It's a job like any other....the mechanic working on your car has to know a lot in order to figure out what is going on, too. An attorney has to memorize a ridiculous amount of laws for their state and be able to quote a lot of them word for word. In the medial field, I expect them to have to learn all of that even more.
Let’s start out with this, don’t disrespect me, because what I say doesn’t “resonate” with you. Secondly, Anesthesiologists can’t compare to teachers or mechanics.😂
@@heidi5462you're so right. They aren't dealing with anything live. If you wanna know who I think has to learn vast amounts of knowledge in the medical field, it is Veterinarians. They don't just work on one species, They work on birds, reptiles, sometimes dolphins or Manta Rays, all sorts so I respect all doctors in the medical field.
@@heidi5462How the heck do you twist a person engaging in a discussion with you as disrespect? Just because the perspective jmr1068204 expressed did not resonate with you? That's a two way street. It's absolutely crazy how people twist such things as disrespect, or aggression just because they don't agree 100% with the OG commenter. Chill out & stop taking everything as a personal attack. If you, or others don't wish to engage in a discussion, try this radical thing, don't post a public comment. Posting a public comment opens yourself up to replies. Many of which may or may not be in agreement with your original comment. It's not disrespect or a personal attack. 😂 Crazy over sensitivity in the world today. I happen to agree with jmr*. Many professionals have to learn a great deal of information with an equal level of understanding. A lawyer who does not can end up killing a client who may be facing the possibility of the death penalty, or loss of thier freedom for the remainder of thier natural life. With the very real risk of rape, great physical harm, or murder on a regular basis for the remainder of thier natural life. A mechanic who doesn't learn a vast amount of information with an equal level of understanding puts thier clients lives at great risk. Think about the great amount of faith you are putting in you mechanic the next time you drive away after having your breaks serviced. Hopefully you can see that this is not disrespect, or a personal attack. Just the expression of my perspective on the topic. This is an example of how our society tends to denigrate & under value professions that don't fit into the traditional white collar professions that require a university degree. Even though that profession can be mastered without that degree via an apprenticeship program. Interestingly, the UK is working on returning to the apprenticeship program for thier nurses & certain other healthcare professionals, or at least allowing it as an optional method of licensure. They found that they lost access to very capable individuals, and diversity of thought when they switched to the professional track only (university degree for licensure). The loss of diversity of thought has led to an increase in medical errors, and the repeating of these errors.
That’s pretty wild! I never imagined fire could happen during surgery. I mean, it’s just not something most people think about😮 It’s amazing the amount of trust given to an anesthesiologist! 😊
In 2020 at Arizona, a certified registered nurse anesthetist (not a doctor) actually killed someone by setting the patient's mouth on fire at a dental office while administering oxygen with laser dental treatment.
First, I appreciate the information you share. Second, I’ve had several surgeries, and have experienced usually a 5-10 minutes where the anesthesiologist popped his head in, telling me who he was and that was it. And, yes, I would have felt much better if I’d had a real conversation with him.
Surgery is an amazing tool for healing our bodies. I had 7 surgeries and each one (although painful) was such an adventure into a side of medicine I rarely get to see. GREAT JOB DOC ❤ PLEASE DON'T STOP.
Love all this info, very impressive and complex science. I hope I never have a "kaboom under the drape"! Thank you for all the explanations. Love your videos.
I heard a story about a soldier who had trauma surgery after an explosion. He "caught fire" and I had the hardest time undestanding how that happened or how he lived. This answered some of those questions. Very interesting. Thanks.
Very interesting to know. Thank you. I’ve had a lot of surgeries and never knew this. There was one surgery about 12 years ago that,when I woke up there was a burn with several blisters on my right arm. The surgical staff was at a loss as to how it happened . The surgeon himself went back and did his own investing the o.r. I was in. It turned out the the ‘latex free’ wrap did in fact have latex in it. I’m very allergic to latex. So glad he figured it out,and no I didn’t file a complaint as it was not intentional. I do remember as a child 3 surgeries where they put me to sleep with the ether. Hated the smell and taste of it. Every once in a great while I will suddenly smell ether. Ufff.
I haven't worked in 9 years, but it was getting like more and more medical supplies were manufactured as latex-free. When I first began working, most supplies had latex. It was a pain to get a patient with a latex allergy. Around the year 2000, our OR stopped stocking gloves (clean and sterile) that had latex. It was a great experience to just pick up whatever dressings were required and not have to read the entire wrapping looking for the word latex! I hope you won't have any more problems with this issue!
I love how casually you said “sometimes did cause an explosion within the patient” 🤣 I know it’s a seriously dangerous matter but the way you said it cracked me up
Thank you so much for this!!! I had polyps removed from my throat last year. Just before they took me back for the procedure the anesthesiologist came up to me and asked me to sign a piece of paper. Said there’s a possibility my throat could catch fire so I need to sign this stating I’m aware of this!!! 😳. I was horrified!! My daughter was with me. She said you wait until you’re ready to take her back and just say ohhh by the way you might catch of fire, sign this so we can hurry up and get you done!! I was in total panic mode then. He just said. It’s not common but we have to tell you it is a possibility. I can only imagine my conversation when I was going under!!!
