Friday, May 19, 2017

A Superior Compressor/Nebulizer: The Pari

              I always preface any of my recommendations of anything from The Simple Pump, to medical supplies with a disclaimer.  I do not receive any benefits, cash, or any advantage as a result of my recommending any product or service.  I simply believe that we should pass on our experiences as they benefit others. I truly believe in the products I recommend to you.   If I ever do receive a benefit of any kind for one of these recommendations, then I will amend the post accordingly.

              I have used a nebulizer for all of my children at one time or another.  Our allergist and our pediatrician have recommended them from time to time, since my children have asthma to one degree or another, as do I.  We often go almost a year without any difficulties, but often, in Winter, there is at least one infection annually that warrants support and treatment with the use of an episodic nebulizer. As a result, I own a number of different types of nebulizers.

We have used a compressor/nebulizer like this one periodically, for years.


  
             In the US, and I would imagine in most other nations, a compressor/nebulizer combination is sold by prescription, and aerosolizes a prescription medication for inhalation.  Sometimes, a treatment with one of these is ordered only once, as would be used in a hospital emergency room, and other times it may be used twice, thrice or four times daily. Used correctly, these devices can make a substantial difference in the lives of children or adults with asthma or other respiratory conditions. Many people use these devices only during a serious respiratory infection which complicates their asthma. Others, use these devices regularly for large periods in their lives, or in some cases, for the duration of their lifespan.

             In the last several years I had occasion to use an aerosolizer and nebulizer made by a company named Pari.



There are a variety of nebulizers made by Pari.  This is the Pro Neb Ultra.


                 The Pari device appears to aerosolize a larger amount of the prescribed solution and to create a thick cool mist. This enables us to finish our nebulizer treatments more quickly. This also makes it a bit easier to get a child to comply with a needed treatment. It might also make adults more likely to use their nebulizer as often as they might need it, perhaps not skipping its use as much as they might normally.

                 Pari makes a variety of aerosolizer/nebulizers.  Some are designed for frequent or long session use.  For example, some children with cystic fibrosis may use one of these devices for three inhaled medications one after the other, before school in the morning. Most nebulizers would be destroyed by such long use.    Pari also makes devices which can be plugged into your car so that your child can complete a treatment while there.  They also have one that is highly portable and is battery operated and can be recharged.

             Most allergists, immunologists and pulmonologists know of Pari devices and many recommend them.  Family practice medicine physicians could be less familiar depending upon the number of patients they see with this issue.   If you use nebulizer medication, you can ask your physician for a prescription for a Pari aerosolizer/nebulizer.  You can simply say that it vaporizes the medication faster and that you are more likely to reap more of the benefits with one of these machines.


This is the Pari Trek S which has a battery module which can be purchased separately. The device is highly portable and effective.


             The peripherals to Pari devices are different than for other nebulizers. They are bulkier and designed for repeated use.  They can also be boiled for five minutes.  This can help to make them more cost effective.   Please use a nebulizer set  for each family member, if you have multiple family members using one. Even a boiled device should not be shared.


 


         Pari devices are available worldwide.
These are examples of the Pari Vios unit.

Pari devices are available worldwide.


These are some of the sources in the US

 https://www.walgreens.com/topic/pharmacy/nebulizer-services.jsp

http://justnebulizers.com/pari-lc-plus-reusable-nebulizer-set-1.html

http://justnebulizers.com/pari-vios-nebulizer.html



This is the website for the company itself:      This is for customer support and information.

https://www.pari.com/us-en/home/




    The correct nebulizer and inhaled medications can make an incredible difference in the functionality of and enjoyment of life in a person with either a periodic or a chronic respiratory condition.




Tuesday, May 16, 2017

Germany and An Existential Threat

           



  Some years ago some friends of ours who were homeschoolers and in the military, were sent to serve in Germany. They weren't able to homeschool there, even as Americans on the base, and they wound up sending their kids to a local German school. Our friends commented at the time that large amounts of the German school day were devoted to the study of "Ethics".

