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朱正纲:医学是一门科学,不掺杂任何杂质

2016-09-23 商涛 39健康网

他是我国胃癌临床诊治与研究专家,是上海瑞金医院外科的学科带头人,1991年毕业于上海第二医科大学,获博士学位。现任瑞金医院外科主任医师、外科学教授、博士生导师,上海交通大学医学院教授会主委、上海消化外科研究所所长、上海市胃肿瘤重点实验室主任;历任瑞金医院外科副主任、主任、外科教研室主任、医院副院长、院长,原上海第二医科大学副校长、上海交通大学副校长、医学院院长等职。兼任中国医师协会常务理事、中

他是我国胃癌临床诊治与研究专家,
是上海瑞金医院外科的学科带头人,
1991年毕业于上海第二医科大学,获博士学位。

现任瑞金医院外科主任医师、外科学教授、博士生导师,
上海交通大学医学院教授会主委、
上海消化外科研究所所长、
上海市胃肿瘤重点实验室主任;
历任瑞金医院外科副主任、主任、外科教研室主任、医院副院长、院长,
原上海第二医科大学副校长、上海交通大学副校长、医学院院长等职。
兼任中国医师协会常务理事、
中国外科医师分会副会长兼上消化道外科医师专委会主任委员、
中国抗癌协会常务理事兼胃癌专业委员会主任委员、
上海市抗癌协会副理事长兼胃肠肿瘤专业委员会主任委员、
上海医学会副会长兼外科学会主任委员。

他是我国最早开展NIPS(术前新辅助腹腔与全身联合化疗)治疗晚期胃癌的专家,并积极推动对进展期胃癌先行新辅助化疗,使原发肿瘤及其转移灶获得有效控制并达到降期目的后,在争取施行根治性手术,以确实改善患者的预后。

多年来,他带领的团队坚持开展相关基础与临床系列研究,取得了令人鼓舞的成果。

他领衔的“一滴血筛查早期胃癌”正逐步从实验室向市场转化,大大改善了我国缺乏早期胃癌的筛查手段及机制,对于提高早期胃癌的诊治率做出了重大贡献。

他就是在我国胃癌诊治领域享有盛誉,第九届中国健康总评榜“年度人物”之一的著名专家——朱正纲教授。

晚期胃癌患者不要再盲目开刀了!朱正纲“拦刀”事件可以说是刷爆了朋友圈。

作为上海瑞金医院胃肠外科的带头人、我国胃癌诊治与研究专家、“一滴血筛查早期胃癌”项目的领衔者,近一年来,朱正纲将工作重心放在了胃癌晚期患者身上,他总在不同的学术场合跟医生们说,不要轻易给晚期胃癌患者开刀。

按照传统的认知,手术切除是治疗晚期胃癌患者最后的希望,可朱正纲却不这样想。

在他看来,对待晚期胃癌患者不可轻易动刀,而是应该积极开展术前的转化治疗或术前新辅助治疗,使患者原发肿瘤与转移灶得到有效控制,达到临床降期效果后,再争取进行根治性的手术。

“从国外的先进经验来看,特别是高水平前瞻性、多中心的临床研究结果表明,进展期癌肿并不能单纯依赖手术治疗而解决。

肿瘤一旦发生转移,一定要采取综合的治疗方式,以期降低肿瘤复发率,提高患者的长期生存率; 对于早期肿瘤单纯手术可以达到根治目的, 但对于对晚期肿瘤就不行了。”朱正纲说道。

不宜给晚期癌症轻易动刀

胃癌是我国常见的恶性肿瘤之一。据世界卫生组织所属国际癌症研究机构发布的最新数据显示,2012年我国胃癌新发病例约44.65万,占全球的47%。其发病率在我国恶性肿瘤中排名第二位,死亡率排名居第三位。

众所周知,胃癌早期症状不典型、隐匿性较强。而在我国胃镜常规检查也远未得到普及和足够的重视,实际上约60%~80%患者就诊时已到了中晚期。

因而, 很多患者在被确诊为胃癌后,心急如焚,恨不得马上做手术。殊不知, 是否手术应该根据肿瘤的临床分期、患者全身状态等,经过认真评估后方能决定,患者应该尽量冷静,待医生根据病情提出治疗方案。

朱正纲提醒,在首次治疗决策前,一定要做全面检查,包括多层螺旋CT、胃镜或超声胃镜等,以判断肿瘤是否有转移,明确术前临床分期; 同时还应了解肿瘤病理类型甚至分子分型、对全身重要脏器功能进行评估等,这样能够帮助医生制定最适合的治疗方案。

