Patients shouldn't lie about marijuana to their anesthesiologist
Вставка
- Опубліковано 8 чер 2024
- Did you know that marijuana has effects on many organ systems throughout the body? In this video, I explain these effects and how anesthetic management may change depending on a patient's marijuana use.
Everything presented in this video is based on evidence:
📖 Lee et. al. 2024: journals.lww.com/anesthesia-a...
📖 Flannery et. al. 2019: journals.lww.com/anesthesia-a...
📖 Liu et. al. 2019: journals.lww.com/anesthesia-a...
0:00 Start
1:43 Central nervous system
2:13 Cardiac concerns
2:55 Respiratory issues
3:15 Hematologic problems
4:01 Drug metabolism
5:08 Recommendations
**Error at 4:16: The screenshot shown here in error describes the potential interactions between the anticoagulant warfarin and other medications. However, the list I read out loud here pertains to interactions between marijuana/cannabis and other medications (from this study: journals.lww.com/anesthesia-a....
Music:
Subtle Swagger by Ron Gelinas: / atmospheric-music-portal
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool - Наука та технологія
My doctor had to give me so much anesthesia, he totally knew I'm a dab enthusiast.
710 all day brother
Haha 🔥710
710 life for life!
What
@@user-lo9sx3vq3e 710 is a new stupid stoner thing like 420. its supposed to be "Oil" turned upside down, so its 7/10, July 10th, National Dab Day. Its just as dumb as 4/20
anesthesiology needs to convince patients they will not write this stuff down and make it a part of the record.
especially now that "records" aren't just paper charts in one doctor's office, but electronic records that follow you around for life. I can't believe that just happened without any public pushback.
newsflash your anesthetist doesnt care if you use drugs or not. They just wanna successfully put you to sleep and wake you up without issues. Lying about drug use, smoking, medications you take at home, etc. Just puts you at risk.
It happened for safety reasons (if you had a cardiac consult that only exists on a paper chart and it never gets set before your surgery to the people taking care of you... thats a big deal), also your medical records cant just be accessed by anyone lol@@ssl3546
Patients need to realize that whether it's written or not - it is stupid not to tell the doctor. You need to tell them so they can take care of you. They don't need to cater to your silly paranoia. Here is an idea, don't use weed for several days before surgery. Then there is nothing to tell.
@@ssl3546 Especially since with holding information could lead to pain or death? Here is what you never thought of - stop using marijuana for several days prior to surgery. INTERESTING YOU NEVER THOUGHT OF THAT.
when i had a gi issue i went to the hospital and told them and all they did was blame my gi issue from smoking i will never go to the hospital again for a gi issue
same happened to a friends mom. diagnosed with chronic crohns. smokes to relieve pain. had a really bad day. went to ER. said she smoked. they threatened to call the cops if she didnt leave and refused to see her at all. its bullshit
Yeah, this doctor here is basically lying. Being honest with your healthcare provider can literally ruin your life and prohibit you from access to even the most foundational basic medical care.... Does it always work that way? For sure not.
Can being honest have SERIOUS and life ruining consequences? 100% no questions. Maybe even more often then not.
Without any doubt absolutely it can
Kind of like the old joke:
I was reading that drinking was bad for your health... so I gave up reading.
Did they do any investigation or basically just dismiss you outright?
Hope you’re feeling better now btw ☮️&💟
This doctor is obviously very smart and knows what he's talking about! Great video.
Yet....Still hes referencing some "studies" and "documented cases" that were long ago debunked by actual science. Not some nonsense propaganda pushed to scare people. However I will agree that habitual cannabis users will likely need more than the regular dose of anesthesia medications. We are less susceptible to effects like those, I know this being a multiple decade long cannabis user.
" the absolute risk of having a heart attack in the crucial first hour after smoking marijuana is one in 100,000
These findings come from a study of 3,882 people who survived heart attacks"
"In the study, 124 people reported using marijuana regularly. Of these, 37 people said they used it within 24 hours of their heart attacks. Nine said they smoked it within an hour of their attacks."
Sounds pretty anecdotal, and bullshit to me.
@@crisnmaryfam7344yea the 8x more likely seemed fishy, maybe 2-3x since it does raise heart rate
@@crisnmaryfam7344yes it is nonsense. Also they didn’t take into account all of the cheeseburgers they stuff into their faces whilst high
this is a nitpick but he also said 15% of the US is 25 million but that is less than 10%
I was upfront with my anesthesiologist about using cannabis, and she actually recommended combining it with my pain meds for increased relief!
