


... my name is John Patrick and Attitude LLC is the name of
my company. My activities include writing, speaking, and board service. I am fortunate to have quite a few affiliations and I get to work with people from whom I am constantly learning. Prior to "e-tirement", I was vice president of Internet Technology at IBM Corporation. Nearly everything I have ever said or written is here at patrickWeb or in my book, Net Attitude.
As of today, the patrickWeb blog contains 895 postings. I hope you enjoy reading them -- and listening to some musical selections!
Geocaches found: 90. Benchmarks found: 90. Trike miles: 11,157
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Sunday, December 28, 2008 |
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In The Clouds -- Part 3 Let's start with the easy parts. Effective and simple backup has been elusive for me for decades and much has been written here about the subject. Finally, a solution is in place that I am comfortable with. It has two parts to it. First is idrive.com. The service is free for up to 2 GB. You simply identify which files and folders are critical and it keeps them backed up in the idrive cloud. Very simple interface and you can't beat the price. I have been using the service on two Windows ThinkPads in the house and have been extremely pleased with how it works.. The other half of the solution is the Iomega one terabyte StorCenter. The six-pound marvel plugs right into the home LAN in the basement. Very inexpensive and easy to setup. I use it to back up really big files and Linux ThinkPads. It is set up as an I: drive and is accessible just like the C: drive. It is connected via gigabit ethernet so copying files to and from the box is lightning fast. Like the predecessor I had been using for years, it is RAID storage, so there are always redundant copies of everything. The box is smaller than half a shoe box and it uses roughly $3 per month in electricity. The predecessor used $30 per month, so the justification to spend $250 on the StorCenter was very simple. There are two applications on my desktop that keep me chained to Windows and which I backup every time I use them. First is Quicken, which I I have been using since Release 1.0 back in the early 1980's. As I wrote in Net Attitude seven years ago, the web version is not a viable alternative. Unfortunately, that is still true today. In theory a web-based application like Mint.com and others could replace Quicken but they just are not up to it quite yet. The other workhorse for me is Dreamweaver, which I use to manage patrickWeb. In theory there are many web based alternatives but I have yet to find one that is as powerful and easy to use. Eventually, I expect both of these to be "in the clouds" but not quite yet. Now, on to the more interesting things. Photos are all in the Picasa cloud and music is in iTunes. No particular issues with either of them. Next is email. I started using email in the early 1980's with a system at IBM called PROFS. In 1994 the company email system became Lotus Notes. I was an early adopter and in the beginning there was nobody to send email to! When I e-tired in 2001 I switched to Microsoft Outlook so I could be like everybody else that I attended tech conferences with. As with many people I know, it developed into a love-hate relationship. The Lotus and Microsoft mail solutions are great in many respects but in a way you are chained to someone's central infrastructure with them. I was looking for freedom. Along came gmail and, bingo, I was liberated. Or so I thought. The mail part of it was easy. Gmail is lightning fast and although it is a "cloud" application with all the user functionality appearing in the browser, it acts like a desktop application and I can use it on the Ubuntu Linux ThinkPad in the kitchen, a Windows PC in the workshop, or any computer anywhere. And freedom from Outlook -- almost, expect for contacts and calendar entries, my lifeblood. Contacts and calendar entries were still in Outlook but they synchronized with MobileMe which in turn synchronized with the iPhone. Seems a bit convoluted but it worked. Some occasional glitches but it was acceptable. How to add a new contact or modify a calendar entry? Could do it with Outlook but that would defeat the purpose behind my strategy. MobileMe might actually be the perfect cloud application. It was awkward at first and Apple definitely had some problems as chronicled here before, but I began to get used to it. Apple appeared to have fixed the most serious bugs, and I actually began to like it. However, as I got to be really dependent on MobileMe I found a lot of shortcomings. Calendar invitations did not work. Contacts would at times "go missing". The MobileMe page would hang up in certain browsers under certain conditions. Bottom line -- MobileMe proved to be extremely slow and unreliable. It had to go. It became clear that the solution was Google contacts and Google calendar. I was getting sucked in -- just as Google no doubt hopes we all will. Quickly getting over the issue of having all my eggs in Google's basket, the bigger issue became how to get there from here. MobileMe not only has huge performance problems it is also a closed proprietary system, just like iTunes and most everything Apple does. Some people fear Google but what gives me comfort is that they use Internet standards and they provide both import and export from any of their applications. Their only lock on you is that their stuff works really well and you get addicted. MobileMe is a one way system -- easy to import things to it but you can not export. Maybe you can if you have a Mac but not with the hodgepodge of Windows and Linux systems on my home LAN. No problem. I synched back to Outlook, exported from Outlook, and then imported to Google. Good riddance to MobileMe. Now everything is in