@@MedicalSecrets Writing here because is your most recent video, unrelated topic but relevant I think. Actually I do think that ptsd is caused by the JC virus triggering the 5ht2a receptors. Thats why serotonin releasing agents, agonists of the 5ht2a and antagonists of it are very effective. High stress will deplete serotonin, and and the competitive affinity of the virus will make it bind to the receptor, due serotonin depletion. This creates thought loops and stress that can be diagnosed as ptsd. The same way that the 5ht2a agonists can create thought loops. what do you think? Maybe pure antagonists of the 5ht2a receptors without being agonist at any receptor, like mitrazapine or cyproheptadine might be the ideal solution to this sindrome? Maybe because K agonizes this receptor( and displaced the virus from its place via competitive affinity) wiith but does not stimulate any other is that because it is such a good thing? Serotonergic receptor stimulation for way too much time might deplete serotonin. Maybe because after stimulating massively 5ht2a receptors with mmvsshiezz these (the receptors) close for 2 weeks thats why it is so effective? You dont have to have multifocal leukoencefalopathy to have a mild jc virus infection, specially when most of the population was infected at some point and at battlefield conditions eventual and transitory inmunosupression is likely to occur, and this makes it to migrate to the nerves and trigger them. Idk my opinion, insight and 2 cents. What do you think doc?
Imagine the precautions we had to take in a large animal surgical suite in the late 70s! It was but one challenge as hydraulic tables were just getting affordable outside of academia. Huge endotracheal tubes, no propofol yet. I was blessed as a HS student to work at such. Made nursing school a snap!
This is a very rare event. The Doctor AND the Anesthesiologist are VERY prepared for this. My last spinal surgery, I was prepared and everything was great. Stop eating before they tell you, and no alcoholic beverages for at least a week before your surgery. Don't even use alcohol on your skin, for a few days before, either. Nothing flammable.
@@blondebobbi4505 Right, I have had over 62 surgeries since birth, unfortunately, and the hospital and OR are like my second; of course, it is not of my choosing, but it is life. It was just shocking to hear that this other thing can happen even though it is rare. It is still good information to know because you know the surgeon and the anesthesiologist would never tell this!!!! That's why they keep so hush-hush. But I am nosey and ask many questions every time! Because what to know what is going to happen from A-Z. But we know they won't tell you everything because then no one will want surgery! lol
Just found your channel and I really like it. I have a little knowledge of medicine because I've been sick for 10 years and have 4 autoimmune conditions, in order of me getting them starting at 15, Crohn's disease, Uveitis, Encephalitis, and they took a brain sample after my 6th of 7 seizures in the past year in a half and found CNS Vasculitis. Obviously the seizure disorder is the worst, but my Crohn's was so bad early on I had to do my senior year of high school at home and I lost 40 lbs in like 3 months. But I got my college degree, have worked like 4 jobs, play 4 instruments, and am in a band. I need to remind myself I'm doing well for myself.
I have been studying and following incidents of spontaneous human combustion. What you have explained about a person needing to refrain from chemicals, food and alcohol makes so much sense and could hold the key to what I have felt has been an overlooked obvious answer to predisposing people to this rare, but real phenomenon. I have taken notice that many people found either dead or just having something like an arm spontaneously combusting must come from a lethal internal mix of their bodies own gases, possible alcohol consumption and smoking or sitting next to a burning fire. Several people are older and likely to be on a drug that increases these flammable gases and ignition sources are within us such as static electricity in dry air on winter days ex. Approximately 5 years ago a man was found to have spontaneously combusted in Germany I believe in the early hours of the morning as he sat alone on a bench in a childs playground. Too many of the wrong people have raised awareness of this with no scientific data being offered. I honestly believe that you have the ability to prove out a scientific methodology to explain these points in a person going about their lives. I feel if risks were added to medication warning of the very rare possibility of combustion if taken with alcohol, while smoking or if they become constipated to seek immediate assistance, this could save a life no matter how small the risk...Saving even 1 life is worth just doing a little research into this little known occurance. Thank you again for allowing me to ramble my mad science in your direction. I just have to add that it would be amazing to be the person who discovered what SHC actually is.
I am glad this is getting more attention. In my youth (born in 1955), it was not believed. My 1st case I read about was in a collection from Edward Casey. After my education in Chemistry, I predicted it involved a catalyst and static electricity. An ER physician proved me correct.
I think this was the best video I've seen so far! So interesting. When you talked at the end about the fire and practicing for it, turning off the Oxygen etc., it reminded me of my husband's pilot training. They train over and over again for emergencies that rarely happen but what to do is ingrained in them. Well done!
I knew all this and instantly forgot it when I had surgery yesterday. All I remember is saying, "See yas later," and putting the sheet over my head. The anesthesia certainly relaxed me. Getting out of the car at home I heard or felt nine discs pop. That made the surgery worth it right then.
Thank you for your careful articulation of the processes and medical explanations. They really help laymen like myself to get the full sense of the subject.
I need a hysterectomy soon, so im trying to learn everything i can about this stuff. Never had surgery so im clueless.. thank you for all your videos and sharing your knowledge ❤
I had a hysterectomy around 10 years ago. No scars because now they dont have to open you up for the hysterectomy. (I had a full one so they took everything lol) Pretty sore for awhile but no complications. Hysterectomy is pretty common surgery these days if that helps you? I've had several surgeries and it's normal to be a little nervous but you'll be ok.
Dr, I have so much respect for you and the wealth of knowledge you share with us!! So much I am learning. I’m a new subscriber (6/23). You are genuinely kind and compassionate ~ rare and so appreciated in today’s society. Thank you for doing a Stupendous job 👏 and educating us all❤❤❤❤
I'll back you, Doc. I worked in a hospital OR for 16 years. I saw 1 during that time. It was from an error by the PA. A sponge began to burn when the bovie was fired up. There was no harm at all to the patient. Each facility will have policies that we're tested on yearly.
