Showing posts with label ▷ 2013 Dec 07. Show all posts
Showing posts with label ▷ 2013 Dec 07. Show all posts

Saturday, December 07, 2013

Saturday News


Contents:

Def'n: Urinary Incontinence

Urinary Incontinence
      From Wikipedia, the free encyclopedia

See also:
Urinary Catheterization From Wikipedia, the free encyclopedia


Urinary incontinence (UI), involuntary urination, is any involuntary leakage of urine. It can be a common and distressing problem, which may have a profound impact on quality of life. Urinary incontinence almost always results from an underlying treatable medical condition but is under-reported to medical practitioners. Enuresis is often used to refer to urinary incontinence primarily in children, such as nocturnal enuresis (bed wetting).

Causes


SingHealth
The most common types of urinary incontinence in women are stress urinary incontinence and urge urinary incontinence. Women with both problems have mixed urinary incontinence. Stress urinary incontinence is caused by loss of support of the urethra which is usually a consequence of damage to pelvic support structures as a result of childbirth. It is characterized by leaking of small amounts of urine with activities which increase abdominal pressure such as coughing, sneezing and lifting. Urge urinary incontinence is caused by uninhibited contractions of the detrusor muscle. It is characterized by leaking of large amounts of urine in association with insufficient warning to get to the bathroom in time.

Video: Urinary Incontinence

Continence Part 1 of 2 

Uploaded on Feb 19, 2011

Discusses how a stroke can effect continence and the patient's recovery process. Examines the various treatments or techniques that can help to overcome or better manage continence.


Standard YouTube License @ AGWSCS 


Saturday Comics




For Better and For Worse
Lynn Johnston - 2013-12-06

"...you can't ride in the baby seat !"
Dilbert
Scott Adams - 2013-12-06

"...to use Facebook to waste time at work."

Garfield
Jim Davis - 2013-12-06

"My Aunt Orpha used to say..."

Betty
Delainey & Rasmussen - 2013-12-06

"If Junior can show videos..."






  
** I tried to get low or free price at the people http://www.UniversalUclick.com/ for the images for the cartoons. It was too high for Stroke Survivors Tattler i.e. we are not a regular newspaper and our budget is very low. Fortunately, you will have to do only 1-click more to see the cartoon image, it is legit and it is free using GoComics.com and Dilbert.com.
*** Changed from "Pickles" to "Betty" -- "Betty" is a excellent cartoon and Gary Delainey & Gerry Rasmussen are authors/artists/cartoon-strips and they live in Edmonton.

Eclectic Stuff

Definition: Eclectic(noun) a person who derives ideas, style, or taste from a broad and diverse range of sources.








How to Hide a Bag of Pee

Diane
The Pink House On The Corner
Sunday, September 29, 2013

When Bob received his first prescription for condom catheters, the medical supply company sent the typical Medicare approved 35 condoms, 2 leg bags and 2 bedside bags. The leg bags strapped to the thigh with latex bands. These worked fine in the chilly winter months, when Bob wore long pants, but I began to worry how this was going to look in the warmer months when he wore shorts.

I mean, who wants to go around in public with a bag of pee strapped to your thigh? Because, truth be told, it is not always convenient or easy to empty it right away. And even empty, this thing is ugly...

The leg bag holder as supplied by Medicare.

A Pee-culiar Situation

Joyce Hoffman
The Tales of a Stroke Patient
September 26, 2012

An excerpt from my book, "The Tales of a Stroke Patient":

I had a hemorrhagic stroke (bleeding in the brain) and my brain wasn't giving the signal to urinate (pee, in the common vernacular just about everywhere). In other words, I felt the urge, but nothing was coming out. Urinating is just one of a myriad of things to which I have never given any thought. This scenario is a common one: you have to urinate, you go, you wash my hands--or not, and that's that.

But two weeks in, I still hadn't urinated yet. Some people believe if you hold urine in your body for twenty-four hours, you'll die. Well, I don't know about that, and I'm writing this blog, so rest assured, I am still here. So let me fill you in on the urine and how it was extracted from my body. Two methods were used: the Foley catheter and straight catheter. There is a difference between the two, but they have the same outcome: they both drain urine from your body so you can be a happy camper until the next time.

Not how hard you get hit, but how much you can get hit... Rocky Balboa!!!!

Kate Allatt
A Rocky Stroke Recovery
August 12, 2013

Omg 2010-2013 especially or what?

‘Life is not about how hard you can hit, but how much you can get hit & still keep moving forward.’

Rocky Balboa

I needed to get at ease with myself, our kids, my husband and find a new equilibrium.

Yes, its true we’ve felt more hit, much harder and more often, than most over the last 3.5 years.