Similar here, though didn't involve surgery/anesthesia. When the doc who was dealing with the aftermath of an argument between me and a horse over who should be the one on top - short form: the horse won, and I got a consolation prize of 6 busted ribs and assorted other "ouchies" - found out I was a long-term, light-dose pothead (Been going through roughly an ounce a month for over 40 years - basically equivalent to a daily "stop at the bar after work, wash down some popcorn with a shot and a beer while watching the news and chatting with the bartender, then hit the door" level drinker) he suggested taking a toke or two about half an hour after eating one of my hydrocodone tabs to "stretch out the effect". Seemed to work well. I was still miserable (let's face it - 6 broken ribs (two of them broken in three places) a seventh cracked, but not outright broken, multiple bits of torn cartilage, strained/torn muscles, stretched and torn ligaments over most of the chest, a partially collapsed lung, bruised spleen and a 2 cm tear in the diaphragm is going to be sheer misery for anybody who isn't in a full-blown coma) but at least it was a tolerable misery, rather than non-stop screaming agony. Bonus: 6 months of healing later, the opiate withdrawal was mainly a mild craving, some minor nausea, and minor "jitters", rather than the sweating, puking, cramping, watching-the-bugs-crawl-out-of-the-walls jeezus won't somebody please kill me now and end the suffering hell I'd been warned to expect.
The best part about that was her validating your use of it by suggesting it. That’s awesome!
My pain management specialists said they'd rather have me smoking marijuana over pharmaceuticals which I mostly do
@@JBoomy therapists and psychiatrists have also favored and preferred me using pot over benzodiazepines and addictive medications like pregablin. as there’s no risk for me in overdose or addiction with weed
Yeah this doctor's just against marijuana.
One of my friends told their Anesthesiologist that they had never smoked pot in ages because they hate how it makes them cough. The Dr. did not believe them until they told him that they snorted dumptrucks full of coke.
Then his reaction apparently went to: *YOU. WHAT?*
LMFAAOOO IM DEADDDD
Lmao my shit be burnin after either way so nose or lungs you gotta choose a con to enjoy the pros
I be tellin my girl when she bitchin about coughin or her nose botherin her if she dont wanna deal with the cons to enjoy the pros you gotta eat edibles😂😂
@@543_AlanT I saw snoop dog recommends putting your joints in the microwave for 5-10 seconds to release the terpenes - smooth joint plus you get high asf 😂
My dentist didn't care until I was screaming from the pain and that I needed more and then he gave me more and it stopped immideatly now Everytime I make sure to tell them and to count.
Never tried it before have u
Why does UA-cam had the need to put all these warnings. I trust this guy more than any sponsored ad they put on UA-cam
You don't trust the ads that start off with "The government has been lying to you and you're an idiot if you haven't realized it yet. Here's how you can get $6200 tomorrow"?
Next you're gonna tell me that Mr. Beast isn't actually going to give me $3000 to play a game on my phone. Pfft
Knowledge is power. I've been sober for a month and already know that you shouldn't lie to any medical professionals, but I appreciate you spreading the knowledge of what can happen if you do lie about drug use. Keep it up man and I wish you the best with your career!
During my PACE appointment, I stated that I take medical cannabis and she told me to simply not smoke 24 hours before surgery. I still decided not to smoke. It's been a week.
nice, whenever you come back (if you decide no pressure) it will hit harder. Give it a whole month and it'll SMACK.
lol I can't wait for that day. trying to go 90 days no weed myself. That schloof pack gonna have me slitherin on the floor like the grinch. @@draculinalilith396
@@draculinalilith396weedsmacked?
@@draculinalilith396 yeah, its called a tolerance break...
@@xThunderSlugx yeah yipeee :D
i had elbow surgery a few years ago and the doc said I had the most aneesthesia he had ever given in a 30 year career. smoke daily, but not anymore. Max ain't lyin!
For elbow surgery? Why didn't you just do a local and take Kush with Tylenol for the pain? I've had multiple surgeries and only taken their opium, after two of the procedures. The other 6 procedures were all ganja and Tylenol. As for anesthesia professionals, they're paid the money they're paid for a reason, and it has little to do with pot and much more to do with alcohol and obesity. Keep it real, stoner.
I never lied to my anesthesiologist when having surgery! Great info!! I don’t smoke, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist physician! Happy anesthesiologist physician week! You rock man
good for you
Well done typing this message. Seriously
Absolutely love watching your videos, Doc!
Wonderful information! It seems like a huge part of your job is keeping up on all the studies and information that effects what you need to do. No idea how you can keep up with all of it.
Very educational video! Thank you Max
Another awesome, well-researched video!! Thank you, Dr. Feinstein!!
I had surgery years ago to remove my appendix. I remember having a nurse or anesthesiologist asking me questions and he asked me about marijuana. He must have seen me hesitate, because he immediately followed it up with something to the extent of "Look kid, I don't care what you do in your personal life, I'm just here to keep you alive, so tell me now." We were cool and chit chattin before, so I appreciated his bedside manner.