I just had a 20 mm kidney stone removed on Friday. So I was under anesthesia for that. I had watched a few of your videos in prepping for it. I also read an article that recommended washing hair the morning of surgery to remove any hairspray etc and not putting any products in it afterwards, as they may be flammable. So when this video showed up on my YT homepage it caught my attention. Very interesting.
@@MedicalSecrets Thank you, I did feel prepared. My recovery is going well. My stent will be removed in 3 weeks. I had not been under general anesthesia since 1982 when I miscarried and needed a D and C. I am 67 years old now and live in Poland. The level of care I received was excellent. The only problem was when the anesthesiologist attempted to insert the breathing tube, she couldn’t because of the location of my larynx. They could use only the mask. She said on the difficulty scale of 1 to 4 it was a 3. She also said that I should mention this to the doctors if I ever have any surgeries in the future so they can be prepared for it. She said it was obvious I followed the pre-procedure instructions well, because there were no complications using just the mask for my procedure. Because of not being able to fit the tube in my throat, my throat is sore and swollen but getting better everyday. My original doctor for the procedure is head of urology at this hospital. He is close to my age. A week out from my procedure he phoned me to say he had to assign another doctor to me because he himself was going to be in the hospital for his spine. I looked up reviews for the new doctor. He was young but trained at the oldest university here in Poland where Copernicus studied, Jagiellonian University. He received excellent reviews, as had my first doctor. One friend commented after seeing his photo "Oh, he is good looking. You’ll be fine."😂 I, and all my friends who I shared that comment with, had a good laugh. But then I remembered your video about personality types and what they say coming out of anesthesia. I told my friends I will be so embarassed if I make some comment about how young and cute he is.😅 Your videos were very helpful, informative and so interesting to watch before my procedure.Thank you for making them. I will continue to watch them because they are so interesting.
After 15 surgery’s in the past 22 years I thank God nothing happened🙏❤️👍🏻 getting ready for yet another surgery Right knee revision of lower failed replacement I will have total faith all will be fine…. As always thank you!!
Thank you for sharing this. This is definitely making me re-think where I will be having an upcoming surgery. I’ve always been focused on trusting the surgeon even when I didn’t fully trust the anesthesiologist.
I'll never forget having my tonsils out in the 50's with Ether. I was so sick when I woke up. Thank goodness it isn't used any longer. Wouldn't want to explode.
It is frightening that a patient in a medically induced coma can catch fire during an operation 😟How often does this happen and the consequences for the patient must be devastating .Is it possible to survive something like that ,an internal explosion ?
This is truly fascinating material! I would rather know more about a procedure than less and I want to thank you as I appreciate the information you are sharing. I hope ypu have a lovely evening.
Just think out loud: 🤔 Makes me wonder, when I had my ‘96 Pontiac Sunfire car back in the day, every now and then when I would put gas in my car, I would get a shock when I was done fueling going back in my car. I wonder if my body had to much gas inside that I would be in risk of fire right there at the gas station? But I’m not a smoker or didn’t drink alcohol at that time, But did work in a company that manufactured hospital mask kits, Oxygen tubings and cannulas and we worked with a lot of solvent during that time, thankfully have never had to go under a surgery, I wonder if that would have made any of my former coworkers have a greater risk of fire if they needed a surgery. Great video Doc!
A few years back, our hospital OR switched prepping solutions. We began counting 30 seconds for the skin prep to dry before placing drapes on the patient. We used to use betadine. Studies had found that betadine wasn't the best solution to use. It was drying to the skin, causing skin irritation. It also had a high alcohol content. Chloraprep was the better choice. It had a lower alcohol content. It had a higher microbial content. It was less irritating to the skin. As an OR RN, the OR dept. had our own policies and procedures for fire. Each suite has its own oxygen line running into the room. We had to cut that. We were recertified yearly.
It is the last thing I expect in an operating room. Talking yes.... I had a lupus flare, at home, in which my body felt like it was on fire inside my body and in pain. What happened? After what seemed like 5 minutes, I passed out. I woke the next morning very weak, traumatized for days and took about 3 weeks to get back to normal. That possibiity is NOW is a 24/7 awareness in my head. So this video took me by surprise, I didn't know this could actually happen. Thank you
I have been watching your videos. I was able to have spine surgery last week with decreased stress after watching your videos. Thank you.!!..I am sure my surgeon was happy that i was less stressed. ❤❤🎉
I remember when the OR had those big tanks of O2 and other gasses. When I was working on pulse-ox and other monitors, we had to thru a 'class' on fire risk. Then they fired up the bovie knife and as a EE, I gotta admit being a little nervous. Then the odors took over my mental focus. I just remembered stories of ether being used to perform an emergency apendectomy in a submerged submarine in WW2. Using a sieve and a cloth while operating on the galley table. Sub crews did not have a Dr., but rather, a pharmacist who had to deal with basic(ish) first-aid. Can only imagine.
Dr. Kaveh, would you consider doing a video on malignant hyperthermia? I’ve had two negative experiences with anesthesia - full body muscle constriction and a full-blown MH response followed by a 5-day ICU stay and later confirmed via biopsy. More information and awareness is needed.
@@costaldevomito Yes. The first time was during a mandibular alignment surgery. Neither the surgeon or anesthesiologist gave the impression or instruction to communicate experience in the future. After the second incident, requested medical records from first encounter. MH response protocol was documented but never communicated.
