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alexjuice

Surgery and Anesthesia

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alexjuice

Due to ongoing GI problems my doctor has scheduled me for a esophagogastroduodenoscopy, a minimally invasive procedure to peer down into the esophadhus, stomach, etc. She wants to take a good look because of my range of issues and I'll need to be put under for 2-3 hrs. They use the surgical aneasthetic propofol, which I've been in exposed to in w/d already without issue.

 

I wanted to consult with the board as my sensitivies change over time and it's been a long while since my exposure to anesthesia. Has anyone had any issues with it, specifically propofol (wonderful stuff last time: out and back up like nothing ever happened-- I wasn't even drowsy.)

 

Alex

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Altostrata

Hard to predict. Since you had it before with no problem, I wouldn't worry about it.

 

Notify your doctor you have autonomic instability (if she doesn't know already).

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alexjuice

The thing went well. I didn't have any problems with the propofol and, while I haven't yet gotten the report, there were no 'unexpected undesirable' issues uncovered. I expect a good report, that things aren't too bad. I also expect my doc to tell me to take PPIs. Keep trying em til you've tried em all, she said before the thing...

 

Also, I'll write about this elsewhere but sleep problems induced me to try coffee. Interesting results. I am tolerating more normal doses with less sensitivity. Also it encourages bowel movements to the benefit of my GI symptoms. Caffeine is supposed to be off limits for reflux folks but it's thus far been positive for me, probably since my reflux is caused by disorderd (delayed) gastric emptying.

 

That's the thing of w/d. Uncharted waters. I threw out the rule book and don't really take doctor's orders and do a lot of research and accept risks in acting vs nonacting on a problem and accept that life/health is, always was, a gamble, that I'm more aware of the nature of the bargain today as a result of w/d ... How health is wasted on the healthy!

 

Alex

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Altostrata

Not to get into TMI but -- Have you tried roughage to regularize bowel movements? Metamucil, etc.? Could be the key right there.

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alexjuice

Not to get into TMI but -- Have you tried roughage to regularize bowel movements? Metamucil, etc.? Could be the key right there.

 

Ha, Alto, I think I breached TMI a few months ago and have done so again and again! Or maybe I'm just shy!

 

To your point, I have not tried much of that as I was advised to do the opposite. The GI folks I've seen think I have trouble with motility and that fiber may make it worse. But my problems are from psych meds and, honestly, they're not experienced in effectively treating symptoms under the conditions that produced mine. So far their recs have not been fruitful by and large. Of course, that doesn't mean that doing opposite will have a positive result. (Though that is how it seems sometimes in this deal, at least for me and at least in retrospect.)

 

BMs are still very irregular. GI function is still notsogood. Adding some roughage may be helpful. The results of my gastric emptying test (coming next week) will shed some brighter light on the situation, and it's possible that roughage may turn out to be just what the doctor orders.

 

Alex

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Dani

Hi everyone.

 

I'm going to have surgery in a few months and will need to be in the hospital for a few days afterward. I'm am VERY nervous about having surgery while going through this withdrawal. Has anyone else had surgery during withdrawal? If so, did it have a huge impact or setback on recovery?

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Altostrata

Hi, Dani. I merged your question into a similar topic.

 

I suggest you make it clear to your doctor, the surgeon, and the anesthesiologist that your system might be hypersensitive to anesthetics, sedatives, etc. and to minimize their use. Let them know you have autonomic instability due to withdrawal syndrome.

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Dani

Thanks Alto. After reading the previous messages & doing a little research, I read that propofol is good for those who are chemically sensitive. I will make sure I drill into my doctors & anesthesiologists heads about my sensitive nervous system.

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Shanti

Having emergency surgery while on Cymbalta is what gave me my first big taste of w/d syndrome. I'm not sure if it was from the anesthesia or just from not being able to take the Cymbalta due to being on IV for a few days. I'm going to be getting a TL and will have to have anesthesia soon and I'm concerned about this as well. I'll be sure to tell them what you all said here about being sensitive.

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Barbarannamated

 

In my first try, docs felt surgical anesthetic unnecessary. Attempted to put me out with a narco-benzo drip (phentanyl and versed). This was not effective. They were shocked that I entered the procedure room in full conversational mode. So the procedure was aborted and rescheduled.

 

Propofol worked well for me and without adverse effect. Also they didn't administer a benzo, which I would today decline b/c of my benzo history. Plus its entirely unnecessary with a surgical anesthetic so I don't even know that they are paired.

In the future, I will insist on propofol even if it means (as it did before) that the hospital must bring down an anesthesiologist as well, which did complicate things a bit last time. But it's benzofree and agreed well enough with my CNS.

 

Alex

 

Alex ~

Q: Did the docs offer an explanation of why the fentanyl - versed drip was ineffective

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alexjuice

 

Alex ~

Q: Did the docs offer an explanation of why the fentanyl - versed drip was ineffective

 

No, they were shocked I was not unconscious.

