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  • Learning Curve: Starting My Journey with Self Catheterization…

    So, I had an incredibly supportive visit with a urologist at MUSC a few days ago. I never regret the expense or struggle to get there, as it’s 2 1/2 hours away, but it definitely takes a toll on my body. This last visit caused a major PEM crash- I could barely get out of bed for about 36 hours. Today, I’m feeling much more like myself, but still going to attempt to keep things easy.

    Urology update: The MUSC urologist had a totally different approach than I what I was coming up against with my previous urologist. He wants to investigate the problem with continued strichers (most likely caused by multiple foley catheters). He is recommending 3 different procedures including his own turn at a cystoscope under anesthesia. Scheduling them won’t be easy but hopefully it will be worth it.

    In the meantime, I had an amazing nurse teach me, with extreme patience and cheerleading, how to properly self-cath. She allowed me to try multiple times and encouraged me along the way- such a difference than my previous teaching attempt. This allowed me to go home without a foley, which in turn helps with the intense bladder spasms I was having, never mind the chaos of running over my foley with my power wheelchair.

    The process of self catheterizing is not easy. I spent so much time attempting this task, but finally feel like I’m getting the hang of it. The learning curve is huge- still trying not to make a mess of things and the biggest lesson is to simply relax and not to stress out about the process. I’m still working on the timing and how often to attempt, but feel like I found a solution to my urinary issues for now.

    Still wondering how to handle being out and about and needing to self-cath, but that too will come with time. I want to attempt to do it over the toilet and not laying down like I have been. I just keep reminding myself to breathe, relax, and let things happen as they will. Stressing out only makes things more difficult.

    I often joke that my medical journey is going to make a “nurse out of me.” Between self-administering iv’s, picc line management, injections, medication management, iv antibiotics, iv anti-virals, feeding tube, and now self-catheterization, I feel like this is a real possibility.

    Update: I have definitely evolved from here. I am now able to self-cath “out in the wild” and over the toilet. It’s a huge relief that this journey won’t limit me. I continue to be Fiercely Independent!

  • Catheter vs Power Wheelchair

    Well yesterday I finally did it- I’ve had some close calls and warnings but today I managed to run over my foley catheter and get it all caught up in my wheels. Spoiler alert- all ended up ok with a quick change of the bag.

    So, I was getting ready to load onto the bus for a doctors appointment and was so busy talking to people that I didn’t realize that my foley bag slipped off my foot plate (it was also hooked on at some point). I spun around and then tried to move to get outside and onto the bus when I realized my wheels weren’t moving. I had no idea what the problem was but felt the catheter tugging on my insides. WOW- I quickly realized that it was an issue with the catheter. I tried to fix i myself but couldn’t budge it and of course the 3-4 people that were near, were gone. The bus driver, my hero without a cape, was outside and I flagged him down by waving my arms ridiculously. He ended up on the floor to dislodge the bag, luckily the bag didn’t pop and was recently emptied. I went back to my apartment and changed the bag since it was punctured in a few spots.

    All in all, everything was ok! This experience was a giant serving of “Humble Pie.” My biggest takeaways were don’t take yourself too seriously and no matter how independent I think I am, I will always need some help.

    So now I laugh about this and pay closer attention to the foley falling off my foot plate. With some luck and good medical care, I look forward to the day that I no longer need the catheter. It really is slowing me down. I have learned that physical reminders like a catheter hanging out of me are harder to deal with than non-visible reminders. I struggled with this issue when I had my feeding tube.

    Independence is a great thing, but I will recognize I will always need some help. The level of help needed waxes and wains depending on my medical situation. I am experimenting with the amount of time I have caregiver support. Right now I was able to limit it to mornings only. My mornings are still kinda rough and I don’t want to spend all my energy preparing for the day and have nothing less for the rest of the day. I continue to try to pace myself better and enjoy being able to do more throughout the day without crashing.

  • Are you complex?

    I saw a reel today that essential asked the question, “Do you feel that the more medically complex you get, the less effort providers spend on finding answers for you?” It hit home for me, especially in light of my recent hospitalizations.

    It amazes me that providers tell you that you are on too much medication and then chose to prescribe more medication just to elevate symptoms. On top of that, some providers believe it is their responsibility to re-test to see if you “really” have a certain conditions. This most recently happened to me while inpatient in the hospital. I have secondary adrenal insufficiency caused by long-term steroids. I have to supplement with daily steroids and when I am sick, I require a “stress dose.” The hospitalist that had my case decided to withdraw all steroids and get a cortisol level to test to see if I really had adrenal insufficiency. Of course beyond feeling like absolute crap, my levels came back super low.

    I’m not quite sure why providers can’t take your medical history (documented by other providers) as truth, especially when it is complex and large. People do not get things like shunts, surgery, medical devices or even some prescriptions without having to prove their diagnosis. I am all for eliminating unnecessary meds or tests, but let’s not test just to test because you don’t believe someone can be this complex.

    The toll of having to prove yourself over and over is huge. It’s exhausting to not only redo tests to prove a diagnosis, but also the psychological impact of not being believed.

    We need to do better.