Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Showing posts with label urination. Show all posts
Showing posts with label urination. Show all posts

Wednesday, July 6, 2022

The night nurse:

How long before your hospital has this? When I fell out of bed one of the first nights before I realized I had one useless leg, I was no longer close to the  emergency call button. And since the point was to go to the bathroom I ended up peeing on myself on the floor.   Right after that they catheterized me, which really meant I wasn't practicing walking as much as I should just because the nurses didn't want to have to help stroke patients in the middle of the night to the bathroom.

 The night nurse:

PHOTO OF THE DAY

 

Monday, October 5, 2015

The inhibitory spillover effect: Controlling the bladder makes better liars

But  what about this other research that holding urination worsens our cognitive function. We may be able to lie better but we won't remember our lies. You'll have to decide which way to go.  I'm sure there is stroke rehabilitation somewhere in here.
The inhibitory spillover effect: Controlling the bladder makes better liars

The effect of acute increase in urge to void on cognitive function in healthy adults

Friday, October 2, 2015

Duration of urination does not change with body size

Winner of the Ig Nobel prize in Physics. We need our stroke associations to test if this still holds true in stroke survivors. But I'm not sure how this could be applied to our stroke rehabilitation. I'm sure your doctor won't either.  I'm using it for a conversation starter in my social groups.
http://www.pnas.org/content/111/33/11932.short
  1. David L. Hua,b,1
  1. Edited by David A. Weitz, Harvard University, Cambridge, MA, and approved May 14, 2014 (received for review February 6, 2014)

Significance

Animals eject fluids for waste elimination, communication, and defense from predators. These diverse systems all rely on the fundamental principles of fluid mechanics, which we use to predict urination duration across a wide range of mammals. In this study, we report a mathematical model that clarifies misconceptions in urology and unifies the results from 41 independent urological and anatomical studies. The theoretical framework presented may be extended to study fluid ejection from animals, a universal phenomenon that has received little attention.

Abstract

Many urological studies rely on models of animals, such as rats and pigs, but their relation to the human urinary system is poorly understood. Here, we elucidate the hydrodynamics of urination across five orders of magnitude in body mass. Using high-speed videography and flow-rate measurement obtained at Zoo Atlanta, we discover that all mammals above 3 kg in weight empty their bladders over nearly constant duration of 21 ± 13 s. This feat is possible, because larger animals have longer urethras and thus, higher gravitational force and higher flow speed. Smaller mammals are challenged during urination by high viscous and capillary forces that limit their urine to single drops. Our findings reveal that the urethra is a flow-enhancing device, enabling the urinary system to be scaled up by a factor of 3,600 in volume without compromising its function. This study may help to diagnose urinary problems in animals as well as inspire the design of scalable hydrodynamic systems based on those in nature.

Wednesday, March 12, 2014

Airplane toilette balancing

For men who want to pee standing up, doing it in a flying turbulent airplane should be required therapy.
Making sure to place the grab bar on the affected side to ensure maximum difficulty. I refuse to do it sitting down. The most difficult way should be chosen at all times.

Wednesday, December 25, 2013

Peeing money down the toilet

I'm sure you've read the articles this week about supplement ineffectiveness.

Enough Is Enough: Stop Wasting Money on Vitamin and Mineral Supplements

How the vitamin industrial complex swindled America

No Good Data For or Against Taking Vitamins: Experts

I'll have to think about this. I had good reasons for starting all these but I have no idea what they are anymore.
Mine currently are:
C,
D,
E,
B complex,
Melatonin,
Green tea,
Colostrum,
Fish oil,
Tumeric,
Garlic,
Aspirin

Wednesday, December 4, 2013

Law of Urination: all mammals empty their bladders over the same duration

21 seconds.  So ask your neurologist why that damned urge to pee fires so easily. And due to normal male aging and prostate stuff I spend at least 21 seconds after I'm done making sure those last dribbles are done.

A great writeup on this blog here;

The Law of Urination Revealed

The abstract this is all based on here;

Law of Urination: all mammals empty their bladders over the same duration

Sunday, November 24, 2013

We can pee triumphant or pee defeated

A friends poem I just had to share. Thanks Bret. It goes with the pissing into a beam poem he wrote earlier.


Living upright is complicated
And not something to be delegated
Enduring each absurd resistance
We seek some sense of this existence
So I offer here what I've observed
When insight came and I did not swerve:

Life is not a waiting room,
It's not meant to make you nervous
Or lodge complaint over what you ain't
While you wait for better service

Life is not a booby prize
A panacea of boundless lies
Where passions drown in compromise
And survival requires alibis

For a better world, hope springs eternal
That we shall rise to seize the day
But then, like pee going down the urinal
May fear we merely piss our lives away

But urine, like shit, is a neutral substance
It has no case that must be pleaded
We can pee triumphant or pee defeated
It all depends how it's secreted.

Wednesday, November 20, 2013

Thoughts on peeing

This is just for fun. You can ask your doctor how to fight off Lex Luthor. Even superheroes have problems.
See the complete Saturday Morning Breakfast Cereal by Zach Weiner comic at the link; 

Thoughts on peeing


Sunday, August 19, 2012

The usefulness of bladder reconditioning before indwelling urethral catheter removal from stroke patients.

This one is strictly for your doctor to explain to you, so ask him/her to compare it to reconditioning cars.
http://www.hubmed.org/display.cgi?uids=22660367
The aim of this study was to determine the effects of bladder reconditioning by indwelling urethral catheter (IUC) clamping before IUC removal in stroke patients.Sixty patients with stroke were randomized to 0-, 1-, and 3-day IUC clamping groups. IUCs were removed without clamping in the 0-day group. In the other two groups, IUCs were clamped for 4 hrs followed by 5 mins of urinary drainage, a cycle repeated over 24 hrs in the 1-day and over 72 hrs in the 3-day clamping groups. Time to first voiding (FV), first voided volume (FV-vol), residual urine volume after FV, mean void volume, and residual urine volume on the third day after IUC removal were measured. We also recorded the voiding method such as self-voiding or intermittent catheterization, incidence of urinary tract infection, subjective complaints, and other complications.Time to FV, FV-vol, residual urine volume after FV, voiding method, mean voided volume, and residual urine volume on the third day after IUC removal had no significant difference among three groups, nor between the 0-day and the other two clamping groups. We observed a strong negative correlation between age and FV-vol. Of the patients in the 1- and 3-day clamping groups, 3 (7.5%) had symptomatic urinary tract infection and 9 (22.5%) complained of urinary leakage during IUC clamping program.Bladder reconditioning through IUC clamping has no noticeable benefits in stroke patients and may induce additional problems. These findings suggest that IUC removal without clamping is superior to IUC clamping for bladder reconditioning in stroke patients

Wednesday, May 30, 2012

Urinary Proteomics to Support Diagnosis of Stroke

Rather than arguing with ER doctors about your belief you've had a stroke, just hand them a container of your pee. For guys they probably couldn't even stand up long enough, with the additional problem of only one hand to hold the pee cup and your penis. They could rule out drug interactions also. Something similar would need to be done for bleeds. How long after onset of stroke were samples taken? How much faster and accurate than a MRI? 

Urinary Proteomics to Support Diagnosis of Stroke


Accurate diagnosis in suspected ischaemic stroke can be difficult. We explored the urinary proteome in patients with stroke (n = 69), compared to controls (n = 33), and developed a biomarker model for the diagnosis of stroke. We performed capillary electrophoresis online coupled to micro-time-of-flight mass spectrometry. Potentially disease-specific peptides were identified and a classifier based on these was generated using support vector machine-based software. Candidate biomarkers were sequenced by liquid chromatography-tandem mass spectrometry. We developed two biomarker-based classifiers, employing 14 biomarkers (nominal p-value <0.004) or 35 biomarkers (nominal p-value <0.01). When tested on a blinded test set of 47 independent samples, the classification factor was significantly different between groups; for the 35 biomarker model, median value of the classifier was 0.49 (−0.30 to 1.25) in cases compared to −1.04 (IQR −1.86 to −0.09) in controls, p<0.001. The 35 biomarker classifier gave sensitivity of 56%, specificity was 93% and the AUC on ROC analysis was 0.86. This study supports the potential for urinary proteomic biomarker models to assist with the diagnosis of acute stroke in those with mild symptoms. We now plan to refine further and explore the clinical utility of such a test in large prospective clinical trials.

Friday, May 4, 2012

Scientists have pinpointed nighttime urination protein in elderly

I'm not elderly yet but this sounds like a useful stroke rehab item. One of my falls in the hospital was the first night in a regular room. I woke up around 2am needing to go to the bathroom, thinking I was at my parents house I knew the bathroom was just down the hall. I think I managed 1 step and collapsed on the floor. That earned me the dreaded yellow wrist band, high risk of falls, and the catheter.
http://www.rawstory.com/rs/2012/05/01/scientists-have-pinpointed-nighttime-urination-protein-in-elderly/
Scientists have pinpointed a protein that helps explain why the elderly frequently have to get up in the night to urinate, a problem that can badly interfere with sleep.
Deficient levels of protein called connexin43 trick the bladder into believing that it is full, which sends a “must urinate” warning to the brain, they report on Tuesday in the journal Nature Communications.
Connexin43 is part of a cascade of proteins in the so-called circadian clock — the complex mechanism by which body processes crank up during daylight and slow down at night.
During sound sleep, a healthy person produces a smaller volume of urine from the kidneys than during daytime. At the same time, more urine is stored during sleep than during the active, daylight phase.
But when there are lower levels of connexin43, the smooth muscles of the bladder become oversensitised to nerve signals that give a feeling of fullness, the study says.
Researchers led by Osamu Ogawa of Kyoto University made the discovery among lab mice that had been genetically modified to lack the gene that makes connexin43.
The team developed an automated system, using a roll of filter paper that turned purple when exposed to even tiny amounts of fluid, to count how often the caged rodents urinated at night.
The chronic need to urinate at night, a condition called nocturnal enuresis, also causes bedwetting by young children.
The researchers say there are likely to be other circadian pathways that are involved in the problem.

Saturday, October 1, 2011

The effect of acute increase in urge to void on cognitive function in healthy adults

This one is in line for the Ig Nobel 2011 awards. And since most survivors have this great urge to void., you need to read up on the negative effects on memory and cognition. Your cognition and memory are not bad because of stroke damage it's because your bladder is full.
http://onlinelibrary.wiley.com/doi/10.1002/nau.20963/full

Aims

In healthy adults, voluntary inhibition of micturition is associated with an increasing sensation in the urge to void and pain, and acute pain has been associated with transient deterioration in aspects of cognitive function.

Methods

Eight healthy young adults consumed 250 ml of water every 15 min until they could no longer inhibit voiding. Performance on standardized measures of cognitive function was measured at hourly intervals which were classified as baseline, when individuals reported an increase in the urge to void, a strong increase in the urge to void, an extreme increase in the urge to void and postmicturition.

Results

Sensations of the urge to void and pain increased with time of inhibition of urge to void and with amount of water consumed. Having an extreme urge to void exerted a large negative effect on attentional and working memory functions (d > 0.8). These cognitive functions returned to normal levels after micturition.

Conclusion

The magnitude of decline in cognitive function associated with an extreme urge to void was as large and equivalent or greater than the cognitive deterioration observed for conditions known to be associated with increased accident risk. Neurourol. Urodynam. 30:183–187, 2011. © 2010 Wiley-Liss, Inc.

INTRODUCTION

The neural control of bladder function is complex and involves both spinal and supraspinal inhibitory and excitatory networks.1, 2 Functionally, the urinary system acts in a straightforward manner whereby the bladder fills to a threshold and then an urge to void is initiated with micturition occurring soon thereafter.1 Although this process occurs automatically in healthy adults, micturition itself is under voluntary control so that it will occur only when deemed appropriate.3 The voluntary control of micturition means, that in healthy adults, urinary retention can occur beyond the normal threshold for voiding. For example, in some occupational settings, shift and task demands may make it impractical for individuals to void when the bladder is full, requiring active prolongation of the time to micturition.
In healthy adults, the retention of urine is associated with increased bladder pressure that can lead to sensations of pain.2 There are three distinct sensations associated with bladder filling. First, there is the sensation of filling itself; second, there is an experience of the urge to void; and third, there is a strong urge to void.2 Sensations of the urge to void and pain abate once voiding has occurred.4 Prolongation of the time to void beyond these phases gives rise to sensations of pain and increased sensation of urgency to void, however there is individual variation in the magnitude of the sensations and time of urge and the level of pain experienced.4 If the voluntary prolongation of time to void occurs often, there is an increased risk of developing obstructive uropathy and urinary tract infections.5 Further, in disorders of the lower urinary tract, sensations of pain and a sudden overpowering urge to void are common symptoms.6
It is well recognized that both acute pain and distraction arising from somatic signals can interfere with cognitive function in otherwise healthy adults.7, 8 There is also strong neurobiological evidence implicating common anterior cortical regions in the control of pain and aspects of cognitive function, such as attention and working memory (e.g.9, 10). Consequently, it is likely that pain and distraction associated with the voluntary retention of urine will also interfere with some aspects of cognitive functions. Pain has the ability to interrupt behavior and to continue to do so until the pain is attended to or removed.11 This is important as tasks requiring continuous and complex attention such as driving could be negatively affected if the magnitude of any effect on cognitive function from the voluntary inhibition of the urge to void is large. Thus, like low levels of alcohol intoxication or fatigue, inhibiting the urge to void in occupational settings could increase the risk of accidents.
Currently there are no data available on the cognitive effects of voluntary inhibition of the urge to void. Under experimental control and using standardized cognitive tasks, it is possible to examine the effect and magnitude of an increasing sense of urgency to void on cognition. By comparing cognitive outcomes under these conditions with cognitive performance using the same tools under other conditions that are known to increase accident risk, such as an elevated blood alcohol concentration (BAC) or fatigue, the magnitude of the risk can be placed in context. This approach would provide a useful first step in an examination designed to understand the relationship between voluntary urinary retention and accident risk.
This study has been developed as a pilot to measure the effect of an increasing urge to void urine on cognitive function. The first hypothesis was that the self rated level of pain and urge to void would be positively associated as participants drank a volume of water designed to stimulate a need to void. The second hypothesis was that cognitive function would decline as the length of time of voluntary urinary retention and the associated pain increased. The third hypothesis was that cognitive function would return to baseline levels following micturition.

METHODS