
Originally Posted by
Roverlord off road spares
Thanks for all you best wishes and thoughts i have been getting .
A bit has happened over the last week. Did my 1st physio session at the local hospital. They have organised a social worker to come to my house next week to see what aids and help I need. They are getting me registered on the NDIS. A physio, a social worker, a dietician, a Occupational therapist, a Clinical psychologist and some others I can't remember organised for me. I have always been too proud to accept help and liked to be independent, but I have to face the inevitable there are things I can no longer do. Chronic pain and diabetic myopathy restricts activities, I have trouble lifting myself out of my bed in the mornings, if I get down low or sit on the ground I have great difficulty and angst trying to get up again and need aids.
It all seems bad, but there are people out there with far worst ailments , I suppose I just put it down as a inconvenience in my life.
DeanoH came the other day to lend a hand doing a mechanical repair on my son's Kia's front hub bearing, something I would have struggled with, Thanks Deano.! it was greatly appreciated
I got my first subsidy payment from CAPS the other day to go toward my Caths which is a great help financially.
A referral has been submitted Royal Park for the Urodymanic tests for my other problem, so I am waiting on an appointment. Reading what is involved looks like it is going to be a fun day. see below.
Uroflowmetry — is the measurement of urine speed and volume. Special equipment automatically measures the amount of urine and how fast the urine is expelled from your body. No anaesthesia is required. The equipment creates a graph that shows changes in flow rate from second to second so that your doctor can see when the flow rate is the highest and how many seconds it takes to get there. This test determines if your bladder muscles are weak, or if urine flow is blocked.
Postvoid Residual Measurement — is the amount of urine left in the bladder after urination. The remaining urine is called the postvoid residual. Postvoid residual can be measured with ultrasound equipment that uses harmless sound waves to create a picture of the bladder. It can also be measured using a catheter, which is inserted through the urethra up into the bladder to remove and measure the amount of remaining urine. This is usually done in a doctor’s surgery or local hospital with local anaesthesia.
Cystometric tests — measures how much urine your bladder can hold, the pressure as it stores urine, and how full it is when you get the urge to urinate. Under local anaesthesia, a catheter is firstly used to empty the bladder completely. Then a smaller catheter, with a pressure-measuring device called a manometer, is inserted and the bladder slowly filled with warm water. Another catheter may be placed in the rectum to record pressure there as well.
As the bladder fills, you will be asked to describe how the bladder feels and to indicate when you’re ready to urinate. When this happens, the volume of water and the bladder pressure are recorded. You may also be asked to cough or strain to see if the bladder pressure changes. A cystometric test can also identify involuntary bladder contractions.
Leak Point Pressure Measurement — measures pressure at the point of leakage during a cystometric test. During filling, the bladder may suddenly contract and squeeze some water out. When this happens, the manometer measures the pressure inside the bladder when this leakage occurs. This reading may provide your doctor with information about the kind of bladder problem and evaluation of the urinary sphincters.
Pressure Flow Study — measures bladder pressure and flow rate and helps identify bladder outlet blockage that men may experience with prostate enlargement. Bladder outlet blockage is less common in women but can sometimes happen with a cystocele or, after a surgical procedure for urinary incontinence. It is performed under local anaesthesia.
Electromyography — uses special sensors to measure the electrical activity of the muscles and nerves in and around the bladder and the sphincters. Electromyography is done if your doctor suspects your urinary problem is related to nerve or muscle damage. Sensors are placed on the skin near the urethra and rectum (or on a urethral or rectal catheter with local anaesthetic), and nerve activity recorded. These nerve patterns determine if the messages sent to the bladder and sphincters are being interpreted and coordinated correctly.
Video Urodynamic Testing — involves taking pictures and videos of the bladder during filling and emptying with either x-ray or ultrasound equipment. If x-ray, your bladder is filled with a special fluid, called contrast medium, which will show up on x-rays. If ultrasound, the bladder is filled with warm water and sound waves are used to create a picture of the bladder. In both cases, these pictures and videos show the size and shape of the bladder and help your doctor to understand the problem.
Cheers, Mario
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