Original 1970

1:25  PM Why i am reluctant to do an MRI. This case is rare but i believe some very little damage your body recovers fast is done at any test and the already impaired, hard to heal tissues may be damaged further.

3:48 Smoke, all the time. Vague. Angela came, took a bunch of Amazon boxes outside the door and then at the recyclables. Some funny dressed young guy passed. I saw the swan neck like excavator arm dancing again between the buildings across the alley. It has been more than 4 months since they started.

I wanted to make a modification at the wound dressing (by analyzing last images i realized nothing is not good either) by adding some triple oint on top of eschar and outside rims. The moment i took the bandage off, the black BMW started. One very loud awkward long minute, than the RPM went down and he left.

4:20 Trying to read the news, upstairs it started. The same strategy like all the previous occupants.

2:35 AM I got up and was trying to change bandages when an incredibly loud thing started just outside door entering the 4th minute now.

8:00 About half  hour ago i removed the bandages to look at the wound. Someone started a big engine with modified exhaust and it sounded like the tan Yukon across the alley (D9).

8:45 Was about to say i had a big breakthrough yesterday. After i realized using saline at body temperature does not create pain and need for antibiotics right after every time, much speeding the healing process, i decided not to put anything anymore on the wound as i am under the impression that anything at all, like petrolatum, triple antibiotic ointment, betadine, silverdene, sprinkled cephalexin and God forbid, honey, eats away (dissolves) the new fibrin tissue which then sticks on the sterile gauze pad.

I had no pain this morning after about 8 hours, just some sort of light, weird numbness which went away after i started moving. When i looked with my eyes the empty spaces around the remaining eschar looked pink but when i took the picture using the same LED daylight soft lamp i used so far, the granulating tissue came yellowish so i tried to take a picture under daylight.

But then just from exposing the wound too much at room temperature, the deep skin infection around it re-started instantly and  now i am scrambling to eat something so i can take another augmentin. Could it be the last?

Cold creates vasocontraction and an infection "in balance" re-starts right away. But the areas seen deep red bellow on the right corresponds to an area that appeared days after the 5 minutes doppler examination at an artery branching point nearby, with subsequent skin damage at the surface (one square centimeter  pink skin on the right).

9:19 After not hearing her for a while, the crazy ninja woman from Apt.4 came on the balcony and started talking (probably) gibberish in Spanish (real fast, no breaks to listen for an answer) on the phone. It sounds like rain flowing inside a gutter.

I think they started her because i am so mad with the woman at DS9 with the tan SUV that started again to act up these days. Only when i dress the wound. One day i was at the dumpster, knotting bags, and she passed, looked straight at me and making the cross sign. Just another cover or double down.

10:55 She is still talking on the phone as i wanted to add some links on a couple of phrases and can't hear myself thinking.

1:45 PM Angela came from the stores. I lost something, frantically searching in the trunk. Two guys passing at my butt, commenting angrily.

5:55 Editing my thoughts while watching the news. Stumping really hard upstairs that is.

8:57 Can't remember what time i went outside. Could have been between 6 and 6:30. Ok. Got two pictures with poops done with the phone.

It was a thick smoke and  60 degrees. However the ground was very cold and those open heel shoes have a very think sole and got cooled, especially at the calculus bone and now i feel it like an active sore. Probably would not have done it if it wasn't for the smoke. Put a patch above ankle with one Augmentin, one Amoxicilin and lots of water under a waterproof pad.

12:30 I am half over the 6th since my last wound dressing and there is no pain and very little chills (like if i move a lot) and i am temped to wait more.

1:25 Ok i started to feel a bit of chills, came in the living to do the wound, they started a big engine outside, There have been very few instances they had not. Either that, stumping upstairs, slamming doors, both. Now they started another one.

7:53 AM Not much of february left. Here comes March, with spring starting on 21.

Here is a wound with missing skin so no suture was possible, at i assume a normal (non-diabetic) person. 5 weeks to heal, mostly because of poor management with constant infection.

