- Joined
- Dec 21, 2018
Yet another Pooner experiences urethral strictures, proceeds to get ass mad when local ER doesn't know how to properly deal with her issue, and treats her like they would a normal male patient.
Not sure what to make of it, I've plenty of experience with catheters as well as urine retention, and I've never had a patient "screaming" in pain from the discomfort. The fact that they wouldn't give her any pain meds indicates to me that they have her flagged as a drug seeker.
The trend of no one giving a fuck about pooners outside of themselves persists.
As a trans man I was traumatized in the ER
I (22M) went to a Hospital Emergency Room due to excruciating pain on the 26th of June 2023 as a result of urethral strictures, which led to obstructive uropathy. I was unable to urinate at all in the morning, which led me to rush to the nearest ER in my area. During my experience, I was denied pain medication the whole visit despite having pain so intense that it was nauseating. My whole lower body hurt so bad that nothing relieved the pain. Sitting, standing, walking--none of it.
​
The nurse told me that the doctor said “I would feel better once they drained it out for me” so I didn't need any medication. However, the obstruction was so bad that even after the improper insertion of a catheter, it resulted in me needing an ambulance to transfer me 50 miles into the city (Chicago) for further action and a potential emergency surgery at the time. At the Chicago ER, I was given morphine and Tylenol due to how urgent the situation was and how much pain I was in.
​
The infection I had as well was so severe that not only did I have a fever the night prior and day of my visit, but I needed IV antibiotics, my urine was a dark orange (bordering on brown), and there were chunks floating around. After a series of tests, there turned out to be E. Coli in my urine.
​
The doctor’s (let's call him Dr. J) denial of pain management aside, there was also a lack of communication in the ER. My nurse (we'll call Bertha) came in and said she was told that my stricture was in the tip of my penis, when I informed them it was the base. I knew it was because I had screenings done for a urethroplasty scheduled on the 29th of the same month. She was initially abrasive and cold to my screams of pain and I apologized while I was suffering because I felt that caused her to be annoyed with me. The nurse tried to insert a foley into my penis three different times. Each one being bigger and or a different material because she “needed something with more oomph to get past the stricture." The first two catheters were the same material. The former a smaller size than the next. The third one was a medium sized catheter made of silicone. Bertha forced the tube through my penis and broke through the stricture, which caused a fair amount of blood to come out. After she shoved the catheter all the way into me, I expressed that the catheter didn’t feel right (which I explained to my urologist’s office as I was on the phone with while she was inserting it).
I've had catheters put in before. Foley and Suprapubic. It felt nothing like how it did before, especially when she inflated the balloon. When she inflated it, I could physically feel it by touching my perineum. The catheter also wasn’t draining enough, and it was causing perineal pain. Bertha told me that she did what she was supposed to, but that she would try to have the doctor come in to talk to me. She seemed angry at me for even mentioning what she did wrong. Mind that she had to deflate and reinflate the balloon multiple times. One time she even inflated it ON my stricture.
​
The doctor, who claimed he “wasn’t an ultrasonologist”, couldn’t see the catheter inside my bladder during the ultrasound he performed and couldn’t confirm that it was properly put in. He said that it should be correct because there was urine that was successfully drained, and left it at that. An official CT scan I received at the Chicago ER revealed that the catheter was, in fact, not in the correct place. My papers state that "The Foley catheter extends into the neophallus and takes a turn at the level of the mons pubis, extending posteriorly and inferiorly toward the perineum. The catheter does not does not approximate the expected course of the urethra."
​
Before the third catheter insertion, while I was openly almost crying from pain, a blonde nurse with glasses came in and openly proclaimed that she wanted to "be nosy" and looked at me like I was a zoo animal. I was still ignored pain management.
​
Even though I was still in extreme pain while urine was slowly draining, I was repeatedly denied help for it and ignored when using the appropriate call button. It was mind boggling. I was able to relieve pressure, yes, but only as a result of forceful dilation, if not just straight dislodgment, of my urethral scar tissue with the foley. It also required me to apply pressure to my bladder and to forcefully push urine out, as it didn’t flow out from the catheter. Urine came out from my penis around the catheter as well as into the tube itself.
​
I had to be transferred by ambulance for how severe my situation was (both obstruction and infection)—during which I passed out from how much pain I was in from the bumpiness of the the ride—I was given morphine and Tylenol immediately went arriving in Chicago. The fact that no part of the first ER staff believed me and didn’t think my pain level was “enough” despite me begging to be knocked out, even by blunt force, was ridiculous.
