Maybe I Was an Alpaca?

This morning’s dream points {again} to some kind of Tibetan incarnation, perhaps some lama-dude. I have long held this possibility at arm’s length because I have had no waking memory of such a thing. The dream indicates a time stamp roughly of 1960 when things were bad in Tibet and a number of lamas left. We hear about the ones who made it. We don’t hear about the ones who did not.

They may have been vulture food.

I did once go to a dzong in London and had an “empowerment” by Tulku Akong Rinpoche. A lama who along with Chögyam Trungpa escaped from Tibet during the Chinese excess.

I have often wondered why no waking recall. The only answer I came up with is that life as a monk is so very boring that there is little to remember, no outstanding dramatic events. Tedium, day after day routine.

If the dream points at a very recent incarnation, then that hints at something like a tulku incarnation, where one life follows quickly.

That does not really impinge on the current health problems and search for a nanna-flat. In a sense it is little more than a phenomenological possibility when viewed from life circumstance. I do not see nor feel that there is much / anything left for me to do.

I have hypothesised that there have been many failures, way more than “successes”. We only hear of the latter because it is they who have ongoing wider significance. In a way quiet failure fertilizes the ground for success.

I am at something of an impasse on the health front and cannot currently see any further steps. There is nothing urgent and I can tolerate the pain and lack of sleep. We need to move house before even thinking about any operation. It is not a complicated equation, for now.

I am currently where I am not seeing medical intervention as something positive and healing. It seems like a necessary thing and to be endured even. It does not fill me with hope for an easier existence.

Do I have to? Well maybe it is sensible.

Who knows what if any dreams will follow tonight…

DISH What Next – Prognosis Not Good

As Toyah might say, “It’s a mystery”. If you read a review article from 2023 claiming that something is unclear in journalistic language understatement, it is clear that they do not know why Diffuse Idiopathic Skeletal Hyperostosis occurs nor how come. There are correlated but not proven causative factors.

They could call it “strange bony growth disease we don’t understand” but that would impinge on the sacred deity of jargon.

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idiopathic

adjective

1: arising spontaneously or from an obscure or unknown cause

2: peculiar to the individual

An idiopathic disease is any disease with an unknown cause or mechanism of apparent spontaneous origin.

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Eshed, I.

Imaging Characteristics of Diffuse Idiopathic Skeletal Hyperostosis: More Than Just Spinal Bony Bridges.

Diagnostics 2023, 13, 563.

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https://doi.org/10.3390/diagnostics13030563

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“The body of knowledge regarding imaging characteristics has grown over the last decade. The current Resnick and Niwayama criteria for DISH correspond to an endstage diagnosis of the disease, in which the spine is already ankylosed. A newer set of classification criteria is warranted for diagnosis in an earlier, pre-ankylotic stage of the disease.

The pathogenesis underlying this disease is still unclear, and although it is thought to be a degenerative disease, it has been suggested that similarities to SpA may imply an inflammatory basis. Imaging studies further characterizing the disease may potentially aid in deciphering the currently obscure pathogenesis of DISH.”

SpA is spondylarthritis or ankylosing spondylitis

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I would have to place myself in the advanced stages given what I have read.

The physiotherapist today said that the prognosis for me is not good. The bony growths will probably grow and I will get more and more rigid and unable to bend. Because of the rigid spine I will increasingly be at risk of spinal fracture. The rigid part is long.

The “rigid” part of the lever may snap.

If the DISH spreads to my cervical spine there are risks associated with oral intubation causing cervical spine fracture. It makes general anaesthesia slightly riskier.

Hip replacements are more likely to suffer prompt bony over growth. This means that they would probably last less long before failure.

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“Heterotopic ossification is a common complication following total hip arthroplasty in patients with DISH, occurring in 30% to 56% of cases. In contrast, patients without DISH in the cited studies had a much lower rate of heterotopic ossification, ranging from 10% to 22%.”

