Andreas Moritz
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 A major study of over 10,000 surgery patients showed that adults can undergo the rapid loss of 1,000 to 2,000 ml blood (about a third of their total volume) and not go into irreversible shock if adequate hemodilution is maintained. Many other studies also demonstrate that adult patients can tolerate seven to ten times lower than normal levels of hemoglobin during surgery and still survive. A very large study of 6,000 open-heart surgery patients confirmed that, by avoiding blood transfusions altogether and using only volume expanders, patients had improved outcomes, and had to pay less as well. |
Bottom Line Health
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| But he stops short of endorsing the drug for all heart surgery patients due to the lack of data about how many patients were started on beta blockers and then had that medication stopped.
"When patients are withdrawn from beta blockers, the risk [of atrial fibrillation] is doubled," Mathew says. "There is no information about what percentage of patients was actually withdrawn from beta blockers. |
Stephen T. Sinatra, M.D.
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 Ribose put on formulary at several hospitals (United States) for treating pre- and post-operative cardiac surgery patients.
Although the presence of ribose in genetic material makes it one of the most widespread substances in the human body, scientists were not able to find it in the blood, and it was thought that ribose might not be physiologically important in its free form. In other words, researchers were not sure that circulating ribose would be metabolized by the cells, whether it was removed from the blood or not. |
John J. Ratey, MD
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 None of them had anxiety disorders, but doctors were interested in their anxiety because it has a major influence on how well heart surgery patients recover. ANP directly dampens the sympathetic nervous system's response by stemming the flow of epinephrine and lowering the heart rate, and it also seems to reduce the feeling of anxiousness, which is paramount. And we know that among panic disorder patients, those who have frequent attacks have a deficit of ANP in their bloodstreams. |
Andreas Moritz
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| A very large study of 6,000 open-heart surgery patients confirmed that, by avoiding blood transfusions altogether and using only volume expanders, patients had improved outcomes, and had to pay less as well. In addition the risk of contracting diseases from other people's blood was eliminated.
Other methods are used to help lower a patient's temperature and blood pressure in order to conserve blood loss and limit excessive bleeding. Drugs are also available that increase red blood cell production. All of these methods have very few or no side effects. |
| National Institute of Health estimated that 90 percent of America's bypass surgery patients receive no benefits. Major lasting improvements were attributed to an improved diet and lifestyle, stress reduction, smoking cessation and regular exercise. (See also chapter 9.)
All artery-opening methods, like bypass surgery and stents, the widely used wire cages that hold plaque against an artery wall, can alleviate crushing chest pain for a certain period of time. |
Shannon Brownlee
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 So we really should refuse to admit psychiatry patients and admit more surgery patients. The problem with that is this is a teaching institution, and we can't pick and choose what we will take care of. So we try and develop programs that do make money to [be able to] run the programs that don't make money."
In other words, Hopkins does what all hospitals must do: It uses the profits it makes on some patients to cross-subsidize the care of others. |
| In other words, he says, the supply of physicians can determine how much surgery is performed, rather than how much surgery patients actually need.
"The really fascinating thing to me is to think that what predicts your risk of surgery today in a particular region is what it was ten years ago in the same region. That is just incredible," he says. |
Peter h. Fraser and Harry Massey
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 Cardiac surgeon Mehmet Oz, who combines Eastern and Western medical techniques into his surgical practice, declares that many of his heart surgery patients do better when they also learn how to meditate, use guided imagery, and receive adjunct complementary therapies such as acupuncture and foot reflexology.3 Acupuncturist Michael Wayne, in his book Quantum-Integral Medicine, argues that patients can harness their minds to ramp up their bodies' innate self-healing capabilities, so they can be their own doctors to a much larger extent than ever thought possible. |
Dr. Steven R. Gundry
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 Most of my surgery patients soon become Club members, too. With remarkable consistency, not only do their cholesterol problems disappear but also so do their weight problems, hypertension, diabetes, and arthritis. We've even established preventive and treatment programs at a local cancer center.
