A heart surgeon tells all... including the patient who woke up and tried to move with her chest open

It sounds like the stuff of nightmares. Or perhaps a far-fetched Halloween spook-fest blockbuster. 

Waking up half way through major surgery, inadequate amounts of anesthetic having been administered.

In a candid Ask Me Anything question-and-answer Reddit feed a heart surgeon openly discussed some of his most harrowing experiences, including one when a woman awoke on the operating table, her chest wide open.
Asked by user 'MechaLincoln' to describe the strangest thing to have happened during his medical career, 'eternal_wait' wrote: 'A patient waking up and trying to move with her chest opened, a really bad mistake from the anesthesiologist that day.

Casual attitude: The unnamed surgeon posted a photograph of himself giving the thumbs-up as he gets ready to assist in a bypass operation
Casual attitude: The unnamed surgeon posted a photograph of himself giving the thumbs-up as he gets ready to assist in a bypass operation

'Cardiac surgery patients are at the highest risk of waking up during surgery because of the use of the artificial heart-lung machine, their drug distribution volume get really big so they need much more drugs to remain sleep.
 
'I've had other interesting moments,' the doctor added, 'but its really impressive to see a person with no heart trying to move.'
Fortunately for the patient in question she had no memory of the botched surgery after it was through, but others have been less lucky, as Reddit users were quick to point out.
In response the surgeon went onto explain that a drug named Midazolam is given in cases such as the woman's, 'that causes amnesia so the patient doesn't remember this traumatic experience.'
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Mediterranean, low-carb diets show long-term benefits

(LifeNews) Even if people have regained some weight several years after going on a healthful Mediterranean or low-carbohydrate diet, they can enjoy lasting beneficial effects, according to a follow-up study at Dimona’s Nuclear Research Center and Ben-Gurion University of the Negev in Beersheba.

The study, published last week as a peer-reviewed letter in the prestigious New England Journal of Medicine, updates the landmark diet study carried out on 322 moderately obese personnel in the workplace over a period of two years, and followed up four years after the end of the intervention. The original study was called DIRECT, for Dietary Intervention Randomized Controlled Trial.
Dr. Dan Schwarzfuchs of the Dimona center, where employees were put on diets and the results observed, said: “Our follow- up subsequent data shows lasting, positive effects of Mediterranean and low-carbohydrate diets six years later.”

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Excess exercise 'hurts the heart' and cause dangerous long-term harm, say scientists

Extreme exercise such as marathons may permanently damage the heart and trigger rhythm abnormalities, warn researchers.
They say the safe ‘upper limit’ for heart health is a maximum of an hour a day - after which there is little benefit to the individual.
A review of research evidence by US physicians says intensive training schedules and extreme endurance competitions can cause long-term harm to people’s hearts.
Damage: Excessive endurance exercise can do long-term harm to the cardiovascular system, U.S. scientists say
Damage: Excessive endurance exercise can do long-term harm to the cardiovascular system, U.S. scientists say
Activities such as marathons, iron man distance triathlons, and very long distance bicycle races may cause structural changes to the heart and large arteries, leading to lasting injury.
Lead author Dr James O’Keefe, of Saint Luke’s Hospital of Kansas City, said exercise was generally beneficial for health but could tip into becoming harmful when taken to excessive lengths.


Read more: http://www.dailymail.co.uk/health/article-2154267/Excess-exercise-hurts-heart-cause-dangerous-long-term-harm-say-scientists.html#ixzz1wv0D9dQL

