Quora User, worked at Earth. 1  Businesses in the US (or any other country, for that matter) must charge VAT when selling e-services to European consumers. Many US companies (especially the larger ones) do comply with this policy, and charge VAT to EU residents, even if they do not have a physical presence within the EU. List of VAT Rates.
See MD: Hand numbness likely is due to pressure on the nerve either from damage, inflammation or direct pressure. Throat sensation can be topical in nature - not likely lemon water, but excess acid could irritate it. This may also be nerve related. So, get to the MD and find out what is going on.
Wet gangrene is caused by a sudden and traumatic loss of blood supply to the body part. Tissue death begins rapidly and an infection sets in, notes WebMD. The infection from wet gangrene can spread quickly through the body. Another condition that can cut off circulation to the fingers is cold hand syndrome. The condition can cause numbness or pain, swelling, hands that are very cold to the touch, tingling and discoloration.