Tag: FMS (Page 1 of 50)

Leg Cranps & Spinal Cord Stimulator

For the past week or so, I have been experiencing pretty bad leg cramps at night. Bad enough they wake me up, and on more than one occasion, I have to get up and walk around. Obviously, this is not a good thing.

The HDX team tends to call me every week or so to check in on how it’s going. I received such a call yesterday and related the leg cramp issue. It was suggested that I turn down the power/intensity of the treatment at night and see how it goes. This is easy enough to do using the iPhone app, which I did last night and experienced no cramps. While one night does not make a trend, it is a start in the right direction.

I spent about five hours yesterday troubleshooting my wife’s email issues. Recall, I have her set up using Thunderbird. It worked fine for years, then all of a sudden did not. I previously had her set up on a Gmail account, which she does not use. I set this account up to also use the account previously on Thunderbird, and got it to send and receive both accounts. The last thing I am working on is migrating all of her Thunderbird emails and contacts over to Gmail. I’m attempting to accomplish this with a piece of software, but I haven’t gotten it to work yet either. Good thing I have time on my hands.

One of our son’s business partners, who runs a construction company, is to stop by today and look at repairing our front door. Standby

Hobbies: Raising Tomatoes

Here in North Texas, we tend to have warm weather well into the Fall. I first planted tomato plants outside on Feb 28, and we had our first ripe tomato in May. The last of these tomatoes ripened in September, and I then pulled the plants.

About the sixth of September, I planted two new plant starts of the Roma variety. As I write this one month later, we have a nice-sized tomato on one of the plants that also has several additional blossoms.

It appears that we can safely double-crop tomatoes here in Pecan Plantation.

Let The Good Times Roll

My health continues on the upswing. Pretty soon, at this rate, I will be as normal as can be expected given the condition my condition is in. Got all that on board?

My lab visit this morning consisted of recalling all my biometrics for the technician, covering my hands with a special ointment, then washing them, and finally examining them under a black light to identify any missed areas. There were a few places, especially around the wrinkles in my knuckles, but no biggies. Then a blood draw, and lastly a flu shot of this season’s expected variety.

Stopped on the way home at a Chinese place we frequent and brought home hot and sour soup for lunch. It was too much on the hot side, so did’t eat much of it.

Our former dog walker’s last day was Monday, but luckily, we found another, and she walked Dickens yesterday morning for us. I will take him for a golf cart ride this evening, so he will have two “outings” per our plan to do this at least three times a week.

Going to chill out to ride time. Meanwhile, Let The Good Times Roll!

Little More Dialysis & Spinal Cord Stimulator ++

Today, we are to host our dialysis nurse visiting our humble abode for an annual home check. Not certain what’s involved, but we are what we are. Not expecting any trials and tribulations from the visit. Will advise tomorrow when we have completed the visit. It’s annual BTW.

Keep hearing from the Spinal Cord people. I get frequent calls from their tech reps asking me how it’s going. They outfitted me with an iPhone SE with their app on it, which I update how I’m doing. The app also informs me how much battery I have left in the battery pack embedded in my back. It was activated on 9/17/25, and so far, after 12 days, it shows three of four bars. Regardless, I’m going to recharge it on Wednesday. It has an inductive recharger that looks like a small ping pong paddle, and a battery pack for juice. The HFX (what the device is named) has a video link on its web page that is very easy to follow.

Our new domestic showed up today as planned. My wife and I split up her five hours allotted time. I had her do yard work for me, and my wife has her busy with household chores.

We are rolling along, getting stronger each day. Rationalizing meds has helped me gobs and now I wake up with a clear mind and ready to rumble.

It’s Monday, but not Blue Monday

Before I even got out of bed Sunday, my wife informed me that we were making a “To Do List” first thing. That generally does not bode well for me, as often as not, she has some task in mind that I’d rather pass on. So this morning I beat her to the punch and made up my own To Do list as follows:

  1. Massague Linda’s legs – this was added first thing, and I didn’t mind.
  2. Take Dickens, our Golden Retriever, for a golf cart ride. On days when our dog walker is not scheduled, I generally take Dickens for a 20-minute cart ride around Pecan Plantation, which he really enjoys, in the mornings and evenings.
  3. After the ride, fuel the golf cart. I do that once a week. Takes 5.5 gal and topped up today.
  4. Check tire pressures on wife’s car. We recently had new tires installed, and according to the car’s tire pressure monitor system, all pressures were off. Not now.
  5. My wife has a stick vacuum cleaner; she does out tile floors with a Golden Retriever that produces gobs of hair. The brush was not going around was reported. I ran it on my workbench for some time without any difficulty, and also vacuumed floors, also no problem. So this one ended up as an open item.
  6. We have a local gal coming in today to work in the house and do some yard work for me, which I had to get ready for. I filled our wheelbarrow with bark mulch – 2 1/2 bags, and loaded a cart up with 2 bags of mulch/compost for use tomorrow. We’re going to place bark mulch around three new trees we have recently planted in the front yard and replace the mulch that has floated away in the rainstorms we have here in North Texas.
  7. We have a thornless rose that grows very, very rapidly and needs trimming almost weekly. I got the big Ryobi 40-volt trimmer out that we have and gave the bush a trimming.
  8. The last thing on my list is to watch the Ravens-Chiefs game at 3:25 PM. I’ll be ready to sit by then.

