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Monthly Archive for July, 2007

  One of the most widely misunderstood and underappreciated modes of anesthesia deserves mention here – the spinal anesthetic. By injecting between 1 and 3 ml of local anesthetic directly into the spinal fluid, a profound, time-limited block of sensation and mobility can be achieved. This is a very useful way to provide the surgeon a way to […]

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I’ve been asked many questions as an anesthetist. YOU want to know what drugs I will give you, how I will give them, how long will they last? You inquire about why you need an IV, why is it so cold in the operating room, why do you have to remove your dentures before your operation. You’ve asked […]

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I took care of two patients today suffering from severe allergy to lead. The bullet kind. Young men, 21 and 29, barely hitting their stride, struck down (but not yet out) by lead allergy. Young Man #1 was shot a week ago, three times in the same leg. Now, I obviously do not understand the […]

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I worked in Labor and Delivery last night, attending to the various pain needs and requirements of the parturient population at XYZ Hospital. My night consisted mainly of putting epidurals into screaming hysterical womens’ backs. One after another after another, I was like a mean lean epidural-inserting machine. Except for two ladies, in rooms at […]

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Talk to me

(or, How do I know YOU are in pain if you are asleep and can’t tell me?) Ahh. There’s the rub. YOU talked to me when we met. We talked all about your anesthetic. YOU made a few jokes; I smiled and understood. I seemed like a nice person to you – reasonable, not crazed or callous or […]

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How can I . . .

. . . go any further without mentioning these things. . . * * * * * I’ve been blogging now for less than 2 months. How can I write one more word without first acknowledging the incredibly talented, articulate, and welcoming community of bloggers I have met virtually online in the blogosphere. You know […]

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Let’s play! Answer: A trauma patient wired on crack/cocaine, the President of the United States, and a malpractice lawyer Question: Who are three patients you hope to never have to give anesthesia to? * * * * * Answer: A tube, some lube, and a boob Question: What are two things you need for an […]

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Now that I’ve got your attention….let’s look at some of the voodoo and snake oil misconceptions that are out there about anesthesia. You’ll never be able to anesthetize me – I can fight it There has yet to be a human being that has come before the anesthesia altar who has not fallen prey to […]

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Several years ago, I had the pleasure and priviledge of giving anesthesia to one of the world’s greatest heavyweight boxing champions of all time. (HIPAA adherence notwithstanding, I will have to leave him nameless here; I will refer to him as WGBC – World’s Greatest Boxing Champ). He came to the hospital I was working […]

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Chew on this

   How do you handle a hungry man? No, the correct answer is not to give him a manhandler; that is, unless you are interested in cancelling his surgery….  NPO (Latin: nil per os) Nothing by mouth YOU get a phone call from XYZ Hospital, maybe the day before your scheduled surgery. “You can eat or […]

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