What's an amusing thing to say before going under general anesthesia?
Last time, I used: "Anybody need anything while I'm out?" and that went over well. May not make it through this surgery on Friday, so I turn to Lemmy for top-notch suggestions for my potential last words!
It's pretty clear to me many people here have never either had general anesthesia or talked to anyone who had, you can't really time funny one-liners right before you pass out.
Here's how it works:
They'll put a mask with a rubber tube in your mouth for oxygen, and tell you to relax and count back from 10, so you start counting impatiently(it's boring, and there is nothing else to do), wondering when the surgery is going to start.
Ten.
Nine.
Eight.
Now the anesthesiologist is in front of you, checking on you to see if you're OK. "But I haven't finish counting down yet, when is the surgery going to start?" You ask them.
"It's already over", they explain.
Then you realize you are in a completely different room, the tube is no longer in your mouth, but you feel so weak you can hardly move, and the stitches/staples around your new surgery wound is starting to itch.
It's like a segment of your life was cut out and erased into nothingness.
Proper explanation, indeed - you never get all the way through the countdown before you time travel. Beforehand, though (at least in my too many to count without it sounding like a weird brag experiences), the "last words" moment is before the mask, but after the pre-anesthesia. Depends on the procedure, and probably the person, too.
I've had nearly a dozen surgeries, and none of them have gone like that.
Sometimes I have a mask over my face, but mostly I don't, then they give me a little prick in my arm. I feel cold travel up my arm, whilst the person counts down from 10. When the cold gets to my shoulder, which is usually when the countdown is at about 7 or so, I go under, like someone turned off a light, but just slow enough that I can just remember an awareness of being about to go under. There's no weakness, no feeling of being unable to move, just cold travelling up my arm, and then lights out.
Then, I wake up, with an awareness that time has passed, though not an awareness of how long it has been.
Neat, that's legitimately interesting! Maybe you have something unique in your physiology that gives you a different perspective? I'm pushing 6 surgeries under general, and around 5 precedures under IV, probably missing some numbers with my now shoddy memory forming capabilities, but my experiences with the knockout sedation could be described much more similarly to your experience, and a few of the IV sedations weren't as deep, so I remember a bit more of the "in and out", but mostly it's just "Oh, yeah, I feel there's a change in my coherence-BLACKOUT", and then next awareness is recovery room beeps.
This is also exactly how I remember my only time under the knife. I remember feeling that cold in my veins and "this is it, I'm passing out any moment now". Then I don't remember anything until I was in the recovery section even though I regained conscience in the operating block as expected. I just remember waking up with the oxygen mask covering my mouth and feeling extremely claustrophobic.
The last 2 times I went under (for a complicated tooth extraction and the subsequent implant) they didn't do the countdown, which surprised me because that was what I remembered most clearly from my lung surgery as a teen. They just asked me if I was comfortable, then said "Good, cause you're about to get extra comfortable!" and we laughed, then I woke up. Maybe it was a dental surgeon thing? But I've also got a really good relationship with the dental techs and the anesthesiologist was a riot.
I've had many surgeries and most were exactly like this. One time, though, I remember counting down too 4 and then saying, "My ears are ringing." The anesthesiologist said, "Is this better?" I said, "Yes," and then woke up.
I could feel that I was going out as I counted. It felt as if I slowly lifted an inch above the operating table and rested on a fluffy white cloud. I could feel them inserting catheter and needles but it didn't hurt even a bit, if anything it tickled. Last sight was the grumpy face of this fridge-sized bald anesthesiologist.
Woke up a second later in Intensive Care unit, surprisingly well rested.
By the way, there was no tube in my mouth. They just put a mask on and it smelled sweet.
Same case here with wisdom tooth removal but I do vaguely remember my entire body becoming numb before it stopped being numb instantly and the surgery was over
Depending on how consciousness actually works, the you before that might have died and you're an entirely new consciousness with the same brain and memories.
Not my experience, I was put to sleep through IV and I knew when I was falling asleep. I then had a weird dream mixed with reality, and when I woke up all the text was upside down for a minute.
Same, every time I've had a general aesthetic the anaesthesiologist has sat down near my arm, asked if I'm ready, and when I say "yup" he says some medical jargon to the anesthetist/resp nurse, then warns me that it's going to feel cold and taste funny, he connects a bolus syringe to my IV bung and as he's pushing tells me to count down from ten, and the anesthetist grabs my head gently as the anaesthesiologist moves around towards my head and presumably grabs some other instruments ready to intubate.
My record is 7. But next time I'm going to try counting faster - not sure why but I'd always try to time it to actual seconds.
For GA, I've never been given a gas mask while awake, maybe it's to do with "rapid induction", I'm not 100% sure what that is, only that every anaesthesiologist I've had has said he's going to "rapidly induce" because my connective tissue disorder indicates the need to. I never really questioned it.
