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Most preparedness advice starts with a quiet assumption, and that is that you are healthy, mobile and independent. But millions of families are not living that reality, even on their best day. If you take regular medications, need dialysis, insulin, oxygen, a cpap, or a home ventilator, your life is tied to systems that run on electricity, staffing, transportation, and and supply chains. This is not about an apocalypse scenario. It is about the very common interruption. A storm knocks out the power, the clinic closes early, the pharmacy shipment is delayed, the roads are iced over. Suddenly it's not just inconvenient, it could be dangerous. Today we're talking about medical dependency, which is really infrastructure dependency, and what continuity planning looks like when you cannot simply tough it out.
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Welcome to practical prepping. Today is March 16, 2026, and this is episode 546. This is the prepping podcast with no bunkers, no zombies, and no alien invas. Just practical prepping, where we teach everyday people how to prepare for life's emergencies, disasters and crises. And we're here to help you get prepared. I'm Krista.
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And I'm Mark. And everything we mention today will be in the episode notes, and you can get those by going to practicalprepping.info 546. Most of the prepping advice out there assumes that we're healthy and mobile adults, and we're able to do things like building shelters, fighting zombies, carrying a heavy load like a backpack. But millions rely on daily medical infrastructure, and this episode is about interruption, not apocalypse. The concept is medical dependency equals infrastructure dependency.
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And I'll tell you that the medical infrastructure is definitely fragile. Look at it this way. Modern health care is elected, electrically dependent. It's digitally dependent. All the records are computerized. And there's some pros and cons with that type of system.
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Yeah, I went to the doctor the other day and he was able to pull up the lab results from the other doctor.
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Sure. Yeah, it's all connected.
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They're all connected. You know, it's saving me blood tests there because one doctor can do it and the others can see it.
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Yeah, you know, it used to be. It used to be a pen and paper type of thing, but now it's just a click of a button. And you think about this too. With the medical infrastructure, it's also logistically dependent. Consider that your medications and supplies have to be delivered to the pharmacy or delivered to you. We're going to talk about that. You know, the things that fail first in real events. But before that, we'd like to say today's cup of coffee comes from Heidi. She is a new supporter of our podcast and she has purchased a $5 monthly membership. Heidi, we really do appreciate your support. Now, let's talk about what fails first in real events. Number one, transportation. Right now, the United States is getting under blizzard warnings and some severe thunderstorm warnings. So for a lot of people, millions of people, they're going to be dealing with snow and ice on the roads, road damage, power outage. There's also going to be staffing shortages. You know, when people can't get to work. That also includes people that can't get to your clinic or, you know, your doctor's office. That increases the patient load.
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Now that especially at ers.
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Oh, absolutely.
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People get injured in ice and snow and they can't go to a freestanding clinic, so they go to the er and it just increases the caseload.
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Definitely. I mean, that's a real kind of thing that actually happens. There's also supply chain delays. You know, if the roads are impassable, the delivery trucks can't make it either. You got to factor that in as part of your plan. And the all too normal thing to happen is the power outage. And for who knows how long. It just depends. And generally, urban settings try to get power restored first to the hospitals and the places that need it the most, and then they work their way out into the rurals. Now, short disruptions are more common than a total collapse, but if you're medically dependent on some things, this could really be a serious, seriously critical issue for you.
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And one medical dependency that we rarely hear anything about on prepping podcast is dialysis dependence, for sure. And that requires three weekly treatments, and that's about five hours per treatment.
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Wow.
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And missing sessions can quickly become life threatening.
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And I understand that some dialysis has moved to the home, but still they're power dependent.
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Yes, it's a whole different type of thing, and that has to be done daily. But I Remember back in 1978, Central Alabama had one of those rare snows, and there was a hill that going from our little city into Birmingham. There was a hill you had to go over, and people were having trouble getting sliding back down that hill, tractor trailers and everything. But we had a dialysis patient in town and I had a 1977 Toyota Land Cruiser.
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Okay.
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I picked up that patient and I put a blue light on my dash so that we could get through any roadblocks or anything like that. And I took him to his dialysis.
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Wow.
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So he was able to get there, but you need a plan for that kind of thing. And we'll talk about that in just a minute. But there's some risk during disruptions.
