Preparedness - JASE Medical

Are You Ready for What is Already Here?

(5 tips to build resilience)

Every day that we turn on the news we are hit with something new that could not only destabilize countries across the seas, but can  have serious implications  for our lives in the states.

  • World War 3 is trying to kick off (Some people believe it is already here), food, drug and medical supply shortages are continuing to make headlines.
  • Healthcare workers, transportation and auto makers are striking, have already striked or threatening to strike.
  • Add to this, Rite Aid has filed for bankruptcy, citing slumping sales, opioid litigation, and rising shoplifting in stores. Founded in 1962, this longstanding pharmacy chain has 2,000 stores across the country. They plan to restructure the business and close underperforming stores, affecting 47,000 employees. ( This isn’t the only pharmacy chain experiencing trouble- Pharmacy staff from Walgreens, other chains could stage nationwide walkout and rallies in coming weeks).
  • From 2018 to 2022, the all-food Consumer Price Index (CPI) rose by a total of 20.4 percent. Food prices increased faster in 2022 than any year since 1979, due in part to a highly pathogenic avian influenza outbreak and the conflict in Ukraine.

 The top price increases were felt in transportation, food, housing, and medical care.

The following graphs are an eye-opening account of where consumer dollars were spent from 2018-2022:

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One-third of the U.S. food dollar spent on eating-out services in 2021

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Food expenditures for 2022 were an astounding 56 percent of total food dollars spent.

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What you can do about it

Where inflation is hitting the pocketbook the most and where consumers are spending their money are in necessary purchases.

  1. Learn to cook- you will save money and eat healthier

Eating out isn’t good for you- for both your pocketbook and your overall health. Many restaurants serve prepackaged food that is loaded with salt, fats, and flavor enhancers (I have family in the restaurant industry). Meal planning can be the biggest obstacle to eating at home. Cooking at home revives traditions and recipes handed down through generations. It can be a bonding experience with your children or spouse.

  1. Eating healthier leads to a lesser chance of developing chronic diseases

Research points to a reduced risk of cardiovascular diseases, type 2 diabetes, colorectal and breast cancer when following a healthy diet. (Low sugar, high fiber and adequate healthy fats and protein. ( Check out the Mediterranean diet) Healthy eating also can help decrease depression and other mental health symptoms. A healthy diet also improves your immune system. Up to 80 percent of our immune system is housed in our gastrointestinal tract.

  1. Living a healthier lifestyle saves money-and frees up cash for other necessities

Money that would go to chronic disease management could be put towards preparing for our uncertain future. Housing and transportation were among the top price increases. Freeing up cash for upcoming increases in gas and home heating (oil could go to $150 a barrel if conflicts across the globe escalate) will put you that much further ahead.

One way to beat the upcoming transportation costs is to walk, cycle (check out e-bikes- they are coming down in price and are gaining popularity) carpooling to grocers and appointments and finding close to home activities.

Audit your present medical supplies and prescriptions. Get them refilled as far in advance as possible. As a reminder, Jase Daily provides a years’ worth of chronic prescription medications if you are unable to obtain an extended supply locally. Given the escalating tensions across the globe and pharmacies experiencing unrest and shortages, this should be a priority.

  1. Set a budget and stick to it.

 Taking control of your finances and budgeting for necessities is necessary in navigating this uncertain world. Start a journal and record all your expenditures for a month. This exercise will reveal a tremendous amount of information as to where your money goes. At the end of the month, analyze your expenditures. You may see a pattern or discover ways of trimming the budget with little effort. There are classes and apps for budgeting you can take from the comfort of your home, if you need guidance.

  1. Reward yourself and family when you have met your goals

Focus on solutions. There is plenty of drama in the media and news reports pulling all of us into the problems (which are real) of the world. Most of what is going on we have no control over. Take a vacation from the computer and phone on a regular basis. Your mental health will thank you for it.

Plan for the future by investing in yourself and those you love. Overcoming obstacles brings families, friends and communities together, creating a more resilient life for all.

- Brooke Lounsbury, RN

Medical Content Writer

Lifesaving Medications

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How Long do My Meds Last? A Look at Metronidazole

What is metronidazole?

Metronidazole is an antibiotic that is used to treat bacterial infections of the vagina, stomach, liver, skin, joints, brain and spinal cord, lungs, heart, or bloodstream.

In 2020, it was the 222nd most commonly prescribed medication in the United States, with more than 2 million prescriptions. It was discovered in the 1960s by researchers at the pharmaceutical company Rhône-Poulenc. The drug was initially developed as an anti-parasitic agent, but it was later found to be effective against anaerobic bacteria and protozoa.

