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Lee, per-sonal communication, July 14, 2005); (c) 18%of participants with cervical spinal cord injury,who used motorized wheelchairs, reported feel-ing “breathless” while speaking for more than afew minutes and indicated that speaking was themost common activity associated with breath-lessness (Grandas et al., 2005); and (d) 17% ofparticipants with lung cancer stated that theyexperienced “breathlessness” while speaking(O’Driscoll, Corner, & Bailey, 1999). One can argue that this would be an ideal casefor an ileal ureteral replacement; however, prior radiation or concomitant inflammatorybowel disease may make this reconstructive strategy unattractive as well

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