unite911

hi, I'm a nurse but never did urology as a speciality. I have a kidney stone in my left kidney which won't move through the renal calyces and renal pelvis. It's been giving me chronic left flank pain and left abdominal pain.I have a problem keeping myself hydrated d/t another medical condition,which doesn't help me keep from getting stone formations. I've passed a few apparently very small stones over the last 5-6 months.had to go to ED twice because of the pain from them,but the one in my left kidney, and one apparently impacted in my bladder aren't moving. I'm on my 3rd UTI from this and my urologist want's to do this retrograde pyelogram. will this procedure just be able to remove the one in my bladder or can she get to the kidney and remove the one out of my kidney this way also? apparently the one stone in my bladder is 2-3 mm and the one in my kidney is only 4-5mm. Because of the chronic knawing ache with occasional sharp pains in my kidney and abdomen,and the one in my bladder being impacted and causing these UTI"S,she wants to do this under general anesthesia because it's very painful?It's painful enough passing these "sand stones",so I can't imagine being awake while they shove this scope in and root aroun My vein access is terrible from all my medical problems, so she said they want to put me under and have the anestheologist but in a jugular line. Sorry this was so long, but I was hopeing one of you could answer my questions. Naturally I forgot to ask her these questions and now it's the weekend! thanks, marilyn

Hi, I'll try to be short. I had nissen with HSV done in 1995,severe Gerd,.Have had severe nausea, diarrhea, lost about 100 lbs, I'm dehydrated most of the time because I can't eat much d/t the nausea and some times I just loose the drive to drink,that's when it gets bad, I've passed out several times and ended up with concussions,broke my nose, knocked a few teeth out seems like no end in site either. I'm on phenergan p.r.n.(tried everything for the nausea).Also take donnatalES because I get severe chest pain(esophageal/digestive tract spasms).Even with all that I have to go in for another dilitation next week and I am petrified because this last one done in september 2004, I was totally awake, aware,dry heaving through the whole procedure,trying to pull that dam tube out to tell him to stop. I was told they gave me 100mg demerol and 5mg of versed. The last time they gave me the same but it knocked me out in a few seconds. I also take Klonipin.I'm a nurse but don't really see why the meds worked great before and not this last time( I've even thought that maybe the nurse that gave it to me last was keeping a little for herself,if you know what I mean.)but I hate to think that! I've talked to my GI Dr.'s nurse practioner about my concerns about how traumatized I felt because I was wide awake and they just kept going.She put on my chart to increase sedation.I think this time I have to insist that thay make sure I'm out of it enough before they stick that tube down!Heaven forbid if my doc has to wait 2 minutes or whatever for the meds to take effect before he begins the procedure.what's the limit of what they can give you,and if they've given you the limit ....can thay still increase it if your still wide awake and pulling at the tube and wretching !? Oh and the next wonderful thing is, I have to have a colonoscopy 2 days later(same doc).....needless to say I'm not having a good week worring about next weeks procedures.Any advice would be GREATLY appreciated. Thanks, Marilyn

hi, i hope i'm not to late for you to get this reply. i started off as an lpn in1987,and got my rn in 1991. the best thing i could tell you is to have faith and trust in yourself and all you've learned.......it's all in there,you secondly must go into that exam with a calm mind and body,when a person is overly nervous or anxious our minds can become paralyzed with fear and doubt! god has apparently blessed you with the desire to become a nurse in the first place,being a nurse i feel it is not a job,but rather a gift....a gift from god. take peace and assurance..... he will see you through this. i know your going to make it,so just be the best nurse you can be and keep the spark within you always! mar

hi, a really great site I came upon is PAIN.com,Great stuff about addiction vs. chronic pain sufferers who use oploids, a lot of great articles,studies on differentiating and identifying drug abusers(even those with chronic pain issues who need proper pain management).today's view on pain management,I could go on and on,just check the site out, you won't be dissappointed.Our society;Law makers, the medical establishment,we all need to educate ourselves.....people in pain should not have to suffer needlessly,we can not hide behind the door's of ignorance any longer! you can also just type in pain management, and a lot of useful sites will come up,it can be overwhelming,but our education has to start somewhere right! good luck and God Bless, mar