j****i
发帖数: 496 | 1 My friend's neighbor - 84 years old survived cancer 3 times. Not a good
idea to conceal the diagnosis. The patient should be given the choice of
fight it vs. palliative care. |
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t*******n
发帖数: 4445 | 2 Yeah, the patient usually knows anyway. Concealment may get in the way of
an honest discussion of the patient and family's priorities.
I'd suggest checking the palliative resources, as it may be needed later. |
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f****o
发帖数: 2770 | 3 维生素k3+维生素c--没用的
胃癌的口服治疗药物--不能化疗就只能hospice/palliative care了
让国内医生开减轻痛苦的药，安定，止疼的，等等 |
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f****o
发帖数: 2770 | 4 stage IV
palliative chemo
or best supportive care only
there is no 更好的治疗方法
start prepare for the worst |
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f****o
发帖数: 2770 | 5 palliative care, pain management... |
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f****o
发帖数: 2770 | 6 palliative care, pain management... |
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f****o
发帖数: 2770 | 7 帮助老人家减少痛苦---palliative care
1.一般来说, 保守的情况下, 还可以支撑2-5年. 看每个人的情况.
止疼药，镇静药
2. 主要是后面的时间, 老人家会比较着罪. 因为排便会很痛苦. 这个医学处理和护理
上有什么注意的?
泻药每天吃啊。。。colace, senna, miralax..
3. 饮食和中医, 有什么建议?
没有 |
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f****o
发帖数: 2770 | 8 她是那种ovarian cancer?Invasive epithelial?Germ cell tumors ?Fallopian tube
carcinoma
没听说
她已经复发了。。。疫苗是阻断复发，要复发前用。。。
她已经复发了，预防什么呢？
The average duration of survival after recurrence of ovarian cancer is about
12 to 18 months. 平均下来您阿姨也就1-2年时间了。
ovarian cancer复发是很常见的，和海南岛没有关系
你让阿姨接受事实，不要说什么“您一定会痊愈”之类的话，这些都是unrealistic
expectation.
要set一个reasonable goal
比如prolong life, improve life qualities through palliative care/symptom
management
用生命最后的日子做完想做的事情不留遗憾 |
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f****o
发帖数: 2770 | 9 multiple myeloma has no cure right now
bortezomib is different from lenolidomide, your father may tolerate it well
immunotherapy 免疫疗法 can have intolerable side effects as well
consult palliative care/symptom management to improve qualify of life |
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f****o
发帖数: 2770 | 10 fiorio-pharmacist (adult hematology/oncology, palliative care/pain
management) |
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f****o
发帖数: 2770 | 11 fiorio-pharmacist (adult hematology/oncology, palliative care/pain
management) |
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l*h
发帖数: 4124 | 12 i am wondering what was done, or what was attempted right after the
discovery of her condition when she was half year old. at that time, there
might have been a chance for corrective surgery.
apparently when she was 3 yo, the surgery was palliative, not corrective,
likely because the right side pressure was already too high for corrective
surgery. all the efforts afterwards were to reduce right side pressure,
including Glenn.
the best chance is still to do something about the pulmonary artery st... 阅读全帖 |
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q****d
发帖数: 535 | 13 Sorry to hear that but metastasis cancer is not curable, and eventually lead
to terminal stage. Pain control and palliative care is more important at
terminal stage. |
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M****0
发帖数: 877 | 14 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
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M****0
发帖数: 877 | 15 今天有点空，用ld的ID上来帮你分析一下。
First, you need to know the stage (as you mentioned your uncle has
adenocarcinoma which belongs to non-small cell lung cancer. If is small cell
lung cancer, it will be a different story). For most of stage I and II,
even some IIIA, the intent for treatment is cure.
If your uncle's lung cancer is just 2.5 cm and no metastases, then his
cancer is stage IA. This stage can be cured with surgery only, followed by
imagine surveillance. But he does not need an abdominal ultrasound... 阅读全帖 |
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f****o
发帖数: 2770 | 16 在不让老人知道的情况下，有什么好的治疗方法和建议？
--if diagnosis cannot be confirmed, we cannot provide any suggestion. unless
you want to proceed with palliative care only.
