Pap

[Guest guest]

For those that are interested here is info on pap smears

 

False positive or negative rate on Paps used to be about 30%, which is why paps

were recommended every year. Since cervical cancer takes about 10 years to

develop, the chance of having 3 false negative paps is very small. Now that we

do Pap with high risk HPV testing, the false positive and negative rate is much

smaller. Basically negative HPV means almost 0 chance of developing cervical

cancer in the next 3 years. So new guidelines are Pap with HPV every 3 years.

 

Ruti

 

 

 

Oakland, CA 94609

 

 

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gabe gabe

Friday, March 17, 2006 7:44 PM

Re: Re: Reply from Tony Reid

 

 

Tony I don't know why you would post Dr xie's

qualifications, being you that posted the critic on PD

terminology. But I would also like to comment a few

thing's for the benefit of the readers regarding Nigel

Wiseman, Nigel's Educational background has been in

translation and the study of language's, he has been

living in Taiwan for 25 years Teaching Medical English

and Chinese medical terminology in English as well as

other courses at China Medical and Chang gun and also

has published numerous books and article's on Chinese

medicine , he has been in constant dialog with

practitioners and scholars from Asia and the west on

the selection of terms and issues of lexiconography

and language transference for the past 20 plus years.

 

His Chinese language skills are excellent, speaking,

reading and writing, he has been in Asia long enough

to become intimately acquainted with the Chinese

language at a level that most foreigners that come to

Asia for many years are not able to reach, even some

of the doctors I know at China medical will tell me

that Nigel's knowledge and understanding of ancient

and modern medical literature far surpasses theirs,

and statements like that are not easily made.

 

It is this, Nigel's love of language that set's him

apart from everyone else, there is not a day that goes

by that he is not discussing terms or pondering how to

best convey meaning, you only have to look at the

material that he has published like the Chinese

medical grammar and vocabulary to see how he presents

to the readers some of the complexities of learning

medical Chinese, I would highly recommend you get this

book it has helped me tremendously in understanding

the nuances of the Chinese language.

 

And it is this, the nuances of the language that makes

the difference, I have looked at Dr.Xies book and I

can honestly say that the majority of the text does

not convey the true language of Chinese medicine, it

reads more like a western terminology text and is not

the way Chinese Doctors communicate in their own

language, book's like these were the reason I came to

Taiwan to study Chinese, because even my Chinese

teachers in the states would say well this is not the

true meaning of this or that regarding translations

that would come from the main land.

 

I personally want to know the metaphors and imagery

that is used in conveying meaning, to me as well as

many other's it is not a museum of Chinese medicine

but a live every day occurrence in many Chinese

hospitals and private clinics, if you have any

experience studying in a Chinese clinic you will hear

senior doctors using metaphorical language to convey

clinical ideas to their student's ,even when you are

in the street's and you are engaged in common

conversation you will hear metaphorical statements

that will imply a double meaning, this is just part of

the culture.

 

Every student of Chinese medicine should have some

understanding of not only the language but also the

culture just to better understand their craft. As

westerners we think that we can supper impose our own

western ideas over concepts and ideas that are so

culturally different, to me western biomedical terms

don't work in conveying these ideas.

That is why as a student of Chinese medicine and

language I recommend to student or practitioner to

learn the source language and the cultural history of

their medicine so they too can have a deeper

appreciation and knowing of their craft.

 

And yes Tony this does affect clinical outcome if we

are to get the same results as our Asian counter

parts, we need to have some understanding of the same

ideas and concepts that they have in practice and in

the classroom, culturally this is not our medicine and

that is why we should even more so become acquainted

with it's history and metaphorical language, and this

is why I think Nigel's work is so important because it

conveys in many ways ideas and metaphors that are

woven into the everyday life of a Chinese

practitioner, and the Chinese medical literature.

Something that Dr.xie does very poorly in conveying in

his text.

Respectfully

 

Gabriel Fuentes

 

 

 

 

 

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