I like to emphasize kegel exercises as a preventive and therapeutic strategy. When I meet patients in clinic who have a history of urinary incontinence, I often find that nobody has recommended pelvic floor exercises. Simple and effective relief in a handful of cases, and certainly can't hurt!
My ignorance... How does poor hygiene cause incontinence???
I can only think poor hygiene leads to infection leads to incontinence... But infection is a separate cause. I genuinely can't think how poor hygiene causes involuntary loss of urine!
Does not cause it but of you do not pay attention to your body ( there are so many ways) usually by poor hygiene you might find yourself with dental caries, skin infections and a weakened bladder tone
In the age of Beers Criteria, our female pts with stress incontinence are told to avoid meds due to possible dementia issues. Sent two to urologist and they used peri-urethral BoTox. One of them went from MaxiPads to not needing anything. Pt is very happy and willing to re-inject since it so improved her QOL.
The line about using all your senses is the part I would keep. Before anesthesia I sat at an ER triage desk scanning people as they came through the door and deciding the order they were brought back, and very little of what drove those calls came from the complaint given at the window — it was color, effort of breathing, whether someone could finish a sentence. I run a quieter version of that in pre-op now, and it is the skill I would have the hardest time writing into a lecture. Which is probably why it took a person rather than a book to teach it.
I like to emphasize kegel exercises as a preventive and therapeutic strategy. When I meet patients in clinic who have a history of urinary incontinence, I often find that nobody has recommended pelvic floor exercises. Simple and effective relief in a handful of cases, and certainly can't hurt!
My ignorance... How does poor hygiene cause incontinence???
I can only think poor hygiene leads to infection leads to incontinence... But infection is a separate cause. I genuinely can't think how poor hygiene causes involuntary loss of urine!
You're totally right. It does not cause incontinence, just the appearance/odor of it.
Does not cause it but of you do not pay attention to your body ( there are so many ways) usually by poor hygiene you might find yourself with dental caries, skin infections and a weakened bladder tone
I'm still confused how not paying attention to your body gives you a weakened bladder tone? Adam makes more sense, thx Dr Cifu
Did you learn what caused the incontinence with T.R., given the normal sensory exam? (Forgive me if I missed it.)
It was the 3rd P, not actually incontinent, just very unclean.
Fun to reminisce, but these days I imagine it’s a more valuable skill to know how to query your AI well than remember mnemonics.
Great info !!! Esp since my aging parents always have odd medical anomalies. This will be really useful to keep an eye on
In the age of Beers Criteria, our female pts with stress incontinence are told to avoid meds due to possible dementia issues. Sent two to urologist and they used peri-urethral BoTox. One of them went from MaxiPads to not needing anything. Pt is very happy and willing to re-inject since it so improved her QOL.
Wow! Remarkable use of BoTox!
Oops, urge and OAB not stress
The line about using all your senses is the part I would keep. Before anesthesia I sat at an ER triage desk scanning people as they came through the door and deciding the order they were brought back, and very little of what drove those calls came from the complaint given at the window — it was color, effort of breathing, whether someone could finish a sentence. I run a quieter version of that in pre-op now, and it is the skill I would have the hardest time writing into a lecture. Which is probably why it took a person rather than a book to teach it.
The bones of the wrist
Those letters match the eight carpal bones of the wrist: Scaphoid, Lunate, Triquetrum, Pisiform, Trapezium, Trapezoid, Capitate, Hamate.
Our version was Tender Titties Can Hurt So Love Them Passionately. And trapeziUM is closest to the thUMb so it starts there.
I'm not sure I could get away with teaching that one! :-)
Adam