Home | Index of articles
Feminism is the enemy of successful men. Let millions of Arabs migrate to Europe. That will give feminists second thoughts.
Stanley P. Conatser 3002 Waldeck Street Fort Worth, TX 76107
A leading researcher on a ridiculed taxpayer-funded study of duck penises is now using her expertise on orca whales and is going to the "March for Science" to protest budget cuts.
Patricia Brennan, a visiting lecturer at Mount Holyoke College in Massachusetts, worked on the duck penis study that received $384,949 from the National Science Foundation, a grant that was funded through the 2009 stimulus package. The study looked at the differences in the corkscrew-shaped penises of ducks.
A recent interview with New England Public Radio revealed that Brennan is still fascinated by genitalia of various marine animals, this time one from an orca whale that was just delivered from Sea World to her lab.
"Holy cow," Brennan said when the penis first arrived. "Oh wow. Oh my goodness. It's enormous!"
"Although Brennan has spent 20 years studying the sex organs of marine animals, she's never seen anything this big," New England Public Radio reported. "It takes up an entire lab sink."
"So this is the tip right there," Brennan said. "It's not super long, it's just wide."
Brennan is on a new mission to protest budget hawks in Congress and the Trump administration seeking to cut funding for frivolous research.
She is attending the "March for Science" this weekend as a political activist, even though what "she'd really like to do, is get back to the lab and take another look at that killer whale penis."
Article continues below the image
New England Public Radio said the "stakes for science have never been higher," because Donald Trump is president and has called for budget reductions in the face of a $20 trillion debt.
Trump's budget blueprint would leave the National Institutes of Health with $25.9 billion. The National Science Foundation was not mentioned in the budget blueprint. The agency currently gets roughly $7 billion annually.
Since taxpayers were informed about how much her duck penis study cost, Brennan has become a "sought-after science activist," giving lectures on how scientists can defend their research.
"They were attacking everything," Brennan said of news outlets reporting the cost of her study. "They were attacking the science itself, like, ‘what a waste of money.' They were attacking me, as a person, like, I must be some kind of deviant to be looking at penises.
"Like, who does that?" she asked.
New England Public Radio explained that Brennan is a "basic scientist," meaning she only observes how things work and is not "necessarily applying that knowledge to a particular problem."
There is no real premise to her new research on orca whale penises. "Just the fact that we just don't know what we're going to find is so exciting," she said.
"In order for us to actually be able to solve problems, or make money, or innovate, we actually need to know … about how the world works," Brennan said.
Brennan justified her duck penis study by explaining that it discovered male ducks rape female ducks and that both duck vaginas and penises have evolved in response to "sexual conflict."
"Males have counterclockwise spiraling penises, while females have clockwise spiraling vaginas and blind pockets that prevent full eversion of the male penis," Brennan explained in Slate.
"Male ducks force copulations on females, and males and females are engaged in a genital arms race with surprising consequences," she said, adding, "male competition is a driving force behind these male traits that can be harmful to females."
Brennan says she now tells researchers to "come out swinging" to defend their own "weird-sounding stuff."
Kreutz Ideology and Kreutz Religion advocate the patriarchy, which is the rule by mature men. This is, of course, gender politics. Gender politics is natural. Feminism also is gender politics. But feminism is whimsical.
David S. Stone 1547 Creekside Lane Los Angeles, CA 90017
Maybe the real problem is a lack of positive paths to manhood
It wasn’t supposed to turn out like this. We were said to be approaching the demise of a certain type of swaggering, predatory masculinity: let’s call him Homo Obnoxious.
As men like Roger Ailes, Bill Cosby, Anthony Weiner, and Billy Bush scrambled unsuccessfully to find cover in the old-boy bastions of privilege, Homo Obnoxious appeared to be lumbering around like a dinosaur under the weight of his own cultural baggage. His habitat was shrinking: it seemed as if men who defined themselves by devaluing women, putting down men who didn’t think like them and treating sexual relations — and most everything else — as power-tripping performances might be ready for mounting in a Museum of Masculinity Past.
