Epidural today…just information to share with you all.

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Screaming Eagle
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Date Joined Sep 2009
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   Posted 4/11/2012 9:13 PM (GMT -6)   
It's been a while since I have updated everyone with my health issues….I really don't share too much I suppose…but I had an Epidural today and thought I would share the experience with you all….not that it was eventful….but just a refresh of information for those who may be getting one of these in the near future.

I have had a total of six prior Epidurals….three in my Cervical….three in my Lumbar area of the back. All three of my lumbar Epidurals provided little or no relief….and I had a Double Lumbar Fusion back in March of 2010…and ended up with FSB (failed back syndrome)

….now, …all the Epidurals in my Cervical area have provided relief and for several months, however, the last one (Cervical) I had was in 2009 just a few months prior to my Lumbar Fusion in 2010….and it provided good relief while I was recovering from my surgery….and that was the reason for it. I did not want to deal with Cervical pain while I was recovering from the Lumbar Fusion.

The Epidural I got in 2009 was done without sedation!….and let me tell you that was a rough Epidural. I told the Dr I wanted sedation, but he convinced me that it was not needed. He could not have been more wrong…and quickly left the room as I was squawking at him. He made note in my records to sedate me the next time.

Today was my fourth Epidural in the Cervical area, and I told my PCD to make sure whoever he used for his patients, that I wanted sedation. No problem! rolleyes The clinic called yesterday to confirm my appointment…and I again asked if they use sedation…the nurse or receptionist said sure!... no problem!…just make sure you have a driver. So at this point…I'm thinking all is cool! cool

I show up at the clinic…filled out paperwork….and again asked about the sedation……and the nurse said we seldom if ever use sedation…..this is where my eyebrows narrowed, and I stood firm and said "No sedation, …no Epidural Period!" "I'm serious!" confused She said she would talk to the Dr about it….and I said I will walk out if there is no sedation! Now…really all of the nurses and receptionist were wonderful and very pleasant to deal with here….but at this point I was getting worried worried as I had taken off work and really needed some possible relief from my neck pain.

…In comes the Dr…a really nice man…asked a little bit about my health history…checked out my arm strength and so forth..and then asked if I had any questions……I said just one!…are you willing to sedate me….and I added if not,…we won't be doing this today. I told him of my last experience with one of the other Dr there at that clinic…and told him to check his notes on it. He said I generally do not use sedation….but am willing to do so…but I cannot knock you completely out. No Problem I said! …just make sure you give me something. We were set! turn Wahoo!

…five minuets later in comes a nurse and sticks a vein in my hand…in go two shots,…one I know was versed….the other I'm not sure…but within 60sec's or less it hit! …and that my good friends is the last thing I remember! I woke up as the nurse was lifting me up off the pillow….and I was thinking they were getting ready to start…LOL…nope!... they were done! Wahoo! Deborah..walked me out to the Jeep, and off we went to eat lunch.

Now,…I know this is a lengthy post for just a simple procedure…but there is a point to it all….and that is,….if you need sedation for a procedure like this….don't let a Dr dictate what will and will not happen as to sedation. Trust me!…. they want your money for this procedure…and I'm guessing most will not let you walk out the door without getting what you need. Stand your ground…there is no need to suffer through one of these procedures! I will not ever allow it again! Ever! Some of you can handle the Epidurals just fine…I cannot! I got tricked once…never again. Sedation can be done…and not to the point that you are knocked completely out,…but just enough to make it more bearable.

Now, while I do not remember anything after the injection of versed…my wife said I answered all questions of the Dr during the epidural. So odd!…as I do not remember a thing! LOL

I was very nice with all of the nurses and receptionist..and the DR..and actually joked with them…had them laughing too!…I did not create a scene…about my bid for sedation….but I did stand my ground…and trust me I meant it. There is no need to scream and holler if things are not going right….just state your needs for comfort and if that cannot be met…then the choice is yours…either walk…or suffer.

It's ok to respect Dr for their experience, schooling…certificate's and all….but you should not have to accept poor bedside manners….especially if you are suffering. Maybe I got lucky today…I don't know…but I made it clear from the get-go of my request for sedation, and was firm in it….maybe that made the difference. All in all…it was a very pleasant experience…..wonderful nurse's, and Dr….and I did not have to suffer needlessly…and that is the way it should be.

….now, I'm praying this will kick in, and start working in about two weeks. I may need another…and if so, I will again request sedation. Many patients do better getting the second injection…but again for many Epidurals do nothing. I have experienced both.