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It's true. I mean, there are times when like the local emergency clinics, like we call them, like the doc in a box type clinics. A lot of times there's nobody that can get through until somebody with a Toyota Land Cruiser can pick up the doctors and the nurses and get them there.
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And I'm talking about the dialysis clinics. Sure. They will close. They may be without power. They may be iced in.
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Exactly.
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That creates some travel barriers. And if it's, you know, a lot of folks travel quite some distance for their dialysis.
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That's true.
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So they may be in an area that's able to travel, but their clinic is shut out. Their clinic is closed for the day. Well, those folks start going to other
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clinics that they don't normally go to.
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They don't normally go to. And that can create a regional overload.
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Yeah, because somebody else is going to have the same idea. So you've got to think about some practical continuity planning. Here's what we're suggesting. Know the emergency relocation protocols. Ask your dialysis medical professionals for a copy of those relocation stations if you don't happen to have that. And keep your medical summaries printed, something in hand because if you have to click it off a computer and you have no power, you see where I'm going? So have printed medical summaries and be able to identify backup clinics far in advance of anything like this happening.
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Yeah.
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Have a plan and consider what sort of transportation redundancy may need to take place in order to enable you to get the treatment you need.
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Yeah. You might need to check in your area and see if there is a Jeep club.
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There are some in some areas.
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There's some in some areas. And they will pitch in and carry nurses and doctors to and from the hospital when they're unable to travel. So just check on that. Or find a buddy with a four wheel drive.
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Yeah, exactly.
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You just need to have a backup
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plan, you know, because some dependencies cannot be self solved. So you need some planning to be network based.
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Are you learning something today? Are you getting an idea for something new that you might need to do or somehow receive value from the podcast? Would you help us out by giving back a little? Go to practicalprepping.info support and you'll find several ways there to support us. It can be a monthly coffee membership or a one time gift to help us out. Whatever it is we greatly appreciate it.
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Now let's get back to the show. I want to list out some power dependent devices. CPAP machine or a BIPAP machine, an oxygen concentrator, a home ventilator and nebulizers for those of you with asthma or asthma.
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Like indications, you need some planning layers in here. When you're talking about backup devices, backup power for these devices, you want to measure the actual watt hour use of that particular device.
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Explain that a little more detail.
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Well, somewhere on there it will tell you how many watts it uses.
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Okay.
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And you compute the watt hours and
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the length of time that it takes to.
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Well, yes. And how long is it going to be? And that figures into the size of the battery or whatever backup you have.
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Gotcha.
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And then you need to, you need to understand inverter losses if you can't run this device off of 12 volts.
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Okay.
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And what that does is that inverter itself uses up some power. So that depletes your power availability. But use the DC adapters when possible.
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Okay.
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We have in the nightstand beside my bed or our bed on my side of the bed is what I'm trying to say. Under my CPAP There is a 12 volt DC adapter with a lighter plug on it. Now I have a three lighter plug receptacle with alligator clips that I can clip to a battery. And I can plug that lighter plug into that receptacle and use that dc, direct DC and that uses less power in the long run rather than running some type of an inverter.
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And I think you have thought about that for your CPAP use. Now are you saying that that would be appropriate and completely usable for like an entire night's sleep type of thing?
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Yes. In fact, down in the hunting club one time we got down there and we didn't have a charged battery son in law and I neither one took a charged battery to run things off of.
B
Well, you weren't a serious prepper back then.
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Not.
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Well, not like today.
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It's just one of us should have taken a battery. But that ran the TV and the satellite system.
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Well, that's important stuff right there.
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It wasn't a ball game day. So we, you know, we carry two batteries on ball game days. But what I did in not having that charged battery, I went out to my truck and I put an inverter attached to the battery in my truck and then I ran an extension cord into the camper.
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Did you have any concerns that it would run the battery down for your truck?
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I had a little bit of concern about that.
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But you had other vehicles.
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We had other vehicles that could jump me off if I needed to.
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Okay.
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But what I did is the next morning or the next day, during the day when we'd come in from lunch, I started my truck and it was a little bit slow to start, But I let it sit there and charge the battery back up. And I did that like three nights in a row and was able to get through that. So it's an option. You can connect it to your car battery and run a long extension cord if you have to.
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That's really good to know. And I promise you we have listeners right now that that never occurred to them to use the vehicle battery for such use as that. And talk to us about a dedicated battery system.
