Dealing with seasickness

I have done a lot of small boat sailing in my life. I love it, yet I get very seasick. I am often asked how I deal with it, so here is what works for me.

The knowledge that you will get seasick can be daunting. You may already know if you are susceptible to seasickness; if you got car-sick as a kid or if you find it nauseating to read a book on a bus or in a car, you will probably get seasick in a small boat. For everyone else, there will probably be times that you get seasick. There are a few robust individuals who appear immune, but even Don has been known to spew in the cockpit (admittedly immediately after chugging an entire can of soda pop).

Preparation: before the trip
Do not eat a hearty, rich, fatty meal before a voyage. Not even the night before. The stereotypical sailor's meal of pizza and beer is exactly the kind of thing that will ensure a "Roman incident". Have a light meal of some bread and fruit. Drink water or watered fruit juice.

Do not drink alcohol at all before or during a trip. After you have the hook down, fine. Same for any other recreational drugs. You want your head clear and your balance to be as normal as possible.

Get lots of sleep. It's a very busy time provisioning, loading, doing last minute repairs, weather routing, chart planning and so on. Try to build up a "sleep surplus" - even if you are not seasick it will help out on those first night watches as you get used to life at sea.

Prevention is way easier
There is a theory that explains seasickness thus: your brain detects signals from your ears (balance) and eyes that disagree and thinks that you have been poisoned, thereby triggering a vomiting reflex to remove the toxic substance that it thinks you have eaten. Whether this is so I don't know. However, it is certain that seasickness is the cause of a lot of anxiety and unhappy crew members. For some reason, in my experience, women are more susceptible than men.

Take your medication for seasickness well before you start sailing. Usually two hours before. Follow the directions. It is a lot easier to stop seasickness before it starts than to interrupt it once it has got hold, in my experience.

Types of medication:
Dramamine - available as pills, liquid and suppositories, branded as Gravol in North America, this is quite good, although it does make me a bit sleepy.
Scopalamine - this is available as Transderm Scop, the famous transdermal patch that has helped a lot of sufferers. It is also available as Scopace, which is in pill form. I have found it quite effective, although the side effects of extremely dry mouth and weird giddyness are disturbing. It is a very strong drug and smaller people (especially women) report many weird psychological effects. The 3-day patches do stick well but in a very warm climate (where you sweat even behind the ears) they may come off.
Meclizine - branded as Bonine/Antivert, in the form of pills. Didn't help me much but it may help you. It is said to have fewer side effects.
Cinnarizine - branded as Stugeron these pills are very effective for me. Unfortunately they are not sold in U.S. You can get them in Europe and Canada.

Other remedies:
Chewing very hard. Funnily enough, although I am not an alternative remedy kind of person, I do find chewing ginger helps. I am not sure if this is because of the strong flavour or the chewing action, or because it has some drug-like action. I find that chewing beef jerky or anything really salty also helps. I have not tried chewing gum. The very strongly flavoured bright red salted semi-dry ginger slices sold in Chinese food shops are very good. Or Tamarind. I've been addicted since childhood.

Bracelets - some people swear by the elasticated bracelets with so called "accupressure" plastic knobs on that press into the the tendons on the inside of the wrist. I think "Sea Bands" was the brand name. Hey, I wore them, and a scopolamine patch, and chewed ginger, and didn't get seasick so they obviously work...

Aromatherapy - on occasion a strong whiff of a pleasant perfume or essential oil has appeared to avert the start of seasickness. I keep a few vials of the stuff around. It worked one time for me and not another time. Although I'm sceptical, it can't hurt.

During the trip
If the weather is calm, many folk do not get seasick. However the long gentle swells that come from a distant storm are actually worse for me than more violent waves. For example, I was fine over the course of many hours with the 3 metre waves we encountered on Lake Ontario probably because they were close together. A long 2 metre swell in the Atlantic made me feel sick within an hour.

