To: goldworldnet who wrote (78658 ) 10/20/2001 9:15:33 AM From: Richnorth Read Replies (1) | Respond to of 116914 Doctors study old textbooks, check Internet, to figure out how to diagnose anthrax turkishdailynews.com Around the country, doctors are pulling out their old textbooks and combing the Internet to study up on anthrax, worried they might miss a case of a disease most have not thought about since medical school. Doctors need the crash course because hardly anyone practicing today in the United States has firsthand experience with anthrax. But just as important as spotting the disease, they say, is being able to reassure patients who wonder if ordinary coughs and rashes are signs of the deadly infection. Family physicians and emergency room doctors are especially concerned, since they get most of the questions, and it will be up to them to recognize the first cases of the disease if it turns up in their communities. Until recently, many experts wondered if a biological attack would go unnoticed for days, because the infection would be misdiagnosed. But that seems less likely now. "Would a state-of-the-art physician have recognized a case of anthrax a month ago?" asked Dr. Erika Schwartz, an internist in Tarrytown, New York. "The answer is no. We were all taught in medical school that when you hear hoofbeats, you don't think of zebras. This to us used to be a zebra. It's not anymore." Many larger hospitals have already called in infectious disease experts to talk about bioterrorist germs. Dr. Thomas Cross, an infectious disease specialist at Louisiana State University, has given five talks on anthrax, smallpox and plague over the past three weeks, walking physicians through the basic signs and symptoms. "They need to think about bioterrorism without going overboard and worrying about every little thing that comes along," Cross said. "It's a fine line for doctors, to be suspicious but not overreact." Those who work at smaller places can listen to anthrax training sessions that are aired on the Internet or beamed into hospital conference rooms by satellite. One on Thursday called "Anthrax: What every clinician should know" was sponsored by the American Hospital Association. In Chicago this week, the American College of Emergency Physicians turned much of its annual meeting into a seminar on recognizing and treating bioterrorist weapons. Many doctors are brushing up on their own, going to such trusted sources as reference material they saved from medical school. "People are dusting off their old textbooks," said Dr. Michael Carius, an emergency physician at Norwalk Hospital in Connecticut. "It's in there. It's still the same disease." Doctors say the Internet has been especially valuable. They say they visit the Centers for Disease Control and Prevention site, as well as those maintained by Johns Hopkins University, the American Medical Association and other physician groups. The CDC, in particular, has used the Internet in recent days to communicate with doctors. It posted an alert in its weekly health bulletin, available on the Web, urging physicians to be on the lookout for a menagerie of possible bioterrorist microbes, including Ebola virus and plague. All of this is making doctors look twice at especially nasty rashes, coughs that don't respond to treatment or unusually severe symptoms in seemingly healthy young people. Boston - The Associated Press