Getting Surgery? Have questions about anesthesia ?

Will I wake up in the middle of Surgery?

Waking up During Anesthesia is exceedingly rare and most reputatble reports are in severe trauma cases and Cardiac Bypass.  The most common misunderstanding is a Patient awakening during a sedation case and thinking they were under General Anesthesia…..Big difference.  We can monitor Brain wave activity to ensure depth of Anesthesia is appropriate

How Do You Make Sure I wake up?

Anesthesia is an Art developed by years of training and experience every patient is unique and we dose our medications to each patient as a unique Entitiy and dose all medications as you react to them, not weight based alone, but on how each patient reacts.  Every BODY is different and is treated as such

What Drugs are You Using??  I read that Michael Jackson died from anesthetic medications

Anesthesia involves a unique combination of medications to cause a hypnotic state where lack of recall takes place, pain medicine, anti-anxiety medications and anti-nausea medications.  Any celebrity that has been in the news is a unique situation most often tragedy results from misuse of medications outside the controlled setting of the operating room

Will you make sure I am not in Pain ?

I can never PROMISE no pain, I can promise to teach you how to not only stay ahead of severe pain, but I will use the best medication to suit your needs.

Promise You Will Be In the Room The Entire Time ?

It’s the Law that an Anesthesia Professional be in the room at all times, as long as you’re a patient in the Operating Room the Anesthesiologist has a moral and legal responsibility to take the best care of your life and keep you safe from harm.

 

These are the common questions that often lead to more, especially as surgery becomes more specialized and so does our management of our patients as Anesthesiologists.Are you undergoing surgery, feel free to contact use for an independent in-depth, preoperative consultation, our board certified anesthesiologist will sit one on one and answer any questions and address any concerns you might have..

 

Failure To Thrive

Introduction

Failure to thrive is a generalized term used to describe a condition of poor growth in children; this can have multiple causes, and thus require a thorough evaluation. This condition takes into three important parameters, Height/ Length, weight and Head Circumference. There is no standard definition of failure to thrive. Nor is there a standard time frame for how long it should exist before taking action. General pediatric consensus states that generally patients who fall below 5%tile – 2%tile or those who fall of the growth curve by two curves. Numerous factors need to be considered, and can be subdivided into organic causes, or inorganic causes (psychosocial factors, eg poverty, or maternal inexperience, or neglect). Failure to thrive is a bit tricky because by itself it’s not a diagnosis but a symptom to warrant further evaluation to isolate the cause.

Causes of Failure to Thrive

The most common cause of failure to thrive, is insufficient nutritional/caloric intake, (inorganic cause) could be due to many causes, Mothers lack of knowledge, (seen in teenage pregnancy), poor socioeconomic status, abuse in the form of neglect.

Organic causes

Celiac disease, Pyloric stenosis, GI malformations, immune deficiencies, malignancy Thyroid disease,

Management

Because failure to thrive is mostly a psychosocial issue,  and both the care provider and the patient need to be evaluated, to identify the cause, often time’s blood tests will not yield the cause of the problem and are generally not the next step in management. Getting more details of the family dynamic and Childs feeding habits are more important then lab tests.

Treatment

Parental education, will be key to treatment in most cases, advice will be directed at the cause, for example.. cause is no money for food, suggest resources for free meals
If cause is parental depression, then psychotherapy and counseling services to treat parent.….If abuse/neglect is suspected, then hospitalization is warranted. If poor parental knowledge is the cause, provide nutritional support to educate parents on thickening meals.. ( cream sauces add gravy sauces, increase fat content) ..

In medicine doctors will come across patients of multiple backgrounds, some diets are plant and water based..ie south Indian diets,) so in patients who leave their country often times leave a support system and come to America with little knowledge of culture and dietary options.. People may not know about things like sour cream or, mayonnaise) so the doctor is the support system and should provide the proper nutritional counseling needed.If the condition is due to a a medical cause then treatment should be directed at the medical condition…

Was your child diagnosed failure to thrive? Do you feel your questions went unanswered?  Do you want to sit one on one with our pediatrian, and discuss your unique case? .. Contact us…