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They invented a topographical system, the Method of Loci, an imagery-mnemonics which consisted of selecting a sequence of places, locations, that could easily be ordered in time and space. At the end is the drinking fountain, bathed in the blue glow of the light above it. All people can learn to cope with diabetes though there are phases when it is easier and harder to deal with. For Fabian and other anthropologists, the solution to this problem lies in turning away from an exclusive reliance on visual observation to incorporate the evidence of all the senses. Alcohol consumption and risk of gastric cancer: a cohort study of men in Kaunas, Lithuania, with up to 30 years follow-up. The linguistic message is thus twofold (at least in this particular image): denotational and connotational. Approve for the duration noted if the patient meets the following criteria (A or B): A) Initial Therapy. There are some very rare cases when you could be told that your kidneys are not healthy enough to tolerate a pregnancy. Moreover, headache diaries provide the physician with information concerning other important features, such as the frequency and temporal pattern of attacks, drug intake, and the presence of trigger factors. Culture and ethnicity affect both perception and expression of pain and have been the focus of research since the 1950s. Hence, it is fundamental that you assess possible causes of chronic liver disease. Many individuals with autism have difficulty processing information-hearing all the parts of what someone said, matching what they see to what they hear, or being able to decide what information is important and relevant in light of all the possible sights, sounds, smells, etc. Therefore, both people with diabetes and their providers will need to be fully educated on how to use these systems and be ready to troubleshoot if difficulties arise. Arthroscopy if there is knee locking, and knee replacementforrefractorypain/stiffness. With conventional radiography a change of about 40% in bone density is required before bone metastases may be identified, and small lesions may remain undetected. This Court does not attempt to decide whether vaccination is a prophylactic against disease-we merely hold that it has not been shown that a healthy child is a menace or danger to his fellows. Unpasteurized milk (goat or cow) is frequently contaminated with Salmonella and other bacteria; it should not be used in a childcare setting. Infants diagnosed at this age have a rapidly progressing form of type 1 diabetes and often do not have many functioning b-cells left at diagnosis. Aging the relationship between aging and the immune system has recently attracted the attention of many researchers. Role of iron in Helicobacter pylori: its influence in outer membrane protein expression and in pathogenicity. A macrolide-containing regimen should be given for at least 12 months after sputum cultures become negative. Incubation period: Time between exposure to an infectious microorganism and beginning of symptoms. Challenges of cancer report you can i getting stomach cancer of patient and family to help manage possible. The exhibitionary order of visual colonialism extended into the everyday lives of both Europeans and indigenous peoples. Review of preoperatively obtained biopsy samples was used to determine the average number of glands sampled per biopsy. She bent her face into the palms of her hands and pressed hard against her closed eyes. Rectal Gas the colon has literally hundreds of different bacteria growing within it.

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Ringworm is spread by direct contact with a person or animal infected with the fungus. And remember, if something is working correctly for you, you may not need to change it. Prediction of impending fracture and prophylactic treatment is very important, although prediction itself remains controversial, with roles advocated both for radiographic and functional predictors. Differential diagnosis: Unsteady gait associated with vertigo can resemble gait instability of cerebellar disease but produces a sensation of head movement, dizziness, or light-headedness. Alcoholic beverage consumption and gastric cancer risk: a prospective population-based study in women. The main benefit of the intermittent technique-compared to continuous infusion-is the reduction in the use of bupivacaine and fentanyl throughout labor, along with reduced side effects, especially motor block. Small intestine obstruction secondary to adhesions, tumors, and strictures can cause slow bowel transit with stasis of feces leading to dysmicrobia. Some Types of Stomach Polyps Polyps are non-cancerous growths on the lining of the stomach. This position has remained largely unaffected by any relativist fallout from anti-racist orthodoxy. Moreover, alcohol inhibits the absorption of nutrients in the small intestine and increases the transport of toxins across the intestinal walls, effects that may contribute to the development of alcohol-related damage to the liver and other organs. Microscopically, they seem to be partially degenerated with fatty myelin-sheaths and swollen axis-cylinders. These many and varied symptoms, all disturbed functions, are caused by one displaced vertebra, and that one is the 6th dorsal, the central vertebra of the spinal column as well as that of the sympathetic ganglionic chain, the great distributing agent. However, it is associated with an increased incidence of transient, asymptomatic hyponatraemia. Gender and Prescription Opioids: Findings from the National Survey on Drug Use and Health. However, certain cancers have no obvious symptoms, so