Tag Archives: antibiotics

Momma Bear’s September Preps

Posted on by
5

September has arrived and we are seriously looking forward to cooler weather! We decided to shut down the garden a little early in expectation of heavy duty leaf raking. I filled my two compost barrels with the old plant foliage and with the dirt from my container gardens (except the one I am waiting to go to seed). We will be augmenting the barrels throughout the winter with egg shells, coffee grounds, etc. The plan is to use the two barrels of compost to refill the containers in the spring.

As mentioned, my ham radio came and, as I thought, it’s complicated! But I am signed up to take my licensing classes next month. I even discovered that my town has a ham radio store!

Last week Trace mentioned the website aGirlandherGun.org. I met “Girl” at a mutual friend’s house where we had gathered to watch a football game.  Having never met her before, we were talking and something set my antenna buzzing. I finally looked at her and said, “Are you a prepper?” She is the first local prepper I have met! We had a great evening with lots of discussion about guns and self-protection. If you have not yet had a chance to check out Girl’s website, please do. She is a firearms instructor, and is also taking EMT courses with her husband. You will see that prepping is relatively new to her also, and for a very serious reason. Interestingly, Girl is the second woman fire-arms instructor I know (the other being Pistol Packing Ladies, LLC). So along that train of thought…the husband and I will be taking our gun class next week at the Nation’s Gun Show outside of Washington, D.C. This will allow us to apply for our concealed carry permits. Though neither of us have decided yet if we will carry, we want to at least prepare and get permits.

Lastly, I have moved fish antibiotics (see Trace’s post Antibiotics In Your Preps?), and books on medications, to the top of our prepper purchase list. This last week the husband “humped” out of the field with a very deep blister in the ball of his foot (If you are not familiar with this phrase, it means Marine Corps camping in which you train and hike 20 or so miles with a 70-80 pound pack, carrying everything you need to eat, sleep, and shoot). He had done everything right: changed his socks regularly, removed his boots to sleep, powdered his feet, etc. But he still managed to get one really deep blister. As a long time Marine and marathoner, my husband teaches others on the importance of foot care. Initially it looked okay, and there were no visible breaks in the skin. Medical opted not to drain the blister because it was so deep, saying he was “good to go” (military slang for fine). But within 36 hours his foot was swollen, red and angry-looking, and he was running a fever. It looked like he had a Fred Flintstone foot that was about ready to split open. We both knew he had a raging case of cellulitis and needed antibiotic treatment. Cellulitis is a bacterial infection which, if left untreated, can lead to a more serious–even life-threatening–type of infections known as sepsis. It can also be resistant to antibiotics, and it is not uncommon to have to take IV antibiotic treatment. In any event, my husband was fine once he started his antibiotics. I personally am allergic to a number of antibiotics, including the one he was treated with, so it is imperative for us to carefully stock the right antibiotics. This was a good reminder of how something as common as a blister can quickly lead to a serious health risk; imagine how you would treat this in a post-collapse situation…

What’s next on your prepper training schedule?

Book Review: The Doom and Bloom Survival Medicine Handbook

Posted on by
13

by Joseph Alton, M.D. and Amy Alton, A.R.N.P.
(aka Dr. Bones and Nurse Amy)

Dr. Bones and Nurse Amy, of the Doom and Bloom Hour, are my definitive ‘collapse medicine’ experts. So I was thrilled when I heard they had published a  medical survival book and I immediately ordered a copy. When it arrived, I spent several days pouring through it.

I could not be happier, it is outstanding! Dr. Bones and Nurse Amy have written a first of it’s kind, an incredible medical reference in the–previously non-existent–category of collapse medicine.

They tell you what to do when, “Help is NOT on the way” ever.

Collapse: The situation after a TEOTWAWKI event; modern society, infrastructure, and systems as we know it will no longer exist.

Collapse Medicine: Medical care that will be provided when “there is no access to modern medical care, and there is NO potential for accessing such care in the foreseeable future.”

First aid books tell us, when treating a critical patient, to first stabilize then transport to a hospital emergency room. This one doesn’t. This one can’t – in a collapse there won’t be any. This book is written in plain easy to understand English, and it is written for you. You, the non-medical provider who takes it upon his or her self to assume the medical responsibilities for the group; doing your best to keep your people as healthy as you can.

The book begins by teaching you how to become a medical resource. It provides detailed lists of Likely Medical Issues You Will Face, Medical Skills You Will Want To Learn, and Medical Supplies you’ll want/need (including a thorough list of what to stock in your medical kit).

