How We Are Perceived…

…never look a gift horse in the mouth

———————————————–

I’ll speculate that there is a good chance that I might be perceived as a quasi-Jurassic old fart.

The estate agent recently said that we had a lot of DVDs just like his parents. I do not know most of the protagonists in Wimbledon, I have no idea what music “stars” are popular with the exception of Taylor Swift, on celeb Goggle Box I have no idea who some of them are and I could not name more than a few of the Labour party cabinet. I recognise a few players in the England cricket team and am perhaps the most up to date with northern hemisphere rugby. I do not use a smart ‘phone and have never done “face time”.

Science fiction can predict with sometimes uncanny accuracy future trends. The detailed match is not exact but the scoping predictive. We have Orwell’s 1984 and now webcams and microphones driven by fibre broadband in most homes. The Trumpian “ministry of truth” publishes edicts to millions over the internet. The propaganda wars are on. We have the “new-speak” of wokeism and offence at pronoun use.

In the film “Logan’s Run” the young and the beautiful have an expiry date before they go to “Dignitas” for recycling. When the time comes, they are expunged. Everyone must be young and sexy and beautiful. Fat crippled old men are not allowed. Books are an antique artefact of the past.

Now you can get Turkey teeth, a Brazilian bum lift, liposuction, a bionic penis and a designer vagina. You can get lip filler so that you look like a pollock who has bitten a stinging jellyfish and get plastic bags full of chemicals sewn into your tits. You can take weight loss drugs instead of heroin to lose weight. And of course you can buy Sino-Mexican fentanyl at bargain basement prices for a few pesos.

Not all “progress” is uplifting or good.

There is a tendency to throw the baby out with the bath water.

The summer of 2003 was pivotal for me. I had just gotten divorced and went on a PADI advanced open water diving course, on my own, at Sharm El-Sheikh. I was partnered with a young woman who was intelligent and a cardio-fit dentist. She was also a fairly high level rower, only a little younger than me. She was on holiday with others of the rowing “Henley” set and there was some talk about some of them preparing for Olympics. She represented two things I did not understand, the choice of dentistry as a profession and competing in rowing. I could not and still cannot understand dentistry as a profession. Yes, it relieves pain and is financially viable but isn’t it a tad repetitive and boring.

We got on fairly well and worked OK as a team. We were both a bit anxious. It turned out that she was single and looking to change that. I understood that she was attractive according to how these things are perceived. I saw her mostly as my diving partner. She talked a lot. Then one day on the bus she looked at my recent root canal work, which was not up to scratch according to her professional opinion. I knew at that moment her orientation towards me had changed from mild interest to “no, this geezer has bad teeth”. There was a slight cooling on her part. I had been scratched off a mental list.

When we finished the course, I climbed Mount Sinai on the night before my birthday and saw dawn of my birthday atop said hill. It was for me a truly transcendent experience. Something very powerful started that day and I was “off my trolly” for most of the journey back to London.

In this inane example she looked in my mouth and did not like what she saw. A perception was based on a single variable. It was a show stopper for her.

Nowadays where everybody has to be plastic-fantastic with their own PR and propaganda anti-social media platforms it is difficult to find a non-embellished reality. The drive to subscribe and adhere to a faux-perfection is said to be a driver for poor mental health. It is difficult to know who or what we really are or may be.

Cosmetically my appearance to the young is not appealing. I have yellowing teeth with several gaps. I am portly and hirsute. My below belt grandpa-garden is untended. I have not had a crack back and sack, ever. My teeth, which remain, are my own. There is no dental mortgage. I do not dress fashionably and I waddle when I walk, like a duck. I have never had an umbilical cord to my iPhone or Galaxy. If I were to attempt to type a text it would be snail pace and error strewn. I am a bumpkin, a yokel even pikey. I have zero power or kudos by association

I am in a package which would be unappealing, no doubt some might seek to educate me and bring me up to date. Were I to have things to share and impart, many would not be able to see past the gift wrap.

“What can that crippled old man with gappy yellow teeth possibly have to offer me? He is such a success, he has done so very well for himself, not.”

