It is always a hassle finding someone that is off a day I need to be sedated and come up with the money to pay them..

I had ankle surgery and I guess the surgeon talked me after the surgery. I was still groggy from the anesthesia and don’t remember a word. My sister in law was my driver and she took notes of the “conversation”.

And if you dont have someone with you, ask the dr/nurse beforehand to write the important stuff down for ya

They use propofol as a anesthesia which is short acting and a hypnotic so I don't see any problems using them...
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A few weeks ago I had a colonoscopy in which they used a light sedation. In their pre-procedure forms/instructions it said that the driver could NOT be a taxi or Uber type driver. They wanted the driver to be with you when you checked in and specifically asked if he (my husband) was my driver and what was his contact number. Maybe not all places do this, but I did wonder what people do if they don't have family or friends to drive them.

Most of my day time friends that could do it are a bit of a distance away and still work...
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As long as you have someone that can be verified as your driver and they are willing to wait or come back when you're done, just pay them to do it. My husband went home and came back when they called him. We gave them his cell number and that was it. I don't recall any 'proof of relationship' needed. An uber driver could be your neighbor, right?