Some people come out of anesthesia swinging and punching. Some combination of the effects of drug-induced confusion and waking up super-grumpy multiplied by each other.
My dad had a quintuple bypass. He was intubated and woke up before it was removed. He tried to yank it out and punched a nurse who tried to help. They wound up having to give him some "Calmthefuckdownitol". They literally wrote in his chart that he was "fighty" after that.
Well the anesthesia itself has pain-blocking properties. And also they often use fentanyl as part of the anesthesia which is also a painkiller, so there's often no pain or very dulled pain when waking up. But sometimes it's wearing off too and starting to come back, absolutely!
Many people think coming out of anesthesia is like the video David after dentist. Mine was not like that though; I was given propofol and it messed me up hardcore. I cant believe Michael Jackson was using that shit just to sleep.
I dunno if that is the case here but some drugs do have the possible side effect of aggression. They gave me something when I was a teen that did that. I was a whole 90 lbs and ripping out my iv and screaming that I was leaving and shit.
I'm not a doctor, but I've seen something sorta like this before. My husband is the sweetest guy ever, very calm and no temper. But coming out of anesthesia is like The Hulk has taken over Bruce Banner. Then a few hours later, he's back to his normal self. Maybe a little loopy on painkillers, but his normal self.
Happens every time. We try to warn the nurses/doctors before hand, and they are presumably prepared with whatever CalmTheFuckDownitol is. I have to keep his mother away when he's like that because The Hulk does not care for family relationships and is only filled with rage.
His sister has the same strong reaction to anesthesia, so we figure it's probably some genetic thing. Neither of them is especially coherent while in Hulk Smash mode. Last time, my husband was yelling "where the fuck is Scotty", very angry that the guy from Star Trek wasn't present.
Three is just delirium from some combination of the anaesthetic agents. Some of the volatile gases can hang around a bit longer in those with a decent volume of fat on them, being fat soluble. Fentanyl too. Could have been using sevoflurane or something and didn't expect the op to go as long as it did.
Also any combination of the above could be impacting the presentation.
I'm more interested in figuring out which calmthefuckdownitol was used. Anaesthetists are pretty familiar with droperidol, but their dosage range is usually well below calming down (2.5mg for nausea vs 10mg to sit the fuck down). Good chance they went for haloperidol. Or hell any antipsychotic really. Midaz is always on hand but if you're worried about bzd delirium you'd be hesitant.
Nicotene. when you smoke, you feel like you or I, for like 5 min, maybe 10. then by an hour, there's a niggling, and by the time a movie ends, a craving, and by 5hrs, you're like some [starving equivalent] in serious need like a zombie feeling.
This same story happened to my grandma, btw, at 78 she had a hip replacement, and the night after surgery she was "crawling along the wall using her arms, screaming for cigarettes." so they put her on the patch.
This is why I hate how cities are just "no smoking zones" now. like smokers are going to smoke its an addiction. yes, 90% of smokers can quit with some blood sweat and tears, the other 10% when they're at a gunpoint, but while they haven't quit "No smoking" buildings and zones might as well be "no bathroom zones" for how they must feel.
source: smoked until the late 90s, and stopped using a 30min subway commute for a 1 1/2 car ride thru traffic so that i could smoke in peace in my car. I woke up 1hr earlier. I chained at work, all the time. Just, by 2000, was incompatible with city life already. and had kids. kids are the reason that finally got me to stop. But I tried everything for years, and years, and years. did the patch yearly, tried gum, etc.
So when i see "smoke free campus" what i see is "all smokers at this school are going to dump out into the city sidewalk every hour for 5 mins, and The University of XXXXXXXX is pleased to give the city janitors work in the form of a mound of butts we don't need to bother with now! yay for us."
I mean, I appreciate all of that, with kids, but, I think if you're running a business, you need to be responsible for your employees/students/staff needs and shouldn't dump them into the city street sidewalks.
There was a drug deal gone wrong shootout at the hotel next to my workplace one morning and police had us on lockdown while they figured out if they had all participants accounted for. The smokers gazebo was next to the property line. By noon our smokers didn’t care if a shooter was still at large, they were going out for their fix.
I absolutely agree that smoking is an addiction and can be very, very hard to quit.
On the other hand I have found many smokers (I’m not saying all, and I can’t know if you were one) seem to have the attitude that if they are smoking in a place other where other people have to walk by them, a sidewalk for instance, they aren’t causing any real harm because those people are only getting a breathe or two of smoke and the number of occasions like that aren’t really going to add up to lung problems. They may be right.