Great video Dr! Very nicely done-- informative and well delivered.
Dr. Feinstein, I enjoy your content, value your approach and perspective (although I don't always share it). Thank for reading this lengthy post.
I am pre med. I've witnessed a following situation recently, wanted to see if you could maybe do a video or comment, I am curious to hear your input:
During a bx procedure, a patient that came in with high BP (150ish/100ish) and tachycardia (inter ales, but I'm not one to snoop through pt charts without a good reason), needle in the back, second scan, everything routine.
Pt stopped breathing suddenly. Anaesthesiologist yanked needle out, turned pt, the face was covered with blood. Suction, carotid massage, bag, critical response team, nurse getting into an argument with anasthesia attending over her "certified in ACLS (or something like that) so it's in my scope of practice" while getting in the way drama, and patient started breathing (although agonal). Sent to ICU.
Anaesthesia blamed radiology for "under stimulation" because they were "taking too long". Radiology went with them to ICU to "avoid being thrown under the bus". Pt was under only for 15min, had a needle in already, it was 2nd scan.
I'm from path, not a physician or nurse, worked locum tenens in several states, 6Y+ in this field. It was 1st time for me to witness such a rapid situation develop, the drama, and the blatant politics b/t departments.
My questions are:
What could be the reason for such sudden bleed?
Have you had a similar situation during a bx procedure or other?
Could the agonal breathing point towards pt responding abnormally to anasthetics?
Is narcan (or similar agent against non-opioid anasthetics, if existing) ever used in such situations? How does anasthesia deal with crucial situations like this?
How do you even prepare for this in med school? Do you train the techniques on dummies, cadavers, other students, standardized pt, simulations? Is there anything that can prepare you? Is this something that you only can be taken through under attending supervision during residency?
What does it matter who ICU blames ? I know it "does not" or "should not", but Dr. Feinstein you're an honest person, you've spoken to some of the BS behind the scenes before, do you have a clue?
Finally, the conflict:
Initiative is good, it's necessary, but seems like there is more hubris and overconfidence in the mid-level staff recently (esp. nursing), and I've witnessed one where the pt was put at risk, as nurse was getting in the way of attending with suction, to check pulse because of some cert. the nurse took (not hating on nurses , God bless them BTW).
Have you seen that kind of conflict in your practice?
Do you think there is a "trend" or just the drama aspect being more "memorable" to me, and so there is not a trend just more of my "bias" (don't like the word for what it's become).
How do you deal with the conflict in the moment and after?
Is there an approach that works both in the moment and in the long-term (so you can be amicable to that coworker in the future)?
Thank you again for reading, looking forward to your (and others) input.
Would love to see this awnserd as well :)
If you would too, comment for the algorythm.
Would be great to hear these concerns discussed.
I told them every little thing I could think of, which was just Zoloft, a multivitamin, iron supplement, and that I take ibuprofen for headaches when I get them. She said ‘No drugs? We don’t care, we won’t tell, we just need to know for your wellbeing.’
But they would put it in your medical record if you did and it would have consequences so, the whole "we don't care part" is actually misleading and dishonest.
@@Globodyne yea but aren't your medical records private/confidential? So other than doctors seeing your medical records, how would you get the consequences?
@@Globodyne And how would that be considering HIPAA medical privacy regulations?
atleast in the United states nobody can access your medical records besides your licensed doctor and yourself and anyone else you have given written and signed permission to do so... So yeah they really dont give a shit what you take, they just want to treat you... @@Globodyne
@@masterdoge17 some doctors are conservative assholes who put their personal biases over the safety and wellbeing of their patients, that's why.
This does contain medical advice. The advice being, *Tell your anesthesiologist if you use marijuana.*
Or you can just tell your anesthesiologist that you typically need more anesthesia than usual.
@@trailingupwards then its on him to trust you, and not wonder wtf you are doing waking up while they are ripping your teeth out...after taking enough of their drugs to knock out a mule.
Also before following said advice, important to Research your own countries laws, this video is only on American law.
Where I live if you tell the emergency room, or a therapist that you recreationally use illegal drugs because they are legally forced to report it to the police or they are at risk of having their license suspended.
@@bradthunderpants3283 You clearly need to band together with your fellow citizens and overthrow your oppressive government. Then doctors won't have to report you to the stasi for loving dabs.
One issue I've seen on lots of medical intakes is that the forms still ask "do you use illegal drugs" or "do you use any drugs not prescribed by a doctor". But in a state with medical marijuana, a registered user could truthfully answer "no" to both, but the medical provider isn't getting the answer they need.
Why would anyone lie to their anesthesiologist about anything? This is the person whose main goal is to keep you alive. The more information they have, the better.
