Great info, solved some interesting dinner table debates. How about a piece on sedation, since most of us (as you so rightly point out) are petrified of seeing/hearing/feeling/knowing what's going on. Having come around slightly during retinal surgery, it's bonkers! Don't want the same during the hip stuff.
Thanks Jennifer F and yes we can add sedation to the list for sure. Sorry you came to during the retinal surgery. Thanks for watching, subscribing and sharing with someone if you did.
My first THR I had general-took days to recover from the fog. The second THR I had spinal- what a difference. I was so much more alert afterwards. Thanks again to three of the best Docs!
I just want to say I appreciate the fact that you guys are still reading and responding to comments. Such great care even from afar. I am due for a colonoscopy but keep putting it off due to the fear of anesthesia. I'm generally a very anxious and easily dizzy person so the idea of going under really holds me back from getting it done. Is regional anesthesia without sedation possible with a colonoscopy?
Hi BSP. You are welcome. So typically it is done with sedation however it may be possible with a spinal anesthetic. That would have to be discussed with your surgeon and anesthetist but it does seem possible. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
You guys, are REAL stars! You absolutely do NOT need Ellen DeGeneres or Lady Gaga, and Bradley Cooper is so over rated, he can just eat your dust! Thank you for another great video! So informative and educational. And, no, not all surgeons think that its a team decision about what type of anaesthetic we can have. Many just put you on the table and you just wake up afterwards with all the consequences. Thanks for your effort and work to put together these videos!
Hi vitoshaword. You are so kind! Thank you so much for your encouraging words. All the best to you. Thanks for watching, subscribing and sharing with someone if you did.
2 weeks ago I fell, resulting in a compression fracture of the L distal radius and a chip off the old ulnar stylus. ORIF plate & screws for the radius. Apparently a very common fracture. I opted for the regional block with sedation. What hurts/is most bothersome now (12 days post-op) is around my elbow. I only landed on my hands, the rest of my arm was not involved. Is this from the tourniquet during the operation to control blood loss? I am wondering if you could address tourniquet pain post-operatively. Thank you for all the informative and enjoyable videos you have posted.
Thanks for sharing and best of luck with recovery. Yes it could be from the tourniquet but also can be from the injury itself and some of the force does travel up your arm to your elbow. If it persists tell your surgeon.
Wow! Dr. Krishna nails it again! Concise, to the point, simplistic. Love when he is featured with you guys. No spinal or epidurals for me. But I would consider regional if I can go home faster!☺️
Thanks for sharing another great video and your information is top notch. Unfortunately too often you do not get to meet or discuss options prior to surgery. As a retired oncology nurse I always tried to teach my patients that they needed to advocate for themselves, today’s medical treatments are done with such expediency, patients have little time to be truly informed. Thank you for your excellent teaching skills.😊
Hi SEA U2. Nope. It was "Spies Like Us" with Dan Akroyd and Chevy Chase. Thanks for watching, subscribing and sharing with someone if you did. ua-cam.com/video/hoe24aSvLtw/v-deo.html
Thank you for another great video. I had anterior right hip replacement in April. I was told I couldn’t have a spinal because of my scoliosis and stenosis. The procedure went well, but recovery is taking a little longer than I expected. Nice not having hip joint pain.😊
It might be useful to make clear exactly what "freezing medicine" is. This doc-speak terminology might suggest to some that really cold liquid is being injected or that it is some sort of cyrotherapy. It might help to give the medical name of one of the most common anesthetics used in orthopedic surgery.
For men when catheters are inserted are you up and in pain or do they use some type of numbing? And Also if they don't can u asked to be numbed or put to sleep?
Thanks docs!! My mother almost died from the anaesthesia called Anetictine. When they got her recovered, the doctor told her to tell her kids to let the doctors know that this happened to her and they said to especially let me know. Did this happen from an alergic reaction to the medication?? My doctors have annotated my records with this and the anestheiest always asks me about this before my surgeries. I love watching you guys. I am learning so much! Thank you!
