Fentanyl: Street Vs Surgery
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- Опубліковано 12 вер 2022
- #opioids #sanfrancisco #drugaddiction
Fentanyl is used in the operating room, but also used on the street. What's the difference, and how is fentanyl so much safer when used in the operating room with doctors for surgery and anesthesia?
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The audio was cut off in the beginning, but it'll pick up again!
I discuss how I give potent opioid medications in the operating room, and how different that is from the fentanyl used illegally on the streets. The same opioids that are responsible for the tragic opioid epidemic.
Since lots of patients get concerned before surgery and anesthesia when they hear that they'll receive fentanyl, I want to clarify what's going in your body for surgery!
HOLY MOLY BATMAN!!
My condolences to those who started watching this with earphones!
In all seriousness. When I got my knee and shoulder shot up in Afghanistan, I had the luxury of having a Fentanyl lollipop in my IFAK (Individual First Aid Kit) and I was VERY happy to have it.
It didn’t remove all my pain, but it did help me keep my cool (and sanity) while my buddies dragged me to safety while I had my sidearm drawn…
No chance of that happening, if I didn’t have access to the fentanyl lollipop.
(Something really cool about those lollipops, is that once you take them out of your mouth, enough of the fentanyl is out of your body, that surgeons (anesthesiologists) don’t have to take it into account when they have to put you under before an operation!
Before synthetic fentanyl was available, morphine IV was sometimes the only alternative. Which was a problem, because the body takes a long time to “burn off” the morphine.
(If I remember correctly, is it took up to four hours for the body to burn it off.)
I second this. Wtf!!?!
I love this doctor, so knowledgeable and compassionate.
Thank you for the kind comments! 🙏
Love you and your channel. So authentic, kind and knowledgeable!
Hi, I hope everybody is doing well. I'm a trauma RN....my family is full of medical persons. Sadly...my brother overdosed on fentanyl....he applied a 100 mcg patch on one shoulder, and applied another 100 mcg on the other shoulder. He was chasing his high, and dropped dead in the kitchen making breakfast. Fentanyl is extremely potent and dangerous. I wish a wonderful weekend for you. God bless, Tracy
I'm very sorry to hear about the loss of your brother. I also lost a brother to an overdose. ❤️
So sorry for ur loss. That is crazy scary. I think I would even be afraid to touch this drug even prescribed in hospital and iam a chronic pain patient and take opioids for chronic pain
@@5954ldydi tThank you so much
God bless ❤
Oh my! I'm so sorry for your loss
Thank you so much for what you are doing, I'm having surgery on the 20th of October and your videos have helped me immensely. I suffer from severe anxiety and your videos are helping so much!
Thank you so much for your time explaining everything in a way that literally anyone can understand. It’s so interesting to learn from an actual expert. Subscribed! I am not a medical professional and never knew I would be interested in the topic of mind body in relation to anesthesia and surgery. Unfortunately I’ve had a horrible experience with anesthesia. The first time was when I was rolled into the operating room and prepared for a C-section. There was an emergency C-section and the delivery team had to leave my room to go deliver another baby. I was already given a spinal. Well I filled up an entire pan of bile to which the nurse said was “impressive” by the time the team returned I could feel everything so more anesthesia was given. They did this multiple times because unfortunately I could continue to feel whatever they were using to sharply test my stomach. Finally while delivering the baby all of a sudden I lost the ability to swallow. I couldn’t clear my throat of my own saliva that was gathering in my mouth I told the doctor to which she explained it was only a sensation. I said no it’s not. The next thing I remember my husband told me I broke out of the restraints my arms were in and I almost contaminated the surgical area and the doc was in mid pull of delivering my son. My husband said she exclaimed put her out! I don’t remember what he said happened after that. My second experience during child birth the anesthesiologist saved my life. I had another c section. While in my room they couldn’t figure out why my pulse ox wasn’t reading normal and I wasn’t experiencing any symptoms. Well they tried a couple of different monitors and they all read the same. Well I soon passed a clot and went into hemorrhagic shock. She was the first person to be in my room during a code. I still remember hearing her voice when I was going in and out of consciousness. At one time I thought I was answering her and my husband when they kept calling my name but both expressed to me that I wasn’t saying a word. I can still recall in my head hearing their voices and me responding, “yes why do you keep calling my name I’m answering you” but I don’t remember being in any distress or being aware that she was actually trying to save my life. I could not understand why they couldn’t hear me responding to them. Anyway, have two healthy boys.
