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A group for Democrats and American Liberals to discuss current issues.
Members: 125
Latest Activity: Sep 21
Started by Phil. Last reply by Craigart14 Oct 20, 2013. 3 Replies 0 Likes
Started by Phil. Last reply by Phil Dec 6, 2011. 3 Replies 0 Likes
Moveon is but one organization - they can't change the world on their own. But I know we'll win 2012 because we're all so pised off.
Merle Haggard, who likes Obama, compliments him by saying, 'I think he knows he's in over his head'
Excerpt from the brief blog post on the LA Times.
"It was also nice to meet Obama and find him very different from the media makeout," Haggard told the magazine. "It's really almost criminal what they do with our president. There seems to be no shame or anything. They call him all kinds of names all day long, saying he's doing certain things that he's not. It's just a big old political game that I don't want to be part of. There are people spending their lives putting him down. I'm sure some of it's true and some of it's not. I was very surprised to find the man very humble and he had a nice handshake. His wife was very cordial to the guests and especially me. They made a special effort to make me feel welcome. It was not at all the way the media described him to be."
The Late Great United States of America, may it's attempt at greatness be remembered as one of the finest, though short lived, it had potential for a couple of centuries. Was a good idea, but as always the rich and powerful was able to bring it down, as has been the history of most past great civilizations. Short life spans seem to cause the need for history to constantly repeat the horrors of mankind, rarely learning, always to repeat the rules of selfishness and greed. I am a progressive, I am not seeing much Hope anymore, can you tell?
I don't put much faith in polls.
© 2014 Atheist Nexus. All rights reserved. Admin: Richard Haynes.


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The coach's daughter (Aimee Teegarden) doesn't eat with football players. Or dorks.
In Dillon, Texas, high school football isn't just a sport, it's a way of life. This year, the Dillon Panthers are expected to go all the way. That's a lot of pressure for Eric Taylor (Kyle Chandler) in his first year as head coach. Not to mention, the pressure on the athletes who all have their sights set on college and the NFL. Coach Taylor is ready to mold these boys into champions and encourage them to be better men. Will they rise to the challenge?Coming to NBC Tuesdays.Clips courtesy of NBC.COM.
Download the TV Guide app for iPhone, iPad and Android!

subset: commoncrawl


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The Global Intelligence Files,
files released so far...
Index pages
by Date of Document
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Community resources
courage is contagious
The Global Intelligence Files
On Monday February 27th, 2012, WikiLeaks began publishing The Global Intelligence Files, over five million e-mails from the Texas headquartered "global intelligence" company Stratfor. The e-mails date between July 2004 and late December 2011. They reveal the inner workings of a company that fronts as an intelligence publisher, but provides confidential intelligence services to large corporations, such as Bhopal's Dow Chemical Co., Lockheed Martin, Northrop Grumman, Raytheon and government agencies, including the US Department of Homeland Security, the US Marines and the US Defence Intelligence Agency. The emails show Stratfor's web of informers, pay-off structure, payment laundering techniques and psychological methods.
Re: G3/S3 - US/NATO/LIBYA- NATO top mil commander says if Gadhafi falls, history has shown Libya may need a foreign "stabilization force"
Released on 2012-10-18 17:00 GMT
|2011-03-30 01:34:52
This also goes to what Rodger was saying... the military officers continue
to stress the shitty parts of this whole deal... that there are slivers of
AQ involved... that NFZ is no joke... that there will be a need for
stabilization force, etc.
From: "Bayless Parsley" <firstname.lastname@example.com>
To: email@example.com
Sent: Tuesday, March 29, 2011 5:25:59 PM
Subject: Re: G3/S3 - US/NATO/LIBYA- NATO top mil commander says if
Gadhafi falls, history has shown Libya may need a foreign
"stabilization force"
this is, imo, a really significant statement to make. who is going to
supply the troops for such a mission? why would anyone assume that it
would be a peaceful NATO occupation? anyone that has read even a chapter
of libyan history knows that they don't deal kindly with foreigners.
i wonder what john "fuck the consequences, let's do whatever it takes to
get gadhafi out" mccain had to say in response??
On 3/29/11 5:20 PM, Reginald Thompson wrote:
(Bayless): reggie and i have both looked for the full transcript of
Stavridis' testimony in front of the U.S. Senate Armed Services
Committee, but it doesn't appear to be available yet. sucks because i
want to be able to see the exact context of all of these statements.
this one, though, is really important imo. if gadhafi goes, we may need
a "stabilization force"? uh oh....
NATO Commander Says Libya May Need Foreign Stabilization Force
Al Pessin March 29, 2011
The top NATO military commander says [We've been referring to him as
NATO's Supreme Allied Commander Europe and the commander of U.S.
European Command, U.S. Adm. James Stavridis] Libya may need a foreign
stabilization force if rebels supported by international airstrikes
succeed in ousting the country's leader, Moammar Gadhafi. U.S. Navy
Admiral James Stavridis made the comment in an appearance Tuesday before
the Senate Armed Services Committee.
Admiral Stavridis says there has been no discussion at NATO of sending
ground forces to stabilize Libya, but he believes it may be necessary.
"When you look at the history of NATO, having gone through this, as many
on this committee have, with Bosnia and Kosovo, it's quite clear that
the possibility of [the need for] a stabilization regime exists," he
said. "And so, I have not heard any discussion about it yet, but I
think that history is in everybody's mind as we look at the events in
Libya." [I would try to include as much of this exact quote as possible
in the rep]
Admiral Stavridis cited the Srebrenica massacre in Bosnia in 1995, which
NATO leaders failed to prevent, as one reason they decided to act to
stop Gadhafi's forces from taking the rebel headquarters city of
Benghazi. President Barack Obama has said he will not send U.S. ground
troops into Libya, and Admiral Stavridis said he is not aware of any
NATO forces being deployed there so far.
The admiral came under repeated questioning by committee members about
what some see as an inconsistency in the allied approach to Libya, which
calls for an end to Gadhafi's rule but a military mission that does not
specifically include that as a goal.
Stavridis said he believes the two approaches will come together over
time, but that any regime change will be initiated by the Libyan people,
or by Gadhafi himself.
"By our participation in protecting the people of Libya, we create a
safe and secure environment in which the people of Libya can make a
determination, and that they then have the ability to undertake the kind
of effort that would, in effect, create regime change, as we've seen in
other nations in the Middle East," he said.
Admiral Stavridis said the military mission involves enforcement of the
U.N.-mandated arms embargo and no-fly zone, the provision of
humanitarian assistance and the protection of Libyan civilians from
pro-Gadhafi forces. He predicted that the military operation, plus
international diplomatic and financial pressure and attacks by the
rebels, will likely result in Gadhafi's departure or overthrow.
And he said even without the specific mission to oust Gadhafi, NATO
forces are operating under sufficiently broad rules that they can attack
wherever necessary in Libya.
"I think that any Gadhafi forces that are demonstrating hostile intent
against the Libyan population are legitimate targets," said Stavridis.
