Earbud, ‘ear, phone, come ‘ere

She couldn’t remember the first time she killed one of her new friends because she had never stayed in any one town long enough to make old friends.

Everyone was a new friend to her.

As a traveling nurse’s aide, she frequently moved from one community to another, her belongings easily fitting into the eight-passenger van that had been willed to her by a former homebound patient, the only time she allowed herself to be connected with a murder victim.

She didn’t think in terms of killing and murder.  Those were just the words she knew that the law used to describe what she did.

She had renamed herself Chromcalsia in community college, a trick on the chrome calculator that her boyfriend at the time had, a relic of the presmartphone days that he proudly carried around with him.

But when people asked her where her name came from, she told them it was the name of an ancient queen in a videogame that her mother loved to play and no, she didn’t know the name of the videogame.

Chromcalsia looked at her schedule for the day — a roster of lonely old people virtually locked into solitary confinement in their homes, no visitors except for the occasional physical therapy assistant and nurse’s aides like Chromcalsia.

Her first few months on the job, in a small town outside Lincoln, Nebraska, had been the best and worst.

She loved the smile that beamed at her after she walked into a patient’s house, having used a hidden key in a fake shell or fake rock next to the backdoor as instructed because the patient was bedridden or confined to a special recliner.

She wished she was talented enough to write down the patients’ stories, tales about fighting in wars, raising children in strange environments, inventing new gadgets or their observations about world events that happened decades ago but the patients recalled as if it was still happening, their demented thought sets out of touch with reality, calling her names like Doris, Ann or Sylvia because that was their daughter’s name or their granddaughter’s name or a niece or the nice nurse who tended their wounds in a foreign war.

She saw a lot more women than men.

She enjoyed them all.

She didn’t enjoy the bad side of her job, realising through vital sign measurements and smells that the patient was dying a long, excruciating death, with no one to provide daily comfort to help ease the pain.

Chromcalsia was not allowed to visit patients for social visits.

So, she spent as much time as she could during her official visits to find out what each patient wanted most of all.

Besides companionship, the number one wish was a quick, painfree death because the world was falling to pieces and the patient couldn’t stand to see the local community so devastated by a global meltdown.

Chromcalsia had tried to convince her first patients that the world was a wonderful place but it didn’t work — either their thoughts were so fixed they couldn’t process her view or they just couldn’t accept that a wonderful world would put them in such miserable conditions.

Having come from humblest of humble conditions, what her community college boyfriend called the slums, Chromcalsia laughed to herself when her patients, with a telephone, a clean house, cable TV and home healthcare, would say the world was going to hell.  She learned to nod her head and agree, providing verbal affirmation of what the patients wanted to hear.

As an experiement one day, she texted a note in a patient’s file that went straight to the physician assigned to the patient, requesting extra pain medication.

Chromcalsia could not pick up the prescriptions for the patient but she could administer the medication when she was in the patient’s house.

She arrived to see the patient in extreme pain, moaning and begging Chromcalsia to end her misery.

Chromcalsia was scheduled to visit the patient three times that week so the first day she doubled the patient’s pain meds, doubled that again the second day and on the third day she convinced the patient that the remaining pills in the bottle had to be taken the next day.

The patient was so delirious that Chromcalsia was surprised he remembered what she told him.

Back at the office  the next week, Chromcalsia was informed that one of her patients had unexpectedly died of a drug overdose.

She smiled to herself, knowing she had helped a man do what he wouldn’t have done for himself, his body emaciated from multiple surgeries to repair gastrointestinal damage from a roadside bomb.

Chromcalsia talked to other nurse’s aides about what happened, feeling around to see if they had done anything similar.

One or two stated out loud that they wondered if their joking suggestion to a patient to end it all had led to a drug overdose.

In every case, none of the aides had been suspected of foul play, the overdose taking place days after their last visit.

That sealed the idea for Chromcalsia.

From then on, as she moved from one town to another, she decided which patients of hers were in the worst shape and assisted them in finding a peaceful way to die to prevent a more horrible ending that their medical conditions indicated was waiting for them.

To keep suspicion off of her, Chromcalsia planted the idea of assisted suicide in the thoughts of her coworkers, who in turn planted the idea in their patients’ thoughts, half-jokingly.

Enough patients understood in their delirium what they were being told that they followed the instructions told in jest, statistically taking the heat off Chromcalsia.

