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2025-05-25 10:24:20
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  昌吉那家男科看得好   

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

  昌吉那家男科看得好   

KANSAS CITY, Mo. — Doctors across the country are working to figure out a medical mystery that's left a Smithville, Missouri, teenager losing her senses, including her vision. Jordyn Walker is 15 years old and now permanently blind, part of a medical mystery she's been battling for more than a year and a half. "I just hope it never happens again," she said. "I don't really know what else I can lose." Walker's symptoms first appeared in July 2017. At first, the teen experienced stomach pains associated with her colitis, an inflammatory bowel disease. Then her face began to swell and her eyes, ears and nose began to bleed. Walker lost her sense of taste and smell. "It was terrifying knowing that there is nothing I could do for her and just watching her go through this," said her mom, Kendyll Walker. Tests results in 2017 from an out-of-state hospital came back normal so Walker's family believed it was a one-time thing. A year later, she went to the emergency room at The University of Kansas Hospital. Her severe symptoms had returned and were much worse. "How rapid her face started swelling and how rapid the pressure in her eyes went up were quite alarming," said Dr. Travis Langner, who is the division chief for the hospital's pediatric critical care unit. Walker stayed in the pediatric critical care unit and underwent emergency eye surgery. The pressure on her eyes was too severe and caused her to lose her sight permanently. "It's frustrating for the family, it's frustrating for us not to have pinpointed the answer and have a definite diagnosis," Langner said. "But we've gotten enough answers from the tests, enough negative answers, to know what it's not. So now it's finding the definitive answer of what it is." Walker is going to Minnesota to undergo more tests. Her family has set up a 1835

  昌吉那家男科看得好   

Lawrence County, Indiana, prosecutors filed criminal charges Thursday against a Mitchell Community Schools nurse for stealing students' medication and ingesting it herself.Carol Sanders is charged with felony official misconduct, felony neglect of a dependent and five counts of misdemeanor theft.Police arrested Sanders Thursday and she was booked into the Lawrence County Jail.A staff member at Burris Elementary launched an investigation earlier this month after medication belonging to students went missing.Sanders admitted to stealing amphetamines, Ritalin, Zyrtec and other medications from students at Burris Elementary and Hatfield Elementary.The school nurse also admitted to replacing some of the students’ medications with baby aspirin.Sanders said she stole the medications between February 25 and March 7 of 2019, court records show.“Carol stated she stole the medication because she is an addict,” read the probable cause affidavit. “Carol admitted to needing help with her addiction.”Carol Sanders also admitted that this is not the first time she’s been terminated from a nursing job for stealing and ingesting medication.Sanders said she omitted that information to the school district during the hiring process.Superintendent Dr. Mike Wilcox said the district performed an expanded criminal history check and no prior history was reported.Wilcox provided the following statement. “The Mitchell Community School Family is deeply concerned about this event. This, or any other, issue that forces us to question the safety of any Mitchell student immediately becomes our top priority. Our outstanding school administrators and school resource officer responded firmly, fairly, and in a timely manner. The parents of our students effected by this event, who were contacted immediately and have shown remarkable support. Mrs. Sanders is no longer employed by Mitchell Community Schools. She has submitted her letter of resignation, The Mitchell team of students, families, community members, and educators will continue to analyze current practices and collaborate on best solutions in regard to all Mitchell students."Sanders is scheduled for an initial hearing in Lawrence County on March 25. No attorney is listed for her. 2251

  

