When a tear is documented in the operative report, such as a small serosal tear of the stomach, the surgeon should be queried as to whether the small tear was an incidental occurrence inherent in the surgical procedure or whether the tear should be considered by the physician to be a complication of the procedure.hen a tear is documented in the operative report, such as a small serosal tear of the stomach, the surgeon should be queried as to whether the small tear was an incidental occurrence inherent in the surgical procedure or whether the tear should be considered by the physician to be a complication of the procedure.
Bargaining or haggling is a type of negotiation in which the buyer and seller of a good or service debate the price and exact nature of a transaction. If the bargaining produces agreement on terms, the transaction takes place. Bargaining is an alternative pricing strategy to fixed prices.
Skittling or pharming is a party game in which teenagers indiscriminately mix drugs together, putting themselves at risk for stroke, heart attack, or irreversible brain damage. 9 Children have easy access to medications from medicine cabinets in their own homes and homes of their families and friends (Figure 6).nauthorized use of pharmaceutical and over-the-counter (OTC) drugs by teenagers is a growing national problem. 2 This latest trend in drug abuse by adolescents is called pharming, or the nonmedical use of prescription and OTC cough and cold medications.