Patients I've triggered under anesthesia - Dr. Kaveh LIVE
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- Опубликовано: 16 июн 2024
- #trigger #mentalhealthmatters #anesthesia
What happens to a patient who gets triggered right before they go under anesthesia? Are there side effects and complications?
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I'll share my personal experiences as a healthcare professional where I have accidentally triggered patients before surgery and anesthesia. It's important to note that triggers are exuberant responses to external stimuli (sometimes internal stimuli), and it's crucial to approach patients with compassion and respect while still empowering them to take agency and responsibility over their health.
As a healthcare professional, I understand the importance of creating a safe and comfortable environment for patients undergoing surgical procedures. However, there have been times where I have unintentionally triggered patients, causing them to feel scared, anxious, or even traumatized. These experiences have taught me the importance of being mindful of a patient's emotional and mental state before administering any kind of medical treatment.
One such incident occurred when I was preparing a patient for surgery. I was discussing the details of the procedure with the patient, and I mentioned the possibility of complications that could occur during surgery. Unfortunately, this caused the patient to have a panic attack, which made it challenging for me to continue with the pre-surgical preparations. The patient's reaction was understandable, as surgery can be a frightening prospect, and the patient was likely already feeling vulnerable and anxious.
I'll share another story about a patient with body image insecurities who was triggered by my preoperative questions while I was just trying to ensure their health, safety, and comfort before surgery. This was interpreted with an exuberant response out of proportion to any intention that I had to lay blame or accuse.
It's essential to understand that triggers can be caused by a wide range of factors, including past traumas, anxiety, and fear. As healthcare professionals, we need to be mindful of these potential triggers and work to create a safe and supportive environment for our patients. This means being compassionate and respectful, as well as empowering patients to take agency and responsibility over their health.
One way to approach patients with compassion and respect is to practice active listening. Active listening involves paying close attention to what the patient is saying, as well as their nonverbal cues. This can help us better understand the patient's emotional and mental state and provide them with the support they need.
Another way to empower patients is to involve them in the decision-making process. By involving patients in their medical treatment, we can help them feel more in control of their health, which can be empowering and help reduce anxiety.
As doctors, it's our responsibility to create a safe and supportive environment for our patients. This means being mindful of potential triggers and working to create a compassionate and respectful environment. By practicing active listening and involving patients in the decision-making process, we can help empower them to take agency and responsibility over their health. It's important to remember that triggers are exuberant responses to external stimuli (sometimes internal stimuli), and it's crucial to approach patients with compassion and respect while still empowering them to take control of their health.
This video/speech/channel DOES NOT CONSTITUTE MEDICAL ADVICE. Patients with medical concerns should contact their physician. If your concern is an emergency, immediately call 911. This information is not a recommendation for ANY THERAPY. Some substances referenced in this content may be illegal, and this content is not a recommendation for, or endorsement of, their use in any way.
Ive learned more about my anxiety and panic from this video than any of my psychiatrists in my 35 years
He's good isn't he. He Even mentioned when a person has insomnia they can have bad tremors..which i do, the psychiatrists don't even know that. Not the ones I've seen anyway, they didn't have a clue. About the severe insomnia i was having. Id like him as my dr. I'm in Perth Western Australia. And it takes this USA dr to know..i get really bad symptoms from insomnia. And still no one has been able to help.
He has made many of these. I'm glad he popped up here..
Last year I had to have my ankle reconstructed after a falling accident. After entering the operating room I was introduced to each and everyone there and they told me their roles on the process. Everything that was about to happen was explained and I was asked if I had any concerns among other things. I was impressed, and felt very well cared for.
That’s beautiful,the way they acknowledged your humanity.
@@eileenegger1466 I have to agree. I’ve had a lot of different surgeries over the years, and always felt full confidence in my care, but this was a whole new level. When I got to the hospital, I was pretty stressed because of a scheduling error and was afraid of another delay for my surgery. I broke my ankle in five places and had already waited almost two weeks to get put back together. Everyone there showed me incredible kindness, and it made all the difference in the experience.
Very professional!
How was your pain control? As it has become far too common not to have proper pain control more often nowadays.. Especially right after waking up barely. I have had other surgeries in the past before and pain control was fine then. Something has changed where it is becoming more inhumane. It happened to me and many others for various life saving and needed surgeries. Being treated as a potential druggie is not cool..
@@tinaelliott7073 when I woke up I had terrible shakes. I felt like I was freezing. They kept me in warm blankets and it seemed to go away fairly quickly. You would think I would have had a fair amount of pain, but not really. I’ve had a number of surgeries repairing torn up joints (in swim shorts I look like the looser of a knife fight) and rarely used pain meds for more than a few days after surgery. This one was no different. I don’t know if I just have a high tolerance for pain or what. The worst part was the two weeks waiting for surgery. I had to cut off the splint because of swelling, and didn’t get much sleep. Fortunately, I haven’t had your experience.
I was a recovery room nurse . It was my favorite clinical job. Anesthesiologists are brilliant doctors . Sometimes patients can hear conversation during surgery among the staff in the room. So, I was always careful of making comments about the patient.
Awful isn’t it when people working on the patients make bad comments about patients? I have watched some videos on this and am disturbed. Makes me really insecure when I am in for any GA. Doctors and nurses being so nice when you saw you awake then jeering at you when you are under. Not cool.
I and my 2nd total knee replacement in Dec 2021 and after my spinal thingy I was scared they new so I'm laying their talking to them when all sudden the medication hit. And I couldn't tall became mumbles but I remember saying oh fk it I so fked up 😂 and I remember the song playing in the operating room it was closing time by supersonic when I seen the doctor for my check up I told him I remember the song he asked what song was it what band I told him he say oh thats a great song...my 1st total knee placement was painful when they first tried to wake me I moved my leg and I was crying ..so after lots drugs and visit from the doctor my pain eases a bit. I don't ever want to have anything replaced again...but I'm glad I can walk again.
When I woke up from one surgery, I was still in the operating room, and I could hear them talk about basketball just prior.
I opened my eyes, surprised I was still in surgery. "Oh! I'm awake!" I said. The anesthesiologist said, "Yes! I meant you to!"
And I started babbling about what I thought of my alma mater's basketball team (the subject of discussion).
I was cool with basketball as the topic. It was innocuous. I think innocuous topics are a good idea.
I'm one of those that always wake up during the procedure too. They're usually talking about their kids. I'd be horrified if they were talking about me in a negative way.
I loved working with nurses. Most of them; the best of them were kindness incarnate and the real backbone of any field in which they worked. Doctors were peripheral.
I used to be morbidly obese. I still had a good few surgeries though and never had issues. Then during one surgery, when the anesthetist came to see me, she was very literally looking down her nose at me. She told me that because I was so big, she would have to depress my throat as I went under, to avoid any reflux. Not even being sensitive, she was literally looking at me with disgust. I'm not sure why, she was chubby herself. I told her that I had lots of surgeries and had never had that done to me and it shouldnt be an issue. Anway, go forward an hour to me just going under and she literally pressed my throat hard. It was really painful and traumatic, I felt like I was being strangled, but was out too quickly to make them aware. I woke up with a very sore neck and throat. I had nightmares of being throttled and flashbacks for quite a while after that and was afraid of any future surgeries. Then I was due to have my gastric bypass and told the anesthetist what had happened and that I was afraid. That one was stunned that it had happened and assured me that it wouldnt happen and that it was bad practice by that other one, unless it was emergency surgery and as it wasnt and I was fully empty of everything, they wouldnt do that to me and they didnt and I was fine.
