Warning: graphic descriptions of bodily fluids. If it's not your cup of tea, no hard feelings :)
It's been a week since they visited the doctor, and Killian is still wearing the two catheters. Things haven't stabilized as Dr. Smith promised; in fact, the situation may have worsened. Now, in addition to occasional constipation, Killian is experiencing severe diarrhea, always preceded by painful bloating and flatulence. Since then, he hasn't been intimate with Emma; Killian didn't want to risk a situation like one week ago, despite Emma saying she didn't mind.
He couldn't get used to the big, bulky electric wheelchair. It's not at all comfortable even with his legs spread and elevated, the back reclined, and his head on the headrest. Every move with the chair felt agony as the uneven floor jostled him, so he preferred to stay in bed as much as possible. Emma usually lay with him from time to time when she didn't have a skip to catch, and he tried to sleep as much as possible to not feel the tugging of the catheters.
Usually, he has physical therapy sessions with Nathan, to prevent his legs and muscles from atrophying. Now it seemed impossible to do any of the moves his nurse usually helped him with. Even then, without catheters, he was cautious and always insisted on wearing a diaper in case some of the movements caused his bowels to move too. And how lucky was he one day when Nathan was moving his legs upward as he lay on his back, and suddenly a fart escaped his anus, then soon soft stool followed. He was very embarrassed, but Nathan only laughed it off and said that he was right to wear a diaper.
Now he doesn't engage in any physical activity, and he knows that is one reason his incontinence is acting up again, more than ever. But he can barely move with the two catheters inside him, let alone do physical therapy. Nathan suggested it one day, but seeing his pained face, he quickly acquiesced.
Since his condition is not improving, his nurse decides to call his doctor and arrange an appointment with him, much to Killian's chagrin. He doesn't know what the doctor will do to him this time, but he doesn't think it could be any worse, and maybe it's worth a try, just like what Emma said.
"I know it seems impossible right now, but you'll get through this. If this method is not working, maybe Dr. Smith can advise something else. Or maybe he was right, and we just have to wait for the two weeks to pass," she caressed his cheek as they lay side by side the day before. "Either way, I think it's a good idea to see him."
He nodded, but he already dreaded the trip to the doctor's office.
When it was time to go to Dr. Smith's office, Killian was not ready.
He felt like his whole body was on fire. He knew the feeling all too well.
Autonomic Dysreflexia.
He is surprised it didn't show until now because it is usually triggered by a lengthy bowel program, especially when he is constipated, and Nathan has to manually stimulate his rectum for a long time, making sure his sphincter is loose so that he can help the stool out. In those times, the stools are like bog logs in his rectum, and since he can't push, they don't come out of his anus but only with Nathan's fingers. After those times, he always experiences AD, which lasts for at least a day, and he usually has to go into the hospital because of a high fever and painkillers, which only they can provide. Now that he has two catheters inserted, which bothers his nervous system and rectal area, he is surprised it didn't come faster.
Nathan and Emma are by his side as soon as they realize what is wrong. Emma knows what to do in these situations, as it isn't their first one, so she prepares a bag for him with clothes and other things he might need during the hospital stay, and Nathan is about to help him into his bulky wheelchair. He pushes the chair close to the bed and then reaches for him to place him there. Now he usually sleeps completely naked, so Nathan pulls off his blanket, and after a quick check on his catheters to make sure he doesn't need a change, he starts the transfer.
His arms encircle his shoulder and the other one under his knees and lifts him carefully. He quickly places him in the chair, making sure his catheters land in the commode-like hole in the chair. He sits there naked while his body is aching all over, and Nathan arranges his legs in the leg holder. He spreads them slightly. "Ah...uh," Killian grunts as his catheters shift in him, and then Nathan reclines his back, and his head falls on the headrest. His legs are slightly shaking from the AD and the strain it took to get into the chair, and he suddenly feels his bladder letting loose, and he grips the armrest as the catheter pulls in his half-erect penis. The collection bag lets out a crinkling sound as urine fills it. Killian closes his eyes shut and grunts as his bladder empties.
Nathan quickly goes into the bathroom and takes up a new catheter for his bladder. He reaches for Killian's half-hard manhood and starts pulling out the tube. "Uhh.." he grunts as it comes out.
