Epi-sailor

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About Epi-sailor

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    PNW
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    Food, Beer, World Peace

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  1. Epi-sailor

    Pukers United – For those that have

    Only sometimes but Wife and friends that were there agree with you (topic seems to come up when we are two or three drinks in). And it make for a great story to share with patients when they see Umpa Loompas, Hobits, or Tinker bell. I tend not to share stories of pink elephants with yellow spots - a bit to scary for the actively altered.
  2. Epi-sailor

    norcold refrigerator

    Going to do the same conversion. Checked out the link. There suggested system is 2x $ of norcold. Is this simply a case of superior product you get what you pay for?
  3. Epi-sailor

    First time crewing tomorrow

    You apparently were taught this rule when you were in SoCal. Regional discretion is advised.
  4. Epi-sailor

    First time crewing tomorrow

    Im pretty sure the first Pro sailor I every raced with nailed all your points.
  5. Epi-sailor

    Pukers United – For those that have

    Your response reminded me of this article. https://www.cntraveler.com/stories/2016-07-21/the-nasa-space-treatment-that-will-cure-your-seasickness I love promethazin at work. The stufff works period. Older Dr once told me that we use it less frequently bc RNs were frequently inappropriately helping pts “sleep”. When zofran came along the Drs cut Rns off. It’s now our second line med and I can’t think of a single instance where it failed to work. Have you ever given promethazine in PR or IV form as a rescue option for someone already sick?
  6. Epi-sailor

    Pukers United – For those that have

    I was this type and my friends would agree and exactly why I thought I would beat an old topic once again. Btw at least half the Drs and Rns I work with are hippies.
  7. Epi-sailor

    Pukers United – For those that have

    I completely agree with your entire post and believe your story. As much as I try to be open to things less rooted in my training it can be tricky.. What I do believe about the bands is they absolutly work for a lot of people including my mom who’s ms sickness is far more severe than mine.
  8. Epi-sailor

    Pukers United – For those that have

    Completely fair - in original post see “my solution” or maybe this 1. If you get sick there is no one solution so try a shot gun approach particularly with things that can’t hurt you ie wrist bands, ginger cookies, drive the boat, stand, look at the horizons, one less beer etc. 2. Meds- most common OTC meds used for ms will make you sleepy but they often help. I use meclizine bc it is often considered to be the least sedating of all the antihistamines. 3. This is the most unique thing I do and have not seen in other places - I combine meclizine(antihistamine)with another med that works in a very different way called zofran (serotonin blocker). Zofran works great to stem off or reduce puking but not really indicated for ms. This combo seems to work for me.
  9. Epi-sailor

    Pukers United – For those that have

    20 years of persistence plus a healthy dose of short term memory loss is helpful
  10. Epi-sailor

    Pukers United – For those that have

    Really quick google and I found this. https://www.ncbi.nlm.nih.gov/pubmed/18816298 so MAYBE specific forms of THC COULD help.
  11. Epi-sailor

