The Rational Preparedness Movement: A 30 Year Old Brainchild of Jane-Alexandra Krehbiel

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Jane-Alexandra Krehbiel,   Author of Rational Preparedness:The Blog and Rational Preparedness:A Primer to Preparedness, 2012

 
          I came to preparedness in 1981, the result of graduating with a new nursing degree and then passing licensure as a registered nurse. At the time, registered nurses needed to start discharge planning from the time a patient was admitted to the hospital. Part of discharge planning was how such a patient, on discharge would survive a normal emergency.  For example, if a patient with ALS went home on a portable ventilator, how would he survive either a failure of the ventilator, a power outage, or other emergency. Before a patient with a long term care or equipment need could be discharged, this type of emergency planning needed to be completed. This type of planning also needed to be done on new diabetics, those with special dietary needs, etc.  Today, hospitals are no longer staffed so that this level of preparation can be done before discharge. Today, it is more often done by the employees of a medical supply equipment company, the patient’s family, or even the nurse at their primary care physician. Sometimes, disaster planning for a newly discharged medically dependent patient isn’t done at all.  This was my first introduction to disaster preparedness.
                    In other positions I had afterward, other nurses and staff knew that post discharge disaster planning for patients was an interest of mine, and so I did a fair bit of it. After awhile, I created post discharge templates for different disease processes or for different equipment needs.
                    The fact is that we all need to make reasonable plans for normal disasters. Depending upon the location in which we live, ice storms, snowstorms, protracted power outages, flooding, earthquakes, forest fires are all possibilities, for all people, as well as those with a medical issue.
                     In the 1980s, I also became aware, through a patient family, that there were fairly large numbers of people who were preparing for an interruption in normal society where they believed that they would need to function for months or even longer without the benefits of normal society.  Some of them were stockpiling food for seven years or more.
                     The problem is that although preparing for normal and reasonable disasters is an intelligent thing to do, particularly if you have a vulnerable medication or machine dependent family member. However, diverting large sums of your income to seven to ten years of food, saps money from the present day. It also takes money from your relative who might have a limited lifespan on Earth anyway.
                     It was at this time that the Rational Preparedness movement was born.  My plan for Rational Preparedness, is that people make reasonable plans for the reasonable types of disasters that are most likely to occur within the next ten to fifteen years or so.  It is not possible, or even financially expedient for most families to make disaster plans for all of the possibilities.  My point was that purchasing gas masks for your children, and a pair of night vision googles for yourself, means that your children might not have the funds and opportunities that allow them to excel within the world as it exists today.
                   Therefore, my contribution to the preparedness community was the concept of Rational Preparedness.  This means that each family should prepare for reasonable disasters that are most possible in the area in which one’s family is living.  Each family should make plans to “Shelter in Place” or “Evacuate Family” (including pets).  Most every disaster will fall into either the category of sheltering in place or evacuation of family.  If course, when people with medical issues, children, pets, farms or other issues consider this concept, it becomes more complicated.  A diabetic child requires more supplies during an evacuation than a child without medical issues.  Sheltering in place with a great grandparent who normally gets pharmacy supplies each week could be challenging when the power distribution and roadways are impaired for a time for some reason.
                    In 2011, I agreed to do a series of podcasts, using the name Rational Preparedness. The series was well received.   I also began the blog Rational Preparedness, so that listeners could find not only a synopsis of the broadcast, but urls for the information I may have quoted or for suppliers for helpful items with regard to preparedness, both medical and otherwise. 

                    In 2012, my book, Rational Preparedness:A Primer to Preparedness was released.  The concept of the book is that it would introduce families who did not have a prior history of knowledge with regard to the topic,not only an introduction for the need to make advance preparations for disasters, but to read the book quickly, and to begin a solid framework of family disaster planning within the space of one weekend.
              Since the release of the book, work on the blog has continued. Rational Preparedness:The Blog now has more than a thousand votes as a favorite blog within the category of preparedness and survivalism.

               It probably should not surprise me, but at least twice now a US based website, and a facebook group has formed using the name Rational Preparedness, which attempts to capitalize on my thirty years of experience in this field, on my book and on those who have followed me. The website also seeks to sell products and is therefore using the name for which I am known to sell goods that I may not endorse or approve.   I have also been made aware that a foreign source has reproduced and is selling my book, for which I do not receive royalties.

          When seeking reliable information, please make sure that not only the name Rational Preparedness appears, but my name and photograph appears on the work as well.   Rational Preparedness: the blog and Rational Preparedness, the book are both fully copywritten materials and the use of these intellectual properties without permission is a violation of United States copyright law. 

 Official Links:

Rational Preparedness Blog    Official

Rational Preparedness Book    Link for Official Copy of Book

Author of Rational Preparedness_Amazon Author Page

A Superior Compressor/Nebulizer: The Pari

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              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.




About Powassan Virus

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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 here 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,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 occur.

                  Anyone who has received a tick bite and is now sick or febrile (with 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 types 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 area in which it was first described. It has also been detected in Russia.  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.

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

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                       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.

Available Northeast Georgia Off Grid Cabin on Twenty-Nine Acres

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Turn key, off grid cabin on 29 acres

NE Georgia

(The following is the work product of Sarah, and was found on Survival Realty.com. Always verify all information before entering into Contracts to purchase real estate.  I thought this may interest some of you here. I will keep this post up even after it is sold so that some of you may get ideas as to what is occasionally available in different parts of the country.)

 

175,000  29 acres  Sarah 

This property includes a turnkey cabin with solar power, septic system, deep well & cistern (both on DC voltage pumps). There is a 500-gal propane tank that is an additional power source. Cabin has front and rear porches, 16’ arched ceilings and is set back on a hill, ¼ mile from the frontage road. Cabin can’t be seen until you drive right up to it. The 29 wooded acres provide ample deer, squirrel and turkey hunting opportunities, in addition to a year-round creek on two sides of the property. Good cell reception in spite of remote location. Elbert County, GA.