INTENSITY²
Start here => Free For ALL => Topic started by: Jesse on December 25, 2018, 07:37:34 PM
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Ok. So I've recently had some Thyriod issues, (I have a Tumor the size of a golf ball in one hemisphere of my Thyriod gland) was told it was Benign, (non cancerous) BUT went to and ENT doctor and he said the type of tumor I have, Hurthle Cell Adenomia is usually cancer and a FNA biopsy wont rule out cancer at all with this because you have to completely remove it and then biopsy it to determine just what it is
So, that's exactly what he's gonna do. I'm going in for a partial thyriodectomy at the end of January, and they will biopsy it while I'm asleep and if it is Cancer they will remove the other half of my Thyriod.
I honestly just feel lied to. Frustrated, and like maybe I should drop the healthcare worker I have because of the bad information I received.
Have you been in a similar situation? What would you do?
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Drop the healthcare worker, definitely.
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Did the one who told you it was benign perform a biopsy?
Definitely, regardless, drop the bugger like a handful of red hot dog turd. If the first doctor just told you it was benign straight off the bat then IMO thats grounds for a lawsuit, given the type of tumor is usually cancerous, especially. But SHIT, if he didn't do an analysis/have them done, then definitely, sue the fucking bastard.
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I've definitely seen some other shit over the years, but I tend to avoid doctors period anymore, so I really have no good advice here.
But found this...
https://mayoclinic.pure.elsevier.com/en/publications/benign-hurthle-cell-tumors-of-the-thyroid-a-diagnosis-to-be-trust\
...other info also says they normally remove it because it's not easy to predict if it will "become" cancerous...not that it necessarily "is". So until you have a concrete reason to be worried, try to stay positive.
IMO...doctors are a lot like mechanics, some know their shit, some know less shit or pretend to know more shit, and some I swear are sadists in disguise.
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The worst of them are both of the latter. Either know less/pretend to know more (or worse yet, both), AND sadistic fucks.
And there are the ones who are really opinionated, and worse, arrogant and up their own dick-eye about it, they really suck ass. Especially the types who INSIST on virtually demanding 'this is how it is, it's how it works and this is so, because I say it is' and who'll continue yammering dogma into your face despite being presented with peer-reviewed, validated clinical evidential data finding their claim incontrovertibly false, or another 'how' is the case. The ones that don't care how much research has been done, because they've been doing their job for XXXXX years and that's that so screw off, I do not care what medical science knows, because I know better than all those other clinicians and research teams, and no, I am NOT wrong, I can't be wrong, if I was wrong, how could I be telling you I am right?' and other such bollocks.
I've met a few really, REALLY shitty doctors in my time, a few even that I really wanted to smack in the mouth right then and there.
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I pretty much agree with everybody else in this thread. So all i have to add add is...very best of luck to you, Jesse
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Not much to add here either, except for good luck and here's hoping that it is indeed benign and that everything goes well.
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My sister is having the exact same surgery on the 16th of January. She's been told it's cancer but they're doing a biopsy while she's asleep to make sure. So it might even be benign. They won't know for sure until they operate.
It would be excellent if both of you don't have cancer.
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Best wishes to Jesse and to Renaeden's sister. Wishing you peace and hope in the interim. :hug:
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Echoing what the others have said.
Positives:
It may very well be benign.
If it is cancerous, thyroid cancer is one of the most curable cancers.
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A lot of sickness and misery here today. :(
Get better, everybody!
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Thank you everyone for your kind words. No, the healthcare worker did not preform the Biopsy she just "interpreted" them to me which was weird because at the time she had to have someone else tell her what they meant. (She's a nurse practitioner) but I will definetly be dropping her as my provider.
I trust the Ear, Nose and throat doctor more.
Ren, I'm so sorry about your sis. Hope for the best and a speedy recovery for her.
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Sending strong hopes for good outcomes for Jesse and for Ren's sister.
And change your practitioner.
My brother's girlfriend was going to a doctor for months. She had funny symptoms like one eye felt much bigger than the other. Losing her sense of taste. Doctor diagnosed various things including ear infection and hypochondria. After she went into a coma and couldn't be woken she was taken to hospital and found to have a large brain tumour. By that stage nothing could be done and she died a few days later, never came out of the coma. My brother tried to get something done about the malpractice but didn't get anywhere.
