Brexit, for once some facts.

Zlatan

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Main one was out of interest in the mechanics of the procedure, and also being able to take part in a small way.

And general anaesthetics delay healing and mean more protracted pain after an operation.

It's a variation on dentistry. Have jabs for fillings and one is left with a dead and swollen mouth area for ages afterwards and pain following that for a while. So after experiencing that a few times when younger I had all subsequent fillings done without any anaesthetic, a few moments of pain each time and then no problems.

I even had my last tooth extraction without anaesthetic since it was already a bit loose. One sharp jab of pain as the dentist twisted the tooth in it's socket and it was out. Walking out I crossed the road into Sainsburys and did my shopping without any discomfort before driving home.

So that's my preference, anaesthetics only when essential.
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Each to his own. Sounds madness to me but if it works for you.. Good luck.
 

daveboy

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Sep 19, 2012
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Main one was out of interest in the mechanics of the procedure, and also being able to take part in a small way.

And general anaesthetics delay healing and mean more protracted pain after an operation.

It's a variation on dentistry. Have jabs for fillings and one is left with a dead and swollen mouth area for ages afterwards and pain following that for a while. So after experiencing that a few times when younger I had all subsequent fillings done without any anaesthetic, a few moments of pain each time and then no problems.

I even had my last tooth extraction without anaesthetic since it was already a bit loose. One sharp jab of pain as the dentist twisted the tooth in it's socket and it was out. Walking out I crossed the road into Sainsburys and did my shopping without any discomfort before driving home.

So that's my preference, anaesthetics only when essential.
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Do you have a "safe" word, like when a Dominatrix is spanking you (asking for a friend) :D :D :D
 

50Hertz

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Jan 2, 2019
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In the Mail......You have to subscribe to read the Times.

All that will happen is that the retailers & manufacturers will steal the subsidy, in the same way that banks steal the tax break on an ISA.

I always head straight for the Readers Comments in the Mail, they are always good value and the ebike topic does not disappoint. It is safe to say that the Daily Mail reader's knowledge of ebikes is about as complete as their knowledge of the affects of Brexit.
 

Danidl

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Sep 29, 2016
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This bit in the articles is incorrect:

"Those buying an electric car can receive up to £4,500 off the purchase price through a Government subsidy scheme, which contributed to a surge in sales."

It was £4500 but was reduced from October last year to £3500.
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Well 4500 is technically correct as 3500 is getting upwards of 4500 ,in the same optimistic view that a journey of a thousand mikes starts with a single step.
 
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flecc

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Oct 25, 2006
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Well 4500 is technically correct as 3500 is getting upwards of 4500 ,in the same optimistic view that a journey of a thousand mikes starts with a single step.
Not really, the Mail said "up to £4500", and it definitely isn't since the maximum is now £3500, so only up to that latter figure.

This is the second reduction, the first was from £5000 to £4500, so much them for encouraging electric only cars. Meanwhile other countries have been increasing their benefits for adopting electric transport.

The government is trying harder with fully electric vans though, they get up to £8000 subsidy.
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flecc

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Oct 25, 2006
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Do you have a "safe" word, like when a Dominatrix is spanking you (asking for a friend) :D :D :D
Too interested and involved in what's going on for small talk. I only spoke twice during the operation, once to confirm I'd like the thin flat of fat cut off, the second to ask what material all the staples were made of that were being used to secure the mesh over the inner membrane weakness.

The surgeon didn't know which but said they were either stainless steel or titanium.
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Zlatan

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Nov 26, 2016
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I answered why. I'm interested in all aspects of my life.
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No you didnt, you explained proceedure. Not why, as in medical benefits. Surgeon is actually taking a massive risk, suppose you only thought you could cope and panicked after incision??
I once watched surgeon find and reatach a severed tendon in arm, involving a 6 inch incision on hand. Wasnt by choice, couldnt have general.
As for general taking longer to get out? At my last cardio version(compulsory general) I had anasthetic 3.45 op at 4.15 ish pm. Came around about 5pm, proved I could eat and drink, never a problem. Was home for 7.
I, d always do exactly what surgeon recommended. If its optional I think general is safer. We dont know how we, d react if things went wrong. Safer for all concerned to be dreaming..
 
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flecc

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Oct 25, 2006
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No you didnt, you explained proceedure. Not why, as in medical benefits.
Yes I did, I said I like to be involved, that was my primary reason. I didn't choose for the medical benefits, they were incidental.

Surgeon is actually taking a massive risk
Not so, many operations are performed with the patient awake these days, due to medical advances. That includes brain surgery with the scull top removed and the patient assisting the operation with spoken responses. Stents are also inserted from the thigh up into the blood vessels of the heart or brain and many keyhole procedures are also done with the patient fully awake. That includes hernia repair of the type I had by open surgery.

If its optional I think general is safer.
It's a long known medical fact that general anaesthetic operations are far riskier than those without. The anaesthetic itself can and on occasions does kill and many anaesthetists have been struck off for such deaths where it's deemed they haven't taken sufficient care monitoring.

Also as someone else also remarked earlier, anaesthesia often delays healing and can extend the period of post operative pain.

The only benefit of anaesthesia is the relief of pain. In all other respects its use is disadvantageous.
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Zlatan

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Nov 26, 2016
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Liking to be involved is not I, m afraid flecc a reason to not be asleep. Its a desire, a wish, a request. A reason would be allergic to drugs, safety, having to make an input, etc etc.
There are ways to perform op I, m having where patient has to communicate with surgeon.(getting less popular) That would be a reason.
When I asked why, I assumed a medical reason.
Yours is simply a preference.Not a medical improvement, lower risk, quicker recovery etc etc.
 
