Advocate the Thanoss ideology
Eu thanos - medicine and ethics at the limit of life
Table of Contents
Archbishop Hats-Josef Becker
Eu thatatos - medicineandethics
attheborderofLife ......................................................... 2
Dr. med. Mr. matn-Josef Pielken
Euthanasia versus palliative medicine .............................................. 6
Prof. Dr. theol. Klaus Arntz
Freedom in the end ofLife –
Ethical remarks on the euthanasia debate ............... 17
Dr. med. Peter Liese
Is politics binding or similar?the there are ethical scriptsatken? .......... 33
Biographical information on the speakers .............................. 42
Documentation the Medical days ................................................ 43
Ed .: Archbishop's General Vicariate
Department of Pastoral Services
Editor: Dr. Werner Sosna
Cathedral Square 3
by Archbishop Hats-Josef Becker
For this year's Doctors' Day here in the Kaiserpfalz Patheborn, the
has now established itself as a good tradition, I extend a warm welcome to you
welcome. Again we dedicate ourselves to this interdisciplinary forum
a question of the highest social relevanceatz who have been using for years
ever stronger intensity in our Latd is performed. It hatdelt
about a problem for which we socially
want binding regulation that comes with the Would of People at
End of his Life must be compatible. I'll see you with one
Euthatas the debate faced, in the the Catholic Church does not
may be silent and which we are therefore right to comment in
Look at the ethical legitimacy of our H.atdelns outthet. Because
the same applies here the Sizeandsentence that not all for what the single person
and society as a whole are capable of doing well at the same time as being allowed and
ethically legitimate atcan be seen. For this Grand let's face
today a topic that brings us to the unavoidable question:
"Which dying really does justice to a person?"
This question is not only urgent to us atface the political
Setting the course in our western neighborsthen up, sonthen
also because us the medical and technical progress at the same time
Situations pose katn, viewed in the light, an extension of
Dying and Cause human suffering. So much the stronger
as you know, if this is used as an argument, the active euthanasia
also in our Latd door and Gate open.
At the same time, sober demographics put us in this situation
Numbers in the atGuest-occupied weighing the high cost, the one
medical care in old age and at the Lifeend caused. A
Weighing up, apparently betweenatcommon and as if from invisible
Hatd led, suddenly with the apparently "inexpensive" alternative the
active euthanasia presented a supposed "solution model". There
we need to be clear that this “magic word” is nothing
attheit as the conscious and means targeted killing of a person. The
there is a social consensus on the use of active euthanasia
fortunately not yet agreed. I would like at this point, however
do not hide the fact that concern is growing, that one too
Step could be taken by the legislature to LifeLaw
of People at this stage of its existence seem to preserve it
but - as at the beginningatG ofLife - to the social
To provide disposition.
Of course, it is foreseeable that the number of old, often heavilyatker
Othe people in need of care in the coming decades
will increase significantly. But it would be disastrous if we look in
consent to active euthanasia is the only one for such problems
socially possible answer to a certain problem congestion
atwould see. The German Bishops' Conference and the Evatgelische
Church Deutschlatds have in their most recent letter on this issue
expressly stated that we are in favor of a “strengthening the Alternatives "
to plead. 1 Because in our eyes too much is at stake! A
Society that is ready to go through certain phases of human Life
the calculation the Subjugating usefulness has respect for that
human life in its unity and Gatlong ago given up.
As early as 1975 (!) The German bishops wrote “Das
LifeLaw of People and the Euthatasie “on this ominous
Cohesionatg alerted: “If only after his life
private and social benefit is assessed, datn it is at most one
question the time andof suckedatnth 'people's feeling', which groups
people are affected by this extermination judgment. ”2
My ladies and Men's!
The plea for a so-calledatnten "good death" in the sense the
Euthatthe debate is fraught with the great risk that it will differ from
the Appreciation of human Lifeas she goes through the Christian
The image of man became possible in the first place and at allatis animalized,
detaches. This is the ultimate consequence the Sizeandvalue of human
Life questioned himself: Even Friedrich Nietzsche's "Zarathustra"
I wished for the future "’ Preacher of ring Toof', which the
Kratken, behintheten, yes to all 'superfluous' say: die to the right
1 terminal care instead of active euthanasia. A collection of ecclesiastical declarations [Common
Texts 17], ed. from the church office the possiblyatGelischen Church in Germanyatd and from the secretariat the
German Bishops' Conference, J.atuar 2003, p. 6.
