Same here. It's ironic how they ask you if you have any questions just before putting you under & injecting you with the solution. Like one knows what exactly is going to happen & have appropriate related questions ready. I'm actually surprised this doc talks his patients into a relaxed comfortable sedation, mine never introduce themselves to begin with.
Well, they don't mean to give you a choice about intubation! If you are unconscious you absolutely have to have it, so they don't want to discuss it with you .... might make you think it is optional!
I love the sound of your voice and the way you speak. I wish you were my primary and all around doctor...Seriously! ! Must have more doctors like you in this world...
@@nikkisanders8358, I know that but he still has a calming voice and is knowledgeable. There are doctors out here that have no compassion, this includes Anesthesiologist s...Are you Jealous??
I had a bad sore throat after my surgery but I'm glad i had the surgery. I thank God for my anesthesiologist for keeping me alive during my surgery. I'll take the sore throat again just to be alive.
Having been intubated, it's true it will cause sore throat, and changes to your voice. I am a singer and this has been difficult to accept, but obviously I'm grateful for being saved and being alive, too. I couldn't really make a choice about the kind of tool at the time, but glad they did what they had to do to keep me breathing.
I was intubated 20 years ago. It was an emergency situation. I was in a medically induced coma for 3 weeks. Not only did I loose the ability to speak but I had to learn how to walk hold utensils, basically everything. The loss of muscle mass happens so quickly, I was on a moving bed to help. My voice slowly came back over time. But it’s not the same, and one of my vocal cords is paralyzed open. Sometimes it’s hard to talk because if there is background noise I can’t hear how loud I am speaking and with my lung disease, pushing out sound takes more out of me when I need to speak louder and constantly repeat myself 🤦♀️ I am happy and doing well no even with the struggles 🤷🏼♀️🙌🏻💖
Dr. Kaveh. You are a living Angel to me … truly. I do not have an reason for an upcoming surgery thankfully but have FEARED needing one ONLY BECAUSE of my fear of anesthesia. Prettified is a better word. I thankfully happened upon your RUclips videos a month ago and have watched everyone. When watching the first couple videos I noticed I would instantly breathe differently, faster…anxious even watching as I was facing my BIGGEST FEAR. After that I noticed video by video I was less anxious which is 100% BECAUSE OF YOU! You are an EXCEPTIONAL anesthesiologist-doctor and most importantly human being. To care so much for people you don’t even know to explain the facts vs fears we have of anesthesia … to take all the time out of your demanding OR schedule and personal life for us shows what you are…SELFLESS. ALL residents should be trained with how to treat patients by watching all of your videos…it should be mandatory! This world NEEDS more human beings like YOU Dr. Kaveh. YOU DESERVE ALL THE GOOD!
I also used to be petrified by the idea of being "put under," perhaps partly due to PTSD. Now, that I have had the experience once and it went smoothly, it feels much less scary. I reminded myself of all the people who are helped every day with anesthesia and that eased my mind a bit. Hope you never need it but if you do, that may help you too!
One more thing - before I went in, I asked if there would be someone who could hold my hand. They were very kind about that request and a wonderful nurse held my hand and gently talked to me as I drifted off. I was so grateful to her.
Oh my goodness ... Not sure if I should've watched this video ... I'm having major surgery this month and I'm already feeling anxious ... I wish Dr. Kaveh was going to be my Anesthesiologist! 💗
I'm so sorry you had that experience! Yes, I totally agree that it's crazy that most patients don't know about this. I hope you had a quick recovery, did you?
Dr. Kaveh, this was such an informative video. But I still find it so shocking to hear you say that you call your patients the night before surgery to go over certain things with them. In all the surgeries I have had, never once has an anesthesia doctor called me. My most difficult surgery to date was probably my lumbar fusion. Not sure what type of breathing tube was used on me since my doctor had to open me up on my side first, then turn me onto my stomach to access L-4 - L-5. Surgery took approx. 5 hours. Came out of anesthesia as I was being wheeled out of the OR. I do have a horrible problem with acid reflux, and allergy induced asthma. I remember being given the anesthesia, and still able to see the surgical staff putting things on me, and telling me Jeanne, it's time for your surgery, people just staring at me, moving the lamps overhead, then finally waking up thinking the surgery hadn't happened yet. Your videos are super informative. Your video about advocating for yourself and standing your ground with doctors who basically try to gaslight you has recently helped me to get a diagnosis of my liver that even my doctor was a bit surprised about. He didn't believe me when in the past, mentioned to him that I wasn't feeling too well and had been having a lot of pain. So stumbling upon your videos have greatly helped with questions I had. Please keep making them.
The positive affirmations really do help. After watching your video I asked my anesthesiologist to do that. I came out from under better than any other surgery I've had! Thank you. I have another surgery coming up in 2 months. I will ask again!
Good day to you Dr K. How are you feeling today? You are such a caring Doctor! As I viewed you in the OR~ you look very Professional and also even with your mask on, your personality stands out more than ever 🌟🧡🌟. You are certainly well versed in the OR, and know your way around quite well, indeed 🌟🌟🌟🌟🌟 Your explanation, of how the “various tubes” work, for each individual patient, was quite helpful, to me. I always wondered how, the Anesthesiologist, knew how much medicine I needed to stay asleep during surgery. Its truly, a fine tuned Doctor, that is well educated, and has a good sense of what his patient needs. It was an honour, to see you at “ work” in the OR, You look great. Quite dapper, indeed ; demonstrating the tubes and actually showing us, how you are so very good, at your Profession as an Medical Doctor in the Field of Anesthesiology 🌟🧡🌟🧡 Thank you for your time and dedication to gain insight into your Profession Career. A Fine M. D. You are ! 🌟🧡🌟🩺🥼 🌟 🌟 🌟 🌟 🌟 Kindly, artchem
I had a laryngeal mask for my first surgery. Realized afterwards that I should have mentioned my TMJ. While it usually is not a problem, it was DEFINITELY worse afterwards. I presume they cranked on my jaw none too gently in placing it because my mouth doesn't open very far. Didn't even occur to me then, but I make sure to bring it up now.
Oof yeah, TMJ problems mean we have to remember to brief the anesthesiologists ahead of time. I had to get my partner’s help to remember, despite partially dislocating my jaw multiple times the week prior to my surgery. The last thing I recall in the OR was alerting them to pushing said jaw out of place when pressing a mask against my face. Pretty proud of myself really. Anesthesiologist kept my jaw from dislocating, but man I had a hella sore throat and crazy mouth scrapes after. I’m thinking getting the endotracheal tube in place with my asshole jaw was challenging.
Dr. kaveh, I love your videos and you explains these things I think about but had no idea . I had a knee replacement done and wonder what it must have been like. Just watching this makes me anxious it is good that patients do not have memories of these things going on. Thank you.
One of my multiple surgeries and EGD’s has damaged my singing voice. Anterior cervical dissection and fusion, 18 EGD’s, gastric bypass, gallbladder, plantar fascia release, varicose vein stripping, circumferential belt lipectomy, & adenoidectomy. I think that’s all! My voice went after one of the annual EGD’s! I found out I needed a new doctor. I’ll check my local pharmacy and Amish store for the licorice root! Thank you! We used to use lemon juice before HS choir competitions. Sparingly, yes. Lol Oh, I’m having gastric bypass revision in 2 days! I’m horrified of anesthesia awareness! In a month I’m getting the first carpal tunnel & trigger thumb released..slammed in my truck door. They want to operate on my neck again, and lumbar spine. I’m just exhausted and overwhelmed. Don’t live with a man or woman who gets drunk, violent, and attacks you. The outcome is never good for your health. Freedom feels awesome!
