I unfortunately have had 10 surgeries. What I find fascinating is how different each experience has been. I’ve been completely out, remember nothing, waking up puking my guts out. I’ve been kinda out but not really aware, I’ve been out but waking up towards the end and completely aware, I’ve been out and had a hard time waking up, and several more experiences. It’s just interesting how no one experience has been the same as the next.
You need to tell the Anesthesiologist about the side affects of Nausea with anesthesia. The very first time had surgery, I puke my brains out! That was 30 years ago. I have anesthesia about 15-20 times since and when the doctor comes in and asks me: Any trouble with Anesthesia before. I say, yes! Nausea. I need something to prevent it. They give you a drug via the IV and Zero Nausea! Last surgery I had, they gave me a pill for nausea (first time given a pill for it) well, the pill doesn’t work because I fell nauseous right after waking up. I told the nurse and she immediately put something in my IV and fell better a minute later. Communication IS Key with the Anesthesiologist. I love going under…….. 😅
if you get nausea, they them know like orchid said they can give you IV drugs. when i get knocked out for my surgery for my teeth, i always get a headache, then i get barfy after fact because i had a little water for the meds i had to take. they gave me IV drugs for nausea, i joke with anesthesiologist telling don't tell me you put vodka in the induction meds lol. I grin at him laughing. he says nope not today memphis, he smiles and lets out a chuckle. i know the staff there, pretty awesome. i assume they use different recipes and level
Oh, Dr. Max, I pray you are a mentor and teacher of anesthesiologist students. Your patient centered approach is awesome. Years ago I had to have a right ovarian teratoma removed. On the morning of the surgery, the anesthesiologist came banging into my room at 4:00 a.m., startled me awake , rattled off what he was going to be doing then went banging out 2 minutes later Leaving Me In A Daze with elevated blood pressure. The only thing that kept me from running away was knowing that my GP (who had delivered me!) was assisting the OBGYN with surgery and I knew he would look out for me. Came out of surgery and anesthesia just fine. It wasn't until years later I understood the pharmacology behind it working in the pharmacy myself. I remembered what it felt like to not understand and tried to inform patients as much as possible. Now I'm retired. My whole point is that you can take a poor experience and use it to better someone else's life. Love your videos.
I've had three surgeries looking at a fourth coming up. Waiting for my Dr's assistant to schedule that one. First one they just gave me some numbing medicine in my arm for a minor surgery on it. The second one my anesthesiologist told me he was going to give me moderate sedation. He forgot to check with surgeon before telling me that. When my surgeon came in the or and saw I was not under general he told my anesthesiologist he wanted me under general during the operation. I vaguely remember waking up from it still in the or with a tube down my throat on the ventilator and the anesthesiaoligist taking it out. The third one I was under general and remember waking up in recovery.
Great info man! You’re awesome! I have had 14 surgeries because of my cerebral palsy, I’m not scared of anesthesiology, that’s one of the reasons I tried to go to college to be a anesthesiologist, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy! You rock man
Keep trying to go to college. I have severe back pain with 11 surgeries under my belt and I'm hoping to be able to tolerate sitting through college classes to be a spine surgeon one day. I'm 39 and am still hoping for the best and will keep trying.
I wish you were my anesthesia guy, I'm having my first ever surgery in 2 weeks, a mastectomy. I'm scared out of my wits but I would feel safe with you.
Thank you for mentioning the fact that a patient may remember waking up with the breathing tube still in place. I had surgery November 7th, and this happened to me. I remember biting down on the tube, and they urgently told me not to. Then they quickly removed the tube, and I started coughing. Next thing I know, I was waking up in recovery with the nasal cannula. I’ve had other surgeries, but this is the first time I remember being extubated. Great videos!
I had more then eleven generals but on my last one, about a mounth ago this also happened to me. I remember like 10-15 seconds of the emergence, the tube was still in place, doctor was calling my name and i could hear the suction. And that was about it, next thing i remeber i was back in the ward. Funny , i was never able to make memories on the route from the OR back to the ward ;D
@@LKA-si7ln I was too out of it for it to be traumatic. When they removed it I started coughing, which is a normal reflex. Next thing I remember I was waking up in the recovery room.
Interesting. I’ve had many surgeries and also had quite a few procedures when I was knocked out for just a short time. I have never had an anesthesiologist talk to me about how deep I’d be under, what to expect, or anything they would be doing. They ask me questions regarding my prior anesthesia events, but never tell me anything about what they may or may not be doing.
@@XSemperIdem5 That’s a very good question. I have another surgery in 3 days. I’m definitely going to pay attention to what they say this time. It will be at a different hospital than I have usually been going to, but I wouldn’t think that would matter.
@@CrankyPantss I've seen how some medical staff try to rush the paperwork and a lot of people trust them and sign. The information you weren't told verbally is probably in the paperwork itself but they just put it in front of you and tell you to sign. At the end of the day those are legal forms you're signing. I come from a legal related background so you bet I am reading every word.
@@XSemperIdem5 I had my surgery last week. The anesthesiologist didn’t say much of anything. He introduced himself and then asked me a few questions about my prior anesthesia experience, then the surgeon walked in the room, so the anesthesiologist just left. He couldn’t have been in with me for 5 whole minutes. I can’t imagine what the patient would think if it was their first time and nervous about the procedure.
At the hospital I go to for surgeries (Froedtert) in Milwaukee, WI, I usually work with a trainee along with the Anesthesiologist. I’m perfectly fine with that, since Froedtert is a teaching hospital that works with students from the Medical College of Wisconsin, which is next door.
Great vid, Max (as always)! You did do one of the things that drives me crazy about doctors, though. I swear you could be planning to cut someone open for a major surgery without anesthesia but would tell the patient they may experience "discomfort." I there something in the code of ethics or in employment agreements that bans doctors from using the "p" word? We can tell the nurse our pain level is at an 8, and the doctor will still refer to it as "discomfort." Using the word "discomfort" to describe what the patient is experiencing or might experience during a procedure is really minimizing their experience and being dismissive. For what it's worth from one patient's perspective.
Being a neuro patient, and neurophysiologist. I straight up say pain. When I’m asked as a patient I say pain. When I talk to my patients I will say I put in and take out my needles while your asleep so you don’t feel any pain. Getting your back filleted open causes pain. Sticking needles in peoples hands, feet, scalp causes pain. I’d rather not feel it. I’d rather my patients not feel it.
4:20 Huge deal. My son had emergency surgery due to a compound fracture many years ago. We met the surgeon and anesthesiologist prior to surgery. He went back all well. We decided to walk to get some coffee about half hour later. We passed the anesthesiologist in the hall. That was a little unnerving. I asked and he explained another team member was monitoring our son. Nothing would have changed, but nice to know upfront.
Thanks Dr Max. Had 2 major surgeries and a couple of endoscopies in the last year. Enjoyed watching your videos to understand more on what happened to me during all the procedures.
I'm the patient that always wants the technical explanations with details. You mentioned that some people can get too anxious by being told too much but I'm the opposite. I need to know as much as possible to be less anxious in such a situation.
