refill) improved progressively over the next few days. The K wires and plaster slab were removed after three weeks and a removable splint was applied. An intensive physiotherapy program was started. After 8 weeks the splint was discarded. At the end of one year there was a gross deficit in opposition with a moderate deficit in adduction which was most probably a result attributed to soft tissue scarring involving the thenar muscles. However abduction and extension were only slightly impaired. Despite these deficits, the patient was quite satisfied with the outcome as this was the non dominant hand.

![**Photographs of the case showing a burst open injury of the thenar aspect of palm**. The trapezium is split apart sagitally into two halves which are also dislocated from the articularAloof, shifty Obama: Nixon times ten thousand! Our evil president managed to both mastermind the IRS flap and be such a bad boss that no one told him about it

According to Jay Carney, everyone in the White House knew about the big IRS scandal for a few weeks before it went public. Everyone except the president because this whole month has been a season-long plot arc on HBO's "Veep." (Speaking of, where's Joe Biden been lately?) Everyone was afraid to tell their boss about this dumb thing the IRS did, and then he learned about it on the news, and now he is probably super pissed.

Clearly Obama is a horrible boss, and the White House is a toxic work environment, probably, where people are afraid to report bad