Preoperative Preparation: What an Anesthesia Resident Tells Patients Right Before Anesthesia Starts

What do patients hear from their doctor in the minutes leading up to anesthesia? In this video, I explain the typical - and not so typical - conversations I've had with patients during my first five months of training in anesthesia.
0:00 Start
0:28 Pre-anesthesia routine
4:53 The "usual" encounter
5:37 The funny patient
8:01 The talkative patient
8:57 The nervous patient
10:25 The pediatric patient
Music: Subtle Swagger by Ron Gelinas: / atmospheric-music-portal
The information in this video is not intended nor implied to be a substitute for professional medical advice, diagnosis or treatment. All content, including text, graphics, images, and information, contained in this video is for general information purposes only and does not replace a consultation with your own doctor/health professional.
#Anesthesiology #Residency #MedicalSchool

[@irenemoreaux4446]

You are definitely one of the “good ones” as far as doctors go. You’re real. You actually seem to care about your patients. Please don’t ever lose that.

[@mariag9029]

I wish many more drs could expose there knowledge just like him. We would feel more comfortable when we meet for strong long procedures. Trust is number 1# to making us feel comfortable. Thabk you dr

[@mynetdude]

@@mariag9029 best way to do that is to talk with them, sometimes you meet them during preop (the day before or a couple of days before the surgery/procedure). If there's no preop you'll definitely meet them da of surgery and you'll have plenty of time, its not a quick in and out they spend a lot of time preparing so that means you get plenty of time to interact.

[@tericandeloro4082]

Yes…your bedside manner means so much and is very rare and far between! 😢

[@legalfictionnaturalfact3969]

you know.. nothing about this dude.

[@laurenschwamb]

@@tericandeloro4082 I’ve had ones that come in before I go back, talk to me about what’s going to happen and then leave when I have no questions. Then when I get back there they tell me what they’re going to do and then once they put the mask over my face, wait until I fall asleep and barely talk to me. I want to tell them that if they continued to talk to me, it would help me to stay calm, but normally I don’t 😢 Wish I could have this guy as my anesthesiologist

[@brittneyk327]

Back in the day, I had surgery at a pediatric hospital and I distinctly remember the anesthesiologist acting like I was about to launch into space with space monkeys. He made the oxygen mask and everything part of the story, and as he administered the anesthesia he started counting down for blast off. It was cute, but here’s the kicker… I was 16. 😂

[@firstlast-xn6ul]

I think that would actually give me some comfort going into surgery. To know that the doctor had done this a thousand times, enough so they could perfect that story gives me confidence in the competence of the anesthesiologist.

[@MaxFeinsteinMD]

Hahaha that's quite the kicker indeed. I would maybe try something like that on a 16 year old who has already received some relaxing Versed.

[@BeccaBearSc]

@@MaxFeinsteinMD I was 7 with my first surgery and they called the mask "Monkey Perfume" and it stunk to high heaven

[@jorihiukka6483]

Could you do like instrument-to-instrument rundown of the story if you remember something, because that sounds hilarious...?

[@jorihiukka6483]

And @ Max Feinstein, MD , this is one of the things you could try with children.

[@IllyaLeonovMorganFreepony]

I have been under general anesthesia probably 12-15 times in my life. It is my opinion that as a patient, meeting the anesthesiologist before surgery is one of the most important steps. He (or she) is the one who will guide you though the process of your surgery. The surgeon and surgical assistants might be the reason for the trip, but the anesthesiologist is the one who conducts the excursion. And meeting that person and gaining reassurance from them is terribly important. I thank you and all of the wonderful tour guides I have had for your dedication, expertise and care.

[@looksirdroids9134]

He and she aren't the only pronouns. Be more inclusive.

[@IllyaLeonovMorganFreepony]

@@looksirdroids9134 No.

[@m.pav.8397]

@@looksirdroids9134 get over it

[@raedarden9830]

@@looksirdroids9134 Sir Roids: OMG...you need a hobby.

[@AlexM-jd2ro]

And my guide sucked...Actually, the first time I met my anesthesiologist 5 minutes before the surgery. And he overdosed me so badly I almost died from STEMI

[@maureentinen4135]

In my last surgery my anesthesiologist never said a word to me in the OR. He just talked to the others in the room about misc stuff. I felt very alone. Thanks for showing me that there is a better way to treat the patient.

[@thedrywallsavant4021]

That stinks. My last surgery the anesthesiologist hollered at me for raising my head, I lost consciousness arguing with him. 😡

[@wholeNwon]

Disgusting

[@wholeNwon]

@@thedrywallsavant4021 Very poor form. Find a different hospital next time.

[@sunettaferguson326]

I swear that my anesthesiologist was trying to kill me.As he was putting something in my arm it began to feel as if it my arm was on fire.I was screaming and hollering as he just stood there and looking at me like I was crazy.I don’t think I am going to that hospital again😢

[@titsmagee4469]

@@sunettaferguson326 that's normal for propofol. Relax.

[@zhonglisimp1231]

An anesthesiologist once told me that they were upset because every time they met people that they fell asleep on them XD

[@MaxFeinsteinMD]

LOL yes

[@marilynemeek2957]

I was scared to death , having never been operated on. Just petrified and think that’s why my heart was so excited and they said I had A- fib. Wish I could have spoken to the anesthesiologist later.

[@gretchenlhommedieu9246]

You’re funny.

[@fluffykitten992]

I must be a very boring person everyone I talk to falls asleep lol😅

[@smadm2437]

I have had the counting backwards but what helped me the most was the anasthesiologist holding my hand, look at me in the eyes and say 'I will be right here throughout surgery'. I know it's what they do anyways but their sincerity and kindness was everything. A big thank you to all medical staff x

[@tbong9293]

Mine said the same thing:)

[@hemiprice4016]

I had a PA to my plastic surgeon come in when I started losing it come in and hold my hand. It made a difference.

[@margaret-annwood5727]

I don’t like anything covering my nose or mouth. I told the anesthesiologist this and he said ok, I’ll let you hold the mask. It REALLY did help.

