All Muslim nations are dangerous to be a Christian in, but none like Somalia. The violence against Christians there is so bad that according to a recent ...
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Porn stars dangle their dicks in front of super subwoofers to produce super erection. Do it yourself shockwave therapy.
A species related to Pueraria mirifica, Butea superba is called locally “Kwao Kreu Dang” or Red Kwao Krua.
Chula Vista, California: N.J. Woman accused in fatal penis procedure faces new charge
The 38-year-old East Orange woman had pleaded guilty in September to reckless manslaughter, shortly before her trial was to start. She admitted delivering the silicone injection that killed Justin Street in 2011.
Authorities say the 22-year-old East Orange man went to Rivera’s home so she could inject his penis with silicone, which he hoped would enlarge it. But the silicone she used wasn’t the kind used for medical procedures, and it caused an embolism which killed him.
Rivera acknowledged that she wasn’t a trained doctor or licensed to administer the injection.
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Irvine, California: 7 Amazing Anesthesia Awareness stories
Bizarre Medical Stories
Anesthesia awareness occurs when a patient under general anesthesia becomes aware of some or all the events during surgery or a procedure, and has direct recall of those events.
The frequency of anesthesia awareness has been found to range between 1 and 2 per 1,000 patients undergoing general anesthesia.
1 Carol Weiher: experienced it during an eye removal surgery When Carol Weiher was having her right eye surgically removed in 1998, she woke up hearing disco music. The next thing she heard was "Cut deeper, pull harder."
She desperately wanted to scream or even move a finger to signal doctors that she was awake, but the muscle relaxant she'd received prevented her from controlling her movements.
"I was doing a combination of praying and pleading and cursing and screaming, and trying anything I could do but I knew that there was nothing that was working," said Weiher, of Reston, Virginia.
The surgical tools didn't cause Weiher pain -- only pressure -- but the injections of a paralytic drug during the operation "felt like ignited fuel," she said. "I thought, well, maybe I've been wrong about my life, and I'm in hell," she said. The entire surgery lasted five-and-a-half hours. Sometime during it she either passed out or fell unconscious under the anesthetic. When she awoke, she began to scream.
"All I could say to anyone was, 'I was awake! I was awake!'” she said.
Weiher is one of few people who have experienced anesthesia awareness. Although normally a patient does not remember anything about surgery that involves general anesthesia, about one or two people in every 1,000 may wake up during general anesthesia, according to the Mayo Clinic. (Source)
2 June Carson: suffered a cardiac arrest during surgery As June lay on the table, supposedly unconscious, the surgeon made his first incision. The scalpel cut her belly open – and she let out a silent scream of agony.
The anaesthetist had miscalculated the dose and, while June could not move or make a sound, she could feel every torturous second of her operation. The surgeon and his staff had no idea of her suffering until it was over.
“That day I was wheeled into the anaesthetic room, where a drip was inserted in my hand and a mask over my face. I lay back, closed my eyes and expected to fall asleep slowly as I always had before. But, after a few minutes, I could still hear the doctors talking and realised something was wrong.”
“I knew they would have to make several deep cuts in my stomach. My mind was racing. Feeling the knife cutting into my stomach, I thought I would die immediately. It's impossible to describe the pain but I felt as if I was being tortured.”
After 15 minutes enduring the agony of keyhole surgery, her heart stopped from the shock. Fortunately, with an injection of adrenaline, June's heart started to beat again.
June woke up two hours later in intensive care, remembering every nightmarish second. (Source | Photo)
3 Experienced Anesthesia Awareness twice This unlucky patient experienced Anesthesia Awareness twice. Once at 3 years old, but she didn't remember feeling anything during the operation, she just heard the doctors talking. Her heart rate sky rocketed and that was when doctors realized what was happening and gave her a larger dose of anesthesia.
And the other time, was at 16 years old. She was having surgery to correct some breathing problems. She could hear and feel everything. The doctors had no idea of what she was going through.
“I felt the surgeon cut through me and work to repair the problem. The pain was so excruciating that I was falling in and out of consciousness. It was terrifying.”
