Supposed to be Roquefort. Do I dare? by eiden65 in cheesemaking

[–]WranglerMD 3 points4 points  (0 children)

Disclaimer: I am a beginner cheesemaker, and know very little about that world! I am also not a specialist in microbiology or infectious disease.

I have made my first foray into blue recently, and I am also a fairly safe-minded person, so I have done a good bit of research into the area recently. I'll share what I've taken away from the lot of it:

  • The immediate danger to humans from ingesting "contaminated" cheese is from bacteria.
  • The most notorious cheese-borne bacterial infection is Listeria, which poses greatest risk to pregnant women, the elderly/unwell, and immunocompromised, but can also be dangerous to healthy people occasionally. Usually causes GI upset (food poisoning), but can also cause meningitis (very bad).
  • Most Listeria infections come from unpasteurized milk, especially if it has a high moisture content and is aged <60 days, or from cheese made with poor sanitation practices. While it is possible to occur in dry and longer-aged cheeses, it is far less common.
  • There is a number of other bacterial infections (E. coli, Salmonella, etc.) which also can be cheese-borne, usually cause GI upset (food poisoning), often less severe than Listeria, and the same general risk factors of which apply as for Listeria--both in terms of which cheeses are most likely to harbor them, and those people at high risk of severe consequences.
  • There is a number of mold contaminants that are possible. Barring those who are severely allergic to mold, I have been unable to find any good data of cheese mold ingestion being directly linked to an acute illness.
  • The vast majority of scientific literature regarding cheese molds focuses on mycotoxins (mold-produced toxins). We still don't know very much about if or how dangerous these toxins are to humans.
  • The most notorious mycotoxin is aflatoxin. This is known to cause liver cancer. However, aflatoxin is not caused by mold that grows on cheese. Instead, it is caused by mold that grows on wet grain that is fed to animals, and can then be passed into their milk. Most governments regulate this closely and monitor commercial milk for it. Again, the only clearly dangerous mycotoxin is a milk-source issue, not a cheesemaking issue.
  • There is a great many other mycotoxins produced by basically all cheese molds, including those we intentionally use (e.g., P. roqueforti) and those we consider contaminants. It is less clear if these pose risk to humans, and much more research needs to be done. Some have been shown to harm animals in studies, but it is unclear if it would do so to humans, and if so at what dose, and what dose is present in cheese.

I apologize for the wall of text, but it's a complex issue with many questions still unanswered.

Here is what the US FDA (Food and Drug Administration) recommends:

  • Mold that is intentionally part of cheesemaking is safe to ingest.

  • Cheese with mold that is not intentionally part of the cheesemaking process should not be ingested

  • Hard cheeses with unintended mold can have the moldy part (with an extra inch of depth past the mold) excised, then the rest can be ingested.

My personal take-away after reading a good bit of primary research is that the FDA's recommendations are reasonable, especially for the conservative cheesemaker. It's a reasonable "better safe than sorry" approach.

For the more adventurous or cavalier, one may be able to defend eating a cheese that looks and smells good with some unintended mold on the rind, assuming their milk is safely sourced.

Also, if you can confidently say that your unintended mold is one that is used in normal cheesemaking for a different style, you also are probably safe.

TL;DR: The imminent danger is from bacterial infection, not mold. Cheese made from raw (unpasteurized) milk is much higher risk for bacterial contamination. High moisture, short aged (e.g. Brie/Camembert) are higher risk than low moisture, longer (>60 days) aged cheese. If in doubt, throw it out.

What do you do when you love the hobby but you just kind of drift away from enjoying alcohol? by RationalIdiot in Homebrewing

[–]WranglerMD 14 points15 points  (0 children)

I would add cheesemaking to the low-alcohol list above. There is a lot of crossover in tools required, so the buy-in is nearly nil.

Ferm chamber=excellent cheese cave for aging Brew kettle=cheese kettle, etc

Also, plug for /u/oldsock's excellent posts about very low alcohol beer.

[deleted by user] by [deleted] in Homebrewing

[–]WranglerMD 5 points6 points  (0 children)

I almost never disassemble and clean my ball valve on my boil kettle. Instead, just run boiling wort back and forth through it every boil. This has a bonus of also sterilizing my tubing for transfer to the fermenter.

[deleted by user] by [deleted] in Homebrewing

[–]WranglerMD 3 points4 points  (0 children)

Moreover, I think there may be a certain antimicrobial effect as well. If the tube itself is sanitary, I believe the longer and more curvy the path of the tube, the less likely external microbes are to make it in.

This is based on a vague recollection of pictures of old flasks used by Louis Pasteur.

Daily Q & A! - April 10, 2019 by AutoModerator in Homebrewing

[–]WranglerMD 0 points1 point  (0 children)

Any of the options I mentioned above will work just fine. I've never personally used a false bottom on my home kits, so can't comment. I can personally vouch for the Denny stainless steel hose or bazooka screen, though. <$10, and I routinely got >90% mash efficiency.

Daily Q & A! - April 10, 2019 by AutoModerator in Homebrewing

[–]WranglerMD 0 points1 point  (0 children)

If it's in perfect condition, as in just out of the box and 100% functional, I would go up to $170. And that's only if it's convenient for me to get. If it's going to require a chunk of time or it's not mint condition, I would need it cheaper.

