Coping with MRI Claustrophobia

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tobagotwo

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Starting a new thread here to avoid hijacking the Visual Disturbances thread.

I am highly claustrophobic, and had to go for an MRI. The MRI was for the carotid arteries in my chest and my aortic arch, so I was told it had to be done in a closed-tube machine. Panic city. Couldn't we just open up the chest again and look? It shocked me that I was such a wussy about this after having open heart surgery less than two months before.

People invoked a host of paralyzing similies to describe the tight quarters for me in excruciating psychological detail. And the quarters are tight. I don't know how they get big people in there. Do they have different tube sizes? Do they grease them down? Are there people with huge, plush-covered ramrods who come in from another room to push and stuff them inside the MRI's slick, science-fiction-plastic barrel?

I am not very large, yet I didn't really have room for my arms at my sides at all. When they activated the Army Surplus grocery store conveyor belt that wedges you into the belly of the unit (in a way not unreminiscent of O.J. Simpson attempting to shove his hands into the famous gloves), I had to hold my hands up so they wouldn't rub and catch on the nonmoving platform at my sides. The distance between my face and the ceiling above was close enough to allow me to play tic-tac-toe, had I the forethought to stick a miniature-golf-sized pencil stub in my mouth before entering.

I was given 10mg Valium to get me through it. I was pretty sure that there wasn't enough Valium in the continental U.S. to get me out the other side, but somehow it did help. I was supposed to take it exactly one hour before the test, but they were running a half-hour late, so some of the glow had faded by the time I was struggling to don the infamous backwards gown.

They put earphones on me, saying that would help. The music was poor, scratchy quality and very loud, but then I realized the real purpose was so they could give me instructions through the blasted things. I totally fell for that, and was completely sucked in. Along with the "Button" myth. I was told there would be a Button to push, if I really needed to get out. There was no Button. These techs relied on the unrelenting screaming method of notification.

The MRI machine, which I was warned would give a variety of grinding and hammering noises, was apparently set up so that those noises were masked with different toned buzzings, with a few setup clicks. So, the noise was only mildly annoying, like a friend prattling through the last five minutes of your favorite TV show.

Marguerite had sent me an excellent focal point technique, involving breathing in a triangular pattern (in, out, wait), and visualizing a triangle. She indicated it was borrowed from a class on delivery and labor, but that it had worked well for her during MRIs of her knees. I tried that, but the focus wasn't there with the Valium, and I soon became disconcertingly aware that I was much more in the position of the to-be-delivered baby than the expectant mother. I wondered if it would take an MRI caesarian to extricate me when the tests were done.

Betty said to close your eyes, and that worked for a little while. Unfortunately, your brain is just too clever for that, and "forgets" that you're supposed to keep your eyes closed. Looking is mildly unnerving. You feel like some deenergized subway train, waiting at a deserted station in a well-lit track tunnel. Two long, glowing tubes of light run overhead, and you can sense The River or the heavily-trafficked streets above. Betty also said that singing might help, but I feared retribution from the MRI techs, so I kept my mouth shut.

I didn't have the little window that Bonnie had mentioned. Just smooth, opaque plastic. The one very positive thing was that they kept quite a breeze blowing through there, and the moving air did help me not to feel as trapped. However, I did not like the part where I had an unbearable itch on my face, which was entirely unreachable in that gleaming straightjacket. I tried to admire it for its design, but found myself more engaged in devising unfortunate accidents to befall its unsuspecting, but entirely deserving designer.

Bonny and Ross said scary things about the closed tubes, and used horrified smileys to make their point. Fortunately, there were no skull-and-crossbone smileys for them to use, or smileys wth their eyes Xed out. Lying there immobilized, like a poster in its mailing tube, I sensed their visits to my furtive imagination eating at my brain as well, just like the agonizingly slow movement of the hallucinated tick crawling up my leg in the unscratchable nether reaches of the machine.

That, of course, was the key. It was all these things running through my mind, eating up time, keeping me busy, that wound up getting me through it. So in the end, you see, you all helped me get through my MRI.

How did you get through your MRI (closed-tube type, please)? All stories and suggestions appreciated.
 
That was damned near poetic sir.


Not exactly a HAPPY poem mind you...


