Florida Plastic Surgeon Arrested & Charged With Wife's Lipo Death

[@katepollard-vithanage889]

It’s my belief that the anesthesiologist is the most important doctor in the operating room! I wouldn’t have any procedure or surgery without an anesthesiologist there! How foolish to not have one there!

[@Grace.allovertheplace]

Agree

[@bellezanegra0206]

Yeah but the whole office was taking random pills. This is about way more than not using an anesthesiologist.

[@luckypenny4263]

They will run the code besides managing airway if patient gets into trouble so yes they are the most important person in the room during this situation. Everyone is important in the surgical room and has a role with purpose. This should never happen on his watch ! I hope these cases are discussed in fellows and residency programs. What not to do.

[@anglophils645]

Plastic surgery offices do not employ anesthesiologists.

[@HerbertTowers]

Okay. Let me play! I reckon that the most important person is the cleaner who finished work just before the procedure.

[@susanegelhoff4426]

As a medical assistant i would have called 911 when he said do not. F#@! a job. That persons life was on the line.

[@Mimienan59]

Agree. It’s was the assistances right to call 911. She shouldn’t have even asked.

[@mavisspringer2780]

My late husband was a plastic surgeon and he would NEVER operate on a patient in our private OR without a board certified anesthesiologist. I was the practice manager.

[@CindyRubec]

My plastic surgeon always had an anesthesiologist.

[@sblb9852]

@@CindyRubec BS. It's standard protocol to have some procedures in office. (not an OR, not a surgery center).

[@sblb9852]

No one who understands how a plastic surgery office works believes you! Many procedures are done in office. You aren't going to have an anesthesiologist in this situation.

[@mavisspringer2780]

@@sblb9852 really? How do you think patients are put to sleep? Simple procedures that are done in an exam room that local anesthesia is used do not require an anesthesiologist.

[@pennybourban3712]

Imagine the ego of the man who thinks he can be the surgeon and anesthesiologist at the same time.

[@connieduncan4239]

I almost did this exact thing a few years ago. In the office with no anesthesiologist. My husband put his foot down and said absolutely not! I was kinda mad at the time but now I’m really really glad he intervened!

[@MedicalSecrets]

Yes!! Me, too!

[@smallpackage8360]

Your husband saved your life ❤

[@Joyce_k127]

I believe I experienced this to some degree receiving liposuction while awake by a cosmetic doctor. I remember feeling like I was going into a dream state (I was given no oral medication), felt anxious and my legs began twitching involuntarily and the nurse had to hold my legs down, ensuring me it was normal. After the procedure I was left to change and began sweating and feeling like I was going to pass out. Ended up having to lay down with an ice pack for a bit but was okay- they advertised that you could go back to work same day and drive home. I ended up calling someone to get me because I was in no shape to be driving. I remember thinking something was wrong and worrying about how long it would take for an ambulance. Super scary. Wish I understood the risks more then. Never would have done it and would never do it again

[@jhoughjr1]

Your husband is a true man

[@sandraguerra6185]

WOW!!! I am a transplant patient who just did a consult for liposuction. I am So Glad I have come across this video. You just sealed my decision of NO, I am not risking my second chance at life by trusting anyone won't kill me in this procedure. I already had a bad gut feeling to not do this. Ill keep my little bit of flab and Live!!

[@baublesanddolls]

And tell me he recently took out a large insurance policy on her prior to doing this.

[@margodphd]

My thoughts exactly.

[@vodnurse5702]

The medical assistant should have called 911 immediately, regardless of what the surgeon said.

[@jhoughjr1]

Yeah ppl nees to eat

[@susanmolnar9606]

Reinforces to me as an RN to never have plastic surgery that’s not medically necessary. I seem to have a good self esteem and accept myself the way I am.

[@rochcarothers-ts3jx]

Accepting aging is mentally healthy :)

[@maryamkim1281]

Because you have cosmetic surgery it doesn't necessarily you are mentally unwell.

[@maryamkim1281]

​@rochcarothers-ts3jx it can be, but because you have cosmetic surgery it doesn't automatically mean you are mentally unwell, either :)

[@rochcarothers-ts3jx]

Better:obsession with cosmetic surgery starts somewhere,unbalancing lives?

[@rochcarothers-ts3jx]

@@maryamkim1281 Yes,but there is starting point to obsession,denied aging+other reality,ruins lives.

[@simon-515]

I have local anesthetics injected in my neck and shoulder for pain control. During this process through the twenty some years i had the unfortunate luck of being in a very secluded area. The doctors rotated and came in every six weeks. The one that did my injections went overboard. I actually stopped him from doing more. I was burping the lidocaine and felt horrible. This vid rattled me. I am so glad I stopped him.

