7:20 AM I  have no choice but to explain what happened yesterday. We decided to go out for the first time in months after i saw the wound is stable and doing well on optifoam. As i said i realized when i got outside we have been drowned in smoke with no usual weekly relief. It took me hours to clear my mind a little.

Just before i left i ate some cucumbers sitting in the fridge for at least a week, soft at core (as side for other stuff) which started me a bad episode.

When i got after the intersection of 99 and TS hwy had to stop at a gas station but saw the Autozone was closer to where i parked and went in there where i spent about 15 minutes to clear myself up in two episodes. I don't think that restroom was for customer as i had to pass the counters and some racks but they let me in as i was groggy.

In the parking lot next to US Bank ATM in Tualatin there was in front of me this car with LPN QUT. First i thought is said OUT. The one next to me had the same three groups of later and the one next to it QUD. Everything was in slow motion so i did not have time to react. Most of the cars on the road after that had the three letters starting with Q.

7:43 I could never understand how videos or tiktoks that are more "interesting" than others get more likes. I mean, how they know before they click? Yeah, shares, maybe.

11:38 PM Angela fell asleep. He went down the stairs to the car, like last night and now he started to creak the floor and awoke her. Could it be someone else with more energy climbed instead.

I did the insulin shot and though i waited like 5 seconds before i pulled the needle, some (about 10-20% of the whole dose) squished on my clothes and probably on the skin and inside the skin when i pulled it and now i got a reaction (shortness of breath). 4 mm  needles are very short and have to apply some pressure when i do it to go deeper in the fat layer under skin. Bigger needles create worrisome air bubbles in the pen.

We went tonight to Chinook Winds after a long time (could have been 2 months). When we left i felt smoke smell outside, very similar to cigarette but it took hours to clear my mind. Some of the effects are: we both yell at each other, make bad decisions in every day small things and forgetting one minute what we done earlier or where we put things. In my case, extreme laziness (close to a stupor).,

In there, constant pressure from other people, including a (pretty good) Alexa Crush meme at Road's end, many other people inside. I had the feeling i was not left alone not for one single minute. All for cameras of course.

1:52 AM Can your AI write this?

Generalization, a fundamental cognitive process in western philosophy on which concepts are built, is rejected by Buddhism.

But to them it may be more than a simple form of attachment to patterns, as it could be seen as based on greed or the need to "hoard" reality in a finite and relatively small number of repeatable and predictable patterns, breaking the principle of aparigraha.

(Just to give you a small "heads up" on how different they are from us). However, by rejecting and ignoring our philosophy, they are falling too often in sadly predictable behavioral patterns, that are behind the shore of our perception and ignored by us. 

Of course the coronation of pattern thinking in west being stereotypes (strong types, from Greek stereo - strong, with super heroes on top) with a high degree of refining and abstraction so common in American culture especially in music and movies.

Yes in Romania before 89 we all attended philosophy classes both in HS and college with of course the need to explain Marxism. I hated those because like physics it was mostly the history of philosophy. Mostly the need to memorize things vs the thrill of long threads of easy, logical reasoning (yes, via patterns).

8:00 Awoke with pain. Tended to my wound. A combination of triamcinolone and triple ointment antibiotics last night reduced the redness and swelling on the skin next to it. Wound is visibly shrinking. Some smoke made its way in here.

9:30 Can noise be violence? Several instances so far with loud exhausts, severely disputing my thoughts processes, setting me powerless and mad. Last while i was reading this "news".

10:40

12:20 PM Another one. Ran out 2 or 3 days ago. Ordered for today but is not coming on time.

Last doctor's strategy for my wound was triamcinolone outside wound and Silvadene inside. However Silverdene eats away my granulate so i tried Triple ointment inside and a mixture of triamcinolone with triple outside.

That did not work either and got swelling and pain outside so i sprinkled cephalexin on it, now waiting for the infection to clear. So far the biggest granulation i saw was with optifoam and cephalexin sprinkled on dry wound (Opti foam keeps moisture for granulation), ordered some as shown above, is not coming today.

I think i could be days away from a conclusion however i am missing the right strategy and supplies and right now i'm in trouble (infection again).

Got better results with betadine than Silverdene.

5:25 I have been doing searches in imdb for  Hungarian actors for years (at least 8 to be more precise); however google does not allow me to do it anymore. Only ten at a time and then after 100 i get this. Then i have to wait and then it lets me less and less. Now i get the puzzle after 20.

10:45 Yesterday i got in big trouble with the wound. After cleaning inside the apartment for many hours and the inspection, i went outisde to deal with the poops. Smoke coming from outside influenced my decision and what followed after. That is i feel alseep without tending to the wound.

I woke up in a couple of hours with biggest pains i had since this episode started. I put several patches and took several antibiotics pills and got better just in time for today's doctor's visit.

I was surprised to hear him say my wound stayed the same in the last 2 weeks since last visit. Here is a screenshots with the two pictures showing differences in 15 days.

