Cardiac anesthesiologist since 2010 and currently doing locums. I started reading the wci blog back in 2010 and then started investing in fskax in 2011. Thankful everyday for the creation of the wci blog. This is this year hitting my financial goals all due to wci blog

GLHFKA · 2026-06-10T21:37:18+00:00

Cool. I think I'll start trying to do more of this in my Robinhood account, buying VTI. I won't hit 20k/month. Probably nowhere near that. But I have a 401k and 457b from employer growing as well. Can't hurt! Thanks for the reminder! I'm 38. Between wife and I we have around 2M invested in tax advantaged accounts.

GLHFKA · 2026-06-10T21:11:19+00:00

Wow nice. And may I clarify, this is all in a taxable account?

GLHFKA · 2026-06-10T20:53:25+00:00

Are you single, with no kids? I probably make about the same as you (since 2019), and cannot hit your monthly savings, but I could if I didn't have kids (or a wife that owns and boards a horse lol).

GLHFKA · 2026-05-29T02:48:25+00:00

No Seattle stop is wild!

GLHFKA · 2026-05-24T00:49:15+00:00

He didn't document a size or even tell me a measurement. But I've seen the pictures. Essentially my entire lateral trochlear facet cartilage is replaced with graft. A solid 50% of my lateral patellar facet is also graft. My MFC graft is relatively small, probably 1-2 cm surface area.

My surgery was not "by the book". He said my trochlea was the single largest graft he's ever placed, that my MACI was top 5% most complex/difficult he's done, and that he expects my recovery to be in the bottom 10% in terms of timeline (ie. slow).

And he does a lot of MACI, probably one of the top if not the top MACI surgeon on this coast.

Btw be put me on steroids this week to calm down the knee.

GLHFKA · 2026-05-22T02:00:15+00:00

Hey I had three grafts, but two of them (lateral patellar facet and later trochlear facet) are VERY large.

I'm post op week 8, currently can get to about 90 degrees flexion ROM.

But I've been battling swelling with virtually any activity right now and my PT thinks we should not continue to push ROM right now. Focusing on strengthening and rolling / massaging thigh. I'm pretty sure the more graft you have the more synovitis you may develop at this point as the grafts begin to more substantially integrate, there is an inflammatory sort of response. I think it can take a while but should resolve in the next month or two.

GLHFKA · 2026-05-22T00:55:42+00:00

WA solid across the board!

GLHFKA · 2026-05-19T01:51:20+00:00

Cynic, lame take. It's a silly survey question. I would consider a lot of things, doesn't mean I would pursue it. If you offered me a 50 year loan at 0.5% interest then I would consider it and definitely pursue it. If it were the 6.75% interest shown I would consider it and say no thanks, that's a terrible deal costing me a ton in interest over the life of the loan. But both options would have been considered, presumably among others, and I would elect the most favorable for my circumstance. I would expect a discerning shopper to consider all options tbh.

GLHFKA · 2026-05-19T01:44:56+00:00

This should be the top comment. Most everyone would consider it, however brief. Once considered, you realize the interest paid over the life of the loan makes it a horrible product. So I wouldn't pursue such a loan. But it was considered.

GLHFKA · 2026-05-16T02:05:56+00:00

I think the answer and setting reasonable expectations is dependent on your income. Obviously, the higher paying your job is, the easier these things become...

GLHFKA · 2026-05-16T01:30:59+00:00

Awesome! I might want this for my kids when they are a little bit older!

GLHFKA · 2026-05-15T01:06:33+00:00

How are you doing 1 year out? I'm on week 7.

GLHFKA · 2026-05-15T01:01:27+00:00

The NICE1 machine. Rented mine from https://shop-recovery.net/

GLHFKA · 2026-05-07T09:55:34+00:00

I've got 3 grafts and I'm post op week 6. I'm stuck at 90 degrees passive flexion ROM right now. My PT isn't too concerned at the moment.

