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About Dr Ian Jackson - please note UK based
(Top Expert on this page)

Expertise
I am a Consultant Anaesthetist in the UK. My interests include ambulatory or day surgery, obstetric anaesthesia and analgesia, acute pain management (use of epidurals and patient controlled analgesia)anaesthesia for surgery on the airway, orthopaedics and most things except brains and hearts. Interest in prehospital care of trauma and provision of medical cover at motorsport events.

Experience

Organizations
European Society of Regional Anaesthesia
British Association of Day Surgery
Obstetric Anaesthetists Association
Association of Anaesthetists

You are here: Experts > Health/Fitness > Medical Specialists > Anesthesiology

Questions Answered By Expert Dr Ian Jackson - please note UK based
In Category Anesthesiology

Subject	Date Asked

Back pain after having an epidural	10/3/2008
Q: I had my son 4 weeks ago When the Epidural was placed it worked fine. approximately. 4 hrs later I ... A: I am sorry to hear about your problem. Firstly back problems following childbirth are quite common ...
Steriod Epidural to C-Spine	9/30/2008
Q: I have recently had a Steriod Epidural done to my C-SPine due to a compressed c-spine, the majority ... A: I'm glad that the injection has helped. However it is important to understand that it only tends to ...
Two surgeries close together	9/29/2008
Q: I am scheduled to have an arm lift and tummy tuck on one day, and a face lift one week later. The ... A: there should be no problem here. People undergo much bigger ops closer together - though usually for ...
metallic taste/smell throat sinuses	9/29/2008
Q: Dr. Jackson, I am going through ECT and the anesthesia is causing the metallic taste/smell. It has ... A: The problem here is trying to separate out the effects of the procedure from the anaesthesia. It is ...
anesthesiologist	9/25/2008
Q: right now I'm currently attending a community college and would like to know what kind of major ... A: I am UK based and so have no knowledge of your system. However have a look at the past answers of my ...
Post anesthesia complications	9/23/2008
Q: After every surgery I wake up screaming in pain and the max out what they can give me, when I become ... A: The important thing is to tell your anaesthetist that you have had this problem and that you are ...
anesthesia- side effect right side numbness?	9/23/2008
Q: I am 37 and in good health. I've had general anesthesia 30 times and never had an adverse ... A: Stephanie I have never heard of anything like this before. It is strange that you were OK and ...
Bougie Intubation	9/21/2008
Q: I am working for an emergency medical service and recently the idea of placing bougies on our ... A: Oh this is a very difficult topic and has caused consternation across the UK with Paramedics. I have ...
Anesthesiologist	9/20/2008
Q: My name is Arshaela Bailey and I want to have a career in becoming an anesthesiologist. I am in the ... A: I am Uk based and so I have no knowledge of your system. You can look at the past answers for my ...
long term propofal	9/19/2008
Q: my father was intibated and placed on propofal for 10 days. he has been off the propofal and still ... A: The duration its sedative effect would last would depend on many factors - the dose he was being ...
convulsions and respiratory insufficiency at child birth due to epidural	9/18/2008
Q: I opted to have epidural to relieve pain at child birth. I had severe convulsions, respiratory ... A: It is difficult to explain how these symptoms came about. These are not normal reactions to an ...
Anesthesia and pregnacy	9/18/2008
Q: I just had surgery for breast augmentation 2 weeks ago and found out today that I am pregnant.i also ... A: This happens to more people than you can imagine. The answer is that the majority of people go on to ...
fentanyl	9/17/2008
Q: I had elbow surgery last year, and Fentanyl was used for anesthesia. That night, my respiratory ... A: Sorry to hear about what happened to you. Now this sounds complicated and there are so many ...
propofol	9/16/2008
Q: I am having my third colonoscopy. I am allergic to benzodiazephines so my doctor suggested the use ... A: I would say that this is an excellent proposal. Propofol has a very good profile for sedation and in ...
Versed	9/16/2008
Q: I understand that Versed is known to cause amnesia and "a dreamlike" state. But not always. Could ... A: I am sure there is a reason for this request. Simple search for awareness and midazolam revelaed ...
4mm Airway	9/12/2008
Q: I was diagnosed with a 4mm airway by Dr. Larry Wolford in Dallas, Texas. I am curious to know what ... A: So gradually we are teasiong out the information. As I stated in my first response it is difficult ...
4mm Airway	9/12/2008
Q: I was diagnosed with a 4mm airway by Dr. Larry Wolford in Dallas, Texas. I am curious to know what ... A: This is difficult and I cannot provide you with any info that will help you with your insurance. I ...
anesthesia and pregnancy	9/11/2008
Q: I just had surgery b/c of an ectopic pregnancy. I apparently became pregnant the same week of my ... A: Ectopic preganancy is where the egg you have produced is fertilised outside the womb (uterus) ...
4mm Airway	9/11/2008
Q: I was diagnosed with a 4mm airway by Dr. Larry Wolford in Dallas, Texas. I am curious to know what ... A: Karen I would really need to have some more information about this. Where is your airway only 4mm in ...
Obsolete agents	9/8/2008
Q: How long ago did flammable agents like diethyl ether, vinyl ether, cyclopropane, etc., disappear ... A: ether was till used around the world (indeed it was the commonest agent used) until the late 1980's. ...
reaction x2 to general anesthetic	9/8/2008
Q: i am 27 yrs old and i have had 2 operations. one in 2000 to remove my appendix. i had a severe ... A: It sounds like the anaesthetist had far fewer problems the last time - I wouldn't worry aboout being ...
Valium as anesthesia	9/6/2008
Q: Yesterday I had a Hysteroscopy, and was put under General Anesthesia. The Anesthesiologist injected ... A: I am surprised that an anaesthetist used diazepam (valium) as part of a general anaesthetic for ...
anaesthetist	9/4/2008
Q: This is quite a strange question to ask this early, because I'm only 13! But, I really want to be ... A: It takes the same length of time to qualify in any of the specialties in Medicine - the training ...
reaction to anaesthesia.	9/3/2008
Q: I had surgery and about a week later I had a reaction, any place I scratched would become welped up ... A: This is interesting and I'm not certain what the causal factor is. It sounds like you are having ...
anaesthetist	9/3/2008
Q: This is quite a strange question to ask this early, because I'm only 13! But, I really want to be ... A: Getting into Medical School is very competitive. You need 3 A levels at a high grade these days ...
anaesthetist	8/31/2008
Q: This is quite a strange question to ask this early, because I'm only 13! But, I really want to be ... A: Now then that depends on which country you are in. Currently in the UK we have to medical school ...
Conscious sed- deep sed- anaesthesia	8/30/2008
Q: Greetings Peace be upon you, What level separates conscious sedation, deep sedation and general ... A: In the UK I would suggest the following Conscious sedation - you can maintain contact with the ...
help with novel	8/30/2008
Q: i do not know whether you might be able to help me out. I am writing a novel in which my MC is ... A: Trauma team would put him through ATLS protocol which involves the ABCDE method of ensuring nothing ...
previous and future epidurals	8/26/2008
Q: For the birth of my son, 15 months ago, I eventually needed to be induced (after 40 hrs of labour, ... A: We find that something like 85% of epidurals work well first time or with one minor adjustment and ...
twilight sedation	8/25/2008
Q: I am having a breast aug on sept 26th and I have been prescribed hydrocodone for my chronic back and ... A: You recognise there is an issue here - that is the first step. You need to seek help to wean ...
Stages and planes	8/24/2008
Q: My question Where do the planes Plane 1 moderate sedation and analgesia Plane2 Dissociation ... A: Interesting question and in reality in modern anaesthesia the planes of anaesthesia mean nothing as ...
iv sedation	8/20/2008
Q: When sedating a patient with Fentanyl and Versed; is there a reason to give Fentanyl first over ... A: Mmmm - in the UK we would not define the use of an analgesic AND a hypnotic as sedation. This is ...
child birth side effect	8/19/2008
Q: on the date 4/24/08...there was an question about apidural and the subject was:(child birth side ... A: I assume you refer to the answer given below. I have no followup information as to whether my answer ...