[@Zambiequinn2]

I’ve been under 3 times and the best thing my anesthesiologist did was pet my head and said everything was going to be ok. I was so comforted and all my worries melted away and it was the best surgery experience. I woke up in a good mood and not scared.

[@dannyrichards6233]

Same

[@tbong9293]

So true

[@Inamichan]

I am the nervous patient. Best thing to do for me is keep talking and explain what’s happening to me. Knowing what’s happening helps with the anxiety 😀

[@karencruickshank8130]

The most important thing my anesthesiologist did for me was hold my hand and tell me I was going to be okay. He was going to make things go as smoothly as possible. Your explanation of the overall process has been extremely helpful for the three surgeries I have had this year.

[@Ducky2964]

I’ve had 3 chest surgeries and possibly need another and I’ve had the same experience. Especially the last one. That was a hard surgery.

[@mdgnys]

I don't remember jack from my surgery 😅. Last thing I remember was them hitting the button to open the door while wheeling me out of pre-op, then I woke up in recovery.

[@Ducky2964]

@@mdgnys there’s some I remember more than others.

[@norbelygonzalez5927]

ay mine also did that but I wouldn't let go

[@maryf6758]

Im scared my surgery soon .im scared with general anesthetic

[@elilevy3873]

When they wake up from surgery, tell them “it’s a boy”

[@MaxFeinsteinMD]

LOL

[@ReclusiveMountainMan]

LOL!

[@davidsoto4394]

@@MaxFeinsteinMD Excellent video.

[@smellycat264]

Omg 😱

[@Crazyreviewer123]

Wow things just took a 180 pretty fast.

[@adventure_hannah3841]

I remember my first surgery (I had JUST turned 17). My face/jaw was broken into about 11 different pieces (don't fall off cliffs, kids). When the anesthesiologist came in, she asked how I was feeling and if I'd ever had surgery before. I gave her the so/so hand wave because I was nervous, but my face was getting fixed, so I was excited! I showed her it was my first surgery. She had on Marvel scrubs, and I excitedly pointed to her scrubs and gave her a thumbs up. She asked if I liked Marvel, and I gave even more thumbs up. She explained everything using Marvel analogies, which I loved! When she asked what music I liked, I wrote down AC/DC on the whiteboard, and they had that playing as I was transported into the OR. Absolutely my favorite doctor! (edit regarding the "things to tell nervous / pediatric patients") - some of my other anesthesiologists have explained that it's safer than driving a car or flying a plane - one anesthesiologist joked, "you survived falling off the cliff, the car ride, and the ambulance ride, so it appears the odds are in your favor!" I've appreciated explanations of what is happening, like "I'm going to do this, and it will do this...." or "You'll feel/smell/hear this when..." or using analogies / references to a favorite movie or TV show to explain what everything is. I'd say my anesthesiologist at my first surgery did an excellent job of being friendly, being interested in how I was doing, and also making everything understandable so it was less unknown and scary.

[@billybeane8130]

How are you feeling now after the surgery to fix your face? How long was your recovery?

[@christinacastaneda8429]

Ive have a variety of pain killers on board for mot of my life so my rx tolerance is quite high. Its surprisingly sad that docs don’t believe me that it takes a lot more to knock me out. I can vividly remember on at least three occasions the anesthesiologist asking me “how was i still awake” Dude i TOLD you

[@jgoodman75]

love this, thx!

[@cruellad407]

Best experience is when the doctor came in and he was real happy and said I'm your mixologist today and it free pour for you ma'am. He had me laughing all the way to the OR. Out of my many surgeries that was the best experience , I went under laughing.

[@mrs.c5471]

I’ve had 2 surgeries and both time my Anesthesiologists were super humorous! Made me forget about the surgery totally! And, more important, I never had any bad experiences going in or coming out.

[@kendallevans4079]

Similar...Once had a Anesthesiologist say, as he was adding the Versed to my IV....."Here comes that big frozen Margarita you were waiting for.."

[@brendanmckay7734]

Dr. Feinstein did my anesthesia a while back... He was excellent! Didn’t know he had a channel till I searched his name.

[@sharonsolana]

Cool!

[@washfish6483]

nice

[@aidenstime7816]

Sick

[@quasarproductions2690]

Why would you search your anesthesiologists name up though? I can't even remember mine, because he drugged me up good.

[@brendanmckay7734]

@@quasarproductions2690 At Mt Sinai you have to have Pre/post op appts with the anesthesiologists as well as surgeon

[@richiehechter9171]

I love this guy. I am a medical malpractice attorney in MInnesota and I found extreme value in the videos. I would totally want Dr. Max to be my anesthesiologist, if the need ever resulted. My wife just had a surgical procedure and because of Max's info, I totally tracked what my wife's anesthesiologist said. I think he was shocked beyond belief when I asked if he is going to pre-oxygenate my wife. Thank you Max.

[@saphiriathebluedragonknight375]

I grew up in Minnesota! The U of M did my kidney transplant when I was a baby. Great hospital!

[@Midnight7716]

Had my first surgery a little over a month ago. I was so nervous, but the anesthesiologist I had was super nice and explained what she'd be doing for me clearly. She gave me medicine to help me relax and even gave me some nausea medicine even though I said that I normally don't suffer from any sort of motion sickness as sort of a just in case thing, which I'm glad she did, I was a bit queezy when I woke up, it could have been a lot worse without it. They even put a lavender scented sticker on my gown so I could enjoy that scent before and after going under. Passed out after a few breaths from the oxygen mask, I don't think they even had the chance to put other sensors on me aside from the finger one before I passed out. Lol, thanks to them my experience wasn't so bad and that's saying something when it comes from someone whom is always scared/ nervous of just BEING in a hospital, whether they're a patient or not. Shout out to the doctors/ nurses that helped me through it! 😘😘

[@shaynak745]

The lavender scented sticker is a great idea!!