@@YeshuaKingMessiah Esophagogastroduodenoscopy. To break that down, it’s the same long scope they use to do colonoscopies. They sedate you, insert the tune into your mouth and down your throat into your esophagus. From there, they proceed into your stomach and into the part of your small intestine which is the duodenum. With the scope, they can see if there are any ulcers, polyps, tumors, esophageal varices, or other abnormality of the upper G.I. tract. They can even remove polyps or take biopsies with this scope. Judging by that ridiculously long name, you can see why they shorten it to EGD. lol
@@YeshuaKingMessiah I wish someone would tell me why my gastroenterologist insisted I needed it. I spent all of that time, desperate for answers to my GI issues, and each time, I had hoped she would find it. She was always “concerned” when I went into her office, or would call with questions. I finally switched doctors. He treated me for something she had also treated me for, but although it worked, she didn’t continue to treat me for it (SIBO). I am on daily treatment which is an off label prescribing method for the drug xifax, but it helps tremendously. Also, after 21 years, post gastric bypass, I had the revision. The surgeon found major discrepancies in his findings vs my surgical notes from 2002. Part of which could answer the questions I have never been able to find answers to. There was just no way to see the problem, until he went back in. In fact, this could be the reason for the chronic small intestine infection that (SIBO). Anyway, he fixed the mess. Things seem to be a lot better, and I am weaning off of the medication.
See? This! All of this! I had 3 chats with anethesiologists in 2 months of which one was an "empty" talk, cause I really had already said everything when we were preparing for surgery 2 with an evtl. 3. Then 3 became certain but couldn't be done the same day as it would've been night! So, here we were and having the talk they must have with me X'D And there's always that "Do you have any questions for me?" ... After a few months on your channel, turns out I could have had quite a lot of questions and also valuable information so that said choices could be made carefully. But I did not know of any of these things. A typical "Why didn't you ask/say anything?" "I didn't know it was something I could ask/say anything about!" situation! 😂 I'm hoping to not require surgery ever again or not before very old age. But if things come to this OR someone around me needs one, I'll be splendidly prepared! That said: Not easy, cause in our hospital, the person who talks to you is not necessarily the one who is with you. In fact, prior to all surgeries there were so many people coming in, introducing themselves, leaving and NOT coming back, just for the next person to come in, that it was quite puzzling. (x_X)
Definitely take a notepad with you. One page with your questions. Reserve the top page for writing down the names of people who see you, their roles in your care, and what they tell you. Have them spell their names for you - if you let them write them you might not be able to read their handwriting.
Yep. I am a university professor. I lecture multiple times per week and advise/counsel students for hours during pre-registration. I also had 3 laparotomies and 3 laparoscopes (severe endometriosis). I lost my lecture voice and my ability to be heard in a crowd (say, at a conference discussion) after the second laparotomy. No one told me about this risk. I had a sore throat after each anesthesia, but no one asked about that either. Thanks for the information that I wish I had known.
@@a.elsagonzalez6824 Good! Always bring up your concerns with your doctor and your anesthesiologist. Give them a chance to explain things (especially risks) but also put them on notice. They should take it as a good thing that you want to participate in your own health care. If they react badly to polite questions, ask for a second opinion and maybe find a different surgeon. It's not like endometriosis requires immediate intervention. Keep in mind that although they try to take care to not do any damage, there is a risk of damage when intubating. The benefit from having the surgery should outway the risk of damage. I assume your pain from endometriosis is significant enough to take on those risks. Not to mention the threat to your fertility. Wishing you a great outcome!
My last surgery I had no voice for two weeks, never had that happen before , that was 12 years ago for major abdominal surgery, I came out ok but my throat was so sore and my voice was so dried out , I refused my morphine drip because I really had no major pain, this was my fifth major surgery. I did wake up pulling the tube out, I always wake up before I am supposed to.
I love your videos as they are always so informative. I’ve had a lot of surgeries,most recent 8 weeks ago with another one coming up on the 13th. No anesthesiologist has ever talked to me about my asthma,acid reflux or gastroparesis . Only my sleep apnea,which I am always very diligent in using. What really surprised me about my surgery 8 weeks ago was how fast I woke up after surgery,still in the operating room even. Nice was no nausea afterwards and I actually stayed awake the rest of the day.
My 81-year-old mother suffered permanent voice loss after a simple (less than 90-minute) General Anesthesia surgery for tear-duct procedure. Her voice is now gone for the rest of her life! Somone has to be the "rare" case. She also has to pay her own money for the follow-up visits for this NEW unexpected complication.
ty for talking to and focusing on your patients. The last time I was put under everyone was just talking to each other about a game or whatever and it did not make me feel comfortable or confident.
As long as my problem is fixed, I don't care. 😂 Although, out of all my surgeries, alot, only one did the anesthesiologist tell me he may use the tube which can make your throat sore. I didn't think twice because out of ALL of them, never needed it. I was so sore for 2 weeks after clear down to my chest.
Interestingly I have never had a sore throat after any surgery despite being warned. I do have asthma and was always told to bring my rescue inhaler with me into the operating room. I have tracheomalasia and every anesthesiologist, when checking my airway prior to surgery, has informed me that they will be using the pediatric tube(s). Once I was having my foot operated on and I woke up gagging and they told me my breathing was compromised and they had to use a nasal trumpet. I was horrified.
After my shoulder surgery, the endottechial tube *and* the nerve block injected into my neck combined definitely made me lose my voice! The weakest it'd ever been. It was also the dryest and 'scratchiest' my throat had ever been (I really wish I was warned and better informed prior. Losenges and even just knowing to pack my own 'easy to swallow' foods for after surgery would have made all the difference. I remember that most of the aftercare ward nurses didn't want to initiate a discharge until after I ate something....which was a HUGE issue for me. They only offered me foods I absolutely could not manage to swallow like sandwiches or omelette. I felt sick and with my closed throat on top of it - bread, cheese and eggs were the last thing I wanted. I remember taking a small bite of a cheesecand tomato sandwich just to please them - and immediately regretting it once I felt the tiniest bit of bread go down the inside of my neck. The caterer urged me to keep eating. I told her I couldn't manage, and asked if they had any grapes. I was amazed when she said "No! We never have those. You would need to bring something like that in yourself!" and it made me wish my throat weren't too sore to laugh. I wanted to quip "Whaaaat? But hospitals *always* have grapes in soap operas! Why did nobody warn me about any of this" 😅 Thankfully, one of the head nurses, my surgeon, and my anesthesiologist were more laid back and were willing to discharge after I promised them I would eat my own fruit once I got home). But anyway, I see some people who are also getting day surgery seem worried this might happen to them commenting - so just to reassure you all, my throat did soon begin to heal and clear up. It wasn't so bad once you have access to the right foods and sore throat lozenges. Hoping you all heal as smoothly. The lozenges are definitely great advice (though I will add to pack easy to swallow foods, just in case your hospital is like mine and has limited catering. I was lucky that enough staff members were willing to let me go despite not eating on site. If they weren't, I could have been held overnight and left hungry and feeling worse)
Where I live in Alabama and have had surgeries here and Georgia we don’t have a doctor that puts us to sleep we have a nurse anesthetists! The doc just comes in to ask a couple of questions and tell us he’s the doc! We’re never told anything not even what we will be given and when it’s given to us!
Thank you for this video. I use my voice for working. I wake up always during the moment I’m pulling up the tube. I finally insist very heavily during the pre op consultation and just before the op. Now that I really explain, they really are careful and take the tube for me . I still have this sore throat but it s not as bad as before!
I was put under general anesthesia twice in just 16 days. My 1st was a meniscectomy, the actual time just took 20 mins, for the surgery. The 2nd was a endoscopy which took 2 hrs. It was a endo-flip, plus trying to close up a fistula. They had to use a laser & finally used x-tact. When I woke up the nurse said was I in Pain? I told her, yes, my knee hurt. I just had the stitches out the day before.. She said I mean your stomach and I said yes I had pain there. The Dr. also lacerated the mucosa and had to use hemo-clips to stop the bleeding. So a LOT of things went in & out of my mouth and my throat hurt a lot. I kept saying I've had lots of surgeries & endoscopies and I NEVER had a sore throat, not once, and she said my endoscopy was NOT a normal one. It was sore for 5 days.
I lost the little ability I had to sing after a partial shoulder surgery from an auto accident in 1998. To this day I cannot sing nor talk for long periods (such as teaching) from vocal chord damage. It has broken my heart to not be able to sing again as it was so important to me. I’ve gone to doctors and vocalist, none could see anything and help me. My throat/vocal chords never healed properly.
