Cover art for podcast The Top Cosmetic Gynecologists

The Top Cosmetic Gynecologists

55 EpisodesProduced by Marco Pelosi IIIWebsite

Wisdom, rants and raves from the best, about the best, and about the rest in the red hot and always controversial field of cosmetic gynecology. Hosted by Marco Pelosi III MD, Surgeon, Innovator and Podcaster.

55:36

Ep.16. Barry Friedberg: The Crusader for Better Anesthesia

Barry Friedberg is a Stanford-trained anesthesiologist who pioneered Propofol-Ketamine sedation anesthesia.

He added brain monitoring to his method and the rest is history.

His rates of postoperative nausea and vomiting are the lowest in the world.

He hasn't used opioids for surgery in over 30 years.

Dr Pelosi III sat down with this innovative pioneer to learn the story behind the method.

 

SHOW NOTES

Friedberg’s Triad [4:15]

is brain, pain, abstain

 

Goldilocks [5:40]

is the analogy that requires explanation.

 

The EMG [7:00]

looks forward.

 

Propofol [8:00]

use is reduced 30 percent.

 

Ketamine [10:20] was a hard sell.

 

Benzodiazepenes [10:55]

are not well measured by BIS

 

BIS [12:00]

is low maintenance

 

Cooperation [14:00]

of the surgeon is essential.

 

The myths [16:15]

surrounding ketamine.

 

Awareness [19:30]

under general is rare, but real.

 

Brain fog [21:00]

can be permanent rarely.

 

My free book [22:40]

is available via the Goldilocks website.

 

My superfans [24:00]

include Jan Paul Mulier from Brugge, Belgium.

 

50 consecutive patients [26:30]

given opioid-free anesthesia had no nausea and required no opioids afterwards.

 

A publisher [29:50]

asked me to write a textbook on cosmetic surgery anesthesia.

 

The military [30:20]

uses my techniques.

 

People [32:00]

resist change.

 

Not a single patient [35:25]

in over 6000 cases was hospitalized for nausea and vomiting.

 

My wife and I [37:00]

have both gone under this type of anesthesia.

 

Drug shortages [42:30]

might require substitution.

 

Abstain [44:30]

to address the Big Little Problem.

 

Only 0.6% [46.30]

of over 1200 patients had postoperative nausea and vomiting in my 1999 article.

 

Cosmetic practices [48:30]

don’t want to be embarrassed.

 

The standard rates [49:50]

of postoperative nausea and vomiting at the time were 10 to 40%.

 

How [51:40]

do you break the ice?

 

Dr. Barry Friedberg can be found online at the following links:

http://drfriedberg.com/

https://goldilocksfoundation.org/

Educational emoji reaction

Educational

Interesting emoji reaction

Interesting

Funny emoji reaction

Funny

Agree emoji reaction

Agree

Love emoji reaction

Love

Wow emoji reaction

Wow

Are you the creator of this podcast?

Verify your account

and pick the featured episodes for your show.

Listen to The Top Cosmetic Gynecologists

RadioPublic

A free podcast app for iPhone and Android

  • User-created playlists and collections
  • Download episodes while on WiFi to listen without using mobile data
  • Stream podcast episodes without waiting for a download
  • Queue episodes to create a personal continuous playlist
RadioPublic on iOS and Android
Or by RSS
RSS feed
https://topcosmeticgyn.libsyn.com/radiopublic

Connect with listeners

Podcasters use the RadioPublic listener relationship platform to build lasting connections with fans

Yes, let's begin connecting
Browser window

Find new listeners

  • A dedicated website for your podcast
  • Web embed players designed to convert visitors to listeners in the RadioPublic apps for iPhone and Android
Clicking mouse cursor

Understand your audience

  • Capture listener activity with affinity scores
  • Measure your promotional campaigns and integrate with Google and Facebook analytics
Graph of increasing value

Engage your fanbase

  • Deliver timely Calls To Action, including email acquistion for your mailing list
  • Share exactly the right moment in an episode via text, email, and social media
Icon of cellphone with money

Make money

  • Tip and transfer funds directly to podcastsers
  • Earn money for qualified plays in the RadioPublic apps with Paid Listens