Advice Please - Hospital Stay in a few Weeks

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cm90210

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Hi friends, a somewhat serious inquiry for you.

Over the past several months, I have been going through preparations to have surgery for a gastrectomy -- a procedure used for helping people lose weight. My doctor says I'll spend at least 2 nights in the hospital, and probably will need to be in bed most of the time once out of the hospital. I'm excited about how this surgery is going to help me get more healthy -- and about resolving some of my underlying medical issues. But I also feel afraid.

One of the big things that worries me is my bedwetting. I've shared a bit about this in the past...it started a few years ago when I started using a CPAP machine. It's odd, because usually it goes in the opposite direction for people with sleep apnea (the CPAP typically resolves this issue). Anyways, for quite a while it was happening every night and since then has been far more intermittent. I've gone for several weeks without an episode, then slipped back into times where it'll be every night for week or two. In general, I'd say it happens 3-4x per week. And in some ways, it seems like it's more likely if I'm wearing a diaper -- As in, my wife and I both wonder if my diaper wearing might influence it happening. [And yes, I've been to urologists, neurologists, sleep specialists, therapists etc. -- no one has much of a clue as to why I'm having this problem]

Ok - so of course, I'm DL. I enjoy diapers; they help me deal with stress and fear, etc, etc. And so other than being kind of embarrassing in terms of our culture, having to wear diapers for bedwetting is fun most of the time. You understand.

So here's my question. What would you do if you were in my situation: intermittent bedwetting, upcoming surgery w/ at least a couple night stay, and also secretly liking diapers? Should I talk to the hospital staff about it before I get there? Should I ask them how my bedwetting will be accommodated? Should I take my own diapers with me and plan on wearing them (my wife will be with me so she'll help me w/ putting it on if I need it I'm sure)? Should I just not tell the staff at all -- and if it happens, it happens, and I'll just pee in the bed?

I wear a diaper most nights at home or even when I'm traveling. And in general, it's a necessary and good thing. So that's my normal deal -- it's medically helpful. But because this is also a fetish, I'm sensitive and conscientious about it. I don't want to subject other unsuspecting people to my sexual proclivities. At the same time, I know that my diaper wearing is also something that helps me with anxiety/stress...it's a form of self-care for me in a way.

My wife thinks I should leave diapers home and not tell the hospital about bedwetting at all. She says the staff will laugh at me and make fun of me behind my back -- and that it'll affect my level of care because they'll think I'm a weirdo and want to stay away from my room as much as possible. She thinks it'd be a huge oddity for a 30-something guy wearing a diaper in the hospital if he's ambulatory and otherwise continent.

So yeah, I'm kind of at a loss as to what to do. I have an appointment (the final one before surgery) in the coming week and so It seems like this is the opportunity to bring it up with the doctor/nurse and ask for their opinion on it.

Thanks for your help/advice (more serious replies would be particularly helpful)....If this fits better in the incontinence section, by all means, move it.
 
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PyjamaBaby

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I am sure that the staff would much rather that you wore a diaper than wet the bed. If they laugh behind your back that would be unprofessional, but hey, you won't see them again, so what does it matter?

You have a genuine medical reason to wear, so go ahead and do it. It's not like some posters on here who want to just because they are DL's only (which I disagree with, but each to their own)
 

Ringer

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As long as you have a real incontinence problem bring it up with the Dr when you see him. I'm sure this is not the first time they have had to deal with this.
Above all you must be honest with him. After all you are placing your health in his hands and he must be aware of everything.
 

Akastus

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My wife thinks I should leave diapers home and not tell the hospital about bedwetting at all. She says the staff will laugh at me and make fun of me behind my back -- and that it'll affect my level of care because they'll think I'm a weirdo and want to stay away from my room as much as possible. She thinks it'd be a huge oddity for a 30-something guy wearing a diaper in the hospital if he's ambulatory and otherwise continent.

Urinary incontinence of one kind or another affects between 3 and 11% of the male population, according to one study I read, escalating with age. The medical profession has been trying to de-stigmatise it for years. Nocturnal enuresis in a mid-30's man may be rare, but not so rare that the staff of a reasonable-size hospital won't have dealt with it before. For them to behave in a manner such as your wife suggests would be grossly unprofessional, and for them to allow it to affect the care that they offer would leave them open to claims of negligence.