Most of what I've learned from the research on myself and thousands of volunteers flies in the face of what health professionals have been taught about health, diet, and chronic disease. |
| This mineral is so essential that all heart surgery patients receive 1 to 2 grams intravenously during and every six hours after their operation to normalize their heart rhythm and control blood pressure. Many cardiac disease specialists think a dietary deficiency of magnesium causes or contributes to hypertension. Magnesium is poorly absorbed and competes with the same receptors in the intestines that absorb calcium. When magnesium and calcium are combined in a supplement, you'll actually get less of each. |
| Magnesium is given to all open-heart surgery patients to prevent irregular heartbeats and potentially fatal arrhythmias as well as to keep their blood pressure down. I start all my hypertensive Club members on regular magnesium tablets, working them up to 500 to 1,000 mg per day. For dosages of the other compounds, refer to www.drgundry.com. |
| All of my cardiac surgery patients now receive this supplement postoperatively, which is also available in prescription form under the name Carnitor.
Typical daily dose: Either 125-250 mg of acetyl-L-carnitine or 250-500 mg of L-carnitine, twice a day
MOVING ON
After you've spent at least six weeks in Phase 2-assuming you are getting close to your goal weight and your cholesterol and other markers indicate that you're continuing to make progress-it's time to think about moving to Phase 3. |
Rick Levy and Lou Aronica
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 Cardiac surgeons at Johns Hopkins have observed that their heart surgery patients tend to be people who have suffered massive losses of love in their lives. We tend to attach love issues to the heart because the heart symbolizes love in our culture. If we have lost in love, we might say, "My heart is broken." People suffering a break-up will often experience physical heart pain, and so on. Simply put, people who've experienced love loss tend to store the resulting painful emotional energy in the heart.
This described me perfectly. |
Stephen T. Sinatra, M.D.
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| A California doctor recently reported astounding improvements among beating heart surgery patients who received D-ribose supplementation prior to sur-
Adenine
Ribose
ATP
PRPP ?
AMP
Adenosine
De Novo Synthetic Pathway
Ribose
PRPP"
I I i
IMP t
I
J
Catabolic & Salvage Pathways
PRPP t
Ribose
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Uric Acid
?Denotes intermediate steps
Figure 6.5. Replacing lost energy substrates through the de novo pathway of energy synthesis begins with D-ribose. D-ribose can also "salvage" AMP degradation products capturing them before they can be washed out of the cell. |
Andreas Moritz
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| An average of 3 to 4 out of 10 surgery patients with serious wounds (caused by ulcers) experience significant pain reduction after they have been injected with a salt solution. No reliable methods in modern medicine exist that can determine or guarantee which patients will respond to a placebo. It is equally impossible to predict how well a patient will respond to a real drug treatment or surgery. Indeed, the subjective state of the patient plays a major, if not the determinant, role in curing an illness. |
Mike Adams, the Health Ranger
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 According to reports in USA Today, the New York Times, and dozens of other papers, some bariatric surgery patients are suffering from medically-dangerous low blood sugar brought on by this surgical procedure.
The "solution" to this problem, as offered by U.S. surgeons, is to surgically remove part of the patient's pancreas. Since the pancreas is the organ that produces insulin, cutting away part of this vital organ would, of course, result is lower production of insulin, halting the symptom of low blood sugar.
Does this solution strike anyone else as medical madness? |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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 In one double-blind study, neither high-dose nor standard-dose pancreatin was able to eliminate steatorrhea in over half of the pancreas surgery patients studied.43
Fat malabsorption in pancreatic insufficiency may result in deficiencies of fat-soluble vitamins, and these deficiencies may not always be prevented by enzyme supplementation.44' 45' 46 One controlled study found that patients with chronic pancreatitis had vision abnormalities that are associated with vitamin A deficiency. |
Joseph E. Mario
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 Bypass surgery patients have 2% riskof death in surgery, 5% risk of heart attack during surgery, and 5-10% risk of stroke; with a 10 year horizon before the arteries are filled with plaque again. Risk of dying from this unproven procedure is 3-8 times greater than dying from the clogged arteries! With balloon angioplasty, an artery 80-90% blocked is still 40-45% occluded at operation end; with re-blockage/restenosis in 25-35%, and 45-55%ofthechronicvictims(esp. |
Mike Adams, the Health Ranger
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 REPPED: A new analysis of bariatric surgery patients, published in the journal Nature, reveals that this surgical procedure may be far more dangerous than most people believe. An astonishing 4.6 percent of patients who undergo bariatric surgery are dead within a year. That's almost one out of 20 people who die within a year following the surgery.
That's a huge number, and it indicates the level of risk associated with bariatric surgery. |
Bottom Line Health
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| Medicare benefits was 4.6%. This study also found that when the surgery was performed by a surgeon who had not done many of these procedures the death rate was 1.6 times higher than when the procedure was done by a more experienced surgeon.
