Thursday, March 14, 2019

Snake Anesthesia before Surgery


Henry Cabrera, MD
You must be wondering why and how snakes are given anesthesia? Generally, what we’ve seen on Nat Geo, Austin Stevens – a veteran snake charmer approaches a snake swiftly from the rear and, barehanded (gloves make him clumsy), squeeze just behind the snake’s jawbone using his thumb and forefinger. Control the writhing body. And BOOM he gets a hold of it and extracts venom pinching softly and gently as if he is caressing it. 

Each snake charmer has its own quality but ever wondered what leads to a case when snakes need anesthesia? This is why I have formed a blog where I would discuss what quantities of anesthesia does a snake requires. So without further ado, let’s get into this.

Generally speaking, performing anesthesia and medical procedure on a snake ought to be drawn closer with indistinguishable standards from those utilized for domestic creatures. In any case, there is clear anatomic contemplation, just as unique parts (especially a snake) of patient readiness, situating, and equipment with which the reptile clinician should be familiar.

Reptiles make good anesthetic patients because of their physiologic resilience. In the simplest words, reptiles are very resilient and capable of surviving physiological changes. Furthermore, these species frequently undergo potentially painful surgical procedures.  New drugs that are not only safe and efficacious but also result in relatively short recovery times have greatly enhanced the design of anesthetic regimens. Further studies are required to quantitatively evaluate the physiologic effects of drugs used and validate available monitoring modalities for use in a wide variety of reptiles.

Wound Treatment 

Wounds, more often than not horribly tainted, are a successive introduction, and given the caseous idea of the reptilian incendiary reaction, careful debridement is frequently constantly essential. Sharp dissection is utilized to expel all follower necrotic and contaminated tissue that should then be submitted for histopathology and microbiology.

Surgical Procedures

Snake integument is composed of keratinized scales and thinner interscaler skin. Incisions should be made between the scales, thus making most surgical wounds scalloped. When reptile skin is incised, it has a tendency to invert. Therefore, everting suture patterns (eg, horizontal or vertical mattress) using polydioxanone or nylon are recommended to ensure opposition of tissue without future dysecdysis. Fine polydioxanone causes less reaction than polyglactin and is preferred for internal sutures. Skin sutures are typically removed after 6 to 8 weeks.

Whatever it takes, reptiles are a dangerous creature and not to be messed around. 


Wednesday, January 30, 2019

Enhancing Your Business Budget


Henry Cabrera, MD
Every successful business needs a budget

It’s a basic tenet of business – before you can make money you have to figure out how to spend it. Drafting a budget is a key way to help you turn your dreams for business success into reality. Using this vital tool, you can track cash on hand, business expenses, and how much revenue you need to keep your business growing – or at least afloat. By committing these numbers to paper, your chances of succeeding with your business are helped by anticipating future needs, spending, profits, and cash flow. It also may let you spot problems before they mushroom so that you can switch gears.

Purpose and perception– the purpose of healthcare professional education is to educate learners to a high standard and keep them up to date – not to make a profit. Hence, while budgeting is important, you should always remember that it is a means of achieving an end and not a goal in itself.

Get involved –The earlier that you get involved in budgetary planning, the more likely you will be able to influence outcomes. Planning will involve deciding upon strategic goals, reviewing options, and deciding upon the best one.

Thorough communication between teams –The budget must be able to capture this complexity and must be communicated to the team in a format that they will understand.

Adherence –If there is going to be an over- or under-spend of the budget, then the time to know about it is as soon as possible. A small over-spend on say simulation equipment in the first quarter may turn into a massive over-spend by the end of the financial year. Corrective action taken into the first quarter may well be effective; action taken in the last quarter is unlikely to have much effect. The difference between actual spend and planned spend is called the variance. 

Consider Cutting Costs in Non-traditional Areas

Salaries and benefits come from one side of the budget while capital expenditures come from another. But, it doesn’t have to be that way. When you consider where to find the money for the increase in health insurance, keep all options on the table. Do you need all the space you rent now? Could you save money by allowing staff members to telecommute? Could travel be replaced with video conferencing in most cases? Look at everything, keeping in mind that your people are the most important aspect of your business.

-Henry Cabrera Anesthesiologist

Thursday, December 6, 2018

What Skills Are Needed to Become an Anesthesiologist?