People are embarrassed or think they'll get into trouble.
The problem is if folks use substances …. It will be flagged on their medical record as a drug user and other hcps will stigmatize them. Often leading to inadequate pain control and pain management
Well said! Thank you!
People lie all the time about their alcohol consumption. They lie to their dentist how often they floss. Same thing, basically
So if you see your urologist and he asks you how often do you masturbate, will you answer honestly?
Super interesting and informative thank you!! As a medical user of weed tablets it’s really interesting to hear about the cross between weed and opioid receptors! Opioids don’t work well on me because of my tissue disorder, I also have a super high tolerance to marijuana so it’s super interesting to hear the two could be connected, just curious about this stuff though your info was super helpful!! Thanks so much have a happy Tuesday :)
My first surgery under general anaesthetic was when I was 5yrs old. It was noted by the anaestesiologist at the time that it took longer than expected to put me under and also that I came out of the effects hours sooner than expected.
Since then, I have had 5 surgeries, 4 of which I was a chronic marijuana user, and I was totally honest each time. My apparent resistance to anaesthetic was most apparent when I underwent nerve surgery on my hand. I was still fully aware and speaking with the nurses well beyond the "backwards from 10". I'm only a small bloke (around 50kgs at the time) so the anaesthetist was surprised by how much I took to put me under. He kept a close eye on my during the entire surgery, which was a lucky thing. I started waking up about halfway through the 8hrs surgery, and surprised the pants off everyone in the room. I was put under "active anaesthetic" which basically meant they watched and reacted if I started to stir, which I apparently did another 3 times before it was all finished.
Much harder to have things like this researched here in Australia compared to the US so I'll probably never have a true reason why I react in that manner.
Im Premed and your videos give me so much inspiration to keep pushing for my dreams !
Thank you! Do you use Sufentanyl in opioids addicted patients? Or what additional anaesthetic options can you give?
Weird timing. I just had an operation 2 days ago. I had to tell the anesthesiologist more than once that I didn't smoke and I don't think he believed me. I must have that look.
You "didn't think he believed?" So he never said specifically he thinks you smoke.... So you are assuming he assumes you smoke???? When you assume, you make an ass OUT OF u & me.. ass,u,me
@@Daveeeeeeyhowyoudoing oh thank God you broke down ass,u,me at the end or no one would have been intellectually smart enough to figure out the line "you make an ass out of u and me", which has been around forever.
I can tell by your profile pic you are def clean😂
Went through major back surgery, thanks to me knowing this it went smoothly and woke up with no after effects or even nausea
Super interesting, thank you!
Would it be snobby to ask my Anastasiologist if they’re going to consider heavy marijuana use when taking care of me, and if the answer is no should I go elsewhere to be extra careful ? Is it dangerous or do I just have an increased risk of a an extremely unpleasant experience ? Asking because I have a procedure I’ve been super anxious about getting my wisdom teeth taken out and I smoke a lot and sometimes wake up with night terrors so I’m just anxious all around
Man I went under for the first time(at 40years old) And it was a great experience, nothing to be scared of! crazy how quickly you go out, and in a blink you are waking up with surgery done and a plate on your radius! lol. You guys are rocks stars, thanks for all you do👌
Had a dental procedure. The anesthesiologist told me I was maxxed out and did not get twilight sleep and was awake for the procedure. Thankfully, the local took care of the site pain, but the smell of burning bone was something I would rather sleep through. Good to know
Wow, that’s harrowing. This was because of frequent cannabis usage? And they literally maxed out the dose you could safely take and it still didn’t work? God damnit I should quit smoking weed
That is ridiculous. Those dosages are only guidelines. They absolutely can and do exceed them, if necessary to meet the standard of care. I would have been very upset with that provider.
I think there maybe a genetic link to that as I know mine was from dad (both him and his brother? it was either him or his dad?? not sure but I know one of them) but dad used to go in the dentist with me because he wanted to make sure that the numbing stuff worked (as he had a similar bad experience with being put under only to wake up during a procedure) There were many times where the doctor would straight out say “no” to me as they were sure that I was lying about still being able to feel or as I would say “hurting” all because “I’ve had more than the normal dose so there’s no way I can still feel it” which really thanks to him for that but yea and even now as I am one to use/rely on weed for several things (my digestion issues, migraines, other pain, etc) but I always am so v specific even before starting whatever we are doing I make sure to tell them that i seem to be highly sensitive but need a good dose of the meds as I have had issues in the past and all (tbh it’s actually kinda a fear like big enough where it’ll start a physical panic attack so like yea i try to be sure and let them know all about that) i’m sure there are many more tho (I think some antipsychotic meds might as well) sorry that was kinda a mess my brain is kinda a bit scattered but I hope my words made some kinda sense there
thx doc. ill keep all this in mind
Im always straight forward with my doctors.
