Polio Place

A service of Post-Polio Health International


Constipation in Polio Survivors

From my standpoint as a specialist in Physical Medicine and Rehabilitation, the connection between constipation and post-polio syndrome is academic. i.e., it is an interesting discussion and may be important, but I am not sure it changes treatment. William M. DeMayo, MD

Here are some practical thoughts.

I would address the issue the same as a partial neurogenic bowel, i.e., in a stepwise fashion. It's hard to give a cookbook one size fits all answer, but some points would include the following:

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Viviendo con dolor

Viviendo con dolor
Penney Cowan, Fundadora y Directora General de la Asociación Americana de Dolor Crónico.

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How I Learned to Stop Worrying and Love Technology

Daniel J. Wilson, PhD, Muhlenberg College, Allentown, Pennsylvania

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Techniques to Help Us Make Changes

Mavis Matheson, MD, Regina, Saskatchewan, Canada

In 1995, I wrote an article called Changing Your Life By Conserving Energy. In it, I listed three techniques from an article by Sybil Kohl. Her techniques have helped me to make healthy choices and prevent further pain and weakness. Kohl [1] suggests three techniques that we could use to help ourselves make changes.

These are push to avoid pain, blank pad and plain talk.

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La poliomielitis no tiene un contexto social actual

Salud Post-Polio, Primavera 2016, Volumen 32, Número 2

PREGUNTA: Como joven sobreviviente de la poliomielitis, creo que lo más difícil es tener una enfermedad / diagnóstico que ya no tiene contexto social actual. Es como estar atrapado en un túnel del tiempo cultural. Tengo una condición que está relativamente curada y erradicada de la mayoría de las partes del mundo.

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Linking with an Anesthesiologist

Why is it so hard to link up ahead of time with the anesthesiologist who will do my case?

Daily anesthesia staffing is a complex equation! It is extremely difficult to know ahead of time who will be doing which case on a particular day. There is a constant flux of anesthesia staff (people get sick), other needed staff such as techs, incoming emergency cases, obstetric anesthesia cases, cases may move from one OR to another and so on. And, anesthesia group size is increasing; it is not unusual to have groups of over 100 anesthesiologists.

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What is New (2014)?

What’s new in anesthesia that I need to know?

This is a brief listing. Answers will be expanded as time allows in the session.

a. Better measurement of quality of care in anesthesia and better recognition of where problems are and how they could be improved.

b. Increasingly sophisticated knowledge of ventilation problems and better management of respiratory problems postop.

c. Recognition that many patients are left with residual neuromuscular block and the possible complications.

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Anesthesia and Weight Loss Surgery

What are the issues in bariatric (intestinal surgery that can facilitate weight loss) surgery for post-polio patients?

This sounds like a “quick fix” for obesity but is an area full of possible problems. There are no reports of post-polio patients having bariatric surgery.

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Anesthesia and Colonoscopy

“Do I really need to have a colonoscopy? It requires anesthesia, and I’m afraid of that.”

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New muscle weakness is the hallmark of post-polio syndrome and can significantly impact activities of daily living. Some amount of new muscle weakness is likely to occur in about half of post-polio individuals (Jubelt & Drucker, 1999). Muscle weakness is most likely to occur in muscles previously affected during the acute poliomyelitis followed by a partial or full recovery (Cashman et al., 1987; Dalakas & Illa, 1991).

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