There is not only a valuable section explaining Natural Remedies (including a chapter on Essential Oils) but, whenever possible, it shows you how to effectively use them in conjunction with traditional (allopathic) pharmacology. Someday the only medicines available may be the ones you can grow and gather.

This book is as all-encompassing as I believe it can be. From respiratory infections to fractures to hypothermia to pregnancy and delivery, the chapters and the knowledge continue. There is even a detailed chapter on suturing; including when–and when not–to close a wound. If you can think of a medical problem that you may have to deal with in a collapse, there’s information about it in this book and more. Then, to further your medical education, they include a list of medical reference books you can add to your library and YouTube videos that demonstrate the procedures discussed.

The book concludes with information I don’t believe you’ll find written anywhere else; on the medically controversial topics of stockpiling medications (prescription and over-the-counter), how to use antibiotics (without a doctor’s guidance), and what drug expiration dates really mean.

Finally, I especially appreciate that they dedicated the book to me – okay, all of us. We, who will take on the medical responsibilities when there are no others; the ones who your group will affectionately call ‘Doc’. To us, Doctor Bones and Nurse Amy write, “…we both dedicate this book to those who are willing to take responsibility for the health of their loved ones in times of trouble. We salute your courage in accepting this assignment; have no doubt, it will save lives.”

 

What I Did This Week To Prep 12/2/11

Posted on by
1

We planted our winter compost crop seed mix this week. The seeds arrived last week (from Bountiful Gardens), but because the ground was frozen we had to wait for warmer weather. There is a mixture of vetch, wheat, and rye, and then the fava beans are planted separately. We’ve never done this before and are not exactly sure what to expect. Will it look like just a bunch of weeds growing? And it seems strange to plan to grow stuff, just to cut it down and leave it in the dirt. I understand the concept and the experts say it’s a good idea, so the only way to fully understand it is to do it. We also sprinkled Dutch White Clover seeds on the backyard areas with less grass which, hopefully, will expand throughout the yard.

Shooting real firearms in suburbia isn’t very convenient, plus winter is frequently cold and wet when you go to the range, and ammunition quickly gets expensive. So I’m going to try using airsoft guns as an alternative way to practice and teach shooting skills. I got the idea from listening to Jack Spirko’s TSP, Becoming a Better Shooter and Trainer with Airsoft Guns (Episode 671). Last week Ryan and I went and bought a Crossman Air Mag C11 CO2 pistol, a box of CO2 cartridges, and a 2000 pellets (total cost less than $100). We came home and built a frame (8 1/2 by 11 inches), with a plywood back, lined the inside with a towel (to absorb the impact and prevent ricochet), and tacked up a normal piece of paper with a target drawn on it. We hung it on the wall and paced off ten feet. Sarah, Ryan, Alison, Emily and I took turns shooting in our custom indoor-range. I think it will be a good cost and time-saving, teaching and practice tool. Of course it’s not the real thing, but it’s the right weight and size and it allows you to practice: stance, grip/hand placement, sight alignment and sight picture, and trigger control. About the only thing missing is the loud “bang” and recoil. I’m excited about this new training venue. Once we get our skills up to a good level, we can–since it’s not a real gun and can be shot in the house–practice some “what if a stranger breaks into the house” scenarios. I think this will be a good winter activity that will allow any and all of us, who want to shoot, to have almost unlimited practice.

December 1st was yesterday. 2011 is almost over. Now is the time to reflect on our 2011 goals and either hurry up and finish, or revise as necessary. My post the last Friday of this month/year will be: What I Did This Year To Prep. Then, in early January, I’ll write: Goals For 2012. I’d encourage you to reflect back on this year and start thinking about your goals for next year.

Lastly, I wanted to link to some follow-up information regarding antibiotics in our long-term preps. From The Doom and Bloom Hour blog with Dr. Bones, a medical doctor, and his wife Nurse Amy, a Nurse Practitioner: Antibiotics And Their Use In Collapse Medicine, Part 1 and Antibiotics And Their Use In Collapse Medicine, Part 2. I applaud this couple for their diligence and determination to share life-saving material about collapse medicine. It is difficult to get good information on this topic and they are my top resource.

What did you do?

Expired, or Not Expired… Can You Store Medications Long Term?

Posted on by

What medications* do we keep in our preps? We store: 1) over-the-counter (OTC) drugs: ibuprofen (Motrin), acetaminophen (Tylenol), aspirin, diphenhydramine (Benadryl), pseudoephedrine (Sudafed), loratadine (Claritin), guaifenesin (Mucinex), and 2) antibiotics (that I recently posted about): amoxicillin, cephalexin, ciprofloxacin, doxycycline, metronidazole.

