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	<title>Comments for hypocaffeinemia</title>
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	<link>http://www.hypocaffeinemia.com</link>
	<description>rants and raves from inside the icu</description>
	<lastBuildDate>Thu, 25 Jun 2009 20:00:15 -0500</lastBuildDate>
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		<title>Comment on The Wait Begins by AEPC</title>
		<link>http://www.hypocaffeinemia.com/?p=397&#038;cpage=1#comment-115</link>
		<dc:creator>AEPC</dc:creator>
		<pubDate>Thu, 25 Jun 2009 20:00:15 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=397#comment-115</guid>
		<description>Very nice. Thanks for this.</description>
		<content:encoded><![CDATA[<p>Very nice. Thanks for this.</p>
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		<title>Comment on Stop. Collaborate and listen by AEPC</title>
		<link>http://www.hypocaffeinemia.com/?p=343&#038;cpage=1#comment-100</link>
		<dc:creator>AEPC</dc:creator>
		<pubDate>Thu, 25 Jun 2009 19:50:45 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=343#comment-100</guid>
		<description>I found your blog on google, and read a few of your other posts. I just added you to my Google News Reader. Keep up the good work. Look forward to reading more from you in the future.</description>
		<content:encoded><![CDATA[<p>I found your blog on google, and read a few of your other posts. I just added you to my Google News Reader. Keep up the good work. Look forward to reading more from you in the future.</p>
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		<title>Comment on Ice Ice Baby: The Video by Simon P.</title>
		<link>http://www.hypocaffeinemia.com/?p=353&#038;cpage=1#comment-106</link>
		<dc:creator>Simon P.</dc:creator>
		<pubDate>Tue, 23 Jun 2009 16:51:42 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=353#comment-106</guid>
		<description>Does this site work in IE 6?  If it does, could you tell me how you got it to work? I have a similar template that just isn&#039;t working right.  Some margins are off.</description>
		<content:encoded><![CDATA[<p>Does this site work in IE 6?  If it does, could you tell me how you got it to work? I have a similar template that just isn&#8217;t working right.  Some margins are off.</p>
]]></content:encoded>
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		<title>Comment on I know kung fu by JamesD</title>
		<link>http://www.hypocaffeinemia.com/?p=437&#038;cpage=1#comment-134</link>
		<dc:creator>JamesD</dc:creator>
		<pubDate>Thu, 11 Jun 2009 17:31:06 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=436#comment-134</guid>
		<description>Thanks for the useful info. It&#039;s so interesting</description>
		<content:encoded><![CDATA[<p>Thanks for the useful info. It&#8217;s so interesting</p>
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		<title>Comment on I know kung fu by Lisa Sarao</title>
		<link>http://www.hypocaffeinemia.com/?p=437&#038;cpage=1#comment-132</link>
		<dc:creator>Lisa Sarao</dc:creator>
		<pubDate>Mon, 08 Jun 2009 13:20:51 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=436#comment-132</guid>
		<description>You&#039;ll get used to it ... supposedly. It&#039;s been almost a year for me, and it&#039;s still a thrill! :-) Although now I have to be careful when signing checks or anything else requiring a signature. LOL

Congrats!</description>
		<content:encoded><![CDATA[<p>You&#8217;ll get used to it &#8230; supposedly. It&#8217;s been almost a year for me, and it&#8217;s still a thrill! <img src='http://www.hypocaffeinemia.com/wp-includes/images/smilies/icon_smile.gif' alt=':-)' class='wp-smiley' />  Although now I have to be careful when signing checks or anything else requiring a signature. LOL</p>
<p>Congrats!</p>
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		<title>Comment on I know kung fu by Sean</title>
		<link>http://www.hypocaffeinemia.com/?p=437&#038;cpage=1#comment-131</link>
		<dc:creator>Sean</dc:creator>
		<pubDate>Mon, 08 Jun 2009 01:01:02 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=436#comment-131</guid>
		<description>Woah.. hold up. What&#039;s we talkin&#039; about here?