Dr. Henry Cabrera
Being an anesthesiologist is not an easy job and there are a number of skills that you need to learn in order to become successful in the field. So many people choose this field in medical because they think that they can offer their services in the best manner in this area and also because this certain area interests them. Anesthesiologists are those who have studied or majored in anesthesiology. Throughout their degree, they are trained in the skills that they need to have in order to prosper in their professional life. But a need is still felt to train the anesthesiologist with the essential skills that they need in their career. This article intends to shed light on the most important skills that anesthesiologist must have. 

Being able to communicate effectively with the patients:

It is important for an anesthesiologist to communicate everything with the patients in order to be clear and remove all kinds of uncertainties. The anesthesiologist should ask the patient about their history and current condition so that they can perform their job in a more effective manner. Moreover, they should ask them if they are allergic to a certain substance or chemical. All this can happen if only the anesthesiologist has good communication skills and knows how important it is to communicate effectively with the patients. 

Able to deal with pressure:

Another important skill that you would need to prosper in this field is being able to handle pressure because your job is where you will get a lot of pressure so you will have to have the stamina in you to deal with a great level of pressure and treat all the patients well. With dealing with pressure, this should also be kept in mind that you should on a compromise on any patient. 

Attention to detail:

It is another skill that you must possess in order to succeed in your career as an anesthesiologist. You should consider each and every factor very carefully and pay close attention to the things because after all, it is about someone’s life. You will have to be very careful about all the details and past history of the patient so that you can serve them in the right manner. 

Monday, October 8, 2018

What Are The Important Tips On Personal Growth?


Dr. Henry Cabrera

Everyone possesses a drive to learn new things and new skills. We all wish to improve and develop our personalities by learning new skills and polishing the existing ones. No one likes to be called as intellectually dull. When we cease to learn new things and show resistance towards adopting change we become intellectually stagnant. It is a commonly held belief that life is in motion, in constantly changing. We evolve and progress only when we embrace changes taking place around us. Personal growth and development is a complex process which requires sincerity, consistency, effort, honesty and time. This article intends to present some important guidelines on how you can develop and enhance your personalities in a better way. 

Think practically:

An important tip for personal development is to think practically. Set achievable goals. It is good to dream big but do not dream for things that are impossible to be achieved. Practical thinking paves way for better and realistic ideas. All those ideas that can be nothing but fantasies must be avoided and therefore, one must be practical enough. It is also vital to understand that people these days adore practicality as it helps in the right determination of the resources and their utilization. The practical approach can play a great role in adding value to your personal learning. 

Give your best:

Whenever you plan to do something, make sure that you are willing to give your best. Only when you fully invest in something that you can get desirable results. Doing something half-heartedly will turn out to be a futile practice. One needs to realize that no one is perfect and it is our flaws that make us a better version. One must give his or her best but one must not avoid or overlook the issues that can come your way. One must be ready to tackle with all the issues that come along. It is also vital to understand the fact that people these days only focus on the best part and avoid the flawed sections. They must acknowledge the flawed sections as well to gain a better perspective.



Monday, August 27, 2018

The Responsibilities of an Anesthesiologist Towards His Patients


Anesthesiologists are one of the highest paid doctors in the world. They earn around $321,686 per year in the United States. They serve in the hospitals and play a significant role in the surgeries. Every patient must see an anesthesiologist before a surgery. 

Dr. Henry Cabrera

Here are the responsibilities of an anesthesiologist towards the patients. 

1) Willing to improve the patient's health

A surgeon operates but an anesthesiologist takes the pain away. The doctors use instruments to conduct surgeries which gives pain to the patients and here comes the responsibility of the anesthesiologist. A responsible anesthesiologist should always be willing to take away the pain of his patient. The anesthesiologist should be willing to choose the right type of anesthesia for the patient. For this, he should first check the history of the patient, study the profile and the medications taken by the patients. Following this, he should give a dose to the patient to make him unconscious and allow the doctor to operate. Moreover, he should be willing to take care of the patient after the surgery as well. The anesthesiologists are not just responsible for taking care of the patient during the surgery, their responsibilities are a lot more than this. They need to take care of the patients after the surgery as well. The patients will start feeling the pain as soon as they get conscious so the anesthesiologists have to give the right medication, or drips or whatsoever to ensure that they feel less pain. They also need to take care of the after surgery effects such as nausea and vomiting. 

2) The pain

The anesthesiologists also need to feel for the patients. Giving an anesthesia alone won't be effective unless you don't feel for your patients. When you start feeling for them, you'll eventually start caring for them. You should take some steps to make their lives and health better and do everything that is in your control to ensure that they don't suffer or go through any pain.