[@Theyrenotlikeus82]

As a nurse, you lost me at suturing her own surgical wounds. What in the actual F! That's insane. I hope he rots in prison for the rest of his life.

[@ST-ff1zd]

Poor judgement at best; murder at worst.

[@subs4794]

Isn't he being charged with manslaughter?

[@javaskull88]

Manslaughter at best

[@alexkazzeo6208]

Since my teens I started suffering from nasocomephobia, due to a trauma, I want to thank you for publishing these videos. Sometimes I can not watch you in the OR, however your easy to understand explanations help. I "stumbled' upon this channel by chance, but I wanted to say thank you.

[@MedicalSecrets]

I'm so sorry to hear about your trauma. I am so happy that you find this information empowering 🙏

[@smscraig]

When I had my last child, the anesthesiologist hit a blood vessel with the epidural. If he hadn’t acted quickly, my daughter and I would have both died.

[@MedicalSecrets]

I'm so happy it was intervened on!

[@elizabethmchenry3102]

Scary!!!

[@M.M99494]

How this can happen?

[@aleksandrakowalczyk6043]

Epidural goes into spinal cord. There are vessels there. Basically so it won't happen the needle has a bit different shape.

[@mm-in7tn]

Oh mygoodness. In had an adverse reaction during my epidural. I loss consciousness and was rushed into surgry for a c section. The scarest moment ever because i had just come back only for them to put me right back out because the epidural hadn't started working yet. I just asked the lord to wake me up. Me and my son are here now alive and well.

[@tracymaluk4775]

He didn’t call emergency until it was too late and why was medical assistant and not a Registered nurse assisting him.. RIP Hilary

[@MissTeenageNothing]

A lot of medical assistants assist in out-patient practices.

[@jaeljade3609]

That's pretty scary. I live just outside of Pensacola, FL. All my doctors are in Pensacola. I probably wouldn't have seen this if I hadn't seen your live. I'll def be following the case. He must have totally panicked In that 20 min he waited. I can only imagine what thoughts were going through his head. He was surely very overly confident of his skills.

[@mycatsnameiskaren8253]

I live in Pensacola and am a nurse practitioner. I've been following this case from the start.

[@darriontunstall3708]

Great live stream man , this was a very sad story, it’s always important to have an anesthesiologist or CRNA present at all times! If I was an anesthesiologist, I would be a great anesthesiologist like you! 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 a anesthesiologist, it takes a smart and special person and skills to be a anesthesiologist or CRNA and you’re one of them! I look up to all anesthesiologist and CRNA! You rock

[@pattyorourke8068]

Did you say she was suturing her own wounds?!?!

[@AurelienCarnoy]

Right?

[@DeathDad]

“Here hold my beer… And this needle!”

[@yasminbarry7941]

Same question!

[@k2c3po01]

Figure if speech guys

[@sittathecat]

I do not understand those suturing her own wounds? Makes my toes curl at the idea of it.

[@blondeenotsomuch]

At least 20 years ago, We had a young lady land in our NC ER. She was going for laser hair removal, and the doctor at the laser clinic provided cream with lidocaine for her to apply every where she was going to get the laser treatment. She started feeling unwell while driving to the appointment and was taken to our ER. She coded, and never recovered. It really shook up the doctors working on her. Young, vital, dead. Tragic.

[@margodphd]

We had a case of topical toxicity - woman used lidocaine gel before using mechanical depilator and, either before or after, went tanning. Fortunately she recovered but with minor neurological complications, if her daughter didn't find her... Similarly, there was a case of lethal topical toxicity with a female patient who used lidocaine around her pubis using film occlusion and heat, likely crossing mucosal barrier into labia, before laser hair removal. It was thought impossible to overdose this way, with such a small contact area, no matter the gel concentration. Incredibly tragic that it was found this way that it is indeed possible.

[@snowmiaow]

Laser hair therapy doesn't hurt much and doesn't require painkiller.

[@killer_queen4062]

another reason for why female body hair removal is one of the stupidest beauty standards

[@mycatsnameiskaren8253]

​@@margodphdomg. That's wild.

[@jhoughjr1]

All because "acceptable medical risk" if we dont accept the risk we wont get paid.

