I totally understand what you are saying. I had my first surgery ever on 2/22/22. I was so happy before surgery, not a bad thought entered my mind. I knew going in that it would be a success, my family were afraid I wouldn’t come out of it with their negative thoughts but I didn’t listen to them. I spoke with the medical staff, the anesthesiologist and even the workers in the operating room asking questions of them and making them laugh and next thing I know I’m in ICU and then to my room and back home in a few days. I had a fast recovery. I’m 69 years old and doing great. Do not think anything negative before getting surgery or having a procedure.
I was like that before my surgery. However, mine unfortunately turned out the opposite. I ended up worse after my surgery than before. My Dr refused to pay any attention to me afterwards so I had to find another Dr. I had a diagnostic operation which I was VERY concerned going into because of how my first surgery went. Turned out for some reason my first surgery ended up with my pelvic in a real mess. My Dr was able to correct some but not all of it. I did better after my second operarion that the first even though I was a lot more nervous. I am going to have to have 2 more operations at least, to finish repairing the damage. I do feel very confident with those Drs though, and believe even though I have been told it will be very risky operations. That they will do a very good job.
@@aron1632 I'm so sorry you had a bad experience. I don't blame you for being nervous after the first surgery, and that your second surgery was better. I wish you healing through all your surgeries. Take care the best of yourself the best you can.
Two years ago I had two surgeries, eight weeks apart. Bi-lateral, staged total hip replacement. I was an otherwise young 64-year old who ignored my hip pain for nearly 10 years because of fear of anesthesia. My amazing surgeon explained to me, when I finally had no choice except surgery or sitting in a chair forever, that he did the anterior approach, and that I would have spinal anesthesia with sedation. I couldn't have asked for a better outcome or experience with my surgeon. However my first anesthesiologist was cold and abrupt. For my second surgery, the anesthesiologist was warm and even laughed at my joke "So is that truth serum?" And you are so correct. I felt better after the second surgery because I was in a much more confident state of mind for the second surgery. I love watching your videos. You are a Godsend. I am terrified of General Anesthesia. But if I ever need it, I have learned so much from you, that I know I will have a positive, healthy attitude going in. Thank you!
THIS video is golden. I'm having a sec9nd shoulder surgery in 2 days. 20 years ago, my surgery went well, but I couldn't take the Percocet even with benedryl, so the pain was horrendous. Subacromial decompression w a surprise bicep something. What I've been ruminating on is KNOWING what the pain feels like and fearful of going through that again. FACT: my doc is aware that Tramadol is my go to pain med and will prescribe it. FACT: MY DOC is open, honest, answers every question, and makes no promises except he WILL do his best to make sure I can live the rest of my life with a functioning arm and as little pain as possible. I'm golden. I already know the pain, so no surprises there. I have my ice, I'll have my Tramadol, prayer from friends and family, and I trust the surgical team. I appreciate you.
In my experience I tell a doctor about pain or some other symptoms and 9 times out of 10 they just don’t believe me. I’m not catastrophizing, I’m just telling the truth. At some point I just stop reporting some of the long term issues. I’ve had symptoms of diabetes ignored to the point of losing feeling in my feet. I tore my labrum and was ignored by the walk in clinic Dr. I had to beg for a sling and further imaging. I had kidney stone pain so bad I was whimpering at the walk in clinic visit and the Dr refused imaging, and gave me tramadol because “all the little old ladies love it for their aches and pains” The one time I screwed up enough courage to insist a doctor listen to me? She straight out called me a liar, and kicked me out of her office. Called my symptoms “all in my head” She was a neurologist and I was seeing her to monitor a very real meningioma. (That was the diabetes which all she needed to do was order an A1C) I meditate. I’m definitely not playing the “oh poor me” game. But there really are a lot of doctors out there who suck at listening - especially when their patient is neurodivergent and doesn’t present typically.
I could have written this myself. I was a Buddhist nun and meditate daily. I am probably the least anxious person but doctors STILL love blaming everything on anxiety or depression. I havent felt depressed in over a decade. All it takes is for a doctor to consider that maybe we do know what we are talking about and maybe we are telling them the truth! Too many assume all patients lie, but often neurodivergent patients are extremely truthful
Yes and since doctors and surgeons are expected to be correct all the time I believe the following statistic that I quote from the national institute of mental health May reflect doctors anxieties.According to the National Institute of Mental Health, physicians are significantly more likely to have suicidal thoughts or attempt suicide (4.9%) than the average U.S. adult (0.5%).
I’m having surgery in July, I wish you could be my anesthesiologist. I’m lucky because I don’t have any preconceived ideas about how I’m going to feel when I wake up. I have found the more pleasant and cooperative you are to those treating goes a long way. Thanks for sharing you experiences and knowledge with us.
I feel that your point of view is interesting and helpful. Following an operation in the uk in which I had warned the anesthesiologist about my nausea and vomiting, I had a terrible time. The ICU nurse after many hours of my vomiting, ( quote ) said, " I've had enough of this, " and called him back to the ICU in the early hours of the morning. I did warn him and I felt he didn't take me seriously and that I was treated like a Nervous Nelly. My latest operation was in France as opposed to uk. It was for a strangled hernia. I explained again I have always had extreme vomiting after surgery. I had a conversation with my anesthesiologist in which I strongly emphasized this. He was quietly attentive. I woke up in post op... and was completely very happily amazed. My head felt clear and awake instead of floating in and out of consciousness and absolutely NO NAUSEA OR VOMITING. You can be sure that I thanked him effusivly. I wish I new what differences there were between the two anesthetics. Tho there was 30 years between one and the other. 🤗
Bless your heart Dr. Kaveh, for taking the time after a long day to make educational videos for the public. May the blessings you are sharing be multiplied and returned back to you. I shared about your clinic with a friend who had never heard of that type of treatment.
Getting my tonsils taken out in a month😬 had a terrible recovery after getting all my wisdom teeth out a few years ago, but watching your videos has helped calm my nerves and understand more of what happens when you go under anesthesia! I feel more in control of the situation, like you explained in one of your videos and my anxiety around it has gone down tremendously. Thank you so much for all you do ❤ truly an inspiration
Update: got my tonsils out yesterday. Although I did have pain up like a 7 this morning, my body has been staying at around a 4😃 Thanks for your advice and reassurance Doctor throughout my journey leading up to my surgery, and now after it. I’m glad I found this channel bc it has helped calm a lot of uncertainties I was having🥺❤️ you are such a great role model for the medical world, and thank you for your vulnerability and courage to talk about things other doctors don’t.
Doctor I have high anxiety and panic attacks just thinking about going under anesthesia. I'm a nurse worked in recovery seen a lot of things. Nursed many pts. I understand the process, never question many things but....my 67 year old mother broke her hip. We got her to the hospital, the on-call doc decided she needed the surgery sooner then latter. They got her prepped , when she got back to her room she had what they "called anesthetic dementia". She never recovered. I was fortunate to nurse her at home. In all my years I had never hears tht term. I've needed two surgery's but I just can't knowing what I know now. I did talk to the anesthesiologist he confirmed tht is a real strong possibility.
I have gone under 22 or more times. I find that things like thinking of a actors name visually know what they look like but it takes me like half a minute to get the name. It’s a delayed memory or you are doing something and forget what you were going to do. Most my surgeries were stent and blocking stone surgeries and 3 hip surgeries,unavoidable. If you need them you need them. Blocking stones could cause sepsis. I read up on anesthesia and the drugs focus in on the memory center, it makes sense that there would be memory problems.
But I’m doing just fine but there can be a delay on a word or something I’m drawing up from memory. It’s fine it is what it is. It’s not severe at all. I’m thankful for every surgery and blessed that all the anesthesia Dr’s woke me back up again before I had any surgeries that’s what concerned me most. If I can have 22 you can do 2,go for it.
This was a life changing, well presented high end presentation about self victimization engrained pattern and how it's important to reach beyond this and try to grow beyond it. I'm a hard headed person who never trusts enough to listen but the way you presented it really connected and gives me great hope I can punch PAST this bad habit and not let previous trauma totally be in control of my everyday existence
I have an extensive surgical history due to multiple medical conditions (a couple genetic, a couple developed because of those, and so on) that interact in complex ways. I've never had much in the way of difficulty, but in the last few years I've had more and more problems with physicians, specifically ones I don't know well enough to have developed a trusting history with them. They consistently have violated my trust, to the point that I will no longer give urine or blood to a physician for diagnostic purposes unless I know them. ER doctors just have to deal with my refusal. I don't permit them to place IV's, because I don't know what they'll take or administer with them. I had a doctor who would be performing surgery on me tell me that I would be given only local after I'd been told multiple times - ASSURED multiple times - by his staff before arrival for the procedure that it would be done under twilight anesthesia. I explained that one of my genetic conditions is known to cause local anesthesia not to work properly. That it doesn't take effect as quickly, that it isn't as effective, and that it wears off more quickly. He said he would not use any sedation, never used it, and if I wanted the procedure it was local or nothing. I felt that I had no choice, and I acquiesced. He used an anesthetic that he specified he'd selected because it "would last longer," but also mentioned that it "took longer to kick in." He did not check for numbness before beginning to cut, I went into a complete freeze response (PTSD and cPTSD) and felt the entire thing. It was awful. I spent nearly 8 hours afterward at home hallucinating, vomiting, and going in and out of consciousness. He did not listen to me, he refused to hear my worries, he insisted he knew best what my body needed, and I suffered.
Your presentations have been so informative that I wish this information had been available and understood almost 50 years ago when I was a new para-surgical nurse. My patients would have received an even better standard of care and hopefully recovered with less pain and complications. You are providing a great service to both the medical community and those souls who need their services. You truly are teaching and caring for those you can reach in the way my 1st human mentor taught me “ If you learn and care for each person (you care for), as you would for your most cherished loved one ❤”, you will be practicing your skills and art the way you are meant to and will be able to look back over your life knowing you have done your best “ Thank you Jeanne
So me saying before surgery that I was scared of throwing up afterwards and could they give me something to prevent that was good. Also knowing that I sometimes go non-verbal when distressed (thanks to my ASD) and asking for a pen and paper was really good (and a first) and then banning the word ‘home’ until it came with ‘we’re discharging you’ was excellent. Thank you for saying that I did some things right during the most stressful week in my life. Sure I had several meltdowns and my blood pressure was extremely high (even with my regular meds for that) but I did some things right and should feel proud of them. That I wasn’t a complete ‘baby’ needing my mum to stay overnights with me (aged 48). The one night she didn’t resulted in a massive meltdown and me spending the night positive I’d die in the second surgery. My blood pressure that night reached 200/100+. It was beyond dreadful.
A friend had a 1cm cancer and at the same time I had a 9cm x 8cm x 3.5cm cancer. My friend went in for removal before I did and was in the hospital 18 days, getting out a day before I did. I was in the hospital four days. My friend complained of severe pain in the tiny incision they made once home, and hardly ever got up to do anything. My incision was 8" and I walked a mile the day after I got home. My friend passed away a year and a half after surgery. Thankfully I'm still kicking.