Prognosis

The prognosis of DISH varies based on the severity of the condition and the symptoms experienced by the individual. While DISH is a progressive disorder, it typically advances slowly. Most individuals can manage their symptoms with conservative treatments, such as physical therapy, pain management, and maintaining an active lifestyle to preserve range of motion. However, in some cases, DISH can lead to significant complications, including severe spinal stiffness, nerve compression, and difficulties with swallowing or breathing if calcification extends to the cervical or thoracic regions.

Rarely, surgical intervention may be necessary to relieve compression or correct severe deformities. Overall, while DISH can affect quality of life, especially in advanced stages, it is not typically life-threatening. With proper management, many patients are able to maintain a functional level of mobility.

Luo TD, Varacallo MA. Diffuse Idiopathic Skeletal Hyperostosis. [Updated 2025 Jan 10]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-.

Available from: https://www.ncbi.nlm.nih.gov/books/NBK538204/

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There are other knock on effects, bony growths in weird places including aorta and heels.

I may get have to get used to the terms ossification and calcification. A brief inspection of the internet struggles to find much on severe DISH. It seems taboo or just not click worthy. My CT images look top end advanced.

I have not yet had a formal diagnosis. I have learned that this might make me a DISHie and that there are support groups on line. They say that it can take ages, years, to get diagnosed and that most have co-morbidities, one of which is often ankylosing spondylitis.

I might, in due course, become a lab rat and a participant in the on line groups.

My days dancing at the Bolshoi had to end sooner or later…

Riser Recliner Chairs and Mobility Scooters

This morning, we have been looking into “nanna-flats” in the West of the UK. Two simple criteria of proximity to Waitrose and a Café Nero seem possible to satisfy within our tight budget. If we had a quarter of a million spare life would be easier but we don’t. “They” say don’t buy a “retirement” flat because they do not keep value. The idea of a concierge, some assistance and shared gardens is not unattractive. There are plenty of nanna type facilities for people who can prove they are 60+. Purposed retirement flats for the disabled seem a good solution. Accommodation without stairs and disabled friendly seems to future proof. It does not matter what happens to the property after we die.

The simple equation is that any house move needs to happen before I have any kind of operation on hips etc. I can still lift. After operation that will not be possible. This puts a time frame of a couple of years tops.

A brief look suggests that the French health service will fund something like 50% of the cost for a mobility scooter and that is not guaranteed. (Il faut discuter.) The rest may or may not come out of top up insurance.

Top of the range GTI model scooters with a top speed of 8 mph come in at over £5000. Dependent on battery the range can be 30 miles. These would exceed the French mobility scooter speed limit. In the UK you can drive on road, in France it is supposed to be pavement. Most scooters in the UK can handle 20 stone. I have a 33% leeway in weight gain.

Riser recliner chairs, dependent on functionality, are £500 plus. I can’t say I am a fan of the décor of most. Sooner or later, I am going to need one. The recliner bit is already attractive. I will be just like my father.

The cost of living back in blighty is likely to be higher. I reckon that in the Jan-June exam build up season, irrespective of UK location, I could get at least £100 a week tutorial work for A2, AS or Baccalaureate science. Previous experience suggests that pre-exam panic creates demand. I could probably handle doing a maximum of 4-6 tutorials a week. If I did not give a shit and winged it, I could do more. But I like to thoroughly prepare which limits the number which are comfortable.

There are no obvious possibilities for income in France.

The NHS is probably better at funding disability support than the French system.

It is going to be much trickier to sell here and buy there. I doubt we could get a same day completion. This suggests an interim rental period in the UK. When the cash arrives in the bank here, we would be good to go and quickly so.

No obvious showstoppers but choice is limited.

This looks like a possibility which has physical plane reality and feasibility.

Hmnn….

Soul Retrieval – Soul Disconnect

I can make a statement here which will put me at odds with modern “scientific” thinking. It has no material impact on my life because it can no longer impinge on my academic credibility nor university career advancement. There is no way that I can prove this statement. The flip-side is that it cannot be disproved either, it can be designated anecdotal or opinion.

Since the early nineties I can recall instances where I have met “residues” of people who are no longer technically alive and incarnate. They have “visited” me most often nocturnally, sometimes in dreams but more in waking. I have had visitations in quiet places and times during the day. In most cases these individuals have/had some kind of bond with me and in others a strong sense of debt {karma}. They did me wrong.  These instances, whether real or imagined, have coincided with me teaching physics and chemistry at universities or high school privately. Some have been a once only short duration. Some of these have lasted days on and off. Other visits have had a duration of months with irregular and increasingly short visitations, until the visits stop. Some have seemed curiosity driven others by way of penance. Unfortunately, it is not possible to assist “people” to overcome problems which they caused. I cannot help them in their troubles. It is too late.

In some cases, where appropriate, I have done full blown Phowa practice, over several sessions, of visualizing a white Amitabha Buddha field for them and over them. A kind of spiritual WD40.

I had one visit last night. The sense of searching for me by this individual has increased over the last week or so. I do not know for sure if that person is dying, already dead or just having regrets. The feeling is that they are currently still alive in the mundane medical sense.

In some cases, these visitations are soular, of the soul. In others they are more some kind of emotional / physical residue. At the consciousness level of souls there is a group consciousness. If you like, the white light diffracted into a rainbow, re-members that it was once a part of white light. Contact is soular and although wholly abstract the “brain” constructs a facial facsimile of the meaty body in order to “put a name and face” to the instance. After death these are nearly always more youthful than earth time / age would suggest.

I have had shamanic training in so-called soul retrieval and have done a number of such rituals myself. The person on the receiving end always reported a pleasant experience and a feeling of being more “together” afterwards. There was an elastic snap of sorts. They seemed beneficial.

Technically speaking the soul cannot be lost from the form except in extremely rare circumstances.

The soul cannot be retrieved because it is the “real” you. It is never lost, it knows what it seeks to do. A reconnection with the wayward personality/meat vehicle might be achieved and enhanced, ritually, by magic. If the soul is fully disconnected that means death of the physical vehicle. A tenuous link can get stretched and the wayward personality vehicle disobey the soul or inner being. A weakening or very weak linkage might allow the soul to wander far from the vehicle on the soular or buddhic plane / level of consciousness. Space in a Cartesian sense does not have meaning thereupon. Geographic, earth bound distances, are no barrier.

The fact of a wandering soul suggests that its control or infusion of the physical personality vehicle is failing. The in toto being is not listening to its soul, its inner-tuition and is governed by materialistic personality whim and desire. The soul is losing the fight and may cut short the life, to wipe the slate clean and start again. The will, the stubbornness, of the lower carnal vehicle is simply stymieing the soul’s learning journey.

It is dark to prevent the soul from imbuing matter. The materialistically oriented personality vehicle thereby lacks a connection to higher purpose and hungrily consumes as an ersatz. This never satisfies for more than an instant. Dissatisfaction pervades.

Often the soul demands things which are inconvenient for the socio-political consuming materialistic vehicle. The small inner voice of calm is ignored and drowned out. The connection to the con-science, that which understands the higher soul group weakens. Behaviour deteriorates and becomes ever more self-centred. The illusion of ME grows more concrete.

The soul is disconnected. The soul is not lost but the vehicle is. Soul retrieval is a misnomer, a reconnection with personality vehicle is better terminology. The stronger the connection, the more profound the infusion by soul, the clearer sense of purpose the in toto being has.

If you, in honesty, are going through the motions of life, then you are not allowing or following the guidance of your true self. The soul.

Blundering About – Backstory and Context

In the academic year 2014-15 I did some science tutorials in Chemistry and Physics. Most of these were 1:1 AS and A2 tutorials. Given that I had a colectomy for a T3N0M0 tumour on 2nd July 2015 I was going through the two week referral processes together with sigmoidoscopies, biopsy and two colonoscopies during the exam run-in and exam period. The biopsy came back negative but on the basis of imagery they went for the knife.

In order to manage this, I was mega-organised and prepared for each tutorial. I had to cut some work pieces out and be more selective in choice. Hopefully nobody noticed I was ill / stressed and my efforts were of their usual impeccable standard. I had a backstory and a context which no one knew. I did not want to have hand wringing, victim minded, people around me and was perhaps terse with them. I may have been short with others. My main focus was to ensure that the operation happened as fast as possible. I applied some pressure.

In academic year 2015-16 I once again did tutorials. In two family houses the atmosphere was palpably tense. The mother in one said that she was being treated for breast cancer. I said snap, me too. The ice was broken, everyone relaxed. In the other it was kept secret until the chemo made it more obvious. The lad was tense and when he finally spilled the beans, I was able to assist him on other levels than science.

 In some cases, bringing the backstory to the fore makes things a whole lot easier.

Human beings tend to blunder about like bulls on amphetamines in china shops. Even the so-called intelligent can be very blinkered and myopic. The self-diagnosed omniscient have perhaps the greatest lack of sensitivity and situational awareness.

I have for example been having a “discussion” with someone. They have been professing and proclaiming from their soap box, letting fall their precious pearls of wisdom for my benefit. Whilst I have been looking at the bridge of their nose and debating quietly to my self if I should headbutt them to make them shut up. My assessment is/was that they were unaware of how close they were to peril. Enamoured by the sound of their own voice they were blundering about.

People can assume shared context when none exists. Without participating in self-percussion, it is likely that my background context and experience here differs markedly from the locals. There is no way that I can make them aware of the implications of that context. Yet from time to time is does manifest, often to their surprise. I doubt anyone I have met here has been offered a job at the European Space Agency or negotiated at ASML headquarters. That kind of thing changes you a bit.

Context is important it changes how we perceive things markedly.

I now have a working hypothesis. Everyone who is a British expatriate here has a backstory of some kind which differs from the UK white picket fence and 2.2 children norm. How it differs I don’t know. There is a need for resourcefulness in a place where the willingness to speak English is low. People find ways.

There is no easy way to make people aware of some aspects of backstory or context. Contact can be too fleeting to warrant it. But this lack of awareness that such a thing might exist can cause problems. Being self-centred like a medieval pope, people imagine that the world revolves around them, to say otherwise if heresy and heresy has high often flammable stakes.

The problem with blundering about on a mission, lacking sensitivity is that you can make some truly whoppers of faux pas. It can be very difficult to extract from the socio-political embarrassment. Losing face is not an option so the awkwardness must pervade and maybe fade. People find it really hard to admit that they fucked up. This lack of social adroitness is another form of blundering about.

“I don’t have to apologise for the BYOB parties at Downing Street…”

Is an example of someone unwilling to accept responsibility for their actions.

If you have a backstory then it stands to reason others do too. Perhaps we need to be a little more sensitive about context and implications.

On the other hand, you could slash overseas aid to appease a domestic audience and allow hundreds of thousands {foreigners} to die because you have pulled the carpet out from under their feet. They do not matter after all.

People blundering about can have marked long terms impacts on and in the lives of others…

Asking the Right Questions – CT Scans

One of the things raised by the spine surgeon was the need to have comparable CT scans over time. I remembered that I had a benchmark post cancer op CT scan not long after we arrived in France. Incidentally this time a decade ago, 2015, I was collecting “blood in poo” data whilst in Malta prior to kicking off the colon cancer investigation.

I have been unable to get the imagery service to remount the full data {yet}, but like a squirrel storing nuts I have images.

Sometimes thinking differently to others does not go down well. Questioning is not always welcome.

” I told you I was ill”

I have fished the images out. The radiological report was focussed only on the possible recurrence and metastases of cancer. The scan was reported as normal.

Close examination reveals some spinal anomalies in 2020 which suggest “bone” growth has been going on for five years.

One can see a “bony” anomaly to the image left hand side of the thoracic spine. The aorta, round circular grey thing, is not yet displaced significantly to the right in the image. This image is a mirror, right in the image is left in my body frame.

Looking down at the pelvis area we have.

To my untrained eye there is spinal torsion towards the image left, corporeal right. The sacroiliac joints are asymmetric.

The final image looks distinctly unbalanced and odd. It does not sit well with my need for symmetry and although it could be an artefact, it is a pretty big one. This “deformity” if it is one could explain much…

A year prior to this I had a titanium “nail” inserted into my left femoral neck/head to repair a facture.

I had to wait three days to be operated on. Not much was said to me about the whole thing.

In principle then I now have before and after CT scans to demonstrate the growth of whatever it is on my spine…

The radiologist answered all the questions asked of them but did not comment on the spinal column, which seems bit odd to me. But I do not know what common clinical practice is. One could talk about CT images ad infinitum. There needs to be some focus.

Not sure what if anything to do with this…

Ready For the Knacker’s Yard


“A knacker, knackerman or knacker man is a person who removes and clears animal carcasses (dead, dying, injured) from private farms or public highways and renders the collected carcasses into by-products such as fats, tallow (yellow grease), glue, gelatin, bone meal, bone char, sal ammoniac, soap, bleach and animal feed. A knacker’s yard or a knackery is different from a slaughterhouse or abattoir, where animals are slaughtered for human consumption. Since the Middle Ages, the occupation of “knacker man” was frequently considered a disreputable occupation. Knackers were often also commissioned by the courts as public executioners.

Etymology

The oldest recorded use of the word “knacker” dates to 1812, meaning “one who slaughters old or sick horses” and in 1855 “to kill, castrate”, and is believed to be the same word as the earlier knacker/nacker “harness-maker” from the 1570s, surviving in 18th century dialects. The sense extension is perhaps because “knackers” provided farmers with general help in horse matters, including the disposal of dead horses and animals. The word is of uncertain origin, perhaps from the Scandinavian word represented by Old Norse hnakkur, saddle, and related to hnakki, “back of the neck”, possibly relating to neck.”

Excerpted from Wikipedia


The medical merry-go-round continues…

“Prostate-specific antigen (PSA), also known as gamma-seminoprotein or kallikrein-3 (KLK3), P-30 antigen, is a glycoprotein enzyme encoded in humans by the KLK3 gene. PSA is a member of the kallikrein-related peptidase family and is secreted by the epithelial cells of the prostate gland in men and the paraurethral glands in women.

As part of my three monthly MOT or Controle Technique, I had some blood tests yesterday. My Ferritin is elevated as is my PSA. The PSA result is above normal again and on an upward trend. I have had a digital {finger} and MRI scan and my prostate gland is enlarged. Last year there were no observable lesions in the MRI images.

The odds on prostate cancer have changed. It is more likely.

We were told to get back in touch with the piss-takers {urology} if my PSA result had gone up. The wife has been trying to get through. If ever there was a nanna-disease it is water works.

I have measured my blood pressure and at 133/85 it seems to be one of the few things still working. I am due a dental implant end of May and now have toothache to boot. Any infection will prohibit the implant.

I have just been preparing a detailed chronology / image database for a rheumatology private consultation “thanks” to my new printer. I needed to scan some documents. HP Smart is a misnomer. There is no way adding a “smart” “modern” printer to a WiFi network needs to be so fucking difficult.

Bring back serial ports and 9600 dot matrix baud rates…all is forgiven.

The so called “appli” or application which I downloaded onto a “smart” phone as a last resort did not work either…the Windows version failed to accept the correct network key!! To be told over and again that the correct network key is incorrect is not good. I have made a consumer choice never to buy HP again.

I once had a Kodak printer and it was the best. Simple. Easy to use. Effective. Cheap to run.

The number of things currently wrong and going wrong is increasing. Maybe the time to reincarnate as soap or glue is fast approaching….

A Four Cancer Couple – No News Yet

The probability of two people, a couple, being diagnosed and treated for four cancers {two each} by the age of sixty and currently still alive is not high. Especially given one of those cancers is a rare incurable one. So, when I say that we are more experienced with cancer than average, I am not lying nor bragging. It is possible that we might add a fifth cancer to the list soon. There is no news yet on the lung CT scans. As a precaution I have entered the Euromillions draw for tonight.

I do not want a full house or a royal flush.

I can generally stave off conclusion longer than most and am not overly prone to catastrophising. Being in a vacuum is not entirely to my liking. I can wait until a week Friday when we have a scheduled GP appointment. One of my “coping” mechanisms is investigation and learning. I read around the subject as preparation and will go to the length consistent with my academic background in a prior incarnation {this life}. One can add two and two and come up with three, but I have not. I am as ever curious. I have learned a fair bit, enough to worry a doctor.

In the social security office today, the woman asked me if I had a smartphone. I said yes but that I do not use it. I said that I was a little Jurassic. She suggested downloading an “application”, whatever one of those is, to apply for a new social security card. I have found a new Crusade. That is to demand ways of doing things which do not use satanic smartphones or demonic applications. That way I will not be subject to Trumpian tariffs on semiconductors.

I have been thinking about getting a dumb-phone as a protest.

The French administration system even frustrates the French. They could save shit loads of money and significantly reduce the budget deficit by getting doggy-boy Musk to slash and burn. However, the unemployment levels would soar. The national mental heath and blood pressure levels would ameliorate.

I / we are in a bit of a limbo, which is an odd state for spring.

I speculated that this year would be a minus nine, lack of completion, year. The various wars are no where near resolution and will drag on for months despite the show-boating efforts of the orange very stable genius.

Our limbo is a comfortable one. So far there are no cluster bombs falling on Brittany.

There is food and water and heating.

Thanks to the four cancer status our pharmacy is well stocked.

Hmnn…

The Illusion of Communication

Shaw suggested that the primary problem with communication was/is the illusion that it is taking or has taken place.

People rarely bear this in mind. They tend to imagine and assume. They can imagine communication to be good and effective when it is anything but.

There is a big problem in groups. Communication within a group feels like communication has happened but communication outside of the group has not even started. That decided in a group is rarely discussed or conveyed outside the group. Acceptance and agreement is assumed outside the group because consensus has been arrived at in group. It can be a huge surprise that no inclusion outside of group has ever happened. It is a group-mind illusion.

We might call this the crony problem.

As a speculative example. It is possible that health care professionals are discussing my case amongst themselves and maybe one day, someone will have to present it as a fait accompli to me. I will not have been involved in the discussion and therefore very unlikely to trust or accept the fait accompli just because someone said so. If I feel by-passed or ignored then my response is unlikely to be compliant-acceptant. Because discussion has occurred within peer group the illusion of communication is solid and held to be true perceptually. There is in this case a national and language barrier to boot and add icing. Inter group consensus amongst the French is important to them as far as I can see. Foreigners are less important.

I have noted multiple variations on this theme over the years. Where “they” discuss me, maybe conclude and then never even mention it to me or check their understanding of me with me. I am not being paranoid. I have anecdotal evidence in a number of cases.

Last Monday I had a CT scan of my chest and lungs prescribed by a lung specialist. Given my asthma, COPD and past history as a smoker, this is not a routine low risk screening. There are some results in my spirometry which need an explanation.

I am yet to receive the narration of the results from the consultant radiologist.

I have had a week in which to down load the images, start a loan of some medical CT imaging software and investigate the CT data. I have access to fibre broad band and can do AI image searches on CT snapshots. I have used the software to measure the dimensions of the (hopefully) bony growth on my thoracic spine and can see that it impinges upon my right lung. {This explains a slight niggle I have had there for a number of years.} I can read articles in medical journals like “The Lancet” and have a fair understanding of the gist.

I have watched videos of radiological grading of COPD, lung nodules and lung cancer staging. I have investigated diagnosis of the bony growth and it looks as though diffuse idiopathic skeletal hyperostosis (DISH) is the best putative diagnosis. I already know that this growth cannot be reversed. I have identified one lung nodule and think I can see where my ribs, broken in a rugby injury, have healed.

 I have no idea who is meant to follow up, if at all. I am in a vacuum.

Any subsequent conversation is unlikely to be aware or informed by/of the scope of my investigations. I’ll speculate that it will not be assumed to be thorough.

Any initial point of subsequent communication will have assumptions on each side.

I have asked that if there is anything important someone gets in touch. Silence suggests that there is no problem. This assumption could be fundamentally flawed in a clinically significant manner. People are busy and in medicine often pressure prompted. The body on the table in front of you is more important that the one in a computer file and the end of a telephone line.

The whole thing, like so many things here grinds to a halt of inertia. Who knows who is responsible or is in charge of taking this forward?

Loose…means that balls get dropped…and then it is very hard to overcome the inertia once more…

Laisser tomber – BOF….