I'm glad that I got over it, because along came cancer and I needed a big surgery and that was fine too.
I really hope that the anesthetist that did that to me is either no longer practicing or has stopped doing that. It's already daunting to have a surgery, surrounded by strangers, but to go off to sleep feeling like you are being strangled, not good.
I'm so sorry! There's absolutely no excuse for that!
I'm so sorry you had to go through something so traumatic. I would've made a formal complaint to the HR department.
My best to you for hanging in there until you had a better experience. We have inherited health issues in our family. In addition to that one member is quite obese. My heart goes out to her because it seems unfair her issue is so visible & prone to disapproval from others. The rest of us can hide ours more easily.
That’s terrible! I’m so sorry that happened. Hope you’re doing better now❤
I don’t people realize how important the anesthesiologist is, just as important as the surgeon. Great respect for you!
Right. I’ve been reading through comments about anesthesiologists saying smth inappropriate about their patients during surgery.
Of course it’s not smth to be happy with but those guys are making surgeries possible and literally bring people back to life
Everytime I've had surgery.... the person I've told "I love you" to (before drugs) is the anesthesiologist.... phenomenal people who KEEP YOU ALIVE!
*humor: last time I had surgery the anesthesiologist entered the room and announced his name and said "I will be your bartender today...." got a giggle out of me and then he got down to serious professional business.... ❤
I tend to tell everyone, especially the doctors operating on me both genders, when I’m under anesthesia that I love them in a very gregariously yet plutonic way. I remember coming out of it a bit midway through some surgeries and then getting all mushy and wanting hugs. It’s so stupid and weird that it’s funny. They’d all just giggle and look complimented but so bashful about it all. Then they’d accommodate me so that I would quickly go back under. So at least you do it while fully conscious and don’t look like a doink. Well, at least they know I’m a loving person at heart…I guess. Hahaha!
Idont drink nasty alcohol, so i wouldn't have laughed.
❤
A while back, while I was on the table, the anesthesiologist said I may not be covered by insurance. I was awake enough to say “Well, shall we do this in the parking lot?” That shut him up.
BRAVO TO YOU!!!
Obviously not all have the awareness of this guy!
@@justjosie8963 they sure don't. Many could get a lesson from him.
✅😎
Lol!
There’s a lot of folks in this world that have experienced trauma who are easily triggered. Some have no idea they were traumatized, some have dealt with it in therapy. It sounds like you’ve had some excellent training or done research on the body AND the mind. So important!
I had a weird reaction when I had to have a spinal tap (which was terrifying enough on its own)- I had to lay on my stomach, and I was obviously in a hospital gown, so I was very exposed- they had already given me something to sedate me, but the second I was on my stomach and they were above me working I LOST MY SH*T, I was trying to crawl off of the table and was just crying and basically having a panic attack, they had to stop and give me more sedation, it still didn't work, nurses had to come hold me down, and THAT was traumatic- SOMETHING has happened to me that I have blocked out, I had a similar reaction my first and subsequently only gyno visit- it took two nurses to hold my knees apart, and everyone was asking if I had been abused, and the (male, big mistake) Dr was all pissy and literally stopped speaking directly to me, he would ask the nurses to ask me whatever and he would tell them to tell me yada yada, it was awful in every possible way, except the nurses were very kind and tried to be comforting, that Dr was next level cold...
Anyway. This is one of the many reasons I am terrified of going under actual anesthesia, I would lose it probably...
I don't even WANT to know at this point what I have buried up there, haha...
I made myself forget for a reason, I guess...
@@pariahmouse7794 m N
Yes! Some people don't realize they have PTSD or triggers--one reason why having doctors be trauma-informed is so important. This doc is a treasure and we need more like him.
@@pariahmouse7794 dR may have stopped speaking or interacting as a form of withdrawal. This neutrality can help the patient calm down especially if it's a trigger related to a male or the one performing the procedure.
Your panic trigger can be related all the way back to childhood (such as held down for a spank or being surprised because of limited vision and surrounded by people).
@@WhiteWolfos ah, that makes sense, especially about the dr...
Knowing an anesthesiologist might ask personal questions after I have been anesthetized is a “nocebo” in itself! I find that abhorrent! I have worked in surgery and never seen that happen! Any questions that might be felt as negative should be asked during pre-op evaluation, before anyone gets to the OR.
As an overweight patient, I understand your patient’s feelings. I think it would be helpful to add a short explanation to your routines. Like on the phone call, “I need to ask you a few questions to ensure I have the right equipment ready for your procedure…”. The food question could be “It can help reduce post op nausea if patients vividly imagine what some of their favorite foods smell and taste like. Do you have something that comes to mind?” [I wouldn’t ask for a specific food answer to be disclosed, because they may be afraid of being embarrassed or judged.] These kind of statements help explain what the purpose is, helps build a sense of alliance that you’re on the same team together, and helps avoid the feeling that you’re judging their weight or couldn’t be bothered to look at the intake paperwork because we’ve probably been asked that question half a dozen times by other doctors and hospital staff already.
It’s great that you try to apologize when things go south because a lot of doctors/staff don’t, and that can make people delay or avoid healthcare in the future.
Most pre surg interviewers will note for dosing purposes… I’m going to ask for some information that will help us make sure everything goes as it should. Maybe warm up with the whole have you had trouble with anesthesia in the past such as apnea, blood pressure, nausea or anything else? In the past has it been mentioned that you were more sensitive to more or less anesthesia? And again for dosing May I ask your height first and then your weight. Great. I really appreciate you taking the time to answer these important medical questions. Do you have any questions or concerns you’d like to discuss?
Centers of Bariatric Excellence educate every staff member both clinical and no clinical on the importance of being sensitive to the patient and how that may look or sound.
Salah , you are very wise
@@SpoonMe Very true. But more than saying " make sure everything goes as it should" and "thank you to answering these important questions" I believe you should explain how this information is used during their surgery. Using the very respectful and kind tone you are already using. I think if almost anyone knows the answers are directly related to effective anesthesia, they will definitely answer truthfully and not feel triggered. Nobody wants to wake up during surgery or have more pain than they need to!
Great post! Excellent constructive feedback.
At 72 I've never had a bad experience being put under. I feel the upmost respect for the surgical team.
You are truly blessed.
Good for you 👍
Thankyou I have surgeons brain nau
Just finished 49th procedure in ten years, I think I’m weirded out because I have gotten used to it. I’ve actually had anesthesiologists come to preop because my BP was low (96/69), one asked me “ you know you’re here for X surgery right? I’ve been lucky that I have had some awesome docs. Which is probably why I don’t get stressed. Also it’s a good thing to find a good place to put your attention before you go under. I also ask not to get any meds until after I’m in the OR and I can see where I’m at and who’s there, and what’s happening. Then I usually just tell the anesthesiologist “Ok doc, hit me”. Also, been lucky to have had the same 2 or 3 anesthesiologists on multiple procedures, it’s almost comical. I’ve had one announce to the room as we got there “frequent flyer, you’ll be getting the champagne on this trip”.
You have developed admirable set of coping skills, you should be proud!👍 Best to your health. 🙏
The last person I would want to annoy or create tension with before surgery would be my anesthesiologist!!
I was having my 3rd or 4th routine colonoscopy and as I was just about to go out, the doctor flipped off the sheet and exposed my bottom. I’m sure he thought I was out already but it was so disconcerting to me in that split second. I felt very humiliated. Obviously we know what’s going to happen but his action just seemed disrespectful to me and I have always resented it.