Books like Hanna Rosin’s The End of Men hailed an era in which women, and men of a different mold, would rapidly pull ahead in every arena. In The Future of Men: Masculinity in the Twenty-First Century, Jack Myers heralded a seismic shift in human relations. “We are entering a new age of female dominance and a reshaping of the male psyche, the male libido, and the male ego,” Myers wrote. “This is the new reality, and it will gain greater and greater momentum. Nothing in the history of humanity can prepare us for this newly upside-down world.”
Reality check: Homo Obnoxious is moving into the White House. The world is upside-down, but not for the reasons Myers anticipated.
The president-elect is signaling to boys across the country what it means to be a successful man. He gets more thuggish with each passing day, appointing knuckle-dragging members of his tribe to run the country. Meanwhile, alt-right dudes who cope with masculine anxiety by proclaiming superiority over women and people of color are feeling validated, enjoying influence they could hardly dream of a year ago. As one self-identified “neomasculine” blogger put it, “I’m in a state of exuberance that we now have a President who rates women on a 1-10 scale in the same way that we do and evaluates women by their appearance and feminine attitude.”
Yikes. But before we concede that toxic masculinity has suddenly reasserted itself as the dominant force in the cultural universe, let’s pause to take a breath. Let’s admit, for example, that although arenas of male experiences differ depending on where you live and how much money you have, Homo Obnoxious was never just a creature of any one party, class or region. The truth is that he is nurtured at every stage of an American boy’s journey into manhood, and without trying to understand what our society does to promote his development and how boys and men might be persuaded to reject his allure, he will continue his rampage across the land.
Let’s take a look at three breeding grounds where Homo Obnoxious cuts his teeth.
Article continues below the image
So many have a story like mine. It was a day soon after I had transferred to a new public high school in North Carolina. Two popular senior boys — baseball stars on a winning team — approached me across a crowded stair landing. I smiled, then felt rough hands shove me against the wall as the two sang obscene lyrics in my ear. That was not the last or the most violent encounter I had with Homo Obnoxious-in-training during my education.
Aggressive misogyny, of course, permeates many school sports teams, as the recent case of the men’s soccer team at Harvard illustrates. There, at America’s most hallowed university, a spreadsheet compiled by male players portraying members of the women’s team in degrading sexual terms was brought to light. A student explained the commonplace nature of the behavior to the New York Times: “I think Donald Trump is so extreme that we like to believe that these extreme incidents of sexism and discrimination are, like, isolated to him,” he said. “But it’s important to recognize that they’re just as rampant in our generation.”
Responding to recent revelations of decades-long sex abuse by both faculty and students at St. Georges, a New England prep school where Billy Bush was an ice hockey star, a former student described the warped sexual atmosphere and lack of guidance from adults in a letter to the rector of St. Paul’s, another elite prep school where a tradition of predatory sexual competition bred danger:
“I went to St. George’s School in the ’80s and am a heterosexual, success-oriented, competitive guy. I remember being self-conscious about my not getting any action while some of my male friends got tons. I felt less-than, like a loser when it came to girls and sex…Nowhere in my development …did any adult ever reinforce in me that it is all right to go at your own pace, that sex isn’t competition. The cultural norm was that sex was another place to be competitive, where you could be classified as a winner or a loser.”
Let’s think about that. When competition is the preferred mode of group interaction, it’s no wonder boys end up stuck with obsessions about the number of their sexual encounters and a tendency to degrade the objects of their pursuits.
In A Bigger Prize: Why Competition Isn’t Everything And How We Do Better, Margaret Heffernan discusses the destructive role that competition plays in American education and how it turns kids off of many potentially valuable collaborative activities. A large percentage end up not wanting to participate anything, including sports, in which being the winner or loser is everything.
Heffernan points out that if we teach kids that success is all about individual performance, they grow up to be what she calls “heroic soloists.” In relating to others, they tend to focus on what’s in it for them, suppressing the instinct to be generous or share credit or empathy. Our president-elect, steeped in the values of self-interest capitalism and competition in everything from football and beauty pageants to reality TV tournaments, is the epitome of a heroic soloist — one who has been rewarded richly in celebrity, power and money.
