Category: First Aid/Medical

Letter Re: Kanban: America’s Ubiquitous “Just in Time” Inventory System–A Fragile House of Cards

James: This “just in time” thinking has transformed the medical industry, especially hospitals. The “Central Supply” or stockpile in hospitals has disappeared and in its place are vendors with same day and next day shipping. This includes band-aids, medications, ventilators, equipment etc. In the business setting it makes sense, but in the medical setting it often falters on a day to day basis. In a crisis medical event, surge capacity is limited to how fast the vendors can respond. In a contained disaster, vendors can shift needed supplies to a hospital in as little as several hours. But, in a …


Letter Re: The CDC’s New “Five Categories” for Pandemic Severity

Mr. Rawles, Given the unique nature of a flu pandemic, (or a “biological” attack), how would one assemble their retreat group after possible outbreak in one’s immediate area, (within 50 miles) with confidence? The vehicle alone that they travel in could be laden with contamination and the door handles become a scary transmission device. Seeing is believing, invisible is invisible. “To Group or not to Group?”, that is the question. – The Wanderer JWR Replies: There is no way to be certain to avoid exposure if an influenza outbreak is in close proximity. But odds are that the first outbreaks …


Letter Re: Veterinary Antibiotics

Jim, Thank you for responding to my e-mail. As a healthcare professional, many of us are going to have to make some really hard decisions in more difficult times when drugs will no longer be available. If it came down to having someone die or administering an out of date tetracycline, I would be happy to try the tetracycline out of date or not. Tough choices either way. The reason I continue this discussion is due partly to an article I read in The Wall Street Journal, Tuesday, March 28, 2000, page A-16. ‘Many Drugs Prove Potent Long Past Expiration …


The CDC’s New “Five Categories” for Pandemic Severity

Several SurvivalBlog readers mentioned an article that ran recently in the New York Times: U.S. Issues Guidelines in Case of Flu Pandemic. The article begins: “Cities should close schools for up to three months in the event of a severe flu outbreak, ball games and movies should be canceled and working hours staggered so subways and buses are less crowded, the federal government advised today in issuing new pandemic flu guidelines to states and cities. Health officials acknowledged that such measures would hugely disrupt public life, but they argued that these measure would buy the time needed to produce vaccines …


Letter Re: Veterinary Antibiotics

All this discussion of antibiotic nephrotoxicity on a “non-medical” forum reminds me of just why modern medical education is so onerous, including (in the U.S.) four hard years of school — two mostly classroom, two mostly clinical — followed by many more years of clinical residency training. During such training, one encounters lots of side effects of the various highly potent chemical agents known as pharmaceuticals. Watching out for the kidneys is one reason hospitalized patients have so much blood drawn over and over again (to monitor BUN [blood urea nitrogen] and creatinine, markers for renal function). I guess the …


Letter Re: Veterinary Antibiotics

Jim: All this talk on Tetracyclines and their dangers. Show me the research! I have only been able to find one case study of one person who became nephrotoxic on TTC’s/Doxy. Speculation is interesting, but research is really important in this circumstance. Thanks, – Russ JWR Replies: This issue is clearly one that is still not fully settled in medical circles. Part of the problem seems to be that there are so many causes of renal failure, and a precise cause is sometimes difficult to pinpoint. There seems to be different “camps” of opinion regarding tetracycline (and similar antibiotics in …


Two Letters Re: Veterinary Antibiotics

James: Re: the assertion: “Two weeks after the expiration date, these agents can and frequently do become nephrotoxic” No, they always are nephrotoxic – it is dose related. The above statement is just plain wrong. Mis-dosing causes renal failure – which is an equally valid concern for do it yourselfers using vet abs – but not the d**n expiry date – I thought we had put the tetracycline debate to rest – in the 80’s it composition was unstable – it broke down 6-12 months post-expiry date and became potentially toxic from the degradation products of the binder. Since late-1980s, …


