Comments by "Stephen Villano" (@spvillano) on "Chubbyemu" channel.

  1. Back when I was working a long gig at TUH, a radiology department "Case of the week" image of a neonate was posted on the board. Classic gassy abdomen. The department head noticed my looking at the image, a few comments back and forth and I asked if the child survived beyond 12 hours. Pretty much 12 hours precisely. I suggested imperforate anus. None of his residents recognized what was going on in the image, so doctor asked me to give a presentation on that case, as I was correct. Thanks to insurance companies requirements for rapid discharge, the infant had never passed a stool and was incapable of doing so, obstructing the bowel, resulting in ruptured intestines. What captured doctor's attention was my sad shaking of my head when examining the simple x-ray. Totally preventable, still haunts my many nightmares. The irony is, I was there as an IT guy. But, I was also a military medic and trained in basic x-ray reading and that particular case was one I bumped into during study.
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  2. Heh, my wife used to joke that I'm too lazy to have an affair. I'd reply, "There is no man lazier than a man too lazy to go fishing and I am that man!" We also used to do "The Lockhorns" numbers at parties.
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  3. You can see it, if the burden is high. If it's a lighter infection or early on in the infection of the animal, the fewer cysts could be missed. But then, that's also why we were taught to cook pork well.
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  4. Haven't looked up the citation, but if I was the dad, I'd write up the case.
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  5. Had some junior soldiers decide to mess with my constantly present thermos of coffee. I pretended to not notice the hot pepper sauce dumped into my coffee. So, I picked up some indicatorless OC spray, bathed the thermos with it, allowed the solvent to evaporate, leaving a fine film of OC over the thermos and only handled it with gloves on. The next time they messed with it, well finger oils are solvents, the OC adhered to their fingers and people love to touch their faces and especially eyes. Getting the crap off of the thermos was annoying, but the lesson was learned not to screw with Sarge's shit. Instead, got comms cables switched around, they got batteries disconnected, just regular pranks.
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  6.  @saikirannarayanaswami1618  there was a very similar course with a patient, where the treating physician's prognosis in the chart said, "The prognosis for this patient is horrible". The patient worked at a dry cleaners and had brought home some dry cleaning solvent, carbon tetrachloride. Said patient then dutifully began attempting to remove some stubborn carpet stains without adequate ventilation or respiratory protection, inhaling the fumes. Same course, as it destroyed his liver. The moral of the story, enjoy a chemical free life and only enjoy purified vacuum. Or, don't screw around with toxic chemicals. I recommend the latter, given the really bad smell of a hard vacuum. ;)
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  7. They can go with $9 every day or enjoy OSHA shutdowns, fines and being prohibited all federal contracts. I suspect they'll go with the $9. Retired Army and cleared DoD contractor here. I'm very diplomatic about safety, "do you want me to shove that missile up your ass sideways, the fire the high energy igniter?", they universally go with safety. Probably because the missile is longer than they are wide...
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  8.  @killpidone  well, she did promise to take care of him. Just not quite in the way that he expected.
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  9. I lost my wife of over 41 years to sepsis, rapidly advancing from a dental infection on a weekend. Within around 6 hours of initial pain, she had died while I was outside having a cigarette. Initiated CPR to no avail, while on the phone with 911. Brief interruption to open the door for law enforcement, who ran and retrieved his AED to no avail. EMT's arrived, took over compressions to no avail when the paramedics arrived and plugged in the monitor. No pattern, not even pulseless electrical activity and I recommended discontinuing CPR (old military medic here, I know those monitors and treatments intimately). They continued for another 20 minutes, then called the hospital for the code to be called. Four hours earlier, she'd helped me carry in $400 in groceries. Couldn't eat for a week, as every time I saw that food, I saw her carrying it inside for me. Two weeks of nightmares of her ribs fracturing under my compressions.
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  10. ​ @SuperLordHawHaw  it teaches the meaning of the root words. Be happy, I usually add in a tidbit as to the origin, Greek or Latin. Leaving students to seek out safer inhalants, such as CN compounds. ;)
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  11.  @BreakTheCode115  that isn't a one, it's an entire class of compounds of mercury that integrate carbon, hence organic. In the case you're speaking of, I mentioned Doctor above. She was the case that died from methylmercury drops on a latex glove. She was pretty much the world's leading expert in mercury compounds.
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  12. I watched a friend go into respiratory arrest from huffing nitrous oxide. Got him breathing again and during the mess decided, NOPE!
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  13.  @RainboomDash  indeed, with unwashed contaminated lettuce, all she did was incubate the bacteria in a nearly ideal culture medium - the meat.
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  14.  @NateB  given that the video related that it was an Asian country, there's a good chance that there was no no fault divorce option available. But, thank you for playing US law is universal law, please play again. But, given the region, I suspect his fate was dire, as murder is seriously frowned upon in most countries and in that region, the death penalty is available in many nations. And while he was a wronged party, murder isn't a civilized option in that scenario.
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  15. Dr Karen Wetterhahn taught us well, complacency kills, assuming protective measures are effective without testing kills.
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  16.  @deaddan2148  dunno, smart would be not getting caught and executed in my book.
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  17. Me: Activated charcoal to the esophageal region and stomach, then gastric lavage, while also intubation and supportive therapy. And 1e^77 Our Fathers and Hail Mary's, of whatever faith that you follow equivalent. Surfactants and oxidants are nasty species. Nasty, as in, better to get into naked polar bear wrestling in the polar bear's habitat, while it's hungry and has young to guard and provide for. It's nearly as bad as the worst chemical exposure possible for humans, HF exposure being worse and that stratified field is rather rare, overall, for the average populace (HF can be found with "Halon" fire extinguishers, once it meets a fire and as most operators will forget proximity warnings, be fired into the fire and sit there to breathe in a very nasty chemical).
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  18.  @nagato2k633  I have two addictions, nicotine and caffeine.If I stop cold turkey, damage to my heart from a heat stroke sends me into v-tach, which can easily lead to v-fib, then on to that dead thing. So, if I'm to quit, I'll want a cardiologist monitoring. When I was hospitalized for a severe thyroid storm, doctors came to swiftly agree, once the PVC's started to pile up.
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  19.  @trueheartintent  well, not only mice. Occasionally, it's with dogs or even primates for some drugs that interact much differently in mice than in primates. I remember one drug write-up that discussed an increased incidence of testicular cancer in male beagle dogs, which was never reflected in humans or well, any other species or canine breed.
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  20.  @EmeraldEyesEsoteric  that'd be like avoiding ham or turkey on our winter holidays. It's a traditional staple. It's literally like telling some Italians to never eat baccala ever again, just ain't gonna happen. Better enforcement and inspections by the national government in those locations would be far better, so that dodgy sources are removed before finding a consumer's dinner table, which is how we addressed that very same problem in the west.
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  21. Well, strychnine is natural. Comes from seeds from a tree. Arsenic is natural as well, doesn't mean I drink water laden with it or chew the shit. Wild boars taste good, preferably after being killed and butchered, otherwise they don't taste all that great. My cat's foot is natural as well, not the best thing in my mouth in the middle of the night. Although, I suspect she was objecting to my snoring.
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  22. Nope, usually either Taps plays or the theme from F-Troop, both quickly confirming the bad idea and I desist. Likely, why I'm still alive today. Despite my worst efforts to the contrary. ;)
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  23.  @sheisofthewoods  both use pressure canning, some will even use refrigeration. Depends upon the sect and their adherence. I've a bit of a clue on that, they are just down the road from here. If it's acidic or sweet, they'll water bath it, otherwise it's pressure canned.
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  24. Remember, the VA budget was cut every year I served, from 1982 through the first year and a half of our GWOT. Hence, they ration sparse tax dollars and it's now purely reflexive actions from the privations of those decades. So, put the blame on Congress and the taxpayers, who whined about their tax rates, to hell with the veterans. Whenever you hear how "The troops are #1", realize that it's the third digit being raised. Around a decade before the GWOT began, I had a clinical rotation through a VA hospital. Most of my time was spent on the oncology ward, with every patient being on the DNR board. Some were so ill that they required a flotation bed to prevent pressure ulcers, but had to be authorized by a board, as there wasn't enough money to get the number of those specialized beds for all of the patients that needed them.
