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Medical Forum / Diseases and Disorders / Prostate Cancer / May 2008

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Blood Clot In Urine

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Danger Mouse - 26 May 2008 20:23 GMT
I'm on the catheter, 6th day since operation.  Have been noticing blood clots
in urine.  Instructions say to call surgeon if I get "large" blood clots.
Yesterday's  2 were arguable about "large".  Today's was maybe 1/16" or so in
diameter, although that might be maginified by the curvature of the plastic
tubing, and the length of the diameter of a quarter.

Called, left message, it's Memorial day.  Expect reply tomorrow.

Anyone have any experience with this - what might be going on?  Too much
sitting?  Dunno how that would correlate, but its the only thing I can think of
that I might not be doing 100% right.  I guess I'll go for a walk now - its 3
PM and I haven't gotten that in yet. I've got an acre, I guess I could get
around that for a walk.

DM
Claude - 26 May 2008 20:30 GMT
> I'm on the catheter, 6th day since operation.  Have been noticing blood
> clots
[quoted text clipped - 16 lines]
>
> DM

Happened to me as well---even a couple of weeks into the
catheter---especially after activity.  The uro was not concerned.  Mine were
varying sizes---sometimes even a bit larger than yours.  Eventually cleared
up.
Danger Mouse - 26 May 2008 21:40 GMT
>> I'm on the catheter, 6th day since operation.  Have been noticing blood
>> clots
[quoted text clipped - 21 lines]
>varying sizes---sometimes even a bit larger than yours.  Eventually cleared
>up.

Hi Claude,

Thanks for the feedback.  I'm only a "little" scared - about the worst thing I
think could happen would be a clog of the catheter, but none of 'em have been
that large.  This latest one turned out to be a bit smaller than I described
because the clear plastic tubing was magnifying it.  When I got it into the
collection bag, it was even smaller, although longer - I found out that it was
folded on itself.

I think I'll quit worrying for now... <G>

Thanks again,

DM
Dwight - 26 May 2008 23:15 GMT
> >> I'm on the catheter, 6th day since operation.  Have been noticing blood
> >> clots
[quoted text clipped - 32 lines]
>
> I think I'll quit worrying for now... <G>

I'm at 12 days after surgery.  My instructions were to not be
concerned about any clots under one inch long.  Probably my biggest
has been 3/8".   Most much smaller.  I'm still getting some at this
point.  I have had what the doctor is telling me are bladder spasms,
which are forcing urine around the catheter and out.  And I believe a
clot was pushed out along the outside of the catheter during the first
spasm.  That did NOT feel good.

Hang in there DM.

Dwight
Danger Mouse - 27 May 2008 00:16 GMT
>> >> I'm on the catheter, 6th day since operation.  Have been noticing blood
>> >> clots
[quoted text clipped - 44 lines]
>
>Dwight

Thanks, Dwight.  No, I imagine  a clot travelling on the outside of the
catheter would not be comfortable.  I guess I'm still having a muck better time
of it than some.

The clot, omce I got it down in the collection bag, _was_ over an inch long but
with a tiny whispy tail.  Dunno what's going on...

DM
Dwight - 27 May 2008 01:13 GMT
> Thanks, Dwight.  No, I imagine  a clot travelling on the outside of the
> catheter would not be comfortable.  I guess I'm still having a muck better time
> of it than some.

Just in case, I was't trying to trump you.  And you still have time to
catch up! ;-)

We have no experience with this stuff, and no one close by who does.
It's only natural to hyper-focus on this stuff and wonder what the
hell is going on.  I called the hospital at 2:30 in the morning after
I got that first bladder spasm.  They asked "Is this urgent?"  I said
"I don't really know."

They seemed to understand, and put me through to the on-call doctor.

