Patient meltdowns in surgery - Dr. Kaveh LIVE Q&A
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- Опубликовано: 10 июн 2024
- #PTSD #depression #surgery
What kind of patient are you when you come into the operating room? Are you the fighter, the redhead, the master, or the hurting patient?
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Going into surgery can be a very stressful and traumatic experience, especially for those who are already dealing with pre-operating depression and anxiety. The thought of undergoing a medical procedure can bring up feelings of fear and uncertainty, and these feelings can be magnified for those who are already struggling with mental health issues.
Surgical PTSD, medical PTSD, and medical trauma are all very real conditions that can affect a person's mental and physical health, and they are more likely to occur in people who are dealing with pre-operating depression and anxiety. The trauma of the surgery can cause symptoms such as anxiety, depression, and nightmares, and these symptoms can be intensified in those who are already struggling with mental health issues.
Unacknowledged pain, such as adverse childhood experiences (ACEs), can also contribute to the stress and trauma of undergoing surgery. ACEs can have a lasting impact on a person's mental and physical health, and they can increase the risk of developing PTSD or other mental health conditions. For those who are already struggling with pre-operating depression and anxiety, the trauma of surgery can compound the impact of ACEs and make the recovery process even more difficult.
The emotions one feels before going under anesthesia can also be overwhelming, especially for those who are already dealing with pre-operating depression and anxiety. Fear of the unknown, fear of pain, and fear of not waking up from the anesthesia can all contribute to feelings of anxiety and stress, and these feelings can be magnified for those who are already struggling with mental health issues.
Our mindset can heavily affect our surgical recovery, and this is especially true for those who are dealing with pre-operating depression and anxiety. Positive thoughts and a hopeful outlook can improve our overall well-being and increase our chances of a successful recovery, but this can be very challenging for those who are already struggling with mental health issues. Negative thoughts and a pessimistic outlook can have the opposite effect, making the recovery process more difficult and potentially leading to complications.
It is important for medical professionals to acknowledge the impact of pre-operating depression and anxiety on the surgical experience. Providing emotional support and addressing the patient's concerns can help to reduce anxiety and improve the overall surgical experience. Medical professionals can also work with patients to develop coping strategies and provide access to mental health resources.
In addition, medical professionals can take steps to reduce the risk of surgical complications, which can also help to reduce the stress and trauma of surgery. Proper surgical planning, communication between medical staff, and monitoring the patient's condition during and after surgery are all important steps that can help to ensure a successful outcome.
It is also important for patients to take an active role in their own recovery. This can include following post-surgical instructions, taking medications as prescribed, engaging in activities that promote physical and emotional well-being, and seeking out mental health resources as needed.
In conclusion, feeling overwhelmed and alone in surgery can be a very traumatic experience, especially for those who are dealing with pre-operating depression and anxiety. Surgical PTSD, medical PTSD, and medical trauma are all very real conditions that can affect a person's mental and physical health, and they are more likely to occur in those who are already struggling with mental health issues. Unacknowledged pain, such as ACEs, can also contribute to the stress and trauma of surgery. The emotions one feels before going under anesthesia can be overwhelming, and our mindset can heavily affect our surgical recovery. By providing emotional support, working with patients to develop coping strategies, and taking steps to reduce the risk of surgical complications, medical professionals can help to ensure a successful outcome and a more positive surgical experience for their patients, especially for those who are dealing
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I am usually calm when I go in for surgery. This time I was not. When they got me on the table and positioned they started to tie my arms down but the anesthesiologist stopped them. He said to me…. Give me your hand , and then said “am going to hold your hand until you fall to sleep “ and every thing will be fine. He was one of a kind!!
Same for me~I have been SO blessed with always having amazing medical teams during multiple surgeries...in fact, soon as I state how extremely claustrophobic I am, they reassure me quickly that zero tying down will be attempted until I am totally zonked out:) During a pelvic surgery years ago (no stomach incision necessary, the nurse put that horrible curtain up close to my face, and I literally tried to crawl off the table there and then~Thankfully, the great Anesthesia Doc knocked me out SO fast that me head did not even have time to spin, lol:) Holly
This is a very powerful talk and I appreciate the insight of this doctor ❤❤❤
Please don't tie my arms down while I'm alert.😢
@@Hudson1910 Yes, it was , I was fortunate to have had this anesthesiologist that day I was able to relax somewhat before I went to sleep !
I had the same thing happen to me. A very kind DR. Held my hand until I went out from the anesthesia. I will never forget.
My last surgery, I was definitely the crier. Ruptured bowel, septic, and they weren’t sure I was coming back out. All I knew was I would end up with a colostomy if I made it. It was very emotional. I had a fantastic team, good recovery, and have learned to deal with and appreciate the colostomy and surgery that saved my life.
You are very courageous.
I don't know if I could have handled it as well as you did.
I'm proud of you.🎉
I can relate bowel obstruction, repair failed, septic shock, then organs failing, all within a week. Had ileostomy placed, after coming off life support, 8 weeks later, rehab to learn to walk again, I now have PTSD from medical trauma. Long story but I can now go to a dr appt without PTSD flare ups. But go to a hospital for anything, I have to start medicating days before. I have had good and bad anesthesiologist as far as compassion for my PTSD and fear. I remember one surgery freaking so bad they kept upping drugs, don't have any memory of going into the surgical suite.
Wow. That had to be horrible to face going in to surgery. I had a sigmoid colectomy and had a temporary ileostomy for a couple of months. I went into it saying I am fortunate to be able to walk in someone else’s shoes (though they were my shoes). As time went on, I realized that going to the bathroom “the old way” was seemingly unsanitary and a huge waste of paper. I was glad to get it reversed but know now I would have no problem living with that if it ever became a permanent necessity.
Guessing from all this Naive Misinformed & Mislead ""Unfortunately Brain Washed by ✡️👺 The Twisted & Unreliable News Nowadays that AVERAGE NAIVE IGNORANT PEOPLE/PATIENTS keep on Believing what Most Careslly Money & Egocentric Doctors & WHO & WEF keep on making All or at least ""Most Ignorant Lazy & totally misinformed Peoples/Patients 🆘✡️👺
What pushes my panic button is the mask over my mouth and nose. It makes me feel like I am going to get smothered. Scares the living daylights out of me. I do panic but not violent or swinging. I hold back that fear within and feel like I will never wake up again.
Doctor, if there were more doctors like you we would all be better! In every way. Thank you again and again!
What a great doctor
I Agree, with you a 💯. He’s awesome 😎
Thank you 🙏 for caring and sharing. They should teach bedside, OR and ER manners and compassion.
Dr. Elisabeth Roth write a book on death and dying… a lot of the emotions she speaks about patients go through that same anxiety. The psychological steps of death and dying can be apply to surgical situations and disease factors involved!!
I'm a retired OR RN.
I graduated in 1979 - during the first half of my career we worked in all different types of specialties, and then we were encouraged to specialize.
Here's my take on Pre-Op Anxiety.
One of the facts I learned in Nursing School was the relationship between anxiety and rates of Post-Op infections.
It should be no surprise that patients who are relaxed and calm preoperatively have a lower infection rate.
That opened the door for RNs to make the most out of the Pre-Op interview.
In those few minutes, the opportunity exists to connect with patients, evaluate their anxiety level, address it, and walk every patient through that door calm, focused, and confident.
When patients hear their concerns validated and addressed, they regain a sense of control and are reassured that their well-being is the team's priority.
It also requires that the Circulating Nurse be focused on the patient's verbal and nonverbal language during the interview while we check the chart.
Taking an extra two minutes allows the crier (for example) to let the tears flow, blow their noses, collect themselves, and pee one last time. When the nurse communicates respect for the patient's vulnerable status, and meets them at their level, they begin to relax and trust the process.
I understand today some hospitals install cameras in the OR to monitor efficiency, because turn-around time is costly.
I propose instead that hospital administrations become educated about the value of trusting the professionals they hire.
