How I relax terrified patients before surgery

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  • Опубліковано 28 гру 2024

КОМЕНТАРІ • 157

  • @philboydstudge
    @philboydstudge 2 місяці тому +10

    Good topic and very relevant to me. Over 40 years ago I underwent an emergency appendectomy in an ancient NYC hospital.The surgical suites were in a sub-basement that had the feel of an old IRT subway station. I was wheeled down a long hallway of yellow tile and florescent light fixtures that had themselves grown old and yellowed. The orderly pushing me along said, "Welcome to OZ." I woke up in recovery with the breathing tube still in place and suffered the horrible sensation of choking. Luckily for me, someone was standing close by and upon seeing my distress took the tube out. Whenever I've thought of surgery since then this memory has always surfaced and I've wondered if I'd be able to face the tube again. My body would have a palpable fear reaction.
    Last Monday I had a successful partial colectomy to treat colon cancer. In pre-op I practiced Dr. Kaveh's breathing exercise while the staff worked to prepare me for surgery. The IV plumbing was attached but fluids weren't started due to their critical scarcity, so I know that no drugs were administered. I was calm and alert. I signed consent forms and had a brief meeting with my anesthesiologist. He asked a set of about a dozen questions and examined my mouth. I took comfort in his presence and manner. Continued with conscious breathing. A short while later I was wheeled into the OR which was so similar to the one Dr. Kaveh uses to shoot his videos. Transferred from the gurney to the operating table, I could feel my bare butt on the rubber pad of the operating table. My anesthesiologist was there and he wasted no time hooking me up to fluids and starting the anesthetic. I fell asleep quickly and calmly. I woke up in recovery breathing freely.
    Now when I think of my earlier experience it's just a memory. My body has no reaction at all. A good surgical experience has cured my nascent PTSD! Dr. Kaveh's breathing exercises are well worth learning before surgery. They were invaluable to me. And by the way, the pathology report is in and the verdict is Stage I. I am so very lucky.

    • @terrimurray9466
      @terrimurray9466 2 місяці тому

      You are a wonderful writer! Thanks for sharing your experience in overcoming PTSD.

  • @L8463vette
    @L8463vette 2 місяці тому +8

    Every surgery I had before my total hysterectomy I had thrown up afterwards. It was constant for several minutes. The anesthesiologist on the hysterectomy was the only one that actually came to me before the surgery. I told her about the constant throwing up after surgery. She immediately yelled for a nurse to bring a patch and she placed it behind my ear... I did not throw up at all.... She cared!

  • @Misty_Dawn
    @Misty_Dawn 2 місяці тому +26

    I can remember freaking out as I entered the operating room for my full hysterectomy. It was a surgery that had to be performed, but I was crying and upset because I wanted to be able to have more children (I have two daughters) and having already had the medication that is given to lessen anxiety before surgery, it caused me to become more vulnerable and upset rather than calm me down because I was already upset before the medication was given. My doctor came into the room before the anesthesiologist gave me the medication to put me to sleep, and he held my hand and prayed with me. He reassured me that everything would be ok, and the next thing I remember was waking up after surgery. It was such a special moment between my doctor and I. I love the clinic so much that my own daughters go to the same clinic today. What you did for that young lady was so very special and I applaud you for taking the time to care for her in that way. You’re such a kind soul and it shows! Thank you so much for sharing this story! 🥹❤️❤️

    • @lauranolan4744
      @lauranolan4744 2 місяці тому

      My surgeon was so brilliant because I had a very bad experience in Ireland giving birth to my son I needed surgery to remove my wisdom teeth. I Explained my situation ,oh my they were so cool I said I don’t want to see lights, camera ,action and they made it possible.❤

    • @paulacoyle5685
      @paulacoyle5685 2 місяці тому

      Sounds like you had a wonderful doctor

  • @KenFranklin-yz3yy
    @KenFranklin-yz3yy 2 місяці тому +11

    I was going into surgery at Sutter in Sac. I told the surgeon I was afraid I had some heart issues and wondered if I was fit for surgery. He brought out this guy I could swear was you. He walked me up the stairs and said if you can do that, you're ok. He really made a difference by calming me, spent some time talking to me and hooking me up. He gave me a sedative, and delivered me to the anesthesiologist. But in the hallway before wheeling me in he asked, "did I help you feel better about this." I said, "are you kidding, I would marry you if you asked." Yes I was high on the sedation, one of those funny uninhibited responses. I started watching you a year ago, cause you look and act like that guy. I really appreciated his help.

