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Казино Песня Oxycodone Какого Года Песня

казино песня oxycodone какого года песня

Казино
Claud Raper 71rus & Oxxxycodone Lyrics

Сто тысяч - красное, ставки сделаны
One hundred thousand on red, bets are placed


Начинаем игру!
Let the game begin!


Ёбаный рот этого казино, блять!
Fucking mouth of this casino, damn it!


Ёбанный в рот этого казино
Fucked in the mouth by this casino


Ты поставил на 12, я поставил на zero
You bet on 12, I bet on zero


Я бухаю Black bakardi, ты бухаешь вино
I'm drinking Black Bacardi, you're drinking wine


Выпиваю 6 стаканов, ну а ты уже в дерьмо
I've had 6 glasses, while you're already in the shit


Я поднялся, ты въебался, денег нету на такси
I got up, you're stuck, no money for a taxi


Еду в кожаном салоне, если хочешь - отсоси
Riding in a leather salon, if you want - suck it


Все потратил на рулетки, уж и плакать нету сил
Spent everything on roulette, can't even cry anymore


Ты ебаный прыщ по жизни, мне поможет клерасил
You're a fucking pimple in life, Clerasil will help me


Нахуй ты играешь, додик, тебя дома ждет жена
Why the fuck are you playing, idiot, your wife is waiting for you at home


Два ребенка, ипотека, а в кармане нихуя
Two kids, a mortgage, and nothing in your pocket


Денег нету, денег нету, денег нету у тебя
No money, no money, no money for you


Долбоеб ты, долбоеб ты, долбоеб ебаный, бля
You're a fucking idiot, a fucking idiot, a fucking moron


Ты в инете-то уебок, ну а в жизни еще хуже
You're a loser on the internet, and even worse in life


Все бабосы проебал, теперь ты обезоружен
You've lost all your money, now you're disarmed


Думал - разбогатеешь, а на деле пернул в лужу
Thought you would get rich, but in reality you fucked up


Прыгнул с камнем в реку глубже, труп никто не обнаружит
Jumped into the river with a rock, no one will find the body


Тупо дохуя бабла, как будто я в кино
Stupidly a lot of money, like I'm in a movie


Иисус Христос, из воздуха делаю бабло
Jesus Christ, I make money out of thin air


Хули ты забыл тут, бомж, съеби в своё село
What the fuck are you doing here, homeless man, go back to your village


Твои бабки улетели, сука, прямо мне в карман
Your money flew away, bitch, straight into my pocket


Лузер, отъебали мы тебя, теперь ты уебан
Loser, we fucked you over, now you're fucked


Крузер приобрёл себе, лошок, ты голый как Тарзан
Got myself a cruiser, loser, while you're naked like Tarzan


Я весь в золоте, а твой любимый минерал - Нарзан
I'm covered in gold, while your favorite mineral is Narzan


Давай же, чмошник, проебывай бабки в моей охуенной рулетке
Come on, asshole, lose your money in my fucking awesome roulette


Будешь метать перед свиньями бисер и жрать из макдака объедки
You'll be throwing beads in front of pigs and eating leftovers from McDonald's


Ёбаный нищий, забейся в подъезд и прикуривай там из пипетки
Fucking beggar, go hide in the entrance and light up from a pipette


Твой выбор единственный - мыло, веревку на шею, уверенный шаг с табуретки
Your only choice - soap, a rope around your neck, a confident step from a stool


Весь в долгах, весь в хуях, и давно заложен дом
In debt, in shit, and the house has long been pledged


У тебя в руке ПМ, и на тебя направлен он
You have a PM in your hand, and it's aimed at you


Выстрел, пуля, труп на стуле, нехуй ставить все на кон
Shot, bullet, corpse on a chair, don't bet everything on it


Надо было не играть в моем казино, гандон!
Shouldn't have played in my casino, you dumbass!


Шобла ёбаная,падла блядская!
Fucking scum, damned whore!




Writer(s): Claud Raper 71rus

Contributed by Zoe Y. Suggest a correction in the comments below.

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Learn several foreign languages

It&#;s nice to come to Italy and say &#;Buongiorno!&#; passing waiter. And then catch the admiring glances of those with whom you came. Is not it? But it has long been known that learning foreign languages contributes to the development of a good memory. It&#;s also very interesting! So why not take advantage of this?