Symptoms of Dialysis	7/28/2008
Q: My grandfather just went through the Dialysis surgery and one day after the procedure his tongue ... A: No this is not something that everyone on dialysis will go through. He needs to chat to his renal ...
Dialysis patient	7/27/2008
Q: Is it possible when you go through dialysis will your tongue swell in any way?? A: You don't explain if this has happened to you (or someone you know) or if it is a theoretical ...
epidural mistake	7/27/2008
Q: i received an epidural on june 30 2008 for my second child it went wrong and i was still in pain ... A: The likelyhood is that this will improve with time - especially as mobilisation seems to help. ...
pre-induction period	7/24/2008
Q: I've been an OR nurse for several years. Recently an anesthesiologist resident asked me to apply ... A: It sounds like your young doctor is a bit unsure of himself and is trying to 'do the right thing'. ...
Routine vas and sinus infection, plus prior drugs.	7/23/2008
Q: Please excuse this question being boorishly long, but I want to provide as much info as I can for ... A: That is a remarkably organised urologist you are seeing! Most of my colleagues wouldn't bat an ...
General Anaesthesia and Migraine	7/23/2008
Q: I'm a GP with occasional severe Migraine that makes me vomit for hours. I've had a recent GA which ... A: Difficult one this. I haven't found GAs to be a problem in patients who suffer from Migraine - ...
anesthesiology	7/16/2008
Q: i have a question i would like to know how many years do you have to study to become an ... A: In the UK we train for 5 years at Medical school to get our medical qualification and then for ...
re	7/6/2008
Q: my name is aliyah and in 2008-2009 i will be a freshman in high school. the career path i would like ... A: From you spelling I guess you are in the USA. I'm UK based and could tell you about what we can do ...
numbness	6/18/2008
Q: I have had similar findings as the posting from Stephanie in regards to numbness and tingling in my ... A: I am sorry to hear about your problem. The reassuring thing is that your doctors have taken this ...
gallbladder removal and flying	6/17/2008
Q: I am booked for a gallbladder removal hopefully with keyhole surgery on 10th July. My family holiday ... A: Jane There are no hard and fast rules about this. Given your details I reckon that something like ...
How to know, allergic to anesthesia	6/10/2008
Q: I am having hydrocele, would like to perform surgery. But I am very much allergic to sudden climate ... A: Allergy to local anaesthesia is very very rare though it can happen. It's down tot he type of the ...
Anesthesia / effexor	6/2/2008
Q: I underwent surgery last week for the removal of haemoroids. The general anesthetic was a terrible ... A: I am sorry that you had such a stormy start to your anaesthetic. It would be interesting to know ...
Mandibular Nerve	5/29/2008
Q: For the past 5 1/2 years I have had pain in my lower jaw. I saw six dentists during this timeframe ... A: I am really sorry to hear your story. Obviously it was important to cut the nerve as part of your ...
Anaesthics high blood pressure	5/28/2008
Q: I would like to know the side effects of any general Spinal anaesthetic durgs used in a lower limb ... A: Diana Depends on degree of disability. If lack of understanding a concern then would depend if I ...
local Dental pain	5/28/2008
Q: I recently went to my dentist for root canal treatment. I have had it on a couple of teeth before ... A: Wow, that is a lot of ground to cover. Last bit first - it is very possible for your body to react ...
Anaesthics high blood pressure	5/27/2008
Q: I would like to know the side effects of any general Spinal anaesthetic durgs used in a lower limb ... A: High blood pressure is not seen as a major issue for anaesthetists and the period around your ...
local Dental pain	5/27/2008
Q: I recently went to my dentist for root canal treatment. I have had it on a couple of teeth before ... A: Now that is an interesting one. especially as it has happened twice. I don't really buy the pushing ...
Knee scope	5/16/2008
Q: I am a 27 year old that needs to have my knee scoped. I am very active running and playing softball, ... A: Jennifer being pregnant is not a contraindication to having a general anaesthetic. However I can ...
iv sedation after effects	5/15/2008
Q: i had iv sedation yesterday for a colonoscopy today i have dry throat and sore neck glands is this ... A: Mary Patients are often given a drug called buscopan (Hyoscine) to help relax the bowel during this ...
Lovenox & Epidural (Low dose)	5/15/2008
Q: .. I am currently 35 weeks pregnant and have been taking 40 mg Lovenox injections once daily. My OB ... A: Lacy I'm sure you understand the risk here is the development of a blood clot (haematoma) around ...
Phobia	5/8/2008
Q: I am having an operation tomorow morning at 0700 hrs. Unfortunatly i have a major vomit phobia which ... A: George Explain all this to your anaesthetist and they will try very hard to ensure that you have no ...
Clinical use of novel analgesics	5/4/2008
Q: Are any of these novel analgesics current used (or likely to be used) clinically in the UK ? A) ... A: I will give you info on anything I have heard of. many of these agents may well see use in chronic ...
Anesthesiology and Flying	5/3/2008
Q: Today is Saturday 3rd May 2008 and yesterday my Step Daughter had a sterilisation operation using ... A: There is no set answer to this question. However I would advise that she would be OK to travel as ...
Twitching with sedative/analgesic	5/2/2008
Q: I am actually asking this more based on animal response, which I know is not your area of ... A: Good question - honest answer - I haven't a clue! We do see twitching sometimes in patients who are ...
D and C	4/30/2008
Q: i was just wondering if you knew how much a D and C would cost if my baby died when i was 10 weeks A: If you are in the UK then this would be provided free in the NHS. You could I suppose see someone ...
Anesthesiology	4/30/2008
Q: I am Ryan Long, currently in 9th grade managing to maintain all A's and about a year ago i found ... A: From you spelling I guess you are in the USA. I'm UK based and could tell you abpout what we can do ...
stillbirth	4/28/2008
Q: i am a very fit 37yr old woman who has just lost on 22nd august 2007 my little boy Cameron, My ... A: I'm deeply sorry about your loss at such a late stage in your pregancy. I'm afraid this is something ...
Becoming an Anaesthetist	4/27/2008
Q: Im currently in my last year of high school, Im looking at becoming an anaesthetist, after studying ... A: I'm glad to hear that you are considering anaesthesia. However keep an open mind as you complete ...
epidural (childbirth) side effects	4/24/2008
Q: Ever since my epidural (at delivery) I have been having problems (2 year span) No problems before ... A: Nicole First some important points An epidural for pain relief during childbirth is usually inserted ...
absent vibration sense	4/18/2008
Q: I am a new practitioner. Upon exam my patient has absent vibration sense at the L5 dermatome ... A: As an anaesthetist this is well out of my experience and you really need to discuss with someone ...
absent vibration sense	4/17/2008
Q: I am a new practitioner. Upon exam my patient has absent vibration sense at the L5 dermatome ... A: This is outside my expertise and I suggest you discuss with a neurologist. If you do then I suggest ...
colonoscopy	4/1/2008
Q: I had a colonoscopy & when i was discharged i started to see light flashed when i looked left & i ... A: As long as you have had your eyes checked by a specialist then I am reassured. Symptoms like this ...
Anesthesiologist	3/31/2008
Q: Ian Jackson, I am currently a freshman in high school. Unlike most freshman, I am ... A: I was interested to receive your question. I'm afraid as an anaesthetist in the UK you have to train ...
My Son	3/20/2008
Q: My son is 10 yrs old. Six weeks ago had an appendix operation. 2-3 weeks later he fainted following ... A: This must be a worrying time for you. No this could not be due to residual anaesthetic, modern ...
dizziness and nausea	3/19/2008
Q: I had an arthroscopy on my knee in December 2007 - since then I have been suffering persistent ... A: It is difficult to explain your problem and I suggest you do need to go and see your GP with this ...
bad venous access for sedation	3/18/2008
Q: This may be a little peripheral to what you do, but I have now had three bad experiences with either ... A: Sorry to hear about your problems. Anaesthetists are the only ones who have extensive experience at ...
