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Help! Self Cathing questions!

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  • curlycue
    replied
    Self Cath

    Hi ladies,
    I have been self cathing for about 18 months now and It really changed my life, My Uro is Lowell Parson and he put my on 40,000 units of Heparin 8mg of Licaine and 4 of Soudium Barb. I get my Caths throw a company named A-Med they are the Lo-fric caths and they are great self lubricating in 30 seconds. Every month a lady calls me from the company and asks if I need them and how many its great. I have to go to Loma Linda Hospital to get the Medication but it worth it. I do it about 4-5 times a week depending on how bad my bladder is hurting. Good Luck I know it took my about 4 weeks to figure everything out. I had to call 17 pharmacys in my are to get the medication and they still gave me a really hard time, they said they were afraid I would bleed to death, I guess it was the 40,000 untis of heparin in my bladder.

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  • L. Thomas
    replied
    Finding Supplies

    My insurance will cover suplies (syringe and cath.) if the MD writes an Rx but I have to have the Rx sent to an in-network provider of durable supplies. I use 8fr ped. feeding tube and I have no problems.

    I order the needles over the internet, but my durable supply company will sell them to me a their cost. If you look around you can find an internet supplier of needles for a reasonable fee.
    ________
    Hyde Park Residence Pattaya
    Last edited by L. Thomas; 08-19-2011, 05:23 PM.

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  • icsonja
    replied
    I have read all the posts in this thread and it is amazing to me ow different it is from person to person as to what needs a RX and what doent and who uses what etc, but here is my treatment procedures.....
    I have been doing elmiron instills for 3 years almost and it has made the MOST difference in my bladder than anything I have done )and if you read my bio Ive done evertything!!My Urologist was trained by Dr.Parsons and they belive as do I that putting the medication right where it needs to go is the best way to treat a bladder since by the time most meds make it to your bladder they are about 85% filtered out.
    I use 3 capsules elmiron )which I grind with the back of a spoon till it is powdery, that just takes seconds and keeps the elmiron from clumping or being gritty
    then I add 15cc of 2% injectable lidocaine (and I run the bottle under warm water before, that also helps disolve the elmoron and it makes the instill feel better when it is warm)
    I used to put in 3cc bicarb, but it burns me post void so now I add 3ccs of sterile plain water (which is a RX in Texas)
    I prefer a 8 french catheter with a luear tip (I didnt like the lo-fric brand, too slippery to handle and not reusable)
    But I put the cart before the horse, the very first things I do are using sterile cotton pads and betadine I clean around my urethrea and if cotton is irritating or I am sore I put some betadine and warm sterile water in a peri bottle and wash off. Then I use Lidocaine gel on the opening and let it set while I ready my instill, so by the time i have it all mixed well and in the syringe I am numbed up and ready to cath and drain my bladder, as soon as the urine stops draining I put in the instill. A little tip for getting all the elmiron out of the cath is to have a little air in your syringe to push it thru or have a second syringe with about 2 cc of sterile water in ot and wash that thru the cath, but make sure you pinch the end of the cath before you do or you will drain out your treatment and that is really maddening!!
    If I am having alot of pain or in a flare, I like to use the peri bottle post instill and rinse with warm water.
    Hrer in TX you can go to any medical supply and some pharmacies and buy caths over the counter, you can also get syringes and pull needles too w/o a RX so I guess it depends on what the laws of your state are. But call around to medical supply places and check, I get urine specimine cups there too ans also sterile underpads so if I drop something during a instill it doesnt get contaminated.
    The most important part of an instill if you do it yourself is to keep sterile, it is way too easy to get a UTI by getting a little lax in your sterile stuff. I do reuse caths and cups and syringes, I was told to wash them in Dial anti bacterial soap and hot water then let them dry on the sterile pad and put in a clean ziploc bag after. But make sure they are dry or they can grow ickies in them (my daughters medical term)
    I kmow it sounds like alot to do, but it really only takes me about ten minutes from step one to clean up and then I get to lay down and enjoy the LACK of feeling my bladder for awhile (you who do rescue instills know what I mean!!).
    Anyway the elmiron has healed my hunners up really well, as long as I keep doing thw instills I havent had a major bleed from them.
    Hope this helps some of you all and made sense, I am typing with a whopping dose of morphine in me due to back surgery, so excuse the many typos please.
    Love to all
    Sonja

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  • pattig89
    replied
    Thanks Lori I am starting the elmiron instills next week and that is good to hear
    that you are doing well on them....I hope I am just as fortunate.
    Thanks
    Patti G.

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  • Guest's Avatar
    Guest replied
    I have been doing elmiron instills for over 3 years now. I believe I was one of the first in my area. I talked to my uro about doing it since I had side effects from the oral elmiron. She contacted Dr Parsons who had already had patients doing it with GREAT results. It has totally changed my life!! My bladder capacity has increase immensely!!

