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Old 11 November 2005, 05:46 PM
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pslewis
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Question Song Name??

Heard a song on the radio yesterday in the car ......

The presenter said it was by the Saucy Minx (minks?) .... title, something like, "You are my number one"??

Now, I can't find any mention of it anywhere ..... you can imagine what turns up when I google Saucy Minx!!!

And I am now assuming that the presenter was calling the singer (female) a Saucy Minx ... and that that isn't a name of a group?

Anyone shed any light on my 'problem'??

Cheers me dears!!

Pete
Old 11 November 2005, 05:49 PM
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Originally Posted by pslewis
Anyone shed any light on my 'problem'??

Pete
Oh no!!!
Old 11 November 2005, 05:58 PM
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Originally Posted by pslewis
Heard a song on the radio yesterday in the car ......

The presenter said it was by the Saucy Minx (minks?) .... title, something like, "You are my number one"??

Now, I can't find any mention of it anywhere ..... you can imagine what turns up when I google Saucy Minx!!!

And I am now assuming that the presenter was calling the singer (female) a Saucy Minx ... and that that isn't a name of a group?

Anyone shed any light on my 'problem'??

Cheers me dears!!

Pete
Goldfrapp - Number 1 - probably
Old 11 November 2005, 06:37 PM
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Originally Posted by RJMS
Goldfrapp - Number 1 - probably
Excellent ... thanks!!!

I'll go get it now - pay per track thingy ....

Pete
Old 11 November 2005, 11:19 PM
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fast bloke
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Question

Originally Posted by pslewis
Anyone shed any light on my 'problem'??


Pete
Would this be the physical ones, the mental ones or the just you not being able to get it up any more?
Old 12 November 2005, 08:56 AM
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don't be nasty to poor mr lewis
Old 12 November 2005, 09:36 AM
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Originally Posted by scoobydooooo
don't be nasty to poor mr lewis
Thank you scoobydooooo

Pete

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Old 12 November 2005, 09:40 AM
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Be nasty to mr. lewis. Please.
Old 12 November 2005, 10:10 AM
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Originally Posted by pslewis
Anyone shed any light on my 'problem'??



Pete
Acute Urinary Incontinence

Acute (or Transient) Incontinence is caused by a new or recent medical problem that can be treated. Medical conditions such as dehydration, delirium, urinary retention, fecal impaction/constipation, urinary tract infection and atrophic vaginitis can cause an onset of UI. If one of these problems is identified, treatment to correct the problem should be started. Once the medical problem causing the acute incontinence is resolved, the incontinence should improve. In addition to medical problems, certain medications can cause or contribute to an incontinence problem. An easy acronym used to remember these causes is the word DRIP. The breakdown of this word is as follows:

D = Delirium, Dehydration, Diapers.
R = Retention, Restricted Mobility.
I = Impaction, Infection, Inflammation.
P = Pharmaceuticals, Polyuria, Paget's Disease.

Table 1

This table explains medical conditions that can cause acute incontinence.

MEDICAL PROBLEMS THAT CAUSE INCONTINENCE
CAUSE REASON
Fecal Impaction Stool (feces) can block the outflow of urine and cause urinary retention. Persons with fecal impaction complain of either urge or overflow incontinence and may have fecal incontinence as well.
Infection Dysuria, urgency and irritation from a bladder infection may cause or worsen urge incontinence.
Atrophic Vaginitis/Urethritis A decrease in the estrogen hormone in women causes atrophic (loss of firmness in the tissue) changes in the vagina and around the urethra. The inflammation (swelling) which results from this lack of estrogen can cause urge and stress UI symptoms.
Large amounts of urine production (e.g. uncontrolled diabetes mellitus, hypercalcemia Large amount of fluid intake or medical conditions that lead to increased output (e.g., hypercalcemia (high calcium levels), hyperglycemia (high sugar levels), and diabetes insipidus), and in persons with congestive heart failure, leg edema (swelling), vein insufficiency, can lead to incontinence by rapid and excessive filling of the bladder. Increased sugar levels in the bladder can cause irritation of the bladder muscle and can lead to UI.
Urinary Retention (incomplete bladder emptying) Urine leakage can occur because of large amounts still in the bladder after voiding.
Restricted Mobility (decreased ability to walk around) Decreased or limited mobility can cause incontinence and can frequently be corrected or improved by treating the underlying problem (e.g., arthritis, poor eyesight, Parkinson's disease, or orthostatic hypotension).

