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Strokes, High Blood Pressure and Kink - 8/5/2007 7:42:02 PM   
ViceVersa


Posts: 137
Joined: 11/29/2005
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A friend of mine was recently hospitalized a few weeks ago with the symptoms of a mini-stroke. She's still trying to figure out exactly what happened, but I'm wondering whether bondage (our main form of play) is still safe or what precautions we might need to take. She also controls her high blood pressure with medication. I've encouraged her to speak with her physician about all this, but she hasn't worked up the nerve yet. Any thoughts?

Vice
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RE: Strokes, High Blood Pressure and Kink - 8/7/2007 11:27:57 AM   
sappatoti


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Joined: 10/30/2006
From: the edge of darkness...
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I've been hospitalized with TIA/strokes before, so maybe I can help with a little insight.

In my case, the events that lead to the TIA/strokes happen relatively quickly, as in seconds. It's difficult enough to react to the things your body feels before the attack occurs while doing every day activities or even walking about, let alone being bound in kinky play. It's quite possible that these attacks happen so fast that the one suffering may not realize what's happened until after the fact.

I might suggest that perhaps the bindings that you use for play be altered so that should your partner have another stroke, they can be quickly released by you. Do you need to cease bondage play? I wouldn't. I would, however, look for ways that both appeal to my sense of being completely bound while at the same time offering quick, safe binding release.

Your partner may have to try and be a bit more concious of remembering what it felt like before she suffered her mini-stroke. Remembering how those sensations felt are key to appropriately signaling you during play that she's about to have another attack in the next few seconds. Although not a lot of time, having a few quick seconds to respond can allow for you to release the bindings and get her into a low position will help prevent her from injury from falling.

As to how the BP medication enters into this, I cannot say. I would suggest that anytime one suffers a TIA/mini-stroke/stroke and is on prescription medications, a consultation with the physician is a must to determine if the attacks aren't caused by those medications. If she won't see her physician, you might want to ask if she'd be amenable to a "second opinion" consult with a physician who would understand the dynamics of your activities.

I wish you both well. For your partner, having mini-strokes without knowing why is a terrifying prospect; always wondering when and where the next attack may come. I have no answer for her on that as it's something I'm struggling with myself. For you, I would hope that your relationship with this woman is such that you would encourage her to continue on as you have, knowing that some adjustments might have to be made to how you communicate and play.

(in reply to ViceVersa)
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RE: Strokes, High Blood Pressure and Kink - 8/7/2007 6:38:54 PM   
ViceVersa


Posts: 137
Joined: 11/29/2005
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I appreciate the time and consideration you gave to your reply. Thanks for being willing to lend your perspective. I'll continue to encourage her to have these conversations with her physician.

Vice

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RE: Strokes, High Blood Pressure and Kink - 8/7/2007 11:35:23 PM   
MaDomAura


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Joined: 8/6/2007
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I would like to add my comments and concerns. In general it's the tops responsibility to make the scene as safe as possible. In setting up a scene the top/bottom should discuss any and all health concerns. In this case, for the subs safety. However if a Dom/Domme were to become incapacitated then one must have a contingency plan. I would go so far as to say it's irresponsible to practice bondage with out quick release plans. (Anyone recall which Stephan King novel which contained a scene where a man takes a woman to a remote cabin, deep in the woods, handcuffs her to a bed and then suddenly dies of a heart attack?)

A few suggestions. I would avoid any overhead, especially standing bondage positions. Loss of consciousness is more common if a person is upright, it's easy to reduce the risk if a person is seated, and even safer if they are prone. (So, suspension, especially head down is a big no no!) Another advantage is that it's easier to release a person who isn't being held up by their bonds. Never bind someone in such a way that you, under your own power can't safely and quickly free them. Consider they will be limp, and it's much harder to move even a smaller body that's limp, and if you cut them from a raised upright position you and the bottom could both be hurt with a sudden collapse (don't think you can catch them, it's harder than you'd think).

Having safety scissors is a must. I would not play with anyone lacking the basic safety training, and equipment. These can cut through clothes, leather, ropes, and of course plastic wrap with out harming the flesh. It's ea sir to replace ropes, etc than carry the guilt of harming the bottom! Paramedics carry these scissors sometimes call penny cutters as they can cut a penny in half! I have heard certain laws exist for dungeons where the client must be able to be freed within 15 seconds!

Learn to check vitals, it's pretty easy to get heart rates, and a thready pulse is a sign to "red/stop" the scene. Clammy skin, flushing, sweating, going pale, panting, shallow breathing, uneven pupils, loss of continence, and even coughing are important indicators of possible health problems. If you play with someone that is under physicians treatment, be familiar with their medications, and test equipment as well as symptoms that require management, and which if any would mandate a call to 911!

About ongoing care. I can't stress how important it is to calmly and directly mention your sexual activities to your doctor. It helps everyone if all doctors hear "normal" patients express a concern to manage their health with no embarrassment as to their sexual proclivities. If your doctor is intolerant, consider letting them know you understand they may need a moment to absorb your sexual interests, and that you trust they will treat you with all due respect. If that seems impossible, there are BDSM/Lifestyle friendly medical providers and therapists. I have seen on line directories listing them on a national level.

Also have more than a safe word. I use 3 taps, and wait for a conformation. I find that asking "verbally" can break the space, but 3 squeezes with a pause for a nod, smile, or return sign is effective. Others use a bandanna, or other hand held object. If it falls, check in ASAP! In cases where one has a history of cardio/vascular events avoid gags, they can add stress, make breathing difficult, cause dehydration, and make verbalizing problems almost impossible (not to mention rescue breathing).

I am not trying to preach! Far from it. I just want to add to the collective!

In closing I will include a safety checklist:

A valid CPR training certificate (for everyone, with or without known health issues)

Small light color flashlight (light colors are easier to find in limited lighting) white light, and fresh batteries. (Look for a design that wont roll when you drop it).

Emergency lighting (in case of power failure) in your play room, most dungeons have these!

Safety scissors (have a few, just in case you can't find one, backups are a relief!)

A simple first aid kit you carry, and a larger kit on premises.

Trusted communication. A standard wired phone, plus a charged working cell phone just in case.

Safer sex supplies.

Fire extinguisher (candles, and fire play are obvious, but other fires are not welcome when your in 100' of Shibari bondage...right?)

Quick release hooks, break aways, many spare keys for any locking cuffs or padlocks (I suggest having all locks share the same key - locksmiths and websites sell these as sets).


Wet wishes,

MaDom Aura







(in reply to ViceVersa)
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RE: Strokes, High Blood Pressure and Kink - 8/8/2007 7:30:34 AM   
ViceVersa


Posts: 137
Joined: 11/29/2005
Status: offline
Excellent ideas, practices and reminders, MaDom Aura. Thanks for your response. I'm going to share this link (and the one on coming out to one's doctor) with my friend.

Vice

(in reply to MaDomAura)
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