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spec: The PSU Library at Portland State University is home to 1.3 million volumes , serving over 800,000 patrons annually . They beef , get drunk , quarrel violently , take their women where they find them and yet achieve and epic grandeur in their deeds . For example , the comments and our fact finding indicate that , today , many hospitals require their workforce members to sign a confidentiality agreement , and include confidentiality matters in their employee handbooks . As is usual when there is a failure in the markets , the government 's first instinct is to respond with additional regulatory proposals , without first studying ways to strengthen the existing regulatory system . My first instinct is to not worry about it , reassign parts to bass clarinet / bari sax , etc. I have a VERY small beginner band - 10 students , 5th grade.2 clarinets , 1 alto sax , 1 tpt , 1 tbn , 2 percussion ( mallets & snare ) and three pianists who are acting as our aux . My first instinct is to not worry about it , reassign parts to bass clarinet / bari sax , etc. I've had to deal with awful instrumentation for the last 3 years . I regret that I and people like me were so upset about Iraq that we transferred that anger onto Afghanistan . Her first instinct is to ignore the call altogether , but she makes the mistake of discussing it with her therapist Margaret ( Elizabeth Pena ) , who has the power to stop Bree 's surgery . `` I believe this happened to us because somewhere along the way we lost our willingness to fight for limited government , fiscal discipline , traditional values and reform . That 's difficult for medical staff to adjust to because their first instinct is to hook Nick up to an IV and give him dextrose , the principal form of carbohydrate used by the body . The natural instinct is to run for cover , pull in the horns or turn to mommy for comfort . He also argues that when Congress amended the Guam Organic Act in 2004 , they intended that pending appeals be included in the expansion of Article III review .