Month: May 2013

Tuesday, 21 May 2013

07:56 – Barbara and I had dinner last night, and then settled in to watch a British mystery on Netflix streaming. About 8:30, someone from the nursing home called to say they’d just gotten lab results on Barbara’s dad. His BUN and creatinine levels were very high, suggesting acute renal failure. The nursing home recommended transporting Dutch to the emergency room, which Barbara approved. She drove down there to meet her sister and mom. When she finally returned home in the middle of the night, she said they’d scheduled a meeting at 8:30 at the hospital to discuss options. Given Dutch’s age and other health problems, I can’t imagine that they’ll recommend dialysis, so my guess is that they’ll recommend either moving Dutch to Hospice or keeping him there under their palliative-care group.


11:08 – Barbara just called to update me on the results of their meeting. Apparently, Dutch is terminal but not critical. That is, there’s nothing that can be done to fix the underlying renal failure and congestive heart failure, but Dutch is not in any immediate danger. Although the doctor said that obviously Dutch could die at any moment if something else happens, she doesn’t think it’s necessarily imminent. They’re rehydrating him and plan to keep him in the hospital for a couple days before transferring him back to Brian Center. The doctor is going to contact Hospice about getting Dutch in their palliative care program while he’s still at Brian Center. They’ll consult with the family and nursing home staff and help manage Dutch’s treatment to keep him as comfortable as possible. When the time comes, they’ll probably suggest transporting him to the hospice facility to care for him there during his last few days.

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Monday, 20 May 2013

07:40 – I’m going to have to have a talk with the management at Brian Center. Barbara and Frances are very upset because the clothes they take over there for their dad keep disappearing and he ends up wearing donated clothes from their common supply. I know what’s going on. Dutch needs to be changed frequently, so they put on whatever they have available and send the dirty clothes to their own industrial laundry. If some of Dutch’s clothes are in the batch, they end up mixed in with all the others and instead of being returned to Dutch they end up in the common pile and distributed to other patients in the facility. But I understand why Barbara and Frances are upset; they keep buying new clothes for their dad, and those clothes keep disappearing. So I’m going to tell management that, although we appreciate them providing additional clothes for Dutch as needed, we really want them to put all the dirty clothes in plastic bags that we provide and leaving them for us to collect and launder.

Our stock of biology kits is getting perilously low. Barbara labeled a bunch of containers yesterday, so today I’ll work on filling those. Once I finish that, I’ll start making up subassemblies for 90 more biology kits.


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Sunday, 19 May 2013

08:36 – We’re hoping for another semi-normal day around here. Barbara’s mom was on her own last night, and as far as we know did okay. Frances is going to visit their dad today. When Barbara was over yesterday, he seemed to be doing a bit better than he had been. Unless things change, which is always possible, Barbara plans to spend the day at home, cleaning house and doing kit stuff. And playing with Colin.


09:23 – Here’s the kind of headline that really pisses me off: Hofstra student was killed by police, authorities say

No, she wasn’t. She was killed by a bullet fired by police, but the police didn’t kill her. The guy holding her hostage killed her. The cop who fired the bullet that killed her was desperately trying to stop the guy from harming her or anyone else. Blaming the cop for a bad outcome in a desperate situation is simply contemptible.

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Saturday, 18 May 2013

09:41 – Barbara’s mom seems to be doing pretty well. Last night was the first she’d spent alone since she got out of the hospital. Barbara and Frances are arranging to have someone come in for a couple hours three or four times a week to help her with laundry, cleaning, and so on. But they’ve made it completely clear to Sankie that she’s going to have to make it on her own. No more having someone with her 24 hours a day. Unfortunately, Dutch isn’t doing well at all. I cringe every time the phone rings.

