No, SARSEPs could not be established by a state or local government, any of its political subdivisions, agencies, or instrumentalities or a tax-exempt organization. Also, only employers with 25 or fewer eligible participants may continue to operate a SARSEP plan.
In the case of anal gonorrhea, both men and women may experience rectal pain or itching or have a constant urge to move their bowels. Often, though, there are no symptoms. In pharyngeal (throat) gonorrhea, which is less common, people of both sexes can get a severe sore throat or show no symptoms at all.
Symptoms of goiter -- an enlarged thyroid -- include a swollen, tender or tight feeling in the neck or throat, hoarseness or coughing, and difficulty swallowing or breathing. Sometimes, the goiter is visible to yourself or others. Symptoms of nodules depend on what action they are having. Some cause no symptoms, while others may cause difficulty swallowing, a feeling of fullness, pain or pressure in the neck, a hoarse voice, or neck tenderness. Some nodules trigger hyperthyroid-like symptoms such as palpitations, insomnia, weight loss, anxiety, and tremors.