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4lqedz 发表于 2024-5-29 23:12:02

沈琳院长手把手教肠癌胃癌病人怎么样看病

    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">2022年4月24日，一个周日的夜晚，北京大学肿瘤医院的沈琳教授来到了熊猫和<span style="color: black;">伴侣</span>们的直播间。给肠癌、胃癌的<span style="color: black;">病人</span>和家属讲了<span style="color: black;">怎样</span>看病，<span style="color: black;">怎样</span>培养<span style="color: black;">青春</span><span style="color: black;">大夫</span>，<span style="color: black;">那些</span>临床<span style="color: black;">科研</span>有<span style="color: black;">期盼</span>。<span style="color: black;">无</span>高深的专业术语，但有医者的情怀和大爱。</p>
    <div style="color: black; text-align: left; margin-bottom: 10px;"><a style="color: black;"><span style="color: black;"><span style="color: black;">北京大学肿瘤医院沈琳院长讲<span style="color: black;">怎样</span>看病</span><span style="color: black;">1.3 万播放 · 8 赞同<span style="color: black;">视频</span></span></span><span style="color: black;"><img src="https://pic1.zhimg.com/v2-8715cddeeecd14eb2ceb65b0edc5488f_r.jpg?source=2231c908" style="width: 50%; margin-bottom: 20px;"><span style="color: black;"><span style="color: black;">​</span></span></span></a></div>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">能<span style="color: black;">不可</span>给<span style="color: black;">咱们</span>上海<span style="color: black;">病友</span>Alison下一步的诊疗<span style="color: black;">意见</span>？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：我对这个姑娘印象很深，<span style="color: black;">然则</span>我给不了<span style="color: black;">详细</span><span style="color: black;">意见</span>。她的<span style="color: black;">状况</span>我得看影像<span style="color: black;">才可</span>判断：原来的肿瘤是什么样子？<span style="color: black;">此刻</span><span style="color: black;">发展</span>的范围有多大，是上次射频消融的周边有问题，还是整体的<span style="color: black;">发展</span>？<span style="color: black;">咱们</span>很难在<span style="color: black;">微X</span><span style="color: black;">或</span>视频里看病。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>她是一个HER2阳性肠癌，<span style="color: black;">此刻</span><span style="color: black;">药品</span><span style="color: black;">亦</span>比较多，更<span style="color: black;">必须</span>精细化管理。直播完了把<span style="color: black;">仔细</span>资料发我，我再<span style="color: black;">瞧瞧</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">您<span style="color: black;">此刻</span>周三上午出诊，一上午能看几个号？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：我只能看十七八个号，我看得比较仔细，来找我看的<span style="color: black;">病人</span><span style="color: black;">常常</span>病程比较长，<span style="color: black;">状况</span>比较<span style="color: black;">繁杂</span>，资料<span style="color: black;">亦</span>多，我把所有<span style="color: black;">状况</span>都<span style="color: black;">认识</span>清楚，<span style="color: black;">才可</span>给出诊疗<span style="color: black;">意见</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以前我从八点半看到下午两三点，<span style="color: black;">由于</span><span style="color: black;">近期</span>身体<span style="color: black;">亦</span>不太好，<span style="color: black;">此刻</span>看到<span style="color: black;">晌午</span>一点<span style="color: black;">上下</span>。以前每周还有在院外出诊1-2次，<span style="color: black;">此刻</span><span style="color: black;">亦</span><span style="color: black;">由于</span>身体<span style="color: black;">原由</span>暂时不出了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>挂不上您的号，还想让您参与病情决策，有<span style="color: black;">无</span>办法？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：挂北大肿瘤医院消化肿瘤内科其他<span style="color: black;">大夫</span>的号。<span style="color: black;">倘若</span>遇到<span style="color: black;">状况</span>比较棘手，<span style="color: black;">她们</span>都会拿到<span style="color: black;">咱们</span>科室的大查房来<span style="color: black;">一块</span>讨论，我会参与意见。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">包含</span>我自己拿不定主意，我<span style="color: black;">亦</span>会把<span style="color: black;">病人</span>的<span style="color: black;">状况</span>拿到科室大查房去集思广益。