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I'm so sorry Minister of silly walks. That's goddamn awful! :-[
((Hugs)) :grouphug:
I honestly do not think anybody knows what they are doing. I watched my grandfather go through something similar, he was 79 had a stroke (was in a coma) but still breathing on his own and the doctors didn't want to lay him flat to scan his brain to see where the bleed was because they were afraid he was going to choke. He died 3 days later, I kinda figured they just thought he was an old man so why even try. It was incredibly upsetting, and still pisses me off to this day
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Sending good thoughts, Jesse! My sister in law had thyroid cancer and came out of surgery clean and cancer free. Though she will have to take meds for the rest of her life. But, better that than the alternative.
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For sure Rockhound! Glad she is doing better. :)
More women than men seem to have Thyriod problems or at least that is what the doc told me, I was worried about it but now not so much because it will be removed January 31st. I can wait one more month but up until this point I was a nervous wreck
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Sending strong hopes for good outcomes for Jesse and for Ren's sister.
And change your practitioner.
My brother's girlfriend was going to a doctor for months. She had funny symptoms like one eye felt much bigger than the other. Losing her sense of taste. Doctor diagnosed various things including ear infection and hypochondria. After she went into a coma and couldn't be woken she was taken to hospital and found to have a large brain tumour. By that stage nothing could be done and she died a few days later, never came out of the coma. My brother tried to get something done about the malpractice but didn't get anywhere.
That's really awful :(. That said, I wouldn't call it malpractice, neressarily. Don't know about where you're living, but In the UK, stuff like that gets missed all the time, simply because they don't have the resources to investigate everything, and yeah, hypochondia is definitely over-diagnosed.
My Dad is a case in point. He had several huge brain tumours and was pretty much at death's door by the time it was realised he had cancer at all. Mum asked for him to be given a brain scan, because it was clear to all the family that something wasn't right, and was told (by their NHS GP) that she would have to pay to get it done privately if she insisted, but that she'd be wasting her money. You could maybe call that medical arrogance , but it wasn't malpractice, just the way it goes, sadly. If doctors was dismissed for malpractice every time they missed something, or misdiagosed something. we'd have no doctors left at all. That said, some NHS doctors are arrogant bastards, but most are just overworked, underfunded and human.
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IMO you are wrong there Walkie hun, that sounds like malpractice to me. If the reason they miss something is because they were being an arrogant cunt, then that makes it their fault, since if they were not that arrogant bastard, and behaved like a decent human being and decent doctor, it might well not have ended that way.
I wouldn't call for any doctor who misses something to be struck off. It is WHY they miss something and HOW they miss it, as well as what they miss, that makes the difference between tragedy, and tragedy that is the result of malpractice and could have been averted had the one responsible only done their job properly. That, IMO makes it malpractice.
What would you call, then, something like either of these:
Hospital medic, having set a line in a patient's vein, to treat an infection with intravenous antibiotics delivered as a drip, then asking the patient if they are allergic to any antibiotics, told 'you can't use fluoroquinolones safely due to tendinitis, seizures preexisting, as well as taking tizanidine (a muscle relaxer, it is specifically a contraindication to their use), also allergic to penicillin-type beta-lactam antibiotics, although no experience with carbapenems, cephalosporins seem alright [two other types of beta-lactam antibiotics, that cyclic amide ring is the allergenic structural part, the beta-lactam core, although allergic sensitivity varies and not all patients crossreact with other major families if allergic to one family], I told him, when he asked what happens 'if I am either not very lucky, or untreated, I die'.
He then set up an antibiotic drip, answering only, when asked 'what is that?' 'it's something to treat your infection'
Only when really really pressed and demanded of him 'I KNOW that, I am asking you what specific antibiotic is in that IV bag', to which he replied (forget now which exact one) 'penicillin'. The same thing, I'd told him seconds before that even orally, could kill me in minutes if I was not damn lucky. Last time, accidentally (possibly accidentally at least, it was a capsule of one my borderline hellwhore former housemate had been taking a course of at the time, and I have my suspicions that she switched capsules, after I'd put a med of my own out ready to be taken moments later, in an attempt to poison me, nonfatally probably, so she could be the center of attention and receive gratitude for bringing me round with artificial respiration, AFAIK asthma inhaler to widen my airways, after I dropped to the ground unconscious minutes later. She really was THAT much of a mental little piece of shit, and a viper in the nest of the vilest kind possible), I nearly died. By mouth.
IV, it'd have killed me. I howled and shouted in protest after requesting was ignored, fucker walked off and actually said 'you'll be alright, I'll come back in 10 minutes to check on you'
I ended up having to use my knife to sever the IV line itself, with the contents crawling just a couple of inches away and advancing steadily towards my vein. Leaving the drip contents as a puddle on the floor.
