My spinal block for my cesarean was not fun. My nerve got jazzed, which feels like being electrocuted. Toward the end of the surgery, I started to feel it, and even the fentanyl they gave me did nothing other than make me want to scratch my skin off. My cesarean was 1000% harder than my unmedicated birth. Never tell a woman who got a cesarean that she “took the easy way out!”
I totally agree. My mom told me I took the easy way out. A similar thing happened to me, except that I had an epidural and a spinal, and it wore off only on my entire right side. I felt hot searing knives squeezing my insides after my son was taken out of my body. The anesthesiologist didn't believe me for what felt like forever. He finally maxed me out on drugs so I didn't feel it anymore, but when they decided to leave the epidural in for 24 hours, it didn't work on my entire right side again. I wished they had just taken the entire thing out so both sides felt the same instead of the mind fuck of that pain. But my mother told me I took the easy way out.
If patients are not retaining important information because they’re upset or their mind is racing, and u know they aren’t receiving the information that you need them to know in order to help them… I would encourage them to record the entire visit, every visit, and listen to it when they are calm and alone. Then they can listen to it as many times as they want, and take notes of any questions they may have for the next time they see you
@mustangnawt1 Right on!! Did you know we also have a right to tape what’s going on during any kind of surgical procedure including any requiring general anesthesia (GA). It’s actually quite horrible how some doctors talk & what they & staff say & do while we’re there on the table completely unaware. I’ll give you an example. I was the labor doula (support+ person) for a client decades ago who was very private & undergoing an (unnecessary, imo) c-section. As soon as they raised the drape in front of her while having a nerve block, I witnessed at least 8 surgical students march quietly into the OR w/her legs & feet in stirrups & her completely naked. If that wasn’t bad enough, the two doctors were talking about the awesome new device they were thrilled (not hyperbole) to be using-a uterine/pelvic spreader to spread her uterus wide open. It was similar to a device they use for open heart surgeries. She could also, very unfortunately, see what they were doing in the huge stainless steel surrounds of three major lamps above them. She couldn’t see the students at the end of the room (thankfully) watching her in all her “glory.” I’ll NEVER tell her they did that; she’d be devastated & severely traumatized for sure. She wasn’t under GA but was out of it enough to not be able to talk or really even “get” what the doctors were saying; she definitely didn’t remember any of it bc of the drugs mixed in with the nerve blocking agents. We’d worked out a system in advance w/the anesthesiologist for her to nod to me slightly when she was getting nauseated & needed more anesthesia (this was her 2nd c-section & she’d experienced terrible nausea the 1st time, but she had no doula w/her at that time). She nodded several times, I’d let the anesthesiologist know, & he’d give her more meds primarily for pain & nausea. So that worked. However, it was as if she knew on some level all that had happened; she was extremely down even when cuddling her baby back in her room; she didn’t smile which was 100% unlike her. Fortunately she didn’t get post-partum depression, it’s own type of depression not the same as Major Depression. Anyway, protect yourself especially in a teaching hospital or when under GA. Hello! I’m speaking to all of you who want your privacy. Having the surgery taped keeps doctors & other staff on their best behavior. Plus if something goes wrong (malpractice), you have proof. That said, this doctor seems well-intentioned; hope he is & that he remains so.
So glad that you mentioned MCAD & POTS. My latest suergery in 2020 caused MCAD flare & POTS to come out of remission. Then although I was literally screaming in pain, I was sent home with inadequate pain management. I will NEVER have surgery again. If I die, I'll just die. The 5 months of agony in a level 10 pain shortened my life & now I have Medical PTSD. I nearly won't go to a doctor at all. I'm a retired RN & so disappointed at what has happened to medical care in my area. I hope there is a turn-around soon. I am not the only one who has "sworn off" of medical care. We need more Docs like you!
The opioid hysteria is REAL. So Frigging Pathetic that the government involvement in medicine has taken our whole country down to Exactly the treatment that YOU received. It beyond terrifying to think about needing surgery or being in an accident and truly needing rx pain relief to be available. The medical profession has taken a HUGE and Terrible step Backwards! The doctors themselves are scared to death to prescribe meds for their chronic pain patients. Or even in your case to prescribe for Acute Pain!!#GodHelpUs.😦
I’ve had so many problems that now I feel the same way you do about it !!! Never again … because they don’t treat us right, they don’t treat our pain, they let us suffer in pain… I think what makes me the maddest is we don’t have to suffer in pain. They have things that can help us, but they won’t do it. I was ran over by a car when I was younger so I had a lot of issues and dealt with a lot of 💩 Because of some stupid war on drugs, that the government started !!!
No way will I have a nerve block ever again. As a result of oral surgery, I now have dental PTSD. I was sent home, alone, driving, in extreme pain, missed two weeks of work, got fired for excessive absence. I was taken via ambulance twice to ER and to two pain experts, all of whom refused medication. I resorted to illegal narcotics. It took two months to wean myself off. Either put me out with general anesthetic or forget it. I’ll go toothless first. I’m not a person who is prone to substance abuse. Please, do NOT explain to me first. Now, I’m primed for a nerve block to fail.
@@gloriamaryhaywood2217 I wrote a term paper way back when I was about 37 about how the health care system is in charge of our health and calls the shots. Only rich people only people with corporate jobs will get the care that they need. Everybody else will be controlled by what the insurance decides what type of care you can get. I know some doctors hate the system and will lie for me. It's sad that some of the good doctors have to manipulate the system.
Nerve blocks work fine until complications occur. I had an epidural anesthetic that punctured the dura covering on my spinal cord resulting in an iatrogenic chronic pain syndrome known as Adhesive Arachnoiditis. There are thousands of these patients in the US alone that now live with a progressive pain condition. Be informed always!!
I have fairly severe scoliosis, before a C-section I went in with all my MRI and x-rays to see the anesthesiologist to plan for my epidural In 1998, when I had my youngest son, the day of, that horrible woman stuck me 23 times with the epidural needle, it sent a horrible and sharp pain down my hip and left leg so bad my mother thought I was dying and she was down the hall in a waiting room! I was screaming and screaming and begging for her to stop and screaming just knock me out! I opted to be awake for the birth of my son but her and three nurses were holding me down. What should have been a beautiful day caused irreversible nerve damage, there was blood all over the bed, it was a nightmare! When my dogs are finally came and I thought he was going to hit the lady! They finally knocked me out and my son was born, but what a freaking nightmare! It still causes me problems till this day!! I really wish I would have sued her, but with a new baby and working full-time I just never could seem to get around to it!
I live with chronic intractable pain from arachnoiditis in my lumbar spine after surgery for ruptured discs caused a tear in the dura. I had a great doctor who gave me a high enough dose of narcotics that I was able to live a fairly normal life 15 years ago. Then the DEA got involved and restricted narcotic dosing by doctors since drug abusers were buying pain killers illegally and dying. Because of this, I am now bed bound 90% of the time from the reduction of my narcotics dose and my pain level never goes below an 8 on a 1 to 10 scale, so I feel your pain, literally!
I’m in a similar struggle. Last year I went to pain management because I had a total of 8 bulging (not ruptured) discs, and they gave me an epidural in my lumbar. After the epidural, my pain got worse after the fentanyl wore off. At the 4 week mark I was already bed bound and had to drop out of school. They gave me Celebrex as if the decade of chronic use of NSAIDS that I would cycle through wasn’t enough of a warning. At about 6 weeks, one of the discs ruptured and I was on the floor kicking the wall to try to wake up my foot and leg. Became too nauseous to eat or take meds, and lost use of that leg. About a week later I went to my neurosurgeon consult and they told me to go to the ER. There I got told I basically had Cauda Equina syndrome and severe malnutrition, which I didn’t remember. I was all hazy due to the adderall withdrawal and finally being on some pain killers that actually worked. I didn’t want surgery because it’s scary. A few months later I relented because I was falling every week and my partner couldn’t take care of me. I had been hospitalized prior due to mental health reasons. I’m about 6 months post op, and while I’m still in excruciating pain, at least I can feel my feet, move that leg and not a fall risk.
As a long term chronic pain warrior, I'd never heard of this condition. I have stubborn treatment resistance pain. I recently took part in ketamine therapy for resistant complex PTSD. The relief of ANY ISSUE leaves your body, amazing things took place in my first treatment alone. I was thoroughly amazed at results on day one, beyond ANY expectations.Dr K mentions one benefit, 100% OFF MY RADAR. Pleasant discoveries if you embark. Listen to him talk of the benefits of ketamine IV infusions. I used Ketamist® breathing treatments over a two hour session. 15-30 min administered meds and 2 hours of total relaxation! Not cheap, but worth your health if you can manage the $$.
I had a nerve block for shoulder surgery. It was shocking how well it worked. It was a huge help to recover from the surgery. It lasted 3.5 days and I was grateful to the Anesthesiologist. She really did a great job. I don't recall having sedation before the nerve block but it wasn't that bad. For someone like myself who has trouble taking pain meds, that nerve block was a blessing.
I, too had shoulder surgery… my block wore off absolutely all of the sudden, as if a switch was flipped at 2am in the morning ..it was horrendous… I was so completely comfortable, just bulky and awkward, afterward … ( rotator cuff) … that I went to bed regular time .. naively… BOOM 2 AM !! Bolt upright, horrific pain .. stupid of me to not foresee it happening… bury… what are ya gonna do?? They barely give you any pain meds anymore.. I wasn’t anxious to use one ‘in case my block wore off” …but I wish I had , because I’m sure it had to be worse to have that sudden gawd-awful assault!!
@@jomarsh6449 Sorry you had such a bad experience. I'm allergic to most pain meds so the block was a huge help for me. I also got a stem cell injection into the shoulder as they were completing the surgery so I had my arm out of the sling in 10 days. It was amazing that I had full range of motion at 14 days and was completely healed at 3.5 months. The stem cells made a huge difference for me.
I had a nerve block for shoulder replacement surgery 15 years ago. I wasn’t informed of getting a nerve block. Around 2 am, a nurse came in to check on me because my nerve block should be wearing off anytime soon. At that point, no pain, just discomfort. The nurse decided to give me some pain medication, and then all of a sudden, the nerve block went away. It was the very worst pain I’ve ever had, and I’ve 25+ surgeries, and was very glad the nurse was there. She did make sure I was able to become more comfortable. I later had a nerve bock on both of my knee replacement surgeries, and it was much better then, (5 years later)no drastic cut off in the relief with excruciating pain. I was informed I was going to get a nerve block, and it made me anxious. They explained how it had improved. They were correct.
I also had nerve blocks for bilateral knee replacements. Surgeon told me that my honeymoon would be over when they wore off the next day. I left the hospital and haven't taken an opioid since. It's been a year and a half.
As a pain specialist, I LOVE this channel!! Thank you for how you teach including the concept of total pain, both physical and emotional aspects of pain.
Im a pain specialists of the other side & u r so correct. Some Drs r book smart but dont have a good bedside manner or have this much compassion & empathy. Spks in layman terms so all can understand. I'm sure Dr's get burned out hearing nothing but complains all day & then there r the liars (dope seekers). Think all med students should see the movie THE DOCTOR!💜🧑🦽💜
Wow, you are doing a huge service for people! It's so heartening to see a doctor spend significant time just trying to help people get through medical experiences. I've learned a lot from you! Thank you so very much for everything you are doing!❤
I am a nurse that broke my wrist in April AND needed revision of same area in November. Each time I told my doctor I DID NOT want general anesthesia but instead a nerve block. It worked great. Conscious sedation / nerve block. My thoughts was why EFFECT my WHOLE body when I just needed a small area to control. For me this worked. After each surgery I DIDN’T even need narcotics! If I ached I took Advil with very good relief. Thank you for your insights and information. I totally agree with you. People have so much control of the direction of their health than they realize. Advocate, advocate, advocate.
@louisel.sinniger2057 I'm glad your pain didn't need a pain pill good for you. Keep on advocating for pain. Until one day hopefully you or God forbid a loved one needs a pill from a car wreck or broken neck! If your child broke their femur bone you would advocate for no pain pills for them? That's sick!😢
@@katygirl9221 no, on the contrary. I am NOT against pain meds. If a person has an injury or injuries then certainly pain meds should be available. Even across the ages.
@@gloriamaryhaywood2217 Yep, everyone is different. Same with opioids. MMEs are inaccurate. Fentanyl doesn't work at all for some people - like myself. It was a joke.
I'll never forget my nerve block because the doctors failed to tell me that I could have gotten medication to relax me. Maybe because I was always telling them I hate drugs and don't want them if I don't need them. I was already on quite a few medications for my c.r.p.s. I laid on my stomach and was perched up on my forearms when all of a sudden, the nurse came over and gently grabbed my hands and said, ok, just relax. Alarms were going off inside my head because I realized this might actually be painful. Why else would the nurse tell me to squeeze her hands if I need too. And then another part of me said, "Don't be a wussy. It'll be done and over with in a few minutes. So I then felt a needle poking me in my upper thigh, and then they apparently found the spot and put the needle in, which hurt very little. HOWEVER, the next thing I knew, there were words coming out of my mouth even I never heard before. I raised my buttocks up faster than the speed of light! And the doctor gently pushes my buttocks down, saying it's OK, just relax. I thought it was over. There was more to inject, and I forced myself to keep my buttocks down, but once again, I started spitting off with my teeth clenched together, saying words I never heard of. I was actually combining swear words with other words and made up my own pain language! I looked down, and poor nurses' hands looked purple from me, squeezing so tightly. And then the nurse says, see, that wasn't that bad, was it? I had to stay in a bed for 30 minutes before I could leave. The nurse checked in on me asking how my leg felt. I was honest and told her I was in more pain then what I came in with. I left but struggled to get to the car. The pain continued to get more intense. I just thought that was normal. We got home and as I took my first step, that's when the pain was way past a 10! I couldn't get up my darn stairs. I live in a 2 family home. So I just sat on the stair backwards, lifted my buttocks up to the next stair and so on. Took 30 minutes! Crawled in bed and never left that bed for 5 days. That nerve block crippled me. I was so uneducated in the medical industry so I never knew the right questions to ask the doctors and my thinking was that this is what happens when you get a nerve block. But my pain never got any better...There is so much left to tell about my life with C.R.P.S.(RSD)but my point to this video is how happy I am to see a doctor who explains everything to his patients. No surprises. I also love the education you're spreading because if there's anything great I've learned from being sick is this: Take charge of your body. You know your body best. Learn as much as you can about your condition because knowledge is power. It gives you more confidence and the ability to make better decisions about your overall health care. Remember, doctors aren't God! Don't ever be intimidated by someone's title. We are all equal. So speak up for yourself at your doctor's appointments. Ask questions. Don't ever be afraid to find another doctor that you're more comfortable with. Believe it or not, a good majority of doctors don't get upset when you go to another doctor...and stay educated.....there's no excuses why you can't given all the information we now have access to us thru the internet...
I too have CRPS. It's no fun and the nerve blocks they give you just so you can attempt a "normal" life is definitely hard. I've had quite a few, doesn't get easier. Radio frequency albations are terrible too. Sure, the procedures are quick. You and I get that, but holy. When they hit that triggered nerve and irritate it even more, that pain is soooo intense. Our bodies over react to the most littlest of things to begin with (omg! A hangnail! We're soon gonna lose the finger 🤦) So, when extra trauma is introduced, no wonder these hurt us sooo bad, and ya sometimes they do epically fail and we pay the price. I'm sorry your experience was so bad, but I do hope things are "ok" for you. It's a tough disease but we just gotta keep showing it who's tougher. Take care.
@catherinegilles6408 I can only speak for myself, but after about 7-10 days post block things settle down enough to function for awhile. Now that I have had RF albations, that one side of my butt is numb...from the inside. Normally I don't feel the numbness, but when in a flare, I can feel it. Which, to me, means the doc hit the right triggered nerve. I will take a half numb butt/lower back over incapacitating pain any day.
What needs to be discussed is getting Arachnoiditis from injections or back surgery. How getting injections/surgery can cause a lifetime of incurable pain.
I love your videos! I worked as a medical/surgical assistant for 30 years and YOU are an excellent, informed source that could help reform our medical care.
I have had many surgeries. My last surgery (skull to c3 fusion) left me terrified to ever have another. The first memory I have of being awake was (embarrassing) sitting up screaming for someone to please kill me. My curtains were open in the recovery area and a lot of people working (not other patients) were looking at me. I was at least saying please and not cursing I guess. I couldn’t understand why no one would. I have never felt pain like that and I had shoulder surgery without post op pain medication, because they thought I had a block, but I didn’t, because they ran out of time before surgery. That was nothing compared to this. The anesthesiologist was screaming at me that he had given me enough morphine and ketamine to kill a normal person and I wasn’t phased. He repeatedly said I must have a drug habit I wasn’t telling him about. Another man (not sure position) asked if he needed help. He said no, that the other person couldn’t be over there because he wasn’t certified in ketamine. A woman walked over and yelled at him to look at my arm. The lower half of my arm looked like a football. She said that was the problem. She quickly took the IV out while he left angry. She started one on the other arm and said you will feel better in just a… woke up a day later in ICU.I had to go through the ER a week later for a post op infection. There was a group of about five interns or residents that looked at my chart. On of them said, oh your that girl. They had to turn around, because they cracked up. Then asked me if the doctor really missed my IV blowing (forgot the word they used). I am now absolutely terrified to have surgery again, which I need. How do I convince myself to do it and not freak out about it. Surgery is hard enough for me. It takes 11-12 months for incisions to heal and it sets off an autoimmune flare.
I had a similar experience. I had T4-L1 fusion for scoliosis which was like my entire spine cut open- 86 staples. I woke up screaming in the ICU, was told I couldn’t receive any pain medication because my respirations were not high enough(because I was screaming?!!) the entire hospital stay I had NO PAIN MEDICATION! I kept screaming for people to Kill me there. I wanted my family to smother me with a pillow to make the pain end( I have horrible chronic pain, but NOTHING was like that). I hurt so badly I would pass in and out of consciousness. I couldn’t even formulate a coherent sentence asking for medication. I have MAJOR PTSD after that…. Little than 2 weeks later my rods snapped off my pedicle screws and needed an emergency reconstructive surgery. I was TERRIFIED to have the same pain. I made sure that I had a great post op care for pain treatment and after that 2nd surgery and had it at a different hospital than the 1st surgery; it was like heaven compared to the 1st one ( they had to open me up 2/3 the way on the second surgery too)
@@Spiritualpanda2 oh my gosh, I can’t even imagine! I’m glad you were able to go to a different hospital. I hope you never have to have another surgery.
Joanna- PLEASE go to a DIFFERENT hospital, with a different surgeon so there's no malpractice, I HOPE! I'm SO sorry that happened to you! It sounds HORRIBLE!!
Omg… 10 yrs ago i was having breast lift/ reconstructive surgery and i woke up in the middle of it! This was in the surgery room of a provider’s office. I couldnt speak but thank God i heard the nurse say something about my tears flowing down… i woke up after it was over. From now on i ALWAYS tell hospitals etc about that.
A most interesting discussion, this. A chronic pain patient for years, I had to have shoulder surgery for a torn rotator cuff, frozen shoulder, and bursitis. My pain doctor wouldn’t even discuss it with my Ortho, so I was extremely anxious. My Ortho reassured me he would take care of me. The Anesthesiologist administered a nerve block in said shoulder to such an extent that I had no shoulder pain at all until about my second physical therapy visit. I thanked my Ortho profusely and urged him to please thank the Anesthesiologist for me. Job very well done!
Had multiple nerve blocks in my shoulder prior to surgery & after wrist surgery . It was uniquely HORRIBLE . Now I know how an amputee feels .. Absolutely hated the feeling of the nerve block .
