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The State of the Andrei

Good morning.

I am starting with “Good Morning” because it is 1 in the afternoon on Sunday and I have just woken up, for the 6th time today. The good news is that I’m out of the hospital; the bad news is it’s still going to be several days until I have fully recuperated. I’m going to try to stay awake long enough to explain what happened that put me in the hospital; cover what I went through to come to a diagnosis, and finally what my state is now. (I may doze off spontaneously; if so, I will note time that elapsed.)

As mentioned in my last post, I left work with a 101.3 temperature, and by the time I got to the hospital, my breathing was shallow, I had pain in the centre of my chest, I was dizzy, unfocussed, and hyper sensitized. First at Med Express and then in the triage room at Forbes General I was given a standard physical stimulus (blood pressure reading and blood draw) that caused an excessively and intensely high level of pain. In both instances I had a vagsovagal syncope. This is a very fancy way of saying ‘I fainted.’ I use the former term because it’s nowhere near as graceful or romantic as you see in the movies. (This link details the TMI) I am lucky that my S.O. was there to pull the wheelchair away the 2nd time because I surely would have injured myself on it. (Dozed for 30 minutes) The only thought going through my head as I spilled onto the floor was that my father would be amused that I’d become a “GOMER” and gone to ground. Beginning to lose consciousness in a triage room tends to attract attention. There were about 3-4 people who rushed in to pick me up.

The doctor at MedExpress thought it might be pancreatitis, but figured a CT scan would be necessary to determine, which they couldn’t do there. After the syncope at MedExpress I was feeling somewhat better. It took about 30 minutes to ride to Forbes Regional. During that time I was moving back to the state I was in earlier. They needed to bring me in by wheelchair. Triage saw my fever was up to 103.1 and the blood draw caused the 2nd syncope. This one was worse. (I sat up to keep an eye on the kids as they got ready to go to the pool in the back yard and my BP dropped. Dizzy spell lasted about 30 minutes)

Once the syncope at Forbes had passed they moved me to emergency triage. Again after the episode I was feeling back up to about 85%. I knew that it was more than likely within 30 minutes I’d be down again. They were able to hook me up with an IV at that point and draw blood. Despite not having eaten for the day, I was able to give them a urine sample.

Forbes did a CT of my abdomen, x-rayed my chest, ran my blood and urine. Elevated white blood count, very low BP, and 103.1. They knew more tests needed to be run. I was admitted. Over the next two days there were more blood draws, an EKG, another CT, and a constant IV of Saline, antibiotics, anti-mimetic and steroids. The CT of my chest showed that I have a very deep, very small yet vicious pneumonia. I’d been diagnosed about a month and a half earlier with Bronchitis which by x-ray seemed accurate. It was in fact not just bronchitis, so I’ve been living with this pneumonia for about 1-2 months. This is an infection that affects the entire body. The symptoms can include hyper-sensitivity to allergens, mood changes, flu symptoms, the more I read in the death book (the internet) the more and more amazed I am at the periods of health I’ve been displaying.

By Saturday morning, I was fairly stabilised at about 85-90% of my normal healthy self. However, some other issues had been discovered. The EKG showed an irregular rhythm in my heart. Once “healthy” they want me to take a cardiac stress test. The blood tests also revealed hypothyroidism. This may explain, among other things, my inability to lose weight past a certain point.

So I was discharged Saturday with the following: a week of high intensity antibiotics, thyroid medication, a prescription for a heart stress test once I am healthy, and a followup with the doctor from the hospital in a week to recheck my progress. Emphasis here on the word progress.

I was NOT released from the hospital as “all better.” I was released as stable and improving with a diagnosis and medications. I am still having periods of BP drop which requires me to sit or lie down and hydrate more. I am not safe to drive at this point or lift heavy objects. (Hopefully in 3-5 days the meds will have rebalanced that.)

Needless to say, I must give immeasurable credit to my family. My MIL who was willing to drive in from Baltimore to take care of me. One friend who was willing to pull me to a better hospital if I felt under-treated in any way. And of course my immediate family, 3 other adults helping to wrangle two kids and coming to visit and prop me up while I am in this weakened state. H, a, S, D, and k, I love you all and the way you take care of each other and me as well. A support structure like I’ve always dreamed.

Mentally I have good focus during up periods. I just seem to have 10-15 minute spells every 1-2 hrs where I need to lie down. The stats geek in me wants to track them on a chart to make sure they are going down not up. Likely I will try to work from home for the next few days in a part-time sense. (Have to negotiate that with the boss and HR.) We’re really getting down to the wire with a really awesome product I’m working on and we need to get it over the line. 🙂

Lastly, I want to thank the friends and family who took out time to send good wishes either on this blog or the social media sites I’ve been posting to. Being in a cold hospital room alone (for the first time) has caused its share of minor PTSD. Last night I was not sleeping well because mentally I couldn’t get myself out of the hospital room. This morning I found myself on the living room couch drifting repeatedly into bad dreams and waking up startled on the couch. The contact and chat with friends has given me a grounding.

