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They are at the cutting edge of research and offer the highest standards of care for patients who require treatment in their specialist areas, and intend to take advantage of the new right to choose their hospital.Stay informed of Plymouth traffic and travel news online.This detailed ultrasound scan, sometimes called the mid-pregnancy or 20-week scan, is usually carried out when you are between 18 and 21 weeks pregnant.If the pain doesn’t go (and if there’s no reason to suspect a fracture or tumour needing urgent expert help), the next step is stronger painkillers, often combined with a course of complementary therapy, such as physiotherapy.It’s only when these measures fail that a spinal surgeon is considered.They are the shadowy figures, always present during operations, with a grandstand view of the action, able to assess the steadiness of the surgeon's hand, the skill of his team – and whether the patient leaves theatre alive.

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