  • @RiverWoods111
    @RiverWoods111 2 місяці тому +14

    The first surgery I ever had, I woke up in recovery with tubes still in my nose. I wasn't supposed to wake up yet, and the recovery nurse Jeff (it has been 25 years since that surgery and I remember his name because of the care he gave me) was trying to control my hands that I was slapping at my nose with because it was painful, while trying to give me an injection to put me back out so he could remove the tubes. I don't know how he got me to stop slapping at the tubes, but he was finally able to put me back to sleep.
    From that point on, I have always warned the anesthesiologist about my waking up until this last surgery where she and the nurse anesthetist were talking and joking with me till I faded out. I didn't even realize they had started. I was having so much fun with these two ladies all the way down the hall and into the operating room, that when I woke up I was still in a great mood, and had no issues. Well, I had low blood pressure, but I can have low blood pressure hanging out at my house. I remember telling the next anesthesiologist about the tubes, and he looked at me and said, "Not on my watch! That won't be happening!" 😂 I think he took the same precautions you did to make sure I didn't wake up till all the tubes were removed. The third surgery, I woke up and the first thing out of my mouth was "I am hungry!" The recovery nurse laughed and replied, "Good, that is what we like to hear!"

  • @jaeljade3609
    @jaeljade3609 2 місяці тому +15

    I've had he tube shoved down my throat after an overdose. They told me it was going to feel like I couldn't breath, but I could. They got it down and I panicked and sat up and pulled the whole thing out. Then I was rushed by a bunch of people holding me down so they could pump my stomach and give me charcoal. When I woke up after being on a ventilator on a separate occasion and overdose, I woke up strapped to the table so I couldn't pull it out. Afterwards it took a good week for me to cough up all the phlegm. I needed so much help and unfortunately the help I needed was not around. Going through all of that maybe actually saved me because I never wanted to go through all that again. It was def a learning experience physically and spiritually, but we need much better care for people dealing with depression and trauma. I'm in a unique position now to talk to people who are feeling like they don't want to live anymore. Maybe that's why I went through it. Spiritually it feels that way.

  • @marysimmons7502
    @marysimmons7502 2 місяці тому +4

    Impressive professional "Tell me like I'm five" language! 😉
    I have had 8 spine surgeries and 4 other separate regular surgeries that did not need deep sedation like the first 8. I've never had one negative experience happen. Only once, I woke up in recovery just noticing a nice breeze blowing down my throat and it didn't bother me one bit. The nurse caught that I was cognitive and when I reached up to touch whatever was in my mouth, at a blink she beat me to it saying firmly but caring; "Wait honey, don't touch" I put my arm down and she slipped it out lickety split without me noticing. All went well.
    Another time at a once impressive hospital turned
    "meh", I was having a fatty tumor removed and was suddenly lined up with the other patients in their beds like taxing in a plane at an airport lined up for take off, I saw a nurse sneaking a needle into my iv! I gasped and then OUT! That was cruel in my impression.
    Every surgery made an excellent improvement in my life. They kept me rolling in life quite well as my husband and I handled raising our 6 kids thru home schooling and extremely heavy on the sporting events.
    Thank you. I love your channel and always learn some valuable information.

  • @elizabethmcluskie9370
    @elizabethmcluskie9370 2 місяці тому +11

    What a great dr you are respect😊

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      So nice of you! I hope you learned something new to advocate for your health 🙏

  • @paulatorres3227
    @paulatorres3227 Місяць тому +1

    Very happy to see a gentle education and with concern for the patient.

  • @kellykraft832
    @kellykraft832 2 місяці тому +2

    I canceled one as well after lying in pre-op for a few hours. I do not take well to doctors lying to me (by omission). You can't have informed consent if YOU DON'T INFORM. I knew pretty much every step of this surgrery but when I asked my suregon to go over every detail and step of my prostate biopsy this MD left out the part about them having to put the ultrasound probe up my rear. Any normal person or MD would know that would be a pretty freaking important thing to mention during her talk about what she was going to do to me. I even gave her a secoond chance and asked her if that was indeed everything invovled and she said YES! Told her I was done with her because you lied to me. If I can't trust you to mention something you know I might have a problem with then I can't trust you to do anything else especially when I would have been under GA. And she was the Vice Chair of education of her department! #VUMC lies.

  • @lushpaw1
    @lushpaw1 2 місяці тому +20

    This was at a teaching hospital in Detroit (Harper Hutzel). Went in for a hysterectomy for cancer a few weeks ago. Even tho I was calm and non-combative.. I was given Versed (relaxant, causes amnesia) in the pre-op room before I'd even signed my consent forms. I don't really remember signing them. This is unlike me.. Normally I read everything. I was so hyper-focused on the IV in the back of my hand and how much it hurt to write and being afraid to pop the vein that it never occurred to me that I was signing consent forms. I know that sounds like BS. I’d had a mild argument with a nurse over my glasses.. I cannot see without them. She wanted to take them well before it was time to go to surgery. At this point I was still meeting staff that were going to be in the OR with me.. and its very disconcerting to not be able to see the people that are talking to you. So I said no, not until its time to go to the OR. A few minutes later under the guise of checking my IV, (I was looking in the other direction while talking to a resident at the time) she administered the Versed and then laughed about it when I said I didn't want it until I was in the OR. I was not overly anxious or argumentative.. there was no reason for her to do this to me. I don't remember giving up my glasses.. this would have made me anxious. I don't remember the trip to the OR. I vaguely remember switching to the OR bed because they wouldn't let me stand.. I had to slide over and my gown, blanket and IV's (one in the back of each hand) got tangled. I tried to sit up to untangle myself and couldn't. Then the nurse that dosed me in pre-op dosed me again and that's where my memories end until PACU.
    Even tho I had brought this up to the surgeon Dr. Morris at a previous appt.. That I did Not want this to happen to me.. and he'd replied with a smile that they would need consent for that.. The surgeon took this opportunity to obtain verbal consent to let a line of students do pelvic/rectal exams on me while under anesthesia for teaching purposes. tho I'm not sure I was under anesthesia when it happened.. I got to the OR at 8am.. I wasn't put under anesthesia until 9:24am. In my records it says I went from pre-op to OR and then was put under.. no where does it account for the 90 minutes I was amnesic. I have no idea what they did to my body in that time. The nightmares are severe.
    Mentally, I don't remember what they did to me.. but physically... some part of me must remember to keep bringing on such strong fight or flight reactions 3 weeks later. I feel so different and I'll definitely never see Dr's the same way again. ( just fyi, I'm waiting on my medical records before I report it to anyone.. so for now, all I can do is post here and hope the next person takes it as a cautionary tale to never have surgery at a teaching hospital)

