The Overmedication of American Children: A Deep Dive into Prescription Trends | May 13 2026, 19:29

Today I dug up something interesting about kids and pills.

Local doctors are somewhat surprised that I’m not on any medication. Recently, an acquaintance of a doctor said in passing that he has lots of young patients who regularly take 12–14 pills a day. I started researching — and my eyes nearly popped out.

I found that according to CDC data, nearly one in five children under 12 years old are on prescription drugs. In the 12–19 age cohort, it’s every third one. Moreover, the rate among boys up to 12 years old is one and a half times higher than among girls, which is largely explained by early ADHD diagnoses. If we’re talking about long-term use (3 months or more continuously), a fifth of all children and teenagers are involved. It is reported that ADHD was diagnosed in 11.4% of children, about 7 million people, approximately every ninth child in the country. Of those with an active diagnosis, 53.6% are taking stimulants (Adderall, Ritalin, Concerta, and equivalents). In terms of the entire child population, this means about 6% of American children are constantly on psychostimulants. Besides ADHD, there are antidepressants, anti-anxiety meds, and antipsychotics. 9.3% of all children ages 5–17 have taken some kind of “mental health” medication. Among teenagers 12–17 years old — 10.7%.

This is probably the most interesting thing I’ve found. The variability between states is threefold. In Louisiana, ADHD is diagnosed in nearly every fifth child, in California – three times less often. In Louisiana 80.2% of the diagnosed children were immediately put on medication, in California – 66.7%. The southern cluster (Louisiana, Mississippi, Alabama, South Carolina) consistently shows the highest figures.

Even more interesting is the breakdown by urbanization. In large metropolises, 7.1% of children take psychotropic drugs, in small towns — 8.5%, in rural areas — 12.1%. Yet, the proportion of those receiving psychotherapy is the same everywhere — about 11–13%. Why is that? Because rural areas disastrously lack psychologists and behavioral specialists, and the pill becomes the only alternative.

There’s a separate phenomenon — polypharmacy. This is the simultaneous use of 2+ drugs for over a month. Growth from 1.8% in the early 2000s to 3.3% today. About 300,000 American children regularly take three or more classes of psychotropic substances at the same time. And for children with complex chronic conditions (Children with Medical Complexity), the situation is completely off: 52.7% take 5+ medications daily, and 19.5% take more than 10 medications per day. Thus, the stories about 12–14 pills a day. Reports say that approximately every 12th child in the USA, taking multiple drugs concurrently, risks serious drug interaction. For teenage girls on combination therapy, this risk reaches 20%.

Reading why this has happened.

It turns out that here the child’s psyche is increasingly perceived as neurochemistry that needs to be corrected with a pill, rather than as a result of sleep, stress, family environment, and a heap of other factors. Or at least the parents understand that since the rest is not fixed, the pills are an easy way out. Deprescribing (planned drug withdrawal) is hardly practiced — it’s easier to prescribe than to take off.

Secondly, rates for commercial insurance visits to a psychotherapist are on average 22% lower than for a visit to a somatic specialist. As a result, 18.2% of psychologists operate outside insurance networks (compared to 1.7% of somatic specialists). Our family pays an average of $1507 a year for psychotherapy on top of the insurance. But the pill is covered by the formulary, and the prescription copay is minimal. What choice will a tired family make? Why we are unable to raise children without mental health issues is another big topic.

Well, and another interesting point. According to our laws, an official ADHD diagnosis requires the school to provide the child with “Sec 504”: double time on tests, reduced homework, a separate quiet room for exams, allowed breaks during lessons. In the race for college admission, many parents from affluent layers consciously go for a diagnosis — it’s a legal way to give a child an advantage. And here’s the delicate part: Sec 504 specifically forbids the school from considering the effect of “mitigating measures,” which the law counts as medication. Meaning, even if the child on medication is fully functional and excels in studies — their privileges are maintained. There is simply no incentive for the family to decrease the dosage or get off the drug. The system is set up to keep the child on medication until graduation.

Silence for Cents: Exploring the SwissBrand 120-Pack Mouth Tape | April 24 2026, 18:25

If your other half needs to be silenced temporarily, you can buy a kit for 120 silencings from us, averaging just under six cents per silence

Insights from a Visit to the Civil War Medical Museum | March 10 2026, 15:59

Today a big interesting historical post.