Meanwhile, I’m going out and clean the front bumper on our truck that I recently backed into and left a little evidence behind. Keep in mind, all of this was accomplished before lunch by an 86-year-old on dialysis with heart conditions, a spinal cord stimulator, and diabetes. Not too shabby, I would say. Now to the ball game and Dickens’ evening golf cart ride.

Fresenius Dialysis Cycler: A Mostly Hate Relationship

You would think that a central piece of equipment for dependable peritoneal dialysis would be the Liberty Cycler from Fresenius. I have not found this to be the case. In this regard, the Cycler, often as not, has a mind of its own. It does what it wants to do rather than what it’s supposed to do.

Last night was a case in point. I had two bags on the cycler, a six-liter IPN bag on the heater tray, and a 5-liter bag hanging on the left of the cart connected to the first “White” bag lead. I went through a normal setup until the Cycler ran checks for bags and repeatedly informed me it found no heater bag. Usually, this is caused by not having cracked the cone enough, and over and over again, I checked the cone being broken on both bags to no avail. I had to shut the cycler down, replace the bags and cassette, and start over. Of course, this was happening on a night when I had to get up early to go to Fort Worth for an appointment regarding my spinal cord stimulator.

After the reboot and replacement of bags and the cassette, everything worked as advertised. I’m pretty certain the cassette was to blame, as this has occurred before. It is from a freshly delivered box, and the first one out. This is one of those instances where a call to tech support would only have consumed precious time and not have resulted in a more harmonious result. In this regard, Fresensisus’ “tech support” is an oxymoron.

Typically, one has a love/hate relationship. Not here, only hate. What’s to love about an inanimate piece of junk that lets you down?

And yes, my visit to the doc about how my SCS is doing went well. Got “See you in a month!” guidance.

Look Out, Here I Come

With each passing day, the site of insertion of the Spinal Cord Stimulator is becoming less and less bothersome. At this rate, in a week or so, I should be as good as new. Have a checkup in Fort Worth this Friday. During this visit, I’m certain they will look at the area on my back, ask if I have any questions, and send us on our way—no big deal.

When we visited my dialysis nurse to unplug my stopped-up catheter, which I previously reported on, she suggested getting our GP to issue a script for meds to increase my appetite. I was at a routine dental appointment yesterday and took the opportunity to go a couple of blocks up the street to our GP’s office, where I requested a call from him to discuss getting prescribed such a med. He is scheduled to call me at 4:40 PM on 9/22. We’ll see what he comes up with. This suggestion is because the IPN is NOT increasing my albumin, while a significant cost and inconvenience to us.

I quizzed Perplexity about such appetite-increasing drugs and received the following information:

Here is a table listing the most common drugs prescribed or used to increase appetite, ordered roughly by how widely they are used or recommended as of 2025:goodrx+7

Common Appetite Stimulant Drugs

Drug/Brand NameDrug ClassTypical Use/IndicationNotes
Megestrol acetate (Megace)Progestin hormoneCancer, AIDS cachexia, and seniorsFDA-approved; strong efficacygoodrx+4
Dronabinol (Marinol)CannabinoidAIDS, cancer wastingFDA-approved; synthetic THCgoodrx+4
Mirtazapine (Remeron)AntidepressantDepression, off-label for appetite lossIncreases appetite/weight, often off-labelbuzzrx+3
Cyproheptadine (Periactin)AntihistamineAllergy, off-label for appetitePediatric use common, prescription neededbuzzrx+3
Oxandrolone (Oxandrin)Anabolic steroidSevere trauma, infection, cachexiaFDA-withdrawn in US, available elsewhere goodrx+2
Corticosteroids (prednisone, dexamethasone)Steroid hormoneCancer, appetite lossOff-label, increases appetite but with side effectsgoodrx+2
Antipsychotics (olanzapine, quetiapine, risperidone)AntipsychoticPsychosis, bipolar, depression, off-label for appetite lossStrong side effect of weight gain & increased appetitegoodrx+2
  • Megestrol acetate and dronabinol are the only appetite stimulant drugs approved by the FDA, especially for severe disease-related appetite loss.healthline+2
  • Mirtazapine is increasingly used off-label because it reliably increases appetite and weight.buzzrx+2
  • Cyproheptadine is often used for children/adolescents with appetite loss.droracle+2
  • Oxandrolone is now uncommon in the US due to safety issues, but is still used elsewhere.goodrx+1
  • Corticosteroids and most antipsychotics commonly cause increased appetite as a side effect, which is sometimes exploited clinically, but significant side effects may limit long-term use.webmd+2
  • Appetite stimulants are primarily prescribed for disease-related appetite loss (cancer, HIV/AIDS, or cachexia) rather than general weight gain.