    • @varonadee6980
      @varonadee6980 2 місяці тому +6

      Absolutely nightmarish! My stomach hurts from just READING what you've been through. I can't think of anything to say that would even begin to help you recover from such mental and physical trauma. You have my deepest sympathy, and admiration for sharing your history as a cautionary tale; one which I will definitely take to heart.

    • @poutinedream5066
      @poutinedream5066 2 місяці тому +8

      That's crazy. I was getting an angiogram and the surgeon told me he would be teaching students so I may have memories of seeing people. Thye put me under and I do remember waking up as he was holding like an 18 inch catheter,saying "today, you're in for a treat." I guess, because I have a 2 in a million vascular disease that most people will never see. The whole thing is surreal. I can't imagine it happening with a pelvic exam 😬. But I'm sure it happened with me so I don't doubt it happened with you.

    • @disqusrubbish5467
      @disqusrubbish5467 2 місяці тому +7

      Talk to a lawyer. I'm serious.

    • @gabriellea.lowery6824
      @gabriellea.lowery6824 2 місяці тому +10

      That's seriously illegal to ask anyone to sign consent forms after being given sedation of any kind. I just went through that with a scope procedure. I told them no propofol and I wasn't responding quickly to the Ativan and Dilaudid they just gave me. Anesthesia said she has to give me propofol. I didn't have any chance to say anything. Next thing I know it was 12 hours later and I was at home with my spouse running me to the bathroom to get sick. Propofol is on my allergy list too. Please consult an attorney.

    • @AbbeyGrace-dh7sf
      @AbbeyGrace-dh7sf 2 місяці тому

      I had Surgery a few years ago and woke up with Sore Throat.

  • @mitzigoss7861
    @mitzigoss7861 2 місяці тому +1

    You are delightful !! We need more Dr's like you.

  • @suzannegottschalk7981
    @suzannegottschalk7981 2 місяці тому +9

    In addition to a potential sedative, I would have stopped everything I was doing. If possible, I would've cleared the room as much as I could. Have the patient sit up, if possible, as well, so we were as eye- to- eye as we could be. Focusing solely on maintaining eye contact, address the fear as if you're the only 2 people on earth. Calmly & quietly talk about options, further concerns, make sure there is not something additional going on & assist them in making the decision that works best for them, while accommodating the fear & (hopefully) overcome it.
    Interesting question came up for me on this one! I'm a professional therapist of 24 years & I'm curious if anesthesiologists, or doctors in general, are required to take post-bac counseling courses. If so, are they mandatory or could be chosen as elective hours?
    Thanks, Dr Kaveh- you're amazing, help SO many people, & you're an asset to the medical community!

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      My goodness! What a thoughtful comment! Unfortunately, there is no counseling work required, to my knowledge, for any medical doctors in the United States

    • @lushpaw1
      @lushpaw1 2 місяці тому +6

      @@MedicalSecrets there should be.

    • @karate4348
      @karate4348 Місяць тому

      ​​@@MedicalSecretshow appalling that specialists navigating near death and mind opening 'procedures' are given no inner and professional guidance to help themselves, each other and patients spiritually, mentally, especially where trauma was or is a reality.

  • @gailvisser5989
    @gailvisser5989 2 місяці тому +3

    I find your videos very interesting and educational. Thanks.

  • @Mimi-ry4dt
    @Mimi-ry4dt 2 місяці тому +2

    Thanks for video Dr. Kaveh. I would ask anesthesiologist, other medical people to please call me by my first name, or at least Miss so & so in discussion. Although I'm a senior now, and survived physical attack for which I needed surgery afterwards, there've been too many times when in vulnerable situations, having to trust, where I was called M'aam - not in a respectful tone - but in a condescending or patronizing, even disgusted tone. Sometimes they were even older than I was. Yes, I learned some new things, thank you.

