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Biopsy with sedation

LacieAnn728's picture
LacieAnn728
Posts: 34
Joined: Oct 2017

has anyone ever done a biopsy with sedation? I had one before without any and it was horrible. Now my doctor is letting me have sedation from the bad experience I had before. Was wondering what they give you? & if Your in pain when you wake up??

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3043
Joined: May 2012

Are they planning another biopsy on you, Lacie ? I thought you just had one from inside your lung.

I assume you are speaking of a bone marrow biopsy.  My clinic was going to give me nothng prior to the pull, but then offered a pain pill, probably a Loritab.   Sedation is rare for BMB, but I'm sure someone here has undergone it.  Even most port installs and removals use only a local anesthesia.

For comparison, Prostate biopsies normally extract 12 to 16 cores with a needle gun, one at a time. The gun is guided via an ultrasound probe pressed against the rectal wall, and the needle passed through this into the gland itself.   The gun strips out a piece of tissue from each sector.  Almost no urologists use sedation for this, and many don't even use pain meds, although an antibiotic is taken in advance.  OUCH !

I hope the pain is well controlled and minimal,

max

Evarista
Posts: 218
Joined: May 2017

I had a bone marrow biopsy with sedation.  Also an pelvic lymph node biopsy (from the back) with sedation. Cannot remember the med, but in both cases the sedation was light; not even a "twilight sleep".  So no "waking up" per se. As I recall, a topical anesthetic was also used. I had no pain during the procedures (unlike my "awake" BMB).  I preferred the sedated version because they could use a drill which is much, much quicker and eliminated the strong pressure sensation. We do vary, but I had no significant post-procedure pain.  Good luck.  

Fiat127
Posts: 10
Joined: Nov 2017

Hi LacieAnn, 

i went through the same experience on the first BMB. it was a medieval procedure, in my case maybe because my T cell pirephiral NOS NHL was in the bone marrow and already 70% infiltrated, perhsos calcifying the bone and making itharder. the Next 4 BMB I had the help of a dormicum 12.5 ( if my memory serves me correctly on the dose) and it was much much easier. it does not put youbyi sleep but you sort of anethetised.

having another BMB early December and starting to worry about the result.

good luck and stay strong.

Fiat127
Posts: 10
Joined: Nov 2017

Sorry... no strong pain after wearing off but some “ discomfort/bearable pain“ only.

LacieAnn728's picture
LacieAnn728
Posts: 34
Joined: Oct 2017

yes it’s bone marrow biopsy. I had one without being sedated and it was awful! The process took longer cause my bones are so strong so the doctor had a very hard time with me. So this time they told me due to my horrible experience they will keep me sedated. I don’t know what drug they are gonna give me. I was wondering if I’m fully asleep or just so high I don’t care what’s going on? Either was I’m still scared and don’t wanna do it.

Evarista
Posts: 218
Joined: May 2017

In my case, and sounds like Fiat's also, not asleep.  Just relaxed and not feeling it.  For reference: my first BMB was like yours; not only are my bones hard, they apparently are not flat, so the needle kept slipping.  They went in 4 times (!) but could not get a suitable sample.  The "sedated" BMB was a cake-walk in comparison.  Not even high, just zoned out.  Try to relax...

Sal0101's picture
Sal0101
Posts: 119
Joined: Sep 2015

My first BMB was without sedation and it was quite painful.  2nd one was definately done with sedation And that’s the only way I would have it if I ever needed another one!  I’m not sure what drug they used, but it was quick and I came to very fast. 

Sharon

Anonymous user (not verified)

I was given a light sedation. I remember the nurse telling me she was going to start the sedation slowly...it was the most wonderful, relaxed feeling (I asked her if I could have some to take home haha). The doctor said he would count before starting the procedure. When he began drilling, I never felt any pain, but remember saying "wow that does hurt"...then I don't remember anything else. I only had some minor soreness, like bruising, and did not have to take any pain meds for it.  My oncologist said they don't do any more biopsies without sedation because it was too traumatic. Actually, I was also sedated for having my port put in (twilight sleep). The only thing I was not sedated for was the inguinal lymph node core biopsy. 

I am so sorry you had such a horrible experience. I hope this time is much easier for you!

po18guy
Posts: 880
Joined: Nov 2011

In 2015, I had a colonoscopy and related biopsy of my small intestine. I was awake and aware through most of it. I felt the medical Fellow rooting around inside. I felt the nips taken out of my ileum. But, I knew the reason and purpose of it all. It did not phase me in the least. I was relating my history of T-Cell Lymphomas to the supervising physician as this occurred. He asked the sedation to be upped, so I was finally put out - probably to shut me up. But, I popped back into consiousness right outside the OR. Doctor came out and gave me a very strange look and went back in. Rather than being wheeled back to the recovery room, they let me go right there.