Because they see the same thing over and over and over every day. To them, it’s nothing. But they didn’t take into consideration how the patient feels.
This may be routine for the medical staff, but this is a rare experience for you, as a patient.
I hope you talked to him. Even if you haven’t, you should write a note - anonymously or not - explaining the importance of doctors taking time to see things through their patients’ eyes.
I wonder what makes someone think they want to do colonoscopies for a living? 😂
I'm sure the pay is good, and the reward of knowing that they may be preventing cancer/death. But that seems like one of those jobs in that old joke about hell. You know, in my eyes that could be considered a horrible punishment in hell!
But yeah, it's nothing to them. Stick it in there and look around, Wake them up and then yell "Next!"
I'm very sorry but I thinks is normal for a Dr. see you really they see that every day.
@@Bichonfrise369 That was my point; but patients don’t normally show private parts every day. Some people (like me) are very shy and sensitive about that stuff.
It does help knowing that it’s nothing for the doctor to see all that. In fact, the very reason it happened was because the doctor was accustomed to the view, and wasn’t thinking about how the patient felt. But just because it didn’t embarrass the physician doesn’t mean the patient’s feelings are any less valid.
Very interesting information. I have had many Orthopaedic surgeries and I have never had any doctor ask the questions you pose. Thank you for providing this information.
You have rare gifts of high degree patience & compassion.
I had a cancer hysterectomy in 2019. I needed umbilical hernia surgery in 2022 because the surgical port from the hysterectomy did not close properly.
During both surgeries, I asked and got permission to listen to my favorite meditation chant during surgery. After both surgeries, the surgeons told me that I easily went into and came out of anesthesia easily, I was up and moving sooner than expected, and my need for pain relief was very low.
At the VA Hospital I had a separate appointment with Anesthesia a week before my surgery, I filled out a questionnaire, met with my anesthesiologist and we both got to ask questions of each other. I think meeting your patients before surgery, when the timing is less anxiety provoking is THE VERY BEST idea. More Surgeons should request their anesthesiologists to make these appointments with their patients.
The surer promise of a safer and smoother surgery should be enough to convince everyone of it's worth.
THANK YOU FOR SPOTTING/POINTING OUT THE DIFFERENCE, BUT ALSO LINK BETWEEN FEAR AND ANGER/ACTING OUT.
As an Achalasia patient, who's been starving for 6 months, and not allowed food or fluids for 24 hours post surgery, and liquid diet for weeks to come, I might take your question of, "What are you gonna eat, when you wake up", as very confusing.
I'd wonder if I was in the WRONG surgery room, because remember, us patients do not always know which doctor does what in the room, and I'd think it'd be a minimum requirement, that my doctors KNOW WHY I'm there, and what to do.
And as a very scared patient, all I see are blue people with weird hair nets, a lot of beeping and rushing, whilst I'm desperately looking to see where the nearest EXIT is located, with a doctor constantly telling me to breath more, because I only breath 5-6 times per min (I'm a trained singer), which the doctors never seem to realize is normal for me. I get dizzy if I breath more than that😂
Pure chaos.
I'm very anxious and scared, due to I've had too many mistakes made on me.
A C-section in 1999 is just one of many mistakes, where the anesthesia failed to numb the correct area at all, so I was only numb from the vaginal area and down, which is nowhere near where it needed to be numbed.
I felt the knife cut through all 6 layers, plus a muscle, and then sewing back together, which seamed to take ages. I got laughing gas for the pain. Needless to say, it did not work.
Result: The next c-section I needed in 2003, I put myself into severe shock before the surgery, because the anesthesiologist said it was bad for the baby to give me the Valium I had begged him for, right before surgery.
That resulted in me almost dying, a severely stressed baby, and a ton of sedatives into my body for weeks to come, and a week in the hospital.
I had a Hellers myotomy done in 2021, and I counted 9 refills of anesthesia, before I was out.
It didn't affect me much, so I kept talking till the 9th dose.
I asked the Dr. afterwards, if he really had had to refill 9 times to knock me out, as I thought it seemed to be so much.
He laughed and said, "No, I actually had to give you a 10th dose, because even with closed eyes after the 9th dose, you still tried to fight the surgeon for the scope"
OMG 😱😳😳
It does not help me much, that I also have strong redheaded genes.
DOCTORS, PLEASE LISTEN TO THIS DOCTOR!
You are most definitely appreciated! As surgery looms, the more I watch you, the better I feel. As a plus-sized woman, I always feel so anxious that everyone in the operating room will judge me for being overweight. It adds a lot of stress to my pre-operative mindset and I’m sure it has a negative impact on how I wake up. I worry about being transferred onto another bed post surgery and people groaning that they have to move me. I worry about unkind comments being made during surgery. I worry about how I look if I end up uncovered. I worry about the catheter going in and someone seeing my jiggly thighs. And the worst thing of all is the thigh-high compression socks that cut off circulation and don’t go all the way up. It can be so overwhelming. The next time you’re the anesthesiologist for a plus size patient, please think about me and what I’ve shared here. Do everything you can to reassure them that everything will be okay. Before one of my surgeries, a rather plump surgical nurse smiled at me from across the room and just that tiny kindness made me feel a bit better. If she had come over to me, bent low and quietly reassured me that she had a special understanding of my fears, I likely would have cried with relief. Thank you for spending time with us, especially when it’s at the end of your tiring work day. ❤
That is interesting, I'm also very plus sized and recently had to have a bladder surgery in which they had to go through the v*gina, legs up in stirrups with all my thighs and fat butt to see. My weight was only a passing thought though. Maybe I was more concerned with the whole putting me to sleep and fears that I might never wake up. I had excellent drs though and I woke up just as good as I went to sleep and with a hurry. My family has a history of not handling being put to sleep well but I had warned the dr and I was good as gold. Not sick at all. Just up and lucid and functioning and happy.
I'm was a urology nurse. I promise you, you're the only one thinking about the way your body looks. I had men and women of every size and shape in my stirrups every day, and it was never a thought as to my patients looks. I placed catheters and administered treatments and assisted with procedures and minor/ in office surgeries all day long. I promise my only concern was that you were as comfortable as you could be and that I was reassuring and kind. I promise.
@staceykelly4211 I always wanted to think that way too, until I had a not so good experience.. I was on the table, under anesthesia when one of the drs went to the waiting room and was asking my boyfriend very personal questions. There was a spot on my body that broke out, and I was fighting to stop touching/picking it, I think it was caused by stress honestly.. But that's besides the point lol it was embarrassing, I would choose my outfit based on how much coverage it had so it wouldn't show, I was already very self conscious about it. Then instead of the Drs just doing their job and going about their day, they had to get judgemental and nosey.. they could've even waited until I woke up to ask me those questions if they really wanted to know.. but instead went out and asked my boyfriend. I thought that was very unprofessional, and even asked him if I had a specific skin disorder.. Like, you're the Dr, shouldn't you know what you're looking at? It wasn't even bad enough to make such a big deal about, but the way it was handled made me feel very uncomfortable when he told me what happened. So I felt that they were definitely judging my uncovered body.. and the affected area was nowhere near what was being operated on.. that's just my experience, but I understand all those worries before going under, I'm not a big girl and still stress about all of those things lol
@@jessicam5226 That would stress the crap out of me! You're so right, in my opinion. That seems to be violating patient confidentiality (your boyfriend actually has no right to know anything about what the Drs. saw in the O.R. Secondly, yeah! I'd be wondering what were nosing around my body parts while I was under! Especially if they had nothing to do with my surgery. I imagine if you were getting your tonsils out and the doctor said he noticed you had a pimple on your butt! Your feelings are warranted. Now, one way to look at it, if you want to feel better about yourself and what happened is to think that it was a very caring and conscientious of him to notice a skin condition. Still! He should have discussed it with you, once you woke up. I'm sorry that happened to you. In my experience, surgeons don't have the highest social/emotional I.Q.
