone with a lot of time on their hands can comb through a microscope slide very thoroughly too, while a pathologist really doesn't have a week to spend on one patient.</p></htmltext>
<tokenext>Someone with a lot of time on their hands can comb through a microscope slide very thoroughly too , while a pathologist really does n't have a week to spend on one patient .</tokentext>
<sentencetext>Someone with a lot of time on their hands can comb through a microscope slide very thoroughly too, while a pathologist really doesn't have a week to spend on one patient.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305973</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306457</id>
	<title>Re:The fresh pair of eyes have it</title>
	<author>GaryOlson</author>
	<datestamp>1244812680000</datestamp>
	<modclass>Troll</modclass>
	<modscore>0</modscore>
	<htmltext>Dr Cavell -- the Slashot OSS doctor.<br>
Do you have a CVS where I can upload by medical records and lab samples for a second opinion? Has anyone seen a Subversion plugin for lab samples?</htmltext>
<tokenext>Dr Cavell -- the Slashot OSS doctor .
Do you have a CVS where I can upload by medical records and lab samples for a second opinion ?
Has anyone seen a Subversion plugin for lab samples ?</tokentext>
<sentencetext>Dr Cavell -- the Slashot OSS doctor.
Do you have a CVS where I can upload by medical records and lab samples for a second opinion?
Has anyone seen a Subversion plugin for lab samples?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305973</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305975</id>
	<title>wtf?</title>
	<author>Anonymous</author>
	<datestamp>1244807520000</datestamp>
	<modclass>Redundant</modclass>
	<modscore>-1</modscore>
	<htmltext>8 years of the disease? And diagnosed by an 18 year old with a school microscope? <br> Damn, shouldn't she be able to sue the doctors that had no clue how to diagnose her?</htmltext>
<tokenext>8 years of the disease ?
And diagnosed by an 18 year old with a school microscope ?
Damn , should n't she be able to sue the doctors that had no clue how to diagnose her ?</tokentext>
<sentencetext>8 years of the disease?
And diagnosed by an 18 year old with a school microscope?
Damn, shouldn't she be able to sue the doctors that had no clue how to diagnose her?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306717</id>
	<title>Oh, gross.</title>
	<author>Logical Zebra</author>
	<datestamp>1244814600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>While looking under a microscope at slides of her own intestinal tissue in her AP science class...</p></div><p>How the hell do you get samples of your own intestinal tissue?  And in AP science class to boot?</p></div>
	</htmltext>
<tokenext>While looking under a microscope at slides of her own intestinal tissue in her AP science class...How the hell do you get samples of your own intestinal tissue ?
And in AP science class to boot ?</tokentext>
<sentencetext>While looking under a microscope at slides of her own intestinal tissue in her AP science class...How the hell do you get samples of your own intestinal tissue?
And in AP science class to boot?
	</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309241</id>
	<title>9 out of 10 doctors agree...</title>
	<author>mypalmike</author>
	<datestamp>1244825940000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>1.  Get your money.  (Profit!)<br>2.  Next patient.<br>3.  Repeat.</p></htmltext>
<tokenext>1 .
Get your money .
( Profit ! ) 2. Next patient.3 .
Repeat .</tokentext>
<sentencetext>1.
Get your money.
(Profit!)2.  Next patient.3.
Repeat.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308891</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244824320000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I'm a Systems Engineer.  I have a considerable amount of education.  I find it laughable when I see doctor's trying to diagnose a rare disease.  They rarely follow a methodology of any sort.  Logic seems to escape them.  I have been sick for over a year and finally diagnosed myself with a rare form of virus (CMV).  I asked my doctor to test me for it and the test came back positive.  Needless to say that I have wasted over 6 months seeing "specialists" of every sort.  None of them ever pulled out a book or did any research - they more or less guessed at would the problem could be.  It would seem that they no longer (if they ever did) teach research methods or problem determination in medical school.</p><p>Very disappointing.....</p></htmltext>
<tokenext>I 'm a Systems Engineer .
I have a considerable amount of education .
I find it laughable when I see doctor 's trying to diagnose a rare disease .
They rarely follow a methodology of any sort .
Logic seems to escape them .
I have been sick for over a year and finally diagnosed myself with a rare form of virus ( CMV ) .
I asked my doctor to test me for it and the test came back positive .
Needless to say that I have wasted over 6 months seeing " specialists " of every sort .
None of them ever pulled out a book or did any research - they more or less guessed at would the problem could be .
It would seem that they no longer ( if they ever did ) teach research methods or problem determination in medical school.Very disappointing.... .</tokentext>
<sentencetext>I'm a Systems Engineer.
I have a considerable amount of education.
I find it laughable when I see doctor's trying to diagnose a rare disease.
They rarely follow a methodology of any sort.
Logic seems to escape them.
I have been sick for over a year and finally diagnosed myself with a rare form of virus (CMV).
I asked my doctor to test me for it and the test came back positive.
Needless to say that I have wasted over 6 months seeing "specialists" of every sort.
None of them ever pulled out a book or did any research - they more or less guessed at would the problem could be.
It would seem that they no longer (if they ever did) teach research methods or problem determination in medical school.Very disappointing.....</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</id>
	<title>Remeber it is practicing</title>
	<author>Anonymous</author>
	<datestamp>1244820300000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>5</modscore>
	<htmltext><p>This is why they call it 'practicing medicine'. Not many Doctors are that good at it yet.</p><p>Seriously. The most common form of practicing medicine is actually better phrased as 'statistical medicine'. If you have a complaint with a set of symptoms, the Doctor will look at your overall and family health history, your age and basically look at what is most likely to be the diagnosis. If your real issue is not blatantly obvious to see, or you just happen to be unfortunate enough not to fit this well oiled set of statistics. Then you are likely to go undiagnosed. Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside. They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.</p><p>The practice of practicing statistical medicine is well known in the profession. There is plenty of literature within the various disciplines about the situation and costs involved. What I don't understand is that the title should not have been this individual diagnosed herself. More appropriately. 'How many patients routinely find the cause of their illness' before the medical profession does, like this woman did. I would hazard a guess that a 'Specialist' level of failure is statistically related to the statistics they use, on your specific complaint. To put it another way. If we still deal with only the specialist level of care, then over one year period. If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1\% chance of hitting that age group. But for argument sake all actually have this disease. He will either get only 1 wrong or he will get it wrong for all but one. Guess what really happens? Use statistics if you wish.<nobr> <wbr></nobr>:)</p></htmltext>
<tokenext>This is why they call it 'practicing medicine' .
Not many Doctors are that good at it yet.Seriously .
The most common form of practicing medicine is actually better phrased as 'statistical medicine' .
If you have a complaint with a set of symptoms , the Doctor will look at your overall and family health history , your age and basically look at what is most likely to be the diagnosis .
If your real issue is not blatantly obvious to see , or you just happen to be unfortunate enough not to fit this well oiled set of statistics .
Then you are likely to go undiagnosed .
Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside .
They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.The practice of practicing statistical medicine is well known in the profession .
There is plenty of literature within the various disciplines about the situation and costs involved .
What I do n't understand is that the title should not have been this individual diagnosed herself .
More appropriately .
'How many patients routinely find the cause of their illness ' before the medical profession does , like this woman did .
I would hazard a guess that a 'Specialist ' level of failure is statistically related to the statistics they use , on your specific complaint .
To put it another way .
If we still deal with only the specialist level of care , then over one year period .
If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1 \ % chance of hitting that age group .
But for argument sake all actually have this disease .
He will either get only 1 wrong or he will get it wrong for all but one .
Guess what really happens ?
Use statistics if you wish .
: )</tokentext>
<sentencetext>This is why they call it 'practicing medicine'.
Not many Doctors are that good at it yet.Seriously.
The most common form of practicing medicine is actually better phrased as 'statistical medicine'.
If you have a complaint with a set of symptoms, the Doctor will look at your overall and family health history, your age and basically look at what is most likely to be the diagnosis.
If your real issue is not blatantly obvious to see, or you just happen to be unfortunate enough not to fit this well oiled set of statistics.
Then you are likely to go undiagnosed.
Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside.
They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.The practice of practicing statistical medicine is well known in the profession.
There is plenty of literature within the various disciplines about the situation and costs involved.
What I don't understand is that the title should not have been this individual diagnosed herself.
More appropriately.
'How many patients routinely find the cause of their illness' before the medical profession does, like this woman did.
I would hazard a guess that a 'Specialist' level of failure is statistically related to the statistics they use, on your specific complaint.
To put it another way.
If we still deal with only the specialist level of care, then over one year period.
If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1\% chance of hitting that age group.
But for argument sake all actually have this disease.
He will either get only 1 wrong or he will get it wrong for all but one.
Guess what really happens?
Use statistics if you wish.
:)</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308915</id>
	<title>Re:What did they think it was?</title>
	<author>Anonymous</author>
	<datestamp>1244824440000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><i>Three possibilities is not a diagnosis</i></p><p>No, but it should give you three tests to run to figure out what's going on.</p></htmltext>
<tokenext>Three possibilities is not a diagnosisNo , but it should give you three tests to run to figure out what 's going on .</tokentext>
<sentencetext>Three possibilities is not a diagnosisNo, but it should give you three tests to run to figure out what's going on.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308157</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244807640000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>4</modscore>
	<htmltext><p>I've been struggling with lactose intolerance for a similar period of time and also had similar, unsatisfactory, experiences with doctors.</p><p>The one to diagnose it, finally, was me with a little help from Dr. Google.</p><p>My wife has made similar experiences with gynaecologists. Some were actually telling her that the pill had no side-effects. Unbelievable, really.<br>Also, some doctors she consulted and whom prescribed drugs would say that said drugs did not interfere with the pill, when, clearly stated in the package insert, they did.</p></htmltext>
<tokenext>I 've been struggling with lactose intolerance for a similar period of time and also had similar , unsatisfactory , experiences with doctors.The one to diagnose it , finally , was me with a little help from Dr. Google.My wife has made similar experiences with gynaecologists .
Some were actually telling her that the pill had no side-effects .
Unbelievable , really.Also , some doctors she consulted and whom prescribed drugs would say that said drugs did not interfere with the pill , when , clearly stated in the package insert , they did .</tokentext>
<sentencetext>I've been struggling with lactose intolerance for a similar period of time and also had similar, unsatisfactory, experiences with doctors.The one to diagnose it, finally, was me with a little help from Dr. Google.My wife has made similar experiences with gynaecologists.
Some were actually telling her that the pill had no side-effects.
Unbelievable, really.Also, some doctors she consulted and whom prescribed drugs would say that said drugs did not interfere with the pill, when, clearly stated in the package insert, they did.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305927</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311015</id>
	<title>Seems obvious</title>
	<author>1s44c</author>
	<datestamp>1244832600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>chronic stomach pain<br>chronic diarrhea<br>chronic vomiting<br>chronic fever</p><p>I'm no doctor but that reads like a list of Crohn's symptoms to me. Maybe what she really needs is a better GP.</p></htmltext>
<tokenext>chronic stomach painchronic diarrheachronic vomitingchronic feverI 'm no doctor but that reads like a list of Crohn 's symptoms to me .
Maybe what she really needs is a better GP .</tokentext>
<sentencetext>chronic stomach painchronic diarrheachronic vomitingchronic feverI'm no doctor but that reads like a list of Crohn's symptoms to me.
Maybe what she really needs is a better GP.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306533</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244813340000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>If you are going to become a doctor in short time, please look up on the use of immunosupressants and their side effects, versus the use of cannabis and the side effects.  No, I'm not trolling, I'm not trying to be a smart ass, and I'm not trying to knock you around.  The use of immunosupressants and steroids for Crohn's is the textbook answer.  But it just doesn't work.  If you ever have a patient with Crohn's and you treat them that way, you can be pretty sure to see them in ICU eventually.  Most likely it will be curable (but painful), but eventually there is a high probability that the day will come when it is fatal.  With the use of cannabis, you may not even see the patient for 10 years while they go on with their lives as if there's nothing wrong.  Depending on where you live, it may not be easy, practical, or even legal to prescribe or even suggest cannabis, but please do keep it in mind.  Don't take my word for it though, look it up.</p></htmltext>
<tokenext>If you are going to become a doctor in short time , please look up on the use of immunosupressants and their side effects , versus the use of cannabis and the side effects .
No , I 'm not trolling , I 'm not trying to be a smart ass , and I 'm not trying to knock you around .
The use of immunosupressants and steroids for Crohn 's is the textbook answer .
But it just does n't work .
If you ever have a patient with Crohn 's and you treat them that way , you can be pretty sure to see them in ICU eventually .
Most likely it will be curable ( but painful ) , but eventually there is a high probability that the day will come when it is fatal .
With the use of cannabis , you may not even see the patient for 10 years while they go on with their lives as if there 's nothing wrong .
Depending on where you live , it may not be easy , practical , or even legal to prescribe or even suggest cannabis , but please do keep it in mind .
Do n't take my word for it though , look it up .</tokentext>
<sentencetext>If you are going to become a doctor in short time, please look up on the use of immunosupressants and their side effects, versus the use of cannabis and the side effects.
No, I'm not trolling, I'm not trying to be a smart ass, and I'm not trying to knock you around.
The use of immunosupressants and steroids for Crohn's is the textbook answer.
But it just doesn't work.
If you ever have a patient with Crohn's and you treat them that way, you can be pretty sure to see them in ICU eventually.
Most likely it will be curable (but painful), but eventually there is a high probability that the day will come when it is fatal.
With the use of cannabis, you may not even see the patient for 10 years while they go on with their lives as if there's nothing wrong.
Depending on where you live, it may not be easy, practical, or even legal to prescribe or even suggest cannabis, but please do keep it in mind.
Don't take my word for it though, look it up.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306067</id>
	<title>Re:So what</title>
	<author>Thanshin</author>
	<datestamp>1244808300000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>I diagnoezd my own disleksya at skool yeers ago. Since zen I'v goten a lott beter.</p></div><p>Ha ha, yu rote "dysleksia" uith teh "i" frist!</p><p>Yur dumb.</p></div>
	</htmltext>
<tokenext>I diagnoezd my own disleksya at skool yeers ago .
Since zen I'v goten a lott beter.Ha ha , yu rote " dysleksia " uith teh " i " frist ! Yur dumb .</tokentext>
<sentencetext>I diagnoezd my own disleksya at skool yeers ago.
Since zen I'v goten a lott beter.Ha ha, yu rote "dysleksia" uith teh "i" frist!Yur dumb.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28328257</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1245010620000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>When I was a child I was lactose intolerant, every night I suffered from stomach aches and would mostly cry myself to sleep. It took many doctors to figure out I was lactose intolerant. Which hits a nerve with me because no one in my family has ever been lactose intolerant; and they shouldn't rely so much on family history.</p></htmltext>
<tokenext>When I was a child I was lactose intolerant , every night I suffered from stomach aches and would mostly cry myself to sleep .
It took many doctors to figure out I was lactose intolerant .
Which hits a nerve with me because no one in my family has ever been lactose intolerant ; and they should n't rely so much on family history .</tokentext>
<sentencetext>When I was a child I was lactose intolerant, every night I suffered from stomach aches and would mostly cry myself to sleep.
It took many doctors to figure out I was lactose intolerant.
Which hits a nerve with me because no one in my family has ever been lactose intolerant; and they shouldn't rely so much on family history.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308659</id>
	<title>Re:Surprised?</title>
	<author>pogle</author>
	<datestamp>1244823300000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>You are essentially correct.  I suffer from Chrohn's myself, and was only diagnosed about 2 years ago (I'm 27 now).  I had periods of chronic flareups, including what I thought at the time were incidences of food poisoning, as far back as when I was 14.  I never even saw a doctor for most of it.  I ascribed it to certain foods (I suspected a lactose intolerance or possible issues with starch), and just tried to avoid stuff that 'didnt agree with me'.</p><p>When I finally saw a doctor at the ER it was because I had a flareup that didn't end for several months, and was unable to eat towards the end and keep it down.  The ER gave a tentative diagnosis as Chrohn's, but I was literally moving 2 states away the next day, and at the new location it took a specialist a further 2 months to confirm for sure it was Crohn's.  They basically went with a process of elimination, dropping possible causes one by one, til Crohn's was really all that was left.</p><p>It seems to be one of those conditions (of course there are many) which isn't fully understood, and theres only a slowly growing awareness about it; I see more and more stuff on it recently that wasn't around a couple years ago.  Its not surprising that she went so long without a proper diagnosis given the way it behaves.</p><p>I just wish there was a more reliable way of treating it when the diagnosis is finally made, and since that girl seems to have a pretty bad case, I wish her luck.  I've been on prednisone for 2 years now, and the side effects from it are most unpleasant, but its the only thing thats worked.</p></htmltext>
<tokenext>You are essentially correct .
I suffer from Chrohn 's myself , and was only diagnosed about 2 years ago ( I 'm 27 now ) .
I had periods of chronic flareups , including what I thought at the time were incidences of food poisoning , as far back as when I was 14 .
I never even saw a doctor for most of it .
I ascribed it to certain foods ( I suspected a lactose intolerance or possible issues with starch ) , and just tried to avoid stuff that 'didnt agree with me'.When I finally saw a doctor at the ER it was because I had a flareup that did n't end for several months , and was unable to eat towards the end and keep it down .
The ER gave a tentative diagnosis as Chrohn 's , but I was literally moving 2 states away the next day , and at the new location it took a specialist a further 2 months to confirm for sure it was Crohn 's .
They basically went with a process of elimination , dropping possible causes one by one , til Crohn 's was really all that was left.It seems to be one of those conditions ( of course there are many ) which is n't fully understood , and theres only a slowly growing awareness about it ; I see more and more stuff on it recently that was n't around a couple years ago .
Its not surprising that she went so long without a proper diagnosis given the way it behaves.I just wish there was a more reliable way of treating it when the diagnosis is finally made , and since that girl seems to have a pretty bad case , I wish her luck .
I 've been on prednisone for 2 years now , and the side effects from it are most unpleasant , but its the only thing thats worked .</tokentext>
<sentencetext>You are essentially correct.
I suffer from Chrohn's myself, and was only diagnosed about 2 years ago (I'm 27 now).
I had periods of chronic flareups, including what I thought at the time were incidences of food poisoning, as far back as when I was 14.
I never even saw a doctor for most of it.
I ascribed it to certain foods (I suspected a lactose intolerance or possible issues with starch), and just tried to avoid stuff that 'didnt agree with me'.When I finally saw a doctor at the ER it was because I had a flareup that didn't end for several months, and was unable to eat towards the end and keep it down.
The ER gave a tentative diagnosis as Chrohn's, but I was literally moving 2 states away the next day, and at the new location it took a specialist a further 2 months to confirm for sure it was Crohn's.
They basically went with a process of elimination, dropping possible causes one by one, til Crohn's was really all that was left.It seems to be one of those conditions (of course there are many) which isn't fully understood, and theres only a slowly growing awareness about it; I see more and more stuff on it recently that wasn't around a couple years ago.
Its not surprising that she went so long without a proper diagnosis given the way it behaves.I just wish there was a more reliable way of treating it when the diagnosis is finally made, and since that girl seems to have a pretty bad case, I wish her luck.
I've been on prednisone for 2 years now, and the side effects from it are most unpleasant, but its the only thing thats worked.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28312025</id>
	<title>Wait, a minute...</title>
	<author>Anonymous</author>
	<datestamp>1244836440000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>"While looking under a microscope at slides of her own intestinal tissue"...</p><p>Are we really supposed to believe that a teenager actually *biopsied her own intestines* for a high-school science class?  It's one thing to take a sample of epithelial tissue by swabbing one's cheeks...  the intestines are a bit more difficult to get to.</p></htmltext>
<tokenext>" While looking under a microscope at slides of her own intestinal tissue " ...Are we really supposed to believe that a teenager actually * biopsied her own intestines * for a high-school science class ?
It 's one thing to take a sample of epithelial tissue by swabbing one 's cheeks... the intestines are a bit more difficult to get to .</tokentext>
<sentencetext>"While looking under a microscope at slides of her own intestinal tissue"...Are we really supposed to believe that a teenager actually *biopsied her own intestines* for a high-school science class?
It's one thing to take a sample of epithelial tissue by swabbing one's cheeks...  the intestines are a bit more difficult to get to.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28318029</id>
	<title>Re:Not surprising</title>
	<author>Anonymous</author>
	<datestamp>1244924640000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Indeed - self motivation and searching is huge!  Solved my ichthyosis problem thanks to the net.  The flaky, scaly dry skin plagued me for years.  Peers told me to use lotion (like I hadn't thought of that already?), eat more fruit, etc, etc.  Docs said to use lotion.  Finally determined it after finding a pic that matched up very well and that eventually led me to alpha hydroxy acids.  Now I'm fine as long as I use the lotion I add AHA to.  Took 20 years to get no answer from the doctors (including a dermatologist!) compared to scant intermittent research on my own.  Now it's my preferred way of solving any health ailments.</p></htmltext>
<tokenext>Indeed - self motivation and searching is huge !
Solved my ichthyosis problem thanks to the net .
The flaky , scaly dry skin plagued me for years .
Peers told me to use lotion ( like I had n't thought of that already ?
) , eat more fruit , etc , etc .
Docs said to use lotion .
Finally determined it after finding a pic that matched up very well and that eventually led me to alpha hydroxy acids .
Now I 'm fine as long as I use the lotion I add AHA to .
Took 20 years to get no answer from the doctors ( including a dermatologist !
) compared to scant intermittent research on my own .
Now it 's my preferred way of solving any health ailments .</tokentext>
<sentencetext>Indeed - self motivation and searching is huge!
Solved my ichthyosis problem thanks to the net.
The flaky, scaly dry skin plagued me for years.
Peers told me to use lotion (like I hadn't thought of that already?
), eat more fruit, etc, etc.
Docs said to use lotion.
Finally determined it after finding a pic that matched up very well and that eventually led me to alpha hydroxy acids.
Now I'm fine as long as I use the lotion I add AHA to.
Took 20 years to get no answer from the doctors (including a dermatologist!
) compared to scant intermittent research on my own.
Now it's my preferred way of solving any health ailments.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310345</id>
	<title>Re:Remeber it is practicing</title>
	<author>Silas is back</author>
	<datestamp>1244830020000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside. They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.</p></div><p>Yes. That is the single most effective method to separate the really ill from the "I think I am ill" population. IAAP (though into research now), and believe me, if you want to work less than 70 hours a week, you have to go by that rule. It's not the optimum for every single patient and there will be a few tragic cases, but it's not doable otherwise.</p><p><div class="quote"><p>If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1\% chance of hitting that age group. But for argument sake all actually have this disease. He will either get only 1 wrong or he will get it wrong for all but one.</p></div><p>That's not exactly how statistical medicine works.<nobr> <wbr></nobr>;)</p><p><div class="quote"><p>... should not have been this individual diagnosed herself.</p></div><p>Well, \_technically\_ she did not diagnose herself. Her doctors knew it was IBD, so it had to either be Crohn or Colitis Ulcerosa. To proof either, you need hard facts, if they are missing you don't decide. Now they gave her a sample of her own intestine, and in there she discovered a granuloma. Would the pathologist have kept this sample for himself and given her another one, she would have been diagnosed by her pathologist and would not have gotten her 5 minutes of internet popularity.<nobr> <wbr></nobr>;)</p></div>
	</htmltext>
<tokenext>Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside .
They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.Yes .
That is the single most effective method to separate the really ill from the " I think I am ill " population .
IAAP ( though into research now ) , and believe me , if you want to work less than 70 hours a week , you have to go by that rule .
It 's not the optimum for every single patient and there will be a few tragic cases , but it 's not doable otherwise.If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1 \ % chance of hitting that age group .
But for argument sake all actually have this disease .
He will either get only 1 wrong or he will get it wrong for all but one.That 's not exactly how statistical medicine works .
; ) ... should not have been this individual diagnosed herself.Well , \ _technically \ _ she did not diagnose herself .
Her doctors knew it was IBD , so it had to either be Crohn or Colitis Ulcerosa .
To proof either , you need hard facts , if they are missing you do n't decide .
Now they gave her a sample of her own intestine , and in there she discovered a granuloma .
Would the pathologist have kept this sample for himself and given her another one , she would have been diagnosed by her pathologist and would not have gotten her 5 minutes of internet popularity .
; )</tokentext>
<sentencetext>Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside.
They almost always figure they will get a second shot at it at least without causing to much harm or risk to the patient.Yes.
That is the single most effective method to separate the really ill from the "I think I am ill" population.
IAAP (though into research now), and believe me, if you want to work less than 70 hours a week, you have to go by that rule.
It's not the optimum for every single patient and there will be a few tragic cases, but it's not doable otherwise.If 10 patients of the same demographic come into the office with the same complaint and the actual disease has only a 1\% chance of hitting that age group.
But for argument sake all actually have this disease.
He will either get only 1 wrong or he will get it wrong for all but one.That's not exactly how statistical medicine works.
;)... should not have been this individual diagnosed herself.Well, \_technically\_ she did not diagnose herself.
Her doctors knew it was IBD, so it had to either be Crohn or Colitis Ulcerosa.
To proof either, you need hard facts, if they are missing you don't decide.
Now they gave her a sample of her own intestine, and in there she discovered a granuloma.
Would the pathologist have kept this sample for himself and given her another one, she would have been diagnosed by her pathologist and would not have gotten her 5 minutes of internet popularity.
;)
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311427</id>
	<title>KOMO is CNN affiliate now?</title>
	<author>treeves</author>
	<datestamp>1244834160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>When I used to live in Seattle it was an ABC station. I didn't even know CNN had broadcast stations. What the hey?</htmltext>
<tokenext>When I used to live in Seattle it was an ABC station .
I did n't even know CNN had broadcast stations .
What the hey ?</tokentext>
<sentencetext>When I used to live in Seattle it was an ABC station.
I didn't even know CNN had broadcast stations.
What the hey?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307343</id>
	<title>Re:This does her no good...</title>
	<author>Anonymous</author>
	<datestamp>1244818020000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>2</modscore>
	<htmltext><p>As someone with severe Crohn's Disease, I can say that it's important that you don't over look the exact phrase you mentioned: controlling symptoms dramatically increases quality of life, and preventing relapse reduces the damage to her intestines and will in turn hopefully reduce the number of surgeries she will need later on in life. So yes, I'd say that while she can't cure her Crohn's, now that she has an arsenal of medications at her disposal, there's plenty that she can do about it.</p></htmltext>
<tokenext>As someone with severe Crohn 's Disease , I can say that it 's important that you do n't over look the exact phrase you mentioned : controlling symptoms dramatically increases quality of life , and preventing relapse reduces the damage to her intestines and will in turn hopefully reduce the number of surgeries she will need later on in life .
So yes , I 'd say that while she ca n't cure her Crohn 's , now that she has an arsenal of medications at her disposal , there 's plenty that she can do about it .</tokentext>
<sentencetext>As someone with severe Crohn's Disease, I can say that it's important that you don't over look the exact phrase you mentioned: controlling symptoms dramatically increases quality of life, and preventing relapse reduces the damage to her intestines and will in turn hopefully reduce the number of surgeries she will need later on in life.
So yes, I'd say that while she can't cure her Crohn's, now that she has an arsenal of medications at her disposal, there's plenty that she can do about it.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307029</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311741</id>
	<title>Re:This does her no good...</title>
	<author>Anonymous</author>
	<datestamp>1244835420000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Also, seat belts don't stop car crashes and are therefore no good.</p></htmltext>
<tokenext>Also , seat belts do n't stop car crashes and are therefore no good .</tokentext>
<sentencetext>Also, seat belts don't stop car crashes and are therefore no good.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307029</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311201</id>
	<title>Re:They couldn't diagnose her?</title>
	<author>Anonymous</author>
	<datestamp>1244833320000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I believe it. After over 15 years of symptoms, I self-diagnosed Ulcerative Colitis and Celiac disease. Years later, I finally have some of the energy I used to have when I was a child.</p></htmltext>
<tokenext>I believe it .
After over 15 years of symptoms , I self-diagnosed Ulcerative Colitis and Celiac disease .
Years later , I finally have some of the energy I used to have when I was a child .</tokentext>
<sentencetext>I believe it.
After over 15 years of symptoms, I self-diagnosed Ulcerative Colitis and Celiac disease.
Years later, I finally have some of the energy I used to have when I was a child.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305943</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28316699</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>TimothyDavis</author>
	<datestamp>1244819760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Where the hell is image recognition in this area?  You would think that we would be able to utilize computers to do much of the slide evaluation, which could go through the dozen or so slides taken for this particular case.<br> <br>I am interested in seeing what happens over the next few years with the medical industry.  If you can provide your symptoms to a computer, which drops the choices down to a short list of problems - these problems can be then further evaluated through specific tests.  Might be Crohn's disease?  A technician would then use a probe or specific tissue samples to further investigate.</htmltext>
<tokenext>Where the hell is image recognition in this area ?
You would think that we would be able to utilize computers to do much of the slide evaluation , which could go through the dozen or so slides taken for this particular case .
I am interested in seeing what happens over the next few years with the medical industry .
If you can provide your symptoms to a computer , which drops the choices down to a short list of problems - these problems can be then further evaluated through specific tests .
Might be Crohn 's disease ?
A technician would then use a probe or specific tissue samples to further investigate .</tokentext>
<sentencetext>Where the hell is image recognition in this area?
You would think that we would be able to utilize computers to do much of the slide evaluation, which could go through the dozen or so slides taken for this particular case.
I am interested in seeing what happens over the next few years with the medical industry.
If you can provide your symptoms to a computer, which drops the choices down to a short list of problems - these problems can be then further evaluated through specific tests.
Might be Crohn's disease?
A technician would then use a probe or specific tissue samples to further investigate.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28320197</id>
	<title>I can really sympathize with this kid</title>
	<author>wwphx</author>
	<datestamp>1244911620000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I've had pneumonia four times since February, and we don't know what's causing it, first bout was in February, last bout was last week.  That's a loss of almost six weeks of work and gross wages of almost $6000.  But we're doing a bronchoscopy Friday and have numerous immunological tests being conducted, so hopefully we'll come up with something soon.  All bloodwork, thus far, has said is that I have an infection.  Well, DUH!<br>
&nbsp; <br>Yeah, a lot of medicine is played by the numbers.  Though it's a lousy book, Travis Taylor's Warp Speed has some interesting observations on the non-science of modern medicine, which strongly corresponds to the statistical medicine that you describe.</p></htmltext>
<tokenext>I 've had pneumonia four times since February , and we do n't know what 's causing it , first bout was in February , last bout was last week .
That 's a loss of almost six weeks of work and gross wages of almost $ 6000 .
But we 're doing a bronchoscopy Friday and have numerous immunological tests being conducted , so hopefully we 'll come up with something soon .
All bloodwork , thus far , has said is that I have an infection .
Well , DUH !
  Yeah , a lot of medicine is played by the numbers .
Though it 's a lousy book , Travis Taylor 's Warp Speed has some interesting observations on the non-science of modern medicine , which strongly corresponds to the statistical medicine that you describe .</tokentext>
<sentencetext>I've had pneumonia four times since February, and we don't know what's causing it, first bout was in February, last bout was last week.
That's a loss of almost six weeks of work and gross wages of almost $6000.
But we're doing a bronchoscopy Friday and have numerous immunological tests being conducted, so hopefully we'll come up with something soon.
All bloodwork, thus far, has said is that I have an infection.
Well, DUH!
  Yeah, a lot of medicine is played by the numbers.
Though it's a lousy book, Travis Taylor's Warp Speed has some interesting observations on the non-science of modern medicine, which strongly corresponds to the statistical medicine that you describe.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28336713</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1245087360000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>And that would be why there are separate pharmacists from the doctors who know drug interactions way better than the docs themselves.</p></htmltext>
<tokenext>And that would be why there are separate pharmacists from the doctors who know drug interactions way better than the docs themselves .</tokentext>
<sentencetext>And that would be why there are separate pharmacists from the doctors who know drug interactions way better than the docs themselves.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306029</id>
	<title>Re:Where did she get the intestinal tissue?</title>
	<author>Anonymous</author>
	<datestamp>1244807940000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>From her hamster.</p></htmltext>
<tokenext>From her hamster .</tokentext>
<sentencetext>From her hamster.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305951</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306935</id>
	<title>Two way street</title>
	<author>dcray2000</author>
	<datestamp>1244815860000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Her "non-diagnosis" issue is probably two fold.  First, almost every doctor out there just wants you in and out and quick as possible.  In their mind the negotiated rates with insurance companies is making it difficult to afford their lifestyle compared to other doctors.  This is usually further worsened by bad data models.  They usually don't remember you and the computer or paper files they have access to are not built for their ease of use.  It's not uncommon for me to go into a doctors office and after a few minutes of talking to them, realize they have the wrong patient's information loaded on the computer.<br> <br>The other issue is the ego.  Some doctors tend to think that if you don't "fit the pattern" of something they know then you are either faking it or crazy.  I've gone between two doctors before.  While one was familar with my issue and wanted to help, the other pretty much looked me like I was crazy and started babbling non-sense just to get me out of the room.<br> <br>So, in the end you do have to trust your doctors, they have the background, but at the same time you have to stay alert to when they are being ego fools, or being shortchanged by a bad data model.  Don't be afraid to stick in their face that you don't feel like they are listening or understanding your issue.<br> <br>This is even more dangerous for kids for don't have the life experience to tell when a doctor is in uncharted territory.  So, it's important for parents to stay involved.</htmltext>
<tokenext>Her " non-diagnosis " issue is probably two fold .
First , almost every doctor out there just wants you in and out and quick as possible .
In their mind the negotiated rates with insurance companies is making it difficult to afford their lifestyle compared to other doctors .
This is usually further worsened by bad data models .
They usually do n't remember you and the computer or paper files they have access to are not built for their ease of use .
It 's not uncommon for me to go into a doctors office and after a few minutes of talking to them , realize they have the wrong patient 's information loaded on the computer .
The other issue is the ego .
Some doctors tend to think that if you do n't " fit the pattern " of something they know then you are either faking it or crazy .
I 've gone between two doctors before .
While one was familar with my issue and wanted to help , the other pretty much looked me like I was crazy and started babbling non-sense just to get me out of the room .
So , in the end you do have to trust your doctors , they have the background , but at the same time you have to stay alert to when they are being ego fools , or being shortchanged by a bad data model .
Do n't be afraid to stick in their face that you do n't feel like they are listening or understanding your issue .
This is even more dangerous for kids for do n't have the life experience to tell when a doctor is in uncharted territory .
So , it 's important for parents to stay involved .</tokentext>
<sentencetext>Her "non-diagnosis" issue is probably two fold.
First, almost every doctor out there just wants you in and out and quick as possible.
In their mind the negotiated rates with insurance companies is making it difficult to afford their lifestyle compared to other doctors.
This is usually further worsened by bad data models.
They usually don't remember you and the computer or paper files they have access to are not built for their ease of use.
It's not uncommon for me to go into a doctors office and after a few minutes of talking to them, realize they have the wrong patient's information loaded on the computer.
The other issue is the ego.
Some doctors tend to think that if you don't "fit the pattern" of something they know then you are either faking it or crazy.
I've gone between two doctors before.
While one was familar with my issue and wanted to help, the other pretty much looked me like I was crazy and started babbling non-sense just to get me out of the room.
So, in the end you do have to trust your doctors, they have the background, but at the same time you have to stay alert to when they are being ego fools, or being shortchanged by a bad data model.
Don't be afraid to stick in their face that you don't feel like they are listening or understanding your issue.
This is even more dangerous for kids for don't have the life experience to tell when a doctor is in uncharted territory.
So, it's important for parents to stay involved.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306265</id>
	<title>hmm</title>
	<author>x4r</author>
	<datestamp>1244810580000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>most Hippocrite modern collegues is just big fat stupid(or cnning?)idler/liers !!
how shameful !!
people dying(sometime), while they simply DON't want they'r(WELL paid !!) job !</htmltext>
<tokenext>most Hippocrite modern collegues is just big fat stupid ( or cnning ?
) idler/liers ! !
how shameful ! !
people dying ( sometime ) , while they simply DO N't want they'r ( WELL paid ! !
) job !</tokentext>
<sentencetext>most Hippocrite modern collegues is just big fat stupid(or cnning?
)idler/liers !!
how shameful !!
people dying(sometime), while they simply DON't want they'r(WELL paid !!
) job !</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</id>
	<title>Not surprising</title>
	<author>turing\_m</author>
	<datestamp>1244810400000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>4</modscore>
	<htmltext><p>This is not at all surprising to me, although most people would look at me funny for saying so.</p><p>If you are:<br>1. Smart (she is in AP science class)<br>2. Motivated (you are if you have an illness - it sucks; this is powerful and sustaining motivation)<br>3. Can spend as many hours of your spare time as it takes. This could be 10-1000+ hours.<br>4. Are willing to experiment.<br>5. Live in the internet age...</p><p>You can often diagnose and solve your own problems.</p><p>The key is to realize that:<br>1. The info is out there on the internet... somewhere. Probably on a forum, newsgroup post, whatever. (Chances are very high that someone has the exact same problem as you, and has written about it. You just have to figure out what combination of words are on that page and not on others.)<br>2. Although the signal to noise ratio is not great, if you are smart enough you will eventually learn to filter the noise and retain signal.<br>3. You may go down a wrong path, but since you are doing a type of extensive depth first search (but since you give up on non-promising leads by using your intelligence, you will eventually hit all the breadth), the search will start to approximate exhaustive.<br>4. In combination with 3, because you are experimenting, you learn when to curtail one of your search lines and try another.<br>5. Because you are smart, you will learn when one of your search lines fails but yields a clue to success, and because you are persistent you will get closer to a solution.</p><p>Thus, an exhaustive search will very often find the answer. The key enabler of all this, the "intelligence multiplier", is the internet.</p><p>Contrast this with a typical expert, such as a doctor. A doctor has 20 minutes to diagnose your problem, and has to remember something he studied for maybe half a day twenty years ago (if at all), in combination with the limited number of patients he has has both seen and successfully diagnosed in his life (compared to the vast collective experience of the internet). He can bill another N clients $$$ for another 20 minutes, or he can research your problem in his spare time. Guess what he usually does? He didn't make it through 90+ hours of internships etc. for the fun of it or to "help people" (maybe 1 in 100). He has student loans to pay off, a current model BMW, a trophy wife or girlfriend, a house in the best suburb, expensive wines to drink, classmates to impress at the reunion, and he has to start at age 30 or so.</p><p>And if you get a second opinion from someone who DOES diagnose your problem, does he get the feedback? Does he see your medical records from your new doctor? Usually not.</p><p>Another thing to realize with doctors is that many (of course, not all) of the people who go into medicine are not natural problem solvers. They are reasonably smart people who have good memories, good English skills, can cram well, and want the lifestyle that goes with being a doctor. A natural engineer by contrast, is better at diagnosis - figuring out what is wrong and fixing it. But often a good engineer will want to do engineering and not medicine. Note that I'm not saying that great doctors aren't out there. They are. But even the best doctors don't have expertise in all areas.</p></htmltext>
<tokenext>This is not at all surprising to me , although most people would look at me funny for saying so.If you are : 1 .
Smart ( she is in AP science class ) 2 .
Motivated ( you are if you have an illness - it sucks ; this is powerful and sustaining motivation ) 3 .
Can spend as many hours of your spare time as it takes .
This could be 10-1000 + hours.4 .
Are willing to experiment.5 .
Live in the internet age...You can often diagnose and solve your own problems.The key is to realize that : 1 .
The info is out there on the internet... somewhere. Probably on a forum , newsgroup post , whatever .
( Chances are very high that someone has the exact same problem as you , and has written about it .
You just have to figure out what combination of words are on that page and not on others. ) 2 .
Although the signal to noise ratio is not great , if you are smart enough you will eventually learn to filter the noise and retain signal.3 .
You may go down a wrong path , but since you are doing a type of extensive depth first search ( but since you give up on non-promising leads by using your intelligence , you will eventually hit all the breadth ) , the search will start to approximate exhaustive.4 .
In combination with 3 , because you are experimenting , you learn when to curtail one of your search lines and try another.5 .
Because you are smart , you will learn when one of your search lines fails but yields a clue to success , and because you are persistent you will get closer to a solution.Thus , an exhaustive search will very often find the answer .
The key enabler of all this , the " intelligence multiplier " , is the internet.Contrast this with a typical expert , such as a doctor .
A doctor has 20 minutes to diagnose your problem , and has to remember something he studied for maybe half a day twenty years ago ( if at all ) , in combination with the limited number of patients he has has both seen and successfully diagnosed in his life ( compared to the vast collective experience of the internet ) .
He can bill another N clients $ $ $ for another 20 minutes , or he can research your problem in his spare time .
Guess what he usually does ?
He did n't make it through 90 + hours of internships etc .
for the fun of it or to " help people " ( maybe 1 in 100 ) .
He has student loans to pay off , a current model BMW , a trophy wife or girlfriend , a house in the best suburb , expensive wines to drink , classmates to impress at the reunion , and he has to start at age 30 or so.And if you get a second opinion from someone who DOES diagnose your problem , does he get the feedback ?
Does he see your medical records from your new doctor ?
Usually not.Another thing to realize with doctors is that many ( of course , not all ) of the people who go into medicine are not natural problem solvers .
They are reasonably smart people who have good memories , good English skills , can cram well , and want the lifestyle that goes with being a doctor .
A natural engineer by contrast , is better at diagnosis - figuring out what is wrong and fixing it .
But often a good engineer will want to do engineering and not medicine .
Note that I 'm not saying that great doctors are n't out there .
They are .
But even the best doctors do n't have expertise in all areas .</tokentext>
<sentencetext>This is not at all surprising to me, although most people would look at me funny for saying so.If you are:1.
Smart (she is in AP science class)2.
Motivated (you are if you have an illness - it sucks; this is powerful and sustaining motivation)3.
Can spend as many hours of your spare time as it takes.
This could be 10-1000+ hours.4.
Are willing to experiment.5.
Live in the internet age...You can often diagnose and solve your own problems.The key is to realize that:1.
The info is out there on the internet... somewhere. Probably on a forum, newsgroup post, whatever.
(Chances are very high that someone has the exact same problem as you, and has written about it.
You just have to figure out what combination of words are on that page and not on others.)2.
Although the signal to noise ratio is not great, if you are smart enough you will eventually learn to filter the noise and retain signal.3.
You may go down a wrong path, but since you are doing a type of extensive depth first search (but since you give up on non-promising leads by using your intelligence, you will eventually hit all the breadth), the search will start to approximate exhaustive.4.
In combination with 3, because you are experimenting, you learn when to curtail one of your search lines and try another.5.
Because you are smart, you will learn when one of your search lines fails but yields a clue to success, and because you are persistent you will get closer to a solution.Thus, an exhaustive search will very often find the answer.
The key enabler of all this, the "intelligence multiplier", is the internet.Contrast this with a typical expert, such as a doctor.
A doctor has 20 minutes to diagnose your problem, and has to remember something he studied for maybe half a day twenty years ago (if at all), in combination with the limited number of patients he has has both seen and successfully diagnosed in his life (compared to the vast collective experience of the internet).
He can bill another N clients $$$ for another 20 minutes, or he can research your problem in his spare time.
Guess what he usually does?
He didn't make it through 90+ hours of internships etc.
for the fun of it or to "help people" (maybe 1 in 100).
He has student loans to pay off, a current model BMW, a trophy wife or girlfriend, a house in the best suburb, expensive wines to drink, classmates to impress at the reunion, and he has to start at age 30 or so.And if you get a second opinion from someone who DOES diagnose your problem, does he get the feedback?
Does he see your medical records from your new doctor?
Usually not.Another thing to realize with doctors is that many (of course, not all) of the people who go into medicine are not natural problem solvers.
They are reasonably smart people who have good memories, good English skills, can cram well, and want the lifestyle that goes with being a doctor.
A natural engineer by contrast, is better at diagnosis - figuring out what is wrong and fixing it.
But often a good engineer will want to do engineering and not medicine.
Note that I'm not saying that great doctors aren't out there.
They are.
But even the best doctors don't have expertise in all areas.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28321741</id>
	<title>Re:Some times you need to be your own advocate</title>
	<author>b4dc0d3r</author>
	<datestamp>1244924100000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I'm assuming here, and forgive me if this is too obvious, that you went back to every one of those doctors you could remember and told them this story?  Write a letter once and mail it to everyone as you remember them?  Or visit them personally and look them in the eye as you tell them your story?</p><p>Sounds like you're trying to pass the word on, so I assume you already told all the docs who missed it, so they'll be unlikely to miss it again.  And maybe they can collect some statistics now that they are aware of the problem?</p><p>For the good of all mankind, it wouldn't hurt to contact medical schools, or have the doctor who wrote your prescription finally to contact some people and let them know of this as well?</p></htmltext>
<tokenext>I 'm assuming here , and forgive me if this is too obvious , that you went back to every one of those doctors you could remember and told them this story ?
Write a letter once and mail it to everyone as you remember them ?
Or visit them personally and look them in the eye as you tell them your story ? Sounds like you 're trying to pass the word on , so I assume you already told all the docs who missed it , so they 'll be unlikely to miss it again .
And maybe they can collect some statistics now that they are aware of the problem ? For the good of all mankind , it would n't hurt to contact medical schools , or have the doctor who wrote your prescription finally to contact some people and let them know of this as well ?</tokentext>
<sentencetext>I'm assuming here, and forgive me if this is too obvious, that you went back to every one of those doctors you could remember and told them this story?
Write a letter once and mail it to everyone as you remember them?
Or visit them personally and look them in the eye as you tell them your story?Sounds like you're trying to pass the word on, so I assume you already told all the docs who missed it, so they'll be unlikely to miss it again.
And maybe they can collect some statistics now that they are aware of the problem?For the good of all mankind, it wouldn't hurt to contact medical schools, or have the doctor who wrote your prescription finally to contact some people and let them know of this as well?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308687</id>
	<title>Re:Not surprising</title>
	<author>JDevers</author>
	<datestamp>1244823360000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p>90+ hours of internship?  A whole two weeks huh?  Try a typical four years of residency with 60-80 hour work weeks.  The last year of medical school is often called an internship, but really the definition more fits residency.  So instead of the 90 hours you think, it is more like 18,000 hours.</p><p>Also, any doctor worth his license would try to diagnose something and if unable to would at least send one out to a specialist who DOES have significant experience in the area of the issue and if specialist isn't able to diagnose the problem they SHOULD send the person out to a subspecialist if one happens to exist in that area.</p></htmltext>
<tokenext>90 + hours of internship ?
A whole two weeks huh ?
Try a typical four years of residency with 60-80 hour work weeks .
The last year of medical school is often called an internship , but really the definition more fits residency .
So instead of the 90 hours you think , it is more like 18,000 hours.Also , any doctor worth his license would try to diagnose something and if unable to would at least send one out to a specialist who DOES have significant experience in the area of the issue and if specialist is n't able to diagnose the problem they SHOULD send the person out to a subspecialist if one happens to exist in that area .</tokentext>
<sentencetext>90+ hours of internship?
A whole two weeks huh?
Try a typical four years of residency with 60-80 hour work weeks.
The last year of medical school is often called an internship, but really the definition more fits residency.
So instead of the 90 hours you think, it is more like 18,000 hours.Also, any doctor worth his license would try to diagnose something and if unable to would at least send one out to a specialist who DOES have significant experience in the area of the issue and if specialist isn't able to diagnose the problem they SHOULD send the person out to a subspecialist if one happens to exist in that area.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28315713</id>
	<title>Self Diagnosis can be Dangerous too</title>
	<author>ajlisows</author>
	<datestamp>1244810760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>For some demented reason I enjoy "studying" physical and mental illness and reading about pharmaceuticals in my spare time.  Right out of college I was a more arrogant little bastard and thought I knew enough about everything to be an expert.</p><p>I don't want to get too deep into the issues, but I dealt with 7 people plus myself who got wrong advice/medications/treatments from doctors.  I would lay out all the evidence I could accumulate and the patient would take it to their doctor and say "This is what is wrong" or "You put me on this medication and I feel like crap, maybe it's because it reacts this way to what you are already giving me."  I just got lucky a few times. I was always spot on.  I looked like a freaking genius. It got to the point where quite a few family and friends would call me before and after going to see a doctor.  This didn't really help with my arrogance problem.</p><p>My mom has a long history of mental illness.  Her doctors put her on some more pills that I considered to be foolish in the situation.  I actually had the nerve to insist that she stop taking them and I acquired different medication for her (schedule IV stuff...I wasn't smuggling oxycontin or anything) and she started taking it.  Long story short, three weeks later she had totally gone off the deep end.  She destroyed a bunch of stuff in my parents' house, ripped up most of my dad's clothes, starting threatening homicide and/or suicide until finally my dad had to call the police.  They gave her a three day restraining order and she kept coming back that and getting more beligerent before until finally five cops and the county psychiatric van pulled up and took her away for a little vacation.</p><p>That was quite an eye opener.  I blew it.  Bad.  Looking back, I don't know what I was thinking. I had some problems of my own that I refused to attempt to treat/seek treatment for  I did some good things for some people but helped cause a lot of problems for my parents.</p><p>This is a great story because it is important to be active participant in maintaining your health.  Doctors are not infallible and you know your body/get more time to think about the issue than they get.  When it comes down to it though, remember to seek the opinion of at least one, maybe more in important cases, actual medical professional.</p></htmltext>
<tokenext>For some demented reason I enjoy " studying " physical and mental illness and reading about pharmaceuticals in my spare time .
Right out of college I was a more arrogant little bastard and thought I knew enough about everything to be an expert.I do n't want to get too deep into the issues , but I dealt with 7 people plus myself who got wrong advice/medications/treatments from doctors .
I would lay out all the evidence I could accumulate and the patient would take it to their doctor and say " This is what is wrong " or " You put me on this medication and I feel like crap , maybe it 's because it reacts this way to what you are already giving me .
" I just got lucky a few times .
I was always spot on .
I looked like a freaking genius .
It got to the point where quite a few family and friends would call me before and after going to see a doctor .
This did n't really help with my arrogance problem.My mom has a long history of mental illness .
Her doctors put her on some more pills that I considered to be foolish in the situation .
I actually had the nerve to insist that she stop taking them and I acquired different medication for her ( schedule IV stuff...I was n't smuggling oxycontin or anything ) and she started taking it .
Long story short , three weeks later she had totally gone off the deep end .
She destroyed a bunch of stuff in my parents ' house , ripped up most of my dad 's clothes , starting threatening homicide and/or suicide until finally my dad had to call the police .
They gave her a three day restraining order and she kept coming back that and getting more beligerent before until finally five cops and the county psychiatric van pulled up and took her away for a little vacation.That was quite an eye opener .
I blew it .
Bad. Looking back , I do n't know what I was thinking .
I had some problems of my own that I refused to attempt to treat/seek treatment for I did some good things for some people but helped cause a lot of problems for my parents.This is a great story because it is important to be active participant in maintaining your health .
Doctors are not infallible and you know your body/get more time to think about the issue than they get .
When it comes down to it though , remember to seek the opinion of at least one , maybe more in important cases , actual medical professional .</tokentext>
<sentencetext>For some demented reason I enjoy "studying" physical and mental illness and reading about pharmaceuticals in my spare time.
Right out of college I was a more arrogant little bastard and thought I knew enough about everything to be an expert.I don't want to get too deep into the issues, but I dealt with 7 people plus myself who got wrong advice/medications/treatments from doctors.
I would lay out all the evidence I could accumulate and the patient would take it to their doctor and say "This is what is wrong" or "You put me on this medication and I feel like crap, maybe it's because it reacts this way to what you are already giving me.
"  I just got lucky a few times.
I was always spot on.
I looked like a freaking genius.
It got to the point where quite a few family and friends would call me before and after going to see a doctor.
This didn't really help with my arrogance problem.My mom has a long history of mental illness.
Her doctors put her on some more pills that I considered to be foolish in the situation.
I actually had the nerve to insist that she stop taking them and I acquired different medication for her (schedule IV stuff...I wasn't smuggling oxycontin or anything) and she started taking it.
Long story short, three weeks later she had totally gone off the deep end.
She destroyed a bunch of stuff in my parents' house, ripped up most of my dad's clothes, starting threatening homicide and/or suicide until finally my dad had to call the police.
They gave her a three day restraining order and she kept coming back that and getting more beligerent before until finally five cops and the county psychiatric van pulled up and took her away for a little vacation.That was quite an eye opener.
I blew it.
Bad.  Looking back, I don't know what I was thinking.
I had some problems of my own that I refused to attempt to treat/seek treatment for  I did some good things for some people but helped cause a lot of problems for my parents.This is a great story because it is important to be active participant in maintaining your health.
Doctors are not infallible and you know your body/get more time to think about the issue than they get.
When it comes down to it though, remember to seek the opinion of at least one, maybe more in important cases, actual medical professional.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309757</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>Anonymous</author>
	<datestamp>1244827800000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>RTF What?</p><p>Obviously you're new here...</p><p><div class="quote"><p>She obviously just requested her own tissues, RTFA</p><p>
&nbsp; <i>"she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal</i>"</p></div></div>
	</htmltext>
<tokenext>RTF What ? Obviously you 're new here...She obviously just requested her own tissues , RTFA   " she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal "</tokentext>
<sentencetext>RTF What?Obviously you're new here...She obviously just requested her own tissues, RTFA
  "she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal"
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308207</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244821500000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Even worse, my brother was <b>born</b> because of dyslexia<br>- my mother keeping all her pills in the same drawer.</p></htmltext>
<tokenext>Even worse , my brother was born because of dyslexia- my mother keeping all her pills in the same drawer .</tokentext>
<sentencetext>Even worse, my brother was born because of dyslexia- my mother keeping all her pills in the same drawer.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306257</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306197</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>BarMonger</author>
	<datestamp>1244809680000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Someone should mod this guy up.</p><p>It's very easy for all of us armchair doctors to make a hindsight diagnosis of the illness.<br>She most likely visited a number of skilled professionals but was very unfortunate with their diagnosis. This stuff happens now and then, people make mistakes.</p><p>It's just unfortunate that no one cares about a story on doctors who diagnose their patients correctly.</p></htmltext>
<tokenext>Someone should mod this guy up.It 's very easy for all of us armchair doctors to make a hindsight diagnosis of the illness.She most likely visited a number of skilled professionals but was very unfortunate with their diagnosis .
This stuff happens now and then , people make mistakes.It 's just unfortunate that no one cares about a story on doctors who diagnose their patients correctly .</tokentext>
<sentencetext>Someone should mod this guy up.It's very easy for all of us armchair doctors to make a hindsight diagnosis of the illness.She most likely visited a number of skilled professionals but was very unfortunate with their diagnosis.
This stuff happens now and then, people make mistakes.It's just unfortunate that no one cares about a story on doctors who diagnose their patients correctly.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311763</id>
	<title>Re:This does not surprise me at all.</title>
	<author>Dhalka226</author>
	<datestamp>1244835480000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><blockquote><div><p>I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal cream (which did absolutely nothing to cure the problem). A week later, with even more spreading, I returned to the same doctor, and he again admitted he didn't know what it was, and this time prescribed some kind of internal anti-biotic [. .<nobr> <wbr></nobr>.] As long as the medical community continues to hide the fact that 90\% of their job is to memorize symptoms, and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers, used car salesman.</p></div></blockquote><p>I'm not going to defend him on his inability to diagnose the particular condition.  If it's as common as it seems then yes, he probably should have gotten it.  Everybody makes mistakes.

