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Molar extraction - IV Sedation - full blown panic

Oh my god I’m so happy for you. I’ve been following your threads closely, I have IV sedation this weds for an extraction and I’m so scared I’ll be alert or won’t feel remotely relaxed (or that I’ll have stomach issues from the Midazolam - love emetophobia.)

I’m so glad it went well for you. I’ve been so anxious and I know tomorrow will be too.

Did you eat much before the appointment??

So proud you went through with it, I hope I can do the same!
 
@Mrsmurray23 that’s so funny! I’m glad my story was able to help you and you sound like you would be a very fun drunk person 😂

Congrats again and welcome to the other side! You might still feel some anxiety about the healing process, I did for sure for like 10 days after so ask any questions I’ll try to answer!
 
@Jackyv if you’ve been following my threads you know I was an absolute mess leading up to this. I actually lost my job because my anxiety and depression had gotten so bad I couldn’t even function, I was crying every single day and writing notes to my family and getting my affairs in order in case I died. It was awful.

I know feel completely different. I know those feelings were so real, but the way my experience went was the complete opposite of what I was worried about. I’ll be more specific for you since you’re worried and having it done this week.

I was nervous and a little weepy when we got there. They called me back to the room and let my daughter and husband come in with me for a while to help keep my nerves at bay. They had 3 nurses in there with me getting me hooked up and chatting with me to calm me down. My blood pressure was like 140/100 at one point, so my nerves were through the roof. I asked a million questions and they explained everything they were doing as they went along. They chatted me up while they put the iv in, which was no big deal to me and only a prick on the arm, and got me on a saline drip. I also had midazolam Only by request. They typically use Propofol and fentanyl, but I didn’t want that and they obliged. They leaned my back, put the pulse ox on, put the heart monitor on, and put the blood pressure cuff on and started monitoring my vitals. The oral surgeon came in and they discussed what tooth was coming out and the plan for the procedure. At this point my nurse said I’m gonna give the meds now and I said “you’ll give them slow right!?!” And she said yes. I closed my eyes because I was so nervous and didn’t want to know anything. They asked me about if I followed or liked any sports and I said volley ball and that I used to play in high school. I could tell my speech was slowing down and my mouth felt dry and I said “I can feel it, my mouths dry, I’m freaking out a little” and she said “it’s totally normal and you’re doing great”. I opened my eyes real quick and the room looked…slow…to me, like I could tell it wasn’t totally normal and I said “no thank you” and closed my eyes again. The oral surgeon asked if I played volleyball and I said yes in high school, and they asked which high school and I said “la vernia” and the next thing I know I’m in my husbands truck talking about wanting to go to the grocery store lol it was so fast and so easy and I didn’t wake up feel crazy at all. I was a little tired and unsteady on my feet, but I went to the grocery store about 30 minutes after the procedure and I was ok as long as I was holding onto the basket. Then I came home, drank a protein shake, took some Tylenol and amoxicillin, a little nap and now I’m feeling back to normal and playing video games with the hubs. I can’t put into words how scared I was for this or how my brain had fully convinced me I wouldn’t get to live to see another day…but it was so much better and easier than I could have hoped for, and I think yours will be too!! Please come back and let me know how everything went on Wednesday!

I will say my husband gave me my phone back too soon and I took a bunch of snapchats and sent messages of my crazy self that I don’t remember 🤣 but it was just me telling people I was ok.
 
@Akal right now mine is still oozing blood so I’m biting on a tea bag and hopefully it’ll stop soon. Did yours bleed/ooze a long time? I have a bone graft and stitches too
 
@Jackyv if you’ve been following my threads you know I was an absolute mess leading up to this. I actually lost my job because my anxiety and depression had gotten so bad I couldn’t even function, I was crying every single day and writing notes to my family and getting my affairs in order in case I died. It was awful.

I know feel completely different. I know those feelings were so real, but the way my experience went was the complete opposite of what I was worried about. I’ll be more specific for you since you’re worried and having it done this week.

