How an Anesthesiologist Sets Up an Operating Room for Surgery

[@syngensmyth4587]

Hard to imagine how much study it took to get where this Dr is as he sounds so practical and down to earth.

[@MaxFeinsteinMD]

Thanks Greg! I can tell you that it took 4 years of college, 2 years of part-time premedical classes, 5 years of medical school (normally 4, but I did an extra year of research), and now into my 2nd of 4 years in anesthesia. It's a lot, but it's been an enjoyable and rewarding journey!

[@franklehmann6874]

AND FOR ALL THAT- THEY ARE THE HIGHEST PAID MDS- LOOKS LIKE THEY SHOULD BE

[@sharonsolana]

@@franklehmann6874 More than plastic surgeons?

[@amandala00]

@@sharonsolana yeah, I thought that the high end plastic surgeons are the highest paid M.D.s as well?? But damn @Max Feinstein, MD has been in school for quite a while. They give their lives to their jobs.

[@sharonsolana]

@@amandala00 Many professionals do.

[@kyleconley3834]

THIS IS THE TYPE OF DOCTOR ANESTHESIOLOGIST THAT I WOULD WANT IN THE OPERATING ROOM I WAS IN !!!! AWESOME DOCTOR !!!!

[@MaxFeinsteinMD]

Thanks Kyle I appreciate the nice feedback!

[@suzanne296]

Me too

[@turkialturkial2577]

, same comment , awesome doctor, iam from saudia arabia Anaesthesia practitioner . Regards

[@sunnyrobertsonnoll1964]

Me too!😺

[@shaneluke346]

I live in the UK and have had only ONE COLONOSCOPY but much to MY DISAPOINTMENT WAS'NT given ANY ANASTHETIC so I personally found it quite painful and uncomfortable

[@marqqqddr]

My brother who is 2 years older than me is an anesthesiologist. He's the first medical doctor in my family. He's almost done with his residency. You wouldn't believe how hard you have to work and how smart you have to be to get there. He's been through hell and back. I look up to him so much, he's a hero who deserves so much.

[@MaxFeinsteinMD]

That's awesome! Good for your brother making an excellent career choice.

[@hikerhobby1204]

Mark: Thank you to your brother! I believe anesthesiologists are unseen and under appreciated heroes! God bless you and your family.

[@marqqqddr]

Thanks guys!

[@Bianca-sd8uw]

This comment made me cry lmao, good for y’all!!!!!

[@donbeissel2965]

He went to medical school to sit in a lounge and whine about CRNAs. Great.

[@spleenbits9104]

As a primary care doctor, what you do looks like magic and is super intimidating. So glad people like you are called to anesthesia.

[@jratliff681]

I remember my first day shadowing in the OR, I thought it looked so hard and scary, but once I got into school and you start doing it like anything else it's actually very easy in general (some surgeries are more work of course). From the outside I could say the opposite, we really just have one very specific focus in anesthesia. Where primary care you have to sort out what's going on from all sorts of things and try to manage systemic problems that don't get instant response like we do in the OR from our drugs! That sounds challenging to me.

[@behnkefamilyanthology8640]

I had a liver and kidney transplant and was under for about 12 hours for surgery. I can’t even begin to thank all those in the medical community that saved my life. Your education and service are commendable and I would feel wholly comfortable with you as my anesthesiologist should I need a second surgery.

[@xxSweetStrangerxx]

I have very highest respect for all in surgeon room. Their job is beyond appreciative and can't possibly be described in mere words.

[@ronniehallmark1278]

I'm work as a circulating nurse in cardiovascular/ thoracic surgery. I work with these anesthesiologists and CRNA's. Most are good folks that I respect dearly. Hard working folks

[@hikerhobby1204]

Thank you for what you do for us! I had a double lung transplant. You cardio thoracic professionals are rock stars!

[@BamaTraveller]

Most?😵

[@jratliff681]

@@BamaTraveller There's crappy people in every profession. I remember being surprised realizing just because someone is educated doesn't mean they are smart or do a good job!

[@julievanderleest]

Every surgery I’ve had, I always had looked around at the many machines and always have been fascinated by everything around me. I always got frustrated because I was always asleep way too fast and I had more observing to do. I certainly never wanted the relaxing meds before hand because it was always important to me to be wide awake upon entering the OR.😊 I never realized how much work goes into being the anesthesiologist. They were always great story tellers when I was a kid. They definitely are always the most comforting of the surgical team. Definitely my favorite of the doctors.😊

[@MaxFeinsteinMD]

Hi Julie, I think I would feel the same way if I were a patient! I personally find the operating room very fascinating and love working in one. I'm glad you've had positive experiences with anesthesiologists! One of the most important aspects of the job is helping patients feel comfortable before they undergo a potentially stressful surgery.

