HomebasicsMy preparation and self-care for surgeries and injuries


My preparation and self-care for surgeries and injuries — 2 Comments

  1. Thank you for this article. I need 3 teeth pulled and am wondering if there is anything else i need to do. I was told to ask for ketamine or marcaine, instead of novacaine. Do you have any info on this?

    • First, be aware that they’re two different things. Ketamine is a heavy-duty tranquilizer, which can have particularly beneficial effects in central sensitization but can also have ghastly side effects in anyone. Having said that, more use has led to better dosing. It’s usually used in a setting where they can do emergency care in the tiny chance of if something goes wrong, and not all dental offices are set up accordingly, so they may not be able to provide it; ask ahead. Marcaine is a long-acting ‘caine, which I definitely recommend if local anesthetic does you any good at all.

      I hope you have a chance to talk it over with your doc and dentist to clarify your possibilities. Let your dentist know, as non-scarily as possible, that you have a central sensitization issue and you need his/her *very best* pain-control meds and methods, then find out what they are.

      Those of us who have this kind of illness and study it, strongly recommend the vitamin C protocol around dentistry — 500 mg three times a day, for 2 weeks before and 12 weeks after. It can really help.

      I hope you can get in to see your pain doc and dentist ahead of time, to come up with a solid plan. I hope it all goes well! Best of luck.

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