    Pukers United – For those that have

    Spruce here in the PNW
  12. This one is going to be long - grab a beer or just scroll down to “My Solution”. From my first offshore passage I was a puker. Not a one and done puker but I can puke for days and this can be dangerous. I am also an ICU nurse and help patients work through nausea and vomiting (N/V) daily. So, while I’m absolutely no neuro expert on the subject, I have read a fair amount of primary, textbook, and popular literature trying to solve my motion sickness which has dramatically improved in recent years. So, at the encouragement of my sailing friends, I thought I would share what has and has not worked. And maybe help someone trying to solve this same equation. This has been covered extensively on SA but b/c solutions to the problem are varied I thought I would add my random 2 cents. As most folks know, motion sickness (ms) is generally thought to be caused when there is a conflict between vestibular (ears), visual (eyes), and somatosensory (neurological body balance) information. “When these three sensory cues are not congruent, a sensory conflict is generated in the brain, and hypothesized that this conflict underlies the symptoms of motion sickness” (1). This uncertainty is why I think it is hard to have one solution. Over the years I have tried almost every conceivable evidenced based and and non evidenced based medical and complimentary approach to solving ms including various antihistamines, scopolamine (patch), pressure point wrist bands, ginger, etc. Below are the common ones I have tried and found in the literature. Medications I have tried: Diphenhydramine, chlorpheniramine, cyclizine and cinnarizine are all antihistamines. This group has been a bit too sedating - making me feel sleepy - so I sit on the rail, get tired, shut my eyes and start to puke. I have also tried these with pseudoephedrine (Sudafed), it is thought the pseudoephedrine counteracts the sedative qualities of the antihistamines but this simply made the whole experience worse. Promethazine (Phenergan) - also an antihistamine - this is often our go to at work when other options have failed. But it is very sedating. Years ago I tried it with pseudoephedrine and it worked well, but not great. But it also put me to sleep for half a day. We now carry it in oral form on our boat in case someone gets scary sick. It also comes as a suppository, which we need to add to our med kit. Meclizine- also an antihistamine -the literature suggests it is a bit less effective than the above meds but it is also less sedating so it has become part of my answer. Scopolamine (scop) patch - Scop is an anticholinergic and for some people it works great and if your trying to deal with ms you may want to give it a try BUT I am not a fan. Its side effects can be absolutely awful and include hallucinations, anxiety, and severe dry mouth. I personally have seen leprechauns dancing on the foredeck. And, I have cared for many patients that have had frightening episodes of hallucinations and anxiety. If you want to give this med a try, chat with your Dr. and do it at home well before departure. This is not a unique heads up – but I have seen the stuff work and I have clinically seen it be a complete disaster. You have been warned. Ondansetron (Zofran) - a serotonin blocker, this medication often works great for N/V related to oncology and post operative treatments but the evidence suggests it is not effective for motion sickness. However, for me, it has become part of my solution. Yes I believe in evidence – but whether placebo, confounder or an N of 1, I use it. Complimentary options I have tried include: Pressure point wristbands – I know people who swear by them (including my mother) but for me they have not been very helpful when used alone, with no other interventions. The evidence suggests they have limited effectiveness. But when I combine them with other interventions they may be helping. Ginger: pills, candied, and cookies. I now use pill forms and have these awesome triple ginger cookies in bulk for offshore sails. They are like ginger crack. I think they settle my stomach. Why they work I have not researched but I believe they help Diet: The popular literature, friends, and colleagues have all suggested staying away from fatty foods, alcohol, caffeine, etc. I have tried all these things and what I now believe is sticking to my normal diet before and during trips works. I also think - what if the stuff comes back up. Better soft foods like pasta than 40 grit Doritos. Posture/Sea legs: Sea legs are for real. Standing (not sitting) and looking at the horizon is for me super helpful. We now have our own boat and when we leave port I will stand and drive the boat as long as my legs will let me. We sleep on the boat the day or two before going out. If you’re crew and feeling green ask the skipper if you can stand while you get your legs. My Solution. Medications: I take meclizine b/c its less sedating than other antihistamines and ondansetron b/c it’s a different mechanism of action and I’m trying to approach from many directions Pressure bands: b/c I respect my mother and anecdotally they work for some people and I paid for them. Diet: stay with the normal foods I eat every day including caffeine, alcohol, and normal bowel process. Ginger, particularly the triple ginger cookies from Trader Joe’s, and oral ginger pills appear to help. Sea Legs: sleep on the boat, stand as much as possible and stay on deck for as long as reasonably possible. FYI when I couldn’t remember a few details I used the resource below. I think you have to pay to access unless you access through your library. 1. Priesol, A.J. (2018). Motion Sickness. UpToDate Retrieved from http://www.uptodate.com Some links I found on SA that helped me sort it out http://forums.sailinganarchy.com/index.php?/topic/23455-the-best-sea-sickness-medication/ http://forums.sailinganarchy.com/index.php?/topic/12263-sea-sickness/ http://forums.sailinganarchy.com/index.php?/topic/58738-bonine/ http://forums.sailinganarchy.com/index.php?/topic/90899-sea-sickness-remedies/
  13. Epi-sailor

    short handed cruising/round the cans sails

    http://forums.sailinganarchy.com/index.php?/topic/202547-north-3di-nordac/ http://forums.sailinganarchy.com/index.php?/topic/180672-3di-endurance-experience-other-options/ Try the above links they might help.
  14. Epi-sailor

    Refinishing Carbon Fiber

    We had great results using this stuff on our sprit. 2years old and still looks amazing. All in the prep. We did a careful sand and cleaned with a product from th same company. 2-3 coats of the 2K. I have also used on bike parts that get far more abuse than the pole UV resistant, durable and easy for the DIYr.
  15. Epi-sailor

    J 108 - did they actually make them

    We are the current owners of a 109 and have asked this exact question. Now we are asking what else is out there that would be similar but for the price of a 109. J95, seascape/first 27, close but more of daysailor. Any other ideas options?