Search results “Should i discontinue tylenol before surgery”
What Medications Should I Avoid Before Surgery?
Before surgery, you need to stop taking these medications, vitamins, and supplements. Learn what to avoid, courtesy of Dr. Rami Ghurani. Watch more videos like this one at RealSelf.com. Footage included in this video was originally created by Dr. Rami Ghurani. About RealSelf Since its founding in 2006, RealSelf has created the world's largest community for learning and sharing information about cosmetic surgery, dermatology, dentistry, and other elective treatments. Our extensive collections of reviews, photos, and doctor Q&A make RealSelf the most trusted resources for those who are looking for help beyond the beauty counter.
Views: 1562 RealSelf
Stopping vs. continuing aspirin before coronary artery surgery - Video Review
Have you ever wondered if you should discontinue aspirin in your patients undergoing coronary artery bypass surgery (CABG)? Yes? Then this video was made specially for you... In it I review the key learnings of a landmark trial recently published in the New England Journal of Medicine by Myles et al. Don’t forget to download the infographic summarizing all the key facts from the video below. AND - please leave a comment and tell us your thoughts! WATCH MORE VIDEOS AT www.medmastery.com
Views: 311 Medmastery
Taking the Weight Loss Drug Phentermine Before Surgery - David Reath Knoxville Plastic Surgeon
The weight-loss drug Phentermine, can have serious side effects when combined with general anesthesia. This applies to any surgery, not just plastic surgery. When should you stop taking Phentermine if you are planning to have surgery? Dr. Reath explains all on the video. He also announces the winner of this week's Truth-O-Meter Tuesday question who was selected from all of the correct answers by random.org. If you are planning on having plastic surgery, there are several "must-haves" we recommend buying before your surgery. These are products that will make your recovery speedier and more pleasant. To learn more visit http://store.dbreath.com/plastic-surgery-recovery/ You can play with us on facebook too. It's like a quiz show. If you get the answer right, you get the chance to win some cool stuff from our office. And, it's a chance, hopefully, to learn something about plastic surgery along the way. Find us at http://facebook.com/PlasticSurgeryKnoxville or visit our website http://www.dbreath.com.
Views: 13818 David B. Reath, MD
1st Trimester Medical Abortion: Abortion Pills
First trimester medical abortion, "the abortion pill," explained by former abortionist Dr. Anthony Levatino. For education resources and to learn more about Dr. Levatino, visit Abortion Procedures.com. Also learn more at: https://www.liveaction.org/
Views: 1533932 Live Action
What Surgical Patients Need to Know About Statins
www.rxwiki.com In spite of recent recommendations from heart health experts, many patients may still be discontinuing their cholesterol medications before non-cardiac surgery. A new study from the University of California at San Francisco (UCSF) found that patients who discontinue statin use for surgery may significantly increase their risk of death. According to the authors of this study, statins often come with a package insert that warns patients to temporarily discontinue use when undergoing surgery. Statins are a class of medications used to lower cholesterol and prevent heart disease. Drugs that fall within this class include atorvastatin (brand name Lipitor), simvastatin (Zocor) and pravastatin (Pravachol), among others.
Views: 51 RxWikiTV
T.E.N.S. unit: WARNINGS about T.E.N.S.!
Physical therapists Bob Schrupp and Brad Heineck present warnings, precautions, and contraindications for T.E.N.S. (Transcutaneous Electrical Nerve Stimulation). Make sure to like us on FaceBook https://www.facebook.com/Physical-Therapy-317002538489676/timeline/ Check out the Products Bob and Brad LOVE on their Amazon Channel: https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Check out Bob's Kindle book on Amazon, "Three Simple Steps to Treat Back Pain" here: http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1383052830&sr=8-1&keywords=bob+schrupp+back+pain
Views: 273909 physicaltherapyvideo
Can I Take Ketorolac With Acetaminophen?
Can you take ketorolac and tylenol together drug details. Apr 2016 why is ketorolac prescribed; 2 tylenol after surgery; 3 how does and work in the body; 4 can patients take taking certain other medicines together with may increase chance of unwanted effects. Googleusercontent search. Ketorolac versus acetaminophen codeine in the emergency department treatment of acute low back pain pharmacotherapy. What otc meds can i take safely with ketorolac. If you are taking ketorolac should not be any other nsaid medications learn about drug interactions between aspirin acetaminophen caffeine oral and all generic for (lists will include brand clin pharmacol ther. Tylenol) together with ketorolac for more than a few days, unless otherwise directed by your medical doctor or dentist view drug interactions between and tylenol. Use as here's the deal, though you are not supposed to take toradol for while i'm a tylenol fan, i do believe t 3's less toxic, if will, ketorolac has side effects that can be very dangerous. Patients taking 80 mg aspirin daily and concomitant ibuprofen (800. Evaluation of ketorolac, aspirin, and an acetaminophen codeine dr. Tylenol) together with ketorolac for more than a few days, 19 jan 2017 our free discountrx savings card can help you and your family save generally, it is okay to take toradol acetaminophen (tylenol ) apo belongs the group of medications known as be harmful people this medication if their doctor has not prescribed 8 aug 2014 did know that common otc painkiller counteract cardioprotective effects aspirin? Diclofenac, ketorolac. Ketorolac (oral route, injection route) precautions mayo clinic. Therefore, do not take acetaminophen (e. I have several other rx meds i take (both as it will not cause physical or mental dependence, narcotics can. Ketorolac (oral route, injection route) precautions mayo clinic can you take ketorolac and tylenol together drug details drugsdetails url? Q webcache. Ketorolac and tylenol drug interactions drugs. These medicines however, this does not necessarily mean no interactions exist. 1990;10(6 ( pt 2)) 77s 93s. Evaluation of ketorolac, aspirin, and an acetaminophen codeine combination in postoperative oral surgery pain this should be taken 2 hours following the tylenol with doseyou cannot take toradol ibuprofen together. Mcquay hj, poppleton p, carroll d, summerfield j emerg med. Esomeprazole) norco (acetaminophen hydrocodone) paracetamol (acetaminophen) minimize risk; Assess risk and consider an alternative drug, take steps to circumvent the this material does not endorse drugs, diagnose patients, or recommend therapy yes, tylenol toradol (ketorolac) both can be used together there are no serious major drug interactions side effects with ketorolac (non injection) nsaid; Aspirin ( 81 mg) consult your healthcare professional before taking discontinuing any commencing course of third is acetaminophen (trade name tylenol). Always consult with i take ketorolac for my migraine headaches but ta
Views: 52 Burning Question
Managing Parkinson's disease with surgery | Nervous system diseases | NCLEX-RN | Khan Academy
Visit us (http://www.khanacademy.org/science/healthcare-and-medicine) for health and medicine content or (http://www.khanacademy.org/test-prep/mcat) for MCAT related content. These videos do not provide medical advice and are for informational purposes only. The videos are not intended to be a substitute for professional medical advice, diagnosis or treatment. Always seek the advice of a qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read or seen in any Khan Academy video. Created by Emma Giles. Watch the next lesson: https://www.khanacademy.org/test-prep/nclex-rn/rn-nervous-system-diseases/rn-multiple-sclerosis/v/what-is-multiple-sclerosis?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn Missed the previous lesson? https://www.khanacademy.org/test-prep/nclex-rn/rn-nervous-system-diseases/rn-parkinsons-disease/v/managing-parkinsons-disease-with-medications?utm_source=YT&utm_medium=Desc&utm_campaign=Nclex-rn NCLEX-RN on Khan Academy: A collection of questions from content covered on the NCLEX-RN. These questions are available under a Creative Commons Attribution-NonCommercial-ShareAlike 3.0 United States License (available at http://creativecommons.org/licenses/by-nc-sa/3.0/us/). About Khan Academy: Khan Academy offers practice exercises, instructional videos, and a personalized learning dashboard that empower learners to study at their own pace in and outside of the classroom. We tackle math, science, computer programming, history, art history, economics, and more. Our math missions guide learners from kindergarten to calculus using state-of-the-art, adaptive technology that identifies strengths and learning gaps. We've also partnered with institutions like NASA, The Museum of Modern Art, The California Academy of Sciences, and MIT to offer specialized content. For free. For everyone. Forever. #YouCanLearnAnything Subscribe to Khan Academy’s NCLEX-RN channel: https://www.youtube.com/channel/UCDx5cTeADCvKWgF9x_Qjz3g?sub_confirmation=1 Subscribe to Khan Academy: https://www.youtube.com/subscription_center?add_user=khanacademy
Views: 13862 khanacademymedicine
Patients Denied Prescribed Pain Medication by Pharmacies Possible DEA Quota
There is a public health crisis in Florida. As a result of over zealous enforcement of legislation which shut down illegal pill mils, many people suffering from chronic pain who desperately need their pain medication are having their prescriptions denied by pharmacies. Patients with legitimate doctor prescriptions for pain medications are now routinely turned away from pharmacies and are suffering unnecessarily because they are not getting the pain medications they need to manage their pain. Dr. Silverman, an authority on pain management comments that there is a tremendous amount of finger pointing going on about why this access problem is happening. The DEA maintains publicly that they do not restrict these controlled substances. The DEA SAYS they do not set quotas but some pharmaceutical wholesalers and pharmacies have said the DEA does in fact create quotas. The problem started about 2 years ago when legislation put pill mills out of business but in so doing made it very difficult for those with legitimate needs to obtain their pain meds. Removing illegal pill mills was a good thing but now the pendulum has shifted the other way and pharmacists are being forced to follow quotas.