<span style="color: black;">因此</span><span style="color: black;">咱们</span>科医生的诊疗<span style="color: black;">意见</span>一致性比较好，疑难杂症都是集体讨论出意见。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">那些</span><span style="color: black;">病人</span>适合看您的门诊？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：消化道肿瘤，病情<span style="color: black;">繁杂</span>，又在治疗<span style="color: black;">重要</span>节点的<span style="color: black;">病人</span>，来看我门诊比较合适。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">前提是你的<span style="color: black;">检测</span>结果都齐备了，不要来了之后才<span style="color: black;">发掘</span><span style="color: black;">检测</span>还不充分，还得补<span style="color: black;">检测</span>。补完<span style="color: black;">检测</span>你又挂不上号了。<span style="color: black;">亦</span>占用了其他人的治疗资源，<span style="color: black;">哪些</span>适合挂号来看的就来不了，这是一种浪费。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>治疗好几年，<span style="color: black;">各样</span><span style="color: black;">检测</span>数据<span style="color: black;">亦</span>多，最好能自己整理一个笔记，把治疗过程简明扼要的写出来。<span style="color: black;">而后</span>把所有影像胶片、<span style="color: black;">检测</span>报告，<span style="color: black;">根据</span>时间排好<span style="color: black;">一块</span>带过来。<span style="color: black;">这般</span><span style="color: black;">咱们</span>能看得比较快。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小韩<span style="color: black;">弥补</span>：沈院会看全程的影像，<span style="color: black;">每一个</span>治疗<span style="color: black;">方法</span>下肿瘤的变化，再<span style="color: black;">按照</span>病理，基因，肿标的<span style="color: black;">状况</span>去做判断，资料<span style="color: black;">必定</span>要完整和有<span style="color: black;">次序</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">小韩2017年在北大肿瘤看病时，那时消化肿瘤内科的号还挺好挂，<span style="color: black;">此刻</span>副<span style="color: black;">专家</span>级别的号秒空，科里的<span style="color: black;">青春</span><span style="color: black;">大夫</span>的水平能让人<span style="color: black;">安心</span>么？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：<span style="color: black;">她们</span><span style="color: black;">针对</span><span style="color: black;">平常</span>的胃癌、肠癌和其他消化道肿瘤的绝大<span style="color: black;">都数</span><span style="color: black;">状况</span>的治疗<span style="color: black;">无</span>任何问题，<span style="color: black;">由于</span><span style="color: black;">她们</span>都<span style="color: black;">已然</span>在临床一线<span style="color: black;">熬炼</span>超过10年了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>确实压力非常大，科里就十几个<span style="color: black;">大夫</span>，每人每年要看500个以上的<span style="color: black;">病人</span>，<span style="color: black;">青春</span><span style="color: black;">大夫</span><span style="color: black;">非常多</span>看门诊都从<span style="color: black;">晌午</span>一点看到<span style="color: black;">夜晚</span>九点十点，不吃饭喝水上厕所，<span style="color: black;">已然</span>尽了最大<span style="color: black;">奋斗</span>，但依然满足不了<span style="color: black;">大众</span>看病的需求。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span><span style="color: black;">亦</span>在北肿云病历开了线上门诊，<span style="color: black;">倘若</span><span style="color: black;">检测</span>在<span style="color: black;">咱们</span>医院做了，<span style="color: black;">咱们</span><span style="color: black;">能够</span>线上看诊，<span style="color: black;">病人</span><span style="color: black;">亦</span><span style="color: black;">不消</span>一趟一趟地跑，能节省一点彼此的时间。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">消化肿瘤内科<span style="color: black;">大夫</span>懂不懂其他科室的技术和发展，<span style="color: black;">例如</span>胃肠外科、肝胆外科、超声科、介入科？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：在多学科会诊MDT<span style="color: black;">其中</span>，除了<span style="color: black;">一块</span>讨论，出治疗<span style="color: black;">方法</span>外，<span style="color: black;">咱们</span>学到了<span style="color: black;">非常多</span>科室的治疗思路，<span style="color: black;">她们</span>对<span style="color: black;">病人</span><span style="color: black;">重点</span>考量<span style="color: black;">那些</span><span style="color: black;">原因</span>，怎么做决策。