Do not traumatise, do it correct, setting of male catheter

Safe and Correct Way in the Insertion of Urethral Catheter for Males

By Yakob Abdul Rahman Wilhelm Scholer

In my many years of practice I have observed the worst in the insertion of catheters for male patients. Traumatisation may cause bleeding, inflammation to total blockage of the urethra, resulting in the necessity for supra-pubic catheterisation.

This is absolute unnecessary as a very simple method can help avoid unfavourable condition.

Every doctor or nurse who knows the male anatomy of the urethral system realises the lope near the prostate gland. It is usually here that the insertion tends to get difficult as the catheter has to ‘find its way’ around that lope thereby entangling itself or become bent if the catheter is very soft and small.

The trick that solves the problem is simple. Just place a small cushion a role-up towel under the pelvis before you proceed with the catheterisation procedure.

It is highly recommended to use the same role before removing the catheter.

This trick was taught to me on my first posting to a male urological ward. The chief nurse a very experienced person, made sure that no traumatisation would ever occur.

I, after 52 years in Nursing can assure you that I had never even once, when applying the above method met any problem in inserting a catheter.

Good luck!

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Hearing problem of elderly often misinterpreted

Silencer in the ear!

By Yakob Abdul Rahman Wilhelm Scholer

Hearing:

People who suddenly discover a ‘silencing’ of their hearing may simply be suffering from a blockage caused by ear-wax.

In my experience I had many cases where in particularly elderly persons who suddenly complain of hearing problems get the comment, ‘ok, age is catching up’. Nothing is more disastrous than just to accept such a statement. It is not uncommon the cause is merely the ear being clogged. Some patients I attended to had such a blockage that it took up to two weeks to remove the blockage; in one case the patient had a 1.5cm sized ear-wax. It is not surprising the inside of the ear lining is accordingly affected.

It should be, as a matter of fact, that in any case of decreasing hearing capacity an ENT specialist to be consulted. He would be able to establish if the case is simply due to a blockage or any other condition.

The ENT specialist may, according to the finding, recommend a wax softener for a certain number of days, followed by an ear wash-out. Such a procedure is generally over in a few minutes of time and hardly painful.

What causes such conditions?

Well, ear wax is a natural process in protecting the skin of the inner ear from drying out. Often people tend to clean their ears with cotton butts which instead of clearing the ear-wax they push it further into the ear. This causes slowly but surely the wax accumulation in the deeper part of the ear and lead to this condition of ‘not hearing’.

Advice:

1. Consult your an ENT Specialist for your hearing problem,

2. Use cotton butts only in the outer area (wax will find its way outward)

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TEL: 03- 78777202

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Tel 03-78777202