Google. Calendar invitations work. Contacts are nicely integrated with the calendar and with email and with maps and documents that I choose to share. Microsoft has good reason to fear Google. Their cloud approach is far superior to the heavy-weight desktop approach of Outlook and Office. Google is not without faults, however. There are issues when importing and at one point I lost all the contacts and calendar entries and had to stitch everything back together from various snippets and backups. It was worth the pain. Google Docs is still a work in progress but highly worth using. You can email documents to Google docs but not pdf files. You can upload pdfs but only one at a time. There are issues with printing certain things and various other shortcomings, but having documents in the cloud assures they are continuously backed up. You can share them with others and work on them anytime from anywhere. The biggest gap with the Google cloud is that it doesn't synchronize contacts and calendar entries with the iPhone. Ooops. I am sure they want to offer synch and that it is not a technical issue. It is an Apple issue for sure. I found two third-party applications in the app store that not only work with Google but also provide extra functionality on the iPhone than the basic calendar and contact manager that comes with it. I can recommend them both -- SaiSuke calendar and Sync in a Blink for contacts. I am sure Google will soon offer their own iPhone synchronization soon. If this all sounds complicated -- it is. I have spent many hours getting to this point but I am a happy camper. More importantly, I am confident it will get better and better and I am almost no longer chained to my PC. Almost everything is in the clouds!
Internet Technology , Mobile , Personal Computing , iPhone December 28, 2008 10:55 AM |
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Wednesday, December 17, 2008 |
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Oxinium Update
I feel extremely fortunate and happy that my knee replacement has gone so well and that the rehabilitation is ahead of schedule. Most knee replacements go well but it is possible to have an impact on how well. Following are the key factors from my layman point of view that I feel can make the difference.
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Saturday, December 13, 2008 |
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IBM Happenings: November 2008
These are some highlights of the five areas in which IBM sees our lives being impacted by technology innovations. For more, visit ibm.com.
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Sunday, December 7, 2008 |
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Wind Power
According to the U.S. Department of Energy, the United States has enough wind resources to generate electricity for every home and business in the nation. All areas are not suitable for wind energy development, but if you look at the map developed by the Wind Energy Program working with the National Renewable Energy Laboratory (NREL) you can see that the wind is blowing at 15-20 mph at 150 feet above ground in many parts of the country. From a distance wind energy seems very simple. Instead of using electricity to make wind -- like a fan -- wind turbine technology uses wind to make electricity. The wind turns the blades, which spin a shaft, which connects to a generator and makes electricity. GE Energy recently shipped its 10,000th 1.5-megawatt wind turbine and over the past decade the GE machines have been installed in 19 countries and have accumulated more than 130 million operating hours, producing more than 78,000 gigawatt-hours of clean wind-generated electricity. The 10,000th unit was shipped to the Ashtabula Wind Energy Center located in North Dakota. (See full list of wind farms). It is often said that wind energy is a drop in the bucket in terms of total energy needs but that is beginning to change. GE's "fleet" of 10,000 1.5-megawatt machines can power more than five million homes and produce more than 50 million megawatt-hours annually and there is an added benefit. Compared to "traditional" ways of generating electricity, the wind farms represent a savings of more than 27 million tons of CO2 emissions each year, the equivalent of removing more than five million U.S. cars from the road. Hardly sounds like a drop in the bucket. The more I learn about wind energy the more exciting it is. You can follow wind energy developments at the Wind Energy Update. As the market grows, the technology will advance. GE has already introduced a 3.6 MW machine specifically designed for high-speed wind sites such as exist offshore -- remember the map? The main challenge with wind energy is getting the electricity from where the wind is blowing to the places where the electricity is needed. The wind is howling off the Aleutian Islands but that is a long way from San Francisco. The engineers at GE are doing incredible work. The technical details behind the design of the behemoth wind machines is staggering. They must also stay on top of wind energy as one niche of the exploding new subject area of sustainable energy. I suspect that the GE engineers are using Knovel as their constant online companion. Knovel Corporation has has recently expanded their already vast online engineering resources to include new books such as the Wind Energy Handbook. The now Knovelized book covers what engineers are looking for -- ranging from practical concerns about component design to the economic importance of sustainable power sources. The online book includes 95 digitized and interactive graphs that will be an indispensable asset to engineers, turbine designers, wind energy consultants and graduate engineering students who are anxious to get out in the market and design the latest and greatest wind turbines.
