188体育

 

 

 

 

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一个杭州人的美国求医经历
广州挂号网 专家名医预约挂号 广州专业的医疗服务网   2014-05-11 09:37:17 作者:本网编辑 网转 来源:网络 

JINWUYIZHONGKANDAOZHEIPIANQIUYIDEJISHUWENZHANG,BUZHIZHENWEI,DANYOUXIEYOUDONGYUZHONG,SUIWUGUANTOUZI,HAISHIZHUANJIGEWEIYIYUE。

《一个杭州人的美国求医经历(转)》

188体育2012NIANCHUNJIE,TALAOGONGBEIZHENDUANWEIJIZHUZHONGLIU,CHUZHENSHISHOUSHUGAILVJIHUWEILING。ZUIHOUTAMENJUEDINGFUMEIZHILIAO,ZHEISHITAXIEDEFUMEIJIUYIJINGLI。

TAZAIWENZHANGDEKAITOUSHUO,QUMEIGUOKANBINGZHISHIRENSHENGJUEWANGZHONGGUZHUYIZHIDEXUANZE。XIEZHEIGETIEZI,SHIXIANGRANGGENGDUORENZHIDAO,“JUEJINGHAIYOUQITAXIWANG”。

188体育DANGRAN,TAXIEDEBUQUANSHIGELIZHIGUSHI。TAHAIXIEDAO,ZAIMEIGUOKANBINGLISHI3GEYUE,ZHEIQIJIANMEIYOUZHUGUOYIGEYUE,MEIYOUGUAGUOYIPINGSHUI,SHENZHIYEZHICHILEJIKEYAO。

RANGRENJUEDEYOUDIANBUKESIYI。

188体育YIXIASHI“QINGXIN2007”DEYUANWEN:


昨天,在19楼看了shenjiangan先生,勾起了无尽的回忆。

SHOUXIANDUIshenjianganXIANSHENGJIJIARENBIAOSHIWEIWEN,YINWEINIMENSUOJINGLIDEMIMANG、TONGKU、JUEZE,WOHELAOGONGGANTONGSHENSHOU。WOLAOGONGYESHILIANGNIANQIANCHACHUJINGZHUIZHONGLIU,WOMENYETIHUILETIANTAXIALAIDEGANJUE,YEMIANLINGUOSHOUSHUXUANZE,SHENZHIYEZHAOGUOSHANGHAIDEXIAOJIANRUYISHENG。

SUOXINGWOMENLIANGGEJIATINGDOUZOUGUOLEZHEIDUANRENSHENGZUIJIANNANDESHIHOU。WEIYIBUTONGDESHI,WOMENZUIHOUXUANZELEQUMEIGUOKANBING。SUOYIGUSHIYOULEWANQUANBUTONGDEZOUXIANG。

WOMENZHIQIANMEIYOUQUGUOMEIGUO,MEIYOUMEIGUOYISHENGDEPENGYOU,WOMENJIAYEJINSHIXIAOKANGZHIJIA。QUMEIGUOKANBINGZHISHIRENSHENGJUEWANGZHONGGUZHUYIZHIDEXUANZE。

我把这段难忘的经历和大家分享,只是想让更多的人知道,绝境还有其他可能。

一、发病

HEshenjianganYIYANG,WOLAOGONGYESHIRENDAOZHONGNIAN,JIALISHANGYOULAOXIAYOUXIAO,SHENZHIHENQIAODESHITAYEYOUGEJIEJIE。

3NIANQIAN,TASHICHANGJUEDEJINGZHUISUANTONG,KAISHIMEIJUEDEYICHANG,BIJINGXIANDAIRENSHIGELIMIANYOUBAGEJINGZHUIBING。ZHIDAO2012NIANCHUNJIE,TADEJINGZHUIBINGYUEFALIHAI,YOUSHIHOUHUIJUEDESHOUZHIFAMA。YUSHI,CUITAQUJIANCHA,ZAIQINGCHUNDONGLUDEsYIYUANGUKE,PAILEMRI,NADAOPIANZIZHAOMENZHENYISHENGKAN。YISHENGKANLEBANTIAN,CHENYINZHESHUO:“NIDEBINGZHENG,WOBUHAOPANDUAN,NIZUIHAOZHAOXIAWOMENDEFZHUREN。”

LVEQUGEZHONGZHAOYISHENGQINGJIE,KANDAOLEFZHUREN。TAJIEGUOPIANZI,KANLEXUJIU,YOUDIANCHIYISHUO:“NIZHEISHIGUJUXIBAOLIU,SHUYUJIZHUIZHONGLIU。ERQIENIDEWEIZHIFEICHANGBUHAO,ZHONGLIUYIJINGQINSHILEJINGZHUIDEDIER、SAN、SIGUANJIE,XUYAOZUOQUANZHIHUANSHOUSHU,SHOUSHUFENGXIANFEICHANGDA。”

188体育FZHURENJIZHECHUCHA,GUANZHAOWOMEN,“NIXIANZHUJINLAI,ZUOGEXIANGJIANCHA,DENGWOHUILAIZUOSHOUSHU。ZHEISHOUSHUNANDUFEICHANGDA,ZHINENGWOQINZIZUO。”

YIGEZHENGCHANGJIATING,TINGDAOZHEIGEXIAOXI,SHUNJIANJUEDETIANTAXIALAILE。WOMENSHENZHILIANBAOTOUTONGKUDESHIJIANDOUMEIYOU。DIERTIANWOJIUXIANGDANWEIQINGLEJIA(GANXIEDANWEIDELINGDAOHEMEIYIWEITONGSHI,NIMENDEZHICHIWOYONGJIXINTOU),QUANXINQUANYIKAISHIZHAOZILIAO、LIANXIYIYUAN。WENDEWENTIZHIYOUSANGE:“QUESHISHIZHEIGEBINGMA?ZHILIAODEFANGFAYOUNAXIE?ZHIZHEIGEBINGZUIHAODEYISHENGZAINALI?”

188体育SHOUXIANZHAODESHIJIEFANGLUSHANGDEZYIYUAN,TASHIZHEJIANGSHENGDEQUANWEI,JIZHUIZHONGLIUFANGMIANDESANGEZHUANJIAKANLEWOLAOGONGPIANZI,DOURENTONGGUJUXIBAOLIUDEPANDUAN,RENWEISHOUSHUSHIWEIYIDEZHILIAOFANGFA。YINWEIWOMENWENDEZHIJIE,TAMENYEZHIYANBUHUI,ZHEIGESHOUSHUXUYAOBAJINGZHUIQIEKAI,QUDIAO3JIEJINGZHUIGU,HUANSHANGTAIHEJINDEZHICHENG,BUJINSHOUSHUNANDUGAO、FENGXIANDA,SHUHOUBINGRENHUODONGHUISHOUXIANZHI。DANSHIBUSHOUSHU,MIANLINDEJIUSHITANHUAN。GUONEIZUOJIZHUIZHIHUANSHOUSHUZUIHAODEYISHENGSHISHANGHAIZHANGZHENGYIYUANDEXIAOJIANRUYISHENG。

QUANZHONGGUODEYISHENGDOUTUIJIANXIAOJIANRUYISHENG,KEXIANGERZHI,TAMANGDAOSHACHENGDU。

WOMENZHONGYUGUASHANGTADEHAO,XIAWUDI63HAO。

188体育WORENZHENDIZAIMENKOUZUOQILESHUXUETI,YIGEBINGRENKAN5FENZHONG,63HAOJIU315FENZHONG(WOBUSHIZUIHOUYIGE),JIUSHI5GEBANXIAOSHI,CONGXIAWUYIDIANBANKAISHIKAN,JIUSHIWANSHANG7DIAN。

188体育ERQIEYISHENGBUNENGHESHUI、BUNENGSHANGXISHOUJIAN,JIANZHISHITIERENDEJIEZOU。DANSHI5FENZHONG,DUIYIGEXIANRUJUEJING,CONGWAIDIPAOQUSHANGHAIKANBINGDERENLAISHUOJIUSHICANRENDESANYANLIANGYU。

188体育ZHONGYULUNDAOWOMENLE,XIAOYISHENGLIANSECANGBAI,YOUDADADEYANDAI,DANTAIDUHAISUANWENHE。ZHOUWEIYIQUANXUESHENG、ZHUSHOU,YOUZHUSHOUBAWOMENDEPIANZIGUAHAO。XIAOYISHENGSAOLELIANGYANSHUO:“JIZHUIZHONGLIU,ZHUNBEIZHUYUANSHOUSHUBA”

188体育YINWEISHIXIANYIJINGYANJIULESHOUSHUDEQINGKUANG,SUOYIWOMENDOUDOUSUOSUODIWEN:“NINJUEDESHOUSHUBAWOYOUDUOSHAO”。

“FENGXIANKENDINGYOU,DANWOMENYIJINGZUOGUOHENDUOLE。”

YOUWEN:“SHUHOUHUIRUHE?TAIHEJINZAITINEI,ZHONGSHENGHUIYOUSHAYINGXIANG?”