How we are perceived may differ substantially from how we actually are. People can squander opportunity based on prejudice about how things ought to be…

——————————————

…beware of Greeks bearing gifts.

Feeling Wired… wee, sleekit, cowrin, tim’rous beastie…

—————————-

But Mousie, thou art no thy lane,
In proving foresight may be vain:
The best-laid schemes o’ Mice an’ Men
Gang aft agley,
An’ lea’e us nought but grief an’ pain,
For promis’d joy!

Still thou are blest, compared wi’ me!
The present only toucheth thee:
But Och! I backward cast my e’e,
On prospects drear!
An’ forward, tho’ I cannot see,
I guess an’ fear!

Robert Burns

———————————————

Well I am all wired up to a polygraph. Looks like it measures heart, noise in the trachea, air flow in the nostrils and the saturation of oxygen in the blood. It is not the latest spec machine and I don’t want to pay twenty euros for a user or technical installation manual. The temptation to take it apart is high but I will resist.

Over the last few months with nearly fifty medical appointments so far this year I have felt a little like a lab rat / mouse. Last time I was like this was around 1994 when they did shit loads of tests to figure out my low B12 and high haemoglobin. They gave me a radio-tracer labelled B12 sample and wanted me to collect my piss. I was off on a night out with the lads, by the end of the night my rucksack was very heavy with ~ a gallon of Tennent’s Extra flavoured sample. They told me to collect it all!! They were taking the piss.

I figured that I was a part of some research project at St Thomas’ so I played along. Perhaps I helped someone’s dissertation.

I learned today that a diagnosis of moderate to severe sleep apnoea means that you have to stop driving and tell the DVLA!! You then need to get the problem under control.

They say that it can affect concentration. I’ll bet my level and extent of concentration against the bulk of the population. I’ll win.

Either the results will be invalid due to the apparatus falling off during the night, or they will be “normal” or they will have some anomalies due to my decade of dreaming practice and two and half decades of meditation. The first two cases are easy.  The third case might raise an eyebrow; be seen as an artefact or suggest a re-test.

All these scans and tests are getting a bit boring. I would much prefer to be in the control room watching the acquisitions than on the slab in the middle of a polo mint.

I have often wondered on the mentality of those able to torture mice. I did a team development course for those operating a gene related animal house {mice} at the University of Cambridge. They seemed to be regular people a bit annoyed by the unrealistic expectations of the last minute dot com academic demands. The academics wanted the animal house “sorted out”. I suggested to HR that it was the academics who needed to learn team work and to develop their interpersonal skills, which were poor.  I offered to do a course for them. Needless to say my offer to “Olympus” was not taken up. I would have had no problems calling out a pompous Cambridge prof or two.

I take the device back on Tuesday morning before my colonoscopy. We shall see {perhaps} what is recorded thereupon. The fun-filled and action-packed life goes on…

Failure to Piss & Moan or Whinge & Complain…

—————————————————————————————————

From the Urban Dictionary:

whinge

Verb To whinge

A British/Australian/New Zealand (possibly South African and other commonwealth) English word which describes incessant complaining. A behaviour commonly associated with poms/pommes/pohms/pommies (people from England).

If you want to get anything done in this country you’ve gotta whinge till you’re blue in the face!

Aw piss off ya blardy whingin’ pommie!

Whinging pom

An joyless English person who complains incessantly.

See Piers Morgan.

That Piers Morgan is such a whinging pom oh my god.

———————————————————————————————

This morning whilst trying to go back to sleep I was reflecting on a phenomenon of non-plussed. This is when I observe other people being non-plussed when I fail to piss & moan or whinge & complain in line with their normal level of their expectations. They seem not to know what to do when I don’t bemoan my lot or plead how terrible life is and how much miserable pain I am in {poor me, pass the feather boa.}


People are accustomed to hearing high levels of whinging and moaning and therefore expect these.

I have an idea that the medical profession don’t take me as seriously as others because I am not complaining endlessly and asking of their deity for help with my suffering. They can’t gauge things on the whinge / complain / moan scale.  I am too close to the zero-whinge state to be taken seriously.

