Homebound senior wants COVID vaccine yet can’t get shot doctor prescribed

Here’s the story of one elderly American citizen who agreed to be vaccinated against COVID-19, yet hasn’t been able to receive a shot as of mid-June, 2021.

Someone I care about has a very complex medical situation. Her health is fragile, and her immune system is compromised.

My loved one is frail and almost completely housebound; it is a struggle even to get her to scheduled doctors’ appointments with ample notice. Sometimes, her body simply won’t conform to the constraints of sitting in a passenger vehicle. Hospital bed in dining room

She certainly would not be able to wait 30 minutes on a hard chair in a physician’s practice—let alone standing in an aisle at a local pharmacy—the way my kids and I did after our jabs. At the same time, due to a history of severe allergic reactions to drugs and vaccine components, the risk of an adverse reaction is higher than average for this patient.

Consultations with her various specialists resulted in a consensus that the Pfizer product is the only recommended COVID-19 vaccine for her.

Thus far, none of her providers has been able to offer access to a prescribed dose of COVID-19 vaccine during a routine visit. Internet-savvy family members continue searching for a solution that will accommodate her specific needs with no luck to date.

The patient’s state of residence now offers at-home vaccinations for those who are homebound. Unfortunately, the program sends its providers out with the Johnson & Johnson single dose vaccine only. According to the toll-free hotline, there are no exceptions unless the patient is under 17 years old.

This patient, though unable leave home for a shot, cannot take advantage of her state’s offering for housebound residents. According to the Journal of the American Medical Association, approximately 6% of U.S. seniors were completely or mostly homebound as of 2015.

Without a doubt, American wealth and power has provided a tremendous benefit to average citizens who’ve been amongst the earliest to access life-saving vaccines against the novel coronavirus. Public health, however, relies upon the breadth of its network to protect every resident. Many of our most vulnerable are still waiting as vaccines near expiration dates in medical center freezers.

Evidence of widespread vaccine hesitancy proves we must keep working to remove barriers to access for those willing, yet unable, to be vaccinated in currently available settings. Lives—and our loved ones—depend upon it.

Post-COVID, I’ll remember NCL, Delta & Alaska Airlines put safety first

Norwegian Cruise Line (NCL) Holdings announced on May 7th that, if Florida’s government holds to its misguided law preventing private businesses from enforcing vaccine compliance, NCL will take all of its sailings to other ports outside that state. For a Miami-based company, that’s a pretty bold promise.

While my sun-loathing, beach-avoiding tendencies made Florida’s appeal a mystery to me in the past, its near total lack of sensible governance paints it as a positively terrifying “vacation” destination today. I’m hardly the only one to notice Governor DeSantis’ lunatic anti-corporate stance on this question, either.

I want to commend NCL for making a rational commitment to protect passenger safety even as the pandemic wanes. I haven’t cruised with Norwegian yet, but taking a firm line on this issue after a year of unprecedented collapse in the travel industry gives me a powerful reason to consider them more seriously in the future.2012 Carnival cruise Saint John NB Canada - 3

I’ve only taken a handful of cruises, having traveled twice with Crystal Cruises, once on Holland America Line, and once with Carnival. I’m delighted that Crystal has also adopted a 100% vaccinated passenger policy at this time.

At the same time, allow me to commend Delta for being the airline which blocked middle seats longer than any other major U.S. carrier. Delta ended that policy on May 1, 2021.

By contrast, American Airlines decided after just a couple of months in 2020 (April to June) that cramming passengers three abreast on flights of any duration—while an airborne virus sickened tens of thousands per day in a way science did not yet clearly understand—was sound policy.

AA made this choice well before the second surge of cases and deaths in the United States.AA entertainment welcome screen above pocket with A321S safety card visible

You can bet that Delta has moved up on the list of airlines I’ll choose to fly with going forward.

The day I got my first vaccine jab, I booked tickets home to see my dad for Christmas 2021.

