file_name,transcription
data/train/225033.0000_225800.0000.ogg,So insensitive
data/train/225800.0000_227733.0000.ogg,Pancreatic islets produce large amounts of insulin
data/train/227733.0000_229600.0000.ogg,At this time in the blood
data/train/229600.0000_231933.0000.ogg,"Insulin is also high, blood sugar is also high"
data/train/231933.0000_233966.0000.ogg,cells become less and less sensitive to it
data/train/234000.0000_236200.0000.ogg,This results in type 2 diabetes
data/train/236200.0000_237533.0000.ogg,What did you see in the hospital?
data/train/237533.0000_240400.0000.ogg,What is the ratio between type 1 and type 2 diabetes?
data/train/240400.0000_242400.0000.ogg,Most of them are
data/train/242400.0000_243933.0000.ogg,Type 2 diabetes patients
data/train/244200.0000_246166.0000.ogg,It’s more about saying that we are treating
data/train/246366.0000_251166.0000.ogg,Complications associated with type 2 diabetes
data/train/251166.0000_253166.0000.ogg,That might be
data/train/253166.0000_255566.0000.ogg,Accounting for about 95%
data/train/255566.0000_256600.0000.ogg,All have type 2 diabetes
data/train/256600.0000_260166.0000.ogg,There may be about 5% type 1 diabetes
data/train/260166.0000_261600.0000.ogg,Type 1 diabetes patients
data/train/261600.0000_264600.0000.ogg,Because they are relatively young
data/train/264666.0000_267600.0000.ogg,So his complications haven't come out yet
data/train/267933.0000_269800.0000.ogg,So it’s the most common
data/train/269800.0000_272332.0000.ogg,Let’s talk about the reasons why patients with type 1 diabetes are hospitalized.
data/train/272332.0000_275066.0000.ogg,It is because he may use insulin
data/train/275066.0000_275933.0000.ogg,something is wrong
data/train/275933.0000_278733.0000.ogg,He may have said that he hasn't taken any medicine for a few days.
data/train/278766.0000_281133.0000.ogg,Or some patients with type 1 diabetes
data/train/281133.0000_283933.0000.ogg,diabetes insulin pump
data/train/284000.0000_286400.0000.ogg,Something went wrong
data/train/286666.0000_288166.0000.ogg,So the body’s insulin is insufficient
data/train/288166.0000_290433.0000.ogg,These patients themselves are severely deficient in insulin.
data/train/290433.0000_294000.0000.ogg,So it can cause diabetic ketoacidosis
data/train/294000.0000_297332.0000.ogg,This is one that can cause life-threatening danger
data/train/297366.0000_300666.0000.ogg,It's a very serious situation
data/train/300766.0000_302500.0000.ogg,Type 2 diabetes sometimes
data/train/302500.0000_305666.0000.ogg,It can also cause something similar to ketoacidosis
data/train/305666.0000_307033.0000.ogg,This state of high sugar
data/train/307033.0000_309266.0000.ogg,He just said he didn't reach acidosis
data/train/309333.0000_310533.0000.ogg,Such patients are actually very dangerous
data/train/310533.0000_312200.0000.ogg,We basically receive them
data/train/312200.0000_314533.0000.ogg,These intensive care units
data/train/314533.0000_315466.0000.ogg,go for treatment
data/train/315466.0000_319000.0000.ogg,Because he needs to monitor his blood sugar very closely
data/train/319133.0000_321933.0000.ogg,There are also some electrolyte situations
data/train/322000.0000_325266.0000.ogg,And it requires a large amount of infusion
data/train/325266.0000_328332.0000.ogg,Give intravenous insulin again
data/train/328332.0000_331332.0000.ogg,"In fact, they are also some patients with type 1 diabetes."
data/train/331332.0000_333133.0000.ogg,Some common situations of hospitalization
data/train/333433.0000_335366.0000.ogg,Then he must have some incentives
data/train/335366.0000_337233.0000.ogg,"For example, he has some infections"
data/train/337233.0000_339133.0000.ogg,It's just that sometimes he uses insulin
data/train/339133.0000_340832.0000.ogg,But he might be infected
data/train/340832.0000_342666.0000.ogg,The body is in a state of stress
data/train/342666.0000_344566.0000.ogg,His insulin needs are more
data/train/344566.0000_347000.0000.ogg,Then we also need to treat his triggering causes.