Anyway, thanks to an anesthesiologist who was there transfused me through my big toe as all of the rest of my veins were all collapsed she also prepared me for the hysterectomy that needed to be done to save my life as well. Anyway again, lol. You are appreciated for what you do more people should know the vital role you play and you are doing an amazing job at sharing your love for your job and your patients. God bless you and know that you are making a difference. Btw, she was the first face I saw when I was out of the ICU telling me she was so happy to see me ❤️❤️❤️
I just found your channel so I'm watching this months after the fact. I do like hearing a doctor talk about the difference between legal & necessary use and abusive uses of Fentanyl. The ways it is abused is scary and obviously deadly. It also has caused such a fear that makes it impossible for many to see how critical it can be for some with chronic pain to their daily functioning. Education on the ways it is used in proper forms and doses it more important every day.
@Medical Secrets The way you call your patients before surgery is amazing! I have several doctors and the trust I have in them is so important, especially the surgeons (I am disabled so have more than most people). After all the surgeries I've had I don't have any pre-op apprehension but don't know if that would be true without that trust. I have a running joke with my orthopedic surgeon's PA and always say as soon as I hear his voice I tell the anesthesiologist they can knock me out.
Really interesting and thanks for taking the time. Look forward to more of these.
Just had surgery and had many of what you're covering. When used correctly, they're amazing
I had foot surgery today and when I came to in recovery I had an emotional meltdown. The nurses were so patient wile I unloaded the tears.
Awesome live stream man! I learned a lot! You rock man! I don’t eat much red meat ether, I love steak every one in a while! I really enjoy donating to the anesthesiologist Foundation since It was hard for me to go to college to be a anesthesiologist after I graduated high school in 08 because of my cerebral palsy! I’m 32 from Memphis
This young man is better at explaining than other podcasts for sure. !!!
Hi we really appreciated your input after a long day after your list ! i know being an RN , as we have discussed following my spinal scoliosis surgery which lasted over 10 hours , but after Ketamine i had a normal recovery yes three days before i actually woke from my drug induced slumbers ! but perfectly ok then i had a PCA , which was turn on , after being sedated i was able to dose myself . and then i was moved onto a ward and then i was able to get moving .and the joy of finally putting my feet to the floor and trying to walk if a little awkward but yes when i eventually found where my feet were going it was an adventure ! if only i could meet you but sadly living in the UK its not possible , but just pass on to your patients with confidence your able to overcome anything ! my love to all liz x
Thank you for sharing that challenge you overcame, it is quite inspiring!
This man is an absolute doll. He deserves to be treasured and prized for the fantastic physician, educator, and nurturer he so obviously is. Talk about a sterling example of what a medical professional's bed side manner "should" be. Thank you Dr. You are a breath of fresh air in what seems to both civilians and physicians as a broken medical system (on so many levels). I applaud you for your brilliance, sensitivity, candor, enthusiasm, and dedication that you display. Thank you, thank you, thank you!
Additionally, a couple questions pertinent to your video... When you asked what surgeries require the highest dosages of anesthetics... I recall the answers given but wonder if perhaps surgeries that disallow complete sedation (don't know if that's the correct terminology to use to refer to the idea of not being put "fully under"). For example, when I was 18 I underwent a second trimester D & C which I was not put fully under for (which is bizarre considering a traditional termination within the first trimester can and has utilized full anesthesia). Additionally, I understand the vast dosaging difference between what is used in an OR and what has been shown to be available illicitly on the streets. What I didn't feel was addressed, was how what is available on the streets (while available in mass quantities,) how does the potency and quality differ which could mitigate some of the discrepancy between the surgical dosages and street dosages? Or in other words, if the quality on the streets is so vastly less potent than that which is available surgically, a person would need to use more of the weaker product to achieve a similar result than that which is medically available? To what extent is the availability and quantity available to the layperson terrifying to you as a physician AND specially an anesthesiologist?