When he EVENTUALLY came back, he was like 'what the fuck', before I chewed him out for nearly committing at the mildest, negligent manslaughter.
And then tried something similar right after, by changing to metronidazole, which I didn't even allow him to set up at all. Not before he told me precisely what drug he intended to administer. Had to rip him a new asshole verbally, after telling him I'd drunk an entire bottle of southern comfort not too long before, but long enough for my liver to begin converting EtOH to acetaldehyde. Metronidazole is WELL known as a drug one MUST NOT give to someone with alcohol in their system or drink for several days after, because it acts like antabuse (disulfiram); a drug given as a primitive, and barbarous early treatment for no-hoper alcoholics, the idea being to make them so, SO ill, without killing them, that they won't ever touch another drop. They are given the drug, and a short time later, told to consume a tiny measure of alcohol, it near enough kills them, and makes them wish it had. But stops just short, of actually killing them.
It has done, though AFAIK. But metronidazole plus more or less a liter of rye whiskey, the very thought of what that would do to someone, the magnitude of that result and scale might well kill someone IMO, even alcoholic mouthwash can make people sick as fuck. He just denied it, said 'oh you'll be fine', it's an antibiotic, it'll make you better not make you ill'
I had to give him a fucked-off lesson in enzyme inhibitors, pharmacology and pharmacokinetics of metronidazole, in minute, excruciatingly thorough (for him, and deliberately so), explaining precisely what happened, how, and why, and TELL him what antibiotic to use, hell's shitting TEETH that guy was a pillock alright!
IMO a patient very, very rarely should EVER need to tell a hospital doctor how to go about his job safely, once, far less twice.
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I'm so sorry Minister of silly walks. That's goddamn awful! :-[
((Hugs)) :grouphug:
I honestly do not think anybody knows what they are doing. I watched my grandfather go through something similar, he was 79 had a stroke (was in a coma) but still breathing on his own and the doctors didn't want to lay him flat to scan his brain to see where the bleed was because they were afraid he was going to choke. He died 3 days later, I kinda figured they just thought he was an old man so why even try. It was incredibly upsetting, and still pisses me off to this day
Thanks Jesse. It goes to show that you shouldn't trust doctors too much, there are a few good ones out there but lots who are bumbling along. My brother's girlfriend died in 1995. She was in her twenties.
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Ren, I'm so sorry about your sis. Hope for the best and a speedy recovery for her.
Thanks Jesse. :)
Imo, it's taken too long for her operation date to be given. She was told months ago that she has cancer. Cancer can spread quickly sometimes and if it were in my body, I'd want it removed as quickly as possible. I think my sister has been very patient.
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Good luck Jesse. And you to for your sister, Ren.
My grandmother had her thyroid radiated away.
She needed medication for the rest of her life after that. My grandfather would joke that 1,5 cent a day was a bargain for a wife like his.
They were a sweet couple.
Grandfather did die at almost 90, because a replacement GP missed that he had a severe lack of iron. When his own GP cane back it was too late, he was too weak, the blood transfusion went wrong on him.
The man had had cancer, tuberculosis, medical treatment always was good, even during WWII. And then the stupid lack of iron killed him.
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What would you call, then, something like either of these...
Yep, that sounds like malpractice to me. And I'm really sorry that you had to go through that , Lestat :(
But, let me repeat, medical staff often make mistakes because of being worked into the ground and therefore being half asleep on the job, The fault. in such cases, lies with the system and with funding deficiencies . And serious illnessess often get missed because the Doctor has to decide which of his patients are most likely to benefit from expensive diagnostic procedures, and because they have to taje too many patients on, rush through their consultations, and don't get a chance to get to know their patients properly, nor to read through all their medical notes. Agan, not really the clinician's fault.
There are also some arrogant bastards who don't bother to listen to the patient and make dangerouss asumptions , like I said, who really ought to have their ass hauled before a Tribunal, IMO. Patients can usually tell that type , and those doctors do get bad reputations within the community, yet they rarely get disciplined, for some reason. Maybe because it's hard to prove? Or maybe because the NHS is so short -staffed, they figure a dangerous doctor is better than no doctor? (and I might grudgingly have to agree, on balance) Or because the management is mostly done by psychopaths ? I dunno. But it really is hard to sift out system failures from character failures, and on the basis of a brief post like Jesse;s on a forum. I surely wouldn;t presume to judge the matter. Fair enough?