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  25. He'd have had one consequence. No more worms. I've taken ivermectin for a parasitic worm infection some years back. The only issue was some modest mental confusion issues toward the end of treatment, although I understand that the worms had some very severe, fatal issues involving a sewage treatment plant.
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  26.  @AnymMusic  well, there is Mercury the planet, Mercury the old space program and ethylmercury, as well as dimethylmercury. The ethyl variety was known as Merthiolate or the preservative thiomersal, which is rapidly removed from the body. If you're into art, remember the shade vermilion? Mercury oxide, which is also fairly toxic. Don't get me started on how often as kids, we played with regular mercury metal. Back then, nobody thought it could be harmful. Of course, that's back at the beginning of the ice age... As near as I can tell, it was an absolute miracle we didn't manage to kill ourselves back then! The only times I came really close was in the Army and that was during a war, where some really unpleasant people objected strenuously to our very existence. They're quite placid now.
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  27.  @mina-xt1mj  chuckles remembering SPO2 83 - 85 on room air, tachycardia, severe hypertension, lungs with minor collapsed pockets and pockets with fluid. When notified of my thyroid storm, I said, "Thank God it's only a form of CHF!", words I never thought I'd ever utter. Our youngest was hospitalized at the time for COVID-19 and due to metabolic issues associated with her PCOS, wasn't doing well. All, because the COVID floor she worked on became lax on protocols. Convalescent serum quickly put her on the mend. Addressing my thyroid storm sent me on the mend. COVID-19 would kill me and my wife, so mask up and avoid being tripped with my cane - repeatedly, folks.
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  28.  @mayuko7042  I don't think anyone hear understands Klingon.
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  29. Can't possibly be that! Still, let's just take a look... Sumbitch, it is! Son, hope you don't mind, we'll be writing a paper about your dumb ass...
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  30. For seriously neutral PH foods, I also goose up the cooking time. I'll can quart jars of pasta sauce with meat, that's after cooking and still quite hot, 15 minutes under pressure. For green beans and other fairly neutral vegetables, I've gone up to a half hour if they were fresh and cooked in the jars under pressure. Better mildly paranoid than a whole lot fouled up!
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  31. What makes this mixture worse is, promethazine (AKA Phenergan) is, it potentiates opiates and opioid, as well as possessing weak pain relieving properties and antihistamine activity. Great Swiss Army knife of a drug limited facility, but chronic use has to be avoided. Hopefully, whoever prescribed such a toxic load for had his or her medical license withdrawn for cause!
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  32.  @metallicarchaea1820  and every microbiologist on the planet is covering for them because of hand wave, right? Thank you for the disinformation!
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  33.  @therabbithat  sodium metal isn't exactly fun to juggle either. ;) Interestingly, it wasn't all that long ago that mercurochrome and merthiolate tincture could be found inside of household medicine cabinets. Of course, those largely went away around when leaded gasoline and paint went away. Although, one can still get leaded gasoline for aircraft, as an equal or superior substitute hasn't quite been found.* *Note that I said gasoline, as in aviation gasoline, totally different beast than kerosene that's jet fuel.
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  34. It's fairly well published all over the internet that nicotine for vaping especially is a deadly poison if mishandled or abused. There are plenty of US cases where nicotine poisoning has occurred just by careless handling, as it passes through the skin somewhat easily.
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  35. Maybe, but with the incessant slamming, he'd first have to recover from a comminuted skull fracture.
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  36.  @ferreroman2913  true. My first thoughts were, salicylate toxicity, but couldn't recall if it was in the ointment that was indicated. It's a common ingredient, as doctor mentioned and if recognized late, is terminally bad news for the patient and family. Other toxins to mitochondria can cause malignant hyperthermia, in short, a dangerous to fatal fever, salicylates block that method of energy production and hence, part of why they lower fevers in therapeutic doses. Remember, the dose makes the poison - too much of a good thing can and will kill.
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  37.  @Elora445 I actually was lactose intolerant at birth, that went away, then returned after my gallbladder was removed (that's a complete mystery here, as lactose is produced in the intestine, so totally weird). Long and short, I'd give laban or kefir a shot, as the bacteria consume the lactose completely and I've yet to see a lactose intolerant person have a problem with either. Your mileage will likely vary, as individuals are different. One upside to the 9 months that I was intolerant after surgery, got to fall in love with goat milk. I'll treat myself to some around once a year. One warning there, it's fatty as all get out. Cow milk is around 4% fat, goat and sheep milk is much higher in fat. Oh, I also use kefir in place of buttermilk, as both have lactic acid from bacteria and impart quite similar flavors with a bit less fat.
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  38.  @HappyBeezerStudios  my wife died six hours after her wisdom tooth started hurting, as she went septic. Her immune system was quite good, given she was just diagnosed with lupus, an autoimmune condition that attacks the body. The antibiotics are automatically prescribed - especially for wisdom teeth like mine, which have to be surgically removed. It's not like they're able to sterilize a human mouth!
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  39. Another common cause of botulism in small children, especially infants is from honey. The bacteria proliferate in their underdeveloped intestines and poison them. Another common in newborns, from the umbilical cord stump, although that's much less common in the modern era.
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  40. ​ @SOSPainting  nah. He's got the same loaded gun. He just lucked out by having a worn out firing pin.
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  41. Soy sauce salted, with extra salt, with additional salt. Boy, did my blood pressure skyrocket! Worse, no garlic, which is absolutely a sacrilege.
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  42. I've been wracking my brain trying to remember hypernatremic changes in the ECG pattern, but all I can remember is non-specific intermittent T wave inversions, which are both rare and only in extreme cases. That makes it a rarity in electrolyte imbalances where the heart isn't telling on the patient. :/
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  43. I suspect that's covered in medical schools now, as all of the younger doctors I've dealt with incessantly would start to try to Goober things down for me, right until I began talking shop with my physician. I've also had intelligent conversations with pharmacologists about various drugs over the years. Learned all of that while I was in the Army.
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  44. I've an odd pica effect. Wanting to rotate diet incessantly. So, I've still Thanksgiving dinner in the fridge and clams and linguine sitting happily alongside, each in rotation with other dinners. And a hint on rotation, ranging from veggie burgers to a love of fish. If it ain't moving, I'll eat it, if it is, I'll get a bite on the run. For ramen, some green beans in a can and drained works, an egg adds to wealth. Rice and everything in the leftover tray works great. Been poor, won the title, survived is the real title.
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  45. Had an aunt I never got to meet. She died of the sequelae of meningoencephalitis, years after.
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  46.  @Puppies03b3eleyyBalenciaga  it's RX limited in quantity dispensed by law now. I've used it in the military to treat recalcitrant cough, with doctor cosigner, which says how rarely I suggested it for a patient. It's way too much like giving a kid a loaded gun...
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  47.  @silent_stalker3687  the majority of antivaxxer nonsense isn't spread on college campuses, but on the internet with those who don't know better.
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  48.  @LQOTW  PFM. Pure Fucking Magic, as there's no other possible mechanism for such activity.
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  49.  @YevhenRawrs  put the blame where it belongs. I served from 1982 - 2010 and each and every year the VA budget was first in getting cuts by Congress in response to taxpayers complaining about their tax rate. That counts our first 18 months and change of our GWOT. So, wanna place the blame? Look at Congress and use a mirror while you're looking.
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  50.  @Canleaf08  Gwyneth is well documented, complete with video, of saying that anything natural can't be harmful. Frankly, I'd happily invite her to sit upon a 30 pound mass of purified U-235, with a fine neutron reflector as a seat. We'll discuss it farther in whatever orbit she ends up in.
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  51.  @glass.hammer  I'm guessing that you're referring to coronary artery bypass, nope. Dialysis is closer to ECMO, as it's invasive and blood is being managed externally, one filtering toxins from the blood, the other bypassing heart and lungs. With severe enough to require permanent dialysis, one frequently needs to get shots of a hormone made by the kidneys to keep your red blood cell count up.
