Pope Francis to Undergo Intestinal Surgery Under General Anesthesia 

Pope Francis reacts as he meets faithful during the weekly general audience in St. Peter's Square at the Vatican, June 7, 2023. (Reuters)
Pope Francis reacts as he meets faithful during the weekly general audience in St. Peter's Square at the Vatican, June 7, 2023. (Reuters)
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Pope Francis to Undergo Intestinal Surgery Under General Anesthesia 

Pope Francis reacts as he meets faithful during the weekly general audience in St. Peter's Square at the Vatican, June 7, 2023. (Reuters)
Pope Francis reacts as he meets faithful during the weekly general audience in St. Peter's Square at the Vatican, June 7, 2023. (Reuters)

Pope Francis went to the hospital Wednesday to undergo abdominal surgery to treat an intestinal blockage, two years after he had 33 centimeters (13 inches) of his colon removed because of a narrowing of the large intestine.

The Vatican said Francis, 86, would be put under general anesthesia for the procedure Wednesday afternoon and would be hospitalized at Rome's Gemelli hospital for several days.

Francis' Fiat 500 car pulled out of the Vatican shortly after 11 a.m. with an escort, and arrived at the Gemelli some 20 minutes later.

The pope is undergoing what the Vatican said was a "laparotomy and abdominal wall plastic surgery with prosthesis" to treat a "recurrent, painful and worsening" constriction of the intestine.

A laparotomy is open abdominal surgery. It can help a surgeon both diagnose and treat issues. The statement said Francis was suffering from a blocked laparocele, which is a hernia that formed over a previous scar.

"The stay at the health facility will last several days to allow for the normal post-operative course and full functional recovery," the statement said. An update was not expected until after the procedure.

Francis remains in charge of the Vatican and the 1.3-billion strong Catholic Church, even while unconscious and in the hospital.

In July 2021, Francis spent 10 days at Gemelli to remove 33 centimeters (13 inches) of his large intestine. He had suffered what the Vatican said was a severe inflammation and narrowing of the colon. In an interview with The Associated Press in January, Francis said the diverticulosis, or bulges in his intestinal wall, that had prompted the 2021 surgery, had returned.

Francis had come out of the 2021 surgery saying he could eat whatever he wanted, but he lamented that he hadn’t responded well to the general anesthetic used in the longer-than-expected procedure. That reaction in part explained his refusal to have surgery to repair strained knee ligaments that have forced him to use a wheelchair and walker for over a year.

The fact that he is going back for surgery suggests he had little choice but to treat the intestinal issue, especially given the rigorous upcoming travel schedule this summer.

The Argentine pope had part of one lung removed when he was a young man. He also suffers from sciatica nerve pain. In late March, Francis spent three days at Gemelli for an acute case of bronchitis, during which he was treated with intravenous antibiotics. He emerged April 1 saying "Still alive!"

Francis initially went to the Gemelli on Tuesday for what the Vatican said were medical tests. It revealed no details at the time.

The 86-year-old had appeared in good form Wednesday morning at his audience in St. Peter’s Square, zipping around the square in his popemobile greeting the faithful. He also had two meetings beforehand, the Vatican said.

Francis has had a packed schedule of late, with multiple audiences each day. The Vatican has recently confirmed a travel-filled August, when the Holy See and Italy are usually on vacation, with a four-day visit to Portugal the first week of August and a similarly long trip to Mongolia starting Aug. 31.

In a sign that the trips were very much on, the Vatican on Tuesday released the planned itinerary for Francis’ visit to Portugal for World Youth Day events from Aug. 2-6. The itinerary confirms a typically busy schedule that includes all the protocol meetings of an official state visit plus multiple events with young people.



Should You Stretch before Exercise? After? Never? Here’s What to Know

 Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
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Should You Stretch before Exercise? After? Never? Here’s What to Know

 Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)
Philadelphia Eagles stretch as they get ready during practice at NFL football training camp, Thursday, July 25, 2024, in Philadelphia. (AP)

For many people of a certain age, high school gym class began with reaching for their toes. Then, over the years, we were told it was better to stretch after exercise.

It turns out, both those things can be true, but the differing advice has created some confusion.

Stretching can help make you more flexible, improve range of motion in your joints — and feel good. David Behm, who researches human kinetics at Memorial University of Newfoundland in St. John’s, Canada, offers this advice on when to stretch and how to do it safely:

Warm up first

It’s almost always good to stretch, but it’s better if you warm up first, said Behm, author of "The Science and Physiology of Flexibility and Stretching." He recommends a light aerobic activity such as jogging, walking or cycling for five or 10 minutes.

Follow that with some static stretching, the traditional way of reaching and holding a position (think back to that gym class). You can then do activity-specific dynamic stretching, in which you warm up the muscles with repetitive movements like leg lifts.

Behm says one minute is "the magic number" for how long to do static stretching per muscle group without fatigue.

Expand your definition of 'stretching'

Should you always stretch before exercising? If it's traditional stretching, not necessarily.

The better question, Behm says, is, "Should people increase their range of motion? Should people have better flexibility? And that is yes, because it helps prevent injuries. It helps with health. But you don’t have to stretch to achieve that."

Resistance training, for instance, can be an effective form of stretching, he said. Doing a chest press increases range of motion in your deltoids and pecs, whether with barbells, dumbbells or machines, so there is no need to stretch beforehand. Just make sure to start with a small amount of weight to warm up and then add more to train.

"You probably don’t have to do extra stretching unless you’re a gymnast, a figure skater, or even a golfer who needs a great range of motion through that swing," Behm said.

Nor do you need to stretch first if you’re going for a leisurely run. Simply start with a slow jog to warm up and then increase the pace.

Don't do it if it hurts

After exercise, "light stretching is OK, as long as you don't reach a point where you're feeling pain," Behm said. Since your muscles will be warm by that point, overdoing it makes you more likely to injure yourself.

Foam rollers can help with muscle recovery and have been shown to increase range of motion as well as stretching.

Do some static stretching before sports

If you’re playing a sport, Behm said, static stretching beforehand helps reduce muscle and tendon injury.

"If you’re going to do an explosive movement, change of direction, agility, sprint, any of these explosive activities that involve your muscles and tendons," he said, "you’re going to be stronger if you do static stretching."

People can especially get in trouble when they go back to a sport they used to play, whether it's tennis, surfing or any sort of team activity.

Also, stretch both sides equally. Lacking flexibility on one side also can lead to injury.

Sounds simple. Why all the confusion? Different studies over the years have either encouraged or discouraged stretching before exercise. Behm says that partly because some studies didn't reflect real-life conditions, or were designed with elite athletes in mind, not regular people.

"If you’re Usain Bolt, it makes a difference," said Behm. Not so much for the rest of us.