</p><p>That said, speaking as somebody with chronic skin problems throughout my life, I can tell with this with certainty: Very few skin issues are treated with anything other than steroids (topical or otherwise) or antibiotics, and steroids is by far the more prevalent.  There is essentially no risk to short-term use of a steroid cream, so he took a shot that probably had an 80\% chance of being right and prescribed some.  When it didn't work, he tried the only other thing it was likely to have been--and despite your walking out on him in a huff--justified or not--it sounds from a quick Google search about the treatments that he actually would have had it the second time.

</p><p>If this makes you want a new doctor, that's fine.  It's certainly your prerogative.  But to go on that little rant about payola and imply he must be in the pocket of pharmaceutical companies is just ridiculously idiotic hyperbole.  There are a lot of problems in the medical community, and almost all of them begin with <em>patients</em>, not drug makers.  If you want to start attacking people for unnecessary prescriptions, start with the idiots who want drugs for their flu even though antibiotics won't kill viruses; who are too ignorant to realize that what little help any drugs we have for the flu may be are almost always too late to help by the time you realize you have the flu and go to see a doctor about it;  who will bitch and cry and moan and scream at that doctor if he had told him he didn't know what was wrong, regardless of what it turned out to be.  Bitch at patients who walk into their doctors' offices demanding they be written a prescription for drug-they-just-saw-on-TV-and-self-diagnosed-they-need.  Bitch at the patients looking for any reason at all to sue a doctor into the ground simply because the doctor has more money than they do if you want one of the most major causes of why doctors are scared to diagnose today.

</p><p>If you don't think all of this happens, you're wrong.  I know *many* people in the medical field from nurses to doctors and it happens <em>every day</em>.  If you don't like your doctor, if you don't think he's competent, find a new one.  But check that hyperbolic crap at the door.  Most of these people are good, intelligent people doing the best they can in jobs that would overwhelm the vast majority of people in the world.</p></div>
	</htmltext>
<tokenext>I took her to our local GP who actually admitted that he did n't know what it was , BUT STIIL PRESCRIBED a topical steroidal cream ( which did absolutely nothing to cure the problem ) .
A week later , with even more spreading , I returned to the same doctor , and he again admitted he did n't know what it was , and this time prescribed some kind of internal anti-biotic [ .
. .
] As long as the medical community continues to hide the fact that 90 \ % of their job is to memorize symptoms , and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers , used car salesman.I 'm not going to defend him on his inability to diagnose the particular condition .
If it 's as common as it seems then yes , he probably should have gotten it .
Everybody makes mistakes .
That said , speaking as somebody with chronic skin problems throughout my life , I can tell with this with certainty : Very few skin issues are treated with anything other than steroids ( topical or otherwise ) or antibiotics , and steroids is by far the more prevalent .
There is essentially no risk to short-term use of a steroid cream , so he took a shot that probably had an 80 \ % chance of being right and prescribed some .
When it did n't work , he tried the only other thing it was likely to have been--and despite your walking out on him in a huff--justified or not--it sounds from a quick Google search about the treatments that he actually would have had it the second time .
If this makes you want a new doctor , that 's fine .
It 's certainly your prerogative .
But to go on that little rant about payola and imply he must be in the pocket of pharmaceutical companies is just ridiculously idiotic hyperbole .
There are a lot of problems in the medical community , and almost all of them begin with patients , not drug makers .
If you want to start attacking people for unnecessary prescriptions , start with the idiots who want drugs for their flu even though antibiotics wo n't kill viruses ; who are too ignorant to realize that what little help any drugs we have for the flu may be are almost always too late to help by the time you realize you have the flu and go to see a doctor about it ; who will bitch and cry and moan and scream at that doctor if he had told him he did n't know what was wrong , regardless of what it turned out to be .
Bitch at patients who walk into their doctors ' offices demanding they be written a prescription for drug-they-just-saw-on-TV-and-self-diagnosed-they-need .
Bitch at the patients looking for any reason at all to sue a doctor into the ground simply because the doctor has more money than they do if you want one of the most major causes of why doctors are scared to diagnose today .
If you do n't think all of this happens , you 're wrong .
I know * many * people in the medical field from nurses to doctors and it happens every day .
If you do n't like your doctor , if you do n't think he 's competent , find a new one .
But check that hyperbolic crap at the door .
Most of these people are good , intelligent people doing the best they can in jobs that would overwhelm the vast majority of people in the world .</tokentext>
<sentencetext>I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal cream (which did absolutely nothing to cure the problem).
A week later, with even more spreading, I returned to the same doctor, and he again admitted he didn't know what it was, and this time prescribed some kind of internal anti-biotic [.
. .
] As long as the medical community continues to hide the fact that 90\% of their job is to memorize symptoms, and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers, used car salesman.I'm not going to defend him on his inability to diagnose the particular condition.
If it's as common as it seems then yes, he probably should have gotten it.
Everybody makes mistakes.
That said, speaking as somebody with chronic skin problems throughout my life, I can tell with this with certainty: Very few skin issues are treated with anything other than steroids (topical or otherwise) or antibiotics, and steroids is by far the more prevalent.
There is essentially no risk to short-term use of a steroid cream, so he took a shot that probably had an 80\% chance of being right and prescribed some.
When it didn't work, he tried the only other thing it was likely to have been--and despite your walking out on him in a huff--justified or not--it sounds from a quick Google search about the treatments that he actually would have had it the second time.
If this makes you want a new doctor, that's fine.
It's certainly your prerogative.
But to go on that little rant about payola and imply he must be in the pocket of pharmaceutical companies is just ridiculously idiotic hyperbole.
There are a lot of problems in the medical community, and almost all of them begin with patients, not drug makers.
If you want to start attacking people for unnecessary prescriptions, start with the idiots who want drugs for their flu even though antibiotics won't kill viruses; who are too ignorant to realize that what little help any drugs we have for the flu may be are almost always too late to help by the time you realize you have the flu and go to see a doctor about it;  who will bitch and cry and moan and scream at that doctor if he had told him he didn't know what was wrong, regardless of what it turned out to be.
Bitch at patients who walk into their doctors' offices demanding they be written a prescription for drug-they-just-saw-on-TV-and-self-diagnosed-they-need.
Bitch at the patients looking for any reason at all to sue a doctor into the ground simply because the doctor has more money than they do if you want one of the most major causes of why doctors are scared to diagnose today.
If you don't think all of this happens, you're wrong.
I know *many* people in the medical field from nurses to doctors and it happens every day.
If you don't like your doctor, if you don't think he's competent, find a new one.
But check that hyperbolic crap at the door.
Most of these people are good, intelligent people doing the best they can in jobs that would overwhelm the vast majority of people in the world.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307505</id>
	<title>Re:Not the last one</title>
	<author>Kashgarinn</author>
	<datestamp>1244818860000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Slap a +5 insightful on this one, because we have a winner.</p><p>Take a vested interest in your own problems.  Doctors are problem diagnostics and solvers, much like IT crew, or any repairman; They're human, with human faults.</p><p>No one has as much interest to solve your problem as you do, and if you already do a bit of groundwork, you're able to do more than just nod your head at doctors who all apathetically shrug their shoulders.</p></htmltext>
<tokenext>Slap a + 5 insightful on this one , because we have a winner.Take a vested interest in your own problems .
Doctors are problem diagnostics and solvers , much like IT crew , or any repairman ; They 're human , with human faults.No one has as much interest to solve your problem as you do , and if you already do a bit of groundwork , you 're able to do more than just nod your head at doctors who all apathetically shrug their shoulders .</tokentext>
<sentencetext>Slap a +5 insightful on this one, because we have a winner.Take a vested interest in your own problems.
Doctors are problem diagnostics and solvers, much like IT crew, or any repairman; They're human, with human faults.No one has as much interest to solve your problem as you do, and if you already do a bit of groundwork, you're able to do more than just nod your head at doctors who all apathetically shrug their shoulders.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306097</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</id>
	<title>How to get intestine cell?</title>
	<author>timlyg</author>
	<datestamp>1244821500000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>0</modscore>
	<htmltext><p>How does one obtain one's own intestine cells? Direct on the point answer please, thanks!</p></htmltext>
<tokenext>How does one obtain one 's own intestine cells ?
Direct on the point answer please , thanks !</tokentext>
<sentencetext>How does one obtain one's own intestine cells?
Direct on the point answer please, thanks!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307823</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>Anonymous</author>
	<datestamp>1244820180000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Hmm. Sounds to me like it should be pretty easy to show a court that after eight years of suffering and a couple of hours in a lab with a microscope, a high school student with no medical training could identify this when a licensed pathologist, with specialized training specifically in analyzing and reviewing tissue slides, was asked (and paid a significantly higher wage than the legal minimum wage) to render a professional opinion, that said pathologist was completely negligent and incompetent in performing the task they were paid to perform, as a licensed medical physician.</p><p>I just hope her lawyer does a better job than her pathologist.</p></htmltext>
<tokenext>Hmm .
Sounds to me like it should be pretty easy to show a court that after eight years of suffering and a couple of hours in a lab with a microscope , a high school student with no medical training could identify this when a licensed pathologist , with specialized training specifically in analyzing and reviewing tissue slides , was asked ( and paid a significantly higher wage than the legal minimum wage ) to render a professional opinion , that said pathologist was completely negligent and incompetent in performing the task they were paid to perform , as a licensed medical physician.I just hope her lawyer does a better job than her pathologist .</tokentext>
<sentencetext>Hmm.
Sounds to me like it should be pretty easy to show a court that after eight years of suffering and a couple of hours in a lab with a microscope, a high school student with no medical training could identify this when a licensed pathologist, with specialized training specifically in analyzing and reviewing tissue slides, was asked (and paid a significantly higher wage than the legal minimum wage) to render a professional opinion, that said pathologist was completely negligent and incompetent in performing the task they were paid to perform, as a licensed medical physician.I just hope her lawyer does a better job than her pathologist.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306059</id>
	<title>One more such case,...me</title>
	<author>Anonymous</author>
	<datestamp>1244808180000</datestamp>
	<modclass>None</modclass>
	<modscore>-1</modscore>
	<htmltext><p>I went to the doctor to report that morning it felt like al my organs were about to exit my body through my trachea. A second later I had felt my heart beat its last beat, just one weird panicking last beat. I also told her I lost control over my body at that time as if I had been paralyzed. She send me home not to worry, that I was perfectly fine. Five years later I felt weak and went to the hospital. A team of specialists concluded I was in bad shape but had to learn to live with that, there was no conclusive diagnosis. The next hospital reached the conclusion I was partially paralyzed and nothing could be done. It was only when a young medical student gave me her access code to PubMed that I learned my diafragm was ruptured and could be sewed together again. Never having had any medical schooling but with a little engineering background I made some changes to the protocol for the operation resulting in a much better quality of life than what would be possible with the protocol that had been used so far.</p></htmltext>
<tokenext>I went to the doctor to report that morning it felt like al my organs were about to exit my body through my trachea .
A second later I had felt my heart beat its last beat , just one weird panicking last beat .
I also told her I lost control over my body at that time as if I had been paralyzed .
She send me home not to worry , that I was perfectly fine .
Five years later I felt weak and went to the hospital .
A team of specialists concluded I was in bad shape but had to learn to live with that , there was no conclusive diagnosis .
The next hospital reached the conclusion I was partially paralyzed and nothing could be done .
It was only when a young medical student gave me her access code to PubMed that I learned my diafragm was ruptured and could be sewed together again .
Never having had any medical schooling but with a little engineering background I made some changes to the protocol for the operation resulting in a much better quality of life than what would be possible with the protocol that had been used so far .</tokentext>
<sentencetext>I went to the doctor to report that morning it felt like al my organs were about to exit my body through my trachea.
A second later I had felt my heart beat its last beat, just one weird panicking last beat.
I also told her I lost control over my body at that time as if I had been paralyzed.
She send me home not to worry, that I was perfectly fine.
Five years later I felt weak and went to the hospital.
A team of specialists concluded I was in bad shape but had to learn to live with that, there was no conclusive diagnosis.
The next hospital reached the conclusion I was partially paralyzed and nothing could be done.
It was only when a young medical student gave me her access code to PubMed that I learned my diafragm was ruptured and could be sewed together again.
Never having had any medical schooling but with a little engineering background I made some changes to the protocol for the operation resulting in a much better quality of life than what would be possible with the protocol that had been used so far.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317971</id>
	<title>Umm...</title>
	<author>Anonymous</author>
	<datestamp>1244923980000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>How the hell did she get a sample of her own intestinal tissue into a microscope slide in the middle of science class??? Ewwww.....</p></htmltext>
<tokenext>How the hell did she get a sample of her own intestinal tissue into a microscope slide in the middle of science class ? ? ?
Ewwww.... .</tokentext>
<sentencetext>How the hell did she get a sample of her own intestinal tissue into a microscope slide in the middle of science class???
Ewwww.....</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310783</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244831760000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Ask a pharmacist not a doctor for prescription complication info, doctors only know what the sales rep feeds them or what little research they do themselves.</p></htmltext>
<tokenext>Ask a pharmacist not a doctor for prescription complication info , doctors only know what the sales rep feeds them or what little research they do themselves .</tokentext>
<sentencetext>Ask a pharmacist not a doctor for prescription complication info, doctors only know what the sales rep feeds them or what little research they do themselves.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306203</id>
	<title>Re:Surprised?</title>
	<author>discontinuity</author>
	<datestamp>1244809740000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>5</modscore>
	<htmltext><p><div class="quote"><p>Crohn's disease is pretty common, so how come it wasn't diagnosed? The idiot medicos just pocketed the money for tests, hospital stays, appointments, medical certs etc for 8 years while the girl suffered? Hmmm. Come to think of it I'm not that surprised. There are far more quacks out there than decent doctors in my experience.</p></div><p>Well, Wikipedia can be suspect at times, but here's what it says (http://en.wikipedia.org/wiki/Crohn\%27s\_disease#Symptoms):</p><blockquote><div><p>Many people with Crohn's disease have symptoms for years prior to the diagnosis.[12] The usual onset is between 15 and 30 years of age but can occur at any age.[13] Because of the 'patchy' nature of the gastrointestinal disease and the depth of tissue involvement, initial symptoms can be more vague than with ulcerative colitis. People with Crohn's disease will go through periods of flare-ups and remission.</p></div></blockquote><p>Really sounds to me like a combo of on-again off-again symptoms and symptoms that are fairly generic (i.e., shared w/ lots of conditions) than doctors and labs trying to squeeze ever last buck out of someone and their insurance. Now, if there is a problem if the first thing they do is run expensive tests for exotic diseases or something like that. I mean, a responsible physician would consider the a priori odds of each condition. And while I'm sure there are plenty of "quacks" out there, I'm not sure that's the first conclusion I would reach for in this particular case.</p></div>
	</htmltext>
<tokenext>Crohn 's disease is pretty common , so how come it was n't diagnosed ?
The idiot medicos just pocketed the money for tests , hospital stays , appointments , medical certs etc for 8 years while the girl suffered ?
Hmmm. Come to think of it I 'm not that surprised .
There are far more quacks out there than decent doctors in my experience.Well , Wikipedia can be suspect at times , but here 's what it says ( http : //en.wikipedia.org/wiki/Crohn \ % 27s \ _disease # Symptoms ) : Many people with Crohn 's disease have symptoms for years prior to the diagnosis .
[ 12 ] The usual onset is between 15 and 30 years of age but can occur at any age .
[ 13 ] Because of the 'patchy ' nature of the gastrointestinal disease and the depth of tissue involvement , initial symptoms can be more vague than with ulcerative colitis .
People with Crohn 's disease will go through periods of flare-ups and remission.Really sounds to me like a combo of on-again off-again symptoms and symptoms that are fairly generic ( i.e. , shared w/ lots of conditions ) than doctors and labs trying to squeeze ever last buck out of someone and their insurance .
Now , if there is a problem if the first thing they do is run expensive tests for exotic diseases or something like that .
I mean , a responsible physician would consider the a priori odds of each condition .
And while I 'm sure there are plenty of " quacks " out there , I 'm not sure that 's the first conclusion I would reach for in this particular case .</tokentext>
<sentencetext>Crohn's disease is pretty common, so how come it wasn't diagnosed?
The idiot medicos just pocketed the money for tests, hospital stays, appointments, medical certs etc for 8 years while the girl suffered?
Hmmm. Come to think of it I'm not that surprised.
There are far more quacks out there than decent doctors in my experience.Well, Wikipedia can be suspect at times, but here's what it says (http://en.wikipedia.org/wiki/Crohn\%27s\_disease#Symptoms):Many people with Crohn's disease have symptoms for years prior to the diagnosis.
[12] The usual onset is between 15 and 30 years of age but can occur at any age.
[13] Because of the 'patchy' nature of the gastrointestinal disease and the depth of tissue involvement, initial symptoms can be more vague than with ulcerative colitis.
People with Crohn's disease will go through periods of flare-ups and remission.Really sounds to me like a combo of on-again off-again symptoms and symptoms that are fairly generic (i.e., shared w/ lots of conditions) than doctors and labs trying to squeeze ever last buck out of someone and their insurance.
Now, if there is a problem if the first thing they do is run expensive tests for exotic diseases or something like that.
I mean, a responsible physician would consider the a priori odds of each condition.
And while I'm sure there are plenty of "quacks" out there, I'm not sure that's the first conclusion I would reach for in this particular case.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305927</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308309</id>
	<title>Incompetant doctors!</title>
	<author>slashhax0r</author>
	<datestamp>1244821980000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>What the hell? Chron's isn't some super rare thing, this should have been diagnosed by her doctors years ago. kudos to her for figguring it out though.</htmltext>
<tokenext>What the hell ?
Chron 's is n't some super rare thing , this should have been diagnosed by her doctors years ago .
kudos to her for figguring it out though .</tokentext>
<sentencetext>What the hell?
Chron's isn't some super rare thing, this should have been diagnosed by her doctors years ago.
kudos to her for figguring it out though.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310235</id>
	<title>Re:Was she the....</title>
	<author>Cedric Tsui</author>
	<datestamp>1244829540000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>She probably shouldn't diagnose herself without a SECOND opinion.</htmltext>
<tokenext>She probably should n't diagnose herself without a SECOND opinion .</tokentext>
<sentencetext>She probably shouldn't diagnose herself without a SECOND opinion.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307687</id>
	<title>Wow</title>
	<author>Anonymous</author>
	<datestamp>1244819700000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>So, not only did she diagnose herself, she did it with information that her doctor had, but was unable to diagnose her with?</p><p>Anyone else smell a malpractice suit?</p></htmltext>
<tokenext>So , not only did she diagnose herself , she did it with information that her doctor had , but was unable to diagnose her with ? Anyone else smell a malpractice suit ?</tokentext>
<sentencetext>So, not only did she diagnose herself, she did it with information that her doctor had, but was unable to diagnose her with?Anyone else smell a malpractice suit?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28321861</id>
	<title>Re:How to get intestine cell?</title>
	<author>FatLittleMonkey</author>
	<datestamp>1244925060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Are you asking for pictures? Coz...</htmltext>
<tokenext>Are you asking for pictures ?
Coz.. .</tokentext>
<sentencetext>Are you asking for pictures?
Coz...</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307697</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244819700000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches. Now do you start to see why a pathologist may miss it? They will have taken many specimens from the girl's GI tract, and if this is the only sample with a granuloma, then it's not <i>too</i> unforgiveable that a <a href="http://www.pathguy.com/~egarcia/histoplasmosis\_granuloma.jpg" title="pathguy.com">patch of cells only around 30 cells-wide</a> [pathguy.com] is miss. Yes, it sucks, but pathology is actually a fairly bloody hard speciality, with an <a href="http://www.rcpath.org/index.asp?PageID=300" title="rcpath.org">very vigorous set of examinations</a> [rcpath.org]</p> </div><p>Yet a highschool girl was able to find what the pathologist had not been able to find <i>in the same piece of tissue</i>!</p><p><div class="quote"><p>Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been. Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it.</p></div><p>But if it could be Crohn's, and that's an obvious diagnosis, how can it remain undiagnosed <b>for 8 years</b>? I can understand that it takes a couple of months. Years, maybe. But if a highschool girl can find the granuloma in a piece of tissue that the pathologist had already examined, then he just wasn't looking very hard. It's his job. He's the specialist. What use is he if an 18 year old girl can do it better?</p></div>
	</htmltext>
<tokenext>The disease is not confluent over the entire gut , in fact it can be anywhere from mouth to anus , in small patches .
Now do you start to see why a pathologist may miss it ?
They will have taken many specimens from the girl 's GI tract , and if this is the only sample with a granuloma , then it 's not too unforgiveable that a patch of cells only around 30 cells-wide [ pathguy.com ] is miss .
Yes , it sucks , but pathology is actually a fairly bloody hard speciality , with an very vigorous set of examinations [ rcpath.org ] Yet a highschool girl was able to find what the pathologist had not been able to find in the same piece of tissue ! Maybe you guys instantly thought Crohn 's , but there are plenty of other rarer diseases it could have been .
Without a positive biopsy it would have been incredibly immoral to slap a Crohn 's diagnosis on this girl and medicated her for it.But if it could be Crohn 's , and that 's an obvious diagnosis , how can it remain undiagnosed for 8 years ?
I can understand that it takes a couple of months .
Years , maybe .
But if a highschool girl can find the granuloma in a piece of tissue that the pathologist had already examined , then he just was n't looking very hard .
It 's his job .
He 's the specialist .
What use is he if an 18 year old girl can do it better ?</tokentext>
<sentencetext>The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches.
Now do you start to see why a pathologist may miss it?
They will have taken many specimens from the girl's GI tract, and if this is the only sample with a granuloma, then it's not too unforgiveable that a patch of cells only around 30 cells-wide [pathguy.com] is miss.
Yes, it sucks, but pathology is actually a fairly bloody hard speciality, with an very vigorous set of examinations [rcpath.org] Yet a highschool girl was able to find what the pathologist had not been able to find in the same piece of tissue!Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been.
Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it.But if it could be Crohn's, and that's an obvious diagnosis, how can it remain undiagnosed for 8 years?
I can understand that it takes a couple of months.
Years, maybe.
But if a highschool girl can find the granuloma in a piece of tissue that the pathologist had already examined, then he just wasn't looking very hard.
It's his job.
He's the specialist.
What use is he if an 18 year old girl can do it better?
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305961</id>
	<title>How is it possible?</title>
	<author>adokink</author>
	<datestamp>1244807400000</datestamp>
	<modclass>Redundant</modclass>
	<modscore>0</modscore>
	<htmltext>The only news here is that until her age nobody had imagined it was Crohn's disease.

