xaminmo: (Josh 2004 Happy)
I have a lot of spare time, where about all I can do is read on my phone. I have a little bit of computer time, but it's really not convenient or comfortable. I try to save it for things I cannot do on the phone screen.

Much of what I've been doing is more review on medical studies, etc. There's a whole lot of science backed info on the mechanics of this, and statistics of progression, etc.

1) There are very few patches to the annular tear that actually have a clinical benefit. There is one that's a mesh, and one that's a Gel, that actually have some long-term benefit. I want to find out if any were used.

2) Healing of the fissure takes 3-4 months. The key is to stay mobile to prevent pain, but to be cautious and not re-herniate.

3) Statistically speaking, a quarter of people with a wide fissure will re-herniate.

4) The disc will never be "back to normal". Even accounting for the loss of nucleus pulpus, age wears on discs. The REAL wear factor is compressive loads. Discs only handle X amount of axial loading, and their layers begin failing. The collagen fibers break, and never go back to as good as before.

5) there's actually a ligament between the disc and the spinal canal. A rupture like this not only tears through the disc, but through that ligament. IE, really high loads.

So, this means my long term prognosis is really based on how much load I put on the disc, and really, all of my discs. During healing, twisting and bending is restricted. Aside from that, I think my days of heavy lifting are over. ALSO, I absolutely must lose more weight. I always have an "I don't wanna" mentality. Whatever. I need to suck it up and take care of the, lest I be crippled for too many years at the end of my life.

That's my challenge. To stay motivated, to stay hopeful, and make no excuses. The injury itself has given me a kickstart - I'm back down to my 2014 weight. I'm starting back on calorie tracking as well. I need to stick with a lot of crunchy veggies. I'm probably going to be eating a lot of grilled chicken salads and grilled veggies, forever. Permanently. Real portions. Let's say I got an 8oz steak? Well, that's fine, but that's 2-3 servings of meat. etc.etc
xaminmo: Josh 2016 (Default)
SAG - Saggital - From the side. Top of head is up, face/chest are left. backside is right.
AX - Axial - From the top. Face/chest are up. Backside is down. Patient right is right & patient left is left.
COR - Coronal - From the back. Top of head is up. Patient right is right. Patient left is left. First image is front of body.

T1 - Short timing - Pulses (TR or Time of Repetition) are less than 1 second apart. Return signal (Time of Echo) is less than 30ms after pulse. This is weighted for showing proton density (PD), which means fluid and complex molecules.

T2 - Long timing - TR over 2 seconds, and TE over 80ms. This picks up lower density structures better, but rapidly flowing fluid, especially arterial blood, will already be out of frame before the echo is returned. This picks up MS better, because of the high density signal from the plaques and lesions is strongly contrasted by the low signal from the CSF.

FLAIR - Fluid Attenuated Inversion Recovery - Often a T2 image is really a high dynamic range image created from both T1 and T2 echoes. This is used to suppress the CSF signal, while still picking up the details from T1.

Signal differences
Different types of anatomy and pathology return different levels of brightness or darkness. Comparing T1, T2 and FLAIR signal strengths can determine what type of mass exists at a specific voxel (volumetric pixel). This can be compared with reasonable physiology for the area to help provide diagnosis or indication for further assessment.

Reference
An excellent technical detail of magnetic resonance systems is available at:
http://spinwarp.ucsd.edu/neuroweb/Text/br-100.htm
BASIC PRINCIPLES OF MR IMAGING by John R. Hesselink, MD, FACR
http://omnitech.net/reference/2014/08/29/mri-terms-demystified/
xaminmo: (Josh 2004 Happy)
I just saw a picture of myself from today's bike ride, and while I'm still wanting to drop pounds AND fat, I'm about as happy with how I look as I can ever recall being.

In the mirror this morning, I noticed SAGGY BELLY SKIN. This is a good sign, and I'm young enough that skin-shrink is just barely lagging behind fat loss.