Memory loss after surgeries.	3/17/2008
Q: i was just wondering if there were any studies on short term memory loss for long periods of time ... A: You don't mention how old you are. There is evidence that 7% of those over 60 and 14% of those over ...
anethesia	3/15/2008
Q: Are there any known longterm effects of being given too much anethesia? memory loss, loss of ... A: There have been no trials of giving people too much anaesthesia - which is hardly surprising. ...
pain during colonscopy	3/14/2008
Q: 2 days ago I had a colonoscopy. I was given versed and an analgesic by IV. I remember the pain ... A: Marie There are huge differences in the amount of pain or discomfort people feel during ...
Post Op Squeaky Voice	3/13/2008
Q: Following keyhole surgery for removal of gall bladder 8 years ago i woke up with a high squeaky ... A: The squeaky voice is most likely to have been due to trauma caused to your vocal cords by the ...
Advancement possibilities	3/6/2008
Q: what Advancement possibilities are there after you become a Anesthesiologist A: From you spelling I guess you are in the USA. I'm UK based and could tell you about what we can do ...
Epidural	3/5/2008
Q: I would like to state that I had no problems with my epidural when I was in labor.But a year after ... A: I'm glad that the epidural worked well for you during your labour. Now as to your current back ...
ards	3/1/2008
Q: My brother was diagnosed with aplastic anemia two months ago since then he has had a chemotherapy ... A: I am sorry to hear about your brother. He is suffering from a severe illness and the lung ...
versed and fentanyl	2/29/2008
Q: I recently had a heart cath and these two drugs were used for sedation.I have borderline ... A: I think you need to have a discussion with your doctors about this and point out the problems you ...
anestheiology	2/28/2008
Q: my question is what should i major in college to become an anesthesiologist? A: Hi There I am UK based and so have no knowledge of your system. However have a look at the past ...
sympathetic nerve block	2/28/2008
Q: I have had chronic pelvic pain for the past three years and have been diagnosed with pelvic ... A: The amount of pain that is felt during this procedure is very variable - some people are very lucky ...
Have had problems waking up	2/26/2008
Q: three surgeries and in each I have been told by the nurse they could not wake me up. The last time ... A: You have hit the nail on the head - you probably are just sensitive to the drugs we use. There is ...
reactions to anesthesia during and after surgery	2/25/2008
Q: I had a simple outpatient surgery last May to remove ovarian cysts and tumors. About 2 days after ... A: It is difficult to be certain about what has happened here. I have tried to give you some ideas of ...
reactions to anesthesia during and after surgery	2/24/2008
Q: I had a simple outpatient surgery last May to remove ovarian cysts and tumors. About 2 days after ... A: Deborah The ringing in your ears is a bit strange. Did you have a spinal (or epidural) anaesthetic ...
reactions to anesthesia during and after surgery	2/24/2008
Q: I had a simple outpatient surgery last May to remove ovarian cysts and tumors. About 2 days after ... A: You don't mention how old you are but from the procedure described I imagine you are under 40. I am ...
Low blood pressure dangerous?	2/23/2008
Q: I will have an operation for an ingual (sp?) hernia in a week. I'm worried about the anesthesia ... A: We reckon that a low blood pressure is good for you on the whole so you have nothing to worry about. ...
risk of stroke	2/22/2008
Q: my husband suffered a stroke after a knee replacement, the only explanation that has been offered is ... A: I am sorry to hear about your husbands problem. This is a complex issue and I do not have all the ...
Becoming an anesthesiologist	2/19/2008
Q: I'm currently a sophomore in high school thinking about becoming an anesthesiologist. I like ... A: I must point out I am UK based and trained and so my comments are based on my experience over here. ...
MRSA and Spinal Blocks	2/19/2008
Q: I had an outbreak of CA-MRSA back in 2006. I have had 2 negative nasal swabs, and 1 positive, and I ... A: I have just looked after an elderly lady with MRSA and I gave her an epidural for her operation. ...
Activities	2/18/2008
Q: My top 3 picks for med school is University of Chicago, Michigan State, and New York University. I ... A: I'm afraid you have failed at the first hurdle by choosing me - I am UK based and trained and so ...
toradol and gastritis	2/18/2008
Q: i have sleep apnea and am 100 pounds overweight. female 44 years old. i am suppose to have a ... A: You can take a non steroidal anti-inflammatory drug like toradol or even simple ibuprofen for a few ...
Epidural	2/17/2008
Q: 11 years ago i had an epidural during chidbirth. The anetheisist didnt seem to know what she was ... A: At first I thought this was a really difficult one to answer. However on reflection I can say that ...
spinal block followed by general anesthesia	2/8/2008
Q: I have a planned cesarean and simultaneous hernia repair in a few weeks. I had my incisional hernia ... A: It is possible but would depend on several factors. You will have to find out if the need for you to ...
Hernia	2/8/2008
Q: Do Umbilical Hernias in adults ever get better? Do they heal themselves, or do they only get worse? A: No they don't get better by themselves - there is a defect there that will remain. They don't tend ...
Thrombophilia- Miscarriage	2/6/2008
Q: I have had 2 early 1st trimester miscarriages in the past year, one at 5 weeks and one at 7 weeks. I ... A: Gabina I am sorry to hear about the problems you have been having with pregnancy. This is outisde my ...
11th grade student needing some guidance	2/3/2008
Q: I wanted to know what types of courses I need to take in both college and medical school. My weakest ... A: I am UK based and so don't have any experience of your system. Please look at the past answers found ...
General Anesthesia common for Lumbar Epidural?	1/29/2008
Q: In one week, I will receive a lumbar epidural for lower back pain (degenerative disc disease, ... A: I'm not sure how common this practice is in the UK but I know my local Chronic Pain colleagues do ...
Epidural and Shaking	1/26/2008
Q: My elderly mother had vascular leg byspass, she got an epidural instead of reg anestics due to her ... A: It is difficult to see a mechanism as to how an epidural would cause this. I assume she feels she ...
anesthesia - head cold - almost gone	1/25/2008
Q: I have a head cold - which is almost gone; but I still sound nasally. Is my surgery going to be ... A: Various issues that we have to consider as anaesthetists. The gases that you breathe under ...
anesthesia - head cold - almost gone	1/25/2008
Q: I have a head cold - which is almost gone; but I still sound nasally. Is my surgery going to be ... A: You will be reviewed by the anaesthetist on Monday and he will make a decision with you about this. ...
numbness after anesthetic	1/21/2008
Q: since i have had numbness on the right side of my tongue and also at the top of my right leg, i told ... A: First important point is not to panic. This is a problem you have had for 10 days now and so you ...
Hi	1/20/2008
Q: I'm about to graduate high school and for the last three years, I've been researching about how to ... A: I'm sorry but I am UK trained and based. However I get asked this type of question a lot and I have ...
anesthesia	1/19/2008
Q: Dr. Jackson, First, I thank you for taking a moment to answer my question. I am having a cornea ... A: Now that's an interesting question. Sight is one of the senses and like all the senses it is ...
anesthesiology	1/18/2008
Q: what should i major in to be a anesthesiologist? A: Miranda I'm really sorry but I try to make it clear I am UK based and I have no knowledge of your ...
anestesiology, parkinsons, haldol	1/18/2008
Q: My 82yr. old father was having back surgery for decompression reasons. He is not "allergic" to ... A: This is a difficult one. 82 is elderly to be undergoing surgery and is therefore full of risks. ...
Morphine	1/17/2008
Q: is there a point at which it will ultimately end this person's life? Is so, how long would somebody ... A: If someone did not have any problem and was fit and eating normally then depending on the dose given ...
Morphine	1/16/2008
Q: is there a point at which it will ultimately end this person's life? Is so, how long would somebody ... A: What you describe does not sound like euthenasia. Your mother had a background infusion of the pain ...
Hernia	1/16/2008
Q: If you have a hernia can you ski/snowboard or go hiking? Also is it ok to drink and smoke? A: Lily The short answer is yes but you haven't given me the full info. 2 options below Do you mean ...
