解放军文职招聘考试Patients and doctors 病人与医生-解放军文职人员招聘-军队文职考试-红师教育

发布时间:2017-06-30 23:49:38This is a sceptical age, but although our faith in many of the things in which our forefathers fervently believed has weakened, our confidence in the curative properties of the bottle of medicine remains the same a theirs. This modern faith in medicines is proved the fact that the annual drug bill of the Health Services is mounting to astronomical figures and shows no signs at present of ceasing to rise. The majority of the patients attending the medical out-patients departments of our hospitals feel that they have not received adequate treatment unless they are able to carry home with them some tangible remedy in the shape of a bottle of medicine, a box of pills, or a small jar of ointment, and the doctor in charge of the department is only too ready to provide them with these requirements. There is no quicker method of disposing of patients then by giving them what they are asking for, and since most medical men in the Health Services are overworked and have little time for offering time-consuming and little-appreciated advice on such subjects as diet, right living, and the need for abandoning bad habits etc., the bottle, the box, and the jar are almost always granted them.Nor is it only the ignorant and ill-educated person who was such faith in the bottle of medicine. It is recounted of Thomas Carlyle that when him in his pocket what remained of a bottle of medicine formerly prescribed for an indisposition of Mrs. Carlyle"s. Carlyle was entirely ignorant of what the bottle in his pocket contained, of the nature of the illness from which his friend was suffering, and of what had previously been wrong with his wife, but a medicine that had worked so well in one form of illness would surely be of equal benefit in another, and comforted by the thought of the help he was bringing to his friend, he hastened to Henry Taylor"s house. History does not relate whether his friend accepted his medical help, but in all probability he did. The great advantage of taking medicine is that it makes no demands on the taker beyond that of putting up for a moment with a disgusting taste, and that is what all patients demand of their doctors -- to be cured at no inconvenience to themselves.参考译文这是一个怀疑一切的时代,可是虽然我们对我们祖先笃信的许多事物已不太相信,我们对瓶装药品疗效的信心仍与祖辈一样坚定。卫生部门的处度药费上升到了天文数字,并且目前尚无停止上升的迹象,这个事实证实了现代人对药物的依赖。在医院门诊部看病的大多数人觉得,如果不能带回一些看得见、摸得着的药物,如一瓶药水,一盒药丸、一小瓶药膏回家的话,就没算得到了充分的治疗。负责门诊的医生也非常乐意为前来看病的人提供他们想要得到的药物,病人要什么就给什么,没有比这样处理病人更快的方法了。因为卫生部门的大多数医生超负荷工作,所以没有多少时间提出一些既费时而又不受人欢迎的忠告,如注意饮食、生活有规律,需要克服坏习惯等等,结果就是把瓶药、盒药、罐药开给看病的人而完事大吉。并不只是那些无知和没受过良好教育的人才迷信药瓶子。据说托马斯.卡莱尔有过这么一件事:他听说朋友亨利.泰勒病了,就立刻跑去看他,衣袋里装上了他妻子不舒服时吃剩下的一瓶药。卡莱尔不知道药瓶子里装的是什么药,不知道他的朋友得的是什么病,也不知道妻子以前得的是什么病,只知道一种药对一种病有好处,肯定对另一种病也会有好处。想到能对朋友有所帮助,他感到很欣慰,于是急急忙忙来到了亨利.泰勒的家里,他的朋友是否接受了他的药物治疗,历史没有记载,但很可能接受了。服药的最大优点是:除了暂时忍受一下令人作呕的味道外,对服药人别无其他要求。这也正是病人对医生的要求 -- 病要治好,但不要太麻烦。

