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Now where was I?

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Years ago I read about a drug that was used by obstetricians back in the benighted, paternalistic 1950s (and probably earlier). The purpose of this drug was to make women forget the ordeal of giving birth, so that they would happily repeat the hellish experience. I assumed that in our more enlightened era such sinister drugs were no longer in use.

Wrong! Yesterday I underwent a common, but potentially painful, procedure. No one asked me if I wanted the intravenous cocktail of fentanyl and midazolam, but I offered no objection. I figured it was in everyone's best interest for me to be docile and floaty. But I don't think I fully understood what the midazolam (brand name Versed) would do. In fact it's one of those amnesia-inducing drugs. For a period of about 30 minutes I could have been singing, telling jokes, screaming, snoring, or any number of activities that I will never remember.

As the Versed wore off, I remember talking with the doctor calmly and sensibly while he finished the procedure. So it could be that I was calm and sensible the whole time. If so, I would love to know what I heard and saw in my twilight stupor. If instead I was babbling incoherently for half an hour, I'd like to know about that, too. It bothers me that these so-called helping professionals routinely rob people of their memories without asking permission. I wonder how many of them take advantage of the opportunity to insult and mock patients who will never remember the humiliation.

Understandably, doctors would rather probe someone who's sedated, for the same reason that veterinarians prefer to clean the teeth of unconscious cats: It's safer for all concerned. But isn't it possible to dull the pain and ease the anxiety without messing with one's memory? Next time I'll insist on my right to remember how unpleasant the procedure was.

Actually this isn't the first time I've been tricked in this way ("Fool me once..."). When I had my wisdom teeth out, more than 40 years ago, I was given a mixture of Valium and Demerol, and no one told me that the Valium would induce anterograde amnesia. Maybe one insidious effect of these drugs is that you forget to make sure you don't get them again.

I do find it fascinating that memory formation can be chemically inhibited. Maybe if I'd gotten such a drug all my life, I'd be a happier person now (though I might be covered with tattoos and sticky notes).

Comments

( 9 comments — Leave a comment )
[info]jonathanpool wrote:
Dec. 10th, 2011 02:33 am (UTC)
Drugs
Could you cite enough from the consent form to show that you were not informed of, and asked to consent to, a memory-suppressing drug? If you weren't, I'm surprised.
[info]friendless1 wrote:
Dec. 10th, 2011 02:38 am (UTC)
Re: Drugs
I don't remember what I consented to. The facility's Web site doesn't have the form but does say this: "To be certain you are comfortable and relaxed, you will be sedated through an I.V. In fact, most patients are asleep during the entire process and remember little to nothing about it."
(Anonymous) wrote:
Jan. 26th, 2012 01:50 am (UTC)
Re: Drugs
I know *I* wasn't given any information at all, nobody Asked my permission because they already KNEW that I would NEVER EVER consent to this kind of humiliation... They told *me* that vitamin v was simply a muscle relaxant. The only reason I even asked, after the instructions they had not to give me anything like Versed, is because I know too many huge men called "Tiny." Vitamin V sounded like an ass kickin drug... Which it was, those lying creeps. There is absolutely NOTHING in *my* uninformed "informed" consent about Versed or anything like it. No mention of sedation at all, let alone the word AMNESIA, which I notice that you can't say either. Memory supression drug! Oh please!
[info]spuuky wrote:
Dec. 10th, 2011 02:38 am (UTC)
When I had my wisdom teeth out, I had a memory-eraser of some kind. I remember going to bed the night before, and waking up the day after. And nothing in between.
[info]spontanette wrote:
Dec. 10th, 2011 06:04 am (UTC)
I crave those sorts of drugs every day.
(Anonymous) wrote:
Dec. 11th, 2011 12:30 am (UTC)
At least you remember talking with the doctor. No one told me either that I would have amnesia , or that it would last almost ten times longer than the procedure did. My consent form (which I have a copy of) merely said I would receive conscious sedation. I woke up in mid-sentence, arguing with a nurse. I didn't just feel tricked, I felt deceived. Patients should be informed and given the right to refuse an amnestic.
[info]friendless1 wrote:
Dec. 11th, 2011 12:41 am (UTC)
I can't say that no one told me. I knew I was getting such a drug. I was just too much of a wimp to refuse it, and at the time I didn't fully realize the creepiness of it. Maybe if I hadn't come to my senses for the last few minutes, I wouldn't be so incensed about it.

Edited at 2011-12-11 12:43 am (UTC)
(Anonymous) wrote:
Jan. 22nd, 2012 09:51 pm (UTC)
Versed induced amnesia
Great article! a friend of mine who also suffers from Versed induced horror sent me here. I put a link to it up on my own blog. Thank you for your candor.
(Anonymous) wrote:
Feb. 16th, 2012 06:01 pm (UTC)
Lack of informed consent with Versed
I work in a large med-surg hospital that does lots of outpatient procedures and most if not all involve administering Versed (midazolam). Most clinicians tell the patient: "sign here so that we can give you something to keep you comfy" before administering Versed, when the truth is more like: "sign here so that we can give you Versed that will prevent you from remembering the procedure (at least immediately) and it will make you compliant; it has no pain-relieving properties, but don't worry, you probably won't be able to communicate but you will be quite "awake"..just sort of zombified. Don't be alarmed that the patient in the next room getting a colonoscopy is screaming in pain, we will get her out the door in a hurry and she won't realize that she was given an amnesia drug." One patient was lied to in the usual manner about the Versed that she was given; when she was told the truth about it being an amnesia drug she promptly smacked the endo doc right in the mouth...and the patient can't be held accountable since she was put "under the influence". Sorry, giving Versed without telling patients that it's purpose is to induce amnesia is unethical. I have seen way too many educated, reasonable and calm patients become furious after being given this amnestic drug without informed consent.
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