Good patient care is grounded in science as well as technology -- but the inescapable fact is it takes time to evaluate and integrate a plan of care that ensures the best possible outcome for every patient's unique circumstances, including their mental health.
Wow. Is this in the US? We can't even get doctors to listen to us! I believe what you did was true at one time, but I ride paratransit w ppl in several states, and nobody gets tx like you describe.
Medical ppl do the work. If there is post-op infection, well, that's more to tx, so more money in their pockets.
I'm sure your pts appreciated your care.❤
Thank you. You've hit the nail on the head.
Well said!
Most good docs give their patients a mild sedation to take the fear edge off, before going into surgery. There is no need to feel “ fear” before going to surgery
So true - the OBGYN was actually was saviour before I went in for an op we did the pre chat in the side room she said I can see you have been through a lot in the past month and I burst into tears she said so we are just going to sit here and chat for as long as it takes. I only needed a few minutes but I was able to voice my concerns especially as I was blown off by the Anaesthistic saying 'you will be fine' she also set that room up so everyone was quiet and spoke to me at eye level and not stood over the top of me.
I’m the patient that has been sick for 2 decades, gone through many a life threatening crises. Now facing more surgery and I’m just worn out, I know that are many like me.
Prayers Lisa… I know you are in the battle of your life.
Me too
That’s me too
Absolutely. You understand and I respect you saying this for many of us.
May you have a piece of what energy I have left. God watches over us.
Thank you 100 times for covering this topic. I worked many years in the OR and cannot tell you how many times I would break scrub to go stand with a patient who was obviously having a difficult time. Just telling them We'lll take good care of you" often doesn't relieve their angst. I had a little girl climb down off the table sobbing for her mama. The nurse wasn't getting her attention so I broke scrub knelt down on her level and assured her I felt how frightened she was, that even I am scared of surgery (not so, but it helped,) and that her mama was waiting very close by. I asked her if I could pick her up and put her back on the table so she wouldn't fall and we were good to go. I have no clue where anesthesia was at this moment but not in the room. So I had to open another gown & gloves, it was so worth it.
I have no doubt handling patients is covered in anesthesia training but you either have a compassionate nature or you don't and many do not. We had one traveling nurse who would slap faces to stimulate them as they were waking up. I couldn't take it any longer. I reached over and put my hand on hers and suggested stroking their face would do nicely. I am sure she didn't learn that move in training. Time is money but everyone needs to be mindful of the silent cries and be available for that patient at that moment.
Your comment seriously made me cry. What a nice thing to do. It makes such an immense difference not to feel like you are acting with a medical assembly line. As an adult, I always understand the immense stress that medical providers are under, but often, the extra 2 minutes that you took make all the difference.
You are so right. 😢I'm that silent cry 😢
@@brendaeberwein8338 I didn't always pick up on a patient's fear but I watched to see how the patient was responding. Don't ever be fearful of letting your nurse, anesthesia, or scrub know how you are feeling. There is no reason to not take a few moments to comfort a patient. If administration has a problem with those few moments adding up at the end of a day that is their problem.
@@debbinz5108I'll be sure to step up the plate more. Thank you
@@brendaeberwein8338 Everyone deserves the best possible experience at a time when they may feel so out of control of what is happening. Other staff did not always appreciate my effort but it isn't about co-workers, it is about our patients. You will feel better knowing you took the time to stand with a patient who is out of their element and probably frightened. You can only do your best and that is why we are there. Thanks for responding.
I’m the redhead LOL We are a special group, and I am SO grateful that the medical community is realizing that we aren’t making things up. And you seem to be a particularly compassionate person, thank you❤️
I'm a redhead, too. It's no joke or myth about redheads. We need more anesthesia than most and for me...forget about spinals. Had an anesthetist talk me into a spinal (I warned her I don't do well with spinals) but she didn't listen. Dr was doing my total knee replacement. He started the incision and I screamed and started moving my leg up and down. Needles to say...I went night-night.
@Melodie Mangers I am a medium auburn, but when I had dental surgery, they had given me many shots of novocaine but I could still feel pain. Then the Dentist said some people don't react to novocaine very well, it doesn't fully work in other words. I was then given a dose and a half of lidocaine and that did the trick. And when I had an emergency cesarean, I wasn't fully put under because of time, so the local anesthesia was used and I eventually went under, but as it was wearing off, I could feel pressure and I guess pain because I could hear myself making noises as it hurt and I was very disoriented. I didn't know where I was or what was going on.
Yes, you make up only 2% of the population, and there is something special about you all. 😊
I'm one of those redheads too, I've learned to comment on the music when I wake up, it tends to illicit less of a fear response from the doctors. Patient wakes up, is written in big red letters, on all my charts now...multiple conditions make me a frequent flier.
My Doctor’s physician assistant said I required more pain medication and anesthesia being a natural redhead. I couldn’t believe it but it’s true! Just had fourth major surgery and praying that was the last one I have vivid nightmares and am feeling anxious but refuse to take anxiety medicine.😰🙏🏼Jesus bless everyone affected.
For the doctors: it could really help if the staff, doctors and nurses, would say something comforting and affirming to the patients while they are unconscious: like: "this is going to go well, you are going to be fine, you are going to heal quickly." And keep making these suggestions.. Use the power of the unconscious/ subconscious to give a positive and healing message.
I worked in oral surgery for a decades and this was a real thing. We also had a couple of surgeons who led prayer before each surgery. I can only say it was beautiful residency program and we were all very well taught about how the scientific and the human correlation of the brain still collects information while the body sleeps.
I do.
We were taught never to lie to our patients. So telling them everything will be fine, might be a flat out lie. You don't even know whether they'll ever wake up.
Unfortunately nurses where I live (in Scandinavia) don't comfort their patients. I was doing my practical rotation and was told, ask yes/no questions and don't waste time on holding the patients hand, ask why they're crying etc. becayou have many sterile packages that needs opening etc. That also why I'm absolutely terrified when it's me having surgery, because I know they don't give a damn, just want to get you out the OR ASAP. They never give pre meds either, because patients wake up too slowly and unnecessary occupy the OR. This place is a nightmare for surgical patients.
@@kelleywyskiel3478vvnnqwwh
BG, you mean instead of trading dirty jokes or making fun of the pt?
Right.
I am one of the Zen Masters when undergoing surgery. I had a NDE (Near Death Experience) at age 5 when I was buried alive by a bulldozer and I remember leaving my body and how loved and safe I felt. All the trauma of suffocating immediately disappeared. So I have no fear of death (which is always a tiny possibility with any surgery). Despite being somewhat anxiety prone, I have always been totally relaxed going into surgery (I've had about 10), regardless of what the surgery is for. The reason is, I am not expected to do anything in the Operating Room except go to sleep. The doctors, nurses and medical staff have all the responsibility and the expertise and they do everything. So I go in smiling and joking, completely relaxed and I tend to wake up the same way.
I'm shooting for that this coming Monday!
@DLC peace be with you. On your surgery Monday..
It's interesting how a near death experience can take that fear of death away. I had 2 in one day fro the contrast due for a CAT scam. it was scary when I had the premonition, but once it happened all fear left and I felt like I was every living thing. I knew I couldn't stay so I cam back . Then when the feeling came over me again I took time to look around, and enjoy it. Sad part is that it was the best
perience I've had in 59yrs of life
@ Linda I have never had a near death experience as you have had (God Bless you ) but I am a control freak and when I have surgery I literally have to give it all up. I zone myself out to look around the OR room and know they all do this for a living and trust they are good at what they do. So I just go to sleep and hopefully wake up and it’s over with.
Exactly like me. LOL
I'm a nurse anesthetist & how I deal with this issue is by introducing the patient to the team, giving constant instructions to keep them engaged & then lots of chit chat. We have music going & have such a friendly team that the patient has no time to fret. For those not distracted by the conversation, I tell them flat out that as soon as I get another set of Vitals I will give them the sleepy medicine.
