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Complications of local service providers are not usually known, making it impossible to decide if a patient should undergo cea. Much effort would be required to set up accurate measures of surgical outcomes in routine clinical practice. In addition, the randomized trial results indicate that cea is inefficient for stroke prevention. cheap generic viagra viagra online buy cheap viagra buy cheap viagra viagra without a doctor prescription generic viagra cheap generic viagra cheap viagra online floridalighttacklecharters.com/thq-sales-viagra-xh/ buy viagra In acas, for example, the average annual absolute risk reduction of ipsilateral stroke with surgery was 1. 18% and the perioperative stroke or death rate was 2. 3%. 4 assuming the results of acas are generalizable, therefore, about 85 operations would be required to be 'ahead' by one ipsilateral stroke annually. This means that three ipsilateral strokes would be prevented by these 85 operations at the expense of two strokes (or deaths) caused by surgery. Furthermore, the overall stroke-prevention benefit in the randomized trials was expensive. Using acas results once again, it would cost about au$600,000 (us$550,000) just to perform the 85 operations required to be ahead by one ipsilateral stroke (assuming a cost of au$7,000 [us$6,400 per operation 6 ). The cost of preventing one stroke (from unspecified causes in patients with previous stroke or transient ischemic attack [tia]) using either aspirin, cholesterol, blood-pressure-lowering agents or smoking cessation 7 would be up to ccc times lower than that of performing 85 ceas. For a given health budget, considerably more strokes would be prevented by medical intervention than by surgery. The cost-effectiveness of surgery for asymptomatic severe cas might be improved if methods could be found to identify patients who—although receiving medical intervention—have a sufficiently high risk of ipsilateral stroke to warrant surgery. Despite much research, 1 this goal has not yet been achieved. Even if such patients are one day reliably identified, they might also face higher surgical risks. Thus, randomized trials would be required in this patient subgroup before surgical intervention could be justified in routine practice. The case against surgery for asymptomatic severe cas is further strengthened by recent evidence indicating that the risk of stroke or tia in unoperated patients has fallen considerably over the last 25 years. 1 in addition, there are downward trends in average annual stroke rates. Recently, two trials observed the average annual rates of ipsilateral stroke in unoperated patients receiving medical intervention alone to be 1. 7% (95% ci 0. 9–2. 5%) 8 and 1. 0% (95% ci 0–2. 4%), 9 while average annual rates of any-territory stroke were 2. 1% (95% ci 1. 3–2. 9%) 8 and 2. 2% (95% ci 0. 2–4. 2%). 9 statistically, these rates are no different from the 2. 2% average annual incidence of ipsilateral stroke seen in acas 4 and the 2. 4% average annual incidence of any-territory stroke seen in acst 5.
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In addition to the 77 ailments for which acupuncture has been shown to be an effective treatment by the World Health Organization, the doctors at Acupuncture & Chinese Medical Center have successfully expanded the scope of the effectiveness of acupuncture since 1968.

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“I WILL DEVOTE MY ENERGY TO A LIFETIME OF HEALING THROUGH ACUPUNCTURE”
Dr. Shan Kong




“THERE WERE FOUR THINGS WHICH THE MASTER TAUGHT—LETTERS, ETHICS, DEVOTION OF SOUL, AND TRUTHFULNESS"
Confucius
(552 B.C.—479 B.C.)








   

Dr. Shan Kong, licensed & nationally certified acupuncturist, for over 40 years clinical experience in Chinese herbs and acupunctre. Dr. Kong is descended in a direct line from Confucius (73rd generation) and always adheres to the strictest medical ethics.

 
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I offer the following services to improve patients' health. The most common therapy is regular acupuncture (body acupuncture); sometimes it may be combined with Chinese herbs or one of auxiliary therapies of acupuncture for treatment.

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Michigan auto insurance covers acupuncture for post-accident injures.
 

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