You are absolutely a wonderful and humble human being, thank you 😊 🙏
Thank you for the kind comments! 🙏
Enjoying your informative discussions on Anesthethsia..been through quite a few surgeries with a fear of feeling the surgery as I had a awake experience..thankyou from.New Zealand for your comforting presentation.
LOVE YOUR HONESTY..I JUST SUBSCRIBED THANKS FOR YOUR KNOWLEDGE ON ANESTHESIOLOGY AND ANXIETY VERY HELPFUL
Amazing live 🙏 thank you so much Dr. Kaveh I learn a lot from you always
Thank you!
Btw, I absolutely love watching your videos! I also love how you consider the mind/body connection! Beautiful! So informative! Thank you for your service Doc!🤩
Thank you for the kind comments! 🙏 I am so happy to hear that you appreciate that my body connection, as well!
I am so glad your videos came across my feed! Subscribed now and ready to binge watch!!!
Thank you for the kind comments! 🙏 remember you can always ask your questions on the live stream, too!
I also pray before any surgery to keep me calm before they give me any anesthesia.
I love how your eyes light up as you talk about surgeries and such :) you really love what you do ❤😊 im happy for you
Thank you! Yes, you are correct, I am quite passionate about it :) I hope you are learning something new about your body with these videos
I’m so glad I watched ur videos! UOU put me at ease…Thank you !
You are so welcome! 🙏
Love your videos doc. You are very knowledgeable.
We all appreciate your videos. Informative and fun.
Thank you! I have a full video on this topic coming up soon
The hospital where I had surgery gave me something that knocked me out in surgery prep before they took me to the operating room. I think this is a much better practice than taking someone awake into the surgical room. Much less scary!!!
I don't mind at all to be awake prior to surgery in the operating theatre -
I find it quite interesting to see the instruments , the machines to manoeuvre one about while unconscious , the lights - the whole atmosphere is super cool to me !
But , we are all quite different aren't we ?
That's what makes the world go round ! 😊
You are correct they used to give versed it in the holding area so that by the time you got to the operating room you could not remember anything. I think this is a much better way to start anesthesia. The nurse would tell you it's time for your margarita lol
Awesome as usual 🙏
Thank you I learned a lot
wow really useful thank you doc.
I went into surgery for weight loss over 12 years ago, went into surgery at 7:30am, woke up tied to hospital bed in ICU at 8:30PM, on the ventilator, tried to move when I came to, couldn't and totally freaked out, Dr came in and put me right back out, woke up again 11:30, wondering WTF.... I was never told what happened and still to this day, I don't, however, I've been absolutely TERRORFIED of being put under again, so now when I go in for surgeries, I'm calm UNTIL the anesthesiologist comes to talk to me right before we go to the OR, I go into a full blown panic attack that triggers charlie horses and a crying fit, I start shaking so bad I get seriously sick to my stomach, then when I get into the OR, it triggers a even bigger panic attack and the fight or flight kicks in, that only happened once, but the "sand man" scares the living crap out of me
I don’t blame you these doctors are f-ing liars and they don’t tell you the truth. Lawyer up and Vett their background and get it done professionally. Online reviews don’t cut it.
Please do a medical records request not only the operating room report, but everything after as well. I hope you get some answers and are doing well.
Fentyal nearly killed me. I had surgery snd they gave me 2 doses and 3 doses of Dilodid. I did not wake up. BP went down to 30mmhg. They had to give me narcan to wake me up and then rushed me to ICU for 4 days. It was awful. Then I had severe pain and all they gave me was Tylenol.
How long were you in pain following being dosed with fentanyl?
