| Subject | Date Asked |
|
| Nardil and versed, fentalyn | 11/21/2009 |
Q: I recently had a colonoscopy and my doctor told me it would be ok to have the abive drugs while on ...
A: I'm sorry you had the problem that you did with this "doctor" (probably a gastroenterologist, not an ...
|
| hasn't woke up after surgery | 11/14/2009 |
Q: My granny went in and had a whipple surgery done which lasted 6 hours. Had some complications and ...
A: Typical. You don't mention what "DR." doesn't know what the problem is....and you can bet he's NOT ...
|
| old age | 11/9/2009 |
Q: i am 37 years old. when i originally went to college 20 years ago, i was too immature and screwed up ...
A: This really doesn't require the expertise of an anesthesiologist or physician---but more that of a ...
|
| Epidural site pain | 11/8/2009 |
Q: I had my son 4 months ago, and recently I have been getting sharp stabbing, nerve pain at the site ...
A: Congratulations on the birth of your son! As far as this unusual pain goes, since so much time has ...
|
| Advance directive regarding anesthesia | 11/7/2009 |
Q: My girlfriend recently had surgery and everything went quite well, but it has caused me to think ...
A: In the event of ELECTIVE surgery you'll have time to re-write or modify the consent for surgery and ...
|
| anesthea & gallbladder surgery | 11/2/2009 |
Q: my wife needs to have her gallbladder taken out and she has copd uses oxygen at night only. how are ...
A: The outcomes are variable and they are based on the skills of the anesthesiologist who is adept at ...
|
| GETTING SLEEPY | 10/30/2009 |
Q: I was wondering would you please tell me: if a person get anesthetic to put them asleep for the ...
A: No, one's body doesn't get used to or build-up a tolerance to anesthetics, so you should not be ...
|
| Neurovascular Manifestation | 10/26/2009 |
Q: Do you know what the definition of Neurovascular Manifestation is? What are the symptoms/effect of ...
A: A neurovascular manifestation is any resultant issue that affects nerves and blood vessels. Since ...
|
| Anesthesia | 10/23/2009 |
Q: What are some side effects/risks of having anesthesia? What happens if a person is allergic to the ...
A: This question is really so broad it is hard to answer briefly without being overly general and ...
|
| Surgical complications. | 10/20/2009 |
Q: I have a question about a surgery I had some 15 years ago, it was an oral surgery so I believe they ...
A: It sounds like your airway was compromised at some point, and then diagnosis and treatment consisted ...
|
| anesthesia complications | 10/2/2009 |
Q: I will be undergoing a thyroidectomy soon, and I have terrible fear regarding the anesthesia ...
A: I hope you and/or your surgeon will arrange IN ADVANCE to meet with the anesthesiologist WHO WILL DO ...
|
| Upcoming surgery | 9/29/2009 |
Q: I have a question RE: nausea and vomiting after surgery. I had a appendectomy in 2000 and after ...
A: Ask them not to paralyze you and do your anesthesia "TIVA" (total intravenous anesthesia). When you ...
|
| Two questions on becoming an Amesthisiologist | 9/27/2009 |
Q: My first questin ia what is the estimated cost to becoming an Anesthesiologist? Also how long dose ...
A: Once you are a physician and have completed an internship year to be eligible for licensure (to ...
|
| Very interested.. | 9/23/2009 |
Q: i am a high school student and i'm stuck on what colleges to attend. There is a comunity college in ...
A: Your first challenge will be to attend and successfully complete college--either a large or small ...
|
| phentermine | 9/22/2009 |
Q: I have been taking Phentermine for 10 days and stopped taking it 4 days before I am scheduled to ...
A: Phentermine is not one of those drugs that are studied by physician scientists or placed into random ...
|
| TIVA for full absominoplasty | 9/18/2009 |
Q: I lost 100lbs a few years ago (now I'm in excellent health), but now I need full abdominoplasty ...
