Surgery PTSD: Mind-Body Trauma and Anesthesia
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- เผยแพร่เมื่อ 8 ก.ย. 2024
- Surgery PTSD is often undiagnosed because it can be hard to identify after anesthesia. Learn the symptoms of anesthesia awareness and surgery PTSD so you can help identify this in yourself or loved ones.
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Physical trauma affects our mental health just as much as mental trauma affects our physical health, but my patients rarely know this. Physical effects of PTSD can be seen in surgery under anesthesia, from the neurologic changes of chronic mental health disease, as well as the medications and substances used to manage the symptoms. Anesthesia awareness, in particular, can be a major cause of trauma surgery PTSD. Major depression, anxiety, substance use disorder, and past traumas all have very real effects on our physical body.
I share a personal story from a patient who had a history of physical trauma surgery but never recovered from the mental trauma resulting from it. Those effects of the mental trauma became clear when the patient was under anesthesia for subsequent surgery. This is revealed through heart health, brain response to anesthesia, and so much more. The physical effects of trauma are very real and tangible, especially in the operating room for surgery and anesthesia.
One of the strongest protectors from PTSD is the presence and strength of our support systems. Support before, during, and after a traumatic experience is a strong predictor of whether that experience will turn into PTSD in the future. The medications that our body is exposed to can also affect the risk of developing PTSD in the future after a traumatic episode.
In this video, I travel to the University of California, San Francisco, to reveal this powerful connection between physical traumas and mental traumas, and vice versa. There are many trauma surgeries at the Zuckerberg General Hospital in San Francisco, and we must all appreciate the importance of supporting the mental health of these patients as soon as the physical body is ready. Otherwise, we run the risk of treating the physical body but breaking the mind.
Fortunately, there are powerful ways we can strengthen our mind and body to have incredible resilience and coping mechanisms in the face of life’s inevitable traumas and hardships. You have more power over your health than you've probably ever been told.
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I have PTSD related to chronic life threatening issues as a child. I now provide care in a critical care setting. It is always shocking to me how many people that I work with who think PTSD is only related to war time events. Thank u for doing what u do. Keep spreading the word!
Thank you for your service! Have you been able to find support for your PTSD?
@@MedicalSecrets I have not. I have recently found a professor teaching at a local university. He seems to be one of very few who tackle this topic. Hopefully his teachings and services will help my future self. Thank u again for keeping this at the for front of progressive healthcare. U rock lol
@@PickelsMcPherson,
As a CPTSD survivor and retired Healthcare Professional, I second the recommendation that you find support and recovery.
Your mental health will improve, and your body will thank you.
(please know I'm not saying, "you have mental health problems!" to label, humiliate, upset or shame you.)
I'm saying that dealing with past events sooner, rather than later, is going to bring you benefits in the future as you age.
Learning about it is a good start...therapy from someone who specializes in PTSD will give you tools to help you actively recover.
Childhood trauma can affect your well being in ways I never knew - until I got the help I needed, and still need, decades later.
Think of it as Physical Therapy for the Heart and Mind.
Best regards to you for a full and joyful life. 🌺
“Breaking the brain.” This is a phrase that is very accurate for what can happen in a hospital setting, all in the name of modern medicine. I spent nearly a month in an intensive care unit and was one of the only patients who was fully cognizant, well, I was cognizant and lucid after I stopped hallucinating for a period of 4-5 days from being overdosed on Dilaudid for 1-2 days by my nurses (administering it by IV every 15 minutes). After that hellish experience of hallucinating came the hellish experience of living in ICU and being sleep deprived, bombarded by alarms, monitor noises, lights on 24/7 and staff that would not acknowledge there was such a thing as night hours and would shout in the hallways (not during emergencies, just to communicate or argue or laugh). After about 10 days and having heard people coding, people crying and screaming in anguish when their loved ones died, hearing nurses and doctors next door trying to save someone for an hour-all while sleep deprived and in pain from surgeries-all this on top of trying to make sure nurses were not giving me the wrong meds (a very real thing) and were able to adjust the external drain for my lumbar shunt (most did not) and dealing with multiple doctors who couldn’t be bothered to communicate with each other-“breaking your brain” is totally a proper term to use for what might happen all in the name of getting “medical help.” How anyone makes it through the medical maze without someone alongside them to be an advocate, I don’t know. Side note: the ICU I was in underwent a bit of a staff-overhaul while I was there. Suddenly, the nighttime shifts were making an effort to acknowledge that it was nighttime, when at all possible, such as dimming the hallway lights and making efforts to keep noise to a minimum when no emergencies were occurring. Amazing how much of a difference that made. They weren’t used to having conscious patients and would tell me that. It’s sad they didn’t consider that their “unconscious” patients deserved to be treated as well as if they were conscious. I heard the way they treated them, especially those who were obviously suffering from hallucinations and delirium and it was inexcusable.