For the examples part, it’s too bad you couldn’t play the role of both the patient and the Anesthesiologist, like you did in the video where you said “Okay, Mr. Patient!”
I was in coma for 4 days and in ICU for 2 weeks, I remember waking up i felt odd and then go to touch my mouth the nurse said don't pull it out and explained to me that i am on vent and in ICU it didn't brother me it felt so weird, also too i was pretty out of it. but i was still aware there was tube down my throat. odd thing was i wasn't freaked out by the event and still not. :3 love ur channel bro. i look forward to more awesome content
That would’ve been amazing to have you when I had my wisdom teeth out, it was an absolutely awful experience for me because I wasn’t aware that I might be partially awake during the procedure and I felt like I had “locked in” syndrome where I could think and see and was aware of everything going on around me but no one noticed and although I tried to communicate nothing came out. I suspect that my sensory processing disorder had something to do with it most likely and my body was under reacting to the medication as a result, but at the time I wasn’t aware of that and it terrified me, you’re amazing and keep up the great work!
I totally hear you, my dentist doesn't even get into my mouth without local anesthesia. I also got Attention Deficit Disorder so waving sharp instruments in front of my face just makes my anxiety spike, and in return makes it *even harder to sit still, ignore my itching groin, sweaty palms, uncomfortable position of insert whatever you like*. Simple solution for me is to premedicate myself with Tavor Expidet at the smallest dose you can even officially get of sublingual lorazepame because the dentist has then 2 choices: Either do some anxiety psycho treatments for anxious patients and prolong the entire procedure by several minutes/ up to however long that stuff needs, or just have me swallow a little-lick my-ass-pill-I-don't-care-anymore-pill and just get it over with xD Problem is though, try to find a single pill or two of that, the smallest box has 50 Sublingual Wafers and is highly addictive (meaning one pill for the purpose of oral surgery is totally fine, taking it a week or longer consequtively and you're in trouble) , I don't buy an entire package to throw away 98% of the content^^ Subscribed or handed over in a legit way by a doctor of course, medication like this was also made for a such a purpose like that.
downright terrifying. Could you move your eyes? i feel like they should have been paying more attention. like shouldnt they be checking for brainwaves or something? not much you can do if there is nothing you can do... but id be considering a lawsuit. something like that should never happen considering its one of patients biggest fears. i honestly dont think it has anything to do with you and more to do with them not doing the job right. Stuff like that, they should at least make it free...
@@jessiejanson1528 I honestly don’t remember that part of it at all and considering that the person who took my wisdom teeth out had also taken my dads out and was well established and the best practice around I doubt that it was from them not knowing what they were doing but more than likely me not fully understanding what kind of anesthesia exactly that I’d be receiving or their assistant having trouble adjusting it or something combined with my body’s high pain tolerance/under reaction so a lawsuit wouldn’t do very much now, especially since he’s probably long since retired or no longer practicing as he once was. If it weren’t for those factors however I totally would’ve considered it most likely if I’d thought about it at the time but being a teenager who was still struggling to understand my body’s reactions/responses to stimuli and having anxiety I didn’t think about that at all.
@@starfishgurl1984 Yeah, thats typical i suppose. back then, it was also harder to get legal help without loads of cash while risking being robbed by the lawyer. these days with the internet its much easier to get help and out horrible lawyers and doctors.
@@shadowmystery5613 your dentist can't just give you a prescription for the one or two pills you'll need? When I had dental surgery they gave me a prescription for two pills. I was supposed to take one the night before and one an hour before the procedure but I chose not to take the one for the night before because I felt it was unnecessary to take a sedative just to go to bed. When I got there they gave me something else in powder form and that was it. Obviously they used local but I did not form any memories of the procedure.
I've read some of the comments here and DANG I feel for those that have had several surgeries. I've had two: one long one (8 hour spinal fusion) and one short one (45 minute gallbladder removal and upper endoscopy). Both went about the same. I remember a few minutes leading up to the anesthesia induction and not much until about an hour afterwards. No nausea, no pain, nothing. Aside from that, I can say the rest of the experience wasn't the best. I'll just throw this out there for anyone interested (ahem, Wesley Medical in Wichita, KS ...*cough*). Thanks Max for your videos. Watched a few of your videos before both surgeries. And while I do work in a hospital around nurses and doctors, it is only a critical access hospital. So we don't do anything more than a local anesthetic. But still learned what to expect going into both situations. Thanks again. ✌
I asked questions when I was getting to be put to sleep about my monitoring of my vital signs. They pretty much told me the same as you have in the video. Not sure if I would have been informed if I hadn't asked the questions. It put my mind at ease to know that my vitals would be monitored throughout my procedure. They did a good job making me feel comfortable.
So what does it mean when you have one anesthesiologist putting you under, but when you wake up in PACU he and his boss are there asking you what you remember? By the way your vid’s are great, they made it a lot easier having a little idea what to expect.
I had a procedure recently and the anaesthesiologist explained the sedation level before I went under, she said she could wake me up if needed, unlike the type when you go under a serious operation. It was pretty funny because when it just started to work the last thing I said before I went under was "ooh, here we go....!".
I've had many surgeries as a kid (I was born with a physical disability) and the most traumatizing one for me was waking up with the breathing tube after a major back surgery when I was 13. I don't know how long it was until they decided it was finally safe enough to take it out, but it felt like a while and I was terrified
Dr Max, I had knee surgery just minor to try and fix a torn meniscus. Last thing I remember was an oxygen mask on my face and the Dr saying take deep breaths you need to fill your lungs with oxygen, then I woke up in recovery room. The next day I felt like my whole body was beaten with a stick! Everything from my neck down was sore and really hurt. A few months later I almost severed two fingers on my hand, I had surgery the next day. The Anesthesiologist gave me something and I felt fantastic while on the OR table, he said here comes the good stuff and that’s the last thing I remember. When I woke up I was already dressed and in a wheelchair! The next day I felt fantastic! Nothing was hurting, well except my hand of course. Given I had done some serious damage to my hand. My question is…. Why did I feel like I was beaten with a stick after simple knee surgery that was maybe 1-1.5 hours of surgery? And my hand surgery was between 3-5 hours in surgery. Could of it been the medications I was given? Hope you get back to me. I really like your videos. Very informative 👍🏻👍🏻
You felt like you were beaten up from the way you were positioned. Some procedures like a knee, hip, shoulder, anterior spine. You get rolled in on the bed then move your butt onto the Jackson or fracture table. After your out the OR staff positions your body to the safest and most appropriate position to proceed. Your either, taped, wrapped or strapped down so you don’t accidentally fall on the floor. Your body is relaxed (paralyzed) and reversed during the procedure and it can cause pain in your muscles. It can also be achy for up to two weeks from how you were positioned. I have had some surgeries where I feel ok after waking up on an open Jackson. I have had some on a fracture table where I feel like I got hit by a train. We try, I personally try my best on every patient to treat them like my mom or sister. With kindness and modesty and help to position in the safest way. Safety and comfort trumps speed. Don’t tell my boss!!
Awesome! A Max Feinstein video! When I started watching your channel about a year ago, I thought you were saying you were an anesthesia resident from “Outside a hospital in New York City)! I thought, “They do surgeries outdoors?” I hope you’re doing well!
