Showing posts with label Substance Abuse. Show all posts
Showing posts with label Substance Abuse. Show all posts

Thursday, January 31, 2013

We Are One?




Are we one and the same? The answer depends on who is asking the question. For most of us, we ask because we want to know the differences from one human body to the next. They look different. But on a deeper level, in  strictly physical terms, is everybody the same as far as a medical expert would say?

Would you agree that the practice of anesthesia gives a good look at the body in this depth? After all, anesthesia is given to each patient individually, and no two patients are alike. So what are the differences from one body to the next, in a physical way as it works ( the study of how the body works, and all of its chemical reactions, is Physiology. Anesthesia is called 'Applied Physiology' and also 'Instant Medicine' because of the powerful, fast-acting medications that are given during an anesthetic.).

There are many physical factors that are considered in the making of an Anesthesia Plan for each patient:

  • Is there a pregnancy? Blood volume goes up, blood thins, lungs adapt to become more efficient, oxygen requirements go up, hormonal changes on the nerve structures themselves make the patient more sensitive to the effects of anesthesia. Doses are lowered for regional and general anesthesia because of this. Airway swelling takes place inside the throat--and mucous membranes that are engorged through pregnancy are more likely to bleed during insertion of the breathing tube. There is even a special short handled laryngoscope because in pregnancy the patients' breasts are almost up to the chin when lying flat and the standard handle has not enough room to fit!
  • Are there the extremes of age? Pediatric anesthesia is an entire specialty that requires an extra year of fellowship training. Children's growing bodies are so different there are two extra CPR-type courses: Neonatal Resuscitation, and Pediatric Advanced Life Support. All health care providers must maintain current certification to work with children in those age groups. Geriatric Anesthesia is another extreme. It is like having too much 'mileage' on the body! The organ systems have little 'reserve'; everything is optimum, maxed-out physiology. Grandmother can't run a race because there is no additional physiologic reserve for her to tap into. When I give anesthesia to a ninety-year old, I earn my keep! And once the anesthesia is out of the system, all of the challenges disappear! No one knows how hard it is, technically, to give anesthesia to this age group unless they are in this line of work. But you can imagine the complexity it presents when you reflect on it.
  • 'Is this boy blood or girl blood?' My anemic physician friend asked on transfusion. They didn't know. They had to look it up. It was boy blood. And she found that her interest in sports and TV snacks and beer mysteriously went up for ninety days after getting the transfusion. Is testosterone filtered out of packed red blood cells? Is estrogen removed from Fresh Frozen Plasma or cryoprecipitate or platelets? It is doubtful that hormonally neuter blood exists, except perhaps if the donor is a post-menopausal woman? It is a well-known fact in the heart room that cardiac bypass  surgery on women is technically a bigger challenge than for men. Women are small, their cardiac arteries are smaller size in diameter than in men, and the disease load of atherosclerosis is heavier because women present with more advanced disease due to the lack of classic symptoms of angina like the pain to the jaw or left arm that is seen in men, the Little Red Dress project is a result of trying to raise the awareness in the general public that women s heart disease is not the same as men's.
  • What ethnicity is the patient? Jews and Italians experience more pain than a stoic Scot would. African Americans have sickle cell, high blood pressure, and more tendency toward c-section (the shape of the pelvic outlet has a different bone structure. If you look good in jeans, you have hips more like a boy...and that is not the greatest thing in giving birth). Asians have less room in the airway at intubation because of smaller chins, and take less narcotic because they are more sensitive to this medication. Latinos have a very high risk of diabetes in the population. There is also a particular side to side head motion on emergence from anesthesia that is not seen in any group. It looks like a child turning away from a spoon of food or medicine that is offered. Once awake, the patient is like anybody else.
  • What is the Body mass index (BMI)? Anesthesia in the morbidly obese presents a unique set of challenges. Basically, the lungs are small, the oxygen needs are higher, and there is less too in the upper airway and mouth for intubation. There is often a stronger gag reflex too.
  • What disease is present? Coexisting disease with the kidneys or liver or lungs completely changes the anesthesia plan. 
  • What surgery is planned? For example, a dentist likes the breathing tube to be placed through the nose so they can freely work inside the mouth.
  • Are there 'substances' on board or chronically used by the patient? A cancer patient might take fifty milligrams of morphine three times a day!it will take more to keep them co for table after surgery because of this tolerance to narcotic. Alcohol, cocaine, marijuana, nicotine, tobacco, speed, and anything else have to be taken into consideration so enough anesthesia is given.
Nw that we agree on the physical body and its differences due to age, body type, sex, and more, let us ask--what is the same from one patient to the next?