Hi Pamela. So this is succinylcholine. It is hard to say what happened because there are both dangerous side effects and possible allergic reactions. If you are worried about allergy, you can always be tested to make sure. So glad you like the videos! Thanks for watching, subscribing and sharing with someone if you did.
Awesome video I'm due for surgery this was so helpful .😷👍I'm having hand nerve decompression due to a birth defect my surgeon suggested local I'll be awake during the procedure and home same day .Hi from Canberra Australia 🇦🇺
I would like to see my 2 favorite docs, do a video on epidural injections for pain management. I just love watching them and they are good at giving awesome information. Hello, from the Oklahoma!
Hi Kelley and hello to Oklahoma! So the technique for an epidural injection would actually look exactly the same except a very small catheter would stay in place to continually provide the medication. Hope that helps. Thanks for your wonderful support.
I'm still wondering why it was necessary for general anesthesia for my left inguinal hernia repair. It seems to me (a layperson) that an epidural would suffice. Water under the bridge now, but this video has re-stoked my curiosity.
Hi laureen. There are so many reasons but it can be done under sedation and local anesthetic in some cases. Thanks for watching, subscribing and sharing with someone if you did.
I was wondering if you guys have any root causes of my situation, I had both hips replaced about three months apart. However, in each surgery I had to stay in the hospital for 3 days due fainting, low blood pressure, when I would stand up. Moreover, I did improve and was totally ok after 4 days. I never really got reason of this condition, other than for some people said, it takes more time to recover from sedation?
Hi greez dad. So it can be related to the narcotics which can lower your blood pressure and make you feel dizzy and faint. That plus the blood loss from surgery would be the two most common causes. Hope that helps. Glad you are ok. Thanks for watching and subscribing if you did
I’ve had over a dozen surgeries and a variety of anesthesia. Two of the surgeries that I was supposed to be under a general I was awake enough to hear the surgeons making comments. At the first post-surgery appointments, I asked what they meant by “Oops” and “She’ll never notice that I had a problem with her nose.” They were surprised, to say the least. My worst experience with anesthesia was at the almost end of my total knee replacement. I say “almost end” because I was totally aware of being in the surgical suite and in immense pain before I was wheeled to the recovery room. It took an eternity of moaning, crying and sobbing in the recovery room before I was given something for the extreme pain-after the nurse said “You’re not the only one in here who’s in pain.” I still have nightmares about that. It was almost 9 years ago. Unfortunately, that replacement has never stopped causing me pain. What the he// happened? Am I that odd or did I get poor anesthesiologists for those surgeries I mentioned above? I would really like to know if there’s some way of testing the efficacy of general anesthesia BEFORE surgery.
Hi Nancy. Sorry to hear about your negative experiences. You deserve pain relief and comfort. It is hard to say the cause. Everyone reacts differently to anesthesia so they may have underestimated how much you needed. Hopefully no more surgery for you. Thanks for watching and subscribing if you did
@@TalkingWithDocs I wish there were no more surgeries in my future. I guess I’ll just hope that for my upcoming knee replacement surgery I will win the anesthesia lottery.
I had a salivary gland cancer removal op" a few weeks ago and being an anxious guy some of the times, these excellent insightful videos were a great help before and after my surgery. My anaesthesiologist was pure magic, narrating her unique story on how she told her mum and dad she wanted to be an anaesthetist. Funny and profoundly moving, just before I went under. Big thanks and gratitude to the highly skilled MC team at the Royal Hosp',Belfast. Thank you Docs for your time and love for making these insightful vlogs!
@@TalkingWithDocs I've been watching and subscribed for many months now, due to have knee replacement with the next 6 months so all the info you put out there has been a huge help to me.
Can you tell me why you can have a flexible cystoscopy with only numbing gel inserted in your urethra but for a rigid cystoscope being only slightly larger diameter patients require either a spinal or general anaesthetic? I’ve had a flexible one done which was easy and found a 2cm stone in my bladder and am on a waiting list to have it removed. 100% do not want a spinal due to risks of back pain, migraine headaches and urine retention and not keen on a general either so want to know what other options I have for this procedure.