Health-wise, my right knee, low back, stamina, and self image all are massively improved. Circulation is better. My BP and cholesterol were good before, so no real change. My resting pulse is down a little bit. I'm having fun exploring and spending time with people. I'm enjoying measuring my progress technically, and seeing myself exceed goals. Also, endorphins.

Also, the rates at which I can convert fat to muscle show me that I don't have any metabolic issues. "Weight loss is all in my head." So, picking the right foods will be key. I've found I really like Greek style yogurt, and it's low fat, high calcium, high protein, and only has moderate carbs if I have the mix-up jelly kind (I do).

It seems calorie dense, but it also seems satiating. One day I had 500 calories of it to finish off evening hungers. Then next day I had 2 in the evening. The next morning, I had 2 for breakfast, and had no real hunger for most of the day. I had another before riding my bike, and a snack bar, and some carby elecrolyte drink. I blew through 4000 kcal today and have eaten under 1100 without hunger.

I did have a bunch of caffeine today, so I need to test further. If I could eat 120-240 kcal and be satiated for 6 hours, that's just famazing and would be a big win for me.

As to wanting to drop pounds and fat:
* I'm 29.6% body fat based on bioelectric impedence, and the increased risk limit is 28%. I'd like to get down to 25%.
* My Waist to Height ratio is 56.7%, and the increased risk limit is 53.6%. I'd like to get down to 50%.
* My Waist to Hip ratio, which is an accurate predictor of morbidity risks, is 95.76%, and the risk limit is 90% for men. I don't have a target for this other than the risk limit or below.
* I'd like to drop to a size 36 pants due to availability of tall clothes. Also, I found out / confirmed that even men's clothing is vanity sized by 7-10%, so tape measures differ vs pant sizes.

I just had a life insurance medical exam. It'll be interesting to see what the CBC comes back with.

Photos, with me on the far right:
https://www.facebook.com/photo.php?fbid=10202777493151050
or direct: https://scontent-b-atl.xx.fbcdn.net/hphotos-prn1/t1/q71/s720x720/1619156_10203080001591592_2096155125_n.jpg

https://www.facebook.com/photo.php?fbid=10203080001591592
or direct: https://fbcdn-sphotos-f-a.akamaihd.net/hphotos-ak-ash3/t1/1947922_10202777493151050_1370307925_n.jpg

http://omnitech.net/xaminmo/2014/03/07/general-health/
xaminmo: (Josh 2004 Happy)
On 2012-01-15, I tried to move just under half (5/11ths) of my HSA balance into the HSA investment account. When I submitted the change, I got this:

"com.ibm.websphere.sca.ServiceRuntimeException: CWSXM0201E: Exception returned by mediation flow for component HSAInvestment_Mediation in module LOBSB_HSAInvestment_v2 CWSXM3713E: The fail terminal on Service Invoke primitive SI_Email in operation sendInvestmentBuyTxn in mediation component HSAInvestment_Mediation in module LOBSB_HSAInvestment_V2 was fired but the terminal is unwired: caused by: com.ibm.ws.sibx.mediation.esb.SIBXFireFailTerminalException: CWSXM3713E: The fail terminal on Service Invoke primitive SI_Email in operation sendInvestmentBuyTxn in mediation component HSAInvestment_Mediation in module LOBSB_HSAInvestment_v2 was fired but the terminal is unwired."

I then checked, and I saw that it pulled the transaction twice, totaling 10/11ths of my balance. Since it was after 3pm, it was listed as a 2012-01-16 transaction. I called, and after much discussion with supervisors, etc, the phone rep indicated that we would have to wait until it settled, then I could issue a sell transaction.

I though I would just leave it, but with the kids' Dr visits today, we plowed through the remaining 1/11th (since when did amoxicillin syrup cost $65/bottle, and since when did kids need three bottles each? Plus the Dr's visit, which was $160 each, plus a dental checkup unrelated.)