                  This week, I was reading an article written by a German citizen in which they cited that "Americans hate too much" and that we could use a lesson from our German friends. The author cited that through a concerted educational effort, the Germans were able to end their collective "hate for the Jews" and become a shining example to the world of openness and tolerance.   This was interesting for a number of reasons. In school we were always taught that the German people did not know of the actions of the Nazis and therefore were blameless for it.  The article I read this week said that some did, and that the grandmother of the author of the article said that "The Jews had it coming". The gist of the article is that human beings cannot learn not to hate without an organized academic effort.

                  I disagree.  The bulk of Americans actually take each person they meet as they come.  They know that we all need one another. Many of us have different faiths, creeds and colors in our own families.  There have been great changes in the US since the nineteen-sixties and it actually didn't take hours of ethics classes to attain this.  Yes, there are a few crazies who pedal hate, but you will find that in England, France and Germany as well.

                 My concern about including formal classes which preach total acceptance for other colors, creeds, and races, no matter what their practices are as follows.  Just now, Germany faces an existential threat.  Large numbers of Muslim refugees from a number of places in the Middle East have poured into Germany. To their credit, Germany has been very generous in aiding them and helping them to get educations, jobs and housing.  In part, this is due to the German educational system.  However, I am concerned that with all the programming provided by German schools that the German people might not recognize an existential threat. When faced with some Muslims who might advocate the ritual genital mutilation of their young daughters, the murder of their own daughters who may have shamed them in some way, and gang rape of infidels, will the Germans have enough of an ability to express dismay and reject such practices or will they simply see these practices as "another flavor of the rainbow"?     I don't have a problem with refugees. I do have a problem with those who attempt to take over towns as Muslim enclaves, and enact their own brand of Sharia Law. I do have a problem with Muslims who hold themselves above the laws of the nation in which they now live. I have a problem with refugees who attempt to convert their neighbors to their own faith, and when this doesn't work out for them, beheads them.  Let's hope Germany has enough independent thinking left to restrict, jail and/or deport those who would attempt to take advantage of their decent nature.


  This is the article that spurred this commentary:

http://www.thedailybeast.com/articles/2017/01/01/take-it-from-a-german-americans-are-too-timid-in-confronting-hate





Saturday, May 13, 2017

About Powassan Virus

          
This graphic showing the number of cases from 2006-2015, is the work of the CDC It has been known since 1958.




             In 2012 I did a series on tick borne illnesses, and then later expanded the series to include insect envenomation injuries.   Of course, public health issues change and expand over time. This is one such needed update.

                  Powassan Virus is also a tick borne virus which is a flavivirus. It is therefore related to The West Nile Virus, St. Louis Encephalitis, and some other tick borne encephalitises.  Seventy five cases of it have been proven within about the last ten years and are most often seen in in either the Great Lakes Region of the United States or the Northeastern Region of the US.   A person bitten by a tick might feel alright after contracting Powassan virus, but they may also go on to experience fever, chills, vomiting, seizures, confusion, memory loss,and potentially death.   Patients for whom the disease is identified may need hospitalization for ventilatory support, drugs to prevent brain swelling and for intravenous hydration and fever control.  A small percentage of those with this illness will die. A larger percentage of those will have permanent neurologic issues secondary to the encephalitis which is possible. When encephalitis occurs, muscle wasting, memory issues and other neurologic problems may also occur.

                  Anyone who has received a tick bite and is now sick or febrile (which means has a fever) needs to seek medical care immediately. The incubation period for Powassan Virus is one week to one month long.  There is presently no preventive vaccine available.  There are two strains of this virus that have been isolated and both are pathogenic (disease causing) in human beings. This is a nationally reportable disease.

