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Uterine Surgery

Recovering from abdominal surgery Please talk with us about every step of major surgery. I’ve had two abdominal surgeries – myomectomy (C-section), then 14 years later, total hysterectomy (laparoscopic). Please address preparing for, experiencing, and recovering from surgery. I’m especially interested in:  How to prepare a body for surgery  The cellular impact of anesthesia – all organs, all tissues – and how the body metabolizes anesthesia  Sleep apnea and anesthesia  CO2 used to inflate the abdomen, and how it is metabolized (ouch!)  The tissue and cellular reaction to surgery – from start to finish – for example: o When an IV line is placed, this happens o The purpose of the IV fluids is…and the tissues react in this way… o When anesthesia is administered, these things happen o Etc. Super detailed, please!  How is the body healing? o Tissue heals this way o Cells react this way  What happens to the body when there is an internal bleed? (Happened to me – I felt the small, ballooning pool of blood below my left ribs – we went to the ED, where providers discovered a more concerning issue…hyponatremia!) o Recovering from a bleed o What to expect when the body is self-healing (my body developed a huge hematoma – something like 13” by 15”) o How the abdominal tissues align – I learned of oblique tissues that effectively form a V shape, and that blood and fluids travel along these pathways and pool at the lowest point. Uncomfortable!!  How to hydrate – more or less? o Risk of hyponatremia (this happened to me, and I spent two nights and three days in hospital recovering – providers said they were surprised I was not seizing) o Preventing hyponatremia – the importance of Na+, electrolytes, etc. Should we consume more in the days preceding and following surgery? o Treatment for hyponatremia – why it’s important to increase Na+ slowly – brain impacts, etc.  How to care for a body during and immediately after surgery o Rest is important because it does this for your tissues o Active recovery looks like this…and why o Ideal nutrition looks like this…and why o You should supplement with this…for this long…because…  How to return to an active life o Start with this … because… o Then this…because… o What is happening in our musculoskeletal structure that supports the rest of the body, especially the surgery site  How long does the body feel the impact of surgery? Or, when can a person expect to “forget” they had surgery  When is internal healing complete?  When is it reasonable to return to extreme activities that use a lot of core strength and proprioception like whitewater kayaking? If ever I return to the Stanford campus (was recently at SHCM) and schedules align, I’d like to shake your hand and say thank you in person. Thank you! Pardon any typos! P.S. After a friend turned me on to your show in 2022, I began recruiting everyone I know to your podcast – especially my friends in health care and other ologies. Nice work.

Jack Kruze is a narcissist

I could tell immediately. I listened to that whole conversation, but at the detriment to my mental health lol it was so triggering. Will you do an ep or series about dangerous personality disorders? Red flags? I can spot em cuz I was raised by them, but other ppl easily fall prey as victims or followers

What the heck is dry fasting

Is it safe? Sounds about as dangerous as I can think of any fad. What about athletes?

Is dark chocolate really good for you?

From my understanding Dog’s can’t tolerate chocolate because of the psychological effects of theobromine. But humans can. Why? Humans seem to love chocolate. But it’s an addictive substance (raising dopamine to 50% above baseline according to Anna Lembke’s book). Quaker families - the Cadbury family and the Fry family - instituted the drinking of sweetened cocoa to get 1800s factory workers off of alcohol. Could some people be more susceptible to chocolate addiction than others? Like some people are more susceptible to alcohol than others? It has many compounds in it like theobromine, caffeine, phenethylamine, anandamide, tetrahydro-beta-carbolines. Like other addictive products it has a whole industry dedicated to it. Perhaps savouring small amounts is delicious but is it really beneficial? Or is this just clever marketing and wishful thinking. — from a former Chocolate addict.

Essential Heart Health Checks for Prevention: How Often?

What are the most crucial tests, exams, and other diagnostic measures that an individual without any history or symptoms of heart disease should undergo, and how frequently should these be conducted in order to stay well-informed and actively engage in prevention and prophylactic measures?