Here There and Everywhere

Expat wanderer

ARCO Gas Station: Something Doesn’t Feel Right

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Just before leaving Seattle for the airport, I filled my gas tank. I went to an ARCO station, opened my tank lid and went to swipe my card when I saw a sign saying everyone must pay inside.

Annoying. It’s so convenient when you can just swipe your card at the point of service. I go inside and the Ethiopian woman at the counter asks me how many gallons I want.

I said “I need to fill the tank; I don’t know how many gallons. Swipe my card and then I will come in and sign the charge receipt when we know how much it is.”

She said that’s not how it works, they need to charge me and then they will give me back change. My bad. At that point I should have walked. I should have gone to the next gas station. I didn’t.

So I guessed 15 gallons, and she charged me $60. My car didn’t even take nine gallons. When I went inside, she gave me back $26.81 in cash, not refunded to my credit card. That is just such a strange way to do business.

It bothered me. What bothered me more was that when I got home and looked at my receipt, I had been charged $61.00. It’s only a dollar more, but the cost of my gas ($33.19) and my change back (26.81) add up to $60. Why was I charged $61?

Here is my dirty suspicion – she thought for $1. no one will bother complaining. If you read my previous entry, you can see why – my life is busy in its own way, but other people’s lives are busy in their ways. Who is going to made a big deal over $1.00 overcharge?

I don’t have time to deal with it right now and I will hold on to the receipts to see if I want to spend my precious time later trying to make it right. Or will I just figure my time is more precious than arguing over $1. in which case the scam works every time?

If this was a $1. charge for something, I don’t see it anywhere on the receipts. Do you? Why would they charge me for the inconvenience of buying gas in such a convoluted way?

I will NEVER go to that gas station again.

Second thought: Maybe I should just think of it as a charitable contribution?

August 15, 2013 Posted by | Customer Service, ExPat Life, Financial Issues, Rants, Scams, Seattle, Travel | 4 Comments

Some Peeks in Edmonds, Washington

You would love Edmonds, Washington.

It is a picturesque village. Along Main Street, and Fifth Avenue there are corner gardens, maintained by the city. This year, they are planted primarily with white flowers, big, fluffy flowers which make all the other flowers POP! with color. Overhead, from the lamp posts, are huge hanging baskets, full of a variety of plants, mostly purples, blues and fuchsias. The overall effect is stunning.

On our way to her manicure-pedicure, I drove Mom around looking at the sights. Down at the Edmonds Beach, I was shocked to see an eagle, perched on a piling. The shot isn’t very good, I jumped out of the car in a hurry and snapped, not taking enough time, but I was so surprised – I had never seen an eagle there before.

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After lunch, as we headed out, we saw people touching up one of the murals Edmonds has painted on the sides of buildings there:

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Here is another one, nearby:

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I love it that this sweet little town, with its ferry coming faithfully in and out, preserves its identity and character in the face of changing times.

August 8, 2013 Posted by | Arts & Handicrafts, Beauty, Bureaucracy, Character, Cultural, Customer Service, ExPat Life, Living Conditions, Venice, Wildlife | Leave a comment

New Driver License Enforcement in Kuwait? – Maj Gen Abdulfattah Al-Ali

When you read this article from the Kuwait Times, you will see that the requirements for obtaining a Kuwait driver’s license are not new, but enforcing the requirements – if it happens – will be new. It will make Kuwait more like Saudi Arabia for expat wives, where women cannot drive their own car to pick up the laundry or drop the kids off at school or go grocery shopping – unless, in the case of Kuwait,  she has a university degree AND has lived in Kuwait for two years AND is employed earning 400KD. No mere expat wife will have a driver’s license under these guidelines.

But these are the same guidelines that were in effect when I arrived in Kuwait. When I was in Kuwait on a house hunting trip before moving there, I asked how this would work, with me not being able to have a license, according to the rules. I was asking Kuwaiti officials. They said that the rules did not apply to me. (This answer still stuns me.)  So where is it written to whom the law applies? The office of the Interior Ministry for Traffic Affairs will have a great deal of leeway making their approvals – will they apply this law equally to all peoples of all nationalities?