The antibacterial activity of metronidazole was discovered by accident in 1962 when metronidazole cured a patient of both trichomonad vaginitis and bacterial gingivitis.

How long does metronidazole remain potent?

A recent study (2020) titled, “Long Term Stability Study of Metronidazole Tablets” revealed metronidazole tablets maintain a high rate of stability at 3 years, meaning the potency was still extremely high at that time.  

Metronidazole is listed in the World Health Organization Model List of Medications for the newly released 2023 edition:

FIRST CHOICE (From WHO 2023 list)

  • difficile infection (use when first line agents such as oral vancomycin are unavailable)
  • Complicated intraabdominal infections (mild to moderate)
  • Complicated intrabdominal infections (severe)
  • Necrotizing fasciitis
  • Surgical prophylaxis
  • Trichomoniasis

SECOND CHOICE (From WHO 2023 list)

  • Complicated intraabdominal infections (mild to moderate)

In addition, metronidazole can be used to treat:

  • Bacterial vaginosis (metronidazole does not treat vaginal yeast infections (candidiasis), in fact, it can cause a yeast infection, if symptoms of yeast infection, consult primary care provider). Sexual partners should also be treated if sexually active during symptoms of bacterial vaginosis (even if no sign of infection).
  • Giardiasis
  • Tetanus

How to take

Take with food to avoid stomach upset.

What To Avoid

  • DO NOT take with alcohol and don’t consume alcohol for 3 days after last dose, as it can cause schizophrenic symptoms.
  • Do not take if you have taken disulfiram (Antabuse) within the past 2 weeks.
  • If you are allergic to metronidazole, secnidazole, or tinidazole.
  • Consumed foods or medicines that contain propylene glycol in the past 3 days.
  • Have Cockayne Syndrome (a rare genetic disorder that affects growth and development).

Pregnancy precautions

USDA pregnancy category is not assigned; however, it is advised to consult your care provider for guidance. (The pregnancy categories are being phased out). It is advised to not take it during first trimester of pregnancy unless no other options are available.

In addition, if you are breastfeeding, do not feed the milk to your infant for 24 hours after last dose. Metronidazole is excreted in breast milk.

According to “AU TGA pregnancy category B2: Drugs which have been taken by only a limited number of pregnant women and women of childbearing age, without an increase in the frequency of malformation or other direct or indirect harmful effects on the human fetus having been observed. Studies in animals are inadequate or may be lacking, but available data show no evidence of an increased occurrence of fetal damage.”

And: “US FDA pregnancy category Not Assigned: The US FDA has amended the pregnancy labeling rule for prescription drug products to require labeling that includes a summary of risk, a discussion of the data supporting that summary, and relevant information to help health care providers make prescribing decisions and counsel women about the use of drugs during pregnancy. Pregnancy categories A, B, C, D, and X are being phased out. “

Before taking, metronidazole, consult with your care provider if you have any of the following:

  • Liver disease
  • Kidney disease (or if you are on dialysis)
  • Heart rhythm disorder
  • Stomach or intestinal disease such as Crohn’s disease
  • Blood cell disorder such as anemia (lack of red blood cells) or low white blood cell (WBC) counts
  • Medical problems that affect the brain or a nerve disorder
  • Yeast infection or a fungal infection anywhere in your body
  • Take any medications, especially warfarin, lithium, busulfan, cimetidine, phenytoin, or phenobarbital.
  • Not all uses of metronidazole are approved for treating children and teenagers. Metronidazole is not approved to treat vaginal infections in girls who have not begun having menstrual period.

Common side effects may include:

  • Metallic taste
  • Vaginal dryness
  • Diarrhea
  • Nausea, vomiting
  • Headache
  • Pain in the upper abdomen and abdominal cramping
  • Weight loss
  • Constipation

Discontinue and seek immediate medical attention if you experience:

  • Allergic reaction (hives, itching, rash, joint pain tingling, fever, blistering skin)
  • Low white blood cell count
  • Nervous system disorders: seizures, brain swelling, aseptic meningitis.
  • Worsening of yeast infection
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- Brooke Lounsbury, RN

Medical Content Writer

Lifesaving Medications

Everyone should be empowered to care for themselves and their loved ones during the unexpected.

Recent Posts

Keeping you informed and safe.

Join Our Newsletter

Our mission is to help you be more medically prepared. Join our newsletter and follow us on social media for health and safety tips each week!