Views: 15926 Sanford Silverman
What Can Cause Joint Pain and How is It Treated?
Source: https://www.epainassist.com Causes of Joint Pain: • Gout causes joint pain, especially around the foot joint. • Pseudo-gout • Osteoarthritis causes pain in the joints • Reiter's Syndrome • Rheumatoid Arthritis • Septic Arthritis (infectious arthritis) • Rheumatic Fever Traumatic Causes of Joint Pain: • Physical Trauma to any of the joints can cause severe joint pain • Broken Bones or a fractured bone can cause excruciating joint pain • Dislocation of Bones • Sprains and Strains • Stress Fractures • Tendon Rupture Infectious Causes of Joint Pain: Joint Pain can be caused by any of the following infectious disease: • Measles • Hepatitis • Mononucleosis (viral infection) • Influenza (flu) • Mumps (viral infection of the salivary glands in the neck) • Lyme Disease • Gonococcal Arthritis Other Causes of Joint Pain: • Bursitis. • Tendinitis. • Osteomyelitis (Bone Infection). • Leukemia. • Side Effects or Allergic Reaction to Medications. • Spondylitis. • Systemic Lupus Erythematosus. • Hemarthrosis. • Tumor of bone, Joint, and/or Soft Tissue. Treatment for Joint Pain: • Treatment depends on the underlying cause of joint pain and varies depending on the joint that is affected and the severity of the pain. When the underlying cause is treated, it alleviates the symptoms. • Minor joint pain can be managed through home remedies like icing the joint, taking warm baths, limiting physical activity or performing stretching exercises. • Over the counter medicines can also be given to reduce pain and swelling around joint. • Those medications should be discontinued that are causing an allergic reaction or side effects in the form of joint pain. • In quite a few cases, physical therapy may also be beneficial for joint pains. • For joint inflammation, steroid injections are the common choice of treatment. • Joint aspiration (arthrocentesis) can also be done to remove fluid from the affected joint. • Joint pain due to a broken bone/fracture may require surgery or casting. • Joint pain due to an infection in the joint may require surgery to clean out the infection and antibiotics are given post surgery. • Joint replacement surgery is undertaken for severely damaged joints. • Apart from this, other complementary treatments like chiropractic treatment, acupuncture, massage therapy and yoga can also provide relief. Follow us: Facebook: https://www.facebook.com/Epainassistcom-370683123050810/?ref=hl Twitter: https://twitter.com/ePainAssist G+: https://plus.google.com/+Epainassist Linkedin: https://www.linkedin.com/in/epainassist
Views: 789 ePainAssist
Avoid Opioid Abuse. What All Patients Need To Know.
Dr. Scott Weiner with the American College of Emergency Physicians talks about different pain medications and what all patients need to know in order to stay stay safe when using pain medications.
Best Sleeping Positions After Total Knee OR Hip Replacement Surgery
"Famous" Physical Therapists Bob Schrupp and Brad Heineck present the Best Sleeping Positions After Total Knee OR Hip Replacement Surgery. "Famous" Physical Therapists Bob Schrupp and Brad Heineck present How To Properly Adjust & Safely Use Crutches. ALERT: Bob and Brad's new invention The Wall Anchor is available on Amazon https://www.amazon.com/dp/B078WFFWR8 Make sure to like Bob and Brad on FaceBook https://www.facebook.com/BobandBrad/ Check out the Products Bob and Brad LOVE on their Amazon Preferred Page : https://www.amazon.com/shop/physicaltherapyvideo Follow us on Twitter https://twitter.com/PtFamous Our Website: https://www.bobandbrad.com/ Our book “Three Simple Steps To Treat Back Pain” is available on Kindle http://www.amazon.com/Three-Simple-Steps-Treat-Back-ebook/dp/B00BPU4O5G/ref=sr_1_1?ie=UTF8&qid=1444092626&sr=8-1&keywords=3+simple+steps+to+treat+back+pain Brad’s Book “Martial Arts Manual: For Stretching, Strengthening, Prevention, and Treatment of Common Injuries” is also available on Kindle. https://www.amazon.com/Martial-Arts-Manual-Stretching-Strengthening-ebook/dp/B0722J3PZL/ref=sr_1_fkmr0_1?ie=UTF8&qid=1494292881&sr=8-1-fkmr0&keywords=brad+heineck+martial+arts WANT TO HELP TRANSLATE OUR VIDEOS? We would so love the help. http://www.youtube.com/timedtext_cs_panel?tab=2&c=UCmTe0LsfEbpkDpgrxKAWbRA We are a participant in the Amazon Services LLC Associates Program, an affiliate advertising program designed to provide a means for us to earn fees by linking to Amazon.com and affiliated sites
Views: 67043 physicaltherapyvideo
Elsa Surgery Online Game
Elsa Surgery Online Game Before the surgery How can I prepare for the surgery? If your orthopedic surgeon decides that joint replacement surgery is the best solution for you to relieve your pain and restore your mobility, preparation for the procedure begins. Tell your doctor which medications you are currently taking because some medications need to be discontinued before surgery. Every procedure involves risks and possible complications. This will be explained by the surgeon before the operation. Your surgeon may also want to talk to your family doctor to make sure that you do not have a condition that could lead to complications. You may be asked to donate blood before surgery. All this will be discussed by your doctor. An operation always requires anesthesia. There are various anesthetic procedures that inform you. Which one is right for you depends on your medical history, the medications you are currently taking and the outcome of your medical examination. hygiene Before a scheduled hospital stay, take a long, warm bath or a shower with no scented washing additives and clean the skin with a soft brush or a natural sponge. Cut fingernails and toenails, remove nail polish and wash your hair. Put on fresh underwear. These measures prevent you from introducing unwanted bacteria into the hospital and complicating your treatment. drugs You may need to stop taking medications if they increase the risk of bleeding. This is the case, for example, with aspirin and anti-inflammatory drugs. Inform the doctor or nurse about all medications, including herbal supplements and non-prescription medications you are taking. You will then be told if you need to deduct these funds, and if so, when. This is important because some medications and herbal remedies may respond to anesthesia and possibly lead to complications. Physical movement In some cases, the orthopedist recommends that you begin strengthening exercises before the procedure. The exercises should also strengthen and bring more flexibility. Strengthening your muscles before surgery can have a beneficial effect on your post-procedure recovery. Therefore, it is important to perform the recommended exercises before the planned procedure, because the muscles are strengthened and convalescence is promoted. When the muscles around the joint are strengthened, the time after surgery becomes easier; So you should try to be as active as possible before the procedure. If you would like to have some special exercises put together, ask for a referral for a one-time consultation with a physiotherapist. If you can, you should move easily before surgery, e.g. hike and swim. nutrition You recover faster from the procedure if you are healthy before. Try to eat healthily and consciously in the time before surgery. If you have any questions, ask your doctor, who may also refer you to a nutritionist. If you are overweight, it is especially important to reduce weight in preparation for surgery. As a result, the anesthesia is less risky and your new joint lasts longer. Stop smoking If you smoke, the wound heals more slowly after a procedure. Heavy smokers are also more likely to face lung, heart and other medical problems. All this makes the convalescence time much harder. It is best to stop smoking at least two weeks before the procedure and then wait six weeks for the wound and soft tissue to heal well. Smoking reduces the oxygen supply to the tissue structures around the operated joint, but oxygen is essential for the healing process. Stop smoking four weeks beforehand Even though it's hard, smokers should stay abstinent four weeks before surgery or at least reduce cigarette consumption to a minimum. Pulmonary physicians point out that surgical wounds heal worse in smokers and there are more complications. On the one hand, smoking increases blood pressure - an additional burden on the heart and circulation. On the other hand, the carbon monoxide content in the blood increases and the oxygen transport is impaired. A worse oxygen supply slows, among other things, the wound healing. Nicotine patches and gums may facilitate smoking cessation. Hygiene measures before the operation Before surgery, patients should also comply with some hygiene measures. Common recommendations include bathing or showering, washing hair, cutting fingernails and toenails, removing nail polish, and putting on fresh underwear before surgery. This serves to introduce as few bacteria as possible into the operating theater. Jewelry and piercings usually have to be taken before an operation.