It's been five years since Eric Garner's death triggered protests across the country, after a cellphone video of his last moments in police custody went viral.Now local and federal authorities are left with the looming question of what, if anything, should be done with NYPD Officer Daniel Pantaleo, who appeared, in the video, to have Garner in a chokehold shortly before he died. Pantaleo denies that he used a chokehold.The Department of Justice has not officially made a decision on whether Pantaleo will be charged with a federal crime, and the deadline to make that call is Wednesday -- the five-year anniversary of Garner's death.US attorneys with the Eastern District of New York have called a news conference Tuesday regarding the Garner case.Federal investigators have been examining the circumstances of Garner's death since 2014, after a grand jury in New York declined to indict the Staten Island officer.Meanwhile, the NYPD had brought departmental charges against Pantaleo. If found guilty of using the chokehold and restricting Garner's breathing, he could face discipline ranging from loss of vacation days to the loss of his job.And while Pantaleo's career, and possibly freedom, hang in the balance, a mother's grief remains, with each emotional scab reopened at every departmental hearing, anniversary and rally."Some days are my good days. Some days are my dark days," said Gwen Carr, the mother of Eric Garner who became an activist soon after her son's death and has remained a fixture at police reform rallies. "Some days I can hardly move around because I'm in deep thought."Carr spent Monday afternoon looking through photos from Garner on his wedding day. It's how she likes to remember him."Sometimes it's unbearable," Carr said. "I feel like it's my duty and my obligation. I do this for my son."Garner died on July 17, 2014, after police attempted to arrest the 43-year-old father of six, who was allegedly selling loose cigarettes illegally on Staten Island, a crime he had been arrested for previously.Garner's friend, Ramsey Orta, recorded the confrontation on his cellphone as it quickly escalated.In the video, Pantaleo can be seen wrapping one arm around Garner's shoulder and the other around his neck before jerking him back and pulling him to the ground.As Pantaleo forces Garner's head into the sidewalk, Garner can be heard saying "I can't breathe. I can't breathe."The phrase became the rallying cry of the Black Lives Matter movement. Marchers yelled the phrase as they took to the streets in New York in protest of Garner's death.Five years later, whether or not Pantaleo applied a chokehold remains the crux of the case. Activists and lawyers for the Civilian Complaint Review Board, the city agency charged with overseeing the NYPD, call it an illegal chokehold, which is banned by the department. But union officials and lawyers for Daniel Pantaleo call it a "seatbelt hold" a take down maneuver that is taught to rookies while at the academy.They blame Garner's death on his poor health. "Mr. Garner died from being morbidly obese" and having other health issues, Pantaleo's attorney, Stuart London, said earlier this year. "He was a ticking time bomb and set these facts in motion by resisting arrest."London says his client is different from other officers he's represented in his almost 22 years defending cops. The other officers were aggressive, young police officers, he said."(Pantaleo) has been characterized as an overly aggressive officer with a history of this sort of behavior, and nothing can be further from the truth," London said. "This was a regular patrolman doing regular police work."London says key facts of the case have been lost in the politics: that Pantaleo was ordered to arrest Eric Garner, for example. London also claims that the physical injuries that Garner sustained do not show evidence of a chokehold -- though the CCRB says they do.London has defended Pantaleo during his disciplinary proceeding, which has been prosecuted by the CCRB. Rosemarie Maldonado, the department's deputy commissioner for trials, oversaw the proceeding. It included testimony from the city medical examiner, who ruled the death a homicide; Pantaleo's former instructor at the police academy, who said he did not teach the officer the seatbelt maneuver; and a medical examiner from St. Louis, who reviewed the autopsy and said the alleged chokehold was part of a chain of events that killed the father of six.Now that the hearing is over, if Pantaleo is found guilty of using a banned chokehold, Maldonado can recommend he be terminated. Commissioner James O'Neill, who has final say in the matter, then would determine whether Pantaleo could keep his job.Meanwhile, Garner's mother said that the loss of Pantaleo's job wouldn't fix anything, but it would at least be something. Carr did not want to acknowledge the possibility that the time limit to federally charge Pantaleo with a crime could expire without any charges."It doesn't do a lot. It's just that we must have some type of accountability. Some type of responsibility. Where the police officers are held accountable and pay for their misconduct," she said. "If we just sit aside on the sidelines and let it go, it's going to keep on happening." 5277

  

Jane Richard lost a leg in the 2013 Boston Marathon bombings. She also lost her eight-year-old brother Martin Richard.On Saturday, she delivered a heartbreaking tribute in his honor, singing "A Million Dreams" from "The Greatest Showman" in video captured by 271

来源:资阳报

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