Admiral Stavridis acknowledged that the international community still
does not know much about the Libyans who are leading the rebellion. He
said although there have been what he called "flickers" in intelligence
reports indicating some of the rebel leaders have ties to al-Qaida,
Hezbollah and other extremist groups, he does not believe there is a
significant connection and that the leaders "are responsible men and
The admiral's' NATO forces have taken command of the arms embargo and
no-fly zone enforcement from U.S. Africa Command, and he says NATO will
take command of the humanitarian and protection of civilians effort
within the next day or two. He praised the rapid creation of the
international coalition that is involved in the operations, but he said
he would like to see more involvement from Arab countries, beyond the
aircraft and crews provided by Qatar and the United Arab Emirates.
Marko Papic
STRATFOR Analyst


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text:
Bus crash in Mexico kills 21Comment on this story
Mexico City - A bus skidded off the road on Friday in the western Mexican state of Nayarit, killing 21 passengers and injuring at least 29 others, officials said.
The accident occurred on the Chapalilla-Tequepexpan bridge on the road between the cities of Tepic and Guadalajara, said Omar Landazuri of the Nayarit civil protection authorities.
Landazuri said that children were among the dead, but could not say how many. No other vehicles were involved in the accident.
The "Express Oro Tours" bus was coming from Chihuahua in northern Mexico and heading to the tourist area of Rincon de Guayabitos in Nayarit, Landazuri said.
Investigators were looking at two possible causes for why the bus skidded off the road.
"Possibly the brakes didn't work or maybe the driver fell asleep," said Landazuri.
Bus crashes are common in Latin America, where roads can be poor. - Reuters
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Board Member at Famous Dave's of America Inc.
PATRICK WALSH has served as the Managing Member and Chief Executive Officer of PW Partners, LLC, the general partner of PW Partners Master Fund LP ("PW Master Fund"), and PW Partners Atlas Funds, LLC, the general partner of PW Partners Atlas Fund II LP ("Atlas Fund II") and PW Partners Atlas Fund LP ("Atlas Fund I") since August 2012. In addition, since September 2012, Mr. Walsh has served as Managing Member of PW Partners Capital Management LLC, the management company with respect to each of Atlas Fund I, Atlas Fund II and PW Master Fund. From December 2011 to August 2012, Mr. Walsh was Managing Partner of PWK Partners, LLC, a value-oriented ...
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Discussion in 'LSU RECRUITING' started by TigerTap, Aug 26, 2013.
To be frank, I do too
So what is up with his flip flopping? We in trouble with this one?
@bhelmLSU ?
I have heard he is strongly considering other teams and Texas was the main one I have heard. I can't blame him with Fournette and Williams here now and the other guys we already have committed. I do know LSU is still at the top right now and around the LSU program often along with his family. They also attended the game in Houston in the player family section.
It is probably futile to hope that LSU can sign a top running back this year. That is not necessarily a bad thing. Its another slot at a position where we are weak.
With two-thirds of the runningback carries leaving next season, I don't know why it would be hard to sign a top runningback. The position is the thinnest on the team. Fournette or no Fournette, Les is going to rotate RBs.
Do you not think we'll get either Guice or Brosette. Both are highly rated. I think we get one for sure plus Ducre. All three seems like a stretch especially now that Brossette is looking around so much.
Only concern anyone should with Guice at this point is if he'll stay out of trouble. This is a Buga Nation grab...
Brossette I could see looking around but there is certainly room in the backfield for him. Don't see why he would jump ship. 3-5 RBS will log significant carries every year and Fournette is still projected as a 3-year player. Maybe Ducre running sub 4.5 made him nervous...


text:
Working on comic!I'm about 2/3 done a little comic with my Robotic Cobra character. For comics, do you think it would be better to upload the two pages of the drawing separately, or put them together in one, big sheet?
Haha YEY for the robot Cobra the mongooses are fun too! Really cool stipe of illustrations and captions.
...Now Mongooses...Look into my eyes [turns on spinning eyes]


text:
So, let's begin, shall we?
Step 1: First, a confession
Step 2: Select your wood
the easiest way i found was to soak it before you try to shape it... although there is a possibility of lifting a splinter as it dries... it makes the process a lot easier
If you want a protective finish that will give the look of your wax/turp/blo mixture, while preventing sweat from raising the grain, I'd recommend getting a bottle of Birchwood Casey's Tru-Oil and hand rubbing it into the wood. (make sure you wear nitrile gloves). I usually pour a bit into the cap of a used water bottle and dab a finger in it and get to work rubbing it into the wood (you want to create heat from the rubbing action) till it's absorbed, working in sections to prevent it from building up on the surface of the wood. I recently refinished a friends bow for him and it turned out very nice.
Oh... and if you want to speed up the process, before each coat of Tru-Oil spray a tiny bit of Armor-All (yes.. the crap i'd never put on my car) on your gloves so they get slippery, and rub the wood down, followed by the above Tru-Oil method. Someone over at RimfileCentral told me about it yet nobody can seem to figure out the original source. My theory is that some guy with a Tru-Oil finish applied Armor-All to a shotgun or rifle prior to going out in bad weather with the intent of protecting the wood. He ended up dinging the finish while out that day and touched it up with some fresh tru-oil only to find it dried in 5 minutes instead of a few hours. And no joke, that's seriously how fast it dries. Armor-All works like a catalyst and some sort of reaction occurs.
Here's a couple examples of how Tru-Oil looks on Walnut. The first is my Browning Auto-5 16ga (circa 1928) which I refinished and re-checkered after I gouged the crap out of it climbing a fence while running from a bull (long story). The other is a pair of custom grips I made from a block of Pao Ferro (Bolivian Rosewood) and hand checkered. You can build up the finish further but I like the feel of the wood.
You say those grips are custom made, how did you get the S&W logo on there? Those are some beautiful grips I would like to get some like that, where can I find some?
would you do any extra shaving on the limbs to try and adjust the poundage on the bow or do you just leave it as is?????
love it
when you are "Tillering" the bow how and when do you know to stop? do you just guess? please help!
What kind of bow string do I use and where can I find it?
wouldn't the grain split apart? I'm making a flatbow out of osage and I'm getting the back down to one growth ring. Just wondering.
this is brilliant and i just rang the wood shop up to order a peice of maple how ever i think its going to be 5inch thick can i still run with that or would it be better to buzz it down to 3inch and if it were to stay at 5inchs would that increase the poundage on it ?
It's very interesting the way you've cut the bow.
Looking at the end grain, where you can see the rings. you've cut across these instead of going with the rings.
Hey it works, but it definitely a different way to do it.
maple or yew
Is there any more simpler tools that I can use besides a table saw?
also hickory, ash, elm, and oak.
I have a little question. How did you made the bow string???
I have to thank you cause you got me into making bow and my owns strings.
I took the initial ideas from your instructible but turned out the piece that I bought had a defect a 4ft so I had to cut it there. So I made a short 4ft pyramid bow and it was allot of work seeing as I didnt want to use any powertools. I made it pull 50pds bends 11inches on both sides at max pull and the string is made from good old hemp cord. Made a waxed hemp endless loop bowstring that works like a dream just gotta twist it a bit sometimes but so far so good
So yeah.
