IMG_0771
I did a search on the hard drive for a picture. These images all carried the number “IMG_0771.” The image number(s) recycles. It is the nature of digital cameras. Fish in the Red Sea. Cat in Delaware.
I was surprised by the images that had the same number spanning many years. The image of Jules, around 2007, and Colleen 2014. Jules – Maine or Vermont. Colleen NYC.
I was blown away by the mask and the drawn face. It was a bit of shock. I have no recollection of that joke, date and place, unknown. And then, there’s a cerebellar tumor, Jeddah circa 2013? As I recall we successfully removed that tumor and it’s recurrence. IMG_0771, this image, has been an interesting historical journey touching significant things in my life.
Spinal Tumor
Side view: the gray mass below the white column is the tumor
This is a spine tumor. On the day we did this surgery I operated in the neck, in the thoracic spine (chest) and in the lumbosacral spine. We followed that with brain surgery. It’s always interesting. This poor patient was treated for an infection but was not improving. Several biopsies were unsuccessful to establish a diagnosis. Now he was weaker and in more pain. The mass invaded his sacrum – pelvic bone – and surrounded his spinal nerves and was threatening to take his leg strength and bowel and bladder function. It was pretty serious stuff. And previous procedures had everyone guessing what this lesion represented on the MRI scan.
Top down: the bone and spinal canal are all filled with tumor
Head is toward left: this is the spinal sac – the tubular structure.
Surgery was difficult as expected. The mass was completely in front of the spinal sac. It’s partly why the diagnosis was so difficult to establish with a extensive surgery. You can see the nerve sac. This turned out to be a tumor lying stuck tightly among the nerve roots. It had been growing slowly. About six hours later and the nerves and spinal sac were decompressed. We worked slowly under the operating microscope to get the pressure off the nerves. It was most rewarding to hear the patient tell me the next day that his severe debilitating pain was much improved. Some days end up pretty nice.
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