Beyond Simplenote: I still want a graph layer (concept map) overlay for my memory augmentation notes collection

I still want a graph layer atop my notes.

Yes, I want my personal locally stored data unlocked memex. Since the passing fad of the web is now, you know, passing, maybe I’ll get one.

Maybe someone will play with this now that there’s not much point in doing another searchable memory augmentation app. Apple and Google each have their “good enough” solutions. Those solutions have scary data lock issues, but for their vendors that’s a feature, not a defect. (For the record, I’m still on Simplenote/nvAlt, despite the extremely very insanely annoying search bug in the Simplenote Mac client. [1])

The idea is as old as time. Each open data format note has a title, a body, tags, and a unique identifier. The app maintains a separate data store of noteID pairs (relationships, no directionality or additional relationship attributes necessary).  When viewing a note one sees titles of related notes. There’s a UI for viewing the graph that also treats tags as nodes [3], and a UI for editing relationships.

The key is that the individual notes remain separate files and the note-note store is plaintext/rich text as well. [2]

One day…

PS. I think this was kind of what Gopher did. 

- fn -

[1] My own extended memory collection has moved through DOS text files, FileMaker Pro text base, PalmOS Notes, DateBk Memo, AvantGo files, Outlook Notes, Evernote, Google Notes (killed!), Toodledo Notes/Appigo Notebook,  and Simplenote/ResophNotes/NotationalVelocity/nvAlt. No wonder I’m a nut on data lock issues and distrust Cloud solutions for extended memory even as I use them. Also: Before Simplenote, Palm Notes, iOS Notes, Keep, EverNote and OneNote there was Tornado for DOS. 

[2] Remember when Mac Classic gave every file its own unique ID? Those were the days. How to get the unique ID for the notes is the trick for a plaintext implementation especially across platforms. With rich text one can bury the unique ID in the metadata. Unique ID could be an IP6 URI.

[3] Remember when graph data visualization was a thing? That was the early 90s I think, around the time of VRML and MCF/RDF.

See also: 

(This is started out as a tiny post but I kept finding more old material I wanted to think about …)

• All I want for Christmas is a graph (mind-map) … on App.net 11/2012 discussion of this on ADN.
• XMind: Impressions and comments on the mind mapping market 11/2012. I buried the lede in this post, the discussion of the graph layer for a Notes collection is buried within. I gave up on XMind because client-side Java died.
• Tinderbox, Simplenote, MindNode and data freedom 10/2011. Earlier version of this plea. Lists some Personal Information Managers I’ve known. My plaintext/rich text standards love is born of much painful experience.
• Escape from Outlook Notes - ResophNotes, SimpleNote for iPhone and Notational Velocity 7/2010
• Cloud data: Should I trust (Simplenote) Simperium? 8/2010. Only while nvAlt works.
• Before Simplenote, Palm Notes, iOS Notes, Keep, EverNote and OneNote there was Tornado for DOS. 
• Taking note: Tornado Notes Lives—Sort of (an entire blog on note taking. I just subscribed!)
• Escape from Outlook Notes - ResophNotes, SimpleNote for iPhone and Notational Velocity 7/2010
• Palm/Palm Pilot: Personal Experiences and Tips: my old Palm Pilot web page. For nostalgia.
• Jon Udell’s Interviews with Innovators: Evernote as Memex 7/2008. (Evernote is still in business!)
• Gordon’s Notes: xanadu and Gordon's Notes: memory management
• Full text search and digital prostheses: new email, new mind 7/2008 - A few years after full text really went mainstream. This doesn’t seem to show up on in our productivity stats, which is more than a bit curious. It is almost as if digital tech is simultaneously increasing and decreasing economic productivity, so we see only the delta.
• The Mundaneum 2008
• Mac NoteTaker for PalmOS with TextMate 1/2006 (oh, the pain)
• Palm to iPhone - the summary 8/2008
• Farewell Palm I didn’t get rid of all my old PalmOS gear until 2010
• The rise of software rental (aka software as service) 2/2010
• Moving Palm notes to Toodledo via CSV file - what worked. (Hard!) 9/2008
• Google’s IQ boost is only beginning 12/2009. Even as I wrote that Google was making a hard turn into evilplusness. Now it’s the AI assistant moment.
• Project Memfail: Tackling my search space problem 9/2013. I rely on my Notes as pointers to other stores but I still need Google’s increasingly shaking custom search engines.
• Thinking tools 2014 - holding steady but future unclear 5/2014. Two years later it’s basically the same toolset, but I created kateva.org/sh as a backup given ADN’s expected lifespan.
• Why we need to retire at sixty 3/2010. Memory augmentation is not an option.

