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By August his appetite and general condition were much improved, and his weight had increased to 125 pounds, his temperature being 99 degrees or less each morning, and seldom as high as 100 degrees at night. The cystitis had entirely disappeared, and he was able, with some effort, to pass his urine without the aid of a catheter.
It is hard successfully to maintain in a patient with chronic glaucoma what I may call an eserin life, just as it is hard to maintain in a person with an enlarged prostate a catheter life and escape infection, resulting, if it occurs, in the one instance in a difficult and stubborn conjunctivitis, and in the other in a cystitis.
He should also notice if there are any signs of a struggle having taken place, if the hands are clenched, if the face is distorted, if there has been foaming at the mouth, and if urine or fæces have been passed involuntarily. Urine may be drawn off with a catheter and tested for albumin and sugar.
His urine had to be drawn by a catheter, and by the fifth day his condition was so bad that an incision was made into the tumor, and pus, blood, urine, and air issued. The patient suffered intense rigors, his abdomen became tympanitic, and he died. Postmortem examination revealed the presence of a ruptured urethra.
If all these means fail, the catheter must be used as the last resort. During the entire lying-in the bladder should be emptied every six hours. Evacuation of the Bowels. There should be an evacuation of the bowels in from twenty-four to thirty-six hours after the labor. For this purpose a seidlitz powder may be given, or the liquid citrate of magnesia.
If she find an obstruction or stoppage of the urine, by reason of the womb's bearing too much on the bladder, let her lift up her belly a little with her hands, and try if by that she receives any benefit; if she finds she does not, it will be necessary to introduce a catheter into her bladder, and thereby draw forth her urine.
One mode of treatment recommended by French surgeons consists in introducing the pipe of a catheter through the wound, if in the right jugular vein or if not, through an opening made for the purpose in that vein and the withdrawal of the air from the right auricle of the heart by suction. "Doctor Kline favored this treatment, but I knew that it would be fatal.
He phoned me because he had read a health magazine article I had written, his weak voice faintly describing a desperate condition. He was in a wheelchair unable to walk, unable to control his legs or arms very well, was unable to control his bladder and required a catheter.
The retention of the urine in horses, because of spasm or paralysis of certain muscles, may be treated by passing the catheter. Sometimes spreading litter under the horse and keeping it quiet may induce it to urinate. Hot packs over the region of the back may be used. The treatment for calculi is entirely surgical.
In the morning, I bring a catheter with me, and when Bouchard's wounds are dressed, I apply it, for unfortunately, he can no longer perform certain functions independently. Bouchard has crossed his hands behind the nape of his neck, and watches the process with a certain interest. I ask: "Did I hurt you? Is it very unpleasant?"
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