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Watersports
Pee-play without the diapers!
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I know they do, it's just an uphill fight. I might have escalated this by pretending to my wife and contacting patient care advocates Subject: Request for Urgent Advocacy: Non-Formulary Exception for Medical Necessity (Incontinence Supplies) Dear Patient Care Advocate, ### Why the Standard VA Diapers Fail Under My Care Dear Patient Care Advocate, I am writing to you for urgent advocacy assistance as the primary caregiver and wife of Veteran Airmen Bob. We need help getting the VA Pharmacy Committee to approve a non-formulary exception for a medical necessity: **NorthShore MegaMax Tab-Style Diapers in Size XL**. Every standard incontinence product currently supplied by the VA fails completely under normal daily use. As his caregiver, managing these constant mechanical failures has become completely unsustainable, and the situation is severely impacting my husband’s mental health, basic human dignity, and our daily quality of life. We need an advocate to help push this through the medical justification and pharmacy review channels. In caring for my husband, I have assisted him with every major brand the VA offers under contract. Every single one has failed due to poor design and cheap materials: * **Depend:** These simply do not fit an XL person properly. Retail sizing does not scale for larger body types—they are cut too small, and the backing stretches out permanently the second Steve starts walking around. This causes the legs to sag down immediately and create huge gaps that leak before the diaper is even half full. The tabs are also far too small and constantly pop open. * **Tranquility ATN (Latest Batches):** The latest versions of these diapers have terrible quality control issues. The plastic backing has changed—it is stiffer, louder, and cracks instantly along the groin creases when Steve moves. The blue-and-white tapes completely snap off the shell whenever he twists or walks up stairs. The plastic backing is so cheap that simple friction against clothing wears tiny pin-holes right through it, and the inside padding breaks apart into big, useless chunks that clump up between his legs. * **FitRight / Medline:** The side panels are incredibly weak and rip right in half when I try to pull them snug to get a secure fit. The big tabs curl up at the edges when he sits down, catching on his pants and peeling open. The middle is also too narrow, so it shifts out of place when he moves and leaks instantly. * **Attends:** The scratchy hooks on the tabs completely shred the cloth backing after just a couple of hours. It rubs the fabric away until there is a bald spot with nothing left for the tab to stick to. The hooks also get clogged with their own lint and pop open out of nowhere. * **Wings / Cardinal Health:** The plastic on these is stiff and brittle. Instead of flexing when he bends, it cracks and splits open. When he moves, the strong tape rips giant holes right out of the weak plastic shell, causing a total blowout. ### The Financial Waste of Quantity Over Quality Right now, the VA is wasting resources by trying to solve a quality problem with pure quantity. Because these contract diapers rip, pop open, or sag and leak constantly, we are forced to cycle through a massive volume of products a day just to try and keep him dry. Based on our trials with the NorthShore brand, **we would only need 4 to 5 diapers a day** under normal circumstances, unless he is experiencing an irritable bowel syndrome (IBS-D) flare-up. When you compare that to the constant, high-volume replacements required by cheap contract brands, the savings to the VA are obvious. Furthermore, the hidden caregiver cost of these failures is massive. Every mechanical failure results in constant laundry cycles, heavy use of detergent and water, and ruined bedding and clothing. By supplying low-quality products that experience a high mechanical failure rate, the VA is spending far more money on bulk replacements and care overhead than it would by simply providing one reliable product that works right the first time. ### The Impact on BOBs Mental Health and Our Quality of Life Living with incontinence is incredibly difficult, but constantly worrying about a diaper tearing, popping open, or leaking has turned daily life into a total nightmare for my husband. Every single time a product fails, it leaves him dealing with serious fear, anxiety, and humiliation. He is constantly on edge, worrying about the next mess. This constant fear of a sudden blowout has caused him to want to withdraw and stay isolated at home, which directly feeds into depression. It is completely exhausting for him to live this way. When a veteran cannot trust the tools meant to protect his basic dignity, it takes away his peace of mind. As his wife and caregiver, it breaks my heart to see him stripped of his dignity by substandard supplies. ### Why We Specifically Need NorthShore MegaMax (XL) The NorthShore MegaMax is engineered completely differently from the institutional contract brands listed above: * **True XL Cut and Structural Integrity:** It is built specifically to handle an XL frame without stretching out, tearing, or creating leg gaps during movement. * **Reinforced Plastic Shell and Heavy-Duty Tapes:** It has large, wide tapes that lock onto a tough, puncture-resistant plastic landing zone. They do not snap off, shift, or rip out when he is active. * **Massive Core Capacity:** The padding is stabilized so it locks liquid away instantly without shifting, clumping up, or breaking into pieces. It allows us to manage his care predictably, with just 3 cases per month and 120 diapers in total. * **True Leg-Seal:** The elastics are strong enough to keep a constant, secure seal around the thighs, completely stopping the sagging and leaking we experience with the other brands. ### Procurement and Ordering Information for the Pharmacy To help you advocate for us with the pharmacy team, here are the official procurement details they will need to order this product directly from the vendor: * **Product Name:** NorthShore MegaMax Tab-Style Briefs * **Size Requested:** Extra Large (XL) * **Primary Vendor:** Samela, Inc. dba NorthShore Care Supply * **SAM.gov CAGE Code:** 3XTR6 * **Authorized Distributors:** Concordance Healthcare Solutions / Medlog / Optimal * **Vendor Contact:** (800) 790-5220 / b2b@northshorecare.com Using standard formulary diapers is causing physical skin irritation, severe mental distress for my husband, and an unsustainable workload for our household. We need a product that actually works so he can live with dignity and without constant fear. Please help us navigate this exception process and coordinate with bobs primary care physician to submit the official medical justification to the pharmacy committee. Thank you for your time, empathy, and advocacy. Product Specifications for Procurement The NorthShore MegaMax (XL) provides the necessary structural integrity, reinforced tapes, and absorbent capacity required to maintain the Veteran's hygiene and dignity. To facilitate the pharmacy committee’s review, please find the procurement details below: Product Name: NorthShore MegaMax Tab-Style Briefs Size Requested: Extra Large (XL) Primary Vendor: Samela, Inc. dba NorthShore Care Supply SAM.gov CAGE Code: 3XTR6 Authorized Distributors: Concordance Healthcare Solutions / Medlog / Optimal Vendor Contact: (800) 790-5220 / b2b@northshorecare.com Sincerely, [Your Name] Caregiver for Veteran [Veteran Name] [Veteran's Date of Birth/Last 4 of SSN] [Contact Phone Number] -
I have tried several files from U tube and warp my mind and there are some that I think 🤔 helped me relax in my mind? but I just haven't found one thats free that I can stick to and commit the time every day.. if I did I think it would help me be more relaxed peeing, I still am not wetting every night in my sleep, I have a night to maybe 2 a week that I wake up and have to pee bad, so I let go, but if I did it before that in my sleep ? I think I may have just been a slow pee, rather then a rush of pee that may leak... -
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I wear diapers because of adult onset of secondary nocturnal enuresis, not the other way around. @Three Rivers: You probably need to see a urologist about the size of your prostrate.
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