0

MEDICAL


< PRE-DRAFT++ >

Revisions:
    xxxx
    20200704 overview
    20200909 overview:
        needs another re-org, merging
        → pre-draft
    20210605 supplies ping <D
    20210611 reorg around d's ears
    20220519 ping

Table of Contents
1 *** RESOURCES
1.1 (External)
1.2 (@totalism.org)
2 *** PRE-PREPARE
2.1 SPACE
2.1.1     * stock basic supplies & equipment
2.1.2     * prepare basic directions & contacts
2.1.3     * collect & train in first aid
2.2 CREW
2.2.1     * has functioning health insurance
2.2.2     * basic knowledge: prevention; first aid; diagnosis, etc
2.2.3     * medical consent forms (?)
3 *** BASIC SUPPLIES
3.1 [!!!] reorganize this
3.2 (other lists)
3.3 medicines/pills @ medic box
3.4 (L:)[!!*]SEDATIVE— Midazolam >L
3.5 @ medic box
3.6 @ elsewhere
3.7 ——————————————
3.8 Liquid Skin Bandage
3.9 (unsorted)
4 *** CONDITIONS
4.1 * cold (nose, throat, ears)
4.2 * sinusitis (ORL)
4.3 * dehydration
4.4 * conjunctivitis (eye infections)
4.5 * sunburn
4.6 * food allergy issues
4.7 * ear infections (especially otitis media, "middle ear infection")
4.7.1     ————— 2023
4.7.2     Prevention when chronic: vax against flue & pneumonia!
4.8 * ruptured ear drum
4.9 * migraines (repeating)
4.10 * unindentified skin conditions
4.11 * coronavirus pandemic
4.12 * pest bites
4.13 * toxoplasmosis
4.14 * splinters, thorns, prickles
4.14.1  
4.15 ↓↓↓  LESS EXPERIENCES  ↓↓↓
4.15.1  
4.16 * allergies
4.17 * anaphylactic shock
4.18 * bigger wounds / bleeding
4.18.1  
4.19 ↓↓↓  UNSORTED  ↓↓↓
4.19.1  
4.20 * dental: abscess
4.21 * dental: plaque
4.22 * dental: canker sore / apht / ulcer
4.23 * mild ear infection: itchy ear canal / ear entry
4.24 * ADHD
4.25 * hemorrhoids
4.26 * (suspected) wrist fracture
4.27 Periungual warts
4.28 Checking skin: Cancers, birthmarks, etc.
4.29 Demodex
4.30 EYES— Blepharitis
4.31 Acne
4.32 Acne scars
4.33 [!!**] Seborrheic dermatitis
4.34 ... "scalp itch" / "psiorasis" / ###
4.35 Foreign object in eye
4.36 Tics (Speech)
4.37 Ears: Ear inflammation / Mastoiditis
4.38 Ears: Popping, clicking or crackling in the ear
4.39 Ears: TMJ/TMD
4.40 Angular Cheilitis (corner of lips)
4.41 Neuropathy
4.42 Cracked skin on toes
4.43 Myasthenia gravis (rare, autoimmune)
4.44 Cellulitis (thies/shins)
4.45 Ears: Acne (pimple)
4.46 Ears: Scabs
4.47 Ears: Malignant External Otitis
4.48 Tetanus (shot)
4.49 (L:)[!!] SYMPTOMS/PAIN/TREATMENT— Back injury (back pain)
4.50 PSYCH— Suicide prevention
4.51 TOXIC— Jellyfish burns
4.52 NEURO— Brain solidification
4.53 E.coli
4.54 Colorectal cancer (in young adults)
4.55 [m!!*] Ears: Ear infection (cont)
4.56 Ears: (alt ear infection)
4.57 "Jammed finger" / "Mallet finger" (strained tendon)
4.58 Basketball finger → cartilage growth
4.59 [r¶!!] Testicle self-examination
4.60 [a!!] Kidney stones ... can manifest as testicle pain
4.61 [!!] Fissured tongue
4.62 [!!] Supraspinatus rupture (upper back / shoulder blade muscle)
5 *** TREATMENTS
5.1 Painkillers
5.2 Morning-after pil
5.3 ( Essential oils )
5.4 Aloe vera
5.5 Calendula cream
5.6 Witch Hazel
5.7 Apple cider vinegar
5.8 Glycerin
5.9 Cayenne + saltwater
5.10 Houseleek
5.11 Diatomaceous earth
5.12 WOUNDS/DENTAL/ASTRINGENT— Alum (SLO: "Galun")
5.13 Talcum powder
5.14 Sinupret
5.15 Oil pulling ?
5.16 Benzoacine (Otogen ear drops)
5.17 Chlorhexidine (CHX)
5.18 Hydrogen peroxide
5.19 Ketoconazole
5.20 Medicinal carbon pills (anti-toxicity, digestion, etc)
5.21 (L:) ANTIINFLAMMATORY— Devil's Claw gel
5.22 [?] Calamine lotion
5.23 [!!o*] PROBIOTICS/RESOURCE— (research)
5.24 [rr!!**] EARS/PROBIOTICS— Streptococcus salivarius K12
5.24.1     Products
5.24.2     Does it work?
6 *** BEING ILL
6.1 Contagious?
6.2 For patient
6.3 For space
6.4 Open questions
7 *** PAD
7.1 EHIC card tricks
7.2 Improving immune system
7.3 WHO Model Lists of Essential Medicines
7.4 [!!*] Pneumococcal vaccine policy?
7.5 Meningitis
7.6 antibiotics 101
7.7 DENTAL— Saltwater daily is bad for teeth?
7.8 DENTAL/ESSENTIAL OILS— Eucalyptus oil (etc), for tooth pain / as mouthwash
7.9 [!→] NATURAL— Natural mouthwash
7.10 [!→] NATURAL— Acacia
7.11 Drug analysis
7.12 Etheric oils ... fumigation
7.13 Measles & immune amnesia ?!
7.14 Dental pain relief
7.15 New vaccines: Malaria
7.16 Arm Tingling / Numbness / Pins & Needles
7.17 [!!] Vaccine: Tick-borne Meningitis
7.18 [!!] ORDERING/OTHERS/LIM0— Get insider help with supplies
7.19 [!!] DIAGNOSTICS— Electrography *
7.20 [!!*] SPECIALIZATION— Nevrology 101
7.21 [!!$] PSYCHOLOGY/DOCTORS/DIAGNOSTICS— Contemporary doctor—patient relations
7.22 [r!!**>D] EYES/DIAG— General eye check (ophtamologist)
7.23 Eye infection (Conjunctivitis, Blepharitis, Styes) → Eye drops (AB)
7.24 Eye drops == Ear drops == Nose drops ??
7.25 Intestines cleaning (because of poisoning?) ... Enama / Clyster 
7.26 ————— 20221128↓
7.27 [r!] Breast self-checks (breast cancer)
7.28 [r!] Prostate checks (prostate cancer)
7.29 Morning-after pill
7.30 Amoxiclav (antibiotic)
7.31 [!!*] TOREAD/COMMUNISM— Social Medicine
7.32 (2023/7→8→ basketball experience: general body, injuries, regularity, extra rest, etc)
7.33 [r!!] HERB/ANTIINFLAMATORY/DIGESTION— Fenugreek
7.34 [r!!] HERB/ANTIINFLAMATORY/DIGESTION— Yarrow
7.35 [m!!**o] DIAGNOSIS/RESOURCE/POLEMICS/PROTOCOL/DEV— Symptom checker / Diagnosis protocol / Clinical flowcharts
7.36 [!!f] Ulcerative Colitis
7.37 Cough & listening to lungs (stethoscope)
7.38 Pneumonia
7.39 [r¶!!] IMMUNITY— OM85 (SLO: broncho-munal)
7.40 DIAG— Reading a chest x-ray
7.41 [rr!!**to] DIAG— General health checkup
7.42 Herpes simplex (causes)
7.43 Oral thrush (oral candidiasis)
7.44 [m!→] ANTIPEST/BIOPSY!— Candida Auris
7.45 [!!**] EARS— Clotrimazole (antifungal)
7.46 [m!] EARS— (general)
7.47 [m!!] STUB/MANIFESTO— Future medicine
7.48 Blepharitis (eyelids) & Hypochlorite acid
7.49 [!!**] DIAG/DIY— Bacteria culture test
7.50 [!!*z] PREV— Safe sex (contra STDs/STIs)
7.51 [!!*] DIGESTION— Ulcerative colon
7.52 DENTAL— Tooth hygiene
7.53 [!i] JASE Medical kit ("Prepper" package)
7.54 [!!*ot] BRAINS— "Brain drain" and cerebrospinal fluid
7.55 [!*o] DIY/SURGERY— Surgical suture → "Stitches"
7.56 ——— (was in @@@)
7.57 [a] ANTIHISTAMINE— (claritine vs lentrica)
7.58 [r!oi] PSYCHO/QSL— Find regular IQ-like metrics
7.59 ——— 20240228↓
7.60 [!*o] PSYCHO/NOOTROPICS— Study hormones
7.61 [!!**] DIAG/SELFEXAM/102— Dermatological self-exam
7.62 WOUND— Wounds/scrape


*** RESOURCES


(@totalism.org)

* medic box list:
    🔗stuff#____medic_pack
        (TODO: there's no overview of what it still need!)
        [m!!!]
* 🔗antipest:
    (especially carrying / transmitting diseases, aka: zoonosis)
* 🔗essential-oils
* parts of 🔗dramaturgy:
    hygiene, etc!
________
* 🔗pandemic
________
* XXX🔗pau-health #tomerge [!]
* XXX🔗healthcare
* ### hacklab checklist
* ###







*** PRE-PREPARE


SPACE


    * stock basic supplies & equipment

(below)



    * prepare basic directions & contacts

Have phone numbers & map ready!

    * ... for crew:
        * contact information of residents family doctor (per resident page) 
        * local (national) health provider (for EHIC support)

    * ... for local space:
        * open pharmacies
        * closest + easy-going ER
        * easy-going non-ER (consultation/GP, maybe private)
        * emergency road service ("grua", etc)
        * poison/toxicity help line
        * [...]



    * collect & train in first aid

###

know:
    https://kuiyem.ku.edu.tr/wp-content/uploads/2016/12/American-College-of-Emergency-Physicians-ACEP-First-Aid-Manual.pdf
    ### FIND MORE

regularly practice:
    !!!

which role covers this ???




CREW


    * has functioning health insurance

@@ 🔗newcomers

    * disclose & pre-prep for your conditions
    * bring EHIC card !
    * have settled medical insurance dues
    * [...]


    * basic knowledge: prevention; first aid; diagnosis, etc

###


    * medical consent forms (?)
[m!→] @@newcomers

Is this really necessary, or just an american thing?
Idea via this page: https://www.mayoclinic.org/first-aid/first-aid-kits/basics/art-20056673
(<L)





*** BASIC SUPPLIES


[!!!] reorganize this

Make more like:
    * 🔗food (bold what we need)
    * ... or some other syntax way, not with hard "categories"

Develop dimensions separation:
    * "list" (with categories)
    * status within CHT canarias specifically
    * [...]


(other lists)
:
    * 🔗Bag_for_Living
    * https://www.mayoclinic.org/first-aid/first-aid-kits/basics/art-20056673
    * [...]




_____


STOCK @ CHT
(SYMBOLS)

+ ok → 🔗stuff
! needed → 🔗ordering
~ recheck/reorganize
— deprecating/do not restock
—— discarding soon



medicines/pills @ medic box

### [!!]tomerge

+ paracetamol
! ibuprofen
~ antibiotic cream / ointment
    ### like this? https://medstore.be/categorie-menu/wondzorgproducten/desinfectie-ontsmettingsmiddelen/fucidin-ung-2-15-gr

+ astrexine (CHX dust) : desinfectant ###
+ perio aid (CHX mouthwash ... use 1 hour after brushing!) : dental
+ natural mouthwash concentrate ###
[!!!@trucko]

! saliyclic acid
    ### more info below

+ vaseline aka petroleum jelly (cream): skin
    interesting usage tips: https://www.byrdie.com/vaseline-uses
    ### like: preserve rasors!
—— nitrofurazone (as furacin, cream):
    topical antibioitic/antiparasitic; demonstrated cancirogenic (discontinued for human use in USA)
    ### DISCARD
—— Promethazine (as fenergan, cream):
    antihistaminic, was used as antipsychotic
    made into "lean" a drug, wtf https://en.wikipedia.org/wiki/Lean_(drug)
    ### DISCARD

~ otogen : ear drops
+ colirium (gentamicin/colircusi gentadexa) : eyes, ears
+ posiformin (bibrocathol) : eye ointment

~ sinupret (natural) : against sinusitis, mucus coagulant
~ cetirizina : antihistamine
~ Loratadine (as Claritine) : antihistamine
! phenylephrine hydrochloride : decongestant, hemmerhoid relieve
! pseudoephedrine : nasal decongestant

~ Metamizole (as Nolotil) —CONTROVERSIAL— : pain killer

~ prednisona (antiinflammation / supression)

+ olbas drops : peppermint, cajeput and eucalyptus oil : For a cold and a slight headache


(L:)[!!*]SEDATIVE— Midazolam >L
Lies used this during Leukemia treatment

"""
Midazolam, sold under the brand name Versed among others, is a benzodiazepine medication used for anesthesia and procedural sedation, and to treat severe agitation. It works by inducing sleepiness, decreasing anxiety, and causing a loss of ability to create new memories. 
"""
"""
Paradoxical effects, such as increased activity, can occur especially in children and older people.[10] 
(...)
In rare susceptible individuals, midazolam has been known to cause a paradoxical reaction, a well-documented complication with benzodiazepines. When this occurs, the individual may experience anxiety, involuntary movements, aggressive or violent behavior, uncontrollable crying or verbalization, and other similar effects. This seems to be related to the altered state of consciousness or disinhibition produced by the drug. Paradoxical behavior is often not recalled by the patient due to the amnesia-producing properties of the drug. In extreme situations, flumazenil can be administered to inhibit or reverse the effects of midazolam.  Antipsychotic medications, such as haloperidol, have also been used for this purpose.[42]
"""



<------------------------- (new) pills/creams ↑ ↓ medic box



@ medic box

+ 96% ethanol
+ 70% ethanol + ###

+ digital thermometer
~ Sterile saline aka "physiological solution":
    for irrigation, flushing wounds
    0.9% NaCl (ocean is 3.5%!)
!Hydrogen peroxide (=agua oxigenada) (desinfect):
    3% (red), 5% (green)
    watch eyes(!)
+ random plasters
+ nootropics
+ apple cider vinegar
### from shop, have 5°, apparently there are 5-20°, do we need a stronger one? !!!

