Developmental risks for kids who had anesthesia?

NEED TO KNOW

As many of my close friends and family member know, I have privately talked about how anesthesia given to my son Justin when he was two years old for his little medical procedure had some side effects that slowed down his motor skills for a while.

New research, as part of the Raine Study, has found that children who had anesthesia before the age of 3, may be at a higher risk for developmental issues as they grow older.

The study, which examined more than 2,600 children in Australia, says that by the age of 10, children who’d been exposed to anesthesia at a young age were more than twice as likely to have developmental issues with listening and speaking comprehension later in life.

While previous studies relied on test scores, physician’s diagnoses and medical records, this is the only study that has used neuropsychological tests to determine developmental delay.

The lead author of the study Dr. Caleb Ing, assistant professor of pediatric anesthesiology at Columbia University Medical Center, said, “We can’t determine if the cause is due to anesthesia, surgical stimulus, or the medical condition. It could be another factor entirely. We just know there’s a difference.”

Dr. David Warner, professor of anesthesiology at Mayo Clinic, added, “It may be the surgery; it could be the underlying illness.”

The group of children was also tested for behavior and motor function, but research showed no significant difference in these skills between children who’d had anesthesia and those who hadn’t.

Although there are risks, Ing expressed that further study needs to be done and that there is not evidence to change current practices.

The full study comes out in the September issue of Pediatrics.

Pup born without paw is disability 'spokesdog'

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I am a strong believer of companion dogs. A very stronger believer!

 

The relationship between a human and their service dog is an irreplaceable bond, forged with trust and free of judgment. It is a relationship as unique as the dogs who serve and the humans who love them. It is more unique, still, when it is the dog who has the disability.

Meet Pirelli, a young dog that is being trained to provide a very special service. Pirelli is part of Canine Assistants, a non-profit organization that trains service dogs and matches them with adults and children who would benefit from the dogs' company. Unlike most of the dogs in the program, Pirelli will probably never open doors, flip light switches or lead someone around a mall, but he will be delivering an important message: Disabled doesn't mean different. And Pirelli should know. He has been dealing with a disability all his life.

A disability becomes a strength
Pirelli was born to be a great dog. At Canine Assistants, dogs are bred into the program. Kent Brunner, the veterinarian at Canine Assistants, says is a nearly necessary part of their service.
"We have found that what we ask of those dogs is so difficult for the average dog, you really need a dog that’s temperamentally suited to do this," he says. "The day-to-day activity, for dogs who are not socialized as puppies, is very stressful. We just found that it was a little unfair to ask dogs who have been taken from elsewhere to undertake all of that."

Except, when Pirelli was born, he was missing part of his back left foot. Members of the foundation struggled with what to do about Pirelli's ailment. Amputation was an option, but instead they decided to see how strong the little pup could be. "In some ways it comes back to, above all, do no harm. Do the least aggressive thing," Kent says.

A little silicone bootie was designed for Pirelli's foot, and as time went by, he grew stronger, more acclimated to his unusual hardware. He also grew fast, as puppies tend to do, so the prosthetic had to be replaced. Most recently, with the aid of a sold-out Groupon, the foundation was able to raise enough money to recast Pirelli's leg yet another time, but he will probably need more refittings. After all, at only 8 months old, Pirelli is still a growing boy.

A different kind of service
Because of his prosthetic, Pirelli won't take on the normal tasks of a service dog, but Jennifer Arnold, the founder of Canine Assistants, says Pirelli belongs in the spotlight, anyway. Pirelli will visit schools as a spokesdog for those with disabilities, teaching children that what matters has nothing to do with a wheelchair, or a prosthesis, or a paw that never grew.

Though he is still young, Jennifer says Pirelli is a prime candidate for such a strong message. "We talk about how brilliant our dogs are and how they really don’t judge based on what your body can do, but what kind of person you are," she says of her organization's events. "Pirelli is just an exquisite example that life isn’t about how you get from place to place, or what you see or hear. It’s so much more than that. His spirit is unbelievable, he’s got that very special blessing. Imagine what he will be able to do for kids who wont be teased because he will teach kids the right way to think."