Bless you! ❤❤❤😊😊😊
I wish everyone was like that. Years ago i had to have my adenoids removed. Simple surgery but it was my first one and i was very terrified. And it didn't help that before entering the surgical room the nurse couldnt find a vein and had to very painfuly poke me many times. Anyway, i enter the surgical room and start looking around and seeing all those instruments and i start having internal meltdown. But no one was even looking at me. The nurses and doctors were preparig the instruments and ignoring me completely. Then they just came and started strapping me to the bed, which was even more scary. It took ally willpower not to get the hell out lf there. If it had been a bigger surgery and they had been acting like thay, i might have starter running away.
Then they started giving me drugs. Now, i am not a redhead, however i did notice sedatives don't work so well on me. I have chestnut hair that shines reddish when exposed to sun though. So they give me one drug and i have seen in videos people fall asleep shirtly after. I just felt light headed. Then they put something else and i felt more light headed like everything was spinning and my head was heavy but still awake. And then the third time i was already freaking out internally because i thought i couldnt fall asleep and will have to do the surgery awake 😅, when the anestesiologist came next to my head and caressed my face and said everything will be ok now you will fall asleep. I remember tears started coming down and then nothing. If only someone, anyone would have been kinder to me from the beginning i would have freaked out much less.😊
"sleepy" medicine? How condescending!
It is a great kindness. You sound arrogant and probably pretend you have medical knowledge you don’t to impress strangers. Pathetic.
@@eveyk.1204your story breaks my heart. Too many people go through exactly what you’re describing. But it takes courage to speak up & tell the truth. Hopefully you will be able to express to the next team who is working on you, that you would appreciate better treatment! The squeaky wheel does seem to get the grease! ❤
I had to have an endoscopy, and my anesthesiologist sang for me, and then my nurse did the same. It was great. I remembered them each time I’ve had to have a procedure.
Now that's special! Sweet of them to do it! I certainly would welcome it!
I've had many surgeries, and the level of anxiety I have always correlates with the doctors and nurses . They can be cold and indifferent, or warm, caring, and comforting. That makes all the difference in how I go under anesthesia.
True!… I was having my second c-section and I was beginning to feel the pain when I was getting stitched up! Thank God there was an attentive nurse there that noticed and alerted the doctor and of course they didn’t believe her right away but because of that little curtain between me and them they watched and matched my eye and finger movements to doctors stitching me up and immediately was given more anesthesia. Unfortunately, as I was being wheeled out of the operating room I was in sooo much pain and felt so disoriented and tears rolling down my face and felt like my head was turning from one side to the other and felt like it was extremely cold, and shivering, one nurse announced “we got a cryer here!”and I felt so incredibly dehumanized,absolutely mortified and overwhelmed by the whole previous error that I just really opened up the flood gates and cried so hard that both my eyes were so swollen later that I looked like I had been in the ring with a prize fighter & lost . Another nurse again came to my rescue and stayed with me reassuring and comforting me and checking on me throughout my time in recovery room. My first c-section went very smoothly… in a different state. This one was traumatic and horrible experience! I pray nothing like this happened to anyone else!
I agree. The anesthesiologist, nurses, patient (me) laughing and joking until the surgeon walks in… I’ve seen a surgeon turn a comfortable situation into stone cold silence.
@@jeancariker911 that's no lie :(
One anxiety trigger for me is having my eyeglasses taken away too far in advance of being put out. Not only am I in an out-of-control situation, but I cannot see facial features clearly while multiple people are scurrying around talking at me, poking me, etc. Secondly, having any sort of thing put in my mouth (for GI scopes)or strapped to my head or neck. The feeling of not being able to communicate is like being held just under the surface of water while drowning. Truly panicked.
It pisses me off that the first thing they don’t do is give a sedative or anything at all for anxiety.
@@angelwings7930 I think if they aren't giving you versed before you go through those doors or at least offering it, that's cruel.
@@angelwings7930 I’ve had surgery twice and both times I was given something that made me pretty loopy by the time I got to the operating room. Then I was out.
Perhaps you could tell them your thoughts on these things while in the prep room. Once you’ve entered the operating room, they work quickly and without regard for your needs. I will still make clear to them that I do not want to be strapped down, have any vile stuff sprayed into my throat or have anything put in my mouth or throat before I’m out! I always ask if any of that’s a problem. And they have always done as I requested. Because propofol burns my veins so much, I now tell the anesthesiologist how to make my experience better and that tends to make everyone’s experience better. 😊
Altered vision would definitely add to the sense of panic! I hope you can tell the next operating team about this in advance, most small requests I have made have been absolutely respected.
The last procedure I had was lithotripsy for kidney stones. I’ve been through many ortho surgeries as well. I have anxiety panic disorder and so I get scared and I just tell them I’m scared. The anesthetist said “I’m glad your a little scared because you should have a healthy fear. But your vitals are good and I promise you we will take good care of you and she rubbed my shoulders and that was it. I woke up peacefully. I really appreciated her talking to me.
Having kidney stones removed next little bit worried as I’ve had failed stone surgery in the past my 1st time I was quickly woken. For general to be taken to another. Prodedure while awake To put a tube into my kidney though my back to drain it I had a stone stuck it was to dangerous. To keep me under so they had to wake me I woke knowing something was wrong
@@emmaflores7684 oh my I myself am soo sorry 😢for that terrible memory hun.I also suffer from stones and at 65 I've had enough hopefully yours have been taken care of.❤
@@deborahstone9696 yes it got taken care off still scary as they didnt put on the monitor pads toll after they gave me the iv to knumb the pain i starded to go out last thing i heard was her bp is going up wait shes dont have the heart monitor and on waking i remember them remove the breathing tube
Today had cataract surgery. What helps me is praying ahead of time for the doctor & what he does & then put all in God’s hands. It also very much helps to have a family member drive me, giving me support.
Cataract surgery patients aren’t well taken care of. It’s disgusting.
@@angelwings7930 Thats not most people's experience and clearly not Terri's experience. If that was yours or a parents' I suggest considering a different Doc/ different hospital or Outpatient surgical center.
That close to death. Phase scared me abit..ive got 3. Upcoming surgeries and scared as one involves my sciatic nerve on my left side.😢😢 scary!
I do the exact same thing. Only I pray openly. I've had a Dr. Tell me I didn't have to do it. I said yes I do. I need to keep the Lord in my mind before and after the procedure. 😊
He loves me so much he wants me to cast all my cares on him. So I do. 😊😊
@@grettagridsPraying that GOD give wisdom on doctors, anesthesiologist and nurses and that your surgery will be just fine🙏
I get put under anesthesia every six months for a procedure. It never gets easier. I am the “meltdown” patient every time. My reasoning is because I don’t like people having control of my body without me knowing what exactly is happening to me. This causes me huge anxiety. They give me the warm blankets and they give me something to start relaxing before rolling me into the surgical suite. It doesn’t help. The thought of losing control of my body literally makes me sick to my stomach. Not sure where this comes from, but I don’t think I will ever get over it. It is not fear of dying or anything like that. I just feel violated in a sense because I don’t know who touched me or how exposed I was in the room full of people or what was said about me. Heard too many stories of doctors doing stuff to patients under anesthesia I guess. I’d rather be awake and experience a huge amount of pain just to have control of my body.
Yes! I feel the same way. I never thought of myself as a control freak but the thought of being out of control and not knowing what's going on is absolutely terrifying to me. I had a panic attack just getting a PICC line placed. But in that case, I wasn't really concerned about pain or loss of control. The bigger fear was having a hole in my skin for at least two weeks. It made me feel like I had just laid out the welcome mat for every germ around to come and just enter my body. And I'm not even a germaphobe. Fear and panic makes me think weird things sometimes.
@@jackiewebb6994 I am with you Jackie 👍🏻.
That so resonated with me. I’m facing a surgery soon and explained my fears about that to the surgeon who seemed almost offended that I would have those thoughts. No offense to him bc I’d feel that way no matter who it was. I hate the loss of control. Not to mention cases in the last few years of people secretly recording their surgeries only to discover they were being made fun of.
