5 ms·

No opinion one way or the other regarding this specific case, however I'd like to note that both general and local anesthetics can have serious side-effects. Th

by nsajko 5y ago

No opinion one way or the other regarding this specific case, however I'd like to note that both general and local anesthetics can have serious side-effects. There were even relevant horror-stories in HN comments. A specific issue is that anesthesiologists are not necessarily available for all medical procedures. Perhaps it's better to err on the side of pain if the gynecologist is alone? EDIT: "After simple dental surgery, a man lost his ability to form new memories" https://news.ycombinator.com/item?id=24566568 https://news.ycombinator.com/item?id=24566568

TylerE 5y ago
One thing that has always baffled me is why nitrous oxide isn't commonly used in these sort of situations. There are formulations available (mixed 50/50 with oxygen) that don't require an anesthesiologist.
lazyasciiart 5y ago
The vast majority of gynecology procedures are scheduled - the fact that they don’t intend to do pain management and therefore don’t plan so that anesthetists are available is an effect of not doing pain management, not a cause.
- nsajko 5y ago
  What about cost, though?
  - lazyasciiart 5y ago
    Basically orthogonal to your argument.
    - nsajko 5y ago
      My intended point was that raising the cost of a procedure makes it less accessible.
      - kaba0 5y ago
        Maybe if we could just do economies of scale for insurance, maybe including every person, it could be much cheaper. Also, no shady lobbying everywhere anymore.
      - lazyasciiart 5y ago
        Cost is not a consideration until after they have decided that pain management would be valuable, so it can't be relevant in a scenario where it wasn't considered in the first place.
Maursault 5y ago
> After simple dental surgery, Odd the article entirely leaves out what tooth was being worked on. The upper back molars are very close to the brain, and Wisdom teeth are connected to the central nervous system, so it is not really a head-scratcher brain damage could occur if the ophthalmologist slipped, or if the patient was hyper-reactive to the anesthesia and jerked while the doctor was working. But in both cases, the doctor should have noticed.
- pas 5y ago
  > ophthalmologist isn't that eye-doctor? and whatever the case, the risks should be told to the patient. informed consent after all. statistically pain management is very safe, and medical procedures cause a lot of stress and discomfort, and it'd be good to manage that especially for patients who are not used to those procedures. (eg. kids, or anyone who gets a chronic disease diagnosis and and has to go through various scopies like colonoscopy).
  - Maursault 5y ago
    > isn't that eye-doctor? ROFL orthodontist isn't even close ><

by nsajko 5y ago

TylerE 5y ago

One thing that has always baffled me is why nitrous oxide isn't commonly used in these sort of situations. There are formulations available (mixed 50/50 with oxygen) that don't require an anesthesiologist.

lazyasciiart 5y ago

The vast majority of gynecology procedures are scheduled - the fact that they don’t intend to do pain management and therefore don’t plan so that anesthetists are available is an effect of not doing pain management, not a cause.

nsajko 5y ago
What about cost, though?
- lazyasciiart 5y ago
  Basically orthogonal to your argument.
  - nsajko 5y ago
    My intended point was that raising the cost of a procedure makes it less accessible.
    - kaba0 5y ago
      Maybe if we could just do economies of scale for insurance, maybe including every person, it could be much cheaper. Also, no shady lobbying everywhere anymore.
    - lazyasciiart 5y ago
      Cost is not a consideration until after they have decided that pain management would be valuable, so it can't be relevant in a scenario where it wasn't considered in the first place.

Maursault 5y ago

> After simple dental surgery, Odd the article entirely leaves out what tooth was being worked on. The upper back molars are very close to the brain, and Wisdom teeth are connected to the central nervous system, so it is not really a head-scratcher brain damage could occur if the ophthalmologist slipped, or if the patient was hyper-reactive to the anesthesia and jerked while the doctor was working. But in both cases, the doctor should have noticed.

pas 5y ago
> ophthalmologist isn't that eye-doctor? and whatever the case, the risks should be told to the patient. informed consent after all. statistically pain management is very safe, and medical procedures cause a lot of stress and discomfort, and it'd be good to manage that especially for patients who are not used to those procedures. (eg. kids, or anyone who gets a chronic disease diagnosis and and has to go through various scopies like colonoscopy).
- Maursault 5y ago
  > isn't that eye-doctor? ROFL orthodontist isn't even close ><