Patient Experience
My 88-year-old grandmother needed emergency hip surgery after a fall. Dr. Prakash created a twilight anesthesia plan that avoided general anesthesia risks. She was awake enough to squeeze my hand during surgery but remembered nothing of the procedure, and recovered without the confusion that often follows surgery in elderly patients.
As a professional musician with a rare vocal cord procedure, I was terrified anesthesia might affect my voice. Dr. Prakash designed a targeted nerve block with monitored sedation, allowing the surgeons to test my vocal responses during the operation. I woke up with my singing voice completely intact.
Our 6-year-old daughter needed dental surgery but had severe medical anxiety. Dr. Prakash spent 30 minutes before surgery showing her how the anesthesia mask worked, letting her choose strawberry-scented oxygen, and explaining everything through a puppet show. She went to the OR laughing instead of crying.
During my high-risk twin pregnancy requiring emergency C-section, Dr. Prakash managed the spinal anesthesia while monitoring both fetal heart rates continuously. When Baby B's heart rate dropped, he immediately adjusted medications and positioning, delivering both babies safely without needing general anesthesia.
As an ultramarathon runner facing knee surgery, I worried about anesthesia affecting my athletic performance. Dr. Prakash used a multimodal approach that minimized opioid use, incorporating nerve blocks that provided 18 hours of post-op pain relief. I was doing gentle rehab exercises the same day.
My husband, a war veteran with PTSD, needed abdominal surgery. Dr. Prakash researched trauma-informed anesthesia care, avoiding medications that could trigger flashbacks and using careful sedation so he wouldn't wake up disoriented. It was the first medical procedure where he didn't have a panic attack.
When our 15-year-old son developed malignant hyperthermia during what should have been routine surgery, Dr. Prakash recognized the symptoms instantly. He mobilized the emergency protocol, cooled his body temperature, and administered dantrolene within minutes, saving his life from this rare genetic condition.
As a Jehovah's Witness requiring complex spine surgery, I couldn't accept blood transfusions. Dr. Prakash developed a meticulous anesthesia plan using acute normovolemic hemodilution and cell salvage techniques that maintained my blood pressure without any donor blood products throughout the 7-hour procedure.
My mother with advanced Parkinson's needed gallbladder surgery. Dr. Prakash coordinated her Parkinson's medications with the anesthesia regimen, preventing the dangerous muscle rigidity that can occur. She recovered without the worsened tremors we'd been warned about.
During my liver transplant, Dr. Prakash managed the most critical phase - the anhepatic period when my liver was removed but not yet replaced. His precise medication adjustments and hemodynamic monitoring kept me stable through those precarious 45 minutes without a functioning liver.
Our premature newborn required emergency intestinal surgery weighing just 1.8 kg. Dr. Prakash used specialized pediatric equipment and micro-dosing techniques, manually ventilating her throughout the procedure because she was too small for the ventilator settings. She's now a thriving 2-year-old.
As a former anesthesia skeptic after a bad childhood experience, Dr. Prakash completely changed my perspective. Before my shoulder surgery, he reviewed my previous records, identified what went wrong, and created a completely different approach. I woke up clear-headed without nausea for the first time ever.
During my complex cancer surgery that lasted 12 hours, Dr. Prakash used advanced monitoring to track my brain function, ensuring the anesthesia was protecting my cognitive abilities while keeping me completely unaware. I recovered with no 'post-operative cognitive dysfunction' that often affects lengthy procedures.
My father with severe COPD needed lung biopsy. Dr. Prakash used regional anesthesia with sedation instead of general anesthesia, allowing him to breathe on his own throughout. His oxygen levels actually improved during the procedure, and he avoided the ventilator altogether.
When I developed anaphylaxis to the initial anesthesia drugs minutes before my procedure, Dr. Prakash immediately administered epinephrine and steroids, then identified alternative medications I could tolerate. He rescheduled my surgery for the next day with a completely different, safe anesthetic plan.