Sterile_Technique
@Sterile_Technique@lemmy.world
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 3 days ago:
Oh! Well fuck, I way misinterpreted what you were saying then.
- Comment on Take that libs! 3 days ago:
A co-worker accused me of “Trump derangement syndrome”, and I just started spitting out a list of “Yeah! Kinda like how US troops had Osama bin Laden derangement syndrome! Or how 1930s Jews had Hitler derangement syndrome! Or how Oklahoma City had Timothy McVey derangement syndrome! Or how Union forces had slavery derangement syndrome! …ya starting to understand how fucking stupid that sounds?”
…and no, it didn’t shut him up, he just deflected to another topic, but that’s about as close as you can get to progress when debating these fucking morons.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 3 days ago:
I can’t stress enough that I’m a tech, the rock bottom of the OR foodchain, so my understanding is limited …and even if I was claiming to be some kind of doctor, I’m still just a random internet stranger, so some healthy skepticism is encouraged regardless. BUT I’ve spent most of the past decade working in rooms full of brilliant people, so I’ve picked a few things up during that time, so: some of what you’re describing is normal, like waking up during sedation, but some of it has me scratching my head. Like, there shouldn’t (dangerous word, I know) be a situation where you’re sedated and paralyzed, cuz that’s a recipe for the nightmare fuel this thread is talking about. If you wake up from sedation, you might feel groggy and like heavy limbs or not just lack the desire to move like when your alarm is going off in the morning and you’re just lying there in a state of apathy for a minute mourning the loss of your sleep… but… if you make a conscious effort to move or speak, you should (*) be able to.
And again, not saying none of that ever happened; it’d just be super abnormal to the extent of suspecting some kind of literal physiologic anomaly (which is possible!) or some kind of borderline criminal incompetence (or actual malice) on the part of your anesthesiologist.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 3 days ago:
Yeah that’s super fucked up, and kinda roots back to your right as a patient to informed consent. Office staff shouldn’t be giving any kind of medical advice - if you have a question about a med, that’s their cue to call in a nurse or doc to come talk to you.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 3 days ago:
Tolerance to pot equates to tolerance to a lot of anesthesia meds, and I think cocaine can fuck with it too, but idr why.
My advice: tell your healthcare team everything. Regular OTC meds, any supplements or herbals you use, alcohol/tobacco use, and a 100% accurate picture of any illegal shit you use. If you snort a whole gram every single night, tell them you snort a whole gram every single night.
Your anesthesiologist isn’t a cop: he doesn’t give a flying fuck about whether or not you broke the law. He does give a fuck about the chemistry currently swimming around in your body and how that effects your physiology / how it interacts with his own chemistry cocktail he’s about to squirt into your veins.
Full disclosure, if you admit to violent crimes, especially ones that are ongoing, he will have to report that to the cops (at least in my state - that could vary).
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 days ago:
IDK shit about peds, but adult colonoscopy and TEE are both under sedation, not general. Broken arm depends on how they fixed it - if it was a closed reduction then it might have been sedation, but anything open would be general. Septoplasty is always general afaik.
Filing and vasectomy are usually just local anesthesia (numbing). That’s a whole different battle: docs can be impatient and like to start working before the numbing actually starts. You say OW! They get annoyed and push more local, wait 10 seconds, start working again, you say OW, they push more, etc. 10 mins into the torture, the initial dose is finally doing it’s job… but then the other 5 doses kick in and your entire head goes numb. I have that issue with local too - I don’t need more of it, I just need to give it more time to work its magic; so when I need a filling or something I’ll tell the doc to push the local, then take a coffee break or something and check back on me later.
Anyway, you kinda showcase my point: of the operations mentioned, only one stands out as for sure needing general anesthesia, so it sounds less like your anesthesiologist didn’t believe you and more like he just did a shitty job of explaining the kind of anesthesia you’d be receiving.
LOTS of people think they should be asleep for any and every surgery. I’ve had dozens of patients in the operating room nervously ask “shouldn’t I be asleep for this part?” and the nurse shoots an evil eye at the anesthesiologist as she explains “No, you won’t be asleep for any part of this.”
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 days ago:
The thing is there are a lot of signs that start popping up when the anesthesia isn’t doing its job, due to tolerance or not having enough pushed. Your body starts to respond to the surgery way before your brain does, and we’ll start seeing muscle twitches or their vitals start to go nuts.