Swedes Lob Dynamite Into a Controversy: High-Fat Diet Improves Blood Sugars

May 20, 2012

The slow backlash against low-fat, relatively high-carb diets as the ideal for everyone with type 2 diabetes has received a boost from a team of Swedish researchers at Linkoping University, about 100 miles southwest of Stockholm.
In a study that involved 61 patients, the Swedish scientists concluded that high-fat, low-carb foods had a better effect on blood sugar and blood lipids than foods in traditional low-fat diets. Their findings run counter to an almost 60-year-old theory that says dietary fat is the major culprit in the development of cardiovascular disease-a disease that people with diabetes are at a higher risk of developing.
For the one-year study, the patients, all with type 2 diabetes, were randomly divided into two groups. One group went on a low-carb, high-fat diet, while the other went on a low-fat diet.
Patients in both groups lost an average of four kilograms (8.8 pounds) of weight. However, the group on the high-fat diet enjoyed a drop in blood sugar levels, going from 58.5 mmol/mol to 53.7 mmol/mol (mmol/mol stands for millimoles per mole, a unit of measure often used outside the United States to express blood sugar volumes.) The low-fat group did not register a statistically certain improvement in blood sugar levels.
While both groups experienced similar weight loss, the high-fat group saw their "good" cholesterol levels go up and their lipoproteins stay stable. The low-fat group saw no improvement in lipoprotein counts.
In the high-fat/low-carb diet, 50 percent of caloric intake came from fat, 30 percent from protein, and 20 percent from carbohydrates. The low-fat diet derived 55 to 60 percent of its energy intake from carbohydrates, 30 percent from fat, and 15 to 20 percent from protein. The latter diet was based on recommendations of the Swedish National Food Agency and was similar to diets currently recommended in United States for type 2 patients.
While high fat intake has long been regarded as a big factor in the development of heart disease, more recent research-including this Swedish study-has challenged that theory. Some scientists now conclude that carbohydrates are a greater threat to cardiovascular health than fat. Their reasoning is that high carb intake leads to high blood sugar, which has an inflammatory effect that damages blood vessels and heart tissue.
The Swedish results were published in the journal Diabetologia.

Categories: ACCORD/Action to Control Cardiovascular Risk in Diabetes, Body Weight, Cardiovascular, Cholesterol, Cholesterol Control, Cholesterol Levels, Diabetes, Diabetes, Diabetes Health, Food, Health Research, Low Carb, Low Carb Diet, Research, Type 2 Issues, Weight Loss, Weight Loss/Lose Weight

Eat Fish Everyday to Keep the Doctor Away?

Left: A sketch of Red Sockeye Salmon. Right: B...
Left: A sketch of Red Sockeye Salmon. Right: Bald Eagle viewed through a telescope near the Chilkoot Lake camp site feeding on a seal carcass. (Photo credit: Wikipedia)
Eating more fish can protect your heart, a new study published in the Journal of the American College of Cardiology suggests.

Researchers recently looked at why middle-aged Japanese men have far less heart disease than American men.

"The death rate from coronary heart disease in Japan has always been puzzlingly low," said Akira Sekikawa, a leader of the study and assistant professor of epidemiology at the University of Pittsburgh.

"Our study suggests that the very low rates of coronary heart disease among Japanese living in Japan may be due to their lifelong high consumption of fish," Sekikawa said.

The study included 281 Japanese men, 306 white American men, and 281 Japanese-American men.
Even though a series of blood samples found that the Japanese and Japanese-American men smoked more, had higher blood pressure, and a higher rate of diabetes --- all factors that contribute to heart disease --- they had significantly less calcification and build up in their arteries.

"Fish is an important factor in keeping the Japanese healthy," said William Harris, director of the Metabolism and Nutrition Research Center.

The Japanese eat about three ounces of fish a day, while the typical American eats fish only about twice a week.

The American Heart Association recommends eating oily fish like tuna, salmon, and sardines, which are high in omega 3 fatty acids and protect against clogged arteries.

Sources: Reuters, Health Day News

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Drug Industry Pays out $10 Billion in Fraud Settlements in less than 2 Years

Jean-Pierre Garnier, CEO of GSK during its worst abuses
The rate at which the pharmaceutical industry is settling lawsuits continues to soar, with the last two years witnessing a 50% increase in payouts compared to the previous two decades.

From 1991 to 2010, drug companies forked over $20 billion to resolve various civil and criminal allegations. But in less than two years (from November 2010 to July 2012), the industry shelled out another $10 billion in settlements, according to Public Citizen, a consumer watchdog organization.

This year alone has seen more than $6 billion in deals between Big Pharma and the government. State governments have been driving many of the recent cases against drug makers, generating nearly 60% of settlements.

Twenty-seven states have concluded at least one settlement with drug companies since 1991. The state with the most deals to date is Kentucky, with 17, followed by Idaho with 12.