I learned so much about airway fire! It takes a special person to be a anesthesiologist or CRNA and you’re one of them! I look up to all anesthesiologist and CRNA! 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 👨⚕️! Do you have on cool socks? You been hocking loogies? It’s a guy thing lol 😂
@Darrion Tunstall just saw this and I hope you don't mind I'll include you with them. The burden of grief is a hard one to bear. I hope and pray you and the rest of the families can find peace during the grief. Take tome to share the memories, and maybe even make a few new one. I pray for peace and healing I the days ahead. Blessed be and God be with you in the month ahead.
So interesting, I am old enough to remember either, as a child in the early 60's. Can you also address blocks, I had abdominal surgery a few years ago it was supposed to be a laparoscopy but turned to a full blown open surgery due to complications, the abdominal block I agreed to pre surgery contributed to a paralytic bowel that kept me hospitalized much longer than expected. Thank you fir the important part you play for your patients and surgeons.
Stupid question, when I was 7, I had a tonsillectomy. I know that it's well known that you have a very sore throat, but, in 1964 they used ether. My throat was very sore for much longer than expected. Is it possible that I could have had a burn as well?
Wow. I thought the only reason not to eat before surgery was to cut down on nausea from anesthesia. Apparently not. Who knew anesthesiologists are also volunteer firefighters? Very interesting.
Can you talk about Diabetics going under anesthesia and having low or high blood sugars during the procedures? Like the highs and lows are bought on during the surgery, not before.
Thank you, Dr. Kaveh, for the fantastic videos you create to inform us average Joe's. You have no doubt calmed a lot of people's fears by explaining things so well.
This makes me really curious. What would happen if an alcoholic drank way too much alcohol and got in an accident in which they were seriously and needed emergency surgery. Would you be able to give them blood or something else to reduce the risk of fire?
@@sandymcdaniel3926 it was a hypothetical question concerning the alcohol content of blood. Not that it's any of your business, but I also do not drink, and I don't have a car. 🤷♀️
That's pretty wild. One of those things in the medical industry we never think about, but glad that training on how to quickly deal with it is enstilled. For all the 🐉 out there, ensure all your 🔥 is out of your system before having any surgeries done. >>;=) The most concern I think I would have in regard to surgery are those tales you hear where a Px is under anesthesia, and though essentially bodily paralyzed, they still are aware and feel everything going on... possibly hours of that... that would be pretty horrific.
![Diggy Graves - Red Vineyard [Official Lyric Video]](http://i.ytimg.com/vi/8Ro085T0mnQ/mqdefault.jpg)
All the things you need to know as an anesthesiologist is mind blowing. Blessed for anesthesiologists in this world!🙏🏼
It's a job like any other....the mechanic working on your car has to know a lot in order to figure out what is going on, too. An attorney has to memorize a ridiculous amount of laws for their state and be able to quote a lot of them word for word. In the medial field, I expect them to have to learn all of that even more.
Let’s start out with this, don’t disrespect me, because what I say doesn’t “resonate” with you. Secondly, Anesthesiologists can’t compare to teachers or mechanics.😂
@@heidi5462you're so right. They aren't dealing with anything live. If you wanna know who I think has to learn vast amounts of knowledge in the medical field, it is Veterinarians. They don't just work on one species, They work on birds, reptiles, sometimes dolphins or Manta Rays, all sorts so I respect all doctors in the medical field.
so, how is the “fire”. put out?
@@heidi5462How the heck do you twist a person engaging in a discussion with you as disrespect? Just because the perspective jmr1068204 expressed did not resonate with you? That's a two way street.
It's absolutely crazy how people twist such things as disrespect, or aggression just because they don't agree 100% with the OG commenter. Chill out & stop taking everything as a personal attack. If you, or others don't wish to engage in a discussion, try this radical thing, don't post a public comment. Posting a public comment opens yourself up to replies. Many of which may or may not be in agreement with your original comment. It's not disrespect or a personal attack. 😂 Crazy over sensitivity in the world today.
I happen to agree with jmr*. Many professionals have to learn a great deal of information with an equal level of understanding. A lawyer who does not can end up killing a client who may be facing the possibility of the death penalty, or loss of thier freedom for the remainder of thier natural life. With the very real risk of rape, great physical harm, or murder on a regular basis for the remainder of thier natural life. A mechanic who doesn't learn a vast amount of information with an equal level of understanding puts thier clients lives at great risk. Think about the great amount of faith you are putting in you mechanic the next time you drive away after having your breaks serviced.
Hopefully you can see that this is not disrespect, or a personal attack. Just the expression of my perspective on the topic.
This is an example of how our society tends to denigrate & under value professions that don't fit into the traditional white collar professions that require a university degree. Even though that profession can be mastered without that degree via an apprenticeship program. Interestingly, the UK is working on returning to the apprenticeship program for thier nurses & certain other healthcare professionals, or at least allowing it as an optional method of licensure.
They found that they lost access to very capable individuals, and diversity of thought when they switched to the professional track only (university degree for licensure). The loss of diversity of thought has led to an increase in medical errors, and the repeating of these errors.
That’s pretty wild! I never imagined fire could happen during surgery. I mean, it’s just not something most people think about😮
It’s amazing the amount of trust given to an anesthesiologist! 😊
I wasn't allowed to wear my own grippy socks or underwear, because they told me the elastic could catch fire
@recoveringsoul755 yes I was also told no elastic knickers!
Fascinating talk. Don't think I had ever paid much mind to combustibles in the modern OR. Thank you.
In 2020 at Arizona, a certified registered nurse anesthetist (not a doctor) actually killed someone by setting the patient's mouth on fire at a dental office while administering oxygen with laser dental treatment.
