@jon-nyc said in Lithotripsy:
George - what happens to the calcium bits that get dislodged? Filtered in the kidneys? Any risk of large pieces doing damage either at the kidney or along the way?
In the case of arterial disease, the embolization of calcium is insignificant in obstruction of blood flow, according to the folks that are promoting this. The "pieces" are small enough to not be of concern.
In the case of urologic ESWL, there are standards for how things should be handled. If a stone is >2 cm in size, a ureteral stent (a tube that goes from renal pelvis to bladder) should be inserted to allow fragments of the stone to pass down the ureter while urine flow is unobstructed due to the stent.
Tsar Vladimir could have awarded or marketed Putin Bibles but instead chose initialed crosses so not to appear a copycat of the banal. As a Russian he had to make it ostentatious yet solemn. He knew very well that macho Russian men covet gaudy bling. Especially when the bling can be linked to some sort of superstitious cult.
Maybe Ms. Washington was just following policy, written or unwritten.
Regardless, the allegations are true and apparently, systemic. Of course, while these disaster victims are American citizens, they are Tier 2 citizens, being MAGATs and living in a red state.
I've still got NYT at $4 a month. If I could get the other two for a similar amount I would just for the reading material.
I'd never give the Cincinnati Enquirer any money. Just another formulaic Gannett rag. Too bad. used to be a fine paper.
@Jolly said in Last night at prayer meeting...:
This nation has had more than one leader who behaved badly. I think the root cause does not reside in D.C. or in a state's capitol.
Yes, but you didnt hear about it, or they were "smart" enough to keep it in private.
I think that things get "normalized" if we see public figures doing it, especially our "leaders".
I do agree however, that there is defnitely alot more for the reasons why this is happening.
@Doctor-Phibes said in Why Cant Tax Be Included?:
I do wonder whether leaving the sales tax out of the price has the effect of keeping the rates relatively low,
I was thinking the opposite. LOL
If there were too towns next to each other, and one price was 5% higher because of taxes, and the town lost business to the next town, maybe that would be incentive for them to lower their local taxes.