Cathy Milne

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by Cathy Milne APRN, MSN, BC-ANP/CS, CWOCN

Annual PAP smears as no longer considered the gold standard for women. While that may spell relief for the millions of us who dread those cold stirrups, it has far reaching consequences that may impact health care costs.

Dr. Joe Walsh, the Chief of general OB/GYN at the University of Connecticut Health Center in Farmington, Connecticut, recommends healthy women to have an OB/GYN exam every three years. "The question is: Is there anything we are doing beyond the Pap that will improve the woman's health? And that answer is 'no'".1 Gosh! OB/GYN health care providers are the first line of defense in detecting and preventing urinary incontinence!

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by Cathy Milne APRN, MSN, BC-ANP/CS, CWOCN

I'm probably going to sound like Andy Rooney, the recently deceased colorful commentator from 60 Minutes. With all due respect, I will borrow from his opening lines, "Did you ever wonder why..."

Did you ever wonder why we, as a society, never talk about fecal incontinence? Yes, that's right – poop. I had planned to discuss fiber supplements. My plans went awry when USA Today (August 18th, 2012) had a front page spread that spilled onto the Page 3 about Clostridium difficile (C-diff) infection causing more than 30,000 deaths annually in the United States. I have to talk poop.

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by Cathy Milne APRN, MSN, BC-ANP/CS, CWOCN

A lovely elderly woman came into the office last week with perfectly coiffed silver hair and a sparkle in her steel blue eyes. She said to me, “Dear, I love that commercial with the copper pipes!” Thinking that I missed the latest and greatest TV event, I asked her to describe it to me. “It doesn’t really matter that it was creative. I am those copper pipes.” Aha! A psychotic patient, I thought. She zeroed in on her goal. “I want that pill that helped the copper pipes! May I have a prescription for that today, Honey?”

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by Cathy Milne APRN, MSN, BC-ANP/CS, CWOCN
Lisa Corbett APRN, MSN, BC-CS, CWOCN

It seems as if there are many idioms out there related to moisture. Most are not flattering, such as “Mad as a wet hen”. “Wet behind the ears” infers inexperience - much like a child who has not gained the neurophysiological mechanisms to gain continence.

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