However he identified what he said was dermatitis (next to wound from where all the chills and pains came from) and gave me an anti-allergic ointment for that area only which worked (a little).

I know i started to have all body allergies (itching) after i used Opti foam which BTW made the biggest progress.

I did not put any extra patches and took only two pills today however every time after i dress the wound i get the chills so i put a patch and think about taking one more pill before i got bed.

11:00 PM As the noise from upstairs subsided, the apartment filled with smoke from outside.I believe it got to my head already and here's the proof (what just came to mind, the demons i have to deal with). "Cu viteză americană și cu tactică germană".

3:05 PM I think it's related to me reading the news, they started a very loud base upstairs, Angela was trying to get some more sleep (she got only 3 hours last night). I picked some ideas from the news but got so mad i forgot what i wanted to write.

5:22 I freshly tended to my wound. Amazing how all pain goes away when i apply some antibiotic on it (best), sprinkled some and too some orally. Upstairs a rare instance of doing laundry. I was thinking.

When these guys spread across Australia some 4000 BV (Pama Nyungan culture of which some became noongars and the Hungarians of Attila (with their unconventional war tactics) and the mongols and ninja etc.) they did so because they have learnt how to manipulate the tiny elements.

Do yo remember how the movie Mars Attacks ends? Got that one pushed a few days ago on youtube, not by chance. An illustration of what's happening to me. They get by a lot by tickling the humor in masses.

So they did today. Knowing i took apart my closed circuit drier that was full of one year worth of lint (on some circuits). Though i removed most of it in the tub with the shower head, some stayed in there.

So they brought a bunch of old clothes next to the battleground which explains why that AC i use in the drier stinks now so bad.

Of which i didn't know but when i got out to check for poops at least next to the entrance and i felt the smell from there so i decided it was time to remove all of them and i saw.

One can of beer (just bought a box from Walmart) etc.. I used 9 bags for dog and cat poop. And guess what. I saw a few drops of rain. I think i will take that AC and the flexible pipes outside no matter what they will think of it.

Yes they do manipulate tiny things. Whatever i eat at home one day i found on the landscape, exposed to soil bacteria. I believe they call it spirituality or witchcraft but i would call it handling unclean things. 

Just when i was thinking we have to thank the Brits for opening the Pandora's box, i realized it was not their fault for Attila and all the Mongols comming in Europe. However the Brits and French did participate in parting of the Ottoman Empire of which some fell under some weird influence and went "radical" and anti-western and now are under the big dilemma of the day.

8:10 AM Completely silent upstairs now but when i went in the bathroom @6:30 a Niagara Falls sound (water flowing a few seconds through the faucet in the empty tub, "to warm the pipe") and then more silent shower combined with a chocking smoke coming from outside triggered a whole anxiety episode.

When that type of smoke or others are present, there is never noise upstairs.

I don't usually hear that sound in the morning and generally lately. It caught me by complete surprise. 
But there was no surprise to me they knew when i went at the bathroom as they know all the time where i am and what i am doing, following me many times throughout the apartment with synched noises.

Could have been retaliation because i started earlier the washer a few seconds and then shut it down thinking it was too noisy too early. But it was during the time of noisy stumps in the morning though today it was silent though someone still left shortly after like usual.

I am now using a mask inside, trying to catch my breath. It feels like i'm breathing through my brain, and my lungs are never filled enough.
 
Lately they put loud TV if our TV sound setting is above 3 (out of 50) after 10 PM. It is true, it can be heard upstairs even at this low volume because these apartments are not sound proof. (Though they never talk to each other, in any language).

6:57 Tricks tricks tricks. There was a big diesel engine in  the parking lot and the kitchen window was about 4 inches open from doing laundry. I was in the kitchen area and peeked through the blinds to see what makes that noise and saw right in front of me a woman climbing the stairs also with a grocery bag. A novelty. Didn't have time to see her face, just instinctively backed up.

Yesterday we both went to Whole Foods to pick a free same day delivery Amazon wound care item (which i haven't even used, i changed my mind) and at the entrance of the complex (time was 3:30) stopped a school bus, opened the doors while station on 65th which is unusual, they normally enter in the complex and then opened the door, about ten well groomed Latino kids got out, i got to wait for them to pass or until the bus started, a long couple of minutes while all traffic on 65th was stopped and drivers looking.

After Whole Foods we went at Walmart, me waiting in the car, after half hour i started the phone but was keeping it out the window on speaker to minimize exposure at the legs, one curly big haired fat guy came to pick the carts and it looked like i was taking picture of him etc. and it felt like it was dispatched. BTW why Walmart prefer to pay people to gather carts instead of adding more cart bays in the lot? (they are very few and distant).

Most time when i go in the kitchen to get some foods and it is predictable, they bring a car at the day care apartment (D5). When we go or come from somewhere people with little kids get out.

It feels like they are getting real tight at me.

7:10 Was experimenting with Optifoam. Engineered to keep the moisture inside and suck the exudate while maintaining a certain humidity which really accelerates would heeling.