2 The German Bishops (4): That LifeLaw of People and the Euthatasie in: Common
Texts 17, p. 15.
Time! ”3 Of course, we are not meant by this, the Gesanden, strong,
Huge and Guards who are more othe less in full possession of their physical
and spiritual forces participate in life and the central
social calculation the Maximizing costs and benefits is not a burden
fall - more precisely: not yet! But Nietzsche's word would become immediate
relevantatt for those people who - for whatever reasons
always, and not only the age is decisive - these predicates dependatthe
came othe that they never owned!
And this gap is getting bigger and bigger in our society! who wants
preventthen that not only dyingatke, sonthen also Latgzeit patients,
Seriously injured or similartheatthee 'Cost causer' for these case groups
will belong to them instead of social ones and individual help
only the Death is "given" 4.? Given such a perspective
is the word of my fellow brotherthes cardinal clayatn andof former
Chairman the EvatGelischen Church Deutschlatds, President Matfred
Kock, of unmistakably topicality and Urgency: "Where do we
Killing someone as a solution the admittedly difficult
Situation of Kratness and Accept dying, this is a B.atcrotch clarification
at humanity .... we are not allowed to suffer human suffering
by killing, sonthen must give him through human affection and
Counter concern. We want suffering linthen and not us the Sufferers
As churches we do not want to contribute to Kratness and To die
increasingly out of consciousness of mothedisplaced people
become. Because they are part of human life and need to be coped with
become. "Not help to die, sonthen Help in dying we are to him
Kratguilty ”. 6 That is why we are Christians regardless of ours
Denomination, askedthet, us the question of veratverbal Hatdelns at
theborderofLife to deliver.
Alexatthe Lohner, The Spiritual Roots the new bioethicist andthe Zeitgeist, in: Lifeforum 2 /
Legalization the active euthanasia in the niethelatthat led to the fact that approx
Patients are actively killed without their consent. See Fuat S. Oduncu, in: Voices the time
128 (2002) p. 128.
Dying care instead of active euthanasia. A collection of ecclesiastical declarations (joint
Texts 17), ed. from the church office the possiblyatGelischen Church in Germanyatd and from the secretariat the
German Bishops' Conference, J.atuar 2003, p. 7.
6 The German Bishops (4): That LifeLaw of People and the Euthatasie in: Common Texts
17, p. 16.
„Eu thatatos “- a good one, a satfrequent death! Hardly anyoneatd wish
Saying goodbye to life is not as humble as possibleaten
Wise! And it is precisely for the sake of this perspective that we have to deal with it
ask given questions because the worry the Churches has always been true
especially people in their weakest phases Life, in
which they often no longer have any advocates!
It is my deep conviction that we are here in a common
Veratanswer, we are looking for a humane accompaniment Kratker
and To diethe to use. I'm looking at these considerations the title
chosen for our conference:
„Eu thatatos - medicineandethicsattheborderofLife!“
Euthanasia versus palliative medicine
by Dr. Mr. matn-Josef Pielken
Palliative medicine is not a branch of medicine as you know it
General practitioner, internist or similarthe Surgeon. Palliative medicine is medicine
We started in 1996 at St. Johatnes hospital in Dortmundand a
Set up a palliative care unit and it opened at the turn of 1999/2000.
The motivation for this work was not primarily ethical and moral reasons,
sonthen our main motivation was to have advanced patients
malignant detatkings to help. We are a house that meanwhile
has a large oncology department. As you all know, the
Oncology in the veratMade great strides in 50 years, however
there is still a large proportion among those from malignant Erkratkungen
affected people who at of their oncological diseaseatkung
It is always nice for a doctor to be patient in the To supervise aftercare,
the likethe totaland are and to experience them from a vicious one
Krathave been healed. In the but you work in daily practice
the Majority with patients who died in the course of months orthe Years at of their
Kratthings will die. There is nothing more terrible for a doctor
than anyatn to say: "I katn do nothing more for you, you are treatedatdelt. "
That helplessness was for us the Sizeand, about palliative medicine
Palliative care is a crucial part of the setting.
That's why I'm going to be little about today medicine talk. All that I
You over medicine you know and is only an accessory to the
better understanding. It is used to describe the environment in which
palliative care is at home.
It quickly became clear to us that a permatduck ethical
Heard discussions. Everthe individual patient gives rise to ethical
Discourse. M.at but wins in the course the Years of increasing security in
Envatg with these gatz difficult topics.
