Important strides have been made in understanding the pathophysiologic basis of many inflammatory conditions in recent years, but rheumatology remains a discipline in which diagnosis is rooted in the medical history skillfully extracted from the patient, the careful physical examination, and the discriminating use of laboratory tests and imaging. Moreover, selection of the most appropriate therapy for patients with rheumatic diseases also remains heavily reliant upon clinical experience. Medical disciplines such as rheumatology that depend significantly upon clinical wisdom are prone to the development of systems of 'Pearls' and 'Myths,' related to the diseases they call their own, a 'Pearl' being a nugget of truth about the diagnosis or treatment of a particular disease that has been gained by dint of clinical experience and a 'Myth' being a commonly held belief that influences the practice of many clinicians - but is false. This book will pool together the clinical wisdom of seasoned, expert rheumatologists who participate in the care of patients with autoimmune diseases, systemic inflammatory disorders, and all other rheumatic conditions.
Pearla Montgomery is nursing a broken heart. She was set to marry the Duke of Huntly only to have her wedding halted before they finished saying their I do's. Her intended's presumed dead wife interrupted the nuptials. In order to get away from the scandal she flees London. She meets a man that she could possibly give her heart to, but is afraid of letting anyone in. Running away starts to become a habit she can't break. Damian, Conte Leone falls in love with Pearla the moment he meets her. Even if they met under the worst circumstances. Unfortunately for him he is the brother of the woman who interrupted Pearla's wedding. A little detail the love of his life can't seem to forget. Even if he has to chase her to the end of the world and back he will not give up on her. Damian sets out to win her heart and nothing will stand in his way. They have many obstacles to overcome, but the biggest is Pearla's own fears. Can Damian convince her to let him into her heart and trust he will keep it safe always?
In this, their third book, Eileen and her Spirit Guide Silas have come together once again to promote their own unique brand of philosophy in their quest to fulfil their mission to be ambassadors of Spirituality. To this end, they aim to express their views in a simplistic easy to read book which they have injected with the quirky humour that they have made their own and which is so typical of this lovable and eccentric Spirit Guide.
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