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Re: Spinal anaesthesia

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I posted this before, but will do so again.

I have in my spinal cord 2 syrinxes, i.e., cavities, that are filled with cerebrospinal fluid. This is not how it's supposed to be. The CS fluid is supposed to flow outside the nerves of the spinal cord. Nobody knows for sure, but the general consensus seems to be that these syrinxes are caused by a spinal injury (and not necessarily one you'd think much about).

As an aside, for you armchair doctors, I am asymptomatic, but if the syrinxes fill with too much fluid, it can compress the spinal nerves and you can tingle, go numb, or become paralyzed.

In talking to an anesthesiologist before surgery once, I said that I'd like to have a spinal, but was concerned about the lumbar syrinx -- would the anesthesiologist be able to shoot the anesthetic into the right space, or might he have a hard time judging where that was? He veritably recoiled, and said that he would NOT do a spinal on me. I asked if unknown syrinxes could possibly be why some people are paralyzed by spinals. He said yes.

THEREFORE: I highly recommend that if anyone wants a spinal, they have an MRI done of their lumbar spine to determine whether they have syryinxes (the condition is called syringomyelia). I only found out by accident.

Ann S.

PS: There are at least two Anns here, me (Ann S.) and, well, Ann.

RE: Spinal anaesthesia

Is there any medical reasons why they can't give a THR a spinal? I'm going to ask about it, as I always feel dreadful and nauseous for at least 24 hrs after a general.

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At 02:32 PM 11/5/2006 +1300, you wrote:

Is

there any medical reasons why they can't give a THR a spinal? I'm going

to ask about it, as I always feel dreadful and nauseous for at least 24

hrs after a general.

Nope! Larry had a spinal both for his THR and

his revision, and it worked very, very well for him. Talk to your

anesthesiologist and tell him/her your concerns, then choose the

procedure that is best for YOU.

Ann

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No reason at all, . After my first THR under general, I asked for the spinal with the second. Recovery time from the surgery was much less, and I was awake and aware within a couple of hours. The first surgery, with the general anesthetic knocked me out from early morning (I was the kickoff op at 7 am) until close to dinnertime.

Greywolf - RTHR-2003; LTHR-2004

mdavison@...

From: Joint Replacement [mailto:Joint Replacement ] On Behalf Of HarnettSent: 05 November, 2006 3:32 AMJoint Replacement Subject: RE: Spinal anaesthesia

Is there any medical reasons why they can't give a THR a spinal? I'm going to ask about it, as I always feel dreadful and nauseous for at least 24 hrs after a general.

My mailbox is spam-free with ChoiceMail, the leader in personal and corporate anti-spam solutions. Download your free copy of ChoiceMail from www.digiportal.com.

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Ann S. wrote 'THEREFORE: I highly recommend that if anyone wants a spinal, they have an MRI done of their lumbar spine to determine whether they have syryinxes (the condition is called syringomyelia). I only found out by accident."

Hi Ann

I've had a spinal before, when I had my daughter, so probably I don't have the same risk profile as you :) I would definitely like to avoid another general if I can too.

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Ann wrote "Nope! Larry had a spinal both for his THR and his revision, and it worked very, very well for him. Talk to your anesthesiologist and tell him/her your concerns, then choose the procedure that is best for YOU."

Thanks very much Ann. There are always pros and cons and risks with every choice we make aren't there :) I will talk to the anaesthesiologist about it.

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wrote "After my first THR under general, I asked for the spinal with the second. Recovery time from the surgery was much less, and I was awake and aware within a couple of hours."

Thanks

It's useful that you can compare two surgeries with two different types of anaesthesia too. Here's hoping I can have a spinal too!

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At 07:24 PM 11/5/2006 +1300, you wrote:

Ann wrote " Nope! Larry

had a spinal both for his THR and his revision, and it worked very, very

well for him. Talk to your anesthesiologist and tell him/her your

concerns, then choose the procedure that is best for YOU. "

Thanks very much

Ann. There are always pros and cons and risks with every choice we

make aren't there :) I will talk to the anaesthesiologist about

it.

You're VERY right, . Hope you get exactly what is best for

you!

Anni

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