Thank you for sharing your experience, it is, unfortunately, a very accurate description like you said 😔
So first off, I am very sorry to read about your ordeal/experience. I must ask, where was this medical facility and did its parent company begin with a 'K'?.
I am so so sorry you experienced all of that. And i want to thank you as well for saying it. You described exactly how it is and how it goes on the ICU. Our medical system NEEDS to have in place mental health support as part of everything. It is not even considered….. things i have to change.
It is so healing for me to hear a doctor acknowledge how medical treatment can traumatize a person.
4 years ago I had to have an emergency spinal fusion in my neck because a disc had ruptured and was compressing my spinal cord. There was no real cause to it, I just had neurological symptoms that gradually got worse over the course of 6 months and nobody took my seriously because I was 21 and healthy.
Being in the hospital was my worst nightmare come true because when I was a very little girl, my pediatrician molested under the guise of a medical exam. I hadn’t told anyone because I wasn’t entirely sure if what he did to me was considering sexual assault, and I didn’t know how to go about talking about it. I still struggle with accepting the title of sexual assault survivor because it makes me feel like an imposter and a liar, even though I know what he did to me was repulsive and there isn’t any way to excuse the way he touched from a medical point of view.
Before my spinal fusion in pre-op a nurse told me that I couldn’t wear my underwear into the operating room. Even though I knew this was coming and knew that I could say no, it set me off. I spent three years in terror after the surgery worrying that they pulled them down during surgery and just put them back up before I woke up.
That worry about my underwear being removed and feeling like I wasn’t in control was what led to my diagnosis of PTSD.
Yes, I was really lucky. I just narrowly escaped becoming a paraplegic, and I had zero physical complications. I barely even had any physical pain after surgery. But the psychological pain I had reliving my childhood trauma over and over again was the most painful thing that I have been through.
My goodness 😞 thank you for your vulnerability in sharing that story. You are not alone in those experiences, nor with those traumatic experiences there after. I can't imagine how difficult it must be having lived with that for so long. I hope others who have had your same experiences feel empowered reading your story. Have you sought professional help for any of this?
@@MedicalSecrets Yes I am in therapy.
I have PTSD from my last/3rd C-section, my spinal stopped working in the middle of the surgery and I will never forget the pain.
I’m glad you are speaking about this. I developed ptsd after 2 major open heart surgeries. I can’t even go for yearly check ups without having full blown panic attacks. I was told by my cardiologist today I have ptsd from the procedures. I have never heard of this before so down the TH-cam rabbit hole I go.
Hi! I'm a psychology student and I just want to say that I love what you do and your videos. You are a true inspiration. Please keep spreading the positivity! Also, thank you for the accurate medical lectures:)..
Thank you for the incredibly kind comments! Keep learning!
Thanks man. I kinda have surgical PTSD but it's for different reasons, mine is that during the height of the pandemic whilst I was an Inpatient of an ICU unit, the alarms, monitors sounds ,vent sounds and then the code blue alarm sounds, I witnessed 3 unsuccessful cardiac arrest of people who were also +ve your video is preparing me for my next procedure
Thank you
Thank you for the kind of words, but I'm sorry you experienced that. I wish you the best for any future interventions or procedures 🙏
Doctor, I truly hope more and more anesthesiologists will learn from you. You have an educator’s spirit. I had a procedure recently with general anesthesia after having the same type of procedure done with conscious sedation which had proved to be quite painful and traumatizing (cerebral angiogram/venogram and venous sinus stent placement that took about triple the normal time). Instead of not remembering much of the first procedure (sedated), I was alert during much of it and feeling much of it-it was super painful and beyond unsettling to feel and hear the wire, and be listening to the doctors as they are discussing things while fishing around in your brain. The pain when the stent was deployed was excruciating. I would eventually get their attention by groaning and the doc would say, “Sorry, dear!” The anesthesiologist kept saying, “I’m going to give her some more.” But it was never enough. I woke up in much pain, and for that they gave me fentanyl which in turn made me extremely nauseous for a day. Thankfully, all of that was avoided with the last procedure when the interventional radiologist decided he’d be merciful and put me under general anesthesia. This last time, I had the most attentive, thorough anesthesiologist and nurse anesthetist. The anesthesiologist did everything in her power to make sure I had a completely different experience; upon arriving in the procedure room and hooking up my IV, she asked, “Are you still feeling anxious?” I said, “Very!” She said, “Then I’ve got something to help you right now,” and whatever she gave me immediately made me feel like I was light as a feather, dancing through a field of flowers. Everything appeared soft focused and I said, “there it is, that’s better…” and then she started the anesthesia. It was such a relief to drift off in a relaxed state! I’ve had a lot of anesthesia over the last year and that was the best experience, really in all of my experiences with anesthesia and I woke up with zero nausea and the most minimal pain considering the procedure. She was tops and I thought of this fine doctor when I thought of what a vastly improved experience it was comparatively. Restored my faith a bit. (Both of these last two procedures were at Mayo Clinic, Rochester MN).
