The brother of one of my best friends is covered by a
Kaiser HMO. In November of last year he went in for
a checkup and the doctor ran an ultra-sound on his
bladder and said he was full of urine. The patient,
Jim. said he had no urge to urinate but the doctor
proposed to install a catheter to drain his bladder.
Jim consented. After the procedure the doctor sent
Jim home with the catheter and an external bag.

The catheter was left in place for a couple of
weeks at which point Jim developed a bladder infection.
The catheter was removed and Jim was given anti-biotics
which did not clear up the infection. Kaiser suggested
a TURP for Jim, and he accepted the offer. That procedure
was performed on Dec 4, 2015. Now, two months later,
there has been absolutely no improvement in the
frequency of urination (every hour) either during
the day or night. Moreover, the UTI continues and
an assay of the urine reveals that Jim is infected
with a anti-biotic resistant strain of bacteria.

I would appreciate any advice for Jim, especially
from someone familiar with Kaiser. Jim lives in
Los Angeles.

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