I'm a chronic pain patient too, and can't get sufficient treatment because the injections and non-opiate medications weren't successful at all. The first time I had injections in my neck they "worked"- kinda but I'm betting it was a placebo. I still had my neck aches, the pain just seemed to avoid the lower part of the neck where it hurt less anyway(neckaches). I discovered something shocking that doctors apparently don't know because they, for some odd reason, use government as a Supreme source of science, meaning they just trust their word to the point of not even checking their data where the literally post the evidence that the entire Prescription Opioid Crisis is a scandal. Not only did I discover this data, in the Opioid deaths, an average of only %3 actually recieved a prescription (the rest are street drugs(script opioids smuggled in by gangs and Cartels becausethey have street value, like all the other drugs that get smuggled in, primarily Fentenyl. Of that 3%, an average of 90% are methadone overdoses(Methadone Clinic Patients), yet the lying Government Agencies "conclusions" are that Chronic Pain Patients are responsible for 100% of the entire Opioid Crisis while according to their own data Chronic Pain Patients only make up 0.3% of their prescription opioid deaths. Yet no doctors are aware of this? They don't even check after the government? That's insane! And horrific, I can't even get treatment sufficient enough to be worth going to a pain clinic, because only opioids worked and the doctor somehow knows everything yet says my neck isn't as painful as it actually is, by an enormous degree. 1 tramadal a day, for only 15 days out of a month, yeas 15 tramadal a month. 2 tramadal at once rarely reduced the pain with 4 hours of taking, using a neck traction device and 8-hour frozen gel pack without cover. I told the doctor, because I had already done a lot of reading and knew about the crap going on. So I told him I'm not even worried about all the other pain I get because I can atleast remain awake with that pain(Degeneration in lower back, 2nd through 5th dics, in neck c5-c6, c6-c7, 3 pinched nerves, 41 years old and the pain started at 14yo, 1 year after bad four wheeler wreck. Only so often when it first started, maybe tramadal would had worked then. He literally had everyone gather in the next room, left the door cracked(only time ever) and tried to provoke me into cussing him out(I didn't, I requested a new doctor, he put someone on it then called it off as soon as I left, 4 months and the never even called me back. He was literally smiling while I talking about the medication he gave me not being anywhere near sufficient, when he told me it's enough BECAUSE he said it's enough(I passed every drug test and got one more months than not for 9 months), he turned his face and put hid his mouth with the papers in is hand, almost busting out laughing. Most Chronic pain patients are getting no treatment to insufficient treatment if all of the low effectiveness options don't work. As soon as he prescribed tramadal, literally two years after I started going there, hurting the entire time, he stopped even being concerned with how the treatment was doing, as in he didn't care. And I had to request them in which he said, "I guess" in a tone like it was a bother to him, to have to scribble on paper. And it turns out that ALL of these doctors don't even check the governments data, they just accept the BS they are fabricated to get rich. I know this because I somehow stumbled onto an article written by a lower employee in the agency that's pushing this(I literally can't say that abbreviation or my comment will be automatically removed. UA-cam censoring algorithm, like clockwork within 10 seconds of posting. Not even sure this comment will stay. The lower employee wrote an article, that I can't f!nd again despite knowing most of the tittle, stating the same data points I discovered years prior(read this article about 6 months ago), only he labeled it as "outdated data collection methods", it lies not an error, confirmed by the same article because he said, "We have showed the upper officials this several times yet they, that prescription opioid deaths are being grossly overestimated, yet they don't update the data, update the data collection methods nor change their lying conclusions saying 100% of prescription deaths are from Chronic Pain Patients that only make up 0.3% of their prescription deaths. This not only shows how cruel the government is. That literally everyone trusts without a shred of skepticism, as if, historically, government can be trusted AT ALL. And I have a severe case of Hypermobile EDS. At only 41 years old I can only sleep for about 4 consecutive hours, disabled, because I'll wake up in so much pain I can't even continue laying in bed. I really can't wait till the day I die, that's literally the only way I'll ever catch a break. Many others have had to turn to drug dealers for medical help, I'm aut!stic and very uncomfortable around people so I can't even buy drugs to help because I don't know anyone, I have zero friends and people make me uncomfortable even my own brother. A rehab did a 500 opiate addict patient study and shockingly found that only 2% of their patients had ever recieved a prescription for opioids in their whole life.
@@gomphrena-beautifulflower-8043 I'm sorry for what you have to go through, and that's exactly what I mean, over complete lies so high up officials in the [See D See] can get rich. I learned about them, DEA, going after legit doctors and trying to imprison them, removing their practicing licenses, etc. It's really sad that people are begging our extremely corrupt government to expand, seize more rights and have more control over their lives. I've figured out what the core of the problem is but unfortunately others are quick to ignore it because of an internal bias we all have that make us feel safe, so obviously the government wouldn't be that corrupt. We, or they(people) could resolve this problem but they can't see it. Congress is not going to resolve it and there is a good reason for that. Among the top bureaucrats in the Military, Intelligence Agencies and DOJ they have what is known as Centralized Power. Our Foounding Father's were very aware of the centralized power within all other systems, they worked effortlessly to design a system that lacked centralized power, hence Seperations of Power and Coequal Branches. But this was all undone during Abraham Lincoln's Presidency when he centralized the military. The founding fathers weren't id!ots, they designed our system with each state having it own military on purpose, to avoid creating centralized power. He granted them insane levels of power and his intentions to remove those powers after the Civil War were the reason for his assisanation by the Military, they tried to get his VP and one other political figure on the same day they killed Lincoln's but security took both of the other two assisans out. So those powers did get removed but the damage was already. The military got to refine their spying tactics and being they had the power to spy on anyone without even having a reason they spied on Judges and congress and used that as blackmail to control others in government. It took a long time, slowly working at it, spying and controlling via blackmail for them to finally get their "update" installed which is the intelligence and DOJ. I'm no Historian by the way, I've just learned key pices of history that allow me to connect the dots, human behavior is very predictable when lust for power is involved. It is fact that this relatively tiny group of unelected bureacrats, the top bureaucratic positions, have a lot of very useful concentrated powers that makes the Seperations of Powers and Coequal Branches ineffective because these bureacrats have powers that can easily be used to gain significant control of our nation. They are the ones who have the sole discretion on who is and isn't investigated prosecuted with the know how and resource to spy. Because they have that discretion they are literally above the law hence that no matter what they get caught doing or how evil it is they are never held accountable. Thus, it doesn't matter if what they are doing is illegal, for starters they have very little oversight thus much of what they do goes completely undetected by anyone honest/not corrupt. This means they can spy on anyone, including their own agents hence "failing upwards", the worst people are who move up to the highest positions. Because they can spy on Congress they only need to f!nd so many criminals that can be controlled via threat of prosecution, and for the people they control so long as they do as told they can commit all of the financial crimes they desire, and this is why corrupt politicians do not get prosecuted. They control a lot of people in both the House and Senate, in both parties. As an example that they definitely spy on congress the CIA was once caught red-handed spying on Senators. John Durham, the same guy investigating, or supposed to be, the intelligence agencies attempt to take Trump down via fabricated information and records trickling down through various hands leading from the Hillary Clinton campaign in 2015, who had very similar dossiers crafted for two other Republicans, one being Ted Cruz, I forgot the others name but they were ready to go to frame the top 3 possible wins for the Republican Party, with the FBI and CIA as well as intelligence agencies from the UK and Australia all playing their role in helping frame Trump, bouncing around fake information to give the appearance that it was verified through multiple sources. Jeez, sorry, I'm aut!stic, I trail off a lot. Back to the point, John Durham was appointed Special Council to investigate the CIA when they got caught spying on Senators, two year investigation/cover-up and he reported there was no criminal evidence. Thus nothing even happened to the CIA. they know they aren't going to be held accountable because there is no one that can hold them accountable. Congress has the power to but they control enough of congress to prevent themselves from being removed or defunded. They also control enough votes in the Senate to be able to control who gets approved by the Senate for POTUS appointed positions that have power over them and access to their database which is massive. Thus the limited access some of congress has means very little, you have to know where to look, it's like the !nternet, basically. So, this is the reason that regardless of what party is in office, with the only POTUS in my lifetime that's different, because he isn't a criminal that they could f!nd, else he never would had become POTUS, but every other Republican and Democrat POTUS in my lifetime all have very similar policy as far as with the Military and Intelligence agencies. Bush and Obama, are just two different flavors of the same thing. They are intentionally destroying our economy to create more crime to beef up more government enforcement and remove more rights. The last POTUS to go against them and really try to turn around their intentional destruction, that I know of, was JFK and they assisanated him. So much evidence has been discovered since that day to moderate days that it's beyond a doubt, with very detailed facts on how it all went down and many intercepted messages trying to warn Kenned, LB Johnson having a role in it to. The plan was crafted by the CIA, the FBI and Secret Service helped carry out the assisanation. YT channel America's Untold Stories is a great source to learn about all the information that has been discovered. And the CIA coined the term, "conspiracy theory" as a means to prevent people from looking at that evidence. Anyway. The main point here is our nation's problems are going to continue getting worse because that's literally their intentions and being the only thing that could fix our nation is supporters of both parties coming together in a massive display of force in nearly every major city through the US, not protesting but DEMANDING the removal of the Centralized Intelligence Agencies and busting the Military back up how it's supposed to be so that Seperations of Powers and Coequal Branches of Government actually functions as it's supposed to. I feel the top bureaucrats should be executed, via trial, for treason(IF this ever occurs before they take complete control, the entire purpose of expanding their power and government enforcement. Looking to people, and especially how the political left has literally been cheering on the corrupt intelligence agencies going after Trump and his supporters, allowing them, the Bureaucrats, to gain more power faster, this is not likely to occur at all thus they will win and the future of humanity, due to the advancements of technology and the serious upperhand the government has through secret military technology, humanity will be on its way to permanent enslavement with the wealthiest families as our permanent dictators. It will be a dictatorship in the Us prior, of course, the one wold government is basically the plan of the 13 richest families in the world. The guy who started the world economic forum was sent to school in the US under a program created by the CIA, that is where his ideas came from.
Years ago, I bought a tape made by an anesthesiologist about how to prepare for surgery. On one side it told you how to prepare for surgery (including how to ask about giving something to relax you before entering the OR). On the other side was relaxation and affirmations. Decades later, I do all that was told me by the tape to good effect. I am happy to report I've never had a problem with anesthesia.
@@amusedBYfools Tracee, may I suggest doing a search on UA-cam, "Advice from an anesthesiologist before your surgery," and "relaxing affirmations before your surgery from an anesthesiologist before your surgery." Good luck.
@@amusedBYfools Thank you! These tapes can be very powerful, they are a form of clinical hypnosis that can be quite powerful under the disinhibiting effects of anesthesia. I have a recording that used to be on my website, I need to add it there again!
I had a nerve block for my foot surgery, it was brilliant ! The team used a portable ultrasound and administered two nerve blocks in my leg, I was instructed to tell them if I felt a prickling sensation and then they moved the nerve blocking needle a few millimeters and the prickling stopped. They placed a Scopolamine patch on the bone behind my left ear, so I would not be nauseous from anesthesia . Then they wheeled my bed into the OR and I climbed onto the OR table, then I breathed in deeply with a plastic mask and I was asleep for the surgery! I went home when I awoke, and my nerve block lasted five days ! When it wore off, I took one Ibuprofen. And I needed no more for the whole time ! I had to not put weight on my foot for six weeks. I used a knee rover. I am totally healed, used pure silicone on my scar. Great results. I am very very happy with my nerve block experience! I had no pain whatsoever, and I am a red head .
@Beverly ....hmmm. I'm also a redhead. My old dentist couldn't get me numb with lidocaine, despite giving me multiple shots, including a special technique called akinosi. That didn't work either. After getting sent home multiple times without being able to do the procedures I now see a dentist who gives anesthesia 😊 but even then I wake up just sightly about every five minutes. Not enough to feel pain, but enough to where they need to keep giving me more. Anyway, my old dentist said this was because I'm a redhead and he's had other redhead patients like this. I wonder why this is?!
I noticed when I went for my hip replacements the other staff (not the anesthesia people) almost make one feel that a spinal anesthesia is mandatory. I was worried because of spinal surgery in the past they might possibly awaken problems but anesthesia confirmed he would use general and even told me that no one can mandate you have a spinal over a general. They say spinal is good for post op pain control but I was feeling much better after the surgery than going in and had no pain for 12 hours after a general!
My Dad had that button on his death bed. It was an open line of morphine. I couldn't do it doc. The nurses had to come in and do it. They gave him 2 big needles with red caps on it. I'm assuming they were fentanyl. He had terminal cancer and they said he wasn't gonna make it threw the night. I was confused and shocked and didn't know what to do. I also didn't want him to suffer. The nurses eventually gave him his final dose 20 minutes before he passed I remember they came in and gave it to him in his iv. They didn't really say what it was they just came in and gave it to him and that was it. The doctor came in around 30 minutes later and said I'm sorry he is dead. I was still in shock and didn't want to believe he was passed. Cancer sucks ♋️
"The Body Keeps The Score" - Bessel Van Der Kolk. Thank you! I believe that having a Nerve Block saved my life. I had reproductive surgery and while they were in there, they separated my uterus from my bowels. My nerve block was so effective that I literally only had to take acetominophen and ibuprofen (as well as CBD eventually) - I never took the opioids. I already had issues with constipation, and I believe that if I had been healing my sigmoid colon and having to take opioids, my complications would have been worse!
Love your explanations. My shoulder block was done while I was awake before meds. I’m not a queasy person and did well with it. The doctor and nurse explained everything. It was an intense feeling of pressure while administered that only took a minute or so. Nothing unbearable with being told what was happening. After surgery, and the block wore off 24+ hours later, the pain was no where near what pain was recovering from other surgeries. Kudos to anesthesiologists like you!!!
Having my shoulder cleaned of arthritis in January & hopefully I have the same luck.Jyst had a surgical release of My ilio psoas over a hip replacement & I never had pain there..no meds!
For my right knee replacement, I was given a spinal anesthetic. I was told it was similar to a nerve block but, even today, I still am unsure as what the real difference is. At any rate, my anxiety mostly stemmed from the injection itself, which I had seen in a UA-cam video...but wished I hadn't! Well, the injection into my spine was totally painless. The nurse then told me to lie down quickly as the medication would take effect very fast. Before I got down to lying flat on the bed, the medication was already taking hold. The numbness went from the bottom of my jaw to the tips of my toes! My best friend, who was also in the room, was taping the whole thing. I LOVED IT! I was talking like someone totally drunk as I told my friend, slowly, "Rick, you gotta try this stuff!" In the OR during most of the surgery, I was awake and joking around with the nurse who kept popping up over my head asking how I was doing. In the meantime, I could hear the surgeon hammering away at something, drilling into something, etc...ALL without feeling anything whatsoever! It was amazing! At one point, though, I must have fallen asleep because I don't remember the end of the surgery...just waking up in the ICU.
I had a nerve block on the first of three shoulder surgeries I’ve had. The anesthesiologist didn’t say anything about it before surgery. When my arm was totally dead long after my surgery, I started to freak out. It’s pretty scary. I would have preferred to know what to expect. Thank you for what you’re doing here. I’ve been through a bunch of surgeries, and have another coming up. It really helps to understand more of the process.
@@amusedBYfools I don’t think it’s an effort to keep us in the dark. I teach highly technical, mechanical concepts that I have used in my employment for the last 45 years. So I understand that when you are so used to doing certain things that it have become second nature or just simply routine it’s easy to forget sometimes others don’t see things through your eyes. I think some doctors just don’t think to tell certain things that they just don’t think are that big a deal. After numerous surgeries to repair damaged body parts, I have a pretty good idea of the questions to ask, but I’m still grateful to have come across this UA-cam channel.
I'm freaking out right now. Had nerve block today for wrist surgery. It wasn't clear to me my arm/haand would be a limp noodle. i wasn't prepared for this. I can't sleep. Been 14 hours. Afraid my hand won't wake up. Doctors are always in a rush. I would honestly prefer the pain. I've never been so afraid.
I've had two nerve blocks for orthopedic surgeries and I believe I suffer from PTSD from that experience. In my case, it was quite painful and eventhough post op it does help with pain, I would not have it done again!
I’m sorry you have PTSD from the nerve blocks, but I hope you understand that nurses can only give meds with orders from Drs, and they are not unlimited - huge side effects from narcotics limit their use & you may have PTSD from the pain. Your best bet is to get anxiety & fear under control with education from these types of videos. Good Luck!
Exactly. Abuse of poison medications by others is rippling to cause ME distress as doctors are fearful to treat chronic lifelong pain from disability (that is obvious and extremely documented).
I was given a pain block prior to a rotator cuff repair & reattachment. The anesthesiologist krpt asking me if there was any change- and I kept telling him no. He told my surgeon I was ready to go. I woke up after surgery in sheer agony- the nurse came by me & was on the phone to my doctor- she said nerve block failed- listen to how much pain she’s in… doctor told her to give me 2 large Iv doses of morphine because I was In sooo much pain… I was given no injection during the “nerve block” I was dry needled- which was not fun. I ve had 26 surgeries & procedures and my rotator cuff surgery was the MOST PAINFUL of all I ever had- including a quad by pass open heart!!!!!!
Just before my broken ankle surgery, I had that nerve block done on the back of my thigh, and it HURT ! I was squeezing the hand of the nurse the whole time, BUT when I awoke the next morning I was pain free, i am happy I agreed to that as I did not need any pain medication for a few hours after awaking that morning . Thank you for this video 😊
You are such a cute guy!! Tell your mom she raised a gem! Your compassion and kindness is so beautiful! I had a knee replacement 2 years ago and when the nerve blocks wore off, I thought I would die!! No one warned me, but I certainly have told others to make sure they take plenty of pain meds and anti- nausea meds if needed to take care of the pain. Thank you so very much for these wonderful videos- you are a doll!! 😊♥️🙏
Me too.. I screamed so loud when I barely tried to move.. I didn’t know it had worn off!! Never again for me. Also have 3 toes that won’t lay flat (permanent hammer toe). 🤯
I believe that the nerve block does result in less pain following surgery. I had both great toes operated on, the first one had no nerve block and the second one did (the joint was fused in each) and on the second one the healing was markedly easier.
I was given a spinal for my knee replacement. I can very vividly remember waking up to the pounding of the implant in my leg. Could not get my anesthesiologist's attention because she wasnt even there. Finally i was given something to knock me out. I asked my surgeon about this and he nonchalantly shrugged and said it happens. Im now saddled with the extra medical ptsd on top of my cptsd. Ive lost all faith in medical professionals. All they want to do is replace my joints one by one yet wont help with the pain after. I am allergic to nsaids and steroids make me suicidal. Its getting hard to trust them. It probably will be my ending from these reched diseases. Simply being told there is nothing else we can do for you but fuse your wrist to elbow, blah blah blah. You give me a glimmer of hope.
I completely agree. I wish I had known this before I had nerve blocks. I kept asking and asking about information from the doctors, but no one ever explain it like you just did.
When I had my thyroid surgery, the nurses let me keep my teddy bear with me the whole time. Right before they started the anesthesia, the surgical nurse put a surgical mask on my bear and put him up on a shelf to be safe. My bear was with me in post op, so I knew I was okay. That kindness of letting me keep my bear with me through my whole hospital experience helped me so much.
In doing some research for my upcoming Rotator cuff/bicep tenodesis, I stumbled across your page. I am a retired 30+year paramedic, so I can’t help myself in that regard :😊. Over the years of my career, I have learned so much but I am learning so much from the standpoint of anesthesiology from you. Great videos and lots of great information. Man, I wish you were going to be my anesthesiologist, my I am pretty impressed with my surgeon and I have no doubt he has a good anesthesiologist on deck for me.
I had that exact block for my shoulder surgery. It took quite a few sticks to get it done but, I had no pain after the surgery. I was able to leave the hospital with no pain meds given after I woke up. I loved it! I was able to sleep without pain that night. I started an over-the-counter pain med the next day. Thank you for such informative videos!
I’m not sure you’ll know this, but I had a nerve block done for a nagging pain I had years after a surgery on my neck. The thing is I’m not sure you’ll know why I got so emotional afterwards. I’ve never been so emotional, like sobbing uncontrollably in recovery after the procedure. It wasn’t pain, it was more like a mourning, it was absolutely unexpected and no one seems to know why. Some suggested it might be the depressant they gave me before the procedure. The nerve block procedure was suggested because of my ongoing pain on the right side of my neck. Thank you.
A year after spinal fusion of L4/L5 L5/S1 I had to go back in to re-fuse one level. In pre-op I had tears running down my face and I feared they would cancel the surgery. I wasn't emotionally upset. This was likely my body remembering the hours long surgery of the first fusion.
