Awake or Under Anesthesia During Surgery

Imagine you is doctor/patient. What procedure you choose for surgery? Awake during surgery or under anesthesia? Why you choose that procedure?

I would be the doctor and have a male patient, who was awake. I'd choose catheterization. I want him to be awake to watch me slowly insert the catheter. Love the look on their face!

Under anesthesia, electroejaculation, cystoscopy, prostate and testicle biopsy. After recovery, an open appendectomy.

Under anesthesia, electroejaculation, cystoscopy, prostate and testicle biopsy. After recovery, an open appendectomy.

Not including the appendectomy, sounds wonderful - If it was video taped for my later enjoyment. I'd love to watch my nude, unconscious, limp body bring manipulated and positioned for each of the procedures. I'd hope for detailed discussion about my body and the procedures.

The only thing I'd add would be detailed exam and shave prep while conscious.

Jds4med, totally agree with you about the videotaping. And definitely the exam and prep before. In my fantasy, the doctor is an older male urologist, and the other staff is all older males as well. No sex involved whatsoever. When I am to go to the operating room, I either am on a Burney or I walk in in just a gown, or exam sheet wrapped around my waist like a towel.

First, this is complete fantasy. I'd never want to try this for real.

I'm wheeled into the room nude under a simple sheet. The bed is rolled to the center of the room and the wheels are locked. The sheet is removed. Restraints are quickly attached to my ankles, thighs, wrists and arms. A harness holds my head still. There's a mirror on the ceiling so I can see everything. The people in the room don't address me, I'm just a human piece of meat.

An IV is placed in each hand. Drugs are injected. Soon, I find it more and more difficult to move. Soon after, it becomes difficult to breathe. The head harness is removed and my head is tilted back to open my airway. A mask is placed on my face and air is forced into my paralyzed lungs. The person at my head puts a tube down my throat and takes over my breathing. It's a strange feeling not breathing and not being able to.

The restrains are removed, they serve no purpose now. The staff turns me face down. I feel a clipper removing my hair from head to heel. Special attention is paid to my butt. This is followed by the cold of lather and a blade to finish the job. I'm turned back face up and the process is repeated. I watch as my head, face, chest, arms and legs are shaved clean. The staff moves to my groin, first clipping then lathering. The shave is completed with an old fashioned straight razor. Either the staff's manipulation of my penis or one of the drugs injected causes a huge erection, facilitating the shave. My knees are drawn up and out to allow clipping and shaving of my perineum. When they're done, I'm completely hairless and smooth.

The one in charge addresses the staff. "OK, now the fun can begin..."

Jds, I like the idea of being shaved as you described in your fantasy, but being paralyzed would be too much for me. Restraints would suit me much better.

Jds, I like the idea of being shaved as you described in your fantasy, but being paralyzed would be too much for me. Restraints would suit me much better.

Somehow, the idea of chemical restraint is hot...

My patients all wind up in the OR...and all take a nap 😉

Chip193, what type of surgery is performed?

@JHS517 - it all depends on what she needs done!

In fantasy rather than real life, of course...

I'm unexpectedly admitted to hospital from what I thought was a simple doctor's appointment. I didn't think there was anything really wrong with me, but I'm sitting where I've been told to, in a waiting room.

A nurse eventually calls me. Expressionless. She sits me down in a procedure room, puts an IV cannula into the back of my hand, doesn't answer any of my questions. She leaves me sitting there.

Another nurse eventually fetches me into another cool sterile room with an examination couch and not much else. Indicates that I should put on a hospital gown and the doctor will be with me soon. My doctor eventually comes back, explains that i need a minor procedure. While he is talking he takes my hand. I'm concentrating on what he is saying, so don't really pay attention to what he is doing - injecting something into the IV cannula.

Within a minute or so I'm feeling pretty woozy and sleepy. Without me noticing, another nurse has come into the room, and she eases me down onto the examination couch. wheeled into the next room where there is a much larger theatre, and transferred onto an operating table. I'm unable to resist as my legs are strapped into stirrups, my arms pulled away from my body and strapped down. ECG electrodes stuck to my chest. I'm unable to fight more drugs being given, and I'm paralysed. Intubated. Awake. I can feel everything that is done to me, A urinary catheter. Another IV cannula.

I'm completely helpless. And I have no idea why, or what is going to happen next...

Lets see if I was the patient I would say hand surgery my hands are restrained to the table with leather straps so my hand is perfectally still. I am awake but given a local in the hand and given nitrus oxide to calm me down. Another procedure would involve my anus or going up my butt in someway the doctor would be female she would have me stripped down to my underware with a gown on. She would have me lay on my tummy on the table and my underware would be pulled down by the nurse. My butt would be washed and cleaned by the nurse and doctor. She would then give me an iv and have me completely out cold. Another procedure would involve me penis and testicles. A female doctor would have me strip and would prep me and have to give me and erection. I would then be gassed and sedated in twilight sedation. If I was the doctor the patient would be a teenage girl and it would involve her breast or vagina and I would slowely gas her and have her sedated to where she wont remember what I am doing and be totally compliant to what ever I say. I could then have my way with her.

Thanks for all who give comment or suggestion for my topic... Who else have idea???

