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i really don't find this kind of work fulfilling anymore though even though i'm good at it. but i'm not sure what direction to go. i have a huge mortgage to pay by myself so i still need a really good income and i need intellectual stimulation but i also want to feel like my work has some purpose (other than helping a corp make money) and is either helping people or adding something good to the world. i also just need to relax for awhile and not work so much. nsa in mc area wanna playfirst, as much as i despise the AMA, it's not fair to credit them for our present healthcare mess. Only a minority of us physicians still keep membership in that useless, corrupt relic. it's not docs who benefit from this mess. While cosmetic or luxury stuff can pay well, those of us who care for the ill work 80 hr weeks, no vacations, for an income that's th of what everyone assumes. I am occasionally tempted to blame the pharmaceutical and insurance industries. They have gotten filthy from this mess, and can be counted on to oppose any changes. But the main culprit is the public: on the one hand, no one feels he should pay for medicine himself (witness the demand for prescription benefits). On the other hand, no one wishes to pay taxes and knee-jerk votors punish any politician who mentions taxes. Seems the voting public wants something for nothing .and they are getting what they pay for!! looking for sex
meet horny women in Ashland Illinois Sex poses surprisingly low risk to heart patients 19, 9:16 PM EST CHICAGO (AP) — Good news: Sex is safe for most heart patients. If you're enough to walk up two flights of stairs without chest pain or gasping for breath, you can have a life. That advice from a leading doctors' group on Thursday addresses one of the most pressing, least discussed issues facing survivors of heart attacks and other heart patients. In its first science-based recommendations on the subject, the American Heart Association says having sex only slightly raises the for a heart attack. And that's true for people with and without heart disease. Surprisingly, despite the higher risk for a heart patient to have a second attack, there's no evidence that they have more sex-related heart attacks than people without cardiac disease. heart patients don't think twice about climbing stairs, yet worry that sexual activity cause another heart attack, or even sudden death, said Dr. Levine, lead author of a report detailing the recommendations and a professor of medicine at Baylor College of Medicine in. The report says sex is something doctors should bring up with all heart patients. Yet few do because they're uncomfortable talking about it or they lack information, Levine said. The new guidance is designed to fill that gap. Heart patients should get a doctor's OK before engaging in sexual activity. be advised first to do cardiac rehab — exercise while being monitored for heart symptoms, to improve heart strength and increase physical fitness. But the heart association says most eventually be cleared to resume sexual activity. The doctors' group offers advice for heart patients based on scientific research involving sometimes provocative sex-related topics: —Who's most at risk for sudden death related to sex? Married men having affairs, often with younger women in unfamiliar settings. Those circumstances can add to stress that increase the risks, evidence from a handful of studies suggests. —Sex be OK as as one week after a relatively mild heart attack, if patients can walk up a few flights of stairs without discomfort. —Viagra and other for erectile dysfunction are generally safe for men with stable heart disease. (continued) horny woman looking for sex Illinois
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