As a rule most people like to have others hear there whinges and go, “there, there, poor you”. They seek someone to join them in their misery and seek affirmation of how terrible their personal suffering is, Bless.

If you observe, a fair percentage of so-called conversation is about complaint and woe-sharing. If people stopped whinging there would be a lot less. One is supposed to offer succour to the woe-sharer. If one does not woe-share people can be non-plussed. They do not know what to do or how to behave.

A very large amount of woe-sharing comes from the notion of how unfair the world is imagined to be. It is very victim and poor me in source. It is a bit sandpit or nursery, toddler like.

Who said that life is fair? Why do people have such an expectation?

Anyway, is seems to me that my failure to piss & moan, whinge & complain sufficiently leaves people non-plussed. It is a non sequitur which does not make sense. It can cause unease.

The Holy Trinity – Fat Fags & Booze

—————————————————-

Brixton Prison, Jebb Avenue London S.W. 2 Inglan

it was de miggle a di rush hour
hevrybody jus a hustle and a bustle
to go home fi dem evenin shower
mi an Jim stan up waitin pon a bus
not causin no fuss

when all of a sudden a police van pull up
out jump tree policemen
de whole a dem carryin baton
dem walk straight up to me and Jim
one a dem hold on to Jim
seh dem tekin him in
Jim tell him fi leggo a him
for him nah do nutt’n
and ‘im nah t’ief, not even a but’n
Jim start to wriggle
de police start to giggle

Sonny’s Lettah – Linton Kwesi Johnson

——————————————————

Isn’t it funny that when you wait a long time for a bus at the bus stop near Jebb Avenue on Brixton Hill, there are none then all of a sudden three arrive at once?

Every weekday morning for around five years I waited at that bus stop.

Last Friday I had a radio-nuclide bone scan, Tuesday I had an ECG and comprehensive cardio ultrasound, tomorrow I will have overnight monitoring for sleep apnoea, Monday I will start taking industrial grade laxatives with a colonoscopy due Tuesday afternoon and next Friday I am due a CT scan to check for diffuse idiopathic skeletal hyperostosis (DISH).

What a fun-filled and action-packed time I have.  That is quite a lot to cram in. That is a lot of buses.

—-

—-

Tomorrow I will get fitted for various monitoring including cardio. Later, they may go one stage further and do a hospital admission with full electroencephalography (EEG).

Given hip pain, enlarged prostate and hot weather, I am not sure they will get a good data set.

I don’t know what gizmo I am getting tomorrow. BUT if there is an EEG it could easily generate an anomaly which they may struggle to explain. I know from before and self-test that I can flat-line a fast Fourier transform frontal lobe EEG within the S:N ratio. If this happens in a sleep study it might raise questions or get ignored. I would be an anomaly.

The hospital version has EEG. It may never happen.

As a researcher one is trained to look out for anything unusual. I have a low parathyroid hormone level which seems anomalous. It makes my research bells go ting. It does not seem so important to others.

It seems to me that the consensus is coming around to the idea that the root cause of many of my ailments is being ascribed to the Holy Trinity, fat, fags and booze. My high iron levels will get adjusted during any hip operation by blood loss, in the first instance.

In terms of the Holy Trinity I only have fat left to renounce.

Whenever I watch a medical video, say on a part of the endocrine system, I think to myself that is a whole lot of variables which you are asserting to be interrelated yet you only have very few data points. Is that not a bit of a stretch?

I suspect that I would have been a shit medical student, too many questions. I would struggle with the exams.

In a fortnight’s time I should have a few more pieces of information, including my putative diagnosis of DISH.

Looking at the bus timetable there may be a wait……after a fun-filled and action-packed week.

Touch wood, cross fingers etc.

ECG Anomalies and a CT Coronary Angiogram

Well, more rides on the medical merry-go-round are in store. I have a patchily shaved chest to which they attached the electrodes and they found some anomalies, a slight lowering, in the ST part of my ECG trace.

These can be due to ischaemia {low blood supply} or muscular hypertrophy. The nice young man was very thorough with a good bedside manner. He has recommended that I get a CT Coronary Angiogram, a new procedure to me. So I have just emailed the request to the radio people.

