Awake Under Anesthesia

Anesthetics cause paralysis, block pain, and suppress consciousness, except when they don't. Anesthesiologists know a lot about the drugs they administer and what to expect from them, but they can't totally explain what those drugs do and what's happening you when you're under them. That's because we really don't understand human consciousness. And from the stories that crop up now and again, consciousness is a slippery thing.

One day in the nineteen-eighties, a woman went to the hospital for cancer surgery. The procedure was a success, and all of the cancer was removed. In the weeks afterward, though, she felt that something was wrong. She went back to her surgeon, who reassured her that the cancer was gone; she consulted a psychiatrist, who gave her pills for depression. Nothing helped—she grew certain that she was going to die. She met her surgeon a second time. When he told her, once again, that everything was fine, she suddenly blurted out, “The black stuff—you didn’t get the black stuff!” The surgeon’s eyes widened. He remembered that, during the operation, he had idly complained to a colleague about the black mold in his bathroom, which he could not remove no matter what he did. The cancer had been in the woman’s abdomen, and during the operation she had been under general anesthesia; even so, it seemed that the surgeon’s words had lodged in her mind. As soon as she discovered what had happened, her anxiety dissipated.

Kate Cole-Adams wrote a book about the experience of anesthesia and how it affects what we know as consciousness. She talks about the weird things it can do to the patients who don't respond the way we expect at The New Yorker. -via Metafilter

(Image credit: MrArifnajafov)

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Anesthetics do not work on me like everyone else. The last time the surgical crew thought I was "under" they were cracking jokes at my expense. A letter to the hospital returned a less than satisfying apology.
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Anesthesia works as intended for the vast majority of people. The only time I was put under was 40 years ago for wisdom teeth extraction. Smooth as silk for the time needed.
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The newer ones are great. When I had my heart surgery I remember being in a prep area and looking over to see a clock at around 8:30 AM. Next thing I know I'm in what I thought was still the prep area and looking over to see it was 9:00AM. I'm thinking I dozed off for half an hour. WRONG. It was the next day and I was in recovery.
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