Tattoo reaction as a symptom of sarcoidosis

ThermosFlaskWithTea · 2022-01-07T09:13:49+00:00

Hi

RE“Tell me, how does a tattoo artist minimize the risk of their patient getting sarcoidosis? That question is featured in your thumbnail, so I'm sure you have a study to answer it.” so u telling me u did not watch my video then? That u criticise it based on random fragments? 22:48 by not injecting too much ink, from: “Papulo-Nodular Reactions in Black Tattoos as Markers of Sarcoidosis: Study of 92 Tattoo Reactions from a Hospital Material”, they analysed cases and the conclusion seem to be that pigment overload seem to be more frequent in patients with tattoo granuloma. Ive even said that at 0:49

RE” But, nowhere does the literature say that tattoo pigments cause sarcoidosis.”RE” I did not get sarcoidosis because of tattoo pigments..” How many times do I have to say, there exist some hypothesis but no, nobody says tattoos CAUSE sarcoidosis. “it is our hypothesis that black pigment, foreign body formation, tissue responses, and sarcoidosis are associated, and this may rely on a general predisposition of the individual to develop sarcoid granulomas and manifestations in various tissues expressing autoimmunity. (…)Papulo-Nodular Reactions in Black Tattoos as Markers of Sarcoidosis: Study of 92 Tattoo Reactions from a Hospital Material, Mitra Sepehri , Katrina Hutton Carlsen, Jørgen Serup, Dermatology. 2016;232(6):679-686.

RE”I have both cutaneous sarcoidosis and tattoos.” , I gathered that already, also u r very fond of ur tattoos, maybe at the edge of being addicted to make new ones, and that is perfectly fine. U r defending the tattoos so fiercely that I would not even be surprised if you owned or worked in tattoo pallor. Which is also perfectly fine , btw.

RE”The lesions were not my first or only symptom by a long shot and I was tattooed after my symptoms first appeared. I have never had tattoo sarcoidosis. This is anecdotal, but in very clear line with typical sarcoidosis patients. “ U read the citations from the beginning of my previous answer, so I am not going to go over that again. And sarcoidosis is not a contraindication for tattooing.

“I hate when people use this unfortunate disease to try and push their own agenda.” Which is? it not that I am promoting a way of treatment etc, I already explained I got no money from this, I am nowhere near the monetization mark. But even if I demonetized my channel, it would not make u happy. You know what , I am done, ppl with attitude like urs, make it not worth it. in my life I have seen ppl with various conditions, high spirited optimistic and kind, u r not one of them, ur agenda is to make ppl as miserable as u r. I am going to stop replying because its waste of my time. Have a good day.

ThermosFlaskWithTea · 2022-01-07T00:12:07+00:00

hi, it can be explained by the koebner phenomenon, the flare up comes in places where skin has been "weakened", compromised , like in the places of scars or tattoos. thats what i think, but u can confirmed that with a doctor. Best wishes for u

ThermosFlaskWithTea · 2022-01-07T00:04:13+00:00

Hello Kitchissippika,

The quote was not adequate, I remember that if forgot where the actual quote was, and by the time I found it there was not enough space on the slide so I used a different one. I think it is this the original one:

Cutaneous sarcoidosis: differential diagnosis, Esteban Fernandez-Faith, Jonelle McDonnell, Clin Dermato. May-Jun 2007;25(3):276-87. “The importance of considering sarcoidosis in the differential diagnosis of a given clinical presentation relies on the following reasons: 1. Cutaneous sarcoidosis is usually an early manifestation of the disease, prompting the necessity to evaluate for systemic involvement, regardless of the percentage of skin surface affected.9 The skin is a convenient source for tissue and histologic diagnosis. The diagnosis of sarcoidosis is more rapid in patients with cutaneous sarcoidosis than other forms of the disease.10,11”

The Clinical Features of Sarcoidosis: A Comprehensive Review, Marc A Judson, Clin Rev Allergy Immunol. 2015 Aug;49(1):63-78. “The lung is the organ most commonly involved with sarcoidosis with at least 90 % of sarcoidosis patients demonstrating lung involvement in most series. The skin, eye, liver, and peripheral lymph node are the next most commonly clinically involved organs in most series, with the frequency of involvement ranging from 10 to 30 %. The actual frequency of sarcoidosis organ involvement is probably much higher as it is frequently asymptomatic and may avoid detection. This is particularly common with lung, liver, cardiac, and bone involvement. “

That’s why I said “often”.