Epidural	1/15/2008
Q: I recently had an epidural with steroid for a herniated lumbar disc, at L4/5. The doctor injected ... A: I'm not quite sure what type of epidural you were having. The main question would be was he ...
Morphine	1/14/2008
Q: is there a point at which it will ultimately end this person's life? Is so, how long would somebody ... A: In the UK we do not believe or practice in euthenasia. We do however give patient enough painkiller ...
IV Sedation	1/14/2008
Q: and I am very similar to someone who asked you a question in the past, David. I will be having IV ... A: It is unusual to be allergic to the drugs used for sedation. It is possible but the good news is ...
IV Sedation	1/13/2008
Q: and I am very similar to someone who asked you a question in the past, David. I will be having IV ... A: This is still a very common procedure and as such has a good track record. Conversley in the UK we ...
numbness after anesthetic	1/12/2008
Q: since i have had numbness on the right side of my tongue and also at the top of my right leg, i told ... A: I susepct that these areas of numbness are due to pressure effects on nerves. You probably had a ...
post anaesthesia problems	1/12/2008
Q: My husband, 58years old, has just had a radical prostatectomy. He has lost sensation in both hands ... A: I am afraid it is difficult to be confident about what this is. However this was a major operation ...
info	1/10/2008
Q: Hey doc. It's me again, it is tomorrow and i said i was not worried but i am very worried. Three ... A: You will be fine. The hyperpyrexia thing is very very rare and can be treated these days as we have ...
anaesthesia	1/8/2008
Q: Hey doc. Sorry for being a pain, i have to have a couple of fillings at the dentist the day before ... A: No it won't be a problem, your body will have got rid of the local anaesthetic long before you have ...
anesthesia	1/7/2008
Q: Hey doc, The reason i have got crackers over it was because of kanye west's mum dying . i have been ... A: His Mum was allegedly advised against surgery (which was cosmetic and so optional) by her physician ...
general anesthetic	1/7/2008
Q: i am rob from leeds. I am having strabismus surgery on the 11th jan. I am very very worried about ... A: I am sorry to hear about your fear of dieing under anaesthesia. I do not make judgements about the ...
Surgery on 1/7/08	1/5/2008
Q: I am having pollups removed from my throat on 1/7/08. I have an addiction to Vicodin, doing 4/5 a ... A: Debbie From what I can see Vicodin is made by several manufacturers and is a combination of ...
curious about level of pain in anesthesia	1/5/2008
Q: am suppose to have a very minor hernia surgery and i had it before when i was a kid and the ... A: Chris Anaesthesia itself should not be painful. Are you talking about local anaesthesia? This being ...
Anesthesia	1/4/2008
Q: I am a 57 YO female who has had gastric bypass 5 years ago. I am now going in to have a 'tummy tuck' ... A: The answer is no reason why this op should be a problem for you. You have come through a much bigger ...
Anesthetics for geriatrics	1/2/2008
Q: Good afternnon. My 82 year old mother hads just been told she requires an operation to her humurus ... A: This is a difficult one and she really needs the assessment and advice of someone who has had the ...
frequency of general aneasthetic use	12/24/2007
Q: My daughter almost died in 2006. She was in the hospital for the better part of the year AND had ... A: I am sorry that your daughter has had to have so many procedures and anaesthetics. However I can ...
severe sore throat after surgery	12/16/2007
Q: I had surgery last Wednesday to remove metal etc in sacral area. After a major motor vehicle ... A: Suzanne It is unusual for the sore throat to continue for so long and I believe you are doing the ...
post operative nausea and vomiting	12/16/2007
Q: Can you tell me why i had post operative nausea and vomiting as in the physiological/biochemical ... A: Kimberley Well you asked.. Post operative nausea and vomiting (PONV) is multifactorial in origin but ...
getting an epidural with a sacral dimple	12/12/2007
Q: i am currently pregnant with my second child, and am worried about when i go into labour. with my ... A: As you are obviously young fit and have full function of your legs then I your think your dimple is ...
post anaesthetic side effects.	12/10/2007
Q: I am a 40 year old healthy female who had a colonoscopy in day surgery 3 days ago. Since then I have ... A: I very much doubt that the symptoms you describe are due to the drugs used during your colonoscopy. ...
reaction	12/9/2007
Q: I recently went into hospital for a removal of endometriosis and experienced something quite ... A: It is difficult to be certain what caused you to feel this way but I would guess there are a few ...
Anesthesiology	12/3/2007
Q: Is there a difference between an anesthesiologist and an anesthesiologist nurse? A: I am UK based an so migt not be the best person to answer this but my understanding is that an ...
Epidural administration of antibiotic	11/29/2007
Q: Is there anything known about the effects of administering an IV/IM antibiotic through an epidural ... A: The answer is no. We don't know and there has been no research on this topic as far as I know. ...
epidurals	11/24/2007
Q: I was wondering where exactly is an epidural placed for pain management during labor? I have had ... A: Mmmm. What specialty is the doctor that is suggesting scar tissue build up after your epidurals? ...
pain from the Anesthesia	11/17/2007
Q: I had a hysteroscopy and a poloypectomy as well as a D&C done yesterday. As the Dr. put the mask on ... A: This is not a normal reaction to anaesthesia. Possibilities are that the anaesthetist gave you a ...
Epidural & thrombophilia	11/12/2007
Q: I am so happy to find this service and wondering if you can help. I am 38 weeks pregnant. I have ... A: Colleen As you are on both heparin and aspirin it sounds like you may have antiphospholipid syndrome ...
Can you help me?	11/5/2007
Q: What degree is needed to bacome an anesthesiologist? Also, does an anesthesiologist have on the job ... A: I suspect you are looking for info from the USA. I work in the UK. Here we need to train as a doctor ...
Anesthesiology	10/11/2007
Q: I am quite a bit confused with the first four years of college in order to get into medical school. ... A: Sorry but I am UK trained and based. I therefore have no information about your system, please ask ...
C5-C6	10/9/2007
Q: Late in Dec 06, my neck became very sore, right in the back, dead centre. My MD suggested I go see ... A: I reckon that if you are 45 and you have the neck of a 48 year old then that is pretty good! So I'm ...
general v. regional and PONV	10/6/2007
Q: I would like to know the advantages and disadvantages of using general v. regional anesthesia. Which ... A: The answer is that neither is better, you need to choose the appropriate anaesthetic for the patient ...
Obstetric pain Management	10/4/2007
Q: I had my 3rd c-section this past June and for the past three weeks I have been experiencing a ... A: This is very unlikely - it is a long time lag since your procedure and any nerve damage would be ...
What happens to me?	10/2/2007
Q: I am a 45 year old male in relative good health. I found out last May that i had prostate cancer and ... A: This is a difficult one to answer and I recommend you ask to speak to someone from the Anaesthetic ...
Anestic	9/29/2007
Q: I went to my appointment with my surgeon and he told me that he could not preform the surgery ... A: I am sorry to hear of your problems. The real issue here is what was the reaction you had to the ...
School	9/22/2007
Q: It is for a career project in my consumer mangement class. I am from Yorkville high school. If you ... A: How many hours per day and week on average would an anesthesiologist work? We work between 40-48 ...
Reaction to anesthesia	9/15/2007
Q: I have recently undergone a total hip joint replacement under spinal anesthesia. During the ... A: I am sorry to hear about the problem you are having. It is difficult to think of a mechanism that ...
spinal tap	9/11/2007
Q: My daughter is having a ceaseran and the doctor has decided to do a spinal tap instead of an ... A: Spinals are slightly different to epidurals. Basically an epidural involves putting a little tube ...
medical school	9/11/2007
Q: are there any good medical schools in the UK for anesthesiology? A: Gerald In the UK you still need to train as a doctor to become an anaesthetist - though there are ...
Hi!	9/10/2007
Q: How long did it take you to become what you already are? What's your salary? Is it hard? What ... A: It took 5 years at Medical School to become a doctor, then another 8 years to become a Consultant in ...