7:06 AM I awoke at 4 AM with pain. What it hurts is not the wound itself but skin near it on upper area where there is a cut that has not healed. It hurts when i touch the area. I also exposed it to cold last night after i went briefly outside to dispose of a poop near the hydrant. After one hour, i put some triple oint on the wound and sprinkled a bit of a... from a capsule on the painful area outside the wound and the pain is now gone.

While i was at the wound care station (the whole living floor is covered with boxes and other items of wound car supplies) i also took my blood sugar. Last evening i ate like a pig and my BG was 200. I was expecting something between 150 and 200 but i was surprised when i saw... 98. Because i did 30 units last night after BG being so high.

Visually the wound looks better, i think it shrank in 24 hours by @ 1 mm across.

So i did not eat right away and my BG must have dropped even more and i am not used to such "low" levels and i became light headed (still am) and then i ate in a hurry, first half pear for some sugar. The guy upstairs started the morning stumps and somehow my heart synced with those and had some palpitations. Then i realized i was breathing again hard through a congested nose etc..

I used a decongestant and i am back in bed, but the smoke annoys me.

10:10 Slept two more hours. Awoke about half hour ago, with nausea. I think there should me more outside. As for the tree, can imagine, have not been there in ten days or so.

11:02 So i went. I put on three diabetics socks on my left foot on top of the two (big and small) sterile pads, figuring the bandage and compression sock and the big boot they gave me.

First i had to wait for the mailman to finish filling the boxes. Then, i forgot to look at the sign.

There was again one near hydrant, responsible with most of the nausea. Not far from where i found the one last night. While i was picking, Two F15s passed, the first very quiet, sounding like a normal jet. Only at the second one i realized, cause the normal jets don't fly so close to each other.

Then i went at the poop tree. I thought i had 6 bags with me, i had only 5 so i could not pick them all. Most come from the same dog.

Two more F15s passed, last one very low, invisible in the low clouds, with full afterburners on.

When i came back the extremely arrogant looking woman from E4, like last time, like most times, came with her dog. I went in the back to look at the signs not knowing i forgot to check them in the first place, she popped. Went back at the main door, she popped on the other side of the building. It felt like playing hide and seek with her.

When i got back inside i was hit by the smell of smoke, especially in the bedroom.

A very loud big muffle-less engine now doubling the sound of those planes. Now it stopped.

8:21 AM 25
9:50

8:45 AM Smoke coming from outside. Used my... for the first time to take a shower. It works, unlike the bags with rubber band i tried before.

9:08 Loud, the "interrupted type" sound of a big engine with no muffler annoys me for more than 5 minutes now. It sounds like it moves around. Must be some 100dB at the source.

9:13 Ten minutes now. It moved farther now.

9:55 Cred că atitudinea de looser am luat-o de la Eminescu pe care am început să-l citesc prima dată la Iași, pe la 15 ani, ale cărui poezii de o formă perfectă le consideram egale cu Biblia, dacă nu mai sus. "Tu pe-alături te strecoară".

1:40 PM Every time i do the wound with the new ointment (Silver Sulfadiazine) i get the chills. The doctor's office called Walmart two days ago and that would be 48 hours and Angela went to pick it today and they said they had to order it from their warehouse and it will be Tuesday. That makes 4 days delay.

I signed into Walgreens account and tried to transfer the prescription online and the estimated pick-up time is tomorrow. That is if they can successfully transfer it. I have been on the phone waiting to speak to a pharmacist while being second in line for 15 minutes.

Trouble is get the chills every time after i do the wound for longer and longer and the jar they gave us at Emanuel Legacy does not have a manufacturer name, expiration date or any date on it. It was filled from a bigger jar and it has a label that says SILVADENE.

I think i will try to call the clinic to ask them to send a new prescription at Walgreens.

1:55 Ok they don't answer calls on Sundays. I left a message.        

3:10 PM. Angela was on the phone with Walmart for 30 minutes, mostly waiting. They just told her "We're transferring it. We're working on it right now" and they hung up.