Where I was: Historical Museum of Military (Civil War) Medicine in Frederick, MD. Entry is $9, $15 with a guide. For an hour and a half, we got a very smart guy who gave an interesting lecture, making the provincial museum really very interesting. We even tipped the guy afterward.

A few interesting facts that I didn’t know before. During the Civil War in the USA (1861-1865), there was a monstrous scale of losses – over 600,000 people. One in every ten was mobilized for the war. That is, excluding women, children, and the disabled – yes, someone from almost every family fought.

Apparently, Americans were not very experienced in wars back then, and organizing large groups of people was based on the “fend for yourself” principle. From gastrointestinal diseases alone, nearly four times more people died than from wounds. Soldiers cooked everything themselves – there was no cook or porridge for the platoon. They split into micro-groups of a few people, pooled whatever they had, and fried it on a fire. For some reason they mainly fried, not boiled (which also contributed to diseases). Their main rations were salt pork and hard-tack — crackers as hard as a stone. Fried hard-tacks were called Skillygalee.

Remember, it was not like that in European wars. And all because there were many of them, and they quickly figured out how to make them more effective. Plus, there was also a civil war, poorly organized and spontaneous.

Initially, soldiers were handed money in the field and they sent it to their families as best they could (not all reached its destination). For Southerners, money devalued faster than they could carry it to the tent. Back then, each state issued its own money. They write about 8000 different banknotes at that time. I didn’t quite believe it, started researching, and it turned out that this is still a very conservative estimate. Yes, anyone (state, city, private bank, railway, factory, and even a pharmacy) could print their own paper money. Each bank issued banknotes of its own design for different denominations ($1, $2, $3, $5, etc.). In 1860, there were about 1600 private banks in the USA, and almost each issued its own range of notes. But in the end, greenbacks – federal money prevailed.

They also told us about Dorothea Dix, the head of army nurses for the Union. She introduced an interesting age standard for the nurses. No “young and beautiful.” Only women over 30 years of age, “plain-looking,” no jewelry, fashionable dresses, or crinolines – only strict brown or black dresses. At that time, the appearance of a woman in a male military camp was considered almost indecent. Dorothea wanted the soldiers to see in the nurses strict mothers or aunts, not objects of flirtation.

To join the army, a volunteer was required to have at least two teeth opposing each other. Why? A soldier needed to quickly bite off the tip of a paper cartridge to pour the powder into the barrel. No teeth — you’re useless in battle.

Back then, they shot with Minié balls – made of soft lead. It was huge caliber (thumb-sized) and when it hit the body, it didn’t just pass through, it “burst” and literally turned bone into fine crumble. Repairing such a bone was impossible, so amputation became the only way to save a person from gangrene. At least there was some form of anesthesia (chloroform/ether).

Before the Civil War in the USA, people were buried where they died. But the war generated a demand: affluent Northern families wanted to bring their sons’ bodies home. That’s when embalming flourished. Right behind the front line were tents of “embalming surgeons” who for a decent sum (about $50–$100 for an officer) extracted blood and injected chemicals (arsenic and zinc) into the body. Actually, the museum building included such a place. Lincoln’s body after his assassination was transported across the entire country on a train, and it looked “alive” thanks to this new technology, which became the best advertisement for the new industry.

Overall, Frederick is a very nice city, full of art and nonconformists 🙂 Like our Leesburg, but 20 times bigger.

P.S. It was interesting to study what drove people to go die. Of course, our guide said “patriotism”.

But if you google, it turns out not quite so. Of course, in 1861 no one knew that the war would last 4 years and take 600,000 lives.

Reason #1 – boredom. Life on a farm in the mid-19th century was incredibly monotonous. War seemed like the greatest adventure in life. Guys thought: “I’ll go, see the world, shoot, become a hero, and then return to harvest.”

Reason #2 – naivety. The first volunteers went to the front as if on a picnic. In the first major battle (Bull Run), civilians from Washington even came with picnic baskets to watch the “spectacle,” until they were swept away by the retreating crowd of bloodied soldiers.

Reason #3 – “honor.” In the 19th century, “honor” was not an empty word. If you were a healthy guy and didn’t go to the army, you became an outcast in your own town. It’s written that girls often refused to go out with those who didn’t wear a uniform.

