Cardio MRI
Author
Discussion

br d

Original Poster:

9,072 posts

255 months

Saturday 9th July 2016
quotequote all
You've got to laugh.
I went for one yesterday, the one where they inject the dye into you so they can get a good picture of the walls of your heart. There were two Doctors and a trainee carrying out the procedure.

So I'm in the tunnel and the headphone recording is telling me to breath in, then out, then stop, the whole bit. It's taking ages and every now and then the doctor presses the mic button and says stuff like "You're doing well" or "Concentrate on these next few". I'm pretty happy in my own little world and trying not to fall asleep.

Then she accidentally hits the mic button and in the middle of all the instructions I hear:
"...and any questions at all just ask, even if you think it's something silly it's better that we cover it together than..."

[silent pause]

"Oh wait, that's not good..."

Then the mic button goes off again!

When they wheeled me out I said "Bloody hell girls watch what you're doing with the mic!"
I mean it's the last thing you want to hear when your crammed into that thing!


944fan

4,962 posts

214 months

Saturday 9th July 2016
quotequote all
Could have been worse:

"Er this patient we have in the tube at the mo is right wker. Yeah I know he is a complete perv as well"

br d

Original Poster:

9,072 posts

255 months

Saturday 9th July 2016
quotequote all
944fan said:
Could have been worse:

"Er this patient we have in the tube at the mo is right wker. Yeah I know he is a complete perv as well"
Nah, they didn't know me that well!

Riley Blue

23,205 posts

255 months

Saturday 9th July 2016
quotequote all
I was due to have one a month ago, get gowned up, lie down and in I go... GET ME OUTTA HERE!!

Bloody claustrophobia...!

br d

Original Poster:

9,072 posts

255 months

Saturday 9th July 2016
quotequote all
Riley Blue said:
I was due to have one a month ago, get gowned up, lie down and in I go... GET ME OUTTA HERE!!

Bloody claustrophobia...!
Yeah I can understand that, it's all in the head. There's no physical discomfort at all but mentally you do have to switch off.
They strapped all these things to my chest and pinned everything down, when you first get wheeled in there's a definite feeling of "Hmm, I can't get out of here!"

Did they not offer you a sedative RB? I thought they could relax you if they needed to.

Trabi601

4,865 posts

124 months

Saturday 9th July 2016
quotequote all
Riley Blue said:
I was due to have one a month ago, get gowned up, lie down and in I go... GET ME OUTTA HERE!!

Bloody claustrophobia...!
I have big issues with the older generation machines with tight tubes.

Newer machines are a little easier, but when I needed one for a back problem, I was sent to an open sided machine.

zeDuffMan

4,314 posts

180 months

Sunday 10th July 2016
quotequote all
tbh once you're inside the scanner it's pretty safe. "That's not good" is probably a software thing, I use colourful language when trying to use our GE scanner most of the time. Obviously not ideal to be hearing what goes on behind the glass while you're wedged in the scanner though.

Not all modern scanners are wide bore. They cost considerably more as they use a lot more copper coils inside the gantry, but are more common now as so many people are just too fat to fit in a normal sized scanner. Personally I don't see why we should be accommodating for these. In my experience many of the 10% of the population who are too claustrophobic for MRI can't tolerate a wide bore scanner either - they are promoted as better for claustrophobics but if you're having a head scan you still see precisely fk all so only a few people see benefit. They're mostly for the fatties.

We don't sedate patients for MRI as there is no reliable way to monitor them. The magnetic field plays havoc with ECG monitoring so all we can get is sats and sometimes a pulse rate. Either you go in under your own steam (a diazepam from your GP is fine) or it's done under full general anaesthetic.

Edited by zeDuffMan on Sunday 10th July 00:15

Trigbert

125 posts

159 months

Sunday 10th July 2016
quotequote all
If i'd heard what you heard, would have set off a cardiac event there and then.
Reminds me when I was having the snip, doc had local radio on in theatre. Part way through he raises his voice 'oh bloody hell that's not good'. When a man has your plums in his hands that can't be good, right! Fortunately the nurse on seeing my face explained he was just referring to the traffic report on the radio meaning he'd be late home. I was a bit relieved...

Riley Blue

23,205 posts

255 months

Sunday 10th July 2016
quotequote all
br d said:
Riley Blue said:
I was due to have one a month ago, get gowned up, lie down and in I go... GET ME OUTTA HERE!!

Bloody claustrophobia...!
Yeah I can understand that, it's all in the head. There's no physical discomfort at all but mentally you do have to switch off.
They strapped all these things to my chest and pinned everything down, when you first get wheeled in there's a definite feeling of "Hmm, I can't get out of here!"

Did they not offer you a sedative RB? I thought they could relax you if they needed to.
They said I could ask my GP for a sedative if my cardiologist needed a MRI scan in the future. I'm seeing him (cardiologist) on Wednesday so will find out then. Even sedated I don't think I could go through with it, I've never experienced such panic before. Six weeks ago I had an angiogram that indicated 70% and 99% blockages - that's enough anxiety for now.

E65Ross

36,729 posts

241 months

Sunday 10th July 2016
quotequote all
br d said:
You've got to laugh.
I went for one yesterday, the one where they inject the dye into you so they can get a good picture of the walls of your heart. There were two Doctors and a trainee carrying out the procedure.

So I'm in the tunnel and the headphone recording is telling me to breath in, then out, then stop, the whole bit. It's taking ages and every now and then the doctor presses the mic button and says stuff like "You're doing well" or "Concentrate on these next few". I'm pretty happy in my own little world and trying not to fall asleep.

Then she accidentally hits the mic button and in the middle of all the instructions I hear:
"...and any questions at all just ask, even if you think it's something silly it's better that we cover it together than..."

[silent pause]

"Oh wait, that's not good..."

Then the mic button goes off again!

When they wheeled me out I said "Bloody hell girls watch what you're doing with the mic!"
I mean it's the last thing you want to hear when your crammed into that thing!
hehe

Hope all is well Brad?

br d

Original Poster:

9,072 posts

255 months

Sunday 10th July 2016
quotequote all
E65Ross said:
hehe

Hope all is well Brad?
Hi Ross, thanks for your concern.

Yeah I hope so. I've been having a lot of heart palpitations and all that nonsense, I strongly suspect that it's just stress but I have had aggressive Sarcoidosis in my lungs for about 10 years and it is a disease that likes to spread to other organs, so they are concerned that it has gone into the pump!

If it has it would start to calcify the walls of my heart and degenerate it's function. As ever I'm working too hard so my moneys on that but if it is the sarcoid then I'll just have to get on with it. My lung consultant told me that 20 years ago before modern treatments what I have would have killed me inside a year, so I tend to have a very positive attitude to all this stuff. Every day you wake up is a bonus!

Nothing I have could ever be on the same scale as the stuff you have been through and beaten mate, people like yourself are a continuing inspiration to the rest of us.

br d

Original Poster:

9,072 posts

255 months

Sunday 10th July 2016
quotequote all
zeDuffMan said:
tbh once you're inside the scanner it's pretty safe. "That's not good" is probably a software thing, I use colourful language when trying to use our GE scanner most of the time. Obviously not ideal to be hearing what goes on behind the glass while you're wedged in the scanner though.

Not all modern scanners are wide bore. They cost considerably more as they use a lot more copper coils inside the gantry, but are more common now as so many people are just too fat to fit in a normal sized scanner. Personally I don't see why we should be accommodating for these. In my experience many of the 10% of the population who are too claustrophobic for MRI can't tolerate a wide bore scanner either - they are promoted as better for claustrophobics but if you're having a head scan you still see precisely fk all so only a few people see benefit. They're mostly for the fatties.

We don't sedate patients for MRI as there is no reliable way to monitor them. The magnetic field plays havoc with ECG monitoring so all we can get is sats and sometimes a pulse rate. Either you go in under your own steam (a diazepam from your GP is fine) or it's done under full general anaesthetic.

Edited by zeDuffMan on Sunday 10th July 00:15
Thanks for taking the time zeDuff.

The one I was in was very tight, plus I had a load of stuff strapped round me. Personally I didn't have a problem with it but I can see why other people would, it's pretty oppressive in there, would be easy for the rising panic to take over.

A question for you. If you're having your heart or lungs scanned (I've had both) why wouldn't they put you in feet first so you can keep your head out?
I'm missing something very obvious here aren't I? smile

br d

Original Poster:

9,072 posts

255 months

Sunday 10th July 2016
quotequote all
Riley Blue said:
They said I could ask my GP for a sedative if my cardiologist needed a MRI scan in the future. I'm seeing him (cardiologist) on Wednesday so will find out then. Even sedated I don't think I could go through with it, I've never experienced such panic before. Six weeks ago I had an angiogram that indicated 70% and 99% blockages - that's enough anxiety for now.
I feel for you RB, easy to say "man up" but it is an odd experience. The professionals administering these things probably don't realise how awful it can feel for somebody who's new to it all. I don't mean to sound trite but could you just not keep your eyes shut for the whole thing? The cramped feelings only really manifest when you try to see out of the bloody thing and realise you are trapped!

Hope it works out for you, there are other people around this forum who have experience of getting those blockages sorted, it's almost routine stuff these days I think, good luck sir.

throt

3,311 posts

199 months

Sunday 10th July 2016
quotequote all
br d said:
Hi Ross, thanks for your concern.

Yeah I hope so. I've been having a lot of heart palpitations and all that nonsense, I strongly suspect that it's just stress but I have had aggressive Sarcoidosis in my lungs for about 10 years and it is a disease that likes to spread to other organs, so they are concerned that it has gone into the pump!

If it has it would start to calcify the walls of my heart and degenerate it's function. As ever I'm working too hard so my moneys on that but if it is the sarcoid then I'll just have to get on with it. My lung consultant told me that 20 years ago before modern treatments what I have would have killed me inside a year, so I tend to have a very positive attitude to all this stuff. Every day you wake up is a bonus!