Somone I know is getting a epidural for a major surgery, and us using fentanyl patches for pain. Does the patient need higher fentanyl in the epidural/spinal if used in the epidural/spinal even though you dont get the "effects" like you might get from directly fentanyl into the bloodline during surgery as well?
They would usually remove the patch and give med through one route which can be adjusted. Then when they go home then they put on a new patch.😊
I remember a story from my brother. He had to undergo anesthesia, but when they started the surgery, he didn't pass out. He just felt very high and chill, since he's a daily weed user. The doctor asked him if he smokes weed on which he answered yes. The doctors just talked to him while the surgery was happening. He didn't feel any pain or stress, since the drug made him feel good lol
had a root canal about 3 months ago and it almost completely slipped my mind to mention it to my orthodontist; I ended up requiring 4x the amount of local anesthesia... not entirely pleasant. My face proceeded to be numb for about half the day
Basically do not go into surgery high, same goes for alcohol. And obviously be honest as the doc says here. Really straight forward.
It’s actually much more than that, general anaesthetics are mostly solvents that disrupt lipid membranes and can literally redissolve fat stored cannabinoids back into the system….. I smoke like a chimney, but I’m not going to deny science for my own personal adjustment to reality
I don't partake myself, but I do have friends that do (yeah, right but sadly true. Last thing I need to worry about with my meds is throwing another substance in the mix). Do consumables have a different impact profile than smoking/vaping?
The only impact difference is the patient's airways are not irritated and don't have associated negative reactions; the THC interaction with drugs, pain, and organs is still an issue.
It’s THC, doesn’t matter how it gets in.
@@ferretyluv for THC interactions with anesthesia drugs and heart rhythms, how it got in the blood doesn't matter. But vaping and smoking ALSO irritate the airways and lungs which reduces oxygenation. Edibles don't affect the airways so HOW does matter to an extent.
Yes it does, but in this context still would have similar effects with anesthesia. but mentally yes the impact will feel different or very different depending on the person because when metabolized by the liver it changes to a different kind of Thc, and the uptake changes
As someone who uses prescribed cannabis oil, I was curious how it might affect me for an upcoming wisdom tooth extraction. Hopefully the pain won’t be too much worse than it would have been otherwise… 🤞🤞
I did not think infrequent super low dose marijuana usage days before surgery would any effect on anesthesia. Can they tell when administering? I understand if it was a chronic current opioid user but weed I did not know. Very interesting.
my anesthesiologist told me literally midnight the night before to stop is okay, my surgery was at 9am, it was a nerve repair in my left ring finger, and i smoke about 2 ounces a week
I would be curious to hear an anesthesiologist’s take on methadone/suboxone, its efficacy , etc.
Well… they work because they ARE opioids
THC is a negative allosteric modulater at u- receptor, that’s probably more of the reason then cross tolerance why more analgesic would be needed
What about kratom? I didn't know this until like a year afterwards but I heard that kratom makes anesthesia less effective?
Is it known if any of the heart related problems caused by marijuana use are caused by the chemical components of marijuana specifically THC or CBD or if it is the inhalation of smoke or vapor that causes the problems
Great video! And Doc Glauc, always great to see!
@MaxFeinsteinMD Hi I have a question, I did not lie about using marijuana, but my recent anesthesiologist said not to use nicotine a bit before and while recovering from surgery but I smoked it literally minutes before surgery and during my whole recovery, so I was wondering what tobacco/nicotine does to the anesthesia because I had zero unusual side effects after waking up, and what risks I may have ran myself
It doesn’t have anything to do with the anesthesia. It’s the same reason they don’t let you eat (NPO) before surgery. Smoking/nicotine can increase stomach acid, creating a higher risk for aspiration after surgery. Most anesthesiologists don’t give a damn if you smoke a cig before surgery.
Smoking nicotine can lead to a variety of airway-related complications, which is one reason (among many) we encourage patients to quit smoking. Even if not smoked, nicotine ingested by other routes can lead to impaired wound healing after surgery.
For me it´s even worse, normal painkillers like Ibuprofen never worked and since I´m consuming I need at least 250mg Tramal to work like Ibu 600 on normal people. When I had to go under the knife I´ve told the anesthesiologist how much and what quality I´m consuming and said "you gonna need twice the regular dosis to even have a shot, to be sure the local anesthestic works better use triple dosis on me", she only used double dosis and they had to gas me away because it wasn´t enough and I could still tell where they were poking my hand with the needle. You´re 100% correct.
