重庆不孕诊疗专科(重庆输卵管堵塞有什么样症状怎么治疗) (今日更新中)

Imagine knowing you have pancreatic cancer and your doctor is unwilling to tell you how bad it is because they’re uncomfortable.That’s the situation Dr. Ron Naito, a now-retired physician, found himself in this past August.“It’s never an easy task to tell someone they have a terminal illness. How can it be?” Naito says, sitting on a couch in his home in Portland, Oregon. “I mean it brings your own mortality into the picture for one thing.”Naito has stage 4 pancreatic cancer, and as a doctor himself, he knows full well what that means. It can mean a person only has months to live.“Of all the major cancers, the one with most dire of all prognoses is probably pancreatic,” Naito explains. “Particularly what I have, which is stage 4. And I don’t think he felt comfortable telling me or discussing it.”Not only was one specialist unwilling to discuss the severity of his illness, but Naito found out about the size of his tumor from a second specialist in a less than optimal way, as well. He overheard the doctor talking to a medical student just outside his open exam room door.“They were walking this way and they said, ‘5 centimeters.’ He told the medical student. Then, they were walking the other way,” he recalls. “And I heard the words, ‘very bad,’ and I knew it was me, obviously. I know that pancreatic cancer if they exceed 3 centimeters, it’s a negative sign.”The doctor never did talk to him face to face about the precise size of his tumor.Naito says he didn’t think it was “very professional,” but even so, he has no anger toward his doctors. Instead he says it highlights how easy it is for a doctor to be careless.“They’re not uncaring. It’s just that they don’t have any experience or training. Nobody’s there to guide them,” Naito says. “And there’s no book on this. I mean you can’t go to the medical school library and check out a book on how can you deliver a dire diagnosis to patients. That book does not exist. I don’t think.”That’s why Naito not only choosing to speak out in the months he has left--despite his weakness--but it’s also why he’s given Oregon Health and Science University’s Center for Ethics in Healthcare a grant so people like Dr. Katie Stowers can teach the next generation how to better deliver news to someone who’s dying.“Unfortunately, Dr. Naito’s experience is not an anomaly,” Stowers says.Stowers is the inaugural “Ronald Naito Director of Serious Illness Education” at OHSU. Medical students under Stowers’ guidance must now pass a unique final exam, delivering grim news in mock scenarios.“It’s not that doctors don’t want to do better. It’s not that doctors are bad or inhumane, it’s that they just haven’t been taught how to do this the right way,” Stowers says.Naito, who has outlived his prognosis but estimates he may only have about six months left, says doing it the right way all comes down to one thing.“When you’re talking to your patient that has terminal illness, you have to realize your doctor and patient roles become a little bit blurred,” he says, fighting back tear. “Because, basically, you’re just two souls. You’re two human beings meeting at a very deep level. You’re in charge with giving this other person the most devastating news they will receive in their lifetime potentially.”It’s a very crucial moment, Naito says. 3314

It's official...New York Mayor Bill de Blasio is running for President of the United States. Here's his announcement video... pic.twitter.com/A9gDtfLzGo— Yashar Ali ?? (@yashar) May 16, 2019 202