Spinal Anaesthetic and numbness and tingling in lower legs and feet	8/31/2007
Q: I really hope you can help me. I had a spinal for my c-section on Friday 17 August. On Sunday 19 ... A: I am really sorry that your symptoms are causing you distress. However I do not believe that anyone ...
Spinal Anaesthetic and numbness and tingling in lower legs and feet	8/29/2007
Q: I really hope you can help me. I had a spinal for my c-section on Friday 17 August. On Sunday 19 ... A: I'm guessing that this was done in the UK. The most likely agents used for this would be a ...
menstrual spotting after lumbar steroid epidural injections	8/25/2007
Q: I have just had my second set of lumbar steroids epidural injections and fustar(?). I have had a ... A: Jessica It should not be a side effect of the sedation or the local anaesthesia involved. Given the ...
Epidural with heart block?	8/20/2007
Q: Dr Jackson, I recently read that epidurals are not recommended with a heart block. Is there any ... A: Sally Anne Heart block is not an absolute contra indication, one does however have to be careful ...
Conscious Sedation Drugs & Adverse Reactions	8/18/2007
Q: My son broke his arm and they used conscious sedation (I believe it was Ketamine). He recently ... A: I am really sorry to hear about the problems your son has experienced after his sedation. Ketamine ...
vicodin	8/14/2007
Q: how do i tell if my partner is using vicodin and alcohol? A: There is little choice her apart from asking your partner. If you are worried about your partner ...
IV	8/13/2007
Q: I open gallbladder surgery on July 5th. After two days with an IV in my left hand, I had some ... A: I assume these knots are hard areas under the skin. These are most likely areas of vein that have ...
Carbatrol and Anesthesia	8/11/2007
Q: I am currently taking 800 mgs Carbatrol for a seizure disorder and I am having cosmetic surgery in ... A: This is not an issue. It is not unusual for us to look after patients on drugs such as yours and ...
Epidural during labor	8/8/2007
Q: Jackson, I am 39 weeks pregnant, about to have my third child. I delivered twins vaginally two ... A: The answer is that epidurals are not always painful. In the past we always asked our mothers how ...
post anestisa meds and asthma	8/6/2007
Q: I am a new RN grad who works in the postpartum unit. We often get fresh C-section pts from surgery ... A: Tammy I am in total agreement with you on this, this is an important part of their analgesia that is ...
post-op pain	8/3/2007
Q: Which profession(al)is responsible for pain following surgery (spinal laminectomy) resulting in an ... A: I understand that this has been a very bad experience for you and has left you with issues that are ...
post-op pain	8/1/2007
Q: Which profession(al)is responsible for pain following surgery (spinal laminectomy) resulting in an ... A: I am sorry to hear about your recent problem. In the UK post operative pain relief is started by the ...
Ranking of an Anesthesiologist	7/25/2007
Q: I was told that an anesthesiologist is above the other doctors besides surgeons. I don't know how ... A: In the UK we all share the same rank as we are all doctors. We also work as a team though some ...
spinal anesthesia	7/21/2007
Q: I am a 31 year old woman who had spinal anesthesia one month ago for a knee scope. A student at the ... A: I suspect that the person doing the spinal on this occasion was a trainee anaesthetist i.e. someone ...
Areas of Study	7/19/2007
Q: What areas do anesthesiologists study? A: Mmm, big answer. We study anatomy, physiology, pharmacology as well as lots of other specialised ...
anesthesilogy	7/10/2007
Q: I'm a senior in high school and interested in Anesthesiology. I live in Rhode Island and i wanted to ... A: There is indeed a whole lot more to it - it is a very specialised area of medicine that allows you ...
awareness after paralytic drugs	7/6/2007
Q: After abdominal surgery and being removed to the recovery room I was not able to move,or breathe on ... A: Reva This is a horrible and distressing thing to have happened to you. I am really sorry you had to ...
complications after esophagectomy	7/3/2007
Q: My sister had an esophagectomy June 25 and has not awakened since. The day after the surgery they ... A: Oesophagectomy is a very large operation with a large list of potential complications. It is ...
Nurse Anesthetists vs Anesthesiologist	6/15/2007
Q: In the future I am thinking about becoming a Nurse Anesthetist or and Anesthesiologist. I ... A: I work in the UK and so have little knowledge of your system. However if you have the choice and ...
What classes	6/5/2007
Q: Ever since i was young i always wanted to become an anesthesiologist it has always been a dream. but ... A: I am really sorry but I was trained and work in the UK. For us we spend 5 years at Medical School to ...
anethesiology	5/27/2007
Q: How does an anethesiolist..determine how much general anethesia to give a patient? is it by their ... A: Everyone reacts differently to drugs - some people are more sensitive while others are more ...
flying and anesthetic	5/23/2007
Q: I have waited four years for ankle stabilization operation and previously had to turn down an ... A: Sorry but the limitations really have very little to do with the anaesthesia. The major issue ...
anesthesia	5/8/2007
Q: I have to get a one day surgery, I have a hernia and an ovarian kyste. I'm worried because I smoke ... A: I would always recommend that you try and stop smoking anything some weeks before surgery. However ...
High Epidural	5/3/2007
Q: is it safe to give high thorasic epidural block for laproscopic cholecystectomy & what are the ... A: I have never tried it. Is it safe? Yes if done appropriately by a skilled anaesthetist. Would I use ...
Anesthesiology Question	4/25/2007
Q: I have a doctor who I think is saying(where the blank is indicated): Patient is admitted to the ... A: This is a difficult one. The bilateral bit would suggest that something was done to the fallopian ...
Epidural steroid	4/15/2007
Q: Is it possible to have tachycardia hours after a transforaminal epidural steriod injection? I asked ... A: As you have a propensity to get a fast heart rate that is controlled by beta blockers then one can ...
Chronic cough gone after general anesthesiology	4/14/2007
Q: I experienced a chronic cough since Oct. 2006 and Dr. was unable to pin point problem, then I had ... A: It is very possible that this improvement is due to the general anaesthetic itself or even maybe due ...
What can i do?	4/14/2007
Q: i was wondering what things should i study if i want to become an anesthesiologist because i am ... A: Jessica Where are you based. If as sounds from the question it is the States then please contact one ...
Epidural steroid	4/13/2007
Q: Is it possible to have tachycardia hours after a transforaminal epidural steriod injection? I asked ... A: I did wonder if you had a background problem with a tachydysrhythmia and nearly asked about this in ...
Epidural steroid	4/13/2007
Q: Is it possible to have tachycardia hours after a transforaminal epidural steriod injection? I asked ... A: Sarah It is difficult to see a link between the steroid injection some hours previously and this ...
misotherapy & anesthesia	4/10/2007
Q: I am having arthroscopic knee surgery on monday. I have been doing mesotherapy treatments for the ... A: This is not something I have come across in the UK before. However I have now researched a bit about ...
Anesthesia problems	4/10/2007
Q: i had a general anesthesia for a ptosis correction.I was told by the anesthesist that i was about to ... A: This question saddens me and I am sorry that you have met a colleague who appears to be blaming you ...
Is "Nociassociation" Really a Danger or is it made up?	3/24/2007
Q: Does the following long message have any truth to it? If this is beyond your expertise would you ... A: Another slant on the same question as I answered on 13/12/06 - though with a bit more meat on the ...
enlarged calf muscle after an apendectomy in 1996	3/20/2007
Q: My husband has had an enlarged left calf muscle since 1996. This happened during his apendectomy ... A: Susan On the basis of what you have just said the chiropractor is merely repsonding to something he ...
enlarged calf muscle after an apendectomy in 1996	3/20/2007
Q: My husband has had an enlarged left calf muscle since 1996. This happened during his apendectomy ... A: Susan That is an interesting question. It is difficult to see how the anaesthetic could have caused ...
Cystectomy sedation	3/14/2007
Q: My grandfather had his bladder taken out due to cancer last Monday and right now he is not doing ... A: Heather I am sorry to hear about your grandfather, this must be a difficult time for you and your ...
post anesthesia complication post acromioplasty	3/7/2007
Q: Dr. Jackson: I appreciate your rapid response. My attempt to be brief was at the expense of ... A: Janice Given the problems you experienced I find it hard to understand why your anaesthetist did not ...
