Past, Anesthesia Procedures in 1998

Discussion in 'Pilonidal Discussions' started by Anonymous, Dec 20, 2003.

Thread Status:
Not open for further replies.
  1. Anonymous

    Anonymous Guest

    Hi Everyone in the Forum.[x0x]
    I was wondering if someone can be kind enough to answer a question for me.

    I read Butt Cyst's notes on the Local anesthetic alone procedure and I have to agree with him a 100% on the PAINFUL experience.

    I went through the procedure as described by Butt Cyst. It was a horrible experience, and still today is very bothersome for me.
    I t happened in 1998 Febuary, can't forget the date and time 9 AM.

    I Can't seem to be able to under go any types of testing procedures that can possible save my life, due to the experience I endured with the Pilonidal Excision with Marisipulation . I guess i've been traumatized.[=(]

    My Question is; Was MAC, Spinal, General Anesthesia still the typical methods in 1998 or I had no choice but the Local Anestetic alone procedure at that time?

    Can you please reply if your knowledge of these Anesthetia were available at that time.

    Thank you Very Much.[x0x]
     
  2. Cyst-sufferer

    Cyst-sufferer New Member

    Joined:
    Sep 11, 2003
    Messages:
    12
    Helpfuls Received:
    1
    As the patient, you have the right to any anesthesia you want during any procedure. I'm sorry you had a painful experience with the anesthesia. I also had excision with marsupilization. why was that traumatic? it wasn't for me.
     
  3. marysue

    marysue New Member

    Joined:
    Nov 3, 2003
    Messages:
    2
    Helpfuls Received:
    0
    Hello and so sorry to hear about your bad experience. I had my surgery in the 80's and had spinal with sedative which I guess is similar to the MAC. I barely remember it let alone have any trauma. I think what happened to you was horrible and there cannot be any rationalization for not having anything but a local. Whatever quack doctor did that to you should have that done to him/herself. You should have an opportunity to meet with the anesthesiologist prior to your surgery to feel confident what happened before is not repeated.
     
  4. Lisa

    Lisa New Member

    Joined:
    May 23, 2002
    Messages:
    16
    Helpfuls Received:
    1
    Location (Country):
    USA
    OMG marsp method of surgery with just a local?!?!?!?!?!

    Was your surgeon some sorta crack head?!?!?!?!?

    I'm guessing that the methods of anesthetic were the same in 98 as they are now...that was only 5 years ago.
     
  5. CCM9911

    CCM9911 New Member

    Joined:
    Dec 2, 2003
    Messages:
    1
    Helpfuls Received:
    0
    Tony
    Don't let one bad experience stop you from having further procedures done. I know how you feel, but you can't let it stop you. I remember going to the dentist when I was little and having a horrible experience. He pulled 2 teeth with no novicaine. I know it sounds trivial compared to what you went through, but trust me, to a 6 yr old it was traumatic. I decided then and there that dentists were horrible people and I would avoid them at all costs. And I did for many years.......waiting til I was in agony to go. Then I went to a dentist with a little bit of compassion, now I have no fear! So find a good doctor and get taken care of!
     
  6. Anonymous

    Anonymous Guest

    Hi again,
    Let me tell you my story of that unforgetable day.
    I notice having a sort of a lump on my tail bone at the age of 18. Years went by with no discomfort. Finally at the age of 28 there appeared a sinus with minimal drainage and foul odors started to occur.I went to a walk in clinic and the doctor imediately knew it was a pilonidal cyst and recommended sitting in salty water to keep it from getting infected; which really worked well; almost closed it right up . So he refered me to a surgeant to have a look.

    I was able to quickly ask 3 of 5 friends that had the Cyst too. They all said no big deal. You'll feel a little drunked up and sitting would be uncomfortable; This meaning the post operation experience that they had; not the actual surgery procedure. I was young and busy at the time never had surgery before so I really didn't have a clue of surgery or Anesthesia and the need for it, and really found it to be no big deal, accordingly to my friends " with the Post operation experience that they had". So I really didn't think nothing of it.

    So I went to see the surgeant, he lied me down on a table and said Yes its a Pilonidal Cyst. He said the best method is Excision with Marsupialization. And went on to say that the procedure involves injection of Local anesthesia around the perimeter of the cyst to numb the area and then a special stiching method. "Poking on his palm with his finger to show the injection permiter area". I really had no big deal with asking any questions. Being busy, I just wanted to leave to return to work. I didn't question anesthesia cause I had no clue to Surgery, or pain that is encountered during surgery cause I never had surgery before. I though it was all rosey. But before leaving his office I quickly asked him that some friends of mine that under went this procedure were kind of feeling Drunked up. "Not knowing what my friends meant of this". He said Oh thats not required. So I started thinking Oh maybe the Hospital gives something for pain," Again not knowing what the drunked up feeling was for"

    So the day came for surgery and went into the hospital. A nurse came to see me and asked if I had alergies to Local Anesthetic; I replied what is local anesthetic? She replied Numb, Numb, like freezing when going to the Dentist. I said no I've had cavities before and no problem with it. So she check off the list.

