Dr. Susan K Palmer MD
Anesthesiologist
120 Nw 14th Ave Suite 300 Portland OR, 97209About
Dr. Susan Palmer is an anesthesiologist practicing in Portland, OR. Dr. Palmer ensures the safety of patients who are about to undergo surgery. Anestesiologists specialize in general anesthesia, which will (put the patient to sleep), sedation, which will calm the patient or make him or her unaware of the situation, and regional anesthesia, which just numbs a specific part of the body. As an anesthesiologist, Dr. Palmer also might help manage pain after an operation.
Education and Training
Univ of Wi Med Sch, Madison Wi 1973
Board Certification
AnesthesiologyAmerican Board of AnesthesiologyABA
Provider Details
Dr. Susan K Palmer MD's Expert Contributions
Can drinking have any impact on my anesthesia dosage?
YES, regular alcohol intake and smoking both change the responses to most anesthetic and analgesic drugs. I hope you are having an anesthesia provider (physician anesthesiologist, or CRNA preferably, or oral surgeon at least), not just a dentist, who will care for you during this procedure. READ MORE
Why was my son given anesthesia for a CT scan?
A CT scan on a 3-yr old would be useless unless they are perfectly still during the scan. Therefore it is appropriate for children and other people unable to follow directions to be sedated or anesthetized during such scans. Parents must have given permission for the scan and for the sedation/anesthesia. READ MORE
Can I feel drowsy a week after my anesthesia was delivered?
No, anesthetics do not cause effects beyond 24-48 hrs. READ MORE
What could be the symptoms of an anesthesia overdose? Is it possible?
If you are asking about “general anesthesia,” which generally means unconsciousness, then the anesthesiologist, not the surgeon, is the one who monitors the effects of anesthesia on the patient’s body. In general, the anesthesiologist monitors every patient’s heart rate, blood pressure, oxygen concentration, and respiratory function. Sometimes brain activity is also directly measured. From all of these monitors, an anesthesiologist can make sure that a correct amount of anesthesia is being used. READ MORE
Are there precautions associated with giving anesthesia for diabetic patients?
Diabetes should be under reasonble control before any elective anesthesia or surgery. Infection rates are higher in patients whose blood sugar is not under control. Also, stress from poorly controlled diabetes increases the risk for cardiovascular complications. Your Mom should have a consultation with a physician anesthesiologist well before her hip surgery is scheduled so that diabetic medications can be adjusted if needed. READ MORE
How will I know if I am allergic to anesthesia?
“Allergy” to general anesthesia is very rare. “Allergy” to some older types of “local” anesthesia which causes numbness, is a little more frequent. However allergy to the modern “amide-linked” local anesthetics is almost unheard of. If you have ever had a life-threatening allergic reation, be sure to tell your anesthesia provider this fact. Anesthesia providers commonly treat the much more common early stages of allergic reactions to antibiotics, latex, and other substances so that the reaction does not result in any lasting harm. READ MORE
What are the risks of anesthesia for a patient suffering from COPD?
Consultation with a physician anesthesiologist should be requested before the day of the procedure. COPD can be a minor or a major problem, which is why you will want to be sure that he is evaluated by a physician anesthesiologist before his bronchoscopy. Physician anesthesiologists can diagnose the severity of COPD and make sure that he is "optimized" before administering general anesthesia. General anesthesia is usually used for bronchoscopy because the airway reflexes (like coughing) need to be suppressed, and the patient needs to be still during the procedure. Your questions about the possible after-effects of general anesthesia can be answered by the anesthesiologist. In general, the older the patient, the more medical problems they have (high blood pressure, diabetes, etc.), the more risk there is for after-effects from a general anesthesia. Older patients can have several days of depressed mental acuity after a general anesthetic, which is why he will be advised not to drive for at least 24 hours after an anesthetic, and maybe longer if he is required to take new medications (like pain relievers) after the anesthetic. READ MORE
Can anesthesia interact with breast milk?
Yes, some anesthesia medications do get into breast milk. Did you tell your anesthesiologist you were breast feeding? You could have chosen a spinal anesthetic, which makes you numb but not unconscious, and then none of that medicine gets into breast milk. If you had a general anesthetic, you could discard your milk for 24-48 hours and then resume breast feeding. READ MORE
My son was given anesthesia before his CT scan and is now drowsy. Is this normal?
Everyone, including children, may be drowsy after a general anesthetic or heavy sedation. Since the MRI required your son to be very still, he actually had a general anesthetic. The length of time he might be drowsy depends on the drugs they choase for his anesthetic. If you have questions, you should call the anesthesia department where he had his MRI. READ MORE
I am a diabetic and a blood pressure patient. Could anesthesia have any counter interactions during my surgery?