I was given the patch form 18 years ago under. A brand name. It was ok for 3 days. The 3rd day I started burning body wide for like 8 hours. I was getting ready to go to the ER and the burning eased up, but only for a couple of hours. I %shoukd have immediately ripped the patch off and or we t to the ER anyway. I suffered through the weekend (it started on Friday)
Went to my pain management Dr Monday they took me off and put me back on 3x my old medicine which by the time the fentanyl was through with me did next to. Nothing. I also continued the burning cycling for 1 month until it was the inverse of how it started with me burning for like an hour every 8 hours or so until it faded into rare occurences. It has disabled me. I now have severe chronic fatinge like symptoms and when I do virtually any activity including just sitting, typing or driving and I have to stop and nap.. I have had to try different pain meds to even remotely reign in the pain.
2 or 3 years after the patch. I had a lung biopsy. Following the procedure I noticed dmy pain levels had in reased again. I didn't really notice anything else unusual. After 6 months I ended up picking up my records of the procedure and noticed they again dosed me with fentanyl even though I told them I was "allergic". I did mention the brand name so now I mention both just in case I run into another moron or vindictive anesthesiologist (not sure why they either ignored what I said out of not investigating the duragesic brand or intentionally dosed me anyway they even gave me an allergy bracelet with the name clearly on it)
I have only seen 1 other case besides yours where fentanyl potentially caused pain. But it was on an old.messagw board and I got no reply.
Hopefully your pain improved. I have been seeing my daughter with stage 4 cancer being treated similarly to you given her home pain meds following surgeries, even with all of her records being at the same hospital. Its frankly terrifying.
I think your information is so helpful im having back surgery this upcoming Monday and you have put my mind to ease with all of your videos explaining everything to deal. Thank you so much your awesome!
Thank you for the kind comments! 🙏I'm wishing you the best 🙏
@@MedicalSecrets Thank you very much I'm from Georgia about 5 hours from Atlanta and the medical staff and The anesthesiologist seemed really cool she actually made me laugh when I met her for pre op last week. I do have a question for you though. If a person takes kratom very heavy I'm tapering off before surgery this Monday would that mean I need more pain meds because that's what I've been using to control my pain for over 6 years. I'd like to see a video of you covering this because not many medical professionals know anything about kratom in fact I knew way more than they did on dosing and things like that.
Can you do one about people that take Kratom heavy for pain and being put under?
Hi mate yes that’s very interesting as a anxiety sufferer I found that very interesting about the need for higher dosage if one was used to a certain drug with me I use small amounts of valliuam each month . I am lucky in the sense I’ve only ever had one day procedure in my life for colonoscopy , it’s important I take care of myself anything to avoid an operation , nice video thanks
It is very important! Awesome that you learned something!
Hey doc I am here in CA Joshua tree area. Going to be getting like my 12th surgery I guessed 5ml on the bottle of fent. I'm going to be getting a full knee replacement but I am not the least freaked out. My first three surgeries I was 9, 12, 18 and the first one I had a bad reaction to ketamine the second one went fine but was still freaked out from the first one then the third one cause I was all by myself. Now I'm chill and just go in really ready for a great nap. I enjoy your video's and your overall demeanor stay safe and keep up the great work doc.
I told my anesthesiologist that I used to be on pain medications in the past and he almost killed me overdosing on anesthesia and causing hypoxia which affected brain and caused MINS...I will never agree to a surgery again even if my life will depend on it
I had acupuncture the day before surgery and it helped me have a smooth surgery 🙏🏾…I love my Anesthesiologist 😊..it was the BEST sleep 😴 ever.
You are really good!
What if a patient lies about their drug use? For example: severe fentanyl/
heroin addiction,. Thank you so much for your service here! I am brand new here and I'm so impressed with Doc. I've learned so SO much so easily with his pleasant,thorough , precise and enthusiastic manner while 🤯 ther
Woops dropped phone! Wasn't supposed to say that at end, it typed itself and sent when hit 🤣
Thank you for the kind comments! 🙏 Unfortunately, we find out the hard way, to answer your question. Have you seen my videos on this topic? Undisclosed medical information can be life-threatening under anesthesia 😳
I am so sorry to hear about your brother I lost my 26 year old grandson last May overdose of the same thing heartbreaking sending prayers
I was a paramedic at the “Knife and Gun Club” Denver General Hospital. We occasionally had anesthesiology residents ride for experience controlling airways and intubating patients in non-hospital settings like home, in vehicles, streets, etc. unfortunately many of the residents didn’t make the program due to their own substance abuse issues. I remember a time magazine article back in the mid 80’s describing the issue. I recall that many of the Drs chose anesthesiology for access to narcotics. I hope it’s not an issue anymore. Anyone know?
