Tuesday, May 19, 2026

🧂

Salt went from strategic commodity → taxed necessity → industrial bulk mineral → almost free food additive.

Core timeline

Era

World pop.

Salt production

Price / scarcity status

Breakpoint

Hunter-gatherer

~1–10M

no “industry”

usually not a trade good

Meat/blood supplied more sodium; salt licks mattered locally.

Early farming, 10k–3k BCE

~5–20M

tiny, local

valuable inland

Grain diet lowered sodium intake; inland humans needed salt sources/trade. Census historical estimates put world population around 5–20M by 5000 BCE.  

Bronze/Iron Age

~20–100M

salt pans, brine, mines

high-value trade good

Cities, armies, livestock, cheese, fish/meat preservation.

Rome / Classical

~200–300M

organized regional production

important, but not literally gold

Salt routes mattered; “soldiers paid in salt” is mostly myth. Diocletian’s 301 CE price edict gives salt as an ordinary controlled commodity, not a luxury.  

Medieval

~250–500M

bigger coastal/brine works

regionally expensive

Transport + monopoly + taxes dominate price.

Early modern Europe

~500–900M

large saltworks

politically explosive

French gabelle made salt artificially expensive; in 1784 a 49 kg unit reportedly cost 31 sous in Brittany but 591–611 sous in heavily taxed regions — ~20× difference.  

1800s

~1B → 1.6B

industrial mines/brine

price collapses

Deep mining, drilling, canals/rail, coal-fired boiling, chemical industry. This is when salt becomes broadly cheap.

1900

~1.6B

tens of millions tons/year

bulk commodity

USGS says in 1900 the U.S. was the world’s largest producer at ~23% of world output; major uses were food, animals, leather, fish/meat preservation, with chemical use beginning.  

2000

~6.1B

~200M+ tons/year

very cheap

By 2000, food use was only ~3% of U.S. salt consumption; chemical industry dominated.  

2025

~8.1B

~270M tons/year

insanely cheap

USGS estimates 2025 world salt production at 270 million metric tons; U.S. rock salt averaged about $54/metric ton, brine about $11/metric ton at mine/plant.  




The big inflection points

1.

Farming made salt more necessary

Hunter diets with meat/blood/organs gave more sodium. Grain-heavy diets made salt a thing you had to seek. Inland farming = problem.

2.

Preservation made salt civilization-scale

Before refrigeration, salt meant:

  • fish
  • meat
  • cheese
  • pickles/ferments
  • hides/leather
  • livestock

So it was not just “seasoning.” It was food storage infrastructure.

3.

Governments made it expensive

Salt was perfect for taxation:

  • everyone needed it
  • hard to substitute
  • easy to monopolize
  • easy to inspect/impound

France’s gabelle is the canonical example: not “salt is rare,” but the state turned salt into a tollbooth.

4.

Industrial extraction killed the old price

The real “salt becomes cheap” breakpoint is roughly:

late 1700s → late 1800s

Because of:

  • rock-salt mining
  • brine pumping
  • coal-powered evaporation
  • canals/railroads
  • steam machinery
  • later: chlor-alkali chemical demand

After that, salt becomes a bulk industrial mineral, not a precious foodstuff.

So, when was salt “common enough”?

Best rough answer:

  • Coastal people: always relatively available, but labor-intensive.
  • Inland premodern people: available through trade, but sometimes expensive.
  • Urban medieval/early modern Europe: common, but heavily taxed/monopolized.
  • By late 1800s: common and cheap in industrializing countries.
  • By 1900–1950: basically modern-cheap.
  • Today: absurdly cheap; the expensive part is packaging, branding, transport, and grocery markup — not NaCl itself.

One-line model

Salt was never uniformly “worth its weight in gold”; it was cheap at the source, expensive inland, politically exploitable, then crushed by industrial mining and transport.


Friday, May 8, 2026

ChatGPT on why I love andor

So I have a great recommender trained on what I like. 

So I asked it about andor. 
10/10

Thursday, April 30, 2026

2026 - 04 - 30 - IRF and next steps

So john is being moved to IRF - inpatient rehab facility.
I asked my AI to give me the whats next. (it has been trained to give me info in ordered, terse form, aka, a nice simple easy to scan outline) 
Additional details can be found by searching ...

I dont "know" his deficits.  I know that his brain doesn't have full control of his legs, but clearly he's holding a CUP. SO YAY!!  And that alone will help with a walker and a cane and etc etc etc 

My understanding of IRF is that the goal is to get him home. 
Which might be even if he cant do stairs ... he can sleep in the living room while doing outpatient therapy etc etc 


🎉 IRF Day 1–3 (what actually happens)

🧠 Intake + baseline evals

  • Neuro check: alertness, memory, attention, orientation

  • Speech eval: understanding, speaking, swallowing

  • Mood/behavior: motivation, confusion, impulsivity

  • Functional cognition: can he follow steps, make decisions


💪 Physical eval

  • Strength (each limb)

  • Balance / sitting / standing

  • Walking (if possible)

  • Coordination

  • Transfer ability (bed ↔ chair 🚶)


🧰 Therapy assessments (3 disciplines)

  • PT (physical therapy): walking, stairs, endurance

  • OT (occupational therapy): dressing, bathroom, hands, daily tasks

  • SLP (speech therapy): speech + cognition + swallow


🍽️ Swallow + diet

  • Test for choking risk

  • Set diet: normal / soft / thick liquids / tube support


🗺️ Plan + goals

  • Team builds a weekly plan

  • Typical: 3 hrs/day therapy (split across PT/OT/SLP)

  • Set clear targets (e.g., walk 50 ft, speak basic needs, dress self)


🏥 Medical stabilization

  • Adjust meds (BP, blood thinners, etc.)