    Into the room we go, got undressed into the robes. Talked with the Nurse cause i started getting nervous, Cause I remembered my friends saying I was going to feel drunked up. "Again not knowing what they meant of it, I never had surgery before." I asked her what is the feeling of the procedure like, and she replied well the first few shots and going to be gory and then it will reside as it freezes. I started crapping in my pants and said how GORY!? She Looked away and didn't reply cause I was starting to show fear and got the Impression that she said to much.

    Now I was really afraid and still didn't know what my friends meant by feeling drunked up;I started thinking maybe they meant now during the procedure. I wasn't able to ask the nurse cause she didn't return till both she and sergeant entered. The surgeant asked how was i doing and I said not to well,"with my butt in the sky." The nurse quickly used a shaving device around the Pilonidal area. They put a drap with a hole in it over my behind. The Surgeant dragged a device on wheels close to the table and the nurse strapped a device on my leg. I asked what is that for? And she repied it monitors the amount of Oxygen in my body. I started getting worried cause I had the remark of my friends saying you'll be feeling drunked up." Again not knowing what they meant." So the surgeant said are you ready? and I quickly replied: Hey my friends that had this done to them said they were feeling drunked up at this moment"Again not sure if they meant now or after". The surgeant replied Ah! not needed!
    Now I really paniced cause i started feeling that the drunked up feeling was for this moment, the surgery itself.

    I started asking stupid suggestions with no clue to what i was saying like can I have Nitroxide the gas thing for women during deliveries of babies. I remembered that when my wife gave birth. And I looked at him and I got the impression from the look on his face and the nurse that I was onto him and the need for the Anesthesia. He said No! Waving his arms Like in baseball when a player is safe at base; So I said in a trembling voice go ahead! YOUR THE EXPERT! He said here it comes, My body started shaking with fear, also causing my butt to tense up and shake without control. He snapped, and said you have to stay still!!I really tensed up, and pushed up with my hands into a pushup position. The Nurse came to my side and said relax,relax, in a soft gently tone, trying to bring my head down to the pillow. I quickly tensed up again into the pushup position and grabbed her wrist, I let go quickly trembling and forming a fist, still trembling i opened my hand and said I'm Okay in a Scared tone of voice. She said AHHH!!. I got the impression that she disagreed with the whole procedure at this moment, and seemed upset at the surgeant. The nurse left the room in an angry manner.

    So it began......... The first injection...IT WAS THE MOST HORRIBLE PAIN I'VE EVER ENCOUNTERED IN MY LIFE. i STARTED BREATHING QUICKLY, MY EYES HITTING THE BACK OF MY HEAD. I STARTED SWINGING LEFT AND RIGHT WITH MY UPPER BODY, SHAKING ALL OVER, MY BUTT TENSING AND TREMBLING WITH THE NEEDLE WITHIN. THE SURGEANT SAID YOU HAVE TO STOP SHAKING!! I REPLIED JUST DO WHAT THE PRO HAS TO DO!!
    AT THIS MOMENT I STARTED THINKING THAT I SHOULD YELL STOP!!! STOP!!!
    BUT I COULDN'T SAY IT CAUSE I THOUGHT THIS WAS WHAT THE PROCEDURE WAS, AND THAT IF I WOULD SAY STOP, I WOULD'NT BE CAUGHT DEAD ON THIS TABLE AGAIN!!!!!SO MORE TORCHERING!!!! HEAVY BREATHING!! SHAKING MORE!! iN THE PUSHUP POSITION SWINGING LEFT AND RIGHT!! MY EYES HITTING THE BACK OF MY HEAD!! THE NURSE WALKED IN, I LOOKED UP AT HER AND SHE AND THE ROOM WAS SPINNING ROUND AND ROUND!!!!!SHE PUT HER HEAD DOWN IN HOROR!!AND WALKED OUT THE ROOM!! I RECALLED THAT SHE NEVER CAME BACK TO ASSIST THE SURGEANT!!TILL THE END!!
    SO MORE TORCHERING!! THE MOMENT OF THE GORY FEELING TO RESIDE AFTER A FEW INJECTIONS NEVER CAME!! THE OXYGEN MONITORING EQUIPMENT RANG AND RANG!! THE SURGEANT YELLING, YOU BETTER BREATHE IN DEEPLY!!! I WAS UNABLE, MY MOUTH AND THROAT WAS DRY AND WAS UNABLE TO REPLY!! HE NEVER BOTHERED ASKING IF I WAS ABLE TO BREATHE WITH EASE, AND NEVER ASKED AGAIN THROUGHOUT THE SURGERY; AND YES, THE OXYGEN MONITOR NEVER STOPPED RINGING TILL ABOUT, I THINK 30 OR 40 MINUTES INTO THE SURGERY. I EVENTUALLY WAS ABLE TO BREATHE AND IT SEEMED LIKE THE MOMENT OF THE GORY FEELING RESIDING HAS ARRIVED.