So curious as to where i would fall with anesthesia substances levels. Ive been a daily cannabis user for 15 years, averaging about 5 grams a day, upwards of 14 grams. Only 3 years into daily use i got 4 molars pulled for braces. I actually woke up a few times during the surgery, i specifically remember a crunch then waking up as my tooth came out of my mouth, then again at a less memorable moment. At the end of the surgery i was coming through as they were still laying out the last stitching. I was alert and stable (balance and consciousness) less than 5 minutes post surgery and literally standing trying to convice them i was reasy to leave while they all stood there mildly confused as to how i fought the anesthesia as much and as well as i did.
How does one smoke 5 grams per day?
@commandoPR very easily in blunts. I smoke about 4-6 blunts a day, each is a MINIMUM of 1 gram, most are closer to 2 grams, about 1.8g id consider the average per blunt
Max, I heard about agitation upon emergence in users of psychedelic mushrooms. Is that true?
Good info on Pot vs other common used drugs effects.
Some people don’t understand how much lying is possible to complicate a situation for a patient and med.staff proceeding with any type of surgery or treatment. Years ago (somewhere in an Eu country) I would refuse to draw blood / proceed with basic emt care for.., from some drunken patients, because I would have not been wanted to risk my license, but worst being hold accountable for a civil/ criminal penalty if patient life was compromised it.
As always 🙂Thanks 🙏 for the video !
How often is a patient mistakenly given muscle relaxants before the anesthetic?
It happened to me!
I wonder if it’s different now here in Canada. Like do people still try and hide it like they used too before legalization?
some still do, but there is also an interesting phenomenon where marijuana is so commonplace in Canada, some people say in good faith that they don’t take any drugs. to avoid any trouble it’s best to ask about drugs and marijuana
I obviously can’t speak for Canada since I don’t live there. I can however speak for what I’ve seen in Arizona since it became legal for both medical and recreational use. If it’s for medical it’ll already be in your file or chart most likely. But I know that people still will try and hide it either way. It’s either out of embarrassment like they don’t want their family to know or it took them a lot of convincing to get used to the idea of it for health reasons. I myself don’t like to hide anything. I’m going to be having a hysterectomy within the next month. My OB knows I used it for my asthma and chronic pain. I’m weaning myself down until about a week prior to surgery so that it won’t be much of an issue. That said, I know some people will still hide use out of shame.
The problem is if you tell them you smoke or use cannabis they will withhold health care services from you.
Depends on how they feel about the docs. If they are pro green or not. This guy clearly not pro green, quoting bs studies and what not.
@@halcyonzenith4411 Yes this is still a massive problem with many closed minded "doctors" who no longer "practice medicine" but got their degree to make money and rinse repeat their prescription habits. Its increasingly hard to find a real doctor who still Studies and keeps up with current, unbiased....studies/tests/trials. Theres been quite a few good documentaries and even a movie made about this lately.
I had my wisdom teeth out and told everyone I'd smoked a joint that day. Apparently they didn't give me the proper dose and I woke up halfway threw the procedure, they jabbed me in the neck witha needle pretty quick and I was more messed up than I'd ever been for about 3 days
Good afternoon. Very interesting. When i worked the pts would lie even though we could smell it on them. They should make a commercial on this so more pts are aware of what could happen. Great in info to get out there. Thank u Doctor your the best! ❤❤❤❤
I don’t use anything anymore. For some years now. Life is good completely sober.
I went to the dentist high on weed. They gave me laughing gas and told me I was supposed to be fucked up. I literally didn't even feel it at all the woman even turned up the gas and I was hitting that $h/t like a gas mask bong. Straight ripping it, am I an anomaly or did the weed in my body make me resistant to laughing gas?
I figured out the hard way. I did not mention it before the op and my body woke up whilst the operation and my lung started to work against the breathing machine. Got into the intensive care unit after some hours because i had so much water in my lungs.
had a sawmill accident droped a lathe head on my leg had a 40 cm gash every moment when i was home was high and didn't even need to use painkillers once or twice at the beginning but still 3 months on the bed and was fine and dandy but I've got a decent pain tolerance so idk
I had a SVT ablation where I was supposed to have a mild sedative. It was as if they never gave me anything at all and i was 100% awake the entire procedure and in quite a bit of pain. I even mentioned I smoke cannabis!
I‘m no regular marijuana user but I remember I had a surgery 3 days after a festival where I smoked a lot for two days straight. I did not tell them that since I don‘t do it daily.
After the surgery I had the worst headache of my life and when I stood up I had to puke for an hour straight. I was only puking out stomach acid. The doc then came in laughing „why didn‘t you tell us you smoke weed?“
😂
Doctor never even asked me. Maybe I had told someone else and they didn't need to. It's hard to remember.
lol this happened to me at the dentist. The numbing wouldn’t work and they had used the max amount they could give a person at one time. Dentist never told me or asked me if I smoked weed. I ended up figuring it out myself through research and just stopped smoking 12 hr before the dentist.