XIAOYISHENGBUNAIFANQILAI:“BUZUOSHOUSHU,NIKENENGDUANSHIJIANJIUTANHUANSANGMING,NIHAINENGGUANSHOUSHUHOUDEGANSHOU?”

188体育WUYUCHUMEN,GUOZHEN5FENZHONG。

ZOUCHUMENZHENDALOU,XINLIDUDEHUANG。TIANKAISHIXIAYU。ZHEISHIKANJIANHUGONGTUIZHEBINGCHUANGZAIYUANZILIPAO,TANGZAISHANGMIANDEBINGRENHAIGUAZHEYANSHUI,DAIZHEYANGQIBAO,JIASHUCHENGZHESANNULIXIANGZHEZHUBINGRENDETOU。

TURANJIAN,WOBENGKUILE。

BUNENGXIANGXIANGZHEIYANGDECHANGMIAN,WOBUNENGBALAOGONGFANGZAIZHEIYANGDEYIYUAN,YEXUYISHENGKANLAI,BINGRENZHISHIGESHUZI,CHENGBAISHANGQIANTAISHOUSHUZHIYI;DANDUIWOHEJIARENLAISHUO,TASHIWEIYIDE,WOBUNENGRANGTATANGZAIZHEIYANGDELIUSHUIXIANSHANG。WOKEYIJIESHOUSHOUSHUDEFENGXIAN,DANJUEBUJIESHOUSHUHUHUOZHEQINGMANDAILAIDESUNSHI。

188体育JIRANSHOUSHUFANGFASHIMEIGUORENFAMINGDE,SHOUSHUCAILIAOSHIMEIGUORENZHIZAODE,NEIWOMENJIUQUMEIGUODONGZHEIGESHOUSHUBA。

二、准备

WOMENSUIRANCHUGUOGUO,DANSHIMEIYOUQUGUOMEIGUO。ZHEILIANGNIANGUONEIYEKAISHIYOUMEIGUOYIYUANYUYUEDEFUWU,FEIYONGCHAOGUI。DANZAI2012NIAN,JIHUMEIYOUKEJIEJIANDEXIANLI。

SHOUXIANCHAQUNAJIAYIYUANKAN。

188体育MEIGUOYIYUANYOUXIANGXIDEPAIXINGBIAO,MEINIANGENGXINYICI,DISANFANGFABU,GENJUSIWANGLV、ZHIYULV、BINGRENMANYIDU、YILIAOSHIGUFASHENGGAILVDENGJINXINGZONGHEPAIMING。

GENJU2013NIANDEYIYUANZHENGTIPAIMING,QIANSANWEIDESHIYUEHANHUOPUJINSIYIYUAN、MASHENGZONGYIYUANYIJIMEIAOZHONGXIN。TAMENGEYOUSUOZHANG,BUJINYOUHENQIANGDEYILIAOTUANDUI,HOUMIANHAIYOUPANGDADEKEYANJIGOUWEIYITUO。LINGWAIHAIYOUGEZHONGZHUANKEDEPAIMING,BIRUAIZHENG,QUANMEIDIYISHIXIUSIDUNDEANDESENZHONGXIN,BIRUGUKE,PAIMINGDIYIDESHINIUYUETEZHONGWAIKEYIYUAN,LIUXIANGDEJIAOBUSHOUSHUJIUSHIZAINEILIZUODE。

MEIGUOZUIJIAYIYUAN2013-2014NIANDUPAIMING,KEYIZAIgoogleSOUSUO。U.S. News Best Hospitals 2013-2014

QICIYUYUE。

MEIGUODEKANBINGLIUCHENGJIBENSHI,MEIGEJIATINGDOUYOUZHUANMENJIATINGYISHENG,NIYOUGEZHONGBINGTONGXIANZHAOJIATINGYISHENG,TAJINIZUOJIBENPANDUAN,XUYAODEHUATABANGNIZHUANQUZHUANKEYISHENGNEILIJIANCHA、ZHILIAO,BUXINGZAIZHUANGENGDUIKOUHUOZHEJISHUGENGHAODEYISHENGNEILI。SUOYIDAXINGYIYUANDESUOYOUZHUANJIADOUBIXUYUYUE,ZHEIYANGBIMIANLEDAOLEYIYUANQUEFAXIANKANCUOKESHI,HUOZHEYISHENGBUDUILU;ERLAI,NISHANGMENSHI,NIDEYISHENGYIJINGYANJIUGUONIDEBINGLILE,TAKEYIHENITAOLUNZHILIAOFANGFALE,MIANDELANGFEIDAJIASHIJIAN。

DANSHIDUIYUZHONGGUORENLAISHUO,JIUWUBITONGKU。MEIYOUYIGEZHONGGUOYISHENGYUANYIBANGNIZHUANZHEN,BUYAOSHUOMEIGUO,QUZHONGGUOQITAYIYUANDOUJIBENBUKENENG。WOMENDEBINGLIJILUBUQUAN,YOUBUFENBAOGAOSHENZHISHISHOUXIEDE,MEIGUOYIYUANYUYUEYAOTIGONGXIANGXIDEJIANCHABAOGAO、BINGSHI、SHOUSHUHUOYAOWUJILU,ZUIHAOHAINENGHENIQIANRENZHUZHIYISHENGJIAOLIU,ERDUIQINLAOYONGGANDEZHONGGUORENLAISHUO,ZHEIYIQIEDOUSHIXUYAOWOMENZIJISHOUJI、ZIJIFANYI、ZIJIKECHENGGUANGPANHUOZHICHENGDIANZIWENDANGDE。

WOMENDANGSHIXUANLEDONGXIBUGEYIJIAYIYUAN,DONGBUDEYUEHANHUOPUJINSIYIYUAN,QUANMEILIANXU20DUONIANZONGHEPAIMINGDIYI,XUDUOKESHIHESHOUSHUDOUSHIZHEIJIAYIYUANFAMINGDE。XIBUUCSF medical centerJIAZHOUDAXUEJIUJINSHANFENYUANYIXUEZHONGXIN,DANGSHIQUANMEIPAIMINGDIWU。XUANZEZHEILIANGJIAYIYUANSHIYINWEITAMENSHILIDOUFEICHANGQIANG,YIGEKAOJINNIUYUE,YIGEKAOJINJIUJINSHAN,JIAOTONGXIANGDUIFANGBIANDIAN。

QIANZHENGWENTI,ANZHAOZHENGCHANGLIUCHENG,NIYINGGAIXIANLIANXIYIYUAN,NADAOYUYUEDANHOU,QUDASHIGUANQIANZHENG。DANSHINADAOYUYUEJIBENYAOYIGEYUEZUOYOU,PAIDUIDENGDAIMIANQIANYEXUYAOYIGEYUEZUOYOU,DUIBINGRENLAISHUO,SHIZAIYOUXINRUFEN。ERQIEMEIGUODELVYOUQIANZHENGHEYILIAOQIANZHENGDOUSHIB2,DOUSHIYINIANYOUXIAO,YICIZUIZHANGDOULIU6GEYUE。SUOYICONGKAISHIYUYUEDEDIYITIANQI,WOMENJIUTONGSHISHENQINGLVYOUQIANZHENG。SHISHIZHENGMING,ZUIHOUYUYUEDANHEQIANZHENGJIBENSHITONGBUBANHAODE,DUIWOMENLAISHUO,SHENGLEYIBANDESHIJIAN。