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This is where you actually have a battery dedicated for that purpose. Probably for a cpap, you could probably run it off of a lawn tractor battery. But it's dedicating a battery. It's not having to take one out of the car.
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I see what you're saying.
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Basically having an extra battery part of your redundancy program. Right now we have it in my homemade jump box that's on the patio. That's really a battery sitting in a milk crate that's attached to hand trucks.
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And that way you can just tote it around.
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And one end of the jumper cables is already attached. And I'm doing it now with clamps.
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Yeah.
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Or I'm going to stop by the automotive store and pick up two battery cable ends.
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Okay.
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To use that.
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I know what you mean.
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It's just a dedicated battery system that I don't have to go pulling one out. Now for an inverter. We have a thousand watt inverter and we're using a dewalt. And I've actually put this in the show notes. The dewalt thousand watt power inverter. And it's an ideal setup. If you use a life po battery and an inverter, that could be your ideal setup. I've put 100amp hour LiFePO battery.
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Yeah, that'd be great to add to your preps. For those of you that are hearing this and realize I don't have any kind of a, you know, some of you don't even have a generator. We may talk about that later. But this battery power for medical devices, this is a game changer.
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Yes, it is. Now I found another portable inverter that I want. I'm going to order this one. And it's a 200 watt portable inverter that uses a DeWalt 20 volt battery.
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Oh, that's cool.
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Now it's not going to. That won't run my cpap. No, but that's great for charging phones and devices, but it changes 20 volt DC over to 120 volt AC.
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Okay, that's good.
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And the one that I put on the in the show notes has USB ports. It has the type C fast charging port and it also has a 200 lumen flashlight.
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Okay. Better than nothing.
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And it's only around 30 bucks.
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Yeah, that's actually for what it can offer. That's very affordable.
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Yeah, I mean it would make a good flashlight if that's all you needed to use it for. 200 lumens is plenty around the inside of the house.
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It's like you're saying though, this particular type of battery isn't necessarily going to run your CPAP or your oxygen generator, but you can dedicate other power sources to your medical devices and use that type of battery. Like you said, charge up your laptop, charge up your phone, your computers, your tablets. The types of things that would require a lesser amount of charge and can be charged longer.
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And there are several options there on the site for different brands of batteries. I saw one for Milwaukee. So whatever your preference of batteries, you probably have a few. You can find one with that. These are all in the Episode notes@practicalprepping.info 5 4, 6. And we mentioned using the long extension cord in a pinch, right?
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We. Yeah, you've used it in the camper in the woods, but yeah, this is great. We know that we're throwing a lot of information at you, but we just want to remind you again, you can find all of these links to the products and the information in the show notes@practicalprepping.info 546. Now let's talk about some temperature sensitive medications. You're a prime example. You're a patient who has to use insulin. Talk to us about that.
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I'm on insulin that I take. It's. It's the long acting. I take one shot each night. Once I take it out of the refrigerator, it's good outside the refrigerator for 30 days. But my next one is in the refrigerator right now.
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Sure.
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But folks that are type one, that insulin needs to be refrigerate.
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Yeah. At all times.
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Not something that you can leave out here as far as I know. It's not something that you can leave out here for very long. But the stability of that insulin ranges across the type. Okay, let's talk about heat versus freezing risk.
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Oh, okay.
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He degrades insulin. That's why you want to keep it
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cold, cool, but not frozen.
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But if it's frozen, that kills insulin.
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So refrigeration only for certain. Okay.
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And your health care provider would give you those instructions, But I'm just putting it out here for the benefit of those that may not know. But now, during power outages, refrigerator temperatures can swing.
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Yeah, that's true.
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And you need some continuity planning for temperature sensitive medication.
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Okay.
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One, put a thermometer inside the refrigerator.
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Right.
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We've got that linked in the show notes as well.
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I'm sure that the package information on the type 1 insulin has your range of temperature, like from so many Fahrenheit to so many Fahrenheit. Like it's probably from like 40 up to. Yeah, one in a 50.
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I don't know exactly what it is.
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You should state that somewhere.
