"It really is very difficult to manage for both doctor and patient, " says Jack Ansell, a professor of medicine at Boston University.
"In the heat of battle when support is needed very quickly, nine times out of 10 it really does help to get troops out of very difficult positions, " he said.
The Christian Democrats in Germany don't have that new liberal tradition, so I think it's very difficult to really push reforms through, and we really need these reforms.
To add to the confusion, many services on the internet are now nested within one another, making it very difficult to really keep track of the level of privacy that will be applied to any discreet bit of you own personal data or content.
"And, so, after decades and decades and decades of this, the notion that the Kurds, the Sunni Arabs, the Shia Arabs can sit down and work out some sort of compromise American style is really a very difficult proposition for them to undertake, " Krepinevich said.
But I would just say, again, our efforts are really working to help the Japanese people deal with what is a very difficult and really tragic situation.
Grown-up people find it very difficult to believe really wonderful things, unless they have what they call proof.
So, it's a really, it's a very difficult precedent to set once you start investigating, you know, one or handful of players for suspected steroid use.
It's simple to say, but very difficult to bring off, something that cannot be taught and really is hard to pin down, and it either works or it doesn't.
Manchester City were really difficult to play against because they were very organised and compact waiting for the counter-attack, which they did very well.
Because we really have three separate problems, each on its own very difficult to solve.
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"Until we really lay out what the milestones are, it will be very difficult to say what the right budget" is for the long term, Dr. Collins said.
We're living in very tough financial times, we have to make really difficult choices.
She sensed at once that it was not so very difficult to make tar, and her careful labor really did help the tarworks.
For Russia to continue to grow and develop it really is going to have to make a number of difficult, complicated, and expensive reforms to some very basic parts of its economic structure.
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