Attack of the 50-foot needle!

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ponygirlmom

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Joined
May 2, 2008
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659
Location
Fountain Hills, Arizona
Okay, I don't really know how big it was. They wheeled it in while my back was turned. Then they used to it to drain 700 milliliters of fluid from the space around my right lung. It's called a thoracentesis, and it's normally not a huge deal, but of course, I had to be all dramatic about it.

WARNING: Do not read while eating!

This morning I went to see my surgeon. We're still in a holding pattern about my heart rate and anemia because I'm waiting to see the cardio and hemotologist, but the surgeon said it's time to drain off that pesky fluid. I agreed, because I was at a total low point when I saw him today, exhausted, febrile, short of breath, you name it.

So they send me from the hospital to the clinic, and tell me that it's just sort of like having an IV in my back, and that I can eat lunch. So we eat lunch, and a few hours later I'm getting checked in.

The nurses were a little worried about my high HR, but of course draining the fluid is supposed to help that go down. So I go into the little room and sit on the edge of the bed with my upper body leaning forward against a pillow on a meal tray. While I am distracted they wheel in Big Bertha. They do a quick back ultrasound, give me a few injections of lidocane in my back, insert the catheter, and start draining. They tell me to speak up if I feel severe pain.

Mostly the whole thing is more creepy than painful. In fact, after the first shot of lidocane, it definitely was not painful, just creepy, until they were almost done draining me. Then I suddenly felt a lot of pain below the catheter site, and told them. That was their signal that they had to end a little early.

As they removed the catheter, my blood pressure dropped super-low and I started to faint! This was Unusual Drama #1 for the day. Both the tech and the doctor -- who, incidentally, was definitely somewhere between drinking age and car-renting age -- were flustered. I don't know how I managed to remain conscious; I think it was because there was no place to lay down immediately but on my left side, and I knew that would be bad. By the time they had eased me onto my back, I was very nauseated. I told them so, and they couldn't find * WARNING! WARNING! GROSS PART!* something to barf in in the room, so they sat me up again over a huge, waist-high waste bin.

That was Unusual Drama #2. The doctor had never had a patient barf before.

Fortunately, the barfing sobered me up and I was no longer faint. The doc and tech were visibly relieved when the after-care nurse rushed in with her monitoring devices, washcloths, barf-cup, etc. Then they wheeled me to after-care, where they monitored me for a few hours.

So why am I writing this really long post? It's taken me a long time to write it, because it's hard for me to be in any one position for very long. Part of my chest is breathing easier and part is painful and I feel "bubbly" where my lung had been collapsed by the extra fluid.

I'm writing it so that other members can a.) learn what a normal thoracentesis should be like, and b.) what happens when you have dippy blood pressure, like me.

And now, if anyone has had a thoracentesis of their own, please tell me what it felt like the evening and day afterwards, because it feels really weird to me.
 
What a coincidence! My husband helped with a thoracentesis this afternoon at work, and I was grilling him after he got home regarding how painful the procedure was.

I just read your post to him, and he said it was unusual for a patient to throw up, but he's seen it happen once. He said the patient wanted to look and see what was being done, and when she saw it, she threw up!:eek:

Anyway, by the time we got through talking I decided that I would prefer to never undergo one, and after reading your post, I'm really sure!
 
I have had a few of them. The first two or three was in Nov of 1982 after major chest surgery to correct a deformity. The last one was about a week after my AVR. I can still remember the stick and burn from each one but nothing like your experience.

Karl
 
It sounds like something you're entitled to be dramatic about :eek: ! Hope you're better soon.
 
Sounds like an absolute horrific nightmare. I had a spinal injection thing one time and I thought I was going to die from the pain.

Can't they just put you "out" for something like this? I do NOT want to be awake for it if I need it.
 
Sounds like an absolute horrific nightmare. I had a spinal injection thing one time and I thought I was going to die from the pain.

Can't they just put you "out" for something like this? I do NOT want to be awake for it if I need it.

Well, the upshot of my experience is that thoracentesis isn't a big deal for most patients. I just can't seem to have anything done without drama. (When I had my MRI with "totally safe" mineral-based contrast dye I had an allergic reaction and spent three hours recovering in that same post-procedure room.)

The procedure itself has minimal pain. I actually have a lot more post-procedure pain, between sure muscles and my lung trying to expand.

I asked the nurse if they ever sedate patients for thoracentesis. At first she said no, but then she said that some patients take tranquilizers beforehand. Me, if I ever have something like that again, I guess I'll need something to keep my blood pressure up!
 