  • Sleep, pain, bowel/bladder routines

  • Prevent complications (clots, falls, pneumonia)


⚡ Day-by-day feel

  • Day 1: mostly evaluations + light activity

  • Day 2–3: full therapy starts, schedule locks in


🎯 What matters

  • How much he can participate

  • How fast he improves day-to-day

  • Whether he can tolerate the 3 hrs/day

If you want, tell me his current deficits and I’ll predict his IRF trajectory.
................................

Saturday, April 25, 2026

2026-04-25 - milestones and status

this is WHERE john is now ...


🧠 Phase 1 — ICU → Neuro (you’re here)

Milestones just hit:

  • Vasospasm resolved
  • Brain drain (EVD) removed
  • Medically stable enough to leave ICU

What they’re watching now:

  • Stable vitals, no new neuro decline
  • Swallowing (can he eat safely?)
  • Basic participation (follow commands, engage)

next is .....


🚀 Phase 2 — Ready for IRF (the gate)

He moves to IRF when:

  • Medically stable (no ICU-level care)
  • Can participate in therapy (not perfect, just engaged)
  • Needs multiple therapies (PT + OT + speech)

👉 This is the critical placement decision


🏋️ Phase 3 — IRF (intensive rehab)

Goal: regain function fast

Milestones inside IRF:

  • Sit → stand → walk (even assisted)
  • Use of affected arm/hand improving
  • Speech / cognition improving
  • Can do basic self-care (toilet, dress, eat)

🧭 Phase 4 — Discharge decision (big fork)

At end of IRF, they choose:

🏠 Option A — Home (best case)

  • Safe to move around (maybe with walker)
  • Can manage basic needs or has help
  • Continue outpatient or home therapy

👉 This is the goal


🏥 Option B — SNF (step-down)

  • Not safe at home yet
  • Needs more rehab but less intense

👉 Temporary bridge


🧑‍⚕️ Option C — Long-term care (rare here)

  • Only if severe deficits + no recovery trajectory

👉 From your description: unlikely


⚡ Simple flow

ICU → Neuro → IRF → (Home ⬅️ goal) or SNF → Home


🔑 The real decisions

  1. IRF vs SNF first (you’re fighting this now)
  2. At IRF discharge: Home vs SNF
  3. Home support level (alone vs help vs services)


2026-04-25 hospital visit


2026 04 25, Saturday 

Spent some time with John. 


TL, DR

He is OUT of the ICU and was moved to Neuro. 


Where is he TODAY

Room 5137

Ascension Alexian Brothers

800 Biesterfield Rd, Elk Grove Village, IL 60007


Yes, please go visit if you can. 


How long will he be there?

Unknown. 

Drs will have to clear him for next step. 

And there needs to be an opening. 


What’s NEXT 

Long term rehab. 


I need to make a glossary!!!


The next step is when and which, will the family PUSH for IRF vs SNF. 

SNF sounds like it’s for worse cases. 



SNF

SNF (Skilled Nursing Facility)

  • Rehab + nursing care, but lower intensity than IRF
  • Typical after hospital if patient can’t handle 3 hrs/day therapy


Key differences (vs IRF)

  • Therapy: lighter (often ~1–2 hrs/day, not guaranteed daily)
  • Doctors: not daily oversight
  • Goal: slower recovery / stabilization


IRF

IRF (Inpatient Rehabilitation Facility)


What it means


  • Hospital-level rehab focused on getting function back fast
  • Built for stroke, neuro, ortho recovery


Key features


  • Therapy: ~3 hrs/day (PT + OT + speech), 5–6 days/week
  • Doctors: daily rehab physician oversight
  • Team: coordinated (PT/OT/SLP/nursing)


Blunt translation


  • IRF = aggressive, high-impact rehab → best recovery odds
  • SNF = slower, lighter rehab → fallback

I had some images from screen shots but failed at sharing them ... sigh ...









My visit today. 


No phone. He really can not talk on phone. 

But while I was there, I made two calls, Denise and Mitch, they got to say hi, etc. 


John made a face when I mentioned that I was interpreting his reactions. Nods, shakes, etc. 


So I pulled out my tablet with a communication app. 

And while he looked at it, I don’t think it made words. 

He did not reach out to touch it. 





And oh look, I found one with pictures. 

They have professionals for this. But sooner is better than later. 






Guarded optimism. 






the images missing from up top