~ Plastic bags, assorted sizes
+ Safety pins in assorted sizes
+ Scissors
+ tweezers
+ Hand sanitizer
    (toiletries and randomly around)
* Antiseptic solution and towelettes
    (toiletries and randomly around)
+ Eyewash solution (toiletries)
* Breathing barrier (surgical mask)
nnnn(we have these with tools...)
* condoms (standard / XL / non-latex)
* medical tape

! Rubber tourniquet or 16 French catheter
! sterile nonstick bandages
! elastic wrap bandages
! sticking bandages
! Instant cold packs
! liquid skin bandage
! Turkey baster or other bulb suction device for flushing wounds
! USB-powered hot pack
    ### so you don't need to keep boiling it

! knee splint
! hand splint / immobiliser (L)



@ elsewhere
What we have in other places but should also be considered medical support:

+ Duct tape (@tools)
+ Cotton
+ cotton-tipped swabs (@toiletries)
! Disposable nonlatex (Nitrate?) examination gloves (@tools)
! mineral oil


——————————————

Liquid Skin Bandage
"""
  • Deep cracks of the feet or toes usually do not heal with ointments.
  • Use a liquid skin bandage that will completely seal the crack. Many brands of liquid bandage are available. No prescription is needed.
  • Start with 2 layers. Put on another layer as often as needed.
  • As the crack heals, the plastic layer will be pushed up.
"""

(unsorted)

! Aluminum finger splint
! pipette
! Syringe
~ medicine cups
~ medicine spoons
! suture kit (also to practice...)
    * https://www.blacksmithsurgical.com/surgery-set/suture-set
    * https://www.medistitch.eu/product/surgical-sutures/
! medical glue
    https://www.healthline.com/health/super-glue-on-cuts#medical-uses
! scalpel (diferent sizes)
! microscopy glass

<----------------------------------------- (new) BASIC SUPPLIES / STOCK ↑↓





*** CONDITIONS

We've had experiences with ...


* cold (nose, throat, ears)
#ORL

* is bacterial or viral?
* will happen if living outside <14°C
* drink teas!
* spray propolis in throat!
* connection to dental hygiene!:
    * chew gum with xylitol
* improve your immune system:
    * take 500-1000mg vitamin C (lemon has ~50mg, min PD ~100mg)
    * take streptococcus salivarius k12 probiotic
* cure [↓]



* sinusitis (ORL)

sinupret works great!



* dehydration

can cause herpes outbreaks



* conjunctivitis (eye infections)

* rinse your hands with drinking water (after fresh water / gray water)!
* treat with chamomile!
* there should be "colirio" in medic box!



* sunburn

aloe vera!



* food allergy issues

aching skin, diarrhea, etc

due to:
    * mollusks
    * red wine
    * lentils
    * [...]

https://www.uptodate.com/contents/oral-allergy-syndrome-beyond-the-basics/print
OAP

https://www.uptodate.com/contents/allergic-rhinitis-beyond-the-basics?topicRef=88574&source=see_link
allergic rhinitis

"take antihistamines":
    "However, these drugs often cause sedation and should not be used before driving or operating machinery or in children."



* ear infections (especially otitis media, "middle ear infection")

2020/06 Lies:
    left ear, lasted a month
    probably touch with q-tip, ~3-days later problems
    took a few ibuprofens when needed in beginning
    were applying garlic+olive oil mixture (warm)
    there were "crusts inside"
    heard 60% (it was totally stuffed)
    ______ week 1
    ruptures ear drum:
        hearing totally gone
    went to hospital, but didn't have coverage documents ready
    leaking and blood started after
    goes to pharmacy:
        pharmacist is not clear about it but there is a distinction between:
            A) OUTER EAR
            B) MIDDLE EAR (which should not be treated with drops)
    treats with Otogen drops:
        "they felt very cold"
        i wasn't really taking the drops
    ______ week 2
    the infection healed "because of time"
    "we kept doing the oil treatment"
    ______ week 3
    flies to Belgium, as *after* you have broken ear drum it's fine
    ### (not sure):
        got some pills that "needed to be efficient within X days"
        otherwise surgical options would need to be assesed
        but then it worked out (X+a few days)
    ______ 1 year later
    totally cured, "i feel maybe some slight sensitivity, slight tingle, basically tingle"
    


________________________ 2021/05 D:
    probably q-tip my ear
    a few days later:
        close with somebody with runny nose and coughs
        she also sticks hair in my ear canal (?!)
    ___________________
    swelling!
    tried:
        * oil+garlic : did not have a good feeling
        * otogen drops : same, it seems getting worse
    getting better, then worse:
        * swelling on face-side of targus
        * day 4, jaw kind of blocked — TMJ suspected as well!:
            https://www.healthline.com/health/tmj-disorders
            (esp since D has a destroyed TMJ from wisdom tooth extraction there)
    __________________ day 5
    tried vinegar+alcohol :
        * tried on good ear first
        * was worried because YOU SHOULD NOT DO IT WITH MIDDLE EAR INFECTION didn't feel any seems it helps
        * no difference - trying to use it a few times
        * seems to really improve my situation
        * first night when condition improved (post Mavericks Game 6)
    -------- 0609
    ER:
        oido externo: otodinia izquierda +++ trago/antitrago+++ mastoides ++ cae: inflamado+++ cerumen/secresiones+++ mt: no visible.
            antitragus (a bone):
                https://www.sciencedirect.com/topics/medicine-and-dentistry/antitragus
            mastoides (=cells) ... but mastoiditis (=serious condition with those cells):
                https://www.nhs.uk/conditions/mastoiditis/
                https://www.webmd.com/cold-and-flu/ear-infection/mastoiditis-symptoms-causes-treatments
        otoscopia: --||--
        berrera idiomatica.
    --------- 0611
    * i decided to not take the pills so far, tried reaching my doctors but no luck until today morning
    * had a 10min consultation and she basically went:
        1) you don't have pain when you press on the ears
        2) you don't have blocked nasal pathways:
            this is important for the middle ear to air out
        3) cover your nose, blow it to "equalize pressure":
            if this doesn't hurt, you're fine
    so her opinion on distance is:
        i don't need antibiotics if nothing else turns up
    YAY


______________________ $$$$

https://www.healthline.com/health/ear-infection-antibiotics#how-theyre-used

https://www.everydayhealth.com/ear-infection/complications/
complications

https://www.aafp.org/afp/2013/1001/p435.html
Otitis Media: Diagnosis and Treatment

https://en.wikipedia.org/wiki/Cefuroxime
https://www.drugs.com/tips/cefuroxime-patient-tips
https://medlineplus.gov/druginfo/meds/a601206.html
(D was given 500mg cefuroxime)

https://pubmed.ncbi.nlm.nih.gov/3043692/
https://pubmed.ncbi.nlm.nih.gov/10463514/
cefuroxime + otitis media

https://www.singlecare.com/conditions/ear-infection-treatment-and-medications
general

(also ciprofloxacin — did not take!)
https://foodcontaminationjournal.biomedcentral.com/articles/10.1186/s40550-015-0019-x
https://en.wikipedia.org/wiki/Ciprofloxacin


    ————— 2023

    Prevention when chronic: vax against flue & pneumonia!

https://www.kind.com/en-sg/magazine/ear-diseases/middle-ear-infection/
"""
There is no really reliable way to prevent middle ear infections. However, scientific evidence suggests that vaccination against pneumococcus and Haemophilus influenzae type b (Hib) can protect against middle ear infections. These bacteria can trigger the painful inflammations. The Standing Commission on Vaccination at the Robert Koch Institute in Berlin therefore recommends immunisation as a standard vaccination. Whether vaccination is advisable should be discussed with a specialist. More information about the recommended time frame for the most important vaccinations in infancy can be found here.
"""

facial asymetry: long term complication
https://www.sciencedirect.com/science/article/pii/S2214541918300464
"""
Facial asymmetry is a condition that may be congenital or acquired. The most common cause of acquired facial asymmetry is unilateral TMJ ankylosis which occurs following trauma, infection and chronic inflammatory diseases. Otitis media is one of local causes of temporomandibular joint (TMJ) associated complications such as suppurative arthritis and ankylosis.
We report a case with history of chronic otitis media that resulted in restricted growth of the mandible, atresia of the external auditory meatus and facial asymmetry.
"""


_______ 2023/8

https://www.medicalnewstoday.com/articles/312634
* tea tree oil (VERY dilluted)
* ###



* ruptured ear drum

blood will come out.
it should heal in some weeks, but check with your doctor.
you can fly with one if it already ruptured.
if it did not, then It might rupture.



* migraines (repeating)

was probably due to tea tree oil spraying poisoning !
#essential.oils



* unindentified skin conditions



* coronavirus pandemic

:
    * newcomers quarantining
    * protocols: shopping, new supplies, etc
    * [...]



* pest bites

calendula cream seems to help nicely for mosquito bites.
aloe vera too.



* toxoplasmosis

🔗toxoplasmosis



* splinters, thorns, prickles

###



 
↓↓↓  LESS EXPERIENCES  ↓↓↓
 




* allergies



* anaphylactic shock

antihistamines !!!

also:
    corticosteriods
    etc

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6517288/


* bigger wounds / bleeding

need:
    stop bleeding
    clean (iodine)
    re-dressing
    treating (Antibiotic creams, aloe vera, etc)

"""
if bleeding is serious, please get medical attention immediately, if this is not possible, then you can follow these instructions. First clean the wound, using water and a mild soup, then an antibiotic essential oil, such as cinnamon oil to keep it from getting infected, before applying a sanitory bandage. If bleeding is too heavy for the bandage, you will need an antihemorrhagic sealant such as Chitosan, in a pinch you get can some fresh organic blackberries and make a paste with ginger, garlic and turmeric, and use that as a sealant.
"""
from Dmytri Kleiner's welness tips
https://www.facebook.com/dmytri.kleiner/posts/10160153488386340?comment_id=10160153561646340&reply_comment_id=10160153597166340

"""
To avoid waiting for blackberry season,
yarrow leaves (Achillea millefolia) are also a very good hemostatic, and they grow year-round in some climate zones (tendency probably increasing...)
"""
(yarrow=rman)


______ wound irrigation (cleaning with water under pressure)

https://www.facebook.com/107553021828621/photos/a.108181958432394/126512276599362/
"""
WOUND IRRIGATION
When talking about the topic of Wound Irrigation, many people picture someone steadily pouring water over a wound from a bottle or container. While that is certainly better than nothing, there are certain things to consider which greatly increase the efficiency of Irrigation. Whenever Wound Irrigation is performed correctly it removes debris and contaminates from the wound, enhances wound healing, and most importantly makes it easier for you to visualize (and thus assess) the Wound. Like I mentioned before, Irrigation is not as simple as pouring water or normal saline over a wound before you apply a dressing, it must be performed properly through planned and deliberate actions to achieve the desired results.
So if it's not dumping a ton of water over the Wound, what is Irrigation, and what does it achieve when carried out correctly? Wound irrigation involves the use of fluid, in a pressurized method, to remove:
cellular debris that is loosely clinging to      
     the wound
surface bacteria
wound exudate (drainage)
dressing residue
residual topical residue from ointments 
     and other topical agents
The ultimate goal when irrigating a wound is to assist with maintaining a moist wound environment to promote optimal wound healing and debridement of devitalized tissues, also to expedite wound healing. Almost all wounds you'll encounter can and should be irrigated. The only exception to the rule I can think of off hand is wounds that are bleeding heavily, and I mean heavily. In these types of wounds Irrigation will impact the bodies blood clotting cascade and any irrigation may dislodge clots that are forming, or have already formed, and actually cause the  bleeding to resume. 
So now that we have an idea of what Irrigation is, and what we're hoping to accomplish by performing it, let's look at some considerations of Wound Irrigation you'll want to keep in mind:
 Wounds should be irrigated during your initial assessment to more effectively and accurately assess all aspects of the Wound, in addition wounds should be irrigated every time you perform a dressing change.
 Normal saline is considered the standard as far as irrigant solution in the healthcare setting; however, there is evidence based reports in circulation currently that elude to tap water resulting in faster wound healing.
 THE MOST IMPORTANT Consideration to Irrigation is no doubt Irrigation Pressure. Without enough pressure being applied during Irrigation, the process will fall short of removing surface bacteria, debris, and contaminants. In the event this happens, the potential for Wound infection is greatly increased. On the other end of the spectrum providing too much pressure can actually force contaminants downward into the wound bed and also disrupt and damage granulation tissue. The optimal Irrigation pressure should be between 4 and 15 psi, to achieve this in the healthcare setting an 18g blunt tip catheter is attached to the end of a normal saline flush.
With the above considerations in mind, let's walk through, step by step, on how you should perform the Irrigation of a wound:
Gather all the necessary materials to preform your intervention, set up and stage your area appropriately
Preform hand hygiene and then position the patient to provide the best access and visualization of the wound.
Don gloves and remove the old dressing, throw away the old dressing and the now soiled gloves, perform hand hygiene 
Drape the patient and pad around the wound with towels or padding to absorb the irrigant solution.
Don protective equipment (eye protection, gloves, and gown and mask). The likelihood of splash back should be heavily considered and protected against
Irrigate the wound using the appropriate pressure (4-15 psi, accomplished by using the appropriate size needle to achieve pressurized stream), of note studies have long reported a psi of 10-15 to be most affective, for that Pressure an 18g needle can be attached to the flush 
Pat dry any intact skin with light pressure and cover open areas with sterile gauze 
Redress the wound only after performing any necessary interventions such as debridement.
Dispose of dirty/soiled materials
 IMPORTANT NOTE: You should be careful to allow the solution to flow from the CLEANEST to the DIRTIEST area of the wound. Do not force irrigant solution into any wound pockets such as any areas of tunneling. 
So in closing lets cover some key points to take away from this write up. Performing wound irrigation is easy if you understand the principles behind doing it, in addition it's relatively quick and effectively promotes wound healing. Having the proper tools to carry out your interventions readily available to you will make the process more efficient and limit the chance of Wound contamination, and thus, risk of infection. Irrigation can literally be carried out on almost any Wound, on any part of the body, and can be done in virtually any setting. So, if the injury results in any debris being present in the wound, if you suspect any contamination at all (and you always should), if you have any concerns at all, FLUSH , FLUSH, FLUSH
References:
https://www.statpearls.com/ArticleLibrary/viewarticle/31405
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8299912/
https://emedicine.medscape.com/article/1895071-overview
"""




 
↓↓↓  UNSORTED  ↓↓↓
 


* dental: abscess

An abscess at the end of a tooth is called a periapical abscess. An abscess in the gum is called a periodontal abscess.

Dentists will treat a tooth abscess by draining it and getting rid of the infection. They may be able to save your tooth with a root canal treatment, but in some cases the tooth may need to be pulled. Leaving a tooth abscess untreated can lead to serious, even life-threatening, complications.

https://www.healthline.com/health/home-remedies-for-abscess-tooth
https://www.healthline.com/health/home-remedies-for-boils
https://www.mayoclinic.org/diseases-conditions/tooth-abscess/symptoms-causes/syc-20350901


* dental: plaque



* dental: canker sore / apht / ulcer



* mild ear infection: itchy ear canal / ear entry

"""
Does the skin around your ears feel dry, itchy, or irritated? There are a number of things that may be causing your ear discomfort, such as heat exposure, harsh soaps, or a possible chronic skin condition.
"""
https://www.healthline.com/health/skin-disorders/dry-ears

_____________

https://www.medicalnewstoday.com/articles/324671
check for "swimmer's ear"

"""
An outer ear infection (otitis externa) causes pain, redness and swelling in your outer ear canal. This is the tube that leads into your ear. Outer ear infection is usually caused by bacteria. But they may also be caused by a fungal infection, irritation or eczema in or around your ear canal.
"""

https://www.healthline.com/health/scab-in-ear
"ear scabs"

______________________

https://www.medicalnewstoday.com/articles/alcohol-in-ear
https://www.indystar.com/story/life/2014/07/31/swimmers-ear-cures-can-include-vodka/13356357/
alcohol + vodka + glycerin !
before, and after swimming
also, for mild treatment
alcohol does NOT kill bacteria, only dries out water (supposedly)

_______

https://rightasrain.uwmedicine.org/well/health/ear-infection
###

________

https://www.healthline.com/health/rubbing-alcohol-in-ear

alcohol + vinegar → YES
but not too much alcohol

it dries out skin, creates flakes that get removed some 3-5 days later

vinegar + peroxide? → NO
"""
forms peracetic acid, which is corrosive and could damage your respiratory system, eyes, and skin.
Because of this, mixing your cleaners together typically isn't a good idea, and that is still the case with rubbing alcohol and hydrogen peroxide
"""

peroxide → alcohol + vinegar?
### maybe

_________________

https://www.drugs.com/pro/hydro-ear-drops.html
"""
Generic name: hydrocortisone, pramoxine hydrochloride, chloroxylenol and benzalkonium chloride
Dosage form: otic solution
[...]
Hydrocortisone:          
11, 17, 21, trihydroxy, (11 b)-Pregn-4-ene-3,20-dione, is an anti-inflammatory and antipruritic agent. It occurs as a white to practically white, odorless, crystalline powder which melts at about 215 °C with decomposition. It is very slightly soluble in water and in ether; sparingly soluble in acetone and in alcohol; slightly soluble in chloroform.
                
