I just found out that I have a “difficult airway.” About 15 years ago an anesthesiologist wrote a little note on a piece of paper and told me he had a hard time intubating me. I just thought it was him and ignored it as well as losing the note. When I had surgery in June, the anesthesiologist came into my room at the hospital and made a really big deal about how difficult it was to get the breathing tube in. I now have a little card that explains what is “difficult “ about my airway. After watching this video, I really understand why it’s a big deal.
I had two surgeries, and they did the countdown from 10. I literally do NOT remember them counting down at all, so the next surgery I was like: hey - can you do a countdown this time (unlike last time)? Then I thought about it for a second. I didn't remember a countdown from either time, rofl! Probably a memory thing. :P In recovery, I do remember wanting to just like get up suddenly and run away. Lol. Like where would I go? detroit?
To ALL of those Doctors, of Anesthesia, like Dr. Kaveh who, take time to do their best to insure patient safety. Thanks from the bottom of my heart. You are all a tremendous blessing to your patients. God bless all of you for your loving care.👍👍👍👍!!!.
Nothing can proceed without a great anesthesiologist I Thsnk God for all thise I had in my life for best surgeries asleep ...great care Especially my difficult 8 hours lifesaving surgery. To God be the Glory..so many times I was saved .. Hoe blessed we are to be blessed with anesthesia...surgeons.. hospitals. many in our World do not have. Thank You ...Lord God... Thank you for your service Huge responsibility ..anesthesia is ❤️ ❤️ ❤️ ❤️
That is for sure. During a surgery I started crying from feeling every cut and was intubated so I couldn’t talk. Tears streaming down my face through the whole procedure. The anesthesiologist just said “I don’t know why you are crying “ It was needless to say traumatic. Since then I’ve tried to alert them before hand and say I’m hard to put under. Has not helped. It feels like the “you’re a drug addict then so too bad so sad “ thing. I told my GP and she understands I have white coat PTSD to add to the PTSD I already had.
@@stephenr115 And even more importantly, updated and improved teaching for the students going into the field. Nip it in the bud. Too many old standards still being taught even though they’ve been supposedly changed. That’s been my experience anyway 👍
I recently had a rare tumor removed from my parotid gland. It was a tricky surgery because the tumor was located close to my main facial nerve, and a nicked nerve could cause all kinds of undesirable things to happen to my face. Because of that, I realized I needed a highly skilled surgeon. I found one at the University of Colorado's teaching hospital at Anschutz. In choosing that surgeon at that facility, I also got great anesthesiologists. I got to speak to the chief, a resident, and an observing student. They were approachable and personable, and they gained my trust. I went into surgery well informed and confident. The surgery was successful, and after the first couple of days I never felt pain that could not be controlled by Tylenol. While I've had swelling and numbness during recovery, none of the really bad things that could have happened did happen . I appreciate Dr Kavah's videos so much! I felt well educated going into my surgery and feel that I was as prepared as well as possible for what was about to happen to me while my eyes were closed. ❤❤❤
Everyone should get Educated on any Proceedure*Medical PRACTICE done by the PRACTIONERS!!! Meeting the Surgical Team Before & Asking the Questions you have about the proceedure along with Recovery is a good thing!!!
My surgery was 2 years ago, and only now I realize they would have had to give me paralytic meds in order to place the breathing tube. So now I understand why the anesthesiologist was so concerned. Me with that 'white coat syndrome', and I knew my BP and heart rate were through the roof once on the OR table! I didn't have any good questions prepared to ask the anesthesiologist before the surgery. So I say, thank you to Dr. Kaveh for all of his great informational videos!
I had open heart surgery (valve repair), and was brutally fatigued for 6-9 months afterwards. No one gave any warning this would happen. It only got better when I started taking big doses of vitamins on my own. There were scary mood changes in the 2-3 weeks after the operation. No warning of that, either. Ten months later, half my thorax is still partially numb from a rib being moved. Again, no warning. WHY didn't they tell me these would happen?
I get the feeling that, unless we directly ask, we aren't going to be told much. That's why this doctor, and doctors like him, who educate us online tell us what to ask about. Reading the comments also gives rise to questions we need to ask.
I had a awesome anesthesiologist when I had surgery he even sedated me before placing a clavicular nerve block so I wouldn’t feel it .. and was super nice and answered my questions and stuck around and joked with me about my situation
When I had my first knee replacement surgery, a CRNA performed the anesthesia. She doped me up on the benzos maybe 30 minutes before the procedure, then when I got wheeled off to the operating room, she gave me a spinal epidural making me almost completely numb from the waist down. When I had the second knee replaced, I had an actual anesthesiologist. The benzos were brief and he gave me just a shot in the thigh instead. The latter was much better. Much less pain waking up and could walk right away instead of being numb.
Thank you for sharing your experience, I hope you're recovery was uneventful after both surgeries. If you ever have surgery in the future, be sure to let them know about your experience!
I wish we had more anesthesiologists like you. I have had great experiences with all my procedures. I expressed my concerns, fears and questions. I felt more at ease. I had to have a regular size. gumball of tissue removed from the side of my tongue. The anesthesiologist explained he was going to use a cannula and used magic words to calm me. After surgery, I noticed and swear I peed. No one told me I might do that and it scared me for a minute and figured it could have been worse! My dad’s anesthesiologist was a jerk. My dad had open heart surgery. The anesthesiologist treated my dad like a lump in bed. The anesthesiologist ignored us in the room. We were not people just items. I will always remember that.
I have a significant amount of PTSD thanks to HCA taking over my local healthcare system. I really, truly appreciate this video and your help with those of us who have significant trauma as a result of botched surgeries and subpar care. It is very healing to have this information so that I can better advocate for myself going forward. Thank you so much for this video!
Me also. I told my local VA I will never go again to my local HCA hospital. Yeah, Medical PTSA is real. I have to have a knee replacement redone Monday and I am not really looking forward to this surgery.
@@joydeitle3912 I have had my last 2 procedures canceled (one at an HCA hospital) because of my PTSD and their utter failure to be able to handle that. I was in preop for one and then I was on the OR table for the other! I came unglued right after they pushed propofol but only enough to drop all my filters (self control) I was using to try and push through my fears. The result was me becoming quite combative.
After my surgeries, I always thank my anesthesiologist for keeping me alive!! And, I’m NEVER KIDDING! They truly do keep us alive during surgery! 🎉🎉🎉😊😊😊
I am so fascinated by medicine and absolutely obsessed about knowing as much as I can. Anesthesiologists typically can't wait to put me out so I shut up asking questions ;-) Blessed to have had consistently amazing experiences and felt super refreshed when I woke up (that Propofol is magic). Thank you for all you do to manage a good patient experience.
I truly also enjoy the way that he explains what the purpose of the different meds are for but, also what happens with each one. He should be a professor, teaching future anesthesiologist the proper way to deal with patients. We need ALL of the others to be like him. He is a great credit to the profession. Keep up the outstanding work, Dr. Kaveh.
Had a few over the decades. They used to do it before even taking you into the room for surgery. Not sure how it's supposed to go, these days but, for years now if I've had anything done that required it, whenever I'm meeting with the anesthesiologist before a procedure, I tell them no worries - wheel me into that room and I'll put myself on the table so no one has to move me. I'll talk with them as they're preparing, ask about who is doing what that are positioned around the room, etc. Some of them will joke with you once they know you're comfortable with it. One surgeon must have liked 80's rock and had it blasting in there for one. Once he realized I wasn't under as they wheeled me in, he said 'too loud?'... and I said turn it up, let's do this. All the docs out there keeping it 100 for patients - you rock.
These days GPs are "law enforcement" when it comes to pain meds. I respect those professions, but detest the DEA. What they've done to the medical profession is broken down the walls of trust. It's sad.
@@rusureuwant2know44 Buraucracy is a snake yes, as are the corrupt souls at top. DEA been kings of the drug trade legal & otherwise since its inception.
@@rusureuwant2know44 The agencies are there to help the big corporations. Regulations, taxes, permits etc are there to help the big corporations and hurt the mom and pop businesses. Opioids are cheap that’s why big pharma wants them to be difficult to get. It’s much easier to get the expensive medicines.
Dr Kaveh, I would love to know if you’ve had any patients who recollect “ floating” above themselves and even out of the operating room during surgery. I have had that experience. I’ve had 3 kinds of cancer and heart issues from chemo which led to surgery. Eleven serious surgeries in all. ( Thank god for propofol, no nausea!) During one staging laparotomy and splenectomy, which took 7 seven hours, I “floated” into the waiting room to see 2 cousins I hadn’t seen in years with my family. In recovery I specifically asked about them, even though they had left long before, and described a colorful coat my cousin had been wearing. Clearly if my brain was offline during surgery there was no “ awareness”, and that it was all a very lucky guess? Thank you for all you do, I’ve learned so much from your videos. A patient would be so lucky to have you.
Back in June I had surgery, and it took four hours for me to wake up. When I did, I was severely nauseous, and the nurses were talking about admitting me. I had a second surgery in November, and I was so worried about going through the same experience, my anesthesiologist studied the notes from last time, and assured me they would use a different “cocktail.” One of the things he mentioned taking out of the formula was ketamine. Could that have been what caused my problems? Because I woke up around an hour after the surgery that time. No nausea. I felt great.
Good question. Yes. I take ketamine infusion treatments for my major depressive disorder & have to take an anti-nausea medication at the start of my treatment or I wake up nauseated. My doctor said that was a common side effect.
@ do you have issues with waking up? Maybe something else in the anesthesiologist’s cocktail made that happen. The one I spoke with at our local hospital (went to Green Bay for the other surgery) said they’re a little behind the times when it comes to anesthesia. He said he never uses ketamine, and none of his patients have trouble waking or having nausea.
I really like your prepared videos. The live ones are uncomfortable for a lot of folks. The delays, the silences, the reading while talking, etc. Love these prepared ones!
I had a second kidney stone surgery in so many years. This last one was scary. In the recovery room my PB kept dropping. After hours of alarms going off I was given IV BP medication to stabilize it. Scary stuff. But the anesthesiologist was top notch. She knew exactly what she was doing.