The Largest Strike in Healthcare Workers Begins Tomorrow – Are You Ready?

Citing unfair labor practices and overworked staff, the Coalition of Kaiser Permanente Unions, Kaiser Permanente healthcare workers will be striking for 3 days, starting  Oct. 4 at 6 am through 6 am, Oct. 7, 2023. 75,000 Kaiser healthcare workers from California, Oregon, Washington, Colorado, Virginia, and Washington DC will make this the largest healthcare worker strike in U.S. history.

Kaiser Permanente a 39-hospital system with 697 medical offices and nearly 23,000 physicians. The health system supports more than 59,000 nurses and 217,700 employees across nine states: California, Oregon, Washington, Hawaii, Maryland, Colorado, Washington D.C., Virginia, and Georgia.

Another, longer strike is slated for November if demands aren’t met.

According to the union. “This three-day strike will be the initial demonstration of our strength to Kaiser that we will not stand for their unfair labor practices. If Kaiser continues to commit unfair labor practices, we are prepared to engage in another longer, stronger strike in November to protest Kaiser’s unfair labor practices when additional Coalition members in Kaiser’s newest market in Washington state can join us (their contract expires Oct. 31).”

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Add to this a 3-week pharmacists strike that started October 1st

Pharmacy workers represented by UFCW Local 555 at Kaiser Permanente in Oregon and SW Washington walked off the job and started picketing every morning at several Kaiser locations in Oregon.  The union also cites unfair labor practices, staffing issues and employee tampering- reaching out to employees without union representation.

 According to their website” “The number one issue at Kaiser is the lack of staffing. Workers are burning out, patients are having to wait months to receive care, and the problem is only getting worse. We were prepared to work on a deal that’s sustainable for the patients, our healthcare professionals, and the company, but Kaiser has been completely unwilling to accept the real impact of underpaying healthcare professionals and understaffing job sites.” – Dan Clay, President, UFCW Local 555.”

A looming crisis is scheduled for next month. Are you ready?

Kaiser has promised that during the 3-day strike that patient care will not be affected. According to a Kaiser spokesman ““We have contingency plans in place to ensure members continue to receive safe, high-quality care for the duration of the strike.” “Hospitals and emergency departments will stay open”, Kaiser added.

Promises with no realistic backing

How can they make a promise that patient care won’t be affected, given the current healthcare worker shortage? Where are 75,000 healthcare workers coming from that they will haveto replace for 3 days- and even more ominous- where would they come from if the prolonged November strike takes place?

What is YOUR contingency plan in the event of a prolonged strike?

Flu, RSV and covid are making their annual comeback this time of year.

The seasonal rise in influenza, RSV and covid has already begun. The CDC projects this season to have about the same number of hospitalizations as last year.  This points to crowded waiting rooms, multiple hours long waits in the emergency room, understaffed clinics and hospitals, and possible drug and medical supply shortages.

Given the healthcare worker shortages and ongoing and potential strikes, how can any hospital, clinic or facility guarantee patient care won’t be affected?  They cannot.

Become your own first responder and care provider

Almost 1 in five healthcare workers quit during the pandemic. Long hours, demanding jobs, and unrealistic patient to staff ratios were some of the reasons given.

It is apparent living in our post-pandemic world, it is necessary for you to take charge of your family’s health. You can’t rely on a broken system.

Have contingencies in place before it’s too late.

  • Practice prevention. Good quality sleep, reduce unnecessary stress, exercise, and healthy diet.
  • Have your vitamin D level tested and talk with your healthcare provider about supplementation if needed. Research has demonstrated enhanced immunity when vitamin D levels are between 50 nmol/L (20 ng/mL) and 125 nmol/L (50 ng/mL).American College Healthcare Services.
  • Get off sugar- sugar promotes and feeds infection. This includes processed carbohydrates.
  • Know what to do in the event of an accident, severe injury and bleeding, heart attack, head injuries and more. Check out Refuge Training for classes starting at basic CPR and AED to responder modules. You and your family’s life depend on it. In addition, check out local first aid and AED classes offered in your area. All able bodied persons in your family should know what to do in the event of a health emergency.
  • Purchase and learn to use an AED. These lifesaving devices save an estimated 1,700 lives each year. They are portable and can travel in your car.
  • Check your prescription and over-the-counter medications monthly. Make sure you have enough for at least a month. Jase Daily can take care of your prescription medications with a years’ worth delivered to your door.
  • For infections the Jase Case, with 5 different antibiotics can help you avoid the dreaded trip to the ER or clinic during an outbreak- from urinary tract, strep throat, and others, along with addons ivermectin (off label and lice), fluconazole (yeast infection) and ondansetron (for nausea), you are fairly well covered for almost any medical emergency.

