Wednesday, November 24, 2010

Dr. E. B. Hands

My father's grandfather, Dr. Edgar B. Hands, was a wheelman!
Start of 2-mile Open, Castalian Springs MS in May late 1800s
Posted by Picasa

Friday, October 22, 2010


i recall really revelling in that winter ride through south-central Raleigh:
Read about it at the Research Trailer Park.

Saturday, September 4, 2010

Things hard to find in Delhi

You might be in Delhi if you CANNOT find any: celery, pickup trucks, waffles, wooden buildings, sheetrock, dogs that bark alot or chase bikes/cars, black coffee, green tea, imported goods, empty streets, squirrels, conifers, lawns, bicycle helmets, presta valves, lemonade without black salt, big box stores, bikes without fenders, plastic bags as litter, broken glass, women bicycling, formal parking, leaf blowers, bike parking racks, stop signs, non-marble floors, no-passing zones, historic markers, alcohol to-go, mocking birds, jays, walk/don't lights, maps with street names, 110VAC, sloping roofs, DIY stuff, styrofoam, gasoline-fueled taxis

Sunday, August 29, 2010

Toda Hindi

Hindi sentences are structured subject-object-verb, so "I need your help" becomes "I your help need." Many sentences end with "hey" (... is ...), "nay" (... isn't ...), or "hey nah?" (... is ..., isn't it?).
In Hindi, "w" and "v" are interchangeable.

"oa", below, is long "o" as in "boat".
"oo", below, is as in "boo".

T.K. or teak-hey = O.K.
Ah-chah = Good, or Alright
Boaht-Ah-chah = Very-Good
Bin-dahs = Carefree Unrestrained
Boaht- = Very-
Dahn-yah-vahd = Thank-you
Shoo-kree-yah = Thank-you
Hahn = Yes
Nah = No
Hay = Is
Nay = Isn't
Buhss (Sounds like bus) = Enough
Rook-nah = Stop (but Buhss/Enough is more common)
Aur (sounds like Or) = And, or More
Hoagie-yah = Done
Ahp = You
Ahp-keh = Your
Ahp-koa = For-You
Cheh-low = Lets-go
Toa-pee = Cap (Hat)
Chy-yay = I-want, or Is-needed
Chy = Tea, or Chai
Roaz (Sounds like Rose) = Daily
Nah-muh-stay = Hi
Auto = Auto-rickshaw, tuk-tuk, 3-wheeler
Toa-dah = Little
Yah = This
Whoa (Sounds like Woe) = That
Yay-Vah-lah = This-one

Chy = Tea, or Chai
Pah-nee = Water
Tah-lee = Plate, or Plate-of-food
Doohd = Milk
Ruhs = Juice
Ah-loo = Potato
Suhb-jee (Sounds like Sub-G) = Vegetable
Kiss-Miss = Raisins

Dair-vuhz-ah (Sounds like There-was-a) = Door

Oopar = Up, or Raise
Nee-cheh = Down, or Lower
By-har = Out
Oon-dahr = In
See-dahr = Straighten
Koa-low = Open
Bund-kahrow = Close
Ah-gay = Forward
Peachay = Backward
Ool-tah = reverse

By-yanh = Left
Dy-yanh = Right

Haht = Hand
Pow = Leg
Pair = Foot
Kahn = Ear

Ah-bee = Now
Ah-bee-Nay = Not now
Pheer Mil-ehn-gay = See you later
Aik Minute = One minute (or Wait a minute)
Peh-leh x, Pheer y = First x, Then y
Ahp-keh-Seh-Ho? = How are you?
Sahf = clean (adj.)
Sahf-kahroh = to make clean
-kahroh = To make, or to do
Durd = Pain
-wallah = -man, as in postman, garbageman, chai-vallah, tiffin-vallah
Ah-rahm = Rest
Ah-ruhmb = Start, or Begin
Kyah-kow-gay? = What will you have (to eat)? (Say to greet a visitor.)
Doast (rhymes with toast) = friend
Bah-rees = Rain

Everyone mixes English words into Hindi, even attaching Hindi prefixes and suffixes (e.g. boaht-, -kahroh, -wallah) to English words.
Technically, there is no long "i" (as in "ice"), but "ah" + "ee" is real close.

