Dr. Orrin Ailloni-Charas

Anesthesiology
San Francisco, CA
31 years experience male

Locations

Office

San Francisco , CA

Address

3700 California st, San Francisco , CA
Directions

My office hours

Thursday: Closed
Show more

Insurances accepted

Blue cross blue shield

Medicaid

United healthcare

Office

San Francisco, CA

About

Bio

Anesthesiologists get to go to work, put on a mask, and help people every day. My practice is comprehensive, including everything from obstetrical anesthesia to liver transplant anesthesia to regional anesthesia and nerve blocks. I am also involved in the business and financial management and administration of my practice.

Specialties
Doctors may have more than one area of specialty interest. Board certification in a specialty area means the doctor has completed formal training and has practice experience in that specialty, and has passed the certification examination from the corresponding accredited medical specialty board.

Anesthesiology

Business and Administration

Obstetric anesthesia

Regional anesthesia

Transplant anesthesia

Licenses

United States: California

Languages spoken

English

Doctor Q&A

683 Answers
593 Agrees
The number of answers this doctor has agreed with.
A 27-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It should not: Please consult immediately with your anesthesiologist if you have a problem. If this is an acute change, you should go to the er right away.
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Very low. : Some experience pain at the injection site. Rarely, there could be a nerve injury. More commonly, the epidural medications can cause transient hypot... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It depends : On your goals. Natural childbirth in most cases is a great approach to labor. Sometimes there are medical issues that necessitate an anesthetic inter... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Many people: Request either an epidural or IV narcotics for labor. Some choose or have to go without. Do some research, talk to your OB and partner, and make the b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
You will have : To have your platelet count redrawn prior to the placement of the epidural. We look at two things, absolute number of platelets and the downward trend... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It depends: On what medications were used.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
General anesthesia: Is not the first choice for anesthesia during C-section given the increased risks it creates for the mother and the medications it delivers to the bab... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Yes. : Numbness is a sensory phenomenon. Pushing occurs through activation of muscles by motor nerves. Thus, if you are numb, you may still be able to push. ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Some minor : Procedures can be done with local anesthesia. Most are done with general anesthesia, with close attention paid to minimize the risk of worsening any n... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
The epidural space: Can be found at lumbar, thoracic, and cervical levels, as well as around the brain. The location injected depends on the reason for the anesthesia. F... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Your thirst: Is quenched and your belly filled. Unless you are receiving sedation for the procedure, you don't need to fast. Consult with your doctor about his pre... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
If it is pain: At the insertion site, warm compresses and anti-inflammatories should help. If it is more severe you should speak with your anesthesiologist who may r... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Placement: Of the epidural is relatively painless; a bug bite of local anesthesia in your back, possibly a mild electric shock. The medication can diminish nerv... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Hopefully : Pain relief.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Talk to your: Doctor. If you feel that you need some medication for anxiolysis and it isn't the standard of care where this will be done, ask your doctor to prescr... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 39-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Keep you safe : And comfortable for a surgical procedure. It can be straight forward at its most simple and extremely complicated if you are having a major surgery or... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 48-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Narcotics : Aren't used for blood pressure control. Anti-hypertensives and diuretics are.
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Make him. : Not only does he have to contend with any complications from a difficult intubation, like aspiration pneumonia, but his initial need for intubation ne... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Yes: There is no problem mixing them as long as you take them as prescribed and have no underlying contraindications to them.
Created for people with ongoing healthcare needs but benefits everyone.
A 19-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It is not: A good idea to take high doses of narcotics, especially if you are not typically tolerant of them. Try taking one and seeing how you respond. Consul... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Narcotics: Cause pupillary constriction, not dilation. Consult with your doctor about what other meds you may have received.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
The narcotics : Should do the trick. Take them as advised by your doctor. Otherwise, add tylenol (acetaminophen) or Motrin if okay with your doctor.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
If you have : A true Lidocaine allergy and NT an allergy to the preservative it is in, then, instead of an amide local anesthetic, try an ester local anesthetic lik... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Yes: And they range from nausea and sore throat to stroke and death. Discuss your concerns with your surgeon and anesthesiologists. They will help you unde... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
A safe choice : Would be to have a dentist do the work in a hospital setting with a board certified anesthesiologist. You will be monitored during and after the proce... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
You will: Feel sleepy and relaxed. Hopefully not too dizzy or nauseated. Sedation is used to make the procedure less unpleasant.
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It can be,: As can some surgeries. It is best to avoid all non-essential procedures until after delivery.
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Local : Anesthesia has to come into contact with nerves to work. Any barrier to contact will impede function. Ph changes can impact effect. So can local anest... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
You most: Definitely we're not given that much versed. Maybe you meant 5 mg? Either way, versed should have no long term impact on sleep.
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Several reasons: Intubation can occasionally be traumatic, with injury being caused by placement or pressure from the tube or laryngoscope. Also, sometimes, after extu... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
The right answer : Is that we would need more information before we proceed with anything. You should seek out an anesthesia consultation and be prepared to discuss your... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It's much better : Than surgical pain. You'll feel a pinch and some mild burning. Then the injected area will become numb. After that you may feel some pressure, but yo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
If he is : Refusing treatment, but is of sound mind, you have an ethical dilemma. A family conference may be appropriate.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Stop using the : Medication and consult with an ENT as soon as possible.You may require further treatment.
Created for people with ongoing healthcare needs but benefits everyone.
A 41-year-old male asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Acutely : If there were no contraindications and the pain and anxiety were well treated, i would probably use labetelol, but there are a lot if choices. We tail... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Not clear : Where the hernia repair was on the abdomen vis a vis your pain. I recommend calling your surgeon. If you have severe pain, bowel obstruction, or fev... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old male asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Local anesthetics: Block sodium channels on the nerve, thereby preventing the propagation of an electrical signal.
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It relaxes : You and provides some analgesia.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
You've taken a lot: Of medications have additive effects. You should GI to the er for evaluation and observation. If you really need medication and aren't just using th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Fentanyl is more : Potent than morphine and has a faster onset. It also clears faster. Properly used, they both treat pain well, but the morphine will last longer. Imp... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Discuss with: A urologist. If surgery or eswl is not an option, oral narcotics should be able to get you through it.
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
You can: But it is best to wait to have elective surgery until after your delivery.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
No: Unless you have a lot of intraabdominal adhesions.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old male asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Not a : Good idea. Call old doctor and get refill or call new doctor and ask them to refill.
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
If a dialysis : Patient has severe dehydration, he should go to the hospital for evaluation of electrolytes and rehydration. Also, he should be evaluated for possib... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Enemas: Laxatives, stool softener, fluids. If necessary, go to dr or er for disimpaction.
Created for people with ongoing healthcare needs but benefits everyone.
A 60-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
Yes: But hydrocodone will not have a direct effect on the spasms. It will only reduce the pain from them. Since they are both sedating drugs, you have to b... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 38-year-old female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
It shouldn't : If used as prescribed. Explore other reasons and make sure you are using it as prescribed. If it still happens, consider a different medication.
Created for people with ongoing healthcare needs but benefits everyone.
A member asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
No: The benefit to regional anesthesia is that you can avoid most, or all, of the agents that cause nausea. Thus, the risk of nausea goes down dramaticall... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Orrin Ailloni-Charas
Anesthesiology 31 years experience
If it as serious : As you state, go to the er and get checked out. Otherwise, see your doctor for a comprehensive work up.
Created for people with ongoing healthcare needs but benefits everyone.