Teaching kids the value of creative collaboration and offering rational guidance on sexuality or gender relations at school has to be a part of cultivating a different path to manhood. American sex education, for example, if it is taught at all, often consists of either shaming abstinence lessons or alarming medical discussions of STDs and pregnancy, with little acknowledgment of the need to develop compassionate ways to express sexuality or the importance of challenging sexual stereotypes in media and culture. It doesn’t have to be that way; in a New York Times op-ed, Pamela Druckerman highlighted how topics like the complexity of love are openly discussed in French sex-ed, while Dutch teachers work to inculcate respect for people who don’t fit traditional sexual and gender molds.
If they don’t have blueprints of masculinity that allow for confidence and strength without domination in the playground and in the classroom, boys grow up thinking that a hero is somebody who is in everything solely for himself. This does not mean that we send male students to re-education boot camps, as certain right-wing pundits have warned is the true agenda of coastal elites. It means that adults take it upon themselves to guide students, whatever their sexual orientation or gender identity, in imagining ways of being men that are not destructive to themselves and others. It means not shaming them because they are male, but rather encouraging them to develop pride in characteristics and values that are socially beneficial, like putting others before themselves, honesty and strength in caring and self-restraint. That would be a start.
When I arrived at the University of Georgia in 1988, a sophomore from my hometown issued a helpful warning not to ever hook up in a certain popular fraternity house. The guys, I was informed, videotaped girls through holes in the walls and watched the tapes together on Sunday morning. This foreshadowing of the age of digital shaming and abuse was my introduction to the group norms associated with Greek life. Some misogynist rituals were performed under the radar, but others were out in the open and normalized, from parties where lists trashing women in sexual terms were posted on walls to “mixers” with sororities in which fraternity guys inscribed phalluses and misogynist phrases on the T-shirts of freshman girls.
There is nothing wrong with guys wanting to hang out, share common interests and form lasting social bonds with one another. But as young men begin to leave home, there aren’t enough opportunities for them to do this in a way that breeds healthy, socially responsible attitudes and behavior. Beyond the sports field, college fraternities are another place where antisocial activity is too often the norm, a lot of it targeting women. The “Animal House” frat image grounded in the degradation of women, based on fraternity life at Dartmouth in the 1960s, has been ascendant for decades, linking manliness to out-drinking peers and egging them on in sexual exploits. (Was Donald Trump in a fraternity? Of course: he was a Phi Gam at Fordham.)
The negative image is based in reality. On alcohol consumption, a U.S. Department of Education’s Higher Education Center survey shows that 75 percent of fraternity members engaged in heavy drinking, compared with 49 percent of other male students. Some — including many college presidents — have argued that since the drinking age was raised to 21, alcohol consumption has gone undercover, causing students to associate drinking with transgression and pushing it far from the supervision of older adults and more open social events. Lowering the drinking age, they suggest, might bring alcohol back into a more normalized atmosphere where students mix with older adults in supervisory roles, thus obviating the need for secretive binge-drinking and its attendant hazards and regression.
Some say fraternities should accept girls, and in a few cases, colleges have banned frats altogether, arguing that they are obsolete. At Amherst in Massachusetts, where fraternities were prohibited in 2014, students and faculty have discussed ways to create social groups that get rid of some of the destructive things associated with fraternities while providing the cohesiveness and sense of belonging that make them attractive, like residential communities with selective membership centered around a particular theme.
This is all well and good, but how likely is it to spread into regions of the country far flung from elite coastal universities? Places where fraternities have emerged as a way of attracting less affluent students to college with the promise of bonding and bacchanalia, to be translated into fundraising dollars after graduation?
College men — and young men who don’t go to college —need to have positive narratives that allow them to feel good about being men and being men together. Challenging sexual assault is important, but they need to learn much more than “no means no”: they need guidance in emotional honesty and intimacy, the challenges of navigating relationships and masculine ideals to strive for in which cultivating large numbers of women as hookups and drinking into oblivion are not the marks of masculine status. Beyond this, they need to see that life offers them more than the prospect of being a loser in the workforce that awaits them when schooling is done, and they also need opportunities to see that work in areas like caregiving, for example, are rich in positive masculine values. When a male nurse can be viewed as stronger and sexier than a Wall Street parasite, we will have gotten somewhere.