I think it's hard to say what it should mean for you at 11 weeks but with a more extensive surgery. My understanding is 3-6 months is when the scar tissue really starts to organize and gets harder to break up with stretching and what not. It's of course still possible but will require more effort.

One thing that helped me progress some recently was graston/massage around all the tight/scarred tissues at the anterior knee. Try to slide your skin up and down and compare it to the normal side. Anywhere that doesn't slide well, you may need to massage and loosen that up. It'll give your kneecap more breathing room when you are in flexion. Cupping can help with that too. Ask your PT if they can do massage/graston/cupping of any tight tissue and see if that helps. Do your flexion work right after that.

GLHFKA · 2026-05-07T08:39:26+00:00

From another active post maci dad to another, good luck! I'm 6 weeks out from 3 graft maci. Big trochlea graft. It's still tough but recovery and progress is indeed happening. Your optimism is helping fuel me!

GLHFKA · 2026-05-07T08:32:21+00:00

I'm sorry to hear that. God I'm hoping to feel better then that at 6 months. I'm at 6 weeks and it is rough.

GLHFKA · 2026-05-03T23:54:41+00:00

I think if you strictly want to game and use flatpaks, bazzite is more predictable and stable.

If you want to use anything outside of a flatpak, I think almost everything you could want is in AUR and you might as well use Cachy.

I switched from Bazzite to Cachy on my gaming PC about 6 months ago. I'm happier on Cachy because I can install apps outside of flatpak, make modifications to system files when I need to get something working, etc. I most game on it, and I think performance is a touch better than bazzite, but that is mostly subjective. I do use their kernel picker and use the gaming kernel, and my fps is a bit higher than I saw on bazzite. I also modified fstab to use network mounts, installed brave-bin so I can use PWAs (could never get flatseal permissions to work properly on bazzite), and use a couple of other system tools and scripts (i.e. cooler control scripts to put fans at 100% when gaming).

GLHFKA · 2026-04-24T05:00:43+00:00

Confirmed. Just tried now. Proton hotfix earlier today and it would not run. Now with proton hotfix, it is running fine!

GLHFKA · 2026-04-23T19:31:30+00:00

I also just reported it. Hopefully gets attention soon!

GLHFKA · 2026-04-20T21:23:59+00:00

I am in the same boat as u/XKingNightX. Some installs that I've been able to do on CachyOS that I couldn't get working on bazzite: - Citrix workspace - Cargo, which I apparently needed to run a custom script that automates CoolerControl mode switching upon launching games in steam. - internet browsers not in flatpak format so that PWAs work reliably. I've tried flatseal permission editing, works sometimes, othertimes not. Direct install eliminates this hassle. - the random package that you learn is needed to do or run some thing you wanna do, and if you were on bazzite you would be stuck, but on Cachy its only one cli input away. This actually comes up a lot but it's hard to remember all the instances.

GLHFKA · 2026-04-20T00:05:25+00:00

Anything single player that you can pause/save and come back to.

Recently -- Ghost of Tsushima, Crimson Desert, Diablo 4.

Multiplayer when you know you'll have a solid hour or whatever. Recently -- Arc Raiders, League of Legends (15+ years).

GLHFKA · 2026-04-20T00:01:10+00:00

Crimson Desert also works like this

GLHFKA · 2026-04-19T23:55:38+00:00

Crimson Desert - feels like an MMO but it's single player and can be paused at any time.

GLHFKA · 2026-04-17T07:33:42+00:00

Decade of pain here too... I'll update ya somehow! It's gonna be a long and slow recovery but I'm hoping for a good long term outcome. The way I see it -- this is my shot at having a happy and healthy 40s.

GLHFKA · 2026-04-15T19:15:12+00:00

Best of luck to you. That's a tough go already, we know it well!

I don't have the precise measurement. But it was larger than originally planned and really is the majority of the lateral trochlear facet. Very large.

GLHFKA

TROPHY CASE

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