When I was doing my IOM internship last year Max’s videos really helped me have clinical conversations with our CRNA’s and made me less anxious when I had to speak with them about our modalities. When I started I was really scared when I would say, Hi, I’m running ssep’s, emg, eeg and tof. May I have half a MAC of gas and I would prefer no NMB after intubation. I felt really uncomfortable asking since I was new and I didn’t want to sound demanding.
I will do anything to avoid an intubation. Both times I walked in with no respiratory problems, and both times left with pneumonia. The first time, I had someone who had never intubated a live person before, and it took him four times before he didn't put it in my stomach. I walked into the OR expecting to die from intubation and giving someone the job who had no idea what he was doing when I was so terrified, I find highly unethical. My surgeon actually apologized and said if she'd realized students were going to be there, she would have rescheduled me. I also woke up with severe pain in my TMJ joint and a huge nasty bite on my lip after the first one. Second one, not so bad, but both times pleaded with my doctor on hands and knees not to intubate me before the procedure. I was told I did not have a choice. I had to consent to general anesthesia for a colonoscopy IF something went wrong. I wanted to watch both my hysteroscopy (with spinal anesthesia) and colonoscopy (with twilighting). Both times fell asleep. No stomach upset after either. Six times I was given general anesthesia between 1979-1986, woke up throwing up forcefully for about an hour after each time.
My first major surgery was my neck and the anesthesiologist came in to see me prior to my surgery and explained in such a way of what would be happening asked me if I had any questions that by the time I went in I was ‘ok’ with what I would be going through, all went well but boy was throwing up after…
I'm a french nurse, and aspire to be a french CRNA in the near future. Could you maybe do a video on how american anesthesiologists work with american CRNAs?
Just a general "differences between an anesthesiologist and a CRNA" would be good. For just squirting in a few CC of Propofol every couple minutes, I've never been wary about a CRNA doing it. But in Las Vegas about a decade ago there was a gastro clinic where the owner ordered the CRNAs to take shortcuts to cut prices and that lead to several deaths when people were infected with Hepatitis. I figure an anesthesiologist wouldn't let himself be bullied by the clinic owner, while the CRNA was not on an equal playing field and even if he knew it was wrong he didn't have the stones to tell the doc "no way". (The shortcut was using large bottles of one-patient-only Propofol on multiple patients, and then failing to use a new syringe and needle with each draw of the med. I'm sure they figured "nothing is going to climb up the IV tube" but they were oh so very wrong.)
Hey Doc, I'm not board certified, but I don't believe the patient behind you has taken a breath since you started. You might want to get out one of those soft plastic thingies?
I remember after my Bowl obstruction surgery, I felt nauseous and when I felt like throwing up I tried to point and sign the word "trash" (I took American Sign Language/ASL in Highschool), but it was too late and I threw up next to my hospital bed. I apologized and said that I was trying to communicate with them, but that it was already too late and I couldn't hold it in much longer. My attending nurse said that I was fine. I think they even told me that they should have noticed sooner. So yeah, nausea is a real thing. Another thing is that I had been used to being completely unconscious during operations like my Catheterizations for my heart condition, that when I had a coil put in as a preventative for a small aneurysm, I was surprized to be alert during the entire operation! Unfortunately during that time my brother was trying to pop my back and because of my unique anatomy, he accidentally hurt my chest and I'm pretty sure I had internal bruising. Luckily I had been recovering enough so that laying down didn't feel as painful as it did the first few days right afterwards. On top of this I was wearing the wrong shoes outside and slightly twisted my ankle. While I was relieved to not have to watch some neighbors dogs nextdoor (yes that was already planned, though my injuries were not... My Mom helped), it was not fun being awake and aware for 8 whole hours! (I think because of my heart condition, with the associated low blood pressure, I was not allowed any more anesthetics besides the necessary protocols.) Two hours was the operation and six hours was me having to lay down on my back! It was first thought that I would only have to stay 2 hours after my operation, but wanting to make sure my incision was sufficiently healing enough to allow me to go home. I was so glad when I finally got to go to bed and sleep. 😌 Crazy times, but I'm glad I know what question to ask in case I ever have to endure this again.
I don't remember most of the anesthesiologists discussing the anesthesia that would be used except in one shoulder surgery where I had read some anesthesia medical journals and orthopedic journals about my procedure and how it's done and possible complications. I decided I did not want a brachial-plexus block because of the rare possibility of paralysis. The Dr. Told if I didn't want that I would need General anesthesia but the surgery is so painful I would need so much pain relief it could suppress my being able to breathe and that would be more dangerous. I caved in and let him do the block. No problem at all and I had almost 24 hrs. Without pain. I waited to make sure I could feel again before taking pain meds. Huge mistake. It took 2500 mgs of Vicodin before the pain calmed down enough I could get 3 hours of sleep. I was also up all night running to the bathroom 26 times. When I asked the Doctor about it he told me they give you Lasix so you do not have a bunch of fluid in your chest cavity because there is an open space. If you have a lot of fluid there it can cause a heart attack. The next few days I slept sitting up in a recliner. What I will say to anyone start taking your pain meds before you leave the hospital. Take them every 4 hours so when all your anesthetic wears off you will have some pain relief in you. Never, ever, ever wait to see how bad the pain will be before starting your pain meds. Ginger helps nausea. Get the tea or some real Ginger snap cookies, saltines also help. Eat some small meals with fruits. The first 48 hours post surgery are your worst. It gets better after that, slowly but it does.
You always post great videos! I have had "outpatient" procedures with just sedation. I never remember talking with an anesthesiologist. I have also had "outpatient" procedures where I met with an anesthesiologist and was completely "asleep". I have also had some longer, more serious surgeries where the anesthesiologist asks me tons and tons of questions before hand. Could you shed some light on that?
Having had 13 spine surgeries/fusion in entire lumbar area, every time after surgery my pain management has become more and more difficult, really to the point where pain management team needs to get involved… how common is this? And can I expect this to only get worse should I need more surgery, of any kind? Thanks doc and love your content
I have anesthesia awareness, I wake up and I’ve heard that anesthesiologist and the surgeon say she’s fully awake. She’s fully awake after 10 minutes of me panicking trying to close the breathing tube out and choking on it actually more like 7 to 9 minutes and a move after being given a paralytic.
They put in the chart their notes that I’m tachycardic and then it takes another 7 to 10 minutes after seeing that to realizing I’m panicking choking on the breathing tube to it after realize that I’m awake and choking on the breathing tube even with me telling them that it won’t happen to me this time and having previous notes from other anesthesiologist, they all think to happen this time I alway get general because even after 34 doses of proof with all ketamine verse, said, I’m still able to get up and walk and get on the table myself
I woke up during a general. Back surgery through stomach. Woke up, couldn't move, couldn't see, but oh, the pain, hands tugging slicing in belly... Most light sedation they always have ato give me more.
Wait WHAT!? Jesus! You had an ALIF ( or LDR) and you were awake during your GA! I can garuntee your surgeon didn’t use IOM because we can see if your light and we can also see your eeg activity and tell our CRNA’s. What a horrible horrible experience for you!
