marchtop

First I’d like to say thanks to this forum and all the help it provided. I received my first successful transplant in 2016, but the surgeon (in Chennai India) said that he had to use the maximum dose of local anesthetic. In 2022 I went back for my 2nd transplant, and the surgery was canceled as he was at maximum use of local anesthetic, but I still had feeling in my head. He said He had never had this issue before but that he often has to use a lot of anesthetic with alcoholics (I don’t drink, but I do have a history of use of opiates from several injuries and surgeries). I flew back to the USA, and found Dr. Nader in Mexico, I went to him for a try in May 2023, and it was also not successful. Dr. Nader said he was getting too close to toxic levels of lidocaine, marcaine, epi and bicarb. I saw an endocrinologist and anesthesiologist, and it seems likely that I have accrued some type of tolerance through adaptation on the surface of the receptor, which metabolizes the lidocaine too quickly. They asked if I ever had trouble at the dentist, and I have, I always feel way too much, even after multiple injections of lidocaine. To be clear, I was willing to continue both surgeries in India and Mexico through the pain, but both surgeons refused to continue (Hippocratic oath or something). This scientific paper seems to shed some light on the issue: “CONCLUSION The findings of this study suggest a longer time to onset of anesthesia and higher lidocaine dose required in opium abusers, particularly chronic abusers, compared with similar patients not abusing opium.” I’m trying to brainstorm how to successfully transplant. I have a few ideas. Find a surgeon who will put me down under general anesthesia. Try to lower my drug metabolism through fasting, abstinence from all drugs and medicine It was suggested by a hair surgeon to maybe do 10 transplants of approximately 300 grafts each. Do you have any ideas or suggestions or input? Thanks in advance.