i had an endoscopy done and it said under preparation:EKG,pulse,pulse oximetry and BP were all monitored throughout procedure.ASA classification: class 2 patient has mild to mod systemic disease that may or may not be related to the disorder requiring surgery.....what does the class 2 part mean that i have systemic disease that may or may not be related to the disorder requiring surgery.

Dear Justin

When person without medical background read paper with specific medical terminology and abbreviation, he or she can be scare to death.
Relax, you are doing fine. I think that your health is better than other people. Anesthesiologist estimates your health as pretty good.
American Society of Anesthetists (ASA) describes patientsí preoperative physical status as you have mild problems with health.

ASA Physical Status (PS) Classification System*:

ASA PS Category   Preoperative Health Status   Comments, Examples
*ASA PS classifications from the American Society of Anesthesiologists
ASA PS 1   Normal healthy patient   No organic, physiologic, or psychiatric disturbance; excludes the very young and very old; healthy with good exercise tolerance   

ASA PS 2   Patients with mild systemic disease   No functional limitations; has a well-controlled disease of one body system; controlled hypertension or diabetes without systemic effects, cigarette smoking without chronic obstructive pulmonary disease (COPD); mild obesity, pregnancy    

ASA PS 3   Patients with severe systemic disease   Some functional limitation; has a controlled disease of more than one body system or one major system; no immediate danger of death; controlled congestive heart failure (CHF), stable angina, old heart attack, poorly controlled hypertension, morbid obesity, chronic renal failure; bronchospastic disease with intermittent symptoms

I wish you good health.

Peter Melamed. Ph.D.
Biotherapy Clinic in San Francisco
Phone: (415) 409-3939
Fax: (415) 409-3909


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Peter Melamed, PhD


I can answer all questions about digestive health, especially in focus on the non-drug, non-surgery treatment. It includes healing diet, acupuncture, herbal medicine, nutritional supplementation, healing mineral water, abdominal massage, and cleansing techniques. All these practices are widely used by gastroenterologists all over the world.


This is my everyday job at Biotherapy Alternative Medicine Clinic in San Francisco. I have decades of the experience of working as an MD in ICU, outpatient department and privet practice. I have helped many of my patients with the chronic digestive disorders by using the non-drug, non-knife approach for the 20 years.

I published many articles on internet about gastrointestinal disorders. 1. Peter Melamed, Ph.D., Felix Melamed, LAc, MSTCM. EBook Healthy Pancreas, Healthy You. Publisher Biotherapy, Inc, September 2014 2. Peter Melamed, Felix Melamed. Chronic Metabolic Acidosis Destroys Pancreas. JOP. J Pancreas (Online) 2014 Nov 28; 15(6): 552-560 3. Peter Melamed, Felix Melamed. Short Review of Our Work - "Chronic Metabolic Acidosis Destroys Pancreas" with Focus on the Functional Exocrine Pancreatic Disorders JOP. J Pancreas (Online) 2015 Jul 08; 16(4):365-368 4. Peter Melamed, PhD, and Felix Melamed, MS. Acidity Kills the Pancreas. Townsend Letter, the Examiner of Alternative Medicine. August/September 2015, p. 74-80 5. Peter Melamed, Felix Melamed. The Role of the Metabolic Acidosis in the Development of Chronic Pancreatitis. SM Group (USA) Chronic Pancreatitis: Recent Advances. 2015, Aug 10

MD, Ph.D. in the medical science and also LicAc, RN

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