[misc.handicap] the art of external catheters

scottl@sybase.com (Scott Luebking) (11/07/90)

Index Number: 11615

Hi,
A couple of people have suggested that I should write an article on
the art of external catheters.  If you have any suggestions or ideas
to include in the article, could you please send them to me?
I'd like to be pretty comprehensive including tricks, problems, skin
rashes, etc.
Thanks very much,
Scott

{mtxinu,sun,pyramid,pacbell}!sybase!scottl
scottl@sybase.com

Harry.London@f1000.n261.z1.fidonet.org (Harry London) (11/16/90)

Index Number: 11743

Somehow through almost a year of external catheters in good rehab
hospitals in-patient and out, nobody every really taught me how to
get the most efficiency (and dryness) out of them. I literally had to
figure almost all of it out on my own. Here are some things I
learned: (1) I could not use the kind of external with the separate 
adhesive and sheath. Caused excoriations. (2) I learned that you have
to knead the penis from bottom to top once the condom is on, I suppose to 
heat up the adhesive and make it stick longer. (3) The loop of the 
tube from the condom to the leg strap  is critical for me. If the
loop isn't just right there's a good chance of either kinking near
the source or pulling away where the condom meets the tube. (4)
Though the packages always say don't use more than 24 hours, I've
found I have to make a careful evaluation at bedtime to decide
whether to install a fresh one or not. (5) The brand that works
for me is Holister External Male Catheter. The leg bag and drainage
bag that work for me are by Conveen. Is this the kind of information 
you want, or are you looking for less basic stuff? I'd like to
read your article when it's published, or earlier if you like.

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Joe.Chamberlain@f140.n150.z1.fidonet.org (Joe Chamberlain) (11/16/90)

Index Number: 11748

 SL> A couple of people have suggested that I should write an article on
 SL> the art of external catheters.  If you have any suggestions or ideas
 SL> to include in the article, could you please send them to me?
 SL> I'd like to be pretty comprehensive including tricks, problems, skin
     
 SL> {mtxinu,sun,pyramid,pacbell}!sybase!scottl
 SL> scottl@sybase.com
     
        As a former worker with newly injured children please 
don't forget the needs of children.  A nine year old objects to 
wearing diapers and, where possible, looks forward to being dry.

                                -=joe=-

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Marc.Moyantcheff@f71.n135.z1.fidonet.org (Marc Moyantcheff) (11/17/90)

Index Number: 11757

hi harry,

        although i have cntrl over my bladder , but need assit in going to 
the bathroom, i thought trying a cath. especialy when going out at night 
with people or dates. i always woundered how guys can keep it on and stay 
dry if/when they have erections. i have many , one of gods tricks . and how 
does the female feel about undoing them when needed?

Marco Polo
TIFN 
 

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Harry.London@f1000.n261.z1.fidonet.org (Harry London) (11/17/90)

Index Number: 11764

Hello, Marc...
I for one am not in a position to answer your questions, having no 
bladder control whatsoever, and minimal, practically no sensation there 
erotic or otherwise.
Biggest problem with external catheters for me is weakening of the 
adhesive caused by wetness caused in turn by kinking of the tube. As far 
as how a woman feels about it, I'm thinking that everybody gets used to 
everything over time.

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Joe.Chamberlain@f140.n150.z1.fidonet.org (Joe Chamberlain) (11/19/90)

Index Number: 11839

 MM> although i have cntrl over my bladder , but need assit in going 
 MM> to the bathroom, i thought trying a cath. especialy when going 
 MM>  out at night with people or dates. i always woundered how guys can keep
 MM>  it on and stay dry if/when they have erections. i have many , one of 
 MM>  gods tricks . and how 
 MM> does the female feel about undoing them when needed?
     
        I have dated a number of women and none have objected to 
doing what was needed to meet each of our needs.  An erection 
only serves to seal the external tighter and thus insures a 
greater degree of security.

                                -=joe=-

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Marc.Moyantcheff@f71.n135.z1.fidonet.org (Marc Moyantcheff) (11/19/90)

Index Number: 11850

hi joe,

JC>         I have dated a number of women and none have
JC> objected to doing what was needed to meet each of our needs.

        i have tried to bring this subject up many times. sex is still a pvt 
matter for many.. i for one am open about it. at 28 , im still hving 
problems getting my needs met. weather i hvant the right person(S) or some 
ladies feels that im to dependent on them. we need to be held as much as the 
next guy.... any sug? comments?

JC> erection
JC> only serves to seal the external tighter and thus insures a
JC> greater degree of security.

        didnt kno that..... hmmmmmmmmmmmmmmmmmmmm

Marco Polo
TIFN. 
 

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johnm@diemen.cc.utas.edu.au (John B. Miezitis) (11/19/90)

Index Number: 11855

I am new to the world of wheelchairs and external catheters and
have been experimenting with different adhesive (convatec at the
moment) and various bag placement. I was wearing the bag on my calf
and found this would drain well using gravity and a siphoning
effect. However I have recently tried wearing it on my thigh with a
view to wearing shorts now summer is nigh (I am in Aus). This
variation requires closer attention to ensure good drainage.

I find stimulating the bladder by tapping four times a day helps me
mangage drainage. By stimulating the drainage at known times I
avoid most problems and emptying the bag frequently also avoids
odour problems. I would like to avoid wearing anything at night but
can only manage approximately three consecutive nights in a row
without having used the drainage.

