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John's Surgery Update and Bagheria Mini Photo Essay

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  Street art of Sicilian artists Ignazio Buttitta, poet, and Renato Guttoso, painter, both from Bagheria. I have been spending a lot of time in Bagheria this month, as John is currently at Istituto Rizzoli in Bagheria . They specialize in orthopedics and are a branch of the Institute of the same name in Bologna. Before getting into the update, I want to emphasize what fantastic care he is receiving there. All of the medical staff have been top notch, and the facility is great. As background / reminder, John's hip prosthetic had developed an infection called a biofilm which requires hip revision surgery. This involves two surgeries. The first is removal of the old prosthetic, cleaning of infection, taking a sample of the infection to determine the specific bacteria involved, and insertion of a temporary spacer that is embedded with antibiotics. Post-surgery involves taking general, then targeted (after lab results), antibiotics until the infection is confidently cleared, as well as ...

Costa Smeralda Summer 2026 and Vanchella Family News

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  I made a decision to book a last-minute cruise in June after I realized that we won't have the opportunity to travel together again as a family (Team Sierra!) for quite some time. There is a good reason and a bad reason for this. On the good side, Emily, having completed her very long training program, is beginning her career with Costa Cruises. On the bad side, John is facing some big medical procedures soon. More on both later.  Since I was booking about two weeks out, and I did not want to deal with flights and hotels, I had just a few choices. There were two MSC cruises, one from Messina and one from Palermo. I do need to cruise with MSC again soon, because I have (finally!) reached Diamond level, and the status goes away after a certain period if one doesn't cruise again. There was also a Costa cruise out of Palermo. After considering the prices, room options, and itineraries, we decided to go with the Costa Smeralda cruise out of Palermo. This was our itinerary.  ...