The quiet but oh so important doctor behind the scenes.
First, I appreciate the information you share. Second, I’ve had several surgeries, and have experienced usually a 5-10 minutes where the anesthesiologist popped his head in, telling me who he was and that was it. And, yes, I would have felt much better if I’d had a real conversation with him.
Surgery is an amazing tool for healing our bodies. I had 7 surgeries and each one (although painful) was such an adventure into a side of medicine I rarely get to see.
GREAT JOB DOC ❤
PLEASE DON'T STOP.
You do a good job explaining this stuff to the layman.
Love all this info, very impressive and complex science. I hope I never have a "kaboom under the drape"! Thank you for all the explanations. Love your videos.
I heard a story about a soldier who had trauma surgery after an explosion. He "caught fire" and I had the hardest time undestanding how that happened or how he lived. This answered some of those questions. Very interesting. Thanks.
Very interesting to know. Thank you.
I’ve had a lot of surgeries and never knew this. There was one surgery about 12 years ago that,when I woke up there was a burn with several blisters on my right arm. The surgical staff was at a loss as to how it happened . The surgeon himself went back and did his own investing the o.r. I was in. It turned out the the ‘latex free’ wrap did in fact have latex in it. I’m very allergic to latex. So glad he figured it out,and no I didn’t file a complaint as it was not intentional.
I do remember as a child 3 surgeries where they put me to sleep with the ether. Hated the smell and taste of it.
Every once in a great while I will suddenly smell ether. Ufff.
I haven't worked in 9 years, but it was getting like more and more medical supplies were manufactured as latex-free. When I first began working, most supplies had latex. It was a pain to get a patient with a latex allergy. Around the year 2000, our OR stopped stocking gloves (clean and sterile) that had latex. It was a great experience to just pick up whatever dressings were required and not have to read the entire wrapping looking for the word latex! I hope you won't have any more problems with this issue!
I have learnt so much from this man.He explains it so simply. And he is handsome. Thanks mate from Australia. Victoria.
Fantastic video. I had no idea.
I love how casually you said “sometimes did cause an explosion within the patient” 🤣 I know it’s a seriously dangerous matter but the way you said it cracked me up
Thank you so much for this!!! I had polyps removed from my throat last year. Just before they took me back for the procedure the anesthesiologist came up to me and asked me to sign a piece of paper. Said there’s a possibility my throat could catch fire so I need to sign this stating I’m aware of this!!! 😳. I was horrified!! My daughter was with me. She said you wait until you’re ready to take her back and just say ohhh by the way you might catch of fire, sign this so we can hurry up and get you done!! I was in total panic mode then. He just said. It’s not common but we have to tell you it is a possibility. I can only imagine my conversation when I was going under!!!
This was a fire episode. Thanks for sharing. 😊
Very interesting doctor! Thank you! 😊
This is so interesting! I love learning about the unknown!
This was an awesome video. Great job thank you for all that you do.
Thank you for the kind comment! I hope you learned something new and feel empowered to advocate for your health 🙏
@@MedicalSecrets yes absolutely 💯 🙌 👏 👌
@@MedicalSecrets Writing here because is your most recent video, unrelated topic but relevant I think.
Actually I do think that ptsd is caused by the JC virus triggering the 5ht2a receptors. Thats why serotonin releasing agents, agonists of the 5ht2a and antagonists of it are very effective. High stress will deplete serotonin, and and the competitive affinity of the virus will make it bind to the receptor, due serotonin depletion. This creates thought loops and stress that can be diagnosed as ptsd. The same way that the 5ht2a agonists can create thought loops. what do you think? Maybe pure antagonists of the 5ht2a receptors without being agonist at any receptor, like mitrazapine or cyproheptadine might be the ideal solution to this sindrome? Maybe because K agonizes this receptor( and displaced the virus from its place via competitive affinity) wiith but does not stimulate any other is that because it is such a good thing? Serotonergic receptor stimulation for way too much time might deplete serotonin. Maybe because after stimulating massively 5ht2a receptors with mmvsshiezz these (the receptors) close for 2 weeks thats why it is so effective? You dont have to have multifocal leukoencefalopathy to have a mild jc virus infection, specially when most of the population was infected at some point and at battlefield conditions eventual and transitory inmunosupression is likely to occur, and this makes it to migrate to the nerves and trigger them. Idk my opinion, insight and 2 cents. What do you think doc?
Sure glad I didn't know this BEFORE my surgery!!!
Wow! I was never worried before and now I am!!!
Oh no! I don't want to cause worry, but confidence that your doctor's train for all sorts of possibilities, including these very rare ones
Wow, very informative. I had no idea the patient cold catch on fire! I've had so many serious surgeries and no one has ever told me that.😁
Me too. I'm glad I didn't know😃
Imagine the precautions we had to take in a large animal surgical suite in the late 70s! It was but one challenge as hydraulic tables were just getting affordable outside of academia. Huge endotracheal tubes, no propofol yet. I was blessed as a HS student to work at such. Made nursing school a snap!
Have you ever been in that kind of situation where a patient caught on fire???
I have! I was an OR RN and I had 1 one time during my 16 year career!
@@ccoop3774 Holy Crap now one more thing I have to worry about! Now I am going to be thinking about it...
@@lindadove8298 Hey, I worked back there and it's not something I think about whenever I'm having surgery! It is a rare event.
