梅州双眼皮下垂眼(梅州打下巴要多少钱) (今日更新中)

It’s hard to regard Ellie as a menace.When Greg Manteufel is frustrated or feeling down, she sits by him. At night, she sleeps under his covers. At dinner, she’s there next to him, knowing he’ll throw something her way. She belies the stereotype of the vicious pit bull.“We love her like she’s our daughter,” he said of the dog.And yet, Ellie may be the reason Manteufel nearly died.Gravely ill, he lost parts of his arms and legs, as well as the skin of his nose and part of his upper lip. The cause was capnocytophaga (cap-noh-seye-TOE’-fah-gah), a germ from Ellie’s mouth or from another dog he encountered.Capnocytophaga is commonly found in the saliva of cats and dogs and almost never leads to people getting sick, unless the person has a compromised immune system. But Manteufel was perfectly healthy. In fact, he doesn’t think he’d ever used his health insurance before he fell ill.The case is extremely rare and doctors at his hospital, Froedtert & the Medical College of Wisconsin, had no explanation for why he got so sick. But over the last 10 years there have been at least five other healthy people who have had severe reactions to the germ. A team of researchers connected with Harvard Medical School has developed a theory on why — a gene change in all the victims.And their finding means doctors can’t rule out the capnocytophaga bacteria could strike Manteufel and other victims again.___Greg Manteufel thought he was getting the flu in June of 2018. He had a fever, vomiting and diarrhea. But when he started getting confused, his family took him to the hospital.Doctors did blood cultures and found capnocytophaga, which caused sepsis, a severe blood infection that led to his blood pressure dropping and many of his organs shutting down.“Do what you have to,” he told the doctors.He had so much to live for — foremost, his wife of 16 years, Dawn, and 26-year-old son, Mike. He was just starting to get really good at his day job, painting houses. He cherished his Harley Davidson Electric Glide. He was in the middle of fixing up his ’66 El Camino. And of course there was Ellie, the pup.And so he persisted, through more than 20 surgeries, including amputations of his left and right arms just below the elbow, and legs through the middle of the knee.His wife and son stayed optimistic, because he was.“Greg said he didn’t come this far to lay down and let this beat him,” Dawn Manteufel said.He was out of the in-patient rehab unit in about two weeks, learning to move from his wheelchair to the bed, toilet and car. The usual stay is three to four weeks, said Dr. David Del Toro, medical director for the inpatient rehab unit at Froedtert.Manteufel made similar quick advances using his arm prosthetics and leg prosthetics.“He does not seem like any other patient I’ve met before,” Del Toro said. “He’s just, you know, full speed ahead.”Meanwhile, researchers at Brigham and Women’s Hospital in Boston, connected to Harvard Medical School, as well as Dana-Farber Cancer Institute and Beth Israel Deaconess Medical Center had been investigating cases like his.The team has done genetic testing on five otherwise healthy people who suffered capnocytophaga infections to see if they could find anything in common. They discovered all had a gene connected to the immune system that was working differently — a genetic variant.“It was a really thrilling moment,” said Elizabeth Fieg, a genetic counselor at Brigham and Women’s Hospital. “The stakes are so high with these cases and the patients have gone through so much.”They believe it makes those people more susceptible to developing severe medical problems from capnocytophaga. But they are also trying to determine if there are other risk factors.Of the five in the study, three survived with amputations and two did not. Fieg hopes their research can determine why some did not survive.She also hopes if their theory is confirmed, it will help diagnose cases faster, and perhaps save lives and limbs.That’s why Greg Manteufel jumped at the chance to take part when he was approached in August.Researchers need to gather more evidence, but hope to publish their study in the next year to 18 months.___Manteufel’s life now includes frequent occupational therapy appointments to perfect his use of arm prosthetics — the kind with metal moveable hooks at the end. He’s using a fork regularly and he’s now working on picking up the TV remote, opening doorknobs, cutting vegetables and doing the dishes.He’s using shortened leg prosthetics, called stubbies, to get his body conditioned to eventually use to full-sized ones. Those are expected to arrive any day.Plastic surgeons plan another surgery to perfect his nose. They’ve already moved skin from his forehead there. It looks oversized now, but it will eventually fit in with the rest of his face.He plans to get his car revamped so he can drive with prosthetics. He wants to get a special pole so he can go fishing again. He is even considering going back to work painting.He’s also become less quiet and a lot more outgoing. “Now everybody I see wants to hear something or talk to me. I tell them a 15-minute story about what happened. They probably want me to leave, you know,” he said, chuckling.Ellie’s often by his side.“She loves kids. She loves puppies. Other dogs,” Manteufel said.As harmless as she seems, she may have capnocytophaga germ.The results of Manteufel’s genetic tests are expected in three to four months. Fieg said people with the gene variant are at increased risk for recurrent capnocytophaga or other infections in the future.While Manteufel doesn’t like the sound of that, he said Ellie’s accidentally scratched him since he’s been home and even licked his mouth. He’s been fine.And even if he does have the gene variant, he said, it changes nothing.“We didn’t even bother testing her,” said Manteufel. “We weren’t going to get rid of her if it was her that caused it anyway.”“We just love her to death.” 5972

