My local ER NEEDS this! Once when I went in; the entire staff did just the opposite of everything you recommend. It did a LOT of damage. One nurse even threatened to call the police & have me charged. Rrrrrrrrrrrrrrrr
All of the surgeries I have had, I had positive experiences in the OR. I usually go in joking and laughing, trying to lighten the mood a little. I am actually looking forward to surgery, because my knee hurts so bad. I am supposed to have knee replacement surgery, some time in the next couple of months. This is my second knee replacement surgery, so I kind of know what to expect. I have learned to ask for music as I am wheeled into the OR; music relaxes me during surgery. Thanks Doc, for attempting to relieve our fears. I have learned a lot, listening to you. I am ready…..
I am having knee replacement on 1 Nov but it is just to replace the replacement I had done in March. I am looking forward to it but I am scared that if it doesn't work I will be permanently disabled. I have had ok outcomes from the anaesthetic.
It is so important to be honest about your concerns, and it is also important to share those concerns with your doctors before surgery. Have you had a chance to do so yet?
I really appreciate your advice. I had hip replacement a few years ago. The anesthesiologist got so mad at me. My.hip was broken and i couldn't pull my legs up in the fetal position. He tried 3 times to do an epidural "?" and couldn't. He yelled at me and told the room i would have to have a general . I woke fighting as they were moving me to a gurney for the recovery room. Very hard.
That sounds awful. I had hip replacement surgery in July, 2022. The anesthesiologist wasn’t able to do the procedure where they numb the body from the waist down because I have scoliosis and he just couldn’t safely get the needle in. Even if you’d had the block, they still use anesthesia. I’m so sorry that you were treated so badly. You deserved to be treated with kindness and compassion. I hope your surgery turned out well and that you are reaping the incredible benefits of having a new hip joint. ❤️
I’m not a doctor but it seems common sense not to cause pain to the patient and something like a hip replacement, as a patient or doctor I would definitely want general anesthesia. ❤Thanks Dr. Kaveh. I had two knees replaced and had Dr. Wong twice. His voice was calm and pleasant like yours. So doctors like you make us patients feel very good even happy because you’re so happy and have positive vibes.
Maybe Dentists use laughing gas because it’s so depressing to go to the dentist. (lol) I still don’t want anyone cleaning my teeth after Covid because Covid is still around.
Nine months of preparing for natural unmedicated home birth twice taught me a lot about who's in control and who to trust so I appreciate this video because I have had a couple of procedures where I was well-treated once and not so much the second time and I have learned to ask or actually insist ahead of time for not only respect but TLC because that's what works for me. The breath is everything.
While I am sorry to hear about what you have gone through, it is also empowering to hear how much more confident you have become in advocating for your own health 🙏
Sorry I missed the live stream! That was awesome and amazing, I’m not scared of needles lol, I’m still waiting for my eye surgery date, happy belated anesthesia day! I don’t like the mask when I’m falling asleep for surgery, I always asked for the I.V.! Do you think my anesthesiologist can film me going to sleep when I have my surgery? I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist physician! I had a steak dinner the other day to celebrate anesthesia day! It takes a special person to be an anesthesiologist or CRNA and you’re one of them! You rock man!
Thank you for not interrupting your ‘presentation’ to thank those who are submitting ‘super thanks’ and questions., and talking to the individual, etc. I appreciate your waiting until the end to address the questions and comments. These subjects have been very interesting to me. When you interrupt yourself for mentions to contributors, the train of thought gets disturbed. I stopped watching you for a while back because of this. Just happened to check again. I woke up during one surgery, I don’t know at what point. My shoulders were being lifted. My only thought was wiggle your fingers. They aren’t going to know your awake. When i ask about it afterwards, the doctors were very dismissive.When I had a knee replacement, I told the anesthetist about it. After the surgery, I began losing my hair. This continued for about two years.
Oh Anthony, you nailed it with control, I recently had a procedure where I was relaxed going in it was an elective procedure. I did my three big breaths but then someone pushed the mask down really tight on my face and it made a big sucking sound, I panicked just as I went out….They also had to do more painful manipulation during the procedure but didn’t compensate with extra pain meds….so I woke up panicked, in much more pain than I expected, and had no idea what they had done to me ….I appeared combatative, throwing myself around trying to beg for pain killers. I’m having flashbacks, I went in confident and came out a bit damaged.
I'm so sorry you had that experience!! That sucks so bad... I hope you feel better soon. And if you ever end up in an OR again, definitely recount that experience to your Anesthesiologist!! You don't deserve to go through that shit again.
Wish you could educate the other medical providers out there. My loved one woke up agitated (with very good reason, by the way) and was treated badly by the hospital staff who brought in 2 security officers to handle him completely unnecessarily. Now we’re all apprehensive about future surgeries.
Hi I had major Thyroid Surgery 6 weeks ago I had a great Thyroid Surgeon I went in and under calmly also I was given nice warm blankets to stay warm it was great,I woke up calmly, i was told i was the perfect patient, i also didnt have any seizures coming out of the anesthetic like i did last, i had 2 major brain surgerys and a stent put in my brain , i have a large brain aneurysm , iv also had a brain bleed, i love your videos watching and following from Brisbane Queensland Australia ❤️ 🇦🇺
You mentioned in a previous video that you sometimes give Versed on the way to the OR. I was given versed just before entering the anaesthesia room before my PLIF. I was not nervous before my surgery, just so thankful to be having the surgery that ended my radiculopathy. I wanted to be relaxed on the table and go to sleep in a quiet, restful manner. Unfortunately, her giving me the versed was my last pre op memory as I slumped to one side of the stretcher while still talking to her. Not the way I wanted to go to sleep. I realize I still may have been able to communicate to her, but the amnesic effect of the versed meant MY last memory was being pushed down a hallway on a stretcher. If I ever have any more surgery, I will ensure I voice my request to have a quiet induction. Have you experienced this scenario before? Love your videos!! (Retired Nurse)
I always put "no versed" on my consent forms. My husband had memory problems for several months after surgery. I'm not sure it was the versed. Personally, I don't like the idea of having conversations that I can't remember. On my last surgery, I had a post intubation complication that was very important for me to participate in and remember about.
I’m usually more than positive going in, I’m glad just to get the help to solve yet another problem. It’s pretty bad when you look at your cancer as the easy part. I have joked with the staff while they’re buzzing around doing what they do. When they put the mask on, I start thinking about something I am interested in. One time as I was going down a list of Judo techniques I had been teaching, the anesthesiologist asked what I was saying. His student said “he’s talking to himself”, I told him I’m parking my brain is all. After they told me I woke up completely quiet.
I know that it’s hard to believe that propofol doesn’t work on me. I can maybe get away a quick 5 minute scope test using propofol but I burn it off too quickly and that is the truth and I can prove it!
Drug metabolism can vary dramatically between people! I'm fine as far as sedatives are concerned - I respond to them normally. But local anesthetics?? I always need to be given extra doses, given something stronger, & it lasts for 50% of the time it should.
My last surgery (#56) the anesthesiologist had a huge syringe of propofol I watched him push in half and tell me “good night “ as he started moving stuff around I turned to him and said “not yet”. He said “O we’ll see about that and pushed the rest in, I lasted about 5 seconds after that.
Is there a way to hear music either thru my ear buds--phone playlist.while n the pre-surgical space? It sure would have helped me greatly before my back surgery. I was terrified but couldn't get my Dr to give me any relaxing meds prior like in years past
I woke up from a recent 6 hour spinal surgery in terrible pain. I asked for pain medication. I was told no because my breathing got somehow screwed up and they had to give me narcan. It was 3 days before I got any pain relief. Then, after I saw my surgeon 3 months later, I told him what happened asked why. He told me that I had previously been awake (which I still do not remember) and had been given a button by which every few minutes I could give myself a small dose of hydromorphone. And my O2 concentration went down to 68%. I had been previously not been told I was going get a button mechanism and still have no memory of any of it. I am still quite horrified by all of this, especially the fact that I was in unmitigated and unmedicated agony for three days after the surgery. And why why why did they handle me in such a way that I had to have narcan??? I am wondering if I have grounds for a malpractice complaint?