I told  her to try and transfer it to a different Walmart or maybe we should just call a different Walmart to see if they have it in stock cause i believe the prescription can be picked at any Walmart but the woman on the phone just hung up.

3:20 She just called again and they said they transferred the prescription to Walgreens. But they are next to impossible to catch on the phone.

3:40 Angela left for Walgreens. Again.

6:33 Where she waited for more than half hour until i called Walmart in Hillsboro. They said they had it but did not ask about size. She said (heavy Asian accent) she would tranferr the prescription over there and then she would call me back. From what i know, there is no need to transfer a prescription from one Walmart store to another.

One thing i know by now. When a guy from Walmart Pharmacy says they will call you back, they never will. So i called again. This time an American women said something like the other was on the phone. Then she came and talked to me and she said the prescription at Walmart in Tigard has been moved to Walgreens where Angela was. I called Angela, they could not confirm. So Angela came home.

I called Walmart in Tigard now. The guy said he faxed the prescription to Walgreens in Lake Oswego. This time i got mad, got my shoes on, kept fighting with Angela (the cognitive smoke flooding the building and then Walgreens in Lake Oswego).

There i waited in the parking lot for more than half hour, got out of the car, went to find Angela inside. She was just coming out, saying they don't have it in the right size, we have to go to Walgreens on Capitol, 4.8 miles away. When i looked, i saw my bandage was undone and the wound exposed directly to rain.

I vaguely knew where it was, but Angela put it on google maps (our GPS sometimes can not find the addresses whatever) and started and while driving i remembered the way (kind of) and then google maps went to sleep. Finally found it, waited again about 20-30 minutes while there was a mini parade (like at the other Walgreens) in the parking lot and then she came out of the store with a bag in her hands. We got it.

A 6 hours saga involving 4 pharmacies, more than ten phone calls (including with Angela), 4 trips and much rage, all under the heavy influence of the unidentified smoke. All reminding of the mazes of Kafka.

Then i washed my hands, the skin around the wound with alcohol, the wound with saline, put some stuff from the sealed 400 gr jar, did not get more hot flashes (though i already some from the road, maybe from cellular or wi-fi signal and/or cold).

6:53 I was relaxing after writing the above paragraphs when a heavy person started an exaggerated walk upstairs. Stump stump stump stump back and forth in the bedroom or right on top of me.

I forgot to take the picture when i did the bandages but i think i had a setback. Like every time i went for a dr. visit or exam and today fighting half day for my prescription ointment.

Here they go again upstairs.

11:40 It has been a couple of hours since someone is walking relentlessly upstairs in the bedroom with much creaking of the floor.

3:50 PM Question. What real person of every age and gender like all those living previously and currently above would stay home all weekend and all weekends to  continuously creak the floor, drop heavy object or stump?

3:22 PM Today i drove on I5 at a peak traffic hour all the way to Emanuel Legacy close to downtown Portland. Would not have made it so easily without Google Maps.

I have been examined by a wound care doctor and he prescribed a silver based ointment. He confirmed the rims of the wound are made of "healthy newly granulated tissue" which is the beginning of healing. I would say the wound is about 1 mm smaller than it was about a week ago when i stopped using the Xeroform and applied ointment only on the eschar.

So far my main criteria when changing bandage was discomfort after a number of hours, probably due to infection re-starting after the topical triple ointment lost its concentration due to absorption of antibiotics thru skin. I believe the Augmentin that i applied to healthy skin next to wound were being absorbed as well and contributed with keeping the infection away since upon removal they were not having that pungent antibiotics smell anymore.

Silver sulfadiazine does not loose that antibiotic property after a number of hours. Until now which i 6 hours away i did not feel the need to change it.

I remember i asked in the ER a silver based ointment but she said she prefer the bismuth (another metal) based one, the Xeroform which id in the form of pads. Problem with that is it keeps the rims of the wound too moist and they start macerating (getting soaked with moisture, turning white) which prevented healing. The silver sulfa is also being applied only in the center in the wound though she applied a lot and it may had went over the rims.