I noticed when Alaska Airlines made the news for banning Alaska state Senator Lora Reinbold. The dis-Honorable Senator Reinbold repeatedly ignored staff instructions, violating a mask order designed to protect her fellow passengers.

Most of those good people were likely Reinbold’s constituents, yet she couldn’t be bothered to don a few square inches of cloth to reduce the risk of infecting them all with a contagious disease. The senator couldn’t know if any those in her vicinity were high risk; she simply didn’t care more about human life than she did political posturing.Tail of Alaska plane visible on tarmac through airport terminal window

I’m incredibly appreciative that Alaska Airlines chose to institute a face covering policy even before the United States federal government implemented its own mandate. I’m proud to say that Alaska is the airline with which I’ve had elite status for the greatest number of years.

I’m gratified that I’ve regularly paid a premium for flights with this airline that chose to do the right thing, even when doing so cost them the business of customers who couldn’t—wouldn’t—be bothered to take any small measure to respect others.

It’s interesting to me that I’ve long felt that customer service was better on Alaska and Delta than on other domestic airlines, even as frequent fliers began complaining bitterly about changes in the latter’s SkyMiles Frequent Flyer program devaluing their points. Personally, I prefer good service and more stringent safety protocols to a higher return paid in free trips.

This post is the product of a lot of noticing, over the course of a pandemic, which big companies took specific kinds of thoughtful action, and how often those actions corresponded with my previous impression of a given corporation. Trader Joe’s and American Airlines disappointed me; Delta, Alaska, and NCL have earned a great deal more of my esteem.

I have a long memory, and I’m the kind of traveler happy to pay a premium to support my values. Here’s hoping some pandemic-era changes in the aviation industry remain, and that the skies stay a little friendlier in the future.

Celebrating full vaccination against SARS-CoV-2… with a mask on

Today, I celebrate the fact that I’m officially fully vaccinated against the novel coronavirus responsible for the pandemic and all of its miserable restrictions. It’s been 14 days since my second Moderna jab.

I encourage everyone eligible and not medically contraindicated to pursue the same happy state.Person celebrating by blowing into unfurling pink butterfly party toy

The uncomfortable side effects weren’t the greatest thing ever, but they are long gone. My confidence, on the other hand, only grows stronger that I won’t catch or spread COVID-19 to those I love or innocent strangers.

My commitment to protecting others is a product of both my patriotismand my Jewish faith’s teachings on the inherent dignity and value of human life.

My behavior won’t change too much, however, given that I’m only the second person in our household of six people to achieve this milestone. My father-in-law, at a venerable age ≥75, was part of our state’s Phase II, given access to scarce vaccine appointments back in February.Patients during mandatory observation for side effects after coronavirus vaccination jab

Two thirds of us* have had second shots, and my youngest got his first jab within days of his cohort becoming eligible. The others in our household will reach full immunity over the course of the next four and a half weeks.

Knowing that even just the first dose of Pfizer vaccine reduces my youngest’s odds of symptomatic coronavirus infection by more than half, he will be able to rejoin his class for in person learning for at least the final couple of weeks of the school year.

What a blessing!School tents for COVID-19 - 1

It is especially poignant given my son’s love for this special school, which has been his academic home for more than half of his life, added to the fact that he’s moving on to his next level of education at a different institution in the fall.

Schools here rightly are still required by law to enforce masks for pupils indoors; my child will continue to wear a face covering at all times on campus, exceeding state regulations. He will continue to take care to keep social distance inside as well.

Because a frail, ill, elderly member of our family—and household—has a history of severe anaphylaxis triggered by medications and vaccine components, protecting ourselves from suffering severe COVID-19 is great, but not sufficient. She remains at elevated personal risk if she catches the coronavirus, yet unprotected by anything except her family’s caution.Safety goggles, cloth face mask, and disposable gloves

We will continue to guard against even mild infection, practicing indoor masking and social distancing in all public places, because no one knows yet exactly how contagious a vaccinated, asymptomatic or mildly symptomatic carrier really is.