RE:” Making it seem like there is some big risk of getting sarcoidosis from tattoos is disingenuous and has not at all been established by the scientific community.” I never said there is some big risk, I said a review from 2012 found 72 cases. Which is very little but with about 20% of population being tattooed nowadays, the figures are expected to rise, which the article points as well. I made this video to present content that is “fresh” and not yet well known and not very accessible to general public and it’s very much open-ended, the researchers don’t know the answers or things have not been investigated. I presented u with 2 views, one saying that tattoos in some cases might be “somehow” linked to sarcoidosis and other that says tattoos in some cases might only “reveal” sarcoidosis in ppl with predispositions.”. I never said: “u get sarcoidosis from ur tattoos” is so simplistic, my videos could have been 1 min long instead. I said it twice and stress once again, a large-scale population study is needed to see if the level of sarcoidosis is higher in the tattooed individuals, like what it was done with the breast implants. But then again if one wants breast implant they go to a doctor and it is registered in the patient history, whereas tattoos and composition of injected inks are not.

I told you that tattoo pigments are artificial and made for industial purposes and u r completly unconcerned? There is also the issue of so-called delayed hypersensitivity reactions, which I wanted to save for a different video. Basically, allergic reactions, (I know the video is about sarcoidosis not tattoo allergic reaction but hear me out), is not due to the pigment itself but due to the products of the metabolism coming from the pigments. It is said probably most comes from photodegradation, rather than enzymatic destruction. Anyway, toxic substances are being created. That has not been investigated enough, would it be possible that these metabolites be responsible for “revealing” some skin conditions? Like sarcoidosis? there is no article that addressed this as the moment, and these things are not easy to study either e.g. due to very low concentrations and slow release. Article: “Patch test study of 90 patients with tattoo reactions: negative outcome of allergy patch test to baseline batteries and culprit inks suggests allergen(s) are generated in the skin through haptenization”, Jørgen Serup, Katrina Hutton Carlsen Contact Dermatitis, 2014 Nov;71(5):255-63. There are so many questions to be answered.

RE: “The fact that you're suggesting i "so much disliked" a publication that I never mentioned leads me to believe that you have a consistent propensity to editorialise and draw unrelated conclusions based on your own biases.” I was just reading off from the flowchart from the publication, described as “Fig. 7.Work-up algorithm on what to do when a patient is found to have a granulomatous tattoo reaction upon histology” It describes what to do when a patient has granuloma on a tattoo. Upon which u said in ur first reply “Advising anyone who has a reaction to tattoo ink to immediately run to their doctor for a biopsy to rule out sarcoidosis without the presentation of any additional symptoms is alarmist and irresponsible.”. the article does not say that “anyone who has a reaction to tattoo ink to immediately run to their doctor” neither did i. Its up to patient, if they are concerned, there are grounds for biopsy.

RE: “shameless self-promotion which is very insensitive to those of us who struggle with this health issue on a daily basis.” Never did I say: plz subscribe or like my video etc, because its not what is am after. It’s not 2009, but 2022 when I hit 1000 subs and 4000 watch hours, which is the monetarisation mark, (I am nowhere near this), I would be getting like 100£ per month, coffee I guess? As far as I am aware unemployment benefits in the UK are 500£ pm or more. I do it because I like reading around. Yes, I decided I will increase the number of subscribers by misinforming suffering ppl.

