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munificentyesterday at 6:05 PM2 repliesview on HN

I've had various forms of anaesthesia, uh, five times in the year or so.

> What always amazes me is how there’s absolutely no sense of time having passed once I wake up.

My experience is that this depends on the med. With propofol, indeed it's like an editor took a razor, cut a few inches of memory tape out, and spliced the remains back together. I'm signing a consent form, and then a second later I have teleported to the recovery room where I'm having apple juice.

What's wild about propofol is that lost time does not mean you were unconscious the whole time. With twilight anaesthesia, you are often semi-lucid and able to respond to commands from the doctors. You are aware and having an experience. It just gets erased afterwards.

With midazolam, it was a much stranger experience. After the procedure, I can remember telling my wife that I remembered everything. She said I seemed totally lucid. But I no longer remember what I did remember then. Throughout the day after the procedure, memories faded out. Now it's almost all gone, including much of the time after the procedure was done.

> I've never felt as much peace as I do right before going under anesthesia. It’s probably just the drugs, but honestly it felt like coming home, even though no such home exists, and no one is there to return to it.

It's the drugs. Specifically, it's fentanyl.

For my second surgery, the anaesthesiologist pushed the fentanyl before the propofol, and told me he was doing so. When he said we was going to, I remember telling him. "OK. Oh! OK." It feels like every worry in the world has disappeared. Everything is cozy. Everything is fine. It's like being in the womb again.

I understand how people can get addicted to it.


Replies

rkomornyesterday at 6:08 PM

> I understand how people can get addicted to it.

That was my exact thought the moment it was injected as a painkiller after a surgery. World went from pain to bliss with frightening speed and ease.

zozbot234yesterday at 7:25 PM

> It feels like every worry in the world has disappeared. Everything is cozy. Everything is fine. It's like being in the womb again.

> I understand how people can get addicted to it.

If you really care that much about making "every worry in the world disappear" from your mind by entirely artificial means (even to the point of remarking that you understand the POV of those who get addicted!), you might benefit from learning about how to live your life with more equanimity. It's a vastly healthier approach to coping with the challenges of a stressful life than any kind of strong narcotic. The topic is explored in great depth in both Stoicism and Buddhism - and via the latter, in more generic "mindfulness" approaches. (It can of course be useful to cross-reference all of these philosophies; they tend to have complementary perspectives.)

Needless to say, therapy can also have very similar benefits, and many people will derive even more benefit from that kind of highly structured approach.

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