No licenses without traffic chief’s nod

KUWAIT: The Interior Ministry’s Assistant Undersecretary for Traffic Affairs Maj Gen Abdulfattah Al-Ali issued a decision yesterday to stop the acceptance of applications for driving licenses from non-Kuwaitis (expatriates and bedoons) unless they are approved by his office. The decision number 61/2013 went into effect from July 1, 2013, and allows the undersecretary’s office to inspect every application forwarded by foreigners and stateless residents in order to verify whether they meet the conditions to apply for a driving license. Ali reportedly threatened traffic department officials with retribution if they fail to abide by the new instructions.

According to security sources who spoke to a local daily, the decision came after cases were discovered in which manipulations were found in some departments where licenses were issued to expatriates who do not meet the requirements. A foreign resident in Kuwait must have a university degree, a minimum monthly salary of KD 400 and have been residing in Kuwait for at least two years among other conditions to apply for a driving license.

The sources also argued that the new decision does not take away the authority of traffic departments around Kuwait. “The departments’ main role is to issue licenses to Kuwaitis, while issuing licenses to expatriates is the exception,” they said, adding the decision means transferring the exception to the assistant undersecretary’s office so that traffic department officials can focus on their jobs of serving citizens and putting more traffic police officers on the streets.

“Any decision – even if it’s for the safety and organization of traffic regulations in the country – issued suddenly without informing the public in advance will surely create hostility,” said attorney Labeed Abdal, a Kuwaiti columnist. “I advise the good undersecretary to hold a press conference to explain to the people why such a regulation is needed. In this way you send the message correctly to people who will not be angry or surprised,” he added. Abdal agreed that the decision is directed to ease traffic jams in the country blamed on reckless drivers. “I think the decision is good. Be informed that he (Ali) did not stop it completely – he said he will give a chance, under his ultimate mercy. He did this to avoid license forgery and wasta (influence),” he stressed.

Another Kuwaiti was not very happy about the new decision. “(A driving license) is the right of every human being…why can’t they understand this. This decision is short of saying ‘just terminate all the services of expatriates in Kuwait’. Why are expats here if you cannot provide the facilities they need. I ask the official (Ali) to try at least once to ride in a bus or even wait for a taxi. If he can stay for one minute under the scorching heat of the sun, then OK, cancel the licenses of expats. If not, forget about your decision – it’s inhuman and cannot be accepted,” he fumed.

 I do not agree that a driving license is a right of every human being. I do believe that those under 18 should not be driving on the roads of Kuwait – I don’t mind them learning how to drive out in the desert, but save the testosterone driving for way out there where you can’t endanger the rest of us. I don’t believe people who don’t know the laws should have a license. I think there should be a test that every person can study for and must pass to have a driver’s license, otherwise you are simply saying that every human being has a right to a license to kill! I believe that every driver must be adequately insured to be licensed, and that the police must be impartial when determining fault in an accident. These are the rules that hold those responsible enough to drive the wild roads of Kuwait to be held accountable for their driving.
I applaud the sincerity with which Maj Gen Abdulfattah Al-Ali is striving to make the roads in Kuwait safer for all, and enforcing the law equally against all nationalities, even Kuwaitis. I hope he will remember transparency and accountability as he builds a truly modern and enforceable traffic system in Kuwait.

July 6, 2013 Posted by | Cross Cultural, Cultural, Customer Service, ExPat Life, Family Issues, Financial Issues, Kuwait, Law and Order, Satire, Saudi Arabia, Social Issues, Transparency, Women's Issues, Work Related Issues | , | Leave a comment

Police Know Where We Are and Where We Go

This is not good news for people who don’t want other people knowing where they have been. I don’t see how it’s any different from cameras in big cities that are used by the police to see what cars went through at a time of a crime, for example. If you don’t have anything to hide, is this invasive? Where property crimes are increasing, where there is an increase in violent crime or assaults, these re tools to keep the majority of the population safer from the predators – in my opinion. Can you change my mind?

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From AOL Auto News:

Police License Plate Scanners Record Driver’s Locations

Unregulated cameras store information indefinitely

 

Government surveillance isn’t just in our phone records and search engine history, but on our roads as well.

That’s what the Center For Investigative Reporting found when researching the small cameras popping up on police cars across the country known as license plate scanners. License plate scanners allow police officers to quickly scan thousands of license plates a day, looking for runaway criminals or stolen cars. In California there are very few limits on these readers and almost no transparency. These cameras record time and place of your vehicle, and even can store a picture record of your whereabouts.

Michael Katz-Lacabe, a security consultant, requested the records from the San Leandro, Calif., police department of every time his car was scanned. He was amazed at the frightening amount of information police had recorded. His two cars were scanned 112 times since 2009, and average of about twice a week. There was even a picture of him and his two daughters getting out of his Toyota Prius in their driveway.

The Center For Investigative Reporting points out that the use of license plate scanners has been growing quickly and quietly across the country. Read their fascinating story here to learn more.

June 30, 2013 Posted by | Bureaucracy, Civility, Community, Crime, Cultural, Customer Service, Law and Order, Living Conditions, Photos, Privacy, Safety, Transparency | Leave a comment

“So There We Were, Two Naked Guys in the Shower and . . . . “

LOL, no, no, this is not going where you think it might go, but it got my attention, too!

AdventureMan was in the locker room with one of his exercise/aerobics buddies, cooling down from his water aerobics class when this story started, and was sharing the story with me later,  at lunch, as we exchangin details of our mornings.

“. . . And he asked ‘do you know what today is?’  and I said ‘Yes! It’s the 63th anniversary of the beginning of the Korean War,” AdventureMan responded.

Guy talk. Guys discuss their combat experience in different wars. Combat is so intense, it imprints memories the way childbirth does in women, or a huge traumatic event, like the Iraqi invasion of Kuwait, or 9-11, or the Kennedy assassination, or the Tsunamis that hit Japan and washed entirely over the Maldives – experiences when the earth beneath your feet shifts, and things you once took for granted are shaken forever.

Who said guys don’t connect? AdventureMan has another old friend he needs to get in touch with today, to tell him he is thinking of him; Korean War veterans are largely forgotten in the tallying of combat in our country.

Pensacola is a wonderful place to be a military veteran. There is a Veteran’s hospital, and veteran-friendly policies at the clinics, commissaries and BX/PXx. Today we had lunch at Mellow Mushroom, where every Tuesday they give 20% off to all active duty and retired servicemen and women. Home Depot and Lowe’s give 10% off on every purchase, even plumbers, electricians, contractors, banks, theaters and many stores often give military discounts. And they thank us for our service. :0

To those of you who served in the Korean conflict: Thank you for your service.

June 25, 2013 Posted by | Aging, Character, Circle of Life and Death, Civility, Community, Customer Service, Exercise, ExPat Life, Friends & Friendship, Kuwait, Pensacola, Political Issues | , , | Leave a comment

Gulf Power and Customer Energy Use Monitoring

I love this! Yes,  I am a nerd, yes, I get excited about geeky things, but after my first year in Pensacola, paying electrical bills in the $400’s because I like to be cool, I have learned a few tricks about spending less, like turning the a/c up when leaving the house, it really makes a difference.

And now, we monitor our energy use on a DAILY basis. I love it! When you log into your Gulf Power account, you can see your energy usage calculated against the daily temperatures, with a range of your estimated end-of-month bill. No more bad surprises!

I think I inherited a small bit of my father’s engineer mentality; I love being able to manage my energy use 🙂

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Thank you, Gulf Power, for making it possible.

June 22, 2013 Posted by | Bureaucracy, Communication, Community, Customer Service, Environment, Financial Issues, Living Conditions, Statistics, Technical Issue | Leave a comment

What Are Kuwait Traffic Laws?

You all know me – I am a law and order kind of gal. I like order, I like laws, especially those voted on by the people. I like laws which can be enforced, and are enforced, equally, for all people equally in the country. Oh? I did? I said EQUALLY twice?

We are all equal before the law.

Now here is the tricky part. Have you ever seen a listing of traffic laws in Kuwait? Can you find a listing of laws, violations, and their charges? When we apply for driver’s licenses in almost any country, we get a little booklet to memorize, with the laws written inside it. The laws are clear. Clear laws are enforceable.

I’ve looked at the MOI website. I see something that looks like it might be a traffic code in Arabic. I have looked everywhere; I cannot find one in English. I find no reference to any handbooks for people applying for their driver’s license.

How can you enforce a law if the law is not published? Is there a code somewhere listing violations and fines? I published one many years ago, something that all the expats were sending around as ‘the new Kuwait traffic rules’ but IF it was, there was never anything in the paper about it to confirm its validity.

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If you are going to have a major campaign to enforce traffic codes, you might want to publish the laws . . . in all major languages use today in Kuwait.