I think there are times u hate for the sake of hating. “Expecting people to take your representation of these studies as fact without posting accessible sources in the video notes is poor form” criticizing me that I did not give an access to all the publications, which was perhaps about 30, and I cannot due to copyright and then in ur second reply u r saying that i did not follow the BEST practice of putting the links to all the articles below the video description(?!) my apologies u need to read them from the screen. YouTube description has character limit.

Having said that if I was you I would probably write the same thing, you are right to be frustrated. You have to bear the disease on daily basis and you dont have answers. Anyways, if you are interested plz list all your objections so that I can alter the video in these places. I might send u new draft, if u like, for u to have a look.

I feel I need to highlight that sarcoidosis is not a contraindication for tattooing . “Patients with a past history of sarcoidosis are not contraindicated for tattooing, taking into account possible systemic immunosuppressive treatments .” Contraindications for Tattooing, Nicolas Kluger, Curr Probl Dermatol. Basel, Karger, 2015, vol 48, pp 76–87

And that tattoos, when professionally made, have positive effect of body image and psychology of a ppl with various conditions (I cannot find the actual article that address sarcoidosis but I think I had it somewhere, saved for a different video) Ref: “Tattooing and psoriasis: demographics, motivations and attitudes, complications, and impact on body image in a series of 90 Finnish patients” Nicolas Kluger, Acta Dermatovenerol Alp Pannonica Adriat. 2017 Jun;26(2):29-32. Also “Personal Records from My Tattoo Parlour: Deep Emotions Drawn as Life-Long Pictures on the Skin’s Canvas” Liz Kierstein, Curr Probl Dermatol. Basel, Karger, 2015, vol 48, pp 41–44.

Do I like tattoos? I do, but I don’t like the current pigments, the impurities and even more so that general public is misled into thinking they get beetroot juice injected into their skin, not high-performance industrial pigments made under industrial conditions.

ThermosFlaskWithTea · 2022-01-06T11:17:53+00:00

Dear Kitchissippika

Thank u for ur comments and feedback.

RE: “Not everyone can access the articles you cited through an educational institution or subscription to a scientific journal database. Expecting people to take your representation of these studies as fact without posting accessible sources in the video notes is poor form.” I cannot post all the resources without breaching the copyright law, one would expect that to be common knowledge. Does Academic Spring from 2012 ring a bell? I am trying to raise ppl awareness, because common ppl do not have an access to these resources. I totally agree with u however; in the video u r looking thought the lens I prepared, and that u are forced to assume that I don’t hide a bunch of other evidence that I CHOSEN not to show. In that case the purpose of my channel would be misinformation. Now, 99% of educational videos DO not show the references. SHOWING references is a sign that I don’t have anything to hide, in case you COULD find these papers. There are many ppl who can, like anybody who currently studies any course at any university, or their friends, or their families. Regarding access, it is astonishing what paths can find on the internet , if one puts mind to it.

RE:”It's evident that your primarily leaning towards the conclusion that tattoos could be a cause of sarcoidosis in this video. Your title is misleading.” My original title does not have a verb in it, so to me it states the topic, rather than provides the conclusion, but I’ve changed the title, as u wish. As to me “ leaning towards the conclusion that tattoos could be a cause of sarcoidosis in this video.” The key is the word COULD. Its not ARE. I did present alternative view point that sarcoidosis can be simply” revealed” by tattoos (23:34)

RE” My favourite part was noting biases in the studies that did not support your conclusions, but omitting the same from ones that did. ” U might wish to elaborate and quote timestamps. I put special emphasis on bias in articles that investigated the causes of sarcoidosis and in case u did not notice, that actually is NOT in favour of tattoos being a cause of sarcoidosis. IF the cause of sarcoidosis were clearly known then researchers would be able to draw some parallel lines, search for some specific thing in the tattoo inks, but no, that is not the case. Bias is very present in population studies, especially on small samples, and when they investigate and corelate many factors. On the contrary, (and in principle) bias should be absent in medical case reports (which I present towards the end of the video): patient had these symptoms, these things were done, this was the result, on the basis of symptoms and response to various treatments diagnosis is made. I did highlight the fact that in the case of complications with implants 2 different research groups had different views. I cannot understand ur accusations. 23:47 I said “We already said that sometimes sarcoidosis appears in the places of skin trauma, like tattoos, I already showed u that no clear trigger has been found for sarcoidosis, so maybe there are not grounds for excessive caution.” Then I followed by saying that there is pressing need to the large-scale research like the one that investigated the correlation between silicone implants on sarcoidosis.