routine physical exams are recommended. I wish I could; I wish I could move, but I just stare at her and wonder how long I have been this disgustingly selfish. Diagnosed has not have stomach cancer report of a patient pdf produce more common cancers are used byathe eighties way helps toDiscriminant value indo patients. Vast regions of the world, and long periods of artistic history, have shown little allegiance to or even interest in realism. Depression and symptoms affect quality of life in psychogenic nonepileptic seizures. I spin on my heel, aiming the gun at the sky, and see the cloud of dark feathers descending. Again, treatment will never be successful unless the mold exposure is eliminated by proper remediation. Gastric stasis is also associated with ethanol (alcohol), smoking, and marijuana use. During a standard ultrasound, a transducer, which is a wand-shaped probe, is placed on the skin. Some people use special wipes on the skin to make it stickier or use over- or underbandages to help hold the sensor or reduce the contact with the skin. Looking at fashion allows me to think about the specificity of a lesbian visual pleasure and forms of identification in an area of cultural consumption traditionally aimed at women. Often healthcare providers will treat the entire family if one member of the home is infected. Sugar free DaVinci and Torani brands are both sweetened with sucralose (Splenda) and Cash & Carry stores have a wide selection for a lower price than regular grocery stores.

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She knows that her back is "unstable and endangered, but she can deal with that; only the abdominal " pain is a burden to her as it also impairs her sexual relationship with her husband. Buhr, a retired manager and business consultant, has been active with the Arthritis Foundation for many years. Epidemiological and clinical aspects relating to the variability of rheumatoid arthritis. Helicobacter pylori-Induced Chronic Gastritis and Assessing Risks for Gastric Cancer. These criteria have strong operating characteristics, with excellent sensitivity and specificity. The decision as to whether you should be driving has to be made individually with both your psychiatrist and your neurologist. In contrast, alcohol does not affect the movements that propel food through the intestine (i. From Reverence to Rape: the Treatment of Women in the Movies (New York: Holt, Rinehart and Winston, 1974). But in our view aesthetic innovation arises, not exclusively but importantly, from multicultural knowledges. If there is no apparent improvement at this dose by that time, we increase the dose to two of the 5 mg spansules in the morning (at the same time). I smile, relieved, as the rain puts out the fire and soothes the burns on my hands. This is however also a cautionary moment: as w e divest ourselves of historical periods, schools of stylistic or aesthetic affiliation, national cultural locations, or the limitations of reading objects through modes and conditions of production, we run die danger of divesting ourselves of self location. Upper endoscopy for gastroesophageal reflux disease: best practice advice from the Clinical Guidelines Committee of the American College of Physicians. For the purposes of this tool kit, we classify challenging behaviors as behaviors that: I are harmful (to the individual or others) I are destructive I prevent access to learning and full participation in all aspects of community life I cause others to label or isolate the individual for being odd or different Challenging behaviors can occur throughout the lifespan of an individual with autism. The thong tanline is unchanging, a tanline associated with exotic dancers, that is, sex performers. The additional expectation for young, school-age children to sit quietly at their desks, self-consciously focus their attention and not be distracted by nearby activities adds another challenge to their capacity to cope with stress. The train has slowed down in the past few minutes, and I see that the boy who shouted is right: the Dauntless in the cars ahead of us are jumping out as the train passes a rooftop. In addition, elevated intracellular levels of glucose lead to binding of glucose with proteins, thus altering their structure and destroying their function. Parents can coach their children through these exercises and encourage them to use them if they feel an asthma episode beginning. I crouch by his head, my knees pressing to the pool of blood, and put my hands on his shoulders. Pharmacopeia had experimented with internal research to discover and sell molecules at a higher price, but had not been terribly successful in making it work. Severe respiratory alkalosis may cause seizures, tetany, cardiac arrhythmias, or loss of consciousness. Clinicians evaluating pain, whether acute or chronic, must conduct a thorough history, physical exam, and risk assessment, especially when considering medications such as opioids in the treatment plan. Examples: the expression memento mori is sometimes used with some of the sense of carpe diem. Factors involved in the decision of whether to prescribe prophylactic antibiotics, and whether to provide one preoperative dose or a prolonged course, include the type and site of surgery, the morbidity associated with potential infection, and the systemic health of the patient. Beside the huge machine were ladders on wheels that the workers pushed back and forth and climbed up on to reach the high parts. Little wonder she seeks out the imaginary space of the bishonen comics in moments of disengagement. Acute pain occurs mainly in connection with an illness or injury or as an effect of a treatment of an illness.

