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阜阳哪的医院治灰指甲好
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发布时间: 2025-05-30 12:58:55北京青年报社官方账号
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  阜阳哪的医院治灰指甲好   

In celebration of its birthday, Chili's will be offering .13 Presidente Margaritas all day on Wednesday, March 13.The Presidente Margarita is made with Sauza Conmemorativo Tequila, Patrón Citrónge orange liquor, Presidente Brandy, Chili’s own margarita mix and is hand-shaken 25 times before being delivered to a guest's table.If you can't make it to Chili's on Wednesday, you can take advantage of another margarita deal.The Lucky Jameson Margarita will be available for the entire month of March for . This margarita is made with "a splash of Jameson, mixed with Lunazul and stirred with luck." 612

  阜阳哪的医院治灰指甲好   

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

  阜阳哪的医院治灰指甲好   

It's already starting: Potential candidates for the President's seat in 2020 are picking at each other, and today it was a message from President Donald Trump aimed at Democratic Senator Elizabeth Warren.The President retweeted a meme from The Daily Wire that labels Warren "1/2020th." Warren recently announced she has launched an exploratory committee for her possible run for the role of President in 2020. 421

  

L Brands, the parent company of a number of retail clothing stores, says it plans to close 53 Victoria's Secret stores in 2019.The company has not said which stores it plans to close.According to 208

  

In a town on the Puget Sound of Washington, Mario Rivera makes his way down to the secluded beach in his backyard. "We have to walk a little bit to get to it," he says.Rivera walks along the beach to an adult male gray whale decomposing on his property."40 feet long… we named it Gunther," Rivera says, pointing to the rotting whale.Gunther is one of 30 gray whales that have washed up dead on the shores of Washington so far this year. If you include Alaska, Oregon and California, that number jumps to 81 and counting.The National Oceanic and Atmospheric Administration is calling the phenomenon an unusual mortality event, and there's simply not enough storage space for these massive decomposing animals."This whale got stranded about three or four miles down there," Rivera explains.Homeowners in the area weren't too happy about where Gunther landed naturally, so the Marine Mammal Stranding Network had to find somewhere else to designate as his final resting place."My wife and I just looked at each other and said 'Hey, let's take it to our property,'" Rivera says.With permission from their one neighbor, Rivera and his wife were the first to volunteer their property as a place for the whale to decompose.They were the start of a movement as NOAA says 15 more have volunteered since. It's an unexpected response considering the scent of a decomposing whale is far from pleasant."It smells like a rotting whale," Rivera explains.He says the stench comes and goes with the hot temps and wind, but he's been covering it in lime to help, and he says the pungent smell will likely go away after a month. What's more important, is that Gunther has given Rivera and scientists an opportunity to study why so many whales may be dying."When we opened him up, we found nothing but eel grass. And eel grass isn't part of their diet. This whale was what we call desperation feeding," Rivera says.John Calambokidis has been studying whales along the West Coast for 35 years. He's a research biologist with Cascadia Research. Calambokidis says the malnourished state of Gunther was very similar to what they've been seeing with other dying whales."Most of these whales have shown up very thin and emaciated--very little oil or fat in their blubber layer, which suggests they didn't get enough to feed last year," Calambokidis says.Gray whales spend the summers feeding in the Arctic and then migrate south near Mexico for the winter. All the whale strandings show some aren't making it through their normal seasonal fasting as they migrate back north along the West Coast in the spring. Calambokidis says it still isn't 100 percent clear why so many whales are dying, but he thinks its at least due in part to food supply not being able to meet the demand of the West Coast's growing whale population."Most recent estimate was 27,000 gray whales in this population," Calambokidis says.Research biologists have seen this trend once before back in 1999 and 2000. The theories were the same, and gray whales have made a comeback in the following decades. But now, scientists are questioning whether warming waters is also playing a role."We're not yet alarmed about this in the sense that we've seen something like this before and they've recovered from it. But we really do want to understand what's going on," Calambokidis says. "Particularly since there have been such dramatic changes in the arctic ecosystem. Making sure there isn't also a climate change element to this that could suggest a longer-term pattern we need to be more concerned about."According to Calambokidis, waters are warmer, and ice cover has dramatically been reduced, changing the dynamics of the ecosystem and how whales reach their prey.Part of their job as research biologists is to learn if there's more to the story. Calambokidis says they study each carcass searching the tissues for disease or contaminants. But for now, the main issue is dealing with the abundance of dead whales. And Rivera is happy he's been a part of the solution."This one couple volunteering this has prompted NOAA to think well maybe there are other people that would be interested in this, and [they can] kind of explore this as a new direction," Calambokidis says.*********************If you'd like to reach out to the journalist of this story, email elizabeth.ruiz@scripps.com 4342

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