I remember when I was a teenager, I had knee surgery and when I got back home the following day I tried smoking pot and it felt like I was about to die
Thanks Doc :)
I had to smoked before I had my wisdom teeth removed and they never actually told me what could of happen when I did. When I was getting my tooth removed I was waking up twice and I just rennet the doctor upset I didn't tell him but how was I supposed to know
Why not just smoke after
I wonder how Dronabinol compares on anesthesia as a single ingredient agent?
It's literally a synonym for THC. THC is known to be risky without other stuff to balance it out.
Idk if this is relevant but I had to get full deep cleaning on my gums a couple months ago I decided to get high asf off wax right before they started working on my gums let me tell you for a whole hour while the anesthetic kicked in my whole body starting making uncontrollable spasms and they had to stop multiple times because how jittery I was throughout the whole process they thought I was in pain although I didn’t feel anything as far as pain goes I thought I was going into a seizure until it started wearing off
First time liker. This is one more reason we should legalize. Because we care about anesthesiologists. Anesthesiologist Lives Matter (ALM). We must make their difficult and stressful jobs less stressful. We can do this by legalizing marijuana and other drugs.
Really clean and empty hospital in New York.. Does it not get suspicious?
I was fully awake during surgery. Drugs didn't work on me. The trauma/ptsd caused me to smoke pot daily.🍻
I’m a chronic marijuana smoker and I have a pretty low resting heart rate like typically in the 50’s some times even dips down into the 40’s
Yeah I didn't disclose about 6 years ago for a laparoscopy. Because it's illegal in Australia and I didn't want it on up record. Also nobody asked and I didn't think it was a big deal. When I woke up after surgery in the recovery I was SCREAMING in pain. They were so confused. Needed a much higher pain killer dose.
Research your own countries laws, this video is only on American law. Where I live you cannot tell the emergency room, or a therapist that you recreationally use illegal drugs because they are legally mandated to report it to the police.
I’m confused about one part, how come since I’ve chronically used my blood pressure and baseline blood pressure went down despite no other lifestyle changes
because their evidence is anecdotal. until the federal government opens up research, that's all we can count on - patient states they are a daily user - user of what potency and how much? additionally, i know a daily chronic user who is routinely called "lightweight" by anesthesiologists so it's not the same for everyone.
Can you do one on alcohol? / alcoholics / what’s the anesthesia plan for a functioning alcoholic that in both scenarios they have either lied before surgery about how sober they are and also if they’re telling the truth that they’re so alcoholic they still felt the need to drink because they have to otherwise they’d experience withdrawal symptoms
I have also told the hospital I am on medical cannabis and the treatment I got changed they looked at me differently
I’d be really curious to hear your take on Kratom as it pertains to anesthesia.
Kratom has made me vomit, so it could be very dangerous!
@04:43 - This confuses me... If a medication that is used for pain control is metabolized by an enzyme that is inhibited by marijuana, doesn't it mean that someone who takes marijuana will end up having more of the pain medication available in their bloodstream/body? So, should that not actually HELP with reducing the pain rather than increasing the pain score?
It depends on the medication. Some medications don't, themselves, do anything but their metabolites produce the desired therapeutic effect. In those cases, inactivating the enzymes will produce fewer metabolites, hence, less pain control.
You also have to figure they aren't allowing you to Actually Use the cannabis while locked in a hospital bed taking their meds.. So your "pain score" is likely to be That much higher anyway. That "score" also fails to take into account your "comfort".. if you arent happy with say, a nurse's attitude, the Tv stations.. the food.. you subconsciously make that score lower anyway. If you are comfortable at home, in your own bed, warm cloths, with your edible, vape, or joint even. Wouldn't you be in "less pain" than sitting in the cold hospital bed, in crappy uncomfortable hospital gowns? Just saying.. They think their opiates are all that, but some people prefer the herbal method.
This is also before we talk about the "entourage effect".... that is currently a "hypothesis" but if you know anything and look at history we know it exists. Such as, you drink and take your medications.. there's the entourage effect that some wont work, Or, some will work Way more. Ill even go one step further, give you two examples. Pain meds effects are "increased" by alcohol, for a number of reasons, and things like Xanax or Xoloft sometimes just fail to work with the person, and they go unhinged, psychotic, or have total black outs with no inhibition, that they wouldnt have without the combination of the two. They will say alcohol thins the blood and that is why, but aspirin thins the blood also, and doesn't cause people to flip out and do asinine stuff... when mixed with any of the above.
The fact that an analgesic medication stays in higher quantity in your body makes you also more susceptible to bad side effects of that medication. Plus research data says that generally people Who smoke need more analgesic to encounter the pain control effect.
found this out the hard way when they didn't give me enough for wisdom teeth surgery and i was semi awake while they shattered my molars and pulled them out chunk by chunk.