@@Ldk0988 I hear you. I have made my feelings known as well. I feel like they talk about how weird I am behind my back. Could be all in my head, but I feel like because they know how I feel it makes matters worse. I know it doesn’t help you any regarding your pending surgery, but at least you know that you are not the only one who feels the way you do. Our feelings are valid and should be respected. I hope everything goes well for you. 🌸
@@anastasiabeaverhausen2660 thank you! My job involves having a great deal of control and to cede that control over to people I don’t know (and being unconscious to boot) is the hardest thing. So glad to know others feel the same way! Prayers for your wellbeing during your next procedure 🩵
You anesthesiologists are amazing
Wow, I was never afraid of surgery before, but hearing you tell me I'm on the edge of death changes everything. 😮
Yeah, but you won't know it unless you get an NDE before kicking the bucket. =p
Take confidence and heart from knowing you faced the verge of death several times before and always came out with flying colors! Knowing a new thing about the surgery won't change the professionalism and care you'll receive in any future surgery. Much love and blessings.
I'm 72, having shoulder replacement in early June. I'm nervous with you reminding me it's the closest to death I will be. I got grandkids to raise. Nonetheless, thanks for what you do for patients
Thats because the medication you get is basically a cocktail of Drugs that supress your respiratory system and you overdose under control. Its like a fentanyl overdose wher you go in a coma but the oxygen keeps you alive still. Im a former addict and I love anesthesia. Injecting propofol or fentanyl such a high dose and knowing you wont die probably is somehow fun even if this sounds dumb af.
Yes, this information has completely freaked me out even more than I already was.
Ok Doc - you probably won’t read this, but I have too share this with you and your subscribers. I was on a mission to lose weigh because my next goal was too have a tummy tuck. I lost over 60 lbs. All I needed now was to follow up with my tummy tuck. I was so freaking excited that I walked in the operating room telling the staff “Thank you all for being part of my journey. And off to sleep I went. However, no sooner that I started to come out of anesthesia the staff told me that I woke up with a cheese smile and couldn’t stop thanking everyone. That evening I managed to get up and use the bathroom and go for a walk down the hallway holding each drain in my hands. Once at home recuperating I got a card in the mail from the entire team wishing me a speedy recovery and everyone in the operating room signed it. I’ll never forget this card I got. It meant the world to me. That was my experience,
The baggage that people bring with them is related to their lack of trust based upon prior experiences from the past. Giving your trust to someone who is there to help you improve the quality of your life should make you feel grateful. We are forms of energy and one thing you can do is project yourself coming through the operation successfully. It means putting your trust in a positive outcome. You are the Scriptwriter of your Life, so write a wonderful script. I live by this concept. I’ve had a pacemaker installed and replaced twice. I’ve had two knee replacements. Doctors have given me a wonderful quality life. I’m 91 and still kicking ass.
wow
I also got a Pacemaker and one of the things that helped a lot was knowing procedures are done to make your life better, I had so much hope for a future where I wouldn’t be in pain and fear, I was somewhat excited as much as nervous. Thinking about what life could be ahead was very empowering.
That is inspiring! All the best to you.
I don’t trust doctors anymore, all they want is money. In the country I live in they get paid per surgery, so have had a couple of doctors try to give me life threatening surgeries I didn’t need! I went for other opinions, thank God!
Medical anxiety is no joke.
No it's not. I for one have anxiety, I have had over 8 abdominal surgery, plus both of my feet. When I woke up I am ripping out all needles and tubing on my face.
We need to have a service everywhere that's like the health service I work in. It's Pediatrics and it needs doing for adults as well. We treat children with health conditions to cope with the treatments they need to do, and any phobias or anxieties that they have developed. EG needle phobias in Diabetic children, fear of hospital settings in children with heart conditions. This needs to be upscaled for adults as well. I've seen the magic that the approach can bring.
@@BeerElf66 Virtually all patients are given a sedating drug IV well before going into the OR. Therefore, this doctor is discussing something that's foreign to most surgical patients, including me. I'm really surprised he doesn't make this crystal clear.
Many people have PTSD or at least vivid memories of really bad medical experiences and it doesn’t just disappear when you are faced with a stressful medical situation
@@BeerElf66 That sounds like a wonderful idea.
A calming hand on my shoulder from my anesthesiologist while drifting under the beginning of the going under procedure has helped tremendously.
I’m an 81 year old female. I have had a couple surgeries over the years,some more complicated then others. I know it’s the unknown that frightens me the most. I certainly realize its the anesthesiologist who’s holds your life in their hands during surgery. Understandably each person in that operating room is important. These videos are very interesting.
Before my TAAA surgery my surgeon introduced me to the staff.. gave a bit of info of my hobbies along with my medical condition and followed by a quick prayer- this was such a warm feeling to help with my silent tears
Dr. Kaveh, thank you so much for the information.
Before my craniotomy, which is my very first time under any anesthesia, my neurosurgeon told me that, after the pre-op appointment until the day of surgery, I could call/tell him any time to cancel the surgery and that he would not hold that against me. He told me when the medical staff injected me with sedative and wheeled me into OR, it would be too late for me to cancel the surgery.
Well, I was never injected with sedative in the holding area on the day of surgery and was very alert when they wheeled me into the OR - seeing a line of people scrubbing and a line of people standing and waiting for me in the OR. I was very fearful but did not even have misty eyes.
But tears welled up in my eyes when I listened to Dr. Kaveh describing that lady’s tears and silent cry on the operating table.
I hope you were comfortable for your surgery and that the recovery went well 🙏 That can be a frightening surgery. While that story I shared seems sad, it is not that uncommon unfortunately. I hope we can all feel more empowered to advocate for ourselves and those in vulnerable situations
@@MedicalSecrets I was not mentally ready for the surgery initially but came to the realization and acceptance that I needed the surgery in order to move forward with my life. I was not afraid of death from the surgery; I was mostly afraid that I would become someone’s burden after the surgery. To reduce my anxiety about the unknowns, in addition to prayers, I watched YT videos on neuro ICU, and yes, on malignant brain tumor resections. (I don’t recommend others do what I did to reduce their surgical anxiety.😁)
I was knocked out by anesthesia very quickly in the OR, had a good nap, and got awakened by the surgeon in ICU for neurological tests.
Still very groggy, I was overjoyed when the surgeon told me that the surgery was over. I thanked my anesthesiologist because my throat did not hurt from the intubation, and heard my surgeon's chuckles, saying to the nurse, "Isn't it nice that the patient wants to sleep?" when I asked for a pair of earplugs to block out the noises inside and outside of my ICU room so that I could sleep.
No visitor was allowed during my hospital stay. I consider myself really blessed that I was lucid enough to advocate for myself during the hospital stay. The recovery went well. All praises to God and my care team!!!
I have had two surgeries and both times I woke up telling everyone how much I loved them. So grateful. Thank you for taking the time to educate and empower us ❤
Oh i admire you!!! No joke.
When my dad had a stroke, while suffering from pancreatic cancer, he told all medical personnel who walked into his room that they were angels sent by God.
I woke up so happy from my first anasthesia! I kept giggling, and trying to get the team wheeling me back to the ward to jump onto my gurney as we went down ramps, and we made airplane noises going round the corners. I was so happy. I'd had to have a general anasthetic for a procedure that I found way too painful without, so it was partly that I'd got it over with. I would perhaps compare it to what people tell me about MDMA?
@@BeerElf66 so adorable!
@@Blissfulnessence ❤️
Thank you for this! I've had 30plus surgeries.. and I AM the meltdown patient! Thank you for making me feel normal ❤❤
On my one and only surgery...I quickly discovered that I was indeed the silent cryer. I remember lying there, looking up at the ceiling and just felt the tears pour down the sides of my face, but I never made a sound. The last thing I remember was this amazing nurse gently take my right hand and just rub circles with her thumb. It was so comforting to know someone could see I was scared and try to help me.
I just know it’ll be me too
I am freaked out by ANYTHING medical. The only time I had surgery, I had the dr make sure I couldn't remember what happened from the door of pre-op to the recovery room. They did a great job.
Thats me!