Mostly due to the pain and the likely need to do more work during the same procedure. We use spinals 99 percent of the time for our joint replacements and it is a very safe and effective method. Headache is very uncommon but can happen. And if they use low dose or no narcotic urinary retention is not really an issue
I have good news/bad news! The bad news….. I have an addiction. The good news…. It’s your UA-cam channel. As always, thanks for the education and humor.
Hey, just curious, Does anaesthesia affect mortality in any way? If all operations were done with no/minimal anesthesia would death rates go down or up? Basically what I'm asking is, can pain kill? Also could the pain be so high that you are permanently mentally impaired from the trauma? Also thank you UA-cam algorithm I'm binge watching this for no reason at 3am lol
Hi Lokesh N! Glad you are liking the channel. So hard questions. We believe that yes pain can cause permanent trauma - like PTSD. That is certain. As for whether or not death rates would go up or down if you did not use anesthesia, we believe the answer would be that they would go up. If you have severe pain, that increases blood pressure and heart rate and would likely lead to more heart attacks and strokes. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Very informative thank you ! I recently had trigger thumb release surgery. I had two pulmonary embolism in January and respiratory failure. I was very concerned about full sedation so we discussed a bier block. My anesthesiologist felt general anesthesia was best. I'm not the nervous type and a retired nurse. Agreed to the general then developed pneumonia just after surgery. Ick !! Next time I'm going to insist on a nerve block if at all possible. My lungs can't take much more.
What can you say about Ketamine. People are saying causes people over 70 to go into dementia. Is that true and how often is it used. I’m having knee arthroscopic surgery in March 2022.
Could you please make a video about the difference in HDL and LDL cholesterol, and how it factors into cancer diagnosis. Also, insulin resistance, what is it, how to treat it. Thank you.
Late to the party! Damn shiftwork. Interesting, never been offered anything but general anesthesia. Maybe because it was just day surgeries. Who knows. Does OTMH do genicular nerve ablation? My understanding is it's fairly new. Sunnybrook does it.
Hi Mom2Boys. Yes shiftwork. So at this time there is no genicular nerve ablation at OTMH. It is a somewhat controversial procedure that does not have universally positive outcomes. Something to watch for sure. Thanks for watching, subscribing and sharing with someone if you did.
Love your channel x I had my first knee replacement, left, last August. My anaesthetist started to say about spinal epidural & I said straight away 'nope I want a full knockout job! I don't want to hear, see, smell anything!' Plus I mentioned my hubby in 2016 had a spinal epidural as part of his prep for a liver Resection. The needle didn't go in quite right & had to be taken out & reinserted. Hubby has a lump from the first needle since which sometimes becomes inflamed & painful. The anaesthetist was fine. Fingers crossed I have my right knee being replaced, tho later than planned, this Aug. I'll be asking for a General again!!!!!
Thanks so much Loraine. Glad your TKR worked out and best of luck with the second side this August! Thanks for watching, subscribing and sharing with someone if you did.
You don’t have to worry about me dozing off while watching. Your videos are so interesting, so informative and sooo much fun! I’ve known doctors who seemed unapproachable and above my station in life. I’m fortunate now to have a family physician and a pain management specialist who both exhibit the same demeanor as yourselves. The fact you cover so many topics is incredibly beneficial, and I know today one of them watches your videos regularly and occasionally suggests to his patients that they watch as well. Thank you!
Thanks Docs! Great discussion of anesthetic options. Many patients aren’t familiar with the fact that we only want to use the minimal amount of anesthetic to cover the objective. Over doing the anesthetic means greater risk for the patient and longer recovery time. Who WANTS that? Nobody. So. If your surgeon and anesthesiologist present you with the option for something other than a general anesthetic, listen up!!! A safe anesthetic is more than just a general anesthetic!
