I don’t consider myself a prepper, but I do prepare for unlikely scenarios with highly negative outcomes. In terms of expected value vs. investment, I think having a “go” or “get home” bag is cheap and useful. I have two weeks of food and water supplies to shelter in place. I have face masks and hazmat suits (they came vacuum sealed so they just sit in the bottom of the shelter in place Tupperware bin). A solar generator and battery. A few medkits and some basic medicines including prescription antibiotics. And then my camping/hiking stuff: so more mres, water purification, water filter, fire kit etc.
All in all, it didn’t cost much, it doesn’t take up much room, and it’s good to have. I’m not necessarily worried about a revolution so much as, in order if likelihood: a bad storm, electrical grid issues, natural disaster, or mild civil unrest. All of which I’ve been through before, so I guess they’re not exactly black swan events. I wouldn’t really call those “SHTF” events, since, again, I’ve experienced each one and yet things are now fine.
What I consider “preppers” are thinking about (and seemingly hoping for) civilizational collapse.
Make sure the antibiotics don’t expire. Most of them just become useless when they expire, but Tetracycline becomes poisonous when it expires. Also, not all antibiotics are good for all infections, so make sure the ones you have are useful for the kinds of infections you anticipate.
Good to know about tetracycline, but drugs don’t magically become useless after an arbitrary expiry date.
Most prescription medicines are still quite effective after the expiration date. Various studies have shown they’re still effective even decades after the expiration date.
As someone who works in medicine, I would just caution you to take that with a grain of salt, especially since they repeatedly mention the storage of said medications. Not all pill bottles are airtight, and if you keep them somewhere that isn’t always less than 75 degrees Fahrenheit or so, I wouldn’t trust them more than a year past the expiration date. Note also, when they say “cool, dark place” that is not accounting for freezing temperatures which can also mess with the medications.
All this to say: if you have emergency medications, cycle them out with new ones as often as possible, and store them in airtight containers in a climate controlled area of your house.
This strikes me as a classic early-med-student response. Your appear to be missing the point of the study and the broader research behind drug expiration. The journal touches on storage conditions twice, but largely in the context of resource-limited areas. The researchers, with advanced degrees and extensive knowledge in medication degradation by the way, have supported their claims with evidence from multiple studies. For example, a review by Lyon et al. (2006) and the Shelf-Life Extension Program (SLEP) studies echo similar conclusions. There are also additional peer-reviewed articles that come to the same conclusions.
Blister packs, like those my medication is in, provide an airtight seal, so your blanket advice on storage is off the mark. Even if they weren’t in blister packs, the article and sources note that degradation is generally minimal, even if stored in a non air-tight-sealed container. Additionally, guessing a random one-year rule ignores peer-reviewed science. For someone in medical school, it would be better for you to focus on understanding the research and deferring to it when appropriate rather than stretching to offer input on irrelevant conditions. I appreciated your point on tetracycline and noted it, but beyond that, your comment seems more about proving you know something than contributing to this specific conversation.
The article you listed reads more like preliminary research more than anything else, and aside from medical school, I have done research into drug expiration on my own given that I have multiple complex health problems and I need to know how long I can count on my medication being effective if I needed to stockpile it. My background education in organic and general chemistry tell me that the two biggest concerns are humidity and temperature. You can also get information from the drug manufacturers about storage recommendations and cautions about efficacy following improper storage. If humidity or extreme temperatures (like where I live in Minnesota) come into play, the guidelines get a lot more fuzzy.
Also noted in there, a concern with antibiotics in particular is, that while they will retain some efficacy, the diminished effects over time can lead to more problems with resistance, and that can become important in a single individual depending on their colonization status and how often they end up needing to use the antibiotics.
Don’t get me wrong, keeping a stockpile of medications is important (I’m trying to build up a buffer that I cycle out for some of my more critical medications) but it has to be done with cognizance and awareness of the pitfalls of such a practice. Personally, I would not trust my life to medication that has been expired for more than about 3 years if it is at all avoidable which is why I cycle my stockpile each time I get a refill. (i.e. putting the new meds in the storage container and taking the ones that were in there so that the storage is never more than a couple months old) I’m on a couple medications that stopping them suddenly for even a few days has the potential to put me in the hospital if not end up being lethal depending on the severity of the withdrawal.
Also, I have a very strong suspicion that the medication you have on hand is Azithromycin (because very few medications come in blister packs), so here’s a list of infections that a Z-pak is good for:
If it’s not on this list (like pretty much any gram negative, anaerobic, or gram positive with resistant features like MRSA, among others) I wouldn’t count on the Z-pak actually being useful.