I went to sleep thinking that I was throwing caution to the wind and just hoping for the best outcome. I woke up happy AF to see my toes, being able to wiggle them, and the realization that I, in fact, woke up from surgery. It was like closing my eyes and jumping off the bridge knowing that I would be ok. I was in the hands of pros in their industry just like I am a pro in my industry.
Doc you’ve given me heaps of tools to empower me be for being sedated, one I’ll take with me this time is holding the mask. Thanks for the tips Doc, you the best.
After open heart surgery I was in ICU the same night and awake. I was short of breath but had no call light to call for help. It was a new bed and that system was not set up there yet. I couldn’t speak because my throat was so sore from the intubation. I was weak and couldn’t even wave my arm to get someone’s attention. No one came until the routine check. It was terrifying! I have PTSD from that.
@@marykelley782 Thank you Mary. I’m doing okay now but a valve on the right side of the heart is starting to leak which my family doctor said is typical after the mitral valve is replaced. I won’t ever have another replacement. I’ll go into CHF and Hospice to die first. The surgeon allowed me to gain 26 pounds of fluid by discharge and let me go without a diuretic. I was back in the hospital with pneumonia within two days followed by pleurisy on one lung and then the other. The pain from the coughing was nearly unbearable. That surgeon is still the only one covered by my insurance. I won’t go through that again.
I have issues with the mask because I have extreme claustrophobia. I have been known to rip off the mask as I am being oxygenated. Since my favorite anesthesiologist retired, I am completely honest and open with whomever is putting me to sleep. It makes everyone’s life easier.
You have spoke of things I never heard of I learned a lot and also my son passed on accidentental overdose of fentanyl someone put it in his cocaine he bought it was a devastating loss which I will never be over I except him coming home all the time your a very sweet dr
Great idea to hold my own mask, but I've had 7 or eight surgeries and I've often had bith arms strapped down with them both out like a cross. Hopefully that will work for others. I'm scheduled to have a TLIF done tomorrow in the prone position for L3 L4 to decompress spinal stenosis. I've been told I will be given something to help me relax 😌 before going back to the OR. I've had that done for me before and it makes a big difference. I also have a great deal of confidence in my neurosurgeon and have heard outstanding comments about his surgical crew. I'm not worried. Here's hoping for the very best for anyone else facing a surgery soon ❤.
I have bladder cancer surgery next Monday. I am a female and have never smoked. I have a wonderful urologist because I know him. What I am a little nervous about is the anesthesiologist. I have to tell him I don't want Proporlol because I had a severe allergic reaction to soybean oil where I woke up with hives all over me, and I had trouble breathing. I am just hoping that he is not thinking that I am a winer. I waited a little too long for this procedure because of the love of my dog, Madison, who was ill and dying. She was my heart dog . I have no regrets.
Good evening, Dr Kaveh. Thank you for your expertise and sharing with us. I am 74 and with have a total knee replacement in a few days. I have watched so many of your tips in the last couple of months. I feel so much more confident and will wake up and be my very best after surgery. Thank you, again.
Thank you, Dr. Gave (sorry not sure of how to spell your last name) for all the awesome advice you've given me. I have Uterus cancer and I'm having a complete hysterectomy next Thursday. I will do the thing where I think of sucking on a lemon and I will also follow this advice too. I will let you know how the surgery goes and how well I react to the drugs that are given to me.
I love you’re enthusiasm, Information and generous care! Can you please tell us about waking up feeling like glass is in your eyes & not being able to see for 24 hrs or so? Excruciating pain!
As a person with dysautonomia there is something as an anesthesiologist you can do for people like me to keep the patient from waking up in survival mode and it’s counter intuitive. Restrict pain medications, especially fentanyl. During my last procedure my anesthesiologist gave me atropine because he knew my dysautonomia causes bradycardia. And I mentioned how opioids cause my bradycardia and hypoventilation to be much worse. But he gave me fentanyl because he didn’t want me to wake up in pain. But I could hear myself groaning in pain before I was awake enough to consciously feel the pain or realize that I was the one making noise. Instead of waking up with a little pain from the three small incisions ( port replacement) I woke in excruciating pain because every cell in my body was unhappy. I was also intubated so he might have needed to use fentanyl but it just makes things so much worse for people like me.
@@MedicalSecrets opioids of all forms have a detrimental impact on me. The stronger they are the worse it is because either my brain isn’t producing a strong enough impulse to cause my heart to beat and my diaphragm to create effective breathing of those signals are being partially blocked along the path. Opioids, of course, suppress that those signals. As a result of none of my cells being getting oxygenated like they should I often suffer incredible levels of pain. I use emla cream when my port is accessed and that topical application has a minimal impact but internal use of lidocaine and when the dentist has given me carbocaine will increase my dysautonomia problem for days. At least in my case, it would have been better to have used a none opioid like acetaminophen and left me sedated longer to allow the incisions to settle before waking me and then offer something stronger after I woke if needed than to attempt prevent me from waking in pain. Once I came off the ventilator the central apnea effect of my dysautonomia would have come into play so the hospital should probably have monitored me a little closer and even the use of a CPAP after I was off the ventilator could have been medically justified. Between my autism and my dysautonomia I always react very unpredictably to medications so alternatives like supportive therapies are more effective. I have chronic hypovolemia due to the dysautonomia, which is why I have the port, and because of the failure of my old port I was not able to do those infusions properly prior to the replacement so if they had pumped a couple liters of NS into me and done hi flow oxygen rather than returning me to my cannula at 2LPM in the recovery would have also been more effective at reducing my pain. Sad part about living with something as uncommon as this is that I often understand it better than my doctors and nurses. They are always worried about me getting cold but due to the severity of my heat intolerance I’m usually more functional and in less pain under conditions which would be hypothermic for other people. I wear an ice vest whenever I leave my house in the summer, in the winter my thermostat in my house is set at 59 degrees, and if I have to clear snow I often do it in shorts and a tee shirt but have to wear gloves and shoes due to peripheral blood flow problems because I’m at increased risk of quickly getting frost bite ( whole chronic hypovolemia compensation by pulling blood from the extremities thing). I’m the kind of patient where you would have to do extra prep work going back to your medical school emergency medicine books since hypovolemia at my level is normally only encountered in a trauma situation and then it’s just acute. But if you get a dysautonomia patient like me or are dealing with an acute trauma patient with compensated hypovolemia the rules are to give as much fluid as possible without overloading their system, check and bolster electrolytes as needed, and until their brains are showing correct functioning give hi flow oxygen regardless of what the pulse oxymeter is saying. Yes, blowing off too much CO2 can be detrimental to their metabolic pH if done too long, but a little carbolic acid buildup can really increase pain levels, especially with someone like me who has angina that doesn’t throw PVCs on the ECG. I’ve long suspected my angina doesn’t throw PVCs because what blood I have carries oxygen well but there are times not enough of that blood is getting everywhere to carry away CO2 resulting in a localized pH issue often n from my body trying to compensate for the chronic hypovolemia. I know a lot of what I’m talking about isn’t currently recognized by the medical community, but trust me, if they ever look at me as a case study it might change the approach to the areas of medicine that are impacted by my condition. I’m hoping what I’m describing makes sense to you because I’ve tried explaining it verbally to doctors and because of my autism or because it’s not an area that’s been discussed during their medical training they don’t understand what I’m describing. When I’m in the strongest state of compensation my pulse oxymeter that has a PI reading shows me in the basement but that is such a new area of medicine that even when I try to explain it to them it’s like I’m talking a foreign language.
I'm so sorry to hear that! I have POTS, myself, & made sure to mention it SEVERAL TIMES to my surgery team. I'm personally more worried about post-op pain than the dysautonomia, since I already have chronic pain & know that pain worsens my symptoms. So... It's kind of a "benefits outweigh the risks" thing, for me. But I'm glad you know what would work best for you!! Maybe specify next time that you want a regional block & then to start the pain meds after you wake up & are experiencing pain? ONE MAJOR REC FOR POTS PATIENTS: Request fluids before you go under!! I know I'm going to be feeling horrific w/ no hydration for 12 hrs prior to surgery & my vitals will be trash.