New York Times VR kit shows up in the mail

This came in the mail today.

I assume every subscriber got one, but I’ve not heard much chatter. The return address had Attn: Paul Ferrall on it; that seemed a bit curious. (Update: looks like they sent them out last Nov to Sunday print subscribers. Didn’t get much buzz!)

It’s a Google cardboard viewer of course ($15 retail). The NYT has launched a Virtual Reality channel; there are iOS as well as Android apps.

It was my first experience with Google Tech. I very clearly remember the last time I had this feeling; it was using a View-Master back when they they provided very high quality stereo images. There was a young woman sitting on the edge of a tall cliff with a boat far below.

The streaming wasn’t working today, but downloading was fine. Gigabit broadband would be handy.

The whale/echo video is the most amazing. I elbowed my daughter spinning about. First VR injury in our family.

It’s easy to see where this will go next …

 

The Other Side of History: an audiobook

I just completed Robert Garland’s @48 lecture audiobook - The Other Side of History: Daily Life in the Ancient World (2012). It was terrific. The Great Courses has some very fine lectures, but this one set a new standard. I loved learning about how regular people worked and played - from Neanderthal to Medieval England. That’s where I learned that the pyramids were a Keynesian WPA project.

The one catch is pricing. The Great Courses have whacky prices — they periodically have 80% off sales. This course now lists at $250,  but on Amazon it’s $50 to $72 and on iTunes (via Audible) it’s $46.00. For that matter you could sign up for Audible.com, they appear to carry 430 titles from the Great Courses.

Just buy it and enjoy.

Special relatively predicts the photon: Minkowski:Poincaré:Lorentz:Boosts from 2 assumptions & math.

From Backreaction: Dear Dr B: If photons have a mass, would this mean special relativity is no longer valid? I learn that while Einstein may have created Special Relativity with light in mind he could have done it in the dark.

To summarize …

1. Make time a coordinate rather than a parameter. That produces 4 dimensional space time.
2. Call that Minkowski space.
3. Require that laws of physics be the same for all observers moving at constant velocity in Minkowski space (inertial observers).
4. Mathematically, that means symmetry transformations are required. The group of these transformations is called the Poincaré group.
5. The Poincaré group (again, math) has two subgroups. One is translation — all space-time points have same physics. That one is not so interesting.
6. The other Poincaré group is called the Lorentz-group. It has rotations and boosts. Rotations in space aren’t so interesting, they just say all directions are the same. Boosts are rotations between space and time. Minkowski:Poincaré:Lorentz:Boosts give us length and time contraction and the like.

and so …

Deriving the Lorentz-group …  is a three-liner … it is merely based on the requirement that the metric of Minkowski-space has to remain invariant … the  boosts depend on a free constant with the dimension of a speed. You can further show that this constant is the speed of massless particles.

… if photons are massless, then the constant in the Lorentz-transformation is the speed of light. If photons are not massless, then the constant in the Lorentz-transformation is still there, but not identical to the speed of light…. 

Giving a mass to photons is unappealing not because it violates special relativity – it doesn’t – but because it violates gauge-invariance, the most cherished principle underlying the standard model. But that’s a different story and shall be told another time.

Perhaps (this is me writing) another way of thinking about this is that making time a coordinate, and requiring physics have inertial constancy, gives us, through math, the properties of a massless particle. So if we didn’t already have personal experience with photons, we’d know what to look for. When we found them we’d then say that our science made a great prediction…

I’m really looking forward to Dr. Hossenfelder’s explanation of Gauge-invariance.

PS. OS X insists in quietly auto-correcting photons to photos.

What are the neanderthal diseases?

Europeans used to have more Neanderthal DNA than we have now ...

Ancient DNA from last Ice Age unveils distant ancestors underwent significant evolutionary changes | NH Voice

… the percentage of Neanderthal DNA in Europeans 45,000 years ago has declined from between 3% and 6% to around 2% in Europeans today. The researchers think that natural selection has reduced Neanderthal ancestry over time.

… Neanderthal DNA is slightly toxic to modern humans…

Perhaps Neanderthal DNA was more useful during the ice age, but is less useful now. Or perhaps it was never that handy — though hybrids were not rare.

It would be interesting to know what disadvantages/diseases moderns get from Neanderthal genes. Once we might have looked at gene products, but now we know things are rarely so simple. Genes are like letters in the English alphabet, not characters in Chinese. The letter ‘a’ contributes to both “Bad” and “Glad”, but those words (gene products) appear in many sentences and paragraphs (phenotypes).