Not terribly uncommon for a surgeon, well into the operation to poke or cut something and the leg or whatever we’re cutting on recoils a bit. Surgeon gets annoyed and snaps at the anesthesiologist “Hey he’s getting a little light - we still got at least 40 minutes!” and the anesthesiologist will push a little more sauce and the signs stop pretty quick.
Point being, by the time you’d be aware of anything, your body will have been reacting to it increasingly dramatically.
Surgery aside - let’s say you’re sleeping normally and someone tickles your nose with a feather or something. Not enough stimulation to wake you up, but your nose might twitch or flare in response; with enough irritation you might even reach up to scratch your nose or move your head all without ever waking up - though by that point your very close to regaining consciousness.
Again, our physiology is weird, and meds do weird things to it, and I’m just a tech so I don’t know the nitty-gritty details, so I’m definitely not in a position to say it’s impossible. But those kinds of claims definitely fire off the bullshit detector enough that I’d be hesitant to take them at face value without a breakdown of how the patient’s physiology is different from everyone else’s or how the anesthesiologist managed to come up with a cocktail of whatever he pushed to allow for mental perception of being sliced open without any change to things like vital signs.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 days ago:
Typically it’s just the epidural - they don’t even need local since once the epidural is done, they can’t feel any pain from the abdomen-down… they will still be able to feel pressure, which is fairly extreme given that it literally involves ripping major abdominal muscles in half; and the discomfort from that much pressure vs the discomfort from pain is kinda splitting hairs. Anyway… General anesthesia in a C-section means there’s some kind of emergency on the mother’s end, and once the drugs are administered the surgery needs to be done FAST because they can effect the baby.
Rummaging through a purse is a hilariously polite way to put it, lol.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 days ago:
I feel like we do a crappy job sometimes of telling patients what to expect or differences in things like sedation vs general anesthesia. Sedation is just ‘makes you sleepy’ but you can wake from that sleep.
General anesthesia you’re out, and you stay out until the doc pushes the drugs to wake you up.
I think the vast majority of stories about waking up in the middle of surgery involve the kinds of surgery where that’s semi-expected. Like, we’re typically not going to give general anesthesia for something like a toenail ablation or other more minor stuff. People wake up during those - usually we have a drape over them, so thay can’t see the the actual surgical site, but they often need to be oriented - “Hey Mr. Jones, you’re at the hospital for your tow surgery remember? You’ve been asleep for about 15 mins - we’ve got a couple left to go, then we’ll get some dressings on and you’ll be good to go!” …completely normal. They won’t actually feel what we’re doing because of a nerve block or local anesthetic.
But, ^that after a few rounds of telephone game becomes some horror story about waking up in the middle of a big open abdominal surgery, feeling all the cuts but not being able to speak or move. Can that shit actually happen? Probably, idk… our physiology is super finicky and there’s always the chance you’re the next one-in-a-billion unlucky bastard with a previously unheard of weird response to one of the meds they use for general, but I suspect most of these tales are, again, telephone-game type deviations from something completely different, or just pure bullshit from square one.
- Comment on POV: You're too shy to tell the medical staff that you just woke up during surgery. 4 days ago:
Surgical tech here. We actually had a patient do that to us once. So with general anesthesia it kicks off with a drug called propofol, and once they push that it takes effect FAST. Like, within 10 seconds - you can be talking when they push it and your brain will just turn off mid sentence. “Yeah we took our son to the game last weekend; he’s a big fan of the quaaaaaaaaaaaaaa…” and your completely out. Anestheiologist does one last “Mr Jones? How are you feeling?” to verify you’re actually out, and then you’re getting intubated.
Anyway, this dude had a tolerance to propofol and he went in knowing that, but didn’t tall the anesthesia team. Did basically ^that, trailed off mid sentence, eyes drooped shut. Anesthesiologist did his “Mr. Jones?” spiel and the little bastard’s eyes pop open, looks straight and doc, loudly says “GOT YA!” and then his eyes roll back for real this time and he actually goes under.
Doc about had a heart attack. It was fucking amazing. 10/10
- Comment on Please choose one 6 days ago:
I’m REALLY jealous of you right now. That first play through hits fucking hard.
I made the full sales pitch for it a while back, so here’s a copy-paste of that. As far as donating to them now, afaik SureAI is still operating to some extent, but the folks who made Enderal have moved on to larger studios. You’d still be supporting devs, but not necessarily the ones who prompted the tip in the first place.