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  52.  @murry001  years ago, it was mostly boxes and paper burned in burn pits. Think WWII, Korea an Vietnam eras, now we burn loads of tires, electronics, cabling, plastic, lithium batteries and more. It's not granddad's firebase these days.
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  53. Note to self: get vaccinated against meningitis. Last time I got it was eons ago in the Army.
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  54. When I was in high school, they were just finally figuring out what mitochondria actually did. Laughably, we did have donated electron microscopes.
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  55.  @mickeymouse12678  but, scavenging of extra water in the stool won't occur, as that's one of the primary jobs of the colon - to lower the water content of the stool.
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  56.  @HappyBeezerStudios I doubt it's regional, it has to do more with surgical than regional. My wisdom teeth have long, convoluted roots, so the surgery is involved and convoluted as well, so antibiotics are an absolute necessity. Otherwise, the risk of an infection in the bone, well, nothing good comes from those.
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  57.  @ImranKhan1976  thanks, I rather figured this was a fish story. Alcoholics who aren't no longer consuming alcohol are denied a transplant and still aren't first choice for an available liver.
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  58. That goes triple here, as I have no sense of smell, so anything dodgy isn't easily detected if my wife isn't around to sniff it.
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  59. He dropped the knife and it remained stationary, being far too dull to even cut through the air. Yeah, I've had a few knives that dull in my day as well, having sharper spoons. ;)
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  60.  @EatMyShortsAU  no hypernatremia here, only essential hypertension. Age and Grave's disease (autoimmune hyperthyroidism). I don't even salt my food, save if I'm going to be exerting myself outside in summer, hence would have to worry about hyponatremia. I have been popping low on magnesium though, gonna have to adjust my diet a bit.
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  61.  @calyodelphi124  glad that you mentioned that. Notably, the FAA isn't the global approval authority, each nation has their own and none have mandated those replacements for the same reason we haven't - price. I believe that the UL94 was blessed by all, but as you said, not universally approved by piston engine manufacturers and in some instances, recommended against for performance reasons.
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  62. Perhaps Gwyneth can try that ever so tasty jelly from the seeds of Strychnos nux-vomica, totally natural strychnine. Goes great with a main dish of arsenic and a botox chaser.
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  63.  @MonkeyDelicious  well, he didn't do so for very long.
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  64.  @jossfangirl  makes sense, as cyanide ions block cellular respiration an COVID-19 damages the lungs and blood vessel epithelial cells, blocking oxygen/CO2 transport.
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  65.  @lollsazz  funny, as that's what she said too.
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  66.  @elderrusty541  it's a pity that Darwinism isn't what people who thank god for Darwinism thinks it means.
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  67. "He was able to make A recovery". Just, not a full recovery.
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  68. Dilaudid is legal in every state, as it's medically necessary for treatment of severe pain, such as post-operative pain. Narcotics are like guns, legal in every state and just as potentially dangerous and just as useful on occasion. The biggest difference being, a firearm can get me meat for dinner, a narcotic can't get me a damned thing to eat, but can keep me from having a stroke or heart attack from pain (or even limit damage from pain from a heart attack (yes, pain can actually kill you)). I don't know if it's fortunate or not, but I've a legendary tolerance for ethanol. Despite drinking enough to rival a Marvel comic book god, no liver dings or pancreatitis. No hangovers either. Fortunately for me, drinking so tends to bore me and I'll just toss the bottle into a closet to be forgotten for months on end. But, I do know quite a few substance abusers and can emphasize the pain. Best wishes on your recovery, which is its own agony, day by day. But, I did learn one thing in the military above all other things, pain is nature's way of telling you that you ain't dead yet, keep on living and thriving. Fight for life and if you feel the need too badly, contact me immediately. For the record, I love narcotics. Can't tolerate them, but love them for their utility medically. I tend to flood with histamine when dosed, so literally go into shock from vasodilation (blood vessels open up wide, due to histamine, dropping blood pressure into the basement). And I'm chronic GERD, so booze isn't quite so fun either. And blew a disc in my lumbar region, courtesy of not observing something I literally trained thousands against - never catch a patient, help lowering them to the floor and summon help. Wife collapsed hours post-op from gallbladder removal, I caught her and 440 went down both cheeks to the balls of my feet. Hence, my near-addiction for NSAIDs. ;) My thoughts when the disc failed? You. Dumb. Mother. Fucker. Couldn't even manage to express an exclamation point at the time. Too busy not dropping her, out of concern for mutual damage. Hilariously, she regained consciousness once I did get her to the floor, so she was able to help me to the bed in the next room. Lost her a year and a half ago, after 41 years. Excuse me while I crawl into my bowl of spinach. Really. Made a really nice batch last night, got some leftover and well, I do need to eat. Shit happens, you learn how to deal with it by remaining conscious. My trick, learning how to cook well, but then one other qualification I've got is, I'm a reformed chef. Reformed, as really, the pay vs labor ratio totally sucks. Now, excuse me, I really want to enjoy that spinach. Garlic, onion sauteed, a dab of chicken bouillon, dump in some spinach, cook and enjoy. Like many recipes, simplicity itself, my recipes even more so, as quantities of spices are entirely to taste - yours, not mine, dammit.
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  69. At least, not unless one's eating dinner with a judge at the time... ;)
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  70.  @FUBARGunpla  not at all similar. She was working under what was considered the epitome of safety considerations when exposed. Slotin was short thrifting the reality of safety and slipping, was already lethally exposed and only by separating the sphere halves was the location spared a fizzled detonation, at a time when full yield was anticipated.
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  71. @AO OK, we'll not give him a glass of cow's milk. But, given his diet regime, I guess I'll keep the goat milk. Yummy, but fatty as all get out!
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  72. It's ironic that with methemoglobinemia, one treats the blue person with methylene blue. As for spicy foods, love them, but longstanding GERD introduced enough damage to my esophagus to make those foods problematic, so moderation and occasional use is my watchword. Moderation in all things, including moderation. I'll just get my hat...
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  73.  @jacobmiller6189  I get that, plus heavy congestion that makes me loathe and avoid opiates and opioids. Period. It's just that unpleasant for me. Despite having chronic pain.
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  74. Sadly, after multiple deployments and finally retiring, contracted in the Persian Gulf region and a handful of years in, forgot to bring water on the commute to base. Got stuck in traffic, AC was inop, got a heat stroke. Hit the gate, at first they thought I was drunk. At the MP station, while being questioned and given a half dozen bottles of water, stopped slurring and a look of horrified realization appeared on their faces and an offer of transportation to clinic was given. A bit late now, it's over. I was a medic. Elevated liver enzymes, BUN high, high creatine and protein in urine. All resolved, save for mild protein in urine and ECG analyzer cries out digitalis effect due to QT anomaly.
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  75.  @nikitovitch5113  well, I've never been known for diplomacy or suffering fools well.
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  76. PCOS is a complex issue that medicine has finally found the root of, if not an ultimate solution to cure for. Confounding diagnosis is age of onset for significant signs, which can range from adolescence for a few, through successful childbearing and multiple pregnancies, then the hormones finally are decompensated against and full onset occurs. It's also a topic of interest for me, as my wife had the latter version, having two live births, out of 16 pregnancies, one abortion induced by a motor vehicle accident, the rest spontaneous abortions. As well as being diagnosed in our youngest and our eldest has suggestions of it. Lord, I hate endocrine problems! Other than extremely common OB/GYN, all I usually dealt with were structural damage, plumbing leaks and various infections.
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  77. I grew up in the 1960's, that literally was the case, as well as radioisotopes in the food supply. Still shows up on gamma cameras during diagnostic imaging. The carbon-14 spike from atmospheric testing should fade by 2030 though in the biosphere. By then, TMI will be fully online, so we'll have improved monitoring around here, given the reactor's only a couple of miles away.
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  78.  @bogbody9952  I remember those from when I was a kid. Cinderblock size was the economy size back then, then they started sizing it down to keep the price the same. Finding those molecules in the morning is a PIA!
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  79.  @bogbody9952  wow, your government is generous! The US only issues concrete block pills and reinforced concrete underwear and socks. Although, for a modest fee we can upgrade to underwear with an etched corundum lining.
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  80.  @anonjoeoof2113  Google "US medical bankruptcy", quite common in the US.
