徐州5个月了还能做四维彩超吗(徐州孕妇四维几个月做好) (今日更新中)

Kevin Sweeney has resigned as Pentagon chief of staff after serving the defense secretary for two years."I've decided the time is right to return to the private sector. It has been an honor to serve again alongside the men and women of the Department of Defense," Sweeney said in 291

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

If you spent more than you wanted to over the holidays, then saving money may be one of your resolutions for 2019.There are some simple things you can cut back on without having to cancel your Amazon Prime memberships. For starters, look at your thermostat. Make sure you keep a close eye on your heater and air conditioner, because money could be slipping out of your pocket every month. For those who need the afternoon pick-me-up, those extra dollars you spend on a soda, coffee or snack can add up. If you cut back completely, you could save up to 0 a year. Another way to save: cut back on the apps on your phone that cost you money. Stay away from the premium versions of apps and stick with the free ones. For ways you can save around the house, look at investing in dish rags. A 4-pack of dish rags costs about at Target, but a paper towel roll you go through once a week it about 99 cents on average. Cutting back on disposable items can save you big bucks long-term. Coupons can also be a great way to save. But remember, don’t get suckered into buying something you don’t need just because you have a coupon for the item. If cutting back on all of these is overwhelming, chose a couple to start with and see how much you save. Then, add in more when you see fit. 1294

It may seem like an ordinary scene: Children and adults playing on pink seesaws, carelessly laughing and chatting with each other.But this is a playground unlike any other. These custom-built seesaws have been placed on both sides of a slatted steel border fence that separates the United States and Mexico.The idea for a "Teeter-Totter Wall" came from Ronald Rael, an architecture professor at the University of California, Berkeley, and Virginia San Fratello, an associate professor of design at San Jose State University -- and it was a long time coming.In 2009, the two designed a concept for a binational seesaw at the border for a book, "Borderwall as Architecture," which uses "humor and inventiveness to address the futility of building barriers," 768

In response to an incident involving an employee on May 25th, Franklin Templeton issued the following statement. pic.twitter.com/8f2lMwK0r5— Franklin Templeton (@FTI_US) May 26, 2020 195

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