Tag: #surgery

  • Anaesthesia

    Now no news that “Ether Dome”, doctors performed the FIRST ever successful public demonstration of surgical anaesthesia on October 16, 1846.

    Before then, surgery was rather nasty. Being awake, patients were often screaming, and had to be physically restrained.

    Then da William T. G. Morton used ether to render a patient unconscious while the chosen surgeon, John Collins Warren, did the operation that removed a neck tumour… without pain!

    Nearly 180 years later, we still don’t really understand how anaesthesia works!

    But modern drugs, like propofol, can switch consciousness off almost instantly, and brain scans show that when someone goes under:

    The brain doesn’t actually fully shut down. Just that different regions keep working….. but communication between them collapses.

    Consciousness depends on constant “communication ” between brain regions. Anaesthesia disrupts that communication by using slow brain waves that force neurons to fire out of sync. As the brain can’t coordinate, awareness disappears.

    This helps to clarify several important aspects of general anaesthesia. It explains why, when someone goes under, it can feel as though a segment of time has simply been “cut out,” with no sense of its passing. It also sheds light on the rare but real cases in which patients experience some level of awareness during surgery. Finally, it highlights how advances in medical science now allow doctors to monitor levels of unconsciousness far more accurately and in real time, improving both patient safety and overall care.

    So anaesthesia doesn’t actually turn the brain off. It disconnects it.

  • My best medicine…

    It’s clear I have a vested interest in the medical friend, due to my tumultuous relationship with chronic health conditions; 1. T1 diabetes and 2. Surviving a brain injury.

    However, crossing this with commercial entèrtainment, I got interested in this podcast;

    Which revolves around medicine, in a very subjective way. Less “formal” medicine, like paracetamol, more an example of something that makes the donator feel better, but always medicine related.

    This episode up there, I’ll use as an example;

    “Gardening”, believe it or not, is where transplant surgery evolved from. They were initially skin grafts. For those who aren’t in the know what that is, some skin is removed from the forehead, it makes a kind of flap, and that skin is used to cover injuries elsewhere.

    Even further, it has advanced so much that new body parts can be made by mounting it around wax (only for aesthetic reasons, not functional one).

    This was inspired by plant grafting. In a literal way, when wounded (say a branch is cut off) the plant will die regrow it.

    “The agriculture of the body”