Breakthrough infections after vaccination are rare and not usually severe, but they definitively exist and have caused some to suffer for prolonged periods of time.

I’m thrilled and grateful to live in a wealthy, powerful nation wherein my family enjoys the fruits of stupendous work on the part of scientists and clinicians fighting a novel disease. I understand and agree with the conclusion that a majority of fully vaccinated people can safely modify some behaviors at this point in the pandemic.

I also offer our situation as a cautionary tale to all those mocking and minimizing maintained vigilance even as rates of infection, hospitalization, and death improve. We aren’t just paranoid hypocrites who doubt or misunderstand science.

We are multi-generational households. We are people with allergies and other uncommon health conditions causing variable responses to vaccines. We are concerned parents, children, and grandchildren. We are traumatized family members of victims who lost lives to the pandemic.Woman hugs child

By most measures, COVID-19 is retreating. I celebrate that fact, too! My gaiety is merely tempered by the facts of my personal situation.

People of goodwill must continue to support each other—and everyone else in our communities—as each family negotiates the tail end of their own version of the pandemic. That’s how we recover, as a society.

I know of no greater way to honor those who’ve suffered, and those we’ve lost, than to carry on leading a joyful life including generous quantities of service and gratitude.

That process will look different from house to house, and community to community.

That’s not just okay, it’s a magnificent reflection of the vibrant diversity of modern America. Getting back to normal isn’t the best we can do; let’s move forward together to an even better future.

Respecting that others may do so differently from you is a powerful step in that direction.

Functional democracy—or effective government in a democratic republic such as the United States of America—depends upon civic virtue. Failing to protect others within my community would undermine everything I believe to be right, just, and good.

* i.e., us = my household

Teenagers such as my kids already have lower rates of severe or even symptomatic infection with this virus. In a population aged 65+, the first dose of either mRNA vaccine was protective against COVID-19 serious enough to require hospitalization at a rate of 64%. Subsequent studies show 12-15 year old adolescents mounting greater antibody responses to these vaccines than even young adults 16-25—who responded more vigorously than elders—likely due to the more robust immune system of youth.

Masks may be liberty-preserving alternative to mandatory vaccines or vax passports

There may be an alternative to mandatory vaccines and the inherent privacy and security concerns of either paper or electronic vaccine passports: allow people to opt out, but normalize the use of masks in densely populated, public, indoor settings when conditions suggest caution is demanded.

In the United States, this requirement should be tied directly to CDC reported rates of dangerous, communicable diseases with wastewater surveillance informing decisions. Medical research should be funded to track the effectiveness of masks against flu and anything else that’s feasible, not just COVID-19.

Ongoing investigation of the role aerosols—and inadequate ventilationplay in spreading common diseases demands equal attention and funding.

I, for one, would not return to an office as of May 2021 without a mask on my face if the space didn’t promise four to six air changes every hour or a fully vaccinated cohort of coworkers! This Wired story is a must read for those who’d like to understand the origins of medicine’s deeply flawed 5 μ myth defining “airborne” pathogens.

While our coronavirus memories are fresh, we owe it to future generations to prepare better for the next global outbreak. It is as inevitable as SARS-CoV-2 was. Fumbling our collective response, however, is not preordained.

We’ve learned a lot during the course of the coronavirus pandemic.

Ample real world evidence is now available suggesting that even simple homemade cloth coverings reduce the risk of infection from at least this one airborne virus. Flu also virtually disappeared during the 2020-21 season, though that could be as readily attributed to social distance and isolation as opposed to masks.

In the absence of the worldwide supply chain disruptions common early in this pandemic, more definitively effective surgical and N95 masks are easily obtained and affordable. Employers with public storefronts should have boxes of them deployed in the workplace in the same way food service companies provide gloves to their workers.