Israel announced Thursday it was barring the entry of two US congresswomen after Donald Trump encouraged the move, a remarkable step both by the US President and his ally, Israeli Prime Minister Benjamin Netanyahu, to punish political opponents.Israel decided to ban Reps. Rashida Tlaib and Ilhan Omar from entering the country, a spokesman for deputy foreign minister Tzipi Hotovely told CNN on Thursday. The announcement came shortly after Trump said Israel would be showing "great weakness" by allowing them to enter the country.The intervention by Trump into Israel's decision-making was extraordinary enough. But the move by the Netanyahu's government lent the longstanding US-Israel alliance with a new partisan tinge and opened the door for fresh criticism.In considering the ban, Israel had cited the congresswomen's support for a boycott against Israel, according to an Israeli government official."The State of Israel respects the American Congress in the framework of the close alliance between the two countries, but it is unthinkable that an entry to Israel would be allowed to those who seek to damage the State of Israel, even during a visit," said Interior Minister Aryeh Deri in a statement. Under Israeli law, the interior minister is the one authorized to make a decision on barring entry.Deri said he made the decision with the support of Netanyahu and other Israeli officials.The boycott movement, formally known as the Boycott, Divest, and Sanctions movement, aims to end international support for Israel because of its policies towards Palestinians, as well as its continued construction of West Bank settlements, considered a violation of international law.Tlaib and Omar have been vocal critics of Israel and have supported the boycott movement, also known as BDS, and voted against a House resolution condemning the BDS movement, which received broad bipartisan support.Last month, Tlaib tweeted that the resolution was "unconstitutional" and aimed to "silence" opposition to Israel's policies.Trump, who has a close relationship with Netanyahu, has repeatedly attacked both Tlaib and Omar, telling them last month to "go back" to the countries they came from. Tlaib was born in the United States, and Omar was born in Somalia and is a naturalized US citizen.Trump called for Omar's resignation in March after she suggested US support of Israel is motivated by money in remarks condemned by lawmakers on both sides of the aisle as anti-Semitic.On Thursday, Trump said it would show "great weakness" if Israel allowed entry to Omar and Tlaib."It would show great weakness if Israel allowed Rep. Omar and Rep. Tlaib to visit," Trump tweeted. "They hate Israel & all Jewish people, & there is nothing that can be said or done to change their minds. Minnesota and Michigan will have a hard time putting them back in office. They are a disgrace!"Earlier, the White House had signaled the decision would be up to Israel."The Israeli government can do what it wants," press secretary Stephanie Grisham said, adding that reports Trump told Netanyahu he thought the two congresswoman should be barred were "inaccurate."On Wednesday, the Israeli Prime Minister, interior minister, foreign minister, minister of internal security, the head of the national security council and the attorney general all met to discuss a final decision on the issue of the congresswomen's visit, the sources said, which had been scheduled to take place from August 18 to 22.Tlaib and Omar, who are the first two Muslim women elected to Congress, planned to visit one of the holiest and most sensitive sites in Jerusalem, known to Muslims as Haram al-Sharif and to Jews as the Temple Mount. The two lawmakers refused to be escorted by Israeli security while visiting the site, as they believe Muslims have a right to pray there, organizers in Israel and America told CNN.The two congresswomen also planned to meet with Israeli and Palestinian peace activists and representatives of human rights organizations. They were to visit Jerusalem, Bethlehem, Ramallah and Hebron. There were no plans to meet officials, organizers said.Tlaib planned to stay two extra days to visit her grandmother, who lives in the West Bank village of Beit Ur al-Tahta.If Tlaib, who is the first Palestinian-American woman to serve in Congress, made a humanitarian request to visit her family in the West Bank, that would be allowed, the government official said.But that decision would be separate from the decision to bar them from entering Israel.Israel decision to deny entry to the two freshmen congresswomen amounted to a reversal of a position taken last month when Israeli Ambassador to the United States Ron Dermer said the two would be allowed to visit Israel and the Palestinian territories."Out of respect for the U.S. Congress and the great alliance between Israel and America, we would not deny entry to any member of Congress into Israel," Dermer said at the time in widely reported comments. Dermer is considered one of those closest to Netanyahu.Former Mayor of Jerusalem Nir Barkat, who is a member of Netanyahu's Likud Party, said he would welcome the two congresswomen into the country, but only if they would "listen and learn.""If I would be convinced that they came to listen and learn in how this country works, how Jerusalem works, how our political system works," Barkat told Israeli news channel i24NEWS on Tuesday, "I would consider it ... convincing people that (Israel's) path is the right path is the high road I think we should take."Israel passed a law in March 2017 which allows the country to bar entry to anyone who supports the BDS movement. The controversial law, passed by Israel's right-wing and centrist parties, was roundly criticized by human rights organizations. If used to deny entry to Tlaib and Omar, it would be by far the most high-profile implementation of the law.The decision to bar the entry of the Congresswomen will have political considerations -- both foreign and domestic -- for Netanyahu. He is in the midst of a tough re-election campaign with a fractured right-wing voter base. 6130

Israel's Beresheet, the first privately-funded mission to the moon, has crashed.The spacecraft aimed to perform a soft landing on the moon and would have made Israel the fourth country to do so -- and by far the smallest. Only the United States, the former Soviet Union and China have done it before."I am sorry to say that our spacecraft did not make it in one piece to the moon," said Opher Doron, the manager of Israel Aerospace Industries' Space Division."We made it all the way to the moon. This is a great accomplishment. We are the seventh country to make it all the way to the moon."The 0 million spacecraft, built by SpaceIL and Israel Aerospace Industries, lost communications with the control room in Israel during the landing sequence. As program managers who had been watching the mission in real time tried to re-establish communications, they also dealt with issues in the spacecraft's main engine.At the time of the communications failure, the Beresheet was traveling at approximately 2,110 mph and was about 120 kilometers (about 74 miles) from its intended landing site."There is a suspicion that we did not land on the moon in the best fashion. We are trying to clarify the matter," a member of the SpaceIL team monitoring the landing sequence said.The spacecraft crashed in the last part of its journey, moments before it was supposed to land.SpaceIL was founded eight years ago to compete for the Google Lunar XPrize. The contest offered million for the first privately funded team to launch a spacecraft to the moon, transmit high-definition video and travel 500 meters in any direction.The XPrize was cancelled in January 2018 but the Israeli team decided to continue its pursuit of the moon landing.The Beresheet spacecraft was launched on board a Falcon 9 rocket in late February. It traveled a total of 4 million miles to the moon, soaring around the Earth before entering orbit around the moon. 1940

In updated guidance issued by the CDC on Monday, it recommended that all cruise ship and river boat travel be avoided anywhere in the world during the spread of the coronavirus. The announcement comes as nearly 150 countires worldwide have reported a confirm case. The recommendation is especially important for older individuals, and those with a serious chronic medical condition. The CDC noted several recent examples of where the the coronavirus spread among passengers on board cruise ships. Recent examples include 696 cases and 8 deaths on the Diamond Princess cruise ship in Japan and 28 cases on the Grand Princess cruise ship in the United States, the CDC said. The CDC issued the following recommendations to tell patients who plan on going on cruise ships and river boats:Advise patients to defer all cruise ship travel, including river cruises, worldwide.Explain that their return travel to the United States may be impacted, and formal quarantine procedures may be implemented if confirmed cases are identified on board.Explain that appropriate medical care or medical evacuation may not be available internationally.Explain that some countries may refuse docking or disembarkation if there are known or suspected cases on board.For patients who still intend to cruise, advise them to practice social distancing and monitor their health both during travel and for 14 days from the time they disembark. Social distancing means staying out of crowded places, avoiding group gatherings, and maintaining distance (approximately 6 feet or 2 meters) from others, when possible.The guidance came on the same day that President Donald Trump and leading health officials suggested that gatherings of 10 or more people pose a risk to older and disabled people. The CDC also said all gatherings of 50 or more people should be outright postponed amid the spread of the coronavirus. 1895

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