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"They have just operated as if they have no accountability and responsibility," Altman continued.
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Another of the women Bowers has just operated on, Ayanna, 23, a marketing assistant from the Pacific northwest who fled the civil war in Somalia, is in a quandary after her clitoroplasty, for she is not in love with her current boyfriend.
At the Tokuda hospital, 34-year-old vascular surgeon Dimitar Balezdrov patrols the wards in his sky-blue scrubs, checking the blood pressure of an elderly patient he has just operated on.
He also as we have just seen operates with an unsatisfactory understanding of what morality is.
In all of western Libya, the area where the people-smugglers operate, coastguards have just three operational boats.
In front of the ancient vases and columns, he felt, he said later, that he had just been "operated on for cataract of the eye".
The Iranians have just barely started to operate these machines.
In Xishuangbanna the new Jinghong dam has just started operating.
The flaring came from a drill rig, the Q4000, and from the Helix Producer, which had just started operating Monday.
The Locrian Chamber Players, a contemporary music ensemble now in its sixth season, has just one operating principle: to perform music written only within the last 10 years.
Then comes the food: slabs of perfectly cooked pork from the same cut we've just been operating on, and heaps of dauphinoise potatoes piled on to plates.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com