Views: 965 doonyasha Toys
Why You Feel Worse When You Take Thyroid Medication
http://www.drhagmeyer.com/ In this video, Dr Hagmeyer explains why so many woman complain of feeling worse when they take thyroid medication. If you are currently taking synthroid, Levothyroxine, Liothyronine, Cytomel or Armour and you have heart palpitations, inward trembling, anxiety, increased fatigue, watch this video and explanation. Dr Hagmeyer is the director of the Naperville Institute For NeuroMetabolic Solutions located in Naperville Il. His office specializes in helping people regain their health naturally using holistic medicine. For more information visit www.DrHagmeyer.com Dr. Hagmeyer works with patients all over the United States and International.
Blood Thinners and Surgery
Patients are told "no aspirin before surgery" because it can thin the blood too much. Catherine Hwang, M.D., the Oculo-Plastic Surgeon at The Assil Eye Institute explains plastic surgery patients are no exception, and aspirin isn't the only medication that thins the blood
Views: 462 newsdog01
Social Security disability tip:  What your medications says about your case
http://www.reevesfirm.com/contact/ Attorney, Anthony Reeves, is a Social Security Disability attorney serving clients nationwide. For those of you who are applying for Social Security disability, the medications you are taking can give a good indicator about your case. For more information about applying for disability or a free claim evaluation, please contact the Reeves Law Firm, P.A. today toll free at 888-962-0007 or complete the free claim evaluation online, http://www.reevesfirm.com/contact/.
Views: 145322 Reeves Law Firm, P.A.
Do's and don'ts for liposuction
Tips for best results before and after liposuction Liposuction is the leading option to diminish the appearance of stubborn bumps and lumps from localized fat and help sculpt areas to appear more toned and trim. Tumescent liposuction using local anesthesia as developed and performed by dermatologic surgeons is extremely safe. However, as with any invasive procedure, liposuction has risks. Some simple steps can help prevent potential complications before and after a liposuction procedure. Researching the procedure and doctor, having realistic expectations, using local anesthesia and following post-operative directions are just a few guidelines that will help to ensure the patient receives the best results. ASDS offers some additional tips to ensure a positive result: Do's: Do your research: There is a lot to consider when undergoing liposuction. Choosing a dermatologic surgeon at a reputable location is very important and could help to decrease complications. Do maintain a healthy weight before surgery: Liposuction is a procedure for shaping the body by removing localized fat in areas such as the abdomen, thighs, arms or neck. For best results, candidates should be close to normal-weight with firm, elastic skin. This is not a weight loss procedure. Do understand your options: There are several options to liposuction surgery. Tumescent liposuction, the safest procedure, uses local anesthesia, injecting the fat with a large amount of anesthetic liquid causing it to become firm, making the removal of fat easy and painless while leaving patients less bruised. Ultrasonic and laser-assisted liposuction technique liquefies fat upon removal, decreasing recovery time. These are sometimes useful adjuncts. It's important that you speak with your doctor to choose the right procedure for you. Do follow post-operative directions carefully: Doctors make suggestions after surgery to further avoid complications. Moderate physical activity, such as walking, the day after surgery may reduce the risk of clotting. Also, in some cases, compression garments should be worn around the treated area to reduce swelling. Don'ts: Don't expect to look "skinny" the day after surgery: You will always look better immediately after a procedure but will not realize the final result for several months. Don't hesitate to ask questions: Before a consultation with a dermatologic surgeon a patient should be prepared with a list of questions for their doctor. Questions should help the patient understand the liposuction process, what to expect after the procedure and learn more about the doctor's training and experience. Don't continue over-the-counter supplements: Products such as aspirin, vitamin E and some herbal products slow blood clotting. Additionally, some anti-inflammatory medications can increase the chances of bleeding during surgery. Prior to surgery, the doctor will discuss any medications and supplements you are taking and which ones should be discontinued. Don't assume all areas are treatable: Most, but not all, body parts are amenable to treatment. The most popular areas include the neck, chest, arms, waist, hips, abdomen, buttocks, thighs, knees and ankles. Your dermatologic surgeon will tell you if you are a good candidate for the surgery. Article Source: http://www.asds.net/_ConsumerPage.aspx?id=720 Image Source: http://www.thecosmeticinstitute.com.au/breast-implants
Views: 1286 zurich gabriel
Can I Take Ketorolac With Acetaminophen?
Tylenol) together with ketorolac yes, tylenol (acetaminophen) and toradol (ketorolac) both can be used there are no serious or major drug interactions side effects this i assume tylenol, aspirin, ibuprofin, advil, etc. Apo ketorolac uses, side effects, interactions medbroadcast. Can you take tylenol and toradol at the same time to help treat pain? . Tylenol #3 vstoradol (ketorlac tromethamine) for migraines. Gov pubmed 9696169&sa u&ved 0ahukewjryahcjvxvahvgxrqkhdmaalm4chawcbowaq&usg afqjcnerk090eh me4aar7stxhstlv7efa" target "_blank"ketorolac versus acetaminophen codeine in the emergency ncbi. I know ibuprofen is can you take ketorolac and tylenol together drug details. Adding propacetamol to ketorolac increases the tolerance painful toradol dosage pain emedtv. 1998 jul aug;16(4) 549 56. I have several other rx meds i take (both as 1 apr 2016 why is ketorolac prescribed; 2 tylenol after surgery; 3 how does and work in the body; 4 can patients risk will depend on much of each medicine you every day, therefore, do not acetaminophen (e. Therefore, do not take acetaminophen (e. Taking ketorolac you should not be taking any other nsaid medications. When taken incorrectly, however, acetaminophen can cause liver damage. A comparison of ketorolac tromethamine and acetaminophen codeine in the management acute apical periodontitis if you are taking should not be any other nsaid medications. All use at least slightly different with a pharmacists approval, i've taken rx toradol tylenol #3 i'm not an expert, but from what i know, you can, if need to, take ketorolac (non injection) nsaid; Aspirin ( 81 mg) consult your healthcare professional before taking or discontinuing any drug commencing course of this should be 2 hours following the codeine doseyou cannot and ibuprofen together1999 apr;25(4) 257 9. Timothy wallace, post operative care instructions timothy a comparison of ketorolac tromethamine and acetaminophen ncbi. Ketorolac (oral route, injection route) precautions mayo clinic. Esomeprazole) norco (acetaminophen hydrocodone) paracetamol (acetaminophen) minimize risk; Assess risk and consider an alternative drug, take steps to circumvent the this material does not endorse drugs, diagnose patients, or recommend therapy i ketorolac for my migraine headaches but taking one even two just isn't enough. In other trials no 19 jan 2017 our free discountrx savings card can help you and your family save generally, it is okay to take toradol with acetaminophen (tylenol ) here's the deal, though are not supposed for while i'm a tylenol fan, i do believe t 3's less toxic, if will, ketorolac has side effects that be very dangerous. When taken incorrectly, however, acetaminophen can cause liver damage j emerg med. Ketorolac versus acetaminophen codeine in the emergency ncbi. Ketorolac and tylenol drug interactions drugs. Mixing pain relievers, benefits problems? [archive] straight interactions between acetaminophen salicylamide oral and nsaid dr. These medicines howev
Views: 82 Question Bank
My Surgery Guide: Patient Discharge Planning - Part 1
Part 1 of 2. This video provides important information about discharge from the University Health Network hospitals. Includes information about medications you will take home with you, managing your pain, safety and mobility, problem signs to watch out for, and who to contact if you have problems. Click here to watch Patient Discharge Planning - Part 2: http://www.youtube.com/watch?v=8O-o06KMIX0 If you have questions or would like more information, please ask a member of your care team, or contact the UHN Patient & Family Library or Resource Centre most convenient to you: http://www.uhn.ca/PatientsFamilies/Health_Information/Patient_Family_Education/Libraries The information within this video is not intended to replace any advice provided to you by your health care team. For your safety, we ask that you do not act on the information within these videos without first discussing your treatment or healthy living plan with your qualified health care providers. For more information about UHN Patient & Family Education, visit http://www.uhnpatienteducation.ca.
Views: 7234 UHN Patient Education
EXAMPLES OF MEDICATIONS WITH THE POTENTIAL TO AFFECT THE SURGICAL EXPERIENCE Agent Effect of Interaction With Anesthetics Corticosteroids Prednisone (Deltasone) Cardiovascular collapse can occur if discontinued suddenly. Therefore, a bolus of corticosteroid may be administered intravenously immediately before and after surgery. Diuretics Hydrochlorothiazide (HydroDIURIL) During anesthesia, may cause excessive respiratory depression resulting from an associated electrolyte imbalance Phenothiazines Chlorpromazine (Thorazine) May increase the hypotensive action of anesthetics Tranquilizers Diazepam (Valium) May cause anxiety, tension, and even seizures if withdrawn suddenly Insulin Interaction between anesthetics and insulin must be considered when a patient with diabetes is undergoing surgery. Intravenous insulin may need to be administered to keep the blood glucose within the normal range. Antibiotics Erythromycin (Ery-Tab) When combined with a curariform muscle relaxant, nerve transmission is interrupted and apnea from respiratory paralysis may result. Anticoagulants Warfarin (Coumadin) Can increase the risk of bleeding during the intraoperative and postoperative periods; should be discontinued in anticipation of elective surgery. The surgeon will determine how long before the elective surgery the patient should stop taking an anticoagulant, depending on the type of planned procedure and the medical condition of the patient. Antiseizure Medications Intravenous administration of medication may be needed to keep the patient seizure-free in the intraoperative and postoperative periods. Thyroid Hormone Levothyroxine sodium (Levothroid) Intravenous administration may be needed during the postoperative period to maintain thyroid levels. Opioids Long-term use of opioids for chronic pain (6 mo or greater) in the preoperative period may alter the patient's response to analgesic agents.
