I Was Just Told “You would not have made it through the weekend”
nickhughesblog.wordpress.com
nickhughesblog.wordpress.com
After I woke up on Wednesday with the worst headache of my life looking just like that first photo, I went to my oral surgeon, who sent me in for emergency surgery immediately. I spent a night in the ICU and three days recovering. He explained that I had developed a serious abscess that had spilled into my palate and threatened to close my windpipe completely, and that if I hadn't come in I probably wouldn't have made it to the weekend.
It was an extremely sobering look at my priorities and good luck. I was young, and health insurance hadn't been a priority - had I been bootstrapping or freelancing instead of a part of a team with the good sense to get a group health insurance policy, I might have dug myself into about $40,000 in debt, or worse - hesitated to go to the doctor's for even longer.
Don't fuck around with your health. I dodged a bullet. It's tempting to push these responsibilities off like any other, but like other commentors said, it runs directly contrary to your duty to be healthy and present for your team. Dead entrepreneurs make no products.
My friend, who is a serial entrepreneur/CTO/founder, was on his first big company back in the late 90s. He was brought in by a friend/consulting partner and was very jazzed to be working on an exciting predictive analytics application to detect churn in mobile subscribers.
So much so, that he lived the company. He ate poorly, didn't exercise, was grossly overweight, drank excessively and worked obsessively. His gallbladder couldn't take it and nearly burst. It was so swollen by the time he went to the doctor, they were scared it would go any minute.
He had emergency surgery and could have easily died. That was as big as wakeup call as they get. He got the message loud and clear, lost weight, started exercising, ate better. Got much healthier and recovered shortly thereafter.
Living for the startup is stupid. As byrne said, "Dead entrepreneurs make no products".
I had an uncle who was just a normal guy, not overweight, didn't drink excessively, etc. He complained of occasional stomach pain, but didn't feel like going to the doctor. Eventually it got worse and he saw a doctor. Turns out he had stage 4 cancer and was dead in two weeks.
Ignoring your body rarely ends well.
If you lose your money, you lose a little.
If you lose your friends, you lose a lot.
If you lose your health, you lose everything.
...and that's why i can't support candidates who want to repeal universal healthcare in the US, most of whom are Republicans, and ironically, in their opposition to reasonable universal healthcare are adopting a policy that is incredibly anti-small-business.
Dental care is essential. Even if you don't have pain, constant inflammation can cause you all sorts of problems.
When I was a child (8 or 9, can't remember) I chipped my front tooth on a trampoline. All my checkups, x-rays, caps, etc., and eventually a root canal and crown were covered, even 10 years afterwards.
Children get free treatment.
Finding an NHS dentist can be tricky.
Sweden used to be all about reaping the benefits of both capitalism and socialism, but now our gov't seems to take a perverse joy in making it a "worst of both worlds" type of country.
I would be curious to know what countries today offer what Sweden used to offer. New Zeeland? Canada? Denmark?
So for example removal of tooth would be: dentist 9.60 € /visit + tooth removal 13.80 – 27.50 €
Healthcare, at least where I'm from, doesn't cover preventative dentistry, but it does include anything life threatening which includes the situation from the article. I would sincerely hope the US system would behave similarly.
There are some miscellaneous oddities; for example, if you visit a dentist and have antibiotics prescribed, typically the visit won't be covered (it's a dentist so counts as dental), but the antibiotics will be covered (they're a medical prescription).
And doctor's visits for non-residents are about $40 in Ontario.
(Getting three wisdom teeth removed did not appear to cost that much either, but my insurance paid for that.)
I'd rather pay for those, myself, but have "real" dental insurance for the quite expensive, unexpected stuff. Infections. Complications from non-routine extractions (particularly notable with some wisdom tooth extractions). Etc. Things where a $1000 or $2500 cap may hardly make a dent in the final expense.
With a "real" group plan, the only things I've had to pay was a $300 deductible on the wisdom teeth removal and $25 for a flouride treatment that insurance doesn't cover. (Presumably because most adults don't have braces.)
The argument that a private insurance based system could be better, fairer, or more efficient can be made (although not if you hold up the current US system as a positive example...), but any argument that it's the only thing that will work is frankly ludicrous.
Healthcare in the US, even in its incredibly broken state, still "does work". We can compare anecdotes all day long, but that tells us nothing, anecdotes are not data.
If we were to allow anecdotes, I'd also say (and I find this to be a good thing) that people in the UK don't avoid going to the dentist or doctor because it's too expensive. I'm sure that there must be studies that show this to be true.