I was only concerned about the tube...I made sure I would be asleep during insert and removing from anesthesiologist. For some reason that was my biggest fear. lol.
Hey Doc! Can you do a video of what our body goes through to get rid off the anesthesia afterwards? Is it true we lose brain cells or is that just a joke? Why sometimes Anesthesia make people cry and or depressed? I’ve personally experienced crying afterwards but Not with every procedure. Does it depends on the drug combo? Does The use of Ketamine help and should I request it? Is it true it takes about 6-12 months to completely recoup from Anesthesia? How long before we detox from it? And why do Some of us love anesthesia? 😊 It feels like such a good restful sleep! Thank you for your Time and education! Teresa From Sunny Vero Beach, Florida. 🌞 🏖
He has a video on it explaining of the surgeon wants the patient totally “paralyzed” or not, especially when it involves Spine surgery because of All the nerves involved.
I had throat surgery several years ago. The CRNA who took care of me was one of my partners and medic students way before he was a CRNA When i got into the or he laid the scope and tune on my chest. There was some banter between us and the surgeon had a few good laughs. I asked how am i being induced and was told propofol i said make sure the tube goes in the right spot at which point the i went to sleep it was comical and a year post op the ENT was still laughing about that
Hopefully you can answer this question. Have had multiple mri’s mostly in the “open” machines usual take a couple Xanax and I’m ok. I’m scheduled for a closed machine mri I’m extremely claustrophobic it’s a week away and my anxiety is already through the roof. I need to ask my doc for something to take before going any recommendations I don’t want him to just say take a couple Xanax and you’ll be fine it won’t work that way. I’d prefer something that will either just about put me to sleep or just make me dumb enough where I don’t care. I will obviously need a ride to and from the procedure. Hopefully you can make a suggestion so I can ask my doctor. Thanks for any input.
never knew youd be awake for some of this stuff, can you move? sounds horrifying. id prefer to be knocked out. cant imagine how horrible it would be to expect to be knocked out and still be awake for the surgery. talk about anxiety! I really hope they dont surprise people with that!
I would like to know how general anaesthetic works for jaw surgery, i.e., what would be used for breathing as the surgery takes place in the mouth I had this done a good few years ago don't remember the breathing part being discussed all I know is I was out of it and didn't know what was happening till I woke up
How come does my blood pressure go low after my surgery on the breast and the blood pressure is a little bit of a rule for the best way to make a red tail light on your own to my brain 🧠.
In 2000 i had a surgery done to my upper jaw. In the recovery room I noticed that when i came out i had a tube in my nose. And i had apparently a “huge” fight with it. Next moment i came back I was rolled to ICU. Might it be handy that if i have a surgery that i need to tell that? In general i hate having things on my body. Just a honest question.
Id say ask the surgeon who and if you could meet the anesthesiologist. If not, you should mention that reaction to the surgeon. If you do get an anesthesiologist, you should mention it to them. Id love to see a video where he asks his questions to someone before surgery.
@@jbreezy101 I’ve had about 20 procedures and the anesthesiologist always comes in and “interviews” me. First question is, have you ever had anesthesia before and ANY complications/Trouble. Then his Assistant also asks me questions.
I just canceled colonoscopy because the " round up rodeo" doesn't do consultations. You don't see the doc or anesthesia person until the day of procedure. What? I can pay extra for a sit down talk, but What? That place doesn't sound like an experience I can trust.
Get it done! I just had my done and also an endoscopy (try to get that done too while you are already under)! I’ve about 20 procedures with Anesthesia. It’s Always a few minutes Before the procedure. It’s better this way anyway! The “interview” is Fresh in his/her mind. Much better than days before the procedure where he won’t remember you! Get your colon checked! It may save your live!
When I have a procedure with conscious sedation or like a Mac local I wake up every time now if I wake an during a Mac local I usually can get them to give me a little profile ever said to just finish the procedure but I have had an angiogram and I told the doctor you are going to have to give me enough medicine to kill a horse I just have a high tolerance for pain meds and anesthesias so anyway I was awake the whole time and my arteries were cramping I kept begging for more medicine and they wouldn't give it to me and so finally the doctor pulled out his instruments through them on his silver tray and said take her to phase 2 she's already awake and will just have to do open heart
I hate when doctors don't listen to patients with tolerances. I'm on 125mg oxy a day and also 10mg lorazepam dialiy. So they need to multiply my fentanyl and midazlam by a factor of 10 roughly. I needed 2000mcg fent and 150mg midazolam to induce.
@@retinapeg1846 I'm in the same situation that you are I'm also on 125 mg of oxy a day three muscle relaxers a day four Xanax a day. I cannot stand a doctor that doesn't realize we know our own bodies better than a science book does nothing about me is textbook anything not even my anatomy when I get an epidural they have to go in and fish for it they can't just hit the nerve where it's supposed to be
@@retinapeg1846 My doctors usually understand or the surgeons do it's the anesthesiologist that has crossed the line of confidence into cocky and don't want to listen to the person that knows their body best which is you and me and any other patient that they see nobody is textbook patience
When I had my open heart surgery I just demanded to schedule it on a day or when a particular anesthesiologist is there I call on the phone weeks an or at least start that way before the procedure I will only allow certain anesthesiologist to work with me because the other ones won't listen to me about my body they listen to them about what my body is when I had my open heart surgery I didn't have time to pick out my own.
I read in the past that Anesthesiology was the only thing that can take you that close to death and bring you back again. It intrigues me regarding consciousness which cannot be defined by the greatest minds, how do you circumvent consciousness? Closer to truth/Robert Lawrence Kuhn for reference
So TH-cam is weird. Like why aren’t there more practicing doctors on the internet. Like learning about how to take care of yourself in the next science is a huge learning curve and also like geopolitics. Like it’s so annoying TH-cam is seen as a resource but I had to wait years to even have a doctor in my feed. Like how long to even see like what the complexity of climate change and how that effects not just a person but what does a critical mass do in climatic chaos.
![[Sub Thai] APT. - ROSÉ & Bruno Mars](http://i.ytimg.com/vi/bYjhzP8x_uc/mqdefault.jpg)
I unfortunately have had 10 surgeries. What I find fascinating is how different each experience has been. I’ve been completely out, remember nothing, waking up puking my guts out. I’ve been kinda out but not really aware, I’ve been out but waking up towards the end and completely aware, I’ve been out and had a hard time waking up, and several more experiences. It’s just interesting how no one experience has been the same as the next.
You need to tell the Anesthesiologist about the side affects of Nausea with anesthesia. The very first time had surgery, I puke my brains out! That was 30 years ago. I have anesthesia about 15-20 times since and when the doctor comes in and asks me: Any trouble with Anesthesia before. I say, yes! Nausea. I need something to prevent it. They give you a drug via the IV and Zero Nausea! Last surgery I had, they gave me a pill for nausea (first time given a pill for it) well, the pill doesn’t work because I fell nauseous right after waking up. I told the nurse and she immediately put something in my IV and fell better a minute later. Communication IS Key with the Anesthesiologist. I love going under…….. 😅
I remember waking up and puking my guts out.