These are effective methods for training memory. But there is also something interesting. Memory is inextricably linked to proper and good brain function. This means that stimulating its work allows you to improve memory:

It has been proven that regular sports activities increase brain activity and improve memory;
No to gray days! It is well remembered that that does not fit into the framework of everyday life. Try to change the environment, add bright colors, go to the store on a new path &#; It is not necessary to radically change your life. Just add something new to your daily routine, and your brain will work with renewed vigor;
Add new habits. For example, tidying up your desk in the morning is a great start to a productive day!
Meditation, relaxation make the brain switch, relax. This means that he will perform new tasks with renewed vigor;
Music has a magical effect on our brain. It has been proven that people who practice music have better memory and analytical skills;
Teamwork. Brainstorms have proven their effectiveness more than once. And now scientists have proven that the decisions made in the team were more accurate and faster. They attribute this to the fact that information is easier to perceive and assimilate during communication. Therefore, solve problems together!
The brain assimilates and sorts information while we sleep. So don&#;t ignore this process.
Conclusion

This is just a small part of the effective techniques for developing memory. But simple reading will not work. Apply these techniques. Remember, only 50% of the result depends on the doctor, and the remaining 50% on the patient. Without working on yourself, you will never reach the top.
Figure 1. Sample structure of coursework
The above structure can only serve as a guide. When giving the assignment to write a term paper, the teacher usually shows a sample of drawing up a plan, explains which sections should be contained in it.
How to write the introduction of a term paper correctly

The introduction is what is always read. If the main part of the commission (and even the leader, if he is not very conscientious) can skim through, then the first pages of the text will certainly receive close attention. As the title implies, this section serves to introduce readers to the course of the matter, to briefly describe the research. The introduction consists of typical parts:
Relevance of the topic. You need to explain why you chose this particular topic, why it should be considered. The arguments presented depend significantly on the direction of the research &#; it can be either the novelty of the topic (&#;in connection with active changes in this area&#;), or its controversial nature (when one large scientific school expresses one opinion, and another &#; another), or practical significance. For historical topics, it is necessary to establish a connection with the present, to trace what the events of the past are affecting now, to draw parallels.
Objective. A goal is what you want to achieve as a result of your research. For undergraduate coursework, the goal may be to “learn” something, or “systematize knowledge” about something. In senior years, the work is more practical in nature, and the goals change &#; &#;to formulate recommendations for improvement&#;, &#;to develop a project&#;, &#;to identify ways to improve efficiency.&#;
Work tasks are a kind of &#;steps&#; to achieve the goal. If the goal of the work is one, then there are several tasks. Their number should correspond to the number of paragraphs in the work plan. Each item in the table of contents is a separate task.
Dated using verbs &#; &#;analyze&#;, &#;consider&#;, &#;characterize&#;, &#;describe&#;, &#;classify&#;, &#;reveal&#; and others.

essay about benefits of national service training programme writing on black paper essay on what community service means to me

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tapestry_2

He is seen sporting turtleneck sweaters &#; which he tucked into his pants &#; baggy trousers, plaid sweater vests,
and oversized suits. Lydia, who was played by Lisa Jakub, wore things like an extra-massive sweater vest &#; which she was practically
drowning in &#; a floral dress with a jarringly totally different-wanting cardigan, and an embellished
vest over a collared white shirt, whereas Chris, portrayed by Matthew Lawrence,
was seen in a series of eye-popping button down shirts
and baggy tees. The characters rocked issues like camo tops,
embroidered coats, geometric-print button-downs, vests, knee-high lace-up boots,
a number of layers with classing patterns, and cargo pants.
Among the twins&#; outfits throughout the movie embody a chinoiserie costume,
a excessive-wasted pencil skirt, a knee-length, pink pea coat,
a bomber jacket, a plaid shirt and skirt combo, and a matching blue pants swimsuit,
which they paired with equipment like headbands, sunglasses, and neck ties &#; all fashionable styles all
through the &#;90s however aren&#;t typically seen on yr-olds now.

An Overview of Social Security Benefits

A. Introduction

Most people consider Social Security benefits as something available to them upon old age retirement. However, those monies withheld from each paycheck, and those paid each quarter by self-employed individuals, provide a variety of benefits to both the worker and his family.

