CASE: John Smith is an 11 year old Asian boy with PMHx of hypothyroidism x 2 years, on levothyroxine 25 mcg daily presented with painful progressively enlarging goiter that started 2 months ago. The pain is described as constant shooting and radiating to the neck, rated 6/10, nothing made it better, moving his neck made it worse. Pt states that the pain is mostly localized to the right, and it is associated with compressive symptoms like difficulty breathing and swallowing, but no change in voice. The swelling was painful and progressive and at the time of examination was 2 × 2 cm on the right side of the neck and was moving with deglutition. She had no other complaints and her family history was noncontributory.
Hello Mike, Edwin Herrera called me that, ever since they changed his GPS unit in his vehicle, he’s no longer able to see his jobs in his garmin as he us to. I noticed that when look for his location in Sagequest, his vehicle is in Ontario; however, he’s actually in San Bernardino. What do I need to do to correct this issue? Let me know. Thank you in advance.
Other reality-TV families have their California dream houses and Jersey McMansions. But the hottest stars of the moment live in a cramped white clapboard house in rural McIntyre, Ga., where the Christmas lights stay up year-round and the train tracks run alongside the backyard. Inside, it’s worn but homey. And other than her dad’s shrine to Dale Earnhardt, the only nod to decor is Alana Thompson’s impressive wall of pageant trophies and tiaras. There, the 7-year-old giddily spins in circles while posing for a PEOPLE photographer.
As a side note, clockwork orange is a vile, wicked movie, which you guys should not bother watching. It is a demonic, sicking piece of garbage. That is a warning. I do not suggest that you watch that disturbing, evil movie, at all. On a lighter note, the video that Bunnee just put up, not too long ago, was a waste of my time to watch, but she looks neat-looking in it in some ways, but the video is lame, for the most part, with the queerish-looking dude in it, which is not Dogman.
501 It was Halloween night, my three friends Bryce, Zach, and Bailey and I were so excited, it was the 666th Halloween, we had all met up at Bryce’s Brother KY’s house in Donaldson, Arkansas. We had been invited to this Halloween party in down town Malvern on the train tracks by ACME Brick. So we called Bailey’s sister Megan because she lives beside KY’s house and KY and his Fiancé Megan wouldn’t take us to that part of Malvern because it is one of the worst neighborhoods in Malvern. So she takes us to the opposite side of Malvern and dropped us off at Bryce’s mom’s house on Louisiana st.
Hundreds gathered at Leicester 's town Hall for a vigil to remember an Auburn police officer killed Sunday. WATCH LIVE: FOX25 News at 10 SCROLL FOR VIDEO Officer Ronald Tarentino, 42, was shot during a traffic stop. He was rushed to the hospital Sunday, but died due to his injuries.
If you use one of our vehicles or use your own vehicle as you perform your job, please be aware of and follow these requirements - you may not loan out one of our vehicles to others without permission. You must drive in a safe and lawful manner. If you use a company car for personal use, you must keep the car in good condition. You may not drive the company vehicle under the influence of alcohol, controlled substances, or alcohol. If you have prescription medication, please notify us before you use our vehicle.
“I hereby order you serve a maximum 34 months in Kettle Moraine Correctional Institution” the judge told Deshawn before quickly spinning around his chair, standing up and walking through what seemed to be an invisible door behind him. When it shut it blended rightwith the wall. See, Deshawn was a good friend of mine, more like a brother, and was getting sentenced for operating a motor vehicle without owner’s consent, which was stealing a car. He was never a violent criminal like all our other friends grew to be, just a bad kid. At least I thought.
Hello,Mr. Mergell. I figured out a way to help you separate aluminum soda cans, steel cans, milk jugs and soda bottles. With my assistance we will be able to make it happen. The first step will be : Using a strong magnet to take out all the steel cans from the truck, which will be separating it from the rest of the other cans and bottles.
My wife Clementine decided we need these journals to document what we see on our travels to Oregon next month, however I honestly think they are a waste of time. At least little Brooke enjoys it. On her 6th birthday last year we got her a notebook that she 's been writing in so I think she 's ready for these journals. I remember three years ago when Clementine was 18 we would go on walks around our little town of bloomesdale. I shore do miss those times, but we haven 't gone on many walks since then, because she 's been cross with me about overruling her vote to go to Oregon.
We realize that there are a numerous people in this world who are attempting to free weight. You have attempted a considerable measure of things and non of them work. Today we are going to present u a stunning blend that will help you blaze you fat quick, and look significantly more better than anyone might have expected. The fundamental element of this mixture is the Horseradish.
You may think you know someone but your wrong. Shakespeare Hamlet an example of charters who appear one way to others but are very different form the way they seem. The discrepencys between the way the charates seem to be and the way they really are inside becomes very vivid durring the last acts of the play. Hamlet appers to be crazy but in reality it is all an act to evenge his father's death by tricking Claduis.
Imagine you are living in a time period where there are only three basic goals, food, water, and protection. A place where you thoughts are not occupied by what new, ridiculous thing a presidential candidate said or by what Kardashion got some ultramodern chemical injected into their body. A place where the air is always fresh, and where there is a world a things to discover. A place where your use of objects is up to your interpretation, not one of a middle-aged man from the 1800s. If you are anything like me that sounded pretty good, and if not, I truthfully don 't know what to tell you, because this is exactly the type of place I would go back to, given the choice.
It’s February, are you really about to read a blog post about Halloween? Call us crazy, but Universal Studios just announced the dates for Halloween Horror Nights (here) and we are already excited! In light of this announcement, we thought we would go over some of the best (and worst) horror attractions from past Halloween’s and maybe even make a couple predictions for this years Horror Nights! Are you one of many that loves to be terrified?
General Purpose: To persuade Specific Purpose: To convince my audience that a low Vitamin D level is a dangerous issue. Central Idea: To persuade my class that Vitamin D deficiency is very harmful to one’s health since it leads to numerous bone disorders. Moreover, I will provide them with solutions to keep Vitamin D at an optimum level. Method of Development: problem- solution.
