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"hey mac, this ain't no li-berry!"

Posted by elliott on 1/13/02 at 22:37 (069931)

That's what the N.Y. newsagent under the el tracks always says if you stop to read a newspaper at his stand for more than ten seconds without paying. And this site isn't a library either. We often seem in the dark about something new, or even issues discussed over and over again. That's why I want to suggest that if any of you want more info on something, a good idea would be to go to a university medical library, peruse through some journals, and make copies of appropriate articles. I've done that before, and that helped contribute towards what I know. (Warning: it'll take a lot more time than you think, what with xeroxing, cross-referencing, etc. But it'll be fun, and a whole lot cheaper than the $40 or so per article that firms charge to do it for you.) Often, these libraries require you to be either affiliated with the university or be a health researcher with identification to prove it, but these places aren't exactly Fort Knox, and showing almost any identification to the yawning guard who doesn't even look will get you in, or else borrow someone else's. To make your search easier when you go, you can use things like pubmed (go to hotbot.com, type in the word pubmed, and the first link that pops up is it, so bookmark it) to find abstracts to the articles on the exact topic you want. You may have noticed me having a bit of fun pulling up various article abstracts and posting them here. You can do it too, with some judicious use of search words. Here is a sampling:

Wanna know the connection between PF and obesity? Check out these three:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9465574&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7951946&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=6723144&dopt=Abstract

Laser therapy for PF?

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9523774&dopt=Abstract

Are cortisone shots for PF safe?

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9498581&dopt=Abstract

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=9481460&dopt=Abstract

Ganglion cyst in TTS:

http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=10463730&dopt=Abstract

Of course, quality varies depending on journal and authors, studies are often contradictory, and some are just ideas thrown out from observations based on one patient (so don't panic if it sounds bad!). But the abstract usually is not sufficient; it's all in the details.

Pubmed is by no means complete. There are many journals not on its lists. There are others to check when at the library, e.g. Foot & Ankle Clinics. Some journals will seem way too specialized, but you'll get good at it with a little practice. Maybe the pods know a few more journals that they consider essential. Here's another link to journals, some with listings and search features:

http://www.sciencekomm.at/journals/medicine/ortho.html

After gathering such info at the library, the articles could be passed around our community via mail or fax to friends if desired. Think about it. It's just an idea that may make you (and all the rest) more informed and help you make wise decisions.

----

Re: "hey mac, this ain't no li-berry!"

Carole C on 1/13/02 at 22:54 (069932)

Oh neat! Elliott, thanks. I really loved the article you cited at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7951946&dopt=Abstract

I just have to repeat some of what they said - - it's exciting:

It said out of 100 patients with PF,
82 resulted in resolutions of symptoms
15 resulted in continued symptoms & no limitation of activity or work, and
3 resulted in continued symptoms limiting activity or work.

after an average followup period of 47 months.

The group of 82 averaged 6.1 months of symptoms before medical attention.
The group of 15 averaged 18.9 months of symptoms before medical attention.
The group of 3 averaged 10.0 months of symptoms before medical attention.

There is a higher risk for continued symptoms in over-weight patients, patients with bilateral symptoms, and those who have symptoms for a prolonged period before seeking medical attention.

Well gee, this is sure encouraging because it means many of us have got a really good shot at recovering completely, assuming that's what 'resolution of symptoms' means. :)

Carole C

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 17:22 (069985)

thanks for that info. very informative. whatta ya, some kinda genius or somethin? i come from new york. i miss it sometimes. gotta be real polite here in georgia or they shoot you.

Re: "hey mac, this ain't no li-berry!"

Carmen on 1/14/02 at 18:10 (069989)

Paula I wouldn't shoot you if I passed you on the streets!
;-)
How are things going and where are you with your treatments?
Who's your pod?

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 18:33 (069992)

hi. i got no pod. seen about 30 or more docs. got a physical therapist right n ow who seems to know her stuff. not sure how things are going right now tell the truth, .but it's good to have at least one med professional i feel good about.

Re: Thanks, Elliott!

Suzanne D on 1/14/02 at 18:35 (069993)

Very interesting...Thanks! I clicked on the last site you gave and read about the e-library, finding 30 articles on plantar fasciitis when I typed that in a search. Of course one must sign up for the service for a fee, but it would be cheaper and more feasible for me to do that than to get to a university library. I am going to investigate it more. One of the articles had a title which grabbed my attention right off: 'This Shouldn't Happen to a Dog!'. I am sure we can all agree with that! :-)

Since I am always trying to use the library with my students to help them learn and develop the habit of going there for information, I should 'practice what I preach' and try to get more information on PF, perhaps using this service!

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 20:13 (070000)

hi. i got no pod. seen about 30 or more docs. got a physical therapist right n ow who seems to know her stuff. not sure how things are going right now tell the truth, .but it's good to have at least one med professional i feel good about.

Re: "hey mac, this ain't no li-berry!"

Carole C on 1/13/02 at 22:54 (069932)

Oh neat! Elliott, thanks. I really loved the article you cited at http://www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve&db=PubMed&list_uids=7951946&dopt=Abstract

I just have to repeat some of what they said - - it's exciting:

It said out of 100 patients with PF,
82 resulted in resolutions of symptoms
15 resulted in continued symptoms & no limitation of activity or work, and
3 resulted in continued symptoms limiting activity or work.

after an average followup period of 47 months.

The group of 82 averaged 6.1 months of symptoms before medical attention.
The group of 15 averaged 18.9 months of symptoms before medical attention.
The group of 3 averaged 10.0 months of symptoms before medical attention.

There is a higher risk for continued symptoms in over-weight patients, patients with bilateral symptoms, and those who have symptoms for a prolonged period before seeking medical attention.

Well gee, this is sure encouraging because it means many of us have got a really good shot at recovering completely, assuming that's what 'resolution of symptoms' means. :)

Carole C

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 17:22 (069985)

thanks for that info. very informative. whatta ya, some kinda genius or somethin? i come from new york. i miss it sometimes. gotta be real polite here in georgia or they shoot you.

Re: "hey mac, this ain't no li-berry!"

Carmen on 1/14/02 at 18:10 (069989)

Paula I wouldn't shoot you if I passed you on the streets!
;-)
How are things going and where are you with your treatments?
Who's your pod?

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 18:33 (069992)

hi. i got no pod. seen about 30 or more docs. got a physical therapist right n ow who seems to know her stuff. not sure how things are going right now tell the truth, .but it's good to have at least one med professional i feel good about.

Re: Thanks, Elliott!

Suzanne D on 1/14/02 at 18:35 (069993)

Very interesting...Thanks! I clicked on the last site you gave and read about the e-library, finding 30 articles on plantar fasciitis when I typed that in a search. Of course one must sign up for the service for a fee, but it would be cheaper and more feasible for me to do that than to get to a university library. I am going to investigate it more. One of the articles had a title which grabbed my attention right off: 'This Shouldn't Happen to a Dog!'. I am sure we can all agree with that! :-)

Since I am always trying to use the library with my students to help them learn and develop the habit of going there for information, I should 'practice what I preach' and try to get more information on PF, perhaps using this service!

Re: "hey mac, this ain't no li-berry!"

paula on 1/14/02 at 20:13 (070000)

hi. i got no pod. seen about 30 or more docs. got a physical therapist right n ow who seems to know her stuff. not sure how things are going right now tell the truth, .but it's good to have at least one med professional i feel good about.