Saturday, 22 February 2025

Photons on the Prostate - XVIII

Just Can’t Wait

At the culmination of radiotherapy for prostate cancer in early October, apart from the fatigue, I had serious bladder issues accompanied with pain and the regular inability to pass urine. Any time I stepped out of my home, I needed to know there was a convenience about, because I needed one within 30 minutes of leaving home and frequently thereafter.

While I had many conversations with the Macmillan Cancer Support nurses, it was the Cancer Support Nurse Consultant that came through my employer’s insurance services who was the most helpful, in that, she had the time for extensive conversations and the knowledge to deal with issues around cancer, treatment, the management of the side effects, and recuperation.

On her advice, I got the Just Can’t Wait card and a Radar key to facilitate urgent access to conveniences when needed. The times they have been life savers and helping the avoidance of embarrassment are precious beyond expression.

Changing side effects

On one of our conferences when I talked about the changing side effects I was experiencing, she intimated the side effects are not textbook experiences that would occur as indicated in the various medical notes referenced. Some may never occur or would occur at different times for different people depending on innumerable factors. I just had to work through them.

To deal with the pain beyond easing the constriction of my much-enlarged prostate after radiotherapy, I was on Codeine which I later learnt metabolises to morphine in the body. This informed my moderated use of it to avoid addiction.

Rather than adhere to the recommended early dosage of two tablets up to four times a day, I only took two tablets at night and immediately weaned myself of it once the pain had subsided, some six weeks later.

Until recently, I have had no bowel issues, they were slightly irregular, but I had no urgency pertaining to that. Codeine could exacerbate constipation, so, I did take a laxative just to avoid complications. It never really came to that.

Please, toilet, now

However, lately, I think I have been quite daring with my outings, I have had some uncomfortable bowel urgencies that have had me considering how I navigate my city and my outings. Pitifully wielding my Just Can’t Wait Card and rushing to access a disabled toilet with my Radar key while preserving my dignity, is a test of composure without paying much heed to embarrassment. Needs must.

Yesterday, as I attended the Pearson Vue test centre to take a Microsoft Certification examination, I had missed the direct bus to the location, the alternative was a longer walk than I anticipated, and soon I realised, having a toilet nearby would be a great relief.

We are required to register at the reception but there was no time for that, I walked in and emphatically said, “Please, can I use a toilet, now?” The receptionist helpfully directed me to the toilet dispensing with the required formalities until after my emergency.

Today, halfway back from shopping for ethnic goods, I knew I had to find a toilet before boarding my next bus as I was unsure nature would allow me to avoid any embarrassment.

One would think a shopping centre would have public toilets, but what use are they when they are closed? Even as many public toilets have been closed due to cuts and other issues, I am becoming more aware of people with bladder and bowel issues are limited in their abilities to leave their homes.

The large Tesco store behind the vaunted shopping centre came to the rescue, I would not have survived realising they had no toilets and thankfully, the disabled toilets were close by.

More toilets needed

We can wear incontinence underwear or some with even more serious abdominal issues might have colostomy, ileostomy, or urostomy bags to divert waste or urine from the body where the natural organs have been bypassed due to medical issues. [Salts Healthcare: What is a stoma?]

You do wonder if some public action is required to address access to more public facilities without the need to expose oneself to the indignities, we have little control over.

I am thankful the mishaps have been minimal, contained, or have happened so close to home that they have been bearable. Life is not just finding a toilet but knowing that you can find one when needed makes life a little more fun.

Blog - Men's things - XXII

Blog - Photons on the Prostate - XVII

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