The sheath comes off next, and Killian doesn't have time to groan as Nathan powders his manhood and slips on a new sheath. The new catheter tube is lubricated, and Nathan grips his penis, and with a swift move, he inserts the tube.
Emma comes back into the room just in time when Nathan is finally finished with him and helps him into a dark grey henley. Nathan drapes a blanket over him since he can't wear anything below that.
They quickly start off to the hospital.
During the transit to the hospital, Killian's ordeal took an unexpected turn, introducing an additional layer of discomfort that rivaled the throes of Autonomic Dysreflexia. The spasms that once tormented his legs now found a new dwelling in his anus. It throbbed painfully around his rectal catheter, his hemorrhoids peeking out from his anus too.
The desire to inquire about his anti-spasm medication lingered in Killian's thoughts, yet the words struggled to escape his lips amidst the symphony of discomfort that enveloped him.
Upon arrival, the logistics of disembarking from the minivan unfolded with Nathan securing a ramp, and Emma assisting in the delicate task of unstrapping Killian. The wheelchair, an extension of Killian's mobility, was entrusted to Nathan's skilled hands to navigate the uneven terrain towards the entrance. Regrettably, the absence of a designated disabled parking space forced them to settle for a spot farther away from the entrance, elongating the arduous journey.
The route to the entrance was rather uneven; the pavement could have used renovation. Each move with his wheelchair jostled his body, and his catheters, along with his spasming anus, caused agony. "Eh...Eh...Uh...Eh..." he grunted as they approached the entrance; he couldn't keep quiet amid the jostling and uneven pavement.
He knew he was hardly decent with only a blanket covering his lower region, but he hoped no one would look at him weirdly in a hospital.
"Ah...uh..." he grunted as they crossed the doorstep of the hospital and headed for the reception. As they entered the hospital's interior, Nathan swiftly assumed control, seamlessly orchestrating the logistical intricacies. A hospital employee, when not attending to Killian's needs, Nathan's familiarity with the surroundings facilitated a smooth passage towards the reception.
Killian's anticipation of a postponed appointment crumbled like fragile paper when, in a surprising twist, Dr. Smith materialized after a mere 10 minutes, beckoning them into an examination room.
"Killian, I understand we were supposed to have an appointment today, but Mr. Scott tells me you are experiencing AD symptoms. Is that correct?" The doctor's inquiry, accompanied by the rustling of a chart that he swiftly retrieved from his desk, hung in the air, a palpable sense of scrutiny enveloping the room.
"Yes," Killian managed to utter, his discomfort palpable.
"Originally, we would have liked to see you because of Killian's incontinence over the last few weeks, especially the past week. He is now sporting two catheters, one for the bladder and one for the rectum, to manage his bowel movements. Unfortunately, he has been grappling with severe incontinence, encompassing bloating, gas, and diarrhea," Nathan elaborated, providing a detailed account of Killian's struggles. "This morning, he also developed AD symptoms, which typically follow certain bowel programs."
The doctor, immersed in the contents of the chart, emitted a contemplative hum before lifting his gaze. "Ah, yes, I remember. The rectal catheter to alleviate constipation," he remarked, placing the documents down. "Mr. Scott, you mentioned he is experiencing gas and diarrhea?"
Killian, feeling the sting of embarrassment as his bodily functions were dissected in open conversation, found solace in Emma's reassuring hand squeeze.
"Yes, he encounters soft stool and persistent bloating daily. The rectal catheter has also brought about struggles with hemorrhoids," Nathan confirmed, laying bare the intimate details of Killian's challenges.
"Experiencing diarrhea with the rectal catheter is quite normal, Mr. Scott and Killian. It signifies the end of constipation, and now your bowel is adjusting to the normal stage again," the doctor elucidated. "I wouldn't recommend removing the rectal catheter before the two weeks are completed. However, considering Killian's AD symptoms, he needs to be admitted to the hospital, for at least two nights."
Killian's unease heightened as he sensed the trajectory of the conversation taking an unwelcome turn.
