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#surgerycomplications
drmele · 11 months
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We all know to stop eating at least 8 hours before surgery. This precaution is required to prevent airway complications such as aspiration during surgery by making sure your stomach is empty. However, if you are taking one of the new, popular weight loss drugs like semaglutide (Ozempic, Rybelsus or Wegovy), we are learning 8 hours may not be enough time for your stomach to empty. Experts are now recommending stopping semaglutide and other similar diabetic/weight loss drugs from days to weeks before any elective procedure to prevent possible severe surgical complications.
One of the effects of semaglutide is delayed stomach emptying. This means food can stay in your stomach for days instead of the usual hours. Even with a day of not eating, the stomach can still be full, increasing the risk of aspiration and pneumonia during surgery. 
Moreover, semaglutide has a half-life of about one week. This means only half the drug is out of your system in a week. The article acknowledges that there are currently no guidelines for the timing of stopping GLP-1 medications before surgery. They propose holding GLP-1 medications four weeks prior to a scheduled procedure when feasible and considering full stomach precautions.
Weight loss medications can be life changing. For patients who are significantly overweight and have failed other weight loss methods, such as diet and exercise, it can even be life saving. But stopping GLP-1 agonists before elective surgery is critical and must be carefully planned to avoid complications during surgery.  If you have lost weight with the use of semaglutide or another GLP-1 receptor agonist  and are considering a Tummy Tuck or other skin tightening procedures, inform your surgeon of all current and recent medications, supplements and over-the-counter meds. No matter how well trained and experienced, a Board Certified Plastic Surgeon still needs all the information to make your surgery safe and predictable.
To schedule a private consultation for skin reduction after weight loss, call (925) 943-6353 today.
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𝐀𝐛𝐬𝐭𝐫𝐚𝐜𝐭: Benign mesenchymoma is an extremely uncommon neoplastic #disease and its occurrence in #esophagus is even more rarely reported. One #rarecase of multiple huge #benign sub mucosal oesophageal mesenchymoma is presented in this paper.
View more here @ https://symbiosisonlinepublishing.com/surgery/surgery55.php
#symbiosisonlinepublishing #pharmacy #pharmacylife #pharmacist #pharmaceutical #surgery #surgeon #surgerycenter #surgerycomplications #raredisease #journalwithme #journals #journal #pubmed #peerreviewed #peerreview #openaccess #openaccessjournal
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pinkyslims · 1 year
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#weightlosssurgery #weightloss #weightlossjourney #wls #bariatricsurgery #vsg #wlscommunity #vsgcommunity #gastricsleeve #weightlosstransformation #vsgjourney #vsgcomplications #wlscomplications #Surgerycomplications #vsgleak #wlsleak #bariatricsurgeryleak
#bariatricsurgerycomplications
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eliejc · 5 years
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@Regrann from @frank_n_kitten - Yesterday Shep went under anaesthetic for a spinal xray, and while under, we took the opportunity to neuter him. Unfortunately the older a dog is, the more intricate the surgery. Shep has had some post surgery complications with bleeding, and is going back into surgery today. He will hopefully be back home staring at me inches from my face tomorrow morning. Another reason why it is important to desex your pets when they are young! 🙏 #shep #speyandneuter #desexyourpets #surgerycomplications #poorpiggy #staffiesofinstagram #palliativecare https://www.instagram.com/p/BzcFMduHxg3/?igshid=1c30z7f9snzj5
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theannuityexpert · 4 years
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Life Insurance with Pre-Existing Conditions
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Researching how to get life insurance coverage for pre-existing medical conditions? In this guide, we’ll go over what you need to know to get coverage then work with you directly to shop life insurance quotes and get you insured at the lowest cost possible. If you feel your health could prevent you from being approved for a life insurance policy, contact us. Very rarely can we not find a solution for most people seeking life insurance with pre-existing conditions. Below are some common pre-existing medical conditions guidelines to consider when trying to pass medical exams and blood tests. I've listed factors that will be considered by the underwriting team, and guidelines to get coverage.