Thanks Doc’s for another great video. I was able to here all the conversations in the room, I said to the surgeon, after he was telling the nurse his plans for going to the cottage and his drink recipe, “I am hearing all you are saying”! They then put me under general. I was sick and foggy for months! Hopefully no more surgery’s!
Ha, that's funny Ann. Thank you for sharing your experience. And yes general anesthetic can lead to some fogginess for sure. Hope you are clear now! Thanks for watching, subscribing and sharing with someone if you did.
Hi Ed. Often patients have trouble peeing after a spinal and narcotics can aggravate this especially in the middle to older male group. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
I love you Doc's videos! Also the sense of humor is great! Keep it up!!
Thank you so much August. Thanks for watching, subscribing and sharing with someone if you did.
Great info, solved some interesting dinner table debates. How about a piece on sedation, since most of us (as you so rightly point out) are petrified of seeing/hearing/feeling/knowing what's going on. Having come around slightly during retinal surgery, it's bonkers! Don't want the same during the hip stuff.
Thanks Jennifer F and yes we can add sedation to the list for sure. Sorry you came to during the retinal surgery. Thanks for watching, subscribing and sharing with someone if you did.
Thanks for your awesome videos! I'm in Georgetown- It's nice to see some medical content made here in the Halton Region! :) keep up the great work
Very welcome Nick. Go Halton! Thanks for watching and subscribing if you did
My first THR I had general-took days to recover from the fog. The second THR I had spinal- what a difference. I was so much more alert afterwards. Thanks again to three of the best Docs!
For sure Donna. Spinal way easier. Thanks for watching and subscribing
I just want to say I appreciate the fact that you guys are still reading and responding to comments. Such great care even from afar.
I am due for a colonoscopy but keep putting it off due to the fear of anesthesia. I'm generally a very anxious and easily dizzy person so the idea of going under really holds me back from getting it done. Is regional anesthesia without sedation possible with a colonoscopy?
Hi BSP. You are welcome. So typically it is done with sedation however it may be possible with a spinal anesthetic. That would have to be discussed with your surgeon and anesthetist but it does seem possible. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Very helpful information and thanks to the other doctor, it’s always good to know what to expect during surgery all the types of anesthesia!
For sure Alida. Thanks for watching and subscribing
Fantastic information! That last line "Remember, you are in charge of your own health." really helps me to wake up and realise I need to be informed
Thanks for the positive feedback John! Thanks for watching and subscribing if you did
Thanks again you should do one with the blocks like the knee.
You are welcome Marcia. Good suggestion. Thanks for watching, subscribing and sharing with someone if you did.
Excellent!
Glad you liked it Trudy. Thanks for watching and subscribing
Thank you so much, very clear and proffesional
Glad you liked it Rambos. Thanks for watching and subscribing
Brilliant
Glad you liked it Cw! Thanks for watching and subscribing
I loved your videos.
New subscriber.
Excellent information.
Thank you for your time and sharing with us , for us to learn more
So very welcome Martha. Thanks for watching, subscribing and sharing with someone if you did.
You guys, are REAL stars! You absolutely do NOT need Ellen DeGeneres or Lady Gaga, and Bradley Cooper is so over rated, he can just eat your dust! Thank you for another great video! So informative and educational. And, no, not all surgeons think that its a team decision about what type of anaesthetic we can have. Many just put you on the table and you just wake up afterwards with all the consequences. Thanks for your effort and work to put together these videos!
Hi vitoshaword. You are so kind! Thank you so much for your encouraging words. All the best to you. Thanks for watching, subscribing and sharing with someone if you did.
2 weeks ago I fell, resulting in a compression fracture of the L distal radius and a chip off the old ulnar stylus. ORIF plate & screws for the radius. Apparently a very common fracture. I opted for the regional block with sedation. What hurts/is most bothersome now (12 days post-op) is around my elbow. I only landed on my hands, the rest of my arm was not involved. Is this from the tourniquet during the operation to control blood loss? I am wondering if you could address tourniquet pain post-operatively. Thank you for all the informative and enjoyable videos you have posted.
