Thursday, January 1, 2009
Home and gone again
Wednesday, December 31, 2008
The Mile High Year in Review

We spent time in the southwestern corner of Colorado over Memorial Day weekend as well.
I grew a fantastic garden on my balcony...
Otherwise, it's been pretty quiet. I should be traveling from Atlanta to Denver today, and upon my arrival Guy and I will head to the mountains to join a coworker of Guy's for some time in the mountains, doing a little skiing and goofing off.
Hope everyone has a great and blessed 2009. Hopefully the new year will bring us all good/better/great things, like more projects and more chances for snarkitecture.
Sunday, December 28, 2008
The strongest sense
We've been going and going and doing and doing for the past few days, so today we decided to take it easy. Kitty and I went over to her hairdresser's house; she got a cut and her color touched up, and I just got a trim. Then it was back to Kitty's house for lunch, and then Kitty took a nap while Mom and I cleaned the kitchen. I mean seriously cleaned the kitchen.
Kitty will confess readily that she's not the greatest housekeeper, and the stress of final grades makes that even worse. Through her burnout this fall, the HKC suffered mightily, and no room so much as the kitchen. So, Mom and I tackled cleaning out from under some counters and chucking expired canned goods and plastic containers with no tops and tops with no containers.
As expected, I eventually had to make a Wally World run, only for contact paper for the shelves. I hopped in my old truck Boo-Boo, which Kitty now drives and treats with great care and proper maintenance, and zipped on over the the Home of Low Prices and Lower Expectations. (Is it just me, or does walking into Wal-Mart make everyone depressed?) I got the contact paper, sped through the self-checkout, and jumped back the Boo-Boo to get back to the HKC. Cleaning had not been going as fast as I'd hoped, and I really wanted to make a dent in the mess when Kitty awoke from her nap.
Just out of the access road to the main street from the parking lot, I smelled a scent I hadn't smelled in a long, long time. Dad. Every now and then, my dad would borrow my truck to go pick up some firewood or move something around on the his farm, and when I got the truck back, it would have sort of a dirt-and-sweat smell. Bear in mind that the truck has been well cleaned inside more than once since Dad died in January of 1997, so there shouldn't be any remnants of any chemical ever on his person...should there be?
But there it was. The truck smelled like Dad had taken the truck for a spin while I'd gone in the store, as if he had been cutting doughnuts in the parking lot while I perused long shelves of plastic mesh shelf liners. It was an odd and comforting scent indeed. I've heard that while vision is our strongest sense, smell is the most closely linked to memory. Christmas is also a time when memories flood back to us of times past. Usually, those memories are of pumpkin pie, pine trees, and fireplaces. My holiday smell memories are more along the lines of Dr. Pepper, red clay, and a hard day's work well done.
Tuesday, December 23, 2008
Walking to Cherry Creek
Sunday, December 21, 2008
Whew.
Wednesday, December 17, 2008
And now, a question from a reader
For those of you who missed it in the comments, new (and much appreciated) WAD reader 2H had the following to share and ask:
I had the opportunity of working on the Museum of Art in Puerto Rico which incorporated an old hospital to house the permanent collection. The hospital building was built in the 1890's and had gracious gallerias that connected a series of sunny patient wings with soaring ceilings and generous windows. Classical proportions of the rooms and symmetry made the old hospital almost an ideal museum and very little adaptive work was required. It seemed that the building had been designed as a work of architecture first and the hospital function was someone else's problem as far as the original architects had been concerned. Certainly if you ever wanted to adapt a modern hospital for another use - it would be impossible, just because health care buildings are so specialized now.
Are you ever concerned by this aspect of the architecture that you do? Does the specific nature of the design date the buildings we do today and ensure their obsolescence? Do you think that sustainability should mean that buildings are easily adaptable after they have served their initial function? Would you ever want to see art exhibited in one of your designs?
Good question, 2H. Let’s see if I can address this briefly and/or coherently.
