A Modified Process

I live now with a catheter in my bladder, draining my urine into a bag that I drain several times a day. I have a night bag and a leg bag. The holding bags and their tubes offer their own challenges about swapping and draining them. Given the catheter’s retention location on my upper thigh, it also makes bowel movements an interesting exercise. Bending and walking are also problematic.

Getting the catheter in was an experience. Living with it is another. Having it helps me respect the medical events and treatments that people endure. I’ve had it good as such things go. Although they sound like they’re something — broken and displaced wrist, broken neck, stitches in my skull, ear lobe stitched back on, hernia, toe-tip cut off by a lawnmower, bronchitis, mono, broken ankles, broken teeth, etc. — they’re small things in the greater order of existence and endurance. Better, they’re temporary, with end dates.

Our warfare kills on large, constant scales, and the warfare results in people without limbs, scarred by burns, and shattered by trauma. Many people endure chronic or terminal diseases, relentless illnesses that erode their strength and energy, chipping away from who they were and what they could do, haunting them until they’re dead. Others are abused and betrayed, resulting in destroyed mental and emotional faculties. Others are born with handicaps and genetic deficiencies. I’m fortunate. My afflictions are short-lived and allow me to observe and learn from them.

This catheter is expected to be in me seven to ten days. It impacts my writing process because I can’t walk as I’ve done for lo these several years. Yet, I have to write. I must find a way to sit down and put words into the computer. I’ve not written in four days. The need doesn’t go away. It builds as the muses feed ideas that I explore. Scenes explode into my mindscape. Dialogue is heard.

I originally developed the write and walk process to enable my writing efforts in my military career’s final year. I expanded on it when I was working for startups, and then for Tyco and IBM, the companies that swallowed the startups, carving out time for myself and putting writing as a higher priority in my daily to-do list. I needed a process to remove me from sales, marketing, and product development, and put me in a frame of thinking to create fiction.

A new process is needed because the dream and desire to write remains. Got my hot tea. I’m in my home office. A cat is snoring nearby. Another is asleep on my feet. Time to write like crazy, at least one more time.

Personal Daily News

Awoke at two in the morning with some issues with urinating, went to the hospital at seven, was referred to another hospital at nine, and was discharged and home with catheter in my bladder by one fifteen.

When I awoke at two, I was thirsty. Had a drink and a pee. The pee was problematic because it was a tiny trickle. Drank more water shortly after that, and entered a prolong state of tiny trickles and increasing pain. The pain was in my lower back, flank, and groin, and shut down my ability to sit or stand in comfort. I headed to the hospital with my wife shortly before seven.

Once there, I went into emergency care. I stripped naked, put on a backless hospital, and introduced to a bed. A bladder scan showed my bladder holding eight hundred plus CCs. A full bladder is about one hundred CCs.

My blood pressure was two-thirty over something. A pain med was injected into my right ass cheek by my hip, and an anti-nausea med was given. Attempts were made to enter my bladder with a catheter. First, a size sixteen was employed. It was painful having a catheter pushed up my urethra through my penis. Everyone kept telling me, “Breathe through it.” My wife said, “Pretend you’re giving birth.”

The med team met a wall which appeared to be an enraged prostate gland. The sixteen wouldn’t go into the bladder, but I pissed out a bunch during the attempt. A new bladder scan showed I was down to six hundred CCs. Between that reduction and the pain meds, I was comfortable, and my BP was down to 180/130.

With a numbing agent first injected into my urethra, another attempt using a smaller catheter was made, and failed, and resulted in some bleeding from my penis. The fourteen size catheter lacked the strength and rigidity necessary to reach the bladder. Consulting me, they decided to try another sixteen. This time, a doctor would try. After having the same results, a call was made to a urologist at a sister facility and a transfer referral to the other hospital’s emergency room was issued. I then puked several times. More anti-nausea meds were given via an IV. I was discharged forty-five minutes later.

It was a ginger walk back to the car.

I’d been warned to keep my eyes closed during the thirteen mile drive to avoid nausea. I ended up retching five times once I was in the next emergency room. My stomach didn’t have material to puke.

One again, I was led to a room, took everything off, and put on a backless gown. A new bladder scan showed I was down to five hundred eighty-three CCs of urine in my bladder, but I wasn’t having any pain, thanks to the meds. BP was lower. A new attempt to reach my bladder was attempted. This time we went up to a twenty. Yowza, that hurt. It failed, but more urine was drained out. Hurrah. A urologist arrived with a plan to put a camera up my urethra to see what was going on and determine why they couldn’t reach my bladder.

I was given Fentanyl. The plan was a long, messy, and painful effort, but attempt number five worked in the end. A guide wire was introduced. The guide wire managed to reach the bladder. With it and the camera in place, a catheter was inserted. At last, my bladder was emptied. After that, a nurse gave me my new tube and bag with instructions on how to use it. I was given a cloth to clean up and then dressed. As before, my bed and garments were soaked.

That was my morning and early afternoon. Back home, I tested my movement limits while my wife made me a small meal of scrambled eggs with toast. We joked about how little my poor pecker had looked during these procedures, and how many strangers had handled it that day. I drank twelve ounces of water, ate, and then explored my new catheter and bag arrangement. Some fluid was in my bag, but more was in my tube. Gravity wasn’t letting it empty into the bag. Removing the bag and tube and examining it, I realized it the bag was reversed, which pinched off the receiving end. I fixed that, and now have a steady flow going into the bag.

Through it all, my med team were professionals and polite. They communicated with me about everything, constantly apologized for my pain, and checked on me. Most supporting and powerful, though, was my wife. She made a huge difference by being there with me throughout the day, talking to me, holding my hand when possible, or rubbing my feet.

All this curtailed any writing and walking efforts today. That’s the downside. The upside is that I’m not in any pain, although there’s a small pain where the catheter is in my bladder and bending over and walking have their difficulties. I should have this out in ten days, and then will proceed with addressing the prostate issue.

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