[@indranidasgupta8982]

I remember every single thing from the moment I woke up in the OR (after surgery) and hearing someone say "heart function normal" (so relieved to hear that) and then someone telling me your bff is waiting for you outside the recovery room. I still remember all of that.

[@striker246810]

6:20 “You can knock yourself out!” That was genius.

[@MaxFeinsteinMD]

LOL glad this didn't go unnoticed

[@davidsoto4394]

@@MaxFeinsteinMD Excellent video.

[@rammagaming]

@@MaxFeinsteinMD My last surgery I tried to ask the anaesthesiologist if they'd let me push the propofol to actually knock myself out as well as see how much I'd even be able to push. They didn't go for it sadly.

[@itshopsin3008]

Just went under anesthesia this morning, first time going under in 22 years for a ruptured Achilles. Honestly it happened so fast I don’t remember feeling dizzy or anything. I remember talking with a nurse about trying to snag a teaching spot with the oxygen mask on for this upcoming school year (after I hopped over to the surgical table) then honest to God I was waking up in the recovery room it was amazing. Before I even realized it was starting it was over, and the sleep was extremely peaceful. Extremely impressed with how I was taken care of at Minnesota Valley Surgery this morning g , and I want this comment to rest anyone who might be nervous to be receiving anesthesia!

[@dianakesl1814]

Do you know if they used propofol? It sounds like it. (Rusty)

[@mrmica5.0]

Thank u for your post bro..im going in for the same thing in a week..this calmed me down alot!

[@SeattleMist33]

I had a similar experience getting my tonsils out. Hop over into the table, mask goes on, blink, and already in recovery

[@trashleader]

Thank you for comment. I really appreciate you trying to make anyone feel less nervous about this. Just know your comment helped me. I’m still very scared about this whole process and I cried until the iv was out the only time I had one before.

[@staticmonkey8436]

Same! I had to have surgery a week ago and as they put the mask on they were asking me questions about my job. Next thing I knew I was waking up and coughing about an hour and a half later lol!

[@davidcontreras1896]

You are such a great conversationalist and so approachable. You inspire confidence. Things I've heard you say track exactly with my experiences in some recent surgeries I've had. Your patients are lucky to have you.

[@JAPelicano1]

My anesthesiologist during my gallbladder surgery held and stroked the top of my hand when I started tearing up just before surgery. It comforted me so much and I was so grateful for it.

[@kylakemp9000]

the best experience i had when i was little, was when they put a mask onto my teddy and everything that was done to me was done to my bear. It was a great distraction. After surgery my bear had a dressing like mine.too. I was around 6 years old and at 47 i still have lovely memories of having surgery.

[@MA-zg2pz]

Genius! This is definitely definitely what everyone should do. Really would help children

[@sugerless20]

Aww wow that's so awesome. It would be cool if you kept the bear. Nice to have a good memory of something that could be so scary. I had joint surgery few years ago & I was so scared eventhough hospitals aren't a new thing for me. I was the extremely nervous patient (almost crying). When my surgeon asked what music I liked I said Justin Bieber but actually my fav is backstreet boys & NSYNC but I couldn't think. Thank goodness for midazolam. What is that stinky gas they give you & why do we need 100% O2 in our lungs before surgery if normal air isn't like that?

[@kimberlywerner9178]

Totally a child life (CCLS) move right there!

[@flxmkr]

I've always felt hospitals should give pediatric patients a special doll with the "same illness". I believe it would help the children understand what is happening to them. Also, medical play - giving the doll shots, taking temp, etc - helps them deal with their own experiences emotionally. I remember at the age of 4 I was sitting outside a room while my parents were registering me for surgery (procedure...there was no cutting)-tubal dialation. A lady sat down beside me and told me she was a petient, too. Then she asked me why I was going in the hospital. I told her, "Because I wet my pants". She said "oh!" And left. 🤣 I thought I was being punished for wetting my pants. When I finally got answers years later (I still don't completely understand it all), I told myself I would always explain these things to my kids. You can't just assume kids know everything that is happening to them.

[@anthonyrsw6570]

hilarious and beautiful, i just wrote a comment about how when i was five after a car accident the anaesthetist gave my teddy a shot in front of me to show it wouldn't hurt me because i was scared of needles! ... the shot still hurt me, but cute in retrospect

[@cierakitty]

Five years ago I had emergency surgery, as they wheeled me into the hall to the surgery door I asked for 5 minutes, to get a few things straightened out in case I didn't make it. They said ok, and I was saying I was sorry for this and that.....and I was out. In recovery, people around me were laughing..... waking up I was still babbling about this and that. Next day when my surgen came in he was smiling from ear to ear. "I really wanted to stay and hear the rest of what happened in the back seat of Jimmy's car, but I got called away". "You went in confessing, and you woke up confessing......Bobbie, you were a busy girl" he giggled.

[@Mozartandme]

I enjoy your videos very much. I wish the nurses weren't allowed to tell the patients how hilarious they were while they were under.This is NOT something I wanted to do (having yet another surgery) and I am so upset that a medical person has to let me know how "chatty" I was while I was out. This is so creepy that my private life and I were so amusing to her. I would have loved to put a pencil in her eye.

[@lulumoon6942]

@@Mozartandme My Mom felt the same way when I told her after her Gallbladder Surgery (as a teenager). It never occurred to me, having never been around it before, that it could be hurtful. I always regretted that. Cannot imagine getting it from medical professionals, though, that's especially uncool. 😕

[@intrepidtomato]

@@Mozartandme I wish they had ever told me how I reacted after waking up. I would really like to know what I did. Probably just groan and mumble.

[@kelleywyskiel8513]

@@Mozartandme same. I horrified that I’m going to say horrible stupid things and not remember it.

[@kelleywyskiel8513]

My grandmother was going under for an e,regency heart surgery and started adamantly telling people I’m the family that they will NOT get her Lincoln from her ad that she’s going to live. Lol

[@duke2011ful]

Super helpful. You’ve made the concerning/confusing Part of surgery much more understandable!