"Now, our policy and nurses aren't trained for managing bowel programs of SCI patients with rectal catheters," Dr. Smith continued, a glimmer of hope igniting in Killian—until the doctor's next words doused it. "Instead, the nurses will perform bowel programs a few times a day, especially considering Killian's current struggle with diarrhea."
"So, his catheter will be removed once he is admitted?" Nathan's inquiry mirrored Killian's unspoken concerns.
"First, I'm going to give you some painkillers for the symptoms; I'm sure your body doesn't feel alright right now," the doctor declared, delving into a cupboard before emerging with a syringe and a vial. "Mr. Scott, you know the drill. Please help Killian into a gown and onto the examination table."
A shiver crawled up Killian's spine, not induced by the AD symptoms this time, but triggered by a haunting flashback from a week ago.
Wrapped in a gown, with Nathan's careful assistance to minimize his discomfort, Killian faced the daunting task of being lifted onto the examination table. Despite Nathan's deftness, a fleeting moment of vulnerability seized him as his catheters dangled beneath the hospital gown, eliciting an "Ah...uh..." from Killian as Nathan adjusted his position.
The doctor, sporting a raised eyebrow, directed Nathan to reposition Killian on his right side, presenting his rear for scrutiny.
Gown lifted, Killian's catheters and bare bottom laid bare for inspection. The snap of a medical glove echoed, and the doctor's hand landed on Killian's left ass cheek. Swiftly, the syringe found its mark, catching Killian off guard with a jostle. "There, there," the doctor reassured, pushing the contents of the syringe inside, presumably the sought-after relief for AD symptoms.
"Killian, you're quite warm to the touch; I believe you are having a slight fever," he informed Killian after he took out the syringe and deposited it into a trash can designed for used syringes. "As I mentioned before, the nurses aren't trained to manage rectal catheters, and it is not in the hospital stay policy either. I'm going to take out your rectal catheter and we will go from there."
Killian swallowed, and Emma was by his side clutching his hand.
His ass cheeks were parted, his anus still spasming around the catheter, and he wanted to let the doctor know to be gentle, but Dr. Smith was quicker as he started pulling out the tube, and his back went even more ramrod straight as it came out. He felt when the tube left his anus because he was once again wide open, his hemorrhoids surely peeking out and reddened.
"Alright, Killian," the doctor said as he deposited the removed catheter and went back to his rear. His ass cheeks were parted again, and mild panic took over; Killian thought it was finally over for now. The doctor slightly bent down to probably better see his spasming anus, and the doctor hummed. "You have quite a few hemorrhoids, and your anus is spasming as well. Have you used the cream I prescribed for you?" he still didn't let go of his ass cheeks, the cool air irritating him even more.
"Mhmm...yes," he managed through stronger spasms in his anus.
The doctor didn't say anything, but Killian heard a squirting sound, and he swallowed.
"I'm going to check for stools in your rectum. I wouldn't use suppositories this time; instead, I'm going to manually stimulate your sphincter and see if we can find some loose stool," the doctor informed him, and Killian felt his fingers on his puckered anus.
"Pl...please," he begged, his voice barely above a hoarse murmur as he pleaded for some semblance of mercy.
"There now, Killian," the doctor shushed him. "We don't want to have an accident now, do we?" his tone was slightly patronizing, and Killian didn't know how to protest; he too didn't want to have an accident in front of everyone, especially Emma.
The doctor thrusts his fingers into his anus, fore- and middle finger penetrating him to at least the third knuckle, and he starts the circling motion in his rectum. "Ah...Uh...Eh...Mrghh...Eh...Eihhh..." Inarticulate grunts escaped Killian as the manual stimulation unfolded, his anus spasming around the probing fingers. The doctor's movements ceased abruptly, fingers still lodged inside, but barely moved. A pop signaled their removal, and Killian winced in pain. The doctor, promptly donning new gloves, conveyed the impending continuation of the procedure.
Killian swallows. He thought it was finally over finally... But then his stomach starts gurgling, and he knows why the doctor removed his fingers.
"I'm going back in, Killian. I felt a softer stool high in your rectum, and I'm going to remove it," he informed Killian. "Mr. Scott, please bring me a bedpan and large underpads."