Reason #4 – “regimental solidarity.” As I already said, regiments were formed from neighbors. Not going to war meant betraying your friends, brothers, and father. Shame before neighbors was stronger than the fear of death.

What did they fight for?

Here the goals of the North and South radically differed:

For the North, the main idea was “Integrity of the Union.” For them, the USA was a great experiment in democracy that could not be allowed to fail. The slogan “Save the Union” was more powerful than “Free the Slaves.” At first, not everyone was ready to die for abolition of slavery.

For the South (Confederacy), the main motivation was “Defending their homes.” Most Southern soldiers did not own slaves (slavery was too expensive a luxury for ordinary farmers). But they were convinced that the “Yankee northerners” were coming to seize their land, burn their homes, and impose their rules. They saw themselves as heirs of Washington, fighting against “tyrant” Lincoln.

Reason #5 – bounties

When initial enthusiasm faded (by 1863), pure calculation played its part. States and the federal government started paying huge “enlistment bounties.” A sum of $500–$1000 was equivalent to a few years’ earnings for a laborer. For a poor immigrant (Irish or German) just off the boat in New York, it was a chance to provide for a family or buy a farm after the war.

In 1862-63, both sides introduced the draft, as volunteers were running out. This exposed social injustice.

In the North, you could officially avoid the army by paying $300 (huge money for a poor man, but manageable for the middle class) or find a “substitute” (a person who would fight in your place for money).

In the South, there was the “Twenty Negro Law.” Owning 20 or more slaves exempted you from service, as you were “needed in the rear for production control.”

This caused fierce resentment among ordinary soldiers. The famous “Draft Riots” in New York (1863) were sparked precisely by this sense of injustice.

So there you have it 🙂

Understanding Fever: A Physiological Defense Mechanism | February 17 2026, 09:00

I’ve only slightly (hopefully) gotten sick here and realized during the process that many people around me take pills for a minor onset of fever, considering it normal.

I’m sharing my understanding of the process, which should be very close to scientific. When an infection penetrates the body, foreign bacteria or viruses enter the bloodstream, which the immune system attacks. During the attack, signaling molecules are produced, the purpose of which is to declare a general alert throughout the body. Specifically, cytokines are produced, which also inform the brain (hypothalamus) that action is needed. Pyrogens (fever-inducing agents) include cytokines and external pathogens. The hypothalamus activates a fever through the synthesis of prostaglandins. Why: at a temperature of 38.5°C, the immune system becomes more active, antibodies are produced in larger amounts, microbial reproduction slows down, and some viruses do not reproduce.

If you consume, for example, Ibuprofen, it blocks the enzyme (COX) that creates these prostaglandins. Meaning, the pyrogens are still in the blood, but the brain “can’t hear” them and doesn’t raise the temperature.

There are only two cases when you should reduce fever: if you truly feel awful, have a severe headache, vomiting, etc. Unnecessary stress does not help the body. And if the temperature exceeds 39°C. At that point, the harm from high temperature outweighs the benefits. Even then, there are so many “buts” that a doctor should make the decision. For example, if the heart is problematic, these are special cases.

Oh, here’s something else interesting. Why when the temperature is high you feel “cold” and want to cover up. In the hypothalamus itself, there’s something like a thermostat, normally set to 36.6°C. When pyrogens arrive, it raises the temperature through prostaglandins, but since it’s the brain, it immediately cranks up its own “normal temperature” in its thermostat to, say, 38.5°C. As a result, a body temperature of 37°C suddenly feels low, and it feels like “it’s cold around, need to cover up.” Covering up is passive thermal insulation, and generally, it helps to more quickly raise the temperature to the target level. Later, when the temperature reaches 38.5°C, the chills may disappear (unless the hypothalamus further raises its thermostat). And when the temperature plateaus, around 38.5°C, covering up is harmful.

When the temperature starts to drop back, the internal thermostat switches to 36.6°C, and to cool down faster, the body produces sweat. So, if you’re sweating, it’s a sign of recovery.

