Quote:
Originally Posted by suev
Good question!
Have you discussed with neuro or gastroenterologist?
Important to figure this out with your medical team so you have no issues with weakness. My understanding is they use some drugs for the 'twight anesthesia' that can make MG patients weaker. So no Mestinon and 'twilight sleep' could put you at risk if your medical (esp anesthesia) guys are not aware of your MG status at time of surgery.
Sue
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Hi Sue
Two points
First, doing without Mestinon is not an option for me for 12-16 hours, so I have to find out how to take it on an empty stomach.
Second, you make a great point about the anesthesia, but it goes even further. If something goes wrong under twilight, the anesthesiologist would need to intubate me to protect my airway; any food in the stomach would raise a risk of aspiration, pneumonia, you know the rest.
So, I'm plugging along hoping that someone has the solution. I find it odd that neither my neurologist nor gastro have ever come across this problem.
Peter