Pre-existing Medical Conditions
Anemia Factors in the Decision Process Type of AnemiaAge of applicantUnderlying causeComplete Blood Count (CBC) resultsTreatment Guidelines for Coverage Iron deficient anemia that is fully investigated with no underlining cause with a favorable CBC can be considered for life insurance coverage.Other types of anemia may be considered for coverage, but may be declined too. Abdominal Aortic Aneurysm Factors in the Decision Process Size and stability of the aneurysmTreatmentCompliance with routine surveillance testing Guidelines for Coverage A small stable aortic aneurysm that is well-monitored and does not require surgery can be considered for coverage.Aortic aneurysm requiring surgery can be considered after six months from recovery. Asthma Factors in the Decision Process Age of the applicantFrequency and severity of asthma attacksTreatmentTobacco useHospitalization Guidelines for Coverage Mild to moderate asthma will be considered for life insurance coverage.Severe asthma with continual symptoms can be considered, but also declined depending on the severity. Chronic Obstructive Pulmonary Disease (COPD) including Emphysema or Chronic Bronchitis Factors in the Decision Process Severity and progression of the COPD, emphysema, or chronic bronchitisTreatmentPulmonary function test resultstobacco useHospitalization Guidelines for Coverage Minimal, mild, and moderate COPD can be considered for life insurance coverage.Severe COPD is typically a decline for coverage.If supplemental oxygen is required, coverage is typically declined. Chronic Pain Factors in the Decision Process Applicant's ageCause of the chronic paintreatmentDegree of physical impairmentPresence or history of substance abuseHistory of other mood disorder Guidelines for Coverage Mild chronic pain with minimal physical and functional impairment, active, socially engaged, without mood or psychiatric disorder, without benzodiazepine can be considered for life insurance coverage.Moderate chronic pain with mild to moderate physical and functional impairment, possible use of walking aids, socially engaged but may be disabled from work, the possible presence of mild to moderate depression, continuous or intermittent medication use at moderate dosages, can be considered for life insurance coverage.Severe chronic pain with moderate to severe physical mobility or other functional impairment, socially isolated, unable to work, the possible presence of moderate to severe depression, ongoing use of narcotics or opioids, use of benzodiazepine or medical infusion pump could be considered for coverage, but likely to be declined.If substance abuse is detected, the life insurance coverage will be declined. Crohn's Disease Factors in the Decision Process Age of the applicantSeverity of symptoms and frequency of flare-upsTreatment including surgeriesStability of weightCompliance with routine surveillance testing Guidelines for Coverage Crohn's disease that is effectively treated and managed can be considered for life insurance coverage.If you've had surgery, you will need to wait 6 months to apply for coverage.Underweight applicants could be declined.Applicants using corticosteroid or immunosuppressant type medication could cause the coverage to be more expensive. A lack of follow-ups or a current colonoscopy could cause a delay in coverage. Deep Vein Thrombosis (DVT) Factors in the Decision Process The date of DVTNumber of episodesCause of the DVTTreatment Guidelines for Coverage Single or multiple episodes can be considered for life insurance coverage. Coverage will be determined on frequency and the time since last episode.Known coagulation disorders could be considered for coverage, but could be declined. Epilepsy and Seizures Factors in the Decision Process Age of the applicantType of seizuresTreatmentCause of the seizures if knownDate of the last seizure and frequencyNeurological evaluationDriving record Guidelines for Coverage Grand Mal Seizures that are effectively treated and managed can be considered for life insurance coverage.Petit Mal Seizures that are effectively treated and managed can be considered for life insurance coverage.If there is a status epilepticus, alcohol misuse, any non-compliance with treatment, seizures that are hard to control, or multiple seizure types that exist, it will be difficult to get coverage or even declined. Hypertension and High Blood Pressure Factors in the Decision Process Blood pressure readings over the last 2 yearsNumber and type of medicationsCompliance with treatment Guidelines for Coverage Life insurance coverage is determined by the control of the blood pressure readings. Organ Donors and Recipients Factors in the Decision Process For kidney donors, the function of the remaining kidneyFor organ recipients, current age, reason for the transplant, and other medical conditions Guidelines for Coverage Kidney donors with normal kidney functions can be considered for life insurance coverage.Kidney transplant recipients are rarely considered for coverage, and often declined.Recipients of heart, lung, or liver transplants are often declined. Paralysis, Paraplegia, and Quadriplegia Factors in the Decision Process Age of the applicantCause of the paralysisExtent of the physical limitationsDegree of self-suffeciencyBladder or bowel function limitationsAdjustment to the conditionPresence of any other medical concerns related to the paralysis Guidelines for Coverage Paraplegic applicants can be considered for life insurance coverage.Quadriplegic applicants are often declined.Frequent infections, neurogenic bladder, skin ulcers, or impaired kidney functions are often declined. Peripheral Vascular Disease (PVD) and Peripheral Arterial Disease Factors in the Decision Process Age of the applicantThe extent of the PVDTreatmenttobacco UsePresence of other health concerns including diabetes, coronary artery disease, or cerebrosvacular disease Guidelines for Coverage Mild to moderate PVD will be considered for life insurance coverage.Severe PVD typically is declined.Applicants that also have diabetes, coronary artery disease, or cerebrosvacular disease additionally will often be declined. Pulmonary Embolism Factors in the Decision Process The date of the pulmonary embolismThe number of pulmonary embolismsCause of the pulmonary embolismTreatment Guidelines for Coverage Life insurance coverage is considered based on the number of episodes, and the time since the last episode.Any known coagulation disorders can often lead to a decline. Rheumatoid Arthritis Factors in the Decision Process Severity and progression of symptomstreatmentlevel of interference with daily activities Guidelines for Coverage Minimal to mild rheumatoid arthritis can be considered for life insurance coverage.Severe rheumatoid arthritis that is causing significant physical limitations, multiple joint deformities, or the need for assistance with daily living activities (ADL) often are declined.Rapidly progressing RA or with organ involvement is often declined as well. Systemic Lupus Erythematous (Lupus) Factors in the Decision Process Age of the applicantseverity of the lupustreatmentInvolvement of organs Guidelines for Coverage Mild to moderate lupus are considered for life insurance coverage.Severe lupus is often declined.If lupus nephritis (kidney involvement) is present, life insurance coverage is often declined. Ulcerative Colitis Factors in the Decision Process Severity of symptomsFrequency of flare-upsExtent and duration of the diseaseLength in remissionTreatment including surgeriesCompliance with routine surveillance testingStability of weight Guidelines for Coverage Asymptomatic ulcerative colitis not requiring any treatment can be considered for coverage.Mild to moderate ulcerative colitis that is effectively treated and managed can be considered for coverage.Severe ulcerative colitis is often declined.Surgery could postpone coverage for 6 months.Underweight applicants are often declined.Applicants with significantly elevated liver function tests are often declined.Lack of follow-ups could postpone coverage. Weight Loss Surgery Factors in the Decision Process Pre-surgery weight and current weightTpye of weight loss surgerydate of the surgeryComplications from the surgery Guidelines for Coverage For restrictive surgery, life insurance coverage can be considered after 3 months.For gastric bypass surgery, life insurance coverage can be considered after 6 months.
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baldchicksarehot · 7 years
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Sending love out to many folks who are going through tough times right now. #GroupHugs #SURVIVEtogether #V4VICTORY #AllWeNeedIsLOVE #ScanResults #SurgeryComplications #Healing #CancerSUCKS 💜✌🏼🙏🏼😘 (at V For Victory Foundation, Inc)
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queenbeeofibd · 6 years
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#IBDSuperHeroes regram - @mybigredbumdiary: • 19th December 2015 - reminiscing on the time I looked like the bride of Chucky after a previous surgery went badly wrong 😷🔪 https://wp.me/p9LqIj-1i #mybigredbumdiary #ulcerativecolitis #ulcerativecolitisfighter #tonsillectomy #surgerycomplications #ibd #ibdawareness #ibdwarrior #ibdsuperheroes #crohnsandcolitis — view on Instagram https://scontent.cdninstagram.com/vp/1d0ecbd1cf4df8b58d45c978107b2cd6/5B6DA804/t51.2885-15/s640x640/sh0.08/e35/29415312_2165090980391303_4620302946888843264_n.jpg
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flightlesstinkerbell · 10 years
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Surgery f/u tomorrow, so done. TW: medical, depressed
Beginning to realize I wish I had never had my neck surgery. I was excited for a while, and a great many of my symptoms did improve. But I am only two years out and the seizures, bad balance, vertigo, facial numbness are all coming back. Plus the direct and still on-going "complications:" total inability to swallow, only partially improved, aspiration of liquids, obstructive sleep apnea, nerve issues from the hip bone graft harvest site, possible worsening of SI issues due to graft harvest, continuous nerve pain on the right side of my head, sudden onset of narcolepsy, and mostly PAIN. My neck pain has returned and may be worse, and now I have constant hip pain from the graft site. I know things can hurt a little after surgery, but we had to radically set UP my meds in the last two years. That surgery was the catalyst that turned everything in my life to utter and absolute crap. It was supposed to save my life, make me more able to actually LIVE my life. Instead I have lost my job, my ability to work a job, even my few friends and family (who do not also have EDS and even some who do) have lost their faith I will ever life a real life. Most people just pity me, even when I am cheerful. And because of the physical and emotional repercussions of that surgery, I have lost the one thing that mattered most in the world to me. To see looks of love replaced with pain, pity, anger, or just plain dislike is a pain I wish on no one. So I go to the neurosurgeon tomorrow for a follow up to ask what the hell he did to me. And if he blows me off again, I swear I will lose it. I will just plain lose it.
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𝐀𝐛𝐬𝐭𝐫𝐚𝐜𝐭: A 51-year-old woman #suffered from a #firstepisode of #freshblood #vomiting and #discomfort of #abdominal distention after 2 years working on #spraypaint in a private furniture factory in China mainland.
View more here @ https://symbiosisonlinepublishing.com/surgery/surgery52.php
#symbiosisonlinepublishing #surgery #surgerylife #SurgeryComplications #surgeryday #aged #oldwomen #abdominalpain #surgeryrecovery #swollen #medicalhealth #hypertension #laparoscopic #journalwithme #medicaljournal #journals #journal #openaccess #openaccessjournal #pubmed #peerreview #peerreviewed
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