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Hands or feet asleep? What to do - harvard

Hands or feet asleep? What to do

It’s happened to all of us: a hand or leg temporarily “falls asleep,” usually from being in one position for too long. Why does it happen? Are there times when you should be concerned about it? The post Hands or feet asleep? What to do appeared first on Harvard Health Blog.
harvard - 2 days ago
C. difficile (C. diff): An urgent threat - harvard

C. difficile (C. diff): An urgent threat

The bacteria known as C. diff has become a leading cause of infection among hospitalized patients. The infection is more common following antibiotic therapy, and it is challenging to treat because of a high relapse rate. The post C. difficile (C. diff): An urgent threat appeared first on Harvard Health Blog.
harvard - 3 days ago
Can light therapies help with bipolar disorder? - harvard

Can light therapies help with bipolar disorder?

One approach to treating bipolar disorders is manipulation of the body’s circadian rhythms. A recent review of research found that such therapies may help, often in combination with medications and psychotherapy. The post Can light therapies help with bipolar disorder? appeared first on Harvard Health Blog.
harvard - 5 days ago
Good news for those with type 2 diabetes: Healthy lifestyle matters - harvard

Good news for those with type 2 diabetes: Healthy lifestyle matters

Lifestyle changes have been shown to reduce the risk of a cardiovascular event, but can they also help those with diabetes? A recent study found a positive association between healthy lifestyle choices and reduced cardiovascular risk for those with type 2 diabetes. The post Good news for those with type 2 diabetes: Healthy lifestyle matters appeared first on Harvard Health Blog.
harvard - 6 days ago
Rethinking Milk: Science Takes On the Dairy Dilemma  - web md

Rethinking Milk: Science Takes On the Dairy Dilemma

Dairy products are rich in calcium and protein, and they have long been promoted as important for helping kids grow and helping kids and adults build and maintain strong bones. Now a new study questions whether diary deserves its health halo.
web md - 1 week ago
What’s the best way to manage agitation related to dementia? - harvard

What’s the best way to manage agitation related to dementia?

When people with dementia start exhibiting agitated behaviors, doctors often prescribe medications, but these have risks of serious side effects. A new study found that nondrug interventions were more effective than medications in reducing agitation. The post What’s the best way to manage agitation related to dementia? appeared first on Harvard Health Blog.
harvard - 1 week ago
Good for your teeth, bad for your bones? - harvard

Good for your teeth, bad for your bones?

Could an ingredient in toothpaste be harmful to your bones? Triclosan, an antibacterial agent, has been banned from soaps and hand sanitizers by the FDA, and researchers have found that women with the highest levels of triclosan in their urine had low bone density measurements. The post Good for your teeth, bad for your bones? appeared first on Harvard Health Blog.
harvard - 1 week ago
When is a heavy period too heavy? - harvard

When is a heavy period too heavy?

Girls and their parents often wonder when bleeding with a period is too heavy. It's normal for periods to be irregular and occasionally heavy in the first few years after menstruation starts, but some signs of heavy bleeding merit a call to your child’s doctor. The post When is a heavy period too heavy? appeared first on Harvard Health Blog.
harvard - 1 week ago
Mind-body therapies can reduce pain and opioid use - harvard

Mind-body therapies can reduce pain and opioid use

Researchers looking for ways to help people manage pain without drugs found that the practice of mind-body therapies was associated with reduced pain intensity, and may also assist some people in reducing their use of opioid medications. The post Mind-body therapies can reduce pain and opioid use appeared first on Harvard Health Blog.
harvard - 1 week ago
Skin care shouldn’t be colorblind - harvard

Skin care shouldn’t be colorblind

Because skin color affects the presentation of skin conditions, dermatologists must consider skin color in making diagnoses. Because of this, people of color may want to seek out a dermatologist who understands their specific needs and concerns. The post Skin care shouldn’t be colorblind appeared first on Harvard Health Blog.
harvard - 1 week ago
What’s in a number? Looking at life expectancy in the US - harvard