@@afilthycasual58 When was that 1890? Nausea is a thing of the past.
if you get nausea, they them know like orchid said they can give you IV drugs. when i get knocked out for my surgery for my teeth, i always get a headache, then i get barfy after fact because i had a little water for the meds i had to take. they gave me IV drugs for nausea, i joke with anesthesiologist telling don't tell me you put vodka in the induction meds lol. I grin at him laughing. he says nope not today memphis, he smiles and lets out a chuckle. i know the staff there, pretty awesome. i assume they use different recipes and level
I’ve had 4 surgeries and same thing happened to me!
Oh, Dr. Max, I pray you are a mentor and teacher of anesthesiologist students. Your patient centered approach is awesome. Years ago I had to have a right ovarian teratoma removed. On the morning of the surgery, the anesthesiologist came banging into my room at 4:00 a.m., startled me awake , rattled off what he was going to be doing then went banging out 2 minutes later Leaving Me In A Daze with elevated blood pressure. The only thing that kept me from running away was knowing that my GP (who had delivered me!) was assisting the OBGYN with surgery and I knew he would look out for me. Came out of surgery and anesthesia just fine. It wasn't until years later I understood the pharmacology behind it working in the pharmacy myself. I remembered what it felt like to not understand and tried to inform patients as much as possible. Now I'm retired. My whole point is that you can take a poor experience and use it to better someone else's life. Love your videos.
I'm picturing the anesthesiologist bursting in like the Kool Aid man. 😂
i loved watching your videos when i was in hospital; it was really trippy to see how it all works before i got anesthesia
I've had three surgeries looking at a fourth coming up. Waiting for my Dr's assistant to schedule that one. First one they just gave me some numbing medicine in my arm for a minor surgery on it. The second one my anesthesiologist told me he was going to give me moderate sedation. He forgot to check with surgeon before telling me that. When my surgeon came in the or and saw I was not under general he told my anesthesiologist he wanted me under general during the operation. I vaguely remember waking up from it still in the or with a tube down my throat on the ventilator and the anesthesiaoligist taking it out. The third one I was under general and remember waking up in recovery.
Great info man! You’re awesome! I have had 14 surgeries because of my cerebral palsy, I’m not scared of anesthesiology, that’s one of the reasons I tried to go to college to be a anesthesiologist, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy! You rock man
Keep trying to go to college. I have severe back pain with 11 surgeries under my belt and I'm hoping to be able to tolerate sitting through college classes to be a spine surgeon one day. I'm 39 and am still hoping for the best and will keep trying.
@@CynthiasTikka that’s awesome! Don’t give up!
I wish you were my anesthesia guy, I'm having my first ever surgery in 2 weeks, a mastectomy. I'm scared out of my wits but I would feel safe with you.
Dr. Feinstein... if you ever decide to change professions, you should become a teacher!! These teaching videos are fantastic and VERY easy to follow!
Thank you for mentioning the fact that a patient may remember waking up with the breathing tube still in place. I had surgery November 7th, and this happened to me. I remember biting down on the tube, and they urgently told me not to. Then they quickly removed the tube, and I started coughing. Next thing I know, I was waking up in recovery with the nasal cannula. I’ve had other surgeries, but this is the first time I remember being extubated. Great videos!
I had more then eleven generals but on my last one, about a mounth ago this also happened to me. I remember like 10-15 seconds of the emergence, the tube was still in place, doctor was calling my name and i could hear the suction. And that was about it, next thing i remeber i was back in the ward. Funny , i was never able to make memories on the route from the OR back to the ward ;D
Was it traumatic to wake up with the sleeping tube in your mouth? Or were you too out of it?
@@LKA-si7ln I was too out of it for it to be traumatic. When they removed it I started coughing, which is a normal reflex. Next thing I remember I was waking up in the recovery room.
Interesting. I’ve had many surgeries and also had quite a few procedures when I was knocked out for just a short time. I have never had an anesthesiologist talk to me about how deep I’d be under, what to expect, or anything they would be doing. They ask me questions regarding my prior anesthesia events, but never tell me anything about what they may or may not be doing.
How are you consenting without being told what you're truly consenting to?
@@XSemperIdem5 That’s a very good question. I have another surgery in 3 days. I’m definitely going to pay attention to what they say this time. It will be at a different hospital than I have usually been going to, but I wouldn’t think that would matter.
@@CrankyPantss I've seen how some medical staff try to rush the paperwork and a lot of people trust them and sign. The information you weren't told verbally is probably in the paperwork itself but they just put it in front of you and tell you to sign. At the end of the day those are legal forms you're signing. I come from a legal related background so you bet I am reading every word.
@@XSemperIdem5 I had my surgery last week. The anesthesiologist didn’t say much of anything. He introduced himself and then asked me a few questions about my prior anesthesia experience, then the surgeon walked in the room, so the anesthesiologist just left. He couldn’t have been in with me for 5 whole minutes. I can’t imagine what the patient would think if it was their first time and nervous about the procedure.
At the hospital I go to for surgeries (Froedtert) in Milwaukee, WI, I usually work with a trainee along with the Anesthesiologist. I’m perfectly fine with that, since Froedtert is a teaching hospital that works with students from the Medical College of Wisconsin, which is next door.
Great vid, Max (as always)! You did do one of the things that drives me crazy about doctors, though. I swear you could be planning to cut someone open for a major surgery without anesthesia but would tell the patient they may experience "discomfort." I there something in the code of ethics or in employment agreements that bans doctors from using the "p" word? We can tell the nurse our pain level is at an 8, and the doctor will still refer to it as "discomfort." Using the word "discomfort" to describe what the patient is experiencing or might experience during a procedure is really minimizing their experience and being dismissive. For what it's worth from one patient's perspective.
Being a neuro patient, and neurophysiologist. I straight up say pain. When I’m asked as a patient I say pain. When I talk to my patients I will say I put in and take out my needles while your asleep so you don’t feel any pain. Getting your back filleted open causes pain. Sticking needles in peoples hands, feet, scalp causes pain. I’d rather not feel it. I’d rather my patients not feel it.
I agree. I never trust docs.
4:20 Huge deal. My son had emergency surgery due to a compound fracture many years ago. We met the surgeon and anesthesiologist prior to surgery. He went back all well. We decided to walk to get some coffee about half hour later. We passed the anesthesiologist in the hall. That was a little unnerving. I asked and he explained another team member was monitoring our son. Nothing would have changed, but nice to know upfront.
Thanks Dr Max. Had 2 major surgeries and a couple of endoscopies in the last year. Enjoyed watching your videos to understand more on what happened to me during all the procedures.
GREAT VIDEO Max! Keep them coming - huge value to the patient's and anesthesia practitioners! Greetings and congratulations from NYSORA!
I'm the patient that always wants the technical explanations with details. You mentioned that some people can get too anxious by being told too much but I'm the opposite. I need to know as much as possible to be less anxious in such a situation.
For the examples part, it’s too bad you couldn’t play the role of both the patient and the Anesthesiologist, like you did in the video where you said “Okay, Mr. Patient!”