Nurses and Drs see so many butts, boobs and jiggly thighs and body parts all day every day so no worries, that's the last thing they are worrying about in surgery I assure you. And transferring bed to bed we would always get extra help from other nurses so the load would be lighter.
You are a very patient doctor. The medical industry needs more like you .
I’m 32 and I have had 11 surgeries. The most recent 3 with a year period. Each of these were under general anesthesia. After a while you learn to calm yourself down well before arriving to the hospital. I am very sensitive to anesthesia apparently and the anesthesiologist always made sure to come back and keep checking on me while I recover.
I enjoy watching your videos and appreciate how much love and respect you show to your patients.
Thank you! So many people are triggered, which I appreciate. However, one must take ownership of oneself especially when surgeries are scheduled. He speaks of ,"agency". You have responsibility to learn, develop skills, "self awareness needs to be the patient's goal".
I'm sitting here listening to this, and wondering why when being wheeled in for my first colonscopy due to bleeding many years ago, I was being asked "How did my father die?" (He died of colon cancer) and "How did my mother die?" I had already been given something and I remember bursting into sobbing at these questions. Why in the world was I being asked those questions at that time??
My doctor mentioned something very traumatizing to me right before being put under! I cried for 24 hours after! I don’t think he realized how much I had been affected by what he mentioned.
Even the Doctor who is eminently skilled in his specialty can otherwise be a jerk I don't know if med schools give classes in compassion.. if not, they should. The best way to avoid victimhood during and after surgery is holding accountable those who are providing the care and the surgery.
Please be certain to write out what happened and how you felt/feel about and what resolution might be useful...you will feel so much better, promise!
@@megyoung7947 thanks for your concern. I’ve processed it pretty well. The anesthesia triggered a lot of the crying.
Last Colonoscopy, on the table, the Gastrinologist said, "I've never had a patient die on me". 😢
Little did he know, one yr before, my brother in law was SO filled w/ cancer, and they sewed him back up and he DIED in the 'recovery room' . My sister, devastated, just had 32 yr Anniversary a week prior.
My brother was an Anesthesiologist and he reminds me of you ! ❤️
Stay the same 😊! He was just like you ! He always calmed the patient ! Made them feel comfortable 😇! Always told them what he was doing and to fell calm and relax ! He was with the best treatment team doing their surgery ! 😁
All the best to you 😍❤️🩹🙏🏼
I recently discovered your channel and I’ve never seen a medical professional who is as compassionate, respectful and humble as you are. I’m very interested in the human psyche and your videos are thought provoking and very informative. 🙏🏼
You're awesome and very helpful as I'm about to undergo cataract surgery--1st attempt was a big fail since they triggered my shoulder pain into shaking pain spasms, something I warned them not to mess with my shoulder at least 20x b4 they prepoed me! Couldn't control the spasms--surgery cancelled!
Thank u many xxx!!! I will work to positively help my outcome from my upcoming cataract surgery!!!
The last surgery I had 2 lady anesthesiologists came in to talk to me before I went to the OR. They looked like angels and smelled like bubble gum. I fell asleep thinking about that and the surgery and recovery went great. I had total trust. It does make a huge difference bc when you’re in a situation that’s out of your control you need to be able to trust a stranger that holds your life in their hands!
How does a pre-op conversation make you trust their abilities more? Incompetence in the OR is unrelated to conversational ability.
But incompetence can be related to nonchalance. Patients trust a provider more when they feel like the provider cares about them. I have personally witnessed how a provider’s nonchalance can lead to unnecessary pain and mistakes in care. You don’t need to take any charisma courses to be a good provider, all it takes is a “we’re going to do our best as a team to get you out of here better than when you arrived”
So well said!
Thank you for this explanation. When I was going under counting backwards from 100 the anesthesiologist was making fun of my counting. I came out of surgery hating everyone in that room. From what you are saying they were being unprofessional or just stupid. It is good to know what likely fueled my feelings of anger.
Seriously? Bloody hell.
How the hell isn't it malpractice bot this and if you wake up?
Very unprofessional. Medical personnel are losing the ethics and dignity department rapidly!
Not all drs and nurses in surgery are good people. Some might even have sadistic tendencies..this fella is genuine.
@@SellyNue well the last 3 years has shown up the medical profession. This fella is really helpful, i wonder what he was like during the plandemic, if he was as kind to the unvaxed..i would like to think so. I've heard too many awful stories . im in Western Australia. Actually during the covid break the medical profession didn't want anything to do with the unvaxed...
My mom had an invasive biopsy as they thought she had cancer in the mass they found but so far there was no cancer in the samples taken. For the invasive one they had to put her under and she was scared because her last experience at the local hospital instead of that teaching hospital when the nurse took the tube out of her throat just started talking to the other nurse about their days and gossip and did not even notice my mom could not breathe because her throat was spasming due to scar tissue from a childhood accident. She was terrified of being put under ever since but talking to the anesthesiologist at the teaching hospital, they were so nice and aware and took good care of her that she is no longer scared as long as she is in their hands. She is 71 and would not go to hospital because of that fear. I am glad that one helped her get over that fear. It is something how nurses assuming the patient will react the typical way can cause a patient to be scared for decades.
The thing that really troubles me are clinical staff that treat their jobs like any other job. It’s not. We are people, not widgets. Be aware and vigilant as long as that patient is in your care. Keep the small talk in the break room. Please.
A doctor told my parents when I was 10 that I wouldn't make it past around 20 years old. I overheard this.
I figured I had to live my life quickly, so I did everything I could in my life that I wanted and could do. That was many years ago. I'm retired now.
I haven't stopped and have had, am living, an amazing life, and have done far more from my bucket list (which keeps expanding) than people I know.
In my case, hearing my life would likely be short wasn't a bad thing.
I've had some times when I wondered if my health issues were going to end my life and had some difficult times, but no regrets about how I've lived my life.
Live life to the fullest!
Go after everything you want to accomplish in life, and do it now! Don't get hung up on money or having things. That alone is incredibly freeing, and you can still enjoy those things you may not be able to otherwise afford to do atm (& may discover you don't want them anyhow, as having things to maintain, like expensive cars, homes, etc. can bog you down.)
Get out and do things with others in your community and beyond.
Wow must’ve been intense at 10 years old
👍🙏😎
Maybe there should be a doctor/patient "class" on what questions are asked and WHY they are being asked and how the patient may/will feel after the surgery. I, unfortunately, have been around these types of scenarios far too many times to count, so I know what to expect. Patients need to feel safe and secure in their surroundings before the surgery. I love listening to your stories, and many have surprised me!
You seem to really care about people, I wish their were more doctors like you!!
Me too I'm in Western Australia.
As someone who works in the medical/healthcare industry and who is very passionate about emotions and mental health, your videos are so fascinating! Thanks for making them.
Al Osinski, MD here. You give a powerful message regarding self empowerment for patients. This theme has been the core of my life work as a psychiatrist! I feel such resonance with you and I thank you for your work.
