Polio Survivors with Post-Polio Sequelae (PPS) often have all or some of the following symptoms:
•EASILY SEDATED, and can be difficult to wake
•Can Have Difficulty BREATHING and SWALLOWING with Anesthesia
•HYPERSENSITIVE to PAIN and COLD.
May Need heated blanket and Increased pain medication post-op.
Overwhelming Fatigue Muscle Weakness Muscle and Joint Pain Sleep Disorders Cold Intolerance Difficulty Swallowing Difficulty Breathing Sensitivity to Anesthesia
•EASILY SEDATED, and can be difficult to wake
•Can Have Difficulty BREATHING and SWALLOWING with Anesthesia
•HYPERSENSITIVE to PAIN and COLD.
May Need heated blanket and Increased pain medication post-op.
Overwhelming Fatigue Muscle Weakness Muscle and Joint Pain Sleep Disorders Cold Intolerance Difficulty Swallowing Difficulty Breathing Sensitivity to Anesthesia
*** Please read the following Information when determining the treatment plan for any Polio Survivor. ***
The Complete Biographies for contributing professionals are listed below.
The Complete Biographies for contributing professionals are listed below.
Breathing Outcomes: Post-Poliomyelitis Syndrome (PPS)
by John Bach, MD
Post-Polio Syndrome and Anesthesia
by David A. Lambert, M.D.; Eleni Giannouli, M.D.; Brian J. Schmidt, M.D. for Anesthesiology Magazine
Preventing_Complications_in_Polio Survivors_Undergoing Surgery
by Richard L. Bruno, HD, PhD
Preventing Complications in Polio Survivors Undergoing Dental Surgery
by Richard L. Bruno, HD, PhD
Summary of Anesthesia Issues for the Post-Polio Patient
by Selma Calmes, MD
Additional articles are available (Information for Survivors, Caregivers and Providers): HERE
The biographies of all contributing authors are below.
by John Bach, MD
Post-Polio Syndrome and Anesthesia
by David A. Lambert, M.D.; Eleni Giannouli, M.D.; Brian J. Schmidt, M.D. for Anesthesiology Magazine
Preventing_Complications_in_Polio Survivors_Undergoing Surgery
by Richard L. Bruno, HD, PhD
Preventing Complications in Polio Survivors Undergoing Dental Surgery
by Richard L. Bruno, HD, PhD
Summary of Anesthesia Issues for the Post-Polio Patient
by Selma Calmes, MD
Additional articles are available (Information for Survivors, Caregivers and Providers): HERE
The biographies of all contributing authors are below.
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***Anesthesia Warning Cards for printing*** Click on the above and print, fold and put in your wallet. Note: This PDF Version for download will give a clear image when printed. |
New Anesthesia Warning Card
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Original New Jersey Anesthesia Warning Card
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"Symptom Checklist" for Polio Survivors This is an easily printable document for you to give to your family. You can place it with your important "care" documents or take it to your primary care physician - This document is in PDF format for easy printing. |
Biographies of: ALL Contributing Physicians
Biography of John R. Bach, MD.
Dr. John R. Bach received his medical degree from the College of Medicine and Dentistry of New Jersey in 1976, and completed his residency training in Physical Medicine and Rehabilitation at New York University in 1980.
He is a fellow of the Association of Academic Physiatrists, the American College of Chest Physicians, and a fellow of the American Academy of Physical Medicine and Rehabilitation.
Dr. Bach was the Clinical Supervisor of the Howard Rusk Ventilator Unit at Goldwater Memorial Hospital in New York City from 1980 to 1981, developed a noninvasive respiratory management program at the University of Poitiers, France from 1981 to 1983, and Medical Director of Kessler Institute for Rehabilitation Ventilator Unit in West Orange, N.J from 1993 to 1994.
Since 1983, Dr. Bach has been on the faculty of the UMDNJ-New Jersey Medical School where he currently is...
Office Phone: 973-972-2802
Dr. John R. Bach received his medical degree from the College of Medicine and Dentistry of New Jersey in 1976, and completed his residency training in Physical Medicine and Rehabilitation at New York University in 1980.
He is a fellow of the Association of Academic Physiatrists, the American College of Chest Physicians, and a fellow of the American Academy of Physical Medicine and Rehabilitation.