Had multiple anaesthesia, most recent in November. Anaesthetist was very thorough and explained everything, includingvthe fact i could have dental damage, i have veneer but risk is very small and i may have a sore throat from the ET tube. Did for a day but wasnt bad. Its something i warn my clients about too in veterinary anaesthesia, that their dog may have a soft cough/hoarse for a day or too from tube
What a very informative information. I am so happy to come across your videos. I have shared them to all of my friends and relatives that I know that would like to be informed as well. Dr., if may ask? what kind of anesthesia would you recommend for an 86-year-old male that will have a minor surgery, Prostatectomy. He had a stroke 9 years ago, a blood clot on his cerebellum. He has a-fib and takes Eliquis. The cardiologist told us to stop Eliquis for 2 days prior to surgery. He also takes the following meds: Losartan, Pravastatin, Tamsulosin, Hydralazine and also gets a shot of Dupixent every other week; he is not diabetic. We were also told that the Doctors on the day of the surgery will decide whether to give him a general anesthesia or epidural; his surgery will be on the 26th of this month. Your recommendations are highly appreciated. Thank you very much.
WOW 😲😳 Dr. Anthony I see your bicep and tricep muscles! Hitting the gym. Keep doin wactch yer doin brother. Came across your videos, keep them coming. And keep using critical thinking 🤔. High respect to you Dr. Anthony Sir. Love and light to you and yours always.💪🍷🌍🤔🦉
I am difficult to intubate. I learned so much from this!! My throat hurts so badly after surgeries. I’m getting the lozenges and following the information here! I have all the conditions you mentioned plus vEDS. I’m on this!! Thank you so much!! 🙏🏻❤️
I had trouble talking for weeks after waking up from a 2 day coma post cardiac arrest. I later also noticed a couple chipped teeth that I don't remember breaking. I was told that the EMTs and Paramedics had trouble intubating me. So, I wonder if that's where the oral injuries came from. I also had intubation pneumonia and coughing up blood and other lung issues. On a previous abdominal surgery year earlier, I had no problem with my voice. However, I still had trouble talking because my lower lip was numb for weeks. I think my lip got pinched between my teeth and a hose of some sort.
I did have a soar throat from the endotracheal tube, but I didn’t lose my voice. I did cough a lot, though. They didn’t tell me about the tremors, though that lasted a few days afterwards. They gave me medicine in the pre-op area for my acid reflux.
Here’s another one you might discuss. I had a knee replacement surgery and was catheterized. I had more discomfort trying to urinate, than from the knee itself. No one told me before or after, but I was able to figure it out because it happened a long time ago in another surgery, and they had warned me about that.
I have a simular problem. My urine gets so concentrated that I can't pass it. A catheter drains the bladder, then me drinking LOTS of water gets everything going again.
Had surgery back in January. My doctor did not even want to put me under. Way too many health problems. Thank goodness the other doctor said I was taking a two hour nap whether I wanted to or not. I certainly did not want to be awake for the operation.
0:12 I’ve had multiple surgeries under general anesthesia. My voice changed , my vocal chords do not close properly any more and have caused partial atrophy on one side. I’m having yet another surgery , they are going to do a spinal block this time.
Dr. has those smiley eyes and comforting style which would be an advantage to patients . I never remember losing my voice after 4CBG. That could because I was on pain killers during and after recovery.
I woke up from surgery with no voice for a couple days. I don't remember having a sore throat. The dr. told me it was from the tubes they used. It wasn't a big deal since it's temporary.
I am seriously considering canceling my surgery after hearing this info. My Dr has been very dismissive of my concerns. I'm a professional singer with performances happening within a week after this scheduled surgery. My day job requires me to speak for 6 hrs straight daily and will be expecting me to be back to work a few days afterwards. This doesn't seem like it's going to work out well at this time. Thank you for this info! I was not well informed about this at all.
I’ll be there! I have never lost my voice after anesthesia, 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, you been hocking loogies lately? 😂
I was intubated last week for my third times being under GA and damn that was bad, sore throat (like you swallowing pieces of glass) and paper sticking all over my mouth when i wake up, definitely the worst GA wake up i've ever been in, such an experience 😂
I think the reason they don’t tell us this is because they are very busy getting you ready for surgery. Most medical programs on telly show us what they do. Me, every time, which is quite a long gap, for surgery I wish they would wait till the absolute last minute to put me under, last time I was in the Anaesthetics room within ten minutes of being wheeled in there I was out 🥲 I couldn’t see much and I wanted to see so much more of a room I would never ever stroll into. Now me with have GORD, same as your GERD and sleep apnea guess I know which tube they’ll be sticking in my throat. Be that as it may just make sure I’m asleep before cutting into me. Thanks Doc.😊👋🏻
I had a laryngospasm while under MAC sedation during a cardiac ablation procedure. They had to quickly put me under general anesthesia and inserted a breathing tube. I woke with bleeding gums and developed canker sores in my mouth. My throat hurt for days, but I’m thankful that the anesthesiologist recognized a laryngospasm due to my stridor breathing sounds.
I've been put under many times. My throat has not ALWAYS been sore after being "Tubed" but I did used to sing and can't anymore because My chords got damaged during one if the Intubations. So You have to take that into consideration. I wish I had had You DR Kaveh.. I never got explained anything! ❤❤❤
All my health care is at University of WA. I have had a lot of orthopedic surgeries, about 18. I've always been told what was happening. I'm one of those people that when they ask me to open wide so that can look at my airway. They always smile, I have a nice airway for them in case they get in trouble.
Had surgery yesterday. My throat was giving me more pain than my catheter. My voice dropped an octave. Thank God for pain killers. Now with the catheter out, urinating is excruciating as is swallowing, pain at both ends.. Still, I am grateful for the professional care I received and hope they develop a technique that is not so abrasive.
Hey Kaveh, yeah, I do voiceover work, so needing my voice is more exceptional because of the microphone- it amplifies EVERYTHING. I'll be getting a general for my first time- scared of THAT! I'll mention it to the AE, but it's socialized health so I wouldn't be surprised if they just shoved a tube in me whether I asked or not. One size fits all medicine- but, everybody is different? Can't argue with that logic . . . (cough)
He's talking about the tube and I can't believe it's not the *other* tube (yes I know Foley's are not always needed but neither is ET tube for procedural sedation)
My step father had surgery in2013, when they took out the tube from his mouth, his voice changed, noticeably. He went back to the doctor and was checking his throat. Doctor said, it's a little sore but it will go away. It's 2023, and his voice never came back. At first we were asking him what happened. Now we all accept it.. This wasn't his 1st surgery. Whatever the anesthesiologist did changed that voice forever.. I started to think, how many other patients has he done that to...
I'm sorry to hear that about your stepfather. Sometimes it is not anyone's fault, it may be a result of vocal cord and anatomic changes that occur with normal aging, or with other disease processes, such as rheumatoid arthritis. I hope his recovery went well otherwise
He has different issues, so he's not really well. His voice is still the same from the surgery in2013. In November 2023 , he turned 87 yrs.. Thank you for asking. God bless you..
Love this❤. It’s true - “the more you know”. I had a short surgery I was told, but the anesthesiologist was hesitant to tell me the drugs he was going to use. He said, “a special cocktail”. My sibling told me they use sodium Pentothal, but the dr said fentanyl and “other things,” “a special cocktail.”(?). Is S.P. ever used?
Once again demonstrates the need for clear and effective communications between a Doctor and a Patient; hence, the need for a book: “Doctor-Patient Communication.” Let me know if you have any interest in this and I think I could get a publisher. Let me know here or if you have any interest in exploring this concept. I could leave my contact info through a message at your office.
So now I know I had a surgical injury (intubation) when op on me for tonsils I was swallowing glass. It felt like this for 2 to 3 days. I ate absolutely nothing, including all the ice cream they tried to offer me. I barely was drinking anything even. I was dehydrated when I finally was able to tolerate just putting water down my throat. I was in fifth grade, so nobody believed me at all, of course. I may have been given some aspirin for the first day or so. Then I was just scolded and cajoled for the next two days as they wanted me to eat. I’m 58 and remember the pain still! Thanx Mr Anesthesiologist 😭
Years ago i did an emergency anesgthetic on a 450# Houston Opera Company TENOR for an open Gall Bladder removal. The old saying in Opera is, "Look like a bird, sings like a horse." "and, vice-versa." His cords survived, thank God.