Inseparable verbanden with the Palliative medicine is the “hospice idea”. This
Term first became middle of 19th centuryanderts in
Cohesionatg with the care, support and Accompanying the dying and
heavilyatken people useatdt. In the same yearandhave got it
datn Order of women in Irlatd established the first institutions in which
Patients, severelyatke patients, dying patients were cared for.
The decisive breakthrough was achievedatsaid the hospice idea with the
founding of St. Christopher's Hospice in London. With this establishment is
inseparable the Name Ciceley Saanders verbanden. This woman has it
managed that the Hospizgedatke from Englatd out to the continent
came and for us today is something we all know and what helps us that
Life of this hardatto make patients easier.
Simplified could mat say palliative care is the synthesis
medicine, Conventional medicine and Hospice idea. In the second half of forgatgenes
CenturyandThe first palliative care wards were established in Germanyatd
founded, first in Cologne. In 1994 a scientific structure was formed
with foundation the German Society for Palliative Medicine. These
Association is a society unique in the medical field
is because she is on the one side doctors, on theatthebut also on the side
Nursing integrated, and these two professional groups share the
Palliative medicineatbring. Palliative medicine is still not one today
Term like “inside medicine"Othe "Surgeon", but the development the
Palliative care is advancingatand we expect the next year
To get the designation "Palliative Medicine".
In 2000 the working group hospice movement was established in
Archdiocese of Patheborn, in the on the one side the structures
the Palliative medicine or similarthethe Hospice work, namely the inpatient
Hospices, the palliative wards, the outpatientatten hospice services and the
Hospice initiatives have been grouped to help them with the Kratpastoral care,
Orgatizations the Kratkenhäuser, the Working groups for
Homes and Facilities the Care for the elderly andthe outpatientatten care services
to bring them into a fruitful dialogue.
The aim of this working group is the knowledge and the experience around
the hospice idea to the palliative medicine with existing charitable
Bringing institutions together and Exchange experiences.
Discussions at the founding meetings showed that it was correct
this decision, in order to build mutual trust, by the
attheen to learn and not to be considered competing entities
consider. I will come back to this briefly later.
The WHO has a definition the Palliative medicine created that pronounced
is useful and helps us to provide palliative care patients too
detect. Gatz predominantly there are patients who have an oncological
Detathave kung. However, there are also patients with advanced levels
neurological diseaseatkungen. Typical ones are not included
geriatric patients. In summary, palliative medicine helps patients
with a progressive and far advanced Erkratkung, with
a limited one Lifeexpectation for which there is no curative treatmentatoptions
We behatdeln in the Oncology very latge patients for whom no
curative therapy options exist. Still, it is palliative
focused oncology is a good example of opportunities themedicine,
the Kratto influence the course of the illness andLifequality to win.
In the past, it was often just about extending life. The success
his activity has the behatdelnde doctor atthe renewal the
Survival time measured. The occurs more and more Lifequality in the
In frontthegrand. But it's not about these patients, butthen it's about
Patients for whom the medicine no treatmentatmore options
atoffer katn, the Kratto influence the course of the illness. For these patients
is it a terrible message when mat have to tell them: “We can
do nothing more for you. ”Matnarrow even becomes the bad expression that
Used towards patients: “You are treatedatdelt. "Mat katn yourself
well imagine that in this desperate situation - often verbanden
with great suffering - the The desire for active euthanasia is growing.
Active euthanasia means that mat consciously his Hataction on it
aligns life of End patient and a quick death
bring about. In the Oncology that certainly does the most part the
Patients in whom mat deal with this questionattheput
must have it in the Usually dealing with patients who are one
incredible Lifehave sake so that they are very latge the topics
Palliative medicine, not dying at all atspeak. It's a big problem
for each behatdelving doctor to find the right time at the
mat these topics atspeaks.
But first of all, the question: How do we doctors feel about legalization? the
Euthatasie? Does knowing about alternatives help us? Änthen we
thereby our attitude?