How long can they be stored? They have expiration dates, does that mean they go bad?

Let’s start with what do drug expiration dates mean? Required since 1979, the expiration date is the last date that the pharmaceutical company will guarantee 100% potency (some sources state at least 90% potency). So then we ask, how long does it take a drug to lose it’s beneficial effects?

That is the question that the Department of Defense (DOD) asked the Food and Drug Administration (FDA) in 1985 (the military had over a billion dollars worth of medication stored). So in response, in 1986, the DOD and the FDA began the Shelf Life Extension Program (SLEP).

The SLEP program is documented in the Wall Street Journal article, Many Medicines Are Potent Years Past Expiration Dates, by Laurie P. Cohen, March 28, 2000. The military submitted, and the FDA has evaluated, over 100 drugs – prescription and OTC. The results showed that about 90% of them were safe and effective well past their expiration dates, some for 10 years or longer. Joel Davis, a former FDA expiration-date compliance chief, said that with a handful of exceptions – notably nitroglycerin, insulin and some liquid antibiotics – most expired drugs are probably effective.

In light of these results, a former [FDA] director of the testing program, Francis Flaherty, says he has concluded that expiration dates put on by manufacturers typically have no bearing on whether a drug is usable for longer.

Mr. Flaherty notes that a drug maker is required to prove only that a drug is still good on whatever expiration date the company chooses to set. The expiration date doesn’t mean, or even suggest, that the drug will stop being effective after that, nor that it will become harmful.

“Manufacturers put expiration dates on for marketing, rather than scientific, reasons,” said Mr. Flaherty, a pharmacist at the FDA until his retirement in 1999. “It’s not profitable for them to have products on a shelf for 10 years. They want turnover.”

The Harvard Medical School Family Health Guide, in Drug Expiration Dates – Do They Mean Anything?, notes that, with rare exceptions, “it’s true the effectiveness of a drug may decrease over time, but much of the original potency still remains even a decade after the expiration date”.

Where and how medications are stored is an important factor in minimizing their degradation. Storing in a cool, dry, dark place will maximize their lifespan; when possible keep sealed in their original container until ready to use. Medications stored in bathroom cabinets or shelves could have effectiveness significantly reduced. Be sure to discard any pills that become discolored, turn powdery, or smell overly strong; any liquids that appear cloudy or filmy; or any tubes of cream that are hardened or cracked.

Dr. Bones, from The Doom and Bloom Show, states in his blog post, The Truth About Expiration Dates, “I put forth to you this recommendation: Do not throw away medications that are in pill or capsule form after their expiration dates if you are stockpiling for a collapse. Even if a small amount of potency is lost after time, they will be of use when we no longer have the ability to mass-produce these medicines. I’m aware that this is against the conventional medical wisdom, but we may find ourselves in a situation one day where something is better than nothing.”

(Friday: What I Did This Week To Prep)

* The terms medications and drugs (referring to legal drugs) are used interchangeably.

Post Script: Dealing With The ‘Tetracycline Becomes Toxic’ Myth

There has long been a belief that the antibiotic tetracycline becomes toxic once it has past it’s expiration date.

In Medscape Today’s article, Do Medications Really Expire?, they discusses the original case, “A contested example of a rare exception [of expired drugs possibly becoming toxic] is a case of renal tubular damage purportedly caused by expired tetracycline (reported by G. W. Frimpter and colleagues in JAMA, 1963;184:111). This outcome (disputed by other scientists) was supposedly caused by a chemical transformation of the active ingredient.”

The case was thoroughly evaluated in the 1978 article, Tetracycline in a Renal Insufficiency: Resolution of a Therapeutic Dilemma, it states, “”Old” and degraded tetracyclines have previously been demonstrated to have direct toxic effects on the renal proximal tubule, but because of changes in manufacturing techniques this is no longer a real problem.” It also states, “It has often been stated that the tetracyclines should be avoided in patients with severe renal disease, but, as we shall see, doxycycline represents an important exception to the rule”.

In Cohen’s article on the Shelf Life Extension Program, Many Medicines Are Potent Years Past Expiration Dates, it goes on to state, “Only one report known to the medical community linked an old drug to human toxicity. A 1963 Journal of the American Medical Association article said degraded tetracycline caused kidney damage. Even this study, though, has been challenged by other scientists. Mr. Flaherty says the Shelf Life program encountered no toxicity with tetracycline”.

