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| dr sickler pain management: The Orchard: Including the Management of Wall and Standard Fruit Trees, and the Forcing Pit, Etc Charles MACINTOSH (Botanist.), 1839 |
| dr sickler pain management: National Registry of Board Certified Pain Practitioners , 1996 |
| dr sickler pain management: Practical Pain Management C. David Tollison, John R. Satterthwaite, Joseph W. Tollison, 2002 Thoroughly revised to reflect contemporary diagnostics and treatment, this Third Edition is a comprehensive and practical reference on the assessment and management of acute and chronic pain. This edition features 14 new chapters and is filled with new information on invasive procedures...pharmacologic interventions...neuraxial pharmacotherapy...physical and occupational therapies...diagnostic techniques...pain in terminally ill patients...cancer pain...visceral pain...rheumatologic disorders...managed care...and medicolegal issues. Reorganized with two new sections focusing on diagnostics and cancer pain. A Brandon-Hill recommended title. |
| dr sickler pain management: Empire of Pain Patrick Radden Keefe, 2021-04-13 NEW YORK TIMES BESTSELLER • A NEW YORK TIMES NOTABLE BOOK OF THE YEAR • A grand, devastating portrait of three generations of the Sackler family, famed for their philanthropy, whose fortune was built by Valium and whose reputation was destroyed by OxyContin. From the prize-winning and bestselling author of Say Nothing. A real-life version of the HBO series Succession with a lethal sting in its tail…a masterful work of narrative reportage.” – Laura Miller, Slate The history of the Sackler dynasty is rife with drama—baroque personal lives; bitter disputes over estates; fistfights in boardrooms; glittering art collections; Machiavellian courtroom maneuvers; and the calculated use of money to burnish reputations and crush the less powerful. The Sackler name has adorned the walls of many storied institutions—Harvard, the Metropolitan Museum of Art, Oxford, the Louvre. They are one of the richest families in the world, but the source of the family fortune was vague—until it emerged that the Sacklers were responsible for making and marketing a blockbuster painkiller that was the catalyst for the opioid crisis. Empire of Pain is the saga of three generations of a single family and the mark they would leave on the world, a tale that moves from the bustling streets of early twentieth-century Brooklyn to the seaside palaces of Greenwich, Connecticut, and Cap d’Antibes to the corridors of power in Washington, D.C. It follows the family’s early success with Valium to the much more potent OxyContin, marketed with a ruthless technique of co-opting doctors, influencing the FDA, downplaying the drug’s addictiveness. Empire of Pain chronicles the multiple investigations of the Sacklers and their company, and the scorched-earth legal tactics that the family has used to evade accountability. A masterpiece of narrative reporting, Empire of Pain is a ferociously compelling portrait of America’s second Gilded Age, a study of impunity among the super-elite and a relentless investigation of the naked greed that built one of the world’s great fortunes. |
| dr sickler pain management: Tarascon Pain Pocketbook Sergey M. Motov, 2018-07-26 Following the CERTA concept (Channels, Enzymes, Receptor Targeted Action) the Tarascon Pain Pocketbook will help prescribers find that right balance of therapies and medications in the hope of reducing opiate use and promoting patient-specific, pain syndrome targeted analgesia. |
| dr sickler pain management: The Orchard Charles McIntosh, 1839 |
| dr sickler pain management: Sickle Cell Pain Samir K. Ballas, 2015-06-01 Sickle Cell Pain is a panoramic, in-depth exploration of every scientific, human, and social dimension of this cruel disease. This comprehensive, definitive work is unique in that it is the only book devoted to sickle cell pain, as opposed to general aspects of the disease. The 752-page book links sickle cell pain to basic, clinical, and translational research, addressing various aspects of sickle pain from molecular biology to the psychosocial aspects of the disease. Supplemented with patient narratives, case studies, and visual art, Sickle Cell Pain’s scientific rigor extends through its discussion of analgesic pharmacology, including abuse-deterrent formulations. The book also addresses in great detail inequities in access to care, stereotyping and stigmatization of patients, the implications of rapidly evolving models of care, and recent legislation and litigation and their consequences. |
| dr sickler pain management: Pain Management in Special Circumstances Nabil Shallik, 2018-11-21 Like management of disease, management of pain is as old as the human race. When patients come to us with their pain, they present us with a wonderful opportunity: the chance to understand them, to understand how their pain is affecting their lives, the challenge of discovering what is causing their pain, and finally the opportunity to prescribe medications and lifestyle changes to help them gain relief from their pain. It is hoped that this book will provide the latest evidence-based updates on pain management in special circumstances and will serve as a ready reference for those embarking on pain management. Its intent is not to be a heavy book that can only be stored on a bookshelf, but a pocket-sized reference that can be carried, be easily navigated, and be available whenever a conceptual gap compromises pain physicians and their ability to treat their patients. |