REACTION
"I was not surprised by these findings. These studies are really a very small piece of the overall picture for bariatric surgery," says Dr. |
James F. Balch, M.D. and Mark Stengler, N.D.
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 Anti-atherosclerotic effect of aged garlic (Kyolic) in the bypass surgery patients analyzed by computed tomography. FASEB Journal. April 15, 2003, San Diego.
De Longeril, M., et al. 1999. Circulation. Journal of the American Heart Association 99:733-85.
Gouni-Berthold, I., and H. K. Berthold. 2002. Policosanol: Clinical pharmacology and therapeutic significance of a new lipid-lowering agent. American Heart Journal 143(2):356-65.
The carpal tunnel is a very small opening just below the base of the wrist, between the arm and the hand. |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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| However, no research has explored any other benefits of B vitamin supplementation in surgery patients.
Glutamine (page 530), one of the most abundant amino acids (page 465) in the body, supports the health of the cells lining the gastrointestinal tract and is important for immune function.67 Glutamine is depleted when the body is under stress, including the stress of surgery.68 Blood levels of glutamine decrease following surgery, and as they return to normal, their increase parallels the increase in immune cells. |
| Vitamin C (page 604) deficiency can be detrimental to immune function (page 255) in hospitalized patients,52 and one study found that half of surgery patients recovering at home had low dietary intakes of vitamin C.53 Vitamin C is also a critical nutrient for wound healing (page 319),54'55 but studies of vitamin C supplementation have shown only minor effects on the healing of surgical wounds.56, 57 Vitamin C deficiency also can increase the risk of excessive bleeding in the surgical setting. |
| One study found most surgery patients recovering at home had low dietary intakes of zinc.36 Low blood levels of zinc have been reported in patients after lung surgery.37'38 In one study this deficiency lasted for up to seven days after surgery and was associated with higher risk of pneumonia,39 while another study found an association between post-operative zinc deficiency and fatigue.40 Poor post-operative wound healing is also more common in people with zinc deficiency. |
Mike Adams, the Health Ranger
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| For example, most bariatric surgery patients are never informed that one of the most common side effects of the surgery is hypoglycemia or a form of hyperinsulinemia, which is an insulin reaction to the ingestion of food. This is now recognized as a common side effect of bariatric surgery or gastric bypass surgery. When this happens to you, you're put in a very difficult spot as the patient because the thing that's typically suggested to you to solve this problem of your pancreas producing "too much insulin" is to surgically remove part of your pancreas.
How's that for brilliant? |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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| Malnutrition is common among the elderly and chronically ill even in developed countries, and one study found that half of older general surgery patients had moderate to severe malnutrition from protein deficiency.7
Being malnourished prior to surgery was associated with increased post-operative inflammation in one recent preliminary study.8 A study of patients requiring lung surgery found rhat those who were better nourished prior to surgery had shorter hospital stays and required less intensive post-surgery care. |
Joseph E. Mario
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| Cautious use of Shark Cartilage is recommended for recent heart attack patients, pregnant women, or recent major surgery patients until more is known about its blood-vessel growth inhibition. A 1995 Australian Shark Cartilage called Benefin derived by a new biological process is reported to be 35-50% more effective than former product; has
70%morecartilageProteins. Take in 3 doses daily 15 minutes before meals
(with Acidophilus). |
Alan R. Gaby, M.D., Jonathan V. Wright, M.D., Forrest Batz, Pharm.D. Rick Chester, RPh., N.D., DipLAc. George Constantine, R.Ph., Ph.D. Linnea D. Thompson, Pharm.D., N.D.
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| Reviews of nutrition research on all types of surgery patients have concluded that undernourished patients will have better results if they receive supplemental nutrition before and after surgery, and that supplemental nutrition is more helpful when given orally rather than directly to the bloodstream (intravenously).15' 16' 17
Whether people who are not malnourished benefit from these diet supplements is unknown.
After major surgery, it is sometimes necessary to supply nourishment by a route that bypasses the digestive tract, such as intravenously, rather than by mouth. |
David Hoffman, FNIMH, AHG
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 Another study compared hospital records of gallbladder surgery patients who had window views of either a small stand of trees or a brick wall. Results showed that those with the view of trees had shorter postoperative hospital stays, required fewer potent pain drugs, and received fewer negative staff evaluations about their condition than did those with the wall view.2
The Role of Adaptogens
Humanity appears to have created a world of stress, pollution, lack of meaning, and lack of purpose. |
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