 |
 |
Our thanks to those who replied. But, has anyone had this procedure, or do the MD,s on the list have any comments. > -----Original Message----- > From: Parkinson's Information Exchange Network > [mailto:[log in to unmask]] On Behalf Of Lionel Modra > Sent: Friday, August 24, 2001 7:53 PM > To: [log in to unmask] > Subject: Epidural for PWP ??? > > > My wife, who is the PWP in this family, is scheduled for > surgery (Proctectomy, Sigmoid Colostomy. Cystectomy, > Urostomy) on Sept 5, and we were advised yesterday that the > usual procedure is to insert an epidural catheter (prior to > surgery) to introduce pain relieving medication post > operatively. Does anyone know if there are any undesirable > side effects of this procedure in PWPs? We are aware of the > Pethidine / Selegiline reaction, and have ensured that all > involved in her treatment are also aware of that interaction. > She fell and fractured her 3rd sacral vertebra, damaging the > S3 nerves, in Feb '99. The nerve damage resulted in > dysfunction of both bladder and bowel (retention), and > continuous pain in the pelvic area, increasing in intensity > as the bladder and rectum fill. No improvement in the nerve > function has occurred, hence the move to surgical > intervention. She has tried all the available medications, > and nerve stimulation (Medtronic), but unfortunately without > success. Life for her revolves around self-catheterisation > and enemas at present. The stress of this problem has > accelerated her PD (she has gone from good control with 450 > mg levodopa per day, to on/off control with 1,100 to 1,200 mg > per day. She also takes 2 x 5 mg Selegiline / day. She has > not been able to take any of the agonists because of their > constipating effect, and the effect of reducing blood > pressure. We would appreciate any comments or advice > regarding the epidural, or other PD related matters. Lionel > Modra, c/g for Win (71\67\??) ---------------------------------------------------------------------- To sign-off Parkinsn send a message to: mailto:[log in to unmask] In the body of the message put: signoff parkinsn