There have been some early studies …

• Neandertal DNA may raise risk for some modern human diseases: circadian controls, bladder behaviors, nicotine addiction, rapid clotting, allergies (but better resistance to some diseases) … “Some parts of the human genome don’t contain any Neandertal DNA at all, while other parts may be 60 percent or more Neandertal”
• Neanderthals’ DNA legacy linked to modern ailments | Harvard Gazette

I’d wondered about osteoarthritis, but so far that’s not shown up.

Physiology in action - water loss on low carb diets

I love carbs. Bread especially. Ok, pastries even more.

I liked the days when diets were supposed to be low in fat, and even low in protein. (For every appetite there is a historic “best diet” recommendation.) 

Alas, carbs are somewhat out of fashion these day [1]. So when I am home, and being good, I control carbs. I also do a relatively extreme amount of exercise. When I am away I sin with carbs and exercise less — and my weight jumps 3-5 lbs very quickly. [2]. When I reform I “diurese”, which is a medically polite way of saying I pee a lot and drop the weight.

What’s up with that? I think it’s this …

Low-Carbohydrate Diets - American Family Physician

 …low-carbohydrate diets also initially induce significant water diuresis. The majority of this diuresis is likely the result of glycogenolysis from increased protein consumption. Glycogen binds water at a rate of 2 to 4 g of water per gram of glycogen. As glycogen stores are consumed for energy, two to four times that weight in water is shed through urine. Thus, a portion of the early weight loss in these diets is water weight.

I think my body is “good” at building glycogen stores, and not bad at using them when I reform.

 - fn -

[1] The Mediterranean diet has been fashionable for at least a decade (carbs as grains), though if the AIs ever figure out proteinomic-microbiomic networks we will probably have custom diets that may be quite different.

[2] I’m being circumspect, because I think my weight makes these sudden jumps after I quit sinning, decrease carbs, and increase exercise. If this impression is correct I might hypothesize that my body responds to the double hit of more exercise and fewer carbs by stuffing what carbs and fat I get into water rich stores. These then have to be depleted.

Things I didn't learn in medical school: Vertigo

About two years ago I had a sudden onset of vertigo. Between my wife (a family doc), my family doc, and me (also a family doc, albeit lapsed) we couldn’t tell whether it was “viral” labyrinthitis or “benign” positional vertigo. The more I read and experienced the less I felt there was a clear difference; there’s an ENT folk belief that the “benign” condition follows the “viral”.

Yes, the “quotes” are there for the usual reason. The more I get to experience diseases from the inside (yay oldness) the more my textbooks seem delusional. The semicircular canals (labyrinths) have a circumference around a cm. I couldn’t find any diameter on the average cross-section diameter of the actual canal, but illustrations suggest it’s on the order of microns. Even the very best research scanners cannot resolve these canals, much less the microscopic hair cells within them. The otoliths within our utricle and saccule are about 3 to 30 microns and can only be seen with a high resolution microscope. 

We really have very little idea what’s going on in the canals of someone with vertigo. We’re making this stuff up. (Hain’s article is more honest than most.)

My acute vertigo lasted a day or so. I had to delay a trip and I put off driving for several days. It was just as unpleasant as one might imagine, but short-lived. Many people live with far worse vertigo for much longer. 

Except it wasn’t as short-lived as I expected. After the first few days I couldn’t induce the characteristic nystagmus eye movements but I still felt “off”. I could induce a feeling of imbalance by shaking my head. My walking required much more attention than I was used to, though I had no problems with running. I couldn’t close my eyes and balance on a single leg (bit of a severe test for many at my age).

Most days I no longer notice these symptoms. I think that took about a year of extremely slow improvement with occasional worsening; Epley exercises (there are many variants) might have helped. I don’t know if the (presumed) insult to the hair cells resolved or my brain compensated for them or both; I suspect it was at least as much compensation as it was healing. I don’t think my closed eye single leg balancing is as good as it once was. I’ve taken a step to the fall-prone imbalance of infirmity (yay, age).

Living inside my relatively minor (so far) experience with vertigo taught me two things I didn’t learn from my textbooks. One is that our classifications of transient vertigo (positional, inflammatory, viral, etc) are probably bogus (not the only example). Another is that the symptoms may take months (years?) to resolve - or adapt to. Even knowing this I couldn’t easily find references on duration of post-vertigo symptoms, I found very few references, and they seemed to only deal with acute symptoms.

Our system of producing and disseminating medical knowledge is quite broken.

World center of Eckankar cult is 1km from Prince's Paisley Park

Temple of ECK is top right, Prince’s Paisley Park facility and residence is bottom left, Lake Ann Park lies between them. The bland suburb of Chanhassen Minnesota has secrets.

US programs for physicians reentering clinical practice.