So anyway, I went to look, thinking I would pull the other half back, and LO! It never showed up. I have the one chunk there, and no other pending transactions. The other chunk just disappeared entirely.

I should have known it was something bad, considering the websphere error mentioned FAILING TO SEND AN EMAIL!!!!

WHAT?!?! Transfers should not be e-fracking-mails.

Anyway, I called back in today, explained, gave the ref number, and it's being escalated to a supervisor with 3-5 day turnaround time.

In the meantime, I'm glad I pulled extra from savings. *sigh*
xaminmo: Josh 2016 (Default)
I haven't given up, but I'm fighting myself substantially.
I've been stuck at 250 pounds for a couple of months.

I'm not failing to burn the calories,
I'm failing to follow the plan.
xaminmo: Josh 2016 (Default)
BlueEdge RSH6 Small Employer Group PPO
BenefitsIn NetworkOut of Network
DEDUCTIBLE PER INDIVIDUAL$ 3,500$ 7,000
DEDUCTIBLE PER FAMILY$ 7,000$ 14,000
OUT OF POCKET PER INDIVIDUAL$ 5,000$ 10,000
OUT OF POCKET PER FAMILY$ 10,000$ 20,000
HOSPITAL/MEDICAL SURGICAL PAYMENT LEVEL80%60%
PREAUTHORIZATION PENALTYNO PENALTY IN-NETWK$ 250
OFFICE VISIT PAYMENT LEVEL80%60%
ER ACCIDENT/MEDICAL B/C AND B/S PAYMENT LEVEL 80%
SKILLED NURSING BENEFIT PERIOD MAXIMUM25 DAYS
HEARING AID BENEFIT PERIOD MAXIMUM$ 1,000 PER 3 YEAR(S)
COORDINATED HOME CARE BENEFIT PERIOD MAXIMUM9999 VISITS


My vote would have been the BlueEdge HSA VII with $7k deductible for $5400/yr, 100% coverage at the deductible, and then take the extra $2k into an HSA.
xaminmo: Josh 2016 (Josh Barcode)
http://www.facebook.com/event.php?eid=118608328155481

A friend's cancer has come out of remission. She has tumors in her pituitary, the lymph node in her thyroid, and in each breast. She's trying to find some bands to play for a benefit that's to help set up a trust fund for her 5 year old daughter. She's a long-time DFW native (was on BBSes back in the day).

Her name is Kathryn Foster, and:
A) If you can play, please contact her, and contact info is in the event link above.
B) If you have $$ to donate, the lawyer for Rockstar Sport Bar is managing the trust.
C) If you want to attend and donate in person to ACS or to the trust Kat's daughter, Chloe, then the benefit starts 7pm Sat, May 1.

Full Text of her facebook post if you don't have a FB acct )
xaminmo: Josh 2016 (Default)
Summary Info
Most (85%) cases of Pharyngitis (sore throat) are viral and not strep A.

Strep-A incubation is 2-7 days. Strep Throat does not generally cause cough or sinus drainage. Treatment of strep with antibiotics usually only reduces illness by a day.

Treatment is generally called for only when strep is cycling through a group or household, a persistent infection, or if symptoms other than sore throat are presenting. Treatment course is generally with *cillin for 7-10 days. Patient is noncontagious after 24 hours of antibiotic treatment. Secondary treatment may be with macrolides (*mycin).

While not *cillin resistant, it is very common for step bacteria to persist after treatment. One in 20 will have a recurrence of strep throat after treatment. As many as one in 12 are asymptomatic carriers. Carriers test positive for strep when healthy, but generally do not transmit the bacteria to others.

An good summary article, copied, that matches most sources I've found )
xaminmo: Josh 2016 (Default)
Due to FAA request, I have recalled my medical records from my tonsilectomy and also from my 2007 spinal injury.