Unfolded ProGear N95 mask sitting in front box of 50 it came in

As with gloves and hairnets in restaurant kitchens, masks should be the immediate, hygienic response to entering the personal space of unknown persons with unknown vaccination status while any community is in the throes of an infectious agent.

Massachusetts’s governor is quoted in a May 7th Boston Globe opinion piece as saying, “some people have ‘very legitimate reasons to be nervous about a government-run program that’s going to put a shot in their arm.’” The same piece goes on to report, “Attorney General Maura Healey… this week repeated her call for public employees to be vaccinated as a condition of their jobs.”

Requiring every public employee in a customer facing position to wear a face mask at work unless s/he chooses to offer verifiable proof of vaccination seems like a cheap, simple, practical solution to me. As every scientifically literate, law-abiding citizen of the United States now knows, wearing a mask is no more difficult* than wearing pants.

Rome, the power house of the ancient world, believed trousers were ridiculous, barbaric garments. Quite literally, Romans, like the Greeks before them, saw pants as uncivilized clothing fit only for uncouth Goths and Vandals. The entire Western world, and most people around the globe, now don trousers without compunction. Masking one’s face requires no greater degree of adaptation!

Most of us could decide which we prefer at work: to wear a mask, or to accept vaccination. Crucially, the public at large ends up protected either way.Redacted official CDC COVID-19 Vaccination Record Card

I think it is likely that I, personally, will never want to fly again without a face covering, if only because I’m so well aware of my own tendency to touch my face and even bite my nails when experiencing anxiety. It’s a terrible habit I’ve never been able to break, but a comfortable face shield or mask would remove almost all of that risk to my health.

There will always be liars and attempted cheats, of course. Responses to those caught committing public health fraud should be proportionate and focused on preventing harm to the community.

Perhaps being fitted with a device designed like the ankle bracelets employed for house arrest for a period of time would work, offering a visible warning to strangers while broadcasting via Bluetooth? a message alerting those in the vicinity of the need to increase social distance. This could be a system that works with individual’s cell phones, or a device required for public occupancy of spaces meeting certain size or density limits rather like the requirement to install smoke alarms and fire sprinklers before opening a hotel or nightclub for business.

The primary solution is to normalize the continued use of masks in dense situations where we crowd together with unknown persons. The secondary need is for public spaces to meet reasonable, updated standards for safety in light of our current understanding of risk in the post-COVID-19 world.

Once COVID-19 vaccines are fully approved by the FDA, I do believe that employees who work specifically with the most vulnerable population should be required to accept vaccination or leave those particular roles.

Aides in nursing homes should not be able to opt out of coronavirus vaccines, nor the flu vaccine in normal years, nor should nurses serving the immune-compromised. Prison guards—who work with populations literally unable to escape from unvaccinated sources of exposure—are another obvious group whose personal choices should not be allowed to endanger the lives or health of others.

The actual conditions of employment for such positions demand a workforce that doesn’t subject other people to unnecessary risk so easily mitigated by inoculation. Case in point: the unvaccinated Kentucky health care worker who caused the death of three elderly residents of the nursing home where s/he worked. To pretend otherwise makes a mockery of both human decency and common sense.

In another example: a recent study published in JAMA showed that 46% of organ transplant patients produced zero antibodies after a complete 2 shot course of SARS-CoV-2 mRNA vaccine. It’s unreasonable that such individuals should be unknowingly subjected to the ministrations—however well-intentioned—of unvaccinated health care workers, certainly not without the immune-compromised patient’s being informed of their relative risk and given the opportunity to offer fully informed consent to taking said risk.

Face masks could also offer an effective solution for the conflict between public school vaccination requirements and anti-vaxxer parents currently allowed in some states to claim religious or other non-medical exemptions for their children.

Further research might prove that masks are not effective against every disease against which we have mandatory childhood vaccinations, but face coverings could potentially eliminate the friction between parent choice and community health in the context of the vital public good which is free, universal education.

