Taking On the Scourge of Opioids | National Affairs

Much of the conventional wisdom surrounding the opioid crisis holds that virtually anyone is at risk for opioid abuse or addiction — say, the average dental patient who receives some Vicodin for a root canal. This is inaccurate, but unsurprising. Exaggerating risk is a common strategy in public-health messaging: The idea is to garner attention and funding by democratizing affliction and universalizing vulnerability. But this kind of glossing is misleading at best, counterproductive at worst. To prevent and ameliorate problems, we need to know who is truly at risk to target resources where they are most needed.

In truth, the vast majority of people prescribed medication for pain do not misuse it, even those given high doses. A new study in the Annals of Surgery, for example, found that almost three-fourths of all opioid painkillers prescribed by surgeons for five common outpatient procedures go unused. In 2014, 81 million people received at least one prescription for an opioid pain reliever, according to a study in the American Journal of Preventive Medicine; yet during the same year, the National Survey on Drug Use and Health reported that only 1.9 million people, approximately 2%, met the criteria for prescription pain-reliever abuse or dependence (a technical term denoting addiction). Those who abuse their prescription opioids are patients who have been prescribed them for over six months and tend to suffer from concomitant psychiatric conditions, usually a mood or anxiety disorder, or have had prior problems with alcohol or drugs.

Source: Taking On the Scourge of Opioids | National Affairs

H/t NeoNeocon– who is right, it is comprehensive!

Why one cop carries 145 rounds of ammo on the job

At one point Gramins heard a doctor exclaim, “We may as well stop. Every bag of blood we give him ends up on the floor. This guy’s like Swiss cheese. Why’d that cop have to shoot him so many times!”

Gramins thought, “He just tried to kill me! Where’s that part of it?”

When Gramins was released from the hospital, “I walked out of there a different person,” he said.

“Being in a shooting changes you. Killing someone changes you even more.” As a devout Catholic, some of his changes involved a deepening spirituality and philosophical reflections, he said without elaborating.

At least one alteration was emphatically practical.

Before the shooting, Gramins routinely carried 47 rounds of handgun ammo on his person, including two extra magazines for his Glock 21 and 10 rounds loaded in a backup gun attached to his vest, a 9 mm Glock 26.

Now unfailingly he goes to work carrying 145 handgun rounds, all 9 mm. These include three extra 17-round magazines for his primary sidearm (currently a Glock 17), plus two 33-round mags tucked in his vest, as well as the backup gun. Besides all that, he’s got 90 rounds for the AR-15 that now rides in a rack up front.

Paranoia?

Gramins shook his head and said “Preparation.”

Source: Why one cop carries 145 rounds of ammo on the job

 

Go read the rest– it’s very well written, especially for something so scary– and think about it.

 

A gun may not work.

 

Pepper spray– even military grade, there are some folks who are immune to it right off the bat.  The Navy usually identifies them in the “confidence chamber”– where they use an incense form of personal defense spray to make sure you trust your gas mask, and man do you not forget that if you’re not immune– and that immunity can be built up; the guys who run the “confidence chamber” all do it.  (There are some women– I asked.  Can’t assure the percentages, though, they probably try to make sure to use any female trainers on the all-male units for better effect.)

Anybody who uses pepper spray in the Navy has to be “qualified” with it each year– that is, they get sprayed.

Responding to it like you just had someone squirt water in your face is common enough that they have a protocol for it; go get a new bottle, spray for double the allotted time.  My boyfriend’s class had one guy like that, and they actually did the double-check twice— and it just made his clothes stink, as far as he was concerned.  They said they get it about every two or three classes, but that doesn’t help on figuring how common because the classes vary wildly.

(I ended up marrying said boyfriend, and I think we still have his pepper-spray utilities somewhere.  Made more sense than throwing them away, although he still had to buy new.)

THERE IS NO MAGIC TRINKET.

At least one lady retreated all the way to the crawlspace in her house, with her two sick kids, was on the phone with her husband, had called the cops, and emptied a .306 revolver (so five or six bullets) into the attacker’s chest at point-blank range…and he only walked off because they could hear the cops coming.

He made it to his car, drove for a few miles, and I can’t remember if the cops caught him or he drove himself to a hospital but he was WALKING THE WHOLE TIME.

That case involved drugs, but you cannot know what the Bad Guy(s) you’ll be facing are.