A: There are many more issues in avoiding PONV than solely the agents chosen for the anesthetic, and ...
|
| what's the best degree? | 9/17/2009 |
Q: I am currently a senior and I wanted to know what is the best degree to receive if you want to ...
A: I assume you meant 'senior' in high school, but you did not state that. In the US to become an ...
|
| meds so you dont aspirate during surgery | 9/14/2009 |
Q: What medicine does anesthesiologist give to patients to ensure they don't aspirate during surgery?
A: 'Medications' given during surgery that address the 'pulmonary aspiration of gastric contents' issue ...
|
| Duration (half life?) of anesthetic Versed? | 9/11/2009 |
Q: Starkman, > In 2007, I had a "disinhibition episode" 4 days after outpatient surgery. It points ...
A: The time drugs remain in one's body is described as the "half-life" of that drug and it is an ...
|
| Chronic pain since epidural | 9/10/2009 |
Q: I had my son almost two years ago. Ever since I have had chronic pain in my spine and back. It is ...
A: Yes, I have heard of anesthesiologists and other doctors not "knowing when to quit" or being given a ...
|
| Anesthesiology | 9/9/2009 |
Q: What would you suggest as the "first step" for a student coming out of high school going into their ...
A: Read "Code Blue: Health Care In Crisis". Annis, Edward. Washington, DC. Regnery Press, 1993. He'll ...
|
| 2 epidurals didn't work-should I try a 3rd time? | 9/4/2009 |
Q: a little background on me and my situation. I am the mother of 4 children. 33 years old, very good ...
A: First, congratulations on your 'surprise #5'! Second, I don't think you'll ever know precisely ...
|
| anesthesia/plastic surgery | 9/3/2009 |
Q: Dr Starkman, I am anticipating having breast reduction/abdominoplasty within the next 6 months. In ...
A: Your diskectomy surgery should not pose a problem. A regional block with sedation for both ...
|
| bad procedure? did something go wrong? | 8/28/2009 |
Q: I was in a car accident this past Feb and have 2 herniated discs and 1 bulging disc in my lumbar, my ...
A: time since accident, etc.) necessary to adequately attempt to answer your question. What you left ...
|
| pseudocholinesterase and benzodiazepines | 8/25/2009 |
Q: What do you recommend for anesthesia (conscious sedation) for endoscopy screening procedure for a ...
A: Propofol as the sole agent is reliable and quite safe in trained 'anesthesia' hands. Its only ...
|
| Versed | 8/22/2009 |
Q: This drug was given to me by an anesthesia nurse masquerading as a Doctor. I had specified that no ...
A: I've addressed the Versed controversy in some previous postings. The good news is that this drug is ...
|
| daughter not feeling well after anethesia | 8/20/2009 |
Q: My daughter, 13, had a colonoscopy yesterday. She ran fever of 103.4 for several hours during the ...
A: You did not mention why your daughter was having the colonoscopy in the first place--did she already ...
|
| versed | 8/19/2009 |
Q: I was given versed two years ago without my consent or knowledge. I only know this because I spent ...
A: There seems to be a significant group of people who feel their exposure to Versed has left them with ...
|
| "Coma" after anesthesia | 8/16/2009 |
Q: I had a hysterectomy last week and asked that I use an ipod during surgery to calm me. I got the ...
A: Given the miniscule amount of information provided, there really is not much I can do to determine ...
|
| college | 8/11/2009 |
Q: I'm a junior in high school and I'm very interested in anesthesiology. i play volleyball and i plan ...
A: One's undergraduate school (college or university) need not have a medical school--you'll apply to ...
|
| Arachnoid cyst and anesthesia | 8/10/2009 |
Q: I am a healthy 34 year old man with only an occasional sinus headache. I learned from reviewing my ...
A: There is no increased risk with the anesthetic given the information you've provided. One kidney ...
|
| General Anesthetic | 8/9/2009 |
Q: I've had quite a few surgeries in my young life. I've always wondered how general anesthetic ...