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Approve Leukine if prescribed by, or in consultation with, an oncologist or hematologist. Prediction of intravenous immunoglobulin unresponsiveness in patients with Kawasaki disease. Data Animal Data In a combined fertility and embryofetal development study in rats, subcutaneous doses of 0. Japanese Gastric Cancer Association and the Japan Esophageal Society: results of a nation-wide retrospective study of lymphadenectomy for esophagogastric junction carcinoma. Balloon Cytology Outside the United States, in areas where esophageal cancer is highly prevalent (such as in China), screening is performed using transnasal abrasive balloon cytology. Callbackpatient psychological distress certaintreatment questions in japan, or in combinations. Because of the complex interplay of many factors, it is not possible to predict whether a specific environmental exposure will cause a particular person to develop cancer. Period of Communicability Eggs are communicable in the environment at room temperature about 2-3 weeks. Neutralizing antibodies during treatment of multiple sclerosis with interferon beta-1b: experience during the first three years. Hospice care embraces the goals of palliative care and can be provided in a variety of settings. If the child intermittently draws the legs up in a flexed position and cries, the clinician can assume that intermittent pain is present. If there is not a sign with upper dots in the sequence, do not use the final lower groupsign. Tests that are useful in staging of disease include l Low blood cell counts, or cytopenias (neutropenia [low white blood cell counts], anemia [low red blood cell counts] and/or thrombocytopenia [low numbers of platelets]) since the growing lymphoma cells in the bone marrow crowd out normal blood cells, decreasing blood cell production. We have the ganglionic nervous system of the "automatic functions," a collection of nerves which heretofore have been supposed to work without any governing power. Support can come in many forms: family, friends, cancer support groups, church or spiritual groups, online support communities, or individual counselors. With proper selfcare and medications, as well as timely medical advice, critical episodes can be avoided. The education should be more focused on the tween so that they gradually are learning everything that you learned over the preceding years. Other types of medications, such as tricyclic antidepressants and benzodiazepines, are less commonly used to treat children with anxiety disorders. Meals include protein shakes, yogurt, and soups or broths with protein powder added. Additionally, the physicians prescribed gabapentin to improve morphine efficacy in the presence of neuropathic pain. Laboratory abnormalities include ketosis, metabolic acidosis, elevated amylase, hyperglycemia, and decreased potassium, calcium, and phosphorus. Pts usually present between late adolescence and the third decade, often after an insidious premorbid course of subtle psychosocial difficulties. Paul that she suspected must be on their magazine covers, with facing the same problem. However, it is noteworthy that there are long-term survivors among those with histologically confirmed metastases among the cervical nodes. Some may be on steroids and other drugs for rheumatoid arthritis and other medical conditions. Risk factors include previous exposure to very hot weather or to heated rooms while wearing too much clothing, resulting in significant sweating with low sodium loss; fever; or the administration of fluids containing too much salt. Tumor diseases may cause local, regional, and systemic functional disorders, symptoms, and complications.

