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Now we take it one hour at a time means that you're changing the speed of your approach to something either by speeding up or slowing down. For example, if a patient is in critical condition and clingling to life, doctors may say they're taking the patient's care and condition one minute at a time. If the patient's condition improves somewhat, they may say, "now we take it one hour at a time." If the patient's condition improves further, they may say "now we take it one day at a time", etc.

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