We’re hoping that today will be a relatively ordinary day. Barbara is out cutting the grass right now, and I’m doing laundry. She’s going to go over to visit her dad this afternoon. I’ll go with her if she wants me to. Visiting Dutch isn’t easy for me and of course is even harder for Barbara. The last two or three days when I visited, he just sat there unresponsive most of the time. When he did speak, I couldn’t understand most of what he said and I got no sense that he understood anything I said. Frances and Sankie visited Dutch last night. Barbara talked later to Frances, who said that Dutch was so deeply asleep when they arrived that they couldn’t wake him. When they did, he was talking nonsense for a while, but he did eventually start talking and acting normally for a while at least. I told Barbara that that reminded me of my father toward the end. He was generally non-responsive, but when my brother drove over from Raleigh to visit, my dad would intentionally try to act and speak normally and would tell my brother that he was fine. As soon as my brother left, my dad would immediately drop back into his non-responsive state. Dutch is behaving the same way, telling people that he’s not ill and that he’s going to get his strength back and return to live with Sankie at Creekside. Obviously, that’s not going to happen, but I think Dutch actually believes it will.


13:50 – Barbara is out running errands and visiting her dad. I’m finishing up the laundry, printing container labels, and putting together purchase orders.

We’re down to about 4,000 bottles in stock. With about 1,800, we’re in good shape on the 30 mL wide-mouth pharma packers, because we don’t use them in large numbers. Depending on the mix of kits, 1,800 is enough for something in the range of 350 to 600 kits. We also have 1,000 or so of the 30 mL amber glass bottles on hand, which again we use in relative small numbers. But we have only 1,100 of the 15 mL PE bottles, which we use in very large numbers, and we’re completely out of the 30 mL PE bottles, which we use in numbers about half as large as the 15 mL ones. So I’m cutting a PO for 4,400 more of the 15 mL and 3,000 of the 30 mL, along with caps for them.

It’s time to stop screwing around with making up only enough for 30 or 60 sets of chemicals or small parts bags. Other than chemicals with relatively short expiration dates (such as the Kastle-Meyer reagent in the forensics kits), we’re going to start making up stuff in batches sufficient for 90 to 180 kits at a crack.

That also means I’m using some different suppliers. For example, until now, I’ve been buying multiple bottles of methylene blue stain from one of our regular suppliers. That vendor carries only 10 g bottles, which is sufficient to make up one liter per bottle of stain powder. So this time I’m going with a vendor that carries methylene blue stain in 100 g bottles. That’s sufficient for 10 liters, or 667 kits’ worth. I may make up only four liters at a time, but at least I won’t have to keep track of how many small bottles of the stain I have on hand.

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Friday, 17 May 2013

07:28 – Barbara’s dad is on a restricted diet at the nursing home. The main restriction is on liquids. He’s at risk of aspirating liquids, which can cause pneumonia. Accordingly, they have him limited to “nectar” liquids, which essentially means goopy stuff. He’s not allowed ordinary liquids like coffee or soft drinks or even ice cream, for fear he’ll inhale some of them rather than swallowing.

Every time I ask him if there’s something he wants, he asks for ordinary liquids. He wants coffee and ice cream and juice. When he visited the doctor the other day, he mentioned this to the doctor. I was surprised at the doctor’s response, which was completely reasonable. He said that, at nearly 91 years old, Dutch should be able to eat and drink what he wants to eat and drink. If he aspirates and gets pneumonia, they can put him on antibiotics.

So, when I was over at Brian Center yesterday, I spoke to the staff about this. They said that, in the absence of a doctor’s order, they couldn’t give Dutch ordinary liquids, but that if I signed a release they could give me ordinary liquids to give to him. They just weren’t allowed to give him those liquids themselves. So I signed the release, explained the risks to Dutch, and got him the cup of coffee he so desperately wanted. I also asked the staff what we needed to do to get them permission to give Dutch whatever liquids he wanted when one of us wasn’t there to pass them along to him. They said the nursing home doctor was visiting at the moment, and if I could wait until he was free I could talk to him about it. So I did. He was completely in agreement that that was a reasonable thing to do. We agreed that if we got to be 90 years old, we sure didn’t want anyone telling us what we could or couldn’t drink. He asked if I had power of attorney for Dutch, and I told him I didn’t but Barbara did. So he asked if I’d have her call Brian Center to tell them she approved by her PoA. She wasn’t able to get through to them yesterday, but will do so today.

