philpo @ philpo @feddit.org

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1 yr. ago

Oh,I personally know a few even worse people - but I worked in a high security forensic mental health unit for a while. And let's not start about some people living in the mid of the last century. Ishii, Beria, a whole lot of Nazis, there are plenty to choose from.

Anyway: The bad news is: It is really really really hard to overdose on Ketamine. Unlike Fentanyl or Heroine, it does not stop the breathing of the patient unless administered in really high doses really fast

As he is likely getting his stuff from a pharmacy and not a shady dealer the chances for that are rather slim.

Yeah, these are called suprapubic catheters. Sadly also a good ingress point for germs.

Difficult to say and Urology is absolutely not my subject (funny enough I am writing this in my urologist's waiting room), but a few things to consider:

• Unlike normal urinary retention his ureter will be heavily inflamed. That can also include the Urethra(to a far lesser extent than the ureter,though) and might at some point even inflame the prostata. This makes regular catheters really uncomfortable and also hard to get in. So.... there is that.
• Additionally frequent single use catheterization into an inflamed tissue increases the risk of infection. Additionally the user needs to keep strict hygienic standards....which addicts often can't follow. So either he has someone doing that for him or the perspective is rather uncanny. Even with that his erectile function might be impeded.
• On the other hand a permanent catheter had its own drawbacks and I am not sure if he would accept one. Because that would mean no more children (at least not the normal way), having the bag attached permanently,etc.
• The other option is a so called suprapubic catheter - a small surgical hole above the pubic bone with a permanent catheter placed in it. Also a nasty thing in terms of germ ingress.

Last but not least: The catheter will solve the "urine in the bladder" issue,but not the kidney issues as the backup there to a certain degree happens above the bladder - inside the ureter. It can be mitigated by putting a ureteral stent in them,but these are mighty uncomfortable and need to be replaced every few months - via endoscope. Through his dick.

So in the end: Don't do Ketamine,guys.

Yeah,can happen. Or he does something so self harming (like trying to open the door of his jet midflight) that they "hide him". Most of these cases tend to be so uncoordinated,that even being superrich won't help much.

We will see. I hope you are not right - but your concern is absolutely valid.

Tbh, his Ketamine use makes me very very happy. He should do it more often.

Why? Ketamine abuse leads to severe damage of the urinary tract system. According to various sources this is already happening - and the damage is irreversible. Patients suffering from them are unable to pee - while having a massive urge to do so (imagine a decade long UTI, with your bladder really filled to the brim but you can't pee physically). And in the end it fucks their kidneys up due to the urine backing up into it. (And no, he can't get a transplant then. As the ureter is the problem and damaged beyond repair there isn't that much that can't be done then)

Furthermore the combination of drugs he admits he takes is a prime setup for a ketamine induced persistent psychosis. Elmo is already showing massive signs of intermittent or persistent psychosis, but things can get worse - far worse for him. Because the combination he takes can sometimes lead to a chronic persistent psychosis with auditory or visual hallucinations, delirium and ongoing psychosis symptoms. In other words: He would get so batshit crazy that a normal person would either be admitted in time and for a long time or kill themselves. In his case it's more likely that his staff would make sure he doesn't kill himself and lock him away. (Kill as in "running over a highway butt naked because the Zombie cows hunt them" or "trying to stop a train by a naruto move")

When I still worked in a psychiatric hospital we gad a similar guy - actually not unintelligent,but fried his brain with a similar mixture. In the end result he needed massive loads of drugs so he wouldn't be in a constant state of panic (mostly because every shadow was a giant spider trying to kill him) but basically made him a zombie. And,as he did a few awful things in this state of terror(setting fire to the psychiatric hospital twice, push a old lady in front of a bus -she was not hurt as the bus was imaginary,too-, stabbing a kindergarten teacher in front of her class) he was with us for years in a locked/high security ward. Aftee that he left us towards a similar ward in a permanent nursing facility.

There is a good chance he won't have a nice retirement life. Which is well deserved.

In the other news: Meta pays another 3 billion Euro due to not following the DSA and getting banned in Europe.

Unlikely - a vast majority of landscapes in Europe, Asia and the Americas are defined by grazing and so far we are not even remotely close to producing a milk alternative for cheesemaking, which is a cultural staple in a lot of countries.

So there will likely be some meat. BUT: That wouldn't mean that we as a planet need to reduce our consumption massively, increase prices in a way that it is unfeasible for most people to consume actual beef a few times a year and supplement it with lab grown meat and insect protein as well as vegan alternatives.

That would still lead to super rich being able to eat beef every day,yes.

But that is absolutely not our problem - the problem is that people are super rich....the beef consumption of them is a mere drop in the bucket of their bad footprint on our planet and society. ELMO alone has a larger CO2 flight footprint per year than his meat consumption will ever cause,even if he eats half a cow every day for his whole life.