From the Kuwait Times:

Ali vows to rid traffic ‘disease’

Interior Ministry Assistant Undersecretary Maj Gen Abdulfattah Al-Ali
KUWAIT: Interior Ministry Assistant Undersecretary Maj Gen Abdulfattah Al-Ali stressed that all traffic violation-related deportations are in accordance with the law. Speaking at a press conference at the Kuwait Journalists Association (KJA) headquarters, Ali said that deporting people for traffic violations was also adopted by the US and other countries worldwide. “The problem is that we were very tolerant with violators and this does not mean that law violation is a right for motorists,” he underlined, urging all human rights organizations who have criticized Kuwait’s traffic police to examine human rights in their respective countries before talking about Kuwait.

“We have filed over 70,000 traffic citations including 43,000 serious ones such as running red lights, driving under the influence of alcohol, driving on the wrong side and many others,” he elaborated, pointing out that those already deported did not want to respect the traffic laws they had repeatedly violated. Ali added that the results of studies of traffic problems revealed many and that once one problem was solved, another emerged immediately.

“We have various problems… including the fact that motorists speak many languages and dialects which requires a large number of specialists to develop their traffic awareness,” he explained, noting that the traffic remedy strategy started by diagnosing the “disease” by studying random “specimens” at different times of the day at places with heavy traffic flows such as Jleeb Al-Shuyoukh, Shuwaikh Industrial Area, Amman Street, Bnaid Al-Gar, Khaitan, Farwaniya and Fahaheel.

“The specimens showed some major problems such as domestic drivers using private vehicles as taxis, taxi and large vehicle drivers who do not hold general driver’s licenses and people driving without licenses at all,” he said, adding that this called for strict law enforcement.

“Traffic in Kuwait is like an old sick man who once treated for one aliment develops another,” he noted, adding that 18 traffic inspection teams dressed in civilian clothes had been formed and deployed in various places. “Fortunately, traffic police only file 100 daily citations in Jleeb compared to 1,000-1,500 in the past”, he concluded.

June 18, 2013 Posted by | Bureaucracy, Civility, Communication, Cross Cultural, Customer Service, ExPat Life, Kuwait, Law and Order, Leadership, Living Conditions, Safety, Social Issues | , , , , , , | 2 Comments

The Secret Lives of Baba Segi’s Wives by Lola Shoneyin

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I don’t know what it is about summer reading, but now and then I go on a theme-fest; a couple years ago it was Nigerian literature, and, once hooked . . . when my friend who is now living in Lagos recommended The Secret Lives of Baba Segi’s Wives, I ordered it right away, thinking from the title it would be maybe light and sweet and humorous.

From the start, that assumption was blown. This is a direct and edgy Nigeria, darker, rougher and full of family secrets, domestic details and messy relationships.

It is a very Nigerian book – this is a good thing. There are cultural things that are not explained, but it all ends up making sense in the end. There are foods I have never heard of – ekuro with shrimp sauce, asun. There is a rudeness in the way they speak to one another, (“Is this a parking lot?” “Do I look like a parking attendant?”), a crudeness in the constant need to carry small bills for bribes, even on public streets. People speak their minds, with little or no mitigation, depending on the status of the person and their own personal goals and agendas.

At the weekly meeting of wives, the senior wife, Iya Segi, doles out rations of household supplies to the other wives, including chocolate powder and hair conditioner . . . and as the senior wives complain about the new wife thrown in their midst, she says:

“You will trip over in your hate if you are not careful, woman. Your mouth discharges words like diarrhea. Let Bolanle draw on every skill she learned in her university! Let her employ every sparkle of youth! Let her use her fist-full breasts. Listen to me, this is not a world she knows. When she doesn’t find what she came looking for, she will go back to wherever she came from.”

There is a whole other world in that one paragraph – a whole other way of seeing life and expressing thoughts. The culture may be alien, but I thoroughly enjoyed being a tiny mouse in the corner at that meeting – and others – and inside the minds of the wives, of Baba Segi, of the driver – so many good stories, so many points of view, and I learned things from behind those high compound walls and closed and locked doors that I might never otherwise have learned. Alien as it was, for me, this was a very good book, new ways of looking at things, and a great recommendation from my friend in Lagos.

