Myasthenia gravis is a big deal to anesthesiologists

Now I understand why it’s important to be honest and truthful about your health conditions.

As a person with MG I’ve had the great fun 🤪of having to stay awake during procedures because the anesthesiologists felt that between my MG and medication allergies it was too dangerous to put me all the way under. Thank you for helping to educate people!

From someone with myasthenia gravis, thank you so much for making this video! It brings me some comfort knowing how truly knowledgeable anesthesiologists are. I’ve been under anesthesia countless times but it’s still always a little stressful with MG. I recently had a bad anesthesia encounter that left me with profound weakness upon waking up (and into the next day). We now know to have even more emergency medications and interventions ready in PACU as I wake up. Very glad to hear you guys are thoroughly educated on MG. Helps make these potentially scary and stressful situations feel a little easier.

On a tangent, a friend who had oral cancer surgery was failing to recover from the paralytic and remained intubated while a workaround was sought, so she experienced being paralyzed and intubated and aware, all at once.

Thanks for putting this together Max! Shout out to your dad for telling us about it 🙂 When I was first diagnosed, I had a thymectomy. My anesthesiologist did not take my MG and recent crisis into consideration. I was in "recovery" for over 24 hours and the surgeon wasn't sure I was going to wake up. I made sure that I personally speak to any anesthesiologist before surgery now. Once we are both comfortable - then we move forward. Congrats Dr Feinstein!!!!

I had a small procedure back in March and the anesthesiologist's eyes opened wide when I told him I have Lambert-Eaton Myasthenic Syndrome. All went well.

Thank you for making this video. I have MG and have luckily avoided this issue entirely by insisting on local anesthesia for operations including repair of a completely severed Achilles tendon (pre-arthroscopic, circa 1990) and repair of a torn medial collateral thumb ligament (“skiers thumb”). I realize there are times when general anesthesia is unavoidable but I was quite surprised at the reluctance of the surgeons to just use local. There was huge pushback but I explained that I have MG and that the best way to avoid complications is just to use local. The operations were uneventful; I was completely awake and chatting with the doctors. This experience convinced me that there are lots of surgeries that could be done under local but that, as one of my surgeons put it, “we prefer our patients to be asleep”.

Hello Dr. Max I find your channel very educating and amazing. I started following your contents. I am a RN assigned on a medical and telemetry unit and learning alot from your medical videos. Thank you for sharing your medical knowledge. More subscribers to you Dr. Max. I hope meet you in person in NYC someday :)

In a similar vein, I'd be really interested to see a video on if/how you need to alter your approach for other conditions that affect the muscles, such as those that cause spasticity, rigidity, weakness, tremors, and so forth.

I am in my first year of studying medicine and I actually just learned this condition today for my exams... What a coincedence! Great video, keep it up.

Another really good video! Wonderful information you passed along.

Thank you so much for bringing awareness to MG as a whole but also the anesthesia part of it. We appreciate you

This was so fascinating! Thank you for raising awareness about MG.

Thank you for posting. Really helpful education!

Thanks v much Dr Max. I lost a good friend many years ago to complications of MG. So I try to keep learning more about it, this was very interesting. I'm not a physician but have a general interest in isoflurane etc hence I find your videos very interesting.

Excellent presentation. Thank you.

Excellent video! Recently got tested for MG which turned out to be negative, still extremely interesting to learn about these sorts of conditions.

Thank you for this informative video

Great video! I would like to see a similar one for other musculoskeletal disorders like hypokalemic periodic paralysis or Duchenne Muscular Dystrophy

Thank you for this video. I am on pyridostigmine. Now I understand why my neurologist was so emphatic that I must tell every Anesthesiologist that I do NOT have Myasthenia Gravis. I have an autoimmune condition where my immune system attacks my nerves. This impacts communication between nerves and muscles as well as nerves and glands.