Patient without patience II

So my doctors appointment was mostly uneventful. They didn’t really tell me anything I couldn’t already guess. (Exercise, lose some poundage, stop eating crap. Real surprise, right? That’ll be $450 please.)

Apparently they are screening for domestic violence or some such. I forgot to mention this gem from the new patient intake process:

Them: “Is there anyone who makes you feel unsafe at home?”

Me: “Well, the last time someone made me feel unsafe in my home, I killed them.”

Them: <pause> “Ok, the doctor will be with you shortly”

I understand that an argument could be made that the doctor needs to look at certain environmental considerations in order to get a full, well-rounded picture of your health. What you do for a living, what your living situation is, etc. You may have a rash on your skin that no one can explain…until the doctor discovers that you work in a plutonium processing plant, at which point the penny drops. So, yes, I can understand some of the questioning. But at the same time, I’m just here for some bloodwork…not to trade life stories with some assistant.

However, some doctor/patient interactions are interesting stories. I had an elderly customer come into the shop once with a beautifully preserved old Smith .32 revolver. I asked the customer, who was a doctor, how he had come into such a lovely and well-preserved pre-war Smith. Turned out his dad was a stereotypical country doctor …taking payment in chickens, that sort of thing…back during the Depression. One day dad and the sheriff had to go quarantine a family. This was back in the day where they would nail a notice of quarantine on the house and everyone would keep away and isolate the residents. So the doctor and the sheriff go up on the porch and start tacking this notice up on the door. A gunshot rings out and the deputy tumbles backwards with a bullet where his beltplate should have been, the bullet coming right through the door the deputy had been tacking the notice onto. The doctor, demonstrating the better part of valor, rockets of the porch and into a ditch by the road. He then runs down the road to a house with a phone and calls the sheriff. Sheriff comes out and they drag the guy out of the house and haul him to jail. As the sheriff is winding things down, he walks up to the doc, tosses him the pistol the bad guy used, and says “Here. Souvenir.” And his dad kept that pistol for the rest of his life and it wound up going to my customer. He had no intention of selling it, but liked telling the story.

I bet that country doctor never asked anyone about their preferred pronouns, what their ‘assigned’ sex at birth was, or if anyone in the house made them feel unsafe. Different, and in some ways better, times.


The year is 7.67% done and so far I have only bought __1__ gun

Amplifying the signal: Article – I’m an American spending Thanksgiving as a combat nurse under fire on the frontline in Ukraine

This article was linked to by someone in comments a few posts back. H/T to them for bringing it to my attention. I thought it was worth sharing. Regardless of your stance on this war (or any war), there are objective facts in this story worth noting. Apparently those knockoff tourniquets really do cost lives in the field.

I saw some of our soldiers pass away after receiving Chinese replica tourniquets. Tourniquets are devices used to apply pressure to a limb or extremity in order to stop the flow of blood, and I am heavily reliant on them. If you have arterial bleeding, you can die in three minutes, and if that tourniquet breaks, there’s no chance for you. Statistically, three out of four wounded soldiers in this conflict can die from hemorrhagic blood loss. So, high-quality tourniquets became a really important topic for me.

So when I say that it’s worth the extra $ to make sure youre getting the real deal rather than a ‘close enough’ cheaper Chinese copy, it’s not just me.

Read the article, its short and a bit empty but if you Google the gal in the article there’s some interesting stuff about what she’s doing.

In the meantime, the moral of this story is: some stuff is not worth choosing based solely on cost.

Fake tourniquets

I’m pretty sure I’ve mentioned it before, but if a price on a CAT-style tourniquet seems too good to be true, it probably is. And, unlike many other counterfeit products, getting caught with one of these and having it fail when you need it is, literally, a matter of life and death.

I got a reminder about this in my email today from NAR. If you think about it, t his thing is simply injection moulded plastic and some nylon webbing. That means the barrier to entry for making a knockoff is pretty darn low. As a result, these things are all over Amazon and eBay. Yes, there are other wendors with nigh-impeccable creds selling the genuine product….but I’m just not willing to take the chance that their purchasing agent made a mistake that month and got some knockoffs from Glorious Peoples Plastic Factory No. 55 in Changzhou.

