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This gives a moving picture of the heart, with false colors corresponding to the speed of blood flow. Higher-resolution still images also are recorded, which allow precise measurements. By measuring the distance between the walls of parts of the heart, at various stages of heartbeat, the pumping efficiency can be calculated; the main such measurement is the left ventricular ejection fraction. This is especially useful for diagnosing heart failure, or a condition where the pumping efficiency is decreased. That may be treated with things including drugs, pacemakers, devices inserted through catheters, and surgery. Over the years, I’ve developing worsening congestive heart failure, effectively treated with echocardiography giving Superman-style X-ray vision, or the equivalent, to the cardiologist.About a year ago, my heart failure worsened, and was treated in a community intensive care unit. Part of the problem was that my aortic valve, through which pumped blood enters the circulation. Murdock. Specially pussy that young.”By suppertime, all of Little River would have heard some version of that Market Street ambush by Mrs. Hogg and her two daughters. By morning, word would probably be out that I’d fucked them right there on the boardwalk.Legally, I was in no position to stop her from reopening a bar. But there was more to it than that. I know the Gilmore Girls would have sided with Mrs. Hogg over Reverend Venerable every day and twice on Sunday. Especially on Sunday.Little River was like most places, I guess. Word had a way of getting around faster than a telegram. I’d never heard of it and then everyone was suddenly talking about the Little River Clarion.While Rebecca and Rosie and I were out looking at the Appaloosas, a large freight wagon labored into Market Street from the south. It unloaded a strange looking contraption at Market and 5th — a small office that had once been the veterinarian’s office. Since Doc Gimble was the only medicine in town, he saw about.
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