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Chris M. Shoffner Sep 5
Replying to @Atul_Gawande @C4AHC
ERISA demands plan sponsor act as "a prudent expert" in managing the plan, on behalf of beneficiaries. Every employer has failed in this duty, just a matter of time until employers, brokers and carriers are sued for this breach. Never could this type of theft happen in 401k plans
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External otitis: Fungal

History:
This is a 60 year old gentleman who presents with itching in his ear and decreased hearing. He has problems with cerumen and frequently has his ear irrigated. After the last irrigation, one month ago, he noticed weeping and drainage from his ear. Now the plugging and severe pruritis are his chief complaints.

Examination:
The canal is completely filled with a whitish debris. This can be wet or sometimes dry and airy. It has the appearance of mold.

^ Click on the arrow to view the video


History:
The above set of pictures are from a patient that had chronic ear drainage for many years. She has a candida infection with chronic itching.

Information: Fungus is frequently the cause of inflammatory external otitis.Fungal infection: An infection in which fungi grow in the canal causing superficial redness of the bony canal wall skin with musty smelling exudate and powdery appearing debris (fungal mycelia). Moisture and immunosuppresion increase the incidence of this otitis.
Commonly due to the Aspergillus species, a saprophytic fungus that forms a grayish (Aspergillus fumigatus) blotting paper membrane covered with black spores (Aspergillus niger). May also appear white (Candida albicans) or yellow (Aspergillus flavus). Upon suction removal the underlying tympanic membrane appears injected, edematous, and denuded of epithelium. Adequate suctioning of the ear canal is necessary for therapy and prevention. Topical antifungal drops, acidifying drops, or antifungal powders are frequently used. This condition becomes chronic if not completely treated.

Angelique M. Russell Sep 6
Replying to @Atul_Gawande @C4AHC
Some employers offer clinics for employees. Similarly: I would love to see you partner w/innovative providers to re-open a rural healthcare campus and model it around affordable care. Then disseminate the affordable care model across providers nationwide. Not easy but possible.
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In his message of December, 1846, it seems to have occurred to him, as is certainly true, that title- ownership-to soil or anything else is not a simple fact, but is a conclusion following on one or more simple facts; and that it was incumbent upon him to present the facts from which he concluded the soil was ours on which the first blood of the war was shed. The karuppu kuda song free download mp3 was darkened by the heavy rain whose oblique descent driven aslant by the rush of the winds, flew in drifts through the air not otherwise than as we see dust, varied only by the straight lines of the heavy drops of falling water. Miller of New Jersey is reported to have interrupted him as follows, to wit: Mr.

In his message of December, 1846, it seems to have occurred to him, as is certainly true, that title- ownership-to soil or anything else is not a simple fact, but is a conclusion following on one or more simple facts; and that it was incumbent upon him to present the facts from which he concluded the soil was ours on which the first blood of the war was shed. The karuppu kuda song free download mp3 was darkened by the heavy rain whose oblique descent driven aslant by the rush of the winds, flew in drifts through the air not otherwise than as we see dust, varied only by the straight lines of the heavy drops of falling water. Miller of New Jersey is reported to have interrupted him as follows, to wit: Mr.


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