Avoid leaning down below, or being out of sight of the horizon unless you are lying down. Try to keep in a fresh flow of air. Get something to do, like navigating or steering the boat. Sit on deck in the wind and look at the horizon (fasten your safety harness to the boat. You are wearing your safety harness above deck, aren't you?) Avoid strong greasy smells (like lasagna cooking on the stove, or diesel fumes). Try to avoid listening to other people puking as this can set you off as well.

Once I start to get seasick, the first signs for me are a headache and mild nausea. Then immediately before the first vomiting attack, a rush of saliva in the mouth. You must get to the rail or over something impervious to fluid or you will be wiping up puke from the carpet. If you make someone else do it you will not be popular. (Fortunately no serious cruising boats have carpeting.)

If you are like me, you will vomit a number of times until you have emptied your stomach. Then you will vomit some more. And more. For me it's every 10-20 minutes. It is exhausting, but do not give up, try to serve your watches. The danger here is of dehydration. Once my stomach is empty, I carry around a bottle of water and a large cup. The cup is for vomiting into (nothing much left inside so it is big enough) the bottle is for taking a few swigs whenever I can bring myself to. With practice you can almost work normally for 19 minutes out of 20. Not pleasant (for others either), but it will pass.

The seasickness stops in one of two ways, for me. Either I get my "sea legs" and it just stops (after about 2-3 days), or I get tired and dehydrated and collapse into a whiny, incapable, self-pitying mound of misery and lie down in a corner to die. Warn the other crew members that this is to be expected, tell them to bring you a cup of water once in a while (every couple of hours) and perhaps a slice of fruit to suck on. You will probably reject their offerings with hideous moans and curses. If they are really good friends tell them to bring you anti-nausea medication in the form of suppositories and get them to make sure you use it.

Keep taking your medication even if you are constantly vomiting. Pills or suppositories.

After the trip
You will live. You will at some point want to die, and this will continue, but you will be OK if you are sensible and the crew help you. It is like magic; as soon as you sail into calmer waters or as soon as you get off the boat you will be cured! You will feel fragile but relieved to be alive. Drink plenty of fluid and get some sleep - unless you have just made Port of Spain and have an appointment with Carnival!

H. Pylori and why it's important

All my life, well, since I was a teenager, I had had mild acid reflux "indigestion" especially after eating cooked plum tomatoes, and food "allergies" to shellfish (mussels, oysters, clams, etc). I lived with it without much thought. If I accidentally ate a scallop in a restaurant I would have a horrible bout of vomiting a few hours later, silly me.

In 2003, after Don had been living with me for 10 years, he got a serious ulcer. He became very ill from blood loss. Our doctor put him on some kind of acid reduction pills and told him to stop eating spicy food and take iron supplements. "Oh the stress of our life is making him sick," we thought. Actually we, and she, were wrong.

When Don got ulcers again a few months later (he recognized the symptoms before he got very ill) we did some research. We found that ulcers are caused by a bacterium (Helicobacter pylori), which can also cause cancer of the stomach and esophagus. It is likely transmitted by water or oral-oral contact, however it is not very contagious. There is a simple breath test for the infection.

Our doctor took a lot of persuasion; she was a technophobe and considered anything we read "on the Internet" to be akin to reading a supermarket tabloid. Don went to see her, armed with a lot of serious references, and she was very surprised. When he went back for the next appointment she had read up on it and, knew everything there was to know :-)

Don was sent to a gastrenterologist who put him on a course of simple antibiotics to kill the H.Pylori, but his post test still showed positive. I went along to his next appointment and suggested that I might be reinfecting him. That doctor admitted the possibility, but also said the organism was hard to kill - it hides in the stomach lining. I was tested and found to be positive, so he put us both on the next level of treatment. This is the so-called triple-therapy: high doses of two different antibiotics and a drug to reduce stomach acid; in our case metronidazole, tetracyclin and pantoprazole, along with use of bismuth in the form of Pepto-Bismol.

I developed a lot of sympathy for people who are on serious long-term drug therapies. These pills had to be taken in a strict schedule, every two hours starting two hours before breakfast (!) and washed down with generous doses of Pepto-Bismol. I came to associate the wintergreen taste of "Pepto-Dismal" with the nausea caused by tetracycline. It was one of the hardest two weeks of my life, although it sounds trivial: "keep taking the tablets." Constant nausea, lowered mental function - I could barely work, even from home. Yuck.

