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Surgeon backed out of spinal (pun intended)
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11-25-2003, 12:45 PM
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HysterSister
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Posts: 12
Hysterectomy: January 21st, 2004
Surgery Type: SAH
Ovaries: Kept 1 or both
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Surgeon backed out of spinal (pun intended)
Well, this should have been my big day but what was supposed to be a pre-op appointment last week turned into a, "Oh, guess what, we had a scheduling error and you've been bumped to January!" Sigh. Here I've been disappearing up my own rear end getting ready for Christmas early and now I'll have to put out again when it really is Christmas.
And another surprise was learning that the doc has decided he's not comfortable with the idea of going with a spinal instead of a general anaesthetic. This was my one and only special request and NOW he decides it simply won't work as he feels I'm guaranteed to throw up, pitching most of my innards into his lap. Wouldn't a sedative prevent this? Or some form of anti-nausea medication? Has anybody any suggestions for last-ditch appeals that might sway my case? Polite suggestions only please; I don't want to annoy the man until after he's finished digging around my insides.
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11-25-2003, 01:20 PM
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HysterSister
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Posts: 6,053
Hysterectomy: February 5th, 2002
Surgery Type: TAH
Ovaries: Removed both
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Surgeon backed out of spinal (pun intended)
Hi
Possibly talking to the anesthesiologist, but ultimately it's gotta be what the DR is the most comfortable with. If you really want a DR who is willing to do a spinal, you may have to find another DR. Depending on the procedure some DR's simply won't go with a spinal.
I had a TAH, and I was told that it wasn't going to be an option (for me, I know some have spinals with a TAH), the DR said no. I had a spinal when I had a D&C many years ago, and I remember hearing the DR say "oh shoot", which really isn't something you want to hear in the OR.
Best wishes!
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11-25-2003, 02:10 PM
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Guest
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Posts: 295
Hysterectomy: September 2nd, 2003
Surgery Type: TAH/SAH
Ovaries: Undecided
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Surgeon backed out of spinal (pun intended)
I had a spinal PLUS general and it was a godsend. Woke up painfree and pretty much stayed that way. My Anesthesiologist, on the other hand, didn't want to do the surgery under a spinal + Versed (I had read other women on this board had it that way). We argued for a half hour about it, then he said, okay and then I said, no. I figured if he was that adamant, he must know what he was talking about. The spinal and general worked wonderfully (of course, they gave me Versed before going into surgery, so I was a spaced-out happy camper by that time!)
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11-25-2003, 02:14 PM
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Guest
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Posts: 32
Hysterectomy: November 24th, 2003
Surgery Type: TAH
Ovaries: Kept 1 or both
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Spinal
I had my TAH yesterday and am home today. I had a spinal with epidural and it was a much better experience then the LAP with General 2 weeks ago. I would tell your Dr. it's your body. They can also put something in your IV with a spinal for nausea. Believe me, coughing right after this surgery is painful. I can't imagine vomiting. My pillow is my best friend. I haven't started passing gas yet but am feeling a buildup.
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11-25-2003, 05:10 PM
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HysterSister
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Posts: 12
Hysterectomy: January 21st, 2004
Surgery Type: SAH
Ovaries: Kept 1 or both
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Surgeon backed out of spinal (pun intended)
Wow, Walkin! You're already at the computer? This gives me renewed hope.
I'll definitely take it up with the anaethiologist, but if that doesn't work I guess I'll admit defeat. I don't really want to go on a hunt for a new Dr now. This was supposed to be done in June but was postponed due to dental surgery--my wobbly teeth were more urgent than my wobbly body! Now this re-scheduling. Maybe it's a sign . . . .
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11-25-2003, 06:53 PM
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HysterSister
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Posts: 2,239
Hysterectomy: October 22nd, 2001
Surgery Type: TVH
Ovaries: Kept 1 or both
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Surgeon backed out of spinal (pun intended)
Your dr. didn't suggest any antinausea medication? Here is one link with a LOT of info. I hope your dr. or anesthesiologist agrees to this. It was my own gyn that suggested zofran to me. My anesthesiologist gave me zofran in the I.V. before surgery and a couple days later when I felt nauseated in my room, I had orders from my dr. for zofran if needed and it was a godsend then when I really needed it. If your dr. doesn't agree with this anti-nausea med....hmm...I'd consider another dr. for another opinion.
https://www.hystersisters.com/vb2/sho...ghlight=zofran
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11-25-2003, 07:32 PM
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Guest
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Posts: 1,049
Hysterectomy: December 4th, 2003
Surgery Type: TAH
Ovaries: Removed both
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Surgeon backed out of spinal (pun intended)
From working in the O.R. in the past, I can only say that some docs would prefer their patients be "truly" sleeping. This is for a variety of reasons, one being that if the patient becomes panicked, combative, "freaked", etc. the whole thing has to be temporarily stopped while anesthesia converts to a general, (intubating the patient, etc.). This can be disruptive and time-consuming. Also, if you're having surgery at a teaching hospital, there's a lot of "shop talk" going on while the surgeon is explaining, (and believe me...the patient doesn't always want to hear what's being discussed). Also, some patients talk a lot during the surgery and don't even know they're doing so. Can be pretty funny, but also kind of distracting to those working.
My doc is very "old school". (Not OLD per se...just conservative). I know he would never even consider a spinal...I didn't even ask as I have mixed feelings on the issue. If it's something that's very important to you, I certainly wouldn't hesitate to confer with him as to why he feels that way. Then, at least you know it's not just an arbitrary decision. Good luck.
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