Dr. Bach was the Clinical Supervisor of the Howard Rusk Ventilator Unit at Goldwater Memorial Hospital in New York City from 1980 to 1981, developed a noninvasive respiratory management program at the University of Poitiers, France from 1981 to 1983, and Medical Director of Kessler Institute for Rehabilitation Ventilator Unit in West Orange, N.J from 1993 to 1994.
Since 1983, Dr. Bach has been on the faculty of the UMDNJ-New Jersey Medical School where he currently is...
- Professor of Physical Medicine and Rehabilitation Including: Research in Physical Medicine and Rehabilitation (REHB 9003) and Neuromuscular-Pulmonary Rehabilitation (REHB 9300)
- Vice Chairman of the Department of Physical Medicine and Rehabilitation
- Professor of Neurosciences in the Department of Neurosciences
- Director of Research and Associate Medical Director of the Department of Physical Medicine and Rehabilitation at University Hospital, Newark, N.J.
- Co-director of the medical school's Jerry Lewis Muscular Dystrophy Association Clinic
- Medical Director of the Center for Ventilator Management Alternatives at University Hospital, Newark, N.J.
Office Phone: 973-972-2802
Biography of Richard L. Bruno, HD, PhD
Dr. Bruno, a research and clinical psychophysiologist, trained at the New York State Psychiatric Institute, began studying PPS and treating polio survivors in 1982, when he was a fellow in the Department of Rehabilitation Medicine, Columbia University College of Physicians and Surgeons.
In 1984, Bruno organized and is the Chairperson of the International Post-Polio Task Force, which promotes PPS research, education and treatment in 25 countries.
In 1989, he left Columbia and created (and directed) the Post-Polio Rehabilitation and Research Service at Kessler Institute for Rehabilitation, which was the first center for the study and comprehensive treatment of PPS.
From 1998 until 2010, he directed The Post-Polio Institute at Englewood Hospital and Medical Center. He partnered with a Rehabilitative Physician, Occupational Therapist, Physical Therapist, Nutritionist and an Orthotist for this comprehensive treatment program.
His Doctorate is in psychophysiology, which included coursework in neurology, psychiatry, biomedical electronics, neuropsychology, psychopharmacology and neuroscience. In 1998, Springfield College awarded him the Doctor of Humanics, honoris causa.
In 2018, Dr. Bruno coordinated with the Pennsylvania Polio Survivor’s Network to publish the Encyclopedia of Polio and PPS. This continuing work contains ALL of Dr. Bruno’s updated articles, monographs, commentaries, books, videos and “Bruno Bytes”. There is a direct link from his website www.postpolioinfo.com.
Since beginning his work in 1982, Dr. Bruno has studied and treated more than 6,000 polio survivors.
Dr. Bruno is now the Director of the International Centre for Polio Education, the new home of the International Post-Polio Task Force. (Dr. Bruno became known as the author of The Polio Paradox, which is often referred to as “the polio survivor’s Bible”.)
Dr. Bruno's website: http://postpolioinfo.com/ Dr. Bruno's email: postpolioinfo@aol.com
Dr. Bruno, a research and clinical psychophysiologist, trained at the New York State Psychiatric Institute, began studying PPS and treating polio survivors in 1982, when he was a fellow in the Department of Rehabilitation Medicine, Columbia University College of Physicians and Surgeons.
In 1984, Bruno organized and is the Chairperson of the International Post-Polio Task Force, which promotes PPS research, education and treatment in 25 countries.
In 1989, he left Columbia and created (and directed) the Post-Polio Rehabilitation and Research Service at Kessler Institute for Rehabilitation, which was the first center for the study and comprehensive treatment of PPS.
From 1998 until 2010, he directed The Post-Polio Institute at Englewood Hospital and Medical Center. He partnered with a Rehabilitative Physician, Occupational Therapist, Physical Therapist, Nutritionist and an Orthotist for this comprehensive treatment program.
His Doctorate is in psychophysiology, which included coursework in neurology, psychiatry, biomedical electronics, neuropsychology, psychopharmacology and neuroscience. In 1998, Springfield College awarded him the Doctor of Humanics, honoris causa.
In 2018, Dr. Bruno coordinated with the Pennsylvania Polio Survivor’s Network to publish the Encyclopedia of Polio and PPS. This continuing work contains ALL of Dr. Bruno’s updated articles, monographs, commentaries, books, videos and “Bruno Bytes”. There is a direct link from his website www.postpolioinfo.com.
Since beginning his work in 1982, Dr. Bruno has studied and treated more than 6,000 polio survivors.