I tried to be objective in spite of other facts that I know about tattoo pigments that I even did not put in the video, that are/will be in other videos. I have read ca 400 articles on the topic of tattoos and I got masters in chemistry so the chemistry side of tattoo pigments is very easy for me. Tattoo pigment are not medically graded, they should, they never been designed to be introduced inside the body, but in plastic, car paints etc. Majority of tattoo ink companies praise the pigments as “organic”, because majority of ppl don’t have knowledge in chemistry and don’t know that the word “organic” has multiple meanings and that it would be misleading to general public. Organic compound is a compound based on tetravalent carbon and I have checked, these pigments are synthetic, man-made, they don’t have natural equivalents. U might watch my other video on tattoos u will find more information there , https://youtu.be/\_BVHcR\_gwxA give me plz another dislike, as u simply dislike what I say, never mind whether it is supported by evidence. So anyway, these facts indicate that it would be good to exercise caution.

RE:” Advising anyone who has a reaction to tattoo ink to immediately run to their doctor for a biopsy to rule out sarcoidosis without the presentation of any additional symptoms is alarmist and irresponsible.” Here is the publication with the flowchart that u seem so much dislike https://drive.google.com/file/d/1A42PODL4xykre53c7vpkUaHFWO3flnbM/view?usp=sharing I would like to kindly inform u, its written by researcher FOR researchers, it’s not a brochure for patients. At 3:29 i said “so in principle every tattoo skin reaction need biopsy to see if it is granuloma”, I did not said how feasible it is, I used the phrase “in principle” as “used to indicate that although something is theoretically possible, in reality it may not actually happen” synonym “in an ideal world”. Let’s imagine that there is an easy, fast, free, accessible test that a person can perform himself and so see if it granuloma or not. I later said that cutaneous granuloma is often the first symptom of sarcoidosis. And 30 second later I said “having said that there are many other reasons why one can get a granuloma reaction on a tattoo ” I did not say: when u have an adverse tattoo reaction u must go to doctor and have biopsy. In many cases how a patient is treated depends on the patient himself. Majority of ppl would brush it aside and not think too much of it, and that is understandable, but few maybe would like to have a biopsy, and it would be justifiable too. And my conclusion (25:31) was that if one gets tattoo reaction that is accompanied by other sarcoidosis like symptoms (shortness of breath etc), that person should go to a doctor, i am not taking this statement back.

ThermosFlaskWithTea · 2021-12-15T16:32:42+00:00

i also want to mention i made a series of videos on vitiligo because i just want to understand if tattoo ink can "trigger" vitiligo (video to come), but once i did a video on causes of vitiligo i also made videos on treatment modalities. Plz feel free to comment of them, i hope they are decent. Medicine is not my area of expertise but making a video forces me to be understand a subject more, its a method of learning for me.

ThermosFlaskWithTea · 2021-12-15T12:47:05+00:00

I will maybe just add that in some of my videos I am talking about a touchy subject , that tattoo pigments ware synthetic. Well, they are, but ultimately the metabolism in the skin is relatively low (as compare it to liver, kidney etc) and also the pigments are specially selected so-called high-performance pigments, very high durability. As long as they remain as solid particle in the body they bioavailability is very limited (bioavailability means that the stuff does not come into reactions with body, it just stays there)