Chromcalsia made sure she never financially benefited from her patients, leaving town whenever a patient mentioned leaving her something.

The passenger van was the one exception because the patient made the statement in front of Chromcalsia’s supervisor on the day of Chromcalsia’s first visit with the patient.  She thought he was joking.  The supervisor later told Chromcalsia the patient told the supervisor that the next nurse to come help him was going to get the vehicle.

Chromcalsia did not fantasize about herself being an angel or anyone other than the kind of person she wanted to know when she was at death’s door without friends or family to quietly assist her comfortable exit from this world, no matter how wonderful it really was.

Dozens?  Hundreds?  Chromcalsia thought for a moment but wasn’t sure of the count.  It wasn’t her goal to meet a number.

She parked the van in front of the office building.  Two days off before she’d start looking for a new town, spreading the love and joy that had surrounded her from birth, her mother telling Chromcalsia as a toddler, while her mother was dying of stage four breast cancer, that she was a special child whose very presence was what dying people wished for, a magic elixir, a sedative that made dying worthwhile.

Chromcalsia was going to spend the rest of her life living out her mother’s image of her.

What I love and take for granted in my community

In the last two weeks, I have conversed with an international consortium of dance enthusiasts.

Our conversations took place in a dance studio in the town of Madison, the county of Madison, the state of Alabama, the United States of America, Earth.

Countries of origin included the Philippines, Italy, Germany, France, Russia, Mexico and the United States, of the ones specifically stated; heritage included unspecified European, African and Southeast Asian countries.

In some conversations, I was the “American” toward whom the comparison was made about ethnic/national meal preparation — I agreed that some cultures were known for watering down or making bland the spicy foods of other cultures, such that a Mexican or Italian restaurant in the U.S. was not “authentic”.

[this blog entry was interrupted so my wife and I could watch an episode of “SNAPPED” about the murder of a high school mate of mine, Jeffrey Freeman, one of the funniest guys I knew, an impersonator who was great at portraying Carnac the Magnificent, both Jeffrey and Johnny an inspiration for my humour then and now — my thought trail has been shifted as a result]

What I heard from every one of the people with whom I talked was their love for the variety of foods available from countries all over the world here in the U.S. — if there wasn’t a restaurant serving their favourite dishes, there was almost always a grocery store that carried the spices, fruits and vegetables of their home country with which they could cook their family secret recipes and share with friends/family.

Millions of people travel around the world, settling down in new places, rediscovering themselves and their subcultures.

In fact, it’s the story of the billions of us who’ve lived and wandered this planet to make a better life for ourselves.

I have learned a lot about myself in preparation for a dance showcase — rediscovering the joy of living with people of many different backgrounds just as important.

How people outside the state of Alabama see the people inside the state is a perception I don’t control.  What I see is the thriving community around the Marshall Space Flight Center and Redstone Arsenal responsible for moon landings and solar system exploration, with all the ancillary occupations that give the community’s residents a healthy lifestyle.

I have taken my fulfilling life in Huntsville for granted.  For that alone, I am thankful this beautiful autumn day, leaves falling on the driveway, and chipmunks, their cheeks filled with winter food, hopping across the flagstones surrounding the backyard pond.

Surf’s Up!

Lee and Guin lay on their backs and looked up at the stars.

“We did it!”

“Yes, we did.”

“So many people have come and gone in your life.  Do you ever wonder why you’re with somebody, wherever you are?”

“Hmm…” Guin rolled her head and looked at Lee’s right ear, barely visible in the near-darkness of the habitation module skyview room.

“I mean, here we are, light-minutes from Earth, making up new constellations to adjust for Mars’ orbit, giving Shadowgrass new myths to share on the ISSA Net…”

“Yes, it seemed impossible not so long ago.”

“Think of your dreams.”

“You mean antigravity?”

“Well, sure, that’s one of them.  It seemed impossible not so long ago.”

“We were so stuck on the idea of the ‘anti’ that we forgot about the property of gravity waves, didn’t we?”

“We?  It was you who made the discovery, not me or Shadowgrass.  But, hey, if you want to include us…”

“Haha.  Of course I do.  Without you here, without your support, bouncing ideas off me, offering constructive criticism…”

She looked at the stars again.

They had another dance exposition to give the current round of tourists before they could go to Guin’s expanded lab and work out the details of her astounding new discovery about antigravity.