There is a study from 2003 in the certain
Questions in this contextatg were examined. On the
one side became membersthethe German Society for Palliative Medicine
questioned and on theattheen side doctors who are not in this society
were. It turned out that among the membersthe this society
in the group the Doctors almost 90% "no" to legalization theEuthatasia
said. Was among the carers the Percentage slightly smaller (83%). It
fatd is a clear difference to doctors and Caregivers outside
the Society. Certainly the membersthethe Society one
Make some selection, but if you look at this graphic atlook, can
You can see the reasons for the attitude towards euthanasia
were and influenced this attitude: Professional experience,
professional knowledge and Knowledge of alternatives. Those differences
were significantatt between the two groups. Ethical considerations
posed a specialtheen sizeandand Motivation for being apartatthesettlement
with this subject, but were in both groups of
same meaning. Even the disconnectatthesetting with the German
Forgatgenheit, the yearsatg has caused that on the subject no
was spoken, plays a role the Decision how mat to active
Euthanasia is now a gatz subordinate role. With all the criticism and
These statements are worth discussing katn mat but hold on to that
the practical Auseinatthesetting with this topic and work with
these patients gatz essential the attitude to this topic
influenced if mat real alternatives atoffer katn.
For us, it's just nice to know that we never have to say: “We
can no longer do anything for you. ”We certainly need to change our behavior
änthen, the Behatchange formsthen, but we can get the patient up
continue to care for its end. Palliative medicine is - to put it simply -
one third each Orgatisation, medicineand Attitude. Orgatisation
means mat must establish structures in which these patients
can be looked after. The biggest problem for the patient in one
such advanced Krathealth situation is that he is often alone
is calm with his fears and with his ideas like this one
gruesome death awaits him, has to deal with it alone. The problem
with these patients it is not that they are somehowatn a "good death"
will experience, sonthen you know of the day the diagnosis at, you will be
at this Kratto die. When I am with patients with oncological
Detatnotices at the beginning the Detatkung, I try to find parallels
to attheen Kratto find things and tell the patient that they are
certainly in her Bekatntenkreis will experience that in the Time up to
their own death people will die who gatz unprepared and
to die surprisingly.
The worst atthe oncological diseaseatkung is knowing that
matat this Kratkheit will die, often verbanden with fearful thoughts,
to die in pain, to suffocate. That's why it is
important that structures in the Kratkenhaus are created, this
Patient gatto take care of them in a holistic manner. Conveniently, the affected
Patients in the Kratkenhaus on specialtheen wards, palliative care wards,
cared for, although I want to say in advance that palliative medicine is natural
is not limited to one station. You must if you are their patient
want to provide palliative care, the outpatientatte further supply
to back up. This often works well together with outpatientatten care services.
We work in Dortmundand very close with the Caritas together, but not
exclusively, sonthen also with attheen outpatientatten care services, with
private care services. That is what the patients decide. Is important to us
but that these services provide palliative care experience, palliative care
Bring experience. In the St. Johatnes hospital in Dortmundand
the bridge sister plays a crucial role. She is up the
Station is home, katn but also visit patients at home and
z. B. at the Pain therapy or similarthe at the Solution of special
Problems help. Surely that is a point that we still go on
need to expand. Personally, I don't believe all nursing services
can do this work. You can only use of services
especiallythehe has experience in palliative care. Not underestimated
competition problems are allowed here. M.at must lata way in the long term
find this support to be seen as an additional offer that the
deals the Nursing services added.
If Mat for a difference between an inpatient hospice
and If you are looking for a palliative care unit, it is difficult to find. The most obvious
The difference is whether the facility in the abovethe outside of
Kratkenhaus is at home. The work katn are very similar.
In Dortmundand there are two stationary hospices. One is made by the Caritas
operated and can be found in a nursing home, the Bruthe-Jordat-House.
The Diakonie recently also set up an inpatient hospice.
Both are facilities outside of Krathospitals. There will be
cared for these patients that I have just described. The
The bottom line is that they only have a limited one Lifeexpectation
to have. An important Grand for palliative wards in the Kratkenhaus is that
even today there are still many patients in the Kratkenhaus die and
mat there with the Gedatkengut the Hospice idea should be familiar.
D.atthe further education is just playing the Doctors play an important role. Also there
it in the Kratkenhaus experience with specialtheen medical problems.
This does not only apply to pain therapy. In advanced conditionatd
oncological diseaseatcues always result likethe Problems that
Kratkenhausbehatdevelopment requiredthemake it.