This is a very rare event. The Doctor AND the Anesthesiologist are VERY prepared for this. My last spinal surgery, I was prepared and everything was great. Stop eating before they tell you, and no alcoholic beverages for at least a week before your surgery. Don't even use alcohol on your skin, for a few days before, either. Nothing flammable.
@@blondebobbi4505 Right, I have had over 62 surgeries since birth, unfortunately, and the hospital and OR are like my second; of course, it is not of my choosing, but it is life. It was just shocking to hear that this other thing can happen even though it is rare. It is still good information to know because you know the surgeon and the anesthesiologist would never tell this!!!! That's why they keep so hush-hush. But I am nosey and ask many questions every time! Because what to know what is going to happen from A-Z. But we know they won't tell you everything because then no one will want surgery! lol
Just found your channel and I really like it. I have a little knowledge of medicine because I've been sick for 10 years and have 4 autoimmune conditions, in order of me getting them starting at 15, Crohn's disease, Uveitis, Encephalitis, and they took a brain sample after my 6th of 7 seizures in the past year in a half and found CNS Vasculitis. Obviously the seizure disorder is the worst, but my Crohn's was so bad early on I had to do my senior year of high school at home and I lost 40 lbs in like 3 months. But I got my college degree, have worked like 4 jobs, play 4 instruments, and am in a band. I need to remind myself I'm doing well for myself.
I have been studying and following incidents of spontaneous human combustion. What you have explained about a person needing to refrain from chemicals, food and alcohol makes so much sense and could hold the key to what I have felt has been an overlooked obvious answer to predisposing people to this rare, but real phenomenon. I have taken notice that many people found either dead or just having something like an arm spontaneously combusting must come from a lethal internal mix of their bodies own gases, possible alcohol consumption and smoking or sitting next to a burning fire. Several people are older and likely to be on a drug that increases these flammable gases and ignition sources are within us such as static electricity in dry air on winter days ex. Approximately 5 years ago a man was found to have spontaneously combusted in Germany I believe in the early hours of the morning as he sat alone on a bench in a childs playground. Too many of the wrong people have raised awareness of this with no scientific data being offered. I honestly believe that you have the ability to prove out a scientific methodology to explain these points in a person going about their lives. I feel if risks were added to medication warning of the very rare possibility of combustion if taken with alcohol, while smoking or if they become constipated to seek immediate assistance, this could save a life no matter how small the risk...Saving even 1 life is worth just doing a little research into this little known occurance. Thank you again for allowing me to ramble my mad science in your direction. I just have to add that it would be amazing to be the person who discovered what SHC actually is.
Very very interesting. I think you're onto something
I am glad this is getting more attention. In my youth (born in 1955), it was not believed. My 1st case I read about was in a collection from Edward Casey. After my education in Chemistry, I predicted it involved a catalyst and static electricity. An ER physician proved me correct.
I think this was the best video I've seen so far! So interesting. When you talked at the end about the fire and practicing for it, turning off the Oxygen etc., it reminded me of my husband's pilot training. They train over and over again for emergencies that rarely happen but what to do is ingrained in them. Well done!
Dude, this is the BEST channel on RUclips.
THANK YOU!
I knew all this and instantly forgot it when I had surgery yesterday. All I remember is saying, "See yas later," and putting the sheet over my head. The anesthesia certainly relaxed me. Getting out of the car at home I heard or felt nine discs pop. That made the surgery worth it right then.
This has me sooo scared. Never heard of this happening 😢
Thank you for your careful articulation of the processes and medical explanations. They really help laymen like myself to get the full sense of the subject.
Thanks so much! This was so educational.
I need a hysterectomy soon, so im trying to learn everything i can about this stuff. Never had surgery so im clueless.. thank you for all your videos and sharing your knowledge ❤
Ignorance is bliss
I had a hysterectomy around 10 years ago. No scars because now they dont have to open you up for the hysterectomy. (I had a full one so they took everything lol) Pretty sore for awhile but no complications. Hysterectomy is pretty common surgery these days if that helps you? I've had several surgeries and it's normal to be a little nervous but you'll be ok.
Thank you so much Doctor🙏 Thank you for your hard work and dedication.
Yes surgery is bad enough please no fire! Lol 🤦♂️
Thank you for producing these segments...
Dr, I have so much respect for you and the wealth of knowledge you share with us!! So much I am learning. I’m a new subscriber (6/23). You are genuinely kind and compassionate ~ rare and so appreciated in today’s society. Thank you for doing a Stupendous job 👏 and educating us all❤❤❤❤
Wow 😲!!!! Who knew!!! So glad you do... and thanks for sharing!
Thank you for the kind comments! 🙏 Yes, we train very hard to help minimize these risks, especially for elective surgery!
I'll back you, Doc. I worked in a hospital OR for 16 years. I saw 1 during that time. It was from an error by the PA. A sponge began to burn when the bovie was fired up. There was no harm at all to the patient. Each facility will have policies that we're tested on yearly.
I just had a 20 mm kidney stone removed on Friday. So I was under anesthesia for that. I had watched a few of your videos in prepping for it. I also read an article that recommended washing hair the morning of surgery to remove any hairspray etc and not putting any products in it afterwards, as they may be flammable. So when this video showed up on my YT homepage it caught my attention. Very interesting.
I hope you felt prepared for your surgery 🙏 How did the rest of your recovery go?