Thanks very much for the instructible and ill upload the pics in the time being. In the meanwhile making the exact same idea except 7ft instead of 4 cause I found a nice straight piece and I wanna make an epic longbow from it
last one was iroko which i was very carefull with ...i was aiming at 35 pounds at 28 inches ........it broke at about 33 pounds at 28 inches.......
so im rethinking all of this.......ive been attempting the longbow concept that bends through the handle but yesterday i glued a riser on a piece of iroko and will attempt again with this new method.......i build as long as my wood will allow........the oak was 6 ft long..........the iroko are both 70 inches as i get two equal staves out of one piece of wood.......i think one of my mistakes is that im starting with my rough shape to thin and not leaving enough timber to reach my desired draw weights.......not sure what im learning but will get it right eventually.................i believe breaking bow may in the long run be more educational than it seems...... ...."a fully drawn bow is a 7/8 ths broken bow"


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Summary: Integrity is essential to Judeo-Christian business ethics. But today's business environment is complex. Those in business, and those preparing to enter the business world, need more than a simple admonition to live and act ethically. They need to struggle with the question of how integrity and biblical principles can be applied in the workplace. They need to go "beyond integrity" in their thinking. All too often, books on business ethics from a Judeo-Christ ...show moreian perspective are either very theoretical or simplistic and dogmatic. Beyond Integrity offers a balanced approach to a number of concrete ethical issues. Readings from a wide range of sources present competing perspectives on each issue, and real-life case studies further help the reader grapple with ethical dilemmas. The authors want to help the reader arrive at his or her own conclusions. To this end they provide a decision-making model. They also present, in addition to several views on each topic, a distinctly Christian perspective on each issue under discussion. A glance at the table of contents of Beyond Integrity will quickly show the reader the scope of readings and case studies, as well as the structure of the book. ...show lessEdition/Copyright: 2ND 04
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Westmoreland Bulldogs won the 2011 Section 3 Class D championship at the Syracuse dome against Dolgeville.
MVP Zack Green leads Westmo to Victory
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says ... on Saturday, Nov 5 at 11:55 AM
congrats westmo and zack!!!!!76476874
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How to sell your seat with viagogo
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Shortcut for typing directory names on the command line
save yourself keystrokes by using the wild card.
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You can save MANY key strokes when changing to a new directory on the command line by using an asterisk (*) as a wildcard. For example, to get to "c:program filesresource kit", you can type "cd pro*res*". You need to type as many letters as necessary to uniquely identify the directory. There are several directories that start with "Microsoft." To find one of these you still need to type the whole word "Microsoft,"then type an asterisk.
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text:
Light and Heavy Louisiana sweet oil premiums weakened as the gap between West Texas Intermediate and Brent narrowed.
Brent crude's premium to WTI, based on June futures prices, narrowed 84 cents to $15.55 a barrel at 2:35 p.m. in New York. When Brent falls versus WTI, it typically weakens the value of low-sulfur U.S. grades that compete with West African oil priced against the European benchmark.
Light Louisiana Sweet's premium lost $2.25 to $14 a barrel at 12:11 p.m. in New York, according to data compiled by Bloomberg. Heavy Louisiana Sweet's premium decreased $2.40 to $15.
Mars Blend's premium narrowed 55 cents to $11.25 a barrel. Poseidon's fell 40 cents to $10.25, while Southern Green Canyon's decreased 35 cents to $10.
Thunder Horse, a sour crude with lower sulfur content than Mars, Poseidon and Southern Green Canyon, decreased $1 against WTI to a premium of $14.50.
Western Canada Select's discount to WTI widened 25 cents to $19 a barrel. Syncrude's premium added 10 cents to $1.95.
Bakken oil's discount to the U.S. benchmark narrowed 75 cents to $1 a barrel.
To contact the reporter on this story: Aaron Clark in New York at firstname.lastname@example.com
To contact the editor responsible for this story: Dan Stets at firstname.lastname@example.com


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TELELOGOS: a leading player in dynamic display and remote terminal (fixed and mobile) fleet management software.synchronisation Noun 1. synchronisation - the relation that exists when things occur at the same time; "the drug produces an increased synchrony of the brain waves"
synchroneity, synchronicity, synchronism, synchronization, synchronizing, synchrony and fixed or mobile remote terminal management software publisher, will be attending the upcoming Gitex to be held in Dubai from October 18th to 22nd.
TELELOGOS is acknowledged for its leadership in supplying solutions that optimise strategic data exchanges between points of sale and their head office. Having secured a 60% market share in computing fleet management and securing data synchronisation, traceability and performance for French retail chains, TELELOGOS software has become a must throughout the sector. ISO (1) See ISO speed.
(2) (International Organization for Standardization, Geneva, Switzerland, www.iso.ch) An organization that sets international standards, founded in 1946. The U.S. member body is ANSI. 9001-certified, the quality of products and services has represented the company's main commitment for close to 30 years.TELELOGOS currently wishes to expand its local partner's network in the Middle East. It is seeking software distributors, integrators and publishers. At Gitex, TELELOGOS will introduce two of its software suites, MediaContact and Media4Display.
MediaContact is a mobile computer fleet management software package. It helps administer fixed or mobile remote terminals, manage synchronisation and secure data. It provides a centralised Adj. 1. centralised - drawn toward a center or brought under the control of a central authority; "centralized control of emergency relief efforts"; "centralized government"
centralized control centre for mobile computer equipment (sales force, technical teams, warehousing, logistics etc), fixed and remote computer equipment (point of sales networks, remote industrial plants etc), and on-board computer equipment (communicating devices, automatons etc).With MediaContact, companies have the benefit of a homogeneous platform that gathers all of the services required to manage remote terminals (tele-distribution, inventory, configuration management, data synchronisation, and data backup/restore). MediaContact includes technology devoted to remote computer equipment constraints (intermittent connections and/or variable speed and continuity):- Differential synchronisation (up to 98% gain)- On-the-fly compression (up to 72% gain)- Break-point resumption (avoids useless repeated transmissions)- Dynamic bandwidth management Controlling the traffic flow in a network. See bandwidth manager. (stream self-adaptation)- Encoding, authentication (1) Verifying the integrity of a transmitted message. See message integrity, e-mail authentication and MAC.
(2) Verifying the identity of a user logging into a network. (128-bit SSL/TLS-AES)- Push/pull mode (adaptation to trade-specific processes)This technology ensures optimised, reliable and secure transfers and synchronisation, whether using cellular (GPRS (General Packet Radio Service) The first high-speed digital data service provided by cellular carriers that used the GSM technology. GPRS added a packet-switched channel to GSM, which uses dedicated, circuit-switched channels for voice conversations. , 3G, 3G+ etc), wireless (WiFi) or wired (RTC See real time clock. , xDSL) networks.In addition, MediaContact's flexibility and ergonomics ergonomics, the engineering science concerned with the physical and psychological relationship between machines and the people who use them. The ergonomicist takes an empirical approach to the study of human-machine interactions. allow for faster implementation of configurations ranging from a few remote terminals to several thousand.Media4Display is dynamic display software. It helps remote and real-time control Real-time control is a popular term for a certain class of digital controllers. For effective digital control, it is critical that sample time be constant. Real-time control achieves nearly constant sample time. See also
- Control theory
(2) "Parent over shoulder." See digispeak.
POS - point of sale terminal or a standard PC as a player - External event processing to modify displays in real time - 2 marketing modes: licensing and SaaS. 2009 Al Bawaba (www.albawaba.com)
2009 Al Bawaba (Albawaba.com)
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Read how You can Live Forever in Christ!
