Laryngopharyngeal Reflux (LPR) The word reflux literally means “backflow.”
Laryngopharyngeal reflux, or LPR, is the backflow of stomach contents up the esophagus and into the throat. The injurious agents in the refluxed stomach contents (refluxate) are primarily acid and activated pepsin, a proteolytic enzyme needed to digest food in the stomach. The damage caused by these materials can be extensive. The above picture displays a diffusely inflammed larynx secondary to LPR. Specific findings include laryngeal hyperemia, posterior commissure hypertrophy, pseudosulcus vocalis, and thick endolaryngeal mucus.
Symptoms caused by refluxed stomach contents are numerous and include hoarseness, cough, and chronic throat clearing. We have validated a 9-item reflux symptom index (RSI) to assess the initial severity of LPR symptoms as well evaluate patient response to treatment. Reflux Symptom Index (RSI) A RSI > 10 could indicate significant laryngopharyngeal reflux. Powered by Reliant Energy - Article - Busted: The Top 5 Smart Meter Myths. Ever since CenterPoint and Oncor began rolling out Smart Meters around Houston and Dallas, there have been many rumors going around about what the purpose of the Smart Meters actually are.
Here are the top Smart Meter 5 myths and the truths to those myths:Myth #1: Smart Meters are inaccurate. Truth: “Both the TDSPs (Centerpoint and Oncor) and the Texas Public Utilities Commission (PUC) have conducted investigations and determined that the meters exceeded their accuracy expectations,” says Scott Burns, a Smart Energy product manager at Reliant Energy. Myth #2: The utility companies will use Smart Meters to turn off appliances in your house without your permission. Truth: “Unless you sign up for a specific program and authorize the utilities to control devices in your home, utilities are unable and forbidden from doing so,” Burns says. Myth #4: Installation of a Smart Meter will cause your next month’s bill to skyrocket. New. Mad about metered billing? They were in 1886, too.
Hopping mad about metered billing?
Spluttering about tethering restrictions and early termination fees? Raging over data caps? You're not alone. Perhaps you can take some comfort from this editorial in The New York Times: The greedy and extortionate nature of the telephone monopoly is notorious. Yes, that's how The Times saw it—in 1886. Nothing whatever It was 1887, and Charles M. The poor and working class have "nothing whatever" to do with the telephone, and never will, Fay insisted. A laborer who goes to work with his dinner basket has no occasion to telephone home that he will be late to dinner; the small householder, whose grocer lives just around corner, would not pay once cent for a telephone wherewith to reach him; the villager, whose deliberate pace is never hurried, will walk every time the few steps necessary to see his neighbor in order to save a nickel.
To be fair, Fay was right about the immediate moment. Countless threads of wire The overhead wire problem came first. Smart Meter Industry: Consumers Are Rats in a Maze. Recognition to the City of Capitola, who last week became the 7th local government in California to criminalize the installation of ‘smart’ meters in their jurisdiction.
(along with Marin, Santa Cruz, and Mendocino Counties, and the cities of Fairfax, Watsonville, and Rio Dell). At least twenty-six cities and counties have demanded an immediate moratorium. On Tuesday we sat down to lunch with Greg Kiraly, new head of PG&E’s smart meter program, and several other PG&E and energy industry officials at a downtown SF luncheon sponsored by the Power Association of Northern California (or PANC). In November, Kiraly took over PG&E’s smart meter program from Bill Devereaux- or “Ralph the activist” as he preferred to be known when he was spying on anti-smart meter groups.
(A criminal investigation by the CPUC is ongoing). Kiraly suddenly got very pale when I sat down at his table. It was a rare honest exchange. “Consumers are a little like rats.