I hope this experience will help others who may be getting one of these procedures done….there is no need to suffer needlessly.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Post Edited (Screaming Eagle) : 4/12/2012 12:31:20 AM (GMT-6)


grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/11/2012 10:32 PM (GMT -6)   
Thanks for sharing, I have had a few epidural shots as well with mixed results so if I require another I will remember your advise. I truly hope you have great results from this procedure.
Take care
Rose



Insulin Dependant Diabetic, Fibromyalgia, Gerd, IBS, Sleep Apnea, COPD, Spondylolistesis, Diabetic Neuropathy, Fatty Liver, High Cholesterol

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 4/11/2012 11:02 PM (GMT -6)   
Thanks Rose! I just wanted to make a point that these procedures can be done without a patient suffering so much, and they have a right to pain relief for it.

…and how are you doing? I have been off and on here….trying this and that for pain relief and has been a real struggle for me…both physically and mentally.

….is your pain getting less and less?…walking good now…sleeping well? It's ok to give an update here if you want…..and I sure do wish you the best in your recovery.

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 4/12/2012 1:39 AM (GMT -6)   
…here I set in bed unable to sleep! shakehead …but I have noticed that I have Zero lumbar back pain…..that's odd! Maybe the sedation is still lingering around? I have used minimum pain med's today as well. The only pain I have is a lymph node in my neck swollen up as big as a Texas Tick! smilewinkgrin ….seems I'm still fighting this cold…and it's getting old…about a week or so now….and just took the last of my antibiotic's.

Mrs Eagle came down with the same crud last night, and we saw the Dr this early afternoon, and he said no strep or flu….looks to be a virus…and put her on antibiotic's as well. We have had several family members come down with this crud, and were all pointing fingers at each other! devil

Can't sleep, but I'm sure enjoying the painless back for the moment…..or am I really asleep and just dreaming! tongue

Take care all!

SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

fireflyhillary
Regular Member


Date Joined Jan 2012
Total Posts : 148
   Posted 4/12/2012 9:12 AM (GMT -6)   
SE- The first PM doctor I saw did bilateral epidural's with no sedation and I wanted to kill him! It was awful! My new P doctor is all about sedation and I am so thankful for that- the versed used to knock me out, but doesn't really anymore, but it keeps me out of it enough that the procedure's don't really bother me.

I am having bilateral epidural's done on the 19th and will be given the option of versed or being knocked out completely...I do not want to be knocked out completely because the last time I was (a few months ago) I did not remember a thing about that day and that scares me.

I have noticed when I receive versed I have a heck of a time sleeping the first night as well....I can be dead tired and eyes barely open, but still can't sleep.

Glad you are getting some relief so far & I hope it continues.

Hope you and Mrs. Eagle get to feeling better soon!

*hugs* smilewinkgrin
Current: DDD L4-S1, Arthritis L3-S1, Facet Syndrome, Interstitial Cystitis, Vulvodynia, Restless Leg Syndrome, Bi-polar, IBS, Fibromyalgia, PTSD. In past 6 months have had epidurals, facet blocks and radiofrequency ablation.
Past: Endometriosis, Adenomyosis, Polycystic Ovarian Syndrome. 3 laparoscopies, 2 cystoscopies, total hysterectomy, appendix & gallbladder removal.

grandmaroses
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Date Joined Jan 2011
Total Posts : 1355
   Posted 4/12/2012 1:58 PM (GMT -6)   
HI SE, just a quick update for you. I am walking very well, I have a couple of glitches like my hip locks occasionally and dr said it is because I had such a bad limp for so long my hip will recover as I stop limping. I am standing taller and have very little back pain most days maybe a 2 which is a world better than before. I am only to walk and do very small side stretches for the next 2 months, and as I said I am walking about a mile a day with my walker as a just in case measure. I am now researching what could be causing the ruq pain I have everyday so I can demand my Dr figure it out.

Thank you for your concern and I hope you are having a lesser pain day yourself.

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 4/12/2012 2:39 PM (GMT -6)   
 
      Rose,...I am thrilled for you!...many of us do not fair so well with a lumbar fusion. Enjoy those days that your pain is a 2 or less....sounds like you are on your way to a very good outcome.
 
     Stay active...but again don't over do it. So nice to hear a report like this! wink
 
       Take care,
 
       SE wink
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Blessedx8
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Date Joined Aug 2008
Total Posts : 3193
   Posted 4/12/2012 2:48 PM (GMT -6)   
Hey Michael,

Sorry you guys are passing around a bad virus in your home... hope everyone gets over it quickly....

I'm glad you insisted on sedation and all that... it sounds like it went well overall. When I've had conscious sedation, it takes a boatload to put me in a "twilight zone".... but I have the same inability to sleep the first night, too. I think that's pretty common.

Anyway, let us know how you continue to do...! talk to you later....
--Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

straydog
Forum Moderator


Date Joined Feb 2003
Total Posts : 16796
   Posted 4/12/2012 3:18 PM (GMT -6)   
SE, sure hope this eppie works as well as the others have in the past, thats a good sign I think. You are so right about the sedation, demand it or cancel the procedure. It is barbaric to undergo one without sedation, we hurt enough without adding more to mix.