Did I miss something?</description>
		<content:encoded><![CDATA[<p>Woah.. hold up. What&#8217;s we talkin&#8217; about here?<br />
Did I miss something?</p>
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		<title>Comment on The Midazolam Mafia by JD</title>
		<link>http://www.hypocaffeinemia.com/?p=423&#038;cpage=1#comment-120</link>
		<dc:creator>JD</dc:creator>
		<pubDate>Wed, 03 Jun 2009 21:19:20 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=423#comment-120</guid>
		<description>Back again-great website, very informative.  It&#039;s great to get all of this information; but this scares me.    I just had my annual physical and told my PCP that I would do the suggested colonoscopy but only if it could be done without sedation.  I got a call to schedule the exam, which I did, but then the nurse told me that she had to check if they could do the exam without sedation.  I quoted the Journal article stating that most patients who had the unsedated exam preferred it; the endo doc called me back and said no...Something about having to do too many exams in one day and doing one without sedation takes extra time..Wow.  That was easy to get out of.</description>
		<content:encoded><![CDATA[<p>Back again-great website, very informative.  It&#8217;s great to get all of this information; but this scares me.    I just had my annual physical and told my PCP that I would do the suggested colonoscopy but only if it could be done without sedation.  I got a call to schedule the exam, which I did, but then the nurse told me that she had to check if they could do the exam without sedation.  I quoted the Journal article stating that most patients who had the unsedated exam preferred it; the endo doc called me back and said no&#8230;Something about having to do too many exams in one day and doing one without sedation takes extra time..Wow.  That was easy to get out of.</p>
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		<title>Comment on The Midazolam Mafia by JD</title>
		<link>http://www.hypocaffeinemia.com/?p=423&#038;cpage=1#comment-121</link>
		<dc:creator>JD</dc:creator>
		<pubDate>Wed, 03 Jun 2009 21:11:53 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=423#comment-121</guid>
		<description>I&#039;m an airline pilot and don&#039;t know much (if anything) about nursing, drugs or sedation.  I recently had to have elbow/wrist surgery as an outpatient and I read the Wall Street Journal article about conscious sedation and how a lot of patients did not like it.  My procedure was supposed to be done with a bier (sp) block with sedation, but after reading some of the comments about Versed, I asked the anesthesia doc if we could skip it.  At age 54, I already have enough memory loss.  My wife told me not to be a PIA patient, but I asked the anesthesia doc about the Versed issue and she told me that she didn&#039;t use it and that a lot of people in the anesthesia community are &quot;shying away&quot; from using it as an adjunct.  I asked her if she would consent to it and she said no; too many patients were reporting long-term problems and memory loss.  She told me that if I wanted sedation, a far better choice was diprivan(sp); she said that the cuff for the block might become painful after a while.  As a layman, I asked why use sedation for pain, why not use pain drugs and she said that this was perfectly fine, and that was a very good option.  So we didn&#039;t do sedation; it was painful but tolerable.  My only reason for commenting here is that it seems that a lot of people have been hurt by Versed; my anesthesia doc said that it&#039;s overused and that some people (not anesthesia practitioners) don&#039;t warn the patients about the amnesia/memory loss and that the drug is indeed used much too often.  One of my associated used to be a CRNA and told me that patients should be told that this drug is given &quot;to make you forget&quot; not &quot;to relax you&quot;....O.K. now I&#039;ll shut up; now I know more than enough about Versed and sedation.....I will assure you that I will avoid both in the future.</description>