如不用化疗和放疗，仅用药物去治疗，有什么好的中药和西药？
化疗=药物
另外，如何在美国买到抗癌药？
抗癌药=化疗
化疗=chemotherapy=using medication/drug to treat cancer
if no mets to lung, surgery remove tumor and thyroid is common 1st line
treatment for thyroid cancer |
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n***a
发帖数: 1373 | 17 真可怜。理解妹妹的心情。但要多问老公的意见。问问他想怎么治。尽量减少痛苦是最
重要的。胃癌晚期很凶险。一定要与palliative care 谈一谈。 |
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n***a
发帖数: 1373 | 18 真可怜。理解妹妹的心情。但要多问老公的意见。问问他想怎么治。尽量减少痛苦是最
重要的。胃癌晚期很凶险。一定要与palliative care 谈一谈。 |
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m*****a
发帖数: 2160 | 19 很遗憾，这三个基因目前都没有被证实在肺癌中有效的靶向药物的。
同时，晚期肺癌是没有办法治愈的，即使能找到新的方案，也仅仅是一定程度的延长生
命和改善生活质量，这一点希望你能有一个现实的心理预期
目前使用化疗属于规范的标准治疗，一部分人能起效果
如果没效果的话，如果你父亲的身体还能耐受，下一步可以考虑的是临床试验（不太清
楚三番有哪些地方可以做，你可以在https://clinicaltrials.gov/中查），如果身体
不能耐受，或者没有合适的临床试验，恐怕palliative care是最实际也是最合适的选
择。
以及斯坦福医生的话比这个网上任何人说的都要可靠，而且他们和你父亲有法律责任层
面的医患关系。你们所在的已经是全世界医疗条件和水平最好的地方了。肺癌本身是一
个非常凶险的疾病，到这一步是疾病本身恶性程度非常高所致，确实非常令人难过 |
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m*****a
发帖数: 2160 | 20 很遗憾，这三个基因目前都没有被证实在肺癌中有效的靶向药物的。
同时，晚期肺癌是没有办法治愈的，即使能找到新的方案，也仅仅是一定程度的延长生
命和改善生活质量，这一点希望你能有一个现实的心理预期
目前使用化疗属于规范的标准治疗，一部分人能起效果
如果没效果的话，如果你父亲的身体还能耐受，下一步可以考虑的是临床试验（不太清
楚三番有哪些地方可以做，你可以在https://clinicaltrials.gov/中查），如果身体
不能耐受，或者没有合适的临床试验，恐怕palliative care是最实际也是最合适的选
择。
以及斯坦福医生的话比这个网上任何人说的都要可靠，而且他们和你父亲有法律责任层
面的医患关系。你们所在的已经是全世界医疗条件和水平最好的地方了。肺癌本身是一
个非常凶险的疾病，到这一步是疾病本身恶性程度非常高所致，确实非常令人难过 |
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j******0
发帖数: 461 | 21 首先，钢琴是乐器之王，音域宽广，很适合初学音乐的孩子。
所以让孩子学音乐，包括乐理和选择乐器，名师和名校大都是从钢琴开始的。
小提琴的音域不如钢琴宽广，所以往往不是名师的第一选择。就算是学
小提琴，有些名教授也是让学生同时上钢琴课，鼓励学生达到中级的水平。因为学音乐
还有一个发展方向是作曲指挥，那就需要很好的钢琴基础。再者，很明显你的孩子喜欢
的是钢琴的声音。这也是他的选择啊。
其次， 音乐方面的才华展现得非常早的，错过这个时机再培养，就效果不够好，可惜
了。五六岁的天才孩子就能够登台表演难度相当高的曲子，作曲家肖邦七八岁就能够写
出好听的波兰舞曲。所以你有这样的孩子很难得，要好好珍惜啊。听演奏会最好挑名家
高手的演奏，那样的话好像也得准备买票的钱吧。
第三，投入的问题。孩子如果日后成了才，这投入还是值得的。我不是鼓励每个人
都做音乐家，但音乐的教育背景会在日后的工作中带来很多便利。这是一门特殊的语言
，很多人都喜欢听音乐的。
我曾经在palliative care见习过，那里有一点象临终关怀中心，是帮病人减轻痛苦的
地方。 那里的医生和其它工作人员就是特别会想办法让病人在痛苦的时候或... 阅读全帖 |
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k**n
发帖数: 6198 | 22 那可不是,像王熙凤那样,拿个破席子,卷了轰出去了.