I hear that you never intended to trigger the patient. If this were my experience, the first thing I would want to hear is a sincere apology for my experience. It was not your intention but it was the effect. Tell them you are there to help, and that knowing a patient's weight helps you give them the right dosage of medication to prevent pain. Knowing what the patient is looking forward to for their first meal lets you gauge how much trouble they might have with nausea after surgery. Above all else, emphasize that you are there to see to their safety and comfort during and after the surgery. The love you have for your patients and their recovery will most definitely shine through every word. Never underestimate how much your love and compassion matters to the people you serve.
The trigger discussion reminds me of a surgery I had in the early 2000's in Columbus, Ohio. The OR was exploring offering reiki by a reiki certified nurse prior to anesthesia. I was totally open to the idea and found it very relaxing and helpful. A positive trigger.
That must be a unique experience and want to know if there are additional options prior to any medical advances.
What is reiki
Reki is energy healing. I was really impressed. I am not sure if it went by the wayside for pre and post surgical recovery. As I recall I granted permission to the practitioner to continue working on me while I was still under anesthesia in post-op. I don't recall that, I do remember pre-surgical.
So how much did your insurance pay for the reiki? Lol
There was no direct line item cost. As many services and treatments in a hospital stay, the cost is part of the basic care. So, yes, in that sense we all pay. Hospitals don't charge differently depending on what you order to eat, or if you are on a restricted diet (they do charge for g-tube liquids -different topic). They do not charge for social services - one person might need help, another not. Ancillary services are rolled in and the same for all.
The goal is improved outcomes post surgery for the Reiki. Indications were reduction in pain medicine needs post-op, shorter lengths of stay, and positive feelings.
Of course "happy patient" makes a "happy hospital". Meaning better Press Ganney scores. It's why if you feed a patient well, keep their room clean, speak politely, and offer Reiki - if the surgeon sucks or screws up it matters less and the patient is less likely to sue. 😊
As a special education teacher, I find that when people know the “why” of my questions or plans, we have better outcomes. Maybe you can give a quick preface of why you’re asking potentially sensitive or triggering questions, before you ask what you need to know to do your job to the best of your ability.
Exactly!! I am infuriated by personal questions posed by health / education staff without not knowing the "why". And I mean the real "why" not psycho-babble or beating around the bush, wc is super common, easy to detect and extremely frustrating.
You give an absolutely great suggestion. Thank you
That's great advice! 👍
I had dentist anxiety for years. I had PTSD (from other stuff) and when things went badly at the dentist, I’d deteriorate into a state of anxious crying that I couldn’t contain, meaning the appointment had to end, whether we were finished or not. This year, I used a self-hypnosis for dental anxiety track that I found on RUclips. I listened to that six or seven times before I went and it cured me. I strongly recommend people try self-hypnosis if they’re suffering from medical/dental anxiety or trauma. It really works. I used a website to download the video as an MP3, then put it on my phone and listened with headphones.
That's great advice, thank you for typing this out and sharing! 👍
I had cataract surgery. when I was rolled into the operating room they were playing Death Metal, the kind with the Cookie Monster Voice. I told them "TURN THAT CRAP OFF. PLAY SOMETHING NICE". I was pissed that all the players involved thought it was ok to play such SH*T that was not conducive to a relaxation mood needed during the surgery. The ears hear it , the subconscious processes it, and the body responds.
so basically they were playing chris barnes era cannibal corpse and you wanted to hear corpsegrinder?
This is so comforting to hear bc I had terrible experience last time and I’ve been scared if I ever need it again. I thought it was just me. I felt terror like I was falling out of a plane on way in and out. Full shaking and screaming. I had to stay extra night and more drugs to calm me down. Looking back it was a very vulnerable time in my life and all my fears came out. - thank you for the video ❤
Yes. Professionals do their best to care for us as if it were themselves. That's only ethical. I, too, had one procedure with that terror afterwards. Good nursing helped.
One thing that really bothers me is when you meet the anesthesiologist before surgery and you get to the operating room and somebody you have never met says “hi I'm your anesthesiologist!” and your like I met a man and now your a woman saying your my anesthesiologist? To this day I just don't understand🤷♀️
As an adult I woke up from surgery crying and couldn't stop. My specialist/surgeon had been awful to me in consults and subconsciously I believe that was the reason. It was pretty embarrassing.
I dealt with one bad surgeon, during the pre-op I listened to what he had to say, and when he gave me the consent forms I just said no thank you. He was pretty mad because I “wasted his time”. I waited till later in the week and made an appointment with the department head, and filled him in. He assigned a female surgeon who rocked, problem solved.
@@paulsdrc I should have done the same. We need to advocate for ourselves more.
@@paulsdrcHad a cardiologist who was said to be the best in the area just like this, but he was a totally invalidating, dismissive, cold jerk to women, and i was warned! After seeing it for myself, I left the appointment and asked for the cardiologist who still had a heart! His peer is awesome! 👍
Being in the OR and recovery without my glasses is very scary. If I was able to keep them until being put under, I would be so much more comfortable.
Dr., is there any reason they can't do that? I know they aren't sterile, but neither am I lol.
The times I’ve been put under, they’ve always let me keep them on until the last minute, except for when I had eye surgery.
I guess it depends on the team and the hospital.
@A Barn thanks...I'll make sure to advocate for myself next time I go in for surgery (soon🙄). I have terrible eyesight and not being able to see where I am or make out faces is especially frightening.
I have such severe near-sightedness that I’m pretty much blind without my glasses. It was VERY uncomfortable trying to talk to the anesthesiologist in the pre-operative room because his face was so blurry without my glasses.
Doc K...So happy to have found you! I am certified in Addiction Medicine (not an MD) and live w/chronic pain. I have been blessed to have found a Doc who seems unafraid to prescribe what helps my pain! We screened each other for a few years and, at 80, am grateful not to have to beg, feel suicidal, blah, blah.He has been out on cancer tx since10/22, & I get to observe the range of emotions displayed by his peers, each one signed my prescription with a different lecture, mostly sincere. One Doc hollared "YOU are TAKING some serious narcotics"...shamingly. I told her that I realized treating pain in this time was quite unpopular and the constraints by the DEA. Didnt help.Enuf for now...I am joining the discord group THANK YOU1
It is shameful th way many chronically ill patients are treated for pain relief, largely because of a gap in MEDICAL COMPREHENSION. They should pray they never experience such daily misery 🙏
Fostering agency, self efficacy, and an internal locus of control is so important in coping. Thank you for this video. Incidentally, I have a dissociative disorder, DID & C-PTSD, and I feel that your advice of how to cope with anaesthesia is extremely helpful to apply for being in those altered states, too. All the best to you, you're doing amazing work.
You are right about the emergence delirium. For me it was Ketamine. I have chronic pain and all of my surgeries I've woken up okay but the one time the anesthesiologist used Ketamine, I woke up crying and screaming uncontrollably. They wouldn't get me on the right meds that worked on all the other surgeries and I spent 6 hours in recovery until the surgeon, that knew me well, started yelling at them to get me on what worked. Worse nightmare I've ever had. They've put it in my records that I can't have any Ketamine for pain.
Omg, I had a similar experience with ketamine last year. I had major cancer surgery with a huge abdominal incision. I was only given ketamine and woke up in recovery crying and begging for relief. The doctor would not ok anything else. I was crying and begging and shaking for 10 hours! My husband is a med/surg nurse and knows what people get right after surgeries that are even much more minor than mine was, and he said I was not being given sufficient pain relief. He kept telling the nurses what I should be getting, but they couldn’t get the doctor to ok it. After 10 hours, he finally demanded it, and then I was fine. When I complained after to the office manager at his practice, I was told “yes, he’s not big on giving strong pain medicine after surgery”. I didn’t even know how to respond. I just said that he’d rather have people suffer so horribly for so long? I got silence. I’m sorry you went through that too. 🤬
@@gailmatt1734 Your problem is typical anymore. Most doctors are refusing to give pain meds. Nowadays you have to have this discussion about what a doctor is going to do about pain meds before the surgery. I use the #1 rated hospital in California because they have pain teams and you can insist on seeing them if your not being treated correctly.
