dz8757 wrote:
您這位自稱是醫師的先..
是掛林家齊醫師做kimo
在美國做過一次kimo後
.(恕刪)
請先修正英文, 好嗎?
dz8757 wrote:
您怎麼知道台大沒有採取妥善防護呢？"
您知識那麼豐富，怎麼會問我，
犯錯的不是應該有社會責任出來說清楚嗎
所以你說 "疑似感染.." 就不用了嗎?
那你抄這段英文是閒著太無聊嗎
還是想要讓大家知道，您的學問淵博而已。
1.在下學問並不淵博，不過比起閣下來說，英文和邏輯是好一些，至少不會說
〔癌症病人去做ｋｉｍｏ〕。奇了，上網去ｋｉｍｏ，癌症就可治癒？？
2.所謂的防護（妥善防護是您說的），原文裡所說的是basic infection control
procedures，刷手，手術防護衣，外科手套，帽子，外科口罩這些基本配備就夠了
，不需要再多加些什麼，畢竟這和病毒的傳染方式有關。話說閣下不是跑了很多醫
院嗎？何不去問問哪家醫院外科沒這麼做的啊？
3.閣下對臺大醫院似乎有很深的怨念，想報老鼠冤是閣下的自由，但請多弄懂一些
臨床醫療的常規再來發表高見吧，否則只是讓大家知道，您的學問淺薄又愛硬凹
而已。
k4210 wrote:
2.所謂的防護（妥善防護是您說的），原文裡所說的是basic infection control
procedures，刷手，手術防護衣，外科手套，帽子，外科口罩這些基本配備就夠了
，不需要再多加些什麼，畢竟這和病毒的傳染方式有關。話說閣下不是跑了很多醫
院嗎？何不去問問哪家醫院外科沒這麼做的啊？
3.閣下對臺大醫院似乎有很深的怨念，想報老鼠冤是閣下的自由，但請多弄懂一些
臨床醫療的常規再來發表高見吧，否則只是讓大家知道，您的學問淺薄又愛硬凹
而已。
先不說CDC或台灣衛生署對這份文件的立場，光你列的就不知有意還無意的不提，
明明recommendation第三點就說
"Based on data .... HIV-infected surgeons....... inability to meet basic infection control procedures,... These determinations are to be made by the surgeon's personal physician and/or an institutional panel so designated for confidential counseling. Such a panel should be composed of infectious disease specialists, surgeons, and other health care professionals who are knowledgeable about blood-borne infections."
第五點更是直接了當
"Surgeons should know their own status for HIV infection,...."
我自知我的確很淺薄，
您的學問很高，高到言必稱別人淺薄，
ACS都說要繼續觀察改進了，
在您的世界來說，已經是定論了。
看來我說的眼睛長在頭頂上還真沒錯。
dz8757 wrote:
先不說CDC或台灣衛生署對這份文件的立場，光你列的就不知有意還無意的不提，
明明recommendation第三點就說
"Based on data .... HIV-infected surgeons....... inability to meet basic infection control procedures,... These determinations are to be made by the surgeon's personal physician and/or an institutional panel so designated for confidential counseling. Such a panel should be composed of infectious disease specialists, surgeons, and other health care professionals who are knowledgeable about blood-borne infections."
第五點更是直接了當
"Surgeons should know their own status for HIV infection,...."
我自知我的確很淺薄，
您的學問很高，高到言必稱別人淺薄，
ACS都說要繼續觀察改進了，
在您的世界來說，已經是定論了。
看來我說的眼睛長在頭頂上還真沒錯。
通篇文章有提到外科醫師若疑似感染HIV就要強制封刀嗎?
再說"Surgeons should know their own status for HIV infection,...."
那跟要不要繼續開刀有什麼關係,原文白紙黑字:
Knowledge of the HIV infection status of the individual
is not to be used in the determination of suitability of
the surgeon for surgical practice.
我是不知道閣下的眼睛長在那兒啦,但看來閣下視野缺損的毛病不輕喔.
只要沒有確切的證據證明胡醫師不能開刀,他仍然可以繼續執行外科手術.
"ACS都說要繼續觀察改進了",是的,在所有的醫療guideline
最後都會加上這一句廢話,重點是你可不可找出更新的版本來取
代它,如果沒有,就請繼續照著做,閣下如果不服氣,怎麼不去找
更新的資料,來證明只要外科醫師疑似感染HIV就禁止進行侵入
性治療呢?現在網路資源這麼方便,就算知識淺薄之人,也是可以
進pubmed查找的.
k4210 wrote:
憑外科醫師的自我防護觀念和現今預防性投藥的
進步程度，就算真的不幸胡醫師被感染了HIV，
他仍然可以幫病患進行侵入性治療
所謂的防護, 原文裡所說的是basic infection control procedures，
刷手，手術防護衣，外科手套，帽子，外科口罩這些基本配備就夠了
這是你一直在提的ACS recommendation 第三點的全文, 原來是要這樣解讀的
Based on data in the current literature, HIV-infected surgeons may continue to practice and perform invasive procedures and surgical operations unless there is clear evidence that a significant risk of transmission of infection exists through an inability to meet basic infection control procedures, or the surgeon is functionally unable to care for patients. These determinations are to be made by the surgeon's personal physician and/or an institutional panel so designated for confidential counseling. Such a panel should be composed of infectious disease specialists, surgeons, and other health care professionals who are knowledgeable about blood-borne infections.
dz8757 wrote:
這是你一直在提的ACS recommendation 第三點的全文, 原來是要這樣解讀的
Based on data in the current literature, HIV-infected surgeons may continue to practice and perform invasive procedures and surgical operations unless there is clear evidence that a significant risk of transmission of infection exists through an inability to meet basic infection control procedures, or the surgeon is functionally unable to care for patients. These determinations are to be made by the surgeon's personal physician and/or an institutional panel so designated for confidential counseling. Such a panel should be composed of infectious disease specialists, surgeons, and other health care professionals who are knowledgeable about blood-borne infections.
所以呢,重點是什麼?要不要把它翻成中文啊.
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