I had an ECT treatment where they were using Ketamine as the induction agent. I always disliked the dissociative feeling while going under, and Ketamine works slowly in my body. Unfortunately, the anesthesiologist that day didn't know about that, and he pushed the Sux before I was completely asleep. Not being able to breathe on my own before going under REALLY REALLY freaked me out. I'm more wary of any anesthesia now....
When I had my hernia surgery, nobody told me I would be intubated, and totally out. I thought I was going to be given something like proprifoll or twilight sleep, where I would go to sleep and wake up with no memories. No discussion of anesthesia. The day of the op, they shaved and prepped me for the mouthpiece and when they told me, I had a panic attack. I can handle those so things proceeded accordingly. As they put me under I heard a nurse say, he is handling this pretty good for a panic attack. The next big thing they don't give you any education about is getting your bowels to work again. They told me it could be difficult, take a lot of water and the meds. Did not tell me to expect a lot of pain, and difficulty getting the process going again and it was severe. I guess they don't tell surgical patients about these thing because either they don't know, because they never experienced them, or they don't think anyone would go through with the operation if they knew what would happen to them. I think the second reason is the real one.
Whenever I have gone in to have any anesthesia I always tell them that I'm a lightweight which I am and to use the smallest possible dose. And really actually the anesthesiologist always thinks me for that information
Same here! They don't always listen. I had spine surgery in 2013 where they didn't listen to me and I coded 3 times the next day. I also had horrible hallucinations for days after. I had made a special point to tell the anesthesiologist but he obviously didn't listen.
Me too. I'm also a very hard stick for IVs and blood draws. I had my wisdom teeth taken out when I was in college. I went to sleep with first stick so didn't know what happened. I woke up 4 1/2 hours after surgery was done with both arms wrapped in ice packs and in a cot in another room. I heard my mom yelling at oral surgeon that if she could put an IV in a 1 pound baby why couldn't he put one in me. My mom was a NICU nurse at John's Hopkins and my mom didn't take me to oral surgeon. My step mom took me and when they couldn't wake me up they called my dad and my mom who lived 2 hours away. My first thought was why did my arms hurt nit my face.
Tore a place in my chest 20 years ago and it still 20 years later I suffer from it. I was taking my meds two days ago and it got hung in my chest in that spot and I have been hurting since and coughing up yellow phlegm like an infection. Taking antibiotics since. Clearing up a bit. That spot has had all kinds of things hung there. It's so scary. Be careful putting that tube in.
I am stressed out to the max because I am scheduled to have sinus surgery in 3 weeks. There is a mass in my left sinus and I cannot breathe properly, it has to be removed. So I can't have a mask on my face during surgery to administer gas. I wonder how it's going to be done. I had cancer surgery in 2003, was cut open and had lymph nodes removed from my groin area. When the anesthesiologist asked me what my concerns were, I told him I don't want to throw up after I wake up. He stuck an antinausea patch behind my ear and it totally saved me. I didn't even feel any nausea for 3 days. Then I got Zofran in my IV and all through chemo after that. I was pretty healthy back then except for the cancer, now I'm much older and have high BP and a number of other issues. I will be sure to tell all about them to my doctors this time along with all the medications I take. I will ask for the antinausea medication again. That is my only concern, everything else I can handle including pain.
I had anesthesia for a break in my neck, it was supposed to be a "twilight" sedation. After the third injection by the nurse, I heard the surgeon say "expensive drunk"! I was so embarrassed but I remember thinking, am I hard to medicate!?
Well, that was terrifying. I didn't necessarily need to know all that a week before my surgery. Sometimes more information is not better. My fault for clicking on it.
As a rule, whenever I was under anesthesia, I came out of it, with no problems. Even with cervical spine repair. BUT the last one was different. The surgery took longer than expected. I had my ovaries removed, and labia section removed for biopsy. (Cancer survivor) it took me 3 hours to come out of the anesthesia. I don’t know why, no one explained it to me. Now, I’m concerned. I’m 79, and so far no need for surgery. BUT I don’t know what the future holds either, as I suffer from lumbar spinal issues. I’m fighting any spinal surgery, as my children feel I should take that chance I’d be fine… Thank you for this video, and all your other videos, to keep us informed!
Ask them to have the anesthesia records explained to you or doctor talk to you so you have an idea of what may have been the problem. I have problems with nausea and restless legs, so they adjust medications for me and it has made post surgery recovery much better for me and them.
It's really worrisome these days as so many anesthesia's and surgeons are doped up. Some even aren't even qualified because they "bought" their test results and diploma.
I had CI surgery at Barrow Neurological Institute. I told my anesthesiologist that Im blind, and she wxplained everything and even listened when I said NO PRE OP MIDAZOLAM.
Too bad you weren’t my MDA when I had surgery. Neither my surgeon or MDA believed in pain Control for post op and I woke up in immense pain. I requested a nerve block AFTER I was under since the thought of being stabbed repeatedly while awake made me cry. Post op when i woke up, it took 3 doses of dilaudid and a 4th dose of something stronger finally relieved the pain. And all I had done was a dialysis catheter insertion. I’ll never use that surgeon again. My CRNA was fantastic though.
They had to get a pediatric tube to put down my throat, etc. That's what the nurse told me 😂. I already knew I had a small mouth but didn't know my throat and esophagus small too, lol 😅 Decided to a additional info. When I was preparing to have a c-section the anesthesiologist put a soft mask on me, when I breathed in the mask would collapse on my face. I started freaking out begging for help cause I couldn't breathe well. Maybe it was a more seasoned anesthesiologist came in. He helped me by putting on a firmer mask that didn't collapse so I could breathe better 🎉
For my second retina surgery of 4 (!) in a year, the anesthesiologist was angry and sarcastic with me😮. I still didn’t feel like I could say anything about my fear that he would have my life in his hands. All of the other anesthesiologists were professional and caring. I don’t even know how to find out who he was, so that I can somehow avoid him in future.
I have either died or nearly died while under anesthesia the last two times I had surgery. My heart stopped and refused to start the first time and though an ECMO machine was used to keep my heart beating, it nearly stopped functioning the second time. The doctors THINK my chemical sensitivity disorder has caused me to develop an allergy to something in the anesthesia. I wear a medical alert necklace stating that I cannot be put under general anesthesia. I am also restricted from traveling too far from the hospital which knows how to keep me alive during an emergency surgery.
Holy (bleep). I'm chemically sensitive and maybe that is why I couldn't sleep for two days after a dental operation... sensitivity. Although an anesthesiologist of some sort injected the drug the dentist was never informed about which drug it was and I will never know.
I had a bad experience...went for surgery only to have it aborted in the operating room -not able to get a good positioning. When I came too in post op I learned about the aborted surgery. My balance was so off just sitting felt wobbly. Trying to sit worse. They seemed to want me to get going! My oxygen kept dropping under 90. They told me to breath deep which corrected the oxygen. They dressed me, put me in a wheelchair and wheeled me to our car. I had TWO BLACK EYES, THROAT HURT BAD FOUR DAYS barely whisper, WALKED WITH A CANE TWO DAYS BECAUSE BALANCE OFF! Now I am having an MRI and will need the surgery done. All this has created ANXIETY!!!
Here's something that should scare the living daylights out of the anesthesiologist: everyone is different. Some people are frozen in a state in which they can feel everything - but they cannot say anything to let you know. And some drugs like Fentanyl have no effect on some people (people like me - I can't process it - it's like giving me water - other opioids I'm fine with - but morphine makes me sicker than a dog. The MMEs were based on subjective information, unfortunately, so doctors think that fentanyl is the strongest opioid of all time - and I think it's garbage - and I'm not the only one. And don't give me that 4 day nerve block "Exparell" either - for the same reason) It also takes a lot of phenergan to get me to stop throwing up once I get started (compazine doesn't work) so I should hope that any doctor would just give me the 50mg instead of putting me through 24 hours or more of unnecessary puking post surgery. Or give me something that agrees with me instead of thinking I'm drug seeking when I tell them what works best for me. It's gotten real bad out here when you try to convey to doctors what does and doesn't work. Maybe not so bad with surgical anesthesiologists, but when you're dealing with pain clinic anesthesiologists, you're drug seeking. No trial. You're already a convict. Btw, the drug used that keeps people from breathing is curare, the same thing South American Indians used to tip their arrows. Or at least it used to be what they used. They probably use something else now. Great video explaining why you still have to put people all the way under for some surgeries. Other surgeries still only require a "twilight" sleep - but it's still sleep to me. I come out of both kinds pretty fast - surprising my doctors and nurses. Not really groggy either and if I'm lucky, they've given me something that doesn't trigger the nausea. Always grateful to the doctors that listen to my issues with Fentanyl and Morphine - always grateful to the ones that understand that while oxy works, it takes 2 every 4 hours around the clock for bone surgery - and for soft tissue surgery, I can be off them the next afternoon. Makes a huge difference. Again. we're all different. Another patient might have Fentanyl work wonders. Another patient might have Exparell work fine. Just not me. Thanks for listening.
Similar story here, morphine post surgery doesn’t work, but Demerol is terrific. I get really nauseous but phenergan doesn’t work for me either. Everyone is different and they need to listen and know people who have had lots of surgery and chronic pain issues aren’t drug seeking, we just know lots of stuff.
Thank you for making this part of the surgery less mysterious and explaining how very important we have honest communication with the anesthesiologist before the surgery.
I’ve know several anesthesiologists, and they all say that their job is to”99% boredom” (because most of the time things go exactly as expected, and is very routine. The other 1% is “panic” because sometimes the body reacts unexpectedly, or the patient has a heart condition that has been previously undiagnosed.