A: The mechanism by which general anesthetics render one "anesthetized" is unknown! They simply "work" ...
|
| Anesthesia Anaphylaxis | 8/8/2009 |
Q: My daughter had an allergic reaction to anesthesia during a tonsillectomy. She went in anaphylaxis ...
A: First, get a copy of the "anesthesia record" the anesthesiologist completed at the time of the ...
|
| Waking up from general anesthesia and an ON-Q pain buster.... | 8/7/2009 |
Q: On Tuesday I had an outpatient surgical procedure; an umbilical hernia that unbeknownst to myself or ...
A: It sounds like the On-Q system worked well for you after this type of surgery which is known for ...
|
| Who is performing the anesthesia? | 8/6/2009 |
Q: I recently had a colonoscopy to check on my FAP and the procedure was somewhat of a disaster because ...
A: Your question brings up so many important issues that I hardly know where to start. (That's why it's ...
|
| Versed | 8/4/2009 |
Q: I have had to have numerous endoscopies and colonoscopies, and each time I get 5cc of Versed which ...
A: If this is causing a dilemma for your "anesthesiologist" I suggest you find a new anesthesiologist. ...
|
| cold symptoms/colonoscopy | 8/2/2009 |
Q: I'm to have a colonoscopy Monday and now, Sat nite, have a runny nose. I have limited income, and ...
A: A simple runny nose should not be much of an issue for an anesthesiologist to safely anesthetize you ...
|
| becoming an Anesthesiologist | 8/1/2009 |
Q: Starkman, I am 26 yrs old with 45 college credits that include ...
A: If you're a surgical tech, you have access to anesthesiologists at work----talk to them to get their ...
|
| Medical School vs. Nursing School... | 7/31/2009 |
Q: After being in college for about a year without a direction, I had the opportunity to shadow an ...
A: It's pretty rare that a nurse anesthetist moves to med school and then to training for ...
|
| anesthesia consent-no sedation/no fent? | 7/30/2009 |
Q: I recently ran into a problem with outpatient surgery anesthesia. A year ago I had elbow nerve ...
A: No sense. There is no contraindication to small, conscienciously dosed amounts of fentanyl during ...
|
| vomiting with anesthetic | 7/29/2009 |
Q: Each time I have a general anesthetic I vomit for 12 to 24 hours, no matter how much gravol or ...
A: Hopefully, when you expressed your concerns to your anesthesiologist they were able to formulate a ...
|
| vomiting with anesthetic | 7/28/2009 |
Q: Each time I have a general anesthetic I vomit for 12 to 24 hours, no matter how much gravol or ...
A: Ask the anesthesiologist to provide a regional, instead of a general anesthetic for your hand ...
|
| colonoscopy/no alcohol | 7/24/2009 |
Q: how come they tell you not to have alcohol 24hrs after being under a mild anesthetic for ...
A: 1. Alcohol dehydrates, and one who has undergone colonoscopy is already considerably dehydrated from ...
|
| Spinal Anesthesiology | 7/24/2009 |
Q: almost 9 years ago i had a spinal due to a c- section.sense that day i have had numbness and pain ...
A: I can't make much sense out of the fact that your injection site was between your shoulders when I ...
|
| best educational route to take (crna) | 7/23/2009 |
Q: First of all thank you for taking the time to answer my question. I'm 26 years old and have ...
A: Keep in mind that I'm a doctor answering a nursing-education question.......but here is what I'm ...
|
| Versed for colonoscopy | 7/22/2009 |
Q: I had my first colonoscopy on July 14, 2009. I am an extremely healthy, happy, drug-free ...
A: I blame the Versed---many gastroenterologists-who act as anesthesiologists-during the colonoscopy ...
|
| Recent Question | 7/21/2009 |
Q: I recently posted a question to you & requested that it be "private" - For my own personal reasons, ...