[@julievanderleest]

Indeed! I’ve had about 30 total and a few spinal taps and blood patches throughout my life. The only time I nearly punched the doctor was during one of the blood patches and he struck a big nerve. Had the nurse not have been holding me as still as possible, and him being much stronger than I was, I probably would have jumped and caused more problems. Plus I was sick to my stomach as well. Needless to say that was excruciating to say the least and I had never been one to make much sound when I was in pain. So I suppose I did have one bad experience but it was no fault of the doctor. I was just a bit critical at the time.😟 On the plus side, the spinal taps and other blood patches I’ve had,didn’t bother me at all. I never understood why people had said how terrible those were, unless they had the same issue I did that time.

[@doyouhearthepeoplesing2]

Erm nobody ever goes into theatre awake you are knocked out first in the ansetic room the wheeled into theatre when you are asleep and inubated

[@janetsmith818]

@@doyouhearthepeoplesing2 not true. Here in the US we can stay awake all the way back to the OR.

[@doyouhearthepeoplesing2]

@@janetsmith818 why? That’s why you have an ansetic room because theatre is sterile

[@FezCaliph]

I can't even do one year of college and you've done all of this! Thank you for doing such an important job. You deserve to be paid extremely well.

[@bigmohammedbby6474]

OHH they do

[@Karlapanini28192]

@@bigmohammedbby6474 haha youre right!

[@gilesbowman1189]

I'm a Nurse Anesthetist and I'm sure I've done way more cases than this resident. Nurse Anesthetist do most of the anesthesia not MD's.

[@gigi_enItalie]

Thanks for the look inside your "office!" Oftentimes health practitioners will share "come work with me" type videos that have lots of talk and following them around hallways. This was focused, informative, and interesting. Thanks from a (hopefully) future nurse!

[@MaxFeinsteinMD]

Hi Gigi, thanks for the nice feedback! I've noticed the same thing with a lot of doctor/nurse videos as well. I also have to fight the temptation to make those types of videos, it's just tough with privacy and HIPAA. My hope is to find a good way to approach patients and ask for their consent to film things like intubations, line placement and other procedures. We'll see!

[@Noelle1110]

Yes!!!!

[@sharonsolana]

​@Max Feinstein, MD I watch the news every night, and due to Covid the major networks have filmed patients in all stages of treatment. You may want to approach the networks' legal departments, and ask them the best way to approach patients. I would be _very interested_ in watching and listening to you consult with the patient, and then watch you throughout the entire surgery and planned wake-up phase. The more narration and information you share the better!

[@kakefyll]

I agree so much! It frustrates me to no end, since Im the straight to the point kind of gal

[@thescriptpinas]

I couldn't agree more. :) You got it, Gigi (future) RN. ;)

[@hydrorouge]

As someone who has been put under general anesthesia 17 times, seeing how diligently you check everything is so comforting.

[@TheDankDev]

Have you noticed any long term side effects?

[@hydrorouge]

@@TheDankDev From the anesthesia specifically? No, I don’t believe so. Thus far, I’ve been pretty lucky in that regard. I used to get horrible post-op nausea while coming out of anesthesia but they’ve luckily been able to eliminate that with other meds. That’s really the only side effect I’ve notice from the anesthesia.

[@user-JQL837UOV]

@@hydrorougeI’ve never been put under. But I may be put under in a few months to get a hernia removed. Thank god it’s a common surgery!

[@Dani_Fwog]

I have had 6 surgeries. My first was a a major surgery at the age of 7. Im 23 now. I cant express the gratitude, we patients, have for the entire team. Thank you for knocking us out! And for making us at ease and explaining everything! ❤

[@Justhilarious45]

I owe a sincere thanks to the anaesthesiologists who are always behind the surgery to help patients. I still remember during my broken bone surgery of hand the doctor was telling me about his childhood. He was so motivating. Thanks KZbin recommending this.

[@MaxFeinsteinMD]

Glad you had a positive experience with your anesthesiologist! Thanks for watching this video, too.

[@samanthadowning4633]

I’ve NEVER had an anesthesiologist look at their own equipment. As a nurse I seem to be their maids typically or they have anesthesia techs who do all of this. Kudos to you for actually taking pride in your job.

[@jaefellows5024]

So true in today's medical society, not much is explained in detail to the patient wether before surgery or during a regular doctor's visit. This doctor is awesome in his details, thank you so much to this doctor!

[@MaxFeinsteinMD]

Thanks for watching!

[@jeanettesteed3326]

How can you possibly pay these people what they are truly worth? Amazing, and so much respect.

[@silversurfer1986]

In my first year as a student nurse anesthetist. Loving every minute of practicing anesthesia!

[@MaxFeinsteinMD]

That's awesome, enjoy!

[@lauradelucastroia4191]

I appreciate how methodical and thorough you are. I think you must have a superior attention to detail. As a student nurse years ago, I remember learning that the anesthesiologist was “in control” of the OR rather than the surgeon, but I soon learned why. Thanks for your willingness to bring a better understanding of what you do.

