If you are interested in or have questions about anesthesia, whether you are a patient, the loved one of a patient, or a medical professional, you will find Dr. Friedberg’s insights interesting and useful.

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Some of the fun of being a book author

While at the 2009 annual SAMBA meeting in Scottsdale, Arizona, I had the pleasure of exchanging autographed copies of our respective books with noted anesthesiologist, ‘Real Age’ Mike Roizen and speaking with him, as well.

The new book, ‘You Being Beautiful,’ he co-authored with cardiac surgeon, Mehmet Oz, dated May 25, 2009, arrived the end of the month.

Both Mike and Mehmet have appeared on ‘Oprah’ many times. ‘Dr. Oz’ will have his own show this fall, much like Dr. Phil got his own show by her sponsorship. I wish him the very best.

More ‘royal’ fun as a book author

Today, Larry King had a book signing in Huntington Beach that I got to attend. After he autographed his book for me, I presented him an autographed copy of ‘Anesthesia in Cosmetic Surgery.’

At first, he seemed a bit surprised, as if not many people gave him things at his book signings.
He quickly recovered.

Then he asked, ‘Did I do the surgery or the anesthesia?’ I said, ‘The anesthesia.’

He asked, ‘Why did I choose anesthesia?’
I said, ‘I liked to see people look better if that’s what they wanted.’

Then, I gave him my 2 X 3 inch reproduction of the Lone Ranger standing in front of his horse ‘Silver’ with a ‘silver’ bullet in the plastic bag.

He was very touched and asked why. I said, Larry King, truth, justice and the American way of life.

The entire encounter took about 15 seconds but it was a great moment to experience for me.
I wanted to share it with you.

Post anesthesia vomiting tops internet interest as well as patients’ concerns

Yesterday marked the biggest day of validation for PK (propofol ketamine) anesthesia since I began advocating it nearly two decades ago.

Little did I suspect how well my June 9th press release would be received on the world wide web, especially in comparison to my previous forays.

In the first 36 hours, nine times the visitors per hour read the entire release compared to the previous one.

As I wrote in the release, postoperative nausea and vomiting (PONV) does not kill you. It only makes you wish you were dead.

For those of you who do not know who Christian Apfel is, he is a very distinguished anesthesiologist. He is an MD, PhD researcher and clinical anesthesiologist who has published his work in many professional journals and books.

In 2004, Dr. Apfel published his PONV work in the New England Journal of Medicine (NEJM), an accomplishment very few anesthesiologists have ever done. (The NEJM is primarily a journal for internal medicine specialists.) Dr. Apfel is, without question, the world’s foremost authority in the field.

For several years on the international speaking circuit, Dr. Apfel has cited my 1999 PK anesthesia publication as a positive example of how to eliminate PONV by not giving either of the two major causes of the problem in the anesthetic – inhalational agents (i.e. ‘stinky’ gases) or intravenous opioids (i.e. narcotics). He further said if one does use those two classes of drugs that using anti-vomiting drugs was of little usefulness.

Having him cite the same 1999 PK anesthesia publication in his PONC chapter in the most respected and most cited anesthesia textbook, Miller’s ‘Anesthesia,’ is just about the greatest accolade PK anesthesia could ever hope to receive.

However, if the public hopes to effect some change in anesthesia providers’ practices from this validation, they need to bring a copy of the press release with them when they have their preoperative consutlation with their surgeon and insist on having the information passed along to the anesthesia staff.