朱正纲认为,对肿瘤单纯强调开刀是理念上的缺失。人类对抗肿瘤历史近百年,比起科技的创新与进步,观念的进步更为重要。

其实,朱正纲并不是唯一的对晚期胃癌“拦刀医生”,与他一道奔走的,还有北京协和医院、上海中山医院、上海肿瘤医院、北京肿瘤医院等医院的一些医生。

在谈及“拦刀”的理念时,朱正纲表示,对于治疗方案上的优化,首先依赖于治疗理念上的转变,针对晚期胃癌的治疗应该推广“转化性治疗”的新概念,只有应用多学科综合治疗理念与手段,才可望进一步改善患者的预后。

“所谓的拦刀并非不让患者做手术,而从专业角度来讲,对于晚期肿瘤,不宜直接去开刀,因为晚期肿瘤基本上多已发生转移,而且转移程度可能已经超出了手术能够根治的范围。

我们希望用更多的事实依据来证明,使更多基层医院的医务人员理解这个概念,不断改善诊疗方式。”朱正纲这样说道。

对于晚期胃癌,“‘拦刀’的理念并非一时之间产生的,而是根据多年的临床实践总结得出,是在与国内外同行进行经常性学术交流后得出的,是在临床中发现问题后得出的。”

朱正纲介绍,转化性治疗对晚期胃癌进行转化性治疗初见成果与肿瘤综合性治疗水平的不断提升息息相关,特别是生物靶向药物的问世出现及化疗、放疗、介入等技术的发展,为转化性治疗治疗晚期胃癌提供了新方案思路。

在瑞金医院,对于晚期胃癌患者都要进行全部要转化治疗,并通过综合评估,再争取手术治疗都不直接开刀。

规避“非学术因素”干扰,加强多学科合作

不少外科医生往往更关注手术的技巧,而忽视了手术对患者预后的影响,或对患者术后生活质量关注甚少。

对此,朱正纲表示,作为一名医生应该更多的考虑治疗的效果,如何能延长患者的生命,应该尽可能规避“非学术因素”干扰。要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善。

目前,在瑞金医院,朱正纲和其同事也已在建立了多学科协作诊疗模式(MDT),肿瘤内科、病理科、放射科、放疗科、中医科等与外科医生坐到一起讨论,为每个病例制定个体化的治疗方案;同时,朱正纲还致力于牵头全国的多中心研究,希望纳入更多病例,开展针对晚期胃癌的转化性治疗,以进一步复制、推广成功经验。

“现在,从国内外临床医学发展趋势来看,无论是专业性较强的三甲医院,还是教学医院、医疗中心,肩负的任务都不单单是医疗,还包括科研、教学。所以,要力求做好三者结合,相互促进,尤其是要做好转化医学研究,在专业上讲究深度。”

朱正纲认为,诸如社区卫生服务中心、乡镇县等基层医院更需要全科医生,应承担常见病的防治工作,需要讲究广度。

三甲医院、教学医院和基层医院分工不一样,工作性质也不完全一样,工作面对的具体对象也不一样,应各司其职。

三甲医院、教学医院更应该承担对疑难危重病例的诊疗,应该加强专科化建设,同时又通过多学科合作模式来提高医疗服务水平。

在国外,家庭医生可以诊疗很多常见疾病,若遇见较疑难疾病,他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系。

近几年,从新医改开始,我国也逐步认识到这种分级医疗和双向转诊的优势,也在要求各司其职,小病不出县,大病才到大医院或专科医院解决。

对此,朱正纲认为,我国还处于社会主义初级阶段,国家有十几亿人口,分级诊疗的目标不可能在短期实现,但可以通过深化改革,从医保政策、加强基层医疗服务能力建设、各级医院之间的协作等方面逐步实施。

“就医疗服务水平,中国和发达国家的差距依然很大。当前,尤其应该多关注农村与山区贫困人群的医疗问题,随着党与政府脱贫政策的落实,这一情况会逐渐改善的。

在城市或经济较发达地区,在政府提供的基本医疗保险基础下,还应该大力推广商业保险。

鼓励已经富起来的人不再依赖政府提供的基本医疗保险,高收入人群应该主动拿出一部分钱去购买商业保险, 而基本医疗保险应该让经济收入相对较低的人去享受,这样无论穷人还是富人都可以享受不同层次的医疗服务。”朱正纲说。

医学就是科学,不与经济挂钩

在当今市场经济条件下,当越来越多的人都在讨论价格的时候,如何关心老百姓的健康?