Thank you for taking the time to explain. ♥️ I have been looking for video for different explanations, very helpful. have been looking for why? after being in ICU over month some of the challenges after memory lost and cognitive abilities. Grateful for the way you explain very simple to understand.
I had surgery yesterday and have had major sore throat and swallowing. Feel like I’m getting a cold. Also having abdominal pain from laparoscopic gall bladder surgery. Oh my I was not expecting the amount of pain. Hope I’m feeling better soon. Surgery was a bit traumatic honestly and I had a total panic attack when they wheeled me into the operating room. I saw the buffet table of “instruments” and the metal table and all the light. The anesthesiologist was nice and reassured me she would be there watching me every minute. She injected a clear liquid into my IV and I felt very woozy. I remember saying “please don’t let me die”. The nurse said we don’t say that in this room. That’s the last thing I remember.
Love this library of videos! Have been scanning the titles for something related to head injuries. You may have posted one & I’m not seeing it. I have 2 questions for you: I was scheduled for hip replacement this week, 10/10/23. About 3 weeks ago, I fell on concrete, flat backward, landed on my coccyx & my head went thud. I was lucky & had no head pain except when a bruise was poked at (“does this hurt?”), not even an egg! There was one weird sensation for 24 hours though. It felt like a sponge was expanding inside my skull, continuously expanding, until the sensation faded away. No headache, vision or speech loss, dizziness, etc. Only that. I didn’t get it checked out because there was no pain. But the surgeon postponed the hip replacement out of concern for the anesthesiology because of my head?? Could you explain in simple terms why that matters? Also, in Dec 2019, I had a CMC thumb surgery. Starting the next day after, I had no voice. No sore throat thank goodness, but no voice for 7 weeks. I asked the drs & residents during my follow up appts whether they had intubated me. They claimed no, and there was no indication in my chart that it had been done. Still - rather sus. Is it such a standard procedure that it doesn’t need to be recorded? Or is there something else that could have happened that would cause that? Nobody ever really tried to explain. Just a Cavalier “nope, it wasn’t us” type of attitude, followed by instructions to call this clinic or that to schedule other followups. Really?? I had to drive to each place & make appts in person. Even face to face, difficult to make myself heard. Such a PITA. I’m grateful it eventually came back.
Could you speak to this: There's an HERBAL TEA called THROAT COAT which contains licorice root and slippery elm bark, along with some other botanicals. I would appreciate your opinion on whether there are any contra-indications for sipping this tea before or after surgery. Perhaps there is an atomizer or spray de I e which could deliver amounts too small to be in the stomach? I had DRASTIC changes to my trained voice after surgery for ectopic pregnancy. My first awareness of surgery was feeling snakes in my throat, which they nurse? was pulling out through my mouth. I couldn't swallow for 2 weeks without pain. My singing voice was never quite the same again. I'm likely to need surgery next year, so I want to learn what I can, so I can advocate for myself effectively. Thank you for your enjoyable and informative vids.
Just gonna add, one of the greatest inventions for soar throat/airway is HALL'S... haha... Mostly, I've only ever gotten "cotton-mouth" and woke up begging for something to DRINK... but that's me, and maybe I'm some kind of mutant or something. It's the menthol in the Hall's, btw... (SO any reasonable menthol also helps) It has some anti-inflammatory effect, a cooling "pain relief" effect, and it's relatively short-lived so that if anyone's going to voice concerns about "interactions" and what-not, you can always spit the lozenge out and in a couple minutes "it's all over with"... Helps clear sinuses and ease asthma at least a little bit, too... It IS one of those "herbal and all natural" deals that's weaker than most "proper medicine"... which is why I like the very temporary nature of it. NOTHING against the licorice lozenges, mind you! Hall's is just an option, because there are some folks who just get NAUSEATED at the thought of anything "Black Licorice" or "Anise" or any such a flavor... haha... ;o)
After surgery under general anesthesia my mother never regained her ability to breathe on her own. She spent the last four years of her life on a ventilator. We never were able to get an explanation.
I’ve had to be intubated for all my surgeries. My most vivid memory is being about 16 and I began waking up BEFORE they pulled the tube out 😳😳😳 I can remember being groggy/feeling the urge to cough and almost choked on it! That was grim!!
The person who put me to sleep met with me prior so I could understand my choices, decision made, moments before going to surgery 🙃 appears to talk me into another direction. This freaked me out! Is this common 🤔 practice?
I just had major surgery and had forgotten how annoying the sore throat afterwards can be. But it was nothing compared to the fat lip I had that’s lasted two weeks! What on earth did they do to me?
I had skin graft surgery 40 years ago and was intubated, as I was turned onto my stomach while they cut out the donor skin. My throat was sore for 5 days.
Dr. Kaveh, thank you for your excellent videos. I use my voice professionally and always let the anaesthesiologist know. (I also have OSA, GERD, hiatal hernia, IBS, CKD, bruxism, hypothyroid, and other conditions.) Is it always best for me to ask for the narrowest tube to go through through my larynx? Is there anything else I should ask for or inform the doctor about? I just want to be sure I am covering everything. Thank you.
I’ve had about 26 major surgeries, some only nerve block and light sedation. The only time I had really bad results from intubation was during and after gall bladder surgery. I couldn’t talk, eat or drink anything for 4-5 days afterward. It was horrible. Took about three weeks to resolve, but I had laryngitis for weeks afterward. Most of the other times I just had a mild sore throat for couple days.
I have had multiple surgeries and not one Doctor has ever explained to me the things that this Doctor did in one simple video tysm for all you do ❤
Same here. It's ironic how they ask you if you have any questions just before putting you under & injecting you with the solution. Like one knows what exactly is going to happen & have appropriate related questions ready. I'm actually surprised this doc talks his patients into a relaxed comfortable sedation, mine never introduce themselves to begin with.
Same here and i have more than 10
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Well, they don't mean to give you a choice about intubation! If you are unconscious you absolutely have to have it, so they don't want to discuss it with you .... might make you think it is optional!
I love the sound of your voice and the way you speak. I wish you were my primary and all around doctor...Seriously! ! Must have more doctors like you in this world...
He could never be your doctor in any way unless you were in surgery. He's an anaesthesia physician
@@nikkisanders8358, I know that but he still has a calming voice and is knowledgeable. There are doctors out here that have no compassion, this includes Anesthesiologist s...Are you Jealous??
I had a bad sore throat after my surgery but I'm glad i had the surgery. I thank God for my anesthesiologist for keeping me alive during my surgery. I'll take the sore throat again just to be alive.
Having been intubated, it's true it will cause sore throat, and changes to your voice. I am a singer and this has been difficult to accept, but obviously I'm grateful for being saved and being alive, too. I couldn't really make a choice about the kind of tool at the time, but glad they did what they had to do to keep me breathing.
I'm sorry you had that experience, but I'm so happy that you're on this side of things. Was it an emergency surgery?
I had the same experience. Thank you so much for addressing this. No one told me i would be hoarse for a month. I was under for around seven hours.
Great insight and thought process. I wish you the best and glad you're still here.
Pray my God in Heaven I NEVER Ever have to have surgery again as long as I live!!
Did anyone else think of what happened to Julie Andrew's? It permanently affected her range. Tragic for her.
I was intubated 20 years ago. It was an emergency situation. I was in a medically induced coma for 3 weeks. Not only did I loose the ability to speak but I had to learn how to walk hold utensils, basically everything. The loss of muscle mass happens so quickly, I was on a moving bed to help. My voice slowly came back over time. But it’s not the same, and one of my vocal cords is paralyzed open. Sometimes it’s hard to talk because if there is background noise I can’t hear how loud I am speaking and with my lung disease, pushing out sound takes more out of me when I need to speak louder and constantly repeat myself 🤦♀️ I am happy and doing well no even with the struggles 🤷🏼♀️🙌🏻💖
sorry for that but you survive be strong I you doing well
@@addisachannel169 I sure have. I wasn’t supposed to live to the age 18. I am now 56🙌🏻
You're an amazing physician and I wish all physicians took the time to educate and treat their patients like you do! 💜
Thank you for your explanation. No one has ever told me why I have a sore throat after surgery. You’ve cleared it up.