Anyway…
Official page here: sureai.net/games/enderal/
Original Skyrim version: …steampowered.com/…/Enderal_Forgotten_Stories/
2016 Skyrim re-release “special edition” version: …steampowered.com/…/Enderal_Forgotten_Stories_Spe…
You’ll need whichever version corresponds with the version of Skyrim you own. If you own both, I’d recommend choosing the version of Enderal that goes with the version of Skyrim that you play the least - because it uses Skyrim ’s assets, switching back and forth has been known to corrupt saves, so back up any Skyrim saves you care about.
Anywho, Enderal is set in its own universe - it looks and kind of feels like Skyrim because it’s built from the same blocks, but has nothing to do with the Elder Scrolls, or Tamriel, etc (barring a few easter eggs). New lore, new characters, new terrain, new music, new voice acting.
The company that made it is “SureAI” - indie dev crew that has nothing to do with AI. /shrug. It’s a predominately German studio, and while Enderal is available in English, iirc the English version is voice acted mostly by German native speakers who happen to know English as a second language. Reason for mentioning that is: be gentle in your judgment of the voice acting, lol. Along the main quest line, it’s pretty much all rock solid; some of the side quests and random NPCs… not so much. And the children NPC voice acting is fucking awful. The console command “TAI” (after targeting an entity) can be used to shut up an annoying NPC without breaking it - just TAI it again if you happen to need to interact with it for a quest or something later.
Speaking of the command console - don’t be afraid to use the command console!! Again, this game is built on Skyrim’s engine/assets, so it comes with all of Skyrim’s problems - e.g., step on a basket full of cabbage; get launched into low orbit. Things like quest items falling through the floor n’ shit can happen, so you may need to use the console to force a quest to progress or some shit - also save frequently, same reason. From a technical standpoint, some of the shit they do with Skyrim’s engine is mindblowing, but it definitely pushes that engine to its limits in terms of stability.
Not much of a sales pitch so far lol. The good stuff though: Enderal’s story is pretty wild. There isn’t really a traditional antagonist - instead it tackles concepts ranging from philosophical to religious to emotions / repressed emotions… this game WILL get under your skin, but in a really artistic kind of way. Very much a passion project by the devs.
Combat and skills are completely redone. It’s not like Skyrim where you can just shoot icicles up a mudcrab’s ass until your destruction level is 100. It plays kinda like an oldschool RPG where killing shit gives you overall-level xp, but raising skills requires skillbooks that you’ll need to find or buy. Also the things that were OP in Skyrim are no longer so - try the sneaky archer build in Enderal and you’ll get your ass handed to you in pretty much every encounter. I recall having a lot of fun with the 2H sword path; and the magic ‘schools’ are mostly redone (like iirc there’s a school of ‘Entropy’ that an entire talent tree dedicated to dark lifesteal type spells, and stronger attacks that use HP instead of mana) so read through the options, cuz a lot of them will be totally new.
Even with all the combat tweaks though, it plays pretty familiar to Skyrim, just don’t lean too heavily into Skyrim’s combat tricks.
The story though, and the way they tell it… holy shit. If you’re a bookworm, you know when you finish the last page of a REALLY good book, and then get hit by that kind of empty feeling as it sinks in that the ride is over, and you want more but know there’s nothing left? I’ve played a fuckton of videogames, and only ONE has ever hit me with that at its conclusion: and yup, it’s Enderal.
It’s a slow start, and there’s some jankiness in general like the occasional shit voice acting and technical instability, but if you can look passed that shit (and I mean, keep in the back of your mind that it’s a FREE passion project from an indie dev crew with no real budget), then this game will go down as one of your all time favorites.
- Comment on Solid voting advice 1 week ago:
Idk, but there’s only one way to find out. And 27,184 ways to verify.
- Comment on Solid voting advice 1 week ago:
- Comment on Please choose one 1 week ago:
I wouldn’t dream of sending a tip to Nintendo or any other large company, but I did send a tip to SureAI (game devs, nothing to do with the bullshit we’re currently calling ‘AI’) after playing Enderal. One of the best games I’ve ever played, zero ads or microtransaction BS, completely free. It was literally just a passion project by an indie dev crew. $60, cuz it’s as good as any AAA game I’ve played. They earned the fuck out of every cent.
