Q: Diagnosing PM always begins with a physical exam. Your doctor will ask you to lift your arms, turn your head, and make other moves that involve the affected muscle groups. They’ll ask when and where you specifically feel weakness or pain when moving or at rest. They’ll also check your heart and lungs with a stethoscope. You’ll also be asked questions about your medical history and family history—even though PM isn’t passed on genetically, it can be more common in some families. After a simple blood draw at your doctor’s office, your blood will be tested for 2 major things. 1 is the enzyme known as CK, which leaks from damaged muscle fibers. The other is for antibodies that are specific to inflammatory myopathies like PM. The antibodies are evidence of your immune system attacking your muscles, and the enzyme is proof of their destruction of healthy tissue. This test involves sticking a needle that’s connected to a machine into your muscle tissue in various locations. The device checks for electrical activity in the muscles during both rest and contraction.  You may be wary of the needle, and the fact is that this procedure is a bit painful. The doctor can apply a topical anesthetic to your skin, but it will still hurt where the needle enters your muscle tissue. These spots may remain painful for a few days. However, electromyogram is an effective diagnostic tool for PM and is nearly always worth the discomfort. MRIs are not always used to help diagnose PM, but they can be beneficial in some cases. An MRI essentially creates cross-sectional images of your muscle tissue, and can therefore open large areas to examination without invasive procedures.   MRIs are painless and a good choice for most people, but remaining still in the enclosed chamber can be a challenge for some. Learn about the procedure, ask questions, and don’t be afraid to voice your concerns. Ask how long the procedure will take, and let the doctor know if you're worried about being in a small space for that long. You may be able to use soothing music or other calming techniques to make the process more manageable. Eventually, nearly all diagnoses of PM involve taking a sample of your muscle tissue and looking for telltale signs of damage caused by your immune system. Your doctor may take more than 1 sample, in 1 of 2 ways:  A needle biopsy. In this type of biopsy, your healthcare provider will insert a needle into your muscle tissue and remove a small amount of tissue through the needle. They may need to insert the needle more than once to get a large enough sample. An open biopsy, in which your healthcare provider will make a small cut into your skin and muscle and remove a small sample of muscle tissue. In either case, local anesthesia will be used, and you may experience some pain in the sample areas for a few days.
A: Let your doctor do a physical exam. Have your blood tested for specific enzymes and antibodies. Consent to an electromyogram. Ask whether an MRI may prove useful. Undergo a muscle biopsy for definitive evidence.

Article: You should call the company or dealership and speak to your leasing agent to notify them that you want to buy the car. The leasing agent will notify you of any penalties or fees you may need to pay. The leasing company will call you near the end of your term to talk about returning the car. If you are allowed to buy the car at the end of the lease, you can tell them you want to buy the car then. In most cases, you will receive the documents through the mail, although you may be asked to visit a dealership. Read through the terms of sale very carefully. When you are ready, sign the contract. Mail these back to the leasing company. If you are paying in cash, you should mail a check to the company. Before you go the DMV, you will need 3 things from the leasing company. The leasing company must sign the title over to you with all liens released on the car. They must also provide a bill of sale showing that you paid your sales tax, and a federal odometer statement. If you do not get these documents, ask for them. If you financed the car using a lender other than a dealership, the leasing company will mail the documents to the lender. The lender will then send you the documents. You will need to bring the Certificate of Title, the bill of sale, the federal odometer statement, proof of car insurance, and ID, such as a driver’s license. You will also need to fill out an Application for Registration and Title. This form will be available on your state’s DMV website.  Once you take these documents to the DMV, you will be registered as the legal owner of the car. Titling fees can vary by state. Look up the cost on your local DMV website. In some cases, if you don't make your monthly payments, the lender can repossess your car. Always pay your loan payments on time to keep a good credit score.
Question: What is a summary of what this article is about?
Inform your leasing company that you want to buy the car. Sign the documents sent by the leasing company. Ask the leasing company for documents proving the sale. Visit the DMV with your documents, insurance card, and ID. Make monthly payments to pay off your loan.

Q: Be bold and come out with your request.  Even if they’ve had it a long time, just assume they have intended to return it, and say, "I’d like to get my copy of X-Men back when we meet next."  With that direct approach, embarrassment or common courtesy will likely cause them to return your item. By inquiring about the item you’ll be less confrontational.  It suggests uncertainty, and allows your friend to be confident in their reply, as if they were the one who decided to return the item.  Try a few of the following approaches:   "Are you done with my copy of Twilight?  I’d like to have it back when you’re done." ”Hey, I’m looking for my hat, do you still have it?” ”Would you mind giving the video game back to me?” A message allows you to be direct without having to confront your friend.  It’s easily less personal.  There is possible misinterpretation, so be careful with your wording.  Facebook allows you a great way to send a message.  Send a private message with just enough information to let your friend know you’d like the item back. Shoot your friend a quick email.  Nothing extravagant is needed.  Just ask for your item back. Text your friend.  Ask for the item and include their favorite emoticon to make it less harsh. Whenever you talk to your friend, bring it up.  No matter the conversation, steer everything back to the loaned item.  Your friend will quickly get the hint.
A:
Be forward about asking for it back. Ask a question about it. Send a message regarding the item. Constantly bring it up.