Views: 349 paulvr173cm
Should clopidogrel be discontinued before laparoscopic cholecystectomy?
Laparoscopic cholecystectomy performed on patients maintained on clopidogrel during the perioperative period did not produce an increase in blood loss, operative time, 30-day morbidity, or length of stay.
Views: 201 Arjun Rajagopalan
How to Cure Phimosis *no surgery*
Hey Guys! I hope this video works for you! It’s a very simple process I cured my Phimosis in 2 or 3 weeks just by doing these exercises! No Surgery or doctor needed and also stay away from expensive $300 Phimosis cure kits. save your time and money but by simply following these steps and you’ll reach to your goal! I hope this helps feel free to comment below for any questions thanks for watching!!!
Views: 108062 Mugen Panda
Why Discontinue Blood Thinners Prior to Bariatric Surgery?
Mexico Bariatric Services brings you an informative video on when to discontinue blood thinners prior to weight loss surgery. Certain medication such as aspirin are recommended to be discontinued 2 weeks prior to the scheduled surgery, while anticoagulants 2 days before the surgery. Anti-clotting and blood thinners can cause excessive bleeding, interfere with the recovery process and may lead to cancellation of the surgery. For more information, visit us at: http://www.mexicobariatricservices.com/support/knowledge-base/blood-thinners-before-bariatric-surgery/
What Is End Stage Congestive Heart Failure?
Hi! I'm robo-Suzie and today I'll talk to you about What Is End Stage Congestive Heart Failure. Also don't forget to subscribe for more tips in the future! But back to our topic. 'End stage congestive heart failure' is not the technical or official term for the condition, stage D or stage IV congestive heart failure is considered the final stage of CHF. Similar to end stage renal failure, the "end stage congestive failure" often requires an organ transplant to allow the individual to continue living. As CHF is a progressive condition there is a likelihood that individuals that have an earlier stage may progress to stage D. Considering this and the value of time in transplant situations it is important to begin treatment early and to adhere to it consistently. The treatments that are used in earlier stages may also be used in stage D. Some of those methods are listed here. Stage A. Exercise regularly . Quit smoking . Discontinue alcohol or illegal drug use . Some medications may also be prescribed at this point. Stage B. All patients should take specific medications . Some surgery options may exist for specific conditions. Stage C. Restrict dietary sodium . Monitor weight . Restrict fluids . Pacemakers and or defibrillators may be recommended. In stage D, or end stage congestive heart failure, are the patients that have persisting systolic heart failure and advanced symptoms after optimum medical care is given. At this stage a continuous infusion of medication may be necessary. The individual may require end-of-life hospice care as well. In some cases there may be surgeries or research therapies that are appropriate. Some individuals may qualify for and benefit from ventricular assist devices and heart transplants. A doctor should be able to help individuals to understand the specific details of their treatment plan. A key element in successful treatment is that the treatment be continued on a consistent basis. If there are aspects of the plan that an individual can not or is not willing to do as recommended the doctor should be informed of that. There may be assistance available to help willing patients' carry-out procedures. In some cases there may be alternate procedures available with comparable efficacy, that the patient is able and willing to perform on schedule. That's it! Thank you. Please subscribe, comment and like this video if it was helpful! See you soon!
Views: 7163 Robo Suzie and Health
Postpartum hemorrhage - causes, symptoms, treatment, pathology
What is postpartum hemorrhage? Postpartum hemorrhage is severe bleeding after giving birth and is the leading cause of maternal morbidity and mortality in the world. Find more videos at http://osms.it/more. Study better with Osmosis Prime. Retain more of what you’re learning, gain a deeper understanding of key concepts, and feel more prepared for your courses and exams. Sign up for a free trial at http://osms.it/more. Subscribe to our Youtube channel at http://osms.it/subscribe. Get early access to our upcoming video releases, practice questions, giveaways and more when you follow us on social: Facebook: http://osms.it/facebook Twitter: http://osms.it/twitter Instagram: http://osms.it/instagram Thank you to our Patreon supporters: Alex Wright Omar Berrios Osmosis's Vision: Empowering the world’s caregivers with the best learning experience possible.
Views: 187424 Osmosis
**Make sure to ask your doctor about any prescriptions you're taking and whether or not to discontinue use. Also ask about sleeping medications, pain killers, and antibiotics!** Products I mentioned: -Saline Nasal Spray -Neilmed Sinus Rinse (Nasal Irrigation) -Biotène Dry Mouth Oral Rinse -Benadryl (For Sleeping) My personal case- PRICE: 3,418 NOT including cost of surgery center --- I'm still accepting donations on my gofundme page to put toward this cost. (https://www.gofundme.com/u9pqs2b8) PROCEDURES: Bilateral Inferior Turbinoplasty, Endoscopic Sinus Surgery, and Septoplasty. RECOVERY TIPS: Use a neck pillow to avoid neck strain from sleeping elevated, use a humidifier for easier breathing, Vaseline for dry lips, stay constantly hydrated, POLYSPORIN (not* neosporin), and use a saline spray to moisturize and clear out loose debris from surgery. Find me in other places; Instagram: Morticiadeetz Facebook: /bri.amber Snapchat: Pixiepukexx Any questions or additional advice, leave a comment! Thanks for watching, xo!!
Views: 191 Morticia Deetz
Warning! Be Careful When Using Ginger! Here’s When You Shouldn’t Consume It
Due to its antiseptic properties, ginger has long been used for treatment of various health issues. It is generally considered a universal natural remedy because its health benefits can cure many conditions. However, ginger treatment is not recommended for everyone. If you belong to any of these groups, you should avoid ginger as much as you can: Pregnant women. Ginger is abundant in powerful stimulants that can trigger premature labor. Pregnant women should avoid ginger at all costs especially in the last trimester of pregnancy. People who want to put on weight. Ginger is known to be extremely beneficial for those who are trying to lose weight as it keeps you full longer and promotes fat burning. If you want to put on weight, ginger can only give you a counter effect, so you’d better avoid it. People with blood disorders. Ginger improves circulation, which is generally beneficial, except for those suffering from blood disorders like hemophilia. People who are on blood pressure and diabetes medications. Ginger can interact with medications, especially anticoagulants, beta-blockers and medications based on insulin. So, if you are on any medications for high blood pressure or diabetes, you must stay away from this plant as there’s a serious risk that it’ll inhibit the effects of your drugs. People who will undergo surgery. Consuming ginger around the time of surgery is also a risk for increased bleeding. If undergoing surgery, you should avoid taking ginger tea within the two weeks prior to it. https://www.youtube.com/watch?v=YHIWhuhodq0
Views: 1663867 HomeYog
Plantar Fibroma Treatment, Information and Solutions
http://www.footscientific.com Dr. J. Robert Faux explains Plantar Fibromas and how to live with and treat them. Home remedies and treatment solutions are also discussed. For more information on foot conditions, treatments and solutions, go to http://www.footscientific.com. - Activity Modification: Limit the amount of the time you stand and the number of steps you take. - Unnecessary motion or stress can be decreased by stretching the calf muscle - Remove in shoe orthotics or discontinue arch support temporarily, to allow time for the arch to heal. - Using anti-inflammatory medications: A lot of the pain symptoms are due to the body’s inflammatory response to the arthritic changes in the foot. These can help decrease these symptoms.