I have been coping with chronic back and neck pain for 25 years. Before any surgery I speak frankly with the surgeon about what pain meds I already take (which they can see in my medical history), and discuss the fact that a standard post-op medication regimen will likely not be sufficient to keep me comfortable. Sadly, I have now twice had docs completely ignore what we discussed. It feels like a betrayal.
@@stacey_h- I think people like me might be partly to blame, sorry to say. Let me explain because it’s not what you might be thinking it’s related to.
After my first surgery because of a diagnosis of melanoma resulting in a surgeon removing a large swath of skin and some lymph nodes from me, I remember coming to (after the bulk of the anesthesia finally wore off in the recovery room) and catching myself whining and crying and complaining of pain and how much it hurt and that it was just so bad, etc. The odd thing was that at the moment when I came out of that weird state, I honestly had no pain to speak of. I had no idea why I was crying and going on like that. I mean I wasn’t making a scene or anything. I wasn’t angry or wailing or being physically abusive toward anyone. But I was quietly complaining repeatedly like I stated above.
I felt so sorry for the attending nurse. She had looked so concerned for me almost as if she were going to cry because she had tried so hard to make me comfortable. I apologized and explained I was perfectly fine and that I had no idea why I had gone on like that. The wave of relief that came over her was noticeably significant. She seemed a little annoyed at me at that point, but, man, I couldn’t blame her at all! She must have thought I was trying to get drugs out of her or something. Ugh!
I still have no idea what in the world my reaction to that bout of anesthesia was all about. I’m not a druggie-type person and, in fact, have many severe intolerances and deadly responses to some pain meds. And as a result, I really avoid them as much as I possibly can almost as if to the point of it being a phobia because, when I was 9 1/2 years old, I have reasons to believe I died on the operating table in response to a pain med used on me while I was under anesthesia.
So maybe other patients have had the same reaction as I did after that first surgery, regarding what was termed melanoma; and the doctors and nurses are just waiting for the patients to come out of it, thinking they really don’t need the pain medication. It did take me awhile to come out of that state, much longer than normal. But I don’t think it was 10 hours. That does seem extreme. I think for me that it was more like six hours, give or take.
But I also remember my trip home was a psychological mess, too, but for different reasons. I kept asking about my camera, the same question about every 15 minutes or so, that my husband very lovingly and kindly would tell me the same answer to over and over again without raising his voice at me. I really was stuck in a weird mental loop. (When people say someone is loopy, they truly mean it.) That was a two-hour trip home. Hahahaha! I mean I knew I was experiencing a weird loopiness and that I kept asking the same question, but I couldn’t stop because I’d forget the answer about 15 minutes later. When he would tell me where he had placed the camera, I’d then remember what he had told me 15 minutes prior to that. So I’d apologize. Then the loop would start all over again.
That whole night after we arrived home, my husband so sweetly sat by me as I fell in and out of consciousness until the next late morning. I guess I kept saying strange things periodically. But we’d been married at the time for about 30 years, so he knew what was going on and remained calm and instead found humor in it all, knowing what I would be like again when I finally came back to myself fully.
After further reflection, I can’t help but think it might have been a reaction to what some refer to as the ‘forgetting medicine’ that some say is administered during surgery in order to help patients (who partially wake up during surgery and experience terrible pain) forget about the surgery so that they won’t develop a phobia about having an operation. I dunno. I’m just spitballing here. But it is odd that it was my memory that was affected after I came to, not how much pain I was experiencing like normal people.
Anyway, I hope that helps in your reservations about that doctor. Don’t get me wrong. S/he could have just been acting like a stingy jerk. I mean every field has them, right? But maybe that response to you was based in something else, like what I had experienced that made him/her leery of giving out pain meds openhandedly. Just a thought. Nonetheless, I mainly wanted to say I’m just so sorry if your being denied necessary help was because of people like me. Sorry my comment was so long. I just really felt I needed to explain it completely.
I ask my friend about his crystal ball when he starts predicting a grim future about people.
7:06 You are so helpful. I am learning a lot. I have had over 25 surgeries and one of them I felt the cardiologist going up my artery to check and see if there was a hole in my heart. I felt something moving around in my chest but could not speak or move. I heard the MD talking about his upcoming vacation to Bermuda and was terrified. Thankfully it was not a painful situation only creepy and I was scared the whole time of what might happen next. Then I heard someone say " Dr..." and that's all I remembered. When I woke up, I told this whole thing to my Dr. 😮😮😮he was surprised but said I wasn't wrong. Ever since then, I tell my anesthesiologist this story and beg them to keep an eye on me. This redhead does not want a repeat performance!! 😢
I have learned a lot from these segment, it’s extremely beneficial to be informed. I don’t think these things were ever explained to me in simple language before. Everybody facing surgery should watch this. Thanks!
Thank you for the kind comment! I totally agree, how can we prepare for something as impactful on our lives as surgery if we don't know what to expect? Informed expectations are so important!
@@MedicalSecretsI have aortic stenosis due to bicuspid aortic valve. When it comes time for surgery do I have anything to worry about? I know they'll stop my heart but can anesthesia awareness happen in this type of surgery ?
I was gang raped a few years ago and with help from my therapist I found a way to tell others about the PTSD and that I may be triggered and have symptoms. This has been very helpful to the nurses and doctors when they know.
I had surgery three weeks ago. I felt very relaxed because the entire team made me feel comfortable and gave me time to have my questions answered. I might go as far as saying I enjoyed surgery !
I went under once before a procedure. I remember asking the Dr. "How long you think this will take?" Just as the Anesthesiologist gave me the meds... Dr. said..about 40 minutes. a few seconds later (well felt like it. anyways) Looked at the nurse sitting next to me.. "that wasn't 40 minutes." she just looked at me confused, looked at her watch, checked the chart and went.. "no. it wasn't" was so amusing once I thought about it later.
Love your channel because I’m a nurse and use to sell anesthesia equipment. Love all of the topics that you cover. One question, being a patient who has been in the OR many times, would protocols ever allow patients to listen to their favorite music on headsets as they’re falling asleep, or even looking at relaxing images on an iPad or monitor overhead as they are drifting off with anesthesia? I would think that this would help calm some people down, and at least give them a fighting chance of waking up out of anesthesia in a better place??? Thanks for all you do.!!
I experienced emergence delirium after a major surgery 16 years ago. One of the staff swung my door shut and the button thing was on the floor, and I couldn't reach it. I think she did it because of me being a "difficult patient". I was yelling and crying, but no one came for at least 30 minutes. I was at the end of a hall, they said they couldn't hear me. By then I was hysterical and could not stop crying. They eventually sent the anesthesiologist to talk to me and he asked me what was wrong. I sobbed that I didn't know. My doctor stated that she was sending me home a day early for obvious reasons. A chaplain came to my room and listened to me talk for more than an hour. I felt better, but still confused until you just explained "emergence delirium". How did none of the professionals know what was happening? I felt so guilty I even apologized when I saw one of the nurses months later.
Emergence delirium usually passes or there is medication anesthesia can give to calm down the patient. Some folks wake up calmly and others wake up confused .