		<content:encoded><![CDATA[<p>I&#8217;m an airline pilot and don&#8217;t know much (if anything) about nursing, drugs or sedation.  I recently had to have elbow/wrist surgery as an outpatient and I read the Wall Street Journal article about conscious sedation and how a lot of patients did not like it.  My procedure was supposed to be done with a bier (sp) block with sedation, but after reading some of the comments about Versed, I asked the anesthesia doc if we could skip it.  At age 54, I already have enough memory loss.  My wife told me not to be a PIA patient, but I asked the anesthesia doc about the Versed issue and she told me that she didn&#8217;t use it and that a lot of people in the anesthesia community are &#8220;shying away&#8221; from using it as an adjunct.  I asked her if she would consent to it and she said no; too many patients were reporting long-term problems and memory loss.  She told me that if I wanted sedation, a far better choice was diprivan(sp); she said that the cuff for the block might become painful after a while.  As a layman, I asked why use sedation for pain, why not use pain drugs and she said that this was perfectly fine, and that was a very good option.  So we didn&#8217;t do sedation; it was painful but tolerable.  My only reason for commenting here is that it seems that a lot of people have been hurt by Versed; my anesthesia doc said that it&#8217;s overused and that some people (not anesthesia practitioners) don&#8217;t warn the patients about the amnesia/memory loss and that the drug is indeed used much too often.  One of my associated used to be a CRNA and told me that patients should be told that this drug is given &#8220;to make you forget&#8221; not &#8220;to relax you&#8221;&#8230;.O.K. now I&#8217;ll shut up; now I know more than enough about Versed and sedation&#8230;..I will assure you that I will avoid both in the future.</p>
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		<title>Comment on The Midazolam Mafia by Gary</title>
		<link>http://www.hypocaffeinemia.com/?p=423&#038;cpage=1#comment-127</link>
		<dc:creator>Gary</dc:creator>
		<pubDate>Mon, 01 Jun 2009 10:13:21 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=423#comment-127</guid>
		<description>I recently received 4mg of midazolam for endoscopy and the drug caused severe anxiety and hostility followed by depression and nightmares.  I guess that this is the paradoxical reaction that so many patients seem to be reporting.  I had little to no anxiety when the procedure started but within a few minutes of midazolam administration, the drug-induced anxiety was so bad that the procedure had to be cancelled.  My endo doc said that she sees this reaction in way to many people, especially with colonoscopy.  The exam was rescheduled and she told me that she wanted to use painkiller only (fentanyl), but I refused any drugs because of the midazolam debacle.  The colonoscopy was easy without drugs.  I have a Ph.D. in biochemistry and I assure you that I had an open mind regarfing midazolam (versed).  I would never consent to this drug again.</description>
		<content:encoded><![CDATA[<p>I recently received 4mg of midazolam for endoscopy and the drug caused severe anxiety and hostility followed by depression and nightmares.  I guess that this is the paradoxical reaction that so many patients seem to be reporting.  I had little to no anxiety when the procedure started but within a few minutes of midazolam administration, the drug-induced anxiety was so bad that the procedure had to be cancelled.  My endo doc said that she sees this reaction in way to many people, especially with colonoscopy.  The exam was rescheduled and she told me that she wanted to use painkiller only (fentanyl), but I refused any drugs because of the midazolam debacle.  The colonoscopy was easy without drugs.  I have a Ph.D. in biochemistry and I assure you that I had an open mind regarfing midazolam (versed).  I would never consent to this drug again.</p>
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		<title>Comment on Stop. Collaborate and listen by Grey's Anatomy</title>
		<link>http://www.hypocaffeinemia.com/?p=343&#038;cpage=1#comment-101</link>
		<dc:creator>Grey's Anatomy</dc:creator>
		<pubDate>Wed, 27 May 2009 22:18:32 +0000</pubDate>
		<guid isPermaLink="false">http://hypocaffeinemia.com/?p=343#comment-101</guid>
		<description>It&#039;s always good to find like-minded people.  Thanx and I&#039;m going to add you to my RSS feed.</description>
		<content:encoded><![CDATA[<p>It&#8217;s always good to find like-minded people.  Thanx and I&#8217;m going to add you to my RSS feed.</p>
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