What’s in a number? Looking at life expectancy in the US

Between 1959 and 2014, average life expectancy in the United States rose astoundingly by nearly a decade. Then it began declining. A recent report examining this situation raises tough questions about that unexpected change. The post What’s in a number? Looking at life expectancy in the US appeared first on Harvard Health Blog.
harvard - 2 weeks ago
More Patients Turning to

More Patients Turning to 'Direct Primary Care'

DPC Frontier, which tracks the number of direct primary care practices nationally, estimates there are 1,219 practices in 48 states and Washington, D.C. They range in size from solo practitioners to corporate, multisite direct primary care organizations with thousands of doctors.
web md - 2 weeks ago
With a little planning, vegan diets can be a healthful choice - harvard

With a little planning, vegan diets can be a healthful choice

There is ample evidence to support the healthfulness of a vegan diet. However, those who choose vegan eating may not get enough of some nutrients unless they pay careful attention to their food intake, or choose to take supplements. The post With a little planning, vegan diets can be a healthful choice appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Coronavirus: What parents should know and do - harvard

Coronavirus: What parents should know and do

It’s natural for parents to be worried about whether their children could be at risk from the novel coronavirus. While there is much that is still not known, common sense and simple public health precautions will help protect everyone. The post Coronavirus: What parents should know and do appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Infertility the second time around - harvard

Infertility the second time around

If you have a child and wish for more but are struggling with fertility issues, you may have many feelings and concerns. Here are some steps and strategies you may find helpful. The post Infertility the second time around appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Newer skin cancer treatments improve prognosis for those with cutaneous melanoma - harvard

Newer skin cancer treatments improve prognosis for those with cutaneous melanoma

Though only about 1% of skin cancers are melanomas, they are responsible for 90% of skin cancer deaths. Recent advances in treatment options have improved survival rates for melanoma, but it’s still best to take preventive steps to protect your skin. The post Newer skin cancer treatments improve prognosis for those with cutaneous melanoma appeared first on Harvard Health Blog.
harvard - 2 weeks ago
Be careful where you get your news about coronavirus - harvard

Be careful where you get your news about coronavirus

New information about the spread of coronavirus is coming at us seemingly every minute from many sources. But how much of this information is trustworthy? And which sources should you believe? The post Be careful where you get your news about coronavirus appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Hearing loss may affect brain health - harvard

Hearing loss may affect brain health

Research into a possible connection between age-related hearing loss and brain function found that there is an association, with subjects 50 or older showing signs of cognitive decline even before reaching clinically defined hearing loss. The post Hearing loss may affect brain health appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Food allergy, intolerance, or sensitivity: What’s the difference, and why does it matter? - harvard

Food allergy, intolerance, or sensitivity: What’s the difference, and why does it matter?

Many people have experienced unpleasant symptoms related to food, but such a reaction does not necessarily mean that you have a food allergy. The symptoms could indicate a food intolerance, food insensitivity, or possibly celiac disease. The post Food allergy, intolerance, or sensitivity: What’s the difference, and why does it matter? appeared first on Harvard Health Blog.
harvard - 3 weeks ago
Are you getting enough sleep… or too much? Sleep and stroke risk - harvard

Are you getting enough sleep… or too much? Sleep and stroke risk

Could sleeping too much be bad for you? Possibly. A study found that people who slept more than nine hours a night and took long daytime naps, or who reported poor-quality sleep, were much more likely to have a stroke than those who slept eight hours or less a night. The post Are you getting enough sleep… or too much? Sleep and stroke risk appeared first on Harvard Health Blog.
harvard - 3 weeks ago
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I'm confused... What am I doing here?