LIANLUOWENTI,MEIGUODEGEDAYIYUANJIBENDOUYOUGUOJIZHONGXIN,ZHUANMENJIESHOUGUOJIBINGREN。XIANGANDESENAIZHENGZHONGXINDEGUOJIBUSHENZHIYOUZHONGWENWANGYE。SHOUXIANNIYAOZHAODAOGUOJIZHONGXINWANGYE,ANTADEYAOQIUTIANXIEBIAOGE,HUOZHEJITADEZHIDINGYOUXIANGFAemail。ZUIHAOYOUGEMEIGUOPENGYOUZUOLIANLUOREN,YINWEISHICHA,NIJIBENBUKENENGJIETINGMEIGUODEDIANHUA,YOUDANGDILIANLUOREN,RANGNIBUZHIYUCUOGUOZHENSUODEXUNWEN。DIJIAOSHENQINGHOU,GUOJIZHONGXINHUIZHIPAIZHUANRENWEINIFUWU。TAHUIXIANGNIYAOGEZHONGBINGLI、BINGSHI、JIANCHABAOGAOZHILEI,DANGRANSHIYAOYINGWENDE(TAOBAOSHANGYOUZHUANMENDEFANYIGONGSI,NIKEYIHUOBISANJIA)。

ZHEIGELIUCHENGKANSIJIANDAN,DANSHIMEIGUORENYIBANYIYANDEZUOFENGRANGRENZHUAKUANG。MEIGUOYIYUANDEZHIZAI1999NIANZUOGUOSHOUSHU,YAOQIUXIANGXIDESHOUSHUBAOGAOHEBINGLIQIEPIANBAOGAO。15NIANQIANDEBINGLIYA,LIMIANDOUSHISHOUHUAFU;QUZHONGGUOYIYUANZHAOYUANSHIJILU,JIUSHIQUCANGHAILIZHAOYIDISHUIYA。MEIGUORENHAIFEICHANGBULIJIE,ZHEISHISHENGMINGZUIZHONGYAODEJILULE,WEISHAHUIZHAOBUDAO?

JINGCIJIAOXUNZHIHOU,WOQUYIYUANZUODEMEIGEBAOGAO,DOUSAOMIAOCUNZAIYINGPANLI,NILAIYAOBA,YAOSHAYOUSHA。

三、赴美

LAOGONGSHI5YUE7RIJIANCHACHUJINGZHUIZHONGLIUDE,5YUE30RI,WOMENZHONGYUNADAOLEUCSFmedical center(JIAZHOUDAXUEJIUJINSHANFENYUANYILIAOZHONGXIN)DEYUYUEDAN。GUOJIZHONGXINWEIWOMENANPAIDESHI6YUE3RICHUZHEN,ZHUZHENYISHENGSHISHENJINGWAIKEYISHENGDR.Chou。

QIZHONGYOUGEXIAOXIAOCHAQU,WOMENZAIZHONGGUOYIZHIKANDESHIGUKE,XIAOJIANRUYISHENGYESHIJIZHUIWAIKE,YINCIWOMENLISUODANGRANDIRENWEIYINGGAISHIGUKEYISHENGJIEZHEN。QISHIMEIGUOYIYUANFENKEFEICHANGXI,JIZHUISHUYUSHENJINGWAIKE,TONGYIGEKESHI,JINGZHUIYINGMONEIZHONGLIUHEYINGMOWAIZHONGLIUFENGUANDEYISHENGDOUBUYIYANG。

188体育YUYUEDANSHANGBUJINYOUDIZHI、DIANHUA、ZHUYISHIXIANG,HAIYOUYISHENGDEXIANGXIJIANLI,NIHAIKEYIgoogleYISHENGFABIAOGUODELUNWEN,FANKANZHEIGEYISHENGSHIFOUYOUGUOYILIAOSHIGU。

188体育6YUE1RI,WOMENTASHANGLEFUMEIDELVCHENG。NEIXINTANTEBUAN,BUZHIDAOYAOHUADUOSHAOQIAN,MEIGUOYILIAOYIGUIWENMINGYUSHI;BUZHIDAONENGFOUZHIHAO,YINWEIJINGZHUIZHONGLIUZONGSHIHETANHUAN、SIWANGLIANXIZAIYIQI。

DANWOMENSHIZHONGXIANGXIN,QUMEIGUOSHOUSHU,ZHISHAOBINGRENHUIDEDAOYINGYOUDEZUNZHONG,ZHISHAOYISHENGHUIYOURENZHENDETAIDU,ZHISHAOQUANSHIJIEZUIXIANJINDEJISHUZAIMEIGUO。

四、初诊

188体育ZHONGYUDENGDAOLE6YUE3RI,WOMENZUOCHELAIDAOLEUCSF,ZHEIJIBENKANBUCHUSHIYIGEYIYUAN,MEIYOUWEIQIANG,JIUSHIYIPIANJIEQU,FUJIN3、4TIAOJIEFANWEINEIDOUSHITADEGEZHONGMENZHENLOU、JIANCHALOU、JIAOXUEZHONGXIN、YANJIUZHONGXIN,HAIYOUGEZHONGMIANFEIBANCHECHUANSUOYUGEGEQUYU。

LAIDAOZHIDINGMENZHENLOUQIAN,WOMENZHENGZAIDONGZHANGXIWANGHEDUIMENPAISHI,YIGESHOUNAWENJIANJIA,CHUANCHENSHANGUALINGDAI,WEIPANGDELADINGYINANRENMANMIANXIAORONGYINGSHANGLAIWEN:“Are you from China?Mr. Mrs Lin?”ZHEIJIUSHILUOBOTE——UCSFGUOJIZHONGXINZHUANMENFUZEJIEDAIWOMENDE,SUOYOUDEYUYUE、BINGLIZHENGLI、JIANCHALIANLUODOUYOUTAFUZE。ZHENGGEZHILIAOQIJIANWOMENMEIYOUPAIGUOYICIDUI,SUOYOUDOUSHITASHIXIANLIANXIDE,MEICIKANZHEN,TAJIBENDOUHUIPEITONG。

188体育LAIDAOSHENJINGWAIKE,LINGYIGEHUAYINANZIYINGSHANGLAI,TASHIGUOJIZHONGXINZHIPAIDEFANYI。MEIGUOYIYUANGUIDING,DUIMUYUFEIYINGYUDEBINGREN,KANZHENSHIDOUHUITIGONGZHUANMENDEFANYI,YIFANGLIJIECHUCUO,DANWUBINGQING,ERQIEZHEIGEFUWUSHIMIANFEITIGONGDEE。

KANYISHENGQIAN,XIANTIANXIEGEZHONGWENJUAN,CHUSHENGNIANYUERI、GUOJI、ZHONGZUDENGDENG,HAIYOUBINGSHI、YAOWUGUOMINSHI、YONGYAOJILU、SHENZHIHAIYOUYIGEYINSIBAOZHANGTIAOKUAN。7、8ZHANGWENJUANGUOHOU,YOUYOUZHUSHOULAIZUOGEXIANGJIANCHA,SHENGAOTIZHONG、TIWENXUEYA,SHOUBULILIANG,XITIAOFANYINGDENGDENG。

188体育ZUOWANYIQIE,FANYIHEWOMENBEIDAIRUYIGEXIAOFANGJIAN,DENGDAIYISHENGLAILIN。ZAIQUMEIGUOYIQIAN,WOMENYIJINGCHALEDr.ChouDEJIANLI,TASHIZAIMEIGUOCHUSHENGDEHUAYI,SHENJINGWAIKEZHUZHENYISHENG,SHANZHANGFUZADEJIZHUIWAIKESHOUSHU,SHIJIZHUIWEICHUANGSHOUSHUFANGMIANDEZHUANJIA,CENGJINGRUXUANMEIGUOZUIJIA100WEIYISHENG。

BUYIHUIER,DR.ChouDAIZHEWEIXIAOTUIMENJINLAI,TA40DUOSUINIANJI,SHENCAIGAODA,CHUANZHEHETIDEXIZHUANG(WOMENPENGDAODEMEIGUOZHUZHENYISHENGDOUBUCHUANBAIPAO,FANERZHUSHOU、XUESHENGZHILEICAICHUAN,YUANYINWOBAISIBUDEQIJIE),JINLAIXIANHEZAICHANGMEIGERENWOSHOU,RANHOUZUOXIAKAISHILIAOBINGQING。SUIRANSHIHUAYI,DR.ChouYIJUZHONGWENDOUBUHUILE,JIAOLIUYAOTONGGUOFANYIJINXING。