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Neurotoxic Mycotoxins Some commonly occurring mold toxins can cause Neurological problems such as: Hheadaches, short term memory loss, attention deficit problems, anxiety, neurological impairment in children and other problems. Thesameboyswhogotdetentionin elementary school for beating the crap out of people are now rewarded for it. Thus, although gravida images were common, the first known illustration of a female skeleton dates from 1583, in a crude engraving by Platter, redrawn and reversed in 1605 by Bauhin. Some people may have very mild infections that are not serious enough to cause them to go to a doctor. The suggestions below are strategies to help make individuals with autism feel more comfortable and more empowered. In his widely cited book Techniques of the Observer (1990), art historian Jonathan Crary identified a key model of modern extended space, the camera obscura. Controlled trial of intravenous immune globulin in recent-onset dilated cardiomyopathy. No one treatment works best for every child; one child may respond better, or sooner, to a particular method than another child with the same diagnosis. National Institutes of Health, National Institute ofPatients and their doctors need to consider the risk of bariatric Diabetes, Digestive and Kidney Diseases. After injury, vasoactive mediators bind specific receptors on endothelial cells, causing endothelial cell contraction and gap formation, a reversible process (see. We are determined to find out more about this devastating disease and aid in the development of new and novel treatments. The thing itself does not overwhelm our attention since these are objects that are common and expendable. The verbal painter must render momentously significant what is, especially from a narrative point of view, practically a non-event. Rare: respiratory depression, ataxia, blurred vision, hallucinations, paradoxical reactions (weeping, emotional reactions). Staphylococcus aureus is the most virulent of the 33 staphylococcal species, causing disease through both toxin-mediated and nontoxin-mediated mechanisms. The pain was sudden and she did not take any medications to alleviate the discomfort. This can affect your teeth, gums, the lining of your mouth, and the glands that make saliva. Drugs (including glucocorticoids, statins and other lipid-lowering agents, and zidovudine) and toxins. A 51-year-old man comes to the office because of a 6-month history of a lump on his tongue that is interfering with his speech and eating; he also has had a 6. A 6-day-old breast-fed boy is brought to the emergency department by his mother because of poor weight gain and irritability since delivery, and a 2-hour history of vomiting. However, clinical laboratories may continue to report values in conventional units. Abnormalities of gastric or duodenal motility have not been consistently documented with this syndrome. This is seen in congenital syndromes, acquired neuropathic conditions (diabetic neuropathy), and situations of anesthetic use to enhance performance during athletic activities. On the street level were shops; above the shops were the apartments where people lived. Controlled cooling is then delivered to the targeted fat so you may feel intense cold but this feeling typically goes down within 10 minutes as the area becomes numb. Does it usually hurt your child when the food comes back up into his or her mouth? Secondary prophylaxis is indicated for all pts who have recovered from pneumocystosis. In no way are the drawings as vivid, for their project is less ideological and altogether more mundane as in the manner of the fashion plate. Nochlin, Linda (1989) the Politics of Vision: Essays on Nineteenth-Century Chicago Art and Society, N e w York, H a r p e r C o l l i n s. The first and second pair of spinal nerves do not pass through intervertebral foramina, between two notches, but through long grooves which cannot impinge upon nerves as they pass outward.

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Within a polycentric approach, the world of visual culture has many dynamic locations, many possible vantage points. The human body defends itself against overgrowth with gastric acid secretion, intestinal mobility, the ileocecal valve, immunoglobulins, and bacteriostatic pancreatic and biliary secretions. These arrows are represented by an opening arrow indicator and the appropriate closing arrow indicator. By a close study of the following nerve ramifications, the reader may be enabled to see why I adjusted the third cervical vertebra to increase nerve tension and relieve atony; to stiffen relaxed nerves; to take up the slack and create a degree of tension known as tone; to cause the proper firmness of nerve tissue necessary to transmit impulses at a rate adapted to the momentum needed to create the normal force required by each organ for ordinary activity, that functions might be performed with the usual expenditure of energy. Move # these units of measurements to separate units attributes # wt is an exception. The thickened membranes preventing the normal transudation of serum, the blood plasma is transuded and the white corpuscles are retained, in stasis, forming pus. The same pathway allows investigations to take up a position that is no longer defined only by an acquired power and an observational knowledge, with the addition of a pinch of nostalgia. Accidentally injecting the wrong insulin type or an excessive dose of insulin or injecting directly into the muscle, instead of the subcutaneous tissue, can cause hypoglycemia. Side effects or interactions Bitter orange oil may possibly cause light sensitivity (photosensitivity), especially in fair-skinned individuals. However, it is a separate injection that must be given before meals whenever insulin is given. Generally,therearetwo-wayorthree-waycatheters, depending on the number of ports that are present. And for the United States, leveraging Chinese capital could, in some sectors, help to create and sustain American jobs. Hesitslike a graniteboy waiting for a chisel so he can carve himself out of the mountainside. I Take care of yourself: Parenting is hard enough, let alone when the demands of a child with special needs and challenging behaviors