 

I told them I'd been reacting oddly to medications since I stopped taking psych meds and that I had benzo history. They didn't really say anything in response.

 

My impression was that the doc had not before seen anyone take the IV and remain conscious ( and talkative), though doc didn't say that.

 

Alex

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Barbarannamated

It wasn't covered in their textbooks

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Dani

It wasn't covered in their textbooks

 

I was thinking the same thing. That is what makes me nervous. I think they won't believe me when I tell them what's going on b/c if it's not in the textbook it can't possibly exist. Just a shame.

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alexjuice

From talking with benzo recovery folks I've heard doctors are usually understanding about sensitivities. I'd think they would also respect a patients decision to use n agent like propofol rather than a potent narcotic like fentanyl, if that is how youd prefer.

 

So, Dani, I presume your doctor will be understanding and will work to keep you at ease.

 

Also, if you react irregularly to medication, make this known. The doctor is likely to comprehend your concerns better than the nurse, so explain the situation to your doc.

 

You want to discuss this before arriving for the procedure. I understand your anxiety, but predict you'll be heard and accommodated if you express your concerns in a reasonable way.

 

Alex

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Barbarannamated

I believe anesthesiologists may be more aware and cautious of potential complications - perhaps because the effects of their work are more apparent - and monitored

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Dani

From talking with benzo recovery folks I've heard doctors are usually understanding about sensitivities. I'd think they would also respect a patients decision to use n agent like propofol rather than a potent narcotic like fentanyl, if that is how youd prefer.

 

So, Dani, I presume your doctor will be understanding and will work to keep you at ease.

 

Also, if you react irregularly to medication, make this known. The doctor is likely to comprehend your concerns better than the nurse, so explain the situation to your doc.

 

You want to discuss this before arriving for the procedure. I understand your anxiety, but predict you'll be heard and accommodated if you express your concerns in a reasonable way.

 

Alex

 

 

My surgery was delayed until july but I plan to start drilling the fact that I have chemical sensitivities into their heads @ my next doctors appt. I will try to keep a positive attitude (:

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Dani

I believe anesthesiologists may be more aware and cautious of potential complications - perhaps because the effects of their work are more apparent - and monitored

 

I was talking to my therapist about surgery today. She said almost the exact same thing you said. Still not looking forward to surgery tho :(

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Skyler

I recently had cataract surgery twice, and had propofol both times to good effect. They were also going to give me a bezno, but did not at my request. The nurse was just putting me in the que, disregarding my request, but I insisted on talking with the anesthesiologist, who in no way wanted to give me a bezo when told my fear was that I would get so wired as to want to climb the walls when rest was needed after the procedure.

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Dani

What painkillers did they give you after surgery?

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Barbarannamated

Unrelated to withdrawal ... wisdom teeth removed years ago (part of TMJ treatment) and the day after felt great - minus full body muscle tightness that I wasn't even aware I had until I didn't have it. Alert and energetic. I was expecting to feel hungover, pain from surgery, but was opposite... cleaned whole house, etc. I tried to find out what general anesthetic was used, but never did. Wondering if this aftereffect sounds familiar to anyone. Propofol?

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Dani

Unrelated to withdrawal ... wisdom teeth removed years ago (part of TMJ treatment) and the day after felt great - minus full body muscle tightness that I wasn't even aware I had until I didn't have it. Alert and energetic. I was expecting to feel hungover, pain from surgery, but was opposite... cleaned whole house, etc. I tried to find out what general anesthetic was used, but never did. Wondering if this aftereffect sounds familiar to anyone. Propofol?

 

I need to have a myomectomy next month. I'm scared!!!

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Barbarannamated

Dani,

I've taken hydrocodone (Norco) without problem since DCing Pristiq. I havent had a hypersensitivity problem, thankfully.

B

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Dani

Dani,

I've taken hydrocodone (Norco) without problem since DCing Pristiq. I havent had a hypersensitivity problem, thankfully.

B

 

Thank you for your input. I am just so scared of my upcoming surgery...especially since I started feeling terrible again

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Barbarannamated

Is there a particular part that scares you most? I've had a few surgeries and it's natural to be a bit afraid.

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Dani

Is there a particular part that scares you most? I've had a few surgeries and it's natural to be a bit afraid.

 

I'm mostly scared about the anesthesia & if I will be thrown into a deeper withdrawal hell :(

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Barbarannamated

Do you feel comfortable talking with your doc? It seems that people are doing fine with Propofol. I had surgery in wrist a few years ago and was surprised at how thorough and cautious every person was. Extensive pre-op screening a few days prior and everyone double and triple checked things day of surgery. The surgeon talked to me in OR area and confirmed which wrist, drew smiley with his initials on my wrist. ;) Anesthesiologist talked with me and really listened and explained. Very unlike most rushed medicine today.

You'll do fine, but defintely let your docs and especially anesthesioligist know your concerns. They are very in tune with drug interactions and reactions since that is what they do all day - administer drugs and monitor.