TAXIANGXIXUNWENLEFABINGJINGGUO、XIANZAIDESHENTIGEXIANGFANYINGHOU,DUIWOMENSHUO“WOYANJIULEZHONGGUOPAIDEMRIPIANZI,JUEDENIZUIDADEKENENGSHIGUSUILIU,RUGUOSHIGUSUILIUBUXUYAOSHOUSHU,FANGLIAOJIUKEYI。”YIJUHUABAWOMENDAMENGLE。ZAIZHONGGUOPAOLE3、4JIAYIYUAN,TINGLE6、7GEZHUANJIADEYIJIAN,CONGLAIMEIRENHEWOMENSHUOGUOZHEIZHONGKENENGXING。

DR.ChouNACHUYIZHANGZHI,XIEXIA8GECIFENBIESHIGUSUILIU、GUJUXIBAOLIU、GUROULIUDENG,TAGAOSUWOMEN,JINGZHUIZHEIGEWEIZHIDEZHONGLIUJIBENJIUSHIZHEI8ZHONGKENENGXING,MEIYIZHONGDEZHILIAOFANGFA、HOUXUDEFANGFANHEFUFAQINGKUANGDOUBUYIYANG。BIRUGUSUILIUDUIGUANGFEICHANGMINGAN,TABIYUSHUO“ZAIGUANGZHAOXIA,ZHONGLIUHUIXIANGNAIYOUBANRONGHUA”YINCITONGGUOFANGLIAOJIUKEYIZHIYU,DANGUSUILIUFUFAGAILVHENGAO,HOUQIXUYAOGENZONGZHILIAO。ERGUJUXIBAOLIUFANGLIAOJIUDUITAMEIYONG,ZHINENGTONGGUOSHOUSHU,DANSHIGUJUXIBAOLIUJIBENBUHUIFUFA。TAHAIJIANDANJIANGLEQITALEIXINGZHONGLIU,DANQINGYUANLIANGWONAORONGLIANGBUGOU,SHIZAIJIBUXIAZHEIMEDUO。

ZHEITANGYIXUEKESHANGDEJINGXINDONGPO,PANGBIANHAIYOUJIZHUIMOXING,DR.ChouHUINAGUOLAIBIHUAWEIZHIJIWOMENKAN。JIANGWANHOU,TAWEIXIAOZHEKANDAJIA“any question?”ZAIZHONGGUOYIYUANDUONIANKANBINGJINGLI,MIANDUIZHEIYANGDEJIANGJIE,WOMENZHENBUZHIDAOZAIWENSHENME。

KANWOMENMEIYOUWENTI,TAYOUJIEZHESHUO:“MUQIANZUIZHONGYAODESHIQUEDINGZHONGLIULEIXING,JINKUAIZUOYIGECHUANCIHUOJIAN,YOULEDAAN,WOMENZAILAITAOLUNXIAYIBUZHILIAO。”

188体育RANHOUTAWENWOLAOGONG:“XIANZAIGANJUETONGMA?XUYAOWOKAIZHITONGYAOJINIMA?”

188体育ZHEIJUWENHUA,DANGSHIRANGWOMENBAIGANJIAOJI,ZAIZHONGGUOYIYUANHENSHAOYISHENGZHUDONGWENJIBINGRENGANSHOU,YEXUYINWEIRENDUO,YEXUYINWEIYISHENGMANGBUGUOLAI,YEXUYINWEIZHONGGUORENDERENNAILICHAOQUN,DANSHISHENWEIBINGRENHEJIASHU,YOUYISHENGZAIYINIDEGANSHOU,ZHUDONGBANGNIHUAJIANTONGKU,ZHEISHIMODADEZUNZHONGHEANWEI。

188体育ZHENGGEWENZHENSHIJIAN,YIXIAOSHIZUOYOU,FEIYONG500MEIJIN。YINWEIWOMENMEIYOUBAOXIAN,ZIJIFUXIANJIN,KEYIDA6ZHE,ZUIHOUFUKUAN300MEIJIN。

五、活检

PAIQIZUOCHUANCIHUOJIAN,ZHEISHIJIUXIANSHICHUGUOJIZHONGXINDEJUDAHAOCHULAI。BUXUYAOGUAHAO、PAIDUI、DENGJI,LUOBOTEQUANBUYUEHAOHOU,TONGZHIWOMENSHIJIAN、DIDIANJIUXING。

HUOJIANNEITIAN,YIRANDAZHENZHANG,LUOBOTEHEFANYIPEITONG,KAISHIHAISHIGEZHONGWENHUAHEBIAOGE。(MEIHUANYIGEKESHIDOUJINGGUOYILUNWENHUA,CHATIZHONG、XUEYAZHILEI)

RANHOULAOGONGZAIGENGYISHILIHUANSHANGSHOUSHUPAO,HUOJIANXIANGDANGYUYIGEXIAOXINGSHOUSHU,XUYAOJUBUMAZUI,YOUGEZHONGZHUYISHIXIANG。ZHONGGUODEHUOJIANHAOXIANGSHIZHUYUANSHIYOUZHUGUANYISHENGZUODE。MEIGUOFEICHANGZHONGSHIBINGLIBAOGAO,YOUZHUANMENDEBINGLIKEYISHENGQINZILAIZUO,BAOZHENGTIQUYANGBENDEKEKAOXING。

188体育WOJINBULESHOUSHUSHI,ZHINENGZAIZHUANMENDEJIASHUXIUXIQUDENGHOU,YOUSHAFA、DIANSHI、ZAZHI、KAFEI,JIUSHIMEIYOUXINQING。GUOLEYIGEDUOXIAOSHI,HUSHITONGZHIWO,SHOUSHUJIESHULE,LAOGONGZAIHUIFUSHILE。WOXIANGXIANGZHETAGUAZHEYANSHUITANGZAIBINGCHUANGDEYANGZI,JIEGUOZOUJINYIKAN,CHULEBOZIZHEILIZENGJIALEYIKUAICHUANGKETIE,SHENMEDOUMEIYOU。WENGANJUERUHE,YIDIANGANJUEYEMEIYOU。

WOMENZHENGSHUOZHEHUA,FUZESHOUSHUDENVYISHENGDAIZHESANGEZHUSHOULAIDAOBINGCHUANGQIAN(QINGYUANLIANGWODENAORONGLIANG,JIBUDETADEMINGZILE)TAXIANDUILAOGONGSHUO:“GANGCAIZUODEFEICHANGHAO(QISHITAJIUPAZHE,SHAYEMEIZUO),CHUANCIHENSHUNLI,WOMENYENADAOLELIXIANGDEYANGBEN,DAGAIYIZHOUZUOYOUKEYIYOUJIEGUO。”RANHOUKAISHIJIAODAIJINWANXIZAOBUYAOPENGDAOSHANGKOU,FASHAOYAOLAIYIYUANDENGDENGGEZHONGZHUYISHIXIANG,ZUIHOUTANACHUMINGPIANDIZAIWOSHOULI,YOURENHEWENTIDOUKEYIHETALIANXI。

5FENZHONGHOU,HUSHITONGZHIWOMENKEYIHUANYIFUZOULE。HAOYOUSHILUOGAN,WUBIZHONGYAODECHUANCIHUOJIAN,LIANYIYUANDOUBUZHUYITIAN,YANSHUIDOUBUGUAYIPINGJIUJIESHULE。ZUIHOUDEZHANGDANDAOSHIRANGWOMENZHAODAOLESHOUSHUDEGANJUE,2.5WANMEIJINZHEHOU1.5WAN。MEIGUOYIYUANDEFEIYONG,CONGBUTIXIANZAIYAOWUSHANG,SHIWEINITIGONGFUWURENDESHUIPINGHESHULIANGJUEDINGDE,SUOYIMEIGUOWAIKESHOUSHU,2、30WANMEIJINSHIHELISHOUFEI。