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Right. But have a thermometer inside that refrigerator. You might want to back up. Mini cooler. That's a good strategy. There are some insulated carrying cases. There's one, and you can see them in the show notes there in the link. But there's one that carries quite a bit of insulin. There's another one that's just transporting the insulin that you might need for a day. And they're available for both the pins or the vials.
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I see.
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So you can get either one of those. You can use rotating ice packs to put those into a little cooler, or you can have a battery backup for a small medical fridge. Some of them are actually labeled insulin refrigerator.
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Oh, okay.
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They're very small. And there's one that I put on there that's kind of a little desktop model.
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I've actually seen that little desktop fridge in a photograph of a college dorm room where someone had their insulin in that specific dedicated fridge.
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And I think it's got enough room in there to hold three soda cans.
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Yeah.
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Just not a lot of room in there.
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But, you know, monitoring that temperature, that's a whale of a lot better than guessing.
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Yep.
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You don't want to take a chance on your insulin.
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Now let's talk about medication buffering.
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What does that mean?
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I see a lot of this in some of the groups and forums and stuff. And it's how do I stock up on my medication?
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Oh, that's a good question. Because, you know, insurance a lot of times limits you to like a 30 day or a 15 day.
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Right.
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Well, there's, there's some workarounds.
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The 30 day is kind of a Trap because you're only going to get to refill it like four, five, seven days before and you wind up running lower on your medications for the refill.
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Oh yeah.
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And if you've got five days of medication and you're just getting ready to renew it and you have a seven day ice storm, you kind of cooked. Right?
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Yeah, yeah, yeah. So that's why we're saying have that discussion with your doctor because in many cases you can get a 90 day supply and that's certainly going to put you ahead where you need to. I'm on a 90 day supply for my high blood pressure medicine and so yeah, I'm just refilling three, four times a year, but I've got 90 days and so that helps me a lot to be able to.
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And I picked up new prescription yesterday. Not a new prescription, but a refill. This one came out on the auto refill and it came out when I was allowed to fill it. Well, I still had a fair amount of my last 90 days.
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Okay.
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So now I'm about 10 days. That gave me about 10 days ahead.
B
Okay.
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With that medication.
B
Without you having to skip.
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Without me having to skip anything. And please don't skip your medications.
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Right.
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At all. But you can refill that immediately when you're eligible. And that builds a reserve.
B
It does. It buys you some time.
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And you can rotate that. Stop. It came in two bot, what was metformin and it comes in two bottles, a 90 day supply.
B
Those are big, gigantic.
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One of the tall ones and one of the short ones.
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Okay.
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And so I've got the short fat one out and this one, which I have in my hand right now is actually going to go into our medicine cabinet where we store our medications.
B
Okie dokie.
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You want it in a cool, dark dry storage. But as Krista said, work with your doctor and build that redundancy slowly.
B
Also make sure that you have that documentation. This is an area that is often ignored. You want hard copy paper, printed medication list with all the migs, the dosages, the frequency, whatever the details of that particular prescription, have that printed so that if you have to show that to a clinic you're not familiar with, they can easily see what the details are without you having to remember everything.
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Because they always ask you what medications are you and you're in high blood pressure, you go to a new doctor. And I do know the names of my medications and I know the dosages, but it's so much easier to just hand them a piece of paper. And I don't List just my medications. I also list vitamins and supplements.
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That's very important. Anything that you're taking that might be like essential oil based herbal supplements, tell
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your doctor about that. And the easy way to do that is to have that printed on a piece of paper and then like take the dialysis. If they have to go to another location for dialysis, then you're carrying that medication list in there.
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And whatever your dialysis details are, they're not going to be the same for everybody.
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No, no. And you'll get that info from your provider. List any allergies, list the prescribing doctors for those medication. Carry your recent labs. If you're going to a new doctor,
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like you've had blood work done, you had some tests run, and having your
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insurance information available with you as well,
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that just speeds up the paperwork. It really makes it easier for the ones trying to get you registered in.
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And here's why the paper matters. Okay. Hospital systems go down.
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They do.
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You might evacuate to another state.
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That's happened many times to people.
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The clinics may be overwhelmed and you have to go find another. But that's why it matters that you have that.
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And if you haven't ever thought of this before, this is exactly why we are producing this podcast for you to get something new to think about. For those of you that are affected by chronic or long term medical conditions, where you must put this into your prepping plan and think about the unthinkable and form a plan.