Dr. Bones and Nurse Amy, from The Doom and Bloom Show, when interviewed on TSP, clearly state that tetracycline past it’s expiration date is safe (episode 736, beginning at 43:45). Nurse Amy concludes the topic with “. . . if they can just get that in their heads that tetracycline isn’t going to kill you when it’s past expiration”.

Medical evidence supports that tetracycline, past it’s expiration date–especially in the form of doxycycline–is as safe as any other expired antibiotic.

Can You Store Antibiotics In Your Preps?

Posted on by
9

“The first rule of antibiotics is try not to use them, and the second rule is try not to use too many of them.” – Paul Marino The ICU Book 2007

Cellulitis

Last week in Soap and Water I posted about the risk, in a collapse situation, of an infection–from minor cuts and scrapes–known as cellulitis. I linked to Dr. Bones Doom and Bloom blog post, Cellulitis: An Epidemic in a Collapse. Here’s another good article by Dr. Bones, A Doctor’s Thoughts on Antibiotics, Expiration Dates, and TEOTWAWKI. For additional perspective about antibiotics before and during a collapse I recommend comments by Dr. ‘Walker’ on TSP forum. Additional, non-prepper/collapse, antibiotic information can be found at eMedicineHealth.com.

I need to state, though I was previously certified and worked as a paramedic for almost ten years, I am currently not a medical professional of any type; thus I am not giving any professional medical advice. All the information in this post is from open internet sources. As Dr. Bones states “. . . [these] are hypothetical strategies for a post-apocalyptic setting. They are not meant to replace standard care and advice when modern medical technology and resources are available.” And always remember, the practice of medicine or dentistry without a license is illegal and punishable by law.

So with all the caveats stated:

Antibiotics refer to a substance that kills, slows or disrupts the growth of:

  • bacterial infections: caused by a pathogenic (a ‘germ’/microorganism that causes disease) bacteria
  • protozoan infections: caused by a parasitic disease, i.e. giardia which occurs through ingestion of infected fecal contaminated water or food

Antibiotics do not fight infections caused by viruses, such as: colds, flu, most coughs, and most sore throats (unless caused by strep).

Much of my information comes from Dr. Bones. I trust his advice. I applaud him; he is a medical doctor who is willing to say what he believes will save lives in a collapse situation. But as he clearly states, “[This] advice is contrary to standard medical practice, and is a strategy that is appropriate only in the event of societal collapse. If there are modern medical resources available to you, seek them out.”

As discussed in Soap and Water, describing a collapse situation, there are several things that will aggravate the chances of getting an infection: 1) We will be doing more ‘dirty’ jobs, 2) We will be doing a lot more manual labor and other activities that can easily lead to cuts and scrapes, and 3) Clean water and basic hygiene will not be as accessible or convenient. So a relatively minor wound that is ignored while you continue working gets more contaminated; then the wound isn’t thoroughly washed out because clean water is saved for drinking. In a short period of time that wound can develop a serious infection.

Dr. Bones states in Fish Antibiotics in a Collapse, “These injuries can begin to show infection, in the form of redness, heat and swelling, within a relatively short time. Treatment of such infections, called “cellulitis”, at an early stage improves the chance that they will heal quickly and completely.  However, many rugged individualists are most likely to “tough it out” until their condition worsens and spreads to their blood.  This causes a condition known as sepsis; fever ensues as well as other problems that could eventually be life-threatening. The availability of antibiotics would allow the possibility of dealing with the issue safely and effectively.”

Having antibiotics available in a collapse situation will be very important, even lifesaving. The question is how can we as preppers obtain a stockpile to be used if other ‘medical resources’ are no longer available?

Dr. Bones continues, “After years of using [antibiotics] on fish, I decided to evaluate these drugs for their potential use in collapse situations. A close inspection of the bottles revealed that the only ingredient was the drug itself, identical to those obtained by prescription at the local pharmacy. If the bottle says FISH-MOX, for example, the sole ingredient is Amoxicillin, which is an antibiotic commonly used in humans.  There are no additional chemicals . . .”