六、转诊

JIAOJIDENGDAIZHONG,YINGLAILEDR.ChouZHUSHOUDEDIANHUA。TATONGZHIWOMEN,HUOJIANJIEGUOQUERENSHIGUSUILIU,BUXUYAOSHOUSHU。SUOYIYAOBANGWOMENZHUANZHEN,ZHUANDAOFANGSHEKEJIESHOUFANGLIAO,ZHUANDAOXUEYEKEJIESHOUJIANCHA,CHAMINGBINGYIN,KONGZHIFUFA。LUOBOTEHUIBANGWOMENYUEHAO,TONGZHIJUTISHIJIANDIDIAN。

188体育ZAIGEZHONGDENGDAIZHONG,WOMENYEKAISHILEJIEGUSUILIUDEQINGKUANG。TAQISHISHIYIZHONGXUEYEDEEXINGZHONGLIU,JIANGXIBAODALIANGDUIJI,BIANYIHOUXINGCHENGZHONGLIU,YOUDANFAHEDUOFADEQUBIE。TAHUIQINSHIGUGE,ZAIJIZHUIHELEIGUCHANGJIAN,DANTADEBINGZHENGBUMINGXIAN,JIBENHUAYANDOUCHABUCHULAI,WUZHENLVGAODA70%。

188体育WOMENSHOUXIANQUJIANDESHIZHONGLIUFANGSHEKEDEAlexander GottschalkYISHENG。GENJUJIANLIXIANSHI,TASHIFANGSHEZHILIAOFANGMIANDEZHUANJIA,SHIUCSFSHEBODAO (Cyberknife)WAIKESHOUSHUXIANGMUZHUREN。SHIYONGSHEBODAO,YIDAJILIANGSHEXIANDUIZHONGLIUJINXINGJIGAOJINGDUZHAOSHEDEZHILIAO,YICIXINGKEYIZHILIAONAOHEJIZHUZHONGLIU; RUXIAN、FEIBU、GUPENDENGAIZHENG。

ZAIWOMENMANXINYIWEI,SHIYONGSHEBODAO (Cyberknife)YICIJIUKEYIJIEJUEJINGZHUIZHONGLIUDESHIHOU,DR.GottschalkQUEGAOSUWOMENYAOCAIYONGDIAOQIANGFANGSHEZHILIAO(IntensityModulated Radiation Therapy),YINWEILAOGONGDEZHONGLIUTAIGUOKAOJINZHONGSHUSHENJING,BUSHIHESHEBODAOZHEIZHONGGAOQIANGDUDEFANGSHEZHILIAO,YONGDIAOQIANGFANGSHEZUO20CI,MEICIXIAOJILIANGGENGHAO。GULOUGUAWENDEWO,PINGSHENGDIYICIZHIDAO,FANGLIAODEZHONGLEIYESHIKEYIRANGRENYANHUALIAOLUANDE。

188体育TINGDUOLEFANGLIAO、HUALIAODEKONGBUJINGLI,DANGRANGUANXINFANGLIAODEWEIHAI,WEN:“FANGLIAOHUIDIAOTOUFAMA?HUICHIBUXIAFANMA?”DR.GottschalkRENBUZHUXIAOQILAI:“FANGXINBUHUI,DINGDUOHUIYOUDIANHOULONGGAN,BIAOMIANPIFUYOUDIANFAHONG,QITAJIBENMEIYINGXIANG。DIAOQIANGFANGSHEZHILIAOSHIYIZHONGBIJIAOANQUANDELIAOFA。”YOUWEN:“NEIZHILIAOXIAOGUONI?”YISHENGKENDINGDIHUIDA:“DUIGUSUILIUXIAOGUOFEICHANGHAO,YIGELIAOCHENGSHIYIGEYUESHIJIAN,JIESHUHOUZAIDENGYIGEYUE,WOMENZAILAIZUOMRI,ZHONGLIUJIBENJIUXIAOSHILE。”

DEDAOZHEIYANGDEDAFU,WOMENMANXINHUANXI,YAZAIXINTOUJIGEYUEDASHIZHONGYUBANKAI。BUYONGSHOUSHU、BUHUITONGKU、MEIYOUKEPADEHOUYIZHENG,HAINENGXIANGXIANGBIZHEIGEGENGHAODEJIEGUOMA?

七、转折

SHISHIZHENGMING,WOMENGAOXINGDETAIZAO。MEIKUAIWUYUNDOUXIANGZHEJINBIAN,MEIDUOBAIYUNXIADOUHUIYOUYINGZI。

188体育YINWEIGUSUILIUSHIXUEYEKEFANCHOUJIBING,LUOBOTEBANGWOMENYUELEThomas MartinYISHENG。DR.MartinSHIXUEYEZHONGLIUKEDEZHUANJIA,ZAIXUEYEXITONGEXINGZHONGLIUHEXUEYEAIZHENGFANGMIANYOUGUANGFANLINCHUANGYANJIU,YOUQISHANZHANGDUOFAXINGGUSUILIUHEBAIXUEBINGZHILIAO。

188体育LVEQUGEZHONGTIANBIAOZHUNBEIZHILEI,ZHONGYUHEDR.MartinMIANDUIMIANLE,TASHIGEXIBANYAYIREN,TOUFAXUEBAI,BIAOQINGFENGFU,KANDAOTAWOJIUXIANGQIHUOXINGSHUSHUMADINGZHEIGECI。DANSHIMADINGSHUSHUJILEWOMENCHENZHONGYIJI。

TINGSHUOWOMENYIJINGYUEHAODR.GottschalkZHUNBEIKAISHIFANGLIAODESHIHOU,MADINGSHUSHUZHOUQIMEITOU,LIANLIANBAISHOU,“BUXING,XIANTINGYIXIA。HAIXUYAOZUOYIBUFENJIANCHA。YINWEIXUYAOQUEDINGNIDEGUSUILIUSHIDANFAZAIJINGZHUI,HAISHIZAISHENTIQITABUWEIYEYOU。”

SHENME,HAIYOUQITABUWEI?

“GUSUILIUYEJIAOJIANGXIBAOLIU,JIANGXIBAOHUISUIZHEXUEYEZAITINEISICHULIUDONG。YINCI,DANFADEGUSUILIUZHIYOUBAIFENZHISAN,JUEDADUOSHUSHIDUOFADE。ERQIE,GUSUILIUFUFAGAILVFEICHANGGAO,ERNIANNEIFUFAGAILVCHAOGUO70%,WUNIANNEIFUFAGAILVCHAOGUO50%,NIMENYAOZUOHAOZHUNBEI。”

WOMENYOUMENGLE。

“BUGUO,NIMENYEBUYONGDANXIN。JINQIGUSUILIUYANJIUBUDUANYOUXINTUPO。JINNIAN6YUE(ZHI2012NIAN6YUE)GANGYOUGEXINYAOSHANGSHI,DUIDUOFAXINGGUSUILIUDEWANGUBINGLIFEICHANGYOUXIAO。HAIYOUJIZHONGXINYAOHELIAOFAYIJINGDAOLELINCHUANGSHIYANDEJIEDUANLE。WOGUJI,SHINIANNEIGUSUILIUZHILIAOHUIYOUFANTIANFUDIDEBIANHUA。”

188体育TAKANKANLAOGONG,BANKAIWANXIAODISHUO:“YEXUDENGNIFABINGSHI,CHILIANGKEYAOJIUKEYIZHIYULE。”

QINGWEN,ZHEISUANSHIANWEIMA?

WUNAI,KAISHIJIANCHA。CHOUXUE、YANNIAO、CHOUGUSUI。

188体育CHOUGUSUIJIUZAIXUEYEZHONGXINDEJIANCHASHIJINXING,YOUYIMINGNANHUSHICAOZUO。MEIGUODEHUSHIFENLIANGZHONG,PUTONGHUSHIHEZHUANKEHUSHI。ZHUANKEHUSHIYAOJINXINGZHUANMENKAOSHI,YOUMOUFANGMIANZHUANYEJINENG,YOUXIEHAIYOUCHUFANGQUAN。CHOUGUSUIDEHUSHIJIUSHUYUZHUANKEHUSHI,ZAIWEIZHUIGUZHEILIZHAZHENCHOU,ZUOWANWEN“TONGMA?”HUIDA“MEISHAGANJUE。”

HAOBA,QINGWENNISHILAIZI“TONGJUESHENJINGXISHAOXINGQIU”MA?

