I strongly urge you to use the REMA protocols themselves, either those or those of Dr. Castells. They are specifically designed for masto patients and they even hold severely reactive patients like me. But they have a very specific quantity and timing as to these meds and one of them includes taking ALL of those meds no sooner than 1 hour prior to the procedure.
You should not have to be concerned about the meds you take an hour prior to your exam. Your doctors should put in an access for meds with this exam, for they may need to give you an IV or medications. So, they should give you ALL of these meds IV an hour prior to the exam. Besides, the little bit of water you would injest with these meds is relatively harmless when it comes to doing the upper and lower GIs and being that they are an hour prior, the medication has already disolved and entered your blood stream. I think that if there is any one of the meds that do not come in injectible form it is probably the singulair, the other 3 can be given to you as an IV injection.
This is why I suggest that your anesthesiologist be made aware of these procedures. You should sit down and talk with him yourself telling him aof your experience with these medications and the nausea and vomitting. These are things that the anesthesiologist also needs to know.
One of the things Iīve learned over the past few years is that the anesthesiologist is who calls the shots during a surgery, not he surgeon. The surgeon is who does the work, but he doesnīt keep his eye on how the patient is doing, thatīs the anesthesiologistīs job. So, anything that goes wrong during a procedure, itīs the anesthesiologist who must be making the decisions. This is why Iīm personally in contact with mine. I have two, because itīs not safe to have but one who knows how to deal with you. If you were in a car accident, and your one anesthesiologist was not in that day, youīre stuck with a really bad situation then. Yet, in doing this upcoming procedure, you need to sit down with the anesthesiologist and talk with him over these issues. He will provide that you are given the correct meds to help counteract the nausea as well as give your needed meds IV so that you donīt need to drink water.
So, I suggest that you ask your doctor to help you get in contact with the anesthesiologist. You may want to call the hospital instead and leave a message for the anesthesiologist yourself. This way you donīt need to have your doctor play middle man, which he may feel that your concerns over this are typical patient pre-procedure jitters!!
Unfortunately, many doctors, because they donīt understand the disease and what weīve had to go through, mistake our valid concerns as nothing more than typical pre-procedure anxiety that normal patients go through. Because they donīt walk a mile in our shoes, they easily misunderstand us and tend to blow us off!! My doctors have learned! In fact, I have an upcoming colonoscopy as well. Iīve asked my angiologist if she can be present and that we schedule this procedure on a day when she is in surgery. Sheīs seen my severe reactions but the gastrologist and the anesthesiologist are going to be rookies in dealing with me and they may not understand my syncope after the exam. These exams put a great deal of stress upon my system and I donīt wake up from the anesthesia for hours afterwards. The anesthesiologist is an excellent doctor and heīs got my records from my surgery last year to study and gain understanding and heīs considered one of our best in town. But, he doesnīt have experience with me except once and that was several years ago. So, my knowing this, Iīve requested that my angiologist be on hand should these 2 doctors run into trouble with me. My angiologist is 100% agreeing with this request for SHEīS had a LOT of experience with me and fully understands whatīs going on. And since she is a surgeon, sheīs got that angle of understanding to help.
So, it may seem to your doctor to be overkill, but remember ITīS YOUR LIFE YOUīRE TALKING ABOUT, not his! If he were living this nightmare, you bet your bippy that heīd be doing OVERKILL as well!!!!!
One of the things Iīve also learned.... We masto patients are very similar to doctors in that doctors do NOT go into their own surgeries with ease! They are known to have much higher levels of anxiety than any other patient group and this is because THEY KNOW TOOO MUCH! Well, we may not know as much as they do on a technical basis, but due to the frights that we constantly live with, we too KNOW TOO MUCH, from an experience basis. Weīre much more aware of what we are capable of doing and our experience has taught us to be very precautious when it comes to medical proedures!! OUR DOCTORS NEED TO RECOGNIZE THIS AND RESPECT IT AND STOP CALLING US OVER ANXIOUS!!!!
So, if you can, personally speak with the anesthesiologist, give him the REMA protocols and ask him to appropriately medicate you prior to the procedure so that you can RELAX and HAVE PEACE!!!
I hope this helps!
Lisa