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  81. Ah, but is that burger still in your mind? Poor soul, have some of my brunch, spinach, sauteed with garlic, a bit of chili pepper and chicken bullion. Leftovers from last night's junk food dinner of mac and cheese with some ham added, comfort food. Tonight will be clams and linguini in white sauce. Preparation time, maybe a half hour, consumption time, mere minutes. ;) Recipe is simple, olive oil, garlic to taste (there's no such thing as too much garlic for me), onion, a bit of basil, saute till onions and garlic are cooked, add clam juice and clams, cook the pasta, drain pasta (yeah, some need to be reminded), add sauce, enjoy. And there's also no such thing as too much onion. ;P Red sauce is similar, garlic, onion in copious quantities, want it sweeter, add more onion, tomatoes (canned crushed or feel free to blanch and peel fresh tomatoes, some whole tomatoes to preference, loads more basil (I tend to use fresh frozen, sectioned off in a quart container and wax paper separating leaf layers, but dried works too), chili pepper to taste, add meat with fat and hopefully bones to thicken and flavor, cook until the meat falls off of the bones and the oil and fat puddles, foam being now gone, sauce is done. I make the red sauce in two gallon batches for home, all stored in quart containers, frozen or canned in my pressure cooker. Preparation time, well, pretty much all day. The stove does most of the work, I just have to stir occasionally. ;) Most good recipes are fairly simple, preparation and cooking tend to be the greater pain in the ass. But, like any relationship, well worth the effort. Sponsors be doubly damned.
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  82. I noticed a long time ago, if I diluted soda even up to 50% by volume with water, I really couldn't easily tell the difference between the diluted and straight, other than by viscosity. OK, at nearing the 50% point, it did grow more tolerably sweet. I'll stick to having my water without sugar, flavoring crap or carbonic acid. Largely, straight from the tap, as the city's nice enough to filter and treat it. And before someone complains that they want chemical free water, drinking a vacuum is bad for the GI tract, as water's also a chemical. Yeah, I've heard that drivel of a complain before, telling me simply, I'm speaking with an idiot who is seeking a new village.
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  83. Too rapid an introduction of sodium chloride in chronic hyponatremia can result in the patient suffering from locked in syndrome. They'll be conscious and able to receive sensory input, but are incapable of reacting to that stimuli, not only hands and legs, but even face, respiratory or vocally. As soon as I heard the dosage of 3% NaCl, I knew precisely where this one was going to end up at.
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  84. The morphine in the urine is quite low as well, as in poppyseed roll consumption could easily account for its presence. You didn't cover one additional probable factor in the fentanyl level in his blood, tolerance from repeated usage. I had to look up the levels, as you did, that likely was right in his dosage profile, so obviously wouldn't have been a major contributing factor in his death. If memory serves, fentanyl has a lower respiratory depression curve than most other opioids and opiates. Frankly, I can't tolerate the entire class well, get heavy congestion when my mast cells dump from the opiates or opioids. BP stays OK, but I still feel miserable as hell. Thanks for the excellent presentation! Tomorrow, I get to break in my new doctor. It should be fun all around. :)
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  85. Ignorance is bliss and potentially lethal. I don't even consider taking a new drug without reading the entire package insert. Alas, most people never had the opportunity to receive the training I signed up for.
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  86. Unlikely. :(
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  87. 35% hydrogen peroxide is nasty and for babies anyway. Go with 85 - 98% hydrogen peroxide, heat and agitate before usage - I'll be down the road talking to the fire department. High test hydrogen peroxide was used as an oxidizer in torpedoes and in every case, submarines carrying such torpedoes were either nearly lost or lost with all hands - it can explosively decompose on contact with many items, including brass. Attempts to use even 35% peroxide in rockets ended in a loudly comical way...
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  88. Had a spider bite, likely from a hobo spider. They'll deliver envenomation like a mild version of recluse venom. Mild inflammation, sunken area, took months to fully heal, but totally painless and zero systemic symptoms or significant eschar. It resolved uneventfully and I identified the hobo spider, as I saw one previously in the bedroom and subsequently on our bed. I relocated it away from the domicile, where it could hunt for insects. One downside of having a bedroom right next to the back door of the house. NW Louisiana, yes, recluses are there, but never saw one in the house, only the occasional hobo spider.
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  89. I went into rhabdo myself, courtesy of being that fortunate 1% of persons who cannot tolerate statins. Fortunately, noted the color and what it could be a symptom of, dashed off to the ED for treatment. After, if administered a statin, as soon as I sense muscle discomfort, I report it to doctor and the statin is DC'd.
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  90.  @palomathereptilian  I'd say oddly, save that I know precisely why I have an aversion to any medication. Speaking as a primary, on site EMS practitioner, well, I'm both extremely conservative and adventurous, depending upon very specific conditions. Typically, the least intervention delivers the least side effects and problems, but in some patients, more intervention is required to simply get them evacuated to a definitive care facility. The worse, under that context, took 12 hours of intensive interventions, over a simple severe allergy event, which consumed the entirety of a Battalion medical supply. One bee sting resulted in depletion of the treatment for many conditions, for over 1200 men. And was the most exhausting day of my life. As for the remarked upon case, she'd have been equally served by not bothering to eat. I do that, on occasion. Not out of disorder, but out of lack of activity. Not busy at all, idle beyond couch potato? Not hungry level, go for base mineral nutrients, hydrate as needed, call it a day. I'm not underweight, not overweight, "just right" to end up the eldest male in my paternal line of the family to not be type II diabetic. By decades. While taking a beta blocker, calcium channel blocker and a thyroid blocker, due to severe hypertension and Grave's disease hyperthyroidism. Another pill? Doc, do make a very serious case for it. Did opioids for a significant issue, the histamine response sucks, badly! Got a better ploy? Annoyingly, no.* *Opioids and opiates tend to share a common effect, activating mast cells, resulting in a massive release of histamine. Inject a patient with morphine, get vomit on your boots, decrease in blood pressure and respiration.
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  91.  @anushkabakshi4765  compensation is entirely useful, as it offers respite from an otherwise eventful emergency. Keep electrolytes under control, keep hydrated and counter extreme swings of all of the above until things restabilize. A hallmark of senna glycoside abuse is electrolyte imbalance and dehydration.
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  92. Thanks! Hearing loss makes subtitle lacking videos problematic for me.
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  93.  @mariamaria2751  well, that and lead were both common in cosmetic products. We didn't regulate foods or drugs at all until a rather wealthy young woman was poisoned with thorium water. Then, there suddenly was an interest in regulating foods and drugs. And alas, I'm actually not joking.
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  94. Wanting to cry on August 20. But, there's no crying in SF. Maybe infantry...
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  95. Yeah, tell me about it! I'm part of the 1% who can't tolerate statins at any dose. My muscles start to break down. :/
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  96. I'm afraid that I have to call this a fish story. Alcoholics that are still drinking are declined an available organ by the transplant selection committee.
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  97. Now, the question is, would 11 grams or so of mannitol IV also accomplish a similar recovery? Or would the wide open kidney channels further upset the electrolyte balance uncontrollably? 'lytes would be lost, that's a given. Or just a balance of effects and sodium chloride's effect is pronounced enough to now allow imbalance to occur to significant levels? And how does one counter the hyponatremic state and avoid locking the patient in? I did cheat a bit on nutmeg, do my shock, I had entirely forgotten the MAOI component, but did remember the anticholinergic effects and symptoms. Yeah, I really do love discussing such things with toxicologists. :D
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  98.  @neonfox582  well, that was in the late 1970's...
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  99.  @neonfox582  knocking on the door of 60 here, alas, there's been a response. Upside of that is, I know how to fix a lot of shit that's broken, the downside is finding an ever increasing pile of shit that can't be fixed. ;) Sorry about the mess we left.
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  100.  @davidwiggins3461  I learned everything about shit before I became a toddler. Let's face it, there ain't all that much shit to learn about shit.