This is one of the very few products that I will not buy, no matter how discounted, from anywhere except NAR. I will spend an extra ten bucks or so to ensure that I’m getting something that actually does what its supposed to do when its supposed to. There are times to shop around and save money but when it comes to things like scuba gear, defense lawyers, parachutes, heart surgeons, and critical life saving equipment,  you’d have to be a fool to make cost the deciding discriminatory criteria.

I’ve a bunch of the CAT tourniquets, and every single one of them came straight from NAR. Sometimes NAR will have a sale and I’ll pick up a couple more as gifts or extras, but I never buy them from anywhere else no matter how discounted they are. I would recommend you do the same.

When it’s 3am and youre laid out in the back of a pickup truck speeding to a hospital with a fountain spurting from your leg,probably  the last thing youre going to think before passing out from blood loss as you stare at the broken tourniquet windlass won’t be “wow, I’m sure glad I saved that ten bucks.”

Even without TEOTWAWKI, stuff happens. Get a couple tourniquets, practice with them, carry them, and stay safe(r).

Take 5 of these and call me in the morning

A while back, I had to have a tooth pulled. I hate dental stuff and I hate the weirdness of how the geography of my mouth feels so different to my tongue.Anyway, when it was time to check out I asked what they were going to do for painkillers. I was rather looking forward to fortifying my hoard of oxycodone. Nope..they said to take three Advil (ibuprofen) and two Tylenol (acetaminophen) and it would work just fine.

Look, I’ve taken ibuprofen for pain before and I know it does a decent job, but this is for the pain of having a part of my skeletal structure forcibly removed. Im gonna need something with a little more horsepower than a fistful of OTC stuff.

Turns out I was wrong. I’ve had some serious pain since then from other events and injuries and, to my utter surprise, I’ve discovered that for all of it the 3/2 of Advil/Tylenol stomps that stuff down darn near just as good as the hydro. (Thats 200 mg Advil, 500 mg. Tylenol.)

Obviously a steady diet of ibuprofen is not a good idea for anyone’s liver, but we aren’t talking about a steady diet of it here. We’re talking about a temporary, short-term use because I broke a finger, cracked a rib, got an infected suture, shingles, or whatever else fires up the ol’ nerve clusters.

I now carry, always, in my Bag O’ Tricks a couple ‘pocket size’ tubes of Advil and Tylenol specifically for emergencies where serious pain relief is called for and I’m not near my in-home pharmacy. As it turns out, there seems to be a synergistic effect when combining the two.

The more professionally medically astute of you may have known this all along but, hey, its news to me.

Your mileage may vary, of course, but next time you really wanna smack down some strong pain give it a shot. Anytime you can get high-level pain relief without resorting to the prescription-only stuff…thats a win.

ETA: Apparently the Advil folks are offering a combo pill with acetaminophen and ibuprofen together. Two great tastes that taste great together. Brand name is ‘Advil Dual Action‘ with 125 mg ibuprofen and 250 mg. acetaminophen, which means you need to guzzle about four of these to get the 3/2 effect I mentioned earlier. Guess I’ll hit Walgreens and get some to keep in my Bag O’ Tricks.

Article – Drug Shortages Approach an All-Time High, Leading to Rationing

Remember when things like drug shortages were things that happened in Third World and Soviet satellite countries?

Thousands of patients are facing delays in getting treatments for cancer and other life-threatening diseases, with drug shortages in the United States approaching record levels.

Hospitals are scouring shelves for supplies of a drug that reverses lead poisoning and for a sterile fluid needed to stop the heart for bypass surgery. Some antibiotics are still scarce following the winter flu season when doctors and patients frantically chased medicines for ailments like strep throat. Even children’s Tylenol was hard to find.

Hundreds of drugs are on the list of medications in short supply in the United States, as officials grapple with an opaque and sometimes interrupted supply chain, quality and financial issues that are leading to manufacturing shutdowns.