I just want to know if anything interesting happens.
There's always those moments for everyone where the realization of one's mortality becomes very acute.
I'm an OR nurse that has had more than her share of being on the other side of the bed. Breast cancer caught very early but getting MRI testing and radiation oncology visits this week, then to the surgeon for tissue removal and axillary node sampling. Whenever I was in the room during induction, I stood right by the patient's side and held their hand if they wished while drifting off to sleep. If it makes your patient feel better, why not? Listen to this guy. He knows his stuff!
I was afraid before my surgery although I think I didn't show it. One of the surgery techs touched my arm before I went under and said "we'll take good care of you". That human touch, the one little touch on my shoulder meant so much to me, I will never forget it.
You are amazing ♥️your intelligence and sensitivity and expertise are beautiful. Thank you so much for doing this and addressing this issue as I've never seen or heard before. I feel so proud of the kind of person you are. Good job Doctor ♥️
Thank God for doctors like you! If only every doctor was like you, people like me (high strung, high anxiety, fearful, yeah ya know what I mean), would be way more calm.
Every physician in America should be trained in logic and compassion by YOU!!!
“…under anesthesia is the closest we’ll ever be to DEATH” !!!??? Geez, thanks a lot Doc. That really helps. 😟
But if you die, you won't care anyway. =p
This guy is really a trip likes to hear himself talk about hypotheticals no lay person needs to know! I really wish people would stop supporting this guy, I think his kick is trying to terrify people! The ama needs to step in!
Yea , I said the same thing … thanks ?! WTH?
I’m having my prostate removed on May 1 and I’m more worried about the anesthesia than the cancer . And this video didn’t help
Yep. Freaked me out even more. Sorry, doctor.
@@margerykirner5604 I don’t know about the AMA. This doc has a right to do whatever in his videos. But he does give me the creeps.
A warm blanket is great in the operating room. The compassion of the nurses is so helpful as well, they seem to sense how nervous you are. The Anethesologists I have dealt with are experienced, of putting in an IV in. Which I greatly appreciate since I am a difficult patient, bc my veins are not easy to work with.
Versed before helps so much along with warm blankets. I’ve had many surgeries. Attitudes of the staff outside the surgical suite & the operating room staff make a big difference as well. I’ve never had any of those issues. I appreciate all of the professionals in their respective areas.
I had a anesthesiologist who said to me right before he "put me under", "You're going to sleep, now." It was very comforting. I never forgot it! When two anesthesiologists have since come to talk with me before the operating room, I have asked them to please say that to me when the time comes. Neither did so! All I can figure out is, they thought it didn't matter, I wouldn't remember, etc. The last time, I was actually waiting for this to be said. Nope. Even if they thought it didn't matter, and saw no need, why not do it just for the heck of it.
That is mind boggling. Seriously!!!
I've had more than a few surgeries. I've never thought about this, but now am grateful to realize I'm the zen type. I'm just always happy I will be sleeping through the surgery and when I wake up it will be done, and I'll be moving on to recovering. I say, "See you later, have fun," then I breath deeply, and I'm out.
Every anesthesiologist I've ever had has met with me before surgery, and has been exceedingly kind and friendly, and attentive to every detail. I've never felt unsafe, to the contrary, I feel quite safe.
I realize how lucky I am and wish a zen experience for everyone.
Thank you for sharing this information! I appreciate you taking time to share your knowledge and experience 😊 I work in an OR as a clerk and I absolutely love learning about every aspect of medicine and what goes on within the OR, from anesthesia to the nurses, surgeons to the aides, it’s such a beautiful dance everyone does to work as a team. I love the teamwork between all of us on the floor to ensure things are done in a timely, efficient and patient-focused way.
This happened...to me, Wednesday, 6/7. I was literally mentally unprepared for passing through those surgery doors. The short distance from the prep cubicle through the corridor, and bursting thru those doors with eyes shut. Forms of bodies swinging inro action, taking hold of and sliding my body onto the operating table, the suddenness of looking straight up into those blinding lights-- my heart sunk and tears silently rolled down the sides of my face as i softly muttered out, " I'm so nervous". I immediately heard my anaesthesiologist talk into my right ear, how it's alright because it's going to be short. It felt like in the same instant I was still under the same bright lights, hearing a faraway, disembodied female voice talking and asking why am I crying. It's so bright, I kept repeating in a low voice and covered my eyes with my right hand. The voice insisted that i wake up, lights were off. I asked who and where I was. I had had my surgery silently crying and woke up silently crying. I was very much still under the influence through discharge, the ride home, all of the next day, and residually the the 2nd day.
I’ve had 6 surgeries and soon my 7th and the surgical team have always made me feel comfortable and safe, I’m a bubbly personality and always give smiles, plus I know I’ll feel better afterwards, please just remember how much better you’ll feel afterwards, hang in there❤
I had outpatient surgery about 10 years ago as a 50 something female for removal of my gallbladder. I am a retired attorney who represented medical professionals in lawsuits so I was well aware of the risks and I was nervous. The jerk anesthesiologist , a female, looked at my vitals and said in a condescending voice “wow are you nervous” to which I responded, this is your job but this is my body and my life. Unbelievable.
It can make such a huge difference. I recall orthopedic surgery in my early 30s (as an RN long ago). I was anxious and was given a sedative before leaving my room. I'm sure it must have helped, but I wasn't exactly sedate when I hit the OR. It was the anesthesiologist who talked to me and got me feeling comfortable and secure as he was telling me a bit about what to do & expect and then talking to me in this calming way until I was out like a light. He made a caring & attentive impression and such things seep into our own caregiving practices working in the health care/medical field. That was just over 3 decades ago, but I'll never forget it.
We remember the extremes of individuals who care for us. The ones who settle us and the ones who make us want to scream at them or slap them.
No matter how we're doing, talking in a low-key manner regarding attitude makes or breaks a situation.
The patient knows whether they are calm or anxious. Our society requires is to put on a game face. If we're called out, it can trigger the worst.
Calm empathy, and maybe complimenting someone on their attitude (whether true or false) can really allow a person to relax and assume the state the doctor compliments them on. You could say, "You are doing so well!" or "What a champ!" or something similar. I wonder if you could see their reaction in their vitals quickly!
This happened often when I worked at a department store as a cashier. So many times I had to take five minutes before shift to put on a game face and a plastic smile. After fifteen minutes checking out about fifteen people in a rather mechanical way, someone would come through and say, "Oh! You have such a beautiful, happy face!" or something similar, and I'd relax into the compliment. My smile became real. We do respond to the people around us.
I've had anesthesiologists actually *laugh* and make a comment like this when they first look at the vitals after they hook me up. Didn't offend me though, I know I am a nervous patient and I think it is pretty normal to be scared going under. The move that most enraged me was from an older guy that instead of talking to me applied painful pressure on the propofol IV going into my veins so I'd be under faster. I politely asked for somebody else on the follow up procedure.
I agree with the power of habit and the power of character in our most vulnerable moments. I think it is those moments that show who we are at our core.
I’m reminded at this saying: “What do you get when you squeeze a lemon? You get what was in the lemon to begin with.”
Thank you for your calmness, describing what’s happening and how to deal with it when it does happen. I’ve just found your channel. Awesome service, thank you!
Anesthesia here 🎉 Depression, anxiety and ptsd. I go out crying and wake up crying 😂 My colleagues are giving me new hip soon so maybe we can tweak my drugs 😂
I tell all of my tearful patients that it’s ok to be emotional. That I’m the same and we’re all by their side.
When I had my wisdom teeth removed, I was very nervous and began to cry when they pushed the medication. When I woke up in recovery, I stood up and tried to run for an emergency exit. Thankfully one of the nurses caught me before I opened the door and sounded the alarm, but the feeling I had when I fell asleep, was the exact feeling I had once I regained consciousness.
Oh my goodness!
I never had a runner.