Thanks for sharing and best of luck with recovery. Yes it could be from the tourniquet but also can be from the injury itself and some of the force does travel up your arm to your elbow. If it persists tell your surgeon.
WoW! Thank you for your quick response. @@TalkingWithDocs
Wow! Dr. Krishna nails it again! Concise, to the point, simplistic. Love when he is featured with you guys. No spinal or epidurals for me. But I would consider regional if I can go home faster!☺️
Thanks Denise!
Interesting
Thanks for sharing another great video and your information is top notch. Unfortunately too often you do not get to meet or discuss options prior to surgery. As a retired oncology nurse I always tried to teach my patients that they needed to advocate for themselves, today’s medical treatments are done with such expediency, patients have little time to be truly informed.
Thank you for your excellent teaching skills.😊
We couldn’t agree more Kathleen. Thanks for sharing your expertise. Thanks for watching and subscribing if you did
I would like to see Dr. Krishna get a TKR with local anesthesia. You guys should ask him what he would prefer for himself if he got a TKR.
Now I am always
Going hear
"Doc Doc Doc"
I think that was on the 3 Stooges? 🤣😅😂
Hi SEA U2. Nope. It was "Spies Like Us" with Dan Akroyd and Chevy Chase. Thanks for watching, subscribing and sharing with someone if you did.
ua-cam.com/video/hoe24aSvLtw/v-deo.html
@@TalkingWithDocs oh Awesome Thank you I am going to watch that 💖🤗🙏😁hope you keep using that it just made you guys so likable and down to earth
Thank you for another great video. I had anterior right hip replacement in April. I was told I couldn’t have a spinal because of my scoliosis and stenosis. The procedure went well, but recovery is taking a little longer than I expected. Nice not having hip joint pain.😊
Glad it went well Kay. Enjoy your new hip! Thanks for watching and subscribing if you did
How do I convince my care team to do my procedures with general anesthesia when they say "its not the standard of care".
It might be useful to make clear exactly what "freezing medicine" is. This doc-speak terminology might suggest to some that really cold liquid is being injected or that it is some sort of cyrotherapy. It might help to give the medical name of one of the most common anesthetics used in orthopedic surgery.
Thanks for your input cbdflynow. Thanks for watching and subscribing if you did
For men when catheters are inserted are you up and in pain or do they use some type of numbing? And Also if they don't can u asked to be numbed or put to sleep?
I'm afraid of general anesthesia and I have 4 large fibroids can I get regional anesthesia
Thanks docs!! My mother almost died from the anaesthesia called Anetictine. When they got her recovered, the doctor told her to tell her kids to let the doctors know that this happened to her and they said to especially let me know. Did this happen from an alergic reaction to the medication?? My doctors have annotated my records with this and the anestheiest always asks me about this before my surgeries. I love watching you guys. I am learning so much! Thank you!
Hi Pamela. So this is succinylcholine. It is hard to say what happened because there are both dangerous side effects and possible allergic reactions. If you are worried about allergy, you can always be tested to make sure. So glad you like the videos! Thanks for watching, subscribing and sharing with someone if you did.
Awesome video I'm due for surgery this was so helpful .😷👍I'm having hand nerve decompression due to a birth defect my surgeon suggested local I'll be awake during the procedure and home same day .Hi from Canberra Australia 🇦🇺
So glad we could help M J. Best of luck with your procedure. And shout out to Australia! Thanks for watching and subscribing if you did
Thank you for the Great Information Doc's
Who knew you had a choice 😁🤗🙏👍💪💖
Glad we could help SEA U2. Thanks for watching, subscribing and sharing with someone if you did.
I would like to see my 2 favorite docs, do a video on epidural injections for pain management. I just love watching them and they are good at giving awesome information. Hello, from the Oklahoma!
Hi Kelley and hello to Oklahoma! So the technique for an epidural injection would actually look exactly the same except a very small catheter would stay in place to continually provide the medication. Hope that helps. Thanks for your wonderful support.