Do we need to wean off nightly melatonin prior to surgery? (It’s how I sleep thru bad pain w/o drugs but spine surgery pending.) M & M-ps you are a wonderful Dr ! Generous to teach this way !
Ive had MANY surgeries, but one I remember I was SOOO mean😮 looking back I have NO idea what came over me. My family was stunned. Totally opposite of my personality. I remember feeling like everyone around me had betrayed me 🤦🏼♀️ I wish I could apologize to the nurses I was rude to.
That happened to me once too. I’m so glad to hear now why that happened to me! I thought I was just a horrible person, especially since my mother was there and kept insisting that the nurse I was attacking was a nice person. At the time, I was thinking it was somewhat of a conspiracy against me though lol. Wish I could apologize to my nurse too. I hope she knew why I was acting that way. Thanks for sharing 🙏
I had a nurse who while prepping me just kept making the silliest remarks trying, I guess, to relax me. But it came across as trivializing my situation and almost making fun of all the pain I was in. I don’t even know if he noticed how annoyed I was. Sometimes we have a reason to be mean.
@@Christynmaine I felt that way too. I think the nurse did do something that set me off but I just wasn’t in a frame of mind to handle it properly so all I felt like I could do at the time was be mad and combative. I’ve had MANY surgeries and that was the only time I ever had an experience like that so I’m not completely convinced it was all my fault or the anesthesias fault.
I love you. Wish i could find like minded humans when I need more surgeries. The last surgery i had was great.. I've learned so much about the body. Breathing is so important. The 10+ surgeries before were just terrible...
I used your suggestions The nurse anesthesiologist had a mask on me, but the anesthesiologist wasn’t in yet he Musta had some emergency so she was she kept holding my head way back like I hope she’s not gonna try to put that breathing tube down my throat while I’m awake, but she didn’t. She ask me to look at her eyes and said she liked the color of my eyes. Lol the anesthesiologist finally came in and just said OK now you’re going to go off for a little nap and we’ll see you later.and I did. I was breathing very deep like you have suggested. And she commented how well I was breathing. Lol
I was combative when I woke up. The next surgery I had I asked them to tell me when I would go to sleep and they did. I was ok when I awoke. They also gave me my glasses. That also helped.
I’ve had 2 put in my back at different times. They do wake you up and ask you about your pain and the nodes are put in correctly. Then out you go again. It’s crazy!! Hope your doing well!
I woke up briefly during surgery on my hand and that was actually okay. No pain. But I may need surgery on my spine soon. Waking up during that really worries me. All those exposed nerves!
That’s my worst fear. I was in a coma and well you are more aware than they think and I had delirium when I woke up. Sending love. I’m so sorry that happened to you.
Waking up from a Lithotrypsy, in the OR, I regained consciousness bound up, very tightly with restraints. PANIC! The only thing I could get out was: "Can't breath.." Started bucking on top of the glass-top, procedure table.. remember no more. Woke in a sweat, with a terrible memory, in the recovery room.. Was truly dreadful. I always discuss this with my Anesthesiologist, prior to surgical procedures now..
Sunlight in the room gaves me always a better feeling after ECT and surgery. And pills against headache before I woke up 😂 Standard in germany is Metamizol (You get it with prescription, but in the hospital you don't need one) Or if you have severe pain maybe an opioid. In most cases Tilidine or morphine. Things like fentanyle you get only if you have cancer or something.
Last surgery I had, the surgeon asked me, right after versed, if ‘I’ was ready. I told him, doesn’t matter if I’m ready as long as you all are! 😂He was still scrubbing in at the side. He just laughed, and next I remembered I was in the recovery room. Was in a ton of pain, but not in a complete panic. 🤷♀️
Personal experience; 2 years ago I was traveling by myself and fell and broke my hip. I experienced pain that I couldn’t even imagine was possible. On a scale of 1 to 10 the pain was a 20! 24 hours later I got a full hip replacement in the middle of no-where by myself with no family or friends. When I was moved or a nurse pressed the button to move the bed it was excruciating pain. I arrived on the OR about 32 hours after my fall. I begged the surgeon and anesthesias doc to put me to Sleep before moving Me Again. They said I needed to be on the operating Table before they could give me any anethesia or Put me To Sleep. Fortunately I don’t Remember anything after that. But I have PTSD From my accident and a stupid Fall.
My anesthesiologist was awesome, and knew exactly what I was worried about. He said he sees that I'm a redhead, and to not worry, you won't be waking up during surgery, that I was safer with him than I was driving, and I might wake up crying but that's okay. I woke up joking about farts so I guess there's that lol.
I won’t let a mask go on my face, & I won’t do it for myself. I’ve always was given the sedative via IV so no mask. I don’t wake up in the OR either…well not that I remember! Last time I wanted the post-Op nurse to hold my hand. That was the calmest I ever woke up…except for the time it took 3days to come out of it!
🤭🤣🤭half the time I just enjoy hearing your voice.....you must be a wonderful anesthesiologist in the OR. I always try to make the prep team laugh, as I'm going under, I warned my last team that I'm stronger than I look and I might be trouble 🤣😂 but I trusted the surgeon from the get go. I was a little nervous but not really. I also remembering coming around and joking about the surgical team kicking my eye around the surgical floor,😬🤭😁.....
I was told that when I was waking up from my recent knee surgery, I punched the pregnant recovery room nurse in the nose. She was ok, but said it did hurt. I felt so bad. I'll warn them when I go back for my other knee.
I had one anesthesiologist come into the operating room - I was already on the table - and hit the machine behind me hard several times and ask loudly, "Is this thing working correctly yet?!" It was a horrible hospital and that incident scared me to bits.
Had a surgery today and the staff said I made their difficult morning a delight. They said they couldn't even tell I just came out of general anesthesia and I was super happy and nice. For some weird reason I went on and on about my love for my kids. The nurse said I wouldn't remember any of this and I yes I would (which I do).
Forty two staples removed without pain killers, Canada😶😔😢wow but I screamed in pain so loud the other doors had to be shut. It was worse than the surgery it seemed, terrible. I don't think the nurse knew one hundred percent what she was doing....
Two years ago I found out after painful gallbladder surgery I have the redhead gene that metabolizes pain meds faster. I woke up after surgery crying and hyperventilating from the pain. Following year when I had stomach wrap surgery i told the anesthesiologist what happened. The second time I was pumped full of meds before coming off the OR table so that I woke up with less pain and anxiety.
I just had my gallbladder removed, and the doctor came in to recovery room xto tell me the gallbladder was distended and he did a liver biopsy and at some point in time part of my liver was damaged with cirrhosis. I don't remember anything until my 3rd day post operation. My brother told me I said oh God I'm gonna have to have a liver transplant and was totally freaked out. I have ptsd, depression and anxiety. I did tell the surgeon and the and the whole anesthesia team. My Aunt passed away 4 years ago due to hepatitis C that went into liver cancer and organ failure. Thus why I freaked out.
I don’t really wake up feeling feisty after surgery, however I do feel quite bitter over feeling weak. Before surgery I’m calm, usually I get sedated but I’m calm before then. Last time I got surgery I was just angry at myself for needing surgery in the first place as if it was in my control. I didn’t take that anger out on anyone, instead I just sat in my room and felt sorry for myself for two weeks. I do wish there was a way for me to stop being angry about needing to depend on someone else for once but that’s my issue.
You are not alone in that feeling, which raises the issue of deservingness of healing and self-compassion. I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
I absolutely empathize with you. Sometimes I need help with basic things like getting out of bed or getting dressed or bathing because of my chronic illness, I also feel bitter about my constant doctor's appointments and the side effects of new medications, although I really am so thankful for them. I hate feeling so weak in my 30s. I'm about to have my first major surgery and I feel the same, mad at my body, but very thankful for my doctors. It sucks feeling so out of control of your own body and life when you're not well.
All the surgeries i have had, the anesthesiologist checked out half-hour before i went in. Thankfully it was only general surgery, which i am given ahead atime before going in OR.
