RE: [Spinal Disorders Support] To Deb, buldging disks

August 28, 2010

I had my first lesioning done in 2002 and two other times that year as

well, the third time was to redo the incomplete lesion at c2-3and3-4

bilaterally, no headache. I could've kiised my pm doc then. Versed and

fentynal is

a fine combination. I don't remember a thing except the last 2 sticks and

lesions as I started waking up and that was a bilateral cervical

radiofrequency lesioning, that was in 2005 in CO then in UT they gave me only

5mg

versed and 75mcg of fentynal and I was climbing off the bed. My pm doc here

in VA does such a good job I don't need any sedation. The first time he

did it I made him sedate me only 5mg versed and still I didn't feel a thing

he was so good at making sure I wasn't feeling anything. I told him he

could inject me anytime. he did each side again this year and I didn't take

anything and he does not give me a headache afterwards like all the other

doctors did. I take ambien at night and an anesthesiologist years ago told me

ambien decreases the efficacy of versed. I never had anyone give me

propofol except when they did my foot surgery in 7/02. I kept waking up every

3-4 minutes and tried to pull the sheet down in front of me each time.

Anesthesiologist there was watching the surgery instead of me, I started

squirming before the podiatrist finished the procedure, he came back and asked

me

if I needed more sedation. I asked how much longer he asked my podiatrist

I distinctly remember hearing him say " oh about 30 minutes " He picked up my

foot and injected the lateral side of it to take off a bunionette, the

local and I screamed. He asked what the hell is going on as I was squirming

all over the place. I then told the anestheologist I had to pee and I'd pay

him to cath me, then he laughed. I pulled the sheet down in front of me

and said " what the hell do you expect after pumping me full of 2L of LR and

antibiotics " Then clunk my head hit the pillow the anesthesiologist put

me out again. I am a respiratory therapist and had it done at the hospital

I worked at then in Albuquerque so I knew propofol cleared the system

quickly as all my vented patients were on it.

August 28, 2010

_

August 28, 2010

that you tube was too funny

August 28, 2010

my doctor here is physical medicine and rehab, he is wonderful in

Virginia(Va)

August 28, 2010

Cracks me up every time...

In a message dated 8/28/2010 11:12:36 P.M. Eastern Daylight Time,

KLRRRT2@... writes:

that you tube was too funny

August 28, 2010

I have 6mm herniation C7-T1

minimal diffuse bulge C6-7

2mm retrolithesis and 4mm herniation c5-6

annular tear C4-5

and this all came about because an 18 wheeler rearended me 11/6/09 going 55

mph and I was at a dead stop, she flipped me over oncoming traffic and I

rolled down an embankment. I still don't qualify for surgery as I have no

neurological involvement but I was stable for the 10 years prior. The last

surgeon who wanted to decompress me in CO I outright refused as he had no

explanation for what would happen to the rest of my neck and I explained to

him he said oh you know too much and it was a 3mm herniation then 2005.

All he could say was we'd cross that bridge if and when it happened. My

surgeon in NM wouldn't touch me with a right paracentral herniation. If I

moved back to NM he'd have me out of work and flat on my back just as he wanted

when I was his patient from 2000-2002, I get the usual too functional too

young yada yada doesn't change the fact I am in pain 24-7, 365 for the last

ten years and on the same medication since. Yes I still work full time as

a respiratory therapist and full duty but in a very small hospital, I

don't lift much, amen to that.

August 28, 2010

Anywhere I have worked uses propofol with the exception of the county

hospital I worked at in Denver go figure that's the place I have seen the most

alcoholics on the face of the earth. They would only switch to it when

they had trouble weaning otherwise it was a fentynal/versed world. One

patient we have now they wouldn't use propofol because of the lipids the pt has

alcoholic pancreatitis and ARDS drinks 10 pints/day according to the pt

intubated now on fentynl/versed combo right now, ggod luck waking him up.