[@lindapearson3411]

I had surgery in a small hospital and woke up feeling like I was floating on a cloud. The next surgery was in a major city and I had to fight to wake up, which seemed to go on forever. It was a horrible experience, so I will definitely be talking to bring this up next Monday!

[@Howdayhay]

Finally, a KZbin video that explains what I want to know!

[@MaxFeinsteinMD]

Glad you enjoyed, thanks for watching!

[@Howdayhay]

@@MaxFeinsteinMD But where does the thermometer go? Lol

[@itme999]

I am terrified of getting anesthesia, and this showed up in my recommendations somehow. Hearing about how it works, what fail-safes there are, makes it somewhat less scary. You've got yourself a new subscriber.

[@keithnichols7926]

I have trouble falling asleep at night, and I enjoy the feeling of going under.

[@dancollins8296]

I like anesthesia. It's amazing.

[@damomajanet]

I just had thyroid surgery.. the anesthesiologist was amazing he and his sweet assistant had me laughing right up until I was out. I woke up still laughing 😂.

[@AllycatlovesAG]

Same. I've only had local numbing. I chose to be awake for wisdom teeth removal since it's the being asleep and not in control of my own body that scares me, not the procedure. The channel is helping me feel a bit calmer if I ever need surgery but I'm still gonna do everything I can to request it's not general anesthesia (I don't want a tube in my throat I will freak out)

[@HiTechRedneck]

@@damomajanet similar experience when I had an oral surgery a couple months ago. I loved it lol, honestly wish they could dole that stuff out for other things you’d rather sleep through like long car rides. The anesthesiologist was hilarious and we discovered we went to the same college, so kinda bonded over that. There’s no telling what I said or did immediately afterwards, it was exactly like he said in the video, I was awake, but I remember nothing until I was in the recovery room and the surgeon was going over post-op instructions with me and my mom. My mom said when she got back there I was just sitting there wiggling my finger back and forth smiling at the pulse-ox 😂

[@heathermarie3672]

I really appreciate your videos. I have to have surgery (dental surgery, my gag reflex was too severe for conscious sedation), and I’ve been nervous about the general anesthesia! Your videos have eased my mind a lot!

[@1aranel]

I am having back surgery this week. I have been watching your videos for the last month and they are so helpful. You do a great job of explaining what is going on and this has helped considerably. Thank you.

[@rebeccasearle-schrader9335]

I have chronic kidney stones and have had surgery dozens of times. Two summers ago I had general anesthesia 4 times in 48 days. Years ago I had a really bad experience being induced into anesthesia. No one's fault, the staff handled it well, but I now panic with surgery. It usually starts in preop with severe anxiety which turns into panic most often as soon as I see the OR, mid transfer to the table, or when the mask gets near my face. I start sobbing and/or hyperventilating, I have tried to climb off the stretcher/table a couple of times. It's bad. The main thing that has helped has been amazing OR staff. This is all documented in my chart along with what has helped/worked. Not only do they allow me to bring a stuffed animal in with me to hold and keep my hands and mind busy, they will ask and make sure I have one. They pre-medicate in pre op so that I'm very relaxed and half the time don't remember even seeing the OR. I've had anesthesiologists ask my stuffed animals names and make them their own wrist bands (silly for an adult but it made me laugh. Would probably be great for a kid) The biggest thing is that I have felt heard and seen. They have asked me whether I want to hold the mask or have them do it, they have asked about timing for the arm boards and straps. I also haven't felt judged or like a "difficult patient" Sorry this is long winded. You seem like a great doctor with a lot of heart and compassion for the work and especially for the patients. Thank you for being one of the good ones.

[@TeamCat1128]

Same. Being thought of as difficult only makes it worse and increases my anxiety. Some docs insist on giving the versed on the way to surgery but by then it’s too late…I’m in a full-blown panic attack. The good anesthesiologists recognize the need the pre-op sedation and it makes a HUGE difference in how it goes.

[@katiescorner5879]

I had surgery a couple years ago. Although it wasn't the first surgery I'd ever had, it was one of those situations where nobody was 100% sure what exactly needed to be done until they got inside and saw what was going on. So being nervous for the outcome, during the few seconds between administering the anesthesia and going under, I looked at the medical staff and said, "Don't f*** it up." Imagine my embarrassment when I woke up and my doctor informed me of what happened.

[@Alwayslearnimg]

🤣🤣🤣

[@lulumoon6942]

BOSS! 👍🔥🤣

[@infledermaus]

I have a couple surgeries coming up and thoroughly intend to tell the anesthesiologist with a dead straight face, "Don't kill me! I'm not ready to go yet!" I've had several surgeries, and I just feel like at 68 something is going to happen this time around. I'm also going to ask him/her, "You got something nice in your pocket for me that I can have now to take this anxiety away. Something like a fat bolus of Valium via IV or IM? Pretty please!"

[@meredithmericle7487]

I was told that I asked my anesthesiologist to marry me. After another procedure I told the nurses to get out of my kitchen. No telling what other beans I've spilled while sobering up.

[@titsmagee4469]

@@infledermaus I told them not to Micheal Jackson me for my last surgery

[@krisjustin3884]

I got hold of a book about anesthesia once and was amazed at the minutely fine accuracy you need about the patient’s physiology and awareness of their individual concerns in administering the drugs. So much to account for simultaneously! Maybe more complex than playing a Bach fugue with multiple keyboards on a church organ!

[@jessiczar387]

I had to have my first surgery when I was 12 years old, and it was for a 7 hour brain surgery (at the time I didn't realize how big of a deal it was). I remembered seeing signs during presurgical testing that said you could have one parent go into the OR with you until you were asleep as part of the Child Life program. That made such a huge difference for me, even though I didn't remember any of it afterward.

[@Beans1111111111]

I'm having major surgery in a couple of weeks and this video really helped me feel more relaxed. Thank you!

[@MaxFeinsteinMD]

I’m glad to know that! Best wishes for your surgery.

