A full‑term baby is delivered without complications.
During the newborn examination, a soft, skin‑covered appendage is noted at the lower back, just above the gluteal cleft.
It measures about 11cm in length.
There is no movement.
No bone is felt within it.
The parents are anxious.
“Is this a tail?”
You are the clinician.
What is this condition?
And what must you rule out before considering removal?
“The more you learn, the more you’ll earn.”
— Warren Buffett
“Free education is abundant, all over the Internet. It's the desire to learn that's scarce.”
— Naval Ravikant
The endgame of competence is simple: you become so skilled, so resourceful, and so strategically embedded that whether it’s a company, a relationship, or a project, the rational move for everyone involved is to keep you, reward you, and bet on you, because losing you would cost them more than they’re willing to pay.
“Don’t even think about stopping until you get there, and don’t give much thought to where “there’ is. Whatever comes, just don’t stop."
- Founder of Nike, Phil Knight