Doc, you are great! Love your whole person, mind/body approach. Hate to have to tell you, doctors like you are rare. Fortunately, I am rarely sick. My experience is far different that what you speak of, however. I have a high pain threshold, and am super tired of having pain medication pressed on me for skeletal-muscular issues after I have said (not less than a dozen times) that I am not in pain, but rather am concerned with loss of functionality.
I’m not sure yet how I feel about this video, I’ve had several traumatic medical experiences. I almost feel the doctor is saying suck it up get past it. My family was abusive my whole life, they always said get past it because they didn’t want to improve or make any effort to do better themselves. Is that what doctors are doing? Saying get past it so they don’t have to improve themselves in any way? Laying any extra pain from anxiety because of the past on the patient because they don’t want to hear it or change?
I suppose that the best way to be a good patient is to have a medical degree. Another solution would be to go in for a series of professional psychotherapy/ behavior modification sessions before emergency surgery.
He’s trying to say that your past pain is valid, but it doesn’t have to control the rest of your life. It should be acknowledged and worked through, but not wallowed in. Your mental and spiritual attitude can and will affect your physical health, causing you to have worse outcomes in treatment. It can even blind you to other important issues that need to be addressed, like in the example he gave here. Yes, you had traumatic experiences in the past. It’s up to you, though, whether you continue to allow your past trauma to control your future as well. Your choices are to be better or to be bitter. I have had my own traumas that I won’t go into here, and have tried very hard to change my mindset and choose better instead of bitter. So what he is saying here really resonates with me. I refuse to let those experiences continue to make me a victim long after the incidents are over. I am stronger than that. The past happened. It’s over and done with and there’s nothing that can be done to change it. But I am absolutely in control of how I frame and approach my future.The brokenness in my past will not continue to break my future. That’s too much like letting them win, and I am far too stubborn for that to be acceptable.
As someone who also has traumatic medical experiences, I'm right there with you. The main problem is that while a good deal of information he presents is correct, it seems like he's overemphasizing the control patients have over their health and underemphasizing how much doctors and systemic issues are playing into these issues: - there are areas and institutions where doctors will not listen to patients even if they use "empowering language"; in fact when I told some doctors I didn't think they were listening to me, they told me that I was being irrational and I shouldn't tell them how to do their job - catastrophizing and black-and-white thinking are often problematic because they don't reflect the general world, BUT there are psychologists arguing that these might actually be adaptive ways of responding to experiences of low power and control over the situation, like repeatedly trying to take charge of your health and communicating with your doctors for years only for it to fail most of the time. The reason it's a problem is because it's difficult to recognize when our circumstances change and it can take a lot of help from other people to learn that we have control for once. - to be clear, catastrophizing and black-and-white thinking are worth addressing, but that often requires months of not only seeing a therapist to help you identify which beliefs are exacerbating your distress and why, but also constantly practicing in changing your thoughts and ways of framing things when they come up. In other words, it takes a lot more time than a talk with your doctor to work on. tldr, I think he's right that it is important to avoid feeding into rumination, but he's overemphasizing the importance of patient mindsets while underemphasizing the very real issues that lead patients to those mindsets in the first place.
@@Sunshineandhydrangeas oh I’m definitely a survivor and thriving I just don’t want someone’s past to be glossed over like it doesn’t matter at all, we are all human beings and do our best under whatever circumstances we have encountered, I don’t let my past control me but I would be disingenuous if I didn’t admit it influencing my worldview
Excellent insight given here. Thank you Doctor. I can definitely see how my past or anxieties/insecurities show up during dr appointments and before/after surgeries and complicate things further for myself. Also, I can definitely see how going into a surgery with a positive attitude can affect the outcome. I’m going to be having lumbar spinal surgery within the next year. I’m starting today, working on my perception and attitude about how things will go during and after. Invaluable advice given. You are a true blessing. Also, I have always had trouble speaking up for/expressing myself and definitely need to take the approach you described that your patient did when they let you know they didn’t feel you were listening. I think many issues could be solved with miscommunication between patients and doctors by allowing for more time during appointments/procedures. Patients (myself- definitely) need to express themselves better/more and Doctors should probably ask more questions. I feel as though medicine has become more focused on numbers than establishing a good patient/dr report so things aren’t missed/overlooked.
That’s so wild you say that abt the kinesthesiphobia (sure I butchered that spelling). After my colonectomy, the drs warned not to rip those stitches or they’d have to do surgery again. I went home so terrified that I sat up in my wheelchair (paralyzed double amputee), tilting n reclining to sleep, for 3 days. At the end, I had a massive pressure ulcer that took 3 years and multiple surgeries to heal. I had had to have surgery in the same place twice once before, and I have never experienced such pain in my life(n I’ve gone through labor 4 times). Just happened upon ur channel but I’m learning a lot. I love your integrated approach. If only they were all like you!
Every once in a while you find one. Long ago, an OB finally explained to me (after kid#3) that the reason they tell you not to drive after (for weeks) is that they are afraid that you'll be too afraid of ripping your stitches to make that sudden move for the brake. Said sit in the car without turning it on and try it, and if you are comfortable and confident, go for it. Good thing, because groceries/bus/children...just no.
@@suzieg8310 That was definitely good advice. I’d never do that with a surgery again, of course. It was 5 years ago, and thank goodness, I’ve learned a bit since then
If I don’t warn my anesthesiologist about my problem with Post operative nausea and vomiting there will definitely be a”cleanup in PACU bed 4” after surgery. I don’t sit there and convince myself that this is always the outcome it’s just what happens. I always speak up. I’ve had 5 major surgeries in the last 3 years I do everything I can to go in with positive calm thoughts about healing and feeling better. Deep breaths and imagining my favorite place help tremendously but nausea is still persistent.
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I hope you learned something new and feel empowered to advocate for your health 🙏
Yes I applaud your courage and I applaud your honesty. Too often during encounters with modern medicine and hospital institutions there is a (system vs. Individual) mentality which puts the individual patient in a difficult situation when they are least able to cope and fight for themselves due to ill-health. It is not easy to advocate for yourself as a patient when those you must confront have all sorts of initials and titles after their names. Too often it is still the lonely patient uninformed and sometimes(considered by the system as just plain stupid) versus the all-wise all-knowing doctors and the all-powerful healthcare systems.
After my gall bladder surgery I told my caregivers that I felt sick. They didn't listen. I tried so hard not to vomit. It didn't work. I puked all over my bed. They got mad at me.
Some patients, maybe many, don't know how to advocate for themselves. I have "coached" patients on multiple occasions to ask the questions they need too.
Back in the 70s I was a young teenager I was raped I went to a clinic. I was alone I nervesly talked needing some compassion anything. I didn't even get a hello. Yes I was treated but I felt so empty when I left and I remember they were much older. To this day I can't figure out how anyone in the medical field could be so cold. I'm 62 now and they made me feel ashamed
Wow! I feel blessed that I always went into surgery feeling confident that I would be well taken care of. I always mentioned nausea and I was always heard. This last time was so easy because, they had used the medication you put behind your ears for nausea on airplanes and boats. I was so happy not to have to deal with it at all. I'm also glad that I havie a good conversation with the anesthesiologist before I go to the operating room. I'm very sensitive and so I look in their eyes and I know that they are listening and I take take comfort in that. My last surgery was my smoothest ever. You have most important job in the room because, we all love breathing. 🙂 Thank you for the great video. Btw, your puppy is adorable. 💙
I,for various legit reasons, went into surgery for a vulva melanoma without one wink of sleep, trying to update every family member and friend and paying bills in advance after losing my cell phone the night before surgery and knowing I wld not be able to pay bills by phone or take calls from anyone while recovering in the hospital (where there were no visitors allowed at that time). I woke up with delerium, tried to escape 2-3 times with IV stand in tow, along with a catheter still in place. I was almost 5150'd. So scary. I stayed an extra 2 nights in the hospital. My legs were very swollen and enlarged. It didn't help that my surgeon had had a full update with me post-op that I cldn't recall and he also cldnt tell that I had delerium. I wish the staff had known to see me as a high risk for problems post-op bcuz they had known I was terrified of having to have any more surgeries (multiples in the past) or pelvic blocks due to past bad reactions. Still, I went into surgery in peace, totally surrendered and positive. The one thing was no sleep, the surgery was written up incorrectly, and i had to "edit" the surgery contract, then the anesthesiologist the day before told me to just take .05mg of Lorazepam the night before surgery, along with the Scopolamine patch ao I wldnt be nauseus when I woke up from the anesthesia, but I felt woozy by the time I went into surgery. It didn't feel good to me. Anyway, yes, I got more drugs during surgery, and even anti-psychotics AFTER surgery. It was terrible! When i became lucid and found out what they were giving me I stopped taking them. The nurse had left my room assuming i was going to take all she put in front of me. So when the next nurse finds pills sitting there not taken, she told the 1st nurse and she got upset with me. I ended up getting a UTI and an injury from trying to leave and get dressed while still attached to the catheter and no meds were given to me from the UTI until 10 days later at my insistence. It's a crazy world you live in doc, but I'm so glad you're helping to inform both patients and staff alike. Can you please raise the unfortunate added stress of coming home from hospital after all of that to an empty house. Being alone is not good for recovery, not even to my recently deceased dog. P.S. My next procedure colonoscopy and endoscopy they did under propofol at my insistence. Still I gagged when the endoscope was as far as my stomach. I was thinking they might find a twist of some kind that felt like it happened post-op the melanoma surgery bcuz i was SO DRY after all of the drugs that when i was eating some kind of muscle felt like it churned in place, after a hard swallow, very painfully!!! The doc after the gagging decided to stop the endoscopy so I STILL don't know if there's a twist in my digestive tract somewhere. 🥴 So frustrating. Do you by any chance know of a less invasive test that might detect if there is any hindrance to digesting me food, and taking in water, for that matter?
@@Oak_Hollow Nope. That would be great, but instead they just gave me an esophogram with the barium, etc. Next a CT scan. 🙄 Oh, man, I just realized you must have read some/most/all of the longest post ever! I think it was an attempt to purge some/all of the trauma held in my body from that last surgery. Thank you for caring enough to comment. You're a kind person. Be well! :)
I had a swallow study done where they use some kind of ultrsound or something to watch the food go down. That wasnt bad, and the person giving the test counselled me on how to take pills and eat in a way to prevent choking and gagging.
I have a slight disagreement with this case with the sickle cell. The reason the patient didn't mention the back pain is because the chest pain has NEVER been addressed. If they brought attention to the back pain, the chest pain would be dismissed again as it had been for months. The reason I understand this is because I have Occipital Neuralgia and spontaneous CSF leaks. I have literally ignored those TERRIBLE pains that almost make me want to pass out and tell the doctor about my heart palpitations instead. Why? Because I feel like they won't care about the headaches and will dismiss them and the heart flutters/palpitations have never been fully addressed. If I add the headaches on top of that they doctor can't handle it. It's "too much for THEM" so unfortunately patients like us (I have neurosarcoidosis, Hypermobility Spectrum Disorder, and recent POTS-which after 20yrs explain the heart palpitations) we have to almost baby the doctors and pick and choose ONE "complaint" no matter how bad the others are. I guarantee you this patient mentioned back pain before, and it was dismissed. So they chose to just focus on the chest pain. They aren't fixated on one pain. They are AFRAID to mention anything else because doctors gaslight and dismiss more than one thing.