Dr. Kaveh. You are a living Angel to me … truly. I do not have an reason for an upcoming surgery thankfully but have FEARED needing one ONLY BECAUSE of my fear of anesthesia. Prettified is a better word. I thankfully happened upon your RUclips videos a month ago and have watched everyone. When watching the first couple videos I noticed I would instantly breathe differently, faster…anxious even watching as I was facing my BIGGEST FEAR. After that I noticed video by video I was less anxious which is 100% BECAUSE OF YOU! You are an EXCEPTIONAL anesthesiologist-doctor and most importantly human being. To care so much for people you don’t even know to explain the facts vs fears we have of anesthesia … to take all the time out of your demanding OR schedule and personal life for us shows what you are…SELFLESS. ALL residents should be trained with how to treat patients by watching all of your videos…it should be mandatory! This world NEEDS more human beings like YOU Dr. Kaveh. YOU DESERVE ALL THE GOOD!
I also used to be petrified by the idea of being "put under," perhaps partly due to PTSD. Now, that I have had the experience once and it went smoothly, it feels much less scary. I reminded myself of all the people who are helped every day with anesthesia and that eased my mind a bit. Hope you never need it but if you do, that may help you too!
One more thing - before I went in, I asked if there would be someone who could hold my hand. They were very kind about that request and a wonderful nurse held my hand and gently talked to me as I drifted off. I was so grateful to her.
Oh my goodness ... Not sure if I should've watched this video ... I'm having major surgery this month and I'm already feeling anxious ... I wish Dr. Kaveh was going to be my Anesthesiologist! 💗
I have had 6 surgeries and after the last 2 I did not have a sore throat. I’m glad to live in a time when anesthesia is so advanced.
The tube down my throat with lack of informing was one of the worst experiences waking up from.
I'm so sorry you had that experience! Yes, I totally agree that it's crazy that most patients don't know about this. I hope you had a quick recovery, did you?
@@MedicalSecretscan you do a video just wearing oxygen mask
@MedicalSecrets my throat did. It was spinal surgery so my throat was barely noticeable next day. Lol
Dr. Kaveh, this was such an informative video. But I still find it so shocking to hear you say that you call your patients the night before surgery to go over certain things with them. In all the surgeries I have had, never once has an anesthesia doctor called me. My most difficult surgery to date was probably my lumbar fusion. Not sure what type of breathing tube was used on me since my doctor had to open me up on my side first, then turn me onto my stomach to access L-4 - L-5. Surgery took approx. 5 hours. Came out of anesthesia as I was being wheeled out of the OR. I do have a horrible problem with acid reflux, and allergy induced asthma. I remember being given the anesthesia, and still able to see the surgical staff putting things on me, and telling me Jeanne, it's time for your surgery, people just staring at me, moving the lamps overhead, then finally waking up thinking the surgery hadn't happened yet. Your videos are super informative. Your video about advocating for yourself and standing your ground with doctors who basically try to gaslight you has recently helped me to get a diagnosis of my liver that even my doctor was a bit surprised about. He didn't believe me when in the past, mentioned to him that I wasn't feeling too well and had been having a lot of pain. So stumbling upon your videos have greatly helped with questions I had. Please keep making them.
The positive affirmations really do help. After watching your video I asked my anesthesiologist to do that. I came out from under better than any other surgery I've had! Thank you. I have another surgery coming up in 2 months. I will ask again!
These videos are the most education ANY doctors have ever given! This channel is amazing!! Thank you ❤
Another awesome and easy to follow video Dr. You continue to amaze me as a teacher.
Good day to you Dr K. How are you feeling today?
You are such a caring Doctor! As I viewed you in the OR~ you look very Professional and also even with your mask on, your personality stands out more than ever 🌟🧡🌟.
You are certainly well versed in the OR, and know your way around quite well, indeed 🌟🌟🌟🌟🌟
Your explanation, of how the “various tubes” work, for each individual patient, was quite helpful, to me.
I always wondered how, the Anesthesiologist, knew how much medicine I needed to stay asleep during surgery.
Its truly, a fine tuned Doctor, that is well educated, and has a good sense of what his patient needs.
It was an honour, to see you at “ work” in the OR, You look great. Quite dapper, indeed ; demonstrating the tubes and actually showing us, how you are so very good, at your Profession as an Medical Doctor in the Field of Anesthesiology 🌟🧡🌟🧡
Thank you for your time and dedication to gain insight into your Profession Career. A Fine M. D. You are ! 🌟🧡🌟🩺🥼
🌟 🌟 🌟 🌟 🌟
Kindly, artchem
I had a laryngeal mask for my first surgery. Realized afterwards that I should have mentioned my TMJ. While it usually is not a problem, it was DEFINITELY worse afterwards. I presume they cranked on my jaw none too gently in placing it because my mouth doesn't open very far. Didn't even occur to me then, but I make sure to bring it up now.
Oof yeah, TMJ problems mean we have to remember to brief the anesthesiologists ahead of time. I had to get my partner’s help to remember, despite partially dislocating my jaw multiple times the week prior to my surgery. The last thing I recall in the OR was alerting them to pushing said jaw out of place when pressing a mask against my face. Pretty proud of myself really.
Anesthesiologist kept my jaw from dislocating, but man I had a hella sore throat and crazy mouth scrapes after. I’m thinking getting the endotracheal tube in place with my asshole jaw was challenging.
Dr. kaveh, I love your videos and you explains these things I think about but had no idea . I had a knee replacement done and wonder what it must have been like. Just watching this makes me anxious it is good that patients do not have memories of these things going on. Thank you.
Love how you speak so clearly and slowly. Making things easy to understand. tysm
I'm so glad! I hope you learned something new to advocate for yourself 🙏
@@MedicalSecrets My dad is having surgery tomorrow. Your videos are helping me feel calm and I am conveying these tips to him. Thank you again!
Thank you for explaining procedures. We need more doctors like you. Bless you!!🙏🏻❤️
One of my multiple surgeries and EGD’s has damaged my singing voice. Anterior cervical dissection and fusion, 18 EGD’s, gastric bypass, gallbladder, plantar fascia release, varicose vein stripping, circumferential belt lipectomy, & adenoidectomy. I think that’s all! My voice went after one of the annual EGD’s! I found out I needed a new doctor.
I’ll check my local pharmacy and Amish store for the licorice root! Thank you! We used to use lemon juice before HS choir competitions. Sparingly, yes. Lol
Oh, I’m having gastric bypass revision in 2 days! I’m horrified of anesthesia awareness! In a month I’m getting the first carpal tunnel & trigger thumb released..slammed in my truck door. They want to operate on my neck again, and lumbar spine. I’m just exhausted and overwhelmed.
Don’t live with a man or woman who gets drunk, violent, and attacks you. The outcome is never good for your health. Freedom feels awesome!
What’s a EGD?
@@YeshuaKingMessiah Esophagogastroduodenoscopy. To break that down, it’s the same long scope they use to do colonoscopies. They sedate you, insert the tune into your mouth and down your throat into your esophagus. From there, they proceed into your stomach and into the part of your small intestine which is the duodenum. With the scope, they can see if there are any ulcers, polyps, tumors, esophageal varices, or other abnormality of the upper G.I. tract. They can even remove polyps or take biopsies with this scope. Judging by that ridiculously long name, you can see why they shorten it to EGD. lol
@@TinaRN why would u get one yearly??
@@YeshuaKingMessiah I wish someone would tell me why my gastroenterologist insisted I needed it. I spent all of that time, desperate for answers to my GI issues, and each time, I had hoped she would find it. She was always “concerned” when I went into her office, or would call with questions. I finally switched doctors. He treated me for something she had also treated me for, but although it worked, she didn’t continue to treat me for it (SIBO). I am on daily treatment which is an off label prescribing method for the drug xifax, but it helps tremendously.