Besides, you have to go back to the age old argument - you can have wet nappies, or wet sheets, which do you prefer? There is no evidence that wearing nappies actually causes incontinence, so basic consideration for the hospital staff should dictate that if you have good reason to believe that you might have an accident, then you should take appropriate precautions. Based on your reported nightly rate of incidence of roughly 50% on average, the probability of you having an accident during a two-day stay is pretty high, especially if you take the effects of drugs, stress and anxiety into account. Besides, if you think that they'll mock you for wearing nappies, how much worse would it be if you actually wet the bed?

So long as you are actually IC, any guilt you may feel about also being DL is utterly irrelevant. You aren't involving other people in your fetish, because you have a demonstrated need for nappies. Being so ashamed of your fetish that you actually end up leaving the hospital staff with extra work isn't reasonable behaviour either.

Bottom line, incontinence is a recognised medical condition, and you should not be concealing a condition which might potentially impact your care from the hospital staff. Ever watch House? In a significant proportion of the episodes, the illness ends up being resolved by identifying a variable that the patient deliberately withheld. You are not qualified to determine what the hospital staff need to know. So tell them.
 
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foxkits

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Yes tell them they may just cath you any way .
I wish you luck if your gut is telling you wrong you mite lisson.
I had a friend it messed up he could not eat after it all up to the one doing the surgery how good is he.
He is on a feeding tube now.
 

dlinu

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To mimic what others have said, yes tellthe docs. Legitimate incontinence cases are nothing to be shy around docs with. Took me two years to learn that. No matter how embarrassing it is for you they have heard or seen it. Loaded my diaper while talking to a doc that was a bit skeptical. Needless to say after seeing it happen he beleived me.

Also bringing your own is a good idea. The ones they have are over priced and mediocre quality at best. It will help to keep the bill down a couple extra bucks and most likely leak less if you use a premium diaper like Abena or dry 24/7. That way you don't have to worry about a leak and the embarrassment that comes with one.
 

SpAzpieSweeTot

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You have the right to refuse the catheter, as long as it's not a life-saving medical procedure, which it would be if a patient had massive abdominal injuries and was peeing blood, but in most surgeries, the Foley catheter is there to keep the patient from peeing the operating table. A diaper works just as well, but urine samples are easier for nurses to obtain with catheters, nurses would rather empty a cath bag than change a diaper, and diapers hurt most toilet trained patients feelings, so, most patients get cathed.
My wife thinks I should leave diapers home
:frown::mad:Oh sweetie, I'm so sorry! Don't leave them at home. Bring your own; bring your own; bring your own. Hopsicle diapers are crap!
and not tell the hospital about bedwetting at all.
Yes, they need to know, but you can tell the nurse when you get there.
She says the staff will laugh at me and make fun of me behind my back
Anyone in the medical field should have the emotional quotient never to laugh at a patient. Still, some have had bad experiences. If they give you ish, educate them. If that doesn't work, report them.
-- and that it'll affect my level of care because they'll think I'm a weirdo and want to stay away from my room as much as possible.
They know that to let it effect you level of care could get them reported, at best, and at worst, sued or thrown in jail.
She thinks it'd be a huge oddity for a 30-something guy wearing a diaper in the hospital if he's ambulatory and otherwise continent.
She thinks those things, does she? You said it right at the end there. Did you catch it? Nocturnal enuresis is a form of incontinence, and medical pros know it. No one should give you ish about it. They see it all the time. Seriously, like daily. So, is the problem their opinion of you, or. . .? I'm just asking.
 
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Fascinating

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Ok, if they are printed then your wife may be right, but if not, take them. Who in there right mind would expect someone who just had surgery to be healthy enough not to need protection? I would think the standard procedure would be to provide you with something unless the two nights are before the surgery. Do they even make hospital beds without padding in case of accidents? I got protection as a healthy ambulatory 20 something person when I was in the hospital.
 

Scaramouche

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Just to add to all the good advice above, the hospital; mattresses are covered in a washable material and they always put a mattress pad down, a really absorbent one. Wear you diapers and tell the staff. Maybe it will be exciting to have a nurse change you? ;)
 

dogboy

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I have to agree with all the others. Your wife is really wrong about the nurses and staff. They see incontinence all the time. I had my back operated on a couple of years ago. During surgery, they hang a saline bag and all of that is going into you. After surgery, you're going to have to pee big time. For that reason, I would bring your own diapers as they will be a better quality, and if your wife is there, she can help you change. The nurses wouldn't be involved.