            Although Powhassan virus is relatively rare, it is increasing in incidence. It is also found in Canada, and it is named for the place in which it was first described. It has also been detected in Russia. We do not yet know which other nations also may experience this disease. (Remember that originally Lyme Disease was only thought to be a Northeastern US issue, and that is certainly not the case now.)  Powhassan virus can be transmitted in as little as 15 minutes of having a tick embedded upon you. It is not transmissible from person to person.  I will add additional information as possible.

           Please see my prior posts on strategies for avoidance of tick bites.



Prior Posts on my series on Tick Borne Illness    (2012)


https://rationalpreparedness.blogspot.com/2012/04/learn-something-about-your-areas-tick.html

https://rationalpreparedness.blogspot.com/2012/04/avoidance-of-tick-borne-illnesses.html

https://rationalpreparedness.blogspot.com/2012/08/the-advent-of-new-tick-borne-illness.html

 https://rationalpreparedness.blogspot.com/2014/12/important-news-concerning-bourbon-virus.html


And on Envenomation Injuries:

https://rationalpreparedness.blogspot.com/2012/07/other-types-of-envenomation-injuries.html

https://rationalpreparedness.blogspot.com/2016/01/a-reprise-dangers-of-winter-spider-bites.html

 https://rationalpreparedness.blogspot.com/2012/12/spiders-may-still-be-hazard-in-winter.html

https://rationalpreparedness.blogspot.com/2012/07/other-types-of-envenomation-injuries.html









Sunday, April 23, 2017

Why Might Russia Be Amassing Troops on it's Border with North Korea ?

                    

                       Vladivostok, Russia, on the right upper region, is in close proximity to North Korea, to China, and to Seoul in South Korea.  To the East, of Vladivostok is Japan and the Sea of Japan.





                       People in Primorskiy Krai, Russia have been telling relatives that an uncharacteristic number of troops and military equipment are appearing at Russia's border with North Korea.  A Number of newspapers in Europe and the US have blown a fuse about this and are frightened that Russia is amassing troops for an anticipated confrontation between the US and North Korea.

                         Let's step back for a moment and think about this.  Primorskiy Krai is the maritime province which houses Vladivostok, Russia. (Very loosely translated as the "Star of the East".)  Vladivostok is a very interesting city which among many other things, houses Russia's submarine fleet in that region. It is a beautiful and clearly Russian city, and yet it's located in Asia, and therefore it has the flora and fauna of that region, including Asian tigers in the woods there, the one's of Korean legends.  Vladivostok has some interesting neighbors.  Vladivostok has some of the best flea markets in the world, all housed in giant shipping containers, and the people who come to those flea markets are often Chinese and Korean, at least as often as they are Russian.   If North Korea's leader were to send VX nerve gas to any of his neighbors atop a rocket that may not yet be capable of sending a nuclear weapon anywhere, the Vladivostok and Russia in general could be devastatingly impacted. It is therefore simply a responsible act to move military officers and equipment to the region in protection of one's own.  China should be doing the same, and in some reports, they are.  An act of provocation on the part of North Korea which goes too far, and ultimately gets their nation attacked, could cause an exodus of people from North Korea who are already desperate and starving, into the surrounding countryside. The refugees won't care whether they are entering China or Russia, just so long as they are getting away from the war that Kim Jong-un seems to wish to create.

                         Russia's choice in sending troops to Primorskiy Krai may be less about fighting and more about preventing a mass exodus of starving North Koreans into Vladivostok, than anything else.  Certainly the situation with N. Korea bears watching, for us all.




Saturday, April 15, 2017

Today's North Korean Missile Launch

          
This photograph is the property of the Associated Press.




                According to the government of South Korea, North Korea did indeed test a missile today.  This particular missile launch was unsuccessful, and exploded a few seconds after launch.




