3:50 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?

9:55 Dressing the wound. A vehicle with modified exhaust came to thunder outside. It raised so much dust it made me sneeze.

11:32 There was visible damage done by yesterday's artificially psychogenic induced claudication of my feet.

The way o dress the wound these days. First i do a bit of saline (very expensive). Then i apply a thick layer of triple antibiotics ointment with petrolatum which i gently rub thoroughly and i remove with one finger passed parallel on the direction of movement. I repeat the above. This way all small debris are removed, living a thin layer of triple a.

Then i apply a layer of Mupirocin (expensive, prescription) which mixes with triple a layer. Then i sprinkle some Cephalexin dust form an open capsule (only two left). So far i got 5 antibiotics on the wound.

Then i put a 4x4 sheet of xeroform on top, and make sure it touches on the edges to prevent stuff from entering. Then i apply one sterile 4 by 4 which i tape on the edges because rolls of gauze do not stay unless i tighten them a bit and create some non zero pressure. Then i put an over the shoe plastic protector on my foot so i can walk on the wall to wall carpet.

Anything less than this leads to pain and chills and redness.

11:55 Some subconscious part of my brain has been (always is) in constant dialog with AI guided loud noises from outside including doing the wound dressing (the second time) which made me nervous so i spilled my coffee from the tiny x shaped legs table with the monitor next to bed directly on the PC.

Luckily no liquid has entered the in and out air grills placed sideways and is still working.

12:12 PM

1:30 Still experiencing claudication, tried to relax my back muscles. She came. Now filling the tub with water, big noise. Taking a bath here is next to impossible, because the heater empties and water cools before the tube is filled, and the tub is too short for someone taller than 5 ft.

8:33 PM I came to do my wound. Upstairs, BOOM BOOM BOOM BOOM. Outside, VROOM VROOM (two in the same time). I can feel the vibration with my feet on the floor. Now somebody else came upstairs, dragged a chair, the vehicles left.

12:35 PM I was writing an long email (message in my chart) and ran in trouble. Could not upload a critical picture of my wound and became frustrated. As i was trying to make the file shorter which i did, they started upstairs, after one quite morning. About a half hour later i started to have chills. Thinkin the wound probably got reinfected with invisible dust raised by the commotions.

3:45 About an hour ago i decided to dress and go outside to see what i can do. I totally ignored the cat poops and picked at least 20 dog poops. While i was finishing, the big woman of Apt.E4 came with a dog that barked viciously at me. She pulled the dog saying "leave it - leave it" and went somewhere else.

Smoke flooded the area while i was outside and now that i'm having trouble breathing. Nobody is upstairs when there's smoke at this level.

11:55 Ok i get to start it on 15 though it would go a bit into tomorrow.

Don't know how to start this or maybe when to start it. What point in my thread of thoughts i already went through several times in my mind. Ok maybe chronological is the best.

So i went outside to dispose of a bunch of poops. I don't know how many they were, probably more than 20. Several pounds as i said it would. bulky and soft.

There was one of them i haven't seen earlier across the alley, smoking, acting himself. A real Japanese hikikomori.

I picked those. Met with the big woman. Picked that fish tank with mold and algae at the bottom. Heavy, almost dropped it on the asphalt. Put them all in the bin. Walking back to the door. Then i saw the man with the garage which i don't see around so much anymore. The one who once wanted to give me a check. He was all curled up on himself working on something.

Got back inside. My legs were cold. I did the bandages and went to lay in bed in the bedroom to warm my feet and ankles. But something happened. My feet would not warm up. For hours. No, first i got shortness of breath from the smoke of which some got inside. Then my feet won't warm up. From the ankle down.

The ankles themselves were not inflamed so it would not fit my theory with "inflamed ankles that press on the arteries and slow the blood flow". Both feet felt tight and a bit painful, maybe 3 on a scale of 10.

I was laying in bed, thinking. Then i searched some stuff online and ordered. Then i was still thinking at that guy bent over himself. Then i thought that must be it. That smoke, the dog poop, the woman, the curled guy, it was all part of a scene that suggested me to... block the chi.

