Re: I had my first fill today!!!!

[Guest guest]

I wouldn't bother with any numbing meds. The needle stick is so

minimal and so low on pain, it isn't nearly as bad as getting numbed

first. I've had plenty of numbing from the dermatologist and the

dentist, and can't imagine getting it for the band fill, since the

numbing needle hurts a lot more.

dan

Friday, September 3, 2004, 8:29:25 PM, you wrote:

S> Yikes, ask for a numbing medication!! Fills should not hurt at ALL.

S> Hope this fill does the trick - but please don't be discouraged if it

S> is not enough. Wise docs go slowly and creep up on a good fill, so

S> you have time to rfine your eating with each successive fill. SAndy R

Dan Lester, Boise, ID honu@... www.mylapband.tk

Dr. Ortiz, Tijuana, 4/28/03

323/209/199 Age 61

[Guest guest]

Hi Dan,

I'm just thinking out loud here. I'm not banded (yet! working on it!)

but I'm a nurse and for our more sensitive patients (and truthfully

most of the kids we encounter) we use something called Emla cream

prior to poking them. It's a topical lidocaine cream that you leave

on for about an hour and it numbs the area nicely. For our patients

who come in regularly for infusions, their pediatricians have

provided parents with the cream, and directions for its use, so that

they can come in already pre-numbed.

I wonder, has anyone considered this for fills? Or is pain not

usually an issue? It seems like for those who have a problem, this

cream might not be a bad idea.

Vickie in Alaska

Dreaming of banding...

>

> S> Yikes, ask for a numbing medication!! Fills should not hurt at

ALL.

> S> Hope this fill does the trick - but please don't be discouraged

if it

> S> is not enough. Wise docs go slowly and creep up on a good fill,

so

> S> you have time to rfine your eating with each successive fill.

SAndy R

>

>

>

> Dan Lester, Boise, ID honu@g... www.mylapband.tk

> Dr. Ortiz, Tijuana, 4/28/03

> 323/209/199 Age 61

[Guest guest]

Tuesday, September 7, 2004, 2:01:37 PM, you wrote:

V> I wonder, has anyone considered this for fills? Or is pain not

V> usually an issue? It seems like for those who have a problem, this

V> cream might not be a bad idea.

Well, for fills they don't want you around in advance for the EMLA.

I've also heard that it is very expensive. But really it just doesn't

hurt as much as a flu shot or anything. There's the momentary stick,

but not the pain of the injection when they're sticking in all that

fluid from the flu shot or allergy shot (I get those every month).

You'll feel a little pressure when it goes in the port, but nothing

that is pain. Seriously, I find the pain of the lidocaine or whatever

much worse than the momentary stick of the needle. After all, once

thru the skin, you don't really have many nerves in there..and there

aren't all that many on that part of your skin, either.

dan

Dan Lester, Boise, ID honu@... www.mylapband.tk

Dr. Ortiz, Tijuana, 4/28/03

323/209/199 Age 61

[Guest guest]

Yes, i use EmLa on my patients who request it. I used it routinely

for years with my pediatric chemo patients. But, in experienced

hands, a fill is no worse than a shot. There is no reasaon NOT to use

EMLA.

I always suggest asking for numbing med (usually lidocaine) with the

first fill, for several reasons:

- the patient is usually anxious, and numbing will help calm fears so

they can watch and see how simple the process should be

-.with the first fill, the doc may have to poke around a bit, and

having the area numb will allow this without pain and exiaety for

bothe the patient and the doc

Then, after the first fill, the client can decide whether or not to

be numbed for later fills. It NEVER causes harm to be numb. The

injectable numbing med stings a bit, but then there is no further

pain, even if the doc must try several times. Sandy R

> Hi Dan,

>

> I'm just thinking out loud here. I'm not banded (yet! working on

it!)

> but I'm a nurse and for our more sensitive patients (and truthfully

> most of the kids we encounter) we use something called Emla cream

> prior to poking them. It's a topical lidocaine cream that you leave

> on for about an hour and it numbs the area nicely. For our patients

> who come in regularly for infusions, their pediatricians have

> provided parents with the cream, and directions for its use, so

that

> they can come in already pre-numbed.

>

> I wonder, has anyone considered this for fills? Or is pain not

> usually an issue? It seems like for those who have a problem, this

> cream might not be a bad idea.

>

> Vickie in Alaska

> Dreaming of banding...

>