Sounds similar to my expirence l had a nasal cranial CFS leak repair after nasal reconstruction to reach the skull base sinus area where the leak was it turned out much worse my brain was pushing into the sinus much bigger injury. So that procedure took much longer then even after telling the team l was high sensitive to full or large doses of Percocet. They gave me 2 after l had been brought to l coded had to be brought back. I do not recall waking from surgery nor thankfully recall that rescue but my next surgery l was crying before and woke up crying even with no pain just felt high stress. I guess it was the trauma my body remembers has made going under and waking hard now. Wish there was something that helped our system release these traumas.
For my partial knee replacement, they did a nerve block near my knee, got rto be honest it hurt like hell. When I went to the OR and they had me sit on the edge of the table, told me they where giving me a spinal. So after being told to remain absolutely still, they injected some numbing agent and immediately did the spinal, felt all that shit. Only thing I was told is do not move. Everything wore off in about 6 hours, and I felt like someone was hitting my knee with an axe.
I had shoulder surgery while being treated for RSD. The anesthesiologist administered a pain pump prior to surgery. I had a self administered button to inject pain meds. It was my understanding that the meds were on a timer so one can't overdose on the medication. After 6 weeks of grueling PT and success with mobility the pump was removed. I am very grateful for anesthesiologists who understand RSD/CRPS and getting me into remission.
I just went through my 2nd round of pelvic floor Botox injections with pudendal nerve block. The first time the nerve block was amazing. I woke up and the first words out of my mouth were, oh my god I don't hurt at all! It had been years. Thai lasted a few days. This time I woke up and my left side was in spasm. I told the nurse and she called my doctor who said that can happen and we could talk about it at my 2 week file follow up. I was so incredibly frustrated that no one cared that it obviously wasn't done properly and I was going to have to deal with pain unecessarily for the next few days. Constipation is a huge driver of my pelvic pain so I try and take as little meds as possible and I knew I'd need more because the nerve block didn't work. No one cared. I was in tears over it because no one cared that the nerve block hadn't worked. To me it was half the point of the procedure. So frustrating, mostly because I was just completely ignored and dismissed as having poor pain tolerance instead of acknowledging that I was having pain that I shouldn't.
I had 2 nerve blocks in both hands for a carpul tunnel surgery that was screaming painful but I didn’t scream outloud and I was traumatized by having both hands done one after another AND zero medication… no pain meds and nothing for sedation or anxiety. I went shopping at Costco with my husband pushing me cart as I walked around with numb hands and then the gravity of the surgery and the very painful nerve block surgery began to make me feel very uncomfortable and I began crying. I’m a victim of S/A as a child and then as a 14 yr old was kidnapped,drugged & aRped for 2 days and then he took high power rifle to take a shot at me a couple days later after I broke my promise and told what he’d done to me. He missed me but killed my pet deer I was petting. Id been abandoned by my parents and left alone for days att a time while my siblings were living with a family in our church. My body has kept the score and my immune system has failed me. I’ve suffered horrible chronic pain and recently was DX w Ehlers Danlos and Mast Cell.. EDS explained why the over 20 surgeries have not had a good outcome including the last one, Interlaminal fixation device” and now I’m so crippled that I can’t walk without a walker, but I still try to keep going and decorating the tables for church fellowship meals or events that I’ve done for 30 years….I refuse to give up but I’m having 2nd thoughts about going up and stop doing it but then no one else will do it…20 tables is a lot of work
Thank you for such a good video. I can tell you now that there needs to be more doctors and anesthesiologists like you. They just don’t have the patience to talk and understand how afraid some patients are. When I had my back surgery, I was petrified. Walking back to the operating room I started crying and my legs were so week. The nurse was tryouts n’t to be comforting and assuring. But I told her that she didn’t know how I felt. It literally felt like a cow being led back to slaughter. That fear is so horrible.
Oh my goodness... 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 🙏
I wish all doctors talked to their patients the way you talk to human beings you have never even met before here on UA-cam. I have a great doctor at Semmes Murphy clinic who acts like you. He is so awesome.
I had my right knee replaced and woke up with horrible pain in my right hip and leg. This was in 2014. It has taken 9 years to slowly improve. I still cannot lie on my right side, nor can I let my right heel touch the bed when I am on my back (burning pain in heel). The worst part of it was that my doctor did not believe me! He xrayed my back and said you are fine. I was not and I still am not. I have always had a hip issue, not painful, but positional. My right foot turns out slightly. I decided they must have positioned me for surgery and had that gimpy hip in a bad position, and since I was asleep I could not tell them so no one knew. If not that , then they hammered so hard replacing my knee that my pelvis was cracked. I did have to have glue put in a crack in the area that supports your spine. It was incidentally discovered some months later. Fixing that did not stop the pain. I never went back to that doctor after the knee surgery. My life was ruined by it. Because I took pain medicine for my back pain, he assumed I was a drug seeker. I am not. I take as little of the medication as possible. My back is really bad as well. I wish to heaven that I had just lived with my arthritic right knee. I will live with the left one.
There were some guys at Walter Reed looking at nerve blocks under General and found that the personality changes associated with major surgery mostly went away. A recent paper looked at anesthetics disrupting signaling in L5 pyramidal neurons for dampening the consciousness signal. It seems like unblocked surgery under GA leaves your consciousness unable to remember the trauma but another part of the brain remembers being mauled by a lion, or the modern equivalent thereof.
Its been 4 months since this was originally posted and I just wanted to take a moment to send a little love to Wanda. I hope and pray that you're healthy and enjoying your very best life. ❤❤❤
Thank you SO much for spreading truths about anesthesia. I hope you inspire zillions of such docs to follow your lead! I’m grateful that before every recent surgery, the anesthesiologist comes to meet me, to explain the upcoming process, and to answer my questions. I attribute my calmness going into the operating suite to this compassionate process. Bless you!
Inform better, fully… most patients don’t know the right questions to ask. Most patients would never imagine what y’all do to their body under anesthesia and during surgery… it’s the medical professionals responsibility to inform what’s going to happen in the operating room. Most pts would never imagine they will be catherized during surgery or prepped. Often intubation is never mentioned, just meds to make you sleep… so many procedures are never mentioned… this must change. Don’t wait for pts to ask the right questions , fully inform without questions
As someone with nearly 40 years in the medical field I've seen and heard things in the OR that would disgust you. That's one reason I've always been terrified of surgery, what shitty comments and jokes would be made about me, what would be hanging out uncovered for no reason, and who would be parading through the room.
The anesthesiologist is always my best friend..I appreciated the nerve block I received when I had rotator cuff surgery. You’ve helped me understand why I have had the experiences that I’ve had with my C-sections and cervical spine fusion.
As a former nurse, who knows a lot re pain control, pain gates etc due to working in St Christopher’s Hospice, I’m pretty comfortable with having surgeries. However in late 2006, I had a total hysterectomy and was provided with a morphine pump. It had a doseage built in as you describe doctor, and a timer. There is NO way I could have ODed, or been given more than the safe dose whilst asleep! Obviously, through the abdomen, it was to that date one of my most painful surgeries but I coped ok and treated well. Roll forward about 7 months and had to have an umbilical hernia surgery - laparoscopically. Three holes, they said, out of hospital by the evening they said. I for the first time in my life woke up screaming in pain “Stop the pain!” Over and over until I was given more meds and woke later…in the ward but in excruciating pain! I was actually kept in until the next afternoon and left still in horrible pain. I removed the giant plaster after the appropriate time had elapsed and was shocked to see 7 areas that had stitches and was black, blue and purple everywhere I never got an answer. Until I retired to northern Portugal in 2009. And even then it took time. I had had an X-ray and was asked about “tiny spheres” throughout my abdomen from my bladder area up to my diaphragm! They turned out not to be spherical several years later when I had clearer X-rays and we found there were dozens of what looked like tiny screws… they are the ‘plastic’ screws used to hold the gauze to my abdomen over the hernia.. I and doctors believe they were accidentally dropped inside me during the laparoscopic surgery!
Retired RN here. You docs still don’t understand not everyone is going to become addicted to pain meds. I had trigeminal neuralgia, AKA Tic Doulouroux, for over a year. The only medication I could get was to visit the ER 3 or 4 times weekly, always in the middle of the night when I couldn’t take the pain anymore, and would over a period of a few hours, receive IV Demerol along with an anti-inflammatory; probably Toredol, but I don’t remember. Because the condition is not something that can be seen on imaging, I was accused to drug seeking until I produced a letter from a neurologist at the Cleveland Clinic. He informed the ER doc, who knew nothing about this Condition, that my pain was NOT to be considered chronic, but acute, and thus not to be treated with a TENS unit, which exacerbates the pain. I learned through biofeedback - self hypnosis - how to rid myself of the aberrant sensation, (thanks to a physician at Mass General who also had the condition) and I was able to end it. I never became addicted over that year I received Demerol several times per week. I have never had a recurrence in over 20 years. The pain is NOT from an inflamed nerve, I was told. It is an erroneous pain manifested by a brain glitch, and by talking to my brain, even threatening it, I was able to convince it to stop the pain. Few physicians ever see a case of it because most sufferers end up committing suicide. Thankfully, it is rare, because it is said to be the worst pain the human body can feel. I can agree completely with that. I judge all pain by that gruesome, hideous paid, so never tell anyone what I may suffer now is a ten because that is reserved for that white-hot hell. My physician father also had the hideous condition, and he had learned medical hypnosis to alleviate pain in others. He was long dead when my TG emerged. But my message is this: stop assuming everyone will become addicted after a week of opioids! It’s nonsense! None of you truly understand severe pain, and no one treats it well except the cancer hospitals. The subject needs a LOT more study and a LOT more ways to stop it without addicting medications. Through my 50 years in the profession, I never found that those in severe, acute pain becoming addicted. None of you in private practice treat it properly or effectively at all because you don’t have the right tools yet. Please find them. You’re all still in the dark ages of pain management.
Couldn't have said it better. Now their throwing gabapentin, Cymbalta, and Lyrica to people that have fibromyalgia that doesn't help most people. Doctors also say that opioids don't help fibromyalgia pain. I can attest that it does. Just had surgery about a month ago, was in a pain pump with dilaudid in it. I haven't been that pain free in over two years. What they also don't understand is chronic pain patients really don't get that "high" feeling, they get relief to actually being able to live and not just to exist.
You are right. No one mentioned that depression might be a problem after brain surgery. I was terribly depressed and just couldn't figure out why. In fact when I saw the neurosurgeon the next time he said, "Stop being a bed slug. Get up! Get out of bed! Now remember the only pain meds I was given were tylenol. He saved me with a right craniotomy to resection an AVM which had bled twice, but his bedside manner was lousy!
I had BMX in December, I didn't know I was getting nerve blocks on each side,, it was done after I was asleep, I was so grateful for getting them , It made my pain very tolerable. Thank you for all your doing to educate us as well....when I had my port put in last month, I was not afraid :)
You make some awesome points. Could you please do a video just on PTSD? As a Veteran with PTSD, and a medical professional myself, you are the very first doctor to bring up this topic.
I have had several surgeries mostly before I was 40. The third surgery was the easiest for me to cope with. It was explained to me that before I left the OR I was given morphine in my spinal cord. I had zero pain for more than a day.
This blows my mind. I thought the Dr didn’t think to give me a pain killer from when I came out of surgery when he took care of my Bartholin cyst because I woke up literally screaming. I was sexually abused on a regular basis my entire life until I left home at 18. I was 18 when I had the surgery.
I am so sorry that you were SA, my last sounds very similar to yours down to waking up from surgery screaming because I couldn’t be given any pain medication. I hope you heal from so much trauma.
I’m wondering if and how anesthesia affects those who’ve had childhood abuse and SA trauma and if it’s possible to be used therapeutically to help release/heal the emotional/mental and psychological effects the body unconsciously stores? @medicalsecrets
@@sharicarter5647 this is how: I am petrified about surgery, doctors and dentists!!! Petrified!! Where does this fear come from? From doctors, nurses ! When I was about 9-10 years old I faked stomach ache., because I got punished by my teacher for talking in class. The 4th time already I had to write 400 times, I shall not talk in class. My mother threatened me with my life, if I got punished again. So I had to fake stomach ache. After the 3rd day my mother called the doctor, he examine me and decided it was my appendix and it needs to come out. I was so scared that I owned up, but she did not believe me. So I got operated. I knew there was nothing wrong with me! I am sure the surgeons saw that too, when they opened me up. But they still took it out! Trust issues into doctors happened right there!! To me they where dishonest!! But it got worse! The nurses where pretty unkind to the orphaned girl next to me. They hit her, because she would not eat their dinner. Also yelled at her, never any love or kindness. I observed all this and got scared again. When it was time to take the clamps out, they had another "surprise" for me. 10 of them arrived at my bed, pulled back my blanked wantig to take the clamps out. At no stage did they tell me what was going on! When I objected to being handled and insisted that I will take them out myself. They only gave me 10-20 seconds to do it. I was not fast and needed to get used to this first. They lost patience and all 10 jumped on me ripping the clamps out. Just like on a piece of meat! No compassion or understanding the fear of a 9 year old! And on my way out of the hospital the nurses played another trick. They showed me this huge needle saying I need this before I can go home. They laughed really loudly, had a great time on my fear. I hope they rot in hell for this! A few months earlier I had an infected tooth and needed a penicillin injection. My father took me to the dental hospital, where I had to wait on my own sitti g on a bed. Finally a nurse appeared, she was fumbling on a counter. When I asked what she was doing, she said preparing an injection. That was it, I run out of there, but my dad cought me and put me back. This time there where 4 nurses there. The head nurse held me down on her knees, the others held my arms and legs. She injected me into my butt. Then smacked me really hard a couple of times. Saying so I know not to be so silly next time! ?....how would smacking help with fear? That was 60 years ago! Today I am 71 AND STILL PETRIFIED OF HOSPITALS, SURGERY, OR DENTIST. THANK GOD I AM HEALTHY AND ON NO MEDICATION. .... butt I am scared still! The body and the brain all remember those times, like they happened yesterday!
I had a nerve block due to hand surgery carpal tunnel release surgery done and I was awake and aware and after I had no pain in my ✋👌. And breast biopsy and i was put under and local done and after it i had no pain and really didn't need strong pain medication. Only used over the counter medicine 💊 for a soreness of the surgery site.
I've been watching your videos for awhile. I'll be scheduling a hemorrhoidectomy soon and I'm happy to say that I'm actually looking forward to the anesthesia component because you make it all seem so cool. it's nice not to have to worry about that is often a very nerve wracking experience. so thank you! 😊
I had one in 2009 and (for me) it was the most pain I've ever experienced. And I've broken bones, knocked out teeth, had other surgeries and nerve damage throughout my. Take care!
I was offered a nerve block 30 minutes before surgery for a trapiezectomy. I was by myself because of Covid. This was part if a study. I felt overwhelmed and was afraid to say no. The block was fine I was aware of everything and did not have any pain. The anethesiologist was amazing. He calmly talked to me throughout. I was so relaxed I told him that I was ready to have the curtain removed so I could observe the surgery 😂 (I'm a RN). He casually said that they couldn't remove it because it might touch the surgical field. In recovery I did not recognize my arm and kept banging it into things. I was given regular tylenol and sent home with a mild pain medication prescription. We stopped at the pharmacy to find out their computers were down and they could fill it. My wife took me home and went out to a different pharmacy to fill it. By the time she got home a total of an hour (from the time we left the hospital) I was in unbearable pain. So the nurse told me it would last 24 hours. I left a message with the emergency line but didn't hear back till 10am the next day. I have issues when I need freezing at the dentist. I had a molar removed after 7 injection and full blown pain. My next molar extraction was in a clinic with anesthetic. I also have bipolar and take lithium and experienced emergent delirium after gall bladder surgery. It was the first time ever having surgery and was in full blown mania. I now let people know about my issues with anethesia and pain management. I am scheduled for a pelvic repair and hysterectomy on Tuesday. I've been meditating, swimming and relaxing and taking my lithium. I'm ready for this 🤓 Your videos have really helped me. Big hugs from Nova Scotia 🇨🇦
Thank you soo much Dr. I JUST HAD this done, March 28, 23. C3 through c7 at the VA hospital. I am grateful for this procedure. After a broken neck from an auto accident.
I've had several nerve blocks performed as treatment over the last 4 years of having Complex Regional Pain Syndrome. The first time I had one done was when I had radial tunnel release surgery. I am currently preparing for a Spinal Cord Stimulator trial, as no other treatment has helped. Before I got injured, I actually wanted to be a CRNA. I think the nervous system is really fascinating!
I had a RIGHT wrist nerve block in 2007 for a second ganglion cyst removal (6 months after the first surgery on the same spot). During the procedure for the nerve block I started feeling the numbness in my LEFT hand and told the anesthesiologist. What followed was that everyone got into high gear in the room. I remember being briefly told that the medication got into my bloodstream and that they were going to have to give me an antidote, and I was out after that. I have since gotten my RN license, and now wish I had more details about that particular complication and the usual steps taken by the surgical team in that scenario. Your video was great for me to understand the surgeon's suggestion of the nerve block for the second surgery. Thank you for that!
Wow, I am so glad I found your channel! I’ve watched several of your videos recently, and I love, and so agree with your values. Speaking from experience, I completely believe that the body keeps the score. Your authenticity and love for your calling in life is evident in every video. Blessings and positive vibes for you and your channel! 🙏🏼💜
I wish all health care providers were as self-taught & genuinely caring as you are. I've endured 6 decades of totally avoidable pain & suffering. It just occurred again in February '23. Why aren't med schools teaching the necessity of; pain "tracking", preventing trauma, nerve blocking pre-surg & empowering patients to ask questions without fear? How did you determine that more training & research was necessary in order for you to offer the best in pt. care? Did you/family have a traumatic event? Or are there other reasons for your diligence? Please share your story. Perhaps it could help future providers offer better care to patients. We sorely need it (pun intended). God Bless You 🙏
I woke up screaming after my splenectomy, in the recovery room. They were so confused and worried. I was flopping around, and I was grabbing at my open wound/staples on my belly. Never felt pain so bad! But they quickly put me out, then delivered more meds to combat the pain.
Omg! I had a splenectomy. I can't imagine not being properly medicated. The first two days, all I could do was think when is the next shot or morphine. After two days I was pretty good, but I was young then. Not sure how it would be if older.
I loved my Bier (?) block for wrist surgery and again for carpel tunnel surgery. They told me they numbed the entire arm for the wrist surgery. This was good since they had to shorten my ulnar bone. I loved it and enjoyed listening to much of the surgery and afterwards I had great healing.
I’m so glad I found you. I myself had 6 shoulder surgeries already and I’m very familiar with the nerves block and I thank GOD for it.they really really work.thanks a bunch for all your information.God bless you.🙏🙏👍
Did you experience any numbing or feelings like you couldn’t breath? I have had one shoulder surgery and also had the root block and my experience was horrible I felt like I couldn’t breath right after the block? Did you have a similar experience?
I have hEDS, & i get so tired of being told that all this stuff applies to me, when just about none of it does. I’ve had dozens of blocks, to no avail. And the concern of addiction or dependence after surgery or in chronic pain patients is incredibly low. Like 1%. I want empowerment to advocate for me to receive appropriate dosages of opiate medication. I’m tired of being told that my pain doesn’t matter because opiates work best on my pain.