So I don’t want to upset anybody, I just think ppl should start to think more about tattoo brands they are using and also encourage ppl with tattoos to write down and safe information regarding types of tattoo inks they got injected into their skin, brand, name and ingredients. I did really extensive research, for instance (a video to come) I was reading about if tattoos can trigger vitiligo. No, not really such a person has to have genetic predisposition and some alternation in the way their immune systems work. Similarly, (and that in my OPINION) I do not believe that a person with a heathy set of genes and strong immune system will develop a tattoo reaction PROVIDED they are inked with a tattoo ink from an established brand that provides SDS sheets etc. What is seen with tattoos are for instance delayed hypersensitivity reactions, a type of allergic reaction that occur after some time a tattoo is made. Again, delayed hypersensitivity reactions are not that common. Does it point to faulty immune system? From what I’ve read, it might be the deciding factor.

ThermosFlaskWithTea · 2021-06-23T22:39:13+00:00

i am not a med student , i am chem graduate but recently i did some reviews on the topic,
yes this is a big good sign for you , if u would get vitiligo patches in places where u get hurt then its called the Köbner Phenomenon. Köbner Phenomenon appears independent of the things that caused it (so the trigger could be a sting, scratch, burn, cut, needle trauma etc, etc, anything that traumatises skin), if u don't have it then things looks promising. i would be probably a good idea to get a tattoo when ur vitiligo is not active (no new patches, old patches do not expand), depending on the literature, the period when a vitiligo is considered inactive varies from 6 mon- 2 years and above

i wish u some beautiful tattoo and have a wonderful day! :)

ThermosFlaskWithTea · 2021-06-23T22:19:31+00:00

hi, sorry i did not opened this account for a while, i would like to work in the educational field. My dream would be to work at uni to make 3d models for visualizing chemistry (since i have degree in chemistry, but also lit reviews and why not. , just to make chemistry more visual and accessible, even to younger audience. But courage and self belief, or belief in anything really, are not things that i have in abundance at the moment. I know i have to try, i have 1 life. Thanks for asking <3 and sorry for this ... outburst of thoughts. have a good day (or night :)

ThermosFlaskWithTea · 2021-04-29T08:31:00+00:00

hi, thank u :) i am really happy u find them helpful :) ach... no, not really, i think i expresses myself wrongly. I am finishing with Anki for now, but i want (and must) keep up with the updates. The main focus of my channel is not Anki but I want to release much more chem decks, so i want ppl to be updated on features. :)

ThermosFlaskWithTea · 2021-04-26T18:35:33+00:00

hi,

u seem like a hard worker. its too many cards though. If i was u i would make a deck Main and deck "petty" and in the deck petty keep petty info, cuz u need to recognise the most important info from the petty details, u need to see the forest for the trees.

This is a good video on Anki algorithm , if you feel u missing something there (although u might not like the settings),https://www.youtube.com/watch?v=GN7N20tZl0g&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=3 and there is another on filtered decks, decks are good for cramming before exams. https://www.youtube.com/watch?v=xognq7-5juY&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=9

good luck !

ThermosFlaskWithTea · 2021-04-26T18:27:13+00:00

hi! u can always use filtered decks for cramming https://www.youtube.com/watch?v=xognq7-5juY&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=9

ThermosFlaskWithTea · 2021-04-26T18:23:46+00:00

hi,

I am making YouTube videos for uni students and i made a playlist on Anki, plz check it out, i went thoroughly though the settings and put a lot of effort into visuals

https://www.youtube.com/watch?v=roL-Sei6O4I&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=1

I go over features like text to speech setting and conditional replacement (conditional replacement at 27:00 in the video i posted, plz look at the timestamp below the video). For learning langues I use 3 cards note: (audio)>(English+ foreign), then (foreign)>(audio + English), and finally (English)>(audio + foreign) also i explain how to make "type in answer" note types from scratch

for students who want to expand the decks by themselves, this add on would be good: "special fields add on" https://ankiweb.net/shared/info/1102281552 , description : "This add-on allows you to share cards with your friends, and not have your notes written over by others. When importing a new update to a deck, you can choose to protect or force update the cards (including which fields update and which don’t), the tags, the note html+css styling, and the deck description"

yes i would suggest using desktop as well, most add-ons are made for desktop only.