Get Ebook, SPIRITUAL MEMOS, which will tell you how to live Forever, in Christ Jesus, and in God, His Father. Plus 88 short, inspiring topics, from God's Word. Author, Ron Lewis. Purchase it now, online, at http://www.amazon.com/author/ronlewisspiritualmemos Don't wait, get it today!
date published: 22 Jul 2014 valid until: 22 Jul 2015
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Dear Spark Friends:
I am veering off my usual health and weight loss topics to bring a concern I have to my table of friends --
I am co-leader of my hometown's team and as such try to read as many blogs as I can from fellow team members to stay in touch. The other day I read an entry from a teacher who wrote about a particular student of hers who had a difficult parent and the gist of her blog was about her resentment over students who are on free and reduced lunches and other entitlement programs.
I am quite certain that this woman was probably venting out of frustration and I left a comment expressing a little of my own opinion. After thinking about it later, though, I regretted leaving it.
I want to make it clear that I didn't regret my opinion one bit, but that I let myself get emotionally sucked into a subject that has nothing to do with motivating and inspiring health and fitness.
So I went back and read over comments that other sparkers had left on her blog and was shocked at the vehemence of some peoples opinions. One particular woman's comment in support of the teacher's feelings seemed especially harsh so I clicked on her page and read the only two blogs she had written at the time.
I was so saddened and disappointed at the judgemental, political extremeness, and almost hateful nature of her blogs!
It isn't the fact that my political leanings differ from hers. I am not an extremist by any means to the right or the left, and I certainly respect the concept of freedom of expression.
However, one of my favorite quotes is:
"Freedom of expression is NOT yelling FIRE! in a crowded theater"
(I am sorry that the author of that quote escapes me for the moment.)
She is entitled to say what she feels like on her own page.
What REALLY bothers me is that when we express ourselves in a judgemental, hateful, vehement manner about any segments of population, we risk alienating people. Now I entirely get the drift that she could care less whether the folks she has chosen to spew her venomous diatribe at feel alienated or not.
I firmly believe that this isn't what Spark People is all about. I am very concerned that a newcomer to SP will stumble across her politically driven blog in seek of weight loss motivation and be completely turned off by the whole website.
For all intents and purposes, Spark People is about motivating, inspiring, encouraging others in the WEIGHT LOSS AND FITNESS EFFORTS.
I have no problem with people blogging about personal issues that are emotionally challenging to them. Our blogs shouldn't be restricted to JUST weight loss and health issues, especially when they ultimately impact our state of health mentally or physically, but I definitely feel they should be presented in a non-judgemental, non-hate mongering manner if they bring in other peoples.
Maybe it's because I am NOT a judgemental person by nature. I read my Bible faithfully, and you know what? I haven't found my name mentioned in it anywhere as an appointed judge. In fact, our good Lord is pretty specific that HE alone has that privilege.
I chose a profession where I get to help all walks of life -- every race, nationality, sexual orientation, religion, and gender. The workings of our bodies really is the great equalizer. We have more in common with everybody else than not when it comes down to it.
I like to think of myself as a kind and gentle and tolerant soul in my "old age". Lol!
While I am by no means wishy-washy or timid in my political leanings, I simply don't feel like Spark People is the venue to express them. There ARE websites out there where you can share all your opinions with like minded folk. Some are monitored by the FBI, I'm sure :)
So when I read her blogs, did I click the little icon to report an inappropriate blog? No. She wasn't profane, sexual, racist, anti-semantic. or anything like that. She was political. She was judgemental and disparaging about a segment of society that through the grace of God I am not in.
So I am coming to MY friends here on SP and asking that you please not encourage these kinds of public blogs by commenting either in agreement or disagreement. By simply commenting, we are acknowledging them and giving them fuel to either continue with them out of our encouragement, or continue them out of vengeance over our dissenting opinion.
Let politics be politics on MSNBC or FOX News. Or on any of the myriad of websites out there dedicated to such.
Let Spark People be Spark People...
Not too long ago I blogged about being in the doldrums and searching for my motivation. I shared the funny but true story about my husband helping to bring it back. The truth is, I DID spend time reading blogs, re-reading The Spark, and visiting friends pages and I really think it was a culmination of all those efforts that got me mentally back on track.
Now one thing I discovered back when I first started on my weight loss journey is that while making a commitment to yourself is an important first step, carrying on through with it can be quite another story. If only all it took was deciding you really want to be thin, we'd all be thin!
The first thing I did was get back on the scale. You know I ended my affair with the scale a while back and I found that I was using that as an excuse not to get back on it and face the proverbial music. However, there is a difference between sensible weighing in and a daily obsession with it.
Turns out my "little funk" and subsequent foray into the land of cheeseburgers, cheese nachos, and cheesecake cost me SEVEN POUNDS!
I swear, I can never figure out how it can take me seven WEEKS to lose seven pounds, but only TWO weeks to put them back on!
Next thing was to analyze my calories in and calories out. Obviously, cheeseburgers et al are NOT healthy choices. I didn't have to look too far to figure out that what I was eating was wrong. Yes, I understand the whole concept of moderation and not depriving yourself. BUT, I know me. There is no such thing as a few fries. I don't count out 15 tortilla chips and I certainly don't drizzle the cheese sauce - I ladle it on.
Where the analysis came in is WHY was I eating like that. Was it really loss of motivation? Could my determination of the last 5 years go out the window THAT quickly?
I wasn't tracking my intake because when I'm eating all wrong, I don't take the time to look up each and every thing I put in my mouth. It not only is overwhelming, but I'm actually ashamed to see it in black and white.
Working from memory, I went day by day and analyzed where I was when I lost control and what were the circumstances --
One day I forgot my lunch. Left the house with it sitting on my counter. Why? I was rushing because I was running late. Because? I had stayed up late the night before and I was tired and drifted back to sleep for a few minutes. So that meant ordering lunch to be delivered. Did I order wisely? No because most deliveries take a minimum order and that meant asking around the office for volunteers. No problem there except the usuals whom eat out everyday don't exactly eat at healthy places.
One night I got home late from the Y where I work out after work. I was tired, my DH had a cold and had taken a much deserved nap after work and didn't start supper, so we went out to eat and I wanted something fast. Why was I late from the Y? I got out of work late and I chatted with friends after working out. Those things happen.
I decided that I needed to keep a healthy frozen dinner in the freezer at work with my name on it, along with a carton of sugar free applesauce, so if I forget my lunch again, I don't have to order out. Oh and I need to get into bed earlier so I'm not so tired that I can't get right out of bed in the morning.
I also need to keep lean sandwich materials on hand at home and maybe a can of healthier soup or some healthy frozen leftovers so if I'm delayed after the Y, I've got options. If we do end up going out, It can be somewhere like Applebees and DH can order me something off the healthy choices. I'm not even looking at the menu!
Lastly I looked at my exercise. I give myself kudos for being a consistent exerciser. Even when feeling blah about it, I kept going 5-6 days a week. BUT, and this is a big but, I have been in quite a comfortable routine with my exercise. I might read a magazine and ride the bike 30 minutes tops on a low resistance. I might "run". I even convinced myself I was doing "intervals" by running a little, walking a lot. Before Christmas I was running a solid 30 minutes. Granted I was sick most of January and part of February, but instead of working my time back up, I was still taking it easy.
