General Medical issues thread

Funny story about anaesthetics..

I went in for a cardiac ablation late last year. The hospital I had the procedure at didn't allow visitors, so I had my parents drop me off. Now, I knew in advance that my cardiologist had a suspicion my accessory pathway was left-sided, which adds to the length of the procedure, but nonetheless still expected it to be complete within ~3 hours. The nurses looked after me during pre-op, and before long I was going in. I sent a quick text to let me folks know.

I remember being wheeled in to the procedure room, and the coldness of the room. The anaesthetic was administered, and I'm gone before I can count to three. I woke up in post-op incredibly groggy. I have no recollection of this, but the nurse asked me how I felt, and amid my somewhat catatonic state, I responded "nauseous", before falling back asleep.

Now in the interim, my parents are anxiously sitting at home waiting to hear how things went. At the 4-hour mark, they called the hospital for an update, only to be told that I was still under. At the 5-hour mark, growing increasingly concerned, they call again. This time they're told, "he's out, but there have been complications and he's in the ICU". Well you can only imagine the panic that ensued.

Well it turns out, the "complications" the nurse was referring to was the nausea, and the "ICU" was a combined ICU/CCU that looked after all post-op patients.

There was also a clock in my room that, for about 2 hours, was spinning like this. I had a nurse 1:1, who came in every 30 minutes to check on my incision site. I joked with her about the clock, but she was a little too non-committal about it. I still have no idea if I was hallucinating, or if the clock was broken.
 
My experience after hernia operation: woke up in 'recovery' (apparently not for the first time) and I recall the anaesthesiologist saying "I'm going to try something else for the pain now - this will be the third one and I'm sure it will work this time." Fortunately I didn't remember the other two times. I do recall that I was the only one left in recovery, even though there were 2 ops after mine.

OK now get out!. No such thing as convalescence🎖

I spent 2 nights in hospital - first night was a given, second night I told them I wasn't going anywhere until the intense pain was managed. (Sorry @coriander , I didn't mention this before :) ).
 
Update:

While we had a 4:40am alarm, traffic was easy, parking was a breeze, and we beat the 5:50am rush of other patients arriving at the day sirgery unit.
We had a short wait in the Welcome Lounge, but spent most of the time from 6:10ish doing admin, RAT test, and getting changed.
With a neurodivergent teen with anxiety and depression, I was glad they had very limited quiet time to think (aka worry). The teen’s psych had recommended we push the disability card to get them first on the list so they wouldn’t work themselves up.

We saw the doc shortly before 7:30, anaesthetist after that. We were amused the doc wrote in nikko on the correct leg. We joked we were going to write “not dis knee” on the good one. ;)

Surgery done by 8, teen asking for me in recovery just before 9. Teen insisted on me taking a photo and messaging my family group chat. She had no memory of this a while later. :D
(“Tell me when to open my eyes Mum, because I can’t keep them open”)

Home shortly after 12, and the Teen’s been making lego, watching Disney movies and lazing around.

Walked a nlock up the road to get ice cream tonight & now need some pain killers. Otherwise in very good spirits.
Good to hear it went well and hopefully the pain will be under control. Teen did very well to manage it as she did. Lots of rest and recuperation now.
 
people occasionally wake up after an op asking when their op is going to start and then they don’t believe you until they are shown the dressings.

Their sense of time is out of whack - thinking they were asleep for just minutes when they have been under for a lot longer.
I was so pain free after one major surgical procedure that I had to ask if it was actually done!
 
I was so pain free after one major surgical procedure that I had to ask if it was actually done!
I was in considerable pain one night after one of my 7 angioplasties. The doctor on the ward (intern?) called my cardio who advised morphine which he'd done for another recent procedure. The intern chose not to tell me or give it, instead giving me panadol. I suspected same and because of discomfort disconnected myself and went wandering to take my mind off it. Next morning on rounds I asked my cardio why he didn't prescribe anything. The intern was standing next to him when I told him I wasn't given what he prescribed. Unfortunately they do not get chastised because the cardio is trying to maintain a cohesive working team.
 
I was in considerable pain one night after one of my 7 angioplasties. The doctor on the ward (intern?) called my cardio who advised morphine which he'd done for another recent procedure. The intern chose not to tell me or give it, instead giving me panadol. I suspected same and because of discomfort disconnected myself and went wandering to take my mind off it. Next morning on rounds I asked my cardio why he didn't prescribe anything. The intern was standing next to him when I told him I wasn't given what he prescribed. Unfortunately they do not get chastised because the cardio is trying to maintain a cohesive working team.
Might not get chastised in front of you but I'd trust, no expect, it to happen behind closed doors. The intern went against his seniors instructions.
 
Correct!
....
And also...
The responses to that article are the most relevant IMO, and pretty much outline why it was a stupid knee-jerk reaction to remove OTC codeine from our shelves.
Edit: was recently forced to go to ED and had been there so long the paracetamol had worn off and I asked for more. The doctor had lost all sense of time because she told me it was too soon and offered me endone. And the stupid fool that I am, I said "Why? I got here at 11:30, it's now 5:30, I'm sure it's okay to give me more paracetamol", which I was duly given. And then I mentally kicked myself because I really enjoy endone. I just thought that for what I had, it was a way OTT choice of pain relief.
 