Please answer this!!!!!! Anyone !!! I got nasal valve collapse surgery, deviated septum and turbinate reduction .. pretty much a nose job months after a car accident. I’ve been through a lot in 2024 my mom passed, I’m a single mom, my son is 7. His grandpa died a month before my mom. My mom was only 53 and saw her go thru so much w stage four cancer and in and out of hospitals, icu, rehab, craniotomy, chemo, radiation, blood transfusions. U name it ;/ it was horrible :/ Anyways after my surgery, 12/31/24 I have had severe panic and anxiety everyday since .. I was fine before surgery. When I went under surgery I had my period, only 3 ish hours of sleep and I think the anesthesia messed w my nervous system.. I wasn’t moving much after to heal but I couldn’t sleep well because u can’t breath after nose surgery. … I’m waking up feeling anxious immediately, body shakes, sweats cold feet etc! I never had this until after surgery!!!! I was so scared something was wrong w my heart or brain :/ What can this be .. too much trauma I had to switch jobs, deal w my sons emotional health after accident and my mom his grandma and it’s been a lot of life changes in 8months and I’m not sure if it was surgery but I never felt like this until after surgery .. so I’m a little scared my nervous system is wacked out and idk what to do :/ 😢 I have been taking Xanax and I don’t take pills either so I wana stop bc I can’t handle life it seems :/ what happen at surgery!!!
Rae, sweetheart, I'm so sorry to read about what a tough and painful year it's been for you. I imagine that you may feel emotionally lost and wrung out, as well as coping with the after effects of surgery. With everything you're being challenged with, I wonder whether you can be really kind to yourself - as you would be to your best friend - and give yourself the time and comfort to recover. I hope you have good support around you (family/friends/community) and if not, please reach out for professional help. It's out there. Please don't underestimate the impact that what you've been through can have on a person! You come across as a strong, independent woman and loving mother, going through a tough time of loss, grief and massive change. Keep going. You've got this!!! 💖 💕 ❤ from Tasmania, 🇦🇺, Laya
I agree with the person above. I think all the grief and stress, combined with your surgery and anesthesia has caused your depression and anxiety to linger and grow. It’s hard to recover normally,, but you’ve had added emotional, mental, physical, and financial stress in addition. Find a counselor, maybe one who does cognitive behavioral therapy, to talk with. Ask at the doctor that did your surgery, explain how you’ve felt and see if they can refer you, or if they can get you in touch with the anesthesiologist for a discussion and referral. Maybe your health group has counseling, or local women’s resource center offers free counseling, or some church organization. The further you get past surgery the better it will get. My dad changed dramatically after open heart surgery and it was directly tied to anesthesia. It was at least six months before he started getting back to normal.
I had my gallbladder taken out in 2021. They had trouble waking me up. They also left me with a hernia. I really don't want another surgery, and now after watching this, I'm even more afraid to get it fixed.
anesthesia is so fascinating. Having been through a few surgeries with general anesthesia, all I ever know is starting to feel very relaxed, then next thing I know somebody telling me to open my eyes....
I was woken up by a nurse on a ward during the evening after a serious op. I opened my eyes and then immediately started coughing! I coughed so much that I never had a chance to breathe in and get any air! I remember this nurse looking down at me with a panicked expression on her face as I continued to cough what felt like watery stuff out of my lungs?? I remember clutching my throat, feeling like I suffocating as if I was in the process of dying, and I could feel my eyes bulging! All she did was stand there and tell me to breathe!!!! In the end I sat up and spat the throw up watery stuff out and was able to get tiny gasps of air in between these uncontrollable coughing bouts while she stood there looking at me cluelessly! My children's faces flashed in my mind's eye and gave me every ounce of strength I needed to survive my ordeal! She looked relived... the other patients looked terrified and very concerned. She walked off and I never saw her again for the rest of my stay and I was too scared to complain or mention it for fear of repercussions!!! Since then I tell anesthetists before procedures and can't help but feel like they look at me like I'm crazy... fortunately it hasn't happened since. I'd love to know why that happened and if I'd been making gurgling noises in my sleep and if that was what caused her panic causing her to wake me up!! BTW this was twenty odd years ago so maybe things have changed now...
I'm certainly no expert on this but maybe you threw up a little while you were still coming out of anesthesia and breathed it in. The poor nurse wasn't trained enough how to handle the situation. I am glad you recovered from such a scary situation!
I’ve had around two dozen surgeries. After surgery to correct a deviated septum, I asked the surgeon what he had done wrong. I had heard him cussing while I was under anesthesia. When I had to have a knee surgery ten days after undergoing the knee replacement surgery on my right knee, I came out of the anesthesia while still in the operating room. I was in a he//ish amount of pain and was crying and asking for pain medication before I entered the recovery suite. I also ended up back in the hospital with a pulmonary embolism less than 3 weeks later. When I had my breast removed to get rid of my breast cancer, I was in a pool of blood on my bed in the ward when my husband got off work to visit me. He alerted the nurses and demanded the surgeon save my life immediately. (Surprise!! He did😄) How many times in 24 surgeries do complications come up? Am I just odd or have I just had so many surgeries?
Talk about a high stress occupation! I hope you are compensated accordingly. We literally trust you with our lives and to do no harm. I dread having surgery with an incompetent, negligent or careless member of the surgical team.
I love your videos, your candor and truth telling, but I'm now terrified to ever have general anesthesia. When I had a hip replaced, I only got a spinal block and light sedation and avoided general and intubation.
I hope your hip surgery went well. I also hope that as you get a chance to reflect on this new information, that you feel comfortable advocating for yourself and asking all of your doctors questions to help you feel more confident
Thank you for taking the time to inform & and educate us on things we would never know. When you inform us, we can inform the anesthesiologist. You rock !! 😊
Thank you for this video. I am going in for yet another surgery in a few days and have been really anxious because I've had bad experiences with not being able to come out of the anesthesia the last few times I've been put under. I feel empowered with what questions to ask this time and your recommendation on mindset reminded me to make sure I get my meditation time in the morning before I go. Thank you for taking the time to make this video 🙏💜
Fascinating information! Thanks for the Anesthesia 101. I was an anesthesia technician, and also have had a five-hour surgery--and had no idea about 90% of this!
The only time I had an issue was when I stopped breathing during eyelid surgery cause I have sleep apnea. The anesthesiologist was scared and had a talk with me. He's the one who told me I had sleep apnea. I never knew that. I woke up to an oxygen mask on me. It was a simple 15-30 min. Procedure.
I've had the experience of being given a drug that was supposed to help with breathing that did the opposite with some of us. I spent several minutes alone, trying to get someone to help me. On a later surgery an anesthesiologist walked up & slapped a patch on my chest without consulting me. It triggered anxiety from the previous experience & scared the daylights out of me.
I love your videos. They give us facts that aren't found anywhere else. I have put off getting my hip replaced for years and can now barely get around. But because of your videos, I know I'll never go under the knife. Now I have a plan that I can employ once this hip is to the point that I can't get to and from work. I've always been a person who found it hard to trust other people. My family keeps telling me I should trust doctors because they are professionals. And while you guys know a lot, the thing I appreciate about your videos is that you also share that you guys are just humans, and that we don't actually know what happens to our brain and body under surgery is the truth. Well done. Keep 'em coming!
I learned a lot! Happy Anesthesiologist physician week! I really enjoy donating to the anesthesiologist foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician, I look up to all Anesthesiologist and CRNA! It takes a special person to be an anesthesiologist or CRNA! You rock man! I like the hilarious patients
I'm medicine sensitive, so I have to really feel comfortable with who ever is my anastesioligest . My life is litterly in there hands,and they must know it,feel it. Be extra prepared. I'm an at risk case. It's a scary feeling to. I'm allergic to all Benzo's so that's just the cherry on top.
I've had two colonoscopies so far, and I did both of them without any anesthesia. Pain goes up to a three on the pain scale just briefly during the procedure. Totally worth it to avoid feeling hung over for 4 hours afterwards and to avoid the toxicity of the drugs. I'll do my next one that way, too. But if you are going to operate on my eye, or crack open my rib cage, I want to be totally under! :)
i had laser vision correction and later, cataract (a new lens) in both eyes. they numb the eye so no need to go under.. the valume is very helpful.. they numb the eye so there is no pain. just a few drops and no pain. i didnt do valume for my cat suregeries. no need to, its so fast.
This may be a weird question. I had knee replacement surgery recently (ouch, by the way) and, when I came to, my vision was blurry. It resolved a little more than a month later. The orthopedist and GP said that they had never heard of it as a side effect of this surgical procedure. Could it be related to anesthesia? Thanks!
I had a 9 hour surgery for my broken neck. They went in from the back. I have 2 cadaver bones, several titanium screws and metal in my neck. I felt like something left me after that. Like I wasn’t myself anymore. I still don’t and that was in 2001. I wanted to find my records and surgeons notes but I couldn’t find anything.
So, so sorry. This is a complicated reply but in the least I hope you find it interesting. I lived with electrogalvanism (see below) all my life and never knew who I was until I got a total dental revision per the works of Dr. Hal A. Huggins. It was a 10 hour operation to get rid of all root canals, cavitations and metals. I started to feel like myself the next morning and things have been improving little by little since. How does this apply to you? I don't know. But there is a machine called an ammeter that can measure electrical currents coming off metals. The ammeter seems to be also called Dental Metal Activity Meter. Maybe you can use the following quote to search for the website: The Dental Metal Activity Meter is used to measure galvanic current. Galvanic current is a term that has been used in dentistry for over 100 years. It is a condition created by the presence of dissimilar metals in the oral cavity of the teeth and gums, with saliva serving as the electrolyte." Try this: In the second you come to consciousness when you wake up after a good nights sleep hold still and "listen" "sense" "look for" anything going on in your head. With me it was a kind of slow moving, almost imperceptible, but very much there, hum. Even if electrogalvanism is not what is causing your situation this is a good way to "check in on yourself!" Thanx to Google Ai: "Electro galvanism" in the body, also simply called "galvanism," refers to a phenomenon where a small electrical current is generated within the body when two dissimilar metals come into contact with each other, typically occurring in the mouth due to different dental fillings, creating a "battery-like" effect with saliva acting as the electrolyte, potentially causing discomfort like a metallic taste, pain, or irritation; essentially, it's the electrical reaction between different metals in a conductive environment like bodily fluids. Key points about electrogalvanism Mechanism: When two different metals (like gold and amalgam fillings) touch in the mouth, a small electrical current is produced due to the difference in their electrical potential, especially when saliva acts as a conductor. Oral health concern: This is primarily a concern in dentistry, where different metal fillings or implants can cause galvanic reactions if they come into close proximity. If none of this is your situation then you would not have anything to lose by reading the book: Dianetics, Modern Science of Mental Health. Not only is it a workable technology for overcoming trauma it very thoroughly explains the force of words spoken when we are unconscious. After all this pray that God knows what is wrong and someday you will be yourself.