[@tiabeaniesemotionalsupportdmon]

I have strange reactions to anesthesia. I had my gallbladder out in 2018, and they almost stopped the surgery because my heart rate and bp went through the roof. I woke up so very sick, and I was vomiting, had a massive headache, and was shaking uncontrollably. I felt like I was dying. They ran some tests on me and I was in the hospital for an entire week, but they couldn’t figure out what had happened. They said my body apparently reacted very poorly to the anesthetics, and the anesthesiologist had to give me some type of medication the bring my bp down that they keep on hand but don’t use all that often. I cannot remember what it was, though. A couple of years later, my neurologist had to take two nerve biopsies on my leg. She gave me the lidocaine with epinephrine, and the same thing happened, just not to that bad of a degree… my heart rate and bp were really high, so I was shipped off to the ER. They just had me sitting in a room. They ran no tests on me other than an ekg, then a couple of repeat ekgs, then eventually discharged me. Finally, a couple of months ago, I had to see the dermatologist to have a suspicious lesion cut off my cheek. They loaded me up with the lidocaine/epinephrine, and within about 30 seconds to a minute of the first few injections, my heart started racing. Then I started shaking horribly. All of the color drained out of my face, and I asked them to take my bp. It was stupid high, and so they called the dermatologist in and she was talking to me. I felt like I was having a panic attack, so they covered me with blankets, turned off the lights, and allowed me to rest for a few. I carry zanaflex around with me, as I have bp that can get reallllly high and doesn’t respond to typical bp meds. She had me take 3 of them. I started feeling a little bit better, so she decided to try to go ahead and cut the lesion out. They let me go home to rest. About a week later, the SAME THING happened again… this time though, I was at home and hadn’t had any lidocaine and epinephrine… but my heart was racing so fast and my bp was super high- I felt like my chest was going to explode, I began to POUR sweat, and I felt like I was really going to die this time. I got to the ER and they ran a bunch of tests, but found nothing… again. 🙄 They admitted me and gave me some IV anti anxiety meds, which did help. The next morning, my internist came to see me, and he ordered some tests, and lo and behold, I have either a pheochromocytoma or a paraganglioma somewhere in my body. My bloodwork for metanepherines came back showing an ungodly amount of norepinepherine, so now I have to have some scans so they can find the little bugger and take it out. 🙄 I’m so lucky to have him! He came to see me and knew EXACTLY what was wrong.

[@mellie4174]

Sounds like an amazing Dr!

[@DembaiVT]

A good thing to note. My BP can suddenly jump but is usually very low. And anesthesia has given me that exact reaction. 😮

[@charesepelham7682]

God bless you! I’m glad you’re alive!!!!! Im shocked you were not diagnosed right away! I was barely thru your history when I knew your diagnosis! That’s classic basic med school 101 for your reaction! One of my buddies in med school diagnosed a patient with pheochromocytoma!! Somebody should have diagnosed you waaaaay earlier!

[@jackoh991]

Em...so you kept having the same reaction to the same medication and you kept letting them put it in you rather than have a discussion about alternatives? Were you trying to get a Darwin award?

[@jhoughjr1]

Was gonna say sounds like ur really sensitive to adrenaline

[@user-qi4ff5in9z]

I never go thru with a procedure at a surgery center without making sure that there is a competent, licensed anesthesiologist there. It is a highly complex field that most people don’t seem to recognize as vitally important.

[@BobbiTaylor624]

I saw a liposuction being done on PBS....it looks like they are harpooning a whale. I will keep my fat and lose it the old fashioned way!

[@hollyphilhower]

amen

[@kibeast]

Lol

[@marynoonan6111]

Totally with ya! It’s quite violent isnt it.

[@barborakopalova4583]

I gain some weight last year, because i have had broken my leg, it goes not as i expected, but i know, i have to have patiency with the proces of loosing weight naturally. Liposuction isn't solution for me.

[@iashakezula]

lol.Its basically suction and curettage at the same time using a skinny cylindrical instrument 😉

[@lynnstrand9367]

I’m a dentist. I’ve definitely heard of lidocaine toxicity, especially when doing multiple extractions. Sedation (IV) is helpful in that it decreases the need for supplemental lidocaine. Also, using Marcaine for long procedures helps in that in provides longer anesthesia thus decreasing the need for supplemental anesthesia.

[@nuclearalchemy9220]

How much does this happen in dentistry? I'm one of those people that needs at least twice the normal amount to even come close to numbing anything and usually end up numb from my mouth to my eyelid.

[@lorispino8231]

Registered Dental Assistant for 23 years. So glad that we never experienced a tragedy like this. I prepared the anesthesia for all procedures. Thank God for Carbocaine. Nice to hear from a Dentist.

[@aedenpik]

Have u ever had a person with double vision after getting local anesthetic? I’ve had that one time before and I felt really light headed too, went away after some hours but it was really unpleasent

[@nuclearalchemy9220]

@@aedenpik the lightheadedness, at least, might be from epinephrine mixed in to help the effectiveness. I have to specifically ask for plain local anesthetic for dental stuff or I feel like I'm having a panic attack.