I thought I'd share some of the reports so you all can be grossed out too.
gorey details )
Anyway, I'm scanning and storing all of this, but the most recent batch is a lot of info. I will probably fax it to myself from my work office since the fax has an AutoDocFeed and my personal fax will email a PDF to me. It's just that some of this is barely legible as it is, let alone if it were faxed. We'll see how it looks. I wonder if I can find ADF scanning SW for the HP 2880 at the office. I'd love to have it all scanned at 300DPI and automatically sheet fed and saved to disk.

Ahhh...

Sep. 30th, 2008 11:53 am
xaminmo: Josh 2016 (Default)
See, this is why I'm not safe to leave the house.

The thing I forgot is actually pretty big.

My FIL is in the hospital. The pain and problems and such seem to be identified as:

Pancreatitis
Cholecystitis
gallstones

They're going to temporarily remove blockages via the tried and true rot-o-rooter method, and control the inflammation (antibiotics) and pain (hardcore narcotics) for a couple of days.

Once it's under control, they're going to remove his gallbladder (cholecystectomy).

I'm assuming it will be laporoscopic, but just in case there are complications, we're postponing their Italy trip to next spring.

That will give him time to realize and adjust to the dietary reactions he will have after the surgery.
xaminmo: Josh 2016 (Default)
(It blushes and covers it's eye-ports while you get dressed?)

Seriously though:

If you hold your breath your lungs will rupture and you die quickly and painfully. In fact, if you know it's coming, you want to exhale and be prepared for more exhaling when the rapid decompression begins.

Otherwise, count on a maximum of 9-12 seconds of consciousness. Half that if you're startled (adrenaline = faster oxygen burn). More if it's not a complete vacuum, or it's a slow leak vs rapid exposure.

By 30 seconds, paralysis, expansion of soft tissues begins. Moderate hypoxia.

By 60 seconds, ischemic hypoxia (no circulation) due to expansion of blood gasses, progression of hypoxia to convulsions. Skin feels slightly cool due to evaporation. Mouth and nose cold but not frozen due to lung outgassing.

By 90 seconds, body has swolen to 2x size. Heart fibrillations have begun due to no circulation. Chance of recovery drops off very rapidly.

Recompression to at least 200mm Hg within 90 seconds will usually lead to a complete recovery. Breathing may begin spontaneously. Temporary blindness, pain, swelling, etc should pass within hours.

Your blood would not boil. The elastic pressure of your blood vessels would keep the pressure at around 75mm Hg. The boiling point of water would be roughly 115F. Blood's boiling point is less than one degree higher than that of water. Your saliva and tears WOULD boil though at roughly 62,000 ft altitude and higher.

You would not instantly freeze. Heat transfers through matter and radiation. You will radiate a small amount of infra red heat, and will experience evaporative cooling. If you're unlucky, maybe some frost-bite around your mouth and nose. Well, no, if you're unlucky, you stay in the vacuum and die.

REFERENCES
http://www.sff.net/people/Geoffrey.Landis/vacuum.html
http://en.wikipedia.org/wiki/Armstrong_Limit
Rapid explosive decompression emergencies in pressure-suited subjects, E. M. Roth, Nov 1, 1968
http://en.wikipedia.org/wiki/Time_of_Useful_Consciousness

QUOTES
"At NASA's Manned Spacecraft Center (now renamed Johnson Space Center) we had a test subject accidentally exposed to a near vacuum (less than 1 psi) in an incident involving a leaking space suit in a vacuum chamber back in '65. He remained concious for about 14 seconds, which is about the time it takes for O2 deprived blood to go from the lungs to the brain. The suit probably did not reach a hard vacuum, and we began repressurizing the chamber within 15 seconds. The subject regained conciousness at around 15,000 feet equivalent altitude. The subject later reported that he could feel and hear the air leaking out, and his last conscious memory was of the water on his tongue beginning to boil." - Roth
xaminmo: Josh 2016 (Default)
Happy Cinco de Mayo everyone!

I am officially taking a sick day/day of rest today because…

I rode 160 miles on my bike this weekend!!! (Yay me!)