However, a month later we were tested again. We were apprehensive; the GI guy had made the point that there was a third line of attack against H. Pylori - but he suggested that we should sincerely hope that we didn't have to have that. Fortunately we were both negative.

The result is good news; Don has had no more ulcers and I have had no indigestion since. I can eat shellfish again - although I don't see the point of eating tasteless bivalves that live in the sea filtering out any shit that happens to float by. Whether the reflux was caused by H.Pylori (probable) or by other organisms that were offed by the treatment (possible) I am not sure.

I was probably infected when living in Fiji as a child, over 40 years ago - this bacterium is very long-lived and much more common in the Third World. My mother was also positive, and also had reflux as long as she could remember. Fortunately she responded to the simple therapy.

So if anyone still has a doctor that thinks ulcers are a lifestyle disease, get yourself tested. Marshall and Warren are two Australian doctors who got the Nobel prize for medicine in 2005 for this discovery. It is also possible that if you experience constant reflux, chronic indigestion, or weird food "allergies" that change from one year to the next you have this potentially serious infection.

In Ontario the simple blood test for antibodies is free to residents, however the more definite urea breath test costs about $60. It's required after the therapy because the antibodies persist for a long time giving false positives.

BS bingo

One way to occupy one's mind during sales/marketing bun-fights (apart from open criticism and ruthless mockery à la Heather Mallick) is to keep track of the surreal forms of language used. Many of these phrases have a proud provenance in management stories from airline magazines way back to the '90's:

Paradigm shift (1962)
Low-hanging fruit
Back to base
Crossing the chasm (1991)
Reorient internally
Commitment to be visible in the market
Outwardly focussed
Abandon the status quo
Rebrand the company
Market relevant products
Be proactive
High impact events
High profile
Resonate with the customer
Leverage the brand
High touch, high value
Fly below the radar
Barely tapped the opportunity
Learn how to play in those markets
Lifecycle of customer
Load up model
We moved the boat a lot last year
Smart investments
Helping your customers buy you
Cover off the bases
Create excitement
Synergy
Touch the customer
Take it to the next level
Stay on the radar
Execute and trust the person next to you
Be counted
Top of mind
Care passionately about
The takeaway
Biting off more than we can chew
Focus on bigger market niches
Drive additional revenue

"C'est magnifique, mais ce n'est pas la guerre: c'est de la folie." Pierre Bosquet

Movie review: Lust caution

This Ang Lee epic (aren't they all?) drama is well worth watching. It's also disturbing - a serious work about love, death, war, fascism, youthful idealism, and of what, depending upon your POV, it takes to make either a freedom fighter or a terrorist. An espionage drama with a gritty Grahame Greene feel to it.

The protagonist is Wong Chia Chi, played by the absolutely gorgeous and talented Tang Wei. She is the unwanted daughter of a rich man who has fled China. At school in Hong Kong at the end of the '30's, when China is torn by warring factions and the Japanese are very much the enemy, she falls in with a group of politically-minded students who form a patriotic drama group. She becomes the star of their show to provide support for the Chinese cause. Afterwards, realizing that they haven't actually done anything useful, the group of five, now friends, resolve to take action. They decide to assassinate an important collaborator, Yee (played by Tony Leung) who has arrived from the mainland. Since their target is well-protected, they invent a honey trap baited with Chia Chi, disguised as the neglected wife of a businessman, although she has no sexual experience.

Their efforts nearly succeed. Yee, middle-aged and with a boring wife, is intrigued by her youth and charm. However he returns to China before the group can take action, and the messy murder of a minor thug drives Chia Chi away from them.

A few years later with the Japanese and Kuomintang now in full murderous control of South China, members of the cell, discover Chia Chi living in poverty in Shanghai. They recruit her back to finish the job, supported by mysterious Chinese resistance agents now that Yee has become head of the secret police. The last half of the movie details her successful attempt to become Yee's mistress and her struggle to bring him to be murdered by the group. Needless to say, it does not end happily.