- Brooke Lounsbury, RN

Medical Content Writer

Lifesaving Medications

Everyone should be empowered to care for themselves and their loved ones during the unexpected.

Recent Posts

Keeping you informed and safe.

Join Our Newsletter

Our mission is to help you be more medically prepared. Join our newsletter and follow us on social media for health and safety tips each week!

Maintain or Attain a Healthy Weight

When you maintain a healthy weight, your overall health and ability to care for the sick and injured is enhanced. Preparedness isn’t just first aid and readiness during adverse weather events and home safety. 

According to the CDC:

  • The US obesity prevalence was 41.9% in 2017 – March 2020. (NHANES, 2021)
  • From 1999 –2000 through 2017 –March 2020, US obesity prevalence increased from 30.5% to 41.9%. During the same time, the prevalence of severe obesity increased from 4.7% to 9.2%. (NHANES, 2021)
  • Obesity-related conditions include heart disease, stroke, type 2 diabetes and certain types of cancer. These are among the leading causes of preventable, premature death.
  • The estimated annual medical cost of obesity in the United States was nearly $173 billion in 2019 dollars. Medical costs for adults who had obesity were $1,861 higher than medical costs for people with healthy weight.

It is my belief that post covid the above rate of obesity will reveal a much higher rate.

Diseases linked to obesity:

  • Diabetes
  • Fatty liver disease
  • Sleep apnea
  • Premature death
  • Certain types of cancer (breast, colon, prostate, and esophageal cancers)

Obesity, and even being overweight puts a severe strain on the body. Plantar fasciitis, excess wear on hip and knee joints, low back pain and even sleep apnea can be a result of excess adipose tissue. 

A vicious cycle can set up in the body, where the hormones ghrelin and leptin are out of balance.

At least that is what happens in an ideal world.

Ghrelin is called the hunger hormone and is secreted by the stomach when the stomach is empty. It regulates:

  • Blood glucose levels through reduced insulin secretion and regulates the synthesis and breakdown of glucose and glycogen.
  • It reduces heat production to conserve energy.
  • It reduces sympathetic activity.
  • It plays a role in regulating bone growth 
  • It is also highly expressed in metastatic cancer cells

Leptin is called an appetite suppressant hormone and is secreted by adipose tissue and balances the ghrelin hunger hormone. Leptin regulates:

  • Satiety
  • Metabolism- energy regulation
  • Immune function
  • Stable mood
  • Mental sharpness

Leptin deficiency can lead to:

  • Recurrent bacterial infections
  • Severe obesity
  • A condition called leptin resistance

What is leptin resistance?

During a normal feedback loop:

High levels of leptin signal your body that there are adequate stores of fat so you eat less and burn more fat. When leptin levels are low, this signals your body (brain)that you need to eat more and hold on to fat reserves in the body.

Leptin resistance happens when leptin which is stored in fat cells isn’t acknowledged by the brain. This results in increased appetite and slower metabolism.

There are many reasons believed for leptin resistance. Genetics, poor sleep habits, processed food, insulin resistance and lack of exercise are believed to contribute to this.

There are no easy solutions.

Anyone who has struggled with weight has already heard the following-

  • Eat more vegetables,
  • Increase activity
  • Avoid processed foods
  • Stabilize blood sugar
  • Etc. etc. etc.

However. There is much more physiology and psychology involved to this than previously thought. If it was that easy, we would all be able to easily lose weight. Emotional eating, when bored, snacking between meals and lack of meal planning can contribute to weight gain. 


Check with your primary care provider before initiating any lifestyle changes

- Brooke Lounsbury

Medical Content Writer

Lifesaving Medications

Everyone should be empowered to care for themselves and their loved ones during the unexpected.

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Keeping you informed and safe.

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Our mission is to help you be more medically prepared. Join our newsletter and follow us on social media for health and safety tips each week!

Other Types of Accidental Poisonings and Exposures

Other Types of Accidental Poisonings and Exposures

Accidental poisonings cover a broad spectrum of populations and exposures. From the toddler ingesting something they found in the yard to medication errors to insect bites, the routes and exposure to toxic are almost endless. Some types of poisonings may not be apparent, and can cause irreparable damage if not caught in time.

As stated in the previous post on household chemical emergencies, poison control center is the fastest way to find out about what to do if you suspect any sort of exposure. Their online tool can help identify if there is a poison emergency and what to do They even have an app you can download for your phone to expedite the process.

