Throwaway05
2d ago
Well. I am not sure I have peer reviewed data for you, but I can tell you what I know as a semi reformed party animal.
- A bottle of wine is not a lot of alcohol. Get swole or something if it's a problem.
- Don't do other stuff that increases risk of acute or chronic morbidity. Don't drive. Don't take Tylenol. Don't mix in benzos or percs or anything else. Don't be on antibiotics or have liver damage or relevant chronic disease etc etc.
- Don't take medication before or after unless you know what you are doing. It'd be rare for a healthy person but Tylenol after drinking could kill you. Other stuff may be more effective and safe but it'd be less responsible to guide with this. 2 and 3 above will protect you if you meant he worst of it in terms of health effects.
If you mean the morning after:
- A good chunk of a hangover is mineral and fluid status related. Drink Pedialyte. Maybe Liquid IV. Gatorade and just regular water will help somewhat but the drop off is pretty sharp from something that's actually correct solute wise. If you are rich you could use an IV and that'd work great. Supplement other missing shit (vitamins and minerals) in your morning meal. Eat a banana. In addition to drinking fluid after, do it before.
- A good chunk of a hangover is residual hyperglycemia. Go for a run. Light cardio may be the best you can do for most people.
- A good chunk of a hangover is nausea and other related stuff. Take a shit. Shower. Get some fluid. Lore is that fatty stuff helps, don't sure what that comes from evidence wise but might be legit. Medical people often use anti-emetics.
- A good chunk of a hangover is sleep deprivation. Alcohol makes you pass out. It doesn't make you sleep. These are not the same. Go home/shower/get comfortable then go back to bed. Be less tired and/or exhausted before you drink.
- You can also avoid sugary drinks, or sugar in your meals before. Red wine is worse than white, composition of the alcohol, impurities, tannins, all kinds of other stuff can exacerbate hangovers.
If you mean not seeming drunk:
- A full stomach seems to reduce total experience of alcohol and damage to the body, maybe? Someone needs to do a paper lol. It does mean you'll seemingly be drunk for potentially longer but will reduce the damage and drunkenness by slowing metabolism down.
- Pace yourself. A glass of wine then a glass of water then repeat. People process about a drink an hour (very roughly) go light for long and you might not even notice.
- DO NOT RECOMMEND: use of other substances like caffeine can reduce subjective and objective drunkenness. This is obviously highly hazardous to your health, and it reduces subjective a lot more than objective which can be problematic.
Special situation:
- If you are asian you might have an actual enzyme deficiency. Google this if you want to try some of the stuff people do to address that.
This brought to you by currently drunk.
Throwaway05
2d ago
All that is reasonably reassuring, and putting aside direct health effects and addiction concerns it may be worth asking why you are starting to slide into this habit change. Down about something? Bored? Replacing another habit you used to do that is out of season right now (idk, NFL?).
May be something you can use to push yourself into picking up a new hobby or making a positive lifestyle change or sumthin.
Throwaway05
2d ago
I'd never suggest this to most patients, but you are a motte poster so I have to imagine you are quite a bit more clear thinking than the average person.
Think about if the juice is worth the squeeze and use that to motivate you. Alcohol is a poison AND it's bad for you AND it has enjoyable effects AND you can enjoy it with full awareness of all this and no guilt if done sensibly and with deliberation.
Identify what an appropriate amount of consumption is for you and use the knowledge of the above to stick to it.
If you can't do that, then attempt to be honest with yourself as to why - are you normally on top of your self-regulation in this way (and is therefore alcohol different), or perhaps you are the kind of person who needs to cold turkey instead of reduce (or vice versa).
Keep an eye out for worrying patterns of use. Not necessarily likely, but very important because the risk is high. Things like: escalating pattern of use (maybe this counts, maybe not), people commenting on your use, using to cover up for bad feelings, stress, life events and so on. Basically have an honest ask with yourself about alcoholism, again not because it's likely but because it's one of the worst ways to die and you want to make sure it's not happening and you aren't lying to yourself about it.
Throwaway05
2d ago
If it's any consolation (it's not) you'll be too busy to angst!
Throwaway05
2d ago
I am a doctor but I am not your doctor. The following is essentially a reminder of the importance of healthy life style.
I find that the medical establishment tends to be rather alarmist about alcohol (not necessarily incorrectly, but perhaps unnecessarily aggressively) but the presence of DM (2, presumably) means that curtailing drinking is a lot more important - people who would never drink six bottles of coke will down a six pack over the course of the evening and not realize it's worse for you than the soda.
Diabetes increases the risk of various things with or without obesity and we routinely advise diabetics to avoid extra "hits" to their health accordingly.
Others point out some other considerations here - the potential concern for genetic predisposition to alcoholism, the important of habits and so on.
If it's really just a slide into an unhealthier habit without addiction I'd advise just stopping altogether for a few months to prove to yourself you can. If you can't, that's evidence, what you do with that evidence is up to you. If you can stop, after a while you can try reintroducing and see if you manage it in a healthier way.