Underrated comment. It's way to easy to blame the patient for the failures of the medical professionals. At least they don't have to feel bad about the poor job they're sometimes doing.
I’m very old and so that’s the reason I had so little recovery pain - I expected to be a little sore after my surgeries, but be perfectly fine now that my problem was fixed. It has always worked for me. 😊
How about incorporating meditation music or hypnotic suggestions into pre operative procedures. It would relax people and possibly prevent the negative dialog in a patients psyche. Even after a procedure how lovely it would be a awaken to pleasant sounds rather then the beeps and other noise in the recovery room. You might still wake up with pain but it would seem more tolerable in a relaxed atmosphere.
My experience, if patients are well informed in an empathic way, they don't suffer so much from trauma and pain. Often enough it isn't that way and adding up to other painful,traumatic experiences I can understand patients thinking more black than white.
It is V E R Y Difficult to Forget a traumatic surgical/ post op experience where you feel that your anesthetized body was treated like a piece of Meat and you wake up screaming in pain.....feeling BETRAYED and ashamed😢😢FORMER RN Traumatized at Doctors Hospital Miami
Hi Doctor , After going through a Kypoplasty procedure , a massive blood clot developed in my chest due to the cement traveling into my chest. This causes extreme pain in my chest and I have experienced victimization. It's horrible and dangerous to be in that position. The medical term for what I have is , Pulmonary Cement Embolism. Thank you for the education in this topic.
Geez, every time I've come outta surgery I always feel like I've had the best sleep since I got sick. So I always feel better but unfortunately I've had issues with this type of thing when they have changed my meds for pain bc that's all I could think about was how bad I was going to hurt. Finally I found a Doctor who works with me instead of just doing thing to me. We talk about options and I'm encouraged to talk about my fears and my expectations. What a difference it makes. I now have quality of life that I hadn't had for years after being diagnosed. So I want to say a big heartfelt Thank You to those Doctors out there helping people and making a real difference in their lives. ❤❤❤
For your consideration with input: I have been told by doctors in the past, the redheads require more anesthesia. I am a "ginger" and have found this to be the case. When I had surgery in the 1980's being told this, my recovery was a smooth as I could hope for. I was also told that redheads bleed more easily. I am not sure where this stand now, but can say that I bruise very easily. My last major surgery with repair of subluxation to my ankle. My surgery team did not address concerns regarding my being a redhead and I was intense pain. I was prescribed Vicodin for pain that was essentially useless. Thankfully, my rheumatologist was monitoring the Coumadin level for me post-op and saw my pain and prescribed OxyContin and Percocet for breakthrough pain. My pain continued beyond 3 weeks with PT starting. I started to gradually started to cut back on dosing once the intense post surgical pain was abating, with a healthy fear of addiction/tolerance and it worked well. Mind you, that surgery was circa 2007. Today, I fear I would be left in pain. Does being in my mid 60's lessen "ginger" concerns or change them in any way? Int the 1980's, doctors concerned with bleeding potential. FF to circa 2007 and I am being given Coumadin, that was never regulated to "normal" values, with always being too "thin."
Here is what helped me through cervical spine surgery: Before the surgery, I told my closest friends the time and date of the surgery. I asked them to sit down and imagine we were together on that day doing something we both enjoyed. I did the same. I imagined that I was going to be at a party instead of in surgery. It went really well.
Also - I get it that doctors are people. But I have worked in tech for 30 years and we are regularly drilled on active listening skills. We listen to the client, then paraphrase back what we believe the problem is. Then we go back to listening to the client to see if we are on the right track so we get a first time fix. Maybe some doctors need to do that?
Well thank you, I'm about a week away from a procedure. The last time I had the procedure there was an issue. Now when I talk to the staff I will "not victimize myself", but I will ask them if they can help to prevent a recurrence.
From Massachusetts,I’m waiting for knee surgery to repair a torn ligament,I love watching and listening to you.after listening to you Dr.Kaveh; bring it on 😂😂😂❤
They took out my sigmoid Colen and the postoperative nurse I assume wouldn't give me enough pain meds and made me tell her it wasn't so bad. So when I asked her for more pain meds she told me I just told her I wasn't in as much pain as I thought so she wouldn't give me enough pain meds. Oh and Anastasia affects my eye sight I couldn't see her. Yet! I always tell them when I've had a bad experience. And I've had Drs wonderful Drs and nurses get me thru bad experiences. I've had them help so much I've become friends with them.
I had my gallbladder taken out lat Thursday and an Endometrial Ablation the Friday before. In the past I've had wisdom teeth out, a dnc a month after giving birth and 2 scopes on my stomach decades ago. The gallbladder was by far the worst coming to afterwards. I woke up alone, separated frome everyone and not hooked up to anything plus dressed. I had to yell fir help 3 times. The nurse told me I was trying to get up and get dressed and she had to move me as I was trying to stop her from stopping me. Said I was "fighting her". I've never done that ever. I don't remember any of that. I've had extreme anxiety since and paic attacks when I go to bed now. Very emotional today too. I have anxiety/panic disorder plus depression and this added to it and I don't remember much which is unusual for me. From Canada. Anesthesiologist was the same person for both surgeries and he was awesome.
I'm also a new subscriber as of today. I've been watching you since last week and you've been very helpful even though you're south of the boarder. Thank you. 🙂
You describe a really terrifying situation. You have maintained a balanced Outlook for you. In DOCTOR/NURSE/PATIENT relationships I believe that patients owe the medical staff respect and honesty. Similarly medical staff. Owe the patient honesty and respect and maybe even a touch of compassion
I had a Dr come in my pre op room 5 minutes before surgery and chew me out. I had told his Intern I was upset because he wouldn’t answer a question about what he was going to do in surgery. My husband and I were in shock! He told me that he didn’t have to do my surgery. Going in the surgery upset was very traumatic. He also already knew I had two episodes of emergence delirium previously. He was so arrogant. I am a Nurse and could not believe it! After surgery I finally was able to get him listen to my concerns and he responded kindly and caring towards me. He really made me distrust him. I am proceeding and changing Dr’ s for a second opinion .
Said individual struggled with dissociative episodes, as do many, if not most, of your patients. They need treatment. This is not something that can be resolved with mindfulness. Dissociation is much more difficult. They release too many endorphins, and that is the cause of their dissociative episodes. When they work with you, their endorphins are further enhanced, exacerbating their symptoms. Most will not know much about or be interested in this, but EMDR can help treat the dissociation underlying PTSD and C-PTSD. These patients are exhibiting reenactment traumas (repetition compulsions) with you and the rest of the team. This should help.
I know what you mean, I'm severely dissociative on a permanent basis and it has ruined my life. Meditation, mindfulness, etc. they all just take me further into the la-la-land of unreality, where nothing exists, me the least. I haven't felt like really existing, me or this world, for decades. It's all a blurry, hazy dream to me only, and I'm severely passive, sluggish, lacking initiative capacity or motivation; because nothing is real. I have no money for therapy, EMDR, etc. so I just have to live like this, as I've done for the past couple of decades. Ordinary daily tasks are so difficult, I can basically get nothing done, I am wasting my life away. But yeah, just wanted to comment that I agree that certain things that may suit most, do not suit all.
I am glad that I learned to advocate for myself, after having two minor surgeries that caused problems. I had to have back surgery, and I told the doctor and anesthesiologist that I always woke up very nauseous from whatever was used to put me to sleep. I learned that was common, and there was something they could give me to keep that from happening. I was so happy that after that, I did not have any nausea problems. The other thing I told the anesthesiologist is that in my experience, I take a really long time to wake up. It was good that I told him. Even after I was moved from recovery to my room ( which I have no memory of), I apparently slept for a long time. The friend who was there to support me told me she didn't think I was ever going to wake up. The only thing I am upset about, is learning they always put in a catheter. My friend lied to me about that and I didn't learn the truth until I subscribed to your channel. I have learned a lot already, so thank you very much for doing these videos! 🙏
Same here, need anti-nausea meds, and they couldn't wake me up. I finally woke up in a room, vitals were unstable for days, took 5 days before I could go home.
I've had 8 operations before but I just got told by my consultant today that I need an entire right hip replacement and I'm already scared even though it may be a few months away. By the way, I agree with this video as it has had a lot of press with sickle cell.
Nothing to worry about,get a good surgeon and do I have had three. I put myself in Gods hands and peacefully go under and then wake up. Without His care and peace it would be scary…
In Jan of 2017 I had a THA on my left hip. I was 62 and a full time over the road truck driver. Surgery went great, walked out of the hospital the next morning, performed my PT and took a much needed vacation of hiking and camping around AZ. Had a Lumbar fusion in Feb of 2020 and 3 months later went back to work but the pandemic had made people angry so June of 2021 I retired. I immediately joined a gold prospecting club, got a new metal detector, applied for a new passport and planned on having fun. That September I had a sharp pain in my groin...by October I couldn't walk anymore. That was in 2021. Last week I had surgeries #7 & #8, had my 7th dislocation, my 6th ambulance ride, now have VRE and spent a week and a half under sedation in ICU. I was passed over by 2 specialists in the beginning and handed to the new guy. Dr ordered a Zimmer Biomet custom built acetabulum for me and subsequently had 4 dislocations in less than 2 months. Then he said the Ringloc constrained liner will stop the dislocations, all it did was stop the closed reductions. Now I need surgery every time I dislocate. Last February he swirched out the femoral component which was supposedly still in perfect condition and fractured my femur in the process. Ok, I knew there were complications but if I knew this was going to happen I would have disappeared off the face of the earth. He just ignores how much my right side has been trashed from over compensating. Even the ER dr pleaded with me to find a physiatrist? He told me there are actually still drs out there who look at the whole picture, not just slap a band-aid on and wait till something else goes wrong. Ask a lot of questions before your surgery. I have ALWAYS been strong and healthy but I'm just a Medicare cash cow now. Oh, my surgeon just said my next option is the Girdlestone procedure where they just lop off your hip. Best of luck to you.
I always like your videos as they are so informational. I usually go under being in a very positive mood. Never had an issue with anesthesia. However, the last couple of times I have woken up, I immediately break down crying demanding to have my 11 y/o daughter being called on the phone or have my bf be rushed in, ect. I'm not sure why this is becoming a pattern now. ??
I've had many surgeries. When they give me Versed, I cry and throw up afterward wards. Once I found that out about that drug, I ask them not to give me that, I woke up fine.
When a doctor demands that the patient speak of only. one "Problem" or symptom, they are demanding that the patient triage their own health and many people aren't good at it.
I missed you live, but this was so good!!! Thanks for doing this because people need to know about this! I would like to ask again if you can do a video when you have time regarding the neglect of patients when they go into the ER or have to be admitted after surgeries or medical conditions. I would like to know, if you are alone, how can you protect yourself and get proper care and not be ignored, especially when you can't show facial expressions when you are in pain? When you have time, PLEASE with sugar on top!!!😁😇💖💖💖💖💖💖💖💖
I had a lower back operation and woke up pretty good, I didn't need any pain meds but another lady had the same operation, same surgeon same day I think she was before me on the op table and she was taking full on pain meds from the Narc Nurse. The nurses were scratching their heads as to why we were both so different.
What an incredible observation. There are so many variables that go into our self-identity and perception of pain. And sometimes it manifests itself the way that you have observed
Ok and maybe 5 years ago I went to a clinic had a new doctor she never even looked at me. Just continued to look at her clip board. It was so rude. I was speechless meaning I felt like I didn't matter I was just another number. Yes I left a negative review and I've never had her again although she listed as my physician. I now see her nurse..
I have had, several times in the last few years, a situation I call a PAIN STORM. I had never heard the term before but it seemed to fit the situation. So, of course I googled Pain Storm and amazingly there were several people having the same situation that called it the same thing. I was seeing a Doctor that specialized in pain relief. This normally consisted of cortisone injections for bursitis etc. I tried to tell him about my Pain Storms thinking he would be the one to explain it to me and maybe offer some relief. I was trying to explain it too him and it was obvious he had never heard of it and he started to leave the room while I was still trying to explain it to him. I asked him if he could refer me to another Doctor that might listen to me. He said “I would if you were making any sense” and he left the room, leaving me stunned. If you are familiar with this situation I would love to hear any information you have about it. If you aren’t familiar with it please let me know and I will explain it to you in more detail because my arthritic fingers don’t type as well as I would like.
@@MC-fw5vt According to the National Institute of Mental Health, physicians are significantly more likely to have suicidal thoughts or attempt suicide (4.9%) than the average U.S. adult (0.5%).
Sounds like the patient and family fell into some sort of zealous complacency, and tried to push you to treat the person's recurring chest pain, and never took a self-inventory of symptoms beforehand. Being able to recognize this from having doctors and pharmaceutical workers in my family is something I'm happy to be able to do. Either way, it's his/her own fault for not recognizing this or taking the time to understand what it means. I know if I had sickle cell or thalassemia, I'd be annoyingly persistent in making sure my doctor knew everything that was going on in exceedingly great detail, then I'd be ragging on the doctor for something, or trying to get him/her to laugh.
A good friend was so focused on an old back injury being the issue of their chest pain that their aorta almost exploded cause of insistence of looking at spine related things for months.
Good evening Doc Kaveh. I have Neuroendocrine tumor in my stomach & Atrophic Gastritis, I am 55 and my whole life I have been sick, always having megaloblastic anemia, pernicious anemia, ridiculous levels of B12 and low iron levels, nauseas daily, and no one was able to find anything. My doctors after five years of invasive exams, tomography, appointments and my symptoms they closed my case, there's not much to do about it, since January 2023 I have three spot of Neuroendocrine lesions, no chemo will work in the future I might lose my stomach, and sadly I need more anesthetics than ppl I know. My roots are from Europe and Eastern Europe, after all my surgeries I wake up regretting my surgery. But i refuse any surgeries with only being half conscious, nope I prefer not see ormlisten to anything. Thank you for your work, on bringing light to us🌷
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I am wishing you the best in any future medical procedures 🙏
I have been traumatized from my surgery 2 years ago where they overdosed me and they had to give me Narcan to wake me up. I have been depressed. I spent 6 days in the hospital and 5 in ICU and then had extreme pain when they sent me home.
This is really interesting. I’ve had several surgeries, unfortunately, and also been put to sleep just for outpatient procedures. Why is it that I, actually, look forward to it! I know that I’ll smell that sweet smell, sleep, then wake up with the procedure or surgery already over! I’m either going to be in pain or not. Depends in what it was. But, I always look forward to the anesthesia because after it, I can concentrate on healing! Is that weird???
I think I need to move my procedure forward, until I found a way to negotiate all steps with surgeon for how we are going to handle my phobia. I've been ruminating for over a month and it is taking a toll on me.. nothing goof is going to come of it if I go into surgery now in this mental state. I also know from experience that my behaviour/angst may negatively influence the performance of medical personnel... Even in the bank, (worked for one in my youth) we would most often make mistakes on the customers who put up the worst scenes.. it is as if part of the brain is dealing with that while also trying to do the job at hand, leading to errors.
I don’t understand why you say it is self-victimization when it is simply being distracted with the most painful symptom. He was focused on chest pain so didn’t mention or think about his back pain which he may have also assumed it was irrelevant …something caulked up to a pulled muscle or back pain that comes with age or certain professions with repetitive use. How in the world is that self victimization?!?!?!? I can see how catastrophic thinking could possibly cause a person to feel more pain except i know too that i do that and when it doesn’t come true i am quite happy so certainly it does not cause for sure any outcome. Likewise having optimism also doesn’t guarantee an outcome.
Wow this is really helping me relax before my my pelvic repair and hysterectomy this morning 🤓 I woke up before the alarm so did some gentle stretching yoga and deep breathing. I am totally chill and know I will have a healthy recovery. Thank you for addressing this topic. It will help me to not expect emergent delirium that I had in the past due to being manic going into that surgery. It happened but it's in the past and I've been healthy since and have not had a manic episode in the past 4 years. I've lost 80lbs while people were gaining the Covid 15. I got this 😁 ❤
I understand what you are saying but it is also true that doctors have minimized and dismissed patient's pain to the point where they stop speaking on their pain, suffering unnecessarily.
I’m going to have a urethroplasty in a couple of weeks. To get rid of a couple of strictures from a previous procedure. It will be so nice to be able to empty my bladder better after the surgery. 👍 I will have a Foley for 2 to 3 weeks. The surgeon says once I healed I maybe never have to see him again I sure I will have follow ups to make sure everything is on track!
I always learn a lot from you! You inspire me so much! It takes a special person and skill to be a anesthesiologist or CRNA and you’re one of them! 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 a anesthesiologist physician I’m 33 from Memphis! Do your feet smell after work? lol 😂! I can’t drive because of my cerebral palsy, so I’m gonna get my all electric car and let other people drive it for me like a celebrity!
Thank you for making these educational videos. I have had many surgeries and am about to have another. But could you shorten the time it takes to give this info?
Could you discuss the difference in likelihood of sickle cell anemia of completely African descent vs a mixture of African descent and other genographical descendents?
I appreciate this message. I am working on this right now. I totally agree with you about black and white thinking and about how my own emotions and attitudes can result in poor medical outcomes. I've had doctors blow me off a lot over the last 50 decades and some who definitely broke my trust. One did a laparoscopy and promised to wake me up and discuss options before proceeding with a laparotomy (I even wrote it into the consent forms). He went straight into the major surgery without talking to me. Lately, I found a doctor who is not perfect but who listens to me. He sent me to a pain management clinic who listens to me and works with me. Together, we've had good results and my pain levels are lower. That clinic does ketamine infusions, so I may ask for that. Thanks for talking about these issues and encouraging patients to let go of victimization and envision a better future.
I've never taken any medications other than advil for pain. And even then, I can tolerate only low doses. Two tablets will trigger brain zapps and severe sharp headaches. You know your body, and what it can take.
I always feel better after surgery. Mainly because it is over. But I do have a concern that I would like you to talk about. I have mental disorders. And it leads to doctors blowing what I say off.
Thank you for sharing your knowledge. Hoping you can answer a question. I am having surgery for a bulging L4-L5 disc. I am very hard to find a vein for the IV. I am more worried about the IV than I am the actual surgery. The last time I needed an IV the anesthesiologist had to do it once I was out because 2 nurses and 4 pokes couldn't find a good vein. Is that normal for the anesthesiologist to do that? Do you ever have to get the IV started?
I trained as a hypnotherapist and so when I work with clients, we may discuss what their problem is, but we will certainly ask how do they want to becor feel? Whenever I go into surgery I am very grateful to the anesthesiologist and I spread white light to all that’s there and I asked them to always use good language. I think it makes a difference. Thank you for a great program!
I can't lie flat on my back (especially on a firm surface) without being in pain. I need something under my knees to relieve the pressure. Being in that position not only produces pain, but anxiety. Is it ok to ask for my knees to be propped up until I am under and then they can position me any way they like? Thanks for all you do for your patients ❤
What about during surgery You hear the doctors talking with each other and they are complaining about the Thora Vent they used for a collapsed lung and it failed five days later so a whole second surgery with a new simple pigtail tube, the doctors had to watch a video how to install Thora vent, so I began to understand they used an experimental drain Thora Vent instead of a simple pigtail catheter. Now please understand I loved the cooperation of the emergency team that took care of me it was all women cooperating quietly the instructor giving gentle directions and the student doctor doing the work. I was very polite and a bit nervous fearful I was dying but surrendered to the caring team. So I wound up thinking the Hospital UCSF experimented with the Thora Vent for their research, and the doctors and especially the nurses were like "I wouldn't want to go through this twice. I'm 72 it was a hard time I'm glad I feel better more or less.
I am always so grateful when then put me under. I don't think about the surgery until after it's done. There's been a few times when I thought what the heck was I thinking doing this surgery! I do think of it as a nice nap..
Neglect from doctors is rampant in Australia. You go in for a problem, you pay them astronomical fees only to have them tell you that your problem only exists in your imagination and that you really have psychological problems. This is even done contrary to blood/medical tests and you showing overtly obvious symptoms. The only time you’re fixed is when your about to die and end up in emergency when as you say, often it’s too late and you’ll walk away with lifelong damage. This is even in private paying health system where here you pay compulsory government fees, then private fees, and then gap fees all for the same problem that was never fixed because your doctor could not be bothered.
I totally understand what you are saying. I had my first surgery ever on 2/22/22. I was so happy before surgery, not a bad thought entered my mind. I knew going in that it would be a success, my family were afraid I wouldn’t come out of it with their negative thoughts but I didn’t listen to them. I spoke with the medical staff, the anesthesiologist and even the workers in the operating room asking questions of them and making them laugh and next thing I know I’m in ICU and then to my room and back home in a few days. I had a fast recovery. I’m 69 years old and doing great. Do not think anything negative before getting surgery or having a procedure.
I was like that before my surgery. However, mine unfortunately turned out the opposite. I ended up worse after my surgery than before. My Dr refused to pay any attention to me afterwards so I had to find another Dr. I had a diagnostic operation which I was VERY concerned going into because of how my first surgery went. Turned out for some reason my first surgery ended up with my pelvic in a real mess. My Dr was able to correct some but not all of it. I did better after my second operarion that the first even though I was a lot more nervous. I am going to have to have 2 more operations at least, to finish repairing the damage. I do feel very confident with those Drs though, and believe even though I have been told it will be very risky operations. That they will do a very good job.
@@aron1632 I'm so sorry you had a bad experience. I don't blame you for being nervous after the first surgery, and that your second surgery was better. I wish you healing through all your surgeries. Take care the best of yourself the best you can.
So happy all went well for you. I'm having TKR in short time looking forward to it & am going to go in happy & positive like you say ❤
Two years ago I had two surgeries, eight weeks apart. Bi-lateral, staged total hip replacement. I was an otherwise young 64-year old who ignored my hip pain for nearly 10 years because of fear of anesthesia. My amazing surgeon explained to me, when I finally had no choice except surgery or sitting in a chair forever, that he did the anterior approach, and that I would have spinal anesthesia with sedation. I couldn't have asked for a better outcome or experience with my surgeon. However my first anesthesiologist was cold and abrupt. For my second surgery, the anesthesiologist was warm and even laughed at my joke "So is that truth serum?" And you are so correct. I felt better after the second surgery because I was in a much more confident state of mind for the second surgery. I love watching your videos. You are a Godsend. I am terrified of General Anesthesia. But if I ever need it, I have learned so much from you, that I know I will have a positive, healthy attitude going in. Thank you!
I totally admire you for what you do, including educating the public about self-empowering themselves.
Thank you for the kind comments! 🙏I hope you learned something new and feel empowered to advocate for your health 🙏
@@MedicalSecrets can you do video of what the difference between nebulizer mask and a oxygen mask
Agree 🎉!
AGREE🎉!
About the self empowering education
THIS video is golden. I'm having a sec9nd shoulder surgery in 2 days. 20 years ago, my surgery went well, but I couldn't take the Percocet even with benedryl, so the pain was horrendous. Subacromial decompression w a surprise bicep something.
What I've been ruminating on is KNOWING what the pain feels like and fearful of going through that again.
FACT: my doc is aware that Tramadol is my go to pain med and will prescribe it.
FACT: MY DOC is open, honest, answers every question, and makes no promises except he WILL do his best to make sure I can live the rest of my life with a functioning arm and as little pain as possible.
I'm golden. I already know the pain, so no surprises there.
I have my ice, I'll have my Tramadol, prayer from friends and family, and I trust the surgical team.
I appreciate you.
In my experience I tell a doctor about pain or some other symptoms and 9 times out of 10 they just don’t believe me.
I’m not catastrophizing, I’m just telling the truth.
At some point I just stop reporting some of the long term issues.
I’ve had symptoms of diabetes ignored to the point of losing feeling in my feet.
I tore my labrum and was ignored by the walk in clinic Dr. I had to beg for a sling and further imaging.
I had kidney stone pain so bad I was whimpering at the walk in clinic visit and the Dr refused imaging, and gave me tramadol because “all the little old ladies love it for their aches and pains”
The one time I screwed up enough courage to insist a doctor listen to me? She straight out called me a liar, and kicked me out of her office. Called my symptoms “all in my head”
She was a neurologist and I was seeing her to monitor a very real meningioma. (That was the diabetes which all she needed to do was order an A1C)
I meditate. I’m definitely not playing the “oh poor me” game.
But there really are a lot of doctors out there who suck at listening - especially when their patient is neurodivergent and doesn’t present typically.
I could have written this myself. I was a Buddhist nun and meditate daily. I am probably the least anxious person but doctors STILL love blaming everything on anxiety or depression. I havent felt depressed in over a decade. All it takes is for a doctor to consider that maybe we do know what we are talking about and maybe we are telling them the truth! Too many assume all patients lie, but often neurodivergent patients are extremely truthful
Your initial story impresses me with how tough both catching and correctly diagnosing a patents syptoms can be.
Yes and since doctors and surgeons are expected to be correct all the time I believe the following statistic that I quote from the national institute of mental health May reflect doctors anxieties.According to the National Institute of Mental Health, physicians are significantly more likely to have suicidal thoughts or attempt suicide (4.9%) than the average U.S. adult (0.5%).
I’m having surgery in July, I wish you could be my anesthesiologist. I’m lucky because I don’t have any preconceived ideas about how I’m going to feel when I wake up. I have found the more pleasant and cooperative you are to those treating goes a long way. Thanks for sharing you experiences and knowledge with us.
I feel that your point of view is interesting and helpful. Following an operation in the uk in which I had warned the anesthesiologist about my nausea and vomiting, I had a terrible time. The ICU nurse after many hours of my vomiting, ( quote ) said, " I've had enough of this, " and called him back to the ICU in the early hours of the morning. I did warn him and I felt he didn't take me seriously and that I was treated like a Nervous Nelly.
My latest operation was in France as opposed to uk. It was for a strangled hernia. I explained again I have always had extreme vomiting after surgery. I had a conversation with my anesthesiologist in which I strongly emphasized this. He was quietly attentive. I woke up in post op... and was completely very happily amazed. My head felt clear and awake instead of floating in and out of consciousness and absolutely NO NAUSEA OR VOMITING. You can be sure that I thanked him effusivly. I wish I new what differences there were between the two anesthetics.
Tho there was 30 years between one and the other. 🤗
Bless your heart Dr. Kaveh, for taking the time after a long day to make educational videos for the public. May the blessings you are sharing be multiplied and returned back to you. I shared about your clinic with a friend who had never heard of that type of treatment.
Getting my tonsils taken out in a month😬 had a terrible recovery after getting all my wisdom teeth out a few years ago, but watching your videos has helped calm my nerves and understand more of what happens when you go under anesthesia! I feel more in control of the situation, like you explained in one of your videos and my anxiety around it has gone down tremendously. Thank you so much for all you do ❤ truly an inspiration
Update: got my tonsils out yesterday. Although I did have pain up like a 7 this morning, my body has been staying at around a 4😃 Thanks for your advice and reassurance Doctor throughout my journey leading up to my surgery, and now after it. I’m glad I found this channel bc it has helped calm a lot of uncertainties I was having🥺❤️ you are such a great role model for the medical world, and thank you for your vulnerability and courage to talk about things other doctors don’t.
Doctor I have high anxiety and panic attacks just thinking about going under anesthesia. I'm a nurse worked in recovery seen a lot of things. Nursed many pts. I understand the process, never question many things but....my 67 year old mother broke her hip. We got her to the hospital, the on-call doc decided she needed the surgery sooner then latter. They got her prepped , when she got back to her room she had what they "called anesthetic dementia". She never recovered. I was fortunate to nurse her at home. In all my years I had never hears tht term. I've needed two surgery's but I just can't knowing what I know now. I did talk to the anesthesiologist he confirmed tht is a real strong possibility.
I have gone under 22 or more times. I find that things like thinking of a actors name visually know what they look like but it takes me like half a minute to get the name. It’s a delayed memory or you are doing something and forget what you were going to do.
Most my surgeries were stent and blocking stone surgeries and 3 hip surgeries,unavoidable. If you need them you need them. Blocking stones could cause sepsis. I read up on anesthesia and the drugs focus in on the memory center, it makes sense that there would be memory problems.
But I’m doing just fine but there can be a delay on a word or something I’m drawing up from memory. It’s fine it is what it is. It’s not severe at all. I’m thankful for every surgery and blessed that all the anesthesia Dr’s woke me back up again before I had any surgeries that’s what concerned me most. If I can have 22 you can do 2,go for it.
I'm so sorry to hear this
A true healer is caring AND honest, and absolutely reminds a Px the power THEY have! 👍😎🙏
This was a life changing, well presented high end presentation about self victimization engrained pattern and how it's important to reach beyond this and try to grow beyond it. I'm a hard headed person who never trusts enough to listen but the way you presented it really connected and gives me great hope I can punch PAST this bad habit and not let previous trauma totally be in control of my everyday existence
I've watched your videos in preparation to a recent operation. Entering the room with a positive attitude helped me lots, than you
I'm so happy that you found empowerment through this knowledge!
This is why some do better after surgery than others. Good attitude is so important as in most cases.
I have an extensive surgical history due to multiple medical conditions (a couple genetic, a couple developed because of those, and so on) that interact in complex ways. I've never had much in the way of difficulty, but in the last few years I've had more and more problems with physicians, specifically ones I don't know well enough to have developed a trusting history with them. They consistently have violated my trust, to the point that I will no longer give urine or blood to a physician for diagnostic purposes unless I know them. ER doctors just have to deal with my refusal. I don't permit them to place IV's, because I don't know what they'll take or administer with them. I had a doctor who would be performing surgery on me tell me that I would be given only local after I'd been told multiple times - ASSURED multiple times - by his staff before arrival for the procedure that it would be done under twilight anesthesia. I explained that one of my genetic conditions is known to cause local anesthesia not to work properly. That it doesn't take effect as quickly, that it isn't as effective, and that it wears off more quickly. He said he would not use any sedation, never used it, and if I wanted the procedure it was local or nothing. I felt that I had no choice, and I acquiesced. He used an anesthetic that he specified he'd selected because it "would last longer," but also mentioned that it "took longer to kick in." He did not check for numbness before beginning to cut, I went into a complete freeze response (PTSD and cPTSD) and felt the entire thing. It was awful. I spent nearly 8 hours afterward at home hallucinating, vomiting, and going in and out of consciousness. He did not listen to me, he refused to hear my worries, he insisted he knew best what my body needed, and I suffered.
Thank you for your generosity with your time & teachings.
Your presentations have been so informative that I wish this information had been available and understood almost 50 years ago when I was a new para-surgical nurse. My patients would have received an even better standard of care and hopefully recovered with less pain and complications.
You are providing a great service to both the medical community and those souls who need their services.
You truly are teaching and caring for those you can reach in the way my 1st human mentor taught me “ If you learn and care for each person (you care for), as you would for your most cherished loved one ❤”, you will be practicing your skills and art the way you are meant to and will be able to look back over your life knowing you have done your best “
Thank you Jeanne
If you worry before your procedure, then it's your fault if your provider abuses you.
Thanks doc
So me saying before surgery that I was scared of throwing up afterwards and could they give me something to prevent that was good. Also knowing that I sometimes go non-verbal when distressed (thanks to my ASD) and asking for a pen and paper was really good (and a first) and then banning the word ‘home’ until it came with ‘we’re discharging you’ was excellent.
Thank you for saying that I did some things right during the most stressful week in my life. Sure I had several meltdowns and my blood pressure was extremely high (even with my regular meds for that) but I did some things right and should feel proud of them. That I wasn’t a complete ‘baby’ needing my mum to stay overnights with me (aged 48). The one night she didn’t resulted in a massive meltdown and me spending the night positive I’d die in the second surgery. My blood pressure that night reached 200/100+. It was beyond dreadful.
A friend had a 1cm cancer and at the same time I had a 9cm x 8cm x 3.5cm cancer.
My friend went in for removal before I did and was in the hospital 18 days, getting out a day before I did. I was in the hospital four days.
My friend complained of severe pain in the tiny incision they made once home, and hardly ever got up to do anything.
My incision was 8" and I walked a mile the day after I got home.
My friend passed away a year and a half after surgery.
Thankfully I'm still kicking.
What an insightful observation.. while there are many variables that could explain the difference, many of them are likely under our control
Doc, you are great! Love your whole person, mind/body approach. Hate to have to tell you, doctors like you are rare. Fortunately, I am rarely sick. My experience is far different that what you speak of, however. I have a high pain threshold, and am super tired of having pain medication pressed on me for skeletal-muscular issues after I have said (not less than a dozen times) that I am not in pain, but rather am concerned with loss of functionality.
Thank you for all you do doctor! Bless you ❤🙏
Thank you for the kind comments! 🙏I hope you learned something new and feel empowered to advocate for your health 🙏
I’m not sure yet how I feel about this video, I’ve had several traumatic medical experiences. I almost feel the doctor is saying suck it up get past it. My family was abusive my whole life, they always said get past it because they didn’t want to improve or make any effort to do better themselves. Is that what doctors are doing? Saying get past it so they don’t have to improve themselves in any way? Laying any extra pain from anxiety because of the past on the patient because they don’t want to hear it or change?
I suppose that the best way to be a good patient is to have a medical degree. Another solution would be to go in for a series of professional psychotherapy/ behavior modification sessions before emergency surgery.
Thank you Dr
He’s trying to say that your past pain is valid, but it doesn’t have to control the rest of your life. It should be acknowledged and worked through, but not wallowed in. Your mental and spiritual attitude can and will affect your physical health, causing you to have worse outcomes in treatment. It can even blind you to other important issues that need to be addressed, like in the example he gave here.
Yes, you had traumatic experiences in the past. It’s up to you, though, whether you continue to allow your past trauma to control your future as well. Your choices are to be better or to be bitter. I have had my own traumas that I won’t go into here, and have tried very hard to change my mindset and choose better instead of bitter. So what he is saying here really resonates with me. I refuse to let those experiences continue to make me a victim long after the incidents are over. I am stronger than that. The past happened. It’s over and done with and there’s nothing that can be done to change it. But I am absolutely in control of how I frame and approach my future.The brokenness in my past will not continue to break my future. That’s too much like letting them win, and I am far too stubborn for that to be acceptable.
As someone who also has traumatic medical experiences, I'm right there with you. The main problem is that while a good deal of information he presents is correct, it seems like he's overemphasizing the control patients have over their health and underemphasizing how much doctors and systemic issues are playing into these issues:
- there are areas and institutions where doctors will not listen to patients even if they use "empowering language"; in fact when I told some doctors I didn't think they were listening to me, they told me that I was being irrational and I shouldn't tell them how to do their job
- catastrophizing and black-and-white thinking are often problematic because they don't reflect the general world, BUT there are psychologists arguing that these might actually be adaptive ways of responding to experiences of low power and control over the situation, like repeatedly trying to take charge of your health and communicating with your doctors for years only for it to fail most of the time. The reason it's a problem is because it's difficult to recognize when our circumstances change and it can take a lot of help from other people to learn that we have control for once.
- to be clear, catastrophizing and black-and-white thinking are worth addressing, but that often requires months of not only seeing a therapist to help you identify which beliefs are exacerbating your distress and why, but also constantly practicing in changing your thoughts and ways of framing things when they come up. In other words, it takes a lot more time than a talk with your doctor to work on.
tldr, I think he's right that it is important to avoid feeding into rumination, but he's overemphasizing the importance of patient mindsets while underemphasizing the very real issues that lead patients to those mindsets in the first place.
@@Sunshineandhydrangeas oh I’m definitely a survivor and thriving I just don’t want someone’s past to be glossed over like it doesn’t matter at all, we are all human beings and do our best under whatever circumstances we have encountered, I don’t let my past control me but I would be disingenuous if I didn’t admit it influencing my worldview
How very interesting! I wish we were spoken to about this from our surgeons and anaesthetists
Thanks
Excellent insight given here. Thank you Doctor. I can definitely see how my past or anxieties/insecurities show up during dr appointments and before/after surgeries and complicate things further for myself. Also, I can definitely see how going into a surgery with a positive attitude can affect the outcome. I’m going to be having lumbar spinal surgery within the next year. I’m starting today, working on my perception and attitude about how things will go during and after. Invaluable advice given. You are a true blessing.
Also, I have always had trouble speaking up for/expressing myself and definitely need to take the approach you described that your patient did when they let you know they didn’t feel you were listening. I think many issues could be solved with miscommunication between patients and doctors by allowing for more time during appointments/procedures. Patients (myself- definitely) need to express themselves better/more and Doctors should probably ask more questions. I feel as though medicine has become more focused on numbers than establishing a good patient/dr report so things aren’t missed/overlooked.
That’s so wild you say that abt the kinesthesiphobia (sure I butchered that spelling). After my colonectomy, the drs warned not to rip those stitches or they’d have to do surgery again.
I went home so terrified that I sat up in my wheelchair (paralyzed double amputee), tilting n reclining to sleep, for 3 days. At the end, I had a massive pressure ulcer that took 3 years and multiple surgeries to heal. I had had to have surgery in the same place twice once before, and I have never experienced such pain in my life(n I’ve gone through labor 4 times).
Just happened upon ur channel but I’m learning a lot. I love your integrated approach. If only they were all like you!
Every once in a while you find one. Long ago, an OB finally explained to me (after kid#3) that the reason they tell you not to drive after (for weeks) is that they are afraid that you'll be too afraid of ripping your stitches to make that sudden move for the brake. Said sit in the car without turning it on and try it, and if you are comfortable and confident, go for it. Good thing, because groceries/bus/children...just no.
@@suzieg8310 That was definitely good advice.
I’d never do that with a surgery again, of course. It was 5 years ago, and thank goodness, I’ve learned a bit since then
If I don’t warn my anesthesiologist about my problem with Post operative nausea and vomiting there will definitely be a”cleanup in PACU bed 4” after surgery. I don’t sit there and convince myself that this is always the outcome it’s just what happens. I always speak up. I’ve had 5 major surgeries in the last 3 years I do everything I can to go in with positive calm thoughts about healing and feeling better. Deep breaths and imagining my favorite place help tremendously but nausea is still persistent.
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I hope you learned something new and feel empowered to advocate for your health 🙏
Yes I applaud your courage and I applaud your honesty. Too often during encounters with modern medicine and hospital institutions there is a (system vs. Individual) mentality which puts the individual patient in a difficult situation when they are least able to cope and fight for themselves due to ill-health. It is not easy to advocate for yourself as a patient when those you must confront have all sorts of initials and titles after their names. Too often it is still the lonely patient uninformed and sometimes(considered by the system as just plain stupid) versus the all-wise all-knowing doctors and the all-powerful healthcare systems.
After my gall bladder surgery I told my caregivers that I felt sick. They didn't listen. I tried so hard not to vomit. It didn't work. I puked all over my bed. They got mad at me.
Some patients, maybe many, don't know how to advocate for themselves. I have "coached" patients on multiple occasions to ask the questions they need too.
Back in the 70s I was a young teenager I was raped I went to a clinic. I was alone I nervesly talked needing some compassion anything. I didn't even get a hello. Yes I was treated but I felt so empty when I left and I remember they were much older. To this day I can't figure out how anyone in the medical field could be so cold. I'm 62 now and they made me feel ashamed
Wow! I feel blessed that I always went into surgery feeling confident that I would be well taken care of. I always mentioned nausea and I was always heard. This last time was so easy because, they had used the medication you put behind your ears for nausea on airplanes and boats. I was so happy not to have to deal with it at all. I'm also glad that I havie a good conversation with the anesthesiologist before I go to the operating room. I'm very sensitive and so I look in their eyes and I know that they are listening and I take take comfort in that. My last surgery was my smoothest ever. You have most important job in the room because, we all love breathing. 🙂 Thank you for the great video. Btw, your puppy is adorable. 💙
I,for various legit reasons, went into surgery for a vulva melanoma without one wink of sleep, trying to update every family member and friend and paying bills in advance after losing my cell phone the night before surgery and knowing I wld not be able to pay bills by phone or take calls from anyone while recovering in the hospital (where there were no visitors allowed at that time). I woke up with delerium, tried to escape 2-3 times with IV stand in tow, along with a catheter still in place. I was almost 5150'd. So scary. I stayed an extra 2 nights in the hospital. My legs were very swollen and enlarged.
It didn't help that my surgeon had had a full update with me post-op that I cldn't recall and he also cldnt tell that I had delerium.
I wish the staff had known to see me as a high risk for problems post-op bcuz they had known I was terrified of having to have any more surgeries (multiples in the past) or pelvic blocks due to past bad reactions. Still, I went into surgery in peace, totally surrendered and positive.
The one thing was no sleep, the surgery was written up incorrectly, and i had to "edit" the surgery contract, then the anesthesiologist the day before told me to just take .05mg of Lorazepam the night before surgery, along with the Scopolamine patch ao I wldnt be nauseus when I woke up from the anesthesia, but I felt woozy by the time I went into surgery. It didn't feel good to me.
Anyway, yes, I got more drugs during surgery, and even anti-psychotics AFTER surgery. It was terrible! When i became lucid and found out what they were giving me I stopped taking them. The nurse had left my room assuming i was going to take all she put in front of me. So when the next nurse finds pills sitting there not taken, she told the 1st nurse and she got upset with me. I ended up getting a UTI and an injury from trying to leave and get dressed while still attached to the catheter and no meds were given to me from the UTI until 10 days later at my insistence.
It's a crazy world you live in doc, but I'm so glad you're helping to inform both patients and staff alike.
Can you please raise the unfortunate added stress of coming home from hospital after all of that to an empty house. Being alone is not good for recovery, not even to my recently deceased dog.
P.S. My next procedure colonoscopy and endoscopy they did under propofol at my insistence. Still I gagged when the endoscope was as far as my stomach. I was thinking they might find a twist of some kind that felt like it happened post-op the melanoma surgery bcuz i was SO DRY after all of the drugs that when i was eating some kind of muscle felt like it churned in place, after a hard swallow, very painfully!!! The doc after the gagging decided to stop the endoscopy so I STILL don't know if there's a twist in my digestive tract somewhere. 🥴 So frustrating.
Do you by any chance know of a less invasive test that might detect if there is any hindrance to digesting me food, and taking in water, for that matter?
There's supposed to be a pill-sized/shaped camera you can swallow that takes pictures as it travels through.
@@Oak_Hollow Nope. That would be great, but instead they just gave me an esophogram with the barium, etc. Next a CT scan. 🙄
Oh, man, I just realized you must have read some/most/all of the longest post ever! I think it was an attempt to purge some/all of the trauma held in my body from that last surgery. Thank you for caring enough to comment. You're a kind person. Be well! :)
I had a swallow study done where they use some kind of ultrsound or something to watch the food go down. That wasnt bad, and the person giving the test counselled me on how to take pills and eat in a way to prevent choking and gagging.
@@AliciaGuitar thanks for your input. I wish I cld get that done or swallowing the little camera that someone else mentioned. Be well!
Going under in 10 days, been watching your videos, have been/Will use your valuable advice. Bless you!
I have a slight disagreement with this case with the sickle cell. The reason the patient didn't mention the back pain is because the chest pain has NEVER been addressed. If they brought attention to the back pain, the chest pain would be dismissed again as it had been for months.
The reason I understand this is because I have Occipital Neuralgia and spontaneous CSF leaks. I have literally ignored those TERRIBLE pains that almost make me want to pass out and tell the doctor about my heart palpitations instead. Why? Because I feel like they won't care about the headaches and will dismiss them and the heart flutters/palpitations have never been fully addressed. If I add the headaches on top of that they doctor can't handle it. It's "too much for THEM" so unfortunately patients like us (I have neurosarcoidosis, Hypermobility Spectrum Disorder, and recent POTS-which after 20yrs explain the heart palpitations) we have to almost baby the doctors and pick and choose ONE "complaint" no matter how bad the others are. I guarantee you this patient mentioned back pain before, and it was dismissed. So they chose to just focus on the chest pain.
