/shrug. It’s all fiction. Don’t lose any sleep over a specific character’s lore.

Well yeah, it’s right there in the name!

Huh. Her only charity that I was aware of was the kids books, which, while super cool, amounts to crumbs from someone with that much wealth. I had her filed with other ‘philanthropists’ whose contributions add up to a small fraction of what they should be paying anyway via taxes, but our laws are shit, so they don’t.

Doing charity and not making a scene about it though, huge respect! I wonder what else she was involved in.

I’m thinking my initial reaction was way too crass - apologies for acting shitty.

This is something straight out of a parody movie, and even then, it would sound absurd.

You could slap that same comment on nearly any article about Trump since his entry into politics. We live in a fucking circus.

Yay! …now do Trump.

This is the way.

From what I’ve seen in the US, it varies a lot from one facility to another. For surgery, most of what I’ve seen the consents address the expected operation “and all other indicated procedures” that give the surgeon the discretion to add something on intraoperatively if it’s justified. That said, the facility I’m at now decidedly does NOT do that. They can add an operation on if it’s an emergency, but something like a fibular nail would require specific consent. …which they should have ahead of time, cuz imaging would make the need for one pretty obvious, but dumb shit happens and things get missed… So fast forward to the operation, patient is under, skin is cut, and circulator points out “uh, hey we only have consent for tibia…” If they have a family member available who can make decisions on the patient’s behalf, that person could give consent, but if not they’d probably just skip it and schedule it as a later surgery.

…shit can get goofy.

I got in on a total ankle replacement once!

I recall the rep referring to the sizers as “lollipop butts” …and not much else, lol.

That’s actually weirdly comforting. I always thought it was a comment on how quick humans are to just dispose of our companions once they start needing care.

And on that note, excellent work for NOT doing that and taking care of your hooved friend! ^_^

The issue is the people who do just good enough on the exams to squeak by with the minimum. Exams also don’t do a great job of testing critical thinking, which is what AI use really destroys.

It’s like the old “book smart but no common sense” situation, but in this case even the book smart side is taking a hit because students will just study AI excrement without verifying that it’s accurate. And the common sense side isn’t just undeveloped, it’s actively attacked.

AI is making people stupid.

Just spitballing. Consent issue maybe? Like it only covered tibia, and the staff didn’t notice until the patient was under / couldn’t get a hold of family to have it added?

How quickly can it absorb?

Isn’t linkedin just bots talking about their corporations? There aren’t actual humans there, right?

Innocent angel

Still a criminal mastermind, just cute.

Yeah I wasn’t thinking ankle at all. And even here and now, I’m trying to rotate my own leg while keeping the ankle rigid, and… yea it doesn’t go very far. Never really appreciated just how large a role the ankle plays there.

Is that like non-functional doomed, or like we can’t use them for sport any more so we opt to kill them doomed? I’ve heard the spiel about horses breaking a leg before, but I’m not actually sure what it’s supposed to imply.

we are talking about millimeters

No shit? I would have guessed at least like 15 degrees of rotation. I think I took the radius comparison a bit too literal.

If it was that damaged and you were already doing a tibial nail, there wouldn’t really be a reason not to do a fibular nail at the same time.

Yeah… supply issue maybe? Or patient opted out due to cost?

/shrug

To be clear, othopedics is not my area of expertise,

edit - ortho specialty chimed in. Sounds like it’s responsible for much less than I understood - see the next comment in the chain.

so grain of salt, but to my understanding, it’s basically the radius bone, but of the leg. Aim your toes forward in the normal anatomical position; now rotate your entire foot to the left or right. That’s your fibula working. Without it, very limited rotation; but otherwise you can still walk and function mostly normally, just a bit impaired.

I have no idea how ‘chunk missing in the middle’ plays into that. Guessing you’d still have some rotation, but without a secure anchor point, it wouldn’t be great.

Oh… yeah I think you’re right. I misread that. Still salty about Disturbed, though. Q_Q

Um… so looking at the tibia, that is 100% an intramedullary tibial nail:

…which means their tibia was broken as fuck, and there’s a pretty hefty chance the fibula was also broken as fuck in that same injury.

My guess is the missing segment was fragmented to the point of not being saveable, and removed during the same operation the IM nail was placed.

That doesn’t necessarily mean the OP is bullshit - maybe they had some new resident docs, or nurses, or techs or w/e who hadn’t seen that before and it was a genuine wtf moment for them. I love it when new staff get that look!