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oyster

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Nov 7, 2017
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The only benefit of anaesthesia is the relief of pain. In all other respects its use is disadvantageous.
Don't think that is quite true - the muscle relaxant effects are of great benefit.

There have been a few reports of using regional anaesthesia for thyroidectomy. There are some advantages but would have to check to be reminded of the details.

One issue that is often ignored is that any anaesthesia involving nitrous oxide, which is quite common, is that it effectively depletes vitamin B12.
 

flecc

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Oct 25, 2006
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Liking to be involved is not I, m afraid flecc a reason to not be asleep. Its a desire, a wish, a request. A reason would be allergic to drugs, safety, having to make an input, etc etc.
Not for the first time I have to day you have a weird understanding of the language.

Wanting to be involved was my reason for not being under.

Any of the things you mention could also be a reason.

What you appear to trying to say is that only some reasons in your view justify my decision. But that is only your opinion which is not valid for me since you can have no idea what lay behind my decision.

I like to learn about everything involved in my life, something that's been true since a very early age, and my inquiring nature meant I wanted to see everything involved in my surgery as it happened. And I did learn a number of things. One for example concerned the fat that grows on the abdomen. I had always assumed that it grew randomly all over the muscle surface under the outer skin layers but it turned out that isn't true. It is rooted in the abdomen's vertical centre line through the navel and grows sideways as a flap out from there. That meant it could be severed at the centre line and lifted off, like removing a door from its hinges.

Like most of the knowledge we pick up, probably of little use, but interesting all the same.
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Zlatan

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Nov 26, 2016
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Yes I did, I said I like to be involved, that was my primary reason. I didn't choose for the medical benefits, they were incidental.



Not so, many operations are performed with the patient awake these days, due to medical advances. That includes brain surgery with the scull top removed and the patient assisting the operation with spoken responses. Stents are also inserted from the thigh up into the blood vessels of the heart or brain and many keyhole procedures are also done with the patient fully awake. That includes hernia repair of the type I had by open surgery.



It's a long known medical fact that general anaesthetic operations are far riskier than those without. The anaesthetic itself can and on occasions does kill and many anaesthetists have been struck off for such deaths where it's deemed they haven't taken sufficient care monitoring.

Also as someone else also remarked earlier, anaesthesia often delays healing and can extend the period of post operative pain.

The only benefit of anaesthesia is the relief of pain. In all other respects its use is disadvantageous.
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So you are a surgeon now...???
Only benefit relief of pain? Well its a start, not to mention psychological suffering. Keeping still is quite a bonus and being relaxed is quite important.
As to quicker healing. Complete rubbish. It all depends on care and precision of surgeon.
So my TKR would have healed quicker had I not been asleep.. My surgeon never mentioned that... Wonder why.
 
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flecc

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Don't think that is quite true - the muscle relaxant effects are of great benefit.
True for some kinds of surgery in particular, but it seems to be ignored for the greatly increasing numbers of procedures on awake patients, a lot of keyhole surgery for example.

Where balance of possible harms from death to after effects is concerned, an operation without anaesthesia is far safer than one with.
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Zlatan

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Nov 26, 2016
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Not for the first time I have to day you have a weird understanding of the language.

Wanting to be involved was my reason for not being under.

Any of the things you mention could also be a reason.

What you appear to trying to say is that only some reasons in your view justify my decision. But that is only your opinion which is not valid for me since you can have no idea what lay behind my decision.

I like to learn about everything involved in my life, something that's been true since a very early age, and my inquiring nature meant I wanted to see everything involved in my surgery as it happened. And I did learn a number of things. One for example concerned the fat that grows on the abdomen. I had always assumed that it grew randomly all over the muscle surface under the outer skin layers but it turned out that isn't true. It is rooted in the abdomen's vertical centre line through the navel and grows sideways as a flap out from there. That meant it could be severed at the centre line and lifted off, like removing a door from its hinges.

Like most of the knowledge we pick up, probably of little use, but interesting all the same.
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Not a word of that is a valid medical reason, which is what I asked. You are simply stating your desire for education, watching and observing. And probably to get home quicker for tea.
Yes, ofcourse less intrusive surgery not requiring anaesthetic is always a benefit but forgoing anaesthetic on operations where it is deemed required is irresponsible, especially so if only benefits are personal and not medical.
 
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flecc

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Oct 25, 2006
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Not a word of that is a valid medical reason, which is what I asked.
No you didn't. You posted the one word "Why?", adding that it seemed barbaric

You later introduced valid medical reasons, I made no mention of that in my original post or reply.

forgoing anaesthetic on operations where it is deemed required is irresponsible, especially so if only benefits are personal and not medical.
Anaesthesia wasn't required, that's just your incorrect assumption. Many hernias of the type I had are repaired using keyhole surgery without full anaesthesia. My surgeon preferred open surgery, and so did I.

If my surgeon had thought my request irresponsible he would have said so, and he wouldn't have sent the anaesthetist home before my operation.

So either you are wrong or both the surgeon and anaesthetist are irresponsible.
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oyster

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Nov 7, 2017
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I know some here will walk on by because it says the G-word below

Boris Johnson kept from media in ‘ruthlessly organised’ campaign
Tory MPs ‘gobsmacked’ by lengths leadership frontrunner’s team going to in bid for support
Boris Johnson’s campaign to be Britain’s next prime minister is being ruthlessly organised, with his media appearances restricted to avoid the potential for gaffes and an orchestrated effort to lovebomb wavering MPs, according to his colleagues.


Conservative MPs say they are “gobsmacked” and “blown away” by the lengths the Johnson camp has been going to to win their support in recent weeks.


https://www.theguardian.com/politics/2019/jun/09/boris-johnson-kept-from-media-in-ruthlessly-organised-campaign
 
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