SOOPOO
SOOPOO
Joined: Aug 8, 2010
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July 11th, 2019 at 11:41:11 AM permalink
Quote: AxelWolf

How do you calculate how much to administer to a celebrity who probably lies about their drug and alcohol usage. I assume that will affect their tolerance levels to the drug? Or is that not much of a factor when giving that drug?



Actually a great question... cocaine/alcohol:narcotic addicts tend to need around the ‘normal’ amount of propofol to be out to sleep, anecdotally just a tad more. The problem is post op when the mg of dilaudid I order doesn’t touch them.
Having had a few drinks with you, where you easily outdrank me 5-1, you may have built up a small tolerance as well..,,,
More important is lying about weight. I once wanted to say to a woman.... is that weight you just said your left half or your right half?
rsactuary
rsactuary
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July 11th, 2019 at 12:08:39 PM permalink
I had Propofol when I had my colonoscopy last year. I literally could feel the affects of it within seconds of it being administered, and I was out cold in less than a minute. Didn't feel too bad afterwards either.

follow up question: the way it was explained to me, there is three levels of anesthesia... local, twilight and general. What is the different between twilight and general? Because, as I said, I was out cold.
SOOPOO
SOOPOO
Joined: Aug 8, 2010
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July 11th, 2019 at 12:27:51 PM permalink
Quote: rsactuary

I had Propofol when I had my colonoscopy last year. I literally could feel the affects of it within seconds of it being administered, and I was out cold in less than a minute. Didn't feel too bad afterwards either.

follow up question: the way it was explained to me, there is three levels of anesthesia... local, twilight and general. What is the different between twilight and general? Because, as I said, I was out cold.



The great likelihood is that you were in what is referred to as 'twilight'. It is hard to explain without seeing it, but they may have asked you to roll over, take a deep breath, or other such things and you likely complied. You may have even been talking. In your case, you obviously remember none of it. Propofol, and sometimes an adjunct, versed, will cloud or eliminate your memory. The line between general anesthesia and 'twilight' is not an exact one.

My favorite anecdotal story is this.... Had a patient who I had just given Versed. Still awake and chatty. Talked about our Buffalo Bills. He was bemoaning our head coach, Dick Jauron. Incessantly. Post op I spoke with him. He thanked me for putting him to sleep in the pre op area I told him he was awake into the OR, just he couldn't remember. He didn't believe me. I then quoted his anti Dick Jauron diatribe and his face turned pale.

The drugs I administer are amazing. The inventors of propofol drive Porsches. Good!

By the way, if you got a bill, it should state either "general anesthesia" or "monitored anesthesia care" to differentiate the type you officially had.
rxwine
rxwine
Joined: Feb 28, 2010
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July 11th, 2019 at 1:17:34 PM permalink
If you go to sleep at night and have a dream about eating giant marshmallows, and in the morning your pillows are gone, that is "twilight".
Quasimodo? Does that name ring a bell?
rsactuary
rsactuary
Joined: Sep 6, 2014
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July 11th, 2019 at 1:47:46 PM permalink
Quote: SOOPOO

The great likelihood is that you were in what is referred to as 'twilight'. It is hard to explain without seeing it, but they may have asked you to roll over, take a deep breath, or other such things and you likely complied. You may have even been talking. In your case, you obviously remember none of it. Propofol, and sometimes an adjunct, versed, will cloud or eliminate your memory. The line between general anesthesia and 'twilight' is not an exact one.

My favorite anecdotal story is this.... Had a patient who I had just given Versed. Still awake and chatty. Talked about our Buffalo Bills. He was bemoaning our head coach, Dick Jauron. Incessantly. Post op I spoke with him. He thanked me for putting him to sleep in the pre op area I told him he was awake into the OR, just he couldn't remember. He didn't believe me. I then quoted his anti Dick Jauron diatribe and his face turned pale.

The drugs I administer are amazing. The inventors of propofol drive Porsches. Good!

By the way, if you got a bill, it should state either "general anesthesia" or "monitored anesthesia care" to differentiate the type you officially had.



he told me specifically it would be twilight. thanks!
AxelWolf
AxelWolf
Joined: Oct 10, 2012
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July 11th, 2019 at 3:39:34 PM permalink
Quote: SOOPOO

The problem is post op when the mg of dilaudid I order doesn’t touch them.

