400 block next to the middle school

Thanks for sharing this. Americans don’t have a clear enough picture of what the Canadian system is like and focus only on the positives. They ignore the fact that so many Canadians come here, especially the Northeast, for their most important care. (Including some who have absolutely no intention of paying their bills!)

Urgent care and even Level 1 trauma centers’ emergency rooms often don’t have the proper boots in stock and expect you to obtain one on your own or through the orthopod or podiatrist to which they refer you. They really fall short of the standard of care.

You should not wear the shoe. That’s for, at most, a broken toe. It does not provide adequate stability. You need a full length boot.

The only way to rule out Lisfranc is an MR. Make sure you see a orthopod (MD or DO) or podiatric surgeon (DPM). Not a nurse, not a PA, not a physiotherapist.

Good lord. Can you go to Nashville/Vandy or St. Louis (Mallinckrodt/Wash U) for some proper care — either second opinions, or actual surgery (if indicated), or both?

This is a pretty rare injury, and you don’t want a surgeon who does a low volume of Lisfranc cases (like, less than a dozen per year) messing around with this.

Please tell me you have seen an orthopedic and/or podiatric surgeon. The only “doctor” listed in these rad reports (with the exception of the radiologists themselves) is not a doctor at all (Savage) but a nurse.

The rad reports don’t say how much displacement there is in your fractures or in your tarsometatarsal ligament, which is important to know if you’re going to evaluate for surgery. This might be a surgical case or it might not be; I can’t tell from the rad reports alone.

Bottom line: Make sure you see an actual doctor and not a nurse to evaluate your injury.

Also, you owe Dr Momin in the Radiology Department a steak for catching the lisfranc injury and issuing an addendum.

I’ve been commuting from Hoboken to DC every week for the past year, but that’s as a 12. I’ve maintained a crash pad down there that was $650 per month. Let me know if you have any questions.

LazyPasse
1Edited

Is that a porous stone on the end of that tubing? It looks like an aquarium aerator, which are notorious among hobbyists for harboring bacteria. If so, how is it supposed to be cleaned?

LazyPasse
4Edited

My then-six-year-old son and I hiked from the sea at Kaupō Gap to the summit in one day last year. You really have to be an expert hiker, though. It’s more than 20 miles over rough terrain with over 10,000 feet of elevation gain. You’d be wise to bring a machete, gaiters, and gloves for the first mile. Also, the road to the trailhead at Kaupō Gap from Kihei is far more frightening than the road to the summit.

When I used to live in the Maldives, I was met daily with sights so surreal that I could not believe my eyes. They were not all pretty.

You are correct on both counts.

Legibility studies are scientifically problematic, seldom yielding repeatable results, though, so I try not to rely on them in argument.

Section 508 is good law, and there’s good resources for implementing it to standards. But it’s so widely misunderstood, misapplied, and misinterpreted that it’s invoked as a cudgel in interoffice warfare. (Oh, the stories I could tell.)

My life’s work as a fed, it sometimes seems, is disarming all sides by reference to the facts.

508 does not specifically require a sans serif font. There are legibility standards that meet 508 requirements, but there’s no specific requirement to use any particular type of font.

Comic Sans, for example, is a sans serif typeface.

At NGA, you won’t have to worry about 508 headaches

Interesting take. I don’t know what to do with that.

I was roundly downvoted for pointing out Midler v Ford yesterday. Glad this sub is getting its education, one way or another.

I don’t like them riding on the sidewalk or blasting music. You’re right on those points. Those behaviors are problematic.

Most reasonable take here. The bikes aren’t the problem, the cars are.