Here's my outline from the Fall 23 Campout
Sure, here's the text formatted and corrected:
Prepper Pharmacology:
Hello everybody and welcome to my talk. My name is Daniel Jones. I’m a family nurse practitioner with Holton Direct Care. I’ve been in medicine for about 13 years now. I’ve practiced in cardiac electrophysiology (myocarditis), emergency departments, urgent care, and family medicine. By fate, I became a so-called “covid expert” while we were in the treatment vacuum. Together with my 4 partners, Holton Direct Care has helped thousands of patients find an alternative to the “sick care” system. We consider our practice the Rebel Alliance in the healthcare universe.
Please don’t record this discussion. I’ll provide access to this presentation on the MWPN website. I’m not sure how long this will go on, but at the end, I’ll try to open up the floor for some questions.
Disclaimer: I cannot recommend veterinary medicines for human use. You should seek the advice of your personal healthcare provider. Nothing in this discussion should be considered as medical advice. This is an educational forum. Medical advice should come from your trusted healthcare provider.
I was a prepper long before I was a prescriber. With that being said: Yes, I have taken fish antibiotics. I had stockpiles of them before I attained my prescriptive authority. They worked just the same. I still have these in my emergency kit, despite my having access to human versions. More on this later.
Medications are poisons we know the side effects of.
The best medicine is nothing. If something is likely to resolve on its own, it's best to avoid medication. All medications have side effects, and these side effects can vary from person to person.
RESOURCES:
Get yourself some guidance. Alton’s Antibiotics and Infectious Disease: The Layman’s Guide to Available Antibacterials in Austere Settings.
Epocrates will give you free access to basic prescribing information. There is also a paid version that is more expansive and detailed. This website is one of the resources I use for help with diagnosis and prescribing in the clinic.
What is pharmacology? The basic understanding of how medications work in the body.
Pharmacokinetics: the study of what the body does to a drug. It's like tracking how a drug gets into your body, moves around, and eventually leaves.
Mechanism of Action: This term is like understanding how a lock and key work. It tells us how a medicine does its job once it's in our body. Medicines are designed to interact with specific parts of our body, like proteins or receptors. When they find the right spot, they can either turn something on (like a light switch) or turn something off (like a TV remote). This action is what helps the medicine do what it's supposed to do, like relieving pain, fighting off germs, or fixing something that's not working well in our body. So, the "mechanism of action" is like uncovering the secret of how medicine works its magic inside us.
Absorption: This is the process where the drug gets into your bloodstream from the place where you took it, like swallowing a pill or getting a shot.
Distribution: After entering the bloodstream, the drug travels to different parts of your body, like your organs and tissues, to do its job.
Metabolism: This is when the drug changes into a different form in your body. Sometimes, the drug needs to be broken down to work better or to be removed from your body.
Excretion: This is how your body gets rid of the drug once it's done its job. It usually leaves your body through your urine or GI tract.
Half-life: This is like a timer that tells us how long it takes for half of the drug to leave your body. It helps doctors figure out how often you need to take a medicine. Rule of thumb: It generally takes 5 half-lives to eliminate a drug from the body. Consider this if you need to know how long it takes for the body to remove a medication. Ex: T1/2: 50% 2 T1/2 75% 3 ½ 87.5% etc.
Most medications are processed by the liver and excreted by the kidneys and the GI tract. Medication prescribing guidance will note dose adjustments for patients with kidney or liver disease. If you take a medication and your body cannot process it out, you may develop toxicity.
A couple of terms:
AGONIST: An agonist, in pharmacology, is a substance or drug that activates or stimulates a specific receptor in the body, often mimicking the effects of a natural chemical. This activation typically leads to a biological response or a specific physiological effect. Essentially, an agonist "turns on" a receptor to produce a desired outcome in the body. THINK GO.
ANTAGONIST, in pharmacology, is a substance or drug that opposes or blocks the activity of a specific receptor in the body. It prevents the receptor from being activated by natural chemicals or other substances, thereby inhibiting or reducing the receptor's normal function. In essence, an antagonist "turns off" or counteracts the effects of a receptor, often to achieve therapeutic goals or control biological processes. THINK ANTI GO OR STOP.