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Tuesday, December 2, 2008 |
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In The Clouds (Part 2) In the early days of the Internet we thought of it as made up of three parts. First there was a discrete collection of specialized computers called routers which moved packets of ones and zeroes between origin and destination. Secondly was another set of computers called servers which contained emails and web pages, and finally the networking infrastructure including telephone wires, modems, and various networking devices such as hubs and switches that loosely tied everything together. Users of the Internet today that are not aware of this technical history -- which is the vast majority of the world's billion + users -- know the Internet for it's most popular application, the World Wide Web. In a sense, the web is a "place" that contains all of the information and applications that we want to use. I have been using IBM ThinkPads since 1992. They are very reliable -- but they do break. Hard drives are mechanical devices that fail; not often but they fail. How many people keep their data backed up? The minority. Does Google keep your data backed up? I completely trust them on this and have no doubt that their commitment and execution on backup is better than mine. The Google File System is very sophisticated and distributed. I don't know where my data is exactly but I know it is not at Google Headquarters in Mountain View, California. In fact I am sure it is replicated around the world and combined on the fly as needed. From a security perspective there are some risks but Google does support document transfer using encryption and I suspect their security will get better and better over time. I suspect they have excellent programs to protect against employee intrusion and disaster recovery.According to Safeware Insurance Agency in Columbus, Ohio, more than 600,000 laptops are stolen or lost every year. I doubt if Google's computers will be lost or stolen. I was skeptical about using Google's gmail in the beginning because I was hooked on the Outlook client. Not that I really liked Outlook but it has the look and feel of the desktop. Generally speaking Outlook performs well and you can work on things without waiting for the network. Gmail on the other hand is an online web application. The surprise to me has been how fast gmail performs -- especially when using the Google Chrome browser which executes the program instructions which are stored in the gmail webpage at lightning speed. At this point I would say not only does it perform as well as a desktop application but is actually faster for most of the things I tend to do -- like looking for something in my archive of more than 30,000 emails. What about when I am not connected to the Internet? There actually are ways to work offline but in reality, and considering the great gmail support in the iPhone, I am almost always connected. When it comes to email, I have moved to a cloud. My email is still john@patrickweb.com but my server forwards everything to my gmail account which where I access it. Cloud computing has been around for years, we just didn't call it that. What has changed is that it has become easy. If I add an appointment or a contact to my iPhone, a few seconds later it is accessible at me.com/calendar or me.com/contacts. Likewise if I make a change at me.com, the change is reflected a few seconds later on my iPhone. Lotus Notes and Microsoft Exchange have had this synchronization capability for many years but it was Apple that has made it really simple. So simple, that they explain it simply by saying that your data is in the MobileMe cloud. Spreadsheets, presentations, text documents, email, contacts, calendar -- all in the clouds. What is not in the cloud? There still remain, for the moment, some applications that cling to the Windows or Mac desktop. The biggest example is Quicken. It is a large and complex application with intense graphics and sophisticated interaction. Can it be done with javascript in the browser. like gmail? I have no doubt, but not so far. Quicken.com and mint.com and others are going after it but at this stage they have not been able to replicate what Quicken does on the desktop. There are other examples, such as Adobe Dreamweaver and other sophisticated tools, but ultimately everything that most of us need will be in the clouds. Will everything be in the Google cloud? They make a compelling case, but I don't think so. There