Even if we're not allowing the anecdotal argument, however, if you're prepared to say that the system in the USA 'does work', you're surely prepared to say that the British system also works? Personally, I have a hard time not believing that, since it seems to produce comparable, if not better outcomes, for less cost, it's the better of the two systems.
Note that I'm /not/ arguing at all that a private health insurance system could not be devised that also worked as well - perhaps better. I'm also not arguing that any public system will be perfect. To argue that a public system /can't work/ though is, as I said, ludicrous.
[1] http://www.wolframalpha.com/input/?i=health+care+cost+per+ca... [2] http://www.wolframalpha.com/input/?i=life+expectancy+USA+vs+...
It's a really interesting topic and I wish I weren't at work so I could brainstorm more with you about how to get a clean comparison.
Call me a cynic if you like, but that is the only real argument I can think of. There is no data to back the claim up, only anecdotes about what it's like in other countries.
The data points to universal healthcare being better.
A story that ties both together. My dad was visiting me. He was going to go golfing with my brother, but had too painful of a headache and was just going to lay down then drive the 7 hours home. It was so painful that we convinced him to go to a hospital. I just happened to pick one that had a neurologist in emergency. He was bleeding from the brain because of poorly prescribed blood pressure meds. The doctor in the ER was not happy. He was in surgery that day and took a week in the hospital.
Don't ignore the unusual pains.
That's a pretty bullshit example. Native American services are an entirely different planet within the government.* The lost billions of dollars in indian trust funds, etc. Pretty much every service for native Americans is monumentally dysfunctional, yet the equivalent services for non-Indians often work quite adequately.
*) This state of affairs is the product of a lack of political will to do better (who cares about the poorest constituency in the country?) and certain Constitutional insulation from the rest of the government.
So even with insurance, he'd be paying 50% (and probably could negotiate 20% off with a cash payment without insurance, so insurance only costs 30% less). Did he have 50%, or would he still have put it off due to the expense. Is asking him to pay for it a "failing" of society? If so, consider the cost of dental insurance that provides 100% coverage for procedures that are generally preventable.
Insurance is about math. Because truly catastrophic dental care is rare, dental self-insurance is generally a matter of cash management, and you usually can come out ahead, even with an issue like this during a year.
Context: I am an entrepreneur "still trying to make it". I have a wife and 2 kids. We don't have some magic source of easy income. Planning for the cost of insurance was part of planning to start a company. So was planning to self-insure dental. It is possible. I don't understand why any of this planning should be anyone's responsibility other than my own. I don't believe I should be asking someone else to pay for my insurance as some sort of societal debt, and I wish the feds would quit adding mandatory coverages and regulatory overhead that makes buying insurance more expensive.
If either party REALLY cared about small business, they would have taken the simple, obvious step of making individually purchased health insurance tax-deductible long ago. But that didn't fit their agenda.
The same isn't true of health care. The health care market is totally distorted by insurers, who collude with providers to set prices. Services fall into two buckets: routine "checkup" type stuff that costs so little it's not worth arguing about, and hospital/specialist services for which there is no pricing transparency and which, purchased by anyone other than an insurance company, is catastrophically expensive.
It is perfectly reasonable to advocate for single-payer health care even if one believes firmly in moral hazard. There are other interventions one could advocate for instead. But any way you slice it, the "market" we currently have is busted.
The subsidy is responsible for a lot of distortion. It has separated cost and benefit in the minds of employees.
And it hands more of a subsidy to people who make more money. Taking insurance from your employer is a bad deal if you don't make enough. Which is why many employers of lower paying jobs don't offer it.
For example, an American friend of mine has a congenital heart defect which will over his lifetime cost probably $1m or so; I had better luck and was not born with one. It seems sort of problematic imo that this sort of thing isn't risk-pooled across the population. It's already bad enough that he has to have surgeries/etc. for it, but due to our health system it also impacts areas of his life that shouldn't be affected, like choice of career. For example, he can never start a startup or do freelance/consulting work, because he wouldn't be able to buy individual health insurance; so he has to work at a large company with a good group-health plan, and can never be unemployed for longer than the 18-month COBRA limit.
Wait, what? It's true that under most dental coverage you pay a percentage (and not a flat co-pay) on oral surgery, but for the life of me, I don't understand the idea that the need for wisdom tooth extraction is ever preventable by proper dental care. No amount of brushing and flossing is going to prevent your body from throwing extra teeth in your mouth in your late 20s.
