Jun 07 2020
Before I repost this Twitter thread in toto, I'd like to say a few things. First, Zander is an old friend of mine (pushing 20 years at this point). Second, while he might bill himself as "an amateur chemist," his scientific expertise has been helpful to me numerous times over the years, so I feel that I can vouch for his knowledge as well as his assessment of the situation. I asked him if I could repost this research earlier and he gave his permission. For clarity I've made minor edits to add punctuation. I've also reposted the images he used and gotten hold of copies of his references. I feel that, right now being able to verify the provenance of information is very important because information sabotage is an effective tactic.
Take it away, Zander.
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I’ve been seeing a lot of conflicting information about tear gas online and wanted to make a guide about what tear gas is, how it’s used and how to treat exposure to it. I have a background in experimental methodology and research, and am an amateur chemist.
Special thanks to @3liza for this thread that gave me inroads to the literature, @taliabear for proofreading this and my professional chemist friend who wishes to remain anonymous for reviewing this.
So the first thing to really drive home: Tear gas isn’t just one thing. There’s nearly a dozen different compounds that are used as riot control agents across the world. I’ll be focusing on the USA because that’s where I live.
Apr 11 2020
Obligatory disclaimer: I AM NOT A MEDICAL DOCTOR. SEEK PROFESSIONAL ADVICE AND TRAINING.
There's really no good way to start an article about the epidemic of opiate overdoses and deaths in the United States. It's a terrible thing. Unlike a lot of articles out there and stereotyping that happens, a nontrivial number of opioid deaths are due to accidental overdoses of painkillers taken by folks who are trying to manage chronic pain. I say this as someone whose dental health history reads like Hellraiser fanfic. If you're in so much pain that you can't even think straight most of the time, especially for years on end, it's really, really easy to make a mistake. Case in point, the death of Art Bell in 2018 due to an accidental overdose of multiple painkillers. Many times over the years Bell had complained on the air about his back, and a couple of times his nightly shows were cancelled because he was in too much pain to go on the air. I've never had to use opiates in such a manner in my life, but I can definitely look at it from the outside and understand at least some of it.
Anyway, I wanted to do a quick writeup about how to get hold of the drug naloxone (local mirror, 20200411), usually sold under the trade name Narcan. It's an opioid antagonist, which means it shoves molecules of opiate compounds out of their receptor sites and takes their place to arrest and reverse the effects of an overdose. It can be injected intravenously either by a trained medical professional with a syringe or an autoinjector in the same way as epinepherine if one is deathly allergic to certain foods or insect stings. Narcan is also available to civilians in the United States in a single-use, single dose nasal spray. The idea is, you rip the packaging open, flip the little cap off, shove the end of the sprayer up the patient's nose and squeeze the device so that a mist of naloxone squirts into their sinuses to be absorbed. It doesn't take much training to use one effectively though I do recommend getting training as part of a regular first aid certification.
Not too long ago I set about acquiring a couple of doses of Narcan to carry around with me as part of my field kit, because you never know what's going to happen. The page on drugabuse.gov I linked to above says the following about getting naloxone:
Naloxone is a prescription drug. You can buy naloxone in many pharmacies,
in some cases without bringing in a prescription from a physician. The
major pharmacy chains CVS and Walgreens now make naloxone available
without a personal prescription in all stores in the U.S. and the District
What I did was basically Google 'narcan' and the first hit was how to get Narcan. Just to be on the safe side I downloaded a copy of the Narcan prescription aid PDF file (local copy), printed it out and brought it with me the next time I went to the pharmacy to pick up my prescriptions. I just asked for it, handed over the hardcopy of the request, and unfortunately found out that the pharmacist on duty at that moment had never filled such a request before so it wound up not happening. The next time I went in to get a prescription filled they had it waiting for me along with everything else: A little box of two Narcan nasal sprayers, each with 4mg ready to go.
The instructions on the box: CALL 911. SPRAY CONTENTS OF ONE SPRAYER (0.1ML) INTO ONE NOSTRIL. REPEAT IN 2-3 MINUTES IF SYMPTOMS OF OPIOID EMERGENCY PERSIST, ALTERNATE NOSTRILS.
To be fair, it could just as easily have been the other pharmacist at that store who was on duty, and there would not have been a week's wait and happy surprise on my next trip. You will probably not run into that particular setback. Total cost after insurance: $25us.
Do I need to have Narcan in the house? No. None of us use opiates. Do I feel better having it around in case somebody nearby need it? Yes. Do I feel better having it in my field kit, just in case? Yes, I do.
Go be safe, people. And maybe help someone in need.
Sep 28 2019
In September of 2019 a conference called Please Try This At Home was held in Pittsburgh, PA. One of the talks was given by Dr. Mixael Laufer on the topic of how to acquire pharmaceuticals such as mifepristone (local mirror) and misoprostol (local mirror) for emergency personal use. I spoke with Dr. Laufer and the person who made this recording, and they both agreed to let me post it for download and archival as long as I sent them the links to it. So, here it is.
Jul 04 2016
For the last decade or so, bacteria that are immune to the effects of antibiotics have been a persistent and growing threat in medicine. Ultimately, the problem goes back to the antibiotic not being administered long enough to kill off the entire colony. The few survivors that managed to make it through the increasing toxicity of their environment because they either had a gene which rendered them immune (and the toxins released when the other bacteria died weren't enough to poison them) or assembled one and survived long enough to breed and pass the gene along to other bacteria. This means that the pharmaceutical industry has been scrambling to find new antibiotics that won't harm the patient any more than they absolutely have to... except that now we're seeing antibiotic resistant yeasts in the wild, also. A strain of the yeast candida auris was discovered in 2009.ev in Japan that is resistent to every commonly used drug used to treat fungal infections, including caspofungin, amphotericin B, and fluconazole. Since that time, the dangerous strain of c.auris has spread to the United States, India, South Africa, Pakistan, Kuwait, South Korea, Colombia, the UK, and Venezuela. The fungus is known to invade the body through open wounds in an opportunistic fashion and take up residence in the bloodstream, where it subsequently causes organ failure. It is also known to infect the lungs to some degree, as evidenced by having been extracted and cultured from same. The US Center for Disease Control published a bulletin on 24 June 2016 describes the outbreak in more detail, including the risk factors for contracting the infection (diabetes, recent surgery and antibiotic use (both of which impact the integrity of the body overall), and the presence of large venous catheters). Unfortunately, c.auris is difficult to differentiate from several other less-critical fungal species without extensive testing so it can be misdiagnosed until it is too late; the CDC advises the use of MALDI-TOF mass spectrometry or DNA sequencing (analyzing the D1-D2 region of the 28s rDNA) to confirm infection.