Also, after 21 years, post gastric bypass, I had the revision. The surgeon found major discrepancies in his findings vs my surgical notes from 2002. Part of which could answer the questions I have never been able to find answers to. There was just no way to see the problem, until he went back in. In fact, this could be the reason for the chronic small intestine infection that (SIBO). Anyway, he fixed the mess. Things seem to be a lot better, and I am weaning off of the medication.
Bruh, this is probably a rare scenario looking forward to this video!
You got it!
See? This! All of this! I had 3 chats with anethesiologists in 2 months of which one was an "empty" talk, cause I really had already said everything when we were preparing for surgery 2 with an evtl. 3. Then 3 became certain but couldn't be done the same day as it would've been night! So, here we were and having the talk they must have with me X'D
And there's always that "Do you have any questions for me?" ... After a few months on your channel, turns out I could have had quite a lot of questions and also valuable information so that said choices could be made carefully. But I did not know of any of these things. A typical "Why didn't you ask/say anything?" "I didn't know it was something I could ask/say anything about!" situation! 😂
I'm hoping to not require surgery ever again or not before very old age. But if things come to this OR someone around me needs one, I'll be splendidly prepared!
That said: Not easy, cause in our hospital, the person who talks to you is not necessarily the one who is with you. In fact, prior to all surgeries there were so many people coming in, introducing themselves, leaving and NOT coming back, just for the next person to come in, that it was quite puzzling. (x_X)
Definitely take a notepad with you. One page with your questions. Reserve the top page for writing down the names of people who see you, their roles in your care, and what they tell you. Have them spell their names for you - if you let them write them you might not be able to read their handwriting.
Yep. I am a university professor. I lecture multiple times per week and advise/counsel students for hours during pre-registration. I also had 3 laparotomies and 3 laparoscopes (severe endometriosis). I lost my lecture voice and my ability to be heard in a crowd (say, at a conference discussion) after the second laparotomy. No one told me about this risk. I had a sore throat after each anesthesia, but no one asked about that either. Thanks for the information that I wish I had known.
I'm planning to have a laparoscopy myself for my endometriosis. This kinda scares me lol I'm definitely going to bring it up to my dr
@@a.elsagonzalez6824 Good! Always bring up your concerns with your doctor and your anesthesiologist. Give them a chance to explain things (especially risks) but also put them on notice. They should take it as a good thing that you want to participate in your own health care. If they react badly to polite questions, ask for a second opinion and maybe find a different surgeon. It's not like endometriosis requires immediate intervention. Keep in mind that although they try to take care to not do any damage, there is a risk of damage when intubating. The benefit from having the surgery should outway the risk of damage. I assume your pain from endometriosis is significant enough to take on those risks. Not to mention the threat to your fertility. Wishing you a great outcome!
My last surgery I had no voice for two weeks, never had that happen before , that was 12 years ago for major abdominal surgery, I came out ok but my throat was so sore and my voice was so dried out , I refused my morphine drip because I really had no major pain, this was my fifth major surgery. I did wake up pulling the tube out, I always wake up before I am supposed to.
I love your videos as they are always so informative.
I’ve had a lot of surgeries,most recent 8 weeks ago with another one coming up on the 13th.
No anesthesiologist has ever talked to me about my asthma,acid reflux or gastroparesis . Only my sleep apnea,which I am always very diligent in using.
What really surprised me about my surgery 8 weeks ago was how fast I woke up after surgery,still in the operating room even. Nice was no nausea afterwards and I actually stayed awake the rest of the day.
I enjoyed how well you explained each one and each step! So excited to learn all about your new clinic!!🎉🎉🎉
Thank you dearly for sharing these intubation (et al.) options for surgical patients.
Thank you for your wonderful videos and Congratulations on opening your new clinic🎉!!❤❤❤
My 81-year-old mother suffered permanent voice loss after a simple (less than 90-minute) General Anesthesia surgery for tear-duct procedure. Her voice is now gone for the rest of her life! Somone has to be the "rare" case. She also has to pay her own money for the follow-up visits for this NEW unexpected complication.
Great to see you good Doctor! NH here! 😊
ty for talking to and focusing on your patients. The last time I was put under everyone was just talking to each other about a game or whatever and it did not make me feel comfortable or confident.
As long as my problem is fixed, I don't care. 😂 Although, out of all my surgeries, alot, only one did the anesthesiologist tell me he may use the tube which can make your throat sore. I didn't think twice because out of ALL of them, never needed it. I was so sore for 2 weeks after clear down to my chest.
great doctor and super handsome😊
Interestingly I have never had a sore throat after any surgery despite being warned. I do have asthma and was always told to bring my rescue inhaler with me into the operating room. I have tracheomalasia and every anesthesiologist, when checking my airway prior to surgery, has informed me that they will be using the pediatric tube(s). Once I was having my foot operated on and I woke up gagging and they told me my breathing was compromised and they had to use a nasal trumpet. I was horrified.
After my shoulder surgery, the endottechial tube *and* the nerve block injected into my neck combined definitely made me lose my voice! The weakest it'd ever been. It was also the dryest and 'scratchiest' my throat had ever been (I really wish I was warned and better informed prior. Losenges and even just knowing to pack my own 'easy to swallow' foods for after surgery would have made all the difference. I remember that most of the aftercare ward nurses didn't want to initiate a discharge until after I ate something....which was a HUGE issue for me. They only offered me foods I absolutely could not manage to swallow like sandwiches or omelette. I felt sick and with my closed throat on top of it - bread, cheese and eggs were the last thing I wanted. I remember taking a small bite of a cheesecand tomato sandwich just to please them - and immediately regretting it once I felt the tiniest bit of bread go down the inside of my neck. The caterer urged me to keep eating. I told her I couldn't manage, and asked if they had any grapes. I was amazed when she said "No! We never have those. You would need to bring something like that in yourself!" and it made me wish my throat weren't too sore to laugh. I wanted to quip "Whaaaat? But hospitals *always* have grapes in soap operas! Why did nobody warn me about any of this" 😅 Thankfully, one of the head nurses, my surgeon, and my anesthesiologist were more laid back and were willing to discharge after I promised them I would eat my own fruit once I got home).
But anyway, I see some people who are also getting day surgery seem worried this might happen to them commenting - so just to reassure you all, my throat did soon begin to heal and clear up. It wasn't so bad once you have access to the right foods and sore throat lozenges. Hoping you all heal as smoothly. The lozenges are definitely great advice (though I will add to pack easy to swallow foods, just in case your hospital is like mine and has limited catering. I was lucky that enough staff members were willing to let me go despite not eating on site. If they weren't, I could have been held overnight and left hungry and feeling worse)
Where I live in Alabama and have had surgeries here and Georgia we don’t have a doctor that puts us to sleep we have a nurse anesthetists! The doc just comes in to ask a couple of questions and tell us he’s the doc! We’re never told anything not even what we will be given and when it’s given to us!
Thank you for this video. I use my voice for working.
I wake up always during the moment I’m pulling up the tube.
I finally insist very heavily during the pre op consultation and just before the op.
Now that I really explain, they really are careful and take the tube for me . I still have this sore throat but it s not as bad as before!
I hope you inspire others to also advocate for themselves before surgery! I'm happy your experiences have become better 🙏
I was put under general anesthesia twice in just 16 days. My 1st was a meniscectomy, the actual time just took 20 mins, for the surgery. The 2nd was a endoscopy which took 2 hrs. It was a endo-flip, plus trying to close up a fistula. They had to use a laser & finally used x-tact. When I woke up the nurse said was I in Pain? I told her, yes, my knee hurt. I just had the stitches out the day before.. She said I mean your stomach and I said yes I had pain there. The Dr. also lacerated the mucosa and had to use hemo-clips to stop the bleeding. So a LOT of things went in & out of my mouth and my throat hurt a lot. I kept saying I've had lots of surgeries & endoscopies and I NEVER had a sore throat, not once, and she said my endoscopy was NOT a normal one. It was sore for 5 days.
