The anesthesiologist is a very important person to pick if your going under
I know Doctor who raced across town to a hospital to stop a surgery because they changed his chosen anesthesiologist for his patient and literally marched into the prep area and stopped everything until the unwanted anesthesiologist was replaced with his choice.
The use of powerful anesthetic on older patients sometimes leaves long term irreversible harm to memory that is unpredictable . Well Joan left everyone stunned as usual. She had a great life.
There’s a well known surgery center in town.....does brisk business....like endoscopies every day....
...and a few months ago .....thanks to Obamacare I believe....let go all 4 anesthesiologists (doctors) and replaced them with nurses with some anesthesia training.
They now have ONE anes.doctor to oversee the nurses.....and the patients are rolled into the surgery room continually........
Not good!
In my state, Propofol administration can be carried out by an MD and (in my case) a Registered Nurse. In fact, I give it to intubated patients very frequently, via IV pump and have never had a patient react adversely to it. If a patient does have a reaction, it's easy enough to bring them out and sedate them with other medications.
Propofol is a great drug, and like any other drug it is perfectly safe when administered carefully and under close observation. It gets a bad rap because of the whole Michael Jackson thing. But his doctor was a mouth-breathing idiot. So, I suspect, was Joan Rivers' doctor in this case.