I’ve been out of clinical practice for about 17 years. On the other hand I have a current license and I did well on my board exams a few months ago. I believe I could do above average work, but I’d want a few months of supervision. I can think of a few ways to manage this, including designing a mini-curriculum and following the post-employment path of a fresh physician assistant. 

A formal program for physician reentry would be interesting, but there aren’t any in Minnesota. Which sort of suggests we don’t have a serious shortage of primary care docs. We do have some local fellowships that might be interesting reentry paths, but they currently fill well with post-residency candidates.

I haven’t decided to pursue this direction, but at a recent meeting I asked the Minnesota Medical Association’s president what he knew of. Their policy counsel made up a short list, and as I’ve not seen it online I’ll share it here:

• Center for Personalized Education for Physicians (CPEP). Denver, CO
• Physician Assessment and Clinical Education (PACE) Program. San Diego, CA
• Affiliated Monitors. Boston, MA
• Cedars-Sinai Medical Center Physician Reentry program.

There’s a longer list in a Federation of State Medical Boards PDF, many of the programs deal with “ethics”, “boundaries”, “disruptive behavior”, prescribing controlled substances, and “anger management”, but a few simply focus on “reentry” (though, on visiting the web sites, even they seem mostly to deal with what we call “disciplinary issues”). The Cedars-Sinai program seems closest, but it’s primarily focused on hospital privileges.

I haven’t decided to go down this path, but it’s helpful to know the landscape.

My project management tools - April 2016

Early in my post-corporate days I wrote a detailed post on how I expected to do project management going forwards. Since then I’ve experimented with various tools and services.  

Today I updated a Simplenote/nvAlt [1] summary of my project management tools including how I archive completed (or abandoned) projects. All of these tools have multiple substitutes on iOS, Android, Windows and MacOS so I’m hopeful this toolset approach should work for years to come. Sometime I’ll write an update on my methodology, it basically shifts between Agile-Kanban and Agile-Scrum. Lately more Kanban than Scrum, but I go back and forth.

Principles
- minimize proprietary data formats and data lock (or at least tool lock) - always have an exit strategy
- archived indexable by Spotlight
- easy backup and restoration [Trello fails here, it’s the tool I’m most likely to replace.]
- integrated with Google Calendar
- scales to single person or team projects
- formal project archiving process

MacOS
- create a folder in Project hierarchy
- in some cases also have a shared Google Drive folder
- I don’t make much use of Tags in MacOS at this time.
- Mac file folder has aliases to nvAlt Simplenote, Trello (URL), MindNode (in iCloud Drive), may contain Scrivener files if a writing project, presentation files, etc.

Simplenote/nvAlt (iOS, Web, MacOS)
- Create a simplenote entry for the project, tag it with project.
- Simplenote title has prefix “Project: “
- Describe the project and where things are
- Define project tags: use tags in OS X file system
- project tags have prefix p_
- save as text file in project folder when completed

Trello - Agile Project Management (iOS and Web) (review)
- create Board for Project
- 2 lists: Queue, Active
- when Task/Card Done archive it
- Milestone Cards have dates
- Cards can have checklists
- Subscribe to Calendar on gCal
- Print as PDF when completed and export JSON

MindNode (MacOS and iOS)
- release planning, hierarchy, overview of project (alt OmniOutliner)
- store in iCloud drive but create shortcut
- export to PDF when completed

Scrivener (MacOS)
- for writing projects

Google Calendar (Trello project calendar, iOS, MacOS)
- scheduling and time/capacity management
- project calendar to PDF when completed

Google Drive (iOS, MacOS)
- for collaborative file sharing projects

Email (iOS, MacOS)
- Gmail with web interface and MacOS Mail.app IMAP client.
- Drag and drop selected emails from Mail.app to desktop (creates standard file) to a folder in MacOS project (“Mail Archive”) 
- Careful use of Subject lines to optimize search, typically I don’t file emails or use tags with emails. 

- fn - 

[1] nvAlt is post-maintenance but it still works on El Capitan. Simplenote still has active development, but search has been broken on the Mac app for over a year. I’m not worried because I keep all my notes in plaintext; I have multiple exit strategies. (Not including Apple Notes.app, it needs an exit strategy, a backup strategy, and significant updates. None of which I expect from Apple in its current state).

See also:

• Trello - an orientation review 11/2013, updated 4/2016
• Tools: emulating (Rally) Agile work using Appigo ToDo.app and ToDo Cloud: 7/2015, includes extensive links to productivity posts, Getting Things Done and so on.

Boxer shorts for bicycling

Cyclists are supposed to ride ‘commando’ — nothing between cycling short padded lining and the butt.