[@hearttohartwithbri]

Legit! I have surgery next month and this is helpful

[@hearttohartwithbri]

@@MaxFeinsteinMD your videos are amazing. Next month I have wrist fusion

[@angelblohm2171]

Knee replacement in 3 weeks

[@Nina_Olivia]

Hope your surgery went well 👍

[@dorkyredhead664]

I was really anxious so my anesthesiologist came in and said he was giving me a pre dinner cocktail that cracked me up and made me less nervous

[@naykowpow7311]

what does it feel?

[@intrepidtomato]

Great video! Had surgery multiple times and I'm DEFINITELY one of the nervous patients every time. Nobody ever put on music, but one asked me to describe where I would like to go on vacation (I said 'Sudan' bc my then-bf did a stint with the international red cross - 'that's nice' he said unfazed and I dozed off) . I've asked one other to talk me through what they were doing, which I find really helpful. Honestly, just a few nice words, a brief calm conversation, and even brief touch (some touched me gently on the arms or wrists to calm me down) have been really effective.

[@cherylemaybury9967]

This has been helpful to me as I am having a tumour removed from under my tongue in a few days and I have been nervous about it. I am elderly with heart problems and emphysema so I was very worried about having anaesthesia this time. These videos have helped me to trust that the doctor will be keeping a close check on me the whole time I am under.

[@kathyshelton9708]

Thanks!!! I especially like when the Anesthesiologist is funny and kind. Joking really makes it a wonderful experience!

[@dawncloninger1798]

My doctor and the fellow kept me chilling the best, everyone else was just a face coming towards me.

[@karene.4196]

I love all these videos ... especially the detail and humour injected into them. Thank you for taking the time out from an incredibly demanding career, to educate those who want to know. It's a true kindness. 🙂

[@OhK746]

My nurse anesthetist happened to be an acquaintance who had kids at the same preschool. We laughed so hard about it, what are the odds? Anyway, she was incredible. She could tell I was nervous, and she put something in my IV bag that she called the “happy stuff.” I relaxed immediately, and she kept asking questions about the upcoming school field trip on the way to the room. That’s the last thing I remember, after that, I woke up. It was very helpful because I had never gone under full anesthesia and I was afraid. Very helpful when the practitioner acts like it’s not a big deal.

[@lah1097]

I go into surgery in 8hrs and while I can’t bare to think about my actual spine surgery. Your video really helped me focus on the less nerve inducing anesthesia portion. Thank you ❤

[@patriciaraysin8309]

How are you doing after your spine surgery?

[@lah1097]

@@patriciaraysin8309 thank you, I recovered very well and am able to do many things I haven’t been able to do in years. While I’m very young for a laminectomy & discectomy procedure I’m very glad I chose surgery.

[@anonymous-nobody1]

@@lah1097 Had the same thing at L4/5 when I badly herniated a disc at 37yrs old, I was in way too much pain to be nervous about the surgery. The surgery was done at an outpatient surgical center. I remember going into the operating room, having a mask placed on my face and then waking up in the recovery area. The worst part of the whole think was when I woke up in the recovery room I was shivering uncontrollably for what seemed like an eternity and having the worst case of dry mouth I ever experienced. I've had other surgeries since but never the shivering and dry mouth, I suspect it was due to the type of anesthesia used as the other surgeries were in patient surgeries and I was in the hospital for several days afterwards.

[@Markyroson]

@@lah1097YAYYY!!!! ❤️

[@carlhaluss]

Well done! This is really fascinating stuff. And so well commentated. Great patient rapport! Excellent attitude, and I think you will go a long way! Who wouldn't want to be given anesthesia by you?!

[@TheBayFoto]

I actually remember hearing the nurse anesthetist telling me “wake up, the surgery is over, we’re taking you to recovery”, the next thing I know I’m waking up in recovery. I also remember asking the recovery nurse for a little anti-nausea medicine, and she told me, “oh we gave it to you 15 minutes ago when you asked”. Lol. Trippy stuff, time moves fast.

[@arowace498]

Aw geez that reminded me. Apparently I kept asking if I woke up screaming because of a previous experience of a wisdom tooth surgery that didn't go that well. That's embarrassing enough to ask once but I asked several times before I was conscious enough to remember the answer.

[@leglessinoz]

I've remembered a few times about being brought out of an anaesthetic in theatre.

[@moosehead1183]

You couldn't remember because of the versed ( sedative)

[@kestrelslater4029]

I really appreciated my anesthesiologist, I was having a full blown panic attack well I was brought down, but was unable to take my normal panic medication before hand. Was super calm super fast and explained everything that was happening even though I was really not in a state to understand, I also vaguely remember being shown pictures of someone’s dog though I’m not sure if that was the anesthesiologist or the nurses.

[@GATOREP]

I was having an endoscopy, my 1st, and was a little tense...my anesthetist knew this and the last thing I remember was her saying 'here comes the good stuff, sweet dreams'.....

[@henriquelaydner4080]

Fellow anesthesiologist from Brazil here. The best induction I’ve ever had was with a neurologically impaired 10 yo girl. I also use music to give patients some comfort and when I randomly chose an online rock station it was playing Joan Jett’s I Love Rock’n’roll. The girl, who was already on some sevoflurane, shouted out loud that it was her favorite song and went to sleep while singing along. Years later I still feel emotional about that day.

[@Ro-Bucks]

When I was 10 I had a second operation on my hip. The doctor called the Anesthesia a space ride and had me count back from 10, last thing I remember was his face warping over the bed say 5 really slow motion like and then chuckling. A day before the doctor asked what kinda music I like but both me and my mother were lost as to why. When they wheeled me into the operation room the beach boys was blasting loud and everyone was in a Hawaiian shirt and Hawaiian flower necklace things.

[@karensiegel6669]

Great story!

[@e.conboy4286]

What a nice staff!

[@jamssnana4084]

That is so cool!!

[@doyouhearthepeoplesing2]

brilliant

[@fcllc4217]

That really is a caring doctor and staff!