Nothing I have could ever be on the same scale as the stuff you have been through and beaten mate, people like yourself are a continuing inspiration to the rest of us.
All the best with your results, Brad.

br d

Original Poster:

9,072 posts

255 months

Sunday 10th July 2016
quotequote all
throt said:
All the best with your results, Brad.
Thank you!
Hope you're doing good mate.

zeDuffMan

4,314 posts

180 months

Sunday 10th July 2016
quotequote all
br d said:
Thanks for taking the time zeDuff.

The one I was in was very tight, plus I had a load of stuff strapped round me. Personally I didn't have a problem with it but I can see why other people would, it's pretty oppressive in there, would be easy for the rising panic to take over.

A question for you. If you're having your heart or lungs scanned (I've had both) why wouldn't they put you in feet first so you can keep your head out?
I'm missing something very obvious here aren't I? smile
Whatever bit is being scanned has to be the middle of the scanner. This is the only bit of the scanner where the physics comes together to get images out so there is no way around this. Often the mechanism the table sits on isn't long enough to accomodate scanning that high up on the body going in feet first. But even if it did, your head will be the same distance from the end of the tube, so you gain nothing going in feet first.

br d

Original Poster:

9,072 posts

255 months

Sunday 10th July 2016
quotequote all
zeDuffMan said:
br d said:
Thanks for taking the time zeDuff.

The one I was in was very tight, plus I had a load of stuff strapped round me. Personally I didn't have a problem with it but I can see why other people would, it's pretty oppressive in there, would be easy for the rising panic to take over.

A question for you. If you're having your heart or lungs scanned (I've had both) why wouldn't they put you in feet first so you can keep your head out?
I'm missing something very obvious here aren't I? smile
Whatever bit is being scanned has to be the middle of the scanner. This is the only bit of the scanner where the physics comes together to get images out so there is no way around this. Often the mechanism the table sits on isn't long enough to accomodate scanning that high up on the body going in feet first. But even if it did, your head will be the same distance from the end of the tube, so you gain nothing going in feet first.
Thanks, someone who knows all the answers!

Now, what's the score going to be in the final of Euro 2016 tonight?

E65Ross

36,729 posts

241 months

Sunday 10th July 2016
quotequote all
br d said:
E65Ross said:
hehe

Hope all is well Brad?
Hi Ross, thanks for your concern.

Yeah I hope so. I've been having a lot of heart palpitations and all that nonsense, I strongly suspect that it's just stress but I have had aggressive Sarcoidosis in my lungs for about 10 years and it is a disease that likes to spread to other organs, so they are concerned that it has gone into the pump!

If it has it would start to calcify the walls of my heart and degenerate it's function. As ever I'm working too hard so my moneys on that but if it is the sarcoid then I'll just have to get on with it. My lung consultant told me that 20 years ago before modern treatments what I have would have killed me inside a year, so I tend to have a very positive attitude to all this stuff. Every day you wake up is a bonus!

Nothing I have could ever be on the same scale as the stuff you have been through and beaten mate, people like yourself are a continuing inspiration to the rest of us.
Best of luck for your results, and whatever the outcome it proves to be something that can be treated well for you. Keep us posted!

NDA

25,584 posts

254 months

Sunday 10th July 2016
quotequote all
Good luck - I hope all will be well.

I've recently had the same thing along with an angiogram and two stents fitted last week. Bread and butter to these guys. smile

Riley Blue

23,205 posts

255 months

Monday 11th July 2016
quotequote all
br d said:
Riley Blue said:
They said I could ask my GP for a sedative if my cardiologist needed a MRI scan in the future. I'm seeing him (cardiologist) on Wednesday so will find out then. Even sedated I don't think I could go through with it, I've never experienced such panic before. Six weeks ago I had an angiogram that indicated 70% and 99% blockages - that's enough anxiety for now.
I feel for you RB, easy to say "man up" but it is an odd experience. The professionals administering these things probably don't realise how awful it can feel for somebody who's new to it all. I don't mean to sound trite but could you just not keep your eyes shut for the whole thing? The cramped feelings only really manifest when you try to see out of the bloody thing and realise you are trapped!

Hope it works out for you, there are other people around this forum who have experience of getting those blockages sorted, it's almost routine stuff these days I think, good luck sir.
I'm fairly relaxed about my situation though obviously I'd prefer not to be in it. It's just the MRI scanner that sends me into 'panic mode'. Ironically, I had a MRI scan on my head and neck just before Easter at a different hospital where the diameter of the scanner was larger and I was given some glasses with mirrors so that I could see out past my feet and that wasn't too bad but now I've been in one 'raw', as it were, it's got to me - big time.

I'm OK about any treatment or surgery that may be required; in the last three years I've had a course of radiotherapy for prostate cancer and it was during a pre-op assessment for surgery for that when my heart problems were discovered, ruling out prostate removal in case I pegged out in the theatre...