According to The National Poison Control Center:

In 2020, the 55 U.S. poison control centers provided telephone guidance for over 2.1 million human poison exposures.

 That’s about: 

  • 6.4 poison exposures/1000 population,
  • 37.9 poison exposures in children younger than 6 years/1000 children,
  • 1 poison exposure reported to U.S. poison control centers every 15 seconds

Adults comprised almost half of all exposures (47%), followed by children younger than 6 (39%), then teens (8%).

Types of exposures

Our previous post on household chemical exposures details what to do if you or your loved one is exposed to common household chemicals. Below are some other types of accidental poisonings:

The most common types of poisonings in children:

  • cosmetics and personal care products
  • cleaning substances and laundry products
  • pain medications, both prescription and over-the-counter (OTC)
  • foreign bodies such as toys and toy parts, coins, and thermometers
  • topical preparations like rash creams
  • vitamins and supplements
  • antihistamines
  • pesticides
  • plants
  • antimicrobials like antibiotics

Most dangerous types of poisonings for children:

  • Medications– Over the counter and prescription medications- Remember, there is no such thing as a child proof container. Store all medications out of the reach of children. Do not store medicine in any container other than its original packaging. 
    • Carbon monoxide poisoning Not all poisons are swallowed; some are inhaled, or breathed in. Carbon monoxide gas is in fact an invisible killer. It has no color or odor. Take it seriously. Make sure there’s a carbon monoxide alarm in every sleeping area of your home.
    • Button batteries (sometimes called disc batteries) can be found in musical greeting cards, remote controls, key fobs, and other small electronic devices. Be especially mindful of the 20 mm lithium coin cell battery. When swallowed by a child, especially one younger than 4 years, it often lodges in the esophagus causing burns within just 2 hours. A hole in the esophagus may develop and the burn can extend into the trachea or aorta. More than 60 children have died from ingesting button batteries.
  • Iron pills  are very dangerous for children to ingest. A child can start throwing up blood or have bloody diarrhea within an hour of ingestion
  • Cleaning products (covered in previous post)
  • Nail glue and primer (used in artificial nails, etc)
  • Hydrocarbons: This is a broad category that includes gasoline, kerosene, lamp oil, motor oil, lighter fluid, furniture polish, and paint thinner.
  • Wild mushrooms: Many types of mushrooms grow in many areas of the country. Some are deadly to eat.
  • Alcohol: When children swallow alcohol, they can have seizures, go into a coma, or even die. This is true no matter where the alcohol comes from. Mouthwash, facial cleaners, and hair tonics can have as much alcohol in them as alcoholic beverages.
  • Drain cleaners and toilet bowl cleaners: These caustics cause devastating burns to the mouth, throat and stomach. Drain cleaners may be strongly alkaline and toilet bowl cleaners may be strong acids. If swallowed, they must be diluted immediately to limit the damage that rapidly occurs.
  • Topical anesthetics: These medicines can cause seizures or a condition called methemoglobinemia which keeps the blood from carrying oxygen to the tissues. Be especially careful with teething gels, hemorrhoid preparations, anti-itch creams, and sunburn relief agents.

The most common types of poison exposures in adults:

  • pain medicines, both prescription and over-the-counter (OTC)
  • sedatives, hypnotics, antipsychotics
  • antidepressants
  • cardiovascular drugs
  • cleaning substances (household)
  • alcohols
  • pesticides
  • bites -ticks, spiders, bees, snakes)
  • anticonvulsants
  • cosmetics and personal care products

What to do if suspected poisoning:

If unconscious, vomiting, seizures, or other signs of distress immediately call 911, then contact via phone, app or online tool the poison control center for guidance. Do not immediately try to induce vomiting until you contact them. Some chemicals are caustic and can cause damage to the esophagus if vomited. 

Action Plan:

On the refrigerator or other conspicuous place:

  • Keep an envelope with a list of medications and allergies for each family member
  • Keep a list of medications and allergies on refrigerator for each family member
  • Post poison control center phone number 1-800-222-1222
  • Post primary care provider name and number
  • Speak with primary care provider about keeping syrup of Ipecac on hand to induce vomiting.


- Brooke Lounsbury

Medical Content Writer

Lifesaving Medications

Everyone should be empowered to care for themselves and their loved ones during the unexpected.

Recent Posts

Keeping you informed and safe.

Join Our Newsletter

Our mission is to help you be more medically prepared. Join our newsletter and follow us on social media for health and safety tips each week!