MEDICATIONS THAT CAN CAUSE UI
MEDICATION

EFFECT ON LOWER URINARY TRACT

Diuretics (water pills) Diuresis induced by diuretics may precipitate incontinence. This is particularly relevant in older persons and/or in those with already impaired continence.
Sedatives (sleeping pills), Hypnotics CNS Depressants Benzodiazepines, especially long-acting agents such as flurazepam and diazepam (Valium), may build up in the bloodstream of an older person and cause confusion and alter the persons ability to recognize the urge to void and lead to UI.
Alcohol Alcohol can alter memory, impair mobility, and cause increased urine output, resulting in incontinence. In addition, it has a sedative effect that may alter a person's awareness of the need to void.
Anticholinergic agents: Antihistamines, Antidepressants (TCA), Phenothiazines, Disopyramides, Opiates, Antispasmodics, Parkinson drugs, Alpha-adrenergic agents Prescription as well as over-the-counter drugs with anticholinergic properties are taken commonly by persons with insomnia, pruritus (itchy skin), vertigo (dizziness), and other symptoms or conditions. Side effects include urinary retention with associated urinary frequency and overflow incontinence. Besides anticholinergic actions, antipsychotics such as thioridaxine and haloperidol (Haldol) may cause sedation, rigidity (stiffness), and immobility.
Alpha-adrenergic agents (high blood pressure drugs)
Sympathomimetics (decongestants), Sympatholytics (e.g., prazosin, terazosin, and doxazosin)

Alpha-adrenergic stimulation increases urethral tone and alpha-adrenergic block reduces it. Alpha-agonists may cause urinary retention symptoms in older men. Stress incontinence may become symptomatic in women treated with alpha-antagonists as antihypertensive therapy. Older men with a large prostate may develop acute urinary retention and overflow incontinence when taking multicomponent "cold" capsules that contain alpha-agonists and anticholinergic agents, especially if a nasal decongestant and a nonprescription hypnotic antihistamine are added.
Calcium channel blockers (heart & blood pressure medications) Calcium channel blockers can reduce smooth muscle contractility in the bladder and occasionally can cause urinary retention and overflow incontinence.

top of page

Chronic Urinary Incontinence

There are basically four kinds of chronic urinary incontinence: Stress, Urge, Overflow, and Functional incontinence. They may occur alone, as is usually the case in the young adult, or in combination, as seen the elderly.

Stress Incontinence

Stress incontinence is the involuntary leakage of small amounts of urine in response to increased intra-abdominal stomach pressure. Incontinence occurs during physical exertions when you sneeze, cough, laugh, or lift heavy objects. Stress incontinence is seen predominantly in women and is present in about 35 percent of incontinent elderly persons. The pelvic muscle is the key muscle in the pelvis that controls urine loss during increases of intra-abdominal pressure. Stress incontinence results from either weakened support of the pubococcygeus and levator ani muscle and other pelvic structures or sphincter weakness/damage. Increasing levels of two neurotransmitters, serotonin and norepinephrine, found in the sacral spinal cord (Onuf's nucleus) can lead to an increased contraction of the external urethral sphincter. A new medication called duloxetine contains these neurotransmitters and will be the next treatment for stress incontinence. Typically, this type of incontinence occurs in women in whom childbirth caused a relaxation of the pelvic and periurethral musculature. It also occurs in men who have undergone prostate surgery and have lost function of the urethral sphincter that surrounds the prostate.

top of page

Urge Incontinence

Urge incontinence is the leakage of larger amounts of urine that occurs when a person is not able to reach the toilet after the urge to void is perceived. Complaints include urine loss on the way to the bathroom or "key in the lock" syndrome. This type of incontinence is part of the diagnosis of overactive bladder. Overactive bladder is a combination of urinary urgency, frequency and urge UI. Urge incontinence is the most common (60-70%) pattern of UI in the older person. Detrusor instability, sometimes called "overactive bladder", also occurs with urge incontinence and is associated with disorders of the lower urinary tract or neurologic system. Urge incontinence can be the result of several causes which include detrusor hyperreflexia (unstable bladder), tumors, stones, or diverticula. Since urge incontinence can result from an urologic carcinoma, any asymptomatic hematuria must be referred for further evaluation. Persons with symptoms of urge incontinence may also have a condition which is called detrusor hyperactivity with impaired bladder contractility (DHIC). These clients will strain to void and have urinary retention. Treatments for urge incontinence include drug therapy and behavioral interventions.

top of page

Overflow Incontinence

Overflow incontinence accounts for 10-15% of urinary incontinence. Overflow leakage of urine occurs when there is a mechanical or functional obstruction of the urinary bladder outlet. The obstruction leads to overfill of the bladder and incontinence due to a detrusor contraction which occurs when a certain volume is reached. In this form of chronic incontinence, the client usually does not know why she/he leaks urine and frequent dribbling is common. Often the sensation of bladder fullness is diminished and the stream of urine is weak. These symptoms occur secondary to an anatomic obstruction (i.e. enlarged prostate, urethral stricture) or an atonic bladder. An atonic bladder can result from neurologic injury, diabetic neuropathic bladder, or drug-induced atonia. Drug induced atonia can be caused by anticholinergics, narcotics, anti-depressants, and smooth muscle relaxants. Neurologic injury can be caused by spinal cord trauma or a stroke.

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Functional Incontinence

Functional incontinence may occur after a major illness or in nursing homes. It accounts for 25% of the incontinence seen in hospitals and results when a person has difficulty moving from one place to another. Sensory impairments (including poor vision, hearing, or speech which may influence success in reaching facilities and inability to notify caregivers of the need to use the bathroom) can cause functional incontinence. The person's home environment, such as a readily accessible bathroom, may cause incontinence. Usually the person complains that she/he "cannot hold my urine until I can get to the bathroom". This is usually due to decreased mental function, decreased functional status, and/or unwillingness to go to the toilet.

there you go
as for the song, i havent got a fcukin clue...
Old 12 November 2005, 01:19 PM
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LMAO!
Old 12 November 2005, 01:22 PM
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Originally Posted by fast bloke
Would this be the physical ones, the mental ones or the just you not being able to get it up any more?
PMSL
Old 12 November 2005, 01:42 PM
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Why do we have to be nasty to PSL, I know he can wind some up but some of the comments are just unpleasant, if indeed he as old as he claims (not so sure on that one) I think he is doing well keeping up with all the latest stuff and playing the age card all the time like some older people I know do.

Its funny, on here if somebody makes a fairly subtle veiled slightly racist comment they are torn to shreds but people seem free to spout ageist comments at PSL without fear of reprisal, cant see the difference myself ?
Old 12 November 2005, 02:53 PM
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Not that I have made any particularly nasty comments to the man, I think it may be that people simply dont believe his age. Therefore he might be playing the age card, as if he said he was younger he'd definately get more abuse. From what I've read, all his hobbies and requests, even the way he speaks are that of a much younger person.
Old 12 November 2005, 02:54 PM
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Yeah, I am not convinced either, quite safe on this as we are either wrong or paying him a back handled complement !
Old 12 November 2005, 03:01 PM
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Well my grandparents never behave like him, much more dignified and polite. They also dont spend all year on the internet, hanker after radio controlled toys, the latest electronic gadgets, mobile phones or "kiddie" playstations. As Victor Meldrew might say "I dont bloody believe it"
Old 12 November 2005, 03:05 PM
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So are you saying he should be at a bowling club in a tweed jacket smoking a pipe like the old boys I see around here ?

I think I will give that a miss and try to keep current thanks.
Old 12 November 2005, 03:06 PM
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Know your trolls
Old 12 November 2005, 03:09 PM
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Not quite. But I'd imagine our generation will behave differently from the older generation as far as use of technology is concerned. Anyway, I'd rather be like Leslie than pslewis when I'm older thanks, and I'm sure Les doesnt go bowling or wear tweeds
Old 13 November 2005, 12:27 AM
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you can be ageist or racist as long as it is personal - you just can't do it generically
Old 13 November 2005, 12:57 AM
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You are all so cruel to me!!

Pete
Old 13 November 2005, 01:58 AM
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Talking

Originally Posted by adviceneeded
You are all so cruel to me!!

Pete
oops - pete - looks like you used the wrong alias
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