Absolute size thresholds for degenerative aneurysms: [1][3][5]

Ascending aorta/aortic root: ≥5.5 cm

Descending thoracic aorta: ≥6.0 cm (or 5.5 cm if favorable anatomy for TEVAR)

Thoracoabdominal aorta: ≥6.0 cm

Lower thresholds apply for: [3]

Marfan syndrome or genetic conditions: 4.0-5.0 cm depending on condition

Bicuspid aortic valve: 5.0-5.5 cm

Rapid growth: >0.5 cm/year

Concomitant cardiac surgery: >4.5 cm if undergoing aortic valve surgery

Immediate surgical evaluation: [5]

Any symptomatic aneurysm regardless of size (chest/back pain, dysphagia, hoarseness, hemoptysis)

Acute complications (dissection, rupture, malperfusion)

Post-Repair Surveillance

After TEVAR: CT at 1 month, 12 months, then annually if stable. [1]

After open repair: CT or MRI within 1 year, then every 5 years if no residual aortopathy. Annual imaging if residual disease or abnormal findings.

from - Nora Bateson interview on the inadequate problem/solution framework for addressing wicked problems - https://hyp.is/xeeZyCFlEe-ywQvdYbMieg/docdrop.org/video/kb-hsIv9zoE/

• for: kariotic flow - metacrisis explanation, question - salience

• question: salience

• critique,: inadequate explanation
  • I don't understand the salience of why the right half needs that left half.
  • I think the ideas are too abstract and while years of experience may make the author familiar with our salience, to a new mind looking at the ideas for the first time, there is a salience mismatch because they semantic fingerprints are different
  • a few concrete examples of , how this works to explain the metacrisis would be very helpful
  • there isn't enough time spent illuminating and explaining what each of these 6b abstract ideas are our why they are assigned such strategic importance. Hence, I do not appreciate their salience and the salience mishmash occurs

Davies, R., & Elgot, J. (2021, February 17). Air systems in some UK quarantine hotels ‘risk spreading Covid’. The Guardian. https://www.theguardian.com/politics/2021/feb/17/air-systems-in-some-uk-quarantine-hotels-risk-spreading-covid

It’s beautiful, and if you want to feel inadequate as a programmer then I definitely recommend spending a couple of hours going through Inigo’s portfolio.

Malaysia