Where freedom is the prize—and outbreaks of vaccine-preventable childhood infectious disease remain rare in America—I’d argue that the value of face masks as an alternative to mandatory injections is well worth exploring.Disposable surgical mask

Western medical science was patently wrong, before COVID-19, when it declaimed that face coverings offered no protection from infectious disease. We still aren’t sure if they protect the wearer so much as those in the vicinity of a masked, sick individual, but we do have substantial evidence that widespread adoption of masks can protect populations during a deadly outbreak.

Perhaps most importantly, where even the most well-vetted, safest vaccine or medication carries some tiny risk of harm to its recipient, wearing an appropriate, well-fitting mask correctly has virtually zero chance of injuring anyone. Low cost interventions with few side effects are ideal public health measures.

Asian nations which had internalized the historical lessons of earlier epidemics had it right; many** normalized face coverings during flu season. Now we know better, too. Science proves its inherent value when we incorporate new data into our body of knowledge, especially when we recognize data challenging existing beliefs and ingrained patterns of behavior.

This BMJ editorial (PDF) highlights the danger of clinging to false understandings. This opinion piece by Dr. Zeynep Tufekci is well worth a read on the subject of organizations lurching only slowly toward acceptance of new information challenging medical and scientific preconceptions.

Before the next pandemic, we should take great pains to study when, where, and how cheap, medically risk-free facial coverings work to effectively control the spread of disease. How many thousands fewer would have died if we’d deployed masks as a solution worldwide in days instead of months in 2020?

This is not merely a political issue. It is a matter of public health. Where solutions exist that preserve both life and liberty, we owe it to democracy—and humanity—to explore every possible compromise.

Per the CDC, roughly 1000 flu cases were diagnosed during the pandemic 2020-21 season vs. more than 65,000 cases in the more typical 2019-20 season.

* As with trousers, some are the wrong size, and some are more comfortable on a particular body than others. Trial and error may be required to find the perfect fit for a given individual. Compared with the effort necessary to remediate infecting a susceptible individual with a life-threatening disease, this process is, at worst, a trivial inconvenience.

Per the Boston Globe: One of the major senior care operators in the state of Massachusetts came to a similar conclusion before COVID-19, though the quote perversely suggests that the organization was more interested in shaming staff members as opposed to protecting elderly residents:

“A year before the pandemic, Hebrew SeniorLife required flu shots for the first time for staff. Administrators achieved 100 percent compliance by imposing what seemed at the time an onerous condition: Holdouts would be required to wear masks 24/7 during flu season.

‘That was totally embarrassing then, but not now,” Woolf said. “We don’t have that hammer anymore.’”

In my opinion, after legitimate scientific studies were conducted to confirm that mask use by unvaccinated staff protects vulnerable patients to an equivalent level as vaccinated staff with faces uncovered, this could be a sufficient and highly appropriate alternative to mandatory shots in some cases.

Voluntary residential situations for children under age 18 should probably be held to a higher standard, in my opinion, and strictly require vaccinations for all but medically exempt participants. Absent direct parental supervision, it seems unreasonable to subject anyone else’s child to unnecessary risk due to personal choices that contradict the best current medical advice.

** Routine wearing of masks was imported to Japan from Western nations who’d adopted them as one response to the influenza pandemic of 1918-19. Unlike we Americans, Japanese culture never dropped them as a reasonable personal response to being contagious after the urgency of the Great Influenza subsided.

This Huffington Post article suggests that the Chinese adopted protective face coverings even earlier: “In 1910 and 1911, citizens were encouraged to wear masks to combat the pneumonic plague outbreak in Manchuria.”

The article goes on to point out that other Asian nations picked up the habit of covering faces during outbreaks due specifically to the SARS epidemic of 2002-2003. I’ve read that Koreans, in particular, actually viewed masks in a somewhat negative light as a foreign, Japanese import before the first SARS crisis.