If anything, proper dental care means none of your teeth will have fallen out, so when your wisdom teeth come in they have nowhere to go and get impacted and then decayed and then infected.
In my recollection, scheduled wisdom tooth extraction has usually been on the same 50% co-pay as emergency wisdom tooth extraction. And I don't think the "emergency" part has the cost implications in dental that it does in other medical realms.
Neither is pleasant, but the cost would probably be the same either way. I don't try to justify the tiering of the co-pay, but recognize that moving it down to the 20% co-pay range just means the actuaries factor that change into everyone's premium.
You said "typically (not always)" and I say pretty close to never.
I don't try to justify the tiering of the co-pay
You said the co-pay was tiered "because such procedures are typically (not always) preventable" (emphasis mine).
(i'm note 100% sure that by 'tiered' you mean that you pay 50% for this instead of the flat or 0 co-pay most dental coverage has for checkups and the like)
If I were trying to explain the rationale in this case, I'd theorize it's because this is typically something that happens once in a lifetime (if at all). I'd expect once one wisdom tooth gets cranky, they'd yank the rest at the same time. So, in this case, the thought would be that people partially pay for it when it happens rather than making everyone in the insurance pool pay for that risk every month, especially people with no wisdom teeth.
But I am not an actuary or insurer, so I don't know for sure.
Dental insurance is pretty cheap -- there are a limited number of high-dollar procedures that happen infrequently. Plus, major costs like anesthesia are usually part of medical coverage. So while the insurance pool is more likely to pay for a wisdom extraction for many folks between 18 and 30, that's a one time event.
Medical insurance, on the other hand, needs to cover a broad array of overpriced procedures with nearly unlimited liability. I had a back surgery that cost my insurance company about $75k. The recent birth of my child cost nearly $25k!
Dentists far too often recommend extraction for wisdom teeth when it's unnecessary, probably because they can charge a hefty fee for it.
These things are not preventable, you were just born lucky. Remember, humans didn't usually live to become 50 years old.
Exactly this. I had something similar (identical?): A horizontal impaction of my bottom right molar. Had I left it longer, it would've destroyed the roots to the molar in front of it, and I would've lost that tooth, too.
I suspect it's largely genetic. My mum has all her wisdom teeth, and she's never had an issue; my father had all of his removed because they didn't come in straight. My situation played out identically to his. Hence, I don't believe that simply taking pristine care of the teeth will magically help--if they don't erupt from the gums properly or come in crooked, there isn't much else that can be done save an extraction if they're problematic. In many cases, you're better off having them removed to prevent issues precisely like this one.
(On a tangent, there's a great article [1] about how bulldogs have been bread to have massive jaws and a very short face and that results in all kinds of breathing difficulties.)
[0] http://en.wikipedia.org/wiki/Hypodontia [1] http://www.nytimes.com/2011/11/27/magazine/can-the-bulldog-b...
> (On a tangent, there's a great article [1] about how bulldogs have been bread to have massive jaws and a very short face and that results in all kinds of breathing difficulties.)
I bet that applies to persian cats, too, since they're bred with extensively concave faces (something that seems cruel, IMO).
Very interesting reply--thanks for sharing that, because I had completely forgotten that one of my friends has a similar condition. Can't believe I completely forgot he had implantation done, too...
This. Also, humans used to lose a lot of teeth. Modern dental hygiene is a very recent development within the ~200,000 year span of H. sapiens sapiens. Throughout most of human history, wisdom teeth served as reserves, of a sort, to fill in what were likely to have been more than a few gaps.
These days, proper dental hygiene means you've more likely than not been able to keep all of your adult teeth, ergo, it's highly likely than your wisdom teeth will become impacted. The assertion that proper dental care will prevent wisdom tooth impaction is ludicrous.
It is true, however, that extraction of wisdom teeth can be managed to an extent. Almost everyone gets them at some point, and impaction is very common, and all of this is well known. So a proper dental regimen should include x-rays to search for wisdom teeth well before they become problematic. If this is what the OP intended to say, then fine. But his phrasing makes it sound as if he implied that proper brushing and flossing will obviate the need for wisdom tooth removal. Last I checked, brushing and flossing do not alter the shape of one's jaw.
> My wisdom teeth actually fit in my mouth. Because
> I took care of them
Whether or not your wisdom teeth fit into your mouth or grow in the right direction is not a matter of 'proper dental hygiene.'
I deduct my health insurance premiums as tax-deductible.