  • @rosaliaoliver-qv3gr
    @rosaliaoliver-qv3gr Місяць тому

    ♥️Dr Anthony♥️thank you♥️ I’m learning♥️is wonderful♥️to be aware of our Heath♥️your videos help♥️

  • @darriontunstall3708
    @darriontunstall3708 2 місяці тому +3

    You’re a great a amazing anesthesiologist, I would be a great anesthesiologist like you, I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, it takes a special person to be a anesthesiologist or CRNA and you’re one of them, I have a MRI on my leg on October 30th , they are gonna put me to sleep because I jump at loud noise because of my cerebral palsy, I’m gonna tell my anesthesiologist I donate to the anesthesiologist Foundation! You rock man

  • @kgrfirdjy
    @kgrfirdjy Місяць тому

    I have had multiple episodes of incredibly painful anesthesia awareness and recall leading to severe PTSD. I am not a redhead (My parents, sisters, and I have dark brown hair), but with my anesthesia team, we realized due to my having cerebral palsy and adhd alongside autonomic neuropathy from diabetes, I need much higher doses of many anesthesia drugs (local anesthestics, general anesthetics, sedatives). This ultimately helped future surgeries (I have had 30-40) go much more smoothly.

  • @LisaCranston-v9q
    @LisaCranston-v9q Місяць тому

    You are a good doctor..I have been traumatized by the medical here in Massachusetts..I woke up from surgery once . Dressed sitting at a table eating a muffin..They called me " Combative pressured speech paranoid schraphenia..iAm none of those.. Those false claims will follow me..

  • @ShelleyPro
    @ShelleyPro 2 місяці тому +2

    Thank you for all of your videos❤❤

  • @midwest3273
    @midwest3273 2 місяці тому

    I wish I had had you on my last procedure, which left me with trauma in my esophagus and throat. I will not go back to the hospital that was my favorite because of this.

  • @adamduncan5371
    @adamduncan5371 2 місяці тому

    Very good video about a holistic approach with neuropalasticy in mind!

  • @HeyLetsTalkAboutIt
    @HeyLetsTalkAboutIt 2 місяці тому

    As a Hypnotherapist I work with clients who have phobias and PTSD. It’s very effective. Props to you Dr K for helping your patient in the best way possible.

  • @celestklatt5739
    @celestklatt5739 2 місяці тому

    You have a beautiful soul Dr. ❤

  • @daisymay9236
    @daisymay9236 2 місяці тому +1

    Thank you very much 🎉😂❤ we luv you.

  • @TheSarcasticSiamese
    @TheSarcasticSiamese 2 місяці тому +1

    Phobia treatment on the fly! Awesome they responded so well. But, you do have a very Zen aura, luv. Probably helped some.

  • @hilarypine8811
    @hilarypine8811 2 місяці тому +4

    I had surgery recently and have no recollection whatsoever of waking up in the recovery room. I hope that I wasn't chatty at any stage, I prefer to keep my thoughts to myself ...

  • @tbalsillie
    @tbalsillie 2 місяці тому

    Well done Dr

  • @sharondrury5676
    @sharondrury5676 2 місяці тому +2

    I'm 80 and am a veteran surgery patient. I have metal plates in my jaw which limits my open mouth space. I have never seen that equipment an have wondered why. Thank you so much.

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому +1

      I hope your surgeries have gone safely 🙏

    • @sharondrury5676
      @sharondrury5676 2 місяці тому

      @@MedicalSecrets yes, thank you.

  • @Clarkson350
    @Clarkson350 2 місяці тому

    Versed! and explanations

  • @jeffm9227
    @jeffm9227 2 місяці тому +2

    Were you unable to use an LMA in this patient? I personally find it a lot less stress invoking than a trach tube.

  • @pamelabrennan4118
    @pamelabrennan4118 2 місяці тому

    I was so terrified before surgery I tried to crawl off the operating table, creating panic with the medical team. Before the next surgery they gave me an adivan and I got through it without incident. I didn't have a breathing tube or I don't remember. Its important to understand medical PTSD which is the first time I've heard of it. Now I can tell them what is happening to me.

  • @elizabethlewis3509
    @elizabethlewis3509 2 місяці тому

    I recently had a simple procedure using proprthol with no intubation. It was on my records that I have asthma. Mind you, I waited 8+ hrs without fluids prior to the procedure. Upon being awakened, I was yelled at by the nurse/anesthetist about my severe coughing and that I had no business getting this procedure. No concern or care was given to me to help me resolve the issue. I was shuffled out to the awaiting car ASAP. Now I suffer from that traumatic medical incident.

  • @captjimmescall7090
    @captjimmescall7090 2 місяці тому

    Yes, I had several of these over the years

  • @tsukikage
    @tsukikage 2 місяці тому +2

    I don't know if it would have been too slow of a process, but I would have imagined something starting with a straw, and then putting the breathing tube just in the mouth like a straw, showing you can breathe normally with it.

    • @tsukikage
      @tsukikage 2 місяці тому

      Ah, I see you kind of did what I was guessing after all. Yay, ketamine.

