On August 4, 2026, I had a TLIF spinal fusion at L4-L5. TLIF stands for Transforaminal Lumbar Interbody Fusion. In simple terms, the procedure was performed to stabili...

On August 4, 2026, I had a TLIF spinal fusion at L4-L5. TLIF stands for Transforaminal Lumbar Interbody Fusion. In simple terms, the procedure was performed to stabilize the L4-L5 level of my lower spine. The surgery involves placing an interbody cage and bone graft between the vertebrae, along with screws and rods that provide stability while the bones have time to fuse. Reading about spinal fusion is one thing. Going through it yourself is something entirely different. Surgery becomes a very real dividing l...

I wanted to share this graphic because it gives a clear look at what happens during a TLIF at L4-L5. TLIF stands for Transforaminal Lumbar Interbody Fusion. The procedure is designed to stabilize the segment between the L4 and L5 vertebrae while also creating more room for compressed nerves. The first view shows the lower lumbar spine from the side and highlights a degenerative, collapsed L4-L5 disc space. Changes at this level can contribute to instability, nerve compression, back pain, and pain that travels...

I have joked more than once that I outkicked my coverage with Dawne, and this photograph makes the case better than I ever could. We were dressed for a formal evening, standing beneath the warm light of crystal chandeliers, and somehow she still managed to make everything around her look secondary. Dawne has that kind of presence. She can walk into an elegant room without needing the room to announce her. I am standing beside her in a black suit trying to look like I belong there, while she looks completely a...