Here's something else from Google Ai: Q: can implanted metals in the body cause electrical currents Yes, implanted metals in the body can potentially cause small electrical currents due to the electrochemical reactions that occur between the metal surface and the body's fluids, essentially acting like a tiny battery; this is particularly relevant when considering corrosion of the metal implant, where the flow of ions creates a current at the metal-tissue interface. Key points to remember: Electrochemical corrosion: When a metal implant is placed in the body, it can corrode slightly, leading to the release of metal ions and the generation of electrical currents at the metal-tissue interface. Body fluids as electrolytes: The body's fluids act as electrolytes, allowing for the movement of ions which can contribute to electrical currents around the implant. Metal type matters: Different metals have varying levels of corrosion potential, meaning some may generate more electrical current than others. Minimal impact in most cases: While these currents are technically present, they are usually too small to have noticeable effects on the body under normal conditions. When can this become a concern? External electromagnetic fields: Implanted metals can act as antennas, potentially amplifying external electromagnetic fields and inducing larger currents in the body. Electrical stimulation devices: In situations where electrical stimulation devices are used near a metal implant, the interaction between the implant and the device could create unwanted electrical currents. Peace.
Could you describe how, why or what circumstances a patient would request more anesthesia as well as why an anesthesiologist would give more based upon a request vs medical need?
While appreciate this so much and i have had several surgeries after menopause I will not have another surgery if I can help it…seems to me that the anesthesiologist must be someone who was at the top of the class…..actually i have heard of many people having trouble with anesthesia……thank you….anyway when i was coming out of one surgery i kept telling people around me that i love them…..this video is terrifying……medicine knows almost nothing…..again thank you
Well nuts! I had my second emergency surgery in a month this last Tuesday. Just enough prep time to not eat or drink for the required time -- so I got to suffer the horrendous constipation once again. I wish you were my anesthesiologist!
I got sick and threw up, from too much Bupivacaine, for my radiofrequency ablation for middle back pain. Before that, I got way too much, had convulsions and went into a coma. That was the first time, when I had radiofrequency ablation for lower back pain. I didn't want or take any IV sedation.
i wish i could get some kind of clarity on whether it's a good idea to go through with the surgery they wanna do on me. I have mostly rotten teeth adn they want to pull all of them under general anesthesia. thing is I have autonomic dysfunction, severe MCAS that has led to serious problems with nourishment and consistent dieting, GAD, GERD, medical complex PTSD, hyperexpanded lungs, some hyperextendible connective tissue..... it seems impossible to think it's a good idea if it can be avoided in my situation but not pulling my teeth all at once and doing it over many visits increases my risk of other complications. i've already had one abscessed wisdom tooth that i had to take 2 weeks of antibiotics for and remove and i've had a worsening of MCAS ever since then :( i really wish i could get a clear path here it's way too hard to know what to do
I can relate to your situation. I declined general anesthesia and opted for Valium before arriving and novacain. Did all at once to get it over with and recover once instead of 2-4 times. I wish you good health and a full and healthy recovery.
@@SoCalRvca so you did valium and novacaine to get all your teeth pulled? did they give you like 30 shots? that musts have been absolutely brutal. how was the recovery process? did you also have antibiotics for a week or something?
@matt566 yes the shots were many but not as much as I had anticipated with great anxiety. I really can't stand shots in the mouth and uhat was my greatest fear. They gave me I took 2 low dose the afternoon and evening before, 1 higher in the morning and then another upon arrival. For me the anxiety was my major issue. It went much quicker than I thought it would too so when she said I was finished, I was glad that I chose this way. Yes I did antibiotics after along with a few days of some pain relief. Tylenol/codeine if I remember correctly. It was strange having no teeth and getting over the pain then the discomfort until healing was complete and ready to use the dentures. During the down time, lots of water, juice, broth, puddings, jello...nothing with seeds or pieces of meat that could get caught while healing. Lots of saltwater rinsing. I highly recommend starting off wearing the dentures with the powder until you have no discomfort left at all before going going to the polident. Removing the dentures and eating again may be different for a little while so removal needs to be quick and easy for cleaning. I did not opt for implants. I didn't want metal in my head. I had gone through a lot of dentistry over the years and didn't want to ever do it again.I have enough medical issues to deal with. You'll learn what adhesive you like best (polident ultra max hold is superior) in my experience. Great hold all day and night. I can eat apples sliced and a good steak and they're good. Some don't hold as well. I hope this helps you. If you have any questions let me know...I'm a pro with them now 😁
Such compassion and even I my body was triggered by the visuals of this video(needles, tables and doctors, oh my)I wanted to glean from your presentation
I tolerate very little of any drugs for anesthesia. I can tolerate Versed; I don't remember which ones I don't. I was on Metoprolol Tartrate and Metoprolol Succinate for years for my heart (not both at the same time). No longer on them. I was on Nadolol for years (not at the same time as Metoprolol) and it stopped my heart for ten seconds for a month until my cardiologist called me and said that I have to stop that. I have also carried Nitro-Bid for years. I don't carry it around anymore. Now I am not on any heart medication. I have been on so many different heart medications over the years that I don't remember their names anymore--I just was a "guinea pig" all that time to see which one would work. Maybe now that I am not on any heart medication it made me question why I was on any to begin with. I have SVT and Bradycardia and MVP. Should I still be on something?
Well this sounds terrifying! Especially with the practice of using one anesthesiologist for numerous patients at the same time. Could you do a video about that?
I observed a tonsillectomy once on a 60 -70 year old women and one minute the anesthesiologist was kicked back doing a suduko puzzle and Bear hugger hose down his scrubs and then it was time to extubate the patient and he was struggling to get the patient to breath .. it was crazy and interesting
@ERRNCJ this actually isn’t uncommon at all .. everything was fine until the surgeon said I’m done let’s extubate and the patient was doing fine on the vent but he was having trouble getting her off the vent .. thankfully after about 5 minutes of this he was able to successfully extubate her..
Doc, I was just able to watch this and I’ve learned so much. I some what find it interesting on how anesthesia meds word to keep patients alive. I just had my arthroscopic surgery in my shoulder 3 weeks ago. I even got to play DJ in the O.R.
I work in the surgical ward. I look after post-op patients. My question is, what causes patients to vomit and become nauseous after surgery? What is the main reason for it? Thank you in advance. Anda
I would love to see some responses to your question. After my hysterectomy 20+ years ago I was vomiting immediately after and it lasted for 72 hrs, even with multiple injections to stop it. It kept me hospitalized 2 extra days. No reason was ever provided to me other than my surgeon saying it would stop when the anesthesia was out of my system. It was an awful experience.
What kind of work do you do in the post-op ward? I would think you should have learned this in nursing school. Anyway, as far as I can tell, with all my previous reading on 'Dr. Google' the cause of vomiting and nausea after surgery is the opiate drugs, i.e., the fentanyl. I'm convinced that's what caused my extreme dizziness after my surgery; perhaps I got just a bit too much. I also read that the inhaled gases can cause nausea. It's their effect on the brainstem that causes nausea/vomiting.
Imagine having the brain power of this guy! Stanford and Harvard trained!! He's off the charts smart. Seems like a truly nice guy. I like him.
That's very kind of you, thank you!
Yeah, if they wheeled me into the OR and I saw him, I would have no anxiety at all.
@@Brianbaker1976
off the charts indeed!
I have worked with Dr Kaveh and he is just as awesome in person as he is in his videos. No acting here, this is really how great he is.
Me too ❤@@corinneb9790
I just found out that I have a “difficult airway.” About 15 years ago an anesthesiologist wrote a little note on a piece of paper and told me he had a hard time intubating me. I just thought it was him and ignored it as well as losing the note. When I had surgery in June, the anesthesiologist came into my room at the hospital and made a really big deal about how difficult it was to get the breathing tube in. I now have a little card that explains what is “difficult “ about my airway. After watching this video, I really understand why it’s a big deal.
It's amazing you start counting down, then instantly you are in the recovery room.
I had two surgeries, and they did the countdown from 10. I literally do NOT remember them counting down at all, so the next surgery I was like: hey - can you do a countdown this time (unlike last time)? Then I thought about it for a second. I didn't remember a countdown from either time, rofl! Probably a memory thing. :P In recovery, I do remember wanting to just like get up suddenly and run away. Lol. Like where would I go? detroit?
At the VA they don't count. They don't even say when they inject. Absolutely no warning.
A great anesthesiologist is key to a safe and comfortable surgery and surgery experience
And being honest with them!!!
@@xo2quilt agreed
To ALL of those Doctors, of Anesthesia, like Dr. Kaveh who, take time to do their best to insure patient safety. Thanks from the bottom of my heart. You are all a tremendous blessing to your patients. God bless all of you for your loving care.👍👍👍👍!!!.
Nothing can proceed without a great anesthesiologist
I Thsnk God for all thise I had in my life for best surgeries asleep ...great care
Especially my difficult 8 hours lifesaving surgery. To God be the Glory..so many times I was saved ..
Hoe blessed we are to be blessed with anesthesia...surgeons..
hospitals. many in our World do not have. Thank You ...Lord God...
Thank you for your service
Huge responsibility ..anesthesia is ❤️ ❤️ ❤️ ❤️
If you have an anesthesiologist that listens to you you will be fine. Not everyone is the same when it comes to anesthesia.
That is for sure.
During a surgery I started crying from feeling every cut and was intubated so I couldn’t talk. Tears streaming down my face through the whole procedure.
The anesthesiologist just said “I don’t know why you are crying “
It was needless to say traumatic.
