“The future ain’t what it used to be.”

-Yogi Berra

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Joined 3 years ago
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Cake day: July 29th, 2023

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  • So I can speak to this with a bit of direct but still indirect experience.

    My partner got an osteochondral allograft. Twice. Same knee. They had a big chunk of cartilage missing from a youth sports accident. The procedure is basically that they take a cadaver knee, they slice off a big chunk of new brake pad for you, soak it in your platelets to prevent rejection. Then they come in and cut off the back of the knee, and slap in the new brakepad.

    Having gone through (as a witness, nurse-maid, driver, adjunct pt) the procedure twice in 4 years: your mileage may vary.

    The first time was a bit of a disaster. Major prep and PT before hand. Good doc to do the surgery. Trouble started in recovery. Pain was so extreme couldn’t keep food down. Ended up with massive weight and muscle loss on the affected leg. Thigh and quads went as thin as my bicep. Very long time to recover, maybe 9 months. Leg strength came back (but never fully) Developed a “clicking” in the knee. Dr insisted it would smooth down. Partner insisted on getting back to high intensity physical activity soon, was able to do a hundred mile backpacking trip together. I think they were really trying to believe it worked more than it actually had.

    Fast forward only a few years and it was worse than it had been before the surgery. And had created arthritis in the join above the knee. And also now had back and hip pain.

    So, round two. Another year of pre-PT. Knee got bad to the point they couldnt even bike any more. Same routine. We were very worried going into it. Surgery happened in a day. Previous brake was down to bone. No cartilidge at all. Recovery went 10x more smoothly. Some weight/ muscle loss on that leg. But not NEARLY as much as before. Back and hip issues persist, but as of a hike up in the Waianae range yesterday, no knee issue pain. But now the back and hip issues are bad enough, well. Heal your back now with Norman Popovsky.

    hard to say if it was worth it. I think in five more years we might have injectable treatments









  • So thinking this through, your best bet long term is going to be a multiple cloud back up system. Its probably more than you would want to pay, but they’re already digitized. Its not crazy to just take advantage of what these kinds of systems are good for, which is distributing backups across multiple servers.

    But having local backups is also important. Thinking this through, one cost effective option would be to first back up the CDR to hard drive, for whatever machine you have. Then, burn multiple copies of the data to CDR. Make 10 copies. Send five to family members. Take the other five and shove them in the same place you archive your other stuff. One CD can absolutely rot/ fail. But its unlikely that all of them would fail. If you store them properly, in reasonable house hold temperatures, and you aren’t constantly reading or writing to the disk, they should just kinda sit there and be fine.

    If you have a burner, if you want the least technical cheapest approach, thats what I’d recommend.