Popular culture reflects a hunger for a vision of masculinity that rejects Homo Obnoxious. Jesse Pinkman, the young meth cook in the TV series Breaking Bad, illustrates the despair of recession-era young men without decent job prospects who search for status, meaning, and self-worth. There’s a lot wrong with Jesse, but in his evolution as a character we see his growing resolve to form intimate, caring bonds with the women in his life and the men in his posse, too. The blockbuster franchise Fast and Furious shows the need for even the most testosterone-driven men — racecar drivers in this case — to develop respect and lasting relationships with the men and women in their social group.
These fictional guys hunt for alternatives to a brutal, global capitalist system that casts them as losers. They want to find the dignity that dissolves when we mire them in student debt, consign them to dead-end jobs and say, Oh well, globalization happens. If we continue to do this, they will bond together in ways that can quickly become dangerous to society as a whole, and they will look for outsider narratives that offer something more that the empty promise of upward mobility currently on offer from politicians who think that the paltry social safety net and worker protections currently in place are over-generous (politicians from both major parties). Sometimes, in the case of the white supremacist groups that have begun to creep out of the woodwork, that something will be very scary.
There has been a lot of recent research on how online porn and video games are helping to inculcate alienation and destructive patterns in boys and young men. Stanford psychologist Philip Zimbardo’s book Man (Dis)Connected): How Technology has Sabotaged What it Means to be Male provides insight onto how Homo Obnoxious gets his brain wired.
Zimbardo discusses how young male brains can become shaped at a cellular level in ways that inhibit their social development through excessive time spent on gaming and porn, even losing their ability to read the social cues of face-to-face contact. Many, he points out, are drawn to these realms as a seemingly safe and easy way to gain a sense of achievement that may not be available in the winner-take-all competition of school and the workforce. These virtual worlds are tailored to provide an addictive system of goals and rewards that produce guys who are afraid of intimacy. They end up eschewing real-world experiments that might result in rejection, and real-time spontaneity that leaves them disoriented and frightened. Drained of self-confidence, they search for narratives of manhood that provide at least the simulacrum of power and dignity.
Some go on to find self-help, intellectual and political forums online collectively termed “the manosphere.” Some of this has merged with the recently designated “alt-right.” In the more benign forums, we find guys like mild-mannered Brian Begin, co-founder of Fearless Man website, who invites guys to join a brotherhood of men who have learned the secret of confidence and self-love. A shy video gamer who found himself working in a miserable office cubicle and unable to talk to women, Begin eventually threw away his games and launched a self-help journey that revealed to him he needed to learn to “feel” — to experience emotions at a deep, visceral level and connect to others despite fear of rejection. Although Begin’s quest for dignified masculinity rests in part on the fantasy of making piles of money and dating beautiful women, his hunger for self-esteem and the experience of genuine emotion seems real, as does his impulse to see women as something other than a collection of body parts. He doesn’t want to be a nervous “beta” male, and while much of his rhetoric is traditionalist and half-baked, he is on to something in pointing to the critical need for connection. In his workshops, the first thing he does is to hug the men who participate.
Unfortunately, much in the manosphere openly promotes the far more noxious stuff, like sexual predation in the pickup community, where guys give each other creepy tips on “mind-controlling” women and duping them into sex. Other sites, like Mensactivism, boil with anger at feminists and take a paranoid stance against what they imagine is an epidemic of false rape claims and women who will take advantage of them at every opportunity. Mensactivism buzzes with articles like “Men are the downtrodden sex” and blogs expressing hope that a Trump presidency “could radically change colleges’ response to sexual assault.” In these sites, loneliness and fear are vented as rage — the rage that comes when people don’t know what to do with their suffering.
Yet for all the bluster and bullying on such sites, you don’t have to dig far to find clues to what is bothering these young men so profoundly at their core. The blogger who likes Trump’s rating system for women asks a series of questions in a meditation on so-called neomasculinity, which despite its name, is mostly a throwback to outdated myths of male superiority: “What code of morality or principles should guide men in their daily lives? Is there a deeper life meaning that can help us set better goals?” The answers he comes up with may be bitter and sad, but the questions themselves are not stupid, and they point to a lack of compass to give direction. Online, the lost boys find each other, making up the missing codes themselves out of a mixture of bravado, hurt and bitterness.
