“Imagine!”

Posted: December 8, 2010 in Uncategorized

       Imagine hearing your individual amateur radio callsign coming back to you through the aether in morse code from a scientist working at the McMurdo station in the Antarctic.    

       Imagine your callsign in morse being sent by a Boeing 747 pilot on a transatlantic flight.      

      Imagine your callsign being returned from the Space Station by the United States Space Station astronaut who is conversant  in morse code.        

       Do you see and feel the thrill these moments would create in the minds of medically challenged young adults?   Do you understand the feelings of pride and accomplishment these moments would create in medically challenged young adults, who have formerly felt the pain of underachievment and low self esteem?  How wonderful the moments would be if recreated under the audience of the youngster’s important peers  (who cannot feel this pride because they have not worked to accomplish morse proficiency and worked to pass the exam needed to obtain an amateur radio license).  

      You will not know how much fun, stress diverting and self esteem elevating amateur radio, including morse communication, is unless you are exposed to this impressive mode of communication.  Morse communication combines the fun, challenges and self esteem elevating properties of video gaming with the utility of cell phone texting to communicate with other people. However, morse communication does not have the risk of addiction to video-gaming, including addiction  to the mature video game themes. Morse communication is so much more fun and faster than cell phone texting.  

      Thirteen years ago, KID’S CLUB was imprinted on the developer’s mind. This developer has been searching for help (chairpeople) to move KID’S CLUB into the nation’s medical institutions and Ronald McDonald Homes.  He is still searching for the influential people who can move this wonderful project into the medically challenged young population. In the hospital discharge process, the young patient’s parents would leave a refundable cash deposit with hospital personnel, take home the KID’S CLUB amateur radio and morse communication exposure unit, use this unit at home and then return the unit to the hospital personnel for a refund of this deposit.  The young patient could also purchase this unit by forfeiting this deposit. The chairpeople of KID’S CLUB will solicit unit funding for these hospital supplied KID’S CLUB units from local service club membership (Kiwanis Club, Lions Club, Rotary Club, Shriners Club, or Elks Club).

      The project cannot succeed unless you step forward and volunteer your time and influence to enable success.       E- communication is so boring and routine- again, mental ESCAPE from worry and depression is possible by using KID’S CLUB units. Thanks so much for being kind and caring enough to consider volunteering.      

      My motive is humanitarian, not financial. I am now a senior citizen and would like to be able to utilize my ideas when I have to enter the hospital or nursing home. Thus, I guess that I have a selfish motive. It would be so nice to have my choice of  “Recovery Radio” distraction curtains surrounding me while my choice of soothing music is played into my pillow and my choice of olfactory management is maintained. I would like to see intravenous catheters inserted into my veins first time, every time- even if a novice is giving me this care. I would like to be able to use my ComCage unit while I am in the nursing home and would love to be able to enter a hospital room devoted to the information management for all the wonderful, healthy hobbies that are now available. I would love to see the young patients exposed to the “Hospital’s Hobby Haven” room and also have a KID’S CLUB unit available for use by hospitalized young patients, their families  and the pediatric mentally ill.    I would love to see “Facebook Depression” as a now extinct diagnosis because of the availability of KID’S CLUB units and the “Hospital’s Hobby Haven” DVD’s. I would love to see the two to six year old patients in the hospital energized by the availability of “Holiday Hams”- an effort to tell these young patients that they are loved, important and will be thought of during their stay. The patients’ favorite storybook hero will “talk” directly to the youngster.  It would be so nice to be able to “talk my attending physician” into signing off on my request to utilize the “bathroom independence” facilities that I talk about here and are now routinely in use. I would like to see the allied health professionals using my “Crib Note” idea routinely.  I would love to see the patient concern about adverse drug events a “non-issue”. The safeguards I propose in this blog make such mistakes impossible.       