When Angela asked how much it should be applied the nurse said "like buttering a bread" but to me it looked more like "frosting a cake".

They were no "cognitive barriers" in understanding the procedure except i did not understand why she used such an amount. Maybe i should take the bandages off to look for maceration.

5:28 Ok, i looked, the wound is doing well, the rims look white now and there is some maceration at least in one corner. I applied a smaller amount (barely covering the hole in the skin). Did have some chills and a mild irritation after. Doctor just called and he said i should do an MRI (which i asked for this morning, he initially said only in case of signs of infection but then he asked me if i got the blood drown cause he does not see the results yet).

That and the chills prompted me to take an Augmentin.

A bit earlier some kids knocked at the door.  Angela went after them to see where they were going and it looked like outside the complex, through the new "park". It happened the same two days ago or the day before we had a flat.

8:40 One gram of ointment contains 50 mg of bacitracin (an antibiotic). You can spread it lets say on 2 square inches. For triple antibiotic (brand name Neosporin) one gram contains @100 mg antibiotics so it is not difficult to achieve systemic therapeutic concentration or greater by rubbing 5 grams of ointment on several square inches of skin.

However i use Amoxicillin or Augmentin 500 mg or 1000 mg dissolved in water on two square inches which gives me in a few hours a concentration much greater than if i take them orally because this type of absorption bypasses, like an IV, first pass liver absorption and metabolism which is about 50% so it has much greater bioavailability. 

9:25 They gave me a bottle at doctor's office. But for some reason, after i used it i felt the opposite of what i felt at the office. Chills, burning sensation, pain that was spreading to the bones so i took Augmentin and put a patch with two Amoxicillin.

It is true, in here we have a high level of contamination with all kinda stuff. There was big sack full of old garbage, broken, near the bin. When i got home there was a dog poop near the hydrant near our door. Augmentin got washed out of my system. Silver sulfadiazine goes only in the eschar, but the skin around it is also infected and that area has the poorest circulation in my whole body.

And somehow my phone got out of airplane mode and wi-fi was turned on instead. Now everything hurts also because of that and is hard to tell. 

Then i wanted to go at Walmart to pick the jar they prescribed for me. But at Walmart should better pick whatever you don't need right away cause you never know.

11:48 No luck with test results for A1C either.

11:55 I could not not look at the wound again. Especially since it's been hurting all evening. Wound is doing fine, granulating, skin growing on the right side, but there is an infection on the left, where circulation is poorest. The reason i get chills and pains spreading and i have to take antibiotics, both orally and in patches.

That infection is on and off ever since. Today's doctor said i had triphasic wave at 3 arteries and biphasic (poorer) at the left side of the left foot which is consistent with its color or where skin is not growing. Unlike they found at Meridian Park imaging, that says i have normal (triphasic) on all sides. Just uploaded a pic on New shared but for some reason i cannot understand, they are not in order.

7:17 AM In the last 2 hours since i awoke after 3-4 hours of sleep there have been 4 very loud vehicles unnecessary idling for minutes and there is some sort of smoke or mold inside which possibly changes my mood.

I discovered that if i use petrolatum on the eschar alone, some limited debridement occurs (brown stuff comes on the sterile pad when i remove it), exposing the subcutaneous or maybe connective tissue under, with no granulation. Some very limited granulation happens at the rims of the skin.

Also awoke with pain, mostly burning deep inside tissues which at beginning i thought was because increasing antibiotics (augment) both in patches and oral, after again dull pain propagating upwards on the leg last night.

That is because yesterday i did not sprinkle the wound including eschar with Cephalexin which right now i have finished and did not have enough active (wet) patches and i took an Augmentin oral before i fell asleep which together with the patches, promoted heat in painful areas and then allowed me to fall asleep.

The eschar became painful to touch (with sterile glove, when spreading petrolatum from triple ointment) and have some shooting pains in it from time to time, especially in the lower part. Can still walk but i felt a bit of pain, not necessarily from the bone or tendon.

