4:04 PM You can learn anatomy by looking at MRIs and X-rays you have done on occasions. Or you can use a 3D interactive model. Or both. I thought these things were for professionals only, but today i ran into something worth mentioning. 39 dollars a year subscription is nothing compared to the value of information in this software which includes a human body atlas that is draggable, zoomable, while adding or subtracting layers.

This way i have learnt that there is about 1 cm of teguments (yellow in the image, adipose, connective tissue, skin) on top of calcaneus and Achille's tendon.

7:45 She has been talking in the balcony on the phone most day. Outside temperature is 69 degrees, they came with an ice cream cart but there is a thick "fireplace" smoke outside.  The smelly cat was in hour balcony again.

12:32 AM After eating lots of collagen and using optifoam my wound is now closing so fast the skin is trying to grow over a piece of eschar and that hurts. I think.

2:00 PM I think i figured the reason for the porta potty. There is a tree grinding machine working within the line of sight, with much vibrating of the building, all day long with peaks when i pack my wound. Not long after the 4-5 months of excavating, earth moving and concrete pouring at the new alley project which started when the park project ended so there is a continuity of noise and vibration.

8:25 PM There is a continuous vroom here. One stopped, another one just started started. They start their didgeridoos and let them idle for 15 minutes before going anywhere. They rule this place alright, with City, Police, anything, no doubt about.

Today was Friday, they did not come to trim trees anymore which means they are done. But they did not pick their portable toilet which was brought here last Friday. Its presence and the vibration create some very interesting infections around my wound.

Upstairs they started something, a router, i don't know, now i got pretty strong microwave signal in living. Let me check here too.

12:12 AM I guess all the nurses in dr.'s office were right about wearing compression socks size E over the heel and stuff and rubbing the eschar a bit while cleaning etc.. Learned how to put them on using a slippery plastic sock i remove after. Hope it's not too late but it's been almost 3 months since i'm asking myself this question so i am already used to.

8:00 From agony to extasy. PM I have been in pain all day. The pain comes mostly from several abrasion from patches in areas with damaged skin (had no idea when i put them in there) but is bad and propagates inside muscles beneath and all the way to the knee and muscles above.

I felt like i needed a shower. The guy upstairs started his march. Smoke started outside. My pain is now mostly gone. I noticed in the past that if i walked (or moved like in a shower) more blood circulates through my body and my pain subsides. However, now there is also smoke and pumping of the floor.

I wish i could have a drink which further improves blood circulation but cannot because i just took an Augmentin and that would be too much for my stomach. Alcohol would also clear my mind a little from this smoke.

2:38 PM I think i heard earlier some noise, but right now there is no sign of construction work and the toilet is still here. Next to the poop tree (where most poops show, among roots, on the left). Now everything doesn't smell anymore like poop but like portable toilet deodorant and a bit like ammonia which altogether give me a headache and a slight shortness of breath (and much cough, like before).

I have done crazy things this weekend. After several hours at the doctor Thursday, Friday i changed the oil (or was it Saturday?) and Saturday i went to Indian Head, 4 hours driving, with a box under my left feet which also blocked the brakes once.

So i had a big flare up yesterday, due to much sitting and standing with poor blood circulation in legs and probably mutant bacteria from the antibacterial stuff in the toilet which scared me really bad. Doing better now.

Lately Amazon came up with something new. Many next day items are available only to pick at their location at Whole Foods, a couple of miles detour for Angela in her way from work. I am waiting for a critical item (it looks like i did not hit the last button in the purchase screen and had to order it again yesterday) and though it is "out for delivery" sine 11 AM, it is still no there. She is now comming home without so one of us would have to drive there later.

3:47 When it rains, it pours. Haven't heard a carpet cleaner van in a longtime. With noise level >70 ad the source, next to the dumpster. Angela bought two cucumbers for 3 dollars at Fred Meyer (owned by Kroger) for my diabetes but they are both bad.

9:00 Went to pick the item from Whole Foods. First i tried to play smart and turned and went by the potty to see if there's any construction within the line of sight. Could not see anything. I remember earlier, i told Angela i thought about, like if we go to Romania in her village, there is no sewer connected toilet. Was thinking if is doable to get one of those. Probably not on long term. Was only thinking though. Hypothetically.

Got on the 65th street. Everything in slow motion - no, i am in slow motion, everything is moving too fast, night, rain, everywhere i go these days lane margins are not visible at night and rain. A times was driving between lanes because i was afraid of other cars.

Driving like in a dream, taking seconds to process a light to realize if it's red or green. Keeping longer distance, others pushing close from behind like always lately. Missed 2 turns, turned around, found Bridgeport Rd but could not find Whole Foods which was visible on the left or right. Made some turns, got in front of it, i don't know how.

Forgot to pick the code when i left, panicked, they let me go by email address and gave me a device. Could not find the @ sign on the keyboard.

Back in the lot. Almost hit a tree. Almost hit the car on the other row when backing. Back on Boones Ferry. A deer, barely visible, crossing but i was very slow, right before Upper. or Lower. Again time needed to process traffic lights. Afraid of every car, at times i did not know on what lane i was.