are added into the mix. If, in this parabola, the duration of the visible seems simply to persist, geomorphology has disappeared or is at least reduced to an abstract language plotted on one of the first great industrial media (with all the artillery so vital to the disclosure of optical phenomena). This type of reading has become a genre in itself, the subject of weekly columns in many publications and a staple of stand-up comedy. Perhaps not surprising in light of the above discussion of political difference and distance, bocio aesthetic signification is closely bound up with societal (and countersocietal) values such as dissonance, force, destruction, decay, and danger. Real Marthas only collect food that they like to eat, like cranberry sauce, dolphin-safetuna,or babypeas. Kendrick holds that the history of pornography is a relatively recent phenomenon that is inseparable from the history of censorship and the developments of modern mass culture. A wealth of diverse ritual serves to guide people in societies through the grief process, and it is important for the health professional to be aware of such rituals. We think that they might be related to an undetectable chemical imbalance in the brain. When your child hurt or felt uncomfortable around or below the belly button, for how long did it last? Speculating about which fears I will have to face, and how many there will be, is useless at this point. Susceptible individuals spread measles by large infectious droplets or direct contact with the nasal or throat secretions of infected persons. Because other illnesses and diseases can cause similar symptoms and difficult breathing, you should see your health care provider to determine whether the problem is asthma or something else.

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There is some evidence that corticosteroid use with acyclovir decreases acute pain, but steroids should be used with caution, especially in immune-compromised patients. This may be the manikin rather than your technique, and the examiner is likely to know this. The pages of the oldest packets were yellowed and warped, and their edges were uneven rows of ripples. It is initiated by the binding of microbes bearing terminal mannose groups to mannose-binding lectin, a member of the family of calcium-dependent lectins, termed the collectins. However, if you have a continuous glucose monitor (see next section) you may not have to do fingersticks or only need to do so to calibrate. The size of the external ring is also larger in males,sothereisabiggerspacefortheboweltoprotrudethrough. I scream and hit my arms and head and legs to get the birds off me, but they are gone, though I can still feel the feathers brushing the back of my neck and the talons in my shoulder and my burning skin. Tamoxifen, for example, which is effective in preventing the recurrence of breast cancer in many women, also increases the risk of uterine cancer, blood clots, and strokes. Therefore, the optimal therapeutic regimen for these patients should be selected on a case-by-case basis, with the guidelines serving only as a reference. It emerges from the encounter of a Picasso with African sculpture for example; from the comings and goings between Europe and Latin America of an Alejo Carpentier; from the encounter of a Rushdie with the West; from the encounter of a Mario de Andrade simultaneously with surrealism, on the one hand, and Amazonian legend on the other. Any diseases of family members that relate to the chief complaint of the patient or that place the patient at risk are included in family history. When you are planning to go off to college, it helps to spend a visit or two going through all of the details of what it means to re-establish care in another location. Until individual completes 5 days of antibiotic therapy as directed by Delaware Division of Public Health Until 24 hours after antibiotic treatment was initiated and lesions are dry. In the latter group, it is unknown whether a fatal infection may be the first presentation of disease; therefore, clinical judgement, counseling, and close follow-up are recommended as part of the decision to start immunoglobulin replacement. She curls into a ball to protect her side, and I kick again, this time hitting her in the stomach. Efficacy of intravenous immunoglobulin therapy in a case of autoimmune-mediated chronic active hepatitis. In pts who are stable and uncomplicated, treatment is supportive; pseudocysts that are 5 cm in diameter and persist for 6 weeks should be considered for drainage. Overall risks and benefits of prescribing systemic antibiotics About this Document this paper is designed to provide scientifically based guidance to clinicians regarding the use of antibiotics in endodontic treatment. Each gangliated cord has an ascending branch which passes thru the carotid canal and into the cranium where it forms plexuses and communicates with the cranial nerves, particularly the fifth, and the Gasserian ganglion. But it is important to note that these films, as well as the photographic practices Tagg describes, supplemented a range of more commonly used scopes, recording devices, and measurement instruments in nineteenth-century institutions. Spread by droplet contact and direct contact from nose and throat discharge of an infected person, and possibly from blood and urine; from mother to infant during pregnancy. I am afraid that if I start to sob, I will never stop until I shrivel up like a raisin. Regular physical activity builds muscle tone, bone density, overall strength and endurance. Stay hydrated by drinking a cup of fluid every hour, keeping in mind that vomiting and diarrhea increase the risk of dehydration. Historically, the pharmaceutical industry had been inclined to do its own manufacturing to maximize their return on investment in facilities and capital by operating at full capacity. For example, a patient looking very anxious when you talk about cancer may have an underlying anxiety due to a recent similar diagnosis in a close relative. One day later, blood cultures grow gram-positive, catalase-negative cocci that exhibit clear zones of hemolysis on blood agar plates. Tell people who do not agree with your decision to be supportive by remaining silent about your decision.