Wait, they were sending you home early because they didnt want to deal with you? If anything being in your state should mean staying a little longer 🤦♀️
@@AliciaGuitar thank you. I didn't have insurance. Maybe that was a factor. It was several years before Obama Care. I'm ok. It's helpful to understand that emergence delirium is real and I wasn't just crazy.
@@blueminutes4686 Ooooh! In this country, no insurance is most definitely a factor! I've read of patients being denied icepaks in the ER because they were uninsured! Not hearsay. Documented incidents. Our medical system is so broken.
I like to wake up during surgury…. Why… who knows?!
The first time I was 16, having jaw surgury and I remember looking up at my doctor and him saying “SHIT! She’s awake!” then they put me back under but I heard them all freak out and say “well she won’t remember this, Thank God.” I did and I do.
I asked in recovery and we had a nice discussion on it with my parents.
It’s happened 2 more times after that issue. I’ve had some really great anesthesiologists who headed my warning and kept me under.
The last one was a nerve ablation for TN, they had me fully away and frozen up, as they were in my face. I broke teeth. FINALLY, they got really worried about my vitals to only look and see I was fully awake. I was LIVID, as this doc KNEW and she discounted me!
It’s so refreshing to see people addressing health issues, with honesty and clarity. Thank you!
Years ago I had an anesthesiologist ask me a very upsetting question prior to surgery. When I woke up and in recovery I was so nauseous and vomited for quite awhile before an anti nausea medication was administered. Alway wondered why I had that recovery reaction because I have never had a negative response in the past. Now I know.
Thank you Dr. I had a heart ablation two years ago. The procedure went very well, successful 🙏🙏😅😅. I would love to have known what my body told the docs. Have had some trauma, depressed, was battling alcoholism. Maybe a few other things….. you are such an amazing doctor. I appreciate all of your videos. Keep up the good work, please 😁✌️
Praying for you ann, you got this!
I always appreciate your advice and the benefits of being transparency when answering questions.
I absolutely can relate!! Not from a doctor’s perspective, but as a patient who has had a lot of surgeries and procedures. I would never dream of acting out before! 😅 I will tell you this, the anxiety I felt before any of the surgeries or procedures to where I had to be put to sleep, was through the roof, like, everytime! I have been fortunate that most of my experiences were positive, and after I spoke to the docs about being so nervous, they were all good at talking me through and letting me know that they will be right there at my head. ( talking about the docs who monitor your vitals and keep you under ) I guess I’m one of those people who believe that if you treat people with kindness, they will respond in the same way back to you.
I remember one surgery that I had and I woke up in so much pain, not where I had the surgery, but body aches and my neck and back honestly felt like I had been dropped or something while I was under! Who knows what happened, but nobody could really tell me why I was so sore. Kinda weird 😅 Thank you for your videos, I enjoy them even though I’m not a medical professional 😊
Hi Doctor, Good as always to see your show. Liz I am learning so much.
First time watching your videos. I really like you! I am so comforted by your education & compassion.
Fantastic info. Thank you for your kindness.
I just found you and I’ll continue to watch. I’ve learned so much from you. Thank you.
Love your genuine care and spirit.
I really appreciate you sharing your thoughts, knowledge and compassion - blessings to you🤗
I love you! Thank you. It is refreshing, informative, and demystifies these "routine" procedures.
I enjoy your streaming videos and share them with my children and grandchildren! They need to go through procedures and they're afraid knowledge is power! Thank you for sharing your stories
You are a consistently a credit to Integrative Medicine, Doc. Best to you in your journey to bring others along! ❤️🙏💞
You are such a kind caring dr.
You seem very intune to your patients and their needs. ❤ I think you are amazing. Keep up the amazing work and bringing us knowledge.
I have realized, that I have been triggered. Now I understand what up. Thank you so much. Bless you Doctor.
Thank you for being so empathetic and compassionate.
I have learned so much from you. Thank you so much.
Wow! I love watching ur channel, Doc!!
When I have had surgery, I always ask what I have said while I was going under, as I was already out of it. They said I wanted to make sure the Dr. and everyone had eaten so they don't leave me to get lunch! Also don't let the Dr. say oops. Why is it so cold in here. When they try to wake me up I tell they NO I am really comfy you get up. When they say later we can't let you go (when I was an out an patient) that I had to go to the bathroom first. I said No, I was prepaired as I didn't drink anything before surgery. They said haha, we put it in an IV. I guess I get funny while going under even though I am afraid of being in the hospital. Love your vlogs they are so important, and many don't bother trying to help us in your field by talking to us like you do. So greatful. Greetings from Western, N.Y. (Don't know if you read anything after live, but I do watch them when I can. So sad I miss the live ones.)
Thank you so much for helping us take the fear out of the surgery with your kind way of explaining the pre and post with what to expect one of my biggest worry. Having any surgery!
Thank you so much Dr. You are a true blessing.
Hi Doctor thank you for what you do!
Greetings Dr. Kaveh, I love your informative videos! Your humorous approach to teaching us laypeople is awesome. God bless you for taking the time to create these videos and for being non-authoritarian. You rock Doc!
I came in at the end. First time catching you live . Rewatching now. ER nurse here
.post intubation for ankle tendon surgery I had Chick-fil-A. I passed the clear liquid diet well
Glad i found your page doctor. Ive been binge watching for days. The effects and side effects are SO INTERESTING!
Thanks so much for all this information!!!!!
Your videos are always fascinating! I have an upcoming surgery and I so wish you were going to be my anesthesiologist!
I have several big surgeries ahead of me so truly appreciate your videos.
If possible get a female surgeon, after all the “procedures I’ve had I can honestly say your odds of being happy about the process and outcome are significantly higher.
Your discussion illustrates the art and the science of medicine.
Dr Kaveh, I have been watching many of your videos over the last weeks and you have great articulation on the subject of anesthesia. I am 69 years old and have had only a few surgeries over the last 30 years and luckily I have never had a serious issue. I do remember waking up a bit during an inguinal hernia procedure back in 1997 but the doctor must have quickly increased my dosage to put me back under. I actually get nauseous / seasick very easily riding in cars and boats but have never had an issue coming out of anesthesia. Thanks for your great, informative videos!
I had a perforated colon. In the operating room a very handsome Assistant Surgeon held my hand and rubbed my arm telling me I was going to be ok . I literally prayed to God in my head saying " Dear Lord if this is my time, this is the way I want to go!"
I woke up great and healed fine. Then had the reversal surgery 4 months later. I never will forget that kind man. Tehehehe
BWAHAHAHAHAHA!
Never had surgery in my life. But I enjoy your educational videos.
Thank you so much! What a wonderful thing you're doing ! I hope I get someone like you when I did help.
Love your videos. Thank you 😊
This is all very interesting, and speaking for my own experiences, I can see how this works. I would also suggest that a patients medical history can play a factor in determining how triggered they may be. so, using myself as an example, I've been subject to many instances of trauma over a long period of time. I've been in high speed car crashes that sent me to the trauma unit 3 times and suffered head injuries, then I suffered motorcycle accident and then had emergency brain surgery for a brain tumor and spent a week in the ICU brain unit. I know I have PTSD from this and am now very apprehensive about going into the hospital in that I'm not sure if I can do another major surgery, like I might opt to just suffer with out it or it would have to be very debilitating to force me into it, but going under anesthesia I would be hyped to the max and very agitated and constantly focusing on my painful recovery and loss of quality of life etc. My point being , prior history of trauma should be something know by the anesthesiologist and factor into his methods prior to any surgery. I don't know if this is already a consideration but if not, it should.