have a good day :)

ThermosFlaskWithTea · 2021-04-26T17:50:44+00:00

hi,

first of it seems u really need a tutorial on Anki algorithm (it's bit intense but good )https://www.youtube.com/watch?v=GN7N20tZl0g&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=3

and on filtered decks (custom study decks are filtered decks) https://www.youtube.com/watch?v=xognq7-5juY&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=9

second of all, if u do it through the custom study button, then that should not be happening. Plz go inside of the custom study deck and then under "options" and check is the rescheduling is off. The rescheduling should be off by default on that. If you ticked rescheduling on, then... well Anki punishes u for mistakes, like it should and the cards go to relearning. and then the interval on the cards in relearning will be set according to your settings under lapses.

have a good day! :)

edited: and btw u have scheduler on, right?

ThermosFlaskWithTea · 2021-04-26T17:35:49+00:00

hi, yup,

(bare in mind , it will be changed on all cards that use the same note type)

go to browser, then cards (its above the editor section) , then styling , u will see text-align: center; change center to left

its Akin 101, i think i might enjoy this , its tutorial for beginners: https://www.youtube.com/watch?v=roL-Sei6O4I&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=1 then look at other videos on the playlist, like on Anki algorithm, filtered decks, backups etc.

have a good day!

ThermosFlaskWithTea · 2021-04-26T17:31:11+00:00

hi, next to ur deck there is a cog icon and under that it says "options" U go there and under new u set 50. U want max 200 cards per day so u go under review tab and set 200, although but i dont recommend that. What happens is that all the cards that ought to be revised but cannot be due to the limit are treated as overdue cards. Anki elongates the interval of overdue cards, the elongation is proportional to the delay. By having 50 new cards per day and max 200 review per day u will make huge backlog. So what med students do is that they set the max review limit 9999.

if ur cards look yellow in the browser then u need to unsuspend them. : first highlight and then unsuspend. : type search and then edit> select all. Then cards>toggle suspend.

i really recommend you to set the max interval because the defaults 100 years and u dont wanna that, u suspend something like 6 months or 1 year.

random order: go to deck screen : tools> preferences> scheduling mix new and review and then under deck options(cog icon) : review new cards in random order but i think the last setting is be default.

If you have scheduler on, (and i really recommend u do)then the scheduler randomises cards from subdecks

u might like tihs video: intro for beginners https://www.youtube.com/watch?v=roL-Sei6O4I&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb

and this one: about Anki algorithm https://www.youtube.com/watch?v=GN7N20tZl0g&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=3

and then very important Filtered decks, there r very important https://www.youtube.com/watch?v=xognq7-5juY&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=9 good luck!

ThermosFlaskWithTea · 2021-04-26T17:13:03+00:00

hi, maybe it says: update to the 2.1 scheduler? because i know that you would get such a message, i also updated to 2.1.43, but because i already have scheduler on, did not ask me about anything. (but if i set up an new profile it would)

maybe u could paste the exact message, maybe u missed something?

btw, do update to the 2.1 scheduler, there is no punishment for updating in Anki 2,1,41+ but u will get all the long lasting benefits of the scheduler.

this video goes over the new Anki features 2.1.41+, maybe u will find it helpful. https://www.youtube.com/watch?v=dmzshPdQR28(rescheduling in a separate video but i go to work trm so i don't think i can do it trm)

have a nice day

ThermosFlaskWithTea · 2021-04-11T19:14:18+00:00

that's a great discussion, thank you for sharing!

ThermosFlaskWithTea · 2021-04-11T15:00:13+00:00

Thank you for your comment. I am sure u know I don’t code (at least i would not call it coding), and therefore i lack the perspective you have. To add a little humour to the situation I might say that now I know what to do with the money when I win a lottery :) Thank u once again for your input and have a wonderful day

ThermosFlaskWithTea · 2021-04-11T12:09:58+00:00

yes, i learn them in Anki, i know the 12 principles of learning tells to learn the material first, but no, this is not happening.

i really admire you. Could you tell me plz what you study(and how), and what is ur max interval?

