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Anesthesiology/Questions

SubjectDate AskedExpert
Suboxone and anesthetic3/17/2017JM Starkman, MD
  Q: I currently am on 1mg suboxone daily or every other day due a previous addiction to pain pills. If I ...
  A: Surgeons are generally not trained in pain management and don't get paid to 'do it'--so your ...
organ sensation3/13/2017Mike MacKinnon MSN FNP-C CRNA
  Q: I read in a book the statement "Slip past the skin's defenses with the aid of a local anesthetic, ...
  A: Well to answer briefly there are two types of sensations in this regard. Somatic pain and Visceral ...
scheduling outpatient procedure without anesthesia12/24/2016Ronald Levy, M.D.
  Q: I have to get frequent colonoscopies due to a genetic risk and I have had a lot of them. The first ...
  A: It may be a policy at that facility that anesthesia is on standby and you should ask that question ...
Risk of aspiration due to belching12/3/2016Ronald Levy, M.D.
  Q: I'm 68 years old, and in 3+ days I'm scheduled to undergo bladder-stone removal along with bipolar ...
  A: You should certainly inform the anesthesiologist of your problem. There are several anesthetic ...
Anesthesia machine10/20/2016Mike MacKinnon MSN FNP-C CRNA
  Q: I have been asked to do office-based anesthesia for a local plastic surgeon. I shadowed the CRNA and ...
  A: "there is no O2 sensor where it should be - just the cap" This is not standard nor is it ...
Anesthesiologist vs CRNA10/4/2016Ronald Levy, M.D.
  Q: I had outpatient eye surgery recently and my anesthesia was administered by a CRNA (who was being ...
  A: Depending on what state you are in, some CRNAs can work under the direction of a surgeon (with no ...
if take anti-anxiety med before anesthesia...9/25/2016Ronald Levy, M.D.
  Q: Dr. Levy, This is a two part question, hope you don't mind. I'm about to undergo a procedure to get ...
  A: First of all, lithotripsy does not REQUIRE general anesthesia although a lot of people prefer it. ...
Versed9/15/2016Rex Russell
  Q: I have have many surgeries and procedures in the last 9 years, (20+), where versed has been used and ...
  A: From time to time I have patients request not to have 'versed'. I simply comply without argument. ...
sacrum9/5/2016Rex Russell
  Q: Could you please tell me on the CT image i have attached is there a defect hole in the sacrum, it ...
  A: This is really not mr area of expertise. A spine surgeon would be far more likely to be able to ...
Universal Blood donor and Universal blood acceptor8/25/2016Rex Russell
  Q: If Universal Donor O Blood and Universal Acceptor AB Blood are mixed together, Can it create both a ...
  A: I don't know if I completely understand your question. However, the answer is no. universal donor ...
Universal Blood donor and Universal blood acceptor8/25/2016Ronald Levy, M.D.
  Q: If Universal Blood Donor O as well as Universal Blood Acceptor AB are mixed together, Can it create ...
  A: I'm not sure I understand your question. Blood typing has to do with antigens and antibodies to ...
LP and blood patch8/9/2016Mike MacKinnon MSN FNP-C CRNA
  Q: My sister, who is 30, recently had a lumbar puncture done and was found to have viral meningitis. ...
  A: Sorry that your sister is having this pain! To answer your questions: 1) Back pain at the site of ...
amnestic meds necessity7/3/2016JM Starkman, MD
  Q: Dr. Is it possible to go through a surgery such as knee replacment with out the use of ANY amnestic ...
  A: Yes. One might opt for a spinal or epidural anesthetic and request NO amnestic drugs. Amnestic ...
lumber block7/1/2016JM Starkman, MD
  Q: Is it normal to have a spinal block just before or during a L5 discectomy.? Could this spinal ...
  A: It's not routinely done, since your surgeon would immediately post-operatively want to do a ...
work life balance6/24/2016Mike MacKinnon MSN FNP-C CRNA
  Q: how's the work life balance of your job? like say can you do 3-12 hr shifts for full time? Also is ...
  A: I will answer your questions in succession! "like say can you do 3-12 hr shifts for full time?" ...
Anesthesia5/27/2016Ronald Levy, M.D.
  Q: When I arrived in operating room he said he was going to give me some happy juice to relax me. I ...
  A: Most medicines burn a little bit when injected (especially if injected quickly) but most likely the ...
DNA polymorphisms and waking up screaming after every surgery5/4/2016Rex Russell
  Q: I have just gotten my DNA report back and I am loaded with snp's in the following: CYP1A2 CYP1B1 ...
  A: If you are a pain patient with morphine you have developed a tolerance to opioids and will require ...
Where to study3/12/2016Mike MacKinnon MSN FNP-C CRNA
  Q: I am interested in nurse anesthesiology, can you please supply me with more info. Can i study it in ...
  A: To my knowledge there are no CRNA schools in South Africa but you can check it out on the ...
methemoglobinemia2/29/2016Charles T Porter Jr MD
  Q: Hi I was wondering does methemoglobinemia effect the limb were the injection of anaesthetic has ...
  A: Methemoglobinemia is a condition in which the hemoglobin binds to a component of the local ...
methemoglobinemia2/29/2016Mike MacKinnon MSN FNP-C CRNA
  Q: Hi I was wondering does methemoglobinemia effect the limb where the injection of anaesthetic has ...
  A: It impacts the whole body! Methemoglobinemia (congenital or acquired) occurs when red blood cells ...
Upper and lower Gi2/25/2016Charles T Porter Jr MD
  Q: Dr. Dr. Porter 1:Is it safe to have a Upper GI endoscopy and colonoscop at the same time or is it ...
  A: Upper GI endoscopy is often done with colonoscopy. There is no additional risk to the patient and it ...
Pain2/19/2016Charles T Porter Jr MD
