BE A F*CKING BORING PERSON:
- Sleep early
- Read daily
- Save money
- Practice gratitude
- Meditate
- Lift weights
- Eat healthy
- Go for a walk
- Cook at home
- Wake up early
- Get sunlight
- Stop alcohol
- Love your family
- Plan your day
- Stay consistent
- Keep promises
Boring is the new cool
Nobody grew up with the intention of being a cleaner, cashier, or security guard. We all had big dreams, but life happened. Dear son, Respect other people’s jobs.
Get a haircut every 2 weeks to stay sharp, wait 5 secs before answering the phone to control the rhythm, always arrive 15 mins early, stay away from free lunches, never talk about people who aren't in the room, and when anger rises, wait 10 mins before reacting. These habits may look rigid, but they're the hidden discipline of the elite.
You're a man,
• Wake up; 5 AM
• 100 push-ups
• Sit and write
• Take a cold shower
• Reconnect with God.
Then go outdoors.
After 37 years of age, I’ve finally come to realize that, as a man, never stay at home. It's the best cure to depression
When a man has seen a lot, he stays quiet.
When a man is working to save himself, he stays quiet.
When a man is winning, he's quiet.
As a man, silence is your best weapon.
Easiest ways to get rich:
1. Sell men lust
2. Sell women beauty
3. Sell parents peace
4. Sell kids dreams
5. Sell the rich safety
6. Sell the broke hope
Same game. Different packaging.
As you get older, you stop needing life to look impressive. You just want a quiet home, a warm meal, an easy laugh, and people who don’t turn simple days into battles. You learn that calm is a gift, and wisdom is knowing not everything deserves your voice, worry, or time.
The Brain’s Critical “Base Highway”: Understanding Basilar Artery Block
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The basilar artery earns its name from the Latin word “basis,” meaning base. It is the large, unpaired artery that runs straight along the base (undersurface) of the brainstem in the skull. Formed by the merger of the two vertebral arteries at the lower border of the pons, it serves as the main blood supply trunk for the posterior circulation of the brain.
A blockage (occlusion) in the basilar artery is extremely dangerous because it threatens the most vital and delicate parts of the central nervous system. This artery supplies blood to the brainstem (which controls breathing, heart rate, blood pressure, and consciousness), the cerebellum (coordination and balance), and large portions of the occipital and temporal lobes (vision and memory processing).
Even a partial block can cause a devastating posterior circulation stroke, leading to symptoms like sudden vertigo, double vision, facial paralysis, limb weakness, difficulty swallowing, and in severe cases, locked-in syndrome — where the patient is fully conscious but completely paralyzed except for eye movements. Complete occlusion often results in coma, massive brain swelling, or death within minutes to hours if not treated urgently with clot-busting therapy or mechanical thrombectomy.
Because of its central location and extensive territory, basilar artery occlusion carries one of the highest mortality rates among all strokes. Rapid recognition and intervention are literally lifesaving. #MedTwitter #MedEd #MedX @IhabFathiSulima
Basilar artery occlusion: blockage of the basilar artery supplying the brainstem, cerebellum, and thalamus. It is dangerous because it can cause sudden coma or death, respiratory and cardiovascular failure, or locked-in syndrome (conscious but quadriplegic with only eye movement).
Causes include atherosclerosis, cardioembolism (e.g., atrial fibrillation), and vertebral artery dissection. It is fatal due to loss of brainstem blood supply, the body's vital control center.
🔴 Blocked artery: the basilar artery.
🔵Why this is so dangerous:
The basilar artery is like a single lifeline running through the center of the brainstem. It supplies areas that keep us awake, breathing, swallowing, moving, and seeing. When it suddenly gets blocked, blood flow to the brainstem, thalamus, and cerebellum is cut off all at once.
Clinically, this means the patient can deteriorate very fast. Loss of consciousness, abnormal breathing, cranial nerve deficits, and severe weakness can appear within minutes. In some cases, the patient may develop locked-in syndrome, fully conscious but unable to move or speak, except for eye movements.
This is why basilar artery thrombosis is considered a true neurological emergency. Without rapid reperfusion therapy, brainstem infarction often leads to coma and death. Early recognition and urgent intervention can be the difference between survival and a catastrophic outcome
✅ Correct answer: C. Dorsal columns (posterior columns)
Explanation: A positive Romberg test occurs when a patient can stand with feet together and eyes open but loses balance after closing the eyes. This indicates impaired proprioception, usually due to dysfunction of the dorsal (posterior) columns of the spinal cord or peripheral sensory nerves.
Common causes:
Vitamin B12 deficiency
Tabes dorsalis
Peripheral neuropathy (e.g., diabetic neuropathy)
Why not the others?
A. Cerebellum – Patients with cerebellar ataxia are unsteady with both eyes open and closed; the Romberg test is not specifically positive.
B. Basal ganglia – Causes movement disorders (e.g., Parkinson disease), not a positive Romberg sign.
D. Frontal lobe – May cause gait apraxia but not the classic Romberg finding.