They aren't fixated on one pain. They are AFRAID to mention anything else because doctors gaslight and dismiss more than one thing.
Underrated comment. It's way to easy to blame the patient for the failures of the medical professionals. At least they don't have to feel bad about the poor job they're sometimes doing.
I’m very old and so that’s the reason I had so little recovery pain - I expected to be a little sore after my surgeries, but be perfectly fine now that my problem was fixed. It has always worked for me. 😊
How about incorporating meditation music or hypnotic suggestions into pre operative procedures. It would relax people and possibly prevent the negative dialog in a patients psyche. Even after a procedure how lovely it would be a awaken to pleasant sounds rather then the beeps and other noise in the recovery room. You might still wake up with pain but it would seem more tolerable in a relaxed atmosphere.
My experience, if patients are well informed in an empathic way, they don't suffer so much from trauma and pain.
Often enough it isn't that way and adding up to other painful,traumatic experiences I can understand patients thinking more black than white.
Thank you, Doc, by informing all of us in such an appreciative way.
It is V E R Y Difficult to Forget a traumatic surgical/ post op experience where you feel that your anesthetized body was treated like a piece of Meat and you wake up screaming in pain.....feeling BETRAYED and ashamed😢😢FORMER RN
Traumatized at Doctors Hospital Miami
Always enlightening! Thank you sir!
Hi Doctor , After going through a Kypoplasty procedure , a massive blood clot developed in my chest due to the cement traveling into my chest. This causes extreme pain in my chest and I have experienced victimization. It's horrible and dangerous to be in that position. The medical term for what I have is , Pulmonary Cement Embolism. Thank you for the education in this topic.
Geez, every time I've come outta surgery I always feel like I've had the best sleep since I got sick. So I always feel better but unfortunately I've had issues with this type of thing when they have changed my meds for pain bc that's all I could think about was how bad I was going to hurt. Finally I found a Doctor who works with me instead of just doing thing to me. We talk about options and I'm encouraged to talk about my fears and my expectations. What a difference it makes. I now have quality of life that I hadn't had for years after being diagnosed. So I want to say a big heartfelt Thank You to those Doctors out there helping people and making a real difference in their lives. ❤❤❤
I love your channel very very informative. Thank you!
Thankyou for trying to do well what you do
For your consideration with input: I have been told by doctors in the past, the redheads require more anesthesia. I am a "ginger" and have found this to be the case. When I had surgery in the 1980's being told this, my recovery was a smooth as I could hope for. I was also told that redheads bleed more easily. I am not sure where this stand now, but can say that I bruise very easily. My last major surgery with repair of subluxation to my ankle. My surgery team did not address concerns regarding my being a redhead and I was intense pain. I was prescribed Vicodin for pain that was essentially useless. Thankfully, my rheumatologist was monitoring the Coumadin level for me post-op and saw my pain and prescribed OxyContin and Percocet for breakthrough pain. My pain continued beyond 3 weeks with PT starting. I started to gradually started to cut back on dosing once the intense post surgical pain was abating, with a healthy fear of addiction/tolerance and it worked well. Mind you, that surgery was circa 2007. Today, I fear I would be left in pain. Does being in my mid 60's lessen "ginger" concerns or change them in any way? Int the 1980's, doctors concerned with bleeding potential. FF to circa 2007 and I am being given Coumadin, that was never regulated to "normal" values, with always being too "thin."
What a smart doc respect
Here is what helped me through cervical spine surgery:
Before the surgery, I told my closest friends the time and date of the surgery. I asked them to sit down and imagine we were together on that day doing something we both enjoyed.
I did the same. I imagined that I was going to be at a party instead of in surgery. It went really well.
Also - I get it that doctors are people. But I have worked in tech for 30 years and we are regularly drilled on active listening skills. We listen to the client, then paraphrase back what we believe the problem is. Then we go back to listening to the client to see if we are on the right track so we get a first time fix. Maybe some doctors need to do that?
Well thank you, I'm about a week away from a procedure. The last time I had the procedure there was an issue. Now when I talk to the staff I will "not victimize myself", but I will ask them if they can help to prevent a recurrence.
From Massachusetts,I’m waiting for knee surgery to repair a torn ligament,I love watching and listening to you.after listening to you Dr.Kaveh; bring it on 😂😂😂❤
You’re the best Dr Kaveh
They took out my sigmoid Colen and the postoperative nurse I assume wouldn't give me enough pain meds and made me tell her it wasn't so bad. So when I asked her for more pain meds she told me I just told her I wasn't in as much pain as I thought so she wouldn't give me enough pain meds. Oh and Anastasia affects my eye sight I couldn't see her. Yet!
I always tell them when I've had a bad experience. And I've had Drs wonderful Drs and nurses get me thru bad experiences. I've had them help so much I've become friends with them.
I had my gallbladder taken out lat Thursday and an Endometrial Ablation the Friday before. In the past I've had wisdom teeth out, a dnc a month after giving birth and 2 scopes on my stomach decades ago. The gallbladder was by far the worst coming to afterwards. I woke up alone, separated frome everyone and not hooked up to anything plus dressed. I had to yell fir help 3 times. The nurse told me I was trying to get up and get dressed and she had to move me as I was trying to stop her from stopping me. Said I was "fighting her". I've never done that ever. I don't remember any of that. I've had extreme anxiety since and paic attacks when I go to bed now. Very emotional today too. I have anxiety/panic disorder plus depression and this added to it and I don't remember much which is unusual for me. From Canada. Anesthesiologist was the same person for both surgeries and he was awesome.
I'm also a new subscriber as of today. I've been watching you since last week and you've been very helpful even though you're south of the boarder. Thank you. 🙂
You describe a really terrifying situation. You have maintained a balanced Outlook
for you. In DOCTOR/NURSE/PATIENT relationships I believe that patients owe the medical staff respect and honesty. Similarly medical staff. Owe the patient honesty and respect and maybe even a touch of compassion
I thank God for EXCELLENT P.T. (Physical Therapists)!!!!❤
I had a Dr come in my pre op room 5 minutes before surgery and chew me out. I had told his Intern I was upset because he wouldn’t answer a question about what he was going to do in surgery. My husband and I were in shock! He told me that he didn’t have to do my surgery. Going in the surgery upset was very traumatic. He also already knew I had two episodes of emergence delirium previously. He was so arrogant. I am a Nurse and could not believe it! After surgery I finally was able to get him listen to my concerns and he responded kindly and caring towards me. He really made me distrust him. I am proceeding and changing Dr’ s for a second opinion .
Said individual struggled with dissociative episodes, as do many, if not most, of your patients. They need treatment. This is not something that can be resolved with mindfulness. Dissociation is much more difficult. They release too many endorphins, and that is the cause of their dissociative episodes. When they work with you, their endorphins are further enhanced, exacerbating their symptoms. Most will not know much about or be interested in this, but EMDR can help treat the dissociation underlying PTSD and C-PTSD. These patients are exhibiting reenactment traumas (repetition compulsions) with you and the rest of the team. This should help.
I know what you mean, I'm severely dissociative on a permanent basis and it has ruined my life. Meditation, mindfulness, etc. they all just take me further into the la-la-land of unreality, where nothing exists, me the least. I haven't felt like really existing, me or this world, for decades. It's all a blurry, hazy dream to me only, and I'm severely passive, sluggish, lacking initiative capacity or motivation; because nothing is real. I have no money for therapy, EMDR, etc. so I just have to live like this, as I've done for the past couple of decades. Ordinary daily tasks are so difficult, I can basically get nothing done, I am wasting my life away. But yeah, just wanted to comment that I agree that certain things that may suit most, do not suit all.
Mostly retired old former ER nurse here: I used to hear "It takes a nurse to save your life."
Thank you for these wonderfully educational videos. You deliver everything with such compassion.
I am glad that I learned to advocate for myself, after having two minor surgeries that caused problems. I had to have back surgery, and I told the doctor and anesthesiologist that I always woke up very nauseous from whatever was used to put me to sleep. I learned that was common, and there was something they could give me to keep that from happening. I was so happy that after that, I did not have any nausea problems. The other thing I told the anesthesiologist is that in my experience, I take a really long time to wake up. It was good that I told him. Even after I was moved from recovery to my room ( which I have no memory of), I apparently slept for a long time. The friend who was there to support me told me she didn't think I was ever going to wake up. The only thing I am upset about, is learning they always put in a catheter. My friend lied to me about that and I didn't learn the truth until I subscribed to your channel. I have learned a lot already, so thank you very much for doing these videos! 🙏
Same here, need anti-nausea meds, and they couldn't wake me up. I finally woke up in a room, vitals were unstable for days, took 5 days before I could go home.
Sometimes when a patient knows what has happened in the past they are expecting to try to avoid that pain.
I've had 8 operations before but I just got told by my consultant today that I need an entire right hip replacement and I'm already scared even though it may be a few months away.
By the way, I agree with this video as it has had a lot of press with sickle cell.
Nothing to worry about,get a good surgeon and do I have had three. I put myself in Gods hands and peacefully go under and then wake up. Without His care and peace it would be scary…
In Jan of 2017 I had a THA on my left hip. I was 62 and a full time over the road truck driver. Surgery went great, walked out of the hospital the next morning, performed my PT and took a much needed vacation of hiking and camping around AZ. Had a Lumbar fusion in Feb of 2020 and 3 months later went back to work but the pandemic had made people angry so June of 2021 I retired. I immediately joined a gold prospecting club, got a new metal detector, applied for a new passport and planned on having fun. That September I had a sharp pain in my groin...by October I couldn't walk anymore. That was in 2021. Last week I had surgeries #7 & #8, had my 7th dislocation, my 6th ambulance ride, now have VRE and spent a week and a half under sedation in ICU. I was passed over by 2 specialists in the beginning and handed to the new guy. Dr ordered a Zimmer Biomet custom built acetabulum for me and subsequently had 4 dislocations in less than 2 months. Then he said the Ringloc constrained liner will stop the dislocations, all it did was stop the closed reductions. Now I need surgery every time I dislocate. Last February he swirched out the femoral component which was supposedly still in perfect condition and fractured my femur in the process. Ok, I knew there were complications but if I knew this was going to happen I would have disappeared off the face of the earth. He just ignores how much my right side has been trashed from over compensating. Even the ER dr pleaded with me to find a physiatrist? He told me there are actually still drs out there who look at the whole picture, not just slap a band-aid on and wait till something else goes wrong. Ask a lot of questions before your surgery. I have ALWAYS been strong and healthy but I'm just a Medicare cash cow now. Oh, my surgeon just said my next option is the Girdlestone procedure where they just lop off your hip. Best of luck to you.
🚨🚨🚨🚨Dr. Kaveh, if you've not yet already, will you >> please
I always like your videos as they are so informational. I usually go under being in a very positive mood. Never had an issue with anesthesia. However, the last couple of times I have woken up, I immediately break down crying demanding to have my 11 y/o daughter being called on the phone or have my bf be rushed in, ect. I'm not sure why this is becoming a pattern now. ??
Sickle cell crisis is extremely painful
I've had many surgeries. When they give me Versed, I cry and throw up afterward wards. Once I found that out about that drug, I ask them not to give me that, I woke up fine.
