宜宾割双眼皮手术(宜宾哪里割双眼皮便宜) (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 been five months since a federal court ordered Education Secretary Betsy DeVos to give defrauded student loan borrowers relief, but more than 100,000 people are still waiting to hear whether their debt will be canceled.The Obama-era rule, known as Borrower Defense to Repayment, allows students who believe they were defrauded by their college to apply for loan forgiveness. The idea is that if they didn't get the education they were promised, they shouldn't have to pay back their debt.The number of these applications soared as the Obama administration cracked down on for-profit colleges. Sometimes nursing students, for example, found out after finishing their program that it didn't have the right accreditation -- keeping them from getting a job.As of last fall, more than 200,000 people had applied for loan forgiveness, a majority of whom went to for-profit colleges. Nearly 48,000 received debt relief and 9,000 have been denied.But no applications were processed between June and September of last year, the most recent data available, as the administration fought implementing the rule. But they continued to pile up. The department received an additional 35,000 claims during that time period.An Education Department spokeswoman did not respond Monday to questions about how many claims had been processed since the October ruling ordering the administration to move ahead with loan forgiveness.In December, the department announced that it would begin canceling loans for borrowers eligible for a specific type of loan cancellation. There is an automatic loan discharge for those whose schools closed while they were enrolled.As of March 1, the department has forgiven more than 8 million in debt to about 16,000 borrowers that qualified for a closed-school discharge, according to data the National Student Legal Defense Network obtained from the Department of Education in connection with a lawsuit. The group sued the department in November for allegedly continuing to collect on these loans.In a lot of these cases, the government eats the cost. Only federally-backed loans are eligible for forgiveness. About half of the debt forgiven was owed by borrowers who attended one of the now defunct for-profit Corinthian Colleges.But those borrowers who aren't eligible for the automatic discharge are still waiting to hear the verdict on their claim. They typically are required to show that the school misled them, by presenting them with inflated job placement rates, for example."We are not aware that any more claims have been processed," said Adam Pulver, an attorney at the advocacy group Public Citizen, which has brought a case against the department over the delay of the rule.Neither of his clients have received an update on their pending claim for loan forgiveness, he said.The department took a step toward fully implementing the Borrower Defense rule earlier this month when it issued guidance to schools about how the rule -- which also bans colleges from requiring students to sign mandatory arbitration agreements -- would be implemented.DeVos, who's been criticized for siding with for-profit colleges, pressed pause on processing the claims after a group representing for-profit colleges in California sued the agency seeking to block it from taking effect.Democratic attorneys general from 18 states and Washington, DC, sued the department over the delay in 2017, tying the rule up in court for more than a year. In September, the judge ruled in favor of the states, calling the department's delay "arbitrary and capricious," and ordered immediate implementation of the rule in October. DeVos has called the rule "bad policy" and has directed the department to rewrite it. The agency has proposed offering partial loan forgiveness for qualifying students, based on the income of their peers who attended similar programs at other colleges.Abby Shafroth, an attorney at the National Consumer Law Center, said she is worried a new rule could retroactively change the process for seeking relief."I have a number of clients who have been waiting since 2016 to hear about their application -- and still nothing from the department, no time line. It can feel like those applications were sent into a black hole," Shafroth said. 4275

In Fort Collins, Colorado, there’s a place where athletes train seven days a week. The gym, run by Ryan Schultz, is called Trials Mixed Martial Arts and it’s not an ordinary gym.“This gym isn’t for your average person,” Schultz says “You’re going to be pushed here. You’re going to be tested. Overall, I think this place is for everybody. I think you just have to have the right mind set.” This gym is opened to athletes, and Schultz said that includes everyone. “If you’re an adaptive athlete, for example someone who had their leg removed, we have stuff for you as well here,” Schultz says. “But our mentality here is that there’s no laying down in life. Life doesn’t wait for anybody. I think that when people get a disease, or some sort of diagnosis it’s overwhelming for them and they tend to shut down. That’s more of the time to keep moving forward.” Schultz has multiple programs running through his gym. One of the programs was started by him and his friend Glenn Beach.“I was diagnosed with Parkinson’s disease five years ago,” Beach says. “And I’ve been training with Ryan to help treat it.” “Glenn brought to me the Rock Steady Program,” Schultz says. “I like Rock Steady, because they have research that proves this type of program works.”Rock Steady uses boxing to help those fighting Parkinson’s. Beach says this program changed his life. “I’ve had, I would say, a 100 percent improvement,” Beach says. “I had no control over my left hand. Now, I only have a subtle tremor every once in a while. It’s so much more manageable now, and a lot of it has to do with the training I got through Rock Steady.” The course is offered three times a week, and the workouts take about one hour. Beach says that the class does progress assessments every six to 12 months. According to the Parkinson’s Disease Foundation, it's estimated 1 million people in the United States are diagnosed with Parkinson’s disease. The foundation reports more than 60,000 people are diagnosed each year. 1999

In a joint intelligence bulletin from the FBI, the U.S. Department of Homeland Security and the National Counterterrorism Center sent out to law enforcement around the country, authorities warned that "domestic" terrorists could attack July 4 events, 263

It will be a chilly start to 2019 for many as one storm heads out to sea, leaving an icy trail behind it, and another just gets started.New Year's Day sees much of Arizona and New Mexico under winter weather advisories as a new storm system picks up strength in the Southwest.Phoenix, Arizona, is under a freeze warning. Low temperatures are forecast to be in the 20s by Wednesday morning, according to CNN meteorologist Michael Guy.Areas east of Tucson in southeast Arizona through New Mexico up into southern Colorado will see snow."Most areas will see accumulations of two to six inches but areas in the higher elevations could see upwards of a foot of snow," Guy said."As the storm progresses to the east through the end of the week, it will draw in Gulf moisture as it continues to develop in Texas. Storms will be possible, along with heavy rain and flooding to end the week in east Texas and Louisiana."Rockies stormThe storm system that rolled through the Rockies and upper Midwest and New England on Monday was heading out to sea January 1, with a chilly residue."Most areas from the Rockies through the Midwest will see clear and much colder temperatures for the start to 2019."Locations in the Plains will see temperatures 30 degrees colder than they were on New Year's Eve with some high temperatures staying in the single digits," Guy said.A wet NYE in NYCIn contrast, mild but wet weather in New York City on New Year's Eve saw revelers in Time's Square 1480

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