I'm so sorry to hear about your first experience, but I'm grateful for you sharing how our trust and faith can be restored even after challenging experiences. I know many patients have had similar experiences, and they will benefit from your account. Thank you for the kind comments! 🙏
Subscriber Here From Indiana. I've been binge watching your videos. Your amazing! I wish that you could have been my Anesthesia Dr for my past several surgeries. I've woke up twice now and it's a scary feeling. I just wanted to pull the tube out of my mouth but couldn't. I told my surgeon that I heard so much of what he was saying. He couldn't believe it. My last surgery went well though. I was given Versed for my nerves. I do suffer from anxiety and depression. Now PTSD also. Thank you for sharing all your knowledge. I appreciate you!
Really interesting as always!
A month ago I had 6 seizures one after each other, the ambulance gave me medication and I arrived to the hospital in pharmacological coma. They took me out of the induced coma and told my couple that I was still in coma, there was no reaction at all and I was going to ICU ventilated. But the thing is that before the intubation, I remember I was aware at some point of what was going on and I thought ok I arrived to the hospital I'm OK and while I was thinking that and trying to react and understand, they checked my pupils and said "no reaction" and I was freaking out at that point I realized that I couldn't move, talk, blink, NOTHING. And they were preparing me for ventilation. They checked again and said pupils no reaction. It was terrifying!!! I thought they were going to intubate me and I was going to feel everything but they gave me something else y remember the doctor told a nurse and then I woke up in the ICU.
I have been through a lot, 2 brain surgeries.
3 ventilation in this last hospitalization alone. Several seizures that I'm conscious and listening all the worries of the doctors, really long seizures. But I don't think nothing as terrifying as being said my pupils weren't reacting and being trapped in my body
I'm so sorry you experienced that, have you gone over the experience with any of your doctors?
@@MedicalSecrets thank you! Not really. The ICU was really a roller-coaster, I was way too exhausted to talk or even process anything. Once my seizures got "under control" they sent me home. And that part of the whole hospitalization still is somehow like an outbody experience. I did spoke with my private psychologist. And next month I have appointment with my doctor who is in care of coordination between all the other specialists, she's the one that is in charge of my case, because I have to many specialists and is hard for them to communicate and for me to understand everything when I have several specialists and each one speaks about something different of my body.
I do have problems with anesthesia, I have a hard time getting asleep and waking up. My body Naturally rejected medicines from day one. It's really hard for the anesthesiologist and every single specialist to find a medicine that works.
And they have try everything because I'm an "interesting case" so I'm kinda a lab mouse. Now they know wich amount of anesthesia do I need and all that stuff. I'm also deadly allergic to one of the most common anti seizures drugs and one of the other common ones gives me the opposite effect so the 2 you can get in an ER I can get. They have to give me clonazepam or something like that but if is a big one they have to go straight to the midazolam wich is dangerous because not every single er doctor or paramedic is used to midazolam in seizures. And you don't have anesthesiologist around ambulances or sometimes not in time in the ER
I just had catheter ablation surgery a month ago today. During procedure the doctor managed to not only take out all the bad electrical signals, but the good ones too. My heart stopped. I went into cardiac arrest. CPR intubation etc. Hospital said I flatlined for 30 seconds to a minute. They had to put a temporary pacemaker in my groin. I came to intubated and paralyzed. I heard talking ok we got her back. Then they rolled me over and I heard about the Queen passing on the radio. Then my nurse opened my eyes cuz I was unable. He told me Shannon open your eyes. You are ok. Scary moment on the table. You are ok. Deep breaths. We gave you a paralytic but it will wear off soon. You have a tube in your throat. That has to stay in just a while longer. Just do not move your legs. That is a temporary pacemaker and the only thing keeping your heart beating. I thought jeez that's comforting.