He was reassuring but you don’t fork out for fancy tests on a whim. There is a reason…

My gut feeling to get the cardio MOT done early was right. I figured there could be some twists and turns.

There are a lot of medical threads out there which hopefully we can make some global sense of {eventually}.

Luckily, I know where the radiography department is, it is near the nuclear medicine place I was at Friday and close to the coffee machines.

More loyalty card points for me…

It Is a Long Way from Kansas – Cardiology

The world is pretty fucked up right now. When the butcher of Khan Yunis is nominating B2- “Obliteration”- Boi Trump for a Nobel Peace Prize things are more than a little topsy-turvy. This is perhaps a new(ish) if twisted reality for our times. If you remember Franco, Mussolini at al., the unpleasant people, once formed a bad-boys club before and that turned out well…

The world is heading into a very nasty phase. Brutality is holding dominion over compassion and humanity. Rife me-first separatism is being propagated, decency {and common sense} is subdued by the practice of domination, coercion and forced submission. The disproportionate exercise of power is once more in flow. Waving cocks is once again sadly de rigueur.

It is along way from any idyllic Kansas of ere.

Today I get to find out if I have a heart amid all the high iron rust in my arteries and veins. They will probably plug me into the mains and look for traces of Fe2O3 in the pre-operative electrocardiogram. They may look for signs of a still pulsing muscle with an ultrasound device.

By the 18th of July I will have had 13 medical appointments in a little under three weeks. I will have given blood, had a CT and separate radionuclide scan {bonus CT also included}, a colonoscopy and test for sleep apnoea. I will have seen GP, implant dentist and consultant orthopaedic surgeons, a cardiologist, an osteopath, a rheumatologist and a lung specialist. That is a fair clustering of appointments. My dance card has been and is still full. In August I get to see a urologist for an update on my high prostate specific antigen levels. The next line of attack after the high res MRI I already have had is a prostate biopsy. Yippee!!! That will be fun. You can see from the look on my face above when they try to put a finger on it.

And on the TV in the news we get to see a stage managed travesty as mentioned in the first paragraph…

Are we really in this parallel universe. How the hell did we as a humanity get to this low low place. How much lower must we sink?? When this sort of thing seems quasi-normal?

This stinks, it smells real bad…

Gandalf and Felix – Our Resident Stray Cats

Yesterday at feeding time Felix, the old beat up neutered tom, did not show. He has been looking increasingly shabby of late, the vet suggested that he has cat AIDS. He has been with us for three or four years. He was fearful and wild. Other younger cats taught him to come close to us. Of late he has let me touch him and he rubs himself up against me at feeding time. We play picky-ups, where I pick him up with my foot and drop him gently out of the way. He keeps coming back for more. It is a game he likes. You can usually set your watch to his stomach. No sign of Felix. Gandalf was fed as per usual.

This morning again no sign of Felix. Something has unnerved Gandalf the young, spayed female. She followed me around the garden like a limpet. I was looking to find a perhaps dead or injured Felix. She was very attentive and seeking physical contact. No sign of Felix. Not in any of his usual haunts.

We understand that our care of Felix is perhaps end of life and palliative.

I just went out to feed Gandalf down by the river and with all the noise Felix arrived. He is in a bad way with what looks like a blunt force wound to his head. There is a swollen open cut like a boxer’s injury. Gandalf seemed pleased to see him and yielded the bowl to him. No contest.  I came back to the house to get another bowl and she followed me, while there was food available. She mewed and followed me back down to where Felix was feeding. It was as if she was asking me to feed them both as is the usual custom.

I put her bowl down and she was edgy, hardly snacking. She kept greeting Felix who was trying to eat. I stood there and petted Gandalf a little. She had a few mouthfuls. I was standing like presidential “security” while the two cats ate. Something bad has gone down and freaked them out. In the past when scared or injured, cats have sought me out. I have taken scaredy-cats out into the dark for a late night piss. Gandalf remembers humans and some of her memories are good. Perhaps some not. She is glued to the side of the house where she feels safe at the moment.