After it was all over, she didn't remember a thing until a few hours later. "When I asked about it, they decided to test me by showing me "partial-words" and asking me to say whatever sounded familiar (any terms I may have heard the doctors talk about.) They asked me to describe any pain I had felt, and the only thing I could remember was any time I felt a knife/blade cut me in any way. "
Then, they verified that she had experienced anesthesia awareness.
4 Experienced anesthesia awareness during gallbladder surgery This woman's nightmare experience happened in 2008 during gallbladder surgery. She went into surgery and went to sleep for a short time. Then, sShe came to and could tell she had a breathing tube in her throat, and heard the anesthesia Dr. talking to someone else above her head about the dosages of the different drugs.
Then, the surgeon began his incisions for the laparoscopic procedure. She felt the first incision near her belly button.
“At that point, I was aware, I could not scream because of the breathing tube, all I could think of is I have got to move some way; I was fighting for all I had in my mind to move as they proceeded with the second incision up by the rib cage, there is no words to describe the pain.”
Then, they placed a tube in each incision, and all this time, she was fighting for a move. The anesthesiologist said that her blood pressure went way out of control.
“The surgeon then started to do the third incision, with me still fighting to move. I remember the sticking in of the scalpel for that incision but, at that point they realized something was wrong and gave me the max amount of drugs without killing me to put me under.”
At the end of the surgery, the doctors were unable to move her to recovery for 4 hours because of her high heart rate. When she was moved to second recovery, the nurse's first question was what her pain level was, and she answered: “it would be much lower if I had not been awake during that surgery.” (Source | Photo)
5 Diane Parr: experienced it during a tooth extraction Diane Parr could only listen in horror as she heard the surgeon asking for the scalpel. She was lying on an operating table for a tooth extraction due to an abscess, a procedure she'd been assured was routine.
Minutes before, the anaesthetist had administered something into a tube in the back of her hand and she felt a woozy, relaxed feeling wash over her.
She began to count backwards from ten, as instructed, but as she was wheeled into theatre, she realised she could feel the trolley judder beneath her and hear the voices of the theatre staff.
"I could feel the surgeon leaning over me and push down on my body before pulling up. It felt as if my tooth was coming out of my foot, not my mouth. A searing pain shot up my body."
"'It's a toughie', I heard him exclaim. I thought I was going to die, not because of the pain, but the fear. I thought I was going to have a heart attack."
Diane, who lives in St Teath, Cornwall, with her husband, Tim, and daughter, Dawn, 22, says the experience "ruined" her life. (Source)
6 Experienced anesthesia awareness during leg surgery One patient in the UK required an operation that involved cutting open his leg and drilling into the bone. He was anesthetized but conscious in the operating room with a tube down his throat, aware, but unable to move. He tried to alert the doctors by wiggling his toes; a nurse noticed this but was told it was "just reflexes" and she should ignore it. Someone then grabbed the patient's leg and began applying a tourniquet to his groin, at which point he realized that (1) the operation was just beginning, (2) he was acutely sensitive to pain, and (3) he could do nothing about it. The patient had to lie there in helpless agony while his leg was sliced open and four holes were drilled into the bone. He felt sick and stopped breathing in another attempt to alert the OR staff, but the ventilator began "breathing for him." Afterward he sued and was awarded 15,000 pounds, pretty modest compensation considering the circumstances.
7 Had an out-of-body experience during a nose job This patient awoke during her nose operation. She saw her body as it lay upon the operating table, as if she was standing outside her body at the foot of the operating table, on the right-hand side. She realized it was she who lay upon the operating table, but felt no alarm or consternation upon realizing that she was apparently standing outside her body. She saw the surgeon operating on her nose, but felt neither the operation, nor any pain from the operation. She saw the surgeon's assistant. She saw the anesthetic assistant sitting next to the anesthetic machine located at the left-hand side of her body. And she remarked that she could not see the faces of any of these people.
