I agree. Just that knowledge of someone watching over me made all the difference. Kind words go far. Welcome Mando. Be happy little kitty. You are safe with these people.
I had a horror of an experience after surgery. It was my first, so I wasn't expecting anything adverse. I'd never heard bad stories. I woke up in excruciating pain. It was like I'd been trussed up by my arm or something. (Broken wrist.) Incredible pain running from my wrist, up to the top my arm and down my side. They gave more meds. About 30 hours later I started having hallucinations. Very traumatic hallucinating...CIA bugging my house, seeing strange objects I knew couldn't be there, literally calling police 3 times saying I'd been kidnapped, thinking I was in grave danger, knocking on neighbors doors for help. I kept going in and out of reality, so I knew what was happening. Called my sister and she took me to ER. Worst part was being treated like I had a mental illness with no acknowledgment it could have been meds. Admitted for 6 days to the psych ward! It took about a year before I wasn't afraid to sleep. I'm so grateful for the information you are putting out. It has helped me enormously!❤
I’m usually good to walk about 15 minutes after waking up from intravenous Propofol. But it’s pretty intense and I’ll still take it slow. I can’t believe Michael Jackson (mis)used it for nightly sleep.
Hey the link he has posted , I downloaded but can’t find him ! Do you know what name I go under ? I can’t hear him and I hope he got my super chats lol .
It's quite incredible what happened to him... It really shows what addiction does to the human brain. I'm happy to hear that you're pretty good after IV propofol- I hope you have not had too many encounters yourself!
@@MedicalSecrets 3rd molar removal 2000, Failed Manual Pleurodesis and Successful Talc Pleurodesis in 2005, Turbinate reduction in 2009, Hernia surgery in 2021 and Agger Nasi Sinus Bone removal in 2021 to reduce barotrauma . . . so that’s six times. Although actually, I think I was under for one of my esophageal endoscopies, so that’s a 7th.
Cute kitten, animals are very beneficial to my mental and physical health. My last anesthesia for surgery that ended being over 7 hours at 62 yrs old. I felt off memory wise for about 6 months, yes I was 260 lbs. I understand age and weight played a part. I play word games and strategic puzzles to keep my cognitive skills sharper.
I do pretty well with anesthesia, but I just wake up nauseated, and when I go into surgery, I’m busy looking at all the equipment and the room and who’s in there and then that’s all I remember. Lol till I wake up. I just hope I didn’t tell any of my secrets while I was under , I’m probably going to have A very important surgery after I see my orthopedic surgeon i’ll let you know how that goes , but seriously, thank you for all these videos. I’ve been watching of you, now I know what to ask my doctor that I didn’t before. Thank you very much for educating me on all of your videos, also, I have a golden retriever named Jackson a cat name zurry A cat named Gregory. They are both gray striped kitties, i’m glad you have pets they are so therapeutic and full of love and make your day is a lot bit brighter when you come home from work 🌺❤️🙏🏽
Thank you so much for such valuable information on this subject. Don’t ever change your bedside manner your kind ways are so appreciated in a stressful situation!
I recently had my back fused. I know I have anxiety and they gave me something before I even went into the operating room because I don’t remember going. When I woke up, the first thing I saw was inside of the elevator of them bringing me to my room. I can’t remember anything and it’s really frustrating. They Musta gave me a whole heckuva lot. LOL ABSOLUTELY LOVE YOUR VIDEOS. CAN’T THANK YOU ENOUGH FOR DONATING YOUR TIME WITH YOUR WEALTH OF INFORMATION. !
Oh my goodness! I'm 68 and didn't have any gray hair at all until after my last surgery. There are just a few though. Glad to hear they'll turn dark again! (My mother's hair didn't turn gray until she had chemo at 77.) I'll be glad when the short term memory loss passes completely also! Boy right after surgery it was annoying!
I had a rhizotomy done on Thursday. I've had them done in the past tho this was done on a larger area. Had my right side done a couple months ago and this was my left hand side. We have found that with me they now have to put me under general anaesthesia for a couple reasons 1)I was moving around when they attempted it originally under the normal level of sedation and obviously with cauterising specific nerves in my lower back/sacroiliac joint...they need me completely still for precision 2)I was coughing and bringing up fluids and things with just the sedation. Ive had prior bariatric surgery and also experience GORD so this was an occurrence that we couldnt comfortably mitigate with just fasting alone. So intubating me was safer than the possibility of me aspirating anything I coughed or brought up. So apparently even under general anaesthesia with my right side rhizotomy I was bringing fluid up in the tube 🤷♀️ I generally am a difficult case for my many doctors. I have fibromyalgia which makes pain management a little bit difficult because I have chronic pain and am already on a lot of high dose prescriptions...so I have built up a level of tolerance. What really feustrates me is that I advocate for myself and give plenty of warning and explain prior experiences and things for them to be aware of that ive learnt with other doctors or anaesthetists and things...and I am so often diregarded or they make me feel like I am drug chasing. But all it would take is a couple mins of their time to look at my extensive list of daily prescriptions and a chat with me because I can summarise recent medical history and key aspects that i believe they need to be made aware of. For example this recent lot of rhizotomies was done by a different pain specialist than the one who did my smaller area rhizotomies in the past. They are all doctors who work in the same neurospine specialists clinic that my neurosurgeon is at. So he has done a direct referral...and I'm sure he would have no doubt sent through important info on me including the cervical total disc replacement he did as well as my fibro, chronic pain etc. However, upon having my pre-op phonecall with the anaesthetist I asked if he was going to put me under general anaesthetic like the other team did and he made me feel as if I was being ridiculous. I also advised him (and it is well documented in my notes) that upon waking, I am always in excruciating pain and it takes quite a lot of medication to get me somewhat comfortable. The previous team, knowing my history, would give me a ketamine infusion while under and pump me with quite a decent level of meds to assist as much as possible. This new anaesthetist just made me feel like a drug chaser...which is so often the case in my experiences with medical professionals...like in an ED situation for example when they don't know my full history. They'll offer to give me something and I know my body, I know my medications and when they are offering me panadol, maybe an anti-inflammatory or perhaos even 50mg of tapentadol I will advise them that sure, I'll take the panadol because I know it can help in combination with other things etc, will decline the anti-inflammatory because I am on permanent blood thinners and have been advised not to take them. Then when i say the 50mg tapentadol won't do anyrhing for me or even touch the sides of my pain they balk at me. I try to explain my chronic pain and fibro and that i am on a max dose slow release tapentadol twice daily and can take immediate release when needed as i keep a supply at home...but that when I take it, I have 100mg minimum and it still barely touches my pain. They then think that I'm a drug chaser. Like the anaesthetist seemed to think I was being dramatic and also chasing drugs. However, upon arriving for thr previous RHS rhizotomy...he had obviously looked further into my notes or had taken the time to speak to the previous anaesthetist based on what i was saying or read the notes and he so begrudgingly admitted that yes, like i "suggested" he'd be putting me under. However this LHS one the other day and that RHS one...they so very clearly did not do any kind of infusion. Didnt even chart me for any strong meds in recovery and the poor nurses were having to track him down and get a hold of him while im crying and writhing in pain and there was nothing they could do. I'm sorry for the LONG rant. I'm currently in the recovery phase which for me, means I cannot stand or walk unassisted and this will last for at least another couple days, then I'll be able to move more but will still be battling the pain. I try to advocate for myself and try doing it in a respectful manner coming from a factual standpoint based on prior experience, rather than an emotional POV. Not sure how else to do this...coz they still dont listen to me in the end. And they arent the ones living with daily chronic pain...then having a phase of acute intense pain following a procedure. Thankfully I was able to get hold of my GP who knows me and my history. Knows that I take my meds responsibly and have no addiction type priors. He gave me a supply of endone for a couple days. It is helping...but only taking the edge off. I dont think I remember the last time I have ever been pain free. If anyone has read this far, I thank you. Lol and apologies for rambling and hope it was able to be understood...as I said...I'm on the medication (might not get rid of my pain but still has cognitive effects) so may not be 100% clear. If anyone has any advice for advocating better for myself in a way that thry actually listen and acknowledge my concerns and take it on board rather than just dismissing me and assuming they know best. Lol any insight would be amazing 😅 Thank you ❤
My husband said I always have talked normal to him after surgeries. My last surgery was 12 hours November 2019. I never went into any surgery being stressful.
Many surgeries years ago. Surgeon told me not to ever, in my lifetime, go under again unless it's life or death or very important. He wouldn't tell me why. I wish this situation would have been addressed in your talks.
Hello doctor. I have been learning a lot from your videos, and they are giving me insight into my experiences with multiple surgeries for a variety of reasons. I hope you will see my questions and consider teaching us about these things. Several months ago I fell and broke my wrist (comminuted displaced distal radius fracture) and I was in excruciating pain from that and from the ER doctor working to reduce my fracture. That was the most painful experience I have had; I was given a small amount of morphine, but it didn't seem to reduce the pain, and then was given a small amount of fentanyl which was similarly ineffective. I guess I got more morphine for the rest of the day and a second day (Sunday) till I had surgery on Monday. My question: do you approach planning and administering anaesthesia in emergencies? What if the patient is unconscious? (I've been in that situation, too.) What if the patient is unable to relate all the information you would normally require? Also: how do you determine what to administer when the patient is medically complicated and taking a lot of prescribed drugs? Finally, once after getting twilight sedation for a colonoscopy, the nurse in recovery had to remind me to breathe several times. I heard the alarm that I reckon was set off by my not breathing, but it didn't register with me that anything was the matter. The nurse had to return twice to get me to pay attention and breathe. What was going on there?
Dear Dr I had a Craniotomy and I can’t remember any thing until the time I left the hospital and even after that my memory’s where sketchy. Does this mean I had a stronger drug or is it the way my body got rid of the drug? Love your informative videos they are so helpful. I have also been gaslighted by my neurosurgeon, your videos about that has helped me develop a plan when I see him next time thank you from Jacqui, Tasmania, Australia ❤
Beautiful baby kitten. I’m a new subscriber and retired nurse. I find you explain things very well and for me that is very important. After watching several videos I decided to subscribe to your channel. Thank you for all you do!