Yeah I fill up some whisky bottles with tap water and keep them in the cupboard. I guess in an insane scenario I might need to use it as drinking water, though I’d probably want to figure out how to boil that water first since it’s been sitting there for awhile.
I have actually used that water… but just to wash my hands when they turn off the water in the building when they’re doing some maintenance.
Sometimes some disaster preparedness is just useful for relatively banal circumstances.
Yeah, I feel much the same. Shit happens sometimes and it’s good to be prepared. That goes for situations where civilization is collapsing and also in day to day life too. “Preppers” are so hyper fixated on one particular hyper-individual fantasy outcome. The merits of, say, integrating into a mutual aid network are completely missed.
It’s always so much more useful to have AND KNOW WHERE every one-off necessity you might need is. A flashlight and spare batteries. First aid supplies. Spare medication. Superglue. A good utility knife. Emergency bedding. Enough shelf stable food for a few days. Some card games to pass the time. A few creature comforts that are easy to keep on hand. An appropriate weapon you practice with regularly. Some space an unhoused friend could crash for a week.
You get whatever you can together and organized and then you SHARE IT, because these things will all solve day to day problems for people in your life who maybe don’t have them on hand. And then you pay attention to other needs that come up and make small additions so you’re prepared for the needs of people you care about. And then boom there you go you’ve done actual fucking preparation! And get to sleep a little easier knowing you’re ready for a lot more that life could throw at you.
Margaret Killjoy has a great podcast on effective preparation that comes from a very practical community readiness perspective. Definitely worth a listen. Live Like The World Is Dying
Hey don’t underestimate it! If that’s what ya got, lean into it if you need to. If you can be quick on your feet and convince someone you’re not worth the trouble that can already keep you out of danger. You can always pick up a more physical weapon later, or that just might not be your thing, you’ll figure what works for you.
I suppose it depends on where you live and the sorts of things that are likely to happen. For me personally where I live I can’t think of anything that would really require that level of preparation.
I don’t consider myself a prepper, but I do prepare for unlikely scenarios with highly negative outcomes. In terms of expected value vs. investment, I think having a “go” or “get home” bag is cheap and useful. I have two weeks of food and water supplies to shelter in place. I have face masks and hazmat suits (they came vacuum sealed so they just sit in the bottom of the shelter in place Tupperware bin). A solar generator and battery. A few medkits and some basic medicines including prescription antibiotics. And then my camping/hiking stuff: so more mres, water purification, water filter, fire kit etc.
All in all, it didn’t cost much, it doesn’t take up much room, and it’s good to have. I’m not necessarily worried about a revolution so much as, in order if likelihood: a bad storm, electrical grid issues, natural disaster, or mild civil unrest. All of which I’ve been through before, so I guess they’re not exactly black swan events. I wouldn’t really call those “SHTF” events, since, again, I’ve experienced each one and yet things are now fine.
What I consider “preppers” are thinking about (and seemingly hoping for) civilizational collapse.
Make sure the antibiotics don’t expire. Most of them just become useless when they expire, but Tetracycline becomes poisonous when it expires. Also, not all antibiotics are good for all infections, so make sure the ones you have are useful for the kinds of infections you anticipate.
Good to know about tetracycline, but drugs don’t magically become useless after an arbitrary expiry date.
Most prescription medicines are still quite effective after the expiration date. Various studies have shown they’re still effective even decades after the expiration date.
https://pmc.ncbi.nlm.nih.gov/articles/PMC7040264/
As someone who works in medicine, I would just caution you to take that with a grain of salt, especially since they repeatedly mention the storage of said medications. Not all pill bottles are airtight, and if you keep them somewhere that isn’t always less than 75 degrees Fahrenheit or so, I wouldn’t trust them more than a year past the expiration date. Note also, when they say “cool, dark place” that is not accounting for freezing temperatures which can also mess with the medications.
All this to say: if you have emergency medications, cycle them out with new ones as often as possible, and store them in airtight containers in a climate controlled area of your house.
This strikes me as a classic early-med-student response. Your appear to be missing the point of the study and the broader research behind drug expiration. The journal touches on storage conditions twice, but largely in the context of resource-limited areas. The researchers, with advanced degrees and extensive knowledge in medication degradation by the way, have supported their claims with evidence from multiple studies. For example, a review by Lyon et al. (2006) and the Shelf-Life Extension Program (SLEP) studies echo similar conclusions. There are also additional peer-reviewed articles that come to the same conclusions.