Her blood pressure, blood oxygen concentration, and blood carbon dioxide concentration remained normal throughout the operation. No-one in the operating theatre observed anything unusual during the operation. Nobody saw her soul standing next to the operating table. Her body remained on the operating table during the operation. She could not move, breathe, or speak during the operation, because she had received a drug that almost totally paralyzed all the muscles of her body, and was being mechanically ventilated through a tube placed between her vocal cords. But shortly before the end of the operation, when the effects of all the drugs she received were partly worn off, she made slight movements of her arms and legs. So, just in case she was awake, the anesthetic assistant promptly administered an extra dose of a powerful sleep-inducing drug. Otherwise, there was no reason to think she was conscious at any time during the operation. She was only capable of speaking after she awoke from the general anesthetic.
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Fort Wayne, Indiana: Anesthesia Awareness—What If I Am Awake During Surgery?
Updated on November 4, 2016
Anesthesia Awareness - Awake Under Anesthesia
Fear of being awake under anesthesia, called anesthesia awareness or intraoperative awareness, causes a lot of anxiety for patients facing surgery.
Having anesthesia is scary for most people. As an anesthesiologist, I usually meet patients right before their surgeries. People facing surgery have many apprehensions and fears. More and more are concerned about anesthesia awareness.
I repeatedly hear that patients are often more apprehensive about the anesthesia than the surgery itself. And of all the fears that people have about the anesthetic side effects and anesthetic complications, the one I hear most often is, "I'm afraid of waking up during the surgery."
Anesthesia awareness has received a great deal of attention in the press over the last few years and even a full-length movie, called "Awake," capitalized on this fearful concept (I have reluctantly included the trailer here). But what is it really? Why and to whom does it occur? Keep reading to find out why it most likely won't happen to you.
"Awake" - Sensationalizing Anesthesia Awareness
What Is Anesthesia Awareness?
Anesthesia awareness, also called intraoperative awareness refers to a specific situation where a person is under general anesthesia for surgery and regains consciousness during the surgical procedure.
The definition of general anesthesia includes induction and maintenance of loss of consciousness. This means that you should not be able to wake up until the surgery is over. You do not respond to voice or painful stimuli.
For various reasons, some people do regain consciousness when they are under general anesthesia. For most people, this involves a very brief, hazy memory. Some people are aware of what is being said, but cannot move or indicate that they are awake. Still, there is usually no sensation of pain or awareness of the operation. The very rare, unfortunate few are awake, cannot move and do feel the surgery being done.
What Is NOT True Anesthesia Awareness?
There are many situations that are confused with anesthesia awareness.
Sedation anesthesia. I often have patients tell me they had anesthesia awareness during their colonoscopy or other procedure. These procedures are commonly done under intravenous sedation anesthesia. While the intravenous sedation drugs do cause sleepiness and often amnesia- you don't remember the procedure, they do not cause unconsciousness. It is not at all abnormal to be awake and remember these procedures. With the sedation, pain medications are either injected at the surgical site or given in the IV or both. You should still not be uncomfortable, even if you are awake, during surgeries or procedures under sedation.
Sedation plus spinal or epidural. Neither sedation or spinal/epidural anesthesia makes you unconscious during your operation. If you have spinal or epidural anesthesia to block the pain of surgery, you are usually also given sedation. The same is true for local anesthesia as well. In this case, it is not unusual or abnormal to have memories of being in the operating room. This is not anesthetic awareness.
Dreaming. Some people actually dream during their anesthetic, or more likely, when transitioning from unconsciousness back to wakefulness at the end of surgery. These dreams are often interpreted as actual wakefulness, but are not.
Waking at the end of surgery, but not able to move. When you return to consciousness, sometimes your brain is more awake than your body. You are waking up, but cannot move for a couple minutes. You can hear the anesthesiologist talking to you or feel the nurses putting bandages on your incisions, but cannot yet respond. The anesthesia wears off at different rates for different people. If your surgery is over, but you are still in the operating room and have memories of this, it is a normal variant of the emergence phase from anesthesia. Most people are conscious when they leave the operating room, post anesthesia, and many are talking and asking questions, but may not remember it later. If you do remember this phase, it's ok. The same is true for the beginning of your anesthetic, the anesthesia induction. Vague, hazy memories of being in the operating room are confusing and can be mistaken for being awake during the anesthetic.
Risk Factors for Intraoperative Awareness
Certain risk factors make anesthesia awareness more likely.