Great channel. Thank you
Another thing Doc I remember when my Dad had cancer and they told me he wasn't gonna live threw the night one day and we decided to give him something to keep him comfortable and gave us a button to use and said use as much as we want. Lastly the nurses came in with 2 needles with red tops maby 15 minutes before he passed. Do they usually administer fentanyl to patients that are dying from cancer? Thanks for taking time out of your day I love the videos. Very interesting
Hi Doc - would like to thank you for your info was extremely helpful with my anxiety levels for my last surgery under general anaesthesia - am combative with mask so was given sedative and a tube to suck which I was in control of. Still the thought of another human having to breath for me will always cause me to become anxious.
I'm happy you were able to get in control of your anxiety that much more!
I have PTSD and my anxiety shoots up from all the people moving around before I even get to the operating room.
I'm so sorry to hear that, let's definitely talk about it on the next life
I was shot in the head and face almost 20 years ago. I was in the hospital for a month. They finally got tired or felt bad because I was begging to leave so I could take a shower. I had reconstructive surgery The pain was awful. So they switched me to fentanyl patches with breakthrough lortab. I had a big patch and small patch every three days. And the liquid lortab was added to my feeding tube a few times a day.
I'm so sorry you experienced that. I hope you are doing better now. That pain regimen is not uncommon
Love your videos, why do I always need more sedation during pain management treatment? I get malazapan and propofol. However I feel everything
The nurse gave me Fentanyl after my hysterectomy. I remember the nurse telling me to breathe, apparently I stopped breathing and they had to put oxygen on me. After that I have had two additional surgeries and made it perfectly clear I didn't want it!!
I quite often refuse fentanyl as well if I'm getting propofol and versed, although if it's the only thing that I get then I will reluctantly agree to ½ of the amount that is in the lowest dosage that they carry. However, if the place I'm getting a procedure done at carries hydromorphone (dilaudid), then I prefer for them to use that as my pain management provider has me on 4mg with a personal max of 5 tablets only 3 days out of a 30 day script even though I'm seen every 35 days (I make the script last) even though I'm allowed up to 6 doses but I typically only take 3 doses a day. But I also request that they only give me 2mg iv as it's being dumped (more or less) directly into the bloodstream and considering that I have a port with the end of the lumen (line coming from the port that goes into a vein) bottoms out just above my heart. This means that anything coming out of the end of the lumen tip it's going to be circulated around my body (and of course brain) even quicker than a peripheral iv line.
Love your videos.
Thank you!
when do you do live stream I always miss it!!!! darn it
I'm in Portland Oregon My 23year old great son died from Fentanyl from the street. His buddy's said it was his first time. I will never get over it.
So sorry for your loss.
I was given a tiny bit of Fentanyl after I had a crainiotomy, fluid filled cyst that needed bursting. My pain disappeared afterwards, it was great but I needed to wait awhile before my next dosage.
Thanks
I have not had lidocaine prior to milk of amnesia you are a wonderful doctor! Give puppy hugs and kisses form me😁
I have anxiety and I have built a tolerance. My Dr just told me that last Month. But I do end up having severe nausea 😵...I wish you could come to San Antonio, Texas and be with me for my upcoming surgery 😢
I was given clonazepam b4 surgery in the past.
My psychiatry provider has me taking 30mg of dextromethorphan once a day with an allowance up to 3 times a day for depression (it increases available serotonin in the brain w/o affecting electrical activity of the heart or affecting the HPA axis) and it's helping with my anxiety as well.
Hi, me again! (Sorry, im bombarding you with questions- I JUST discovered your channel today!) I come from the veterinary medicine side of medicine so all the similarities and difference are incredibly fascinating! I would like to ask you, someone asked a question "does everyone who's going under general anesthesia get a catheter?" To which, you responded with a resounding "Noo!" In vet med, pretty much everyone going under anesthesia will be getting an IV catheter for better control of drug administration and faster absorption. Especially important in an emergency situation. What situations in human med general anesthesia is a catheter not 100% necessary?