I woke up trying to rip my breathing tube out during a colonoscopy/endoscopy and they were SOOOO kind in trying to stop me from hurting myself. They had quickly grabbed my hands when they saw I was about to hurt myself and they held them until I had calmed down as they took the breathing tube out. They told me ahead of time that they were going to take their time in waking me up because of everything I was on. I also had nurses backing my doctor and the Anesthesiologists up when it came to me having my phone and PDM (insulin pump). A nurse in day surgery was trying to take both my phone and PDM away when all 6 of them stepped up.
I will have left shoulder replacement on November 5th. Hopefully, after surgery, I won't be crying and screaming that I am in pain when actually, I am not!
Anthony , I have to say to you - I’m only 56, long life of abuse ( I’m away from )that lead to surgeries ( never spoke of this until now) , very positive and stay strong- no pain meds ( hate them, maybe Tylenol, I’m on blood thinners, I need to feel myself as a whole ), still go outside and work in my gardens - retired nurse in geriatrics (loved and miss) I’ve had 3 strokes , heart attack and diagnosed two years ago with maxillary bone cancer! 2 very bad surgeons, second one said this is beyond me - pats me on the back ,no care whatsoever. And tells me Smoothie King when he knows I’m allergic to fruit. It is in my chart! 2nd surgery left a hole, size of a half of a half $, across sinus to cavity, lied and told me sinus cavity hole was closed! NO- LIES ! I know this because the ton of mucus, food coming out of nose and infections all go through the hole in mouth( I have a plate, not very effective at all) . NO 2nd pathology report 😡 1st was malignant! He’s done with me. I can’t have anymore surgery ( went to new surgeon in Chicago and he said softly, botched surgery, regulations as you know), can’t eat much down to 89lbs. I need a Obturator prosthesis - he is in Chicago- 24-50 grand 😢! My point to all of this is (gas lighting) didn’t have the knowledge until I found you. Now too late. My cancer has now spread into the jaw bone. All of my surgeries, my anesthesiologist, stopped in - everything looks good see ya in the OR. Now watching you , WOW. I’m very nice and wouldn’t hurt a fly- so no outburst from me. If I only found you 2 years ago so I had more knowledge! I can now teach others in my family. Too late for me. I want to thank you 🙏 with my heart and soul for your service, honesty and the way your patients are 100% treated by you! And I would have to say your wife as well. Even tho we’ve never met her. With your knowledge and wisdom- I can help my friends and family even tho a can’t be a nurse anymore ! Thank you , I feel God brought me to your channel- I’ve had dark days but reach for Gods hand and I get back up ! Not enough thanks Anthony ! 🙏🙏🙏. Thank you so much for taking the time to read this. God keep you safe and blessed
I had a closed fracture of the index finger. W/I 3 days of surgery it was infected. After 4 then finally 5 surgeries I had bone infection, osteomyelitis. That put me at risk of amputation.I was on iv push antibiotics for months, a stint in the arm then a stint in the chest. Remember this was a closed fracture so I was STERILE when I went into surgery. I had 2 physicians, the first terrible the second better. But they were both annoyed with my asking questions. It’s terrible when it’s your health, your body and they don’t seem transparent. I’m supposed to go on what, trust?
I was excited about having my hemorrhoidectomy! I was very calm and relaxed when they wheeled me back to the operating room? I did not say a word to them in the operating room?
I am getting nervous about an upcoming surgery. I just want everything to go well. Nervous about going under anesthesia this is my second time. Last first time I went under I was 19 yrs. old and did not have time to really think about what was going on. Now 16 yrs. later I am just starting to overthink everything. I am trying to calm my mind my surgery has not even been scheduled yet.
I have surgery coming up. I'm 70. When my mom had surgery at 85 she woke with dementia. This scares me to death. I've had several surgeries in the past and that is also a concern for me. I had chronic nerve pain for 13 years after one surgery. Any help is appreciated.
Had heart surgery in 2021. Was intubated when I was waking up in cardiac icu. I was left that way for 2 hours. I have OSA. I don’t know why they didn’t remove the intubation tube and put me directly on a bipap machine. I had to breath against the vent for 2 hours. The only thing I could move were my eyes snd my fingers. I was completely paralyzed. Being a music teacher, I played drum rudiments on the side of the bed with my fingers until they took it out. Now I sm scared to death to me put under now
Had bad iv line experience yrs ago my arm was black cried for ages .second op had flashbacks that point of time .was ok the first time .was given pethadine trierd ti fight the mask got growled at for trying to trying tk swioe it off wriggled around the op table staff trried ti calm me down gave me a warm blanket csnn remember the sound of the heart moniter Woke uo after can recall mask being removed tried ti swipe it off
Martial artists, accupuncturists, and birth coaches know that pain is relieved by blowing with pursed lips. If you can blow just as the needle goes in, you may not feel it at all.
I woke up DURING surgery, became combative then yelled at afterwards because I have PTSD???? If PTSD is an issue with surgery why was I never asked if I had it??? This was an extremely traumatic experience and was made worse by the doctor.
My one arm is usually not available to move because of the IV. I’m a hard stick and they usually have difficulty getting the IV and so my arm is usually taped to a board or something and not usable.
Is there any information on how kratom or similar things can affect anesthesia? Would love to see a video about it, I can't find much information online, but I know that it certainly affected my sedation a few years ago during a cardiac catheterization.
Wish you were my anesthesiologist. Maybe then I wouldn't have such intense medical and surgical PTSD. Thank you so much for this information.
My local ER NEEDS this! Once when I went in; the entire staff did just the opposite of everything you recommend.
It did a LOT of damage. One nurse even threatened to call the police & have me charged. Rrrrrrrrrrrrrrrr
What?!?
@@colleenmucci8863 I have medical PTSD and I thought that hypnosis was a junk science but it’s been doing wonders for me and my PTSD!
All of the surgeries I have had, I had positive experiences in the OR. I usually go in joking and laughing, trying to lighten the mood a little. I am actually looking forward to surgery, because my knee hurts so bad. I am supposed to have knee replacement surgery, some time in the next couple of months. This is my second knee replacement surgery, so I kind of know what to expect. I have learned to ask for music as I am wheeled into the OR; music relaxes me during surgery. Thanks Doc, for attempting to relieve our fears. I have learned a lot, listening to you. I am ready…..
I am having knee replacement on 1 Nov but it is just to replace the replacement I had done in March. I am looking forward to it but I am scared that if it doesn't work I will be permanently disabled. I have had ok outcomes from the anaesthetic.
Wow, that is an empowering perspective! I'm wishing you the best 🙏
It is so important to be honest about your concerns, and it is also important to share those concerns with your doctors before surgery. Have you had a chance to do so yet?
I really appreciate your advice. I had hip replacement a few years ago. The anesthesiologist got so mad at me. My.hip was broken and i couldn't pull my legs up in the fetal position. He tried 3 times to do an epidural "?" and couldn't. He yelled at me and told the room i would have to have a general . I woke fighting as they were moving me to a gurney for the recovery room. Very hard.
That sounds awful. I had hip replacement surgery in July, 2022. The anesthesiologist wasn’t able to do the procedure where they numb the body from the waist down because I have scoliosis and he just couldn’t safely get the needle in. Even if you’d had the block, they still use anesthesia. I’m so sorry that you were treated so badly. You deserved to be treated with kindness and compassion. I hope your surgery turned out well and that you are reaping the incredible benefits of having a new hip joint. ❤️
I’m not a doctor but it seems common sense not to cause pain to the patient and something like a hip replacement, as a patient or doctor I would definitely want general anesthesia. ❤Thanks Dr. Kaveh. I had two knees replaced and had Dr. Wong twice. His voice was calm and pleasant like yours. So doctors like you make us patients feel very good even happy because you’re so happy and have positive vibes.
Maybe Dentists use laughing gas because it’s so depressing to go to the dentist. (lol) I still don’t want anyone cleaning my teeth after Covid because Covid is still around.
Nine months of preparing for natural unmedicated home birth twice taught me a lot about who's in control and who to trust so I appreciate this video because I have had a couple of procedures where I was well-treated once and not so much the second time and I have learned to ask or actually insist ahead of time for not only respect but TLC because that's what works for me. The breath is everything.