In my mind I was freaking out but couldn't move or speak. I vomited once but no one noticed. While I had tube in. Finally when the medicine wore off and I was able to move more and realized I was freaking out. They took my tube out. I vomited everywhere again. I told them about the other time so they ran a suction tube down which did not help me psychologically either. I mean I'm grateful to still be here but holy crap batman what an absolutely terrifying experience. Then to top it off the next day. While getting my permanent pacemaker implanted. The Dr gave me three shots to numb me. They hadn't worked yet. He began to cut where my implant was to be installed. I felt the cut. I screamed. They hit me with whatever meds to put me out. I told my doc at my appointment hey. Ya gotta make sure ppl are numb before u cut. He said yeah. I know that now. I'm so sorry.
What a freaking ordeal.
I really have a hard time getting to sleep since my surgery. I do eventually fall asleep but I'm just terrified. Redheads are prone to PTSD. Lovely.
I had a horrible 10-day hospital stay after a questionable lumbar fusion after lifting something too heavy. Doctor told me he was going to fuse one level and I woke up with two levels fused without my knowledge or consent. this was after next to know patient education as I was hooked up to morphine. Then I was shoved full of laxatives on an empty stomach and vomited bile for hours. There's a long list of things that have contributed to PTSD. My doctor thinks he fixed my back. I'm not sure of that. But I'm pretty sure he broke my mind. Thank you to this doctor for getting it. Perhaps one day my doctor will, but I will have long ago found another competent spine specialist who does.
I'm so sorry you experienced that, but I thank you for your vulnerability in sharing your experiences. I am hoping that you find a healer to help you overcome the challenges you've been through
I'm so sorry. I've had 13 spine surgeries and two were emergent. This video is awesome, it's explaining a lot of things I'm experiencing lately.
Video’s like these are so helpful to me. In May I had a PPH procedure. About 48 hours after the operation I entered a full blown trauma response and felt that I was medically raped in the OR. It was absolutely awful. I am in therapy and it feels other than my therapist nobody understood or believed me. I am a psychologist and psychotherapist myself and I am very careful in using the word “trauma” but I was utterly traumatised. My surgeon was of no help. In surgery our bodies are breached. Freud was right - the breach point becomes “hyper-cathected” it is over charged with psychic energy that contributes to the trauma response. I’m fully healed now but I experienced surgical trauma and it is as real as the earth orbiting the sun.
Great info!! I learned so much! I have had 14 surgeries because of my cerebral palsy and I always trust my anesthesiologist and other doctors, what made me want to become a Anesthesiologist is because I love helping people and anesthesiology is very rewarding! I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college to become a Anesthesiologist after I graduated high school in 08 because of my cerebral palsy! You rock man
Wow, how wonderful, Darrion. My daughter is just about to enter her anesthesiology residency. She absolutely loves it, too, and would not want to go into any other branch of medicine.
@@mamaksstorytime that’s awesome!! I really love Anesthesiologist
I graduated from Nursing School long ago, when it was customary for patients to be admitted the day before surgery.
One of the tasks of the PM shift OR Nurses was to visit every pre-op patient, talk with them about their upcoming procedure, and perform the shave prep. It gave us time to review the chart, educate the patient AND family, help people develop a trusting relationship with the staff, as well as make notes for the OR team about anything that would contribute to a better experience for the patient.
Once we learned that anxious patients have a higher rate of post-op infections, the door opened for us to do more to lower our patient's anxiety levels.
It could be reassurance and sensitivity to individual needs, holding the patient's hand while falling asleep, or simply allowing the patient to vent his fears before being brought into the OR. It takes time and patience to extend the firm, positive, handshake while noticing sweaty palms, dilated pupils, and goosebumps on the arms of a very anxious person. Reading the cues and listening actively can accomplish much during those few minutes.
It's vital professionals communicate effectively and compassionately with the people we serve.
It's a tall order, but possible (I hope) even during these days when every minute of
"Turnover Time" is scrutinized critically.
Bless you a thousand times over. Admitting the late afternoon before is such a brilliant concept. Is it even done these days?