Quit being so damn stingy. Or is that just in your nature, if you know what I mean.
♪♪Now you swear and kick and beg us That you're not a gamblin' man Then you find you're back in Vegas With a handle in your hand♪♪ Your black cards can make you money So you hide them when you're able In the land of casinos and money You must put them on the table♪♪ You go back Jack do it again roulette wheels turinin' 'round and 'round♪♪ You go back Jack do it again♪♪
Face
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Face
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July 11th, 2019 at 9:57:54 PM permalink
Lol, been meaning to ask about sedation, and up pops an opportunity...

Mine was a set of steps. They said they were gonna "get me settled down" so they could do the nerve block. Popped something in the IV and instantly that ball of anxiety and doom dead in the center of the chest completely vanished. No euphoria, no change in mental state, but a complete and utter absence of apprehension.

WTF WAS THAT? I vaguely recall him saying it was an "-ium", I assume in the anti anxiety family. Lithium? Valium? I...uhh… asking for a friend...

Next was the mask. "Just breath normally". One deep breath, exhale, out.

Next was just a fog of people apologizing because nothing was going to plan because all the normal post op time was spent fighting. I vaguely remember a fever dream of being restrained; not a panic dream, just that I wanted to turn and couldn't. I suspect after two hours of being planked I just needed to lay on my side. They said it took 5 guys to hold me down and "it was unknown what if any damage I did". I got no report or instruction or info at all other than that; one nurse said everyone involved was already headed to the next scheduled surgery as that's how long it took. After that, it wasn't 15-30 min and I was already dressed and being wheeled out the door. An hour later I was moping down the street at home in a haze of wonder. A very strange experience.
The opinions of this moderator are for entertainment purposes only.
Hullabaloo
Hullabaloo
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July 12th, 2019 at 6:03:17 AM permalink
Quote: Face

Next was just a fog of people apologizing because nothing was going to plan because all the normal post op time was spent fighting. I vaguely remember a fever dream of being restrained; not a panic dream, just that I wanted to turn and couldn't. I suspect after two hours of being planked I just needed to lay on my side. They said it took 5 guys to hold me down and "it was unknown what if any damage I did".



I had a similar encounter about 40 years ago. I can't sleep on my back, so turn I did and restrain me they did. And as I recall it took quite a few people holding me down before they got there.

I also recall pulling the IV out and calling for the nurse who told me "yes, you've already pulled it out 2 times before".

And my final proud moment regarded one of the nurses. Of course I was out of it, and I have no idea what the nurse REALLY looked like, but I do remember looking at her and I'm pretty sure I said "wow you're ugly" and went back into la la land. I felt horrible about that when I woke up, but there wasn't much I could do about it. (Except stay away from that hospital 'cause who knows what that nurse might do to me!)
rsactuary
rsactuary
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Thanks for this post from:
beachbumbabsJoemanrxwineRigondeauxmiplet
July 17th, 2019 at 8:55:38 AM permalink
Day 383

I am a US citizen! My ceremony started at 8:30 this morning in Irving, TX and lasted about two hours. The first hour was purely administrative... filling out forms, making sure they are signed and turning in my green card.

Second hour consisted of a welcome statement, the national anthem, a welcome statement from the Secretary for the office, followed by the oath ceremony, a video message from the President, a video of Americans taking the oath with America the Beautiful playing in the background, and then presentation of the naturalization certificates.

Now excuse me, but I'm off to register to vote!
beachbumbabs
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beachbumbabs
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July 17th, 2019 at 9:10:01 AM permalink
Quote: rsactuary

Day 383

I am a US citizen! My ceremony started at 8:30 this morning in Irving, TX and lasted about two hours. The first hour was purely administrative... filling out forms, making sure they are signed and turning in my green card.

Second hour consisted of a welcome statement, the national anthem, a welcome statement from the Secretary for the office, followed by the oath ceremony, a video message from the President, a video of Americans taking the oath with America the Beautiful playing in the background, and then presentation of the naturalization certificates.

Now excuse me, but I'm off to register to vote!



Cake. There needs to be cake.

Woohoo! Congrats again! Sincerely.
If the House lost every hand, they wouldn't deal the game.

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