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7、WhatarethefourareasoffocusaccordingtoBobHoward?
8、“Oldenemiesneverdie.”Justifyitmedically.
Unit3
1、HowwasTerryslifebeforeshewasdiagnosedwithMS?
2、WhatarethesymptomsofMSandautoimmunedisease?
3、WhatdidTerrydobeforesheself-experimented?
4、WhatapproachesdidTerrymainlyusetodealwithneurodegeneration?
5、Giveoneexampletoillustratethecorrelationbetweentoxicloadanddiseases.
6、Whatdoesthetitle“TheSeventyPercentSolution”mean?
Unit4
1、Giveabriefexplanationofthetwoconcepts:
complementarymedicineandalternativemedicine.
2、TowhatextentdoyouagreewiththeauthorsopinionontraditionalChinesemedicineasbeing“affordable,lowtech,safe,andeffective”?
3、Summarizetheclinicalusesofacupuncture.
4、Doyouthinktheauthorisoveroptimisticinpredictingawiderfutureuseofacupunctureinthe
5、Explainhowinappropriateusesofherbsmayresultincomplications.
6、Variousapproachestoherbalstudyarementionedinthetext.Chooseonetodiscusstheadvantagesandlimitations.
7、Whatarethedifficultiesininvestigatingherbaltherapies?
8、WhatarethefactorstoconsiderwhenweintegrateEasternandWesternmedicine
Unit5
1、Clarifythedifferencesbetweendiseaseanddis-ease.
2、Shareyourpersonalunderstandingabouttheclaimthathealthisamulti-dimensionalexperienceofbody,mindandspirit.
3、Illustratetherelationshipbetweenlifeonautomaticpilotand
4、Describethetimeofgreatconfusionwelivein.
5、Commenton4aculturethatvaluesthinkingmorethanfeelingandemphasizesreasonoverintuitiveawarenessandknowing.
6、Explaintheprocesswherewechangefrom^playingfull-outtoplayitsafe,orplaynottolose”.
7、Explainhowwellnesscanbeestablished
8、Makealistoftipsonhowtobecomeafullyintegratedhumanbeing.
Unit6
1、Howhastheend-of-lifecarechangedovertime?
2、WhatissaidaboutGeorge?
3、Whatadvantagesdoesahospitalhaveoveranursinghomeforend-of-lifecare?
4、Whatistheroleoffamilyandfriendswhenthepatientiscaredforathome?
5、Whatneedstobeconsideredtomakecomfortcareavailableathome?
6、Howhasthemeaningofpalliativecarechanged?
7、Whatmightbeoneofthemisconceptionsaboutchoosingahospice?
Uint7
1、Whatdifficultsituationistheyoungdoctorfacing?
2、Whatispaternalisticdecision-makinginmedicine
3、Inwhatwaycanpatientempowermentbegoodforthepatient?
4、Whydoestheauthorsaytoomuchphysicianrestraintmaynotbethatgoodforthepatient?
5、Whatkindofconsiderationsmayhavepreventeddoctorsfrommakingdecisionsfortheirpatients?
6、Doyouagreethatdoctorsshouldbepreparedtomakeanydecisionstogetherwiththeirpatients
Unit8
1、Howareresearchandpracticerelatedtoeachother?
2、Whatistheprincipleofrespectforpersons?
3、Whatistheprincipleofbeneficence?
4、HowistheprincipleofbeneficencerelatedtoHippocraticOath?
5、Whatconcreteexamplescanbegiventoillustratetheprincipleofjustice?
6、Whatisinformedconsentanditsapplication?
7、Whataretheconsiderationsinvolvedinselectionofhumansubjectsinresearch?
Unit1
一、Somefactorsthatmayleadtothecomplaint:
·
Neuronoverload
Patients*highexpectations
Mistrustandmisunderstandingbetweenthepatientandthedoctor
二、Mrs.Osorio’scondition:
A56-year-oldwoman
Somewhatoverweight
Reasonablywell-controlleddiabetesandhypertension
Cholesterolonthehighsidewithoutanymedicationsforit
Notenoughexercisessheshouldtake
HerbonesalittlethinonherlastDEXAscan
3、Goodthings:
·
Bloodtestsdone
Glucosealittlebetter
HerbloodpressurealittlebetterbutnotsogreatBadthings:
Cholesterolnotsogreat
Herweightalittleup
HerbonesalittlethinonherlastDEXAscan4
4、Thesituation:
Theauthorwasinamoderatestateofpanic:
jugglingsomanythoughtsaboutMrs.Osorio’sconditionsandtryingtoresolvethemallbeforetheclockrandown.
Mrs.Osoriomadeatrivialrequest,notsoimportantascomparedtoherconditions.
Mrs.Osorioseemedtocareonlyabouther“innocent—andcompletelyjustified—request”:
theformsignedbyherdoctor.