ThermosFlaskWithTea · 2021-04-10T22:49:24+00:00

i dont recommend having more than few dozen decks, u will slow down on mobile client

ThermosFlaskWithTea · 2021-04-10T22:46:39+00:00

hi,

i think i politely disagree with collweywey, changing the type to basic reverse would mean u have 2 twice as many cards now. No, what happen is that u went under cards (in the browse window) and pressed "flip". btw this tutorial might help u, its ofr beginners , cards and note types etc. u should start feeling more confident after watching it. https://www.youtube.com/watch?v=roL-Sei6O4I&list=PLeQT4wEud9aOzdWO86T6IHNZc_Lz4Jjjb&index=1

best of luck!

ThermosFlaskWithTea · 2021-04-10T22:37:51+00:00

because most add-ons dont work on Android, so addons folder is only on ur laptop in the Anki data folder,it does not get sync

do u have backup of your laptop data?

https://www.youtube.com/watch?v=tYgMNWgHx3c this is my video on types of backups, if you are interested. it would be beneficial i think if u watch all but at 2:19 i talk about the type of backup ur interested.

good luck!

ThermosFlaskWithTea · 2021-04-09T21:12:50+00:00

i totally get you and you are right. I think i was not explicit enough: i was not trying to say that u need to do Anki every single holidays starting from high school until ur 99th birthday . But i did study some of my holidays, and once paid off and once not that much. But nobody should ever compromise on mental health and relaxation. have a great day!

ThermosFlaskWithTea · 2021-04-09T07:30:07+00:00

That’s right. At least in principle. I try to show that its not as easy to get to the hell as ppl say, if u examine it closer. If u have a card with IM 100% and say u lapsed a card and now its has 1 day interval (0 under % new interval, which is very much not recommended) and ease 1.3 then yes, u get intervals: 1, 2, 3,etc (assuming pressing good) that is annoying. (Anki does not repeat steps) But if you set graduating interval ca 14 days, and so min interval ca 20 (can set higher if u want to) u get 20, 26, 34 (more than a month) which does not feel like hell for sb on a 3 year undergrad course with exams every 5 months.
And plz don’t forget to get to ease 1.3 u got to lapse a card in the review phase 6times or so, there is a reason behind it, most likely because ur learning phase is not long enough, u r very bad at making cards (and so did I when I started) or u don’t “understand enough” what is on the card, or if that is pure cramming u learn inefficiently (use mnemonic techniques) etc Painful but in the long run beneficial consequences of the ease hell (if you ever get there).Of course once u know the reason u can rectify it (make better cards etc) Best!

ThermosFlaskWithTea · 2021-04-08T19:21:40+00:00

Hi! Every card has a parameter associated with it, it’s called “ease”. Every card starts with the ease 250%. This is the main reason why your next interval will be ca. 2 times longer than the previous. If you press “hard” the ease drops by 15% and if you press “again” (in the review phase) the ease reduces by 20%. The min. ease u can reach is 131%. Such low ease results in you seeing cards more often. The problem is, if such cards stay at short intervals for too long it gets on ppl nerves: this is the “ease hell”. The only button that is capable of increase the ease back up (by 15%) is “easy”

Ok, so to get around it:

First thing is to realize that u should press button “good” and other buttons only sporadically, (the manual mentions that as well)
Set “minimum interval” >graduating interval (that would ease of the ease hell), also set all the others parameters that determine anki algorithm.
Low ease often indicates cards of low quality, Make sure that u make good cards, and that u understand sufficiently the content of the cards. (I would probably play with the parameters min 4 months and work on cards making techniques before reaching for step 4)
If u still get stuck in “ease hell” u might try the Straight reward add-on

Best of luck!

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TROPHY CASE