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当Sarah Cohen的粉刺驱使着她7月份去看皮肤科大夫的时候，她心里想的就是要去做这件事– 看皮肤科大夫。医院在一个叫Nantucket的岛上，这是她家人夏天常来的地方，然而到了医院之后19岁的Cohen女士开始有些迷糊了。“我以为我要见一位常规的医生，”她说，不过实际上她看到的却是“一块巨大的屏幕。”突然两名医生出现在电视屏幕上：他们是位于波士顿的皮肤科医生。和她同时呆在房子里的一名护士举着一只放大摄像头对着她的脸，并示意让她闭上眼睛。为什么？她思忖着– 接着很快就明白了。这只摄像头能把她脸部的图像传递到屏幕上，这样医生们就能把脸上的沟沟坎坎给检查个遍。“噢，我的上帝，我想我当时差点就哭了，”她回来回忆说，“那些你以前从没见过小疙瘩现在就在你眼前。”她意识到这就是关键所在。技术，就像这些照相机和屏幕，正在让医生能够以更加廉价和有效地方式对病人做检查，却并不需要他们在场。 越来越多的医院和医疗工作正在使用这手段，同时发现它不但能省钱，而且对一些病人来说效果还和他们亲临医院检查没什么两样。“以前我们认为远程医疗只能用于边远地区，现在已经改变了看法，认为它已经可以在任何地方使用了，”Peter Yellowlees医生说。Peter Yellowlees是加州大学戴维斯分校的医疗信息学课程主任，也是美国远程医疗协会董事会成员。“以前你只能凑合着用低质量的产品，要么就得购买昂贵的系统。现在你花100美元买只网络摄像头就能进行高质量的视频会议了。”这项技术尤其受到眼科、精神科和皮肤科等面临医师短缺的科室的欢迎。在Kaiser Permanente，皮肤科医生“坐在旧金山的一间房子里”为整个北加利福尼亚的病人开展诊疗，Yellowlees医生说。“这比起建20间医院，每个医院放一个皮肤科医生效率要高得多。”对于Nantucket这个距离大陆的最近点还有30英里的小岛而言，“远程医疗有很大的优势，”Nantucket Cottage医院首席执行官Margot Hartmann说，“这让我们能更好地完成医院的使命，因为我们能提供更多本地化服务，”同时还能省去病人不少金钱和时间，因为他们不再需要乘飞机或渡船离开小岛，再驱车前往Cape Code或波士顿的医院去看病了。
败家小歪歪
供参考。 7月份时，当Sarah Cohen粉刺发作不得不去看皮肤科时，她还以为自己很清楚将要去做的事——“看”大夫。但是在Nantucket（她全家避暑的地方）的医院里，19岁的Cohen小姐完全搞不清状况。“之前我以为我会看到个正常的大夫，”她说道，但是出乎意料，她看到的是一个巨大的屏幕。突然屏幕上出现了两位大夫的图像：他们是波士顿的皮肤科大夫。诊室里陪在Cohen小姐身边的护士拿着一个放大摄像头照着她的脸，并且要她闭上眼睛。为什么要这么做？Cohen女士犯着嘀咕，不过很快就明白了。摄像头将她的脸的详细图像显示在屏幕上，这样大夫就能够看清每一个凹凸。“我的天，我还以为我会叫出来，”Cohen女士回忆道，“即使你从未见过粉刺，你也能一眼看出来(图像中的就是粉刺)。”于是，她终于明白了一切。如同这些摄像头和屏幕一样，科技产品使大夫无需亲临诊室就能为患者诊断，并且这种方式越来越便宜并且高效。越来越多的医院和医疗实践开始采纳这些新科技产品，并且发现这样不但节约财力，而且对某些患者而言与面对面问诊没什么区别。Peter Yellowlees医生是加州大学戴维斯分校健康信息项目的负责人，也是美国远程医疗协会理事会成员。他说：“过去我们认为远程医疗仅限于乡村地区，现在这种观念已经在改变，我们觉得远程医疗已经可以应用于任何地方了。过去，你要么（购买便宜的系统而）忍受低劣的（图像）质量，要么不得不购买极其昂贵的系统。而现在，你只需要花100美元买个网络摄像头，就可以实现高质量的视频会议，并以此进行可视会诊了。”在一些特定科室中，这类科技产品尤其受到欢迎，例如眼科、精神科、皮肤科，因为这些科室的大夫数量短缺。在Kaiser Permanente，皮肤科大夫“坐在旧金山的沙发中”就能够对北卡罗来纳州的患者进行远程问诊——Yellowlees医生如是说。“这比让20家医院每家养一名皮肤科大夫要合适得多。”对于Nantucket，这座离（北美）大陆最近也要30英里的岛屿而言，“远程医疗实在是非常重要的，”Nantucket乡村医院的院长Margot Hartmann医生这么说。“这让我们更好地完成了医院使命，因为我们提供更加贴切的服务，”并且这样也为患者节省了时间与金钱，因为患者无需乘飞机或渡船、然后辗转驱车前往Cape Cod或者波士顿的医院就诊。
wwj快乐柠檬头
About ZHU Ling Twelve years ago, ZHU Ling was a bright, talented and promising chemistry student at Tsinghua University, Beijing - one of the most prestigious and selective universities in all of China. Enthusiastic, intelligent and attractive, she was an active member of the college folk music team, and was already considered by many to be a model student with a wonderful future. In December of 1995, all of this changed when ZHU Ling suddenly took ill. Her hair began to fall out; she lost the ability to speak; her face became paralyzed; her arms and legs could no longer support her; and she was slowly losing her vision. Medical experts were unable to explain her condition until a description of her symptoms on the Internet yielded the likely culprit: Thallium poisoning. Thallium - a naturally occurring heavy metal, often used as the active ingredient in rat poison - produced exactly the same symptoms as those plaguing ZHU Ling. With this as a diagnosis, her physicians were able to successfully treat her condition and remove most of the toxic metal from her system. Even so, this short exposure left her almost completely blind with permanent paralysis and severe neurological damage. ZHU Ling's family - who had already suffered the loss of one daughter to an unfortunate accident - was devastated by this latest tragedy, made all the worse because, to date, no one has been able to explain how or why the poison was introduced into ZHU Ling's system. Many theorize that ZHU Ling's friend and college roommate - with unrestricted access to the toxic substance - was the most likely poisoner, although repeated questioning by authorities yielded no more information in this regard. To date, no one has been held accountable for this horrible crime. For almost 10 years since the poisoning, ZHU Ling's family has suffered the daily pain, anguish and financial burden of caring for a - now severely - disabled daughter. Monthly expenses of over 5,000 RMB (about $625 dollars) are needed for her ongoing care and rehabilitation, and she still has a long way to go. Twelve years ago, Mr. Bei Zhicheng created a telemedicine miracle in helping to diagnose and treat ZHU Ling's poisoning - although ultimately his efforts turned out to be in vain. ZHU Ling remains in a desperate situation. The poison she ingested so long ago ravages her body still and, as she advances into middle age, her chances for further recovery diminish. Let us help this once gifted, smart and pretty girl, who is now struggling for her very survival ... before it is too late. Let us help her reach more hi-tech medical treatment and rehabilitation, and maybe, the miracle of her survival 12 years ago can be repeated in her cure. Let us also offer our love and support to this grieving and stricken family. ZHU Ling and her family need your help now! Your contribution will go a long way toward easing her suffering, assisting in her daily upkeep, and holding out the promise of a brighter and better tomorrow.
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