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Dr. Julian Goldman

Anesthesiology
Boston, MA
37 years experience male

Locations

MGH Anesthesia

Boston, MA

Address

55 Fruit Street, Boston, MA
Directions

Insurances accepted

Blue Cross Blue Shield Of Massachusetts

About

Bio

I am an anesthesiologist at the Massachusetts General Hospital and Medical Director of Biomedical Engineering for Partners HealthCare System. I completed anesthesiology residency and fellowship training at the University of Colorado. My research fellowship was in medical device informatics, focusing on simulation and artificial intelligence applications for monitoring and real-time decision support. I departed Colorado as a tenured associate professor to work as an executive of a medical device company. I joined Harvard Medical School and the Department of Anesthesia, Critical Care, and Pain Medicine at the Massachusetts General Hospital in 2002.

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

Doctor Q&A

125 Answers
38 Agrees
The number of answers this doctor has agreed with.
A 45-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Lidocaine many uses: Lidocaine is a local anesthetic that is used for many purposes. It works by blocking signals in nerves. It may be injected in and around a wound to nu... Read More
A 30-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
May help: Castor oil derivatives produced for use on the skin may have the ability to penetrate deeply and is recognized by the fda for skin problems. I.
A 42-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Increased heart rate: The vagus nerve's (cranial nerve x) action on the heart is to slow the heart rate. There is always some resting vagus nerve activity. Therefore, block... Read More
A 19-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Epidural is OK: If you are allergic to paraphenylenediamine, it is possible that you could react to some local anesthetics. There are two chemical types of local anes... Read More
A 57-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Maybe: Depending on the medication that was injected (usually a type of steroid) and the exact problem, it is typical to wait 2 weeks before re-examining you... Read More
A 33-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Was it long lasting?: If you remember being very disoriented after waking up from anesthesia, and it is troubling, it is reasonable to contact your anesthesiologist and fi... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Peanuts: Peanuts are legumes. If you have a peanut allergy you may not be allergic to tree nuts (e.g. Almonds).
A 37-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Doubt are related: Sometimes an epidural is more effective for one side of the body than the other. If that happens, the anesthesiologist may pull back the catheter a li... Read More
A 37-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Anesthesia meds: For a general anesthetic, you may receive intravenous medications such as midazolam, fentanyl, and propofol. You also may receive inhaled medications ... Read More
A 27-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Sounds like a "cold": It sounds like you have a typical viral upper respiratory infection. It may cause "sinus symptoms" (feeling of pressure or fullness) in the sinus area... Read More
A 22-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Yes: Many patients have multiple / serial general anesthetics - sometimes every few days. Examples include management of a burn injury, or multiple fractur... Read More
A 25-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
They don't melt: Sounds like you are referring to an epidural injection with a suspension (e.g. Depo-medrol) vs. A aqueous preparation. The particles in the "depo" for... Read More
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Pain Relief: Analgesia literally means "painlessness". Analgesics are medications that reduce pain. Moderate to severe pain is usually treated with narcotic medica... Read More
A female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
No: Patient's who have an epidural for labor typically receive local anesthetic and may also receive an opioid narcotic. The exact medications depend on t... Read More
A 23-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
General Anes process: Once the IV is in, you will probably be given a small of sedative to help you feel relaxed. In the or, the ekg and other monitors will be applied. Yo... Read More
A 25-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Healing may itch: You didn't say why you had the local. If it was to remove a mole or for some other minor surgery, you probably have a small incision that is healing. ... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Have: Have your blood pressure measured in your right and left arms to check if they are different.
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Usually the same: Morphine does not dissolve well in water so it would be difficult to administer it as intravenous or hypodermic injection. When morphine is manufactur... Read More
A 33-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Maybe only local: Sedation is usually an option, not a requirement for the procedure. After discussion with your dentist you may decide that local anesthetic is enough.... Read More
A 33-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Usually the same: For practical purposes in healthcare, the words are equivalent. Originally, "narcotic" was used more generally, especially for a sleep-inducing substa... Read More
A member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Different types: Pneumonia refers to infection and inflammation of the lungs. It can be caused by different things, such as infection with virus or bacteria or even by... Read More
A 34-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Often used similarly: In social settings, people may say "i lost weight" because they have been dieting and exercising to lose fat (medically - "adipose" tissue) and not mu... Read More
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Steroids epidurally: Placing medication in the epidural space allows it to bath nerves as they leave the spinal cord and also to bath tissue near the spine. Steroids are i... Read More
A 35-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Same: Oxycontin is a brand name for oxycodone. It is a schedule ii controlled substance. The most common side effects are nausea, vomiting, dizziness or hea... Read More
A 28-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Go back to doctor: I recommend that you contact the anesthesia department of the hospital. They can help determine if the pain is related to the epidural and what, if an... Read More
