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Tulsa pain management : Ep-7 Part 3

And typically the battery to be you know we could use either a nano rechargeable or rechargeable battery.

And you know Pat cultish the very very happy with what we’ve done for the.

OK and. Also Tulsa pain management if I come to you and I have this procedure done what can I expect in the operating room.

So in the operating room we have a season we also know we’ll be able to make you very comfortable I mean again we don’t put our patients out but we can we can drop positional level to one step below just under sedation because an anesthesiologist involved so rotation we don’t you know put any tube down your throat for this reason and own but we give them enough sedation that they could be in a very light sleep. So so when a patient comes in you know we put him on a table. Typically you know either face down or face depending on where we implant leads you know. And I you started sedation now the skin along the path where we place leads and then now put in the leads and then you know make the pocket for. The generator and connect every to get in close in and do what the patient not after. So it’s it’s worked really well for us when NASA is involved because you know they have a high level of training and they can put a patient out an hour deeper into a seizure than just a regular sedation.

And if I have Tulsa pain management why can’t I fix that. How much time can I expect I need off of work.

Typically aspiration to be off work within three days to a week. The main thing is is because this survey involves the complexity of surgeries is like getting a Breslov removal or a pacemaker. So. So there is an incision is already an incision through the skin and in the just below the skin. And so that’s the part that hurts the most the pocket because you’re creating something a space and putting in something in there that was never there before so it takes a while for the body to adjust to it. It’s heel is a former capsule around. So I would say the worst pain in 13. We typically give patients extra pain pills so those are enough that the pain should get better. So I would say between three to seven days being a how demanding the job is obviously it’s a desk job that doesn’t involve a lot of movement then you know three to five days is what I recommend.

OK. And what about my normal around the home chores doing dishes vacuuming floors taking care of my children. What can I expect there.

We normally ask because take it easy for a month because while the leads the anchoring side of the leads and the pocket heals we don’t want too much movement that can cause shearing or tearing of the of the wound. So we asked the patient not to do any vigorous bending twisting lifting to take care. When you get in a car you know don’t make sudden quick extreme movement. So we as patient take it easy for a month and then after that you know you can just increase activity as you do because after Monday it should be enough scar tissue. To hold down the the the leads as well as to close the wound.

OK so I’m going to have this procedure done with also Tulsa pain management and I’m having a I took a call last night on our call found my triology the phone call and a lady was having a spinal cord stimulator place today and she called me with increased anxiety to the point that she didn’t even know she wanted to have the procedure done. So I talked to her and calm her down and one of her questions was could she take Xanax the night before the procedure in the morning of the procedure. What are your thoughts on that.

You know if they’re already on Xanax and I say that that should not be a problem. Typically we ask them not to take the day off because we to come in here to sign a consent. So we want to make sure that you know they’re are not half sedated. But but you know if you have to take it just go ahead and take whatever is needed to make it come down. And when we hear you know we can start giving you the intravenous version of Xanax and then help you calm down even more. So I’d say just you know just take what you need to make it here. Of course don’t take too much because you want to talk to you and give your consent for the procedure.

Tulsa pain management So another one of her questions was if I take Xanax the morning of the procedure is going to affect my sedation.

Well the doctor typically gives sedation in mind to the patient. And so if if if it is you know he deems it that the patients too sedated and he may not give you as much intravenously. So to answer your question I can make allowance for that you know it just is what we give according to what’s what the patient needs.

So if I came to your office and wanted to have a spinal cord stimulator what are symptoms that I have to have and what are things that I had tried before insurance will approve me for a spinal cord stimulator.

So typically the Tulsa pain management that responds the best to a spinal cord stimulator is pain that goes down your arms or legs. So like sidecar type pain for a pinched nerve or from a damaged nerve. So these are the ones that classically have the best response. You’ve also had success with patients having just low back pain. So these are the two you know the two symptoms that we look for. We also offer it to patients who’ve had past injections that did not respond well to the fact didn’t last long enough. Two patients who have had back surgeries. So these are indications that generally get approved pretty easily. So the patient has a pinched nerve has had back surgery in the past that is not relieved with surgery. Patient have had multiple injections and did not respond well. So with all these diagnoses and we we find that you know we have no trouble getting it approved.