(Well, what else is there to do at four in the morning, when because of all this, I can’t sleep)

Echoes of Anthrax: The Amerithrax Investigation Unveiled | September 02 2025, 13:33

From the museum of the day before yesterday. Probably, some of you remember the notorious case in 2001: shortly after the 9/11 attacks, the USA experienced a series of bioterror attacks: someone mailed letters containing powder with anthrax spores (Bacillus anthracis). This led to the deaths of 5 people and infected 17, but it could have ended much worse for the entire planet. The investigation, known as “Amerithrax,” was conducted by the FBI in collaboration with other agencies and became one of the most complex in history.

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For those who might not know — the inhalational form of anthrax has a mortality rate of 85–90% without treatment. Symptoms appear after 6 days, by which time dozens will be infected. It can’t be destroyed — spores remain viable for decades in the soil. For example, on the Scottish island of Gruinard, they lingered for nearly 50 years after wartime testing. Only after 50 years had passed and after 280 tons of formaldehyde solution had been sprayed across all 196 hectares of the island, and the most contaminated topsoil around the dispersal site had been removed, did the island become relatively safe. Thus, anthrax could easily be more terrifying than a global nuclear war.

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So, returning to the subject. Initially, suspicions fell on various individuals, including Iraq or Al-Qaeda, but no evidence was found.

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The key breakthrough was scientific examination. Scientists analyzed the anthrax strain from the letters — it was the Ames strain used in American laboratories. Using microbial forensics (genetic analysis), they identified unique mutations in the spores that narrowed the source down to flask RMR-1029 in the USAMRIID (United States Army Medical Research Institute of Infectious Diseases) laboratory at Fort Detrick, Maryland.

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In other words, every living being has names and genealogy from birth, it’s just a matter of willingness to dig into the genealogy. Apparently, controlled substances have their own registry office, so to speak.

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Bruce Ivins, a microbiologist who worked there, was the custodian of this flask and had direct access (although more than 100 others did as well).

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Later, investigators gathered circumstantial evidence. Ivins had been working late at the lab just before the mailings in September and October 2001, which was inconsistent with his usual schedule. He could not convincingly explain these hours. Moreover, in early September 2001, he was vaccinated against anthrax, which seemed suspicious. The FBI also accused him of attempting to mislead the investigation: he allegedly provided false anthrax samples to divert suspicion and attempted to frame colleagues. In 2001, Ivins sent an email to colleagues offering the Ames strain for analysis, which might have been an attempt to cover his tracks.

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Behavioral signs also played a role. Ivins suffered from depression and suicidal thoughts, especially after another suspect (Steven Hatfill) was cleared in 2008. In June 2008, he was hospitalized in a psychiatric clinic, where during therapy, he made statements that the FBI interpreted as “denials without denial” — for example, that he “had no heart for killing” and did not remember participating in the attacks.

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By 2008, the investigation had narrowed down to Ivins. When he learned that charges were being prepared against him, on July 29, 2008, he took a lethal dose of Tylenol (acetaminophen). Formal charges were never brought. In 2010, the FBI officially closed the case, declaring Ivins the sole perpetrator.

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However, the conclusions remain controversial: the US National Academy of Sciences noted in 2011 that the genetic examination was not convincing enough for a definitive conclusion, and some microbiologists, victims’ families, and politicians demanded further investigation. As of now, no new discoveries have been made, and the case is considered closed.

From Miniare to Miniature: The Evolution of Book Illustration | August 14 2025, 14:52

How interesting, the word “Miniature” turns out not to derive from minimus (Latin), meaning “smallest”, but from miniare, meaning “to color with cinnabar or red lead”.

The word is connected to the practice of book illustration in the Middle Ages. You have probably seen images of medieval manuscripts with dense black text and a large, decorated initial letter. In the earliest bound books, they were not so ornate—just a big letter, colored red to stand out. In Italy, the verb miniare referred to the stage of painting red initials, usually left until last, and the art of illustration itself was called miniatura.

Over time, these initial decorations became increasingly complex, evolving into fully developed scenes with little figures, animals, and buildings. But, of course, since the scenes had to fit into the corner of a page, they were very small. And therefore, because a miniature in a book was like a tiny painting, the meaning of the word expanded—it came to denote any small version of something larger.