[@greg9647]

Just had a total knee replacement yesterday. Left knee is still numb. The anesthesiologist was awesome. Second time for knee surgery this year and had the same guy. I felt immediately at ease. I'm back home healing. Same day surgery.

[@MaxFeinsteinMD]

Glad to know you had such a positive experience with anesthesia!

[@dominika718]

I'm a nurse in Poland and i do all of these things by myself, the doctor arrives later to intubate and monitor the case. But we don't have CRNAs here...we can't do any cases alone, always with doctors. Great video doctor! Love how organised you are.

[@MaxFeinsteinMD]

That's very interesting! Did you receive special training in anesthesia or are nurses able to assist with giving anesthesia without pursuing additional specialization?

[@dominika718]

@@MaxFeinsteinMD We have 2 years specialty program here , we prepare operating room like you did in this video, then we place iv and adminster drugs (but doctor decide what dosage of the drug we should administer)... doctor intubate, place central lines etc.

[@FezCaliph]

I went under once. It's amazing and scary how you can go through all of that without feeling or remembering anything. Shoutout to the lady that kept me alive ❤️

[@bijunair2573]

Trying not to miss any detail, avoiding any error and the effort to be prepared -these are all traits that apply to many jobs. But this one is a step further than many I know. Respect Dr,Feinstein for your effort to share these procedures. My thanks to you for your great attitude.

[@phillycheesesteak9486]

Great job! And it's awesome that you triple check! I'm very excited to see employees truly understand the importance of a patient instead of a paycheck

[@MaxFeinsteinMD]

Yes, at the end of the day, the patient is why I went into medicine, nothing else is more important.

[@rafsanAhmed93]

So basically he is doing this like a pilot doing his pre fight cheak list.

[@MaxFeinsteinMD]

Yes, in fact a lot of comparisons are often made between anesthesiology and flying airplanes.

[@erickkabler4802]

@@MaxFeinsteinMD So true. I am a pilot and veterinary "nurse anesthetist". It's all about checklists. People are held by the level of your concentration and discipline. Checklists save lives.

[@AlexM-jd2ro]

Normally, it is done by surgical technicians

[@alexbleedsglitter23]

The Checklist Manifesto brings all of this together, if anyone is interested :)

[@rcom9880]

@@MaxFeinsteinMD Like 99% uneventful and 1%...

[@PokéDude83]

Much respect for you Doctor! And sincerely thank you for the sacrifices you make for your profession!

[@tohdohsibir]

Anesthesia student here. Thanks so much for this very helpful video! Proper room setup is one of the 1st things I have to learn and get down by the time I'm in the OR for rotations. I'd watch this several times to get a handle of the routine.

[@daffyslooney2867]

Just wanted to stop by and thank you all for the wonderful medical care I received at Mount Sinai Hospital. A few weeks ago I had prostate surgery.

[@MaxFeinsteinMD]

I'm glad you had a positive experience at Mount Sinai Hospital! I've had the opportunity to work with most of the prostate surgeons and they're a great bunch.

[@adnanalsamaraee8826]

It’s incredible how you make it sound so interesting and minimize the difficulties, even though it’s a very thorough and complicated process. Thank you for the insight into anesthesia, makes me look forward to rotations in medical school.

[@MaxFeinsteinMD]

I think anesthesia is so interesting, it’s just not something that gets a lot of attention. Enjoy your rotation!

[@jaefellows5024]

It is SO reassuring going into surgery to have a doctor like him by your side, SO important. I remember before I went under for my back surgery I always remember I became happy?

[@cherry-yp1ls]

Same my anesthesiologist was a cute guy and there was other anesthesiologist in there too and they were rlly funny and gave me a blanket 🥺

[@thebeddoctor4273]

Redundancy saves lives. Great job

[@MaxFeinsteinMD]

Couldn’t agree more. Thanks!

[@bskull3232]

Spending 1 sec per bottle is better than spending 30 minutes resuscitating a patient from a fuck up and months in the following legal battle and risk your career. Easier said than done, though, as my boss always says, simple things are not essentially easy.

[@007shumr]

What does redundancy mean

[@victorgomes5013]

@@007shumr excessive, as in making sure there is no room for error.

[@finn-ss8ps]

for some reason every anesthesiologist I've met they're like this dude super nice and down too earth (but maybe it was because my arm was broken in 2 ways) just seems like a nice persons job even though the ammount of work they have too do to earn it good job dude!

[@maggielamar1830]

I can only imagine how much schooling and medical school he had to go through to become a great Doctor. Checking everything and being together and making sure it’s all in place and safe. Thank you. Stay safe and healthy. I’ve had 13-15 surgery since 2007 so I know and thankfully for Doctors and Nurses , beautiful people 🙏🏽🙏🏽🙏🏽

[@amythomas1124]

November 2019, I had a 12 hour scoliosis spinal fusion surgery. Was a long day for the medical professionals. I don’t remember anything, just bits and pieces after they put me in ICU afterwards. Longest surgery I ever had in my life. Even when my colon ruptured in 2017, my spinal fusion was the longest. I’m doing extremely well. 🥰

[@MaxFeinsteinMD]

Glad to know you're doing well after those intense surgeries!

