贫穷而又富有的人——农民工胡玉高进京献骨髓的故事

在301医院,我见到了胡玉高,他今年32岁,矮小,黑瘦,一双不大的眼睛炯炯有神,穿一件中国造血干细胞捐献者资料库管理中心印制的圆领汗衫,一顿早餐吃了5个鸡蛋。昨天他捐献了100毫升造血干细胞,输入了和他毫不相识的上海大学生陈博的体内,今天准备出院。为了证明自己的身体完好如初,他有意在记者面前挺胸脯,甩开双臂,像一个他想像中的大人物那样走着。在不少城里人眼里,农民就是愚钝的代名词,而胡玉高这次进京,着实让不少北京人感动了一回。他千里迢迢从云南赶来,义务为大学生陈博捐献造血干细胞(也就是人们常说的捐献骨髓)。很多人不知道,他来…     

EVAR FOR ABDOMINAL AORTIC ANEURYSM IN ELDERLY PATIENTS,AND THE BIOETHICAL ISSUES THAT COULD GENERATE

Open repair is likely to be more cost-effective than EVAR on average in patients considered fit for open surgery. EVAR is likely to be more cost- effective than open repair for a subgroup of patients at higher risk of operative mortality. These results are based on extrapolation of mid-term results of clinical trials. But how does that affect on patients who are older than 80 years. Late survival depends very much on the patient＇s age at the time of surgery. The life expectancy in this group of patients who undergo successful Abdominal Aortic Aneurysm （AAA） open repair or EVAR is not as good as that of the age-matched general population. At this age, life expectancy is six years or more over patients who are older than 85 years, life expectancy is just five years. On the other hand, annual/one year risk of rupture in patients with AAA diameter six to seven cm is 10%-20%. At the same time, total cost of endograft implantation is at least 10,000 euro per patient, which is still extremely expensive for many countries in transition. Regarding all these facts, some countries （in transition） are forced to reassess ethical point of endovascular treatment. Simplified they haven＇t enough endografs for all patients. Vascular surgeon in this situation has need to decide how, when and who needs by priority this expensive graft. Of course, this is not medical question, but for sure question that encumbers vascular surgeons from countries in transition. Should we consider octogenarians as the first group of patient who will endure this problem？ How to decide who needs endograft as priority and who does not？ Finally, who is better candidate for endovascular, open surgical or medicament treatment from financial point of view？ These are just some of the questions, which are still open and encumber many vascular surgeons from countries with poorer healthcare system.     

姐姐

我家住在封龙山,家有7个姐姐。我的童年是姐姐们背过来的,二姐背我最多。在无雪的冬日里,病魔夺去了二姐52岁的生命。这些日子,想起二姐总是揪心般难受。姐弟几个,二姐最出众。聪明、漂亮、开朗、勤劳、要强,办事果断大度,是家里的主心骨。二姐顺从母亲,上完初中就担起了家庭重任。她和母亲商量,决定让三姐辍学专门看护我,并约法三章：不能把孩子碰着,不能到井边玩儿,不能到远地方去。     

对青少年精神病罪犯的管辖权与安置措施

<正> 本文所要评论的是青少年司法系统在取得对青少年精神病患者的管辖权和治疗这些病人时所遇到的问题。现行的法律程序存在着各种各样的弱点和缺陷,严重地妨碍着法庭对这些年青人的司法管辖,使法庭不能作     

孙俊芳:点点爱心显真情

夏日的一天,在七师一三○团医院B超检查室外,5、6个病人正在排队等待;检查室内,一位中年女医生正在有条不紊地为病人进行检查,然后撰写病历。患者葛成瑞看着忙而不乱、态度和蔼的医生孙俊芳对老伴说:"孙医生对待病人和亲人一样,难怪大家都喜欢找她看病。"1991年到一三○团医院工作的孙俊芳,20年间,她早已记不清有     

《精神卫生法》的三大看点

自1985年开始起草，酝酿27年，已十易其稿的《精神卫生法》目前已正式施行。专家认为，与以往相比，《精神卫生法》最明显的变化就是精神障碍患者住院治疗实行自愿原则，非自愿治疗必须具备前提条件，这被视为立法重大突破。医院则表示，该法实施后，医生接诊患者时可能需要更长的沟通时间。     

立法『全面』为何难阻『严重雾霾』

视点关注为何天气会这么差？雾霾对身体伤害有多大？有关部门采取了哪些措施？极端天气的责任如何划分？随着北京气象史上首个霾橙色预警的发布，市民开始抢购防尘口罩，医院就诊患者直线上升，机场高速公路封闭，而上述这些问号也开始萦绕在城市的大街小巷。     

活着就有希望

我有一个很要好的朋友,在他的事业达到顶峰时,却不幸得了癌症,和所有人一样经历了震惊、恐惧、不甘心。医生告诉他:你的生命期限只有一年的时间。经过一番深思熟虑,他慢慢接受了这个实事,并决定在有限的时间里认真对待生活,过好每一天。有了这种新的认识后,他整个像变了一个人,他变得谦和宽容,对身边的朋友都笑颜相对,早上外出运动时主动和别人打招呼问好,甚至对路边的一草一木,都怀着一种温柔。在平时的生活中,他每天都精心地饲弄     

“构筑心理堤坝,值当”

“住进隔离病房,是不是就没救了?”“是我把病毒带给孩子.害了全家!”……在省级定点收治新冠肺炎患者的浙江大学医学院附属第一医院之江院区,医生发现,隔离病房中,55%以上的新冠肺炎患者存在轻度抑郁症状.42.5%的患者存在焦虑症状。焦虑和恐惧情绪成为侵害患者心理的另一种“传染病”。     

“禁闭”的影响,从“疫情进行时”到“后疫时代”

"禁闭"的影响,无论从历史学、政治学等剖面上,还是从社会学、心理学等剖面上,都贯穿着一场大疫的始终,给我们留下意味深长的余音。春风送暖物候新,吹面不寒的温柔湿意,洗濯晦暗污垢。3月了,治愈出院的新冠肺炎患者已经超过四万名,其后,可以想见,还将有数万人陆续康复回家。而面对那些治愈者,尽管微笑迎接的面目是主流;依旧避之不及的姿态,却也绝非少数。