So it seems that fish antibiotics are the same drugs as used in human antibiotics. I believe that adding fish antibiotics to my preps is a sound strategy. They are available, without a prescription, through many fish supply websites. I have purchased, or plan to purchase, the following:

  • Fish-Mox Forte (amoxicillin 500mg): used to treat infections of the ears, nose, throat, urinary tract, skin, pneumonia, and gonorrhea
  • Fish-Flex Forte (cephalexin 500mg): used to treat infections of the bone, ear, skin, urinary tract, and pneumonia; it has very low side effects, (it is typically safe for those with penicillin allergies)
  • Fish-Flox Forte (ciprofloxacin 500mg): used to treat infections of bones and joints, sinuses, skin, urinary tract, gastroenteritis (stomach ‘flu’), typhoid, plague, and anthrax
  • Aqua-Doxy (doxycycline 100mg): used to treat infections of the sinus and respiratory tract, skin (staph), urinary tract, intestines, chlamydia, anthrax, Rickettsia, Lyme disease, plague, and cholera
  • *Fish-Zole (metronidazole (Flagyl) 250mg): as an antiprotozoal, used to treat giardia and dysentery

For any medication you choose to stock (antibiotics or otherwise) print out the entire drug card and keep that information stored with the drug; a good online source of drug information is the U.S. National Library of Medicine. Also it’s always best to store them in the original package and, like food storage, keep in a dry, dark, cool place.

If you choose to add antibiotics to your preps it is your responsibility to be thoroughly educated about their usages, contradictions, doses, and side effects. This is something you can’t just buy and figure you have it if you need it. Obtain additional medical publications such as the Physicians Desk Reference (PDR) or Delmar Nurse’s Drug Handbook*. Antibiotics are drugs, taking an antibiotic is a medical treatment, do not take this lightly. When I was going through my Army medic training one of my instructors said, “Every medicine you put into the body is a toxin, be sure the benefits outweigh the risks.”

(Wednesday: Expired, or Not Expired; That Is The Question)

* There are many other good references available, these are just two examples. There is no reason to buy a current edition; older editions are much cheaper and have essentially all the information a layperson would ever need. 

Keeping Wounds Clean With Simple Soap & Water

Posted on by
1

Minor cuts and scrapes happen from time to time. Though any open wound is a potential site for infection, we really don’t think much about the small ones other than their initial pain and the inconveniences they cause us as they heal. Most of us live in a world that is relatively safe and even minor wounds don’t happen very often. When they do, the simple steps we take to care for them plus our daily hygiene practices prevent most infections. In rare situations, when the injury becomes infected often the biggest hassle is finding the time to get to the doctor’s office for prescribed antibiotics.

But in a long-term disaster/collapse situation, a minor wound–if neglected–could become deadly. In that scenario, there are several things that will aggravate the chances of getting an infection: 1) We will be doing more ‘dirty’ jobs, i.e. working outside, building fires, handling animals; 2) We will be doing a lot more manual labor, i.e. cutting wood, cooking over a fire, building and repairing, and other activities that can easily lead to cuts and scrapes; and 3) Clean water and basic hygiene will not be as accessible or convenient, i.e. no running water in the house. So a relatively minor wound that is ignored while you continue working gets more contaminated; then the wound isn’t thoroughly washed out because clean water is saved for drinking. In a short period of time that wound can develop a serious infection.

What is the best way to clean and care for a minor wound? Common answers frequently include hydrogen peroxide or alcohol, but not only do both of these harm the healthy tissue they can also delay wound healing. I’ve even heard someone say that ‘alcohol must be the best because it burns the most when you apply it’ – it burns because you are killing the exposed healthy tissue.

The best way to clean a minor wound, and prevent infection, is to remove all debris from the wound with cool, clean running water (this could also be poured or squirted from a container) and a mild soap. Then prior to bandaging it, lightly apply (think chapstick application) petroleum jelly on the wound. This will help the healing process by keeping the wound moist and clean and stop the bandage from sticking. Using antibiotic ointments is unnecessary, they add unneeded cost and may help create more antibiotic resistant bacteria; their main benefit is the same as the petroleum jelly.

Remember there’s a fine line between tough and stupid. The only medical aid available might be from your own group. So plan ahead to minimize injury: wear protective gloves, long pants and long sleeves, and, if appropriate, a helmet and/or goggles. When you do get a minor wound (and you will), make it a priority to clean and dress it as soon as possible. Be sure to know where the nearest first aid kit is kept, have water available for washing, and keep soap in your preps.

Even if you’ve done everything right, there’s a chance infection will occur. The type of infection common in these type wounds is cellulitis. Cellulitis, if not treated by antibiotics, “can cause a life-threatening condition known as sepsis”. This is described by Dr. Bones on his Doom and Bloom blog post, Cellulitis: An Epidemic in a Collapse. I recommend reading it. Next Monday I’ll explain what I’ve learned, and recently done myself, to acquire a stockpile of ‘collapse medicine’ antibiotics.

(Friday: What I Did This Week To Prep)