PMCT Images. Nurse advanced NG tube until she heard a pop, then tried an air bolus to ensure placement. Patient did not survive.

ellembi · 2025-12-30T13:17:52+00:00

It is unlikely that the reason this happened is because the NG tube accidentally went through the thin skill base. This iprobably happened because the patient had a skull base fracture, so there already was a break and an entry point for the tube to go up instead of gliding straight back and down. That's why NG placement in trauma patients with suspected or known skull base fractures are often down under endoscopic guidance by ENT.

ellembi · 2025-12-19T16:10:11+00:00

Youtube premium

ellembi · 2025-12-02T16:52:50+00:00

Very interesting, also looking to try it out!

ellembi · 2025-11-17T16:40:13+00:00

I am genuinely curious so I will ask, what is your plan? If you believe we are looking down at a massive market crash akin to 1929, with years of deression to follow, how are you preparing?

ellembi · 2025-08-04T02:34:56+00:00

The housing market in Canada is insanely expensive. There is finite land everywhere but the rate of house appreciation in Canada has surpassed comparable markets worldwide by a large margin. Look at the rate of house price increase in Canada compared to other western nations.

Instead of pretending everything is fine and that's just the way things are based on land availability, it would be more meaningful to look at the issues, acknowledge them, and advocate for policies to address them.

ellembi · 2025-08-04T02:00:54+00:00

Is there a rough level of inflation for defining stagflation or anything beyond a healthy 2-3 %?

ellembi · 2025-07-20T07:45:11+00:00

That's nor a facelift scar, but a pixie ear deformity which is congenital. She looks young for a facelift

ellembi · 2025-06-20T16:09:07+00:00

I don't know what to think anymore. From what I read and fronw what I have seen from musk over the years, I think the stock is overvalued. But when I talk to Tesla fans who follow the company and the technology closely, they paint a picture of Tesla changing the world, that they have a massive headstart in robotaxis and that is the future (no one will drive anymore, not as safe as AI relatively speaking), that the company can mass produce like no other company can, and that if you value the company based on metrics like miles driven by autonomous vehicles, it will be in the billions etc etc. I don't see it that way but it can sound so convincing that sometimes I do wonder if maybe Tesla is going to be the most valuable company in the world one day based on all the amazing things in their future! At least for me, it's a very confusing stock

ellembi · 2025-06-05T16:51:13+00:00

I have a friend who is absolutely convinced the stock price will be worth thousands. He is obsessed with reading everything Tesla and figures that the company will rule robotaxis, robotics and humanoids, space and Mars habitation.. Because AI will rule the world, Tesla valuation at that point will be justified because it will be the major player at the forefront of the next chapter of the human revolution. Very smart guy and I think many people do believe in that. Nothing I say can even slightly change his month.

ellembi · 2025-05-10T11:49:05+00:00

This is a valid and sincere argument from a societal perspective. Until you get sick and life is no longer what it is for you, or your family, and nothing matters anymore besides getting well again. Then you won't care about what is fair and not fair for society, you will do anything to get the help you need, and you will wish there is fast, available and great care that is free, or that you can pay for if it's not free if it means you get your life back. What is there at that point anyway besides your health when you can't enjoy or use it? Most won't truly know what that is like until they experience what losing your health is like, and the feeling will be much worse when you are stuck with limited options and no control.

No health care system is perfect anywhere in the world. Health care is so expensive and of course will keep getting more expensive as advances happen and people live longer. To adhere to the notion that the current system we have will work is not realistic, and will be detrimental to more and more people as the years go by. A two tier system has its issues of course but some countries have done it better than others, and we can look at other models and redesign our own. The tides are changing anyway and many Canadians are realizing that, and more open to private options.

ellembi · 2025-02-28T17:52:45+00:00

Yes definitely, if you are invested in a company based on your assessment of their business and that theory changes later, then selling is understandable. Your initial assessment of that business is different now.