I was nervous and a little weepy when we got there. They called me back to the room and let my daughter and husband come in with me for a while to help keep my nerves at bay. They had 3 nurses in there with me getting me hooked up and chatting with me to calm me down. My blood pressure was like 140/100 at one point, so my nerves were through the roof. I asked a million questions and they explained everything they were doing as they went along. They chatted me up while they put the iv in, which was no big deal to me and only a prick on the arm, and got me on a saline drip. I also had midazolam Only by request. They typically use Propofol and fentanyl, but I didn’t want that and they obliged. They leaned my back, put the pulse ox on, put the heart monitor on, and put the blood pressure cuff on and started monitoring my vitals. The oral surgeon came in and they discussed what tooth was coming out and the plan for the procedure. At this point my nurse said I’m gonna give the meds now and I said “you’ll give them slow right!?!” And she said yes. I closed my eyes because I was so nervous and didn’t want to know anything. They asked me about if I followed or liked any sports and I said volley ball and that I used to play in high school. I could tell my speech was slowing down and my mouth felt dry and I said “I can feel it, my mouths dry, I’m freaking out a little” and she said “it’s totally normal and you’re doing great”. I opened my eyes real quick and the room looked…slow…to me, like I could tell it wasn’t totally normal and I said “no thank you” and closed my eyes again. The oral surgeon asked if I played volleyball and I said yes in high school, and they asked which high school and I said “la vernia” and the next thing I know I’m in my husbands truck talking about wanting to go to the grocery store lol it was so fast and so easy and I didn’t wake up feel crazy at all. I was a little tired and unsteady on my feet, but I went to the grocery store about 30 minutes after the procedure and I was ok as long as I was holding onto the basket. Then I came home, drank a protein shake, took some Tylenol and amoxicillin, a little nap and now I’m feeling back to normal and playing video games with the hubs. I can’t put into words how scared I was for this or how my brain had fully convinced me I wouldn’t get to live to see another day…but it was so much better and easier than I could have hoped for, and I think yours will be too!! Please come back and let me know how everything went on Wednesday!

I will say my husband gave me my phone back too soon and I took a bunch of snapchats and sent messages of my crazy self that I don’t remember 🤣 but it was just me telling people I was ok.
Ah thank you so much for taking the time to reflect and share all of that. It is so helpful.

I keep hovering between the "I feel fine" and the "I'M SO FUCKING ANXIOUS" stages. I'm really more worried about the worry itself. How much it could consume me, the drive there, the waiting room - I think once I'm sat there and talking I'll freeze up (hopefully) or relax (even more hopefully).

I've just done an Ametop test and the cannula site, inside my elbow as per their guidance, is totally numb. Like, I won't feel a damn thing. I just dug my nail in pretty damn hard and nothing. That stuff is great. So I'm a little more confident the cannula won't spike my BP and then cause me to panic and/or feel faint etc.

I had a lot of stress dreams last night about the whole thing, and even though in the dreams I never remembered anything, I'm terrified I will remember it all, the sedation won't take, I'll have gastro side effects, or I'll feel it - or any combo of all of the above. I realise these are so unlikely, but, you know, logic vs panic never really rolls in logic's favour.

Tomorrow is the day. I'm 100% not going to cancel, but I'm really struggling to not take any Diazepam today. Oddly, I've been told not to take any for 24 hours. I'm expecting the panic to really grip tonight, and I don't expect to get much sleep (even though I take Mirtazapine nightly).

God, this is a chaotic post of my worries. I *must* go through with it. I *can* go through with it. It will not be anything like my imagined fears. I will *not* get any significant side effects.

Now to try and believe some of that...
 
@Jackyv oh man I identify sooooo much with the thoughts of all the bad what if’s and the internal battle of trying to convince yourself beforehand that they won’t happen and you’ll have a good experience just like everyone else does…it’s so hard! I too had all the what ifs, and none of them came to fruition. I am in some pain today, but nothing unbearable. Tylenol is handling it just fine - more than anything I just want to eat lol

The thing that made all the difference for me in the moment was the team at the surgeons office. They moved so quickly and efficiently, while answering all my questions, and comforted me but didn’t give me time to slow them down or panic too much. The whole thing was better than I could have imagined, and I feel like God truly perfected that situation to exactly what I needed to get through it. I believe that’s what will happen for you too!
 
I believe it for you too. On the day I was nothing like in the state I had feared. Once I was in the surgery I focused on what was going on, ie the present, rather than the what ifs. My dentist also asked if I had any questions and I did, which focused my mind on talking rather than on the anxiety. After the blood ox thing had gone on my finger and the cannula in the other arm i felt I wanted to scratch my nose yet I didn't have a free hand. That struck me as rather funny. Then I was out.
As you will be.
Will be thinking of you tomorrow.
 
