Msnbc analyst susan delaware percio. Reverend al sharpton, and an msnbc contributor karine jean tee, a. And political contributor rick tyler. Joe and mika are off today as they attend the funeral of congressman Elijah Cummings later this morning in baltimore. Rev, i wanted to start with you because you were at that beautiful memorial for Elijah Cummings where you have saw Mitch Mcconnell, nancy pelosi, both sides of the aisle paying tribute to a great man. Elijah cummings was the first African American to lead the state. And to see schumer and pelosi and everyone sitting there together, mika and joe and i sat with the family. You know congressman cummings officiated their wedding. This is a man who never gave up his principles but learned how to relate to others. It was a testimony a day after we saw 130 republicans storm the house, that we can be civil and debate in spite of fighting. It was great to see and we were there to mourn his passing. His funeral will be later down in baltimo
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Objective To assess the clinical and cost effectiveness of conservative management compared with laparoscopic cholecystectomy for the prevention of symptoms and complications in adults with uncomplicated symptomatic gallstone disease.
Design Parallel group, pragmatic randomised, superiority trial.
Setting 20 secondary care centres in the UK.
Participants 434 adults (>18 years) with uncomplicated symptomatic gallstone disease referred to secondary care, assessed for eligibility between August 2016 and November 2019, and randomly assigned (1:1) to receive conservative management or laparoscopic cholecystectomy.
Interventions Conservative management or surgical removal of the gallbladder.
Main outcome measures The primary patient outcome was quality of life, measured by area under the curve, over 18 months using the short form 36 (SF-36) bodily pain domain, with higher scores (range 0-100) indicating better quality of life. Other outcomes included costs to the NHS, quality adjuste
SIR – Are Britain’s staggering legal immigration numbers (“Net migration to UK hits record high”, report, telegraph.co.uk, November 23) a result of deliberate – but covert – government policy, or just sheer incompetence? It would be useful to know before the general election. Either way, it does not look good for the Conservatives. James Thacker Tanworth-in-Arden, Warwickshire