Anesthesia can make your head feel heavy like you want to fall forward so that is why you shouldn’t drive. I stopped feeling that side effect after my 2nd or 3rd surgery so I am completely sober leaving the hospital right after surgery!
I had a nurse who was sturn and unkind in recovery who didn't say my name or used kind words just command like I was her worse enemy. "Eat that toast, swallow, those pills...Oh, now she's dry heaving them up! The pain pills didn't work for 12 hours and the same nurse didn't monitor my blood pressure even with hypertension and it was 223/186. I was going in shock and the nurses were just a blur and didn't even show empathy. They didn't care in the hospital. All I got was doctors orders yelled at me.
@@cherylsapcote7327 report it to the ward and hospital nurse administrator, escalate to senior management if you don't hear back with profuse apologies. Had a somewhat similar, although slightly less unpleasant nurse. I ensured she halted that nonsense immediately by adopting my old NCO mode from the Army. I'm a great guy to work with, I'm an absolute nightmare to work for, work with me, people!
I would have reported those nurses Pronto! They certainly wouldn't get away with that with me. One of many reasons I hate hospitals and anything medical. I try to avoid as much as possible🤕🤕🤒🤒☹️☹️
Paramedics gave me Fentanyl on Sunday for fractures near hip-I don’t remember anything for 4 days-I was overdosed, now my memory is poor. I’m 82 years old- Melbourne,Fl
My anesthesia, given intravenously lasted for more than 24 hours! I literally could not function properly! It scares me to have any again. And I was/am a small weight size. And I had just given birth 3 weeks earlier! I never want to experience that feeling ever again! Cute kitty.
I’m super grateful ether is not used anymore as an anesthetic. It was horrible waking up from that and then vomiting for hours. The smell was enough to gag.
Great info! I learned so much! That was awesome, I agree with you, you should wait 40 hours before driving and or anything! I have to have surgery in a few weeks because my right eye is crossed because of my cerebral palsy, it’s an eye muscle surgery! I know I’ll have a good anesthesiologist like you! I really enjoy donating to the anesthesiologist Foundation, since it was heard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician
How does the MTHFR Gene, (having 2 copys of C677T, meaning my DeTox is only at 30%, ) affect the recovery time from Anesthesia. Brain Fog, lethergy, Ususally takes 3-4 months for me.
I was recently tested on MTFR. I have 1 mutation. B vitamin shots for life. Got an internest in 2018 and am learning alot about my problems. Great question 😲
I recently had my remaining teeth removed in preparation for dentures, the effects did last a while. It was a two hour drive to get home! I was offered to stop somewhere to get something to eat and we stopped at a local grocery store and I chose an Oriental kind of food! I don't remember getting that and don't remember the drive home and I don't remember what I did for the rest of the night! My oriental food was in the refrigerator and was never open because I tossed it the next day.
Ohm I’m chuckling, not because it’s funny but because I get it! I was 34 and my mom brought me home after my total hysterectomy, we stopped at the pharmacy. She took me in because she didn’t want to leave me alone in the car. I bought an ugly planter 😂
@@lisakaye3935 unfortunately, I didn't have family drive me. It was a distant relative, and a guy. I feel mostly confident that he would have taken care of me well enough...
What a sweet kitty. They seem too wear off quickly with me. Even novicane when I have dental work wears off on me quickly. If dental procedure is long they end up having to give me more novicane. I have been told it likely means my metabolism is higher than normal. I had metabolism test done and it confirmed that my metabolism is higher than normal. What are your thoughts on metabolism and anesthesia?
Hi Dr. Kaveh! Good to see you! Interesting. I was out a long time! My Dr. Had to go ! Its ok! Very informative and I have many questions for my doctor and anesthesiologist. Which I've learned to respect more! Thanks to you! Have a great evening!
Possibly in July , depending on how lazy this kidney is! But I'm taking g good care of myself! Really appreciate all you have shared with us. Helps to relax and understand what my doctors have to do daily. God Bless You Sir! Thank you for asking. I love my heart, makes me happy!
Hi Dr. Kaveh, I had a procedure earlier this week. I asked the Anesthesiologist to add lidocaine when administering the propofol so I don't feel the horrible burn before being put to sleep. He gave me push back by stating its normal to feel the burn. 🙄 Some doctors came be so frustrating. But in the end I had no pain. Thank you so much for your suggestion.
The first thing I warn my anesthesiologist about is, adrenaline and pain go together with me and it's a really, really bad mixture when awakening from anesthesia and has resulted in staff injuries. So, if doctor tried that "it's normal to feel the burn" with me, I'd reply with, well when I awaken in delirium, I hope that you're eager to experience an extended time in traction, as that's the most probable reaction in me". One idiot proclaimed that I was threatening him and I calmly explained that is indeed what will likely happen, based upon past experiences. If I intended harm, he'd already be harmed, so take the advice of experience or better yet, you're fired, get me another doctor, as we're done and the surgery is off and I'll be speaking with my insurance company about this, as well as my surgeon and primary. After that warning, I also warn that opioids and opiates are reasonably well tolerated, save for a significant histamine response that's entirely unwelcome, so no demand pump, please. Had a problem with an antique once, due to a deficient design, the demand button projected and was easy to activate. So easy that dropping the button and cable invariably caused the button to land button first to the floor, activating the pump, administering an unwanted dose. If I ever meet the designer of that button, I'm rushing to the fish market and finding the biggest, wettest trout there to hit him repeatedly with! And I'll pay extra if it's a rotten one.
I was put under 3x before the actual procedure was done on the 3rd time. This was due to scheduling issues for the machine that was needed 🙄. The first time I was put under, i threw up for a week and felt like my skin, muscles and nerves were on fire. I truly believe this was the culprit in starting my fibromyalgia. I could be wrong but the timing adds up 😢
Mando looks like quite the handful! 😊 Good discussion as I’m about 30 hours post surgery and still feeling wonky and drowsy. Have only needed Percocet twice for pain and took a half dose of those but that could be contributing. I do recall the rn telling me they’re giving me fentanyl afterwards but I wasn’t awake enough to ask why. I suspect effects last longer for those of us who have a slower metabolism. Hope tomorrow this will be out of my system.
Alway hear people say anesthesia "kills brain cells". You mentioned how long the anesthesia takes to leave the brain. Is there any research proving or disproving long term brain damage due to the drugs? Does age have anything to do with brain damage after surgery?
Depends upon the anesthetic used, the amount & duration used, and how/if the patient can tolerate or have an allergic reaction. Overall the Anesthetics used today are not neurotoxic otherwise they would not be used. Not long ago alcohol & ether were both used as an anesthetics…
I’ve experienced a lot of nausea after going under with propofol and fentanyl for skin graft. It’s been a month since. What explains this? I definitely didn’t have enough information going into the surgery regarding what was going to take place and was very anxious about having fellows practice on me. Woke up with tachycardia that lasted for several minutes. The anesthesiologist told me I was difficult to “knock out”. Could I have been given too much and my body is still trying to eliminate it? I never exercise so I’m not detoxing in any way.
I'm having surgery towards the end of Oct. Is the amnesia ratio the same as other surgeries? Like would it be the same strength or lessened by the type of surgery. This will be hand surgery and my 17th! I know, dumb question. I would sure love having YOU as my anesthesiologist! ❤ Anesthesiologists Rock 💯%!! Wowsers 😉
I'm wishing you the best of your surgery! The amnesia ratio depends on the type of surgery. For hand surgery, we often get by with much lower doses than needed for major surgeries. While we don't know for certain, we believe that the lower doses of anesthesia also reduce the risks of major complications, such as post-operative cognitive dysfunction
@@MedicalSecrets Thank you for getting back to me on this 😊you rock! I'll get to ask the anesthesiologist about the "milk of amnesia" I'm about to get lol 🤣😆
Weird experience after total knee replacement... so under anesthesia for over two hours... my poop was as green as fresh grass clippings for two days after surgery ( took two days before having that first BM) but St. Patrick's Day is green! 💚 What anesthesia did that???
I had residual problems from versed that lasted for months but I had 5 surgeries which included 8 different procedures in a 4 month period. I woke up in one as they were stitching me up and the doctor said- "she's grimacing, hit her again" to the anesthesiologist, and it took me about six months and multiple supplements specific to the brain to recover my memory.
I had eye surgery three days ago. T had something under my tongue called MKL(?). What is in this drug? I had 2 IV injections of Versed plus the MLK and was still awake and talking! What happened??? Please tell me. Thanks for your great videos!!! Your voice is so calming.
Hi. I had surgeries and I don't ever remember seeing the surgeon or anesthesiologist when I have woken up. How do you know how a patient does after waking up post surgery??
There are nurses in recovery. They not only monitor and take care of you, they report your status to the physician, who's responsible for discharging you. Then the nurse does the wonderful thing known as removing your IV! That's when you know it's legit 😂
I just had eye muscle surgery on both of my eyes on September 25th, 2023 and I had general anesthesia but I also think I had a breathing tube because I remember my throat being a little sore when I got home. I'm 54 years old now and this made my 14th time being put under anesthesia. I was also diagnosed with idiopathic intracranial hypertension in 2019 and I had to have a stent put into my brain in 2020. So I'm wondering how I made it through 14 times of being put to sleep? Nobody in my family has ever been operated on that many times. And could you please tell me if my idiopathic intracranial hypertension would cause any problems for me if I had to have a future surgery on anything else? 🤔
It can, but of you tell your anesthesiologist they can manage the pressures in your cranial cavity. Have you seen my videos discussing strategies to reduce the sore throat after surgery?
@@MedicalSecrets That's great that they can manage the pressures in my cranial cavity. I haven't seen those videos yet on how to reduce a sore throat but my throat feels fine now. It was just a little irritated after I got home from having the surgery. Thank you so much for helping me and I love your pets. My husband and I have 6 cats and I put their videos on my TH-cam channel. Much love and prayers to you and your family. 💖🙏🐈🐈⬛
I have a black cat that has had FIV for most of his life and he is 18 years old. Black cats Carr a black fur gene that helps fight disease and illnesses!
