Did This Get Lost In The Covids?
In October 2019, I wrote Asthma Carbon Footprint ‘As Big As Eating Meat’ and it made me think, when I just read it.
I would normally follow up a post like this, but I don’t remember doing anything like that.
The Wikipedia entry for the COVID-19 pandemic in England, starts with this paragraph.
The COVID-19 pandemic was first confirmed to have spread to England with two cases among Chinese nationals staying in a hotel in York on 31 January 2020.
It looks to me, that like everybody else in England, I had the Covids on my mind.
Is Respimat A Zero-Carbon Inhaler?
Just to be sure, I asked Google AI, the question in the title of this section and received this reply.
The Respimat soft mist inhaler is considered to have virtually no associated carbon emissions from its operation because it does not contain the high global warming potential (GWP) hydrofluorocarbon (HFC) propellants found in metered-dose inhalers (pMDIs).
While it has a substantially lower carbon footprint than traditional pMDIs, it is not strictly “zero-carbon” when considering its entire life cycle, which includes manufacturing, materials (stainless steel, aluminium, polymers), and end-of-life disposal. These factors contribute a small product carbon footprint (PCF).
According to Google AI, a reusable version is available.
A reusable Respimat device has been introduced, which further reduces the carbon footprint by up to 71% over six months compared to the disposable version because the device itself is kept longer, reducing manufacturing impacts.
Google AI says this about NHS guidance.
Health bodies like the NHS encourage the use of lower-carbon inhalers like the Respimat or dry powder inhalers (DPIs) as part of their net-zero targets, provided they are clinically appropriate for the patient.
But it does seem that Respimat devices are helping to cut global warming.
What Is The Patient Experience Of Respimat?
Google AI gave this answer to my question.
Patient experience with the Respimat inhaler is generally very positive, with high satisfaction for its ease of use, handling, and the “soft mist” it produces, leading to high continuation rates in studies; patients find it easier than many older devices and report good effectiveness, though common side effects like dry mouth, cough, and sore throat can occur.
Key Aspects of Patient Experience
- High Satisfaction: Over 85-90% of patients report being satisfied or very satisfied with the Respimat’s handling and the ease of inhaling the mist.
- Preference Over Other Devices: Many patients prefer Respimat over traditional metered-dose inhalers (pMDIs) or dry powder inhalers (DPIs), finding it easier to use and more effective.
- Soft Mist Technology: Patients appreciate the gentle, slow-moving mist, which helps deliver medication effectively and feels different from a typical puff.
- Good Adherence: High satisfaction often translates to continued use, with physicians reporting high patient adherence and continuation rates after studies end.
- Improved Technique: While initial use might need guidance, pharmacist-led interventions show significant improvements in patients’ inhalation technique over time.
That doesn’t look bad to me!
Could Immunotherapy Drugs Be Delivered By An Inhaler?
We always felt the device could deliver other drugs.
Google AI gave this answer to my question.
Yes, immunotherapy drugs could potentially be delivered by an inhaler, and this approach is a promising area of active research and development, particularly for treating lung cancer and respiratory diseases like asthma.
Rationale and Research
- Targeted Treatment: Inhaled delivery allows for high concentrations of the drug to be delivered directly to the lungs, which is particularly beneficial for treating lung-specific conditions like lung cancer or severe asthma. This localized approach aims to maximize the therapeutic effect where needed.
- Reduced Side Effects: By concentrating the medication in the lungs and minimizing its systemic absorption into the bloodstream, researchers hope to significantly reduce the severe side effects (e.g., systemic toxicity, autoimmune reactions) commonly associated with traditional intravenous or oral administration of some immunotherapies and chemotherapies.
- Patient Convenience: Inhalation is a non-invasive administration route, which is more convenient and comfortable for patients compared to injections or intravenous infusions, potentially allowing for self-administration and improving patient compliance.
The Soft Mist Technology could surely be a help!
Was Osborne Reynolds The Greatest Fluid Dynamicist?
I have to ask Google AI this question, as some of the discussions that led to creation of Respimat, took place in my house at Debach, where Osborne Reynolds had lived.