Yeah i know in what realm i'm getting into. Those who did not follow what i wrote so far would think ok i knew the nut's gonna crack some day.

But is true. Kept concentrating until i realized i have some muscles very tight near the spine in lumbar area maybe from bending when the woman yelled ("at her dog") "leave it". Probable pressing on some sciatic nerves that were active when i bent.

I commanded myself to release those muscles and voila. Within the next 10 minutes my feet started to pulsate with blood. A bit late. Late enough for the woman upstairs to have done a show which i recorded and when i tried to upload, she took off, probably to go next door at 4 (still upstairs) from where she kept stomping from time to time, in the rhythm of my thoughts (or better said, emotion, anxiety) like she knew (which is very scary after she does it several times in a row).

Got the chills, just did the dressing, i saw. Redness around the rim of the wound.

10:08 PM I can feel it in the air. The sweet smell of litter dust. I currently live laying in the bedroom watching the TV and the computer monitor in the same time. My wound started to hurt (burning sensation). I knew i may have included a few specks of bacteria loaded silicon dust last time i did it and forgot to turn on the 400 nm UV light.

Around noon they stomped above my head for hours. My bandage was a little bit open in the upper part. Now that area and above hurts.

I went to do it again. He/she came after me and stumped on the floor upstairs shaking the air in here all the time i did it then it stopped. This way it will never heal.

I was thinking. Many people don't realize but the Japanese hold their emperor as a living god, the supreme deity in one of their major religion, Shinto, the other being Buddhism which tolerates Shinto.

If the emperor is divine, so are his offspring. The offspring being here leading the ninja, who of their army would hesitate? An army made of misfits that did not make their way in the Japanese society and now are chosen by god to follow her in the holy war.

Could be the hikikomori the descendants of the pariah cast of Japan of whom the ninja emerged many centuries ago, now their base of recruiting?

However it's not only their emperor. The US has Wa Shinto. And not only in a shrine in Hawaii.

11:15 Finally i hit the wall and they stopped though i can still here the sporadic squeak and stomp.

11:55 I know they pretend it's our TV. The sound was on 5. Just turned it off.

10:15 AM. It is very loud, at the level of 50 dB inside, 70 outside (judging by ear and previous experiences). However nothing comes if i try to record it with the PC but i have very cheap microphones. It started when i was about to finish dressing my wound. That is after i had a breakthrough.

Last night i started the UV (black light)  LEDs which i already had installed on a wall but gave it up since i am sensitive to those too. After using those during wound dressing last night, this morning i awoke with no pain and most of the infection around the wound gone.

Very hard to concentrate to write something because of the noise.

10:50 The sound stopped about 15 minutes ago when i pulled the old phone with dBX app installed (which i know it works) and plugged it to charge it a little.

10:55 If the tissues in my leg are already damaged by poor blood circulation, would this be safe?

11:50 They are now doing the carpet at Apt.1 which has been vacated almost 2 weeks ago, with much stumping.

11:55 Ieri am făcut un sumar al problemelor cu zgomotul cauzat de construcții, una după alta în ultimul timp la apartament. E ca și cum aș locui într-un șantier permanent și azi a venit răspunsul. Se pare că președinții României nu au alte funcții decât comentarii peste comentarii.

Economia (bazată pe consum) "încetinește de 4 ani" dar e prima dată când auzim de recesiune (scăderea PIB-ului față de anul precedent). Ca și în cazul calculului deficitului, nu știm de unde s-au luat cifrele. 

12:25 Ok i looked through the window. There is a cabinet (re)builders van outside, not the carpet installer. Though i  think they were carpet cleaners earlier maybe at a different building.

12:58 My newest doctor's name is Cassandra. Root is Andros (man) and it means "over men". 

And yes, all the vibrations today brought in more s...t and some molecules passed by the bandages and got to my wound and now i got the chills. Though i strongly believe there was a chance of self healing, i don't believe it can happen in here.

BTW after a brief relapse yesterday, my BS right now is 120, one ore two hours after eating.

