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spec: Why might Bearden choose to depict a piano lesson ? The American Society for Gastrointestinal Endoscopy ( ASGE ) represents over 7,500 gastroenterologists , surgeons , and other digestive health specialists who are committed to furthering their knowledge and training of endoscopy for the diagnosis and treatment of gastrointestinal ( GI ) disease and conditions . Very rarely , postoperative discitis can cripple a patient who is recovering . While there are pockets of hunger , there is nothing like the malnutrition that existed in Appalachia and the Mississippi Delta before the Great Society . Soon , the sense of isolation and loneliness may become unbearable . HACU publicizes the program nationally and recruits heavily from its member institutions . Unfortunately , rhetoric may convince a private investor ; but it does n't work on Mother Nature . The idea here is that the mother 's immune system will produce anti - bodies to foreign blood groups , which could attack a fetus with a different ABO phenotype .