Dr. Julian Goldman

Anesthesiology
Boston, MA
38 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 25-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Massage: Massage may help. Assuming you have no bleeding or bruising or muscle tears, for a new injury try massage with a large ice cube and gentle stretching.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Yes: Epidural anesthesia is effective regardless of body weight if the needle can be inserted with the tip in the correct location - in the epidural space.... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Surgery or delivery?: If you are asking about an epidural for surgery, you should not feel pain. The epidural needle and/or catheter will be injected with local anesthetic ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Synthetic Narcotic: Fentanyl is a synthetic narcotic analgesic that is approximately 50-100 times more potent than morphine. It has a fast onset and relatively short dura... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 64-year-old female asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
It could: Hard to generalize accross all opiates. When Meperidine (demerol) is metabolized in the body it creates normeperidine which can produce nightmares, a... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Anesthesia Meds: "anesthetic" is typically used to describe the medication for producing anesthesia. Anesthetics may be administered intravenously or inhaled to affect... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
The "best" depends: There is no one best medicine for everyone. Your doctor will consider the most likely causes based on your specific conditions. Sometimes low doses of... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Allergy: Allergy making your eyes itch at night? Pollen from hair/face can transfer to pillow-case. Clean it.
Created for people with ongoing healthcare needs but benefits everyone.
A 46-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Relaxed, sleepy, out: General anesthesia in adults is usually started with intravenous medications. We often administer small doses of medications to help a patient feel re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 18-year-old female asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Many years &worth it: Anesthesiologists are physicians who complete 4 (or more) years of additional training after medical school. The most "difficult" part of the job is... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 49-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Not concerning: I'm not sure what was intended when you were told that. If it was local anesthetic that wore off too quickly, it was probably not "metabolism" but oth... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Fish: Fish oil is available as a liquid that can be easier and more pleasant to take than several capsules.
Created for people with ongoing healthcare needs but benefits everyone.
A male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Not epidural: The swelling that you described is almost certainly not from the epidural. You should see your OB for a physical exam as the next step to diagnosis th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Carefully: Carefully follow the instructions provided with your blood pressure monitor for accurate readings.
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Interesting, but no: It's hard to imagine a situation whereby general anesthesia, without the right doctors and instruments, would be useful. Ether could be used but it wo... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 42-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Depends on surgery: If the surgeon is planing an "open" approach and the appendix has not burst, it may be appropriate to use general or regional anesthesia. However, i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 47-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Depends on problem: Some heart problems have almost no effect on the safety of anesthesia and surgery. Other heart problems would only be dangerous if we didn't have the ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 37-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
1-3 hours: An injection of Lidocaine will numb an area for 1-3 hours. But it stays in the body for several more hours while it is broken down by the liver and re... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 31-year-old female asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Only if needed: Lidocaine has been assigned to pregnancy category b by the fda. Animal studies have failed to reveal evidence of fetal harm. It is widely used for pro... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
If: If you are having oral surgery, ask your doctor when you will be able to swallow medications again.
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Pulse: Pulse oximeters have become inexpensive and can be used to monitor your pulse rate!
Created for people with ongoing healthcare needs but benefits everyone.
A 30-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
To replace Potassium: A low concentration of potassium (k) chloride (cl) - or "kcl" - is typically used in IV fluid to make its composition similar to blood. This also he... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 33-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Possible? Rare: By not wake up, do you mean die? It is extremely unlikely that a generally healthy patient having minor surgery (e.g. Middle-aged person with high bl... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Painful: It's a myth that: a stroke must be painful. Even so, a sudden, severe headache is possible.
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Normal to be anxious: The IV doesn't hurt more than a flu shot. Once the IV is in, you will probably be given a small of sedative to help you feel relaxed and sleepy. Most... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Eating: Eating slowly can help you feel full and eat less. Eating with chopsticks may help you slow down!
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
What do you mean?: True overdose, causing life-threatening symptoms of respiratory depression, low blood oxygenation, etc. Is a medical emergency and the patient should ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Not painful: I assume that you are referring to an injection of local anesthetic into the toe to numb it. This is called a "digital block" and if done with care i... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 43-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Not Long: There is a theoretical concern that after discontinuing the inhalation of nitrous oxide, the rapid transfer of the gas from the body into the lungs to... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Silence: Silence is golden. Talking while measuring blood pressure can give false high numbers.
Created for people with ongoing healthcare needs but benefits everyone.
A 27-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Not resp therapy : The problem you are describing is not usually treated by respiratory therapists. Respiratory therapists usually work with patients that have lung dise... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old female asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Why do you ask?: If you think that you are having symptoms caused by air embolism, please provide more information, such as how you feel, why you think its air embolis... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 23-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 34-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Nephrologist: Are you asking because you had a kidney transplant or kidney injury? Or were you told that you had abnormal kidney function? If so, you should seek th... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 54-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Depends why intubatd: If he was awake prior to intubation, he was probably given sedatives or anesthetics for the procedure. These may last a 1-3 hours in some patients and... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A female asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Flying is OK b4 anes: Flying prior to having general anesthesia and surgery should not pose a problem. If your sinus is blocked from the nasal injury you may want to use a ... Read More
Created for people with ongoing healthcare needs but benefits everyone.
A 40-year-old female asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 29-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 24-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 21-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 32-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 45-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 44-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 22-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 28-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.
A 36-year-old male asked:
Dr. Julian Goldman
Anesthesiology 38 years experience
Have: Have your blood pressure measured in your right and left arms to check if they are different.
Created for people with ongoing healthcare needs but benefits everyone.
A 35-year-old member asked:
Dr. Julian Goldman
Anesthesiology 38 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
Created for people with ongoing healthcare needs but benefits everyone.

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

4
Recommendations
548
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
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