[關於反芻動物全身麻醉的風險，反芻動物中，全身麻醉的弊大於利。] 有興趣的朋友可以多了解一下喔! (中文翻譯的部分為Google翻譯的，能夠閱讀英文的朋友建議看原文會比較清楚喔)
還有很多很多相關的學術發表，就不貼那麼多出來啦!

Cooper結紮的日期是4月26日，他現在很健康很調皮。

(德叔真的超級超級愛看這些學術發表的文章，但是我還是相信醫生的專業。)

https://www.researchgate.net/publication/334673867_The_Use_of_Epidural_Anaesthesia_over_General_Anaesthesia_in_Ruminants
全身麻醉是現代醫學的重要組成部分。它是一種藥物誘導的可逆病症，包括特定的行為和生理特徵，包括無意識、健忘症、鎮痛和運動不能——伴隨自主神經、心血管、呼吸和體溫調節系統的穩定性。
[反芻動物全身麻醉具有內在風險，如瘤胃內容物反流、唾液分泌過多和肺部誤吸的可能性；因此並不總是推薦使用本地或區域技術。硬膜外麻醉是一種中樞神經阻滯技術，經常用於獸醫實踐中，用於治療家畜會陰、骶骨、腰椎和尾椎部位的不同產科和外科手術干擾。關於在反芻動物和其他物種的各種外科和實驗室程序中使用硬膜外麻醉的科學研究已經有幾項。總之，全身麻醉的弊大於利，特別是在反芻動物中。因此，硬膜外麻醉是首選。

General anaesthesia is an essential component of modern medicine. It is a drug induced reversible condition that includes specific behavioral and physiological traits unconsciousness, amnesia, analgesia, and akinesia- with concomitant stability of the autonomic, cardiovascular, respiratory, and thermoregulatory systems.
[General anesthesia in ruminants has inherent risks such as regurgitation of ruminal contents, excessive salivation and the possibility of pulmonary aspiration; therefore it is not always recommended and local or regional techniques may be used instead. Epidural anaesthesia is a central neuraxial block technique which is used regularly in veterinary practice for treatment of different obstetrical and surgical interferences in the perineal, sacral, lumbar, and caudal parts of the thoracic region of domestic animals. There have been several scientific researches on the use of epidural anesthesia in ruminants and other species for various surgical and laboratory procedures. In conclusion, the disadvantages of general anaesthesia outweigh the advantages especially in ruminant specie. Therefore, epidural anaesthesia is the most preferred.

https://onlinelibrary.wiley.com/doi/abs/10.1002/9781118886700.ch1
瘤胃鼓脹、腹脹、反流和吸入性肺炎是與家畜全身麻醉相關的常見問題，應通過適當的預防措施和必要的麻醉前考慮來預見和解決。家畜在麻醉期間可能會出現胃內容物反流和誤吸，尤其是未禁食的動物。反芻動物在麻醉期間通常會大量分泌唾液。惡性高熱的觸發因素包括壓力（例如興奮、運輸或麻醉前處理）、鹵化吸入麻醉劑（例如氟烷、異氟烷、七氟烷和地氟烷）和去極化神經肌肉阻滯藥物（例如琥珀膽鹼）。同樣，氟烷似乎是豬惡性高熱的最有效和最常見的觸發因素。麻醉前禁食可能不能完全防止反流，但會減少瘤胃內容物中的固體物質數量。獸醫應將這些知識與適當的麻醉前準備和適當的圍手術期管理相結合，以確保這些動物的麻醉成功。
Ruminal tympany, bloat, regurgitation, and aspiration pneumonia are common problems associated with general anesthesia in farm animal species that should be anticipated and addressed with proper precautions and the necessary preanesthetic considerations. Regurgitation and aspiration of stomach content can occur in farm animal species during anesthesia, especially in nonfasted animals. Ruminants normally salivate profusely during anesthesia. The triggering agents of malignant hyperthermia include stress (e.g., excitement, transportation, or preanesthetic handling), halogenated inhalation anesthetics (e.g., halothane, isoflurane, sevoflurane, and desflurane), and depolarizing neuro-muscular blocking drugs (e.g., succinylcholine). Similarly, halothane appears to be the most potent and most frequently reported trigger of malignant hyperthermia in pigs. Preanesthetic fasting may not completely prevent regurgitation, but it will decrease the amount of solid matter in the rumen content. Veterinarians should incorporate the knowledge with proper preanesthetic preparations and appropriate perioperative management to ensure successful outcome of anesthesia in these animals.