Reactions: I always say: any medication can cause any side effect in anyone. If you’ve started a medication and you have a new symptom, 95% of the time, it's due to the medication.
Medication reaction s/s:
The worst: Anaphylaxis. An immediate hypersensitivity reaction characterized by:
Skin Symptoms:
- Itchy hives or welts.
- Flushed or pale skin.
Respiratory Symptoms:
- Difficulty breathing or shortness of breath.
- Wheezing or coughing.
- Swelling of the throat, tongue, or lips, which can lead to airway constriction.
Cardiovascular Symptoms:
- Rapid or weak pulse.
- Low blood pressure, which can cause dizziness or fainting.
Gastrointestinal Symptoms:
- Nausea or vomiting.
- Abdominal pain or cramping.
Other Symptoms:
- Feeling of impending doom or anxiety.
- Confusion or altered mental state.
- Loss of consciousness.
RED FLAGS: Rapid progression of symptoms is an ominous sign: Rapid progression of symptoms, respiratory distress (eg, stridor, wheezing, dyspnea, increased work of breathing, persistent cough, cyanosis), vomiting, abdominal pain, hypotension, dysrhythmia, chest pain, collapse. This is a life-threatening emergency. It comes on fast, and there is little time to waste. Immediate medical stabilization is necessary. Expect treatments in the emergency department to include Epinephrine (often several doses and there are no contraindications to epinephrine with anaphylaxis), Oxygen, saline infusion, airway securement/intubation, albuterol, steroids, H1, H2 blockers. Continual monitoring is essential as the medications can wear off before anaphylaxis terminates.
For most simple reactions such as rash without the above symptoms, Benadryl can help to calm the sensitivity but it needs to be given every 6 hours. Continued treatment includes H1 blocker (claritin, zyrtec,) and H
Prepper Pharmacology
Hello everybody and welcome to my talk. My name is Daniel Jones. I’m a family nurse practitioner with Holton Direct Care. I’ve been in medicine for about 13 years now. I’ve practiced in cardiac electrophysiology (myocarditis), emergency departments, urgent care, and family medicine. By fate, I became a so-called “covid expert” while we were in the treatment vacuum. Together with my 4 partners, Holton Direct Care has helped thousands of patients find an alternative to the “sick care” system. We consider our practice the Rebel Alliance in the healthcare universe.
Please don’t record this discussion. I’ll provide access to this presentation on the MWPN website. I’m not sure how long this will go on, but at the end I’ll try to open up the floor for some questions.
Disclaimer: I cannot recommend veterinary medicines for human use. You should seek the advice of your personal healthcare provider. Nothing in this discussion should be considered as medical advice. This is an educational forum. Medical advice should come from your trusted healthcare provider.
I was a prepper long before I was a prescriber. With that being said: Yes, I have taken fish antibiotics. I had stockpiles of them before I attained my prescriptive authority. They worked just the same. I still have these in my emergency kit, despite my having access to human versions. More on this later.
Medications are poisons we know the side effects of.
The best medicine is nothing. If something is likely to resolve on its own, it's best to avoid medication. All medications have side effects, and these side effects can vary from person to person.
RESOURCES:
Get yourself some guidance. Alton’s Antibiotics and Infectious Disease: The Layman’s Guide to Available Antibacterials in Austere Settings
Epocrates will give you free access to basic prescribing information. There is also a paid version that is more expansive and detailed. This website is one of the resources I use for help with diagnosis and prescribing in the clinic.
What is pharmacology? The basic understanding of how medications work in the body.
- Pharmacokinetics: The study of what the body does to a drug. It's like tracking how a drug gets into your body, moves around, and eventually leaves.
- Mechanism of Action: This term is like understanding how a lock and key work. It tells us how a medicine does its job once it's in our body. Medicines are designed to interact with specific parts of our body, like proteins or receptors. When they find the right spot, they can either turn something on (like a light switch) or turn something off (like a TV remote). This action is what helps the medicine do what it's supposed to do, like relieving pain, fighting off germs, or fixing something that's not working well in our body. So, the "mechanism of action" is like uncovering the secret of how medicine works its magic inside us.
- Absorption: This is the process where the drug gets into your bloodstream from the place where you took it, like swallowing a pill or getting a shot.