She wanted to concentrate on a few practical applications while Lee, ever the excessively creative type, using his humour to magnify the normal into the ridiculous, wanted to work out how to change Mars orbit using Guin’s mechanical engineering background and mathematical skills to work out how to “surf” Mars across gravity waves.

If her antigravity theory was correct, space travel would never be the same.

The dangers of planetary surface landing would diminish to practically zero — if so, think of all the energy credits she could bank on expanding her lab further!

Colanders and strainers

Guin had spent four straight sols in the lab.

Although the ISSA Net allowed her to track the progress of her lab experiments from anywhere on Mars, she found a deep satisfaction in being present when her cyborg assistants, part of an integrated network of sensors and computing devices that saw itself as a single unit, reported the results.

For a while, Shadowgrass had fallen into the habit of naming Guin’s assistants Huey, Dewey and Louie, just like he named his appendages and any objects that naturally fell into a group of three.

Guin observed the metabolic rate of the latest algae strain.

She often liked to take unnecessary chances with her body while exploring Martian terrain well outside the rescue perimeters of the colony but when it came to her research she was overcautious, repeating experiments to eliminate any chances for black swans to appear out of nowhere, fully cognizant of mistakes that had taken place on Earth when a few nanoresearch experiments went out of control, escaping laboratory conditions, combining with GMO crops to wreak havoc in local ecosystems, killing off living organisms of all shapes and sizes indiscriminately.

She fed the algae to an artificial stomach that had been grown to simulate new Martians like her who depended on less water to convert matter into energy.

The stomach easily broke down the algae with no known toxic effects on the stomach’s cellular structures.

Guin reviewed xeriscaping research that had started on Earth and been split into experiments conducted simultaneously on Earth, the Moon and Mars.

Starving plants and animals to the point of death, seeing how body processes were slowed down, the bodies themselves experiencing longevity off the charts because of reduced metabolic rates.

Guin spent the next two sols moving the algae to the Mars enviromental simulator, watching for, hoping for signs that this strain would survive more than a few simulated seasonal cycles before decomposing.

Shadowgrass came to visit, sneaking a taste of the algae.

He wasn’t pleased but knew taste was of secondary concern at this point in the colony’s development.  They could always use the 3D fast food printer to create a facsimile of food her parents had grown up with, sweet and salty to the tongue, palatable but not nutritious, providing a much-needed stimulus of the senses to keep their bodies mentally-energised.

Sometimes, Shadowgrass ate bits of Martian soil for variety.

Guin waved at Shadowgrass and asked him for his help, realising more and more that his analytical skills surpassed hers at any age.

“Shadowgrass, darling, have you made any effort to create your own terraforming life structures?”

“Yes, Mom, I have.  They’re growing out by the greenhouse, if you want to see them.  In fact, they’re almost exactly like this algae you’ve got here, but they’re growing awfully slowly.  I think my water substitution algorithms didn’t account for the chemical structures correctly.  I’d like your advice, if possible.”

“Sure.  Give me two more sols, will you?”

“No problem!  I’m going with Dad on an expedition so I’ll see you in three sols.”

“Be careful.  Don’t do anything…”

“‘I would do.’  Yeah, I know.  Don’t forget, though, that I’m much more easily repairable than you!”

They laughed together.  She hugged him and pushed him out of the lab.

Kickstarter Update #4

Robot-in-a-Notebook nears completion!

Today, we had planned to post the complete prototype robot-in-a-notebook for your evaluation and valuable input into the design process.

As you may have read in this or ancillary blogs, our Robot-in-a-Notebook kit will contain the following items:

  • Preprinted images on hard paper with perforated edges, indicating places for cutouts and bends
  • Bottle and/or pen(s) of Bare Conductive
  • Arduino (or its equivalent) and spare parts
  • Instructions for creating paper-based robot toys that walk, flip, flash and lift, just like the robots that you would work with at the Mars Exploration Camp, similar to the actual cybernetic beings that will help us populate Mars!
  • As a bonus, the kit will contain suggestions for taking the play set to the next level, including pointers for buying your own wireless modules and other extensions to make your robots work together, using instructions you give them manually or through a smart app on your phone, tablet or PC.

For now, in order to show you that, just because we’re behind schedule and are working an alternative path around the current schedule bottleneck, we still want you to have fun this weekend, here’s a great tutorial on creating 3D hard paper images using Pepakura.

Have a great weekend!