Google AI gave this answer to my question.
Osborne Reynolds is considered one of the most influential and foundational contributors to the field of fluid dynamics, though naming a single person the “greatest” is subjective. His work fundamentally shaped modern engineering and physics and remains central to the study of fluid flow today.
Key Contributions to Fluid Dynamics
Reynolds’ most significant achievements include:
- The Reynolds Number: He identified a crucial dimensionless parameter (now named the Reynolds number) that determines whether fluid flow is laminar (smooth and orderly) or turbulent (chaotic and eddying). This number is a foundational concept used across all engineering and physical sciences.
- The Theory of Turbulence: In an 1895 paper, he established the standard mathematical framework used in the study of turbulence, introducing what is known as the Reynolds-averaged Navier–Stokes equations.
- Experimental Validation: His elegant, yet simple, dye experiments visually demonstrated the transition between flow regimes, providing clear empirical evidence for his theories.
- Theory of Lubrication: He developed the Reynolds equation in 1886, which still underpins the analysis of hydrodynamic lubrication in modern bearings.
- Heat Transfer and Similitude: His research into heat transfer between solids and fluids led to significant improvements in boiler and condenser designs, and his work on hydraulic similitude enables engineers to use scaled-down models (e.g., in wind tunnels for aircraft design) to predict the performance of full-scale machines.
How Many Good Ideas Did The Covids Delay?
It could be that the roll-out of Respimat for was delayed by the Covids!
But it wouldn’t have been the only idea to have been delayed in that way!
Do Dry Eyes Make It Difficult To See?
My first eye test was performed by a friend’s father in a shed in his garden.
But he was a retired senior eye surgeon from Ipswich Hospital.
He told me, that I had the driest eyes he’d ever seen and that he didn’t think I’d ever be able to wear contact lenses.
The second part of his statement has proved to be true, but what does Google AI think of the first part?
I asked Google AI, the question in the title of this post and received this answer.
Yes, dry eyes can make it difficult to see, causing temporary blurred vision that often improves with blinking. This happens because the tear film, which keeps the eye’s surface lubricated, is insufficient or of poor quality, which affects focus. Dry eyes can also lead to other vision problems, such as sensitivity to light and reduced contrast sensitivity.
That certainly fits my experience.
I find that having a hot bath every morning and putting my head under water and then opening my eyes and giving them a good rinse. This was recommended to me, by an ophthalmologist and then approved by my GP.
Can A Glass Of Orange Juice Act As A Laxative?
I’ve just had a dramatic demonstration that it does work, so I asked Google AI, the question in the title of this post and I received the following answer.
Yes, a glass of orange juice can act as a mild laxative due to its fiber content (especially with pulp) and the flavonoid naringenin, which may have a laxative effect. It also provides hydration, which is crucial for soft, regular bowel movements.
As, in this weather with low pressure, I seem to be suffering from constipation more than usual, I’ll make sure I always have orange juice in the fridge.
Orange juice is also a good alternative, as in Can You Take A Dulcolax With Uncomplicated Pancolonic Diverticular Disease?, I found I couldn’t take my usual laxative, as I have been diagnosed with uncomplicated pancolonic diverticular disease.
Does Low Barometric Pressure Lower Blood Pressure?
I’m writing this post, as the barometric pressure has been low for a few days and my blood pressure has been as follows.
- Friday – 109/81/80
- Saturday – 120/47/78
- Sunday – 123/84/77
- Monday – 114/54/81
- Tuesday – 118/80/73
- Wednesday – 105/75/84
- Thursday – 108/81/74
- Friday – 107/56/70
The pressure had been going up and down all week, with two storms and quite a bit of rain.
So I asked Google AI the question in the title of this post and received this answer.
Yes, low barometric pressure can sometimes lower blood pressure, particularly systolic blood pressure, though the relationship can be complex and varies by individual and season. Studies have shown an inverse relationship, meaning as barometric pressure drops, blood pressure can also decrease. However, other factors can also influence this, and some research suggests a more complex “U-shaped” relationship where both very low and very high pressures may be associated with changes in blood pressure.
