Showing posts with label inhalational agent. Show all posts
Showing posts with label inhalational agent. Show all posts

Saturday, May 3, 2014

Part Two--Fluoride And You: A Heart To Heart With Reiki Doc




This is the molecular structure for Hydrogen Fluoride (HF). There is one Fluoride atom and one Hydrogen atom. Together they form one of the most toxic and corrosive substances on earth.  (Please see Part One--Fluoride And You: A Heart To Heart With Reiki Doc  http://reikidoc.blogspot.com/2014/05/fluoride-and-you-heart-to-heart-with.html)

We know fluoride is present in many oral care formulations, such as toothpaste, oral rinses, and direct application concentrates to be used only in the dental office.  This has been proven to be effective in prevention of cavities, and promotes overall dental health.

Because of this, many governments added fluoride to drinking water supplies world-wide.

The benefit of fluoride in community water for dental health was questioned by many dentists at the time, and furthermore, many conspiracy websites and blogs discuss the opinion that fluoride in any quantity is not good for health.

The harmful effects of fluoride on other target organs, especially the pineal gland, far outweigh any benefit of its effect on teeth.


In case you haven't read it, here is the official link on fluoridated water's effects on you:











Just in case you are sitting on the fence, you might want to think about it--Volatile Inhalational Agents for Anesthesia have their effect on the consciousness because they are halogenated hydrocarbons. Here are four that are available today. Please click on each Wiki link provided to see the atomic structure pictures which show you where all of the fluoride (F) atoms are in each molecule. It's a quick look.

Sevoflurane:

I use this one every day. It has seven fluoride atoms on each molecule. We use circle circuits to take the carbon dioxide out of the air our patients breathe out while they are sleeping during their operation. In 'low flow states'--less than two liters per minute of fresh gas flow--there are studies that show the soda lime and baralyme 'adsorbents' undergo a chemical conversion with the molecule. This makes a byproduct inhaled, and calcium fluoride, an insoluble salt, forms in the bloodstream. This leads to renal necrosis.  So we are very careful with this gas to make sure our flows are above this limit when we give anesthesia.

http://en.wikipedia.org/wiki/Sevoflurane


Isoflurane:

This is the number two most commonly used inhalational anesthetic. It is cheaper than Sevoflurane. Look at the structure--it also has many fluoride atoms attached to the hydrocarbon.

http://en.wikipedia.org/wiki/Isoflurane


Desflurane:

This one requires a special heated/pressurized vaporizer to administer during anesthesia. It is a known greenhouse gas, and twenty-six times more harmful to the environment than Sevoflurane.

http://en.wikipedia.org/wiki/Desflurane


Halothane:

I used this once on a medical mission to Mexicali. It was a stand-alone vaporizer where the patient breathed spontaneously. Halothane is very potent. In some cases, people experience hepatic (liver) necrosis after, most of which patients recover. It is called 'halothane hepatitis'. This one also, in high doses, weakens the contractility of the heart and gives 'muffled heart sounds'. Since we listen in surgery with our special stethoscope that is molded to fit our ear--we listen to heart and breath sounds--on this mission I heard this effect once. I helped perhaps eight children during the mission, and hearing it was chilling to my very core. I lightened the level of anesthesia, and the patient did well with no complications. This is a very old agent, very good for inhalation induction (breathing the patient to sleep), and hardly in use. It is not available in most operating rooms any more.

http://en.wikipedia.org/wiki/Halothane



Just for the record--take a look at this molecule, Carbon Tetrachloride--another halogenated hydrocarbon:


Guess what that one is used for?







If the discussion of the powerful effect on brain function found in anesthesia agents with fluoride molecules added to hydrocarbons is still not enough evidence to show there is some possible interation with fluoride in some manner, then let us take a look at a popular antidepressant together. Please be sure to look at the picture of the structure of the drug and look for the letter F on it.


Prozac:

This seratonin-selective reuptake inhibitor exhibits powerful brain chemistry. Some people benefit very much from its action, and painful depression is relieved. However, it also has some unfortunate reactions. Katrina from Texas, a teen who was put on our prayer list not long ago, for inpatient admission for having thoughts of wanting to hurt herself--was put on this drug.

Now she is home and wanting to marry Michael Jackson. She is serious. And she wants to go to him now. There is no talking sense to her. She is otherwise a normal, and beautiful child...

http://en.wikipedia.org/wiki/Fluoxetine






This is fluorite.