He then parted his asscheeks again, lubricant on his fingers, and drove back into his aching and puckered anus. Dr. Smith was earnestly digging in him, circling his fingers more vigorously to get the stool lower in his rectum. "Eeeh...Ughh...Mmmrgh..." he grunted and slightly writhed as much as he was able, the discomfort unbearable. The doctor stepped closer as he went deeper, and Killian felt gas building in his gut, the gurgling sounds loud until the fart finally came out around the doctor's fingers with an embarrassing sound. "There we go," the doctor said triumphantly, and then Killian felt the stool move lower, and finally, it was out as the doctor took out his fingers along with the soft stool that fortunately wasn't diarrhea, but it still left a mark on his rear as it fell into the bedpan and some on the underpads next to it.
Nathan quickly stepped in and helped clean his anus with wet wipes, more gently than the doctor could have.
As Nathan finishes with him and disposes of the used wipes, the doctor steps back to his rear.
"Alright, let's proceed with the temperature check," Dr. Smith said with clinical efficiency. He parts his asschekks again, his anus still a little wet from the wipes and he has slight burning sensation from it.
Dr. Smith clear his throat and with a firm movement he guides the rectal thermomether towards his anus. It makes contact with his skin, and Killian feels a sensation of pressure and coolness, accompanied by a momentary sense of intrusion as the rod penetrates him. He grits his teeth against the intrusion, his discomfort exacerbated by the presence of his hemorrhoids.
Dr. Smith pushes the thermomether againstht emuscle resistance of his sphincter, his movements swift and clinical, showing little regard for Killian's discomfort or the added sensitivity caused by his hemorrhoids. "Ehh...Ugh..," he grunts as the rod is fully inserted.
Once its in place, the thermometer remains in place for a brief period. Throughout this time, only the soft clicking of the wall clock can be heard, but soon he lets out a small grunt as he feels his anus start spasming arounf the thermometer. Not again.
He wants to warn the doctor about this, fearing the thermometer might slip further inside him with each spasms, but before he can do that, Dr. SMith withdrwas the rod without ceremony, leaving Killian feeling eposed and vulnerable. The results are recorded in his chart with clinical precision.
With a terse nod, the doctor confirms the presence of a high temperature before wiping the thermomether throughly.
"Killian," Dr. Smith addresses him, his tone crisp and authoritative. "Your elevated temperature, coupled with you AD and incontinece necessitates the admission to the hospital for observation and management."
Killian's heart sinks as the reality of his situation sinks in.
Nathan's acknowledgment of Killian's need for hospitalization is delivered with a calm yet firm demeanor, his voice betraying no hint of hesitation as he addresses the situation. "I'll ensure the necessary arrangements are made for the transfer."
Killian nods in understanding, his expression reflecting a mix of resignation and apprehension as he takes a look at Emma, But her soft smile is unwavering.
However, as Nathan prepares to assist Killian with the transition to the hospital, a question seems to struck the nurse. "Dr. Smith," Nathan interjects, his voice carrying a note of concern. "What about Killian's bladder catheter? Will it need to be removed as well?"
Dr. Smith's response is swift and unequivocal. "Yes, Mr. Scott," he affirms, his tone brimming with clinical authority, "The nurses at the hospital aren't trained for catheter care. The bladder catheter must be removed during his admission."
As Dr. Smith approaches, Killian can't help but feel a surge of apprehension coursing through him. His body tenses involuntarily, muscles coiling in anticipation of the discomfort to come. He lies on the examination table, clad only in a thin gown that offers little in the way of comfort or modesty.
With gloved hands, Dr. Smith begins the process of removing the condom catheters from Killian's manhood, lifting his now flaccid penis slightly. The adhesive securing the catheters in place tugs at Killian's sensitive skin, causing a sharp twinge of discomfort to shoot through him. He grits his teeth against the sensation, trying to suppress the urge to vocalize his discomfort.
But as Dr. Smith's movements become more assertive, Killian finds it increasingly difficult to maintain his composure. Each tug and pull sends waves of discomfort radiating through him, exacerbating the already sensitive state of his manhood. "Eeegh..' he groans, a reflexive response to the doctor pulling the catheter out of his penis.