  • @skibum1990
    @skibum1990 Місяць тому

    If i need to look into someone’s throat and they tell me they have a sensitive gag reflex, I have then hold the tongue depressor themselves, they are not likely to gag themselves. Not that this is applicable to your case, but it preserves a patient’s locus of control.

  • @HP_Quinn
    @HP_Quinn Місяць тому

    They gave me a small amount of Propofol when I said I was feeling very anxious and had a heart rate over 100.
    Damn what a difference ... Felt a little flush and coughed when administered, but I felt so calm as though there was not a single worry in my life lol. It helped so much!

  • @IzzyS94
    @IzzyS94 2 місяці тому

    You are a great doctor! Why do some people get depressed after waking up from anesthesia? I woke up depressed from anesthesia on Wednesday October 16, 2024 after I was sedated for dental work. I was depressed for 2 days after. I did have a panic attack before I was sedated.

  • @almuthasenkamp834
    @almuthasenkamp834 2 місяці тому

    I'm really glad that as an adult I never needed surgery. I cannot have anything covering my mouth; I completely freak out and my heart starts pounding wildly. I cannot control this; no idea whats going on as I'm usually a very calm person and have control over my body. I tried to get used to masks on my face (in times of covid they were mandatory here) by just putting them on- didn't work...

  • @somewhrntm
    @somewhrntm 2 місяці тому

    Versed or Ativan to relax them prior to intubation would help. Then talking to them a little longer while that medicine is in them will help them feel less anxiety. It works for me. I can’t get into an MRI machine without anesthesia. They just used an LMA rather than fully intubating me and I have no memory of it other than having the mask over my face and being given Propofal. It was wonderful! Though the Propofal burned going in, it only hurt for a minute or two.

  • @Marco-bg8jf
    @Marco-bg8jf 2 місяці тому +2

    I'm in the same boat, last surgery I had almost died.. and now I have to have major surgery on my next again..😢😢

  • @constancechristian4766
    @constancechristian4766 2 місяці тому

    I now have surgical PTSD. Just had 2nd kidney surgery. The anasyesiologist could not find a vein for Iv 5 nurses stepped in and could not find a big enough vein. My veins kept popping. She assured me they would find one , well they got one in and she pushed down on it and wiggled it to get the med in. I was supposed to have twilight so they would not shove the tube down my throat. She says she doesn’t know that one and runs into the OR next door and that ana explained it to her and she is like yeah I can’t do the. I’m like remember no tube down my throat. I have too much scar tissue and cannot eat , drink or swallow after one of those. Well instead of giving me something for calming down she gives me something that made my brain turn off I woke up with such pain in my throat and I had to stay in hosp 3 e tea weeks until I could at least eat 75%of the food on my plate and swallow without choking. Badddd experience to say the least. She wrote in her report that she got IV started and patient tolerated well and was comfortable.

  • @TommySweat-fk2ge
    @TommySweat-fk2ge Місяць тому

    I remember waking up after surgery in the icu unit. I tried taking out the tube to help me breathe. I have never been so scared in my life. I went into surgery needing a procedure done and this happened. My mom called hospital to see how my surgery went and they told here I was on a breathing machine in the icu . Unfortunately my mom couldn’t get there due to a snow and ice storm the night before.

  • @blondeenotsomuch
    @blondeenotsomuch 2 місяці тому +6

    I'm not sure I understand about needing patient's permission to do breathing tube after being anesthetized. It is a necessity for surgery. It assures a clear airway.
    You get permission for surgery, certainly it should mean all details needed for a positive outcome. When you sign permission they don't tell you all the details of what happens, like how you will be positioned, how your body will be restrained to maintain said position, the exact anesthesia formula, other medicine that may be used, the multiple variables that may occur, and how those variables will affect your outcome. You don't sign off in each variable. So if you have an anxious person, why not speak in generalities and not make them hyper conscious and introduce a high risk of anxiety. 🤷‍♀️

    • @JEWELZYOUTUBE
      @JEWELZYOUTUBE 2 місяці тому +2

      Having one with certain surgeries is needed but when you come out and awake your throat is sore up to 3 days ( I had 1 when I had surgery) but it was in and out before I woke up. The doctor did go everything, and I signed paperwork before I gotten any altering drugs with my surgery consultant before the surgery date. That way, I was already preparing for surgery, and they do go over everything again before they take you to surgery . If you have any questions, they can answer before you go loopy.
      Always have someone there to advocate for you and ensure they know what is going on with you. All the medications. And ensure that what you want is respected.