Problem is i have very bad circulation in the left side of the foot and it gets worse with cold. When cold enough, all the surface blood vessels constrict to keep temperature in and that does not help with wound heeling but it promotes infection which comes from the eschar.

So i have to keep it warm, got a couple of heavy cuffs which heat up in the microwave for 30 seconds and keeps warm for several hours. Yes of course i checked the temperature with different thermometers, on and off, don't want more than body temperature at the wound.

I had a big setback on Sunday when i went outside with the puny shoes with no sole and the ground was cold and my foot got chilled and the skin next to wound infected really bad (red-blue purple). So i went back to antibiotics in patches, got 4 of them in 24 hours, was really bad, i thought i got it out of control and also wore the cuffs.

But then i saw the biggest granulation ever. First didn't know what to make of it, i thought it was adhesive from the optifoam. But then i quit wearing the cuffs, did not put optifoam anymore, not knowing where the infection was coming for and the next day the wound dried and i lost most of it so i went back to optifoam.

However my feet went cold from sitting at the computer (it is like in the morning, when i am better, i forget everything it happened the next day and now i'm back with vasoconstriction mediated infection with red-blue-skin and chills and i just put a patch, will take some oral.

7:30 Ordered a pair of shoes with one size up (will stuff something soft at the heel) with sole and everything and they were shown as free delivery tomorrow with prime. However when i looked at orders list they are shown to be delivered on Friday. Will order them again to see what happens.

Ok did order them again. LOL Canceled most recent order. Amazon hates me.

6:42 March annual apartment inspection on Thursday. Deep cleaning, found some weird white stuff on bathroom sink cabinet walls (inside), don't know what it was but smelled bacterial and human dead skin, just cleaned it. Now i stink like that stuff, got to take a shower. Could that have contributed to my never ending skin infection next to the wound.

10:35 AM Lisinopril is generally used to lower blood pressure. However the mechanism of lowering it is by promoting vasodilation which in turn improves peripheral circulation which can be good for ischemic disease including heart or wounds caused and maintained by low circulation.

6:10 PM Granulox is a medicine made of purified hemoglobin used to accelerate wound healing by bringing extra oxygen to tissues but is not available in the US yet.

6:30 Just started to do a search, they came and threatened to awake Angela (by creaking and stumping the floor real loud).

11:50 How interesting. By the middle of the week the surface winds shift from south to norht and the whole weather thing turns (unusually) cold.

12:02 AM There is smoke in the apartment. I keep making mistakes, forgetting things, take wrong decision about the wound etc.. Upstairs they keep making noises though they toned it down a bit. Maybe they are affected by smoke as well.

6:00 PM Everybody walks and hit things a bit differently. Though the script remain the same, there are subtle variations in what people upstairs are doing. The reason they never talk to each other (except when i mention it, i hear one single feminine voice on the stairs and sometimes a guy caughing).

Rest of the time they must be different persons. I noticed earlier one guy making less and less noise like he got tired and i relaxed thinking there will be a break and then he left and half hour or one hour later he came back full of energy enough to tear the floor apart for hours.

8:00 PM (Don't) tell Musk!

8:20 BTW i drove yesterday with Angela 20 miles through traffic in the other side of town so she could hear her ultimate diagnosis for back pain. Bad feng shui inside the car Old age.

10:35

5:25 PM Amazon is always screwing me in critical moments. Everything comes in time except items i need right away.

11:30 PM No more response for antibiotics (triple ointment) + sprinkled amoxicillin and Augmentin systemic. Color of skin around wound became blue/purple. Deep pain inside, could be bones.

Out of desperation and intuition switched to betadine (iodine), used three times in 12 hours and now again at 24 hours and clindamycin oral (for several days now, which i have not taken before) plus Augmentin cutaneous. Kept my legs elevated and within hours pain turned to soreness and then it was gone. Never thought this would happen, the way i felt and the wound looked. Was thinking ER.

Skin color is almost back to normal. Some focal point on the upper left disappeared. There is still some numbness, don't feel nothing when i touch the wound. It happened during debridement too.

When all that bacteria died, i went briefly numb when i woke up the second time this morning. It happened before in some mornings since this started. Trouble walking, talking, chewing, that goes away during the day. It all indicates i had clostridium probably still have some. Massive bacteria death from betadine releases toxins that is.

BTW i get chills every time i eat something from the fridge.

Lately i slept in the bedroom, changed sheets weekly, showered every other day using rose soap, my sense of smell is coming back and i can tell there is still some s...t smell coming from the closet from the old pan under then new heater. Plan on flooding that closet again with ozone.

Upstairs. They became extremely active especially after last trauma with the boot. By reviewing the pictures of the boot frame and seeing the dedication they use for walking and creaking and stumping for  hours, following my thoughts and moods, i start to believe again the Satanism hypothesis.

9:30 It started about 30 minutes ago. A power blower that drives me nuts. I know today is Wednesday and they were suppose to come, but usually after 2 PM. Today i was about to miss them cause i have an appointment at 2. So they came early just to make sure i get it?

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.
.

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.

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?

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.