Hello! Thank you for all that you share with us!
I’m going to have a revision of my R lower knee replacement …. I’ve never had a nerve block before. Does it help with pain after surgery and what are the risks? Surgery is May 4th
Thank you
Kathy
Washington State
❤your channel! My cousin died of chf
Oh no, I'm so sorry to hear that :(
I have been under anesthesia over 10 times. Once when I was a kid I remember them injecting the medicine and I went to sleep and woke up with the anesthesiologist holding a mask over my mouth and I triying to get his hands off my face. . It felt like I couldn't breathe. Have you ever seen that happen. It's something I will never forget. Of course I only remember it going on for maybe 10 seconds if that and I was back out . I think I heard him tell someone to give me more of something but , I'm not sure .
Hi. New here. Love this! ❤️🙏👍
You are so very precious!❤😊
I was given Propofal weekly when I would go for pain injections. After a while I stopped getting those injections because I liked and got used to the Propofal and the pain medication was becoming not effective.
Dr Kaveh Why is it wing coming out of cardiac surgery they keep you longer sedated and it takes forever for the anesthetic to wear off before they can remove the Intubation tube when I had my quadruple bypass I was done with surgery I think around 4 PM and they didn’t take out the intubation tube at approximately eight or 8:30 PM and what was weird I could hear first I couldn’t open my eyes and I couldn’t move and then I couldn’t move my neck and then start moving my toes and I just slowly got right my extremities back why is that and why do they keep you asleep longer sorry for being such a long question but thank you again Dr. for your service I’m ever so grateful for all you do for your patience
So question.. I had a tube down my throat to clean my stomach out cause my pancreas was messed up I looked 5 months pregnant. How come they couldn't knock me out like they do the camera or any other tube? And I'm having a rotation cuff surgery on thurday so whats the best way to ask for meds if I'm allergic to codeine morphine?
I have had surgeries from the age of 6 to 56. Many orthopedic. I've never been afraid of surgery or anesthesia until this year 2022. I had surgery in January and I didn't wake up for 7 hours and I didn't know where I was. My blood pressure dropped and it was very scary. I had surgery again in February and I woke up during surgery when they were sewing me up. That hurt quite a bit and I have never woken up during surgery. I may be looking at more surgery in the next month or two and now I am scared. I don't know what to expect and I have lost my trust. They told me the only thing they could think of that would make me not wake up and not know where I was was Versed. I even made it through the Ether years and that was nasty stuff. Any thoughts?
One appears to come around from anaesthesia in the recovery room just like that being from out to wide awake. But is it likely one has been having interactions with clinicians but simply can't recall it? Therefore, it only appears that you come around in a flash?
Sadly my best friend passed away this passed year from a fentanyl overdose. I had 0 idea he was doing it doc he hid it well from me to have no idea. RIP Shawn 🙏 😇
Hi Jacob. I'm so very sorry for your loss.
Do you give redheads more anesthesia? I'm a redhead with severe sleep apnea. I had an anesthesiologist seem to be "not thrilled" with these 2 factors when giving me anesthesia for a pain block.
I am highly allergic to more synthetic opiates like Fentanyl. Unfortunately my last surgery I was given it for a brachial block and it was bad. I had seeping edema and it did nothing for the pain and set off a cascade of events that almost killed me. Nice when it’s on the top of my list. Made me sick since I had worked as a RN TNS and for years. I have given anesthesia to more than I could count and secured their airways but mine was blatantly done and he didn’t tell me nor knew what I did but the nurse did. It is life or death for anyone to explain their allergies or street drug use please don’t keep it hidden from the staff. I didn’t judge others and have administered reversals for many things but unfortunately when there are many substances we used to try everything. Many of us have had family members even try to hide it from us. ❤ Narcan during surgery is typically a no no because can cause heart arrhythmias as a person might be actually withdrawing. I was typing when you asked on video. Thank you again Dr K for educating others to advocate for themselves!😊
😂😂 that was a jumpscare 💀
next month I"m having Hemi-Colectomy, should I ask surgeon for a Epidermal (Fetanel) I do not use street drugs, (recent 2 SMA surgeries in the last 1 1/2 years ago)
I MISSED THE LIVE 🥺
What is Naloxone? I've never been told what I was getting for anesthesia...here in Texas, they say..."you're gonna get your Margarita" Last post...what do you do if the vein rolls during surgery??