Refugee Caregiver Beaten, Disfigured, and Blinded in One Eye by Culture-Enricher | Gates of Vienna

Source: Refugee Caregiver Beaten, Disfigured, and Blinded in One Eye by Culture-Enricher | Gates of Vienna

28 year old lady who works with refugees went to tell a 36 year old African illegal immigrant lady that it was time to move to a different center after her refugee application was denied.

End result: after a few attempts to avoid the whole “pack up and go” thing, the attempted refugee attacks the aid worker with a bush axe/bill hook/gertel. (if your grandmother didn’t have one for the garden, check amazon– it looks kind of like someone started with a k-bar, then sharpened the wrong side, then took a picture and warped it up around in a curve around the now-sharpened back)

The French Are Spinning American Food – Bloomberg

I pause here to note that I’m not that American who goes abroad and complains that nothing is as good as it is at home. This meal was, in fact, delicious, at least an 8 out of 10 in the category of bar food. The Maroilles was marvelous, and, I have sadly learned, is not readily available in the U.S. In any case, my hope upon finding an American-themed bar was not that I would find good food, but that — after a lifetime of experiencing American renditions of other cultures’ cuisines — I would see how the French do American food.

Volumes are written about the terrible things that Americans do to other cuisines, whether it be the teeth-aching sweetness of General Tso’s chicken, or the Godzilla-like growth of the American burrito. In most of the conversations I’ve had about this, the assumption is that there must be something wrong with Americans, that we cannot enjoy foreign dishes the way they were intended to be eaten. Or even worse, that we are culinary imperialists, plundering the recipes of other nations, and then screwing them up. What the heck is an “Asian salad,” anyway?

But every cuisine gets lost in translation, and always for the same reasons. The source’s ingredients are hard to get in a foreign land; the original skills are hard to teach to foreigners; local palates are hard to please with food that seems entirely strange. And local knowledge — like “bagels are a breakfast food” — doesn’t necessarily get transferred along with the recipes. I hardly need to point out that France has a formidable food culture, full of good chefs and great restaurants. But it’s no better than we are at replicating someone else’s tradition. The result is the culinary equivalent of Franglais.

Source: The French Are Spinning American Food – Bloomberg

Answering the question that wasn’t really meant to be answered, “Asian Salads” are “look, healthy crunchy lettuce, now with flavors you love when they are on stuff you really shouldn’t be eating right now.”  Like Italian Dressing has more to do with the flavors than the recipe.

That said, please, go read the whole thing.   It’s a really enjoyable article!

“White Supremacist/Terrorist” Jeremy Christian: Fact vs. Leftist Fiction – Jack Kerwick

Christian is vermin who deserves the ultimate penalty for his crimes. His victims deserve our sympathy.  Ricky Best acted heroically in trying to stop two men from being stabbed, and Micah Fletcher acted honorably and bravely in standing alongside Taliesin Namkae-Meche after the latter acted sensibly in rising to ward off what undoubtedly appeared to be an imminent attack on his person by Christian.

Yet none of these three men risked and sacrificed their lives in order to protect two Muslim women.  First, there weren’t two Muslim women.  Second, no women were in need of being rescued, for Christian was on a rant that wasn’t obviously directed toward them and which included comments that had nothing to do with Islam. The only person who did try to persuade Christian to stop his tirade—Mr. Forde—is receiving relatively no media coverage, and is certainly not being hailed as a hero.  Forde, clearly, doesn’t fit the narrative.  He also was unharmed.

Source: “White Supremacist/Terrorist” Jeremy Christian: Fact vs. Leftist Fiction – Jack Kerwick

 

Another Foolish Idea We Should Challenge
  – Crisis Magazine

“It’s only a clump of cells,” says my interlocutor. I’ll call him Mike.

“I’m not aware of the scientific meaning of the word clump.” In all arguments regarding abortion, sex, marriage, and the raising of children, we may well steal a march on our opponents by appealing to biological or anthropological facts, immediately.

“Well,” says Mike, “all I mean is that it is just a few cells, that’s all.”

“Do you have a particular number in mind that will be decisive? Surely you don’t believe that there is some threshold number beyond which a creature is more than a clump.

“All I mean is that it’s not a human being. It’s only a clump, a blob.”

“That’s another term I am not familiar with: blob. Does it have a scientific meaning, too?”

Source: Another Foolish Idea We Should Challenge
  – Crisis Magazine

Obviously compiled from multiple conversations, because “Mike” doesn’t run away, scream at the author, or start accusing him of anything….

A former sailor's ramblings on anything from family, country and Church through general geek-ness.