Since then I’ve tried to alert them before hand and say I’m hard to put under.
Has not helped.
It feels like the “you’re a drug addict then so too bad so sad “ thing.
I told my GP and she understands I have white coat PTSD to add to the PTSD I already had.
Oh my…just another bit of proof of the need for communication improvements in the operating room.
@Bellywash Geez, sorry you had to endure the pain of being cut. How horrifying!
@@stephenr115 And even more importantly, updated and improved teaching for the students going into the field.
Nip it in the bud.
Too many old standards still being taught even though they’ve been supposedly changed.
That’s been my experience anyway 👍
@ thank you, yeah it sucked and instilled a fear in me.
I recently had a rare tumor removed from my parotid gland. It was a tricky surgery because the tumor was located close to my main facial nerve, and a nicked nerve could cause all kinds of undesirable things to happen to my face. Because of that, I realized I needed a highly skilled surgeon. I found one at the University of Colorado's teaching hospital at Anschutz. In choosing that surgeon at that facility, I also got great anesthesiologists.
I got to speak to the chief, a resident, and an observing student. They were approachable and personable, and they gained my trust. I went into surgery well informed and confident. The surgery was successful, and after the first couple of days I never felt pain that could not be controlled by Tylenol.
While I've had swelling and numbness during recovery, none of the really bad things that could have happened did happen .
I appreciate Dr Kavah's videos so much! I felt well educated going into my surgery and feel that I was as prepared as well as possible for what was about to happen to me while my eyes were closed. ❤❤❤
Everyone should get Educated on any Proceedure*Medical PRACTICE done by the PRACTIONERS!!! Meeting the Surgical Team Before & Asking the Questions you have about the proceedure along with Recovery is a good thing!!!
@@bethteer1509 As my spouse would say, "That's why they call it a "practice."
My husband had a similar surgery last year. He is still experiencing a lot of nerve pain in his neck.
I have the same issue with a lump on my parotid gland I need to have removed. Who was your surgeon at UC health?
I had the same surgery at UM.
My surgery was 2 years ago, and only now I realize they would have had to give me paralytic meds in order to place the breathing tube. So now I understand why the anesthesiologist was so concerned. Me with that 'white coat syndrome', and I knew my BP and heart rate were through the roof once on the OR table! I didn't have any good questions prepared to ask the anesthesiologist before the surgery.
So I say, thank you to Dr. Kaveh for all of his great informational videos!
I had open heart surgery (valve repair), and was brutally fatigued for 6-9 months afterwards. No one gave any warning this would happen. It only got better when I started taking big doses of vitamins on my own. There were scary mood changes in the 2-3 weeks after the operation. No warning of that, either. Ten months later, half my thorax is still partially numb from a rib being moved. Again, no warning. WHY didn't they tell me these would happen?
I get the feeling that, unless we directly ask, we aren't going to be told much. That's why this doctor, and doctors like him, who educate us online tell us what to ask about. Reading the comments also gives rise to questions we need to ask.
No question is stupid. No matter the question ask! If you get some doc who rolls his eyes, etc maybe see someone else.
Had Mitral Valve repair in October of 2014. No problems at all. I’m sorry you had these struggles.
You were butchered.
Thanks for the replies. I hope someone reads this before their operation so they'll know what questions to ask.
I had a awesome
anesthesiologist when I had surgery he even sedated me before placing a clavicular nerve block so I wouldn’t feel it .. and was super nice and answered my questions and stuck around and joked with me about my situation
When I had my first knee replacement surgery, a CRNA performed the anesthesia. She doped me up on the benzos maybe 30 minutes before the procedure, then when I got wheeled off to the operating room, she gave me a spinal epidural making me almost completely numb from the waist down. When I had the second knee replaced, I had an actual anesthesiologist. The benzos were brief and he gave me just a shot in the thigh instead. The latter was much better. Much less pain waking up and could walk right away instead of being numb.
Thank you for sharing your experience, I hope you're recovery was uneventful after both surgeries. If you ever have surgery in the future, be sure to let them know about your experience!
I wish we had more anesthesiologists like you. I have had great experiences with all my procedures. I expressed my concerns, fears and questions. I felt more at ease.
I had to have a regular size. gumball of tissue removed from the side of my tongue. The anesthesiologist explained he was going to use a cannula and used magic words to calm me. After surgery, I noticed and swear I peed. No one told me I might do that and it scared me for a minute and figured it could have been worse!
My dad’s anesthesiologist was a jerk. My dad had open heart surgery. The anesthesiologist treated my dad like a lump in bed. The anesthesiologist ignored us in the room. We were not people just items. I will always remember that.
I have a significant amount of PTSD thanks to HCA taking over my local healthcare system. I really, truly appreciate this video and your help with those of us who have significant trauma as a result of botched surgeries and subpar care. It is very healing to have this information so that I can better advocate for myself going forward. Thank you so much for this video!
I also had a horrible experience with an HCA hospital last month that traumatized me as well. It is money over patients pretty much everywhere though
Me also. I told my local VA I will never go again to my local HCA hospital. Yeah, Medical PTSA is real. I have to have a knee replacement redone Monday and I am not really looking forward to this surgery.
@@joydeitle3912 I have had my last 2 procedures canceled (one at an HCA hospital) because of my PTSD and their utter failure to be able to handle that. I was in preop for one and then I was on the OR table for the other! I came unglued right after they pushed propofol but only enough to drop all my filters (self control) I was using to try and push through my fears. The result was me becoming quite combative.
After my surgeries, I always thank my anesthesiologist for keeping me alive!! And, I’m NEVER KIDDING! They truly do keep us alive during surgery! 🎉🎉🎉😊😊😊
They deserve as much compensation as the skilled surgeon.
I am so fascinated by medicine and absolutely obsessed about knowing as much as I can. Anesthesiologists typically can't wait to put me out so I shut up asking questions ;-) Blessed to have had consistently amazing experiences and felt super refreshed when I woke up (that Propofol is magic). Thank you for all you do to manage a good patient experience.
Me too!!
What an excellent presentation and explanation of anesthesia administration and effects. Thank you so much for this video.
I truly also enjoy the way that he explains what the purpose of the different meds are for but, also what happens with each one. He should be a professor, teaching future anesthesiologist the proper way to deal with patients. We need ALL of the others to be like him. He is a great credit to the profession. Keep up the outstanding work, Dr. Kaveh.
Had a few over the decades. They used to do it before even taking you into the room for surgery. Not sure how it's supposed to go, these days but, for years now if I've had anything done that required it, whenever I'm meeting with the anesthesiologist before a procedure, I tell them no worries - wheel me into that room and I'll put myself on the table so no one has to move me. I'll talk with them as they're preparing, ask about who is doing what that are positioned around the room, etc. Some of them will joke with you once they know you're comfortable with it. One surgeon must have liked 80's rock and had it blasting in there for one. Once he realized I wasn't under as they wheeled me in, he said 'too loud?'... and I said turn it up, let's do this. All the docs out there keeping it 100 for patients - you rock.
Surgeon, law enforcement and a paramedic in my family. Never a dull moment. ❤😂
These days GPs are "law enforcement" when it comes to pain meds. I respect those professions, but detest the DEA. What they've done to the medical profession is broken down the walls of trust. It's sad.
@@rusureuwant2know44 Buraucracy is a snake yes, as are the corrupt souls at top. DEA been kings of the drug trade legal & otherwise since its inception.
Sounds like my family just add 2 nurses and a lawyer.
I bet family get-togethers are, um, interesting!!! @junelynn63
@@rusureuwant2know44 The agencies are there to help the big corporations. Regulations, taxes, permits etc are there to help the big corporations and hurt the mom and pop businesses. Opioids are cheap that’s why big pharma wants them to be difficult to get. It’s much easier to get the expensive medicines.
Dr Kaveh, I would love to know if you’ve had any patients who recollect “ floating” above themselves and even out of the operating room during surgery. I have had that experience. I’ve had 3 kinds of cancer and heart issues from chemo which led to surgery. Eleven serious surgeries in all. ( Thank god for propofol, no nausea!) During one staging laparotomy and splenectomy, which took 7 seven hours, I “floated” into the waiting room to see 2 cousins I hadn’t seen in years with my family. In recovery I specifically asked about them, even though they had left long before, and described a colorful coat my cousin had been wearing. Clearly if my brain was offline during surgery there was no “ awareness”, and that it was all a very lucky guess? Thank you for all you do, I’ve learned so much from your videos. A patient would be so lucky to have you.
Back in June I had surgery, and it took four hours for me to wake up. When I did, I was severely nauseous, and the nurses were talking about admitting me. I had a second surgery in November, and I was so worried about going through the same experience, my anesthesiologist studied the notes from last time, and assured me they would use a different “cocktail.” One of the things he mentioned taking out of the formula was ketamine. Could that have been what caused my problems? Because I woke up around an hour after the surgery that time. No nausea. I felt great.
Good question. Yes. I take ketamine infusion treatments for my major depressive disorder & have to take an anti-nausea medication at the start of my treatment or I wake up nauseated. My doctor said that was a common side effect.
@ do you have issues with waking up? Maybe something else in the anesthesiologist’s cocktail made that happen. The one I spoke with at our local hospital (went to Green Bay for the other surgery) said they’re a little behind the times when it comes to anesthesia. He said he never uses ketamine, and none of his patients have trouble waking or having nausea.
I really like your prepared videos. The live ones are uncomfortable for a lot of folks. The delays, the silences, the reading while talking, etc. Love these prepared ones!
I had a second kidney stone surgery in so many years. This last one was scary. In the recovery room my PB kept dropping. After hours of alarms going off I was given IV BP medication to stabilize it. Scary stuff. But the anesthesiologist was top notch. She knew exactly what she was doing.
I had an ECT treatment where they were using Ketamine as the induction agent. I always disliked the dissociative feeling while going under, and Ketamine works slowly in my body. Unfortunately, the anesthesiologist that day didn't know about that, and he pushed the Sux before I was completely asleep. Not being able to breathe on my own before going under REALLY REALLY freaked me out. I'm more wary of any anesthesia now....
