@jeneralist@med-mastodon.com avatar

jeneralist

@jeneralist@med-mastodon.com

Family physician, public health advocate, bicyclist and occasional maker of liquid nitrogen ice cream. Views are my own, and not medical advice.

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jeneralist, to random
@jeneralist@med-mastodon.com avatar

Some friendly reminders:

  1. Water under pressure boils at a higher temperature. This is how pressure cookers and Instant Pots work.
  2. The coolant system in a car works under pressure.
  3. So when there's steam coming from under your car's hood, pull over, stop the engine, and WAIT. Don't just open the radiator cap right away.

Someone in my neighborhood got a geyser of hotter-than-boiling water over their hand and arm today.


jeneralist, to random
@jeneralist@med-mastodon.com avatar

In my neighborhood, turtles, not robins, mark the arrival of spring.

erin, to random
@erin@mstdn.ca avatar

deleted_by_author

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    jeneralist,
    @jeneralist@med-mastodon.com avatar

    @gemelliz @erin @currentbias
    Which means that if someone with measles gets on an elevator and rides to a different floor WITHOUT TOUCHING ANY BUTTONS (maybe someone else with them hits the buttons for them), and two hours later someone without immunity rides in the same elevator -- they can get measles.

    luckytran, to random
    @luckytran@med-mastodon.com avatar

    It's surprising, but fantastic, to see a mainstream media outlet in 2024 recommending wearing N95 masks, and guiding consumers on where to purchase them.

    This is the kind of content we need to normalize the wearing of masks in the long-term!

    Link: https://www.rollingstone.com/product-recommendations/lifestyle/n95-vs-kn95-masks-1044184/

    jeneralist,
    @jeneralist@med-mastodon.com avatar

    @luckytran The Rolling Stone article is much appreciated -- but the source of highlights for #N95 respirators made in the USA charges $49.99 for 5.

    If you want N95s made in the US but don't want to spend $10 each (good gravy!) I'd recommend bnx.com

    They have duckbill-style masks for about $1 each. https://bnx.com/products/n95-mask-black-made-in-usa-duckbill-a96-2bk/

    Other shapes available, too.

    jeneralist, to random
    @jeneralist@med-mastodon.com avatar

    Always risky to put a question to the assembled wisdom of social media, but here goes: day 15, never had a fever, completed course of , asymptomatic for over a week, and still testing positive on home tests. It's a faint line, but it's there. Does this portend future trouble? Anything to do but wait?

    jeneralist, to random
    @jeneralist@med-mastodon.com avatar

    Cool study out of Sweden, published in BMJ, finding that the more doses of covid vaccine someone has received, the less likely they are to get long covid if they do get covid.

    https://www.bmj.com/content/383/bmj-2023-076990

    jeneralist, to random
    @jeneralist@med-mastodon.com avatar

    Today (October 1st) is Jimmy Carter’s 99th birthday. In my mind, he’s the best ex-president the US ever had. Whatever you think of his accomplishments during his presidency, it was after he left office that his attention turned to the eradication of β€œGuinea worm disease” or dracunculiasis. Don’t search for pictures unless you want to see a meter-long worm emerging from someone’s body. During its life, a worm can spend about a year developing and growing within a human body. (1/?)

    rvaughnmd, to random
    @rvaughnmd@med-mastodon.com avatar

    If Cities Are Going To Be Packed With Parking Lots, They Should All Have Solar Canopies

    Target recently ran a pilot project in California using roof and parking lot solar to power its entire store, including HVAC systems. The system actually produces about 10% more energy than the store can consume, meaning Target can then send the energy back to the grid and receive payment for its power from the local energy company.

    https://jalopnik.com/if-cities-are-going-to-be-packed-with-parking-lots-the-1850880420

    jeneralist,
    @jeneralist@med-mastodon.com avatar

    @etchedpixels @kkarhan @rvaughnmd
    Part of the reason I've felt comfortable going from a 2- car family to one is that I now have a lovely e-bike for those times when mass transit doesn't point me where I need to go. (Sweetie still needs to drive 120+ miles in varied directions for work, so e-car in driveway and solar panels on roof. )

    jeneralist, to random
    @jeneralist@med-mastodon.com avatar

    Just had an elderly patient call to talk to me about fatigue & headaches that she's been having for about 10 days. Things started up after she went to a party; other people who were there have gotten covid. She realized it was when her sx started, but didn't test or call. Now, it's late enough in the course that I can't prescribe Paxlovid for her.

    Please, if you think you have covid, call your clinician ASAP to find out about interventions that might help prevent

    rvaughnmd, to random
    @rvaughnmd@med-mastodon.com avatar

    We love our placebos.

    And as a corollary to Brandolini's Law, it is very hard to remove a drug once it has been approved.

    The spectacular downfall of Sudafed, a useless cold medicine

    https://arstechnica.com/health/2023/09/the-spectacular-downfall-of-a-common-useless-cold-medicine

    jeneralist,
    @jeneralist@med-mastodon.com avatar

    With the recent discussion of (which doesn't work as an oral decongestant) and (which DOES work as an oral decongestant, but is kept behind the counter since it can be used to make meth), it's time to revisit a 2013 paper in the Annals of Improbable Research, describing how to make the difficult-to-obtain pseudoephedrine from methamphetamine, which can be obtained any time day or night at open-air retailers in most US cities:
    https://improbable.com/airchives/paperair/volume19/v19i3/Pseudoephedrine.pdf
    @rvaughnmd

    jeneralist,
    @jeneralist@med-mastodon.com avatar

    Interestingly, the 2013 paper on how to make pseudoephedrine from meth cites a 2006 article, β€œOral Phenylephrine: An Ineffective Replacement for
    Pseudoephedrine?” L. Hendeles and R.C. Hatton, Journal
    of Allergy and Clinical Immunology, vol. 118, 2006,
    pp. 279–80

    It's may be news that oral doesn't work, but it's not new.

    @rvaughnmd

    jeneralist, to random
    @jeneralist@med-mastodon.com avatar

    Came across mention of "inverse vaccine" research in popular press. If we do really come up with something to remove autoimmunities, it would be an amazing game changing technology. Can someone point to a better summary -- does this look real?

    https://scitechdaily.com/new-vaccine-can-completely-reverse-autoimmune-diseases-like-multiple-sclerosis-type-1-diabetes-and-crohns-disease/

    DOI: 10.1038/s41551-023-01086-2
    https://www.nature.com/articles/s41551-023-01086-2


    jeneralist,
    @jeneralist@med-mastodon.com avatar

    @AkaSci Thanks for the info!

    GottaLaff, to kentucky
    @GottaLaff@mastodon.social avatar

    Called this one years ago. Now they're going for it.

    Via Jessica Valenti:

    In the newsletter tonight: The Republican running for governor signed a pledge to criminalize . Not joking!

    jeneralist,
    @jeneralist@med-mastodon.com avatar

    @GottaLaff

    Source, please?

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