Gail Collins: Bret, which do you think is more of a threat to Donald Trump’s political future, the classified document drama at Mar-a-Lago or the legal challenge to his businesses in New York? Bret Stephens: Gail, I suspect the most serious threats to Trump’s future, political or otherwise, are Big Macs and KFC buckets. Otherwise, I fear the various efforts to put the 45th president out of business or in prison make it considerably more likely that he’ll wind up in the White House as the 47th president. How about you? Gail: Sigh. You’re probably right but I’m still sorta hoping New York’s attorney general can hit him in the pocketbook. He’s super vulnerable when it comes to his shady finances — I’m even surprised he can find lawyers who have confidence they’ll keep being paid. Bret: No doubt the Trump Organization was run with the kind of fierce moral and financial rectitude you’d expect if Elizabeth Holmes had been put in charge of Enron. But the essential currency of … [Read more...] about Does It Matter That Investigators Are Closing In on Trump?
Replaced liz cheney
Millions of public sector workers face a squeeze on wages after Liz Truss dumped plans to overhaul government spending. The Prime Minister promised she would look again at how much money goes to hospitals , schools and other public services in the wake of rocketing inflation. But she has now quietly shelved a fresh Spending Review and will stick to old figures drawn up by Rishi Sunak last year - meaning public sector workers will have real-term pay cuts before 2024. Torsten Bell, of the Resolution Foundation, told The Times: "The reality of double-digit inflation will tightly squeeze the budgets of schools and hospitals, as well as households. "Higher-than-expected energy bills and pay rises being absorbed within existing budgets will mean tough choices for those delivering those services. PM Liz Truss and Chancellor Kwasi Kwarteng announced massive tax cuts ( Image: PA) "In the longer term, there are clear trade-offs between the £45billion tax cuts … [Read more...] about Liz Truss set to push real pay cut on millions of teachers and nurses
The number of joint replacements performed across the globe each year is high. With the aging of the baby boomers, and the growing demand for improved mobility and quality of life, the number of procedures performed yearly is projected to increase considerably in the future. Thus, making joint replacement surgery one of the most common elective procedures in the coming decades. For most patients, hip or knee replacement surgery is indicated when you have daily pain that is unresponsive to non-operative treatment. This is typically due to end stage, bone-on-bone arthritis. While these types of surgeries are typically successful, like any operation, there are risks involved. If these procedures are typically successful, why are some people still unsatisfied with their outcome? While there are many reasons for this, the expectations we have regarding the outcome of the surgery, realistic or not, are a common cause of dissatisfaction. So, it’s important to have a thorough and realistic … [Read more...] about Recovering from Joint Replacement Surgery
The thought of having knee replacement surgery may seem overwhelming, but simply speaking, you’re just replacing worn out parts with new parts. A common misconception about knee replacement surgery is that the entire joint is removed and then replaced with a new joint. In reality, only the damaged portions of the bones are removed and resurfaced with metal implants and polyethylene (plastic) cushions. Knee replacement is a reliable and reproducible surgical procedure with good long-term outcomes and survivorship; however, there are risks associated with it. Depending on the complexity of the procedure, the operative time may vary, but on average takes one to two hours to complete. Although each surgery is different, below is a simplified summary of what you can expect on the day of a standard knee replacement surgery. 1. Generally, you won’t be able to eat or drink after midnight in preparation for surgery. 2. You’ll typically arrive at the hospital about two hours before … [Read more...] about What to Expect During Knee Replacement Surgery
There’s no one factor that ensures joint replacement surgery is necessary. For some people, joint pain is completely debilitating. For others, pain manifests itself as an achy joint when it’s raining. Joint replacement is only appropriate for patients with certain disease states, bony deformities, or specific injuries. The first step to find out if joint replacement is right for you is to see a doctor who can analyze the cause of your joint pain. Joint pain can be caused by soft tissue injuries for which joint replacement is not an appropriate treatment. Whether you’ve suffered from joint pain for years or just days, here are a few signs that it may be time to start a conversation with your doctor: 1. Your pain is… a pain. Always getting in the way, your joint pain has no respect for your social life. Grandkids’ birthday parties. Sunday barbecues. Your annual guys-weekend-golf-extravaganza. They’re all victims of your aching joint. It rains… your joint hurts. You sleep… … [Read more...] about 5 Signs it’s Time to Talk to Your Doctor About Joint Replacement Surgery
Many of us may face the need for joint replacement surgery as we age. We want to stay active and sometimes, joint replacement surgery is a solution that helps us stay mobile. On top of that, we also tend to have higher expectations for the quality of life we expect after we’ve had surgery. Whether surgery is already scheduled, or is a future possibility, one question that patients often wonder is what can I do today to help my future mobility . The short answer to this question is, we can do almost anything that’s not painful. For aerobic exercise, low or non-impact exercise tends to be tolerated the best. I often recommend that my patients try biking or aquatic exercises like swimming or even simply walking in a pool. Exercise is important to prepare our body for the upcoming surgery. Exercising prior to surgery serves two purposes: 1. It prepares our muscles for the surgery which can shorten our recovery afterward, and 2. It familiarizes us with many of the exercises that we … [Read more...] about Building Strength Before Joint Replacement Surgery
If you and your surgeon decide that joint replacement is right for you, a date will be scheduled for your surgery. Several things may be necessary to prepare for surgery. For example, your surgeon might ask you to have a physical examination. This will help to ensure that other health problems you may have, such as diabetes or high blood pressure, are identified and treated before surgery. Your doctor may suggest that you lose weight and exercise. If you smoke, be sure to speak with your doctor about it, as smoking can dangerously increase surgical risks and slow down the healing process. You should also finish any dental work that may be underway to prevent germs in your mouth from entering the bloodstream and infecting the joint. A blood transfusion may be necessary during surgery, so your surgeon may place an order with the blood bank just in case. If you prefer, or if your surgeon feels it’s needed, you may want to donate your own blood ahead of time to reduce the risk of your … [Read more...] about Preparing for Joint Replacement Surgery
Millions of people who have suffered from hip pain and arthritis have experienced relief and restored mobility through total hip replacement. Globally, hundreds of thousands of hip replacement procedures are performed each year. However, as with any major surgery, hip replacement involves potential complications and risks both during and after the procedure. Your care team takes many precautions to prevent and manage the following possible risks. Reaction to anesthesia Your anesthetist is a specialist in giving the medications that will help relax you and manage your pain during and after surgery. You will meet with your anesthetist before your hospital admission or surgical procedure to determine the type of anesthetic that is most appropriate for you. Strictly follow your doctor’s guidelines regarding food and drink before surgery. The more common side effects related to anesthesia include nausea, vomiting, and headaches (all of which can usually be relieved with … [Read more...] about What Are the Risks of Hip Replacement Surgery?
Millions of people who have suffered from knee pain and arthritis have experienced relief and restored mobility through total knee replacement. Globally, hundreds of thousands of knee replacement procedures are performed each year. However, as with any major surgery, knee replacement involves potential complications and risks both during and after the procedure. Your care team takes many precautions to prevent and manage the following possible risks. Reaction to anesthesia Your anesthetist is a specialist in giving the medications that will help relax you and manage your pain during and after surgery. You will meet with your anesthetist before your hospital admission or surgical procedure to determine the type of anesthetic that is most appropriate for you. Strictly follow your doctor’s guidelines regarding food and drink before surgery. The more common side effects related to anesthesia include nausea, vomiting, and headaches (all of which can usually be relieved with … [Read more...] about What Are the Risks of Knee Replacement Surgery?
The idea of discussing hip replacement surgery with your doctor can be intimidating. Here are some questions that may be helpful to ask your doctor when considering hip surgery. You can even print this list and take it with you to your appointment. It’s also a good idea to keep a record of your pain to share with your doctor at the same time. About surgery… 1. How do you determine whether or not I need hip surgery? 2. What would happen if I wait six months? One year? 3. Are there alternative treatments I could try first? 4. What are the most common complications and how are they treated? 5. What are the other risks associated with hip replacement? 6. How many times have you performed this surgery? 7. How involved are you in each surgery? 8. How long will the incision/scar be? About recovery… 9. What is the expected recovery time? 10. How long will I have to be away from work? 11. How will I feel in one month after surgery? Two months? One year? … [Read more...] about Questions to ask when considering hip replacement surgery