I’m not going to kid anyone. This was a very scary experience. I’ve gone through a’s birth which was scary because I thought I might lose my wife and unborn son. I went through a horrid stomach flu with my H. But to lay on the floor of a hospital Triage room convulsing and leave a hospital with no more than a potential solution… to have been in the hospital as a patient for the first time. To be there and not know why. I suppose I’m glad it wasn’t worse.

I’m better than I was Wednesday night. I’m recovering. But the next few days… They are still likely to be shaky.

I got very sick yesterday at work. My fever peaked at about 101.3. Last night I went to MedExpress in Monroeville and managed to pass out while they were taking my BP. So from there they sent me to a hospital.

At the hospital while trying to draw blood I managed to pass out again and then managed to crash. My temp was at 103.1 (which in my opinion is a radio station, not a human temperature). They moved me to an emergency triage room, drew blood, hydrated me, and gave me an anti-mimetic, morphine, and a whole bunch of other things. At this point my typical 128/72 BP was reading at 84/42.

I was told they were admitting me. Amazingly in 40+ years this is the 2nd time I’ve been admitted to a hospital and even the 1st time shouldn’t count as I was 5 for an outpatient procedure they felt would be better as inpatient due to my age. My BP and temp were worrisome enough, but the blood test showed my white blood cell count was VERY high. They also wanted to run a CT scan. I hadn’t eaten, but they weren’t sure if I might need surgery, so they didn’t permit me to eat or drink.

I got to spend the night in a nice single room in the hospital and around 10am the nurse called a doctor and got permission for me to get food… Starting at lunch. Fortunately Heather showed up and brought my computer and power cables and then ran down to the cafe and got me a banana and a bag of Fritos (The latter of which isn’t sitting as well as I’d hoped)

So… Now I am in the hospital with no real knowledge of release or what the diagnosis is. I’m feeling about 80% as compared to the 10% last night. I’m even trying to do some work to stay on top of things.

I’d welcome visits from friends. I’d ask that you email or IM first. (If you don’t have an email to contact me… ) This is why I’ve been vague on “The hospital.” When you contact me I’ll give the details.

Not doing too badly. Don’t know the details, still.

-Me

Me: And how have you been?

Her: About as usual. Stressy.

Me: *hugs*

Her: It’s a thing.

Me: http://bit.ly/LLi4ds ???

Her: Not that kind of Thing. 🙂

Me: http://bit.ly/MmRZOe ???

Her: …no.

Me: Oh, my bad. http://bit.ly/M4K6yw !!!!

Her: …Yes. 🙂

Twas the week before DevCon
  and all through the net
all the banners were leaking
  more news yet to get.

  The rumors were hung
by the bloggers with care
  in the hopes that this rev
was filled with great flair.


Okay enough with the really bad filking. With just a hair over 5 days until the keynote of WWDC 2012 it’s time for my annual predictions. Some will carry vegas style odds which I will not cover or take bets on.

The post is rather disjointed as I am in the middle of crunch on a project that we wanted to fire off before or during WWDC… But, we’ll get it when it’s done. Not when it’s convenient.


HARDWARE:
It’s obvious that the Mac hardware line has gotten very long in the tooth. We’re definitely seeing an upgrade of the entire line. Also, as mentioned in my 2012 overview posting. Expect there to be some mixing/realigning of the Macbook Air/Macbook Pro line. With external monitors the 17″ may not be long for this world. (A shame because it’s been my primary model for about 6-8 yrs)

The Mac Pro may FINALLY see a body redesign. There’s a lot of wasted space in there. The device has somewhat subsumed the XServe which had that nice 1U body form. So the Tower may see a form factor change to make it more compact for the server room. I’m thinking something akin to the Mac Mega (Opposite of Mini). I don’t expect it to look like a Mini except maybe something a little more streamlined.

The Mini and the Airport Time Machine have continued to sort of drool into each other. We may finally see the fusion there.

Hardware updates?

  • The delayed intel chips,
  • thunderbolt and BTLE everywhere.
  • Better cameras.
  • Better video cards.
  • Better RAM and drives.
  • And likely more devices with OUT the DVD. (Anyone else remember, “No Floppy”?)

The OS? Well we’ll get to that next.