Not sure what is given for a local. But I've always been hard to wake up -- to the point where people are worrying and I can see it on their faces when I do wake up and then the relief. Both times: wisdom teeth (all 4 were impacted) and broken wrist. I do remember when they first starting the anesthesia, I could feel how cold the fluid was going through my veins to the point I said ouch and then started shivering. They put a warm blow dryer under my blanket and then I was out. I've needed to get a colonoscopy (that age) and I won't do it because I have such a problem being put under. I was so out of it and sick afterwards every time.
My husband recently had a right lower lobectomy. He’s 76 and as I call him, a cheap date and very thin.. Day two in ICU had a psychotic episode, pretty nasty one. Had to amend his pain meds, etc. his kidneys were t processing all the drugs.
I was surprised at how hungry i was in that 1st 48 hours. It returned to normal by day 3 and is now down to forgetting to eat again. I had hot flushes for a couple of days after recent surgery. And cold with shock like shaking that only passes with deep slow breathing. Its been over a week now and im still having what i call must-nap-attacks. It wasn't a big surgery. Just an hour under. PS thankyou for the knowledge before hand. I would like to think I left my CPTSD on the table. I was able to embrace the pain so I'm pretty sure i managed to say no, even though they kept offering. Embracing the pain took the threshold down and it was surprisingly easy, mindset truly helped. Although, i was not aware how much of an emotional roller coaster it would be for a couple of days after. Spontaneously crying. Gone now.
@@MedicalSecrets lol that’s so kind of you to take time ! It was about how I had my first and only surgery go wrong ( gallbladder surgery) I was dx with lupus after that went wrong and was hard to wake up , I stayed a week in hospital and the hospital can’t find my records so I honestly was left without knowing what really happened but you touched on many many things that helped !!! Again thank you and I hope my super chat reached you lol. Oh I downloaded the app in your link but uncertain if I search by your name or how that works lol .
Versed effected me for days. I remember very little of what happened after experiencing a new onset seizure at work and receiving high doses of lorazepam (Ativan) to get the seizures under control and lorazepam (Versed) given pre-op for the meningioma resection 4 days later. For months afterward I was finding that people had visited me that I didn't remember. Our therapy dog even visited me and I didn't remember it.
What ohysicallis happening when one is put under and when its time to bring the patient to, medical professionals are UNABLE to. They can not bring the person to and they are in a 'coma'? I've had true surgery (not including twilight or local) 23 times ad this has happened to me twice. I'm having surgery again in 3 weeks and possibly again a few months later. I don't want to go into details but I've been in 3 comas and they actually put me at ease about some things. What I'm afraid of ad anxious about is if something happens to me, it will not be OK for my adult daughter. She is very ill. Do i let the anesthesiologist know that i am anxious about being put under? The only surgery I've been 'really' anxious about prior was my knee replacement. I know i need to mention my EDS-C. Does this effect the anesthesia? I have woken up during 2 of these operations. Boy do i have stories. I could go on and honestly council some about what you do.
Had two major surgeries within a month..the first went well..the second was 2 hours with Midzolam right before. I still feel like I sometimes have, the only way I can describe it as dementia like…sometimes I don’t realize it. Surgery was 3 months ago. Will this resolve?
Hello! I had two chirurgies. Everytime… I was looking for my words for a year… and after those opérations, I live a few very stressful hours for the employees bécause very low pression. I Will talk with the team if I Will have other chirurgies or when (shoulder, back and cervicals vertertebras). I love your vidéos. Tk very much
Great lessons, but I still wish for more concise videos. Also....what happens if your on Bupprenophine & the have to go to the OR & then the neither the narcs or Suboxone work.
Hi Dr K. Enjoying video. I am a redhead. At 38 I was overmorphined during surgery performed during an ice storm. Short staff...surgery not cancelled. I was put in a room without a pulse ox meter and left unattended for an unknown time. When found my O2 was 20%. I was coded and given 2 shots of Narcan. I never returned to my normal self. I developed Fibromyalgia. I was unable to work. 20 years later here I am scared to death of surgery😢💉
@@esantone0398 Im sorry. Your question was immediately after narcan. No, they sent me home and I struggled for months. I got diagnosed 8 months after event.
This talk about how anaesthesia effecacy changes with various factors is intriguing to me. I'm underweight with chronic depression, anxiety, PTSD, and alcohol dependence. I don't usually mention this to my doctors. But whenever I get sedated or given laughing gas, the standard amount for my weight works just fine. I feel very good when I'm knocked out. I wish I could have it more often. It distracts me from the hell that's life
I'm sorry to hear everything you have been trying to heal from. I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
Hello Metroid, I wish you more happyness in the future. Seek out people who can be positive for you and help you to be you. Life is not always hell,sometimes it is not so fun but it varies alot. I am 60 and nearly died a week ago. I am happy to be here and getting some therapy--I don't know why but that sounds better to me than mental health intervention or whatever.
There are some new techniques for treating PTSD, the VA is doing a pretty good job in leading that charge from ignorance to knowledge and understanding. Guided therapy with MDMA looks to be promising, I suspect low dose ketamine would have similar effects, even if it's acting upon an entirely different receptor system. It takes a lot of work and patience, both from the patient and the professional. Ethanol dependence can cause cross-tolerance issues with some drug classes, so you really should discuss your entire history with doctor - always. Especially, as ethanol can tie up systems that normally would process a drug either into its active form or neutralize the drug. Remember, you and your doctor should always be a team, working together for your wellness. When one of the team isn't properly informed as to what's going on, the confusion can undermine what otherwise is spectacular teamwork and turn treatment into a debacle. Case in point, myself. When I want to get booze, I walk to the store to get it and walk back. That's a 45 minute walk, which is already fairly painful, due to some old injuries causing neuropathic and regular inflammatory pain. At one point, while discussing my history and symptoms with a new doctor, I also mentioned and reinforced that at that time, I was drinking a 1.75 liter bottle of 100 proof spirits every 3 days. Doctor, with some alarm, asked if any signs of dependence was present and no, with me, I'm oddly not dependent. I'll get bored with it after a month or so, toss the bottle into a corner of a cabinet and not bother with it for a few months to half a year. Food, work and family being primary in importance, the booze is pretty much last. Not hammering as much back now, largely because I'm not that bored and well, that 45 minute walk and lousy weather just makes the entire exercise a lot too painful, so I've been both cooking more complex meals (already fairly complex, never been a burger kind of guy, I'm the make gallons of marinara sauce type) and experiment with new software on my Linux systems. I also get depressed fairly often, distract myself away from that, but then, I did lose my wife of over 41 years around a year and a half ago. So, I keep busy and divert, rather than fall into a cycle. Had enough psych courses over the years to learn some of those tricks and being retired military, I've never been a stranger to asking for help with any heavy lifting. But, first and foremost, being open and honest with doctor. If you get a doctor that's judgemental, walk out and find a good one. A "Well, that might not be the best course of action" from doctor gets responded with, "Well, I'm always open to better courses of action, Doctor, what do you have?". Doctor is a subject matter expert, specializing in a specific field and heavily experienced in said field. One doesn't bring in a subject matter expert and ignore their findings and suggestions, as you've then wasted your time, the expert's time and a hell of a lot of good money for no reason. As a subject matter expert in electronics and several IT fields, I've learned that firsthand. It's always better and easier to work as a team. Well, I'm off. Injured an ankle yesterday afternoon, so walking to get booze and bread is out. I'll just make a loaf of bread at home by hand again. Hey, the yeast and oven to most of the real work, I just mix the ingredients and beat up the dough a couple of times. Last loaf was a rye-wheat mix, a secret to keeping it moist is add a few ounces of olive oil to the dough when initially mixing the dough. It's also one of the very few things that I'll add salt to, given how much salt is in canned goods, that's a good thing.
I'd be just like "just bring me back and pull the curtain round me and don't ask me anything" lmao. I'd be mortified if I said something crazy or out of character before I was awake enough...
Forever, it took 9mns before I felt normal, no anxiety about surgery, but anesthesia makes me feel terrible-6 weeks of nonstop disequilibrium, and the loss of 15lbs, great for dieting, haha
I’ve had more than 150 surgical procedures under general anesthesia throughout my life. Although I’ve been told anesthesia leaves your body within 24 hours, I disagree. I’ve experienced residual adverse effects that I feel I am still trying to release.
Ook I’m gonna go out on a limb. Idk if you’ll ever see my comment. I end up with Hyperalgesia. There’s sO many of us in pain management these days that I feel like this should be talked about more.
I was put to sleep 6 times 1 induced coma after seizure activity. Drs also put me on every med for anxiety pain killers morphine at e.r constantly and antibiotics constant. I am so weak and sick shaking drs wont help. I feel like im dying numb. Plus severe mouth tongue pain. How do I heal?
There’s nobody else that has my condition and mutation as badly as I have it so I am alone in that aspect. I should be in the Guinness world records for how fast I can burn off all different kinds of medications!
Same here, as for burning things off, no clue if it's a mutation or just a totality of metabolism. I suspect that my cytochrome P450 is a lot more efficient in many ways, due to tolerance for certain classes of medication that I've taken over the years and rapid onset for those activated by the same pathway. So, what mutation do you have?
@@spvillano I tested positive for the CYP1A2 ultrarapid metabolizer gene but I am set up to go to U of M for more specific genetic testing. I got hit by a car in 2011 and I almost lost my leg and for the first hospital stay I had 8 surgeries, I went through enormous amounts of pain and I started noticing that the meds were not helping at all and I started waking up from surgery. I don’t do fentanyl but when I get right before a surgery I can burn off 2 mgs in 5 minutes and I have heard that is enough to kill a person. When they had to reset my left leg they gave me up to 10 mgs in a close period of time because I was screaming so bad. I started beating the propofol after my 3rd surgery and now ever since then my body holds a permanent tolerance for propofol so I can no longer have it for surgery. I woke during my last 4 surgeries. I am about to turn 43 this month so I am no spring chicken even though I come off looking being like 25 years old to everyone which is weird. I have arthritis, thyroid disease and diabetes because everyone in my family has it. I take care of myself and I am 124 lbs but still, I have stuff messing with my immune system and now that I am older one would think that would slow it down some but not when it comes to this genetic mutation. My liver is making a special protein that makes me be able to detoxify and metabolizes stuff really fast. I want U of M to deactivate this gene because I have to take more meds because of this for my high blood pressure and stuff because my body burns off that stuff too! I can burn off sedatives, dangerous amounts of pain meds, psychiatric drugs or hallucinating drugs and I am highly allergic to everything and should have major asthma according to my immunologist but my condition also gives me a tolerance towards things that I am highly allergic to because this gene causes major tolerance’s to stuff. I used to have a bad liver but now my liver is perfectly normal. This is the reason for testing at U of M!