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Might not get chastised in front of you but I'd trust, no expect, it to happen behind closed doors. The intern went against his seniors instructions.
You'd like to think so. At the start of my journey I was admitted and told I would be transported to RNS next morning for an angio as this new hospital did not then have those facilities. My cardio was at a conference in US at the time. Next morning the attending cardio entered my room on rounds, introduced himself and said he had cancelled the angio because he considered I did not have a heart problem, and he would be happy if "you went home today". Really, it's not my heart? Then what is it? "I don't know". Well, I am not #@$*@&!!! leaving until you do know! He spent 4 days performing every test except the one he should have done. "You have reflux". No I don't.
By Friday I discharged myself. On Monday I called my cardio, now back from US. Next day he performed an angioplasty at another hospital where my stents were 95% blocked.
When I mentioned the wasted week in his hospital the previous week my cardio, who is the nicest man, said "He's only young". 🤣
You wonder at some of the decisions that get made.
 
You wonder at some of the decisions
Yes. Medicos go sometimes get it very wrong.

Some of the problem is related to:
Increasingly they are asked to do more with less pressure to discharge patients earlier, justify why certain tests are done, overservicing claims, risk of complications, risk of complaints of something not done, risk of complaints of something does not turn out just right.

In coronary angiograms, there are lots of patients with classical symptoms (swear on ancestors grave type) of blocked coronaries but when angios are done, nothing is found.

In other fields private health funds are increasingly putting conditions on eligibility for rehab cover after knee replacements.

It can be difficult to find a Dr who is not influenced by any of the above in treatment of patients. Question is to what extent should Drs be influenced by anything other than what they think is best for the patient.
 
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Yes. Medicos go sometimes get it very wrong.

Some of the problem is related to:
Increasingly they are asked to do more with less pressure to discharge patients earlier, justify why certain tests are done, overservicing claims, risk of complications, risk of complaints of something not done, risk of complaints of something does not turn out just right.

In coronary angiograms, there are lots of patients with classical symptoms (swear on ancestors grave type) of blocked coronaries but when angios are done, nothing is found.

In other fields private health funds are increasingly putting conditions on eligibility for rehab cover after knee replacements.

It can be difficult to find a Dr who is not influenced by any of the above in treatment of patients. Question is to what extent should Drs be influenced by anything other than what they think is best for the patient.
Some need to learn to listen.
 
Yes. Medicos go sometimes get it very wrong
Mea culpa and have to own (and learn from) those errors when they happen.

Having said that, one of the trickiest things to get you head around is that sometimes decisions are balanced between pro and cons. A 60/40 decision (when there is no way of making the odds better and the outcomes are equally serious) is still the correct one even though things will go 'wrong' 4 times out of ten.

(This isn't applying to your case @prozac where the consequences of being wrong are more serious)
 
Off topic but still medical and speaking of corporate influence.
A tobacco company actually purchased Vectura last year ~~~
Who you say?
Vectura manufactures respiratory inhalers and devices which are used by thousands of patients… appalling - create the problem then profit from the treatment…
 
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Off topic but still medical and speaking of corporate influence.
A tobacco company actually purchased Vectura last year ~~~
Who you say?
Vectura manufactures respiratory inhalers and devices which are used by thousands of patients… appalling - create the problem then profit from the treatment…
Capitalism at its finest!
 
Mea culpa and have to own (and learn from) those errors when they happen.

Having said that, one of the trickiest things to get you head around is that sometimes decisions are balanced between pro and cons. A 60/40 decision (when there is no way of making the odds better and the outcomes are equally serious) is still the correct one even though things will go 'wrong' 4 times out of ten.

(This isn't applying to your case @prozac where the consequences of being wrong are more serious)
Yes, told given the history I did well to still be here. When you visited GL had told me to please don't walk around the ward.
 
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3/…
I reckon the surgeon and OR team can warm up on someone else before they start on me…
My wife started bleeding quite badly at the hotel just after midnight. She called me while I was in BKK airport waiting in lounge to go to HKG then SYD and I told her to call ambulance.

Sometime after 2:00am they decided they needed to do an emergency caesarian. Her doctor was called out and I think my daughter was born 3:59am. An hour later my wife was still bleeding and she went back in for surgery to remove the womb.

I arrived back 2 days later and stayed a few days and my wife was complaining of pain in the side. I thought this was from caesarian. After I left pain got worse and ultrasound showed ureter damaged from when they ripped out her womb. More surgery to insert a stent which then had to be removed 6 weeks later.

Wife went back to hospital a few times to get the dressing changed but I think they stuffed that one up too. The stitches had come apart and she had a hole the size of a golf ball. Gross incompetence of the highest order. Why not keep the dressing on a few more days?

I've turned this into a long story. Luck or incompetence? My wife went through hell for 2-3 weeks. We paid 130,000 baht for the caesarian and then a charge of 110,000 baht for the hysterectomy. The IVF doctor/surgeon felt guilty. She halved the bill of the post caesarian issues. I should have pushed to pay nothing but wanted this ordeal over.

I've moved on but will never forget what we went through. I don't think the IVF doctor/surgeon was prepared to perform caesarian at 3:00am.
 
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Luck or incompetence?
Even in the best of hands, outcomes are never 100%.

The outcome that is 100% is the mortality rate of the human race, even in the best of hands….

Why not keep the dressing on a few more days
That would not have prevented would breakdown. Dressings are just a cover…

I had a fellow come into emergency asking about the thing on his chest and what he should do about it. It was an ECG dot from the last admission.
 
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Last heparin injection this morning - hurrah. (MrsC did great job injecting her totally needle-phobic husband)
Hopefully the big purple spots across my abdomen will now start to fade. Back to Eliquis per os tomorrow.
Bridging is a pain, isn't it, thankfully I've not needed surgery since I started on Xarelto but my niece has. Luckily her mum is a Registered Nurse with the patience of a saint - for her kids 😂 Heparin made me bruise too when in hospital waiting for DVT to resolve.
 

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