The Alchemist

Normally I wouldn't get involved in something like this but it has reached a level of idiocy even I can't ignore. @BabyBoi91 The thought process you have presented falls in line with the tissue derangement model diagnosis, its continued prevalence as the primary method of diagnosis of medical conditions will continue to be the downfall of medicine in the modern era. Incontinence has several diagnosis criteria that may be objectively measured via urodynamic testing or through evidence of infection, but that is at times irrelevant. These may be excellent method of criterion inclusion but is not suitable for exclusion. In the case of incontinence many patients can present with completely normal urodynamic results, no indication of bacterial or viral infection, and display normal tissue structure via imaging. Yet, if on a subjective questionnaire they report loss of urine that limits their ability to function in daily life and have taken action to limit any risk of urine/fecal loss during their normal daily activities then your objective tests are rendered moot. Incontinence is simply, the inability to prevent urine or fecal loss during a patient's activities of daily living. We may pigeon hole it into several different categories based on several criteria, but it doesn't render someone's incontinence any lesser than anothers. If one was to obtain a degree of urine or fecal loss as a result of extended diaper wearing that does not invalidate their inability to perform their ADLs without some secondary protection. This is important to remember when assigning ICD codes for billing, as you will note they tend to specify that the cause may or may not be organic in nature. To put it simply, if someone says they are pissing themselves without control and you are unable to find any resolvable causes you will diagnose them as incontinent. If they have reached the point that in order to live their lives and do what they need to to each day they must wear some form of protection then they are, incontinent. You may pigeon hole it however you wish, but describing them as diaper trained is disingenuous to medical science. The urinary system is really quite interesting in how much it diverges from skeletal control or smooth muscle autonomous activity, and it seems that at times its nuances are neglected. Like did you know that the subconscious underlying understanding of the bladder's maximal capacity is not handled in the "spinal cord" as you have stated, but rather in the pons of the brainstem in conjunction with several of the brain cortexes in a system that has been described as the "Pontine Micturation Center" this promotes contraction of the detrussor muscles inducing urination and it is that subconscious noting of how far the bladder is to full capacity that has demonstrated plasticity resulting in what we see as functional incontinence with non-organic origins. So ignoring the PMC's function and affect on urination in lieu of the far simpler model of phasing it as a pressure related stretch due to the bladder over filling as the cause of involuntary urine release would again be disingenuous to medical science. @babykeiff I don't very much appreciate those that find need to express their "experience" as evidence of them being "correct" nor do I find it very flattering when a person demands another present their qualifications when they provide an argument. When someone presents an alternative argument that is not in line with your own please look to find flaw with their argument instead of attempting to find arbitrary flaw with their education and credentials in order to prove your point as the correct one. It does not matter if the one posing the point is the foremost expert on the subject, or a janitor everyone's observations and points are valid as long as they are logical. This reminds me about how the current expert on autoimmunity was at one point an ex-playboy bunny that got laughed out of a room of "experts" due to them seeing her as having no real experience or credentials to make her claims about the model of immunology at the time, in the end she was right and they were all wrong, and they would have realized that if they had not looked to her lack of credentials as evidence of their being correct.

Wow, everyone is taking great offence to this site's existance. Sorry to bust you bubble, but the Landover Baptist Church isn't real, it is a satirical site. It is all a joke that started back in the late 1990's, and is still going on today, for some reason I feel old now...

You really should correct that mistake. I thought you meant ether an AB Girl or an "aznbbygirl" (stupid Urban Dictionary). But it is good to hear it all worked out.

The new anime Nisemonogatari has a very specific diaper reference. http://www.youtube.com/watch?v=cVezaIiWxxo I just saw this episode an hour ago... Skip to 5:30 it's pretty blunt.