Epiderals and back pain	3/1/2007
Q: I was given an epideral with the birth of my daughter in October of 04. Since then I have had ... A: The truth is that this is extremely unlikely to be related to your epidural. Unfortunately a large ...
post anesthesia complication post acromioplasty	3/1/2007
Q: All anesthesia carries risk. What is the clinical research on risk rate following 11 minutes of ... A: Janice I suspect from your question that this occurred in the USA. I only start this way as it may ...
Safe to fly 8 weeks post surgery?	2/27/2007
Q: Dr. Jackson: My mother was in an ATV (4-wheeler) accident on 12-24-06. She broke her right upper ... A: I suspect that unfortunately that no one is willing to take responsibility for this decision. I am ...
Spinal Tap	2/22/2007
Q: Sorry, I have another question..Thanks for your time, I appreciate it; I was wondering if there is ... A: Much better to have nothing as anything you are given can effect baby as well. If you find simple ...
Spinal Tap	2/22/2007
Q: I am scheduled to have a Caesarean Section with a Spinal Tap. I have low blood pressure...around ... A: A good question.. Basically your anaesthetist should discuss this with you beforehand. It just means ...
Anesthesia	2/20/2007
Q: Im going to have lower jaw surgery (Orthognathic surgery) can I choose what kind of anesthesia I ... A: You can (and should) discuss the type of anaesthesia needed with your anaesthetist. However the ...
breast augmentation and anesthesia	2/8/2007
Q: I'm 23 years old and having a breast augmentation in the beginning of March. As far as I know I'm ... A: Modern anaesthesia is extremely safe. You should have a look at the information held at ...
Epidural procedure	2/7/2007
Q: I have had ongoing pain in my back at the epidural site as well as a tingling feeling that I can ... A: Natalie It seems to me that the appropriate referal has been made and that your Neurologist should ...
tethered cord syndrome and meningocele	2/2/2007
Q: MY SON OF ONE MONTH AND A HALF WAS DIAGNOSED WITH MENINGOCELE AND TETHERED CORD SYNDROME. HOW SOON ... A: Chris I work in the UK and so we currently don't have to consider these issues. I have not worked in ...
Neck ,shoulder pain	1/30/2007
Q: I was wondering ,I have bone spurs on several dicsc on my neck which looked like one was hitting a ... A: Sorry but a lumbar epidural would not help with pains in your neck. The epidural depends on placing ...
spidual	1/30/2007
Q: m writing bout my previous c-sections that was done successfully with epidural and spinal ... A: Spinals and epidurals have some major differences. One of these is the quality or strength of the ...
spinall anaesthesia/c-section delivery	1/27/2007
Q: I am scheduled to deliver my second child via c-section this feb. 15th. I am extremely nervous as I ... A: Now then you had an epidural the first time and it was OK. A spinal anaesthetic is very similar but ...
Formula for Dosing	1/24/2007
Q: Is there a formula that coorelates doses, from pill form to an IV? I'm particularly interested in ... A: In someone who has stable pain control we usually work on a 3 to 1 ratio i.e. for every 30mg of ...
The "A" and the Patient	1/24/2007
Q: Is the anesthesiologist ONLY involved with the patient relative to surgery, i.e., pre-surgery ... A: Theresa I suspect this varies a bit around the world but in the UK the anaesthetist is involved in ...
scared of fentanyl and versed	1/14/2007
Q: Please help me. I am so very scared to go under when i get my wisdom teeth extracted. I have anxiety ... A: Sorry but due to time difference between us (and work!) this is the first chance I have had to ...
operation	1/12/2007
Q: can you tell me if this is the normal drugs used in operation, diazimuls 10mg, brietal sodium 70, ... A: Some years ago (?how many) You don't mention if it was open or a laparoscopic operation? Diazemuls ...
Etomidate	1/12/2007
Q: I am curious about the current usage for etomidate. It was the drug of choice for RSI in emergency ... A: Most of the original work on this stemmed from Glasgow and was based on an increased mortality rate ...
gall bladder removal	1/11/2007
Q: my wife has sarcoid of the lungs. bronciactus. and extrinsic allergic alviolitis. one lung works at ... A: I am sorry to hear about your wife's problems. The important thing is for you to ask to meet your ...
Anesthesia and Amnesia	1/8/2007
Q: I had a health crisis a year ago in which I was rushed to the hospital for emergency surgery. I was ... A: It sounds like you had a really tough time when you were admitted and that you were extremely ...
Concerns over too many general anasthetics	1/8/2007
Q: (From UK) Hi, I wonder if you can give me some advice regarding the amount or number of general ... A: I am sorry to hear that you have had so much exposure to the health service over the past few years ...
examples of procedures	1/6/2007
Q: Levy, I was wondering what are some examples of procedures done with general, local, and regional ... A: This being the second time I have been asked this question I have a feeling I am being asked about a ...
types of anesthesia	1/6/2007
Q: i would like to ask you wat kinds of surgery uses general, local , and regional anesthesia? thank ... A: Kimberley The answer is many different types! General anaesthesia can be used for almost all ...
anesthesiology	1/5/2007
Q: I am currently an CNA and am going to college. I am not quite sure on what route to take to become ... A: I am a UK doctor who trained to be an anaesthetist, and I did all my training in the UK. So I am ...
Pain duing anesthetic injection	12/21/2006
Q: I recently had 4 wisdom teeth removed under general anesthetic. I have had general anesthetic twice ... A: What you experienced was almost certainly a side effect of the drug being given to put you to sleep. ...
What is the mechanism of nociassociation?	12/13/2006
Q: How does nociassociation work? Why isn't the term in common use? ... A: A very interesting question. I have never come across this word in my time in medicine in the UK. A ...
spinal anaesthetic site still sore after 4 weeks	12/8/2006
Q: One other thing that your answer brings to mind is the teaspoon or so of blood from the puncture ... A: It would be consistent. Remember what I said about the ligaments being tight - that means the ...
spinal anaesthetic site still sore after 4 weeks	12/8/2006
Q: About 4 weeks ago I had a spinal Anaesthetic for incision and drainage of infected Prepatellar ... A: It is unusual to be having problems this long after a spinal anaesthetic but it does happen. Firstly ...
anesthesiology related to math	12/5/2006
Q: Can you give me an example of how simple math (arithmetic, multiplication, division, basic algebra, ... A: This sounds a bit like homework to me! Most drugs in anaesthesia are given on the basis of ...
bone marrow biopsy	12/4/2006
Q: I am so afraid to have this procedure without sedation. Shouldn't I be able to insist? I have been ... A: Please express your concerns and anxiety to your doctor when you go for your procedure. You must let ...
epidural	12/1/2006
Q: I had a pulmonary embolism 1 month after having my first child. Now I'm worried about the risks of ... A: IT is unlikely that they would leave you on coumadin when it comes time for you to deliver. If you ...
Pain Management and Drug Interaction	11/29/2006
Q: Is there a contraindication for using MSO4 and Benadryl at the same time? Thank you. A: If I assume that MSO4 is Morphine then it obviously has sedative properties as does Benadryl. There ...
Reactions	11/24/2006
Q: ..im actually askin because im to undergo a procedure soon and it will be my first time under ... A: That is helpful, now I understand. The most important thing is to understand is that these reactions ...
Reactions	11/24/2006
Q: Some patients can experience adverse reactions when being anaesthetised..what types of anaphylactic ... A: Not sure why you are asking this question, I would need more information as this is a large area to ...
Severe Sore Throat After Anaesthesia	11/22/2006
Q: Lucky me as I get to have my second major surgery in a year and a half at the age of 26. The last ... A: I am really sorry that you have to undergo further surgery. The important thing here is to explain ...