Hope everyone survives the bug that is visiting your house. Take care....Susie
Moderator, Chronic Pain Forum & Psoriasis Forum

momtofourangels
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Date Joined Apr 2010
Total Posts : 2265
   Posted 4/12/2012 6:26 PM (GMT -6)   
Hi Michael Thanks for the update. Kudos to you for standing up for that sedation.

WARNING: for those that are young.


The only epidural I have had is the one they put in when I lost Jessica. All the afterbirth didn't come out, and they had to put it in because the crazy dr was trying to remove it with her hand instead, and it felt like she was going to kill me. I don't want another one for any reason. They didn't give me any sedation what so ever. I was so glad when the whole thing was over with.

I am really glad that you stood your ground and that you got the epidural. I really hope and pray that the shot works for you.

I hope you and Deborah can get to feeling better really soon. God bless you my friend.

love and hugs
Loretta
Dx: osteoarthritis, bursitis in left hip, Osteoarthrits in right hip, compression fracture in thoracic spine due to falling on frozen ground March 2001 , ddd, spinal stenosis, bone spurs, osteoarthritis in spine, osteoarthritis in both knees
Meds: Fentanyl patch, oxycodone, otc: BenGay, Tylenol Arthritis on occasion

Alcie
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Date Joined Oct 2009
Total Posts : 5029
   Posted 4/13/2012 8:45 AM (GMT -6)   
I've had a whole bunch of epidurals, never wanted sedation. In fact I refuse Versed in writing for surgery or procedures. It does nothing but make you forget, and some people have major amnesia problems. I have lost memory for half a day. It is not a pain med. I take my mind off the discomfort by watching the screen.

Maybe the people who need sedation have had a bad job of epidurals. Maybe their docs didn't wait for the skin numbing shot to take effect. The actual epi only feels like pressure to me, and I've had them in lumbar and thoracic, also trigger point injections with no numbing. I'm pretty sensitive to pain, but I hate losing memory a lot more!

I have a driver available, but after I wait around for a while I can drive myself home - an hour and a half most days. I bring my own big ice bag, tuck an end of it in my pants and wrap my back brace around to hold it in place.

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 4/13/2012 8:51 AM (GMT -6)   

 

      Alice,...I'm very aware of what Versed is..and yes it makes you forget what is going on....thats the whole point....I don't, and can't handle the pain. Everyone is different!

      Even when they hit the Epidural space...they said all I should feel is pressure...WRONG!...for me! My pain went to the moon...on the last epidural without sedation. I refuse to go that route again. Period!

      Also,...when getting a cervical epi with your head bent down...it's impossible for me to watch the screen. Some Dr have you laying down...and others sitting....I have done both.

 "Maybe the people who need sedation have had a bad job of epidurals." ...I'm amazed at this statement! mad  

    SE

   



Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Post Edited (Screaming Eagle) : 4/13/2012 8:15:40 AM (GMT-6)


Blessedx8
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Date Joined Aug 2008
Total Posts : 3193
   Posted 4/13/2012 9:26 AM (GMT -6)   
Any procedure they to do me - nerve blocks, facet blocks, all that good stuff, I always have Versed and usually Fentanyl too... and I can withstand major pain (hey, I've given birth 7 times).... but when your body is screaming in pain already, doing any "extra" wipes you out.

I've had trigger point injections, too w/out any sedation - but, just for me, that's nothing vs. the other type of procedures.

Yes, Versed makes you NOT care - which to me, if temporary pain control, lol.

I too am a very "need to be in control" person - but there's also common sense.

Anyway, SE said it best - everyone is different. I think when we make generalizations, we need to be really careful.

--Tina
Moderator - Chronic Pain Forum

My faith and family sustain me even on my worst days... as well as my wonderful friends here at HW.

Health/Pain Issues - too many to list; feel free to ask

fireflyhillary
Regular Member


Date Joined Jan 2012
Total Posts : 148
   Posted 4/13/2012 9:38 AM (GMT -6)   
Alcie- I am going to try to make this as polite as possible....I have had procedures done without versed and they were awful- the pain and pressure was horrendous. Yes, versed makes you forget, but that to me is a godsend, as I don't like to remember the pain.

Everyone's pain levels are different, and if you can handle it without versed, then good for you, but most people can't. I know of some Dr's that actually put the patient to sleep for procedures, and I am having epidurals next week and had the option of being put completely asleep, but I opted just for the versed.

I don't think that people who need versed have had a bad job of epidurals...this offends me...I have a very good Dr and he does whatever he can to make sure his patients are not in discomfort.