💚 Veggie World Expo 💚

上週五很榮幸代表我就職的公益營養學組織NutritionFacts.org到上海的國際植物基博覽會分享，和觀眾分享全食物蔬食對健康的益處。

一開始我先邀請在場觀眾進行「check-in」的過程，找一個他們不認識的人，自我介紹，然後分享為何自己關注健康。接著我分享了我個人關注健康的原因：從小到大，家中有太多長輩因為慢性病而過世。從乳癌、淋巴癌、胰臟癌、心臟病、中風到腎臟病......雖然我幫不了他們，但現在我卻可以幫助其他人的家庭不要經受我家人經受的痛苦。接著，我介紹了我們組織，播放了葛雷格醫師的兩個影片，最後再教大家使用「每日12清單」將健康的食物包括到每日的飲食當中。

這次的活動對我來說有幾個亮點：
1) 有五位我的好朋友來支持我，雖然其中三位聽不懂中文，根本不知道我在講什麼。❤️
2) 有些觀眾告訴我，這是他們第一次發現自己的飲食有多麼不健康，接下來也想要做出改變。💪
3) 許多人跟我說他們很喜歡這樣互動性的分享模式，而不是講者在台上單方面講話。事實上，我自己以前是經營個人成長學校、主持工作坊出身的，非常在意互動性這件事情，個人也完全受不了那種ppt充滿文字、台上滔滔不絕、台下是誰在聽都無所謂的活動。所以放心，不管我主持什麼分享會或活動，都會是高互動性的。😉
4) 最後這個反饋實在讓我哭笑不得......有個女生很驚訝也很感動跟我說「哇，你的中文好好呀！」 🤨😓😂

我很感激能有機會做有意義的工作，為自己和他人的福祉做出貢獻。同時，在全球還疫情蔓延、許多人還困在家裡的情況下，能夠有這樣的活動、享受人與人之間面對面的連結，是多麼得來不易的機會。有時候我確實會對人性、對世界失望，但類似這樣的感動瞬間，是提醒我繼續走下去的動力。🌱

*****

Last Friday I had the honor of presenting on behalf of NutritionFacts.org at Veggie World Shanghai, sharing about the health benefits of a whole food plant-based diet. During check-in, participants were invited to find a partner they didn’t already know, introduce themselves, and share why the topic of health is important for them. Then I shared my personal reason for caring about the topic - I’ve lost too many family members to chronic diseases. Breast cancer, pancreatic cancer, lung cancer, lymphoma, stroke, heart disease, kidney disease...you name it. Growing up, I couldn’t really help my grandma, uncles and aunts while they suffered. But now I can help others and their loved ones to not go through what I’ve been through. Later, I introduced our organization, played two of Dr. Greger's videos, and invited everyone to practice using his Daily Dozen checklist to incorporate more healthy foods into their diet.

There were a few highlights for me: 1) Five friends of mine came to support me, even though three of them wouldn’t really understand what I was talking about. ❤️ 2) Some participants told me that it was the first time they realized how unhealthy their diet has been, and they’d like to change that. 💪 3) Many people told me they appreciated the interactive process, that it was more than just a presentation where the audience sits and listens. Well, I’m a host/facilitator who personally can’t stand presentations with busy ppt slides...so whatever I host is always going to be participatory! 😉 4) And here comes the best comment...”Wow, your Chinese is sooo good!” Not sure how to respond to that. Thanks...? 🤨😓😂

I’m very grateful for the opportunity to do meaningful work, contribute to the well-being of others and myself, and enjoy human connection, especially during a global pandemic where so many are still isolated at home. Sometimes I do lose hope in humanity and the state of the world. But it’s moments like this that touch my heart and remind me to keep going. 🌱
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Love you Andrea, Dawn, Lily, Mariana and Narayan ❤️

www.MindBonnieSoul.com
YouTube: MindBonnieSoul
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FITNESS
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What to do at home? Learn the 6 basic boxing punches and look like a pro next time!
Kei Kei and I will demonstrate the 6 basic punches and also incorporate fun sequences. This is a great workout for toning our arms. Join us! 😼🤜💥
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Btw full attire @adidashk love athleisure 💯❤️.
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@MindBonnieSoul
#MindBonnieSoul
@lightsouthk
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安在家中有什麼健康活動？學習6個基本拳擊技巧，讓你看起來更加專業！
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我和 Kei Kei 將以生動有趣的方法 ，示範6個基本的出拳技巧及步驟。這是鍛煉手臂的絕佳鍛鍊方法。立即行動，齊來鍛鍊！ 😼🤜💥