Anesethia for heart problem.	11/21/2006
Q: What type of anesthesia would you use for a 74 year old male with diabetes, heart problems, (bypass ... A: Now I am not certain if you are medical or not and so it is difficult to guage what details you may ...
becoming an anesthesiologist	11/19/2006
Q: i am in high school and doing a research paper on the career of anesthesiology. I was wondering if ... A: Now I work in the UK so life is a little different over here! We do not have health benefits/ ...
a typical day at work as an anesthesiologist	11/17/2006
Q: my name is Grace. When i grow up i want to be an anesthesiologist, and i just wondered ... A: From your question I have to assume you are in the USA. I am uncertain of training requirements and ...
Are you a dr?	11/16/2006
Q: Is being a anesthesiologist the same as a Dr. A: Samantha In the UK we train for 5 years to become a Doctor and then specialise in anaesthesia which ...
Biology Report	11/8/2006
Q: I'm a freshman in high school and I'm doing a report on anesthesiologists for Honors Bio. I was ... A: Wow, that is a big question. I'll give you some headings for each Pros technical skills - good if ...
cut/swollen lip after anesthesia	11/4/2006
Q: I had a hysterectomy a few days ago. When I woke up from surgery I thought someone punched me in ... A: I am sorry to hear about your problem following your anaesthetic. This can happen during surgery but ...
anesthesiology, anethesiologist	10/28/2006
Q: I am a sophomore at Mt. Hebron High School, currently taking an Independent Resource G/T course, ... A: This will be brief as I don't normally answer questions linked to school work. When you start out in ...
the ultimate question	10/21/2006
Q: While researching the questions ask at interviews what is most common is Why do you want to be a ... A: I am really sorry but CRNA stands for Clinical Research Nurses Association in the UK. We don't ...
Education	10/13/2006
Q: I am a freshman in Highschool wondering what my grades should be like and what courses I should take ... A: You really need to ask one of my American colleagues about this as I am UK based and don't have a ...
Spinal Block - Breathing Difficulties	10/10/2006
Q: I firstly had an epidural during labour but when I was rushed to surgery to have an emergency ... A: Jo This can happen. But the explanation is a bit complex without diagrams but I will try my best. An ...
what classes, degress, majors.	10/3/2006
Q: hey, i am interested in anesthesiology. so i was wondering what degree do i need to pursue, and do i ... A: Sorry You would be best sending this to an anaesthetist based in the USA. In the UK currently ...
lethal injection	10/3/2006
Q: During trial last week in the Morales v. Woodford case in California, attorneys for Morales ... A: As a UK anaesthetist this is outside my expertise. All I can say is that the dose of sodium ...
effexor and anesthesia during labor/delivery	9/21/2006
Q: I am on effexor xr 150mg 2x day. I will be having a baby soon and may require a c-section delivery. ... A: The fact that you are on this drug does not change your options in any way. I would manage you as a ...
waking up	9/20/2006
Q: i just wandered why you have such a weird feeling when you wake up from surgery, i am having a ... A: Andrea The first thing is that you should explain fully what you have felt in the past to your ...
anti-inflamatory action of over the counter painkillers	9/12/2006
Q: I live in Belgium and the painkillers I buy most of the time are acetylsalicylic acid and ibuprofen. ... A: Both drugs are anti-inflammatory by an action on what is known as the cyclooxygenase enzyme system. ...
Anesthesiology	9/11/2006
Q: I am having my right middle finger rebroke pinned and plated .....I am having it done in Denver ... A: Now in that case that is definitely a day care proceedure. This is an operation on a peripheral part ...
Anesthesiology	9/11/2006
Q: I am going under for surgrey for the first time in 31 years what can I expect before and ... A: Things have changed a lot over the last 31 years. I assume from what you are saying that you are ...
anesthesiology	9/10/2006
Q: my name is Iman Budwan and I am 14 year old that is in 9th grade. I am VERY interested in becoming ... A: I am glad that you have a good idea of what you want to do in the future. I have to confess I ...
qualifications	9/6/2006
Q: Please can you explain what a Research Fellow in anaesthetist is. What does this mean and are there ... A: I suspect there must be reason behind this question.... A Research Fellow covers a multitude of ...
Epidural	9/3/2006
Q: I have a herniated lumbar disc, L4-5. I had surgery (laminectomy) in 2003 after trying 2 epidurals ... A: Dan I can talk from personal experience here. Got that tea-shirt! I would go with the course of ...
Becoming an Anaesthetist	9/2/2006
Q: I have a question about becoming an anaesthetist. Once you are an RN, you must have at least one ... A: Britt This is outiwth my experience. I have followed the traditional medical school training and ...
epidural	9/1/2006
Q: Would you have performed an epidural be it caudal/lumbar without x-ray after noting extensive ... A: An interesting question and I am sorry to hear that you have had such problems with your back. The ...
board certified	9/1/2006
Q: oh thats alright... but can you tell me what things you go through in a days work?i understand that ... A: Now that I can answer (though again remember the UK perspective). Background to UK training. Firstly ...
sympathetic nerve block	8/29/2006
Q: Last week I had a sympathetic nerve block done to take care of some pain I had in my knee from a ... A: I have to admit that chronic pain management is not one of my areas of expertise. It is unclear to ...
Recovery from general anasthetic effects	7/17/2006
Q: My Grandad is 80 yrs old and had a cornia eye transplant over a month ago, he is currently suffering ... A: Rhian or Mark Hi there, I am really sorry to hear about your Grandad. It is an unfortunate fact that ...
Epidural	7/11/2006
Q: After my son was born via c section with spinal tap, I suffered with sudden attacks where I could ... A: The description you give of a c section under spinal tap suggests you didn't have an epidural but ...
Going Under Issue...	7/3/2006
Q: I am so happy I found this board so I can ask a question from you. I had my gallbladder removed ... A: Christine What can I say - your experience sounds horrendous. It is really important that you ask ...
heamatoma caused by cannula	6/28/2006
Q: I was wondering if you could put my mind at rest. I had general anasthesia on 1st February 2006. ... A: Elaine I suspect the pain is linked to the canula and if the vein feels hard then the vein ...
what is your job as a anesthesiologist?	6/25/2006
Q: someday i would like to become an anesthesiologist and i wanted to know what is basicly your job of ... A: Gerel There are large differences across the world in what our jobs entail. In the UK we look after ...
General anthesthetic	6/8/2006
Q: I live in Canada. I was under general 2 years ago to remove a cyst in day surgery. I woke up as ... A: From what you have written I am assuming you woke up after the operation when they were removing the ...
Action Of Anaesthetics	5/27/2006
Q: Jackson ,can you verify for me the accuracy of information that I recieved via an Italian Heart ... A: I could give you a complicated answer about how we know how certain drugs work BUT the basic answer ...
Pseudotumor cerebri	5/23/2006
Q: I am 36 years old and I have a 2 year old son. 3 months postpartum, I was diagnosed with an ... A: This is really off beam for me so treat all answers with care. Firstly we do see a few patients like ...
Delivery Options	5/22/2006
Q: My husband and I are actively trying to conceive our first child; however I have some concerns about ... A: Sorry to hear about your accident in Scotland - I hope you were looked after well! Believe it or not ...
How painful is arthroscopic knee surgery after it;s done	5/12/2006
Q: how painful if the recuperation from arthroscopic knee surgery A: We routinely provide this service as a day case procedure in my hospital. So the quick answer is ...
anes in 9mth old child	5/10/2006
Q: my niece had surgery this morning having tubes put in her ears and adnoids taken out. during surgery ... A: I am sorry to hear of the problems your neice has had during her operation, this must be a very ...
Day care Surgery	4/29/2006
Q: Jackson, I was unfortunate not to interact with you during your recent visit to Nagpur with ... A: I am sorry we did not get the opportunity to meet, however my time in India was very limited. This ...
APPENDICITUS	3/9/2006
Q: CAN YOU HAVE YOUR APPENDIX REMOVED WITHOUT GOING UNDER GENERAL ANESTISA, AND HAVING AN EPIDURAL ... A: Amy It is possible to have your appendix removed under an epidual or what is called a spinal ...