The answer is a heart that responds to Unconditional Love.

We are One. No matter where we come from, what our body is like...because our Spirit that is within is beautiful! Perfect! Struggling with this school called Life. And a heart that is touched by Lovingkindness, Compassion, Generosity of Spirit, and Love, the Greatest of All Forces in the Universe.

Any creature that is alive on this planet will respond to Lovingkiness. Even the fiercest of creatures in     The Zoo will know who treats it harshly and who feeds it and tends to it. A recent study has shown crabs in the sea do avoid electrical shocks when in an experiment: therefore they are capable of feeling pain.

Our bodies are different. But our Heart-of-Hearts is the same. We are One. All of us.

Namaste,

Reiki Doc

Sunday, January 27, 2013

Auras, Edibles and Cardiac Anesthesia




Yesterday the topic was 'Yoga and Shrooms',  a subject that was prompted by the discovery of carelessly disposed 'shrooms' capsules on the floor of the Yoga 'studio' which was a restaurant the rest of the week. Guests of that establishment, without the awareness of management, not only consumed 'shrooms' on the premises but also were sloppy about the 'containers' that the substances came in.

After writing that, I realized that in front of me at the front desk in L&D that same morning had been a conversation about 'edibles' and the parent of a nurse who was suffering from weight loss in metastatic cancer.

I was surprised to hear a graduate of a local 'christian' residency training program--who has a sibling who is the primary care doctor for the nurses' parent who has cancer--suggesting the use of 'edibles' to promote a healthy appetite. The nurse was like, 'we already DID that!' and laughed. Everyone laughed.

That conversation would not have happened in my presence if there was not something important about it.

I slept on it. Yoga and 'shrooms' versus Cancer and 'edibles'...

Here is what I think--I think two important thoughts:


  •  The Importance of Free Will:  In Puna District on Big Island, at Uncle Robert's End of Road there is a sign that says, 'The Kingdom of Hawaii is Here'. At Uncle Robert's, parties and get-togethers happen with all of the community invited. As a result, there is anything you could ever want to buy for sale, 'edibles' and 'smokeables' and 'everything else that is not DEA-approved' for both recreation and medicine. The crowd was nice people. I know in Hawaii things are 'different' and 'Maui Wowie' is a local custom. Whatever it does to people's aura's --that is for them to discover. We can do anything to our aura's we wish! One of my best friends on Big Island loves it--and she eats a little every day 'just to keep mellow'. She is one of the brightest stars of enlightenment I know. I can't judge her, or anyone else for taking 'shrooms'  or 'brownies' or anything else if they want to. The way I see it, psychedelics are a 'short cut' to Higher States--and my choice is to reach this the all-natural, substance-free way. I jack my vibration up in the highest way possible. That is my path, my choice, and I WANT this for myself.  I also am required as a physician to stay away from those things, or risk losing my license. So for me, I just say a polite, 'I'll pass' or 'I have really bad asthma and that will mess me up, thanks for offering' with a smile, a genuine smile, from my heart for example, when a 'fattie' is offered from a Rasta priest to me.
  • Anesthesia on the Diseased Heart:  Anesthesia for cardiac surgery is RISKY. You take anesthesia, which weakens the heart, and give it to someone whose heart is so weak an operation is needed to 'fix it'. This heart compensates to achieve near-normal cardiac output--sometimes the rate increases, sometimes the heart grows bigger (hypertrophy), sometimes collateral blood vessels form--at baseline the function is anything BUT a normal healthy heart. The key to anesthesia in this situation is to 'keep the heart where it lives'. Same blood pressure, same heart rate, same preload. This isn't easy while surgery is going on. Sometimes the wait until going on bypass is nerve-wracking for me, because things are so tenuous. But today I realized, like with the parent with cancer, some auras are filled with attachments and past-life scars so much that their Vibration is anything but normal and healthy.  In these cases, perhaps, 'substances' are what helps them to 'be where they live', like an adaptation to increase the appetite in a person who is dying from cancer. Only the individual and their Guardian Angel know for sure what is really right for them.
That being said, for me, Life is the greatest High. And as my Vibration increases, I grow more resilient to annoyances and setbacks. Right now, with two family members in the hospital-both five hours drive apart, and a grandmother in a nursing home somewhere in the middle, and working full-time as a single parent, my plate is full. Yesterday there was much drama from the little ones--who are particular about clothing and shoes. I hung in there, through all the conflict, because of the Yoga I had done, because of my Reiki Practice, and because of my absolute blind trust in Source. I am, each and every day, like the 'Hanged Man' card in the Tarot. It is a good card, really. It is exactly about being in a position where there is nothing you can do but Trust and have Confidence in yourself. 'Substances' aren't always needed to go through life. But I am not to judge anyone who chooses to have those in their life as well.

