5 posts shown.
Someone undergoing surgery really needs to take all of this seriously. Especially if they’re facing a procedure on a neck vessel. When my dad went in for his surgery, he didn't meet nearly any of the criteria mentioned by urbanscout50, even though he wasn't drinking or smoking. I'm no doctor, but I knew his body was in absolutely terrible shape. You have to do your own homework before an operation—look things up online instead of just blindly following whatever a doctor tells you.
I’ve gotta hand it to you moderators on this health forum. On top of pulling shifts at the hospital—whether you guys are med students, doctors, or something else entirely—you’re still coming home just to answer messages. When we're feeling under theweather, we know exactly who to turn to!
Sam Hall15 said:The surgeon is the one who ultimately provides the indication for surgery. A neurologist might suspect that surgical intervention is necessary, but the final call and the decision to proceed lie solely with the surgeon.
As for the anesthesiologist, their role is to assess the patient's overall health to determine if they can actually withstand the specific procedure. If they decide the patient isn't fit for surgery at that moment—just like Scott Allen10 pointed out—they have the authority to pull them from the schedule. Regarding the anesthesia itself, there’s no simple answer; you don't just pick between "Anesthesia A" or "Anesthesia B." It involves various physical delivery methods, different anesthetics, analgesics, relaxants, and many other drugs used to facilitate the process. It's all about individual assessment. We usually plan a certain direction, but during induction, we might pivot to something else based on how things look in the moment.
Oh, really??? So the surgeon calls all the shots... What if the brain is in total crisis and the patient is already physically failing—blood sugar, blood pressure, everything? Does the surgeon just ignore all that and operate anyway? Shouldn't there be some kind of medical board reviewing cases to decide if someone is even capable of undergoing surgery? The doctor who operated on my dad told me there wasn't any committee involved at all.
When someone is facing surgery for a blocked carotid artery, who actually makes the call on whether they’re fit for the procedure—the anesthesiologist or the neurologist (especially if there's a history of stroke involved)? What specific health factors are being weighed during that decision? Also, what type of anesthesia is typically considered the best approach here?
I've been wearing soft contact lenses for eight years now. When I first started, my prescription was around -8.00 in both eyes. I never had any issues back then—no stinging, no watering, I couldn't even feel them in my eyes. But things changed once my prescription climbed past -11. Now, I'm sitting at -12.50 in both eyes. Since day one, I've just been getting my lenses from an eye clinic on Water Street in Washington, D.C.
The problem is that the higher the prescription, the thicker these lenses get. They irritate me every single day; it feels like they're pushing right into my eyeball, and when I wake up in the morning, the inside of my eyelids are all crusty.
I'm wondering, are all lenses thicker as the prescription increases, or is it just the ones at this specific clinic? I actually looked it up in the Encyclopedia Britannica, and they said that's just how it works.