[@washtublaundryco.2220]

I had surgery today. I guess I had a panic attack going from bed to table. Anxiety was the last thing I remember hearing mentioned. Giving the fact that this video produce a panic attack solidified it so you are really really good and efficient at storytime...great job.

[@BluieBeth]

This is so great!! I have surgery next week and wish I had you as my anesthesiologist 😄 Great video!

[@tiredallthetime1636]

I had surgery when I was 14 and the anesthesiologist gave me something to calm me down and then told me a silly pun I’d definitely heard before and the last thing I remember was hysterically laughing. That was a good way to be put under.

[@yeralmuzika]

Anesthesia has always been my favorite part when it came to having a surgery done. The Anesthesiologist has the magic power to make you fall asleep and make all your worries about the surgery go away 😁, they're all awesome!

[@dianakesl1814]

Propofol is the s&%t !! No hangover, don't remember anything they did to me. I just hope they didn't put me on KZbin. (Rusty)

[@chanabayla1823]

They can also put u into a coma too or G-D forbid thats it so not looking forward to it

[@steveweintraub5712]

Hi Max. You did my nerve block before my shoulder replacement by Dr. "L.G." a few years ago. Didn't feel a thing. And I liked the portable block you gave me to take home. It made my recovery much easier.

[@janed7700]

You're phenominal, caring, funny, real. I hope you never change.

[@rosalindabarrett7508]

Just had surgery the anesthesia guy was Russian. He acted like he was interrogating me. Commander, in a heavy Russia accent, I busted out so hard. He had to put me to sleep.laughing

[@bellas14u]

Ahh that must’ve been so funny! I had one Russian anesthesiologist and apparently as I was going under I said to him in my limited Russian,”good morning, are you a good doctor?” And i spiraled saying “Da, vodka!” As I knocked out..🤦‍♀️😂😂

[@hearttohartwithbri]

This video was great reminder of what I will go through next month. I have Osteogenesis Imperfecta and have had many surgeries but it’s always good to review.

[@njohnson6911]

I have had many surgeries and have watched a lot of your videos and just want to say I can only hope to have someone as good and caring as you when I have surgery.

[@williaml.buckiv9214]

Never lose your caring, honesty and being authentic. I'm impressed! Thank You❤️

[@terrymcclellan688]

Its nice to hear about what goes on before surgery. I've have had some surgeries, but each time I get anxious till this day going under Anesthesia. This is very informative and reassuring about Anesthesia. Ty for sharing this.So Educational 👍😊

[@hermosa7671]

Awesome job you really helped understand that anesthesia isn’t that scary. Love your positive energy and sense of humor.

[@MaxFeinsteinMD]

Really appreciate the nice feedback, thanks for watching!

[@PacoOtis]

Bravo! My dear Dad was a graduate of the University of Louisville in 1920 and was, therefore, a surgeon and an MD. He practiced surgery for 20 years before antibiotics came out and when we were chatting at his death bed he proclaimed the antibiotics to be the greatest thing of his life! His stories of having parents assist with the administration of ether haunt me as it did not always go well. Thanks for your videos and thanks for sharing and the very best of luck to you!!

[@prydin]

I just had my first general anesthesia experience last week and I came to this channel to try to reduce my stress. It worked, because understanding things makes me less nervous. As for the patient type, I think I was the talkative kind. After they gave me the first light sedative, I started chatting with a nurse who happened to be from Zimbabwe. I remember asking her a million questions. Too bad I don't remember any of the answers, because I would have been an expert at everything about Zimbabwe. I hope she didn't find me too annoying!

[@floralminds3730]

i had a lot of general anaesthesia procedures done as a kid, my favourite thing between the ages of seven to seventeen was the guys that talked to me a lot, asked me to imagine my favourite most comforting place or cracked heaps of dad jokes. Always helped me be comfortable + the anaesthesiologist and nurses that let me hold their hand and say see you soon on the way out so I knew I was always safe

[@medicjack8943]

I'm amazed how well you can manage your time to be able to make these great quality videos for us.

[@martinlanders6135]

Thought the same thing. Must be super disciplined when it comes to time management!

[@MaxFeinsteinMD]

Thanks for the kind words! I'm not perfect with time management, but I definitely improved my time management skills while in medical school.

[@jonnaleppanoro9858]

@@MaxFeinsteinMD Try distract childrens using Ipad or tablet computer. Schoolaged children can play games before he/she going to sleep.

[@Aawsomeguy]

Yes. Thank you for these excellent videos.

[@jonnaleppanoro9858]

@@MaxFeinsteinMD I got epinefrin injections 2 times because I'm allergic to penicilin. It was adrenalin on it. Then I feel better. And I have nausea and little pain and I feel dizzy and I been very "high" when I woke up at the PACU. I got allergic reaction to antibiotic called Zinacef. I got Zinacef infusion on my iv because the stopping infections just in case. I'm alive . Putting intrauterine device went well on october 2019.

[@parisarnold6101]

I’m going under GA for the first time in a few weeks. I’ve had sedation many times but i’m very nervous for this especially because they will be planting a pillcam through an endoscope, knowing I will have lots of tubes in my throat scares me, but this has made me feel a little more at ease! Thank you!

[@DonnaW71]

I'm watching this two years later...I'm praying you are still the same sweet guy as in the video! The world needs more doctors like you. I've had my fair share of the opposite 😖

[@KuriousKollector]

Thank you for making me feel more at ease about my first upcoming surgery :)

[@MaxFeinsteinMD]

I'm glad this video helped! Best wishes for your surgery.

[@jag731]

Nice video. Recently had an outpatient procedure. I've had quite a few ops in my life, but the nervousness never goes away. Anyway, this last time, the anesthesiologist was cool, friendly and really tried to put me at ease. Right before the propofol took effect, I asked.. "A little singing and dancing, maybe?" to help calm me down. He did it! It's the little things.

[@tbong9293]

So true, made a big difference to me when I had surgery I was able to relax even more..