Sunday, July 11, 2010

Cycle Across America
> … At another gas station in Rayne we met Josette, she wanted to take a photo of the wording on our tops “Impossible is nothing” to send to her brother Adrian who suffers with ALS
> Adrian was a keen cyclist and is unable to cycle now due to ALS. However he is in India having some stem cell treatment. We wish him well and hope he is able to get back on his bike. We will devote tomorrows ride to Adrian and wish him all the best for the future. I have copied and pasted “What is ALS?” from the ALS website.
> When I hear about people like Adrian, it reminds me how fortunate I am. It makes me appreciate all the things I am able to do, especially the little things I often take for granted like walk, run, cycle.
Unfortunately, it seems I brought them little luck:

---------- Forwarded message ----------
Sean and James are both in hospital after being hit by a truck in Louisiana.
Sean is in surgery now with a broken back, pelvis and other injuries, James has lots of road rash possible broken ribs, stiches and minor injuries. Your messages of support for both the lads and there families are greatly appreciated.
We will keep you updated.

Monday, June 21, 2010

Report on Adrian Hands

Report on Adrian Hands


Adrian Hands came to Delhi, India, after researching many stem cell centers and after undertaking many difficult prior steps and a hazardous journey.

Now he has had two months of stem cell treatment and can report great progress. He is off the ventilator, though still on the bipap. He is able to breathe unassisted for upto three and a half hours. He is now able to stand for up to ten minutes with assistive devices, and able to work with his right hand for eight hours without reporting fatigue.

In these two months Adrian had daily intramuscular injections and IV infusion of human embryonic stem cells (from a line of cells reproduced from a single rejected embryo discarded by a fertility treatment). Some of the injections were "deep spinal muscle" injections closer to the back bone. Adrian had two "procedures" involving epidurals to deposit stem cells near the spinal column, both in May.

May 25th was also day one of Adrian's new life. The three to six months he was told he would survive without a ventilator ended May 24.

He can potentially have another series of stem cell treatments as early as August. We are thinking of continuing on here to fully participate in these treatments, though it poses many new challenges and difficult decisions.

The staff and leadership at the clinic is phenomenal and professional, showing excellent analytical strength and limitless compassion and treating all with kindness and dignity. There are no words to express our appreciation for all their support and encouragement, and for the greatest gift of prolonging life for Adrian.

We think Adrian will continue to improve, and be all right in a few years. We definitely now know he will survive. Since he is going to live, Adrian strongly desires to bring back the functional capabilities that will make his life more productive and enjoyable. Adrian has had excellent progress, and we will be continuing the stem cell therapies in India.

Below is a timeline (extending a little beyond the time at Nu Tech, followed by journal excerpts.


Feb-Mar 2005Adrian's symptoms identified as possible ALS

2005 – 2009

Jan 12, 2008
Oct 17, 2008
Nov, 2008
Feb 27, 2009
Apr 18, 2009

Tried a GREAT MANY potential solutions

Biked 200km brevet in Florida
Biked 50mi Carrboro to Greensboro
Last bike rides
Received wheelchair
Pedaled a handicap trike, solo, around parking lot

