1:15 PM The frame of the boot, made of strong metal bars have been somehow fixed by the doctor himself in the office (i tried and it's not easy).

Yesterday i wanted to use the cushion part of the boot (it normally sticks by velcro on the two bars) just to warm up my foot and leg but i realize it is not possible because it also has a defect (the seam on the left side is longer) that creates a wrinkle that also presses on the side of the foot next to wound, creating pressure on the inflamed tissue and bruising it. As of right now, the new bruising after the last use at Walmart has not been undone completely.
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12:40 For what's worth it. (Another) 5 months of noise and misery have ended. Will i ever be able to walk on it? 

5:12 AM It wasn't until the apartment filled with smoke from outside that my pain stopped.

Pain awoke me at 3:30 AM. Both from the wound (burning) and from diarrhea, because there was a poop next to hydrant all day yesterday (in fact, 3 small pieces).

Trouble is Angela awoke too because she can feel my pain. First, she was talking in her sleep while i was hurting and cursing at the boot (in my mind) then she fully awoke.

Yesterday we both went at Walmart to get some wound supplies. As i said, could not find rolls of gauze (the good ones, 4 inches wide, made of cotton, just ordered some online). The stretching ones made of synthetic materials always tight the wound, cutting blood circulation. Towards the evening she found a cotton one forgotten in a bag.

But it could not help me much because yesterday i used the boot they gave me two weeks ago at the Wound Care Center. Mostly to keep me warm.

The tiny woman who bandaged my wound and gave me the boot could not adjust it herself because that boot is made of two metal bars full of Velcro. You are supposed to align the cushion part with the two bars and stick it to them. But it requires some force to do it. So she let me adjust it.

There was little time left from the visit so i did it in a hurry. Then they sent me to the lab where my CRP was elevated. It means inflammation. With the cushion on, you can't really see the boot is crooked. I never took a good look at until now.

I did an X-ray and was also supposed to do and MRI that was ordered after that. I walked towards the X-ray lab with my boot on.

But first, look at the boot. My foot barely fits there in the narrow area without the cushion. With the cushion it stays really tight, cutting circulation, especially after tightening in the upper side with the Velcro strips.

But after tightening of the Velcro strips it also stays in there crooked (and you do not realize it), with the ankle pressing on the left metal bar. There is a picture of my leg after i came from Walmart. The area was bruised. Later it became painful. Pain went deep inside.

5:40 Today i have another appointment there. He keeps asking for the MRI. How the MRI is going to come out after wearing that boot? I keep telling Angela how may times we have been screwed by doctors, starting with her botched radiation therapy that destroyed other organs. But there is no stopping her when it comes to taking care of me.

My wound in the maxilla that again took months to granulate and heal, while i ate with a straw, rinsed with salt water and took antibiotics for several months. My fractured jaw last year at the dentist, etc..

No i did not wear the boot much, only about three or four times. That day when they gave it to me. At least once when i went to pick the poops, last time with 4 F15s passing above. Yesterday at Walmart. But my mind is not working in real time when the apartment is intermittently flooded with smoke.

Yes i noticed that area left of the wound was bluer and swollen all the time and had a never healing infection.

Today after another week i have another appointment there. Angela went to work at 6 and she is comming back at 11 so we can go.

Just checked my blood pressure. It is elevated because i am stressed out. 160/89. But is not 214 over 108 like it was in there last time. They took it 4 times. The machine kept inflating, like three times each "attempt". It started something in the 180s/90s and then escalated. They put on the chart the biggest.

7:05 Just looked at the chart. He said a week ago he did a debridement though he told me he was going to remove just the pieces that are about to fall out. There is a picture of it (can see office cabinets in the background). When i got out they were asphalt fumes from a construction nearby. However in that day i did not wear the boot. In that day i showed him and posted an image showing visible progress of the wound in ten days without debridement.

I did not have any progress in the last 7 days. There are many things wrong in that note, including. He did not do nail debridement. There is no abnormal nail shape. He did not update my A1C since last test from 10.2 to 8.1. My blood pressure came elevated due to a broken or manipulated machine. Size of partial debridement was about 1 sqcm not 3. I was not referred to him by dr.Tomczak but by dr.Moore etc..

7:26 Yes i do have to wear a mask inside to mitigate with some of the smoke. Still dealing with the damage (bruising) and pain done yesterday by the boot.

10:50 PM They have been very active tonight upstairs. No talking, just walking, dragging things around. Angela knocked on the wall and yelled, they stopped for a couple of minutes. Cannot understand what they are doing in the bedroom to make these noises.

6:00 AM Poop apocalypse. As i said before there are at least 68 million dogs in the US or 1/4 of total number of people or roughly one dog per two houses. They poop twice daily in amounts comparable to humans.

However humans use toilets but pets don't, they rely on their symbionts to be manually serviced and there are no regulations on how a dog poop should be disposed of (how to properly knot the bags that is) and most owners simply don't know as 99% of the bags in the dumpsters are not (properly) knotted and they smell worse than those simply left on the ground, unbagged.

Yeah i know the problem seem trivial to many but after i ran into it for so many years now i can tell you, it is not. There is no general agreement on how to do it. There are videos on  how to knot a bag with poops but some promote mistakes as well.

BTW as i write here i feel some smell coming from outside. And my ginger tea went cold.

7:25 I saw a cistern like vehicle with the inscription "concrete pumping" and opened the door and it looks like they finally came to pour concrete on the newly created pathway north of the alley. Now i hear the pump pumping. Could it mean they are getting closer to finishing and at least i won't hear the excavator that was working there for the past 4 months no more?

8:10

9:07 I guess they brought in another one.

2:40 After one hell of a day with pouring concrete (must have been @5 of those) he started the black BMW and let it idle until the RPM went normal exactly when i finished pulling the bandages to do my wound dressing, like so many times before. How does he know?

5:11 The main reason i went to Walmart today was to watch the parade on the sidewalk there to buy bandages. However, the most common and important item used in wound dressing is missing there and i can't find it on Amazon either (the sterile, cotton, fluffy type).

11:44 Laying in bed, reading the news. Just took by blood pressure with an automated arm cuff Omron monitor and it came 159/83. Last Friday i went to doctor's office and they had an automated monitor that kept inflating and making me nervous and it came ofer 200/100.

BTW they did some partial debridment of the wound and ever since i started to have pains and my wound does not progress anymore.

Original 1970

3:30 Do you remember the motif in Groundhog Day? The story of my life... 1974.

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.