But my own daughter “lost me” after her wisdom tooth removal. A fantastic surgeon she adored did her surgery and I went it to pull the car to the front after. He came out carrying my 15 year old in his arms as she was sobbing hysterically. He was crying, his nurses were crying, I was like what awful thing did I ever do to my child to make her believe I would ever abandon her. We laugh about it now but I still feel that heartbreak abut her absolute post surgery meltdown.
I had foot surgery last week. For the last month I have researched the procedure and anesthesia possibilities. I came across your RUclips ❤ posts and watched many of them. When I went into the or, I was at peace. Thank you for all the information.
I'm having my gallbladder removed in a couple of weeks. I have health anxiety and have had bad reactions to anesthesia in the past (they said I had a "bad reaction" to morphine). Also - the last two times I went under general anesthesia, I woke up with laryngospasm. However, watching your videos has helped me. I'm less worried than I expected and I also know that I need to advocate for myself. Thanks, Dr. K.
Good luck with your surgery..hope you have a speedy recovery 🙏
Ask for numbing meds in the area. I had my gallbladder removed when I was 22 and it was not fun. I remember feeling like someone was stabbing me in the stomach and swinging my arms to stop it. I couldn’t see anything yet. I hit something and heard a lady say you just had surgery be still. I asked for drugs. I’ve had a few surgeries since then and ask for numbing meds in the area and haven’t had that happen again thankfully. Good luck.
I just had my gallbladder last wk. The surgery room was so upbeat and accommodating. The team introduced themselves. It was within minutes I was asleep. Robot-Da Vinci did the surgery,all went well.
I'm wishing you the best of luck.
❤ 🕯️
Try doing the gallbladder cleanse.... and good chances you won't have to have that thing out.
I really love you! Your passion and love for helping humanity..... you're beautiful!
thank you so much. your personality is terrific. you’re so into what you do that you make a person feel safe. also, hearing that you guys are aware of the emotional state of a person makes you feel safe. trust in one’s doctors is so deeply important. and i am so serious - wish i had a good quip, but i just can’t think of one. you guys must have loads of anesthesia jokes 😋
Do have a great day 🌤️🌷🌱
I have had 10 surgeries for different reasons, 7 of which have been on my left foot and ankle. I have had some bad experiences because of poor pain control coming out of anesthesia which has made me anxious. I will say I have found that personally doing my best to go into each scenario with a positive attitude. It does make such a difference. Of course I do speak up for myself as well. It definitely makes a huge difference when waking up from anesthesia. I love your message and emphasizing that we can be in control of our reactions and emotions❤
I’m sorry to read this. I’ve had 13 ankle surgeries on same foot going into 14 soon. It’s awful but glad I’m not alone. It certainly feels that way. Good luck Hun xx
@@Glammums I am so sorry, I am 8 weeks post op from the 7th surgery and have been told at least one more is likely in my future. I'm currently only walking at 50% WB and having a hard time progressing, but as they say time will tell. I really hope #14 is it for you! I wouldn't wish this on anyone 💕
I’ve had multiple surgeries on my left ankle. The mental pain is as bad as the physical.
I woke up after my gallbladder surgery and I was in so much pain I thought I was being stabbed. I couldn’t see anything. I started swinging my arms around in front of me. I hit something. Then I heard you just came out of surgery you need to be still. I asked for drugs. With all of my surgeries after that I’ve asked for numbing medicine for the area. I’m scared to wake up like that again. It was scary. Luckily it hasn’t happened again.
@@jamiecollins5012 yes it is. The physical pain after waking up when the nerve blocks don't work is awful. I hope you are finding some improvement.
The only time I woke up like that was after I lost my baby at twenty weeks and I had to have a d&c. This was 44 years ago and then we weren't allowed to see the baby. I don't even know what happened to him. Im nearly 70 now and I still think about it.
I'm so sorry you went through that experience.
@@Pickles007 thankyou I appreciate it so much.😌
That’s sad, I’m sorry for your loss - and the child’s loss of having you as a mother. Blessings.
❤
Advance apologies for the length of this post.
Have you produced a video on waking up during surgery? If so, I couldn't find it. If not, I know you will. Like many of your viewers I have had an unfortunate high number of surgeries. Your videos are wonderful. I just added notifications so I can watch a live stream.
This past January I had to have a pacemaker for SSS. I also have A-Fib and was actually in A-Fib that entire day. I didn't know except for the monitor and discussion with the nurses.
I was wheeled in on the stretcher. Moved over to the surgical bed. Immediately was stripped of all my covers (I am female) several heavy layers of site prep material landed on only my face and they left the mask on. I asked out loud for the removal of the mask - someone reached under and yanked it off. I asked to get the weight off my face - told it won't be long. I became hot and anxious as my wrists were tied down before I realized it and no one said anything! Many more staff in the room then I would expect for this procedure. An anesthesiologist never spoke to me. This has never happened before and I had been given nothing. I asked them to give me something quickly. I was told to wait. I ended up saying they needed to do it now or we wouldn't be going forward (from underneath all that weight on my face). Plus I overheard a group in the corner discussing my medication. They had it wrong so again, from under all those layers I corrected them.
A week later I was in the ER in serious trouble. One of the leads came off and was wreaking havoc. I was sent to my Dr to turn the lead off - it was implied it was my fault for being in A-Fib (what?). Second surgery scheduled 11 days out - I was called in on day 4 to be there in an hour as the doctor was going on vacation and wanted to fix my situation first. This time I asked him to give me a little something before they took me back to ease the newly developed pre-surgical stress. I was given enough of something to take the edge off.
As they were prepping I went out, as I should. THEN I wake up! While he is pushing a syringe into my chest. And it really hurt. I spoke up and said "you know I am wide awake and this is not ok". I was put out again. Next thing I know, I am wide awake yet again! My Dr is suturing the site and it was complete and total raw pain. So I speak up yet again "hello! I am wide awake and I don't like this - it hurts!". He tells me to hang on as he is almost done. I think I do drift off a bit or he did give me a little more.
I have been truly negatively affected by those two experiences. As much as I don't want to, I know I will be under anesthesia again in the future. Suggestions would be greatly appreciated on how to handle the trauma feelings I have developed from this experience?. Thank you!
This was day surgery and both of mine ended up being the last procedure of the day. So I know part of the motivation to under sedate me and keep it light was to not have me stay too late and keep the staff there.
I have liked my cardiologist and had a positive professional relationship with him for a number of years. I don't feel quite the same at this point and honestly and very seriously want them to remove the pacemaker. But that's another story for another time. THY
Thank you soooo much for what you do. Your videos are so relevant to my situation. I am soo glad I found you.
Beautiful and much needed message for all.
I was having a procedure, a heart cath and woke up during the time it was being done. I watched my heart beat, blood flow through the arteries and out of no where asked “Is that my heart?” The doctors woke up immediately and actually showed me what was happening on the screen. I felt blessed to see my surgery was in great hands. With a little more anesthesia I fell off and woke up in recovery.
Waking up during surgery is not right. I woke up during a colonoscopy as they were burning and cutting 4 polyps. I started yelling, and the nurse kept telling me to calm down. When it was over I was so angry. This was 25 yrs ago when they used twilight sleep. Ugh
i woke up during colonoscopy as well
also stopped breathing during a colonoscopy a different time and got aspirational pneumonia.
I appreciate you taking time to talk to us
Thank you for your compassion
Thank you so much!! You are terrific!
Thank you so very much for taking the time out of your busy schedule to help us learn more about ourselves and how powerful our minds are.
Thank you again! God bless you.
Amy :)
I've had a great career in O.T. for over 38 years, and have had to have 2 spinal surgeries. Cold has an adverse reaction for my body (Fibro) so when I go into surgery I try to keep things light/fun and ask for blankets. I once had an Anesthesiologist who was an "old" Cowboy with big, callused hands. I commented on them and that I felt I was in good hands😉 Anyone who rides a horse and loves dogs will certainly bring me back safely! 😊
Absolutely love how u have compassion for patients
Dr thank you! Very straightforward advice and you actually care! Great job doc
Just want to say how much I love your videos, and I find them to be very educational on what to expect when getting surgery. I underwent foot surgery on April 7th, and watched one of your videos the night before which really helped a lot, so thanks. Thanks for taking the time to educate patients on what to expect before surgery.