| dr sickler pain management: Factory and Industrial Management John Robertson Dunlap, Arthur Van Vlissingen, John Michael Carmody, 1930 |
| dr sickler pain management: The Domestic Gardener's Manual ... By a Practical Horticulturist [i.e. G. J. Towers]. George John TOWERS, 1830 |
| dr sickler pain management: The Domestic Gardener's Manual John Towers (gardener.), 1830 |
| dr sickler pain management: The Domestic Gardener's Manual; Being an Introduction to Gardening, on Philosophical Principles; to which is Added, a Concise Naturalist's Kalendar ... By a Horticultural Chemist [i.e. G. J. Towers]. George John TOWERS, 1830 |
| dr sickler pain management: Dreams From My Mother Dame Elizabeth Anionwu, 2021-09-16 What a page turner of a book! Dame Elizabeth uncovers the layers of her life from a childhood defined by secrets, to discovering the identity of her father, to her political awakening, and her journey to becoming a Black health radical. She uses her bellyful of anger to great effect, highlighting the ethnic health inequalities exposed by sickle cell disease right through to Covid-19. More than anything, her great sense of empathy and fun shine out from the page. I loved it. - DUA LIPA Dreams From My Mother is a beautiful memoir detailing an extraordinary life. Dame Elizabeth Anionwu is a an incredible role model for nurses - and for everyone. - CHRISTIE WATSON, author of The Language of Kindness: A Nurse's Story What a woman. What a book. - LEMN SISSAY OBE, author of My Name Is Why * * * It's 1947 and a sheltered Catholic girl is studying Classics at Newnham College, Cambridge. She is the first one in her family to go to university - and then she discovers that she's pregnant. The father is also a student at Cambridge, studying law. And he is black. Despite pressure to give up her baby for adoption, the young mother has big dreams for her child's future. Her daughter Elizabeth overcomes a background of shame, stigma, and discrimination, to become one of the UK's greatest ever nurses, and the first ever sickle cell nurse specialist. Recently named a BBC 100 Women of the Year 2020 and awarded a Damehood, Dame Elizabeth Anionwu has continued her work throughout her retirement, and recently brought to the nation's attention how Covid-19 has had a devastating effect on Black and Asian communities. Dreams From My Mother is an inspiring story about childhood, race, identity, family, friendship, hope and what makes us who we are. Ultimately, it is an incredibly moving story of a mother and a daughter separated by society, but united in the dreams they shared for her future. Previously published as Mixed Blessings From A Cambridge Union, this is a revised and updated edition * * * This is a powerful and compelling story of dual heritage, how an Irish girl became a Nigerian woman, and how discovering a true and total sense of identity brought acceptance, peace and joy. This story will inspire many people who have Irish and African (and other) roots and should be read by all who are interested in the history and culture of those lands. It is a unique and deeply personal account of the triumph of character, spirit and endeavour in the face of much adversity and considerable bigotry, beautifully written with a complete absence of bitterness. I felt in equal measure humbled and privileged to read it. I never cry but the concluding reflection on the mother and daughter relationship made me cry unashamedly. - PATRICK GAUL, Chair, Liverpool Irish Centre |
| dr sickler pain management: Race, Ethnicity, and Language Data Institute of Medicine, Board on Health Care Services, Subcommittee on Standardized Collection of Race/Ethnicity Data for Healthcare Quality Improvement, 2009-12-30 The goal of eliminating disparities in health care in the United States remains elusive. Even as quality improves on specific measures, disparities often persist. Addressing these disparities must begin with the fundamental step of bringing the nature of the disparities and the groups at risk for those disparities to light by collecting health care quality information stratified by race, ethnicity and language data. Then attention can be focused on where interventions might be best applied, and on planning and evaluating those efforts to inform the development of policy and the application of resources. A lack of standardization of categories for race, ethnicity, and language data has been suggested as one obstacle to achieving more widespread collection and utilization of these data. Race, Ethnicity, and Language Data identifies current models for collecting and coding race, ethnicity, and language data; reviews challenges involved in obtaining these data, and makes recommendations for a nationally standardized approach for use in health care quality improvement. |