       I have a patentable idea that would be heavily used in the amateur radio and possibly also the military communities.  This idea is not seen at this time, in this project blog.  It would be reasonably priced, very unique, easily used and would have no similar product like it. I will give this idea to any corporate staff who will agree to earnestly work on and help develop the KID’S CLUB aspect of this project. I would hope also for a licensing agreement with this partner that will give partial revenues from this patentable idea directly to my three children and my personal friend, Pastor Wayde Kenneke- to lighten their economic load in life.      

       I hope that there are people perceptive enough to see the value of one or more of these ideas.   Please email me at: duanewyatt@hotmail.com if you are interested in helping me.   My cell phone telephone number is  916-677-9799.     My wife’s  (Sheryl)  cell phone number is: 916-677-6936.

     Yes, this post can certainly be considered “certifiably Jules Verne”.  But, perhaps the technology exists to develop this idea.  Here goes:

     Amyotrophic Lateral Sclerosis patients are not able to move skeletal muscles in the later  stages of this disease. Thus, communication with the caregivers may be a problem.

     The Morse Code alphabet is a truly binary language. It consists of combinations of dots and dashes- short and long sounds, lights or, in this case- higher and lower  brain wave frequency  patterns. I know that there are differing brain wave patterns.  These brain wave patterns consist of differing frequencies. I know that it is possible to manipulate one’s own brain wave patterns.  Perhaps research can find out if one or more of these patterns can communicate in the binary morse code language.

     The ALS patient could learn the morse code language during the early months of the illness and would be conversant in the language when it is needed to communicate with the caregiver. I can talk to other morse users at speeds up to thirty words per minute. I copy the morse in my head, with minimal use of written notes. I find the morse code language fascinating and loads of fun.

     Would it be a possibility to forsee a communication method in which EEG sensors distinguish higher and lower frequency patterns of brain waves, consciously produced by an ALS patient conversant in morse code? The software of the computer attached to this EEG device would then translate the CW (morse code) that is sent by  the patient. Perhaps this EEG could be combined with computer software-developed only for this purpose and would be a new medical device, invented for this purpose.

     Perhaps this communication method would also be valuable as a communication tool for Muscular Sclerosis, Muscular Dystrophy and Cerebral Palsy patients?

    As an alternative or in cases where total muscle paralysis is not present, Toyota motor company’s “Touch Tracer” technology could possibly be applied here to provide an alphabetized and symbolized pressure touch flat screen. The caregiver would slowly move each letter on this tablet under the patient’s finger. The patient would slightly press each letter and/or symbol  he/she wants to use and this letter-symbol  would be displayed on the room’s television monitor for everyone to see.

      Once again, I do not know if this post is a possibility and it seems far fetched to me,  but it is worthy of thought and perhaps pursued further with research?   I have read about the research being done with “Brain-Computer Interfaces.”

     As I have stated, some of these ideas appear to be “Jules Verne” in nature, however I believe that they will one day be a part of every hospital, nursing home and hospice.

     When I am thinking about how hospital care can be improved, I think about my days as a patient  in the critical care department of a hospital. I think about my thoughts at the time and I then think about ways to correct the concerns I was thinking. This is one such correction. I still remember, years later, the “butt chewing” I endured from my nurse after I tried to go to the bathroom without her help.

     When  capable patients  have to eliminate (and/or bathe) , they can have the ability, although bed bound, to accomplish these bathroom duties without the help of a caregiver.

     Health-care providers will see the incidence of CAUTI (catheter associated urinary tract infections) go down if these facilities are developed and routinely used.


