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Usually my morning will consist of various team meetings and discussing tricky patients or diagnoses with the other online doctors.
Phillips the magician turns Houdini, the neurotics' neurotic, into an analysand, conjures before tricky patients who also think magically, locked in their phobias and compulsions, and unveils the meaning of their conditions.
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Specialist learning disability liaison nurse Jainab Desai is making meticulous checks of the complex arrangements to receive a tricky patient with learning disabilities, with staff of the day surgery unit at Royal Bolton hospital.
I'll quite often find myself thinking about either a tricky patient or a research problem late into the evening, although once I'm in bed it's not difficult to sleep.
The trial, still being planned, is one of a handful being designed in Europe and the United States for arguably the trickiest patient population there is: pregnant women and their fetuses.
It must be tricky sometimes, for patients and doctors, in countries where a GP isn't involved and patients self-refer to specialists.
And Ambien, in common with many other drugs, can be tricky for some patients to give up.
Critics contend that cutting drugs into even doses can be tricky, particularly for patients who are old or have physical disabilities.
It's tricky to ask patients to keep sleep logs or to send them for expensive overnight sleep studies, which can involve complicated equipment like surface electrodes to measure brain and muscle activity; abdominal belts to record breathing; "pulse oximeters" to measure blood oxygen levels; even snore microphones.
But the surgery is trickier, for both patients, than most organ transplants and comes with serious risks, a fact made clear last year, when a man died at Mount Sinai Medical Center in Manhattan after donating part of his liver to his brother.
That can be tricky because a patient's symptoms can mimic symptoms of other illnesses, and because it can take time for similar cases to materialize.
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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