The doctor's actions lack the gentleness and finesse that Killian had hoped for, his movements brisk and clinical, betraying no hint of concern for Killian's comfort or well-being. With each tug of the catheter, Killian's groans grow louder, his body instinctively recoiling from the sensation of intrusion and discomfort.
As the last of the catheters is finally removed, Killian lets out a low moan of relief, his body sagging with exhaustion and relief.
After dismissing Killian's discomfort with a curt remark, Dr. SMith turns his attention to Nathan, issuing instructions with clinical efficiency.
"Mr. Scott, please assist Killian into the wheelchair. We need to proceed with the next steps."
Nathan nods in acknowledgment, his expression betraying a flicker of empathy for Killian's plight. Moving swiftly, he approaches Killian to help him off the examination table.
Killian winces as his weight is shifted, feeling a sharp pang of discomfort radiating from his hemorrhoids. With Nathan's support, he gingerly lowers himself into the wheelchair, his movements slow and cautious as he navigates the discomfort of his tender lower body.
As Killian settles into the bulky wheelchair, his head falls back against the headrest with a thud, his expression contorted with a mixture of pain and discomfort. The awkward positioning of his body in the wheelchair leaves him feeling exposed and vulnerable, his thin gown offering little in the way of modesty or comfort.
Nathan moves quickly to adjust Killian's legs in the leg holder, his movements gentle yet efficient as he strives to alleviate Killian's discomfort. Despite his best efforts, Killian can't help but feel a sense of indecency in his vulnerable position, his legs slightly elevated and the thin fabric of his gown offering little coverage.
Dr. Smith's gaze flickers briefly over Killian's prone form before returning to Nathan, his demeanor unyielding and clinical.
"Mr. Scott, please ensure Killian's admission into the hospital. He will be observed and managed accordingly."
Nathan's nod is perfunctory, his focus already shifting to the logistics of Killian's impending hospital stay.
The doctor's voice cuts through the sterile air, his words carrying a sense of finality as he outlines Killian's daily routine for the days to come.
"During your admission, Killian, you will undergo regular bowel programs administered by the nursing staff. These procedures will occur several times a day to manage your incontinence."
Killian's heart sinks at the prospect of the invasive procedures that await him, the discomfort and indignity of his condition laid bare for all to see.
Dr. Smith continues, his tone matter-of-fact as he delivers the next piece of information.
"Given your incontinence, you will also be required to wear diapers during your stay. This will help to manage any accidents and maintain your comfort and dignity."
The mention of diapers sends a shiver down Killian's spine, the reality of his condition hitting him with full force. Despite his reservations, he knows that it is a necessary measure to ensure his well-being during his hospital stay.
"And finally," the doctorl adds, his voice carrying a note of finality, "due to your incontinence, we will need to adjust your diet to manage your bowel movements. This will help to minimize any discomfort and ensure the success of your treatment."
With a resigned nod, Killian acknowledges Dr. Smith's instructions, his expression a mask of acceptance despite the weight of uncertainty that settles in his chest. Nathan, sensing Killian's silent resignation, moves to wheel him toward the exit, his movements fluid yet purposeful as they navigate the clinical corridors of the hospital.
As the wheelchair begins to move, Killian's discomfort intensifies, a dull ache radiating from his lower body with each jostle and bump along the way. Despite his best efforts to suppress it, an inarticulate sound escapes his lips, a wordless expression of the discomfort that courses through him.
As they near the admission area, Killian's apprehension peaks, the prospect of facing his hospital stay looming large in his mind. Yet, as if sensing his unease, Emma steps forward, her presence a beacon of comfort amidst the uncertainty.
"We'll visit you as often as possible, Killian. You won't be alone." Emma reassures him.
Killian's heart swells with gratitude at Emma's words, her reassurance offering a glimmer of hope in the midst of his uncertainty. With a nod of gratitude, he turns to Nathan, his silent thanks mirrored in the nurse's steady gaze.
"We'll take good care of you, Killian. You're in good hands." Nathan says.
With a final nod, Nathan guides the wheelchair to a stop outside the admission area, the weight of the moment hanging heavy in the air. As Killian prepares to face the next phase of his medical journey, he draws strength from the unwavering support of his loved ones by his side.