Back at the door i felt the heavy smoke that surrounds the building and it is not a cable burning. I don't know what the hell it is. I feel like floating.

Should not have gone, obviously. But how to know?

Yeah it happened before. Many times.  But this time was worst. If that was possible.

5:25 AM Doing bandages for one hour now trying to remember my state of mind since yesterday evening, last things i've done, my going to bed resolution.

Yes i'm easy like a Sunday morning and i know the reason.  "Fine" (almost imperceptible) smoke inside, coming from outside. It could be cigarette smoke coming from upstairs or that is only masking the real smoke cause that one should not have psychoactive effects. Sneezing and coughing in the same time, then only sneezing.

Yes i have caused myself a big scare (i think) by using iodine povidone gel in large amounts, covered by pad and bandage. It caused some burn with discoloration of the epidermis half to one inch around the wound, making me thinking is inflammation coming from under the skin. It also burnt the most sensitive areas, those on corners where skin is coming back still showing the cuts or cracks on the 4 corners, causing pain and infection and much worry.

Pain is much increased by standing or sitting. Last night i had to wait in bed for one hour before it subsided.

The focal point moved though from lower left to left where debridement was done. Overall, it feels much better than last night when smoke was also present. (The same type of smoke was present at Walmart where a guy from security was waiting around the corner and had to avoid a collision with its SUV).

All the big scares during my drive to Walmart are now so far away like they almost did not happen.

But i was telling Angela. The big leap of progress since last week and lately could have been caused by the very inflammation around the wound caused by iodine since inflammation brings more blood in the area.

5:55 Now coughing trying to expel mucus from my lungs. It's getting better though it never stopped after the episode(s) with the breakers box. Upstairs, same routine, about 5 minutes after Angela left it started with a flushing of a toilet and could go one for half hour with much creaking of the floor and stomping.

7:00 Yes i know. It could be an old electric cable cooking and/or arching in the ground.

12:35 Last screenshot showing one week evolution. The progress was made mostly in area debrided by the doctor (middle) so i was wrong when i said he shouldn't have done it.

+

1:35 AM I was watching a movie when i remembered something. Thursday at doctor's office, she took pictures of the wound twice. First when she undid bandages and washed the wound with i think saline and dried it with a clean used piece of cloths. I remember she pressed lots of times with that cloth. Then about an hour later when i left, she came and took pictures one more time.

After several days of redness because of using triple ointment because they did not order it right (had to call the office each time, and they were no refills) the redness now subsides but there is a problem. As i have mentioned, he did a debridement, partial, without telling me first and i think he pulled some of the connective tissue under and that area never heals and as the skin continues to grow, it is always infected and infects all the area at the left of the wound as seen in pictures.

There was no redness or swallowing of the left area prior to that debridement. Here is a picture taken minutes after in the office, compared to one taken at home in the morning. I struggle with ever since (February 26).

BTW every time i undo bandages, one of the following happens. Much pumping of the floor upstairs. The black BMW. Slammed doors or hitting bumps or whatever outside. Then soon after i start having the chills even if i just took an antibiotic or sprinkled some antibiotic from a capsule on the wound.

10:35 Yesterday i changed oil and again found oil on the panel under the engine. I was complaining in the past the filter was coming loose by itself and then i quit coming loose by itself but is still leaking and then i remembered. The surface where the outer rubber seal of the filter sits upon is rough as per this picture and prevents sealing.

Don't know what else to say. Maybe this brand of cheap filters, the only ones besides OEM that has other problems) i could find at Autozone has a different, harder rubber that do not work well on that rough surface.

The result is oil gets sprayed on the panel and then on the exhaust and it stinks for the cars behind.

Considering buying Amsoil or K&N next time that BTW are not that expensive however i don't know about the rubber they use.

11:11 It's the little things (a precursor to Murphy's law?)

12:00 PM Here is an early picture (April 10, after first packs with Xeroform i guess) showing a hanging piece of dermis proving the wound was at first a blister which was probably round about one inch diameter (like the one i had on the side of the foot) but cannot explain the upper half with the "cuts" which was way above the shoe's rim.

12:56 This screenshot shows 40 days of progress. How much do i still need to see it healed? Not sooner than one month for sure if it goes at the same pace.

3:30 PM Tomorrow is Eastern Orthodox Easter. Could this be some sort of joke? From what i know there is no construction work but i may be wrong cause lately there has been always some construction work going on around here. (LPN, after combinations with two letters from KGB, lately mostly KZB second comes with PG). 

6:57 AM It was after i finished reading the news. I felt smoke smell coming from outside and opened the door. One blonde good looking woman with a dog was staring at me from 20 ft away. It smells pretty bad because of an open bag in the dumpster. I went and knotted a bag last night before i went to bed. Because the dumpster is empty i have to use my fishing pole.

7: 30 I grabbed my fishing pole, opened the door again but the smell was gone. I think the morning breeze shifted direction or something so i went back inside hoping it will be covered by another bag soon while it is at the bottom. It is not little thing to go at the dumpster with a fishing pole and fish an unknotted poop bag and knot it while several people and cars pass by.