Personal service on a personal level
Pirelli's story hits very close to home for Jennifer. When she was 16, she was diagnosed with multiple sclerosis. She had to use a wheelchair for two years, and during that time, she feared she would never walk again. Through her father, she learned of an organization in California that was training service dogs. Jennifer was lucky. Eventually, she was able to walk on her own, but the idea of service dogs stuck in her mind. Together with her father, she started Canine Assistants in 1992. After 20 years of breeding, training and caring for service dogs, Jennifer says she can't underestimate the impact a dog can have on the life of someone with special needs.

"They are partners in the truest sense of the word," says Jennifer. "The dog is able to do so much physically that the person may not be able to do, and the person is able to provide a loving home and a human relationship. But the biggest things that dogs do for their people, they don't look at the container. To the dog, their person is perfect, the way they are. They just overlook disabilities, like it's nothing."

That's what Canine Assistants hopes Pirelli's work will stand for: A precious relationship, free of judgment, or prejudice, or hate. Humans can learn a lot from dogs in that way. It's a job little Pirelli was, quite literally, born to do.

Flying chefs serve up fine dining in sky

 

This is pretty cool.

I recently had to fly to Hong Kong for work. My company gave me the privelage of flying in their private corporate jet along with other managers like myself.

 

Talk about the good life!

 

Gourmet cuisine has long been a staple of business class and first-class menus. But a number of airlines are taking the in-flight meal to new heights by bringing chefs on board to serve up a fine dining experience in the sky -- scooping up culinary awards in the process.

In fact, our company, privately owned and operated, has gone as far as to poach expert cooks from a number renowned Michelin-starred restaurants since launching its "Flying Chef" service on long haul flights late last year.

The concept has thus far proved a recipe for success, with the Abu Dhabi based airline winning the award for best first-class catering at the 2012 Skytrax World Airline Awards earlier this month.

But given the cramped kitchen conditions of the airplane galley and the complexities of cooking at altitude, is it really possible to rustle up meals worthy of the masterchefs whilst cruising at 35,000 feet?

According to Werner Kimmeringer, head of guest experience and catering at Etihad Airways, unequivocally, yes.

"We introduced chefs in our first class cabin so we could offer a five-star restaurant style of service," says Kimmeringer.

"Our first-class guests receive unparalleled attention and choice -- for example, the opportunity of having their personal chef tailor-make dishes based on their individual tastes and preferences," he adds.

Kimmeringer highlights the "balik style smoked salmon" and "pan-seared scallops with a parmesan cheese sauce" as particular examples of the gastronomic complexity of the Etihad first-class menu.

"The chef can talk (to) and recommend food directly to our guests and make suggestions of what they might like on the menu," says Kimmeringer.

85 years of airline meals

 

"He is able to personally adjust seasonings and recommend menu and beverage choices to each guest. They can also make changes to existing menu items ... changing sauces or taking out particular ingredients."

Some industry experts, however, are less effusive about the possibilities of in-flight chef operations

According to Gottfried Menge, group director of culinary excellence at Gate Gourmet, an independent provider of airline catering services, there are a number of factors that restrict the cuisine chefs can produce whilst airborne.

"Because of the (safety) limitations on the aircraft there are no items like a frying pan where a chef is cooking and tossing things up in a different way," says Menge.

Knives and other sharp implements are also not permitted aboard airplanes, tying chefs' hands yet further. As a result, most food is still prepared on the ground before being reheated en-masse in a steam pressure oven whilst in the air, Menge explains.

The chef can then alter the ingredients slightly or add extra dressings to meet the individual tastes of passengers. On the whole, however, meals are prepared in much the same way as they always have been, he adds.