It is a pretty common disease!</htmltext>
<tokenext>The only news here is that until her age nobody had imagined it was Crohn 's disease .
It is a pretty common disease !</tokentext>
<sentencetext>The only news here is that until her age nobody had imagined it was Crohn's disease.
It is a pretty common disease!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306773</id>
	<title>I hope she goes to medical school.</title>
	<author>Shag</author>
	<datestamp>1244814960000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext><p>Seems like she'd make a good doctor.<nobr> <wbr></nobr>:)</p></htmltext>
<tokenext>Seems like she 'd make a good doctor .
: )</tokentext>
<sentencetext>Seems like she'd make a good doctor.
:)</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306883</id>
	<title>Diagnosis is not impressive...</title>
	<author>Lumpy</author>
	<datestamp>1244815560000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>The fact that she did her own biopsy if her intestinal tissue at school is impressive!</p><p>What,  you gotta assume that if she did it all herself then she did it ALL herself.</p><p>That's gotta hurt.</p></htmltext>
<tokenext>The fact that she did her own biopsy if her intestinal tissue at school is impressive ! What , you got ta assume that if she did it all herself then she did it ALL herself.That 's got ta hurt .</tokentext>
<sentencetext>The fact that she did her own biopsy if her intestinal tissue at school is impressive!What,  you gotta assume that if she did it all herself then she did it ALL herself.That's gotta hurt.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309083</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244825220000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>Dyslexics of the world, untie!</htmltext>
<tokenext>Dyslexics of the world , untie !</tokentext>
<sentencetext>Dyslexics of the world, untie!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306257</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310061</id>
	<title>i still don't understand....</title>
	<author>Anonymous</author>
	<datestamp>1244828880000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>how was she able to sample her own intestinal tissue?</p></htmltext>
<tokenext>how was she able to sample her own intestinal tissue ?</tokentext>
<sentencetext>how was she able to sample her own intestinal tissue?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306463</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244812740000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p> It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma.</p></div><p>Right, except that that's your fucking <i>job</i>, genius.  What do you think they're paying you for, the calm and reassuring voice?</p><p>The girl found the granuloma because she was scanning the slides <i>as if someone's actual health were at stake</i>, rather than, as if it were something keeping her off the golf course.</p><p>I'd have sympathy except that this matches the experience of every doctor I've had, like a neurologist who can't be bothered to tell the nurse the right medications I'm supposed to be on (this was a few years ago, thanks for asking) and so a pharmacist has to catch the dangerous drug interaction.</p></div>
	</htmltext>
<tokenext>It is very hard , if not impossible , to scan every single slide in its entirity , for a granuloma.Right , except that that 's your fucking job , genius .
What do you think they 're paying you for , the calm and reassuring voice ? The girl found the granuloma because she was scanning the slides as if someone 's actual health were at stake , rather than , as if it were something keeping her off the golf course.I 'd have sympathy except that this matches the experience of every doctor I 've had , like a neurologist who ca n't be bothered to tell the nurse the right medications I 'm supposed to be on ( this was a few years ago , thanks for asking ) and so a pharmacist has to catch the dangerous drug interaction .</tokentext>
<sentencetext> It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma.Right, except that that's your fucking job, genius.
What do you think they're paying you for, the calm and reassuring voice?The girl found the granuloma because she was scanning the slides as if someone's actual health were at stake, rather than, as if it were something keeping her off the golf course.I'd have sympathy except that this matches the experience of every doctor I've had, like a neurologist who can't be bothered to tell the nurse the right medications I'm supposed to be on (this was a few years ago, thanks for asking) and so a pharmacist has to catch the dangerous drug interaction.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307003</id>
	<title>Self Medication</title>
	<author>Anonymous</author>
	<datestamp>1244816160000</datestamp>
	<modclass>Funny</modclass>
	<modscore>1</modscore>
	<htmltext><p>Yet to reach a diagnoses, but I've successfully self-medicated.</p></htmltext>
<tokenext>Yet to reach a diagnoses , but I 've successfully self-medicated .</tokentext>
<sentencetext>Yet to reach a diagnoses, but I've successfully self-medicated.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308157</id>
	<title>Re:What did they think it was?</title>
	<author>ceoyoyo</author>
	<datestamp>1244821320000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>So which one is it?  Three possibilities is not a diagnosis.</p></htmltext>
<tokenext>So which one is it ?
Three possibilities is not a diagnosis .</tokentext>
<sentencetext>So which one is it?
Three possibilities is not a diagnosis.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306013</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308621</id>
	<title>O/T</title>
	<author>Anonymous</author>
	<datestamp>1244823180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>yeah, it's off topic, but I had to really read that carefully a couple of times before I even noticed the extra "was"  that was in there.  It's amazing how the brain sometimes edits things as you read them to "fix" mistakes as you go without you even consciously noticing it....</p></htmltext>
<tokenext>yeah , it 's off topic , but I had to really read that carefully a couple of times before I even noticed the extra " was " that was in there .
It 's amazing how the brain sometimes edits things as you read them to " fix " mistakes as you go without you even consciously noticing it... .</tokentext>
<sentencetext>yeah, it's off topic, but I had to really read that carefully a couple of times before I even noticed the extra "was"  that was in there.
It's amazing how the brain sometimes edits things as you read them to "fix" mistakes as you go without you even consciously noticing it....</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305907</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307177</id>
	<title>Re:I wonder...</title>
	<author>DarthVain</author>
	<datestamp>1244817120000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Don't you need some kind of license to practice medicine? I smell lawsuit!</p></htmltext>
<tokenext>Do n't you need some kind of license to practice medicine ?
I smell lawsuit !</tokentext>
<sentencetext>Don't you need some kind of license to practice medicine?
I smell lawsuit!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305995</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305995</id>
	<title>I wonder...</title>
	<author>Anonymous</author>
	<datestamp>1244807640000</datestamp>
	<modclass>Funny</modclass>
	<modscore>4</modscore>
	<htmltext>... if she now gets sued for "stealing" from "Private Doctor Association of America" (I'm sure there is one) by diagnosing her own self and not by paying a doctor to do it? Even though she did visit a pathologist.</htmltext>
<tokenext>... if she now gets sued for " stealing " from " Private Doctor Association of America " ( I 'm sure there is one ) by diagnosing her own self and not by paying a doctor to do it ?
Even though she did visit a pathologist .</tokentext>
<sentencetext>... if she now gets sued for "stealing" from "Private Doctor Association of America" (I'm sure there is one) by diagnosing her own self and not by paying a doctor to do it?
Even though she did visit a pathologist.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306257</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244810460000</datestamp>
	<modclass>Funny</modclass>
	<modscore>5</modscore>
	<htmltext><p>That's not funny. My brother died from dyslexia.</p></htmltext>
<tokenext>That 's not funny .
My brother died from dyslexia .</tokentext>
<sentencetext>That's not funny.
My brother died from dyslexia.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307453</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>drinkypoo</author>
	<datestamp>1244818500000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>See, that's the part that makes me mad in all of this. The evidence was right there, how come it took a teenage girl to find it? They <em>clearly</em> weren't that interested in actually doing their jobs. We've all been guilty of this kind of thing when making some french fries or writing a TPS report, but it's just unacceptable when we're talking about a human life.</p></htmltext>
<tokenext>See , that 's the part that makes me mad in all of this .
The evidence was right there , how come it took a teenage girl to find it ?
They clearly were n't that interested in actually doing their jobs .
We 've all been guilty of this kind of thing when making some french fries or writing a TPS report , but it 's just unacceptable when we 're talking about a human life .</tokentext>
<sentencetext>See, that's the part that makes me mad in all of this.
The evidence was right there, how come it took a teenage girl to find it?
They clearly weren't that interested in actually doing their jobs.
We've all been guilty of this kind of thing when making some french fries or writing a TPS report, but it's just unacceptable when we're talking about a human life.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306313</id>
	<title>Re:This does not surprise me at all.</title>
	<author>Schraegstrichpunkt</author>
	<datestamp>1244811180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal cream</p></div><p>Uh, you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response, right?</p></div>
	</htmltext>
<tokenext>I took her to our local GP who actually admitted that he did n't know what it was , BUT STIIL PRESCRIBED a topical steroidal creamUh , you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response , right ?</tokentext>
<sentencetext>I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal creamUh, you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response, right?
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306155</id>
	<title>Re:So what</title>
	<author>kidgenius</author>
	<datestamp>1244809320000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Dislexia.....or from the sounds of it, you're German<nobr> <wbr></nobr>;-)</htmltext>
<tokenext>Dislexia.....or from the sounds of it , you 're German ; - )</tokentext>
<sentencetext>Dislexia.....or from the sounds of it, you're German ;-)</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306723</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244814660000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>5</modscore>
	<htmltext><p><div class="quote"><p>Yes, I've acknowledged that - as I said the pathologist will have been presented with many many samples, turned into slides, looking for a few, if any, granulomata, which are tiny in size. I even said <i>"Now do you start to see why a pathologist may miss it?"</i> It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma. Fortunately this girl found it, when the pathologist didn't. Props to her,</p></div><p>Absolutely.  Agreed.</p><p>We must remember that, unlike computers that are often highly deterministic, biology is often non-deterministic, and any given test has a certain rate of accuracy that is rarely 100\%.  Any given test especially includes ones where there's a human who must interpret observations.  Unlike with computers, false positive and negative rates on biological tests are rarely zero.</p><p>Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate.  Not a big deal.</p><p>Also, recall that Jessica is far more highly motivated to look for long times at her slides than a pathologist is.  A pathologist cannot afford to spend hours gazing at slides, but a high school student can.  Not surprising at all, then, that a difficult-to-detect granuloma would, at some point in modern human history, be detecetd by a student and not a pathologist.</p><p>This is an interesting story because of initiative shown by the student, but not a very provocative one because of implied medical ineptitude.</p></div>
	</htmltext>
<tokenext>Yes , I 've acknowledged that - as I said the pathologist will have been presented with many many samples , turned into slides , looking for a few , if any , granulomata , which are tiny in size .
I even said " Now do you start to see why a pathologist may miss it ?
" It is very hard , if not impossible , to scan every single slide in its entirity , for a granuloma .
Fortunately this girl found it , when the pathologist did n't .
Props to her,Absolutely .
Agreed.We must remember that , unlike computers that are often highly deterministic , biology is often non-deterministic , and any given test has a certain rate of accuracy that is rarely 100 \ % .
Any given test especially includes ones where there 's a human who must interpret observations .
Unlike with computers , false positive and negative rates on biological tests are rarely zero.Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate .
Not a big deal.Also , recall that Jessica is far more highly motivated to look for long times at her slides than a pathologist is .
A pathologist can not afford to spend hours gazing at slides , but a high school student can .
Not surprising at all , then , that a difficult-to-detect granuloma would , at some point in modern human history , be detecetd by a student and not a pathologist.This is an interesting story because of initiative shown by the student , but not a very provocative one because of implied medical ineptitude .</tokentext>
<sentencetext>Yes, I've acknowledged that - as I said the pathologist will have been presented with many many samples, turned into slides, looking for a few, if any, granulomata, which are tiny in size.
I even said "Now do you start to see why a pathologist may miss it?
" It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma.
Fortunately this girl found it, when the pathologist didn't.
Props to her,Absolutely.
Agreed.We must remember that, unlike computers that are often highly deterministic, biology is often non-deterministic, and any given test has a certain rate of accuracy that is rarely 100\%.
Any given test especially includes ones where there's a human who must interpret observations.
Unlike with computers, false positive and negative rates on biological tests are rarely zero.Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate.
Not a big deal.Also, recall that Jessica is far more highly motivated to look for long times at her slides than a pathologist is.
A pathologist cannot afford to spend hours gazing at slides, but a high school student can.
Not surprising at all, then, that a difficult-to-detect granuloma would, at some point in modern human history, be detecetd by a student and not a pathologist.This is an interesting story because of initiative shown by the student, but not a very provocative one because of implied medical ineptitude.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306927</id>
	<title>Re:They couldn't diagnose her?</title>
	<author>Subverted</author>
	<datestamp>1244815860000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Not that surprising, really... I lived with symptomatic celiac for 14.5 years w/o knowing it. I never liked sandwiches and self-regulated. Only when I was in HS did I start taking in enough gluten to actually make it impossible for me to function anywhere near normally(I missed 80 days of school in one quarter of the year).