Sleep	2/23/2006
Q: I have had many surgeries over the years. Auto accidents (4 head-on crashes), eye lenses, hernia, ... A: Now I really wish we knew exactly how anaesthetics work. What we do know is that you are ...
LOng term oxycontnin use	2/18/2006
Q: used oxycontin for 5 years. start at 20 mg day for back finished at 140 mg per day for back pain.. ... A: Well done for weaning yourself of the opioids. This is well outside my area of expertise. There are ...
Quaternary Ammonium Use ???	12/17/2005
Q: After a head injury 2 yrs ago,I discovered I had a sensitivity to quaternary ammonium class of ... A: Mary Now that is an interesting one but not unusual. In anaesthesia we use quaternary amines mainly ...
Alternative recipes?	10/29/2005
Q: I have ME/CFS. I have read that some people develop ME after an operation and general anesthetic. So ... A: Steve Beware of what people tell you! I know of no randomised controlled trials in people with ME ...
Awareness during anesthesia.	6/26/2005
Q: There has been some press in the past few years (in the U.S.) about people being aware of their ... A: Shannon This is something that we are spending a lot of time trying to prevent. In reality it ...
Anesthesia/Pain Management	6/16/2005
Q: I don't know if my question is too out of range from your expertise, but any info you can give would ... A: I'm sure you could find some interesting websites with info on such things ...
question	5/15/2005
Q: I have surgery scheduled on Monday and it would be HIGHLY inconvenient (for many reasons) to cancel. ... A: Joanne Sudafed is OK as long as stopped 24 hrs before surgery. I'm sorry to say that I can't ...
surgery	5/6/2005
Q: I am scheduled for a breast reduction surgery in 2 weeks. They will be removing a large amount of ... A: Shelly Yes 2 weeks is long enough to get rid of the possible effect it may have. Remember to tell ...
spinal anesthesia	3/27/2005
Q: ------------------------- Hi, I want to ask some follow up questions if u plz, first of all, i want ... A: San Yes you should be able to position yourself as you want after surgery. I believe that spinal ...
spinal anesthesia	3/26/2005
Q: im scheduled to c-section because my baby is in breech position. I want to ask some question ... A: Your weight should present no problems for the anaesthetist - 76 kg is lightweight. We do so many ...
Epidurals	3/12/2005
Q: When using Epidurals during labour. At what stage can an epidural be used when being in labour? ... A: Epidurals can be used at any time during labour, we sometimes even insert them before the labour ...
Epidural For Labor Pains	2/22/2005
Q: Jackson, Hi, my name is Sarajane and I am 27 weeks pregnant. I am thinking about opting for an ... A: Sarajane Please don't worry. We usually manage to provide epidurals even for the largest of ...
drug use and anesthesia	2/8/2005
Q: I am suppose to get anesthesia before they put a scope to check out my stomach. I heard that if you ... A: Alex Basically as you have been off drugs for 7 months this will not be a problem. Best to be ...
femoral neuropathy after femoral block by anesthesiologist	1/20/2005
Q: I am a PhysioTherapist. I know of someone who underwent routine knee surgery and received a femoral ... A: Nerve damage following local anaesthesia is rare but does happen. When it happens to major nerve ...
pain management and quality of life	1/12/2005
Q: I am a teacher working on a research project about the impact of technology. What do you think the ... A: Wow big questions! This has to be a personal opinion. I'm not an expert on chronic pain and so will ...
Effects of long-term Oxycontin use	1/1/2005
Q: I was placed on Oxycontin for neuropathy pain. The doseage progressively increased and after 2 ... A: Curt To my simplistic mind Oxycontin is a fancy way of providing morphine for the management of ...
Anesthesia question	11/21/2004
Q: My name is Roberto and I'm 29 years old. Back in 2001 I went into nose deviated septum surgery. I ... A: I assume from your story that you are feeling that you cannot feel sensation around your nose. I'm ...
Pain during application of intravenous aneasthesia.	9/23/2004
Q: I am currently a university student working on an assignment on intravenous aneasthesia, in ... A: Nicholas I'm sorry but I don't know the pharmacological reason for the pain - except that it is a ...
Propofol	9/21/2004
Q: I have a very urgent question. I'm student in PhD (physics), I worked on the antioxidant properties ... A: Belinda Wow! Now that is a question and for tomorrow - no pressure then! What you need is a ...
anasthetic complications	7/11/2004
Q: My 15 year old daughter recently had her tonsils out . She did not react well to the anasthetic and ... A: Suzie Everyone reacts differently with anaesthetics but it is amazing how easy it is to pick on ...
Software	6/4/2004
Q: Good Day Ian I am from South Africa and I wanted to know whether there is 1)Any practice ... A: Louis Now then that is interesting. I am UK based and gave up private practice 3 years ago. Prior ...
Heart rate after surgery	6/2/2004
Q: I underwent bone graft surgery on my shoulder a few months back. About two hours after the surgery ... A: Mary It is possible for your heart to be affected by marcaine. Though it is unusual for it to cause ...
Ankle surgery quick question	5/10/2004
Q: I've been told previously that I need to undergo an ankle surgery. My question to you is, whether ... A: The quick answer is yes. It can be done under spinal or regional anaesthesia. Spinal is quick and ...
children with epidurals	4/4/2004
Q: The child is 7 yrs. old. She had undergone bilateral osteotomies and adductor releases. She came ... A: That gives me more of an idea. In this situation go with my plan B i.e. don't tilt head down but ...
children with epidurals	4/4/2004
Q: Is it safe to tilt the head down of a child with epidurals when a blood pressure is low? If yes, for ... A: I need more information? Age of child, height that epidural was sited (lumbar, thoracic?) What has ...
no food or drinks allowed	3/22/2004
Q: Why is it when people are facing surgery, they are not allowed food or drinks pass a certain hour? ... A: Amy This is because of concerns about the amount of fluid and acid you have in your stomach when ...
CVA's and ASA therapy	3/20/2004
Q: A 25-year-old Caucasian male presents with a very strong substance abuse problem. Drugs of choice ... A: Jason A very well detailed question and a good one! However this is totally outside my area of ...
unconsciousness	3/13/2004
Q: can you please help me I want to know the fastest anesthesia by inhale which chemical matter do you ... A: saeed I'm not sure what you are looking for but none are as fast as seen on films! I still believe ...
Feeling	2/23/2004
Q: Have you ever heard of a condition/disease/disabilty that is the cause of chronic and total loss of ... A: Luke That is a difficult one! I'm aware that Leprosy causes loss of feeling in parts of the body ...
intraoperative awareness	2/13/2004
Q: I am looking into why people experence intraoperative awareness. How important is it to give a ... A: Marielle Complicated this bit It is virtually impossible to be aware and be able to breathe for ...
intraoperative awareness	2/13/2004
Q: I am looking into why people experence intraoperative awareness. How important is it to give a ... A: Marielle Awareness during an operation only occurs when someone has been paralysed so they cannot ...
drug use	2/12/2004
Q: When someone consumes, in excess, most recreational drugs or drugs used legitamtely to treat chronic ... A: Jason Though I am an anaesthetist I and have lots of experience with many drugs - this does not ...
Scaphoid repair under local anaesthetic?	1/16/2004
Q: Sir, Please may you advise me whether it is possible, even remotely, to repair a scaphoid (small ... A: It is possible but would probably require a local anaesthetic injection to numb your whole arm. This ...
did something dumb	11/20/2003
Q: I would like your opinion. I am having a cerclage placed in my cervix for pregnancy today. They ... A: Michelle I'm sure I'm too late but my answer for what it's worth is no this is not a good reason to ...
Pain	11/4/2003
Q: Seeing as you are an expert in regard to medications that control pain I have a question / issue for ... A: Paul Many thanks for the challenge! Let's see what we can do. Firstly there is a group of drugs ...
Anaesthetics on HS surgery.	7/7/2003
Q: I have a condition called Hidradenitis Suppurativia and require large amounts of diseased skin to be ... A: Debbie I am sorry to hear about your bad experience with general anaesthesia. What your surgeon has ...

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