That is not what that sub is for. This is squarely face eating leopards territory and I'm here for it.

A bit of added hope: Ketamine directly caused hypertension. Not for long,but for a good amount. I literally shot a patient from 130/80 to 220/120 once.

That is not very good for the vessels in his heart and brain.

Yeah my main worry is that people are so unbelievably obsequious towards billionaires and reich-wing "leaders" that even an obviously psychotic one might not get them to pause and think about what the hell they're doing

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.

Our old relative ended up with a semi permanent catheter when he had bladder issues (I think just from being 99 years old).

Had it until he died a couple years later and used to love patting his pee bag to let us know he just went. Usually at dinner.

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.

That's the thing and something I've noticed for many years and in meeting many Americans.

The majority of Americans I've met in person were good wholesome people and most of the time I couldn't tell the difference if they were American or Canadian (unless they had a strong accent from the American south).

It's when you start talking about politics or religion that things seem to fall apart. There's a strong Christian 'identity', it's certainly not religious ... cult like but not religious.

But in the mix are good natured people with good natured ideas of politics and inclusion .... but the loudest most obnoxious ones always seem to win out.

I've done my best to not paint all Americans as selfish, ignorant, self absorbed, hateful individuals .... but in light of everything that is coming out of the US government, which should represent the ideas and attitudes of a country ... it is getting harder and harder to like America or Americans.

Nothing like meth to make you think that invading Russia was a good idea