I'd like disability insurance to be deductible too. Seems that's kind of a no-brainer, as I'd be able to rely on disability insurance rather than hitting up social security if I didn't need it.
Wait! The US has universal healthcare?
In Germany, I have to pay 65 Euros (87 Dollars) for health insurance as a university student if I earn more than ~400 Euros a month. It's not free here either, it's just mandatory.
However, I can put $3,100/year into a HSA account. I immediately get to deduct the amount I put in from my taxes (which for someone with an income just about pays for the insurance), and I can grow it in the HSA and not pay any taxes on withdrawal if I use it for medical expenses (works kind of like a super IRA).
Perhaps the difference is that my plan was purchased in Illinois (Blue Cross Blue Shield of Illinois). I know state mandates can significantly change the cost of insurance.
Yeah, not cheap.
I never expecting that the bumps near the scrape would progress to intense pain, waves of nausea, and blackness underneath the skin, or that those symptoms left me maybe a day to live had I not taken antibiotics supplied by a fellow traveller.
A year later, I got an infected gum/tooth situation and the dentist was closed for the weekend. Although I could have freaked out and figured out an emergency situation and a different dentist (that I may not have been covered for), I just looked up the reasonable dosage for a tooth infection and treated myself accordingly. It went away overnight, and I followed up with my dentist that week.
Note that I do not recommend self medication for anything out of the ordinary or with possible interaction effects. But for infected flesh, which is a common and dangerous medical issue, I think knowledgable self-administered use of antibiotics can be as valuable as a similar use of bandages or CPR.
Self-administration is dangerous.
Overuse of antibiotics is a global problem, for sure, but once you get into thelower latitudes of the planet, infections get a hell of a lot more dangerous. more bacteria, more types, and they move fast.
Most people spending significant time in thetropics learneventually that small infections or even just cuts you would ignoreup north require mich more caution, attention, and respect if you want to stay out of the hospital, or, you know, just not die.
Keeping some antibiotics on hand isn't a terrible idea when there's a scenario that delays medical care for more than a day (and no, the weekend doesn't count in a city).
A round of antibiotics is a nice thing to have if you are traveling and don't have access to hospital, but if you have a serious infection and try to treat yourself, you are taking a stupid risk with your life.
When you get told by the heart surgeon that there's a % chance you can die in surgery, you start to evaluate differently. Whether you believe vin things beyond death, or not, I believe we are here to learn, develop, experience and make a contribution to humanity. Ultimately the way we treat ourselves is tied with how we treat others. respect yourself, respect others...
For a few months, I didn't exercise and ate lots of cheap, unhealthy food, thinking that I was too busy and could work more with that stuff. The result? Great progress with work and horribly diminishing productivity. My overall output increased but I got far less done every hour. And I felt like shit all the time.
So last week I started to eat healthy foods and exercise. Nothing fancy - I just stick to simple meals that I know are good for me, so it doesn't consume extra time. And I keep workouts to 20 minutes every other day (not much at all).
It's worked wonders. I have far more energy now and have been getting 20-30% more done per day, probably at higher quality.
The connection between the illness and the post's overall message is perhaps strained, and I could see not wanting to see the message on HN.
I wanted to be knocked out for the whole thing, but I had no one to drive me home at the time, so they wouldn't let me be knocked out - I had to be awake. In lieu of being sedated, I amused myself with some pics and videos:
https://picasaweb.google.com/mgkimsal/RootCanalVisit1?authus...
* Invest in a great tooth brush.
* See your dentist at least once a year - and there are a lot of bad dentists (just as there are bad doctors) out there, so do some homework and avoid the "chop shops" of the dental world.
* Eat healthy. We juice every day (once or twice) and greens like parsley, kale and spinach do a fantastic job of promoting a healthy mouth - the parsley does a great job of controlling bad-breath-bacteria as well.
* Avoid amalgam - ask your dentist to do composites. The amalgam filings require much more tooth structure to be removed compared to the same filing using composite. Plus, no mercury (amalgams have been banned all over the world already, but for some reason the ADA still has their head shoved in ass state side).
* Floss and scrape your tongue.
Pain free. :)
I had a fairly large composite filling in one of my molars, and it would never last more than a year because of the extreme pressures that molars are routinely subjected to. Composites are getting better, but they're still weaker than amalgam. Also, when a composite filling fails, a microscopic gap emerges between the filling and the tooth, letting bacteria seep in and cause cavities deep inside the tooth that goes undetected for a long time.