- Distribution: After entering the bloodstream, the drug travels to different parts of your body, like your organs and tissues, to do its job.
- Metabolism: This is when the drug changes into a different form in your body. Sometimes, the drug needs to be broken down to work better or to be removed from your body.
- Excretion: This is how your body gets rid of the drug once it's done its job. It usually leaves your body through your urine or GI tract.
- Half-life: This is like a timer that tells us how long it takes for half of the drug to leave your body. It helps doctors figure out how often you need to take a medicine.
- Rule of thumb: It generally takes 5 half-lives to eliminate a drug from the body.
- Ex: T1/2: 50% 2 T1/2 75% 3 ½ 87.5% etc.
Most medications are processed by the liver and excreted by the kidneys and the GI tract. Medication prescribing guidance will note dose adjustments for patients with kidney or liver disease. If you take a medication and your body cannot process it out, you may develop toxicity.
A couple of terms:
- AGONIST: An agonist, in pharmacology, is a substance or drug that activates or stimulates a specific receptor in the body, often mimicking the effects of a natural chemical. This activation typically leads to a biological response or a specific physiological effect. Essentially, an agonist "turns on" a receptor to produce a desired outcome in the body. THINK GO.
- ANTAGONIST: In pharmacology, an antagonist is a substance or drug that opposes or blocks the activity of a specific receptor in the body. It prevents the receptor from being activated by natural chemicals or other substances, thereby inhibiting or reducing the receptor's normal function. In essence, an antagonist "turns off" or counteracts the effects of a receptor, often to achieve therapeutic goals or control biological processes. THINK ANTI-GO OR STOP.
Reactions: I always say: any medication can cause any side effect in anyone. If you’ve started a medication and you have a new symptom 95% of the time, it's due to the medication.
Medication reaction s/s:
- The worst: Anaphylaxis. An immediate hypersensitivity reaction characterized by:
- Skin Symptoms:
- Itchy hives or welts.
- Flushed or pale skin.
- Respiratory Symptoms:
- Difficulty breathing or shortness of breath.
- Wheezing or coughing.
- Swelling of the throat, tongue, or lips, which can lead to airway constriction.
- Cardiovascular Symptoms:
- Rapid or weak pulse.
- Low blood pressure, which can cause dizziness or fainting.
- Gastrointestinal Symptoms:
- Nausea or vomiting.
- Abdominal pain or cramping.
- Other Symptoms:
- Feeling of impending doom or anxiety.
- Confusion or altered mental state.
- Loss of consciousness.
- RED FLAGS: Rapid progression of symptoms is an ominous sign: Rapid progression of symptoms, respiratory distress (eg, stridor, wheezing, dyspnea, increased work of breathing, persistent cough, cyanosis), vomiting, abdominal pain, hypotension, dysrhythmia, chest pain, collapse.
- This is a life-threatening emergency. It comes on fast and there is little time to waste. Immediate medical stabilization is necessary. Expect treatments in the emergency department to include Epinephrine (often several doses and there are no contraindications to epinephrine with anaphylaxis), Oxygen, saline infusion, airway securement/intubation, albuterol, steroids, H1, H2 blockers.
- Continual monitoring is essential as the medications can wear off before anaphylaxis terminates.
For most simple reactions such as rash without the above symptoms, Benadryl can help to calm the sensitivity, but it needs to be given every 6 hours. Continued treatment includes H1 blocker
(Claritin, Zyrtec) and H2 blocker (Pepcid). Again, if the condition does not necessitate medications, it may be best to discontinue and count the half-lives for elimination.
Generally, I view older well-established medications as the best choice, as we are well aware of the intended actions and side effects. There’s a reason Big Pharma produces brand new versions of old medications.
Paxlovid, for example, is a repurposed antiviral that they changed on a molecular level. $$$$ ChaChing!
I recommend you get yourself a Toolbox. Make sure it's sturdy. It’s a plus if it's waterproofed. Any prescription medications: Keep them in the bottle or with the prescription so you know what and how to take it. Don’t get caught with unlabeled prescription medications.
MEDICATION SPECIFICS:
Expiration dates: Shelf Life Expiration Program (SLEP): The study showed most medications would last at least 3 years. 88% of these last far beyond that 15-20 years. I say, 10 years.
