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The plasma-exchange process originated with a Swedish dairy cream separator created in the late 1800s that sets apart curds from whey.46 Scientists were so inspired by this simple machinery that they attempted to use it to separate plasma (the yellow-colored liquid that suspends cells and contains antibodies) from blood (which contains the red and white blood cells). The blood streams into the cell separator, which, like a spin dryer, shakes up the blood, cleaving it into those two components—the plasma and the cells of the blood. Then the machine returns the blood to the body and replaces the original plasma—which is full of the harmful autoantibodies—with a new, protein-rich fluid that does not contain antibodies. Each process takes about three hours. The doctors had prescribedfive sessions. when do clomid side effects kick in The fourth day, doctors number six, seven, eight, and nine joined the team: an infectious disease specialist who reminded my dad of his uncle Jimmy, who had earned the Purple Heart after storming the beaches of Normandy in World War II; an older, gray-haired rheumatologist; a soft-spoken autoimmune specialist; and an internist, Jeffrey Friedman, a spritely man in his early fifties who, despite the severity of the situation, exuded a natural optimism. In the late 1960s a young doctor from the Srebrenica area, Sabit Begi?, became one of the first locally born Muslim physicians in Srebrenica. He made a name for himself treating workers at a nearby lead-zinc mine in Sase, where roughly a third of workers were on sick leave every day due to lung ailments. In the early 1970s, Begi? led a campaign to encourage local children to go into nursing and established small health clinics in the neighboring villages, including the one where he treated young Ilijaz’s sore throat. At the time, the Yugoslav government targeted the area’s mining and forestry industries for development and initiated new industrial activities. Battery and car-brake factories were built, a furniture factory, stone-cutting workshop, and textile factory were established, and the area enjoyed an upsurge in tourism at the medicinal spa and in nearby hunting grounds. To create a well-educated workforce, Yugoslavia invested in the education system, turning Srebrenica high school into one of the best in Bosnia.