A: Because the question seemed "general to [me], and [my] answer would definitely benefit others". ...
|
| anesthesia for colonoscopy | 7/19/2009 |
Q: I have had 2 colonoscopies which were utterly horrible. I was assured I would be "out" for the ...
A: I suspect, but do not know for certain, that your previous two colonoscopies were done by a ...
|
| Becoming a CRNA | 7/17/2009 |
Q: I'm not sure if you can answer my questions but I hope you can! I'm 20 years old & I have no nursing ...
A: Quite the exhaustive question! You are doing the right thing now to line up your concerns and begin ...
|
| Surgical Positioning with Hydrocephalus | 7/16/2009 |
Q: Are you aware of any instances where placing a patient with Hydrocephalus/VP Shunt in the ...
A: The brachial plexus is the complex grouping of nerve roots and their branches that subserve the ...
|
| anesthesia consent | 7/16/2009 |
Q: I recently ran into a problem with outpatient surgery anesthesia. A year ago I had elbow nerve ...
A: Ask your surgeon to reschedule your case at another facility where he practices (he'll hate this if ...
|
| cut under tongue after surgery | 7/15/2009 |
Q: had knee surgery a few months ago. woke up with a large cut under my tongue(the skin that connects ...
A: This is not a complication of knee surgery but one of anesthesia----see your anesthesiologist about ...
|
| anesthesiology | 7/14/2009 |
Q: I have a few questions... I plan on majoring in mass communications with a minor in french. But, I ...
A: A Mass Comm major with a French minor is hardly a prerequisite for medical school and, eventually, ...
|
| Surgical Positioning with Hydrocephalus | 7/13/2009 |
Q: Are you aware of any instances where placing a patient with Hydrocephalus/VP Shunt in the ...
A: The short answer is: "No, I'm not aware of a syndrome like the one you describe". However, there is ...
|
| VCUG | 7/12/2009 |
Q: My 14 months old is getting ready to have a VCUG done under sedation. They said they were using a ...
A: If your daughter has had a problem with asthma, then the anesthesiologist sedating her for her VCUG ...
|
| Possible bad reaction to muscle relaxant? | 7/12/2009 |
Q: I had 3 hours of dental work done on 7/1/09. I've been going to my dentist for years and having ...
A: You more than likely had the reaction to succinlycholine that you describe. Your muscles were not ...
|
| post anesthsia taste and lump in throat | 7/12/2009 |
Q: On July 6 I had a Rectocele / Enterocele with sphincter repair. I very disturbed that I cannot eat ...
A: Your anesthesiologist should be made aware of this potentially-related-to-anesthesia problem. Call ...
|
| post-op concerns | 7/11/2009 |
Q: 2 days ago, I went through tendon repair surgery on my right hand. I'm a 39 year old male. General ...
A: 1. I've heard of patients who have hiccups after surgery--but they're usually children. It's fairly ...
|
| procedure without sedation | 7/10/2009 |
Q: I had a horrible experience with conscious sedation with Versed in the past (and this seems to be ...
A: Deplorable. I read this more as a medical-legal issue than a medical/anesthesiology issue per se, ...
|
| having generat anesthetic while suffering with a cough and sore throat safe or not | 7/8/2009 |
Q: in 2 days time i am going into hospital for operation on my foot time of operation is 90 minutes , ...
A: If you are not acutely ill at the time of surgery I imagine it would be safe to proceed with a ...
|
| Pediatric Anesthesia | 7/6/2009 |
Q: Is it true that is it safer to administer general anesthesia to a child after age 1? What are the ...
A: I don't feel that the age of 1 is a particular cut-off point insofar as pediatric safety is ...
|
| Time management | 7/3/2009 |
Q: I have heard that anesthesiologists are not at the hospital the time and i have also heard that they ...