When my Dad was dying, he was insulted by one of those Arrogant Bastards, and that still rankles of course. But that's not to say he would otherwise have been diagnosed sooner. The diagnostic [rocedures were eventually orderered by an exceptionally conscientious GP , who spent hours going through his notes, until she found the red flag (melanoma that had been removed 20 years earlier, and never followed up ). That was after he started having seizures. It was actually nobody 's fault in particular, not even the Arrognnt Bastards's fault, it must be said, though that's a very sour memory.
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Omg you guys!
Lestat - you are one brave dude, super smart too. I never told you this but I do read almost all your long winded replies on here especially about drugs. Really fascinating stuff :bee:
Ren, See that is what I'm saying. They should have made her Thyriod removal top priority especially if it is Cancer, knowing the system though it was probably some red tape bureaucracy bullshit keeping things hold up. My doctors called my insurance company before they would do any surgery for me to see if they covered it. It's like yeah, I have a tumor and I need it removed. Soo there's that
'andersom ' - I'm sorry, I think a lot of times they just figure old people are on there way out and don't give a fuck if they catch anything j time to do any interventions. It's really sad, work your whole life to pay to live and this happens. Thanks for the well wishes
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Jesse, anyone taking that attitude towards old people's healthcare needs tying to a post and whipping to death with a knotted rope soaked in salt water. 'meh, they'll be dead soon, so why give a flying fuck anyway?'' that really is the kind of thing that should earn a doctor a beating to death, slowly.
As for the US, healthcare system seems completely FUCKED.
I cannot believe the way both ciitizens and governments react to the idea of an NHS, as if it's actually evil, and anyone who supports it sucks the devil's own dick. They'd sooner have a system of insurance, and anyone who can't afford it, is screwed. Or if someone ends up with say, it paid through their employer, and they turn out to be a dishonest, complete bastard who goes on to shaft an employee and stop paying what the employee is entitled to, the result could be a dead employee.
I know someone who WAS put in that situation, and no minor issue either, she needed corticosteroids, due to a severe deficiency of ACTH, and also antiseizure meds (which you DON'T just suddenly stop, its just something one does not do), the result could be damn dangerous, likewise with corticosteroids) her boss was a fucking prick, could well have killed her.
Needless to say, he best hope I never get close enough to him to come within physical contact range, and likewise, that I never find out his mailing address.
Jesse-thanks, although I'm not sure what you mean. Wasn't bravery, it was just cutting through that IV line before the contents got to me. I prefer living to not living, so there really wasn't much choice. Besides if that prick had to clean up a big mess on the floor, good, so much the better, serves him right for such a goddamn stupid fuckup in the first place. Both for making one and BEING one too :tard:
IMO the US system is whats evil, the fact they would leave someone with cancer to check if their insurance will pay for it, and if not, they can just go get fucked and die, until it gets to the point where their insurance covers some painkillers for palliative care.
That friend of mine, I was REALLY worried that bastard boss of hers might have got her killed, I mean shit....just because he was a nasty piece of work and a greedy bastard, the US healthcare system is so bad that it allows for situations where a person's life can be put at risk not because of their health, not because of the hospital, but because some third party decides they are going to be a cunt and stop contributing what they have to, and if someone can't afford to take them to court and force it from them, they might well be left to die.
Thankfully she's still with us, but damn, worried about her isn't even close to describing things.
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FWIW I think conventional medical practice is to chemically shrink a tumour before removal. I would want any tumour out ASAP. Hit me with the drugs later.
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Jesse, really glad youre finally getting the procedure you needed. The waiting game sucks, but at least it is scheduled. Wishing you luck as you go into this, hopefully it is benign.... Its not great that that doc gave you misinformation, and worse that they would hesitate to do the procedure without having an assurance from insurance. They should have had it scheduled and been fully intent to do the procedure regardless. The hippocratic oath is a joke nowadays. An effing joke.
Do you have any pre surgery prep you have to do?
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Yep you are right, it's insane to think in today's world in the richest country in the land you need an approval for not just the procedure but even to stay a night in the hospital. If they remove the whole thyriod I can stay one night, if they remove only half I have to go home. It was the same with my hernia repair (which I had just yesterday) kicked me out 30 minutes in recovery because I could urinate I mean it is a joke when you get right down to it!