Well one thing that stuck out in my head when I had my MRI was that if I could do THAT, I could do anything that I'd have to to survive my failing tricuspid valve...

The computer (A PC no less, we were making cracks about suing Bill Gates while they tried to reboot the thing) kept crashing so I spent almost two hours in the machine.

I had no idea what I was in for beyond laying inside a tube for a while and an IV stick. The elevator music was terrible. It was some local radio station that didn't have commercials but DID have traffic reports every fifteen minutes for people who were lucky to be in commuter gridlock rather than an antiseptic plastic tube.

I had two things going for me. A will of steel (you would not believe what I can tolerate when it comes to physical "discomfort" and I got yelled at by nurses for it on more than one occassion) and I'm not all that closterphobic (though it did test my limits anyways.)


I learned afterwards that I could have brought some of my own CD's to listen to rather than the traffic reports....


The noises and such are just how the machine works. I don't know why some of them go. I know they stick a little speaker thing by your side that buzzes like a piezo-electric noisemaker during some of the scans. The loud bangs are from the electro-magnets spinning around inside that tube enclosure. The bangs (I'm fairly sure anyways) are energy pulses made during the scans. That's what I surmised while I was in the thing.

I had a LOT of time to think it all through.


I kept still for the most part. I could move my head some and look around and the cool air was helpful. I spent some time thinking about happier places, happier times. I had a particular memory of a particular day with my wife (when we first started dating) that I've reflected on a number of occassions when sh!t was getting hairy. That helped too.

I didn't have any brain altering chemicals in my system.

Kinda feel cheated now that I think of it..... :D

They have bigger machines for the obsese but they're not as accurate/clear for some things.

I just worked through it.

Sounds like you did too, guess in the end that's all you can really do.
 
I did not take any meds as I wanted to be aware of what was going on around me and I wanted to take a look at my pictures as well....

Next time, I will take some meds

As for opening my eyes, the tech draped a washcloth over my face before sending me in the tube. I wanted to reach up and take it off during the test but since I couldn't see I just layed still... The noise was nerveracking to say the least.

Did you have to do the hold your breath thing? I would be okay if I didn't think about holding my breath but if I did think about it I would start feeling pretty panicy... A couple of times the tech forgot to say okay breathe but I did any ways :) And I should also mention I was so cold.... with the IV and the skimpy hospital gown. I did opt for the slippers so at least my feet were covered ;)

I was in the tube close to two hours and was pretty well drained the rest of the day. Who would of thought laying in a tube for two hours would be so tiring.... I did get to take a peek at my pictures and found it very fascinating.
 
I was fine until they shut the door, then panic started to take over. All I could do was close my eyes and try to sleep. I too was in the CCF tube for 2 hours and even had to be let out to pee, it took so long.

I had no drugs. No comfort. Nothing. It sucked!

While it may be demented to think this way, is it not true that there is more room to move in casket then there is in the MRI tube?
 
MRIs have to be right up there with being buried alive or burned at the stake. I tend to be (allright, I am) claustrophobic and got almost mental the six weeks I was in a cast from fingertips to elbow. Gives you an idea of how I'd deal with being locked in a tube. I'm a pretty tough broad when I have to be but really, I don't know that I could do this. I can't even stand a sleeping bag that doesn't unzip at the feet. Let's hope it's never required or I'll have to insist that you guys are on the scene and get piped through the earphones to talk me through it! All of your descriptions made me laugh, but honestly, IT AIN'T FUNNY!
Sue
 
wow, we have some potential authors in Vr - love toba & Harp's writing styles. You guys are GOOD.

Yrs ago I had extensive dental work (caps, bridges, etc.) It took a year. My fear of the dental chair and all that goes with it was about the most frightening thing I had EVER encountered so I had to devise a PLAN. I learned to self-hypnotize. I would take myself out of the chair, go home, re-arrange the furniture, clean house, go shopping, plan menus, have an affair (with hubby), plan the children's future; anything to remove my body from the dreaded chair. I finally was so hypnotized that I could go to sleep while the dentist did his dirties. Still can and the dentist is amazed, saying he had one other person who used to say 'wake me when it's over'. Application of this technique was certainly my way of handling the MRI tube, too. I just close my eyes as they are sliding me in, leave my body and let them have their way with me. When it's over, they say thank you and I leave and never tell them I was not even there.
 