1:30 PM Though she had glasses, i don't think she looked like in the picture but more like...

For the visit she had three assistants. First one took off my bandages, and peeled three pieces of tape at the same time, almost separating the remaining skin from my heel, creating a crack. Second one tap my eschar allowing tiny invisible pieces of it to fall in the crack.

However he said i had a good pulse on both my legs but then had a confrontation with the doctor who contradicted him and she said she feels no pulse on my left leg though she could hear it with the doppler. "i hear it but i can't feel it" she said.

She also said i did wrong going to ER at Providence, should have come there and they would have solved it by now (by sending me to a waveform ABI).

Third, a young guy, did my bandage, using betadine (iodine bases), tightening the bandage too much. Then she sent me to a vascular surgeon and declined to make a prognosis saying she needs the result from a wave form ABI test that is scheduled to last 2 hours.

The area with big lobby and dozen of offices at Legacy Meridian was nearly deserted at that hour (3 PM Wednesday). One janitor who gave us directions. One man on a stretcher at the door featuring visible feet with long toes and the middle one freshly amputated on his left ft. One nervous Japanese guy inside with crouches who left behind an empty can of soda.

1:55 Now there is smoke in the building coming from outside. I came in the living to do my wound, she started to stump really hard above me.

2:03 Washed my hands again, looking from my gloves box, now a very loud base started outside.

2:21 Did the wound, she came to stump on me again. Then somebody else entered the apartment. A vibration is being heard outside though not as loud (maybe 10-15 dB on top of normal).

5:42 AM Four hours of sleep. Last night @9 PM i discovered 2 parallel lines of litter dust from a broken bag coming from the next entrance that probably start from a door there and are present on the stairs where the wind blows all the way to the dumpster. Could it be the cause from my stomach pain this morning. Probably the reason i keep deep coughing these days.

They done this before. One single speck of microscopic silica dust carrying bacteria is enough if it gets on my wound but my wound is doing better this morning than last night and especially yesterday morning when the lines where not there. This came after yesterday i thought only i should be glad the people upstairs don't have a dog or cat.

Picture when daylight comes.

I have speculated several times before that (former) Princess Mako at least from time to time can be seen at the balcony at Apt.4 which is upstairs and they have a dog that is rarely seen outside.

6:20 Tackling Mako. Mariko Bobrik. 36th stratagem.

10:53 Can i keep up or even put up with this? They say in quantum computing "they can store more than one bit per qubit due to superposition". Is this real or a subliminal attempt for us to accept more information in the same memory space, so we can forget (erase) the first one?

11:15 They started about a year ago to build a park just south of our building. They erected a wall and filled the area behind it where they cut the trees (and did not put them in a tree museum) with at least 100 tons of gravel and concrete. As they were about to finish, they started to build a pathway south of the complex. They are still working there right now, vibrating the whole area and all buildings. I can hear the beep and feel the vibration.

Insulation dust is comming off walls, especially after they "fixed" the siding last summer. That dust is also made of silica and settles on the carpet and is probably the reason my feet are tingling and i developed blisters last summer and my wounds never heal. That completed with litter box dust from the next apartment upstairs.

8:20 PM There has not been on single instance of me doing the bandages with no sound, vibration, stumpings. Like they knew. It promotes raising the dust from everywhere and pumping it from outside under the window, etc..

11:40 Angela went to sleep and i am sitting next to her and the moment she fell asleep they started upstairs. Like last night they started some music too. Can't type much cause i will wake her up more if i didn't but there is one thing i want to say. If there is litter dust floating in the air and on the carpet that means it is in my wound too and the fresh granulating cells can't get rid if it. The porous silica dust embeds bacteria that is released no matter how many antibiotics i take.

1:00 AM next day. That was no rain. Don't know what i heard in the window.

6:16 PM Going to the doctor's office (foot and ankle), across the street, Meridian Park, got exposed to cold, and in the office my wound has been exposed for more than an hour and today i started to get the chills big time and the wound got reinfected so i did not make any appointment for the ABI test yet.