Even with all that going on it took doctors 3 years to figure it out. And then it was a test that wasnt supposed to be run but was a typo. The joys of not fitting the one major symptom(frailty/stunted growth from malnourishment) but rather being 6'2" and 265lbs and thus not having the doctors check for it at all... After being diagnosed, almost all the illnesses in my life made sense, which is just excellent evidence that simple things do slip by doctors, even doctors who are specialists in a certain field.</htmltext>
<tokenext>Not that surprising , really... I lived with symptomatic celiac for 14.5 years w/o knowing it .
I never liked sandwiches and self-regulated .
Only when I was in HS did I start taking in enough gluten to actually make it impossible for me to function anywhere near normally ( I missed 80 days of school in one quarter of the year ) .
Even with all that going on it took doctors 3 years to figure it out .
And then it was a test that wasnt supposed to be run but was a typo .
The joys of not fitting the one major symptom ( frailty/stunted growth from malnourishment ) but rather being 6'2 " and 265lbs and thus not having the doctors check for it at all... After being diagnosed , almost all the illnesses in my life made sense , which is just excellent evidence that simple things do slip by doctors , even doctors who are specialists in a certain field .</tokentext>
<sentencetext>Not that surprising, really... I lived with symptomatic celiac for 14.5 years w/o knowing it.
I never liked sandwiches and self-regulated.
Only when I was in HS did I start taking in enough gluten to actually make it impossible for me to function anywhere near normally(I missed 80 days of school in one quarter of the year).
Even with all that going on it took doctors 3 years to figure it out.
And then it was a test that wasnt supposed to be run but was a typo.
The joys of not fitting the one major symptom(frailty/stunted growth from malnourishment) but rather being 6'2" and 265lbs and thus not having the doctors check for it at all... After being diagnosed, almost all the illnesses in my life made sense, which is just excellent evidence that simple things do slip by doctors, even doctors who are specialists in a certain field.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305943</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307559</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>radtea</author>
	<datestamp>1244819040000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><i>Now do you start to see why a pathologist may miss it?</i></p><p>No, I don't.  Not on slides that the girl used to diagnose herself, which had already been screened by a pathologist.</p><p>Stop making excuses.  This is an all-too-common case of medical failure.  I'm betting the primary reason it took so long to diagnose is that no single individual took responsibility for her care, so she got shunted from department to department without anyone really realizing how long things had been going on for.</p><p>And no one anywhere here as suggested "slapping her with a Crohn's diagnosis and medicating her for it" without having a proof of that diagnosis.</p></htmltext>
<tokenext>Now do you start to see why a pathologist may miss it ? No , I do n't .
Not on slides that the girl used to diagnose herself , which had already been screened by a pathologist.Stop making excuses .
This is an all-too-common case of medical failure .
I 'm betting the primary reason it took so long to diagnose is that no single individual took responsibility for her care , so she got shunted from department to department without anyone really realizing how long things had been going on for.And no one anywhere here as suggested " slapping her with a Crohn 's diagnosis and medicating her for it " without having a proof of that diagnosis .</tokentext>
<sentencetext>Now do you start to see why a pathologist may miss it?No, I don't.
Not on slides that the girl used to diagnose herself, which had already been screened by a pathologist.Stop making excuses.
This is an all-too-common case of medical failure.
I'm betting the primary reason it took so long to diagnose is that no single individual took responsibility for her care, so she got shunted from department to department without anyone really realizing how long things had been going on for.And no one anywhere here as suggested "slapping her with a Crohn's diagnosis and medicating her for it" without having a proof of that diagnosis.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28315063</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244806320000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>What do we have computers for? Why should spotting granulomata require a human eye and brain?</p></htmltext>
<tokenext>What do we have computers for ?
Why should spotting granulomata require a human eye and brain ?</tokentext>
<sentencetext>What do we have computers for?
Why should spotting granulomata require a human eye and brain?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310105</id>
	<title>Interesting ...</title>
	<author>SlashDev</author>
	<datestamp>1244829000000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>... how Jessica often missed class, yet she was in advanced placement; she must be really smart. Good for you Jessica and hats off!</htmltext>
<tokenext>... how Jessica often missed class , yet she was in advanced placement ; she must be really smart .
Good for you Jessica and hats off !</tokentext>
<sentencetext>... how Jessica often missed class, yet she was in advanced placement; she must be really smart.
Good for you Jessica and hats off!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309059</id>
	<title>Not surprising</title>
	<author>kheldan</author>
	<datestamp>1244825100000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>She's discovered what I started suspecting some years ago: that most doctors aren't really very good, and that medical science in general should only have the term "science" applied to it very, very loosely. We seem to have barely scratched the surface of how biological systems work, and that's a statement I'll only apply to those who are at the very top of their fields. The average run-of-the-mill HMO doctor I believe to be pretty clueless, which is only made worse by people who won't or can't question the decisions they're making for their health care.</htmltext>
<tokenext>She 's discovered what I started suspecting some years ago : that most doctors are n't really very good , and that medical science in general should only have the term " science " applied to it very , very loosely .
We seem to have barely scratched the surface of how biological systems work , and that 's a statement I 'll only apply to those who are at the very top of their fields .
The average run-of-the-mill HMO doctor I believe to be pretty clueless , which is only made worse by people who wo n't or ca n't question the decisions they 're making for their health care .</tokentext>
<sentencetext>She's discovered what I started suspecting some years ago: that most doctors aren't really very good, and that medical science in general should only have the term "science" applied to it very, very loosely.
We seem to have barely scratched the surface of how biological systems work, and that's a statement I'll only apply to those who are at the very top of their fields.
The average run-of-the-mill HMO doctor I believe to be pretty clueless, which is only made worse by people who won't or can't question the decisions they're making for their health care.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309137</id>
	<title>Hard to diagnose</title>
	<author>Anonymous</author>
	<datestamp>1244825520000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>My niece has Crohn's disease and it was diagnosed when she was about 12, but that was after at least a couple years of my sister taking her to different doctors.  I'm not sure why it seems so hard for doctors to get this one right.  Maybe because the symptoms are common to a lot of other ailments and because the intensity varies.  My niece has learned to control the disease by altering her diet and without any medication, and she has grown up very healthy.  Of course, her mom is a nutritionist, so that helps.</p></htmltext>
<tokenext>My niece has Crohn 's disease and it was diagnosed when she was about 12 , but that was after at least a couple years of my sister taking her to different doctors .
I 'm not sure why it seems so hard for doctors to get this one right .
Maybe because the symptoms are common to a lot of other ailments and because the intensity varies .
My niece has learned to control the disease by altering her diet and without any medication , and she has grown up very healthy .
Of course , her mom is a nutritionist , so that helps .</tokentext>
<sentencetext>My niece has Crohn's disease and it was diagnosed when she was about 12, but that was after at least a couple years of my sister taking her to different doctors.
I'm not sure why it seems so hard for doctors to get this one right.
Maybe because the symptoms are common to a lot of other ailments and because the intensity varies.
My niece has learned to control the disease by altering her diet and without any medication, and she has grown up very healthy.
Of course, her mom is a nutritionist, so that helps.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308945</id>
	<title>Re:Surprised?</title>
	<author>thogard</author>
	<datestamp>1244824680000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Your doctor should have a big thick book that describes most drugs and the ratios of common and even very rare side effects.</p></htmltext>
<tokenext>Your doctor should have a big thick book that describes most drugs and the ratios of common and even very rare side effects .</tokentext>
<sentencetext>Your doctor should have a big thick book that describes most drugs and the ratios of common and even very rare side effects.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307005</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309791</id>
	<title>Re:This does not surprise me at all.</title>
	<author>SoTerrified</author>
	<datestamp>1244827860000</datestamp>
	<modclass>Troll</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>When my daughter first started school - many years ago - she caught impetigo. Now, I had had impetigo as a child myself, but I had completely forgotten the symptoms.  Moral of the story:  most diseases are actually well known - if you find a competent doctor.  Unfortunately, most doctors are incompetent.</p>  </div><p>WAIT A MINUTE.  Your daughter got a disease that you had... Now, most people will only get a handful of diseases in their lifetime, so you forgot a disease in a very small sample set.  Whereas the doctor missed a disease among the thousands that he's responsible for diagnosing... And you have the gall to say the doctor was incompetent?  You couldn't even recognize one disease in the maybe (being generous) dozen diseases you've had in your life, and you have the temerity to say the doctor failed because he didn't recognize it right away?
<br>
All I'm going to say is that if the doctor was 'incompetent', then as a parent, you must be worse than 'incompetent'.<br> <br>
Or maybe we could be logical for a moment and all agree that maybe the job isn't easy and that's why sometimes things are missed?</p></div>
	</htmltext>
<tokenext>When my daughter first started school - many years ago - she caught impetigo .
Now , I had had impetigo as a child myself , but I had completely forgotten the symptoms .
Moral of the story : most diseases are actually well known - if you find a competent doctor .
Unfortunately , most doctors are incompetent .
WAIT A MINUTE .
Your daughter got a disease that you had... Now , most people will only get a handful of diseases in their lifetime , so you forgot a disease in a very small sample set .
Whereas the doctor missed a disease among the thousands that he 's responsible for diagnosing... And you have the gall to say the doctor was incompetent ?
You could n't even recognize one disease in the maybe ( being generous ) dozen diseases you 've had in your life , and you have the temerity to say the doctor failed because he did n't recognize it right away ?
All I 'm going to say is that if the doctor was 'incompetent ' , then as a parent , you must be worse than 'incompetent' .
Or maybe we could be logical for a moment and all agree that maybe the job is n't easy and that 's why sometimes things are missed ?</tokentext>
<sentencetext>When my daughter first started school - many years ago - she caught impetigo.
Now, I had had impetigo as a child myself, but I had completely forgotten the symptoms.
Moral of the story:  most diseases are actually well known - if you find a competent doctor.
Unfortunately, most doctors are incompetent.
WAIT A MINUTE.
Your daughter got a disease that you had... Now, most people will only get a handful of diseases in their lifetime, so you forgot a disease in a very small sample set.
Whereas the doctor missed a disease among the thousands that he's responsible for diagnosing... And you have the gall to say the doctor was incompetent?
You couldn't even recognize one disease in the maybe (being generous) dozen diseases you've had in your life, and you have the temerity to say the doctor failed because he didn't recognize it right away?
All I'm going to say is that if the doctor was 'incompetent', then as a parent, you must be worse than 'incompetent'.
Or maybe we could be logical for a moment and all agree that maybe the job isn't easy and that's why sometimes things are missed?
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308429</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244822400000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Certainly it would have been irresponsible to run all the tests right away.  But you have to imagine that these doctors "gave up" at some point in the 8 year time period during which they could not provide a diagnosis.  Giving up when the Crohn's disease test is cheap (optical microscopy has been around for CENTURIES) means they were dumbasses.  Eight years.</p></htmltext>
<tokenext>Certainly it would have been irresponsible to run all the tests right away .
But you have to imagine that these doctors " gave up " at some point in the 8 year time period during which they could not provide a diagnosis .
Giving up when the Crohn 's disease test is cheap ( optical microscopy has been around for CENTURIES ) means they were dumbasses .
Eight years .</tokentext>
<sentencetext>Certainly it would have been irresponsible to run all the tests right away.
But you have to imagine that these doctors "gave up" at some point in the 8 year time period during which they could not provide a diagnosis.
Giving up when the Crohn's disease test is cheap (optical microscopy has been around for CENTURIES) means they were dumbasses.
Eight years.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28312443</id>
	<title>Re:Remeber it is practicing</title>
	<author>Tybalt\_Capulet</author>
	<datestamp>1244837940000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Crones disease isn't exactly one of the most unheard of diseases, if she had the symptoms, the doctors should have checked for it.</p><p>Statistics may say that 1\% of the age group will get it, and it may be statistically unlikely that those people will walk into the office with the same disease, it's possible.</p><p>A coin-flip will come up heads or tails, but two coin-flips will not necessarily come up heads and tails.</p></htmltext>
<tokenext>Crones disease is n't exactly one of the most unheard of diseases , if she had the symptoms , the doctors should have checked for it.Statistics may say that 1 \ % of the age group will get it , and it may be statistically unlikely that those people will walk into the office with the same disease , it 's possible.A coin-flip will come up heads or tails , but two coin-flips will not necessarily come up heads and tails .</tokentext>
<sentencetext>Crones disease isn't exactly one of the most unheard of diseases, if she had the symptoms, the doctors should have checked for it.Statistics may say that 1\% of the age group will get it, and it may be statistically unlikely that those people will walk into the office with the same disease, it's possible.A coin-flip will come up heads or tails, but two coin-flips will not necessarily come up heads and tails.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306097</id>
	<title>Not the last one</title>
	<author>Krneki</author>
	<datestamp>1244808720000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext>With the developing of technology and Internet more and more people can diagnose their problems quicker.<br><br>When I was bitten by a tick I diagnosed borreliosis before going to the doctor, by just browsing the Internet. When I visited the doctor I already knew everything I had to do to cure it, still it was nice to get a professional confirmation.<br><br>Get used to it, the more you know, the better you can help yourself.</htmltext>
<tokenext>With the developing of technology and Internet more and more people can diagnose their problems quicker.When I was bitten by a tick I diagnosed borreliosis before going to the doctor , by just browsing the Internet .
When I visited the doctor I already knew everything I had to do to cure it , still it was nice to get a professional confirmation.Get used to it , the more you know , the better you can help yourself .</tokentext>
<sentencetext>With the developing of technology and Internet more and more people can diagnose their problems quicker.When I was bitten by a tick I diagnosed borreliosis before going to the doctor, by just browsing the Internet.
When I visited the doctor I already knew everything I had to do to cure it, still it was nice to get a professional confirmation.Get used to it, the more you know, the better you can help yourself.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28316189</id>
	<title>House says:</title>
	<author>L33TRice</author>
	<datestamp>1244814840000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>It's not Lupus.</htmltext>
<tokenext>It 's not Lupus .</tokentext>
<sentencetext>It's not Lupus.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306013</id>
	<title>What did they think it was?</title>
	<author>Chysn</author>
	<datestamp>1244807700000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>5</modscore>
	<htmltext><p>If you go to "My Electronic MD (dot com)", tell it you're a female, and give it the symptoms "chronic diarrhea" and "fever," Crohn's Disease is the first of three things to pop up, along with Ulcerative Colitis and Infectious Colitis.</p><p>Of course, anyone can diagnose him or herself with a computer.  It's encouraging that this young woman did it with a microscope.</p></htmltext>
<tokenext>If you go to " My Electronic MD ( dot com ) " , tell it you 're a female , and give it the symptoms " chronic diarrhea " and " fever , " Crohn 's Disease is the first of three things to pop up , along with Ulcerative Colitis and Infectious Colitis.Of course , anyone can diagnose him or herself with a computer .
It 's encouraging that this young woman did it with a microscope .</tokentext>
<sentencetext>If you go to "My Electronic MD (dot com)", tell it you're a female, and give it the symptoms "chronic diarrhea" and "fever," Crohn's Disease is the first of three things to pop up, along with Ulcerative Colitis and Infectious Colitis.Of course, anyone can diagnose him or herself with a computer.
It's encouraging that this young woman did it with a microscope.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310447</id>
	<title>not surprising</title>
	<author>roc97007</author>
	<datestamp>1244830440000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext><p>
I don't find this surprising at all.  Doctor's offices are assembly lines these days.  A convenient good for a convenient number.  Real life isn't like House -- unless you're a senator, successful diagnosis of obscure problems is unlikely, and probably prohibitively expensive for the patient, even with insurance.
</p><p>
It would be in our favor to become more educated about how this complicated machine called the body works.  I'm not suggesting bizarre treatments only available in third world countries, but a more complete understanding of cause and effect.
</p><p>
For instance, the most common treatment for back pain is "weaponized" muscle relaxers and pain killers, commonly leading to hopeless addiction.  I know of at least two cases (one of them my own) where the true cause of the pain was due to ergonomic issues, and changes in the environment accompanied by proper exercise solved the issue.  Doctors are not likely to tell you that.  I don't even believe it's something nefarious like kickbacks from the drug companies.  It's simply because giving you a prescription frees up an examining room faster than trying to find a cause.
</p><p>
And then, there is the expense.  I had an ailment that was costing me $400 a month in office visits, lab tests and drugs, after insurance.  At some point I realized that I wasn't getting $400 worth of relief, and just stopped going.  A little research produced alternates that provided 90\% of the effect for 5\% of the cost.
</p><p>
We don't have their training, but we do have a much higher regard for our own health than do most doctors, and access via libraries and the net to most of their information.  The body is just another machine -- although a very complicated one -- and can be understood by an educated person, at least partially, via research.
</p><p>
Mind you, if I need surgery I'm going to the hospital.  I'm not an idiot.  But I stopped taking steroids for eczema, for instance, and switched to Bag Balm, available at the feed store at negligible cost.  Works great.</p></htmltext>
<tokenext>I do n't find this surprising at all .
Doctor 's offices are assembly lines these days .
A convenient good for a convenient number .
Real life is n't like House -- unless you 're a senator , successful diagnosis of obscure problems is unlikely , and probably prohibitively expensive for the patient , even with insurance .
It would be in our favor to become more educated about how this complicated machine called the body works .
I 'm not suggesting bizarre treatments only available in third world countries , but a more complete understanding of cause and effect .
For instance , the most common treatment for back pain is " weaponized " muscle relaxers and pain killers , commonly leading to hopeless addiction .
I know of at least two cases ( one of them my own ) where the true cause of the pain was due to ergonomic issues , and changes in the environment accompanied by proper exercise solved the issue .
Doctors are not likely to tell you that .
I do n't even believe it 's something nefarious like kickbacks from the drug companies .
It 's simply because giving you a prescription frees up an examining room faster than trying to find a cause .
And then , there is the expense .
I had an ailment that was costing me $ 400 a month in office visits , lab tests and drugs , after insurance .
At some point I realized that I was n't getting $ 400 worth of relief , and just stopped going .
A little research produced alternates that provided 90 \ % of the effect for 5 \ % of the cost .
We do n't have their training , but we do have a much higher regard for our own health than do most doctors , and access via libraries and the net to most of their information .
The body is just another machine -- although a very complicated one -- and can be understood by an educated person , at least partially , via research .
Mind you , if I need surgery I 'm going to the hospital .
I 'm not an idiot .
But I stopped taking steroids for eczema , for instance , and switched to Bag Balm , available at the feed store at negligible cost .
Works great .</tokentext>
<sentencetext>
I don't find this surprising at all.
Doctor's offices are assembly lines these days.
A convenient good for a convenient number.
Real life isn't like House -- unless you're a senator, successful diagnosis of obscure problems is unlikely, and probably prohibitively expensive for the patient, even with insurance.
It would be in our favor to become more educated about how this complicated machine called the body works.
I'm not suggesting bizarre treatments only available in third world countries, but a more complete understanding of cause and effect.
For instance, the most common treatment for back pain is "weaponized" muscle relaxers and pain killers, commonly leading to hopeless addiction.
I know of at least two cases (one of them my own) where the true cause of the pain was due to ergonomic issues, and changes in the environment accompanied by proper exercise solved the issue.
Doctors are not likely to tell you that.
I don't even believe it's something nefarious like kickbacks from the drug companies.
It's simply because giving you a prescription frees up an examining room faster than trying to find a cause.
And then, there is the expense.
I had an ailment that was costing me $400 a month in office visits, lab tests and drugs, after insurance.
At some point I realized that I wasn't getting $400 worth of relief, and just stopped going.
A little research produced alternates that provided 90\% of the effect for 5\% of the cost.
We don't have their training, but we do have a much higher regard for our own health than do most doctors, and access via libraries and the net to most of their information.
The body is just another machine -- although a very complicated one -- and can be understood by an educated person, at least partially, via research.
Mind you, if I need surgery I'm going to the hospital.
I'm not an idiot.
But I stopped taking steroids for eczema, for instance, and switched to Bag Balm, available at the feed store at negligible cost.
Works great.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317963</id>
	<title>Kind of disapointing really...</title>
	<author>Anonymous</author>
	<datestamp>1244923860000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>It's pretty sad if an 18 year old girl stood up a bunch of old people who went to school to treat sickness. And, this poor individual suffered for years before she took matters into her own hands. Regardless of statistics, you think all of that money that has to be payed for medical shit a, statistical success rate should atleast pay of 100\%, I mean a fucking cast 800$. Her seeing the doctor 200$. Its bullshit a doctor who gets payed so much but, fails to treat a patient regardless of how much they're paying. FUCK YOUR STATISTICS IF THEIR STILL IN DISTRESS FIX THEM.</p></htmltext>
<tokenext>It 's pretty sad if an 18 year old girl stood up a bunch of old people who went to school to treat sickness .
And , this poor individual suffered for years before she took matters into her own hands .
Regardless of statistics , you think all of that money that has to be payed for medical shit a , statistical success rate should atleast pay of 100 \ % , I mean a fucking cast 800 $ .
Her seeing the doctor 200 $ .
Its bullshit a doctor who gets payed so much but , fails to treat a patient regardless of how much they 're paying .
FUCK YOUR STATISTICS IF THEIR STILL IN DISTRESS FIX THEM .</tokentext>
<sentencetext>It's pretty sad if an 18 year old girl stood up a bunch of old people who went to school to treat sickness.
And, this poor individual suffered for years before she took matters into her own hands.
Regardless of statistics, you think all of that money that has to be payed for medical shit a, statistical success rate should atleast pay of 100\%, I mean a fucking cast 800$.
Her seeing the doctor 200$.
Its bullshit a doctor who gets payed so much but, fails to treat a patient regardless of how much they're paying.
FUCK YOUR STATISTICS IF THEIR STILL IN DISTRESS FIX THEM.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28318049</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244924880000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Sounds like your Doctors are retarded.  Addison's isn't rare enough to get a episode on House, I think John Kennedy had it.</p><p>Where are you, the middle of Alaska ?</p><p>I second your idea to find new docs.</p></htmltext>
<tokenext>Sounds like your Doctors are retarded .
Addison 's is n't rare enough to get a episode on House , I think John Kennedy had it.Where are you , the middle of Alaska ? I second your idea to find new docs .</tokentext>
<sentencetext>Sounds like your Doctors are retarded.
Addison's isn't rare enough to get a episode on House, I think John Kennedy had it.Where are you, the middle of Alaska ?I second your idea to find new docs.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306039</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305943</id>
	<title>They couldn't diagnose her?</title>
	<author>tygerstripes</author>
	<datestamp>1244807340000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>4</modscore>
	<htmltext>For <i>eight years</i> her doctors were unable to diagnose Crohn's Disease? Shit, that's appalling. It's not exactly an obscure condition requiring House MD's staggering intellect, is it? It's been known about for at least a century, and while it's known to be difficult to diagnose with certainty, you'd think someone would have considered it...<br>Still, kudos to her.</htmltext>
<tokenext>For eight years her doctors were unable to diagnose Crohn 's Disease ?
Shit , that 's appalling .
It 's not exactly an obscure condition requiring House MD 's staggering intellect , is it ?
It 's been known about for at least a century , and while it 's known to be difficult to diagnose with certainty , you 'd think someone would have considered it...Still , kudos to her .</tokentext>
<sentencetext>For eight years her doctors were unable to diagnose Crohn's Disease?
Shit, that's appalling.
It's not exactly an obscure condition requiring House MD's staggering intellect, is it?
It's been known about for at least a century, and while it's known to be difficult to diagnose with certainty, you'd think someone would have considered it...Still, kudos to her.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28314405</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244802540000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><div class="quote"><p>The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches. Now do you start to see why a pathologist may miss it?</p></div><p>She got these samples from her pathologist who hadn't seen anything in them. She didn't scrape them out of her own rectum. There's a healthy limit to self-diagnosis.</p></div>
	</htmltext>
<tokenext>The disease is not confluent over the entire gut , in fact it can be anywhere from mouth to anus , in small patches .
Now do you start to see why a pathologist may miss it ? She got these samples from her pathologist who had n't seen anything in them .
She did n't scrape them out of her own rectum .
There 's a healthy limit to self-diagnosis .</tokentext>
<sentencetext>The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches.
Now do you start to see why a pathologist may miss it?She got these samples from her pathologist who hadn't seen anything in them.
She didn't scrape them out of her own rectum.
There's a healthy limit to self-diagnosis.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310799</id>
	<title>Science reveals all we want and don't want to know</title>
	<author>Anonymous</author>
	<datestamp>1244831820000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext><p>An anecdote from my AP anatomy class - we were testing blood types on our own blood, when a girl discovered her blood was AB-. Struck her as odd considering her parents both had the A+ bloodtype. She went home, confronted her parents, and promptly found out she was adopted. The teacher doesn't allow students to test their own blood anymore.</p></htmltext>
<tokenext>An anecdote from my AP anatomy class - we were testing blood types on our own blood , when a girl discovered her blood was AB- .
Struck her as odd considering her parents both had the A + bloodtype .
She went home , confronted her parents , and promptly found out she was adopted .
The teacher does n't allow students to test their own blood anymore .</tokentext>
<sentencetext>An anecdote from my AP anatomy class - we were testing blood types on our own blood, when a girl discovered her blood was AB-.
Struck her as odd considering her parents both had the A+ bloodtype.
She went home, confronted her parents, and promptly found out she was adopted.
The teacher doesn't allow students to test their own blood anymore.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310545</id>
	<title>Re:Remeber it is practicing</title>
	<author>Anonymous</author>
	<datestamp>1244830860000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>"Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside"</p><p>Fixed: Very few Doctors and specialist can take the time and effort with every patient to hit that few percent that fall outside"</p></htmltext>
<tokenext>" Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside " Fixed : Very few Doctors and specialist can take the time and effort with every patient to hit that few percent that fall outside "</tokentext>
<sentencetext>"Very few Doctors and specialist will take the time and effort with every patient to hit that few percent that fall outside"Fixed: Very few Doctors and specialist can take the time and effort with every patient to hit that few percent that fall outside"</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307439</id>
	<title>Medicine has Changed</title>
	<author>Anonymous</author>
	<datestamp>1244818440000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I spoke with an older retired Doctor a while back and he said listening to the patient is the best way to diagnose their problem. He was pretty successful during his years of practice (he's been retired probably for a decade or two).  My wife has had medical problems recently and almost every doctor we've been to barely has time to listen to what's going on beyond just a real brief overview. They they run a large battery of blood tests every time and if the bloodwork shows nothing, they conclude nothing is wrong even if all the symptoms are pointing to a certain disease.</p><p>While I know there are still "old school" type doctors out there, it seems the majority of them now just rely on blood tests for everything. It's almost as if Doctor's assume you are lying unless bloodwork says otherwise. It didn't used to be this way. And if universal health care gets pushed through, the problem is going to be 10 times worse!</p></htmltext>
<tokenext>I spoke with an older retired Doctor a while back and he said listening to the patient is the best way to diagnose their problem .
He was pretty successful during his years of practice ( he 's been retired probably for a decade or two ) .
My wife has had medical problems recently and almost every doctor we 've been to barely has time to listen to what 's going on beyond just a real brief overview .
They they run a large battery of blood tests every time and if the bloodwork shows nothing , they conclude nothing is wrong even if all the symptoms are pointing to a certain disease.While I know there are still " old school " type doctors out there , it seems the majority of them now just rely on blood tests for everything .
It 's almost as if Doctor 's assume you are lying unless bloodwork says otherwise .
It did n't used to be this way .
And if universal health care gets pushed through , the problem is going to be 10 times worse !</tokentext>
<sentencetext>I spoke with an older retired Doctor a while back and he said listening to the patient is the best way to diagnose their problem.
He was pretty successful during his years of practice (he's been retired probably for a decade or two).
My wife has had medical problems recently and almost every doctor we've been to barely has time to listen to what's going on beyond just a real brief overview.
They they run a large battery of blood tests every time and if the bloodwork shows nothing, they conclude nothing is wrong even if all the symptoms are pointing to a certain disease.While I know there are still "old school" type doctors out there, it seems the majority of them now just rely on blood tests for everything.
It's almost as if Doctor's assume you are lying unless bloodwork says otherwise.
It didn't used to be this way.
And if universal health care gets pushed through, the problem is going to be 10 times worse!</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317321</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244827140000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><div class="quote"><p> Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate. Not a big deal.</p></div><p>Except that Jessica found a granuloma on the exact same slide that the pathologist rated negative.</p></div>
	</htmltext>
<tokenext>Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate .
Not a big deal.Except that Jessica found a granuloma on the exact same slide that the pathologist rated negative .</tokentext>
<sentencetext> Jessica had a false negative on an intestinal biopsy for a test that has a poor false negative rate.
Not a big deal.Except that Jessica found a granuloma on the exact same slide that the pathologist rated negative.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306723</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28313327</id>
	<title>Re:This does her no good...</title>
	<author>Pranadevil2k</author>
	<datestamp>1244797800000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>It can't be cured but it can be treated with immunosuppressants when symptoms present</p></htmltext>
<tokenext>It ca n't be cured but it can be treated with immunosuppressants when symptoms present</tokentext>
<sentencetext>It can't be cured but it can be treated with immunosuppressants when symptoms present</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307029</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307779</id>
	<title>Re:Not surprising</title>
	<author>boa13</author>
	<datestamp>1244820000000</datestamp>
	<modclass>Troll</modclass>
	<modscore>0</modscore>
	<htmltext><p>Let me guess. You are not a doctor, and you are a <i>natural engineer</i>, whatever that means. You are so prejudiced, it's not funny.</p></htmltext>
<tokenext>Let me guess .
You are not a doctor , and you are a natural engineer , whatever that means .
You are so prejudiced , it 's not funny .</tokentext>
<sentencetext>Let me guess.
You are not a doctor, and you are a natural engineer, whatever that means.
You are so prejudiced, it's not funny.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306319</id>
	<title>unfortunately</title>
	<author>jipn4</author>
	<datestamp>1244811240000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><p><i>While looking under a microscope at slides of her own intestinal tissue</i></p><p>Unfortunately, her scientific career was short-lived because she was thrown out of school after she had actually obtained the sample of her own intestinal tissue in class.</p></htmltext>
<tokenext>While looking under a microscope at slides of her own intestinal tissueUnfortunately , her scientific career was short-lived because she was thrown out of school after she had actually obtained the sample of her own intestinal tissue in class .</tokentext>
<sentencetext>While looking under a microscope at slides of her own intestinal tissueUnfortunately, her scientific career was short-lived because she was thrown out of school after she had actually obtained the sample of her own intestinal tissue in class.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310383</id>
	<title>Re:Was she the....</title>
	<author>CAIMLAS</author>
	<datestamp>1244830200000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>She must've not been seeing terribly competent doctors. Maybe her parents didn't care to get the good ones.</p><p>I don't know about others' experiences, but Crohn's isn't exactly an "unknown" disorder. I've known several people with it. Yes, it appears vastly misunderstood (both by laymen as well as by physicians). But I'd think they'd at least look there. Sadly, I suspected Crohn's was her diagnosis as soon as I got half way through the symptom list. There aren't <i>that</i> many things which fit the description, and of the common ones, I'd suspect Crohn's to be near the top.</p><p>Let's see:<br>* ulcer<br>* stress<br>* IBS + ?<br>* Crohn's</p><p>How could they miss that with a description like "vomiting, diarrhea, stomach pain, fever"? That screams Crohn's.</p></htmltext>
<tokenext>She must 've not been seeing terribly competent doctors .
Maybe her parents did n't care to get the good ones.I do n't know about others ' experiences , but Crohn 's is n't exactly an " unknown " disorder .
I 've known several people with it .
Yes , it appears vastly misunderstood ( both by laymen as well as by physicians ) .
But I 'd think they 'd at least look there .
Sadly , I suspected Crohn 's was her diagnosis as soon as I got half way through the symptom list .
There are n't that many things which fit the description , and of the common ones , I 'd suspect Crohn 's to be near the top.Let 's see : * ulcer * stress * IBS + ?
* Crohn'sHow could they miss that with a description like " vomiting , diarrhea , stomach pain , fever " ?
That screams Crohn 's .</tokentext>
<sentencetext>She must've not been seeing terribly competent doctors.
Maybe her parents didn't care to get the good ones.I don't know about others' experiences, but Crohn's isn't exactly an "unknown" disorder.
I've known several people with it.
Yes, it appears vastly misunderstood (both by laymen as well as by physicians).
But I'd think they'd at least look there.
Sadly, I suspected Crohn's was her diagnosis as soon as I got half way through the symptom list.
There aren't that many things which fit the description, and of the common ones, I'd suspect Crohn's to be near the top.Let's see:* ulcer* stress* IBS + ?
* Crohn'sHow could they miss that with a description like "vomiting, diarrhea, stomach pain, fever"?
That screams Crohn's.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306055</id>
	<title>Do it your selfers</title>
	<author>mcfatboy93</author>
	<datestamp>1244808180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>well its a lot cheaper than going to a doctor.  besides if that was crone's wouldn't she have an ulcer if that was going on for 8 years?</p></htmltext>
<tokenext>well its a lot cheaper than going to a doctor .
besides if that was crone 's would n't she have an ulcer if that was going on for 8 years ?</tokentext>
<sentencetext>well its a lot cheaper than going to a doctor.
besides if that was crone's wouldn't she have an ulcer if that was going on for 8 years?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317607</id>
	<title>Shes not an uncommon case.</title>
	<author>Anonymous</author>
	<datestamp>1244831520000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>If they think that's amazing they could have 90\% more stories. Hell Ive diagnosed myself and even my mom. She had a broken ankle once, and the docters said it was "Just sprained", then as a "just in case, lets take an X-ray" happened they we proved them wrong.</p><p>Other time I proved to a doctor I had mono, which guess who was right ^\_^?</p></htmltext>
<tokenext>If they think that 's amazing they could have 90 \ % more stories .
Hell Ive diagnosed myself and even my mom .
She had a broken ankle once , and the docters said it was " Just sprained " , then as a " just in case , lets take an X-ray " happened they we proved them wrong.Other time I proved to a doctor I had mono , which guess who was right ^ \ _ ^ ?</tokentext>
<sentencetext>If they think that's amazing they could have 90\% more stories.
Hell Ive diagnosed myself and even my mom.
She had a broken ankle once, and the docters said it was "Just sprained", then as a "just in case, lets take an X-ray" happened they we proved them wrong.Other time I proved to a doctor I had mono, which guess who was right ^\_^?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309601</id>
	<title>worst medical student</title>
	<author>Anonymous</author>
	<datestamp>1244827200000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>There are good doctors, but many more bad ones... unfortunately.</p><p>It reminds me of that old joke: What do you call the medical student who came in last in class? Doctor.</p><p>Frightening but true.</p></htmltext>
<tokenext>There are good doctors , but many more bad ones... unfortunately.It reminds me of that old joke : What do you call the medical student who came in last in class ?
Doctor.Frightening but true .</tokentext>
<sentencetext>There are good doctors, but many more bad ones... unfortunately.It reminds me of that old joke: What do you call the medical student who came in last in class?
Doctor.Frightening but true.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306133</id>
	<title>Not weird at all</title>
	<author>syousef</author>
	<datestamp>1244809020000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>2</modscore>
	<htmltext><p>I live in Australia. Not a 3rd world country, or so we like to think. The standard of medical care here has been on the decline for a long time. I have seen some of it first hand. I won't repeat my first hand accounts here again because the last time I did I got called a liar.</p><p>That's not to say there are no good doctors and that no one cares. They're just few and far between working under a system starved of resources. Wose,  the medical profession tends to work against the patient - if you self diagnose you're thought of as a crackpot. As if giving a damn about your own well being makes you a hypochondriac. I fear it's only going to get worse.</p></htmltext>
<tokenext>I live in Australia .
Not a 3rd world country , or so we like to think .
The standard of medical care here has been on the decline for a long time .
I have seen some of it first hand .
I wo n't repeat my first hand accounts here again because the last time I did I got called a liar.That 's not to say there are no good doctors and that no one cares .
They 're just few and far between working under a system starved of resources .
Wose , the medical profession tends to work against the patient - if you self diagnose you 're thought of as a crackpot .
As if giving a damn about your own well being makes you a hypochondriac .
I fear it 's only going to get worse .</tokentext>
<sentencetext>I live in Australia.
Not a 3rd world country, or so we like to think.
The standard of medical care here has been on the decline for a long time.
I have seen some of it first hand.
I won't repeat my first hand accounts here again because the last time I did I got called a liar.That's not to say there are no good doctors and that no one cares.
They're just few and far between working under a system starved of resources.
Wose,  the medical profession tends to work against the patient - if you self diagnose you're thought of as a crackpot.
As if giving a damn about your own well being makes you a hypochondriac.
I fear it's only going to get worse.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307243</id>
	<title>Re:Surprised?</title>
	<author>albedoa</author>
	<datestamp>1244817540000</datestamp>
	<modclass>None</modclass>
	<modscore>2</modscore>
	<htmltext>How did that happen? You told your doctors you were having problems every time you drank milk, and they neglected to draw a connection from the problems to the dairy?

I can't imagine how stupid your doctors must have been.</htmltext>
<tokenext>How did that happen ?
You told your doctors you were having problems every time you drank milk , and they neglected to draw a connection from the problems to the dairy ?
I ca n't imagine how stupid your doctors must have been .</tokentext>
<sentencetext>How did that happen?
You told your doctors you were having problems every time you drank milk, and they neglected to draw a connection from the problems to the dairy?
I can't imagine how stupid your doctors must have been.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308291</id>
	<title>Her own tissue?</title>
	<author>Broken Bottle</author>
	<datestamp>1244821860000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>
where does an 18-year old get samples of her own intestinal tissue?  When I was in biology in high school, we were content to stop at looking up a frog's ass in the name of science.

Something is fishy about this story.  Crohn's Disease isn't a rare malady.  It's easily diagnosed by any doctor that specializes in digestive disorders.  It seems weird to me that it couldn't be identified by a qualified doctor but an 18 year old could figure it out based on what she saw under a microscope in science class...</htmltext>
<tokenext>where does an 18-year old get samples of her own intestinal tissue ?
When I was in biology in high school , we were content to stop at looking up a frog 's ass in the name of science .
Something is fishy about this story .
Crohn 's Disease is n't a rare malady .
It 's easily diagnosed by any doctor that specializes in digestive disorders .
It seems weird to me that it could n't be identified by a qualified doctor but an 18 year old could figure it out based on what she saw under a microscope in science class.. .</tokentext>
<sentencetext>
where does an 18-year old get samples of her own intestinal tissue?
When I was in biology in high school, we were content to stop at looking up a frog's ass in the name of science.
Something is fishy about this story.
Crohn's Disease isn't a rare malady.
It's easily diagnosed by any doctor that specializes in digestive disorders.
It seems weird to me that it couldn't be identified by a qualified doctor but an 18 year old could figure it out based on what she saw under a microscope in science class...</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28319807</id>
	<title>the hippocratic Luciferean( Apollo) oath</title>
	<author>AvenueOfLight</author>
	<datestamp>1244908080000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Do some real digging here.... for the  true big picture....<br>It is all the same Luciferean satanic System of blood sacrifice since cain slew Abel.</p><p>relating to the doctors(continued medical INQUISITION). Big Pharma....(sorceries(Revelation 18:23)</p><p>I.G.Farben//aka: The Bayer Aspirin Co.//Baxter</p><p>Wanna see how far down the rabbit hole you really are?</p><p>Here are 2 sites....Regarding this SUN SYSTEM used in "YOUR FACE"! and you have no clue... Matt does a pretty good job in revealing these things UNseen b 4 YOUR eyes....<br>when you are done; look at my site and study it in depth and not just a cursory first page, first paragragh view. They are all Freemasons//catholics as are all lawers, judges, politicians that are adjoined to the New World order (Novus ordo Serclorum) Great Seal//back of the dollar bill.</p><p><a href="http://www.matthewdelooze.co.uk/viewpage.php?page\_id=2" title="matthewdelooze.co.uk" rel="nofollow">http://www.matthewdelooze.co.uk/viewpage.php?page\_id=2</a> [matthewdelooze.co.uk]</p><p><a href="http://www.matthewdelooze.co.uk/readarticle.php?article\_id=48" title="matthewdelooze.co.uk" rel="nofollow">http://www.matthewdelooze.co.uk/readarticle.php?article\_id=48</a> [matthewdelooze.co.uk]</p><p>"The truth WILL set you free."     STUDY, STUDY, STUDY, STUDY, STUDY....  The Georgia Guidestones, The Lucifer project, Project vatican, Nasa's Casinni(Jesuit) spacecraft//program, Project Bluebeam.....STUDY!</p><p><a href="http://www.xanga.com/avenueoflight" title="xanga.com" rel="nofollow">http://www.xanga.com/avenueoflight</a> [xanga.com]</p></htmltext>
<tokenext>Do some real digging here.... for the true big picture....It is all the same Luciferean satanic System of blood sacrifice since cain slew Abel.relating to the doctors ( continued medical INQUISITION ) .
Big Pharma.... ( sorceries ( Revelation 18 : 23 ) I.G.Farben//aka : The Bayer Aspirin Co.//BaxterWanna see how far down the rabbit hole you really are ? Here are 2 sites....Regarding this SUN SYSTEM used in " YOUR FACE " !
and you have no clue... Matt does a pretty good job in revealing these things UNseen b 4 YOUR eyes....when you are done ; look at my site and study it in depth and not just a cursory first page , first paragragh view .
They are all Freemasons//catholics as are all lawers , judges , politicians that are adjoined to the New World order ( Novus ordo Serclorum ) Great Seal//back of the dollar bill.http : //www.matthewdelooze.co.uk/viewpage.php ? page \ _id = 2 [ matthewdelooze.co.uk ] http : //www.matthewdelooze.co.uk/readarticle.php ? article \ _id = 48 [ matthewdelooze.co.uk ] " The truth WILL set you free .
" STUDY , STUDY , STUDY , STUDY , STUDY.... The Georgia Guidestones , The Lucifer project , Project vatican , Nasa 's Casinni ( Jesuit ) spacecraft//program , Project Bluebeam.....STUDY ! http : //www.xanga.com/avenueoflight [ xanga.com ]</tokentext>
<sentencetext>Do some real digging here.... for the  true big picture....It is all the same Luciferean satanic System of blood sacrifice since cain slew Abel.relating to the doctors(continued medical INQUISITION).
Big Pharma....(sorceries(Revelation 18:23)I.G.Farben//aka: The Bayer Aspirin Co.//BaxterWanna see how far down the rabbit hole you really are?Here are 2 sites....Regarding this SUN SYSTEM used in "YOUR FACE"!
and you have no clue... Matt does a pretty good job in revealing these things UNseen b 4 YOUR eyes....when you are done; look at my site and study it in depth and not just a cursory first page, first paragragh view.
They are all Freemasons//catholics as are all lawers, judges, politicians that are adjoined to the New World order (Novus ordo Serclorum) Great Seal//back of the dollar bill.http://www.matthewdelooze.co.uk/viewpage.php?page\_id=2 [matthewdelooze.co.uk]http://www.matthewdelooze.co.uk/readarticle.php?article\_id=48 [matthewdelooze.co.uk]"The truth WILL set you free.
"     STUDY, STUDY, STUDY, STUDY, STUDY....  The Georgia Guidestones, The Lucifer project, Project vatican, Nasa's Casinni(Jesuit) spacecraft//program, Project Bluebeam.....STUDY!http://www.xanga.com/avenueoflight [xanga.com]</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310417</id>
	<title>Docs take away</title>
	<author>cockpitcomp</author>
	<datestamp>1244830260000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Never give slides to patient.</htmltext>
<tokenext>Never give slides to patient .</tokentext>
<sentencetext>Never give slides to patient.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306645</id>
	<title>I have to ask...</title>
	<author>hyades1</author>
	<datestamp>1244814120000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><p> Is this what they mean by "Private Health Care"? </p></htmltext>
<tokenext>Is this what they mean by " Private Health Care " ?</tokentext>
<sentencetext> Is this what they mean by "Private Health Care"? </sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305925</id>
	<title>I suspect I may have Multiple Personality Disorder</title>
	<author>Klistvud</author>
	<datestamp>1244807100000</datestamp>
	<modclass>Funny</modclass>
	<modscore>5</modscore>
	<htmltext>...but can't really say which of the multiple personalities established the diagnose. Does this still count as "self-diagnose"?</htmltext>
<tokenext>...but ca n't really say which of the multiple personalities established the diagnose .
Does this still count as " self-diagnose " ?</tokentext>
<sentencetext>...but can't really say which of the multiple personalities established the diagnose.
Does this still count as "self-diagnose"?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310869</id>
	<title>Re:How to get intestine cell?</title>
	<author>JWSmythe</author>
	<datestamp>1244832060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>
&nbsp; &nbsp; I was really wondering that too.  I didn't see it mentioned in the article.  Did she look at a fecal sample in class (eww), or did she have a classmate stick something up her rectum to get it?<nobr> <wbr></nobr>:)  Either way, it's not something I'd exactly expect to happen in a classroom.</p></htmltext>
<tokenext>    I was really wondering that too .
I did n't see it mentioned in the article .
Did she look at a fecal sample in class ( eww ) , or did she have a classmate stick something up her rectum to get it ?
: ) Either way , it 's not something I 'd exactly expect to happen in a classroom .</tokentext>
<sentencetext>
    I was really wondering that too.
I didn't see it mentioned in the article.
Did she look at a fecal sample in class (eww), or did she have a classmate stick something up her rectum to get it?
:)  Either way, it's not something I'd exactly expect to happen in a classroom.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306631</id>
	<title>Re:Where did she get the intestinal tissue?</title>
	<author>pz</author>
	<datestamp>1244814000000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>2</modscore>
	<htmltext><p><div class="quote"><p> <i>While looking under a microscope at slides of her own intestinal tissue in her AP science class</i> </p></div><p>That's what I wondered as well, until I read the article:</p><p><div class="quote"><p>In her Advanced Placement high school science class, she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal -- and spotted an area of inflamed tissue called a granuloma, a clear indication that she had Crohn's disease.</p></div><p>The logical inference is that some doctor had suspected Crohn's, ordered a biopsy (which, for intestinal tissue, is a non-trivial procedure) and had slides made up for pathological evaluation.  Somehow young Jessica managed to get the slides, probably because she had good relationships with the doctor and pathologist on the case.  She even had (or was able to discover) the email address of the pathologist so as to send him an image from the slide.</p><p>I'm thinking the story isn't quite one of such significant medical ineptitude as the article makes it out to be.</p><p>But, in any case, it really does help to read the article before asking questions that are answered in it.</p></div>
	</htmltext>
<tokenext>While looking under a microscope at slides of her own intestinal tissue in her AP science class That 's what I wondered as well , until I read the article : In her Advanced Placement high school science class , she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal -- and spotted an area of inflamed tissue called a granuloma , a clear indication that she had Crohn 's disease.The logical inference is that some doctor had suspected Crohn 's , ordered a biopsy ( which , for intestinal tissue , is a non-trivial procedure ) and had slides made up for pathological evaluation .
Somehow young Jessica managed to get the slides , probably because she had good relationships with the doctor and pathologist on the case .
She even had ( or was able to discover ) the email address of the pathologist so as to send him an image from the slide.I 'm thinking the story is n't quite one of such significant medical ineptitude as the article makes it out to be.But , in any case , it really does help to read the article before asking questions that are answered in it .</tokentext>
<sentencetext> While looking under a microscope at slides of her own intestinal tissue in her AP science class That's what I wondered as well, until I read the article:In her Advanced Placement high school science class, she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal -- and spotted an area of inflamed tissue called a granuloma, a clear indication that she had Crohn's disease.The logical inference is that some doctor had suspected Crohn's, ordered a biopsy (which, for intestinal tissue, is a non-trivial procedure) and had slides made up for pathological evaluation.
Somehow young Jessica managed to get the slides, probably because she had good relationships with the doctor and pathologist on the case.
She even had (or was able to discover) the email address of the pathologist so as to send him an image from the slide.I'm thinking the story isn't quite one of such significant medical ineptitude as the article makes it out to be.But, in any case, it really does help to read the article before asking questions that are answered in it.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305951</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306655</id>
	<title>Re:The fresh pair of eyes have it</title>
	<author>BinaryOne</author>
	<datestamp>1244814180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>The whole reason for a second opinion.  Having watched three woman in my family develop Breast Cancer only to find out that the lesions were visible for years on prior x-rays and were missed by the original radiologists.