When I had my hernia surgery, nobody told me I would be intubated, and totally out. I thought I was going to be given something like proprifoll or twilight sleep, where I would go to sleep and wake up with no memories. No discussion of anesthesia. The day of the op, they shaved and prepped me for the mouthpiece and when they told me, I had a panic attack. I can handle those so things proceeded accordingly. As they put me under I heard a nurse say, he is handling this pretty good for a panic attack. The next big thing they don't give you any education about is getting your bowels to work again. They told me it could be difficult, take a lot of water and the meds. Did not tell me to expect a lot of pain, and difficulty getting the process going again and it was severe. I guess they don't tell surgical patients about these thing because either they don't know, because they never experienced them, or they don't think anyone would go through with the operation if they knew what would happen to them. I think the second reason is the real one.
Whenever I have gone in to have any anesthesia I always tell them that I'm a lightweight which I am and to use the smallest possible dose. And really actually the anesthesiologist always thinks me for that information
Same here! They don't always listen. I had spine surgery in 2013 where they didn't listen to me and I coded 3 times the next day. I also had horrible hallucinations for days after. I had made a special point to tell the anesthesiologist but he obviously didn't listen.
Me too. I'm also a very hard stick for IVs and blood draws. I had my wisdom teeth taken out when I was in college. I went to sleep with first stick so didn't know what happened. I woke up 4 1/2 hours after surgery was done with both arms wrapped in ice packs and in a cot in another room. I heard my mom yelling at oral surgeon that if she could put an IV in a 1 pound baby why couldn't he put one in me. My mom was a NICU nurse at John's Hopkins and my mom didn't take me to oral surgeon. My step mom took me and when they couldn't wake me up they called my dad and my mom who lived 2 hours away. My first thought was why did my arms hurt nit my face.
I am glad I had an honest conversation with my last anesthesiologist, prior to a procedure. We waited a week and all was good.
Thank you for making your profession understandable and relatable.
Can we learn more on extended hypoxia and the Effects on the brain and organs Dr K, We Need More Doctors just like You.
Tore a place in my chest 20 years ago and it still 20 years later I suffer from it. I was taking my meds two days ago and it got hung in my chest in that spot and I have been hurting since and coughing up yellow phlegm like an infection. Taking antibiotics since. Clearing up a bit. That spot has had all kinds of things hung there. It's so scary. Be careful putting that tube in.
You can lesson the chance of problems if you drink a little room temperature water, take the pill then drink a glass of water.
I hope you feel better.
I am stressed out to the max because I am scheduled to have sinus surgery in 3 weeks. There is a mass in my left sinus and I cannot breathe properly, it has to be removed. So I can't have a mask on my face during surgery to administer gas. I wonder how it's going to be done. I had cancer surgery in 2003, was cut open and had lymph nodes removed from my groin area. When the anesthesiologist asked me what my concerns were, I told him I don't want to throw up after I wake up. He stuck an antinausea patch behind my ear and it totally saved me. I didn't even feel any nausea for 3 days. Then I got Zofran in my IV and all through chemo after that. I was pretty healthy back then except for the cancer, now I'm much older and have high BP and a number of other issues. I will be sure to tell all about them to my doctors this time along with all the medications I take. I will ask for the antinausea medication again. That is my only concern, everything else I can handle including pain.
I had anesthesia for a break in my neck, it was supposed to be a "twilight" sedation. After the third injection by the nurse, I heard the surgeon say "expensive drunk"! I was so embarrassed but I remember thinking, am I hard to medicate!?
I absolutely hate surgery, but respect all you do! Thanks for sharing all your knowledge to help me with my anxiety to surgery.
I agree! I Hate surgery 😢
Well, that was terrifying. I didn't necessarily need to know all that a week before my surgery. Sometimes more information is not better. My fault for clicking on it.
You DO need to know it.
@@diamondlenasannot really, they need to know all that we need to know we're in good hands and everything will be alright!
As a rule, whenever I was under anesthesia, I came out of it, with no problems. Even with cervical spine repair. BUT the last one was different. The surgery took longer than expected. I had my ovaries removed, and labia section removed for biopsy. (Cancer survivor) it took me 3 hours to come out of the anesthesia. I don’t know why, no one explained it to me. Now, I’m concerned. I’m 79, and so far no need for surgery.
BUT I don’t know what the future holds either, as I suffer from lumbar spinal issues. I’m fighting any spinal surgery, as my children feel I should take that chance I’d be fine…
Thank you for this video, and all your other videos, to keep us informed!
Ask them to have the anesthesia records explained to you or doctor talk to you so you have an idea of what may have been the problem. I have problems with nausea and restless legs, so they adjust medications for me and it has made post surgery recovery much better for me and them.
When I had surgery, I slept the entire next day. Woke up briefly for only seconds from time to time.
It's really worrisome these days as so many anesthesia's and surgeons are doped up. Some even aren't even qualified because they "bought" their test results and diploma.
I had CI surgery at Barrow Neurological Institute. I told my anesthesiologist that Im blind, and she wxplained everything and even listened when I said NO PRE OP MIDAZOLAM.
Too bad you weren’t my MDA when I had surgery. Neither my surgeon or MDA believed in pain Control for post op and I woke up in immense pain. I requested a nerve block AFTER I was under since the thought of being stabbed repeatedly while awake made me cry. Post op when i woke up, it took 3 doses of dilaudid and a 4th dose of something stronger finally relieved the pain. And all I had done was a dialysis catheter insertion. I’ll never use that surgeon again. My CRNA was fantastic though.
They had to get a pediatric tube to put down my throat, etc. That's what the nurse told me 😂. I already knew I had a small mouth but didn't know my throat and esophagus small too, lol 😅 Decided to a additional info. When I was preparing to have a c-section the anesthesiologist put a soft mask on me, when I breathed in the mask would collapse on my face. I started freaking out begging for help cause I couldn't breathe well. Maybe it was a more seasoned anesthesiologist came in. He helped me by putting on a firmer mask that didn't collapse so I could breathe better 🎉
For my second retina surgery of 4 (!) in a year, the anesthesiologist was angry and sarcastic with me😮. I still didn’t feel like I could say anything about my fear that he would have my life in his hands. All of the other anesthesiologists were professional and caring. I don’t even know how to find out who he was, so that I can somehow avoid him in future.
I have either died or nearly died while under anesthesia the last two times I had surgery. My heart stopped and refused to start the first time and though an ECMO machine was used to keep my heart beating, it nearly stopped functioning the second time.
The doctors THINK my chemical sensitivity disorder has caused me to develop an allergy to something in the anesthesia.
I wear a medical alert necklace stating that I cannot be put under general anesthesia. I am also restricted from traveling too far from the hospital which knows how to keep me alive during an emergency surgery.
Holy (bleep). I'm chemically sensitive and maybe that is why I couldn't sleep for two days after a dental operation... sensitivity. Although an anesthesiologist of some sort injected the drug the dentist was never informed about which drug it was and I will never know.
I had a bad experience...went for surgery only to have it aborted in the operating room -not able to get a good positioning. When I came too in post
op I learned about the aborted surgery. My balance was so off just sitting felt wobbly. Trying to sit worse. They seemed to want me to get going! My oxygen kept dropping under 90. They told me to breath deep which corrected the oxygen. They dressed me, put me in a wheelchair and wheeled me to our car. I had TWO BLACK EYES, THROAT HURT BAD FOUR DAYS barely whisper, WALKED WITH A CANE TWO DAYS BECAUSE BALANCE OFF! Now I am having an MRI and will need the surgery done. All this has created ANXIETY!!!
I appreciate your honesty and advice in this video, I'm due to have three surgeries in the next two to four months, and now I'm absolutely petrified.
Thank you for posting this informational video. Much appreciated.
My pleasure!
Here's something that should scare the living daylights out of the anesthesiologist: everyone is different. Some people are frozen in a state in which they can feel everything - but they cannot say anything to let you know. And some drugs like Fentanyl have no effect on some people (people like me - I can't process it - it's like giving me water - other opioids I'm fine with - but morphine makes me sicker than a dog. The MMEs were based on subjective information, unfortunately, so doctors think that fentanyl is the strongest opioid of all time - and I think it's garbage - and I'm not the only one. And don't give me that 4 day nerve block "Exparell" either - for the same reason) It also takes a lot of phenergan to get me to stop throwing up once I get started (compazine doesn't work) so I should hope that any doctor would just give me the 50mg instead of putting me through 24 hours or more of unnecessary puking post surgery. Or give me something that agrees with me instead of thinking I'm drug seeking when I tell them what works best for me. It's gotten real bad out here when you try to convey to doctors what does and doesn't work. Maybe not so bad with surgical anesthesiologists, but when you're dealing with pain clinic anesthesiologists, you're drug seeking. No trial. You're already a convict.
Btw, the drug used that keeps people from breathing is curare, the same thing South American Indians used to tip their arrows. Or at least it used to be what they used. They probably use something else now.
Great video explaining why you still have to put people all the way under for some surgeries. Other surgeries still only require a "twilight" sleep - but it's still sleep to me. I come out of both kinds pretty fast - surprising my doctors and nurses. Not really groggy either and if I'm lucky, they've given me something that doesn't trigger the nausea. Always grateful to the doctors that listen to my issues with Fentanyl and Morphine - always grateful to the ones that understand that while oxy works, it takes 2 every 4 hours around the clock for bone surgery - and for soft tissue surgery, I can be off them the next afternoon. Makes a huge difference. Again. we're all different. Another patient might have Fentanyl work wonders. Another patient might have Exparell work fine. Just not me. Thanks for listening.
Similar story here, morphine post surgery doesn’t work, but Demerol is terrific. I get really nauseous but phenergan doesn’t work for me either. Everyone is different and they need to listen and know people who have had lots of surgery and chronic pain issues aren’t drug seeking, we just know lots of stuff.
Thank you for making this part of the surgery less mysterious and explaining how very important we have honest communication with the anesthesiologist before the surgery.