                              Pramoxine hydrochloride:          
4[3-(4-butoxyphenoxy) propyl] - Morpholine hydrochloride is a topical anesthetic proven to be safe and effective in hospital tests. It occurs as a white to practically white, crystalline powder, having a numbing taste and it may have a slight aromatic odor. The pH of a solution (1 in 100) is about 4.5, it is freely soluble in water and in alcohol; soluble in chloroform; and very slightly soluble in ether.
        
        
                              Benzalkonium chloride:          
Action lowers surface tension permitting greater penetration to meatal skin. It also is a cationic germicide of high bactericidal and bacteriostatic potency.
        
"""

___________________________

https://go.drugbank.com/drugs/DB11105
"""
Benzalkonium is a quaternary ammonium compound used as a biocide, a cationic surfactant, and as a phase transfer agent Label. Benzalkonium is more commonly contained in consumer products in its salt form, benzalkonium chloride Label. This salt is used in a great variety of international pharmaceutical products such as eye, ear, and nasal drops or sprays as an excipient ingredient serving as an antimicrobial preservative Label. When used as an ingredient in antiseptic and disinfectant products however, it is an active antimicrobial agent 2.
"""

https://dailymed.nlm.nih.gov/dailymed/fda/fdaDrugXsl.cfm?setid=2ec6bd57-96df-47ac-b218-1469801868b7&type=display
"""
Ofloxacin Otic Solution contains:
Active: Ofloxacin 0.3% (3 mg/mL)
Preservative: Benzalkonium chloride (0.0025%)
[...]
----------- counters
Aerobic and facultative gram-positive microorganisms
Staphylococcus aureus
Streptococcus pneumoniae
Aerobic and facultative gram-negative microorganisms
Escherichia coli
Proteus mirabilis
Haemophilus influenzae
Pseudomonas aeruginosa
Moraxella catarrhalis
""

___________________________

[!!!**]:
    * go to pharmacy, explain, try to get solutions
    * prepare general list of stuff they could assist me with
    * ... maybe work with Old Fren in Kranj pharmacy?

__________________

https://pubmed.ncbi.nlm.nih.gov/23918745/
"                          Ototoxicity of aluminum acetate/benzethonium chloride otic solution in the chinchilla animal model        "




* ADHD

seems Guarana helps !

"""
Guarana refers to the seed extract of a natural stimulant native to the Amazon forest.
Of the herbs discussed here, guarana most resembles ADHD stimulant drugs. It contains xanthine alkaloids such as caffeine, theophylline and theobromine.
The alkaloids in guarana not only boosts stamina and energy but they also reduce mental fatigue. Caffeine, for example, increases the levels of dopamine and norepinephrine in the brain. At the doses in which it is supplied, it actually has a calming effect on hyperactive ADHD kids.
Theophylline also stimulates the central nervous system and it improves mental alertness. Theobromine, on the other hand, improves mood.
Therefore, all the medicinal effects of the alkaloids found in guarana can help improve different symptoms of ADHD.
"""

https://sites.google.com/site/kruidwis/fytotherapie/adhd




* hemorrhoids

treatement:
    * Tea-tree / Lavender / ... essential oil
        → 🔗essential-oils


    * Reduce / avoid caffeine during treatment
        "consuming high amounts of caffeine may lead to digestive issues that prevent hemorrhoids from healing, it is commonly recommended to avoid the stimulant during treatment for hemorrhoids."
        https://lacolon.com/blog/cut-caffeine-control-hemorrhoids

        ____________________caffeine containing beverages
        * Guarana -- natural powder contains ~3-4% caffeine
            "Doses greater than 250-300 mg daily have been linked to side effects"
                https://www.rxlist.com/guarana/supplements.htm
        * Coffee -- contains ~2.8% / "95mg per cup"
        * Black tea -- 47mg per cup
        * Green tea -- 33mg per cup
            https://www.bbcgoodfood.com/howto/guide/how-much-caffeine-tea


    * go to bathroom when you feel the urge, take time... :)

    * [...]


more info:
    * https://www.health.harvard.edu/diseases-and-conditions/hemorrhoids_and_what_to_do_about_them
    * https://www.healthline.com/health/home-remedies-for-hemorrhoids#see-your-doctor


* (suspected) wrist fracture

* be very careful, it's not neccessarily obvious (painful, etc)

* natural remedies for bone healing:
    https://www.richters.com/show.cgi?page=QandA/Medicinal/20001121-2.html

* ###



Periungual warts

https://www.healthline.com/health/skin-disorders/periungual-warts

qqq:
    * how to asses if this is a & differentiate from bad forms of HPV?
    * how to differentiate from cancerous/malignant skin forms



Demodex

also see → Blepharitis

“When Demodex mites are identified as being present, the treatment is straightforward. However, because of the nature of the mites, they can multiply at a rapid pace, so they must all be removed,” Dr. Wolle says. “The best way to go about this is through lid scrubs and tea tree oil, which cleans the dandruff from the lash root and irritates the mites enough for them to move out of the skin. Like anything else, maintaining proper hygiene is essential.”
https://www.reviewofophthalmology.com/article/blepharitis-know-what-to-look-for



EYES— Blepharitis

"""
Blepharitis causes red, swollen and itchy eyelids. It can normally be treated by washing your eyelids every day. The condition is not usually serious, but can lead to other problems, such as dry eyes, cysts and conjunctivitis, especially if it's not treated.

Symptoms of blepharitis include:
  • sore eyelids
  • itchy eyes
  • a gritty feeling in the eyes
  • flakes or crusts around the roots of the eyelashes
  • red eyes or eyelids
  • eyelids sticking together in the morning when you wake up
"""
https://www.nhs.uk/conditions/blepharitis/

https://www.reviewofophthalmology.com/article/blepharitis-know-what-to-look-for
good article



Acne

[!] Salicylic acid
https://www.healthline.com/health/skin/salicylic-acid-for-acne#how-it-works
works best for blackheads and whiteheads. When used regularly, this ingredient may also prevent future comedones from forming. 
"""
Form    Percent of salicylic acid    How often to use
gel    0.5–5%    once per day
lotion    1–2%    1 to 3 times per day
ointment    3–6%    as needed
pads    0.5–5%    1 to 3 times per day
"""

[!] Benzoyl peroxide
According to the American Academy of Pediatrics, benzoyl peroxide is the most effective acne-fighting ingredient available without a prescription. It works best on traditional red, pus-filled pimples (pustules). 
1-10% , 2.5% seems ok. 5% seems a bit too strong even to use in the most micro-dose direct on point.
----------
"Peroxiben 25mg/g" (2.5%), costs ~10€, has:
    * https://en.wikipedia.org/wiki/Docusate
    * https://en.wikipedia.org/wiki/Simeticone

[!] tea tree/eucalyptus oil
apply DILUTED:
    with cotton swab+alcohol (direct)
    or diluted in water (for wash)

[!] Benzalkonium chloride
https://en.wikipedia.org/wiki/Benzalkonium_chloride
found in:
    "URAL ALCOHOL SANITARIO 70°, con cloruro de benzalconio":
        100g alcohol 70°
        0,1g cl de b
for acne:
    → https://patents.google.com/patent/JP5047476B2/en
    → https://www.pharmacytimes.com/view/2006-06-5628 (with Differin):
        "A phase 4 multicenter trial combiningadapalene gel 0.1% (Differin) witheither topical or oral antibiotics provedsafe and effective for the treatment ofmoderate-to-moderately severe acne"

[!!**o]
Retinol
https://www.healthline.com/health/beauty-skin-care/how-does-retinol-work


__________ suggested

20210825 <stvarnik
maybe https://en.wikipedia.org/wiki/Doxycycline
"to destroy from inside"




Acne scars

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2958495/
"""
Acne has a prevalence of over 90% among adolescents and persists into adulthood in approximately 12%–14% of cases with psychological and social implications. Possible outcomes of the inflammatory acne lesions are acne scars which, although they can be treated in a number of ways, may have a negative psychological impact on social life and relationships. The main types of acne scars are atrophic and hypertrophic scars. The pathogenesis of acne scarring is still not fully understood, but several hypotheses have been proposed. There are numerous treatments: chemical peels, dermabrasion/microdermabrasion, laser treatment, punch techniques, dermal grafting, needling and combined therapies for atrophic scars: silicone gels, intralesional steroid therapy, cryotherapy, and surgery for hypertrophic and keloidal lesions. This paper summarizes acne scar pathogenesis, classification and treatment options.
"""

https://www.healthline.com/health/acne-scars#at--home-treatment
* Alpha hydroxy acids
* retionids
* Salicylic acid (~4x strong, 30% professional application)
###



[!!**] Seborrheic dermatitis

https://www.webmd.com/skin-problems-and-treatments/how-to-treat-beard-dandruff
"""
Seborrheic dermatitis is the most common cause of beard dandruff. It may leave you feeling as though you don’t have good hygiene. Dandruff is actually caused by yeast growth on your skin called Malassezia.
"""


____ causes
it's basically highly suspected to
* be a fungal form
* "associated with vitamin B6 deficiency"
* too much sexy hormones:
    """Eunuchs, owing to their low androgen levels and small sebaceous glands, do not develop seborrheic dermatitis.[17]"""
* ###


____ cures

→ Ketaconazole
"""
Ketoconazole is an antifungal medication that helps to kill fungus and yeast and prevent them from growing back. You can find it over-the-counter, but strong doses of the shampoo may require a prescription from your doctor.
"""

→ "Other options may include:
    [!] salicylic acid,
    [!] coal tar,
    [!] benzoyl peroxide,
    and phototherapy."




... "scalp itch" / "psiorasis" / ###

cotton ball + 3% hydrogen peroxide
https://www.psoriasis-association.org.uk/forums/topic.aspx?ID=2470
"""
Good ol’ cheap 3% H2O2 bought at any drugstore or grocery store will stop your psoriasis and itching too. Immediately when you get that itch and feel those spots coming up, get a cotton ball, soak it in 3% hydrogen peroxide and rub into your itchy spots until you see the spot turn white. The area may scab over, but thats ok as it will heal quickly
"""

https://www.home-remedies-for-you.com/askquestion/8300/how-do-i-stop-itchy-scalp.html
###

https://www.quora.com/Would-it-be-better-for-my-scalp-psoriasis-if-I-stopped-washing-my-hair-with-shampoo
"you need to wash to remove dead skin; wash it with special shampoos"



Foreign object in eye
(D @ 20210922)
###

do:
* wash out in slightly warm water

post:
* watch out for eye pus (possible sign cornea is damaged or there is still a part inside)
* watch out for Endophthalmitis:
    "is severe inflammation of the inside of your eye caused by a bacterial or fungal infection"



Tics (Speech)

https://www.theguardian.com/media/2021/nov/16/the-unknown-is-scary-why-young-women-on-social-media-are-developing-tourettes-like-tics
sociogenic tics ?!
"""
But I also noticed that watching other people tic made me tic.
"""



Ears: TMJ/TMD

"""
Since the TM joint resides adjacent to the ears, it's common to experience many TMJ symptoms in the ears. Patients can experience ear pain or clogged ears that they might pass off as an ear infection or allergies but is actually from TMD. TMD can also cause tinnitus (ringing in the ears from nerve irritation).3 Sept 2020
"""

"""
Temporomandibular joint (TMJ) problems
The  TMJ  is the jaw joint that has a cartilage disk in it. With ageing and wear and tear from dental conditions, this joint can degenerate and start clicking on opening and closing the mouth. In this case, you would be referred to a dental specialist.
"""
+D has this problem

https://pubmed.ncbi.nlm.nih.gov/36557008/

https://www.tmjsleepapnea.com/blog/signs-tmj-disorder/
5 signs



Angular Cheilitis (corner of lips)
can be mistaken for herpes simplex

https://my.clevelandclinic.org/health/diseases/21470-angular-cheilitis
"""
Causes of dry, cracked lip corners that can trigger angular cheilitis include: 
  • Atopic dermatitis or eczema. 
  • Dentures that don’t fit. 
  • Drooling during sleep. 
  • Fungal or yeast infections in the mouth, such as thrush. 
  • Misaligned teeth. 
  • Skin allergies. 
  • Sucking on a thumb or a pacifier.
  • Wearing a face mask. 
"""



Neuropathy
* has possible connection to #dental
* tingling
(SLO) "mravljinci"
* ###

UPDATE:
    Vitamin E defficiency!!



Cracked skin on toes

https://www.seattlechildrens.org/conditions/a-z/cracked-or-dry-skin/
"""
Deep Cracks - Use Liquid Skin Bandage:
  • Deep cracks of the feet or toes usually do not heal with ointments.
  • Use a liquid skin bandage that will completely seal the crack. Many brands of liquid bandage are available. No prescription is needed.
  • Start with 2 layers. Put on another layer as often as needed.
  • As the crack heals, the plastic layer will be pushed up.
"""



Myasthenia gravis (rare, autoimmune)

https://en.wikipedia.org/wiki/Myasthenia_gravis
"""
Myasthenia gravis (MG) is a long-term neuromuscular disease that leads to varying degrees of skeletal muscle weakness.[1] The most commonly affected muscles are those of the eyes, face, and swallowing.[1] It can result in double vision, drooping eyelids, trouble talking, and trouble walking.[1] Onset can be sudden.[1] Those affected often have a large thymus or develop a thymoma.[1]
"""



Ears: Acne (pimple)

→→ applied benzoyl peroxide, great
(is not ototoxic!)