I'm having surgery on my right ear. The dr said because I've had lots of ear infections he needs to clean it out. He said I'll have general anesthesia. So what is the anesthesiologist going to give me when he knocks me out?
Ask them. When I had ear surgery, I asked beforehand. What they gave me for that surgery is completely different than what they used on another surgery I had. It'll be particular to you too, probably. Don't be afraid to ask! You're not only a patient, you're a customer
A kitty AND learning you're Mandolorian fan? Nice! XD WAIT it's fat soluble? Does that mean that my anaesthesia can be less effective if I have little fat on me? Cause apparently I'm not simply currently thin but also my poor surgeon didn't run into expected amount of protective fat tissue where ppl tend to have that or even have too much of it. And I tend to have struggles with anaesthesia (probably for more reasons than that, but if there's an aspect I can "fix" then I'd like to attend to it if I need it again). Aka will the effect of anaesthesia last shorter for a person with little fat? Also when a person isn't very muscular either?
Never had a anesthesiologist ever give me a list of the drugs they are administering to me. Just mentioned it was " a cocktail of drugs." Why is it so hard to get real answers?
I am so sorry you had that experience. It is often difficult because the system does not allow for genuine preparation or follow-up with patients before surgery. How did your surgery recovery go otherwise?
Surgery was successful especially felt better with a pain pump on board. How can I possibly have a serious and educated conversation with the next anesthesiologist I encounter? Will need wrist surgery soon.
Why do I itch after anesthesia? No opioids or penicillin used as i warn the dr beforehand. Also why does the site of the iV hurt for weeks/months after the surgery? Thank you.
@@MedicalSecrets had twilight for mine. I woke up, which isn't atypical with me, asked the interventional radiologist to shift the monitor a tad so that I could see, resulting in an instant loss of a sense of humor and another dose. He never did move the monitor, the prick. A little under 10% narrowing in one spot in the right descending. A repeat recently had the same results, 13 years later. Guess that I'm doing something right!
I heard anesthesia was fat soluble, so we should eat fats after surgery to metabolize it faster. Or take a digestive enzyme to breakdown fat? Is this correct? I ate more ice cream after surgery and it seemed to help. 😂 Before, anesthesia seemed to stay for a month! I have Ehlers Danlos Syndrome which makes me more sensitive to medications and in general.
@@MedicalSecrets but after surgery is Ok! 😊 they always want to give you these whey/ casein/ lactose protein drinks which I can't have (milk intolerant) So my husband smuggled in my fave treat... coconut chocolate dairy-free ice cream bars! that's a good recovery moment... what a sweetheart (I'm EDS also)
RL is considered a blood volume expander, first line of defense for blood loss which also pulls all your electrolytes needed metabolically like to keep one’s heart beating and others. When one loses a lot of blood as long as there are some circulating red blood cells ( the basic 4 main elements) then the RL maintains that volume and usually a patient has had normal saline. Ringers helps with maintaining equilibrium with the blood circulating and is an absolute asset in trauma and blood loss prevention. Taking blood products isn’t something light. I did my thesis work on preventing blood loss because your blood was made for you specifically and one can become very sensitized to foreign blood from someone else and it increases recovery time due to being somewhat similar to an organ transplant. There is a blood salvage machine ( portable) plus volume expanders reduces the demand in the body. Even if one’s blood volume can go low it is not always considered necessary to jump to having a blood transfusion. Like I mentioned those circulating cells reoxygenate and there is a definite business side to donating blood. Did you know that it is sold to other countries? And also blood is not screened for everything. It is a business. There is a lot of things that the typical patient and unfortunately sometimes doctors do not know. We can actually live and succeed in any surgery with meticulous blood volume management and without the use of transfusions including lung/ heart transplants and other transplants. Generally healing is faster and it certainly is a more healthy situation. There are many surgeons that do bloodless surgery and are very meticulous about blood loss. In the olden days many used it as a crutch to unfortunately be a bit sloppy and other surgeons improved tremendously in their skills not only for those who do not accept blood for religious reasons. I have had patients say in fact that they were Jehovah’s Witnesses only because they really preferred to not have blood products and then sometimes physicians would think then all or some could be convinced to have a transfusion when in reality they just were informed of the risks and it wasn’t for religious reasons. Blood is given under informed consent and each individual chooses the best care for themselves and family. I have treated many very well without blood and as with any patient it means working quickly. I also have seen that in the case of severe trauma that if one bleeds out then it usually goes way too quickly to get a handle on it. But the work and learning done in that area has in turn improved everyone’s quality of care. The quality of surgeons and their care has this greatly improved for all patients irregardless of their beliefs. What a great asset it is to have such qualified caring medical team mgmt! Great question and hopefully I helped with a lot of misunderstanding in general about volume expanders and informed consent. 😊
@@dahut3614 Wow, I am really so sorry to hear that. Maybe you were becoming septic, some do swell but I haven’t heard of worsening it by that sort of treatment. If the antibiotics work then they generally will like to just keep one hydrated but not like that. Wow! Usually people urinate a lot when those antibiotics kick in so that was some strange logic. I hope that you are better now. I have been septic twice and the last time it caused irreversible damage. Scary situation without a doubt. Wonder if there was a resistant strain but very different way to handle the volume. Wow!
I get giddy after anesthesia. Goofy and loopy and weird and i know I'm being that way and can't control it. I just shrug it off. I could be a fighter so goofy is probably better. I also tell the surgeon and staff that they do not have permission to ask me questions not pertaining to this procedure, then i laugh and tell them to put me to sleep now lol.
@@MedicalSecrets I had 1 laminectomy with decompression, a very complicated fusion at the same level (took nearly 13 hours to complete), install of a spinal cord stimulator, revision of the SCS due to a broken electrode. Plus an assortment of minor procedures for things like a cyst on my neck. Those were twilight sedation though. For my teeth extractions they used Propafil. The milk color is hard to mistake for something else. Cleared up very quickly from that one since there were fewer medications used. My first surgery was scary though. I regained consciousness towards the end, but couldn't move or feel. So once I realized what was happening, I focused on remaining calm by focusing on the conversation between the surgeon & staff. They said it was a possible allergic reaction, and used a slightly different mix after that.
I have long periods , post anesthesia, inwhich depending on the drugs used , can sense it for up to 2 weeks after Penicilin took me 7 years to get rid of the side-effects ; even though the last comment was off topiç , it affords you some idea of how toxic pharmacuticals are used . Medalzalan , doesnt have after effects , unless i remember - colonoscopy - and pick up on others who hold much fear of the procedure & if a positive result , the follow on sensations of the procedures , which isnt particularly nice .
![PASULOL รามเกียรติ์ ตอนที่ 4 นนทกพบรัก [Ramakien Ep.4: Nonthok in love]](http://i.ytimg.com/vi/tMUQgmZzf_A/mqdefault.jpg)
The kindest words spoken to me were from my anesthesiologist just before surgery. “I will be with you the entire time and take care of you”.
I agree. Just that knowledge of someone watching over me made all the difference.
Kind words go far.
Welcome Mando. Be happy little kitty. You are safe with these people.
I had a horror of an experience after surgery. It was my first, so I wasn't expecting anything adverse. I'd never heard bad stories. I woke up in excruciating pain. It was like I'd been trussed up by my arm or something. (Broken wrist.) Incredible pain running from my wrist, up to the top my arm and down my side. They gave more meds. About 30 hours later I started having hallucinations. Very traumatic hallucinating...CIA bugging my house, seeing strange objects I knew couldn't be there, literally calling police 3 times saying I'd been kidnapped, thinking I was in grave danger, knocking on neighbors doors for help. I kept going in and out of reality, so I knew what was happening. Called my sister and she took me to ER. Worst part was being treated like I had a mental illness with no acknowledgment it could have been meds. Admitted for 6 days to the psych ward! It took about a year before I wasn't afraid to sleep. I'm so grateful for the information you are putting out. It has helped me enormously!❤
I’m usually good to walk about 15 minutes after waking up from intravenous Propofol. But it’s pretty intense and I’ll still take it slow. I can’t believe Michael Jackson (mis)used it for nightly sleep.
Hey the link he has posted , I downloaded but can’t find him ! Do you know what name I go under ? I can’t hear him and I hope he got my super chats lol .
It's quite incredible what happened to him... It really shows what addiction does to the human brain. I'm happy to hear that you're pretty good after IV propofol- I hope you have not had too many encounters yourself!
@@MedicalSecrets 3rd molar removal 2000, Failed Manual Pleurodesis and Successful Talc Pleurodesis in 2005, Turbinate reduction in 2009, Hernia surgery in 2021 and Agger Nasi Sinus Bone removal in 2021 to reduce barotrauma . . . so that’s six times. Although actually, I think I was under for one of my esophageal endoscopies, so that’s a 7th.
I'm sorry to hear you've had so many surgeries. I hope your recoveries have been smooth 🙏 if you ever need surgery again, I'm wishing you the best
I can't believe his doctor gave it to him!
Cute kitten, animals are very beneficial to my mental and physical health. My last anesthesia for surgery that ended being over 7 hours at 62 yrs old. I felt off memory wise for about 6 months, yes I was 260 lbs. I understand age and weight played a part. I play word games and strategic puzzles to keep my cognitive skills sharper.
Thank you for the comments! After 6 months did your memory and cognition return to baseline?
Yes it did, it felt longer. My pcp didn't blow me off and did cognitive assessments that eased my concerns.
I have had 9 surgeries and 2 epidurals. Every experience was WIDELY different.
