Sid Meier

What's the best goverment in Sid Meier's Civilisation Revolution?

I'm thinking it's between Republic and Monarchy.

yh sme here republic is 1 of ma favourite cuz of the population effect it has
monarchy is when u need 2 boost culture
there both great really
but despostion......................use during nuclear wars

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Joseph Kropell had spent 27 years of his life on his knees. It's not that the 49-year-old was prone to extremely long periods of prayer – rather, he made his living as a cement mason.

A veteran of the trade, Kropell has worked on his knees mixing and spreading cement for building foundations, highways, and driveways. He even worked on Trump Tower in Chicago. But as the condition of one of his knee joints deteriorated, Kropell found that he was relying on pain pills to get through the day. Knee pain has kept the Burnham resident from working as a cement mason for the last three years.

Having exhausted other treatment options, Kropell was excited to learn about knee resurfacing, an alternative to total knee replacement, which he had wanted to avoid. Orthopedic surgeon Dr. Gregory Markarian recently performed the procedure at Adventist Bolingbrook Hospital. After some initial pain, Kropell is now pain free and looking forward to beginning his rehabilitation.

"At Adventist Bolingbrook Hospital, I got the best care I ever got in my life; they treated me like gold," Kropell said. "I was pretty depressed when I got there. One of the nurses told me she would pray for me. I felt like I had a spiritual awakening."

Kropell singled out some of the nurses who took care of him: Susan George, Jenn Lacanlale, Dolores Quinano, and Dan Meier.

"The staff was unbelievable," he said. "Everyone went out of their way to help me and treated me like a person, not just a patient who was there to be fixed."

Before the surgery, Markarian thoroughly explained the procedure, using a model to illustrate how it is done. Knee resurfacing addresses specific lesions, large areas missing in the articular surface.

"It's like filling a pothole," Markarian explained. "Only the damaged portion of the joint is resurfaced. It gives us more options for treatment. If the joint space is not collapsed, we can use an inlay prosthesis that can restore joint congruency and improve overall knee function."

In contrast, a total knee replacement involves cutting everything out and putting in a very large piece of polyethylene, which changes the length of the limb and can cause certain cells inside the bone to release enzymes that can cause the bone to loosen. Polyethylene is plastic, whereas the inlay prosthesis used in resurfacing is made of cobalt chrome alloy, a metal.

Markarian says successful knee resurfacing can provide relief from pain and swelling, restore a smooth, continuous, articulating load-bearing surface within the joint, and allow the patient to return to normal activity.

"Generally, I have been happy with the results," Markarian said. "It's a very new concept, approved in the U.S. for about a year. But it's catching on. About 1,000 knee resurfacing procedures were done in the U.S. during the last year."

Kropell faces months of physical therapy, but he says he is determined to work with Markarian toward his goal of returning to work as a cement mason.

"I feel like a new man," Kropell said. "Dr. Markarian is a genius in my eyes."

Kropell would recommend the procedure and his care at Adventist Bolingbrook Hospital to others.

For more information about oansportsmed and Dr. Markarian please visit www.oansportsmed.com
Dr. Markarian is a Board-Certified Orthopedic Surgeon who has been in private practice since 1998.

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