Great narrative!

Great narrative!

Bob,
That was very funny! It did make me realize that my initial thought was right on. Ain't no way I'm going in one of those tubes without the assurance (in writing) that they will pull me out if/when I start screaming.
As I've said, it's not the cramped space that scares me. It's the inability to get out! As I was reading your post, I'm thinking to myself, What if I started vomiting? Would I suffocate? What if we have an earthquake? How would I get out? What if there's a power outage? What if, What if?
I am not ashamed to say that this is my major fear. :eek: To give you an example: I'm being cremated JUST TO BE SURE I'M DEAD before putting me in that vase!
So, an MRI is not on my agenda, it's not going to happen-- without big time
negotiations between the space aliens and me!
Mary
 
hensylee said:
wow, we have some potential authors in Vr - love toba & Harp's writing styles. You guys are GOOD.


tAnkz! i lernt alll I no frum hoked ON fonikz! :D


There's a few things that seem to come naturally to me, sdrawkcab gnitirw ekil...

Yeah, I'm a smart ass...


Pardon my french.

And it IS french mind you.



I never got to see the results of my MRI... That would have been cool. I remember watching he monitor during two (I don't remember the first one at all) of the swallow tests I have.

Imagine looking at a really high resolution X-Ray, only it's a live motion picture of yourself as you move, talk, chew, swallow... Like looking at the left shoulder of a skeleton in some biology class only it's YOU that you're looking at, VERY surreal, very cool (at least I thought so.)

Given all that I went through (that I remember anyways) I'm not sure I'd say the MRI was the worst thing.

I think the eight hours of "bed rest" after the cath and when I had the big blood transfusions were worse. Eight hours of laying still on my back in bed is rough because my lower back locks up fairly quickly and that just drains everything out of me.
 
Afraid of widths?

Afraid of widths?

I just had an MRI on Tuesday. Luckily I am not the least bit claustrophobic so I had no problems at all; I actually thought it was pretty cool. As a kid I used to wiggle through parts of caves that were tighter than that so maybe that was my training. I did ask them if people ever freak out and the tech. said more than you would think - some people have to be put under general anesthesia. The only part I didn't care for while in the tube was the breath holding - I could just barely hold my breath after exhaling for the 20 seconds they needed for the numerous scans. I can only imagine how some claustrophobic people might feel as they already might feel like they are lacking for air.

What freaked me out a little was when they said I needed an IV for the contrast dye. :eek: The only other time I had an IV (around 1990) was a horrible experience - 2 nurses tried to get it in and both were unsuccessful - it felt like they were trying to pull a barbed hook through my skin. I remember writhing in pain and pleading with them to stop. Luckily this time was much better - the 1st nurse failed which got me worrying again but the 2nd nurse got it in with only a little pain. I guess they didn't use the barbed needle this time... :rolleyes: Now at least I don't have the tremendous fear of IVs that I did before this recent MRI.

Maybe you claustrophobic people can find meaning in this Stephen Wright quote:
"I'm not afraid of heights, I'm afraid of widths.." :D
 
imagine this - you are peaceful in your hospital bed, a nurse comes in to find your vein and tells you this is her FIRST TIME! When it happened to me, I was bloodied and bruised and ordered them to never let that nurse darken my door again......ugh.
 
Holding my breath was not a problem at all. I think the longest was just over 20 seconds. I could've gone much longer, and offered that to them, hoping it might speed things up. Of course it didn't.

I had no trouble with the needle stick for the dye, either. I have a major type-A-Positive canal inside my left elbow, that has been a hallowed spot for the Red Cross blood donation technicians for lo, these many years. Until I was ordered to give it up by the cardiologist, I gave four times a year at work. I always felt like I had too much anyway.

The worst stick I ever had was when I gave at the Somerset Medical Center, instead of through the Red Cross. It was to cover blood needs for a friend, so it had to be donated at the hospital. The nurse went into my vein, all right, then right on through the other side. After I got that disaster to stop hemorrhaging internally, she said, "I guess we'll have to use the other arm." Needless to say, I insisted that someone else do the stick on my remaining usable forelimb.
 