When a doctor demands that the patient speak of only. one "Problem" or symptom, they are demanding that the patient triage their own health and many people aren't good at it.
By the way I have a high tolerance to pain because of what I’ve gone through, I very rarely take pain medication even after my cesarean section
They how long did it take to heal? I have a 16inx12cm dermoid cyst they have to take out of me. Im dreading this.
I missed you live, but this was so good!!! Thanks for doing this because people need to know about this! I would like to ask again if you can do a video when you have time regarding the neglect of patients when they go into the ER or have to be admitted after surgeries or medical conditions. I would like to know, if you are alone, how can you protect yourself and get proper care and not be ignored, especially when you can't show facial expressions when you are in pain? When you have time, PLEASE with sugar on top!!!😁😇💖💖💖💖💖💖💖💖
I had a lower back operation and woke up pretty good, I didn't need any pain meds but another lady had the same operation, same surgeon same day I think she was before me on the op table and she was taking full on pain meds from the Narc Nurse. The nurses were scratching their heads as to why we were both so different.
What an incredible observation. There are so many variables that go into our self-identity and perception of pain. And sometimes it manifests itself the way that you have observed
I think some ppl have a higher pain tolerance then others
thank you talking about this
You are welcome. Do you have any experience with this?
@@MedicalSecrets no but I studying
Ok and maybe 5 years ago I went to a clinic had a new doctor she never even looked at me. Just continued to look at her clip board. It was so rude. I was speechless meaning I felt like I didn't matter I was just another number. Yes I left a negative review and I've never had her again although she listed as my physician. I now see her nurse..
I have had, several times in the last few years, a situation I call a PAIN STORM. I had never heard the term before but it seemed to fit the situation. So, of course I googled Pain Storm and amazingly there were several people having the same situation that called it the same thing. I was seeing a Doctor that specialized in pain relief. This normally consisted of cortisone injections for bursitis etc. I tried to tell him about my Pain Storms thinking he would be the one to explain it to me and maybe offer some relief. I was trying to explain it too him and it was obvious he had never heard of it and he started to leave the room while I was still trying to explain it to him. I asked him if he could refer me to another Doctor that might listen to me. He said “I would if you were making any sense” and he left the room, leaving me stunned.
If you are familiar with this situation I would love to hear any information you have about it. If you aren’t familiar with it please let me know and I will explain it to you in more detail because my arthritic fingers don’t type as well as I would like.
This is the superiority complex that drs have coming out.
@@MC-fw5vt According to the National Institute of Mental Health, physicians are significantly more likely to have suicidal thoughts or attempt suicide (4.9%) than the average U.S. adult (0.5%).
This is such an awesome channel! Thank you so much for all you do!
Sounds like the patient and family fell into some sort of zealous complacency, and tried to push you to treat the person's recurring chest pain, and never took a self-inventory of symptoms beforehand. Being able to recognize this from having doctors and pharmaceutical workers in my family is something I'm happy to be able to do.
Either way, it's his/her own fault for not recognizing this or taking the time to understand what it means. I know if I had sickle cell or thalassemia, I'd be annoyingly persistent in making sure my doctor knew everything that was going on in exceedingly great detail, then I'd be ragging on the doctor for something, or trying to get him/her to laugh.
A good friend was so focused on an old back injury being the issue of their chest pain that their aorta almost exploded cause of insistence of looking at spine related things for months.
Good evening Doc Kaveh.
I have Neuroendocrine tumor in my stomach & Atrophic Gastritis, I am 55 and my whole life I have been sick, always having megaloblastic anemia, pernicious anemia, ridiculous levels of B12 and low iron levels, nauseas daily, and no one was able to find anything.
My doctors after five years of invasive exams, tomography, appointments and my symptoms they closed my case, there's not much to do about it, since January 2023 I have three spot of Neuroendocrine lesions, no chemo will work in the future I might lose my stomach, and sadly I need more anesthetics than ppl I know.
My roots are from Europe and Eastern Europe, after all my surgeries I wake up regretting my surgery.
But i refuse any surgeries with only being half conscious, nope I prefer not see ormlisten to anything.
Thank you for your work, on bringing light to us🌷
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I am wishing you the best in any future medical procedures 🙏
I have been traumatized from my surgery 2 years ago where they overdosed me and they had to give me Narcan to wake me up. I have been depressed. I spent 6 days in the hospital and 5 in ICU and then had extreme pain when they sent me home.
This is really interesting. I’ve had several surgeries, unfortunately, and also been put to sleep just for outpatient procedures. Why is it that I, actually, look forward to it! I know that I’ll smell that sweet smell, sleep, then wake up with the procedure or surgery already over! I’m either going to be in pain or not. Depends in what it was. But, I always look forward to the anesthesia because after it, I can concentrate on healing! Is that weird???
I think I need to move my procedure forward, until I found a way to negotiate all steps with surgeon for how we are going to handle my phobia. I've been ruminating for over a month and it is taking a toll on me.. nothing goof is going to come of it if I go into surgery now in this mental state. I also know from experience that my behaviour/angst may negatively influence the performance of medical personnel... Even in the bank, (worked for one in my youth) we would most often make mistakes on the customers who put up the worst scenes.. it is as if part of the brain is dealing with that while also trying to do the job at hand, leading to errors.
I am a target. I am not a vulnerable narcissist.
I don’t understand why you say it is self-victimization when it is simply being distracted with the most painful symptom. He was focused on chest pain so didn’t mention or think about his back pain which he may have also assumed it was irrelevant …something caulked up to a pulled muscle or back pain that comes with age or certain professions with repetitive use. How in the world is that self victimization?!?!?!? I can see how catastrophic thinking could possibly cause a person to feel more pain except i know too that i do that and when it doesn’t come true i am quite happy so certainly it does not cause for sure any outcome. Likewise having optimism also doesn’t guarantee an outcome.
Wow this is really helping me relax before my my pelvic repair and hysterectomy this morning 🤓 I woke up before the alarm so did some gentle stretching yoga and deep breathing. I am totally chill and know I will have a healthy recovery. Thank you for addressing this topic. It will help me to not expect emergent delirium that I had in the past due to being manic going into that surgery. It happened but it's in the past and I've been healthy since and have not had a manic episode in the past 4 years. I've lost 80lbs while people were gaining the Covid 15. I got this 😁 ❤
I hope your surgery was a big success and your recovery is speedy. 😊
I had a GP that actually fell asleep in the room. When I woke him he was irate.
I understand what you are saying but it is also true that doctors have minimized and dismissed patient's pain to the point where they stop speaking on their pain, suffering unnecessarily.
I’m going to have a urethroplasty in a couple of weeks. To get rid of a couple of strictures from a previous procedure. It will be so nice to be able to empty my bladder better after the surgery. 👍 I will have a Foley for 2 to 3 weeks. The surgeon says once I healed I maybe never have to see him again I sure I will have follow ups to make sure everything is on track!
This maybe why I come out of surgery well, because I always think about the good sleep I get..
I always learn a lot from you! You inspire me so much! It takes a special person and skill to be a anesthesiologist or CRNA and you’re one of them! 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 a anesthesiologist physician I’m 33 from Memphis! Do your feet smell after work? lol 😂! I can’t drive because of my cerebral palsy, so I’m gonna get my all electric car and let other people drive it for me like a celebrity!
Thank you for making these educational videos. I have had many surgeries and am about to have another. But could you shorten the time it takes to give this info?
Could you discuss the difference in likelihood of sickle cell anemia of completely African descent vs a mixture of African descent and other genographical descendents?
I am curious if as an anesthesiologist,part of surgical team, do you choose which surgeons you will work for/with?
I appreciate this message. I am working on this right now. I totally agree with you about black and white thinking and about how my own emotions and attitudes can result in poor medical outcomes. I've had doctors blow me off a lot over the last 50 decades and some who definitely broke my trust. One did a laparoscopy and promised to wake me up and discuss options before proceeding with a laparotomy (I even wrote it into the consent forms). He went straight into the major surgery without talking to me. Lately, I found a doctor who is not perfect but who listens to me. He sent me to a pain management clinic who listens to me and works with me. Together, we've had good results and my pain levels are lower. That clinic does ketamine infusions, so I may ask for that.
Thanks for talking about these issues and encouraging patients to let go of victimization and envision a better future.
l had this happen to me on a back spine surgery,and ive never been the same i have anastetic amenesia,it is awfull to live like this ,
I also have to add that I’ve been through 2 brain aneurysms AND, I’ve broken my kneecap three times in 3 months!!
I've never taken any medications other than advil for pain. And even then, I can tolerate only low doses. Two tablets will trigger brain zapps and severe sharp headaches. You know your body, and what it can take.
I always feel better after surgery. Mainly because it is over. But I do have a concern that I would like you to talk about. I have mental disorders. And it leads to doctors blowing what I say off.
Thank you for sharing your knowledge. Hoping you can answer a question. I am having surgery for a bulging L4-L5 disc. I am very hard to find a vein for the IV. I am more worried about the IV than I am the actual surgery. The last time I needed an IV the anesthesiologist had to do it once I was out because 2 nurses and 4 pokes couldn't find a good vein. Is that normal for the anesthesiologist to do that? Do you ever have to get the IV started?
I have fibromyalgia and my chest bone pain is awful
I trained as a hypnotherapist and so when I work with clients, we may discuss what their problem is, but we will certainly ask how do they want to becor feel? Whenever I go into surgery I am very grateful to the anesthesiologist and I spread white light to all that’s there and I asked them to always use good language. I think it makes a difference. Thank you for a great program!
I can't lie flat on my back (especially on a firm surface) without being in pain. I need something under my knees to relieve the pressure. Being in that position not only produces pain, but anxiety. Is it ok to ask for my knees to be propped up until I am under and then they can position me any way they like?
Thanks for all you do for your patients ❤
What about during surgery You hear the doctors talking with each other and they are complaining about the Thora Vent they used for a collapsed lung and it failed five days later so a whole second surgery with a new simple pigtail tube, the doctors had to watch a video how to install Thora vent, so I began to understand they used an experimental drain Thora Vent instead of a simple pigtail catheter. Now please understand I loved the cooperation of the emergency team that took care of me it was all women cooperating quietly the instructor giving gentle directions and the student doctor doing the work. I was very polite and a bit nervous fearful I was dying but surrendered to the caring team. So I wound up thinking the Hospital UCSF experimented with the Thora Vent for their research, and the doctors and especially the nurses were like "I wouldn't want to go through this twice. I'm 72 it was a hard time I'm glad I feel better more or less.
I am always so grateful when then put me under. I don't think about the surgery until after it's done. There's been a few times when I thought what the heck was I thinking doing this surgery! I do think of it as a nice nap..
Neglect from doctors is rampant in Australia. You go in for a problem, you pay them astronomical fees only to have them tell you that your problem only exists in your imagination and that you really have psychological problems. This is even done contrary to blood/medical tests and you showing overtly obvious symptoms. The only time you’re fixed is when your about to die and end up in emergency when as you say, often it’s too late and you’ll walk away with lifelong damage. This is even in private paying health system where here you pay compulsory government fees, then private fees, and then gap fees all for the same problem that was never fixed because your doctor could not be bothered.