Dwight
Dwight - 27 May 2008 01:35 GMT
> > Thanks, Dwight.  No, I imagine  a clot travelling on the outside of the
> > catheter would not be comfortable.  I guess I'm still having a muck better time
[quoted text clipped - 12 lines]
>
> Dwight

Ok, well, I guess I spoke too soon.  I just had something 2" long and
red come out of me through the catheter.  And it almost looks like it
could be a ring or loop.
Danger Mouse - 27 May 2008 02:01 GMT
>> > Thanks, Dwight.  No, I imagine  a clot travelling on the outside of the
>> > catheter would not be comfortable.  I guess I'm still having a muck better time
[quoted text clipped - 16 lines]
>red come out of me through the catheter.  And it almost looks like it
>could be a ring or loop.

Well, nuts... that's not good news.  Not sure what we're doing wrong here, am
increasing my walking starting tomorrow tho.  Sitting on one of those "invalid
rings" I got at the pharmacy, and that's about all I can think of to do about
it.

Have been wearing pants the last few hours, so if I passed a clot, I don't know
about it...

DM
Steve Kramer - 27 May 2008 12:00 GMT
> On May 26, 4:16 pm, Danger Mouse <danger_mo...@att.net> wrote:
>
[quoted text clipped - 15 lines]
>
> Dwight

Ok, well, I guess I spoke too soon.  I just had something 2" long and
red come out of me through the catheter.  And it almost looks like it
could be a ring or loop.

==>  I think I'd call the docs on that one.  Still, you're probably okay,
but I think a clot of that size is worth reporting.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  <.1  <.1  <.1  .27  .37  .75            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

Dwight - 27 May 2008 21:36 GMT
> > On May 26, 4:16 pm, Danger Mouse <danger_mo...@att.net> wrote:
>
[quoted text clipped - 22 lines]
> ==>  I think I'd call the docs on that one.  Still, you're probably okay,
> but I think a clot of that size is worth reporting.

Got the catheter out this morning.  Reported it to the very lovely and
sweet woman who removed my catheter.  She said to talk to my surgeon's
nurse.  I think I'd like to get another catheter in so I can go see
her again.
Danger Mouse - 27 May 2008 22:08 GMT
>> > On May 26, 4:16 pm, Danger Mouse <danger_mo...@att.net> wrote:
>>
[quoted text clipped - 27 lines]
>nurse.  I think I'd like to get another catheter in so I can go see
>her again.

Ohhhh... catheter gone... Sweet!  Hopefully the clotting will not be found to
be a large problem.

I got a call back from my surgeon's nurse this morning and she listened to me
describe it and asked about my urine color and number of clots.  I've only had
3 "big" ones, 2 Sunday and 1 yesterday.  She said not to worry.  I guess I
won't worry.

Was the catheter removal painful?

I've found that living with the catheter is not nearly as hard as I had
suspected it was.  Worst thing is that I could use a little more tubing for the
night bag.  I have some more - may splice it in there tonight.  Alternative is
to not use the bag and let the catheter drain into a diaper since I have quite
a significant stockpile of those.  I could at least roll over then, and sleep
on my right side as well as my left side.  But I've occasionally reached the
end of the stretch on the tubing, then it pops out of its socket and leaks on
my shorts and spotted the bed this morning.  Nuts.

DM
Steve Kramer - 27 May 2008 23:42 GMT
Got the catheter out this morning.  Reported it to the very lovely and
sweet woman who removed my catheter.  She said to talk to my surgeon's
nurse.  I think I'd like to get another catheter in so I can go see
her again.

===>  On January 2, 2001, I looked back at the orderly when my nurse pulled
out the catheter and said, "Melvin, could you check it for me?  I think she
pulled my dick off!"
Dwight - 28 May 2008 03:05 GMT
> Got the catheter out this morning.  Reported it to the very lovely and
> sweet woman who removed my catheter.  She said to talk to my surgeon's
[quoted text clipped - 4 lines]
> out the catheter and said, "Melvin, could you check it for me?  I think she
> pulled my dick off!"