[@aedenpik]

@@nuclearalchemy9220 yeah I guess it could be that, she also gave me 3 doses of lidocain, honestly the half of my face was numbed for many hours after, really unpleasent and also I could feel one of my eyes not functioning, thank god I had sunglssses with me loll

[@eliz49]

Sometimes I forget there are still some educated, intelligent people around! Thank you also for your gift of relaying your intelligence to all.

[@lired70]

I have a pain pump . It is loaded with Marcaine I had injured 3 vertebrae, not operable and my pain was outrageous. After an ugly dance with Dilaudid and morphine, they tried the Marcaine. It helps, but not as intense pain relievers. I am a doctor's nightmare! However, Something is better than nothin̈g. The pump is filled once a month. I never thought that Marcaine could be filled in a pump. Dr. Kaveh, You are the best! Thank you for sharing your education with us. It truly makes a difference! You make this world a better place and I thank you! ☮️❤️💯🌝🐕😺

[@iiiAutumniii]

1. I apologize for never being able to make your live stream 2. This is my first comment 3. I had a condition that started years ago and lasted about 6 years that made me need to use prescription lidocaine patches over half my face and then down my neck and shoulders. I couldn’t understand why my doctor limited my amount of monthly patches to a measly 200 (just a guess) a month. It didn’t seem fair with as much pain as I was in. He tried to explain what you just explained, but he didn’t do a very good job (or I was in too much pain to get it). So, THANK YOU!!!!!

[@donaldjackson583]

Why aren’t there laws in place to require an anesthesiologist be present if these types of medications are being given???

[@luckypenny4263]

100% agree. From what I read he was doing several things on her at once and with “type “ of procedures he was doing can they be done under local? This will be interesting to know - was there a consent form obtained before the surgery ? Is the surgery he provided typically performed with anesthesiologist vs getting a local ? did the surgical team all have bls acls training and was this up to date ? Was there a crash cart available in his office suite ? Was the office trained on what to do who checks the medication cart for expiration dates ? Did the office typically use anesthesiologist? If he hired unlicensed personal he takes on full responsibility of what happens. It’s up to him to do the right thing. He would need to show he’s ACLS /BLS trained. How many codes did he run ? Was he up to date ? I would never ever want an office like this working on me or my loved ones without anesthesia available to assist with airway. It’s not like this guy was removing a simple mole here! Will be interesting to see how this ends.seems to me the regulations are not verified as well as they should be in office based surgery centers

[@stephaniehowe0973]

If you listen there are a bunch of standards he couldnt be bothered with.

[@amyhintz471]

Lol there are

[@philippal8666]

We have limits. So no more than X ml of Y mg/ml. Very small amounts are used for stitching tiny wounds. So anything bigger than the small amount you use for a tiny cut, is an anaesthetist or Just Don’t. Anaesthetists can use nerve blocks instead. Small amount in nerve stops pain. Was this even a doctor?

[@foolishlyfoolhardy6004]

Because you would need an anasthesiologist at every dentist's and dermatologists office.

[@kimberleyx6929]

Why would you let a loved one do a procedure on you. RED FLAG. Bless her family'

[@rochcarothers-ts3jx]

Free:)

[@goldwingman1500]

A No No Not on any Family Member.🎉

[@jodyljohnson8515]

Awe, I missed this live stream! I didn't get a notice! Good to see all the same! Thank you for sharing some great information Dr Kaveh! Love ya 💞✌️

[@JEWELZYOUTUBE]

Me too

[@msquires473]

I would like to know why he was allowed to use Lidocaine. FDA has been issuing warnings on it since 2009. My Dr. In Pensacola quit using for biopsies in 2009. Is also like to know how this man has been able to keep practicing with complaints since at least 2019.

[@susanschofield2705]

Any drug is poisonous if it is given in inappropriate amounts. Including lidocaine. It has been used for decades every day safely by doctors, nurses and dentists. Because it has been so safe people using it get a false sense of security and forget it has an upper limit on dosage.

[@zaf2643]

It happened in my country few years back , whereby a prominent politician son in law was given sedation during a dental procedures but developed cardiac arrest at a private dental clinic with poorly equipped emergency devices. He was pronounce dead after a futile resuscitation at a different hospital. The sedation was given by a gynaecologist 😮

[@pb99865]

Why in the world gynaec gives sedation?

[@wendysolem2372]

irs so scary, many years ago I had a procedure done, It HURT, thankfully I was in a hospital, the anesthesiologist said “she can feel this”! He was right, I was in pain but was paralyzed and couldn’t let anyone know

[@Ουρανία-ψ7σ]

Wowww how? That's amazing

[@baileyh.274]

Vital signs probably. Usually, when patients can't talk or move we associate a rise in heart rate and other vitals with pain response.