It was an amazing experience and I learned quite a bit about cycling, my body, drivers on the road who don’t like cyclists, scary things that can happen when you’re cycling, rough roads, high winds, lots of hills (including one 2 mile climb yesterday – ugh!), and the generosity of complete strangers. I was also inspired by those people with MS in wheelchairs who greeted us at various points along our journey. There were even some riders who had MS - including one woman who made sure her service dog ran across the finish line with her yesterday. I completed the ride by crossing the finish line to the cheers of my fellow cyclists that I’d been training with and one cyclist I had just met the day before. I didn’t realize what an emotional finish it would be for me but I was in tears by the time they all rushed to me with hugs and congratulations. I have never pushed my body as I did this weekend. I am still amazed.

Thank you all once again for the donations ($947 so far!) and well wishes. I think you can still donate for the next week or two. The last I heard, our team had raised almost $70,000 and were still hoping to meet our goal of $100,000.

Here’s the link: http://www.ms150.org/edon.cfm?id=212369

Thanks again. I might be online on and off today. I am not leaving this bed....
xaminmo: (Moon 2004 Animation)
He's my mom and aunt's uncle. He's only 10 or 11 years older than my mom, so I guess he was born 1930ish.

He was diagnosed with Meniere's a sometime between 2002 and 2004.

My mom died in late 2005, and when she was buried up there in early 2006, he had a stroke tending to her grave. From that, he lost a lot of his speaking abilities.

Last year, when I talked to him, his speech was pretty good, but his comprehension was slowed.

Today, he went into the hospital again because he couldn't speak other than yes/no. The Dr's found a brain tumor where he had his stroke before. We're not sure if the one masked the other, or if it's coincidence.

Either way, this is aparently anticipated to be a fast growing tumor. He doesn't want surgery because prognosis is poor. It's likely he'll get hospice care at home until he passes.

:/

SOMEWHERE there's a picture of me napping in a wheelbarrow when I was 8 and visiting up there for a week.

Aunt Rita has dialysis tomorrow, and this whole thing is going to be really hard for her to coordinate. Luckily, other Busse's and Johnston's live nearby. My aunt LuAnn will probably drive down and visit this weekend. I'm pondering taking the boys up there with us since they've met Ralph and Rita before.
xaminmo: (Logo Slippery)
"Nearly 40,000 people learned this week that a trip to the doctor may have made them sick."

"A Las Vegas clinic was found to be reusing syringes and vials of medication for nearly four years."

"Health inspectors say they observed clinic staff using the same syringe twice to extract anesthesia from a single vial, which was then inappropriately used to treat more than one patient. The practice allows contaminated blood in a used syringe to taint the vial and infect the next patient."

"Clinic staff told inspectors they had been ordered by management to reuse the vials and syringes."

"Investigators were told the practice was an attempt to cut costs."

"In letters that began arriving this week, patients who received injected anesthesia at the endoscopy center from March 2004 to mid-January were urged to get tested for hepatitis B and C, and HIV."

"Six acute cases of hepatitis C have been confirmed. The surgical center and five affiliated clinics have been closed."

"The clinic's majority owner, Dipak Desai, a political contributor and member of the governor's commission on health care, has refused to comment on the allegations."

"He released a statement expressing concern for the patients and assuring the public the problems had been corrected."

"He later took out a full-page ad in Sunday's edition of the Las Vegas Review-Journal insisting that needles had not been reused and that the chances of contracting an infection at the center in most of the last four years were 'extremely low.'"

http://www.sci-tech-today.com/story.xhtml?story_id=021000FZV55L
xaminmo: Josh 2016 (Default)
Do you know how sometimes when you wake up, there's a fragment of a dream that happens right in the transition zone?

Sometimes it's a feeling, or a vision, or a sound, etc. It's usually some abandoned fragment which you can't quite place.

For me, this morning, it was a word. It wasn't written, or spoken, but something inbetween.

Monoclonal Antibodies.

WTF.

I have only tangentally and superficially looked into these, and not very recently if that.