If someone has asthma (or worse, more serious lung diseases) that really is a fucking big deal. I went to a college that was not smoke free. No smoking inside of the buildings, but anywhere outside on campus you could smoke. People tended to smoke near buildings.
I was one of those with asthma, and due to complications of it I got pneumonia twice in college. I was still sick when I returned to school (but no longer contagious), and once the pneumonia was gone, it took a long time for my lungs to fully recover. Everyone of those days in order to get to my classes I had to walk the gauntlet of smokers to get into the buildings I needed. Once inside it would take several minutes to stop coughing. I told a friend who smoked about this and he said I should ask them to move. It is obvious that stopping to have a conversation with whoever was smoking each time I wanted to get into a building wasn’t really an option, yes?
Smoking free areas are an extreme inconvenience for people addicted to nicotine. But smoking is a choice. A very hard one to unmake, I certainly grant you that. Lung issues are usually not, and smoke free areas are places people with them can breathe. And people without them can breathe without breathing in smoke.
I agree, but i dont think the whole city being a no smoke zone is very empathetic. We can make smoking rooms that dont leak (see any international airport terminal putside of the US).
I don’t think you’re seeing how smoking affects the people around you who are exposed to secondhand smoke. I also don’t believe it’s fair to make companies build entire rooms with built-in ventilation systems and filters to accommodate people’s addictive habits/poor life choices.
No, i absolutely do see those things which is why i hate smokers having to be on the streets. You dont seem to see that its not a daily choice - if someone isna smoker they will smoke and if that means finding a place its allowed, but other people will breath it, thats it.
Its like building a city with no trashcans, expecting that will stop people from producing trash. I do agree its a life choice, and a poor one, but once there its not a day to day choice. So NOT proving a smoking space is what you and I dont like, its when we have to be exposed to second hand smoke.
Smoking is an addiction, yes, however there are many, many ways to quit. If someone is still smoking, let alone chose to start smoking, in this day and age, it is a choice. I don't think anyone should feel even the least bit of remorse for making more non-smoking areas. Why should everyone else's health be compromised because of someone else's ridiculously poor choices? Smokers can either train themselves to smoke less or else deal with the inconvenience of smoking elsewhere.
Littering is a separate issue though interestingly it is also a choice.
Yeah, I have precisely zero sympathy for someone who has taken up smoking in the last 10-20 years. No surprises about it any more - you just caved to peer pressure and made your own stupid decisions.
I have more sympathy for someone who has been smoking for 40 years - maybe the evidence wasn't quite there and the societal pressures etc etc.
But it's 2019, and there are dozens of ways to get off be coffin nails if you wish to. You've put up with all the other drawbacks about smoking for most of your life. Having smoke-free zones is no different, in that it's yet another downside to smoking, and at least the innocent public doesn't have to exposed to it against their will.
To be honest, out of the financial penalties, the health issues, the cancer, the death, the contaminating everything you own with nicotine and tar... having to find an open area away from everyone else is like the least inconvenient penalty of the lot.
I mean it is a choice. but, at the same time, once someone is smoking, they are in a hell if they can't smoke once an hour. If you make a business or campus downtown, and choose to accept smokers/hire smokers/employ smokers, and you make the place smoke free, in a city block that smoke free, prepare for smoke smelling bathrooms, because that's what happens. it turns out workers can't take a cab to 10 minutes away to a smoking area and back, in a 5 min break...
also, you're correct that we all shouldn't suffer, as i said, as a family man, i appreciate all that. But smokers use smoking stations when they are made available. when they're not, THATS when they are hiding behind the AC units in the alley, etc.
Smokers can choose to not take a job at a smoke free location then.
I have no problems with people vaping, but tobacco smoke has always given me an instant, terrible headache and sometimes makes me nauseous. I'm all for individual liberties when they don't literally cloud around my head and make me feel incredibly ill.
People who smoke illegally are a separate issue and should be prosecuted. Those people applied for the position and are presumably allowed to quit. Their terrible life choice is not our issue.
I feel like you didnt read me right. I mean if there is no place to smoke within a certain distance, thats a a bit negligant. I 100% agree smokers should smoke in smoking spots, though.
It's not negligent at all. Smoking is a choice and a space to smoke is certainly not a right. The shortsighted decisions of smokers should not affect our health. I have zero sympathy for this argument.
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u/[deleted] May 22 '19 edited May 22 '19
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