What should I ask the radiologist before my cerebral angiogram?
April 24, 2007 9:41 AM Subscribe
What should I ask the radiologist before my cerebral angiogram?
Long story short, my neurologist has recommend that I have a cerebral angiogram done. It's scheduled for this Thursday. Thanks to the nurses handling my pre-admission, I think I have a good handle on the procedure and what it entails, what to expect, and why it's necessary. Conveniently enough, my neuro's on vacation, so pestering him is out unless it's an emergency (and even then, it would involve calling the guy covering his patients.) I guess what I'm asking is that considering I'm only going to have a very limited time to talk to the radiologist doing the angiogram (who I've never met) before the procedure starts, and other than asking him about the risks and signing the consent form, I want to make sure I make the most out of the time while I'm still lucid enough to care. (The procedure is done under a local, but apparently i'm getting a good dose of sedatives). But what else am I missing, if anything?
Long story short, my neurologist has recommend that I have a cerebral angiogram done. It's scheduled for this Thursday. Thanks to the nurses handling my pre-admission, I think I have a good handle on the procedure and what it entails, what to expect, and why it's necessary. Conveniently enough, my neuro's on vacation, so pestering him is out unless it's an emergency (and even then, it would involve calling the guy covering his patients.) I guess what I'm asking is that considering I'm only going to have a very limited time to talk to the radiologist doing the angiogram (who I've never met) before the procedure starts, and other than asking him about the risks and signing the consent form, I want to make sure I make the most out of the time while I'm still lucid enough to care. (The procedure is done under a local, but apparently i'm getting a good dose of sedatives). But what else am I missing, if anything?
"Hello, have you tested me to see if I am allergic to the contrast medium?"
posted by damn dirty ape at 10:02 AM on April 24, 2007
posted by damn dirty ape at 10:02 AM on April 24, 2007
Second damn dirty ape with a healthy dose of personal experience. My heart stopped for 11 minutes because of an allergic reaction to contrast.
And make sure they have a defbrillator attached beforehand.
posted by killermac at 10:26 AM on April 24, 2007
And make sure they have a defbrillator attached beforehand.
posted by killermac at 10:26 AM on April 24, 2007
Welcome to "sunset groin." Plan on being a variety of colors, starting with purple, from hipbone to hipbone, for about a month. That, and they'll want you to use a bedpan for a while, due to the size and location of the clot formed. Because you will have extra fluid in you, you will want to use that bedpan. I made myself wait, because I'm stubborn, but I am not sure it was worth it.
You will be, ah, shaved. The sides of your neck will hurt a bit afterwards.
posted by adipocere at 10:29 AM on April 24, 2007
You will be, ah, shaved. The sides of your neck will hurt a bit afterwards.
posted by adipocere at 10:29 AM on April 24, 2007
I would ask your doctor if a less invasive QMRA is sufficient. (Of course, you have to also find a hospital set up to do one; it's pretty new technology.)
posted by j-dawg at 11:42 AM on April 24, 2007
posted by j-dawg at 11:42 AM on April 24, 2007
Ask if you'll get a cow collagen plug for the incision. It'll still hurt like hell when the intern spends 15 minutes pressing a twenty pound bag of sand on it post-procedure, but the plug will make the healing go much more smoothly (I guess). I don't have as much as a scar, can't find any evidence of the incision. The sunset groin? Not so much in my case (and I had a triple lumen on the other side, for aesthetic balance); I was walking around and lugging my luggage two days post-procedure (and four days post-MI). Yeah, the incision remains a bit tender for several weeks.
I forget how long the dressing was on the incision, but I vaguely recall missing out on some showering. Oh, and dogs can smell the dressing or the blood or the lack of showers, so if you'll be around dogs, be ready to shove away friendly furry snouts intent on investigating your lap.
As to the procedure itself, if they tell you you'll be awake, that may be technically true, but the sedatives put me out; your mileage may vary. I remember being wheeled in, looking at the monitor, thinking "this'll be fascinating" and then blur-blur-blur. Will they take the opportunity to do anything else (stent you?) if the doc sees the need? Find out.
Good luck and take it easy.
posted by orthogonality at 4:16 PM on April 24, 2007
I forget how long the dressing was on the incision, but I vaguely recall missing out on some showering. Oh, and dogs can smell the dressing or the blood or the lack of showers, so if you'll be around dogs, be ready to shove away friendly furry snouts intent on investigating your lap.
As to the procedure itself, if they tell you you'll be awake, that may be technically true, but the sedatives put me out; your mileage may vary. I remember being wheeled in, looking at the monitor, thinking "this'll be fascinating" and then blur-blur-blur. Will they take the opportunity to do anything else (stent you?) if the doc sees the need? Find out.
Good luck and take it easy.
posted by orthogonality at 4:16 PM on April 24, 2007
This thread is closed to new comments.
You should feel comfortable with his ability to deal with these common complications before you undergo the procedure.
posted by ikkyu2 at 9:59 AM on April 24, 2007 [1 favorite]