Countertop mini dishwasher offers quick fix for dead appliance in pandemic-mode home

It is only with tongue firmly in cheek and a deep respect for the fact that I have enjoyed a relatively safe, comfortable, and very happy life that I state—cue swell of melodramatic music—the worst possible thing has happened:

My dishwasher died, mid-pandemic!

Red NO symbol crossing out broken stainless steel appliance

My dishwasher died, mid-pandemic!

This feels like a catastrophe because we run that appliance roughly four times most days with everyone working and/or learning remotely from home.

The Bosch dishwasher we got with this house no longer powers on following a few weeks of intermittent-but-increasing button-press failure. Our non-expert analysis of what was under the hood kick-plate didn’t reveal any obvious reset to try on our own. We have ordered a replacement.kickplate removed from stainless steel dishwasher showing hardwiring and soldered copper pipe instead of flexible tubing

For those who don’t already know me well, now is when I confess to being a thoroughly disinterested cook. The one time I directed a full kitchen remodel where my preferences reined over popular opinion, I bought almost literally the cheapest electric coil top! stove from Sears whilst splurging on a high end, German-made Miele dishwasher.

My priorities may not be common, but I’m quite clear on what they are.

The dishwasher is the most used appliance in our home excepting the stalwart, always-on refrigerator. It follows only central heating, running water, and refrigeration in my estimation of the crowning virtues of everyday technology.

Pandemic shortages & risks still affect appliance purchase, delivery & installation

Fortunately, more than half of our household of six is at least partially vaccinated, lessening the risk to us of having a plumber in to install a new machine. Risks to essential workers dealing with the public day in and day out remain much higher than those of their customers.

Since our atypical home includes a kitchen one story above ground level, we will also require delivery well inside the threshold. I imagine dishwasher delivery generally requires more than one single person. The model I chose weighs 107 lbs (48.5 kg.) That’s two more contacts outside our bubble.

Accomplishing this dishwasher replacement will mark the first time any tradesperson—let alone three outsiders—has entered our home since before the first shutdown began.

All of these health-preserving convolutions must also be viewed within the broader context of commerce in 2021. Plumbers were hard to book before COVID; getting one to show up now is beyond difficult.

Supply chains all over the world have been disrupted by the scourge of coronavirus infections. The Miele that I elected to replace my defunct Bosch SHU66C may have benefited in production from its maker’s domestic parts manufacturing, but getting the finished product from Germany to New England remains fraught with delays as of May 2021. The one I wanted due to arrive a few days after I contacted my favorite local appliance store is now back-ordered.

I’m not sure when I will get the new machine I’ve purchased, let alone how soon I can book professional installation by a qualified plumber.

I sought a short-term solution to maintaining household peace—and sanitation!—in the interim. A portable, countertop dishwasher is what I found.Aikoper countertop appliance on kitchen counter

Typical portable dishwasher requires standard faucets to accept adapter

I opted for an Aikoper Compact Portable Dishwasher with 6L Built-in Water Tank & Water Hose Inlet (Model KOP-DW2605A) ordered from Amazon.

Countertop dishwasher manual and warranty card

There were a few “portable” dishwashers available locally, but all were variations on the design I know well from my first apartment: full- or almost-full-size models that roll up to the sink and connect with a special “quick connect” adapter that screws onto a standard faucet. These adapters replace an aerator (i.e., a little mesh screen that twists off easily) and are widely available in hardware stores and online.

The issue with any of those models is that we installed a modern “pull out sprayer” faucet when we moved here.

Pull out spray heads are great for everyday use. I like the option for one fewer hard-to-clean protrusion from the countertop, eliminating the off-to-the-side sprayer I grew up with

Or, as we did in this home, integrating the spray function into the faucet itself frees up that existing counter cut out for installation of a plumbed in, multi-stage water filter. I find the tap water in our community distinctly unpalatable without filtration beyond a carbon block pitcher.

