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6 mo. ago

  • When Trump had that Iranian girl's school bombed, they were quick to blame it on an AI hallucination.

    Another poster speculated that's the point: they aren't having it make tactical decisions, they're building a scapegoat into the decision to commit war crimes.

    Bomb a girl's school at the command of an individual? Folks lower on the chain might disobey, civilians demand accountability... It's messy.

    Bomb a girl's school at the command of AI? Ope, whoopsie, silly thing thought that was a terrorist training compound - that's a bad AI! Bad!. Junior enlisted fruitlessly bitch about their replacement; civilians post an article warning about the dangers of AI... By Monday no one remembers.

  • Huh. And here I expected to lose the game. Glad that wasn't the case.

    camera pans to YOU*

  • 3 Cybertrucks Caught Fire

  • Like this:

  • Was it tandoori chicken? Cuz if someone ate into my share of tandoori chicken... like, I don't condone it, but... I get it.

  • Huh. I've only ever seen that word in the context of anatomy, but I guess it also belongs to the cores of trees. TIL.

  • 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! _

  • 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?

  • 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.

  • 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!

  • Doctors would do no such thing!

    ...they'd actually just waltz around the hospital with whatever fell onto the OR floor still stuck to their shoe, tracking chunks of it all over the fucking place until some some crusty 70 y/o nurse chews him out while swatting him with today's word search from the news paper.

    Pretty routine stuff, really.

  • Fair enough.

     

    Eh, Brute - that's your cue.

  • There was a pretty extensive study conducted around the 1930s on how to best engage with a Nazi. Punching isn't bad per se, but it requires you to be in dangerously close range; and they tend to get back up following the punch, so it's a very temporary solution. High risk, low reward.

    Best practice is bullets and bombs.

  • Ask Lemmy @lemmy.world

    Looking for insight from the crafty types: how would you go about making a rolling (semi-mobile) dual computer monitor stand?