If you want help people in your life are almost always going to be better than strangers on the internet. Doesn't need to be phrased in a scary way "hey honey/bro, for health reasons I want to try and skip my after dinner drinks for a little while, can you help nag me?"
An alternate strategy may be a harm reduction approach - Friday nights only or special occasions, something like that.
Throwaway05
3d ago
I knew some people involved in the workup and analysis on the medical side. They could be wrong, but they were convinced it was real. I've been out of touch with the relevant people for awhile so I don't know if the recent developments convinced them otherwise, but I do know that the "government" involved major research institutions in looking into this in a way that was a. too expensive to be a psyop, b. semi public, and therefore c. legible to foreign actors that they were actually investigating.
Throwaway05
5d ago
What moves the needle for me on this is the physical aspects of this like low heart rate. Additionally special forces type guys have similar skills sets and response, and are also athletic freaks in other ways, which makes me think some of this is tied together.
Throwaway05
6d ago
Is decision making under pressure an athletic skill? He's the best of all time at that. Is over riding your body's sympathetic activation athleticism? He's gotta be one of the best at that. Skilled scuba divers who force their bodies to do things that don't make sense are athletic in my mind.
It's just not speed/strength/the strongest arm in the world.
Separate to that is the longevity. And instead of a Lebron longevity vs. MJ argument, Brady is 100% of Lebron and 90% of MJ.
Throwaway05
7d ago
It's too arbitrary. Sometimes you go to the DMV and there's no line and you had all the paperwork and the person you talk to is in a good mood and you are like wtf is all this angst about? Then you go and the line is 3 hours long, they aren't doing the thing you wanted to do but you had to wait in the line the whole time to find that out, etc.
Likewise sometimes you try and sign up for medicaid and it is painless and easy, sometimes you need the help of three people at your primary care doctor's office. It's random.
So when we say "it's hard" or whatever we mean at random times it shits the bed for no reason. If it's universally hard you can write out instructions, have dedicated workers to sign up, but the problem isn't as easy as just being consistently hard.
Throwaway05
7d ago
Some people be that way. You can train for it and should (and emergency workers of various kinds do) but some people just got it. Unfortunately it often comes with the adrenaline dump afterwards as you note.
Throwaway05
7d ago
I don't think I agree with this characterization (but in a way that makes the whole situation worse lol).
As part of my job I spend a good amount of time explaining complicated topics to "stupid" people and those who have some permanent or temporarily form of cognitive impairment. If you sit down and explain things calmly, slowly, and carefully you can explain most things to people. But they have to be interested, which is the first problem. Frustration with complicated systems is up and attention spans are down. You also need to have the time, energy, and wisdom to simplify the complicated thing, some combination of those is usually lacking.
Some of this is the fault of parents, school, and society not taking a breath to say for instance "insurance does this, it's not a magic button, it might not make sense to use the insurance, for instance if you have a small amount of body damage to your car......"
Cherry picked examples of people being freaked out and disappointment or angry misses that those people may be in shock about what happened, lying, or engaged in motivated reasoning as an ego defense.
The other big piece is that people involved don't understand these things. Many physicians don't really have a good understanding of insurance as a consumer, and as it results to their roles either. The former is generally a problem interest/time/frustration instead of intellectual horsepower or education. The latter is because of games insurance companies play to not pay. We have dedicated staff whose job it is to deal with insurance, and they don't have any clue most of the time either they just bang their heads against the insurance company until it does what we need.
I've seen people arrive at a DMV in an expensive Italian suit and have to leave because they misread something and they could only come on Tuesday's or need another proof of ID because this proof of ID valid in their old state isn't valid in the new state.
I've seen a professor walk out of a building at an Ivy League school and start to get on the wrong train on public transit because the signage was terrible.
Yes being stupid at baseline, having a poor attention span etc. can make problems more likely to happen but intellect and education aren't protective enough, you need to be attentive and practiced with these symptoms and that's hard to ask.
Some of our systems for the most indigent actually work better (for some definitions of better) than for the upper or middle class. Medicaid sucks and is a pain in the ass but a lot of places have staff whose job it is to navigate those things for the patient, and the specific way the suck happens sometimes makes it simple at least.
I don't know, I guess what I'm saying is that all the systems fucking suck and being stupid makes them worse but they fuck over plenty of smart people and can easily seem like a nightmare for them also.
Throwaway05
7d ago
Apparently there's a lot of talk that the USSS strongly disliked Hillary specifically.
Can confirm this specifically. This was from Bill's tenure but I had a friend of a friend connection to her Secret Service detail, they fucking hated her. At the time it was emphasized to me "we are so professional and yet I'm willing to bitch about this woman to you, that's how bad it is." Granted I'm not sure how to assess the professionalism given recent events, and this was like 25 years ago.
Throwaway05
7d ago
There's a quote popularized by the Wheel of Time: "Duty is heavier than a mountain, Death lighter than a feather."
