濮阳东方医院妇科线上医生咨询(濮阳东方妇科医院技术权威) (今日更新中)

Is anybody home? Astronomers have pinpointed two planets orbiting a nearby star that meet pretty much every requirement for supporting life. They're almost exactly the same mass as the Earth, they are billions of years old (which means life could have had time to evolve), and they're orbiting their star at a distance that would support things like water flow and habitable temperatures.The two planets orbit Teegarden's star, an ancient star that is only 12-light-years away from the Earth. ("Only" is relative -- 12 light-years is equal to 70,540,000,000,000 miles.) Research on the planets and their sun, 621

LAS VEGAS, Nev. -- Kelly Clarkson fans have been waiting for "A Moment Like This."The Grammy award-winning singer and host of "The Kelly Clarkson Show" (Monday-Friday 2-3 p.m.) announced that she will be 216

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

In a new court-ordered effort to identify potentially thousands of additional immigrant families that the US government separated at the southern border, more than 1,700 cases of possible separation have been found so far.Cmdr. Jonathan White of the US Public Health Service Commissioned Corps says 1,712 cases with "some preliminary indication of separation" have been referred to US Customs and Border Protection for the next phase of review out of the initial pool of 4,108 children's case files that corps officers combed through.Some of those cases ultimately might not involve separations, White said Friday in a federal court hearing."What we transmit to CBP is solely those cases that have some preliminary indication of separation," White said. "We err on the side of inclusion."The new effort to track down parents and children who were split up at the border is the latest chapter in the ACLU's lawsuit over family separations.While last year a court order in the case from US District Judge Dana Sabraw in San Diego forced the reunification of many immigrant families the government had separated at the border as result of its "zero tolerance" policy, an explosive government watchdog report in January revealed there could be thousands more separated families that officials hadn't previously acknowledged. Sabraw ruled in March that this group should be included in the class action lawsuit over family separations.And in April, the judge approved the government's plan "designed to substantially identify all class members within six months."In total, officials have said they'll need to review some 47,000 files dating to July 1, 2017.Friday, White told Sabraw that the initial phase of case review was going more quickly than he expected. As of Friday, he said, his team has completed preliminary reviews of more than 13,000 files."We started running at this problem. .. .We are ahead of my operation targets that I had set for my own team at this time," White said.Once the Public Health Service team completes its preliminary review, case files with indication of separation then go to CBP and Immigration and Customs Enforcement for further analysis. Then a refined list will go back to the Department of Health and Human Services. As they confirm additional separations, officials will provide a list of parents and children to ACLU attorneys on a rolling basis.Sabraw described the work officials have done so far as "very encouraging" and urged them to provide any confirmed information they have to ACLU attorneys as soon as possible.It's unclear when the first confirmed list could be ready."Our hope is to have a more concrete report with overall timing the next time we report to you on progress," Scott Stewart, an attorney for the government, said in court Friday.In a court filing Thursday, White said HHS is expediting efforts to hire and train a team of data scientists and "scalable teams of record reviewers" to help with the effort. 2980

If you recently waited in a crowded doctor’s office or you’ve called to make an appointment and were told the next slot available is in several weeks or months, you’ve already experienced the effects of America’s doctor shortage.It's become more common for doctors, like New Jersey urologist Dr. Thomas Mueller, to practice with a packed patient schedule."The amount of patients we see is borderline insane," Mueller says.“I'll be the first one to say I don’t think it’s the best thing in the world," he says. "The things that I do to combat it is I just invest a lot of time beforehand.”Mueller and the team of physicians at Delaware Valley Urology each see upward of 50-60 patients a day.And that’s still not enough. "With the baby boomers becoming, you know, in their 70s, there are a lot of people to be seen," the doctor says. "The overall structure of medicine, at least as far as training is concerned, they’ve never really increased the enrollment in medical schools.”Unless significant steps are taken, the Association of American Medical Colleges predicts the shortage is only going to get worse.“I think I am at my max (amount of patients)," Mueller says. "I don’t think I can do a whole lot more."To help with the issue, legislators are proposing several bills that would raise grant money for more medical residency slots, and to make it easier for foreign doctors to practice in the U.S.In addition, medical schools have increased scholarships. Some have even created specific residency slots for those willing to practice in rural areas.“There are folks who think that there is a shortage," says Dr. Bob Motley. "I think we have as much of a problem with the maldistribution.”Motley runs Thomas Jefferson University's Physician Shortage Area Program. “We have about 50% of all physicians in Pennsylvania that are actually clustered in three counties," he says. "But 75% of Pennsylvanians actually live outside those areas.”Motley’s program has graduated roughly 400 doctors, and almost 80 percent are now practicing in rural communities hit the hardest by this doctor shortage."There's a lot to be learned in health care and we definitely have not figured it out," Mueller says. "It’s not a broken system by any stretch of the imagination but it’s things that are ever changing. And I think everyone is striving to make it better.”In addition to seeing 50 to 60 patients a day, Mueller also trains residents to handle the patient load as it is now."It's not for the faint of heart," he says. "But at the same time we do it because we love it.” 2571

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