| dr sickler pain management: The Management of Sickle Cell Disease U. S. Department of Health, 2002 #1 Best Seller on Sickle Cell Disease (SCD). Sickle cell disease is a group of blood disorders passed down from parents to children. Sickle cell anemia shortens life expectancy by 30 years via bacterial infections, painful swellings, fever, arthritis, leg ulcers, eye, lung & heart damage. Over 100,000 people, mostly African-Americans, in the United States have sickle cell disease. Over 2 million people have sickle cell trait in America. It is estimated that more than 300,000 children are born each year with SCD around the world. This edition of The Management of Sickle Cell Disease (SCD) is organized into four parts: 1. Diagnosis and Counseling 2. Health Maintenance 3. Treatment of Acute and Chronic Complications 4. Special Topics. The original intent was to incorporate evidence-based medicine into each chapter, but there was variation among evidence-level scales, and some authors felt recommendations could be made, based on accepted practice, without formal trials in this rare disorder. The best evidence still is represented by randomized, controlled trials (RCTs), but variations exist in their design, conduct, endpoints, and analyses. It should be emphasized that selected people enter a trial, and results should apply in practice specifically to populations with the same characteristics as those in the trial. Randomization is used to reduce imbalances between groups, but unexpected factors sometimes may confound analysis or interpretation. In addition, a trial may last only a short period of time, but long-term clinical implications may exist. Another issue is treatment variation, for example, a new pneumococcal vaccine developed after the trial, which has not been tested formally in a sickle cell population. Earlier trial results may be accepted, based on the assumption that the change is small. In some cases, RCTs cannot be done satisfactorily (e.g., for ethical reasons, an insufficient number of patients, or a lack of objective measures for sickle cell crises). Thus the bulk of clinical experience in SCD still remains in the moderately strong and weaker categories of evidence. Not everyone has an efficacious outcome in a clinical trial, and the frequency of adverse events, such as with long-term transfusion programs or hematopoietic transplants, might not be considered. Thus, an assessment of benefit-to-risk ratio should enter into translation of evidence levels into practice recommendations. A final issue is that there may be two alternative approaches that are competitive (e.g., transfusions and hydroxyurea). In this case the pros and cons of each course of treatment should be discussed with the patient. This book is B&W copy of the government agency publication. |
| dr sickler pain management: Sickle Cell Disease and Hematopoietic Stem Cell Transplantation Emily Riehm Meier, Allistair Abraham, Ross M. Fasano, 2017-09-19 This book provides a comprehensive, state-of-the art review of hematopoietic stem cell transplantation (HSCT) for sickle cell disease (SCD). The book reviews new data about risk prediction for severe SCD, outlines the unique challenges of HSCT for patients with SCD, profiles the supportive care guidelines for patients who are undergoing HSCT, highlights our current understanding of the best transfusion support for SCD patients prior to, during and after HSCT, and provides new perspectives about the ethics of HSCT for pediatric patients with SCD. Published in the last few years, several landmark phase III trials that utilize matched unrelated and haploidentical donors for HSCT in SCD patients are also placed in context with respect to current management. Written by experts in the field, Sickle Cell Disease and Hematopoietic Stem Cell Transplantation is a valuable resource for physicians and researchers dealing with and interested in this challenging, yet exciting, curative therapy for sickle cell disease, that will help guide patient management and stimulate investigative efforts. |
| dr sickler pain management: Practical Evaluation and Management of the Shoulder Frederick A. Matsen, 1994 The practical considerations which underline the diagnosis and treatment of patients with shoulder disorders are presented in this concise, easy to understand, and informative text. Activities to help the reader master the problems, methods and mechanical principles of the shoulder are provided. Coverage includes frozen shoulder, post traumatic stiff shoulder, TUBS syndrome, glenohumeral instabliity, scapulothoracic snapping and cuff tears. |
| dr sickler pain management: The Last Lecture Randy Pausch, Jeffrey Zaslow, 2010 The author, a computer science professor diagnosed with terminal cancer, explores his life, the lessons that he has learned, how he has worked to achieve his childhood dreams, and the effect of his diagnosis on him and his family. |