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  101. Well, whenever you're feeling more comfortable about life, remember, potato, tomato, eggplant, tobacco are all members of the nightshade family and well, toxic in their own special ways. Belladonna being another member, producing atropine. Interestingly, some wild potato cultivars are being experimented with as a food staple, researchers using varieties originally grown by Native Americans. They're low in the known toxins from potatoes, but their native toxin is fairly low and in much lower concentrations. The toxin, tomatine is also present in tomato plants. Nasty, nasty plants! I think I'll eat some tonight, just out of spite. OK, they're tasty staples, when properly stored and prepared. I just keep thinking that, as I keep forgetting about the small eggplant in the fridge... I make a kick ass eggplant lasagna with homemade tomato sauce.
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  102. The Army did a study on the burn pits and found the exposure within occupational limits, ignoring the housing that'd incur residential limits, which are substantially lower.
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  103.  @miloqtdidanoopsie1260  The injurious events occurred overseas during a wartime deployment, mirroring the same shit that our atomic veterans and agent Orange exposed veterans went through. All backed by Congress to save tax dollars.
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  104. "Obviously harmless, it's in the body!" Google levophed overdose, aka norepinephrine, also a neurotransmitter. Really bad things, including deaths have occurred from that. Iron is healthy and good for you - unless it's a damned safe falling on your head! That's a really serious overdose! I'll just get my hat...
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  105. Toxicology is good to know. I just looked over at my pantry closet and saw a bag full of poison- dried kidney beans. Raw or undercooked, they are toxic with letting. Properly prepared, tasty. Wild cassava is toxic as well. A popular famine food, common, lousy with cyanide compounds if not properly prepared. Peanuts, soybeans and even potatoes carry toxins that can kill.
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  106. I do rotate my foods literally daily, as I honestly can't comprehend eating the same thing every day. I also hadn't salted my foods in decades, as there's plenty of salt in things like canned vegetables and that's worked well for me for decades. I did however, despite ample sources, chronically run low in magnesium. Mystifying, but a supplement helped when it dropped extremely low - once doctor actually followed his treatment plan. Then, four months of continuous or nearly continuous diarrhea arrived for an extended visit. Bristol 6 -7. Doctor was a bit distracted with some other issues that could do that killing me thing, so overlooked the overloo complaint for a couple of months until I reinforced the complaint a bit more strenuously and blood work came back with a severe sodium and chloride ion deficiency, as in I should've had severe cramping and possibly some entertaining cardiac conduction issues. GI consult it is! After a number of entertaining misadventures resulting in missed colonoscopy appointments, largely involving a rather comedic number of transportation issues of the most improbable, crap for luck sorts, this appointment stuck. Crohn's and of course, erosion right were salts are scavenged. On a biologic now, last induction dose is just shy of two weeks from now. We'll see if that's effective, as there was some annoyances with what the GI specialist wanted to utilize and what the insurance company has a warm and fuzzy with and for once, due to efficacy rates, I rather agreed with the insurance company. They did check for some micronutrients and folate and B-12, both star spangled happy mid scale. I've identified one flare trigger, <grumble> <grumble> <grumble> chili peppers. Love them, but the neighborhood around my ileocecal valve really wants to run that stuff out of town. And for entertainment's sake, my endocrinologist informed me (well, the blood tests did as well before my appointment) that my body got bored with Graves' disease and instead is visiting Dr Hashimoto. And if one couldn't take a guess from the maladies, yeah, I'm a desiccated smoker. OK, my hydration is fine. But, given those issues and their linkage and some lumbar issues that'll likely require surgery or my switching to permanently seated and needing a diaper, yeah, think it's time to toss one bad habituation. So, the sex swing goes! OK, the smokes gotta go. Never got that other thing, as neither my wife or I had a yen for being in traction. One needs to retain one's sense of humor and my ancient EMS humor remains alive, imbalanced and unwell. ;) And at least my herbal teas are well tolerated - drank not for some medicinal value, but because they just taste so damned good. Favorites being artichoke tea, ginger-tumeric and hibiscus. Might try some rose hips, if I can clip some when the Rabbi next door isn't looking... ;) And note to self, discuss with doctor some forearm novel behavior, sudden 5 - 6 cm inflammation and intense itching, with sub-centimeter hives that hemorrhage and resolve in about a week, a bit longer than my usual healing time and I clot quickly, as observed in bleeding time measurements and when using the glucometer due to the steroid I'm briefly saddled with. Was just finally clocking at pre-diabetic at age 63, in a family where diabetes is usually diagnosed in the age 30 - 40 range and dialysis is needed by age 50 - 55 ("It's in the genes, why fight it" being their mantra and mine being, over 28 years in the Army, fighting's what I'm best at and loathe). Shit. Forgot to pick up coffee when I was at the store, gotta dip into my pantry reserves, as a winter storm is coming. Probably revenge from Canada for those tariffs... ;) That's OK, I pre-pre-retaliated by buying 2.5 gallons of Canadian canola oil. But, the good news is, eggs in the US should be coming down in price, given one certain POTUS incessantly laying eggs... I'll just get my coat on the way out...
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  107. OK, got it. Engineers and physicians don't need to understand how to communicate effectively with diverse groups. Resulting in projects never being accepted by management and patients rejecting doctor's treatment. In engineering, I know that I have to make a good business case, proving profits or decreased losses by implementation of my project. In medicine, I have to prove to the patient that my treatment will give a greater benefit than the patient having nothing done. That said, in medicine, I was military EMS, so patients tended to prefer fractures being splinted, rather than dangling painfully about and holes being sealed off, leaking red stuff stopped from leaking before that dead thing occurs.
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  108. While there are risks within even a high therapeutic dosage level with diphenhydramine, it remains my antihistamine of choice, due to its slightly higher efficacy level and being common in our military drug chests. When it's not quite effective, one can rapidly follow with dexamethasone or other steroid and of course, to close those leaky, dilated vessels, good old epi, followed with a rapid MEDEVAC. Once, I lost the advantage of rapid evacuation and got saddled with severe anaphylaxis, secondary to longstanding beesting allergy and several stings. Yeah, that man kept me busier than a one armed paper hanger! Used up a fair number of drugs in a kit designed to supply stabilizing care for 1200 men. Our surgeon was supervising and only offered a sparse few suggestions of odd one off uses of some drugs, after he noticed that I was calling out using Promethazine for its antihistaminic properties, synergising it with an analgesic to ensure that the patient not injure himself. It also meant that I was beginning to scrape bottom in the drug kit and my knowledge base and doctor suggested a few drugs, even adding atropine to counter the recalcitrant bradycardia. Learned a few things from that, mostly, on how to more politely indicate outrage over unnecessary delays in MEDEVAC requests, some of which made it up to division level as the most polite alternative usage of terms that otherwise would be translated far more profanely. Worst twelve hours of my life! But, he finally stabilized, was hospitalized anyway, as I wasn't having a warm and fuzzy over the encyclopedia of drugs utilized to stabilize him. Suffice it to say, the surgeon gave due credit, which I honestly didn't give a damn about and had some interesting words to say to command over unnecessary delay of evacuation of a critical patient during a training exercise. He also had a touch of ethanol, for medicinal purposes that he prescribed a strong dose of for both of us. Largely, as we both wanted to hit a specific individual over the head with a flung M1 Abrams tank.
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  109.  @HO1ySh33t  except for that whole chlorine being neutralized and removed from the water plant's output. Used to do water purification as part of my military job. The only place one could find any chlorine residual was in field water supplies, where free chlorine at 10 times the level allowed in a swimming pool was required to prevent water borne illnesses. And those nitrates are present naturally in many meats without any curing, that whole proteins being lousy with nitrogen and 80% of our atmosphere being nitrogen. So, if you're still upset about that fact, maybe your family should've stayed on the battlestar. Because, in the end, Paracelsus got the right of it. The dose makes the poison. Pure oxygen is ungodly poisonous. Too much water is poisonous. Too much salt or potassium salts, poisonous. An absence of any of those, also absolutely lethal. Phosphorus, totally lethal, right? Try making a cell membrane, DNA or a bone without it. Calcium, really nasty element by itself, it'll literally burn you. Can't move a muscle - literally, without it. Used in all manner of high energy processes that sodium-potassium lack enough energy for.