August 28, 2010

I live in VA Beach but work in Norfolk just north of me

August 28, 2010

the doctor in Denver that did all my pain management procedures wanted to

do a transforaminal epidural at c7-t1, I screamed at him and told him if

he hit my nerve I'd be flat on my back for 10 days because my pm doc in

Albuquerque hit my nerve the very first time he did a procedure on me. It was

over the Thanksgiving holiday 2001 I screamed and wouldn't breath till I

couldn't feel anything. I had just taken a 2 week vacation in Denver and

would've been fired as I had to work the next day, the devil CRNA who was

present for the procedure pushed the dose of fentynal and versed so I wouldn't

run away as I was halfway off the table and to the door when he said TFE.

what choose did I have but get back up when the meds hit he asked me how I

felt I said sleepy and heard him say ok she's ready

August 28, 2010

just tell you want it interlaminar that way avoids the nerve root and risk

of hitting it

August 28, 2010

yes he flattened me for 5 days I still couldn't stand very long when I went

back to my light duty job on Monday and it was a busy day in the mailroom

because of the holiday. In December he did facet injections sad I used to

keep count of all the injections I had including locals, he stuck me 8 x's

and I kicked him right in the gut. He asked " what the hell was that for "

I told him next time you'll warn me about all the sticks he laughed and set

me up to get the other point on the nerve in February 2002 then he was

cursing cause he couldn't get the injection pointed where he wanted it he

tortured me according to the nurse who was present for the procedure. I agreed

and came back in a month and told him it didn't work as well as the first

set then he proposed lesioning my spine surgeon tried to stop me because he

said I could end up worst off. I asked my pm doc about it and he said the

surgeon didn't know anything so I went ahead and scheduled it, of course I

had to end up with chronic headaches. I told the pm doctor unless we fix

this the surgeon will win the battle of wits, I am worse off. He fixed the

problem immediately. Pain management has been a life saver for me but I

am about to give up.

August 28, 2010

WAIT

Your vented patients were on a propofol drip or injected every couple of

minutes….here in the Midwest the only people able to inject propofol is

CCRNA and anesthesiologists….The ICU’s I worked in never used propofol

except once in the CVR where the patients chest and sternum were open (he

had a bad infection) and they knew if he moved his ribs could lacerate his

other organs….this patient was paralyzed and on propofol…..I have never seen

it widely used because of the HUGE expense…one vial is crazy expensive….

I had my spinal cord stim placed with propofol….your doc must have been

pretty bad…granted propofol wears off very quickly but the doc should have

reinjected before you were completely awake….what a nightmare of an

experience….

I am sorry that you had to experience that…I know when I had my first porta

cath removed and the second inserted I was told that I tried to get up and

leave so they gave me a general….

Deb Rn

From: spinal problems

[mailto:spinal problems ] On Behalf Of

KLRRRT2@...

Sent: Saturday, August 28, 2010 9:15 PM

spinal problems

Subject: RE: To Deb, buldging disks

I had my first lesioning done in 2002 and two other times that year as

well, the third time was to redo the incomplete lesion at c2-3and3-4

bilaterally, no headache. I could've kiised my pm doc then. Versed and

fentynal is

a fine combination. I don't remember a thing except the last 2 sticks and

lesions as I started waking up and that was a bilateral cervical

radiofrequency lesioning, that was in 2005 in CO then in UT they gave me

only 5mg

versed and 75mcg of fentynal and I was climbing off the bed. My pm doc here

in VA does such a good job I don't need any sedation. The first time he

did it I made him sedate me only 5mg versed and still I didn't feel a thing

he was so good at making sure I wasn't feeling anything. I told him he

could inject me anytime. he did each side again this year and I didn't take

anything and he does not give me a headache afterwards like all the other

doctors did. I take ambien at night and an anesthesiologist years ago told

me

ambien decreases the efficacy of versed. I never had anyone give me

propofol except when they did my foot surgery in 7/02. I kept waking up

every

3-4 minutes and tried to pull the sheet down in front of me each time.

Anesthesiologist there was watching the surgery instead of me, I started

squirming before the podiatrist finished the procedure, he came back and

asked me