June 18, 2013 Posted by | Africa, Books, Character, Circle of Life and Death, Civility, Community, Cross Cultural, Cultural, Customer Service, Family Issues, Living Conditions, Mating Behavior, Relationships, Values, Women's Issues | | Leave a comment

One in Five Qataris Needs Mental Health Assistance

A Qatar Mental Health survey shows 1 in 5 Qataris suffering from a mental ailment, commonly depression or schizophrenia, with fewer than 1 in 4 of those afflicted receiving treatment, due to fears of social stigma . . . from the Gulf Times, Qatar.

By Noimot Olayiwola/Staff Reporter

A Mental Health Strategy, which is awaiting the endorsement of the Supreme Council of Health’s executive committee, is expected to be completed this year.

It is being envisaged that the Mental Health Strategy will lead to a reduction in the incidence and severity of mental illness in Qatar, besides increasing the proportion of people with emerging or established mental illness who are able to access the right care at the right time, with a focus on early intervention.

The strategy will also provide the opportunity to increase the ability of people with mental illness to participate in education, employment and training, enhance public education and awareness and thereby reduce the stigma associated with mental ailment, reduce the prevalence of risk factors that contribute to the onset of mental illness and prevent longer-term recovery, and establish Qatar as a centre of academic excellence in mental health research and education.

Speaking on the strategy at an event held recently, Hamad Medical Corporation’s (HMC) General Adult Psychiatry senior consultant and Weill Cornell Medical College in Qatar assistant professor Dr Suhaila Ghuloum said the mental health initiative contributes to the Human Development pillar of Qatar National Vision 2030, which recognises that a healthy mind is as important as a healthy body.

She said a study has shown that around 20% of the country’s population suffers from a form of mental disorder and less than 25% of the people with mental ailments actually receive the care that they need.

Stating that the actual prevalence rate of mental health ailments would soon be published, Dr Ghuloum added that around 20% and 18% of the population also suffered from depression and anxiety disorder, respectively.

The Psychiatry Department is the only facility providing primary, secondary and tertiary care for people with mental illness in Qatar. “We conducted the study on adult patients visiting the primary healthcare centres and found that one in five people here will experience a mental disorder with conditions such as schizophrenia and depression on top of the list,” she said.

According to her, schizophrenia, depression and substance abuse are three of the top five causes of disabilities in Qatar. “A condition like schizophrenia can prevent a child from attending school,” she said.

Dr Ghuloum said social stigma, which is a combination of ignorance and discrimination, is the biggest challenge facing people with mental illness in Qatar.

“Through interaction with some of our patients, we realised that many had delayed getting medical help due to fear of stigma and the negative attitudes of some of the patients themselves, their family members as well as physicians,” she noted.

The official called for comprehensive care for people with mental illness, saying the Psychiatry Department has already started a system that is all encompassing and comprehensive – through primary care – besides providing treatment for some patients on an in-patient basis, who are co-located in general hospitals, as well as community-based services being offered to those in need of long-term care.

“The transformation of Qatar’s mental health services focuses on early intervention and recovery, and will give people a range of options on how to access mental healthcare tailored to their needs. Whether it is in a primary care, community-based or a hospital setting, people with mental health issues will have access to the right care, at the right time and in the right place,” she asserted.

June 12, 2013 Posted by | Bureaucracy, Cross Cultural, Cultural, Customer Service, Doha, Family Issues, Health Issues, Qatar, Social Issues, Statistics | Leave a comment

Anesthesia Linked to Dementia Risk in Seniors

It may not be dementia. It may be a reaction to a medication in the elderly that LOOKS like dementia.

My father was 87, and doing pretty well for a man 87. He still walked on his own, using a walker when he had to, and very rarely, a wheelchair if we were going a long ways. He went into the hospital for a minor surgery. The tube inserted in his hand for the anesthetic became infected. Dad was acting weird, he was having hallucinations, and my sister rightly identified that Dad had a reaction to the diuretic drug Lasix; when they switched him to an alternative, the raving and hallucinations stopped.

He was transferred to a rehabilitation unit, where for two days, they put him back on Lasix. Poor communication between hospital and the rehab facility, plus standardization of drug regimens – they switched him without telling him, or us. Once again, he went loony tunes, and at the same time, his right hand began to swell until it looked like a lobster claw. He kept saying it hurt, and it was big and red, and the rehab people kept saying it would get better.

Dad was rushed to another hospital, one the rehab clinic worked with, and the doctors told us he had a ‘cascade of problems’ and which were the primary three we wanted them to work with?