Maybe, I’m perhaps just more honest and open about that? Is it just that we/I are all more vulnerable and emotionally delicate than others?

I’ve realised that I have more residual effects of my stroke than I ever really acknowledged.

Predictors of Gains During Inpatient Rehabilitation in Patients with Stroke -- A Review

Dean Reinke
Deans' Stroke Musing
Saturday, November 9, 2013

And if you idiots would think for just a little bit you would realize that stopping  the neuronal cascade of death resulting in less dead and damaged neurons would be the most helpful thing to do rather that figure out which ineffective stroke therapy is the worst. 
http://www.dl.begellhouse.com/journals/757fcb0219d89390,forthcoming,8120.html

Enoch Chang       University of California, Irvine
Eric Chang            University of California, Irvine
Samantha Cragg University of California, Irvine
Steven Cramer    University of California, Irvine

ABSTRACT

Stroke remains a major cause of disability. The cost of stroke rehabilitation is substantial. Understanding the factors that predict response to inpatient stroke rehabilitation may be useful, for example, to best individualize the content of therapy, or to maximize the efficiency with which resources are directed. This review reviewed the literature and found that numerous variables were associated with outcome after inpatient stroke rehabilitation. The strongest evidence exists for factors such as age, stroke subtype, nutritional status, psychosocial factors such as living with family prior to stroke or presence of a caregiver. Functional status on admission, urinary incontinence, post-stroke infection, and aphasia each can also impact prognosis. Strengths and weaknesses of cited studies are considered in an attempt to inform design of future studies examining the factors that predict response to inpatient rehabilitation after stroke.

See the original article:
in

Stroke Rehabilitation

Richard (Dick) L. Burns
Live or Die: A Stroke of Good Luck
Wednesday, June 20, 2012

Next on the ladder of success (see Chapter 20 of my book, "Live Or Die - A Stroke of Good Luck") are the very important rehabilitation nurses.

These conscientious and devoted persons are essential to helping stroke survivors relearn the basic activities of daily living and the basic functions of life.  They educate and show routine health care, medication, skin, movement and special needs.  They are closely involved with helping stroke survivors manage personal care issues, bathing, controlling incontinence.  This latter is a common problem and survivors readily adapt or regain this ability with proper strengthening of pelvic muscles and special exercises.  These qualified nurses guide the survivor in handling catheterization and other hygienic methods of handling any continued problems in these areas.  And they work with the survivor to reduce risk factors that might lead to a second stroke and provide training for caregivers.

Medicine has come a long way and it gets even better.  Recovery takes months now, not necessarily the years it took me.    

Dick Burns
http://www.liveordieburns.com/


See the original article:
in

Developing New Class of Blood Thinners Continue

Jeff Porter
Stroke of Faith
Thursday, November 21, 2013

Photo from the 
National Library of Medicine
For a few years, I took
warfarin (also known as Coumadin) daily. I had to be careful in diet, in the timing of the medication and getting blood tests monthly to make sure my blood was not too thick, not too thin, but rather, to paraphrase Goldilocks, "just right."

The drug, also famously used as rat poison, has been in use to prevent clot-type strokes for decades. You might have seen the TV commercials lately for new drugs coming on the market to replace warfarin. Now, new blood thinner edoxaban was found safer, as effective as warfarin:
  • "Personally, I think it will be used. We know this drug is safer than warfarin," said the study's lead investigator, Dr. Robert Giugliano, a cardiologist at Brigham and Women's Hospital in Boston.
  • But it will enter a market that already has three other new medicines vying to displace cheap, decades-old warfarin. 
  • It aims to compete with Xarelto, sold by Bayer AG and Johnson & Johnson, and Eliquis sold by Bristol-Myers Squibb Co. and Pfizer Inc., which belong to the same class of drugs as edoxaban, as well as a similar medicine from Boehringer Ingelheim called Pradaxa. ...
  • "If you look at the four new drugs, they're more similar than different," said Dr. Mark Link, a professor at Tufts University Medical Center in Boston, who was not involved in the trial. "All these drugs are safer than warfarin."
Warfarin, of course, can cause bleeding, bruising and other medical problems. On the downside of the new drugs, costs will be far greater than the cheap generic warfarin. Still, worth discussing with your doctor.

See the original article:
in

The Teaching of Talking: A Way to Help Others Speak

November 23, 2013

What it is, and what its not...

It’s a way to talk with others to help them speak.

(It’s not an app, or a workbook….)

It’s not an app…… It’s not a workbook.  It’s a way to engage a person who has difficulty talking into a conversation.  A conversation that has meaning.  It’s a way to help someone speak, whether child or adult.