The only time I've been given a mask while being told to count was when I was going under twilight sedation for a colonoscopy. as they were administering the IV, they also gave me a mask that was unexpectedly strawberry "flavoured" and I had a panic attack as I was going under because my grandma is allergic to strawberries, I'm not, but in my semi lucid state I forgot I wasn't and started mumbling about being allergic to air.
(I've only ever had male anaesthesiologists, so apppogies for only using male pronouns to describe the doctor)
That’s not how it worked for me either of the two times. I don’t have any memories of going out the first time and I think I kinda woke up kinda normally both times.
I had a very stodgy surgeon and I actually got a laugh out of him. He checked in with me pre surgery and as he was leaving said he would see me in the OR and I was like I hope I don't see you (meaning I hoped the anesthesia worked). No one else got what I meant except for him and he had a genuine chuckle.
I admit. I just pictured them lying on the operating table about to be knocked out for surgery with them saying "Good luck on the surgery" to the surgeons.
True story: The morning before going in for foot surgery, my mom was in a silly mood and wrote "wrong foot" on the other non-surgery-scheduled foot with a marker before putting on her socks.
After the surgery everything was fine, and later when checking up on her the surgeon told her everyone in the operating room got a good laugh out of that "wrong foot" message.
Mom was glad her joke worked out, but later started wondering why they were looking at the wrong foot in the first place and now wonders if her private joke to amuse herself actually saved her from having the wrong foot operated upon.
Probably so they could keep an eye on the toenails on the non-operating foot.
There’s a reason they tell you not to wear nail polish before surgery. The nailbeds are one of the best ways to detect cyanosis caused by low oxygen levels in blood.
I’d imagine a “control foot” is probably preferential, and it’s easier to keep an eye on the other foot during surgery than it is to keep an eye on their fingernails.
The patient has to get exposed and positioned, then padded (so there are no pressure injuries, no errant cables or equipment pushing on skin, etc). Also under anesthesia (depending on the type but I'll assume general/completely asleep) you aren't moving and your body may get moved or shifted into an unnatural position.
It's also nice to have controls as mentioned by another reply, but pulse oximetry is great, and can be slapped on any non sterilized area to assess oxygenation.
I had surgery three weeks back. The mood in the OR was good. As they were strapping me to the table for bone surgery on my femur, ( They were going to have to exert force, and I needed to be on my side), I asked them if tbay had all watched the youtube tutorials. Laughs ensued.
I had to be in twilight, that's where you're basicilly out but can just barely understand what's going on a bit. I was in and out and just absolutely baked. At one point I looked at the anesthesiologist and asked for a little more. He got concerned and asked if I could feel anything? I said "no, no I can't. I'm just having a really good time". I'm not sure because he was wearing a mask and all, but I think he grinned and I have zero memory from then.
You can do what my 4yo did before his last surgery: shout out "WAIT WAIT WAIT!" right before they put on your mask or give you the drip, then hold out your fist and say, "FIST BUMP!"
"I'm aware that consciousness still exists under general anesthesia, but the brain is no longer capable of forming memories, so have fun stabbing me with knives, I'm actually going to feel it!"
I broke my ankle a few years back and the bones had to be surgically reattached, but the OR was full so they had to set and splint it in the meantime. The shot of fentanyl didn't do anything, so they gave a cocktail that knocked me right the fuck out and set my ankle. My husband said I shot straight up like I was in the Exorcist, yelled and swore a bunch and passed out again. I remember nothing, thankfully.
I've had that. They said I'd be awake but won't remember anything. I'd feel it but won't care.
Sure enough, I'm sitting up in bed, doctors are gone, and my leg is set, I feel totally normal. I had no idea what happened except that they said that'd happen. It was the weirdest experience. I hadn't even changed positions. Like 15 minutes just got stolen from me.
But hang on, there's an interesting topic. Is consciousness the current processing, or is it the memory (and perhaps something additional)? Since not all nerve signals arrive in the brain at the same time, consciousness provably isn't immediate. Perhaps it's the recent memory of what just happened?
Separately, is it still pain if you're not conscious of it?
Doctors used to assert that babies didn't feel pain, because 1) they couldn't tell us about it, and 2) they didn't remember it later. They would just not anesthetize babies. Of course, that endpoint of this line of reasoning is horrifying, but it's still a fair question. When we say "pain" do we mean the firing of the nerves, or do we mean awareness of it?
The one and only time I was put under I said "you know what you're doing, eh?" And he just put me out. I didn't mean to say that, I was just nervous. I did see a nurse laugh though so that's nice.
(I know this is probably impossible, but it would be so funny)
Tell a knock knock joke, but only the first part. Don't reveal the punchline, just pass out. So they work extra hard to keep you alive, because only then will they hear the punchline.
Not a one-liner. You better start this one as soon as you're rolled into the room.
My instructor was Mr Langley and he taught me to sing a song. If you'd like to hear it, I can sing it for you.
It’s called “Daisy”.