当越来越多的人都在讨论经营模式的时候,如何关注病患疾病的治疗?

当越来越多的人都在讨论医药产品销售的时候,又如何去考虑患者的治病经济支付的承受能力?

朱正纲对晚期胃癌的“拦刀”行为能够引发轰动,其实还有一个很大的原因是,目前不少行政主管部门或医院常以手术数量作为考核业绩的指标。

而朱正纲的做法反映了不能单一用手术数量作为业绩的考核,更不能为获取经济利益而盲目开刀。

朱正纲更关心的是,对医院或科室的考核应该以鼓励医务人员更多地采用先进的治疗理念与技术,以提高患者的生存率与生活质量为主要内容,而不应该光强调手术数量,否则会误导产生一些错误的手术,给病人带来新的伤害。

在朱正纲看来,医学是一门科学,是对人的疾病进行治疗的学科,来不得半点虚假,不能与经济利益直接挂钩。

如今,我们会发现医生在看病的过程中会受到诸多因素干扰。因而,在很多时候,诸多学术论坛上,不少专家都在号召回归医学本质。

朱正纲表示:“回归医学本质,是需要在整个社会大环境中进行倡导的。但回归医学只能是相对而言。因为人不是生活在真空中,给患者看病需要一定专业知识,但同时也会有一些非专业、非学术性的问题经常进行干扰。对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系。”

对于那些想要考入医学院,未来想从事医务工作的学子,朱正纲也给出了个人忠告:“一旦进入医学院,就得做好最基本的思想准备,需要想清楚,

是否真的喜欢这个专业?

是否真的愿意并能够为抢救病人而不分昼夜的工作?

是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里?

是否能够理解或承受病人或家属的抱怨、指责甚至辱骂?

……

总而言之,从医人员必须要懂得奉献,要比其他人付出更多。如果做不到这点我奉劝各位还是选择其他行业。”

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    0

  2. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-24 刘煜

    学习了谢谢。

    0

  3. 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content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    但回归医学只能是相对而言!!!

    0

  4. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!

    0

  5. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!

    0

  6. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    诸多学术论坛上,不少专家都在号召回归医学本质!!!

    0

  7. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!

    0

  8. [GetPortalCommentsPageByObjectIdResponse(id=134598, encodeId=ad9e13459826, content=继续关注, beContent=null, objectType=article, channel=null, level=null, likeNumber=71, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=, createdBy=cb571956164, createdName=187清风, createdTime=Sat Sep 24 21:50:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=134162, encodeId=2023134162c0, content=学习了谢谢。, beContent=null, objectType=article, channel=null, level=null, likeNumber=58, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cdnapi.center.medsci.cn/medsci/head/2017/04/21/72142930668371951a41ef4ea4b233e6.jpg, createdBy=dcbc1715228, createdName=刘煜, createdTime=Sat Sep 24 08:59:00 CST 2016, time=2016-09-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133770, encodeId=a544133e70f5, content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!

    0

  9. 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content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    对肿瘤单纯强调开刀是理念上的缺失!!

    0

  10. 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content=但回归医学只能是相对而言!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=60, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133771, encodeId=334a133e7150, content=对于一名优秀的医务人员而言,应该知道如何妥善处理这两者的关系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=56, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133773, encodeId=02da133e7326, content=是否愿意经常性放弃休息、甚至在节假日放弃与亲人在一起而忙碌在医院里!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=70, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:38:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133769, encodeId=2ce7133e69c5, content=诸多学术论坛上,不少专家都在号召回归医学本质!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:37:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133766, encodeId=1f61133e6640, content=要用专业的服务和专业的技术,通过多学科团队协作使更多患者的预后得到改善!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=29, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133767, encodeId=06ab133e67cc, content=他们会逐级转诊,或转诊至专科医生处理,形成较为完善的就医体系!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=23, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:36:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133763, encodeId=f455133e6371, content=对肿瘤单纯强调开刀是理念上的缺失!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=22, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=133765, encodeId=a543133e6502, content=而且转移程度可能已经超出了手术能够根治的范围!!!, beContent=null, objectType=article, channel=null, level=null, likeNumber=27, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://cacheapi.medsci.cn/resource/upload/20160817/IMG57B3C3F6DC2FD8753.jpg, createdBy=81321934679, createdName=1e0d99ddm02(暂无匿称), createdTime=Fri Sep 23 17:35:00 CST 2016, time=2016-09-23, status=1, ipAttribution=)]
    2016-09-23 1e0d99ddm02(暂无匿称)

    而且转移程度可能已经超出了手术能够根治的范围!!!

    0

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