In the era, you have to be your own medical advocate.</htmltext>
<tokenext>The whole reason for a second opinion .
Having watched three woman in my family develop Breast Cancer only to find out that the lesions were visible for years on prior x-rays and were missed by the original radiologists .
In the era , you have to be your own medical advocate .</tokentext>
<sentencetext>The whole reason for a second opinion.
Having watched three woman in my family develop Breast Cancer only to find out that the lesions were visible for years on prior x-rays and were missed by the original radiologists.
In the era, you have to be your own medical advocate.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305973</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28312603</id>
	<title>I feel for her</title>
	<author>curtix7</author>
	<datestamp>1244838420000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I have crohn's and wasn't correctly diagnosed for almost 3 years after I started complaining. The Doctors were like "shit Idk take this stuff 3 times a day" and after a while decided I had ulcerative collitus and started giving me medicine for that.
<br> <br>
"Luckily" I finally found out what it was and was able to get "correct" treatment.... correct treatment being one of a many different options of which most fail and the ones that do work only work sometimes.
<br> <br>
see if you can go 2 for 2 and cure it as well jessica, lol.</htmltext>
<tokenext>I have crohn 's and was n't correctly diagnosed for almost 3 years after I started complaining .
The Doctors were like " shit Idk take this stuff 3 times a day " and after a while decided I had ulcerative collitus and started giving me medicine for that .
" Luckily " I finally found out what it was and was able to get " correct " treatment.... correct treatment being one of a many different options of which most fail and the ones that do work only work sometimes .
see if you can go 2 for 2 and cure it as well jessica , lol .</tokentext>
<sentencetext>I have crohn's and wasn't correctly diagnosed for almost 3 years after I started complaining.
The Doctors were like "shit Idk take this stuff 3 times a day" and after a while decided I had ulcerative collitus and started giving me medicine for that.
"Luckily" I finally found out what it was and was able to get "correct" treatment.... correct treatment being one of a many different options of which most fail and the ones that do work only work sometimes.
see if you can go 2 for 2 and cure it as well jessica, lol.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309487</id>
	<title>I believe this is called...</title>
	<author>CannedTurkey</author>
	<datestamp>1244826840000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext>Republican-style Universal Health Care</htmltext>
<tokenext>Republican-style Universal Health Care</tokentext>
<sentencetext>Republican-style Universal Health Care</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305991</id>
	<title>Re:Where did she get the intestinal tissue?</title>
	<author>Anonymous</author>
	<datestamp>1244807580000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Foreign lab objects in the ass?</p></htmltext>
<tokenext>Foreign lab objects in the ass ?</tokentext>
<sentencetext>Foreign lab objects in the ass?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305951</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307049</id>
	<title>Strange...</title>
	<author>rmadmin</author>
	<datestamp>1244816460000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Not really my area of expertise... but where/how did she get this tissue?  Extracting intestinal samples doesn't sound like something we did in high school...</htmltext>
<tokenext>Not really my area of expertise... but where/how did she get this tissue ?
Extracting intestinal samples does n't sound like something we did in high school.. .</tokentext>
<sentencetext>Not really my area of expertise... but where/how did she get this tissue?
Extracting intestinal samples doesn't sound like something we did in high school...</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306017</id>
	<title>Medical Community</title>
	<author>gte275e</author>
	<datestamp>1244807760000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I have a lot of friends that have Celiac's disease, IBS, and/or Crohn's disease and the lack of medical personnel that know about these diseases is stunning.  Especially Celiac's disease.  It's an issue and as the prominence of these illnesses increases, more medical personnel will be educated about them which is good but right now, people with real issues, pain, and discomfort will continue to be misdiagnosed.  I have one friend that found the 1 doctor in town that actually knew about Celiac's and another friend whose wife is having severe GI issues and the doctor has never even heard of Celiac's.  It's a problem and we have to rely on the doctors to have the initiative to stay up to date on the current medical research.</p></htmltext>
<tokenext>I have a lot of friends that have Celiac 's disease , IBS , and/or Crohn 's disease and the lack of medical personnel that know about these diseases is stunning .
Especially Celiac 's disease .
It 's an issue and as the prominence of these illnesses increases , more medical personnel will be educated about them which is good but right now , people with real issues , pain , and discomfort will continue to be misdiagnosed .
I have one friend that found the 1 doctor in town that actually knew about Celiac 's and another friend whose wife is having severe GI issues and the doctor has never even heard of Celiac 's .
It 's a problem and we have to rely on the doctors to have the initiative to stay up to date on the current medical research .</tokentext>
<sentencetext>I have a lot of friends that have Celiac's disease, IBS, and/or Crohn's disease and the lack of medical personnel that know about these diseases is stunning.
Especially Celiac's disease.
It's an issue and as the prominence of these illnesses increases, more medical personnel will be educated about them which is good but right now, people with real issues, pain, and discomfort will continue to be misdiagnosed.
I have one friend that found the 1 doctor in town that actually knew about Celiac's and another friend whose wife is having severe GI issues and the doctor has never even heard of Celiac's.
It's a problem and we have to rely on the doctors to have the initiative to stay up to date on the current medical research.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28314303</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244802060000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>As as thrid year medicine resident, my thoughts were pretty much verbatim what you posted. Of course her doctors were thinking of Crohn's in this girl's differential, they just hadn't been able to prove it. Having the pathology report come back as normal sent them down a number of other diagnostic pathways, I'm sure.</p></htmltext>
<tokenext>As as thrid year medicine resident , my thoughts were pretty much verbatim what you posted .
Of course her doctors were thinking of Crohn 's in this girl 's differential , they just had n't been able to prove it .
Having the pathology report come back as normal sent them down a number of other diagnostic pathways , I 'm sure .</tokentext>
<sentencetext>As as thrid year medicine resident, my thoughts were pretty much verbatim what you posted.
Of course her doctors were thinking of Crohn's in this girl's differential, they just hadn't been able to prove it.
Having the pathology report come back as normal sent them down a number of other diagnostic pathways, I'm sure.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308733</id>
	<title>Re:How to get intestine cell?</title>
	<author>Anonymous</author>
	<datestamp>1244823600000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>If you'd read the article you'd know.<br> <br>
Ahahahaha, I kill me.</htmltext>
<tokenext>If you 'd read the article you 'd know .
Ahahahaha , I kill me .</tokentext>
<sentencetext>If you'd read the article you'd know.
Ahahahaha, I kill me.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306757</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>six11</author>
	<datestamp>1244814960000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Personally, the more I experience from the M.D. community, the more I think they are largely just witchdoctors. My perception is that physicians substitute confidence for competence, and that many of them lack ethical standards for practicing medicine. And it's not like I just haven't gotten to know medical docs: I have friends in med school, and another just took on a job as an attending. This is a "crisis of the profession" that really, really should be addressed.</p><p>A friend of mine also has an undiagnosed digestive tract issue, which may or may not be related to a hormonal (thyroid) problem. She's been to several doctors, none of whom have been helpful at all. She has explicitly requested certain tests and was told either (a) they were unnecessary because other tests or symptoms did not indicate the test would yield anything, or (b) that maybe she's not being forthcoming about what her symptoms really are.</p><p>I don't understand what the motivation is for (a). These are not expensive, time consuming tests. I suspect it has something to do with preserving the ego of the doctor. In one case, a doctor refused to do a test because he simply didn't believe that the condition exists (reverse T3). Last fall I spent several weeks doing observations in the ER of what is considered a really good hospital. At one point I overheard a conversation between one of the residents and one of the med students. He explained that doing a diagnosis is really just following a bunch of if-then rules. He even brought up a web site that used Bayesian Networks that tell the doctor what to do next. Some of the possible diagnoses were made less likely by some information, and if there is insufficient evidence for a condition, it means that condition won't be tested until enough other factors have been ruled 'out'. Right there, I can see a bug in his program: in the 18 yo girl's case, Crohn's might have been ruled 'out' because of an unlucky biopsy sample, until nothing looked possible. (Is this *really* something a seasoned veteran doctor does??)</p><p>Part (b) is equally troubling. Her doctors would tell her to start exercising and stop stuffing her face with pastries (but more politely). Maybe they assume she is a liar, or maybe they think she is a hypochondriac. But in reality, she works out 3-4 times a week, jogs often, and is obsessive about eating right. She used to be a professional tennis player, for Christ's sake.</p><p>At this point she is in pain about 70\% of the time, and has given up trying to find a competent doctor until she can move back to the US. There she will (hopefully) be able to shop around for a doctor who might engage a brain cell or two and put the decision tree down.</p></htmltext>
<tokenext>Personally , the more I experience from the M.D .
community , the more I think they are largely just witchdoctors .
My perception is that physicians substitute confidence for competence , and that many of them lack ethical standards for practicing medicine .
And it 's not like I just have n't gotten to know medical docs : I have friends in med school , and another just took on a job as an attending .
This is a " crisis of the profession " that really , really should be addressed.A friend of mine also has an undiagnosed digestive tract issue , which may or may not be related to a hormonal ( thyroid ) problem .
She 's been to several doctors , none of whom have been helpful at all .
She has explicitly requested certain tests and was told either ( a ) they were unnecessary because other tests or symptoms did not indicate the test would yield anything , or ( b ) that maybe she 's not being forthcoming about what her symptoms really are.I do n't understand what the motivation is for ( a ) .
These are not expensive , time consuming tests .
I suspect it has something to do with preserving the ego of the doctor .
In one case , a doctor refused to do a test because he simply did n't believe that the condition exists ( reverse T3 ) .
Last fall I spent several weeks doing observations in the ER of what is considered a really good hospital .
At one point I overheard a conversation between one of the residents and one of the med students .
He explained that doing a diagnosis is really just following a bunch of if-then rules .
He even brought up a web site that used Bayesian Networks that tell the doctor what to do next .
Some of the possible diagnoses were made less likely by some information , and if there is insufficient evidence for a condition , it means that condition wo n't be tested until enough other factors have been ruled 'out' .
Right there , I can see a bug in his program : in the 18 yo girl 's case , Crohn 's might have been ruled 'out ' because of an unlucky biopsy sample , until nothing looked possible .
( Is this * really * something a seasoned veteran doctor does ? ?
) Part ( b ) is equally troubling .
Her doctors would tell her to start exercising and stop stuffing her face with pastries ( but more politely ) .
Maybe they assume she is a liar , or maybe they think she is a hypochondriac .
But in reality , she works out 3-4 times a week , jogs often , and is obsessive about eating right .
She used to be a professional tennis player , for Christ 's sake.At this point she is in pain about 70 \ % of the time , and has given up trying to find a competent doctor until she can move back to the US .
There she will ( hopefully ) be able to shop around for a doctor who might engage a brain cell or two and put the decision tree down .</tokentext>
<sentencetext>Personally, the more I experience from the M.D.
community, the more I think they are largely just witchdoctors.
My perception is that physicians substitute confidence for competence, and that many of them lack ethical standards for practicing medicine.
And it's not like I just haven't gotten to know medical docs: I have friends in med school, and another just took on a job as an attending.
This is a "crisis of the profession" that really, really should be addressed.A friend of mine also has an undiagnosed digestive tract issue, which may or may not be related to a hormonal (thyroid) problem.
She's been to several doctors, none of whom have been helpful at all.
She has explicitly requested certain tests and was told either (a) they were unnecessary because other tests or symptoms did not indicate the test would yield anything, or (b) that maybe she's not being forthcoming about what her symptoms really are.I don't understand what the motivation is for (a).
These are not expensive, time consuming tests.
I suspect it has something to do with preserving the ego of the doctor.
In one case, a doctor refused to do a test because he simply didn't believe that the condition exists (reverse T3).
Last fall I spent several weeks doing observations in the ER of what is considered a really good hospital.
At one point I overheard a conversation between one of the residents and one of the med students.
He explained that doing a diagnosis is really just following a bunch of if-then rules.
He even brought up a web site that used Bayesian Networks that tell the doctor what to do next.
Some of the possible diagnoses were made less likely by some information, and if there is insufficient evidence for a condition, it means that condition won't be tested until enough other factors have been ruled 'out'.
Right there, I can see a bug in his program: in the 18 yo girl's case, Crohn's might have been ruled 'out' because of an unlucky biopsy sample, until nothing looked possible.
(Is this *really* something a seasoned veteran doctor does??
)Part (b) is equally troubling.
Her doctors would tell her to start exercising and stop stuffing her face with pastries (but more politely).
Maybe they assume she is a liar, or maybe they think she is a hypochondriac.
But in reality, she works out 3-4 times a week, jogs often, and is obsessive about eating right.
She used to be a professional tennis player, for Christ's sake.At this point she is in pain about 70\% of the time, and has given up trying to find a competent doctor until she can move back to the US.
There she will (hopefully) be able to shop around for a doctor who might engage a brain cell or two and put the decision tree down.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28321341</id>
	<title>Not surprised</title>
	<author>awarrenfells</author>
	<datestamp>1244920500000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I am honestly not surprised at this.  Dr's seem to be particularly crappy at diagnosing this disease.  It took my dad hundreds of hours of researching medical files, books, and various documents till he was able to diagnose my mom likewise.  Since then, she has been in much better health.  Before then, she had seen numerous doctors, none of which were able to appropriately diagnose her.</htmltext>
<tokenext>I am honestly not surprised at this .
Dr 's seem to be particularly crappy at diagnosing this disease .
It took my dad hundreds of hours of researching medical files , books , and various documents till he was able to diagnose my mom likewise .
Since then , she has been in much better health .
Before then , she had seen numerous doctors , none of which were able to appropriately diagnose her .</tokentext>
<sentencetext>I am honestly not surprised at this.
Dr's seem to be particularly crappy at diagnosing this disease.
It took my dad hundreds of hours of researching medical files, books, and various documents till he was able to diagnose my mom likewise.
Since then, she has been in much better health.
Before then, she had seen numerous doctors, none of which were able to appropriately diagnose her.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306277</id>
	<title>Well spotted</title>
	<author>Obel</author>
	<datestamp>1244810820000</datestamp>
	<modclass>Redundant</modclass>
	<modscore>0</modscore>
	<htmltext>Not lupus, then...</htmltext>
<tokenext>Not lupus , then.. .</tokentext>
<sentencetext>Not lupus, then...</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307885</id>
	<title>No cure doesn't mean no good</title>
	<author>phorm</author>
	<datestamp>1244820360000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>There are plenty of things without a cure. Severe allergies (although these often wax/wane with time), diabetes, various forms of epilepsy, and many other conditions. Knowing the issue allows you to address the issue in a manner that can be life-saving or at the very least life-extending/improving.</p><p>If you have epilepsy, it might not be curable but the medication can help prevent seizures which means you don't die twitching on the floor, and in many cases can even drive a vehicle etc (which you'd otherwise be unable to do).</p><p>Knowing one's allergies allows you to carry medication such as an epi-pen if they're severe, or know to take allergy meds when symptoms that are often very similar to other conditions crop up (one thing I personally know a lot about, allergies can cause skin, stomach, breathing, flu-syptoms or many other issues ).</p><p>Diabetes: knowing one is diabetic, and thus monitoring+adjusting one's blood-glucose can save you from an early death and other nasty side-effects</p><p>Yes, a cure is the optimal solution. But after 8 years of painful symptoms, I'm assuming that being able to suppress said symptoms over a long term is still a whole lot better than "no good" and "nothing she can do about it". It's not just peace of mind.</p></htmltext>
<tokenext>There are plenty of things without a cure .
Severe allergies ( although these often wax/wane with time ) , diabetes , various forms of epilepsy , and many other conditions .
Knowing the issue allows you to address the issue in a manner that can be life-saving or at the very least life-extending/improving.If you have epilepsy , it might not be curable but the medication can help prevent seizures which means you do n't die twitching on the floor , and in many cases can even drive a vehicle etc ( which you 'd otherwise be unable to do ) .Knowing one 's allergies allows you to carry medication such as an epi-pen if they 're severe , or know to take allergy meds when symptoms that are often very similar to other conditions crop up ( one thing I personally know a lot about , allergies can cause skin , stomach , breathing , flu-syptoms or many other issues ) .Diabetes : knowing one is diabetic , and thus monitoring + adjusting one 's blood-glucose can save you from an early death and other nasty side-effectsYes , a cure is the optimal solution .
But after 8 years of painful symptoms , I 'm assuming that being able to suppress said symptoms over a long term is still a whole lot better than " no good " and " nothing she can do about it " .
It 's not just peace of mind .</tokentext>
<sentencetext>There are plenty of things without a cure.
Severe allergies (although these often wax/wane with time), diabetes, various forms of epilepsy, and many other conditions.
Knowing the issue allows you to address the issue in a manner that can be life-saving or at the very least life-extending/improving.If you have epilepsy, it might not be curable but the medication can help prevent seizures which means you don't die twitching on the floor, and in many cases can even drive a vehicle etc (which you'd otherwise be unable to do).Knowing one's allergies allows you to carry medication such as an epi-pen if they're severe, or know to take allergy meds when symptoms that are often very similar to other conditions crop up (one thing I personally know a lot about, allergies can cause skin, stomach, breathing, flu-syptoms or many other issues ).Diabetes: knowing one is diabetic, and thus monitoring+adjusting one's blood-glucose can save you from an early death and other nasty side-effectsYes, a cure is the optimal solution.
But after 8 years of painful symptoms, I'm assuming that being able to suppress said symptoms over a long term is still a whole lot better than "no good" and "nothing she can do about it".
It's not just peace of mind.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307029</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</id>
	<title>Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244808000000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>5</modscore>
	<htmltext>In a year's time I will be a doctor, and have just spent a year learning about pathology, so I thought I'd put my view forward. The interesting thing about Crohn's disease, in contrast to the other big type of inflammatory bowel disease (Ulcerative colitis) is that it is characterised by skip lesions. The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches. Now do you start to see why a pathologist may miss it? They will have taken many specimens from the girl's GI tract, and if this is the only sample with a granuloma, then it's not <i>too</i> unforgiveable that a <a href="http://www.pathguy.com/~egarcia/histoplasmosis\_granuloma.jpg" title="pathguy.com">patch of cells only around 30 cells-wide</a> [pathguy.com] is miss. Yes, it sucks, but pathology is actually a fairly bloody hard speciality, with an <a href="http://www.rcpath.org/index.asp?PageID=300" title="rcpath.org">very vigorous set of examinations</a> [rcpath.org], at least in the UK, so don't imply that these pathologists don't know what Crohn's is. Life isn't black and white, and medicine is just the same.<br> <br>
Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been. Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it. It would have proved interesting were she have had say <a href="http://en.wikipedia.org/wiki/Tropical\_sprue" title="wikipedia.org">tropic sprue</a> [wikipedia.org] and you were to treat her with the immunosupressants.</htmltext>
<tokenext>In a year 's time I will be a doctor , and have just spent a year learning about pathology , so I thought I 'd put my view forward .
The interesting thing about Crohn 's disease , in contrast to the other big type of inflammatory bowel disease ( Ulcerative colitis ) is that it is characterised by skip lesions .
The disease is not confluent over the entire gut , in fact it can be anywhere from mouth to anus , in small patches .
Now do you start to see why a pathologist may miss it ?
They will have taken many specimens from the girl 's GI tract , and if this is the only sample with a granuloma , then it 's not too unforgiveable that a patch of cells only around 30 cells-wide [ pathguy.com ] is miss .
Yes , it sucks , but pathology is actually a fairly bloody hard speciality , with an very vigorous set of examinations [ rcpath.org ] , at least in the UK , so do n't imply that these pathologists do n't know what Crohn 's is .
Life is n't black and white , and medicine is just the same .
Maybe you guys instantly thought Crohn 's , but there are plenty of other rarer diseases it could have been .
Without a positive biopsy it would have been incredibly immoral to slap a Crohn 's diagnosis on this girl and medicated her for it .
It would have proved interesting were she have had say tropic sprue [ wikipedia.org ] and you were to treat her with the immunosupressants .</tokentext>
<sentencetext>In a year's time I will be a doctor, and have just spent a year learning about pathology, so I thought I'd put my view forward.
The interesting thing about Crohn's disease, in contrast to the other big type of inflammatory bowel disease (Ulcerative colitis) is that it is characterised by skip lesions.
The disease is not confluent over the entire gut, in fact it can be anywhere from mouth to anus, in small patches.
Now do you start to see why a pathologist may miss it?
They will have taken many specimens from the girl's GI tract, and if this is the only sample with a granuloma, then it's not too unforgiveable that a patch of cells only around 30 cells-wide [pathguy.com] is miss.
Yes, it sucks, but pathology is actually a fairly bloody hard speciality, with an very vigorous set of examinations [rcpath.org], at least in the UK, so don't imply that these pathologists don't know what Crohn's is.
Life isn't black and white, and medicine is just the same.
Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been.
Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it.
It would have proved interesting were she have had say tropic sprue [wikipedia.org] and you were to treat her with the immunosupressants.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306503</id>
	<title>Finally, a viable solution...</title>
	<author>Anonymous</author>
	<datestamp>1244813040000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>--for U.S. Universal Health Care.  We don't need no stinkin' doctors.</p></htmltext>
<tokenext>--for U.S. Universal Health Care .
We do n't need no stinkin ' doctors .</tokentext>
<sentencetext>--for U.S. Universal Health Care.
We don't need no stinkin' doctors.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309009</id>
	<title>Re:Remeber it is practicing</title>
	<author>Anonymous</author>
	<datestamp>1244824920000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext><p><div class="quote"><p>How many patients routinely find the cause of their illness' before the medical profession does, like this woman did?</p></div><p>Another good question would be 'how many patients do ten minutes of googling and decide that they have some horrible disease when all they really have is a cold?'.  My point is that this cuts both ways.</p><p>There's a reason that doctors use statistics to diagnose patients, it works the majority of the time.  Where you get into problems is when people have a difficult to diagnose, chronic disease that isn't immediately life threatening.  When you're at the doctor several times a year and several doctors aren't able to treat your condition, future doctors will often assume that you are a hypochondriac or an attention seeker.  My college roommate lived with Chron's for almost 15 years of his life, until he finally got sick enough that he was admitted to the hospital, 24 hours later he had a correct diagnosis.</p></div>
	</htmltext>
<tokenext>How many patients routinely find the cause of their illness ' before the medical profession does , like this woman did ? Another good question would be 'how many patients do ten minutes of googling and decide that they have some horrible disease when all they really have is a cold ? ' .
My point is that this cuts both ways.There 's a reason that doctors use statistics to diagnose patients , it works the majority of the time .
Where you get into problems is when people have a difficult to diagnose , chronic disease that is n't immediately life threatening .
When you 're at the doctor several times a year and several doctors are n't able to treat your condition , future doctors will often assume that you are a hypochondriac or an attention seeker .
My college roommate lived with Chron 's for almost 15 years of his life , until he finally got sick enough that he was admitted to the hospital , 24 hours later he had a correct diagnosis .</tokentext>
<sentencetext>How many patients routinely find the cause of their illness' before the medical profession does, like this woman did?Another good question would be 'how many patients do ten minutes of googling and decide that they have some horrible disease when all they really have is a cold?'.
My point is that this cuts both ways.There's a reason that doctors use statistics to diagnose patients, it works the majority of the time.
Where you get into problems is when people have a difficult to diagnose, chronic disease that isn't immediately life threatening.
When you're at the doctor several times a year and several doctors aren't able to treat your condition, future doctors will often assume that you are a hypochondriac or an attention seeker.
My college roommate lived with Chron's for almost 15 years of his life, until he finally got sick enough that he was admitted to the hospital, 24 hours later he had a correct diagnosis.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28312453</id>
	<title>Re:Remeber it is practicing</title>
	<author>ninnie9</author>
	<datestamp>1244838000000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>It appears that almost every slashdot user is more intelligent than the majority of doctors in this country, and would be better at 'practicing medicine' even though the doctors have received years of extra school and training in their various specialties.