I’ve know several anesthesiologists, and they all say that their job is to”99% boredom” (because most of the time things go exactly as expected, and is very routine. The other 1% is “panic” because sometimes the body reacts unexpectedly, or the patient has a heart condition that has been previously undiagnosed.
This doctor is a rare find. A true genius. Hospitals need more just like him ♥️
Thank you, Dr. for what you do and informing us.
Please answer this!!!!!! Anyone !!!
I got nasal valve collapse surgery, deviated septum and turbinate reduction .. pretty much a nose job months after a car accident.
I’ve been through a lot in 2024 my mom passed, I’m a single mom, my son is 7. His grandpa died a month before my mom. My mom was only 53 and saw her go thru so much w stage four cancer and in and out of hospitals, icu, rehab, craniotomy, chemo, radiation, blood transfusions. U name it ;/ it was horrible :/
Anyways after my surgery, 12/31/24 I have had severe panic and anxiety everyday since .. I was fine before surgery. When I went under surgery I had my period, only 3 ish hours of sleep and I think the anesthesia messed w my nervous system.. I wasn’t moving much after to heal but I couldn’t sleep well because u can’t breath after nose surgery. … I’m waking up feeling anxious immediately, body shakes, sweats cold feet etc! I never had this until after surgery!!!! I was so scared something was wrong w my heart or brain :/
What can this be .. too much trauma I had to switch jobs, deal w my sons emotional health after accident and my mom his grandma and it’s been a lot of life changes in 8months and I’m not sure if it was surgery but I never felt like this until after surgery .. so I’m a little scared my nervous system is wacked out and idk what to do :/ 😢 I have been taking Xanax and I don’t take pills either so I wana stop bc I can’t handle life it seems :/ what happen at surgery!!!
Rae, sweetheart, I'm so sorry to read about what a tough and painful year it's been for you. I imagine that you may feel emotionally lost and wrung out, as well as coping with the after effects of surgery. With everything you're being challenged with, I wonder whether you can be really kind to yourself - as you would be to your best friend - and give yourself the time and comfort to recover. I hope you have good support around you (family/friends/community) and if not, please reach out for professional help. It's out there. Please don't underestimate the impact that what you've been through can have on a person! You come across as a strong, independent woman and loving mother, going through a tough time of loss, grief and massive change. Keep going. You've got this!!!
💖 💕 ❤ from Tasmania, 🇦🇺, Laya
I agree with the person above. I think all the grief and stress, combined with your surgery and anesthesia has caused your depression and anxiety to linger and grow. It’s hard to recover normally,, but you’ve had added emotional, mental, physical, and financial stress in addition. Find a counselor, maybe one who does cognitive behavioral therapy, to talk with. Ask at the doctor that did your surgery, explain how you’ve felt and see if they can refer you, or if they can get you in touch with the anesthesiologist for a discussion and referral. Maybe your health group has counseling, or local women’s resource center offers free counseling, or some church organization. The further you get past surgery the better it will get.
My dad changed dramatically after open heart surgery and it was directly tied to anesthesia. It was at least six months before he started getting back to normal.
I had my gallbladder taken out in 2021. They had trouble waking me up. They also left me with a hernia. I really don't want another surgery, and now after watching this, I'm even more afraid to get it fixed.
A good chiropractor can help you with that.
anesthesia is so fascinating. Having been through a few surgeries with general anesthesia, all I ever know is starting to feel very relaxed, then next thing I know somebody telling me to open my eyes....
I was woken up by a nurse on a ward during the evening after a serious op. I opened my eyes and then immediately started coughing! I coughed so much that I never had a chance to breathe in and get any air! I remember this nurse looking down at me with a panicked expression on her face as I continued to cough what felt like watery stuff out of my lungs?? I remember clutching my throat, feeling like I suffocating as if I was in the process of dying, and I could feel my eyes bulging! All she did was stand there and tell me to breathe!!!! In the end I sat up and spat the throw up watery stuff out and was able to get tiny gasps of air in between these uncontrollable coughing bouts while she stood there looking at me cluelessly! My children's faces flashed in my mind's eye and gave me every ounce of strength I needed to survive my ordeal! She looked relived... the other patients looked terrified and very concerned. She walked off and I never saw her again for the rest of my stay and I was too scared to complain or mention it for fear of repercussions!!! Since then I tell anesthetists before procedures and can't help but feel like they look at me like I'm crazy... fortunately it hasn't happened since. I'd love to know why that happened and if I'd been making gurgling noises in my sleep and if that was what caused her panic causing her to wake me up!! BTW this was twenty odd years ago so maybe things have changed now...
I'm certainly no expert on this but maybe you threw up a little while you were still coming out of anesthesia and breathed it in. The poor nurse wasn't trained enough how to handle the situation. I am glad you recovered from such a scary situation!
@@Patricia54321hopethank you for your suggestion. And for taking time to respond to my question.
Thanks!
I’ve had around two dozen surgeries. After surgery to correct a deviated septum, I asked the surgeon what he had done wrong. I had heard him cussing while I was under anesthesia.
When I had to have a knee surgery ten days after undergoing the knee replacement surgery on my right knee, I came out of the anesthesia while still in the operating room. I was in a he//ish amount of pain and was crying and asking for pain medication before I entered the recovery suite.
I also ended up back in the hospital with a pulmonary embolism less than 3 weeks later.
When I had my breast removed to get rid of my breast cancer, I was in a pool of blood on my bed in the ward when my husband got off work to visit me. He alerted the nurses and demanded the surgeon save my life immediately. (Surprise!! He did😄)
How many times in 24 surgeries do complications come up? Am I just odd or have I just had so many surgeries?
Talk about a high stress occupation! I hope you are compensated accordingly. We
literally trust you with our lives and to do no harm. I dread having surgery with an incompetent, negligent or careless member of the surgical team.
I love your videos, your candor and truth telling, but I'm now terrified to ever have general anesthesia. When I had a hip replaced, I only got a spinal block and light sedation and avoided general and intubation.
I hope your hip surgery went well. I also hope that as you get a chance to reflect on this new information, that you feel comfortable advocating for yourself and asking all of your doctors questions to help you feel more confident
thanks for the information Doc !! i appreciate the insider look of the anesthesiologist.
Thank you for taking the time to inform & and educate us on things we would never know. When you inform us, we can inform the anesthesiologist. You rock !! 😊
Thank you so very much Dr for this information!
Thank you for the information.
Thank you for this video. I am going in for yet another surgery in a few days and have been really anxious because I've had bad experiences with not being able to come out of the anesthesia the last few times I've been put under. I feel empowered with what questions to ask this time and your recommendation on mindset reminded me to make sure I get my meditation time in the morning before I go. Thank you for taking the time to make this video 🙏💜
Fascinating information! Thanks for the Anesthesia 101. I was an anesthesia technician, and also have had a five-hour surgery--and had no idea about 90% of this!
Sounds like you had a crappy boss.. didnt teach you anything
Would it be beneficial for me to let my anesthesiologist know what drugs worked well (no adverse effects) for me in a previous surgery?
Definitely
The only time I had an issue was when I stopped breathing during eyelid surgery cause I have sleep apnea. The anesthesiologist was scared and had a talk with me. He's the one who told me I had sleep apnea. I never knew that. I woke up to an oxygen mask on me. It was a simple 15-30 min. Procedure.
I've had the experience of being given a drug that was supposed to help with breathing that did the opposite with some of us. I spent several minutes alone, trying to get someone to help me. On a later surgery an anesthesiologist walked up & slapped a patch on my chest without consulting me. It triggered anxiety from the previous experience & scared the daylights out of me.
I love your videos. They give us facts that aren't found anywhere else. I have put off getting my hip replaced for years and can now barely get around. But because of your videos, I know I'll never go under the knife. Now I have a plan that I can employ once this hip is to the point that I can't get to and from work. I've always been a person who found it hard to trust other people. My family keeps telling me I should trust doctors because they are professionals. And while you guys know a lot, the thing I appreciate about your videos is that you also share that you guys are just humans, and that we don't actually know what happens to our brain and body under surgery is the truth. Well done. Keep 'em coming!
I learned a lot! Happy Anesthesiologist physician week! I really enjoy donating to the anesthesiologist foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be a anesthesiologist physician, I look up to all Anesthesiologist and CRNA! It takes a special person to be an anesthesiologist or CRNA! You rock man! I like the hilarious patients
I'm medicine sensitive, so I have to really feel comfortable with who ever is my anastesioligest . My life is litterly in there hands,and they must know it,feel it. Be extra prepared. I'm an at risk case. It's a scary feeling to. I'm allergic to all Benzo's so that's just the cherry on top.
I've had two colonoscopies so far, and I did both of them without any anesthesia. Pain goes up to a three on the pain scale just briefly during the procedure. Totally worth it to avoid feeling hung over for 4 hours afterwards and to avoid the toxicity of the drugs. I'll do my next one that way, too. But if you are going to operate on my eye, or crack open my rib cage, I want to be totally under! :)
i had laser vision correction and later, cataract (a new lens) in both eyes. they numb the eye so no need to go under.. the valume is very helpful.. they numb the eye so there is no pain. just a few drops and no pain. i didnt do valume for my cat suregeries. no need to, its so fast.
This may be a weird question. I had knee replacement surgery recently (ouch, by the way) and, when I came to, my vision was blurry. It resolved a little more than a month later. The orthopedist and GP said that they had never heard of it as a side effect of this surgical procedure. Could it be related to anesthesia? Thanks!
I had a 9 hour surgery for my broken neck. They went in from the back. I have 2 cadaver bones, several titanium screws and metal in my neck. I felt like something left me after that. Like I wasn’t myself anymore. I still don’t and that was in 2001. I wanted to find my records and surgeons notes but I couldn’t find anything.