@Akal right now mine is still oozing blood so I’m biting on a tea bag and hopefully it’ll stop soon. Did yours bleed/ooze a long time? I have a bone graft and stitches too
Well I had neither stitches or a bone graft they just yanked it right out of there so I guess I can’t speak to your situation exactly!

But I do know I was hoping I had both those things cause they each reduce the odds of dry socket even more! Haha

So that is a plus for you.
 
@Mrsmurray23 I’m really starting to feel the fear creeping in now.

Staying distracted as much as I can, I know the 40 minute drive in is gonna be rough mentally.

I guess it’s familiar for all of us, but I feel like it’s this huge thing but also, at the same time, a tiny thing. Like, the dentist and the nurses are just doing what they do all the time, but for me it’s this thing I’ve built into this really scary idea. In practice, I know I’ll sit in the chair, talk for a while, hopefully wake up already at home (but possibly before I guess), and carry on with my day.

It’s weird, I used to be able to go in for dental work with a tiny amount of anxiety and bigger sense of “I’d rather be doing something else.” - the panic disorder has turned it into this absolutely huge ordeal that I know it won’t be, in the end.

God, I’m scared but determined. I don’t have any pain so it’s easy to logic my way out of even going, but the tooth has got to come out. It’s only a straightforward job, my total appointment time is an hour, which includes the 30 minutes they want me to stay in to recover from the IV Midaz.

I’m having such a mixture of emotions. Pure chaos, I’m so sorry. Thank you 🙏🏻
 
@feelingbetter thank you so much, that really means a lot.

I need to find a way to be able to cope with the panic and anxiety on the drive up with my partner, and in the waiting room. We’re leaving quite early so I have time to stop on the drive up if I feel super panicky etc.

It does mean I could be sat waiting for 30 mins though 🫠
 
I got well distracted on the drive there by an idiot who almost backed into us. That was a relief somehow, oddly, as it took me away from the 'what ifs.'

It's a balance between wanting to arrive on time and not having to wait around too long, isn't it? I sat in the car for a few minutes outside the surgery, checking my phone, chatting to OH, then once inside I paid, went to the loo, told them what I had to eat earlier...In fact once inside it got better as I had things to do.

You said it earlier - this is routine, people have it all the time, dentists do it all the time. It's scary to us as it's new. But really the amnesia is incredible. Much better than usual dental procedures. I look forward to your success post tomorrow :)
 
I got well distracted on the drive there by an idiot who almost backed into us. That was a relief somehow, oddly, as it took me away from the 'what ifs.'

It's a balance between wanting to arrive on time and not having to wait around too long, isn't it? I sat in the car for a few minutes outside the surgery, checking my phone, chatting to OH, then once inside I paid, went to the loo, told them what I had to eat earlier...In fact once inside it got better as I had things to do.

You said it earlier - this is routine, people have it all the time, dentists do it all the time. It's scary to us as it's new. But really the amnesia is incredible. Much better than usual dental procedures. I look forward to your success post tomorrow :)
Honestly, if all goes well I will be here reassuring everyone all the time.

I know somewhere behind the thicket of panic that it will work, that I won't remember it, that the side effects my emetophobia keeps telling me to worry about are unlikely, and that I won't feel a thing (and even that the car ride home, which I will not like as I hate being a passenger) will be okay and I'll get through it as I'll very likely still be out of it.

Is it weird that I'm also terrified of that in equal amounts to the treatment?

Clearly I need help 😅


I'm deeply looking forward to already being home tomorrow by 11am, and hopefully feeling calm, relaxed, and victorious...
 
I hate being a passenger too, but the ride home was truly tranquil - all I could think about was lying down again and going to sleep. The Midaz was still working very well. Some people don't remember the journey home at all but I did.

Glad you acknowledge the awareness underneath it all. I believe I had that too and it came to the surface on the morning.

Good luck!!
 
I hate being a passenger too, but the ride home was truly tranquil - all I could think about was lying down again and going to sleep. The Midaz was still working very well. Some people don't remember the journey home at all but I did.

Glad you acknowledge the awareness underneath it all. I believe I had that too and it came to the surface on the morning.