I do. This Thyriod surgery will take anywhere from 2-4 hours under general anesthesia which I think is cool because it's like missing time. It definitely isn't like sleeping even though that's the common idea among everybody, they put a mask on you, strap your arms down pump you full of Protocol? And it's good bye sucker
Lestat you seem brave to me! :laugh:
I will try to attach the letter they gave me, okay so the file is too big. But basically:
Can't have 7 days before surgery,
Salicylates: ascriptin, aspirin, alka seltzer, anacin, bufferin, ecotrin
24 hours before:
Ibuprofen, Advil, medipren, motrin, nuprin
7 days before herbs I can't take,
Cats claw, echinacea, ephedra, evening primrose, feverfew, flaxseed, garlic, ginger, ginseng, goldenseal, green tea, kava kava, nettle, saw palmeto, st. johns wort, valerian, vitamin e
Can't have 36 hours before surgery: anti inflammatories
Clinoril, dolobid, feldine, indocin, naprosyn, voltaren
Specific direction: anti coagulants
Coumadin, lovenox, persantine, plavix, pletal, ticlid
Others, Alcohol, Marijuanna, other recreation drugs
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Yep, that sounds almost like my instructions before hernia surgery. Except they sent me home before I pee'd after the catheter was removed. I spent more than a few hours at home wondering when I would do my "business" on both ends before I should panic. Oh and talk about overkill...because I have a mild allergy to latex.....mild skin rash....they felt they had to stick a breathing tube down my throat. MY gag reflex went into overdrive they said on both the entry and the withdrawal. My throat was so fucking sore, even the pain killers were worthless. >:(
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Oh yep. I'm still waiting to do my business #2 ; but can pee without any problems, the problem with hernia surgery (especially if you have an open repair) is you cannot bear down. It's incredibly painful, I'm also not taking the Narco pills they gave me because they cause horrible constipation
Just Advil and Maximum strength Tylenol so far.
I'm really happy they didn't have to cath me. Oh god that is bad, having a tube in your penis. Other than that the Thyriod surgery is something I've never experienced before I'm just hoping it isn't too painful.
I didn't have any problems with the breathing tube thank god. They should have put the oxygen line through your nose, to avoid the gag reflex and avoid a sore throat. Sounds like a bad anesthesiologist
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FWIW I think conventional medical practice is to chemically shrink a tumour before removal. I would want any tumour out ASAP. Hit me with the drugs later.
Right? The doctor was all, well we can leave it in and watch it. I'm all how about "no" lol
I want it out. It's already a tumor. It's already diseased. I don't want harmful radiation and chemicals to get rid of it just take it the fuck out, :laugh:
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Probably not likely to be a problem with weed.
And its 'propofol' not 'protocol' :P (also known colloquially to anaesthetists as 'milk of amnesia', a humorous pun on milk of magnesia, the antacid. I find it odd that they say no antiinflammatory drugs 36 hours before, but ibuprofen listed specifically 24 hours before...surely if diclofenac (voltarol and similar brands), indomethacin (indocid is likely this, going from the name), all non-steroidal antiinflammatories, do the same thing, odd they single one out particularly for a different time.)
I've had propofol used on me to put me under after I asked them specifically not to use any of the short-duration barbiturates (thiopental, etc. [aka sodium pentothal, stuff they sometimes call 'truth serum'] due to it's rather odd receptor binding kinetics, with an unusual 'trapping' effect on AMPA type glutamate receptors. Got me a few rather odd looks, but no problem, and propofol was used instead. Stuff works damn fast, thats for sure, though)
Although fucking christ, kicking someone out of a hospital bed a mere 30 minutes after any operation...fuck me. That's major-league screwed up.
But the way they'd literally leave people to die just because their insurance wouldn't pay out....and good people too, an autie (Rett's) activist lass who I love very much, they left her to go without her ESSENTIAL seizure meds, AFAIK steroids too, and that could have easily killed her. Would have broke my heart if that had happened, hell, it did just to hear that she got shafted by her boss like that (obligated to pay insurance on her behalf, fucked her over because he was a complete and utter prick.) Unfortunately too far from me for me to get there and....convince him with a firm, but fair arrangement....
Something like 'you start paying her insurance again, along with the backlog owed her, and I won't ram a rusty screwdriver up into your brainstem and out through your eyesockets; oh, and you're going to compensate her too. Because I've no problem going after your family too if I have to'
Firm, but fair. Pay up, and nothing bad happens to him and his family don't get their house torched while they sleep. I'd call that fair. Ball is entirely in his court there.
For the constipation thing, just use something like movicol or laxido (same medicament, just one of them has a lime flavour option, barely any flavour in either of them but one tastes better than the other), basically a softening, bulk-forming type laxative that doesn't force the shits, or anything like that, just makes sure they don't become hardened and difficult to drop one. Based on a non-digestible polymer, which the body doesn't become habituated to. SMALL amounts of a stimulant laxative, could be of use too, like senna, on a temporary basis, but I'd keep the doses small.
