Some of the scariest real life horrors are the ones that make sense why they happen, while also being things the victim had no control over. One that's always stood out to me was the use of non-functioning anesthesia but fully-functioning paralytics during intensive surgeries. You see, anesthesia alone wouldn't be enough to keep patients still even while unconscious, so paralyzing drugs are also used so that they won't twitch or spasm during the operation.
The problem is that since the patient can't move at all, they can't do anything at all. Not even being able to signal that they're still conscious because the anesthesia didn't work. But it's the sedation of anesthesia that lets them not experience the pain of the procedure. The paralytic only locks them in place while they feel every second of the operation. Just temporarily experiencing locked-in syndrome by itself can lead to lifelong trauma. Experiencing that on top of feeling their bodies being sliced apart and having things shoved in or ripped out? It can directly lead to suicide for the patient. There are few things that can make you feel that helpless, and it's all because of an oversight from one of the professionals, nothing you have control over.
I thought about this for a long time before replying here. I've been studying this topic for quite a while.
Tell me, is it allowed by the rules here to write about medications and their effects on the brain?
In reality, very few people know this, but an anesthesiologist is one of the most important doctors.
Moreover, anesthesiologists and psychiatrists are the kinds of doctors you basically can't accuse of anything. In court, no one accepts testimony from people who were under brain-affecting drugs.
This is a huge black hole without any laws — a perfect playground for the mafia. You get what I'm saying, right?
Medicine and the mafia look almost like an ideal symbiosis. Have you ever thought about that?
I'm not trying to scare you or anything!
In normal medicine, a good anesthesiologist does everything correctly — though it's complicated — but if you don't have any serious or complex diseases, there's almost a 100% chance you'll be fine during and after the surgery.
I've studied a huge number of protections against errors and unexpected events in anesthesiology.
The case you described — waking up during surgery and being unable to move — sounds really terrifying, but it's addressed by a whole range of devices.
In the past, monitors could always tell if the heart rate spiked dramatically, meaning the person was waking up, so they'd just add more drugs.
Then came brain activity monitors that accurately show whether the person is asleep or awake.
But even if someone wakes up briefly, they usually won't remember the horror because almost all full anesthesia drugs cause amnesia starting from the moment they take effect.
And here again — unfortunately — this is a very convenient thing for the mafia.
But you have to understand: the memory wipe only happens after the drugs are administered, not before, and that's actually a really good safeguard.
Overall, I'd love to make a computer game about anesthesiology so that more people learn just how much work these doctors do — the ones most people know almost nothing about.
Insomnia, chronic anxiety and sleep paralysis are pretty spooky.
I would know.
I know that, and it wasn’t scary — it was just weird. The thing is, in that moment the world doesn’t feel completely real. Yeah, not being able to move sounds terrifying, but for some reason you don’t think about it much at the time. I was thinking “this is strange”, but I guess it’s just part of the dream/sleep state. And then I just got up.
Has something like that ever happened to you?
Yes, it can be just sad.