- Comment on Motorcycle knowledge 1 week ago:
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 1 week ago:
We really need more Luigis.
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 1 week ago:
When you were my age
…when rich people eventually get medical immortality…
- Comment on You are not living in reality if you do not see the huge difference between THEN and NOW 1 week ago:
“when I was your age I -half- what they’re paying at mcdonalds now, and I paid for a car, a house, college, and and supported my wife and three kids with it!”
me: blood pressure increases
- Comment on I'm old 1 week ago:
100% they enshittified.
The shape is one of the give aways - dome-shaped nipple with that sand-paper texture. The new ones are concave and textured via cast or something, but don’t have that sand-paper feel. Along with that change, I suspect you’re right in that the sensor went to hell with em, cuz the new ones SUCK.
- Comment on One-handed games? 2 weeks ago:
Good to hear.
I’ve had 4 - the 1st was around 2012 I think, and it was fucking amazing.
The second was around 2016, and even before plugging it in, it felt cheap. Actually using it, problems started popping up like measles in a red state - one of the side buttons stopped working, scroll wheel was janky.
The 3rd was around 2016, after exchanging the second via RMA. The L-click button was super fucked up right out of the box - it’d do this annoying thing where you push it down once, and like multiple clicks would register (the internet called it the ‘double click issue’ but was was WAY more than double… happened when I was using some art software and I’d have to ctrl+z like 10 times to clear all the actions it registered from a single click).
4th was around 2016, after exchanging the third via RMA >_< it made it a couple weeks without incident, but just when I thought I was in the clear, the cursor started jumping upwards a shit-ton randomly, which was hell trying to click-and-drag on anything. Then the internal LEDs went out (oh well, don’t really care if it’s pretty, but did like being able to see it in the dark). Then the double click thing started again.
Dealt with that for a while cuz I couldn’t afford to replace it and was tired of dealing with Razer’s customer service.
Then I joined the Air Force and didn’t have any time at all to game, so kinda fall out of the scene for a bit.
Separated around 2020, got myself a Corsair Scimitar, and lived happily ever after. Doesn’t come in lefty though. :-/
- Comment on One-handed games? 2 weeks ago:
If this is a long term thing, you might consider a left handed gaming mouse with programmable side keys.
I hate to recommend Razer cuz their build quality has taken an absolute nose dive, but the only one I know of is the Razer Naga: www.razer.com/gaming-mice/…/rz01-03410100-r3m1
Setting some of the side keys as WASD and the usual surrounding support keys (Q, E, R F, G, X, C) and you can play almost any game one-handed.
The learning curve to get your brain to accept mouse movement and clicks with your left hand is annoying as fuck though.
- Comment on Multiple Tesla vehicles were set on fire in Las Vegas and Kansas City 3 weeks ago:
I’d set it on fire and make an insurance claim.
- Comment on Pineapple was never the problem 3 weeks ago:
I’m so sorry.
- Comment on Pineapple was never the problem 3 weeks ago:
Those are called “Lunchables”.
- Comment on Pineapple was never the problem 3 weeks ago:
I’ve had ‘fancy’ Hawaiian pizza that had little mandarin orange slices. It didn’t really work. Too juicy, and the orange flavor didn’t mesh well with the rest of it. I’d also try the kiwi pizza just from pure curiosity, but also wouldn’t have very high expectations.
Pineapple is the perfect texture and flavor to go with all the other ingredients.
- Comment on Every morning when I read the latest news 4 weeks ago:
Every morning when I read the latest news:
“Fuck, he’s still alive…”
- Comment on Ah shit. Here we go again. 4 weeks ago:
Jealous of your hot water capacity. Take a shower at my apt, and it’s on a 1 hr cooldown after that, or you’re taking a cold one.
- Comment on Why can't we go back to small phones? 5 weeks ago:
Why can’t we go back to small phones?
- Comment on Surgical tools used during the Civil War 5 weeks ago:
Surgical tech here! …we still use most of that. The bone saws in our amputation sets look exactly like the ones in the OP. Granted, they’re stored and processed a bit differently today!
- Comment on Why Are Conservatives More Susceptible to Believing Lies? 1 month ago:
Trump already won, comrade! There is no need to continue spreading misinformation on the Internet: your mission was successful.
Go collect your loaf of victory bread, you’ve earned it!