Ears: Scabs
also "Dermatitis of ear canal"
ties to "Swimmer's Ear"

https://www.verywellhealth.com/scab-in-ear-5184814
"""
  • Applying antibiotic ointment on the affected area
  • Rinsing the infected area with sterile saline
  • Hydrogen peroxide
  • Retinol
"""

https://www.msdmanuals.com/home/ear,-nose,-and-throat-disorders/outer-ear-disorders/dermatitis-of-the-ear-canal
https://www.msdmanuals.com/home/ear,-nose,-and-throat-disorders/outer-ear-disorders/ear-canal-infection-swimmers-ear
###

________________________

→ Acetic acid (vinegar)
https://www.drugs.com/mtm/acetic-acid-otic.html
"""
To use the ear drops:
  • Soak a small piece of cotton with several drops of this medicine and then insert it into your ear. Or you may insert the cotton into your ear first and then drop in enough medicine to soak the cotton inside the ear canal.
  • Leave the cotton in your ear for at least 24 hours, and keep it moist by adding 3 to 5 drops of acetic acid to the cotton every 4 to 6 hours.
"""

_________________________ → with Hydrocortisone

https://en.wikipedia.org/wiki/Acetic_acid/hydrocortisone
https://healthy.kaiserpermanente.org/health-wellness/drug-encyclopedia/drug.vosol-hc-1-2-ear-drops.189658
"""
This combination medication is used to treat outer ear infections (such as swimmer's ear). This product contains 2 medications. Acetic acid works by stopping the growth of bacteria and fungus. Hydrocortisone is a steroid that helps to decrease the redness, swelling, and itching from the infection.
"""

https://www.drugs.com/pro/vosol.html
"""
VōSoL (Acetic acid otic solution, USP) is a solution containing acetic acid (2%) in a propylene glycol vehicle containing propylene glycol diacetate (3%), benzethonium chloride (0.02%), and sodium acetate (0.015%).
"""


→ Retinol [!!*o]
https://www.healthline.com/health/beauty-skin-care/how-does-retinol-work
"""
Retinol is one of the best-known skin care ingredients on the market. An over-the-counter (OTC) version of retinoids, retinol is derived (made from) vitamin A and is primarily used to treat mature-looking skin concerns as well as acne. 
[...]
Once in this middle layer of skin, retinol helps neutralize free radicals. This helps boost the production of elastin and collagen, which creates a “plumping” effect that can reduce the appearance of: 
  • fine lines
  • wrinkles
  • enlarged pores
While retinol is also sometimes used to help treat acne as well as related scarring, severe acne is usually treated via a prescription retinoid along with other medications that help target inflammation and bacteria.
Finally, retinol has an exfoliating effect on the skin’s surface that can help improve texture and tone.
"""
... Skin care [!→]

→ Salicylic acid? (!!)
""
causes a reversible sensori-neural hearing loss. Its ototoxicity is probably related to its effect on prestin, the motor protein of the outer hair cells.
"""

[!!**o]
"For more intensive care, products with lactic acid are known to be helpful"
------------- (for pets)

https://pubmed.ncbi.nlm.nih.gov/12756632/
"""
Thirty-one ears (16 dogs) with otitis externa originating from bacterial or yeast infections were enrolled in a study to evaluate the in vivo efficacy of an ear cleanser containing 2.5% lactic acid and 0.1% salicylic acid for the treatment of infectious otitis externa
"""

https://fda.report/DailyMed/41fec4f3-fbda-42a5-8afc-7ccd4702cd4d
"""
SD-Alcohol 40-2, 10%;
Lactic Acid, 1.76%;
Benzoic Acid, 0.15%;
Salicyclic Acid, 0.1%.
"""



Ears: Malignant External Otitis

https://www.msdmanuals.com/home/ear,-nose,-and-throat-disorders/outer-ear-disorders/malignant-external-otitis
"""
People with malignant external otitis have severe ear pain (often worse at night), a foul-smelling discharge from the ear, pus and debris in the ear canal, and usually decreased hearing. In severe cases, paralysis of nerves in the face and head may occur as the infection spreads along the base of the skull.
"""

Diagnosis:
    CT, biopsy/culture
    [!!**]

Solution:
    Repeated ear cleaning + AB



Tetanus (shot)

[!!→] @@newcomers — should be a precondition

* two types of vax:
    * regular immunity building:
        must have minimum 3x + not more than 10 years from last booster
    * TIG (https://en.wikipedia.org/wiki/Anti-tetanus_immunoglobulin) — after injury, if not already in regular immunity, OR IF UNKNOWN

* take it asap, 24 hours best, up to 72 hours



(L:)[!!] SYMPTOMS/PAIN/TREATMENT— Back injury (back pain)
via 20220819 D's injury @IHI during moving boxes +Matic

https://www.healthdirect.gov.au/back-injuries
###

____________

"""
* Apply heat or ice to the painful area. 
    Use ice for the first 48 to 72 hours, then use heat. 
* Take over-the-counter pain relievers such as ibuprofen (Advil, Motrin IB) or acetaminophen (Tylenol).
* Sleep in a curled-up, fetal position with a pillow between your legs.
"""
https://medlineplus.gov/ency/article/002119.htm
"""


What are the symptoms of serious back injury?
  1. difficulty breathing or shortness of breath.
  2. problems with urinating or passing stool (poo)
  3. numbness or pins and needles to the arms, legs, hands or feet.
  4. fever.
  5. paralysis.
  6. blood in the urine.
"""
https://www.healthdirect.gov.au/back-injuries



PSYCH— Suicide prevention

[!!] 5 / 20 minute "training" to recognize + assist
https://www.zerosuicidealliance.com/training



TOXIC— Jellyfish burns

https://www.otro-modo-surfschool.com/surfcamp-news/id/jellyfish-in-fuerteventura-while-surfing/
* treat with saltwater
* non-direct ice
* keep out of sun
* get some cream from pharmacy



NEURO— Brain solidification

https://www.fastcompany.com/3045424/what-it-takes-to-change-your-brains-patterns-after-age-25
"""
For those who want to stimulate their brain, Swart recommends learning a new language or musical instrument. Or any “energy intensive” challenge that requires “conscious processing of inputs, conscious decision making, complex problem solving, memorizing complex concepts, planning, strategizing, self-reflection, regulating our emotions and channeling energy from them, exercising self-control and willpower,” Swart says.
[...]
To have the energy to keep your brain flexible and “plastic,” Ancona and Swart say your physical health needs to be in good shape, especially since your brain sucks up such a massive amount of your body’s nutrients. The hydration, nutrients, and rest you need are even more important as your brain learns, unlearns, and relearns behavioral patterns.
"""



E.coli

🔗antipest
###



[m!!*] Ears: Ear infection (cont)

20230303 cuba ER visit
* otitis externa
* take:
    * Prednisolona (steroid) & chloramphenicol (AB), 3 drops / 8 hours each:
        https://en.wikipedia.org/wiki/Prednisolone
    * co-trimoxazol (400/80 sulfamethoxazole/trimethoprim), 2 tablet / 12 hours:
        https://en.wikipedia.org/wiki/Trimethoprim/sulfamethoxazole
* ...so:
    * pills: 2h/14h
    * drops: 14h/22h/5:30h

https://www.mayoclinic.org/drugs-supplements/sulfamethoxazole-and-trimethoprim-oral-route/proper-use/drg-20071899
https://www.pdr.net/drug-summary/Bactrim-Bactrim-DS-sulfamethoxazole-trimethoprim-686

"""
Drink plenty of fluids while taking this medication to lower the unlikely risk of kidney stones forming
"""

Caution, ineffective with:
"""
Streptococcal infection (group A β-hemolytic)—Sulfonamides should not be used in patients with this condition. 
"""
(will be asked if you have "sore throat")

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3216436/



Ears: (alt ear infection)

https://en.wikipedia.org/wiki/Methylprednisolone
(was being prescribed for 3 or 4 days in Slovenia, supposedly very strong)



"Jammed finger" / "Mallet finger" (strained tendon)
(basketball injury)

https://my.clevelandclinic.org/health/diseases/21794-jammed-finger-sprained-finger
* Ice the first 2 days, a few times per day
* Rest it, don't use it


* "RICE" works great
* just putting finger under running cold water ... if living in Alps ;-) ... a few times a day for 30sec works great



Basketball finger → cartilage growth

###
20230923:
    3 months after "tendon" injury (basketball finger) in right-middle finger it still hurts
    it's possible to feel lower fold to be fatter
    doctor V suggest it might have had a "hairline crack", that lead to this
    ... but that it is okay, that it will fix itself, "better than a tendon break"

[!!**]:
    ok, should i have done something else?
    do i still need to diagnoze it?

_______

https://www.medicalnewstoday.com/articles/319822
hairline fractures

"Ignoring a hairline fracture can lead to a more serious fracture or break occurring, which is more difficult to treat."



[r¶!!] Testicle self-examination

https://www.youtube.com/watch?v=kB4KkBPC5ak
### 



[a!!] Kidney stones ... can manifest as testicle pain

https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/kidney-stones

* burst of pain
* lasting ~month
* recollection of early kidney (lower back) discomfort, tiredness

* DRINK MORE WATER
* [r!!] monitor testicles
* blood & urine tests:
    """
    Blood tests to check calcium, phosphorus, uric acid, and electrolyte levels
    """
* ###


[!!*to¶]
https://www.hippocratis-medico.si/cenik/
Ultrasound self-pay: 90€
Probably beats cost-benefit to do semi-regularly?


________ link dump

https://www.pennmedicine.org/for-patients-and-visitors/patient-information/conditions-treated-a-to-z/kidney-stones
(basic relation to testicle pain established)

g: stab pain in left testicle
↓↓↓
https://www.practo.com/consult/sharp-pain-in-the-testicle-sometimes-the-pain-comes-and-remains-for-few-minutes-in-the-testis-and-this-is-gone-again-it/q
"""
Pain referred to the testis is caused by ureteric calculi or oxalate crystals commonly addressed as ureteric colic.
This is an episodic pain which escalates and then de-escalates.
At times uti may also lead to such symptoms.
* Drink adequate water 4-6glass per day
* Coconut water or cranberry juice may help
* Avoid caffeine and carbonated beverages.
* Avoid​ high oxalate containing food.
* Get a urine analysis done.
"""
---------------------
https://radiopaedia.org/articles/testicular-microlithiasis?lang=us [!!]
"""
Testicular microlithiasis is a relatively uncommon condition that represents the deposition of multiple tiny calcifications throughout both testes. 
The most common criterion for diagnosis is that of five microcalcifications in one testis, although definitions have varied in the past. In the majority of cases, testicular microlithiasis is bilateral.
"""
----------
related
https://radiopaedia.org/articles/burned-out-testis-tumour-1?lang=us
https://radiopaedia.org/articles/testicular-germ-cell-tumours?lang=us
g: "Testicular microlithiasis oxalates"
----------
https://en.wikipedia.org/wiki/Testicular_microlithiasis
----------------------
[!!]
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2721596/
Testicular microlithiasis: Is there an agreed protocol? (2007)
Incidence found to be 5-10%, which is much more than diagnosed.
-------
https://www.mayoclinic.org/diseases-conditions/testicular-cancer-care/expert-answers/microlithiasis/faq-20058074
link to cancer?

https://dfwrenal.com/conditions-we-treat/nephrolithiasis/
(kidney stones)


https://my.clevelandclinic.org/health/diseases/22847-renal-colic
"""
Renal colic is pain that occurs when a stone blocks your urinary tract. While small stones can be passed in urine, larger stones require other treatments such as surgery. Your healthcare provider can also give you medications to ease painful symptoms in the meantime.
"""

https://my.clevelandclinic.org/health/symptoms/16292-testicular-pain
general




[!!] Fissured tongue
LINGUA FISSURATA / LINGUA PLICATA / SCROTAL TONGUE

* lack of B12 !!!
* also...
  • iron
  • folate
  • zinc
* ###

via:
    * https://www.healthline.com/health/dental-and-oral-health/sore-tongue
    * https://www.healthline.com/health/geographic-tongue?utm_source=ReadNext
    * ###



[!!] Supraspinatus rupture (upper back / shoulder blade muscle)

https://en.wikipedia.org/wiki/Supraspinatus_muscle
"""
The supraspinatus (PL: supraspinati) is a relatively small muscle of the upper back that runs from the supraspinous fossa superior portion of the scapula (shoulder blade) to the greater tubercle of the humerus. It is one of the four rotator cuff muscles and also abducts the arm at the shoulder. The spine of the scapula separates the supraspinatus muscle from the infraspinatus muscle, which originates below the spine. 
"""

https://medicofit.si/ruptura-tetive-supraspinatusa-vzroki-rehabilitacija/


<-------------------- (new)+ —BAD— CONDITIONS / PROBLEMS / TO TREAT ↑







*** TREATMENTS

aka MEDICATIONS

________________
should separate by categories
(pills, natural, "alternative", whatnot)
________________



Painkillers

* Ibuprofen:
    BETTER THAN PARACETAMOL AS ALSO ANTI INFLAMMATORY
    less toxic
    ------
    NO ALCOHOL
    "using ibuprofen and alcohol together can greatly increase your risk of kidney problems"


* paracetamol:
    NO ALCOHOL
    ----------
    BE CAREFUL WITH DOSE
    5G WILL DESTROY YOU ALREADY


* alcohol:
    NO MIXING WITH OTHER PAINKILLERS
    as a last resort?
    ________

    "His team systematically evaluated the different results in previous studies and were able to “reliably conclude” that alcohol is an analgesic. They were also able estimate the amount of pain relief a certain dosage of alcohol provides.
    For example, they found that around two pints of beer or two medium-sized glasses of wine resulted in a 24 per cent drop in pain ratings. And the higher the blood-alcohol level, the greater the pain relief (up to a blood-alcohol level of .11)."""
    https://globalnews.ca/news/3430024/alcohol-effective-painkiller/

(20201223) 
    L in 7C notice that with 1 glass of red wine (mixed with water) her backpain is remarkably less severe!
       "I can move again without stiffness / muscle strains"
       ... which is probably good for their general condition, as opposed to my cramped movements of last few days...



( Essential oils )

🔗essential-oils



Aloe vera

###



Calendula cream

"""
It can draw out deeply embedded dirt. Calendula cream is wonderful for minor cuts, scrapes and falls. Calendula cream prevents too early granulation of the wound, thus assisting in scarless healing. It helps with painful wounds and wounds that tend to break open.
"""



Witch Hazel

###



Apple cider vinegar



Glycerin



Cayenne + saltwater

(gargle for sore throat)



Houseleek

will cure ear infections

("pig ear", "donkey ear", etc)
(SLO: "natresk")



Diatomaceous earth

is this same as:
    SLO: galun
    ENG: alum
    ???

___________

https://en.wikipedia.org/wiki/Diatomaceous_earth

"""
Diatomaceous earth consists of fossilized remains of diatoms, a type of hard-shelled protist. It is used as a filtration aid, mild abrasive in products including metal polishes and toothpaste, mechanical insecticide, absorbent for liquids, matting agent for coatings, reinforcing filler in plastics and rubber, anti-block in plastic films, porous support for chemical catalysts, cat litter, activator in blood clotting studies, a stabilizing component of dynamite, a thermal insulator, and a soil for potted plants and trees like bonsai.
"""



WOUNDS/DENTAL/ASTRINGENT— Alum (SLO: "Galun")

https://www.cancer.gov/publications/dictionaries/cancer-terms/def/alum
"""
A chemical substance that contains aluminum sulfate and a second chemical, usually potassium sulfate. It is used to shrink tissues, to stop bleeding, and to boost the immune response to a vaccine.
"""

https://www.1mg.com/ayurveda/alum-143
"""
Modern Science View
Alum has extremely impressive benefits for teeth. It has antiseptic properties that help to fight against tooth decay. This further prevent cavities and strengthen the gums[11].
Ayurvedic View
Alum is an effective remedy for teeth and gums related problems. Alum helps to prevent tooth decay and also control bleeding gums because of its Kashaya (astringent) property.
Tips:
1. Take a pinch of Alum powder.
2. Mix the powder with warm water.
3. Use this solution as a mouthwash daily.
4. This mouthwash tightens the gums and helps to manage toothache.
"""


Talcum powder

???



Oil pulling ?

###



Benzoacine (Otogen ear drops)

https://en.wikipedia.org/wiki/Benzocaine
"""
Benzocaine, sold under the brand name Orajel amongst others, is an ester local anesthetic commonly used as a topical pain reliever or in cough drops. It is the active ingredient in many over-the-counter anesthetic ointments such as products for oral ulcers. It is also combined with antipyrine to form A/B otic drops to relieve ear pain and remove earwax.
"""

https://www.lybrate.com/medicine/otogen-ear-drop



Chlorhexidine (CHX)

https://en.wikipedia.org/wiki/Chlorhexidine

We have Belgian Astrexine ("for use on skin")
"""
Astrexine is an antiseptic agent. Astrexine is active against vegetative forms of gram-negative and gram-positive bacteria and yeasts, dermatophytes and lipophilic viruses. This medicine has effect for bacterial spores only at elevated temperatures. It cleans and disinfects the skin without causing damage.
[...]
For local use of Astrexine Pharmaniaga: trichomonas coleitis, cervical erosion, itching of the vulva, prevention of sexually transmitted diseases ; gingivitis, stomatitis, aphthae, paradont, alveolitis, disinfection of removable dentures, sore throat; postoperative care for patients in ENT and dentistry.
Treatment of wounds, burn wounds and surfaces, disinfection of the patient's skin.
Treatment of surgeons', nurses' hands and operating field before diagnostic manipulation operation.
Disinfection of work surfaces of devices (including thermometers) and equipment which heat treatment is not desirable.
"""
https://www.sdrugs.com/?c=drug&s=astrexine

_________

"""
In endodontics, chlorhexidine is used for root canal irrigation and as an intracanal dressing,[11][12][13] but has been replaced by the use of sodium hypochlorite bleach in much of the developed world. 
"""
#ordering

________

Chlorohexidine as Mouthwash
"""
About 20 mL twice a day of concentrations of 0.1% to 0.2% is recommended for mouth-rinse solutions with a duration of at least 30 seconds
"""

"""
Chlorhexidine is a cation which interacts with anionic components of toothpaste, such as sodium lauryl sulfate and sodium monofluorophosphate, and forms salts of low solubility and antibacterial activity. Hence, to enhance the antiplaque effect of chlorhexidine, "it seems best that the interval between toothbrushing and rinsing with CHX [chlorhexidine] be more than 30 minutes, cautiously close to 2 hours after brushing.".[22]
"""



Hydrogen peroxide

* for wound sanitation
(!) does damage recovering skin, so apply with caution

* for ear infection
(SLO)
https://sl.biomotionmedicalsystemsllc.com/perekis-ot-boli-v-uhe.html

* gargling as prevention ... and "nasal sprays/rinses" !
https://www.georgekramermd.com/hydrogen-peroxide-gargling-nasal-rinses-may-prevent-viral-infection/

[rr!!**]



Ketoconazole

### evaluation protocol [!!→]
#) check side effects → toxicity market withdraval, in any form
The formulation that is taken by mouth was withdrawn in the European Union and in Australia in 2013[14][15] and in China in 2015.[16] In addition, its use was restricted in the United States and Canada in 2013
---
However, topical ketoconazole, which does not distribute systemically, is safe and widely used still.[15]

#) find possibly better (and related) replacements
"ketoconazole has largely been replaced as a first-line systemic antifungal medication by other azole antifungal agents, such as itraconazole, because of ketoconazole's greater toxicity, poorer absorption, and more limited spectrum of activity"

____

#) side effects, hormonal
at high dosages (>800 mg/day), it potently inhibits the activity of several enzymes necessary for the conversion of cholesterol to steroid hormones such as testosterone and cortisol



Medicinal carbon pills (anti-toxicity, digestion, etc)

https://www.lekarnar.com/izdelki/carbo-medicinalis-disperzibilne-tablete



(L:) ANTIINFLAMMATORY— Devil's Claw gel

(20230724 @huje Lies' neck injury)
aka "hudičev krempelj"
"""
Preparations of the plant or its extracts, such as harpagoside,[5] are presumed to have uses in folk medicine and phytotherapy as an anti-inflammatory herbal drug or dietary supplement. Although there is no accepted clinical evidence of its efficacy and bioavailability, limited effects were noted for treating lower back pain and osteoarthritis.[1]
"""
https://en.wikipedia.org/wiki/Harpagophytum#Folk_medicine_and_research

also → https://www.gorenjske-lekarne.si/svetovanje-clanek/vrazji-krempelj


_______ alternative: "Horse balm"

https://www.vsezazdravje.si/en/krauterhof-cooling-horse-balm-250-ml
https://vitalmarket.si/izdelek/konjska-mast/
"""
  • Eucalyptus: For an immediate feeling of relief and lightness. Eucalyptus is used as an ingredient in pharmaceutical preparations to relieve flu and cold symptoms and to relieve coughs.
  • Common yarrow: Due to the essential oils and other active ingredients it contains, common yarrow is often used in folk medicine, mostly to alleviate inflammation.
  • Hops: It was most often used for its sedative effects and beneficial effect on sleep disorders.
  • Common fennel: relieves skin inflammation, relieves muscle pain.
  • Melissa: Improves the skin's defense mechanism and promotes its renewal. It protects, softens and nourishes the skin.
"""



[?] Calamine lotion

https://www.verywellhealth.com/calamine-lotion-7481556
"""
Calamine lotion is an over-the-counter medication that treats several skin conditions like bug bites, poison ivy, and heat rash. 
The primary ingredients of calamine lotion are zinc oxide and ferric oxide. It is the ferric oxide that gives the lotion its characteristic pink color. Avoid using calamine lotion if you are allergic to any of its ingredients, have open sores on the skin, or if your condition is worsening. 
"""


[!!o*] PROBIOTICS/RESOURCE— (research)

https://probiotics.org/strains/
"""
Most Researched Strains
  • L. Acidophilus
  • L. Rhamnosus
  • L. Helveticus
  • B. Infantis
  • B. Lactis
  • Lactogg
  • B longum
  • S boulardii
  • Bacillus subtilis
  • Lactobacillus fermentum
2nd Most Researched Probiotic Strains
  • L. Bulgaricus
  • L. Plantarum
  • L. Salivarus
  • B. Bifidum
  • L. Reuteri
  • L. Casei
3rd Most Researched Probiotics Strains
  • Lactobacillus gasseri
  • S. thermophilus
  • L. Brevis/Breve
  • B. coagulans
"""


https://probioticscouncil.org/different-probiotic-strains-and-their-effects/
###


https://1md.org/health-guide/digestive/ingredients/probiotics
"top 11"
###


https://www.cambridge.org/core/journals/british-journal-of-nutrition/article/comparative-effects-of-six-probiotic-strains-on-immune-function-in-vitro/A48258FC18843CF4FA912E30B0E38EC7
###



[rr!!**] EARS/PROBIOTICS— Streptococcus salivarius K12

https://en.wikipedia.org/wiki/Streptococcus_salivarius
"""
Some strains of S. salivarius are being trialed for their use as a probiotic in the prevention of oral infections. Some strains of S. salivarius are found to produce BLIS (Bacteriocin-like Inhibitory Substances) which are antimicrobial peptides. These peptides display interspecies inhibition, and inhibit Streptococcus pyogenes (which causes strep throat infections). Lozenges containing S. salivarius are marketed to support immunity against more virulent Streptococcus strains. People with this strain of naturally occurring S. salivarius on their tongue have been shown to have fewer Strep throat infections.[2] This is also being investigated for its potential to prevent rheumatic heart disease which is also caused by S. pyogenes.[citation needed]
"""


<gpt
"""
BLIS (Bacteriocin-Like Inhibitory Substances): S. salivarius K12 produces bacteriocins such as salivaricin A and B, which inhibit the growth of pathogenic bacteria in the oral cavity. These substances target and suppress harmful bacteria like Streptococcus pyogenes and Haemophilus influenzae, which are associated with throat infections and can migrate to the ear, causing otitis media​ (Probiotics.org)​​ (Probiotics Council)​.
[...]
Competitive Exclusion: By colonizing the oral and nasopharyngeal regions, S. salivarius K12 competes with pathogenic bacteria for adhesion sites, thereby reducing their ability to establish infections. This helps maintain a healthy microbial balance in the upper respiratory tract and oral cavity​ (1MD)​​ (Probiotics Council)​.
"""



    Products

* Bactoblis
https://www.lekarnar.com/izdelki/bactoblis-ars-pharmae-tablete-30-tablet
https://www.arspharmae.com/blog/streptococcus-salivarius-k12/
chew 1-2 daily
~1€/PD
"""
Streptococcus salivarius K 12 ... min. 1x10^9 koristnih bakterij
vitamin D3 ... 5 µg (100 % PDV*)
"""

* NOW OralBiotic (white-orange-indigo)
https://www.nowfoods.com/products/supplements/oralbiotic-lozenges
----------
https://www.walmart.com/ip/NOW-Supplements-OralBiotic-Developed-for-Adults-Children-Strain-Verified-60-Lozenges/40618361
here only $6 for 60! (out of stock)
-----------
(but ... is it a grifter corp?)


* Oralflora
https://www.oralflora.de/streptococcus-salivarius-k12-oral-probiotic/


* Goldentree
https://www.goldentree.si/trgovina/oralni-probiotik-oral-biotics
~1€/PD
""""
Inulin    900 mg    /
Streptococcus salivarius K12 (BLIS K12®)    20 mg    2 x 10^9
Streptococcus salivarius M18 (BLIS M18®)    20 mg    2 x 10^9
Lactobacillus reuteri    5 mg    1 x 10^9
Bifidobacterium lactis (Bl-04®)    2,5 mg    1 x 10^9
Lactobacillus paracasei (Lpc-37®)    2 mg    1 x 10^9
"""

"""
Vsaka skrb je popolnoma odveč, saj te ščiti garancija na zadovoljstvo. Če ob redni uporabi rešitve Golden Tree Oral Biotics v prvih dveh mesecih ne opaziš pozitivnih sprememb in nas o tem obvestiš preko maila, smo ti pripravljeni povrniti celotno kupnino. Vse, kar pričakujemo od tebe, je to, da preostanek neporabljenih izdelkov vrneš na naš naslov, mi pa ti povrnemo celotno kupnino. Do zadnjega centa.
"""

MOAR
* https://www.hsnstore.eu/brands/now-foods/oralbiotic-60-tablets
* ###



    Does it work?


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10019894/
K12 + HIT? haha
"""
Salivary immunoglobulin A (sIgA) is the main immune factor in saliva, and a consistent association between low concentrations of sIgA and an increased incidence of URTIs has been reported.
[...]
This study demonstrates that relatively short-term S. salivarius K12 supplementation increased sIgA level and secretion in healthy subjects performing a demanding exercise-training programme composed of HIT sessions.
"""

[!!**] DIAG— measure sIgA


https://www.sciencedirect.com/topics/medicine-and-dentistry/streptococcus-salivarius
"""Streptococcus salivarius binds to the epithelial cells of the tongue and buccal mucosa, whereas Streptococcus mutans and Streptococcus sanguis bind to tooth enamel."""
(latter 2 are bad)
"""
Streptococcus salivarius K12 (BLIS K12) is a probiotic strain producing the bacteriocins salivaricin A2 and salivaricin B, both of which strongly antagonize the growth of Streptococcus pyogenes, the most important bacterial cause of pharyngeal infections in humans. It successfully colonizes and exhibits persistence in the oral cavity, is endowed with an excellent safety profile, and reduces the occurrence of streptococcal and viral pharyngitis. A potential basis for this effect has been shown, whereby the administration of BLIS K12 in adults can increase salivary γ-interferon levels without modifying the levels of either interleukin (IL)-1β or tumor necrosis factor-α but considerably reducing IL-8 release.18
Several studies have confirmed the benefits of S. salivarius. 
[...]
Prophylactic administration of S. salivarius K12 to children with a history of recurrent oral streptococcal disease resulted in a considerable reduction of episodes of both streptococcal and viral infections, reduced the number of days under antibiotic and/or antipyretic therapy, and reduced days of absence from school or work.
"""
→ Yes


https://jamanetwork.com/journals/jamanetworkopen/fullarticle/2811238
(Finland 2021)
"""
In this randomized placebo-controlled clinical trial, the daily use of the S salivarius K12 products for 6 months did not reduce the occurrence of AOM. New approaches for primary prevention of AOM among children are needed.
"""
→ NO! ... but during Covid?



https://journals.lww.com/pidj/fulltext/2021/05000/impact_of_streptococcus_salivarius_k12_on.4.aspx
"Even though a short-term colonization of S. salivarius was observed in the saliva, the impact of S. salivarius K12 probiotic on the otopathogens in nasopharyngeal microbiome remained uncertain."
→ Nah?


https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3928062/
"""
The 30 children who completed the 90-day trial with Bactoblis® showed a significant reduction in their episodes of streptococcal pharyngeal infection (>90%), as calculated by comparing the infection rates of the previous year. No difference was observed in the control group. The treated group showed a significant decrease in the incidence (80%) of oral viral infections.
"""
→ Yes


https://www.mdpi.com/2076-2607/10/10/1926
"""
Recent observations also suggest that Prevotella-rich oral microbiotas would dominate the oral cavity of SARS-CoV-2-infected patients. In comparison, Streptococcus-rich microbiotas would dominate the oral cavity of healthy people. To verify if the modulation of the oral microbiota could have an impact on the current coronavirus disease, we administered for 14 days a well-recognized and oral-colonizing probiotic (S. salivarius K12) to hospitalized COVID-19 patients. The preliminary results of our randomized and controlled trial seem to prove the potential role of this oral strain in improving the course of the main markers of pathology, as well as its ability to apparently reduce the death rate from COVID-19.
"""

[m!!o] DIAG— Why don't we do routine bioculture tests on people?


https://ascopubs.org/doi/full/10.1200/JCO.23.00837
"""
Streptococcus salivarius K12 Alleviates Oral Mucositis in Patients Undergoing Radiotherapy for Malignant Head and Neck Tumors: A Randomized Controlled Trial
[...]
In this prospective, randomized clinical trial, SsK12 probiotic significantly reduced the incidence, onset, and duration of SOM <severe oral mucositis> with a good safety profile.
"""
→ YES!


https://www.tga.gov.au/resources/resource/compositional-guidelines/streptococcus-salivarius-k12
(production)
"""
Streptococcus salivarius K12 (isolated from the saliva of a healthy child) is a probiotic intended for use in oral cavity. The ingredient is prepared by fermentation of culture of Streptococcus salivarius K12. The cell concentrate is mixed with lyoprotectant, freeze-dried and milled into powder.
"""
lol


https://www.sciencedirect.com/science/article/pii/S1991790222001714
DENTAL— "Inhibitory effects of Streptococcus salivarius K12 on formation of cariogenic biofilm"
"""
S. salivarius K12 may inhibit the formation of cariogenic biofilm by interrupting the growth and glucosyltransferase production of S. mutans.
"""
→ YES





<------------------------------ (new) —GOOD?— SOLUTIONS / PHARMACONS / TREATING ↑











*** BEING ILL

aka "HOW TO BE ILL"
TODO >LIES !!!



Contagious?

:
    * separation & quarantine

    * space sanitation

    * precaution measures

    * [...]




For patient

:
    * have & communicate a clear idea what's going on, and the expected timeframe

    * do not unreasonably hinder the work process

    * ask clearly what you need of others:
        * "NO LIGHT PLEASE I HAVE A MIGRAINE"
        * "I NEED TO SLEEP FOR HALF AN HOUR"

    * maintain what is expected of you:
        * hygiene
        * [...]




For space

###

CHT responsibilities ...:
    to establish !!!
    ______________________
    A) we need to "nurse you back to health"
    B) bring you to a doctor, get an airbnb / get a flight
    C) you're on your own b* !
    D) [...]

Similarly -- how would this look like...:
    * ... on your vacation?
    * ... during work?
    * ... at home "with your friends"?
    * [...]



Open questions

* Do you have priority over work, OR not?

* Can you get others to move out, OR can others get you to move out?

* Do you get ejected? at what point?