was a time when pundits said that IBM was taking over the world. Later the pundits said Microsoft was taking over the world. Now some say it will be Google. The world is a big place. There are billions of people out there and large numbers of clouds they will utilize. In fact more and more clouds are being formed. Startup companies these days do not bother with the details of their Internet infrastructure. Many of them use the Amazon cloud. The Amazon Elastic Compute Cloud (aka Amazon EC2) is a web service that provides "resizable" compute capacity in the cloud. For storage, many companies use the Amazon Simple Storage Service (aka Amazon S3) to enable storage in the cloud. The advent of cloud computing has made it possible for startup companies to get from new business idea to a full implementation of their idea in weeks instead of months. Great for smaller companies but what about the really big companies like GE, Goldman Sachs, Walmart, Bank of America, BP, or Toyota? How about when they have a new web-based idea? How do they deploy it? Generally speaking it takes a lot of detailed planning. The project manager has to specify exactly what resource is needed -- a very specific computing capacity and well defined storage. In many cases it is difficult to be precise when an idea is new. They could use Google or Amazon but chances are they would prefer to have their own cloud. The large companies of the world have vast computing resources and skills and they also have a desire to keep things inside their own tent for various security and intellectual property reasons. Enter IBM and their new plans for "Blue Cloud". "Blue Cloud" is a series of cloud computing offerings that will allow corporate data centers to operate more like the Internet startup companies by enabling computing across a distributed, globally accessible fabric of resources, rather than today's predominantly local machines or remote server farms. Blue Cloud technology will make it possible to have the computing resource and storage be specified in "virtual" terms and the cloud will do the provisioning in an automated manner using virtual resources. Underneath the cloud there are real resources but the cloud computing environment manages them in an autonomic way. That means that the cloud responds somewhat like the human body. When we get cold we shiver to warm up. When we get hot we sweat to cool down. In a similar fashion, the Blue Cloud will automatically add computing resources and storage on demand and when something breaks the cloud will provide alternate paths to keep things running. The project is based on open standards and open source software supported by IBM's hardware, software, and services businesses. Blue Cloud will not replace the computing infrastructure of the world's enterprises any time soon but over time, this new approach to IT should dramatically reduce the complexity and costs of managing Internet projects. Ultimately, most computing may be done in the clouds and billions of people will be interacting with data and applications with handheld devices that will be more powerful than the supercomputers of just a few years ago. IBM , Internet Technology , On Demand December 2, 2008 04:45 PM |
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Tuesday, November 25, 2008 |
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Amazon Does It Right Amazon is one of the few web sites that really has their act together. In the Fall of 1995, I made a presentation to a group of CEOs about the Internet. I showed them various web sites that I was fascinated with at the time, mostly related to engineering, scientific, government and academic projects. The word e-business had not yet been coined by IBM and there were not many exciting business web sites. One that seemed quite novel though was a site called Amazon.com. I asked for a show of hands from those who had heard of Amazon. Not a single hand went up.Amazon opened its virtual doors in July 1995 with a mission to "use the Internet to transform book buying into the fastest, easiest, and most enjoyable shopping experience possible". During the next few years Amazon became very popular and it was hailed as not only the best web site, but also as the new model of how businesses of all kinds would operate. The stock climbed from obscurity to a market capitalization of nearly $50 billion. (See other stories about Amazon in patrickWeb) Amazon customer service is second to none. In more than a dozen years I have never once heard of a