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And here's a seven step action plan that you can take. This is listed in the episode notes as well@practicalprepping.info 546. List all of the medical dependencies that you have. Identify which one of those require electricity.
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Okay.
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For me, I require a CPAP and I require medication. My dependency, I require electricity here, I require a pharmacy. So identify those kinds of things and identify which ones need refrigeration. Like my insulin.
B
Exactly.
A
And then calculate your actual power needs. If you're looking at building some type of a backup system and that thousand Watt Inverter provides 8.3amps and the CPAP just uses a few amps. So I've got plenty right there.
B
That's good to know. You want to build that refill buffer, print out that documentation, know the location of your your backup facilities, Try to get this done within a week, maybe less. Hopefully before you encounter any of these weather systems or utility systems that may go off and impede your ability to be able to get those supplies and get to where you need to go now.
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Preparedness isn't about paranoia.
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True.
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It's about reducing dependence on a fragile system.
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I mean, just think of the sigh of relief that you and your family can breathe knowing that you've got a plan when everything else is out and you must get this done. I mean, people are doing this for themselves, and they're also doing it for their family members that live in their household.
A
And, well, Krista, Krista is relieved, very relieved that I have a backup plan for my cpap.
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You got that right.
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Because, you know, she doesn't even sleep on the same end of the house with me if I don't have.
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No, that CPAP is the greatest thing since sliced. Sliced bread. That is that. That little tiny bit of white noise helps me go to sleep because I'm not hearing you snore, ladies and gentlemen, Let me tell you something. Bless him. I love him dearly and mean it and. But he could pull the wallpaper right down off the walls with his snoring, and it doesn't bother him. Not one bit. Not one bit.
A
Well, I'm asleep.
B
Yeah.
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But when the doctor first asked me, does your wife complain about your snoring? I said, doc, the neighbors have complained about my snore.
B
Yeah, he's Olympic status. Olympic quality scorer.
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But it's about reducing that dependence on a fragile system.
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So are you getting value from our podcast? I certainly hope the answer to that question is a resounding absolutely. And if so, help us out by giving back a little. Why don't you? You can go to practicalprepping.info support. You will find several ways that you can support the show. That would include a coffee, membership and even shopping from the Amazon banner. These things will really help us offset the expenses of our show so that we can continue to bring this to you, which we love to do, because we really appreciate you, friends. Please consider doing that@practicalprepping.info support.
A
And the links to everything we've mentioned on today's episode can be found in the episode notes. And I'll say it one more time, practicalprepping.info 546. Now. We really appreciate you being here today. We appreciate you taking your time and selecting our podcast when you could listen any other one you wanted to. And that humbles us and we do appreciate it very much. And as Krista always says, stuff happens. Stay prepared and we'll see you next time.
Hosts: Mark & Krista Lawley
Date: March 16, 2026
This episode tackles a vital yet often overlooked aspect of preparedness: planning for chronic illness and medical dependencies when power or supply systems go down. Mark and Krista Lawley discuss real-world disruptions—like snowstorms, power outages, and supply delays—and provide actionable strategies for those reliant on medication, electricity-powered devices, or regular medical treatments. The tone is practical, supportive, and community-oriented, focusing on resilience rather than paranoia.
"Preparedness isn't about paranoia. It's about reducing dependence on a fragile system."
— Mark [26:09]
"She doesn’t even sleep on the same end of the house with me if I don’t have [my CPAP]...the neighbors have complained about my snore."
— Mark, lighthearted snoring anecdote [26:42-27:12]
"You just need to have a backup plan...because some dependencies cannot be self solved." — Krista [08:22]
"Have a thermometer inside the refrigerator…Monitoring that temperature, that’s a whale of a lot better than guessing." — Krista [18:09, 19:41]
"Paper matters. Hospital systems go down. You might evacuate to another state...That’s why it matters that you have [printed documentation]." — Mark [24:03]
True to the podcast's ethos, the episode is grounded in real-world, judgment-free, and family-oriented advice. Mark and Krista emphasize practical planning, actionable solutions, and the power of community and knowledge—never panic. The conversation is supportive and includes personal stories, humor, and a focus on mutual aid, creating a reassuring guide for those managing chronic illnesses amid disruptions.
For links, checklists, and related resources, visit: practicalprepping.info/546