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of medicine's team the anesthesiologist.
before you check out. It is his responsibility to put
you into the best possible physical and emotional
condition, and to keep you that way until you're
well again and ready to go home.
AT edical research has given the anesthesiologist a
steadily growing number of new and improved
tools to work with. As a result, in most hospitals
today, anesthetics can be formulated to fit the needs
of each patient.
Special sedatives are available to relieve the fears
of the overly nervous individual. For example, a
patient with a weak heart who comes in for an
appendectomy probably will receive a different
anesthetic than a similar patient who suffers from a
kidney ailment.
More and more anesthesiologists have begun
using drugs designed to erase the memory of the
operating room from the patient's mind. One such
drug given is sodium pentothal the so-called "truth
serum" or one of its derivatives.
Another advance has been in the use of muscle
relaxants for certain types of surgery. One of the
most common is curare, derived from a deadly
arrow poison used by South American Indians.
With curare and similar compounds, the patient
isn't put into quite so deep a sleep, and his con-
vaiescence is orien snorienea as a resuu. faro
This shorter convalescence may point the way for J .
easing the chronic shortage of nurses, since less time
per patient will lessen nursing requirements for
hospitals. Also predicted is greater use of general
anesthetics in office practice by physicians, further
easing the strain on hospital facilities.
0
ne of the main reasons you have less to fear
from major surgery today has nothing to do
with drugs. It's simply that now, more patients
learn beforehand what's going to happen to them.
Not long ago, most patients were told little or
nothing about how and when they were going to be
put to sleep, and for how long. As a result, when
the time came to put a mask over the patient's face,
or administer a hypodermic needle or pill, he would
often resist. Today, however, the anesthesiologist vis
its the patient the day before surgery and explains
the procedures to be used, thus allaying his fears.
"Usually we don't hide anything," says one spe
cialist. "If there's going to be pain, we tell how long
it will last, and how severe it will be. You'd be
amazed to see the calming effect this frankness
produces. The patient stops worrying because he
knows what to expect. And often, by not worrying,
he does a great deal to speed his own recovery."
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