Thanks, very helpful! Love to watch your videos. Can you make a video about not trusting your anesthesiologist? I had 2 emergency surgeries when I was 18 years old. The first one I was treated very badly and there were some serious mistakes. Second time (also emergency) I had a great anesthesiologist who kept distracting me until I was asleep, got the right medication and everything went well.
12 years later I found out I have ptsd because of the first surgery.
Now I need surgery again, and I'm really afraid I can't trust the anesthesiologist. My ptsd is really triggered since I found out I had to go under anesthesia again. I planned to talk about this at the screening before surgery, but I couldn't because he was in a hurry and I didn't felt safe.
I had anesthesia awareness since I had a cesarean. They gave me (gas?) to knock me out.
I felt everything. I tried so hard to scream and years later I found out there was a paralytic drug involved.
I tried to move me arms, they were tied down. I never would have known that but I was awake. Wide awake. I could hear every word the medical staff was saying. The pain was so unbearable I believe I have PTSD from it because I’ve been putting off surgery for so long because honestly, I’d rather die than ever experience that again.
I had carpal tunnel surgery. I told them, and every time I woke up, they increased my anesthesia.
I’m so afraid. I need surgery. What should I do?
THANK YOU For Referring To ALCOHOL As A DRUG!! Most People Don't Think Of It Like That Or Disregard Its Effects As The Drug That It Truly Is! My PANCREAS Helped Me To Get It All Straight😬 - I'm In Year 17 Of My Sobriety...
That's an incredible run of sobriety, congratulations!
@@MedicalSecrets Thank You!! It's Still HARD Work! And WELL Worth It!
Congratulations !🎉 😊
@@heidi5462 Thank You🙏 So Much! It's Not Always A Breeze!
First of thank you so much for the information you share with us, it's helped me immensely with my nerves, hysterectomy coming up October 20th. Now while I'm not usually scared going into to surgery, knowing that it will be a Robotic assisted (not sure if that's how I should refer to it) surgery makes me nervous, something about a human to human interaction makes it better somehow, robotic makes it more....invasive in a way.
Thank you for the kind words. Robot assisted surgery, in particular for a hysterectomy, simply means that a mechanical arm is assisting the surgeon, it is still typically guided exclusively by the doctor, not robot!
I wish you could come to our hospital to give our nurses and CRNAs a refresher course. I have had 3 failed contumacious substations. Nothing like having a panic attack in the middle of a procedure.
I wish he’d come to MUSC in SC and get them educated too.
@@melissamccutcheon1970 is the the VA hospital in Charleston?
@@bgundercover the VA hospital is in Columbia, SC. Main MUSC (medical university) is in Charleston & now they bought Carolinas Hospital in Florence too. They SUCK in Florence. My son has Epilepsy & had 3 different, prominent neurologist all tell him he didn’t & it was only his anxiety until his cardiologist for his Dysautonomia sent him to a Neurologist in Sumter that knows about Dysautonomia cuz my son was neurologically dominant & he hooked him up for baseline EEG in office on day 1 & immediately said he has classic epilepsy & set him up for week long, in home, recorded study to figure out what type of seizures he had. He has frontal, temporal and absent. Once I pulled medical records from 2 separate inpatient stays with similar testing, he showed me how their eeg results laid over what he’d done as baseline was the same. I even videotaped my son seizing while hooked to eeg inpatient & they said it wasn’t a seizure 🤦♀️
@@bgundercover There is a VA hospital in Charleston. My husband has been there many times. I'm a OR RN, so I have gone to his appointments as well. I'm pleased with the facility. The only problem is they're understaffed. It's not the staff's fault.
I had a fall which ended in ER. It was during COvid shutdown and the care was horrid. I ended up needing surgery even though the ER dr said I would not. The ER dr tried to put something back in place and he couldn't. In fact probably made it worse. I've never been the same since that ordeal. Anesthesiologist made a mistake in surgery and I lost the use ofmy dominant arm. PTSD for sure now.
Yes thankyou for explaining this l am a suffer x
I'm sorry to hear that. I hope this raised awareness
Love what I'm watching thank you
This is so true it’s ridiculous.
Two years ago I had gallbladder surgery. Woke up in the recovery room crying and hyperventilating from massive pain. Took two shots of Dilaudid to sedate me. Turns out I have the redhead gene where I metabolize pain meds quicker. Then later in my hospital room I watched nature scenes that tripped my mind to being back in ICU four years earlier for a pulmonary embolism. Plus I developed a blood clot in my leg afterwards. That whole experience created PTSD that I can't shake off.