♪ Daisy, Daisy
♪ Give me your answer, do,
♪ I’m half crazy
♪ All for the love of you
♪ It won’t be a stylish marriage
♪ I can't afford a carriage
♪ But you’ll look sweet
♪ Upon the seat
♪ Of a bicycle built for two.
Hopefully, the anesthesiologist has seen 2001: A Space Odyssey. You’ll go down about halfway through.
If I happen to be the doctor and it's someone else going under I'd say "Okay, let's get this leg amputated!" when that is NOT the actual operation happening.
Last time I had to be knocked out for surgery, I remember feeling myself fading out, and just before everything went out I felt the nurses and technicians getting me uncovered, when one of them exclaimed "Wow! Look at all that red hair!"
"don't touch my junk" - "not bad for a first date" - "any message for the other side?" - "I'll let you know what the old man says" - "delete my browser history" - "I forgot the stove on"
Good luck for Friday! Hopefully you can post an update next week, so we know you're with us.
This may interest you; my wife used to be an anaesthetist, and during long, boring procedures would give the patient a facial - blackhead removal etc. It's considered unethical, but she delighted in them waking up looking great.
Barring any issues that could have brought her in certain circumstances, that's adorable! How nice to have something immediately positive to wake up to, besides the post-surgery uncomfortable everything else. I was very happy to learn that our state is one of the few that's thankfully outlawed got-dang pelvic examinations under general anesthesia, unless they have specific prior consent - with some of the things US teaching hospitals allow, I'd be down for some unethical unconscious skincare.
It's not the anaesthetist that does pelvic exams, it's medical students. Medical students need experience so they practice on anaesthetized patients. There was a story on the radio of a male medical student who was supposed to do an exam on a woman and he realized that she was unaware and hadn't specifically consented and so he mentioned his concerns to his peers and it started a discussion worldwide about the practice. I don't think the practice is limited to pelvic exams.
Never really thought about it. I suppose I would prefer a woman to do it, but wouldn't necessarily mind if a man did it IF I wasn't completely creeped out that they did something purposeful and unnecessary to me while I was knocked out.
"If I don't survive, tell everyone I used GNU+Linux, btw."
But realistically, I'd probably be repeating this to myself: "Do not talk right after you wake up! Do not talk right after you wake up! Check the time, wait at least 2 hours. Do not trust yourself right after you wake up!" in hope that I'd remember to do so as to not accidentally disclose private information while still being high.
Propofol is a hell of a drug. It’s impossible to not say something since your prefrontal cortex is basically still off.
My wife is an RN for the place I had a procedure done and I came out of it asking the anesthesiologist how much she made and telling her my wife was thinking of becoming a nurse anesthetist. The staff thought it was hilarious of course.
So you want people to know you use GNU+Linux, and at the same time believe you have important "private information" you're likely to disclose while recovering from a general anaesthetic?
Y'all showed up for this post! Lemmy is looking better all the time :)
TW: Existentialism/Death
Not a funny thing to say before going out, but when I was about to do the mask I thought about what it would be like to be totally unconscious after I die, and woke up laughing and cracking jokes. It wasn't so bad during the procedure when my awareness was off 😜
Last time I had surgery, I think I made a comment about the surgeon's good taste in music. I was in Argentina, but the surgeon was listening to US 80s music :)
I was having my wisdom teeth removed. I was like 23. The anesthesiologist was a cute little blonde chick. Apparently the last thing I said before I went under was "Man this girl is a real...knockout..."
It's funny for you, but definitely not funny to them. They will have to pause and go through everything with you again if they think there is even the slightest chance you are telling the truth. Anthstisiea and street drugs definitely don't mix.
Then I'm glad I know my entire team, going in, and they're all remarkably empathetic to their terrified, high-risk patient! Chances are, any final words through twilight sleep will be a last sentiment to my spouse, in case I don't make it through. After my tight-five, of course, using the IV pole as a mic.
This was the nurse assigned to that specific shift and had nothing to do with the team that was doing the operation. I think her job was only to do intake and get you set up in a bed/etc. When asked what I was there for, I smiled and said "a lobotomy". To look at her face, I had just insulted her grandmother's apple pie.
How do you get to know the entire team? It's hard for me to imagine as the ones you interact with are the surgeons and anesthesiologist as they will talk to you in the ward at some point in time when making their round. But the surgery nurses only stay at surgery theatres or operating rooms and don't do any round at wards. Patients won't likely know them.
My docs had a bit of fun with me, after gassing me up a bit they turned on Tina turners 'what's love got to do with it' turned around to give a look and a grin.
Much appreciated! I sure as heck hope that, too, haha - my username is mostly related to my epilepsy, and how my oodles of seizures make me feel. Just...various, classic Windows error "bonk!" sounds, amongst other glitches, but in ma' brain.
My best line was when my wife tried being funny and asked "did you turn the stove off?" My response was "no" apparently and she actually called her friend to go check. I was just trying to rile her up like she was trying with me.
Doing the "who are you" bit when you wake up might be more amusing and easier to pull off (considering you don't normally know when you're going to pass out)