Friday, April 14, 2017

North Korea May Be Able to Deliver Sarin Atop an Intercontinental Missile

              


This picture is the property of RT.com




             This morning on the news in Virginia, I heard one of North Korea's generals saying that the United States was no match for N. Korea's strength and that (in a confrontation) that they would smash all of our heads.  He went on to say other provocative things.  Despite the culling and failure to give the military a number of its needs in the last six years or so, the US military remains a formidable foe.  It made me wonder what the poor general was thinking, or perhaps what he had been drinking. It was however, concerning to hear that he believed that he could squash the US which he seemed quite prepared to do sooner, rather than later.

                  So far as our intelligence is concerned, it is felt that North Korea has the capability to deliver a missile to other nations, but despite all the successful nuclear testings, not quite the ability to land an Intercontinental Ballistic Missile (or ICBM) with a nuclear warhead, on Alaska, Japan, or California.  Thus far, such missiles have landed in the Sea of Japan.

                 Perhaps this is not his objective.  Japanese Prime Minister Shinzo Abe, whom I follow on Linkedin, is a highly intelligent and informed man.  He believes that Kim Jong Un can already deliver Sarin gas atop one of his missiles to other nations.  Japanese News,  NHK, which I also follow, reported this.  Later, the Japanese government spokesman, Yoshihide Suga, reported that Japan recognizes that North Korea is likely capable of the delivery of chemical weapons.  Remember that Kim Jong Un is the prime suspect in the death of his half brother Kim Jong Nam, using a chemical weapon in a foreign airport.

                Let's hope that our nation is also speaking with Shinzo Abe.





https://www.wsj.com/articles/north-korea-parades-apparently-new-long-range-missile-1492237791?mod=e2fb

http://www.msn.com/en-us/news/world/n-korea-may-be-capable-of-sarin-loaded-missile-attack-japan-pm/ar-BBzNc5M?ocid=sf


http://www.cnn.com/2017/02/27/asia/kim-jong-nam-north-korea-killed/




Thursday, April 13, 2017

A Potential World Destabilizing Event

        

A nuclear test is slated for this Saturday.




       It is being reported by multiple foreign news sources that Kim Jong Un has ordered a mass evacuation of Pyongyang. Evacuees are not permitted to bring cellular phones. Kim Jong Un has said that an important announcement will be made later this week.   China has moved 150,000 troops to their border with N. Korea in anticipation of war.  The US also as at least one aircraft carrier en route to the region.

          It is known that Kim Jong Un has told all foreign embassies that N. Korea "cannot be responsible for their safety after April 10th".  N. Korea is urging all foreigners to leave. The Russian embassy has refused to leave and says that reports of "extreme tension in Pyonyang" have not been seen by them.

                Some have speculated that testing of nuclear devices is complete and that Kim Jong Un, who has done things that indicate he may well be crazy, may be planning a nuclear war.   China also may have indicated that they will no longer support their neighbor. President Trump also has taken a hard line with N. Korea.  South Korea is also tiring of the tyrant.

              Any type of war on the Korean peninsula has far reaching implications.  South Korea, and the inhabitants of Seoul in particular would be impacted.  Those in Vladivostok and surroundings in Russia would be impacted.  Japan is also quite concerned.  This has all the potential ingredients of a World War III.

            The United States would be invariably drawn in, and that is if we weren't Kim Jong Un's first strike plan.  Please pay close attention to this matter.


Foreign and Other Media's Take on this Issue:

http://www.pravdareport.com/hotspots/conflicts/12-04-2017/137480-pyongyang_evacuation-0/

http://www.express.co.uk/news/world/791251/kim-jong-un-north-korea-imminent-war-pyongyang-immediate-evacuation

http://www.dailystar.co.uk/news/latest-news/605394/north-korea-evacuation-alarm-video-pyongyang-war-us-donald-trump-china-nuclear-test-site

 http://www.msn.com/en-us/news/world/china-warns-of-n-korea-conflict-at-any-moment/ar-BBzPBno?ocid=sf


https://www.rt.com/news/russia-dprk-evacuation-request-384/