The most common violations brought against drug manufacturers have been overcharging government health insurance programs and illegal marketing of medications.

The biggest settlements were:   Read the list>>>>>>>>>
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The 3 Rs of the Feast of Tabernacles and the Eighth Day Assembly

FROM:  http://www.youall.com/refresh/3rsfot.html

Many people who accept Jesus Christ as Savior and Lord, whether they refer to themselves as Christian or Messianic, observe the biblical Feasts and Holy Days, including the weekly Sabbath, as times of worship, fellowship, and celebration. They believe that these Feasts and Holy Days are shadows pointing to the reality of Jesus. And they believe that there are valuable spiritual lessons to be learned week by week and year by year through actually physically setting aside these times as “appointments with God.”

See The 3 Rs Introduction article  for an overview of the three biblical principles of Refreshment, Rejoicing, and Remembering as they apply to the observance of the biblical Feasts and Holy Days. The rest of the articles in this series on The 3 Rs provide specific, practical suggestions for building those 3 Rs into these observances.


Refreshment






Preparations
The preparations your family will need to make for celebrating the Feast of Tabernacles may depend on the customs of any group you may be in regular fellowship with. If you are part of a group that celebrates the Feast at a central Feast site, much like a church convention, your primary preparations will involve travel arrangements and accommodations for the period of the Feast. See the section below for information on such “pilgrimage” Feast options.

If you are celebrating with a group that keeps the Feast locally, or if you have no group to fellowship with at all, you will have to decide whether the idea of building a sukkah at your home might be a way to enhance your family observance. For more information on this see the section below on traditional Jewish celebration customs of the Feast. If you decide to go this route, you will need to create building plans and gather building materials for your sukkah, and construct it in time for the beginning of the Feast.
Another option for a one-family celebration might be a family camping trip for the eight days, or even camping in the back yard in a tent or trailer. If your family is not the “outdoor” type, you will need to come up with some creative ways to weave the themes of the Feast into indoor activities.  
Environment
Many families find that changing their home environment for  the Feasts and Holy Days adds to the feeling of celebration and refreshment. This can include:
·
Special tableware and centerpieces for one or more of the meals for each day.
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Special lighting such as candles or a fireplace.
·
Special background mood music that is themed to the observance.
·
Special decorations around one or more rooms.

See some of the suggestions below for decorations and music for the Feast of Tabernacles for group settings, and adapt them to home use. It is particularly important to involve the children in planning and creating these elements, as that gives them an “investment” of their own in the celebration.
Children’s Activities
Most of the suggestions in the Crafts, Games, and Other Special Activities for Children section below on group projects for children for the festival period can be adapted to home use with just a little creative adaptation


Devotional
An eight day Feast of Tabernacles devotional booklet titled Bringing in the Sheaves of Your Year is available in this Times of Refreshing series.
This devotional is available also for viewing on the Internet, or printing out for your use individually or with a group.


Each day’s entry provides relevant scriptures to consider, inspirational thoughts, and points for meditation or discussion. For those who observe the Feast in their own home, this devotional will help keep a focus, each day, on this time of celebration. For those who print it  out to  take to a Feast site, it can provide a very personal emphasis to why you are there.
In Bringing in the Sheaves of Your Year you are invited to consider the spiritual harvest you have reaped in eight areas of your life in the year just past. In each area, you will be asked to reflect upon: Provisions the Lord made for you to sow; seed that you sowed; the harvest that you reaped; and how you might improve next year’s harvest..
Both devotionals are suitable for one person to use alone, two people to share with one another, or for whole groups to use as a focal point for a group discussion. If you are at home (or have a lap-top at a Feast site) you can read the devotional right on your computer screen. You can also print it out from the Internet in black and white or color as full 8.5 X 11 sheets. Since it includes sections that require writing down your thoughts, it might best be printed out  so that you can make use of the printed lines in the appropriate sections.