This is an interesting subject for me at present and I am keen to
read other peoples ideas and experiences so keep the articles
coming.

	Thanks. Cheers..
_______________________________________________________________________________
John. B. Miezitis. University of Tasmania Computing Centre
email: johnm@diemen.cc.utas.edu.au | Belgium man Belgium!!!
_______________________________________________________________________________

Joe.Chamberlain@f140.n150.z1.fidonet.org (Joe Chamberlain) (11/21/90)

Index Number: 11904

 MM> i have tried to bring this subject up many times. 
 MM> sex is still a pvt matter for many..  

Do you mean an emotional/caring relationship which will lead to a 
satisfying sexual experience for both parties?  Or, are you 
referring to a good screwing?  The last can be had with a quick 
phone call.

The first one takes a great deal of time with the right person.  
It involves finding that significant other and then developing a 
trusting and loving attachment to one another.  Sometimes this 
takes years for the average able bodied person.   

 MM> i for one am open about it. at 28 , im still hving 
 MM> problems getting my needs met. weather i hvant the right 
 MM> person(S) or some ladies feels that im to dependent on them. 
 MM> we need to be held as much as the 
 MM> next guy.... any sug? comments?
     
With the disabled it takes a little longer.  If you choose to 
seek only able bodied partners then it will take even longer.  If 
you only go out twice a week then it takes longer.  If your 
social life is limited then it will take longer.  To be success   
you must get out and interact.

You refer to some ladies thinking you are to dependent.  Well, 
there are some women who like that in their men.  There are all 
kinds of men and women in this world and each of us has our 
particular set of needs.  The trick is to find that other person 
who needs what you have to offer and is willing to give what you 
need.  In order to find this person you must socialize.

Hope this helps
                                -=joe=-

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John.Boyle@f608.n107.z1.fidonet.org (John Boyle) (12/04/90)

Index Number: 12178

 JC> With the disabled it takes a little longer.  If you choose to 
 JC> seek only able bodied partners then it will take even longer.  
 JC> If you only go out twice a week then it takes longer.  If your 
 JC> social life is limited then it will take longer.  To be success
 JC> you must get out and interact.
     
 JC> You refer to some ladies thinking you are to dependent.  Well, 
 JC> there are some women who like that in their men.  There are all 
 JC> kinds of men and women in this world and each of us has our 
 JC> particular set of needs.  The trick is to find that other person
 JC> who needs what you have to offer and is willing to give what you
 JC> need.  In order to find this person you must socialize.
     
Hi Joe!  I am going through a period right now which is very frustrating, and
I'd like to ask you for some suggestions.  I am a quad, and although I can do
a great many things for myself, toileting is a major problem.  I can't handle
it alone.  I am also someone who tends to be nervous in social situations, and
this can lead to the dreaded "stomach ache", for which there is usually only
one relief.

Because of this toileting problem, I stick close to home.  I am also
desperately seeking a relationship.  My shrinks say as you do that in order to
find a special someone, I have to socialize more.  Unfortunately, that same
socialization could cause a great deal of embarrassment if the dreaded
"stomach ache" rears its ugly self.

What does someone in my situation do?  I can't be socially comfortable if I
have to drag a home attendant or relative along to help in the bathroom, yet
without such support, I can't socialize.  What do others in this predicament
do?

Your input will be very much appreciated.  Thank you.

JMB

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Joe.Chamberlain@f140.n150.z1.fidonet.org (Joe Chamberlain) (12/04/90)

Index Number: 12189

 JB> Because of this toileting problem, I stick close to home.  
 JB> I am also desperately seeking a relationship. 
 JB>  My shrinks say as you do that in  order to
 JB> find a special someone, I have to socialize more. 
 JB> same socialization could cause a great deal of embarrassment
 JB> if the dreaded "stomach ache" rears its ugly self.
     
 JB> What does someone in my situation do?  I can't be socially 
 JB> comfortable if I have to drag a home attendant or relativ
 JB> along to help in the bathroom, yet
 JB> without such support, I can't socialize.  What do others in this 
 JB> predicament do?
     
        The first time it happened to me I was embarrassed beyond 
words.  This was in a college classroom and I developed explosive 
diarrea.

        That was more than 30 years ago.  Today I have learned to 
manage a good bowel routine.  I eat a balanced diet, with plenty 
of vegetables.  However, I avoid beans, corn, and other foods 
which will produce irregularity. I don't try to go every day, but 
rather every other day in the evening after dinner.  I avoid 
stool softeners and suppostories, but do use them occassionally.  
I also drink lots of liquids, at least a gallon a day.

        Each person has too develop their own routine.  Every 
day, every other day, or even every third day.  Morning or 
evening.  With or without suppostories.  With or without a stool 
softener.  You can develop a good routine even to the degree of 
safety to allow you to work.  I taught elementary school for 5 
years and never missed more than my allotted 10 days of sick 
leave.  

        Nothing is foolproof, but you can lessen the chances of 
an accident.  The other thing you need to realize is that 
everyone elso has these needs too.  The difference is we need 
help.  There were many times when I made my quick excuses and 
departed for home where there was the necessary help.  

        Hope this helps.
                                -=joe=-

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