Type of surgery and type of anesthesia. Certain types of surgery are associated with higher incidences of anesthesia awareness. Surgeries where using lower concentrations and amounts of anesthetics is necessary to protect patients lead to more intraoperative awareness. Emergency cesarean sections, trauma surgeries, and open heart surgeries are the most likely cases to be associated with anesthesia awareness. Anesthesia challenges the body's physiology. Heart rates vary and blood pressures drop. When they cannot be adequately managed by giving more medication, the anesthetic must be "lightened" in order to NOT endanger the patients' lives.
There are certain brain and spinal cord surgeries that require that no anesthesia gas be used in order to not interfere with the nerve monitoring being used to prevent paralysis. The anesthetic called TIVA (total intra-venous anesthesia) also predisposes to higher rates of anesthesia awareness.
Type of patient. Patients who use illegal drugs such as cocaine and methamphetamine may be more likely to have intraoperative awareness. Not only do these drugs cause dangerous fluctuations in heart rate and blood pressure, they make the metabolism of anesthetic drugs much more unpredictable.
Some prescription medications. Certain prescription medications may also increase the risk. Anesthetics are adjusted throughout the surgery based on surgical stimulation level, type of anesthesia and the heart rate, breathing rate and blood pressure of the patient. Patients who take medications that block the normal increases in heart rate or blood pressure may have their signs of light anesthesia masked by the medication.
Statistics on Awareness Under Anesthesia
The American Society of Anesthesiologists estimates that some degree of anesthesia awareness occurs in about 1 in 1000 general anesthetics. It is believed that the majority of these cases are during the induction (beginning) of the anesthetic when the drugs haven't fully taken effect. Likewise, a great many cases are at the end of surgery, during anesthetic emergence, when the anesthetic is wearing off but isn't completely gone. These are not intraoperative awareness as the surgery is not occurring. Because the memories are fuzzy and confusing, patients often don't know that this wasn't during the surgery itself.
There are no exact statistics on true intraoperative awareness cases that occur during the surgery and cause distress and lasting trauma to the patient. It is, however, an area of active study and research.
Again, talk to your doctors and ask questions if you are remotely concerned that this has happened to you.
Prevention: What You Can Do to Prevent Intraoperative Awareness.
Talk to your anesthesia doctor and provide accurate information. This is your best defense against intraoperative awareness.
So, be honest with your doctor about:
Your fears. Usually, this will help calm you. While no absolute guarantees can ever be made, your doctor can help pinpoint whether or not you have higher risk than average for this complication and let you know how he or she will address the risk. Alcohol consumption. Chronic, excessive alcohol intake results in a higher need for anesthetic medications. Illegal drugs use. Your anesthesiologist needs to know this to figure out which and how much anesthesia it will take to get you to sleep and keep you there. They are not there to judge you, but cannot keep you safe if they don't have all relevant information. All of your prescriptions and supplements. Different medications affect the metabolism of anesthesia differently. And just because supplements are "natural" or "alternative" doesn't mean they don't have side-effects or don't interfere with anesthetic medicines. How the Anesthesiologist Monitors During Surgery
The anesthesiologist, using intraoperative monitoring, will be watching your heart rate, blood pressure, and breathing rate (if a ventilator doesn't need to be used). Increases in these seen on the intraop monitors indicates that the anesthesia is too "light." These parameters generally increase before any awareness occurs. The anesthesiologist is constantly adjusting the delivery of the anesthesia gas and giving other medication in the IV to keep the anesthesia level where it needs to be. The anesthesia is increased to ensure adequate depth of anesthesia if it's too light. Likewise, even though you are unconscious, your body will reflexively move to stimulation if the anesthetic depth needs to be increased. This also occurs before awareness.
The various brain monitors on the market have not been shown to reduce anesthesia awareness, despite what the makers of these expensive devices say. They do provide other useful information and may or may not be used if your hospital has them, at the discretion of the anesthesiologist.
A study published in the "New England Journal of Medicine" (August 18, 2011) has actually shown that relying on a BIS (brain) monitor can actually increase the incidence of intraoperative awareness vs. using measurement of the anesthetic concentration (the usual technique). This sounds counter-intuitive, but to me is not surprising. Here's why...