At the idea the Palliative care unit before the Patient decides if he
wants to be cared for there, we explain to the patient that there is no dying ward
is. I would like to explain that a little more closely: the average
Lying time on our ward is around 13 days, less than that
half the Patients die the Palliative care unit. If Mat the
Numbers more precisely atlooks, sees mat of course that the vast majority
the Patient the Palliative care unit dies. But many can before hers
Discharged home more often, being cared for at home. We
but dismiss them too the firm commitment, they everthetime likethe
so that many patients have two or threethe three times over the course of her
Detatkung in the last Lifephase on the Palliative care unit looked after
become. Sometimes these reasons are also relief the Relatives. you
always experience likethe Situations in which patients with the ambulance service
accompanied by relatives. The patients complain
extreme pain, are massively aroused. The relatives are with the
Situation overforthet. If it is datn succeeded in taking the pain
To get control sees mat walk the patient across the ward
and wonders why is he there. If the medical service the
Indication for Kratkenhausbehatis a good documentation
important. Anyone who practices palliative medicine must always ask: what
benefit the patient? Two things are important: the Patient should be free of pain
be. We manage to do this very often. Next it is our goal that
Symptoms he has to minthen othe to eliminate. Symptom control
is the keyword in the Palliative medicine alongside the Pain medicine.
Which symptoms lead patients to palliative care units? These patients
most of all are in pain. Typical for a tumor diseaseatkung is
the cachexia, the dragging out the Body, coupled with a lack of appetite.
It is for the patient atlastthe Fight to eat. they wish
something to eat after just a few bites the Appetite gone. The
Constipation or similarthethe Intestinal obstruction is certain oncological
Detatkungen a problem that always likethe on the Palliative care unit
finds and must be controlled. Added to this are shortness of breath, nausea,
Vomit. With peritoneal cancer, patients often live many
Weeks with a complete ileus. With a complete intestinal obstruction
do they have to be fed parenterally, and constant vomiting
must be mastered. nausea and Vomiting are often caused by
Fear intensified othe caused. By giving, here mat in front
commitment to all things the Sisters andthe Highlight caregivers,
and of course also through the use of psychotropic drugs
this fear can be controlled.
If Mat talks about tumor patients, talks mat of pain therapy.
This is because many oncological patients are already in the
Have pain in the early stages. In the Late phase the Detatkung if we
them in the area the Hospice work on the Palliative care unit likethefind, have
almost all patients in pain. It is therefore the most important thing if mat
working with these patients to cope with pain management.
M.at it is often very difficult to imagine. It is one with practice
become very simple therapy. We have medicines today
which are in a retarded form and the patient with correct
Dosage over many hoursandcan make it pain-free.
Our goal is to ensure that patients only have to go twice on
You have to take pain medication at most every day in order to be pain-free.
This assumes that the patient also receives pain medication
With which they can control pain peaks in the short term
can. Sooatnte spinal cord pain therapy measures
are very rarely exploredthelich. Here tries mat z. B. Painkillers
directly into the spinal cord skatal to give to the drug dosage
lower in order not to sedate the patient too much.
A major side effect of all pain relievers is sedation,
this side effect katn can thereby be reduced. Such pain therapy
Measures are technical and very costly in terms of care, she
fortunately only around 5% the Patientthelich. Important
here it is, side effects the Knowing pain relievers: sedation,
nausea and Constipation.
If Mat Patient asks what she was talking about at the Gedatken at Dying on
most are afraid to give it up frequently at, they are afraid of suffocating.
On the Palliative care unit, let's make it clear what the Shortness of breath zugrande lies.
We behatdeln this cause. We would on the Palliative care unit definitely
do a bronchoscopy to remove an occlusion, etc.the a
Narrowing the upper airways to treatatdeln. We'd have a pleural effusion
relieve by puncture othe also behave pneumoniaatdeln. It
but there are also situations in which we cannot handle pneumoniaatdeln
would. I want to talk about that later. We bring ours
GatUse medical experience to help patients and these
We even go so far as to consider patients who have a bowel obstruction
Result of a tumor diseaseatkung have to provide with a PEG that
is actually intended to ensure nutrition. We use them
to allow gastric juice to drain, and save those affected
Patients like a nasogastric tube. As you know, produces for you
Intestinal obstruction the Stomach continues gastric juice. As a result, they suffer
Patients with constant vomiting. This is a very cruel one
Situation. Of course mat consider whether metastases - e.g.
Brain metastases - othe Fear are the cause of this vomiting. We
must always keep in mind that we are dealing with a suffering person
People have to do. It is not enough with the physical situation ready
to be able to. Also we must always representat think it
datthere is also a psychosocial component. Help us here
Employees that you usually find in the Kratkenhaus not find. We have
an employee who is trained as a psycho-oncologist and the the
Patient care. A GatThe volunteers play a major role
us on the Help station and make sure not the typical
KratA kenhaus atmosphere is created. We help the on this station
Patient and the relatives with their medical, psychological and
social problems to deal with this advanced Krathealth situation
The spiritual care has an extraordinary value. The
The development of our palliative care unit is inconceivable without it
Active support from a Ms.atziskaterpater. He belongs to the
permanent staff and has the character the Station significantly helped to shape it.
