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(JAMA) Cognitive decline associated w/anesthesia and surgery in older patients

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I've backed away from suggested surgery options several times now, always based on a gut feeling that I just wasn't up to it unless it was meant to solve a really critical issue.  Some investigators have been finding that people over 65 are at considerable risk of cognitive decline from surgery and its anesthesia. The article, "Cognitive decline associated with anesthesia and surgery in older patients," is in JAMA (August 2, 2021):


https://bit.ly/3AbgSJU
MS Speaks--online for 20 years

SPMS, diagnosed 1980. Avonex 2001-2004. Copaxone 2007-2010. Glatopa (glatiramer acetate 40mg 3 times/week)  12/16/20 - 3/16/24.