Weird.

Anyway.

Summary

Oct. 28th, 2007 03:11 pm
xaminmo: Josh 2016 (Default)
This makes me want to retch, but is promising for those susceptible to MRSA wounds:
http://www.sciencedaily.com/releases/2007/05/070503094447.htm

Congress protects whistleblowers by including ALL of their email addresses to everyone who had submitted a web comment:
http://www.tpmmuckraker.com/archives/004576.php

Photoblogging all day long to protect himself from the FBI:
http://www.wired.com/techbiz/people/magazine/15-06/ps_transparency

Linux on Laptops (compatibility):
http://developer.novell.com/yessearch/Search.jsp
http://www.linux-on-laptops.com
xaminmo: Josh 2016 (Default)
I did some calf extensions (aka stand up on tippy-toes) while pulling on a door (to "lighten the load" so to speak) and have done some light stretches.

I seem to be at about 50 or 55%, so I walked the 6 blocks in to the office today. No building pain, and I think I actually got some decent stretch out of it.

DITL JDSD

Oct. 16th, 2007 11:20 pm
xaminmo: Josh 2016 (Default)
Day was slow overall at work.
I updated my SSH keys on roughly 150 servers.
Some new; some with new host keys; though 2 were down.

I saw "Golden Age" aka "Elizabeth, Part II".
Good movie. Cate is beautiful as always.
Movie *did* seem a little rushed.

While walking back from the movie,
I jogged three steps and something popped in my calf.
Suddenly, walking was painful (8pm)

Hospital visit indicates I have a small tear in my gastrocnemius.
Stay active, don't force it, and it will hurt for 2 weeks.
Come back if it swells, hurts more (5-6 now), or discolors.
Naproxen and ice as necessary.
More Info 1 / More Info 2

Hosp gave me 800mg ibuprofen, and I have naproxen with me.
No ice in the hotel, so I ACE-wrapped a cold water bottle.
I should have taken a picture.
I looked awesome.

This complicates daily travel to customer office.
So, back to the hotel by 10pm.
Updated coworker and sync'd with wifey.

Khai has once again asked when I'd fix his computer.
Really, it's a poor design and there's no fix.
Athlon desktop processor inside HP laptop chassis = overheat.

So, I ordered a mini-desktop for the kids.
WITH screen (15" LCD) it's still half the cost of a laptop.
I have some DIMMs from the brother-in-law to upgrade its memory.
Details in subpost

Max has been Gluten Free for several days now.
He's also been taking herbal ADD drops just before school and bball.
Today, his teacher mentioned how quickly he completed his works,
and how little fussing he showed. yAy!

I finished supper. Spinach, the spikey, non-leafy endives, grilled onions and peppers, grilled steak bits, and a vinegrette dressing as the entree, and a small slice of cheesecake which I did not need and probably will make me feel like crap.

Stairstepped paragraphs here. I am 3r337!

Belly

Oct. 4th, 2007 12:29 am
xaminmo: Josh 2016 (Default)
[livejournal.com profile] xaminmo My guts are singing today. They're singing the blues.

[livejournal.com profile] erica No, they're singing the BROWNS. Just like the blues, only darker.
xaminmo: Josh 2016 (Default)
WebMD
Researchers compared the women with MS to more than 1,000 similar women without MS and found the risk of multiple sclerosis was 40% lower among women taking birth control pills compared with nonusers.

The study also showed that the risk of MS was slightly lower during pregnancy but nearly three times higher in the six months following pregnancy.


Birth Control about the patch. Page 6 has the 91-day pill


Scientific American article about a study with mice where modified estrogen that attaches only to estrogen-alpha receptors immediately prevents and reverses MS damage, but still has the same estrogen related risks; whereas, estrogen-beta version doesn't have immediate effects, but over the course of 20 weeks did partially reverse MS damage and did not have the usual estrogen risks (cancer, clots, etc.)

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xaminmo: Josh 2016 (Default)
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