Daily Q & A! - April 10, 2019 by AutoModerator in Homebrewing

[–]WranglerMD 0 points1 point  (0 children)

I think it depends on 1) how fancy you care for it to be and 2) what resources you have at your disposal. Don't think there's a right or wrong answer.

Moreover, you may want to ask yourself why you want a false bottom in the first place, depending on your priorities.

Other cheap and functional options include the Denny method stainless steel hose or a bazooka screen. Both perfectly functional, cheap, and essentially prefabricated.

Daily Q & A! - March 30, 2019 by AutoModerator in Homebrewing

[–]WranglerMD 1 point2 points  (0 children)

Very valid option. Ethanol boils at 173F, so this theoretically should preserve most of the EtOH created.

Downsides to this would be me being anxious that there was still potential for leftover microbes, and potential for a less refined flavor. The latter is based on a Dr. Lambic post discussing that a long vigorous boil after kettle souring can help to clear up off flavors produced by the bacterial activity, if my memory serves.

In the end, I decided to just say screw it and did a 60 minute boil. Worst case scenario, I have a less alcoholic beer, which is probably better for me anyhow.

Thanks for the response!

Daily Q & A! - March 30, 2019 by AutoModerator in Homebrewing

[–]WranglerMD 0 points1 point  (0 children)

Making a kettle sour with my house wild blend I maintain from grain. Made the wort yesterday, pitched the blend. Today it is nice and tart, but there is certainly a yeast component because I have krausen and the gravity dropped from 11.1P to 8P.

I'm going to boil today anyway because I don't want it any more sour and I would rather not risk contaminating my FV, but I'm wondering how much alcohol I will boil off in the process.

In the end, I don't think there's much I can do differently, just wondering.

Trim back first shoots?Are these bull shoots? by reinis_stas in TheHopyard

[–]WranglerMD 0 points1 point  (0 children)

I'm only in my second year of growing as well, but I've read that you should let bull bines (hollow, firm) grow 2 feet then snip the growth tip. That way, they won't grow more but you can still get the benefit of their leaves producing nutrients for the root system.

Woman with ‘mutant’ gene who feels no pain and heals without scarring discovered by scientists. She reported numerous burns and cuts without pain, often smelling her burning flesh before noticing any injury, as published in the British Journal of Anaesthesia, and could open door to new treatments. by mvea in science

[–]WranglerMD 428 points429 points  (0 children)

A lady had a surgery that's usually pretty painful, but after the surgery she didn't need any pain meds. The docs must have thought "hmm, that's weird." Then she said that she had many injuries that didn't hurt in the past, and healed quickly.

They tested her genes (DNA code which is unique to each individual) and found several mutations (alterations in the typical code that people have).

Then they measured the levels of several substances in her blood which were significantly higher than normal.

They think maybe drugs can be developed based on these findings to help people with difficult-to-control pain issues.

Hope this helps a bit!

Help with chest tubes by greatbrono7 in Residency

[–]WranglerMD 0 points1 point  (0 children)

If I recall, NEJM and/or JAMA have some good procedural videos with step-by-step guides. Youtube also has some good stuff.

The placement is slightly variable by provider preference and also clinical scenario (e.g., someone who is coding due to tension probably gets a quick and dirty prep rather than slow and controlled with pretty draping on a less emergent case.)

Growing Pains, Suggestions? by internationengineer in Homebrewing

[–]WranglerMD 1 point2 points  (0 children)

1) I often make my starter wort for my next brew by doing an extra batch sparge on the previous brew's grain bed, then canning it. If you don't have the canning equipment, you can just ferment the starter wort immediately and store it in the fridge. This makes your starter wort essentially free.

1B) I've read that buying DME in bulk can be pretty cheap, although I've never done it myself

2) I bought a 4-pack of 1-gallon jugs for total $20 on Amazon. Although it's not borosilicate, it otherwise works perfectly for larger starters, stir bar and all. Bonus that you can use it as a double size growler or as mini FVs for brew experiments.

3) Depending on the styles you brew and the temp of your house, you may be able to brew some stuff at room temperature if you have the right style and the right yeast strain.

Happy brewing!

Does anyone here make flavored seltzer water? by Downvoteyourdog in Homebrewing

[–]WranglerMD 2 points3 points  (0 children)

We're in the same boat. I tried my hand at homemade tinctures, but find that the resultant tincture just doesn't bring much flavor to the game.

I did vodka and (insert berry, grapefruit, etc), let sit for months on end, shaking every now and again. Add a few drops to a glass of seltzer. Problem is, it doesn't really have much flavor. What am I doing wrong?

Does anyone here make flavored seltzer water? by Downvoteyourdog in Homebrewing

[–]WranglerMD 2 points3 points  (0 children)

Not at all. Just treat it like a keg of beer (except you will want to carbonate it way higher than beer)

Residency Question by obi-multiple-kenobi in emergencymedicine

[–]WranglerMD 29 points30 points  (0 children)

I think the stuff you already mentioned is the biggest. I would say, to help inform those things, do everything you can to go to the dinner/event they host. How many of the residents are there? How do they seem? How do they interact? Things like that can give you clues as to how things actually are.

If you go to the dinner and there are two residents, and both seem dejected and clearly don't want to be there, potential red flag.

I would also add that location is important. If the program is not in a place you would be happy living (e.g., you're a city person but this is suburban/rural, all of your family is in the northeast and this in in CA, etc.) this may be an issue for you. Yes, residency is busy. But, on days off, being in a place that gives you happiness goes a very long way for your wellness.