  Q: This question has to do with pain management but not effectiveness of pain relief. I've started ...
  A: NSAIDs are typically the first mode of treatment, along with physical therapy, for persons suffering ...
Benzocaine LAST2/15/2016Mike MacKinnon MSN FNP-C CRNA
  Q: So I was wondering say for example a 8% benzocaine spray was applied to the skin how much would it ...
  A: The symptoms and signs of methemoglobinemia generally correlate to the amount of abnormal hemoglobin ...
Spray2/14/2016Rex Russell
  Q: Hi I asked a question a couple days ago regarding benzocaine and numbness I'm just wondering can a ...
  A: It is well known that local anesthetics are neurotoxic at a high enough concentration. However, ...
Spray topical LAST2/14/2016Mike MacKinnon MSN FNP-C CRNA
  Q: Hi I was wondering can a topical benzocaine spray cause Local anaesthetic toxicity ? And if so does ...
  A: Great question! Over the counter sprays are less likely to cause Methemoglobinemia but unlikely to ...
Lidocaine/benzocaine2/9/2016Dino Kattato MSNA CRNA
  Q: Around a month ago I used some lidocaine topical spray on my penis it didn't seem to work with ...
  A: Harry, Since I am not an expert of the genito-urinary system, I recommend you seek advise from a ...
Lidocaine/benzocaine2/9/2016Rex Russell
  Q: Around a month ago I used some lidocaine topical spray on my penis it didn't seem to work with ...
  A: The medications you referenced should not cause prolonged numbness, numbness after one month ...
anesthesia/low oxygen levels2/4/2016JM Starkman, MD
  Q: I had breast reduction surgery 6 days ago. Coming out of the general anesthetic was quite scary. I ...
  A: The individual response to anesthesia is quite varied and dependent on many factors, some of which ...
Benzocaine1/20/2016Charles T Porter Jr MD
  Q: Hi I was wondering is benzocaine can cause any circulation problems in the body for example could ...
  A: Benzocaine is topical local anesthetic that is typically applied to the skin and mucus membranes. ...
Benzocaine topical1/16/2016Mike MacKinnon MSN FNP-C CRNA
  Q: 5% benzocaine since then I've got a loss of sensation in the area it was used as if it has not ...
  A: I am sorry you are having this issues. Benzocaine is a topical ester anesthetic which when applied ...
Benzocaine worry1/13/2016Dino Kattato MSNA CRNA
  Q: Hi I was wondering if benzocaine topical can cause permanent numbness or damage any nerves I used a ...
  A: I'll do my best to address your concern. Traditionally, benzocaine topical has a duration of up to ...
Tongue numbness following LMA use1/1/2016JM Starkman, MD
  Q: I had eye surgery earlier this week (pterygium excision with graft) as an outpatient at the local ...
  A: I don't know any way to accelerate the healing of a nerve or muscle compression causing your ...
Surgical technician11/28/2015Dino Kattato MSNA CRNA
  Q: I am pursuing a career in the medical field. I'm very indecisive however. I would like to hear from ...
  A: I'll do my best to answer your inquiry. In short: I have worked with many surgical techs of all ...
Numb lip after gallbladder surgery9/25/2015Rex Russell
  Q: Please can you tell me whether my numb bottom lip will rectify itself?? I had keyhole gallbladder ...
  A: That is very unusual. I'm not sure how that may have happened. The only anesthesia related mechanism ...
Throat Swelling9/25/2015JM Starkman, MD
  Q: With in 24 hours of a colonoscopy my throat swelled and I found it very uncomfortable to swallow - ...
  A: Yes: Get a copy of both the gastroenterologist's procedure record and the anesthesiologist's ...
Anesthesia9/16/2015Rex Russell
  Q: Greetings, I am a 50 year old female. On May 29, 2015, I had a total knee replacement. Upon ...
  A: I'm sorry to read about your predicament. It is true that nerve damage from nerve blocks are ...
nerve blocks9/7/2015Rex Russell
  Q: What would happen if lidocaine was injected directly into a nerve? And is anesthesia occur only ...
  A: There is some recent evidence that suggests that injecting into the eve is common does not result in ...
father-in-law on ventilator8/11/2015Charles T Porter Jr MD
  Q: Porter, My father-in-law overseas has been hospitalized with a lung or some type of respiratory ...
  A: Please accept my apologies for the delayed response as I have been on vacation. It is common ...
father-in-law on ventilator8/11/2015Ronald Levy, M.D.
  Q: Levy, My father-in-law overseas has been hospitalized with a lung or some type of respiratory ...
  A: Not knowing the details, it is hard to answer but, in general, if he has a respiratory infection, it ...
Death from General Anesthesia8/10/2015Ronald Levy, M.D.
  Q: Sir as you said yesterday that a person can die from general anesthesia. Sir but in such case is it ...
  A: Again, as with all things, there is malpractice but this is the exception, not the rule. Dying from ...

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Anesthesiology

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Rex Russell

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Expertise

Any question dealing with general anesthesia issues. With particular emphasis on regional anesthesia.

Experience

I am a board certified anesthesiologist, graduated from residency in 2004 from Johns Hopkins Hospital. I have since worked as an anesthesiologist first in the Air Force for three years and then most recently in Texas in Private Practice.

Organizations
Texas Medical Association Texas society of Anesthesiologists American Society of Anesthesiologists

Education/Credentials
BS, BYU MD, U of Texas, Galveston Intern-St. Joe's Hospital, Phx, AZ Internal Medicine Residency-Johns Hopkins Hospital, Baltimore, MD

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