Felix has finished eating and is out by the greenhouse for his post feed snooze. I have been to look and his left eye is closed again like a boxer. He has some kind of injury to that side of his mouth. Looks like a car or dog or fox and not a cat inflicted wound. Gandalf was again following me like a magnet and it looked as if she was getting ready to jump up into my arms. Which would be a first. I “took” her close to Felix and she quieted down a little. She knows he is poorly. At the moment they are sat close to the house near the magnolia.

It might be wise to swing by the vets tomorrow to ask what to do. That wound could go septic, it does not look clean and Felix is not washing after eating, which is something he usually does.

The cats are clearly unsettled by some kind of trauma…

The Old Guard and Toltecs – Speculations

The second instalment of the Old Guard series has recently hit Netflix. It has a shared plotline of sorts with the Highlander movies of ere. In this Old Guard dramatization physical plane immortals exist adjoint humanity and interact to either good or bad effect depending on mood and predilection. In Highlander in the end there can be only one in the battle between good and evil. In the Old Guard series “Andy” the main protagonist has fought to help, aid and otherwise nudge humanity in a “better” direction. Instead of reincarnating she has one contiguous and very long life in which she preserves her super model looks despite getting slashed and shot. A magical and miraculous healing occurs. She loses her regeneration powers and then regains them.

In each the burden of endless longevity / immortality is touched upon. They do not dwell overmuch on the boredom aspect rather the action and power angle. The omnipotence may appeal to the burdened and downtrodden. It may titillate the sociopath and the narcissist.

For dramatic impact pivotal points in global {human} history are referenced. An allied them is to be found in the “Assassins Creed” franchise though in this case reincarnation is invoked and a DNA bloodline is the bearer and propagator of ongoing conflicts.

It has been suggested to me that the so-called Toltecs were incarnated around pivotal times and played a role behind the scenes in the evolution of human and planetary history. Given that the technique of erasing personal history is part and parcel of the training, it is not surprising that little historical refence can be found. In the Old Guard Andy tries to avoid publicity. However in this day and age and thanks to internet monitoring and various intelligence services it is impossible to leave no trace. The times have changed.

In the Toltec tradition there is such a thing as a nagal being. The word Nagual in Spanish American is similar. The word Naga in the Indian tradition does not differ in root. In the hagiography of Buddhism Siddartha is protected by king cobra, a naga-raja, from the rain. These nagas live in the place or world of the nagas, naga-loka. Wisdom can be elicited from nagas and naga-loka. Serpents are the dreaming symbol for wisdom.

This suggests via speculation and extrapolation that a nagal being was a contemporary and perhaps companion of Shakyamuni Buddha.

——————-

“There is unanimous agreement that Nāgārjuna (ca 150–250 CE) is the most important Buddhist philosopher after the historical Buddha himself and one of the most original and influential thinkers in the history of Indian philosophy. His philosophy of the “middle way” (madhyamaka) based around the central notion of “emptiness” (śūnyatā) influenced the Indian philosophical debate for a thousand years after his death; with the spread of Buddhism to Tibet, China, Japan and other Asian countries the writings of Nāgārjuna became an indispensable point of reference for their own philosophical inquiries. A specific reading of Nāgārjuna’s thought, called Prāsaṅgika-Madhyamaka, became the official philosophical position of Tibetan Buddhism which regards it as the pinnacle of philosophical sophistication up to the present day.”

Stanford Encyclopedia of Philosophy

Nāgārjuna (नागार्जुन). – Name of an ancient Buddhist teacher of the rank of बोधिसत्त्व (bodhisattva).

Wisdom Library

The name also appears in the wider Hindu sources predating Shakyamuni Buddha

———————–

Typically a three pronged nagal is said to distribute knowledge widely. Like a stone thrown into a pond.  If Nāgārjuna is a wider term for a nagal teacher in the Indian sub-continent then this suggests that the core Toltec and Vedic / Buddhist teachings are similarly sourced and may differ only in method of expression and verbalisation. The term is a generic and not a specific and personal name.

