this post was submitted on 29 Dec 2023
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We've seen it so many times. A young, handsome man rushed into the emergency room with a gunshot wound. A flurry of white coats racing the clock: CPR, the heart zapper, the order for a scalpel. Stat! Then finally, the flatline.

This is Dr. Shoshana Ungerleider's biggest pet peeve. Where are the TV scripts about the elderly grandmothers dying of heart failure at home? What about an episode on the daughter still grieving her father's fatal lung cancer, ten years later?

"Acute, violent death is portrayed many, many, many times more than a natural death," says Ungerleider, an internal medicine doctor and founder of End Well, a nonprofit focused on shifting the American conversation around death.

Don't even get her started on all the miraculous CPR recoveries where people's eyes flutter open and they pop out of the hospital the next day.

All these television tropes are causing real harm, she says, and ignore the complexity and choices people face at the end of life.

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[โ€“] [email protected] 22 points 11 months ago (1 children)

Somebody gets knocked out, wakes up THE NEXT FUCKING DAY as if they had a good night's sleep, get up and walk away.

If you get a blow to the head and you're out for more than 10 seconds, you'll likely have damage. If you're out for minutes, you're likely having lasting issues and a long recovery period.

Similarly : people being sedated with a towel with chloroform, or a dart in the neck and they wake up the next day. I'm far from being an expert but I do know it's VERY hard to keep him and unconscious safely, it's why anesthesiologists make so much money. If you take someone out the other way there is a good chance they simply won't wake up.

[โ€“] brygphilomena 2 points 11 months ago

Yes. But also no.

Anesthesiology has a lot of parts. Antigrade amnesiacs, painkillers, muscle paralyzer, and the drugs to actually knock you out. They have to monitor vital signs to see how the drugs are behaving and keep you under for extended periods. They make sure you don't go into respiratory arrest or vomit and asphyxiate on it.

If you are only knocking someone out with drugs, it's not as precise and just removing the drugs is usually enough to cause them to wake up. Keeping them under for any length of time readminstering drugs will take some skill. But not to the level of an anesthesiologist, especially since they can wait and see the person wake up a little to knock them out again vs an anesthesiologist that needs them not to even wake up a little.