    He said we're almost there with the local. I felt him tapping on my Pilonidal cyst area and said I need to go a little deeper. With what ever strenght I had left, I again got into the pushup position expecting the worst, especially being drained of energy. It wasn't that bad then, just a little sharp pain. I was finaly able to lay my head down on the pillow for the few deep injection remaining.

    I believe aprox. 5 to 10 minutes later he tapped on the pilonidal cyst area again and I heard him say Its Packed and I'll start the Excision.

    Every thing seemed okay now, I could feel him pushing or cutting in the area without pain. The nurse walked in finally and never looked me in the eyes. So the excision continued.....

    I finally was calm and was breathing normally again knowing that the end of the surgery has come...... GUESS AGAIN......

    ALL OF A SUDDEN, OUT OF THE BLUES, A HORRIBLE SHARP PAIN OCCURED!!
    I SWEAR MY EYES HIT THE BACK OF MY HEAD, I HEARD THE SURGEANT SAY OOOPPPSSS!!! AND I KNOW HE DID SOMETHING WRONG!!! THE OXYGEN MONITOR RANG AGAIN!!!HE REPLIED; I NEED TO ADD A LITTLE MORE OF THE ANESTHETIC!! AT THIS MOMENT I WAS SO WORN OUT THAT I DIDN'T FEEL THE INJECTIONS.

    The surgent said it is complete and came to my left hand side with a cart on wheels. He showed me the Pilonidal Cyst that he removed and cut it in half to show me the tunnels within it. Like the whole expisode of horror didn't happen. The Pilonidal Cyst was aprox the size of my thumb, pretty big. He simply said to the nurse to pack the wound, and left. After packing and bearly able to stand the nurse handed me a presription of Tylenol 3 and never looked me in the eyes.

    I said thank you and I went home.

    The next day I was in tears and could'nt believe the pain I was put through. I went to see the Doctor who refered me to this surgeant. I walked in to see him and while trying to explain what happened I began to cry uncontrollably and explained the horror. He was stunded and said I'll call the surgeant to tell him that you were unhappy with the procedure.

    I called my friends who had the procedure done to explain what happened during their surgery. Again they said, felt drunk and was uncomfortable to sit for a long while.
    I said NO!! what happened during the EXCISION!!
    They all replied I don't know we were out of it!!

    3 of them had GENERAL ANESTHESIA!!
    2 OF THEM HAD HEAVY SEDATION!!! POSIBBLY MAC!!!

    Please! this was very difficult for me to write and I would really appreciate it if you would let everyone you know, NOT!! to have it done this way.....

    TONY
     
  7. hoosierhospitality

    hoosierhospitality New Member

    Joined:
    May 24, 2002
    Messages:
    113
    Helpfuls Received:
    0
    Location (Country):
    USA
    Tony,

    This is NOT how pilonidal surgeries are done!

    This guy obviously needs to be YANKED out of society as a whole and strapped to a "Jerry Chair!"

    Unreal! I can perfectly understand how you would be absoluely petrified from here on out.

    What I would recommend is that you find a board-certified colorectal surgeon who is compassionate. Again, this is NOT how things are normally done.

    What people really need to know when they are correctly diagnosed with pilonidal disease is

    1) To get access to this website and real all the info. that it provides

    and

    2) They have OPTIONS! There are several types of anesthesia available. I explained them in an earlier post but will reiterate what I typed the other day:

    A) General anesthesia: You're put out completely, most likely with a breathing tube down your throat. The staff will make sure you're 'out' enough to put the tube down; otherwise, your body's reflexes would fight it.

    B) MAC anesthesia (stands for Managed Care Anesthesia. You're heavily sedated. Sure, you will get a local, possibly Lidocaine, injfected, but that will most likely take place after you're in the "Twilight Zone." For me to describe my experience with the Twilight Zone, I felt like I was spiraling into something 'unknown,' but it was by no means frightening, and it happened rather quickly...

