The Shamrock
Well-known member
Kenny Clark is and always has been, a slimy cloven-hooved cheating goat-shagging cunt!
And a hypocritical, two-faced hun to boot.
Kenny Clark is and always has been, a slimy cloven-hooved cheating goat-shagging cunt!
..........................Shame nobody has the balls to ask him why he tells the same celtic story on the after dinner circuits mostly the ludges
eloquent and straight to the point Maestro! Hail Hail.Kenny Clark is and always has been, a slimy cloven-hooved cheating goat-shagging cunt!
Its a disease ! .. lol
At the practical level, treating the patient rather than the disease means considering what’s important to the individual patient and keeping that in mind when deciding how to proceed. Consider the different effects a disease of the eye can have on an individual: The patient can have a symptom, such as pain; you may observe a sign such as a cupped optic nerve, a hemorrhage in the macula or high intraocular pressure; the disease may undermine the patient’s visual ability, as registered by a specific metric such as visual acuity, contrast sensitivity or visual field; and/or the disease may undermine the person’s ability to function. Of these, only two really matter to the patient: how the patient feels, and how well the patient is able to function. Patients don’t care about signs. Their IOP or the fact that they have a hemorrhage on the optic nerve is totally immaterial to them. (Of course, they will care a great deal if you explain that these signs indicate progressive glaucoma that could lead to blindness; but the reason they will care is because you’re now talking about their functionality and quality of life.)
..............................Its a disease ! .. lol
At the practical level, treating the patient rather than the disease means considering what’s important to the individual patient and keeping that in mind when deciding how to proceed. Consider the different effects a disease of the eye can have on an individual: The patient can have a symptom, such as pain; you may observe a sign such as a cupped optic nerve, a hemorrhage in the macula or high intraocular pressure; the disease may undermine the patient’s visual ability, as registered by a specific metric such as visual acuity, contrast sensitivity or visual field; and/or the disease may undermine the person’s ability to function. Of these, only two really matter to the patient: how the patient feels, and how well the patient is able to function. Patients don’t care about signs. Their IOP or the fact that they have a hemorrhage on the optic nerve is totally immaterial to them. (Of course, they will care a great deal if you explain that these signs indicate progressive glaucoma that could lead to blindness; but the reason they will care is because you’re now talking about their functionality and quality of life.)
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Aye!
But have you seen a handsome Hun?
..............................
Aye!
But have you seen a handsome Hun?
.........................Not yet, we all live in hope !