I work with complicated patients with marked decrease in Pulmonary function due to neuromuscular disease. Many times it is necessary to have Gastrostomy tubes inserted either endoscopically or via intereventional radiology. There procedures can be painful and we need to avoid opioid or sedative medications so we don’t impair their respiratory drive. Can you suggest non opioid perioperative management for this group of patients.Thank you for this excellent blog.

9:06 PM "seem to be having issues with everyone?"No, not with everyone, just those that use insults to make their case, rather good ol' fashion logic.And those that are quick to find fault without having a modicum of a solution to back up their carping.

Thanks for an unbelievable submit, would study your particular others reviews. thank you your thinking within this, I experienced a bit struck by this post. Many thanks again! You commit a great point. Portrays natures best by the great info here. I feel that when a greater number thought about it like that, they’d possess a better time frame get the grasp ofing the situation.

I am often to blogging and i really appreciate your content. The article has really peaks my interest. I am going to bookmark your site and keep checking for new information.

, which established the basis for Israeli-Palestinian peace talks, by declaring any West Bank land that Israel wants to retain as “military” and “security zones.” Addressing potential US opposition to Israeli expansionism, Netanyahu says, “I know what America is. America is a thing you can move very easily, move it in the right direction. They won’t get in the way.”

Bara ren avundsjuka! Hemska människor det finns,försök skaka av dig det och gå vidare,låt dom inte få förstöra din fina blogg.Du sprider så mycket glädje.Kram Cissi

Phenomenal breakdown of the topic, you should write for me too!

That's a well-thought-out answer to a challenging question

John(20:Interesting response, somewhat well reasoned. I just cannot figure you out. You remind me of Otter from Animal House. Nice enough of a person just got beat up a lot by the seniors when you pledged as a freshman cause you were so obnoxious.

Não tem presente de aniversário melhor do que este, ainda nao estou acreditando que eu vou ver o amor da minha vida de perto cara...meu Deus esperei tanto pra isso, estou sem palavras..Obrigada raisinha pela a informação inéditaamo vcs.Bjs Priscilla Temperini - RJ

Hello!

Hello!

Hello!

Hello!

These are some nice features that were needed by usual people. Now they are going to be public, seems as if wordpress is going to present some surprise in near future..:)

I actually found this more entertaining than James Joyce.

I came, I read this article, I conquered.

Stats -Thanks for the response. I think I understand what you’re trying to get at, but having re-read your original post and Glen Garry’s response (and your responses) I still think you’re referring to THE risk-free rate as if there’s no time or “term” premium related to the length of the loan.So, for counter-example, while banks may currently be paying approximately 0% on deposits, while lending out at 3% (overnight in the repo markets) I don’t see them offering 30-year loans at 3%.

Yeah, that’s the problem with graphics. You always look back and say “I remember that looking better…” Well, except for Sprites, because that is an art form and the new stuff looks as good as the old stuff.

· Thank you. It’s been one of those weeks [am I wasting time with this whole thing? why do I feel the need to do this?] and this beautifully written post helped put everything back into perspective; helped make everything fun again.