Dr. Bob / Dr. Bob is on Nostr

#FamilyMedicine
#PrimaryCare
#WildernessMedicine
#ResistTyrrany
#Antivax
#KeepCashAlive (for now)

Last Notes

2023-12-02 17:05:54

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They couldn't get a newborn?! 🤣
https://image.nostr.build/0af3afc99df57077f6a69508cb299904dc8f9d38c43bd13001bbdf92308ffb16.jpg

2023-11-30 12:48:02

不要扔掉你的旧药物！由于供应链问题和社会动荡，保留备用药物是个好主意。
将药物放在干燥、凉爽、黑暗的地方，比如冰箱，可以帮助药物在许多年内保持有效。
这里有一个备用药物清单：[Where There Is No Doctor](https://archive.org/details/WhereThereIsNoDoctor-English-DavidWerner/page/n380/mode/1up)
美国FDA对100多种药物的测试显示，大约90%的药物在原始过期日期后长达15年仍然安全有效。除了硝化甘油、胰岛素和液体抗生素，大多数药物的保质期都和测试过的药物一样长久。
来源：[哈佛医学院健康博客](https://www.health.harvard.edu/staying-healthy/drug-expiration-dates-do-they-mean-anything)

2023-11-30 12:47:54

ไม่ควรทิ้งยาเก่าของคุณ! ด้วยปัญหาทางซัพพลายและความไม่นิ่งเศร้า การเก็บสำรองยาเป็นความคิดที่ดี
การวางยาในที่แห้ง เย็น มืด เช่นตู้เย็น จะช่วยให้ยาคงความประสิทธิภาพได้มากนาน
นี่คือรายการยาที่มีประโยชน์ที่จะมีไว้ในมือ: [Where There Is No Doctor](https://archive.org/details/WhereThereIsNoDoctor-English-DavidWerner/page/n380/mode/1up)
การทดสอบโดย US FDA ของกว่า 100 ชนิดของยาแสดงว่า ประมาณ 90% ปลอดภัยและมีประสิทธิภาพถึง 15 ปีนับตั้งแต่วันที่หมดอายุเดิมของมัน. ยกเว้นไนโตรกลีเซอริน อินซูลิน และยาปฏิชีวนะของของเหลว, ยาส่วนใหญ่มีอายุที่ยาวนานเท่ากับที่ทดสอบไว้
แหล่งข้อมูล: [Harvard Health Blog](https://www.health.harvard.edu/staying-healthy/drug-expiration-dates-do-they-mean-anything)

2023-11-30 12:34:42

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#medicine #safety #homeremedies

2023-11-30 12:33:36

Don't throw out your old medications! With supply chain issues and social volatility, keeping a back-up supply of meds is a good idea.
Placing a medication in a dry, cool, dark place, such as a refrigerator, will help a drug remain potent for many years.
Here is a list of meds that are useful to have on hand: https://archive.org/details/WhereThereIsNoDoctor-English-DavidWerner/page/n380/mode/1up
Testing by the US FDA of over 100 drugs showed that ~90% were safe and effective as long as 15 years past their original expiration date. Excluding nitroglycerin, insulin, and liquid antibiotics, most medications are as long-lasting as the ones tested.
https://www.health.harvard.edu/staying-healthy/drug-expiration-dates-do-they-mean-anything

2023-11-30 12:19:07

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Absolutely

2023-11-30 12:18:19

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You'll benefit a lot from an herbalist course. Or find a local apothecary.

2023-11-20 19:43:47

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because to train the immune system you need to show it different pictures of all the different bad guys. You can't show it just one.
We worry that the minor harm done by each vaccine makes life more miserable, so that on average, the cure is worse than the disease.
Guy is fixated on Al but there are other reasons to be concerned.

2023-11-20 19:40:49

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Post handwashing phenomenon

2023-11-20 19:40:14

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We don't have to "go" with anything.
Scientific neglect is a real thing, and a good thing.

2023-11-20 19:38:45

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Unclear that you're in your lane lol. I'm going to disagree with you here. Who decides what lanes people get to play in? Who decides what level of expertise merits lane-admittance? And can't an outsider make salient points? And can't an insider make imbecillic mistakes?
A cool thing of having fresh preclinical med students on the wards is their distinct lack of expertise. They're uncomfortable and "out of their lane" so they think differently and often provide valuable insight.
Docs telling others to stay in their lane has caused pain through history. I'm grateful for nonexperts who speak up.
Again, healthcare is everyone's lane.

2023-11-19 15:50:14

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@npub1l2h…n2lz @npub185c…x93y
@npub1h8n…rpev isn't reasoning well but the gestalt of his argument is valid. If vax administration causes system-wide inflammation, then what if the cure is worse than the disease? This hasn't been adequately studied. Lifelong allergies for 50% of population, and continuing propogation of weak genetics, and way too many old people dying of chronic diseases that need long term care, vs 20% of your sickly people dying and leaving the gene pool, and folks dying younger but more quickly and not taxing the system. What if that's what we're looking at? Nobody asks that question. Half (made up stat) of my younger colleagues want people to live forever and are afraid of death. My older colleagues are bleeding hearts and want to eliminate suffering.
Doctoring needs to focus on relieving the suffering of the individual, not groups. There is a fine line between using evidence to guide care for an individual (i.e. which med works for this?), and using it to dictate public health. The key is in admitting you don't know what you don't know. And you don't know what you didn't measure.
The corruption and hubris of the scientigic community and medical system in the US is sickening. I happen to have dipped toes in both pools, and internationally. The vast majority of us who are actually caring for people don't have the bandwidth to adress even a fraction of the problems. We usually can't even verify the quality of evidence handed to us, instead outsourcing that to a third party.
Lastly, it's okay to call out poor reasoning, sensationalism, etc., but I find it poor form to assign another human a "lane". Really, this lane of health is everyone's.

2023-11-19 14:24:49

Less sun, more extreme temps--immune systems are strained! Take your vitD, get good sleep and exercise, wash your hands, and don't touch your face!
#primarycare
#coldseason
#health
#cleanhands

2023-11-19 14:22:27

It's that time of year when your doctor wants to vax you--flu, covid, rsv. Doctors should respect your autonomy. If yours doesn't, tell her you "made an appointment at CVS for tomorrow" and don't bother arguing. We don't have enough time and she'll drop the issue.
#primarycare
#patientautonomy
#patientrights
#antivax
#drpttrust