User talk:Carpetman2007

My concern about your username (Athlon64bit)

Hello, Athlon64bit, and thank you for contributing to Wikipedia!

I hope not to seem unfriendly or make you feel unwelcome, but I noticed your username, and am concerned that it might not meet Wikipedia's username policy. After you look over that policy, could we discuss that concern here?

Your name resembles the common AMD microprocessor, The Athlon64

I'd appreciate learning your own views, for instance your reasons for wanting this particular name, and what alternative username you might accept that avoids raising this concern.

You have several options freely available to you:

If you can relieve my concern through discussing it here, I can stop worrying about it.
If the two of us can't agree here, we can ask for help through Wikipedia's dispute resolution process, such as asking for a "third opinion", or requesting comments from other Wikipedians. Admins usually abide by agreements reached through this process.
If you decide to just go ahead and change your username, it is possible for you to keep your present contributions history under the new username: simply request a new name here following the guidelines on that page, rather than creating a whole new account.

Let me reassure you that my writing here means I don't think your username is grossly, blatantly, or obviously inappropriate; such names get reported straight to Wikipedia:Administrator intervention against vandalism (WP:AIV), or blocked on sight. This is more a case where opinions might differ, and it would be good to reach some consensus — either here or at WP:RFC/NAME. So I look forward to a friendly discussion, and to enjoying your continued participation on Wikipedia. Thank you again! -- Nol888_(Talk)^{(Review me please)} 21:39, 21 March 2007 (UTC)[reply]

My Reply

Thank you for bringing this problem to my attention. I have submitted a request for a username change to a more suitable username.

Footnotes

I've seen your extensive work on benzodiazepine. My contributions to it have been modest, focusing mainly on the history (Sternbach and librium).

I must urge you to use footnotes more extensively. Using inline URLs to link to journal articles is simply inferior to use of the <ref>{{cite [...]}}</ref> system. It would make it easier to find when a particular article was published & in which journal without having to open the URL. There are several other advantages.

Also, when linking to a PubMed abstract all you need to do is type PMID with the unique identifier. PMID 12345678 automatically generates a link to the abstract, as you can see. Let me know if you've got any questions. JFW | T@lk 10:12, 10 June 2007 (UTC)[reply]

Thank you for your suggestion of how to improve the reference structure. Can you give me 24 - 48 hours before I fix the references? I am rather busy today, may get a chance tomorrow or day after to fix references, probably tomorrow I can do it. Carpetman2007 12:50, 10 June 2007 (UTC)[reply]

Well done. Thank you. Are you a clinician? JFW | T@lk 15:43, 10 June 2007 (UTC)[reply]

Hello JFW,

You are welcome. I just completed the improving the reference formatting. No I am not a clinician. My father is an consultant physician and my sister is also a clinician so I come from a medical background family wise. I see that you are a clinican yourself in the UK. I work in addictions and have an interest in benzodiazepine dependency, tolerance and withdrawal. Do you have an interest in benzodiazepines? Carpetman2007 18:07, 10 June 2007 (UTC)[reply]

Sorry - I only noticed your reply today. I have an interest in benzos inasmuch as I see an awful lot of chronic benzodiazepine use - usually for inappropriate reasons - in my hospital caseload. They are also used commonly in impulsive overdoses. I have worked a bit on the benzodiazepine article, and given the enormous clinical and social impact it is high time we make this article top notch. You've already done a good amount of work, and it may well be ready for feature article nomination when we're all satisfied that all the relevant material has been included, there is good referencing and there is good supportive material (e.g. images, article structure, external resources). I'm not sure if we should rely too heavy on articles from the "Benzos" website, given that much of those articles are not peer-reviewed. JFW | T@lk 12:31, 5 July 2007 (UTC)[reply]

Hello again JFW,

There is supposed to be 1.2 million people on benzodiazepines long term in the UK. I have read that benzodiazepines are commonly used in overdose scenario's. Depression with suicidal tendencies is quite common in those addicted to alcohol or benzodiazepines compared to other drugs, although I think it is more commonly recognised in alcoholism. I think also people who overdose prefer to take benzos thinking that or hoping that they will just go to sleep and not wake up as well.

My grandmother started out on barbiturates and then graduated to benzodiazepines and developed depression and agorophobia and even had ECT. I now know long term use of benzodiazepines can cause things like agorophobia, social isolation and depression and I am fairly convinced that her problem was directly related to a benzodiazepine addiction as I believe she was fine before the pills. My mother almost went down the same path, she was taking them for insomnia and after years of use she started feeling funny and getting panic attacks, she figured out it was the pills and quit them and went into cold turkey withdrawal and ran up and down the house threatening suicide and she got weird peripheral symptoms like tingling, numbness in her arms. I was only a kid at the time but can vividly remember it. Took her 6 months to get back to normal.

Yea if we want this wikipedia article to be a featured article we will need to rely more on peer reviewed literature. I have deleted the Professor Ian Hindmarch reference on the benzo website as it was not a peer reviewed publication and replaced it with a peer reviewed article which lists the therapeutic effects of benzodiazepines. I have also replaced the committee on safety of medicines reference on the benzo site and located the reference on MHRA and BMJ and changed the reference link to point to the MHRA and BMJ instead of the benzo website. I agree that it may be an idea some time in the not too distant future having the article as being nominated as a feature article.

I see that you have mentioned overdose being a common problem in the hospital setting, I wonder would it be worth while adding a few paragraphs in an overdose section perhaps towards the bottom of the benzodiazepine article. I could add literature regarding antidotes such as flumazenil and features of overdose. You would obviously know much more about that angle of things so you could edit or add to it if necessary. What do you think?

There are new substance misuse guidelines be produced by the National Treatment Agency NHS to replace the 1999 guidelines on substance misuse, and have some new updates in that but it is only draft guidelines, won't be until probably end of the year before they are finalised. It is only a draft at this point. I am going to submit my views on that so may be a bit busy over next week or so doing that before I can pay much attention to wikipedia. http://www.nta.nhs.uk/areas/clinical_guidance/clinical_guidelines/docs/clinical_guidelines_update_june_2007.pdf

If you have any other suggestions with regard to the benzodiazepine wiki entry feel free to message me. I will be happy to expand.

Talking outside of wikipedia, you may find this charity helpful for you to liase with or to refer patients to http://www.ntw.nhs.uk/pic/?p=directory&s=mental&a=19751 as I know they are involved in working with the NHS nationally with regard to benzodiazepine dependency.

PS, Sorry for long reply. :=)

Carpetman2007 22:01, 05 July 2007 (UTC)[reply]

I've just skimmed over the article. In the present form, it seems to be almost entirely "doom and gloom". I suspect we should try not to be more alarmist than what our sources tell us.

My suggestion would be to actually include more evidence on useful benzodiazepine use (e.g. studies comparing lorazepam with diazepam in status epilepticus), and to slim down the enormous sections that make benzodiazepines sound like they are to be blamed for all the ills in society. While I don't deny the fact that many people are chronically on benzos for no good reason, we have a responsibility not to "frighten the public" and to also point out their relative safety in specific settings. JFW | T@lk 20:24, 18 July 2007 (UTC)[reply]

I would find a short section on overdose and uses of flumazenil very helpful. Make sure to point out that long-acting benzodiazepines may not respond to a bolus of flumazenil and that an infusion may be necessary. I tend to reserve its use for respiratory failure or airway compromise, as its use alone has been associated with seizures. JFW | T@lk 20:26, 18 July 2007 (UTC)[reply]

ArbCom elections are now open!

Hi,
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