Views: 46294 FootScientific
Clopidogrel Nursing Considerations, Side Effects, and Mechanism of Action Pharmacology for Nurses
Grab our free cheatsheet covering the 50 most commonly prescribed medications right here: http://NRSNG.com/50meds Listen to all the episodes at: https://www.nrsng.com/medmaster-podcast/ View the blog post here: https://www.nrsng.com/clopidogrel-plavix/ Clopidogrel Generic Name: clopidogrel Trade Name: Plavix Indication: atherosclerotic events, MI, CVA, PVD, acute coronary syndrome Action: inhibits platelet aggregation Therapeutic Class: Antiplatelet agent Pharmacologic Class: platelet aggregation inhibitors Nursing Considerations:  may cause GI bleeding, neutropenia, hypercholesterolemia  may increase risk for bleeding in warfarin, aspirin, heparin  can increase risk for bleeding with garlic, ginkgo, ginger  monitor for signs of bleeding  monitor bleeding times  monitor CBC and platelet count  discontinue use 5-7 days before surgery
7 Best supplements that will clean your arteries naturally at home
7 Best supplements that will clean your arteries naturally at home : Heart attacks are caused by the blood supply to the heart being suddenly interrupted. Without this supply, heart muscles may be damaged and begin to die. fatty deposits called plaque buildup in your arteries, they can narrow the vessels and raise your risk of atherosclerosis and heart disease. Several supplements are available that, over time, might help dissolve plaque and improve the function of your arteries, lowering your risk of chronic circulatory problems. Here are 7supplements that can help you unclog your arteries 1. Take fish oil supplements. If you don’t like fish or don’t have access to fish, you can simply take fish oil supplements to help get omega-3 fats. Look for fish oils that contain EPA and DHA oils. Although you might expect consuming fat to increase arterial plaque, omega-3 fatty acids may help slow plaque deposition and, over time, reduce its amount, according to experts at the University of Maryland Medical Center. Consuming supplements containing these unsaturated, healthy fatty acids can lower levels of blood triglycerides while raising levels of HDL, helping to keep your blood cholesterol in a healthy range. They may also help prevent inflammation of the arterial lining and reduce the risk of blood clots, both of which promote plaque deposits. 2. Take psyllium supplements. If you have difficulty getting enough fiber from foods, you can take psyllium supplements. Psyllium is a water-soluble fiber available in pill and powder forms. 3. Increase soy protein through supplements. Soy proteins are commonly available as powders that you can mix into a variety of foods and beverages (juices, smoothies, etc.). Several studies have shown that soy protein supplementation can have a beneficial effect on your cholesterol levels. 4. Take niacin supplements. You can also take niacin (vitamin B3) to help lower cholesterol levels. However, talk to your physician and monitor niacin supplementation closely. Common side effects at high doses include: • Flushing of the skin • Stomach upset • Headaches • Dizziness • Blurred vision • Increased risk of liver damage 5. Garlic Supplement. Garlic isn't just a culinary herb but is also a useful supplement if you're concerned about arterial plaque and atherosclerosis, according to evidence summarized at the Memorial Sloan-Kettering Cancer Center. Garlic contains a compound that's converted into allicin when cloves are crushed. Allicin could help lower blood levels of cholesterol by suppressing a liver enzyme that makes cholesterol. This eventually reduces plaque so You can simply add more fresh garlic to your food or take garlic supplements if you don’t enjoy garlic in foods. 6. Take plant sterol supplements. Beta-sitosterol and sitostanol are two additional supplements that may have a positive impact on cholesterol. You can find these options in supplement form at most vitamin shops or health food stores. 7. Take coenzyme Q-10 (CoQ-10) supplements. CoQ-10 is an essential nutrient used to treat a variety of heart and blood vessel conditions. It can also counteract muscle pain resulting from other cholesterol-lowering medications called “statins.” Consider taking CoQ-10 if your doctor has prescribed one of these medications. check out my other similar videos https://www.youtube.com/watch?v=RFE8MFBZURI 😍 15 Foods That Unclog Arteries Naturally And Protect Against Heart Attack https://www.youtube.com/watch?v=_-yVQyl2k4s 😍 7 Lifestyle Changes That Will Clean Your Arteries Naturally And Protect You From Heart Attack NOTE: The materials and the information contained onNatural ways channel are provided for general and educational purposes only and do not constitute any legal, medical or other professional advice on any subject matter. None of the information on our videos is a substitute for a diagnosis and treatment by your health professional. Always seek the advice of your physician or other qualified health provider prior to starting any new diet or treatment and with any questions you may have regarding a medical condition. If you have or suspect that you have a medical problem, promptly contact your health care provide. Facebook: https://www.facebook.com/herbalremediesandcures/ google plus: https://plus.google.com/b/113379601003474436812/113379601003474436812 Images licensed under Creative Commons: www.wikihow.com www.pixabay.com www.flickr.com www.publicdomainpictures.net
Views: 56366 Natural Ways
Breast augmentation surgery offers women a great look and improved self confidence. Dr. Jerome Edelstein provides some tips for making preparations for surgery to ensure less stress and a smooth procedure. • Begin with a consultation with a qualified cosmetic surgeon skilled in performing this type of surgery. Determine the type, size and placement of the implants. • Arrange for at least one week off from work (or longer if the job is strenuous). Also, consider help with childcare and house work. • Discuss all vitamins, supplements and medications with your surgeon because there are some that need to be discontinued until after surgery since they can affect healing. • Have someone drive you to and from surgery and someone who can stay with you the first day afterwards. • Fill prescriptions for antibiotics and pain medications ahead of time and have ice packs on hand to be able to ease swelling. • Prepare food and have plenty of snacks on hand since driving will not be possible for at least a few days. • Purchase a surgical bra to supplement the one provided at the time of surgery. • Inform your surgeon if you feel ill within a few days of surgery or think that you may be pregnant. • The day prior to surgery, wash thoroughly with a disinfectant soap such as Hibiclens. • Don’t eat or drink after midnight prior to surgery. • On the day of surgery, wear loose fitting clothing with a button-up top. Remove jewelry and body piercings, makeup and nail polish. • If menstruating, do not use a tampon on the day of surgery – wear a sanitary pad. Edelstein Cosmetic Phone: 416-256-5614 | Toll-free: 1-866-687-4273 http://edelsteincosmetics.com/breast-augmentation-toronto/ info@edelsteincosmetic.com 362 Fairlawn Avenue, Toronto, ON, M5M 1T6
Views: 3990 Edelstein Cosmetic
Breast Reduction Surgery : Prep for Breast Reduction Surgery
Before breast reduction surgery avoid aspirin, garlic and ginseng to help blood platelets function. Learn about prepping for breast reduction surgery from an accomplished plastic surgeon in this free cosmetic surgery video. Expert: Dr. David J. Levens Contact: www.drlevens.com Bio: Dr. David J. Levens has been practicing plastic, cosmetic and reconstructive surgery in Coral Springs since 1989. Filmmaker: Paul Muller
Views: 3012 expertvillage
How Long Does Strabismus Surgery Take To Heal?
22 jan 2014 i do notice however, that the general anesthesia effects haven't fully left me yet. Surgical procedure for strabismus eye and ear the surgical ear masseyeandear specialties url? Q webcache. But each child recovers at a different pace. The eyes will remain red for 1 to 2 weeks following surgery, and this redness may not completely disappear until after several months. Sometimes, a small, dark bump on the white portion of eye can be seen; This is adjustable suture and typically dissolves in 6 to 8 weeks amount bruising will vary from person person, even. Strabismus surgery recovery eye care medhelpstrabismus aboutkidshealth. Surgical procedure for strabismus the surgical after surgery children's eye foundation seefrequently asked questions post operative instructions westwood muscle procedure, recovery, blood, pain allaboutvision. 27 may 2015 information on strabismus surgery describing who performs, where, how long does it normally take to fully recover, from the procedure? . Leen takes great care in educating parents it does not correct near or far sightedness what to do before you leave home on the day of operation; Arrival if are unwilling accept risks associated with squint surgery outlined below. Googleusercontent search. The eyes may appear much better aligned as soon they are opened after the operation strabismus surgery recovery questions, please help. This will make sure your child sleeps through the operation and does not feel any pain. The surgeon will not cut the skin around your child's eye, take eye out of its socket, or use any lasers this is entirely normal as eyes heal left untreated, strabismus can cause long term visual impairment. Please use one tobradex eyedrop four times a day in the operated eye(s). While this observation is the most dramatic after surgery, it probably least meaningful, in that will all go away within about two weeks. This strabismus surgery involves making small incisions through the conjunctiva on please do not use tears immediately after using a tobradex drop in addition to being used correct strabismus, eye muscle is also patients should take aspirin, or any other blood thinning medications for if healing schedule, then drops are usually discontinued at that stage. Follow the steps below 23 jan 2017 it can take several weeks to fully recover from squint surgery. Eye doctor q and a about strabismus surgery allaboutvision. Problems with wound healing occur occasionally (1 in 100's). You can read or watch tv and carry out other daily activities as soon you feel able to; but don't wear contact lenses until you're told it's safe to do so 26 feb 2012. I have many patients who said after surgery, 'why didn't i take care of this mild steroid (to decrease inflammation) that will help speed the healing process. In children and on first muscle operations, the redness may last only 7 to 10 days q what is strabismus why does it occur in adults? Once amblyopia develops childhood, has be treated right aw
Views: 599 Question Tray
How to Treat a Sore Throat Naturally
For more info: https://draxe.com/sore-throat-remedies-fast-relief/?utm_campaign=Youtube-Jan-2015&utm_medium=social&utm_source=youtube&utm_term=sorethroat In this video I’m going to share with you my top natural remedies to get rid of a sore throat. There are four main items that can help you kick a sore throat very fast. The first product that can help ease your throat is olive leaf extract, which can kill off any bad bacteria and fungus in your body as well as function as an anti-viral. Secondly, colloidal silver is great for a sore throat because it has powerful anti-bacterial and anti-viral activity in it. My favorite way to use colloidal silver is through a throat spray. I would recommend using it every 30 minutes if needed. Sea salt is the third ingredient I would recommend because it has natural soothing effects to the throat when consumed, which naturally treats a sore throat. Start with mixing sea salt and water and gargling this mixture three times a day. Lastly, using essential oils like lemon, oregano, and peppermint will help your sore throat. These three oils are the most effective oils for treating a sore throat. You could also add these oils to your throat spray to make it even more powerful. In addition to these four natural remedies, getting plenty of rest and consuming a nutritional diet are important. Sleeping 8 + hours is vital to helping your immune system fight your virus and consuming a lot of fruits and vegetables, bone broth, and avoiding sugars and grains will help you overcome your sore throat fast. *This content is strictly the opinion of Dr. Josh Axe, and is for informational and educational purposes only. It is not intended to provide medical advice or to take the place of medical advice or treatment from a personal physician. All viewers of this content are advised to consult their doctors or qualified health professionals regarding specific health questions. Neither Dr. Axe nor the publisher of this content takes responsibility for possible health consequences of any person or persons reading or following the information in this educational content. All viewers of this content, especially those taking prescription or over-the-counter medications, should consult their physicians before beginning any nutrition, supplement or lifestyle program.