I had six of them. Two in the hospital post-surgery and then four as an outpatient. Each time, I found it painful and uncomfortable as the fluid drained and the lungs re-expanded. Sometimes the pain lasted into the evening or even the next day.

FYI, the surgeon put me on two courses of Medrol steroid pack which seemed to take care of the fluid problem. I just had my first "clean" chest x-ray since my surgery!
 
So sorry you had to endure this. It sounds like something I hope to never experience.

I have no idea if this is a good idea or not but do you think using your spirometer might help with the lung expansion?

Hope this is the last of the bumps for you.
 
I had six of them. Two in the hospital post-surgery and then four as an outpatient. Each time, I found it painful and uncomfortable as the fluid drained and the lungs re-expanded. Sometimes the pain lasted into the evening or even the next day.

FYI, the surgeon put me on two courses of Medrol steroid pack which seemed to take care of the fluid problem. I just had my first "clean" chest x-ray since my surgery!

It was definitely a painful night, and now I have pain around my collarbone in front and in my back.

If the fluid comes back I'm definitely asking for steroids! I've taken them before for other things.
 
Please be aware that patients should only keep their spirometers for a few days, as they fill with germs over time and can cause lung problems rather than solve them. If someone wants to continue using one, they should get a new one.

Or just breathe full breaths and practice proper posture - no lying in a chair that lets your back stay in a "C" position, or having pillows prop you up in a "C" position.

Straight back and full breaths will expand your lungs. Probably better standing or sitting than lying down.

Best wishes,
 
Ponygirl-As soon as I read your post I had to call my brother, Bud, in the hospital and read it to him. It really had him laughing! He had 1200 ml drawn off yesterday when he was admitted from the ER (2nd time in a week!) and it was so nice to have something to put a smile on his face! This experience was a first for him, also, and he's breathing lots better, too! He said to tell you he didn't barf, or feel like it, luckily. Hope you're feeling better!
 
And I thought I had been through some "stuff"

And I thought I had been through some "stuff"

This sounds HORRID! I'm glad I have never had to do this! My dad recently had fluid drawn off his knee. He said the Doc brought the HUGE needle into the room in his pocket. Sort of like waiting till you were distracted. They are sneaky! Well, I hope you feel better and this is the last for you!
 
Hi PGM , and sorry you had to go thru that, though you did make
the reading of it funny for us.
I had a thoracentesis in 1991 when I had my first bout of endocarditis.
I had pneumonia as a result of the endo., from the staphylcoccus that
was rampant in my system because of a late diagnosis.
I don't remember alot of it since my temp was running from 103-106,
I was pretty out of it. They had me in a chair faced backwards,there
was no sonography equipment used for this in 91, so it was done blind.
I remembered saying-"are you done yet?" about 100 times. It took so
long, and it was moderately painful. But I don't remember any after effects.
But it could be that I was so ill that I wouldn't have realized it anyway.
The needle is large-wow! I do remember that,but at the time that didn't
even seem to make an impression.
When you spoke of how the doctors reacted when you got woozy, how
they seemed unsure of themselves or frightened; I think that is the
worst thing for a patient to go thru, especially if you think that what
ever is happening could be threatening-you dont want 2 doctors who
also look scared.I had this happen to me when I had a pulmonary embolism
the signaled a code for my room( I was coughing up cups of blood)and
the first doctor to get there was a green intern, his first words to the
nurse in my room was.... "no one is here yet??" I looked at him and the
nurse and said "I really AM going to die". Then an older female resident
came in and the whole mood shifted. She pumped my stomach(they still
didn't know it was a PE) of blood and later, after the bleeding from the rt
lobe of my lung stopped on its own ,I had a room of about 50 doctors.
In retro the only thing they could have done would be to take me to
the O.R.
I didn't mean to go on, but you reminded me of that when you spoke
of your doctors' reaction to you barfing.
BTW what was your B/P before the procedure, and is your heart rate
the same?
Hope you feel better soon--Dina
 
Oh my goodness, reading about all your experiences with them made me feel actually LUCKY I'm paralyzed. I've had 5 of them and never had one bit of pain. Mostly am just amused that all the nurses have to gather and watch and go "oooh" and "aaah" and are amazed i don't feel any pain from them. Well, i don't feel much of anything past a couple inches below my neck so, of course, i won't feel anything. Sometimes paralysis is wonderful :eek:)))!!

Seriously though, i'm sorry to hear all you went through. I hope you feel much better soon!!

Dawn-Marie
 
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