"This goes beyond what a pill or a scalpel can do", says Dr Okarma.
To his mind, Lerach was advocating using an axe when a scalpel would do better.
So what we've done is we've taken a scalpel to the discretionary budget rather than a machete.
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Despite the despairing rhetoric of Republican hardliners, the sequester is but a scalpel when a meat-ax is required.
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The innovation engine and superior market understanding are the only core competences a scalpel company will need to own.
You've also said that you want to take a scalpel to the budget and go through it line by line.
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General Electric is taking a scalpel to its financial operations, planning to reduce holdings and staffing in the mystery-shrouded division.
The rest have to make do with a quick swipe across the knee with a scalpel, to mimic a surgery scar.
It starts with a scalpel incision most of the way down the middle of the torso then a surgeon follows up with a Bovie pen.
The surgeon, instead of wielding a scalpel and cutting away, sits at a 3-D monitor across the room from the patient and controls three robotic arms with two joysticks.
If a surgeon used a scalpel enhanced with Smart-Tool technology, the real-time sensor on the blade could sense what kind of tissue it is touching and rely the information back to the doctor.
For a moment it seemed that breath was beginning to rise and fall in its chest: Aldini cut through the rib cage with a scalpel to expose the heart and applied the electrodes directly to that organ, but the body failed to resuscitate.
Many of the changes at Cincinnati Children's are as rudimentary as these, focusing attention on the rote tasks that give rise to pernicious but unconscious mistakes, like bad room layouts that could cause doctors to trip up as they reach for a scalpel or antibiotic.
Matthias Werner, a technology analyst at Deutsche Bank, illustrates this second type of nanotechnology breakthrough graphically with videos of a surgical scalpel based on a nanostructured diamond.
President Obama often claims he wants to cut the budget smartly, using a "scalpel" not a meat axe, machete, cleaver or chainsaw, to list a few of his favorite metaphors.
"It was identifying fat and with a very sharp scalpel cutting it out, " says Singh.
Virtual reality has already been used to help doctors learn the skills of brain surgery by offering a 3D image of a patient's head which can be operated on with a "software scalpel".
Although their findings don't provide enough evidence to support a "bottle to scalpel" policy, Boyle and her coauthors call for a "higher level of personal vigilance" from surgeons and others who perform medical procedures.
Mr Williamson told police he had an honorary degree from Cardiff University "in 1992, or something like that", as a result of designing a new type of scalpel.
But if the work pays off, Dirks may be able to give his desperate young patients a real shot at a cure, and put his scalpel away for good.
The Hatchet and the Scalpel clashed Wednesday night at a debate over kitchen table issues.
Before Maker, the Jordan-born KassemG was growing as a popular star on YouTube, often thanks to a wicked mix of endearing persona, scalpel-sharp jokes and unsuspecting folks on the street. (See an example below).
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Mr. Connell "was a trailblazer, a troubadour, one of the first to put the literary scalpel to the suburban skin, " Greg Bottoms wrote on Salon.com in 2000 in describing the Bridge novels.
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