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人</span>在其他科室治疗后还要回来内科来治疗，<span style="color: black;">咱们</span>对他的治疗效果和<span style="color: black;">结果</span><span style="color: black;">亦</span>比较<span style="color: black;">认识</span>。循环往复验证后，<span style="color: black;">咱们</span>就<span style="color: black;">晓得</span><span style="color: black;">那些</span>治疗<span style="color: black;">方法</span>比较有效。MDT让<span style="color: black;">咱们</span><span style="color: black;">亦</span><span style="color: black;">加强</span>了医疗水平。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">线上门诊能<span style="color: black;">不可</span>替代线下门诊？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：我之前<span style="color: black;">亦</span>在看过一段时间线上门诊，<span style="color: black;">重点</span>是出差在飞机场、火车上之类的零碎时间，把它利用起来多看几个<span style="color: black;">病人</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">一方面系统我感觉看片子费劲，<span style="color: black;">欠好</span>使，更<span style="color: black;">要紧</span>的是<span style="color: black;">欠妥</span>面交流，我看不到<span style="color: black;">病人</span>的<span style="color: black;">状况</span>，他的健康状态，他的<span style="color: black;">心理</span>。有时<span style="color: black;">咱们</span>做判断<span style="color: black;">必须</span>一种直觉，线上看诊就给不了我这种直觉。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">看完了之后，我就觉得很忐忑，<span style="color: black;">无</span><span style="color: black;">自信心</span>，<span style="color: black;">无</span>办法形成很笃定的意见；<span style="color: black;">倘若</span>有一点点<span style="color: black;">可疑</span>我就会反复琢磨，不踏实，最后决定把线上暂时停了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈院长不看门诊时在干嘛？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：科室大查房时要集体讨论，科室别的<span style="color: black;">大夫</span>有遇到特殊案例会随时找我沟通。<span style="color: black;">倘若</span>有紧急<span style="color: black;">状况</span>，<span style="color: black;">必须</span><span style="color: black;">救治</span><span style="color: black;">病人</span>的，<span style="color: black;">亦</span>都会来找我。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我还有几十个新药临床<span style="color: black;">科研</span>要负责，参与临床<span style="color: black;">科研</span>的<span style="color: black;">病人</span><span style="color: black;">显现</span>不良反应<span style="color: black;">咱们</span>要集体讨论怎么处理，还要跟药企<span style="color: black;">研究</span>团队去沟通。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我还有<span style="color: black;">非常多</span><span style="color: black;">教育</span>工作，带博士生，带<span style="color: black;">青春</span><span style="color: black;">大夫</span>，<span style="color: black;">她们</span>出点什么<span style="color: black;">情况</span>，我<span style="color: black;">亦</span>得管，失恋了我<span style="color: black;">亦</span>得管，笑。还有一点医院的行政管理工作。每一天都很忙的。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">培养一个<span style="color: black;">大夫</span><span style="color: black;">必须</span>多久啊？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：带一个学生要非常久的时间，甚至10年以上。<span style="color: black;">咱们</span>把学生带在身边，遇到特殊类型<span style="color: black;">病人</span>，<span style="color: black;">咱们</span>要提醒他<span style="color: black;">重视</span>什么。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">临床医学是科学+经验医学两个方面，光有科学是<span style="color: black;">不足</span>的，<span style="color: black;">因此</span><span style="color: black;">无</span><span style="color: black;">长期</span>的经验<span style="color: black;">累积</span>是不行的。刚<span style="color: black;">起始</span>有<span style="color: black;">有些</span><span style="color: black;">地区</span><span style="color: black;">无</span>想到，<span style="color: black;">亦</span>请<span style="color: black;">大众</span>多多谅解，成长总<span style="color: black;">必须</span>一个过程。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">咱们</span>培养<span style="color: black;">青春</span><span style="color: black;">大夫</span>的标准<span style="color: black;">便是</span>：等我老了之后，我能把自己<span style="color: black;">安心</span>地交给<span style="color: black;">她们</span>，让<span style="color: black;">她们</span>给我看病。