When I explained things to Dutch, I didn’t pull any punches. I told him that if he drank ordinary liquids, he could aspirate them, get pneumonia, and die. Or he could choke on them and die. I asked him if he understood that, and he said he did. I asked him if he still wanted a cup of coffee, and he said he did. So he got his cup of coffee, and we’re going to get things set up so that he can have a damned cup of coffee or cup of ice cream any time he wants one.


10:31 – I just got back from getting my driver’s license renewed, so I’m good for the next eight years. I thought I’d dropped the motorcycle endorsement the last time I renewed, but it was still on there. I told them to drop it this time. I’ll never get on a motorcycle again. If it didn’t kill me, Barbara would.

I stopped at Brian Center on the way home to visit Dutch. Unfortunately, he’s not doing very well, physically or mentally. He’s taking antibiotics for a UTI, and Barbara said last night that he’s never tolerated antibiotics very well. So on top of everything else, he now has nausea and vomiting.

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Thursday, 16 May 2013

08:09 – Barbara just left for work. She’s staying with her mom tonight, so Colin and I are on our own. She and Frances have emphasized to their mom that she absolutely, positively has to be able to get along on her own at the apartment, because they can’t continue keeping her company 24×7. Tonight is Barbara’s last night over there. Frances may or may not stay with Sankie tomorrow night. But, one way or another, Sankie has to be able to deal with living on her own, or the only alternative will be to transfer her to an assisted-living facility.

Barbara’s dad is not doing well. We stopped over to see him late yesterday afternoon to take him some more clothes. He was asleep when we got there, and Barbara wasn’t able to wake him, despite touching him and speaking loudly to him. Dutch had been to visit the doctor earlier that day, and the doctor told them it was time to have him transferred to Hospice. The problem is, Dutch doesn’t believe he’s ill. To add to the congestive heart failure and kidney failure, he now has a UTI.

Meanwhile, kit sales are booming. We shipped six kits yesterday, and are averaging just over three kits per day for the last week. Our stock of finished kits is dwindling. We’re down to under a hundred kits of all types in stock, so it’s time for me to start issuing purchase orders for more components. If I have time this afternoon, I’ll start filling more bottles and making up some chemicals.


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Wednesday, 15 May 2013

10:57 – Barbara is taking the day off from work. She stayed at her parents’ apartment last night to keep her mom company, and says that Sankie is doing well. She’s taking Sankie to a doctor’s appointment this afternoon and then coming home. Colin will be delighted to see her. It’s very hard on him when she’s gone overnight.

Yesterday afternoon, I had the new system pretty much ready to go. I almost shutdown the old system and pulled it off my desk. I’m glad I didn’t. When I came into my office this morning, the display on the new system was black with a blinking white cursor at the top left corner. The system now refuses to boot. It just comes up to that blinking white cursor. Fortunately, my old system is still connected and working. In fact, the Ethernet problems appear to have resolved themselves, and it’s now working perfectly. I really, really hated Kubuntu 12.04 anyway. I may just re-install everything on Ubuntu 12.04 and suffer from its horrible interface. It can’t be any worse than the horrible Kubuntu 12.04 interface.

Kit sales are on the rise. We’ve shipped four kits so far today, and with the month half gone our MTD sales are already more than twice those of the whole month of May 2012. Given that more than 90% of total May 2012 sales were in the second half of the month, this may turn out to be our biggest month so far in 2013. I’d better get back to work on building more kits. We’re down to less than a hundred in finished goods inventory.


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Tuesday, 14 May 2013

08:41 – Barbara’s mom is at home and seems to be doing as well as could be expected. Frances stayed with her last night and Barbara will stay with her tonight, but after that they may leave her on her own. Dutch is pretty much just maintaining. I suspect the most anyone will be able to do is slow his rate of decline. I’d be very surprised if he’s ever well enough to leave the nursing home, even to move to assisted living. That’s still the goal, of course, but I suspect it’s more ambitious than achievable.