Either way, I didn’t want to change my self-selected faucet to accommodate short-term daily use of the countertop dishwasher.

My purchase of the Aikoper Compact Portable was also influenced by the fact that we have historically hosted at least one very large Thanksgiving banquet each year. I see this little machine as a way to more quickly zip through the multi-day process of cleaning multitudes of party dishes at holidays in the future.

For both cases, I would have to ditch the faucet design I prefer to accommodate use of most portable dishwashers. There’s no way I’m going to swap out my faucet in either scenario.

Tank based, compact dishwasher alternatives exist & solve common issues

On Amazon, I found a different portable dishwasher design.

Tank-based dishwashers like these seem to universally? include the option to connect via the adapter I’ve already described, yet they also incorporate a holding tank for the fresh, clean water that will be used to wash the dishes. A user can fill that tank via a pitcher or my preferred pull-out faucet, pouring water into the vented, screened hole on top after removing the loose-fitting white debris cap.

Once filled, tank-based machines complete their wash cycles without blocking access* to the kitchen sink throughout the run.

The included plastic pitcher and wide, flat funnel aren’t strictly necessary to manually fill the machine, but the funnel (marketed as the “pouring water assistant”) is particularly nice to have. Filling pitcher included with appliance, 1.8 L capacity

Since the pitcher is marked to have a 1.8 L capacity, you might expect that filling it just over three times and emptying into your dishwasher tank might be sufficient to prepare the appliance rated as having 6 L capacity. It seemed to require at least five pitchers-full the first time I ran the machine to test its functionality.

Filling with a pull out faucet sprayer is much more convenient, especially for those of us who lack hand strength and become exhausted easily lifting full pitchers of water. I found it annoying to fill the appliance via a pitcher.Filling funnel included with appliance

With the dishwasher sitting on a kitchen counter, it is a little bit high for me to reach over and fill, so I can’t see exactly where I’m aiming the water. The funnel helps channel every drop right into the receptacle where it belongs.Water flowing from pull out spray head into dishwasher filling hold

A 61 inch long water supply hose was included in the Aikoper box. The water supply hose has a right angle connection on one end which should help with keeping installation very close to a back wall. Remember that you will need a faucet adapter not included to install with this option.

If installing with the water supply hose option, your water pressure must be between 0.04 MPa and 1 MPa, per the Aikoper manual.

Because the water supply inlet and drain pipe outlet are set into an indented area at the back, bottom edge of the dishwasher and the supply hose has a right angle connection, the included hose should not require any additional clearance behind the appliance.

A side benefit of pre-filling the dishwasher with water, then letting it run without any connection to the household water supply, is that it eliminates that chilly scenario when a family member starts a built in model while someone else is showering.

In 2021, no one should live with plumbing that routinely scalds or runs cold, but that kind of annoyance remains common in many older homes.

Draining the used, dirty wastewater is also necessary. Tank-based dishwasher models like my Aikoper Compact Portable allow one to route the drainage hose into an adjacent sink or a large bucket.

The drain hose pictured was included in the Aikoper box. It’s about five feet long.

Because the water supply inlet and drain pipe outlet are set into an indented area at the back, bottom edge of the dishwasher but the drain hose has a straight connection, about one inch of additional clearance may be required behind the appliance if you’re trying to get it as close to a wall as possible. I have found replacement hoses with a right angle connection on Amazon, but I haven’t purchased one to confirm this gap could be eliminated.Ruler and cardboard showing gap between back of appliance and bent drain hose as if pushed back against a wall

A small suction cup on the hose is supposed to keep its end inside your grey water bucket, but mine does not stay fixed to even the smoothest plastic waste container I’ve tried. Happily, the exiting water does not seem to flow with enough force to cause the hose fly around spraying filth, as was my initial fear.

Obviously, if you drain your dishwasher into a bucket, remember that you’ll need to lift the receptacle for emptying. With the machine’s approximately two gallon (6 L) capacity, expect a weight of about 15 lbs (6.8 kg) of grey water to dispose of after running each load of dishes.

