It’s What I Do

Good thing, too

A scalpel
(Image: canva.com)

A random memory: after having the CAT scan and MRI, we eventually ended up talking to the neurosurgeon, Dr. Elliot Min. He outlined what had happened and his recommended solution: removal of the damaged disc and fusion of C5-6 and C6-7.

In other words, major surgery. On my neck. Where there are lots of important things like nerves and blood vessels and so much more.

We expressed some concerns about all that, and wondered about perhaps just waiting for the swelling to go down instead. He (calmly) reassured us that surgery was the way to go, and not something we wanted to postpone.

“It’s what I do.”

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On Falling

Gravity sucks

humpty dumpty standing on his wall, using a walker
He would have been safer using a walker. (Image: Gemini)

Pride goes before destruction,
And a haughty spirit before a fall.
– Proverbs 16:18

Let’s talk about falls, shall we?

After telling the story of my own fall, it’s been interesting to see the number of people sharing their own stories of gravity being a bitch. It’s happening much more frequently than perhaps we realize.

And I think that’s something worth paying closer attention to.

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Their Limits Are Not Your Limits

Inspiration, perhaps, but limitation? No.

a middle aged gentleman balancing on a circular wobble board
(Image: Gemini)

As I continue to improve, I, of course, look to others for inspiration and examples of improvement in the face of trauma or adversity.

I had an interesting observation relating to the limits reached by others in their progress, and how it does — and does not — apply to my own situation.

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How Can I Help?

The offer, the reality

an individual in an outdoor park setting reaching out toward the viewer offering a hand up
(Image: Gemini)

It’s a common question in situations such as the one I found myself in.

People desperately want to help. The problem is that they can’t know what’s appropriate to offer proactively, so asking what they can do in a generic sense is the only real alternative they have. “Please let me know if there’s anything I can do to help” is a common equivalent.

Now, to be clear, the sentiment is deeply appreciated; truly. I’ve remarked on how just knowing that there are people who would drop everything to render aid or solve a problem at a moment’s notice is incredibly comforting. It really does remove a level of stress, even if that aid is never called into action.

There’s something simple that also renders incredible value, and yet it’s something that, for reasons I can’t quite fathom, seems the most difficult thing to offer at all.

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The Cost of Failure

And the risk of failure

Icarus flying too close to the sun
(Image: Gemini)

This is an update to an essay I originally wrote a few years ago. It’s a mental model I keep returning to over and over again, especially in light of recent events.

We often judge opportunities based on the potential benefit or “upside” as it’s usually called. If we do ‘X’, we get ‘Y’. Typically, the risk we consider is not getting ‘Y’ if we fail to accomplish ‘X’.

I’ve come to rely on an additional layer to judging both opportunity and risk. I call it the “cost of failure”: what’s the cost of not getting ‘Y’?

It’s quick, easy, and now one of my most important evaluation tools.

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Let It Go

Everything is fixable

Let It Go
(Image: canva.com)

When you’re in an emergency 911 situation, it’s pretty clear you’re giving control over your very life and well-being to capable others. The concept of second-guessing a first responder, for example, doesn’t make sense. They do this every day, whereas hopefully this is a brand new one-off experience for you. That you would place yourself in their care makes sense.

But what happens after? When healing and recovery kick in, yet you’re still reliant on others for various forms of assistance and support?

Let. It. Go.

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A Global Event

Word spreads quickly, far and wide

two laughing elderly gentlemen communicating across a room using tin can and string technology
(Image: Gemini)

Not that these recent essays haven’t already been self-indulgent to some degree, but allow me to indulge in a little more: tech geekery and amazement about our ability to communicate with one another in real time at any time, anywhere on the planet.

The size, scope, and characteristics of the communications network that activated when I had my fall fascinates me.

It’s almost a case study in everything from culture to time zones to communications technologies and more. Much like the network of people that reached out, it was much larger than I’d realized.

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The Family You Choose

Yes, you get to choose

People holding hands, close up of the hands. One hand is older, the other younger.
(Image: Gemini)

“Family” is an interesting word, with more baggage than most people realize. Wrapped up in those six letters are things like biology, culture, legalities, love, guilt, obligation, responsibility, and probably many more words with various and significant implications of their own.

One of the words that you don’t hear as much is “choice”. It’s a concept I’ve come to embrace over the years, and especially in the last few weeks.

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The Unsubbenning

Reclaiming time and pace

a computer display with hundreds of unsubscribe buttons on screen
(Image: Gemini)

One approach I use to manage the incoming flood of information is to use a dedicated email account for newsletters and similar subscriptions. That way, I can focus on my “main” emails without distractions, while intentionally sitting back and reading interesting content later.

One benefit is that this email address is easy to ignore. If, say, I’m laid up in a hospital for a week, newsletters will continue to accumulate with no adverse effects. When I return to the account, I can choose what to do next. The typical approach is to declare email bankruptcy, delete the accumulation, and start over as new issues arrive. It worked well.

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Responsible Recovery

Setting an example? Really?

An extreme macro photograph of a finger engaging the lever of an aluminum soda can.
(Image: Gemini)

My primary responsibility right now is to myself, to recover. That means physically (strengthening ambulation, improved balance, manual dexterity, etc), as well as psychologically, mainly via the written word.