[@katherineejessup]

I had spinal fusion for scoliosis back in 2008, it was my first surgery and I was 17. It was really rough for me but a perk is I’ve not been scared of the other surgeries I’ve had(unfortunately I’ve had a lot of them but none have been as big) I’ve had about ten other surgeries, anesthesiologist are always my favorite drs always so kind

[@1993rufus]

Working with an Oral Surgeon who has an MD, I've thankfully gotten the opportunity to learn so mucn about what you do and your responsibilities. So many of these things i have learned and i can only imagine how hard you have had to study to make sure every patient is well taken care of to the very best of your ability! Amazing video and thank you for all your hard work!

[@meerschweinchenn]

im an OR nurse and you guys are life savers, literally!! we always use the "blame anesthesia" joke, but we value you guys :P

[@MaxFeinsteinMD]

Haha I am very used to the “blame anesthesia” mentality although mostly just in jest and not for real!

[@brem4183]

Great video! It is cool to see the differences in facilities. I’m an anesthesia technician and at my facility we are responsible for everything in the first five minutes of your video. Of course the anesthesia provider is ultimately responsible for ensuring proper set up but it is very rare to see them doing leak tests, setting up circuits or suction, checking o2 tanks, etc. we even set up their airway trays as requested and we are also responsible for set up of special equipment like u/s, Belmont, jet ventilators, level 1 etc

[@Hard2handle-u5r]

Now I know why anesthesiologists are paid well- this is a ton of work, just in the prep!!! Thank you for being so thorough

[@greganthony6577]

Hello beautiful how are you

[@abdulbasir3448]

This is the type of video I look for in Doctor's KZbin channels. This is amazing thank you!

[@MaxFeinsteinMD]

Thanks Abdul, I appreciate it!

[@iansmith3593]

Every anesthesiologist I’ve met has been calm & confident. I guess you need these qualities when your work is this complex… and incredibly important. No room for anxiety or uncertainty.

[@henriquelaydner4080]

The last person that can lose control in the OR is the anesthesiologist. Even the surgeons can freak out, but we must keep it together to reassure them everything is going to be ok.

[@tamsmd1]

This was one of the best videos I have ever come across on KZbin. This was helpful to me in understanding why anesthesia is so dangerous and why you want the best doctor in your area to give it to you. The amount of drugs you need for it is more than we ever knew before seeing this video. Somehow I feel a sense of calm now knowing more of what goes on before a surgery. Thanks for sharing this 💉

[@greganthony6577]

Hello beautiful woman how are you

[@diegogarcia2982]

Right now I’m currently studying neurosurgery I have a lot of anesthesiologist friends and the way they show me how to prepare and check to make sure the patient gets the best surgery makes me happy to study medicine

[@commercial544]

I actually have an interview for an Anesthesia Tech/Aide tomorrow and I find your videos very informative and helpful. This is potentially a second career for me, so I a anxious to learn more and become a member valuable of the anesthesia team. Although an entry level supportive role, it is great to understand how everything works and comes together. Thanks so much for posting these!

[@patriciaroberts8028]

Thanks so much for all you do I’ll be having surgery soon and I now understand exactly how anesthesia works God Bless I pray I get an anesthesiologist just as compassionate and Caring as you

[@gravityclarity]

Thanks for this video. I’m doing an anesthesiology rotation and just wanted someone to explain everything they’re doing!

[@MaxFeinsteinMD]

You’re welcome! Enjoy the rotation.

[@deliaramirez9361]

When a person is under anesthesia, he or she is hovering above death. It is extremely important that the anesthesiologist is thorough and checks and rechecks that anesthesia is administered correctly. Excellent video.

[@rods2887]

Wow! Sooooo cool! I started admiring even more this profession. I've gone through a surgery recently and the whole process was so painless and peaceful that I felt really grateful for you guys and so much technology to exist. Congrats from Brasil. Wish you lots of success!

[@nancyrosner7575]

My son is a new attending anesthesiologist (finished residency last June) and now I have seen all the things he has to do at work. Until now, I had no idea of the complexity of his work!

[@MaxFeinsteinMD]

That’s part of the reason I started making these videos- my parents don’t know what I do other than what I tell them! Congrats to your son on finishing residency.

[@Jwalker0075]

Thank you Doctor for been so careful and kind to all patients.

[@iannarey1516]

Thank god for the dedication of people like yourself,just had three dislocations of the shoulder,nothing but praises for the A&E staff at Enniskillen hospital NI.

[@MaxFeinsteinMD]

Thanks for watching!