Thedoctortriedtooratleastpretendedtopayattentiontothepatientwhilecompletingdocumentation.
五、Similarities:
Incomputermultitasking,amicroprocessoractuallyperformsonlyonetaskatatime.Likemicroprocessors,wehumanbeingscarftactuallyconcentrateontwothoughtsatthesameexacttime.Multitaskingisjustanillusionbothincomputersandhumanbeings.
Differences:
Theconceptofmultitaskingoriginatedincomputerscience.
Atbest,humanbeingscanjuggleonlyahandfulofthoughtsinamultitaskingmanner,butcomputerscandomuchbetter.
Themorethoughtshumanbeingsjuggle,thelesshumanbeingsareabletoattunefullytoanygiventhought,butcomputerscandomuchbetter.
六、
7medicalissuestoconsider
5separatethoughts,atleast,foreachissue
7x5=35thoughts
10patientsthatafternoon
35x10=350thoughts
5residentsundertheauthorssupervision
4patientsseenbyeachresident
10thoughts,atleast,generatedfromeachpatient
5x4x10=anther200thoughts
350+200=550thoughtstobehandledintotal
Ifthedoctordoesagoodjobjuggling98%ofthetime,thatstillleavesabout10thoughtsthatmightgetlostintheprocess.
7、Possiblesolutions:
Computer-generatedreminders
Casemanagers
Ancillaryservices
Thesimplestsolution:
time
一、Theauthorimplies:
•Peoplesinadequateconsciousnessabouttheconsequenceofneglectingthere-emerginginfectiousdiseases
Unjustifiabilityofpeoplescomplacencyaboutthepreventionandcontroloftheinfectiousdiseases
Unfinishedwaragainstinfectiousdiseases
二、Victorydeclarations:
SurgeonGeneralWilliamStewart'
shyperbolicstatementofclosing“thebookoninfectiousdisease”.
Astringofimpressivevictoriesincurredbyantibioticsandvaccines
ThethoughtthatthewaragainstinfectiousdiseaseswasalmostoverWhatfollowedeversince:
AppearanceofnewdiseasessuchasAIDSandEbola
Comebackoftheoldafflictions:
»
DiphtheriaintheformerSovietUnion
TBinurbancenterslikeNewYorkCity
RisingGroupAstreptococcalconditionslikescarletfever
Thefearofapowerfulnewflustrainsweepingtheworld
3、Elaborateonthejoinedbattle:
WHOestablishedanewdivisiondevotedtoworldwidesurveillanceandcontrolofemergingdiseaseinOctober1995.
CDClaunchedapreventionstrategyin1994.
Congressraisedfundfrom$millionin1995to$26millionin1997.
4、Thebordersaremeaninglesstopathogenicmicrobes,whichcantravelfromonecountrytoanotherremotecountryinaveryshorttime.
五、TB:
PrisonsandhomelesssheltersasidealplacesforTBspread
Emergingofdrug-resistantstrainorevenmulti-drug-resistantstrain
ArideontheHIVw^onbyattackingtheimmunocompromised
GroupAstrep:
Achangeinvirulence
Mutationintheexteriorofthebacterium
Flu:
Constantchangesinitscoat(surfaceantigens)andresultantchangesinitslevelofvirulence
六、Examples:
ExperimentinEnglandisseeingthewaningimmunitybecauseofnovaccination.
Duetopoorvaccinationefforts,thediphtheriasituationintheformerSovietUnionisserious.'
•ThevaccinationratesaredroppinginsomeAmericancities,anditwillleadtomorediphtheriaandwhoopingcough.
7、Thefourareasoffocus:
Theneedforsurveillance
Updatedsciencecapableofdealingwithdiscoveriesinthefield
Appropriatepreventionandcontrol
Strongpublichealthinfrastructure
八、TheinfectiousdiseasessuchasTB,flu,diphtheriaandscarletfeverwillneverreallygoaway,andthewaragainstthemwillneverend.
1、Terry'
slifebefore
ShelovedpracticingTaeKwonDo
Shelovedthesurgeofadrenalinethatcamewiththecontrolledcombatoftournaments.
Shecompetednationally,evenwonbronzemedalinthetrialsforthePanAmericanGames.
Sheattendedmedicalschool,practicedasaninternalmedicineresident,andbecameanacademicgeneralinternist.
Shegotmarriedandgotasonandadaughter.
二、ThesymptomsofMSandautoimmunedisease:
Lossofstaminaandstrength
Problemswithbalance
Boutsofhorrificfacialpain
Dipsinvisualacuity
3、Terrydidthefollowingbeforesheself-experimented:
Shestartedinjections.
Sheadoptedmanypharmacotherapies.
Shebeganherownstudyofliterature:
ShereadarticlesonwebsitessuchasPubMed.
ShesearchedforarticlestestingnewMSdrugsinanimalmodels.
Sheturned