Thank you for the videos. You sharing this information is so helpful.
My 10 yo daughter has had 12 surgeries and 13th surgery is in the next year (She has Spina Bifida). I worry so much about her dealing with future surgeries and the ptsd that could be related. As a child I woke up in my first surgery at 4 yo and remember it extremely well. The last surgery I had I woke up crying wanting my husband asap. We try everything we can to make sure she has a happy send off and a comforting return from surgery. She's getting older and in some ways braver (she asks for an IV start instead of put to sleep with mask first). In other ways becoming more aware of what happens and it has become a bit scarier for her. I appreciate this explanation and encouragement. It's a great thing to hear from an anesthesiologist. We usually don't get a full conversation with them and have never seen the same one twice.
Wow another informative one. Thank you
Please do some vids about why it’s hard to wake up from anesthesia n what i can tell the dr for future surgeries. Last time i was admitted for a brief outpatient surgery cuz i couldn’t wake up
I already have some videos, but there are more in the pipeline!
I have great respect for you anesthesiologists, I’ve had many surgeries and I’ve got a few more to go and some may never happen just due to their nature 😢I rarely have any problems with the anesthesia, I am curious about whether I say weird things when I’m sedated or not 😂 because I have some serious medical PTSD going on and if I’m doing stuff like that I’d want to apologize to them for whatever weird things I’ve said 😢
Hey Dr Kaveh! I have a close family member who is interested in this kind of thing. I know you have an MD and specialize in Anesthesiology. However, before I show them your videos, I need to have sources for the points about how psychology is affected by trauma, and trauma responses with anesthesia. I hear a lot of points that sound really sensible and logical, but since psychology is not your educational specialty, I was really hoping to hear the resources, studies, etc that you’re getting your information from, and not just a deep common sense! Thank you so much, and I really hope I can send this to my family member, because I think they would greatly benefit from this info-!!
I had a double jaw surgery, that left me with mild ptsd. I don't remember being awake during surgery, but when i woke up during transportation to another room after the surgery, I remember having a hard time breathing and trying to sit up, and one of the doctors pushing me down, trying to calm me down, after that i passed out. Since then I had random emotional reactions, when i was waiting for a visit and looked at a door to a doctors office, or i would feel anxiety and panic when looking at lamps at my ortho's office. Even after 7 years when i was going for a gastroscopy, and i was lying down, waiting for an anesthetic, I've had the same feeling of panic.
Interestingly enough, all of my doctors didn't want to acknowledge that it was caused by the surgery, and they never gave me any advice regarding this issue.
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
Thank you@@MedicalSecrets . It is great to hear a doctor talking about possible effects of anesthesia. For some reason there's not much information about this topic. Doctors gave me a big list of side effects and things that can happen, that i had to sign, even death was on that list. But nothing about PTSD or anxiety after anesthesia 😄 All I had was a report from the surgery, that clearly showed that they were struggling with me on the operation table, so i figured: my body remembers and that's why I'm freaking out randomly. So thank you for sharing this information and educating people. Very interesting stuff🙂
Having been abused as a child, I am scared that I may have talked about that in the recovery room. The recovery room nurse told the floor nurse that "she had some confusion in the recovery room". I was having flashbacks leading up to surgery, knowing my anesthesiologist (nice though he was) was male.
What are the chances that I spilled my secrets in the recovery room???
Lol did Zuck “buy the wing” 😂
I met a neighbour once who apparently had their wisdom teeth removed at the same time as me, though they said they didn’t think I would remember as I was apparently in a bit of a state saying all sorts of things. I had no recollection of it but from what they said I was possibly trying to discuss or divulge something or things that caused ptsd. By the sound of it I was trying to get a lot of information out to anyone who was listening as fast as I could. It was many years later that these memories began to resurface again.
This makes me wonder if the same thing has happened after other surgeries I’ve had.