disgruntled customer. The company continues to innovate. The Kindle has been a joy. Many of us have talked about "wrap rage" when it comes to packaging. Amazon is actually doing something about it. Fortunately, Jeff Bezos has small children and has experienced the impossibility of opening toys so he has pressured manufacturers to stop their bad packaging habits and has introduced Amazon Frustration-Free Packaging. Some years ago I enabled an Amazon Store page here on patrickWeb. If someone buys via a link from the site a small commission is generated. It amounts to less than $50 per year and more than all of it goes to charity. I just like the idea of providing a link to a retailer that I think does a really great job for customers. Forecasters are saying that online sales are not going to be so great this year. Could be, but I would not be surprised to see Amazon beat expectations. They are starting the shopping season aggressively with their Black Friday Sale. Internet Technology , Net Attitude , On Demand , e-Business , patrickWeb November 25, 2008 01:58 PM |
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Sunday, November 23, 2008 |
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Vertical
I got to know Bill Machrone in the early 1990's. Bill had been the founder and editor-in-chief of PC Magazine. I also had the pleasure of meeting Bill Ziff on a few occasions. Both "Bills" were early believers in "vertical". Ziff Davis had the approach of publishing magazines such as Car and Driver, Popular Electronics, PC Magazine, and Computer Shopper that entertained the "enthusiasts" -- people who cared a great deal about specific technologies and products -- not generalists but those who were passionate about a particular topic and wanted to go "deep". Today we would call such market segments "vertical". You might say that much of the evolution of the web in the early years of the new millennium has focused on "horizontal" applications and content. Many millions of users swarm to sites that are a foot deep and miles wide -- Google search where you can find anything, eBay and Amazon where you can buy or sell anything, music and photo sites where you can enjoy any kind of media, and Facebook or MySpace where you can meet anyone. Enter Tony Tjan, CEO of Cue Ball Group, a venture and growth equity firm based in Boston. Tony has put forth a perspective blog post in a posting (now on the home page at Harvard Business Publishing) that the generation of the web now evolving will certainly be more "verticalized and editorialized". Tony says that current behavior will continue as we use use large, incumbent, generalist (horizontal) sites like Google and eBay, but at the same time, there will be a strong movement toward more specialized sites. He hypothesizes that this will allow a better balance between "authoritative, expert-endorsed content and broad, less bounded user-generated information". He adds that the advertisers will follow this trend as they sharpen their focus. See Tony's full story here. One of the best examples of a truly vertical site I can think of is what has been developed by Knovel Corporation. When I entered engineering school more than forty years ago (is that possible?), I used a slide rule and engineering reference manuals. I think of them as the first of four generations of using engineering and scientific data. The second generation was web-based data with PC's for standalone and separate analysis. Knovel Corporation (pronounced nah-vil) introduced the third generation about five years ago -- "Knovelized" data with deep search and a high degree of interactivity. Knovel brings boring reference manuals to life and in the process saves engineers and scientists many hours of effort. It is a good example of an information service that is available "on demand". The fourth generation of Knovel's vertical site currently being launched includes Ajax-based interactive graphs built with Mathematica. With no software on the PC other than a standards-based browser, the new generation of tools allows the engineer and scientist to dive deep, find the most arcane of formulas and then interact with them deeply and graphically to solve a design challenge or fulfill a research project. For millions of engineers and scientists around the world, this will be the next generation of the web -- information and tools at their fingertips -- reliable, relevant, and fast. Disclosure: Tony and I are both investors in Knovel Corporation and members of the board of directors.