A: The premise that you are a candidate, let alone a serious candidate, for anesthesiology or medical ...
|
| Worsening reactions to anesthesia, will I wake up next time? | 7/3/2009 |
Q: At the age of 13, I had routine oral surgery after which I was violently ill, and suffered from ...
A: You sound like you are what is known s a "slow acetylator" (google that one!). Too bad you have a ...
|
| Use of amnesics | 7/2/2009 |
Q: I have had several surgeries in Baltimore. I remember waking up in the OR at the end of the ...
A: Apparently, there are no limits to the pompousness of physicians (this time anesthesiologists) who ...
|
| Toddler General Anesthesia Question | 7/1/2009 |
Q: Good Morning My 3 year old daughter underwent surgery yesterday to remove her adenoids. Other than ...
A: It is typical for anesthetics to cause a person to stop breathing---which is why it is ...
|
| Local anesthesia administered by a doctor | 6/29/2009 |
Q: Can a Doctor (Plastic Surgeon), administrate by himself the local anesthesia named Lorazepam and ...
A: Lidocaine is a local anesthetic; lorazepam is a sedative-hypnotic. Your plastic surgeon is ...
|
| Dental surgery | 6/28/2009 |
Q: I am having a small dental procedure tomorrow ( bonding and exposure of a tooth) I have had the ...
A: Twelve hours??? Probably not directly relating to the THC content of your blood that far out. There ...
|
| Epidural anaesthetic | 6/27/2009 |
Q: During my labour with epidural, I was taken for a caesarean and the anesthetist topped up my ...
A: Epidurals, like all anesthetics, entail risks. It may happen again. Then again, it may not. ...
|
| Anesthetic options | 6/26/2009 |
Q: Dr.Starkman, I am a CHF & CAD patient who has been told by my cardiologist to avoid general ...
A: Anesthesiologists fight this fight regularly--namely, that your cardiologist, irrespective of how ...
|
| anesthesia in a patient with dysautonomia | 6/25/2009 |
Q: My adult daughter has dysautonomia. As a result, the anesthesiologist used general anesthesia ...
A: The nice thing about a general anesthetic is that if there is a major problem, it can be turned OFF ...
|
| C-sections | 6/23/2009 |
Q: I had an emergency c-section after 14 hours of labor with my first child my OB had to put me ...
A: It's preferred to provide an epidural or spinal anesthetic for C-sections as opposed to general ...
|
| Low blood pressure | 6/22/2009 |
Q: My blood pressure has always been on the lower end, usually about 100/70. I had lipo under general ...
A: Four days later your BP was not just low, but symptomatic. I'd guess that after four days, any ...
|
| Dantrolene Sodium | 6/22/2009 |
Q: Do outpatient surgery centers have to carry the drug Dantrolene Sodium in case something goes wrong ...
A: The short answer is 'YES'. However, the statutes of various states, districts, provinces, etc ...
|
| Pediatric Anestheic allergy??? | 6/16/2009 |
Q: My son had an elective plastic surgery on his scalp 3 days ago , surgery went well, after almost 3 ...
A: It was not an allergy. Speak to the anesthesiologist as to why in this day and age it took 3 hours ...
|
| effects of anethesia on your eye sight | 6/14/2009 |
Q: Can you tell me if anethesia effects your eye sight?? I had surgery on thursday and since them my ...
A: Yes, any number of anesthetic-related drugs can have an impact on vision; their effects should be ...
|
| ect - cracked teeth/bite blocks? | 6/12/2009 |
Q: Starkman, I'm 34. I've had ETC 55 times in the last 14 months. The first time I woke up before I ...
A: I think it's a shame that you've had not one problem, but several, with respect to dental problems ...
|
| Could the laryngeal mask cause severe sore throat for over a week ?? | 6/11/2009 |
Q: I'm 30yr Female I had knee surgery(Torn cartilage and meniscus) June 3 with great success, I might ...