[@rafaelmacas]

I'm a very systematic and logic person and I'm just about to start my career in healthcare. This video really opened my eyes to a very interesting role. Thanks so much for sharing your experience with us!

[@edharding3279]

Enjoyed very much ? I was a OR RN for 36 years so it was good to watch the same things the CRNA’s and MD DID TO BE PREPARED for the cases signed MRS Ed 😊

[@jasony8002]

I really love how serious you are... it is the perfect personality when at work.

[@MaxFeinsteinMD]

Thanks! It’s serious work and important to treat it that way.

[@elle5374]

I am a civilian, that is to say am not a Doctor or Nurse. What I want to say is watching these videos to me is extremely helpful in the sense that I know am in good hands before surgery . Knowing all the prep work , all the checking , double checking an triple checking an knowing if a worse case scenario should pop up, I know you got me covered . That's also one more reason I firmly believe that as much as we can after insurance pays their part , its equally important for me , us to also pay our part. We're all in this together. We have extraordinary life saving Doctors an extraordinary life saving costly medical equipment/machines. Thankyou Thankyou Thankyou. May God Bless you an all medical personnel. Sincerely Elle

[@orderedsteps4050]

My daughter and I are Jamaican, and she's in Ukraine studying medicine, to become an anesthesiologist, she's 20yrs, can't wait to see when she gets to this professional stage.

[@MaxFeinsteinMD]

I hope she enjoys the journey!

[@orderedsteps4050]

@@MaxFeinsteinMD Thank you, that's my prayers.

[@cathymarble3283]

Working for a group of physicians for many years it is understood that you are "the boss". If the anesthesiologist says it's a "no go", the dr cannot do the surgery. You are absolutely most respected!

[@MaxFeinsteinMD]

Haha I don't know if we're the most respected - I hope that's the case! - but it's definitely true that if the anesthesiologist says no, the surgery doesn't happen.

[@sharonsolana]

@@MaxFeinsteinMD Have you ever said "no" to a surgery? If so, can you please tell us about it?

[@MaxFeinsteinMD]

@@sharonsolana I haven't personally, but I am also relatively new in my role as anesthesiology resident. I have seen attending anesthesiologists cancel cases, typically if a patient has eaten recently and the surgery is elective (ie. not urgent or emergent). That would put someone at a higher risk of aspirating food/liquid into their lungs and causing problems.

[@sharonsolana]

@@MaxFeinsteinMD Thank you for commenting!

[@MaxFeinsteinMD]

Sure thing!

[@olive836]

I was thinking about being an Anesthesiologist and now I’m even more encouraged! Great video man

[@MaxFeinsteinMD]

Thank you for the nice feedback, and also happy to know you're interested in the field! I love it so much.

[@DrQuestion]

Anesthesiologist from China here.I'm very happy to see how American doctors prepare for anesthesia and i'm very glad that we're doing the same thing keep the patients safe and comfortable during the surgery.

[@DrQuestion]

@@anthonyalecca3414 We have all the stories in our hospitals in China,sad,happy,moving,encouraging,positive and negative stories except the ones made up by the your media.

[@MaxFeinsteinMD]

Very cool to hear from you, thanks for commenting! Would be cool to see how anesthesia is done in China if I ever get the chance.

[@hebehouse]

This was awesome! I am fascinated by anesthesiology. The idea that you basically take over someones full breathing and life is incredible! I wish I had been better at math to become a doctor. Thanks for doing what you do!!

[@MaxFeinsteinMD]

Hi Erica, you're right that anesthesiology does entail taking over breathing and other essential aspects of a person's physiology that keeps them alive. That's a big part of the reason I wanted to become an anesthesiologist! Thanks for following along with the video.

[@samlee4085]

All of the anesthesiologists I’ve met have been the nicest MDs. They’ve made sure that I understood things, answered my questions and made me feel comfortable. I actually had a procedure yesterday and he was very clear that his job was to “take the best care of me”. He said that he was going to make me a couple “margaritas” on the way to the OR and I was out before we got there. First time that’s happened. Max, you seem to be that that kind of doctor too.

[@MaxFeinsteinMD]

Glad you’ve had such positive experiences with tour anesthesiologists! I definitely do mix a lot of “margaritas” haha they really seem to take the edge off. Thanks for the really nice feedback!

[@nigelmorgan3449]

My dad was a Anesthest he’s passed now he trained at the middle sex hospital in London went to Bristol hospital then moved me and mum to Australia in 50s he was a 24/7 doctor

[@marycarson9231]

I just had my csection on September 2nd and I had to have a spinal and epidural as they knew it would be a difficult surgery for me (alot of complications) and im forever grateful for the 2 anesthesiologists that were there. They did a great job and were awesome. I'm so thankful these people dedicate so much to their profession as they are literally in your spine!

[@PEACEinYESHUA-oj7vc1pk7w]

Full of admiration for the amazing work that you do saving lives

[@MaxFeinsteinMD]

Thanks Tracy!