| dr sickler pain management: Chronic Postsurgical Pain Gérard Mick, Virginie Guastella, 2014-02-20 Primum non nocere... The fact that a surgical procedure can leave any kind of pain casts a shadow over this tenet, which is seen as the basis of medical practice and anchor of its principle ethic... It is all the more surprising in that medicine has only paid attention to this paradoxical chronic pain situation for the past few years. Clarifying the knowledge acquired in this field has become all the more urgent for any care-giver today confronted by a legitimate request from patients: Why and how can a surgical procedure, which is supposed to bring relief, leave behind an unacceptable sequela? This is the approach which the contributors to this new subject of major clinical interest invite you to follow as you work your way through this book. |
| dr sickler pain management: Arboretum Et Fruticetum Britannicum John Claudius Loudon, 1838 |
| dr sickler pain management: The African Guardian , 1992-05 |
| dr sickler pain management: Verdictsearch California Reporter , 2007-05 |
| dr sickler pain management: Pain-Wise David Kloth, M.D., Andrea Trescot, M.D., Francis Riegler, M.D., 2011-11-22 Chronic pain doesn't have to be a life sentence with this accessible guide to pain management and treatment—from identifying your problem areas to finding the right specialist Suffering from chronic pain can be incredibly isolating and frustrating. Visiting doctor after doctor can leave you feeling as if there is no treatment for your pain. If you or a loved one is suffering from chronic pain, this book can be a first step to understanding treatments that can help manage pain. Though doctors have tried to treat patients in pain throughout history, more recently, focused training and certification in pain medicine has resulted in the emergence of a new specialty designed to help people suffering from chronic pain. Pain-Wise also includes expert advice on: • Identifying what parts of your body are in pain, using a simple anatomy guide • How to choose a pain specialist that is right for you • Getting the most out of your doctor’s visits • Basic explanations of common interventional pain management techniques • How to follow-up on treatment Written by three doctors with years of experience in pain management, Pain-Wise is a patient’s guide to simplifying the confusing and often overwhelming process of finding treatment for chronic pain. It will teach you the basics of how pain works, explain different interventional pain therapies in layman’s terms, and help you find a doctor that can manage, and potentially relieve, your chronic suffering. |
| dr sickler pain management: Evidence-Based Management of Sickle Cell Disease M D George R Buchanan, M D M P H Araba N Afenyi-Annan, M D Samir K Ballas, 2014-09-09 Sickle cell disease can be severe and disabling. When properly treated, patients live longer and with better quality life. This is a US government publication intended to provide evidence-based guidelines for the care of these patients for the use of all concerned providers as well as patients and family members. This book is available in print here for convenience. |
| dr sickler pain management: Emergency Department Leadership and Management Stephanie Kayden, Philip D. Anderson, Robert Freitas, Elke Platz, 2015 Written for a global audience, by an international team, the book provides practical, case-based emergency department leadership skills. |
| dr sickler pain management: Practical Point-of-Care Medical Ultrasound James M. Daniels, Richard A. Hoppmann, 2015-11-02 This book serves as a comprehensive guide for integrating point-of-care ultrasound into clinical care. It includes detailed chapters on the use of ultrasound in cardiology, dermatology, obstetrics and gynecology, and pediatrics, as well as for the assessment of the abdomen, musculoskeletal system, eyes, and thorax. Over the last decade, the use of diagnostic, point-of-care ultrasound at the bedside has been widely adopted by healthcare professionals in the United States. This technology has spread into many new areas of clinical medicine and more non-radiologists are seeking training and an up-to-date resource on use of the ultrasound machine. This book provides guidance on how to best approach patients with particular problems, practical guidelines on how to operate the machine and choose probes, descriptions and illustrations that depict the patient’s position and structures that are scanned, and the anatomy and pathophysiology of each area. Practical Point-of-Care Medical Ultrasound is a valuable addition to the library of any resident, fellow, physician, or other healthcare provider who uses ultrasound in a clinical setting. |
| dr sickler pain management: The Isabella Stewart Gardner Museum Boston, Mass. Isabella Stewart Gardner Museum, Isabella Stewart Gardner Museum, Hilliard T. Goldfarb, Isabella Stewart Gardner Museum (Boston, Mass.)., 1995-01-01 This book takes you through the collection gallery by gallery, illuminating the art and installations in each room--From preface. |
| dr sickler pain management: A Parent's Guide to Managing Sickle Cell Disease Lola Oni, Joan Walters (College teacher), David Rees, Olu Wilkey, 2021 |