[@GlynRobinson]

Great video, Dr Max! I’ve been “under” many times! Recently as two weeks ago for shoulder surgery. Love a talkative anesthesiologist!

[@Eric_B_59]

Well done Dr. My grandfather was a surgeon so I grew up around medicine. His plan was for me to follow in his footsteps, but I joined the military then after went into paramedicine then forensics as a PA. But I digress. I have had surgery and my anesthesiologist never went as in-depth as you do. You have an awesome bedside manner and truly care about your patients. Keep up the awesome work.

[@spongebob1849]

I’m the really talkative person. I was smiling and having a great time learning this.

[@susantieken646]

I have been under 6 times and every experience has been different. Some were just ok and some were great..the great ones were when my anesthesiologist talked to me a lot and explained every step of the process! You are definitely on the right track!

[@jessicamerriman2336]

Evidently I proposed to everyone in post op, including my post op pain pump. It was my first surgery after 27 years as a Paramedic/Firefighter. I did love my intubation rotations in surgery with the anesthesiologists, as l learned a lot. 🙂

[@chizmo7]

Hilarious. Especially the talkers. I’m a nurse and I love the talkers because you can just do your job and focus, as long as you throw in an occasional “really?”.....”wow”.

[@johnvicks7153]

I’m going under in 2 days, this vid has been helpful!

[@barbaragraham9961]

Great explanation from a doctor that understands how to talk to his patients. Love the funny film.

[@BamaTraveller]

Great introduction to the “other side”! Hope you will plan on practicing anesthesia after you complete your training, I have heard some prefer to take on more of a supervisors role and rarely see a patient except to pre-op. Good luck!

[@glamgirl2744]

“Let me know when your asleep” “That’s not the first time you used that joke” BHahahahaha! That’s amazing.

[@caitiliningheanfheichin4671]

I have an upcoming hysterectomy. These videos have been great. Its actually sparked an interest in me wanting to know more and maybe auditing a university class on the subject. Thank you.

[@hagbard72]

Listening to you guys talk about "forming new memories" brings me back to my last operation and heck, I now remember being woken up on the table before being wheeled out. What I always remembers was being questioned outside the operating room and telling them to "leave me alone" as I usually throw up after being put under (didn't that time).

[@aniyapopescue2209]

You're amazing. I wish you were in the operating room when I needed emergency surgery. You have a wonderful personality and will really make a difference in the patient's lives you touch. God Bless

[@patrickrichmond9896]

I am glad that guys like you do whatever it takes to make things very calming for your patients. Where I worked, I have been taught the same rule of thumb. I am retired now, but anesthesia applications has come a long way. In the 1960s, the masks that were used in those days were pretty heavy and they felt they were about to wipe out your respiratory system or shove your face onto the floor. My first surgery that required those heavy things was in 1970 and I had a pretty strong hatred towards gas masks. And then in 1978, I was given a shot for anesthesia instead of a mask. Which I am sure the companies that made those masks received thousands of complaints and were forced to improve and then the newer masks felt much lighter than the one I experienced in 1970.

[@tmilesffl]

I have had five surgeries and the Dr for the anesthesia have been great.

[@juliewilliams363]

So interesting, as I've just had surgery. What a lovely young Docter you are. Keep up the good work.

[@ColemanRG]

Good on you for this very informative video. The whole process of losing control was very anxiety inducing for me. My anesthesiologist said to me "you have absolute control here, and if you don't want surgery, you don't have to have it." When he framed it like that, I realized that I was being overly nervous for no good reason. I relaxed, had a very good outcome.

[@gyrgrls]

I remember one time I went in for a procedure and met this lady anesthesiologist - and let me tell you, she was a real knockout!

[@michelleking9542]

You are awesome Dr. Feinstein! Keep up the great work. You seem to really care about your patients. Hugs from a nurse anesthetist in Florida 💕

[@dustin4450]

I had surgery few years back, I woke up in the recovery room with 4 female nurses hovering over me giggling and talking with my gown lifted up to my chest. I guess they realized I was starting to come to it, so one quick pulled my gown down and the other 3 left the room right away. I asked a couple female nurses I know about it and they confirmed what I already knew. They spilled some beans on what some female nurses do to innocent defenseless unconscious male patients under anesthesia. They said its VERY common for female nurses and female medical personnel to lift up gowns on unconscious male patients to laugh and giggle and gawk at their genitals. The stories are WILD. A LOT of female nurses and female medical personnel do some WILD things to unconscious male patients under anesthesia

[@michelleking9542]

@@dustin4450 I’m a RN and I find that unprofessional and am discussed by that behavior. I’ve worked post op and other areas of surgery. I’ve never encountered that where I work. You should report that to the hospitals department of quality assurance. I’m sorry that happened to you.

[@dustin4450]

@@michelleking9542 thank you I appreciate that. It's hard/impossible for Male patients to report these things though because of the anesthesia obviously. I just happened to wake up and witness it, I bet %95 of guys who get sexually violated by female nurses will never even know what happened to them. But like me, most guys have female friends as nurses at some point in life and we started hearing the stories too. The ONLY way this changes is if female nurses, female hospital employees, female supervisors, female charge nurses start policing their own. Once female nurses decide that sexually assaulting innocent defenseless unconscious male patients isnt harmless fun then it will change. They need to start reporting things when they see this happen. Take my case for example..... wouldn't SOMEBODY wonder why 4 female nurses (that I know of could be more) were shuffling in the recovery room while I was in there??? You work in post surgery, why would 4 female nurses be in there when I woke up(with my gown up giggling). There obviously wasnt a problem with me, I wouldve heard eventually from the surgeon or somebodyvif there was, and if I was having problems why were they all giggling? And why did 3 of them leave instantly once I woke and sat up? I hope female nurses and female employees understand that either by participating in it or ignoring it they are creating an environment where sexually assaulting unconscious male patients is acceptable and by doing that THEIR OWN sons, fathers, brothers, husbands, favorite uncles, best friend's sons, etc WILL be subjected to the same sexual assault that female nurses inflict on OTHER WOMEN'S sons and fathers and nephews. Like I said most guys find out what REALLY goes on and rather fo through the humiliation of being sexually assaulted by females, guys will just delay or ignore NECESSARY health issues and DIE earlier in life because of it. Its WAY more serious than female nurses and female hospital employees think it is, sexually assaulting unconscious people can lead to the patient being depressed if he finds out and can ruin their life. Or like I said men avoiding or delaying medical treatment because they hear what goes on and will DIE earlier in life because of it. Sad