Naloxone reverses the effects of opioids (aka narcan). Rolly veins: good IV insertion technique to prevent the rolling. I should do a video on that!
@@MedicalSecrets YES PLEASE 🙏🏽 I don't have a large intestine so it's difficult for me to stay hydrated. In turn, it's always hard to find a good vein. But I did get to see the "vein finder", the tool that uses light to literally see the veins running up my arm!!! So cool 😎
I have bad veins and they always use ultrasound to find a deeper better vein so it doesn’t roll
Eww, that sounds painful, rolling veins!!?
I'm having triple bypass surgery on April 10th I'm worried about waking up with the breathing tube still in
I was scared to get it for my surgery but I was really hard to put a spinal/epidural in for my C-section so they used fentanyl with something else I forget and it made me not feel it even though they had to try multiple times and it made me not care like almost out of body I couldn’t feel my body which was a good thing at that time.
They called it the “I don’t care” drug
There's a time for these medications in medicine 💯 and they work best when the body is naive to seeing them. I hope the rest is the C section went well
@@MedicalSecrets everything went really well! I’m thankful for these medicines ! It would have been a really painful experience if we didn’t have them! I’m also very thankful for this explanation! When I looked over my bill from the anesthesiologist and saw fentanyl I was like 😮 but this video made it all make sense! I had never encountered it outside of surgery.
What If a patient has a fentanyl patch they use everyday do you increase the amount during surgery especially if they cannot take delauded or other drugs? It seems like to keep to have enough to keep under then my bp drops and that’s why I’m always afraid of waking up including my body fights pain meds and light anesthesia. I was awake during an endoscopy and my dr was aware and decided to continue because my jaw was locked open and every time I raised my head a nurse slapped it down 3 times and the doctor tried to force the tube down my esophagus and it hit a barrier and it was extremely painful and I remembered everything and wrote it down and reported them to their head doctor and important dr chewed them out and they let me know they had taken care of the problem. He was lucky he didn’t get close enough for me to give him a reason why he couldn’t have children!
I wont get needed surgery now as last time they left me in horrible pain and told me we don't give pain medicine when I asked for relief
Why would u get water in ur lungs after anesthesia that u vomit out?
I would love to see a real surgery with a commentary
Is there a difference between Fentanyl that you use and the Fentanyl on the streets?
I've been suffering from a severe congenital / injury spinal issue since age 26. I've been on Vicodin and Morphine almost continously. And drug tolerance has set in.
That, along with pressures placed upon pain management doctors resulted in a total elimination of it
Resulting in severe mobility issues and pain.
About a year ago when getting out of bed I fell and was laid there 10 hours. At ER the nurse injected something in my IV and my pain completely disappeared. First time in 38 years. I asked her what was that....she said Fentanyl.
After being in the hospital for 2 weeks we had finally developed a program with combination of Vicodin and Tramadol.
However my pain management doctor will not approve this. And neither will my new doctor ( who replaced my prior retired doctor )
I'm barely living at home with Home Delivered food. Not driving because of my disease.
How does someone with well diagnosed spine disease live with the restrictions being placed on General Practice Doctors outside of a institutional setting.
I dont believe I'll be walking within a year in my condition being left untreated.
Had epidural pain shot done and they used propopol and it hurt and felt like my arm was on fire. Then when I came to I was very sick. Hate this stuff
I am 53 years old, and I have had failed spine operations, and I suffer from severe pain. I have been using fentanyl 100 micrograms every 3 days for 10 years, and I am still continuing under the supervision of a pain doctor. Is it normal or is there less fentanyl, because I have tried several things, including a pain reliever, and it did not work. It works, the pain doctor says you are the only patient I give fentanyl to, is there a risk😊
Waiting for your opinion on my case
Just a random question..... people that were on a ventilator for Covid in ICU....will they remember any of it as I've heard of delirium??