咱们medicare 的钱都是白交的,以后保险只怕也往死里涨,自己不把hospice 或者
palliative care 赚出来如何得了 |
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k**n
发帖数: 6198 | 23 那可不是,像王熙凤那样,拿个破席子,卷了轰出去了.
咱们medicare 的钱都是白交的,以后保险只怕也往死里涨,自己不把hospice 或者
palliative care 赚出来如何得了 |
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b******r
发帖数: 16603 | 24 TBC在REDEMPTION和HERO都混过，后来afk了
两年前回到国服，于是就加入了捂帮，stuck在Sunwell了，一堆70的。现在也就
是玩CJQ。。比RET pally好听多了，哈哈，多CJ啊。 |
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b******r
发帖数: 16603 | 25 我还stuck在国服的burning crusade啊。。黑暗不见天日中。刚练了个小号的pally满
级了。 |
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s******e
发帖数: 493 | 26 Bless!
What is a rhabdoid tumor?
A rhabdoid tumor is a rare and highly malignant tumor of childhood, first
described in 1978. These tumors were initially considered an aggressive
variant of Wilms' tumor of the kidney, however, with newer diagnostic
techniques, these tumors are believed to represent a distinct entity. Since
that time, there have been fewer than 50 cases reported, although it is
likely that some cases previously identified as medulloblastoma or as
primitive neuroectodermal tumo... 阅读全帖 |
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b*****2
发帖数: 651 | 27 Sounds like a female Pally? LOL |
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b******r
发帖数: 16603 | 28 It is...Ret Pally in full T6. |
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R******n
发帖数: 687 | 31 2011几乎全错。千万别把这些预测当真。
Byron Wien Announces The Ten Surprises for 2011
New York, January 3rd, 2011 – Byron R. Wien, Vice Chairman, Blackstone
Advisory Partners, today issued his list of The Ten Surprises for 2011. This
is the 26th year Byron has given his predictions of a number of economic,
financial market and political Surprises for the coming year. Byron defines
a “Surprise” as an event which the average investor would only assign a
one out of three chance of taking place but which Byron belie... 阅读全帖 |
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I********e
发帖数: 1155 | 32 杂志影响因子2.0，有几篇paper 需要reviewer。医学，public health，统计专业的都
可以来，影响因子不高，但是可以凑数用。
下面是paper title，你看哪些可以review短信给我,附上你的简介,email，我会直接给
你发review。我最近换工作，一些文件丢失，如果你之前给我发过消息，但是没有收到
review，在此说一句抱歉，你可以再给我发一遍。
多谢大家支持!
1. Rationale and Design for a Randomized Comparison of Efficacy and Safety
between Aspirin and Clopidogrel in Atrial Fibrillation Patients with Low
Stroke Risk: CESAC-AF trial
2. Design and Approach of the Living Organ Video Educated Donors (LOVED)
Program to Promote Living Kidney Donation in Afric... 阅读全帖 |
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c**e
发帖数: 41 | 33 the post from fishinging is reasonable. This is kind of tumor is highly
aggressive, right now it is very hard to cure. I also suggest go back to
China and do some palliative treatment. All the best wishes to your family! |
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d***y
发帖数: 263 | 34 ☆─────────────────────────────────────☆
lieren (firstblood--pally) 于 (Tue Feb 12 17:11:44 2008) 提到:
毕竟不是在美国长大的，刚考虑一下买房，想上网看看呢，结果各种疑问就来了。其实
都是些基本常识问题，就是我实在不了解，刚工作快1年，对美国社会生活的基本知识
还是非常欠缺。
我现在能想出来的问题，可能非常幼稚，基本从国内知识点出发的，希望您不要太笑话。
大致是这些：
1. 美国的房子说明上写的面积,例如1500 sq ft, 都是指使用面积（国内的词汇，还有
建筑面积，公摊面积等等）吧？
2. 车库(garage)是不是也包括在使用面积里? 我见过一些美国的房子,2层楼,但是有一
半是挑空的, 另一半面积才是真正的有第2层楼,这种情况,怎么算的面积?
