![]() When you're reliant upon top watering, you're always at risk of water cycles that are too wet, then too dry. Also just like rain, when there's too much, water will run off wastefully creating a mess and washing away nutrients. The water will evaporate before it has time to get down and reach the roots. But rain is fickle, inconsistent and you often get not enough, or too much! Just like rain, when there's not enough, top watering is susceptible to evaporation. These days, almost all conventional irrigation techniques are designed to mimic rainfall - water from the top down. In Nature we see this take place in fertile river deltas, where the river water slowly seeps out and under the surrounding land, allowing plants and crops a continuous access to water - even under the hottest conditions and without rain. SIPs allow you to emulate this amazing natural phenomena, and apply it to the urban growing environment. In all the world's most bountiful growing environments, sub-irrigation occurs as water wicks up from hidden natural water tables, into the top soil, up to thriving plants above. ![]() Some supplements interfere with medications that may be needed after your surgery, and taking them can lead to complications.Sub-Irrigation isn't a new idea - it's old. In addition to prescription medicines, tell your surgeon about any over-the-counter dietary supplements you may be taking. ![]() Your surgeon will tell you if should continue to take your medication or stop it for a period of time before your surgery. Immunosuppressants can slow wound healing after surgery. If you have an inflammatory condition such as rheumatoid arthritis, lupus or Crohn's disease, or you are a transplant patient, you may be taking an immunosuppressant medication. Inadequate steroid levels during surgery can lead to hypotension or low blood pressure. This is because long-term steroid therapy suppresses the adrenal gland, which manufactures the steroids your body needs. Most likely, your surgeon will give you additional doses at the start of your procedure. Steroid medications, such as Prednisone®, should be continued both during and after surgery. If you have recently taken a course of steroids or are on long-term steroid therapy, make sure to tell your surgeon and anesthesiologist. In addition, some oral diabetic medications should be discontinued before you are given anesthesia. Surgery can cause increased stress and higher blood sugar, so your insulin dose may need to be adjusted on the day of your surgery and during recovery. If you are taking insulin or oral diabetic medications, tell your surgeon. Because bleeding during and after surgery increases your risk of wound infections and postoperative anemia, it is important to safely manage blood thinners. You will restart blood thinners after surgery as soon as your surgeon feels it is safe, usually within 24 hours. In some cases, you will be placed on a shorter acting blood thinner that can be taken up until a few hours before surgery. Your surgeon will tell you how far ahead of time to stop your medication. Blood Thinners/Anti-Coagulantsīlood thinners such as aspirin, Coumadin®, Xarelto®, or Eliquis® should be stopped before surgery. If your blood pressure is not well controlled by the day of surgery, your surgery could be delayed. It is a good idea to have your blood pressure checked a few days before surgery so that your primary care physician can adjust your medication dosage if your blood pressure is too high or too low. Even if you are not supposed to eat or drink on the day of surgery, your surgeon may recommend that you take your blood pressure medicine with a sip of water. Blood Pressure/Anti-Hypertensive Medicationsīlood pressure medications are usually continued on the day of surgery and following surgery. ![]() Sometimes, an additional heart medication, called a beta blocker, may be added before your surgery to decrease your risk of heart problems during and after surgery. If you have had a heart attack, coronary artery disease, or chest pain with exercise, a preoperative consultation with your cardiologist will help prepare you for surgery. In most cases, heart medications should be continued on the day of surgery and throughout hospitalization. Be sure to tell your medical team about all the medications you are taking. Listed below are the primary medications that can affect your surgery.
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