A while ago, the dentist asked me whether I'd like to try amalgam, so I said yes after doing a bit of research myself. I haven't had it long enough to see if it actually lasts longer, but the doc tells me a well-placed amalgam filling can last a lifetime.
I asked about the failing of a composite as you've described and was told that what you stated is not true. Any filing can fail and leak as described, this is generally a result of bad dentistry or trauma to the filing that impacted it's seating and is why you have annual X-rays done. ANY filing can fail regardless of compound leading to shadowing as described.
So you have a choice. Mercury or safer materials that, when used properly, are a safer / healthier alternative.
In closing - keep in mind one thing: not every doctor is as skilled or cognizant as the next. They're humans as well and there are fantastic doctors and there are greedy and poor skilled doctors. The fact is you should understand your doctor's core competency and skills as best you can. Unfortunately most doctors know who the bad doctors are in regions, but the status quo is to not throw any other doctor under the bus. The consumer loses because it's hard to get at that information. If in doubt, get a second opinion - if there's a big derivation in prognosis, get a third. It's your health at stake.
However,
amalgam is banned in most developed countries
This is only true if you think that developed countries == Scandinavia. Which, admittedly, is a reasonable view to take.
I think I'm very close to reaching a breaking point, and am not sure how long this can last. But the thing is.. I know I will feel miserable if I have to work at a day job for the rest of my life, so that makes me want to work even HARDER at my own gig so that that never happens.
It's a truly vicious cycle.. I work harder, get less sleep, become more grouchy/irritated at work, which makes me motivated work even HARDER when I get home.. which makes more sleepy at work, more irritated.. repeat...
You don't believe that life is worth living unless you achieve $STARTUP_RICHES. And you are okay with death as the alternative.
There are lots of ways to achieve wealth and security. In fact, doing an internet-based startup is statistically one of the lower-probability ways of doing that, compared to say, a job in finance.
As a side note, this will probably sound amazing to many readers, but working both for myself and my startup my family went for over a decade without health insurance. Didn't seem like that big of a deal.
Of course we had one rule: if you're really sick, you go to the doctor, no questions asked. In the states they had to see you, and you generally got great service driving up somewhere, even if you didn't have money. The trick was finding out where to go. Over those years, we ran up medical debt at times, yes, but nowhere near the amount we would have paid in health insurance premiums. (Which really shouldn't be a surprise. Basic math, there. We were in a low-risk group.) We had several kids, dental operations, gall bladders removed, vaccinations, ENT surgery -- all kinds of things. And everybody got all the medical attention they needed.
It was simply risk management. Yes, things could have turned out differently and we could have ended up hundreds of thousands in debt. But the numbers were on our side. We made the decision just like the insurance companies do -- based on demographic risk. And if you're not making much money you can really only owe so much anyway. After 20 thousand or so, it might as well be 20 million -- you're never going to be able to pay it back. And if you owed 20 million, you'd still be alive and kicking and able to do all the things you love. That beats the alternative. Our downside was limited by the practicalities of medical debt collection.
It was a good decision, and I'd make it again.
Sorry for the digression. The point in telling the story was that even if you don't have insurance, working in a startup, slaving over the product 80 hours a week, fresh on a team, meeting with VCs -- none of that matters. All those other stresses in your life are silly by comparison. Learn to recognize when you're really sick and then immediately get help.
It's utterly incomprehensible to me that the United States still hasn't gotten on board with universal health care (the tortured Obamacare plan notwithstanding).
Plus, I think it was Thomas Jefferson that pointed out: Any government powerful enough to give you everything you want is powerful enough to take away everything you have. If we let the government think they have control over who gets healthy and who dies, and who has to pay so other people don't die, I don't see that ending well.
You can measure stuff like that, and "it turns out" (to use a celebrated phrase) that even countries like Italy (which does have problems of corruption and being not very effective in terms of the government) can provide care to everyone for a lower price than in the US, in terms of a percentage of GDP. You do have to wait for some stuff, but seeing a doctor is not one of them.
My experience in Austria was that it was even better than Italy at providing pretty good care quickly, cheaply, and to pretty much everyone.
The system isn't perfect, obviously, but it is quite efficient at allocating money to actual health care rather than administrative overhead. Whole categories of business expenses (including, ahem, profits) just go away.
On the other hand, Britain has a fully nationalized system in which doctors are public employees, and their system is even more efficient than the Canadian system. In fact, across OECD countries, the overall efficiency of the health care system seems to be positively correlated with the extent to which the government directly controls it.