It is a powerful healing crystal, one that absorbs much negativity. It comes in tetrahedron crystals, and also polished and natural forms (such as in this photograph).

This is okay, and in fact, encouraged, to keep in our aura to help us in times of change such as this. I keep a lovely piece by my bed to help my energy while I sleep.

There is energy from this image, too. It is the energy of the crystal. It is a very healing crystal, indeed. Can you feel it?




In Summary:

Limit intake of Fluoride to as low as possible amounts:

Fluoride clearly has some modification to molecules that produce profound impact on brain function.

The recommendation is to drink, and cook, with water that is as low in Fluoride content as possible for maximum brain health.  Distilled water, bottled water, and filtration systems that take the fluoride out are options. Zerowater is a filter available commercially and has been shown to take it out for a reasonable price. I understand it is at some stores like Walmart. Here is the link to the original publication about that: http://thepeopleschemist.com/best-fluoride-filter-how-to-remove-all-fluoride-and-chlorine-compounds-from-tap-water/


Here are some recommendations from Holistic Dentists who support oral care without fluoride:
http://reikidoc.blogspot.com/2012/08/the-holistic-dentistry-debate.html

The recommendations in the article are:
1) Brush twice a day with  soft bristle brush like Sonicare DiamondClean
2) Choose a toothpaste free of fluoride and sodium lauryl sulfate, like Burt's Bee's
3) Eat alkaline foods like beans, fruits, and greens to maintain a good body pH
4) Rinse mouth with warm water and a few drops of clove or mint oil
5) Clean gums with a oral irrigator like water pic or HydroFloss
6) Get plenty of rest, sleep and exercise daily. 

My friend the oral maxillofacial surgeon also disclosed that with medium toothbrushes, all cavities were virtually eliminated. That is why the 'soft' bristle recommendations came out--to keep business as usual. 

I do know for people with gum disease, medium might not be the best option, but otherwise you might want to 'crank up' on your toothbrush bristles by changing to 'medium' firmness in your toothbrush.

We wish for our smiles to be healthy and to have reason to smile, don't we?

If you have any other recommendations, they would be much appreciated in the comments to go with this blog.



Aloha and Mahalos,
Namaste,
Peace,

Reiki Doc


P.S. Fluoride works by increasing the hardness of enamel, so that bacteria which cause cavities cannot attach. This benefit is clear. However, there is always a risk to benefit in all matters of health. This series on Fluoride discusses other organ damage from exposure to fluoride in drinking water and oral care, specifically, the brain. These findings are new.  It is up for you to decide for yourself how you are going to weight this information that is presented here. For a recent article from the standard medical literature on Fluoride, click here: http://www.sciencedaily.com/releases/2013/05/130501112855.htm

The argument is not 'fluoride and cavities'. The discussion that is relevant to you is the effect of fluoride and your brain.

We already know Calcium Fluoride salt is insoluble and is toxic to the kidney.







Monday, June 25, 2012

The Anesthesia Record





Everything I do in the O.R. I document on a piece of paper called an anesthesia record.

I am like a taxi cab, in a sense, because the minute I take you to the operating room, you are under my care directly. I take care of no one else but you until I take you to the recovery room, and transfer your care to an RN PACU nurse.

Most doctors who are not anesthesiologist (or CRNA nurse anesthetists) can't understand what is written on the anesthesia record. It is an important document, and I will point out the basics for you to understand.

First check the name and make sure it is a copy of your record. You will find your name, the surgeon's and the anesthetist's near the top. There will be a line for the proposed surgical procedure, and a line for the actual procedure performed. (Sometimes in the O.R. Plans change, depending on what is encountered in the surgery.)

On top of a series of tiny boxes lined up in a grid, you will find a time scale, reading from left to right. Underneath is a grid, like on graph paper.  Each small square stands for five minutes, and each big box stands for fifteen minutes. (Fifteen minutes is one unit of anesthesia time, and this is how we bill. There are also units assigned for the case and the complexity of the case).  Your blood pressure, pulse are charted every five minutes. Little carrot marks are systolic and diastolic blood pressure, and a dot represents pulse.

One of the things to watch for are when the blood pressure and heart rate are parallel and even like railroad tracks. This is often the case when your anesthetist is catching up. A real time chart would have ups and downs in patterns, with some random variation. This pattern is sometimes connected to what is happening on the surgical field. Blood loss, pulling on the peritoneum, or pressure and discomfort are just a few of these possible reasons for vital signs to change with time. You are asleep, but your body reacts to the surgical stimulus. Evening out this process is the meat and potatoes of anesthesia technique.

