Doctor insights on:
How Can You Minimize The Risk Of Leg Clotting During Surgery And Recuperation
After having surgery performed to replace the aorta, will you need blood thinners for the rest of the life?
Several choices: For those who want to experience as little pain as possible, there are several choices. Non-medical options include hypnotherapy, guided imagery and visualization techniques, and massage. For those seeking medical interventions, the standard options include narcotic analgesia and epidural anesthesia. Narcotics (those in the morphine family) take the edge off pain at the level of the brain, making you care less about the pain, even though you still feel it. These neurological effects may leave you feeling sleepy, euphoric, or “out of it.” Epidural anesthesia doesn’t affect the brain’s pain centers in the same way, so you’re more likely to feel alert and awake. The epidural numbs the body from the waist down, making you feel pressure, but no- or little- pain, until the very end, when you may feel a bit of pain just as the baby comes out. If you’re very early in labor (less than 4 centimeters dilated), your doctor may encourage you to choose narcotic analgesia until your labor is more active, when you may choose an epidural. If you’re further along, such as 8 centimeters dilated, your doctor may discourage you from using narcotics, since they can depress the respiration of the newborn. In my experience, patients experience the best relief from pain when they combine non-medical pain management techniques with narcotics early in labor and then an epidural in active labor. ...Read more
What is the risk for infection right after a major surgery? How many antibiotics are patients usually put on after major surgery to reduce the risk of infection? Does the chance for infection increase with age?
The : The rate of infection will depend on many factors such as, obesity, diabetes, presence of established infection, the type of surgery as well as if appropriate antibiotics were given as indicated. Completely sterile surgery where there is no entry into the intestinal tract should have a wound infection rate of 1-2%. When the intestinal tract is opened, the patient is obese and open surgery is performed rather than laparoscopy the infection rate can be as high as 15-20%. In the case of established infection such as ruptured appendicitis the infection rate can be 30% or more. ...Read moreSee 1 more doctor answer
Prevent hitting head: Concussions are caused by trauma to your brain. Avoiding activities which involved hitting you head is the best prevention. Wearing a seat belt or using a car seat when driving are important. Likewise, wearing proper helmets for motor sports, contact sports, riding a horse or skiing will minimize chance of concussion. In the home remove tripping hazards and install handrails. ...Read moreSee 2 more doctor answers
Anti-coagulants: These help your body's natural clot dissolving mechanisms work more efficiently, and they reduce the formation of additional clots. ...Read more
Can you tell me in regards to nursing and the joint commission how can you reduce likelihood of patient harm associated with use of anticoagulant therapy?
Depends on injury: One can expect full recovery after minor sprains/strains. More severe injuries (ligament ruptures, cartilage tears) may best be treated surgically to optimize recovery and in theory slow/prevent evolution of arthritis. For symptoms (pain, swelling, catching, locking) persisting for more than 4-6 wks expert opinion should be sought. ...Read more
What type of surgeries can be performed for people with ascites do to cirrhosis, what factors go into deciding when to do the surgeries, and what is the prognosis afterwards? (can the person still be active, do contact sports ect.?)
Ascites: Besides medicines, there are various procedures that are possible for ascites. They range from a shunt which can be placed in the liver without surgery (TIPS) to shunt surgery itself. In addition, a successful liver transplant would cure Ascites. Once healed, some people would be able to engage in contact sports, within reason. Details of these procedures require more than 400 characters. ...Read moreSee 1 more doctor answer
How can I minimize my risk of complications from a revision rhinoplasty? Are there things i can do before my revision rhinoplasty to decrease my risk? What about during healing?
This : This is a very good question for several reasons. Often these risks (primary versus revision) become nearly equal when you have a provider who specializes in revision procedures - so recruiting a specialist for the surgery is one big component. Additionally, i would recommend that you do not have any fillers injected into the nose to correct any contour defects. Although "filler rhinoplasty" is not a common entity, this is often performed by an individual who does not completely understand the anatomy and there are real risks for vascular injury. Finally, hold on any form of anticoagulants, prescription or holistic, for at least 2 weeks before surgery if possible. Be healthy and be well, james m. Ridgway, md. ...Read moreSee 3 more doctor answers
What is the risk of having a vasovagal reaction during pregnancy and birth? How can one mitigate the risks?
Probably more: Vaso vagal syncope is usually triggered by a drop in BP due to reduce venous return. Thus it can occur with prolonged standing which during pregnancy can be worse because of the growing uterus, During birth there is sudden loss of fluid. Prevention include avoiding standing for long periods and hydration ...Read more
Postop Rhino pain?: Pain is a subjective phenomena. Most need a week of pain meds. ...Read more
If you get appendicitis while on Coumadin (warfarin) can they still do surgery? Is the surgery more risky from the chance of bleeding?
Surgery can be done: In cases in which patients are anticoagulated with warfarin and need emergent surgery fresh frozen plasma transfusion and vitamin K can be used to reverse the anticoagulation effect by warfarin and decrease bleeding during and after surgery resulting from warfarin treatment. Every time there is a higher chance of bleeding there is a higher chance of adverse events and risk to the patient. ...Read moreSee 1 more doctor answer
Absolutely!: Yes. Yes. Yes.Get a more detailed answer ›
What kind of and intensity of exercise can I do 6-7 weeks post op from a radical hysterectomy to improve abdominal musculature and reduce tummy overha?
Core muscles buildup: If surgery is recent then allow the swelling to settle. After a few weeks, your surgeon will allow you to start diet and exercise. Start with aerobic workouts like treadmill or elliptical. At the gym, there will specific machines which support your back while you exercise your core muscles. If the pannus does not settle then you may need a tummy tuck. See a plastic surgeon to discuss your options. ...Read moreSee 1 more doctor answer
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