Wednesday, January 27, 2010
SeaSpray Stent Removal - Kidney Spasm Theory
I will be KO'd tomorrow because I am getting my ureteral stent removed. I'm very happy about it and it will be a relief and I have plans for my new found freedom ..and ...I am also quite ambivalent about it ..but that is for another post.
So, I have to be in SDS by 7am... thank you urodoc. We discussed this and it will give me more time in post-op if needed because I sometimes have a very rough time with kidney spasms post stent removal and I have suffered horribly with nausea and vomiting when I am in the car on the way home and then by the time I get there ..it is horrendous.
To have kidney spasms with it too ..ugh... I am not looking forward to it.
But my current urologist has always managed this very well and so I usually get through it with minimal problems. I don't know why sometimes I do really well and breeze right out of post -op and other times ..shooting me would be a mercy killing.
However ..I don't know why ..but when a stent is taken out ..I am guaranteed to have serious kidney spasms.
I have a theory though.
I've noticed that when the 1st urologist just yanked the stents out in his office ..I had bad spasms... very bad spasms. Then when my current urologist removed a very small stent ..which actually felt good in a weird way because all I felt was this warm gush ..which was me trying to pee on the Doctor and his assistant ..but they'd obviously finessed the jump back while simultaneously exclaiming "WHOA!" from the flying pee move. You'd think they choreographed the move with their perfect split second timing. The "Uro Dance" where the lead dancer ...usually the urodoc ...swings a stent around while in perfect step with the partner they both jump backwards... exclaiming "Whoa!" ...repetitively. I have it on good authority that patients love it..quite entertaining. :) It great with the right music. But it's not authentic "Uro Dance unless flying pee with a gush is involved. I'm just sayin. ;)
Anyway ..even though the removal of said stent didn't hurt that day ..the kidney spasms sure did at home. I spent all afternoon and evening on the couch. Missed a Longaberger pool party too.
But I digress.
Interestingly ..and here is where the theory comes in to play ..the next time urodoc removed a stent in the clinic... it was done very slowly. I don't know why. Maybe because it was encrusted ..but I don't know if that is the case. Anyway ..there was a lot of stop-go, stop-go ..until it was all the way out. That wasn't too bad either. It did hurt...but nothing like when the 1st urologist just yanked them right out. Those two stent removals forever jaded me regarding stent removals.. even tho these other ones were good.
Well after that particular stent removal ..I had kidney spasms ..but not as bad as the other times. I had one done under anesthesia, they when I was in post-op with in the hour the pain was horrendous.. but fortunately SDS managed it acting on my urodoc's orders.
These spasms begin approximately an hour from when it is removed ..maybe a little longer. You would think it happens right away... but it doesn't. My theory is if you remove the stents quickly ..the kidney says "HUH? What was THAT? O-W-W!!!" as the stent is yanked out creating a shock vacuum force. Then after the shock of it all ..the kidney experiences separation anxiety after losing it's side kick of so many weeks or months without so much as an "Au revoir " and simply convulses in sadness... until it finally settles down again. It's the shock factor ..being shaken up with it's companion just flying right out of there .."INGRATE!".
On the other hand ..the stent that is gently coaxed out .. has time to tell the kidney .. "Hey thanks ..we were a great team .. it's been fun. Ha! Remember when she drank the raspberry cool aide? Turquoise is a good color for you. Too bad when it mixed with her next dose of Pyridium you turned all green after that. You take care now...Good-B-y-e-e-e-e." And then the kidney is somewhat saddened over the separation and so does spasm a bit but quickly settles down.
One stent removal creates the shock factor and major separation anxiety and the kidney spasms wildly. The other stent removal was amicable and they had the chance to say their Good-Byes and so the kidney spasms mildly because it still has settle itself because it does miss it's former companion and has to readjust to the emptiness for a bit before finding it's niche again.
Well that's the SeaSpray theory on how to avoid severe kidney spasms during ureteral stent removals. :)
* Okay ..I may have blogger's remorse over this post, Suffice it to know I'm a bit punchy ..but can't sleep. I never can the night before going into the OR.