OS X 10.8:
By the rumours boards it would seem that we’ve seen 5 seeds of the OS. Or more correctly 3 with 2 updates. Comments from forums by people breaking NDA is that the new OS:

  • For starters is snappier. (I had to)
  • Is more stable that 10.7
  • Has good feature add.

So, Is 10.8 ready for Prime time. Will the new devices release with 10.8?

I’m going to give the release of 10.8 an even 50% chance of being released either at the keynote or within a week of it. I will give the announcement of a release date 100%.

How much will OS X 10.8 be?

My belief is that there is a 75% chance that
    OS X 10.8 will be free
to 10.7 users and
    $29.95 for 10.6 users. There will also be a direct upgrade path for 10.6 users.

Is there anymore to OS X 10.8?

I believe so. But as for what. I’ll return to after my comments on iOS.


iOS 6:

So lets talk about iOS 6. There’s been no actual word from Apple that there will be a release of iOS 6.0. However… 5.0 announced at WWDC 2011. Apple has stated that it wants to move to once/year OS updates. So… 6.0 is a reasonable assumption. And now my wish list and percentage chances. (Please note… percents are per line… not additive)

We’ll start with the easy OS features and changes:

  • Open GL improved (100%)
  • UIKit improved (100%)
    Gaming and UI are iOS’ bread and butter. A lot of effort goes in here both in presentation and development. Struts, storyboard, etc. Expect some nice things here.

  • Multiple exchange calendars. (40%)
    A common wish list item for enterprise. (I know I could use it)

  • Built in VNC.(65%)
    Apple remote desktop and screen sharing between iOS devices and between iOS, Mac, and Apple TV products. Would also work with XCode for debugging. (65%)

The next set are my big ticket items. Things that we’ve been hoping for that will be full developmental APIs.

  • Core Mapping(80%)
    A reworking of Mapping and Core Location. Now includes full non-Google maps, find my friends/phone and 3 dimensions of location.

  • Core Dictation (Includes Siri)(75%)
    Many times a product has started on one device and then spread. Siri will wind up on all iOS not just iPhone and likewise dictation will be on the iPhone4S. The API will be opened to developers. Apps will be Siriable. Dictation will be programable.

  • tvkit.framework (Apple TV 2 & 3 only)(65%)
    In the pre push for the TV, Apps will finally be allowed on the Apple TV.

  • Core Messaging (IM and Mail)(60%)
    Finally taking a page from address book and media… Mail and Messaging will be open programable. The messaging backend will be federatable so that other systems can use it.

  • Core Profile (Parental/Enterprise settings)(55%)
    Configuration of a device will be upped with Core User to allow both an enterprise device with FULL configuration and also Parental Supervisory controls. (Which on retrospect are really the same thing)

  • Core Process(40%)
    True backgrounding processes – The ability to create small daemon like code to run in the background and signal notifications. (Great for accessories)

  • Core User (Multi User) (Feature: 65%; API 30%)
    At long last an iCloud alternative to having more than one user on an iOS device. It may not be pretty but it will work. A core OS will live on the device and then you’ll iCloud shift active user.

  • springboard.framework(25%)
    Configure the look of the home screen, app pages, and folders.

  • Core “Something Else”(65%)
    I still think there is a WHOA feature that no one has touched on. I think that Core Something Else will be on both iOS6 and OS X 10.8


FOR DEVELOPERS:
I think we’ll see

  • XCode 4.5 / 5.0 – Depends how much the UI and the engine get revamped. (90%)
  • Raise the beta bar over 100 users – a common complaint (50%)
  • iOS Developer Frameworks – iOS devs will have a way to build framework bundles not just linked libraries. (Also requires an approval process) (40%)
  • There will be discussion on Radar. (25%)

THE APP STORE (iOS/OS X)

  • Tiered Upgrades. A common complaint

ANNOUNCEMENTS:
iPhone5. If the phone will be releasing by the end of Summer/Early Autumn (with iOS 6)… Then there is a 60% chance of announce. After that… don’t hold your breath. I do not Believe they will be releasing the iPhone for a while because it probably depends on iOS6 which I believe is also still under dev.

The famed Apple GOD TV. (As opposed to the Jesus phone, as it used to be referred to)… I think that the TVKit.Framweork will be the tip of the iceberg. I think it will tell people that the AppleTV (2 and 3) aren’t a hobby anymore.

That being said… I don’t think we’ll see the TV announced. No sensational “Thus spake Zarathrustra” moments on this. It needs an event to stand alone.

Other things that I just don’t have the effort to get all crazy about:
iTunes updated
iLife updated

I think this year’s WWDC may be worth writing home about.

This post contains some medical information that may be TMI; but I try to softball it. Also: The picture to the side is fake. This is not what I looked like during the episode.

