在美国或许在加拿大 当我第一次踏上这片所谓自由的土地 我强烈感受到的是我必须掌握金融投资
的技能 十几年过去了 正是有着这种强有力的超感觉 在不经意中成长为了可以出海扑鱼的渔民
不说节省无数的费用 回报更是多多啊
但是我却乎识了一个同等重要的东西 也和金融投资一样价值连城 这也是我想要和这里的朋友分享
的 那就是医学健康 从此我不再有如何依赖医生的著夫 而是更象一个到商店买东西的家庭主妇
连车子坏了 我都知道 现要成为修车内行 才不会被修车行给蒙了
我的经验告诉我 连国内的医生我都不信任还要塞红包 这里的医生就加一个更字了 不论它是白的黑的
荣幸我都遇到过 我怀疑至少我不确定它看到我这个黄皮肤没有如何歧视 不过我敢肯定这种歧视哪怕有
一丁点 在好医术的医生对病人来说都是零甚至比零更遭 那么不再期望 只能靠你自己了 在看医生的
同时记住保住你的尊严是你能获得最大服务的基础 而这种尊严是要靠你的医学知识在和医生交谈中
显示出来 我就曾让一位专科医生在我面前象一个刚从医学院出来的学生那样在我面前背书
医学健康却近乎是个文盲 因此计划中加了学习医学的项目 有兴趣的朋友可以交流
下面的文章足以让你反思到赶快行动
Scariest Hospital Risks
by Matthew Herper
Monday, June 25, 2007
There is a grim joke that circulates among medical residents: Hospitals are terrible places for sick people.
Truth is, for all the life-saving miracles unfolding each day at modern hospitals--from cancer chemotherapy to heart bypass surgery--they are also filled with danger.
"It's human frailty," says Carol Haraden, a vice president at the Institute for Healthcare Improvement, which several years ago started an effort to reduce the toll from medical mistakes. "If you've got humans involved you're going to have errors. You just have to build a system that is going to prevent as many as possible."
Plenty get through. There are some 100,000 people who get potentially deadly infections during hospital treatment, according to the Centers for Disease Control. Infected incisions are particularly dangerous as hospital germs are more likely to be resistant to antibiotics that doctors use to kill them off.
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Worse, between 40,000 and 100,000 people die every year because of doctors' mistakes, including surgical mishaps and drug mix-ups. One big problem: Hospital patients may get the wrong drug one time out of five, according to a study by Auburn University. The death toll from mistakes is at least as bad as that from car accidents or breast cancer, and maybe as bad as that from strokes.
In one widely reported case, comedian Dana Carvey was the victim of a botched heart bypass operation; his doctor operated on the wrong artery. (The problem was fixed in a second procedure.) The wife of a patient whose brain was damaged in a car accident wrote in the journal Health Affairs about how a misplaced catheter and a blood clot led to the amputation of her husband's hand. Haraden herself, the medical-error expert, says that when she went to the hospital for breast cancer surgery, doctors almost operated on the wrong breast. (The mistake was caught before any operating was done.)
Managing these risks often comes down to persistent attention to detail--by caregivers, patients and their advocates. One study showed doctors only washed their hands 44% of the time, if nobody was looking. If they knew they were being watched, 61% washed up--still way too low.
At least we're making better ground on pneumonia. Born of bacteria that collect and live in ventilator machines that keep patients breathing, these potential killers were once accepted as a cost of doing business. Today hyper-vigilant hospitals have managed to go months or years without a case of ventilator pneumonia. Germ-fighting fixes include inclining patients' beds, disinfecting their mouths and using drugs to prevent ulcers that could cause stomach bacteria to infiltrate the lungs. At Cincinnati Children's Hospital Medical Center in Ohio, such steps resulted in a 90% reduction in ventilator pneumonia.
Another fix is to smooth out the massive volatility in patient traffic. A sudden flood of patients leads to all sorts of complications--from careless mistakes brought on by sleep deprivation, to patients getting treated for one condition by nurses who specialize in another.
Oddly--or sadly--enough, overcrowding in hospitals is actually the result not of sudden infectious outbreaks, but of the inefficient way surgeons book their operating rooms, says Eugene Litvak, a Boston University operations management expert. Urgent cases, like broken limbs, come in a steady stream. It's actually operations scheduled months ahead of time that cause overcrowding.
"It is easier for practically every hospital to predict when somebody will break their leg than when someone will schedule surgery," Litvak lamented to Forbes in April. "God doesn't make people sicker on Tuesday than Wednesday. We do."
Copyrighted, Forbes.com. All rights reserved.