Nov 24, 2009

Clinic visit; bad news – choose tracheostomy or 3 – 6 months life expectancy
Dec 26, 2009Decide to explore stem cell therapy at Nu Tech; Spoke with Dr. Geeta Shroff; she recommended tracheostomy before travel to India
Jan 10-17, 2010Explored Mexico options; decided on Delhi, scheduled tracheostomy
Jan 24Adrian admitted to Duke Med for Tracheostomy and Ventilator
Feb 1After one week of struggle, breathing ok on ventilator
Feb 3Adrian speaking and swallowing normally
Feb 8Adrian is mobile with the ventilator, we go to World Peace Prayer
Feb 16Adrian is back in the hospital – pneumonia not gone
Feb 17Stable; Heart catheterization shows no damage to heart despite heart attack evidence; "Do you see anything, Bob?"
Feb 24Home again; preparing to travel
Mar 3-4Travel to Delhi
Mar 8Patient Meeting, and meeting with Dr. Shroff; have to be free of infections to start stem cell therapy
Mar 9 - 25Antibiotics and lab tests: TLC 13, 14, 16,000!
Mar 26Bronchoscopy and bronchial lavage; TLC 19,800!!
Mar 29Considered going into hospital for strong antibiotics; TLC decreased to11,500!!!
Mar 31TLC 8000!!!!!
Apr 1Started stem cell treatment; saw immediate changes
First weekChanging positions causes secretions to plug lungs; desaturation; suctioning
First weekStronger grip; no clammy skin, change in expression
Second weekWork on breathing without ventilator; Apr 18 Adrian is off ventilator in the daytime
April 19 – 21Worked on nighttime breathing on bipap rather than vent; two nights successful; one night required three hours of vent, then he was off vent at night
April 22Adrian to try standing; instead takes off bipap and breathes on his own for an hour!
April 22 – 29Work on replacing the trache tube with fenestrated, smaller one suited for nasal breathing
ContinuousTry to work on getting the orthotic devices needed to support standing
May 12First procedure at Gautam Nagar
May 13Gaurav reports Adrian is bearing his own weight while standing
May 24Adrian's re-birth-day (six months from neurologist's prediction)
Week of May20Adrian can do OT pegs with ease
June 2Stem cell treatment ends
June 5Adrian is able to stand with calipers and walker, 2 – 3 minutes two times day
June 11Adrian stands for 10 minutes at a stretch (after a couple of days of two 5-min)
June 12Visit to clinic; physio assessment shows decrease in upper body strength

Some journal excerpts:

April 1 Adrian got a first test dose and we saw some changes immediately -- strong fasciculations and stronger grip in the hand which received the stem cells (right arm), less clamminess in the skin and a clear but subtle change in his expression.

Mid April (18th) Adrian is on the bipap (off the ventilator) all day and uses the vent only at night. As soon as we can get some attachments for the night time bipap mask, we will try that at night, and, after Adrian is comfortable with that, we will remove the trache and put a placeholder (cuffless) trache. All this could happen in a matter of days.

The doctors do not feel comfortable doing the larger procedures that for many patients started in Week 3, but want to wait two more weeks; I am hopeful that even with the level of infusions he is getting he will make fantastic progress; and that they will decide to do the lumbar puncture, epidural, etc, as soon as safely possible.

April 21 - As it turned out, we weren't able to get the attachments for his nighttime mask (he didn't like this mask anyway – it make it difficult for him to speak) and he is using the daytime mask at night as well; we will find out about changing out the trache tube.

The walking goal is harder: his back and legs seem stronger, but he has to be able to hold his head up while walking. It will be good if his arm strength improves enough so he can lean on a walker for support We are not giving up.


Yesterday, April 22, Adrian was to attempt getting on his feet. He had challenged himself to hold up and balance his back, neck and head and had succeeded in doing so at least for short periods, and was getting ready to try to stand up, while we are still working on aids such as a neck brace that will provide further support.

In the meanwhile we were in the clinic yesterday after two sessions -- PT and OT -- when Dr. Asheesh Verma came in and asked how Adrian is doing. He was particularly interested in changes in breathing. (As you know Adrian has been getting off the vent and breathing with a bi-pap (through the nose) for the last few days, and more recently at night as well. )

As part of reporting to Dr. Verma, Adrian took off the bipap as well, and breathed on his own for a few minutes. Later in the PT room he did the same and was timed for an hour. The suggestion from the docs was to continue to breathe without assistance when relaxed or distracted to allow the natural process to take over and to allow the exercise of the appropriate muscles.