Dr. Bruno is now the Director of the International Centre for Polio Education, the new home of the International Post-Polio Task Force. (Dr. Bruno became known as the author of The Polio Paradox, which is often referred to as “the polio survivor’s Bible”.)
Dr. Bruno's website: http://postpolioinfo.com/ Dr. Bruno's email: postpolioinfo@aol.com
Biography of Selma Calmes, MD
Selma Harrison and her two brothers are polio survivors. Even though she had never heard of a woman doctor, the help she had received during her own illness became her inspiration to study medicine. She applied to Baylor College of Medicine in 1961 and was accepted as one of three women in a class of eighty-four. In the summer after her first year she married a classmate, becoming Selma Harrison Calmes in 1962.
Dr. Calmes graduated in 1965, and began an internship in pediatrics at hospitals affiliated with Baylor College of Medicine. She planned to combine her career with having a family. Pediatrics was the most common specialty for women physicians to pursue at the time, but in her senior year she read an essay by Dr. Virginia Apgar promoting anesthesiology as a good specialty for women with children.
Dr. Calmes decided to follow Apgar's advice and train in anesthesiology, beginning her residency in 1966. For one year, she was the only woman resident at the 1000-bed Hospital of the University of Pennsylvania, the leading place for anesthesiology training at the time.
Dr. Calmes has taken great inspiration from the achievements of other women physicians. She has written a number of articles on Dr. Apgar and the history of women in anesthesiology, and in 1982 she co-founded the Anesthesia History Association.
In 1970, after working as a staff anesthesiologist and instructor in Pennsylvania, Dr. Calmes moved to California to take up a position as staff anesthesiologist at Valley Children's Hospital in Fresno.
1986 - Chair of the Department of Anesthesiology at Kern Medical Center.
1988 - Chair of the Department of Anesthesiology at Olive View-UCLA Medical Center.
1994 - Vice-Chair of the Department of Anesthesiology at UCLA School of Medicine.
She still held both positions (at UCLA Medical Center and UCLA School of Medicine until her retirement in 2007. Two years later, she became the anesthesiology consultant for the Los Angeles County Medical Examiner-Coroner, reviewing deaths possibly related to anesthesia care.
Selma Harrison and her two brothers are polio survivors. Even though she had never heard of a woman doctor, the help she had received during her own illness became her inspiration to study medicine. She applied to Baylor College of Medicine in 1961 and was accepted as one of three women in a class of eighty-four. In the summer after her first year she married a classmate, becoming Selma Harrison Calmes in 1962.
Dr. Calmes graduated in 1965, and began an internship in pediatrics at hospitals affiliated with Baylor College of Medicine. She planned to combine her career with having a family. Pediatrics was the most common specialty for women physicians to pursue at the time, but in her senior year she read an essay by Dr. Virginia Apgar promoting anesthesiology as a good specialty for women with children.
Dr. Calmes decided to follow Apgar's advice and train in anesthesiology, beginning her residency in 1966. For one year, she was the only woman resident at the 1000-bed Hospital of the University of Pennsylvania, the leading place for anesthesiology training at the time.
Dr. Calmes has taken great inspiration from the achievements of other women physicians. She has written a number of articles on Dr. Apgar and the history of women in anesthesiology, and in 1982 she co-founded the Anesthesia History Association.
In 1970, after working as a staff anesthesiologist and instructor in Pennsylvania, Dr. Calmes moved to California to take up a position as staff anesthesiologist at Valley Children's Hospital in Fresno.
1986 - Chair of the Department of Anesthesiology at Kern Medical Center.
1988 - Chair of the Department of Anesthesiology at Olive View-UCLA Medical Center.
1994 - Vice-Chair of the Department of Anesthesiology at UCLA School of Medicine.
She still held both positions (at UCLA Medical Center and UCLA School of Medicine until her retirement in 2007. Two years later, she became the anesthesiology consultant for the Los Angeles County Medical Examiner-Coroner, reviewing deaths possibly related to anesthesia care.