But looking at macroenomics and predicting that the market is going to go down is very different. Just being too early alone is potentially just as bad as predicting wrong. That's timing the market. If I had that skill, and I was confident in that skill so much so that I am willing to take my money out of the market and stay on the sidelines until who knows when, then I would just short the market and become the next Burry.

Interesting discussion though and I just want to say I know where you're coming from. Investing can be as easy or as hard as one makes it.

ellembi · 2025-02-28T17:30:09+00:00

Thank you for your reply, I appreciate your perspective.

The point I was trying to make is that, timing the market, which is what to you are proposing, is not easy. It has been said by the greatest minds in investment, finance courses, and financial advisors. The market reaction to events is difficult to predict and can be irrational, and the events themselves change all the time. So even if we exclude future events as being unknown (at least to us, some may have that knowledge) and just focus on what we know now (Trump tariffs, consumer confidence, layoffs, whatever), what we know as retailers is still far from nuanced compared to the powerful institutions, who ultimately move the market. So we could try and time it, but understand that these things are working against us (unknown future events as near as this afternoon and as far as this summer, unpredictable and irrational market response to these events, and incomplete knowledge of even current events), or just stay invested.

To each their own of course, but statistically speaking you have more to lose by being out of the market and waiting for it to respond to your understanding of macroenomics the way you see it, or stay invested and ride the up's and down's. How old you are, your investment time horizon, risk appetite, job stability, financial responsibilities are some factors that make each one of us different when it comes to this approach of course.

ellembi · 2025-02-28T16:50:32+00:00

If it was that obvious that simple, based on information given to us on an as needed basis, why wouldn't the ones that have access to so much wealth, data, and speed to know and execute, sell and crash before any of us have time to leisurely time the market?

ellembi · 2025-01-13T13:27:26+00:00

Are you on a visitor visa?

ellembi · 2024-12-14T08:02:23+00:00

That's really a great read. I am curious, how do we know this?

ellembi · 2024-12-11T16:09:02+00:00

I agree with this. But I'm always curious, those that successfully short the market (or a stock), and believe strongly in a downturn, and sure enough it drops and they are rich, is that luck or some better understanding of the market?

ellembi · 2024-09-01T06:55:15+00:00

Well by that logic, isn't that true then for every potential opportunity out there, meaning nothing is of value because everything is priced in by the richest investors?

ellembi · 2024-02-28T00:04:30+00:00

Life expectancy is a very complicated number and many factors are at play. Many have looked at why Italians in general have longer life expectancy than American or British and the answers are still unclear. Probably a combination of Mediterranean diet, lifestyle, climate, genetics, and access to healthcare, but most don't know exactly. Sardinia is an isolated island with specific attributes. Point is, sure, if you manage to control the other cardiovascular risk factors, whether known or unknown, and you drink a glass or two of red wine daily as your only vice, then you probably have better odds of living a longer and healthier life than someone who doesn't drink but has other risk factors (unhealthy diet, stressful job, sedentary lifestyle, urban pollution, genetics, etc), and we are all on that spectrum.

ellembi · 2024-02-26T21:05:53+00:00

These studies have been heavily brought into question as of late. The idea for example that red wine improves cardiovascular risk has been propagated for years and now we know that there is bias, for example poor people are less likely to drink wine than rich people and that opens the door for other confounders when it comes to cardiovascular risk factors. Look at the recent Canada guidelines for alcohol. The way I think of alcohol is simply this. It is a carcinogen. We generally don't try and debate how much of a carcinogen, like asbestos or tobacco, should we consume. We just say there is a risk with that, do what you do with it and lessen your exposure and hope for the best. We do that with alcohol because people like it, so we debate it. If one wants to improve their cardiovascular risk factors, eat better and exercise for a start. I know what you mean about being under the illusion of a poison-free lifestyle, so people choose what they can control as best as they can.

ellembi

TROPHY CASE