While I am sorry to hear about what you have gone through, it is also empowering to hear how much more confident you have become in advocating for your own health 🙏
How do you insist? I have tried but didn't work 😢
Thank you, Dr. Kave. I'll concentrate on coughing as the needle goes in. 🤞
Sorry I missed the live stream! That was awesome and amazing, I’m not scared of needles lol, I’m still waiting for my eye surgery date, happy belated anesthesia day! I don’t like the mask when I’m falling asleep for surgery, I always asked for the I.V.! Do you think my anesthesiologist can film me going to sleep when I have my surgery? I really enjoy donating to the anesthesiologist Foundation, since it was hard for me to go to college because of my cerebral palsy, I really wanted to be an anesthesiologist physician! I had a steak dinner the other day to celebrate anesthesia day! It takes a special person to be an anesthesiologist or CRNA and you’re one of them! You rock man!
Thank you for not interrupting your ‘presentation’ to thank those who are submitting ‘super thanks’ and questions., and talking to the individual, etc. I appreciate your waiting until the end to address the questions and comments.
These subjects have been very interesting to me. When you interrupt yourself for mentions to contributors, the train of thought gets disturbed. I stopped watching you for a while back because of this. Just happened to check again.
I woke up during one surgery, I don’t know at what point. My shoulders were being lifted. My only thought was wiggle your fingers. They aren’t going to know your awake. When i ask about it afterwards, the doctors were very dismissive.When I had a knee replacement, I told the anesthetist about it. After the surgery, I began losing my hair. This continued for about two years.
Oh Anthony, you nailed it with control, I recently had a procedure where I was relaxed going in it was an elective procedure. I did my three big breaths but then someone pushed the mask down really tight on my face and it made a big sucking sound, I panicked just as I went out….They also had to do more painful manipulation during the procedure but didn’t compensate with extra pain meds….so I woke up panicked, in much more pain than I expected, and had no idea what they had done to me ….I appeared combatative, throwing myself around trying to beg for pain killers. I’m having flashbacks, I went in confident and came out a bit damaged.
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. How did the rest of your recovery go?
@@MedicalSecretsinitially good thank you, but the stress set off some IBS
I'm so sorry you had that experience!! That sucks so bad... I hope you feel better soon. And if you ever end up in an OR again, definitely recount that experience to your Anesthesiologist!! You don't deserve to go through that shit again.
Wish you could educate the other medical providers out there. My loved one woke up agitated (with very good reason, by the way) and was treated badly by the hospital staff who brought in 2 security officers to handle him completely unnecessarily. Now we’re all apprehensive about future surgeries.
I have to go in on November 3 Rd for 3 hernias and a mesh removal. Fun . Thank you for your help with going under.
You're on top of You're game. Where do I sign up to have you be my surgeon??
Thank you for the kind comments 🙏 I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
I may lose my leg in the OR this coming Tuesday, but I'm prepared mentally as much as I can be. I've been planning for the worst in a positive way.
That sounds like such a challenging situation. I'm wishing you the best 🙏
How’d it go
Hi I had major Thyroid Surgery 6 weeks ago I had a great Thyroid Surgeon I went in and under calmly also I was given nice warm blankets to stay warm it was great,I woke up calmly, i was told i was the perfect patient, i also didnt have any seizures coming out of the anesthetic like i did last, i had 2 major brain surgerys and a stent put in my brain , i have a large brain aneurysm , iv also had a brain bleed, i love your videos watching and following from Brisbane Queensland Australia ❤️ 🇦🇺
You mentioned in a previous video that you sometimes give Versed on the way to the OR.
I was given versed just before entering the anaesthesia room before my PLIF. I was not nervous before my surgery, just so thankful to be having the surgery that ended my radiculopathy. I wanted to be relaxed on the table and go to sleep in a quiet, restful manner.
Unfortunately, her giving me the versed was my last pre op memory as I slumped to one side of the stretcher while still talking to her. Not the way I wanted to go to sleep. I realize I still may have been able to communicate to her, but the amnesic effect of the versed meant MY last memory was being pushed down a hallway on a stretcher. If I ever have any more surgery, I will ensure I voice my request to have a quiet induction.
Have you experienced this scenario before?
Love your videos!!
(Retired Nurse)
I always put "no versed" on my consent forms. My husband had memory problems for several months after surgery. I'm not sure it was the versed. Personally, I don't like the idea of having conversations that I can't remember. On my last surgery, I had a post intubation complication that was very important for me to participate in and remember about.
I’m usually more than positive going in, I’m glad just to get the help to solve yet another problem. It’s pretty bad when you look at your cancer as the easy part. I have joked with the staff while they’re buzzing around doing what they do. When they put the mask on, I start thinking about something I am interested in. One time as I was going down a list of Judo techniques I had been teaching, the anesthesiologist asked what I was saying. His student said “he’s talking to himself”, I told him I’m parking my brain is all. After they told me I woke up completely quiet.
Dr kaveh, god bless, thank you for your time, such a wonderful teacher.....Lotsa love from northern BC Canada 😎🇨🇦🙏❤️
Thank you for the kind comments! 🙏I hope you learned something new and feel empowered to advocate for your health 🙏
I know that it’s hard to believe that propofol doesn’t work on me. I can maybe get away a quick 5 minute scope test using propofol but I burn it off too quickly and that is the truth and I can prove it!
I believe that. Every drug isn’t effective on every single person in the world. It’s impossible.
I have opposite reaction to some medication such as valium, I makes me speed of my head and run around like a crazy person.
Drug metabolism can vary dramatically between people! I'm fine as far as sedatives are concerned - I respond to them normally. But local anesthetics?? I always need to be given extra doses, given something stronger, & it lasts for 50% of the time it should.
My last surgery (#56) the anesthesiologist had a huge syringe of propofol I watched him push in half and tell me “good night “ as he started moving stuff around I turned to him and said “not yet”. He said “O we’ll see about that and pushed the rest in, I lasted about 5 seconds after that.
I want you to be my anesthesiologist so bad. You are so educated and love what you do and that's awesome!!!
Is there a way to hear music either thru my ear buds--phone playlist.while n the pre-surgical space? It sure would have helped me greatly before my back surgery. I was terrified but couldn't get my Dr to give me any relaxing meds prior like in years past
I woke up from a recent 6 hour spinal surgery in terrible pain. I asked for pain medication. I was told no because my breathing got somehow screwed up and they had to give me narcan. It was 3 days before I got any pain relief. Then, after I saw my surgeon 3 months later, I told him what happened asked why. He told me that I had previously been awake (which I still do not remember) and had been given a button by which every few minutes I could give myself a small dose of hydromorphone. And my O2 concentration went down to 68%. I had been previously not been told I was going get a button mechanism and still have no memory of any of it. I am still quite horrified by all of this, especially the fact that I was in unmitigated and unmedicated agony for three days after the surgery. And why why why did they handle me in such a way that I had to have narcan??? I am wondering if I have grounds for a malpractice complaint?
Find an attorney. Quick.
Yes. Definitely file a complaint and talk with an attorney. So sorry you had to experience that!❤️
Yes. Please sue them.
I went to sleep thinking that I was throwing caution to the wind and just hoping for the best outcome.
I woke up happy AF to see my toes, being able to wiggle them, and the realization that I, in fact, woke up from surgery.
It was like closing my eyes and jumping off the bridge knowing that I would be ok. I was in the hands of pros in their industry just like I am a pro in my industry.
Doc you’ve given me heaps of tools to empower me be for being sedated, one I’ll take with me this time is holding the mask. Thanks for the tips Doc, you the best.
After open heart surgery I was in ICU the same night and awake. I was short of breath but had no call light to call for help. It was a new bed and that system was not set up there yet. I couldn’t speak because my throat was so sore from the intubation. I was weak and couldn’t even wave my arm to get someone’s attention. No one came until the routine check. It was terrifying! I have PTSD from that.
I am so sorry......file a complaint with the hospital. Leave a Google review for them as well. I hope you are doing ok ❤️.
@@marykelley782
Thank you Mary. I’m doing okay now but a valve on the right side of the heart is starting to leak which my family doctor said is typical after the mitral valve is replaced. I won’t ever have another replacement. I’ll go into CHF and Hospice to die first. The surgeon allowed me to gain 26 pounds of fluid by discharge and let me go without a diuretic. I was back in the hospital with pneumonia within two days followed by pleurisy on one lung and then the other. The pain from the coughing was nearly unbearable. That surgeon is still the only one covered by my insurance. I won’t go through that again.
