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Part two – Supra pubic catheter update

cathter saga part 2 

Supra pubic catheter updated – Part two 

I meet with my consultant, new non latex catheters in hand ( well in the box) I had sent pictures to his secretary the day before, showing the state of my stomach, but unfortunately he had not seen them as he didn’t have a computer and the secretary couldn’t print them off. But never mind, I was there so I could show him in person. he asked a nurse to come in to his consulting office and when showed them the state my stomach was in… covered in open sores coursed by burst blisters they were both horrified.  He commented that he had never seen such a state and he had no idea what might have caused the blistering. He actually  knew that I had previously had a bad reaction to latex, so this time made sure he used a non latex catheter. So he didn’t see how it could be latex that had caused this. No answers again at this stage but he said he  would check with the suppliers to see what was in the catheter so we could element one thing at a time.

He said that the rash and blistering could be caused by anything from silicon (that was in the catheter he used) or the anesthetic used, the medical tape they applied, the gel/liquid to swab the area before the operation…. any number of things.  So the next step is to have an allergy test and that should point out what we need to avoid next time.

Allergy testing

Anyway he has left me with another indwelling catheter and has asked his secretary to send a letter to Addenbrooke’s hospital in Cambridge where they will do an allergy test to see what I’m allergic too. The following is taken from the web site: http://www.webmd.com › guide › skin-test

What Happens During a Skin Test?
The steps vary depending on what type of test you’re having. There are three main ways to get allergens to react with your skin.

Scratch test, also known as a puncture or prick test: First, your doctor or nurse will look at the skin on your forearm or back and clean it with alcohol. They’ll mark and label areas on your skin with a pen. Then they’ll place a drop of a potential allergen on each of those spots. Next, they’ll prick the outer layer of your skin to let the allergen in (It’s not a shot, and it won’t make you bleed.)

Intradermal test: After they look at and clean your skin, the doctor or nurse will inject a small amount of allergen just under your skin, similar to a tuberculosis test.

Patch test: Your doctor could put an allergen on a patch and then stick that on your arm or back.

Plan for an hour-long appointment. The pricking part of scratch and intradermal tests takes about 5 to 10 minutes. Then you’ll wait about 15 minutes to see how your skin reacts.

Patch tests take more time, and two visits to your doctor. You’ll have to wear a patch for about 48 hours in case you have a delayed reaction to the allergen.

Why the catheter change caused so many problems:

He said the reason the nurses could not replace the catheter into the hole was it had not been in long enough to form a channel, so it was never going to go back in, it should be left alone for three months to settle down, so he took it out and I will have to have it done again, after my stomach has cleared up which last time took three months. There is a lesson to be learned somewhere here, as yet not sure what accept  be prepared for anything, sometimes things don’t go as planned  no matter how much you want them too, I’m now left with the same indwelling catheter that I wanted to avoid by replacing with the Suprapubic. So I’m back to a 5-6 week turn around of catheter replacements.

Also found this site on the net which has some interesting stuff that may help other people with Catheter issues.

http://samadimd.com/prevention/what-you-need-to-know-about-catheter-infections

TIPS TO PREVENT A CATHETER-ASSOCIATED UTI

  • Wash your hands with soap and water before and after placing your hands on the catheter or drainage bag.
  • Clean around the catheter and the skin next to the catheter daily. Make sure to clean away from the catheter.
  • Do not keep catheter in for longer than necessary.
  • Make sure to empty the drainage bag at least.
  • Always keep the drainage bag below your waist to prevent urine from back flowing into the bladder.
  • Change the catheter at least once per month.
  • Drink water often throughout the day to keep urine flowing.
  • Avoid twisting or kinking the catheter. Move the tubing around if it isn’t draining.

That’s all folk till the next adventure.  Amazon lady