B. DISABILITY AND SUPPLEMENTAL SECURITY INCOME BENEFITS

The Social Security Administration defines disability as “the inability to engage in any substantial gainful employment because of a medically determinable physical or mental impairment that can be expected to result in death or which has lasted or can be expected to last for a continuous period of at least twelve months.” 42 U.S.C.S. §(d)(1)(A). The most misunderstood element of disability entitlement is the requirement that the claimant must be unable to perform any work. An individual who, due to his impairment, is unable to perform his past relevant work and/or is incapable of earning similar compensation is not entitled to disability benefits.

To assess an individual’s entitlement to disability benefits, the Social Security Administration follows a five step sequential process:

  • Is the claimant presently engaging in substantial gainful activity? (In , substantial gainful activity is considered earnings in excess of $ per month.) 20 C.F.R. § and §
  • Does the claimant have a severe mental or physical impairment?
  • Is the impairment listed in or equivalent to an impairment in 20 C.F.R. §, Subpt. P, App. 1 of the Regulations? (See Appendix A of this material).
  • Does the impairment prevent the claimant from doing past relevant work?
  • Does the impairment prevent the claimant from doing any other work?

20 C.F.R. § and § A finding of not disabled at any step precludes further inquiry.

Specific to older claimants (50 years and older), the regulations recognize their limited marketability and vocational adaptability. See, 20 C.F.R. §, Subpt. P, App. 2 &#; “The Medical-Vocational Guidelines.” Also advantageous to older claimants is the arduous unskilled labor rule. This rule awards benefits to an individual who has only a marginal education (formal education at the sixth grade level or less) and work experiences of 35 years or more as an unskilled physical laborer, which now due to a severe impairment, he is incapable of performing. 20 C.F.R. §

Once an individual is found disabled, the benefits he receives are dependent upon his work history.

Disability Benefits: the insured worker

An individual insured at the time of his disability onset is paid monthly benefits irrespective of the family’s income and/or assets. The primary test for determining insured status is the 20/40 rule: the disabled worker must have at least 20 quarters (5 years) of coverage within the 40 quarter period (10 years) immediately preceding disability. 20 C.F.R §

Quarters of coverage are earned for income upon which Social Security taxes are paid. The amount of income required to earn a quarter of coverage is:

Year

Required Earnings

Year

Required Earnings

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

$

Prior to

$50

No more than four quarters will be credited for a single year. 20 C.F.R. § et. seq.

Disabled insured individuals are paid monthly benefits beginning the fifth month after disability onset, in an amount commensurate with Social Security taxes paid. Twenty-four months after disability entitlement, the disabled worker, assuming continuing disability, is entitled to Medicare coverage.

Medicare

Medicare Part A covers inpatient hospital care, skilled nursing care, home health care, and hospice care. Medicare Part B covers doctor’s services, outpatient services, durable medical equipment, and home health care. For further information on services not covered, see goalma.org

The Medicare Part B premium in is $ per month, up from $ in The Part B deductible remains $ per year in , and the beneficiary pays 20% of the Medicare-approved amount after the deductible is met.

Supplemental Security Income (SSI) benefits: the uninsured worker

An uninsured individual who is disabled is entitled to benefits when the income and resource (assets) limitations are met. Currently, the SSI resource limit is $2, for an individual and $3, for a couple.

However, in counting resources, the Social Security Administration does not include such items as the disabled individual’s home, household goods and personal property, one wedding and engagement ring, some burial funds and spaces, some life insurance policies and a car. Note, this list is not exhaustive. For further detail, refer to 20 C.F.R. § et. seq.

Income limitation is determined by the Federal Benefit Rate (“FBR” &#; the monies paid as a monthly benefit). For , the FBR is $ for an eligible individual and $ for an eligible couple. Generally, countable income reduces a disabled individual’s monthly benefit dollar for dollar. Countable income greater than the FBR precludes SSI eligibility. For further information regarding countable income, refer to 20 C.F.R. § et. seq.

One-third of the FBR will be counted as additional income if the individual (or individual’s spouse):

(1) Lives in another person’s household for a full calendar month except for temporary absences; and (2) Receives both food and shelter from the person in whose household the individual is living.

Because SSI benefits are awarded on a need basis, monthly benefits and Medicaid coverage are immediately available, upon the first month of the disability onset or the date of the application, which ever is later.