6:25 Kyle Card

8:10 AM According to this article, i have chronic limb ischemia which i understand is treatable. None of the 5 doctors i saw in the last few years told me i have it. It does not appear as being diagnosed in any of the two of "my charts" (both from Providence and Legacy).

I remember at least the first doctor at Bridgeport clinic, Michael Jacko, gave me through feet exams a at least a couple of times. I remember i saw him after he retired at the food court at Spirit Mountain. He passed my table and said something like "are you still surviving?".

I remember Angela kept telling me to tell the doctor when i went to see him at approximately 4 months intervals (mainly to adjust my insulin dose (dr. Bedolla)) to look at my legs however though i told him, i was not really focused on it like i am right now like to ask for tests and he kept telling me i have to lower by BS. My BS really went down after the last round of antibiotics for the wound.

10:20 Ok so far i have refrained myself from posting pictures with my body parts and stuff but today i have to post one with my right foot. Because of the now almost healed X-shape wound on the right ankle that i discovered in about the same time when i did on the left.

It all looks better after i slept 4 hours last night and laid for 3 more this morning. After i stand, it usually turns a shade or two bluer which proves i have poor circulation, mainly due to numerous varicose veins.

The wound on the left foot featuring two black eschars in the middle is also X shaped and looks pretty much like the Orion constellation. Like it was initiated with a laser cut in the shape of a cross or an X in a place where i could not see.

I have pains that are dulled by neuropathy caused numbness in my feet and legs all the time. All it took is walking in casinos at Christmas and then i think on the streets here (the 3 miles loop after) and when i saw it it was too late.

The three Egypt Giza pyramids are said to represent the three stars in the belt of Orion constellation. 

12:40 PM I have reviewed the clinical notes from ER on Oct 2024. The reason i went in there that morning was very high BP (over 200/100, about to pass out several times) at home and visibly pulsating carotid artery which i saw the first time in the mirror.

They did an ultrasound exam of my carotid and they felt i needed one for the leg which had a coincidental infection from a puncture wound (i found a pushpin needle in there in July, most likely coming from my shoe) which was very slow to heal.

There is a picture there showing an almost healthy leg mostly because of the angle. The stains on my legs these days are more prominent because of the infection i developed after i washed that carpet Thursday being under the influence of smoke from outside. Same goes for my blood glucose which went up almost one hundred ever since. But the look and feel (numbness) of my legs did not change much in ten years, though the stains fluctuate.

The ultrasound on the right foot came perfect so they ruled out CLI. One thing i do not understand is how can you measure arterial flow laying when you have poor veinous circulation causing borderline CVI which manifests standing or sitting (my case). I mean, if the blood is not flowing out well through veins how can it flow in. The blue stains on the outer sides of both my feet did not change again in a long time.

8:45 PM I have been sent by the doctor i saw yesterday at Meridian Park across the street to actually do a PAD (peripheral artery disease) test. The ABI test to be more precise.

I googled and saw the test implies measuring arterial blood pressure in an arm and in a leg in about the same time and then dividing systolic pressure in ankle vs arm. Since you cannot hear with a stethoscope the blood pulsating in your leg (like you can in the arm) the artery being smaller and deeper you have to use a small portable vascular doppler device that translates blood flow into sound.

But then i remembered years ago i played with my automated BP monitor and measured my BP at ankles just to see if i cam read anything and i could. I don't remember any difference between the arm readings and the ankle readings back then and i thought that was an alternate way to measure BP.

And then i had this idea and googled again and mr. google told me that i can do the ABI test with a regular automated BP monitor (though they also have specialized machines that probably include several monitors to measure it simultaneously in all locations),

Which i performed and the readings came in the middle of normal range (though not the same as 20 years ago), with about 5% consistent difference between left and right leg, doing the test repeatedly, (left foot being bluer in color than right).

And yes i will go to the test to get the "official" or "certified" results.

6:20 PM It's been more than 5 minutes since he started the black BMW awakening Angela after about half hour (she had 4 hours last night).