Re: Women voiding device

From: Betsy Hyde (elishyde@connix.com)
Thu Sep 28 17:56:17 2000


At 4:29 PM 9/28/00, Cheri Van Hoover wrote:

>
>Now, one shouldn't be too critical of the mess, Betsy. One of my nursing
>instructors (known for her remarkable physical assessment skills) diagnosed
>her husband's diabetes by the sticky areas on the floor around the toilet.
>She noticed that the ants kept coming in, attracted by his mess, and realized
>he was spilling sugar.

OK, we now have cross-cultural validation of a low-tech method for diagnosis of diabetes. A Case Report, Cheri????

As Cheri knows, I have made 2 trips to Ecuador in the past year. Both were to the barrio of Guasmo, which is an extremely impoverished area of the Pacific port city of Guayaquil. First trip was to build bathrooms. Second trip was health screening....hypertension, diabetes and STD teaching. Next year we construct a health clinic.

A middle aged woman came in, and as I took her history, noted that most of her family members were diabetic. She said she was always thirsty, and peed all the time. Her fasting glucose was 450.(I didn't ask for them to be fasting, but there's not a lot of food in Guasmo, and most people hadn't eaten all day.)

I explained that she was diabetic and she said that she suspected that. She'd noted that any urine drops on the floor of her privy were always covered with ants. She said she tasted her urine once, and it tasted like syrup.

So, here's a woman who basically made her own diagnosis based on ants in urine which tasted like sugar. I was really impressed by the diagnostic skills of this woman with no formal education.

--
Betsy Hyde CNM
Branford, CT




use when must restrict search to only the ob-gyn-l forum...
Enter search keywords:
Returns per screen: Require all keywords:

Return to  OB-GYN-L Mail a New Message to the Forum: ob-gyn-l@obgyn.net
Forum Administrator: geffrey.klein@obgyn.net
Report Technical Problems: webmaster@obgyn.net
Last Updated: Mon Nov 2 04:45:44 2009

The American Medical Association is no longer designating CME hours for AMA Category II CME credit. However, physicians themselves may self designate learning activities as Category II CME credit hours if they feel it is of sufficient educational merit and meets the formal definitions of continuing medical education. OBGYN.net believes these interaction in this forum meets these criteria. For further information see the AMA web site.