Anesthesiologist gets anesthesia (and surgery) 

That sounds like a very profound and powerful experience! It's great that you were able to find meaningful purpose in your position making important equipment, for a critical job, in an extremely precise and delicate line of work. Your machines meant life or death. I wish automotive engineers had to visit repair shops and were forced to watch us bust our knuckles and get underpaid having to repair things tangled up in their horrible designs. 😑

Nellcor? It is now a subsidiary of Medtronic. Nellcor SpO2 technology is inside almost every patient monitor.

I'm surprised the anesthesiologist didn't mention the perfusionist, who assumes function of the heart and lungs and is arguably 100% responsible for keeping the patient alive during cardiopulmonary bypass

Absolutely. He's professionally at the top of his career, yet he treats his colleagues also as consummate professionals who are more than proficient in their own right.

100% agree. I’ve never had a bad anesthesiologist.

Same! I've had several surgeries and a lot of doctors are so arrogant or just straight up disrespectful to their patients, but anaesthetists (which seems to be what we call them here? Rather than anaesthesiologists, but idk, maybe it's just the people I've encountered use that word more) have always been lovely and sympathetic towards me.

I beg to differ. I woke up during knee surgery. When surgery ended I was petrified, I still am a little nutty when I hear a hammer strike a cold chisel. He discounted the fact I work up until I told him almost verbatim what he and the surgeon were discussing. He turned pale. Please believe your patients

I work with dental anesthesiologists and they're all so kind, hardworking, and down to earth. They treat everybody with respect.

@@gina-es5ul dental anesthesiologists are the NICEST people. I will get any type of surgery no problem but when it comes to my mouth 😳 the Anesthesia team at my dentist were amazing. Gave me a cocktail then when I was sitting there played the music I like then I was just put off to sleep, easiest dental surgery ever.

The best way to find out who the best Dr is for your problem especially surgery is to ask a medical rep/medical sales person who goes into procedures in the operating room with their product. They see all types of drs and how they act in the operating room. Are they cowboys? Do they run rickshaw or treat the or staff w respect, do they perform in a way that is the most advantageous for the patient and great patient outcomes? Just keep them in mind. It has worked for me as my husband used to be in medical sales and would never go into a personal surgery without asking colleagues who the best is in their field.

I don't know you, but I'll beg you to stop taking the opioids as SOON as you can handle the pain with max dose 800mg ibuprofen and 1,000mg Tylenol round the clock. It takes 2-3 days of opioid use to form a dependency. You will soon find yourself reaching for them despite not actually being in horrible pain. I was a "good" person who nobody would ever expect to struggle with opioid dependency at any point in life. A broken leg changed that. The D.A.R.E. classes and ample drug education can do nothing to stop the neurochemical reactions that occur in a human brain when using opioids. :'( If you find yourself wanting them despite tolerable pain levels, or if you find yourself taking the maximum dose despite only moderate pain, give them to a family member to hide and start a 2 or 3 day crash taper. Get some Imodium and doxylamine succinate, and tough out the few days of cessation-related discomfort. I beg you. :(

@@mannys9130 I'm already off Norco and down to Tramadol. In a few days I expect it to be a combination of tylenol and ibuprofen. Trust me, my plan is to get off this stuff.

I think its a bit of a simplification. Educating yourself on what is going on with your body is important to a lot of people to ease stress and anxiety of what is going on. I live with a chronic illness and I’ve consistently done a ton of research into my conditions and the updated treatments - not so I can tell a doctor what to do, but to go in being able to have an educated conversation - Ive pointed my doctors to research they haven’t seen yet that has helped not only me but other patients as well. I think the key thing here is EDUCATING yourself, not demanding things of your doctor. The idea that you should simply feel comfortable with whatever a doctor says because its what they say isn’t right either - Doctors are human and therefore just as fallible as anyone else. If you go in as an educated, but not demanding, patient, you can truly be a partner in your own care. Ive declined things from my doctor because Ive done my research and make determinations for my own body and well being based on what Ive learned from reputable sources. For example the risk reward of potential side effects have made me say no to treatments because of my own medical history and risks my doctors aren’t fully aware of I’ve spoken to the doctor and been able to explain why Ive said no to something and they’ve understood and given me options Educating yourself as a patient and being a self advocate nothing to be looked down upon. Being an ass to your doctor is. There’s a big difference between those two