[@greganthony6577]

Hello beautiful woman please can we have a chat

[@melshakeit7122]

Its amazing that you are the one preparing your intubation items, usually Drs here in Singapore rely on nurses!

[@MaxFeinsteinMD]

Yes the nurses/techs at many hospitals in the US do this job, but at major teaching hospitals it's typically the residents.

[@pallavisreetambraparni6995]

I have had 6 major surgeries. i have tried to be brave. but the truth is, deep down i have been scared to go under general anesthesia. but each time the anesthesiologists who worked on me they have made me feel really comfortable and calm.

[@AudraJ12]

I love videos like this. As a medical transcriptionist, I transcribe all medical specialties for several hospitals, and I really love being able to visualize surgical procedures and operating room setups.

[@spicykikyo]

I wouldn't mind him being the last thing I see before falling asleep

[@deekircher21]

Agree! He’s handsome

[@TheUrbanelle]

Lol, fresh

[@Loveroffood41]

I've got through quite a few medical procedures in my life and have some pretty good looking anesthesiologist knock me out.

[@bensjie]

@Gabe Hernandez depends where you live, over here in The Netherlands we pay about 100€ a month to get medical treatment witch includes these things, medicene etc.

[@spicykikyo]

@Gabe Hernandez living in Germany, it's all free boo 💸💸💸💶

[@3greenpenns]

I am so amazed at the amount of work that goes into your job. I have had multiple surgeries and took your job for granted. Thank you for the diligence in preparing and caring to do a good job.

[@3greenpenns]

One thing more. The tape over the eyes is really scary to me. I awoke during a surgery and was scared and I couldn’t move nor talk. I felt paralyzed. I started blinking my eyes and finally someone noticed. I heard her say something but I cannot remember what was said and I was out the next second.

[@MaxFeinsteinMD]

I also really had no idea how much anesthesiologists did until I learned more in med school! Glad you enjoyed the video, thanks for watching.

[@MaxFeinsteinMD]

I'm sorry you had that experience, that sounds really scary. It's extremely rare for anyone to become aware and form new memories during surgery so I think it's incredibly unlikely you'll ever have that experience again should you have anesthesia.

[@davidrogers5817]

Just finished nursing school and as someone who considers CRNA/advanced education, I appreciate the insight and communication that you offer in videos like these. :)

[@wythetrumpet6419]

Doc, I am a trumpet player, but I now feel prepared to put the band to sleep! Seriously you sound like very fine doctor and if I needed surgery I hope my Anesthesiologist is as skilled and prepared as you are! Great informative video! Thank you!

[@MaxFeinsteinMD]

That's really nice of you to say! Thanks very much for watching.

[@lukasritzer738]

Icahn SOM MS1 here. I’m very interested in anesthesiology so this was an awesome video to show up in my feed. Thanks for doing this!!

[@MaxFeinsteinMD]

Hey Lukas that's awesome, thanks for following along. Looking forward to meeting you when you get into the ORs. You're at a great place to get involved with anesthesia as a med student (Sinai anesthesia was my #1 choice) so soak it up. See you around!

[@collincarson2200]

As an resident anesthesiologist, just wanted to say great video! Well done! 👏

[@MaxFeinsteinMD]

Thanks Collin!

[@indyphoto1]

That was great to watch. I just had surgery a couple weeks ago and had no idea so much goes into the prep. Great video!

[@MaxFeinsteinMD]

Thanks for watching! Hope your surgery went well.

[@georgealderson4424]

Anaesthetists are some of the most unsung heroes/heroines in health care. I have had the benefit of their expertise on innumerable occasions over the past 60 odd years - some of them very odd haha and I will again today - just a ureteroscopy and stent change for bilateral hydronephrosis. I am a myelomengeocele with talipes etc. I cannot thank them enough for "putting me under" and "bringing me back!" Presumably different "recipes" are required for the various cases on the list. This young man is most organised and reassuring and I would happily let him be my "gas man" anytime he is in UK! Blessings and peace to him and to every one of them.

[@namramohamed2057]

I’m a new anesthesia nurse in OT. here the nurses have to prepare all the equipments and drugs. This was so helpful. The drug label tapes are actually a good idea. We have to make those labels each and everytime we prepare for a case 😂🤦🏻‍♀️

[@MaxFeinsteinMD]

We are very lucky to have pre-made labels! And in some cases, even some pre-made syringes filled with meds! In addition to being a nice time-saver, those are both good strategies for reducing medication errors.

[@dionlindsay2]

When my Dad had a hip replacement, he was in his 70s and had an epidural instead of being straight unconscious throughout. He always spoke very highly of the anesthesiologist who looked after him. They talked "a lot" together (I assume a lot to do with monitoring level of consciousness as well as being nice :-). And occasionally the anesthesiologist would say "Well, Mr X, you won't want to be around for the next bit, so I'll work my magic and we'll talk a bit later". I love that they looked after him so naturally and he was able to have some good stories to tell about it all later. I am seriously impressed with all the professional and personal skills and compassion, and I'm very grateful.