I was in coma for 4 days and in ICU for 2 weeks, I remember waking up i felt odd and then go to touch my mouth the nurse said don't pull it out and explained to me that i am on vent and in ICU it didn't brother me it felt so weird, also too i was pretty out of it. but i was still aware there was tube down my throat. odd thing was i wasn't freaked out by the event and still not. :3 love ur channel bro. i look forward to more awesome content
That would’ve been amazing to have you when I had my wisdom teeth out, it was an absolutely awful experience for me because I wasn’t aware that I might be partially awake during the procedure and I felt like I had “locked in” syndrome where I could think and see and was aware of everything going on around me but no one noticed and although I tried to communicate nothing came out. I suspect that my sensory processing disorder had something to do with it most likely and my body was under reacting to the medication as a result, but at the time I wasn’t aware of that and it terrified me, you’re amazing and keep up the great work!
I totally hear you, my dentist doesn't even get into my mouth without local anesthesia. I also got Attention Deficit Disorder so waving sharp instruments in front of my face just makes my anxiety spike, and in return makes it *even harder to sit still, ignore my itching groin, sweaty palms, uncomfortable position of insert whatever you like*.
Simple solution for me is to premedicate myself with Tavor Expidet at the smallest dose you can even officially get of sublingual lorazepame because the dentist has then 2 choices:
Either do some anxiety psycho treatments for anxious patients and prolong the entire procedure by several minutes/ up to however long that stuff needs, or just have me swallow a little-lick my-ass-pill-I-don't-care-anymore-pill and just get it over with xD
Problem is though, try to find a single pill or two of that, the smallest box has 50 Sublingual Wafers and is highly addictive (meaning one pill for the purpose of oral surgery is totally fine, taking it a week or longer consequtively and you're in trouble) , I don't buy an entire package to throw away 98% of the content^^
Subscribed or handed over in a legit way by a doctor of course, medication like this was also made for a such a purpose like that.
downright terrifying. Could you move your eyes? i feel like they should have been paying more attention. like shouldnt they be checking for brainwaves or something? not much you can do if there is nothing you can do... but id be considering a lawsuit. something like that should never happen considering its one of patients biggest fears. i honestly dont think it has anything to do with you and more to do with them not doing the job right. Stuff like that, they should at least make it free...
@@jessiejanson1528 I honestly don’t remember that part of it at all and considering that the person who took my wisdom teeth out had also taken my dads out and was well established and the best practice around I doubt that it was from them not knowing what they were doing but more than likely me not fully understanding what kind of anesthesia exactly that I’d be receiving or their assistant having trouble adjusting it or something combined with my body’s high pain tolerance/under reaction so a lawsuit wouldn’t do very much now, especially since he’s probably long since retired or no longer practicing as he once was. If it weren’t for those factors however I totally would’ve considered it most likely if I’d thought about it at the time but being a teenager who was still struggling to understand my body’s reactions/responses to stimuli and having anxiety I didn’t think about that at all.
@@starfishgurl1984 Yeah, thats typical i suppose. back then, it was also harder to get legal help without loads of cash while risking being robbed by the lawyer. these days with the internet its much easier to get help and out horrible lawyers and doctors.
@@shadowmystery5613 your dentist can't just give you a prescription for the one or two pills you'll need? When I had dental surgery they gave me a prescription for two pills. I was supposed to take one the night before and one an hour before the procedure but I chose not to take the one for the night before because I felt it was unnecessary to take a sedative just to go to bed. When I got there they gave me something else in powder form and that was it. Obviously they used local but I did not form any memories of the procedure.
I've read some of the comments here and DANG I feel for those that have had several surgeries. I've had two: one long one (8 hour spinal fusion) and one short one (45 minute gallbladder removal and upper endoscopy). Both went about the same. I remember a few minutes leading up to the anesthesia induction and not much until about an hour afterwards. No nausea, no pain, nothing. Aside from that, I can say the rest of the experience wasn't the best. I'll just throw this out there for anyone interested (ahem, Wesley Medical in Wichita, KS ...*cough*). Thanks Max for your videos. Watched a few of your videos before both surgeries. And while I do work in a hospital around nurses and doctors, it is only a critical access hospital. So we don't do anything more than a local anesthetic. But still learned what to expect going into both situations. Thanks again. ✌
I asked questions when I was getting to be put to sleep about my monitoring of my vital signs. They pretty much told me the same as you have in the video. Not sure if I would have been informed if I hadn't asked the questions. It put my mind at ease to know that my vitals would be monitored throughout my procedure. They did a good job making me feel comfortable.
So what does it mean when you have one anesthesiologist putting you under, but when you wake up in PACU he and his boss are there asking you what you remember? By the way your vid’s are great, they made it a lot easier having a little idea what to expect.
I had a procedure recently and the anaesthesiologist explained the sedation level before I went under, she said she could wake me up if needed, unlike the type when you go under a serious operation. It was pretty funny because when it just started to work the last thing I said before I went under was "ooh, here we go....!".
I've had many surgeries as a kid (I was born with a physical disability) and the most traumatizing one for me was waking up with the breathing tube after a major back surgery when I was 13. I don't know how long it was until they decided it was finally safe enough to take it out, but it felt like a while and I was terrified
Dr Max, I had knee surgery just minor to try and fix a torn meniscus. Last thing I remember was an oxygen mask on my face and the Dr saying take deep breaths you need to fill your lungs with oxygen, then I woke up in recovery room. The next day I felt like my whole body was beaten with a stick! Everything from my neck down was sore and really hurt. A few months later I almost severed two fingers on my hand, I had surgery the next day. The Anesthesiologist gave me something and I felt fantastic while on the OR table, he said here comes the good stuff and that’s the last thing I remember. When I woke up I was already dressed and in a wheelchair! The next day I felt fantastic! Nothing was hurting, well except my hand of course. Given I had done some serious damage to my hand. My question is…. Why did I feel like I was beaten with a stick after simple knee surgery that was maybe 1-1.5 hours of surgery? And my hand surgery was between 3-5 hours in surgery. Could of it been the medications I was given? Hope you get back to me. I really like your videos. Very informative 👍🏻👍🏻
You felt like you were beaten up from the way you were positioned. Some procedures like a knee, hip, shoulder, anterior spine. You get rolled in on the bed then move your butt onto the Jackson or fracture table. After your out the OR staff positions your body to the safest and most appropriate position to proceed. Your either, taped, wrapped or strapped down so you don’t accidentally fall on the floor. Your body is relaxed (paralyzed) and reversed during the procedure and it can cause pain in your muscles. It can also be achy for up to two weeks from how you were positioned. I have had some surgeries where I feel ok after waking up on an open Jackson. I have had some on a fracture table where I feel like I got hit by a train. We try, I personally try my best on every patient to treat them like my mom or sister. With kindness and modesty and help to position in the safest way. Safety and comfort trumps speed. Don’t tell my boss!!
Awesome! A Max Feinstein video! When I started watching your channel about a year ago, I thought you were saying you were an anesthesia resident from “Outside a hospital in New York City)! I thought, “They do surgeries outdoors?” I hope you’re doing well!