Blister packs, like those my medication is in, provide an airtight seal, so your blanket advice on storage is off the mark. Even if they weren’t in blister packs, the article and sources note that degradation is generally minimal, even if stored in a non air-tight-sealed container. Additionally, guessing a random one-year rule ignores peer-reviewed science. For someone in medical school, it would be better for you to focus on understanding the research and deferring to it when appropriate rather than stretching to offer input on irrelevant conditions. I appreciated your point on tetracycline and noted it, but beyond that, your comment seems more about proving you know something than contributing to this specific conversation.
The article you listed reads more like preliminary research more than anything else, and aside from medical school, I have done research into drug expiration on my own given that I have multiple complex health problems and I need to know how long I can count on my medication being effective if I needed to stockpile it. My background education in organic and general chemistry tell me that the two biggest concerns are humidity and temperature. You can also get information from the drug manufacturers about storage recommendations and cautions about efficacy following improper storage. If humidity or extreme temperatures (like where I live in Minnesota) come into play, the guidelines get a lot more fuzzy.
Also noted in there, a concern with antibiotics in particular is, that while they will retain some efficacy, the diminished effects over time can lead to more problems with resistance, and that can become important in a single individual depending on their colonization status and how often they end up needing to use the antibiotics.
Don’t get me wrong, keeping a stockpile of medications is important (I’m trying to build up a buffer that I cycle out for some of my more critical medications) but it has to be done with cognizance and awareness of the pitfalls of such a practice. Personally, I would not trust my life to medication that has been expired for more than about 3 years if it is at all avoidable which is why I cycle my stockpile each time I get a refill. (i.e. putting the new meds in the storage container and taking the ones that were in there so that the storage is never more than a couple months old) I’m on a couple medications that stopping them suddenly for even a few days has the potential to put me in the hospital if not end up being lethal depending on the severity of the withdrawal.
👍
Also, I have a very strong suspicion that the medication you have on hand is Azithromycin (because very few medications come in blister packs), so here’s a list of infections that a Z-pak is good for:
If it’s not on this list (like pretty much any gram negative, anaerobic, or gram positive with resistant features like MRSA, among others) I wouldn’t count on the Z-pak actually being useful.
👍
Yeah I fill up some whisky bottles with tap water and keep them in the cupboard. I guess in an insane scenario I might need to use it as drinking water, though I’d probably want to figure out how to boil that water first since it’s been sitting there for awhile.
I have actually used that water… but just to wash my hands when they turn off the water in the building when they’re doing some maintenance.
Sometimes some disaster preparedness is just useful for relatively banal circumstances.
Yeah, I feel much the same. Shit happens sometimes and it’s good to be prepared. That goes for situations where civilization is collapsing and also in day to day life too. “Preppers” are so hyper fixated on one particular hyper-individual fantasy outcome. The merits of, say, integrating into a mutual aid network are completely missed.
It’s always so much more useful to have AND KNOW WHERE every one-off necessity you might need is. A flashlight and spare batteries. First aid supplies. Spare medication. Superglue. A good utility knife. Emergency bedding. Enough shelf stable food for a few days. Some card games to pass the time. A few creature comforts that are easy to keep on hand. An appropriate weapon you practice with regularly. Some space an unhoused friend could crash for a week.
You get whatever you can together and organized and then you SHARE IT, because these things will all solve day to day problems for people in your life who maybe don’t have them on hand. And then you pay attention to other needs that come up and make small additions so you’re prepared for the needs of people you care about. And then boom there you go you’ve done actual fucking preparation! And get to sleep a little easier knowing you’re ready for a lot more that life could throw at you.
Margaret Killjoy has a great podcast on effective preparation that comes from a very practical community readiness perspective. Definitely worth a listen. Live Like The World Is Dying
You know someone’s American when…
My weapon of choice is my razor-sharp wit!
I’m going to die, aren’t I.
You were destined to die the day you were born. It’s all just a matter of when and where.
But if you were born and raised in an urbane urban city, yep, the odds are probably pretty high you are going to be among the first to die.
But I do salute you wit Sir/Madam!
We’re all gunna die, so no worries! Right? 😮
Hey don’t underestimate it! If that’s what ya got, lean into it if you need to. If you can be quick on your feet and convince someone you’re not worth the trouble that can already keep you out of danger. You can always pick up a more physical weapon later, or that just might not be your thing, you’ll figure what works for you.
Learn to play the recorder, people love music. (Hopefully enough to feed the musician, otherwise I’m gonna starve.)
I suppose it depends on where you live and the sorts of things that are likely to happen. For me personally where I live I can’t think of anything that would really require that level of preparation.