Biography of William DeMayo, MD
Dr. DeMayo has nearly 30 years of clinical experience in the field of Physical Medicine & Rehabilitation. He has served as Medical Director for several comprehensive inpatient rehabilitation units and has also maintained an active outpatient practice. Areas of special interest have included Spinal Cord Injury Medicine, Polio, Charcot Marie Tooth, musculoskeletal/neuropathic pain management and bracing. In his early years of practice he managed bracing clinics that cared for many polio survivors. After moving to Johnstown, Pennsylvania in 1996, he managed a comprehensive post-polio clinic at the John P. Murtha Neuroscience and Pain Institute. Dr. DeMayo graduated magna cum laude from Boston College and received his M.D. degree from Columbia University, College of Physicians and Surgeons in 1986. He completed his internship at Montefiore Hospital in Pittsburgh and then returned to Columbia-Presbyterian Hospital in New York City for three years of residency training in Physical Medicine and Rehabilitation. He served as Medical Director for a busy Spinal Cord Injury Program in Connecticut for six years before being recruited to Johnstown to open up the Crichton Center for Advanced Rehabilitation. He transitioned into private practice in 2002 and continues to do part-time work with the John P. Murtha Neuroscience and Pain Institute. Additionally, Dr. DeMayo has worked with The River Practice, a telemedicine practice since 2014. Board certifications include: The American Board of Physical Medicine and Rehabilitation, Subspecialty Board Certification-Spinal Cord Injury Medicine and The American Board of Independent Medical Examiners. Academically, Dr. DeMayo has been a past clinical instructor for the Yale School of Medicine and Columbia University, College of Physicians and Surgeons. His articles are available on our website - HERE
Biographical Information: David A. Lambert, M.D.; Eleni Giannouli, M.D.; Brian J. Schmidt, M.D. (Updated 2019)
International Centre for Polio Education www.postpolioinfo.com
Post-Polio Health International www.post-polio.org (and)
www.post-polio.org/edu/healthcare/index.html
Dr. DeMayo has nearly 30 years of clinical experience in the field of Physical Medicine & Rehabilitation. He has served as Medical Director for several comprehensive inpatient rehabilitation units and has also maintained an active outpatient practice. Areas of special interest have included Spinal Cord Injury Medicine, Polio, Charcot Marie Tooth, musculoskeletal/neuropathic pain management and bracing. In his early years of practice he managed bracing clinics that cared for many polio survivors. After moving to Johnstown, Pennsylvania in 1996, he managed a comprehensive post-polio clinic at the John P. Murtha Neuroscience and Pain Institute. Dr. DeMayo graduated magna cum laude from Boston College and received his M.D. degree from Columbia University, College of Physicians and Surgeons in 1986. He completed his internship at Montefiore Hospital in Pittsburgh and then returned to Columbia-Presbyterian Hospital in New York City for three years of residency training in Physical Medicine and Rehabilitation. He served as Medical Director for a busy Spinal Cord Injury Program in Connecticut for six years before being recruited to Johnstown to open up the Crichton Center for Advanced Rehabilitation. He transitioned into private practice in 2002 and continues to do part-time work with the John P. Murtha Neuroscience and Pain Institute. Additionally, Dr. DeMayo has worked with The River Practice, a telemedicine practice since 2014. Board certifications include: The American Board of Physical Medicine and Rehabilitation, Subspecialty Board Certification-Spinal Cord Injury Medicine and The American Board of Independent Medical Examiners. Academically, Dr. DeMayo has been a past clinical instructor for the Yale School of Medicine and Columbia University, College of Physicians and Surgeons. His articles are available on our website - HERE
Biographical Information: David A. Lambert, M.D.; Eleni Giannouli, M.D.; Brian J. Schmidt, M.D. (Updated 2019)
- David Lambert, MD - Anesthesiology Resident, Department of Anesthesia, University of Manitoba
- Eleni Giannouli, MD - Assistant Professor, Section of Respirology and Critical Care, Department of Internal Medicine, University of Manitoba.
- Brian Schmidt, MD - Professor, Section of Neurology, Department of Internal Medicine, Faculty of Medicine, University of Manitoba.
International Centre for Polio Education www.postpolioinfo.com
Post-Polio Health International www.post-polio.org (and)
www.post-polio.org/edu/healthcare/index.html
We are grateful to New Jersey survivor Jerry Bojko, the International Centre for Polio Education and the State of New Jersey for developing the Anesthesia Warning Card idea in 1999.
Thank you John Bach MD, Richard Bruno PhD, Selma Calmes MD, William DeMayo MD and Richard Rosenstein OD
for your advice and support in this project.
Thank you John Bach MD, Richard Bruno PhD, Selma Calmes MD, William DeMayo MD and Richard Rosenstein OD
for your advice and support in this project.