This is what my ideal doctor would do.  First, he tells me what my problem is, and how certain he is about the diagnosis. Next, he either recommends me to a specialist or gives me the options for treatment, detailing the pros/cons of each.  Many doctors stop here, and leave the choice to the person.  I want my doctor to tell me what treatment he recommends, because I trust that he knows more about it than me.</htmltext>
<tokenext>It appears that almost every slashdot user is more intelligent than the majority of doctors in this country , and would be better at 'practicing medicine ' even though the doctors have received years of extra school and training in their various specialties .
This is what my ideal doctor would do .
First , he tells me what my problem is , and how certain he is about the diagnosis .
Next , he either recommends me to a specialist or gives me the options for treatment , detailing the pros/cons of each .
Many doctors stop here , and leave the choice to the person .
I want my doctor to tell me what treatment he recommends , because I trust that he knows more about it than me .</tokentext>
<sentencetext>It appears that almost every slashdot user is more intelligent than the majority of doctors in this country, and would be better at 'practicing medicine' even though the doctors have received years of extra school and training in their various specialties.
This is what my ideal doctor would do.
First, he tells me what my problem is, and how certain he is about the diagnosis.
Next, he either recommends me to a specialist or gives me the options for treatment, detailing the pros/cons of each.
Many doctors stop here, and leave the choice to the person.
I want my doctor to tell me what treatment he recommends, because I trust that he knows more about it than me.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310191</id>
	<title>There has to be some training problem</title>
	<author>Anonymous</author>
	<datestamp>1244829360000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Did anyone else read the symptoms in the first sentence and go - "oh she has Crohn's disease"<br>Then read the second sentence and think - " WTF it was undiagnosed? "</p><p>I mean come on,  8 years of classic symptoms</p><p>I can't help feeling her doctors were either idiots, poorly trained or just didn't care.<br>Something is wrong if 5000 milers away I can read her symptoms and get it right but her doctors missed it after consultations.</p></htmltext>
<tokenext>Did anyone else read the symptoms in the first sentence and go - " oh she has Crohn 's disease " Then read the second sentence and think - " WTF it was undiagnosed ?
" I mean come on , 8 years of classic symptomsI ca n't help feeling her doctors were either idiots , poorly trained or just did n't care.Something is wrong if 5000 milers away I can read her symptoms and get it right but her doctors missed it after consultations .</tokentext>
<sentencetext>Did anyone else read the symptoms in the first sentence and go - "oh she has Crohn's disease"Then read the second sentence and think - " WTF it was undiagnosed?
"I mean come on,  8 years of classic symptomsI can't help feeling her doctors were either idiots, poorly trained or just didn't care.Something is wrong if 5000 milers away I can read her symptoms and get it right but her doctors missed it after consultations.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28316583</id>
	<title>She's not out of the woods, yet...</title>
	<author>Anonymous</author>
	<datestamp>1244818440000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>For 2 months now out of my 34 year existence, due to the discovery that ALL of those symptoms can be caused by cat allergies, I have experienced a reduction in symptoms masquerading as lactose-intolerance, food-allergies, chron's, and uc. 34 years!<nobr> <wbr></nobr>...and I'm finally gaining weight on the mend!</p><p>I'm sorry for the loss of health, but better late than never -- I mean, I definitely don't blame anyone for "missing" it in a diagnosis because I've always considered myself doctor #1 (even though ianap).  To be fair, none of my research indicated it was allergy related, either, because the short-term symptoms we *all* overlooked were being dwarfed by the the much more dangerous long-term symptoms centered around my digestive system.  In retrospect, theories and tests were not so much "disregarded" as "over-shadowed" thus leading to a similar disregard by those trying to solve the mystery.  All of us are having a hard time believing it was as simple as a cat allergy.  Thankfully, the major symptoms have only had me for 14 years, and I am still unnaturally young in many ways due growing up sick and turning it into an opportunity by becoming hard to kill =)  Avoidance is working and In comparison I feel like Superman!<nobr> <wbr></nobr>...and I can't help but wonder how many other super-heroes lie in wait like I did.</p></htmltext>
<tokenext>For 2 months now out of my 34 year existence , due to the discovery that ALL of those symptoms can be caused by cat allergies , I have experienced a reduction in symptoms masquerading as lactose-intolerance , food-allergies , chron 's , and uc .
34 years !
...and I 'm finally gaining weight on the mend ! I 'm sorry for the loss of health , but better late than never -- I mean , I definitely do n't blame anyone for " missing " it in a diagnosis because I 've always considered myself doctor # 1 ( even though ianap ) .
To be fair , none of my research indicated it was allergy related , either , because the short-term symptoms we * all * overlooked were being dwarfed by the the much more dangerous long-term symptoms centered around my digestive system .
In retrospect , theories and tests were not so much " disregarded " as " over-shadowed " thus leading to a similar disregard by those trying to solve the mystery .
All of us are having a hard time believing it was as simple as a cat allergy .
Thankfully , the major symptoms have only had me for 14 years , and I am still unnaturally young in many ways due growing up sick and turning it into an opportunity by becoming hard to kill = ) Avoidance is working and In comparison I feel like Superman !
...and I ca n't help but wonder how many other super-heroes lie in wait like I did .</tokentext>
<sentencetext>For 2 months now out of my 34 year existence, due to the discovery that ALL of those symptoms can be caused by cat allergies, I have experienced a reduction in symptoms masquerading as lactose-intolerance, food-allergies, chron's, and uc.
34 years!
...and I'm finally gaining weight on the mend!I'm sorry for the loss of health, but better late than never -- I mean, I definitely don't blame anyone for "missing" it in a diagnosis because I've always considered myself doctor #1 (even though ianap).
To be fair, none of my research indicated it was allergy related, either, because the short-term symptoms we *all* overlooked were being dwarfed by the the much more dangerous long-term symptoms centered around my digestive system.
In retrospect, theories and tests were not so much "disregarded" as "over-shadowed" thus leading to a similar disregard by those trying to solve the mystery.
All of us are having a hard time believing it was as simple as a cat allergy.
Thankfully, the major symptoms have only had me for 14 years, and I am still unnaturally young in many ways due growing up sick and turning it into an opportunity by becoming hard to kill =)  Avoidance is working and In comparison I feel like Superman!
...and I can't help but wonder how many other super-heroes lie in wait like I did.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308297</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244821920000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p><div class="quote"><p>That's not funny. My brother died from dyslexia.</p></div><p>Okay, I'll bite. How did he die from dyslexia?</p></div>
	</htmltext>
<tokenext>That 's not funny .
My brother died from dyslexia.Okay , I 'll bite .
How did he die from dyslexia ?</tokentext>
<sentencetext>That's not funny.
My brother died from dyslexia.Okay, I'll bite.
How did he die from dyslexia?
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306257</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309939</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>infinite9</author>
	<datestamp>1244828340000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext><p><i>It would have proved interesting were she have had say tropic sprue [wikipedia.org] and you were to treat her with the immunosupressants.</i> </p><p>I take a medication that's used to treat Crohn's disease (Enbrel).  It's a shot i self-administer twice a week.  I take it for severe plaque psoriasis.  It's a freakin miracle drug.  Without out, those spots you see on peoples' knees and elbows cover 50\% of my skin severely limiting my mobility, lots of cracking and bleeding.  During a flair, it feels like a second degree burn... on 50\% of your body.  And it's rather disfiguring.  Anyway, while it technically is an immunosupressant, I have virtually no side-effects.  I don't even get sick more often.  And I don't have an increase in infections of any kind.  It's a tumor necrotizing factor inhibitor, so I think it's fairly targeted.  Based on my experience, I doubt it's dropping my white blood cell counts much.  It wouldn't be such a terrible drug to try out, although it is expensive and takes a while to start working, at least with psoriasis.</p></htmltext>
<tokenext>It would have proved interesting were she have had say tropic sprue [ wikipedia.org ] and you were to treat her with the immunosupressants .
I take a medication that 's used to treat Crohn 's disease ( Enbrel ) .
It 's a shot i self-administer twice a week .
I take it for severe plaque psoriasis .
It 's a freakin miracle drug .
Without out , those spots you see on peoples ' knees and elbows cover 50 \ % of my skin severely limiting my mobility , lots of cracking and bleeding .
During a flair , it feels like a second degree burn... on 50 \ % of your body .
And it 's rather disfiguring .
Anyway , while it technically is an immunosupressant , I have virtually no side-effects .
I do n't even get sick more often .
And I do n't have an increase in infections of any kind .
It 's a tumor necrotizing factor inhibitor , so I think it 's fairly targeted .
Based on my experience , I doubt it 's dropping my white blood cell counts much .
It would n't be such a terrible drug to try out , although it is expensive and takes a while to start working , at least with psoriasis .</tokentext>
<sentencetext>It would have proved interesting were she have had say tropic sprue [wikipedia.org] and you were to treat her with the immunosupressants.
I take a medication that's used to treat Crohn's disease (Enbrel).
It's a shot i self-administer twice a week.
I take it for severe plaque psoriasis.
It's a freakin miracle drug.
Without out, those spots you see on peoples' knees and elbows cover 50\% of my skin severely limiting my mobility, lots of cracking and bleeding.
During a flair, it feels like a second degree burn... on 50\% of your body.
And it's rather disfiguring.
Anyway, while it technically is an immunosupressant, I have virtually no side-effects.
I don't even get sick more often.
And I don't have an increase in infections of any kind.
It's a tumor necrotizing factor inhibitor, so I think it's fairly targeted.
Based on my experience, I doubt it's dropping my white blood cell counts much.
It wouldn't be such a terrible drug to try out, although it is expensive and takes a while to start working, at least with psoriasis.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309847</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244828040000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>Well, that is why I always ask the pharmacist about drug interactions. It is their job to know.</htmltext>
<tokenext>Well , that is why I always ask the pharmacist about drug interactions .
It is their job to know .</tokentext>
<sentencetext>Well, that is why I always ask the pharmacist about drug interactions.
It is their job to know.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308363</id>
	<title>Re:Not the last one</title>
	<author>ceoyoyo</author>
	<datestamp>1244822160000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>"With the developing of technology and Internet more and more people can..." convince themselves they know what's wrong, quicker.</p><p>People have always "diagnosed" themselves, whether it's through the Internet, a home medical encyclopedia or talking to that old woman who lives up the street.  It sounds like, had your doctor not confirmed your suspicions, you would have listened, which is great.  Unfortunately, many, many, people either wouldn't go see the doctor in the first place, or wouldn't listen if he contradicted "the Internet."  And for every story where someone gets it right, there are a lot of stories that we either never hear about or we forget about where someone got it wrong.</p></htmltext>
<tokenext>" With the developing of technology and Internet more and more people can... " convince themselves they know what 's wrong , quicker.People have always " diagnosed " themselves , whether it 's through the Internet , a home medical encyclopedia or talking to that old woman who lives up the street .
It sounds like , had your doctor not confirmed your suspicions , you would have listened , which is great .
Unfortunately , many , many , people either would n't go see the doctor in the first place , or would n't listen if he contradicted " the Internet .
" And for every story where someone gets it right , there are a lot of stories that we either never hear about or we forget about where someone got it wrong .</tokentext>
<sentencetext>"With the developing of technology and Internet more and more people can..." convince themselves they know what's wrong, quicker.People have always "diagnosed" themselves, whether it's through the Internet, a home medical encyclopedia or talking to that old woman who lives up the street.
It sounds like, had your doctor not confirmed your suspicions, you would have listened, which is great.
Unfortunately, many, many, people either wouldn't go see the doctor in the first place, or wouldn't listen if he contradicted "the Internet.
"  And for every story where someone gets it right, there are a lot of stories that we either never hear about or we forget about where someone got it wrong.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306097</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149</id>
	<title>This does not surprise me at all.</title>
	<author>OneSmartFellow</author>
	<datestamp>1244809200000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>5</modscore>
	<htmltext>When my daughter first started school - many years ago - she caught impetigo. Now, I had had impetigo as a child myself, but I had completely forgotten the symptoms.  All I knew was that my daughter had acquired some kind of skin disease, and that it was spreading.<br> <br>I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal cream (which did absolutely nothing to cure the problem).  A week later, with even more spreading, I returned to the same doctor, and he again admitted he didn't know what it was, and this time prescribed some kind of internal anti-biotic.  At that point I asked him,  If you don't know what it is, WTF are you doing prescribing medication, and why don't you recommend a specialist.  At which point I took my daughter by the hand and walked out the door.<br> <br>The next morning I was sitting in another GPs office, waiting for him to arrive, and as he walked in the door, he took one look at my daughter, whom he had never met before, and said, "Oh, you poor little girl, you've got impetigo, well, let's get you looked at, and we get that cleared up in a jiffy."<br> <br>Moral of the story:  most diseases are actually well known - if you find a competent doctor.  Unfortunately, most doctors are incompetent.  Impetigo is an amazingly common problem especially for children of primary school age. For any GP to not have recognized the symptoms is simply an indictment of the complete lack of competence.<br> <br>As long as the medical community continues to hide the fact that 90\% of their job is to memorize symptoms, and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers, used car salesman.</htmltext>
<tokenext>When my daughter first started school - many years ago - she caught impetigo .
Now , I had had impetigo as a child myself , but I had completely forgotten the symptoms .
All I knew was that my daughter had acquired some kind of skin disease , and that it was spreading .
I took her to our local GP who actually admitted that he did n't know what it was , BUT STIIL PRESCRIBED a topical steroidal cream ( which did absolutely nothing to cure the problem ) .
A week later , with even more spreading , I returned to the same doctor , and he again admitted he did n't know what it was , and this time prescribed some kind of internal anti-biotic .
At that point I asked him , If you do n't know what it is , WTF are you doing prescribing medication , and why do n't you recommend a specialist .
At which point I took my daughter by the hand and walked out the door .
The next morning I was sitting in another GPs office , waiting for him to arrive , and as he walked in the door , he took one look at my daughter , whom he had never met before , and said , " Oh , you poor little girl , you 've got impetigo , well , let 's get you looked at , and we get that cleared up in a jiffy .
" Moral of the story : most diseases are actually well known - if you find a competent doctor .
Unfortunately , most doctors are incompetent .
Impetigo is an amazingly common problem especially for children of primary school age .
For any GP to not have recognized the symptoms is simply an indictment of the complete lack of competence .
As long as the medical community continues to hide the fact that 90 \ % of their job is to memorize symptoms , and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers , used car salesman .</tokentext>
<sentencetext>When my daughter first started school - many years ago - she caught impetigo.
Now, I had had impetigo as a child myself, but I had completely forgotten the symptoms.
All I knew was that my daughter had acquired some kind of skin disease, and that it was spreading.
I took her to our local GP who actually admitted that he didn't know what it was, BUT STIIL PRESCRIBED a topical steroidal cream (which did absolutely nothing to cure the problem).
A week later, with even more spreading, I returned to the same doctor, and he again admitted he didn't know what it was, and this time prescribed some kind of internal anti-biotic.
At that point I asked him,  If you don't know what it is, WTF are you doing prescribing medication, and why don't you recommend a specialist.
At which point I took my daughter by the hand and walked out the door.
The next morning I was sitting in another GPs office, waiting for him to arrive, and as he walked in the door, he took one look at my daughter, whom he had never met before, and said, "Oh, you poor little girl, you've got impetigo, well, let's get you looked at, and we get that cleared up in a jiffy.
" Moral of the story:  most diseases are actually well known - if you find a competent doctor.
Unfortunately, most doctors are incompetent.
Impetigo is an amazingly common problem especially for children of primary school age.
For any GP to not have recognized the symptoms is simply an indictment of the complete lack of competence.
As long as the medical community continues to hide the fact that 90\% of their job is to memorize symptoms, and accept payola from pharma companies for generating prescriptions , and prescribe medication unnecessarily I will continue to treat them like scum sucking lawyers, used car salesman.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28313397</id>
	<title>Doctors scare the hell out of me.</title>
	<author>Anonymous</author>
	<datestamp>1244798040000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Doctors scare me because they are not the ones who decide how the diagnosis goes, it is the insurance companies. They probably missed it because the insurance would not pay for the test the girl did herself! Americas finest doctors are nothing more than pawns for the pharmaceutical and insurance industries. I suffered from allergy symptoms for my whole life, what did the Dr. give me antihistamine after antihistamine, oxymetazoline HCL, phenylepherine HCL, Zyrtec, loratadine, nothing but damned side effects and more allergy issues.<br>My Neighbor and old Indian Lady gave me a neti-pot and showed me how to use it, voila problem solved, several thousand dollars in drugs and several years of suffering trumped by a clay pot of salty water. All hail modern medicine, and its priorities the 36 hour boner.</p></htmltext>
<tokenext>Doctors scare me because they are not the ones who decide how the diagnosis goes , it is the insurance companies .
They probably missed it because the insurance would not pay for the test the girl did herself !
Americas finest doctors are nothing more than pawns for the pharmaceutical and insurance industries .
I suffered from allergy symptoms for my whole life , what did the Dr. give me antihistamine after antihistamine , oxymetazoline HCL , phenylepherine HCL , Zyrtec , loratadine , nothing but damned side effects and more allergy issues.My Neighbor and old Indian Lady gave me a neti-pot and showed me how to use it , voila problem solved , several thousand dollars in drugs and several years of suffering trumped by a clay pot of salty water .
All hail modern medicine , and its priorities the 36 hour boner .</tokentext>
<sentencetext>Doctors scare me because they are not the ones who decide how the diagnosis goes, it is the insurance companies.
They probably missed it because the insurance would not pay for the test the girl did herself!
Americas finest doctors are nothing more than pawns for the pharmaceutical and insurance industries.
I suffered from allergy symptoms for my whole life, what did the Dr. give me antihistamine after antihistamine, oxymetazoline HCL, phenylepherine HCL, Zyrtec, loratadine, nothing but damned side effects and more allergy issues.My Neighbor and old Indian Lady gave me a neti-pot and showed me how to use it, voila problem solved, several thousand dollars in drugs and several years of suffering trumped by a clay pot of salty water.
All hail modern medicine, and its priorities the 36 hour boner.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317423</id>
	<title>Re:Was she the....</title>
	<author>Anonymous</author>
	<datestamp>1244828700000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>&lt;quote&gt;&lt;p&gt;...FIRST person do this?&lt;/p&gt;&lt;/quote&gt;<br><br>Or more to the point "was she the first BLACK person to do this?"</div>
	</htmltext>
<tokenext>...FIRST person do this ? Or more to the point " was she the first BLACK person to do this ?
"</tokentext>
<sentencetext>...FIRST person do this?Or more to the point "was she the first BLACK person to do this?
"
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28325345</id>
	<title>Re:Surprised?</title>
	<author>Evets</author>
	<datestamp>1244972820000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>It exists.  Actually I've seen two versions.  Not sure if either provide ratios, I didn't pay that close attention.</p><p>I've seen a large one that a pharmacy student friend had.  My pharmacist has a copy behind her counter that I recognize.  I saw a pocket version carried by my wife's OB - which he referenced frequently whenever prescribing medication or asked about medication.  The OB's book categorized drugs with a letter based safety code for pregnant women.  He usually knew the answer, but always checked the book to verify he was correct.</p><p>No other doctor I've been to has referenced one of these books in front of me.  Maybe they are more confident in their knowledge, maybe they check outside the room.  More likely, they prescribe the same things over and over and have a comfort level with them.</p></htmltext>
<tokenext>It exists .
Actually I 've seen two versions .
Not sure if either provide ratios , I did n't pay that close attention.I 've seen a large one that a pharmacy student friend had .
My pharmacist has a copy behind her counter that I recognize .
I saw a pocket version carried by my wife 's OB - which he referenced frequently whenever prescribing medication or asked about medication .
The OB 's book categorized drugs with a letter based safety code for pregnant women .
He usually knew the answer , but always checked the book to verify he was correct.No other doctor I 've been to has referenced one of these books in front of me .
Maybe they are more confident in their knowledge , maybe they check outside the room .
More likely , they prescribe the same things over and over and have a comfort level with them .</tokentext>
<sentencetext>It exists.
Actually I've seen two versions.
Not sure if either provide ratios, I didn't pay that close attention.I've seen a large one that a pharmacy student friend had.
My pharmacist has a copy behind her counter that I recognize.
I saw a pocket version carried by my wife's OB - which he referenced frequently whenever prescribing medication or asked about medication.
The OB's book categorized drugs with a letter based safety code for pregnant women.
He usually knew the answer, but always checked the book to verify he was correct.No other doctor I've been to has referenced one of these books in front of me.
Maybe they are more confident in their knowledge, maybe they check outside the room.
More likely, they prescribe the same things over and over and have a comfort level with them.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308945</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305907</id>
	<title>Engrish?</title>
	<author>Anonymous</author>
	<datestamp>1244806800000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><blockquote><div><p>Then one day in January someone was finally figured out what was wrong with Jessica.</p></div></blockquote></div>
	</htmltext>
<tokenext>Then one day in January someone was finally figured out what was wrong with Jessica .</tokentext>
<sentencetext>Then one day in January someone was finally figured out what was wrong with Jessica.
	</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305987</id>
	<title>Moral of the story...</title>
	<author>the-bobcat</author>
	<datestamp>1244807580000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext>Don't send a professional to do a teen girls job ?</htmltext>
<tokenext>Do n't send a professional to do a teen girls job ?</tokentext>
<sentencetext>Don't send a professional to do a teen girls job ?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306799</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>forand</author>
	<datestamp>1244815140000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>3</modscore>
	<htmltext>Perhaps doctors should speak with Astronomers about finding needles in hay stacks.  It would appear that the problem is with too much information. That is a solvable problem by computers and people. Computers reduce the data and humans decide what is what. That is if a human can see a contrast or pattern difference then just have a computer highlight the regions of each slide which "differ greatly" from the "standard." If you cannot define a "standard" then the problem is clearly much harder than anyone above is making it out to be.</htmltext>
<tokenext>Perhaps doctors should speak with Astronomers about finding needles in hay stacks .
It would appear that the problem is with too much information .
That is a solvable problem by computers and people .
Computers reduce the data and humans decide what is what .
That is if a human can see a contrast or pattern difference then just have a computer highlight the regions of each slide which " differ greatly " from the " standard .
" If you can not define a " standard " then the problem is clearly much harder than anyone above is making it out to be .</tokentext>
<sentencetext>Perhaps doctors should speak with Astronomers about finding needles in hay stacks.
It would appear that the problem is with too much information.
That is a solvable problem by computers and people.
Computers reduce the data and humans decide what is what.
That is if a human can see a contrast or pattern difference then just have a computer highlight the regions of each slide which "differ greatly" from the "standard.
" If you cannot define a "standard" then the problem is clearly much harder than anyone above is making it out to be.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28321647</id>
	<title>Re:Remeber it is practicing</title>
	<author>Anonymous</author>
	<datestamp>1244923320000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I think you're full of it.  First of all, she's not a "woman".  She's a high school girl.  Granulomae are highly detectable and, given her symptoms, would have led the doctors straight to Crohn's.  It's not an uncommon disease, and serves as a perfect model for the apathy and disregard for patients that exists in our healthcare system today.  Don't say, "It's ok to make a mistake."  Doctors are doctors for a reason; they get paid thousands of dollars to relieve suffering and preserve life.  It's their job.</p></htmltext>
<tokenext>I think you 're full of it .
First of all , she 's not a " woman " .
She 's a high school girl .
Granulomae are highly detectable and , given her symptoms , would have led the doctors straight to Crohn 's .
It 's not an uncommon disease , and serves as a perfect model for the apathy and disregard for patients that exists in our healthcare system today .
Do n't say , " It 's ok to make a mistake .
" Doctors are doctors for a reason ; they get paid thousands of dollars to relieve suffering and preserve life .
It 's their job .</tokentext>
<sentencetext>I think you're full of it.
First of all, she's not a "woman".
She's a high school girl.
Granulomae are highly detectable and, given her symptoms, would have led the doctors straight to Crohn's.
It's not an uncommon disease, and serves as a perfect model for the apathy and disregard for patients that exists in our healthcare system today.
Don't say, "It's ok to make a mistake.
"  Doctors are doctors for a reason; they get paid thousands of dollars to relieve suffering and preserve life.
It's their job.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307981</id>
	<title>That's pretty much what I did</title>
	<author>Brian Stretch</author>
	<datestamp>1244820660000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>to diagnose <a href="http://www.convergenceinsufficiency.org/" title="convergenc...ciency.org">Convergence Insufficiency</a> [convergenc...ciency.org].  It's an incredibly simple eye problem, should have been caught in grade school but wasn't.  Anyone who's having trouble keeping their mind focused while reading should get tested.  I drove myself crazy, thinking I had ADD (that catch-all for "brain no work good"), until I stumbled across this.  It might have been tolerable to ignore CI before we all started staring at computer screens all day and could easily get high paying jobs that didn't require serious reading, but now it's not and it's worth the cost of an optometrist's exam that you're likely overdue for anyhow.  The CI website will direct you to doctors who know what to check.</p></htmltext>
<tokenext>to diagnose Convergence Insufficiency [ convergenc...ciency.org ] .
It 's an incredibly simple eye problem , should have been caught in grade school but was n't .
Anyone who 's having trouble keeping their mind focused while reading should get tested .
I drove myself crazy , thinking I had ADD ( that catch-all for " brain no work good " ) , until I stumbled across this .
It might have been tolerable to ignore CI before we all started staring at computer screens all day and could easily get high paying jobs that did n't require serious reading , but now it 's not and it 's worth the cost of an optometrist 's exam that you 're likely overdue for anyhow .
The CI website will direct you to doctors who know what to check .</tokentext>
<sentencetext>to diagnose Convergence Insufficiency [convergenc...ciency.org].
It's an incredibly simple eye problem, should have been caught in grade school but wasn't.
Anyone who's having trouble keeping their mind focused while reading should get tested.
I drove myself crazy, thinking I had ADD (that catch-all for "brain no work good"), until I stumbled across this.
It might have been tolerable to ignore CI before we all started staring at computer screens all day and could easily get high paying jobs that didn't require serious reading, but now it's not and it's worth the cost of an optometrist's exam that you're likely overdue for anyhow.
The CI website will direct you to doctors who know what to check.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305973</id>
	<title>The fresh pair of eyes have it</title>
	<author>richardcavell</author>
	<datestamp>1244807460000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>5</modscore>
	<htmltext>The original CNN story mentions that sometimes a fresh pair of eyes can spot something that the first pair didn't see.  Coders and authors will be familiar with the idea.  Sometimes you've looked over something and worked on it so much that you can no longer analyse it from the beginning, and it takes someone else to verify one's work.  That's why nurses aren't allowed to dispense medicine unless they get another nurse to check that they have selected the right medicine and the right dose and the right patient.

Also, the fact that this patient had a vested interest in making the diagnosis means that she would have examined the slide thoroughly.

(Doctor) Richard Cavell</htmltext>
<tokenext>The original CNN story mentions that sometimes a fresh pair of eyes can spot something that the first pair did n't see .
Coders and authors will be familiar with the idea .
Sometimes you 've looked over something and worked on it so much that you can no longer analyse it from the beginning , and it takes someone else to verify one 's work .
That 's why nurses are n't allowed to dispense medicine unless they get another nurse to check that they have selected the right medicine and the right dose and the right patient .
Also , the fact that this patient had a vested interest in making the diagnosis means that she would have examined the slide thoroughly .
( Doctor ) Richard Cavell</tokentext>
<sentencetext>The original CNN story mentions that sometimes a fresh pair of eyes can spot something that the first pair didn't see.
Coders and authors will be familiar with the idea.
Sometimes you've looked over something and worked on it so much that you can no longer analyse it from the beginning, and it takes someone else to verify one's work.
That's why nurses aren't allowed to dispense medicine unless they get another nurse to check that they have selected the right medicine and the right dose and the right patient.
Also, the fact that this patient had a vested interest in making the diagnosis means that she would have examined the slide thoroughly.
(Doctor) Richard Cavell</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</id>
	<title>Was she the....</title>
	<author>Anonymous</author>
	<datestamp>1244806800000</datestamp>
	<modclass>Funny</modclass>
	<modscore>4</modscore>
	<htmltext><p>...FIRST person do this?</p></htmltext>
<tokenext>...FIRST person do this ?</tokentext>
<sentencetext>...FIRST person do this?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311117</id>
	<title>Re:Surprised?</title>
	<author>Grishnakh</author>
	<datestamp>1244832960000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Doctors suck.  My wife got pregnant because her stupid doctor prescribed an antibiotic for her and neglected to tell her that it negated the effects of the pill.</p></htmltext>
<tokenext>Doctors suck .
My wife got pregnant because her stupid doctor prescribed an antibiotic for her and neglected to tell her that it negated the effects of the pill .</tokentext>
<sentencetext>Doctors suck.
My wife got pregnant because her stupid doctor prescribed an antibiotic for her and neglected to tell her that it negated the effects of the pill.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307005</id>
	<title>Re:Surprised?</title>
	<author>thedirektor</author>
	<datestamp>1244816220000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>2</modscore>
	<htmltext>The problem with package inserts (at least here in europe) is that if there is even a small chance of a rather uninteresting and non-dangerous drug interaction it will end up in the package insert, why? liability!<br> And at least here the package insert usually doesn't specifiy which interaction has been encountered, and the same goes for the doctors version of "package inserts". <br>
<br>
Same goes for side effects, I'd say anything you do, eat, take or otherwise endulge in can have effects on your body that are undisirable.<br>
<br>
In my opinion the pill (well there are differenct kinds, i think we are talking oestrogen based) is a very save medication which has been tested for decades, and I often have to wonder how high the correlation (not even speaking of causality) between pill and sideffects realy is.<br>
<br>
Another interesting read btw.:<br>
<a href="http://www.newscientist.com/article/dn7915--most-scientific-papers-are-probably-wrong.html" title="newscientist.com" rel="nofollow">http://www.newscientist.com/article/dn7915--most-scientific-papers-are-probably-wrong.html</a> [newscientist.com]</htmltext>
<tokenext>The problem with package inserts ( at least here in europe ) is that if there is even a small chance of a rather uninteresting and non-dangerous drug interaction it will end up in the package insert , why ?
liability ! And at least here the package insert usually does n't specifiy which interaction has been encountered , and the same goes for the doctors version of " package inserts " .
Same goes for side effects , I 'd say anything you do , eat , take or otherwise endulge in can have effects on your body that are undisirable .
In my opinion the pill ( well there are differenct kinds , i think we are talking oestrogen based ) is a very save medication which has been tested for decades , and I often have to wonder how high the correlation ( not even speaking of causality ) between pill and sideffects realy is .
Another interesting read btw .
: http : //www.newscientist.com/article/dn7915--most-scientific-papers-are-probably-wrong.html [ newscientist.com ]</tokentext>
<sentencetext>The problem with package inserts (at least here in europe) is that if there is even a small chance of a rather uninteresting and non-dangerous drug interaction it will end up in the package insert, why?
liability! And at least here the package insert usually doesn't specifiy which interaction has been encountered, and the same goes for the doctors version of "package inserts".
Same goes for side effects, I'd say anything you do, eat, take or otherwise endulge in can have effects on your body that are undisirable.
In my opinion the pill (well there are differenct kinds, i think we are talking oestrogen based) is a very save medication which has been tested for decades, and I often have to wonder how high the correlation (not even speaking of causality) between pill and sideffects realy is.
Another interesting read btw.
:
http://www.newscientist.com/article/dn7915--most-scientific-papers-are-probably-wrong.html [newscientist.com]</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306701</id>
	<title>No threat to doctors</title>
	<author>Anonymous</author>
	<datestamp>1244814540000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Few will be eager to perform self-administered colonoscopies....</htmltext>
<tokenext>Few will be eager to perform self-administered colonoscopies... .</tokentext>
<sentencetext>Few will be eager to perform self-administered colonoscopies....</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307719</id>
	<title>What I want to know</title>
	<author>sfraggle</author>
	<datestamp>1244819820000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>What were they doing in this science class that involved students examining tissue from their own intestines, and how was this tissue acquired?</p></htmltext>
<tokenext>What were they doing in this science class that involved students examining tissue from their own intestines , and how was this tissue acquired ?</tokentext>
<sentencetext>What were they doing in this science class that involved students examining tissue from their own intestines, and how was this tissue acquired?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306315</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>sjames</author>
	<datestamp>1244811180000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Of course, the pathology report was just one part of an 8 year long search for a diagnosis. Crohn's does immediately spring to mind, and there are ways to confirm or deny the diagnosis so it wouldn't be a matter of treating blindly. It's hard to believe it took the better part of 7 years for a doctor to even think of looking for Crohn's.</p></htmltext>
<tokenext>Of course , the pathology report was just one part of an 8 year long search for a diagnosis .
Crohn 's does immediately spring to mind , and there are ways to confirm or deny the diagnosis so it would n't be a matter of treating blindly .
It 's hard to believe it took the better part of 7 years for a doctor to even think of looking for Crohn 's .</tokentext>
<sentencetext>Of course, the pathology report was just one part of an 8 year long search for a diagnosis.
Crohn's does immediately spring to mind, and there are ways to confirm or deny the diagnosis so it wouldn't be a matter of treating blindly.
It's hard to believe it took the better part of 7 years for a doctor to even think of looking for Crohn's.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307029</id>
	<title>This does her no good...</title>
	<author>PHPNerd</author>
	<datestamp>1244816340000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>There's no cure. From Wikipedia: "There is no known drug or surgical cure for Crohn's disease;[8] treatment options are restricted to controlling symptoms, maintaining remission and preventing relapse."  I suppose perhaps peace of mind in knowing what it is that's wrong, but there's still nothing she can do about it.</htmltext>
<tokenext>There 's no cure .
From Wikipedia : " There is no known drug or surgical cure for Crohn 's disease ; [ 8 ] treatment options are restricted to controlling symptoms , maintaining remission and preventing relapse .
" I suppose perhaps peace of mind in knowing what it is that 's wrong , but there 's still nothing she can do about it .</tokentext>
<sentencetext>There's no cure.
From Wikipedia: "There is no known drug or surgical cure for Crohn's disease;[8] treatment options are restricted to controlling symptoms, maintaining remission and preventing relapse.
"  I suppose perhaps peace of mind in knowing what it is that's wrong, but there's still nothing she can do about it.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306051</id>
	<title>this is poverty of health.</title>
	<author>markringen</author>
	<datestamp>1244808120000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>1</modscore>
	<htmltext>this is what u get without basic health care, it's not something to marvel at it's something to cry about.
it's sad that people can't just goto a doctor at a young age and just get better.</htmltext>
<tokenext>this is what u get without basic health care , it 's not something to marvel at it 's something to cry about .
it 's sad that people ca n't just goto a doctor at a young age and just get better .</tokentext>
<sentencetext>this is what u get without basic health care, it's not something to marvel at it's something to cry about.
it's sad that people can't just goto a doctor at a young age and just get better.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28316215</id>
	<title>what?!</title>
	<author>Anonymous</author>
	<datestamp>1244815020000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Doctors didn't diagnose the problem, so all doctors are incompetent?  My computer program has a bug, so all programmers are incompetent? The elevator door got stuck, so all engineers are incompetent? The goalie didn't stop the puck, so all goalies are terrible? I couldn't find my shoes, so all people are idiots?</p></htmltext>
<tokenext>Doctors did n't diagnose the problem , so all doctors are incompetent ?
My computer program has a bug , so all programmers are incompetent ?
The elevator door got stuck , so all engineers are incompetent ?
The goalie did n't stop the puck , so all goalies are terrible ?
I could n't find my shoes , so all people are idiots ?</tokentext>
<sentencetext>Doctors didn't diagnose the problem, so all doctors are incompetent?
My computer program has a bug, so all programmers are incompetent?
The elevator door got stuck, so all engineers are incompetent?
The goalie didn't stop the puck, so all goalies are terrible?
I couldn't find my shoes, so all people are idiots?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28318923</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244897280000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I can totally understand the problems with the pill. Just last week my Gyno insulted me when my Birth Control wasn't working correctly, insinuated that I was doing drugs  because I was having problems with it. Then when I insisted that she give me something different (and after repeatedly telling her that I didn't want pills and that I had had bad experiences with any pill form medication) she shoved pills in my face. Completely ignoring the fact that I'd had serious stomach problems with lower dosage pills, and that I have heart problems (it's a well known fact that Oral Contraceptives can cause heart-attacks, and the pill she prescribed has a high enough dosage that if I don't react well, it could kill me). I've had chest pain, nerve problems, and haven't been able to eat properly since I started taking the pill.</p><p>Also, as far as not being diagnosed, I have a similar (if unresolved) issue. I've been sick for 10, almost 11 years. I have severe joint pain and muscle aches, chronic headaches, chronic fatigue, and a host of other problems, and no doctor has ever taken the time to even consider figuring it out. They just tell me to take pain meds (which I happen to be non-responsive to. All pain killers) and send me home. I have more ideas than the doctors do.</p></htmltext>
<tokenext>I can totally understand the problems with the pill .
Just last week my Gyno insulted me when my Birth Control was n't working correctly , insinuated that I was doing drugs because I was having problems with it .
Then when I insisted that she give me something different ( and after repeatedly telling her that I did n't want pills and that I had had bad experiences with any pill form medication ) she shoved pills in my face .
Completely ignoring the fact that I 'd had serious stomach problems with lower dosage pills , and that I have heart problems ( it 's a well known fact that Oral Contraceptives can cause heart-attacks , and the pill she prescribed has a high enough dosage that if I do n't react well , it could kill me ) .
I 've had chest pain , nerve problems , and have n't been able to eat properly since I started taking the pill.Also , as far as not being diagnosed , I have a similar ( if unresolved ) issue .
I 've been sick for 10 , almost 11 years .
I have severe joint pain and muscle aches , chronic headaches , chronic fatigue , and a host of other problems , and no doctor has ever taken the time to even consider figuring it out .
They just tell me to take pain meds ( which I happen to be non-responsive to .
All pain killers ) and send me home .
I have more ideas than the doctors do .</tokentext>
<sentencetext>I can totally understand the problems with the pill.
Just last week my Gyno insulted me when my Birth Control wasn't working correctly, insinuated that I was doing drugs  because I was having problems with it.
Then when I insisted that she give me something different (and after repeatedly telling her that I didn't want pills and that I had had bad experiences with any pill form medication) she shoved pills in my face.
Completely ignoring the fact that I'd had serious stomach problems with lower dosage pills, and that I have heart problems (it's a well known fact that Oral Contraceptives can cause heart-attacks, and the pill she prescribed has a high enough dosage that if I don't react well, it could kill me).
I've had chest pain, nerve problems, and haven't been able to eat properly since I started taking the pill.Also, as far as not being diagnosed, I have a similar (if unresolved) issue.
I've been sick for 10, almost 11 years.
I have severe joint pain and muscle aches, chronic headaches, chronic fatigue, and a host of other problems, and no doctor has ever taken the time to even consider figuring it out.
They just tell me to take pain meds (which I happen to be non-responsive to.
All pain killers) and send me home.
I have more ideas than the doctors do.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305999</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307469</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244818620000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>1)  Not sure if she had the exact slides or if she had recuts.  If they were recuts then the facing of the block and the additional levels may have shown the granuloma that was not present on the original slides.</p><p>2)  Pathologists are human and we do make mistakes.  Thats why medicine is "practice."  We are constantly trying to improve</p><p>3)  There are some shitty doctors out there.</p></htmltext>
<tokenext>1 ) Not sure if she had the exact slides or if she had recuts .
If they were recuts then the facing of the block and the additional levels may have shown the granuloma that was not present on the original slides.2 ) Pathologists are human and we do make mistakes .
Thats why medicine is " practice .
" We are constantly trying to improve3 ) There are some shitty doctors out there .</tokentext>
<sentencetext>1)  Not sure if she had the exact slides or if she had recuts.
If they were recuts then the facing of the block and the additional levels may have shown the granuloma that was not present on the original slides.2)  Pathologists are human and we do make mistakes.
Thats why medicine is "practice.
"  We are constantly trying to improve3)  There are some shitty doctors out there.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307945</id>
	<title>Poor Grammar</title>
	<author>WebmasterNeal</author>
	<datestamp>1244820540000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Is it just me or does this sentence not make sense - "Then one day in January someone was finally figured out what was wrong with Jessica. That person was her."
<br> <br>
"Someone set us up the bomb"
<br> <br>
"We Get Signal"
<br> <br>
"Hello Gentleman, All Your Base Are Belong To Us"</htmltext>
<tokenext>Is it just me or does this sentence not make sense - " Then one day in January someone was finally figured out what was wrong with Jessica .
That person was her .
" " Someone set us up the bomb " " We Get Signal " " Hello Gentleman , All Your Base Are Belong To Us "</tokentext>
<sentencetext>Is it just me or does this sentence not make sense - "Then one day in January someone was finally figured out what was wrong with Jessica.
That person was her.
"
 
