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" When the sofa reached the house , it was found necessary to get chairs to match ; then side-boards , carpets and tables " to correspond " with them , and so on through the entire stock of furniture ; when at last it was found that the house itself was quite too small and old-fashioned for the furniture , and a new one was built to correspond with the new purchases ; " thus , " added my friend , " summing up an outlay of thirty thousand dollars , caused by that single sofa , and saddling on me , in the shape of servants , equipage , and the necessary expenses attendant upon keeping up a fine ` establishment , ' a yearly outlay of eleven thousand dollars , and a tight pinch at that ; whereas , ten years ago , we lived with much more real comfort , because with much less care , on as many hundreds . However , you may want to take extra precautions to be sure that " in progress " or " testing " files are not found when someone uses our search engine to search the UMHS site . If it does no harm , then maybe we should take the Hippocratic oath as a guide that our role here is to do no harm . However , a month later , when Calvin experienced aching joints and such loss of flexibility that he regretfully gave up the high school sports he loved , his pediatrician recommended he see a rheumatologist . However , we consider that having an adequate exposure to research and completing a research project will very often take longer and we offer all our Fellows the opportunity to extend their Fellowship to 3 years . Certainly that was the way the problem once presented itself to me , and to many others of my generation . However , there are excellent treatment strategies for most of the major symptoms . However , Doppler echocardiograms are notoriously inaccurate when the pulmonary hypertension is mild or when there is simultaneous presence of lung scarring . The worshipers may be confident that as they seek to do so they will be assisted by the indwelling Spirit and will be constituted as Church . So government has a sacred trust , and I use that word advisedly as well .