Enjoying the good life, enjoying the good life.

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30% of people surveyed said that the hardest thing to do was to quit smoking, followed by saving for retirement. Solution: Dont quit smoking and you dont have to worry about retirement.

hey i gotta question for those who have been through vinnies already.....

how hard is it to stick a foley in a patient? i was in the hospital today and just noticed the girth of the tube. is there anesthetic involved? how do you know if you've hit the bladder?

enquiring minds want to know.

Haven't been through Vinnies, but assisted with many a foley.

No anesthetic - just betadine and lubricating jelly.

Males: Relatively easy... You really can't miss, the only tough part is getting by the prostate.

Females: Tougher... Especially in obese patients, a lot of attempts are blind.

You know you're in the bladder when urine starts to flow through the foley.

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4th Year Medical Student
St. George's University
All postings carry this disclaimer.

thanks!

that was very informative. now if i can figure out how to insert one during a long exam i've got it made

You mean this one?

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PGY-2 Pediatrics
SGU class of 2007

Should be pretty easy... They do make home/self-cath kits...

(Note: I have catherterized myself before, but only with the IV kind, not the urinary kind. I am avoiding the latter at all possible costs.)

For those difficult to catheter females, you may not be able to easily visualize the urethra. However, once you swab over it w/ betadine, it'll wink at ya. No kiddin. And, if you still can't find it, stick your finger in the vagina and slide the foley in. Given you have a basic idea where the urethra is suppose to be.

wish they had an emoticon that just gives a big ol' wink.

Emt039,

What were you going for the sapphenous? Otherwise, as I remember it, upper limb "auto-sticks" get pretty messy (bloody).

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"No time for the old in-out, love, I've just come to read the meter." - ALEX

Studentmd wanted a countdown try this:


1 MORE DAY
before rotations are done for good!!!!!!!

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Nimitt
SGU SOM Alumni Class '05

It took me a second to remember where the saphenous was

Nope, our instructors made us do our first ever IV stick on ourselves. While all of the rest of the class was struggling with doing it backwards into the AC, I just quickly and neatly slid it into my hand.

Though since then I have had a few successful (and a few failed) attempts at self-sticks into my AC to prevent the dehydration caused by the inhibition of ADH. :-)