Me, I don’t like to wash my cycling shorts that often, and sometimes I just ride with regular shorts. I prefer to wear synthetic fabric boxer shorts without seat area seams. I have a few pairs I’ve picked up over the years, but they’re no longer sold. I’ve had a hard time finding seamless shorts. Web sites generally show the front, not the back.

Today I searched harder. After digging past the typically useless few pages of Google pay-to-play-adsearch results here are the options I found, mostly in comments on a Lazy Randonneur blog post

• BOSS cyclist stretch cotton boxer briefs. These are cotton unfortunately. $28 for 3.
• ExOfficio Give-N-Go Boxer Briefs 1241-0020: Blog post. Designed for easy wash/dry, supposedly no seams in contact zone. $23 each. Top selling mens boxer briefs on Amazon. (Amazon has several versions of this underwear, but only one appears on the ExOfficio site. I think a number may be counterfeit, this one is sold by Amazon itself so probably genuine.)
• MEC merino briefs/T1 boxer briefs: Canada only alas.
• Devold multi sport boxer briefs: Blog post. Expensive Norwegian merino wool briefs sold by Rivendell cycle. About $40.
• Bent Scivvies: no longer sold as far as I can tell, once a Target store brand label. These sounded ideal

I ended up ordering one pair of ExOfficio and the set of 3 BOSS underwear. I’d love to find a Target or Walmart equivalent…

PS. I have a vague memory that back in the 70s male cyclists used to wear seamless women’s panties? Probably a false memory. Was a long time ago. I never had the nerve to try.

Apple's CareKit (HealthKit) - what kinds of clinical data does it work with?

I thought Apple had given up on HealthKit, but recently we learned that it’s been rebranded as CareKit and it seems to be going forward.

Since my professional work is in “health informatics”, specifically medical knowledge applications, I was curious what “ontology” (data dictionary, terminology, etc) Apple was using for it’s CareKit work. The concept set is somewhat hidden within Apple’s HealthKit Constants Reference documentation. I auto-expanded the symbols (nice web app Apple!) and make a quick pass at organizing the strings.

For someone like me it’s a fascinating set. The discussion of privacy and FDA device identifiers is noteworthy — in an early implementation it was apparently possible to trace HealthKit data to an individual device (not good, obviously - bold below).

I liked the use of Fitzpatrick Skin Type instead of trying to describe ethnicity/race.

It’s a fun list to scan:

HKMetadataKeyBodyTemperatureSensorLocation
HKMetadataKeyCoachedWorkout
HKMetadataKeyDeviceManufacturerName
HKMetadataKeyDeviceName
HKMetadataKeyDeviceSerialNumber
HKMetadataKeyDigitalSignature
HKMetadataKeyExternalUUID
HKMetadataKeyFoodType
HKMetadataKeyGroupFitness
HKMetadataKeyHeartRateSensorLocation
HKMetadataKeyIndoorWorkout
HKMetadataKeyMenstrualCycleStart
HKMetadataKeyReferenceRangeLowerLimit
HKMetadataKeyReferenceRangeUpperLimit
HKMetadataKeySexualActivityProtectionUsed
HKMetadataKeyTimeZone
HKMetadataKeyUDIDeviceIdentifier
HKMetadataKeyUDIProductionIdentifier
HKMetadataKeyWasTakenInLab
HKMetadataKeyWasUserEntered
HKMetadataKeyWorkoutBrandName

HKCategoryTypeIdentifierAppleStandHour
HKCategoryTypeIdentifierCervicalMucusQuality
HKCategoryTypeIdentifierIntermenstrualBleeding
HKCategoryTypeIdentifierMenstrualFlow
HKCategoryTypeIdentifierOvulationTestResult
HKCategoryTypeIdentifierSexualActivity
HKCategoryTypeIdentifierSleepAnalysis

HKBiologicalSexFemale
HKBiologicalSexMale
HKBiologicalSexNotSet = 0
HKBiologicalSexOther

HKBloodTypeABNegative
HKBloodTypeABPositive
HKBloodTypeANegative
HKBloodTypeAPositive
HKBloodTypeBNegative
HKBloodTypeBPositive
HKBloodTypeNotSet = 0
HKBloodTypeONegative
HKBloodTypeOPositive

HKBodyTemperatureSensorLocationArmpit
HKBodyTemperatureSensorLocationBody
HKBodyTemperatureSensorLocationEar
HKBodyTemperatureSensorLocationEarDrum
HKBodyTemperatureSensorLocationFinger
HKBodyTemperatureSensorLocationForehead
HKBodyTemperatureSensorLocationGastroIntestinal
HKBodyTemperatureSensorLocationMouth
HKBodyTemperatureSensorLocationRectum
HKBodyTemperatureSensorLocationTemporalArtery
HKBodyTemperatureSensorLocationToe