data/train/347000.0000_348066.0000.ogg,Then I have a friend
data/train/348066.0000_349633.0000.ogg,He has type 2 diabetes
data/train/349933.0000_351832.0000.ogg,Then he appears
data/train/351832.0000_354400.0000.ogg,The ketoacidosis you just mentioned
data/train/354633.0000_356366.0000.ogg,Then I think all aspects of his illness before he got sick
data/train/356366.0000_357633.0000.ogg,The mental pressure is relatively high
data/train/357633.0000_360366.0000.ogg,Then he will be in a more serious state
data/train/360400.0000_361966.0000.ogg,That if you enter his house
data/train/361966.0000_363666.0000.ogg,Just smell that apple smell
data/train/364000.0000_365466.0000.ogg,rotten apple flavor
data/train/365466.0000_366600.0000.ogg,Those rotten apple smells
data/train/366833.0000_371000.0000.ogg,It’s actually ketoacidosis.
data/train/371400.0000_372233.0000.ogg,It's quite dangerous
data/train/372233.0000_374233.0000.ogg,Because sometimes patients
data/train/374233.0000_377400.0000.ogg,He will develop a severe coma called ketoacidosis.
data/train/377400.0000_378266.0000.ogg,He might be in a coma
data/train/378266.0000_379766.0000.ogg,If no one at home knows
data/train/379766.0000_380966.0000.ogg,It is possible that the patient
data/train/380966.0000_382266.0000.ogg,Just left at home
data/train/382266.0000_383832.0000.ogg,Then our friends
data/train/383832.0000_384966.0000.ogg,get timely treatment
data/train/384966.0000_386600.0000.ogg,So life is safe
data/train/386600.0000_390133.0000.ogg,But he developed some serious complications
data/train/390800.0000_392166.0000.ogg,one of the complications
data/train/392166.0000_395666.0000.ogg,It's just that the vision loss is very severe.
data/train/395666.0000_399133.0000.ogg,What complications have you seen in the hospital?
data/train/399200.0000_400166.0000.ogg,complications of diabetes
data/train/400166.0000_402733.0000.ogg,One is that it affects large blood vessels
data/train/402733.0000_405433.0000.ogg,It also affects some small blood vessels.
data/train/405533.0000_406433.0000.ogg,Large blood vessel disease
data/train/406433.0000_409466.0000.ogg,It mainly has some effects on cardiovascular and cerebrovascular diseases
data/train/409466.0000_411433.0000.ogg,So there are some diabetic patients
data/train/411433.0000_413733.0000.ogg,It may have had a myocardial infarction
data/train/413933.0000_415133.0000.ogg,Symptoms of cerebral infarction
data/train/415133.0000_417733.0000.ogg,There are also some large blood vessels in the periphery
data/train/417733.0000_420566.0000.ogg,Some blockages in peripheral lower extremity arteries
data/train/421000.0000_422733.0000.ogg,What about microvascular disease?
data/train/422733.0000_423600.0000.ogg,Likely to have a major impact
data/train/423600.0000_424966.0000.ogg,Just now Dr. Yang mentioned
data/train/424966.0000_426000.0000.ogg,The impact on vision
data/train/426000.0000_428766.0000.ogg,Because its impact on the retina is very
data/train/428766.0000_430333.0000.ogg,It means the consequences are more serious
data/train/430333.0000_432400.0000.ogg,it causes non-proliferative
data/train/432433.0000_434533.0000.ogg,There are also some proliferative retinopathy
data/train/434733.0000_437133.0000.ogg,There are also some effects on some parts of the macula
data/train/437133.0000_438933.0000.ogg,Can easily cause blindness
data/train/439133.0000_439633.0000.ogg,why is that
data/train/439633.0000_440832.0000.ogg,we will tell the patient
data/train/440832.0000_442466.0000.ogg,Go to the ophthalmologist every year
data/train/442466.0000_443866.0000.ogg,Go for a fundus examination
data/train/444033.0000_446533.0000.ogg,Then let's say he has small vessel disease.
data/train/446533.0000_448166.0000.ogg,It can also cause his kidneys
data/train/448166.0000_449566.0000.ogg,We call it diabetic nephropathy
data/train/449832.0000_451332.0000.ogg,That may be a patient who has been hospitalized
data/train/451332.0000_453266.0000.ogg,Sometimes it's kidney failure when it comes
data/train/453266.0000_455800.0000.ogg,The other thing is the neuropathy it can cause.
data/train/455800.0000_457533.0000.ogg,diabetic neuropathy
data/train/457533.0000_460800.0000.ogg,"Leg numbness, numbness in feet are these symptoms"
data/train/460800.0000_463633.0000.ogg,This kind of large blood vessel disease will definitely affect the limbs
data/train/463633.0000_465800.0000.ogg,I remember there was a patient before
data/train/465800.0000_466866.0000.ogg,Because of diabetes
data/train/466866.0000_468366.0000.ogg,Had to amputate
data/train/468400.0000_470733.0000.ogg,Diabetes causes this
data/train/470733.0000_472066.0000.ogg,Amputation due to diabetes
data/train/472466.0000_476332.0000.ogg,"In fact, it accounts for almost 70% of all amputation patients."
