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The next morning I called up my friend, Nick Unger, who worked for the police department. He agreed to meet me at the Casbah, a glorious little dive bar a few blocks from my apartment. It opened first thing in the morning, realizing the best drunks start early. By the time he showed up I was already deep into my third drink and trying charm the bartender, Maggie, into comping my fourth. I was failing miserably as usual, but at least it was fun trying. As soon as Nick walked through the front door, I slammed my palm down on the bar top. "Tricky Nicky! Have a drink, brother!" He slid onto the bar stool beside me and smiled warmly at the bartender. "Has this low life been giving you grief, Maggie?" She grinned at him. "Only since I opened the front door." Nick winked at her and ordered a half-pint of stout. "Pansy," I scoffed and slammed the rest of my whiskey. He shook his head. "God I miss you, you mad bastard. I can't imagine why Andrea won't let you come around the house anymore." I shrugged. "I know, it's like as soon as she started squirting out brood, she suddenly gets all uptight about people starting fires in the middle of your living room." "Imagine," he said as he raised his glass of beer. I clinked my empty glass to his. "So guess who I ran into last night at Jenny's wedding?" He shrugged. "Brian Lopez." He chuckled. "No shit. How is old Double-Dip?' "Fat and sad," I replied while waving Maggie over for a refill. "And married to a smoking hottie. Well, married or engaged or whatever." Nick nodded. "I met her. They were at a Police Union dinner around the holidays. She's a butterface." I arched my eyebrow. "She had a face?" Maggie rolled her eyes while she filled my glass. Nick caught her glance. "I know, he's got no class, but what are you gonna do?" "Anyways," I continued, "she's way too hot for him, and that's not gonna end well. You just know that one of these days he's gonna come home and find her with the pool boy or some shit." Question: After the story is finished, the speaker is probably going to: Options: A. Joke about the bartender's appearance B. Gossip more with his friends C. Head home right away D. not enough information === The correct answer is
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B

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And once again, high blood pressure is making headlines in the news: the American Heart Association and the American College of Cardiology (AHA/ACC) have just released new guidelines about hypertension. Since this development is likely to cause confusion and concern for many, I'm writing this post to help you understand the debate and what this might mean for you and your family. By the way, if you've read any of my other blood pressure articles on this site, let me reassure you: I am not changing my clinical practice or what I recommend to others, based on the new AHA/ACC guidelines. The core principles of better blood pressure management for older adults remain the same: * Take care in how you and your doctors measure blood pressure (more on that here), * Start by aiming to get blood pressure less than 150/90 mm Hg, as recommended by these expert guidelines issued in 2017 and in 2014, * And then learn more about what are the likely benefits versus risks of aiming for more intensive BP control. Perhaps the most important thing to understand is this: treatment of high blood pressure in older adults offers "diminishing returns" as we treat BP to get lower and lower. Scientific evidence indicates that the greatest health benefit, when it comes to reducing the risk of strokes and heart attacks, is in getting systolic blood pressure from high (i.e. 160-180) down to moderate (140-150). From there, the famous SPRINT study, published in 2015, did show a further reduction in cardiovascular risk, when participants were treated to a lower systolic BP, such as a target of 120. However, this was in a carefully selected group of participants, it required taking three blood pressure medications on average, and the reduction in risk was small. As I note in my article explaining SPRINT Senior, in participants aged 75 or older, pushing to that lower goal was associated with an estimated 1-in-27 chance of avoiding a cardiovascular event. (The benefit was even smaller in adults aged 50-75.) Question: What issue did the author have with the AHA/ACC guidelines? Options: A. the scientific evidence B. the cardiovascular risk C. the confusion and concern people are experiencing D. not enough information === The correct answer is
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C

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As it turned out, Greg would have had a hard time canceling the check, even if he'd changed his mind. Chloe's crew had already sprung into action as soon as they left the building. The company used a computer controlled switchboard to route phone calls and this immediately went down, same for their Internet access. Meanwhile, a crude but effective denial of service attack was launched against their company Web site. If Greg decided to use his cell phone there wasn't much they could do, but the hope was that he'd be so tied up with all this other crap that he wouldn't have time to think of that. Paul didn't think any of that was necessary. Greg had given in and he wasn't going to call and cancel the check now. He'd agreed for a reason, and once Greg had a reason for making a decision it was usually impossible to change his mind. And it didn't make sense anyway. All he would have done is buy himself a little more time. Chloe and Paul would just march right back in and start all over again - probably after sending out pics of Evan in drag to all the employees. From his point of view, there was no reason for Greg to do that. Of course, it was still a huge risk for Chloe and Paul. If Greg just wanted a delay to get the lawyers involved, then they were in trouble. Chloe and he had broken a fist full of laws in the past twelve hours. They needed to cash that check and disappear as soon as they could. The bank put up a bit of a fuss about the check, which was one more reason Paul hated Bank of Fucking America. They always had some rule to screw a customer. But Chloe made a bunch of noise and actually jumped up and down at one point and eventually they walked out of the bank with a cashier's check. Question: How long Paul and Chloe probably spent in Bank of America? Options: A. Two hours. B. Four hours. C. not enough information D. Thirty minutes. === The correct answer is
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D