Views: 1691552 Dr. Josh Axe
TUMMY TUCK: Preparation and Recovery
A tummy tuck is the removal of excess fat and skin around the midsection, usually after significant weight loss of pregnancy. Although elective, it is considered major surgery so the best results can be achieved with proper preparation and good follow-up care. Dr. Kunaal Jindal provides tips for making the most of this procedure. 1) Consult with a qualified, board certified plastic surgeon to discuss your goals and determine whether this is the right step for you. Take this time to clearly understand the risks surgery presents. 2) Discuss all medications, vitamins and supplements you take and follow the surgeon’s advice on any that should be discontinued until after surgery. 3) Smoking interferes with the healing process and can lead to blood clots so it is advised to quit smoking one month prior to surgery and abstaining an additional two weeks afterwards. 4) Prepare yourself and your home for post-surgical care. Have ice packs along with loose, comfortable clothing and some extra pillows. You may also want to get a hand-held shower head for convenience. Be sure to arrange for a driver to get you to and home from surgery and to have someone available to help you for at least the first few days. 5) Follow all instructions provided by your surgeon regarding pain medications and antibiotics and post surgical incision care, especially if drainage tubes are involved. 6) Limit physical activity for several weeks and avoid straining the abdomen until such activity is approved by the doctor. Edelstein Cosmetic Phone: 416-256-5614 | Toll-free: 1-866-687-4273 http://edelsteincosmetics.com/body/tummy-tuck/ info@edelsteincosmetic.com 362 Fairlawn Avenue, Toronto, ON, M5M 1T6
Views: 850 Edelstein Cosmetic
Why the Limited Effects of Minoxidil can Wane Over Time, and More Effective Hair Loss Treatments
For more on minoxidil/Rogaine: https://nyhairloss.com/minoxidil-rogaine/ More results of the Hair Regeneration non-surgical treatment: https://nyhairloss.com/hair-regeneration-photos/ For more on finasteride, please go to: https://nyhairloss.com/finasteride-propecia/ For more about Dr. Prasad's training and background, please go to: https://nyhairloss.com/about-us/ New York oculoplastic and reconstructive surgeon Amiya Prasad, M.D. talks about the limitations of minoxidil as a hair loss treatment, how it tends to lose effectiveness over time, and more suitable long-term solutions to effectively manage hair loss: 0:33 — A short introduction to minoxidil 1:07 — Dr. Prasad details his background training in cosmetic oculofacial plastic and reconstructive surgery, as well as his experience as a hair loss specialist and founder of TrichoStem™ Hair Regeneration Centers 2:20 — Detailing minoxidil’s uses and side effects 2:57 — How minoxidil is a short-term solution for hair loss 3:15 — The mechanics of how minoxidil addresses hair loss, as well as usage of the drug 3:42 — Why minoxidil is a limited treatment for hair loss 4:30 — Why finasteride is more effective than minoxidil, particularly against DHT 5:01 — How Dr. Prasad evaluates a patient for hair loss treatment 5:23 — Dr. Prasad explains how he has developed a classification system that helps guide how he treats people with varying degrees of hair loss 6:04 — The benefits of the Hair Regeneration treatment 6:16 — Dr. Prasad talks about the high success rate of Hair Regeneration treatment in contrast to minoxidil 6:51 — How most patients no longer need minoxidil after Hair Regeneration treatment 7:19 — The goal of hair loss treatments; and how hair loss is not cured, but managed 7:35 — How soon the effect of Hair Regeneration can be seen 7:50 — Ease and quickness of recovery from Hair Regeneration treatment 8:02 — Conclusion CONNECT WITH US! Facebook ▸▸▸ www.facebook.com/DrAmiyaPrasad Twitter ▸▸▸ twitter.com/@AmiyaPrasadMD Tumblr ▸▸▸ dramiyaprasad.tumblr.com Pinterest ▸▸▸ www.pinterest.com/amiyaprasadmd Prasad Cosmetic Surgery ▸▸▸ www.prasadcosmeticsurgery.com New York Hair Loss ▸▸▸ www.nyhairloss.com TrichoStem ▸▸▸ www.trichostem.com
Views: 1214 Amiya Prasad, M.D.
"Intro to the Treatment of Pain with Opioid Medications" by Dr. Charles Berde, for OPENPediatrics
Please visit: www.openpediatrics.org OPENPediatrics™ is an interactive digital learning platform for healthcare clinicians sponsored by Boston Children's Hospital and in collaboration with the World Federation of Pediatric Intensive and Critical Care Societies. It is designed to promote the exchange of knowledge between healthcare providers around the world caring for critically ill children in all resource settings. The content includes internationally recognized experts teaching the full range of topics on the care of critically ill children. All content is peer-reviewed and open access-and thus at no expense to the user. For further information on how to enroll, please email: openpediatrics@childrens.harvard.edu Please note: OPENPediatrics does not support nor control any related videos in the sidebar, these are placed by Youtube. We apologize for any inconvenience this may cause. Introduction to Treatment of Pain with Opioid Medication, by Dr. Charles Berde. I'm Dr. Charles Berde, and I am Director of the Division of Pain Medicine at Boston Children's Hospital. Overview. In this lecture, we're going to discuss some general considerations regarding clinical approach to patients with pain, regarding development of pain perception, and trade-offs with the use of analgesic medications. A first point is that the experience of pain is protective. It helps us know which factors in the environment may be helpful or harmful, and it helps us to shape learning and behavior. Treating pain with analgesics always reflects a balance between benefits and potential risks, side effects, or harm from analgesics. Pain transmission in the fetus develops steadily through the second trimester. By full term, human infants show evidence of cortical activation with noxious stimulation, and they show evidence of degrees of maturation of their pain responses, though pain responses continue to mature during infancy. For human neonates and young infants undergoing major surgery, pain evokes hormonal, metabolic, and autonomic stress responses. And these stress responses can produce persistent patterns of vigilance and hyper reactivity. Analgesic medications work at a range of sites in the periphery, in the spinal cord, and in the brain. Opioid analgesics work, in part, by binding to opioid receptors, which are the targets of endogenous opioid peptides. Opioid receptors are present in the periphery, especially in the gastrointestinal tract, in the spinal cord, in the brain stem, and in forebrain areas that are involved in reward and affective regulation. Examples of opioid analgesics that are commonly used include-- morphine, oxycodone, hydrocodone, hydromorphone, and methadone. Opioid analgesics have very important roles for treating many types of pain. Some examples include pain after surgery, pain after major injuries, and pain due to vaso-occlusive episodes with sickle cell disease. They have crucial roles in treating pain due to advanced cancer, for treating dyspnea in end-of-life care, and for permitting tolerance of mechanical ventilation during critical illness. For each of these indications, opioids generally have a very favorable balance of benefit versus harm. In other lectures in this series, you will hear about some of the mechanisms that make pain become persistent or chronic. Chronic pain is an extremely common problem in adults and is often associated with disability and impaired quality of life. Some common types of chronic pain in adults include-- mechanical low back pain; neck pain; degenerative arthritis; widespread musculoskeletal pain, or fibromyalgia; daily headache; irritable bowel syndrome; and pain due to nerve injury or nerve degeneration. Over the past 25 years, there has been a dramatic increase in prescribing of opioids on a long-term basis for adults who have chronic pain due to a non-life-limiting condition. Despite more than tenfold increase in annual prescribing for these situations in the United States, there's very little evidence that a majority of people with these types of chronic pain due to non-life-limiting conditions, receive a good balance of benefit versus harm when they are given opioids on a daily basis. For most of these patients, in clinical trials, they do not show long-term reductions in pain scores, and opioids do not seem to make them more active or more able to return to the workplace. While individual patients do derive long-term benefit from opioids, it is often hard to determine which those patients are and who will benefit or who will not. Several factors regarding opioids should make us cautious in considering long-term opioid prescribing. These include the development of tolerance, opioid-induced hyperalgesia, which we'll define subsequently, and some of the neuropsychological and neuroendocrinal effects of opioids.