And as far as you driving yourself home- that is very dangerous and I think your Dr is a nut for letting you do this. Anyone that gets epidurals is required to have a driver and is not allowed to drive for 24 hours!
Current: DDD L4-S1, Arthritis L3-S1, Facet Syndrome, Interstitial Cystitis, Vulvodynia, Restless Leg Syndrome, Bi-polar, IBS, Fibromyalgia, PTSD. In past 6 months have had epidurals, facet blocks and radiofrequency ablation.
Past: Endometriosis, Adenomyosis, Polycystic Ovarian Syndrome. 3 laparoscopies, 2 cystoscopies, total hysterectomy, appendix & gallbladder removal.

Alcie
Veteran Member


Date Joined Oct 2009
Total Posts : 5029
   Posted 4/13/2012 10:03 PM (GMT -6)   
I apologize for offending.  I meant no criticism or belittling.  Your pain must be very different than mine, if it isn't a difference in the way they do the procedure.  I just didn't want newbies to think everyone should be getting sedation.  It's not offered at the practice I go to, or another one I went to previously.  The local anesthetic at skin and more anesthetic several levels deeper, and more anesthetic in the injection I get keeps it from hurting intolerably.
 
I know the regulars know about Versed, but someone just starting this adventure may not.   Forgive me for pointing out to them that Versed is an amnestic and anxiolytic, not an anelgesic.  I'm terrified of losing memory since a premedication made me lose 3 days.  
 
 

Screaming Eagle
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Date Joined Sep 2009
Total Posts : 5005
   Posted 4/13/2012 10:56 PM (GMT -6)   
Hello Alice!

The clinic I went to Wednesday does not offer sedation either….however I requested it and pushed for it….and they provided after they knew I would walk. I'm willing to bet my epidurals have been like yours, and in fact you describe it as the same procedure perfectly. I even know and can hear when the epidural space is hit.

For newbie's…of which you did not mention at all in your original post…and I took as a blanket statement for all patients who need sedation….there are risk to sedation. One of which is the possibility of harm to the patient during the procedure. This was explained to me just last Wednesday…and the Dr said they do not offer sedation mainly for this reason. There is fear that the patient may move while under sedation causing harm.

It is believed that a patient may possibly have more control over their movements while not under sedation…even in extreme pain. It is a choice and should be a choice for a patient to weigh the risk for sedation or no sedation. It's wonderful that you do not need sedation…and I understand your reasoning behind it. However…in my case the pain is too great for me and the extra risk is worth it.

The epidural is a risk to start with, and requires a Dr with steady hands…and sedation seems to be a minimal extra risk to me and worth every bit of it. I have had a total of 7 epidurals now…and the worst by a long shot was the one without sedation. My wife was in the room and cried when she saw horrific pain I was in.

Again, I personally believe it should be a choice given, as long as the patient understands the extra risk involved.

SE
Moderator Chronic Pain Forum

Weekly Quote!

"Getting over a painful experience is much like crossing monkey bars. You have to let go at some point in order to move forward."

Post Edited (Screaming Eagle) : 4/13/2012 10:11:13 PM (GMT-6)


Medicalkid2
Regular Member


Date Joined Oct 2010
Total Posts : 147
   Posted 4/14/2012 1:20 AM (GMT -6)   
I think allot of docs are either uncomfortable with sedatives without a Nurse Anesthetist and don't want to risk screwing up or just don't want to pay an anesthesiologist for something rather simple. I know GI docs are absolute pains in the rear end (no pun intended) when it comes to sedation...allot of them think they can handle it too :O good thing about pain docs is if they aren't an anesthesiologist them self's they usually have a partner who is close by! Also if your a pain doc I would assume you have an advanced knowledge on how opioids and sedatives work on the body. My first pain doc was anesthesia which was really reassuring for procedures.

I had a colonoscopy and it was an after hour procedure and it was just him and a nurse, she was prepping propofol and fentanyl to knock me out and before she got the syringe near my IV I kindly asked "Are you an anesthesia provider?" she replied that she was a CRNA (nurse anesthetist), I then got slammed with a rather large amount of fentanyl and propofol...didn't even feel the burn of the propofol go in (anyone who's had it can tell you it feels like they are pushing a yoke up egg down your vein! :O) it was a week before the whole MJ thing but I already knew that if some overzealous GI and an RN misread dosing during after hours with no anesthesia provider in sight I was screwed! So as another point if you ever have a procedure where they are going to knock you out a great deal make sure you request to have a CRNA if the doc isn't already an anesthesiologist....my aunt is an anesthesiologist and it may seam like a minor area but its a pretty intensive task to make sure the patient stays breathing :O

For trigger point injections I don't see a reason for any sedation unless you suffer from panic attacks...
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