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As weknow, health care contexts and communication are often highly emotionally charged for allpatients and families, but, with a diagnosis of a disease like diabetes, it is not uncommonfor patients to focus on their fears and lose the ability to hear what the provider is tryingto communicate and/or use feedback for clarification. BASs are notrecommended in patients with gastroparesis, other gastro-intestinal motility disorders, in those who have had majorgastrointestinal motility tract surgery or who may be at riskof bowel obstruction and those with complete biliary tractobstruction. Greater additionalprotection was afforded against delayed vomitingthan against acute vomiting

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The stigmatized person is thus set apart from their fellows inthese additive ways culminating in increased social distance, between the labeller and the labelled.The latter suffers consequent depersonalization, rejection and disempowerment (Jones et al.