*Disclaimer: Everything here is based on the pure, pharmacological, Ketamine used in medicine,not the shit you buy somewhere. * Ketamine, as long as it's pure, does not damage the kidneys per se. But it wreaks havoc on the urinary system which then can lead to kidney damage.

Ketamine does cause chronic Zystitis(think of a chronic, but often not as massively painful, UTI) and damages to the ureter. This then, in the long run, causes Hydronephrosis by dilating the ureter - which then has the potential to cause kidney damage due to a backup of urine.

Additionally Ketamine's common side effect is an increase in blood pressure that can absolutely cause kidney damage as well.

It shall be noted that this usually only occurs after using ketamine longer than one month.

Who says it is not the dominant force? End stage capitalism is pretty close to anarchy and we will see what happens next.

After 25 years in healthcare and humanitarian work you get a grim perspective.

• Humans are inherently lazy and mentally unflexible
• Humans are inherently evil and the veil of civilisation is really really thin.
• Humans are greedy in every aspect
• There are some exceptions,but the above applies generally

Well, hell is real.

Have you ever been to Brighton Beach?

Came here to say that. I lived pretty close to where the ferry to their island takes off - and they are absolutely the cutest thing I ever saw. Period.

Nothing comes close.

Just a few considerations:

• For a 12 bay NAS I would strongly consider ZFS - which makes ECC more or less a must.
• Mainboard wise the CWK AMD Board is worth a consideration, and so is the Asrock Live Mixer B850 if you want ECC on AMD5
• A popular build option is using a cheap used or "Chinese" host-build controller as SATA ports are hard to get these days.
• I would personally look at using Proxmox and then TrueNAS as an NAS OS and simply passthrough the HBA.
• Another alternative would be using a Zimbra Board and use their expansion options - but that comes with downsides in terms of CPU power and no ECC.
• For Plex it might be favourable to use a CPU with a built-in GPU for transcoding. Intel is slightly better here, but has other downsides, especially if you want ECC
• Get a Geekworm PiKvm, a original PiKVM, a NanoPi oder JetKVM...or something like that. it's worth it.
• If you don't feel like self-building anymore have a look at the Ugreen. They come without the "only approved HDDs" Synology bullshit, allow you to install your own OS and are fairly capable. But sadly they do not support ECC. (And they aren't really cheaper than self building at least not in central Europe.)
• Self building is absolutely possible and we are here to help you.

Fascist media meets fascist media... well....

I really don't think these would withstand the pressure,tbh. At least as long as you mean 3D printed ones.

Depends on the type of 3D printer.

Fused Deposition Modeling, the standard "filament" 3D printing everyone thinks about when hearing the word 3D printing prints with plastics - of some sort. All of them,to a certain degree.

There are incredibly sturdy options nowadays, which include carbon fibers, but in the end the adhesions between layers will always be an issue. There are also options to print a cast for a mold and some funny techniques where you print a model with a specialised filament that is half plastic,half metal powder and send it to a company which "burn off" the plastic part, replace it with metal and send you back an (almost as sturdy as a cast) part that is fully metal.

Resin based printing is also a thing but not nearly as sturdy as FDM.

Last but not least there is metal powder based SLS(Selective Laser Sintering), but that does not produce those sturdy parts everyone thinks of, is extremely sensitive/requires a lot of knowledge and lastly money - these printers start around 20k for the better models.

In terms of additive manufacturing people are able to print non load bearing gun parts. Maybe even sturdier than before. And easier. (A 400$ printer nowadays does what a 1300$ printer did a year ago and a 15000$ printer did 15 years ago. But for everything load/pressure/shock bearing, like a barrel, spring assembly,firing pin,etc. will still need to be from pure metal. So people would still need to improvise these,most important, parts.

BUT: There are also self-built CNC machines. MPCNC, etc. are a thing, and more advanced projects for around 2500-3000$ omwards can easily achieve a level of precision on steel that is more than sufficient for an all metal ghost gun and close to what industrial guns makers in WW1, maybe even WW2, achieved.

It's currently really the golden age of home manufacturing.

Well, I am a healthcare professional,but not your HCP and you won't be able to know if I say the truth here either.

So the easiest way for you is to read the wikipedia article or the MSD manual,etc.

The good news is not that X and Elmo did lose the case and now have to pay.

It's about the signal it sends out. It will be far harder and more expensive for any of his companies to rent property somewhere in the future. Also just a drop in the bucket, but a far more substantial one compared to the ruling. And that is a good thing.

Because that immune system(if one wants to call it so) is within the eyeball,not on the outside. Lacrimal immune response is something else again.

Overall: It's called Immune privilege and is present in the central nervous system, the uterus and the testicles as well.

It's nowhere near as extreme as the comment OP posted thinks it is - if you think about it closely it doesn't make sense. The interior of the eye is highly vascularized and of course "regular" immun system parts go through that.

In reality it's more like"the eye" has an "extra Immunsystem" that helps it keep its special structures functional. Both alone as well as with the help of the body's main system.