     There will be tracks in the ceiling of each room (One end would be at the ceiling of the patient’s bed and the other end of this stainless steel track  would cross the bathroom stool ceiling and end in the bathrooms’ bathtub ceiling.)  with a stainless steel “children’s swingset” seat customized with retractable stainless steel harnesses to keep the patients on these seats.  We are all aware of the harnesses that retract after roller coaster rides. Perhaps this system would work well here also. This system would differ from roller coaster harnesses in that the harness would have to retract from both the front and rear sides of the patients. Sensors in each harness would limit the  “travel” of each harness to prevent their placement around the patients in an adverse manner. Perhaps the harnesses could consist of two stainless steel “bars”. When the chair is resting below the hospital ceiling, the bars would be at rest above the seat. After the patient slides onto this seat, the patient would press the control button to move these bars down to rest at mid-femoral and mid-lumbar regions. This should provide enough stability for patient safety.
 
 
     The two ” children’s swing seat chains” would instead be two motorized, collapsible stainless steel tubes – one on each end of this seat. Thus, if the seat is not being used, it would be seen just below the bathroom door ceiling until it is used.

    Simple patient controls would be on the beds and just above one leg of the seat. UP-DOWN-BACKWARD- FORWARD -NURSE ALARM -HARNESS FORWARD- HARNESS RETRACT  and other simple commands would be present.  These controls would be battery operated and waterproof and easily sterilizable.  The controls would have a safety feature that would prevent this seat from moving above a specified distance from the floor while the patient is on this seat. The caregiver would be able to over-ride this feature to place the seat at resting level after the patient has gone home.

     Capable  patients would command the unit to come to the patient’s bedside and lower the seat to bedside level.  The patient slides forward to be placed on the seat, commands the harness to surround (or partially surrounds)  his body and proceeds to the bathroom for elimination duties and/or bathing. After these duties are accomplished, the commands would begin again. Toyota motor company’s ” Advanced parking guidance system” software could perhaps be used to “fine tune” the placement of this chair at the patient’s bedside, toilet and bathtub to provide ease of use and safety.

      Perhaps this system would free up the nurses for other duties.  Perhaps this idea will help correct shortfalls in nursing care due to adverse nurses ratios due to budget cuts and nursing shortages. Perhaps this idea may help reduce the incidence of patient falls while in the hospital. Perhaps paraplegic patients may find this idea valuable while in the hospital or at home. Perhaps this idea will not work. There would have to be informed consent forms signed before using this system and would be available only after approval of the hospitalist in charge of the patient. If the system is in use, a nurse’s station light will alert the caregiver of this use.

“Intravenous Reminders”

Posted: July 28, 2010 in Uncategorized

     We all know about the electronic signs that “scroll”  moving words across the rectangular screens.

      Perhaps, it may be useful and help the patients focus on positive news if the horizontal tops of the intravenous poles are made of these small horizontal battery operated signs that say,” Remember, with each drop of this medicine- you are one step closer to home!”

      These signs could be tastefully and professionally manufactured, with molded  (an integral part of the intravenous stand), stainless steel framing, small in size and with pleasing colors- i.e. the one inch high letters could be in the amber color or light blue color.

     This project blog contains ideas from  “simple to complex”.  This idea refers to the type of over the bed food tray commonly seen in hospitals. These trays are made of sturdy wood laminate tray tops with metal supports and pedestal casters. This idea would be valuable to patients in hospital beds who have to turn around and strain to try to find their glasses, or pen and paper, or wallet, etc. in the drawer by the side of their hospital beds. Perhaps, some patients  may worry about their eye-glasses being knocked on the floor if they are placed on top of this furniture. They may have to ask family members or hospital staff to help them locate items that may be important to them.

     Perhaps it is possible for the food trays that are currently used to contain a small drawer directly under the top of the food tray. Personal items that are important to the patient could be placed in this small drawer, within easy reach of the patient. If this idea is possible, it may alleviate one small concern from the many concerns these patients would have.

         I found the following information on the internet:

       ” Patient injuries resulting from drug therapy are among the most common types of adverse events that occur in hospitals.9 Although the incidence of ADEs (adverse drug events) and their effect on costs have been investigated in only a few hospitals in the United States, the implications are clear from published results that ADEs constitute a widespread problem that causes injuries to patients and disproportionately increases expenses.”