Rejoicing





Among those Christians or Messianics who observe the Feast of Tabernacles and the Eighth Day, there are several distinct styles of observance. Below are three typical ways that Christian or Messianic congregations choose to celebrate. See the 3 Rs Introduction booklet for more details on each of these types of groups. 
Varieties of Contemporary Observances
Traditional Jewish Celebrations
Some groups, particularly those which label themselves as Messianic or Hebrew Roots congregations, model their Tabernacles (Hebrew: Sukkot) celebrations closely on the traditional modern Orthodox or Conservative Jewish customs for this Feast. They will, however, often interpret these customs in ways that emphasize Jesus (whom they may refer to by a Hebrew version of His name such as Yashua or Y’shua) and the Gospel of salvation.
Such celebrations are local and community-based. Each family builds a sukkah (small booth or hut) at their own home, perhaps in the back yard or on a patio. Family members eat their meals, study the Bible, and perhaps entertain friends in the sukkah. Family members will each have their own esrog and lulav to use throughout the Feast. (For a description of these items, and details about this and related Jewish customs, see the Times of Refreshing booklet Jewish Feast and Holy Day Customs: Sukkot.)


A congregational Holy Day worship service is held on the Holy Day that begins the seven-day Feast, and for the Holy Day of the Eighth Day (Hebrew: Shemini Atzeret). Other social events and Bible studies may be held on the other days of the eight-day period, most often in the evenings. Special children’s activities are commonly included, both on the Holy Days and at the other group gatherings.
All of these activities will mirror closely the customs and symbolism of contemporary Judaism. Decorations and rituals, including traditional prayers, will be distinctively Judaic.
Opinions among such groups may vary on whether individuals are expected to take the full eight days as a vacation from their regular jobs, or just take off on the two Holy Days and the weekly Sabbath and continue working on the other days, participating in the evenings in the special Feast activities.

Non-Jewish Celebrations
Some Christian groups which observe the Feast of Tabernacles pay little attention to Jewish customs and instead create their own style of Feast celebration. Among such groups it is typical to focus on the “pilgrimage” aspect of the Feast, and staying full time in “temporary dwellings” for eight days somewhere away from home, rather than on having a sukkah in the back yard in which one just spends a few hours a day. This most often takes the form of gathering at central “Feast sites” in various parts of the country. The size of such meetings can vary from a few dozen people to hundreds or even thousands. The emphasis is the communal experience of getting away from the workaday world for the whole eight days (the Feast itself and the Holy Day of the Eighth Day Assembly), and spending all that time in regular fellowship with others.
This style of Feast would be more comparable perhaps to a religious convention or conference. Daily gatherings are typically held in a central convention facility, and families stay in nearby temporary housing such as motels, hotels, vacation rental homes, condos, cabins, or campgrounds. Each morning, afternoon, and evening may include one or more gatherings. Such gatherings may include worship services, seminars and classes for adults and youth, social events such as Ice Cream Socials, amateur Variety Shows, sing-alongs, and more.
Some groups prefer if possible to find a facility, such as a State Park convention center, that allows all the people in attendance to stay in the same building or complex of buildings (and/or campgrounds), so that there are constant fellowship opportunities at all times. Regular group meals are also very important to some.
This type of centralized Feast site is most often attended by the members of more than one congregation. There are some denominations (groups that have a central headquarters with oversight of multiple congregations) that sponsor their own denominational Feast sites, serving their own members. People from a number of their congregations scattered around a section of the country would join together at one of these central sites. It is typical in this type of organization for all Feast activities to be organized and administered by the central headquarters leadership.
There are other “ministries” (as opposed to “denominations”) that sponsor Feast sites that are designed deliberately to attract anyone and everyone who would like to attend. The ministry may do all of the planning, presentation, and coordinating of activities at the site. Or it may “sponsor” such a site and promote it, but leave the planning and such to an independent group of people who volunteer to provide that service.
One example of a ministry that sponsors and promotes such a Feast site, but leaves the coordination of the actual planning, administration, and coordination of activities to an independent “Festival Association” made up of volunteers, is Christian Educational Ministries. The Feast site sponsored by this organization attracts nearly 1,000 people from all across the US and several other countries each year to a Christ-centered Feast of Tabernacles. In 2008 the CEM-sponsored site was in Panama City Beach, Florida. In 2009 it will be on Okaloosa Island, east of Pensacola, Florida. Information about the site sponsored by CEM can be seen at www.borntowin.net.  Click on the menu selection “Feast of Tabernacles” from the navigation bar on the left of the page.

