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To Burkhava syndrome

To Burkhava a syndrome (N. of Boerhaave, the Dutch doctor, 1668-1738) – sharp pain in epigastriß area and/or in a breast, arising at a rupture of a gullet, irradiating in a back, followed by the complicated breath, vomiting, a dysphagia, a depressed case.

 
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In Great Britain there is a law according to which the surgeon can refuse to do to the patient operation if he smokes or has excess weight. The person has to refuse addictions, and then, perhaps, he will not need an operative measure.