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For many years, laser photocoagulation has been the treatment of choice for retinopathy of prematurity (ROP). However, the treatment of peripheral stage 4 disease, especially the posterior portion of the disk, is a major challenge. This study reports the use of a combination of conventional laser and double pulsed laser to treat all stages of ROP in stage 3, and posterior stage 4 disease with a mean of six treatments. For stage 3 disease, conventional laser alone produced a retinal detachment in 11% (3 of 26) and double pulsed laser alone in 8% (2 of 25). The combination of conventional laser and double pulsed laser produced only one retinal detachment, or a 3% failure rate, for stage 3 disease. All posterior stage 4 eyes treated with conventional laser, double pulsed laser, or a combination of both therapies developed a subretinal fibrosis. For peripheral stage 4 disease, the combination of conventional and double pulsed laser produced a retinal detachment in 21% (6 of 29) and double pulsed laser alone in 9% (2 of 22). there are a lot of ways to get around that.
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This one is pretty easy to get around, but you can do it anyway. If you know that an inbound phone call is going to distract you, don’t answer it. You can block your number in your phone if you’re particularly concerned about this. For your texts and emails, make sure you have time set aside for replying. You’ll be glad you did.
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Do you feel like every job requires a different skill set than every other job? Then maybe the best thing you can do is be honest with yourself, because it’s possible you’re an expert in no one thing. I’m not just talking about not being able to type, but perhaps you’re better at developing your own marketing ideas than you are at being a 0b46394aab
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