I do pretty well with anesthesia, but I just wake up nauseated, and when I go into surgery, I’m busy looking at all the equipment and the room and who’s in there and then that’s all I remember. Lol till I wake up. I just hope I didn’t tell any of my secrets while I was under , I’m probably going to have A very important surgery after I see my orthopedic surgeon i’ll let you know how that goes , but seriously, thank you for all these videos. I’ve been watching of you, now I know what to ask my doctor that I didn’t before. Thank you very much for educating me on all of your videos, also, I have a golden retriever named Jackson a cat name zurry A cat named Gregory. They are both gray striped kitties, i’m glad you have pets they are so therapeutic and full of love and make your day is a lot bit brighter when you come home from work 🌺❤️🙏🏽
Thank you so much for such valuable information on this subject. Don’t ever change your bedside manner your kind ways are so appreciated in a stressful situation!
I recently had my back fused. I know I have anxiety and they gave me something before I even went into the operating room because I don’t remember going. When I woke up, the first thing I saw was inside of the elevator of them bringing me to my room. I can’t remember anything and it’s really frustrating. They Musta gave me a whole heckuva lot. LOL
ABSOLUTELY LOVE YOUR VIDEOS. CAN’T THANK YOU ENOUGH FOR DONATING YOUR TIME WITH YOUR WEALTH OF INFORMATION. !
Oh my goodness! I'm 68 and didn't have any gray hair at all until after my last surgery. There are just a few though. Glad to hear they'll turn dark again! (My mother's hair didn't turn gray until she had chemo at 77.) I'll be glad when the short term memory loss passes completely also! Boy right after surgery it was annoying!
I'm not going gray, I'm turning blonde. ;)
I hope you are having a good Sunday. Question: I’m having surgery in December. What can I do now to prepare for surgery?
I had a rhizotomy done on Thursday. I've had them done in the past tho this was done on a larger area. Had my right side done a couple months ago and this was my left hand side. We have found that with me they now have to put me under general anaesthesia for a couple reasons 1)I was moving around when they attempted it originally under the normal level of sedation and obviously with cauterising specific nerves in my lower back/sacroiliac joint...they need me completely still for precision 2)I was coughing and bringing up fluids and things with just the sedation. Ive had prior bariatric surgery and also experience GORD so this was an occurrence that we couldnt comfortably mitigate with just fasting alone. So intubating me was safer than the possibility of me aspirating anything I coughed or brought up.
So apparently even under general anaesthesia with my right side rhizotomy I was bringing fluid up in the tube 🤷♀️ I generally am a difficult case for my many doctors. I have fibromyalgia which makes pain management a little bit difficult because I have chronic pain and am already on a lot of high dose prescriptions...so I have built up a level of tolerance.
What really feustrates me is that I advocate for myself and give plenty of warning and explain prior experiences and things for them to be aware of that ive learnt with other doctors or anaesthetists and things...and I am so often diregarded or they make me feel like I am drug chasing. But all it would take is a couple mins of their time to look at my extensive list of daily prescriptions and a chat with me because I can summarise recent medical history and key aspects that i believe they need to be made aware of.
For example this recent lot of rhizotomies was done by a different pain specialist than the one who did my smaller area rhizotomies in the past. They are all doctors who work in the same neurospine specialists clinic that my neurosurgeon is at. So he has done a direct referral...and I'm sure he would have no doubt sent through important info on me including the cervical total disc replacement he did as well as my fibro, chronic pain etc.
However, upon having my pre-op phonecall with the anaesthetist I asked if he was going to put me under general anaesthetic like the other team did and he made me feel as if I was being ridiculous. I also advised him (and it is well documented in my notes) that upon waking, I am always in excruciating pain and it takes quite a lot of medication to get me somewhat comfortable. The previous team, knowing my history, would give me a ketamine infusion while under and pump me with quite a decent level of meds to assist as much as possible.
This new anaesthetist just made me feel like a drug chaser...which is so often the case in my experiences with medical professionals...like in an ED situation for example when they don't know my full history. They'll offer to give me something and I know my body, I know my medications and when they are offering me panadol, maybe an anti-inflammatory or perhaos even 50mg of tapentadol I will advise them that sure, I'll take the panadol because I know it can help in combination with other things etc, will decline the anti-inflammatory because I am on permanent blood thinners and have been advised not to take them. Then when i say the 50mg tapentadol won't do anyrhing for me or even touch the sides of my pain they balk at me. I try to explain my chronic pain and fibro and that i am on a max dose slow release tapentadol twice daily and can take immediate release when needed as i keep a supply at home...but that when I take it, I have 100mg minimum and it still barely touches my pain. They then think that I'm a drug chaser.
Like the anaesthetist seemed to think I was being dramatic and also chasing drugs.
However, upon arriving for thr previous RHS rhizotomy...he had obviously looked further into my notes or had taken the time to speak to the previous anaesthetist based on what i was saying or read the notes and he so begrudgingly admitted that yes, like i "suggested" he'd be putting me under. However this LHS one the other day and that RHS one...they so very clearly did not do any kind of infusion. Didnt even chart me for any strong meds in recovery and the poor nurses were having to track him down and get a hold of him while im crying and writhing in pain and there was nothing they could do.
I'm sorry for the LONG rant. I'm currently in the recovery phase which for me, means I cannot stand or walk unassisted and this will last for at least another couple days, then I'll be able to move more but will still be battling the pain.
I try to advocate for myself and try doing it in a respectful manner coming from a factual standpoint based on prior experience, rather than an emotional POV. Not sure how else to do this...coz they still dont listen to me in the end. And they arent the ones living with daily chronic pain...then having a phase of acute intense pain following a procedure. Thankfully I was able to get hold of my GP who knows me and my history. Knows that I take my meds responsibly and have no addiction type priors. He gave me a supply of endone for a couple days. It is helping...but only taking the edge off. I dont think I remember the last time I have ever been pain free.
If anyone has read this far, I thank you. Lol and apologies for rambling and hope it was able to be understood...as I said...I'm on the medication (might not get rid of my pain but still has cognitive effects) so may not be 100% clear. If anyone has any advice for advocating better for myself in a way that thry actually listen and acknowledge my concerns and take it on board rather than just dismissing me and assuming they know best. Lol any insight would be amazing 😅
Thank you ❤
My husband said I always have talked normal to him after surgeries. My last surgery was 12 hours November 2019. I never went into any surgery being stressful.
Many surgeries years ago. Surgeon told me not to ever, in my lifetime, go under again unless it's life or death or very important. He wouldn't tell me why. I wish this situation would have been addressed in your talks.
Hello doctor. I have been learning a lot from your videos, and they are giving me insight into my experiences with multiple surgeries for a variety of reasons. I hope you will see my questions and consider teaching us about these things.
Several months ago I fell and broke my wrist (comminuted displaced distal radius fracture) and I was in excruciating pain from that and from the ER doctor working to reduce my fracture. That was the most painful experience I have had; I was given a small amount of morphine, but it didn't seem to reduce the pain, and then was given a small amount of fentanyl which was similarly ineffective. I guess I got more morphine for the rest of the day and a second day (Sunday) till I had surgery on Monday.
My question: do you approach planning and administering anaesthesia in emergencies? What if the patient is unconscious? (I've been in that situation, too.) What if the patient is unable to relate all the information you would normally require?
Also: how do you determine what to administer when the patient is medically complicated and taking a lot of prescribed drugs?
Finally, once after getting twilight sedation for a colonoscopy, the nurse in recovery had to remind me to breathe several times. I heard the alarm that I reckon was set off by my not breathing, but it didn't register with me that anything was the matter. The nurse had to return twice to get me to pay attention and breathe. What was going on there?
Dear Dr I had a Craniotomy and I can’t remember any thing until the time I left the hospital and even after that my memory’s where sketchy. Does this mean I had a stronger drug or is it the way my body got rid of the drug?
Love your informative videos they are so helpful.
I have also been gaslighted by my neurosurgeon, your videos about that has helped me develop a plan when I see him next time thank you from Jacqui, Tasmania, Australia ❤
Beautiful baby kitten. I’m a new subscriber and retired nurse. I find you explain things very well and for me that is very important. After watching several videos I decided to subscribe to your channel. Thank you for all you do!
Anesthesia can make your head feel heavy like you want to fall forward so that is why you shouldn’t drive. I stopped feeling that side effect after my 2nd or 3rd surgery so I am completely sober leaving the hospital right after surgery!
I had a nurse who was sturn and unkind in recovery who didn't say my name or used kind words just command like I was her worse enemy. "Eat that toast, swallow, those pills...Oh, now she's dry heaving them up! The pain pills didn't work for 12 hours and the same nurse didn't monitor my blood pressure even with hypertension and it was 223/186. I was going in shock and the nurses were just a blur and didn't even show empathy. They didn't care in the hospital. All I got was doctors orders yelled at me.
I hope you reported this to the management .
@@cherylsapcote7327 report it to the ward and hospital nurse administrator, escalate to senior management if you don't hear back with profuse apologies.
Had a somewhat similar, although slightly less unpleasant nurse. I ensured she halted that nonsense immediately by adopting my old NCO mode from the Army.
I'm a great guy to work with, I'm an absolute nightmare to work for, work with me, people!
That is shocking it shouldn't have happened sorry you had to experience that.
I would have reported those nurses Pronto! They certainly wouldn't get away with that with me. One of many reasons I hate hospitals and anything medical. I try to avoid as much as possible🤕🤕🤒🤒☹️☹️
Paramedics gave me Fentanyl on Sunday for fractures near hip-I don’t remember anything for 4 days-I was overdosed, now my memory is poor. I’m 82 years old- Melbourne,Fl
Mando is so beautiful! Congrats 🎉
My anesthesia, given intravenously lasted for more than 24 hours! I literally could not function properly! It scares me to have any again. And I was/am a small weight size. And I had just given birth 3 weeks earlier! I never want to experience that feeling ever again! Cute kitty.
I’m super grateful ether is not used anymore as an anesthetic. It was horrible waking up from that and then vomiting for hours. The smell was enough to gag.