I finally switched back over from air conditioning to heat this morning. Our forecast overnight low was 38F, which would tie our record low for 14 May. Our recording thermometer says it got down to 41.9F, but our actual highs and lows often vary by several degrees from the official numbers. Our indoor thermometer says it’s 66.3F right now. I’m chilly at 70F and cold at 68F, so I set the heat to warm things up a bit in here. This is our last chilly day for a while. The rest of the week we’re expected to have highs in the mid-80’s and lows of 61F, so it’ll be back to using the air conditioning.

I copied all my data from the current system to my new system yesterday. That took a long time. The networking on the old system is failing, so rather than install a new network adapter I just connected a big external USB drive to it, copied all my data and configuration files up to it, and then reconnected it to my new system. Copying the 800 GB of data down to the new system took hours, but it’s all there now.

I managed to get all my old mail transfered over to Kontact/Kmail/Korganizer on the new system, but I haven’t yet tried to import my contacts. I’m pretty optimistic that I’ll be able to do that, but the big problem remaining is that I can’t get the new Kmail installation to send mail. I remember this happening the last time I was migrating systems. I got it worked out then, and I’m sure I’ll manage somehow to get it worked out this time. Meanwhile, I can still send mail from the old system, assuming it’s willing to connect to the Internet. Nothing is ever easy.


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Monday, 13 May 2013

09:33 – Barbara’s mom is being discharged from the hospital today. She and Frances are going to get her back to the apartment at Creekside, but Sankie really isn’t ready to be on her own yet. Frances will stay with Sankie overnight tonight, and not leave tomorrow morning until the person they’ve hired to sit with Sankie during the day arrives. Barbara will head over there after work to relieve that person and stay with her mom Tuesday night and Wednesday morning, until someone arrives to relieve her. Then Frances will take Wednesday night, and so on, until Barbara and Frances are satisfied that Sankie will be okay on her own. It’s a question of physical rather than mental issues. Sankie is doing fine mentally, and wants to be back at home in the apartment, but she’s still extremely weak and terrified of falling. Barbara and Frances are taking her by the medical supply place on the way home to get her a walker, which should help a lot. I also encouraged Barbara to look into lift chairs while they were there. A lift chair is an immense help to someone in Sankie’s condition.

Meanwhile, with Barbara and Frances both fully occupied taking care of their mom, I’ll be visiting their dad in the Brian Center nursing home. Barbara visited him yesterday and said that he pretty much completely ignored her. He wouldn’t speak to her. This is nothing new. Dutch for the last couple of weeks has been very short with Barbara and Frances. I suspect he blames them for being in the hospital and then the nursing home, rather than back at the apartment where he really wants to be. Unfortunately, I think that’s very unlikely to happen. It’ll surprise me if Dutch ever recovers enough to move downstairs to the assisted-living floor at Brian Center, let alone moving back to the apartment. And Sankie really doesn’t want Dutch at the apartment. She can’t take care of him and she knows that, and she’s terrified that he’ll drop dead before her eyes.

Science kits continue to sell well. We’ve already shipped three today, and sales for this month are on track to be three to four times sales in May 2012. Until now, we’ve been building kits in batches of 30, but I think we’ll ramp that up to batches of 60.


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Sunday, 12 May 2013

07:56 – As we’re watching something on Netflix streaming, Barbara and I often see an actor or actress who looks familiar. Usually, it’s someone we’ve seen before, often in one or two episodes of several series. But sometimes the person just reminds us of someone else. I’ve commented several times that IMdB really needs a “looks like” or “reminds me of” link.

Here are some recent examples:

Michelle Burke (Little Men) and Leighton Meester (Gossip Girl). Other than the 15 year difference in ages, these two could be not just sisters, but identical twins.

Jessica Raine (Call the Midwife) and Helen Baxendale (Cold Feet). Again, other than the age difference, these two could be identical twins.

Anastasia Griffith (Copper) and Emily Vancamp (Reven8e). The resemblance here is more subtle, but I kept thinking that Griffith really reminded me of someone. Last night, seeing her in profile on Damages, it finally hit me. Barbara agreed instantly that she looks like Emily Vancamp.


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