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Category Archive for 'patients'

  On call this past weekend, I was paged to the post-partum floor to evaluate a young woman who had vaginally delivered a healthy baby boy 16 hours ago. Her chief complaint? Intractable back pain. [Background: She had delivered 2 babies aided by an epidural block in the past, and complained of back pain during this […]

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What? No Propofol?

Not the best news for the New Year, but something that we all need to be aware of and get a little outraged over, just the same. I have already written before about how Propofol is your friend and mine. Now, some insurance companies have determined that its use is medically unnecessary for colonoscopies. This is […]

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  There is nothing more instantly gratifying for an anesthesia provider than relieving someone’s pain. This can be both the lure and the catch that reels in so many nurses and physicians that go into this specialty. When patients are asleep for surgery, we deliver some of their analgesia proactively, in anticipation of the expected […]

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  Yesterday, like most days, my patients came in all different shapes, sizes, and situations. Patient #1 was petite and frail, in her early 60’s, and only 5′ tall. She had the body habitus that we who work in the OR always love to see. Light as a feather, and easily lifted and re-positioned. Which we needed […]

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  The Operating Room is a whole other universe, and all the usual rules that apply in the outside world tend to fall away in here. That is not to say that the OR is a bad place; quite the opposite, it is a very orderly and territorial environment. It lost its circadian rhythms just […]

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The power of our drugs never ceases to amaze me. Take muscle relaxants, for instance. By delivering as little as a teaspoon of a drug like rocuronium or vecuronium, we anesthesia providers can literally paralyze YOU for your surgery. This comes in pretty handy when your surgeon does not want you to move during your operation! […]

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  Not that long ago, my husband had a colonoscopy done at the institution where I work. It was a no-brainer decision for him to have it done there – I know and work with the members of both the gastroenterology and anesthesiology departments, so my husband and I had a certain comfort level with who […]

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  Can anyone listen to that haunting refrain from Eleanor Rigby and not feel its sad message? “Where do they all come from?” Many of them come from our local nursing homes, and land in our ERs and ORs. Elderly people with little to no family, or concerned family, to advocate for them. People with chronic […]

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  A stunning fall morning. Cool, crisp, and comfortable; the skies so, so clear. The weatherman predicts the high around 70 degrees. The air is so still – it’s hardly moving at all. It’s one of those days that makes you feel glad to be alive. You pat the dog, and kiss your spouse goodbye – what shall […]

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In my previous life, before I became an anesthetist, I had worked for years in critical care and PACU. I became quite familiar with the care of post-operative patients and the issues that surround operative care. When I decided to start my family, I carefully read every book I could lay my hands on about a natural, well-planned […]

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