In reality, though, the responsibilities go further. Much further.

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To Whom Are You Grateful?

There is much to be grateful for

A macro shot of a ceramic bowl repaired using the Japanese art of kintsugi (golden joinery). The cracks are highlighted in bright gold rather than hidden, and the bowl rests in a pair of cupped human hands. Rationale: This metaphor serves a dual purpose. It acknowledges "The Fall" and the subsequent physical repair (ortho floor), while the gold represents the tangible, valuable interventions of people (surgeons, friends) that make the "broken" object whole again.
I am Kintsugi (Image: Gemini)

When someone practicing a different spiritual or philosophical tradition wishes you well from within their tradition, what’s the correct response?

Acceptance.

It’s something I ended up reflecting on and even changing my approach slightly after hearing well-wishes from several different directions.

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Ya Gotta Laugh

No, ya GOTTA

An individual in a hospital corridor using a walker, walking away from the camera wearing a traditional hospital gown slightly open in the back, but the lower back is covered with a "slow moving vehicle" triangle sign.
(Image: Gemini)

Needless to say, emergencies and emergency surgery, where terms like “paralysis” and “spinal cord injury” are being tossed about, are serious situations. I, in no way, want to minimize that. This is serious shit.

However, looking back at the events of the past two weeks, I note another theme as well, and it’s a theme I believe is partly responsible for my progress.

Humor.

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Meaningful Yet Mediocre Meditation

Chuckling in the MRI

A person in it. The person's legs are visible as the rest of the body is being scanned. Above the MRI is a thought bubble emanating from the person that says "Oh, sh*t!"
(Image: Gemini)

I suck at meditation.

I don’t let that get in the way of doing it poorly, anyway, for the past 17+ years. My take is that the only truly “bad” meditation is the one that didn’t happen. Even then, that’s being unnecessarily judgmental, but there we are.

One of the techniques I use when meditating is to recite a specific “gatha” or short verse to myself. This comes from Thich Nhat Hanh’s book Present Moment Wonderful Moment: 52 Inspirational Cards and a Companion Book.

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Damn Steroids

But not for the reasons you might think

Crying emoticon
(Image: canva.com)

I am not known for being a particularly passionate guy. Emotions exist, of course, but they’re typically kept well inside.

Imagine my surprise when, in the days after my fall and surgery, I was frequently, unexpectedly, weeping. My mind would touch on a topic and all of a sudden … tears.

I have two theories: reality and “the excuse”.

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Forced Downtime

Turning a pain in the neck into something restorative

A stark landscape photo of a frozen, fallow field. High contrast winter light on rough ground. A single withered stalk stands in the foreground.
(Image: Gemini)

The same day I was released from the hospital, Joan Westenberg posted an interesting essay, “The Harvest Will Come,” on downtime and the cyclical nature of creativity.

We accept that the world needs rest periods built into its operating system.

But when it comes to our own sense of meaning and purpose, our work, our lives, we expect constant summer.

The catch, particularly for our own sense of purpose, is that “downtime” is often frowned upon and even considered a form of failure, if not by others, then by ourselves.

Westenberg’s perspective is that of choice and/or the inevitability of going through less-than-creative periods, and of learning to accept them as not only inevitable but also healthy and restorative.

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Uplifting

When plans come together

The Chair
It’s for the dogs, honest.  Click for larger image.

We’ve been in our home for almost 29 years as I write this, and we’ve long known we want to stay here as long as possible. Of course, it’s a two-story home, which our knees and hips have often reminded us of.

A couple of years ago, we had the chair lift pictured above installed. It’s for the dogs, honest. Well, at least initially.

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Happy Thanksgiving!

SO Much to be Grateful For

A skeleton wearing a cervical collar siting at a Thanksgiving meal holding out a thumbs up.
Probably turning the head a little too much. (Image: Gemini)

To be clear, I’m writing this for myself, first and foremost. It’s how I process things, and I have a lot to process.

I’ve been overwhelmed at the number of people who’ve reached out with support (truly … more on that later). I know there are questions, and rather than repeat myself ad nauseam, I figured I’d make this little writing exercise/record public. Ignore it, or read it, or something in between. That you’ve cared enough to read even this far has already made my day. I’ll update it from time to time.

Two versions: TL;DR: WTAF! summary of the events of the last week, followed by OMG! TMI! gory details/trigger warning, etc. No blood, but there is poop.

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Too Many Choices?

A sign of our changing times?

thousands of musical notes in various styles and sizes wafting up from a pair of speakers
(Image: ChatGPT)

I like to listen to music. Reasonably good sound systems have always been a part of my DNA. One of my very first “big” purchases as a teenager was a moderately high-end receiver, turntable, cassette deck, and high-end speakers. I still have those 50+ year old speakers today (current version).

For decades my source(s) for listening to music were limited to the radio, and the music I purchased — first on vinyl, then CDs, and then digital downloads. Naturally, all of that has changed dramatically in recent years.

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Bike MS 2025

Leo Notenboom wearing a BikeMS baseball cap.
Me with a BikeMS hat.

It’s that time again: donning the hat and driving the route for BikeMS!

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