There is quite a bit of paperwork prior to surgery (mine was a few days prior). That is standard to inform of risks for any person. Do you have someone who will be there with you, Dani? I'm sorry if you've said this earlier!

 

Yes, you probably will have some pain afterward. I had more than anticipated and they jumped straight to opiates and morphine drip which did nothing. I had severe inflammation and finally requested a simple antiinflammatory. They put toradol in my IV and it worked like a charm! A supercharged ibuprofen!

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elizabeth11

I'm going to have a procedure done too in possibly a month as well and am nervous also.

 

I totally understand you Dani!!!

 

Has anyone read/put together a list of what we should avoid?

 

I can certainly say no benzo but since this is in IVF egg retrevial done in an office so I'm not sure if anyone will be around qualified for propofol.

 

Isn't that the stuff that reduced Michael Jackson breathing so much it killed him? So you need a full MD for anesthesia as well?

 

I may just be horribly over thinking this but now that I've learned so much from those on the board I totally understand Dani's concern.

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elizabeth11

Dani-

 

Have you had surgery or been under before?

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Barbarannamated

Yes, Propofol is one of the many drugs MJ was on. That was totally inappropriate usage of a drug that should be closely monitored in a hospital setting. I've had anesthesia many times from a young age and never had a problem.

Good idea to compile a list of question/considerations.

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Dani

Dani-

 

Have you had surgery or been under before?

 

Yes, twice before but they were both 10 years ago...before withdrawal...before zoloft.

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Dani

I'm going to have a procedure done too in possibly a month as well and am nervous also.

 

I totally understand you Dani!!!

 

Has anyone read/put together a list of what we should avoid?

 

I can certainly say no benzo but since this is in IVF egg retrevial done in an office so I'm not sure if anyone will be around qualified for propofol.

 

Isn't that the stuff that reduced Michael Jackson breathing so much it killed him? So you need a full MD for anesthesia as well?

 

I may just be horribly over thinking this but now that I've learned so much from those on the board I totally understand Dani's concern.

 

As far as MJ, I think he used it in his home as a sleep agent. It's only suppose to be used in a hospital setting. But believe me, he's the first thing I thought of too!

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Dani

Do you feel comfortable talking with your doc? It seems that people are doing fine with Propofol. I had surgery in wrist a few years ago and was surprised at how thorough and cautious every person was. Extensive pre-op screening a few days prior and everyone double and triple checked things day of surgery. The surgeon talked to me in OR area and confirmed which wrist, drew smiley with his initials on my wrist. ;) Anesthesiologist talked with me and really listened and explained. Very unlike most rushed medicine today.

You'll do fine, but defintely let your docs and especially anesthesioligist know your concerns. They are very in tune with drug interactions and reactions since that is what they do all day - administer drugs and monitor.

There is quite a bit of paperwork prior to surgery (mine was a few days prior). That is standard to inform of risks for any person. Do you have someone who will be there with you, Dani? I'm sorry if you've said this earlier!

 

Yes, you probably will have some pain afterward. I had more than anticipated and they jumped straight to opiates and morphine drip which did nothing. I had severe inflammation and finally requested a simple antiinflammatory. They put toradol in my IV and it worked like a charm! A supercharged ibuprofen!

 

I have a few doc appts before surgery so I will definitely speak to my doc, the surgeon and the anesthesiologist. Doing my own research, I read propofol is good for anyone chemically sensitive. I'm concerned about aftercare as well. I remember when I had two wisdom teeth taken out, I was given vicodin. I took one and nearly blacked out, so I don't want to try that...and that happened before this awful withdrawal. I'm just scared :(

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Dani

Well, surgery is in less than a month & I am absolutely terrified!!! I'm just a mess & the stress of this is making withdrawal horrible :( I have to do my medical clearance in abt 10 days where I will tell my doctor & surgeon abt my hypersensitivity. I'm just so scared abt it all...anesthesia, painkillers, everything. I'm scared!!!

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Shanti

I had anesthesia last week for a surgical procedure and I did fine. No trouble at all. Today I had sedation for a steroid injection and it made me feel weird later, imbalanced and yucky, but that went away after a couple of hours.

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Dani

I had anesthesia last week for a surgical procedure and I did fine. No trouble at all. Today I had sedation for a steroid injection and it made me feel weird later, imbalanced and yucky, but that went away after a couple of hours.

 

Thanks Shanti. I spoke to my doctor & she told me that propofol is always used when she performs surgery but that I can talk to the anesthesiologist just to help clear my mind. I am nervous about pain management after surgery. I will be in the hospital for 3 days afterward. I'm reading that I should stay away from fentanyl, versed, etc. So I'm not sure what I can use.

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Barbarannamated

Dani,

 

The antiinflammatory Toradol can be used short term. It worked like a charm when morphine failed. It should have been used FIRST!

 

I've been fine with short course of opiates used as needed (hydrocodone).

 

You'll be ok. :)

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