A: Yes, an LMA can cause a bad sore throat, though the cases that have been formally reported of which ...
|
| Anesthesia in LBD | 6/6/2009 |
Q: My mom is 81YO, with PD and moderate Lewy Body Dementia. No other significant health ...
A: Your neurologist (the PD expert) probably has no experience anesthetizing PD patients--or ANY ...
|
| Mid-term effect of anesthesia on fitness | 6/5/2009 |
Q: Dr Starkman, Three weeks ago I underwent a laporoscopic appendectomy under general anesthetic. As a ...
A: My guess--and it is a guess, as there is no accepted and/or recognized complication from general ...
|
| anesthesiology | 6/4/2009 |
Q: normally in patient undergoing TransUrethralResection of Prostrate,dose of 0.5%Bupivacaine(heavy)in ...
A: I agree with your dose protocol for prostate resections using bupivacaine in SAB. T10 is more than ...
|
| Socialized Anesthesiology | 6/4/2009 |
Q: So I keep worrying about the socialization of medicine. What will this mean for someone who is ...
A: Important question! I believe the increased socialization of medicine really asks all of us if we ...
|
| breast reduction surgery | 6/2/2009 |
Q: i have breast reduction surgery on June 16th. My problem is i know that i am suppose to stop smoking ...
A: Smoking: Increases the risk of postoperative and intraoperative respiratory complications, ...
|
| Preparing for surgery | 5/30/2009 |
Q: I am a female, 56 yrs old and am scheduled to have arthoscopic surgery on the knee. I was set to go ...
A: Ask the surgeon to have the anesthesiologist to do the "surgical clearance" (it is more properly ...
|
| Upsetting induction | 5/28/2009 |
Q: Last month I had Laparoscopic gallbladder surgery with general anesthetic. I expected to see ...
A: No, I do not think your surprise and upset contributed to the poor recovery. You did not mention how ...
|
| anesthesia | 5/27/2009 |
Q: I am having surgery on june 10th and i have a few questions. I would like to know if flaxseed ...
A: I believe any of the supplements/drugs you mentioned may cause issues during the time of your ...
|
| woke up during suegery | 5/21/2009 |
Q: I had a implant exchange,and small lypo procedure around the belly button.Aproximately 10cc's I ...
A: I have to agree with you that this sounds like an [sic] "unproffesional mess". I do not know how ...
|
| anaesthesia residency for IMGs | 5/21/2009 |
Q: first of all i would like to thank you for the effort you do trying answering questions and helping ...
A: 1-Not impossible at all.......since program directors are always looking for the best candidates(to ...
|
| anesthesia question | 5/19/2009 |
Q: I am wondering if you would answer a question for me. If not I will understand. I am having ...
A: I am sorry I am just able to get to this question and provide a (late) answer. It would have been ...
|
| Highschool Courses For Anestheisology | 5/19/2009 |
Q: ..so I was wonderin what classes do I need to next semester if I want to be an anestheisologist?
A: Spelling and English: One, so you'll know how we spell our specialty and, two, to be competitive ...
|
| Central Nervous System and Anesthesia | 5/19/2009 |
Q: Dr. Hi. My central nervous system is not well right now. I am a former user of Xanax and have ...
A: I think it might have the effects you mentioned. Please ask your surgeon to arrange a ...
|
| anesthesia and high blood pressure | 5/19/2009 |
Q: my mother in law lives in mexico. she suffers from hbp. she had a stroke and has limited mobility on ...
A: Anesthesiologists personally(as opposed to dentists, gynecologists and surgeons) regularly deal with ...
|
| versed | 5/17/2009 |
Q: I had a colonoscopy last Tues and I am upset at the amount of versed I was given. I have been sober ...
A: No, there normally are no long-term effects from midazolam (the generic name of the drug known more ...
|
| conscious and unconscious | 5/16/2009 |
Q: When a person is asleep at night, are they unconscious?
A: Although I am tempted to answer "yes", as an anesthesiologist I am probably not the best expert for ...
|