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harvard
Coming clean: Your anesthesiologist needs to know about marijuana use before surgery

Coming clean: Your anesthesiologist needs to know about marijuana use before surgery

harvard - 1 month ago

Given the increasing prevalence and legalization of marijuana, many patients have come to think that marijuana use is not worth mentioning to their physicians. After all, they reason, I would not necessarily tell my doctor that I had a glass of wine last night, so why should I disclose that I smoked marijuana yesterday? Unfortunately, this reasoning is flawed. Because marijuana has a variety of effects on the body and on anesthesia medicines, it is crucial that anyone undergoing a preoperative evaluation disclose their marijuana use. Dont worry that your anesthesiologist is judging you. Thats not our job! Our job is to understand your health and body in order to provide you with the safest and most pain-free procedure. This information is part of your confidential medical record, and accurate information is crucial to helping doctors provide good care.

Marijuana can affect the type and amount of anesthesia

The way(s) you use marijuana (smoking, edibles, etc.), how often you use, and how much all can affect how your body responds to anesthesia. Since marijuana and anesthesia both affect the central nervous system, people who use marijuana regularly may need different amounts of anesthesia medicines. In order to know which medicines and how much to use, your doctor needs to know ahead of time how much and how often you use marijuana.

Regular users of marijuana generally need larger doses of anesthesia medicines in order to achieve the same degree of sedation. If you dont tell your anesthesiologist how much marijuana you smoke, he or she may underestimate how much anesthesia will be needed for you to go to sleep and stay asleep during your procedure. For example, compared to nonusers, regular marijuana users (daily to weekly) need over three times as much more propofol to achieve adequate sedation for endoscopies. That is a huge increase in dose that your doctor would want to be prepared to administer.

The higher anesthesia dose required for regular marijuana users can lead to an increased risk of complications, such as decreased blood pressure and delayed awakening from anesthesia.

Marijuana use before surgery can increase the risk of complications

Other side effects of regular marijuana use can lead to serious complications of anesthesia. Inhaled marijuana can affect your lungs and increase phlegm, coughing, wheezing, and the risk of respiratory infections. These lung issues can lead to breathing problems during your anesthetic, such as increased airway sensitivity when the breathing tube is put into or taken out of the airway. This may feel like an asthma attack, with a sensation of difficulty breathing and decreased oxygen getting into the lungs. Regular users of marijuana can also have increased postoperative pain, which leads to higher opioid use during and after surgery. This puts regular marijuana users at risk for opioid use disorder after surgery.

Dont use marijuana the day of surgery especially edibles

No matter how worried you are about your procedure, dont use marijuana to relax you may end up with your surgery rescheduled or with serious complications. Regardless of how often you usually use marijuana, anesthesiologists agree that you should skip it completely on the day of surgery. You should not smoke or inhale marijuana the day of your surgery, and certainly you should avoid any edible marijuana the day of surgery, since the American Society of Anesthesiologists guidelines for preoperative fasting do not allow any solid food for six to eight hours prior to anesthesia, in order to decrease the risk of food getting inhaled into your lungs. This can lead to aspiration pneumonia, a very serious complication that may cause death in some patients.

The physical effects of marijuana can increase the risk of complications, especially if consumed within an hour or two of anesthesia. Marijuana can raise your heart rate and lower your blood pressure. These changes are even more serious in patients with heart disease. In selected patient populations, this combination of decreased blood pressure and increased heart rate can cause ischemia (lack of blood supply) to the heart muscle, commonly known as a heart attack.

There are still many unknowns about marijuana

Your anesthesiologist needs accurate information about your marijuana use in order to plan safe anesthesia, and we know that no one should use marijuana on the day of surgery. Because of marijuanas classification as a drug of abuse, we cannot do medical research on marijuana without legislation to allow that research, and this includes research about how marijuana affects surgical procedures and aspects of anesthesia. The American Society of Anesthesiologists (ASA) has urged the federal government to allow medical studies and has endorsed bills to expand research in marijuana.

Your anesthesiologist just wants to keep you safe

The ASA has a list of eight things that you should tell your physician and anesthesiologist before surgery, and the use of marijuana is one of them. Please dont be afraid to disclose your use of marijuana to your physician, as it will not affect what we think of you. You will help us manage and adjust your anesthetic, prevent complications, and keep you as safe and healthy as possible.

The post Coming clean: Your anesthesiologist needs to know about marijuana use before surgery appeared first on Harvard Health Blog.

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