There are some cases on healthy patients that are uneventful, and tend to railroad track. But you would anticipate a drop in pressure as anesthesia begins and the patient falls asleep, a rise with intubation, and also a rise with the start of surgery. If there is a tourniquet, such as for orthopedic surgery, it is common to see a trending up of both blood pressure and heart rate during the course of the tourniquet use. They ramp up from the discomfort of a tourniquet.

On the right hand column, or sometimes below in little boxes, is the narrative of what was done in the anesthetic. On our record, there are lots of little boxes for one to check to save the anesthetist time. I am a writer, and I write more than most in my description of what I did. Box checking and hardly writing anything does not necessarily mean someone is not paying attention to you. It may mean that they just don't like to write. I document so that if anything were to happen to me during a case and someone had to step in, they would know exactly what anesthesia-wise has been going on.

On the left hand, there are lines with medications preprinted on them. These are common anesthesia agents. At the top is typically the gases, oxygen, air, nitrous oxide, and volatile agent (sevoflurane, isoflurane, or desflurane). Then come the different drugs. There you will know exactly what type of medicine you were given, and at what time.

You will also see patterns with the blood pressure and the medicines given. That is anesthesia, or a big part of it, after the airway management.

A big part of the anesthesia record pertains to airway. What was used, and how everything looked. We have ways of describing the anatomy and the equipment that was successful in getting a breathing device in place. That is also on the left hand side, in most cases. Underneath there are boxes for warming equipment used, what iv's and lines are inserted, and field avoidance (that is when anesthesia has no access to the head, for example, an ENT case). We also document controlled ventilation versus spontaneous ventilation rates and settings on the anesthesia machine.

Real anesthesia records get spills on them. In residency I discovered that anesthesia agent spilled on an anesthesia record can dissolve ball point ink! Sometimes they get blood. If a case was really a challenge, and possibly a patient passed in the operating room, there isn't much time to write while frantically managing the case. Sometimes, I print out the vital signs and make a new anesthesia record after that is more legible than my actual one in the OR. But I have not had to do this since my trauma surgery days.

Modern anesthesia machines have the ability to print out an automated anesthesia record at some facilities. Having done quality assurance for a department that transitioned to this form of documentation, I find it harder to extract the information. What is condensed in one page on a handwritten anesthesia record is clear and easy to focus. But off a printer, it takes four to six pages, and although the information is accurate, I find it more difficult to pull together what was going on. The meds don't line up with the vital signs, or the gases, as nicely. Furthermore, the automated record puts the burden on the provider to explain any irregularities in the hemodynamic trends. There actually are people who can watch the monitors from the computer room, and warning bells light up for them when an anesthesia provider is giving an anesthetic that has vital signs outside a threshold warning limit value. These computer monitoring people can talk to you through your screen and ask if everything is okay. These people are not medically trained, just technicians on the computer system. As a result of this technology, the anesthetist is placed in the defensive position, and where I worked, the surgeons would get annoyed and tell anesthesia to look at the patient, not the computer, as they were typing away to cover their you-know-what by documenting every little thing that is pertinent to the case.

Other things we document are the surgical positioning, which can be supine, prone, lateral, lithotomy, sitting, and prone jackknife. We check for pressure on the eyes and nose when the patient is prone, and check it. We record all fluid intake and output at the bottom, too.

It was a mystery to me when I was a surgery resident, the anesthesia record. It is my hope right now, that it will not be so mysterious if you ever have to look at one. Especially if that anesthesia record belongs to you.

It is my understanding that there exists a record for our experience in life, much in the way there is a record of what happens during surgery when anesthetic is given. There records of our life experience go across our entire lives. They are referred to as the Akhashic records. Some people are able to go to the great Hall of Records and look at them for individuals. However, no one is allowed to see their own during a current lifetime. I took a course online taught by Kevin Todeschi. He is in charge of the Edgar Cayce organization at this time. I was able to go through some guided meditations, and was surprised at how much 'stuff' from my past lives came up.

Whether you are into things like the Akhashic Records, or not, doesn't it make sense that in this day and age of video surveilance, that there might be some form of higher technology to keep track of what goes on in a lifetime? Isn't this the 'life flashed before my eyes' kind of information that some experience in a crisis?

One can never be certain. One can only hope to find out these kinds of miracles in due time.


Namaste,

Reiki Doc