LINGYIXIANGZHONGYAODEJIANCHASHIPET-CT。

ZHEISHIZAIWANGSHANGCHAODEFEIFEIYANGYANGDEJIANCHAXIANGMU,ZHONGGUOBUFENYIYUANYINJINLE,ZHEJIANGSHENGHAOXIANGZHIYOUZHEYIYIYUANHE117YIYUANYOU(YIGUANJUNZHU:BUZHIZHEILIANGJIAYOU),MEICIFEIYONG7000YUANRENMINBI,BUJINYIBAO。PET-CTNENGGOUFAXIANHAOMIJIBIEDEZHONGLIUBINGZAO,YOU95%DEJINGZHUNLV。TASAOMIAOQUANSHEN,YICIJIKELEJIEZHENGGESHENTIDEBINGZAOQINGKUANG,ZHEISHIQITAJIANCHABUNENGGOUZUODAODE。DANSHIHAICHUYEHENMINGXIAN,TASHIXIANYAOWANGJINGMAIZHUSHEYIZHONGTANGDAIXIEWUYONGLAIBIAOJIZHONGLIUXIBAO,ZHEIZHONGWUZHIYOUFUSHE,DUIRENTIYOUWEIHAI。

WODEGUANDIAN,YONGPET-CTZUOMEINIANYICIDECHANGGUITIJIANXIANGMU,NEISHIZHAOSIDEJIEZOU。DANSHIRUGUONIMRI、HUOZHEQITACHANGGUIJIANCHAYIJINGHUAIYINIYOUZHONGLIULE,NEIGAIZUOHAISHIZUOBA,BIJINGPET-CTJIANCHAAIZHENGDEZHUNQUELVGAOYUQITA。ZHEIDIANFUSHEKEYIHULVEBUJILE。

188体育MEIGUOYIYUANPET-CTFEIYONGSHIMEICI7000MEIJIN,ZUODELIUCHENGHEZHONGGUOYIYANG(HAOBA,JIQIDOUSHIYIJIAGONGSISHENGCHANDE)。

ZHEILIKEYITUCAOMEIGUOHUSHIDEJINGMAIZHENJISHUMA?LAOGONGZHEIMECUDEXUEGUAN,YINGSHIZHALELIANGZHENHAIMEIZHAJIN,FANERLIULEYISHOUBEIDEXUE。TABUTINGDISHUOsorry,ZAIYIPANGKANDEWOZHIYAOTOU,ZHENGAIRANGTAJIANSHIXIAZHONGGUOERTONGYIYUANDESHUYESHI,ZHENTIANDEXIAOHAIKUSHENG,WEIMANDEJIAZHANGDAREN,XIDEKANBUJIANDEXUEGUAN,HUSHIHAIBUSHIYIZHAYIGEZHUN,HUANCHENGNIMENGUJIZAOJIUHENIAOLE。

八、宣判

188体育ZAIDENGDAIJIEGUODESHIHOU,JIEDAOMADINGSHUSHUZHUSHOUDEDIANHUA,SHUOYISHENGKAILELIANGGEYAO,XUNWENWOMENFUJINDEYAODIANSHISHENME?

YUANLAIMEIGUODEwelgreen、CVSJISHIYAODIANYOUSHIDAXINGLIANSUOCHAOSHI,BIANBUCHENGXIANGGEDI。YISHENGHUIBANIDEYAOKAIJINIZHIDINGDECHAOSHI,RANHOUNIJIUQUJUTAIBAOMINGZI、HEDUISHENFENHOUFUQIANQUYAO。MEIGUODEYAODOUMEIYOUWAIBAOZHUANG,TONGYIZHUANGZAICHENGSEBANTOUMINGDEYUANTONGZHONG,SHANGMIANTIEZHEFUYONGFANGFA。YAODIANDEYAOJISHIYEHUIHENIJIAODAIYIXIAJINJI。

LIANGZHONGYAO,ZONGGONG5KUAIDUOMEIJIN。HEZHENFEIBIQILAI,JIANZHIKEYIHULVEBUJI,NANGUAIMEIGUOYISHENGDOUBUAIKAIYAO,YIYUANSHENZHIBUSHEYAOFANG,KAOMAIYAO,TAMENZAOESILA。

ZHONGYUDENGDAOPANJUEDERIZI,WOMENYOULAIDAOLEMADINGSHUSHUDEZHENSHI,TAMANMIANXIAORONGDISHUO:“NISHIBAIFENZHISANGAILVDEDANFAJIANGXIBAOLIU,ZHIYOUZAIJINGZHUIWEIZHIYOUBINGZAO,ZHEICIZHIYAOFANGLIAOJIUKEYIJIEJUELA。”

WANSUI!

“BUGUO,ZHIQIANWOMENTANGUO,GUSUILIUFUFAGAILVFEICHANGGAO,NIBIXUDINGQIJIESHOUJIANCHA。”MADINGSHUSHUZHAZHAYANJING。

188体育“WOBANGNIMENZHAODAOLEYIGEDANGDIYISHENG,NIMENKEYIQUTANEILIJIANCHA,DINGQIJIANGBAOGAOemailJIWO,RUGUOYOUWENTI,SUISHILAIBA。”

TADIGUOYIZHANGXIEZHEYOUXIANGHEMINGZIDEZITIAO,WOMENYIKANSHIZHEYIYIYUANDEXUEYEKEYISHENG,DUNSHIFANGXIAXINLAI。

九、放疗

YOUHUIDAOLEDR.GottschalkDENEILI。

LAOGONGJIJIANGJIESHOUDESHIDIAOQIANGFANGSHELIAOFA(Intensity ModulatedRadiation Therapy)。

188体育TASHIYONGCTHEMRILAICHUANGJIANZHONGLIUHEZHOUWEIZUZHIDESANWEITUXIANG,GENJUZHEIXIETUXIANG,KONGZHIFUSHESHUDEFANGXIANG、XINGZHUANGHEQIANGDU,BAOZHENGGAOJILIANGDEFUSHECHUANDIDAOZHONGLIU,TONGSHIJIANGJIANKANGZUZHIDEQIANZAISUNHAIJIANDAOZUIDI。

UCSFYILIAOZHONGXINCONG1997NIANKAISHIJINXINGDIAOQIANGFANGSHEZHILIAO, TAYOULIANGZHONGLEIXINGDEDIAOQIANGFANGLIAO:ZHIXIANFANGLIAO,ZUIDUOKEYIYOU25GEGUDINGBOSHU。CHUANXINGDUANCENGFANGLIAO -ZHEIZHONGFANGLIAOJIQISHIKEYIRAOZHEBINGRENXUANZHUAN,CONGDUOGEJIAODUJINXINGFANGLIAO。DIAOQIANGFANGLIAOKEYIYIZHINAOLIU、RUXIANAI、FUKEZHONGLIU、TOUJINGBUZHONGLIU、FEIAIHEQIANLIEXIANAI。GUONEINAXIEYIYUANYOU,WOBUQUEDING。

FANGLIAOQIANZHUNBEI,LAOGONGTANGZAIFANGLIAOTAISHANG,QUGECHUDINGWEISHUJU,ZHUANMENWEITAZHIZUOYIGEFUGAITOU、JINGBUDAOJIANDELVSEYINGSULIAOZHAOZI。YIHOUMEICIQU,ZHIYAOGAISHANGZHEIGEZHAOZI,BAOZHENGBUHUIYIDONG,QUEBAOFANGLIAOWEIZHIDEZHUNQUEXING。

188体育LAOGONGDEFANGLIAOZONGGONG20CI,MEITIANYICI,YIZHOU5TIAN,ZHOUMOXIUXI。

DIYICIFANGLIAO,JINQUBUDAOSHIWUFENZHONGJIUCHULAILE,WODACHIYIJING,YIWEICHUSHAYIWAILE。YISHENGSHUO,YIJINGZUOWANLE。QISHIMEICIZHENZHENGZHAOSHEDESHIJIANBUGUO2、3FENZHONG,TANGDAO、DAIZHAOZISHIJIANGENGDUO。

188体育YUSHI,WOMENHUAFEIGENGDUODESHIJIAN,LAIHUIGUIGUHEJIUJINSHAN,MEITIANSHANGXIABANSIDE,HUA2、3XIAOSHI,QUYIYUANZUOZHIYOUJIFENZHONGDEFANGLIAO,SHUXILEWANQUDEGEZHONGJIAOTONGGONGJU,KANJINLEcaltrainYANXIANDEGEZHONGFENGJING。

20TIANLI,HUIYOUYISHENGLAIJIANNI,WENNI“GANJUEHAOMA?YOURENHEBUSHUFUDEDIFANGMA?”LAOGONGDEHUIDAYIGAISHI“HENHAO”。

SHISHISHANG,CHULEDAODISHICIZUOYOU,TAJUEDEHOULONGYOUDIANYANG,BOZISHANGYIKUAIPIFUHEILEDIANYIWAI,MEISHAGANJUE。YIDUWOSHENZHIHUAIYI,ZHENDEMEITIANQUTANGJIFENZHONG,JINGZHUIZHONGLIUJIUZHIHAOLA?