Thank you for what you do, Doc. You’re giving knowledge and relief of fear for those people putting their lives into other’s hands when facing surgery.
I’m a nurse, retired by injury. I had two surgeries, one a nightmare with poor results, one with excellent results. I note there were psychological differences, before, during and after surgeries. Sorry for the length.
1. The first, after spinal fractures and compressions, I had to have surgery to seek pain relief. I carefully found an MD/ nurses recommended surgeon, who was rejected by Worker’s Comp, they chose another for me.
I worked with him, and thought I accepted him.
Surgery day came. When I regained consciousness, I kept having thoughts the surgeon didn’t think of me as a person. I felt helpless to it. The after surgery nursing care was abysmal. Other than some blood pressure checks and IV replacements, I was left alone, urine soaked, in awful pain and desperately dry and thirsty in my mouth for 16 hours. I remember I was so thirsty and my uvula and tongue were stuck to the roof of my mouth and I couldn’t speak. I was acutely aware of all it, but couldn’t move. My husband thought I was sleeping, went home for the night and went to work the next morning. I was alone, I could feel back muscles building and building in spasm, further immobilizing me.
Nurse call and phone were out of reach. My breakfast tray was left across the room. I could hear rounds happening outside our room but they never came in. My poor room mate had terrible diarrhea all over the bathroom next to me. No answer to her calls for ages, the call bell sound driving me nuts. I worried about infection with my urine soaked dressing. My Hospice Nurse Manager called, I managed to grab the phone and begged her to call the unit Head Nurse for help. ( I never, EVER would have treated a patient like this. WHY was this happening?!). Finally I was given a good drink and pain med. I ate crackers and juice and my lunch, but I just felt endangered in the situation. I pulled out my IV and called my husband to come get me, painfully hauled myself out of bed, put on a robe, stuffed my clothes in a bag and started shuffling painfully off that unit, took the elevator to main floor and got out of that hospital. No one even noticed I was gone, let alone stopped me. No one called my home.
The pain continued. I called my Doc to explain what happened, he prescribed pain meds and set up an appointment. Pain continued. Eventual MRI showed very dense scar tissue encircling nerve roots at L3/4/5/S1. My 42 year beloved nursing career was over. I was left with Chronic pain.
2. Years later, my knees were collapsing, I was in severe pain, couldn’t bear weight, everything had been tried for relief.
I did a careful search for an excellent surgeon to help, I wanted both knees replaced at once.
I believed I found him.
Still, I felt sad ( and fearful) the knees my Mother gave me, that had carried me through life so far, were about to be removed. I was also very concerned about adding any additional nerve pain in my leg. The back injury left me living with nerve pain. I didn’t think I could take much more of it. I talked to my surgeon about it and made sure he was connected to my pain Doc.
Surgery day came.
Before going into OR, my surgeon came to me, leaned over, took my face in his hands, touched his forehead to mine, and said 5 words.
“I’m going to help you.”
I will never forget it.
In OR, my Anesthesiologist and Surgeon talked to me, introduced the whole surgical staff, and I introduced myself. Then I said “ alright guys, let’s go for it !” And I was out.
Six hours later I revived consciousness, an ice chip was placed on my tongue to help unstick my uvula from my pallet , and I was able to speak a bit. I felt surrounded by care and competence and pain free. As I was wheeled to my room, passing the nurse’s station, I raised both my arms in victory! I was told I was only the 5th patient that year to have bilateral knee replacements. My husband and sister told me my surgeon had also straightened my legs, and returned 2” in my height. I was deeply grateful to hear it.
An hour later my surgeon came to check on me, and flexed both knees, one at a time, to my chest. Of course I was still under great pain control, but the very sight of it astonished and elated me! I told him “ from this moment on, these knees are mine, bought and paid for!”
I was so profoundly grateful to him, I couldn’t express it but said “ I don’t want to contaminate you, but I HAVE to give you a hug and a kiss!!” Which I did.
I had superb nursing care and did very well standing, walking and progressing knee movement. A professor in the University Hospital’s Nursing College asked if I’d speak to student nurses about my experience, which I was happy to do. Three days later I was discharged, on only my normal meds for back pain, and Tylenol for knees.
I had physical therapy 3x/ week. I expected and breathed through the pain. At 3 1/2 weeks
I achieved greater than complete range of motion in both knees.
At 5 weeks I was walking independently
without walker or cane, and was discharged.
I silently bless my surgeon every single time I rise to stand without knee pain. For years now. I give a great deal of credit to those 5 words he privately spoke to me before surgery …
“I’m going to help you.”
I thank you so much for your post. I appreciate you. I’m expecting a total knee replacement in a few weeks. I’m anxious. The surgeon has an excellent reputation and have had friends go through this with same surgeon. i just feel so bad for you and your first surgery. God bless you!
Who was this wonderful doctor?
What a good person.THANK YOU.
All of your videos have amazing, usable, information. Thank you Dr. Kaveh, wish I had this info many years ago.
I’m going to have surgery Friday afternoon and your videos have helped my anxiety ❤ Also, I wish you were gonna be my dr 😂 I don’t know you , but I trust you 🤷♀️
Thank you. I’m due to have a Whipple Procedure here in UK and your videos have been so helpful to me. David
Thank you for your infomative knowledge.
Caught my first live. I find ur info clear concise and easy to process. Tu
He’s incredibly awesome
I always miss the lives.. dang! But I am getting closer.. aired 26 min. ago.
In April 2022 I went into the hospital anticipating a fairly minor procedure to insert another stent in my heart. Unfortunately there were three 98% blockages and I had to stay in the hospital until they could schedule surgery.
😊In May I had a CABG.. triple bypass open heart surgery and I think everything that could go wrong.. did.
Excessive bleeding required an induced coma and a second day of surgery.. 14 units of blood platelets. Oh, did I mention I am a redhead?
Then I had ICU dementia.. and developed infections in both legs.. so I had to be anesthetized 4 more times. Finally it was September before I was released from the hospital the last time.
It takes my body a full year to recuperate from all that anesthesia.. and I am 74 now, my hair has just recently stopped falling out by the handfuls, I can almost read and comprehend a short story now, but my cognitive skills are returning much slower. It is very frustrating!
I wish you continued progression in your recovery and especially your cognitive state. It does take time. I had a stroke during Covid (2020) and it took me, what I thought , so very long to get back to a normal state. Hang in there.
@@chanelv5373 Thank you.
I hope you are back to where you need/want to be!
While I am making progress, it's just very slow, and not at a steady pace. At my age, I need to regain my cognitive abilities at a quicker pace, lol!
Open heart surgery is something I'm very scared about when I hear about it. I can't imagine how painful it must be afterwards when your rib area has been prized apart!! You have been through so much! Thats amazing!
Thank you Dr. for your video and content. Very informative.
Dr. Kaveh, you seem like such a kind, dedicated professional. Thank you for sharing on these videos.
I just went through having a Colectomy with IRA in January. They gave me some "relaxing" med just before wheeling me into the operating room. It totally knocked me out so I don't remember going into the OR. Thank you for this video! You seem like a great Dr and the kind we need more of.❤ New sub! 😊
That's how it should be. They gave me mine in the hall on the way to the or and I didn't have time for it to take effect😢
I had an asthma attack just before I had a cervical fusion from c4-c7. I believe it was due to fear. I was administered benadryl, and I was okay after that the surgery was successful. It's been 12 years since the surgery, and it's still doing okay.
You are a precious Dr., how fortunate for your patients 🙏
i really appreciate the compassion and humanity you brought to this conversation.
I'm 64 and have had so many surgeries since age 5. I'm the crier. I had a hip replacement in '94. Tears were streaming down the sides of my face. I'm always scared to death when I have to have surgery. A nurse held my hand and asked what was wrong. I said, "Is the doctor really as good as he thinks he is?" She laughed and said she'd been his nurse for many years, and that, yes, he really is as good as he thinks he is." When starting to wake up from surgery, I kept saying, "I hate hospitals, and I hate being married." Oops!! Just always talk to your patients call them by name, and give them a little pat or squeeze their hand. It's so important!
I had a surgery where the doctor started cutting on me before the anesthesia took effect. I hate all doctors now.
I appreciate that you are making the psychological connection to the physical. This is vital knowledge. Our mental state helps or hurts our health, obviously our responses to surgery as well. Thank You Golden Dr!!!
Thank you Doctor for your informative videos
I was extreamly anxous before my histerectomy two years ago, I was increadably fortunate that my anesthesiologist was aware of it (having seen my notes) and helped keep me calm. She and her assistant did my anasthetc in such a way that I did not have to feel the mask on my face since that is one of my areas of hypersensitivity.
My chalange was in recovery as due to being autistic I did not come back to normal functioning in a normal way. Recovery was fine (though I had two nurses as the trainee was assined to me with an experenced nurse), I just took a lot longer than normal to be ready to go to the ward as I drop into a deep autistic shutdown sleep in responce to pain and certen medications including opoids. The shutdown ment I lost the ability to speek for most of the first 18 hours post oprative which can be dificult when verbal communication is expected. Incidentaly it took me 15 months to fully come out of the sensory overload event, which is impresivly long even within the autistic community.
It would be realy good to do a video on the specific chalanges which face the autistic comunity esspecaly those with situational mutisum (which is oftern trigerd by stress as well as sensory overloads). My main wish was that I had acces to non verbal communication tools in my recovery period as it woyld have made the necessary communications a lot simpler and clearer in both directions. The pain responsiveness in the autistic comunity is also non standard as most of us are hiper or hypo sensitive to pain and oftern present it in atypical ways making pain management more challenging.
I've had many surgeries through the years, enough so that I now find the experience almost relaxing and euphoric. There's something weirdly calming about fighting through the nerves beforehand and then finally "giving up" and letting the professionals take over. Once, during a hernia surgery that was quite routine I found myself on the inside of a golden pyramid and was telepathically instructed that everything is connected and that there was no death, only an expansion of consciousness and that I would soon understand the living, aware atomic structure of gold itself. It was so beautiful there that I was super disappointed to return, living, to a cold sterile operating room. After that mind blowing experience I never really feared surgery again. I figured if you have to die surgery is a blissful and peaceful way to go. And you don't really "die" anyway...
When I found myself in a room with 18-30 professionals, just as I was slipping away, a beautiful doctor/nurse/assistant bent down at my ear level, looked me in the eye and said, ‘Enjoy your dream.’ I TRUSTED that each of them would go in to perform their part and be watching over us until I regained consciousness all better now. I distinctly remember the camaraderie in her eyes as my guardian, capped off with the feeling of well being when I woke. I don’t remember my dream, I do remember the eye contact and the whisper coupled with the warm acquiescence on my journey. I am one of those elderly who benefit from eye contact and a soft touch-in this case right at my ear level. All personnel should be trained like that.
You seem like such a compassionate doctor. Great video.
This is such an important topic. I'm a mental health patient and have horrible fear about these things. I was so upset it was pathetic. When the surgeon stopped to see me in pre-op and asked how I was I said I was beyond horrified. I should have talked with them about it ahead of time.
I have generalized anxiety, and I have spent *years* practicing mindfulness strategies. When I'm in situations like going into an operating room, I employ those strategies, and they help. The nurse the last time I had a procedure could tell I was anxious, but I think I did a decent job of managing it. I didn't have a panic attack.
You have the kindest soul
You are one of a kind ❤
Thank you. I remember a couple of surgeries where I cried silently due to breast cancer, anxiety, and more.
I am also that goofy patient that will periodically wake up in the middle of the procedure and ask you how's it going, give lectures on personality disorders and randomly give out 800 phone numbers to call in case I don't make it 😂😂😂
That’s beautiful 😂 I do think we tend to cry probably as a mixture of fear, hope, and exhaustion going through our breast cancer surgeries.
I have unfortunately been in an operating room such as yours in which I walked in for a total reverse arthroplasty with nothing on board. I have had breast cancer for which treatment left me with a mood disorder and yes I will be on meds forever. I know that because of my medical diagnoses, most providers have preconceived ideas about me and label me before ever meeting me. Ketamine?? For adults?? I am a retired nurse practitioner and you've surely heard the notion that doctors and nurses are the "worst patients". Yes? At any rate I did very well after this last surgery and I have a great new shoulder with full range of motion in spite of probably being patient type #4, not the Jedi patient the surgical staff would prefer to care for. Meltdown patient?? There is nothing wrong with crying in response to a major surgery. I think it's cruel and unusual punishment to send a patient to the OR with NOTHING on board. I believe the majority of patients are a little nervous to say the least when they find themselves in a cold OR with nothing on board. Things didn't use to be that way. Most people didn't remember the ride to the operating room. And I guess my question is WHY?? I don't label myself, I believe many health care providers label their patients often before they even meet them. I guess we can agree to disagree.
I give props to surgeons and their entire team. Idk how they do it but I appreciate all of you more than you can ever know.
You come across as entirely kind, professional and competent. All traits that I would find very reassuring. I very much appreciate your videos! Thanks (:
When I had my hip replacement I had the most remarkable group of people. I was internally so terribly frightened, I tend to show an outer strong exterior I get almost overly friendly and chatty to make up for my fear. They were just so sweet to me. I let them know that I have an inordinate fear of being bound or tied down so they knocked me out before starting. It made so much difference to me. Anyway I'll stop gushing. It's just that the only other surgery I ever had was totally botched and they almost killed me and so this was a whole new experience and I felt so fortunate to be in such competent and caring hands.
I’m a natural redhead, and I’ve had several surgeries! Only time I remember seeing the operating room was when I went into emergency surgery in 2017 when my colon ruptured. I didn’t walk in either. Was in no pain. I was calm. Whatever they gave me, I was out, because I don’t remember anything but the transfer onto the operating table.
They ask me if I'm a natural redhead lol they don't make dye this good hehehe 😊. But both surgeries I've had I wake up ready to go. They had to give me two shots of the good stuff to relax last time. As well as I get told I'm difficult, not sure what I did to the doctors 😅.
@@trentgay3437with my last surgery my anesthesiologist told me she didn’t buy into the whole “redheads need more drugs” bit. She ate her words when I woke up mid surgery and spoke. I was under heavy sedation and not general. I was having a lipoma excision. I looked to my left shoulder where it was and said “f*** eating chicken again”. Then I went back to sleep. Afterwards she came into my recovery room and apologized for not believing that was a thing.
@mcrchickenluvr they fused my si joint 2.5 weeks ago. I told them the one thing I don't want to do. is wake up when their messing around in my bone marrow with a hammer.
@@trentgay3437 I actually have a high pain tolerance! I’ve heard before that they have to give more anesthesia to redheads, something like that. Wasn’t sure if true. They’ve never said I was difficult or anything! I only told them back in 1988, when I had a D & C, and they used a scope to do some exploratory stuff, I awoke very sick, nauseous. After that in recent years, I’ve told the Anesthesiologist that incident, they’ve given me something prior to waking me, so I don’t get sick anymore. Whatever it was, it works,lol. I’ve had six major surgeries from December 2014 to November 2019. My last surgery was 12 hours long. I had a scoliosis spinal fusion. I’m fused from T3/to my pelvis. My husband stated when my Surgeon came to talk to him, my Surgeon looked very tired! I bet he was!
And yes, I’ve been asked if the carpet matches the drapes. 😂 I’ve been told by my lady who cuts my hair, that my color is not found in a bottle. My Mom had six children, three of us redheads.
You have a special gift of connection, communication and caring the miracle of "trust" the ultimate result. I am blown away by your insight.❤
I'm literally two of these I'm a redhead and I'm the crier I have the worst panic disorder of anybody I know so it's good to know that this is a real thing recognized by anesthesiologist and doctors!
I was never worried to go under before you said that about close to death.