BTW. I wanted to react the first time but was too lazy. I am sure he would not have been fined if he went to a tree, had raised one leg and sprinkled just a bit.

2:41 After gettigng Humana (Medicare Advantage) but especially since the wound episode the so call medical care for me has become a harsh battle for every prescription, appointment, test scheduling, blood pressure measurement (after a 17 miles drive through harshest, personalized traffic) etc.

The assistant who did it yesterday also made me nervous and the result is consistent high blood pressure readings every time i go in there. The blood pressure machines there are very slow and work in "steps" also adding to stress.

They were a number of vehicles in traffic yesterday that were obviously harassing me.

There is a Legacy wound care center here accros the street but due to "bureaucracy" and referral systems and stuff i have to drive 17 and back in downtown Portland during busiest hours.

There are obvious sings of mild infection at my wound for which i take antibiotics to prevent it from flaring up but doctor says there isn't and he doesn't want to prescribe me more.

The size of the wound shrinked dramatically but still don't know if i'm gonna make it because of the infection.

And the trick question, the reason i had to write this today. After going there 3 or 4 times i thought i knew the drill but the nurse (a different one) yesterday did something they never did before, washed the wound with saline before taking the picture. I was a bit overwhelmed by everything, the drive (i got lost, the GPS did not have the place in database, had to improvise), being late, having to wait even more, the blood pressure episode, etc..

While washing the wound she asked me if i ever clean "this" and she pointed at the eschar and i said no, thinking i am talking about peeling the eschar. Of  course i wash the wound with saline every time i do the bandages and that is several times a day but i never peeled the eschar. 

4:40 AM Kacem. I think he is again upstairs.

7:03 AM A big engine with little muffler driving me nuts idling for more than 15 minutes now. Tried to record it, the mics are not good for those very low frequencies. Finally left seconds after i posted this.

4:25 Slept all day. Somebody upstairs did the same too. That muffler this morning brought in wall dust and mold. Got a fungal infection around the wound that is doubled by bacterial and flares systemic every time i got outside. I think it's got something to do with the fact i can't control blood sugar anymore.

I eat very little carbs and generally very little, take metformin and insulin but still have it above 150. Two weeks before this i had it under 150 for months which lead to progress but not anymore. I take pictures of the wound every time i do the bandages, and that is 2-3-4 times a day (or every time it starts hurting). There is no progress if my BS is above 150. Also i see more progress when i eat beef bone broth.

Angela came mad hungry from where she came (work, Staples, Whole Foods, Walmart). Had some ground beef sitting in the fridge for a few days, it needed cooking so she went outside on the patio with the square electric pan while upstairs started to dry, surrounding the building with lint possibly loaded with DNA.

12:12 AM  They have been gone for almost a whole week. Religious, taking a holiday vacation? Came back shy but soon started, one or two notes lower though.

The same weird apparent lack of purpose. Smell of dust in the air. We are in bed for an hour now and can't figure what they are doing upstairs. Short walks responding to my thoughts, i'd say. No talk. Just short walks every  minute or so. Now they made me cough with dust. Knowing how to avoid the recorder app (they stop when i start it), should i let it run and then cut and save the noisy parts.

Watching TV on 3 (sound setting), holding breath.

12:33 PM Every time Angela comes from the store and calls me at the car to grab the bags from the trunk kids come from D5 and get behind our car. He was at the truck, fixing. I took a picture, they moved away, and he was missing from it. Then after i grabbed the stuff from the trunk, they left altogether.

It was stinking so i went at the dumpster, at the battle ground, an ambulance sire went off, one more car came at the daycare (D5) to get or leave kids. Found an open blue bag in the dumpster. Saw a hole under their window around the corner (F2) where smoke may come in from. Smoke at present makes me feel weird.

Every time i go out in the alley the Mexican wave starts.

She was in the balcony talking on the phone (F4) (distracting, annoying)  for several hours or for the time i was writing a post and after.

12:42 At the wound. After i once used Silvadene (as prescribed) (calmed the infection not responding to antibiotics anymore) and it worked, reducing inflammation and pain, the second time it didn't and i figured why. They brought and broke a mirror, the size of a monitor, on the redwood chips. Silver resistant bacteria bred in paint behind silver jumped on me.

More items like old kitchen pots, a ceramic heater, a dripping hot sauce bottle, etc. made the infection so bad it was not responding to anything anymore except to iodine.

Now i remembered i used (messy) povidone ointment and it worked  but i see something strange happening. In the areas with pink living tissue, other than skin, like the trenches between skin and what remained of the eschar, the ointment disappears after a few hours and the area gets infected again, though there is ointment all around those trenches...

2:52 PM

Ok i went to asses what i saw yesterday. I think i can remember when they put that round concrete thing in there. But there are also 3 holes next to basement that are through (tried with a little tree branch). I wanted to go and pour some cement at least in the first hole, but then i heard noise at that window, like someone coughing inside just as i got there.

No can't find when they dug that hole. I vaguely remember, maybe 2 years ago, a guy digging a hole there, took a picture maybe but don't know how to search for it in my blogs.