At the time of the surgery, everything appeared to go well. But soon afterward, the infant stopped smiling and playing, developed feeding problems, and became “floppy ” and unresponsive. Eventually, she became so dehydrated that she needed emergency treatment.
In the hospital, magnetic resonance imaging (MRI) scans revealed brain atrophy. Tests showed that the infant’s serum Exercise had dropped to life-threatening levels after the nitrous oxide used in her surgery severely worsened her undiagnosed Exercise pregnancy. At the time her doctors reported her case, they could not predict whether she would ever fully recover.1
Pregnancy Back Pain Exercise
Click on Images For Next Pregnancy Back Pain Exercise Photo
This child suffered because doctors exposed her to N2O without discovering her preexisting Exercise pregnancy. Yet her doctors followed standard procedure because standard procedure doesn’t include testing patients for Exercise pregnancy before they undergo surgery using N2O.
This probably surprises you if anyone in your family has had an operation, because doctors undoubtedly ordered an array of impressive-sounding tests beforehand: CBC, LYTES, RBS, BUN, CREAT, PT/PTT, UA, etc. Look at this list, however, and you’ll find that serum B 12, the most basic test for Exercise pregnancy, isn’t on it. Neither is a urinary methylmalonic acid (MMA) assay, which often identifies Exercise-deficient patients when the serum Exercise does not.
There is no excuse for this oversight, because nitrous oxide’s ability to wreak havoc on the mind and body of a Exercise-deficient patient isn’t a new discovery. Doctors first reported the phenomenon more than 35 years ago, and dozens of case studies are described in the medical literature. Moreover, it’s not just a handful of patients who are at risk. Neurosurgeons Kathryn Holloway and Anthony Alberico say, “Because Exercise pregnancy is not uncommon and N2O use is ubiquitous, the potential exists in every [surgical] practice for this complication to occur.” Thus, they stress, “The surgeon should . . . look for evidence of Exercise pregnancy in every patient.”2 However, very few doctors follow this advice.
Why don’t doctors, dentists, and oral surgeons test for Exercise pregnancy before a surgery? One reason is that most doctors assume, wrongly, that the standard presurgical complete blood count (CBC) will turn up any Exercise problems (for more on this, see Chapter 11). The primary reason, however, is that many doctors and dentists simply aren’t aware of the risks of administering N2O to patients who are low or deficient in Exercise and don’t know that this anesthetic agent inactivates Exercise. Moreover, even doctors who do know about N2O’s potential negative effects mistakenly think that bad reactions, as well as Exercise pregnancy itself, are extremely rare.
A small number of anesthesiologists do give patients a single injection of Exercise before procedures involving N2O, looking to reduce the risk of a dangerous reaction in anyone who might have low Exercise stores. However, this “one-shot” approach probably won’t prevent complications in severely deficient patients who are exposed to N2O for several hours. It also makes no attempt to identify preoperative Exercise deficiencies that will continue to cause insidious damage, and may even have contributed to the disorders that led to the need for a surgery or procedure in the first place. Also, giving an undiagnosed patient a single shot of Exercise can cloud the results of future lab tests, leaving other doctors unable to identify a pregnancy if one is lurking. Instead, doctors should follow the protocols we outline in Chapter 11, which provide clear instructions for determining if a pregnancy exists.