The Best Time of Day to Exercise, Take Meds and More

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Steve n Dallas
Veteran Member


Date Joined Mar 2008
Total Posts : 4829
   Posted 8/6/2010 7:44 AM (GMT -6)   
Info to ponder over:
 
There's never a bad time to do something healthy, right? Not so fast. When it comes to maximizing your health, timing is everything. That's because we're hardwired to follow a "body clock," an internal timer that tells the body whether to sleep or work, nibble a light salad or devour a hearty stew, ovulate or grab a maxi pad. "Everything in nature works on a rhythm that is defined by time — hours, days, nights, weeks, seasons, years, and more," says Matthew Edlund, M.D., director of the Center for Circadian Medicine in Sarasota, FL, and author of The Body Clock Advantage.

Surgery: BEFORE NOON. Your prime time for surgery is in the morning, when there tend to be fewer complications. In a study of more than 90,000 operations analyzed by Duke University, adverse events were more common between 3 p.m. and 4 p.m. and least common from 9 a.m. to noon. That may be because the body's circadian rhythm dips in the late afternoon, dropping cortisol and adrenaline and zapping surgeons' energy and concentration. Also, you may be more likely to feel pain or post-op nausea in the afternoon. Try to nab the second or third slot in the OR: A study in the Journal of American College of Surgeons shows that surgeons perform better when they're warmed up. Whatever you do, don't go under the knife on the weekends if you can avoid it; mortality rates are higher, probably because the more senior physicians — who can set their own schedules — are off duty, leaving less experienced staff in charge.
http://health.msn.com/medications/articlepage.aspx?cp-documentid=100261586&page=1
Age 55   - 5'11"   215lbs
Overall Heath Condition - Good
PSA - July 2007 & Jan 2008 -> 1.3
Biopsy - 03/04/08 -> Gleason 6 
06/25/08 - Da Vinci robotic laparoscopy
05/14/09  - 4th Quarter PSA -> less then .01
11/20/09 - 18 Month PSA -> less then .01
05/18/10 - 24 Month PSA -> less then .01
Surgeon - Keith A. Waguespack, M.D.


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 8/6/2010 9:05 AM (GMT -6)   
My surgeon prefers the 9-10 AM time slot for any major surgeries. He does more than one surgery a day, on the 2 days a week he does surgery at both our major hospital systems, but he will only do 1 major surgery. He was not happy to do my open RP at 4 PM on a Friday, but at that time, the hospital of my choices was so booked for weeks and weeks ahead. From my point of view, my first 2 critical days out of 4 in the hospital were on the weekend, which gave my family members a chance to spend time with me on the weekend, and not interfere wih their jobs.

If I decide to go for this urinary diversion software, I want to make sure its at a time thats good for my surgeon.

Good posting
Age: 58, 56 dx, PSA: 7/07 5.8, 7/08 12.3, 9/08 14.5, 10/08 16.3
3rd Biopsy: 9/08 - 7/7 Positive, 40-90% Cancer, Gleason 4+3
Open RP: 11/08, Rht nerves saved, 4 days in hospt, on catheters for 63 days, 5th one out 1/09
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos margin
Incontinence:  1 Month     ED:  Non issue at any point post surgery, no problem post SRT
Post Surgery  PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, next one: Aug 3
Latest:  7/9 cath #6 - 41 days, 8/9 2nd corr surgery, 8/9 cath #7 - 38 days, mapped  9/9, 10/1 - 3rd corr. surgery - SP cath, 10/5 - 11/27 IMRT SRT 39 sess/72 gys ,cath #8 33 days, Cath #9 35 days, Cath #10 43 days, 1/19 - Corr Surgery #4,  Caths #11 and #12 ,Cath #11 - 21 days,  Cath #12 - 41 days, 3/2- Corr Surgery #5, Cath #13 - 4 days, Cath #14- 27 days, Cath #15 - 26 days, Cath #16 - 31 days, Cath #17 - 39 days, 7/2 - Corr Surgery #6, Cath #18 - 13 days, Cath #19 - 17 days, Total Blockage, Cath # 20 - 7/19
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