Distancing from an Ex Wife Calls for Boundaries
Dear Annie weighs a problematic friendship between a fiancée and his ex wife Della. The reader is urged to limit their social contact and stop sharing private relationship details, to protect the upcoming marriage from meddling and jealousy in South Dakota.
MENTIONED IN THIS ARTICLE
Annie
Patrick
Della
Memory Lane
South Dakota
S.D
Low platelets emergency and splenectomy option
A letter discusses idiopathic thrombocytopenic purpura ITP with platelets under 10 000, cortisone induced rise, relapse after tapering, and splenectomy offering a 70 percent success rate. Alternatives include azathioprine cyclophosphamide Rituxan and observation for potential spontaneous remission in some cases. It also covers hypotension and meningioma basics with management notes.
MENTIONED IN THIS ARTICLE
DR. Donohue
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