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Coronary Angioplasty (Mr JR)
Cultural and Contextual InsightsEmotional and Intuitive UnderstandingPractical Knowledgediscomfortitchlocal anaestheticgroinhearttackleveinsnursing

Coronary Angioplasty (Mr JR)

JR, a 62 year old male, presented with crescendo angina (increasing frequency of chest pain – acute coronary syndrome). His past medical background included chronic kidney disease, Type 2 Diabetes Mellitus, myocardial infarction (heart attack) and a coronary artery bypass graft (CABG). He was offered a coronary angiogram through the right femoral artery. The test revealed significant disease within the right coronary artery. The lesion was predilated with the PT XS balloon (balloon angioplasty) and Resolute Onyx 3.5x26mm (stent) was implanted concluding with a good result.

Transcript (auto-generated)

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So the first question is, tell us about your experience of this procedure. First experience, we absolutely panicked, and I've had one before, so I had a pretty good understanding of what was going to happen. But it was, you're walking into a room where you've got absolutely no control and you've got great big heavy machines wandering around above you within centimeters of your nose, apparently. And you're expected to stay calm and relaxed. And it's really difficult with two and a half ton of machinery banging around the air. But first, the thing was like really, really wide, but they told me they'd give me something to calm me down and in the breath it took them to say that, I was calm. But that was completely because they were very good at relaxing me, they said the right words and did the right things. But it's an unusual You've seen what it is, lying on a board effectively, but your arms have got nowhere to go until they put out these wings, so it's like learning to walk in the water, you know it's possible if it's frozen but it's not, but it's alright after that. Excellent. So the next question is, would there be anything that you would want to tell a prospective patient who is about to undergo the same procedure. Yeah, go to the toilet before you go in there. I spent all the day drinking fluids before, because it's reedlish I've got, and I was given the opportunity right at the knockings to go to the toilet, and I was glad I did because it was like a horse, you know, just draining out of me. But if you're lying on there with a full bladder, It's a very uncomfortable procedure, especially when they start cutting into your groin. Although it's, what do they call it? Local anaesthetic. You know what's going on, and you're a bloke. I'm not used to having other blokes playing around with your nether regions and moving your bits to the side. That's probably the secondary embarrassment. that you're lying there showing off your tackle which probably on a Saturday night you wouldn't mind doing but um and it doesn't help you've got some pretty good looking doctors and nurses here so it's um yeah ultimate embarrassment i think yeah fair enough and was there anything that was there anything that you experienced that was unexpected yeah feeling in my heart I think, I don't know if it's right or not, but I think I could feel the thing going through the veins, I presume it's veins, but it felt, I don't know, like a cotton bud in my nose. I could feel, it wasn't painful by any stretch, but I wanted to scratch because you can't move. It was really discomforting. It's also, and I've got it now, when your nerves, you get an itch that you want to scratch, but no chance when you're there. It was very weird, for want of a better word. It was... I know probably there was nothing going on at all, but it felt like there was. And there's no doubting that all of a moment you've got this going on, you're thinking about where's it going to come out and what's it doing. Yeah. Pretty strange. They offer you the opportunity to see what they're doing on the screens, which is the last thing any normal person would do. but afterwards they showed me the picture of the before and after and when it's done there is an immense relief because you see this shriveled up dead worm and then you look at this thing which looks like a new pipeline. I actually felt better then Even though I'm probably not that much better, but I feel better.

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