C. WORKERS COMPENSATION OFFSET

Under 42 U.S.C. §a and 20 C.F.R. §, Social Security disability benefits are subject to an offset (reduction) when paid to a claimant who is also entitled to worker’s compensation benefits. The offset is applied when the beneficiary is receiving benefits paid to a worker through a state or federal plan because of work-related injury or disease. Programs which are considered worker’s compensation under the statute include the Longshoreman’s and Harbor Worker’s Compensation Act and the Federal Employees’ Compensation Act. Payments under the Jones’s Act, Veteran’s benefits, welfare benefits, and private pension or insurance benefits are not considered worker’s compensation benefits.

The offset is generally applied when the total of the monthly Social Security disability benefit and the worker’s compensation benefit exceeds 80% of the worker’s &#;average current earnings&#; (ACE) before disability. ACE is defined in 42 U.S.C. §a(a) generally as either 1/60th of total wages and self employment income for five consecutive calendar years after for which such wages and self-employment income are highest, or 1/12th of total wages and self-employment income for the calendar year in which the beneficiary had the highest such wages and income during the period consisting of the calendar year in which he became disabled and the 5 years preceding that year.

Thus, in order to determine the amount of the offset and the amount of the disability benefit, the worker’s compensation benefit is subtracted from 80% of ACE rendering the amount of entitlement after the offset. This figure is subtracted from the amount of entitlement before the offset to determine the amount of the offset itself.

Commuting periodic worker’s compensation benefits to a lump sum does not preclude offset, as the Social Security Administration will prorate or amortize the offset. Generally, the rate or monthly amount at which Social Security prorates a lump sum will be the amount of the rate specified in the lump sum award. If no rate is specified in the award, the rate paid prior to the lump sum payment is designated. Also, when prorating a lump sum award, Social Security will exclude past and future medical expenses as well as sums expended in pursuit of the lump sum, including attorney’s fees. Also excluded are amounts set aside for rehabilitation, as well as penalties and interest. These amounts must be included in the settlement document and must be properly documented.

Therefore, when settling a worker’s compensation case, the assigned worker’s compensation rate should be made as low as possible and cover as long a period of time as possible. If possible, the period assigned should be the beneficiary’s expected life span. Attorneys should be wary of designating portions of the lump sum as future medical expenses because Medicare will often refuse payment for medical expenses on the basis that these expenses have been provided for in the worker’s compensation settlement.

D. WIDOW’S AND WIDOWER’S BENEFITS

A widow or widower who is disabled as explained in section A of this outline and uninsured on the basis of his own earnings record, is entitled to disability benefits on the basis of a deceased spouse’s earnings record if:

1. The deceased spouse was insured at the time of death; 2. The claimant is at least 50 years in age; and 3. The disability occurred within seven years of the insured’s death.

20 C.F.R. §(c).

Divorced spouses are also entitled to widow/widower’s benefits if the marriage lasted ten years immediately before the divorce and the other, above criteria are met. 20 C.F.R. §

Because they are based on an insured worker’s earnings, widow/widower’s benefits are paid irrespective of income and assets beginning five months after entitlement, with Medicare benefits available 24 months after the date of entitlement.

E. SURVIVOR’S BENEFITS

When a worker dies fully insured, family members may be entitled to monthly benefits (no medical insurance coverage is available). Those eligible family members include:

  • Spouse. Spouses are paid survivor benefits if the marriage relationship lasted at least nine months immediately preceding the insured’s death (if the death was the result of an accident or in the line of military duty, there is no length of marriage requirement); or the spouse is the parent of the insured’s child (natural or adopted). 20 C.F.R. §(a).
  • Child. A child is paid benefits when he is the insured’s natural, adopted, step child or dependent grandchild under age 18, under age 19 if in high school, or any age if disabled before age 20 C.F.R. § et. seq.; specific to grandchildren see, 20 C.F.R. §
  • Mothers/Father’s Benefits. A spouse or divorced spouse who has in his care an eligible child as described immediately above, who is under age sixteen or disabled. Under this benefit program, a divorced spouse is not required to have been married to the insured for a specific time. However, he must be the natural or adoptive parent of the child. 20 C.F.R. § and
  • Dependant parents. The parent of a deceased insured can qualify for benefits if he is at least 62 years in age and was receiving one half of his support from the insured at the time of his death or at the beginning of any period of disability that continued up to death. 20 C.F.R. §