Physician anesthesiologists are well-trained to understand all medications and their possible interactions with anesthetics. You should have a scheduled meeting with an anesthesiologist several days before your planned surgery to be sure all of your medications are listed and understood by all of your physicians. READ MORE
I have a uterine septum that needs to be removed. What is the safest anaesthesia for me?
I am sorry to hear that you are scared of the anesthesia for this relatively simple surgery. You should arrange for a consultation with a physician anesthesiologist well before the date of your surgery. Do tell the anesthesiologist about your fears so that plans can be made for your psychological and physical comfort. In addition to general anesthesia, there may be other choices such as spinal anesthesia depending on your surgeon’s approach and surgical techniques. At your age, if you have no serious medical problems, any type of anesthesia care will have very low chance of complications. READ MORE
I have marijuana in my system. Should I reschedule my tests?
MJ in small doses will not interfere with your anesthesia or surgery. Tell your anesthesiologist, and do not smoke (MJ or tobacco) more until after your surgery. Intoxicants, opioids, and drugs of abuse are not routinely tested for unless you appear to be under the influence or are getting treatment in a military facility or at the request of your employer. READ MORE
Pain in the back. Is it due to epidural?
SPINAL or epidural anesthesia do not cause long term backaches. Studies of thousands of women show that many women have their first real backache complaint episodes after childbirth, and this occurs whether or not they had spinal or epidural anesthetics. Sometimes, epidurals cause a sore spot over the injection site, but that usually is like a bruise and it goes away like a bruise. If you had an abdominal delivery, that also does not cause long term backache. If you had a forceps or instrumental vaginal delivery, that can cause injury directly to individual nerves when the baby or the instruments contact the nerves which go through the birth canal. Those type of injuries are usually apparent right after childbirth. If you are having a pain which really "shoots" or radiates downward into your buttock or down your leg, you may have a spinal disc which has irritated a nerve root. This may require treatment to soothe the irritation. Treatment might include massage, chiropractic care, and/or medications. Most back aches go away within six months with or without treatment. Childbearing, delivery, caring for a growing infant, bending and twisting, prolonged sitting, and aging all are causes of disc "bulging" and nerve root irritation. READ MORE
What can cause tingling sensation in muscles?
Not enough info to give you an answer. What muscles? Is strength affected? READ MORE
Do I have to stop taking my vitamins before anesthesia?
Those nutrients will not interfere with anesthesia care. All of your medications and nutrients should be reviewed with your anesthesia provider. READ MORE
Should all medications be stopped before anesthesia?
Blood thinners must be thoughtfully managed before anesthesia and surgery. Some medications are stopped, some have a dose change, some are switched to a different type of medication, and others are not stopped or changed. It all depends on the medication, the reason you are taking it, and the type of surgery you have planned. Please discuss your medications with your surgeon or have a consultation with an anesthesiologist. Medications other than blood thinners may also require specific management before and after surgery. READ MORE
Chance of serious complication from anesthesia?
In general, anesthesia with proper monitoring is quite safe. Two things determine your chances of anesthetic complication: your health and your family history of anesthetic problems (genetic factors), and the skill of your provider of general anesthesia. I would inquire about the qualifications of the anesthesia provider; best would be an experienced board certified physician anesthesiologist, andnext choice would be a qualified nurse anesthetist working under supervision of physician anesthesiologist. READ MORE
Is plavix( clopidogrel ) a blood thinner?
Yes,Plavix is a blood thinner. Yes, it must be managed before surgery. However, the reason you are on it is very important and should be discussed with your anesthesiologist, surgeon, and cardiologist all on the same page. You would not want to have your knee replacement cause an unnecessary problem with your heart. Please immediately ask for a pre-anesthetic consultation with a physician anesthesiologist. READ MORE
Nausea after surgery
If you are having another anesthetic at the same hospital you could ask for a consult with an anesthesiologist who could review your previous anesthetic records before your next surgery. A physician anesthesiologist may be able to prescribe different type of anesthetic foryour next surgery. READ MORE
Is laughing gas ok for someone with anxiety?
Nitrous oxide can cause excitement/anxiety. It can also produce complete general anesthesia, usually in combination with other drugs. Your comfort will depend mostly on the local anesthetic injections a dentist should give before extracting your teeth. You should discuss your "anxiety" with the oral surgeon who may want to arrange for you to have a real physician anesthesiologist or nurse anesthetist who can give you appropriate sedation without using nitrous oxide at all. READ MORE
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