I'm old enough to remember ether! I had it when they reset my broken arm. Had night terrors for a while! yes the smell is B A D
That cat!!!!!! I'm crazy about cats and always have been. When I see a cat in a video, the video officially wins. Well, the cat does. ❤😂😂😂
Great info! I learned so much! That was awesome, I agree with you, you should wait 40 hours before driving and or anything! I have to have surgery in a few weeks because my right eye is crossed because of my cerebral palsy, it’s an eye muscle surgery! I know I’ll have a good anesthesiologist like you! I really enjoy donating to the anesthesiologist Foundation, since it was heard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician
How does the MTHFR Gene, (having 2 copys of C677T, meaning my DeTox is only at 30%, ) affect the recovery time from Anesthesia. Brain Fog, lethergy, Ususally takes 3-4 months for me.
I was recently tested on MTFR. I have 1 mutation. B vitamin shots for life. Got an internest in 2018 and am learning alot about my problems. Great question 😲
what a cute little kitty! thanks for sharing.
I recently had my remaining teeth removed in preparation for dentures, the effects did last a while. It was a two hour drive to get home! I was offered to stop somewhere to get something to eat and we stopped at a local grocery store and I chose an Oriental kind of food! I don't remember getting that and don't remember the drive home and I don't remember what I did for the rest of the night! My oriental food was in the refrigerator and was never open because I tossed it the next day.
Ohm I’m chuckling, not because it’s funny but because I get it! I was 34 and my mom brought me home after my total hysterectomy, we stopped at the pharmacy. She took me in because she didn’t want to leave me alone in the car. I bought an ugly planter 😂
@@lisakaye3935 unfortunately, I didn't have family drive me. It was a distant relative, and a guy. I feel mostly confident that he would have taken care of me well enough...
What a sweet kitty. They seem too wear off quickly with me. Even novicane when I have dental work wears off on me quickly. If dental procedure is long they end up having to give me more novicane. I have been told it likely means my metabolism is higher than normal. I had metabolism test done and it confirmed that my metabolism is higher than normal. What are your thoughts on metabolism and anesthesia?
Hi Dr. Kaveh! Good to see you! Interesting. I was out a long time! My Dr. Had to go ! Its ok! Very informative and I have many questions for my doctor and anesthesiologist. Which I've learned to respect more! Thanks to you! Have a great evening!
Good to see you! I hope you learned a lot! Are you having an upcoming surgery?
Possibly in July , depending on how lazy this kidney is! But I'm taking g good care of myself! Really appreciate all you have shared with us. Helps to relax and understand what my doctors have to do daily. God Bless You Sir! Thank you for asking. I love my heart, makes me happy!
Hi Dr. Kaveh, I had a procedure earlier this week. I asked the Anesthesiologist to add lidocaine when administering the propofol so I don't feel the horrible burn before being put to sleep. He gave me push back by stating its normal to feel the burn. 🙄
Some doctors came be so frustrating. But in the end I had no pain. Thank you so much for your suggestion.
The first thing I warn my anesthesiologist about is, adrenaline and pain go together with me and it's a really, really bad mixture when awakening from anesthesia and has resulted in staff injuries.
So, if doctor tried that "it's normal to feel the burn" with me, I'd reply with, well when I awaken in delirium, I hope that you're eager to experience an extended time in traction, as that's the most probable reaction in me".
One idiot proclaimed that I was threatening him and I calmly explained that is indeed what will likely happen, based upon past experiences. If I intended harm, he'd already be harmed, so take the advice of experience or better yet, you're fired, get me another doctor, as we're done and the surgery is off and I'll be speaking with my insurance company about this, as well as my surgeon and primary.
After that warning, I also warn that opioids and opiates are reasonably well tolerated, save for a significant histamine response that's entirely unwelcome, so no demand pump, please. Had a problem with an antique once, due to a deficient design, the demand button projected and was easy to activate. So easy that dropping the button and cable invariably caused the button to land button first to the floor, activating the pump, administering an unwanted dose.
If I ever meet the designer of that button, I'm rushing to the fish market and finding the biggest, wettest trout there to hit him repeatedly with! And I'll pay extra if it's a rotten one.
I'll bring the tartar sauce! Post surgery as a spectator sport!
Thank you So much for All the information you give 🤗🐱🦊 Your one of many who Are The BEST🤗🦊🐱
I was put under 3x before the actual procedure was done on the 3rd time. This was due to scheduling issues for the machine that was needed 🙄. The first time I was put under, i threw up for a week and felt like my skin, muscles and nerves were on fire. I truly believe this was the culprit in starting my fibromyalgia. I could be wrong but the timing adds up 😢
My fibromyalgia started after my sixth surgery.
Mando looks like quite the handful! 😊 Good discussion as I’m about 30 hours post surgery and still feeling wonky and drowsy. Have only needed Percocet twice for pain and took a half dose of those but that could be contributing. I do recall the rn telling me they’re giving me fentanyl afterwards but I wasn’t awake enough to ask why. I suspect effects last longer for those of us who have a slower metabolism. Hope tomorrow this will be out of my system.
Ablation for SVB and SVT… and than possibly lung surgery
Thanks again 🙏🏼
My audio never stopped during this live stream😊 I love your videos and I've learned a lot.
Alway hear people say anesthesia "kills brain cells". You mentioned how long the anesthesia takes to leave the brain. Is there any research proving or disproving
long term brain damage due to the drugs? Does age have anything to do with brain damage after surgery?
Depends upon the anesthetic used, the amount & duration used, and how/if the patient can tolerate or have an allergic reaction. Overall the Anesthetics used today are not neurotoxic otherwise they would not be used. Not long ago alcohol & ether were both used as an anesthetics…
Are you now talking about post-operative delirium? Or is that something different? Thanks Kathy G
I’ve experienced a lot of nausea after going under with propofol and fentanyl for skin graft. It’s been a month since. What explains this? I definitely didn’t have enough information going into the surgery regarding what was going to take place and was very anxious about having fellows practice on me. Woke up with tachycardia that lasted for several minutes. The anesthesiologist told me I was difficult to “knock out”. Could I have been given too much and my body is still trying to eliminate it? I never exercise so I’m not detoxing in any way.
I'm having surgery towards the end of Oct. Is the amnesia ratio the same as other surgeries? Like would it be the same strength or lessened by the type of surgery. This will be hand surgery and my 17th! I know, dumb question.
I would sure love having YOU as my anesthesiologist! ❤
Anesthesiologists Rock 💯%!! Wowsers 😉
I'm wishing you the best of your surgery! The amnesia ratio depends on the type of surgery. For hand surgery, we often get by with much lower doses than needed for major surgeries. While we don't know for certain, we believe that the lower doses of anesthesia also reduce the risks of major complications, such as post-operative cognitive dysfunction
@@MedicalSecrets Thank you for getting back to me on this 😊you rock!
I'll get to ask the anesthesiologist about the "milk of amnesia" I'm about to get lol 🤣😆
@@MedicalSecretshave surgery next month..does it take longer for anesthesia to wear off for obese women?
Weird experience after total knee replacement... so under anesthesia for over two hours... my poop was as green as fresh grass clippings for two days after surgery ( took two days before having that first BM) but St. Patrick's Day is green! 💚 What anesthesia did that???
I had residual problems from versed that lasted for months but I had 5 surgeries which included 8 different procedures in a 4 month period. I woke up in one as they were stitching me up and the doctor said- "she's grimacing, hit her again" to the anesthesiologist, and it took me about six months and multiple supplements specific to the brain to recover my memory.
People often complain of “anesthesia brain”. Is that really a thing?
I had eye surgery three days ago. T had something under my tongue called MKL(?). What is in this drug?
I had 2 IV injections of Versed plus the MLK and was still awake and talking! What happened??? Please tell me. Thanks for your great videos!!! Your voice is so calming.
Hi. I had surgeries and I don't ever remember seeing the surgeon or anesthesiologist when I have woken up. How do you know how a patient does after waking up post surgery??
There are nurses in recovery. They not only monitor and take care of you, they report your status to the physician, who's responsible for discharging you. Then the nurse does the wonderful thing known as removing your IV! That's when you know it's legit 😂
I just had eye muscle surgery on both of my eyes on September 25th, 2023 and I had general anesthesia but I also think I had a breathing tube because I remember my throat being a little sore when I got home. I'm 54 years old now and this made my 14th time being put under anesthesia. I was also diagnosed with idiopathic intracranial hypertension in 2019 and I had to have a stent put into my brain in 2020. So I'm wondering how I made it through 14 times of being put to sleep? Nobody in my family has ever been operated on that many times. And could you please tell me if my idiopathic intracranial hypertension would cause any problems for me if I had to have a future surgery on anything else? 🤔
It can, but of you tell your anesthesiologist they can manage the pressures in your cranial cavity. Have you seen my videos discussing strategies to reduce the sore throat after surgery?
@@MedicalSecrets That's great that they can manage the pressures in my cranial cavity. I haven't seen those videos yet on how to reduce a sore throat but my throat feels fine now. It was just a little irritated after I got home from having the surgery. Thank you so much for helping me and I love your pets. My husband and I have 6 cats and I put their videos on my TH-cam channel. Much love and prayers to you and your family.
💖🙏🐈🐈⬛
I have a black cat that has had FIV for most of his life and he is 18 years old. Black cats Carr a black fur gene that helps fight disease and illnesses!
Not sure what is given for a local. But I've always been hard to wake up -- to the point where people are worrying and I can see it on their faces when I do wake up and then the relief. Both times: wisdom teeth (all 4 were impacted) and broken wrist. I do remember when they first starting the anesthesia, I could feel how cold the fluid was going through my veins to the point I said ouch and then started shivering. They put a warm blow dryer under my blanket and then I was out. I've needed to get a colonoscopy (that age) and I won't do it because I have such a problem being put under. I was so out of it and sick afterwards every time.
Poor thing must have been scary.
My husband recently had a right lower lobectomy. He’s 76 and as I call him, a cheap date and very thin.. Day two in ICU had a psychotic episode, pretty nasty one. Had to amend his pain meds, etc. his kidneys were t processing all the drugs.
Love that you enjoy the cat! Good info!