I'm still wondering why it was necessary for general anesthesia for my left inguinal hernia repair. It seems to me (a layperson) that an epidural would suffice. Water under the bridge now, but this video has re-stoked my curiosity.
Hi laureen. There are so many reasons but it can be done under sedation and local anesthetic in some cases. Thanks for watching, subscribing and sharing with someone if you did.
I was wondering if you guys have any root causes of my situation, I had both hips replaced about three months apart. However, in each surgery I had to stay in the hospital for 3 days due fainting, low blood pressure, when I would stand up. Moreover, I did improve and was totally ok after 4 days. I never really got reason of this condition, other than for some people said, it takes more time to recover from sedation?
Hi greez dad. So it can be related to the narcotics which can lower your blood pressure and make you feel dizzy and faint. That plus the blood loss from surgery would be the two most common causes. Hope that helps. Glad you are ok. Thanks for watching and subscribing if you did
What about MAC anesthia?
I’ve had over a dozen surgeries and a variety of anesthesia. Two of the surgeries that I was supposed to be under a general I was awake enough to hear the surgeons making comments. At the first post-surgery appointments, I asked what they meant by “Oops” and “She’ll never notice that I had a problem with her nose.” They were surprised, to say the least.
My worst experience with anesthesia was at the almost end of my total knee replacement. I say “almost end” because I was totally aware of being in the surgical suite and in immense pain before I was wheeled to the recovery room.
It took an eternity of moaning, crying and sobbing in the recovery room before I was given something for the extreme pain-after the nurse said “You’re not the only one in here who’s in pain.” I still have nightmares about that. It was almost 9 years ago. Unfortunately, that replacement has never stopped causing me pain.
What the he// happened? Am I that odd or did I get poor anesthesiologists for those surgeries I mentioned above?
I would really like to know if there’s some way of testing the efficacy of general anesthesia BEFORE surgery.
Hi Nancy. Sorry to hear about your negative experiences. You deserve pain relief and comfort. It is hard to say the cause. Everyone reacts differently to anesthesia so they may have underestimated how much you needed. Hopefully no more surgery for you. Thanks for watching and subscribing if you did
@@TalkingWithDocs I wish there were no more surgeries in my future. I guess I’ll just hope that for my upcoming knee replacement surgery I will win the anesthesia lottery.
Another great video! Thanks Docs!
Very welcome Darlene.
I had a salivary gland cancer removal op" a few weeks ago and being an
anxious guy some of the times, these excellent insightful videos were
a great help before and after my surgery. My anaesthesiologist was pure
magic, narrating her unique story on how she told her mum and dad she wanted
to be an anaesthetist. Funny and profoundly moving, just before I went under.
Big thanks and gratitude to the highly skilled MC team at the Royal Hosp',Belfast.
Thank you Docs for your time and love for making these insightful vlogs!
great information, thanks, keep them coming
Thanks so much Meg. We will do our best. Thanks for watching and subscribing if you did
@@TalkingWithDocs I've been watching and subscribed for many months now, due to have knee replacement with the next 6 months so all the info you put out there has been a huge help to me.
Can you tell me why you can have a flexible cystoscopy with only numbing gel inserted in your urethra but for a rigid cystoscope being only slightly larger diameter patients require either a spinal or general anaesthetic?
I’ve had a flexible one done which was easy and found a 2cm stone in my bladder and am on a waiting list to have it removed. 100% do not want a spinal due to risks of back pain, migraine headaches and urine retention and not keen on a general either so want to know what other options I have for this procedure.
Mostly due to the pain and the likely need to do more work during the same procedure. We use spinals 99 percent of the time for our joint replacements and it is a very safe and effective method. Headache is very uncommon but can happen. And if they use low dose or no narcotic urinary retention is not really an issue
@@TalkingWithDocs thank you for your quick reply
What happens if a spinal anesthetic is given but the surgery takes longer than expected?
Just Subscribed!
Hi Katrina. Then you go to sleep 💤
@@TalkingWithDocs Wait...so you aren't asleep with a Spinal anesthetic?
Im going under general next week for the first time, im so terrified!