Quarters of coverage needed by an individual who dies to be full insured are:

Year of Birth

QC’s

35

36

37

38

39

After

40

* Individuals born on January 1, refer to the year prior to birth. 20 C.F.R. § and

F. RETIREMENT BENEFITS

In order to qualify for retirement benefits a worker must be fully insured, i.e., have earned the required number of quarters of coverage (QC’s). QC’s are earned as explained in section A of this outline. With the exception of those born prior to , the worker must have forty QC’s (10 years of work) to be fully insured for retirement benefits:

Year of Birth

QC’s

35

36

37

38

39

After

40

* Individuals born on January 1, refer to the year prior to birth. 20 C.F.R. § and

Normal Retirement

At present, the normal retirement age is However, under legislation passed in that age has risen:

Year of Birth

Normal Retirement Age

Before

65

65 and 2 months

65 and 4 months

65 and 6 months

65 and 8 months

65 and 10 months

66

66 and 2 months

66 and 4 months

66 and 6 months

66 and 8 months

66 and 10 months

After

67

* Individuals born on January 1, refer to the year prior to birth. 20 C.F.R. § and

Early Retirement

An insured worker may retire as early as age 62; however, the monthly benefit will permanently be smaller than if the worker waited until normal retirement age to receive retirement benefits. 20 C.F.R. § and (c). Taking Social Security at exactly age 62 will add 10 additional penalty months to the benefit reduction formula used for early retirement, yielding % of their full benefit rate.

Late Retirement

If a worker waits until after his normal retirement age to receive Social Security old age benefits, the monthly benefits are increased by a percentage for each year receipt of benefits is delayed up to age 20 C.F.R. §(b).

Auxiliary Benefits

As in other benefit programs, a retired individual’s family members may also be entitled to benefits

Spouse. Spouses are entitled to benefits: &#; Upon reaching 62 years in age*; or &#; At any age if the spouse has in his case an eligible child as defined in section D(2) of this outline, who is under 16 years of age or disabled. If the eligible child is not the naturl child of the spouse, the spouse must have been married to the insured for one year. 20 C.F.R. §

* This early receipt of benefits, prior to normal retirement age, reduces the monthly benefit.

Divorced spouse. A divorced spouse is entitled to benefits on the account of an insured worker, whether or not the worker has applied for retirement benefits if he is: &#; At least 62 years in age; &#; Unmarried; &#; Was married to the worker at least 10 years; and &#; The divorce occurred 2 years prior to the application. 20 C.F.R. §

Note: There is a maximum family limit to auxiliary benefits. If the sum of the auxiliary benefits based on a single earner’s record exceeds the maximum family limit, the benefits paid to the family members will be proportionately reduced. However, the workers benefits are not reduced. Further, any amount payable to a divorced spouse is not included in the family maximum. 20 C.F.R. § et. seq.

G. IMPACT OF WAGES ON RETIREMENT BENEFITS

The retirement earnings test “RET” affects individuals between the ages of 62 and 65 and two months, in that it allows a reduction in the amount of Social Security retirement benefits paid to those earning income after retirement. In , the earnings limitation was $11, However, workers over the normal retirement age no longer face this issue because in , Congress eliminated it.

H. IMPACT OF PASSIVE INCOME ON RETIREMENT BENEFITS

Income not attributable to services performed after the month of entitlement does not reduce monthly benefits. 42 U.S.C.S. (f)(D). Examples of passive income not affecting retirement benefits are capital gains, dividends, interest, rental income, pension, annuity, retirement pay and royalties. The key to excluding income is; it must be passive. If an individual &#;retires&#; but thereafter continues to work in a business taking higher dividend payments rather than a salary, the Social Security Administration will consider the dividend, wages and reduce retirement benefits accordingly. Particularly in dealing with family businesses and closely held corporations, it is suggested that an individual seek advice regarding structuring of post retirement income. The Social Security Administration has the authority to examine retirement arrangements and generally, claim that an individual is guilty until he proves himself innocent.

