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SCI-Nurse
SCI-Nurse
Super Moderator
Joined: 24 Jul 2001
Location: USA
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  • SCI-Nurse
    replied to Horrible back pain when on commode
    in Care
    You will need an order/prescription from a doctor. You need support and this is not good for you. Also OT/PT as you know should assist with this. CWO
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  • Since the doctor has seen your insides at one bowel surgery, true that scar tissue can be a factor. Also scar tissue can worsen over time.the doctor is not to blame for your body having scar tissue-is just what happens. Some have more issues than others. Can they do a NRI or something to see instead...
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  • SCI-Nurse
    replied to just got burnt
    in Care
    Now!
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  • SCI-Nurse
    replied to Change in urinary out put
    in Care
    No, it is common because 1.when you lie down, more blood and fluid go to your heart and kidneys and then more urine output. And2. Do your legs swell? (Dependent edema). This also causes more fluid at night. And some produce more hormone-I think it is naturetic- at night. Tx-drink less starting 4 hours...
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  • Did he say at what capacity the high pressure appeared? But no matter-Trospium is an anticholinergic. If you tolerate it, you can probably increase the dose-unless he started you on the highest dosage. What is your post void residual.? Empty-0 mls.or more.? Trospium will relax your bladder and you should...
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  • SCI-Nurse
    replied to Psa 10.7
    in Care
    You need to submit urine culture and UA. Organisms can cause prostatitis( inflammation) which can elevate the PSA. I have never seen it that high with this. Treat all organisms in urine-yes, this is one of those exceptions- and some treat with a long course of antibiotics. Repeat PSA after treatment...
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  • With bladder augmentation-why would the nerve to your penis be cut? The part of the intestine is removed and sewn into the top part of the bladder. You have to keep bladder empty then cath every 2 hours and slowly increase time. First is to not mess up the stitches, after that the intestinal part will...
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  • I got my Booster Moderna. A little tired and mild headache for a day. Tylenol helped. Recommend for those who meet criteria. Moderna is the largest dose and lasts longer. J&J and Pfizer lower dosage and protection didn’t last as long. CWO
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  • And they update every couple of years-I just gave input on current for research. You have to be a SCI specialist to assess and get it right. Look at specific directions to understand. CWO
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  • Yes, unfortunately all the time with btx injections after 4-6, people become “resistant” to Botox. Sometimes a “vacation” of Botox helps, but not much. I know there are different types but not sure approved yet. A baclofen pump is a surgery and can have complications. Sounds like some kind...
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  • SCI-Nurse
    replied to just got burnt
    in Care
    You need to get silvadene or it’s generic equivalent for healing and anti-infective properties. Ask pharmacist! CWO...
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  • Mirgabetron and Gemtesa work differently than the anticholinergic which are first line but Gemtesa are used for neurogenic detrusor overactivity w/sphincter dysynergy. My experience is with Myrbetriq and we added it to the anticholinergic such as trospium. At the 50 mg dose it can increase blood pressure...
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  • Interesting but no presentation at ASCIP in September and don’t see presented at ISCOS. How many of you saw a neurologist? I suggest they present to neurosurgeons (ANS) and SCI experts-who are called in the ER/ICU . And what exactly and when are they using on SCI? MS? And Alzheimer’s? CWO
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  • SCI-Nurse
    replied to hydrogen peroxide
    in Care
    You don’t swallow hydrogen peroxide so… you don’t put it in the bladder either. Try having caregiver irrigate daily or at frequency to prevent. Drink lots of water. CWO
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  • Absolutely no baclofen for the bladder! BOTOX injections in to the bladder muscle at about 20 different points -usually 200 mg -every 6 -9 months. The Botox should totally relax the bladder. Some have tried crushing and instilling Ditropan (Oxybutynin) but doesn’t work well and there is a warning...
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  • SCI-Nurse
    replied to Frequency of Bowel Movement
    in Care
    It is common for the bowels to move after the first meal of the period after no eating for at least 6-8 hours-for most this would be breakfast. Best is stool softener to keep stool firm but no hard lumps and then since the area of slowest transit time is the colon-is to use rectal docusate (mini enema...
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  • SCI-Nurse
    replied to Instilling antibiotics into bladder
    in Care
    Depends on the organism and antibiotic. But most prefer to wait until there are symptoms of UTI before treating. And the organism(s) can become resistant to Gentamycin-orany antibiotic- instilled in the bladder. You must have normal kidney function and no elevated creatinine or BUN as gentamicin may...
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  • What is his blood pressure? What is his baseline blood pressure? AD us only diagnosed with elevation in blood pressure. There are hallmark symptoms or there can be no or unrecognized symptoms....
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  • SCI-Nurse
    replied to hydrogen peroxide
    in Care
    No. This is not safe, nor based in scientific research. (KLD)
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  • SCI-Nurse
    replied to XL hospital bed
    I would encourage you to at least call Joerns and see if they can help you out with the justification. Too bad he opted for a Medicare HMO. Any chance of his changing his plan? (it's open season now). (KLD)
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    Last edited by SCI-Nurse; 16 Oct 2021, 10:52 AM.

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