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Thursday, November 13, 2008 |
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IBM Happenings: October 2008
In a word, Sam says, "our planet is becoming smarter". What he means is the infusion of intelligence into the way the world works. This is being made possible as the world becomes densely populated with electronic chips. Not only a couple of billion people on the Internet, twice that with mobile phones but also tens of billions of Radio Frequency Identification (RFID) tags will allow for much more automation and efficiency across entire ecosystems—supply-chains, healthcare networks, cities… even natural systems like rivers. As all of these become interconnected, they will be able to "talk" to one another and share information about where they are and what they are doing. An enormous amount of information will be created from cars, appliances, cameras, roadways, and pipelines. Sam painted a future where supercomputers will turn mountains of data into intelligence that can be "translated into action, making our systems, processes and infrastructures more efficient, more productive and responsive—in a word, smarter". Not only will it be possible to implement a smarter interconnected world -- it will be essential to our survival. The growth of the past decade has caused a lot of inefficiencies to creep into our global systems. For example in electrical production, there are losses of electrical energy because the grids are not "smart" enough to avoid brownouts and to intelligently distribute excess energy where it is needed. Congested roadways in the U.S. cost $78 billion annually in wasted time and fuel. Consumer product and retail industries lose about $40 billion annually due to supply chain inefficiencies. Healthcare systems don't link diagnosis, to drug discovery, to healthcare delivery, to insurers, nor to patients. On top of that, the planet's water supply is drying up, one in five people lacks access to safe drinking water, and half the world's population does not have adequate sanitation. Sam says that our financial markets problem will be analyzed for decades, but he says one thing is already clear. Financial institutions did a great job of spreading their risks around but they were not able to track what risks they actually had and quantify them. That uncertainly undermined confidence and things unraveled from there. The good news is that all the challenges Sam described lend themselves to systems and technology solutions. There are many proof points already. Sam did not talk about IBM's role but he obviously did not pick examples that his competitors worked on. Stockholm's automated traffic system has resulted in 20 percent less traffic, a 12 percent drop in emissions and a reported 40,000 additional daily users of public transport. Intelligent oil field technologies increase both pump performance and well productivity—in a business where only 20-30 percent of available reserves are currently extracted. Smart food systems such as one now running in the Nordics use RFID technology to trace meat and poultry from the farm through the supply chain to supermarket shelves. ActiveCare Network monitors 2 million patients in 38 states for the proper delivery of injections and vaccines. All of these projects and many more lead to competitiveness in a globally integrated economy. "From the boardroom to the kitchen table, people everywhere are ready, eager for a new way of doing things". Sam called it a "time for courage and vision, a period of opportunity". The New York Times summed up the speech as "IBM Has Tech Answer for Woes of Economy". Certainly a lot of opportunity for IBM but the speech also relates to the company's corporate responsibility. |
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Monday, November 10, 2008 |
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The Pepper Ball Log
In a posting in 1996 I said that my all time favorite, most used gadget was my electric lighted pepper mill. I happen to like pepper on food so it had a practical application but I think what I liked most about it is that every time I used it, it made my wife or kids or guests laugh and that made me laugh. I would always say, "I don't know why everybody doesn't have one of these". But then my family surprised me at Christmas in 1997 with "The Pepper Ball". Not only has this single item from the gadgets section of my site caught a lot of interest, it has made me a member of the virtual technical support department to the world's pepper ball users! I have gotten emails from many asking where to buy one, but most have asked how to add additional pepper to the device. After so many emails about the Pepper Ball, I decided to establish The Pepper Ball Log to share some of the inquiries. Chef'n is a leading innovator in the kitchen housewares industry and it seems to be a company moving in fast forward with a passion for innovation. An inventive young man, David Holcomb, had an idea in the early 1980's to shake dry flakes of garlic with the Garlic Machine. It also used to be that the only cracked pepper you saw was if someone dropped the shaker on the floor -- until Mr. Holcomb invented the Pepper Ball. Most people that visit patrickWeb are looking for stories about WiFi, blogging, or Internet technology, motorcycles or music, but the subject that results in the most emails is the Pepper Ball. I hope you enjoy the log that follows. November 7, 2008 Hi there, I purchased a much wanted Pepper Ball without concern of how to refill this handy little gadget until I was checking it over for cracks before throwing out the wrapper. I thought $20 was a bit much for a throw-away, but I'll be danged if I could figure out how to refill it as my eyes just aren't the best. Thanks to your consideration of helping others, I have been able to successfully fill the ball :) Thank you so very much! Sincerely, Christina Thanks again, it really does mean a lot to me :) July 22, 2005 I have an electric lighted Dudley Kebow peppermill. I have run out of pepper and my husband can't remember how to refill it. I cannot find the directions. I've had it for several years. Can you help? It is model number 6002. Thanks GretchenNovember 27, 2003 Hi! I contact you because I'm looking for where to buy (in France , Belgium or Luxembourg ) the "Pepper ball" created by " Chef'n " I saw that you talk about it on your website and I tried so many website or shop, but it seems impossible to be delivered in France !!! This is a present I would like to do and I was minding to know whether you would be able to help me in finding a solution. Looking for an answer. May 24, 2003 Of the many subjects I have written about on patrickWeb, the one thing that continues to elicit the most feedback is The Pepper Ball. I first wrote about it in 1996 in the gadgets section of patrickWeb. For some unknown reason, it seems I have become the technical support department to the world's pepper ball users! I have gotten emails asking where to buy a Pepper Ball, how to repair one with broken handles, but mostly asking if I could explain how to refill the pepper supply. Yesterday I got an email from a frustrated man in Virginia Beach, Virginia who wrote, "How do you (or can you) refill the damned thing?" I am hoping that the following explanation will make a match for people doing web searches looking for the answer. If you look at the Pepper Ball picture carefully, you will see a rectangular shaped area on the left side. It is about 3/4" wide and 1 1/2" long. By pressing on this "door" toward the bottom of the Pepper Ball, it will slide open. I use a small funnel to fill it so I don't have to chase peppercorns around the kitchen floor. January 3, 2002 I came across you on Google search. I have ones of these too that I received as a gift years ago. One of my favorites too. Just recently the metal grinder broke off. I am not sure if it can be soldered or not. Kind of a can't get to area and gluing doesn't sound healthy. Would you happen to know where I could purchase another? I live in Allentown, Easton, Bethlehem, Pa area. Thought you might know and I guess I could call the company too. Appreciate a response and Happy New Year! Sue
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Thursday, November 6, 2008 |
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Oxinium
Although the knee joint may look like a simple joint, it is actually the largest and one of the most complex.The knee can be thought of like the hinge on a door, except that the knee not only bends back and forth but also has a complex rotational component that occurs as we flex and extend the knee. The knee is formed by the junction of three bones: the femur (the thigh bone), the tibia (the shin bone), and the patella (the kneecap). These bones are connected to each other by strong ligaments. Because of the location of the knee and the way we use it -- or perhaps torture it -- the knee joint is also more likely to be injured than is any other joint in the body. For those who are fortunate enough to avoid a serious injury they instead will likely wear it out.The combination of wear and tear, high longevity, and a desire for extended quality of life, are resulting in rapid growth of orthopedic surgeries to replace our knees. The procedure of knee joint replacement is called a total knee arthroplasty (TKA). This surgery involves replacing your knee joint with a manmade one. In total knee replacement, each prosthesis is comprised of four parts. The tibia component has two elements and replaces the top of the shinbone (tibia). This prosthesis is made up of a metal tray attached directly to the bone and a plastic spacer that provides the load bearing surface. The femoral component then replaces the bottom of the thighbone (femur). The oxinium implant that rotates as we bend and flex our knee is said to be nearly 5,000 times more abrasion resistant than the cobalt chrome knees that had been used for many years. Projections are that the oxinium component will last 30-40 years. (Since I am 63, that should be enough!) The oxinium component on the end of the femur rests on a piece of plastic that replaces the worn cartilage -- in my case completely worn out -- that is made from Ultra high molecular weight polyethylene (UHMWPE). This special polyethylene has the highest impact strength of any thermoplastic made. The polyethylene surface is inserted onto the tibia component so that the weight is transferred metal to plastic not metal to metal. During the operation any deformities are corrected -- I had my fair share of these -- and the ligaments are balanced so that the knee is stable and has a good range of movement. The articular surface of the patella is removed and replaced by a polyethylene button cemented to the posterior surface of the patella. The new kneecap then slides smoothly on the front of the knee joint. More than a half-million knee implant operations are carried out each year around the world, mostly for patients who are over the age of 65. The new materials, such as oxinium, are now making it possible to replace knees in people in their forties, and we will soon see millions of knees replaced per year. A British company called Smith & Nephew claims to be the leader in manufacturing of the components and the tools to install them. They are projecting revenue of nearly $4 billion for the year. There are some pictures of what into my new joint in the photogallery. There is also a lot more to the story -- both leading up to the need for a knee replacement and the process of having it done and the rehabilitation. Stories to follow. |
© Copyright 2009 John R Patrick.