HKCategoryValueCervicalMucusQualityCreamy
HKCategoryValueCervicalMucusQualityDry = 1
HKCategoryValueCervicalMucusQualityEggWhite
HKCategoryValueCervicalMucusQualitySticky
HKCategoryValueCervicalMucusQualityWatery

HKCategoryValueMenstrualFlowHeavy
HKCategoryValueMenstrualFlowLight
HKCategoryValueMenstrualFlowMedium
HKCategoryValueMenstrualFlowUnspecified = 1

HKCategoryValueSleepAnalysisAsleep
HKCategoryValueSleepAnalysisInBed

HKCharacteristicTypeIdentifierBiologicalSex
HKCharacteristicTypeIdentifierBloodType
HKCharacteristicTypeIdentifierDateOfBirth
HKCharacteristicTypeIdentifierFitzpatrickSkinType
HKCorrelationTypeIdentifierBloodPressure
HKCorrelationTypeIdentifierFood

HKFitzpatrickSkinTypeI
HKFitzpatrickSkinTypeII
HKFitzpatrickSkinTypeIII
HKFitzpatrickSkinTypeIV
HKFitzpatrickSkinTypeNotSet = 1
HKFitzpatrickSkinTypeV
HKFitzpatrickSkinTypeVI

HKHeartRateSensorLocationChest
HKHeartRateSensorLocationEarLobe
HKHeartRateSensorLocationFinger
HKHeartRateSensorLocationFoot
HKHeartRateSensorLocationHand
HKHeartRateSensorLocationWrist

HKQuantityTypeIdentifierActiveEnergyBurned
HKQuantityTypeIdentifierAppleExerciseTime
HKQuantityTypeIdentifierBasalBodyTemperature
HKQuantityTypeIdentifierBasalEnergyBurned
HKQuantityTypeIdentifierBloodAlcoholContent
HKQuantityTypeIdentifierBloodGlucose
HKQuantityTypeIdentifierBloodPressureDiastolic
HKQuantityTypeIdentifierBloodPressureSystolic
HKQuantityTypeIdentifierBodyFatPercentage
HKQuantityTypeIdentifierBodyMass
HKQuantityTypeIdentifierBodyMassIndex
HKQuantityTypeIdentifierBodyTemperature
HKQuantityTypeIdentifierDietaryBiotin
HKQuantityTypeIdentifierDietaryCaffeine
HKQuantityTypeIdentifierDietaryCalcium
HKQuantityTypeIdentifierDietaryCarbohydrates
HKQuantityTypeIdentifierDietaryChloride
HKQuantityTypeIdentifierDietaryCholesterol
HKQuantityTypeIdentifierDietaryChromium
HKQuantityTypeIdentifierDietaryCopper
HKQuantityTypeIdentifierDietaryEnergyConsumed
HKQuantityTypeIdentifierDietaryFatMonounsaturated
HKQuantityTypeIdentifierDietaryFatPolyunsaturated
HKQuantityTypeIdentifierDietaryFatSaturated
HKQuantityTypeIdentifierDietaryFatTotal
HKQuantityTypeIdentifierDietaryFiber
HKQuantityTypeIdentifierDietaryFolate
HKQuantityTypeIdentifierDietaryIodine
HKQuantityTypeIdentifierDietaryIron
HKQuantityTypeIdentifierDietaryMagnesium
HKQuantityTypeIdentifierDietaryManganese
HKQuantityTypeIdentifierDietaryMolybdenum
HKQuantityTypeIdentifierDietaryNiacin
HKQuantityTypeIdentifierDietaryPantothenicAcid
HKQuantityTypeIdentifierDietaryPhosphorus
HKQuantityTypeIdentifierDietaryPotassium
HKQuantityTypeIdentifierDietaryProtein
HKQuantityTypeIdentifierDietaryRiboflavin
HKQuantityTypeIdentifierDietarySelenium
HKQuantityTypeIdentifierDietarySodium
HKQuantityTypeIdentifierDietarySugar
HKQuantityTypeIdentifierDietaryThiamin
HKQuantityTypeIdentifierDietaryVitaminA
HKQuantityTypeIdentifierDietaryVitaminB6
HKQuantityTypeIdentifierDietaryVitaminB12
HKQuantityTypeIdentifierDietaryVitaminC
HKQuantityTypeIdentifierDietaryVitaminD
HKQuantityTypeIdentifierDietaryVitaminE
HKQuantityTypeIdentifierDietaryVitaminK
HKQuantityTypeIdentifierDietaryWater
HKQuantityTypeIdentifierDietaryZinc
HKQuantityTypeIdentifierDistanceCycling
HKQuantityTypeIdentifierDistanceWalkingRunning
HKQuantityTypeIdentifierElectrodermalActivity
HKQuantityTypeIdentifierFlightsClimbed
HKQuantityTypeIdentifierForcedExpiratoryVolume1
HKQuantityTypeIdentifierForcedVitalCapacity
HKQuantityTypeIdentifierHeartRate
HKQuantityTypeIdentifierHeight
HKQuantityTypeIdentifierInhalerUsage
HKQuantityTypeIdentifierLeanBodyMass
HKQuantityTypeIdentifierNikeFuel
HKQuantityTypeIdentifierNumberOfTimesFallen
HKQuantityTypeIdentifierOxygenSaturation
HKQuantityTypeIdentifierPeakExpiratoryFlowRate
HKQuantityTypeIdentifierPeripheralPerfusionIndex
HKQuantityTypeIdentifierRespiratoryRate
HKQuantityTypeIdentifierStepCount