| dr sickler pain management: Iron Chelation Therapy Chaim Hershko, 2002 Within the last few years, iron research has yielded exciting new insights into the understanding of normal iron homeostasis. Such development, and the evolution of improved strategies of Iron Chelating Therapy require better understanding of the pathophysiology of iron toxicity and the mechanism of action of iron chelating drugs. The timeliness of the present volume is underlined by several significant developments in recent years. New insights have been gained into the molecular basis of aberrant iron handling in hereditary disorders and the pathophysiology of iron overload. This volume highlights the impact of long term Iron Celating Therapy using deferoxamine or the new, but controversial oral iron chelator deferiprone based on experience gained by multicenter trails, with special emphasis on survival, morbidity and drug toxicity; it reviews the development of the new and improved orally effective chelators suitable for clinical use in the near future and examines novel strategies of iron chelating treatment for the control of cell proliferation in malignant disease or malaria. |
| dr sickler pain management: Management of Acute & Chronic Pain Narinder Rawal, 1998-04-16 This concise, practical book sets out to bring physicians and medical practitioners up to date with advances in the management of acute and chronic pain. It reviews basic and clinical research on the many types of pain and their management, including back pain, cancer pain, postoperative pain, obstetric pain, and pain in children. The physiological and pharmacological backgrounds to the various treatments are explained. |
| dr sickler pain management: Disorders of Hemoglobin Martin H. Steinberg, 2009-08-17 Completely revised new edition of the definitive reference on disorders of hemoglobin. |
| dr sickler pain management: Confronting Chronic Pain Steven H. Richeimer, 2014-05-15 A holistic approach to pain management from a recognized leader in the field. This comprehensive guide is designed to help everyone whose days are filled with chronic pain—the kind of pain that truly is a disease unto itself. Where does chronic pain come from, and why doesn’t it go away? Dr. Steven H. Richeimer, an eminent voice in the field of pain management, answers these and other fundamental questions about chronic pain. Board certified in pain medicine, anesthesiology, and psychiatry, he knows that the stress of persistent pain quickly takes a toll on the body and the mind. And he has helped thousands of people reduce their pain and reclaim their lives. In Confronting Chronic Pain, Dr. Richeimer discusses what causes pain in such disorders as arthritis, cancer, fibromyalgia, chronic headache, and back pain—and describes how to get relief. He provides clear and up-to-date information about pain medications, exercise and nutrition, injections and neurostimulators, and complementary therapies. He also explains the many approaches to managing the social and emotional aspects of pain. Understanding that chronic pain affects the spirit, he offers seven spiritual tools for moving beyond pain; understanding that chronic pain affects the whole family, he has created an action plan for family harmony; understanding the emotional component of people in pain, he helps them solve the chronic pain puzzle. “Just learn to live with it” is not a satisfactory response to someone living with chronic pain. Dr. Richeimer’s compassionate and holistic approach can help soften the harsh edges of pain and provide hope for the future. |
| dr sickler pain management: Factory and Industrial Management , 1930 |
| dr sickler pain management: Cancer and the Heart Michael S. Ewer, 2013 The book begins with the basic science behind the medical applications of the knowledge: cardiovascular biology, pathways, and their relationship to cancer treatment and principles of chemotherapy and immunotherapy. The second section consists of an overview and classification of anti-cancer drugs and a look at their cardiotoxicity. The third section looks at cardiac imaging in the cancer patient, including cardiac ultrasound, Doppler imaging, nuclear imaging, magnetic resonance imaging, and computed tomography in the cancer patient. In section four, management of cardiac disease in the cancer patient is discussed, including cardiac rhythm disturbances and heart failure. Cardiac emergencies and interventions are described as is preoperative assessment of the cancer patient for non- cardiovascular surgery. The final section includes a range of topics such as the pericardium, cardiovascular effects of endocrine treatments, primary cardiac tumors and malignancies of the myocardium and pericardium. Cardiac monitoring during clinical trials and pulmonary concerns are also addressed, as are psychosocial, social, economic, and legal issues of the cancer patient with heart disease. |
| dr sickler pain management: Thisweek , 1986 |
