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small Vara crossbody bag - Green Salvatore Ferragamo

The bag has a sleek convertible style. With RFID protection your identity is kept protected from high tech electronic readers. It is large enough to hold an iPhone 8 plus much more. A zippered wall pocket helps to your keep your items organized. It is the perfect size for travel, just toss it in your tote, carry as a wristlet or remove the strap and use it as a clutch. It is ideal for the minimalist.
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"It's not just your home, it's our legacy..."
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Thank you for visiting our website! 3 Generations Improvements is a family-owned business that prides itself on a combined 120 years of combined experience in siding, windows, doors decking! In 1956, Grandpa Bob Owens began his career in this industry, followed in 1976, by his son, Kurt Owens and his grandson, Jeremy Owens, in 2002. Using our experience, along with the highest quality products and craftsmanship , we are confident that we can provide you with the customer service and professionalism you deserve! And Remember “It’s not just your home, it’s our legacy…”

Thank you for visiting our website! 120 years of combined experience highest quality products and craftsmanship “It’s not just your home, it’s our legacy…”
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3 Generations Improvements just finished installing James Hardie lap siding and shingles on my entire house. They replaced 60 year old cedar sidewall shakes. I couldn’t be more impressed with the quality of their work, how fast it was done and how courteous the entire crew was. Either Jeremy or Kurt stopped by daily to check on the progress. I received three bids and 3 Generations Improvements was the most competitive. Their the best contractor I’ve ever seen.

Mike Sacramento, CA October 15, 2014

We would recommend 3G to anyone. They completed our window and siding remodel project at a fair price and in record time. Their hard work and attention to detail was always appreciated. Kurt has been in the business for years and it shows.

Dave Mandy Danville, CA October 14, 2014

These folks responded immediately to my request for an estimate for siding and provided a quote on the same day! The sales estimator was very knowledgeable and helpful. The cost quoted for the work was extremely reasonable. The timeliness, cleanliness and quality of their work is amazing! Highly recommend 3 Generations Improvements for any home exterior project you need!

Ben Folsom, CA March 11, 2014

The crew was professional, thorough and very efficient. I would not hesitate to recommend 3G to friends neighbors. Thanks for a job well done.

Fred Tahoe, CA March 7, 2014

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Health

Is your chest pain serious? Read how a Harvard doctor decides whether tightness in chest is concerning or normal.

Posted on March 21, 2017 by Team Medicine after an interview with Dr. Anubodh "Sunny" Varshney

Chest pain symptom checker

Take a quiz to find out why you're having chest pain.

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Contents

Tightness in chest, first thoughts? Serious types of chest pain Heart attack - the medical process and treatment Non-life-threatening types of chest pain Risk factors for chest pain Risk factors in detail - why they are harmful

Chest tightness or pain can be caused by a really broad number of things (also see Mini Bucket bag Red Mansur Gavriel Clearance Inexpensive i8ekRAb
). There are a few really key characteristics that could help categorize someone's chest pain as something acute that require you to mobilize a ton of resources right away versus other things that are not life threatening even if they may be causing the patient's chest pain and discomfort.

I start by thinking about the “can’t miss” diagnoses that can cause people to die within a day. They include things like an ongoing heart attack, a pulmonary embolism (blood clot in the lungs), a pneumothorax (collapse of the lungs), and an aortic dissection (a tear in the aorta which is the biggest blood vessel in the body).

There are a few key questions you could ask to figure out if someone has one of those four “can’t miss” conditions. Some of the questions are more historical and demographic. For example, if someone is very old, has smoked their whole life, has a history of high blood pressure and high cholesterol, they're automatically at a much higher likelihood of having some of those “can’t miss” conditions just by the nature of their risk factors. Afterwards, I would ask three other questions to tease out the true nature of the pain they're having:

A yes to any of the three questions would suggest that the patient’s chest pain is related to their heart not getting enough blood flow, which could indicate a heart attack.

The ones that are concerning are if the chest pain is substernal (it’s underneath the center of your chest where the is heart located), if it’s provoked by exertion or stress, and if it’s relieved by rest or nitroglycerin tablets. If you have all three of those, we call that typical chest pain or typical angina. Those are typical angina symptoms. That by definition means that you have obstructive coronary artery disease. If you only have one of those, then we think that there's low likelihood that you have coronary artery disease. If you have 2 of them, then it's kind of in the gray zone and in between.

The big caveat to this is that all of these symptoms, these 3 characteristics of typical angina, were based on studies that were done in the past and really looked predominantly at men. This typical chest pain and typical angina syndrome were defined historically based on large studies of men. So women tend to not have typical angina. Women tend to have a lot of atypical angina or other symptoms like nausea, lightheadedness or bloating, and that can be their equivalent of angina, so a lot of people might not pick up on that.

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Tax and Accounting Services for Colorado Springs, CO

Businesses, nonprofits, and estates are looking to not only survive their economic realities but thrive within them. Our firm is dedicated to giving our clients the means to reach that success. Bradshaw Associates, PLLC provides tax planning and small business accounting in Colorado Springs and to all surrounding communities.

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Bradshaw Associates, PLLC excels in offering tax and accounting support for our clients. We provide comprehensive tax planning services to for-profit companies, not-for-profit organizations, trusts, and estates. We understand how personal and entity funds work together for our clients’ complete success. When small businesses and nonprofit entities need bookkeeping and payroll services, we make sure their records stay accurate for IRS reporting.

Other examples of the services our Colorado Springs accounting firm provide include:

In addition to the direct support we offer, we also share our knowledge with clients so that they are better able to help themselves. A key example of this approach is training for QuickBooks®, one of the most popular accounting and bookkeeping platforms in the marketplace. Its multiple functions can make it difficult for businesses to optimally run without training or support. With our ongoing consultations, your staff will be better able to navigate and utilize QuickBooks on a daily basis.

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We are a CPA firm committed to providing exceptional client service in a personal, respectful, and ethical manner. We want to see all of our clients succeed in their unique goals.

Responding to the needs of every client is a significant element of how we provide quality service. If you call or email us with a question or concern, we get back to you immediately. This allows us to make sure that the services you are receiving are adaptable to your unique and evolving situation.

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Bradshaw Associates, PLLC offers small business accounting and comprehensive tax support in Colorado Springs and beyond. We work to give you the service you need in the most effective manner possible. For more information, schedule your free initial consultation today.

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