[@ChristinaPistone]

I had to have general anesthesia twice in two days last week unfortunately, but I bounced back so quickly thankfully! The staff and Dr.s made all the difference. And positive mindset! Grateful for doctors who truly care ♥

[@mrs.c5471]

Wonderful to hear you had a great experience. Sadly, my Mom didn’t survive her back to back surgery because they didn’t give her body time to process the first anesthesia before administering the second.

[@ChristinaPistone]

@@mrs.c5471 I am so sorry :(

[@ryanblanchard2508]

@Mrs. C that’s horrible. Yeah they don’t make videos about that now do they? It’s all presented like it’s a joke, meanwhile your life is very much at risk. You have to sign a waiver acknowledging you could be severely injured or die from the anesthesia and everyone just laughs about it and recalls their cringe little anecdotes. Jesus Christ humans are so stupid it’s amazing.

[@rogervonschleusingen4603]

MUCH RESPECT TO ANESTHESIOLOGIST, THANK-YOU SO MUCH !!

[@ryderoreilly9807]

Good work Dr Feinstein! As someone who has undergone GA over 20 times in the last 7 years, anaesthesiologist bedside manner is so important. I actually enjoy the sensation of being put under, just not always the coming out of it especially after an invasive surgery. On a different note, you remind me of Shane from the walking dead! 😆

[@beauyates8786]

Great videos keep them coming. You seem very real and actually have bed side manner. I'm about to have a partial knee replacement and of course nervous about the entire process. However I had surgery same knee Dec 2020 and everything went smooth. Just freaky going under 😅

[@jackanderson3540]

I had surgery a year ago and as I was going under the anesthesiologist gently took my hand and squeezed it. It was one of the kindest things I have ever experienced. Had I not woken up that would have been the last thing I experienced , what a beautiful soul to risk taking the hand of another man to reassure him at that moment.

[@garykleinberger3704]

I have gone thru surgery before and everything you have mentioned is correct. I stayed awake and listening to music. Nice doctors who allowed me to talk and count backwards. 10..9..8. And then I woke up upstairs. Amazing stuff!

[@lukaswise717]

The internet is so powerful. It’s such a privilege to be able to watch your videos Dr. Feinstein. The amount of information you are able to give prospective students is incredible. I’m a sophomore in college, but I hope to some day be in your shoes. Again, thanks so much for these videos and the insight into your life!

[@LS-se3ei]

Well said!

[@MaxFeinsteinMD]

Thanks for the nice feedback! Wishing you luck on your journey to become an anesthesiologist 💉

[@mandymorrow5473]

I've literally had over 30 surgeries and because of my PTSD, Versed is like a miracle drug to me. I'm 23 and still have to request Versed and make absolute certain they remember it.

[@starbeautysix3967]

I Pray for your healing in the Loving Mighty dear sweet Precious Healing powerful Name of our HEAVENLY FATHER through his dear sweet Loving Mighty Wonderful Healing Precious Son JESUS CHRIST our LORD that you don’t have to go through no more trauma or surgery and that you live a long blessed life I Pray this in our dear sweet Loving JESUS Sweet Name Amen🙏🏾🙏🏾🙏🏾🙏🏾🙏🏾😇😇😇😇😇❤️❤️❤️❤️❤️🙏🏾

[@Taradise34]

@@starbeautysix3967 AMEN

[@l.c.345]

Glad you like versed, I make sure they don't use it- I had it about six times within a 3-month period when I was in my fifties and it took me almost a year to get my memory back using nutraceuticals and have refused it since.

[@mandymorrow5473]

@@l.c.345, my memory is crap anyway due to the sheer number of surgeries I've had.

[@hifi8844]

@@mandymorrow5473 I'm going in for first surgery soon an it's freaking me out a bit. Is it not as bad as you think? Sort of like going to sleep and waking up suddenly

[@joanneb3935]

You are hilarious! I have surgery coming up, and I hope I get someone like you to calm me down because I have high anxiety. 😵‍💫

[@secretlady45]

I want you for my very own personal anesthesiologist! I worked in health care for 39 years, had a few sinus surgeries & a few orthos as well. I typically got a little scared wheeling into the OR, so that usually was when the anesthetist mercifully slipped me a few mg of Versed or Propofol. You will be an outstanding doctor of anesthesia! Good luck & keep up the good learning & work!

[@minicoopertn]

When asked what music I would like to listen to I am going to answer "Knockin On Heavens Door."

[@rachdiva]

That's an interesting request 😂

[@ErikaUrbancicOmahna]

I had sinus surgery a year ago and my anestheologist and all the nurses were the kindest group of people I ever met during my surgeries. I wasn't nervous at all and I was the talkative patient. We talked about life, food, my career and since I'm a scientific translator who wants to specialize in medicine I was asking lots of questions and paying attention to everything this kind man was doing. I remember him saying: "well, Erika, I'll see you in a bit...bye bye, good night, sleep tight!" And just like that, in a blink of an eye he was welcoming me back with enthusiasm and happiness. I woke up with a smile. We need more people like him! He even came to check how I was doing when I was in the recovery room. Having had a PTSD after my last surgery, him being that nice made my day 💜

[@cynthiaboyd141]

I had my first surgery in May. My Anesthesiologist talked to me and made me feel very comfortable.

[@ilovetotri23]

You are clearly a great professional! I know there many, just like you. I would implore anyone going into surgery to thank their anesthesiologist! They make sure you are comfortable, and alive! Silent heroes of the OR.