Decade Without Police Sirens: A Personal Observation in Public Safety Trends | August 02 2025, 23:48

Interestingly, I haven’t heard a single car siren in almost ten years, except from medical and fire vehicles. At least around here, it seems even the police don’t use them for their purposes. Apparently, the reason is that a police car with a siren behind is perceived as a command to stop and be ready to show your documents. But fire trucks and ambulances, it seems, always use theirs.

Many people don’t know that what we think of as an ambulance doesn’t really exist here. That is, you can call 911 and request a medical vehicle, and they will come, but it’s usually only done in truly critical situations—like a heart issue or if you’ve fallen from a staircase and can’t get up.

This service, EMS, always sends a bill. The minimum is $550, but typically more than $1000, depending on the type of vehicle sent—which depends on what was said on the phone—and how many miles it is to the hospital.

If transportation to a hospital is necessary, an insurance company, Medicare, or Medicaid initially pays for it. The patient might only need to pay the difference—for example, a co-pay or a deductible. If the person is unable to pay due to financial hardship, CNS will not send the bill to collections nor will they recover the debt.

If you call 911 and report that someone has fallen from a ladder, especially with a suspected head, neck, or back injury, the dispatcher will send a full fire & EMS response. That means, besides the medics, this big red fire truck shows up. It arrives not because there’s a fire, but because it is staffed with EMTs (Emergency Medical Technicians) who can begin assistance even before the ambulance arrives. Additionally, fire stations in the area are positioned such that the nearest fire truck can get there faster than a free ambulance.

In various incidents, if you can get to the hospital on your own, experience shows that it’s often necessary to go if you want results. This is not free either. Every such visit costs me $200 (insurance pays ten times more), but as it turned out later, it was always worth it. You just need to know where to go, and choose large facilities where the queues are shorter.

How Frequent Tick Bites May Reduce Lyme Disease Risk | July 01 2025, 04:38

#science Today I found another tick on me; it didn’t have time to latch on, but did manage to bite. And like before, I suffer from these tick bites being very itchy and taking a long time to heal. A couple of times because of similar symptoms I ended up in Emergency, where I was diagnosed with Lyme based on symptoms and put on doxycycline, but later tests did not confirm Lyme, though I already took the doxycycline. And if there was anything, it’s long dead. Question is, why do ticks love me so much.

I just found an interesting scientific article about this. “Hypersensitivity to Ticks

and Lyme Disease Risk” (link in comments)

The authors say that many people living in areas with a high prevalence of tick-borne diseases such as Lyme develop a more acute reaction to tick bites—redness and severe itching, a dermatological-hypersensitivity reaction—that’s exactly my case. They analyzed 1,500 cases and concluded that the more frequent a person’s itching after a bite (more than 3 times a year), the lower their chance of contracting Lyme disease—the risk was reduced by about 7 times (odds ratio ~ 0.14, p=0.01).

They write that this is linked to the fact that the itching helps to notice the tick sooner, consequently – remove it faster and prevent the infectious agent from entering the body (borrelia is not transmitted immediately, but after 1–2 days). There may also be immune mechanisms that interfere with the tick’s feeding and transmission of borrelia.

Conclusion: Recurring reactions to tick bites (itching + redness) create a kind of “anti-tick” immunity. This reduces the risk of contracting Lyme disease, and likely, could be the basis for developing a vaccine against tick pathogens. Quite intriguing, because such medications exist for dogs (full protection against ticks), but haven’t been invented for humans yet.

Risks of High-Pressure Activities on Eye Health and Hearing | June 28 2025, 23:52

Interesting. I learned, for example, that the human retina is not really attached to the vascular tunic, but is held in place only mechanically by intraocular pressure. Because of this, those who jump from heights or engage in diving, and generally anything that increases intraocular pressure, are at risk of retinal detachment.

(By the way, about pressure, I had a slight barotrauma in my left ear today during airplane landing: after landing there was a lingering feeling of stuffiness and muffled sounds, and while in the air it even hurt a bit. That is, some traces of sensation remained several hours later, but probably, by tomorrow morning I will recover fully).

https://youtu.be/QmX60IgWCGk?si=GrWzDtuZTpFeig-X

From Drugs to Souvenirs: The Bizarre Market for Fake Medications | June 22 2025, 17:11

Look how they sell Ozempic, right along with sneakers and souvenirs. In the pharmacy here, they sell antibiotics and opioid pain relievers.