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  110.  @jadedkratos5528  CPS doesn't license physicians. Basically, the state recognizes a medical board of physicians to police the ranks of physicians and discipline professionals who have been incompetent or display malfeasance accordingly. For some, training would be required, for this, delicensing. As an example, unprofessional behavior is addressed first by training, for fraud and malpractice, termination of the offenders medical license. Downside, in the US, quacks just move to another state. :/
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  111.  @johnmcclane4430  not that will unbind nicotine. Pralidoxime works for organophosphorus toxins, such as insecticides and nerve agents, but is ineffective against nicotine, as it can't bind with nicotine. Atropine can counter some of the symptoms, benzodiazepines can help with the seizures, but still can't unbind the receptors. Add in excitotoxicity and lowered oxygen, wreaking havoc in the cellular respiration chain, well, humans can be fairly evil with chemistry, but nowhere as evil as plants can. Plants have a 700 million years of practice on humanity and excel at chemical warfare between one another and animals. It is a bit two way, as the use of nicotine recreationally, as well as a number of other phytochemicals prove and well, many of our spices either work as antimicrobials on foods or work as antiparasitics in our GI tract, as well as make foods taste good. ;) And of course, some phytochemicals are medicinal, atropine originating from belladonna, as one appropriate example. Nicotine being present not only in tobacco leaves, but also in tomatoes, aubergines and potatoes leaves in much lower content and with other toxins to discourage herbivores from consuming them. Worse, even dialysis or similar filtration is ineffective at removing nicotine from the blood, it's downright pernicious. Note, I didn't go into phytochemicals commonly abused for good reason.
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  112. And ethymercury is also not the same, it's rapidly excreted by the body, but traces were used in various drugs and vaccines to inhibit bacterial growth and also was used in the antiseptic Merthiolate.
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  113.  @ScorpionXXXVII  personally, I have a significant aversion for opiates and opioid. My mast cells dump tons of histamine, dropping my BP and generally making me feel like hell warmed over. The only way it's barely tolerable is with 50 mg of diphenhydramine as a pretreatment. Although, promethazine would also block histamine and potentiate the opioid, lowering the required dosage for the opioid. Promethazine being Phenergan. An older drug that's a Swiss Army knife in an environment where one's pharmacy is quite limited, such as in military field medicine.
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  114.  @stgigamovement  the EU ban is relatively recent and largely in response to bath tub refinisher deaths from inhaling the fumes inside of the confined space of bathrooms. It only metabolizes into carbon monoxide, no big deal... ;)
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  115.  @gmrubentheman9767  oh, tomato, tomaato. Next, you'll try to convince us that people go to a hospital to be treated and recover! ;) One works with what one has, occasionally, one has to sort through what is literally rotting, just to find viable tissue to join with the remaining viable tissue. Or one could try joining dead tissue to living, because that worked out ever so well in Mary Shelley's book...
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  116. Dammitall, now you've gotten me hungry! Well, it's before midnight... ;)
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  117.  @a.deadgirl  I dunno, I'm more of a function over form guy myself, so what someone or something looks like isn't as relevant as what someone or something operates like. So, that my physician at the hospital having body builder muscles wasn't of relevance to me, that she had a clue how to keep the treatment team of cardiologist, pneumonologist and endocrinologist working together to get me breathing well again was the priority, not hair style or lifting technique (actually, the muscle build is more of an orthopedic surgeon's build). Went in breathing around 60 breaths per minute, due to mild pneumonia, left stable, breathing room air comfortably and while still dropping weight, now I'm dropping about a pound per week, rather than ten pounds per week and that'll taper off as the thyroid is wrangled the rest of the way under control. Just as well from my seat, as I dealt with plumbing, structural and infectious diseases in my military career, dealing with things that aren't plumbing was and remains well above my pay grade.
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  118.  @chadmarino2741  I always got mine from body shop suppliers. Used it to clean video heads.
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  119. I was just mentioning Dr Karen Wetterhahn in another comment. At the time, it was presumed that the latex gloves she wore would be effective protection and alas, they were not. Two compounds are pretty much the penultimate in evil, dimethylmercury and chlorine trifluoride. I'll happily work and play with either or both, as long as they remain on a different continent than I am. The one, even a single drop is lethal for, the other is so much better an oxidizer than oxygen is, it'll not only burn ashes, it'll burn glass, sand, concrete, water and any soul coming into contact with it.
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  120.  @sam-by6sq  granted, his medical videos are "Goobered" down by a lot, but are on target, if not accurately following the original, fatal cases. And telling, I see no medical diagnosis or treatment videos in your playlist. I've actually treated patients in extremely grave condition, stabilized them, kept them stable until they could arrive at a location to receive definitive care and once, had a nightmare of a 12 hour delay that required medications sufficient to supply 1200 men, which had specific classes exhausted. You?
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  121.  @sam-by6sq  yet you feel competent enough to give a medical criticism of a practicing physician. How Dunning - Kruger of you!
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  122.  Non sum dignus  anything is more believable than the God-King, Emperor Trump.
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  123.  @apollovlogs2700  you've obviously never worked in EMS. Maybe we should be serious all the time and all EMS workers end up decorating their kitchen ceiling with their brains, just to keep you happy with us being serious. Or even better, someone like me could show up in person and tie your shoelaces together. Might not be in a bow though...
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  124. Outbreak in Florida from spas and "botox parties", apparently, the "botox is tainted", which given the symptoms, likely is illegally imported bootleg botox that was massively underdiluted. Meanwhile, I've taken to canning vegetables in half pint jars for individual servings, as the small packages are priced nearly the same as a full sized can and a full sized can would be wasted. But, knowing the bacterial conditions, I use a pressure cooker to prepare the jarred veggies and well, double the pressure cooking time to ensure full sanitization, then monitor a the lot, if one fails out of a batch, I'll be waiting and watching closely, if two or more fail, the lot is getting tossed, the jars and lids blasted in the pressure cooker after bleaching, then reused. If I'm to be paralyzed, it'll be from paralytic shellfish poisoning and given how far inland that I am, that just isn't gonna happen. ;) Although, I have enjoyed some potatoes that started to green, I removed the slightly greened sections and toss the rest as they soften and toxins are accumulating.
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  125.  @chrisking5692  there's an old saying, "wish in one hand, shot into the other, we all know which hand gets filled first". I constantly detoxify, as I have healthy liver and kidneys.
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  126. Huh, I didn't know that there is a toxoid for the toxin. Hopefully, it'll pan out and we'll be able to vaccinate against it! All this trouble because of one type of bacteriophage!
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  127. Garlic and ginger are highly effective!!! At making some food dishes extremely tasty. In high concentrations, such as in dry cured meats, they'll act as antimicrobial, as microbes can't metabolize them and our metabolism, due to our immense liver will, neutralize them. Some, like hot peppers can even stun parasitic worms, but we have drugs that'll eliminate all, rather than stun some. So, spices for taste, oils because they smell pretty (they smell like nothing to me, I have no sense of smell, taste is taste bud driven for me), tea for its flavor or as a stimulant. I'll go with coffee or, when foggy, ginseng, your mileage will vary. And saffron tea, because it's delicious! I'll sugar and milk coffee, teas are drank neat, for their own flavors.
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  128. Well, quite a few spices do have antibiotic properties - in food. Before refrigeration, spicing and drying were the only realistic ways to preserve food. But, food doesn't have what we have, a digestive system, which dismantles most of what we eat to chemicals that we need to survive, so those spice antibiotics get digested along with the foods that they made taste yummy. As for alcohol, good in moderation for recreation, decent sanitizer for 60% or higher (95%, not so much due to surface tension and some chemical issues that also make it lousy for extracting spices), as is a quarter cup of household bleach in a gallon of water (just don't leave it sitting around, it'll slowly degrade to uselessness), that doesn't mean one should drink any to prevent illness, as doctor mentioned. But, a bit of ethanol can take the edge off of irritability when hearing and reading a lot of the nonsense being promulgated as magical cures that simply won't work or worse, can injure or kill.
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  129. Chef felled by botched food.
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  130.  @wolfzmusic9706  if that scares you, my bathroom mirror would absolutely petrify you.
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  131.  @witchofcertainty  those regulations came about in part due to those "dancing cats" and both the sheer volume of injured children and the fact that the asshole manager of the plant simply started dumping the mercury into the other side of the bay after being caught. Greedy bastards are ubiquitous. :/
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  132. Delivers said Karen to NASA's vacuum test chamber, locks her inside and activates the vacuum pump, saying "bon appetit!". After all, the only thing that isn't chemicals is various forms of radiation, so she obviously wanted to consume absolutely nothing and I do aim to please. RSFAKQJ10 RSF, that's hydroxic acid to you, bub! ;) Or hydrogen hydroxide, since it's both an acid and base, save where it isn't. :P Jesus, I'm doing chemistry jokes and elsewhere, physics jokes, totally sound like a geek. Oh well, if knowledge is power, one should be a nuke. :D
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  133. I've a rather narrow number of fungal species that I'll consume. In a fair part, due to allergies to things like straw mushrooms. Get even a bit of straw mushrooms in a meal, I'll be literally projectile vomiting. Oddly, I can tolerate a number of other mushrooms, most of the brown mushrooms like portobello, shittaki, porcini mushrooms I can consume as much as I want. Go figure. But, different species, different proteins. Fooling around with various toxic forms, thanks, but no thanks. If I'm not fond of taking prescribed drugs, I certainly am beyond leery of uncontrolled substances going into my body or on it or hell, even near me. The only fungi I'll mess with under less controlled condition is yeast in my bread or perhaps, with some beverage and I've not made wine in decades. Which reminded me, just added some portobellos to my shopping list. I'll be tossing some, well diced, into a lentil based "meatloaf" I've been experimenting with. My diet is omnivore, but I do enjoy a change of pace with my meals. Never could figure out how some folks could eat the same thing every single day! Although tomorrow's meal will be to polish off a bit of leftover sauce, with additional sauce added to some of my thirstier noodles...
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  134. Here's a question, how much input does our immune system pose to our digestive system? Confounding for me, as a test subject, no realistic sense of smell, huge sense of taste, protein intensive for soy proteins and actual sense of taste for various minerals. Despite farting incessantly on the apartment elevator after enjoying collard greens, freshly prepared from two shopping bags. Part and parcel for a varied diet, with occasional diversions for. erm, wealth.
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  135. ​ @silverhawke  there are no safe recreational drugs. Remember, intoxication's root word remains toxic. That leaves toxicology 101: the dose makes the poison. Use with great care any substance that can leave you waking up dead.
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  136. ​ @bananawitchcraft  weed, it's natural, so it can't hurt you. Wild cassava, it's natural, so it can't hurt you - just ignore the hydrogen cyanide. What's missing is the most critical lesson of intoxicants - moderation. Well, moderation or avoidance. I avoid most solvents, sticking with ethanol in moderate quantities. That helps me avoid waking up dead.
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  137.  @aperocknroll88  love them as a comfort food and for veggies, frequently as a soup and stew ingredient. The fish, well, a memory of when I was a boy scout, back during the ice age. Annoying, the only realistic quantities are five gallon buckets, which is an absurd quantity for me, a gallon max would suffice for my needs for what is a rare guilty treat of a comfort food. I can only find it at a reasonable price in five gallon or more prepper quantities and that just ain't gonna happen. No room for it and no need for such a waste, as I've absolutely no chance to wade through that much guilty pleasure without said pleasure becoming deleterious due to excess in favor of fresh food the rest of the time. So, if they've got gallon and under quantities, I'll be interested, shoot along the URL, even here usually allows one quick link.
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  138. There are two forms of water overdose. One is commonly referred to as drowning, freshwater is preferred for those treating that condition, as that will enter the bloodstream, rather than pool in the lungs and keep causing problems like seawater does. The other is water intoxication. Got to work with one case, annoying and I'm glad that the idiot didn't go to such insane excess as this video's case did. Dealt with more dehydration, electrolyte imbalance due to perspiration electrolyte loss. But, a few service members did overindulge in water and entirely follow civilian population salt intake rules, resulting in hyponatremia and others refused to drink "water that smells like a swimming pool" (utter nonsense, as the residual chlorine level is ten times that of a swimming pool, for good reason, it's in water trailers left stewing in the sun and otherwise, would incubate all manner of microorganism that isn't preferable to imbibe a culture of).
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  139. The moral to the story is, use 190 proof grain alcohol for rubbing alcohol, just in case you get thirsty. Just let me know if you get thirsty, so I can hang across the road, just in case a smoker pops by... Public service announcement, that was a joke. Well, everything except the waiting across the road. I saw 190 proof catch a sofa on fire, might've as well been gasoline!
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  140. Not irresponsible, that would suggest a potential error, this is far more likely to be criminal in nature. To name names, a lot of Chinese products that are illicitly brought into the US are notorious for lead, methylmercury and more. Kids toys routinely get recalled due to lead paint, despite the PRC passing laws prohibiting that being used. Then, there was the melamine in the milk scandal, killed thousands, tens of thousands with badly damaged kidneys, the PRC finally checking when the body count got noticed globally and only then did they find the managers responsible for the fraud and executed them.
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  141.  @juanbrits3002  actually, she was. You should always wash produce before consuming it, for just this reason. Hell, the Army not only washes produce, they disinfect it with calcium hypochlorite bath before using it, again, for just this reason. Worse, she put the infectious lettuce on a burger, then left it to incubate for a day, as the meat makes for an ideal culture medium for e. coli. Ironically, we naturally harbor one type of e. coli in our gut, the toxin seems to have originated in a bacteria that causes a type of dysentery, itself related to e. coli, but in this case, it's typically a strain common in livestock that were infected by a bacteriophage, a virus that only attacks specific bacteria species and strains that gives this type of e. coli the ability to make the toxin. The toxin going through cells endoplasmic recticulum, basically punching out critical sections and traveling on to keep doing so, rendering the cell incapable of making proteins. Mother nature sure seems to take a great dislike of us at times! I didn't know that shigella like toxin and shigella toxin behave so similarly to ricin, nasty stuff, as it hits so much of the cell's ER! Nasty stuff!
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  142.  @clydecraft5642  I've got two addictions, curtailing consumption causing PVCs enough to toy around with v-tach. Caffeine and nicotine. Around the first peak of COVID-19 hospitalizations, I was hospitalized with a form of heart failure, caused by a thyroid storm. With the storm managed, I began to rapidly recover. About the point where I tried to sneak out for a smoke, well, the staff had a chuckle (one of my nurses literally caught me at the exit to the building as she was coming on shift, the nurse administrator having a jolly laugh over the whole thing) and knew I was pretty well recovered. Two days later, I was discharged. As for soda, I prefer my water plain and might, just maybe, have one soda per day and usually, it's only once per week. I do drink a lot less caffeine, primarily coffee, due to damage to one heart valve from, despite being vaccinated and boostered, COVID. I shudder to think what would've been damaged or destroyed without that vaccine to blunt the worst of the infection!
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  143.  @gabrielbarrantes6946  OK, we'll ignore evidence that we evolved eating fruits. Since sugars are no good, feel free to halt your Krebs cycle immediately.