Good luck!!
Thank you!

Of course I've made the mistake of researching. We are our own worst enemy sometimes...
Because I take Mirtazapine and Promethazine already (both of which have CNS depressant effects), I'm now terrified Midazolam will either cause significant respiratory depression or they'll notice and not be able to give me enough.

I don't need to take the Promethazine, but it's my safety anti-emetic because I am still terrified about getting gastro effects from the Midazolam IV, so now I'm in a bit of a spiral. The two doctors I spoke to previously didn't seem to be concerned, but I also don't think they really heard what I was saying.

Kind of at a loss for what to do - risk the gastro side effects of Midaz, or risk the respiratory side effects and take the anti-emetic.

Life 😆
 
If the Drs didn't seem worried, and I can assure you Midaz had no gastro side effect on me... well then. But obviously I can't decide for you.
For me all my nutty stuff happens when I feel I can't control a situation, which in reality is all the time but I labour under the delusion most of the time that I have some degree of control. So a situation like being sedated feels very scary (I can't even think about GA). When I decided that I trusted my dentist enough to let him deal with a situation that he does several times a week, I felt better.

Hope the same for you
 
@Mrsmurray23 I have been following your journey. I am so happy to read about your success. It gives me great comfort. It really does!! I have 3 wisdom tooth extractions that are schedule for tomorrow under IV sedation. I'm in my 50's and have postponed this procedure my whole life!! LOL. Like @Akal I had previous appointments and where I sat in the chair and bailed from the appointment from total anxiety and fear. I can identify completely all the fears that have been discussed.
I am determined to commit to my appointment tomorrow, not only for my health, but for my sanity cause the anxiety overtakes everything.
Greatly appreciate this board and especially for those that post their success stories. It's so nice to know you're not alone in your fears, and to celebrate the successes. It means a lot. Those success stories are what is going to help me commit to tomorrow.
If I don't bail from the appointment tomorrow, I will be back to post my success story.
 
@Mrsmurray23 I have been following your journey. I am so happy to read about your success. It gives me great comfort. It really does!! I have 3 wisdom tooth extractions that are schedule for tomorrow under IV sedation. I'm in my 50's and have postponed this procedure my whole life!! LOL. Like @Akal I had previous appointments and where I sat in the chair and bailed from the appointment from total anxiety and fear. I can identify completely all the fears that have been discussed.
I am determined to commit to my appointment tomorrow, not only for my health, but for my sanity cause the anxiety overtakes everything.
Greatly appreciate this board and especially for those that post their success stories. It's so nice to know you're not alone in your fears, and to celebrate the successes. It means a lot. Those success stories are what is going to help me commit to tomorrow.
If I don't bail from the appointment tomorrow, I will be back to post my success story.
Good luck, mine is tomorrow too.

My anxiety is SO HIGH, I'm never sleeping tonight. It's 11pm now and I'm just wondering how the hell I'm going to be able to go through with it...
 
So glad it went well Mrsmurray23 and that it's over. Congratulations on going through with what you needed to do. Best of luck to those having the procedure tomorrow. If it helps any, I was also scared out of my mind when I had wisdom teeth extractions. I was scared of everything, including the sedation. But it all ended up being far less of an ordeal than I imagined. The sedation didn't even feel like sedation or being put to sleep. It was more like jumping ahead in time. It makes the whole thing go by in an instant which is a great thing. Here's hoping for the best!
 
@Jackyv I completely understand how you feel. I have spent my day in complete anxiety. It's only early afternoon here). I'm not sure where you are located, but it seems you will be done with your procedure way before me. Sending you lots of positive vibes. I know we'll be fine, and come through it feeling so proud that we did it!! @oneby I like how you put it "like jumping ahead in time." Appreciate that description.
 
@Jackyv I completely understand how you feel. I have spent my day in complete anxiety. It's only early afternoon here). I'm not sure where you are located, but it seems you will be done with your procedure way before me. Sending you lots of positive vibes. I know we'll be fine, and come through it feeling so proud that we did it!! @oneby I like how you put it "like jumping ahead in time." Appreciate that description.

Yes right back at you! Hopefully I will be able to come back with a super positive story before you go in tomorrow.

I'm kinda hoping I can even get some sleep for now... I think it's doubtful I'll get much mind you.
 
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