I’m lucky, I suppose, in that I don’t need any particular medication to keep my quality of life where it is. No insulin, no high blood pressure meds, none of that sort of thing. Sure, there are times I eat ibuprofin like M&M’s, but other than that….

And, fortunately, any meds I do want to keep on hand are all over the counter so I can keep a pretty generous supply around. Sure, maybe they lose a bit of efficacy after a few years but so what? Just up the dosage. I’d rather face a cracked rib with five year old Tylenol and Advil than I would without. Drugs that only deliver 85% of their effectiveness is orders of magnitude better than the 0% afforded by not having drugs at all.

Moral of the story: while you’re stacking up the .223 and 9mm, the freeze drieds and AA batteries, the water filters and toilet paper….stock up on the OTC stuff (and first aid as well) because thanks to Brandon we are, apparently, dipping our toes into the warm water of neo-Soviet supply issues.

Burn jel

As I mentioned previously, I ordered up some burn jel. Arrived:

The bottle and dressings will go in the big first aid kit, the smaller single use ‘ketchup packets’ will get distributed across the various small first aid kits.

This stuff is awesome for those (somewhat) minor burns. When you’ve got the kind ofburn that gives you an ache right down to the bone, this stuff really seems to put a damper on it. As I’ve mentioned, I once burned my hand so bad that the only way I could sleep was clutching a cold, wet washcloth or a bag of ice. This stuff, though, took the pain away so I could finally sleep.

Good product and I heartily recommend it. Skip a couple lattes today, spend the money at Amazon, and get some of this stuff. Next time you grab the wrong part of your Dutch oven, try to pick up a hot lawnmower by the exhaust, or parboil yourself by opening the wrong end of the lid on your pressure cooker you will be so glad you have this stuff.

Vehicle stuff

As I mentioned earlier, one of my regrets is that I didn’t take my FAK with me on my trip to Venus Jr. I was wondering if, in fact, I had in that FAK the items I would have needed for that particular episode…specifically, a non-adhesive dressing of some type, some rolled gauze, and some tape. Turns out, yes, I had all that in there. Cool. But then I figured I better double-check what might be lacking. As it turns out, I seem to have never gotten around to distributing burn jel into that particular kit. So, off to Amazon for Burn Jel…both the ‘ketchup packets’ of the stuff, individual dressings, and a bottle of the stuff.  I’ve used this product in the past for some kitchen accidents and it works wonderfully. In fact, I’ve had some burns bad enough to keep me awake at night and this stuff has made it so I can sleep.

This little episode of gear-inspection was also driven by the need for me to review, update, replenish, and re-gear my in-vehicle supplies. In the winter I try to keep a big ol’  Pelican case of winter survival gear in the vehicle ‘just in case’. But, during the summer-ish times there’s not as much need for that much bulk and mass taking up space. Since the summer stuff doesn’t require as much bulky clothing and sleepgear as winter, I use a medium size pack. Its the well-made and highly-recommended SpecOps Brand Recon Ruck.  Don’t let that MSRP fool you, they can be had for a lot less. I think I got mine on sale somewhere for around $80..but, that was a while ago. Anyway, the nice thing about it is that it can be used as a non-frame pack (like a Med. ALICE pack) but can also be used in conjunction with an ALICE frame, which are pretty ubiquitous and affordable. Yeah, the ALICE was supplanted by the MOLLE packs but this isn’t for humping the boonies, its for just keeping my gear in one place. Anyway, highly recommend.

The only real difference between the winter and summer gear is, as I said, bulky sleeping gear and extra clothing. I don’t carry extra water because SOP is to have a 5-gallon jerry can of the stuff on hand.

I live in one of the more densely populated parts of Montana, so sitting on a road somewhere and not seeing a soul for days at a time is fairly unheard of. However, I don’t plan to never stray from this part of Montana. Sometimes I like to go to gun shows in far and distant lands..like Kalispell, Butte, Helena, Billings, etc. And then there’s a much greater possibility that a vehicle issue might put you in a position to twiddle your thumbs for quite a while. But, between the standard vehicle gear and my Bag O’ Tricks, I like my odds.

And, of course, no matter the season the prevailing wisdom is Stay With The Vehicle. Or Else.
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