I personally have not found any huge glaring clashes between these philosophies. There is a marked difference in emphasis and the cultural refence points and metaphors employed.

The entertainment mentioned above is not completely inconsistent with a hierarchy of spiritual “masters” on overwatch of humanity. However in order to make it dramatically appealing they must have meaty bits and interpersonal relations such as love with hints of corporeal hanky-panky.

Too abstract and the film would not sell. The immortals have to be beautiful people if good and have ugliness if bad. One is not allowed a minger of an immortal. They must be L’Oréal advert fresh out of the shower from time to time.

Having a “hot” teacher can badly detract from learning.

It is not difficult to see that the course of human history did indeed pivot around relatively small and local acts. The execution of Jesus ended up being a game changer. The invention of antibiotics added number density to humanity.  An assassination was used as a pretext for the first world war. If there is tension a simple fuse is all that is needed to ignite. A miscalculation in a Bay of Pigs might cause a nuclear winter. The simple protection of a Buddha from the rain enabled the propagation of the teachings for mind.

Humanity is prone to flying off the handle in rage and “self-righteous” indignation. Humanity has a “cob” on and is very prone to fits of angry pique which kill hundreds of thousands.

In the absence of overwatch might the history of humanity have been even more bloody and brutal?

We are heading into unknown territories with AI and Drone-robotics. What are the two biggest markets? War and sex. Thus humanity will expend effort into developing these for profit applications. Since the theoretical abolition of slavery humanity seeks a replacement.  I read yesterday that progress toward in vitro spermatogenesis is advancing, if the same continues for human eggs it may be possible to make a human-like foetus. A synthetic human is unlikely to have an indwelling Soul. This biological dabbling and getting a blind boner for technology represents a Pandora’s box the lid of which humanity will find difficult to resist. What is unleashed now and later in this century may cease to be readily controllable. The temptation of cash and the arrogant appeal of God-like potential may lead humanity down a very dark path indeed. It may regret…

How might Andy and the Highlander come to the rescue?

140 keV Gamma “Ray” Bone Scans…

My rate of emission of 140 keV photons is now down to lower levels, five radioactive half lives after injection. The concentration has been reduced by biological elution and the radioactivity by decay. It was interesting to read how few suppliers there were for 99mTc. Yesterday, she only injected a few millilitres of tracer.

I have been reading up and watching videos on the interpretation of bone scans, I can probably note metastatic lesions, depletion in tracer localisation due to prothesis, fractures (old and new), areas of bone formation and depletion. It might be interesting to see what my damaged cervical spine looks like and if my “broken” ribs from rugby can be seen.  Osteophytes are evident on my thoracic spine and near my Titanium pin. The Diffuse Idiopathic Skeletal hyperostosis (DISH) is probably still growing and could localise tracer. {I had a full body scan.} This, if seen, can be cross referenced with an upcoming CT scan.

There could be plenty in my scans for a nuclear medicine professional to discuss with her younger colleagues.

I meet some of the diagnostic criteria for polycythaemia (probably secondary). If it is the malignant form this may interfere with bone cycling in the marrow and could appear in the scintigraphy. There are a few suggestions in the literature to use nuclear medicine to detect this. But it is not common practice.

I guess the single-photon emission computed tomographic (SPECT) images might show something like this below. My hip arthritis is much worse than in the X-ray or CT images below. It does not look like a whole lot of extra knowledge comes from the SPECT data for the hip.

——————————————————

Dunn’s view of (A) right and (B) left hips of a 48-year-old male patient presenting with left hip pain only. Single-photon emission computed tomographic images shown in (C) anterior and (D) posterior coronal views display more uptake (black arrow) along the superolateral aspect of the acetabular roof on the symptomatic left hip compared with the asymptomatic right hip (white arrow).

Clin Orthop Relat Res. 2008 Dec 17;467(3):676–681

—————————————————————————–

What might however be interesting is what tips up in the rest of the body scan. The pain in my lower and mid lumbar spine has been explained in different ways by different doctors.  There might be clues as to what is going on.