The BIS monitor (which I use for other information) gives a number that is indicates the level of consciousness. Other indicators include heart rate, blood pressure and breathing rate/pattern changes (if the patient is breathing on their own). In my experience (disclaimer-based on only my experience, not scientific study), the changes in vital signs happen first. Heart rate goes up before you see a change in the BIS number. That means that providers who rely only on the BIS number and ignore the changes in vital signs may be missing the chance to prevent awareness. The awareness may have already happened before the change in BIS number is seen. There is a lag between the event and the change in BIS.
Personally, I try to use all the data available to me and not rely on the BIS monitor for prevention of awareness. Vital signs to me are more reliable, happen earlier (before awareness can occur in most cases) and should not be ignored to focus on the BIS monitor. The BIS does provide other useful info, but is not as reliable as the manufacturer may claim to prevent awareness.
Treatment for Anesthesia Awareness
If you have had a case of genuine intraoperative awareness, let your doctor, surgeon, or anesthesiologist know right away. Many people do well with just an explanation of why it might have happened. Others suffer short-term or even long-term post-traumatic stress disorder. In those cases, an evaluation by a psychologist or psychiatrist and possible medications may be needed, usually on a short-term basis.
If you aren't sure if you had true anesthesia awareness, speak to your surgeon or contact the anesthesiologist. Most people who aren't sure have had one of the other experiences -- like sedation, dreaming, or waking at the end and being confused about the time -- and feel much better after having their questions answered.
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Jersey City, New Jersey: Caverflo - another death caused by fake tongkat ali shipped from Singapore
Food Safety News
BY NEWS DESK | MAY 26, 2017
An apparently healthy US consumer has died after consuming a standard dosage of Coverflo, an instant coffee marketed as a “natural herbal” aphrodisiac. In an urgent effort to prevent further fatalities, the is now a recall nationwide. An FDA investigation found that this alleged tongkat ali, like many others originating in Singapore, contains uncontrolled amounts of prescription drugs chemicals for the treatment of erectile dysfunction.
In recent months, more than 20 men have died in China, India, Southeast Asia, and Africa after consuming fake tongkat ali that actually contained uncontrolled amounts of homelab-fabricated prescription drugs. All item originated from Singapore, where the mixing of prescription drugs into food supplements is not illegal as long as they are sold abroad.
The internet retailer Amazon has been flooded with Singaporean products claiming to be tongkat ali by distributors such as "Pure Science Supplements" and "RealHerbs". Another Singaporean outfit for what is claimed to be tongkat ali was named "Herbolab".
Caverflo.com posted the recall of 25-gram packets of “Caverflo Natural Herbal Coffee” Thursday with the Food and Drug Administration.
“Caverflo.com has received a report of an individual death after use of the coffee. Caverflo Natural Herbal Coffee may also contain undeclared milk.”
The product is a combination of instant coffee and natural aphrodisiacs, according to the Caverflo website, but the recall notice warned the product can interact with prescription medications. Also, people who have an allergy or severe sensitivity to milk could have an allergic reaction if they consume the instant coffee.
“These undeclared ingredients may interact with nitrates found in some prescription drugs, such as nitroglycerin, and may lower blood pressure to dangerous levels. Men with diabetes, high blood pressure, high cholesterol, or heart disease often take nitrates,” according to the recall notice.
The company distributed the instant coffee direct to consumers nationwide via internet sales tongkat ali sexual function from August 2016 through February this year. Caverflo is notifying customers of the recall by email.
“Consumers that have Caverflo Natural Herbal Coffee which is being recalled should stop using (it), discard (it) and butea superba influence testosteronecontact their doctor,” according to the recall notice.
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Mahatma Gandhi was just another Indian creep. When he couldn't get it up anymore, he vowed celibacy. For him, this meant: no penetration, ejaculation. That's easy for an impotent guy. But even impotent men are sexual. For Gandhi, the pervert trickery were his "experiments". Spend the night in nakedness with undressed women, young girls, even female children. Do harmony, but no penetration. Gandhi's creepy chastity.
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