Hey Friends,
I've had the suprapubic for emptying my bladder for about a year and a half now and it has worked pretty well. Within the last week or two it has stopped working efficiently and I'm not sure what the problem is. I've been using catheters of all sorts for twenty years now so I'm quite familiar with all of the things that can go wrong with them. What is happening now is that the thing will just refuse to flow. I'm drinking plenty, the catheter is well irrigated and clear, and yet the liquid still will not flow. I'll even start everything new (bag, catheter, etc). irrigate a few times; and then by the end of the day, or in the early morning, (especially if I'm not careful and fall asleep too deeply, and wake up with an extreme case of it) I'll find myself with increasing levels of disreflexia(you know, the kind that makes your body convulse every 15secs or so and leaves you with the headache from hell). Until I use the 60cc syringe to draw the liquid out. There are usually about 3 syringe-fulls in the bladder by that point. When I begin to irrigate it can be quite difficult to pull, but the strange part is that the urine is clear, with little/no sediment build-up. After the initial difficulty in starting the emptying pull, the pull becomes easy as it normally was. The other strange thing however, is that if I stop drawing the liquid out, it just refuses to flow out on its own, as it normally used to. I did subsequently make some changes to my arrangements, and they did seem to help things a little bit, but the flow-stoppage is still happening. I cut the bed bag from the tubing and now have the tubing going in as direct and as downhill a path as possible into an open container (and this did work for awhile but the flow is still negligible and still ends up with me having the distended bladder problem). I seem to remember the urologist saying that I would likely have to increase the size of the catheter as I aged, so that might be the solution, but I've made the earliest MD appointment I could for Dec 12, and a phone conversation tomorrow. I pretty much value you alls' experience over anything else so I'm wondering if any of you have experienced these symptoms. And if so, what can be done to fix the situation? I would like to know if this is a unique experience, or if other quads have adapted to similar situations. Thank you so much for your time and consideration.
Dylan

PS. Oh yeah, on a completely different topic, do any of you play World of Warcraft by an chance? If you do, and you want to, send me an email. I have been playing for over a year now and I can't believe how far I've gotten, considering I'm a quadriplegic. Its great fun, and just as in the real world, we have to find ways to adapt to our handicaps and I've figured out ways to work around my shortcomings so that I can at least contribute to a team effort. Its fun and challenging.

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