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    Old 06-13-2009, 05:02 AM   #1
    Kertie446
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    Inpatient or outpatient?

    Hi, everyone

    I am just wondering if a lumbar puncture is an outpatient or inpatient procedure as mine is scheduled as an inpatient procedure and I just wondered why that may be?

    Is it perhaps because they want to do more tests on me or because I live a bit away from the hospital and will have to travel for about an hour or so to get there and the same to get back home?

    I would much appreciate any suggestions you could give.

    Many thanks

    Kind regards

    Niad

     
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    Old 06-13-2009, 07:38 AM   #2
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    Re: Inpatient or outpatient?

    Can't say for sure but I know mine was scheduled to be inpatient as well. My doc said it was because I had a bad lumbar spine and they wanted to have me where they could take extra precautions and allow me lots of time to recover if I got an LP headache. But I suspect it was primarily because they were worried about having problems getting a needle in my back. The last time I had a spinal for anesthesia, it took 4 tries and then it didn't take properly...and that was 15 years ago.

    But it ended up getting canceled due to my getting sick and was never re-scheduled. So that would be my guess.

    gentle hugs............Jenny

     
    Old 06-13-2009, 04:51 PM   #3
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    Re: Inpatient or outpatient?

    Niad:

    You can ask them why - my bet is that as Jenny said they do a precautionary overnight stay to see how you do. When I had a myelogram last year they did it out patient, but told me in advance if I showed any symptoms of the LP headache, etc, they did have the option to keep me overnight. This would have been more likley the later in the day my procedure was scheduled. I was in at 8 am and out by about 2 pm (I had to stay in the recovery area for about 4 hours in a semi-upright position and was monitored). It wasn't bad as I wasn't in any real pain and I had a tv, they brought me snacks, etc.
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    Old 06-14-2009, 05:24 AM   #4
    Kertie446
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    Re: Inpatient or outpatient?

    Hi, jennybyc and SpineAZ.

    Thanks for both your replies. I found them very helpful and informative.

    I have spine degeneration which is unusual for my age and leg symptoms from it too, including chronic urinary retention which is going to make the aprt where we have to drink loads very difficult as it makes me race to the toilet every 10 minutes so I'm not sure how I'm going to cope with that as I will have to keep getting up. Perhaps maybe a catheter put in for a bit will eradicate this problem. My procedure, I think, is scheduled for 1.00pm in the afternoon, though this might actually be just when they want me to turn up so it may be later, not sure as I haven't had the letter due to them getting my address incorrect and sending it to the wrong address so I'm waiting for them to get it sorted. They may have problems trying to get the needle in my back due to my grade 3 degeneration but I'm not sure. I am not looking forward to it as I will be awake apparently which I would prefer not to be to be honest.

    I think I will ask them as I am curious as I have never been an inpatient before and am a little nervous about staying in hospital overnight as I don't know what it's like. I don't think I'll sleep very well as I'm not used to noise when I'm trying to sleep.

    I doubt I'll have a tv. Didn't before when I was an outpatient daycase. It'll probably be quite boring!

    Jenny, hopefully yours can be re-scheduled soon.

    Many thanks for both your helpful replies. It's much appreciated.

    Kind regards

    Niad

     
    Old 06-14-2009, 11:45 AM   #5
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    Re: Inpatient or outpatient?

    Niad:

    As you said I found that usually as an outpatient (after surgery) I never had a TV. But the hospital I went to for the myelogram had a special recovery area for things like the myelogram so it had the TV. I commented on it to the nurse and she said this was separate for that sole purpose since they want people to relax for a few hours.

    It's true you won't get good sleep being there overnight - but you will likely be moved to a real room for your stay (or a 24 hour monitor unit) and in those cases you likely have TV as well.

    Most times a one night stay has worked out well for me but once, about 10 yrs ago, I had my gallbladder out and had to stay overnight. There was one TV in the room and I had a roommate. Usually with surgery I don't sleep well so I'm up all night (which is fine if you have your own TV and a speaker near your head)...but that night I was so bored. And, I felt 10x better than I had in months so I walked around the floor, talked to the nurses, etc.

