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Fat Bastard

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Posts posted by Fat Bastard

  1. Didn’t log on yesterday and just saw this. Exceedingly rare. Biggest risks are aneurysm formation and thrombosis that can lead to acute limb ischemia which can ultimately threaten the limb if not treated in time. 
     

    The sciatic artery should normally regress by the end of the first trimester in utero. The superficial femoral artery is the dominant artery of the thigh giving off the popliteal and then the 3 tibial arteries after that. In the persistent sciatic artery there typically isn’t a femoral artery anymore. 
     

    Best ways to diagnose and help with planning are with CT angiography or invasive angiography. But beware, what I do for a living (stenting diseased arteries) should not be discussed as an option for treatment. The treatment is through interposition grafts or femoral-popliteal bypass (assuming the proximal anastamosis at the common femoral and distal anastamosis at the popliteal are good targets for bypass). 
     

    She absolutely needs a vascular surgeon. Oderich mentioned upstream is very good, as is Miguel Montero-Baker at Houston Methodist.

     

    good luck to your mother and please keep us informed how she does. Crazy rare case. 

  2. 2 hours ago, PittsburghTiger said:

    Yeah, December 2021, I drove a buddy to the BMW dealer to pick up his new one. There are pictures here on this thread. It was a cold day, about 26F, and I picked him up with the top down in the 911. He wanted the top put up, I said he could go get a hat to wear.

    He loves his car. His is all blacked out. It’s an M8 Competition. 

    Picked up a fully blacked out M8 GC comp last Tuesday. Fucking love it. It has been impossible to keep it under 4500 rpm tho for the break in period. 😁

  3. 1 hour ago, RMac5 said:

    Where is the best place to start the can process? Do you buy the can first and it goes in jail while the paperwork is processed? I’m sure this has been discussed but rules seem to change frequently. TIA!

    Nearest place to you that has a Silencer Shop kiosk. Was very fast. Jail time likely 6-9 months

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  4. 3 minutes ago, ChiTownDoc said:

    Yes I read he’s still intubated as of an hour ago at the hospital.  Definitely a very poor prognosis.  Hope to hell I’m wrong or it was wrongly reported about him being intubated.  

    No, it’s not. You don’t get intubated and then extubated within 2 hours unless it was a self extubation. They probably have him on some significant sedation just so he doesn’t yank at his tube. They’ll reassess in the AM with a cxr and SBT. 

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  5. haven’t read the whole thread, but my $0.02:
     

    My (biased) opinion - something like wpw or a channelopathy like Brugada or long qt syndrome. 

     

    Remember reading that’s how Hank Gather and Reggie Lewis died

    if true he got cpr/defibrillated, 100% chance they’d tube him for airway protection.  Probably nothing to do with his presenting sign, just for protection 

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  6. 3 minutes ago, naija said:

    that's not what stable means. you can be intubated and stable. you can be critically ill and stable, although it is generally advised that medical personnel refrain from using "stable" to describe a condition. 

    in the most generous sense, stable just refers to the steadiness of vital signs. you can have vital signs that are out of normal range, but would still be considered stable because they aren't changing or fluctuating rapidly.

    Remind everyone of your specialty again? 

  7. Took boy out to range again today. Practiced eye-dominance at home and he’s very clearly left handed and right eye dominant. Will pose some challenges for him in the future as he’s gonna have to get confident holding heavier weapons with his right as he gets older but this .22 is no problem for him. Took him out to 15 yards today and really focused on accuracy and precision. Had tight groups when he took his time, practiced his breathing, and firing. When he thought he had it down and tried to go faster is when he started to spray about 2” off target. All in all, a very productive day. Tonight, we clean the rifle

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  8. 9 hours ago, Jkwellborn said:

    Are you making him shoot right handed because that’s how you shoot Fat Bastard? If he’s right eye dominant, that’s fine.

    Nah, don’t really care if he shoots righty or lefty. He seemed to do just fine with shooting righty. Main reason I wanted him to shoot righty with this rifle is the ejection port is on the right. Will work on finding out his eye dominance pretty soon. This exercise was mostly for him getting the steps/safety down. We practiced at least 50x at home with eject-safety-load-trigger discipline-acquire-hot-shoot before we even went to the range and he fumbled a couple of times but by shot 50-75 he had it down perfectly. 
     

    if anyone has any other suggestions I’m all ears. Don’t claim to be an expert or anything. 

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  9. Went with the CZ 457 Scout. Thanks everyone for the opinions. Going to get the boy started on iron sights before I move onto optics. 
     

    what do y’all think is the right move? Something like a 1-6 or 1-8 lpvo or a 2-7 or 3-9?  Definitely want illuminated reticle and decent glass. Trying to stay ~ $500 or less. 
     

    dont want it to be too heavy. Going to start him out at 10-25 yards and don’t think he’ll really ever get past 50/100 with this, if that helps. Mostly for plinking with a rare varmint here and there 

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  10. Need recs on a .22LR for the soon to be 10 year old boy. Have looked at the Ruger 10/22 and Savage FV and while both look great, mostly plastic stocks. Is there anything else maybe in the $5-800 range that could be more heirloom-y? It’s his first gun so would like for It to be special - if something nice would engrave it too. 

  11. Coq-10 doesn’t enhance statin effectiveness. It *can* mitigate some of the myopathy that comes with taking a statin, so if it’s a question of coming off your statin for muscle aches vs taking it and trying the coq-10, I always recommend the latter.
     

    Now, there are some phenomenal new non-statin based injections you can self-administer every 2 weeks if you are statin intolerant or have familial hypercholesterolemia. 
     

    re: taking the statin at night, I tell my patients to take it at night not because of any bullshit about you more likely to having an MI during sleeping hours, but should you have any of the side effects, they occur while you’re sleeping at peak therapeutic levels. 

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