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Summer 2011 - Multiple Sclerosis Society of Canada

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Ask<br />

Jeannine<br />

When do I need an<br />

indwelling catheter?<br />

Answer: If you are having a lot <strong>of</strong> bladder<br />

infections you need to find out if you<br />

are actually emptying your bladder<br />

when voiding. This can be determined<br />

by having a bladder scan at the MS<br />

Clinic or by ultrasound at a radiology<br />

department. At the clinic you will be<br />

scanned before voiding and after voiding.<br />

For someone with MS the usual residual<br />

<strong>of</strong> 100cc’s means you need to learn to<br />

intermittent catheterize. That means you<br />

insert a small tube (catheter) into your<br />

bladder 3-4 times daily. This is the best<br />

treatment for residual urine resulting in<br />

bladder infections. If you are unable to<br />

Jeannine Christopherson, a MS nurse and retired<br />

Outreach Coordinator with the MS <strong>Society</strong>, Edmonton<br />

Chapter, will answer your questions about MS.<br />

If you would like to ask Jeannine a question, email it to<br />

info.alberta@mssociety.ca or call the editor,<br />

Angie Mah, at 780-463-1190 or 1-800-268-7582.<br />

self catheterize someone else can be<br />

taught to do this. If your residual urine is<br />

200cc’s or more and you are unable to<br />

self catheterize you may need to have an<br />

indwelling catheter.<br />

Are there problems<br />

due to an indwelling<br />

catheter?<br />

Answer: Possible side effects include<br />

infections and bladder stones; if you drink<br />

approximately 3000cc’s (6 – 500 cc<br />

bottles) <strong>of</strong> fluids per day, infections will<br />

be held to a minimum. Without infections<br />

the likelihood <strong>of</strong> bladder stones is quite<br />

small. If an infection does occur you need<br />

Peer Link<br />

The MS <strong>Society</strong> – Alberta & NWT Division is expanding its Peer Link<br />

service to include all <strong>of</strong> Alberta. Volunteers Alvina and Jeannine are<br />

ready to respond to any questions you have about your MS diagnosis, where<br />

you can find services, and how to help your family adjust to the challenges<br />

you face. Persons living with MS, families, health pr<strong>of</strong>essionals and staff<br />

are welcome to call or e-mail. You will receive a call or e-mail back within a<br />

reasonable timeframe <strong>of</strong> about two days to a week.<br />

Alvina lives with MS and has provided support at the Division <strong>of</strong>fice for<br />

many years. Jeannine has worked with the MS Clinic as the Nurse Coordinator<br />

and at the Edmonton Chapter on their Client Services team.<br />

medication quickly as someone with<br />

MS becomes very weak with a bladder<br />

infection. When one has an indwelling<br />

catheter it can become blocked by<br />

sediment, particularly if fluid intake is<br />

restricted. If this occurs someone with<br />

MS gets infected quickly and this can<br />

lead to sepsis. Sepsis means a blood<br />

infection that is systemic and the person<br />

needs hospitalization for IV antibiotics.<br />

The conclusion is that enough fluids need<br />

to be ingested to keep the urine clear.<br />

Many people do very well with indwelling<br />

catheters. Your doctor will advise you<br />

what method you need to use to manage<br />

infections. Sometimes increasing fluid<br />

intake is all that is required.<br />

Just a call or email away<br />

Alvina Hughes<br />

780-475-8255<br />

alvina.hughes@mssociety.ca<br />

Jeannine Christopherson<br />

jeannine.christopherson@mssociety.ca<br />

MS Connections <strong>Summer</strong> <strong>2011</strong> 15

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