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It's a good thing we have a resident chemist, doctor uhhh well encyclopedia on drugs here, :laugh:
Thanks Lestat I wasn't gonna take anything on that list.. I will also probably have to discontinue my Blood pressure medication, (Lisinopril) too. I'm sure of it just haven't talked to the nurse yet, her call will be sometime mid month next month. I guess that's why they call it medical practice or practicing medicine? I don't think these people know what they are doing.
Propofol, right. Well I was close, hah. One thing I will agree with you is wow is it fast acting. I mean less than 5 seconds I was unconscious, I actually wouldn't mind that feeling in a pill form it was wild :laugh:
I could get hooked. It seems like it almost wipes away your memory, problems and almost who you are. :popcorn: :santa:
Thanks for the advice Les. Give yourself credit, you know a lot about drugs, Chemicals and interactions and such, so cool I think.
And yeah it does suck being kicked out after a surgery like that, I would have preferred to stay at least overnight but welcome to healthcare in the good ol US of A. Where Insurance companies tell you what you're gonna do
Here is a pic of my hernia repair, if the file isn't too big. From Facebook.
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FWIW I think conventional medical practice is to chemically shrink a tumour before removal. I would want any tumour out ASAP. Hit me with the drugs later.
Right? The doctor was all, well we can leave it in and watch it. I'm all how about "no" lol
I want it out. It's already a tumor. It's already diseased. I don't want harmful radiation and chemicals to get rid of it just take it the fuck out, :laugh:
You may need some radiation treament afterwards. But my g'friends daughter only had to have one treatment, which is pretty standard for thyroid cancer.
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I had arthroscopic or micro surgery for mine. 3 tiny incisions, one for the camera, one for the robot arm and one for the mesh to be placed in thru. Faster healing, then conventional hernia surgery incisions. They even took pictures which they gave me after. Pretty cool to see the insides of my abdominal cavity. 8)
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Coolness. I had to have an open repair because the doctor wanted to see just how long the tear was, vs how much mesh to put in. Mine was super long he said, kinda bad but he put in the mesh sewed it in I believe, and now we wait. :laugh:
Good news is I went and did my business just literally 5 minutes ago, so I am happy. Nothing feels better in this world than taking a shit. And I mean nothing! :laugh: :laugh:
Minimum pain doing so, Happy happy happy. :2thumbsup:
I wanted to get the robot to do mine but the surgeon had other plans, and it's all good. Will take more time to heal but that's awesome you got to see your insides how radical.
Queen, you maybe right. I'll just have to wait and see whatever the Endocrinologist wants is what I will do, just want this tumor out
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And if you end up not using the whassits, we don't use that one at all here, it isn't available in this country, so if you get all healed up and they are still there, PM me.
As for pill form, I very much doubt propofol would be compatible with oral use, it is so short acting, it's just not a drug that could be worked into a tablet form, it'd be absorbed slower, and chances are, either all, or almost all gone by the time it'd be absorbed. As for getting used to it, would be a bad idea, a physical dependency on the stuff would be a DISASTER, GABAa agonists have hellish withdrawals, benzos, barbiturates, etc. People say even a moderate benzo WD is worse than severe H withdrawal. And I believe that, they say given the choice, they'd take opiate WD any day, if they had to go through one or the other.
And the ultrashort duration of propofol would necessitate continual IV infusion, similar to say, remifentanil (a fentanyl derivative with an ester linkage critical to activity, lasts literally minutes, if an IV bolus dose were given, so it's used only in surgery, since the moment the IV is discontinued, it continues to act for perhaps 2-3 minutes, 5 minutes at the most extreme optimistic end. )
And anaesthetists who abuse the stuff/use it recreationally, there is an ultra-fine line between them getting off, and a lethal OD; propofol use recreationally by anaesthetists who decide to have some fun with it very often have ended up dead.
Surprisingly simple structure though, it's just 2,6-diisopropylphenol. Has to be used in an injectable emulsion formation, in intralipid, which causes allergic reactions in some people, not the propofol, but the intralipid delivery vehicle. A newer derivative, fospropofol, a phosphate ester of propofol which is hydrolyzed in-vivo rapidly, allows it to be used in aqueous solution is now available and avoids reactions to intralipid.
Quite astonishingly, propofol itself (under the name '2,6-diisopropylphenol') can often be bought on ebay in half kilo to 1kg lots! Not, mind you that I'll ever actually buy any, unless I need some to create something else in the lab using it as a starting block to build from, but damn.....if ebay actually KNEW what it was, they'd have a shitfit. Not that anyone need contact them, I doubt most people would know it for being propofol, and those who do know their pharmacological chemistry well enough to realize, realize how damn dangerous trying to use it/make fospropofol with it and use that would be and wouldn't do it for that very reason.
