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None of the barriers related to healthcare organization and resources (lack of time in consultation, lack of support staff, or the absence of a shared electronic medical record history) achieved consensus

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Use a cotton ball or gauze to apply light pressure to the injection site if needed, but do not rub the area

In regards to her history, in the 1990s she underwent a mechanical mitral valve replacement (MVR) for mixed mitral valve disease in the setting of rheumatic fever as well as a single vessel CABG (SVG to the RCA)