The tube

The tube

I thought your description was pretty funny. I always wondered about some of those things myself. I have only had an MRI on my knee and don't think I could go in the tube. I won't even go to a tanning coffin like a lot of people do. I hated the clinging and clanging. Hope I don't have to do it again for any part of my body.
 
Panic City !!!

Panic City !!!

Hi.
Take the drugs offered...claustrophobic, or not !

I am not claustrophobic...but the last MRI....they have to bring me "out of the tomb" after my freaking-out-kicking-yelling-frenzy !
Talk about panic attack. Afterwards, I sat in my car in the parking lot and completely broke down & bawled my eyes out. My test had to be re-booked. Never again will I NOT take the drugs.
Lula ....tomb hater
 
Where's Marty?

Where's Marty?

Our resident Radiologist :D :D Chime in, Marty, and tell us some hints :D :D :D :D to get thru the dreaded MRI'S..Other than a Knock-out pill. :D :D :D Bonnie
 
no problem!!

no problem!!

I use to spelunk...it wouldn't bother me at all. A friend of mine had one and had no trouble. Being a tunnel rat from vietnam, small places don't bother him to much. Only if there is some one with a gun in it.

Med
 
Bob,
Can I book you to come talk to my English IV class next year about figurative language and imagery in writing? The technicians coming in with ramrods pushing the greased pig patients through the tube still has me laughing :D :D
My first MRI a few months ago was the worst: I went in for about a minute and then my leg started shaking uncontrollably, and the man had to come pull me out. I went back the next day on 10 mgs. of Valium and my husband massaging my feet and had no trouble at all. Such a pleasant euphoric feeling -- that Valium ;) ;) I still think the thing that bothered me the most was the incessant clanging above my head. Not an experience I want to repeat.
 
Now, you wouldn't want a senior English class to read first-draft scrawlings, would you? The key to honing literary style is to revisit and revise. I do go back to edit typos or truly confusing structures sometimes, but not an honest second draft.

I was becoming very sleepy as I was writing that thread opener, Sherry, and actually dropped off for about twenty minutes in the chair. I think the fatigue was a lingering consequence of the Valium use. I woke up just long enough to finish and get it posted, then toddled off to nightmares about spelunking in endless, Tupperware caverns...
 
I've only had three MRI's and the first was the worst because I didn't know how tight that dratted little hole would be! I pulled my arms in because I didn't want to touch the sides so I wouldn't be reminded of how close it was and I kept my eyes shut nearly the entire time (made the mistake of opening them once) so I wouldn't see how close the ceiling was and I PRAYED the entire time that I wouldn't freak out and start screaming! It was an MRI of my brain so my head was kind of strapped in or something as I recall but I kept on swallowing I guess because the technician finally asked me if I could PLEASE quit swallowing! When I came out I was so relieved and I said that I would NEVER go in that thing again but they found a little something on the MRI so a few days later I had to go in again but LONGER and the thing was LOUDER because the picture was "slices" and I lived through that one too. The third one was of my heart, a couple of months before my surgery last fall, and they ran some dye up too, to show the valve "misfiring," and I was nearly freaked out again. It was finally over with and when the technician pulled me out, he mentioned that there was a hole in the top of the machine too, just beyond my head! I wish I had known that before I went in! I thought I was in another long nasty tube like the first two MRI's!
 
I think I was far more concerned abou the IV line than the MRI tube. I HATE, LOATHE, DETEST needles (..I've never been able to find what the "official" phobia for needles is, so if anyone knows, please do enlighten me..), let alone an IV that I could see hanging out of my arm!! I had to have my arms raised over my head, so that line was dead on eye level!!

Then they put this heavy blanket thing over my shoulders, half over my face, which made breathing hard enough without having to hold my breath on top of that - especially since they were trying to find out why I've been so short of breath to start with!! I could barely catch a breath in between and found it extremely difficult. By the time they had finished (90min later) I wasn't in very good shape.... I also think my blood sugar levels had dropped through the floor because they did it in the early evening, kept me waiting for an hour, so by the time they finished I was not only hyperventilated, but starving as well. No wonder I was shaky!!

The tube though.... well that was the easy part!

A : )
 
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