That’s fairly conclusive.
This paper on the National Library of Medicine, which was entitled Evaluation Of The Impact Of Atmospheric Pressure In Different Seasons On Blood Pressure In Patients With Arterial Hypertension, is referenced.
Is It Advantageous For Student Doctors To See Patients Earlier In Their Careers?
I’m asking this for a friend.
I asked Google AI the question in the title of this post and received this answer.
Yes, it is advantageous for student doctors to see patients earlier, as it can increase motivation and confidence, provide a better theoretical understanding, and help them develop clinical and communication skills earlier. Early patient contact also helps students build professional identity, gain comfort with patient encounters, and better understand the realities of being a physician, which can also improve patient experiences and facilitate the transition to becoming a junior doctor
That all sounds pretty sensible to me.
These are some thoughts.
Could The Same Philosophy Be Used For Other Health Professionals Like Nurses, Pharmacists And Radiographers?
I don’t see why not!
I actually feel, this philosophy might be already being used by the City University, who train radiographers at Homerton Hospital in Hackney.
I Was Used By University College For Interview Practice
A few years ago, I spent four nights in University College Hospital.
- I had my own single room.
- They wanted to do a few more tests.
- So one of the Senior Tutors asked if I’d mind being interviewed by student doctors for practice.
As I said, I wouldn’t mind, I was interviewed by four student doctors over two nights.
It certainly relieved some of my boredom and at least two of the students had never met a coeliac before.
Conclusion
I believe this patient/student interaction could be used very much to the advantage of both groups.
Can You Take A Dulcolax With Uncomplicated Pancolonic Diverticular Disease?
I was suffering from constipation this morning, as the low barometric pressure was drawing the water out of my body.
So I wondered if I could safely take one of my usual Dulcolax tablets.
I asked Google AI, the question in the title of this post and received this reply.
You should not take Dulcolax with uncomplicated pancolonic diverticular disease, especially during a flare-up, without first consulting a healthcare provider. Stimulant laxatives like Dulcolax can be risky and may cause issues, such as gastrointestinal problems or increased risk of perforation. Instead, a healthcare provider will likely recommend consulting them for advice on which constipation treatments, if any, are appropriate, such as bulk-forming laxatives if your diet is insufficient.
I didn’t take any Dulcolax tablets.
But I’ve just hydrated myself with a bottle of Adnams Ghost Ship 0.5% Beer and it did the trick!
Can Uncomplicated Pancolonic Diverticular Disease Make My Left Foot Go Red?
In My Unusual Feet, which I wrote in February 2022, I showed this typical picture of my feet.
Note how the left foot is redder than the right.
This prompted me to ask Google AI, the question in the title of this post and I received this answer.
No, uncomplicated pancolonic diverticular disease itself is not likely to cause a red left foot, though it’s possible for pain to radiate to the legs. A red foot would be a symptom of a different issue, and could be related to complications from the diverticular disease, such as sepsis (a severe infection), or another unrelated condition like poor circulation or an infection. It’s important to see a doctor to determine the cause of the red foot and rule out a more serious problem, especially if you have symptoms like fever or severe pain.
As sepsis is mentioned, if it happens again, I’ll see a health professional.
Better Than A Kick In The Teeth – As C Would Say!
I’ve just had an e-mail from OVO Energy, who have been my energy supplier for at least eight years, that they are going to reduce my Direct Debit by £26 per month.
OVO didn’t give a reason, but then it dawned on me.
In I’m Getting A New Hydrogen-Ready Boiler, I laid out my reasoning for getting a new boiler, as the pump had failed.
It’s only been one billing period, but I suspect other factors have kicked in.
I asked Google AI, if the the efficiency of gas boilers increased in the last ten years, and received this reply.
Yes, gas boiler efficiency has significantly increased in the last ten years, with new models achieving efficiencies over \(90\%\) compared to older ones that could be as low as \(60\%\). This is primarily due to the mandatory use of condensing technology in new boilers, which recovers and reuses heat from exhaust gases to preheat water.
