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Re: PLS and anaesthetic

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I've had 3 anaesthetics since PLS. First was very early on (late 94)

when my wife and I both had colonoscopies (under light general) after my

father-in-law died of bowel cancer and that was smooth as silk. Second

was late 2000 when I fell and broke my hip and because I didn't like the

idea of a heavy general and potentially waking up feeling sick

(basically except for a couple of times in my teens when I got drunk I

have not thrown up since I was about 5 and given my propensity to have a

choking fit at the slightest tickle etc I dread doing so now) I had a

spinal block. I can actually remember hearing them drilling into the

bone to insert the huge pin they put in, but it was all very remote and

disconnected so obviously they were giving me something else as well

through the needle in my arm. I got through all that without a problem

and was eating as soon as I was back in the ward (almost midnight and I

hadn't eaten since breakfast so was starving!).

Last one was March 2003 when I broke my wrist in another fall. It was

set under local but a week or two later they decided something was wrong

and had to re-break and reset it, this time under a (light) general such

as I would assume you would have if you had a general. Again, as with

the previous two they were told all about my PLS and the potential for

problems (I have never had a breathing test so have no idea where my

breathing is at but have never noticed any problems). Again, all went

very smoothly because the anaesthetists were aware not to overdo things.

Given yours is a foot op I would go for spinal block if a local isn't

considered strong enough. If I felt nothing with a big operation to

insert a huge pin in my hip then I am sure you will feel nothing for

such a relatively minor op.

Maureen wrote:

> Hi Tawny. Yep I am panicking allright! Big time!! I have searched

> the net high and low for an anaesthetic where you are awake but out of

> it but cant find anything. Its either general, regional (in the spine

> ) or local. This surgeon was very abrupt and just wanted me out of his

> surgery quickly. I will speak to my local doctor (PCP) who is this

> surgeon's offsider and see what he says.

>

> I know I am most probably being stupid but just so scared of the

> swallowing and respiratory etc etc.

>

> Thanks for replying tawny.

>

> Aussie maureen

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I've had 3 anaesthetics since PLS. First was very early on (late 94)

when my wife and I both had colonoscopies (under light general) after my

father-in-law died of bowel cancer and that was smooth as silk. Second

was late 2000 when I fell and broke my hip and because I didn't like the

idea of a heavy general and potentially waking up feeling sick

(basically except for a couple of times in my teens when I got drunk I

have not thrown up since I was about 5 and given my propensity to have a

choking fit at the slightest tickle etc I dread doing so now) I had a

spinal block. I can actually remember hearing them drilling into the

bone to insert the huge pin they put in, but it was all very remote and

disconnected so obviously they were giving me something else as well

through the needle in my arm. I got through all that without a problem

and was eating as soon as I was back in the ward (almost midnight and I

hadn't eaten since breakfast so was starving!).

Last one was March 2003 when I broke my wrist in another fall. It was

set under local but a week or two later they decided something was wrong

and had to re-break and reset it, this time under a (light) general such

as I would assume you would have if you had a general. Again, as with

the previous two they were told all about my PLS and the potential for

problems (I have never had a breathing test so have no idea where my

breathing is at but have never noticed any problems). Again, all went

very smoothly because the anaesthetists were aware not to overdo things.

Given yours is a foot op I would go for spinal block if a local isn't

considered strong enough. If I felt nothing with a big operation to

insert a huge pin in my hip then I am sure you will feel nothing for

such a relatively minor op.

Maureen wrote:

> Hi Tawny. Yep I am panicking allright! Big time!! I have searched

> the net high and low for an anaesthetic where you are awake but out of

> it but cant find anything. Its either general, regional (in the spine

> ) or local. This surgeon was very abrupt and just wanted me out of his

> surgery quickly. I will speak to my local doctor (PCP) who is this

> surgeon's offsider and see what he says.

>

> I know I am most probably being stupid but just so scared of the

> swallowing and respiratory etc etc.

>

> Thanks for replying tawny.

>

> Aussie maureen

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I've had 3 anaesthetics since PLS. First was very early on (late 94)

when my wife and I both had colonoscopies (under light general) after my

father-in-law died of bowel cancer and that was smooth as silk. Second

was late 2000 when I fell and broke my hip and because I didn't like the

idea of a heavy general and potentially waking up feeling sick

(basically except for a couple of times in my teens when I got drunk I

have not thrown up since I was about 5 and given my propensity to have a

choking fit at the slightest tickle etc I dread doing so now) I had a

spinal block. I can actually remember hearing them drilling into the

bone to insert the huge pin they put in, but it was all very remote and

disconnected so obviously they were giving me something else as well

through the needle in my arm. I got through all that without a problem

and was eating as soon as I was back in the ward (almost midnight and I

hadn't eaten since breakfast so was starving!).