APPENDIX A

The Listing of Impairments, generally referred to as “Listings”, describes impairments which are considered severe enough to prevent a person from performing any gainful activity. 20 CFR § The Listings are generally organized by body systems, i.e. musculoskeletal, respiratory. Each individual listing has a general introduction containing definitions of key concepts used in that section. Also found in the introduction are certain specific medical findings, some of which are required to establish a diagnosis or confirm the existence of an impairment in using a Listing. 20 CFR §(c). Most of the listed impairments are permanent or expected to result in death, or a specific statement of duration is made; otherwise, the evidence must show that the impairment has lasted or is expected to last for a continuous period of at least twelve months.

The Listing of Impairments (Part A applicable to individuals age 18 and over) is divided into 14 sections as follows:

  • Musculoskeletal System
  • Special Senses and Speech
  • Respiratory System
  • Cardiovascular System
  • Digestive System
  • Genito-Urinary System
  • Hemic and Lymphatic System
  • Skin Disorders
  • Endocrine System
  • Multiple Body Systems
  • Neurological
  • Mental Disorders
  • Neoplastic Disease, Malignant
  • Immune System

A detailed explanation of Section follows:

§ Musculoskeletal System

§ Major dysfunction of a joint(s) (due to any cause): Characterized by gross anatomical deformity (e.g., subluxation, contracture, bony or fibrous ankylosis, instability) and chronic joint pain and stiffness with signs of limitation of motion or other abnormal motion of the affected joint(s), and findings on appropriate medically acceptable imaging of joint space narrowing, bony destruction, or ankylosis of the affected joint(s). With:

A. Involvement of one major peripheral weight-bearing joint (i.e, hip, knee, or ankle) resulting in an inability to ambulate effectively, as defined in b2b; or B. Involvement of one major peripheral joint in each upper extremity (i.e, shoulder, elbow, or wrist-hand), resulting in an inability to perform fine and gross movements effectively, as defined in B2c.

§ Reconstructive surgery or surgical arthrodesis of a major weight-bearing joint, with inability to ambulate effectively and return to effective ambulation did not occur, or is not expected to occur, within 12 months of onset.

§ Disorders of the spine (e.g., herniated nucleus pulposus, spinal arachnoiditis, spinal stenosis, osteoarthritis, degenerative disc disease, facet arthritis, vertebral fracture), resulting in compromise of a nerve root or the spinal cord. With:

A. Evidence of nerve root compression characterized by neuro-anatomic distribution of pain, limitation of motion of the spine, motor loss (atrophy with associated muscle weakness or muscle weakness) accompanied by sensory or reflex loss and, if there is involvement of the lower back, positive straight-leg raising test (sitting and supine); or

B. Spinal arachnoiditis, confirmed by an operative note or pathology report of tissue biopsy, or by appropriate medically acceptable imaging, manifested by severe burning or painful dysesthesia, resulting in the need for changes in position or posture more than once every 2 hours; or

C. Lumbar spinal stenosis resulting in pseudoclaudication, established by findings on appropriate medically acceptable imaging, manifected by chronic nonradicular pain and weakness, and resulting in an inability to ambulate effectively.

§ Amputation (due to any cause). A. Both hands; or B. One or both lower extremities at or above the tarsal region, with stump complications resulting in medical inability to use a prosthetic device to ambulate effectively which have lasted or expected to last for at least 12 months; or

C. One hand and one lower extremity at or above the tarsal region, with inability to ambulate effectively; or D. Hemipelvectomy or hip disarticulation.

§ Fracture of the femur, tibia, pelvis, or one or more of the tarsal bones. With: A. Solid union not evidence on appropriate medically acceptable imaging and not clinically solid; and

B. Inability to ambulate effectively and return to effective ambulation did not occur or is not expected to occur within 12 months of onset.

§ Fracture of an upper extremity with nonunion of a fracture of the shaft of the humerus, radius, or ulna, under continuing surgical management directed toward restoration of functional use of the extremity, and such function was not restored or expected to be restored within 12 months of onset.

§ Soft tissue injury (e.g., burns) of an upper or lower extremity, trunk, or face and head, under continuing surgical management, directed toward the salvage or restoration of major function, and such major function was not restored or expected to be restored within 12 months of onset.

