Friday Favorites: Micromorts – How Risky Is It to Go Under Anesthesia?
NutritionFacts.org Video Podcast
Michael Greger, M.D. FACLM
4.8 • 951 Ratings
🗓️ 25 July 2025
⏱️ 5 minutes
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| 0:00.0 | Hundreds of millions of operations are performed every year, |
| 0:14.0 | and the risk of death is typically around a half a percent, |
| 0:18.8 | to which patients might say things like, |
| 0:21.1 | I could just die as easily crossing the road, |
| 0:24.6 | making it clear they really don't understand the difference |
| 0:28.6 | in magnitude of risk. |
| 0:31.6 | One way to communicate risk is by analogy. |
| 0:35.6 | For example, just going under anesthetic carries about a one- |
| 0:39.8 | and a hundred thousand chance you won't wake up. How much is that? Well, that's about |
| 0:46.0 | the same risk as an expert skydive. Okay, but that still may be kind of hard to |
| 0:53.6 | wrap your head around. |
| 0:55.3 | It's hard to think in terms of small numbers. |
| 0:57.7 | Like imagine discussing a 1710,000th of a mile by 22.710, 10,000th of a mile rug. |
| 1:06.3 | Like, how big even is that? |
| 1:08.9 | We need more digestible units. |
| 1:10.8 | Enter the micromort as a unit of comparing and communicating risk to patients. |
| 1:19.7 | A micromort is a unit equivalent to a one in a million chance of dying. |
| 1:25.7 | One in a million is like the chances of flipping a coin and getting 20 heads or tails in a row, |
| 1:32.3 | or a little less than the chances of getting a royal flush. |
| 1:36.3 | But the real utility is to help compare different risks to one another using the same metric. |
| 1:43.3 | For example, driving 100 miles entails about a 1 million chance of death, |
| 1:48.5 | so that's one micromort. |
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