My friend ignored the caution from his doctor, smoked before a big surgery and woke up during the surgery, he looked down and saw his insides open and the doctors and nurses had to hold him down as he was freaking out. He's still traumatized to this day and it happened over 2 years ago.
Yea right bruh
What was the acute vs chronic pun?
@elenas3571 acute is a new onset, chronic is persistent or long term. Also chronic is a slang term for marijuana, hence the pun.
i told them i do smoke before a wisdom teeth removal, after they put the needle in my iv, i only remember asking "oh is that the anesthesia?" and then i woke up 52 minutes later
I am a HEAVY cannabis user, and everything you said is essentially the opposite for me. I have had numerous surgeries, looking at 4-6 more in the next 1-2 years. I use cannabis up till the morning of, never had a complication. I also tend to handle pain better then most people (could be the mix of meds I take, and a nervous system retrained by desensitization due to hypermobility). Just make sure to always state that it's not the same for each person, as we all got diffent biochemistry and biology. Videos and studies that talk the similar language make my medical treatments harder to get, as providers tend to onlth think the newest studies show the best info, when they simply need a diffrent study to show different results.
This! Everyone has a different tolerance.
Max. If you read comments. Here's a topic for a future video. An MD's view on anesthesia vs that is a certified nurse practitioner anesthesiologist...
That's good to know. I'm a huge stoner and an oldster. Always be truthful with physicians of any type! They only want to help you.
exactlyyyy
Well, I had a foot surgeon who would not list gangja as my pain management. In fact, he refused to acknowledge that I used ganja for pain management in my medical record. Instead he prescribed me oxy. They want a paycheck. They have to help us to receive it. I pay a lot of money for people to take care of me, not to want to help me. I personally don't care, if they want to help or not. If you told me they weren't getting paid, I'd leave the place with concern.
@@user-jp3jo8pc9i That's practically a word salad, but it sounds like a bad physician who is dealing drugs, not prescribing necessary medications.
@@user-jp3jo8pc9i they actually get a commission for prescribing you oxy - that’s why they do that smfh
One person I don’t lie about my Drugs, Stuff or anything is the Anästhesist (sorry german), my Dad was one of the People who invented the Modern Form of these Machines with Dräger Medical. We even have some laying around the house still, we hold a Patent on some stuff for these and I have a lot of Pictures of the Development and some Medical Awards still he achieved with this. Sad he Passed away in Fall 2023 so Interviewing him for this is impossible now.
I miss my Dad and he is basically a Hero to me. 😢
In Germany i never got asked and when i told them they just told me it doesnt matter. Maybe its because of we use different anestesia or they just dont know shit about counter effects and cross effects
I was honest with my doctors about my cannabis use and I stopped using it a month before my surgery. Overkill, but it's nice to be safe.
what about bromadol
This is like really cool man
I didnt know ssmoking so much gas would complicate things when I need that other gas...hopefully I wont need to be put under any time soon.
Wonder if anybody went through “Cannabinoid hyperemesis syndrome” while under.
It is possible but I assume that would be promptly stopped with a paralytic agent and then suctioning to remove the risk of aspiration. That is a very miserable disorder to get. Ironically the best way to confirm that Dx is if the vomiting stops while the patient is in a hot shower.
I am surprised that a drug test was not standard because anxiety is high before a surgery and self medication is common in our population.
Never had a problem under anesthesia
Their not there to bust you but to knock you out safely.
Yeah, except that's not how it works and this doctor is literally outright lying to you and it could have MASSIVE effects on your access to healthcare for the rest of your life....
He's literally JUST lying
I got high before surgery and everything went fine and I never told them I was high
Im on medical marijuana for 2 years now and will have a procedure with anesthesia someday this year. I told the doctor that I take it medically and he said great, then we need to use less medication. And now I fear he has no clue what he does and I will be awake because everyone online tells me the total opposite is the case. Its not that bad I guess since its only a smaller thing but I have also a very low pain tolerance due to my disease and I also had an event last year where after a local surgery the pain medication didnt worked. I didnt met the anesthesiologist yet, maybe he know better, but I fear their incompetence
you are definitely going to wake up. it will be the most traumatic thing of your life. id be freaking out about it if i were you. its going to be horrible.
@@xThunderSlugx don't think it's that horrible because some people do it under local anesthetic too, it's just with my underlying condition it's better to sleep (endoscopy/colonoscopy and permanent feeding tube placement), I just think they should be careful and competent what the weed interactions are. I need to ask my pain therapist maybe he can write something about it.
@@theartofbanana I was just trolling bro
I like to your more valuable videos sir