Mine didn't hurt, but it felt odd, like some slippery reptile had shot
out of me.
I.P. Freely - 28 May 2008 04:18 GMT
>> Got the catheter out this morning.  Reported it to the very lovely and
>> sweet woman who removed my catheter.  She said to talk to my surgeon's
[quoted text clipped - 7 lines]
> Mine didn't hurt, but it felt odd, like some slippery reptile had shot
> out of me.

I've had it removed two different ways: an extremely quick yank and a
prompt-but-not-rushed pull/slither. The former stung a great deal; the
latter was merely noticeable, not the least bit painful. When I removed
the third and last one myself, *guess which way I did it*.

I.P.
Steve Kramer - 28 May 2008 12:52 GMT
> ===> On January 2, 2001, I looked back at the orderly when my nurse pulled
> out the catheter and said, "Melvin, could you check it for me? I think she
> pulled my dick off!"

Mine didn't hurt, but it felt odd, like some slippery reptile had shot
out of me.

--->  Mine didn't hurt either, but it sure felt like more than a plastic
tube was removed.
Claude - 28 May 2008 14:31 GMT
On May 27, 3:42 pm, "Steve Kramer" <skra...@cinci.rr.com> wrote:
> "Dwight" <nodamnspa...@yahoo.com> wrote in message
>
[quoted text clipped - 8 lines]
> out the catheter and said, "Melvin, could you check it for me? I think she
> pulled my dick off!"

Mine didn't hurt, but it felt odd, like some slippery reptile had shot
out of me.

x-no-archives: yes

I shared this story a few years ago, but I'll repeat it for the newcomers
who can be grateful for the nice, easy removal.

While recovering from my RP six years ago, my roommate was a man in his late
70's.  His story put my teeth on edge when I heard it.  Also made me very
aware of what the nurse was doing when she removed my catheter.

This was a prolonged stay for him.  He came in for surgical treatment of
benign prostate enlargement.  A catheter was inserted after the procedure.
On the day of removal a nurse came in, trailed by a bevy of students.  She
was going to instruct them on proper removal of the catheter.  Despite all
the instruction, she neglected to deflate completely the anchor inside the
bladder before giving it that nice decisive yank.  Imagine the agony.
Needless to say, he was in for a prolonged stay to repair the damages.

I made sure to relate that incident to the nurse right before she removed
mine.
Heather - 28 May 2008 19:41 GMT
Claude....I just checked Google Archives to be sure and you MUST put
that code in at the very TOP of the post, as I have above.  In other
words, as the very FIRST thing.....for it to work.  Yours below is not
exempt from archiving cuz you inserted it half way down.

And if you get any hassle from anyone, know that the above code is
rarely used, so some may not understand why you are putting it in.  Some
may very well understand, but just like to kvetch.

Cheers.....Heather

> On May 27, 3:42 pm, "Steve Kramer" <skra...@cinci.rr.com> wrote:
>> "Dwight" <nodamnspa...@yahoo.com> wrote in message
[quoted text clipped - 36 lines]
> I made sure to relate that incident to the nurse right before she
> removed mine.
Claude - 28 May 2008 20:37 GMT
So, in order for it to work, I should top post?

> x-no-archive: yes
>
[quoted text clipped - 48 lines]
>> I made sure to relate that incident to the nurse right before she removed
>> mine.
Heather - 28 May 2008 22:15 GMT
> So, in order for it to work, I should top post?

No, not necessary.  Just make sure that the *x-no-archive: yes* is at
the very top and then post as you usually do.  Bottom or interspersed,
etc.  It should work because I should imagine the code just tells Google
not to archive the post.  I am testing that with this post and leaving
stuff in to make sure it covers all of the post.

Cheers....Heather

>> x-no-archive: yes
>>
[quoted text clipped - 8 lines]
>>
>> Cheers.....Heather
Heather - 28 May 2008 22:15 GMT
> So, in order for it to work, I should top post?