When I was doing my IOM internship last year Max’s videos really helped me have clinical conversations with our CRNA’s and made me less anxious when I had to speak with them about our modalities. When I started I was really scared when I would say, Hi, I’m running ssep’s, emg, eeg and tof. May I have half a MAC of gas and I would prefer no NMB after intubation. I felt really uncomfortable asking since I was new and I didn’t want to sound demanding.
I had open heart surgery multiple times as a baby, and I find anesthesia super interesting and cool.
I will do anything to avoid an intubation. Both times I walked in with no respiratory problems, and both times left with pneumonia. The first time, I had someone who had never intubated a live person before, and it took him four times before he didn't put it in my stomach. I walked into the OR expecting to die from intubation and giving someone the job who had no idea what he was doing when I was so terrified, I find highly unethical. My surgeon actually apologized and said if she'd realized students were going to be there, she would have rescheduled me. I also woke up with severe pain in my TMJ joint and a huge nasty bite on my lip after the first one. Second one, not so bad, but both times pleaded with my doctor on hands and knees not to intubate me before the procedure. I was told I did not have a choice.
I had to consent to general anesthesia for a colonoscopy IF something went wrong. I wanted to watch both my hysteroscopy (with spinal anesthesia) and colonoscopy (with twilighting). Both times fell asleep. No stomach upset after either. Six times I was given general anesthesia between 1979-1986, woke up throwing up forcefully for about an hour after each time.
My first major surgery was my neck and the anesthesiologist came in to see me prior to my surgery and explained in such a way of what would be happening asked me if I had any questions that by the time I went in I was ‘ok’ with what I would be going through, all went well but boy was throwing up after…
I'm a french nurse, and aspire to be a french CRNA in the near future. Could you maybe do a video on how american anesthesiologists work with american CRNAs?
Just a general "differences between an anesthesiologist and a CRNA" would be good. For just squirting in a few CC of Propofol every couple minutes, I've never been wary about a CRNA doing it. But in Las Vegas about a decade ago there was a gastro clinic where the owner ordered the CRNAs to take shortcuts to cut prices and that lead to several deaths when people were infected with Hepatitis. I figure an anesthesiologist wouldn't let himself be bullied by the clinic owner, while the CRNA was not on an equal playing field and even if he knew it was wrong he didn't have the stones to tell the doc "no way".
(The shortcut was using large bottles of one-patient-only Propofol on multiple patients, and then failing to use a new syringe and needle with each draw of the med. I'm sure they figured "nothing is going to climb up the IV tube" but they were oh so very wrong.)
Hey Doc, I'm not board certified, but I don't believe the patient behind you has taken a breath since you started. You might want to get out one of those soft plastic thingies?
6:14 of course the most important element of the anesthesia briefing is that "check out this video" plug XD
Very helpful for RN circulators.👍🏾👍🏾
I remember after my Bowl obstruction surgery, I felt nauseous and when I felt like throwing up I tried to point and sign the word "trash" (I took American Sign Language/ASL in Highschool), but it was too late and I threw up next to my hospital bed.
I apologized and said that I was trying to communicate with them, but that it was already too late and I couldn't hold it in much longer. My attending nurse said that I was fine. I think they even told me that they should have noticed sooner.
So yeah, nausea is a real thing.
Another thing is that I had been used to being completely unconscious during operations like my Catheterizations for my heart condition, that when I had a coil put in as a preventative for a small aneurysm, I was surprized to be alert during the entire operation!
Unfortunately during that time my brother was trying to pop my back and because of my unique anatomy, he accidentally hurt my chest and I'm pretty sure I had internal bruising. Luckily I had been recovering enough so that laying down didn't feel as painful as it did the first few days right afterwards.
On top of this I was wearing the wrong shoes outside and slightly twisted my ankle.
While I was relieved to not have to watch some neighbors dogs nextdoor (yes that was already planned, though my injuries were not... My Mom helped), it was not fun being awake and aware for 8 whole hours!
(I think because of my heart condition, with the associated low blood pressure, I was not allowed any more anesthetics besides the necessary protocols.)
Two hours was the operation and six hours was me having to lay down on my back!
It was first thought that I would only have to stay 2 hours after my operation, but wanting to make sure my incision was sufficiently healing enough to allow me to go home. I was so glad when I finally got to go to bed and sleep. 😌
Crazy times, but I'm glad I know what question to ask in case I ever have to endure this again.
I don't remember most of the anesthesiologists discussing the anesthesia that would be used except in one shoulder surgery where I had read some anesthesia medical journals and orthopedic journals about my procedure and how it's done and possible complications. I decided I did not want a brachial-plexus block because of the rare possibility of paralysis. The Dr. Told if I didn't want that I would need General anesthesia but the surgery is so painful I would need so much pain relief it could suppress my being able to breathe and that would be more dangerous. I caved in and let him do the block. No problem at all and I had almost 24 hrs. Without pain. I waited to make sure I could feel again before taking pain meds. Huge mistake. It took 2500 mgs of Vicodin before the pain calmed down enough I could get 3 hours of sleep. I was also up all night running to the bathroom 26 times. When I asked the Doctor about it he told me they give you Lasix so you do not have a bunch of fluid in your chest cavity because there is an open space. If you have a lot of fluid there it can cause a heart attack. The next few days I slept sitting up in a recliner. What I will say to anyone start taking your pain meds before you leave the hospital. Take them every 4 hours so when all your anesthetic wears off you will have some pain relief in you. Never, ever, ever wait to see how bad the pain will be before starting your pain meds. Ginger helps nausea. Get the tea or some real Ginger snap cookies, saltines also help. Eat some small meals with fruits. The first 48 hours post surgery are your worst. It gets better after that, slowly but it does.
You always post great videos! I have had "outpatient" procedures with just sedation. I never remember talking with an anesthesiologist. I have also had "outpatient" procedures where I met with an anesthesiologist and was completely "asleep". I have also had some longer, more serious surgeries where the anesthesiologist asks me tons and tons of questions before hand. Could you shed some light on that?
Having had 13 spine surgeries/fusion in entire lumbar area, every time after surgery my pain management has become more and more difficult, really to the point where pain management team needs to get involved… how common is this? And can I expect this to only get worse should I need more surgery, of any kind? Thanks doc and love your content
I have anesthesia awareness, I wake up and I’ve heard that anesthesiologist and the surgeon say she’s fully awake. She’s fully awake after 10 minutes of me panicking trying to close the breathing tube out and choking on it actually more like 7 to 9 minutes and a move after being given a paralytic.
They put in the chart their notes that I’m tachycardic and then it takes another 7 to 10 minutes after seeing that to realizing I’m panicking choking on the breathing tube to it after realize that I’m awake and choking on the breathing tube even with me telling them that it won’t happen to me this time and having previous notes from other anesthesiologist, they all think to happen this time I alway get general because even after 34 doses of proof with all ketamine verse, said, I’m still able to get up and walk and get on the table myself
Love your videos 🙏 learned so much n better understanding
I woke up during a general.
Back surgery through stomach.
Woke up, couldn't move, couldn't see, but oh, the pain, hands tugging slicing in belly...
Most light sedation they always have ato give me more.
