We had consultations with radiation and neurology today and decided to
place an Ommaya port so that future spinal taps and diagnostic draws can be done without going through spinal taps.

Benefits of the Ommaya include:
   Avoiding regular sedation required by spinal taps
   Avoiding risk of leaky spinal taps (remember subdural complications last year)
   For the short term, allowing tests even when not administering intrathecal chemo
   Making diagnostics more accurate (no blood-contamination from traumatic taps)
   Enabling long-term surveillance (regular clinic visits)
   I'm tired right now ...don't remember the other reasons :)

The neurosurgeon talked about the difference between scalp and lumbar ommaya placement. The oncologists seem to prefer lumbar ommayas and the neurosurgeon says he will be putting the port under Jaymun's arm.

If Jaymun is doing better tomorrow we may go home until Thursday (when they plan to place the Ommaya). However, I am worried that his head seems to hurt a bit already, and I wonder if we have already received all the benefit we will from the chemo dose on Sunday and that we will lose progress by waiting until Thursday. We decided to review his clinical condition (observe him) tomorrow morning, and use that to help us decide.