- Exceptions:
- Aspirin: Loses effectiveness, and smells like vinegar.
- Nitroglycerin: Replace it every 6 months. It does go bad when exposed to light or with time. It's fragile.
- OCPs: Do you want to risk pregnancy in a crisis?
- Many prescription medications have OTC alternates.
- Thyroid medication: Critical dosing. Minute changes in efficacy can have effects on thyroid function. It's probably fine, but mistakes here can leave you incapacitated.
Meds you might consider having on hand.
- Epi Pens/Epinephrine: 6 months, fine. 2 years: 80% effective. Safe bet: 5 years then replace. It should be clear not cloudy or tinted. These are used for anaphylaxis and severe allergic reactions. If you use this on yourself or someone else, you need to get to a hospital! This medication is used only in a life-threatening scenario.
- Albuterol: It's fine. It can be life-saving. Get some and keep it. Nebulized vials are a lot cheaper. If you or a family member have asthma, you should have a supply of this as it has been in short supply over the last couple of years.
- Get your family a nebulizer. They should be cheap, less than $30.
- Potassium Iodide: 20 years + For radiation exposure. I like Lugols taken a couple of times per week. I think it's probably better to get a little bit over time than a large bolus all at once.
- Activated charcoal: Great for GI bugs and overdose. We use it in the ER with oral overdose/ingestion and toxicity.
- Benadryl: One of the best, safest medications ever. This treats many conditions: Migraines, nausea, allergic reactions, anxiety, insomnia, motion sickness, dizziness, and diarrhea. Many, many uses.
- Topical steroid: Hydrocortisone. Most skin rashes.
- Topical Antifungal: Clotrimazole and Nystatin Most fungal rashes. You can combine it with hydrocortisone if you don’t know what it is.
- Superglue: Works well. We often superglue superficial injuries or lacerations that are not well positioned for suturing. Dermabond is the $300 dollar version we use in the hospital. Harbor freight has a 6 pack for a dollar.
- Prednisone: Steroidal anti-inflammatory: This is a serious medication and carries with it serious side effects. This is best used with the guidance of your provider. Need to take it with food unless you want an ulcer. It can and does suppress the immune system. You’d better not take it at the first sign of the sniffles unless you want to get a lung infection.
- If used, it should be given at no more than 50mg/day for adults and for no more than 5 days. Higher doses or duration require step-down tapering so as to prevent withdrawal side effects! I cannot stress this strongly enough.
- Cimetidine/Tagament: This is an old acid reflux medication. It's an interesting immunomodulator. There is good evidence in its treatment of warts. There’s some rather curious information regarding its use in cancer.
- Pain Killers: Opioids or narcotics: Keep these in the container they were prescribed in. If you have some left over, hold onto them. If you need to use them for an unlisted pain syndrome, you might need to consider an emergency evaluation.
- Diclofenac/Voltaren Gel: Topical Ibuprofen. Read the instructions because you can overdose on it!
- Home Remedy books! Get one. Get some. You won’t always have medications and many of these remedies have passed the “generational test,” meaning, our ancestors used them for many years.
Medication Sourcing: Many medications can be found overseas for shipment. Some are more legal than others. If it’s a controlled substance, don’t order it. You’ll go to jail.
- Americans subsidize the cost of the rest of the world’s medications.
- For example: Eliquis/Apixaban, the best anticoagulant/blood thinner on the market. $600/month.
- Overseas: $50/month. See the scam?
- Manufacturing: Do your research! There are scam pill makers out there. www.drugs.com will help you identify your pills. This is a database that has access to worldwide medications.
- Storage: Protect from light, heat, and moisture. Keep in the original sealed bottle if possible. It's perfectly fine to keep most medications in the refrigerator.
Medications I have on hand:
- Amoxicillin, Keflex, Levaquin, Bactrim DS, Doxycycline, Apixaban/Eliquis, Ivermectin, HCQ, Ribavirin, Augmentin, Prednisone, Pepcid, Zithromax, Lidocaine patches, Naproxen, Aspirin, Imodium, Pepto Bismol, metoprolol, and Norco.
Dechoker device!!!!