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому +5

      Anesthesia consent is different than surgical consent. I always tell my patients about the breathing tube, because they need to know what happens if they have a sore throat, though I certainly do appreciate your perspective

    • @blondeenotsomuch
      @blondeenotsomuch 2 місяці тому

      @@MedicalSecrets that makes sense. I have a hard time relating to the anxiety. which I prolly should work on my empathy skills. I've had great anesthesiologists. I was worried about my sleep apnea (why did they ask me to bring my cpap to the hospital with me? In case I needed overnight admission?) I was wondering what they had to do that made my jaw hurt. That was the only thing that hurt. Seriously only needed ibuprofen post. I am anxious about knee replacement surgery. It looks like they are amputating the bone above and below the knee. I am freaked about the rehab pain. I guess we all have different things that make us anxious. I've spent the last 4 months doing pt to build up the supporting structures for my knees and now weird stuff is happening. Last week I woke up to gluteal tendonopathy, it is slow to calm down but at least I can walk 50 yards, which totally exhausted me. So for fun tonight, I was carrying my hairy bundle of tortitude to a warm cuddle bed, and thoroughly tripped. The cat is fine, but I now have a wimpy complaining left hip and a right knee that will not bear weight, and all the flexibility I have worked on has disappeared. I wonder what will happen next week. My physio will look at those bruises and surely think I am abused. I am not. I am just rather oblivious to obstacles and lurch around like a drunk sailor when I first get up in the morning. 🤷‍♀️.
      Thank you for being kind and not the condescending arrogant type.

  • @SkorjOlafsen
    @SkorjOlafsen 2 місяці тому

    I had inpatient surgery recently: never met my anesthesiologist, never met my surgeon, the only actual doctor I met was the guy making the rounds to discharge me. Very strange experience. The nurses and assistants were great for the days I was hospitalized, nice enough rooms given the circumstance, but remarkably impersonal.

  • @tiffanypilkey103
    @tiffanypilkey103 2 місяці тому

    I had to get my gallbladder removed 5 days ago. It was my first ever surgery. I was in preop, and almost walked out because the surgery was at the same hospital that my husband died in. There was just a lot of fear there. Having family members there helped.

  • @TawnyaReifel
    @TawnyaReifel 2 місяці тому

    Also, for every single surgery I've ever had the docs removed the breathing tube before (or maybe as) i was coming out of anesthesia.

  • @BJFExped1
    @BJFExped1 2 місяці тому

    Show and tell!

  • @machellenash
    @machellenash 2 місяці тому +1

    I have an awfull ptsd with surgery...I went into pulmonary adema after a cystocopy years ago and almost died ..since then when I go to surgery the anesthesiologist has to give me meds to calm me before going to sleep

  • @tammyelakta7242
    @tammyelakta7242 2 місяці тому +4

    I woke up once still on the table with the tube in my throat people walking around and talking I started to get really nervous looking around then they pulled the tube out later the doctor tried to tell my that didn’t happen then told her what she was talking about she just looked at me trying to tell me every one wakes up with it I. Their throat but then forget I didn’t buy that I’ve had a lot of surgery after that never had it again I had to have the nerves in my back burned the doctor who was putting me to sleep was like ok your going to get sleepy I said no I’m not he like yes you are I said no I’m watching you he checked my iv it wasnt working my pain doctor and every one in the room was cracking up once he changed my iv he said ok now you going to sleep within seconds I was knocked out

  • @rozg85
    @rozg85 2 місяці тому

    I have a question about safely coming off of Ketamine post surgery - I'm currently on it in hospital,as well as hydromorphone and IV Lidocaine and it's resulting in audio/visual issues. I've advised the pain staff and requested to stop but it's been 24 hours and still going. Are you able to advise of a safe/acceptable taper from 4ml via IV?

  • @TawnyaReifel
    @TawnyaReifel 2 місяці тому

    For every surgery I've ever had, the doc gave me the shot through IV & the gas, then put the breathing tube in after I was asleep.

  • @deejayk5939
    @deejayk5939 2 місяці тому

    Scares me too, want to be asleep and not remember! Breathing tube ok as long as I don’t know or remember, bad experience when I was a kid.

  • @carlasmith1579
    @carlasmith1579 Місяць тому

    I have asthma, and I had a panic attack and yes, they cancelled the surgery. Im very nervous and, if I didnt need it, I wouldnt go back. I am going to talk about getting it this thursday, just talking mind you. It is a tkp. I dont want to know anything that goes on in there . I m not looking at anything, nerve block or the needle things or the saws or instruments of any kind.

  • @kathyn8780
    @kathyn8780 Місяць тому

    just had surgery, minor but I have asthma, I coughed for two hours, had to have steroids and antibiotics and two weeks later the tube caused me more problems than anything. I am so worried if I have to have surgery again .... my chest goes too tight

  • @AngelaGibbs-ue8ox
    @AngelaGibbs-ue8ox Місяць тому

    Hi. A month ago I was supposed to go for an upper endoscopy, but backed out of it because I'm afraid of anesthesia. I've had a negative experience back when I was 6. I had an eyelid operation, and was sick all night following the procedure. I'm afraid the same thing will happen again.&I'm 56 now

  • @carlasmith1579
    @carlasmith1579 Місяць тому

    I tend to go very rigid and hold my breathe when nervou, stress,terrified and afraid. It then can go into an asthma attack. So, you see, i need to be completely out.