Much of fear and anxiety come from uncertainty. He may have come to the mental conclusion he was going to get popped after taking the shot and as a result calmed down immensely, making things easier. This is how some people response to stressful situations by nature. Emergency training of all kinds is designed to get people to this point but some people already have it, and it's not always who you'd expect (ex: I've seen nervous wreck seeming med students respond to their first code and absolutely kill it....and then turn around and start blubbering as soon as the emergency was over).
Throwaway05
7d ago
I think that was more true in the old days of organized crime, but these days some of the bigger U.S. cities (well at least Chicago, Baltimore, and Philadelphia) have mostly disorganized crime where it's mostly small scale block gangs beefing with each other over instagram posts. Actual drug infrastructure exists but isn't fighting over territory as much and is avoiding doing dumb shit like rapping about pissing on the corpse of somebody's best friend. With the social media data and complete lack of op sec these guys have it's pretty easy to tell who is going to get killed.
Throwaway05
7d ago
Brady had absurd work ethic and determination. Obvious things like studying the game, but also stuff like totally changing his diet, reinventing his exercise regimen multiple times.
Some aspects of freak athleticism aren't strength and endurance related - hand/eye coordination, quick decision making, low heart rate under pressure.
He also had a frightening lack of pride when it came to reinventing his game, in game decision making, and so on that let him do things everyone else could but never did.
Don't discount those things, and while Mahomes peak may be more athletic, longevity is its own value.
Throwaway05
7d ago
For what it's worth this is a discussion that even professional athletes have and argue over. The New Heights podcast (Jason and Travis Kelce) had a number of bits discussing athleticism of basketball players and NFL players and how they'd do in each others sports. IIRC it ended up most leaning towards "the basketball players are total athletic freaks but it's easy to miss that because of the way the sport is."
Some things to keep in mind: LOTS of games. Moving around that much body is fucking hard. Handfighting, pushing each other, etc doesn't always come across on broadcasts, but if you've ever had court side seats you can see how much extracurricular athletic activity is going on.
Throwaway05
10d ago
I mean I don't agree with him, but I'm not as bothered as many. We've got a reasonably articulate guy here who hates Jews. I want to hear his best argument. If he's gonna run around complaining about them all the time I want to know why. If he's gonna do it I want to hear a little more texture and context, not see this guy running around going all "in spite of the tennis" and drive by shooting all the time.
I've got a pretty good mental model of most intolerance, but I never interact with people who are anti-Jew and aren't just trolling or have Arab adjacent concerns. I want to hear the other perspective and this guy smuggles in the jew posting well enough that I figure he might have something interesting to say if pressed.
Throwaway05
10d ago
I agree in general, and I do think people should be able to have opinions I find odious, but if you are going to make it your thing, some level of forced engagement instead of just drive by jew-posting might be better than just straight up banning/ongoing warnings of "chillllllll."
Throwaway05
10d ago
This is a good point. Can the mods force him to answer this if he wants to keep jew posting?
Throwaway05
14d ago
At the very least it's off narrative, although it's in somewhat of a subtle way. The media and "deep state" don't like to publish things that make people get ideas. The idea that someone could do this and get away? Big no no. Emphasizing all these stupid Trump supporters who were stupid and got stopped by the majesty of the security state? Big yes yes.
So they probably don't want others to remember this and get ideas. Which is also kinda fair?
Throwaway05
15d ago
In this case I mean more specifically the whole "everything is on the table for discussion except for the one thing that makes me sensitive" type problem which is understandable but so hard to deal with.
Throwaway05
15d ago
Yeah this has the flavor of "ox goring is good, but now that my ox is gored I feel uncomfortable." That's normal. And feels shitty. But it happens, and then you get through it and keep going.
You don't flee. Fleeing makes the critics right.
Throwaway05
16d ago
Druggie's are one thing that is rather complicated, but for the mentally ill, especially at the level of severe mania and psychosis....they aren't making informed and considered choices, the disease gets in the way.
If someone lives a healthy, normal life, then gets frontal lobe damage and becomes an asshole....that's not their fault. We might lock them up to prevent them from threatening others, but the substrate is damaged and they can't make decisions required to stay out of trouble.
if your brain is telling you that you are NORMAL and HEALTHY and that medical people and government people are out to get you, then you can't make the right decisions. That's what a delusion is.
In very careful and controlled circumstances we can work around it, but it's depressingly rare. Many people feel great and are normal with meds (and want to continue), but then they get sick and metabolize a dose differently and then the whole thing starts again.
Do not underestimate the way severe mental illness impairs your ability to make the right choices, hell some of the medications have side effects like "compulsive gambling."
Throwaway05
16d ago
Ambien side effects include: sleep talking, sleep walking, sleep driving, sleep eating, death.
Outpatient in many specialties is harder and busier, because you may end up having 20 minute appointments back to back from 8am-5pm with little chance to chart (which is certainly more burdensome with psych).
Granted I don't know how much the UK changes this.
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