Commonly used terms in §

A. Loss of Function defined

Functional loss is defined as the inability to ambulate effectively on a sustained basis for any reason, including pain associated with the underlying musculoskeletal impairment, or the inability to perform fine and gross movements effectively on a sustained basis for any reason, including pain associated with the underlying musculoskeletal impairment. The inability to ambulate effectively or the inability to perform fine and gross movements effectively must have lasted, or be expected or last, for at least 12 months.

i. Inability to Ambulate Effectively Defined

Inability to ambulate effectively means an extreme limitation of the ability to walk; i.e., an impairment(s) that interferes very seriously with the individual’s ability to independently initiate, sustain, or complete activities. Ineffective ambulation is generally defined as having insufficient lower extremity functioning to permit independent ambulation with out the use of a hand-held assistance device(s) that limits the functioning of both upper extremities.

To ambulate effectively, an individuals must be capable of sustaining a reasonable walking pace over a sufficient distance to be able to carry out activities of daily living. They must have the ability to travel without companion assistance to and from a place of employment or school. The ability to walk independently about one’s home without the use of assistive devices does not, in and of itself, constitute effective ambulation.

ii. Inability to perform fine and gross movements defined

Inability to perform fine and gross movements effectively means an extreme loss of function of both upper extremities; i.e., an impairment(s) that interferes very seriously with the individual’s ability to independently initiate, sustain, or complete activities. To use their upper extremities effectively, individuals must be capable of sustaining such functions as reaching, pushing, pulling, grasping, and fingering to be able to carry out activities of daily living.

iii. Pain or other symptoms

In order for pain or other symptoms to be found to affect an individual’s ability to perform basic work activities, medical signs or laboratory findings must show the existence of a medically determinable impairment(s) that could reasonably be expected to produce the pain or other symptoms.

C. Diagnosis and evaluation

Should be supported, as applicable, by detailed descriptions of the joints, including ranges of motion, condition of the musculature (e.g., weakness, atrophy), sensory or reflex changes, circulatory deficits, and laboratory findings, including findings on x-ray or other appropriate medically acceptable imaging. Medically acceptable imaging includes, but is not limited to, x-ray imaging, CAT scan or MRI, myelography, and radionucleur bone scans.

D. Physical Examination

Must include a detailed description of the rheumatological, orthopedic, neurological, and other findings appropriate to the specific impairment being evaluated. These physical findings must be determined on the basis of objective observation during the examination, and not simple on the individual’s subjective complaints.

E. Major joints defined

Major joints refers to the major peripheral joints including the knee, shoulder, elbow, wrist-hand, and ankle-foot, as opposed to other peripheral joints (e.g., the joints of the hand or forefoot) or axial joints (i.e., the joints of the spine). The ankle and foot are considered separately in evaluating weight bearing, since only the ankle joint with the hindfoot, but not the forefoot, is crucial to weight bearing.

F. Major function of the face and head defined

For purposes of listing , major function of the face and head relates to impact on any or all activities involving vision, hearing, speech, mastication, and the initiation of the digestive process.

Author&#;s Notes: Reading Backwards / And Go Like This

November 17,

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READING BACKWARDS

“A foreword to the reader is an afterword to the author,” Anthony Burgess says in the foreword of his autobiography, Little Wilson and Big God. “The author knows what has been written, the reader has yet to find out. The author. . .sometimes stands at the threshold which the foreword is, biting his nails and wondering whether a brief warning, an apology for inadequacy or excess, an avowal of mediocrity where he had intended brilliance, might not be a courteous gesture to the person who has had the kindness to at least pick up his book.”

My review of Burgess’s book can be found in a collection from Subterranean Press, In Other Words,  Now here is another collection, offered with the same hesitations.  

Why Reading Backwards?  Because many of these essays were written some time ago – years, some of them – and my reading of them in preparation for this volume was a trip into the past, and into the thoughts and opportunities for thought that arose in those times.  The farthest back among these essays is (I believe) a review of the New York Review Books reissue of three novels by Richard Hughes: A High Wind in Jamaica, The Fox in the Attic, and The Wooden Shepherdess.  That was , otherwise known as “long ago.”  Then in was the Branigin Lecture for the Institute for Advanced Study at Indiana University, from which I graduated in and had only once before returned. The lecture happened to fall on my birthday; I was  The essay on the work of photographer Rosamond Purcell (Metamorphoses: Rosamond Purcell) came that year also.