​
Dr. J’s choice of using a foley over an SP tube—which my fiancé mentioned to the nurse briefly—led to treatment difficulties at my stay at the Chicago ER. I should've stated earlier here that I mentioned being a trans male to the ER team and that I have a neophallus, but that fact was ignored or dismissed. I was very unhappy with this, as my care team in Chicago was upset Dr. J forced a foley through me due to my upcoming surgery to fix the stricture. This pushed back a month later, making me lose time and money from lost wages. I gave the check-in nurse at the initial hospital the information of my urologist (part of my care team following a phalloplasty procedure I had done), who Dr. J should have called before performing anything. I was even on the phone with my Urologist's office myself while I was in the waiting room, to ask if there was anything I could do for the pain. Dr. J neglected to call my doctor until it was to the point of needing an ambulance transfer.
​
I’m more than thankful for the staff at Chicago, but my care at the ER I first went to was insufficient and the worst experience I have ever had, even compared to the multiple major surgeries I’ve had in my life. I ended up needing the catheter that was put in my penis taken out because it was placed incorrectly and was a danger to my health/
​
There were also things charted/noted incorrectly. Of note, they neglected to properly put down that I had a fever the night prior to my ER visit from my severe urinary tract infection. It was noted as “felt warm yesterday, did not check temperature” despite my fiancé taking my temperature hourly and spending time reapplying cold compresses on my forehead and wrists as I went in and out of consciousness. The intent was to get my temperature down so that I would feel able to travel in the morning when she drove me, because I was in no shape or form to even stand without feeling weak and in pain. In addition to this, they put my appearance as "awake, alert appears uncomfortable" to describe the condition I was in. It was a gross understatement of the trauma I experienced and was going through.
Because of all that, I want to know if there is anything I can do in my situation because of this horrendous experience that left me with a myriad of trauma. Not to mention the fact that I now have to be out of work for more than a month to recover and go back in for additional surgery caused by the negligence of care. If anyone can please point me in the right direction on what to do because of this? If there are people we can contact to help us as well would be VERY much appreciated.
Thank you all for taking time to read this if you did and thank you for any help in advance.
I (22M) went to a Hospital Emergency Room due to excruciating pain on the 26th of June 2023 as a result of urethral strictures, which led to obstructive uropathy. I was unable to urinate at all in the morning, which led me to rush to the nearest ER in my area. During my experience, I was denied pain medication the whole visit despite having pain so intense that it was nauseating. My whole lower body hurt so bad that nothing relieved the pain. Sitting, standing, walking--none of it.
​
The nurse told me that the doctor said “I would feel better once they drained it out for me” so I didn't need any medication. However, the obstruction was so bad that even after the improper insertion of a catheter, it resulted in me needing an ambulance to transfer me 50 miles into the city (Chicago) for further action and a potential emergency surgery at the time. At the Chicago ER, I was given morphine and Tylenol due to how urgent the situation was and how much pain I was in.
​
The infection I had as well was so severe that not only did I have a fever the night prior and day of my visit, but I needed IV antibiotics, my urine was a dark orange (bordering on brown), and there were chunks floating around. After a series of tests, there turned out to be E. Coli in my urine.
​
The doctor’s (let's call him Dr. J) denial of pain management aside, there was also a lack of communication in the ER. My nurse (we'll call Bertha) came in and said she was told that my stricture was in the tip of my penis, when I informed them it was the base. I knew it was because I had screenings done for a urethroplasty scheduled on the 29th of the same month. She was initially abrasive and cold to my screams of pain and I apologized while I was suffering because I felt that caused her to be annoyed with me. The nurse tried to insert a foley into my penis three different times. Each one being bigger and or a different material because she “needed something with more oomph to get past the stricture." The first two catheters were the same material. The former a smaller size than the next. The third one was a medium sized catheter made of silicone. Bertha forced the tube through my penis and broke through the stricture, which caused a fair amount of blood to come out. After she shoved the catheter all the way into me, I expressed that the catheter didn’t feel right (which I explained to my urologist’s office as I was on the phone with while she was inserting it).