*** PAD


Improving immune system

* 🔗fisculture

* get enough vitamins:
    * ### !!!
    * how to track this?
    * can you cheat an do it 1/week ?
    * supplements really are bullshit?
    * "minimum viable fruit"
    * [...]

* how to test this?:
    watch for ... what signs?

* propolis

* [...]



[!!*] Pneumococcal vaccine policy?

https://www.cdc.gov/pneumococcal/vaccination.html
(Is the shot together with flu?)

(general): how to test what I had, f.e. in the ear?



Meningitis

"Chandrasekhar says if bending your neck forward to touch your chin to your chest really hurts, it could be a sign of meningitis."



antibiotics 101

________ g: "is it bad to take antibiotics if you don't need them"

https://www.gov.uk/government/news/taking-antibiotics-when-you-dont-need-them-puts-you-at-risk
https://www.consumerreports.org/antibiotics/when-to-say-no-to-antibiotics-for-infection/

https://en.wikipedia.org/wiki/Clostridioides_difficile_infection
"""
Clostridioides difficile infection (CDI or C-diff), also known as Clostridium difficile infection, is a symptomatic infection due to the spore-forming bacterium Clostridioides difficile.[2][5] Symptoms include watery diarrhea, fever, nausea, and abdominal pain.[1] It makes up about 20% of cases of antibiotic-associated diarrhea.[1]  Antibiotics can contribute to detrimental changes in gut microbiota; specifically, they decrease short-chain fatty acid absorption which results in osmotic, or watery, diarrhea.[6] Complications may include pseudomembranous colitis, toxic megacolon, perforation of the colon, and sepsis.[1]
Clostridioides difficile infection is spread by bacterial spores found within feces.[1] Surfaces may become contaminated with the spores with further spread occurring via the hands of healthcare workers.
"""

__________ ###


DENTAL— Saltwater daily is bad for teeth?

"""
Can I use salt water as mouthwash everyday?
Saltwater is acidic, and gaggling it every day can soften the teeth enamel and gums.
Therefore, you can't gargle salty water daily
Also, people with special medical conditions such as those with high blood pressure should take extra precaution or simply look for other alternatives they can use.
"""
#natural-resources




DENTAL/ESSENTIAL OILS— Eucalyptus oil (etc), for tooth pain / as mouthwash

"""
Conclusion: An effective alternative to chlorhexidine, eucalyptus oil, can be used as mouthwash for effective oral hygiene maintenance. The present results, therefore, offer a scientific basis for traditional use and awareness about eucalyptus oil mouthwash.Apr 23, 2018
"""

https://www.ijddr.in/drug-development/eucalyptus-oil-in-dentistry-a-mini-review.php?aid=5744

how?
"""
Certain essential oils possess pain-relieving qualities, including clove, nutmeg, eucalyptus, or peppermint oil.
Use a cotton swab and dilute one of these oils, then apply it to the problem tooth and/or gum area. Repeat the process as needed.
This can also be done with apple cider vinegar.
"""



[!→] NATURAL— Natural mouthwash

### (great one @trucko)

https://www.herbalgram.org/resources/herbclip/issues/bin_564/081624-564/
aloe vera vs chlorhexidine


[!→] NATURAL— Acacia
The  patient was prescribed a topical application of  herbal gel acacia catechu 134mg and acacia  farnesiana 134mg thrice daily and tablet  diclofenac sodium twice daily for three days.  Acacia catechu, has anti-inflammatory, antibacterial,  analgesic used for swollen gums and  stomatitis. Acacia farnesiana, used for treating  bleeding gums, stomatitis and dental caries

https://www.gbif.org/species/2980865
https://en.wikipedia.org/wiki/Vachellia_farnesiana
https://en.wikipedia.org/wiki/Vachellia_farnesiana#Uses


Etheric oils ... fumigation
SLO: "sopara"

###



Measles & immune amnesia ?!

https://www.bbc.com/future/article/20211112-the-people-with-immune-amnesia
"""
Enter "immune amnesia", a mysterious phenomenon that's been with us for millennia, though it was only discovered in 2012. Essentially, when you're infected with measles, your immune system abruptly forgets every pathogen it's ever encountered before – every cold, every bout of flu, every exposure to bacteria or viruses in the environment, every vaccination. The loss is near-total and permanent. Once the measles infection is over, current evidence suggests that your body has to re-learn what's good and what's bad almost from scratch.
[...]
Scientists have known for decades that even after they recover, children who have been infected with measles are significantly more likely to fall ill and die from other causes. In fact, a study from 1995 found that vaccinating against the virus reduces the overall likelihood of death by between 30% and 86% in the years afterwards.
"""

HUH
"""
First measles infects memory cells, then somehow the immune system learns how to identify the virus itself. Once it's started producing immune cells specific to measles, they travel around the body, hunting down infected memory cells  So you end up with cells that can identify measles systematically killing off cells that can identify other viruses. The virus leads us to destroy our own immune memories.  
Eventually, measles ends up replacing all your normal immune memory cells with ones that can identify it, and nothing else. This means you're only immune to measles – while all other pathogens are forgotten. It's a counter-intuitive strategy, especially from the virus' perspective, since it won't be able to sneak into the body again without being recognised.
"""

____________

[!] So ... Measles = Herpes Zoster right?


Dental pain relief

"""
It is often helpful to alternate Tylenol and Ibuprofen every 4 hours. In other words, take 800 mg Ibuproven every 8 hours. Four hours later take two extra strength Tylenol (2 x 500mg) and take the Tylenol every 8 hours. Do not take either one more frequently. So every 4 hours you will be alternating 800 mg Ibuprofen with 1,000 mg of Tylenol. That should help with the pain. Tests show that is as effective as Codeine and not nearly as addictive. The antibiotics will take 48 to 72 hours to fully kick in. Once it does, the need for pain medication will decrease. I hope that helps. Dr. Silberman
"""
via https://www.silbermandentalgroup.com/blog/apply-heat-or-cold-to-toothache/



Arm Tingling / Numbness / Pins & Needles
SLO: mravljinci

________ with dental abscess & connection to TMJ
"""
Abscesses Cause Tenderness and Tingling
Some people feel a tingling, numbness, or itching in their jaws before an abscess forms. The affected tooth or teeth may be sensitive to pressure, cold foods, and sugary drinks. The affected tooth and gum area may also feel as if it's raised slightly.May 2, 2018
""""

_________ pinched nerves

“The nerves originate from the spinal cord in the neck and travel down from the spine into the arm and hands. When there is a problem in the neck, such as an irritated or pinched nerve, this can cause symptoms like tingling or numbness that travels into the arm.”Jan 22, 2020
https://www.keckmedicine.org/blog/is-arm-numbness-and-tingling-ever-cause-for-concern/



[!!] Vaccine: Tick-borne Meningitis

also → 🔗antiticks


[!!] ORDERING/OTHERS/LIM0— Get insider help with supplies

maybe +Hema can help get us this?
or doctors we know.

relationships:
    A) precarious:
        "i need this is there any way bla bla"
    B) advanced:
        "here is a list, what do i owe you? ok thanks"
    C) regular:
        "thanks for the new package!"
        "i added more stuff to the pad"
        "thanks for adding new stuff to the pad"
        "I don't need this, I'll send it onward there"

https://en.wikipedia.org/wiki/Efgartigimod_alfa
experimental drug



[!!*] SPECIALIZATION— Nevrology 101

[!!→] general level
* what are most basic conditions? how are they diagnosed? how common are they?
* what are some possible DIY methods for:
    * preventative
    * diagnostic
    * curative
    * ###
* ###
* rare conditions & experimental drugs
* ... and potential use of those for other conditions
* ... and advanced understanding of the body AND the industry through these

_______________

https://en.wikipedia.org/wiki/Nerve_conduction_study



[!!$] PSYCHOLOGY/DOCTORS/DIAGNOSTICS— Contemporary doctor—patient relations

claim: "there's many psychopaths in the profession, because of obvious reasons"
"""
ja delavcih ja. zdravnikih. velikrat se izkaze. nekak v splosni medicini se psiho somatiko prevec locuje in predvsem ne postavlja dovolj pozornosti psihi. kot drugo nek empat tezko dela na oddeku s pacienti z neozdravljivimi boleznimi. te to crpa in ne hrani. pod tri pa tolk usmerjena specializacija. in kombo vseh treh je z lahkoto psihopat v beli halji. s cemer ni nic narobe, ce prides do psihopata po tocno doloceno zadevo za katero je on specializiran.
"""
<X

(SLO)
"""
* ja respect, ti kar študiri vse o tem, zadnjič sem visel z sošolko iz gimnazije, ki ima autoimuno bolezen, pa mi je tudi razlagala, da je dosegla izboljšanje preko lastne iniciative, s stvarmi, ki jih je priguglala
* ja, problem komuniciranja zdravnik-pacientka je ful resen. oni se tega ne učijo pomojem na konstruktiven način:
    oziroma gotov ni posodobljen na sodobno psihologijo komuniciranja, sploh za folk, ki zna sam študirat, advanced introspektira, itn
"""
example: communication with dentist ("zoning in")



[r!!**>D] EYES/DIAG— General eye check (ophtamologist)

>d:
    * check right eye
    * "dry eyes" check
    * make eyes more white
    * ###

Do dye checks!
https://en.wikipedia.org/wiki/Green_S



Eye infection (Conjunctivitis, Blepharitis, Styes) → Eye drops (AB)

General:
    * clean eyes, put on pads, 3x daily
        A) with warm chamomile
        B) "sterile saline" aka boiled seawater
    * clean with "diluted baby shampoo"!
    * hydrate!
    * raise contact lense hygiene!


Prevent trasmission:
"""
  • washing hands with soap and warm water for at least 20 secondsTrusted Source
  • avoiding touching eyes after washing hands
  • avoiding putting fingers in or rubbing eyes
  • washing the area around the eyes if they have discharge
  • avoiding sharing personal items, such as pillows or towels
  • following guidance from opticians when it comes to eyewear cleaning, storing, and replacing
"""


Have: TOBRADEX (ESP: dexametasona/tobramicina, Novartis):
    ... bought off-shelf:
    https://www.webmd.com/drugs/2/drug-5914-2088/tobramycin-dexamethasone-ophthalmic-eye/tobramycin-dexamethasone-suspension-ophthalmic/details :
        ###
    https://www.healio.com/news/optometry/20120225/tobramycin-dexamethasone-used-for-postop-infection-inflammation :
        good "points to consider":
            * use (especially) before sleep !
            * shake before use
            * 3-7 basic, if more, evaluate!
            * (problem for non-bacterial is especially the steriod)
            * [...]
    https://en.wikipedia.org/wiki/Dexamethasone :
        (quite a few side effects)
----------------------------
Can, exceptionally, be combined with CONTACT LENSES (!):
    """
    Avoid contact with soft contact lenses.
    Contact lens wear is not recommended during treatment of an ocular infection or inflammation.
    If patients are allowed to wear contact lenses, they must be instructed to remove lenses prior to application of Tobrasone/Tobradex and wait at least 15 minutes before reinsertion
    """
----------------------------
"""
Tobramycin provides coverage for many bacterial strains, including:
  • Staphylococcus aureus,
  • Staphylococcus epidermidis,
  • Streptococcus pneumoniae,
  • Pseudomonas aeruginosa, 
  • Escherichia coli,
  •  some Neisseria species 
  •  Hemophilus influenzae and
  • a few other less common bacteria that cause anterior segment infection.
"""
----------------------------
* "Do not use Tobradex if you have a viral or fungal infection in the eye, such as herpes, vaccinia, or varicella. It is used to treat infections caused by bacteria only. Do not use Tobradex for mycobacterial infections of the eye."
-----------------
"""
The presence of other medical problems may affect the use of this medicine. Make sure you tell your doctor if you have any other medical problems, especially:
  • Glaucoma—The dexamethasone in the eyedrops may cause glaucoma or make it worse if the eyedrops are used for a long time 
  • Herpes infection of the eye or 
  • Any other eye infection, including bacterial and fungal—The dexamethasone in the eyedrops may make existing infections worse or cause new infections 
"""
    * ###


Have: CILOXAN (SLO: ciproflaksacin, Novartis):
    ... prescribed for #EARS


____ problem: (ameba)

https://www.cdc.gov/parasites/acanthamoeba/gen_info/acanthamoeba_keratitis.html
"""
Acanthamoeba keratitis is most common in people who wear contact lenses, but anyone can develop the infection. For people who wear contact lenses, certain practices can increase the risk of getting Acanthamoeba keratitis:
[...]
The infection is usually diagnosed by an eye care provider based on symptoms, growth of the Acanthamoeba ameba from a scraping of the eye, and/or seeing the ameba by a process called confocal microscopy. The infection is treated with one or more prescription medications.
"""


_____ problem: Keratoconjunctivitis Sicca [!!→]
aka "Dry eyes"
https://www.msdmanuals.com/professional/eye-disorders/corneal-disorders/keratoconjunctivitis-sicca
###


______ problem : Mycobacterial infection [!!→]

https://eyewiki.aao.org/Periocular_Atypical_Mycobacterium_Infections
(great)
###

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4461732/
"""
Nontuberculous or atypical mycobacterial ocular infections have been increasing in prevalence over the past few decades.
They are known to cause periocular, adnexal, ocular surface and intraocular infections and are often recalcitrant to medical therapy.
These infections can potentially cause detrimental outcomes, in part due to a delay in diagnosis.
[...]
NTM infections are difficult to identify, with a significant delay in diagnosis or initial misdiagnosis causing a delay in treatment [8]. Their course is indolent, additionally prolonged with the use of topical corticosteroids [9], and often refractory to multiple medical therapies and surgical interventions. Timely diagnosis and proper treatment of these infections are paramount.
"""

"""
Triple therapy with amikacin (50 mg/L), topical clarithromycin (10 mg/L) and fourth-generation fluoroquinolones is suggested for NTM keratitis [5]. Systemic antibiotics, such as clarithromycin and doxycycline, may also be used for recalcitrant cases
"""


_________ case: 20231219 <D
Infection already more than 2 weeks:
    Started around time when:
    ... played a lot of basketball
    ... out of soap for a few days
    ... fell asleep with contact
    First right, then left





Eye drops == Ear drops == Nose drops ??
for Ear infection
https://www.webmd.com/drugs/2/drug-60900/antibiotic-ear-suspension-otic-ear/details


_____ 2022/07 situation (MAXITROL):
    D got prescribed MAXITROL:
        (== Neomycin, Polymyxin B, And:
            A) Hydrocortisone?
            → https://www.mayoclinic.org/drugs-supplements/neomycin-polymyxin-b-and-hydrocortisone-otic-route/description/drg-20062295
            B) dexamethasone(?):
                https://www.goodrx.com/maxitrol/what-is
        3x3 drops, "10 minutes"
        ↓
        The (RIGHT EAR) tragum bloated (painful to touch!) after taking "eye drops"
        "They would not leave ear for 15 minutes, eardrum felt bloating as they were applied)"

https://dizziness-and-balance.com/disorders/bilat/ototoxic_drops.htm
neomycin, polymyxin B, and dexamethasone




Intestines cleaning (because of poisoning?) ... Enama / Clyster 

(19th century, [SLO])
"""
Če pa ni štrkalice, ali človeka, ki bi jo znal rabiti, napravi iz mila svalke, pomoči jih v olju ali jih namaži s kako mastjo in potisni v danko. Nehati pa moraš ravno tedaj in tako, kakor smo gori povedali.
"""
via https://sl.wikisource.org/wiki/Na%C5%A1e_%C5%A1kodljive_rastline/%C5%A0kodljive_%C4%8Dloveku_in_%C5%BEivini



————— 20221128↓


[r!] Breast self-checks (breast cancer)

###


[r!] Prostate checks (prostate cancer)
<AMS
"most dangerous for men between 24-40"



Morning-after pill
aka "MA pill"

###



Amoxiclav (antibiotic)

https://www.medicalnewstoday.com/articles/325154
(good general info, dosing, etc)

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC149282/
dosing: 2 or 3 times per day?
### how long should you take it?

https://www.drugs.com/tips/amoxicillin-patient-tips
When to take?
"""
  • Amoxicillin is rapidly absorbed after oral administration and peak levels are reached 1-2 hours after dosing. However, it may take up to 24-72 hours of regular dosing before infection symptoms start to abate.
"""
So, given 20-24h is peak (Ear) infection period, should be T-1h, so 7-11pm.