I have hEDS too and I even brought medical papers from an EDS expert Dr explaining how local anesthesia is rapidly ineffective in EDS patients. Despite this, the Dr did a nerve block against my wishes and as predicted it wore off very soon after I got out of the hospital and OMG worst pain EVER. Had to return to get REAL pain meds as I was seriously ready to amputate my arm by then. He sawed thru my bones and installed 9 screws and a plate and all that on a nerve block. He’s lucky I didn’t repay him in kind
I’ve had two cervical fusions … the first doc said it would make my pain disappear, nope. Went to a different neurosurgeon who said my first was botched and I needed a revision and extension. He, at least, didn’t blow smoke … you get my drift. Pain persists and is worse. I’ve had two epidural steroid injections … no relief. Two ablations … pain persists. I’ve done PT (and continue PT at home faithfully), still no relief. I finally decided to go to a pain management group. I told them I’d strip naked, paint myself purple and walk down Milwaukee Ave at rush hour if that would give me even partial relief. Now, I’m on meds for the foreseeable future which is not what I want, but I do get a small “dulling” so I can at least get some design work done on a daily basis. I miss being active, I am exhausted from sharp, burning pain in my neck ruling my waking hours. I’ve joked around about buying a gigli wire and handles. I’m resigned to this, but I’m so tired of being in pain. Five years and counting …
I watch your videos and you are an amazing doctor, professional and person. You are sharing the true wisdom and knowledge of medicine and how it effects people who are being treated in our hospitals and doctors offices. Firstly you share with us things that need to change or need to be addressed that would help the patients as they go through the big maze of preparations for procedures, covering insurance, anxiety before and after surgery, problems during surgery and of course many more things that we often cannot foresee. You are one of a kind and we learn from each video you share and thank you again for taking time to help many people with your care and kindness
I developed CRPS as the result of a pain block administered before knee replacement surgery. I knew the minute I felt the severe pain of the block, that I was in trouble. Sure enough the pain experienced in the pain block was the exact pain of CRPS. It eventually travel to the other leg. My legs were saved by a very smart rheumatologist, who put me on high levels, a steroids for a month and then titrated down. People don’t realize that blocks, in vulnerable individuals, can I have unintended consequences. The problem is, as the pain block is being injected, you have no idea that you’re going to be one of the vulnerable people. I’m sure people have wonderful relief from pain blocks but, unfortunately, for me, it was a disaster.
I had to have extensive foot surgery after a car accident. I was given a nerve block before surgery. And another for the severe pain in the recovery room. The pain before that nerve block was right up there at 10+. It was awesome relief after that recovery nerve block. I love your teachings and honest knowledge.
After a partial knee replacement, I had NO pain for 3 days afterwards. I totally blame the fabulous Dr who gave me a nerve Block. They did give me something to relax/forget the block which I am very grateful for. I only took tylenol and not opioids for weeks of recovery and PT.
"RELAXERS" BEFORE ANESTHESIA MAKE ME ANXIOUS! My experience... It makes me VERY anxious to not have complete cognitive awareness. At 63 I've had a lot of surgery & can't handle being loopy beforehand. I beg EVERY anesthesiologist to not give me anything before. I want to go from fully alert to fully "out". Most listen to me, but some don't & that always makes for a bad experience. They think since most ppl love to be loopy that I don't know what I'm talking about. Given a "relaxer" before my 1st surgery at 21 freaking terrified me. Now 63, I know what I'm talking about! So please listen to your patients. I got a kidney transplant 6 wks ago & I had to tell the CRNA & the anesthesiologist separately. They were in such a hurry that neither even acknowledged what I was saying so I was extremely anxious about them doing it & then suddenly w/o warning a mask was put on & I went out. I'm used to being able to joke & carry on with nurses & surgeons beforehand, etc. This time I went under extraordinarily anxious because neither gave me reassurance. I wasn't told beforehand, but apparently I did get a nerve block & it worked well. After a whole kidney transplant I never felt any pain. 6 weeks later, not one minute of pain. My donor, however, wasn't given one & was in a lot of pain for weeks afterward 😢. It should have been HIM who got the nerve block if there was only one available.
If only all Doctors could be as caring and compassionate as you are. Thank you for educating us on this. It's extremely informative. I procrastinate just having blood work done b/c my fear of needles. I've woke up many times on the floor when getting labs done. 😢 Supposed to have MBB due to spinal compression. I pushed that off now I'm told I may need cervical spine surgery due to the DDD, arthritis, stenosis. 🤯
I had two nerve blocks. Popliteal for my Trimalleolar comminuted ankle fracture. I was sedated for this one. It lasted 4 days. Two days longer than the orthopedic surgeon told me. That was great. The second time for my broken forearm. ( radius and Ulna ). Again I was pre sedated. Never aware of the nerve block. ( had to have second surgery as the bones separated). Both times the block lasted over 2 days. Very very good experiences every time. I was most fortunate to have two great anesthesiologists. Thank you guys for being so good. The broken arm hurt the worst in the following weeks so much so that I was too nauseous to eat. Lost 15 pounds as I could not face food But eventually healed. Fantastic orthopedic surgeon.
I had a broken hand repaired using only a nerve block. I loved it! Fewer drugs, no recovery room & allowed to go home sooner. My arm felt like a dead fish for several hours but that's it.
I want to know about what pain management has to do with CFS. I have chronic fatigue syndrome and gabapentin helped turn down the volume, but my movement disorder specialist has referred me to a pain management clinic for my rigidity and muscles being essentially on too much all the time. What types of interventions might be on the table? What are the sorts of treatments that would not work?
I had a nerve block for rotator cuff surgery and I will never do that again. So I laid down and they did the nerve block in my armpit which wasn’t a big deal and I only felt a pinch. Unfortunately, the nerve block not only went down my shoulder and arm, it went into my throat. I could not feel my throat or the sensation of swallowing. It did not physically impair my breathing but not feeling your throat or swallowing sent me into panic mode to the point that they called a respiratory code. Fortunately, I had an experienced nurse, who told me to sit up as straight as possible and the feeling immediately started coming back in my throat. I asked if that was normal and she looked at the ceiling and smiled. That was her way of saying NO without actually saying it. I understood. So, nerve blocks can be wonderful but sometimes, not so much. Also, when the nerve block wears off, be prepared because the pain turns on. And you don’t know when the block will wear off. They just ballpark how long it lasts.
I have had 6 sympathetic nerve blocks, 4 epidurals, 2 sciatic blocks, and 1 bear block, all in about a 3-6 month period. For all my nerve blocks, it made my pain worse, but it did increase the temperature in my leg that I was diagnosed with REFLEX SYMPATHETIC DYSTROPHY or it’s now called COMPLEX REGIONAL PAIN SYNDROME. It was an anesthesiologist who actually told me about pain pump implants, that has been the absolute best thing for my CRPS. It doesn’t take the pain away entirely, but makes it much more bearable. That anesthesiologist was my anesthesiologist for an ankle surgery I had that had nothing to do with my CRPS. It just so happened his roommate in med school, is the largest provider of pain pump implants in the Midwest.
I had a similar experience. I had T4-L1 fusion for scoliosis which was like my entire spine cut open- 86 staples. I woke up screaming in the ICU, was told I couldn’t receive any pain medication because my respirations were not high enough(because I was screaming?!!) instead of finding a way to make me feel better they just sent me out of the ICU to a Med surg floor to be ignored. the entire hospital stay I had NO PAIN MEDICATION! I kept screaming for people to Kill me there. I guess I didn’t get any nerve blocks with that surgery. I was even mocked by the nurses for trying to ask for pain relief. I wanted my family to smother me with a pillow to make the pain end. My entire spine was cut open like a fish being gutted from my neck to my hips. 20 8” screws placed in my bones and forced into a slight line sort of like braces on teeth. But instead of cement its screws like my bones are wood. ( I have horrible chronic pain, but NOTHING was like that, I’d say that was my 10/10 pain moment. I *NEVER* say 10/10 bc I know it could get worse., but nothing could be worse than that!!!). I hurt so badly I would pass in and out of consciousness. I couldn’t even formulate a coherent sentence asking for medication. When you hurt that bad you can’t even think straight. Your entire thought process is pain with *NO WAY TO RELIEVE IT!* I have MAJOR PTSD after that…. Little than 2 weeks later my rods snapped off my pedicle screws and needed an emergency reconstructive surgery. I was TERRIFIED to have the same pain. I made sure that I had a great post op care for pain treatment and after that 2nd surgery and had it at a different hospital than the 1st surgery; it was like heaven compared to the 1st one ( they had to open me up 2/3 the way on the second surgery too)
@@janetcoleman3366 thanks love! I hope you are doing well too! I wish I could say that I’m pain free, but sadly I’m not. Because I had such severe scoliosis for so long(29 yrs until my surgery) my spinal cord was compressed at some odd angles with twisting in my spine. Because of that I’m in pain every second of every day and was told its going to be permAnent issue because of how my spinal cord was compressed. Basically I was told its akin to a permanent bruise on it in one area of my back( under my bra line so wearing bras are so much more painful than they need to be ). My best suggestion to people is to not wait too long to deal with a medical problem that requires surgery because it could and often leads to complications that would have otherwise never have been an issue. Despite how much I lost in life, and I lost a lot being bed bound, I gained patience and compassion/empathy so it isn’t completely bad I guess. I try to see life from a glass half full perspective but it is hard at times. I do wish my pain could disappear at the snap of my fingers though. Much love and light to everyone reading my comment. You are stronger than you know!!!❤️
@macawlovers1964 Gosh, i wish i had a healing hand,so i could heal those that really need it. I'll pray for you and your pain,and maybe i know it's a long shot as you need a lot of people to pray for your healing.But I'll pray for some relief for you 😊
@@Spiritualpanda2 Dear God I am so very, very sorry of what you had to endure!!!!!💔 There is ZERO excuse to leave a fellow human being in excruciating PAIN!!! You were already in a hospital where you just had Major Spinal Surgery AND where there are very effective pain killing medications Available!!! To intentionally Withhold pain medication was inhumane and inexcusable Cruelty!!!😡 So very sorry my friend.😢🙏
Perhaps you should talk to a lawyer about how the hospital/doctor treated you after your spinal surgery or rather how they didn't treat your excruciating pain . That's beyond inhumane and then have the nurses scoff at you for asking or screaming for help , but nobody helped you. I'm sure a lawyer would be interested in your story..
I have a high pain tolerance. I had very little pain when I had a knee replacement. I didn't bounce back as quickly as I did 45 years ago when I had my hysterectomy. Opiods do not work for me. I think my nerve block when I had my knee surgery lasted 3 or 4 days. I was anxious about the knee surgery. I was wishing I could hear my mom's voice once again. She was a RN. I heard my mother's voice in the voices of my nurses. That relaxed me and I woke up in such a happy mood. Thank you for your videos.
I had a really bad surgery on my foot and she did another block early. That’s what she told me but she also told me when things went South with my bunion surgery. Also, she told me that she didn’t just do bunion surgery. She did something else that was an authorized And told me she was very sorry for screwing up. True story. But later on was diagnosed with autism disease, other rare things, etc. because I have play the role maybe but she actually said she messed up during surgery so her a minute is telling the truth on her end and sadly other surgeons will not touch the foot even though they say it needs to be fixed One said because they saw the word sepsis and nothing next to it and as notes about why and when I try to explain it, they cut me off and I was like if I was able to tell them sepsis I had with a pic line along time ago when it got infected and you probably would’ve felt differently about going ahead with the surgery to fix the problem that she messed up on to begin with and another surgeon said my whole body shot in my right side does not function anymore that it’s not worth doing the surgery on my foot I’m like really I still have sensation regardless of the right side doesn’t work mobility wise or not that’s not what the situation is about. It’s about fixing the messed up foot, so still having to deal with that. Yay fun.
With many ankle, leg, and spine surgeries, an anesthesiologist has called me exactly one time prior to surgery. I'm sure we all hope to get someone like you, but your kind is rare! Someone calls a day or two prior to my surgery day to go over my meds and history, but the anesthesiologist comes in right before surgery after I'm in the gown. The first time I remember the nerve block I was BEYOND nervous because I never remembered having it before. The antiseptic and blue marking pencil were all new to me. I said, "I don't remember this part from prior surgeries. Is this something new or am I usually asleep for and don't feel it!?" Dr said, even if you do, you won't remember it." Ummm..., Fear, but not a lot of comfort in that statement.
Seventeen minutes in, and this has been the most unique and fascinating medical lecture I've heard, because it relates so many branches of knowledge and wisdom. It was really next level medicine. I hope you aren't a one of a kind healer, but more of a vanguard of medical thinking to come in into its fulness within the next few generations.
I think it's amazing to have an anesthesiologist call the night before and talk to you. I've had several surgeries and never had one call me beforehand. Usually they stop in by the bedside for a few minutes before the surgery and that's all. I love this doctor, he is so caring.
I feel like Dorothy telling the Wizard he doesn't have anything in his bag to help me.... I live everyday in pain. Ever since I woke up from my neck dissection surgery in June 2001 perform At Duke University Hospital, I have been in insufferable pain. They couldn't put me on any pain medicine when I woke up because of my blood pressure being so low...😢 I'm allergic to a lot of pain medication...For the 1st year they had me on Fentanyl patches....As of now I'm taking Tramadol w/ Tyenol. This takes the edge off the pain where I can manage it. I had tongue & neck cancer and had 88 radiation treatments. I went 2x a day for 44 days = 88 treatments. Soon after that I had the surgery. Do you know any other ideas I can do to relieve this constant chronic pain?😢
The operation that I had a nerve block for. I really bounced back quickly. I had spinal surgery for a pain in my leg and I do have ptsd from it. I can’t remember anything about the recovery or most of my hospital stay and it freaks me out. Thank you so much for explaining this.
I've been so happy and relieved with my nerve blocks (scopes to shoulder and knee). My recovery was better than the ACL (was NOT expecting that personal education in pain) or my first shoulder scope ...all 4 of these to my left side incidentally, over the course of 3 decades. My first shoulder surgery was actually done at Stanford. We get our care in that area (where I've also worked as a RN) and have had some good experiences there. BTW, I always ask my anesthesiologist for a pre-op sedative (typically a benzodiazapine). I suggest to may of my friends they talk to their anesthesiologists about it as well. Sounds like it's becoming more of the standard. Also, I had some pre-op quiet time before my last one during which I guided myself through the script a friend did in a recording I listened to before going into the hospital. It was great. Then my surgeon came though for his check on me after which he offered to pray with me if I'd like. I was still in a great place from my meditation (which basically let me know that space and everyone there were present for MY well-being and care). While the meditation was more my jam, I appreciated that he was in touch with that headspace. I've been fortunate (and working in the field surely doesn't hurt when it comes to choosing practitioners who are good & surround themselves with adept professionals). I find your videos so informative and interesting. Thank you. I'm glad to hear you talking about the body keeping score and different types of pain. The brain/nervous system is so interesting (my first degree was a psych undergrad, later used as a psych RN practitioner & manager) and SO unbelievably complex with still so much to learn (but it's happening with the help of tech, etc.).
Wow, the algorithm brought me your video. Started watching it but the horrible memories are flooding back and I am finding it hard to breathe. In 1991 I was diagnosed with RSDS in my foot and ankle. With little success a new doctor decided that a sympathetic nerve block was the answer. With no instructions or description, I went to the appointment at my local hospital. They invited my boyfriend at the time to come in during the procedure. I laid facedown on the table and my boyfriend was instructed to talk to me and keep me focused on him. I could hear all the activities and what the doctor's were doing and saying. I could also see the sheer horror in my boyfriend's eyes as he watched longer and longer needles inserted in secession into my side. He later confessed that he was doing everything he could to keep it together. When I thought that it was finally over the doctor informed me that I was to lay there as still as possible because I had a needle poised millimeters away from my spine and any movement would paralyze me from the waist down. I told him I couldn't breathe and was instructed to "just relax." As I lay there, the pain was excruciating and I was having more and more trouble breathing. The doctor finally gave me a shot of vicodon, which by that time had not affect. I was left there waiting for about 20 minutes. My boyfriend was watching the clock and praying this nightmare would end soon. They finally came and removed the needle. I can honestly tell you that did nothing to relieve the pain I was feeling or the anxiety that was preventing me from breathing. I called the doctors office a few hours after returning home to request some pain medicine as the extreme pain had not subsided. I learned she had gone skiing in Vale, CO. The clinic finally had another doctor give me 10 pain pills. I won't tell you what I told my doctor Monday morning at that appointment but I can tell you she took me seriously and I was assigned to a new doctor that afternoon. I have an unimaginable fear of needles. In fact, for about 5 yrs afterwards when a needle was even mentioned, my body would uncontrollably collapse on the floor and I would start begging the doctor to plz not come near me with a needle. This was totally uncontrollable as my mind would be yelling to my body to "get up, you are making an @$$ out of yourself ". I could only get off the floor after whoever was talking about it removed the threat of the needles. To this day, I am terrified of needles. If I have to have blood drawn then as soon as I am called back I cover my eyes with a scarf. If I don't, one of two things is going to happen. Either I fall on the floor uncontrollably, or I rush the door, and God help anyone in the way. My teeth are in horrible condition, that is the ones I have left, but going to the dentist is just not possible anymore and my insurance doesn't cover sedation dentistry. I am often called a crackhead. So now I have 2 bulging disks and one protruding disk in my lower back. I have no cause for this and the general consciences is that my back issues have been cause by the nerve block. I also still suffer with RSDS, which decided to develop in my other foot. With extreme back issues, I was sitting at a red traffic light one morning and was rear-ended by a 1989 full-sized pickup in my little outlander sport. The car was totaled, and after almost 8 months of extreme pain, now it looks like the RSDS has moved to my spine. Of course they don't call it RSDS, it now chromic pain syndrome. Which I think minimizes the pain that one feels with RSDS. Just throws it in there with less painful diseases. Before the sympathetic nerve block, I was subjected to a year of injection therapies trying to control the RSDS. Now I have sever allergic reactions to prednisone and cortisone. I would much rather have lived with the ritual of beating my foot with my fist to change the pain then the 30+years of pure he'll that I have suffered and will not ever have another nerve block again. Thanks for letting me share my story.
My spinal block for my cesarean was not fun. My nerve got jazzed, which feels like being electrocuted. Toward the end of the surgery, I started to feel it, and even the fentanyl they gave me did nothing other than make me want to scratch my skin off. My cesarean was 1000% harder than my unmedicated birth. Never tell a woman who got a cesarean that she “took the easy way out!”
Unmedicated/no epideral
Natural birth-
Women feel all the pain before the baby is born
C-section -
Women feel all the pain after baby is born.
Jeezus. So sorry. Unbelievable.
I've had 1 c section ..it was and soo painful and no nerve blocker..and 5 natural births. Natural birth was easier in my opinion.
I totally agree. My mom told me I took the easy way out. A similar thing happened to me, except that I had an epidural and a spinal, and it wore off only on my entire right side. I felt hot searing knives squeezing my insides after my son was taken out of my body. The anesthesiologist didn't believe me for what felt like forever. He finally maxed me out on drugs so I didn't feel it anymore, but when they decided to leave the epidural in for 24 hours, it didn't work on my entire right side again. I wished they had just taken the entire thing out so both sides felt the same instead of the mind fuck of that pain. But my mother told me I took the easy way out.
If the needle hit the nerve or spinal cord that’s not good. Look into the risks of epidurals causing AA adhesive arachnoidosis by Forest Tennant MD
If patients are not retaining important information because they’re upset or their mind is racing, and u know they aren’t receiving the information that you need them to know in order to help them… I would encourage them to record the entire visit, every visit, and listen to it when they are calm and alone. Then they can listen to it as many times as they want, and take notes of any questions they may have for the next time they see you
@mustangnawt1 Right on!! Did you know we also have a right to tape what’s going on during any kind of surgical procedure including any requiring general anesthesia (GA). It’s actually quite horrible how some doctors talk & what they & staff say & do while we’re there on the table completely unaware.
I’ll give you an example. I was the labor doula (support+ person) for a client decades ago who was very private & undergoing an (unnecessary, imo) c-section. As soon as they raised the drape in front of her while having a nerve block, I witnessed at least 8 surgical students march quietly into the OR w/her legs & feet in stirrups & her completely naked.
If that wasn’t bad enough, the two doctors were talking about the awesome new device they were thrilled (not hyperbole) to be using-a uterine/pelvic spreader to spread her uterus wide open. It was similar to a device they use for open heart surgeries.
She could also, very unfortunately, see what they were doing in the huge stainless steel surrounds of three major lamps above them. She couldn’t see the students at the end of the room (thankfully) watching her in all her “glory.” I’ll NEVER tell her they did that; she’d be devastated & severely traumatized for sure.
She wasn’t under GA but was out of it enough to not be able to talk or really even “get” what the doctors were saying; she definitely didn’t remember any of it bc of the drugs mixed in with the nerve blocking agents.
We’d worked out a system in advance w/the anesthesiologist for her to nod to me slightly when she was getting nauseated & needed more anesthesia (this was her 2nd c-section & she’d experienced terrible nausea the 1st time, but she had no doula w/her at that time).