    

       The medical profession sometimes does not give one a second chance after an error is made.

      I foresee a medical paradigm in which the worlds of computer science, pharmacology, government regulation, nano-technology, nursing care and biomedical engineering collide to erase a nurse’s grief due to adverse medication events.

    The technology exists for FDA regulators to require pharmacologic bar-codes on bottles of medication which reflect the medication’s name, refractive index, specific gravity, osmolarity, osmolality, dosage, strength, route of administration etc.

      The method of delivery of  parenteral medication has not changed in years. Why couldn’t the computer laptops you will learn about in later posts on this blog be also used with infrared or laser barcode sensors to read the barcode of each bottle and consequently further infra-red or laser sensors attached to the neck of each bottle of medication by the caregiver reads the diameter, length, refractive index, specific gravity (perhaps also incorporating the colorimetric methods used by blood chemistry analyzers), etc.  of the medication in the syringe as the medication is drawn up?  Medication syringes that are marketed with the medication already in the syringes are scanned in a similar manner by portable infra-red or laser barcode and medication chemistry scanners. The name of the manufacturer of the syringe and other parameters would be entered in the software of the laptop computer so a warning can be given if the parameters measured in the medication syringe does not match the parameters in the software in the patient’s electronic medical record for the medication ordered by the physician. The software in the computers can also alert the nurse if the medication is being given at an unusual interval from manufacturer guidelines, or if the EMR for the patient lists an allergy  for the medication. The use of electronic medical records by the caregivers will facilitate this idea.

     These safeguards can also alert the caregivers if the medication in the syringe contains a drug that has not been premixed well (Perhaps this may be one reason for divergent measured refractive indices and/or specific gravities detected by the computer software.)

     Other similar methods can be devised to warn the care-giver if the per- os medication does not match the physician’s orders for the patient.

      Liquid medication that is required to be given orally cannot be  given parenterally because the laser or infrared beam from the microsized chemistry sensor attached to the oral medication delivery container is large enough to sense an attached needle. The computer then will give an alarm, both auditory and visual.

     Perhaps the cost of developing and using this technology would be offset by the decreases in liability insurance premiums paid by hospital management.

     This patient care idea is also useful in the veterinary paradigm.

   

     We know about the “massage recliners and chairs” that are now available.  It is time for this technology to be applied to hospital beds. 

     I found the following information on the website- “Massagetherapy.com”:

     ” Any condition that reduces the frequency of voluntary or involuntary movements, decreases the closing pressure of capillaries, decreases oxygen carrying capacity, increases tissue demand for oxygen, reduces availability of albumin, vitamins, and trace elements needed for viability of cells, or reduces the resistance of skin to infection can put a person at risk for bed sores.”

     The same laptop computers that are used in the distraction therapy techniques described in my “Beyond your hospital bed” post on this project blog could be applied to this “massage therapy” use also. The hospital bed manufacturer personnel could convene a panel of physical therapists, massage therapists, acupuncturists, chiropractors, internists, neurologists, orthopedic surgeons, exercise physiologists, biomedical engineers and software engineers.  Because of the amazing communication capability of the internet, the dialogue with this panel of experts can be accomplished through internet conference calls.

     Toyota motor company’s T.H.U.M.S. software could provide the nexus and prototype “patient” to help provide this panel with the information needed to design this next generation hospital mattress.

     This panel of experts would design the optimum levels, duration and locations of tactile pressure depending upon the patients’ clinical diagnosis and physical and mental conditioning.

      The hardware and software would then be designed based upon this research. The laptop computers would control the sensors located in the hospital bed mattress which subsequently control the roller plates (or perhaps precision air pressure technology from “next generation” air mattress technology) in this mattress.

      I would like to see the “Beyond your hospital bed” idea posted in this blog combined with this “Beneath your hospital bed” post to create a hospital bed that provides both distraction therapy via the over the bed computer flat screen monitors and the benefits of therapeutic massage provided by this product.