解放军文职招聘考试医生电梯劝阻老人吸烟对方猝死 补偿1.5万冤不冤-解放军文职人员招聘-军队文职考试-红师教育

解放军文职招聘考试医生电梯劝阻老人吸烟对方猝死 补偿1.5万冤不冤发布时间:2017-11-03 18:33:05原标题:医生电梯劝阻老人吸烟对方猝死 补偿1.5万冤不冤文 | 敬一山最近又有一起好人可能 被冤枉 的新闻,在网上引起热议。大概半年前,河南郑州一位医生杨君,在小区电梯里劝一名老汉不要抽烟,结果引发争执,老人情绪激动心脏病发作离世。后来家属将杨君告上法庭,要求40余万元的赔偿。法院一审认为杨君的行为与老汉死亡没有必然的因果关系,所以不承担侵权责任,但根据公平原则,杨君要向死者家属补偿1.5万元。这一判决引发家属不满,目前正处于二审阶段。该事件传到网上后,各路网友也纷纷表示不满。只不过这个不满是针对死者家属,代表性的意见是认为,老汉在电梯抽烟,属于绝对的过错方,医生出面劝阻是公民权利,甚至可以说是见义勇为,因此赔一毛钱都是冤枉。(图文无关)网友在这件事情中的态度,的确代表着一种朴素的正义观。 不能让好人吃亏 ,这是网络持续已久的诉求。这种诉求在标志性的南京彭宇案中曾得到集中表达。如果一个扶老人的年轻人被冤,以后谁还敢去做好人?尽管彭宇案本身的真相,后来变得扑朔迷离,但这种正义焦虑在网络延续至今。套用当初的困惑就是 如果电梯劝阻抽烟还要赔钱,以后谁还敢说话?相比当初的彭宇案,这一次的医生劝阻吸烟案,因为有视频有真相,事实层面并不存在争议,所以法院的判决也相对容易。法院一审判决医生不承担侵权责任,家属因为所处位置不同,表达什么样的意见从感情上都能理解,而在吃瓜群众看来,这还是比较公允的。有争议的是补偿1.5万元 既然医生没责任,为什么还要补偿?在法律和情理上,这倒也说得通。按照《侵权责任法》第24条: 受害人和行为人对损害的发生都没有过错的,可以根据实际情况,由双方分担损失。 这个分担在定性上不是赔偿,也不是不问是非的各打五十大板,而是综合考虑双方经济状况、主观意愿等多种因素,做出的带有救济受害人性质的一种安排。医生自己也有表态,即便家属不索赔,他发自内心也想给予家属一定补偿,可见法律和人情在人道主义层面是有共识的。(图文无关)对医生都认的补偿,网友之所以不满,则是出于更现实的考量,叫 赔偿 还是 补偿 ,虽然性质和内涵不一样,但最终都是要掏钱。电梯遭遇吸烟在生活中并不罕见,现实中碍于情面不敢发作的居多,好容易有个勇士发声,竟还要莫名赔钱。网友一旦代入医生的立场,难免更加愤愤不平。尤其是现在死者家属并不领情,仍要坚持上诉索赔,这让补偿的人道主义立场更显尴尬。补偿这一旨在保障弱势权益的法律规定,的确有其天然 缺陷 。无过错即无责任,这本应是法律的基本原则。补偿条款等于是强制让私人承担了社会救助的义务,遇到愿意配合的人还好,如果当事人坚决不出这个钱,很容易陷入法律和道德的困境。而且在舆论层面,也容易造成 好人被冤 的印象。所以在执行中,这样的补偿条款还是应该少用慎用。不知道这一特殊案例法院最终如何判定,当下就很明确的是,即便未来还是有补偿,也绝不代表医生的劝阻行为有错。补偿并不是惩罚,不是鼓励面对电梯里有人抽烟时沉默,更不是混淆是非,不过是对一个生命意外亡故的安慰。

2017军队文职人员招聘考试(医学类基础综合)精选试题及答案一-解放军文职人员招聘-军队文职考试-红师教育

2017军队文职人员招聘考试(医学类基础综合)精选试题及答案一发布时间:2017-11-17 22:42:451). 对胸腰筋膜的描述,不正确的是 ( )A.胸背区较薄B.覆于斜方肌和背阔肌的表面C.覆于竖脊肌表面,向上续项筋膜D.在胸背区内侧附于胸椎棘突和棘上韧带E.腰区较厚并分为前、中、后3层正确答案:B2). 某中年男患者因心脏病发作被送到急诊室,症状及检查结果均明确提示心肌梗死。患者此时很清醒,但由于费用等原因,患者拒绝住院,坚持回家。此时医生应该( )A.尊重患者自主权,同意他回家,医生无任何责任B.尊重患者自主权,但应尽力劝导患者住院,无效时办好相关手续C.尊重患者自主权,但应尽力劝导患者住院,无效时行使干涉权D.行使医生自主权,为救治患者强行留患者住院E.行使医生特殊干涉权,强行把患者留在医院正确答案:C