十、康复

188体育20CIFANGLIAOJIESHU,FEIYONGYUESHI5WANMEIJIN。

188体育LUOBOTEBANGWOMENYUYUELEYIGEYUEHOUDEMRIJIANCHA,DAONEISHIHOU,CAISHIZHENZHENGJIANYANFANGLIAOXIAOGUODESHIHOU。

GUANGYINRUSUO,8YUEDI,WOMENYOUYICIHUIDAOLEUCSF,YOUYICIHUIDAOLEDR.ChouDEZHENSHI。HAOBA,YIQIECONGTAKAISHI,DAOTAJIESHU。MEIGUOSHIZHUZHENYISHENGFUZEZHI,DIYIGEJIEZHENYISHENGFUQUANZE,YOUTALAIPANDINGZHILIAOXIAOGUO。

DR.ChouFANCHULIANGZHANGMRIPIANZI,YIZHANGSHIGANGGANGZUODE,YIZHANGSHI3GEYUEQIANZHONGGUOZUODE,TAZHIZHEXIANGYINGDEWEIZHISHIYIWOMEN:“ZHONGLIUMINGXIANWEISUO,SHUOMINGFANGLIAOXIAOGUOFEICHANGHAO,ZHEIGEGUOCHENGHAIHUICHIXU,ZHIDAOZHONGLIUXIBAOWANQUANSHIQUHUOXING,XINGCHENGYIGEJIASIDECUNZAI。”

“ZHONGLIUQINSHIJINGZHUIGUTOU,SUOYIJINGZHUIDEDIER、SAN、SIJIEYOUKONGDONG,SUOXINGRENDEGUGEYOUZIYUGONGNENG,DAGAILIANGNIANSHIJIANKEYIFUYUAN。ZAIZHEIQIJIAN,NIXUYAOFUYONGGAIPIAN,JIANSHAOCHONGZHUANGLEIDEYUNDONG,BIRUGANLANQIU、HUAXUEZHILEI。”

“QINGWENNAZHONGGAIPIANHAO?”“GAIPIANSHIHENPUBIANDEYINGYANGJILA,ZHIYAOZHUYINIBUCHONGDELIANGSHIMEITIAN800mg,LIMIANYIDINGYAOHANWEISHENGSUD,PAIZIWUSUOWEI,KEYIZHIJIEQUYAODIANMAI,ZHILIANGCHABUDUO。”

188体育GUANZHAOWANZHEIXIE,DR.ChouYOUNACHULEDR.MartinDEYIZHU。BUZHIDAOSHIBUSHIYINWEIZHENFEITEBIEGUI,(WOMENDESANGEZHUZHENYISHENGJIANYIMIANDOUSHI500MEIJIN)YISHENGJIANNIHAISHIHENJINSHENDE。NEIZHONGYUYUEJIANCHA、NABAOGAOZHILEIDOUBUXUYAOJIANDE,DIANHUA、YOUJIAN、QUQITAYISHENGNEILIDOUKEYIYIBINGBANLI。

188体育MADINGSHUSHUDEYIZHU,KANDEWOMENYILENG。TABUJINJIZHONGGUOYISHENGXIELEYIFENGXIANGXIJIESHAOBINGZHENGHEZHILIAOQINGKUANGDEXIN,HAILIELEYIZHANGBIAO,TONGZHIWOMENMEISANGEYUE、MEIBANNIAN、MEILIANGNIAN、MEIWUNIANYAOZUODEGEXIANGJIANCHA,JIANJIEMINGLE。

188体育XINDEZUIHOU,TALIULEYOUXIANGHEDIANHUA,BIAOSHI:“RENHEWENTI,SUISHIKEYIZHAOWO。WOYEHUIJIXUGENZONGBINGRENDEQINGKUANGJINZHAN。”ZHEIYANGDEFUWU,ZHEIYANGDEGUANHUAI,ZHONGYUMINGBAIHEXIEDEYIHUANGUANXICONGHEERLAI。

RANGWOMENGANDONGDEBUZHIZHEIXIE。

188体育SANGEYUELAI,WOMENHELUOBOTEYIJINGXIANGQINRENPENGYOUYIBAN。ZAIZHONGGUOYIYUAN,ZHAOZAIHAODEGUANXI,YEWUFAZUODAOXIANGLUOBOTEYIYANG。QUYIGEXINDEKESHI、JIANYIGEXINDEYISHENG,TADOUPEITONG;SUOYOUDEJIANCHA,TADOUSHIXIANLIANXIYUYUE,BAOZHENGNIDAOLEBUYONGDENGDAI;SUOYOUDEFEIYONG,TABANGNIHUIZONG,NIKEYIXIANKANBINGZUIHOUJIAOFEI。

188体育DAOWOMENZHUNBEIHUIGUOSHI,LUOBOTEKAOBEIHAOSUOYOUDEJIANCHABAOGAO、ZHILIAOJILU、YISHENGYIZHU、YONGYAOBAOGAO,GONGWOMENLIUDANG。ZUIZUIYIWAIDESHI,LUOBOTEDESUOYOUFUWUDOUSHIMIANFEIDE,TASHIUCSFYILIAOZHONGXINGUOJIBUDEGUYUAN,ZHEISHIYIYUANWEIGUOJIHUANZHETIGONGDEEWAIFUWU。

188体育ZHENGGEMEIGUOKANBINGLISHI3GEYUE,MEIYOUZHUGUOYITIANYUAN,MEIYOUGUAGUOYIPINGSHUI,SHENZHIYAOYEZHICHILEJIKE,JIHUMEIYOUGANSHOUGUORENHETONGKU。HUAFEISHI7WANDUOMEIJIN,YUERENMINBI45WAN。

十一、后续

ZHENGZHENGLIANGNIANGUOQULE,WOMENHUIDAOLEZHONGGUO,HUIDAOLEZHENGCHANGDESHENGHUOGUIDAOSHANG。ANZHAOMADINGSHUSHUDEZHUFU,ANBUJIUBANDIZAIZHEYIYIYUANDINGQIJIANCHA,MUQIANYIQIEDOUHAO,LAOGONGYEWANQUANZHENGCHANG。

MEIGUOKANBINGDEJINGLISHIWOHELAOGONGRENSHENGZHONGBAOGUIDEJINGLI。HUIXIANGQILAI,CHANGCHANGJUEDEHUANGHU,CENGJINGZHUNBEIJIESHOUSHENGSIKAOYAN、CENGJINGZHUNBEIJINGLIWEILAIZHANGJIUDEKUTONG,ZAIMEIGUOZHILVZHONG,YIDIANTONGKUZHENGZHADOUMEIYOUJIUJIEJUELE。ZHEISHIWODANGSHIMEITIANQIDAO,DOUBUGANQUYAOQIUDEJIEGUO。