The road ahead
When I sat down to write this article just after Trump’s election, I felt angry and confused swallowing the reality that the country is going to be led by a man who brags about sexual assault. But gradually, I’ve come to feel something else, a sense that the Trump election may in part be a sign that a giant population of American men — particularly the Trump voters but also men across regions and classes — are in turmoil, and that most are looking for a way out. If we simply shout them down and disparage them, we can be pretty sure that the worst among them, the already-committed members of Tribe Homo Obnoxious, will gain strength, not lose it. Some are likely already too far down the road of hate for redemption, but I believe these are a small minority. The rest are struggling, watching, looking for signs, searching for stories that might give them a sense of a more positive path ahead.
Over Thanksgiving, I attended Sunday services at a conservative Southern Baptist megachurch in Raleigh, North Carolina, partly because I wanted to hear and see for myself what men in that context were thinking and talking about it — men who were the most likely in town to have voted for Trump. If I were to believe the assumptions of some of my liberal friends in New York, where I currently live, they would be spewing racial hatred, misogyny and homophobia — a seething collection of “toothless rednecks,” as one New Yorker put it on my Facebook page.
That’s not what I heard. The sermon was delivered by a young minister with the demeanor of a kindly basketball coach, one who was not afraid of emotions and wept at times as he spoke. His message, it seemed to me, was tailored to deliver balm to the heart of hurt manhood. God was the benign father and Christ was a brother — even a lover — who valued those gathered so deeply he would give his life for them. Men were presented as the ones who went out into the world while moms stayed home, a 1950s trope to be sure, but they were also asked to give up their self-centeredness, their narcissism. The minister urged them to see power as something that could be used to confront their own shortcomings, to serve and protect others. The solo adventurer was not vaunted here. Trump was not the emblem of the kind of masculinity valued here.
As much as I reject his outdated gender framework, the minister appeared a man with whom I shared some basic concerns—about the allure of consumerism, for example. He was not an alien, but a person trying to confront the ills of modern society, many of which bother me as much as him, though our emphasis and answers are different.
Men are confused, and how could they not be? Ever since the 1950s brought women into the workforce en masse, and the Pill released them from reproductive shackles in the ‘60s, a profound change in human relations has been happening in painful fits and starts. In the grand scheme of history, a few decades is an incredibly short amount of time to adjust to such a cataclysm. No wonder we’re still flailing about trying to figure out how to cope. Identity, expectations, culture and hormones are a complex dance. Social construction is a dynamic process, and hardly linear.
And let’s face it: Hillary Clinton’s election was not likely to bring a great gender renaissance in America, or any kind of renaissance for that matter. If Clinton were on her way to the White House, there is much reason to believe that ordinary men — and women— would see little improvements in their lives. That would be the case as long as those in charge are stuck in paradigms of dysfunctional capitalism and neoliberal blindness. Anger would continue to fester, and many working-class white men, in particular, would become even more entrenched in their reactionary rage.
As America’s boys see Trump acting out, some will feel their own worst instincts validated. But for others, the idea of “being a man” might mean distancing themselves from his kind of behavior. I do believe that men—and women—are less likely to assert power by denigrating and dominating others when they have a sense of real agency in their lives. It may not be helpful to talk about the end of men, or the rising dominance of women, but rather to remember that for all of us—men, women and transgender—our ability to manifest prosocial behavior depends a lot on having a sense of power and purpose in our lives. Growing inequality, the gig economy, strangling oligopolies, widespread poverty, a shrinking middle class, and government policies geared to appease the rich do not promote this outcome.
For those who reject Donald Trump, figuring out how to achieve a better life for everyone in our society instead of condemning “deplorables” is, in my opinion, a more productive way to go. The co-creation of a more peaceful and fulfilling world requires our most dedicated efforts in imagination, connection and listening to those who do not share our particular vision. Homo Obnoxious will only have the last word if we forget our common humanity.
Unlike tongkat ali, the new herbal butea superba has a pleasant taste. It can be mixed into chocolate, pizza tomato sauce, and any kind of curries. The active ingredients are also heat-stable, which means, heating does not destroy the effects. Girls watch out. If your sexual desires go over the top, and you fantasize strange settings, such as being gang-raped, your curry a week or two ago may have been butea superba laced.
Xavier R. Robinson 2484 Hillcrest Avenue Canton, MA 02021
Let’s talk about the bizarre thing that can happen on the operating table.