I'd sue those negligent bastards.@@marykelley782
@janeschreiner5000 doctors, especially surgeons are so arrogant, cold and totally insensitive. I'd sue him.
I have issues with the mask because I have extreme claustrophobia. I have been known to rip off the mask as I am being oxygenated. Since my favorite anesthesiologist retired, I am completely honest and open with whomever is putting me to sleep. It makes everyone’s life easier.
Another suggestion based on experience: be gently mindful, or do loving kindness meditation.
Absolutely!
You have spoke of things I never heard of I learned a lot and also my son passed on accidentental overdose of fentanyl someone put it in his cocaine he bought it was a devastating loss which I will never be over I except him coming home all the time your a very sweet dr
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. I am wishing you the best in your healing journey 🙏
Great idea to hold my own mask, but I've had 7 or eight surgeries and I've often had bith arms strapped down with them both out like a cross. Hopefully that will work for others. I'm scheduled to have a TLIF done tomorrow in the prone position for L3 L4 to decompress spinal stenosis. I've been told I will be given something to help me relax 😌 before going back to the OR. I've had that done for me before and it makes a big difference. I also have a great deal of confidence in my neurosurgeon and have heard outstanding comments about his surgical crew. I'm not worried. Here's hoping for the very best for anyone else facing a surgery soon ❤.
I have bladder cancer surgery next Monday. I am a female and have never smoked. I have a wonderful urologist because I know him. What I am a little nervous about is the anesthesiologist. I have to tell him I don't want Proporlol because I had a severe allergic reaction to soybean oil where I woke up with hives all over me, and I had trouble breathing. I am just hoping that he is not thinking that I am a winer. I waited a little too long for this procedure because of the love of my dog, Madison, who was ill and dying. She was my heart dog . I have no regrets.
Good evening, Dr Kaveh. Thank you for your expertise and sharing with us. I am 74 and with have a total knee replacement in a few days. I have watched so many of your tips in the last couple of months. I feel so much more confident and will wake up and be my very best after surgery. Thank you, again.
Thank you, Dr. Gave (sorry not sure of how to spell your last name) for all the awesome advice you've given me. I have Uterus cancer and I'm having a complete hysterectomy next Thursday. I will do the thing where I think of sucking on a lemon and I will also follow this advice too. I will let you know how the surgery goes and how well I react to the drugs that are given to me.
I'm wishing you the best 🙏 I'm sure others will send you their positive wishes here as well
Thank you so much! Your advice was very helpful and I survived the operation so far.@@MedicalSecrets
I hope it went well!! 🤞
I have such severe medical PTSD that I’m terrified that if I asked to put my own mask on, hold the hose,etc., I’ll get screamed at.
Thank You!!!
My husband had that... after triple bypass surgery,,,with pump, They had to reintbate him for about 5 days and keep him knocked out..
I love you’re enthusiasm,
Information and generous care!
Can you please tell us about waking up feeling like glass is in your eyes & not being able to see for 24 hrs or so?
Excruciating pain!
As a person with dysautonomia there is something as an anesthesiologist you can do for people like me to keep the patient from waking up in survival mode and it’s counter intuitive. Restrict pain medications, especially fentanyl. During my last procedure my anesthesiologist gave me atropine because he knew my dysautonomia causes bradycardia. And I mentioned how opioids cause my bradycardia and hypoventilation to be much worse. But he gave me fentanyl because he didn’t want me to wake up in pain. But I could hear myself groaning in pain before I was awake enough to consciously feel the pain or realize that I was the one making noise. Instead of waking up with a little pain from the three small incisions ( port replacement) I woke in excruciating pain because every cell in my body was unhappy. I was also intubated so he might have needed to use fentanyl but it just makes things so much worse for people like me.
I am so sorry to hear about what you have been working to heal from. Have other opioids in surgery had the same effect?
@@MedicalSecrets opioids of all forms have a detrimental impact on me. The stronger they are the worse it is because either my brain isn’t producing a strong enough impulse to cause my heart to beat and my diaphragm to create effective breathing of those signals are being partially blocked along the path. Opioids, of course, suppress that those signals. As a result of none of my cells being getting oxygenated like they should I often suffer incredible levels of pain. I use emla cream when my port is accessed and that topical application has a minimal impact but internal use of lidocaine and when the dentist has given me carbocaine will increase my dysautonomia problem for days.
At least in my case, it would have been better to have used a none opioid like acetaminophen and left me sedated longer to allow the incisions to settle before waking me and then offer something stronger after I woke if needed than to attempt prevent me from waking in pain. Once I came off the ventilator the central apnea effect of my dysautonomia would have come into play so the hospital should probably have monitored me a little closer and even the use of a CPAP after I was off the ventilator could have been medically justified. Between my autism and my dysautonomia I always react very unpredictably to medications so alternatives like supportive therapies are more effective. I have chronic hypovolemia due to the dysautonomia, which is why I have the port, and because of the failure of my old port I was not able to do those infusions properly prior to the replacement so if they had pumped a couple liters of NS into me and done hi flow oxygen rather than returning me to my cannula at 2LPM in the recovery would have also been more effective at reducing my pain.
Sad part about living with something as uncommon as this is that I often understand it better than my doctors and nurses. They are always worried about me getting cold but due to the severity of my heat intolerance I’m usually more functional and in less pain under conditions which would be hypothermic for other people. I wear an ice vest whenever I leave my house in the summer, in the winter my thermostat in my house is set at 59 degrees, and if I have to clear snow I often do it in shorts and a tee shirt but have to wear gloves and shoes due to peripheral blood flow problems because I’m at increased risk of quickly getting frost bite ( whole chronic hypovolemia compensation by pulling blood from the extremities thing). I’m the kind of patient where you would have to do extra prep work going back to your medical school emergency medicine books since hypovolemia at my level is normally only encountered in a trauma situation and then it’s just acute. But if you get a dysautonomia patient like me or are dealing with an acute trauma patient with compensated hypovolemia the rules are to give as much fluid as possible without overloading their system, check and bolster electrolytes as needed, and until their brains are showing correct functioning give hi flow oxygen regardless of what the pulse oxymeter is saying. Yes, blowing off too much CO2 can be detrimental to their metabolic pH if done too long, but a little carbolic acid buildup can really increase pain levels, especially with someone like me who has angina that doesn’t throw PVCs on the ECG. I’ve long suspected my angina doesn’t throw PVCs because what blood I have carries oxygen well but there are times not enough of that blood is getting everywhere to carry away CO2 resulting in a localized pH issue often n from my body trying to compensate for the chronic hypovolemia.
I know a lot of what I’m talking about isn’t currently recognized by the medical community, but trust me, if they ever look at me as a case study it might change the approach to the areas of medicine that are impacted by my condition. I’m hoping what I’m describing makes sense to you because I’ve tried explaining it verbally to doctors and because of my autism or because it’s not an area that’s been discussed during their medical training they don’t understand what I’m describing. When I’m in the strongest state of compensation my pulse oxymeter that has a PI reading shows me in the basement but that is such a new area of medicine that even when I try to explain it to them it’s like I’m talking a foreign language.
I'm so sorry to hear that!
I have POTS, myself, & made sure to mention it SEVERAL TIMES to my surgery team. I'm personally more worried about post-op pain than the dysautonomia, since I already have chronic pain & know that pain worsens my symptoms.
So... It's kind of a "benefits outweigh the risks" thing, for me. But I'm glad you know what would work best for you!! Maybe specify next time that you want a regional block & then to start the pain meds after you wake up & are experiencing pain?
ONE MAJOR REC FOR POTS PATIENTS: Request fluids before you go under!! I know I'm going to be feeling horrific w/ no hydration for 12 hrs prior to surgery & my vitals will be trash.
I could listen to you all day! You explain everything so well. I can tell from you soft voice that you really care!
Do we need to wean off nightly melatonin prior to surgery? (It’s how I sleep thru bad pain w/o drugs but spine surgery pending.)