data/train/477133.0000_481166.0000.ogg,"That is to say, only the other 30% will get into car accidents due to some kind of trauma."
data/train/481233.0000_485066.0000.ogg,"In fact, 70% are due to complications of diabetes"
data/train/485200.0000_486333.0000.ogg,Because you want diabetes
data/train/486333.0000_488166.0000.ogg,One is neuropathy
data/train/488166.0000_491033.0000.ogg,patient's feet
data/train/491033.0000_493233.0000.ogg,To trauma temperature
data/train/493233.0000_495200.0000.ogg,These pains are very insensitive
data/train/495266.0000_497433.0000.ogg,"In addition, some of his blood vessel lesions"
data/train/497600.0000_499400.0000.ogg,So his blood supply is not good either.
data/train/499433.0000_500800.0000.ogg,Once he is injured
data/train/500800.0000_504066.0000.ogg,His wounds heal very slowly
data/train/504200.0000_506366.0000.ogg,And then there's the time when he might have
data/train/506366.0000_507966.0000.ogg,He doesn't feel it himself
data/train/507966.0000_509200.0000.ogg,His wound is down there
data/train/509200.0000_510966.0000.ogg,Maybe it's all bad enough.
data/train/510966.0000_512165.0000.ogg,He doesn't even know yet
data/train/512165.0000_514332.0000.ogg,So it’s caused by various reasons
data/train/514332.0000_518066.0000.ogg,It could just be a simple ulcer
data/train/518066.0000_519600.0000.ogg,then develops into osteomyelitis
data/train/519633.0000_521633.0000.ogg,The final treatment is not good
data/train/521633.0000_523000.0000.ogg,Amputation may occur
data/train/523133.0000_524800.0000.ogg,We see some patients
data/train/524933.0000_527366.0000.ogg,"In the beginning, it was only a few toes that came in the first few years."
data/train/527633.0000_530266.0000.ogg,"Then, two years later, I started amputating the entire foot."
data/train/530333.0000_533400.0000.ogg,Then I finally saw that the entire lower limbs were gone.
data/train/533400.0000_535200.0000.ogg,"In fact, the patient’s quality of life"
data/train/535200.0000_536400.0000.ogg,"It's very, very influential"
data/train/536400.0000_539600.0000.ogg,Then why do you think he gave this person diabetes?
data/train/539600.0000_541233.0000.ogg,Has it developed to this point?
data/train/541233.0000_543800.0000.ogg,Why didn't he take measures sooner?
data/train/543800.0000_547666.0000.ogg,It stands to reason that we now have many treatment methods.
data/train/547766.0000_551033.0000.ogg,Have hypoglycemic drugs
data/train/551033.0000_552533.0000.ogg,like metformin
data/train/552733.0000_554200.0000.ogg,And this insulin
data/train/554200.0000_555733.0000.ogg,direct complement
data/train/556133.0000_557600.0000.ogg,Then of course if you are not sensitive
data/train/557600.0000_559966.0000.ogg,"No matter how much insulin you add, it won't do anything."
data/train/560033.0000_561833.0000.ogg,Here we will talk about
data/train/561833.0000_564800.0000.ogg,This product from our Taiwan Biotechnology Company
data/train/620633.0000_621333.0000.ogg,doctor that week
data/train/621333.0000_622833.0000.ogg,Let's go back and talk about it
data/train/622833.0000_626366.0000.ogg,How could these patients allow this disease to progress to this extent?
data/train/626366.0000_628233.0000.ogg,What are the risk factors?
data/train/628233.0000_631000.0000.ogg,Why do these people have to have their limbs amputated?
