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Many patients without health insurance delay treatment until it is too late.
These proposals are in part a response to the fear that the current drive to close smaller hospitals will leave many patients without proper access to specialist care.
The city plans to shut down 6 of its 12 mental health centers by the end of April, to save an estimated $2 million, potentially leaving many patients without adequate treatment — some of them likely to engage in conduct that will lead to arrests.
In the past, many patients without a home have returned to the streets, according to homeless charity Shelter.
Advanced physiotherapy-led clinics can assist in managing demand by directly assessing and managing many patients without the need for consultation with a medical specialist.
Recent advances have been made in the management of migraine, but pharmacologic treatment options are still far from optimum, leaving many patients without pain-free treatments or with unpleasant side effects [5, 6].
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In most cases, no Promenade staff member accompanied the patients, and many patients traveled without their medical records.
The disease usually has no symptoms along its course, which makes many patients remain without diagnosis for an extended time.
It also may be argued that migraine is often under-diagnosed and under-treated in the ED [17, 18], or that the ICHD-2 criteria for migraine are underused in the ED, with the result that many patients leave without a clear discharge diagnosis and medications [13].
The clinical signs of brain abscess are unspecific, many patients presented without clear signs of infection and diagnosis and treatment were often delayed.
The term HHNK was replaced with "hyperglycemic hyperosmolar state" to reflect the fact that many patients present without significant decline in the level of consciousness (less than one-third of patients present with coma) and because many patients can present with mild to moderate degrees of ketosis (32, 60).
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