Letter Re: Veterinary Antibiotics

Jim: As an emergency room physician in rural East Tennessee and SW Virginia, I’ve seen a number of “casualties” from human use of animal antibiotics. First, the binders used in vet meds are not tested, usually, for lack of general reactivity in humans; if your genetic haplotypes are extremely different from cows and pigs, you might have an allergic reaction to the binder, not the antibiotic; I’ve seen this happen three times, once to bovine antibiotics, and twice to pig meds. Solution: test a small amount of the agent (e.g. 1/8th of a tab) and if no reaction in 24 …



Letter Re: Yet Another Article Touting “Mobility” for Survival

Jim: Thank you for response on the mobile survival fantasy. I think it is dangerous for the average Joe to believe that he can be a mountain man. Sure, some can, in some climates and locations with lots of training. Even then it’s dangerous and unpredictable. A twisted ankle can be the end of you. Remember too, those mountain survival stories were from the days when the wildlife in this country was at much higher levels. For most of us it means being cold, wet, tired, hungry and thirsty in the woods and being targets on the streets. (“Nice pack …


The Next Pandemic: Starvation in a Land of Plenty

At the dawn of the 21st century, we are living in an amazing time of prosperity. Our health care is excellent, our grocery store shelves burgeon with a huge assortment of fresh foods, and our telecommunications systems are lightning fast. We have relatively cheap transportation, and our cities are linked by an elaborate and fairly well-maintained system of roads, rails, canals, seaports, and airports. For the first time in human history, the majority of the world’s population will soon live in cities rather than in the countryside. But the downside to all this abundance is over-complexity, over-specialization, and lengthy supply …


Letter Re: Veterinary Antibiotics and Medical Freezers

Jim: A lot of folks, myself included, have been buying fish/aquarium grade antibiotics for a while now. Recently my favorite source dried up. I called them to ask why they no longer had the products and they stated that it is becoming difficult to carry them because the FDA is scrutinizing the industry. What was told to me was that the capsules were still available, in packs of 12. I did find other sources, but some publicly searchable web pages can no longer be found via Google – hidden pages that I couldn’t navigate to through the web sites search …


Lasik Versus PRK Eye Surgery for Preparedness, by Simple Country Doctor

I’ve been reading through the survivalblog archives. I happened across a letter recommending Lasik for folks with significant refractive errors. I’m not an ophthalmologist, but I am a family and emergency medicine doctor, and I did a lot of research into refractive surgery before I had my significant nearsightedness corrected. I started out with [seeing only the] ‘big E’ [on the eye chart] (20/200) in one eye and [seeing] ‘white rectangle’ (worse than 20/200) in the other. I was always afraid I’d lose my glasses/contacts while out in the backwoods on one of my frequent solo adventures. I finally took …


Letter Re: Some Good Things Prompted By SurvivalBlog

Jim, The following are some things SurvivalBlog.com has prompted me to do since I began reading it: I’ve had no debt for 20 years, but my meager holdings are now about 1/3 precious metals. Is lead considered a precious metal? 🙂 My freezer is full of elk, whitetail deer, and caribou. I added to my long-term foods during your Safecastle special, but I’m now reviewing the viability of my existing stocks. Like the realtor’s mantra of “location, location, location”, a survivalist’s creed should be “Rotate, rotate, rotate. “ A 10 KW Generac generator is ready to be wired to my …


Letter Re: Herbal Medications and Remedies

Dear Jim: I read ‘The Gray Nineties‘ [an early draft edition of the novel “Patriots”] back when it was shareware, and did some gun accessory business with you back then. [In the early to mid-1990s.] I finally got around to perusing SurvivalBlog. One of the old posts includes a plea for ‘hard data’ on effectiveness of herbal medicines. My wife used to work for a ‘neutriceuticals’ company, doing literature reviews, and as an M.D. I have some exposure to the literature as well (though not as much as I should — I keep wasting time reading things that might have …