I guess what I do not want to see is evidence for primary bone cancer or metastatic disease. The main diagnostic differentiation of the latter is a disordered or “random” appearance of tracer localisation. Metastatic disease is incurable and often terminal.

I have joked that I could re-train as a radiographer or a nuclear medicine operator. But you know what they say about old dogs.

It is weird, I feel very up in the air, with little or no idea if/when I will get to see the data. Something which could change the direction of life is hanging ill-defined in the aether. I am in a kind of limbo.

I wonder if people who prescribe scans have ever had to wait and hang like this…

Maybe it should be a compulsory part of training…

Pandora, what does two plus two equal?

————————————–

“A bone scan or bone scintigraphy is a nuclear medicine imaging technique used to help diagnose and assess different bone diseases. These include cancer of the bone or metastasis, location of bone inflammation and fractures (that may not be visible in traditional X-ray images), and bone infection (osteomyelitis).

————————————-

The most common radiopharmaceutical for bone scintigraphy is 99mTc with methylene diphosphonate (MDP). Other bone radiopharmaceuticals include 99mTc with HDP, HMDP and DPD. MDP adsorbs onto the crystalline hydroxyapatite mineral of bone. Mineralisation occurs at osteoblasts, representing sites of bone growth, where MDP (and other diphosphates) “bind to the hydroxyapatite crystals in proportion to local blood flow and osteoblastic activity and are therefore markers of bone turnover and bone perfusion”.”

From Wikipedia

——————————————

I have not long returned from the Nuclear Medicine suite at Yves Le Foll hospital Saint Brieuc. The pretext from my bone scan was to look at where there might be inflammation in my right femoral head / neck and hip prior to an operation. The first orthopaedic surgeon, who prescribed the scan, suggested that it might be done with an Iodine radio-tracer. That is not for bones. He became a little flustered when questioned and pressed on the subject. The second orthopaedic surgeon questioned why he might even order such a test. It seemed incongruous to him.

Nobody in France has yet mentioned the C word! Looking in Pandora’s box can have unexpected results. They could be doing a “Basil Fawlty”.

At the end of my scan today the operatives in the control room were all looking intently at my images, pointing and talking animatedly. Before the scan they did not help me onto the scanner table, after it they were very helpful with the dismount. The images changed behaviour. I was not privy to my gamma ray “only fans” content which had them talking. The secretary suggested that I will get the results in a letter at some unspecified time in the future. The results will go to the first orthopaedic surgeon and my GP.

The following outcomes are possible:

1)  The results simply show osteo-arthritic frictional inflammation in the bony tissues. What I call the pepper mill effect. In which case I will get the results through the post and I can take a good scooby at them myself.

2) There is a long delay during which a conflab occurs. I do not get the results in a timely fashion, some other follow up plan is hatched. Something needing to be followed up has been found.

3) I get a telephone call to tell me bad news. I am being followed for elevated prostate specific antigen and have had colon cancer. There are anomalies in my blood work.

4) The results arrive in a tardy fashion with bad news therein, before anyone contacts me.

This is what the Canadian Cancer Society says:

————————————-

Société canadienne du cancer

La scintigraphie osseuse aide les médecins à diagnostiquer et à évaluer différentes maladies et affections osseuses. On peut y avoir recours pour:

  • trouver un cancer des os ou déterminer si un cancer présent dans une autre région s’est propagé aux os;
  • aider à diagnostiquer la cause ou à déterminer l’emplacement d’une douleur osseuse inexpliquée;
  • aider à diagnostiquer des fractures osseuses qui ne sont pas évidentes à la radiographie;
  • voir jusqu’où le cancer s’est propagé;
  • trouver des lésions osseuses causées par une infection ou d’autres affections osseuses;
  • savoir si le traitement du cancer est efficace ou pour faire un suivi.

————————————————-

Obviously, they are going to have a cancer bias. My gut feeling is that people are not being 100% straightforward with me. My gut feelings are often with substance. The French can beat around the bush so to speak.

Waffle, moi?

Whatever the outcome, knowing what the data says does not change the actual physical plane reality. It does / might affect how things move on from here…

It is out of my hands; I can do nothing…

We shall see…