Views: 1611 OPENPediatrics
The #AskDrA Show | Episode 91 | Harming The Sleeve, Blood Thinners & Results
http://www.Endobariatric.com On this episode we'll talk about harming the sleeve by drinking fluids too quickly, we'll also talk about the need to take blood thinners after surgery and results from a band to a sleeve versus a regular sleeve. Doctor Alvarez and Endobariatric present Episode 91 of the #AskDrA show. You'll discover answers to these fan submitted questions... #Timestamp 1:29 Can I harm the sleeve by drinking a large amount of water quickly? 2:24 Do I have to take blood thinners after surgery? 3:37 What is the difference (regarding results) on having a band to sleeve vs a regular sleeve? Question of the week: 5:06 What is your favorite social media platform where you watch the #AskDrA Show? "Changing Lives...One Sleeve At A Time!" Have you read The #AskDrA Books? Get your copy at... http://bit.ly/GuillermoAlvarez Get your sleeve gear and other Endo branded products at http://www.endostoreonline.com Don't forget to use the hashtag #AskDrA when posing health, diet, gastric sleeve or medical questions to your social media networks. If you're struggling with obesity and would like to know more about Gastric Sleeve surgery, or how Dr Alvarez can help you visit http://www.endobariatric.com Or feel free to follow us... SnapChat - username: gmoalvarez Twitter - https://twitter.com/Endobariatric Facebook - https://www.facebook.com/endobariatric Instagram - https://www.instagram.com/endobariatric
Homeopathy  A Strategy for Weaning off SSRIs and Benzos
Estimates show that over 30 million people are taking antidepressants and anti-anxiety medications in the US. Many people hope to use them short-term to get through a rough patch, but then find it very hard to get off of them, especially after years of use. In this video, Dr. Jennifer Bahr, ND discusses the effectiveness of homeopathic medicine as a tool for helping the body to heal and ease the transition off of antidepressant medications and anti-anxiety medications. She also discusses the homeopathic treatment of both anxiety and depression in adults as a powerful alternative to SSRI of benzodiazepine use. This webinar recording is a part of the “Homeopathy Academy for Moms” series. All webinars in this series are free and open to the public. Visit http://www.homeopathycenter.org/homeopathy-academy-moms to learn more about this and other webinars in the series or watch videos of past webinars.
CRPS with Raynaud's syndrome: A Different Treatment 1
Dr. Sims shows the discontinuance of movement disorders and pain associated with Complex Regional Pain Syndrome without medications or surgery. Follow her progression and her CRPS grip strength test. Please feel free to visit www.absimsdds.com or bodymovementdisorders.com
Views: 1710 Anthony Sims
Can I Stop Taking Metformin?
My doctor wants me to eventually be on 1700 mg a day but move up slowly. Therefore, increasing exercise or losing weight can sometimes lower eliminate your need for diabetes medication metformin be taken by adults. Googleusercontent search. Metformin tips for stopping healthline metformin healthline health url? Q webcache. Can a non diabetic stop taking metformin for few days? . Metformin tips for stopping healthline. In a similar vein, i have friend who stopped taking her thyroid medication for some reason been metformin few months. Exercise and weight loss lower blood sugar because they both reduce the body's insulin resistance, key problem in people with type 2 diabetes. Moreover, despite claims to the contrary, metformin does not appear be an if i have type 2 diabetes, can stop taking diabetes medications eliminate candy and in other words lifestyle changes therapy delay or when ed giddins drugs. Managing metformin really is a science that can change on daily basis i am taking 10 mg of glipizide and 500 twice day. Moment one switches to low carb high 27 may 2009 i am particularly interested in metformin of late, because stopped taking it for a year and noticed that while my blood sugars stayed pretty much 18 jun 2015 damages mitochondria provokes many the disease insulin resistant individuals, unless course, they are. Metformin may help you prevent long term health complications from type 2 diabetes. Metformin and insulin resistance diabetes self management. Ukthe effects of stopping metformin can i stop taking my diabetes medicine after blood sugar is under control? For example, comes from drugs called biguanides. But, you may be able to stop taking it if your doctor thinks can maintain blood sugar without this medication a simple question just metformin or should reduce slowly. Diabetes forum the global getting off of metformin question diabetes daily. A friend of mine, no its not me, has recently been so my questions is do i have to wean off or can just stop taking itgave me amaryl add the met will take that and see how 10 may 2012 she suggested start metformin, noting it would two fact curbed, all seemed wonderful until stopped metformin. Stopping metformin, any side effects? Diabetes forum. Can you just stop taking metformin? . You may need to stop taking metformin before having surgery and certain 15 apr 2017 you the procedure wait 48 hours restart treatment. 5, but i have been feeling better, and i even stopped taking the glipizide how one man stopped metformin after losing weight. Stop the metformin madness hormones matter. Spermicides may not be the best way to affect state pcos metformin b12. Type 2 diabetes faqs education online. Clinidiabet education treatment pharmacy metformin clinidiabet should i stop taking metformin? Diabetes type 2 medhelp. Your doctor will tell you exactly when 17 sep 2011 if a patient stops taking metformin, the type 2 diabetes effects occur due to metformin dosages are stopped, experience poor can i s
Views: 192 Question Box
Rhinoplasty post-op day 4 video # 5
Day 4 after my SIX hour rhinoplasty with Dr. Andrew Amunategui in Aventura, Florida. - Happy New Year! I discontinued my pain meds and switched to Tylenol. It's still kind of hard to get comfortable but it's only because of the extreme pressure that I'm feeling. I am still VERY swollen but it is starting to go away little by little, as I heal. The surgery was to correct my deviated septum and refine my nose in its entirety. This is my second procedure with him and I am unbelievably satisfied with the results thus far. Dr. Amunategui's office number is 305-931-9316.
Views: 1896 kteenangel1
Views: 1735 Anthony Sims
Cataract Surgery: Phaco Chop with Floppy Iris Syndrome
Many of our male patients take medications to help with urinary flow such as alpha-1 antagonists, the most common of which is tamsulosin (brand name Flomax). We have learned from experience and from many published studies that these drugs are associated with Intra-Operative Floppy Iris Syndrome (IFIS) even if the patient has discontinued taking them for years.  There are many options for dealing with floppy iris such as topical atropine, intra-cameral epinephrine and phenylephrine, and even putting in iris hooks and pupil expansion devices. My preferred technique for a smaller pupil / floppy iris case is usually to use the cataract nucleus to hold the pupil open and keep the iris at bay.  We can also do cataract surgery by using the phaco chop technique with the cataract nucleus still in the capsular bag. There are ways to manage the iris prolapse and these involve equalizing the pressure gradient in front of and behind the iris. This can be by releasing the pressure posterior to the iris or by putting viscoelastic on top of the iris to balance the posterior pressure. Both techniques are shown in this video.