Adrian is feeling a little exhausted by this prospect though he was able to breathe on his own for 45 minutes early this morning before asking for the bipap again. The victory is that Adrian seems to be off the ventilator, and is able to be off the bipap for short periods. The enticing possibility that Adrian will be able to breathe ongoingly without assistance. This is not a possibility we were even really considering before this. We will approach it cautiously and try not to strain Adrian, while "going for the gold". We will replace his trache with a fenestrated trache, more friendly for nose breathing, soon. We haven't forgotten about the walking goal.

April 30

We are in the home stretch of our therapy at Nu Tech Mediworld. We came with a ventilator and pneumonia, and have seen clear improvement in that Adrian is comfortable without the ventilator (but still uses the nasal bipap). He is able to breathe without bipap but he feels it is a lot of effort and is not satisfied to do so. The clinic folks have backed off from the walking goal, saying breathing is more important. We are still trying to have Adrian stand for brief periods with support at home.

As of May 13, we are still challenging our goal of Adrian being able to walk, even with assistance. As of yesterday and today he is able to bear his weight on his legs and feet when helped to a standing position, holding a walker, cane etc, Today the therapist said he is standing on his own (with the walker, but without the therapist's support). He is also able to lie down for some time, though he usually needs a suction as a result of changing positions. We are determined that he should be able to stand and walk, and also for him to gain the full benefit of the therapies offered at this clinic.

He has kept the subtle improvements we noted in the initial weeks, but is dejected that he does not see a clear increase in functional capability yet. At the same time breathing on his own and walking with support seem risky to him, understandably.

He has another large treatment (his second) on Tuesday May 25. We need to see clear functional improvement.

The docs had told him on November 24 2009 that without being on a ventilator he had only three to six months. May 24 will be six months -- from this point each day (off ventilator) is a bonus.

Early June - Adrian has finally been able to get to standing and using the walker (the knee calipers are now able to be used correctly). He was initially standing for a couple of minutes; this stretched to two five minute sessions in a day, and most recently he stood for ten minutes at a stretch. It appears that he has the strength and therefore can stand with the necessary equipment.

Sunday, March 7, 2010


We are here! And we are online! sorta

Good flight, with a couple of interesting moments. Continental added
Cleveland to our route to Newark, due to snow cancellations. After a
beautiful first leg, my inner cannula clogged on the skybridge just
before we entered the plane. We cleared it up, but it left me a little
shook up for the rest of the flight.

Our biggest fear was running out of ventilator battery, but that fear
was obviated by the avaiability on the long flight on the 777, of 110
volt AC under the seat, even in coach.

At Newark we boarded the 777 which flew us 6 miles above Greenland,
iceland, Oslo, Stockholm, Helsinki, Moscow, Volgograd, the Caspian
Sea, Turkmenistan, Kabul, Pakistan to Delhi (Dilli). If you come to
join us, a window seat is advised.

Continental was great. They transferred me between wheelchairs nicely
and took care of my own wheelchair -- no damage. We had one other
incident of the inner cannula clogging, and Continental provided
oxygen for both incidents, even though it probably wasn't necessary.
They offered to pre-board us at Newark, but we weren't ready so they
boarded us last.

Paramedics came to meet us at Newark, but we convinced them everything
was ok. 75 degrees in Dilli. We checked in with the local hospital
just to open a file in my name. They took vitals and everything is

Ravi's classmate from the University, Pavitra, met us at the airport
with her dad and assisted us with transportation, along with an
ambulance ride from airport to hospital and one more from hospital to
hotel. For the first ambulance ride they lifted Adrian up in a manual
chair and lifted the wheelchair in behind him, and on the second one
they lifted him bodily in the wheelchair (and out of) the ambulance.

Now we are in the beautiful hotel Sara on Green Park Extension. The
wheelchair entered through the ramp of the MRI center next door. John
and Vicky provided huge levels of support in getting us here.

Thank you to all of you who helped us get out the door at the other
end. Please forward our status to interested parties not included on
this email.