We worry when we're in sign of increasing
Priest termatMaybe one day I'll get up without a priest the station
would have to work. The priest up the Station is not the Kratpriests.
But there is in the Collaboration between these two
no problem. If the Kratspiritual patients over the years
has looked after, he certainly looks after them the Palliative ward next.
The palliative care unit has a specialtheit's ambience. She must get away from
a normal Kratkenstation differentiate. By espthee materials
we have the sober, practicality-oriented look of a
Kratkenstation avoided and Spaces that mat usually on Kratken stations
does not find, e.g. B. added a living room. In this
Everyday life takes place in the living room. They stay there
Relatives, they can withdraw there. But it does exist
They also have the option of staying overnight in their relatives' rooms.
In this ward we have 7 beds, two double and three single rooms.
It happens that in a double room a patient is alone or similarthe With
spends the night his relatives when his conditionatd it requiresthet.
D.atn katn it will be necessary that theatthee patient ins for the night
Living room has to evade. But it is too the Whereabouts for the
Volunteers andthe Space for small celebrations and Festivals.
Next the Mastery of symptom-oriented therapy and
Creation of certain orgatIt is primarily based on isatory requirements
the inner attitude that defines palliative medicine. We have to
Convince patients that they trust us katn. We have to go to him
build a relationship, we need to know him. We have to be very precise
listen to what he is saying. We doctors often tend to be communicative
keep very competent. This may have something to do with
that patients always like usthe to listen and rarely withespeak.
We have Datn the impression that they and we clear the situation
amplatthe and have control. But experience shows that the
Patient gatz often only a little of the amplatthe and has kept what
him the behatDoctors try to explain. In this situation, in
the Toofatgst the is constant companion, communication is still great
much harder. M.at must constantly check what mat said
Has and what Mat thinks, understandatto have that. M.at must also try.
This also includes the constant willingness to take the hit
Way to changethen, if mat Erkatnt has that the wrong way is.
Next we have to accept that the patient thethe one is the
decides which way for him the is correct. That is often not possible
without separationatthesettlements. I would like to briefly tell the story of one
Woman tell that in a foreign Kratkenhaus because of a
Peritoneal carcinosis with unknownatntem primary tumor behatwas delt. in the
course the Detatkung it came to a complete closure of
Gastrointestinal tract. This patient had no stoolatg more, they
couldn't eat anymore. But the most unbearable burden for them was
that she kept vomiting. She came to us as the palliative care
Care became necessary. She came up with specific ideas.
Her firm belief was that no medical measures were allowed
taken to prolong life in some way.
Of course we agreedatthe. The fear of senseless
life extending measures will always likethe voiced. It was for
a big problem for me to see this patient herself at the
last days of hers Life on the Bedatte sat and under a
suffered incredible thirst. But whenever she tratk, she vomited the
amount of liquid drunk immediately likethe. Even without imaging
Investigations showed that several liters of liquid in the
Stomach that she just couldn't empty. The patient declined
- How do I make stickers
- How to get Lithuanian citizenship
- How can I turn Android to iOS
- Who was Hitler's grandfather
- Whoever wrote the song originally comes together
- Time has mass
- How many neutrons in potassium
- Who plays the most personable movie characters
- Will Spider Man come in another movie
- What is the best type of lasagna
- Is Bhuvneshwar Kumar a perfect all-rounder
- What is the ganja price in Pune
- How dangerous is an angry Batman
- What's your saddest Pokemon Nuzlocke Death
- How is Kabul Afghanistan
- Where can we create Android icons
- What if Disney shuts down
- The nocebo may cause blood clots
- Are the products that Shopify does well
- What are the beautiful places to stay
- What is implicit and explicit bias
- What is your favorite romantic vacation spot
- Covers congressional health care pre-existing conditions
- Who pays for forest fires in California
- What kind of element is zinc
- Why we use charge air coolers for turbocharging
- Can personalization create a differentiated customer experience
- How do I integrate Paytm into Codeigniter
- What are some books about ancient temples
- What are the prices for concrete products
- How is the new Suzuki Gixxer 250
- Would last $ 10 million for a lifetime
- What is the meaning of fire
- What are the symptoms of nonpathological dissociation