This morning I awoke to an annoying feeling that there was something in my mouth. Sadly that object was my tongue; but it was assuredly the wrong size. The left side was noticeably larger than it should be.

When I was in my graduate school years, I began experiencing random episodes of Angioedema. Initially I’d believed that my arches were falling from doing too much folk dancing on a paved drill deck. I’d feel swelling on the bottoms of my feet. Then it spread to my hands, and at rare times my face. The usual target was my lips. The most entertaining episode was a swelling of my eyelids the day I was helping to teach a class on Origami. My friend in the group who was Japanese took one look at me and said, “You’ve gone a bit overboard for this.” I replied, “Ironically timed illness.” The worst episode had my face swollen to the point that my eyes wouldn’t open. My ex-gf to this day tells me it wasn’t as bad as I think. (I still believe she lies really well.)

I didn’t know what it was because typically by the time I’d gotten to a doctor, it had faded. After a FULL battery of scratch tests, I came back negative on all counts. Allergists put me on Zyrtec and Zantac as sort of a “Hopeful Guardian”. The random flares subsided but never went away. For the longest time the culprit remained unknown.

We turn the clock forward a smidge over a decade and now I have a 6 month old child. One night the child is really crying. We call the doctor and he says it could be teething or a mild fever and to give him children’s liquid Motrin. Filling the alligator dosage spoon is a very messy job. Motrin is also annoyingly sticky. And about 30 minutes after dosing the infant… my hands were hurting. No, they were swelling. The reason I didn’t place a link for Motrin is because of what it is. Motrin is liquid Ibuprofen. Ibuprofen was something we used in abundance in my grad school days.

It turns out that Ibuprofen only has a half-life of 1.8 – 2 hrs. This of course is based on how it is distributed to the system. You don’t take “Ibuprofen” directly, you take it in a pill that releases it over a certain amount of time. Liquid and gel forms are more fast-acting. This would explain why one or two ibuprofen tablets wouldn’t show a reaction for several hours and not be really noticeable for making a connection. It would also explain that taking one or two maximum dosage tablets (and why would a college student ever think of exceeding the daily dosage of a painkiller) might have a cascade effect.

So with the reaction to my hands from the Motrin and the thoughts back to college. Okay… cut out ibuprofen. Easy. And the number of episodes of Angioedema became negligible.

The clock of reminiscence returns to today.

I woke up this morning and my tongue was very swollen. I went to the bathroom and opened my mouth to look. This caused my tongue to move back in my throat. Bad plan. I choked for about 45 seconds trying to clear my airways. This I fortunately succeeded at. Blessings upon the great Saint Demosthenes and his determination to fight a speech impediment. I was only concerned with maintaing a slow and calmed breathing pattern. I knew that if I couldn’t muster that, well… I had to muster there was really no choice.

I woke Heather calmly and signed to her that I was swelling and having difficulty breathing. It was also obvious that Demosthenes be damned, it was nearly impossible for me to talk. Swallowing and/or talking led to me having to re-adjust or choke a little.

In her words “I’m not panicking, I’m just energized.” I kept mouthing to her with a smile, “You lie.” She was determined to convince me that she wasn’t panicked and works great in a crisis. It was tense as we located the nearest hospital. The problem with Yogic breathing and concentration is that when you tell the drone at the emergency room, “My husband is having an allergic reaction, his tongue is swelled and he’s having difficulty breathing.” they tend not to get very fazed. She was about as deadpan and dis-interested as imaginable. In retrospect, understandable. At the time in question ANNOYING! She paged the staff and said, “Triage: Patient has swollen tongue and difficulty breathing.” And a nurse and tech appeared within about 15 seconds. Yay medically trained people.

Within about 10 minutes I was in a room and being prepped for an IV. My BP was 158/88. My BP NEVER goes above 132/76. The nurse looked at me and said, “Do you usually take your BP when suffocating from anaphylaxis?” She also said I’d be good as new and I asked if I’d be able to play the piano again to which she responded, “Absolutely, and pitch for the Yankees as well as you did before as well.” She was good.

The IV cocktail was a combination of Benadryl, Pepcid (Similar to Ranitidine) and some steroid that I don’t remember. They three kept (and to the moment still keep) me kinda loopy with waves of clarity. As of 6pm the bouts of clarity are much better. Thank you to EVERYONE who commented.

As a result, I am now the owner of an EpiPen. I’ve known people who’ve had them. However, until about 15 minutes ago when my prescription was handed to me, I’d never seen one, seen one used, etc. And no, “Pulp Fiction” used Adrenaline. So the chance of something like this happening again are much more reduced.

The cause is still up in the air and as mentioned, we’ve already begun scheduling my trip to an allergist.

Thank you one last time for all your good wishes. All is well.