The mind and behaviour of the character Yee, is very disturbing. A powerful and ruthless killer, he is apparently completely amoral. He even knows that the collaborationist regime he supports is doomed. We are seeing corruption taking place as his civilized exterior is eroded by his lust for his work. His internal conflicts appear only when he is shown in the home with his rich, spoiled wife. When alone with Chia Chi he can give rein to his brutal nature. This includes some of the most violent but compelling sex scenes that I have seen in a serious movie. Most of them have been cut from most distributions. The reaction of the woman who is raped and tortured, and cannot flee because of her commitments is breathtaking - she hates it and yet she is consumed by it. In a horrible irony, her compliance actually changes her abuser; he comes to some form of love for her, although he is still a monster.

Another interesting characterization was that of the students; young, well-educated, idealistic, and with a sense of justice and righteousness on their side. They take to the life of a terrorist cell as a desperate measure to do something in an attempt to help their cause. This seems to me to be the real explanation for ideologically driven espionage and terrorism, from the Cambridge group in the '30's to the people who brought down the World Trade Center towers. Once people are caught in a web of ideology in their formative years it is easy to see how they can be used to do almost anything.

The incidental scenes of life in China in the 1939-1943 are also very striking: rich collaborators having polite tea and mahjong parties while the poor are brutalized by soldiers; destitute multitudes passing through security checkpoints and in breadlines; lost White Russians washed up in Shanghai working as prostitutes and rickshaw runners.

All told, a brilliant, serious work.

Pair programming: an experience

As with many of the Agile techniques, pair programming may be counter-intuitive when you first hear about it. Having worked like this for about 6 months now, I think I can say that it can be very successful.

This particular experience has been productive, fun and a very effective way to transfer knowledge. I was, prior to this, a Java/JSP developer for a couple of years. I consider myself a professional programmer. My oppo, Derek, was a very experienced Flash designer/web programmer. Two totally different domains with practically no intersection.

Our mission was to pick up the pieces of the ASK Flash client apps (the previous incumbents having departed 3 and 12 months previously) and to develop the first of the oral reading training activities for students using the red5 media server for recording/playback.

These previous apps had been under development for about 5 years and in that time server-client traffic had become a bottleneck. The apps needed to hold the server's hand when they did anything. The Flash apps are pretty and intelligent and could do a lot more of the heavy lifting. So we also had to implement a new way for the apps to function in the system.

Working together, often at the same computer, I found that I learned a huge amount about Flash apps, and, of course the programming language AS2. I am now quite proficient. I am still a beginner at the design side of Flash, although I can follow what Derek does - this is truly an alien way of thinking for a text-based worker like me.

Derek for his part was not an object-oriented programmer before this, but is now a pretty fair coder.

Together we have made 3 major apps, now working on the 4th, each of them is better than the last in both design and code. It has been very effective for us to actually work at one desk for a lot of the time, especially when coding and building the logic of the apps. It's also been a lot of fun. This has been perhaps the only drawback - I've heard a manager grumble about "splitting us up", as if we were just being social - lol.

Interestingly, almost but not quite the same degree of collaboration can also be achieved remotely from our homes about 80 km apart, VPN'ing in to the company network. We use IM and Skype to talk and run local dev environments as well as Remote Desktop to our office machines.

One major consideration is code quality; we catch a lot more errors earlier than I would alone. Also I think that talking through the logic really makes it more robust.

Another advantage is that the two of us really understand the apps and code in considerable depth. I trust that Derek can make code changes, and I think he'd let me make mods to the Flash apps.

All considered, I'd definitely recommend pair programming in the case where two experienced developers can complement one another's skills.

Book review: The Consolations of Philosophy by Alain de Botton

Definitely worth reading. I picked this book up last year to read on a long flight, and it kept me completely engaged. I re-read it again recently, and it still speaks to me, which is what I like in a book that I have spent money on buying new.