As far as we know, Google are not in the gas boiler business, so I’m sure their answer is unbiased.
It looks like I shall be saving £312 per year, because of the new boiler.
Thus, if it lasts ten years, which is the guarantee period, then it has paid a substantial part of the cost of the new boiler.
As my late wife, C, would often say, that is better than a kick in the teeth.
Should You Get A New Boiler?
I am not qualified to answer that, but I’m you know a man or woman who is!
America’s Looming Electricity Crisis Is Trump’s Achilles’ Heel
The title of this post, is the same as that of this article in the Telegraph.
This is the sub-heading.
Culture war banter and point-scoring have left Maga facing a self-inflicted energy shortage
These are the first three paragraphs.
The US is in danger of losing the global AI race for the most banal and careless of reasons: it is critically short of electricity.
The country is sitting on a neglected pre-modern grid that cannot meet surging power demand for data centres, cryptocurrencies, the reshoring of semiconductor plants and the proclaimed revival of the American industrial base.
Nor can it meet the needs for air conditioning through hotter and more humid summers. While we all talk about AI, the chief cause of rising electricity use last year was for cooling. Bitcoin mining took another 2pc of US power, for no productive purpose.
It looks like we can add simple arithmetic to the skills the Trump Administration lacks.
The Telegraph article and myself have some other thoughts.
The Planned Increase In Electricity Is A Fifth Of What’s Needed
This is a paragraph from the Telegraph.
The US Energy Department said in its Resource Adequacy Report in July that the planned increase in firm electricity supply is a fifth of what is needed by 2030.
In Renewable Power By 2030 In The UK, I stated that by 2030, the UK would add nearly 59 GW of offshore wind.
Surely, using the population size difference of four times, 240 GW of offshore wind, would do the USA nicely?
But, Trump doesn’t like wind turbines.
Texas Has A Shortage Of Electricity
These are two paragraphs from the Telegraph.
The Texas grid operator Ercot expects peak power demand in its region to soar from 87 gigawatts (GW) this year to 138 GW by 2030. This is physically impossible.
Texas passed a law in June giving the state emergency authority to cut off power to data centres. Ercot is already having to deploy “mobile generation plants” at exorbitant cost to avert blackouts even today.
It sounds pretty desperate.
Texas needs another 51 GW by 2030, which is less than we intend to delivery from just offshore wind.
If Little Great Britain can do it, then surely Texas can? After all, Texas is three almost times larger than the UK.
I get the idea, that someone isn’t doing any planning.
The United States Needs A Lot Of Transformers
These are three paragraphs from the Telegraph.
The National Infrastructure Advisory Council (Niac) says the average age of America’s 60 million large power transformers is 38 years. Many are beyond their design life.
The US supply chain is not capable of delivering the 12 million new transformers needed each year to keep the show on the road. The backlog has risen to four years. The cost of transformers has jumped 80pc since the pandemic.
There is an acute shortage of electrical steel needed to make them. This comes mostly from China, Japan, Korea or Germany. In his infinite wisdom, Trump has imposed 50pc tariffs on steel, aluminium and copper. That cost shock has yet to feed through.
The Niac says it is a similar tale for “other critical grid components such as conduit, smart meters, switchgear and high-voltage circuit breakers”.
It looks like, there’s another fine mess, you’ve got us in, Donny!
Maga Wants More Coal
These are three paragraphs from the Telegraph.
The quickest way to generate more power is to roll out wind and solar. Trump is actively intervening to obstruct this. Maga wants coal instead.
This week the administration announced $625m of taxpayer subsidy to “expand and reinvigorate” the coal industry. It will open new federal lands, slash the royalty fees for extracting coal, and lift curbs on mercury pollution.
“In addition to drill, baby drill, we need to mine, baby, mine,” said Doug Burgum, the interior secretary.
When it should be spin, baby, spin.
Conclusion
Read the article in full.
We certainly, don’t want anybody, with an energy policy like Trump, influencing the UK’s energy policy.
If Trump carries on like this, he’ll end up in a terrible mess.
The Anonymous Widower 