"Someone set us up the bomb"
 
"We Get Signal"
 
"Hello Gentleman, All Your Base Are Belong To Us"</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306555</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244813460000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I disagree; I went through this last year. I had similar symptoms and had the same discussion with my doctor. Ultimately, he couldn't decide either and we both agreed to try some gentle medication to see if it helped. THE POINT IS TO MAKE IT STOP, not to understand what it is. If there are medication options that aren't extreme, go for it.</p></htmltext>
<tokenext>I disagree ; I went through this last year .
I had similar symptoms and had the same discussion with my doctor .
Ultimately , he could n't decide either and we both agreed to try some gentle medication to see if it helped .
THE POINT IS TO MAKE IT STOP , not to understand what it is .
If there are medication options that are n't extreme , go for it .</tokentext>
<sentencetext>I disagree; I went through this last year.
I had similar symptoms and had the same discussion with my doctor.
Ultimately, he couldn't decide either and we both agreed to try some gentle medication to see if it helped.
THE POINT IS TO MAKE IT STOP, not to understand what it is.
If there are medication options that aren't extreme, go for it.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306075</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244808420000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I used to enjoy reading before I got the downs.</p></htmltext>
<tokenext>I used to enjoy reading before I got the downs .</tokentext>
<sentencetext>I used to enjoy reading before I got the downs.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306167</id>
	<title>Re:So what</title>
	<author>Anonymous</author>
	<datestamp>1244809380000</datestamp>
	<modclass>Funny</modclass>
	<modscore>2</modscore>
	<htmltext><p>As I always tell others:</p><p>I put the sex in dyslexia!</p></htmltext>
<tokenext>As I always tell others : I put the sex in dyslexia !</tokentext>
<sentencetext>As I always tell others:I put the sex in dyslexia!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305941</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306509</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244813100000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>"Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been. Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it"</p><p>If the symptoms match, why would it be immoral to attempt to treat for the most likely candidate to see what happens as opposed to letting someone suffer because you can't figure out what the fuck else it might be?</p></htmltext>
<tokenext>" Maybe you guys instantly thought Crohn 's , but there are plenty of other rarer diseases it could have been .
Without a positive biopsy it would have been incredibly immoral to slap a Crohn 's diagnosis on this girl and medicated her for it " If the symptoms match , why would it be immoral to attempt to treat for the most likely candidate to see what happens as opposed to letting someone suffer because you ca n't figure out what the fuck else it might be ?</tokentext>
<sentencetext>"Maybe you guys instantly thought Crohn's, but there are plenty of other rarer diseases it could have been.
Without a positive biopsy it would have been incredibly immoral to slap a Crohn's diagnosis on this girl and medicated her for it"If the symptoms match, why would it be immoral to attempt to treat for the most likely candidate to see what happens as opposed to letting someone suffer because you can't figure out what the fuck else it might be?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309111</id>
	<title>At least it wasn't...</title>
	<author>uberjack</author>
	<datestamp>1244825400000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>crone's disease! *rimshot*</htmltext>
<tokenext>crone 's disease !
* rimshot *</tokentext>
<sentencetext>crone's disease!
*rimshot*</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309967</id>
	<title>Re:Remeber it is practicing</title>
	<author>Wandering Wombat</author>
	<datestamp>1244828460000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>4</modscore>
	<htmltext>Trust me, I've been there.  Here's a common scenario from my teenaged years: <br> <br>

Me: I'm having seizures.<br>
Doc: No, you're not.<br> <br>

After six years, four doctors, and one car crash, I finally get hooked up to an EEG machine.<br> <br>

Doc: Oh, hey, check this out.  You have epilepsy.<br>
Me: I know.  I told YOU that.</htmltext>
<tokenext>Trust me , I 've been there .
Here 's a common scenario from my teenaged years : Me : I 'm having seizures .
Doc : No , you 're not .
After six years , four doctors , and one car crash , I finally get hooked up to an EEG machine .
Doc : Oh , hey , check this out .
You have epilepsy .
Me : I know .
I told YOU that .</tokentext>
<sentencetext>Trust me, I've been there.
Here's a common scenario from my teenaged years:  

Me: I'm having seizures.
Doc: No, you're not.
After six years, four doctors, and one car crash, I finally get hooked up to an EEG machine.
Doc: Oh, hey, check this out.
You have epilepsy.
Me: I know.
I told YOU that.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28390227</id>
	<title>Re:Surprised?</title>
	<author>mackyrae</author>
	<datestamp>1245427440000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>When it comes to Crohn's, it's mostly process of elimination.  My boyfriend has it, and the way he figured this out, is his doctor told him to drop dairy so that his lactose intolerance wouldn't interfere.  Did that help? No...ok, drop gluten.  That help? No...ok.... and after lots of playing with his diet and some tests, you reach the point where it's "ok, this isn't IBS, it isn't your lactose intolerance flaring up, it isn't an allergy...must be Crohn's."</p><p>Playing with his diet also had the added bonus of teaching him which foods cause it to flare up.  He knows that red meat is the worst (too much work to digest), poultry just behind that, and fish after that.  Plants only have him in the usual state of constant, mild pain (as opposed to the sharp pain animals cause), so he sticks to that.</p></htmltext>
<tokenext>When it comes to Crohn 's , it 's mostly process of elimination .
My boyfriend has it , and the way he figured this out , is his doctor told him to drop dairy so that his lactose intolerance would n't interfere .
Did that help ?
No...ok , drop gluten .
That help ?
No...ok.... and after lots of playing with his diet and some tests , you reach the point where it 's " ok , this is n't IBS , it is n't your lactose intolerance flaring up , it is n't an allergy...must be Crohn 's .
" Playing with his diet also had the added bonus of teaching him which foods cause it to flare up .
He knows that red meat is the worst ( too much work to digest ) , poultry just behind that , and fish after that .
Plants only have him in the usual state of constant , mild pain ( as opposed to the sharp pain animals cause ) , so he sticks to that .</tokentext>
<sentencetext>When it comes to Crohn's, it's mostly process of elimination.
My boyfriend has it, and the way he figured this out, is his doctor told him to drop dairy so that his lactose intolerance wouldn't interfere.
Did that help?
No...ok, drop gluten.
That help?
No...ok.... and after lots of playing with his diet and some tests, you reach the point where it's "ok, this isn't IBS, it isn't your lactose intolerance flaring up, it isn't an allergy...must be Crohn's.
"Playing with his diet also had the added bonus of teaching him which foods cause it to flare up.
He knows that red meat is the worst (too much work to digest), poultry just behind that, and fish after that.
Plants only have him in the usual state of constant, mild pain (as opposed to the sharp pain animals cause), so he sticks to that.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307341</id>
	<title>Re:I wonder...</title>
	<author>martas</author>
	<datestamp>1244818020000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>This would only be an appropriate analogy if RIAA/MPAA sued people who listened to music they recorded themselves without paying for it.<br> <br>

Oh wait...</htmltext>
<tokenext>This would only be an appropriate analogy if RIAA/MPAA sued people who listened to music they recorded themselves without paying for it .
Oh wait.. .</tokentext>
<sentencetext>This would only be an appropriate analogy if RIAA/MPAA sued people who listened to music they recorded themselves without paying for it.
Oh wait...</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305995</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308085</id>
	<title>Re:This does not surprise me at all.</title>
	<author>Anonymous</author>
	<datestamp>1244821020000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><blockquote><div><p>WTF are you doing prescribing medication</p></div></blockquote><p> He's doing diagnostic medication.  The time and money it would cost to visit a specialist far outweighs the time and money it would take for you to try a few generic solutions, so long as they have low side effects.</p><p>How would the specialist ever get any work done if he was constantly having to treat people with something a simple topical cream or antibiotic would have cleared up?  Now when you see him, I guarantee one of the first diagnostic criteria he'll use is "does not respond to \_\_\_\_\_"</p></div>
	</htmltext>
<tokenext>WTF are you doing prescribing medication He 's doing diagnostic medication .
The time and money it would cost to visit a specialist far outweighs the time and money it would take for you to try a few generic solutions , so long as they have low side effects.How would the specialist ever get any work done if he was constantly having to treat people with something a simple topical cream or antibiotic would have cleared up ?
Now when you see him , I guarantee one of the first diagnostic criteria he 'll use is " does not respond to \ _ \ _ \ _ \ _ \ _ "</tokentext>
<sentencetext>WTF are you doing prescribing medication He's doing diagnostic medication.
The time and money it would cost to visit a specialist far outweighs the time and money it would take for you to try a few generic solutions, so long as they have low side effects.How would the specialist ever get any work done if he was constantly having to treat people with something a simple topical cream or antibiotic would have cleared up?
Now when you see him, I guarantee one of the first diagnostic criteria he'll use is "does not respond to \_\_\_\_\_"
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307287</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>kenh</author>
	<datestamp>1244817720000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>I didn't mean to imply anything wrong (and she is certainly entitled to samples of her own intestinal tissue), but it seems a bit unusual, doesn't it? I mean I ask for the parts to be returned when I go the the auto repair shop, but I never asked for slides of tissue samples from my doctors.</p><p>To be 100\% clear, I think it's great she did, I'm happy she was able to diagnose her disease, and if I were her I'd look for an entire new set of doctors. Hopefully, she'll find a way to ride this "news" for a slot in a good pre-med program when she graduates from HS.</p></htmltext>
<tokenext>I did n't mean to imply anything wrong ( and she is certainly entitled to samples of her own intestinal tissue ) , but it seems a bit unusual , does n't it ?
I mean I ask for the parts to be returned when I go the the auto repair shop , but I never asked for slides of tissue samples from my doctors.To be 100 \ % clear , I think it 's great she did , I 'm happy she was able to diagnose her disease , and if I were her I 'd look for an entire new set of doctors .
Hopefully , she 'll find a way to ride this " news " for a slot in a good pre-med program when she graduates from HS .</tokentext>
<sentencetext>I didn't mean to imply anything wrong (and she is certainly entitled to samples of her own intestinal tissue), but it seems a bit unusual, doesn't it?
I mean I ask for the parts to be returned when I go the the auto repair shop, but I never asked for slides of tissue samples from my doctors.To be 100\% clear, I think it's great she did, I'm happy she was able to diagnose her disease, and if I were her I'd look for an entire new set of doctors.
Hopefully, she'll find a way to ride this "news" for a slot in a good pre-med program when she graduates from HS.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309281</id>
	<title>I've done this too</title>
	<author>Wyatt Earp</author>
	<datestamp>1244826120000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>Mine was Atypical Trigeminal Neuralgia, and while I didn't find out from a slide, there was a year of Doctors not diagnosing and my discovering what it was and pitching that to my neurosurgeon and getting a treatment that worked.</p></htmltext>
<tokenext>Mine was Atypical Trigeminal Neuralgia , and while I did n't find out from a slide , there was a year of Doctors not diagnosing and my discovering what it was and pitching that to my neurosurgeon and getting a treatment that worked .</tokentext>
<sentencetext>Mine was Atypical Trigeminal Neuralgia, and while I didn't find out from a slide, there was a year of Doctors not diagnosing and my discovering what it was and pitching that to my neurosurgeon and getting a treatment that worked.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307631</id>
	<title>Tissue sample</title>
	<author>phorm</author>
	<datestamp>1244819460000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>One might think so, but the question I would have then is where did the sample *she* used come from. According to TFA:</p><p><i>"she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal"</i> </p><p>Assumedly she hadn't performed a self-biopsy for the samples and had actually received them from the pathologist. I believe the error might have been a bit more easily forgiven if they had biopsied and not gotten a sample indicating the disease (fairly common, my grandfather's lungs, though riddled with cancer, took multiple biopsies to find an afflicted sample). However, this was in from their own sample, which from the article had already been "passed" as normal.</p></htmltext>
<tokenext>One might think so , but the question I would have then is where did the sample * she * used come from .
According to TFA : " she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal " Assumedly she had n't performed a self-biopsy for the samples and had actually received them from the pathologist .
I believe the error might have been a bit more easily forgiven if they had biopsied and not gotten a sample indicating the disease ( fairly common , my grandfather 's lungs , though riddled with cancer , took multiple biopsies to find an afflicted sample ) .
However , this was in from their own sample , which from the article had already been " passed " as normal .</tokentext>
<sentencetext>One might think so, but the question I would have then is where did the sample *she* used come from.
According to TFA:"she was looking under the microscope at slides of her own intestinal tissue -- slides her pathologist had said were completely normal" Assumedly she hadn't performed a self-biopsy for the samples and had actually received them from the pathologist.
I believe the error might have been a bit more easily forgiven if they had biopsied and not gotten a sample indicating the disease (fairly common, my grandfather's lungs, though riddled with cancer, took multiple biopsies to find an afflicted sample).
However, this was in from their own sample, which from the article had already been "passed" as normal.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308025</id>
	<title>Re:Not the last one</title>
	<author>Anonymous</author>
	<datestamp>1244820840000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>On a related note, doctors sell more and more placebos (feel free to find the relevant slashdot references<nobr> <wbr></nobr>:-) )</p></htmltext>
<tokenext>On a related note , doctors sell more and more placebos ( feel free to find the relevant slashdot references : - ) )</tokentext>
<sentencetext>On a related note, doctors sell more and more placebos (feel free to find the relevant slashdot references :-) )</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306097</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28315979</id>
	<title>Intestinal sample?</title>
	<author>Anonymous</author>
	<datestamp>1244813040000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>The only thing that sticks out as odd to me in this is that the girl seems to have taken her own intestinal sample somehow. I don't know about you, but that's not something I do on a regular basis. Even if I were taking an AP biology class, I don't know what situation would call for me to sample my own intestine. Seriously? Weird.</p></htmltext>
<tokenext>The only thing that sticks out as odd to me in this is that the girl seems to have taken her own intestinal sample somehow .
I do n't know about you , but that 's not something I do on a regular basis .
Even if I were taking an AP biology class , I do n't know what situation would call for me to sample my own intestine .
Seriously ? Weird .</tokentext>
<sentencetext>The only thing that sticks out as odd to me in this is that the girl seems to have taken her own intestinal sample somehow.
I don't know about you, but that's not something I do on a regular basis.
Even if I were taking an AP biology class, I don't know what situation would call for me to sample my own intestine.
Seriously? Weird.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308493</id>
	<title>Re:Remeber it is practicing</title>
	<author>Anonymous</author>
	<datestamp>1244822640000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>how many time you take your colon on a microscope?</htmltext>
<tokenext>how many time you take your colon on a microscope ?</tokentext>
<sentencetext>how many time you take your colon on a microscope?</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305969</id>
	<title>Science, is that what medicine doctors lacks off?</title>
	<author>La Gris</author>
	<datestamp>1244807460000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>1</modscore>
	<htmltext><p>Do doctors only rely on pre-mashed medical condition patterns as a rotting knowledge to help patients?</p><p>I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time. And this look so weired from a computer literate point of view.</p><p>At some point, animals tend to get better medicine.</p><p>Perhaps patients would benefit better treatments if doctors practiced more science than magic art.</p></htmltext>
<tokenext>Do doctors only rely on pre-mashed medical condition patterns as a rotting knowledge to help patients ? I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time .
And this look so weired from a computer literate point of view.At some point , animals tend to get better medicine.Perhaps patients would benefit better treatments if doctors practiced more science than magic art .</tokentext>
<sentencetext>Do doctors only rely on pre-mashed medical condition patterns as a rotting knowledge to help patients?I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time.
And this look so weired from a computer literate point of view.At some point, animals tend to get better medicine.Perhaps patients would benefit better treatments if doctors practiced more science than magic art.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28317711</id>
	<title>Re:Some times you need to be your own advocate</title>
	<author>Anonymous</author>
	<datestamp>1244832960000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I am really sorry to hear about your suffering.  I suppose there is some affect to your central nervous system.  Interestingly, the wikipedia link for the treatment, Praziquantel seems to indicate that in most people the damage is largely reversible:</p><p>"Praziquantel has a particularly dramatic effect on patients with schistosomiasis. Studies of those treated have shown that within six months of receiving a dose of praziquantel, up to 90\% of the damage done to internal organs due to schistosomiasis infection can be reversed."</p></htmltext>
<tokenext>I am really sorry to hear about your suffering .
I suppose there is some affect to your central nervous system .
Interestingly , the wikipedia link for the treatment , Praziquantel seems to indicate that in most people the damage is largely reversible : " Praziquantel has a particularly dramatic effect on patients with schistosomiasis .
Studies of those treated have shown that within six months of receiving a dose of praziquantel , up to 90 \ % of the damage done to internal organs due to schistosomiasis infection can be reversed .
"</tokentext>
<sentencetext>I am really sorry to hear about your suffering.
I suppose there is some affect to your central nervous system.
Interestingly, the wikipedia link for the treatment, Praziquantel seems to indicate that in most people the damage is largely reversible:"Praziquantel has a particularly dramatic effect on patients with schistosomiasis.
Studies of those treated have shown that within six months of receiving a dose of praziquantel, up to 90\% of the damage done to internal organs due to schistosomiasis infection can be reversed.
"</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307417</id>
	<title>Re:Science, is that what medicine doctors lacks of</title>
	<author>rjstanford</author>
	<datestamp>1244818320000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><blockquote><div><p>I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time.</p></div> </blockquote><p>The thing is, it isn't.  The vast majority of diagnoses are accurate.  They just don't make news, just like the millions of trans-Atlantic flight-miles that don't result in a plane crashing into the ocean.</p><p>Its "obvious" now that this girl had Chron's disease, after you know what to look for.  Of course, even with that knowledge, she didn't match the symptoms that a vast majority of patients had, and her tissue biopsy was hardly staring anyone in the face (if they hadn't ordered the biopsy at all I'd expect more righteous indignation).</p><p>This is hard - and ordering the wrong treatment can be fatal, especially if you're not completely sure what's going on.  Not somewhere you want to just throw darts and see what sticks.</p></div>
	</htmltext>
<tokenext>I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time .
The thing is , it is n't .
The vast majority of diagnoses are accurate .
They just do n't make news , just like the millions of trans-Atlantic flight-miles that do n't result in a plane crashing into the ocean.Its " obvious " now that this girl had Chron 's disease , after you know what to look for .
Of course , even with that knowledge , she did n't match the symptoms that a vast majority of patients had , and her tissue biopsy was hardly staring anyone in the face ( if they had n't ordered the biopsy at all I 'd expect more righteous indignation ) .This is hard - and ordering the wrong treatment can be fatal , especially if you 're not completely sure what 's going on .
Not somewhere you want to just throw darts and see what sticks .</tokentext>
<sentencetext>I often wondered how it look like so difficult as a patient to get proper diagnosis and treatment most of the time.
The thing is, it isn't.
The vast majority of diagnoses are accurate.
They just don't make news, just like the millions of trans-Atlantic flight-miles that don't result in a plane crashing into the ocean.Its "obvious" now that this girl had Chron's disease, after you know what to look for.
Of course, even with that knowledge, she didn't match the symptoms that a vast majority of patients had, and her tissue biopsy was hardly staring anyone in the face (if they hadn't ordered the biopsy at all I'd expect more righteous indignation).This is hard - and ordering the wrong treatment can be fatal, especially if you're not completely sure what's going on.
Not somewhere you want to just throw darts and see what sticks.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305969</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307747</id>
	<title>Re:Not surprising</title>
	<author>domatic</author>
	<datestamp>1244819940000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><b>A natural engineer by contrast, is better at diagnosis - figuring out what is wrong and fixing it. But often a good engineer will want to do engineering and not medicine.</b></p><p>A engineer is a better diagnostician but the best diagnosticians aren't necessarily engineers.  Look at what demo coders on old 8-bits do.  They make them do things that even the people who designed them wouldn't have thought possible.  And the skillset of a master mechanic does not perfectly dovetail with that of an automotive engineer.  The engineer knows how to design a system say an engine that meets any number of criteria and doubtless understands the <i>correct</i> functioning of that part.  The mechanic on the other hand will have a long list of unconscious heuristics for how the system behaves when a part of the engine is degraded or nonfunctional entirely.  Troubleshooting is a world all of it's own.  And I agree with you that many many doctors don't understand troubleshooting.  If they did, I think you'd see much less of the shotgun approach most of them take with tests.</p></htmltext>
<tokenext>A natural engineer by contrast , is better at diagnosis - figuring out what is wrong and fixing it .
But often a good engineer will want to do engineering and not medicine.A engineer is a better diagnostician but the best diagnosticians are n't necessarily engineers .
Look at what demo coders on old 8-bits do .
They make them do things that even the people who designed them would n't have thought possible .
And the skillset of a master mechanic does not perfectly dovetail with that of an automotive engineer .
The engineer knows how to design a system say an engine that meets any number of criteria and doubtless understands the correct functioning of that part .
The mechanic on the other hand will have a long list of unconscious heuristics for how the system behaves when a part of the engine is degraded or nonfunctional entirely .
Troubleshooting is a world all of it 's own .
And I agree with you that many many doctors do n't understand troubleshooting .
If they did , I think you 'd see much less of the shotgun approach most of them take with tests .</tokentext>
<sentencetext>A natural engineer by contrast, is better at diagnosis - figuring out what is wrong and fixing it.
But often a good engineer will want to do engineering and not medicine.A engineer is a better diagnostician but the best diagnosticians aren't necessarily engineers.
Look at what demo coders on old 8-bits do.
They make them do things that even the people who designed them wouldn't have thought possible.
And the skillset of a master mechanic does not perfectly dovetail with that of an automotive engineer.
The engineer knows how to design a system say an engine that meets any number of criteria and doubtless understands the correct functioning of that part.
The mechanic on the other hand will have a long list of unconscious heuristics for how the system behaves when a part of the engine is degraded or nonfunctional entirely.
Troubleshooting is a world all of it's own.
And I agree with you that many many doctors don't understand troubleshooting.
If they did, I think you'd see much less of the shotgun approach most of them take with tests.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306251</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310705</id>
	<title>Translation</title>
	<author>ThatsNotPudding</author>
	<datestamp>1244831580000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>"It's weird I had to solve my own medical problem."<br>
<br>
Translation: typical US health insurance.  I can only assume when she went to her GP, he told her to 'walk it off' (while insurance company vultures perched on both his shoulders).</htmltext>
<tokenext>" It 's weird I had to solve my own medical problem .
" Translation : typical US health insurance .
I can only assume when she went to her GP , he told her to 'walk it off ' ( while insurance company vultures perched on both his shoulders ) .</tokentext>
<sentencetext>"It's weird I had to solve my own medical problem.
"

Translation: typical US health insurance.
I can only assume when she went to her GP, he told her to 'walk it off' (while insurance company vultures perched on both his shoulders).</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309599</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>BGrif</author>
	<datestamp>1244827200000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext>Yes, the symptoms that the girl had are that of Crohn's disease but the symptoms are also that of hundred of other problems.  So why don't they have a standard methodological approach to how you deal certain symptoms when doctors come across them.  This approach would be what tests are ran, what order the tests are conducted in, quality check that are built in, etc...  I am sure the medical profession has these to an extent but having it completely laid out would save money, save time, reduce errors, and reduced malpractice lawsuits because there was an approach that was followed and nothing was missed.  This is not taking anything away from the doctor because they are still needed very much for their expert opinion.  Just to prove that it will not take anything away from the doctor, this kind of approach is used in certain types of consulting which people pay a premium for. In my profession we follow strict procedures (as I am sure doctors do) but even things like what order to test EVERYTHING in has to follow our methodology and if we stray away from our methodology we leave ourselves open to be sued from the client.  It seems like when it comes to testing and procedures of diagnosing diseases that there is a lot left to the doctor to decide what to do and not standard approach.<br> <br>

This would be a case that would benefit from a software program that makes the connections of the symptoms with the related diseases.  From there it could tell you the tests that need to be ran and in what order to reduce the the list even further.  The software would not be so much of a replacement to expert opinion but a compliment to reduce errors and save time.<br> <br>

My point is that everyone has off days and I don't want to pay for unnecessary tests.</htmltext>
<tokenext>Yes , the symptoms that the girl had are that of Crohn 's disease but the symptoms are also that of hundred of other problems .
So why do n't they have a standard methodological approach to how you deal certain symptoms when doctors come across them .
This approach would be what tests are ran , what order the tests are conducted in , quality check that are built in , etc... I am sure the medical profession has these to an extent but having it completely laid out would save money , save time , reduce errors , and reduced malpractice lawsuits because there was an approach that was followed and nothing was missed .
This is not taking anything away from the doctor because they are still needed very much for their expert opinion .
Just to prove that it will not take anything away from the doctor , this kind of approach is used in certain types of consulting which people pay a premium for .
In my profession we follow strict procedures ( as I am sure doctors do ) but even things like what order to test EVERYTHING in has to follow our methodology and if we stray away from our methodology we leave ourselves open to be sued from the client .
It seems like when it comes to testing and procedures of diagnosing diseases that there is a lot left to the doctor to decide what to do and not standard approach .
This would be a case that would benefit from a software program that makes the connections of the symptoms with the related diseases .
From there it could tell you the tests that need to be ran and in what order to reduce the the list even further .
The software would not be so much of a replacement to expert opinion but a compliment to reduce errors and save time .
My point is that everyone has off days and I do n't want to pay for unnecessary tests .</tokentext>
<sentencetext>Yes, the symptoms that the girl had are that of Crohn's disease but the symptoms are also that of hundred of other problems.
So why don't they have a standard methodological approach to how you deal certain symptoms when doctors come across them.
This approach would be what tests are ran, what order the tests are conducted in, quality check that are built in, etc...  I am sure the medical profession has these to an extent but having it completely laid out would save money, save time, reduce errors, and reduced malpractice lawsuits because there was an approach that was followed and nothing was missed.
This is not taking anything away from the doctor because they are still needed very much for their expert opinion.
Just to prove that it will not take anything away from the doctor, this kind of approach is used in certain types of consulting which people pay a premium for.
In my profession we follow strict procedures (as I am sure doctors do) but even things like what order to test EVERYTHING in has to follow our methodology and if we stray away from our methodology we leave ourselves open to be sued from the client.
It seems like when it comes to testing and procedures of diagnosing diseases that there is a lot left to the doctor to decide what to do and not standard approach.
This would be a case that would benefit from a software program that makes the connections of the symptoms with the related diseases.
From there it could tell you the tests that need to be ran and in what order to reduce the the list even further.
The software would not be so much of a replacement to expert opinion but a compliment to reduce errors and save time.
My point is that everyone has off days and I don't want to pay for unnecessary tests.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307135</id>
	<title>Re:Not the last one</title>
	<author>tsstahl</author>
	<datestamp>1244816940000</datestamp>
	<modclass>Funny</modclass>
	<modscore>3</modscore>
	<htmltext><p><div class="quote"><p>Get used to it, the more you know, the better you can help yourself.</p></div><p>
Certainly true to a point.  Last year I was convinced I had cervical cancer after typing my symptoms into the intertubes.

<br> <br>In a panic I went to my doctor.  I was relieved when he explained that people with a penis generally are immune to cervical cancer.  Who knew?<nobr> <wbr></nobr>:)
<br> <br>
-----
<br> <br>
Point being, an amateur can accurately diagnose a more common issue (i.e. higher odds of occurring), but a professional is better able to pick the zebra out of a herd of horses.</p></div>
	</htmltext>
<tokenext>Get used to it , the more you know , the better you can help yourself .
Certainly true to a point .
Last year I was convinced I had cervical cancer after typing my symptoms into the intertubes .
In a panic I went to my doctor .
I was relieved when he explained that people with a penis generally are immune to cervical cancer .
Who knew ?
: ) ----- Point being , an amateur can accurately diagnose a more common issue ( i.e .
higher odds of occurring ) , but a professional is better able to pick the zebra out of a herd of horses .</tokentext>
<sentencetext>Get used to it, the more you know, the better you can help yourself.
Certainly true to a point.
Last year I was convinced I had cervical cancer after typing my symptoms into the intertubes.
In a panic I went to my doctor.
I was relieved when he explained that people with a penis generally are immune to cervical cancer.
Who knew?
:)
 