Wait WHAT!? Jesus! You had an ALIF ( or LDR) and you were awake during your GA! I can garuntee your surgeon didn’t use IOM because we can see if your light and we can also see your eeg activity and tell our CRNA’s. What a horrible horrible experience for you!
Another good one doc
I was only concerned about the tube...I made sure I would be asleep during insert and removing from anesthesiologist. For some reason that was my biggest fear. lol.
Mine too
Hey Doc! Can you do a video of what our body goes through to get rid off the anesthesia afterwards? Is it true we lose brain cells or is that just a joke? Why sometimes Anesthesia make people cry and or depressed? I’ve personally experienced crying afterwards but Not with every procedure. Does it depends on the drug combo? Does The use of Ketamine help and should I request it?
Is it true it takes about 6-12 months to completely recoup from Anesthesia? How long before we detox from it? And why do Some of us love anesthesia? 😊 It feels like such a good restful sleep!
Thank you for your Time and education! Teresa From Sunny Vero Beach, Florida. 🌞 🏖
I’m curious, how much say does the surgeon have on the “depth” of anesthesia?
He has a video on it explaining of the surgeon wants the patient totally “paralyzed” or not, especially when it involves Spine surgery because of All the nerves involved.
I had throat surgery several years ago. The CRNA who took care of me was one of my partners and medic students way before he was a CRNA
When i got into the or he laid the scope and tune on my chest. There was some banter between us and the surgeon had a few good laughs. I asked how am i being induced and was told propofol i said make sure the tube goes in the right spot at which point the i went to sleep it was comical and a year post op the ENT was still laughing about that
Hopefully you can answer this question. Have had multiple mri’s mostly in the “open” machines usual take a couple Xanax and I’m ok. I’m scheduled for a closed machine mri I’m extremely claustrophobic it’s a week away and my anxiety is already through the roof. I need to ask my doc for something to take before going any recommendations I don’t want him to just say take a couple Xanax and you’ll be fine it won’t work that way. I’d prefer something that will either just about put me to sleep or just make me dumb enough where I don’t care. I will obviously need a ride to and from the procedure. Hopefully you can make a suggestion so I can ask my doctor. Thanks for any input.
Ketamine
Midazolam?
This doctor is a super awesome 👌💞👌
What if that patient wants to stay aware and remember without pain and when having HOLEP surgery on the prostate?
never knew youd be awake for some of this stuff, can you move? sounds horrifying. id prefer to be knocked out. cant imagine how horrible it would be to expect to be knocked out and still be awake for the surgery. talk about anxiety! I really hope they dont surprise people with that!
I would like to know how general anaesthetic works for jaw surgery, i.e., what would be used for breathing as the surgery takes place in the mouth I had this done a good few years ago don't remember the breathing part being discussed all I know is I was out of it and didn't know what was happening till I woke up
Does this guy read and answer the questions in the comments?
I had my first surgery and not one time did I talk to the anesthesiologist
Having surgery on January 10, next Tuesday
Can you do videos on nerve blocks?
Gracie, he has. Click on his profile picture and it will take you to his playlist.
@@monicaperez2843 oh thanks!!
How do you manage pain for patients on buprenorphine?
How come does my blood pressure go low after my surgery on the breast and the blood pressure is a little bit of a rule for the best way to make a red tail light on your own to my brain 🧠.
What agents do you use for each level? Where does MAC fall in your continuum?
In 2000 i had a surgery done to my upper jaw. In the recovery room I noticed that when i came out i had a tube in my nose. And i had apparently a “huge” fight with it. Next moment i came back I was rolled to ICU. Might it be handy that if i have a surgery that i need to tell that? In general i hate having things on my body. Just a honest question.
Id say ask the surgeon who and if you could meet the anesthesiologist. If not, you should mention that reaction to the surgeon. If you do get an anesthesiologist, you should mention it to them. Id love to see a video where he asks his questions to someone before surgery.
@@jbreezy101 I’ve had about 20 procedures and the anesthesiologist always comes in and “interviews” me. First question is, have you ever had anesthesia before and ANY complications/Trouble. Then his Assistant also asks me questions.
I just canceled colonoscopy because the " round up rodeo" doesn't do consultations. You don't see the doc or anesthesia person until the day of procedure. What? I can pay extra for a sit down talk, but What? That place doesn't sound like an experience I can trust.
Get it done! I just had my done and also an endoscopy (try to get that done too while you are already under)! I’ve about 20 procedures with Anesthesia. It’s Always a few minutes Before the procedure. It’s better this way anyway! The “interview” is Fresh in his/her mind. Much better than days before the procedure where he won’t remember you! Get your colon checked! It may save your live!
When I have a procedure with conscious sedation or like a Mac local I wake up every time now if I wake an during a Mac local I usually can get them to give me a little profile ever said to just finish the procedure but I have had an angiogram and I told the doctor you are going to have to give me enough medicine to kill a horse I just have a high tolerance for pain meds and anesthesias so anyway I was awake the whole time and my arteries were cramping I kept begging for more medicine and they wouldn't give it to me and so finally the doctor pulled out his instruments through them on his silver tray and said take her to phase 2 she's already awake and will just have to do open heart
I hate when doctors don't listen to patients with tolerances. I'm on 125mg oxy a day and also 10mg lorazepam dialiy. So they need to multiply my fentanyl and midazlam by a factor of 10 roughly. I needed 2000mcg fent and 150mg midazolam to induce.
@@retinapeg1846 I'm in the same situation that you are I'm also on 125 mg of oxy a day three muscle relaxers a day four Xanax a day. I cannot stand a doctor that doesn't realize we know our own bodies better than a science book does nothing about me is textbook anything not even my anatomy when I get an epidural they have to go in and fish for it they can't just hit the nerve where it's supposed to be
@@retinapeg1846 My doctors usually understand or the surgeons do it's the anesthesiologist that has crossed the line of confidence into cocky and don't want to listen to the person that knows their body best which is you and me and any other patient that they see nobody is textbook patience
When I had my open heart surgery I just demanded to schedule it on a day or when a particular anesthesiologist is there I call on the phone weeks an or at least start that way before the procedure I will only allow certain anesthesiologist to work with me because the other ones won't listen to me about my body they listen to them about what my body is when I had my open heart surgery I didn't have time to pick out my own.
I read in the past that Anesthesiology was the only thing that can take you that close to death and bring you back again. It intrigues me regarding consciousness which cannot be defined by the greatest minds, how do you circumvent consciousness? Closer to truth/Robert Lawrence Kuhn for reference
So TH-cam is weird. Like why aren’t there more practicing doctors on the internet. Like learning about how to take care of yourself in the next science is a huge learning curve and also like geopolitics.
Like it’s so annoying TH-cam is seen as a resource but I had to wait years to even have a doctor in my feed. Like how long to even see like what the complexity of climate change and how that effects not just a person but what does a critical mass do in climatic chaos.
Why do they ask you to breathe more in recovery
Love
The patient in the background?
Plastic mannequin
MOM says she just wants to wake up
Two videos
That's too much information for me. I didn't know about the breathing tubes till I watched these.
Don't watch. 😂
The guy on the gurney behind you may need your attention. 😅
🤣 the lab is a great setting for this video