So, so sorry. This is a complicated reply but in the least I hope you find it interesting. I lived with electrogalvanism (see below) all my life and never knew who I was until I got a total dental revision per the works of Dr. Hal A. Huggins. It was a 10 hour operation to get rid of all root canals, cavitations and metals. I started to feel like myself the next morning and things have been improving little by little since. How does this apply to you? I don't know. But there is a machine called an ammeter that can measure electrical currents coming off metals. The ammeter seems to be also called Dental Metal Activity Meter. Maybe you can use the following quote to search for the website: The Dental Metal Activity Meter is used to measure galvanic current. Galvanic current is a term that has been used in dentistry for over 100 years. It is a condition created by the presence of dissimilar metals in the oral cavity of the teeth and gums, with saliva serving as the electrolyte."
Try this: In the second you come to consciousness when you wake up after a good nights sleep hold still and "listen" "sense" "look for" anything going on in your head. With me it was a kind of slow moving, almost imperceptible, but very much there, hum. Even if electrogalvanism is not what is causing your situation this is a good way to "check in on yourself!"
Thanx to Google Ai: "Electro galvanism" in the body, also simply called "galvanism," refers to a phenomenon where a small electrical current is generated within the body when two dissimilar metals come into contact with each other, typically occurring in the mouth due to different dental fillings, creating a "battery-like" effect with saliva acting as the electrolyte, potentially causing discomfort like a metallic taste, pain, or irritation; essentially, it's the electrical reaction between different metals in a conductive environment like bodily fluids.
Key points about electrogalvanism
Mechanism: When two different metals (like gold and amalgam fillings) touch in the mouth, a small electrical current is produced due to the difference in their electrical potential, especially when saliva acts as a conductor.
Oral health concern: This is primarily a concern in dentistry, where different metal fillings or implants can cause galvanic reactions if they come into close proximity.
If none of this is your situation then you would not have anything to lose by reading the book: Dianetics, Modern Science of Mental Health. Not only is it a workable technology for overcoming trauma it very thoroughly explains the force of words spoken when we are unconscious.
After all this pray that God knows what is wrong and someday you will be yourself.
Here's something else from Google Ai:
Q: can implanted metals in the body cause electrical currents
Yes, implanted metals in the body can potentially cause small electrical currents due to the electrochemical reactions that occur between the metal surface and the body's fluids, essentially acting like a tiny battery; this is particularly relevant when considering corrosion of the metal implant, where the flow of ions creates a current at the metal-tissue interface.
Key points to remember:
Electrochemical corrosion: When a metal implant is placed in the body, it can corrode slightly, leading to the release of metal ions and the generation of electrical currents at the metal-tissue interface.
Body fluids as electrolytes: The body's fluids act as electrolytes, allowing for the movement of ions which can contribute to electrical currents around the implant.
Metal type matters: Different metals have varying levels of corrosion potential, meaning some may generate more electrical current than others.
Minimal impact in most cases: While these currents are technically present, they are usually too small to have noticeable effects on the body under normal conditions.
When can this become a concern?
External electromagnetic fields: Implanted metals can act as antennas, potentially amplifying external electromagnetic fields and inducing larger currents in the body.
Electrical stimulation devices: In situations where electrical stimulation devices are used near a metal implant, the interaction between the implant and the device could create unwanted electrical currents.
Peace.
Could you describe how, why or what circumstances a patient would request more anesthesia as well as why an anesthesiologist would give more based upon a request vs medical need?
Btw.. the anesthesiologist veiuld never give more anesthesia JUST because a patient requested it.
Great info. Thank you .
Thank you for sharing this content.
I had no idea all that was a part of anesthesia. It's good to know it takes 10 years of study, also.
While appreciate this so much and i have had several surgeries after menopause I will not have another surgery if I can help it…seems to me that the anesthesiologist must be someone who was at the top of the class…..actually i have heard of many people having trouble with anesthesia……thank you….anyway when i was coming out of one surgery i kept telling people around me that i love them…..this video is terrifying……medicine knows almost nothing…..again thank you
Thank you for the information very helpful
There is a very fine line between anesthetized and dead. Be kind to your anesthesiologist.
Are you an anesthesiologist? 🤣
@@kathym6603 No, but if I have surgery again I want to wake up afterwards.
Love your content😊
Well nuts! I had my second emergency surgery in a month this last Tuesday. Just enough prep time to not eat or drink for the required time -- so I got to suffer the horrendous constipation once again. I wish you were my anesthesiologist!
I got sick and threw up, from too much Bupivacaine, for my radiofrequency ablation for middle back pain. Before that, I got way too much, had convulsions and went into a coma. That was the first time, when I had radiofrequency ablation for lower back pain. I didn't want or take any IV sedation.
Thanks for the info ❤
What happens with IV sedation dentistry?
Usually 20-40 mg of Diazepam IV along with a mix of Nitrous Oxide/Oxygen mix.
Great , thank you 😊
You're welcome 😊
i wish i could get some kind of clarity on whether it's a good idea to go through with the surgery they wanna do on me. I have mostly rotten teeth adn they want to pull all of them under general anesthesia.
thing is I have autonomic dysfunction, severe MCAS that has led to serious problems with nourishment and consistent dieting, GAD, GERD, medical complex PTSD, hyperexpanded lungs, some hyperextendible connective tissue.....
it seems impossible to think it's a good idea if it can be avoided in my situation
but not pulling my teeth all at once and doing it over many visits increases my risk of other complications. i've already had one abscessed wisdom tooth that i had to take 2 weeks of antibiotics for and remove and i've had a worsening of MCAS ever since then :(
i really wish i could get a clear path here it's way too hard to know what to do
I can relate to your situation. I declined general anesthesia and opted for Valium before arriving and novacain. Did all at once to get it over with and recover once instead of 2-4 times. I wish you good health and a full and healthy recovery.
@@SoCalRvca so you did valium and novacaine to get all your teeth pulled? did they give you like 30 shots? that musts have been absolutely brutal. how was the recovery process? did you also have antibiotics for a week or something?
@matt566 yes the shots were many but not as much as I had anticipated with great anxiety. I really can't stand shots in the mouth and uhat was my greatest fear. They gave me I took 2 low dose the afternoon and evening before, 1 higher in the morning and then another upon arrival. For me the anxiety was my major issue. It went much quicker than I thought it would too so when she said I was finished, I was glad that I chose this way. Yes I did antibiotics after along with a few days of some pain relief. Tylenol/codeine if I remember correctly. It was strange having no teeth and getting over the pain then the discomfort until healing was complete and ready to use the dentures. During the down time, lots of water, juice, broth, puddings, jello...nothing with seeds or pieces of meat that could get caught while healing. Lots of saltwater rinsing. I highly recommend starting off wearing the dentures with the powder until you have no discomfort left at all before going going to the polident. Removing the dentures and eating again may be different for a little while so removal needs to be quick and easy for cleaning. I did not opt for implants. I didn't want metal in my head. I had gone through a lot of dentistry over the years and didn't want to ever do it again.I have enough medical issues to deal with. You'll learn what adhesive you like best (polident ultra max hold is superior) in my experience. Great hold all day and night. I can eat apples sliced and a good steak and they're good. Some don't hold as well. I hope this helps you. If you have any questions let me know...I'm a pro with them now 😁
can you make a video about being in a coma
Such compassion and even I my body was triggered by the visuals of this video(needles, tables and doctors, oh my)I wanted to glean from your presentation
I so appreciate all this doctor has helped me learn since I found this channel. I hope never to need it.
Good stuff!
I admit it I love Pre-Op sedation...the Nurse Anesthetist is always awesome and funny!
Thank you for sharing.
This was very informative thank you
Great insight, Doctor.
Wow! I've been educated! Thank you for your time in explaining this in terms we can understand. You are special. 👏🏻
I tolerate very little of any drugs for anesthesia. I can tolerate Versed; I don't remember which ones I don't. I was on Metoprolol Tartrate and Metoprolol Succinate for years for my heart (not both at the same time).
No longer on them. I was on Nadolol for years (not at the same time as Metoprolol) and it stopped my heart for ten seconds for a month until my cardiologist called me and said that I have to stop that. I have also carried Nitro-Bid for years. I don't carry it around anymore.
Now I am not on any heart medication.
I have been on so many different heart medications over the years that I don't remember their names anymore--I just was a "guinea pig" all that time to see which one would work.
Maybe now that I am not on any heart medication it made me question why I was on any to begin with.
I have SVT and Bradycardia and MVP.
Should I still be on something?
Well this sounds terrifying! Especially with the practice of using one anesthesiologist for numerous patients at the same time. Could you do a video about that?
Excellent informative video. Much appreciation, Doctor.
I took this as educational. Thank you.
I observed a tonsillectomy once on a 60 -70 year old women and one minute the anesthesiologist was kicked back doing a suduko puzzle and Bear hugger hose down his scrubs and then it was time to extubate the patient and he was struggling to get the patient to breath .. it was crazy and interesting
That is so unbelievably unprofessional to the point he should be fired!
@ERRNCJ this actually isn’t uncommon at all .. everything was fine until the surgeon said I’m done let’s extubate and the patient was doing fine on the vent but he was having trouble getting her off the vent .. thankfully after about 5 minutes of this he was able to successfully extubate her..
Great video
Doc, I was just able to watch this and I’ve learned so much. I some what find it interesting on how anesthesia meds word to keep patients alive. I just had my arthroscopic surgery in my shoulder 3 weeks ago. I even got to play DJ in the O.R.
I work in the surgical ward. I look after post-op patients. My question is, what causes patients to vomit and become nauseous after surgery? What
is the main reason for it? Thank you in advance. Anda
I would love to see some responses to your question. After my hysterectomy 20+ years ago I was vomiting immediately after and it lasted for 72 hrs, even with multiple injections to stop it. It kept me hospitalized 2 extra days. No reason was ever provided to me other than my surgeon saying it would stop when the anesthesia was out of my system. It was an awful experience.
Allergic to ketamine?
What kind of work do you do in the post-op ward? I would think you should have learned this in nursing school. Anyway, as far as I can tell, with all my previous reading on 'Dr. Google' the cause of vomiting and nausea after surgery is the opiate drugs, i.e., the fentanyl. I'm convinced that's what caused my extreme dizziness after my surgery; perhaps I got just a bit too much. I also read that the inhaled gases can cause nausea.
It's their effect on the brainstem that causes nausea/vomiting.