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>我以后不敢去找自己的学生看病，那就说明对<span style="color: black;">教育</span>质量<span style="color: black;">咱们</span>自己就不满意，<span style="color: black;">因此</span>这是一个非常漫长的过程。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">面对<span style="color: black;">那样</span>多难治型的<span style="color: black;">病人</span>，您的<span style="color: black;">自信心</span>动摇过么？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：<span style="color: black;">实质</span>上每一个<span style="color: black;">病人</span>来就诊，他的<span style="color: black;">将来</span>和<span style="color: black;">结果</span><span style="color: black;">咱们</span>是<span style="color: black;">晓得</span>的，但<span style="color: black;">病人</span>和家属不<span style="color: black;">晓得</span>。<span style="color: black;">针对</span><span style="color: black;">茫然</span>自信的，<span style="color: black;">咱们</span>要适当打击他一下，让他面对现实。<span style="color: black;">针对</span>绝望的<span style="color: black;">病人</span>，我们又要给予他<span style="color: black;">必定</span><span style="color: black;">期盼</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>有<span style="color: black;">期盼</span>治愈的<span style="color: black;">病人</span>，哪怕万分之一的<span style="color: black;">期盼</span><span style="color: black;">咱们</span><span style="color: black;">亦</span><span style="color: black;">想要</span>尽一切办法让他有机会治愈。<span style="color: black;">针对</span>没办法治愈的<span style="color: black;">病人</span>，<span style="color: black;">咱们</span><span style="color: black;">尽可能</span>让他能稳定住，能够回到工作和家庭生活。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">当<span style="color: black;">咱们</span><span style="color: black;">晓得</span>一个<span style="color: black;">病人</span><span style="color: black;">已然</span>没办法<span style="color: black;">掌控</span>住病情的时候，<span style="color: black;">咱们</span>要提醒他提前安排<span style="color: black;">有些</span>事。哪怕最后一两个月，<span style="color: black;">咱们</span><span style="color: black;">亦</span>要让他有<span style="color: black;">期盼</span>。<span style="color: black;">无</span><span style="color: black;">期盼</span>的人<span style="color: black;">无</span>办法坚持治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">这种<span style="color: black;">期盼</span>不是<span style="color: black;">大众</span>想象那种都能治愈的<span style="color: black;">期盼</span>，<span style="color: black;">日前</span>医学并不是什么<span style="color: black;">状况</span>下都有办法。<span style="color: black;">非常多</span>时候<span style="color: black;">大众</span>觉得<span style="color: black;">大夫</span>高冷，其实<span style="color: black;">大夫</span>始终应该是理性的，去帮<span style="color: black;">病人</span>的家庭客观地做判断。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">我跟武爱文教授聊天，他认为肠癌10-20年就<span style="color: black;">解决</span>。我问你那时怎么办？他说我那时<span style="color: black;">已然</span><span style="color: black;">离休</span>了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">您认为肠癌胃癌彻底<span style="color: black;">解决</span>有<span style="color: black;">无</span>时间表？10年？20年？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：肠癌的治愈率<span style="color: black;">已然</span>很高了，总体60%以上，美国那边早诊早筛做得好，<span style="color: black;">她们</span>能到68%。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">此刻</span>是一个新药井喷的时代，<span style="color: black;">例如</span>原来认为不可成药的KRAS基因，<span style="color: black;">此刻</span><span style="color: black;">亦</span>有G12C的靶向药出来了。有了PD-1和其他的免疫治疗<span style="color: black;">药品</span>后，微卫星高度不稳定晚期的胃肠癌基本都能被治愈了。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">将来</span>，我想肠癌大部分人应该能被治愈，高龄<span style="color: black;">病人</span>能以10年<span style="color: black;">存活</span>率来计算，那跟治愈<span style="color: black;">亦</span>差不多，能达到<span style="color: black;">此刻</span>乳腺癌的<span style="color: black;">状况</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">胃癌更<span style="color: black;">繁杂</span>，它的异质性更强，治疗难度大。你治好一小部分人，剩下的大<span style="color: black;">都数</span>还是治<span style="color: black;">欠好</span>。