By the way i felt last night i thought i was going to the ER this morning, now not so sure anymore, the only pain i feel right now is the left tendon behind the knee and my temperature taken orally after keeping my mouth shut for a long time is 36.5 C (last night was 36.8 at some point) which i think it translates to 37 rectal. Now the pain moved to the front left part of calf.

Tomorrow i have an appointment with a wound care doctor,  hopefully he is going to give me some more Cephalexin.

At this point i am not very hopeful as i see very little granulation going on but was looking to other pictures on the web and thinking, what kind of debridement can you do on connective tissue so close to the Achile's tendon and calcaneus bone or if they could do a graft on a such inflamed tissue. Or maybe there is some penetration of the connective tissue.

9:45 Mda știu de ce s-au fotografiat așa... Apropo președinții ăștia când se întâlnesc, tot ce fac e să-și mărească colecția de fotografii? 

3:42 I went  outside to check the car for a minute. Oil level was low but at this car it takes 5-10 minutes to settle so the second time it was in range. But they were ready and came with a little 2-3 old outside from Apt.D5 (day care) so i got back (out of their way) before finishing checking all tires.

By the way they show i should measure threads (the deepest groove), i got about 5 mm, not much change since last summer or 14k ago.

Between first and second measurement i checked for oil leaks at the gasket and at the filter. No leaks and they oil went up the gauge another 2 mm and probably will more.

I have 50k since i put these tires in february 24 and it looks like i can easily do the 65k the tires are advertised for. Too bad cause i found on Amazon some nice ones at 108 a piece for 85k miles (will this car last that long).

The one they put on yesterday at Les Schwab is not distinguishable from the other 3.

From being outside for about 5 minutes, my wound now hurts.

6:52 They done this to me so many times... Angela fell asleep and in that second they made a noise upstairs. 5 minutes later, the same.

10:15 About an hour ago i felt the smell of animal dung. I went outside risking aggravating my wound and found a cat one in the known place under the stairwell. But some smell still lingers and it got to me and my digestive system. I think they are trying to sabotage my doctor's appointment tomorrow where there is a chance i might be prescribed hyperbaric oxygen.

3:17 PM Angela came home with a flat. She's going to Les Schwab on Boones Ferry in Lake Oswego.

That is because we don't have time to find a better place, she needs the car tomorrow, i cannot drive her at work with my truck. I would normally take the wheel from the car and take it there to ease and speed things but today i can't. I got again pain around the wound and some systemic spread of the infection that never heals.

I remember the day of the accident in 2021 i went there with a flat that was "unfixable". Again on the same wheel where i had 4 or 5 before since the Nissan. Left rear. There was this guy who told me the tire has been damaged during the installation and cannot be fixed. Weeks before that i posted again about big irregularities in Romania's budget.

The day when i first posted this they came upstairs and did the bathroom floor, hammering and raising hell half day. Today, this.

A lot of my problems happened when one of Romania's leaders came here. I remember my oral surgery back in 2006, an episode similar to today's one. That is to take credit for it.

4:09 Last night i could not sleep because of the smell of mold. I used some chlorine gel to clean all known spots and at some time (i think it was between 1 and 2 AM) i opened the main door for about a minute, to clean under it.

4:25 History repeating self. They said the tire is not fixable because is too worn because of bad alignment. I don't believe there is any alignment do be done on rears on that car. I checked the tires last summer when i tried to rotate them and they all had about 5 mm threads depth. I bought those in 2024 and they were rated 70k.

I think they had at least 20k left. She asked them to search for a used tire to put on until i can order new ones. Or to put on the spare. She's got 3 miles to drive to work and 2 miles home from where she is now.

4:45 They installed a used tire, "free of charge". Now looking to buy 4 tires on Amazon and possibly sensors cause these have caused problems last summer (8 years old batteries).

5:00 Angela is here. They put in the same brand and model of tire.

4:30 PM If in 96 this technique was called Gumping, can you guess how is called now after 30 years of doubling technological capacity and speed every 2 years and all the advancements in software and AI?