M & M-ps you are a wonderful Dr ! Generous to teach this way !
Hope you don’t mind but I’m going to tell my gas doc about you. You deserve the credit for my enlightenment.
Thank you! Learned a lot!
Ive had MANY surgeries, but one I remember I was SOOO mean😮 looking back I have NO idea what came over me. My family was stunned. Totally opposite of my personality. I remember feeling like everyone around me had betrayed me 🤦🏼♀️ I wish I could apologize to the nurses I was rude to.
That happened to me once too. I’m so glad to hear now why that happened to me! I thought I was just a horrible person, especially since my mother was there and kept insisting that the nurse I was attacking was a nice person. At the time, I was thinking it was somewhat of a conspiracy against me though lol. Wish I could apologize to my nurse too. I hope she knew why I was acting that way. Thanks for sharing 🙏
I had a nurse who while prepping me just kept making the silliest remarks trying, I guess, to relax me. But it came across as trivializing my situation and almost making fun of all the pain I was in. I don’t even know if he noticed how annoyed I was. Sometimes we have a reason to be mean.
@@Christynmaine I felt that way too. I think the nurse did do something that set me off but I just wasn’t in a frame of mind to handle it properly so all I felt like I could do at the time was be mad and combative. I’ve had MANY surgeries and that was the only time I ever had an experience like that so I’m not completely convinced it was all my fault or the anesthesias fault.
When you retire from the OR if you ever do. I think you would be a great teacher.
I love you. Wish i could find like minded humans when I need more surgeries.
The last surgery i had was great.. I've learned so much about the body. Breathing is so important.
The 10+ surgeries before were just terrible...
I used your suggestions The nurse anesthesiologist had a mask on me, but the anesthesiologist wasn’t in yet he Musta had some emergency so she was she kept holding my head way back like I hope she’s not gonna try to put that breathing tube down my throat while I’m awake, but she didn’t. She ask me to look at her eyes and said she liked the color of my eyes. Lol the anesthesiologist finally came in and just said OK now you’re going to go off for a little nap and we’ll see you later.and I did. I was breathing very deep like you have suggested. And she commented how well I was breathing. Lol
I was combative when I woke up. The next surgery I had I asked them to tell me when I would go to sleep and they did. I was ok when I awoke. They also gave me my glasses. That also helped.
It’s
good day
Thank you so much for these videos. I am watching them in preparation for a procedure coming up in a few days. Hitting like on every one I watch! ❤
My last surgery was a pain stimulator implanted where I woke up during surgery and started talking to them. They turned out my lights quickly 😅
How's your stimulator going
I’ve had 2 put in my back at different times. They do wake you up and ask you about your pain and the nodes are put in correctly. Then out you go again. It’s crazy!! Hope your doing well!
I woke up briefly during surgery on my hand and that was actually okay. No pain. But I may need surgery on my spine soon. Waking up during that really worries me. All those exposed nerves!
That’s my worst fear. I was in a coma and well you are more aware than they think and I had delirium when I woke up.
Sending love. I’m so sorry that happened to you.
Waking up from a Lithotrypsy, in the OR, I regained consciousness bound up, very tightly with restraints. PANIC! The only thing I could get out was: "Can't breath.." Started bucking on top of the glass-top, procedure table.. remember no more. Woke in a sweat, with a terrible memory, in the recovery room.. Was truly dreadful. I always discuss this with my Anesthesiologist, prior to surgical procedures now..
That is so scary and terrible!! I am so sorry!😢❤
Sunlight in the room gaves me always a better feeling after ECT and surgery. And pills against headache before I woke up 😂
Standard in germany is Metamizol (You get it with prescription, but in the hospital you don't need one)
Or if you have severe pain maybe an opioid. In most cases Tilidine or morphine. Things like fentanyle you get only if you have cancer or something.
Hey Doc! Missed the live stream but got to watch this now .
Thank you for your time very interesting and informative 🙏🙏🙏🙏
Last surgery I had, the surgeon asked me, right after versed, if ‘I’ was ready. I told him, doesn’t matter if I’m ready as long as you all are! 😂He was still scrubbing in at the side. He just laughed, and next I remembered I was in the recovery room. Was in a ton of pain, but not in a complete panic. 🤷♀️
Thank you!
Personal experience; 2 years ago I was traveling by myself and fell and broke my hip. I experienced pain that I couldn’t even imagine was possible. On a scale of 1 to 10 the pain was a 20! 24 hours later I got a full hip replacement in the middle of no-where by myself with no family or friends. When I was moved or a nurse pressed the button to move the bed it was excruciating pain. I arrived on the OR about 32 hours after my fall. I begged the surgeon and anesthesias doc to put me to
Sleep before moving
Me
Again. They said I needed to be on the operating
Table before they could give me any anethesia or
Put me
To
Sleep.
Fortunately I don’t
Remember anything after that. But I have PTSD
From my accident and a stupid
Fall.
I shared your video and many others. Love your videos ❤❤❤
My anesthesiologist was awesome, and knew exactly what I was worried about. He said he sees that I'm a redhead, and to not worry, you won't be waking up during surgery, that I was safer with him than I was driving, and I might wake up crying but that's okay. I woke up joking about farts so I guess there's that lol.
I won’t let a mask go on my face, & I won’t do it for myself. I’ve always was given the sedative via IV so no mask. I don’t wake up in the OR either…well not that I remember! Last time I wanted the post-Op nurse to hold my hand. That was the calmest I ever woke up…except for the time it took 3days to come out of it!
I’m grateful for your help
Never heard about being combative after surgery.
Will say i will NEVER have ketamine again. It was horrible, trippy.
Omg! I had the same experience with Ketomine. I have an up coming surgery and I’m telling them NO Ketamine.
🤭🤣🤭half the time I just enjoy hearing your voice.....you must be a wonderful anesthesiologist in the OR. I always try to make the prep team laugh, as I'm going under, I warned my last team that I'm stronger than I look and I might be trouble 🤣😂 but I trusted the surgeon from the get go. I was a little nervous but not really. I also remembering coming around and joking about the surgical team kicking my eye around the surgical floor,😬🤭😁.....
I was told that when I was waking up from my recent knee surgery, I punched the pregnant recovery room nurse in the nose. She was ok, but said it did hurt. I felt so bad. I'll warn them when I go back for my other knee.
I had one anesthesiologist come into the operating room - I was already on the table - and hit the machine behind me hard several times and ask loudly, "Is this thing working correctly yet?!" It was a horrible hospital and that incident scared me to bits.
Sleep studies before surgery are ideal! Allergy testing... more than ever simple tests are skipped and emergency care is the threat.
Thank you thank you thank you!
Had a surgery today and the staff said I made their difficult morning a delight. They said they couldn't even tell I just came out of general anesthesia and I was super happy and nice. For some weird reason I went on and on about my love for my kids. The nurse said I wouldn't remember any of this and I yes I would (which I do).
Forty two staples removed without pain killers, Canada😶😔😢wow but I screamed in pain so loud the other doors had to be shut. It was worse than the surgery it seemed, terrible. I don't think the nurse knew one hundred percent what she was doing....
Two years ago I found out after painful gallbladder surgery I have the redhead gene that metabolizes pain meds faster. I woke up after surgery crying and hyperventilating from the pain.
Following year when I had stomach wrap surgery i told the anesthesiologist what happened. The second time I was pumped full of meds before coming off the OR table so that I woke up with less pain and anxiety.
Wish you could be there with me next Thursday when I have shoulder surgery! So not looking forward to it!!
I woke up fighting. The nurse talked to me until I calmed down. I wear glasses and couldn’t see clearly. Once I had my glasses on that helped.
I just had my gallbladder removed, and the doctor came in to recovery room xto tell me the gallbladder was distended and he did a liver biopsy and at some point in time part of my liver was damaged with cirrhosis. I don't remember anything until my 3rd day post operation. My brother told me I said oh God I'm gonna have to have a liver transplant and was totally freaked out. I have ptsd, depression and anxiety. I did tell the surgeon and the and the whole anesthesia team. My Aunt passed away 4 years ago due to hepatitis C that went into liver cancer and organ failure. Thus why I freaked out.
