Severe defects of the pyruvate dehydrogenase (PDH) complex and the benign chemical anomaly called pentosuria have been reported in very few (2-6) patients. Patients with inherited disorders of carbohydrate metabolism tend to be seen at tertiary centers, where specialist teams are available.
The phrase âletâs play it by earâ is used when someone wants to basically say âletâs not make any concrete plans â instead, letâs just see how things turn out and then we will decide what to do.â The phrase is used when talking about future plans, so itâs always referencing the future.
play it by ear. To play it by ear is to act spontaneously and according to the situation. Playing it by ear means you have no game plan. The original meaning of this term was to play music without sheet music, meaning you either remembered the music or improvised it. From there, it came to mean other types of making it up as you go along. If a quarterback plays it by ear, he abandons the called play and tries something different. If a politician plays it by ear during a speech, she is making it up on the spot. We all have to play it by ear sometimes.