Testimonials
Recommendations and Thank you notes are endorsements given from patients or other doctors.

13
Recommendations
859
Thank you notes
Nov 3, 2012
Very informative answers. Always quick to respond to patients. Definitely a great doctor!
Nov 8, 2012
Very knowledgable doctor. Great answers and a great doctor to follow!
Nov 4, 2012
Very informative and knowledgeable. Excellent answers.
HealthTap member
Thank you, your answer was very helpful! thank you I understand what you're saying although I suffer from Myasthenia Gravis, I always want to blame that! maybe I'making my MG worse
HealthTap member
Thanks for your quick reply! Maxillo-facial surgron suggested for operation whih will take one month hospitalisation and around .35 million rupees expenditure. Guide plz
HealthTap member
Thanks for your quick reply! Thanks my pains are in my left hand side at the side of my breast and they come and go but they are sharp pains

Education & Training

Medical/Graduate school

New York University School of Medicine
Graduated 1992MD

Medical/Graduate school

New York University School of Medicine, NY
Graduated 1992MD

Residency

MOUNT SINAI MEDICAL CENTER

Awards

Top Doctor, Second Place, San Francisco, CA - Winter
2013
Thought Leader, Third Place, San Francisco, CA - Winter
2013
Top Anesthesiologist, Second Place, California - Winter
2013

Affiliations

California pacific medical center
NCAP
California Pacific Medical Center
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