@@MedicalSecrets Thank you, I did feel prepared. My recovery is going well. My stent will be removed in 3 weeks. I had not been under general anesthesia since 1982 when I miscarried and needed a D and C. I am 67 years old now and live in Poland. The level of care I received was excellent. The only problem was when the anesthesiologist attempted to insert the breathing tube, she couldn’t because of the location of my larynx. They could use only the mask. She said on the difficulty scale of 1 to 4 it was a 3. She also said that I should mention this to the doctors if I ever have any surgeries in the future so they can be prepared for it. She said it was obvious I followed the pre-procedure instructions well, because there were no complications using just the mask for my procedure. Because of not being able to fit the tube in my throat, my throat is sore and swollen but getting better everyday. My original doctor for the procedure is head of urology at this hospital. He is close to my age. A week out from my procedure he phoned me to say he had to assign another doctor to me because he himself was going to be in the hospital for his spine. I looked up reviews for the new doctor. He was young but trained at the oldest university here in Poland where Copernicus studied, Jagiellonian University. He received excellent reviews, as had my first doctor. One friend commented after seeing his photo "Oh, he is good looking. You’ll be fine."😂 I, and all my friends who I shared that comment with, had a good laugh. But then I remembered your video about personality types and what they say coming out of anesthesia. I told my friends I will be so embarassed if I make some comment about how young and cute he is.😅 Your videos were very helpful, informative and so interesting to watch before my procedure.Thank you for making them. I will continue to watch them because they are so interesting.
We have confidence, thank you Doctor
Thank you Doctor
Spontaneous combustion is very real
I'd bet more people would obey strict npo if they knew a risk is blowing up during surgery lol
After 15 surgery’s in the past 22 years I thank God nothing happened🙏❤️👍🏻 getting ready for yet another surgery
Right knee revision of lower failed replacement I will have total faith all will be fine…. As always thank you!!
Thank you for sharing this. This is definitely making me re-think where I will be having an upcoming surgery. I’ve always been focused on trusting the surgeon even when I didn’t fully trust the anesthesiologist.
Thanks!
Thank you! 🙏
Hello Dr Kaveh! Hows it going? Wow! So interesting, thanks so much!
Omg! Remind me not to eat beans a week before surgery 😂
Not only beans but green veggies also get me gassy and sometimes cheese.
I get it. Surgery is now way safer. But this scared the hell out of me.
Dr.K Wow I sure didn’t know this could happen. I trust my Drs. I know anything could happen.
Never really heard if this, BUT this SCARY, might not ever want to have a surgery
People have spontaneously combusted before. It's extremely rare but people have electricity and a lot of natural chemicals in our bodies
Well,I feel much better now!!! 😂🥺😳
I'll never forget having my tonsils out in the 50's with Ether. I was so sick when I woke up. Thank goodness it isn't used any longer. Wouldn't want to explode.
Your videos are so interesting! Love watching them, Thank you.
Holy cow, this is scary stuff!! I have vocal chord surgery but I was conscious the whole time.
It is frightening that a patient in a medically induced coma can catch fire during an operation 😟How often does this happen and the consequences for the patient must be devastating .Is it possible to survive something like that ,an internal explosion ?
So glad i didn't know about this before i went in for surgery.
Wow all if this learns me alot about being a doctor and learning about surgery thanks doc !! 👦
This is truly fascinating material! I would rather know more about a procedure than less and I want to thank you as I appreciate the information you are sharing. I hope ypu have a lovely evening.
Wow, omg, safety first!
Indeed!
Oh my, this was a heavy one ...!
Just think out loud: 🤔 Makes me wonder, when I had my ‘96 Pontiac Sunfire car back in the day, every now and then when I would put gas in my car, I would get a shock when I was done fueling going back in my car. I wonder if my body had to much gas inside that I would be in risk of fire right there at the gas station? But I’m not a smoker or didn’t drink alcohol at that time, But did work in a company that manufactured hospital mask kits, Oxygen tubings and cannulas and we worked with a lot of solvent during that time, thankfully have never had to go under a surgery, I wonder if that would have made any of my former coworkers have a greater risk of fire if they needed a surgery.
Great video Doc!
Thank you fir these vdeos! Patients have a rigt know this!
Hi Dr. Anthony what a fantastic video! I have a question? Do anesthesiologists practice for emergencies in simulators, the same way airline pilots do?
Wow, that's wild. Glad checklists are becoming more common in medicine and the O.R.; turn off the O2 before removing the endorsement tube!
A few years back, our hospital OR switched prepping solutions. We began counting 30 seconds for the skin prep to dry before placing drapes on the patient. We used to use betadine. Studies had found that betadine wasn't the best solution to use. It was drying to the skin, causing skin irritation. It also had a high alcohol content. Chloraprep was the better choice. It had a lower alcohol content. It had a higher microbial content. It was less irritating to the skin.
As an OR RN, the OR dept. had our own policies and procedures for fire. Each suite has its own oxygen line running into the room. We had to cut that. We were recertified yearly.
Mmm really looking forwards to my laser throat surgery now
Your videos are very interesting. Learning things I never knew. 😊
Enjoying your content. I only recently discovered it and am learning all kinds of things I had no idea I was interested in learning about. 👍
It is the last thing I expect in an operating room. Talking yes.... I had a lupus flare, at home, in which my body felt like it was on fire inside my body and in pain. What happened? After what seemed like 5 minutes, I passed out. I woke the next morning very weak, traumatized for days and took about 3 weeks to get back to normal. That possibiity is NOW is a 24/7 awareness in my head. So this video took me by surprise, I didn't know this could actually happen. Thank you
I have been watching your videos. I was able to have spine surgery last week with decreased stress after watching your videos. Thank you.!!..I am sure my surgeon was happy that i was less stressed. ❤❤🎉
This channel is very beneficial to many as it motivates as well as informs much about health
Fascinating, thanks Dr.