She nodded several times, I’d let the anesthesiologist know, & he’d give her more meds primarily for pain & nausea. So that worked.
However, it was as if she knew on some level all that had happened; she was extremely down even when cuddling her baby back in her room; she didn’t smile which was 100% unlike her.
Fortunately she didn’t get post-partum depression, it’s own type of depression not the same as Major Depression.
Anyway, protect yourself especially in a teaching hospital or when under GA.
Hello! I’m speaking to all of you who want your privacy. Having the surgery taped keeps doctors & other staff on their best behavior. Plus if something goes wrong (malpractice), you have proof.
That said, this doctor seems well-intentioned; hope he is & that he remains so.
Some drs refuse to allow taping.
Interesting stuff!
@Marirose How would you go about taping your surgery? Does the hospital provide you with a tape or ???
@@cindyc2701 You hide your phone with the voice recorder turned on somewhere on your person.
So glad that you mentioned MCAD & POTS. My latest suergery in 2020 caused MCAD flare & POTS to come out of remission. Then although I was literally screaming in pain, I was sent home with inadequate pain management. I will NEVER have surgery again. If I die, I'll just die. The 5 months of agony in a level 10 pain shortened my life & now I have Medical PTSD. I nearly won't go to a doctor at all. I'm a retired RN & so disappointed at what has happened to medical care in my area. I hope there is a turn-around soon. I am not the only one who has "sworn off" of medical care. We need more Docs like you!
The opioid hysteria is REAL. So Frigging Pathetic that the government involvement in medicine has taken our whole country down to Exactly the treatment that YOU received. It beyond terrifying to think about needing surgery or being in an accident and truly needing rx pain relief to be available.
The medical profession has taken a HUGE and Terrible step Backwards! The doctors themselves are scared to death to prescribe meds for their chronic pain patients. Or even in your case to prescribe for Acute Pain!!#GodHelpUs.😦
I’ve had so many problems that now I feel the same way you do about it !!!
Never again … because they don’t treat us right, they don’t treat our pain, they let us suffer in pain…
I think what makes me the maddest is we don’t have to suffer in pain. They have things that can help us, but they won’t do it.
I was ran over by a car when I was younger so I had a lot of issues and dealt with a lot of 💩
Because of some stupid war on drugs, that the government started !!!
Just please don’t ignore your health.
No way will I have a nerve block ever again. As a result of oral surgery, I now have dental PTSD. I was sent home, alone, driving, in extreme pain, missed two weeks of work, got fired for excessive absence. I was taken via ambulance twice to ER and to two pain experts, all of whom refused medication. I resorted to illegal narcotics. It took two months to wean myself off. Either put me out with general anesthetic or forget it. I’ll go toothless first. I’m not a person who is prone to substance abuse.
Please, do NOT explain to me first. Now, I’m primed for a nerve block to fail.
@@gloriamaryhaywood2217 I wrote a term paper way back when I was about 37 about how the health care system is in charge of our health and calls the shots. Only rich people only people with corporate jobs will get the care that they need. Everybody else will be controlled by what the insurance decides what type of care you can get. I know some doctors hate the system and will lie for me. It's sad that some of the good doctors have to manipulate the system.
Nerve blocks work fine until complications occur. I had an epidural anesthetic that punctured the dura covering on my spinal cord resulting in an iatrogenic chronic pain syndrome known as Adhesive Arachnoiditis. There are thousands of these patients in the US alone that now live with a progressive pain condition. Be informed always!!
So sorry and the sick thing about that dx is the way they diagnose it actually causes it. Spinal tap? causes it
I have fairly severe scoliosis, before a C-section I went in with all my MRI and x-rays to see the anesthesiologist to plan for my epidural In 1998, when I had my youngest son, the day of, that horrible woman stuck me 23 times with the epidural needle, it sent a horrible and sharp pain down my hip and left leg so bad my mother thought I was dying and she was down the hall in a waiting room! I was screaming and screaming and begging for her to stop and screaming just knock me out! I opted to be awake for the birth of my son but her and three nurses were holding me down. What should have been a beautiful day caused irreversible nerve damage, there was blood all over the bed, it was a nightmare! When my dogs are finally came and I thought he was going to hit the lady! They finally knocked me out and my son was born, but what a freaking nightmare! It still causes me problems till this day!! I really wish I would have sued her, but with a new baby and working full-time I just never could seem to get around to it!
I live with chronic intractable pain from arachnoiditis in my lumbar spine after surgery for ruptured discs caused a tear in the dura. I had a great doctor who gave me a high enough dose of narcotics that I was able to live a fairly normal life 15 years ago. Then the DEA got involved and restricted narcotic dosing by doctors since drug abusers were buying pain killers illegally and dying. Because of this, I am now bed bound 90% of the time from the reduction of my narcotics dose and my pain level never goes below an 8 on a 1 to 10 scale, so I feel your pain, literally!
I’m in a similar struggle. Last year I went to pain management because I had a total of 8 bulging (not ruptured) discs, and they gave me an epidural in my lumbar. After the epidural, my pain got worse after the fentanyl wore off. At the 4 week mark I was already bed bound and had to drop out of school. They gave me Celebrex as if the decade of chronic use of NSAIDS that I would cycle through wasn’t enough of a warning. At about 6 weeks, one of the discs ruptured and I was on the floor kicking the wall to try to wake up my foot and leg. Became too nauseous to eat or take meds, and lost use of that leg. About a week later I went to my neurosurgeon consult and they told me to go to the ER. There I got told I basically had Cauda Equina syndrome and severe malnutrition, which I didn’t remember. I was all hazy due to the adderall withdrawal and finally being on some pain killers that actually worked. I didn’t want surgery because it’s scary. A few months later I relented because I was falling every week and my partner couldn’t take care of me. I had been hospitalized prior due to mental health reasons. I’m about 6 months post op, and while I’m still in excruciating pain, at least I can feel my feet, move that leg and not a fall risk.
As a long term chronic pain warrior, I'd never heard of this condition. I have stubborn treatment resistance pain. I recently took part in ketamine therapy for resistant complex PTSD. The relief of ANY ISSUE leaves your body, amazing things took place in my first treatment alone. I was thoroughly amazed at results on day one, beyond ANY expectations.Dr K mentions one benefit, 100% OFF MY RADAR. Pleasant discoveries if you embark.
Listen to him talk of the benefits of ketamine IV infusions. I used Ketamist® breathing treatments over a two hour session. 15-30 min administered meds and 2 hours of total relaxation! Not cheap, but worth your health if you can manage the $$.
I had a nerve block for shoulder surgery. It was shocking how well it worked. It was a huge help to recover from the surgery. It lasted 3.5 days and I was grateful to the Anesthesiologist. She really did a great job. I don't recall having sedation before the nerve block but it wasn't that bad. For someone like myself who has trouble taking pain meds, that nerve block was a blessing.
I, too had shoulder surgery… my block wore off absolutely all of the sudden, as if a switch was flipped at 2am in the morning ..it was horrendous… I was so completely comfortable, just bulky and awkward, afterward … ( rotator cuff) … that I went to bed regular time .. naively… BOOM 2 AM !! Bolt upright, horrific pain .. stupid of me to not foresee it happening… bury… what are ya gonna do?? They barely give you any pain meds anymore.. I wasn’t anxious to use one ‘in case my block wore off” …but I wish I had , because I’m sure it had to be worse to have that sudden gawd-awful assault!!
@@jomarsh6449 Sorry you had such a bad experience. I'm allergic to most pain meds so the block was a huge help for me. I also got a stem cell injection into the shoulder as they were completing the surgery so I had my arm out of the sling in 10 days. It was amazing that I had full range of motion at 14 days and was completely healed at 3.5 months. The stem cells made a huge difference for me.
I had a nerve block for shoulder replacement surgery 15 years ago. I wasn’t informed of getting a nerve block. Around 2 am, a nurse came in to check on me because my nerve block should be wearing off anytime soon. At that point, no pain, just discomfort. The nurse decided to give me some pain medication, and then all of a sudden, the nerve block went away. It was the very worst pain I’ve ever had, and I’ve 25+ surgeries, and was very glad the nurse was there. She did make sure I was able to become more comfortable. I later had a nerve bock on both of my knee replacement surgeries, and it was much better then, (5 years later)no drastic cut off in the relief with excruciating pain. I was informed I was going to get a nerve block, and it made me anxious. They explained how it had improved. They were correct.
I also had nerve blocks for bilateral knee replacements. Surgeon told me that my honeymoon would be over when they wore off the next day. I left the hospital and haven't taken an opioid since. It's been a year and a half.
Same
As a pain specialist, I LOVE this channel!! Thank you for how you teach including the concept of total pain, both physical and emotional aspects of pain.
Im a pain specialists of the other side & u r so correct. Some Drs r book smart but dont have a good bedside manner or have this much compassion & empathy. Spks in layman terms so all can understand. I'm sure Dr's get burned out hearing nothing but complains all day & then there r the liars (dope seekers).
Think all med students should see the movie THE DOCTOR!💜🧑🦽💜
No body knows how anesthesia works
@@elisabethfinn6702 huh ?! Omg , Doctors don't know how anesthesia works ??? Somehow that doesn't surprise me. Wow
You would be shocked at what Dr's don't know. There is nothing wrong with opioids. Overdoses are up 900%. Prescriptions are at the lowest ever.
There's no such thing as emotional physical pain
Wow, you are doing a huge service for people! It's so heartening to see a doctor spend significant time just trying to help people get through medical experiences. I've learned a lot from you! Thank you so very much for everything you are doing!❤
I am a nurse that broke my wrist in April AND needed revision of same area in November. Each time I told my doctor I DID NOT want general anesthesia but instead a nerve block. It worked great. Conscious sedation / nerve block. My thoughts was why EFFECT my WHOLE body when I just needed a small area to control. For me this worked. After each surgery I DIDN’T even need narcotics! If I ached I took Advil with very good relief. Thank you for your insights and information. I totally agree with you. People have so much control of the direction of their health than they realize. Advocate, advocate, advocate.
Thank you for sharing your empowering story!
My take on Nerve Blocks is that they truly works astoundingly GOOD for some people, and are an astounding FAIL for others!??🤔
@louisel.sinniger2057 I'm glad your pain didn't need a pain pill good for you. Keep on advocating for pain. Until one day hopefully you or God forbid a loved one needs a pill from a car wreck or broken neck! If your child broke their femur bone you would advocate for no pain pills for them? That's sick!😢
@@katygirl9221 no, on the contrary. I am NOT against pain meds. If a person has an injury or injuries then certainly pain meds should be available. Even across the ages.
@@gloriamaryhaywood2217 Yep, everyone is different. Same with opioids. MMEs are inaccurate. Fentanyl doesn't work at all for some people - like myself. It was a joke.
I'll never forget my nerve block because the doctors failed to tell me that I could have gotten medication to relax me. Maybe because I was always telling them I hate drugs and don't want them if I don't need them. I was already on quite a few medications for my c.r.p.s.
I laid on my stomach and was perched up on my forearms when all of a sudden, the nurse came over and gently grabbed my hands and said, ok, just relax. Alarms were going off inside my head because I realized this might actually be painful. Why else would the nurse tell me to squeeze her hands if I need too. And then another part of me said, "Don't be a wussy. It'll be done and over with in a few minutes.
So I then felt a needle poking me in my upper thigh, and then they apparently found the spot and put the needle in, which hurt very little. HOWEVER, the next thing I knew, there were words coming out of my mouth even I never heard before. I raised my buttocks up faster than the speed of light! And the doctor gently pushes my buttocks down, saying it's OK, just relax. I thought it was over. There was more to inject, and I forced myself to keep my buttocks down, but once again, I started spitting off with my teeth clenched together, saying words I never heard of. I was actually combining swear words with other words and made up my own pain language! I looked down, and poor nurses' hands looked purple from me, squeezing so tightly. And then the nurse says, see, that wasn't that bad, was it?
I had to stay in a bed for 30 minutes before I could leave. The nurse checked in on me asking how my leg felt. I was honest and told her I was in more pain then what I came in with. I left but struggled to get to the car. The pain continued to get more intense. I just thought that was normal. We got home and as I took my first step, that's when the pain was way past a 10! I couldn't get up my darn stairs. I live in a 2 family home. So I just sat on the stair backwards, lifted my buttocks up to the next stair and so on. Took 30 minutes! Crawled in bed and never left that bed for 5 days. That nerve block crippled me. I was so uneducated in the medical industry so I never knew the right questions to ask the doctors and my thinking was that this is what happens when you get a nerve block. But my pain never got any better...There is so much left to tell about my life with C.R.P.S.(RSD)but my point to this video is how happy I am to see a doctor who explains everything to his patients. No surprises. I also love the education you're spreading because if there's anything great I've learned from being sick is this: Take charge of your body. You know your body best. Learn as much as you can about your condition because knowledge is power. It gives you more confidence and the ability to make better decisions about your overall health care. Remember, doctors aren't God! Don't ever be intimidated by someone's title. We are all equal. So speak up for yourself at your doctor's appointments. Ask questions. Don't ever be afraid to find another doctor that you're more comfortable with. Believe it or not, a good majority of doctors don't get upset when you go to another doctor...and stay educated.....there's no excuses why you can't given all the information we now have access to us thru the internet...
I too have CRPS. It's no fun and the nerve blocks they give you just so you can attempt a "normal" life is definitely hard. I've had quite a few, doesn't get easier. Radio frequency albations are terrible too. Sure, the procedures are quick. You and I get that, but holy. When they hit that triggered nerve and irritate it even more, that pain is soooo intense. Our bodies over react to the most littlest of things to begin with (omg! A hangnail! We're soon gonna lose the finger 🤦) So, when extra trauma is introduced, no wonder these hurt us sooo bad, and ya sometimes they do epically fail and we pay the price. I'm sorry your experience was so bad, but I do hope things are "ok" for you. It's a tough disease but we just gotta keep showing it who's tougher. Take care.
@catherinegilles6408 I can only speak for myself, but after about 7-10 days post block things settle down enough to function for awhile. Now that I have had RF albations, that one side of my butt is numb...from the inside. Normally I don't feel the numbness, but when in a flare, I can feel it. Which, to me, means the doc hit the right triggered nerve. I will take a half numb butt/lower back over incapacitating pain any day.
@@canonshooter2137I'm
Well said Doctor! Thank you from an RN who has had major abdominal surgery. Pain is recalled by our brains for sure!
What needs to be discussed is getting Arachnoiditis from injections or back surgery. How getting injections/surgery can cause a lifetime of incurable pain.
I love your videos! I worked as a medical/surgical assistant for 30 years and YOU are an excellent, informed source that could help reform our medical care.
As an RN and PhD in clinical psychology, you are a true treasure. More doctors should follow your example of patient focused care
I have had many surgeries. My last surgery (skull to c3 fusion) left me terrified to ever have another. The first memory I have of being awake was (embarrassing) sitting up screaming for someone to please kill me. My curtains were open in the recovery area and a lot of people working (not other patients) were looking at me. I was at least saying please and not cursing I guess. I couldn’t understand why no one would. I have never felt pain like that and I had shoulder surgery without post op pain medication, because they thought I had a block, but I didn’t, because they ran out of time before surgery. That was nothing compared to this. The anesthesiologist was screaming at me that he had given me enough morphine and ketamine to kill a normal person and I wasn’t phased. He repeatedly said I must have a drug habit I wasn’t telling him about. Another man (not sure position) asked if he needed help. He said no, that the other person couldn’t be over there because he wasn’t certified in ketamine. A woman walked over and yelled at him to look at my arm. The lower half of my arm looked like a football. She said that was the problem. She quickly took the IV out while he left angry. She started one on the other arm and said you will feel better in just a… woke up a day later in ICU.I had to go through the ER a week later for a post op infection. There was a group of about five interns or residents that looked at my chart. On of them said, oh your that girl. They had to turn around, because they cracked up. Then asked me if the doctor really missed my IV blowing (forgot the word they used).
I am now absolutely terrified to have surgery again, which I need. How do I convince myself to do it and not freak out about it. Surgery is hard enough for me. It takes 11-12 months for incisions to heal and it sets off an autoimmune flare.
I had a similar experience. I had T4-L1 fusion for scoliosis which was like my entire spine cut open- 86 staples. I woke up screaming in the ICU, was told I couldn’t receive any pain medication because my respirations were not high enough(because I was screaming?!!) the entire hospital stay I had NO PAIN MEDICATION! I kept screaming for people to Kill me there. I wanted my family to smother me with a pillow to make the pain end( I have horrible chronic pain, but NOTHING was like that). I hurt so badly I would pass in and out of consciousness. I couldn’t even formulate a coherent sentence asking for medication. I have MAJOR PTSD after that…. Little than 2 weeks later my rods snapped off my pedicle screws and needed an emergency reconstructive surgery. I was TERRIFIED to have the same pain. I made sure that I had a great post op care for pain treatment and after that 2nd surgery and had it at a different hospital than the 1st surgery; it was like heaven compared to the 1st one ( they had to open me up 2/3 the way on the second surgery too)
@@Spiritualpanda2 oh my gosh, I can’t even imagine! I’m glad you were able to go to a different hospital. I hope you never have to have another surgery.
I've had a blown arm....sorry you went through the surgery that way god getting a line in is way too important to miss
Joanna- PLEASE go to a DIFFERENT hospital, with a different surgeon so there's no malpractice, I HOPE! I'm SO sorry that happened to you! It sounds HORRIBLE!!
Omg… 10 yrs ago i was having breast lift/ reconstructive surgery and i woke up in the middle of it! This was in the surgery room of a provider’s office. I couldnt speak but thank God i heard the nurse say something about my tears flowing down… i woke up after it was over. From now on i ALWAYS tell hospitals etc about that.
A most interesting discussion, this. A chronic pain patient for years, I had to have shoulder surgery for a torn rotator cuff, frozen shoulder, and bursitis. My pain doctor wouldn’t even discuss it with my Ortho, so I was extremely anxious. My Ortho reassured me he would take care of me.
The Anesthesiologist administered a nerve block in said shoulder to such an extent that I had no shoulder pain at all until about my second physical therapy visit.
I thanked my Ortho profusely and urged him to please thank the Anesthesiologist for me. Job very well done!
Had multiple nerve blocks in my shoulder prior to surgery & after wrist surgery .
It was uniquely HORRIBLE .
Now I know how an amputee feels ..
Absolutely hated the feeling of the nerve block .
