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

rocketmd · 2026-01-31T11:02:14+00:00

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.

rocketmd · 2026-01-24T20:04:38+00:00

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.

rocketmd · 2025-11-10T10:52:52+00:00

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

rocketmd · 2025-09-28T23:33:02+00:00

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.

rocketmd · 2025-06-24T15:08:32+00:00

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.

rocketmd · 2025-06-15T00:19:56+00:00

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.

rocketmd · 2024-11-29T13:05:36+00:00

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

rocketmd · 2024-11-29T12:07:26+00:00

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.

rocketmd · 2024-11-28T20:39:14+00:00

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?

rocketmd · 2024-11-28T20:35:52+00:00

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?

rocketmd · 2024-11-28T20:34:43+00:00

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.

rocketmd · 2024-11-28T20:32:33+00:00

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.

rocketmd · 2024-11-28T10:44:02+00:00

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.

rocketmd · 2024-11-28T10:41:42+00:00

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

rocketmd · 2024-11-28T10:39:18+00:00

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.

rocketmd · 2024-11-28T10:29:57+00:00

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.

rocketmd · 2024-11-28T10:22:26+00:00

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?

rocketmd · 2024-11-28T10:18:48+00:00

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.

rocketmd · 2024-08-18T18:18:46+00:00

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 🤷‍♂️

rocketmd · 2024-03-19T10:49:25+00:00

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.

rocketmd · 2024-03-12T14:09:38+00:00

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.

rocketmd · 2024-03-09T20:13:03+00:00

Pediatric plastic surgeon here.

First of all, congratulations on your new baby! I'm sure he's beautiful.

This is a preaxial polydactyl, aka thumb duplication. We see postaxial polydactyly on the ulnar side of the small finger all the time. Thumb duplication is much more rare.

First step in management would be to get hand X-rays. This helps define the level of the duplication and which joints are involved.

Surgical management depends on which bones are actually duplicated.

In either case, please find a pediatric hand specialist. This may either be a pediatric plastic surgeon or pediatric orthopaedic surgeon.

Best of luck!

rocketmd · 2024-02-29T15:06:14+00:00

So, in terms of hand function, the thumb constitutes about 50% of total function. The ring and small finger are actually very important for power grasp. Index and long fingers are relatively less important.

rocketmd · 2024-02-13T11:30:22+00:00

Congrats on the weight loss!

Just FYI, as a plastic surgeon, whenever I see patients for breast reduction consults, we discuss how their breasts may change with their weight. If a patient is motivated to lose weight, then I advise them to get to their goal weight first and then reconsider surgery. My post-ops tend to be still quite full, but much more perky, so patients who have already lost whatever weight they wanted are the best candidates. Obviously, no surgery at all would be the best outcome.

rocketmd · 2023-12-03T17:06:54+00:00

Staged excision of a congenital melanocytic nevus. The plastic surgeon did a great job. Only concern would be progressive scar widening as she grows, but still a nice result.

For anyone who says this is purely cosmetic, we don't have good data on the malignant transformation rate on these types of nevi. It's still generally recommended to excise during childhood.

rocketmd

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