-----
 
Point being, an amateur can accurately diagnose a more common issue (i.e.
higher odds of occurring), but a professional is better able to pick the zebra out of a herd of horses.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306097</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306115</id>
	<title>She should sue her doctors then!</title>
	<author>kyriacos</author>
	<datestamp>1244808900000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Maybe that will teach them to take their patients more seriously.</htmltext>
<tokenext>Maybe that will teach them to take their patients more seriously .</tokentext>
<sentencetext>Maybe that will teach them to take their patients more seriously.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311841</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244835780000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Well, you want more proof that doctors don't know much about human bodies? Let's take a case of high blood pressure of 155/90 @ mid twenties (had it for at least a decade). Cause - primary hypertension (unknown causes). So, doctor gives me beta blockers. That hammers my heart rate from 65 to 30 and I feel like 80 year old. About a week later get him to switch me to ACE Inhibitor because beta blockers will just not cut it for active people. Well, the first ACE Inhibitor (Mavik) caused sharp headaches at top of my head and behind my left eye. Hell, the pain was very similar to all the symptoms for a freaking aneurism - got a CT scan of the brain. Nothing. Switched ACE to Perindopril and oops! Headache went away! ACE Inhibitor lowered BP to 145/80. Took that for about a year but started developing pain in my chest muscles. Sharp, localized pain in the muscles (always in same area). Intensified over a period of a year and doubling dosage of ACE. Also started developing funny little pain in my chest whenever I was put in any stressful situation. Doctor insisted it is NOT ACE Inhibitor. Well, eventually I stopped ACE. That actually caused the BP to drop for a week down to 130/80 before heading back up to 155/90. The pain disappeared within few months. Doctor still insists it CANNOT have been caused by the ACE Inhibitor. In the mean time, got put on a dietetic - BP lowered to maybe 145/90.</p><p>In the meantime, I got a new family physician. Told the new physician about previous problems with ACE Inhibitors and maybe could try something else. Was given an ARB. Took 1/2 of the smallest dose available and BOOM, blood pressure went down to 115/70. Been there ever since. No pain, no side effects for the last few weeks. I hope it stays that way.</p><p>No, doctors will not check ACE levels in blood. They will not even want to know if there is something interesting going on why ACE Inhibitors caused problems and did not result in blood pressure reduction, but ARB works so well at minimal dosage. Hell, they are suppose to act on the same system (though from other sides). And the specialist even told me that ARB are a fad and are no better than ACE Inhibitors - I guess I'm a proof that he's wrong<nobr> <wbr></nobr>:P</p><p>So yes, diagnosis abilities of doctors sucks. You have to realize they are NOT scientists. More of an artsy crowd than anything else. Most doctors are not researchers. And most think they know more than they actually do. They'll tell you something is impossible, not improbable. They'll tell you that doesn't happen even if they just don't know anything about it. If a doctor cannot say "I don't know", then the doctor kind of sucks.</p><p>Find a physician that can listen. That can say "I don't know" when they don't know<nobr> <wbr></nobr>:) Yes, they are out there!</p></htmltext>
<tokenext>Well , you want more proof that doctors do n't know much about human bodies ?
Let 's take a case of high blood pressure of 155/90 @ mid twenties ( had it for at least a decade ) .
Cause - primary hypertension ( unknown causes ) .
So , doctor gives me beta blockers .
That hammers my heart rate from 65 to 30 and I feel like 80 year old .
About a week later get him to switch me to ACE Inhibitor because beta blockers will just not cut it for active people .
Well , the first ACE Inhibitor ( Mavik ) caused sharp headaches at top of my head and behind my left eye .
Hell , the pain was very similar to all the symptoms for a freaking aneurism - got a CT scan of the brain .
Nothing. Switched ACE to Perindopril and oops !
Headache went away !
ACE Inhibitor lowered BP to 145/80 .
Took that for about a year but started developing pain in my chest muscles .
Sharp , localized pain in the muscles ( always in same area ) .
Intensified over a period of a year and doubling dosage of ACE .
Also started developing funny little pain in my chest whenever I was put in any stressful situation .
Doctor insisted it is NOT ACE Inhibitor .
Well , eventually I stopped ACE .
That actually caused the BP to drop for a week down to 130/80 before heading back up to 155/90 .
The pain disappeared within few months .
Doctor still insists it CAN NOT have been caused by the ACE Inhibitor .
In the mean time , got put on a dietetic - BP lowered to maybe 145/90.In the meantime , I got a new family physician .
Told the new physician about previous problems with ACE Inhibitors and maybe could try something else .
Was given an ARB .
Took 1/2 of the smallest dose available and BOOM , blood pressure went down to 115/70 .
Been there ever since .
No pain , no side effects for the last few weeks .
I hope it stays that way.No , doctors will not check ACE levels in blood .
They will not even want to know if there is something interesting going on why ACE Inhibitors caused problems and did not result in blood pressure reduction , but ARB works so well at minimal dosage .
Hell , they are suppose to act on the same system ( though from other sides ) .
And the specialist even told me that ARB are a fad and are no better than ACE Inhibitors - I guess I 'm a proof that he 's wrong : PSo yes , diagnosis abilities of doctors sucks .
You have to realize they are NOT scientists .
More of an artsy crowd than anything else .
Most doctors are not researchers .
And most think they know more than they actually do .
They 'll tell you something is impossible , not improbable .
They 'll tell you that does n't happen even if they just do n't know anything about it .
If a doctor can not say " I do n't know " , then the doctor kind of sucks.Find a physician that can listen .
That can say " I do n't know " when they do n't know : ) Yes , they are out there !</tokentext>
<sentencetext>Well, you want more proof that doctors don't know much about human bodies?
Let's take a case of high blood pressure of 155/90 @ mid twenties (had it for at least a decade).
Cause - primary hypertension (unknown causes).
So, doctor gives me beta blockers.
That hammers my heart rate from 65 to 30 and I feel like 80 year old.
About a week later get him to switch me to ACE Inhibitor because beta blockers will just not cut it for active people.
Well, the first ACE Inhibitor (Mavik) caused sharp headaches at top of my head and behind my left eye.
Hell, the pain was very similar to all the symptoms for a freaking aneurism - got a CT scan of the brain.
Nothing. Switched ACE to Perindopril and oops!
Headache went away!
ACE Inhibitor lowered BP to 145/80.
Took that for about a year but started developing pain in my chest muscles.
Sharp, localized pain in the muscles (always in same area).
Intensified over a period of a year and doubling dosage of ACE.
Also started developing funny little pain in my chest whenever I was put in any stressful situation.
Doctor insisted it is NOT ACE Inhibitor.
Well, eventually I stopped ACE.
That actually caused the BP to drop for a week down to 130/80 before heading back up to 155/90.
The pain disappeared within few months.
Doctor still insists it CANNOT have been caused by the ACE Inhibitor.
In the mean time, got put on a dietetic - BP lowered to maybe 145/90.In the meantime, I got a new family physician.
Told the new physician about previous problems with ACE Inhibitors and maybe could try something else.
Was given an ARB.
Took 1/2 of the smallest dose available and BOOM, blood pressure went down to 115/70.
Been there ever since.
No pain, no side effects for the last few weeks.
I hope it stays that way.No, doctors will not check ACE levels in blood.
They will not even want to know if there is something interesting going on why ACE Inhibitors caused problems and did not result in blood pressure reduction, but ARB works so well at minimal dosage.
Hell, they are suppose to act on the same system (though from other sides).
And the specialist even told me that ARB are a fad and are no better than ACE Inhibitors - I guess I'm a proof that he's wrong :PSo yes, diagnosis abilities of doctors sucks.
You have to realize they are NOT scientists.
More of an artsy crowd than anything else.
Most doctors are not researchers.
And most think they know more than they actually do.
They'll tell you something is impossible, not improbable.
They'll tell you that doesn't happen even if they just don't know anything about it.
If a doctor cannot say "I don't know", then the doctor kind of sucks.Find a physician that can listen.
That can say "I don't know" when they don't know :) Yes, they are out there!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306039</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28390745</id>
	<title>Re:How to get intestine cell?</title>
	<author>mackyrae</author>
	<datestamp>1245429600000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>Her pathologist gave it to her to use for the school experiment.</htmltext>
<tokenext>Her pathologist gave it to her to use for the school experiment .</tokentext>
<sentencetext>Her pathologist gave it to her to use for the school experiment.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305919</id>
	<title>News?</title>
	<author>Anonymous</author>
	<datestamp>1244807040000</datestamp>
	<modclass>Flamebait</modclass>
	<modscore>-1</modscore>
	<htmltext>It's not news.  It's CNN.</htmltext>
<tokenext>It 's not news .
It 's CNN .</tokentext>
<sentencetext>It's not news.
It's CNN.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28325189</id>
	<title>the sample?</title>
	<author>Anonymous</author>
	<datestamp>1245012000000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>How did this girl get an intestinal sample?</p></htmltext>
<tokenext>How did this girl get an intestinal sample ?</tokentext>
<sentencetext>How did this girl get an intestinal sample?</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28320877</id>
	<title>Re:Some times you need to be your own advocate</title>
	<author>Anonymous</author>
	<datestamp>1244917140000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>You should have just taken your dog's prescription, then. Why wait. It's not like it will kill you just because it's for dogs.</p><p>Anyway, obviously big f***ing huge kudos for your persistence, and for not losing the mind.</p></htmltext>
<tokenext>You should have just taken your dog 's prescription , then .
Why wait .
It 's not like it will kill you just because it 's for dogs.Anyway , obviously big f * * * ing huge kudos for your persistence , and for not losing the mind .</tokentext>
<sentencetext>You should have just taken your dog's prescription, then.
Why wait.
It's not like it will kill you just because it's for dogs.Anyway, obviously big f***ing huge kudos for your persistence, and for not losing the mind.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28318295</id>
	<title>Re:Remeber it is practicing</title>
	<author>Phoghat</author>
	<datestamp>1244885880000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext>I'd like to know how she got that sample of intestinal tissue.</htmltext>
<tokenext>I 'd like to know how she got that sample of intestinal tissue .</tokentext>
<sentencetext>I'd like to know how she got that sample of intestinal tissue.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307859</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306451</id>
	<title>Doesn't surprise me.</title>
	<author>Anonymous</author>
	<datestamp>1244812680000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext>I survived a serious disease a few years ago IN SPITE of the specialists I had studying my case.  You can't know the frustration of being told "oh, you just have stress" when your own immune system is destroying your nervous system, and being prescribed Valium.  In the time that was wasted before I got the correct treatment, I forever lost my ability to walk.  I no longer have any respect for doctors.  If there isn't a bone sticking out, they don't have a clue.</htmltext>
<tokenext>I survived a serious disease a few years ago IN SPITE of the specialists I had studying my case .
You ca n't know the frustration of being told " oh , you just have stress " when your own immune system is destroying your nervous system , and being prescribed Valium .
In the time that was wasted before I got the correct treatment , I forever lost my ability to walk .
I no longer have any respect for doctors .
If there is n't a bone sticking out , they do n't have a clue .</tokentext>
<sentencetext>I survived a serious disease a few years ago IN SPITE of the specialists I had studying my case.
You can't know the frustration of being told "oh, you just have stress" when your own immune system is destroying your nervous system, and being prescribed Valium.
In the time that was wasted before I got the correct treatment, I forever lost my ability to walk.
I no longer have any respect for doctors.
If there isn't a bone sticking out, they don't have a clue.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308067</id>
	<title>Re:This does not surprise me at all.</title>
	<author>OneSmartFellow</author>
	<datestamp>1244820960000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><em>Uh, you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response, right?</em> <br> <br>
Note to self:  Don't <b>EVER</b> go to a doctor that thinks this way.<br> <br>The trial and error school of medicine has been debunked more times than I have plucked nose hairs.  If your doctor (if you're a doctor) think(s) this way, it's time to change doctors (or throw away your certificate).</htmltext>
<tokenext>Uh , you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response , right ?
Note to self : Do n't EVER go to a doctor that thinks this way .
The trial and error school of medicine has been debunked more times than I have plucked nose hairs .
If your doctor ( if you 're a doctor ) think ( s ) this way , it 's time to change doctors ( or throw away your certificate ) .</tokentext>
<sentencetext>Uh, you realize that one way to help with a diagnosis is to give the patient some drugs and look at the response, right?
Note to self:  Don't EVER go to a doctor that thinks this way.
The trial and error school of medicine has been debunked more times than I have plucked nose hairs.
If your doctor (if you're a doctor) think(s) this way, it's time to change doctors (or throw away your certificate).</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306313</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306771</id>
	<title>Re:Surprised?</title>
	<author>morgan\_greywolf</author>
	<datestamp>1244814960000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>3</modscore>
	<htmltext><p>Yes.  In fact, I know 3 people with Crohn's disease, and it is, in fact, difficult to diagnose.  I realize 3 people doesn't make a study, but all 3 were undiagnosed for years, despite each having seen a veritable army of doctors.  The problem is that symptom-wise Crohn's disease often looks like a lot of other stuff, like ulcerative colitis, dysteria (and other viruses), lactose intolerance, food allergies, various infections, etc.  With the flare-ups as described, it goes like this:</p><p>Patient:  I've had diarrhea and cramps for 2 weeks now.<br>Doctor:  Huh.  Probably an infection.  Here, let's give you some antibiotics.</p><p>A couple of weeks later, everything is cleared up, doctor assumes that the antibiotic worked.  The patient then gets another flare up, doctor think it's something else, lather, rinse and repeat.</p><p>(Disclaimer:  my mother, my wife, and sister-in-law all have medical backgrounds, but I don't short of reading scientific articles generally geared at lay people, along with some professional journal articles.  YMMV)</p></htmltext>
<tokenext>Yes .
In fact , I know 3 people with Crohn 's disease , and it is , in fact , difficult to diagnose .
I realize 3 people does n't make a study , but all 3 were undiagnosed for years , despite each having seen a veritable army of doctors .
The problem is that symptom-wise Crohn 's disease often looks like a lot of other stuff , like ulcerative colitis , dysteria ( and other viruses ) , lactose intolerance , food allergies , various infections , etc .
With the flare-ups as described , it goes like this : Patient : I 've had diarrhea and cramps for 2 weeks now.Doctor : Huh .
Probably an infection .
Here , let 's give you some antibiotics.A couple of weeks later , everything is cleared up , doctor assumes that the antibiotic worked .
The patient then gets another flare up , doctor think it 's something else , lather , rinse and repeat .
( Disclaimer : my mother , my wife , and sister-in-law all have medical backgrounds , but I do n't short of reading scientific articles generally geared at lay people , along with some professional journal articles .
YMMV )</tokentext>
<sentencetext>Yes.
In fact, I know 3 people with Crohn's disease, and it is, in fact, difficult to diagnose.
I realize 3 people doesn't make a study, but all 3 were undiagnosed for years, despite each having seen a veritable army of doctors.
The problem is that symptom-wise Crohn's disease often looks like a lot of other stuff, like ulcerative colitis, dysteria (and other viruses), lactose intolerance, food allergies, various infections, etc.
With the flare-ups as described, it goes like this:Patient:  I've had diarrhea and cramps for 2 weeks now.Doctor:  Huh.
Probably an infection.
Here, let's give you some antibiotics.A couple of weeks later, everything is cleared up, doctor assumes that the antibiotic worked.
The patient then gets another flare up, doctor think it's something else, lather, rinse and repeat.
(Disclaimer:  my mother, my wife, and sister-in-law all have medical backgrounds, but I don't short of reading scientific articles generally geared at lay people, along with some professional journal articles.
YMMV)</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306203</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306211</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>yabos</author>
	<datestamp>1244809920000</datestamp>
	<modclass>Informativ</modclass>
	<modscore>4</modscore>
	<htmltext>Reading the article, it says that she was looking at the exact slides that the doctors said were normal:<br>
"...slides her pathologist had said were completely normal..."<br> <br>
So to me it sounds like the doctors missed it if she could find it on those slides.</htmltext>
<tokenext>Reading the article , it says that she was looking at the exact slides that the doctors said were normal : " ...slides her pathologist had said were completely normal... " So to me it sounds like the doctors missed it if she could find it on those slides .</tokentext>
<sentencetext>Reading the article, it says that she was looking at the exact slides that the doctors said were normal:
"...slides her pathologist had said were completely normal..." 
So to me it sounds like the doctors missed it if she could find it on those slides.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308235</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>ceoyoyo</author>
	<datestamp>1244821560000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>You've never looked at a set of slides for a particular small feature, have you?</p><p>The question is basically the same as "how come it took so long to find Steve Fossett?  They've got satellites don't they?"</p></htmltext>
<tokenext>You 've never looked at a set of slides for a particular small feature , have you ? The question is basically the same as " how come it took so long to find Steve Fossett ?
They 've got satellites do n't they ?
"</tokentext>
<sentencetext>You've never looked at a set of slides for a particular small feature, have you?The question is basically the same as "how come it took so long to find Steve Fossett?
They've got satellites don't they?
"</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306211</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451</id>
	<title>Some times you need to be your own advocate</title>
	<author>hAckz0r</author>
	<datestamp>1244822460000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>5</modscore>
	<htmltext>My hat is off to this individual for being so resourceful at such an early age. I suffered from a parasitic disease for 37 years without any diagnosis, before buying all kinds of lab equipment and discovering the cause myself. The doctors never even tried to diagnose it, and some just labelled me as being a nut case, or something. I saw SO MANY doctors I have lost track, and not one of them really even tried to come up with an explanation, or send me for tests that might have even had a chance at diagnosing the actual problem. Not even so much as a guess. In short, they were incapable of 'thinking outside the box'. <p>

The answer was <a href="http://en.wikipedia.org/wiki/Schistosomiasis" title="wikipedia.org">http://en.wikipedia.org/wiki/Schistosomiasis</a> [wikipedia.org], which I contracted as a young child. It ruined my life, for sure. The trouble is, if you ask any doctor here in the US they will tell you it does not even exist here, only in west Africa and South America. I've never even been anywhere near there, or outside the country at the time at which I contracted it. If you have ever been labelled with IBS but have other symptoms as well then you might want to read the above wikipedia article.</p><p>

Because the doctors are not aware of the disease, they do not diagnose it. <br>
Because doctors do not diagnose it, they do not collect any statistics. <br>
Because the disease is statistically insignificant, the medical schools do not teach much, if any, about it. <br>
Therefore the doctors don't know about it.</p><p>

Anyone see a problem with this situation?</p><p>

What really hurts is that when it really started affecting my health my primary care physician at the time was an EXPERT in those diseases, and she just blew me off because it would bee too hard to think, or to send me for actual tests of some kind. You would never know her ineptitude by looking at her wall of certification she earned in medical school in west Africa. Of all doctors, including at least three infectious disease specialists, this one completely boggles my mind how she could have missed this diagnosis! </p><p>

After <b>37+ years of damage</b> it took my buying my own 1600x stereo microscope mounted with a CCD camera to collect some indisputable evidence, one day to use it, one doctor visit to present my case, three days just to find a source in the US to fill the prescription, and <b>only 24 hours to actually cure it</b>. The damage was done, and nothing can ever give me back my health, or a normal life for that matter. The real kicker is my dog gets that exact same 'cure' every month, but it took me <b>three days to find a supplier</b> for a 'human' prescription for the exact same drug. All I can say is <b>at least my dog has someone that actually cares</b> about his health! </p></htmltext>
<tokenext>My hat is off to this individual for being so resourceful at such an early age .
I suffered from a parasitic disease for 37 years without any diagnosis , before buying all kinds of lab equipment and discovering the cause myself .
The doctors never even tried to diagnose it , and some just labelled me as being a nut case , or something .
I saw SO MANY doctors I have lost track , and not one of them really even tried to come up with an explanation , or send me for tests that might have even had a chance at diagnosing the actual problem .
Not even so much as a guess .
In short , they were incapable of 'thinking outside the box' .
The answer was http : //en.wikipedia.org/wiki/Schistosomiasis [ wikipedia.org ] , which I contracted as a young child .
It ruined my life , for sure .
The trouble is , if you ask any doctor here in the US they will tell you it does not even exist here , only in west Africa and South America .
I 've never even been anywhere near there , or outside the country at the time at which I contracted it .
If you have ever been labelled with IBS but have other symptoms as well then you might want to read the above wikipedia article .
Because the doctors are not aware of the disease , they do not diagnose it .
Because doctors do not diagnose it , they do not collect any statistics .
Because the disease is statistically insignificant , the medical schools do not teach much , if any , about it .
Therefore the doctors do n't know about it .
Anyone see a problem with this situation ?
What really hurts is that when it really started affecting my health my primary care physician at the time was an EXPERT in those diseases , and she just blew me off because it would bee too hard to think , or to send me for actual tests of some kind .
You would never know her ineptitude by looking at her wall of certification she earned in medical school in west Africa .
Of all doctors , including at least three infectious disease specialists , this one completely boggles my mind how she could have missed this diagnosis !
After 37 + years of damage it took my buying my own 1600x stereo microscope mounted with a CCD camera to collect some indisputable evidence , one day to use it , one doctor visit to present my case , three days just to find a source in the US to fill the prescription , and only 24 hours to actually cure it .
The damage was done , and nothing can ever give me back my health , or a normal life for that matter .
The real kicker is my dog gets that exact same 'cure ' every month , but it took me three days to find a supplier for a 'human ' prescription for the exact same drug .
All I can say is at least my dog has someone that actually cares about his health !</tokentext>
<sentencetext>My hat is off to this individual for being so resourceful at such an early age.
I suffered from a parasitic disease for 37 years without any diagnosis, before buying all kinds of lab equipment and discovering the cause myself.
The doctors never even tried to diagnose it, and some just labelled me as being a nut case, or something.
I saw SO MANY doctors I have lost track, and not one of them really even tried to come up with an explanation, or send me for tests that might have even had a chance at diagnosing the actual problem.
Not even so much as a guess.
In short, they were incapable of 'thinking outside the box'.
The answer was http://en.wikipedia.org/wiki/Schistosomiasis [wikipedia.org], which I contracted as a young child.
It ruined my life, for sure.
The trouble is, if you ask any doctor here in the US they will tell you it does not even exist here, only in west Africa and South America.
I've never even been anywhere near there, or outside the country at the time at which I contracted it.
If you have ever been labelled with IBS but have other symptoms as well then you might want to read the above wikipedia article.
Because the doctors are not aware of the disease, they do not diagnose it.
Because doctors do not diagnose it, they do not collect any statistics.
Because the disease is statistically insignificant, the medical schools do not teach much, if any, about it.
Therefore the doctors don't know about it.
Anyone see a problem with this situation?
What really hurts is that when it really started affecting my health my primary care physician at the time was an EXPERT in those diseases, and she just blew me off because it would bee too hard to think, or to send me for actual tests of some kind.
You would never know her ineptitude by looking at her wall of certification she earned in medical school in west Africa.
Of all doctors, including at least three infectious disease specialists, this one completely boggles my mind how she could have missed this diagnosis!
After 37+ years of damage it took my buying my own 1600x stereo microscope mounted with a CCD camera to collect some indisputable evidence, one day to use it, one doctor visit to present my case, three days just to find a source in the US to fill the prescription, and only 24 hours to actually cure it.
The damage was done, and nothing can ever give me back my health, or a normal life for that matter.
The real kicker is my dog gets that exact same 'cure' every month, but it took me three days to find a supplier for a 'human' prescription for the exact same drug.
All I can say is at least my dog has someone that actually cares about his health! </sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305927</id>
	<title>Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244807160000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>4</modscore>
	<htmltext>Crohn's disease is pretty common, so how come it wasn't diagnosed? The idiot medicos just pocketed the money for tests, hospital stays, appointments, medical certs etc for 8 years while the girl suffered? Hmmm. Come to think of it I'm not that surprised. There are far more quacks out there than decent doctors in my experience.</htmltext>
<tokenext>Crohn 's disease is pretty common , so how come it was n't diagnosed ?
The idiot medicos just pocketed the money for tests , hospital stays , appointments , medical certs etc for 8 years while the girl suffered ?
Hmmm. Come to think of it I 'm not that surprised .
There are far more quacks out there than decent doctors in my experience .</tokentext>
<sentencetext>Crohn's disease is pretty common, so how come it wasn't diagnosed?
The idiot medicos just pocketed the money for tests, hospital stays, appointments, medical certs etc for 8 years while the girl suffered?
Hmmm. Come to think of it I'm not that surprised.
There are far more quacks out there than decent doctors in my experience.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309095</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244825280000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Perhaps computers should replace (or be used in parallel with) human eyes on slide analysis.  Maybe there is similarity between the cell sample and some of the CAPTCHA that continue to be broken by software.</p></htmltext>
<tokenext>Perhaps computers should replace ( or be used in parallel with ) human eyes on slide analysis .
Maybe there is similarity between the cell sample and some of the CAPTCHA that continue to be broken by software .</tokentext>
<sentencetext>Perhaps computers should replace (or be used in parallel with) human eyes on slide analysis.
Maybe there is similarity between the cell sample and some of the CAPTCHA that continue to be broken by software.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305983</id>
	<title>Wow.</title>
	<author>TheSpoom</author>
	<datestamp>1244807580000</datestamp>
	<modclass>Insightful</modclass>
	<modscore>1</modscore>
	<htmltext><p>That it took them eight years to (fail to) diagnose something like this almost sounds like malpractice.</p><p>Get a new doctor, kid, you deserve better.</p></htmltext>
<tokenext>That it took them eight years to ( fail to ) diagnose something like this almost sounds like malpractice.Get a new doctor , kid , you deserve better .</tokentext>
<sentencetext>That it took them eight years to (fail to) diagnose something like this almost sounds like malpractice.Get a new doctor, kid, you deserve better.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244810280000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>4</modscore>
	<htmltext>Yes, I've acknowledged that - as I said the pathologist will have been presented with many many samples, turned into slides, looking for a few, if any, granulomata, which are tiny in size. I even said <i>"Now do you start to see why a pathologist may miss it?"</i> It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma. Fortunately this girl found it, when the pathologist didn't. Props to her,</htmltext>
<tokenext>Yes , I 've acknowledged that - as I said the pathologist will have been presented with many many samples , turned into slides , looking for a few , if any , granulomata , which are tiny in size .
I even said " Now do you start to see why a pathologist may miss it ?
" It is very hard , if not impossible , to scan every single slide in its entirity , for a granuloma .
Fortunately this girl found it , when the pathologist did n't .
Props to her,</tokentext>
<sentencetext>Yes, I've acknowledged that - as I said the pathologist will have been presented with many many samples, turned into slides, looking for a few, if any, granulomata, which are tiny in size.
I even said "Now do you start to see why a pathologist may miss it?
" It is very hard, if not impossible, to scan every single slide in its entirity, for a granuloma.
Fortunately this girl found it, when the pathologist didn't.
Props to her,</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306211</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311093</id>
	<title>Kegwell</title>
	<author>Anonymous</author>
	<datestamp>1244832900000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>She is probably trying to get a head start on diagnosing her disease before the government takes over health care and she is dead before the government can even file the forms.</p></htmltext>
<tokenext>She is probably trying to get a head start on diagnosing her disease before the government takes over health care and she is dead before the government can even file the forms .</tokentext>
<sentencetext>She is probably trying to get a head start on diagnosing her disease before the government takes over health care and she is dead before the government can even file the forms.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28332371</id>
	<title>Re:Some times you need to be your own advocate</title>
	<author>Anonymous</author>
	<datestamp>1245007200000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Could you elaborate on your symptoms?  The wiki link mentions "...schistosomiasis is a chronic disease. Many infections are subclinically symptomatic,<nobr> <wbr></nobr>...".</p><p>I've had some of these symptoms off and on for decades now.  The Diarrhea is particularly bad.  (My doctors told me I had IBS and to learn to live with it.)</p><p>Wiki also mentions freshwater snails, which I used to have in my aquarium as a kid.  Source unknown, but a lot of those fish &amp; whatnot came from out-of-country.</p></htmltext>
<tokenext>Could you elaborate on your symptoms ?
The wiki link mentions " ...schistosomiasis is a chronic disease .
Many infections are subclinically symptomatic , ... " .I 've had some of these symptoms off and on for decades now .
The Diarrhea is particularly bad .
( My doctors told me I had IBS and to learn to live with it .
) Wiki also mentions freshwater snails , which I used to have in my aquarium as a kid .
Source unknown , but a lot of those fish &amp; whatnot came from out-of-country .</tokentext>
<sentencetext>Could you elaborate on your symptoms?
The wiki link mentions "...schistosomiasis is a chronic disease.
Many infections are subclinically symptomatic, ...".I've had some of these symptoms off and on for decades now.
The Diarrhea is particularly bad.
(My doctors told me I had IBS and to learn to live with it.
)Wiki also mentions freshwater snails, which I used to have in my aquarium as a kid.
Source unknown, but a lot of those fish &amp; whatnot came from out-of-country.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307163</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>DarthVain</author>
	<datestamp>1244817060000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p>HA! You must be new here!</p><p>Your doing it wrong.</p><p>Your not supposed to read anything but the headline, and then make wild assumptions and accusations.</p><p>Get with the program, sheesh!</p></htmltext>
<tokenext>HA !
You must be new here ! Your doing it wrong.Your not supposed to read anything but the headline , and then make wild assumptions and accusations.Get with the program , sheesh !</tokentext>
<sentencetext>HA!
You must be new here!Your doing it wrong.Your not supposed to read anything but the headline, and then make wild assumptions and accusations.Get with the program, sheesh!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28311137</id>
	<title>Re:Not quite as easy as it seems</title>
	<author>Anonymous</author>
	<datestamp>1244833080000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Her pathologist gave her the slide, one that he had looked at and confirmed it was fine. FAIL</p><p>Stop sticking up for a failed profession that you entered because daddy didn't hug you enough and you want to "Make him proud"<nobr> <wbr></nobr>.....or is it that he hugged you too much</p></htmltext>
<tokenext>Her pathologist gave her the slide , one that he had looked at and confirmed it was fine .
FAILStop sticking up for a failed profession that you entered because daddy did n't hug you enough and you want to " Make him proud " .....or is it that he hugged you too much</tokentext>
<sentencetext>Her pathologist gave her the slide, one that he had looked at and confirmed it was fine.
FAILStop sticking up for a failed profession that you entered because daddy didn't hug you enough and you want to "Make him proud" .....or is it that he hugged you too much</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306311</id>
	<title>Re:One more such case,...me</title>
	<author>Viridae</author>
	<datestamp>1244811180000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>2</modscore>
	<htmltext>Pubmed is free access?

I am a scientist (cancer research to be specific). One of the students in the lab I work in got a chemical splashed into her eye. She was taken to emergency and there she was treated by a doctor who raved about this fantastic website he had found that would tell him what effect the chemical would have on the eye. Turned out that website was pubmed. You can possibly only appreciate the hilarity of that if you are in bio science. But for you non-bioscience people: pubmed is the single most used literature database. And this doctor thought he was very special for discovering it.</htmltext>
<tokenext>Pubmed is free access ?
I am a scientist ( cancer research to be specific ) .
One of the students in the lab I work in got a chemical splashed into her eye .
She was taken to emergency and there she was treated by a doctor who raved about this fantastic website he had found that would tell him what effect the chemical would have on the eye .
Turned out that website was pubmed .
You can possibly only appreciate the hilarity of that if you are in bio science .
But for you non-bioscience people : pubmed is the single most used literature database .
And this doctor thought he was very special for discovering it .</tokentext>
<sentencetext>Pubmed is free access?
I am a scientist (cancer research to be specific).
One of the students in the lab I work in got a chemical splashed into her eye.
She was taken to emergency and there she was treated by a doctor who raved about this fantastic website he had found that would tell him what effect the chemical would have on the eye.
Turned out that website was pubmed.
You can possibly only appreciate the hilarity of that if you are in bio science.
But for you non-bioscience people: pubmed is the single most used literature database.
And this doctor thought he was very special for discovering it.</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306059</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306085</id>
	<title>Mmh...</title>
	<author>Anonymous</author>
	<datestamp>1244808600000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I'd thought that it's a lupus...</p></htmltext>
<tokenext>I 'd thought that it 's a lupus.. .</tokentext>
<sentencetext>I'd thought that it's a lupus...</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310673</id>
	<title>Re:The article says they had been taken for pathol</title>
	<author>Anonymous</author>
	<datestamp>1244831400000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>I tried requesting my own tissues but all that came out was poop!</p></htmltext>
<tokenext>I tried requesting my own tissues but all that came out was poop !</tokentext>
<sentencetext>I tried requesting my own tissues but all that came out was poop!</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306187</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28307979</id>
	<title>Are there no nurses in her family?</title>
	<author>Anonymous</author>
	<datestamp>1244820660000</datestamp>
	<modclass>None</modclass>
	<modscore>0</modscore>
	<htmltext><p>Apparently, there are no nurses in her family. In my experience, floor nurses tend to be better diagnosticians than almost any doctor I've known.  Probably because they (the nurses) tend to spend hours and hours, each day, with the patients (and talking with the patients and families), whereas the docs spend just a few minutes a day, at most, with either the patient or the family.</p><p>Note to doctors ('specially the new one reading this thread): be nice to the nurses - they can save your hide, or let you get sued.</p></htmltext>
<tokenext>Apparently , there are no nurses in her family .
In my experience , floor nurses tend to be better diagnosticians than almost any doctor I 've known .
Probably because they ( the nurses ) tend to spend hours and hours , each day , with the patients ( and talking with the patients and families ) , whereas the docs spend just a few minutes a day , at most , with either the patient or the family.Note to doctors ( 'specially the new one reading this thread ) : be nice to the nurses - they can save your hide , or let you get sued .</tokentext>
<sentencetext>Apparently, there are no nurses in her family.
In my experience, floor nurses tend to be better diagnosticians than almost any doctor I've known.
Probably because they (the nurses) tend to spend hours and hours, each day, with the patients (and talking with the patients and families), whereas the docs spend just a few minutes a day, at most, with either the patient or the family.Note to doctors ('specially the new one reading this thread): be nice to the nurses - they can save your hide, or let you get sued.</sentencetext>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306039</id>
	<title>Re:Surprised?</title>
	<author>Anonymous</author>
	<datestamp>1244808000000</datestamp>
	<modclass>Interestin</modclass>
	<modscore>4</modscore>
	<htmltext><p>Meh, I had to diagnose myself as well (Addison's disease) after 5 year of suffering... Constant low blood pressure, hyperkalemia and hypoglycemia, and no doctor ever even thought like "hey, maybe we should do some more tests". I had to friggin ask  to test my cortisone levels, they didn't even bother.<br>"Yeah well, normal blood tests don't show nothing special, except those potassium and sugar values, but that's nothing to worry about."  Not even when those values (elevated/reducted/...) were the same 5 years in a row.</p><p>Really, I've kinda lost my faith in the diagnostic abilities of a lot of doctors</p></htmltext>
<tokenext>Meh , I had to diagnose myself as well ( Addison 's disease ) after 5 year of suffering... Constant low blood pressure , hyperkalemia and hypoglycemia , and no doctor ever even thought like " hey , maybe we should do some more tests " .
I had to friggin ask to test my cortisone levels , they did n't even bother .
" Yeah well , normal blood tests do n't show nothing special , except those potassium and sugar values , but that 's nothing to worry about .
" Not even when those values ( elevated/reducted/... ) were the same 5 years in a row.Really , I 've kinda lost my faith in the diagnostic abilities of a lot of doctors</tokentext>
<sentencetext>Meh, I had to diagnose myself as well (Addison's disease) after 5 year of suffering... Constant low blood pressure, hyperkalemia and hypoglycemia, and no doctor ever even thought like "hey, maybe we should do some more tests".
I had to friggin ask  to test my cortisone levels, they didn't even bother.
"Yeah well, normal blood tests don't show nothing special, except those potassium and sugar values, but that's nothing to worry about.
"  Not even when those values (elevated/reducted/...) were the same 5 years in a row.Really, I've kinda lost my faith in the diagnostic abilities of a lot of doctors</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305927</parent>
</comment>
<comment>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306575</id>
	<title>Re:They couldn't diagnose her?</title>
	<author>pz</author>
	<datestamp>1244813640000</datestamp>
	<modclass>None</modclass>
	<modscore>1</modscore>
	<htmltext><p><div class="quote"><p>For <i>eight years</i> her doctors were unable to diagnose Crohn's Disease? Shit, that's appalling. It's not exactly an obscure condition requiring House MD's staggering intellect, is it? It's been known about for at least a century, and while it's known to be difficult to diagnose with certainty, you'd think someone would have considered it...<br>Still, kudos to her.</p></div><p>Yes, kudos to her.</p><p>I have a hard time believing that her doctors were unable to diagnose such a common, and often hereditary disease.  I'm highly suspicious.  The pathologist involved (read the article) must not have done a very good job --- but the fact that they took an intestinal biopsy means that Crohn's was suspected.  Perhaps the real lesson here is to remember that nearly every medical test has a certain rate of accuracy, and the rate is rarely 100\%.</p><p>I have two distance cousins with Crohn's, and it isn't quite as bad as the article makes it out to be, at least in their cases.  It's often highly treatable with stomach acid inhibitors (prilosec and the like) and controlled diet.</p></div>
	</htmltext>
<tokenext>For eight years her doctors were unable to diagnose Crohn 's Disease ?
Shit , that 's appalling .
It 's not exactly an obscure condition requiring House MD 's staggering intellect , is it ?
It 's been known about for at least a century , and while it 's known to be difficult to diagnose with certainty , you 'd think someone would have considered it...Still , kudos to her.Yes , kudos to her.I have a hard time believing that her doctors were unable to diagnose such a common , and often hereditary disease .
I 'm highly suspicious .
The pathologist involved ( read the article ) must not have done a very good job --- but the fact that they took an intestinal biopsy means that Crohn 's was suspected .
Perhaps the real lesson here is to remember that nearly every medical test has a certain rate of accuracy , and the rate is rarely 100 \ % .I have two distance cousins with Crohn 's , and it is n't quite as bad as the article makes it out to be , at least in their cases .
It 's often highly treatable with stomach acid inhibitors ( prilosec and the like ) and controlled diet .</tokentext>
<sentencetext>For eight years her doctors were unable to diagnose Crohn's Disease?
Shit, that's appalling.
It's not exactly an obscure condition requiring House MD's staggering intellect, is it?
It's been known about for at least a century, and while it's known to be difficult to diagnose with certainty, you'd think someone would have considered it...Still, kudos to her.Yes, kudos to her.I have a hard time believing that her doctors were unable to diagnose such a common, and often hereditary disease.
I'm highly suspicious.
The pathologist involved (read the article) must not have done a very good job --- but the fact that they took an intestinal biopsy means that Crohn's was suspected.
Perhaps the real lesson here is to remember that nearly every medical test has a certain rate of accuracy, and the rate is rarely 100\%.I have two distance cousins with Crohn's, and it isn't quite as bad as the article makes it out to be, at least in their cases.
It's often highly treatable with stomach acid inhibitors (prilosec and the like) and controlled diet.
	</sentencetext>
	<parent>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305943</parent>
</comment>
<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_97</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305903
http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308203
http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28310869
</commentlist>
</thread>
<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_68</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037
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</commentlist>
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_13</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149
http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28309791
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_73</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306149
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	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_96</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305943
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</commentlist>
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_87</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451
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</commentlist>
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_12</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306037
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	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_64</id>
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http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306245
http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28306799
</commentlist>
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_37</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28308451
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</commentlist>
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<thread>
	<id>http://www.semanticweb.org/ontologies/ConversationInstances.owl#thread_09_06_12_0352217_4</id>
	<commentlist>http://www.semanticweb.org/ontologies/ConversationInstances.owl#comment09_06_12_0352217.28305927
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