Jeff Bailey: Met with the surgeon.
Angie, Leif and I met with one the two surgeons who will be doing the work. I s'pose it's good and bad that the co-director of the UCSF Spine Centre, Dr. Mummaneni is personally taking on the case. Good that I'll have the best possible care; Bad that I'm apparently interesting enough to warrant it.
Meeting with him was matter of fact. He talked about how he'll approach the surgery (from the back, since the placement of my aortic arch and innominant vein would make coming through the front problematic). It looks like I'll have rods and screws from T1-T6, with a cage replacing the vertebra at least at T3 and possibly at T4. People don't usually do that much movement in their thoracic back so, ongoing, his opinion was that I largely won't notice it.
In hospital-time will depend on whether or not the surgery can be done in one shot. Because of the trickiness of the area, it may not be possible to get it entirely from the back, and he'll do two surgeries rather than one if that can avoid me winding up in a wheelchair. Ideally, there's one surgery, and a week later I'm home and able to take care of myself. The way they take the tumor out in a couple pieces is known as "en bloc spondylectomy", but may not be possible with the way the spinal nerve is being pinched. He described the surgery itself, and the simple version is "remove one or two vertebra, replace them with cages, stabilize the surrounding area". Yay to the Black and Decker surgical division.
He'll be assisted by Dr. Chau for spinal cord monitoring and the rest of the surgery.
The last thing they did as I left the hospital last Saturday was a full body CT scan with contrast, and the radiologists have declared that that they see no additional tumors in the body. I'll visit with an oncologist to do some final tests, but consistently the answer is coming back that this isn't cancer, it's more likely an isolated mutation. Dr. Mummaneni doesn't feel that this is a side effect of sitting at a computer since I was 3 years old, any of the car accidents, or being hit across the back with a flute case in grade 9.
I did ask if I'll set off metal detectors at airports after this, and apparently the titanium used doesn't do that.
So, erm. What are the risks? Honestly, pretty consistently less than doing nothing. Having this thing would eventually result in paralysis anyway, and aside from the usually OMG-they're-cutting-me-open-anything-could-happen type of things that don't keep me from biking to work on a regular basis, all the other options are "And life improves from here". Informed consent means that I have statistics in my head that I'd rather not dwell on and a laundry list of things to panic about when I wake up in the middle of the night but those really are just nerves acting up and stress wanting to come out. Nothing wrong with any of that.
Surgery is booked for March 3rd. We'd hoped to go to Vancouver for Leif's birthday around then, but I've been asked not to fly. Rapid pressure changes apparently will aggravate what's there now.
I feel good about this. I'm back to pretty much 100% after the hospital time last week, and noticed that after the embolism that I'm moving a bit freer than I was before. That's enough to start the optimism going already. We've also twiddled my medicine for every 8 hours rather than 6, which will help me sleep better, and reduced it, which will help me feel better.
Having time-frames and knowing that I'm in good hands is a lovely place to be after all that.
Meeting with him was matter of fact. He talked about how he'll approach the surgery (from the back, since the placement of my aortic arch and innominant vein would make coming through the front problematic). It looks like I'll have rods and screws from T1-T6, with a cage replacing the vertebra at least at T3 and possibly at T4. People don't usually do that much movement in their thoracic back so, ongoing, his opinion was that I largely won't notice it.
In hospital-time will depend on whether or not the surgery can be done in one shot. Because of the trickiness of the area, it may not be possible to get it entirely from the back, and he'll do two surgeries rather than one if that can avoid me winding up in a wheelchair. Ideally, there's one surgery, and a week later I'm home and able to take care of myself. The way they take the tumor out in a couple pieces is known as "en bloc spondylectomy", but may not be possible with the way the spinal nerve is being pinched. He described the surgery itself, and the simple version is "remove one or two vertebra, replace them with cages, stabilize the surrounding area". Yay to the Black and Decker surgical division.
He'll be assisted by Dr. Chau for spinal cord monitoring and the rest of the surgery.
The last thing they did as I left the hospital last Saturday was a full body CT scan with contrast, and the radiologists have declared that that they see no additional tumors in the body. I'll visit with an oncologist to do some final tests, but consistently the answer is coming back that this isn't cancer, it's more likely an isolated mutation. Dr. Mummaneni doesn't feel that this is a side effect of sitting at a computer since I was 3 years old, any of the car accidents, or being hit across the back with a flute case in grade 9.
I did ask if I'll set off metal detectors at airports after this, and apparently the titanium used doesn't do that.
So, erm. What are the risks? Honestly, pretty consistently less than doing nothing. Having this thing would eventually result in paralysis anyway, and aside from the usually OMG-they're-cutting-me-open-anything-could-happen type of things that don't keep me from biking to work on a regular basis, all the other options are "And life improves from here". Informed consent means that I have statistics in my head that I'd rather not dwell on and a laundry list of things to panic about when I wake up in the middle of the night but those really are just nerves acting up and stress wanting to come out. Nothing wrong with any of that.
Surgery is booked for March 3rd. We'd hoped to go to Vancouver for Leif's birthday around then, but I've been asked not to fly. Rapid pressure changes apparently will aggravate what's there now.
I feel good about this. I'm back to pretty much 100% after the hospital time last week, and noticed that after the embolism that I'm moving a bit freer than I was before. That's enough to start the optimism going already. We've also twiddled my medicine for every 8 hours rather than 6, which will help me sleep better, and reduced it, which will help me feel better.
Having time-frames and knowing that I'm in good hands is a lovely place to be after all that.
Mid august, “responsability” will get a new meaning: my wife is into the 15th week of our third pregnancy.
With a small team, we are setting up ocamlcore.org. For now the site is quite experimental. This site should help OCaml developpers to have a common place to share their coding experience with other. This includes, but is not limited to, a planet and a forge.
I think that we will be able to finish the setup of the planet quite soon, but i am uncertain about the forge settings, which is far more complicated. However, this is a great experiment, because i never have really try to set up this kind of things...
I think this week (and this week-end) will help us achieve a great part of the settings of ocamlcore.org. We will have occasions to meet face to face with Stefano Zacchiroli and Romain Beauxis, either here in Paris or at FOSDEM.

When people say 
Spent some time tonight “porting”
I'm trying to work out how to monitor a remote script - in this case a mass build script. The script itself is trivial - a simple for loop in perl. It calls a script from emdebian-tools that calls a variety of other scripts and programs.
On Thursday 14 February, there was an IRC meeting for a new
At Melbourne Tullamarine airport today, I was asked to present
the credit card used to book my flights as a security measure to be
able to fly Bangkok-Zurich. I did not need the card for the
Melbourne-Bangkok leg. Unfortunately, I left the card at home for
various reasons. In the end, they just issued both boarding passes
anyway.
I was not allowed to take the throw-away wooden chopsticks that
came with my Pad Thai lunch through the security checkpoint.
For dinner on the airplane to Bangkok, we were given plastic
knives and metal forks. For dinner on the second trip, we
got metal knives.
At Bangkok airport, I had to pass a security checkpoint changing
planes. They confiscated the plastic water bottle which was given
to me on the flight from Melbourne (the bottle said Thai airlines
on the label).
The lady in front of me was using one of those telescopic
walking sticks, she apparently had a bad leg. They didn t even
bother asking about the stick, which she ran through the x-ray.
Terrorists don t have bad legs, nor know how to pretend.
How long are we going to put up with this bullshit?
NP: