Friend 1: Don't you want to come?
Friend 2: Yeah, we're ordering pizza and watching movies.
Friend 3: And we're going to hide my sister's cell phone and watch her freak out!
Lucas: Sorry guys, maybe next time.
Friend 3: Suit yourself!
We're off to put her phone in the freezer!
Lucas: Duh, of course I want to go!
But what if I have to pee?
I don't know how to use my catheter and it's not like I can ask my friends for help!
Guess it's just another night on my own.
Narrator: A moment later, at the Medi-HQ...
Lucas: Medikidz!
Whoa!
What's up guys?
Skindy: 'What's up' is that you seem to need help understanding CIC and why it's
so important.
Axon: CIC is short for clean intermittent catheterization.
Skindy: Intermittent means not all the time, but repeatedly.
...Like combing your hair or brushing your teeth.
Pump: Catheterization means a tube called a catheter going into your bladder.
See, tubes!
Chi: So, CIC means putting a tube into your bladder several times a day.
Axon: CIC is needed to drain urine from your bladder.
Your kidneys take all the waste from your blood to make urine.
Urine then travels down long thin tubes called ureters to your bladder.
We'll take you on a tour of Mediland to help explain all about this.
For where we're going, we need hoverpacks!
First stop, the bladder!
Narrator: In the blader…
Lucas: It smells like pee in here!
Pump: That's the bladder for you.
Your bladder is like a balloon.
Skindy: It's small when empty, but as it fills with urine, it gets bigger and bigger.
Axon: There's a strong muscle at the base of the bladder, called a sphincter.
It acts like a gate, keeping urine in.
Lucas: Please don't let me drown in pee!
Chi: When your bladder's full...the sphincter relaxes to allow urine out so your bladder
empties completely.
Axon: The urine moves from your bladder through a tube called the urethra, to leave your body
as pee.
Abacus: This is what usually happens.
Lucas: There's still some pee here!
Why isn't the sphincter relaxing?!
Chi: Sometimes, the sphincter doesn't relax when it needs to.
So the urine stays in your bladder.
Things are getting a wee bit too tight in here.
Let's change scenery!
Narrator: At the kidneys…
Lucas: {Phew} Glad to be out of--err-- wait, this doesn't look much better!
Pump: Nope!
When your bladder gets too full, urine may be pushed back up to your kidneys, which can
damage them.
Abacus: Sometimes, urine forces its way down, making you pee when you're not expecting
it.
Axon: Also, if urine stays in the bladder too long, this may cause an infection.
Skindy: To stop these things from happening, your bladder needs to be emptied regularly.
Gastro: That's where CIC comes in!
Chi: Let's take this conversation outside and away from pools of pee and smoking kidneys!
Narrator: On Mediland's Stomach...
Lucas: Phew!
This is much better.
Pump: CIC uses a thin tube called a catheter to empty your bladder regularly.
Axon: This should be done several times a day, usually every 3 to 6 hours.
Ah, here it is!
The catheter has two ends...a tip which is rounded with two small drainage holes...and
a wider end called the funnel which is colored.
Lucas: Uh, guys, we've got company!
Germ 1: I hear there's a party in the bladder!
Axon: The perfect time to remind you that you need to wash your hands with soap and
water before you start.
Otherwise germs can get in and cause an infection.
Germ 1: Argh!
I feel so clean.
I hate feeling clean!
Gastro: To begin, gather all the things you need, just as your nurse has shown you.
Pump: Choose a comfortable position.
You can do CIC standing or sitting, whichever is easiest for you.
Axon: You can do CIC in the bathroom, so urine goes from the catheter into the toilet...Or
you can use a little bag to collect the urine straight from the catheter.
Gastro: When you're ready, with one hand hold your penis up toward your tummy, wash
(or clean) the head of your penis well, if you are not circumcised then you must gently
retract your foreskin to wash the head of your penis.
With the foreskin back, it's easier to see the hole or meatus at the tip of your penis
where the catheter needs to go.
With your other hand, gently slide the rounded tip of the catheter into the hole.
Axon: The hole is at the beginning of your urethra and it leads to your bladder.
If the catheter doesn't go in easily, don't force it!
Chi: Exactly.
Just stop, relax and wait a little while.
Taking slow, deep breaths and coughing may make it easier to slide the catheter in.
Axon: Keep sliding the catheter in until urine appears.
This means it's in your bladder.
Pump: When urine stops coming out, pull back the catheter a little to see if any more comes.
When it stops completely, slowly and gently pull the catheter all the way out.
Once it's out, throw it away like the nurse has shown you.
Then wash your hands again.
Another way of doing CIC involves having an operation where the doctor makes a small hole
through your tummy into your bladder, this is called a stoma through which you catheterize.
Axon: Don't worry.
Urine shouldn't leak out because your muscles close around the hole when the catheter isn't
there.
Pump: The catheter slides through the hole and into your bladder, where it drains away
all the urine.
Chi: After all the urine has come out, gently take the catheter out and throw it away.
Axon: Remember to wash your hands, as well as the area, around the hole before and after
using the catheter.
I think we've relieved the issue here.
Back to HQ!
Narrator: Back in Medikidz HQ…
Lucas: {Phew} Finally back to someplace normal.
Skindy: Oh, are space stations where you normally hang out?
Axon: There are lots of different types of catheters.
They come in different lengths and sizes.
Skindy: Some need water or salt solution to make them slippery and really easy to put
into the bladder.
Others have a gel covering or you need to apply gel before inserting.
Abacus: Your doctor or nurse will tell you which one's best for you.
Pump: Your doctors and nurses will also show you how to use the catheter and will tell
you how many times you need to do CIC every day.
Lucas: It doesn't seem as scary or hard after you guys explain it!
Skindy: CIC can seem strange at first, but it shouldn't hurt.
It gets easier with practice and soon it'll only take a few minutes each time.
Abacus: If you have any problems with CIC, talk to your doctor or nurse, especially if
it's painful, your urine is cloudy, smelly or has blood in it, or if you have a fever.
Axon: You must use CIC just like your doctor or nurse tells you to.
If not, you can get infections, which can make you very sick, as well as wet between
catheterizing.
Pump: Doing CIC regularly and washing your hands every time helps keep infections away.
Gastro: Drinking plenty of water helps too.
Abacus: Setting an alarm on your watch, phone or computer can help you remember to do your
CIC regularly.
Pump: Using a catheter to empty your bladder is just a different way of peeing.
It shouldn't stop you from doing the fun things you like to do.
Lucas: Which is exactly what I've been letting it do.
Well, no more!
I'm not going to let it stop me from going on school trips or vacations!
Pump: Good, because it shouldn't!
Just make sure that wherever you go, you have plenty of catheters with you.
Axon: Excellent.
Now that you understand CIC, I shall send you home.
Lucas: Actually, I've spent enough time alone at home.
There's someplace else I want to be!
Hey, guys, got room for four more?
Friend 2: Sweet, dude, this is going to be epic!
Friend 3: All done?
Lucas: Yep, not a problem.
Friend 3: Good, we've got a game to win!
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