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Cake day: 2025年6月9日

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  • and why did Biden sit on it for four years? Why didn’t he use it to bring Trump down before the election?

    Same reason they didn’t prosecute Nixon. Liberals in congress don’t have spines, they are doing similar things to a lesser degree, they believe in the false idea of political decorum, and they don’t want to set a precedent. Ultimately they fear taking away power from the executive branch, because if you limit the conservatives then you also limit liberals.


  • I was probably not much older than this the first time I shot a rifle. The biggest difference was that it was a single shot .22, and it was being stabilized by sand bags on a shooting platform.

    To give some this age a semi automatic rifle that is as long as they are tall is beyond irresponsible, it’s child endangerment. Why are the people who make firearms their entire personalities always so dogshit at firearm safety?




  • I love studying Korean history because the kings and high court always come off as highly relatable messy bitches. You get so much humanizing little cutscenes like this, and times where the historians were being caddy with their criticisms. At first it just seems that Koreans were uniquely led entirely by the most incompetent drama obsessed people in the world. However this is just a byproduct of how much freedom the historians had over the Veritable Records.

    Korean Kings were basically the first streamers, where everything they did was scrupulously recorded by a team of historians of which they had basically no control over. The historians were provided an extreme amount of editorial control over their work and had legal protections from retribution from the nobility and kings.

    The actual record of this is even funnier "The king himself rode a horse and shot arrows at a deer. However, the horse stumbled, causing him to fall off, but he was not injured. Looking around, he said, “Do not let the historians know about this”

    Basically the modern equivalent of some actor on camera falling on their face, looking around in a panic and saying “Cut! Can we cut that? Please cut that in post”.

    I only wish that other countries had the same dedication to recording historical events. History would be a lot more accurate and fun to read.



  • When a country has an authoritarian system in place the country is capable of doing terrible things that are against the will of the people of the country.

    Nations with elective leadership are just as capable of doing terrible things that are against the will of the people… It’s not like the war in Iran has been popular with either conservatives or liberals in America.

    Since ww2 US major military conflicts have resulted in 3.5-4 million direct civilian deaths, and that total is multiplied several times including indirect deaths. Can you think of a modern authoritarian regime with the same body count during the same period?

    No one is trying to claim that the Iranian government is “good”, just that the reasons America chose to invade the country are not morally or legally justified, and that it hasn’t been done with the intent to better the lives of the average Iranian citizen.






  • That’s not really how consent works, at least not in the US. You typically give consent for the operation, not for every individual procedure that’s done in the operation. A lot of the times you don’t really know what’s going to be needed to be done until you have the patient opened up, so the provider has a lot of leeway to operate as they see fit.

    How quickly can it absorb?

    Depends on the individual and what bone we are talking about. Though that’s quite a lot of bone to dissipate, so my guess would be that it’s a fairly old injury.


  • The radius moves a lot more than the fibula, which makes sense considering the need for moderate rigidity for weight bearing. The fibula only moves around a degree in internal and external rotation and less than a degree in the sagital tilting.

    If you think about the rom in the ankle compared to the wrist it makes a bit more sense.


  • 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

    Eh… I do specialize in orthopedics and rehabilitation. You can still do all these things without a fully functional fibula, just to a reduced degree. The fibula only contributes to a few degrees of range of motion in the lower limb, we are talking about millimeters. It can be noticeable given enough time or a high enough level of vigorous activity. Most people would live a fairly active lifestyle without noticing this kind of damage to the fibula.


  • Supply issues aren’t really an issue, orthopedic operations like this aren’t exactly emergent care. If you have time to procure a tibial nail there isn’t a reason you wouldn’t be able to get a fibular nail at the same time.

    As far as cost, the same logic applies. When an orthopedist is coming up with a treatment plan you submit the treatment plan that would best lead to the overall best outcome for the patient, you don’t really formulate based on the most economic outcome.

    The insurance company isn’t going to deny a fibular nail, but approve a tibial one. If they are going to go out of pocket, the cost of the fibular nail would be negligible when compared to the overall cost of the operation. The most expensive aspect of an orthopedic moderation is the operating room and the anesthesia, not the additional hardware or operating time.


  • Probably just an atrophic nonunion fracture. 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.

    The fibula has fairly poor blood flow compared to the tibia, it’s not really that rare for the fracture to never callus and bridge back together. If that happens a lot of the times the bone will be subject to resorption.



  • More than likely just an atrophic nonunion fracture of the fibula. The tibia and fibula were probably broken at the same time, if the fibular fracture looked like it didn’t need to be set they probably didn’t even bother putting hardware in.

    You don’t really need to have any serious health issues for this. Sometimes with bones that aren’t weight bearing it’s just bad luck, sometimes it’s because you’re smoking a little too much.