Description from the website above:
For eight days in the fall of the year, Christians in our tradition pause to observe “The Feast of Tabernacles.” We celebrate this festival because it is commanded of God and because we see a powerful Christian significance in the feast. For us, this is not merely a Jewish holiday, but one of the “Appointed Times of God,” given to remind us every year of an important part of His plan, and to deepen our understanding of the work and ministry of Jesus Christ.
... Come and keep the feast with us. Everyone is welcome, and no prior reservations are required. We have plenty of room for you. Come and worship for one day or eight, but come. You will grow deeper in the grace and knowledge of our Lord Jesus Christ.


Hybrid Celebrations
Some groups, while borrowing some of the customs, rituals, and symbolism of Judaism, are more experimental in their inclusion of these. Rather than try to imitate the whole package of the standard Jewish Feast of Tabernacles celebration, they will pick and choose those aspects which appeal to them, perhaps sometimes for spiritual reasons because they seem to be deeply meaningful, and at other times just because they are aesthetically attractive or seem fun.
These groups vary in custom also regarding whether they keep the Feast as a local activity or at a central Feast site. Some may choose to stay in the local community and build one central, “symbolic” sukkah at their place of worship rather than at their individual homes.
Their worship services during the Feast may feature music with a particularly “Hebraic flavor.” Yet some may completely ignore such customs as the esrog and lulav. Others may include these items, but not necessarily follow all of the detailed, traditional guidelines for their use typical among Jews.
Those who choose to create a larger, centralized site to which people travel may include some variation of Jewish customs there also. If the site is suitably rural, one common activity is to have the children and teens construct a single outdoor sukkah as a project for youth classes.
Local or regional gatherings both may include features that are more “Messianic Jewish” than Orthodox Jewish, such as the so-called “Davidic Dancing.” This is viewed as a form of worship, in which groups often dance to Hebraic-flavored contemporary Praise and Worship music in a style loosely based on Jewish folk-dancing mixed with stylized dance moves reminiscent of ballet.




Festive Food
While there are no specific foods connected with Feast of Tabernacles celebrations, the Feast is a fall harvest celebration, and in the Holy Land it would have been particularly the time of the harvest of fall fruits and vegetables (grains such as wheat and barley were harvested earlier in the year). This makes it quite comparable to the American November Thanksgiving celebration, and typical Thanksgiving-type foods would be certainly be appropriate. In fact, regional seasonal fresh fruits and vegetables, and regional recipes, would be particularly suitable.

Remembering





Message Ideas
The original command for the celebration of the Feast of Tabernacles noted that God wanted the Israelites to annually “dwell in booths” to commemorate the time period after the Exodus when their ancestors stayed in such “temporary dwellings” during their wilderness wanderings and had to rely on God totally for both protection from the harshness of the elements and for food and drink. As a nation, they weren't yet “home” in the Promised Land, and were only looking forward to it. During some periods they seemed to trust Him to keep providing, but all too often they became impatient and whined and grumbled, and even threatened to go back to Egypt just to get their bellies full. Just so, Christians as a people aren’t yet “home” as they will be in the resurrection in the Kingdom, but are “dwelling in temporary dwellings” in their physical bodies, waiting for the “blessed hope” of the return of Jesus, when they will dwell permanently with Him. We all have some periods when our trust in His provision is strong, and some times when we just aren’t sure if it’s “worth it” when we go through difficult times.
In addition, it was God’s plan for them to go directly to the Promised Land shortly after their sojourn at Mt. Sinai to receive The Law. But because they were fearful, and didn’t trust God’s assurance that He would go before them into the Promised Land and take care of the enemies there, He chose to let them wander in the wilderness until that whole generation died off. Suggested message titles related to these factors:

“God’s promised provisions”
“What are you complaining about?”
“Are the ‘giants’ in your life keeping you from trusting God?”
“While you wait to enter the Promised Land” (redeeming the time in His service)
“So you want to go back to Egypt?”


Ideas for Bible Studies and Discussion Sessions   
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