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30 Aug 2007

ANAESTHESIA FEAR
Dear Cyberdoc

I have read the whole thing on Anaethesia, however this really concerns me. I have allergic asthma (bad). This is all I have ever had in my life. I need to have a back op, what fills me with fear is the anaesthetic. Because I have had very bad reactions to painkillers (except panado) and anti-inflammatories. I told the neurosurgeon this (he knows I am asthmatic) but prescribed Xycam which caused a huge bronchospasm. I have had anaesthetics before and was very ill each time, minor procedures. Plus I do not breathe comfortably after it, and when my nose is blocked its worse. I am wondering how I am going to be sure that someone understands all this. I feel that the anaethetist may not listen, becuase its a standard thing (the breathing issue) and how can I be sure that they are not going to inject me with painkillers and anti-inflammatories that then cause bronchospasm and complications? I changed the neurosurgeon due to this (and he is very aware that I have asthma) but can a person be sure? A form and a 5 minute interview before the op makes me nervous. I was wondering what they would give me as a painkiller anyway? I hear the pain is excruciating after this kind of back op. I have put it off and off purely for this reason, but it is looming ever closer. With all due respect I find that specialists tend to become annoyed if you question them (as if they know their job so well and don't ask) as we know this already.

Thank you
Nervous
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Expert
CyberDoc
cyberdoc

01 Jan 0001

Dear Anas
Trust me, your anaesthetist also don't want you to get bronchospasm on the operating table while they are busy working!! Ask your surgeon at least a week in advance who is going to be the anaesthetist and what his number is. Then phone the practice and ask the dr if you may have a consultation with him in advance regarding your asthma. He may want to admit you to hospital 24 hours earlier to put you on a drip and to give you preventative treatment. You can also discuss the pain management with him as they are usually responsible for post operative pain managment. There are painkillers that will not affect your asthma.
You are wise to want to manage this carefully and you have all the right in the world to insist on proper precautionary care.

Dr Bets
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