Probiotics? No:
"""
Doctors who recommend probiotics typically suggest that people take them a few hours after their antibiotic. Otherwise, the two medications can cancel each other out. Some doctors even suggest waiting to start probiotics until a few days after you've completed your course of antibiotics.Jun 29, 2020
"""

https://www.medicalnewstoday.com/articles/322374
[!!] what to eat during/after AB?
"""
Some foods interfere with the effectiveness of antibiotics.
These include grapefruits, can stop the body from breaking down and correctly absorbing the medication.
Also, some research indicates that foods fortified with high doses of calcium, such as some orange juices, can interfere with the absorption of certain antibiotics.
"""


[!!*] TOREAD/COMMUNISM— Social Medicine

https://en.wikipedia.org/wiki/Social_medicine
"""
Social care traditionally takes a different look at issues of impairment and disability by adopting a holistic perspective on health. The social model was developed as a direct response to the medical model, the social model sees barriers (physical, attitudinal and behavioural) not just as a biomedical issue, but as caused in part by the society we live in – as a product of the physical, organizational and social worlds that lead to discrimination (Oliver 1996; French 1993; Oliver and Barnes 1993). Social care advocates equality of opportunities for vulnerable sections of society.[4]
[...]
German physician Rudolf Virchow (1821–1902) laid foundations for this model. Other prominent figures in the history of social medicine, beginning from the 20th century, include Salvador Allende, Henry E. Sigerist, Thomas McKeown,[5] Victor W. Sidel,[6] Howard Waitzkin, and more recently Paul Farmer[7] and Jim Yong Kim. 
"""


(2023/7→8→ basketball experience: general body, injuries, regularity, extra rest, etc)

###



[r!!] HERB/ANTIINFLAMATORY/DIGESTION— Fenugreek
Fenugreek is one of the best anti-inflammatory herbs because of its many benefits for digestive health and cardiovascular health. It can reduce inflammation of the stomach and has been shown to improve inflammatory issues, like mouth ulcers, bronchitis, chronic coughs and metabolic disorders.
"""


[r!!] HERB/ANTIINFLAMATORY/DIGESTION— Yarrow
<SLO: "rman">

https://www.peacehealth.org/medical-topics/id/hn-2188008
    -----
    [!**→] nice site!
----------------
"""
Today, yarrow is sometimes suggested for the following uses, although there is a lack of scientific evidence:
  • Loss of appetite
  • Indigestion or heartburn
  • As a diuretic, to increase urine flow
  • Amenorrhea (irregular menstrual cycle)
  • Menstrual cramps and pain
  • Muscle spasms
  • Inflammation
  • To fight infection
  • Fever (brings temperature down through sweating)
  • To reduce bleeding
  • Wound healing 
"""



[m!!**o] DIAGNOSIS/RESOURCE/POLEMICS/PROTOCOL/DEV— Symptom checker / Diagnosis protocol / Clinical flowcharts

###
slovenian "blue book" <D

https://www.peacehealth.org/medical-topics/id/hwSxChk
not bad

https://medicinetoday.com.au/clinical-flowcharts (80€ subscription → #todll) [!!]



[!!f] Ulcerative Colitis
(friend of D...)

https://www.niddk.nih.gov/health-information/digestive-diseases/ulcerative-colitis
###

Suggested:
    CABBAGE JUICE
    https://www.cleaneatingkitchen.com/cabbage-juice/
"""
Believe it or not, but there is actual scientific research that shows that drinking fresh cabbage juice can help resolve peptic ulcers or a troubled tummy. Cabbage may also have a beneficial effect on gut health. 
"""



Cough & listening to lungs (stethoscope)

* is this accessible / teachable to non-experts?:
    at least at some basic level (only tries to establish positives?)
* (!) blind spot: it's not possible to listen to some part of lungs, only x-ray can establish this
* ###

works:
    * "pljučnik"
    * https://en.wikipedia.org/wiki/Acetylcysteine :
        """Acetylcysteine, also known as N-acetylcysteine (NAC), is a medication that is used to treat paracetamol overdose and to loosen thick mucus in individuals with chronic bronchopulmonary disorders like pneumonia and bronchitis.[7] It has been used to treat lactobezoar in infants. It can be taken intravenously, by mouth, or inhaled as a mist.[7] Some people use it as a dietary supplement.[10][11]"""
        (slo: fluimukan)
    * ###



Pneumonia

* bacterial vs viral:
    ### [!!]

* Diagnose with stetoscope ("listening to lungs")

* ... but there are types which cannot be heard
"""While listening to the lungs with a stethoscope can provide valuable information, it may not always rule out pneumonia definitively. Pneumonia can sometimes present with subtle or early signs that might not be immediately audible through a stethoscope examination. Additionally, not all types of pneumonia produce distinctive sounds that can be easily detected with a stethoscope.""":
    → viral, interstitial, "deep lung", early, ...

* ... so x-ray is reccomended



[r¶!!] IMMUNITY— OM85 (SLO: broncho-munal)

https://en.wikipedia.org/wiki/OM-85
"""
OM-85 or OM85 (trade name Broncho-Vaxom) is an immunostimulant. It is a combination of molecules extracted from the walls of bacteria that commonly cause respiratory infections.[1]
It is a mix of lipopolysaccharides,[4] extracted from bacteria cell walls. 
"""

https://lek.si/sl/zdravila-izdelki/vsa-zdravila/broncho-munal/
it counters:
"""
Diplococcus pneumoniae, Haemophilus influenzae, Klebsiella pneumoniae, Klebsiella ozaenae, Staphylococcus aureus, Streptococcus viridans, Streptococcus pyogenes, Neisseria catarrhalis.
"""

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9746428/
"""
Results showed that prevention is unanimously recognized as the most important intervention to reduce disease burden, and the use of immunomodulation to improve the effectiveness of vaccination is gaining increasing favor among clinicians. In this respect, OM-85 is recognized as the most studied immunomodulating agent currently available, whose efficacy and safety make it a valuable tool to optimize the management of recurrent respiratory infections in both adults and children. In particular, the combined use of OM-85 and influenza vaccine was recognized as an effective and safe approach to improve the current prevention strategies in order to reduce the burden of recurrent respiratory infections.
"""



DIAG— Reading a chest x-ray

________ via ###

https://www.med.upenn.edu/normalcxr/

https://www.glowm.com/atlas-page/atlasid/chestXray.html#



____________

* "differences in desnity"
* lower lining
* AP/PA film
* normally you want to inhale, but for PTX you'd want to exhale, for example:
    https://en.wikipedia.org/wiki/Pneumothorax
_______
1) look for trachia, that branches:
    should be centered
2) "whiting of the lung":
    A) https://en.wikipedia.org/wiki/Pleural_effusion (push)
    B) https://en.wikipedia.org/wiki/Atelectasis (pulls/collapse)
* ###



[rr!!**to] DIAG— General health checkup

* blood
* lungs: volume, % in blood, ...
* skin: marks
* ###

Why isn't this done?! A lot of it is technical + labour very unintensive



Herpes simplex (causes)

* aciclovir helps, can be stored without fridge(!)

* connected to:
    * dehydration
    * stress / disguist (!)
    * eating nuts (!!):
        https://www.herpes.org.nz/about-herpes-questions/diet-herpes
        ↓
        caused by Arginine foods (chocolate, NUTS, ...)
        helped by Lysine foods (milk, ...)

https://karger.com/che/article-abstract/27/3/209/63907/Relation-of-Arginine-Lysine-Antagonism-to-Herpes?redirectedFrom=PDF
(1981)
"""
patients prone to herpetic lesions and other related viral infections, particularly during periods of stress, should abstain from arginine excess and may also require supplemental lysine in their diet.
"""

https://www.medicalnewstoday.com/articles/324696#_noHeaderPrefixedContent
"""
Foods containing lysine include:
pork      turkey      chicken      beef      eggs      yogurt      Parmesan cheese      soybeans      spirulina      sardines      codfish
"""


Oral thrush (oral candidiasis)

https://www.netmeds.com/health-library/post/oral-thrush-causes-symptoms-and-treatment
"""
Oral thrush, also known as oral candidiasis or oropharyngeal candidiasis in layman terms is a fungal infection of the mouth. This infection is usually caused due to the fungus Candida albicans but can also occur due to Candida glabrata or Candida tropicalis and mostly affects the mucous membranes of the mouth. The fungus can also cause diaper rash in children, vaginal yeast infection in women and penile yeast infection in men.
Also Read: Vaginal Yeast Infection: Causes, Symptoms And Treatment
(...)
Once you notice any of the above-mentioned symptoms, it is strictly advisable to go to a doctor or health practitioner. The doctor can easily diagnose the thrush by a complete mouth and oral cavity check-up. He may perform a biopsy of the affected area or perform a complete lab analysis of the throat swab culture or do an endoscopy to confirm the infection. 
Once the thrush is confirmed, the doctor may prescribe for oral anti-fungal medications and mouthwashes or pain medications to reduce the pain and infection and uplift the oral health.
"""



[m!→] ANTIPEST/BIOPSY!— Candida Auris

https://www.betterhealth.vic.gov.au/health/conditionsandtreatments/Candida-auris
"""
  • Candida auris (C. auris) is an uncommon fungus that can cause serious bloodstream, wound and ear infections.
  • Candida auris infections can be more difficult to treat than other candida infections, as they are often resistant to antifungal medicines.
(...)
  • Once you have been found to have C. auris you will always be considered to have C. auris, and will always need to take extra precautions when you are admitted to a healthcare facility.
"""

https://www.cdc.gov/fungal/candida-auris/candida-auris-qanda.html
"""
In general, C. auris is not a threat to healthy people. CDC typically does not recommend screening or testing family members. Family members should use alcohol-based hand sanitizer or wash their hands before entering and leaving a patient’s room and before and after contact with the patient or a patient’s medical devices.
"""

https://www.cdc.gov/fungal/candida-auris/index.html
###




[!!**] EARS— Clotrimazole (antifungal)

Lotriderm: betametazon + klotrimazol (cream)
Canifug: clotrimazol (spray)

https://www.nhs.uk/medicines/clotrimazole/how-and-when-to-use-clotrimazole-cream-spray-and-solution/
"""
If it's your ear that's infected, put 2 to 3 drops of clotrimazole solution into your ear.
"""

https://en.wikipedia.org/wiki/Clotrimazole



[m!] EARS— (general)

https://www.premierhealth.com/your-health/articles/health-minute/adult-earaches-usually-stem-from-more-than-an-ear-infection
Adult Earaches Usually Stem From More Than an Ear Infection
"""
In adults, the pain is more likely caused by one of a variety of issues: 
  • Arthritis of the jaw
  • Buildup of ear wax
  • Ear injury from pressure changes (from high altitude and other causes)
  • Hole in the eardrum
  • Long-term ear infection
  • Object stuck in the ear
  • Short-term ear infection
  • Sinus infection
  • Sore throat
  • Temporomandibular joint syndrome (TMJ)
  • Tooth infection
"""


https://www.wikihow.com/Massage-Ear-Wax-Out
"""
  • Massage ear wax out by lightly rubbing the base of your ear. Go in slow, circular motions while opening and closing your mouth.
  • Try other home remedies to remove ear wax, like oil, warm water, or hydrogen peroxide.
  • If all else fails, get prescription ear drops from your doctor or have your doctor clean out your ears for you.
"""



[m!!] STUB/MANIFESTO— Future medicine

* 5x more screening:
    biopsies,
    CT/MRI,
    blood screening,
    ###
* full public
* auto-prioretization
* inverted burden of treatment (pull to be treated, not push!)
* ###


Blepharitis (eyelids) & Hypochlorite acid

https://en.wikipedia.org/wiki/Blepharitis
"""
Blepharitis is a chronic condition that has periods of exacerbation and remission. Patients should be informed that symptoms can frequently improve but are rarely eliminated. Infrequently, severe blepharitis can result in permanent alterations in the eyelid margin or vision loss from superficial keratopathy, corneal neovascularization, and ulceration. Patients with an inflammatory eyelid lesion that appears suspicious of malignancy should be referred to an appropriate specialist.[2][10]
"""

https://amplifyeye.care/cleaning-your-eyelids-with-hypochlorous-acid-the-ultimate-solution-for-eyelid-infections-and-inflammation-from-blepharitis/
"""
What is Blepharitis and what are its symptoms?
Blepharitis is an inflammation of the eyelids, often characterized by redness, swelling, itching, and flaking of the skin around the eyes. It can result from various factors, including bacterial infections, allergies, or skin conditions like seborrheic dermatitis. Symptoms of blepharitis may include irritated, itchy, and red eyes, a gritty or burning sensation, crusting or discharge around the eyelids, and sensitivity to light. Although these conditions are typically not sight-threatening, they can cause significant discomfort and may require ongoing management to alleviate symptoms and prevent recurrence. Therefore, knowing how to use hypochlorous acid for eyes safely can be a game-changer in managing these symptoms.
"""



[!!**] DIAG/DIY— Bacteria culture test

"""
Across all facilties, the average cash price for Bacterial urine culture; quantitative colony count is $112.
However, the price you pay varies significantly based on your location and any insurance coverage.
"""

[!!!] Slovenia:
    ###


______ Biopsy
"""
A biopsy is a medical test commonly performed by a surgeon, interventional radiologist, or an interventional cardiologist. The process involves extraction of sample cells or tissues for examination to determine the presence or extent of a disease.
"""
https://en.wikipedia.org/wiki/Biopsy



[!!*z] PREV— Safe sex (contra STDs/STIs)

* general infection stats & trends:
    ###

* probability of infection:
    ###


______________________________

* first-person signs (self-observation, you can & can't read), second-person signs (observation):
    * "fishy odors" / "foul smelling discharge":
        "Trichomoniasis is a sexually transmitted infection caused by a parasite that results in a foul-smelling vaginal odour"
    * ###
------------------------
"""
The symptoms of an STI can include:
  • an unusual discharge from the vagina, penis or anus
  • pain when peeing
  • lumps or skin growths around the genitals or bottom (anus)
  • a rash
  • unusual vaginal bleeding
  • itchy genitals or anus
  • blisters and sores around your genitals or anus
  • warts around your genitals or anus
  • warts in your mouth or throat, but this is very rare
"""


______________________________

* wear a condom:
    ### %

* wash hands & genitalia

* avoid pink eye
"""Through sexual contact. Pink eye caused by STIs spreads when you touch infected semen or vaginal fluid vaginal fluid and then touch your eyes without first washing your hands."""