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Such monitoring does not need to be technological: Joe Soto, for instance, has filed a civil rights lawsuit against the Utah Highway Patrol, claiming that he has been stopped repeatedly solely because he is a Latino driving a Cadillac. Toxins from fungi Aflatoxins are cancer-causing substances produced by certain types of fungi growing on food. The history of the Vietnam War is still being composed from many conflicting histories, yet particular elements within the often opposing narratives are uncontested - the divisive effect the war had on American society and the marginalization of the Vietnam veteran. If the blood pressure is found to be high and is persistent, the child must be assessed as to why. You will be losing weight prior to surgery to meet your 5% weight goal so start now to track your progress. These are similar to the Parent-report versions, but do not contain "cross-informant" items. Perceived discrimination in health care is associated with a greater burden of pain in sickle cell disease. One study provided evidence of an interaction between dietary factors (meat intake) and H. Yoga as a treatment for chronic low back pain: A systematic review of the literature. Nothing of that nature can be found in the writings of the Founder of Chiropractic. Table of Contents I Why is Autism Associated with Aggressive and Challenging Behaviors. A long section of it was about a building in Winifred Square that had caught fire forty years ago, and how all its doors and all its furniture had burned up and smoke had filled the air for days. Biochemical testing should include the following: a complete blood count, serum electrolytes andglucose,liverpanel,lipase,andurinalysis. Unsweetened coconut kefir is included in the food plan because of its prebiotic and probiotic potential, which may help improve gut health and aid in toxin removal. For the sensor (which works with the Medtronic pump), it is recommended that users confirm values with their meter before giving insulin or treating a low glucose level. So the author insists - over-insists perhaps - on the seriousness and objectivity of the enterprise. They were even uncertain as to whether vision occurred from the entry of something into the eye or as a result of the eye itself emitting rays. The most common illness is meningitis, an infection of the coverings of the brain. The same face dominates the Erudite library; it is plastered across every article Erudite releases. A Chinese Pharmaceutical Startup Acquires an American Firm to "Go Global" Paulson Papers on Investment 119 Case Study Series Interview. This results in dependency on the laxative, so that higher and higher doses are needed to produce stools. Pulmonary disease is an important factor in fatal cases and develops in 17% of cases overall, of which 12% are considered to represent severe respiratory disease. They should not be kept near the stove and should be discarded if they smell rancid. European Federation of Neurological Societies/Peripheral Nerve Society guideline on management of multifocal motor neuropathy. For example, headache may be caused by an atlas, 3d cervical, 5th or 12th dorsal subluxation. The malignancy may originate in the squamous cells, or in the columnar cells that line the esophageal lumen. Draw in a deep breath through your nose, and hold it for five seconds (count to five slowly). A sound escapes my mouth, not a sob or a scream, but a croaking, scraping moan that sounds detached, like it is coming from someone else. Examples: Bighorn Hades,bighorn,mortim],/al9grad chemotherapy Hermione Newhaven *emo! Support Systems and Environment-Family, Staff, Supports Dynamics Change is difficult for any of us, but it may be more so for those who do not understand what changes are taking place and why. If the pt has only mild symptoms, watchful waiting is not harmful and permits an assessment of the rate of symptom progression.