Triggers can happen anywhere. I triggered a male coworker by saying "Ladies first!" as I held the door for him. I had no idea that he was gay and trying to keep it a secret. He said in no uncertain terms that he would sue me if I ever treated him like that again. My light-hearted joke turned into mental anguish for him.
I did the same when i worked at blockbuster in the 90s I was a closet bi and picked 3 LGBT themed videos for a coworker to check out for me he looked at me all weird and I had no clue lol
That is an inappropriate joke for *anyone*. It's grossly sexist and incredibly toxic.
You helped me greatly before I had knee replacement. Thankyou
🇨🇦New sub ~ Love your thoughtful positive content. My gig that I’m so good at is catastrophizing… after receiving 32 treatments FRTMS the absolute constant firing off 100 things at the same time has completely stopped. I am so grateful and I owe my life to this treatment, I look back on how I felt before and can literally cry for how messed up my thoughts used to be. But I’m realizing yes it’s interesting and somewhat unusual to be plucked out of all of the supports at the hospital and put back into regular life without fully having a game plan moving forward. I suppose that’s where DPT & my faith comes in. Thanks again I just really appreciate you’re inside. I’m never afraid to go under in fact I think it’s kind of cool how you do what you do!
Social Work Dept/Discharge planning is supposed to do that. Obviously, they often fall down on the job. I'm sorry.
Thank you for explaining these important things to us. You actually made me realize why I freak out about needles. I was born with a lot of handicaps, and around 2 maybe even 3 they did surgery on my hand because when I was born I had one piece of skin that went around all my fingers and they had to cut them and then sew them so my fingers were part. Than I had to have some teeth removed because they were to big for my mouth, I couldn't floss or anything because I couldn't get between them. They was on top of each other. The roots were in tango around each other. I was in so much pain I was pushing myself up and out of the chair. But I do have a question for you... A year ago I went to the hospital thinking that maybe I had another fallopian tube infection, when I woke up I thought it was the next day. But my brother told me I had been and a induced coma for 3 weeks. I thought I was in hell , I truly did. At one point they took the breathing tube out of me to see if I could still breathe because everything else look good the heart the pulse all of it. When they did that, in the coma I could tell I was losing the air, and I was telling myself to be calm take small breaths, but it wasn't working and at that time I started to jerk my arms thinking I had to fight to get out of this. I heard a female tell me Ramona it's ok, no one in my family calls me Ramona, so I knew it had to be someone that cared for me. It was a week later that they finally brought me out of the coma. ( What causes this to try and control your situation that you're in?) Is this a common thing, have you ever heard of it? Thank you for your time and very sorry this is a book. 🥺😊
Luckily I'm a surgery jedi. My last surgery I was up in 30 minutes eating applesauce then up walking. My husband is like that, too. We both clear anesthesia really quickly. A weird skill 😆
That's fantastic to hear!
"weird"? Unusual. maybe but highly beneficial to the two of you! I'm sure you're making a lot of us envious! lol
Same they wrote independent on board 6 hours after
Dr Kaveh-this has been so helpful. I had a very unfortunate reaction to Inapsine before surgery and since that reaction (extreme panic-felt like I was out of my body), I have always had serious anxiety before my surgery (18 and counting). Your kindness and compassion explaining these procedures helps me to understand what anesthesia does and the importance in communicating with my medical team how I am feeling.
I love listening to your posts. You are amazing 👏 ❤️
@dr.Kaveh , here's a crazy stressors! I'll try to shorten this up, My husband had back surgery several years ago (as a Veteran but in an active Military Hospital) scheduled for 10am and I was told it would last aprox 4hrs . 14 HOURS LATER, I had received no word of what was happening, the hospital was deserted and I was hysterical!!
A few years later his appendix burst🙄 he was at a regular hospital but due to us living in a rural area it was 45min from our home. I stayed the first few days,but the night I did go home ,I told him and his night nurse (at the same time) if ANYTHING changed, so much as a increase of 1/10 of a degree in temp, I want to be called! They both agreed.
I returned the next morning, then the doctor came in and says "I heard you spiked a bit of a fever last night.." 😮😖😡
I was FURIOUS and I never really forgave him for that because he told the nurse not to call me.
Now I need back surgery, I know the risk and can accept them, my issue is worrying that he won't react appropriately, he'll be told something concerning,,staff will be reassuring and all he'll see is the reassurance and dismiss the concern!
I know, it's my problem but how can I be expected to go under in a good state of mind, knowing how it will be???
I think you may have a bigger issue here. Specific to this, I'd advise you to sit down with your husband and the Dr. or the hospital Social Worker and talk about your concerns. Come up with a reasonable plan to handle the situations you mention. On the one hand, it's not surprising that someone in the military was a little less concerned about a change in his temperature than you, as a wife would be. Maybe he thinks you err on the other side: get way overly upset about relatively minor issues. If that's the case, it's not a medical question, that's a relationship question and just between the two of you. And, maybe before your surgery you should both have an appointment or two with a relationship/marriage counselor. Lots of luck!
@@dod2304
Ok, the temperature issue was a Few Years Later ( could have swore I said that 🤔) The Military Hospital was his back surgery, later it was appendix.
No, getting a call say he developed a temperature alone, would not have freaked me out ,I would have asked about his VS (vital signs) any increased ABD (abdominal pain),ect. I have medical training as a Medic, if there was nothing else I would have asked for another if other symptoms developed 🤷♀️ . His appendix had Ruptured and the surgeon elected to do a Laparoscopic procedure anyway, it would have been very easy to miss some debris.
I was just asking to be kept informed because of the travel distance.
I know medical professionals are very good at reassuring and concealing their concerns, I've done it, and I can make my own judgment with the correct information.
His dishonesty about the situation, and he wouldn't have even told me about it at all if the doctor hadn't said it, IS the issue!
I have talked to him about it ,in counseling and outside of it and he's dismissive.
The only bad reaction I’ve ever had was during my second stenting - no one told me I was actually having a heart attack and feeling the wire going up and down my arm completely freaks me out and I had a panic attack on the table before they could knock me out. I was fine afterwards though!
My friend had the same happen. On top of it, the Dr was freaking because he couldn’t find the right size stent. He made her panic more
As an RN for 40 years, it was commonplace for the anesthesiologist to call the night before or actually come in and talk to the patient, see what their expectations are before surgery and give them the opportunity to have already met you before their wheeled into the room. I'm 67 years old and I've had three surgeries in the past 5 years. I have noticed with each surgery that as I am being wheel down the hallway the anesthesiologist already has the syringe in the IV Port giving a quick and fast push. Naturally before I can verbalize my concerns I'm out. I have had two nasty episodes of delirium emergence with inconsolable crying. I have no recall of these episodes but have asked the nurses. By this time,a family member has been called into the recovery room in attempts to console me, without success. In other words, an anesthesiologist sitting down and talking to a patient the night before or definitely the morning of before being wheeled into the OR.
Oh! You would never hurt anyone! Your so kind. Well I'm sure you remained concerned & kind. So interesting what your saying! Learn so much! Since I've been listening to you I'm more at ease when I go to see my specialist's. Because I'm special and so are they!
Dr. Kaveh your videos are so helpful and the more information I tell the anesthesiologist the better my outcome. When I had surgery 2 years ago there were a couple of additional anesthesiologists . I know that I was asked the same questions by them ,but and didn't get upset because and another anesthesiologist said she already answered that question. I said that's ok because I can't assume they heard me because I speak softly and there's alot of noise from the equipment.