This table provides an up-to-date, ranked overview for clinicians and patients interested in medically supported appetite increase.rxlist+7

Medical Curve Balls & Words Have Meaning

We started Tuesday with a call from a nurse at the surgical facility we will be going to tomorrow to have the permanent spinal cord stimulator installed. Everything was boilerplate until she mentioned the timing; we had previously been informed that the procedure was to take place at 1400. We were now told that we had to be there at 10:30 for the procedure at 11:30. My wife had set up our dog walker to take care of him in our absence, and we had worked out when we had to get up and leave for the drive to Eulis. Now, all of this planning, in one fell swoop, was out the window, and we had to regroup. Additionally, the nurse informed us that the doctor’s office had no idea when the surgery would be scheduled and just put a number in their computer as a placeholder. This folks is the epitome of medical curve balls that seem to happen frequently. As patients, we are merely objects for doctors and their schedulers to toss around at will. In this regard, we are, as patients, rarely, if ever, asked about scheduling but are told. At this point, there seems to be no recourse, but once the fat lady sings, it will be over. Have the follow-up on Friday, and we will be rid of this stage short of complications.

By my nature, I dig words. I have been an avid reader since, like forever, even as a small boy. In the news about the Kirk saga, I ran across the words “stochastic terrorist act,” which were new to me. I understand stochastic from my advanced statistics courses at Purdue University, and terrorist acts from my military course on terrorism. But putting them together is a new discourse for me, so I did some digging with the following results:


A “stochastic terrorist act” refers to an act of violence that is statistically predictable but individually unpredictable, incited indirectly by public rhetoric rather than explicit instructions or direct coordination. Unlike traditional terrorism, stochastic terrorism involves the use of mass communication or media to demonize or vilify a group or individual in such a way that it motivates random, lone actors to commit violence.

Definition and Characteristics

  • Stochastic terrorism describes a process where influencers or leaders use hostile, inflammatory, or coded language in mass media to incite others to commit violent acts against targeted groups, but the specific acts, perpetrators, and timing remain unpredictable.
  • The perpetrators—often “lone wolves” without formal links to terrorist groups—are inspired by repeated public rhetoric, not direct orders.
  • The link between the rhetoric and the act is statistical: increased hostile campaigns raise the probability of violent incidents, even though no particular event can be predicted in advance.

Real-World Examples

  • Instances such as the 2021 US Capitol attack or hate-motivated lone wolf assaults are often analyzed as likely outcomes of stochastic terrorism: the rhetoric by influential figures creates an environment where violence is statistically probable, though each specific act is random.
  • The term is frequently used in contexts involving demonization and dehumanization on social or traditional media, where “virtual incitement” is intended to provoke action, creating legal and ethical dilemmas for free speech and accountability.

Key Points

  • stochastic terrorist act is triggered not by direct command, but by the public environment of hatred and suggestion, which statistically increases the odds of violence.
  • Actions can range from threats and harassment to physical violence, all provoked without explicit incitement, making perpetrators and instigators legally disconnected but causally related.

In summary, stochastic terrorism describes how public demonization or coded rhetoric by influential figures can lead to unpredictable but statistically probable acts of violence, offering the instigator plausible deniability while fostering real-world terrorism.

So now you too know what stochastic terrorism means. Hot dog!

Insight Into What Makes Me Tick

While in the US Navy, I was deployed to somewhere involved in the Vietnam Conflict. Twice, it was on a spot in the Gulf of Tonkin named PIRAZ (Positive Radar Advisory Zone), and the last was a tour in-country as Ordnance Advisor to the Brown Water Navy. We often had time on our hands to think about what was going on back home.

I graduated from high school in 1956, and in 1957, a duo named Johnnie & Joe recorded a hit named “Over the Mountain, Across the Sea.” This song got stuck in my mind, and while I could only recall the lead lyrics, when thoughts went to “back home,” to this day, those times (perhaps mild PTSD), places, and thoughts are still with me. So bear with me while I’m over the mountain and across the sea with my thoughts, thinking great things about my family, what they might be doing, and how, at that time, I missed them beyond description, and how grateful I am now to have a warm bed with my wife of 63 years by my side. See the song embedded below, please!

Planning A Week Ahead

Going to be a somewhat busy week for us. Here’s what’s coming down:

Monday: Third estimated IRS tax payment due. I already made it. Have a 1315 audiologist appointment in Stevenville. Have these every quarter courtesy of the VA, wherein the doc checks out my VA-provided hearing aids and my ears to ensure all is proper. Worth the trip.

Tuesday: Pentec should make our weekly delivery of IPN supplies for the next seven days. This requires a fair amount of manual labor on the part of my wife to unpack the boxes, place the contents in the provided refrigerator, and set the boxes up for the next week’s trash.

Wednesday: 1400 travel to Eulis to have “permanent HFX device installed. That is the Spinal Cord Stimulator, after which I go on pain and antibiotics meds and am refrained from lifting over 6 lbs for some time, and am also restricted from taking a shower, during which my body can get a little r

Raunchy is embedded in the song below.

Thursday at this point is a free day.

Friday: 1100 follow-up with the doc who installed the spinal cord stimulator, this time on Pennsylvania Ave in Ft Worth.

We’ll see what else jumps out and is added to this schedule.

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