[@heide-raquelfuss5580]

Watching from Belgium. Thank you for the time you put on your lectures on so important topics. You are a great teacher.🇧🇪

[@danielintheantipodes6741]

Thank you for the video! Excellent information, as always.

[@psrwhite]

Dr Kaveh you are amazing. Thank you so much for all you do to keep us informed!!!

[@slwtgf]

I’m pretty sure our (low level) local hospital has anesthesia experts that do not work directly for the hospital. Their anesthesiologist’s work ‘independently’, under another authority, which I think is because the hospital can’t afford the liability of situations (such as this) and risk. It’s how I understand why these experts are hired through an outside entity, and not the hospital’s own HR department. Is anesthesiology a more complex field than general MD’s, or what! This is horrifying, and I can only imagine the number of plastic surgeon practices cutting corners to afford/maintain prestigious, high standard’s of living.

[@altl888]

This doctor performs a 'rare' or very specialized surgery, that I came very close to seeing him for - a DIEP Flap Transplant. WHEW! Dodged a bullet there! When I watched a video by Christina Randall, I recalled things that you'd said about lidocaine. So thankful for the knowledge you share!

[@conniemaniaci3612]

I understood a lot of your message because I was in the medical field for 11 years. But… I learned so much from your post. I wonder if patients actually go to the trouble to learn about the procedure they are embarking on before committing to it. 😊

[@charlottemiller7675]

I had a friend once who confessed to me that as a 13 yr old she was using drugs and alcohol. She was very confused and her father was an anesthesiologist. She went through his bag and found something and wanted to self cancel so she injected it into her arm. But it was just a local. We always laughed about it. How she had to eat dinner and act normal while her arm was numb. It was sad too because she wanted to end things. Anyway, now 25 yrs later I realize she could have had her wish that day. I'm very glad she was not successful. Who knows what she injected.

[@katepollard-vithanage889]

Thanks for sharing this info with us. I learn so much from you and so appreciate your knowledge. This is such a sad story.

[@lorielcastillo9496]

I thought doctors were not allowed to operate on their own family.

[@DembaiVT]

It's a best practice. It's rare it's forbidden because you may be the only person available in an emergency, but the rule of thumb is that you never operate on family.

[@Katy32344]

It's not a rule or law.

[@marynoonan6111]

I thought it was a rule of law unless it was an emergency. This operation was very unethical.

[@tamiewert808]

​@@Katy32344it's not best practice, however! This is a prime case of why that is!!

[@sarahm9723]

It’s not against any law.

[@YochevedDesigns]

This happened to a friend of mine's fiance. He went in for a simple procedure on a punctured eardrum. The doctor injected a full syringe of local anesthesia right into his IV line. He was instantly in a coma, and was kept on life support for over 6 months. His parents kept thinking he was going to "wake up". The whole thing was really tragic. No charges were made at the time, I think the parents got intimidated by the hospital. Later on the doctor went to jail for operating under the influence of cocaine and alcohol, after several nurses repeatedly refused to work with him..

[@agathaleon9826]

😢😢😢😢😢

[@MarieCarlton]

Education is key, thank you for sharing your knowledge.

[@MedicalSecrets]

I hope you learned something new to better advocate for your health!

[@Sea-cucumber1151]

Wow, very interesting, thank you for explaining and not dumbing it down. People can stop and google, or read the transcripts if things are unfamiliar. ❤

[@Starlightbarking]

Here in New Zealand no surgeons will ever do liposuction without a general anaesthetic, there must be some very strict rules that they have to follow around this. They wont even use a local anaesthetic for a lower blepharoplasty. Plastic surgery is very expensive here.

[@DRthistle]

I once had a significant amount of Lidocaine enter my bloodstream from a deep injection in the dentist's chair. It sent my heart racing badly and I would never want to experience it again. Not sure how often this can happen and whether dentists prepared for it. I would also be concerned with oral surgery since anesthesiologist not usually present.

[@pb99865]

There are deaths from dental procedures

[@mhenderson9311]

Scary stuff! You need to have a doc who knows what he's doing. And if your cells are producing lactic acid because of the lidocaine, they're not getting enough oxygen! Sad.

[@ameowingbird]

I've had some large lacerations repaired in the ED and so i've gotten the high end of max dose/kg of lidocaine a couple times. One time they used both lidocaine and bupivicaine to cover a larger area. Can't imagine having such high doses of local outside of a proper OR or ED setting!

[@Patzi-l1w]

It is against the law for a family member who is a doctor to preform any medical procedure on a family member and in this case causing the death of that family member! So the former Dr. Brown deserves to go to prison for life! Px

[@howlingwaters2741]

@user-pg3vo1li6n *perform

[@zeevanatashazazhinne3136]

Again I give gratitude and massive props Dr K. If ONLY other MD's were able to explain things to their patients half as well as you explain.

