Barriers to global trade. Instant payments would facilitate global trade. However, to have instant payments, a person needs a bank account and a way to accept credit card payments. Some payment processors require a 3% fee to accept credit card payments. Low cost cryptocurrencies such as Litecoin can be a solution to facilitating global trade. Shifting between two currencies also creates significant fees which can also be solved by using a single cryptocurrency. Other controllable costs are shipping expenses and tariffs.
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Barriers to global trade. Instant payments would facilitate global trade. However, to have instant payments, a person needs a bank account and a way to accept credit card payments. Some payment processors require a 3% fee to accept credit card payments. Low cost cryptocurrencies such as Litecoin can be a solution to facilitating global trade. Shifting between two currencies also creates significant fees which can also be solved by using a single cryptocurrency. Other controllable costs are shipping expenses and tariffs.
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Esophagogastroduodenoscopy with variceal banding and control of hemorrhage. Esogphagus - Grade 2 esophageal varices with stigmata of recent bleeding including cherry red spots. Banded times three with eradication of varices. Bleeding from the varices during the procedure had stopped at the end of the procedure. Esophagus was otherwise normal.
Gastritis with edema and portal hypertensive gastropathy in the antrum, body, and fundus.
Duodenum was normal.
Propranolol 10 mg PO BID on discharge titrated by heartrate. Octreotide drip for three days. Clear liquid diet today, soft diet tomorrow, then resume low sodium diet the next day barring complications. The patient needs to follow up with gastroenterology to discuss repeat EGD in 2 weeks. Message was sent to clinic for follow up. Bleeding source was esophageal varices.
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Variceal Banding Recommendations: Propranolol 10 mg PO BID on discharge titrated by heartrate. Octreotide drip for three days. Clear liquid diet today, soft diet tomorrow, then resume low sodium diet the next day barring complications. Bleeding source was esophageal varices. The patient needs to follow up with gastroenterology to discuss repeat EGD in 2 weeks.
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