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After Naomi was diagnosed with end stage renal disease, Sonali and her husband experienced many challenges in ensuring compassionate care for her and their frustrations led to the formation of Dear Mittens.
A median survival of 5.3 years confirms a further step improvement and highlights the difficult challenge of determining when patients are genuinely "end stage" and should thus be referred for transplantation.
NICE technology appraisals rejecting a number of end stage cancer drugs, on the grounds of cost-effectiveness, were challenged and debates culminated in the Richards Report "Improving access to medicines for NHS patients" [ 18].
Helping patients with end stage renal disease (ESRD) maintain a normal serum phosphate level remains a challenge for many healthcare practitioners.
This case series demonstrates the challenges of actual participation in a physical activity intervention in end stage cancer patients.
Although kidney transplantation has been an important means for the treatment of patients with end stage of renal disease, the long-term survival rate of the renal allograft remains a challenge.
Her Off Broadway stage challenge is thornier.
"They don't know early stage from end stage.
That's the end stage.
ESRD = End stage renal disease.
Their relationship was in its end stages.
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Since I tried Ludwig back in 2017, I have been constantly using it in both editing and translation. Ever since, I suggest it to my translators at ProSciEditing.

Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com