First, let’s consider the past of medical care and medicine in general. Medicine has taken a long time to develop properly (after all, we only figured out antiseptics and sterile surgical fields 140 years ago) and most of what you see in a modern surgery suite or exam room have been developed in the past 50 to 60 years. Most imaging technology, such as MRI and CT scanners, has been developed in the 20th century, the exception being your typical x-ray machine, developed in the last half of the 19th century. To complicate things a little more, the concept of a hospital has only been developed in the past 150 or so years. Most people were treated at home, or, if you were poor, you just died at home. With the advent of sterilized treatment areas and tools, anesthesia, and doctors in general having science-based training (as opposed to simply being part shaman part herbalist), it started to make sense to locate medical care in a building in which these conditions could be controlled. When we began developing lot of the life-saving technology and techniques and treatments, it also made sense to locate them in the same place. What this means is that, unlike homes, churches, and government buildings, hospitals as a building type don’t have a long history in human civilization.
Without an idea of “what should this ‘hospital’ thing look like?”, architects simply applied their classical training to the buildings, and each subsequent generation followed suit—make it pretty before it’s all that functional. The passing of Truman’s Hill-Burton Act in 1946 provided standards for and improve the physical structure and environment of hospitals, and many hospitals were constructed in the U.S. with these standards in mind—antistatic floors in the operating rooms (ORs) to keep from setting fire to the flammable anesthesia, surfaces that could be cleaned easily, spaces for the staff to clean supplies and to store dirty linens and used needles, and spaces to do all the paperwork now required by the fairly-new entities of Medicare and Medicaid.
But as the population grew, people got sick (or sicker), and technology created new requirements, hospitals realized they needed to expand. It made the most sense of hospitals, especially the larger ones, to expand in place because patients knew where it was, and also because they had already invested so much money in the building and grounds. Besides, who wants to buy a huge old hospital? What would you use it for, really? But hospitals realized that the original buildings had not been designed with expansion in mind. No architect in the 1940s had likely imagined what was to come and had not provided for a hospital to expand in any way that made sense. Hence, many hospitals today are a mess in terms of wayfinding—it’s easy to get lost when walking around an older hospital because it’s been added onto in a hodgepodge kind of way. And who, really, in the healthcare architecture field could have seen the technology coming? When I was in undergrad (1994-1998), only a few hospitals had an MRI, and it was usually in a mobile trailer behind their facility. Nowadays, having an in-place MRI in your imaging suite is de rigueur. I remember getting email—email!—in 1997 while going to Georgia Tech and thinking I was da shizznit, and now most hospitals need extra space above the ceilings to run network cables and wireless routers. Technology has changed hospitals that much in ten years, y’all. And I’m not that old.
So, what this means now is that an healthcare architect worth her salt (and I most certainly am, yo) knows to design a facility with as much “future-proofing” as possible so that a client can get the most out of the building for as absolutely long as possible. We provide higher floor-to-floor heights so that a client has more room for putting new technology above the ceiling and can actually access that technology to maintain or replace it. We locate departments and provide even schematic master plans to show a facility where they can add on in the future, and we even design some space into a department so that it could be remodeled in the next ten years to be something else—today’s storage room is tomorrow’s procedure room or 256-slice CT room. Engineers will oversize the RTUs (roof top units, which handle heating and air conditioning) now so that in the future when the facility adds on, the capacity to heat and cool the addition is there. (Replacing an RTU is extremely costly and painful, so if you don’t have to do it, you try not to do so.)
As for reusing an old hospital building, it does happen. Even though the Hill-Burton Act made some facilities a little more practical in terms of room size and materials, a hospital built in 1950 actually can make a pretty decent office building or even facility for a technical school. I heard from a friend of mine in da biz that when a small hospital here in Colorado built a new facility, they got a free piece of land to build on from their city and county in exchange for their 60+-year-old hospital building. The city and county’s offices were spread out over town, and they wanted to use the old facility as their new office building and headquarters. Good trade, says I.
I could go on and on about this, but perhaps this is a somewhat clear and somewhat concise explanation. Any questions? Class adjourned.