Namaste,

Reiki Doc

Thursday, July 19, 2012

The Abused, The Abusing, and The Abusers



I had a patient recently who had a vibe I could not understand.

Most instances when I meet up with a patient in pre-op holding, my aura scans their aura so I know how to adjust my own Vibration to better match theirs when I interact with them. This woman had a frequency I did not know.

There was a hollow in her eyes, a flatness, a definite lack of the power of eye contact even though her eyes were looking at mine. Her appearance was unkempt. And although she had experienced regional anesthesia in the past with childbirth, she had no interest in regional block for a potentially painful recovery from this case. 'I have my own pain medicines at home.' she said. Okay! I thought, a little surprised by this.

I have had  babies four times but I only have two.' she shared, with me, something I totally couldn't get in my consciousness. It felt like a cryptic cry for help, and I was so overwhelmed by the preparation fro surgery that I ignored it.

You see, when you meet an anesthesiologist, you have no clue as  to how their day has been. I was in one room from seven in the morning until three in  the afternoon. I was supposed to go to the Robot Room at three. But at the last minute, there was a scheduling switch, and I was assigned to do the Orthopedic case in your room.

I had been wiping every inch of my equipment with the sanitizer cloth, because some of my colleagues are messy and I don't know where their patient's spit has been.  We work in the mouth, putting in breathing equipment. I know one of my colleagues doesn't wear gloves! Ever! I had been readying your medications, your breathing tube. My tech was due to go home, but I detained him, just to do the block for you. I found him after you said no so let him know it was okay for him to go home.

It wasn't until you were in the operating room, that your aura had a faint reminder to me or someone else I knew. Someone whose abuse had been so horrible, that in fact this nurse I knew and worked with on the floor, had split her personality. She had worked very hard to combine them. She also had experienced the abuse in a family that was like the family-next-door, seemingly normal in appearance, and worshiping Lucifer in secret in their home. In homes like this, child rape, infanticide, cannibalism, child sacrifice, human sacrifice, and drinking of blood are part of the ritual. As well as the fear and the mandate never to tell.


Mother told me as I was growing up that a lot of the children who disappeared were lost in these dark rituals. That the faces on the milk carton were those who had been lost to such awful crimes against the Light.

When my RN friend chose to share with me, I almost wanted not to believe her. It was so awful, so shocking, and so frightening to accept in fact as truth. But the look in her eyes and the feeling in my heart made me believe her. Fortunately she did not want to talk about the details much, just that she had escaped. It took a lot of effort, and that she is wanting to get a ministry degree to enable her to help others like herself. She had been pregnant and not been able to keep her babies, too.

I understood at once while I was in the OR with this patient I had met and did not understand, that her soul had been put to its limits. She was delicate, and in need of very deep healing and love. I knew just the right connections, just the right angels to ask for Divine Guidance, and we set to work upon her rediscovery of her God Spark of Love and Light that was within. It won't be magic, or instant, but she will have changed course after her encounter with Reiki and Diksha in the O.R. unaware.