<span style="color: black;">针对</span>微卫星高度不稳定的，HER2、CLDN18.2、MET、FGFR的<span style="color: black;">咱们</span>办法越来越多，有的能治愈，有的能<span style="color: black;">长时间</span><span style="color: black;">掌控</span>，<span style="color: black;">亦</span>有能超过5年的，<span style="color: black;">然则</span>跟肠癌有差距。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">细胞治疗<span style="color: black;">发展</span><span style="color: black;">火速</span>，之前<span style="color: black;">咱们</span>没办法的标准化疗耐药的<span style="color: black;">病人</span>，用CAR-T细胞治疗，又有一大半<span style="color: black;">病人</span>有效，这方面<span style="color: black;">近期</span>进步很大，但<span style="color: black;">同期</span>这是一个<span style="color: black;">初期</span>的成果，还有<span style="color: black;">非常多</span>问题<span style="color: black;">必须</span><span style="color: black;">咱们</span>进一步<span style="color: black;">处理</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">大众</span><span style="color: black;">必定</span>要<span style="color: black;">保持</span>住，不要放弃，<span style="color: black;">亦</span>许几个月后就有新的办法出来。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">有什么门诊来不及嘱咐的话，有什么<span style="color: black;">意见</span>给<span style="color: black;">咱们</span><span style="color: black;">病友</span>？</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">沈琳教授：肿瘤治疗有时间窗口，一旦<span style="color: black;">错失</span>了治疗窗口，谁都拉不回来，<span style="color: black;">不可</span>逃避治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">肿瘤治疗又非常<span style="color: black;">繁杂</span>，<span style="color: black;">必须</span><span style="color: black;">非常多</span><span style="color: black;">检测</span>之后<span style="color: black;">咱们</span><span style="color: black;">才可</span>做出准确判断，确诊之后<span style="color: black;">亦</span><span style="color: black;">不可</span>太着急马上开刀，<span style="color: black;">必定</span>要<span style="color: black;">检测</span><span style="color: black;">状况</span>、判断明白，再进行治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">确诊之后<span style="color: black;">能够</span>读<span style="color: black;">有些</span>科普，正确认识<span style="color: black;">疾患</span>，但不要纠结技术细节，肿瘤的治疗是综合判断，<span style="color: black;">况且</span>治疗路径并不是非此即彼，让专业的<span style="color: black;">大夫</span>去把握大局。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">别的<span style="color: black;">病友</span>经验<span style="color: black;">不可</span>生搬硬套，<span style="color: black;">每一个</span>人<span style="color: black;">状况</span>不同，别人治疗<span style="color: black;">方法</span>并不适合你。病友之间更不要传播小道<span style="color: black;">信息</span>，容易影响到别人治疗。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">治疗过程中，依从性非常<span style="color: black;">要紧</span>，对<span style="color: black;">大夫</span><span style="color: black;">协同</span>好的<span style="color: black;">病人</span>的预后<span style="color: black;">显著</span>更好。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">✦</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">以上记录只是摘取直播的小部分内容，<span style="color: black;">剧烈</span><span style="color: black;">意见</span>全程回看视频，<span style="color: black;">非常多</span><span style="color: black;">病友</span>看完都<span style="color: black;">暗示</span>深受鼓舞，顿觉有了<span style="color: black;">期盼</span>，祝愿沈琳院长能够在保重身体的前提下多看<span style="color: black;">有些</span><span style="color: black;">病人</span>，多做<span style="color: black;">有些</span>新药临床，多给<span style="color: black;">咱们</span><span style="color: black;">有些</span><span style="color: black;">期盼</span>。</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">✦</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">作者：小韩，肿瘤<span style="color: black;">病人</span>家属，熊猫和<span style="color: black;">伴侣</span>们<span style="color: black;">病人</span>互助组织发起人，</p>
    <p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">支持我请：分享点赞</p>

b1gc8v 发表于 2024-10-13 22:27:32

期待楼主的下一次分享！”

4zhvml8 发表于 2024-11-1 12:17:38

感谢楼主的分享！我学到了很多。

7wu1wm0 发表于 2024-11-5 22:07:21

顶楼主，说得太好了！

b1gc8v 发表于 2024-11-14 22:24:57

楼主节操掉了，还不快捡起来！

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