[@ambrosejoseph4843]

I get light-headed listening to this topic.

[@MedicalSecrets]

😬

[@whiteorchid02]

😂

[@michhall0103]

I had a Nuse Practitioner, for my Suboxone Program, I got to know her pretty well, She was telling me She had a Boyfriend out of the country, She was going to see him soon and wanted to look good, She told me She was going to have Lipo Suction done, I saw her one last time before she was going to get her Procedure done, I found out She died on the Table, I was so upset, She just wanted to be more Beautiful, She already was, and She was killed getting Plastic Surgery😢😢😢😢

[@mycatsnameiskaren8253]

I am a nurse practitioner and years ago, one of my co-workers, who was a beautiful NP, married to the love of her life, wanted to lose weight and have a baby so she went in for gastric bypass and passed away a week later after bleeding out from a "knicked" liver they didn't pick up on. When they took her back to the OR for emergency surgery, she aspirated and became septic. She was in her early 30's and brilliant. RIP Robin❤

[@c.christman9649]

I once had a paradoxical reaction to Versed for a breast biopsy. Now whenever I need a procedure I warm them repeatedly of my reaction to versed. The surgeon didn’t recognize my reaction until I called him later from home and told him. He was a general surgeon. I never went back to him! Strangely, my son has experienced the same reaction to versed during his gallbladder surgery. Inherited allergy perhaps?

[@MARCIA.ZZZZZZ]

As an RN I am horrified

[@crystalwaters7081]

I got lidocaine once while getting a steroid injection. When leaving to go home, my throat and tongue went numb. I turned around to go back but by the time I got back it all went away. I now say I’m allergic to it, but other Dr.’s sometimes try to say it was probably something else! I feel it was the lidocaine, so I don’t want to take any chances. The question is, can you be tested to really find out? Thank you! 😊

[@iashakezula]

Cutting corners to save cost is more prevalent in private practice. I have worked for 33 years in a university ambulatory surgery center and saw how liposuction practice has evolved among our plastic surgeon. Lidocaine toxicity is always a risk but that is only when a large anatomic area is being liposuctioned.Also the anesthesiologist is made aware how much in injected and the dosage .

[@juliemarkham4332]

It sounds like gross negligence. Glad to hear his medical license was suspended.

[@MedicalSecrets]

Gross negligence at the minimum...

[@MarleneMeier]

I grilled my anesthesiologist when I had my tonsils out. It's life and death every time you go under.

[@jakeolthof]

Tramadol has a dirty secret. Although 50mg tramadol is equivalent to 5mg of morphine it creates tolerance equivalent to 50mg of morphine. I had to have a root canal after using tramadol for 1 months but it made the Vicodin i took before the surgery totally impotent and I had to come back later when the tolerance had gone down. I don't get pain relief from local anesthetics except when combined with an opiate or laughing gas. Is this non responsiveness to lidocaine rare? I had a doctor test me one time and he was surprised that I could tell he was lying when he said he had the scalpel fully inserted and he told me this after the procedure to treat MRSA on my butt.

[@littlebunnybunny]

how could she suture when she was asleep was she a nurse...im not understanding

[@annadavis2547]

Once had a dentist hit the vein during a filling. He immediately placed direct pressure on the area. I just had swelling in the cheek but no other reaction. The dentist had a great scare though.

[@wendykeesey8494]

I have EDS, lidocaine doesnt work very well for me. I reached the maximum limit during a dental. Appt, for a filling. Doctors still want to use it on me. I will add “no lidocaine” to the consent page before signing.

[@tamarinmangold1414]

Also have E.D.S. and same problem here! Often, it just doesn't take at all or wears off extremely quickly, while the procedure is still underway or immediately after. 🤦🏻‍♀️🙈

[@SusantheNerdy]

I'm an NNP (neonatal nurse practitioner) two things, about midaz and GA& pregnant women: If a baby comes out anesthetized, it is imperative that there be a trained neonatal resuscitation team present and ready to support the baby. When mothers are given C-sections under general, they work as quickly as possible to minimize the exposure of the baby to the anesthesia, but that is not always possible and frequently if there is a prolonged exposure, those babies need a breathing tube for a period of time until all the anesthetics wear off. And re: midaz, it and other benzos have been shown to cause neuronal apoptosis in neonates, though it's a little weak on evidence (flaws in studies and largely on animals). We try and avoid it when we can.

