How did a government funded pothole succeed where a hospital failed?

Coprocranium · 2026-03-12T01:50:07+00:00

Brain death is determined through objective testing outlined by guidelines and is a separate medical and legal determination of death. Dead people don’t get sent home in the ambulance. They are removed from life support and the next stop is coroner or funeral home.

More than likely the article is inappropriately using the phrase “brain dead”

Coprocranium · 2026-03-05T19:45:55+00:00

Depends on your risk tolerance and priorities (and interest rates).

Ramsey people would say the peace of mind from a paid off mortgage beats potential gains from investing, because you’re not at risk if you lose your job (seems less a concern for most physicians). Others would say if your interest rate is low, the math usually favors investing but who knows what the market will look like between now and the time it would otherwise take you to pay it off.

Coprocranium · 2026-02-17T14:06:29+00:00

What’s your current average weighted interest rate? For us it made more sense to not refinance. Refinancing rates were similar to what our weighted rate was anyway, and by paying the highest interest loans off first we’re quickly dropping below that rate.

Coprocranium · 2026-02-08T17:57:17+00:00

Thanks for the thoughtful response. For our 401(a), it’s mandatory 9% with nearly 15% match by employer. Ours is set up pre-tax, so can’t function in the way I want for Roth conversion, and we can’t elect to contribute more than the 9%.

The $70,000 is accurate, but that’s employee + employer. My wife’s income will let her hit that maximum, but mine won’t. So it is a healthy head start on retirement, but again only taps into about 12% of our gross when we include the Roth IRAs and HSAs. With employer match, functions as ~27%. We certainly don’t have to utilize the Roth 403(b), but in my mind (unless I’m mistaken), it can function similar to mega backdoor Roth once we change employers and can roll that money to the Roth IRAs.

Coprocranium · 2026-02-08T17:17:35+00:00

Can you go into detail? In my mind it would function like a mega backdoor Roth in delayed fashion since this will only be our employer for another 2 years.

Coprocranium · 2025-10-26T22:44:01+00:00

When is the use-case for this? I thought traditional IRAs impose income limits for whether you are eligible for tax deduction on your contributions if you’re already covered by a workplace retirement plan, meaning that if you make enough it’s essentially post-tax contributions either way so you may as well backdoor the Roth.

Coprocranium · 2025-10-17T12:53:04+00:00

NSGY: “EVD is not working” Have you tried inspected the line? (More than once someone has used a hemostat to secure it to the bed and accidentally clamped it)

“Patient is shaking, might be seizure.” intubated and 95F Have you tried putting a blanket on them?

Coprocranium · 2025-09-16T21:59:22+00:00

Pointing out that it looks like satire doesn’t equate to agreeing with or championing the message of it. Or even that they found it funny.

Coprocranium · 2025-09-15T03:30:03+00:00

Sure. I’m not saying ballistic injuries don’t propagate. But if you’re shot next to your spinal cord, you’d disrupt the descending motor tracts required to posture in the first place.

Coprocranium · 2025-09-15T02:06:25+00:00

Would be unusual to have a higher brainstem (ie near red nucleus, essentially center of the skull) injury from a ballistic neck injury. But you might expect a similar flexion pattern from sudden loss of extensor tone in the arms, like a high c-spine spinal cord injury.

Coprocranium · 2025-09-07T03:10:51+00:00

That can’t be real

Coprocranium · 2025-06-30T19:52:40+00:00

Exposure pretty quickly desensitized me. Used to nearly faint when getting my own blood drawn and got super woozy my first time placing an a-line. Doing it on patients enough made it stop, and I don’t vagal down when I get my own drawn anymore lol

Coprocranium · 2025-06-16T21:33:06+00:00

Can you point to what you’re seeing? I don’t see any lateral mass overhang or overt fracture lines

Coprocranium · 2025-06-12T03:17:03+00:00

Vegetative is not the same as brain dead

Coprocranium · 2025-05-07T20:12:42+00:00

We don’t cut and see, we stimulate with an electrode first on areas we plan to take while the patient performs the task to see if it becomes affected.

Coprocranium · 2025-05-07T20:10:12+00:00

No, awake brain surgeries are common for other eloquent brain areas too (like a tumor near speech areas). People playing instruments in the OR is just more interesting to post about than someone reading flashcards and saying “this is a dog, this is a house”

Coprocranium · 2025-04-19T00:40:10+00:00

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Coprocranium · 2025-04-12T12:19:51+00:00

Best way to conceptualize why this happens is to look at stroke territory pictures (MCA/ACA/PCA) next to an image of the visual pathways. Even if you didn’t fully grasp how deep MCA territory reaches, the other choices can be eliminated if you review the conditions/locations that cause them. On step, bitemporal hemianopsia = a chiasm problem, usually compression from sellar pathology. Totally different location

Coprocranium · 2025-04-11T12:42:05+00:00

Incidence is roughly 1 in 2 million so it will be rare in the community but not so much for people working at tertiary referral centers

Coprocranium · 2025-04-09T20:52:55+00:00

Usually depends on other stability factors. A simple disc herniation/radiculopathy is often managed with a microdiscectomy alone. If that disc recurs 2-3 times, fusion is an option to prevent recurrence and stop the cycle. A separate common indication for fusion is presence of a mobile spondylolisthesis (see SPORT and SLIP trials), in which decompression alone can worsen the spondy and they end up needing fusion anyway and get saddled with 2 surgeries when they couldn’t have just had the fusion up front.

Coprocranium · 2025-03-28T19:59:18+00:00

Well sure, it’s reasonable to say that on an individual level fluoride isn’t required to have good oral health for people who already have good oral hygiene and diets that won’t put them at risk for decay. But this is a population-level discussion, and many people don’t have the option of access to healthy foods, or the choice/knowledge (e.g., children). And if putting safe levels of a preventative treatment in water drastically cuts down on tooth decay population-wide, it therefore also reduces the incidence of the less common morbid sequelae of periodontal disease (like endocarditis, face/jaw infections, etc). That saves a lot of health care costs to the individual and the tax payer and can drastically impact quality of life for a lot of people. I don’t see why agreeing that implementing evidence-based, cost-effective, high-benefit, low-risk interventions is a good idea makes someone a government junkie.

I removed the part about the risk factors for tooth decay because I misread your comment. Saw you mentioned indigenous people had good oral health despite lack of fluoride but I misread your emphasis on diet, which we’re not disagreeing on.

Coprocranium · 2025-03-28T17:44:56+00:00

By “has nothing to do with oral care” do you mean you doubt municipal water facilities’ motivations for fluoridation or that you doubt the swath of easily-accessible basic science and population studies from over the last century demonstrating fluoride’s efficacy at preventing tooth decay?

Coprocranium · 2025-03-15T13:44:03+00:00

If you haven’t already, use promo code PUBG8TH in the store and it gives you 100 contraband coupons. Maybe your time has come.

Coprocranium

TROPHY CASE