    My dr said you can re-use caths (I don't chance it) but she said wash them with soapy water, rinse and put them in the microwave for one minute to sterilize. I have to use the pediatric caths.

    Also, a word of caution about instilling water. I sure hope it is sterile water that you get at the pharmacy. You have to have a pres for it. One time when my ins was not gonna pay for my sodium bicarb I asked my pharmacist about using plain tap water and he said "NO"! He said there are microbes in it that can mess with your bladder and chemisty. He scared me about it and I had my dr write me a pres for sterile water til I got my sodium bicarb.

    I know everyone is different but this is the info I was given.
    hugs
    brianna

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  • skershner3
    replied
    I am doing self catherization because I was retaining too much urine. I wash my hands with antibacterial soap, use baby wipes to clean the area, I use Xylocaine Gel to put on the tip of the catheter when I insert it. After the catheterization I put my basin in the sink with my catheter and wash it thoroughly with antibacerial soap on the outside and then squirt some in the inside of the catheter and run water through it. You need to rinse it off good because as you know any soap, etc. can cause irritation. I have a clean towel laid out (per Donna's instruction to lay the basin and catheter on and let it air dry and use the same catheter over again. The Xylocaine Gel is a big help I might add. Hope this helps. Susan

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  • liz2
    replied
    The lidocaine urojets come 20 to a box. Your doctors needs to know that in order to script them.

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  • ICsmiles
    replied
    Loriz and Brenda - thank you for sharing about your success with Elmiron instills. Please keep us updated with your success. Did it help with pain? That is my main problem, and my urethra hurts so much after Elmiron instills I wonder if it is the grainy-ness of the Elmiron.
    Yorkie girl - let us know how it works taking the sodium bicarbonate out of your solution...!

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  • ICsmiles
    replied
    Donna, I am also going to try your method with keeping the supplies wrapped in a clean towel for the next time. And I've been washing my hands with antibacterial soap like you said, instead of getting gloves, although my pharmacy told me they ordered them already.... well, I have plenty of time to try it both ways!
    thank you!

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  • ICsmiles
    replied
    Thank you Liz for all your help on this. I am awaiting my dr. and pharmacy to get the dosage. I received No. 10 red rubber catheters, the long ones, which work a lot better for me! 12 might be faster, and now I see why the #8 would be too small.
    I found the site of IMS which sells the lydocaine in urojet dispensers and will take a print-out to my pharmacy, since they couldn't find it. I have done so much research on all of this - it really shows that we have to be advocates for our own medical care!
    The final piece will be the heparin dosage.
    I will let you know what happens.
    Thanks everyone!

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  • liz2
    replied
    Is there anything else that I can help with?

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  • ICsmiles
    replied
    Thank you for all your responses. I am still working with my urologist and pharmacy to get comfortable with the solution and supplies.
    I will report back when I know what works for me!
    thanks IC angels! angel

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  • liz2
    replied
    I use soft catheters with a wide tipped single end (on the drainage side, not the insertion end)--different from the stiff ones that are used in hospitals and many doctors' offices. I am using a French 14 or 12. I have even dropped down to a French 10, but find it too slow for me--personal preference. The French 8 gives too much and is harder to work with, in my opinion.

    These catheters cost $2 each; and the shipment price is $5, so I get enough at one time to make the order worth while. You can file your own insurance paperwork if you get your doctor to write an order for the catheters. Policies differ on how many are covered by insurance.

    I chlorox wash the catheters and sterilize before reusing. Check with your doctor on how many times he would recommend your reusing a sterilized product. I never want to take the chance of introducing bacteria that would cause a bladder infection.

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  • ICNDonna
    replied
    yorkiegirl, I hope using the plain water will work better for you. Be sure to let us know. I have heard of a few other people who are sensitive to sodium chloride --- it's not common, but it can happen.

    Warm encouraging hugs,
    Donna

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  • ICNDonna
    replied
    When I was self instilling, my uro's office provided the catheters and the syringes for drawing up the heparin, as well as the syringe for instilling the combination once I mixed it.

    I use soft catheters --- I have used the straight ones, but I find the flexible much more comfortable --- it's totally a matter of individual choice. My uro's office nurse also instructed me on how to clean the catheters for re-use.

    I do think it's good to share our experiences. If there hadn't been someone on the boards to tell me their first few DMSO treatments were painful, I would not have gone on beyond the first one --- and DMSO has been my savior.

    I don't use gloves. What I do is to wash my hands thoroughly with antibacterial soap. I store my catheter supplies in such a fashion that I can unfold the wrapping without touching anything inside. I also lay out a fresh towel to receive the equipment after it's cleaned. I then wash my hands and do the procedure, clean the equipment and put in the fresh towel and fold it around it to cover completely.

    Donna

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