I'm a chronic pain patient too, and can't get sufficient treatment because the injections and non-opiate medications weren't successful at all. The first time I had injections in my neck they "worked"- kinda but I'm betting it was a placebo. I still had my neck aches, the pain just seemed to avoid the lower part of the neck where it hurt less anyway(neckaches). I discovered something shocking that doctors apparently don't know because they, for some odd reason, use government as a Supreme source of science, meaning they just trust their word to the point of not even checking their data where the literally post the evidence that the entire Prescription Opioid Crisis is a scandal. Not only did I discover this data, in the Opioid deaths, an average of only %3 actually recieved a prescription (the rest are street drugs(script opioids smuggled in by gangs and Cartels becausethey have street value, like all the other drugs that get smuggled in, primarily Fentenyl. Of that 3%, an average of 90% are methadone overdoses(Methadone Clinic Patients), yet the lying Government Agencies "conclusions" are that Chronic Pain Patients are responsible for 100% of the entire Opioid Crisis while according to their own data Chronic Pain Patients only make up 0.3% of their prescription opioid deaths. Yet no doctors are aware of this? They don't even check after the government? That's insane! And horrific, I can't even get treatment sufficient enough to be worth going to a pain clinic, because only opioids worked and the doctor somehow knows everything yet says my neck isn't as painful as it actually is, by an enormous degree. 1 tramadal a day, for only 15 days out of a month, yeas 15 tramadal a month. 2 tramadal at once rarely reduced the pain with 4 hours of taking, using a neck traction device and 8-hour frozen gel pack without cover. I told the doctor, because I had already done a lot of reading and knew about the crap going on. So I told him I'm not even worried about all the other pain I get because I can atleast remain awake with that pain(Degeneration in lower back, 2nd through 5th dics, in neck c5-c6, c6-c7, 3 pinched nerves, 41 years old and the pain started at 14yo, 1 year after bad four wheeler wreck. Only so often when it first started, maybe tramadal would had worked then. He literally had everyone gather in the next room, left the door cracked(only time ever) and tried to provoke me into cussing him out(I didn't, I requested a new doctor, he put someone on it then called it off as soon as I left, 4 months and the never even called me back. He was literally smiling while I talking about the medication he gave me not being anywhere near sufficient, when he told me it's enough BECAUSE he said it's enough(I passed every drug test and got one more months than not for 9 months), he turned his face and put hid his mouth with the papers in is hand, almost busting out laughing. Most Chronic pain patients are getting no treatment to insufficient treatment if all of the low effectiveness options don't work. As soon as he prescribed tramadal, literally two years after I started going there, hurting the entire time, he stopped even being concerned with how the treatment was doing, as in he didn't care. And I had to request them in which he said, "I guess" in a tone like it was a bother to him, to have to scribble on paper. And it turns out that ALL of these doctors don't even check the governments data, they just accept the BS they are fabricated to get rich. I know this because I somehow stumbled onto an article written by a lower employee in the agency that's pushing this(I literally can't say that abbreviation or my comment will be automatically removed. UA-cam censoring algorithm, like clockwork within 10 seconds of posting. Not even sure this comment will stay. The lower employee wrote an article, that I can't f!nd again despite knowing most of the tittle, stating the same data points I discovered years prior(read this article about 6 months ago), only he labeled it as "outdated data collection methods", it lies not an error, confirmed by the same article because he said, "We have showed the upper officials this several times yet they, that prescription opioid deaths are being grossly overestimated, yet they don't update the data, update the data collection methods nor change their lying conclusions saying 100% of prescription deaths are from Chronic Pain Patients that only make up 0.3% of their prescription deaths. This not only shows how cruel the government is. That literally everyone trusts without a shred of skepticism, as if, historically, government can be trusted AT ALL. And I have a severe case of Hypermobile EDS. At only 41 years old I can only sleep for about 4 consecutive hours, disabled, because I'll wake up in so much pain I can't even continue laying in bed. I really can't wait till the day I die, that's literally the only way I'll ever catch a break. Many others have had to turn to drug dealers for medical help, I'm aut!stic and very uncomfortable around people so I can't even buy drugs to help because I don't know anyone, I have zero friends and people make me uncomfortable even my own brother.
A rehab did a 500 opiate addict patient study and shockingly found that only 2% of their patients had ever recieved a prescription for opioids in their whole life.
@@gomphrena-beautifulflower-8043 I'm sorry for what you have to go through, and that's exactly what I mean, over complete lies so high up officials in the [See D See] can get rich. I learned about them, DEA, going after legit doctors and trying to imprison them, removing their practicing licenses, etc. It's really sad that people are begging our extremely corrupt government to expand, seize more rights and have more control over their lives. I've figured out what the core of the problem is but unfortunately others are quick to ignore it because of an internal bias we all have that make us feel safe, so obviously the government wouldn't be that corrupt. We, or they(people) could resolve this problem but they can't see it. Congress is not going to resolve it and there is a good reason for that. Among the top bureaucrats in the Military, Intelligence Agencies and DOJ they have what is known as Centralized Power. Our Foounding Father's were very aware of the centralized power within all other systems, they worked effortlessly to design a system that lacked centralized power, hence Seperations of Power and Coequal Branches. But this was all undone during Abraham Lincoln's Presidency when he centralized the military. The founding fathers weren't id!ots, they designed our system with each state having it own military on purpose, to avoid creating centralized power. He granted them insane levels of power and his intentions to remove those powers after the Civil War were the reason for his assisanation by the Military, they tried to get his VP and one other political figure on the same day they killed Lincoln's but security took both of the other two assisans out. So those powers did get removed but the damage was already. The military got to refine their spying tactics and being they had the power to spy on anyone without even having a reason they spied on Judges and congress and used that as blackmail to control others in government. It took a long time, slowly working at it, spying and controlling via blackmail for them to finally get their "update" installed which is the intelligence and DOJ. I'm no Historian by the way, I've just learned key pices of history that allow me to connect the dots, human behavior is very predictable when lust for power is involved. It is fact that this relatively tiny group of unelected bureacrats, the top bureaucratic positions, have a lot of very useful concentrated powers that makes the Seperations of Powers and Coequal Branches ineffective because these bureacrats have powers that can easily be used to gain significant control of our nation. They are the ones who have the sole discretion on who is and isn't investigated prosecuted with the know how and resource to spy. Because they have that discretion they are literally above the law hence that no matter what they get caught doing or how evil it is they are never held accountable.
Thus, it doesn't matter if what they are doing is illegal, for starters they have very little oversight thus much of what they do goes completely undetected by anyone honest/not corrupt. This means they can spy on anyone, including their own agents hence "failing upwards", the worst people are who move up to the highest positions. Because they can spy on Congress they only need to f!nd so many criminals that can be controlled via threat of prosecution, and for the people they control so long as they do as told they can commit all of the financial crimes they desire, and this is why corrupt politicians do not get prosecuted. They control a lot of people in both the House and Senate, in both parties. As an example that they definitely spy on congress the CIA was once caught red-handed spying on Senators. John Durham, the same guy investigating, or supposed to be, the intelligence agencies attempt to take Trump down via fabricated information and records trickling down through various hands leading from the Hillary Clinton campaign in 2015, who had very similar dossiers crafted for two other Republicans, one being Ted Cruz, I forgot the others name but they were ready to go to frame the top 3 possible wins for the Republican Party, with the FBI and CIA as well as intelligence agencies from the UK and Australia all playing their role in helping frame Trump, bouncing around fake information to give the appearance that it was verified through multiple sources. Jeez, sorry, I'm aut!stic, I trail off a lot. Back to the point, John Durham was appointed Special Council to investigate the CIA when they got caught spying on Senators, two year investigation/cover-up and he reported there was no criminal evidence. Thus nothing even happened to the CIA. they know they aren't going to be held accountable because there is no one that can hold them accountable. Congress has the power to but they control enough of congress to prevent themselves from being removed or defunded. They also control enough votes in the Senate to be able to control who gets approved by the Senate for POTUS appointed positions that have power over them and access to their database which is massive. Thus the limited access some of congress has means very little, you have to know where to look, it's like the !nternet, basically. So, this is the reason that regardless of what party is in office, with the only POTUS in my lifetime that's different, because he isn't a criminal that they could f!nd, else he never would had become POTUS, but every other Republican and Democrat POTUS in my lifetime all have very similar policy as far as with the Military and Intelligence agencies. Bush and Obama, are just two different flavors of the same thing. They are intentionally destroying our economy to create more crime to beef up more government enforcement and remove more rights. The last POTUS to go against them and really try to turn around their intentional destruction, that I know of, was JFK and they assisanated him. So much evidence has been discovered since that day to moderate days that it's beyond a doubt, with very detailed facts on how it all went down and many intercepted messages trying to warn Kenned, LB Johnson having a role in it to. The plan was crafted by the CIA, the FBI and Secret Service helped carry out the assisanation. YT channel America's Untold Stories is a great source to learn about all the information that has been discovered. And the CIA coined the term, "conspiracy theory" as a means to prevent people from looking at that evidence.
Anyway. The main point here is our nation's problems are going to continue getting worse because that's literally their intentions and being the only thing that could fix our nation is supporters of both parties coming together in a massive display of force in nearly every major city through the US, not protesting but DEMANDING the removal of the Centralized Intelligence Agencies and busting the Military back up how it's supposed to be so that Seperations of Powers and Coequal Branches of Government actually functions as it's supposed to. I feel the top bureaucrats should be executed, via trial, for treason(IF this ever occurs before they take complete control, the entire purpose of expanding their power and government enforcement. Looking to people, and especially how the political left has literally been cheering on the corrupt intelligence agencies going after Trump and his supporters, allowing them, the Bureaucrats, to gain more power faster, this is not likely to occur at all thus they will win and the future of humanity, due to the advancements of technology and the serious upperhand the government has through secret military technology, humanity will be on its way to permanent enslavement with the wealthiest families as our permanent dictators. It will be a dictatorship in the Us prior, of course, the one wold government is basically the plan of the 13 richest families in the world. The guy who started the world economic forum was sent to school in the US under a program created by the CIA, that is where his ideas came from.
I'm so glad you had a good experience.
@@crimadellaphone9374 the truth doesn't matter. Doctors can't prescribe the way they want.
The days of relief are gone.
Years ago, I bought a tape made by an anesthesiologist about how to prepare for surgery. On one side it told you how to prepare for surgery (including how to ask about giving something to relax you before entering the OR). On the other side was relaxation and affirmations. Decades later, I do all that was told me by the tape to good effect. I am happy to report I've never had a problem with anesthesia.
That's fantastic to hear!
Can you please give us more details?
@@amusedBYfools
Tracee, may I suggest doing a search on UA-cam, "Advice from an anesthesiologist before your surgery," and "relaxing affirmations before your surgery from an anesthesiologist before your surgery." Good luck.
@@amusedBYfools Thank you! These tapes can be very powerful, they are a form of clinical hypnosis that can be quite powerful under the disinhibiting effects of anesthesia. I have a recording that used to be on my website, I need to add it there again!
Last few surgeries I asked for something to relax me and the anesthesiologist refused to give me anything.
I had a nerve block for my foot surgery, it was brilliant ! The team used a portable ultrasound and administered two nerve blocks in my leg, I was instructed to tell them if I felt a prickling sensation and then they moved the nerve blocking needle a few millimeters and the prickling stopped. They placed a Scopolamine patch on the bone behind my left ear, so I would not be nauseous from anesthesia . Then they wheeled my bed into the OR and I climbed onto the OR table, then I breathed in deeply with a plastic mask and I was asleep for the surgery! I went home when I awoke, and my nerve block lasted five days ! When it wore off, I took one Ibuprofen. And I needed no more for the whole time ! I had to not put weight on my foot for six weeks. I used a knee rover. I am totally healed, used pure silicone on my scar. Great results. I am very very happy with my nerve block experience! I had no pain whatsoever, and I am a red head .
I am a redhead also, and now that I’m turning gray I always make sure the anesthesiologist knows.
@Beverly ....hmmm. I'm also a redhead. My old dentist couldn't get me numb with lidocaine, despite giving me multiple shots, including a special technique called akinosi. That didn't work either. After getting sent home multiple times without being able to do the procedures I now see a dentist who gives anesthesia 😊 but even then I wake up just sightly about every five minutes. Not enough to feel pain, but enough to where they need to keep giving me more. Anyway, my old dentist said this was because I'm a redhead and he's had other redhead patients like this. I wonder why this is?!
Redheads perceive pain differently and our threshold can be higher, thus the need for more anesthesia.
I’m having foot surgery in a couple of weeks, and am considering a nerve block. Glad you had such a positive experience.
I noticed when I went for my hip replacements the other staff (not the anesthesia people) almost make one feel that a spinal anesthesia is mandatory. I was worried because of spinal surgery in the past they might possibly awaken problems but anesthesia confirmed he would use general and even told me that no one can mandate you have a spinal over a general. They say spinal is good for post op pain control but I was feeling much better after the surgery than going in and had no pain for 12 hours after a general!
I had a complete reverse shoulder replacement last year. The nerve block was amazing as well as heaven sent. I love modern medicine.
My Dad had that button on his death bed. It was an open line of morphine. I couldn't do it doc. The nurses had to come in and do it. They gave him 2 big needles with red caps on it. I'm assuming they were fentanyl. He had terminal cancer and they said he wasn't gonna make it threw the night. I was confused and shocked and didn't know what to do. I also didn't want him to suffer. The nurses eventually gave him his final dose 20 minutes before he passed I remember they came in and gave it to him in his iv. They didn't really say what it was they just came in and gave it to him and that was it. The doctor came in around 30 minutes later and said I'm sorry he is dead. I was still in shock and didn't want to believe he was passed. Cancer sucks ♋️
"The Body Keeps The Score" - Bessel Van Der Kolk. Thank you!
I believe that having a Nerve Block saved my life. I had reproductive surgery and while they were in there, they separated my uterus from my bowels.
My nerve block was so effective that I literally only had to take acetominophen and ibuprofen (as well as CBD eventually) - I never took the opioids.
I already had issues with constipation, and I believe that if I had been healing my sigmoid colon and having to take opioids, my complications would have been worse!
Good point. Yes opioids cause constipation.
I'm so glad things went well for you. ❤
Well.. what kind of medication went in your nerve block?.... For me they put morfine and ketamine in my nerve block, so you might have taken it anyway
That's more common than you know. My hysterectomy was like that. I only take Ibuprofen because pain meds work backwards on me.
Love your explanations. My shoulder block was done while I was awake before meds. I’m not a queasy person and did well with it. The doctor and nurse explained everything. It was an intense feeling of pressure while administered that only took a minute or so. Nothing unbearable with being told what was happening. After surgery, and the block wore off 24+ hours later, the pain was no where near what pain was recovering from other surgeries. Kudos to anesthesiologists like you!!!
Having my shoulder cleaned of arthritis in January & hopefully I have the same luck.Jyst had a surgical release of My ilio psoas over a hip replacement & I never had pain there..no meds!
For my right knee replacement, I was given a spinal anesthetic. I was told it was similar to a nerve block but, even today, I still am unsure as what the real difference is. At any rate, my anxiety mostly stemmed from the injection itself, which I had seen in a UA-cam video...but wished I hadn't! Well, the injection into my spine was totally painless. The nurse then told me to lie down quickly as the medication would take effect very fast. Before I got down to lying flat on the bed, the medication was already taking hold. The numbness went from the bottom of my jaw to the tips of my toes! My best friend, who was also in the room, was taping the whole thing. I LOVED IT! I was talking like someone totally drunk as I told my friend, slowly, "Rick, you gotta try this stuff!" In the OR during most of the surgery, I was awake and joking around with the nurse who kept popping up over my head asking how I was doing. In the meantime, I could hear the surgeon hammering away at something, drilling into something, etc...ALL without feeling anything whatsoever! It was amazing! At one point, though, I must have fallen asleep because I don't remember the end of the surgery...just waking up in the ICU.
I had a nerve block on the first of three shoulder surgeries I’ve had. The anesthesiologist didn’t say anything about it before surgery. When my arm was totally dead long after my surgery, I started to freak out. It’s pretty scary. I would have preferred to know what to expect.
Thank you for what you’re doing here. I’ve been through a bunch of surgeries, and have another coming up. It really helps to understand more of the process.
It's difficult to ask questions of the docs when you don't even know what's going on. I hate how they keep us in the dark.
@@amusedBYfools I don’t think it’s an effort to keep us in the dark. I teach highly technical, mechanical concepts that I have used in my employment for the last 45 years. So I understand that when you are so used to doing certain things that it have become second nature or just simply routine it’s easy to forget sometimes others don’t see things through your eyes. I think some doctors just don’t think to tell certain things that they just don’t think are that big a deal. After numerous surgeries to repair damaged body parts, I have a pretty good idea of the questions to ask, but I’m still grateful to have come across this UA-cam channel.
Very dangerous.
HIPPA
I'm freaking out right now. Had nerve block today for wrist surgery. It wasn't clear to me my arm/haand would be a limp noodle. i wasn't prepared for this. I can't sleep. Been 14 hours. Afraid my hand won't wake up. Doctors are always in a rush. I would honestly prefer the pain. I've never been so afraid.
I've had two nerve blocks for orthopedic surgeries and I believe I suffer from PTSD from that experience. In my case, it was quite painful and eventhough post op it does help with pain, I would not have it done again!
Me to 2 times
I jump from the table..
Never never never again😢
I will better die than that😢 i have fshd..
So a lot pain there😢
I’m sorry you have PTSD from the nerve blocks, but I hope you understand that nurses can only give meds with orders from Drs, and they are not unlimited - huge side effects from narcotics limit their use & you may have PTSD from the pain. Your best bet is to get anxiety & fear under control with education from these types of videos. Good Luck!
NO WE ARE GOING BACK TO OLD TIME PAIN RELIEF BECAUSE SO MANY MISUSE OPIOIDS.
Exactly. Abuse of poison medications by others is rippling to cause ME distress as doctors are fearful to treat chronic lifelong pain from disability (that is obvious and extremely documented).
I was given a pain block prior to a rotator cuff repair & reattachment. The anesthesiologist krpt asking me if there was any change- and I kept telling him no. He told my surgeon I was ready to go. I woke up after surgery in sheer agony- the nurse came by me & was on the phone to my doctor- she said nerve block failed- listen to how much pain she’s in… doctor told her to give me 2 large Iv doses of morphine because I was
In sooo much pain… I was given no injection during the “nerve block” I was dry needled- which was not fun. I ve had 26 surgeries & procedures and my rotator cuff surgery was the MOST PAINFUL of all I ever had- including a quad by pass open heart!!!!!!
Just before my broken ankle surgery, I had that nerve block done on the back of my thigh, and it HURT ! I was squeezing the hand of the nurse the whole time, BUT when I awoke the next morning I was pain free, i am happy I agreed to that as I did not need any pain medication for a few hours after awaking that morning . Thank you for this video 😊
You are such a cute guy!! Tell your mom she raised a gem! Your compassion and kindness is so beautiful!
I had a knee replacement 2 years ago and when the nerve blocks wore off, I thought I would die!! No one warned me, but I certainly have told others to make sure they take plenty of pain meds and anti- nausea meds if needed to take care of the pain. Thank you so very much for these wonderful videos- you are a doll!! 😊♥️🙏
Me too.. I screamed so loud when I barely tried to move.. I didn’t know it had worn off!! Never again for me. Also have 3 toes that won’t lay flat (permanent hammer toe). 🤯
I believe that the nerve block does result in less pain following surgery. I had both great toes operated on, the first one had no nerve block and the second one did (the joint was fused in each) and on the second one the healing was markedly easier.
I was given a spinal for my knee replacement. I can very vividly remember waking up to the pounding of the implant in my leg. Could not get my anesthesiologist's attention because she wasnt even there. Finally i was given something to knock me out. I asked my surgeon about this and he nonchalantly shrugged and said it happens. Im now saddled with the extra medical ptsd on top of my cptsd. Ive lost all faith in medical professionals. All they want to do is replace my joints one by one yet wont help with the pain after. I am allergic to nsaids and steroids make me suicidal. Its getting hard to trust them. It probably will be my ending from these reched diseases. Simply being told there is nothing else we can do for you but fuse your wrist to elbow, blah blah blah. You give me a glimmer of hope.
I completely agree. I wish I had known this before I had nerve blocks. I kept asking and asking about information from the doctors, but no one ever explain it like you just did.
When I had my thyroid surgery, the nurses let me keep my teddy bear with me the whole time. Right before they started the anesthesia, the surgical nurse put a surgical mask on my bear and put him up on a shelf to be safe. My bear was with me in post op, so I knew I was okay.
That kindness of letting me keep my bear with me through my whole hospital experience helped me so much.
In doing some research for my upcoming Rotator cuff/bicep tenodesis, I stumbled across your page. I am a retired 30+year paramedic, so I can’t help myself in that regard :😊. Over the years of my career, I have learned so much but I am learning so much from the standpoint of anesthesiology from you. Great videos and lots of great information. Man, I wish you were going to be my anesthesiologist, my I am pretty impressed with my surgeon and I have no doubt he has a good anesthesiologist on deck for me.
I had that exact block for my shoulder surgery. It took quite a few sticks to get it done but, I had no pain after the surgery. I was able to leave the hospital with no pain meds given after I woke up. I loved it! I was able to sleep without pain that night. I started an over-the-counter pain med the next day. Thank you for such informative videos!
Dear Dr, you are SO APPRECIATED and LOVED!
I’m not sure you’ll know this, but I had a nerve block done for a nagging pain I had years after a surgery on my neck.
The thing is I’m not sure you’ll know why I got so emotional afterwards.
I’ve never been so emotional, like sobbing uncontrollably in recovery after the procedure.
It wasn’t pain, it was more like a mourning, it was absolutely unexpected and no one seems to know why. Some suggested it might be the depressant they gave me before the procedure.
The nerve block procedure was suggested because of my ongoing pain on the right side of my neck.
Thank you.
