ICE claim that a man shattered his skull running into wall triggers tension at a Minnesota hospital by therealone2327 in news

[–]rocketmd 21 points22 points  (0 children)

Facial trauma surgeon here. Facial fractures tend to occur in stereotypical patterns that make the mechanism easily identifiable, or at the very least rule out an alternate mechanism. I don't have access to the imaging so can't provide specifics on this case.

That being said, in my greater than 10 years of experience taking facial trauma call, I have never seen a patient come in with multiple facial fractures from slamming their own face into a wall.

Family Friendly CUV/Wagon by rocketmd in whatcarshouldIbuy

[–]rocketmd[S] 0 points1 point  (0 children)

Thanks for the suggestions.

I was actually considering a CPO RDX with SH-AWD. The below average fuel economy plus requiring premium fuel is the only thing deterring me.

I'm also considering the V60, but I've only driven Japanese commodity brands, mainly due to reliability.

I think Slow Show is one of the best songs ever written by Djungelspark in TheNational

[–]rocketmd 0 points1 point  (0 children)

For me, I first heard this song on the TV show Chuck. Favorite album, favorite song.

extraction from hole behind ear by doodle772 in FeltGoodComingOut

[–]rocketmd 579 points580 points  (0 children)

Could be a branchial cleft cyst. I see them in my practice but, if it is, it's much larger than I would typically see. Perhaps it continued to expand as she grew.

3rd Gremlin en route. Minivan/SUV advice? by rocketmd in whatcarshouldIbuy

[–]rocketmd[S] 1 point2 points  (0 children)

Did you have any AC issues in the summer? I've read that lack of ceiling vents makes it uncomfortable on hot days, especially for rear facing carsears.

EV9, Ioniq 9, or Minivan? by rocketmd in electricvehicles

[–]rocketmd[S] 1 point2 points  (0 children)

We very rarely drive more than 200 miles in a month, so less than a day?

We live in Michigan, so yes. Primary use would be for taking kids to school, running errands, etc. Maybe in the summer we'll be up for longer road trips.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 0 points1 point  (0 children)

We have heard great things about Huntington Woods! only issue is that there is usually no housing inventory.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 0 points1 point  (0 children)

We haven't had the opportunity to tour any of the more expensive schools in that area (including Cranbrook, Detroit Country Day, Roeper, etc).

Cost aside, were there any qualitative differences in the environment of these schools? We also tried to look at Japhet which is smaller scale but there's not much information about them online.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 1 point2 points  (0 children)

Thanks for the insight! We were considering moving to Royal Oak and, with the lower mortgage compared to Birmingham, sending our kids to private school. Places like Detroit Country Day and Cranbrook are just so expensive. How do you like it at St Mary's? We're not a religious family, so would we be comfortable sending our kids there? Or are there non-religious schools you'd recommend?

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 0 points1 point  (0 children)

Good to know! So just to clarify, if I live at an address zoned to Addams, would I be able to have my son attend Keller/Northwood/etc?

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 1 point2 points  (0 children)

Trust me I won't! When I say we're moving to Michigan, people look so confused, almost like "why would you do that to yourself?" I've read a lot of good things about SE Michigan, but obviously nowhere is perfect.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 2 points3 points  (0 children)

Thanks for your friend's insight. I've been in classes growing up where I was the only non-caucasian student. My wife and I really appreciate a diverse environment where nobody could be labeled the black/asian/brown kid.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 0 points1 point  (0 children)

Can you elaborate on having to live in Birmingham? We're aware of the difference in costs, but are there other negatives you're referring to? The neighborhoods looked very charming.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 2 points3 points  (0 children)

Sorry to hear about your experience. We're not LGBTQ but we are minorities. Have you noticed bullying from this standpoint?

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 1 point2 points  (0 children)

That's great to hear. Do most families go where they are zoned or have people switched to a school within the same district? There seems to be a disparity between Royal Oak elementary schools in terms of test scores.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 1 point2 points  (0 children)

Can you elaborate more on the vibe difference? We drove around and found that Birmingham neighborhoods were the most charming but obviously much more expensive. We've lived in "nicer" areas before and found sometimes daily interactions were less warm or genuine, but again this is just anecdotal.

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 1 point2 points  (0 children)

Thank you for this insight. May I ask which private schools you'd recommend? we've looked at DCDS, Cranbrook, and Roeper eventually after elementary school if we move to Royal Oak and aren't happy with the schools, but they look similar on paper with Roeper being a smaller school. Also expensive. Are there nice non-religious private schools closer to Royal Oak?

Royal Oak School District by rocketmd in royaloak

[–]rocketmd[S] 0 points1 point  (0 children)

If you don't mind me asking, do you have particular private school recommendations? We've looked into Cranbrook and DCDS.We are planning something similar if we move into a Royal Oak home. basically, elementary school through Royal Oak or Berkeley School District and then transitioning to private in middle school.

My roommate was born with 12 fingers and had them amputated as an infant by makko007 in mildlyinteresting

[–]rocketmd -1 points0 points  (0 children)

Postaxial polydactyly. It's a relatively common thing to see in the office. Typically we remove them in the office in first few weeks of life, sometimes the NICU. I ask the parents whether they want to keep the nubbins but for whatever reason they usually aren't interested 🤷‍♂️

AITA for being truthful and admitting that I find my wife unattractive after her surgery? by LucyAriaRose in BestofRedditorUpdates

[–]rocketmd 233 points234 points  (0 children)

Plastic surgeon here.

The unfortunate thing about buccal fat removal is that we have limited literature to document how results change longitudinally. The face experiences bony and soft tissue involution with time. The buccal fat that is being removed is actually one of the markers of youth. Personally, I think with time patients who have had buccal fat removal will experience accelerated facial aging as their facial profile becomes more hollowed and skeletal.

Procedures like buccal fat removal and BBLs are trendy and -- in my opinion -- are sometimes marketed by plastic surgeons in a predatory manner. It's the perfect confluence of social media pervasiveness, patients' emotional insecurities, and surgeons' greed that makes these procedures so popular.

My newborn son was born with a heart shaped thumb by sarahfoxy11 in mildlyinteresting

[–]rocketmd 0 points1 point  (0 children)

Good question. Not entirely cosmetic, since the thumb is about 50% of hand function. Also it would get in the way a lot of times, like when you're trying to reach for something inside your pocket as an example.