DANGRANWOYEBUZHIDAO,DANGCHULIUZAIZHONGGUOJIXUKANXIAQU,DENGDAIWOMENDESHENME。ZHIDAOKANDAO《HUOZHE——LIUGEYUEDESHENGSIKULE》DETIEZI,WOFANGFOKANDAOLEYINGBIDELINGYIMIAN。WOWUCONGPANDUANshenjianganXIANSHENGHEWOLAOGONGSHIBUSHITONGYIZHONGJIBING,WOYEWUCONGZHIDAOZHONGGUOHEMEIGUODEYILIAOCHAJU,WOZHISHIXIANGTONGGUOZIJIDEQINSHENJINGLI,GAOSUDAJIA,JUEJINGZHONGZAINALIDOUHUIYOUXIWANGDE。

188体育DANGRAN,BUKENENGJIWANGMEIGEYINANBINGZHENGDEBINGRENDOUNENGQUMEIGUOZHILIAO。DANSHILEJIEBIERENDEZHILIAOFANGFA,XUEXIBIERENKUAKESHIDEZHENZHIGUOCHENG,TIHUIBIERENHEXIEYIHUANGUANXIDEYOULAILIYOU,DUIWOMENMEIYIGERENDOUSHIYOUBANGZHUDE。

ZAIFAZHEIGETIEZIQIAN,WOYEYOUYUZAISAN。PABEIBIERENRENWEITAIGAODIAO,PABEIBIERENRENWEIJINQIANWANNENG。QUMEIGUOKANBINGSHIWOMENZAIJUEWANGZHONGNENGZHUAZHUDEYIDIANXIWANGERYI。QISHIZAIZHONGDAJIBINGMIANQIAN,QIANBUSHIZUIZHONGYAODE,NIDEPANDUANHEXUANZECAISHIZUIZHONGYAODE。WOMENMEIGERENDOUYINGGAICONGZIJICHUFA,ZUOLISUONENGJIDEZUIYOUXUANZE。

BIRUQUMEIGUO,YEKENENGHUALEJUDADAIJIAQUEYIJIUYIBUHAO,RUGUOMIANLINZHEIYANGDEJIEGUO,WOHUITANRANJIESHOU,YINWEIWOYIJINGZUOLEQUANBUDENULILE。YEXUZAIMEIGUO,YILIAOFEIGUOYUJUDA,WOMENKENENGYAOJUZHAI,WOHUIHAOBUYOUYU,YINWEIHEQIANBIQILAI,RENYAOZHONGYAOHENDUOHENDUO。ZHEIWUGUANDUICUO,ZHISHIWODEXUANZE,WOYIHUIWEICIFUZE。

感谢看过这个帖子的每一个人,90多条回复全部是祝福和温暖的话语,这在网上真的很难得,谢谢大家支持!


精彩评论:
亚口:
我都看完了,想说的还比较多。我的结论,去国外治疗并不是特别好的方式。
1、首先,病患首先求助的是外科医生,而中国的外科医生大部分是靠手术刀的。对于肿瘤,外科医生在自己的专业范围内很难联想到放疗(或者更先进的放疗)、化疗(或者更先进的化疗)的治疗方式,外科医生靠手术技能第一,其他专业的技能,只能咨询其他专业的医生。
2、肿瘤活检在这个病患身上肯定是可以进行的。只是,病患只看了中国医生的门诊就丧失了对中国医生的信心了。对于肿瘤,如果没有办法判断良性还是恶性,而且肿瘤位置是可以进行活检的话,那么一般会进行活检。这个,是常规步骤,不分国内国外。而且,我有理由相信国内的活检比国外的活检技术要好,毕竟,这个手术,动刀子的。中国大医院的外科医生可能理论技能差些,但是,动刀子,国外医生很难比的上。
3、强调适性三维放射治疗,国内很多大医院都有这种治疗方式。放疗只要看得是设备,而不主要是放疗医生。医院有钱买的起设备,就能进行这样的治疗。北京、上海、武汉、广州,很多医院都有,而且,放疗的费用可以进入医保。
4、国外的医生对于病患可能有很多治疗方式,比如手术,放疗,化疗,他会根据病患的情况提供建议。但是,国内的医生,只能在自己专业范围内提供建议。外科医院提供手术的建议,肿瘤医院提供放疗、化疗建议,放疗医生提供放射方案的建议。病患可能要麻烦些,多跑跑医院,多见见医生,综合判断采用哪种治疗方案。
5、这个病患采用了合适的治疗方式。但是对于其他,放疗并不一定比手术好。放疗的副作用是伴随病患一生的,可能治疗时省事不痛苦。而手术相反,治疗是比较痛苦,但是术后副作用小。
个人经验!

速度来袭林 回复 猪头三三:
对的。现在说国内同等花费可以做的更好的,都是事后诸葛亮,而且还不一定是诸葛亮,多半都是事后马谡。

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加州小妹:
感觉这是一个广告贴。
 1 。浙大2-3年前就由我们这的医生牵线办了中美联合会诊和看病,就是国内的病人想要美国医生会诊的话要多付钱, 如看病理片的话是2000元, 这两千一部分要付给美国的医生和医院,分到美国医生哪也就是看一张片有10刀,好像办的也不怎麽样。
2.在美国看病没那莫简单的,本文是自费,没有保险公司申批。和普通的美国人看病不能同日而语。
3.美国总体是看病难,看病贵。首先预约个医生就要2-4周, 见个医生也就10分钟,再去约做捡查也要等,做个B超也要等保险公司申批( 这个每个医院等待的时间不一样)有的要等一个月的( 本人经验) , 保险公司批了再去预约又要等2-4周。做完有什麽可疑会马上通知医生, 医生会再通知你什麽时候看他, 如是很急的病就会很快转到专科那, 也要等2-4月才能看到医生, 到了专科又要做一些检查还是要等。看专科一般是20分钟也没有一个小时,收费大约是65-80 刀,有好一点的保险是保险公司付,不好的保险本人要付一部分。普通医生挂号费是20-40刀,自费是60刀-80刀。这个挂号费( 20刀),医生拿7刀,其他的保险公司和医院分, 美国医生也是靠看病人拿钱,一般一天也要看25-30个病人的。 你想少看点也不是医生说的算的。预约的部们帮你定好了, 医生很难准时下班和吃饭的,大医院也是很忙的( 也要看医院的) 。文中的人是花了高价的钱, 这也是现在的医院都不赚钱, 也要自找们路赚钱。
4.有保险的病人医生都不想给你开药的, 开药赚不了多少钱, 医生靠捡查费赚钱。不过也要受到保险公司的限制。
5.美国医生也很难, 特别是外科,6-7年的实习医生, 每个星期要工作63-80个小时, 工资
是5-7万刀一年,还要受大老板的压迫。你不可能独立看病人, 其他的医生帮你看你就要分给人家钱。也是很苦的。毕业又很难找到在一个医院的全职工作,一般都是这个医院干两天,那个医院干三天的, 有时不得不5点去查房看病人,因为7点钟还要去另一个医院去上班。好在美国不用做班。
6.在美国,医生的太度都很好,1.是美国人的教育,2不好就有人告你。也是受法律的制约。开会主任每天都是要强调医患关系, 要注意太度。医生亚力也很大, 美国医生的平均寿命还不到60岁!
7.不是所有的癌症都可治疗, 我的同事38岁死于大肠癌,发现就是晚期,本身也是学医的中国No 1 医学院毕业的。 发现到死也就9个月, 这期间没有得到什麽治疗, 因保险公司不想付钱, 就在临终关怀看了几个月。她以前的大老板也是一搞癌症的,也没办法。
8.美国的放,化疗是很先进的, 定位准,剂量准,5年成活率要远远大于中国。
9.有钱的来美国看病还是可行的。但不是每个美国人都能有这种待遇,我想上UCSF看病我现在的保险就不付钱的, 要我自费我也没那个钱!

mini股民 回复 aiying258:
我觉得杀大夫是正常的社会倾向。
发改委对药搞了几十年的成本加成合同,也就是所谓的购销加价率,这就使得医药界大面积出现了贪腐。这种贪腐激励机制是被巴菲特的伙伴芒格当做典型案例记载在书中的,他专门讲了美国军火采购中采用这种成本加成合同出现的问题,最后美国人把这种合同的订立当作重罪。发改委抱住这种贪腐激励机制几十年不放,以至于医生的大面积贪腐就已经深入了国人心中,杀医打医麽,就像顺口溜说的那样,全抓起来打有冤枉的,排成队隔一个打一个有漏网的.



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