This book is a collection of 6 extended essays each called "Consolation for" a particular problem. The problems for which the author uses philosophy to give us consolation are: "Unpopularity", "Not having enough money", "Frustration", "Inadequacy", "A broken heart" and the rather generic "Difficulties". It's probably fair to say that every human over a certain age has encountered one or more of this group of obstacles (or the modern idea is to call them "issues", probably in an attempt to diminish their seriousness. Happy clappy crap, lol ).

As an attempt to make philosophy relevant to Everyman, this is a very readable, entertaining, informative and encouraging book. The approach is quite interesting; in each essay de Botton gives an account of a particular philosopher's life and work, and tries to encourage us to take comfort in our own lives.

There is a layered approach to the essays: presenting paintings and photos of the various subjects, landscapes, and people, together with lists of things to be considered on the various topics, lists of counterpoints, with biographical details, extensive quotations and commentaries. This is certainly makes the book interesting and gives a multi-media feel. Apparently it has been turned into a television series - "Philosophy: A guide to Happiness".

The first four essays are very effective. His accounts of Socrates (unpopularity, of course) and Epicurus (not having enough money) are fresh and thought provoking.
Frustration's consolation is illustrated by the life and thought (or mostly the death) of Seneca.
Inadequacy (including sexual, cultural and intellectual) is covered by a survey of the life and work of Michel de Montaigne.
Up to this point everything was going very well and I was fair entranced by the author's arguments.

Things started to fall apart somewhat when his consolation for a broken heart covered the life and work of Schopenhauer and the consolation for difficulties was the life of Nietzsche. The ideas of these two are perhaps more a reason for gloom than a consolation. Interesting though.

De Botton's explanation of Schopenhauer's ideas about the heart are a bit histrionic, in my opinion. I was not convinced at all about the reasons that people fall in love and may or may not be rejected, especially in the light of subsequent biological and psychological research or even my own life experiences. The idea that our subconscious is assessing everyone for fitness as a parent of potential children is surely not sufficient to explain the full range of human sexual response and the wide variety of misery that everyone may encounter when the course of true love runs over a cliff. Every person is different and we all have our hot spots, as it were, but it's not just about reproduction. The mind is the biggest sexual organ, after all; and for a wide range of non-reproducing potential shaggers (elders, same sex lovers, one-night stands and so on) there must be other reasons for attraction. Certainly there is some kind of imprinting that happens in childhood or youthful early sexual experience that appears to determine the kinds of people we find interesting.

The idea that the life of Nietzsche could console anyone for anything, is also bit of a stretch. The Nietzsche essay was, frankly, mealy mouthed. The fact that this fellow spent most of his life miserable and then made his own suffering into a kind of virtue is, well, sad, but it doesn't translate into making me (or anyone I would think) feel better about confronting difficulties. The idea that striving for something makes the achievement sweeter is worth pondering, and the journey can be the reward - especially if one never arrives. However, what about all the people who struggle without achievement, or those who give up in despair? Somewhat harsh to say that they are unworthy weaklings and that the struggle is worth it because it somehow makes one more of a human. At best it may be a totem to keep up the spirits, but is it a real consolation for an intelligent person? Where is the room for compassion, recovery or redemption? Or is it all "Arbeit macht frei"?

Conclusions and quotes:
Unpopularity: "The philosopher offered us a way out of two powerful delusions: that we should always or never listen to the dictates of public opinion" To follow his example, we will be best be rewarded if we strive instead to listen to the dictates of reason."

Not having enough money: "Happiness may be difficult to obtain. The obstacles are not primarily financial."

Frustration: "What need is there to weep over parts of life? The whole of it calls for tears."

A broken heart: "We must, between periods of digging in the dark, endeavour always to transform our tears into knowledge."

Difficulties: "Not everything which makes us feel better is good for us. Not everything which hurts may be bad."

However, in spite of minor quibbles, this is a book worth reading, re-reading and, yes, buying new. Fancy that!

Tumblr

Looking at Tumblr, which is like a cross between a blog and Twitter. We can embed a link or the entire thing in a web page FWIW: