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Both teams were short-handed with injuries, particularly in the backcourt. Starters DAngelo Russell and Nick Young already were out for the Lakers and Jose Calderon, who started, left in the first quarter with a right hamstring strain. After the Lakers held a double-digit lead in the first half, Memphis went on a 10-4 run to open the third quarter, turning the contest into a tight affair through the rest of the period, that ended in an 82-all deadlock. Williams had 28 points in the first half as the Lakers carried a 62-54 lead into the break. Williams was 7 of 10 in the half and converted http://www.buffalos-rufc.com/moreisaacrice/2016/12/11/selecting-intelligent-solutions-in-interview-for-cardiology all 11 of his free throws. Memphis got 23 points from Daniels, but still trailed the Lakers by as many as 11 late the first half. TIP-INS Lakers: Williams 40 points were the most ever scored by an opponents reserve against Memphis. J.R. Smith had 35 previously. Williams, who hit all 14 of his free throws in the game, has converted a free throw in 30 straight contests, longest streak in the league. The Lakers wrapped up a four-game road trip over five days.
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“If a patient shows up in a physician’s practice and they have an upper respiratory tract infection, it is most often viral and will resolve itself in a few days,” Qaseem said. “You tell the patient to go home, rest, and it will be OK, but generally the expectation of a patient is that you will do something more than that.” Physicians also might be practicing defensive medicine to ward off potential malpractice suits, or trying to meet clinical performance measures that call for blanket treatments that must be applied to all patients, Qaseem said. Dr. Michael Munger is president-elect of the American Academy of Family Physicians and a family doctor in Overland Park, Kansas. He said that prior experience and institutional history also plays a role. “The thought and common wisdom was that a great deal of upper respiratory infections were bacterial in nature, and thus an antibiotic treatment would be necessary,” Munger said. “The beauty of following a discipline in primary care is that you continue to evaluate what you do, look at the evidence and what does the evidence support,” he continued. “We’re recognizing now emerging studies that show most of upper respiratory infections are viral in basis as opposed to bacterial, so now it’s a process of changing practice habits.” Qaseem and Munger agreed that patients should feel free to question their doctor about prescribed medications and treatments, rather than accepting things at face value. “I personally welcome it,” Munger said, “because I have a partnership with a patient, and part of my role is to fully inform a patient of what they have and what the treatment options are.” Patients already are starting to question prescriptions for antibiotics, probably based on media attention around antibiotic-resistant bacteria, Munger noted.
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