[@baublesanddolls]

This is sickening, and he's not the first doctor who's killed his wife. I think this was deliberate and not just cutting corners. Sad! We're lucky to have you here on KZbin. 😊💕

[@MedicalSecrets]

I had thought the same thing earlier. So incredibly sad... I certainly do not know for sure what the intent was, but the negligence is heartbreaking

[@baublesanddolls]

@@MedicalSecrets I've worked in healthcare most of my life, although I'm certainly not a doctor. I've seen and heard it all, as I'm sure you have. I've lost all respect in it. Please keep being the great doctor you are as they're far and few between. 💕😊

[@kyrraven]

I thought it was suspicious right off, and every extra detail further supports it being a deliberately staged "accident." I won't be surprised in the slightest if this case shows up on Forensic Files in a few years.

[@lindawilson4625]

Listening to this is making me think of Joan Rivers. Question: Based on what you know what procedures would you NOT do outside of a hospital setting? Example-dentists regularly use lidocane. Oral surgeons often do thier work in their own clinics. I'm interested in your opinion. THANKS!

[@creativenative5175]

Great question. I've wondered about that, too. Colonscopies are done at my gastroenterologist's practice with an anesthesiologist or at a hospital; they leave it up to the patient to decide.

[@debbieblair3329]

Thanks Doc. Very informative

[@MedicalSecrets]

I hope you learned something new to better advocate for your health! Thank you 🙏

[@TrinKris]

I’m an RN (used to be) and a doctor’s wife. I’m not pretty but I don’t want to have plastic surgery.

[@winonakitto6151]

All cosmetic surgery is risky and the person undergoing it says some good prayers before undergoing it. Idk why the husband would take such risks but his wife believed in him it seems. I imagine the assistant is very traumatized.

[@scarbo2229]

Never, EVER, treat your own family.

[@lindabeard488]

Catching replay. Thank you.

[@starfishsignal]

this is explained really well, but the thumbnail made me think you were the guy who did the bad thing!

[@eldongaunt9625]

Thank you for all of your knowledge!

[@whiteorchid02]

I don’t know about that guy .. being a doctor , he should have KNOWN BETTER . And then to take chances like that with his wife . Makes one wonder if he didn’t do this purposely. Don’t like to think that but cmon

[@ddlang2514]

Can you could tell me why someone would black out from normal lidocaine injection but not from carbocaine?

[@heatherknutson]

Love this info!!

[@MedicalSecrets]

I hope you learned something new!

[@sherrihinton2885]

I love these videos. Thank you

[@margodphd]

There has been reported cases of TOPICAL lidocaine toxicity, there have been multiple cases of "safe, awake plastics procedures" going awry due to lidocaine toxicity and this man, a board certified doctor, operating on HIS WIFE, was this reckless? I'm sorry but if there's no documented history of negligence and missing training this sounds like premeditated murder.

[@InspiringNotionz]

I thought there were rules to not do procedures on relatives? Are those just guidelines then?

[@ohuudidntknow]

This sounds like murder. He continued to give her lidocane even after she started showing signs of toxicity. My dentist and dermatologist has explained this phenomenon to me. Im not a doctor and im aware of this. The doctor in question knew better regardless of him not being trained as an anesthesiologist. Sickening. I feel bad for the girl aasisting in this evil.

[@benpracht2655]

Normally doctors run roughshod over people's concerns like this. I would've thought the doctor knew what staffing was necessary.

[@josephparker3033]

I would argue that the man’s physical appearance has absolutely no bearing on this matter. His wife just died. He probably not looking his best. I would also argue that a doctor is a doctor once they complete their level of education. The man is still a doctor just not practicing.I love the information you provide and delivery. I would be cautious to overly criticize colleagues even when they are clearly an error. I think the main problem was performing a potentially dangerous procedure on any family member. Lose perspective and panic. That’s never good in a resuscitation.

[@mellie4174]

No. This person did gross negligence! He waited 20 minutes to call 911! If you cared about your patient you would call immediately when they start having a seizure! This guy is indefensible. And if you think he's not it's probably because you're doing or want to do the same

[@elizabethturel78]

Fascinating video Doctor❣️ The plastic surgeon was so arrogant; it killed his wife. He should have known better🤦🏻‍♀️ So sad.

[@Wendymarino]

I would never work for practice like that, on the replay for the algo 👏👏👏

[@pennybourban3712]

Did he not have admitting privileges? Why not send her to hospital immediately?

[@CassandraWood0177]

Dr. I take diltiazem for SVT. The last 2 dental visits I was injected with bupivicaine with Epi. I had several minutes of rapid , irregular heart rate. I'm wondering if I should avoid the epinephrine?

[@chiquita71]

Do facilities that administer high volumes of local anaesthetic not have intralipid in stock to absorb the systemic overdose? Our facility has 2 bags in the emergency kit for immediate use.

[@elizabethannegrey6285]

4.12 Maybe only in UK or South Africa, but I have always thought it is illegal for any doctor to operate on a family member. Sounds like a carefully crafted and timed criminal action to me.

