Vocalist.org archive


From:  Kate Reid <radishes@r...>
Kate Reid <radishes@r...>
Date:  Thu Oct 26, 2000  10:36 pm
Subject:  Re: [vocalist-temporary] Anesthesia


Hello, and many thanks for your response!
>
> At your age, having a bleeding disorder that requires
> emergency endoscopy
> and possible transfusion is way more important than
> whether or not you get
> intubated. You can't sing when you are dead.
>
I have been taking celebrex for an inflammatory condition
in my chest since February of this year. The pediatric
gastroenterologist who dealt with me believes that the
bleeding was most likely caused by the celebrex (apparently
this drug is not the miracle everyone believes it to be).
The severity of my problem (and the belief that I might
require transfusion) was in the fact that my blood count
dropped eight points (from 40 to 32) in less than a week.
From what I understand, 32 is not extremely low, but it was
worrisome considering the fact that I had had a normal
reading less than a week before. The ulceration happened
to be located in my lower intestine and by the time it was
examined, it was not actively bleeding and within a few
hours my blood count had increased by a few points. I was
sent home afer 24 hours when my vital signs were stable,
and I'm feeling considerably better. We're all just
praying that I won't begin bleeding again and I'm seriously
wishing to hire a lawyer and start a class action suit
against celebrex.

>
> OTOH, it is reasonable to take care to protect your vocal
> folds. Why did
> you need general anesthesia for endoscopy? Usually that
> is done with
> conscious sedation with Versed. Even ligation of
> esophageal varices or
> cautery of a bleeding ulcer can be done with conscious
> sedation.
>
Simple answer: I'm allergic to Versed (it causes a reverse
affect in me) as well as morphine, and all other
poppie-based narcotics and their man-made equivalents. My
sister also has eosinophilic gastroenteropathy, and my
specialist wanted to biopsy (perhaps this also contributed
to the choice of anesthesia).

>
> If you don't have a voice therapist nearby, a voice
> teacher may be able to
> help. Just be sure your medical problem is properly
> treated so you are
> healthy enough to sing.
>
I actually have another question concerning resuming
singing that I might as well take the opportunity to ask
you since you are a professional: Could the abdominal
strain required for singing actually cause my bleeding to
begin again if I begin working hard in voice before I am
completely healed? I heard a horror story this morning
from a man who had an ulcer that was worsened from the
strain of his singing and was wondering if this could
realistically happen to me if I'm not cautious.

Thanks again for your input,

---Kate

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