Monday, December 23, 2019
Saturday, December 21, 2019
Tuesday, December 3, 2019
Friday, November 29, 2019
Thursday, October 31, 2019
Saturday, October 19, 2019
Friday, September 27, 2019
Saturday, September 14, 2019
Sunday, September 1, 2019
Tuesday, July 16, 2019
And as far as my health, I'm still struggling. Immediately after the operation I seemed to be getting better but I think I disturbed the neck fusion and some of the old symptoms came back. MRI says the fusion is still good and the pains are irregular so I guess we'll just see how it goes for a while.
Wednesday, June 5, 2019
Wednesday, May 29, 2019
Monday, April 29, 2019
Saturday, April 13, 2019
Crescendo Amelia played last night up on the island and sounded great but not that many people came. Rumor was that Amelia Island had a bunch of other things going on. I managed to get the first three songs recorded.
Tuesday, April 2, 2019
Sunday, March 24, 2019
Saturday, March 16, 2019
DESCRIPTION OF PROCEDURE The patient was brought to the operating room and placed under general endotracheal anesthesia. He was positioned supine on the operating room table. All pressure points were padded, and he was secured. The neck was then prepped and draped in the usual sterile fashion. Following confirmatory pause, a right transverse incision was made just above the clavicle. The platysma was divided and dissection was carried down between the tracheoesophageal complex and the carotid sheath into the prevertebral space. Dissection was difficult due to prior surgery and radiation to the area. This should include a difficulty level in addition to the usual procedure. Once prevertebral space was opened, intraoperative fluoroscopy confirmed our levels. Longus colli muscles were elevated and retracted to expose the C7-T1 disk space. Operating microscope was then brought into the field, and the remainder of the case was done using microsurgical techniques with the operating microscope. We began by performing a thorough diskectomy at C7-T1 using a combination of curettes and disk punches. A high-speed bur was then used to remove the posterior osteophytes at the level, as well as perform an uncinectomy on the right, thereby decompressing the right C8 nerve root. Satisfied with the decompression, the endplates were prepared and trial spacers were introduced. A 5 x 7 VG2 allograft spacer was then gently tapped into the interspace. Caspar pins, which were previously placed for distraction, were removed. A 16-mm Skyline plate was then positioned at the C7-T1 interspace. Pilot holes were drilled and 16-mm constrained screws were placed bilaterally at C7 and T1, and the locking mechanism was advanced. Intraoperative fluoroscopy confirmed good positioning of the implant. A 10-French round Jackson-Pratt drain was exited through a separate stab incision, and the wound was closed in anatomic layers.