So I decided to turn on the heat a little. Yesterday I ran and I pushed myself. No it wasn't a solid thirty minutes but it was run fifteen, walk five, run ten. Then I went to the bike and did another thirty on a resistance that made me work! Today I rode the bike for 60 minutes on that same resistance. No reading material. I was pumping too hard and sweating too much, so I half way watched TV along with the clock thinking how much longer?!?
Once I was done, my legs felt like jelly but I felt GREAT!
I discovered something. When I exercise like that, it seems that controlling my eating is much easier. First of all, I just wasn't as hungry and secondly after burning all those calories, I wasn't going to eat them right back on!
I've been thinking all day about all of this. Do I want to keep this intensity going just for seven pounds? I look good enough seven pounds heavier. My clothes still fit OK. The answer though, really lies in how I feel. When I eat unhealthy I don't have energy. I feel bloated, gassy, tired, and mentally sluggish. I don't feel like exercising. It gets to be one big vicious cycle!
I picked my goal weight because even though it takes more personal effort to maintain it, I feel SO MUCH BETTER when I make that effort. A pound or two fluctuation doesn't make an appreciable difference, but more then that and I can tell a huge difference.
For right now, the word moderation is not in my vocabulary. I'm the original "if you give me an inch, I'll take a mile" kind of dieter. I'll have to be fairly strict until I'm back to goal. THEN if I can keep challenging myself in my workouts, I can treat myself occasionally with a usually off limits food. But only when I feel in control and CAN be moderate.
So there you have it folks. Next time you feel like you are struggling take some time to do a little self analysis. First get your head back in the game, then analyze what it's going to take to get where you want to be. Break out of those vicious cycles we set up for ourselves.
What's holding YOU back?
So I opened my newspaper this morning and was greeted with this headline on page 10:
"Daily 1-hour workouts a must for older women to fight flab" and like the rest of the "older women" in the nation said to myself -
To hell with it! Why do I even bother??
When I took journalism 101 at Iowa State, I remember the prof telling us that the average reader seldom reads beyond the first couple of paragraphs of a newspaper article so make 'em good and make your point early. In this particular article, the first couple of paragraphs only compounded the depressing news, stating that "sobering new research spells out just how much exercise women need to keep the flab off as they age -- and it's a lot."
So I decided to go beyond the average reader and actually read the whole article which turned out to be much less depressing. It seems that middle-aged and older women who started at a healthy weight with a BMI of less than 25 who were NOT on calorie cutting diets but consistently got in an hour of moderate activity gained little or no weight, while those without the activity gained an average of 6 pounds.
It's not that I think 6 pounds is so little. I fought for every one of the 70 pounds I lost and I always tell people that out of those 70 pounds, the last ten seemed to be the hardest.
But what I'm afraid is that if I can read that headline and can feel hopeless and think why bother, then the average woman - especially an overweight woman - will REALLY feel discouraged.
They won't go on to read that we are talking 6 pounds and that moderate activity encompasses brisk walking, leisurely bicycling and even golfing. I've cleaned out a closet and felt like I expended more energy than I would have golfing!
It's true that few overweight women get that much exercise --with the notable exception of us Sparkers, right ladies?
The reasearchers said that it's uncertain whether the results would apply to men. With no disrespect to the many men on Spark people, I'd have to hazard a guess that the results most likely wouldn't apply.
My husband announced that he needed to lose a few pounds so he cut out the evening Twinkies and lost 5 pounds! Oh he assured me indignently that it wasn't JUST cutting out the Twinkies. It was adding the Kashi bars he said with a wink and a smile while pointing at the bathroom....
Oh and the study reiterated what we "older women" have known all along: that hormonal changes in menopause also can make women prone to weight gain, especially around the belly.
Well here's a newsflash: so can sex in the younger women who didn't use contraception!
AND we've discovered that even an hour a day of crunches isn't going to totally get rid of THAT belly - even after delivery. Maybe a date with a plastic surgeon or a wardrobe of spanx.
Sigh! No matter how you look at it - women get screwed (pun intended...)
So what's the answer? Give up? Lay down in our recliners in front of the television set munching on a bag of Cheetos. The only exercise we get is getting up to find a tissue to wipe the orange off our fingers?
If I sound like a woman who has been there and done that it's because I HAVE and I DID just that. For years.
The good news is that despite our hormones, our bellies of jelly left after birthing that last 8 pounder, AND -- despite those depressing headlines, with making consistent small changes like eating more vegetables and lean meat, drinking more water, tracking our calories, getting out of that recliner and into the tennis shoes to walk or garden or play bowling on Wi:
Despite our ovaries running out of gas and joining the ranks of "older women".
How do I know this?
Because I've been there and done that...
Me on the left in red.
Me a year later!
Keep Sparkin'!
When I was little, I remember my mother always used to sigh dreamily and say "Richard Burton can put his shoes under my bed anytime!"
Being young, and having absolutely no clue about the facts of life, I used to wonder why would Richard Burton put his shoes under a bed instead of in the entryway like the rest of the guests? I even asked my sister who was four years older and she snickered and told me to go ask Mom. Fortunately I wasn't THAT interested at the time and it wasn't until I was somewhat older and happened to think about it that I finally got it and had a chuckle.
Years later when I well into my weight loss journey -- in fact about 20 pounds away from my goal, we had one of those silly female conversations that only women at work on a rare slow day can have. The subject? If you had a "free pass" to make love with any man on earth other than your husband who would it be?
Another nurse in my office thought a moment and shook her head. "Nope girls, sorry to disappoint, but I have to say there is no one other than my husband!"
We all groaned and rolled our eyes until we remembered that she was married to a blue-eyed rugged cowboy type whom we all dubbed "The Marlborough man". He brought her Starbucks every morning just because he loved her.
Ok. My turn. They all turned questioning eyes on me.
Without hesitation I told them it was Antonio Bandaras. Besides being tall, dark, and handsome, he had that incredibly sexy Spanish accent. Why he could just talk in that suave Latino voice and I was in the mood, I told them.
My friend, Terry laughed and said that I must be the only woman in the world who could watch the movie "Shreck" and get turned on when Puss 'N Boots spoke!
Later that night while cuddling with my husband on the couch (secretly thrilled that finally both of us could fit on the couch together), I told him about the conversation. He laughed and told me that if Antonio ever called me and said that he wanted MY body, it was OK. After all it was a once in a lifetime opportunity and because he loved me, he wouldn't stand in the way. Teasingly, I said OK, turnabout is fairplay. If HE had a once in a lifetime opportunity offer, whom would he like it to be? He immediately replied that it was Michelle Pfeiffer. We shook hands on it and I snuggled in closer to him, watching TV.
After a minute he said, "You know I'm not really worried about you and Antonio."
"Oh yeah"? I replied. "Why is that"?
"Because when anyone mentions the word SEX in your presence, you've suddenly got a headache"!
I whacked him with a cushion and of course had to prove him wrong...
It got to be a standing joke between us. For some strange reason, when I needed a boost of motivation to continue on with my weight loss efforts, I used to think about Antonio calling and panicking because I still had X amount of weight to lose! I simply wouldn't feel comfortable standing nude in front of Antonio Bandaras if I was even one pound more than my goal. He was after all, used to seeing Melanie Griffith in the buff and that was SOME competition!
The day I stepped on the scale at the Y and saw that I had reached my goal weight -- 70 pounds lost -- I could hardly wait to get home and tell my husband. I burst through the door proclaiming:
"Guess what? This body is FINALLY Antonio Bandaras ready!!"
That was four years ago and I had all but forgotten about what I jokingly refer to as my "Antonio Bandaras phase". I was in the process of trying to maintain that 70 pound weight loss and finding out that sometimes it was more of a struggle than I had anticipated. I was status quo at work and church now. Old acquaintances were used to my new weight and quit remarking about it long since. New friends had no idea that I even ever used to weigh so much more. Most of the time I managed quite well because so many of the healthy changes that I had made, like regular exercise, were now habits. I really had adopted a new healthy lifestyle. Finding Spark People was a HUGE boost and I continually find motivation and inspiration by logging on and tracking food, fitness, and visiting friends pages.
Lately, however, I hit what I term a "blah" spell. Maybe it has been the gloomy, cloudy, rainy, chilly weather here in Iowa. Days upon days without sunshine. That has meant exercising daily at the YMCA when I used to love walking or running outdoors in the sunshine, breathing in the fresh air!
As I pronounced in my status not too long ago, I spilled tea all over my beloved Macbook laptop and soaked it into ruination. The cost of repairing it will almost be the cost of a whole new laptop. So what did I do? Attack a box of Girl Scout cookies that I had bought from a co-worker "for my husband". Half way through the box reality gripped me and I acknowledged to myself that all those cookies gone weren't going to revive my computer, so I tossed the box into the back of the pantry and went in search of my motivation.
I started in my closet. I looked at all the labels - Small, Size 2, Medium, Size 4, Petite. I had donated all my "fat clothes" so I had nothing to compare the new ones with. The reality of just how many clothes I owned prevented me from the temptation of going out for a little "retail therapy" and buying more.
I dug out old photo albums to look for pictures that would help me see how much I had lost, only to realize that when I was over weight I loathed having my picture taken so I was hard pressed to find even one single picture of my former heavier self.
I pulled out the log of my strength training that I had kept the first year I started exercising and looked over the numbers so I could see how the weights I was lifting had gotten progressively heavier over time.
I reviewed the log of my measurements.
Got onto Spark People and looked over my whole page. Reread my blogs.
I even went to the pages of some of my most motivating friends: DDOORN, BOTZZZ, and others and reread some of THEIR blogs.
Nada, still BLAH. Not in the mood to eat healthy. Don't want to exercise.
I even pulled out the BIG gun. I went to KITT52's page! Gasp! If that woman doesn't inspire you nobody will.
Sadly to say I was still in a funk. I had put on 5 pounds and felt wretched. That was the top of my comfort zone. I lamented to my husband:
"Help! I've lost my mojo and I can't get it back!!"
I don't even know if women have mojos but it sounded appropriate at the time.
Hmm he thought. Did I try...
Yup. No go.
Uh-huh. Nope.
"Sorry Babe", he told me. "Cant help ya" and he disappeared downstairs to watch TV.
A little while later while I was back reading "The Spark" searching for that much needed push -- my cell phone rang. I glanced at it and saw that it was from my husband. That's odd.
I picked it up and quizzically said, "Hello"?
In his best latin lover impression, he breathed into the phone --
"Zhoe-Ahn. Deese eez Antonio Bahn-dah-ross and I want your sexy bodeee!!"
I couldn't help but burst out laughing and I I told him absolutely! Just let me QUICKLY take these five pounds off first.
So the other day when my granddaughter was here and she asked if I would fix us a snack and watch the movie "Shreck" with her.
I told her I'd be happy to fix HER a snack and watch the movie, but Grandma wasn't going to eat because she wasn't hungry.
Estee* was a long time beloved patient of ours. Age 46, she had been a widow since her early 20's and raised a son all on her own. He was now in the armed services and you couldn't find a prouder mother. For years I had teased her that she might meet a new "Mr. Right" and would come in here sporting a big diamond. She'd laugh and say "Girl I am trying"! A devout Christian, her biggest enjoyment in life besides her son, was her church. She told me that if the Lord was going to bring a new man into her life, she would find him at church.
Not long ago she came to see me. Usually she was so upbeat and jovial, with a grin that lit up her whole face. But that day she was barely smiling. I asked her what was wrong and sadly shaking her head, she told me that she couldn't "get happy" at church no more.
"Get happy?" I asked her.
She explained that in her church they would sing as their praise band played and "You just opened yourself up to let that Spirit in and you would raise your hands and dance and shake". Filled with the Spirit -- you were "getting happy"! But lately she found to her terrible embarrassment, that when she danced and shook, she would wet. In her church everybody dressed to the nines in their Sunday best and she had actually ruined a nice dry clean only suit! As a consequence she got less and less active, dancing became swaying. She would use the bathroom right before services started and then pray that the preacher didn't get too wound up and prolong the service. It wasn't just church either. She couldn't lift her little niece without feeling that trickle and had taken to buying pads to wear every day. The last straw came when one of the deacons from her church came to visit her and inquire if everything was OK because he noticed that she wasn't participating as enthusiastically in church as she usually had. She was mortified and mumbled something about being worried about her son even though he wasn't deployed and they prayed together, but silently she prayed that she would just stop leaking. She said she always told her son that you had to "put your feets to your prayers" so she was doing that and it was her fervent prayer that I could help her.
No pressure....
Fortunately, I had a pretty good idea from talking to Estee what her problem was. After the doctor examined her, he referred her to me for testing.
Carolyn* was a retired school teacher and mother of five grown children. She complained of random leaking all day long and even sometimes at night! She couldn't really relate it to any specific activity. She never really felt like she emptied out her bladder when she went to the bathroom because she went frequently and good volumes. She was overweight by about 25 pounds, but upon exam it looked like she had pretty good support from the muscles and ligaments that hold the bladder in place. She was a long time type II diabetic. The first part of my testing, I have the patient urinate on a special commode into a beaker that holds 1000 ml or roughly 64 ounces -- 8+ cups. The average total bladder capacity in a person is between 400-600 ml -- around 4 cups. Most of us would be climbing the walls to find the bathroom if we let ourselves get that full. When I brought Carolyn back to the testing room, she walked and talked normally. She sat down and we spent a few minutes reviewing her questionnaire and 24 hour voiding diary. After I left the room, she used the commode to void and when I came back in I was amazed to see that she had overflowed the beaker! I had a pretty good idea what was going on with Carolyn too.
Jan* was just 37 years old and the mother of two young boys. Both of her boys weighed over 9 pounds at birth. A former smoker, she found herself sneaking a cigarette or two now and then "to help her lose weight" as she was still carrying around about 60 extra pounds after the birth of her last child. She came to me because she felt like her life was ruled by the bathroom. She had to go constantly, and at least once a day she would experience such urgency without warning that she couldn't get to the bathroom fast enough and she would find that urine escaped before she even got her pants pulled down. "It's silly", she told me, "I can just see a sign saying bathroom and I've got to go". The worst was when she'd pick up the boys from after school child care and as soon as she got home she couldn't get her key in the door fast enough to get to the bathroom in time to prevent leaking. She had taken to leaving her back door unlocked - a practice that her husband highly disapproved of. It didn't matter if she used the bathroom right before leaving work. She tried restricting her intake of fluids, having no water all afternoon. Her husband wanted to get a sitter and take her to the movies. Just the two of them like when they were dating, but she feared going because even if she emptied her bladder right before the show started and she drank no soda during the show, she knew she'd have to go at least once during the movie and again right after it ended. It was much easier to watch a movie at home where she could hit the pause button anytime she needed to go. Hmm... I think I know what her issue may be too.
