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RE: Thank you and question re angiograms

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Hi Tania,

If it were my parent I'd insist on them scheduling it early in the day if

that will make a positive difference. Also I'd want to go over every single

medicine they plan on using or MIGHT use and make sure none are on the

dangerous list or categories and if so find alternatives to them where

possible. I would ask to speak with the anesthesiologist involved (and

there should be one involved with the possible complications) and talk over

your father's medicines and the need to avoid certain classes of medicines

to avoid more problems. I would go over the medicines and LBD concerns

with every doctor involved with your father - any doctor who might order

medicine for him needs to be " educated " . Also I would make sure they all

know that if there is some medicine that might be a problem that they need

to give him to start off low and go slow and not hit him with the full

regular dose right off the bat. The more preplanning I've done for my

mil's various hospital procedures the better the outcome and everyone seems

to be extra careful with her.

The procedure itself should not cause problems for your father's Parkinson's

and LBD, but the medicines they use can cause issues so important to go over

them all. In his last procedures if there was any issue with medicines it's

important they know this as well. Sometimes an anesthesiologist can use

alternative drugs or even methods. For my mil the last time she needed a

procedure they used a spinal block and some very light anesthesia for

" twilight " sleep and a very small amount of it. She did really well with

that and was hungry and ready to go eat as we got her dressed afterward.

The anesthesiologist came up with the alternative methods and it worked for

my mil really well. Also the hospital and it's policies and procedures can

vary (here they do) and the hospital we went to was very patient-centered

and not assembly-line mentality - even though there were a lot of patients

scheduled, we met with the RN scheduler to go over her health issues and she

called in the anesthesiologist for us when we asked - she did not complain

or say it wasn't done that way. She said she was glad to see a family

concerned and called for us. The anesthesiologists have all been very

helpful, caring and understanding with my mil's issues so far.

Hope things go well for your father,

Dorothy

From: LBDcaregivers [mailto:LBDcaregivers ]

On Behalf Of aussiebin

Sent: Monday, June 20, 2011 3:35 AM

To: LBDcaregivers

Subject: Thank you and question re angiograms

Hi everyone.

Firstly I wanted to say a big 'thank you' to all of your replies to my

introductory message a couple of weeks back. Everything is so appreciated

and I wish I had the time to reply in detail to you all. But for now, again,

please accept my thanks :)

I also have a question re LBD and angiograms. We found out today that my

father's bad heart requires yet another angiogram. This will be his third,

but his first since being diagnosed (incorrectly?) with Parkinson's and then

with LBD about a month ago. So, I'm wondering if anyone knows if angiograms

can/do create any problems in people with LBD? Last time, my Dad's BP rose

to over 220 over something (sorry, I can't remember) due to the stress of

being the last patient to go in for the procedure at 4pm.

I'd be interested to know if anyone has any knowledge in this area. If not,

that may be a good thing!?

Thanks all.

Peace and love.

Tania...

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