    So maybe ask them if you'll be in a regular room and if you'll have TV to keep you entertained. I'm guessing yes but would love to know how you do and the outcome when you are done.

    best of luck!

    Karin
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    Old 06-15-2009, 10:17 AM   #6
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    Re: Inpatient or outpatient?

    Hi, Karin

    Thanks for your helpful and informative reply.

    I contacted the hospital and apparently it's outpatient not inpatient even though for some stupid reason they call it inpatient as apparently it is because I am going into hospital. Though it still doesn't make sense. Inpatient to me actually means overnight stay or longer, not daycase! Weird hospital...

    I would assume I won't get any of the quality entertainment that you had when you had the myelogram as for some reason outpatients is not as organised or geared up for things like that (TV, etc). I suppose I'll take something to do as I'll be bored.

    Wow, I didn't know that you could walk around at night and talk to the nurses, etc as I would have thought as hospital patients they would have wanted us to be in bed sort of thing.

    I am having it done (lumbar puncture) by a specialist nurse who apprently does loads of them and is supposed to be really good. Hopefully it all goes right as that is what I'm most concerned about.

    I'll keep you posted on what it was like and the outcome. My appointment is on 7 July.

    Many thanks and kind regards

    Niad

     
    Old 06-15-2009, 11:36 AM   #7
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    Re: Inpatient or outpatient?

    I think with my gallbladder they knew I was bored and felt so good that they were open to it. If they had been busy or I had been unable to walk without assistance it wouldn't have been an option. For the lumbar puncture they'll keep you laying down at a 45 degree angle (no laying flat after the puncture). Thus more boredom.
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    Old 06-16-2009, 04:39 AM   #8
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    Re: Inpatient or outpatient?

    Hi, Karin

    Thanks for your reply.

    I understand that. If you had have needed assistance it may have worried the nurses or used their time up but if you would have probably not felt too good you probably would have stayed in bed. They were probably happy you were feeling good and were able to take a bit of a walk.

    What is 45 degrees? Sorry, not very good at maths! Is it lying on my side? As I thought usually they need me to lie flat on my back after a puncture, though I am not sure as I've never had it before. Just curious on that.

    Many thanks

    Kind regards

    Niad

     
    Old 06-16-2009, 12:06 PM   #9
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    Re: Inpatient or outpatient?

    90 degrees would be sitting straight up, 45 degrees is reclined (half way between laying flat and sitting straight up).

    If they are doing a myelogram they don't want the dye they use to move into the head so they don't allow you to lay flat for 24 hours or more. If they are doing a puncture for some other reason I'm not sure what position they'll require.
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    Old 06-18-2009, 08:01 AM   #10
    Kertie446
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    Re: Inpatient or outpatient?

    Hi, Karin

    Thnaks for your helpful reply.

    I was just not sure on the angle. Thanks for clarifying it.

    Mine is a lumbar puncture where they just withdraw fluid for analysis. They are not putting anything into my spine.

    Many thanks for your reply.

    Kind regards

    Niad

     
    Old 06-18-2009, 10:19 AM   #11
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    Re: Inpatient or outpatient?

    Niad:

    Then it will be far less involved than a myelogram. They'll likely keep you for a bit to see if you get a spinal headache (believe me, if it happens you will know it, OUCH). Then they'll give you precautions of what to do when you get home and likely tell you to intake fluids (water, etc) to help replenish.
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    Old 06-20-2009, 07:06 AM   #12
    Kertie446
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    Re: Inpatient or outpatient?

    Hi, Karin

    Thanks for your helpful reply.

    They said that I would be kept on a day surgery ward for a couple of hours (not long, considering it is quite a nasty area to have something done in) and then allowed to travel home and apparently travelling in a car will not be a problem for an hour and half or so, according to them.

    I am dreading the fluids part- I just will not, unless catheterised, be able to accept lots of fluids and this may be a problem for them but more so me and I'm not sure what they'll do about it but hope they don't just cancel it just because of the fluids part...

    Kind regards

    Niad

     
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