I lost the little ability I had to sing after a partial shoulder surgery from an auto accident in 1998. To this day I cannot sing nor talk for long periods (such as teaching) from vocal chord damage. It has broken my heart to not be able to sing again as it was so important to me. I’ve gone to doctors and vocalist, none could see anything and help me. My throat/vocal chords never healed properly.
Had multiple anaesthesia, most recent in November. Anaesthetist was very thorough and explained everything, includingvthe fact i could have dental damage, i have veneer but risk is very small and i may have a sore throat from the ET tube. Did for a day but wasnt bad. Its something i warn my clients about too in veterinary anaesthesia, that their dog may have a soft cough/hoarse for a day or too from tube
What a very informative information. I am so happy to come across your videos. I have shared them to all of my friends and relatives that I know that would like to be informed as well. Dr., if may ask? what kind of anesthesia would you recommend for an 86-year-old male that will have a minor surgery, Prostatectomy. He had a stroke 9 years ago, a blood clot on his cerebellum. He has a-fib and takes Eliquis. The cardiologist told us to stop Eliquis for 2 days prior to surgery. He also takes the following meds: Losartan, Pravastatin, Tamsulosin, Hydralazine and also gets a shot of Dupixent every other week; he is not diabetic. We were also told that the Doctors on the day of the surgery will decide whether to give him a general anesthesia or epidural; his surgery will be on the 26th of this month. Your recommendations are highly appreciated. Thank you very much.
WOW 😲😳 Dr. Anthony I see your bicep and tricep muscles! Hitting the gym. Keep doin wactch yer doin brother. Came across your videos, keep them coming. And keep using critical thinking 🤔. High respect to you Dr. Anthony Sir. Love and light to you and yours always.💪🍷🌍🤔🦉
I am difficult to intubate. I learned so much from this!! My throat hurts so badly after surgeries. I’m getting the lozenges and following the information here! I have all the conditions you mentioned plus vEDS. I’m on this!! Thank you so much!! 🙏🏻❤️
I had trouble talking for weeks after waking up from a 2 day coma post cardiac arrest. I later also noticed a couple chipped teeth that I don't remember breaking. I was told that the EMTs and Paramedics had trouble intubating me. So, I wonder if that's where the oral injuries came from. I also had intubation pneumonia and coughing up blood and other lung issues.
On a previous abdominal surgery year earlier, I had no problem with my voice. However, I still had trouble talking because my lower lip was numb for weeks. I think my lip got pinched between my teeth and a hose of some sort.
To me, in a non emergency situation, there's no excuse for chipped teeth and tissue damage.
I did have a soar throat from the endotracheal tube, but I didn’t lose my voice. I did cough a lot, though. They didn’t tell me about the tremors, though that lasted a few days afterwards. They gave me medicine in the pre-op area for my acid reflux.
You were so funny with the gagging of the taste of plastic Dr! 😂 Great video and thank you so much! 👍🏼
Here’s another one you might discuss. I had a knee replacement surgery and was catheterized. I had more discomfort trying to urinate, than from the knee itself. No one told me before or after, but I was able to figure it out because it happened a long time ago in another surgery, and they had warned me about that.
I have a simular problem. My urine gets so concentrated that I can't pass it. A catheter drains the bladder, then me drinking LOTS of water gets everything going again.
Had surgery back in January. My doctor did not even want to put me under. Way too many health problems. Thank goodness the other doctor said I was taking a two hour nap whether I wanted to or not. I certainly did not want to be awake for the operation.
I needed to see this when I had my cervical surgery on my herniated disc. I was sick hoarse coughing for a whole month.
I am having spine surgery Thursday. I appreciate you sharing this information. I’ll be buying those licorice lozenges!
0:12 I’ve had multiple surgeries under general anesthesia.
My voice changed , my vocal chords do not close properly any more and have caused partial atrophy on one side.
I’m having yet another surgery , they are going to do a spinal block this time.
Dr. has those smiley eyes and comforting style which would be an advantage to patients . I never remember losing my voice after 4CBG. That could because I was on pain killers during and after recovery.
I woke up from surgery with no voice for a couple days. I don't remember having a sore throat. The dr. told me it was from the tubes they used. It wasn't a big deal since it's temporary.
Thank you very much for this exzellent Video!
I am seriously considering canceling my surgery after hearing this info. My Dr has been very dismissive of my concerns. I'm a professional singer with performances happening within a week after this scheduled surgery. My day job requires me to speak for 6 hrs straight daily and will be expecting me to be back to work a few days afterwards. This doesn't seem like it's going to work out well at this time. Thank you for this info! I was not well informed about this at all.
Ofc not
They do not care
Assembly line medical care
Thank you so much for explaining so clearly and with compassion, this helps us who do not work in the Medical field better understand what to expect!
Realy thankfull for all the knowledge youre sharing with us. Greets from Krimpen aan de Lek, Holland.
When i had a colonoscopy done my throat was only sore for like a day and thats it no other changes
I’ll be there! I have never lost my voice after anesthesia, 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, you been hocking loogies lately? 😂
I'm happy you never lost your voice!
@@MedicalSecrets thanks
great doctor and super handsome
@@martamikowska2364 I know right!
I was intubated last week for my third times being under GA and damn that was bad, sore throat (like you swallowing pieces of glass) and paper sticking all over my mouth when i wake up, definitely the worst GA wake up i've ever been in, such an experience 😂
Your Explanations are Excellent👍✝️🙏 Appreciate you 💯‼️
I think the reason they don’t tell us this is because they are very busy getting you ready for surgery. Most medical programs on telly show us what they do. Me, every time, which is quite a long gap, for surgery I wish they would wait till the absolute last minute to put me under, last time I was in the Anaesthetics room within ten minutes of being wheeled in there I was out 🥲 I couldn’t see much and I wanted to see so much more of a room I would never ever stroll into. Now me with have GORD, same as your GERD and sleep apnea guess I know which tube they’ll be sticking in my throat. Be that as it may just make sure I’m asleep before cutting into me. Thanks Doc.😊👋🏻
I had a laryngospasm while under MAC sedation during a cardiac ablation procedure. They had to quickly put me under general anesthesia and inserted a breathing tube. I woke with bleeding gums and developed canker sores in my mouth. My throat hurt for days, but I’m thankful that the anesthesiologist recognized a laryngospasm due to my stridor breathing sounds.
I've been put under many times. My throat has not ALWAYS been sore after being "Tubed" but I did used to sing and can't anymore because My chords got damaged during one if the Intubations. So You have to take that into consideration. I wish I had had You DR Kaveh.. I never got explained anything! ❤❤❤
All my health care is at University of WA. I have had a lot of orthopedic surgeries, about 18. I've always been told what was happening. I'm one of those people that when they ask me to open wide so that can look at my airway. They always smile, I have a nice airway for them in case they get in trouble.
Just a FYI when determining the size of ET tube they look at your pinky finger. Usually it is approximately the same size as your trachea!
That's one of my favorite tricks with pediatrics!
Very interesting! Ty
Wow! I always envisioned the trachea as having a larger inside diameter. This is what happens when one never has an anatomy class.
Had surgery yesterday. My throat was giving me more pain than my catheter. My voice dropped an octave. Thank God for pain killers. Now with the catheter out, urinating is excruciating as is swallowing, pain at both ends.. Still, I am grateful for the professional care I received and hope they develop a technique that is not so abrasive.
Hey Kaveh, yeah, I do voiceover work, so needing my voice is more exceptional because of the microphone- it amplifies EVERYTHING. I'll be getting a general for my first time- scared of THAT! I'll mention it to the AE, but it's socialized health so I wouldn't be surprised if they just shoved a tube in me whether I asked or not. One size fits all medicine- but, everybody is different? Can't argue with that logic . . . (cough)
As always informative and useful 👍. Thanks.😂
Excellent information…thank you so very much!
He's talking about the tube and I can't believe it's not the *other* tube (yes I know Foley's are not always needed but neither is ET tube for procedural sedation)
My step father had surgery in2013, when they took out the tube from his mouth, his voice changed, noticeably. He went back to the doctor and was checking his throat.
Doctor said, it's a little sore but it will go away. It's 2023, and his voice never came back. At first we were asking him what happened. Now we all accept it.. This wasn't
his 1st surgery. Whatever the anesthesiologist did changed that voice forever.. I started to think, how many other patients has he done that to...