You’ve got this!
Love this information!
Glad you love it carmenbaby02! Thanks for watching, subscribing and sharing with someone if you did.
I have good news/bad news! The bad news….. I have an addiction.
The good news…. It’s your UA-cam channel. As always, thanks for the education and humor.
Jim there is only one treatment for that. Watch more of our videos. Thanks for the support.
What does the doctor give you for a colonoscopy? I know it paralyzes you but I was wide awake and watched the procedure on a monitor.
Hi BH. Often propofol and midazolam. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Fantastic video and you are correct the anesthesiologist guest is a ROCK STAR!!!
Well done...
Very welcome Peter. Thanks for watching and subscribing if you did
Dude, this is cool stuff. It is very informative for any patient who is going to have such procedure. Excellent job Dr. Arjun Krishna!
Thanks Shyam. Glad you liked it. Thanks for watching, subscribing and sharing with someone if you did.
Take a shot every time you here the word "essentially".
Talking With Docs drinking game! Funny. Thanks for watching and subscribing if you did
@@TalkingWithDocs great show. been watching for couple years. have new knees on the horizon. peace.
Thank you so much for these great videos, done with humor, compassion and sensitivity. Really, really good stuff!
Why thank you Joanne. Doing our best to keep it useful but lighthearted. Thanks for watching and subscribing
Hey, just curious, Does anaesthesia affect mortality in any way?
If all operations were done with no/minimal anesthesia would death rates go down or up?
Basically what I'm asking is, can pain kill?
Also could the pain be so high that you are permanently mentally impaired from the trauma?
Also thank you UA-cam algorithm I'm binge watching this for no reason at 3am lol
Hi Lokesh N! Glad you are liking the channel. So hard questions. We believe that yes pain can cause permanent trauma - like PTSD. That is certain. As for whether or not death rates would go up or down if you did not use anesthesia, we believe the answer would be that they would go up. If you have severe pain, that increases blood pressure and heart rate and would likely lead to more heart attacks and strokes. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Very informative thank you ! I recently had trigger thumb release surgery. I had two pulmonary embolism in January and respiratory failure. I was very concerned about full sedation so we discussed a bier block. My anesthesiologist felt general anesthesia was best. I'm not the nervous type and a retired nurse. Agreed to the general then developed pneumonia just after surgery. Ick !! Next time I'm going to insist on a nerve block if at all possible. My lungs can't take much more.
So sorry to hear that Tiaza. Figures the nurse gets the complication. Good luck. Thanks for watching and subscribing if you did
What can you say about Ketamine. People are saying causes people over 70 to go into dementia. Is that true and how often is it used. I’m having knee arthroscopic surgery in March 2022.
It is uncommon in older patients to use this. Thanks for watching and subscribing. Good luck Anne
Could you please make a video about the difference in HDL and LDL cholesterol, and how it factors into cancer diagnosis. Also, insulin resistance, what is it, how to treat it. Thank you.
Hi Unknown. We can add it to the list for sure. Thanks for watching, subscribing and sharing with someone if you did.
Late to the party! Damn shiftwork. Interesting, never been offered anything but general anesthesia. Maybe because it was just day surgeries. Who knows. Does OTMH do genicular nerve ablation? My understanding is it's fairly new. Sunnybrook does it.
Hi Mom2Boys. Yes shiftwork. So at this time there is no genicular nerve ablation at OTMH. It is a somewhat controversial procedure that does not have universally positive outcomes. Something to watch for sure. Thanks for watching, subscribing and sharing with someone if you did.
Love your channel x I had my first knee replacement, left, last August. My anaesthetist started to say about spinal epidural & I said straight away 'nope I want a full knockout job! I don't want to hear, see, smell anything!' Plus I mentioned my hubby in 2016 had a spinal epidural as part of his prep for a liver Resection. The needle didn't go in quite right & had to be taken out & reinserted. Hubby has a lump from the first needle since which sometimes becomes inflamed & painful. The anaesthetist was fine. Fingers crossed I have my right knee being replaced, tho later than planned, this Aug. I'll be asking for a General again!!!!!