I remember when the OR had those big tanks of O2 and other gasses. When I was working on pulse-ox and other monitors, we had to thru a 'class' on fire risk.
Then they fired up the bovie knife and as a EE, I gotta admit being a little nervous. Then the odors took over my mental focus.
I just remembered stories of ether being used to perform an emergency apendectomy in a submerged submarine in WW2. Using a sieve and a cloth while operating on the galley table. Sub crews did not have a Dr., but rather, a pharmacist who had to deal with basic(ish) first-aid. Can only imagine.
Dr. Kaveh, would you consider doing a video on malignant hyperthermia? I’ve had two negative experiences with anesthesia - full body muscle constriction and a full-blown MH response followed by a 5-day ICU stay and later confirmed via biopsy. More information and awareness is needed.
You had MH twice and they didn't alter your anesthesia the second time after seeing your negative reaction?
@@costaldevomito Yes. The first time was during a mandibular alignment surgery. Neither the surgeon or anesthesiologist gave the impression or instruction to communicate experience in the future. After the second incident, requested medical records from first encounter. MH response protocol was documented but never communicated.
“It makes that very satisfying, snapping sound.”😅😂❤
A nerd is a nerd is a nerd is a nerd AND we just love them for it!!!
Oh my gosh Dr Kaveh ,I never even heard of this . Thank you soo much for the information. G.B
People have spontaneously combusted
Thank you for sharing this information very helpful 🙏🙏❤❤
I had emergency operation in January this yr. (2023) long time 2 heal now. I'm STILL HERE thankfully. I likrd this topic.
Say what?! And I have surgery scheduled for the end of May. 😬😵💫 Wow!
I learned so much about airway fire! It takes a special person to be a anesthesiologist or CRNA and you’re one of them! I look up to all anesthesiologist and CRNA! 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 👨⚕️! Do you have on cool socks? You been hocking loogies? It’s a guy thing lol 😂
Hey! I always try to rock those fun socks!
@@MedicalSecrets ok cool! Please pray for my auntie and cousin, they both have cancer and they both have 3 months to live , I’ll keep you posted
@Darrion Tunstall just saw this and I hope you don't mind I'll include you with them. The burden of grief is a hard one to bear. I hope and pray you and the rest of the families can find peace during the grief. Take tome to share the memories, and maybe even make a few new one. I pray for peace and healing I the days ahead. Blessed be and God be with you in the month ahead.
@@ControversialChristian thanks
Thank you. I also wanted to know about your socks.
Adds another angle to the call, ''Fire in the hole!'' 😂
So interesting, I am old enough to remember either, as a child in the early 60's. Can you also address blocks, I had abdominal surgery a few years ago it was supposed to be a laparoscopy but turned to a full blown open surgery due to complications, the abdominal block I agreed to pre surgery contributed to a paralytic bowel that kept me hospitalized much longer than expected. Thank you fir the important part you play for your patients and surgeons.
I've never been told about a fire in the OR! That really scares me. I'll be sure to talk to the Dr. A😮bout that before my surgery!! Wow Wow Wow! 😮
Thank you dr. You are the best
I did not even know that could happen !!😮
Stupid question, when I was 7, I had a tonsillectomy. I know that it's well known that you have a very sore throat, but, in 1964 they used ether. My throat was very sore for much longer than expected. Is it possible that I could have had a burn as well?
I doubt it. Sometimes the surgeon has to burn the 💩 out of those tonsils to staunch the bleeding. It's an extremely vascular structure.
Wow. I thought the only reason not to eat before surgery was to cut down on nausea from anesthesia. Apparently not. Who knew anesthesiologists are also volunteer firefighters? Very interesting.
Flaming Nora!! Who would have known?! Thanks, Doc... I think.
Ty so good ❤
that was interesting. Thank you Dr
Hey Anthony, what’s going on brother I see you’re doing well. Love your channel brother keep it up.
Wow! Isn't the human body amazing!!!
Absolutely fascinating! The things I learn here! :D
Can you talk about Diabetics going under anesthesia and having low or high blood sugars during the procedures? Like the highs and lows are bought on during the surgery, not before.
thank you
This is the first I have heard of this. 😱
Thank you, Dr. Kaveh, for the fantastic videos you create to inform us average Joe's. You have no doubt calmed a lot of people's fears by explaining things so well.
This makes me really curious. What would happen if an alcoholic drank way too much alcohol and got in an accident in which they were seriously and needed emergency surgery. Would you be able to give them blood or something else to reduce the risk of fire?
Are you a drinker and do you drive ? If you have; you're part of that problem! Stop drinking Period!!
@@sandymcdaniel3926 it was a hypothetical question concerning the alcohol content of blood.
Not that it's any of your business, but I also do not drink, and I don't have a car. 🤷♀️
That's pretty wild. One of those things in the medical industry we never think about, but glad that training on how to quickly deal with it is enstilled. For all the 🐉 out there, ensure all your 🔥 is out of your system before having any surgeries done. >>;=)
The most concern I think I would have in regard to surgery are those tales you hear where a Px is under anesthesia, and though essentially bodily paralyzed, they still are aware and feel everything going on... possibly hours of that... that would be pretty horrific.
On an episode of the TV show The Knick, a character caught fire during surgery. It was a pretty gruesome scene.
Smart mechanism on the N2O
I never would have thought there were operating rooms with windows. Does it help the doctors or nurses in any way?
I wonder if this is just a set up for his videos..