Thanks for answering my question on Post Traumatic Stress Disorder after a surgery and class 4 trauma 💕🥰
Wow, i can't believe he calls his patients!!! My doctors sure dont!
Ive been in Chronic Pain for yrs. He is an awesome Doctor.
Praise God for you.😊
I opted for the nerve block and staying mostly awake for a knee replacement 18 months ago. Best surgical experience ever!
Twilight sedation without general anaesthetisa?
A year after spinal fusion of L4/L5 L5/S1 I had to go back in to re-fuse one level. In pre-op I had tears running down my face and I feared they would cancel the surgery. I wasn't emotionally upset. This was likely my body remembering the hours long surgery of the first fusion.
I'm sorry you had that experience. It really shows how the body keeps score. I greatly admire your vulnerability in sharing that.
Sounds similar to my expirence l had a nasal cranial CFS leak repair after nasal reconstruction to reach the skull base sinus area where the leak was it turned out much worse my brain was pushing into the sinus much bigger injury. So that procedure took much longer then even after telling the team l was high sensitive to full or large doses of Percocet. They gave me 2 after l had been brought to l coded had to be brought back. I do not recall waking from surgery nor thankfully recall that rescue but my next surgery l was crying before and woke up crying even with no pain just felt high stress. I guess it was the trauma my body remembers has made going under and waking hard now. Wish there was something that helped our system release these traumas.
For my partial knee replacement, they did a nerve block near my knee, got rto be honest it hurt like hell. When I went to the OR and they had me sit on the edge of the table, told me they where giving me a spinal. So after being told to remain absolutely still, they injected some numbing agent and immediately did the spinal, felt all that shit. Only thing I was told is do not move. Everything wore off in about 6 hours, and I felt like someone was hitting my knee with an axe.
I had shoulder surgery while being treated for RSD. The anesthesiologist administered a pain pump prior to surgery. I had a self administered button to inject pain meds. It was my understanding that the meds were on a timer so one can't overdose on the medication. After 6 weeks of grueling PT and success with mobility the pump was removed. I am very grateful for anesthesiologists who understand RSD/CRPS and getting me into remission.
I'm so grateful for your straight talk. You are a blessing for all patients. Thank you ❤❤❤
I just went through my 2nd round of pelvic floor Botox injections with pudendal nerve block. The first time the nerve block was amazing. I woke up and the first words out of my mouth were, oh my god I don't hurt at all! It had been years. Thai lasted a few days. This time I woke up and my left side was in spasm. I told the nurse and she called my doctor who said that can happen and we could talk about it at my 2 week file follow up. I was so incredibly frustrated that no one cared that it obviously wasn't done properly and I was going to have to deal with pain unecessarily for the next few days. Constipation is a huge driver of my pelvic pain so I try and take as little meds as possible and I knew I'd need more because the nerve block didn't work. No one cared. I was in tears over it because no one cared that the nerve block hadn't worked. To me it was half the point of the procedure. So frustrating, mostly because I was just completely ignored and dismissed as having poor pain tolerance instead of acknowledging that I was having pain that I shouldn't.
I had a nerve block before my surgery. That scared me more than the actual surgery. Everything went well. Thank you God and anesthesiologist
I'm glad 😢
I had 2 nerve blocks in both hands for a carpul tunnel surgery that was screaming painful but I didn’t scream outloud and I was traumatized by having both hands done one after another AND zero medication… no pain meds and nothing for sedation or anxiety. I went shopping at Costco with my husband pushing me cart as I walked around with numb hands and then the gravity of the surgery and the very painful nerve block surgery began to make me feel very uncomfortable and I began crying. I’m a victim of S/A as a child and then as a 14 yr old was kidnapped,drugged & aRped for 2 days and then he took high power rifle to take a shot at me a couple days later after I broke my promise and told what he’d done to me. He missed me but killed my pet deer I was petting. Id been abandoned by my parents and left alone for days att a time while my siblings were living with a family in our church.
My body has kept the score and my immune system has failed me. I’ve suffered horrible chronic pain and recently was DX w Ehlers Danlos and Mast Cell.. EDS explained why the over 20 surgeries have not had a good outcome including the last one, Interlaminal fixation device” and now I’m so crippled that I can’t walk without a walker, but I still try to keep going and decorating the tables for church fellowship meals or events that I’ve done for 30 years….I refuse to give up but I’m having 2nd thoughts about going up and stop doing it but then no one else will do it…20 tables is a lot of work
Thank you for such a good video. I can tell you now that there needs to be more doctors and anesthesiologists like you. They just don’t have the patience to talk and understand how afraid some patients are. When I had my back surgery, I was petrified. Walking back to the operating room I started crying and my legs were so week. The nurse was tryouts n’t to be comforting and assuring. But I told her that she didn’t know how I felt. It literally felt like a cow being led back to slaughter. That fear is so horrible.
Oh my goodness... 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 🙏
I wish all doctors talked to their patients the way you talk to human beings you have never even met before here on UA-cam. I have a great doctor at Semmes Murphy clinic who acts like you. He is so awesome.
He's so kind, and sweet, and handsome 😭❤️😭❤️
I had my right knee replaced and woke up with horrible pain in my right hip and leg. This was in 2014. It has taken 9 years to slowly improve. I still cannot lie on my right side, nor can I let my right heel touch the bed when I am on my back (burning pain in heel). The worst part of it was that my doctor did not believe me! He xrayed my back and said you are fine. I was not and I still am not. I have always had a hip issue, not painful, but positional. My right foot turns out slightly. I decided they must have positioned me for surgery and had that gimpy hip in a bad position, and since I was asleep I could not tell them so no one knew. If not that , then they hammered so hard replacing my knee that my pelvis was cracked. I did have to have glue put in a crack in the area that supports your spine. It was incidentally discovered some months later. Fixing that did not stop the pain. I never went back to that doctor after the knee surgery. My life was ruined by it. Because I took pain medicine for my back pain, he assumed I was a drug seeker. I am not. I take as little of the medication as possible. My back is really bad as well. I wish to heaven that I had just lived with my arthritic right knee. I will live with the left one.
There were some guys at Walter Reed looking at nerve blocks under General and found that the personality changes associated with major surgery mostly went away. A recent paper looked at anesthetics disrupting signaling in L5 pyramidal neurons for dampening the consciousness signal.
It seems like unblocked surgery under GA leaves your consciousness unable to remember the trauma but another part of the brain remembers being mauled by a lion, or the modern equivalent thereof.
Interesting....
It's scarey that they use drugs like AMBIEN for sleep. Sedative hypnotics should never leave the OR!!.
Hmm
Its been 4 months since this was originally posted and I just wanted to take a moment to send a little love to Wanda.
I hope and pray that you're healthy and enjoying your very best life.
❤❤❤
Thank you SO much for spreading truths about anesthesia. I hope you inspire zillions of such docs to follow your lead! I’m grateful that before every recent surgery, the anesthesiologist comes to meet me, to explain the upcoming process, and to answer my questions. I attribute my calmness going into the operating suite to this compassionate process. Bless you!
I had a nerve block after surgery. 2 yrs ago I broke my left wrist. And in recovery we couldn't bring my pain level down. I was very thankful!
Inform better, fully… most patients don’t know the right questions to ask. Most patients would never imagine what y’all do to their body under anesthesia and during surgery… it’s the medical professionals responsibility to inform what’s going to happen in the operating room. Most pts would never imagine they will be catherized during surgery or prepped. Often intubation is never mentioned, just meds to make you sleep… so many procedures are never mentioned… this must change. Don’t wait for pts to ask the right questions , fully inform without questions
As someone with nearly 40 years in the medical field I've seen and heard things in the OR that would disgust you. That's one reason I've always been terrified of surgery, what shitty comments and jokes would be made about me, what would be hanging out uncovered for no reason, and who would be parading through the room.
The anesthesiologist is always my best friend..I appreciated the nerve block I received when I had rotator cuff surgery. You’ve helped me understand why I have had the experiences that I’ve had with my C-sections and cervical spine fusion.
As a former nurse, who knows a lot re pain control, pain gates etc due to working in St Christopher’s Hospice, I’m pretty comfortable with having surgeries. However in late 2006, I had a total hysterectomy and was provided with a morphine pump. It had a doseage built in as you describe doctor, and a timer. There is NO way I could have ODed, or been given more than the safe dose whilst asleep! Obviously, through the abdomen, it was to that date one of my most painful surgeries but I coped ok and treated well. Roll forward about 7 months and had to have an umbilical hernia surgery - laparoscopically. Three holes, they said, out of hospital by the evening they said. I for the first time in my life woke up screaming in pain “Stop the pain!” Over and over until I was given more meds and woke later…in the ward but in excruciating pain! I was actually kept in until the next afternoon and left still in horrible pain. I removed the giant plaster after the appropriate time had elapsed and was shocked to see 7 areas that had stitches and was black, blue and purple everywhere I never got an answer. Until I retired to northern Portugal in 2009. And even then it took time. I had had an X-ray and was asked about “tiny spheres” throughout my abdomen from my bladder area up to my diaphragm! They turned out not to be spherical several years later when I had clearer X-rays and we found there were dozens of what looked like tiny screws… they are the ‘plastic’ screws used to hold the gauze to my abdomen over the hernia.. I and doctors believe they were accidentally dropped inside me during the laparoscopic surgery!
😳
That's scary, that's a lawsuit in U.S.
@@adel19997I’m sure! Unfortunately I now live in Portugal and don’t have the cash to go to a lawyer! Perhaps one day!!! 🙄
Wtf
@@TealStarSusanit would be a personal injury lawyer. No cost. You will win. 😊
Retired RN here. You docs still don’t understand not everyone is going to become addicted to pain meds. I had trigeminal neuralgia, AKA Tic Doulouroux, for over a year. The only medication I could get was to visit the ER 3 or 4 times weekly, always in the middle of the night when I couldn’t take the pain anymore, and would over a period of a few hours, receive IV Demerol along with an anti-inflammatory; probably Toredol, but I don’t remember. Because the condition is not something that can be seen on imaging, I was accused to drug seeking until I produced a letter from a neurologist at the Cleveland Clinic. He informed the ER doc, who knew nothing about this Condition, that my pain was NOT to be considered chronic, but acute, and thus not to be treated with a TENS unit, which exacerbates the pain. I learned through biofeedback - self hypnosis - how to rid myself of the aberrant sensation, (thanks to a physician at Mass General who also had the condition) and I was able to end it. I never became addicted over that year I received Demerol several times per week. I have never had a recurrence in over 20 years. The pain is NOT from an inflamed nerve, I was told. It is an erroneous pain manifested by a brain glitch, and by talking to my brain, even threatening it, I was able to convince it to stop the pain. Few physicians ever see a case of it because most sufferers end up committing suicide. Thankfully, it is rare, because it is said to be the worst pain the human body can feel. I can agree completely with that. I judge all pain by that gruesome, hideous paid, so never tell anyone what I may suffer now is a ten because that is reserved for that white-hot hell. My physician father also had the hideous condition, and he had learned medical hypnosis to alleviate pain in others. He was long dead when my TG emerged. But my message is this: stop assuming everyone will become addicted after a week of opioids! It’s nonsense! None of you truly understand severe pain, and no one treats it well except the cancer hospitals. The subject needs a LOT more study and a LOT more ways to stop it without addicting medications. Through my 50 years in the profession, I never found that those in severe, acute pain becoming addicted. None of you in private practice treat it properly or effectively at all because you don’t have the right tools yet. Please find them. You’re all still in the dark ages of pain management.
Couldn't have said it better. Now their throwing gabapentin, Cymbalta, and Lyrica to people that have fibromyalgia that doesn't help most people. Doctors also say that opioids don't help fibromyalgia pain. I can attest that it does. Just had surgery about a month ago, was in a pain pump with dilaudid in it. I haven't been that pain free in over two years. What they also don't understand is chronic pain patients really don't get that "high" feeling, they get relief to actually being able to live and not just to exist.
I had a nerve block done a few months ago for shoulder surgery, I wasn’t really told much about it. Thank you for explaining this.
You are right. No one mentioned that depression might be a problem after brain surgery. I was terribly depressed and just couldn't figure out why. In fact when I saw the neurosurgeon the next time he said, "Stop being a bed slug. Get up! Get out of bed! Now remember the only pain meds I was given were tylenol. He saved me with a right craniotomy to resection an AVM which had bled twice, but his bedside manner was lousy!
I had BMX in December, I didn't know I was getting nerve blocks on each side,, it was done after I was asleep, I was so grateful for getting them , It made my pain very tolerable. Thank you for all your doing to educate us as well....when I had my port put in last month, I was not afraid :)
You make some awesome points. Could you please do a video just on PTSD? As a Veteran with PTSD, and a medical professional myself, you are the very first doctor to bring up this topic.
And maybe also C-PTSD.
I have had several surgeries mostly before I was 40. The third surgery was the easiest for me to cope with. It was explained to me that before I left the OR I was given morphine in my spinal cord. I had zero pain for more than a day.
You’re a gem doc. I appreciate you tremendously.
So smart
This blows my mind. I thought the Dr didn’t think to give me a pain killer from when I came out of surgery when he took care of my Bartholin cyst because I woke up literally screaming. I was sexually abused on a regular basis my entire life until I left home at 18. I was 18 when I had the surgery.
I am so sorry that you were SA, my last sounds very similar to yours down to waking up from surgery screaming because I couldn’t be given any pain medication. I hope you heal from so much trauma.
I’m wondering if and how anesthesia affects those who’ve had childhood abuse and SA trauma and if it’s possible to be used therapeutically to help release/heal the emotional/mental and psychological effects the body unconsciously stores? @medicalsecrets
@@sharicarter5647 this is how:
I am petrified about surgery, doctors and dentists!!! Petrified!!
Where does this fear come from? From doctors, nurses !
When I was about 9-10 years old I faked stomach ache., because I got punished by my teacher for talking in class.
The 4th time already I had to write 400 times, I shall not talk in class. My mother threatened me with my life, if I got punished again. So I had to fake stomach ache. After the 3rd day my mother called the doctor, he examine me and decided it was my appendix and it needs to come out.
I was so scared that I owned up, but she did not believe me. So I got operated. I knew there was nothing wrong with me! I am sure the surgeons saw that too, when they opened me up. But they still took it out! Trust issues into doctors happened right there!!
To me they where dishonest!!
But it got worse! The nurses where pretty unkind to the orphaned girl next to me. They hit her, because she would not eat their dinner. Also yelled at her, never any love or kindness. I observed all this and got scared again. When it was time to take the clamps out, they had another "surprise" for me. 10 of them arrived at my bed, pulled back my blanked wantig to take the clamps out. At no stage did they tell me what was going on! When I objected to being handled and insisted that I will take them out myself. They only gave me 10-20 seconds to do it. I was not fast and needed to get used to this first. They lost patience and all 10 jumped on me ripping the clamps out. Just like on a piece of meat! No compassion or understanding the fear of a 9 year old!
And on my way out of the hospital the nurses played another trick. They showed me this huge needle saying I need this before I can go home. They laughed really loudly, had a great time on my fear. I hope they rot in hell for this!
A few months earlier I had an infected tooth and needed a penicillin injection. My father took me to the dental hospital, where I had to wait on my own sitti g on a bed. Finally a nurse appeared, she was fumbling on a counter. When I asked what she was doing, she said preparing an injection. That was it, I run out of there, but my dad cought me and put me back. This time there where 4 nurses there. The head nurse held me down on her knees, the others held my arms and legs. She injected me into my butt. Then smacked me really hard a couple of times. Saying so I know not to be so silly next time! ?....how would smacking help with fear?
That was 60 years ago! Today I am 71 AND STILL PETRIFIED OF HOSPITALS, SURGERY, OR DENTIST.
THANK GOD I AM HEALTHY AND ON NO MEDICATION. .... butt I am scared still! The body and the brain all remember those times, like they happened yesterday!
So sorry for what you had to go through!
@@swissmaid I’m sorry that happened to you. I agree the body remembers. Glad you’re healthy now!
I had a nerve block due to hand surgery carpal tunnel release surgery done and I was awake and aware and after I had no pain in my ✋👌. And breast biopsy and i was put under and local done and after it i had no pain and really didn't need strong pain medication. Only used over the counter medicine 💊 for a soreness of the surgery site.
I've been watching your videos for awhile. I'll be scheduling a hemorrhoidectomy soon and I'm happy to say that I'm actually looking forward to the anesthesia component because you make it all seem so cool. it's nice not to have to worry about that is often a very nerve wracking experience. so thank you! 😊
I had one in 2009 and (for me) it was the most pain I've ever experienced. And I've broken bones, knocked out teeth, had other surgeries and nerve damage throughout my. Take care!
That will be a pain in the butt.
Ooof! I hope you have a smooth recovery. I’ve heard that’s rough.
Good luck!!❤
@@michele0324 yikes. That's not helpful.
I was offered a nerve block 30 minutes before surgery for a trapiezectomy. I was by myself because of Covid. This was part if a study. I felt overwhelmed and was afraid to say no. The block was fine I was aware of everything and did not have any pain. The anethesiologist was amazing. He calmly talked to me throughout. I was so relaxed I told him that I was ready to have the curtain removed so I could observe the surgery 😂 (I'm a RN). He casually said that they couldn't remove it because it might touch the surgical field. In recovery I did not recognize my arm and kept banging it into things. I was given regular tylenol and sent home with a mild pain medication prescription. We stopped at the pharmacy to find out their computers were down and they could fill it. My wife took me home and went out to a different pharmacy to fill it. By the time she got home a total of an hour (from the time we left the hospital) I was in unbearable pain. So the nurse told me it would last 24 hours. I left a message with the emergency line but didn't hear back till 10am the next day. I have issues when I need freezing at the dentist. I had a molar removed after 7 injection and full blown pain. My next molar extraction was in a clinic with anesthetic. I also have bipolar and take lithium and experienced emergent delirium after gall bladder surgery. It was the first time ever having surgery and was in full blown mania. I now let people know about my issues with anethesia and pain management. I am scheduled for a pelvic repair and hysterectomy on Tuesday. I've been meditating, swimming and relaxing and taking my lithium. I'm ready for this 🤓 Your videos have really helped me. Big hugs from Nova Scotia 🇨🇦
Thank you for this one. If I had gotten this information before my shoulder surgery I would have had a better experience.
Thank you soo much Dr. I JUST HAD this done, March 28, 23. C3 through c7 at the VA hospital. I am grateful for this procedure. After a broken neck from an auto accident.
I've had several nerve blocks performed as treatment over the last 4 years of having Complex Regional Pain Syndrome. The first time I had one done was when I had radial tunnel release surgery. I am currently preparing for a Spinal Cord Stimulator trial, as no other treatment has helped. Before I got injured, I actually wanted to be a CRNA. I think the nervous system is really fascinating!
My heart goes out to you, I hope things went well with your surgery/procedure. Take care! Xo
I had a RIGHT wrist nerve block in 2007 for a second ganglion cyst removal (6 months after the first surgery on the same spot). During the procedure for the nerve block I started feeling the numbness in my LEFT hand and told the anesthesiologist. What followed was that everyone got into high gear in the room. I remember being briefly told that the medication got into my bloodstream and that they were going to have to give me an antidote, and I was out after that. I have since gotten my RN license, and now wish I had more details about that particular complication and the usual steps taken by the surgical team in that scenario. Your video was great for me to understand the surgeon's suggestion of the nerve block for the second surgery. Thank you for that!
Wow, I am so glad I found your channel! I’ve watched several of your videos recently, and I love, and so agree with your values. Speaking from experience, I completely believe that the body keeps the score. Your authenticity and love for your calling in life is evident in every video. Blessings and positive vibes for you and your channel! 🙏🏼💜
I'm watching for first time..I will let everyone know what's up afterwards
Ditto
I wish all health care providers were as self-taught & genuinely caring as you are. I've endured 6 decades of totally avoidable pain & suffering. It just occurred again in February '23. Why aren't med schools teaching the necessity of; pain "tracking", preventing trauma, nerve blocking pre-surg & empowering patients to ask questions without fear?
How did you determine that more training & research was necessary in order for you to offer the best in pt. care? Did you/family have a traumatic event? Or are there other reasons for your diligence? Please share your story. Perhaps it could help future providers offer better care to patients. We sorely need it (pun intended).