No, not necessary.  Just make sure that the *x-no-archive: yes* is at
the very top and then post as you usually do.  Bottom or interspersed,
etc.  It should work because I should imagine the code just tells Google
not to archive the post.  I am testing that with this post and leaving
stuff in to make sure it covers all of the post.

Cheers....Heather

>> x-no-archive: yes
>>
[quoted text clipped - 8 lines]
>>
>> Cheers.....Heather
Heather - 28 May 2008 22:16 GMT
> So, in order for it to work, I should top post?

No, not necessary.  Just make sure that the *x-no-archive: yes* is at
the very top and then post as you usually do.  Bottom or interspersed,
etc.  It should work because I should imagine the code just tells Google
not to archive the post.  I am testing that with this post and leaving
stuff in to make sure it covers all of the post.

Cheers....Heather

>> x-no-archive: yes
>>
[quoted text clipped - 8 lines]
>>
>> Cheers.....Heather
Heather - 28 May 2008 22:57 GMT
Oops, sorry about that.  The *Google Gods* got me.  I tried to send it
via Motzarella and it didn't seem to go, so switched to aioe.org and
sent it.  The good news is that everyone of them is NOT archived.

Got it, Claude?  If you have any other questions, we can converse via
email, if you wish.  I will post a gmail address if you want it.

Best....Heather

> x-no-archive: yes
>
[quoted text clipped - 21 lines]
>>>
>>> Cheers.....Heather
Claude - 29 May 2008 04:33 GMT
> Oops, sorry about that.  The *Google Gods* got me.  I tried to send it via
> Motzarella and it didn't seem to go, so switched to aioe.org and sent it.
[quoted text clipped - 29 lines]
>>>>
>>>> Cheers.....Heather

Thanks again, Heather.  C.
I.P. Freely - 26 May 2008 23:28 GMT
> I'm on the catheter, 6th day since operation.  Have been noticing blood clots
> in urine.  Instructions say to call surgeon if I get "large" blood clots.
[quoted text clipped - 11 lines]
>
> DM

I might have given notice to a half-inch clot, but a millimeter? Heck,
I've passed kidney stones bigger than that -- at the airport -- just
before boarding a flight.

By my 6th day, I was briskly walking miles, often outpacing staff and
visitors in hospital corridors, after having not only my prostate but
half my colon and dozens of lymph nodes removed through an open pit
mine. Maybe that acre should be a block or three ... if you feel up  to
it ... a few times a day. OTOH, I was pushing a catheter tower on tile
floors, not wearing a bag on my leg while trekking cross-country. YMMV.

I.P.
Danger Mouse - 27 May 2008 01:43 GMT
>> I'm on the catheter, 6th day since operation.  Have been noticing blood clots
>> in urine.  Instructions say to call surgeon if I get "large" blood clots.
[quoted text clipped - 15 lines]
>I've passed kidney stones bigger than that -- at the airport -- just
>before boarding a flight.

Yeah, OK, I get it! <GGG>

>By my 6th day, I was briskly walking miles, often outpacing staff and
>visitors in hospital corridors, after having not only my prostate but
>half my colon and dozens of lymph nodes removed through an open pit
>mine.

Open pit mine...  I like that.  I was only in the hospital 2 days, tho, a visit
with the robot.

>Maybe that acre should be a block or three ... if you feel up  to
>it ... a few times a day. OTOH, I was pushing a catheter tower on tile
>floors, not wearing a bag on my leg while trekking cross-country. YMMV.
>
>I.P.

I feel that I don't have any after-effects of the anesthetic, yet I have a
pretty good case of CRS (can't remember squat) lately.  I keep having to go
back to the handout they gave at the hospital, and it says to walk 3 times
daily.  It doesn't say how far, tho.  I'm a bit short on the number of walks
today - the previous days have been walking to the theater from the car, back
again, car into house, going out to get the paper, etc.  Today's the 1st day I
actually walked around the property.  Will do better tomorrow.  I'm not overly
fat or anything, but walking just to be walking, without a destination, is not
a favorite activity.  And, there's nothing around here within a reasonable
distance to serve as a reasonable destination.

Tomorrow I think I'm going to work in a session with my camera and tripod, and
see how close-up pictures I can get of the top of my radio tower where my two
meter ham antenna is.  It is not working well.  There's almost certainly a poor
connection at the bottom of this, but where is it?  Maybe I can see it. Anyway,
I can get at it in July, when I'll feel ok about the physical effort of tilting
the tower over.  It is an eat-your-Wheaties endeavor, with a socket wrench and
a several-foot-long extension on its handle to apply around 110 ft-lbs of
torque for many, many turns of a 6' long screw to lay the tower over. And, when
the tower is about 19 feet off the ground, I have to climb my 16' step ladder
and loosen some nuts to swivel the low band beam horizontal. Fairly dangerous,
but the easy cure is a $750 item that swivels the antenna automatically.  Nope,
not any time soon.  But maybe I can figure out the smaller antenna on top -
maybe one of the radio club members will know how to get hold of a bucket truck
and I won't have to lay it over at all, if I can only find what's wrong in the
1st place, beforehand.  Who knows, I might even see a burned spot where maybe
it was destroyed by lightning while I wasn't looking.

DM
I.P. Freely - 27 May 2008 02:23 GMT
> walking just to be walking, without a destination, is not
> a favorite activity.

Neither is the gym, but its benefits are absolutely immense.

I.P.
Danger Mouse - 27 May 2008 02:37 GMT
>> walking just to be walking, without a destination, is not
>> a favorite activity.
>
>Neither is the gym, but its benefits are absolutely immense.
>
>I.P.

I get along with the gym a lot better - I rather like the atmosphere.  If my
instractions didn't say I shouldn't drive until the catheter is removed, I'd
probably go to the gym and use the treadmill (and talk to people, listen to the
music, watch other people work out, etc. etc.)
Steve Kramer - 27 May 2008 11:45 GMT
> Will do better tomorrow.  I'm not overly
> fat or anything, but walking just to be walking, without a destination, is
> not
> a favorite activity.  And, there's nothing around here within a reasonable
> distance to serve as a reasonable destination.

I spent most of my life thinking the same thing, but when I was dx'd and
told that I would have major surgery, I immediately started going to the
healthplex and walking the treadmill.  Soon worked up to two miles in 34
minutes (arbitrary goal).  The last week before my surgery was spent on a
cruise and I was up on the bow walking on a treadmill every morning.

I went into the hospital on DEC 15 and got out DEC 23 (complications).
Bought a small bag for walking and was back on the treadmill on the 26th.
By Spring I grew tired of the treadmill and went to a ½-mile track in a
small park.  Six times around that bored me as much as the treadmill.

I now drive to four different parks with longer tracks and/or hiking trails.
The shortest of these is 2½ miles, but with two Grade 3 hills and beautiful
scenery.  The most I ever do is 5 miles, but usually only at charity walks.
I once walked 3-5 miles a day, 3-5 times a week, but I have since settled
into a routine of 2.5 to 3.4 miles a day, 3 to 5  times a week.

But, I am not walking just to be walking.  I'm walking to beat the effects
of cancer, to beat the effects of treatment, and maybe to beat the timeline
of cancer.

Signature

PSA 16 10/17/2000 @ 46
Biopsy 11/01/2000 G7 (3+4), T2c
RRP 12/15/2000 G7 (3+4), T3cN0M0 Neg margins
PSA  <.1  <.1  <.1  .27  .37  .75            PSAD 0.19 years
EBRT 05-07/2002 @ 47
PSA  .34 .22 .15 .21 .32                       PSAD .056 years
Lupron 07/03 (1 mo) 8/03 and every 4 months there after
PSA  .07 .05 .06 .09 .08 .132 .145       PSAD 1.4 years
Casodex added daily 07/06
PSA <0.04, <0.05, <0.04, <0.04, <0.1  2/12/08
Non Illegitimi Carborundum

 
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