13 Sept 2013 Dr Emil Jovanov. UAH alumni lunch n learn

13 Sept 2013 Dr Emil Jovanov. UAH alumni lunch n learn. Opening by David Kingsbury, UAH Alumni president

BIO: Dr. Emil Jovanov, received bachelor and doctorate from Univ of Belgrade. http://www.ece.uah.edu/~jovanov; emil.jovanov@.edu

Dr. Jovanov teaches and supports realtime and embedded systems, wearable and ubiquitous monitoring, senior student design: education and playground, technology commercialization, new products and businesses such as SmartBottle…AdhereTech (www.adheretech.com)

Ubiquitous Health Monitoring – wireless body area network [WBAN] (2005) Journal of NeuroEngineering and Rehabilitation

WBAN via Zigbee connects to personal server (smartphone) integrates via GPRS/Bluetooth/WLAN with Internet for access to/by weather forecast, emergency, caregiver, medical server and physician

diabetics monitor blood sugar level, doctor can see if you walked as much as you said, when you ate, etc.; ECG

mHealth – http://portal.mhealth.uah.edu/public/index.php
— stress monitoring for nurses, etc.

WBAN includes SmartBottle approach:

in 1994, est. that $100B cost to economy for taking medicine incorrectly; $300B increased costs, $100B lost revenue
MDs/pharmacists need accurate monitoring method; patients need secure system.
— typical use: pill boxes don’t account for “Take on full/empty stomach”
— automated pill boxes based on time
— RFIDs — acid in stomach will activate chip in pill; smartphone will record info; expensive approach, good for specialised drugs

Great potential for smart pill bottle
— Robert Gold, R. Ph, MBA, Newburgh, Indiana
— Prototype development, senior design team:
=> Sreca Jovanov -HW and Sensor Dev
=> Charles Acker – Embedded and PC SW
=> Michael King – Embedded SW

UAH Patent; MBA Graduate project at Wharton School of Business

Completely wireless system; communication between SmartBottle, Reminder Unit, Home Server, and Remote Server; automated reminders and monitoring of medication

Approaches: initial idea – weight measurement but mechanical issues were potentially problematic; breakthrough – capacitive measurement of pills in bottle C=A*e/d (conductive plates (A) sandwiching dielectric medium (d)); measuring capacitive response of empty bottle; smart bottle prototype in spring 2007, connected CVS bottle with unit including wireless module — proof of concept worked – good linear plot of data with 2-3% error (e.g., 2 to 3 pills out of 100); US Patent issued in 2011; SmartBottle Development 2012 update: Test system, AD7745 capacitance to digital converter, accuracy: +/- 4 fF (femtofarads (10 to minus 15th power)); evaluation of patterns and designs – have to compromise total capacitance against accuracy of pill measurement

AdhereTech – winner of 2013 Healthcare Innovation World Cup

Reader’s Digest, September 2013, one of 20 MindBlowing Medical Breakthroughs, technology should be available by September of 2014

Wireless in the bottle (Verizon); measures and send open/close of bottle; 45 day battery = no charge

Nontech savvy – use bottle as regular bottle
Tech savvy – text/email reminder, etc.

Helps monitor: Forgetfulness; purposely omitted pill taking; low priority conduct

Pharma: captures percentage of increased revenues, especially for clinical trials of extremely-expensive medication

Hospitals: used to make money on readmissions but no more — want to reduce readmissions; hospitals penalised 1% CMS payments for readmissions (`$14000/year) with higher penalties in following years; poor adherence to drug plan is most common reason patients are readmitted. CHF: 25% readmission rate; heart attack: 20% readmission rate; pneumonia:18% readmission rate; more diseased states penalized every year

Provides aggregate adherence data for healthcare pros; personal data for patients

Examples of Secured deals: Walter Reed Natl Military Med Ctr; Weill Cornell Medical College; Univ of Michigan

Competitors: Vitality GlowCaps; Proteus Digital Health; plain/automated Pill boxes; Adherence smartphone/tablet apps

Pilot clinical trials start in 2014

Benefits include passive intrusion, no change to current pill users’ behaviour.

Strong IP, team, business models and traction in media!

==> info@AdhereTech.com: Featured in WSJ, TIME, WIRED, TEDMED, Fast Company, TechCrunch, MEDCITY, the Atlantic, StartUpHealth, Blueprint Health, GIGAOM, Xconomy

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