  • @AngelaGibbs-ue8ox
    @AngelaGibbs-ue8ox Місяць тому

    I suffer from ptsd and severe anxiety and have no one to heal me after this procedure

  • @animalsdrumpage9997
    @animalsdrumpage9997 2 місяці тому

    Hi Anthony, I have extreme phobia of all things medical to the point where euthanasia would be a preferable option. I currently require bilateral inguinal hernia surgery and umbilical hernia surgery and also bilateral hip deformities. I have tried CBT since 2013 and BWRT and hypnosis. Nothing has worked. Is there anything you can do for me?

  • @donnariahi2975
    @donnariahi2975 2 місяці тому

    I had a breathing tube for the second half of hysterectomy as well as triple by pass. My only issue is once it is gone, I will not have in put in again, once it is gone, it is gone.

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      I'm sorry to hear about that, it can certainly be a very sensitive surgery

  • @mhenderson9311
    @mhenderson9311 2 місяці тому +1

    That methylene blue comment! Is Chlorpromazine ever still used as part of anesthesia for surgery? That is how that drug was used in the early 1950's, for heart surgery!
    Very good informative video!

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому +1

      Great question! We rarely use methylene blue, but sometimes we use it in open heart surgery. Chlorpromazine we rarely use these days, sometimes for nausea

    • @mhenderson9311
      @mhenderson9311 2 місяці тому

      @@MedicalSecrets thanks!

  • @marcusharrison8427
    @marcusharrison8427 2 місяці тому

    If you go into cardiac arrest during surgery once does it increase you odds if future surgical procedures that requires GA?

  • @susanlew1730
    @susanlew1730 Місяць тому

    Question when we are woken up from surgery, the breathing tube is stillin our throat?

  • @jimwest1967
    @jimwest1967 2 місяці тому +1

    they always give me versed and forget everything

  • @DavidPearl23
    @DavidPearl23 2 місяці тому

    Isn’t it true that not all surgeries need an endotracheal tube and that some surgery can be done without it

  • @adamduncan5371
    @adamduncan5371 2 місяці тому +1

    If we're talking neoplastic agents and noo tropics ketamine is the best neoplastic agent I've found

  • @Coltrieversandcooking
    @Coltrieversandcooking 2 місяці тому

    Can I take my metoprolol as normal during general anesthesia?

  • @SuzanneWor43
    @SuzanneWor43 24 дні тому

    The breathing tube keeps the airway open

  • @cherylkat2342
    @cherylkat2342 2 місяці тому

    My PtSD & anexty was caused with tube down my throat 6 in lungs one I had in stomach feeding tube then being tied down I lost it. The doctor told the nurse to sedate me more .she never did …

  • @susanroberts
    @susanroberts 2 місяці тому

    I thought you were going to show us how you put that tube in. Since my last surgery I’ve had trouble with my vocal chord and I’d like to know what could’ve caused that. I know they told me afterwards it can happen but I wish I had known before hand. How does it work? Please? 💝

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      Hi, I have a few videos on this, have you seen them?

    • @susanroberts
      @susanroberts 2 місяці тому

      @@MedicalSecrets I’ve been watching for about 1 1/2years now and I share with my sisters all the time. I don’t remember seeing a video on it. Could you please tell the the titles so I can look them up please? 💝🤗

  • @tracygoodman6525
    @tracygoodman6525 2 місяці тому +1

    I'm having surgery in a few hours. Inguinal and bellybutton. I'm not scared of surgery but I'm quite anxious about it. What meds are given for that. I expect a tube and a catheter. Is it normal?

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      I'm wishing you the best! You may get a breathing tube for that surgery, but sometimes we can do those with monitored anesthesia care, to avoid the breathing tube altogether. It is unlikely that you will receive a urinary catheter, there's tend to be short surgeries, but you should always ask your surgery team these questions

  • @jacquieclark6350
    @jacquieclark6350 2 місяці тому

    You are Good!!!! I Hate!!!!!!!!! the thought of me having me a meds that I Don't Remember the Procedure!!!! But my Subconscious Will Remember!!!!! So I will remember! But Dr Don't what to here my concerns, I think they what me Not to Remember what They Do To Me!!!!!!!!!!!!!!!! 😭

  • @chrisballo
    @chrisballo 2 місяці тому

    Does everyone get those tubes gun their throat and surgery or certain ones?

  • @Coltrieversandcooking
    @Coltrieversandcooking 2 місяці тому

    I’m scared to have my fibroid removed because I have a lot of irregular heart beats. I usually have to jump up and get very active to get my rhythm back to normal. If my breathing is in the hands of a machine… I’m worried my heart won’t get back to normal and my afib can turn to SCD.

    • @janetf9076
      @janetf9076 2 місяці тому

      Just remember, the OR is the best place to have heart problems!!!!!

  • @christineromannoodles9616
    @christineromannoodles9616 2 місяці тому

    Re-assure them on how you were going to place the tube.