Three women, three different scenarios, but each suffering a decrease in quality of life because of urinary incontinence issues. As I said, I had a fairly good idea from the outset what was causing each woman's symptoms but it isn't just a matter of being able to diagnose from simply interviewing a patient. To me, it's like putting together a big puzzle and when all the pieces fit together and you can treat the patient successfully, it's very gratifying to see an improvement in their lives.
We have a saying in my line of work that "nobody has ever died from urine incontinence". However, occasionally a patient will come close. Like the 70 year old patient that was hurrying to the bathroom when she fell and broke her hip. Surgery was required and two days after surgery she developed a blood clot in her lung which then required an extended hospital stay and she couldn't participate in physical therapy until the clot was dissolved with blood thinners. She ended up leaving the hospital and entering into a skilled care facility. She ultimately ended up in a nursing home, giving up the beloved home she had lived in for over 40 years. She used a walker at first, but eventually had to use a wheelchair. She became depressed and because of medical issues, she was a poor risk for any more surgery and couldn't use medication to suppress her incontinence. She just wore adult incontinence pants -- or diapers as she sadly referred to them.
So you can see that incontinence is not just a "embarrassing little problem" that every female eventually has to endure.
Quite a process takes place when we have to urinate. When you are a kid, you run in the bathroom, pull down your pants, go, jump up and run out and never give it another thought. When you become an adult and start to have "issues", the bathroom takes on a greater precedence. Everywhere you go you scout out the bathrooms in advance -- just in case.
Picture your bladder like a balloon. Like filling a balloon with air, the bladder fills with urine from the kidneys as we eat and drink. As it starts to become full, the pressure inside the bladder increases and that pressure increase sends a signal to the brain that you are going to need a bathroom. So the brain tells you to find the toilet and once you do it sends signals to the nerves that supply the pelvic region (lower abdomen) and control the coordinated process.
A balloon is made entirely of latex. Your bladder is made almost entirely of a muscle called a detrusor muscle. It is designed to contract once you are sitting on the toilet so that there is a force to expel the urine.
The urethra -- the tube that leads from the bladder to the outside of the body is like the tied off part of the balloon. It is designed to be shut tight. Watertight like a frogs behind I always tell my patients. However, when you are on the toilet, and the detrusor muscle that makes up the bladder kicks in and starts to contract, this urethral "sphincter" relaxes and lets the urine flow out.
You can see right now that any number of things can and frequently does go wrong:
First that detrusor muscle can get a mind of it's own and start to contract when you are nowhere near a bathroom. If it's mild and you can distract yourself you may be able to suppress the developing urge, but sometimes it reaches an intensity that you can't and you do what one patient described as "the pee-pee dance" all the way to the bathroom. Many people just can't overcome the urge. This is referred to as urge incontinence or DOA -- detrusor overactivity.
Some people have just the opposite problem. Their detrusor muscle has become lazy for many different reasons. Sometimes it's related to getting poor messages from the brain. People with spinal cord injuries, herniated disks in the back compressing nerves, diabetics with chronic neuropathy (poor nerve conduction) all can suffer from this. When the muscle doesn't contract properly, there is no force to expel the urine. Patients try to push with their abdominal muscles but they never really empty out their bladders appropriately. They walk around as if they were carrying an over full bucket that sloshes over the edge. This is known as overflow incontinence. The risk here is that the muscle will eventually get enlarged and floppy. Big bladders hold big volumes and that increases the pressure in the bladder which can lead to damaged kidneys over time.
The sphincter known as the urethra can have issues of it's own. When a woman's bladder starts to sag, it pulls down the bladder "neck" or the urethra. Normally it is fixed snug like up against the vagina, but when it become unhinged, it becomes mobile. It moves when you cough, sneeze, dance, or lift heavy things. Sometimes just walking will cause it to move. The trouble is that when it moves, it opens a little and urine escapes. This is known as stress urinary incontinence (SUI). Not because it causes you stress, even though it does, but because it takes a "stress maneuver" to make it move and cause subsequent leaking. Sometimes the sphincter itself is compromised and never really is shut tight like that frog's rear. It's like a door that isn't shut all the way, leaving a crack for urine to escape. If the sphincter gets weakened overtime it can lose it's tone and when you sit to urinate, it doesn't gradually relax timed with the detrusor contractions. It flops open and urine runs out. This may happen when you aren't even on the toilet. This has the fancy term "instrinsic sphincter deficiency" or ISD.
That old urethral sphincter may have the opposite problem of being jammed shut tight whether from an obstruction like a polyp, or it's kinked off from a severe prolapse, or there is a stricture from scarring from chronic inflammation or infection. It may not relax appropriately and those folks end up urinating in spurts and trickles. It may also contract rhythmically while trying to empty and that can cause urine to reflux or travel back up into the bladder and they never quite empty out.
The three most common forms of incontinence in order are mixed ( a combination of one or more of the following) stress, urge, ISD, and overflow.
Whatever the cause, all whom are incontinent start to develop some common patterns. They go to the bathroom frequently whether or not they have an urge to go. They want to get the jump on it and feel like if they empty their bladder continually, somehow there won't be enough urine in there to leak. This doesn't work because the kidneys are constantly making urine and there is always going to be a residual left whether large or small that has the potential to leak.
Because a person heads to the bathroom before they have the proper urge, they tend to want to assist the detrusor muscle by pushing out the urine with their abdominal muscles. Even those with strong urges will often push as a method of trying to squeeze out every last drop. What this does over time is contribute to prolapse or worsen an existing prolapse. The bladder might not contract as much as needed over time. Hey if you are willing to do half the work, why shouldn't it just wait on your abdominal assistance? However, abdominal voiding is a very poor way to urinate. If you push hard enough for long enough, you may just push that bladder neck down to where it kinks and then you have to try and lean forward, stretch back, stand, insert your fingers in your vagina JUST TO PEE. So, don't do it -- it's a trick!
People then think if they don't drink much, they won't make much urine and they won't have to go as much. We all know the dangers of dehydration. It's not healthy and besides that it backfires too. The more concentrated your urine is, the more irritating it is to the lining of the bladder and the detrusor muscle will tune up in defense giving you even more urgency.
Because incontinence can be caused by so many different factors and often be a combination of factors, patients come to me to unravel their symptoms and put the puzzle pieces back together. I measure and trace their urine flow pattern. I test the integrity of their urethral sphincter. I fill them with sterile saline and check to see that their nerves are working well and they are feeling proper sensations to go. I see how well they empty and how much they leave behind in the bladder. I check for prolapse and have them perform stress maneuvers so I can see if that urethra is moving. I use electrodes to sense if they are pushing with their abdominal muscles while they urinate. I monitor their detrusor pressures to see if its contracting when it shouldn't be but contracting enough when it should be.