[@greganthony6577]

Hello dear

[@annetteslife]

Now I understand what I went through during my last few surgeries and the amount of drugs given to me

[@MaxFeinsteinMD]

Yes it’s pretty crazy. This video didn’t show some of the other anesthesia medications that are very commonly used which you may or may not have also received.

[@annetteslife]

@@MaxFeinsteinMD thank you

[@N0TORiOUSLYiLL]

applied to nurse anesthesia schools and will be starting this January (Jan 2022), and I hope to be as good as you are within a short time after graduating!

[@Lizestechreviews]

Some people are simply built different I can barely get through my nursing program. I CANT IMAGINEEEEE studying for 10+ years to know all that. Thats all I keep thinking about watching this.

[@iturnoffreplyupdatestorema7216]

That's why they are doctors!❤️🔥 Docs from all over the world have to go through the same level of training, but some don't get the appreciation they deserve

[@arshpreetkaur9]

Some people absolutely love studying.

[@johnlutz9275]

I'm having major thoracic spinal fusion from T-2 TO L-2 I ALSO HAVE SEVERE KYPHOSIS SO I LOVE WATCHING YOUR VIDEOS THERE SO HELPFULL. JOHN/MINNESOTA

[@jessiewhitman8688]

I go under a lot. I have the same anesthesiologist. He is fixing to retire but he has been around me since I was a kid. He is AMAZING. I can tell by your videos you really care about your patients. Specially when you said you triple check...

[@MaxFeinsteinMD]

Glad you’ve had such positive experiences with your anesthesiologist! I appreciate the nice feedback.

[@greganthony6577]

Hello beautiful

[@sharonsolana]

Dr. Feinstein, thank you for doing this! For a long time, I have wanted to chat with an anesthesiologist! You are helping a lot of people with your video and comments!

[@MaxFeinsteinMD]

That's great to know, thank you!

[@bryantwhitsett71]

Im an Anesthesia Technician at Baystate Medical Center, videos like this help tremendously

[@Theacrus]

Thanks for this very interesting Video. I'm doing my residency in Anesthesiology in a different country and it's a pleasure to see how workflows differs from country to country. keep up the good work

[@MaxFeinsteinMD]

Thanks for the nice feedback! Best of luck with your residency.

[@tracysylvester2875]

I’m just in awwwww over here. I’m a Med Tech in a nursing home this puts my job to shame!! Wow!! You have such a poise about you and your teaching skills..... I could learn/ watch you all day everyday!! MUCH RESPECT DO MY FRIEND!! 🙏🙏♥️♥️

[@MaxFeinsteinMD]

Thank you very much for the nice feedback!

[@essaywriter5586]

Kindly reach out if you need help with your essays, research papers or generally handling your assignments, I would love to help. I tackle essays and academic work professionally for students. Feel free to email me at ([e-mail]) if you interested with such a service

[@tracysylvester2875]

@@essaywriter5586 Your awesome!!! Thx so much!! 🙏🙏

[@150525100]

so glad to see this before i start my Anesthesia residency next month :D

[@MaxFeinsteinMD]

Enjoy!!

[@150525100]

@@MaxFeinsteinMD subscribed :D

[@tameikabrown]

This Is A Wonderful Exciting Video Learning How Exactly Doctor’s Set Up & Then Prep Us Patient’s Getting Ansethia Prior To Getting Surgery Done

[@daseryballesteros9450]

The way he draws up vials is so satisfying. I wish I had the same courage as he has! I'm a Medical Assistant lol. 💕

[@petemiller2598]

I couldn't recap needles the way he was doing. I would definitely stick myself. I have to do the one-hand method.

[@greganthony6577]

Hi beautiful woman

[@petemiller2598]

@@greganthony6577 Hi to you too baby.

[@greganthony6577]

Can we have a private chat on WhatsApp please

[@mahnoormano8858]

first youtuber who reply to all the comments great respect to you sir....

[@MaxFeinsteinMD]

I really enjoy talking with people in the comments!

[@dragonwarrior2710]

we civilians : tripod doctors : iv pole

[@MaxFeinsteinMD]

Haha I think the tripod is superior in this case, civilians win.

[@Ahn-mu3db]

Doctors are civilians too no? I think only police and military personnel are considered not civilians

[@markarca6360]

@@Ahn-mu3db There are also doctors and other medical personnel in the military and law enforcement!

[@wandamazurek3912]

Very nicely done. I did this for almost 35 years. I miss it a lot. Wanda Mazurek, MD MBA

[@MaxFeinsteinMD]

I hope I have a 35 year career!

[@kamalrathore3171]

You guys are amazing.. Thank you for your service.. God bless you guys ..