3. 美国或者加州这边买新房都看什么网站? 我打算买2-bedroom的condo. 我的工资大
致能承担的起每月2500的房供, 我就想买个30-50万的, 最好40万左右把. 地点目前只
考虑离上班近, 不考虑什么学区,其他的. |
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s*r
发帖数: 2757 | 35 it is what oregon has
http://en.wikipedia.org/wiki/Oregon_Health_Plan
Springfield resident Barbara Wagner said her oncologist prescribed the
chemotherapy drug Tarceva for her lung cancer, but that Oregon Health Plan
officials sent her a letter declining coverage for the drug, and informing
her that they will only pay for palliative care and physician-assisted
suicide. She appealed the denial twice, but lost both times. Tarceva
drugmaker Genentech agreed to supply her the $4000-a-month drug for |
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l**t
发帖数: 6971 | 36 “But under the insurance plan, she can the only receive "palliative" or
comfort care, because the drug does not meet the "five-year, 5 percent rule"
-- that is, a 5 percent survival rate after five years.”
你不造谣会死啊？你认为这种基本没用的药保险应该cover？？ |
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s*****c
发帖数: 753 | 37 My honest suggestion: spend more time with your parents in US. Do not
attempt to fly back to China and get treatment, even if the cost can be
reimbursed. I won't even suggest any treatment here. What you need is not
miracle. What you and your father need is to face this and enjoy the rest
of the time together.
I know it is hard to do. My father got esophagus cancer. I fully aware the
extent and know the best way for him is to give up the chemo. But I found
it hard to tell that to my dad. ... 阅读全帖 |
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s*****c
发帖数: 753 | 38 My honest suggestion: spend more time with your parents in US. Do not
attempt to fly back to China and get treatment, even if the cost can be
reimbursed. I won't even suggest any treatment here. What you need is not
miracle. What you and your father need is to face this and enjoy the rest
of the time together.
I know it is hard to do. My father got esophagus cancer. I fully aware the
extent and know the best way for him is to give up the chemo. But I found
it hard to tell that to my dad. ... 阅读全帖 |
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n*********7
发帖数: 4682 | 39 这种就palliative care吧， 少受罪 |
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t******4
发帖数: 2300 | 40 No one can predict the moment of death. But physicians and nurses involved
in end-of-life care know that certain symptoms are usually associated with
the body's shutting down. These signs of approaching death are specific to
the natural dying process (apart from the effects of particular illnesses
the person may have).
Not all dying symptoms show up in every person, but most people experience
some combination of the following in the final days or hours:
1. Loss of appetite
Energy needs decline. ... 阅读全帖 |
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l*******8
发帖数: 1745 | 41 what kind of breast CA? TNM分期？一些乳癌肿瘤标记有没有查？treatment plan is
different.
通过和病人沟通，美国这里病人如果还是拒绝治疗那就只能不治疗了。
最后快到尽头的时候palliative care, 签DNR, DNI如果患者／家属同意的话。
楼主还是要花大精力做你妈妈的思想工作。乳癌治疗的早，活十到二十年都不成问题的。 |
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n***y
发帖数: 15001 | 42 Pally travel...
(713) 952-9898
ask for Cat..
refer by Charles... |
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t********r
发帖数: 11 | 43 Try Pally Travel 713-952-9898 |
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n***y
发帖数: 15001 | 44 713 952 9898 Pally traveling..
ask for Kat.... |
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G***G
发帖数: 16778 | 45 现在有如下这些胃癌数据参数。老板让挖掘。我不知道挖掘什么。
有经验的请指点一下，这些临床数据中可以挖掘些什么？
how to do clinical analysis based on clinical data?
maybe this is a big question.
let's give an example. suppose we have the 200 gastric patients' data like
the following. What kind of analysis should be done? what parameters should
be focused
and what parameters should be ignored?
Classification by age
hospital days
Postoperation hospital day
Family history
Biopsy before surgery
Operation duration(min)
Surgeon
Anesthesia
Volume of blood tr... 阅读全帖 |
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