1. It's a clinical phenomenon called anesthetic awareness.
'Anesthetic awareness, also known as intraoperative recall, occurs when a patient becomes conscious during a procedure that is performed under general anesthesia, and they can recall this episode of waking up after the surgery is over,' Dr. Daniel Cole, president-elect of the American Society of Anesthesiologists, tells BuzzFeed Life. Patients may remember the incident immediately after the surgery, or sometimes even days or weeks later. But rest assured, doctors are doing everything they can and using the best technology available to make sure this doesn't happen.
2. One to two people out of 1,000 wake up during surgery each year in the United States.
"It's not a huge number, but it's enough people that it's definitely a problem," says Cole. Plus, the true rate could be even higher. "The data is all over the place because it's mostly self-reported." "Ideally, the anesthesiologist would routinely see the patient post-operation and ask them about intraoperative awareness," he says. But this opportunity is often lost because patients are discharged or choose to go home as soon as they can after surgery. "Even if they remember three, five days later, they might feel embarrassed and don't want to make a big deal so they don't mention it to their surgeon. So there can be underreporting of awareness."
3. It happens when general anesthesia fails.
General anesthesia is supposed to do two things: keep the patient totally unconscious or 'asleep' during surgery, and with no memory of the entire procedure. If there is a decreased amount of anesthesia for some reason, the patient can start to wake up. The cocktail of medication in general anesthesia often includes an analgesic to relieve pain and a paralytic. The paralytic does exactly what it sounds like — it paralyzes the body so that it remains still. When the anesthesia does fail, the paralytics make it especially difficult for patients to indicate that they're awake.
4. And it's not the same as conscious sedation.
Conscious sedation, sometimes referred to as "twilight sleep" is when you're given a combination of a sedative and a local or regional anesthetic (which just numbs one part or section of the body) for minor surgeries, and it's not intended to knock you out completely or cause deep unconciousness. It's typically what you would get while getting your wisdom teeth out, having a minor foot surgery, or getting a colonoscopy. With conscious sedation, you may fall asleep or drift in and out of sleep, but this isn't the same as true anesthetic awareness, says Cole.
5. Contrary to popular belief, it doesn't usually happen right in the middle of surgery.
"The anesthesiologist is very aware that this can happen and never relaxes or lets down their guard at any point during the surgery, no matter how long," says Cole. "Awareness tends to occur on the margins, when the procedure is starting and you don't have the full anesthetic dose or when you're waking up from anesthesia, because it's safest to decrease the amount of anesthesia very slowly and gradually toward the end." However, this also depends on the surgery and patient... which we'll get to in a little bit.
6. Patients often report hearing sounds and voices. "The most common sensation is auditory," says Cole. Patients will report that they were aware of voices, and even conversations that went on in the operating room — which can be especially terrifying if loud tools are involved. "If you look at the effects of anesthetics on the brain, the auditory system is the last one to shut down, so it makes a lot of sense."
And opening your eyes to see the surgeons operating on you? Basically impossible. "First of all, the anesthesia puts you to sleep, so your eyelids shut naturally. Even if you regain consciousness, the anesthesia still restricts muscle movement so your eyes will stay shut," Cole explains. "But there's still 10–20% eye opening when you sleep. So during surgery, we will cover the patient's eyes or tape them shut to prevent injury and keep the eyes clean."
7. Few patients experience pressure (and rarely pain) during anesthetic awareness.
Less than a third of patients who report anesthetic awareness also report experiencing pressure or pain, says Cole. "But that's still one too many, because the patient is kind of locked in and aware of what's happening to them but unable to move, which is terrifying." Typically, sufficient analgesic (pain reliever) is given, so that even if you wake up you won't feel pain. "More often, we use an anesthetic technique which includes a morphine-type drug to reduce pain. But this is really required for when the patient wakes up and they no longer have anesthetic so they are conscious and aware of pain," Cole says.
Even if the analgesic wears off, there should be sufficient anesthesia to keep the patient unconscious and pain-free. "It's rare. You'd have to both have insufficient anesthesia and insufficient pain medicine at the same time to feel prolonged pain during awareness," Cole says.
