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Trust means everything in the dangerous River of Grass, and a skilled partner makes all the difference. She would rather have a stranger select her spouse than allow those two sods to select a husband for her. All bets are off when she meets Ethan, her devastatingly sexy new neighbor…. Monica is a struggling musician who obeys no man. If she loses, she spends the night under his command. Can she walk away unscathed or will she end up right where Jonathan wants her?

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Enter Christian. But Christian is a package deal with a lawyer boyfriend. The chance at having both Christian and Victor has Peter wondering, could two be the magic number to keep his heart in one piece? The ocean is acidic, not salty. When physicians complete their residency, they typically work for a hospital, university, or large health-care organization with substantial oversight, strict ethical codes, and standardized treatment regimens.

Read: Why dentistry is separate from medicine.

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The biology of fear- and anxiety-related behaviors

Throughout history, many physicians have lamented the segregation of dentistry and medicine. Oral bacteria and the toxins they produce can migrate through the bloodstream and airways, potentially damaging the heart and lungs. Poor oral health is associated with narrowing arteries, cardiovascular disease, stroke, and respiratory disease, possibly due to a complex interplay of oral microbes and the immune system.

And some research suggests that gum disease can be an early sign of diabetes, indicating a relationship between sugar, oral bacteria, and chronic inflammation. Most major medical associations around the world have long endorsed evidence-based medicine. The idea is to shift focus away from intuition, anecdote, and received wisdom, and toward the conclusions of rigorous clinical research. Although the phrase evidence-based medicine was coined in , the concept began taking shape in the s, if not earlier some scholars trace its origins all the way back to the 17th century.

In contrast, the dental community did not begin having similar conversations until the mids. There are dozens of journals and organizations devoted to evidence-based medicine, but only a handful devoted to evidence-based dentistry. In the past decade, a small cohort of dentists has worked diligently to promote evidence-based dentistry, hosting workshops, publishing clinical-practice guidelines based on systematic reviews of research, and creating websites that curate useful resources.

Part of the problem is funding: Because dentistry is often sidelined from medicine at large, it simply does not receive as much money from the government and industry to tackle these issues.

The standard euphemism for this proclivity is overtreatment. Whereas medicine has made progress in reckoning with at least some of its own tendencies toward excessive and misguided treatment, dentistry is lagging behind. I think the majority of dentists are pretty good. Studies that explicitly focus on overtreatment in dentistry are rare, but a recent field experiment provides some clues about its pervasiveness. A team of researchers at ETH Zurich, a Swiss university, asked a volunteer patient with three tiny, shallow cavities to visit randomly selected dentists in Zurich.

The Swiss Dental Guidelines state that such minor cavities do not require fillings; rather, the dentist should monitor the decay and encourage the patient to brush regularly, which can reverse the damage. Despite this, 50 of the dentists suggested unnecessary treatment. Their recommendations were incongruous: Collectively, the overzealous dentists singled out 13 different teeth for drilling; each advised one to six fillings.

A multitude of factors has conspired to create both the opportunity and the motive for widespread overtreatment in dentistry. The financial burden of entering the profession is high and rising. In the U. In the s, with fewer genuine problems to treat, some practitioners turned to the newly flourishing industry of cosmetic dentistry, promoting elective procedures such as bleaching, teeth filing and straightening, gum lifts, and veneers.

It just adds to the whole idea that you go to a physician feeling bad and you walk out feeling better, but you go to a dentist feeling good and you walk out feeling bad. They all agreed with his conclusions. Zeidler confronted Lund about his discoveries in several face-to-face meetings. Repeated attempts were made to contact Lund and his lawyer for this story, but neither responded. They were shocked and angry. Lund had been charismatic and professional. They had assumed that his diagnoses and treatments were meant to keep them healthy.

The biology of fear- and anxiety-related behaviors

In October , Zeidler sued Lund for misrepresenting his practice and breaching their contract. Lund did not admit to any wrongdoing. At the time of his arraignment, he said he was innocent of all charges. A root canal is not a permanent fix. It requires maintenance and, in the long run, may need to be replaced with a dental implant.

He said that in order to treat the infection, the tooth was extracted and he underwent a multistage procedure involving a bone graft and months of healing before an implant and a crown were fixed in place. Because Lund installed her new dental bridges improperly, one of her teeth is continually damaged by everyday chewing.

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She has to wear a mouth guard every night. Meet pint-size future grand masters at the Elementary Chess Championships.

A year ago, the year-old Swedish climate activist began striking from school each Friday to protest climate inaction; last Friday, she gave a speech to hundreds of thousands of people in New York, at the Global Climate Strike, which was inspired by her protest. It is always at least a little unfortunate to see a young person become an icon—it robs them of the privacy of growing up. But Thunberg is an especially flummoxing figure. She looks younger than her years, yet her speeches take a shaming, authoritative tone that is, at the very least, unusual for a child.

During the campaign, I received a phone call from an influential political journalist and author, who was soliciting my thoughts on Donald Trump.


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  • Bush administrations and the George W. Bush White House. The Ukraine scandal confirms that Trump knows he can act with impunity—and no one will stop him. In June, President Donald Trump was enjoying a rare respite from scandal. Mueller had agreed to abide by Department of Justice guidance that the president could not be indicted for violating any criminal law.

    Stephanopoulos asked him: What if another foreign government offered him dirt on an opponent in ?

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    What would Trump do? Former National Security Adviser H. McMaster, the economic adviser Gary Cohn, and others would sit around the Resolute Desk in the Oval Office and listen to both ends of the conversation. The Israeli leader has long marketed himself as an essential diplomatic asset. That pitch is wearing thin. Netanyahu is in a different league , the ads read. All they wanna do is get people in trouble! It was typical button-pushing from the comedian: a hot take wrapped in a crude insult, delivered loudly and enthusiastically.

    Usually, though, he follows up such bits with actual introspection.