A 49-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Hard to know: It is unclear and could mean several things. We could probably provide more helpful information if you explain what problems you experienced with gene... Read More
A 30-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
A variety: Depending on the patient, surgeon (and planned repair), anesthesiologist, and practice setting, inguinal hernia repair may be performed under local, r... Read More
A 30-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
See surgeon: Many people assume that surgeons are only interested in operating. But surgeons actually work hard to assess your type of pain by talking to you, exa... Read More
A 48-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Not normal: Anaphylaxis is uncommon. It is important for you to know exactly what happened so that you can inform healthcare providers who care for you in the fut... Read More
A 40-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Doc can talk to Aunt: Anectine and Quelicin are names for succinylcholine - a muscle relaxant frequently used for anesthesia. Hereditary conditions can affect how long the ... Read More
A 29-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Yes but differently: Usually the anesthesia team strives to achieve good pain relief but not so much numbness that you lose all sensation and the urge to push. The reason ... Read More
A 21-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
For persistent pain: Pain management specialists usually get involved when the cause of the pain is hard to diagnose, and/or requires specialized medication knowledge or s... Read More
A 24-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Not in car: The epi pen should be stored at "room temperature" (around 77 f). Of course it isn't possible to always keep it at exactly that temperature. But if yo... Read More
A 42-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Mixed reaction: In addition to hydrocodone, an opiate narcotic, Hycodan contains homatropine which is included to reduce intended overdosage. Therefore, if taken in t... Read More
A 32-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Of Course: Of course there may be complications from a general anesthetic. They may range from relatively minor (e.g. Sore throat) to major (e.g. Severe blood t... Read More
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Not a good idea: Both drugs are antihistamines that depress the central nervous system. Consequently they are often used as sleep aids. Although these are very safe dr... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Do: Do you drink tea for its healthful benefits? Milk (even soy milk) may reduce those healthful properties.
A 42-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Usually it is: Most patients are surprised that they were not aware of the passage of time under anesthesia. They say they remember getting the medication that puts... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
The: The arm blood pressure cuff must be placed at heart level for accurate readings.
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Relaxation meds: A sedative is a medication that induces calm, relaxation, and usually, decreases anxiety. Sedatives - especially at higher doses - can induce sleep. T... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Don't: Don't swallow soft pills or capsules with hot liquids - they may soften and stick in your esophagus.
A 20-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Not recommended: I dont think applying Emla (lidocaine and prilocaine) is a good idea. Emla (lidocaine and prilocaine) must be able to contact and penetrate the area t... Read More
A 45-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Possibly, or other: It may be from anesthesia, surgery, medication, or unrelated. Some people are sensitive to anesthesia and may be nauseated the next day - but that is ... Read More
A 22-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
You should be OK.: Perhaps the most serious concern with local anesthetics is an adverse reaction caused by a high blood level of the drug. This happens when too much is... Read More
A 33-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Hard to tell: Allergic reactions to Lidocaine are very rare. Most "allergies" with injected Lidocaine are caused by the adrenaline/epinephrine that is included with... Read More
A 44-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Maybe. Hard to tell: The medical literature says that onions may help, may not help, or may make breathing worse. Confusing! it looks like it only makes it worse in people... Read More
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
"Mindlessly": "mindlessly" eating way more than you intended can be prevented by "mindfulness" eating techniques.
A 64-year-old female asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Muscle lengthening: In a dumbbell curl, the concentric phase involves flexing the arm by shortening the muscle. The eccentric phase occurs while straightening and lowerin... Read More
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
General = brain: Local anesthesia involves injecting numbing medication such as Lidocaine into the area to be numbed. The medication baths the nerves and blocks the... Read More
A 23-year-old male asked:
Dr. Julian Goldman
Anesthesiology 37 years experience
Doubt it: I assume you had general anesthesia 2 months ago for the surgical procedure. I can't imagine how general anesthesia could cause a rash that persists f... Read More

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

4
Recommendations
547
Thank you notes
Great answers, and an excellent consultant.
Mar 29, 2013
a leader in connecting medical devices
HealthTap member
Mar 30, 2015
Dr. Goldman is an amazing doctor! #nationaldoctorsday2015 #virtualflower1
HealthTap member
Thank you, your answer was very helpful! Many doctors don't know an answer to that so I always feel so unsure due to it being so serious.
HealthTap member
Thanks for your quick reply! Only concern about epi would be delay in mobility post-op. Might be OK for later day surgery...
HealthTap member
Thank you, your answer was very helpful! I am not really sure what an ER is... Thanks for your answer!

Education & Training

Medical/Graduate school

State University of New York Downstate Medical Center College of Medicine, NY
Graduated 1985MD

Residency

UNIVERSITY OF COLORADO

Awards

AAMI Foundation/Institute for Technology in Health Care Clinical Application Award
American College of Clinical Engineering (ACCE) award for Professional Achievement in Technology
International Council on Systems Engineering Pioneer Award

Affiliations

Society for Technology in Anesthesia
90,000 U.S. doctors in 147 specialties are here to answer your questions, provide medical advice, write prescriptions, and more.
Answer emailed
in 24 hours or less