I've had catheters put in before. Foley and Suprapubic. It felt nothing like how it did before, especially when she inflated the balloon. When she inflated it, I could physically feel it by touching my perineum. The catheter also wasn’t draining enough, and it was causing perineal pain. Bertha told me that she did what she was supposed to, but that she would try to have the doctor come in to talk to me. She seemed angry at me for even mentioning what she did wrong. Mind that she had to deflate and reinflate the balloon multiple times. One time she even inflated it ON my stricture.
​
The doctor, who claimed he “wasn’t an ultrasonologist”, couldn’t see the catheter inside my bladder during the ultrasound he performed and couldn’t confirm that it was properly put in. He said that it should be correct because there was urine that was successfully drained, and left it at that. An official CT scan I received at the Chicago ER revealed that the catheter was, in fact, not in the correct place. My papers state that "The Foley catheter extends into the neophallus and takes a turn at the level of the mons pubis, extending posteriorly and inferiorly toward the perineum. The catheter does not does not approximate the expected course of the urethra."
​
Before the third catheter insertion, while I was openly almost crying from pain, a blonde nurse with glasses came in and openly proclaimed that she wanted to "be nosy" and looked at me like I was a zoo animal. I was still ignored pain management.
​
Even though I was still in extreme pain while urine was slowly draining, I was repeatedly denied help for it and ignored when using the appropriate call button. It was mind boggling. I was able to relieve pressure, yes, but only as a result of forceful dilation, if not just straight dislodgment, of my urethral scar tissue with the foley. It also required me to apply pressure to my bladder and to forcefully push urine out, as it didn’t flow out from the catheter. Urine came out from my penis around the catheter as well as into the tube itself.
​
I had to be transferred by ambulance for how severe my situation was (both obstruction and infection)—during which I passed out from how much pain I was in from the bumpiness of the the ride—I was given morphine and Tylenol immediately went arriving in Chicago. The fact that no part of the first ER staff believed me and didn’t think my pain level was “enough” despite me begging to be knocked out, even by blunt force, was ridiculous.
​
Dr. J’s choice of using a foley over an SP tube—which my fiancé mentioned to the nurse briefly—led to treatment difficulties at my stay at the Chicago ER. I should've stated earlier here that I mentioned being a trans male to the ER team and that I have a neophallus, but that fact was ignored or dismissed. I was very unhappy with this, as my care team in Chicago was upset Dr. J forced a foley through me due to my upcoming surgery to fix the stricture. This pushed back a month later, making me lose time and money from lost wages. I gave the check-in nurse at the initial hospital the information of my urologist (part of my care team following a phalloplasty procedure I had done), who Dr. J should have called before performing anything. I was even on the phone with my Urologist's office myself while I was in the waiting room, to ask if there was anything I could do for the pain. Dr. J neglected to call my doctor until it was to the point of needing an ambulance transfer.
​
I’m more than thankful for the staff at Chicago, but my care at the ER I first went to was insufficient and the worst experience I have ever had, even compared to the multiple major surgeries I’ve had in my life. I ended up needing the catheter that was put in my penis taken out because it was placed incorrectly and was a danger to my health/
​
There were also things charted/noted incorrectly. Of note, they neglected to properly put down that I had a fever the night prior to my ER visit from my severe urinary tract infection. It was noted as “felt warm yesterday, did not check temperature” despite my fiancé taking my temperature hourly and spending time reapplying cold compresses on my forehead and wrists as I went in and out of consciousness. The intent was to get my temperature down so that I would feel able to travel in the morning when she drove me, because I was in no shape or form to even stand without feeling weak and in pain. In addition to this, they put my appearance as "awake, alert appears uncomfortable" to describe the condition I was in. It was a gross understatement of the trauma I experienced and was going through.
Because of all that, I want to know if there is anything I can do in my situation because of this horrendous experience that left me with a myriad of trauma. Not to mention the fact that I now have to be out of work for more than a month to recover and go back in for additional surgery caused by the negligence of care. If anyone can please point me in the right direction on what to do because of this? If there are people we can contact to help us as well would be VERY much appreciated.
Thank you all for taking time to read this if you did and thank you for any help in advance.
Not sure what to make of it, I've plenty of experience with catheters as well as urine retention, and I've never had a patient "screaming" in pain from the discomfort. The fact that they wouldn't give her any pain meds indicates to me that they have her flagged as a drug seeker.
The trend of no one giving a fuck about pooners outside of themselves persists.
I saw my glans, and it opened up my eyes,