It’s April 15: tax day. By midnight, Americans have to file their taxes or apply for an extension. The Internal Revenue Service requires anyone who owes the government money in their taxes to pay by midnight, even if they file for an extension. With that rule in mind, a lead tax research analyst at Kansas City-based H&R Block said it’s easier to complete taxes today instead of pushing it back another six months. "If you're going to have to go to the trouble to actually figure out what you owe, you might as well file your return, get it over with," said Nathan Rigney, a research analyst. "And you may discover in fact you get a refund." He added most Americans are seeing a smaller tax return, or owe the government for the first time, but they received more take-home pay during the year. To avoid having to pay next year, Rigney suggested looking at your withholding. It's the amount of money your employer keeps from your paycheck to pay the government on your behalf. You can fill out a W4 to change your withholding. Depending on your changes, come this time next year, you may be getting a check instead of writing one. "[If you don't, the amount you owe] might even be a little bit worse just because of the way the withholding tables were implemented last year for only half of the year. This year, it will be for the full year," Rigney said. The stories of people receiving smaller refunds than past years is part of the reason some Americans haven't filed their taxes yet and will be rushing to tax preparers Monday."A lot of people come in, especially this year with the new tax law, with a little bit of anxiety, not sure how they're going to be impacted," Rigney said. "Being able to explain to people how they'll be impacted, answer their questions and put them at ease is what we do." Because you can file your taxes online, you have until midnight to submit the necessary documents to the IRS. — 1933

Late last Saturday night, Ethan Crispo had just left a friend's birthday party in Birmingham, Alabama, and walked into a Waffle House around midnight to grab a bite.Crispo told CNN only a single employee was working in the restaurant.He described the cook's face, as "awash in bewilderment," at finding he was by himself managing the night shift.More than 30 people were there eating, and there was just one man left to "fend off the incoming crowd of hungry, heavily imbibed customers," Crispo said.He became resigned to going home on an empty stomach.But a customer finished his meal, asked for an apron and stepped behind the counter to wash dishes."It was a smooth transition," Crispo, 24, said. "He just busted his butt and helped out."'It was one of my most memorable experiences'Crispo said he asked Ben, the lone associate working, who the man washing dishes was.Turns out he didn't work at the restaurant, nor did he work at a Waffle House anywhere.Another woman, wearing a dress and heels, also stepped up. She walked behind the counter to get a coffee pot."At first I thought it was out of necessity, like she just wanted coffee," Crispo said. But she was enlisting as a second member of the volunteer staff.The two worked together in a team, busing tables, stacking cups and washing dishes. Meanwhile, Ben, the actual employee, manned the cash register and cooked at the grill.The man washing dishes occasionally "had to ask Ben where stuff should go," Crispo said, but otherwise it was as though though two strangers, without even talking to each other, had spontaneously learned to run a restaurant in tandem.Pat Warner, a spokesman for Waffle House, told CNN the store had a miscommunication about the duty roster that night, and it had created "a little gap" in staffing."We're very appreciative and thankful, but we do prefer to have our associates behind the counter," Warner said.He added that Waffle House restaurants tend to have a special sense of community. He recalled a similar time in 2014 when diners volunteered to keep a restaurant running when paid staff couldn't get to work during Atlanta's notorious Snowmageddon storm.But, for Crispo it was the first time, and it'll stick out to him for years to come, as an example of humanity at its best."I've never seen anything like this ever happen, nor will I again, probably," Crispo said. "It was one of my most memorable experiences." 2424

In an interview with Charles Benson, a reporter for Scripps affiliate TMJ-TV in Wisconsin, President Donald Trump stressed the importance of ratification of a new free trade agreement between the US, Mexico and Canada. This comes after Trump scrapped a previous agreement known as NAFTA. "This is going to open up the playing field," Trump said about the USMCA agreement. "I came to Wisconsin two years ago about specialty milk. And that was the straw the broke the camel's back because Canada treated you unfairly."But Democrats have not been so keen on approving the USMCA. House Speaker Pelosi said she would like to see the agreement include provisions over labor and the environment. To see the full interview, watch below. 740

KNOXVILLE, Tenn. (AP) — Some patients treated by a Tennessee dentist have been advised to get tested for HIV, hepatitis B and hepatitis C.The Tennessee Department of Health issued the recommendation after finding that Knoxville dentist Clarence “Buzz” Nabers did not ensure proper sterilization of dental equipment, news outlets reported.The recommendation was included in a letter Nabers sent to patients who visited his practice between Sept. 15, 2016, and Sept. 15, 2019.Nabers was fined ,000 for the improper sterilization and his license was put on probation. Nabers said previously that he has implemented protocols to correct the issues.The letter says the chance of being exposed to any infection is “very remote” and there haven’t been any reports of sickness. 784

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