Dr. John Victor

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09/09/2023
06/08/2023
Nobody likes a morning trail run more than Louie. Gorgeous Asheville scenery And for the usual pseudo experts that love ...
19/07/2023

Nobody likes a morning trail run more than Louie. Gorgeous Asheville scenery And for the usual pseudo experts that love to school me on all topics, I have had prior Danes. We have been to training. I have studied best collars for training. Could write a thesis paper on the topic. He is a 130 lb puppy who is stronger than me and can (and has) pull me down a mountain, A regular neck collar is very dangerous in that he would just as soon asphyxiate than let that ever elusive squirrel go. Leader collars can cause neck injuries if he takes off when he sees a potential play mate, and also causes nasty lesions on the nose. Louie doesn't hesitate to put collar on and really doesn't feel it but it does keep him from taking off and pulling by it's gently increasing pressure. This is my boy. I would never hurt my main man. Training is working well, but please

I finished my annual 5 day  fast. This is not a commercial and I make no claims about the product. Why do I fast? I have...
19/07/2023

I finished my annual 5 day fast. This is not a commercial and I make no claims about the product.
Why do I fast? I have some theoretical reasons but mainly based on rodent studies. The idea of cellular rejuvenation through autophagy may end up being pure theory and not practical.
Really I do it for the psychological reset. I remind myself that I do not need to immediately respond to hunger. I will survive. The fast also seems to break me from bad cravings. I don’t crave any junk food at all. You would think after a 5 day fast I would be dying for comfort food. Not at all.
So my true “break fast” is oatmeal with chia seeds, all kinds of berries, almonds, dates and some green juice.
Here’s to a new and even healthier year.
Addendum- this was DELICIOUS

Surgical technology is becoming incredibly advanced. This is the DaVinci robot. I used the first version in 2002 but it ...
19/07/2023

Surgical technology is becoming incredibly advanced. This is the DaVinci robot. I used the first version in 2002 but it wasn’t ready for prime time. The evolution to the current model is incredible. Cutting edge technology, literally .

I don't talk much about the surgeries I perform, but hiatal hernias make up a big part of my life. Well, my professional...
19/07/2023

I don't talk much about the surgeries I perform, but hiatal hernias make up a big part of my life. Well, my professional life.

A hiatal hernia is a situation where the upper stomach gets pulled up into the chest. It is very common. Some studies estimate 50% of people have a hiatal hernia, though only 10% may be symptomatic.

Hernias can be congenital. They can also be from increased abdominal pressure, so they can occur during pregnancy or from heavy lifting without proper breathing.

Interestingly, I have seen quite an increase in the size of these hernias over the years, and there does appear to be an increase in incidence. The thought is that the increase is due to abdominal obesity causing increased abdominal pressure.

When the stomach herniates into the chest it is subjected to the negative pressure of the chest which can suck acid into the esophagus. For most people anti acids do fine stopping acid. I will tell you, for most, weight loss definitely helps.

For some people the hernia is so large that the stomach ends up twisting or pushing on lungs and surgical repair become necessary.

In the pics I have here you can see a large hole in the diaphragm and then a mesh repair. The patient actually had a prior repair elsewhere but it recurred.

Another reason to eat healthy and keep weight down. Also, breathe out when lifting heaving. Don't build up intra abdominal pressure (valsalva).

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