I was surprised at how hungry i was in that 1st 48 hours. It returned to normal by day 3 and is now down to forgetting to eat again.
I had hot flushes for a couple of days after recent surgery. And cold with shock like shaking that only passes with deep slow breathing.
Its been over a week now and im still having what i call must-nap-attacks.
It wasn't a big surgery. Just an hour under.
PS thankyou for the knowledge before hand. I would like to think I left my CPTSD on the table. I was able to embrace the pain so I'm pretty sure i managed to say no, even though they kept offering. Embracing the pain took the threshold down and it was surprisingly easy, mindset truly helped.
Although, i was not aware how much of an emotional roller coaster it would be for a couple of days after. Spontaneously crying. Gone now.
Omg I finally caught this amazing dr live !!
I hope you learned a lot! Was there something specific you wanted to learn about?
@@MedicalSecretsdr. I didn’t come on time 😟
@@MedicalSecrets lol that’s so kind of you to take time ! It was about how I had my first and only surgery go wrong ( gallbladder surgery) I was dx with lupus after that went wrong and was hard to wake up , I stayed a week in hospital and the hospital can’t find my records so I honestly was left without knowing what really happened but you touched on many many things that helped !!! Again thank you and I hope my super chat reached you lol. Oh I downloaded the app in your link but uncertain if I search by your name or how that works lol .
Versed effected me for days. I remember very little of what happened after experiencing a new onset seizure at work and receiving high doses of lorazepam (Ativan) to get the seizures under control and lorazepam (Versed) given pre-op for the meningioma resection 4 days later. For months afterward I was finding that people had visited me that I didn't remember. Our therapy dog even visited me and I didn't remember it.
What if you are impacted for several days after surgery, does Prophonol stay in the system
What ohysicallis happening when one is put under and when its time to bring the patient to, medical professionals are UNABLE to. They can not bring the person to and they are in a 'coma'? I've had true surgery (not including twilight or local) 23 times ad this has happened to me twice. I'm having surgery again in 3 weeks and possibly again a few months later. I don't want to go into details but I've been in 3 comas and they actually put me at ease about some things. What I'm afraid of ad anxious about is if something happens to me, it will not be OK for my adult daughter. She is very ill. Do i let the anesthesiologist know that i am anxious about being put under? The only surgery I've been 'really' anxious about prior was my knee replacement. I know i need to mention my EDS-C. Does this effect the anesthesia? I have woken up during 2 of these operations. Boy do i have stories. I could go on and honestly council some about what you do.
I'm 15 months post femur fracture repair and cant remember how old I am (56) or what day of the week it is. 😢
A hairdresser once told me that anesthesia can't affect your hair follicles. Is this true?
Had two major surgeries within a month..the first went well..the second was 2 hours with Midzolam right before. I still feel like I sometimes have, the only way I can describe it as dementia like…sometimes I don’t realize it. Surgery was 3 months ago. Will this resolve?
Love me some propofol! Not so wild about the colonoscopy prep, though. 😂
Does Flexerill and anesthesia have a different affect?
Hello! I had two chirurgies. Everytime… I was looking for my words for a year… and after those opérations, I live a few very stressful hours for the employees bécause very low pression. I Will talk with the team if I Will have other chirurgies or when (shoulder, back and cervicals vertertebras). I love your vidéos. Tk very much
My memory is crap that entire day... both before and after anesthesia. Sometimes I'll remember tidbits of conversation.
Great lessons, but I still wish for more concise videos. Also....what happens if your on Bupprenophine & the have to go to the OR & then the neither the narcs or Suboxone work.
Hi Dr K. Enjoying video. I am a redhead. At 38 I was overmorphined during surgery performed during an ice storm. Short staff...surgery not cancelled. I was put in a room without a pulse ox meter and left unattended for an unknown time. When found my O2 was 20%. I was coded and given 2 shots of Narcan. I never returned to my normal self. I developed Fibromyalgia. I was unable to work. 20 years later here I am scared to death of surgery😢💉
And. You. Sued. Them. RIGHT?!
@@5Gburn was not possible. "Reasonable risk of surgery"
you never returned to your normal
self? was this immediately after narcan or a few days later? what are your symptoms?
@@esantone0398 Im sorry. Your question was immediately after narcan. No, they sent me home and I struggled for months. I got diagnosed 8 months after event.
This talk about how anaesthesia effecacy changes with various factors is intriguing to me. I'm underweight with chronic depression, anxiety, PTSD, and alcohol dependence. I don't usually mention this to my doctors. But whenever I get sedated or given laughing gas, the standard amount for my weight works just fine. I feel very good when I'm knocked out. I wish I could have it more often. It distracts me from the hell that's life
I hope you get effective help. Life can get better with PTSD. It's not a short road, but a journey.
I'm sorry to hear everything you have been trying to heal from. I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
Keep up the good work, from ireland!
Hello Metroid, I wish you more happyness in the future. Seek out people who can be positive for you and help you to be you. Life is not always hell,sometimes it is not so fun but it varies alot. I am 60 and nearly died a week ago. I am happy to be here and getting some therapy--I don't know why but that sounds better to me than mental health intervention or whatever.
There are some new techniques for treating PTSD, the VA is doing a pretty good job in leading that charge from ignorance to knowledge and understanding. Guided therapy with MDMA looks to be promising, I suspect low dose ketamine would have similar effects, even if it's acting upon an entirely different receptor system. It takes a lot of work and patience, both from the patient and the professional.
Ethanol dependence can cause cross-tolerance issues with some drug classes, so you really should discuss your entire history with doctor - always. Especially, as ethanol can tie up systems that normally would process a drug either into its active form or neutralize the drug. Remember, you and your doctor should always be a team, working together for your wellness. When one of the team isn't properly informed as to what's going on, the confusion can undermine what otherwise is spectacular teamwork and turn treatment into a debacle.
Case in point, myself. When I want to get booze, I walk to the store to get it and walk back. That's a 45 minute walk, which is already fairly painful, due to some old injuries causing neuropathic and regular inflammatory pain. At one point, while discussing my history and symptoms with a new doctor, I also mentioned and reinforced that at that time, I was drinking a 1.75 liter bottle of 100 proof spirits every 3 days. Doctor, with some alarm, asked if any signs of dependence was present and no, with me, I'm oddly not dependent. I'll get bored with it after a month or so, toss the bottle into a corner of a cabinet and not bother with it for a few months to half a year. Food, work and family being primary in importance, the booze is pretty much last. Not hammering as much back now, largely because I'm not that bored and well, that 45 minute walk and lousy weather just makes the entire exercise a lot too painful, so I've been both cooking more complex meals (already fairly complex, never been a burger kind of guy, I'm the make gallons of marinara sauce type) and experiment with new software on my Linux systems.
I also get depressed fairly often, distract myself away from that, but then, I did lose my wife of over 41 years around a year and a half ago. So, I keep busy and divert, rather than fall into a cycle. Had enough psych courses over the years to learn some of those tricks and being retired military, I've never been a stranger to asking for help with any heavy lifting.
But, first and foremost, being open and honest with doctor. If you get a doctor that's judgemental, walk out and find a good one. A "Well, that might not be the best course of action" from doctor gets responded with, "Well, I'm always open to better courses of action, Doctor, what do you have?".
Doctor is a subject matter expert, specializing in a specific field and heavily experienced in said field. One doesn't bring in a subject matter expert and ignore their findings and suggestions, as you've then wasted your time, the expert's time and a hell of a lot of good money for no reason. As a subject matter expert in electronics and several IT fields, I've learned that firsthand.
It's always better and easier to work as a team.
Well, I'm off. Injured an ankle yesterday afternoon, so walking to get booze and bread is out. I'll just make a loaf of bread at home by hand again.
Hey, the yeast and oven to most of the real work, I just mix the ingredients and beat up the dough a couple of times. Last loaf was a rye-wheat mix, a secret to keeping it moist is add a few ounces of olive oil to the dough when initially mixing the dough. It's also one of the very few things that I'll add salt to, given how much salt is in canned goods, that's a good thing.
Thank you so much Dr for your talks. I am learning lots!
My mother and sister both had brain damage from general anesthesia. How likely is it that I'd have a similar reaction?
I'd be just like "just bring me back and pull the curtain round me and don't ask me anything" lmao.
I'd be mortified if I said something crazy or out of character before I was awake enough...
Forever, it took 9mns before I felt normal, no anxiety about surgery, but anesthesia makes me feel terrible-6 weeks of nonstop disequilibrium, and the loss of 15lbs, great for dieting, haha
I'm sorry you had that experience with anesthesia. Have you had any surgeries since then?
Any adverse effects several days after heart surgery, such as character or mood swings?
I’ve had more than 150 surgical procedures under general anesthesia throughout my life. Although I’ve been told anesthesia leaves your body within 24 hours, I disagree. I’ve experienced residual adverse effects that I feel I am still trying to release.
We love you Dr. Anthony!
L-Carnitine is one of those that increases metabolism, isn't it? However, it isn't for anesthesia.
Ook I’m gonna go out on a limb. Idk if you’ll ever see my comment. I end up with Hyperalgesia. There’s sO many of us in pain management these days that I feel like this should be talked about more.
I had two heart surgeries within 40 days, it's been 4 months n my emotions are extra sensitive, crying over everything,is this normal
I was put to sleep 6 times 1 induced coma after seizure activity. Drs also put me on every med for anxiety pain killers morphine at e.r constantly and antibiotics constant. I am so weak and sick shaking drs wont help. I feel like im dying numb. Plus severe mouth tongue pain. How do I heal?
Having surgery next week how do I prepare
I’m a little nervous
I'm having a thyroidectomy soon and im so nervous about waking up wanting to vomit and my throat will be in pain. 😭
Thank you very informative as usual 😊
There’s nobody else that has my condition and mutation as badly as I have it so I am alone in that aspect. I should be in the Guinness world records for how fast I can burn off all different kinds of medications!
Same here, as for burning things off, no clue if it's a mutation or just a totality of metabolism. I suspect that my cytochrome P450 is a lot more efficient in many ways, due to tolerance for certain classes of medication that I've taken over the years and rapid onset for those activated by the same pathway.