It was my misfortune to be able to write more than one piece, for more than one venue, about my friend Thomas M. Disch: a misfortune because they were memorials, composed after Tom died, on July 4th,  Re-reading and retouching one of these brought back the grief – and the pleasures – of that friendship.  

A different sort of history encompasses essays written for the unique and beautiful journal Lapham’s Quarterly.  Christopher Beha, in an editor at the Quarterly, was a follower of my fiction, and had written a fine survey of the Ægypt series in BookForum ().  It was he who convinced Lewis Lapham, the Quarterly’s founder and publisher, to solicit a piece from me.  The first here collected was submitted in and called by me “A Few Moments in Eternity” but by Lapham “In the Midst of Death”.  (My most recent, “A Hero of a Thousand  Dreams,” appeared in the December , and is here as well.)

From Lapham’s Chris Beha moved to Harper’s (where Lewis had long been editor). At his  invitation  I wrote “Madame and the Masters” (), a review of a biography of Madame Blavatsky and a favorite of mine among these pieces. When in I had to withdraw for health reasons from a semester’s teaching at Yale (and the concomitant salary) I called Chris to ask if there were any openings for another article I could do.  He told me that in fact he was on the point of calling me, to ask if I would take on the opening essay in the magazine, long titled “The Easy Chair”, doing alternate months with Rebecca Solnit.  This delightful gig lasted well past my recovery and return to Yale.  All those I wrote are here under their own heading.

Which brings this collection of essays out of the past and about up to the present, where – of course – they have been all along. In re-reading them I have corrected and added a sentence or two to a few, but there is no particular value in your reading them in time order, as I did. Observant readers will note some authorial repetition – smart remarks and considered opinions traveling from one piece to others, only noticeable when, as here, the pieces are collected. I have also for certain pieces restored my original version rather than the edited version that appeared in print; they don’t differ very much but somehow I prefer my own.

My thanks are owed to William Sheehan for his curating and all other help; to Bill Shafer, publisher; and above all to the reader, whose kindness in picking up the book may be rewarded with a certain measure of interest and possibly delight.  But that’s not for me to say.

TO THE PROSPECTIVE READER, UPON OPENING THIS BOOK

Books, unlike some other modes of communication, require no instructions for use.  It’s one of the reasons they’ve lasted so long. But a note as to why this book is perhaps worth a reader’s attention might be welcome.

 There are writers who form a style early on and apply it to what interests them.  As their interests change or new ones develop, the style adapts but doesn’t necessarily need to change; even radically different fictional situations and plots can be well served by the writer’s refined and updated (but not necessarily reformed) style.  Such writers can often be recognized in a single sentence: I think I could recognize any Thomas Pynchon sentence in the context of no context.  

Then there are the chameleons of fiction writing, whose verbal and story-telling styles change with the subjects they alight on.  Such writers are less likely to be identifiable in a single sentence extracted from their work; instead of the sturdy and dependable style, adaptable to any circumstance, there is a restless search for a proper coloration — that is, finding a way for the matter of the story to produce the language appropriate to it, as the mythical chameleon is colored by the background on which it rests and not the other way around.

You will already be thinking that I count myself in the second category, and I believe a reading of this collection will bear that out, even if the whole isn’t read (though the whole will certainly demonstrate it).  The chameleon mode doesn’t involve just phrases or sentences; it can be seen in the deployment of time, how events are contained within the recounting of other events, past moments recalled that shape present moments and even endings — what might be called reader-writer relations, a form of diplomacy, in which readers are self-selected by the work if the work is inviting enough to them.  Fiction doesn’t need to be a conversation — most of Beckett can’t be said to be — but the chameleon style almost has to be.  In this collection readers may choose conversations that reflect the ordinary circumstances of ordinary lives in the approximate present (Mount Auburn Street, in three parts) or the first-person — invented —  memory story (The Girlhood of Shakespeare’s Heroines) or the fantasy-history couched in language flavored by the time-period (Flint and Mirror) or the tenderly metafictional This Is Our Town.  Two or three brief  joke stories that each require a language (In the Tom Mix Museum, The Million Monkeys of M. Borel, And Go Like This) might form a tasting menu reflecting the chameleon method I am describing.  In any case, I am confident (or vain) enough to think that almost any reader will find one or two things here that touch or amuse, and — the utmost hope — are remembered long after.  

¡Hola mundo!

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