Thankyou for the insight
Not long ago I needed my tunneled central line replaced. Normally, this could be done without sedation. Simple slide the wire in, pull the old one, slide new one over the guide, secure and done. Of course this happened over the weekend so I was stuck admitted till a surgeon came in. Well the dr tried and tried and tried but I had told him previously that there was A LOT of scar tissue and I guess he needed to see it himself. I was in horrific pain and dry heaving and he couldn’t get the line into place. He finally got to the point of putting the old one back into a place I could get meds. They ended up having to feed two wires and different size dilators in to get past all of the scar tissue. Dr says ok, I’m sorry that was so rough, I’ll see you next time and I told him “let’s never do this again!” That new line cracked a few weeks later as I was driving. Of course it was a Saturday night. I meet with the dr in IR in the morning and he starts talking to me and I remind him how difficult his last placement was, at first he couldn’t remember and then something I said struck him and he suddenly remembered the whole procedure. He made sure they medicated me this time but I struggled hitting twilight and so he had them give me a little more. The hyper awareness was awful. I’ve had PTSD since I was a kid, never really treated except for therapy that did nothing, and then again as an adult. I’ve also been in that drug induced state. I had a cardiac pacemaker placed in 2014 and just had my 8 year anniversary in sept. I was given my flu and pneumonia vaccine before discharge the next morning. They put me back on cardiac meds immediately, but not one I had previously been on. I tried to tell the Dr that I’m sensitive to med doses but was blown off. Fast forward to that night, I was tired and in pain. I took a 5 mg of oxycodone and went to lay with my youngest. My husband found me on the floor unconscious and unresponsive and I lost control of my bladder. He has no idea how long I was on the floor. I remember someone standing on my pillow and I screamed. I remember the female medics face and that she was shorter. She said “BP 60/40, we gotta go NOW!” I remember the lights on a like about 15 mins from my house at the time, Next was a dr accusing me of taking street drugs (which I have NEVER touched a day in my life..come on I worked in EMS just prior to this incident, I’ve seen what that crap does), I remember the nurse ripping him a new one (she believed me), labs came back positive for benzodiazepines (Narcan is freaking awful!!). I remember throwing up on the CT guy, the first few seconds of CICU nurses all stripping me down and wiping me down in Chlorhexadine (shocker I was allergic), and that’s the only moment in 4 days that I remember at all. At some point I was massively swelling and was getting ultrasounds and X-rays all the time. So I don’t remember 4 days and spent 15 days in. Well, it turns out that I still had the anesthesia in my system and my body wasn’t processing it to eliminate. Adding the cardiac meds back was too much and then the pain relief is what sent me over. Lots of fluids in to flush my system and it took about 3 months to fully recover…no idea where my medical PTSD comes from though 😅
I'm so sorry to hear that you experienced that, I hope that you're able to find a provider to help you overcome what you have experienced
I'm getting ready for hip surgery never had surgery before kinda afraid sure wish you were the Doctor to but me out during surgery
I'm wishing you the best for that surgery 🙏
@@MedicalSecrets thanks watching your videos help me alot.
Thank you. I wish you could be cloned. I have had surgeries and procedures at both UCSF and Stanford. I have SEVERE medical C-PTSD from treatments for my congenital heart defects. I have been gaslit, ignored, misdiagnosed, lied to, cardioverted while awake 2 times. Nearly died several times now. And i struggle SO much to trust any doctors. Because all but maybe two truly honestly thought they were doing the right thing. And never meant to hurt me. But the problem is, even the well meaning Doctors STILL did not listen. Nor dod they understand about medical PTSD and they help to create it and continue it. I am at a loss…. 55 and until last year i had decided no more medical intervention. I am doing EMDR and it is helping me with daily life. But i doubt i will ever trust Doctors again. Its sad and scary…. Especially when the doctors don’t mean it or understand. Every loses. I wish you could teach the medical system about what you know. Thank you.
I believe I have C-PTSD from my heart surgeries. I did the ITQ test and the PTSD part doesn't really fit me but boy does the C-PTSD do.
If you come from an enviroment that basicly creates cptsd is there a diplomatic and neutral way of telling it to the doctor without making a topic out of it and just move along?
True trauma worse or caused without love and support people
⭐⭐⭐⭐ Great video plus information. Stay Safe & Healthy... Abrazos
You are 100% correct! Thank you!
Great information to help us stay healthy! You are a phenomenal Dr!!
Thank you
Had 2 awake brain surgeries my complex PTSD started in college at a dentist appointment from the sound of a drill.
Have you been able to find support to overcome that?
@@MedicalSecrets they sent a psychologist after a second EEG and she told me to find a counselor here in Montana and all the ones I have tried stop working with me or just get too emotional over me.
The only thing that has helped is stellate ganglion blocks in my neck
Could you please do an episode about autism and surgury? I'm a low support autist most of the time, but the fact that I'm verbal actually gets in the way of getting my needs met when going in for surgical procedures. It feels like I'm not autistic enough to be taken seriously.
Thank you for this video!