  • @michelleallport4028
    @michelleallport4028 2 місяці тому

    Ativan, talk, music, turn the lights down a bit

  • @cherylkat2342
    @cherylkat2342 2 місяці тому

    My granddaughter has been in bad pain for 5 days . They took here to hosp she has a polo on her gallbladder but there not going to do anything about it and then they said the appendix was inflamed they were suppose too do test today decided to wait till another day so mad she in bad pain they have not gave her any pain meds why have pain med if your going to let them suffer she’s a strong teenager….so MAD! 😡they have my baby in pain & crying ! When she don’t have to be

  • @scottdeslauriers5209
    @scottdeslauriers5209 2 місяці тому

    I woke up with a tube in my throat for a half hour in recovery after that they took it out but they told me to blow out as they pulled it out

  • @cherylkat2342
    @cherylkat2342 2 місяці тому

    Hello ! I know the doctor said I have to have surgery on both legs the one I shattered…and my face where I had cancer it back up toward the eye.. And getting teeth . I might give them a fight because I PTSD & anexty”. I lose it.before surgery haven’t done it because scares me to death…

  • @fuzzycub3711
    @fuzzycub3711 2 місяці тому +1

    Why is nausea common after surgery?

    • @poutinedream5066
      @poutinedream5066 2 місяці тому

      They told me it can take a while for your stomach to wake up. I've had 5 surgeries and one of them, rotator cuff surgery, I threw up for 24 hours like I've never thrown up in my life. I called the doc th next day and couldn't get thru th call without throwing up. But that's what he told me.

  • @mircat28
    @mircat28 2 місяці тому

    I am scared of that stupid breathing tube because i woke up at the end of a tubal ligation and thought i was choking to death! I started dry heaving several times before the doctor noticed and said get the tube out! It was horrible!!!

  • @audither
    @audither 2 місяці тому

    A doctor and patient breathing tube simutaneously? As an exercise only?

  • @vegasonwheels4180
    @vegasonwheels4180 2 місяці тому

    My most dreaded part is putting the IV in. They always blow my nerves and stick me several times

  • @TheSarcasticSiamese
    @TheSarcasticSiamese 2 місяці тому

    Can ketamine and/or similar meds assist in breaking cPTSD? Was recently diagnosed as autistic. Grew up with chronic familial neglect and emotional abuse and one narcissistic parent. Fairly certain the other parent was mildly autistic, and grandmother on that side too, learning more about autism. Bc of that childhood, I have NO sense of self worth. Nothing I've done to improve that has helped 😑

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому +1

      I'm so sorry to hear about that. This is a reasonable approach that you should speak with your doctor about

    • @TheSarcasticSiamese
      @TheSarcasticSiamese 2 місяці тому

      @@MedicalSecrets we've been working on it. The place I will be going to has required medical clearance from my GP (the one who referred in first place...) for high BP and neurologist for possible IIH. But it would only be Sprovato treatment, not infusion. :/

  • @sheilableeks2030
    @sheilableeks2030 25 днів тому

    I’m having surgery tomorrow morning

  • @randypennel3731
    @randypennel3731 2 місяці тому

    ET tube size 7.0 to 7.5 size, if placed by skilled M.D or Patamedic, or Anesthesiologist no problem.

  • @cindystahl7259
    @cindystahl7259 2 місяці тому

    I pulled my tube out and the wings weren’t deflated. Such a sore throat!

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому

      Oh no! That can actually be harmful, I hope you are okay now

  • @tempo529
    @tempo529 2 місяці тому

    What really "terrifies" me is putting the breathing tube down my throat while awake.

    • @MedicalSecrets
      @MedicalSecrets  2 місяці тому +1

      It goes in while asleep in the majority of cases!

  • @dmurphy303
    @dmurphy303 2 місяці тому

    Have a loved 1 in the room for reassrance.

  • @iceicebabii1023
    @iceicebabii1023 2 місяці тому

    ❤️🙌✨

  • @josephbelsito8469
    @josephbelsito8469 2 місяці тому

    No tube

  • @JenniferBarroll
    @JenniferBarroll 2 місяці тому

    I thought you did that after they were under.

  • @rosaliaoliver-qv3gr
    @rosaliaoliver-qv3gr 2 місяці тому

    ♥️Dr Kaveh ♥️thank you for your ♥️WONDERFUL♥️ videos♥️I hope♥️ some day you have A talk ♥️SHOW♥️

  • @marcusharrison8427
    @marcusharrison8427 2 місяці тому

    Ketamine is wonderful! Lol js😊

  • @SunSetsJewerlry
    @SunSetsJewerlry 2 місяці тому

    What do you guys do with people with long hair liek do they have their hair in a sertan way or something??

  • @SunSetsJewerlry
    @SunSetsJewerlry 2 місяці тому

    Hii

  • @TrudyContos-gq1bw
    @TrudyContos-gq1bw 2 місяці тому

    Well if it's doable, but if not can it be done without anything at all maybe she's going to extreme high tolerance for pain.

  • @goldkhw
    @goldkhw 2 місяці тому

    I do not want to know.

  • @michaeldevlin954
    @michaeldevlin954 2 місяці тому +2

    I hope it was not a penis sounds terrifying

    • @CC-lh7tj
      @CC-lh7tj 2 місяці тому

      My guess was a gun.

  • @cherylkat2342
    @cherylkat2342 2 місяці тому

    No one could talk to me knock me out