Can't say the same for some of those volatile anaesthetics though, at sub-knockout concentrations, though, I've always really enjoyed diethyl ether, either inhaled or used to make some rather unique cocktails of my own invention (like the manhattan project. A variant on the jagerbomb theme, needs a couple of special ingredients, rather hard to find these days here, care+ brand codeine cough linctus, it used to be preserved/flavoured with chloroform, although of recent years its been taken out, so 3-4 drops of CHCl3 need to be added, and it HAS to be care+ brand, no other will do, with a few drops of chloroform added back in, to recreate the original flavour, this is layered thickly in a tall glass, then tesco own brand lime fizzy pop, the cheap stuff from tesco, again, got to be JUST that specific kind, this is mixed to taste with the right amount of vodka, and after putting the back of a spoon at the top of the thick cough mixture, the lime pop/vodka blend (and make it a GOOD vodka, and it should be nicely chilled, fresh from the fridge) before layering it, using the back of the spoon to make sure it stays as two distinct layers, the sugary syrup being far denser helps in this, but it has to be done with care to stop them mixing) and at the top, a mixture of sugared lime juice, fresh-squeezed, a little bit of vodka to help solubilize the ether, in a small, lightweight shot glass, and a teaspoon and a half or so of diethyl ether mixed in, some lime zest grated over the top, and then, two slices of lime, freshly cut, with a knife cut made into each to allow them to be fixed at the top of the glass, and one of lemon with two cuts made in it, then the cuts used to create a lock-gate kind of structure, around the shot glass full of the ether/sugared lime juice/lime zest floated on the top of it) that keeps it in place.
One shots that down, and then drinks down the rest. The nice cold middle part has a nice kick to it, and then the thick, sugary codeine linctus, flavoured with a few drops of chloroform as it ought always to have been in and of itself, damn changing the fucking recipe, it coats the throat, tastes great, AND gives one a nice codeine buzz at the end, after a little while, the alcohol wears off, leaving one with a nice ether high (where alcohol is very sedative, with a little bit of dissociative effects, with diethyl ether, the two are reversed; plus EtOEt, unlike EtOH, doesn't give one a foul hangover. Has a fair history of being consumed by mouth, the irish did it, as did the polish during alcohol prohibitions, the americans might have, not sure on that, often as a 'kropka' (polish, meaning 'dot'), a little bit, floated on ice cold milk, and was very popular, especially in poland, where it became so common, ether drinking, that apparently almost all school kids would arrive stinking of ether, and fucked out of their faces, LMAO. Apparently it became so problematic in terms of schoolkids drinking it, and adults drinking it, that it was banned, and smuggled over the border, strapped to people's chests, along with all manner of other tricks to hide it from customs inspectors.)
So I invented that cocktail, the manhattan project using it as inspiration, has a REAL hefty kick to it, and then a delayed second kick when the codeine takes effect. Nicely relaxing. The name being a portmanteau of the manhattan cocktail and manhattan project US nuclear program :autism:
Not that I'd drink them, but I find those fluorinated ether volatile anaesthetics they use for inhalational anaesthesia rather pleasant, sevoflurane for example. Smells/tastes great too when going under.
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The nurse practitioner had no business telling you those results, unless she works in this area specifically day in and day out and reads the biopsy results of these kinds of surgeries on the regular. Sounds like you're far better off with the ENT specialist.
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It was a nurse practitioner, not a doctor?
This is sounding more and more like you need to sue the shit out of the bugger.
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It was indeed a nurse practitioner. I'm going to give it until my surgery if my Tumor is Cancerous I'm going to drop her and get an actual doctor. I've got about less than a month until my surgery. They will biopsy the Tumor right there in the OR and go from there, I'm definitely getting a partial thyriodectomy on the right side. This damn Tumor is getting bigger, feels bigger than golf ball size now
I'm really freaked out about the drainage tube they put in because they have to remove it usually 2 to 5 days later. I can't tell you how ungodly painful that is going to be removed. And they do nothing for you, except pull it the fuck out. No pain meds, Lidocaine shot to numb the area nothing. I am not looking forward to it because it's going to be pure hell
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It was indeed a nurse practitioner. I'm going to give it until my surgery if my Tumor is Cancerous I'm going to drop her and get an actual doctor. I've got about less than a month until my surgery. They will biopsy the Tumor right there in the OR and go from there, I'm definitely getting a partial thyriodectomy on the right side. This damn Tumor is getting bigger, feels bigger than golf ball size now
I'm really freaked out about the drainage tube they put in because they have to remove it usually 2 to 5 days later. I can't tell you how ungodly painful that is going to be removed. And they do nothing for you, except pull it the fuck out. No pain meds, Lidocaine shot to numb the area nothing. I am not looking forward to it because it's going to be pure hell
Can you ask for a Xanax or something of the like? Fight for it. I've had that done and it's brutal. Even before the surgery, fight for that and if you have someone you trust that you can bring with you to advocate on your behalf, do it.