8. Anesthetic awareness can cause anxiety and PTSD.
"The potential psychological effects of awareness range greatly," says Cole. "It can cause anxiety, flashbacks, fear, loneliness, panic attacks — PTSD is the worse. It's been reported in a small minority of patients, but it can be very severe." says Cole. If doctors hear about someone having intraoperative awareness, they will try to get the person into therapy as early as possible, before memories can be embedded in a harmful or stressful way to patients. "If you were in the hospital for a week and on day two we heard that you woke up during surgery, we'd get a therapist in the same day. We always want to mitigate so we can try to reduce the severity of symptoms," Cole says.
9. It's most often caused by an equipment malfunction.
General anesthesia can either be given intravenously (where all or most is given through an IV) or more commonly as a gas, which you breathe in through a mask. If the equipment in either of these were to malfunction, and the anesthesiologist wasn't aware of it because the signal that gas is too low doesn't work, for example, then patients would stop receiving medication and start to wake up. Again, this is terrifying but rare.
Article continues below the image
"The anesthesia equipment is like an airplane," Cole says. "The anesthesiologist will do a pre-flight check and go over all equipment to make sure it works. But sometimes, that equipment can malfunction as short as an hour later so it won't show up before taking off." Likewise, there is equipment used to monitor the patient's vitals and brain activity, which can also fail to signal to doctors that the patient is waking up.
10. Less commonly, it's the physician or anesthesiologist's fault.
"Any time humans are involved, human error is always a possibility — but it’s more common that technology fails," says Cole. "Physicians and anesthesiologists are well-trained to look out for signs of awareness during surgery, which obviously includes any movement of muscles and changes in vitals." Since paralytics are often involved, doctors also closely monitor other signs like heart rate, blood pressure, tears, or brain electrical activity for any red flags. However, sometimes patients can be on medications that suppress the body's responses and inhibit the monitoring systems from effectively picking up warning signs of light anesthesia and awareness. These incidences can make it difficult to detect awareness, so physician anesthesiologists must closely watch an array of signs.
11. It is more likely to happen during surgeries that require "light" anesthesia.
Anesthesia also comes with risk factors, and can be harmful depending on the surgery or patient's risk. "Awareness can occur when there is too light of anesthesia, which we often do deliberately for high-risk situations," says Cole. According to the American Society of Anesthesiologists, high-risk surgeries include heart surgery, brain surgery, and emergency surgeries in which the patient has lost a lot of blood or they can easily go into shock. Or the patient may need a lower dose of anesthesia due to risk factors such as heart problems, obesity, a genetic factor, or being on narcotics or sedatives. "For instance, anesthesia depresses the heart, so a normal dose could be life-threatening to someone with heart problems," Cole explains.
"Sometimes you have to make a trade off," says Cole. "Would you rather have a high level of anesthesia which threatens your body's life functions, or a low level which ensures safety but increases the risks of waking up during the procedure?"
12. ...But if that's the case, your doctor will talk to you about it first.
Patients often feel better knowing that the decreased amount of anesthesia is for their own safety. "We tell the patient that there's an increased chance that you may hear some voices or fuzziness, but if it gets uncomfortable we can tell and will increase the dose," says Cole. "Patients are more understanding and happy when they understand that the risk of waking up is for their own safety."
Also, you should know that if you've had a previous incidence of awareness, that puts you at higher risk for another episode. Cole explains that in this case, doctors will spend a lot of time with the patient and anesthesiologist describing exactly what to expect, so that hopefully they won’t experience it again.
13. ALL THAT BEING SAID, the chances of this happening are slim, and medical professionals are doing everything they can to ensure that this does not happen.
According to Cole, it's always helpful to spend some time pre-operatively with the surgeon and physician anesthesiologist going over the procedure and how they'll get you through it safely and comfortably.
"I do something called 'patient engagement' and 'shared decision-making' so I can make sure the patient understands literally everything. Some patients don't want to talk about awareness because it will give them more anxiety, and they just trust us," says Cole. However, even if you aren't at risk, your doctors will be happy to answer any questions you have about anesthesia before the procedure.
That armies are mad up of men is something that has to end. Draft women into combat troops. Expose women to the same kind of dangersthat men have faced throughout history. Hard labour for female convicts!
Home | Index of articles