I'm sorry to hear that about your stepfather. Sometimes it is not anyone's fault, it may be a result of vocal cord and anatomic changes that occur with normal aging, or with other disease processes, such as rheumatoid arthritis. I hope his recovery went well otherwise
He has different issues, so he's not really well. His voice is still the same from the surgery in2013. In November 2023 , he turned 87 yrs.. Thank you for asking. God bless you..
Love this❤. It’s true - “the more you know”. I had a short surgery I was told, but the anesthesiologist was hesitant to tell me the drugs he was going to use. He said, “a special cocktail”. My sibling told me they use sodium Pentothal, but the dr said fentanyl and “other things,” “a special cocktail.”(?). Is S.P. ever used?
Once again demonstrates the need for clear and effective communications between a Doctor and a Patient; hence, the need for a book: “Doctor-Patient Communication.” Let me know if you have any interest in this and I think I could get a publisher. Let me know here or if you have any interest in exploring this concept. I could leave my contact info through a message at your office.
So now I know I had a surgical injury (intubation) when op on me for tonsils
I was swallowing glass. It felt like this for 2 to 3 days. I ate absolutely nothing, including all the ice cream they tried to offer me. I barely was drinking anything even. I was dehydrated when I finally was able to tolerate just putting water down my throat. I was in fifth grade, so nobody believed me at all, of course.
I may have been given some aspirin for the first day or so. Then I was just scolded and cajoled for the next two days as they wanted me to eat.
I’m 58 and remember the pain still!
Thanx Mr Anesthesiologist 😭
Years ago i did an emergency anesgthetic on a 450# Houston Opera Company TENOR for an open Gall Bladder removal. The old saying in Opera is, "Look like a bird, sings like a horse." "and, vice-versa." His cords survived, thank God.
Thank you for taking the time to explain. ♥️ I have been looking for video for different explanations, very helpful. have been looking for why? after being in ICU over month some of the challenges after memory lost and cognitive abilities. Grateful for the way you explain very simple to understand.
Thank you for the video!
Love you Dr for making these videos for us.
Is this only when under GA? I suspect patients are not told so they cannot protest or will not get more scared than they are. I prefer transparency.
Thank you Doc we love you 🥰 many blessings to you and yours 💗🤗😊
I had surgery yesterday and have had major sore throat and swallowing. Feel like I’m getting a cold. Also having abdominal pain from laparoscopic gall bladder surgery. Oh my I was not expecting the amount of pain. Hope I’m feeling better soon. Surgery was a bit traumatic honestly and I had a total panic attack when they wheeled me into the operating room. I saw the buffet table of “instruments” and the metal table and all the light. The anesthesiologist was nice and reassured me she would be there watching me every minute. She injected a clear liquid into my IV and I felt very woozy. I remember saying “please don’t let me die”. The nurse said we don’t say that in this room. That’s the last thing I remember.
Love this library of videos! Have been scanning the titles for something related to head injuries. You may have posted one & I’m not seeing it. I have 2 questions for you:
I was scheduled for hip replacement this week, 10/10/23. About 3 weeks ago, I fell on concrete, flat backward, landed on my coccyx & my head went thud. I was lucky & had no head pain except when a bruise was poked at (“does this hurt?”), not even an egg! There was one weird sensation for 24 hours though. It felt like a sponge was expanding inside my skull, continuously expanding, until the sensation faded away. No headache, vision or speech loss, dizziness, etc. Only that. I didn’t get it checked out because there was no pain. But the surgeon postponed the hip replacement out of concern for the anesthesiology because of my head?? Could you explain in simple terms why that matters?
Also, in Dec 2019, I had a CMC thumb surgery. Starting the next day after, I had no voice. No sore throat thank goodness, but no voice for 7 weeks. I asked the drs & residents during my follow up appts whether they had intubated me. They claimed no, and there was no indication in my chart that it had been done. Still - rather sus. Is it such a standard procedure that it doesn’t need to be recorded? Or is there something else that could have happened that would cause that? Nobody ever really tried to explain. Just a Cavalier “nope, it wasn’t us” type of attitude, followed by instructions to call this clinic or that to schedule other followups. Really?? I had to drive to each place & make appts in person. Even face to face, difficult to make myself heard. Such a PITA. I’m grateful it eventually came back.
None of this makes me feel better about going under anesthesia but the info is well done.
Could you speak to this:
There's an HERBAL TEA called THROAT COAT which contains licorice root and slippery elm bark, along with some other botanicals. I would appreciate your opinion on whether there are any contra-indications for sipping this tea before or after surgery. Perhaps there is an atomizer or spray de I e which could deliver amounts too small to be in the stomach?
I had DRASTIC changes to my trained voice after surgery for ectopic pregnancy. My first awareness of surgery was feeling snakes in my throat, which they nurse? was pulling out through my mouth. I couldn't swallow for 2 weeks without pain. My singing voice was never quite the same again.
I'm likely to need surgery next year, so I want to learn what I can, so I can advocate for myself effectively.
Thank you for your enjoyable and informative vids.
Just gonna add, one of the greatest inventions for soar throat/airway is HALL'S... haha... Mostly, I've only ever gotten "cotton-mouth" and woke up begging for something to DRINK... but that's me, and maybe I'm some kind of mutant or something. It's the menthol in the Hall's, btw... (SO any reasonable menthol also helps) It has some anti-inflammatory effect, a cooling "pain relief" effect, and it's relatively short-lived so that if anyone's going to voice concerns about "interactions" and what-not, you can always spit the lozenge out and in a couple minutes "it's all over with"... Helps clear sinuses and ease asthma at least a little bit, too... It IS one of those "herbal and all natural" deals that's weaker than most "proper medicine"... which is why I like the very temporary nature of it.
NOTHING against the licorice lozenges, mind you! Hall's is just an option, because there are some folks who just get NAUSEATED at the thought of anything "Black Licorice" or "Anise" or any such a flavor... haha... ;o)
Just a wonderful speaker, and teacher....you're awesome. Medical coma...hmmmmm great terminology.....
Your brilliant thanks for this .I wondered what thay used i had knee replacement done
Thank you for the kind comments! 🙏 I hope you learned something new and feel empowered to advocate for your health
Thank you for all your info
After surgery under general anesthesia my mother never regained her ability to breathe on her own. She spent the last four years of her life on a ventilator. We never were able to get an explanation.
I’ve had to be intubated for all my surgeries.
My most vivid memory is being about 16 and I began waking up BEFORE they pulled the tube out 😳😳😳
I can remember being groggy/feeling the urge to cough and almost choked on it! That was grim!!
The person who put me to sleep met with me prior so I could understand my choices, decision made, moments before going to surgery 🙃 appears to talk me into another direction. This freaked me out! Is this common 🤔 practice?
I just had major surgery and had forgotten how annoying the sore throat afterwards can be. But it was nothing compared to the fat lip I had that’s lasted two weeks! What on earth did they do to me?
My surgery last week they definitely intubated me but my throat didn't hurt this time.
"Anesthesia" sounds like a sexy woman's name!!
"Anesthesia Knockoutski" !! 😂😂
I had skin graft surgery 40 years ago and was intubated, as I was turned onto my stomach while they cut out the donor skin. My throat was sore for 5 days.
Dr. Kaveh, thank you for your excellent videos. I use my voice professionally and always let the anaesthesiologist know. (I also have OSA, GERD, hiatal hernia, IBS, CKD, bruxism, hypothyroid, and other conditions.) Is it always best for me to ask for the narrowest tube to go through through my larynx? Is there anything else I should ask for or inform the doctor about? I just want to be sure I am covering everything. Thank you.
I’ve had about 26 major surgeries, some only nerve block and light sedation. The only time I had really bad results from intubation was during and after gall bladder surgery. I couldn’t talk, eat or drink anything for 4-5 days afterward. It was horrible. Took about three weeks to resolve, but I had laryngitis for weeks afterward. Most of the other times I just had a mild sore throat for couple days.
I’m having general on Thursday and I’m scared of that tube! 🥺