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I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
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I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
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Is it going to be done under a local or a general? if the latter, DON'T go in drunk!
And do make sure you actually get pain meds mate, you'll need them for something like that, and definitely analgesia during the actual procedure itself.
There are ways around the opioid related constipation that aren't as unhealthy as people relying on stimulant/irritant type laxatives. And I'm happy to give all I know in that respect.
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I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
for the drainage tube removal? What if I chew gum and hardly speak, immiting alcohol breath :laugh:
I'm not going drunk for the Thyriod removal. That would be bad, as alcohol and general anesthesia don't mix, :trollskull:
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Is it going to be done under a local or a general? if the latter, DON'T go in drunk!
And do make sure you actually get pain meds mate, you'll need them for something like that, and definitely analgesia during the actual procedure itself.
the later. I'm not going drunk for the surgery just thinking about it for the Drainage tube removal after surgery.. They do it awake, urgh.
I'm definitely getting their finest examples of pain meds for the thyriodectomy. :2thumbsup:
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Well as I mentioned, I know good ways to avoid the constipation related to opioid use that affects many users of them, so do make sure you don't just go without. I've had surgery before (on my knee) and it'd have been far too much to cope with without them.
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Here's my hernia scar about 3days later. It's about a 5 inch scar
I'll post my Neck dissection when it happens, :zoinks: :orly:
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I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
for the drainage tube removal? What if I chew gum and hardly speak, immiting alcohol breath :laugh:
I'm not going drunk for the Thyriod removal. That would be bad, as alcohol and general anesthesia don't mix, :trollskull:
I know your speaking from frustration and stress. And you know as well as I do that chewing gum does NADA for drunkeness. A pre-op nurse would spot that in a heart beat. EXnurse speaking here......RESPECT MY AUTHRITAH..... :laugh: :laugh:
https://www.youtube.com/watch?v=XbebjUYItKw
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Well as I mentioned, I know good ways to avoid the constipation related to opioid use that affects many users of them, so do make sure you don't just go without. I've had surgery before (on my knee) and it'd have been far too much to cope with without them.
Much appreciated Lestat, I appreciate your expertise in the matter
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Here's my hernia scar about 3days later. It's about a 5 inch scar
I'll post my Neck dissection when it happens, :zoinks: :orly:
Yep, I've seen those. And that's for surgeries worse than my own! OY
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I'm going to see what I can do for sure. Might just go in drunk if I have too. I'm not putting up with that
Please do not do that, they will cancel the surgery....get drunk after..not before...PLEASE!
for the drainage tube removal? What if I chew gum and hardly speak, immiting alcohol breath :laugh:
I'm not going drunk for the Thyriod removal. That would be bad, as alcohol and general anesthesia don't mix, :trollskull:
I know your speaking from frustration and stress. And you know as well as I do that chewing gum does NADA for drunkeness. A pre-op nurse would spot that in a heart beat. EXnurse speaking here......OBEY MY AUTHRITAH..... :laugh: :laugh:
LOL will do. :plus:
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Here's my hernia scar about 3days later. It's about a 5 inch scar
I'll post my Neck dissection when it happens, :zoinks: :orly:
Get well soon, Jesse.
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My sister is having the exact same surgery on the 16th of January. She's been told it's cancer but they're doing a biopsy while she's asleep to make sure. So it might even be benign. They won't know for sure until they operate.
It would be excellent if both of you don't have cancer.
Turns out my sister saw the surgeon on the 16th, she didn't have surgery then. I'm going to have to call family for more news.
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Jesse, have you had the surgery?
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My sister had surgery last week. She got the results today. Benign!!! Yaaaay!
I'm so happy for her, waiting must have been so difficult. Especially as they told her it was cancerous when they did the biopsy. She's going through a difficult divorce, so I'm glad she doesn't have to worry about cancer now. :)
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That's really good news, Ren. :)
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Jesse, have you had the surgery?
Hey Jesse, hope you are doing well. I second Ren's inquiry.