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  144.  @purupurupikopuyo-k5w  I had unexplained diarrhea for four months, doctor initially being a bit distracted over some things that could quite literally kill me quite swiftly, what was initially characterized by a radiology resident as severe mitral regurgitation (it was low end moderate) and an abdominal aortic aneurysm, which is a big deal. Once those were at mischief managed, aka watchful waiting, it was, "Hey wait, you said four months?! Let's order some tests now". No eggs or worms or suspect critters like protozoa was the first test. Inflammatory markers were high. Sodium, chloride and magnesium were dangerously low. A few other markers were ambiguous for several conditions, which isn't unusual in such cases and I was referred to a GI specialist. A few additional tests, primary prescribed a steroid to calm the raging brown waters, which controlled the worst, GI doctor prescribed a colonoscopy (which amazingly went through well, three other attempts leading to a comedy of events like broken down cars, a major storm rendering getting the procedure done, etc), which revealed Crohn's disease. My primary, knowing my dietary habits of basically everything from scratch because I'm a cheap SOB, ordered me to eat prepared foods, an Rx for magnesium oxide and called a few days later to see how I was faring. I explained that I'd excavated my salt cellar and was salting my foods for the first time in over 30 years, repeat testing showed much better sodium levels, chloride levels were happy and magnesium was dead center of whatever normal is. Minimal processed foods, because well, they suck. GI doctor also ordered a few metabolic and specific tests, B-12 was good, as was folate, which was surprising given the inflammation, eroded tissues and other deficiencies, so obviously my diet was more than sufficient. Just got my second infusion of infliximab to curb some of the immune system effects that spur the wider inflammation, we'll see, it'll work, not work or I'll grow an ear from my scrotum. OK, I invented that last bit. It'll work or we'll have to stop playing with TNF-alpha antibodies and go with vedolizumab, which is a bit lower in efficacy, but still fairly decently effective, but not very well liked by my insurance company. We'll see how it goes. I'd already staged things to appeal successfully if their recommended drug is ineffective and to put it simply, I agree with their medical reasoning in this case. My knowledge of anatomy, physiology and pharmacology is quite good, so if it came to an argument, those physicians are going to have one hell of a tough row to hoe, as I've also written peer reviewed papers in other fields and know how to present an airtight presentation. And high on my to-do list is smoking cessation, as I've also noticed before the biologic treatment some signs of autoimmune dysfunction that could be warnings of some things becoming a problem and autoimmune and autoinflammatory syndromes are worsened by cigarette smoking. And it's also likely I'll need surgery for a disc problem and that has a very high failure rate in smokers. I know these things because Google scholar is one of my closer friends, as are peer reviewed papers on such subjects. And peers love little more than to savage shoddy work from a peer.
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  145. Many years back, when some guy named Bill was POTUS, I was repeatedly and tiredly, asked, "What do you think about the President allowing gays to join the military"? I didn't miss a beat and said, who said that they weren't there, we have a Navy, don't we? That was actually honest, in some ways. Navy has a more congested culture, due to ship size and berthing, hence, there is a preference there and for their more famous Corps. I won't even go into the Navy originated joke about submariners, where 100 men go down and 50 couples come up. Real world, rather than joking. I've served with people who are pretty much every shade of the sexuality spectrum, they trusted their lives to my care, I trusted my life to their care. Or, as I've joked, "I don't give a shit if they love viewing my (anatomical location omitted, due to variability), as long as they cover it, the same is true for them". And that was before our current cocktail successes to halt viral progression. Because, all military service members are potential blood donors. So, I have a choice of dead for not getting replacement of blood or not dead if I were wounded. Until we can fix dead, no, not going to suggest a suicidal path by denial, save in terminal conditions and under fairly modest conditions.
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  146. I'm one to but ibuprofen in bulk, but it's for an entire household's monitored use. The price is lower in bulk. For 1000, we'd get a year out of that quantity for two osteoarthritis sufferers and two healthy individuals at a minimum.
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  147.  @Womandalorian  it's harder to OD on ibuprofen than with acetaminophen, due to the pharmokinetics involved. APAP is absorbed quickly and is processed by the liver quickly, whereas ibuprofen is more slowly absorbed and bound in the serum, so that it can easily take weeks to cause problems. I'm simplifying it down a lot and I'm sure poorly...
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  148. The moral of the story, don't bite trees, their bark is worse than their bite. Well, unless the tree is cinnamon... Which has its very own toxicity profile. Of course, it's natural, so it can't hurt. Like nutmeg. And strychnine. Nature provides ever so many ways in which one can do the funky chicken...
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  149. @Offset great idea! Cancel the ACA, no health care for an entire nation - in the middle of a global pandemic. We can kill off 10% of our population easily! Although, it'd probably be simpler to salt our nukes with cobalt, then bomb ourselves and spread cobalt-60 across the land. Both ideas, equally moronic. Discarding the ACA leaving people with no coverage, so the hospitals go unpaid and bankrupt, vs utter destruction and gamma ray sterilized for a few decades.
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  150.  @anonjoeoof2113  I tend to not get injured, since retiring from the Army. Previously, when I did, I rarely needed hospitalization, save a couple of times for outpatient care. One advantage of being a medic is having one's own aid station that one works out of. A couple of months back though, well, heart racing, BP insanely high, SPO2 of 85 and obviously feeling lousy - while COVID-19 was peaking in my county. You can guess what was running through my head. Pulse 135, BP 225/130, SPO2 85, atelectasis with fluid and partial collapse in both lungs, totally fun times. Noted also, even if doctor didn't mention it was phenomenally high voltages shown from the left ventricle, which told me longstanding hypertension to the point of cardiac muscle hypertrophy. Light bulb comes on - it wasn't COVID-19, it was proved out that essentially, my blood wasn't moving well from the tachycardia and rather narrow window in BP, resulting in lung dysfunction (there are a few other factors involved, it's a touch complex for here). COVID-19 was indeed ruled out, although heparin was given to ensure no unpleasant surprises and dexamethasone administered for the inflammation, preventing some really degrading conditions. Free thyroid hormones were elevated over tenfold above normal, thyroid stimulating hormone was nearly absent and I had a previous diagnosis of Grave's Disease - a form of hyperthyroidism. I was in a classic thyroid storm, indeed, a fever can also be expected during a thyroid storm, but that remained absent. So, the words that I never thought I'd utter came from my lips, to laughing agreement from doctor, "Oh, thank God, it's only a type of congestive heart failure!", rather than COVID-19, which would, within six sigma certainty, punch my ticket. Used to be an SF medic, my A&P knowledge, as well as general medical knowledge is more than sufficient to converse comfortably with physicians, had to do that by radio on occasion for treatment suggestions within the scope of equipment vs time to evacuation to definitive care, with an eye toward stabilizing the patient for up to a day or two. Can't accomplish that in a knowledge vacuum. Drugs carried were those that, optimally would have multiple uses - even if used off label and critically, were temperature stable in an uncontrolled environment.
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  151. @Offset yeah, my bad, that'd be me. Had some baked beans and well, I am tagged REF. Retired, Extremely Flatulent. One of my bolus results in an area that resembles a large bolide impact.
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  152. @Offset triggered? I'm notoriously hard to trigger, save with a physical attack, which are always ended abruptly and I walk off before police show up to give me credit.
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  153.  @papi_dummy  yeah. I'm unaware of any murders or suicides committed using mercury as a toxin. That's just too messed up for murder and too excessive for the most masochistic suicide.
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  154. Give another decade, we'll know if it's familial or exposure. Gluten is hard to avoid, increasing over my lifetime. And a joke within the family, having a gluten addiction. Noodles or bread, make both by hand. And having been poorer than him and raising kids, well, rice and beans worked, noodles and tuna and green beans are a staple still today. And turkey day massive of turkey, yams, cranberries and collard greens from scratch remains on the table (and turkey will be frozen for subsequent meals, especially turkey salad). Which reminds me, got new containers, a tidbit of fridge space, there is a dearth of turkey salad...
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  155. A recovery beats nonrecovery. And I was feeling bad about going through a quart of juice over three days, largely having a large glass with dinner... Been tapering that back a bit, due to glucose rising and family history of type 2 diabetes, coupled with my advancing age. Aw, screw it. I say, take off and nuke the site from orbit. It's the only way to be sure.
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  156. That's OK, got the same hair style myself after my electric cigarette lighter arced to my finger. ;) Seriously though, my wife does my hair. Plain buzz cut, no messing with combs or styles.
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  157. Well, many papers are actually written up with that phrase for a good reason.
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  158. Doctors treat both maladies and ignorance. It's part and parcel of the profession. He's just one of the rarer doctors that are good at education.
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  159. Oh, potatoes are fun! What are chaconine and solanine again? One would nearly think as if this planet doesn't like us! Or, maybe it likes us a bit too much, as a recyclable... ;)
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  160. Aortic dissection with pseudoaneurysm, oh joy. I have a AAA with pseudoaneurysm, so it's still watchful waiting and I'm on the lookout for anything untoward. To add spice to life, COVID left me with moderate mitral regurgitation, just to add to the potential for mayhem. I guess I restrict my powerlifting to just Volkswagon Matchbox or Hotwheels cars. ;) At least, given my A1C has risen to 5.8, until my full body transplant can be performed.
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