Once I put all the pieces together, I submit my report to the physician who will then prescribe a treatment. Treatments vary according to just what's going on. It might be physical therapy to strengthen the pelvic floor muscles to prevent further prolapse or strengthen the urethral sphincter. It might be surgery to snug everything back up into place tight. It might be behavior modification to relearn poor toileting habits. It might be medication to calm an overactive detrusor muscle. It might be a referral to a urologist. It might even be teaching
them to catheterize themselves if they aren't able to empty due to poor nerve conduction.
It's important to test before treating because when there is a mix of symptoms, you have to sort it out. A patient who urinates frequently because she is sloshing over the edges of her over full bucket due to her poor detrusor contractions wouldn't be a good candidate to snug that urethra up too tight with surgery or give her medication to calm down an already underactive detrusor muscle -- even though she is in the bathroom a lot. She is there because she has trained herself to be there not because her body is telling her it's time to go.
Now you know everything you never wanted to know about urinary incontinence, you may be asking what causes all this? Number one cause in females is childbearing. (Prostate in men) Pregnancy and vaginal delivery wreck havoc on the pelvic floor muscles that hold everything in place. My theory is that you don't pass something the size of a bowling ball through something the size of a golf ball and come out unscathed!
Number two cause is smoking. Yes, smoking. I know smokers feel picked on but the carcinogens in cigarettes that affect the lining of the lungs affect the lining of the bladder the same way. Smokers have a higher incidence of bladder cancer. It also weakens the muscles --The bladder muscles as well as the muscles and ligaments that support the bladder. PLUS - smokers cough more. Plain and simple.
Third leading cause is obesity. Think about it. Put a pound of fat like the kind Oprah famously wheeled out on her show down on something that weighs ounces like a marshmallow. Is it squashed? Uh-huh....
Take an obese smoker that has given birth several times, worked an occupation that doesn't allow for regular bathroom breaks (think nurses, teachers, assembly line workers, telephone operators...) and you have TROUBLE that starts with a capital T that rhymes with P that stands for PEE. (Give me a break -- I'm from Iowa!)
So there you have it -- Urinary Incontinence 101. Now that you've taken the class, see if you can guess the primary causes of the three patients at the beginning. They all ended up revealing mixed patterns, but each one had a primary cause. Come on -- it ought to be easy by now!
If YOU have any of these symptoms, see your physician. Some problems caught early can benefit from the least invasive treatments like physical therapy or behavior modification techniques.
Don't let stop you from seeking treatment and improving the quality of your life!
Whew! After reading this back I realize that It's kinda long. If you've made it this far -- thanks for staying the course!!
*names changed


text: Villeneuve urges Sauber to hire Barrichello 9 October, 2013 Rubens Barrichello with Jacques Villeneuve Former F1 World Champion Jacques Villeneuve has urged Sauber to think again after the Swiss team ruled out signing veteran Rubens Barrichello for 2014. Team boss Monisha Kaltenborn in Korea quashed rumours Brazilian that veteran Barrichello could mount his return to Formula 1 next year with Sauber, with the help of an eight-figure sponsorship purse. 1997 world champion Villeneuve, however, said Sauber should not dismiss the former Ferrari and Williams driver so hastily. "Rubens would be worth considering," he is quoted by Auto Motor und Sport. "Why would a team boss ignore the experience factor so easily? 2014 will be a complex year," said the French Canadian. "Barrichello would always be better than [Esteban] Gutierrez," Villeneuve insisted. "What has he given to Sauber until now? Nothing. Look at him compared to Hulkenberg." Outspoken Villeneuve, now a Formula 1 television pundit, also recently chided the talents of Caterham's Charles Pic. On French television, it was put to Villeneuve – a staunch critic of 'pay-drivers' – that Frenchman Pic had denied that he is in fact a pay-driver. Villeneuve hit back: "Then he should explain why he and not Kovalainen is in that car." Finn Heikki Kovalainen, in the running to return to the race seat in 2014, will in fact be driving Pic's car in Friday morning practice at Suzuka. (GMM) Subbed by AJN. Tweet Related NewsMcLaren and Sauber pass mandatory FIA crash testsRookie Nasr opts for number 12F1 rookie Nasr plays down plight of SauberAbu Dhabi Grand Prix: Sauber preview Yas MarinaSutil may have failed to deliver on Sauber contractKaltenborn: Big teams have own agenda and are disrespectfulGutierrez: My career is not finishedSutil: It doesn't mean Sauber is going to drive in 2015Gutierrez working on several options after Sauber axeSauber confirms Nasr for 2015 season McLarenfan Heikki Kovalainen should still be on the grid and Caterham should be well above Marussia Lotus is funny @McLfan : It is just a ridiculous rule that that one 'high place' is put above overall performance. CTH is always quicker (mostly at the least) and outperform Marussia since spain every race. Just because Marussia lucked out in the beginning of the season (monaco?) the a ranked above. They should count the number of times the one outperforms the other, that provides for a much more representative picture. the the score would probably be something like 10 – 4 in favor of CTH. MEtoo Why does anyone print what JV says? He's utterly useless and scored the luckiest WDC in the history of the sport. A41202813GMAIL A – He Won The AOWR On The Second Attempt With 4 Wins, B – He Won The 500 On The Second Attempt, C – He Won 4 Times In His Debut Year In F1, D – He Won The WDC On The Second Attempt With 7 Wins. Someone ELSE Is Unlucky And Useless, Alright. MightyK @MEtoo I couldn't agree more! When I saw headline for the story I thought, Oh no, not this guy again. Jv and Rubens somehow make a good pair.


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Yes, they all look small, and I've taken care of them. Note that there may be a few more double spaces left, as Word does not detect two spaces separated by some deleted revision while searching. - JimReceived on Monday, 3 June 1996 09:42:51 EDT
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Hicks Elementary seeks toy donations
CORPUS CHRISTI - The "Christmas Around the World" event at Gloria Hicks Elementary School continues through Dec. 17. The school will have a Toy Store stocked with toys purchased with donations. Each student will be able to pick out a toy to take home. It is a Title One school with 780 students and many of the students are disadvantaged children.
If you would like to donate, send donations to Gloria Hicks Elementary School, 3202 McArdle Road, Corpus Christi, TX 78415.
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The sports sampler is a great way to try many different sport activities. In this six week class we will spend two weeks on each of the following sports; basketball, soccer and floor hockey.
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Steeplehouse quarry, Cromford, Derbyshire, England, UK
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Tag: ComingSoon
Horn gets a trailer, coming later this month
We already knew that the developers behind the iOS horror game Dark Meadow were working on a new title called Horn, but now here's a trailer to watch. As you can tell, it looks pretty darn good. It's not quite as scary as the first game, though there are a few spooky elements, and the graphics ...
EA previews titles from Chillingo and Firemint: New Flight Control, Burnout Crash, more
EA had a large suite set up at GDC last week to show off its various new and recent offerings. Here's a quick roundup of what the company is working on for iOS, including among all of its recent acquisitions: PopCap, Firemint, and Chillingo. PopCap was up first -- the popular casual games develope...
Sega bringing Chu Chu Rocket, others to iPhone soon
Sega America hosted an iPhone gaming event earlier this week, and the lineup of titles they've got coming to the App Store this fall is a gamer's dream: Chu Chu Rocket (my favorite Dreamcast game!) is coming to iOS, along with classic side scrollers Gunstar Heroes and Altered Beast, Sonic the Hedge...
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