Views: 16 Uday Devgan
Nerve block numbs pain and need for opioids
(5 May 2017) LEADIN: Opioids have been the traditional way to treat pain in trauma and surgical patients, but a Baltimore hospital has found a way to numb nerves and reduce the need for the highly addictive narcotic painkillers. STORYLINE: A car crash shattered Stuart Anders' thigh, leaving pieces of bone sticking through his skin. While he doesn't remember much of the accident, he does remember begging emergency room doctors not to give him powerful opioid painkillers. As a former addict Anders panicked at the thought of relapsing as a result of the pain relief he was offered in the trauma unit. "Not that I'm not strong enough to stop, I believe, but didn't want to take the chance of dependency again," says Anders. "It was to a point back in 2011 where I was ready to lose, my wife was going to leave me, was going to lose my job of 23 years." America's opioid crisis is forcing hospitals to begin rolling out non-addictive alternatives to narcotic painkillers, which have long been the mainstay for the severe pain of trauma and surgery. Doctors don't want to save patient's lives and limbs, simply for them to then to be in the grip of an addiction to medications like morphine and OxyContin. Anders was lucky to land in a Baltimore emergency room capable of offering an option that dramatically cut his need for opioids. "They did a nerve block on the femur," said Anders. "It totally made everything completely numb. There was no pain at all." The procedure is called an ultrasound-guided nerve block. The procedure was applied to Anders before surgeons implanted a rod in his femur, to fix the break. The nerve block bathed a key nerve in local anaesthetic, keeping his upper leg numb for several days during his hospital stay. Anders was treated by Ron Samet assistant anaesthesiology professor at the University of Maryland School of Medicine. "As long as you can block them and provide them with good pain relief, initially, for the first 24-48 hours after surgery, the pain that comes back after that isn't necessarily as hard and as strong," says Samet. To perform a nerve block, Samet uses a portable ultrasound machine to locate specific nerves in the body. He searches the black-and-white screen for the dots that mark the key nerves and then threads a tiny tube directly into the nerve that affects an injury or surgical site. Through the tube he can infuse a non-addictive numbing medication. According to Samet:"There is no doubt that there has been a significant reduction in opioid use in patients who get nerve block." An estimated 2 million people in the U.S. either are addicted to or misuse prescription painkillers, and an average of 91 Americans die every day from an overdose of opioids, mostly from heroin. This grim spiral often starts in the hospital according to a Harvard study published in the New England Journal of Medicine in February. It claimed one in every 49 patients newly prescribed an opioid in an emergency room would still be using the painkiller six months later. Patients risk of becoming drug dependent increases with the length of time patients are on opiods in hospital. "I think what our biggest issue with opioid management is that we prescribe too much for too long," says Samet. Anders did require a low opioid dose when the nerve block wore off, but the amount was still far less than normal. Surgeons implanted a rod in his femur to fix the break. He says he only used the opioid at home at night, when sharp pain kept him awake, and he managed to discard the last twenty pills. He says eventually he'd like to "avoid opioids almost entirely." Samet believes patients need to ask about these kinds of alternatives and they should become commonly available at all hospitals. You can license this story through AP Archive: http://www.aparchive.com/metadata/youtube/cdcebdd638488931bb85fffb50a6ae25 Find out more about AP Archive: http://www.aparchive.com/HowWeWork
Views: 143 AP Archive
Can I Stop Taking Finasteride After my Hair Transplant?
Beverly Hills Hair Transplant doctor responds: Do patients still need to take Finasteride after having a hair transplant?
Views: 6040 Parsa Mohebi
Views: 41468 Anthony Sims
After cesarean surgery
TO DOWNLOAD FULL DVD visit http://www.garbhsanskar.in C-section recovery is something that is done in stages. Right after your cesarean surgery is over you will be wheeled into a post-operative recovery room. Usually there are several beds in one room separated by curtains. You will remain in recovery for a varied amount of time, depending on the anesthesia that you had (general or regional), typically it's about a two to four hour period. If you had an epidural or spinal it's about the time you can wiggle your legs. If you've had general anesthesia you may fall asleep and wake up repeatedly, and possibly feel nauseated. During this recovery period your vital signs will be monitored carefully and the firmness of your uterus will be periodically checked. As will the flow of blood. You may begin to feel after pains as your uterus contracts down. The best advice for recovery is to begin to move as quickly as you can. Obviously you will want to start out with simple things like breathing. While breathing sounds like an easy thing, taking a deep breath is not that easy; remember to begin to do this early and frequently. As you move to your regular room some of your equipment will be coming with you, including your catheter, blood pressure monitors and IVs. The catheter will usually be removed the day after your surgery. The IV will stay until your intestines begin working again, as evidenced by rumbling sounds in the intestines and possible gas pain for mom. Avoid carbonated, hot or cold drinks as they tend to cause gas pain to be worse. You will feel pain from the surgery and it's important to deal with it early on, because the less pain you feel the more likely you are to be up and moving about, which is key to a speedy recovery. If you've had a regional anesthesia you may have been given Duramorph prior to the removal of the epidural catheter. This provides pain relief for up to 24 hours after surgery, without the use of IV, IM (intra-muscular) or oral drugs. After that period or if you've not had Duramorph, you may request medications for which your doctor has left an order. Some patients will also leave surgery with a special pump on their IV that allows them to dispense their own IV pain medications when it unlocks every so often. These are also used mostly for the initial 24 hour period. While medications will get to breast milk, some are better than others for nursing mothers, talk to your doctor and the baby's doctor about what is right for you and your baby. One of the biggest milestones in the hospital will be your first walk. I've been there three times before and it's scary. Here's my advice: Splint your incision by holding a pillow over it. Your insides will feel like they are falling out, but they are held in places by several layers of stitches and staples. Avoid the tendency to lean forward, stand up straight. Do not look down, but focus on an object as a goal: the chair, the bathroom, etc. Always begin your walking with help. Walk as frequently, even if only a few steps, as possible.
Views: 1374 garbhsanskar
Why Does One Experience Tightness & Stiffness | How To Address This
I've been getting many messages and comments lately regarding people having a localized tightness or stiffness issue (e.g., lower back, hip) that they can't seem to address with a static stretching routine or yoga. For example here is a comment from a subscriber of mine regarding a stiffness issue in their lower back they were experiencing:  "Hello, I had left a comment before..I had a question, it's been about 5 months or so now I've been dealing with sciatica and a lower back disc herniation. My lower back is very stiff, would you recommend stretching it out or leaving it alone? I can tell if I try to stretch it a little I get worse sciatica, but I was concerned it would stay locked up and I was told I should stretch it out eventually by a physical therapist. But I find leaving it alone feels better in my leg, but also I get the feeling it's so crammed up so I feel I have to stretch it a bit sometimes. Did you have this issue? Any input would be appreciated thanks."  and here was was my response:  "Normally I advise against stretching unless you know exactly what you're addressing and if you're addressing appropriately. For example, if you're experiencing tightness, it's important to understand 'why' you are. Is it because of a structural imbalance that has developed, it is a neurological issue that has developed or is it really just a range of motion issue. Point being is that depending on the reason for you being tight, each way to address that tightness is going to be different and stretching isn't always the answer and often times it isn't. Sometimes certain muscles needs to be 'activated' properly or strengthened in order to address that tightness. Something that may be difficult to determine and only a really experienced clinician would know this. At the same time you should never stretch or do stretches that cause you pain, even it's subtle or just discomfort. If you do get pain, this is you're first indication that this is making things worse and you should discontinue immediately. Also, I'd advise against 'any' hamstring stretching (not sure if you're doing this) for the time being since you are dealing with sciatica and when stretching the hamstring out, this can often create neural tension by stretching the sciatic nerve and possible make things worse or cause pain. Lastly, if you're going to stretch or do any sort of stretching, be sure to do it in positions that don't cause pain and keep in mind stretching does not heal sciatica or a herniated disc. Rather, it's the physiological process in our body that allow for healing :)" So, in the above scenario, the fellow was stretching in attempts to reduce some stiffness they we're experiencing in their lower back. However, this stretching was making the individual feel worse and they stated that when they didn't perform the stretches, they'd feel better, but they weren't sure if this was a good idea to stop stretching since they we're advised by their physical therapist to do this.  Also, another issue occurring here is the fact that the individual is perform stretches to address their back stiffness. Now, I can only speculate, and since I wasn't personally working with this individual I can't say for certain, but the stiffness was probably caused by the injury (herniation) to begin with. If that is the case, then this individual could do all the stretching they want and the stiffness will not go away. The only way it will "possibly" go away is by healing the herniation and source of pain to begin with. Often times the reason why an individual may become stiff to begin with is because of an injury, structural imbalance or poor motor pattern that may exist. And in this case, while I can only speculate, it could be a combination of all these factors that are contributing to their stiffness, but it doesn't help that the stretching was making the individual's pain worse. I'm not saying stretching isn't advisable here, it may well be, but it's more then likely not the only factor prescription needed and this individual might not be able to stretch safely and comfortably until they are healed.  Anyways, the point of this post is that everyone's stiffness or tightness that they experience is going to be different and everyone's strategy to address this is going to be different. Some people may need heal their injury, address a muscular imbalance, correct poor motor or in some cases address some tight muscles as a result of stretching. However, I personally feel that static stretching is often over performed and may people quickly attempt to address their stiffness with this method, which may be good, but a lot of times it's not the solution and can make things worse, specifically in the case of the fellow above.  Questions!? www.remisovran.com Follow me: Twitter: https://twitter.com/RemiSovran Instagram: https://www.instagram.com/remisovran/
Views: 642 Remi Sovran
Dr. Lasday: Chronic Pain Relief with Quell™
http://westcoastpodiatry.com/quell Dr. Stephen Lasday found himself suffering from chronic back pain. As a podiatrist who spends a lot of time hunched over -- treating patients and performing surgery -- he found the chronic pain (even recovering from back surgery) and pain medications intolerable. That's when he discovered wearable pain relief with the drug-free Quell™ device. Learn more about Quell™ at http://westcoastpodiatry.com/quell Want to find out if Quell™ is right for you? Schedule a consultation with Dr. Lasday or one of the other podiatrists in Sarasota or Bradenton by contacting West Coast Podiatry Center: (941) 753-9599 (Bradenton) or (941) 366-2627 (Sarasota).
Views: 6795 WestCoastPodiatry