NWS has issued a HEAT ADVISORY for our area!
HEAT ADVISORY REMAINS IN EFFECT FROM NOON TUESDAY TO 11 PM PDT WEDNESDAY
* WHAT...Afternoon high temperatures of 95 to 100 degrees and morning low temperatures of 60 to 65 degrees expected.
* WHERE...Portions of northwest and west central Oregon and southwest Washington.
* WHEN...From noon Tuesday to 11 PM PDT Wednesday.
* IMPACTS...Hot temperatures may cause heat illnesses.
* ADDITIONAL DETAILS...Wildfire smoke is beginning to increase west of the Cascades over far northwest Oregon and southwest Washington, which may limit high temperatures by approximately 1-3 degrees.
However, temperatures will still be hot enough to bring an increased risk of heat-related illnesses even if temperatures are dampened a few degrees from smoke.
Extreme heat advisory for
URGENT - WEATHER MESSAGE
National Weather Service Portland OR
916 PM PDT Tue Jun 9 2026
ORZ109-111-112-120-WAZ206-207-209-101845-
/O.CON.KPQR.XH.A.0001.260614T1800Z-260616T0600Z/
Tualatin Valley-Inner Portland Metro-East Portland Metro-West
Columbia River Gorge I-84 Corridor-Inner Vancouver Metro-East
Clark County Lowlands-West Columbia River Gorge SR 14 Corridor-Including the cities of Rooster Rock, Rockcreek, Troutdale, Portland, North Bonneville, Sellwood, Vancouver, Stevenson, Forest Grove, Eagle Creek, Multnomah Falls, Hillsboro, Fairview, Washougal, Salmon Creek, Gresham, Tigard, Oregon City, Bonneville, Lake Oswego, Cape Horn, Camas,
916 PM PDT Tue Jun 9 2026
...EXTREME HEAT WATCH REMAINS IN EFFECT FROM SUNDAY MORNING THROUGH MONDAY EVENING...
* WHAT...Dangerously hot conditions with temperatures between 95 an 100 degrees possible.
* WHERE...Portland Metro Lowlands, Western Columbia River Gorge, Inner Vancouver Metro, and East Clark County Lowlands.
* WHEN...From Sunday morning through Monday evening.
* IMPACTS...Heat related illnesses increase significantly during
extreme heat events.
* ADDITIONAL DETAILS...Low temperatures between 63 to 66 degrees are
possible for Monday morning and Tuesday morning. However, there is
a 10-20% chance that low temperatures remain above 70 degrees,
which would lead to limited overnight relief.
PRECAUTIONARY/PREPAREDNESS ACTIONS...
Drink plenty of fluids, stay in a cool place during the heat of the
day, stay out of the sunshine, and check up on relatives and
neighbors. For those without air conditioning, use fans to keep air moving. Keeps windows closed during the day and open at night, unless air quality is degraded due to wildfire smoke.
Do not leave young children and pets in unattended vehicles. Car interiors will reach lethal temperatures in a matter of minutes.
Monitor the latest forecasts and warnings for updates.
If you do not have air conditioning in your home or lack shelter,
you can call 211 for assistance locating appropriate shelter from the heat.
Ertapenem for Recalcitrant Debilitating HS Stage 3
TL;DR: I have been bedridden for months due to HS. Trying treatment I found out about in a dermatologist podcast.
Hello everyone. I wanted to post about a journey of hope I'm going on to get some quality of life. I've been on disability now for over 6 months and now have been deemed permanently disabled. I've lost my career of over 30 years because I just can't do the work any more.
I have tried every biologic I have access to. Humira, remecade, stellara, cosentyx, bimzelx. The only thing that works now to give me a brief break is Prednisone which has bad side effects.
I am constantly doing my own research on HS combing through page after page of documents looking for hope. A couple weeks ago there was a podcast for dermatologists. The entire session was about HS. I strongly recommend watching it (will link below). Part of the podcast they talked about trying to understand why, if HS is not an infection, why does the strong antibiotic ertapenem stop a flare and provide weeks of pain and disease reduction. It comes back after you stop, but it gets people like me out of bed for a while without the major complications of long term Prednisone.
But, because there is always a but right? It's definitely not without its downsides. It's only used for the most extreme cases. You have to engage with an infectious disease doc that is willing to work with your HS dermatologist. You have to have tried everything else available to you.
You also have to have a PICC line placed. Then every 24 hours you need to follow careful clean procedures to connect the IV bag to your PICC and let it drip in. Some people might not be willing to do that. There is a small risk of complications from the PICC itself. But if you follow instructions you can usually have a good outcome. There is also a risk of developing a very resistant super bug that could take your life.
So as of yesterday I am on this treatment. My PICC was placed Wednesday. I had my first infusion yesterday and my second today. Ya it's annoying having this bandage on your arm and a dangling port but I will deal with it for some quality of life.
You can only be on the antibiotic for up to 16 weeks before you have to take a break. Some people have symptoms that come back right away. Some get relief for some time after. If you have Recalcitrant Debilitating HS do some research and see if you can get this treatment for some time off.
Let me know if you have questions.
NT
Podcast:
https://scholarsinmedicine.com/podcasts?series=1&episode=56
Other info: