Meningioma Surgery: A Flickr Story

meningioma surgery


Feeling the effects
Originally uploaded by woodcreeper.

A man called David LaPlume from New Jersey was diagnosed with a benign meningioma, a kind of cancer that grows just under the skull, above the brain. In going through the process of surgery for the tumor’s removal, his surgeon at Robert Wood Johnson University Hospital in NJ took photographs before and during the (successful) surgery. Now about two weeks later, LaPlume has posted the photos to Flickr, giving an amazing documentation of his surgery as well as the before-and after, like his girlfriend giving him a mohawk the night before so that he didn’t have a lopsided haircut!

The little dots on my head were used during my pre-operative MRI. Software is used to assign geographical coordinates to the image, enabling the surgeon to pass an infrafed pen over my head, and see the actual location on the MRI screen. This, in turn, allows them to find the precice location of the meningioma (tumor) before cutting into my head.

Link to surgery photoset

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Academics: Hiding in their rooms?

A quick thought; if it’s for so long lauded in the business world, why hasn’t it become common practice in academic circles? It improves employee interaction and discussion, it frees people from the ‘confines’ of a restrictive and tedious office and it reduces costs of building and maintenance. Open Plan.

Having an open-plan office obviously means there are going to be some sacrifices and changes in approach for the users of the space. There’s no all-engulfing classical music, no slumming around in gym clothes after a quick raquet-ball match, because everyone can see you which also means no secret smoking in rooms and far fewer opportunities to lock the door and pretend you’re not there just to get a moments respite from the hoards of grad-students who come a-knocking.

mobile shelvesA new style of office would very obviously mean more interaction between staff who, as they’re working in the same fields, could bounce ideas off one another by just popping around the partition-wall. That partition wall would of course not be layered with sound-absorbing materials because they’d be put to good use. One of the major stumbling blocks this idea would run into is the idea of where all the books would go. Every academic worth their salt has a massive collection of books that sprawls and fills walls of bookshelf space so whatever plan was created would need to provide lots of bookshelf space for each user. An open plan shift may even mean a greater square-footage per person because the bookshelves can’t simply be slotted in any which way, but surely this would be to the long term benefit of staff and the institution because of efficiency and educational gains.

Many libraries are now using a system of sliding bookshelves that have a large handle on one end that moves shelves sideways, a system often known as High Density Compact Mobile Shelving. By having two units, one stationary and one mobile, for each user, a university could provide three shelves per person; one facing the user, and two between the sandwich of shelves, leaving the outward facing wall blank or the basis of a neighbour’s bookshelf. With an open-plan system there is less drilling between walls to put in cabling, lighting costs are lowered because you’re dealing with one large area rather than many distinct rooms demanding separate systems. Security would be improved because cameras and alarms could cover the whole floor instead of just corridors and general public spaces.

One major change encountered would be a change in teaching style; there would be less opportunity for seminars or tutorials in the Lecturer or Professor’s room because the noise generated would simply be too great. One would have to have separate rooms, perhaps still visually open through glass panels, that would be used for teaching. One-on-one consultations would obviously still be possible but with a decrease in dead space from each office, there would have to be a number of more causual seating areas dotted around the office for these kind of organised discussions.

Academics may hate it, but so what?

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Transport Bill GOOD for Washington State?!

A $286 billion transportation bill was passed by the House and the Senate on Thursday, a bill designed for projects running through to 2009. The bill directs money to a variety of sources across the country including road building, rebuilding, new transportation projects, boats such as Ferries, and so forth. The $286 billion bill was hailed by lauded by Seattle Mayor Greg Nickels for the money it would give to the Seattle area. One of the major projects under consideration is a replacement of a vast elevated highway that runs in front of the Seattle waterline, rather marring the coastline; the Alaskan Way Viaduct Damaged in the 2001 ‘Nisqually’ earthquake, the viaduct which was designed for 65,000 vehicles per day but carries around 110,000 needs to be replaced and there are various options under consideration which involve rebuilding it, rebuilding it bigger, or building a tunnel instead. Google Maps Satellite Image

Mayor Nickels, in a statement, said approval would be “a huge victory.” But even Nickels, a relentless project booster, concedes the difficulty ahead.

Now I don’t think it’s bad that the bill has passed, but let’s look at the numbers. It’s $286 billion which if divided by 50 states equally would equal $5.72 billion each. But states don’t have equal needs or populations. No. If we divide the US Government’s Census estimate for the nation’s population of 291 million in 2003 by 50 states we get 5.8 million people per state. But Washinton State has more than that, it contains an estimated 6.1 million people, so you’d expect to get higher than the average overall spending from the transport plan, just as in everything else. But no, it’s $4 billion against $5.72. I’m sure the Washington State taxpayers could find a use for the extra $1.7 billion of their money, like a long-delayed monorail perhaps.

Take a state like Wyoming, the arid, under-populated home of our glowering vice president Dick Cheney. Wyoming receives the second-highest amount of federal aid in the nation per capita (Alaska, another red state, is number one), and it ranks second lowest in federal taxes paid (behind only South Dakota). Overall, the federal government spent about $2,413 per capita in Wyoming for the fiscal year 2002 (the last year for which data is available), compared with almost exactly half that amount, or $1,205 per capita, for Washington State.

From Urban Archipelago.com

So my question is this: why is it that politicians put a face to the public which implies that Washington State voters have done well, when in fact they’re being screwed out of more than $1.5 billion dollars of their tax dollars that are now going somwhere else. How can politicians carry on with a straight face, pretending that we’ve done well when in fact every other state ought to be laughing at us behind our backs. We’re too scared and timid and thankful to claim what the state deserves, thereby degrading the quality of live of our citizens by lumping them with poor quality public and private transportation options.

Seattle Post-Intelligencer: Highway bill passed, has $220 million for Seattle viaduct

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