    C) Spinal/Epidural anesthesia: A shot is given in the area in your spine to numb you from the waist down. You'll probably have a catheter inserted (in the urethra), and you'll probably be awake. However, when women have Cesarean sections, they have the option of being awake or put to sleep. You won't have any feeling in your lower torso for a few hours, if not several, after this, and you'll have to be able to urinate on your own before going home. Bowel movements will take place a few days after your op; you don't have to wait at the hospital to have one because the anesthesia will slow the intestines down. A laxative may be precribed.

    Now, when I had a lancing, but the doc thought that he was performing an excision, I only had Lidocaine, and I started to feel pain. That's when the family doctor ordered his nurse to give him more "CCs" of Lidocaine. Once that was administered, I felt fine. However, he was only cleaning out hair. He wasn't excising my cyst, so I guess that made a difference. At any rate, he shouldn't have messed with it AT ALL because, in his notes, he disputed that it was a pilonidal cyst "because it didn't involve deeper tissues." Nonsense! A cyst can be big or small, and they don't have to "come to the surface" to be dealt with or "become ripe," like some ER doctors (and others) profess. If they're infected, though, a surgeon should know that it has to wait for the infection to clear before surgery is performed. That's usually when antibiotics, such as Keflex, are prescribed. However, I never went that route. My cyst never got infected, so I never dealt with that.

    I only dealt with an incompetent doctor(s) who either misdiagnosed the thing, and then you have HIM, who just lanced it w/out realizing that it WAS, in fact, a pilonidal cyst, and he should have had the ball$ to direct me to a colorectal surgeon.

    But he did not!

    I hope that you can find a competent surgeon to deal with your cyst. Again, your experience is NOT the norm, and I really feel for you because it would throw me for a loop, too, if I had this barbaric treatment done to me. I wonder if this same doctor that you had is still in practice? Perhaps he needs to be turned in to the Medical Board or something...

    Hoosier
     
  8. niallalex

    niallalex New Member

    Joined:
    Mar 19, 2004
    Messages:
    14
    Helpfuls Received:
    0
    Tony,
    As I read your story, the pilonidal sinus in my tailbone twinged a little, as if to say, "Don't do that to me!".
    That is NOT the usual procedure (well, maybe in prison) for removing PSs. When I had mine done first, they put one of those tubes in my arm that lets them administer fluid into the bloodstream, then put the anaesthetic in. The anaesthethist told me to imaging I'm drinking my favourite drink (which is a nice cold pint of cider) and then I started to feel a bit light-headed (as if I was drunk - I'd imagine this is what your friend's meant). I counted back from 10, and I was asleep before 7. When I woke up, I couldn't feel any pain in my ass (although you probably could have hit it with a sledgehammer and I wouldn't have felt anything). All day I felt a bit drunk.
    Sorry to hear about your experience? How is your sinus now? Also, did you ever tell your story to another surgeon? One not assosciated with the hospital you went to? Because it's possible, in the cast of maltreatment, that you could be entitled to a tidy sum if you were to claim.
    Niall
     
  9. woody

    woody New Member

    Joined:
    Feb 17, 2004
    Messages:
    42
    Helpfuls Received:
    0
    OH MY GOD!!! i was not given a choice i was TOLD it would be general .. they said the pain would be too much even with heavy sedation.. i HAD to have mine under general.. you poor guy..

    although the pain you describ eits what i have to go through everytime the nurse repacks mine ( everyday) because mine is a perianal fissure they just lay it open and then effectivel pack the tunnel with this ribbon stuff. and yes i am femailiar with the room spinning and the eyes in the back of the head.. i swear i need gas for that!
     
  10. evilnissan

    evilnissan New Member

    Joined:
    Jul 30, 2004
    Messages:
    1
    Helpfuls Received:
    0
    OMG.

    [:xX]


    When I went in I had a choice of "Twilight" or general.

    I chosed General because Im realy funny when doped up, but Oh my freaking god I would have freaked out and ran out of that room screaming if my doctor did that to me.
     
  11. gotstitched

    gotstitched New Member

    Joined:
    Aug 2, 2004
    Messages:
    2
    Helpfuls Received:
    0
    [:^]
    OMG its so sad about ur story.
    Such operations used to happen only in NAZI camps.
    I had operation on general anasthesia on 7th july,1999.
    I didnt feel anything during(of course) and after the operation.
    Maybe ur surgeon was a butcher.
    Surgeons like him should be kicked outta society.
     
  12. Tail Bone

    Tail Bone Guest

    What a terrible! story!
    Hope all is well with you today.

    I was also suggested the use of only the local from the first surgeon. Thank god and this site; So I told the first surgeon to stuff it and referred me to someone else.

    Has anyone else been suggested only the use of a local for excision?

    Good Luck Tony.
     
Thread Status:
Not open for further replies.

Share This Page