In reality always under! I wouldn't want to hear anyone around me talking while I'm creating a whole scenario in my mind of what's going on behind the drapes. I don't want to be awake while I'm being cut open and somebody else has their hands/instruments inside my body. I suffer from GAD and absolutely in reality as sedated as possible...

However in a fantasy...it's exactly the opposite. I would be awake, restrained, I would hear all the doctors, nurses involved talking to each other about what they will be doing to me, asking for instruments or devices. I am terrified, but I can't scream, I feel some degree of pain and nobody gives a crap about making me feel comfortable.

As surgery...something gynecological related.

Last winter when I had a AAA repair, then 3 days later, open repair of a leaking femoral artery, I was wake both times. I was heavily sedated with Fentanyl (wonderful stuff!) and I suppose they used some kind of a local at the surgical site, because I felt no pain, but I could feel a warm liquid flowing over my abdomen, then a cold liquid doing the same. I assume it was warm blood, then room temp. sterile saline. I could hear everything and the surgeon even asked me questions. My back hurt in a bad way from the hardness of the operating table. My ankles and knees were strapped together and around and underneath the OR table, to make sure I didn't move. When they were all done and the tape removed from my ankles and knees, I started to sit up slightly to see what I could see. Some OR Tech. who had been a tech. in the military stared barking at me loudly to "Lay Down, damn it, or you'll start bleeding!" That REALLY pissed me off! I had been an Army Infantry Captain and I was furious that some damn enlisted medic was yelling orders at me! I started to call him every filthy name in the book and telling him to shut his Fu'ing mouth. They quickly wheeled me out of the OR into the Post Anesthesia Care Unit, or PACU.

When I got home, I got an itemized bill for everything done in surgery. Listed among the anesthesiologist charges was an $80.00 charge for "Extreme Age". I was 70 and in excellent shape. Is 70 considered "Extreme Age"? I felt insulted by this entry.

. . . When I got home, I got an itemized bill for everything done in surgery. Listed among the anesthesiologist charges was an $80.00 charge for "Extreme Age". I was 70 and in excellent shape. Is 70 considered "Extreme Age"? I felt insulted by this entry.

I would be insulted also. 70 is the new 55.

I don't want to get a "Senior Discount" until I'm at least 80.

Some terms they use are upsetting aren't they @jimmyt44 . I would certainly say 70 is not extreme age in my opinion but in the medical world it's all different. I saw on a chart recently while I was with a patient in the ER that said moderate retardation. What ?! We live in a completely different generation I didn't know that word is still acceptable , maybe it isn't and is just an old writing. Who knows but, try not to take offense it's all just lingo. And as we all mostly know there's a charge for everything. I hope you're feeling much better now. Take care.

The term used now a days is mentally challenged.

Loved fourbethethings fantasy

After I questioned the terminology the chart was changed to intellectual disability. That sounds much better to my ears and those around me who may be listening. I know what it means. In my job I advocate for patients and the word retard is not acceptable ever.

I like to see what is going on. When I had a colonoscopy, I had the pain killer, but not the mind blocker, so I was able to watch the scope and see what I looked like inside. Likewise when I had a TURP, which is basically a cutting meat out of the inside of my prostate.

During and after the TURP, any number of people, including what seemed to be mostly women, were in and out of the operating room. I was lying there naked from the waist down, but they did not seem to pay any attention to me. People in that business are used to seeing naked bodies, so I would not think that they would have any particular interest in looking at my naked genitals, but it takes some getting used to on my part.

I am able to ask questions about what I am seeing, which is nice. When I had a radio ablation on my heart, they insisted that I be totally out because they could not take a chance on my moving while they were working, so I do not know what the inside of my heart looks like.

hankb

If I am specifically asked about what surgery I would like for the play scenerio, I would like to have surgery under anesthesia for my stomach. Most probably upper abdomen, as many who have read my posts will know I don't like anything to do with my behind.

If the doctor describes in detail it would be more interesting what is being done to you specially after you are under anesthesia😃 (that too with the OR team containing both males and females) than watching surgery prep videos,well for me atleast.

I am already getting excited thinking about it

For me I would be prepped while awake and then I.V's placed and given Anesthesia and have a Procedure done and then placed in ICU for days and monitored and everything.

Under anesthesia with a slow inhalation induction. But after having given a good look at OR and having been prepped

Reminds me of real situation about 15 years ago--I had a real angiogram. When they were about to insert the die and start the test, a nurse said, "he doesn't seem nervous"--they then asked if i wanted to stay awake! So i did--amazing-- I was awake and got to watch the die and wires light up all my veins, heart and arteries on a monitor!! Cool! Then i had to lie perfectly still for 4 hours to let the opening close up so i did not bleed to death!!

Id prefer to have my patients awake...theres no fun if theyre out cold

Awake or asleep would depend on the surgery being performed. But I would most likely prefer asleep for anything other than a minor procedure that only took a half hour or so and that I could be completely shielded from view of.

My patients always go under.

I choose to be awake for anything just because I'm scared of being put under.

Awake. They can knock out sensation in whatever area they need to, and I will do whatever I need to to learn about what will be going on and make sure I don't panic.

My last experience was bad enough to where I'm not going to let them mess with my brain again.