Porencephaly

OP also clearly has no real understanding of what surgery was done to him/her or how endoscopic sinus surgery is performed. This thread is just a giant libel sewer.

Source: am neurosurgeon who does brain surgery through the nose with an ENT sinus surgeon partner.

OP doesn't understand how sinus surgery is done. As one example, you literally can't fit a camera into the nose without outfracturing at least one of the turbinates. So OP is pissed that the surgeon outfractured his turbinate "without his permission" but that may be an essential step of the procedure OP requested. It sounds like OP just read the surgeon's operative report, doesn't understand it, and hasn't bothered checking any of his assumptions about is. This is like requesting an oil change from a mechanic and then getting upset because "I didn't agree to you opening my hood, I only wanted an oil change."

When I obtain consent to, say, remove a brain tumor, I don't separately get written permission from the patient to A) cut their skin, B) drill their skull open, C) open the dura, D) drain their spinal fluid, etc. But all of those things have to happen for me to accomplish the brain tumor removal, so it is assumed that they are OK with me doing all those things if they want me to fix their problem. Most modern surgical consent forms also give us permission to fix any unexpected problems on the fly without aborting the surgery, even if we didn't cause the unexpected problem. There's no way to describe every step of a multi-hour surgery to a layman during an informed consent discussion, nor is that essential to the concept of informed consent.

This is awesome advice and one that should be shouted from the rooftops. I know many people, even into their late 30s, who choose to stay in these meat-grinder cities because of intangibles like "the atmosphere" or "there's no place like NYC/Vancouver/SanFran/etc!" They fail to realize that they are spending 80% of their income just on rent and food and are working 70+ hours with no longterm strategy. That path might be fun when you're 26 but it sucks when you're 45 and realize you have no retirement savings. I wish millennials would abandon these sinking ships.

Which might have something to do with Gander Mountain going out of business.

Seriously, fuck that place. Their used guns are priced higher than new versions of same on gunbroker.

Why do you still think it's the shunt when we've made it abundantly clear that it's never the shunt?

:-P