As it turns out, these are frequently not true for women (cause the medical field and especially field of medications knows too little about us) and trust me, when you're NOT a standard case person, you very unfortunately are likely to end up educating your medical professional on how to treat you safely. Because the medical fiels is just massive and you kind of cannot expect some super specialised person to know about e.g. how sth. like the still rather not well researched "AD(H)D in women" can impact EVERYTHING between which treatment options are even thinkable (e.g. cause you're liely to struggle taking medications) to anesthesia (often lots of trauma which affects the nervous system and pain perception, being prone to reflux and vomiting due to frequently anxiety hampered stomach). The list is huge. Professionals are excellent for "standard" cases and these procedures are very safe. But some of us are literally more likely to suffer significant problems if we don't get smart and informed enough in order to know which information to give the professional so they could make good decisions. Know what it's like when everyone wants to save your precious uterus at all costs and prevent scarring so you can stay pretty, but all you want, is a) health, end of pain b) no blasted uterus, cause you need permanent solutions that end the need of regular meds, if possible. Also, no kids thanks. c) "I don't care what my battle scar lookss like, give me the most functional procedure and just make sure it doesn't rip open with my really bad tissue!" 😅 They are people. They have limits and biases. Sometimes it's indeed necessary to hand over control n trust them. But sometimes, doing so is a terrible idea, cause no matter how much you wished you were, you're not a "standards case". 🥲

Not in my opinion, no. I am extraordinarily nauseous follow GA. Every time I've gone under, I wake up ready to puke my guts up for 4 to 5 hours. Ondansetron and prochlorperazine don't help much. My spinal nerves also react poorly to GA and I suffer difficulty peeing and serious constipation following even a short procedure. From now on, if I need a surgery that can be done with a regional block or local, I'm electing to use those methods rather than GA.

Asking a patient what they had for breakfast is a classic anesthesia line 😅

I fear that a lot of hte demanding actually is a result of people at large having ha way too many negative experiences in their medical systems. It's a reality that medical staffs are ofte overworked AND are not given talk time by insurances and in some countries, things are insanely expensive, which curbs expectations and the pressure on people to be as effective in "getting treatment" as possible. Work environments demanding ppl to not skip work days for appointments (oh....the idiocy...) make it even worse. And people are constantly bombarded with information on how they got misdiagnosed. Seriously, especially as a woman AND neurodivergent at that, I can not AFFORD to not be underinformed. Your 10+ years of school don't help me, cause the effects of misogyny and ableism on medicine are incredibly real. And how often I hear doctors speak about how THEY "never learned any of this during medical school...." is an uncomfortable truth. I went in to "demand" a hysterectomy with a surgeon, end of last year. Said surgeon turned that down for reasons he named that were ... rather questionable. I almost died that day, that's how devastating it was to not be heared after FINALLY bringing up the strength to attend to my issue. And it's only thanks to our medical system being "free" (other htan the basic fee) for a majority of procedures and doctors, that I found the strength to give it another "last try" months later. Explicitly asking via email before if they'd give my case a chance or just turn me down for same superficial reasons. I was very lucky and got told they'll not turn me down in that way. And that surgeon is the nicest doctor I've ever met. If not for him, my life would still be a miserable mess. He hurt my urether, I needed re-implantation. I didn't care. I reassured him to never have regrets, because even after half a year of all sorts of complications, I'm still happier than before by a breath-taking huge load! There are people who are demanding in very unreasonable ways. Many. Absolutely agree with you. BUT, I ask you to never lose sight, that in a majority of cases, people have very solid reasons, why they're demanding. They have story and backgrounds and information that THEY are experts in. They're trying to survive, often. When you see these people, I hope you remember, that they usually need more kindness than anyone, more questions as to how they reached their conclusions and a more humne approach than "I'm doing this for x years, I know what is best for you".

In reality: yes! AND there's that bit where people from the field tend to have a particular set of fears that is typical to the insider look. You may have 10 capabl collegus, but with 3 of them you have difficult work releationships and thus, you know that they are most likely to get impacted in their performace, cause YOU are not a stranger patient. So YOUR reputation can actually get in the way of your treatment, by scaring the ppl like no regular patient would scare them. It's a question of "psychological impact of power dynamics". They are asking about options, cause each professional can develop preferences according to their personal priorities. And they'll feel better and be less likely to cause trouble afterwards, if said preferences are attended to. Regular patients cannot usually do that. After all, they have not studied the field! X'D It's very real, that the leading figures of a field usually have to put up with their own service being provided to them by people with less expertise, cause .... um .... they're the leading figure. It's a common dillemma, actually. And the team is trying to accomodate for that. So you can say, it's a psychological matter. What they are actually asking: Who's most likely to be forgiven, if anything goes wrong, cause you'll accept it as "sth. that happens", rather than "sth. this collegue messed up cause they didn't do what I would have done in their stead!". Because when things go wrong, your emotions barge through your psychological setup with very minimal suppression X'D and it'll absolutely abuse these cracks to wreck you. Hence, part of patient health, is to ensure sufficient trust. And he turned out to be very trusting of the team. And some other people won't get there so easily X'D (I hear Neurologists tend to struggle with character and giving up control :P)

People can become "addicted" to anything in life. Gambling, sex, cleaning, eating, making money, learning, working out, body building, shopping, etc., are all common psychological addictions. Have you tried ketamine therapy for treatment resistant major depression?

@@mannys9130 I'm honestly not interested in any more therapies. Can't trust any doctor after whatever has happened.

😂😂😂

(I recorded this before I graduated, you didn’t miss anything!)

@@MaxFeinsteinMD Thanks for responding and congratulations on graduating residency.

Congrats Dr. 🎉

nope