Those of us with arthritis or other physical limitations will benefit from emptying the waste bucket midway through a wash cycle. Doing so reduces the effort required vs. lifting a full bucket. I’m careful to keep a second, smaller dish handy to put the wastewater hose into while I do this, however, lest the machine discharge additional grey water at an inconvenient moment and flood my kitchen with filth!

dirty grey water in Rubbermaid Commercial square containerMost people probably have a sturdy office sized trash can, five gallon bucket, or other suitable container for catching wastewater in the quantity required. If looking to purchase a new, highly suitable receptacle, I’d suggest a Rubbermaid Commercial Crystal-Clear Square Storage Container in the 8 quart size which will accommodate more than 7.5 L, large enough to prevent splash-over messes.

The 6 qt size pictured above in the same product line is sufficient to the task, but only just, and mine ended up perilously full when I used it without taking care to empty mid-cycle. You could make this container work for the task if you have one on hand, but I wouldn’t recommend its purchase for this particular job.

A bucket with a handle or handles will be easier to lift and empty.rubber cap stuck on appliance with strapping tape

A small, black rubber cap stoppered the drain port on the back of this dishwasher. In order to avoid losing this small piece, I used the tape that had been employed for security during its shipment to adhere the cap to the back side of my appliance. It will be useful to avoid inconvenient drips when moving the Aikoper immediately after use. Small amounts of water are likely to remain inside the machine for hours or days after the last cycle.

Dishwashers save water vs. hand washing

This seems like the right time to point out an easily overlooked fact: full size, modern (post-1994) dishwashers clean an entire load with about 5 gallons of water. Hand washing a sink full of dishes consumes more than five times as much—up to 27 gallons of fresh, potable water—while not offering any improvement in results.

The mini sized Aikoper Compact Portable uses just 1.6 gallons (6 L) per load though, to be fair, an overflowing double sink full of dirty dishes might take two cycles to get through.compact dishwasher settings shown: Normal, Hygiene 162 F, Fruit

Typically, dish-washing machines increase water temperatures to a sanitizing 140-150 °F, well above suggested water heater settings designed to protect children from scalding while saving energy.

The U.S. EPA recommends setting hot water heaters to 120 °F.

My new Aikoper Compact Portable dishwasher uses 162 °F for its hottest cycle, well above the temperatures at my tap. In 2021, even a little appliance such as this one includes an internal heating element to optimize wash and rinse temperatures and improve hygiene.

Growing up in the American West, I was taught to wash dishes using two basins for soapy and clear water; we never let the faucet run throughout the task! My family appears unable or unwilling to internalize these habits, so my search for a backup dishwasher has an altruistic motive as well as supporting my hatred for manual household chores.

Energy use—according to the Energy Guide yellow card standard with all American appliances for almost as long as I can remember—compares as favorably as one would expect between my broken-down Bosch and my new portable.

The U.S. Government suggests the Aikoper Compact Portable will consume 150 kWh/year of electricity.

Keep in mind that compact and full size dishwashers are not directly comparable using this system. Also, due to the years that passed between issuance of the Bosch label and today’s Aikoper label, average electricity rates grew from 8.28¢/kWh to 13¢/kWh whereas natural gas averages went from 65.6¢/therm to $1.05/therm in the same period.

My broken, full size Bosch was expected to consume 430 kWh/year vs. 150 kWh/year for the much smaller Aikoper. By comparison, the new, full size Miele I’ve ordered is rated at 230 kWh/year according to the manufacturer’s website.

Aikoper Compact Portable: Do dishes come out clean?

More than any other fact or feature about the Aikoper Compact Portable Dishwasher, what most want to know first is, “Will my dishes come out clean?”

I always had to scrub or re-wash the spoons before. That doesn’t seem to be necessary with the new dishwasher.”

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