What’s New On The Building?

For those of you watching last week you observed a flurry of activity on 700 East and on our side street. As I may have mentioned before the current A/D Building is bounded by UDOT (700 East), Salt Lake County (side street and beyond our rear wall) while sitting squarely in Sandy. We needed permits in all three.

The UDOT permit allowed us to connect to the Sandy water main underneath 7th East. The existing water main on the side street was unacceptable for the proposed building under current codes. Further, any fire hydrant you see from my building excepting the one directly across the street is on a 4 inch main which is too small for commercial building problems. The 12 foot hole and the drilling was required and dramatically costly. The hole on 7th East had to be dug by the 15th and closed by the 22nd (even that was an extension) or the whole project would have to wait. All of what has been done has yet to be funded by the Bank. Our holdups at present are related to SBA requirements, pretty much all has been signed off and is ready for final approvals…but we have yet to see a third party dime. All of this anxiety provoking and unnerving. The contractor stands ready to go we just need the financing flow to start. Needless to say the Winter is right on us now so we have to get moving ASAP.

The next major piece is to make parking available where the red stone is (front), drop the outside room and pour concrete in that place. After which we will be moving into modular trailers in that spot and the rest will proceed.

For Aftercare Attendees watch for the notice because we will be moving those meetings to available space with neighbors approximately 500 feet south. Tammie will be providing you with the specifics. I will keep you posted on this blog!! Register for the blog so we can keep track of issues.

 

 

MD

Construction Started?!?!

There is a hole in the road on 700 East in front of our building.

It was dug while I was away but I believe that it is the humble beginnings of our new building. As I get more information I will post it. The excavation had to be done prior to October 15 because of the annual UDOT moratorium on road construction during the winter. As the full construction gets under way I suggest that you watch this site for changes, drafts, pictures etc.. We expect the transition period to be doable but a challenge. Current plans for the anticipated 3 month construction period include utilizing some modular trailers and some generous support of space from our immediate neighbors as the new 4,000 sq ft building goes up on the present site.

MD

The Russians Are Coming The Russians Are Coming!!

The first Russky tried to post here last week and the spam filter kicked it!! Please watch for strange ids or postings and advise me. When you register make it clear to me that you are not a threat…I’m sorry butt I will have to block funky looking email addresses. This is especially true for gmail addresses as they are consistently utilized…so be clear or send me a separate email through the website.

Thanks

MED

Building Update #1

Allegedly, all approvals are in and all permits will be issued within a day or two. Funding is firm and we expect to see a hole on the west side of 700 East that is the start of our water main connect within seven days. Major changes will follow that but we face the UDOT moratorium for all digging (October 15th) so expect to see that hole open and drilled quickly. I will try and keep you all posted.

Mikey

The Building Plan

No doubt you all have been hearing about the pending construction. We have been at it since June, 2010 and changes (I have been assured) are imminent. Let me tell you a little about it. The plan calls for an approximately 4,000 sq ft building (more than 3X our current size). The plan for the building is somewhat of a “Park City” look with beams, glass and a green steel roof. The funding is in place, and the permits are all pretty much in place. A/D sits in a unique spot, the street to our left and behind our back wall is a Salt Lake County “island”. 700 East is owned by UDOT and we are in Sandy on that corner. We needed permits from all three…hence the delays. The UDOT permit requires us to break ground by October 15th to tunnel under 700 for our water main or wait until spring so we are pressing everyone everywhere right now.

Initially, the utility room (old garage) will be levelled and the parking lot will be excavated and paved up to the existing building. We will be operating from two large mobile trailers. We have also arranged for some space with some friendly neighbors for our aftercare. It’s going to be somewhat  inconvenient but should be OK for our needs.

We considered running a five year cake sale or a twelve year chocolate drive to finance the project but finally settled on working with our long time friends at the bank and the SBA to make it happen.

It is exciting…stay tuned here for updates.

Mike & Tammie

He Lives!!

Just a quick update for those of you asked or called about my recent surgical adventure. I’m fine and will continue to be fine. Apparently I have a bone infection in my toe. Sounds dinky but turns out to be a bigger deal than that. The affected toe needed to be biopsied and apparently because of how much aggravation I have been known to give people in the past I needed to be knocked out (general anesthesia).  I like to say that it all worked out but for what it is worth let me share a lesson learned in recovery.

Based on a long and relatively open personal history provided the surgical team before I went under I had what I thought was a direct and detailed discussion with the anesthesiologist regarding my intent to avoid all opiates. I said as a practical matter if I could avoid lighting up those neurotransmitters that was my preference. I also shared a belief that physicians, dentists etc are typically doing well when they do not “open doors” that they frequently fail to follow fully into the outcome. Meaning if you have opened a door with opiates you need a discharge plan or follow-up that assures that you closed that door and the patient (in this case-me) is OK after you do your deal. Frankly, I think it is easy just to follow the patient directive whenever it is medically appropriate and possible and avoid using these meds. In all fairness I thought my request was reasonable because among the obvious issues such as my addictive history I have some serious neuropathy in that foot and historically very little pain or sensation in the affected toe. Incidentally, clinically there is good research on the protocols for anesthesiologists to follow with recovering clients that are unique to that population (Check With A/D for Material). Despite all these efforts and the assurance that I would be treated with toradol that  was not to be the case because (I guess) all these hotshots are so all fired smart.

I awoke to find that despite the detail of the discussion and the relatively simple nature of the surgery I was treated with morphine and dilaudid!

I know this because some idiot left the medication log on my bed and I read it-showed it to my wife.

I was out of surgery at 12 noon went home and “promptly” fell asleep at 5AM the next morning…a side effect I believe resulting from the introduction of the opiates. I had no pain then (obviously) but also have had NO pain since the surgery. My point in all this is that the dosing was unnecessary and unprofessional at a minimum.

I am fine…upset…frustrated but fine. I did not fall off the planet or return to an unmanageble life. I did file my complaints with the appropriate parties but believe they will go nowhere because these folks are all so smart. I’ve spent 26 years coaching clients to be firm about telling caregivers of their  aversion to the substances they are vulnerable to. My suggestion now is do not be casual, or simply “firm” in fact do not be polite, be aggressive and rude and complain because they just don’t get it!

For the record…its been 5 days and no one on that team wants to know a damn thing about my addictive disorder or the impact of the meds.—-Mind Blowing

Rest assured if they are reading this I am fine….sheez.

MD

Gave Up The First Info On The Site Today

Ready to rock and roll folks.  Our groups were being told today about the website, blog and forum. It’s pretty much up to what, where and when we utilize the blog.  If you register, make sure you contact our office so we can change your status to make you eligible to post and not just read.

If you have ideas for Topics and Categories…lets get them in there.

Mike

Confidentiality

Please be careful of postings and information shared on the blog.  No one can guarantee your confidentiality on the blog.  The internet is a relatively lawless environment. Be careful and polite with what you might say or offer and whom you may offer it to.

M

Hello world!

A/D Clinical Blog Is Now Up.  The new A/D Website will be up shortly and the new A/D Counseling Center (site is on our current location) should be coming soon.

M