Last one was March 2003 when I broke my wrist in another fall. It was

set under local but a week or two later they decided something was wrong

and had to re-break and reset it, this time under a (light) general such

as I would assume you would have if you had a general. Again, as with

the previous two they were told all about my PLS and the potential for

problems (I have never had a breathing test so have no idea where my

breathing is at but have never noticed any problems). Again, all went

very smoothly because the anaesthetists were aware not to overdo things.

Given yours is a foot op I would go for spinal block if a local isn't

considered strong enough. If I felt nothing with a big operation to

insert a huge pin in my hip then I am sure you will feel nothing for

such a relatively minor op.

Maureen wrote:

> Hi Tawny. Yep I am panicking allright! Big time!! I have searched

> the net high and low for an anaesthetic where you are awake but out of

> it but cant find anything. Its either general, regional (in the spine

> ) or local. This surgeon was very abrupt and just wanted me out of his

> surgery quickly. I will speak to my local doctor (PCP) who is this

> surgeon's offsider and see what he says.

>

> I know I am most probably being stupid but just so scared of the

> swallowing and respiratory etc etc.

>

> Thanks for replying tawny.

>

> Aussie maureen

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Maureen, I had a mole taken off my leg a few years ago and had full

anaesthetic and I do have breathing problems (asthma) came though fine. I'm

sure

that after the doctor talks to you will feel better. The doctor did give me a

breathing treatment for asthma with a neburizer because I had a little

wheezing going on. Maureen I would think that having the anaesthetic that

would

relax you enough so that you would not be under any

stress.................You're be fine kiddo.

Hugs,Flora

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Not to worry Maureen. 9 '04 when I severed all bone connection between

my nose and skull, surgeon glued me back together under local. Pump

trial with spinal catether insertion Oct 11, 2005 was local. Full

Implant of pump Nov 30 '05 was general fully out...not because I needed

it but to knock me out and keep me flat for the 2 hours post OR in

hopes of sealing any spinal leaks. Actually the general and the

twillight drugs usually include a muscles relaxant in them/

Eva

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Not to worry Maureen. 9 '04 when I severed all bone connection between

my nose and skull, surgeon glued me back together under local. Pump

trial with spinal catether insertion Oct 11, 2005 was local. Full

Implant of pump Nov 30 '05 was general fully out...not because I needed

it but to knock me out and keep me flat for the 2 hours post OR in

hopes of sealing any spinal leaks. Actually the general and the

twillight drugs usually include a muscles relaxant in them/

Eva

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Not to worry Maureen. 9 '04 when I severed all bone connection between

my nose and skull, surgeon glued me back together under local. Pump

trial with spinal catether insertion Oct 11, 2005 was local. Full

Implant of pump Nov 30 '05 was general fully out...not because I needed

it but to knock me out and keep me flat for the 2 hours post OR in

hopes of sealing any spinal leaks. Actually the general and the

twillight drugs usually include a muscles relaxant in them/

Eva

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Well that depends on weather or not the mole might be cancerous. In

my case they sliced off the mole to examine it.. In my case it was cancerous

so they had to go really deep to get clean tissue. So I was out completely.

Also had a three inch cut to sew up............Flora

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You just have a local anesthetic, theyre not going to put you out

just for a mole NO GEO

>

> I have to have a small op to remove a mole from the sole of my

foot.

> 2 doctors have told me that to have an injection in the sole of the

> foot, is very painful and so being a big chicken, I have opted to

have

> the surgery done in a hospital and the surgeon told me I would be

> given a " low grade " anaesthetic. I will be awake but out of it.

Is

> that the same as a local anaesthetic? I am a bit scared and he

told

> me that the anaesthesist would talk to me beforehand. I dont have

any

> respiratory problems, that I know of, but concerned about how my

> swallowing gets stiff when nervous and worried that the anaesthetic

> may do something to make me have respiratory failure etc etc.

>

> Has anyone had a full anaesthetic with this disorder or a low grade

> anaesthetic? Did they have any problems?

>

> Aussie Maureen

>

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Hi ,

thanks for all your info. I think, light general is what he is

talking about altho a bit of sedation is all I would require to take

the edge off the pain of the injection in the foot.

If I wasnt such a chicken I would have it done in the surgery which I

am getting close to thinking about doing now.

Aussie Maureen

>

> > Hi Tawny. Yep I am panicking allright! Big time!! I have searched

> > the net high and low for an anaesthetic where you are awake but out of

> > it but cant find anything. Its either general, regional (in the spine

> > ) or local. This surgeon was very abrupt and just wanted me out of his

> > surgery quickly. I will speak to my local doctor (PCP) who is this

> > surgeon's offsider and see what he says.

> >

> > I know I am most probably being stupid but just so scared of the

> > swallowing and respiratory etc etc.

> >

> > Thanks for replying tawny.

> >

> > Aussie maureen

>

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Hi Eva,

you are the most recent to have had an op. You had a full general and

you did fine and it would be a much stronger one than mine as you had

to be knocked out for 2 hours and you did well.

This makes me feel alot better!