HKWorkoutActivityTypeAmericanFootball = 1
HKWorkoutActivityTypeArchery
HKWorkoutActivityTypeAustralianFootball
HKWorkoutActivityTypeBadminton
HKWorkoutActivityTypeBaseball
HKWorkoutActivityTypeBasketball
HKWorkoutActivityTypeBowling
HKWorkoutActivityTypeBoxing
HKWorkoutActivityTypeClimbing
HKWorkoutActivityTypeCricket
HKWorkoutActivityTypeCrossTraining
HKWorkoutActivityTypeCurling
HKWorkoutActivityTypeCycling
HKWorkoutActivityTypeDance
HKWorkoutActivityTypeDanceInspiredTraining
HKWorkoutActivityTypeElliptical
HKWorkoutActivityTypeEquestrianSports
HKWorkoutActivityTypeFencing
HKWorkoutActivityTypeFishing
HKWorkoutActivityTypeFunctionalStrengthTraining
HKWorkoutActivityTypeGolf
HKWorkoutActivityTypeGymnastics
HKWorkoutActivityTypeHandball
HKWorkoutActivityTypeHiking
HKWorkoutActivityTypeHockey
HKWorkoutActivityTypeHunting
HKWorkoutActivityTypeLacrosse
HKWorkoutActivityTypeMartialArts
HKWorkoutActivityTypeMindAndBody
HKWorkoutActivityTypeMixedMetabolicCardioTraining
HKWorkoutActivityTypePaddleSports
HKWorkoutActivityTypePlay
HKWorkoutActivityTypePreparationAndRecovery
HKWorkoutActivityTypeRacquetball
HKWorkoutActivityTypeRowing
HKWorkoutActivityTypeRugby
HKWorkoutActivityTypeRunning
HKWorkoutActivityTypeSailing
HKWorkoutActivityTypeSkatingSports
HKWorkoutActivityTypeSnowSports
HKWorkoutActivityTypeSoccer
HKWorkoutActivityTypeSoftball
HKWorkoutActivityTypeSquash
HKWorkoutActivityTypeStairClimbing
HKWorkoutActivityTypeSurfingSports
HKWorkoutActivityTypeSwimming
HKWorkoutActivityTypeTableTennis
HKWorkoutActivityTypeTennis
HKWorkoutActivityTypeTrackAndField
HKWorkoutActivityTypeTraditionalStrengthTraining
HKWorkoutActivityTypeVolleyball
HKWorkoutActivityTypeWalking
HKWorkoutActivityTypeWaterFitness
HKWorkoutActivityTypeWaterPolo
HKWorkoutActivityTypeWaterSports
HKWorkoutActivityTypeWrestling
HKWorkoutActivityTypeYoga

HKWorkoutSessionLocationTypeIndoor
HKWorkoutSessionLocationTypeOutdoor
HKWorkoutSessionLocationTypeUnknown = 1

Old broken person CrossFit - it's fun. Really.

The experimental results are in. Under optimal conditions I can do a CrossFit WOD 4 times in five days and not be obviously injured. 

That’s no trick for under 30, but over 55 there’s a fuzzy border between enough and too much. Shoulders, knees, wrists (again), butt tendons and backs take turns being funky. Not to mention errant barbell strikes. And the unrelated arthritis.

Yeah, that does sound kind of grim, but the body does some of that just sitting around. The knees were from mountain biking, and the piriformis problem was hockey. With my genes, being old* and active is experiential sports medicine.

I like it though. I even like putting a toe over that fuzzy border once in a while.

I don’t want injuries to bench me though, so here’s my year 3 of CrossFit recipe for staying more or less out of trouble. 

• 3 “Workout of the Day” (WOD) every week. Sometimes 4, but I was pushing things this week.
• My WOD target is “Women’s Rx”. I can do that for some movements and weights. This tends to be close to the men’s “master’s Rx” of competitive CrossFit. Muscle fatigue is my main weakness, I think that’s true of most 40+.
• I listen to my coaches. They have good advice.
• 1-2 Open Gym workouts - a light version of a WOD or a special movement or muscle group. Like $*&^% double-unders or bar muscle ups or handstand pushups.
• I started taking one of those whacky protein supplement powders after my big workouts. You can blame that on a recent publication that showed it helping in a small trial of exercise and weight loss. It includes magical arthritis supplements that I’m supposed to take anyway (though they probably don’t do anything)
• Hockey and/or Mountain Biking 1-3 times a week (sub Nordic Skiing**, road biking, swimming, running, underwater hockey, etc)

I think I can keep that going for a few years more, depending on what surprises age brings. I’ve learned that the researchers are right, the body adapts to exercise by increasing energy efficiency — diet is still a challenge. I can’t survive doing CrossFit at the frequency needed to balance my calorie intake, so it has to be supplemented by calorie burning activities that are easier on the old body (bicycling, hockey, etc)

It really is fun.

* 50 is not the new 30. Sorry. Don’t talk about 80. Please.
** Nordic Skiing was my all-time favorite exercise. I’m not a global warming fan.

See also:

• On knee pain and the state of medical knowledge (updated) 9/2015: turned out to be partly chondromalacia, but weirdly it went away.
• Fixing a painful wrist with high frequency weightlifting and wrist hyperextension. WTF 10/2015: bodies are weird
• Deep Burning Butt Ache review: Piriformis syndrome, sciatica, deep gluteal syndrome, sacroiliac syndrome, deep buttock syndrome: 2/2016. The stretches worked!
• CrossFit at 54 8/2013. I stopped seeing tattoos. That’s odd.
• Growing old grudgingly: The CrossFit Inversion: 12/2015: But this week I had a new record bench press weight.
• Anecdote - exercise and weight control. It takes a lot 12/2014: You can out-eat almost any amount of exertion.
• Exercise on the exit ramp - the 30 year plan: 11/2014 - scaling with age, ending with golf
• Exercising hard as an old person - one year of CrossFit: 4/2014. Then I did 70-80% of women’s Rx.
• Why geezers hit the gym 3/2014

The Obama doctrine -- I will so miss our Vulcan President

From the Obama Doctrine, quoting the President:

… Right now, across the globe, you’re seeing places that are undergoing severe stress because of globalization, because of the collision of cultures brought about by the Internet and social media, because of scarcities—some of which will be attributable to climate change over the next several decades—because of population growth…

… As I survey the next 20 years, climate change worries me profoundly because of the effects that it has on all the other problems that we face. If you start seeing more severe drought; more significant famine; more displacement from the Indian subcontinent and coastal regions in Africa and Asia; the continuing problems of scarcity, refugees, poverty, disease—this makes every other problem we’ve got worse. That’s above and beyond just the existential issues of a planet that starts getting into a bad feedback loop.

By “collision of cultures” I think he means “existential threats to patriarchy” — because he’s obviously reading my mind. Must come with his Vulcan heritage.

We are never ever going to get another President this good (even though he’s wrong about encryption). HRC isn’t bad, but she’s no Obama.

Using Gmail and the link to correspond with patients -- HIPAA 2013 clarification

HIPAA is designed to protect patient confidentiality. It’s widely misunderstood, not least because of the scary fines for violations. I think on balance it’s a good law, but it needs regular adjustment.

Happily in 2013 a major adjustment was made. Rule makers allowed use of conventional email applications, perhaps without robust encryption, for patient communications if informed consent is given and recorded. I recently put together a set of references on this:

https://personcenteredtech.com/2013/10/06/clients-have-the-right-to-receive-unencrypted-emails-under-hipaa/
Covers the 2013 final rule changes.

http://blog.securitymetrics.com/2014/05/hipaa-email-encryption.html
Pretty good discussion of implications

http://www.austinmedclinic.com/hipaa-and-email.pdf
Example of a patient consent to receive unencrypted email

http://www.gpo.gov/fdsys/pkg/FR‐2013‐01‐25/pdf/2013‐01073.pdf
HIPAA language is on page 5634 (I didn’t confirm this, just copied from the Austin Med Clinic consent form.

I’d still worry about risks associated with using Gmail (though communication is now actually well encrypted for most users) — the message will be both sender and receiver’s server forever unless it’s deleted. Tricky business!

Still, it’s encouraging to see this clarification. I hope the HIPAA rules continue to be adjusted. Having robust encryption built into laptops helps — at least until the FBI forces backdoors which will, of course, be widely exploited by hackers.