5/16/2010

Surgery


Surgery

Like everybody else, people with polio might need surgery one day. Because of the history of polio extra precautions are needed. Patients with PPS may display altered respiratory function, chronic pain syndromes, cold intolerance, risk of aspiration, and altered sensitivity to anesthetic agents.
Take time to research the operation, the need for it, the consequences and to prepare adequate and informed post-op options for best recovery.
Surgeons can be very enthusiastic and positive about an operation, but might not have any experience with operating people with polio.
It is very important to talk with the surgeon about what the polio did to your body and the complications the disease brought on you. It might be a good idea to go to your rehabilitation doctor first. He knows or can find out what the consequences of polio are on your physical anatomy, muscle strength and ability. Ask what the impact of the operation is on your functionality and what the best way is for rehabilitation after the surgery. Ask your rehabilitation doctor if he will contact the surgeon and discuss your case.
If, after talking everything over with the surgeon, you have doubts about him doing the surgery, go for a second opinion with another surgeon.

Talk to the anaesthetist beforehand about your polio history. Do this especially if you had difficulty with breathing or swallowing in the acute phase of the polio infection. He can then decide to do detailed respiratory evaluation tests and arrange the narcotics according to the outcomes.
If you have scoliosis, spinal anaesthesia might be difficult.
Talk about the positioning on the operation table, this might prevent more complaints afterwards.
Often it is very cold in the operating theater, ask for extra warm blankets.
Discuss what sort of pain medication is best for you after the surgery.
There is not a lot of significant published information on this subject, but 2 helpful resources are:

"Post Polio Syndrome and Anesthesia" by David Lambert MD et al, University of Manitoba, Winnipeg, Canada in the Sept 2005 issue of Anesthesiology (Vol. 103, No. 3, pp 638-644. See at:http://journals.lww.com/anesthesiology/Fulltext/2005/09000/Postpolio_Syndrome_and_Anesthesia.29.aspx
Post Polio Health International: Dr Selma Calmes, see at: www.post-polio.org/ipn/anes.html

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As you can see from the photos the rally was crowed and animated. The participants came from the 12 countries of EPU, representing over one million people in the EU living with polio or post polio syndrome.

The rally was followed by a meeting in the European Parliament on the 17 th October 2007.
The meeting took place in conference hall (see picture). In attendance there were members of the European Polio Union, Members of the European Parliament (MEPs) and health professionals.
Leaders in their field, Professor Kristian Borg from the Karolinska Institute and Professor Frans Nollet from the University of Amsterdam, who talked about post polio syndrome and stress the need to work together on a European level.

Graham Ball, Chief Executive of the British Polio Fellowship said, "Whilst polio has been eradicated in most of Europe there are approximately one million people living in the EU with the effects of polio and post polio syndrome. These people need a tremendous amount of help and support, most are severely disabled and post polio syndrome is making their plight even worse." 

The EPU is calling upon the European Parliament to ensure that post polio syndrome is correctly acknowledged in all member states and that significant resources are put into its research, treatment and information requirements.

Prior to the meeting member countries have contacted their own MEPs to request their support and at present 70 of these MEPs have signed the EPU's petition (list).


La Forma más sencilla e ilustrativa y comprensible que hemos encontrado acerca de: ¿Qué es Poliomielitis? no dejen de consultarla Wiechers y Hubbelhttp://www.elmundo.es/elmundosalud/documentos/2004/02/polio.sw



CODIGO G "14"
El pasado mes de febrero de 2009 y como resultado de la reunión anual del Comité de Revisión y Actualización de la Organización Mundial de la Salud, (OMS)  que tuvo lugar en Delhi, durante el mes de octubre de 2008, la Clasificación Internacional de Enfermedades, en su versión 10 (ICD-10) ha adjudicado un lugar específico al Síndrome Post-Polio (SPP) clasificándolo bajo el código "G14" y excluyéndolo del código B91  (Secuelas de poliomielitis), en el que antes ese organismo lo consideraba abarcado. Más informes www.postpoliolitaff.org

The Polio Crusade

THE POLIO CRUSADE IN AMERICAN EXPERIENCE A GOOD VIDEO THE STORY OF THE POLIO CRUSADE pays tribute to a time when Americans banded together to conquer a terrible disease. The medical breakthrough saved countless lives and had a pervasive impact on American philanthropy that ... Continue reading..http://www.pbs.org/wgbh/americanexperience/polio/

Erradicación de La poliomielitis

Polio Tricisilla Adaptada