Ausie Maureen

>

> Not to worry Maureen. 9 '04 when I severed all bone connection between

> my nose and skull, surgeon glued me back together under local. Pump

> trial with spinal catether insertion Oct 11, 2005 was local. Full

> Implant of pump Nov 30 '05 was general fully out...not because I needed

> it but to knock me out and keep me flat for the 2 hours post OR in

> hopes of sealing any spinal leaks. Actually the general and the

> twillight drugs usually include a muscles relaxant in them/

> Eva

>

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Hi Flora,

Well if you have ashtma and you did fine so should I since I have no

breathing probs that I know about except that I cant blow up a balloon.

Thanks for the soothing words.

Aussie Maureen

>

> Maureen, I had a mole taken off my leg a few years ago and had full

> anaesthetic and I do have breathing problems (asthma) came though

fine. I'm sure

> that after the doctor talks to you will feel better. The doctor

did give me a

> breathing treatment for asthma with a neburizer because I had a little

> wheezing going on. Maureen I would think that having the

anaesthetic that would

> relax you enough so that you would not be under any

> stress.................You're be fine kiddo.

>

> Hugs,Flora

>

>

>

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Hi Geo,

I chose to have something stronger because I am a cluck cluck clucking

big chicken when it comes to injections. Especially when 2 doctors

tell me that to have an injection thru the side of the foot is the

MOST painful spot to have one!

CLUCK, CLUCK, CLUCK OOPS! I just dropped an egg. LOL

Aussie Maureen

>

> You just have a local anesthetic, theyre not going to put you out

> just for a mole NO GEO

> >

> > I have to have a small op to remove a mole from the sole of my

> foot.

> > 2 doctors have told me that to have an injection in the sole of the

> > foot, is very painful and so being a big chicken, I have opted to

> have

> > the surgery done in a hospital and the surgeon told me I would be

> > given a " low grade " anaesthetic. I will be awake but out of it.

> Is

> > that the same as a local anaesthetic? I am a bit scared and he

> told

> > me that the anaesthesist would talk to me beforehand. I dont have

> any

> > respiratory problems, that I know of, but concerned about how my

> > swallowing gets stiff when nervous and worried that the anaesthetic

> > may do something to make me have respiratory failure etc etc.

> >

> > Has anyone had a full anaesthetic with this disorder or a low grade

> > anaesthetic? Did they have any problems?

> >

> > Aussie Maureen

> >

>

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I do very poorly with anesthesia, always have. So my experience may

not be the best gauge of what to expect with PLS. My biggest problem

is low blood pressure. They typically give you Valium, or something

like that, to calm you down and lessen the anxiety factor. They follow

up with with the actual anesthesia. The valium makes the blood pressure

go too low when combined with the anesthesia, so if you have low blood

pressure you might warn them.

I once had Ativan (Lorazepam) for a liver biopsy. They want you to be

awake for the procedure, but is can be very painful so the Ativan makes

it so you really don't care what they do. It worked really well and I

didn't really mind them sticking a really big, long needle in my liver

and pull off a chunk. Actually, they did 3 sticks and pulled off 3

chunks just to make sure they got a good sample. I didn't mind 3, they

could've done 6 and it wouldn't have bothered me. :0)

So maybe that is what they have planned for you. If so, you'll enjoy

your wart removal!

Thomson

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In a message dated 4/29/2006 10:41:08 A.M. Pacific Standard Time,

dianamj_canuck@... writes:

When they put the needle in my hand or

wrist....my hand goes into a spasm

Glad to say, I don't have that problem but it's still a good thing

to do. I have a weekly massage and she works a lot of my hands

and feet. She keeps me aligned. She's a nurse and also has

has a Master's degree in Chinese medicine so she incorporates

all she knows. As far as anaesthetic, the last two times I've

had procedures, I've had no problems When I had the more

major one and was under totally, I did have discomfort for a few

days where the tube was down my throat but that had nothing

to do with PLS.

More than you wanted to know but I tried to cover a few things.

G.

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Di, no problem with spasm for me when I've had needles in my hand or arm.

have had a lot lately

for non related PLS problems. My endocrinology & metabolic doctor is trying

to see why my bone destiny test have not improved from the last two years.

I'm now on a scritped Vitamin D and calium tablets and recent blood work and

urine test shows levrels have improved so I guess he is tracking me OK.

Can't take another bone destiny until November...............More then you

wanted but I talk fast. LOL.............Flora

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I just had a Endoscopy done and they gave me anaestige and a muscle relaxant for

my pls and I had no trouble. As a matter of fact I was out cold in about 5

minutes, I guess Im a cheap date.

belgium46@... wrote: Di, no problem with spasm for me when I've had needles

in my hand or arm.

have had a lot lately

for non related PLS problems. My endocrinology & metabolic doctor is trying

to see why my bone destiny test have not improved from the last two years.

I'm now on a scritped Vitamin D and calium tablets and recent blood work and

urine test shows levrels have improved so I guess he is tracking me OK.

Can't take another bone destiny until November...............More then you

wanted but I talk fast. LOL.............Flora

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