[@MaxFeinsteinMD]

Very kind of you to say, thank you!

[@mario_2_0_2_3]

How interesting and informative. Had no idea about the prep that happens before patients come into the operating room. So important to double and triple check things to make sure patients are safe. Thank you for all you do in the healthcare field. You doctors are also heroes. And if I need any procedure, I'd feel great if you were my anesthesiologist. Godspeed.

[@MaxFeinsteinMD]

Thanks for watching, and for the nice feedback!

[@nizzy1057]

holy crap. never knew i was given so many drugs when i had surgery LOL. pretty awesome

[@MaxFeinsteinMD]

Yes there’s a lot that goes into it! Most are very short acting drugs.

[@nizzy1057]

@@MaxFeinsteinMD also, how come everytime ive had surgery, when yall put the mask over my face yall say "its just oxygen" ... isnt that what knocks me out is the anesthia from that mask?!

[@suzy8254]

@@nizzy1057 it's really just oxygen the drug that knock you out is administered into your cannula right second before it

[@a.teotico]

@@suzy8254 but there really is, it is called sevoflurane (there's another one that I forgot the name since it is not commonly used where I work at). Though there are times wherein plain oxygen is being used.

[@lauraeager373]

I’m a veteran patient (12th ENT surgery in a few hours!) and am applying to medical school this cycle. This video was super interesting!

[@lindyisherwood4331]

Wow, who would have thought it takes so much prep for an anesthetic? Very interesting and informative

[@MaxFeinsteinMD]

I was also surprised as I learned more about anesthesiology!

[@lindyisherwood4331]

@@MaxFeinsteinMD Can you do a video on the drugs used to anesthetize a person and what would happen if they were overdosed? Also, the drug that is used to bring a person out of anesthesia - how does that work? How come we don't feel pain under anesthetic? Sorry, so many questions but I find this so fascinating! 😊

[@MaxFeinsteinMD]

Thanks for the good ideas for future videos! If we give people too much anesthetic, it's typically not a problem because all of the medications eventually wear off. Some may cause temporary, unwanted drops in blood pressure, but that's usually easy to offset with other medications. Most of our anesthetics don't actually need to be reversed by any other drug. Instead, we just carefully time turning off the anesthesia so it wears off right about when surgery finishes. The only drug that we usually need to reverse is neuromuscular blockade (ie. drugs that paralyze the muscles temporarily) which we commonly use a medication called neostigmine to do. It's actually not necessarily the case that no pain is felt while someone is under anesthesia. I often see a patient's heart rate increase, for example, when the surgeon makes their incision despite the patient being deeply anesthetized with general anesthesia. We usually do give medications to help with pain, even when someone is completely unconscious and has no awareness of anything happening.

[@lindyisherwood4331]

@@MaxFeinsteinMD Thank you for taking the time to answer my questions 😊 So we can feel pain while under but just don't remember it? That's a scary thought! 😅 Not that I understand how any of this works but would it be fair to say that the purpose of an anesthetic is to render one unconscious and to block memory of what goes on while under?

[@greganthony6577]

Hello beautiful

[@janetsmith818]

So fascinating. We greatly appreciate your care and caution. Anesthesiologists are amazing and at times under appreciated. I’m so grateful that my anesthesia team has always made me feel comfortable and confident knowing they’re by my side the whole time. I was fascinated by the use of Neostigmine. I have myasthenia Gravis and take pyridostigmine every 4 hours. I’ve been told by my anesthesiologist that MG complicates a lot in terms of anesthesia and the use of muscle relaxers and certain meds.

[@MaxFeinsteinMD]

Hi Hannah, thanks for watching and also sharing your story. Glad to know you’ve had positive experiences with your anesthesia care. I have a family member with MG and so I was always especially interested to know more about it during medical school, and now as an anesthesia resident it takes on a whole new level of importance as you pointed out. I haven’t yet taken care of a patient with MG but I have done a lot of reading and talking with attending physicians to be prepared.

[@christinecronin9191]

Keep double checking and being thorough ! Your awesome :)

[@MaxFeinsteinMD]

The double checking is deeply ingrained! Thank you

[@doyouhearthepeoplesing2]

And you cant spell its you're for you are your is the posssesive you dumb dumb

[@NifeOO4niff]

I can't imagine having someone's life depend on me everyday at my job. You're an amazing person. Much love and respect!

[@BarryChapman]

I used to work in the OR at university of Michigan like 16 years ago. The anesthesia desk had a big baseball bat on the wall with a sign that said “EMERGENCY ANESTHESIA”

[@MaxFeinsteinMD]

Lol uhhh I think part of the idea is to reduce pain along with reducing consciousness 😂

[@miklymick5]

dude legendary LOL if only you had a picture of it man

[@dennisneo1608]

I can't believe how involved an anaesthesiologist's workspace is. Thank God it's not me doing that job, as many would die! The most important person in the O.R.