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by gotocake 2658 days ago
Ever since I’ve been a little kid this one thing has stuck with me; if you can’t remember it, is it like it never happened? I used to wonder that about nightmares, but I tended to go with the view that a version of you did suffer, and on some level the impact is there. Like a person with anteretrograde amnesia who can’t remember learning to work a specific maze, but still realizes the gains of the previous attempts.

I still don’t know if it’s even a realistic question, but I still wonder.

4 comments

There’s a lot of study going on about that very issue right now. A lot of surgery is done with the patient conscious or semi-conscious, but on an amnesiac medication that’s supposed to suppress memories. It’s not clear whether memories retained at a deeper sub-conscious level can trigger PTSD.
As recently as the 1980s, they would do heart surgery on newborns because the surgeons felt that the babies wouldn’t remember anything about it. It sounds monstrous to me, however.
That's not why they did it. They did it because anesthesia wasn't as good then, and there were significant risks to the infants.

When the risk of pain outweighed the risk of anesthesia the practice stopped.

It's realistic, I vaguely remember one story from someone who dislocated his shoulder in his teens and had to have a doctor pop it back into place. Apparently they didn't have regular pain killers, so they gave him something that induced amnesia and just had clinic staff hold him down. He doesn't remember any of it at all.

Granted this happened ~50 years ago so I don't know how embellished the story became over the years, or how pain science changed since then.

I'm pretty sure using these amnesia type drugs is the standard for endoscopies and colonoscopies (versed aka midazolam). You can find horror stories about them online. You can have those procedures done with just propofol or without any sedation but I'm pretty sure they give you versed by default.

I'm sure you can find horror stories for propofol and other drugs, but I'm vastly more uncomfortable with the idea behind intentionally inducing amnesia.