[@Mimienan59]

What about the guy who felt his whole sugary even though he had an anistisiologest ! How could that even happen? Can’t move but can feel everything. Just saw that on the news. WOW Doctors need to get more rest. Guard themselves from harming others.

[@senorpedro8192]

That’s a rookie error to miss

[@MsArtistwannabe]

In dentistry they keep track of every drop of local.

[@christopherparker3409]

When I had a operation which was using local anaesthetic I had a anesthesiologist check the type of anaesthetic drug against a chart for the procedure that they would be doing on me and my hight weight wait and medical history for any previous problems with serten types of anaesthetic drug also what medication I was taking to check that it wouldn't have any bad side effects on my heart or my brain due to me having cerebral palsy and epilepsy. She then then gave the surgeon the syringes inject into the aira that needed to be operated on he gave me 1 injection in small amounts and in different parts of my arm and totally dead I couldn't feel a thing

[@deanawells4395]

Suspended in Florida…so he can go to another state to do poor plastic surgery? 😢

[@smallpackage8360]

Exactly!

[@Alethiometer]

Dr. Ka v I have a question (lol I have so many questions) I wonder if you would be willing to discuss your personal opinion on and /or medical opinion of alternative medicines such as Rock Tape which uses the principle of kinesiology, My story is heartbreaking I was injured in service so the way the damage is ...is...is not seen often in non-military practices (many of us denied the care we need due to us being National Guard & being released back to the state when returning severely injured (ts a dirty secret they don't want out so we are once again silenced) further devastating us adding to the emotional, trauma. Also, treatment cannot be typical or in that box, sadly what is currently happening to me is bad, yet it is typical, fighting for medical care I'm really interested in your work with PTSD BTW many of us are too afraid to mention anything

[@wildhorses6817]

This needs to be addressed legally. So many harmed in situations like this. I am so sorry you are enduring this due to your service for this Country.

[@k2c3po01]

I'm sorry that you are suffering due to lack of good medical care. Your recruiter will promise you the world but then they don't tell you that whenever they are finished using you with you that they throw you away. Hugs, love and respect. Thanks for sharing your story and good luck ❤

[@terrybuckalew6874]

such an unfortunate accident prayers for all

[@MedicalSecrets]

Absolutely

[@peterbland7227]

Isn’t there a “unwritten rule” that you don’t operate on your own family?

[@HerbertTowers]

As an Englishman I've suddenly become confident with the horribly long waits for NHS procedures than opting for those Mengele-style and expensive procedures that are allowed in the US of A.

[@g-bgcg]

Why are so many hospitals using nurses to put people under for surgery? I had a 3 hour surgery and earlier in the year another procedure/test and I was put under both times by a nurse. I know there are very skilled nurses who can handle some of this but I personally think this is so dangerous to not have a skilled, trained anesthesiolgiat because unpredictable things can happen. Plus, it’s next to impossible to get an appt with a doctor anymore because NP’s are now the new doctors so to speak. Why have doctors anymore if hospitals are using NP’s for everything?

[@susanschofield2705]

To my knowledge a doctor is available where a nurse practitioner is working. And just because a doctor is available doesn’t mean it’s a good doctor. Because NP are always questioned because they are not doctors, they tend to be more careful. Seems to me you did well under the care of a certified registered nurse anesthetist who are the advanced practice nurses of anesthesia. Also, in that practice you have 2 heads are better than one

[@MelodieLaylor]

Because a Certified Registered Nurse Anesthetist is well-trained and fully qualified in all aspects of anesthesia and perioperative management. They are the oldest nurse specialty. Nurses have been administering anesthetics for well over 100 years and have been the ones to deliver anesthesia for the military in all the wars and also in peacetime. You were in good hands whether you believed it or not. Many states allow CRNAs to practice independently.

[@leilap2495]

I remember waking up part way through my only surgery ever; dental work I needed after an accident. Afterwards I learned that the dentist needed me to be tested for HIV because he had stuck himself during the lengthy procedure. Furthermore, I found out that the titanium screw was to large for my mouth, causing complications 🤦🏻‍♀️ I will never go without proper anesthesia again and will carefully check the surgeon’s background. My autistic son now gets a board certified anesthesiologist for his invasive dental work.

[@brendakrieger7000]

How terrifying🤬😱 Nope,Never heard of this before. I appreciate your explanation.

[@amethyst49ergurl]

I heard about this yesterday or this morning 😢😢😢

[@Foxie12100]

Hi Dr ! Thank you for answering me, I,m scared to have The Lydocaine Infusion, For pain, with Cardic arrest possible, So at the moment said NO, 💙💙