u/Basic_Heat4929

Does weight loss before anal surgery affect anesthesia dosing?

I am having surgery to remove my hypertrophied anal papillae in August by a CRS but I will be asleep for it. They are located against 2 hemorrhoids, but he's not doing anything to the hemorrhoids. Unrelated to my issue that requires surgery, I recently started intermittent fasting at the recommendation of my PCP for general health benefits, and personally for weight loss. My doctors have never brought up my weight as an issue. My labs are typically normal.

I'm a 5'3" female, 157 pounds. At the CRS office they weighed me at 161. I saw in my health portal they put "obese" on my chart.

If I am a lower weight at the time of my surgery, will anesthesia that is based on my previous weight be dangerous? Or is it not weight-based? I don't remember getting weighed the day of previous surgeries/procedures but maybe that does happen. Only had a few.

I think I may lose 10 to 15 pounds by that point.

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u/Basic_Heat4929 — 3 days ago

High vitals recorded after rushing through Dr's office

I've read that for the purposes of recording normal vitals at a Dr visit, it's ideal to take your heart rate and blood pressure after you've been sitting *at least* 5 minutes. More and more often, I'm getting health care assistants who rush me, walking super fast across and through the building, then slap a blood pressure cuff on my arm and a pulse-ox reader on my finger, just as I'm sitting down. This has resulted in high readings at 2 completely different offices this week.

My blood pressure is normally about 128 max over 70 to 80. It was around 144/80 at the visits.

My resting heart rate is usually between 50s and low 70s. It showed over 100 at the Dr offices this week.

If you have this job, please do these tasks AFTER you ask about the reason for the visit and all the other stuff (that we probably already filled out on the form). This isn't about how long it takes to do the task; I understand there's a time limit for each patient. It's about the order of the tasks, in accordance with good reasoning.

To be clear, I have no issue with walking fast. I'm naturally a fast walker and exercise regularly. But my heart rate does temporarily go up when I walk really fast, and I'm guessing my blood pressure must too.

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u/Basic_Heat4929 — 7 days ago