I found it all rather fascinating, actually.

Max Former Hodgkins Stage 3's picture
Max Former Hodg...
Posts: 3043
Joined: May 2012

We have had a wide range of BMB experiences !

As I was mentioning, at the end of my first consult with my Hematologist, at the end, he told my wife and I, almost as an afterthought, "Go next door with ---- and she is going to draw a bone marrow specimin."  I walked into the next room with the NP, who had a nurse's aide with her.  She said "drop your pants. This will only take a few mnutes." Then, she asked, "Do you want something for pain ?"  I thought "yes" was probably the better answer, and she got me a pill, probably a Loritab, because she told my wife to drive.   I got a little woozie, but was fully awake, and they began.   They broke in the hip plate for access, but then she said "I didn't get enough," and went back in, the same break as best I could tell.  And that was it.   I do not recall any pain the next day.

My port install and removal were both with local anesthesia, which is what most have described as how their BMBs were done.  The surgeon said for both that "I would not be asleep," but I recall nothhng from either proceedure.   My port install/removal were eventless and painless, same as my biopsy removal from under my (L ) axillary, doc said it was about a golf ball in size.

My auto accident, in which a Pontiac rolled over me, set the bar for pain for me.  Collapsed lung, flail chest, leg nearly dismembered, knee cap dangling loose in my pants leg (a "flail chest" is a condition in which, when attempting to breath, one side of the chest goes up, the other side goes down, with no net exchange of air). 

I was awake and speaking to the paramedic all the way to the ER, and then spoke with the doctor and RN, and then the surgeon called in to insert a chest tube.  So I was awake at least 30 to 45 minutes after the wreck, but they said I was dark purple.   The surgeon thrust in the chest tube on the third heave, amongst 13 rib fractures.  I was conscious the whole time, but blind for some reason. I could see the next day. (No doctor has ever been able to explain the blindness.)  That was probably my worst pain ever, but arterial blood gas draws in ICU hurt horribly also (a cath is threaded into arteries in both arms, to test blood gases on both sides of the lungs).   My month in ICU with an assortment of shunts and constant saline shots to clear the lines are probably why I so believe in IV ports.

About two weeks later, a physical therapist came in to "mobilize my shoulder."  I was still in ICU on a ventillator and could not talk.  She began dragging my arm around, and water was running down my face.  I tried to wave her off, and then wrote a note saying "Something is wrong...stop !"    Every day they took a chest xray of me in bed, to check my lung attachment, since they had been unable to get me off the ventillator.   

The ortho surgeon came in to speak to me later, and said, "Max, we discovered something on today's x-ray.  Your (R) shoulder as also broken in the accident.  We did not know it before.  It seems the physical therapist pulled your shoulder blade apart during her session.  There was no way to know this.  We are sorry."

My right shoulder grew back together about 3 inches higher than my left, a lifelong condition.  If you have watched the recent suspense series Person of Interest, the computer geek star of the series (Harold) walks and moves exactly the way I have since the wreck.  I could describe a prostate removal  and recovery, but this has run too long already.

So, to me, a BMB was like a paper cut or stubbed toe.  It's all relative,

max

 

LacieAnn728's picture
LacieAnn728
Posts: 34
Joined: Oct 2017

thank you all for your reply’s! Im set up the 12th im hoping this is nothing like before. im glad they are giving me something because I cannot do that again without anything. its 2017 you think by now there would be a better way to do this test!

ShadyGuy's picture
ShadyGuy
Posts: 303
Joined: Jan 2017

I had two “double” BMBs. Each time they took samples from both hips. I had no meds but while it was by no means pleasant, neither was it an awful experience. The doctors offered meds but cautioned there is always a small but finite risk associated with anaesthesia. Probably no big deal either way. The biggest variable may well be the skill of the person performing the procedure. Good luck!

christineallan
Posts: 3
Joined: Nov 2017

Hi  Yes, I already had a biopsy with sedation about 5 months ago, and felt no pain or after effects. I am willing to have another one done if possible on my esophogus if my oncologist will allow it to check my lymph nodes to find out if they are still affected with cancer from my main tumor in my right lower lobe in my chest. Has anyone ever asked for this procedure on their own?

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