In the US, the public parts of the health care system are overall much more efficient at allocating resources to care than the private parts.
Sidenote: I will pause here to draw a distinction between allocative efficiency, or the extent to which a system allocates capital where it will maximize ROI, and what we might call outcome efficiency, or the extent to which a system allocates resources where they will maximize effectiveness.
Market based systems are better at allocative efficiency, but the evidence is that they are much worse at outcome efficiency. Market-based health care is great business, but it leaves far too many people under- and uninsured. This is because the principal economic imperative for a for-profit insurer is to collect premiums but not pay out benefits.
Insurance is necessary and useful for catastrophic events like the OP's. By contrast, for routine, predictable health care expenditures, insurance spreads the cost among policyholders / taxpayers to the extent that there is no conception of the actual cost of care. It's like having insurance to put gas in your car, or to pay your utility bill. Every time the money changes hands, you can bet the insurance company takes it's share.
This model will allow (or even cause) drug companies and hospitals to keep costs high to protect reimbursements, all via back-room deals with huge insurance companies. Expensive, government-mandated (or provided) insurance coverage for routine health expenditures will get in between doctors and patients and will drain employers and taxpayers while the insurance companies get richer.
But doing risk management with your family health is something I would call irresponsible.
Insurance are needed to cover the worst case. You can do such risk management with the car, house, whatever, but really not for health care.
Our insurance plan is not cheap, (we live in Hawaii and pay about $500/month each) but its essential. You worry about so many things when choosing the startup life, your health shouldn't be another thing on your mind.
Grab the bull by the horns, deal with it, and you'll almost always come out better.
Pain is a warning sign that something is wrong. Even something dull that lasts a long time is not good. Get it checked by a doctor.
Pain is a message. A serious message. Don't make it go away, FIX THE PROBLEM. Only take painkillers when you KNOW what the problem is AND ARE FIXING IT.
After gallbladder removal, they gave me a big bottle of Vicodin and sent me home. Figuring that much of that strong stuff meant I should expect pain, I took it. Other indicators later I went back to the ER, realizing the pain was telling me something was very wrong. They didn't let me eat for two weeks waiting for the problem to heal.
I think it's better if I reach YC people privately about it.
Have there been any essays out there comparing being an entrepreneur with and without a SO? I'd love to read them.
Apparently my pancreas had not been particularly useful for a few months, as they thought I had diabetes (untrue) based on my A1C. Ended up spending 7 of the following 8 weeks either hospitalized or in my bed with a feeding tube in. Fun stuff (note: sarcasm).
Anyway, I waited so long to see a doctor because running a business takes all of your time. If I'd been an employee, wouldn't have even questioned taking a day off to go see one. So meh, have to learn to do better / realize I'm still a person.
I think this case is the most extreme where it is directly about one's health and is very critical. You have to be alive and kicking to do what you want.
However what about the more grey areas like a loved one being sick, not getting time to see your child grow up, or even pushing the possibility of having a child or marriage - these are as irreversible. Just that these are a sacrifice of a feeling vs sacrifice of self. But you never know if the feelings are bigger than self.
Health first, guys.
Pain is bad.
Yes, that is right, your body is trying to tell you that something is wrong. Taking pain meds does not fix anything. Ignore it at your own peril, because it is hard to found the next social media empire when you are dead.
Business idea looks good though - I think you're onto something.
Great post. Thanks for reminding me of such a serious(ly overlooked) issue.
For those of you in San Francisco or New York, I highly recommend One Medical - you can make same day appointments and they are super efficient and timely. It's a beacon of sanity in the absurdity of American medicine.
COUNT RUGEN
Ah. Are you coming down into the pit? Westley's got his strength back. I'm
starting him on the machine tonight.
PRINCE HUMPERDINCK
(sincerely)
Tyrone, you know how much I love watching you work, but I've got my country's
500th anniversary to plan, my wedding to arrange, my wife to murder, and
Guilder to frame for it. I'm swamped!
COUNT RUGEN
Get some rest. If you haven't got your health, then you haven't got anything.One of your major responsibilities is to your cofounders; it has been said many times that starting a start-up is like being married to your cofounders. We wouldn't hesitate to condemn a husband who was so negligent towards his own health that he left a widow with unpaid bills behind; under that same logic, no one who makes an idol out of, as you call it, "the all out pursuit for your dream" and is negligent towards their health can be considered a responsible teammate/businessman.