"My credibility with myself has been very severely dented by this procedure, " he added.
Angered by this triumph of pragmatism over procedure, the commission took the Council of Ministers to court.
This procedure was pioneered by a Brazilian surgeon (Professor Adib Jatene) in Sao Paolo in 1975.
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Patients typically leave the hospital after this procedure -- first approved by the U.S. Food and Drug Administration in 2003 -- in two or three days, according to the American Academy of Ortophaedic Surgeons.
Tulipan said this is "not a simple procedure by any means and it requires a lot of specialists, " which is why he recommends that parents turn to the three centers in the trial, which have experience in this surgery, until more specialists can be trained.
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Doctors and hospitals are straining to cope with the demand for this weight-loss procedure, recently popularized by U.S. TV weatherman Al Roker and pop singer Carnie Wilson.
Medicare assigns each clinical procedure a different RVU and then multiplies this figure by a fixed amount of money to arrive at how much it will pay a doctor for a given task.
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They do this using an algorithm - a step-by-step problem solving procedure.
"We are taken aback by the LFA appointment of Mr Nagbe without going through the procedure and hence finds this action uncompromising, " a letter from the Sports ministry read.
Naturally, this argument has been attacked by both the Whittakers and the clinic wanting to carry out the procedure.
But the same search for any other procedure routinely covered by insurance, such as heart surgery, would find nothing like this.
In this odd case, the editor did not follow the normal procedure of publishing critical comments by specialists who disagree with the paper.
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