My first emergency surgery l had I can definitely recalled that when the mask was placed on my face l couldn’t breathe. Unfortunately l’ve had serious surgeries since then and I ask please place the mask on my cheek so l can feel the oxygen sometimes they do and sometimes they don’t. I don’t trust going for any surgery now!
Thank you for being vulnerable and sharing your experience. I always honor my patients' requests to hold the mask themselves, because I find that it can tremendously reduce the stress and anxiety in those precious moments before falling asleep. I hope you never need surgery again, but if you do, ask your anesthesiologist if you can simply hold the mask yourself
Linda, the anesthesia staff where I worked always believed their patients. Even if there was doubt, they would try to accommodate the patient as best they could. They knew a calmer patient meant for a better outcome for all! Please continue to be honest about your medical history. I certainly hope you'll have reasonable, professional surgical staff in the future!
I have Spina Bifida so have had many surgeries. My anxiety was manageable till I was in my 20s and had a bladder stent and they couldn’t find a pain medication to manage my post operative pain. People kept telling me unhelpful things like go to sleep that made me feel worse. I have PTSD since then that they won’t be able to manage my pain and brush me off as a wimp or drug seeking.
I'm so sorry to hear that. Have you found a doctor who helps you better advocate for yourself?
Love all the info! a great video
Why can you remembre
and not feel any pain? If you wish to know who does what with surgery if there is senior surgeon and a fellow trainee and want the surgeon you choose to do the surgery and not the trainee.
You can remember but not feel pain from the medications that are given to block pain but not consciousness. Did that answer your question?
Dumb question... but how does one find out what they were like or what was revealed while under anesthesia? Thank you in advance.
I was born with clubbed feet. First 13 years of my life I've had numerous reconstructive surgeries. Sometimes I get some serious breakdowns. I'm fairly certain that I developed PTSD from it. But I have no idea who to talk to about it.
Reading these - again and again - theres the part/s of the stories of the incidents where medical staff DIDNT LISTEN to the patient, & chaos/pain/adverse effects occurred. Where in med/nursing school is the 'dont listen to the patient' class?? Its there, i just dont know where to find it.
Do you have any advice for uncontrolled pain from NG (nasogastric) tube? After a GSW to the abdomen, through L2, laparotomy and thoracotomy, my pain was adequately controlled for all of that trauma but not for the NG tube. Everyone I’ve ever asked agrees that NG tube pain control is ineffective. I’m having more colon surgery soon and am only worried about the NG tube pain.
How to take consultation with you ??
I have a question, please. I have severe PTSD, and I’m due for surgery soon. My question is; what, if anything, can happen if the patient DOES NOT want to wake up. EVER. Can the mind under anesthesia accomplish this?
I have chronic vestibular migraine and C-PTSD due to several incidents in my past. I know that the constant daily pain of the migraines has raised my pain tolerance levels. How important is this information to my medical care team? Is this something I should have on a medical care bracelet? Christina
Hey there I'm going in to surgery number 10 in 5 years. Sigh one of them included a death of my surgeon while I was admitted I was told by the anesthesiologist told me riiiiiight as he was giving me ketamine I remember him saying shut up Heather! Because I was saying how much I loved my Dr....for the whole 2 hr drain procedure and then I was admitted 2 months and it was just awful. I found I'm just so tired. Can you do a video about multiple surgeries.
The physical drama could be stopped pre-opt with psilocybin rewires the brain mind body and soul. Unless it's emergency surgery
Hi Dr. I have a laparoscopic salpingo-orphrectomy in a week (general anaesthesia). 10 years ago I had a bad experience with twilight sedation (IVF egg retrieval at a fertility clinic, not a hospital setting). I wasn’t sedated enough and felt so much pain during the abdominal retrieval, the nurse had left the room and I had to wait for her to administer more fentanyl & versed. I know these are two different approaches but should I mention this when the anesthesiologist asks if I have had problems during previous surgeries? Since that experience I had a hysterectomy with no issues other than nausea and vomiting post op (morphine was not my friend and I was fine after being switched to Tylenol)
What happens if you always has a heart rate resting between 34-38 and your heart rate drops to 38 during surgery? Is that code?
Typically that is not a code, but it depends on the greater context of the surgery and the medical history
So how do I fix it?
Annestesia damage my visi
Is the red hair thing really a thing or is it a joke? This is good information but it comes at us too fast and gives me PTSD just watching it.
🖖🏻
Zuckerberg Nooooo!
Sleepers
Why is he holding the masks tho