Tbh, the current ones are pretty fantastic - and I find 100€ for the B/W verso and 140€ for the colour one still "reasonably cheap".
So far they have eaten anything I gave them to read, work with calibre web (sadly only for download,not sync, but that's not PBs fault), support the German Onleihe (public library ebooks... fantastic system getting you hundred thousand of books,often for less than 20€/year or even free) and the battery is rock solid.
So,I don't really understand the point of the discussion.
I am an absolute early adopter with E-readers and can't remember any cheaper offers on readers that weren't Amazon's "bait" ads to sell you kindle unlimited,etc.
Actually there is afaik a biological reason:
Take it with a grain of salt,though - It's a long time since I attended these lectures.
The repeated insertion increases the need for lubrication(which increases sperm transport after ejaculations) and making sure the vaginal canal is opened fully.
Again, it's a long time ago I had that lecture and it might not be up-to-date,so someone please confirm this.
There is some evidence that ketamine combined with hallucination inducing agents like Shrooms can favour psychosis.
Additionally we know that inhibition reducing agents like MDMA combined with other drugs also increase the risk for psychosis.
He can surely buy a transplant - he will surely find a nice African or Central Asian fellow who will donate him one out of generosity and then the same fellow will find a bit of money on the street.
Or a less nice Chinese citizen with reduced freedom to live.
But that doesn't change the fact that transplants need tissue to connect to. You usually connect a kidney transplant directly to the bladder,but in some cases you can use a bit of a ureter.
But: For that to work you need uninflammed, structurally sound tissue.
Which often not present in these cases it seems.
So...he can get a transplant organ but it won't work surgically. In theory you can also connect the new ureter to the rectum - but that,combined with immunosuppressive medication is a no-go as well.
So... It's likely he wouldn't be able to get a surgically sound and midterm successful transplant. Just like Jobs couldn't be saved back then.
Yeah.
While I rarely work on the road these days I am a critical care paramedic by trade.
....and tbh, I did cry about some patients.
....the old nana who accidentally set herself ablaze a day before Christmas.
... The young lad who died a very gruesome death despite the efforts of over 50 rescuers.
... The 1 year old who died because the psychotic dad had stuffed his crib with blankets. (And dad was "clear" in the head when we arrived....imagine the pain he felt)
... And over the same dad when he hanged himself 6 months later.
There are a few more,worse ones, that I don't want to think back to
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.
I frequently use it prehospitaly for analgesia and anaesthesia and Ketamine unlike other drugs as real bad effects being underdosed - so I tend to use rather large doses
And yet i. 25 years I have to manage to "overdose" someone that bad that they actually stop breathing without a second or third drug (Midazolam and Rocuronium for that matter).
Oh,I personally know a few even worse people - but I worked in a high security forensic mental health unit for a while. And let's not start about some people living in the mid of the last century. Ishii, Beria, a whole lot of Nazis, there are plenty to choose from.
Anyway: The bad news is: It is really really really hard to overdose on Ketamine. Unlike Fentanyl or Heroine, it does not stop the breathing of the patient unless administered in really high doses really fast
As he is likely getting his stuff from a pharmacy and not a shady dealer the chances for that are rather slim.
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.
Hetzner is pretty good for that and EU based.