My concern with my back surgery was that I wouldn't be able to urinate. After my first surgery, because of where it was located in the spine, I had to catheterize myself for six weeks until things kicked in and started working. The anesthesia they use will tend to anesthetize your bladder and other systemic muscles, but they will come to life and start working big time, like your bladder. That was my case after the second surgery. At first it was difficult to urinate, but I had to go many times in several hours, and things worked very well indeed.

Our daughter-in-law is a surgical RN and she told me about the anesthesia and how it works on the body, so I would bring the diapers. You're going to be sore from the surgery, so give yourself a break.
 

KimbaFoxNatsume

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Just to add to all the good advice above, the hospital; mattresses are covered in a washable material and they always put a mattress pad down, a really absorbent one. Wear you diapers and tell the staff. Maybe it will be exciting to have a nurse change you? ;)

I may not be a guy, but something tells me getting too ''excited'' in such a scenario would probably be more embarrassing for the OP than anything... :eek!:
 
A

acorn

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Elective surgery this may be, it is a major procedure nontheless. As for the use of a foley, be advised its use may be indicated for a variety of causes all of which put patient safety first and foremost.

Most certainly do raise the issue of your IC during the pre-op consultation and be prepared to follow the advice given.

Wish you best of luck and a speedy recovery.
 

cm90210

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I may not be a guy, but something tells me getting too ''excited'' in such a scenario would probably be more embarrassing for the OP than anything... :eek!:

For sure! That's the LAST thing I would want in that situation.
With that being said, I'm not interested in "getting changed" by a nurse. I guess if I'm incapacitated and can't otherwise take care of myself, I wouldn't be against it. But there's no way I'll encourage it otherwise.
 

hunter1070

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I went in for 2 knee surgeries and I told them about my incontinence. I told them I had my own diapers because they said there's where cheap. They periodically check in on me asking if I was okay down there. Very professional
 

Rob110

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I went in for day surgury a few months ago and let them know I wear for an OAB 24/7 they made a note on my file and it was a non issue, they see diapers all the time and don't bat an eye.

Just make sure you wear a medical grade premium diaper like dry 24/7 northshore or Abenas (plain white adult diapers) and you will be fine just let the. Know you have a blader issue at night and some times juring the day.

If your in for a few days they will probably Cath. You to make it easier on them.
 

Scaramouche

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I may not be a guy, but something tells me getting too ''excited'' in such a scenario would probably be more embarrassing for the OP than anything... :eek!:

I didn't mean it THAT way! lol I just meant in the overall grand scheme of things it might be interesting to have another care giver do a change. Personally, I would be too nervous to get a boner but would probably make a stupid joke that I would regret later.
 

egor

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Hi friends, a somewhat serious inquiry for you.

Over the past several months, I have been going through preparations to have surgery for a gastrectomy -- a procedure used for helping people lose weight. My doctor says I'll spend at least 2 nights in the hospital, and probably will need to be in bed most of the time once out of the hospital. I'm excited about how this surgery is going to help me get more healthy -- and about resolving some of my underlying medical issues. But I also feel afraid.

One of the big things that worries me is my bedwetting. I've shared a bit about this in the past...it started a few years ago when I started using a CPAP machine. It's odd, because usually it goes in the opposite direction for people with sleep apnea (the CPAP typically resolves this issue). Anyways, for quite a while it was happening every night and since then has been far more intermittent. I've gone for several weeks without an episode, then slipped back into times where it'll be every night for week or two. In general, I'd say it happens 3-4x per week. And in some ways, it seems like it's more likely if I'm wearing a diaper -- As in, my wife and I both wonder if my diaper wearing might influence it happening. [And yes, I've been to urologists, neurologists, sleep specialists, therapists etc. -- no one has much of a clue as to why I'm having this problem]

Ok - so of course, I'm DL. I enjoy diapers; they help me deal with stress and fear, etc, etc. And so other than being kind of embarrassing in terms of our culture, having to wear diapers for bedwetting is fun most of the time. You understand.

So here's my question. What would you do if you were in my situation: intermittent bedwetting, upcoming surgery w/ at least a couple night stay, and also secretly liking diapers? Should I talk to the hospital staff about it before I get there? Should I ask them how my bedwetting will be accommodated? Should I take my own diapers with me and plan on wearing them (my wife will be with me so she'll help me w/ putting it on if I need it I'm sure)? Should I just not tell the staff at all -- and if it happens, it happens, and I'll just pee in the bed?