Get him off the Lasix, first thing, we all agreed, and find a way to have it annotated on any record that he is never to have Lasix. (It did no good; the next hospitalization, back at the first hospital, they gave him Lasix again, which made him crazy and masked all the other symptoms.)

Long story short, there were a cascade of hospital mistakes – not one hospital, two hospitals and the rehab clinic – where miscommunications, inattentions and shortage of trained personnel resulted in a cascade of issues that led to my father’s death later that year. The other lesson learned is that if you go into a hospital, make sure you have a good support system, someone with you who will bravely ask questions, and remind someone if an inappropriate medication is prescribed. You need a family member with you for protection against inattention, mistakes, miscommunications and personnel shortages.

It’s not like there’s anyone to bring a lawsuit against; they were all doing the best they could, but Dad was old. My bet is that he might have lived another couple years, at the very least, had he not gone in for that first non-essential minor surgery. To me, the moral of the story is if you want to live a long life, stay away from hospitals.

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Anesthesia Linked to Increased Dementia Risk in Seniors
Exposure to anesthesia has been linked to a 35 percent increase of dementia in patients over age 65, according to a new study.

By Jeffrey Kopman, Everyday Health Staff Writer

FRIDAY, May 31, 2013 — Caregivers and seniors struggling with the dilemmas of elder care have another risk to weigh against potential rewards — senior patients exposed to general anesthesia face an increased risk of dementia, according to research presented at Euroanaesthesia, the annual congress of the European Society of Anaesthesiology (ESA).

Researchers reviewed the medical information of 9,294 French patients over the age of 65. The patients were interviewed several times over a ten year period to determine their cognitive status.

After two years, 33 percent of participants had been exposed to anesthesia. Most of the exposed patients (19 percent overall) were exposed to general anesthesia — a medically induced coma. The rest were exposed to local/locoregional — any technique to relieve pain in the body — anesthesia.

In total, 632 participants developed dementia eight years after the study began. A majority of these patients, 512, were diagnosed with probable or possible Alzheimer’s disease. The remainder had non-Alzheimer’s dementia.

The gap between dementia related to general anesthesia (22 percent) and non-dementia patients (19 percent) was associated with a 35 percent increased risk of developing dementia. This risk was linked to at least one general anesthesia.

“Elderly patients are at an increased risk for complications following anesthesia and surgery,” said Jeffrey H. Silverstein, MD, MS, and vice chair for research at the Department of Anesthesiology at Mount Sinai in New York City. “[They] are particularly prone to postoperative delirium, which is a loss of orientation and attention. Anesthesiologists have been evaluating higher cognitive functions (for example, memory and executive processing) and found that a substantial number have decreases in one or more of these areas after a surgical procedure.”

Researchers hope this study will lead to more awareness for surgeons.

“Recognition of postoperative cognitive dysfunction (POCD) is essential in the perioperative management of elderly patients,” said study author Dr. Francois Sztark, INSERM and University of Bordeaux, France, in a press release. “A long-term follow-up of these patients should be planned.”

Elderly Care: Risk vs. Reward

Senior citizens and their caregivers might be willing to accept an increased risk of dementia if it means getting necessary anesthesia for an important medical procedure. Dementia is a relatively common occurrence in old age: One in three seniors has Alzheimer’s disease or dementia by the time of their death.

But surgery at old age can also carry more severe, and less common, health risks. In fact, simply surviving surgery can be difficult for elderly patients, especially those over the age of 80.

While the numbers vary depending on procedure, researchers have found that mortality risk tied to elective major surgeries increases with age. The risk more than doubles for patients over 80 compared to patients ages 65 to 69.

But other surgery complications are even more common in seniors.

“The major risk for elderly patients following surgery is pneumonia,” said Dr. Silverstein. “Cardiac complications are next most common.”

However, Dr. Silverstein still feels that if surgery is deemed necessary, patients should not fear the risks.

“In theory, only necessary surgery is done,” he said. “Knowing how [patients] reacted to anesthesia and surgery in the past may give them some idea of their postoperative course.”

Last Updated: 05/31/2013

June 3, 2013 Posted by | Aging, Biography, Bureaucracy, Circle of Life and Death, Community, Cultural, Customer Service, ExPat Life, Family Issues, Financial Issues, Health Issues, Living Conditions, Safety, Survival, Technical Issue, Values | Leave a comment