GOOD QUESTION! ICU delirium and PTSD is VERY real. The rates are over 10% from what I remember, meaning the risk is real
I was on a vent twice in 2020 for pneumonia. I remember nothing.
@@ccoop3774 I'm sorry you had that experience, but I'm happy you didn't have any traumatic experience from it
About 5 years ago, I could not take my back/neck pain, (I had just had an MRI, and awaiting appointment with Neurosurgeon), but the pain had me barely walking and I was crying. The ER doc knew I was hurting, as I was laying over the er bed and he knew about my MRI, he explained that he was going to give me a shot of Fentynol. I said to him, (in a sweet, nice voice because that's who I am, even in pain) " are you sure that can be used, I heard that was bad stuff" ( I was thinking of the street crap, which idk why I even went there😂) oh my gosh, I think I was pain free for almost 24 hours....It was so nice.....HOWEVER, I would NEVER seek out this crap to alleviate my pain.
When is the next live???? Can I request a certain anesthesia? Knee replacement needs the most
Hi! Great question: you can make a request, for sure. However, it depends on your anesthesiologist who needs to ensure your safety for the procedure. I'm sure they will try to accommodate!
@@MedicalSecrets I'm watching the replay and answering questions! Lol 😄
Nice, the earrape at the beginning lol
What's the difference between midazolam and fentynel?
Midazolam is supposed to provide sedation and Fentanyl provides pain relief. They are used together as a cocktail.
You may know midazolam as versed.
I've had that in surgery, not outside. Do I need to tell the gas doc?
You should mention past surgeries to your doc, yes
I have 3 sleep disorders, which is usually more about having brain problems with falling asleep. Does this affect anesthesia as well?
It can, depending on the disorder
I had Surgery the 29th of December and have CRPS. I asked the anesthesiologist to give me ketamine, he brushed me off n said he would. He didn't it is no where in his notes. I am so angry, this is the second time this has happened to me. How can I be heard?
I'm so sorry you had that experience. Meeting with the anesthesiologist at least a day in advance to establish a trusting relationship is the best advice I can offer. However, do know that there may have been a safety reason why you were not given ketamine during the surgery, I wasn't there, so I obviously cannot know for sure.
Narcon is given as a quick reversal for overdoses therefore would not be great for surgical
I have no treatment & no pain management. The VA just started handing out narcan inhalers. I though about visiting the street pharmacist a thousand times, but it's just too risky.
I'll need some Fentanyl for listening to this with headphones. But aside from that- brilliant and informative. Thanks
So, I've had radio frequency ablation from one Dr. and I'm going to have another one in April. Since I have the same Dr., will I have the same anesthesiologist?
Not necessarily, it would be rather unlikely, especially if it takes place in a large institution. I'm wishing you the best for your procedure 🙏
@@MedicalSecrets oh ok, ty. It's a small facility. I reckon if there's "a team" of Drs that work well together they would prefer to keep it that way. That's what I was thinking. Hope you have a great day today 😉
Do people with fibromyalgia need more pain meds?
They make, but it depends on other factors, as well
How many surgeries do you go through in a day's time?
I am on morphine but have been lowering the dose. I am on 45 mg long release. I was prescribed it every 8 hours but I am cutting it once daily. Can I get off it and on something else that will properly control my pain I find that my pain is really bad if I don’t use it.
I'm wishing you the best 🙏 you'll need to discuss that with your surgeon and prescribing doctor to help you have a solid pain plan before starting surgery
Is there any truth to antithesis turning your hair Grey?
I had surgery I'm very lil they couldn't wake me up then woke up heated blanket on me why
Hi Dr.
Recording in a surgical room, wouldn't you be contaminating the area
Can anyone advise I have rabies symptoms for two years I am sorry
100s of grams found on a dealer is 1000s of doses. This comparison is highly misleading. I like your honest take.... please dont spoil it for effect