I wear a diaper most nights at home or even when I'm traveling. And in general, it's a necessary and good thing. So that's my normal deal -- it's medically helpful. But because this is also a fetish, I'm sensitive and conscientious about it. I don't want to subject other unsuspecting people to my sexual proclivities. At the same time, I know that my diaper wearing is also something that helps me with anxiety/stress...it's a form of self-care for me in a way.

My wife thinks I should leave diapers home and not tell the hospital about bedwetting at all. She says the staff will laugh at me and make fun of me behind my back -- and that it'll affect my level of care because they'll think I'm a weirdo and want to stay away from my room as much as possible. She thinks it'd be a huge oddity for a 30-something guy wearing a diaper in the hospital if he's ambulatory and otherwise continent.

So yeah, I'm kind of at a loss as to what to do. I have an appointment (the final one before surgery) in the coming week and so It seems like this is the opportunity to bring it up with the doctor/nurse and ask for their opinion on it.

Thanks for your help/advice (more serious replies would be particularly helpful)....If this fits better in the incontinence section, by all means, move it.

Hello
Tomorrow is the 5th anniversary of my Sleeve Gastrectomy.

1) yes you will have a folly for three days.
2) no you will not be lying around in bed. I was made to get up as soon as I was able and expected to get up and walk as much as possible every day I was in the Hospital.
3) you will need to talk to the doctor about the diapers because there is an issue with the laparoscope sights and keeping them lean until they heal.
4) no the Nurses are not going to Laugh at you. They have to much time dealing with the other 3 or 4 patients they are caring for.

Take care.

Egor
 

Stormtrooper

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OP: Can I give you some insight? I actually work at a hospital and can tell you what you might expect from the nurses and your bedwetting.

For one, incontinence is a fact of life in hospitals. They often have things like bedpans, catheters, and adult diapers within easy reach. They definitely should not laugh at you for diapering up at night. It's unprofessional and is a great way to get fired. Also, I think they'd appreciate it if you brought your own because hospital diapers cost way more than they should.

Secondly, nurses deal with stuff much worse than soiled diapers. Hazardous chemicals, isolated patients, used syringes, the list goes on and on. For a nurse, changing a diaper really isn't a big deal.
 
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cm90210

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Hi StormTroper, thanks.

I guess I'd prefer use a diaper at night while I'm there because it's what I'm accustomed to (I'd rather not wake up in wet sheets, etc). In that sense it's not a 'need' per se; I could survive without diapers while I'm there if that's their policy or whatever... In addition, I also know It is a form of self-soothing for me and I imagine that time will be stressful and uncomfortable. Wearing what I'm accustomed to will be helpful.

Anyways, what do I expect from the hospital staff? Nothing really. I expect them to be professional and concerned primarily with my healing. I'm certainly not wanting 'help' with diapers or anything. Really.

Other than that, I honestly have no idea. And this is partly what I'm asking I think. I have little to no experience with hospital culture. What SHOULD I expect? What's normal for nurses & caretakers? What will they expect of me? I don't want to be THAT patient who's weird and demanding and odd and needy. I'd prefer not to stand out as a crazy patient.

I do have this medical issue. I handle it a certain way at home. Should I expect to handle it similarly in the hospital?
 

SpAzpieSweeTot

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Hi StormTroper, thanks.

I guess I'd prefer use a diaper at night while I'm there because it's what I'm accustomed to (I'd rather not wake up in wet sheets, etc). In that sense it's not a 'need' per se; I could survive without diapers while I'm there if that's their policy or whatever... In addition, I also know It is a form of self-soothing for me and I imagine that time will be stressful and uncomfortable. Wearing what I'm accustomed to will be helpful.

Anyways, what do I expect from the hospital staff? Nothing really. I expect them to be professional and concerned primarily with my healing. I'm certainly not wanting 'help' with diapers or anything. Really.

Other than that, I honestly have no idea. And this is partly what I'm asking I think. I have little to no experience with hospital culture. What SHOULD I expect? What's normal for nurses & caretakers? What will they expect of me? I don't want to be THAT patient who's weird and demanding and odd and needy. I'd prefer not to stand out as a crazy patient.

I do have this medical issue. I handle it a certain way at home. Should I expect to handle it similarly in the hospital?
Oh, don't worry. You won't be, "that patient," as long as you're kind to them. Generally, they want you to be as independent as you can without hurting yourself. Ask your pros how independent they want you to be. Talk to them about your other issues, tell how you handle them, and ask if there will be differences. Don't be scard, or feel like a butt pain if you do need help changing, though.
 
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