Fish antibiotics: They are typically made in the same factories that produce human medications. They do not have the same strict standards.
- Make sure they are single agents and do not contain anything else!
- Remember the fiasco with the dead lady in Arizona with the HCQ. She died because her medication also contained a fish tank cleaner. Thomas Labs sells good quality products.
Pearls:
- Antibiotic resistance: 99% of the bacteria out there are not pathogenic. They don’t cause disease and we live in symbiosis with them.
- The right drug for the right drug.
- Nature ALWAYS adapts to non-lethal stress. Do you die if you stub your toe on the refrigerator? No, it hurts, and hopefully, you’ve learned to avoid that in the future. Pathogens will do the same thing.
- You need to match the organism with the drug. If you treat an infection with the improper drug
, amount, or duration, you merely wound the pathogen, and it develops resistance, which means it becomes a super pathogen that requires more dangerous medications.
- Tuberculosis is a great example of this. It's been chronically wounded for years with improper treatment with antibiotics. Now, most cases out there are resistant to safer medications and it takes a cocktail of 2-3 high-risk medications.
- The stronger the medication, the more dangerous it becomes.
- Do you like liver failure? Neither do I. So do your research and work to identify the best you can what you are treating so you don’t have to use the big gun medications. Identify what it's clearly not!
- We group infections into the “most likely causative organism” and we prescribe antibiotics to treat those most likely organisms.
- Example: Urinary Tract infection Symptoms: Painful urination, increased frequency, flank pain, fever, chills, nausea. Most likely organism: E Coli. We then choose an abx which would cover: Macrobid, Bactrim, Augmentin.
- Cephalosporins: Made in a lab. Less than 10% chance of cross-allergen reaction. Penicillin alternative.
- Adverse Effects: All antibiotics carry the risk of superinfection. Clostridium difficile colitis. C. Diff. Now in your local daycare AND nursing home.
- Identify who is most at risk for the infection. Age range:
- Example, the vulnerable may suffer from a different pathogen than the rest of the community.
- Less than 5 and older than 65 are at risk for "atypical" pneumonias rather than "community acquired" pneumonias. Each is treated differently.
- Vitamin K: Blood clotting, anticoagulant reversal. Can be used if you need to reverse a blood thinner.
- Ivermectin: As of 7/27/2023 There are no less than 99 peer-reviewed studies which indicate Ivermectin is 85% effective in treating covid19.
- [WWW.IVMMETA.COM](https://www.ivmmeta.com)
- The above website is the best work of scientific literature to date on any topic I've researched. It'll provide you with enough evidence to shut any doctor up.
- It is an antiparasitic. Typical dosing is about 3 mg once or twice for parasitic infections Covid/antiviral dosing is based on weight. It is dosed by weight.
- 0.2-0.6mg/kg/day for 5 days or until recovered.
- [www.flccc.net](https://www.flccc.net) for protocols prophylaxis (prevention, treatment, and recovery.
- I highly recommend you absorb the information on this site. Especially the dietary protocols.
- Fentanyl overdose: Narcan/Naltrexone: Programs for free Narcan inhaler!
- Lidocaine for local anesthesia: Can use IV Benadryl in a pinch.
- There are some things you will not be able to fix in a crisis scenario. I highly recommend you work on your health every day to minimize the chance you’ll have one of these events during a survival scenario.
When is a vaccine commissioned? When there are no available FDA approved/safe medications available in the existing world AND the pathogen has a track record of severe disability and or death.
- Was the covid jab warranted for production?
- That being said, I do recommend you get a tetanus shot.
- This is a toxin that does not have a readily accessible treatment. It involves injection/infusion of tetanus Immune Globulin. Guess what probably won’t be available in a survival scenario. Tetanus is also no a “fun way to die.” Let’s break that name down: Tetanus. Tet=stuck Anus.… Moving on, It probably easier and safer to get this vaccine beforehand than try to get the antibodies after exposure.
- That being said, if you have an exposure (dirt-borne/rust-borne pathogen) you have 72 hours to get a vaccine. After that, you most likely need the TIG.
- Diet and fasting: You may not need as much food as you think…Why do the Muslim populations have generally low cancer rates? What is one thing MOST major religions have in common? Fasting and praying. I wonder why?