| dr sickler pain management: Unequal Treatment Institute of Medicine, Board on Health Sciences Policy, Committee on Understanding and Eliminating Racial and Ethnic Disparities in Health Care, 2009-02-06 Racial and ethnic disparities in health care are known to reflect access to care and other issues that arise from differing socioeconomic conditions. There is, however, increasing evidence that even after such differences are accounted for, race and ethnicity remain significant predictors of the quality of health care received. In Unequal Treatment, a panel of experts documents this evidence and explores how persons of color experience the health care environment. The book examines how disparities in treatment may arise in health care systems and looks at aspects of the clinical encounter that may contribute to such disparities. Patients' and providers' attitudes, expectations, and behavior are analyzed. How to intervene? Unequal Treatment offers recommendations for improvements in medical care financing, allocation of care, availability of language translation, community-based care, and other arenas. The committee highlights the potential of cross-cultural education to improve provider-patient communication and offers a detailed look at how to integrate cross-cultural learning within the health professions. The book concludes with recommendations for data collection and research initiatives. Unequal Treatment will be vitally important to health care policymakers, administrators, providers, educators, and students as well as advocates for people of color. |
| dr sickler pain management: Back Pain in the Young Child and Adolescent Richard M. Schwend, William L. Hennrikus, 2020-11-25 Back pain is a common musculoskeletal condition that presents to physicians in the primary care office, the urgent care facility, and the emergency room. However, few primary care physicians have received education and training about the appropriate workup and referral for a child who presents with back pain. This book is designed to fill the gaps in primary care physician knowledge and ultimately improve patient care. This book is divided into three major sections. The first section contains seven introductory chapters on epidemiology, anatomy of the spine, imaging studies, clinical considerations, general history questions, and physical examination pearls of the child with back pain. This section gives an overview of common back pain problems and provides instructions on how to best perform a history and examination of the pediatric patient with back pain. Classic historical and examination findings are highlighted that can lead to a focused differential diagnosis, successful treatment and appropriate referral. Recognition of the red flags in the history and physical keep the clinician ‘out of trouble‘. This section concludes with a chapter that guides physicians in putting it all together. The second section is the largest section of the book and contains 25 case based chapters organized by major presenting clinical features. Each chapter has a similar structure and includes red flags of the history and the physical, case examples, clinical pearls, and editor comments. Cases vary from common presentations of back pain such as back pain related to back packs to rare presentations of back pain such as back pain stemming from tuberculosis. The third and final section of the book contains additional resources for the primary care physician, including web sites, parent handouts, and a bibliography of key articles. This section provides further information and alternative resources for the practicing clinician. Written by experts in the field, Back Pain in the Young Child and Adolescent is a ‘must have’ resource for pediatricians, primary care physicians, and any other clinicians caring for younger patients who are experiencing back pain. |
| dr sickler pain management: Acute Abdomen During Pregnancy Goran Augustin, 2018-09-14 This is the second edition of a well-received book that reflects the state of the art in diagnosis and treatment of acute abdominal disorders in the pregnant patient. It addresses a wide range of conditions - whether associated with or incidental to pregnancy - ranging from very rare to more common ones, such as acute appendicitis and acute cholecystitis. It offers an update on recommendations, guidelines and scenarios to provide fundamental support for all clinicians who might encounter such cases. The book highlights the importance of a rapid diagnosis to avoid serious consequences for both the mother and the fetus. Furthermore, it sheds light on the different imaging modalities of rare pathologies that can occur during pregnancy, helping clinicians and radiologists to better define underlying cases. This new edition has been almost completely rewritten, and includes an additional section focusing on urologic emergencies, preterm labor and intra-abdominal pressure, as well as new figures and tables. It is equally valuable for general and abdominal surgeons, gynecologists and obstetricians, as well as emergency physicians, who may be the first specialists to have clinical contact with this group of patients. |
| dr sickler pain management: Portland Transcript , 1863 |
| dr sickler pain management: Confronting Chronic Pain Steven H. Richeimer, 2014-03-07 Richeimer’s compassionate and holistic approach can help soften the harsh edges of pain and provide hope for the future. |
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