Unknown dangers of obesity surgeries seem to be an increase in mental problems, self harm and suicide. A new study has shown consumption of alchohol to be increased after operation.
8 years after surgery with Roux en Y, 9,2% had unhealthy alchohol use and those who underwent sleeve gastrectomy had 7,9%.
Continous surveillance seems appropriate for mental health issues and alchohol use.
JAMA netw open 2020
Monthly Archives: April 2021
Allergic reactions to Covid vaccines
CDC report on anaphylaxis (serious allergic reaction) when two vaccines were given:
Pfizer-Biontech 2 million first doses: adverse reactions 0,2%.
21 cases of anaphylaxis occurred, 90% in women, median age 40. Onset within 13 minutes and 71% within 15 min. 14% within 30 min and 14% after 30 min. No deaths.
Moderna vaccine had 10 cases of anaphylaxis among 4 mill receiving first dose. Mostly within 15 min.
Other allergic reactions were similar in the two groups.
Reference: Journal Watch march 2021
Early MRI in back pain inappropriate
Choosing to send back pain sufferers for MRI examination may cause problems. Of a group of 400.000 with low back pain 10.000 had an early MRI. “Early” is within 6 weeks.
The results of this? Likelihood of operation was 13 times higher in the year after, they were more likely to be treated with opioid drugs and final pain scores were worse. The cost of this was also significantly higher. It therefore seems wise to follow the rules…
From Journal Watch feb 2021