So, what mutation do you have?
@@spvillano I tested positive for the CYP1A2 ultrarapid metabolizer gene but I am set up to go to U of M for more specific genetic testing. I got hit by a car in 2011 and I almost lost my leg and for the first hospital stay I had 8 surgeries, I went through enormous amounts of pain and I started noticing that the meds were not helping at all and I started waking up from surgery. I don’t do fentanyl but when I get right before a surgery I can burn off 2 mgs in 5 minutes and I have heard that is enough to kill a person. When they had to reset my left leg they gave me up to 10 mgs in a close period of time because I was screaming so bad. I started beating the propofol after my 3rd surgery and now ever since then my body holds a permanent tolerance for propofol so I can no longer have it for surgery. I woke during my last 4 surgeries. I am about to turn 43 this month so I am no spring chicken even though I come off looking being like 25 years old to everyone which is weird. I have arthritis, thyroid disease and diabetes because everyone in my family has it. I take care of myself and I am 124 lbs but still, I have stuff messing with my immune system and now that I am older one would think that would slow it down some but not when it comes to this genetic mutation. My liver is making a special protein that makes me be able to detoxify and metabolizes stuff really fast. I want U of M to deactivate this gene because I have to take more meds because of this for my high blood pressure and stuff because my body burns off that stuff too! I can burn off sedatives, dangerous amounts of pain meds, psychiatric drugs or hallucinating drugs and I am highly allergic to everything and should have major asthma according to my immunologist but my condition also gives me a tolerance towards things that I am highly allergic to because this gene causes major tolerance’s to stuff. I used to have a bad liver but now my liver is perfectly normal. This is the reason for testing at U of M!
You and me both! Ask my dentist... Always has to be standing by with an extra syringe or two
I'm having surgery on my right ear. The dr said because I've had lots of ear infections he needs to clean it out. He said I'll have general anesthesia. So what is the anesthesiologist going to give me when he knocks me out?
Ask them. When I had ear surgery, I asked beforehand. What they gave me for that surgery is completely different than what they used on another surgery I had. It'll be particular to you too, probably. Don't be afraid to ask! You're not only a patient, you're a customer
Does anesthesia cause night sweats after surgery?
YAY! Welcome Mando!
A kitty AND learning you're Mandolorian fan? Nice! XD
WAIT it's fat soluble? Does that mean that my anaesthesia can be less effective if I have little fat on me? Cause apparently I'm not simply currently thin but also my poor surgeon didn't run into expected amount of protective fat tissue where ppl tend to have that or even have too much of it. And I tend to have struggles with anaesthesia (probably for more reasons than that, but if there's an aspect I can "fix" then I'd like to attend to it if I need it again).
Aka will the effect of anaesthesia last shorter for a person with little fat? Also when a person isn't very muscular either?
Never had a anesthesiologist ever give me a list of the drugs they are administering to me. Just mentioned it was " a cocktail of drugs." Why is it so hard to get real answers?
I am so sorry you had that experience. It is often difficult because the system does not allow for genuine preparation or follow-up with patients before surgery. How did your surgery recovery go otherwise?
Surgery was successful especially felt better with a pain pump on board. How can I possibly have a serious and educated conversation with the next anesthesiologist I encounter? Will need wrist surgery soon.
Speaking with your surgeon as early as possible to let them know that you want to have a consultation with your anesthesiologist is a good start
I had the same experience with my first surgery. I be asking for consult with anesthesiologist for my next surgery because I have some med tolerance.
I found a list of the medications used on my processed insurance claim.
Hear a Latin 3 areas and possibly lung
Thank you for all your wonderful information 🙏🏼💝
Heart ablation
Awe a new addition to your family so lovley 😊
Why do I itch after anesthesia? No opioids or penicillin used as i warn the dr beforehand.
Also why does the site of the iV hurt for weeks/months after the surgery?
Thank you.
I was sedated for a cardiac cath. My diastolic dropped to 40. They gave me 3 bags to rehydrate me. This happened 13 years ago after a cath, too.
Did you have anesthesia for that?
@@MedicalSecrets had twilight for mine. I woke up, which isn't atypical with me, asked the interventional radiologist to shift the monitor a tad so that I could see, resulting in an instant loss of a sense of humor and another dose.
He never did move the monitor, the prick.
A little under 10% narrowing in one spot in the right descending. A repeat recently had the same results, 13 years later. Guess that I'm doing something right!
I heard anesthesia was fat soluble, so we should eat fats after surgery to metabolize it faster. Or take a digestive enzyme to breakdown fat? Is this correct? I ate more ice cream after surgery and it seemed to help. 😂 Before, anesthesia seemed to stay for a month! I have Ehlers Danlos Syndrome which makes me more sensitive to medications and in general.
EDS can have varying effects. But far soluble doesn't mean you should eat ice cream before surgery!
@@MedicalSecretshaha! Not before, maybe after if it helps get rid of anesthesia?!
@@MedicalSecrets but after surgery is Ok! 😊 they always want to give you these whey/ casein/ lactose protein drinks which I can't have (milk intolerant) So my husband smuggled in my fave treat... coconut chocolate dairy-free ice cream bars! that's a good recovery moment... what a sweetheart (I'm EDS also)
In amputation surgeries are Benzo’s Implemented for memory washing?
I recover from anaesthesia pretty quickly.
That's awesome to hear! How many times have you had surgery?
Why does a liter of Ringer's Lactate contain 6000 mg of Sodium, and why would anybody think this was good for us?!
RL is considered a blood volume expander, first line of defense for blood loss which also pulls all your electrolytes needed metabolically like to keep one’s heart beating and others. When one loses a lot of blood as long as there are some circulating red blood cells ( the basic 4 main elements) then the RL maintains that volume and usually a patient has had normal saline. Ringers helps with maintaining equilibrium with the blood circulating and is an absolute asset in trauma and blood loss prevention. Taking blood products isn’t something light. I did my thesis work on preventing blood loss because your blood was made for you specifically and one can become very sensitized to foreign blood from someone else and it increases recovery time due to being somewhat similar to an organ transplant. There is a blood salvage machine ( portable) plus volume expanders reduces the demand in the body. Even if one’s blood volume can go low it is not always considered necessary to jump to having a blood transfusion. Like I mentioned those circulating cells reoxygenate and there is a definite business side to donating blood. Did you know that it is sold to other countries? And also blood is not screened for everything. It is a business. There is a lot of things that the typical patient and unfortunately sometimes doctors do not know. We can actually live and succeed in any surgery with meticulous blood volume management and without the use of transfusions including lung/ heart transplants and other transplants. Generally healing is faster and it certainly is a more healthy situation. There are many surgeons that do bloodless surgery and are very meticulous about blood loss. In the olden days many used it as a crutch to unfortunately be a bit sloppy and other surgeons improved tremendously in their skills not only for those who do not accept blood for religious reasons. I have had patients say in fact that they were Jehovah’s Witnesses only because they really preferred to not have blood products and then sometimes physicians would think then all or some could be convinced to have a transfusion when in reality they just were informed of the risks and it wasn’t for religious reasons. Blood is given under informed consent and each individual chooses the best care for themselves and family. I have treated many very well without blood and as with any patient it means working quickly. I also have seen that in the case of severe trauma that if one bleeds out then it usually goes way too quickly to get a handle on it. But the work and learning done in that area has in turn improved everyone’s quality of care. The quality of surgeons and their care has this greatly improved for all patients irregardless of their beliefs. What a great asset it is to have such qualified caring medical team mgmt! Great question and hopefully I helped with a lot of misunderstanding in general about volume expanders and informed consent. 😊
@@ninner196 They fed me a bunch of RL laced with antibiotics when I had an abscess rupture. There was no blood loss. I swelled-up like a balloon!
@@dahut3614 Wow, I am really so sorry to hear that. Maybe you were becoming septic, some do swell but I haven’t heard of worsening it by that sort of treatment. If the antibiotics work then they generally will like to just keep one hydrated but not like that. Wow! Usually people urinate a lot when those antibiotics kick in so that was some strange logic. I hope that you are better now. I have been septic twice and the last time it caused irreversible damage. Scary situation without a doubt. Wonder if there was a resistant strain but very different way to handle the volume. Wow!
Does anaesthesia cause hair loss?
Hi Doc.. Ray from Ocala Florida
Hey, doc! Mando is a good name lol
Thank you! Do you have any cats?
What Happens’When a Surgery LAST LONGER’-And Need MORE MEDICINE..
For more TIME TO FIX -Whatever?
Can the anesthesia act longer in the brain if you’ve had chemotherapy treatment for three months two years prior😢
I get giddy after anesthesia. Goofy and loopy and weird and i know I'm being that way and can't control it. I just shrug it off. I could be a fighter so goofy is probably better. I also tell the surgeon and staff that they do not have permission to ask me questions not pertaining to this procedure, then i laugh and tell them to put me to sleep now lol.
Once I regain consciousness I cleae up in about 1 to 2 minutes, with zero affects after that.
What kinds of surgeries have you had?
@@MedicalSecrets I had 1 laminectomy with decompression, a very complicated fusion at the same level (took nearly 13 hours to complete), install of a spinal cord stimulator, revision of the SCS due to a broken electrode. Plus an assortment of minor procedures for things like a cyst on my neck. Those were twilight sedation though. For my teeth extractions they used Propafil. The milk color is hard to mistake for something else. Cleared up very quickly from that one since there were fewer medications used.
My first surgery was scary though. I regained consciousness towards the end, but couldn't move or feel. So once I realized what was happening, I focused on remaining calm by focusing on the conversation between the surgeon & staff. They said it was a possible allergic reaction, and used a slightly different mix after that.
I have long periods , post anesthesia, inwhich depending on the drugs used , can sense it for up to 2 weeks after
Penicilin took me 7 years to get rid of the side-effects ; even though the last comment was off topiç , it affords you some idea of how toxic pharmacuticals are used . Medalzalan , doesnt have after effects , unless i remember - colonoscopy - and pick up on others who hold much fear of the procedure & if a positive result , the follow on sensations of the procedures , which isnt particularly nice .