Abuse is a cycle of fear.

It starts with the abuser: I am scared. I do not understant. (Possibly may have been a victim)

Then it goes to the abused, who thinks: What is this? It is not supposed to happen? But they are telling me it is my fault?!  As the abuse weakens their aura, and the Life Force is literally sucked out of them. They become hollow shells of humans, attracting dark entities and negative entities into their energetic system, and feel progressively worse each day.

The susbstance abuser retaliates by: I want to feel better. To Hell with everything else, I want to medicate myself. Little do they know that the chemicals and behaviors only weaken the aura and the vibration, setting them up for worse fate.

This poor patient got even MORE abuse from the surgeon while she was under general anesthesia!  I had talked with him earlier in the day, and said how I looked forward to working with him, for he was always nice. He said, 'I can be not nice, too. Would you like to see me like that?' and I thought, 'What? That is really strange!'.

But I saw it. He accused the sleeping patient of seeking drugs, of being non-compliant with the no aspirin before surgery, and getting upset over the bleeding in the joint he was doing arthroscopy on. I lowered the blood pressure, we raised the bags, and he almost cancelled the case.

And then it was discovered that the outflow valve on the scope was turned the wrong way. It was somebody else's fault. 'There goes ninety minutes of my life, wasted!' The surgeon bemoaned.

Later, on waking her up, I whispered to the scrub tech, 'It is better that the mistake only took time, and that there was no harm to the patient that was permanent'. He agreed.

The abused attract abuse. Even when they are unconscious. It is in their aura. It is in their vibration.

The abused have been conditioned to manifest more abuse. It is on their mind. They know the role. No matter how hard they try to fix it, or run from it, a new relationship will come that reinforces the belief. The situation will come up until the victim faces the abuse head-on.


How can you seek help?
First, there is therapy.
Individual and group. Both will treat 'sick thoughts' and help to heal the aura by support.
Next, there is energetic healing. Reiki will get sucked up by these starving souls.
There is Nature and the Unconditional Love of pets. They are not programmed for abuse--they are healing to be in contact with. Except in the rarest of circumstances, where an abuser and sociopath takes it out on the pet, they are whole. Even the abused pets, given Rescue Therapy, can heal.

Sometimes I wish there was a Rescue Humans organization like there are for pets.

You know, the Holocaust survivors had special homes to go to to heal. At first they were overwhelmed by the color, the many beautiful colors outside the Concentration Camps. They found Gardening to be exceptionally theraputic.

There has been a healing garden at the local VA Hospital for over twenty years. When I was on call, and it was not busy, I would walk to it, and experience the love of Nature for myself. There was a fountain and stream, and a great big gazebo near it. I would just sit. I would pick the fruit, even though it was not permitted, because my italian grandfather trained to run the orchards and I grew up with many fruit trees in the garden.

I stole my healing, because residency weakened my aura, so did my bad marriage, and I was struggling to survive. It was a remarriage, meant to 'do over' from the last one. And abuse instead turned up.

I walk the walk and talk the talk. I am a survivor for multiple kinds of abuse, although fortunately not the Dark Hat one like my friend the RN, and possibly my patient.

In essence, here is the cycle of abuse:

Abuser--I am scared
The Abused--I am in pain
The Abusing Substances--I want to feel better

All are victims in their own right. And Reiki is but one way to address the profound wounds that develop on anyone who is involved in this dance's soul.

Be patient. And know that whenever someone hurts another, they are in truth hurting themselves. When they transition, they will self-evaluate. And choose the harshest punishment for themself to pay back the Karma. It is Universal Law. Many times family members are picked for soul issues that span multiple lifetimes to be worked out. If you are abused, change your mindset to I WANT TO HEAL. The Universe will bring it. It won't be instant, but years from now you will look back and have a better life, so much more so you can't believe how you had once lived!

You are not alone.

I send Reiki healings to you every day.

This too shall pass.

Namaste,

Reiki Doc