God Bless You 🙏
I woke up screaming after my splenectomy, in the recovery room. They were so confused and worried. I was flopping around, and I was grabbing at my open wound/staples on my belly. Never felt pain so bad! But they quickly put me out, then delivered more meds to combat the pain.
Omg! I had a splenectomy. I can't imagine not being properly medicated. The first two days, all I could do was think when is the next shot or morphine. After two days I was pretty good, but I was young then. Not sure how it would be if older.
I loved my Bier (?) block for wrist surgery and again for carpel tunnel surgery. They told me they numbed the entire arm for the wrist surgery. This was good since they had to shorten my ulnar bone. I loved it and enjoyed listening to much of the surgery and afterwards I had great healing.
I’m so glad I found you. I myself had 6 shoulder surgeries already and I’m very familiar with the nerves block and I thank GOD for it.they really really work.thanks a bunch for all your information.God bless you.🙏🙏👍
Did you experience any numbing or feelings like you couldn’t breath? I have had one shoulder surgery and also had the root block and my experience was horrible I felt like I couldn’t breath right after the block? Did you have a similar experience?
✝️🙏
Had a double mastectomy and the surgeon did an amazing nerve block. It helped me heal so much.
I have hEDS, & i get so tired of being told that all this stuff applies to me, when just about none of it does. I’ve had dozens of blocks, to no avail.
And the concern of addiction or dependence after surgery or in chronic pain patients is incredibly low. Like 1%.
I want empowerment to advocate for me to receive appropriate dosages of opiate medication. I’m tired of being told that my pain doesn’t matter because opiates work best on my pain.
I have hEDS too and I even brought medical papers from an EDS expert Dr explaining how local anesthesia is rapidly ineffective in EDS patients.
Despite this, the Dr did a nerve block against my wishes and as predicted it wore off very soon after I got out of the hospital and OMG worst pain EVER. Had to return to get REAL pain meds as I was seriously ready to amputate my arm by then. He sawed thru my bones and installed 9 screws and a plate and all that on a nerve block. He’s lucky I didn’t repay him in kind
Exactly!!! Hold on strong fellow Zebra🦾
I’ve had two cervical fusions … the first doc said it would make my pain disappear, nope. Went to a different neurosurgeon who said my first was botched and I needed a revision and extension. He, at least, didn’t blow smoke … you get my drift. Pain persists and is worse. I’ve had two epidural steroid injections … no relief. Two ablations … pain persists. I’ve done PT (and continue PT at home faithfully), still no relief. I finally decided to go to a pain management group. I told them I’d strip naked, paint myself purple and walk down Milwaukee Ave at rush hour if that would give me even partial relief. Now, I’m on meds for the foreseeable future which is not what I want, but I do get a small “dulling” so I can at least get some design work done on a daily basis. I miss being active, I am exhausted from sharp, burning pain in my neck ruling my waking hours. I’ve joked around about buying a gigli wire and handles. I’m resigned to this, but I’m so tired of being in pain. Five years and counting …
I watch your videos and you are an amazing doctor, professional and person. You are sharing the true wisdom and knowledge of medicine and how it effects people who are being treated in our hospitals and doctors offices. Firstly you share with us things that need to change or need to be addressed that would help the patients as they go through the big maze of preparations for procedures, covering insurance, anxiety before and after surgery, problems during surgery and of course many more things that we often cannot foresee. You are one of a kind and we learn from each video you share and thank you again for taking time to help many people with your care and kindness
I developed CRPS as the result of a pain block administered before knee replacement surgery. I knew the minute I felt the severe pain of the block, that I was in trouble. Sure enough the pain experienced in the pain block was the exact pain of CRPS. It eventually travel to the other leg. My legs were saved by a very smart rheumatologist, who put me on high levels, a steroids for a month and then titrated down. People don’t realize that blocks, in vulnerable individuals, can I have unintended consequences. The problem is, as the pain block is being injected, you have no idea that you’re going to be one of the vulnerable people. I’m sure people have wonderful relief from pain blocks but, unfortunately, for me, it was a disaster.
I had to have extensive foot surgery after a car accident. I was given a nerve block before surgery. And another for the severe pain in the recovery room. The pain before that nerve block was right up there at 10+. It was awesome relief after that recovery nerve block. I love your teachings and honest knowledge.
I'm so happy to hear that you had such a positive, pain relieving experience with the nerve block!
After a partial knee replacement, I had NO pain for 3 days afterwards. I totally blame the fabulous Dr who gave me a nerve Block. They did give me something to relax/forget the block which I am very grateful for. I only took tylenol and not opioids for weeks of recovery and PT.
"RELAXERS" BEFORE ANESTHESIA MAKE ME ANXIOUS! My experience...
It makes me VERY anxious to not have complete cognitive awareness. At 63 I've had a lot of surgery & can't handle being loopy beforehand.
I beg EVERY anesthesiologist to not give me anything before. I want to go from fully alert to fully "out". Most listen to me, but some don't & that always makes for a bad experience. They think since most ppl love to be loopy that I don't know what I'm talking about.
Given a "relaxer" before my 1st surgery at 21 freaking terrified me. Now 63, I know what I'm talking about! So please listen to your patients.
I got a kidney transplant 6 wks ago & I had to tell the CRNA & the anesthesiologist separately. They were in such a hurry that neither even acknowledged what I was saying so I was extremely anxious about them doing it & then suddenly w/o warning a mask was put on & I went out. I'm used to being able to joke & carry on with nurses & surgeons beforehand, etc. This time I went under extraordinarily anxious because neither gave me reassurance.
I wasn't told beforehand, but apparently I did get a nerve block & it worked well. After a whole kidney transplant I never felt any pain. 6 weeks later, not one minute of pain.
My donor, however, wasn't given one & was in a lot of pain for weeks afterward 😢. It should have been HIM who got the nerve block if there was only one available.
If only all Doctors could be as caring and compassionate as you are. Thank you for educating us on this. It's extremely informative. I procrastinate just having blood work done b/c my fear of needles. I've woke up many times on the floor when getting labs done. 😢 Supposed to have MBB due to spinal compression. I pushed that off now I'm told I may need cervical spine surgery due to the DDD, arthritis, stenosis. 🤯
I had two nerve blocks. Popliteal for my Trimalleolar comminuted ankle fracture. I was sedated for this one. It lasted 4 days. Two days longer than the orthopedic surgeon told me. That was great.
The second time for my broken forearm. ( radius and Ulna ). Again I was pre sedated. Never aware of the nerve block. ( had to have second surgery as the bones separated). Both times the block lasted over 2 days. Very very good experiences every time. I was most fortunate to have two great anesthesiologists. Thank you guys for being so good.
The broken arm hurt the worst in the following weeks so much so that I was too nauseous to eat. Lost 15 pounds as I could not face food But eventually healed. Fantastic orthopedic surgeon.
Thank u so much Dr. U r awesome to show us these details and giving the patient the power of knowledge.
God bless u.
Thank you for the kind comments! 🙏
I had a broken hand repaired using only a nerve block. I loved it! Fewer drugs, no recovery room & allowed to go home sooner. My arm felt like a dead fish for several hours but that's it.
I want to know about what pain management has to do with CFS. I have chronic fatigue syndrome and gabapentin helped turn down the volume, but my movement disorder specialist has referred me to a pain management clinic for my rigidity and muscles being essentially on too much all the time.
What types of interventions might be on the table? What are the sorts of treatments that would not work?
I had a nerve block for rotator cuff surgery and I will never do that again. So I laid down and they did the nerve block in my armpit which wasn’t a big deal and I only felt a pinch. Unfortunately, the nerve block not only went down my shoulder and arm, it went into my throat. I could not feel my throat or the sensation of swallowing. It did not physically impair my breathing but not feeling your throat or swallowing sent me into panic mode to the point that they called a respiratory code.
Fortunately, I had an experienced nurse, who told me to sit up as straight as possible and the feeling immediately started coming back in my throat.
I asked if that was normal and she looked at the ceiling and smiled. That was her way of saying NO without actually saying it. I understood.
So, nerve blocks can be wonderful but sometimes, not so much.
Also, when the nerve block wears off, be prepared because the pain turns on. And you don’t know when the block will wear off. They just ballpark how long it lasts.
Awesome lesson. You are an excellent healer, Doctor. RESPECT
I have had 6 sympathetic nerve blocks, 4 epidurals, 2 sciatic blocks, and 1 bear block, all in about a 3-6 month period. For all my nerve blocks, it made my pain worse, but it did increase the temperature in my leg that I was diagnosed with REFLEX SYMPATHETIC DYSTROPHY or it’s now called COMPLEX REGIONAL PAIN SYNDROME. It was an anesthesiologist who actually told me about pain pump implants, that has been the absolute best thing for my CRPS. It doesn’t take the pain away entirely, but makes it much more bearable. That anesthesiologist was my anesthesiologist for an ankle surgery I had that had nothing to do with my CRPS. It just so happened his roommate in med school, is the largest provider of pain pump implants in the Midwest.
I had a similar experience. I had T4-L1 fusion for scoliosis which was like my entire spine cut open- 86 staples. I woke up screaming in the ICU, was told I couldn’t receive any pain medication because my respirations were not high enough(because I was screaming?!!) instead of finding a way to make me feel better they just sent me out of the ICU to a Med surg floor to be ignored. the entire hospital stay I had NO PAIN MEDICATION! I kept screaming for people to Kill me there. I guess I didn’t get any nerve blocks with that surgery. I was even mocked by the nurses for trying to ask for pain relief.
I wanted my family to smother me with a pillow to make the pain end. My entire spine was cut open like a fish being gutted from my neck to my hips. 20 8” screws placed in my bones and forced into a slight line sort of like braces on teeth. But instead of cement its screws like my bones are wood.
( I have horrible chronic pain, but NOTHING was like that, I’d say that was my 10/10 pain moment. I *NEVER* say 10/10 bc I know it could get worse., but nothing could be worse than that!!!). I hurt so badly I would pass in and out of consciousness. I couldn’t even formulate a coherent sentence asking for medication. When you hurt that bad you can’t even think straight. Your entire thought process is pain with *NO WAY TO RELIEVE IT!*
I have MAJOR PTSD after that…. Little than 2 weeks later my rods snapped off my pedicle screws and needed an emergency reconstructive surgery. I was TERRIFIED to have the same pain. I made sure that I had a great post op care for pain treatment and after that 2nd surgery and had it at a different hospital than the 1st surgery; it was like heaven compared to the 1st one ( they had to open me up 2/3 the way on the second surgery too)
Gosh, that's horrible,i hope you are pain-free and enjoying life now😊.
@@janetcoleman3366 thanks love! I hope you are doing well too!
I wish I could say that I’m pain free, but sadly I’m not. Because I had such severe scoliosis for so long(29 yrs until my surgery) my spinal cord was compressed at some odd angles with twisting in my spine. Because of that I’m in pain every second of every day and was told its going to be permAnent issue because of how my spinal cord was compressed. Basically I was told its akin to a permanent bruise on it in one area of my back( under my bra line so wearing bras are so much more painful than they need to be ). My best suggestion to people is to not wait too long to deal with a medical problem that requires surgery because it could and often leads to complications that would have otherwise never have been an issue.
Despite how much I lost in life, and I lost a lot being bed bound, I gained patience and compassion/empathy so it isn’t completely bad I guess. I try to see life from a glass half full perspective but it is hard at times. I do wish my pain could disappear at the snap of my fingers though. Much love and light to everyone reading my comment. You are stronger than you know!!!❤️
@macawlovers1964 Gosh, i wish i had a healing hand,so i could heal those that really need it. I'll pray for you and your pain,and maybe i know it's a long shot as you need a lot of people to pray for your healing.But I'll pray for some relief for you
😊
@@Spiritualpanda2 Dear God I am so very, very sorry of what you had to endure!!!!!💔 There is ZERO excuse to leave a fellow human being in excruciating PAIN!!! You were already in a hospital where you just had Major Spinal Surgery AND where there are very effective pain killing medications Available!!! To intentionally Withhold pain medication was inhumane and inexcusable Cruelty!!!😡 So very sorry my friend.😢🙏
Perhaps you should talk to a lawyer about how the hospital/doctor treated you after your spinal surgery or rather how they didn't treat your excruciating pain .
That's beyond inhumane and then have the nurses scoff at you for asking or screaming for help , but nobody helped you. I'm sure a lawyer would be interested in your story..
I have a high pain tolerance. I had very little pain when I had a knee replacement. I didn't bounce back as quickly as I did 45 years ago when I had my hysterectomy. Opiods do not work for me. I think my nerve block when I had my knee surgery lasted 3 or 4 days. I was anxious about the knee surgery. I was wishing I could hear my mom's voice once again. She was a RN. I heard my mother's voice in the voices of my nurses. That relaxed me and I woke up in such a happy mood. Thank you for your videos.
I had a really bad surgery on my foot and she did another block early. That’s what she told me but she also told me when things went South with my bunion surgery. Also, she told me that she didn’t just do bunion surgery. She did something else that was an authorized And told me she was very sorry for screwing up. True story. But later on was diagnosed with autism disease, other rare things, etc. because I have play the role maybe but she actually said she messed up during surgery so her a minute is telling the truth on her end and sadly other surgeons will not touch the foot even though they say it needs to be fixed One said because they saw the word sepsis and nothing next to it and as notes about why and when I try to explain it, they cut me off and I was like if I was able to tell them sepsis I had with a pic line along time ago when it got infected and you probably would’ve felt differently about going ahead with the surgery to fix the problem that she messed up on to begin with and another surgeon said my whole body shot in my right side does not function anymore that it’s not worth doing the surgery on my foot I’m like really I still have sensation regardless of the right side doesn’t work mobility wise or not that’s not what the situation is about. It’s about fixing the messed up foot, so still having to deal with that. Yay fun.
With many ankle, leg, and spine surgeries, an anesthesiologist has called me exactly one time prior to surgery. I'm sure we all hope to get someone like you, but your kind is rare! Someone calls a day or two prior to my surgery day to go over my meds and history, but the anesthesiologist comes in right before surgery after I'm in the gown. The first time I remember the nerve block I was BEYOND nervous because I never remembered having it before. The antiseptic and blue marking pencil were all new to me. I said, "I don't remember this part from prior surgeries. Is this something new or am I usually asleep for and don't feel it!?" Dr said, even if you do, you won't remember it." Ummm..., Fear, but not a lot of comfort in that statement.
Seventeen minutes in, and this has been the most unique and fascinating medical lecture I've heard, because it relates so many branches of knowledge and wisdom. It was really next level medicine. I hope you aren't a one of a kind healer, but more of a vanguard of medical thinking to come in into its fulness within the next few generations.
I think it's amazing to have an anesthesiologist call the night before and talk to you. I've had several surgeries and never had one call me beforehand. Usually they stop in by the bedside for a few minutes before the surgery and that's all. I love this doctor, he is so caring.
I feel like Dorothy telling the Wizard he doesn't have anything in his bag to help me....
I live everyday in pain. Ever since I woke up from my neck dissection surgery in June 2001 perform At Duke University Hospital, I have been in insufferable pain. They couldn't put me on any pain medicine when I woke up because of my blood pressure being so low...😢 I'm allergic to a lot of pain medication...For the 1st year they had me on Fentanyl patches....As of now I'm taking Tramadol w/ Tyenol.
This takes the edge off the pain where I can manage it.
I had tongue & neck cancer and had 88 radiation treatments. I went 2x a day for 44 days = 88 treatments.
Soon after that I had the surgery.
Do you know any other ideas I can do to relieve this constant chronic pain?😢
The operation that I had a nerve block for. I really bounced back quickly. I had spinal surgery for a pain in my leg and I do have ptsd from it. I can’t remember anything about the recovery or most of my hospital stay and it freaks me out. Thank you so much for explaining this.
I've been so happy and relieved with my nerve blocks (scopes to shoulder and knee). My recovery was better than the ACL (was NOT expecting that personal education in pain) or my first shoulder scope ...all 4 of these to my left side incidentally, over the course of 3 decades. My first shoulder surgery was actually done at Stanford. We get our care in that area (where I've also worked as a RN) and have had some good experiences there. BTW, I always ask my anesthesiologist for a pre-op sedative (typically a benzodiazapine). I suggest to may of my friends they talk to their anesthesiologists about it as well. Sounds like it's becoming more of the standard. Also, I had some pre-op quiet time before my last one during which I guided myself through the script a friend did in a recording I listened to before going into the hospital. It was great. Then my surgeon came though for his check on me after which he offered to pray with me if I'd like. I was still in a great place from my meditation (which basically let me know that space and everyone there were present for MY well-being and care). While the meditation was more my jam, I appreciated that he was in touch with that headspace. I've been fortunate (and working in the field surely doesn't hurt when it comes to choosing practitioners who are good & surround themselves with adept professionals).
I find your videos so informative and interesting. Thank you. I'm glad to hear you talking about the body keeping score and different types of pain. The brain/nervous system is so interesting (my first degree was a psych undergrad, later used as a psych RN practitioner & manager) and SO unbelievably complex with still so much to learn (but it's happening with the help of tech, etc.).
Wow, the algorithm brought me your video. Started watching it but the horrible memories are flooding back and I am finding it hard to breathe.
In 1991 I was diagnosed with RSDS in my foot and ankle. With little success a new doctor decided that a sympathetic nerve block was the answer. With no instructions or description, I went to the appointment at my local hospital.
They invited my boyfriend at the time to come in during the procedure. I laid facedown on the table and my boyfriend was instructed to talk to me and keep me focused on him. I could hear all the activities and what the doctor's were doing and saying. I could also see the sheer horror in my boyfriend's eyes as he watched longer and longer needles inserted in secession into my side.
He later confessed that he was doing everything he could to keep it together.
When I thought that it was finally over the doctor informed me that I was to lay there as still as possible because I had a needle poised millimeters away from my spine and any movement would paralyze me from the waist down. I told him I couldn't breathe and was instructed to "just relax." As I lay there, the pain was excruciating and I was having more and more trouble breathing. The doctor finally gave me a shot of vicodon, which by that time had not affect.
I was left there waiting for about 20 minutes. My boyfriend was watching the clock and praying this nightmare would end soon.
They finally came and removed the needle. I can honestly tell you that did nothing to relieve the pain I was feeling or the anxiety that was preventing me from breathing.
I called the doctors office a few hours after returning home to request some pain medicine as the extreme pain had not subsided. I learned she had gone skiing in Vale, CO.
The clinic finally had another doctor give me 10 pain pills.
I won't tell you what I told my doctor Monday morning at that appointment but I can tell you she took me seriously and I was assigned to a new doctor that afternoon.
I have an unimaginable fear of needles. In fact, for about 5 yrs afterwards when a needle was even mentioned, my body would uncontrollably collapse on the floor and I would start begging the doctor to plz not come near me with a needle. This was totally uncontrollable as my mind would be yelling to my body to "get up, you are making an @$$ out of yourself ". I could only get off the floor after whoever was talking about it removed the threat of the needles.
To this day, I am terrified of needles.
If I have to have blood drawn then as soon as I am called back I cover my eyes with a scarf. If I don't, one of two things is going to happen. Either I fall on the floor uncontrollably, or I rush the door, and God help anyone in the way.
My teeth are in horrible condition, that is the ones I have left, but going to the dentist is just not possible anymore and my insurance doesn't cover sedation dentistry. I am often called a crackhead.
So now I have 2 bulging disks and one protruding disk in my lower back. I have no cause for this and the general consciences is that my back issues have been cause by the nerve block. I also still suffer with RSDS, which decided to develop in my other foot.
With extreme back issues, I was sitting at a red traffic light one morning and was rear-ended by a 1989 full-sized pickup in my little outlander sport. The car was totaled, and after almost 8 months of extreme pain, now it looks like the RSDS has moved to my spine.
Of course they don't call it RSDS, it now chromic pain syndrome. Which I think minimizes the pain that one feels with RSDS. Just throws it in there with less painful diseases.
Before the sympathetic nerve block, I was subjected to a year of injection therapies trying to control the RSDS. Now I have sever allergic reactions to prednisone and cortisone.
I would much rather have lived with the ritual of beating my foot with my fist to change the pain then the 30+years of pure he'll that I have suffered and will not ever have another nerve block again.
Thanks for letting me share my story.