The Teaching of Talking Method is also being used by therapists and parents as a way to help children and adults who have dysarthria, stuttering, voice difficulties and other types of speaking difficulties.  It is a way to pull a therapist, teacher  or caregiver away from programmed instruction where the “exercise is paramount” to a way of talking and interacting.  That is how speech and language are learned.  Through an interaction, a dialogue, a sharing of information, or a need to be expressed and be satisfied.  Remember that speech and language is learned.  It is acquired by being exposed to a language in an environment where language is spoken, or modeled.  It is a way we learn.  We watch, and listen while we observe people in the environment and then model them.                                                        

Alcohol

Jackie Poff
Stroke Survivors Tattler
It has come to our attention that you are frequently under the influence of alcohol. To clear the air, you are required to answer the question below.

Which direction is this car going?     



Thought so, you are drinking way to much !!!

MyCerebellarStrokeRecovery

Amy Shissler
My Cerebellar Stroke Recovery
Dec 2, 2013

About a year after I had a stroke I started a blog on a whim.  I thought – seriously I remember thinking this – that I’m a physical therapist, I know everything about recovering from a stroke.  I should start a blog and tell people things.  Ummmm.  LOL!!!!  I didn’t know jack shit.  I thought I had this great, unique idea of starting a blog.   Again, ummmm, no.  I had no idea that there was this wonderful community of stroke survivors who had blogs.

Well, a year and a half later after having this totally original idea of starting a blog, I now have 226 followers and I’ve made a ton of new friends.  This blog has become something I never in a million years would have expected and is sometimes my reason for getting through the day.  Apart from my dog and cat.  They’re always my main reason for getting through the day.  Sooooo I guess the point of this post is to say thank you everyone, thank you for giving me a reason to get through the day.

In March, it will be 3 years for me.  Everyone that has had a stroke knows what that means but for those that don’t and just subscribe to my blog because I’m so hilarious March will mark 3 years from the date of my stroke.  I only worked for 4 years.  I REFUSE to be unemployed and collecting disability for longer than I was working.  That will so not happen.  So someone give me a job.

See the original article:
in

Oopsie Daisy! My Bad

Jo Murphey
The Murphey Saga
Tuesday, November 26, 2013

Boy oh boy, when I do something wrong, I really do it. Today I was giving Babs the Bunny her brush out and I made a discovery. Part of rabbit grooming is checking their vent periodically throughout the day to make sure feces hasn't matted over the works. This is crucial for a angora rabbit like Babs is.

As it would happen there was junk matted in her hair. It becomes a whole huge production with one hand. Luckily for me she's a good bunny. I gathered the bowl of warm water and an ample supply of paper towels and q-tips. I placed her on her back on my now non-functioning arm with her head tucked between my arm and my side. Meanwhile I'm talking to her calmly and rubbing her belly. She likes that.

As I was cleaning her up, I pulled on her vent to make sure she was clean and out popped a tiny 1/4 inch penis. So long story short, Babs the Bunny is now Buddy the Bunny. I'm sure glad it isn't Spring when I would have tried breeding him. Oy vey! That would have been a nightmare! Now I know to purchase a Babs for him.

See the original article:
in

Cerebellar Stroke

Peter G. Levine
Stronger After  Stroke Blog
Saturday, November 30, 2013

Cerebellar stroke








Somebody gave my book a crappy review because there's nothing specifically about  cerebellar strokes. But there is. A stroke can happen in the cerebrum, cerebellum or brain stem. I don't have anything specifically about the cerebrum or brain stem strokes or cerebellar strokes. I just have stuff about stroke.

Is there something inherently different about cerebellar stroke vis-a-vie strokes in the cerebrum or brain stem? No. What about a stroke that hits the posterolateral thalamus? Maybe the folks who have had a stroke that hit the posterolateral thalamus (or was exclusive to white matter or only hit the pituitary gland, or any of the other dozens of structures in the brain) should get their own chapters or books.  Actually, I'd love to see that happen. In the mean time, my book is a review of the neuroplastic process that encompasses all of those. Recovery from all of them fall under the same neuroplastic model of stroke recovery.

Stefan Larsson: What Doctors Can Learn From Each Other

Published on Nov 14, 2013

Different hospitals produce different results on different procedures. Only, patients don't know that data, making choosing a surgeon a high-stakes guessing game. Stefan Larsson looks at what happens when doctors measure and share their outcomes on hip replacement surgery, for example, to see which techniques are proving the most effective. Could health care get better -- and cheaper -- if doctors learn from each other in a continuous feedback loop? (Filmed at TED@BCG.)



Standard YouTube License @ TED

RMR: Rick at Winterlude

Published on Feb 26, 2013

Rick heads to Ottawa to help with Rideau Canal ice maintenance and try his hand at ice sculpting at the annual festival.


Standard YouTube License @ The Rick Mercer Report

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