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I have always chosen to minimize the anesthetic when possible. At a local hospital I had a cyst removed from my wrist with just local anesthetic. I believe I was to be sedated somewhat, but somehow that seems to have fallen through. Talk about being wound after surgery. They had no need to keep me, I shook the Surgeon's hand using the one I just had operated on (after being returned to the room of course, I didn’t just get up off the operating table). My Cardiologist just happened to be in the hall to observe this, he said that I probably shouldn't have used that hand. It was a small incision, and the Surgeon closed it with internal stitches. I did not need to return to have them removed. During the surgery, I remember the Surgeon talking with perhaps an intern, they were behind a sterile field blanket. He was saying "this is a nerve" and "this is a (I don't remember all of what he said)". The Surgeon would speak to me periodically and tell me to inform him if it hurt. I enthusiastically ensured him I would. When the nurse revealed a person’s name, a previous worker at the hospital, the Surgeon said that he had worked on her colon. He asked how she was doing. The nurse replied that she didn’t ask her about her colon. (joking).
I have also had 3 knee surgeries under spinal blocks (at different times mind you, I only have
2 legs;-) Other than the numbness, and not being able to move your legs, it wasn’t too bad. They give you Sedation, so that you are all but out, but recover quickly (at least consciously) and I do not believe that you have the after effects that some deeper sedation creates.
Recently, a coworker had shoulder surgery using a nerve blocking procedure.
Consider asking your Cardiologist about options for Anesthesia, see if he/she believes that one form is better than the other in your case. I talked with a man recently that worked with MRI units. They needed someone to use when working on the MRI, and he volunteered. He received a free scan of his head. Problem is that they discovered that he had a brain tumor. (fortunate that he volunteered for the test). Anyway, surgery was necessary. He said that he was frightened out of his mind until they gave him the Anesthetic. (Versed?) He said he started laughing. (His words).
Best of health and happiness.