Never touch face or eyes

* pee after



[!!*] DIGESTION— Ulcerative colon

"""
I’ve had to start drinking cabbage juice - been diagnosed with ulcerative colitis which is not great at all
being suffering intense fatigue and basically permanent liquid shits which ain’t fun at all -
trying to get a handle on it tho but makes day to day life a chore so really not been in the best headspace
cabbage juice apparently will help !
[...]
Body doesn’t know what to do with the weird Exxx stuff preservatives etc and basically freaks out and does odd things
if you get a build up/ imbalance
(good stuff) so lots of flax, chia and hemp seeds - need more nuts
[...]
I have some slippery elm which I’m try it with the cabbage … it basically all comes down to the individual and trying out what works best for me personally
"""

"""
Mainly veggie but not restrictive
No processed foods (as much as possible)
Barely any alcohol
More omega 3s - oily fish
Lots and lots of Green tea…
and other herbals
including the lovely yarrow !
"""

__________ D ideas 20231220

"""
Hey, was thinking a bit more about yer colitis

* Have you considered changing toothpaste?
A friend had similar issues, and he was able to narrow it down to the toothpaste.
I think it was SLS ("Sodium Lauryl Sulfate").
(It's also in some other products, but brushing with a different toothpaste with this stuff was the problem)

* I'd also think of the water,
I remember some city water wasn't that great for me, made me feel funny often!
If you don't have a filter get one (Brita, or whatever), maybe that filters out heavy metals too.
Or just try switching to bottled water for a month, can't hurt

* (This is a good one)
We actually consider a bit of booze essential to stomach ails management, we have a thing called "travarica" for it, gin of course...
"One kind of mixed-species spirit is called travarica ('trava' means 'herb'). The most common ingredients of this drink are fennel, sage, rue, juniper, carob, citrus fruit peel or leaves, bay, rosemary, wormwood"
"Travarica (herbal rakija) is usually served at the beginning of the meal, together with dried figs"
This has some more info, says a glass of good red wine with food doesn't hurt either
https://www.evergreen-life.co.uk/health-wellbeing-library/ulcerative-colitis-and-alcohol/

* I'd try maxing up on antioxidants,
which personally I'd just get a a juicing blender setup, always keep some good frozen berries.
It's not cheap but it's really great, one of the things I miss most in the desert... no shops nearby, no fridge (again) :) ...
... and a backup of those expensive but epic pre-made antioxidant max fruit combo juices ...
"""

_________________

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7219448/
"""
A 23-year-old Caucasian female was diagnosed with Ulcerative Colitis (UC) and symptoms were successfully managed with the 5-Rs (e.g. remove, replace, re-inoculate, repair, and rebalance) gut restoration program.
"""
-------------------
incredible #medical.protocol case !
[!!s→]



DENTAL— Tooth hygiene

Watch what you eat for 2 days or so.

https://www.teethtalkgirl.com/dental-health/deep-cleaning-aftercare/
"""
 Rinse with warm salt water every hour or two. 
Now is the time for extremely thorough oral hygiene.
Use toothpaste made for sensitive teeth leading up to and after the appointment if you have gum recession
Avoid acidic foods. Exposed teeth roots will increase sensitivity to hot and cold foods too
"""

https://www.stgeorgesmiles.com/blog/2017/12/07/%E2%80%8Bwhen-and-what-to-eat-after-dental-cleaning-procedures/
"""
While you can eat whatever you want after a dental cleaning, there may be some things you want to avoid. Some foods to avoid for a while after a cleaning are foods which are:
  • Sticky
  • Citruses
  • Spicy
  • Crunchy
  • Cold
"""



[!i] JASE Medical kit ("Prepper" package)
#doomsday

https://jasemedical.com/

__________________________________

Amoxicillin-Clavulanate 875-125 mg
Amoxicillin-Clavulanate, also known as Augmentin, is a beta-lactam antibiotic. It belongs to the penicillin-family of antibiotics.
Qty: 28 tablets
Conditions Treated:
    Pneumonia
    Dental Infection
    Sinusitis

Azithromycin 250 mg
Azithromycin, also known as Zithromax or Z-pack, is a macrolide antibiotic. 
Qty: 6 tablets
Conditions Treated:
    Strep Throat
    Ear Infection
    Lyme Disease

Ciprofloxacin 500 mg
Ciprofloxacin, also known as Cipro, is an antibiotic in the fluoroquinolone class. 
Qty: 28 tablets
Conditions Treated:
    UTI
    Bite Wounds
    Traveler's Diarrhea

Doxycycline 100 mg
Doxycycline, or Doxy, is an antibiotic in the tetracycline class. 
Qty: 120 capsules
Conditions Treated:
    Tetanus
    Middle Ear Infection
    Exposure to Anthrax

Metronidazole 500 mg
Metronidazole, also known as Flagyl, is an antibiotic and an antiprotozoal.
Qty: 30 tablets
Conditions Treated:
    Giardiasis
    C. Diff
    Bacterial Vaginosis
Base Case Price: $269.95
Add-Ons

Acetaminophen 500 mg (OTC)
Acetaminophen is a common over-the-counter medication that is an antipyretic (fever reducer) and analgesic (pain reliever). 
Qty: 100
Conditions Treated:
    Fever
    Pain
$26.00

Albuterol HFA 90 mcg 18 gm aerosol solution
Albuterol is a bronchodilator medication. It is an inhaled medication that works by relaxing muscles in the airways which increases air flow to the lungs.
Qty: 1
Conditions Treated:
    Asthma
    Exacerbation
    Bronchospasm
    Chronic Obstructive Pulmonary Disease
$60.00

Atovaquone-Proguanil 250/100 mg
Atovaquone/Proguanil is an antimalarial medication.
Qty: 40
Conditions Treated:
    Malaria
    Prophylaxis
$120.00

CiproDex Otic 0.3%/0.1% suspension
Ciprofloxacin/Dexamethasone 0.1% is an ear drop that has an antibiotic and steroid component.
Qty: 1
Conditions Treated:
    Otitis Externa, acute
$125.00

Diphenhydramine (Benadryl) 25 mg (OTC)
Diphenhydramine is a first generation antihistamine medication. Generally, antihistamines are used to treat allergic reactions.
Qty: 100
Conditions Treated:
    Allergic Reaction
    Hives
    Insomnia
    Motion Sickness
    Nausea and Vomiting
    Vertigo
$32.00

EpiPen Auto Injector 0.3 mg 2 pack
Epinephrine is an alpha/beta agonist medication. It is a life saving medication in certain situations. If you have signs of anaphylaxis, even if you have used your Epi-Pen correctly, you need to seek medical help immediately.
Qty: 1
Conditions Treated:
    Anaphylaxis
$318.00

Famotidine (Pepcid) 20mg (OTC)
Famotidine is a histamine H2 blocker.
Qty: 100
Conditions Treated:
    Allergic Reaction
    Hives
$42.00

Hydroxyzine 25 mg
Hydroxyzine is a first generation antihistamine medication.
Qty: 30
Conditions Treated:
    Insomnia
    Itching
    Hives
$22.00

Ibuprofen 200 mg(OTC)
Ibuprofen is a non-steroidal anti-inflammatory drug (NSAID).
Qty: 100
Conditions Treated:
    Fever
    Pain
$26.00

Ivermectin 3 mg (20 pack)
Ivermectin is an anti-parasitic medication. Enough to treat parasitic infections such as scabies. 
Qty: 20 tablets
Conditions Treated:
    Lice
    Scabies
$114.00

Loperamide 2mg (OTC)
Loperamide is an antidiarrheal medication.
Qty: 12
Conditions Treated:
    Diarrhea (Traveler’s diarrhea, viral gastroenteritis)
$24.00

Ofloxacin ophthalmic 0.3% solution
Ofloxacin 0.3% is an antibiotic eye drop. It is in the fluoroquinolone antibiotic class. 
Qty: 1
Conditions Treated:
    Bacterial Conjunctivitis
$55.00

Ondansetron 4 mg
Ondansetron is an antiemetic. It is used to treat nausea and vomiting. It is also known by the brand name Zofran in the United States and Canada. 
Qty: 21
Conditions Treated:
    Nausea/Vomiting
$25.00

Oseltamivir 75 mg (pack of 10)
Oseltamivir is an antiviral agent used to treat seasonal Influenza (flu). This medication is best started within 48 hours of symptom onset. Can also be used as prophylaxis to prevent flu in high risk people who have had contact with someone who tested positive for flu in the past 48 hours.
Qty: 1
Conditions Treated:
    Influenza
$42.00

Permethrin 5% (60 g) cream
Permethrin is a topical antiparasitic agent. The over the counter dose of 1% is not provided in the Jase Case.
Qty: 1
Conditions Treated:
    Lice
    Scabies
$42.00

Scopolamine 1mg patch 1 pk/4 patches
Scopolamine patches are an anticholinergic agent commonly used to treat nausea associated with motion sickness.
Qty: 1
Conditions Treated:
    Motion Sickness
$62.00

Silver Sulfadiazine cream 1% (20 g)
Silver Sulfadiazine is a topical antibiotic.
Qty: 1
Conditions Treated:
    Burns
$32.00

Triamcinolone 0.1% (15 g) ointment
Triamcinolone 0.1% is a medium potency topical steroid.
Qty: 1
Conditions Treated:
    Dermatitis
    Itching
    Psoriasis
$25.00

Your Total
$1651.95

__________________________________


[!!*ot] BRAINS— "Brain drain" and cerebrospinal fluid

How to keep brains clean via CSF?

https://www.ibs.re.kr/cop/bbs/BBSMSTR_000000000738/selectBoardArticle.do?nttId=24483&pageIndex=1&searchCnd=&searchWrd=
"""
‘Lymphatic plexus’ behind the nose drains cerebrospinal fluid from the brain, potentially impacting neurodegenerative conditions -
In a groundbreaking study published in Nature, South Korean researchers led by Director KOH Gou Young of the Center for Vascular Research within the Institute for Basic Science (IBS) have uncovered a distinctive network of lymphatic vessels at the back of the nose that plays a critical role in draining cerebrospinal fluid (CSF) from the brain. The study, sheds light on a previously unknown route for CSF outflow, potentially unlocking new avenues for understanding and treating neurodegenerative conditions.
    In our brains, waste products generated as byproducts of metabolic activity are expelled through cerebrospinal fluid (CSF). Accumulation of waste in the brain, if not properly expelled, can damage nerve cells, leading to impaired cognitive function, dementia, and other neurodegenerative brain disorders. Hence, the regulation of CSF production, circulation, and drainage has long been a focus of scientific attention, especially in relation to age-related conditions like Alzheimer's disease and other neurodegenerative diseases.
The brain produces around 500 mL of this fluid per day, which is drained from the subarachnoid space. Among the known drainage routes are lymphatic vessels around the cranial nerves and the upper region of the nasal cavity. Despite well-documented evidence of lymphatics aiding CSF clearance, identifying the exact anatomical connections between the subarachnoid space and extracranial lymphatics has posed a challenge due to their extremely complex structure.
"""


LLM
"""
Yes, the discovery of the lymphatic plexus behind the nose adds to our understanding of how the brain eliminates waste products, suggesting that the brain indeed has mechanisms for self-cleaning. This process involves the removal of metabolic waste and toxins, including beta-amyloid and tau proteins, which are implicated in neurodegenerative diseases like Alzheimer's.
[...]
The brain has its own waste removal system, primarily involving the glymphatic system, which clears waste products like beta-amyloid and tau proteins.""
"


——— (was in @@@)

[a] ANTIHISTAMINE— (claritine vs lentrica)

* 1st / 2nd gen: "which is better"? → kind of "unresolved"
* does it (or not) help with ear infections → don't think so


[r!oi] PSYCHO/QSL— Find regular IQ-like metrics
    ties to #qs1
    this cuba "lead in water", not eating meat, etc ... induces anxiety


——— 20240228↓


[!!**] DIAG/SELFEXAM/102— Dermatological self-exam

"""
Obstajajo tri vrste kožnega raka:
    * bazocelularni karcinom,
    * spinocelularni karcinom in
    * maligni melanom. (najhujša oblika kožnega raka, ki v zadnjih letih strmo narašča po vsem svetu, tudi v Sloveniji)
"""
via https://arhiv.gorenjskiglas.si/article/20130517/C/130519913/May

###



WOUND— Wounds/scrape
aka small wounds
aka surface wounds
D ~ 20240505

Pre-prep [s!→]
* have bandages of sizes
* know protocols, nearest facilities
* ###

Initial care
* sanitize:
    A) wash with "mild soap and water"
    B) alcohol, hydrogen peroxide, povidine-iodine — damages living cells!
    C) saline aka "Physiological saline" (0.9% sodium chloride solution)
* bandage:
    change 1-2 per day
* go to ER, you might get a stitch / tetanus shot (if not within last 5 years)

Care (1-2 weeks)
* is the scab infected?:
    * smell the wound!
    * "Most of the symptoms of infection (swelling, redness, pain, pus) are present to a lesser degree just in normal healing. You have to decide whether this is normal or needs medical intervention because you are not seeming to be winning the battle"
    * slough is not pus:
        https://uk.advancismedical.com/pages/wound-guide-sloughy
        ###
* small wounds benefit from being kept moist:
    use parafine/vaseline/use petroleum jelly
    --------------
    ... is nivea/solea ok??:
        → https://www.webmd.com/drugs/2/drug-12561/nivea-topical/details
        ###
* apply talc powder <SLO:galun>?
    ... when//when not?
* redress
----
* AB ointment:
    when?
    (not a practice in Slovenia really, probably to prevent AB resistance)
* ###




_______ via

https://www.urmc.rochester.edu/encyclopedia/content.aspx?contenttypeid=1&contentid=2978
home care

https://myhealth.alberta.ca/Health/Pages/conditions.aspx?hwid=sig49202&lang=en-ca
on scabs, healing

https://www.band-aid.com/first-aid-info/first-aid-basics/clean-before-bandaging
in depth

https://www.molnlycke.com/education/wound-areas/wound-healing/how-to-look-after-your-wound/ !
###

https://cert.vohrawoundcare.com/how-to-change-a-wound-dressing/
###

<----------------------------------------------------------------- ((new))(new)++


https://www.rtvslo.si/zdravje/kronicna-obstruktivna-pljucna-bolezen-je-neozdravljiva-napredovanje-pa-se-lahko-upocasni/687934
https://en.wikipedia.org/wiki/Chronic_obstructive_pulmonary_disease
COPD
"""
The most common cause of COPD is tobacco smoking.[16] Other risk factors include indoor and outdoor air pollution including dust, exposure to occupational irritants such as dust from grains, cadmium dust or fumes, and genetics, such as alpha-1 antitrypsin deficiency.[12][17] In developing countries, common sources of indoor air pollution are the use of coal and biomass such as wood and dry dung as fuel for cooking and heating.[18][12] The diagnosis is based on poor airflow as measured by spirometry.[4]
"""


https://www.rtvslo.si/zdravje/na-hrvaskem-epidemija-oslovskega-kaslja-na-tocki-za-testiranje-okuzenih-70-odstotkov-ljudi/687980
https://en.wikipedia.org/wiki/Whooping_cough
#epidemic
--------------------------
"""
Whooping cough, also known as pertussis or the 100-day cough, is a highly contagious, vaccine-preventable bacterial disease.[1][10][11] Initial symptoms are usually similar to those of the common cold with a runny nose, fever, and mild cough, but these are followed by two or three months of severe coughing fits.[1] Following a fit of coughing, a high-pitched whoop sound or gasp may occur as the person breathes in.[1] The violent coughing may last for 10 or more weeks, hence the phrase "100-day cough".[3] The cough may be so hard that it causes vomiting, rib fractures, and fatigue.[1][2] Children less than one year old may have little or no cough and instead have periods where they cannot breathe.[1] The incubation period is usually seven to ten days.[12] Disease may occur in those who have been vaccinated, but symptoms are typically milder.[1]
"""