Thanks so much Loraine. Glad your TKR worked out and best of luck with the second side this August! Thanks for watching, subscribing and sharing with someone if you did.
Great info. People get just anxious about procedures as the pain and watching/listening to the procedure. Pixie land is ideal. Thanks again.
Very welcome Helen. Thanks for watching and subscribing if you did
You don’t have to worry about me dozing off while watching. Your videos are so interesting, so informative and sooo much fun! I’ve known doctors who seemed unapproachable and above my station in life. I’m fortunate now to have a family physician and a pain management specialist who both exhibit the same demeanor as yourselves. The fact you cover so many topics is incredibly beneficial, and I know today one of them watches your videos regularly and occasionally suggests to his patients that they watch as well. Thank you!
Wow that is awesome Kerry. Thanks for the positive feedback. Thanks for watching and subscribing if you did
Thanks Docs! Great discussion of anesthetic options. Many patients aren’t familiar with the fact that we only want to use the minimal amount of anesthetic to cover the objective. Over doing the anesthetic means greater risk for the patient and longer recovery time. Who WANTS that? Nobody.
So. If your surgeon and anesthesiologist present you with the option for something other than a general anesthetic, listen up!!! A safe anesthetic is more than just a general anesthetic!
We would totally agree Ellenray. Thank you for sharing your perspective. Thanks for watching, subscribing and sharing with someone if you did.
Spinal was great for my hip replacement. Felt nothing, heard nothing, had a 2 hour nap! Will do it for my knee.
Sounds great!
Can you drive after sedation? Is there a wait period?
It is not advised. Depends on what you have. Often 4-6 hours minimum. Thanks for watching and subscribing
Thanks Doc’s for another great video. I was able to here all the conversations in the room, I said to the surgeon, after he was telling the nurse his plans for going to the cottage and his drink recipe, “I am hearing all you are saying”! They then put me under general. I was sick and foggy for months! Hopefully no more surgery’s!
Ha, that's funny Ann. Thank you for sharing your experience. And yes general anesthetic can lead to some fogginess for sure. Hope you are clear now! Thanks for watching, subscribing and sharing with someone if you did.
This s what I’m getting in 2 days for total knee replacement 😢
Very nice Patricia. Good luck. Thanks for watching, subscribing and sharing with someone if you did.
Thank you. Nursing student here. This is fascinating
Very cool. Best of luck during nursing school! Share us with your class!
Hey, docs!
Hey Tracey!
Thanks Docs!!
Very welcome Nan ‘59! Thanks for watching and subscribing if you did
Robin Williams called versed "fuckitol" and propofol "milk of amnesia😂
He was a funny man David. RIP Robin Williams. Thanks for watching and subscribing
Thank you! It was very informative….🤓
Glad it was helpful Mary! Very welcome. Thanks for watching, subscribing and sharing with someone if you did.
Love this!!!!
Thanks so much ABBY! Thanks for watching and subscribing if you did
Is there any anesthesia that would case prostrate to swell to block being able to pee?
Hi Ed. Often patients have trouble peeing after a spinal and narcotics can aggravate this especially in the middle to older male group. Hope that helps. Thanks for watching, subscribing and sharing with someone if you did.
Did Dr.Krishna did his undergraduate from India?
Hi Lolo. No he did not. Thanks for watching and subscribing if you did
Hi Docs I wish there was a way to ask questions. Future?
Hi Rosemary. Feel free to ask a question and we will do our best to answer it. Thanks for watching and subscribing if you did
A hammer!
Yes Tricky Dicky! Thanks for watching and subscribing if you did
@@TalkingWithDocs, your welcome and I did.
Great talk.
Thanks so much Auric. Thanks for watching, subscribing and sharing with someone if you did.
I found out at 55 I have malignant hyperthermia through genetic dna
Hi Vickie. So sorry to hear that. Glad they found it. Thanks for watching, subscribing and sharing with someone if you did.