Maybe good news
It was just another visit to the spine doc. Walk on toes, walk on heels, don't let me push your arms down, don't let me force your hand open/closed. All pretty standard. I told them about having occasional pain in my neck so they opted for a new MRI.
They see another pinch point and want to do another surgery to relieve it. If it would give me back another 5% of my hands I'd be good with them cutting my fool head off, much less the relatively minor, home in two days procedure they're talking about.
Cover me, I'm going in.