I don’t really wake up feeling feisty after surgery, however I do feel quite bitter over feeling weak. Before surgery I’m calm, usually I get sedated but I’m calm before then. Last time I got surgery I was just angry at myself for needing surgery in the first place as if it was in my control. I didn’t take that anger out on anyone, instead I just sat in my room and felt sorry for myself for two weeks. I do wish there was a way for me to stop being angry about needing to depend on someone else for once but that’s my issue.
You are not alone in that feeling, which raises the issue of deservingness of healing and self-compassion. I hope you've found a trusted healer to integrate your whole story to give you the care you deserve 🙏
I absolutely empathize with you. Sometimes I need help with basic things like getting out of bed or getting dressed or bathing because of my chronic illness, I also feel bitter about my constant doctor's appointments and the side effects of new medications, although I really am so thankful for them. I hate feeling so weak in my 30s. I'm about to have my first major surgery and I feel the same, mad at my body, but very thankful for my doctors. It sucks feeling so out of control of your own body and life when you're not well.
All the surgeries i have had, the anesthesiologist checked out half-hour before i went in. Thankfully it was only general surgery, which i am given ahead atime before going in OR.
I woke up trying to rip my breathing tube out during a colonoscopy/endoscopy and they were SOOOO kind in trying to stop me from hurting myself. They had quickly grabbed my hands when they saw I was about to hurt myself and they held them until I had calmed down as they took the breathing tube out. They told me ahead of time that they were going to take their time in waking me up because of everything I was on. I also had nurses backing my doctor and the Anesthesiologists up when it came to me having my phone and PDM (insulin pump). A nurse in day surgery was trying to take both my phone and PDM away when all 6 of them stepped up.
I'm so sorry you had that experience, but I greatly admire your vulnerability in sharing that. How did the rest of your recovery go?
I will have left shoulder replacement on November 5th. Hopefully, after surgery, I won't be crying and screaming that I am in pain when actually, I am not!
Anthony , I have to say to you - I’m only 56, long life of abuse ( I’m away from )that lead to surgeries ( never spoke of this until now) , very positive and stay strong- no pain meds ( hate them, maybe Tylenol, I’m on blood thinners, I need to feel myself as a whole ), still go outside and work in my gardens - retired nurse in geriatrics (loved and miss) I’ve had 3 strokes , heart attack and diagnosed two years ago with maxillary bone cancer! 2 very bad surgeons, second one said this is beyond me - pats me on the back ,no care whatsoever. And tells me Smoothie King when he knows I’m allergic to fruit. It is in my chart! 2nd surgery left a hole, size of a half of a half $, across sinus to cavity, lied and told me sinus cavity hole was closed! NO- LIES ! I know this because the ton of mucus, food coming out of nose and infections all go through the hole in mouth( I have a plate, not very effective at all) . NO 2nd pathology report 😡 1st was malignant! He’s done with me. I can’t have anymore surgery ( went to new surgeon in Chicago and he said softly, botched surgery, regulations as you know), can’t eat much down to 89lbs. I need a Obturator prosthesis - he is in Chicago- 24-50 grand 😢! My point to all of this is (gas lighting) didn’t have the knowledge until I found you. Now too late. My cancer has now spread into the jaw bone. All of my surgeries, my anesthesiologist, stopped in - everything looks good see ya in the OR. Now watching you , WOW. I’m very nice and wouldn’t hurt a fly- so no outburst from me. If I only found you 2 years ago so I had more knowledge! I can now teach others in my family. Too late for me. I want to thank you 🙏 with my heart and soul for your service, honesty and the way your patients are 100% treated by you! And I would have to say your wife as well. Even tho we’ve never met her. With your knowledge and wisdom- I can help my friends and family even tho a can’t be a nurse anymore ! Thank you , I feel God brought me to your channel- I’ve had dark days but reach for Gods hand and I get back up ! Not enough thanks Anthony ! 🙏🙏🙏. Thank you so much for taking the time to read this. God keep you safe and blessed
I had a closed fracture of the index finger. W/I 3 days of surgery it was infected. After 4 then finally 5 surgeries I had bone infection, osteomyelitis. That put me at risk of amputation.I was on iv push antibiotics for months, a stint in the arm then a stint in the chest. Remember this was a closed fracture so I was STERILE when I went into surgery. I had 2 physicians, the first terrible the second better. But they were both annoyed with my asking questions.
It’s terrible when it’s your health, your body and they don’t seem transparent. I’m supposed to go on what, trust?
I'll have a knee replacement surgery Jan 22 2024
🙏🙏🙏
I was excited about having my hemorrhoidectomy! I was very calm and relaxed when they wheeled me back to the operating room? I did not say a word to them in the operating room?
What about asking all of staff for prayer before the surgery?
I am getting nervous about an upcoming surgery. I just want everything to go well. Nervous about going under anesthesia this is my second time. Last first time I went under I was 19 yrs. old and did not have time to really think about what was going on. Now 16 yrs. later I am just starting to overthink everything. I am trying to calm my mind my surgery has not even been scheduled yet.
Very good video; would the advice be applicable to conscious sedation? I only know that i am receiving midazolam but no one has really talked to me.
I've unfortunately had 14 surgeries in my 70 yrs. Don't think I've had but 1 episode of couldn't get myself awake and it made me irritated.
I have surgery coming up. I'm 70. When my mom had surgery at 85 she woke with dementia. This scares me to death. I've had several surgeries in the past and that is also a concern for me. I had chronic nerve pain for 13 years after one surgery. Any help is appreciated.
Had heart surgery in 2021. Was intubated when I was waking up in cardiac icu. I was left that way for 2 hours. I have OSA. I don’t know why they didn’t remove the intubation tube and put me directly on a bipap machine. I had to breath against the vent for 2 hours. The only thing I could move were my eyes snd my fingers. I was completely paralyzed. Being a music teacher, I played drum rudiments on the side of the bed with my fingers until they took it out. Now I sm scared to death to me put under now
Had bad iv line experience yrs ago my arm was black cried for ages
.second op had flashbacks that point of time .was ok the first time .was given pethadine trierd ti fight the mask got growled at for trying to trying tk swioe it off wriggled around the op table staff trried ti calm me down gave me a warm blanket csnn remember the sound of the heart moniter
Woke uo after can recall mask being removed tried ti swipe it off
Thanks sorry doc I wish I could give more but the Australian $ is so weak against the US$. Give some treats to your little fur babies.
So kind of you! 🙏 I hope you learned something new and feel empowered to advocate for your health!
Martial artists, accupuncturists, and birth coaches know that pain is relieved by blowing with pursed lips. If you can blow just as the needle goes in, you may not feel it at all.
When receiving a pacemaker are you Unconscious?
Or is it like being on the Table in the Cath lab and Feeling Good and Talking to the Dr’s?
I’ve had many surgeries, never had any bad problems. On Monday I’m having a scs inserted and I’m scared to death.
I'm wishing you the best 🙏 hopefully you will have a chance to share your concerns with your doctors to put some of those concerns at ease
Me? Calm? HAHAHAHAHA. Looking forward to this one!
I woke up DURING surgery, became combative then yelled at afterwards because I have PTSD????
If PTSD is an issue with surgery why was I never asked if I had it???
This was an extremely traumatic experience and was made worse by the doctor.
I just remember being a noted that I’m being forced to wake up from a good sleep. Don’t say anything but just want to roll over and sleep
My one arm is usually not available to move because of the IV. I’m a hard stick and they usually have difficulty getting the IV and so my arm is usually taped to a board or something and not usable.
Now I'm scared to be put under. Do do all people talk waking up.
I was warmed by one of those hoses for my laparoscopy heard without it a laparoscopy can be very painful.
Is there any information on how kratom or similar things can affect anesthesia? Would love to see a video about it, I can't find much information online, but I know that it certainly affected my sedation a few years ago during a cardiac catheterization.
Last colonoscopy I was put under without notice. I woke up disoriented. Normally I'm told before and watch as the medication is being injected.
Hi
Should I be concerned with severe trachea issues and anesthesia?
I should add I hit the doctor after one surgery and I tried getting out of bed in the recovery room.