data/train/631000.0000_634266.0000.ogg,Diabetes can be cured by more than just taking some medicine
data/train/634266.0000_635033.0000.ogg,There are some patients
data/train/635033.0000_636733.0000.ogg,He might just say
data/train/636733.0000_640933.0000.ogg,One is that patients need to be able to follow medical instructions
data/train/640933.0000_642566.0000.ogg,That means you can take medicine on time every day
data/train/642633.0000_645400.0000.ogg,Diabetes actually controls blood sugar
data/train/645400.0000_647300.0000.ogg,For the prevention of
data/train/647300.0000_649233.0000.ogg,complications of diabetes
data/train/649366.0000_651766.0000.ogg,"Also, once he develops complications,"
data/train/651766.0000_652966.0000.ogg,able to prevent
data/train/653033.0000_654933.0000.ogg,Delay the progression of complications
data/train/654933.0000_656533.0000.ogg,"This is very, very important"
data/train/656633.0000_658600.0000.ogg,So start from the early days
data/train/658600.0000_662466.0000.ogg,This patient needs to work closely with the doctor
data/train/662533.0000_665433.0000.ogg,Then he can control his blood sugar early
data/train/665733.0000_667866.0000.ogg,"In addition to controlling blood sugar,"
data/train/667866.0000_670633.0000.ogg,Then we are going to prevent his complications from happening.
data/train/670733.0000_673533.0000.ogg,Then let’s talk about the control of his blood lipids
data/train/673600.0000_675066.0000.ogg,blood pressure control
data/train/675066.0000_676633.0000.ogg,And he has to do it every year
data/train/676633.0000_678833.0000.ogg,I just mentioned going to see an ophthalmologist.
data/train/678833.0000_680433.0000.ogg,Perform eye examination
data/train/680433.0000_683933.0000.ogg,And go to a podiatrist to see a podiatrist
data/train/683933.0000_685800.0000.ogg,Because I just talked about it
data/train/685800.0000_687933.0000.ogg,Just say the amputation rate is so high
data/train/687966.0000_690633.0000.ogg,"In fact, we will tell these patients"
data/train/690933.0000_692266.0000.ogg,Doesn’t he just need medication?
data/train/692266.0000_696200.0000.ogg,His personal knowledge of these complications
data/train/696200.0000_697400.0000.ogg,Also need to know very well
data/train/697400.0000_699433.0000.ogg,Because he only understood this knowledge
data/train/699433.0000_702433.0000.ogg,Then he can better cooperate with you
data/train/702433.0000_705000.0000.ogg,Because he has to check himself every day at home
data/train/705000.0000_706433.0000.ogg,the condition of his feet
data/train/706433.0000_707566.0000.ogg,regular inspection
data/train/708000.0000_709966.0000.ogg,What if the old man is inconvenient?
data/train/709966.0000_712266.0000.ogg,His family members need to check him
data/train/712333.0000_713966.0000.ogg,And we often tell patients
data/train/713966.0000_716066.0000.ogg,Some toenails grow inwards
data/train/716165.0000_717165.0000.ogg,If it grows inwards
data/train/717165.0000_720133.0000.ogg,The flesh next to the toes
data/train/720133.0000_722766.0000.ogg,It will easily cause infection
data/train/722866.0000_725800.0000.ogg,Let’s talk about these very detailed things.
data/train/725866.0000_726833.0000.ogg,So I also think
data/train/726833.0000_727933.0000.ogg,Just sometimes
data/train/727933.0000_730966.0000.ogg,Patients need to work closely with this doctor
data/train/730966.0000_732166.0000.ogg,This is also one aspect
data/train/732200.0000_733766.0000.ogg,That is to say
data/train/733766.0000_735000.0000.ogg,That's why I think Dr. Yang
data/train/735000.0000_737366.0000.ogg,"This program he organized is very, very good"
data/train/737433.0000_738966.0000.ogg,Because doctors and patients
data/train/738966.0000_742600.0000.ogg,Only maybe 20 minutes and 30 minutes per visit
data/train/742600.0000_746433.0000.ogg,Then we are constantly providing guidance to patients.
data/train/746433.0000_748566.0000.ogg,How to prevent his complications
data/train/748566.0000_750066.0000.ogg,How to prevent complications from occurring
data/train/750066.0000_752165.0000.ogg,But time is really very limited
data/train/752165.0000_754333.0000.ogg,We will also have dedicated
data/train/754333.0000_756633.0000.ogg,diabetes educate
data/train/756633.0000_758200.0000.ogg,But it's still not enough
data/train/758266.0000_758966.0000.ogg,that's why
data/train/758966.0000_760433.0000.ogg,This complication in diabetic patients
data/train/760433.0000_761966.0000.ogg,There are always
data/train/762066.0000_765066.0000.ogg,This program is produced by Dr. Yang
data/train/765066.0000_769366.0000.ogg,He means that this kind of education is for ordinary people.
data/train/769466.0000_772066.0000.ogg,He actually expanded
data/train/772066.0000_775433.0000.ogg,We guide patients
data/train/775433.0000_776866.0000.ogg,I'm like let's do this show today
data/train/776866.0000_779366.0000.ogg,I'm actually very honored to be able to attend
data/train/779366.0000_781633.0000.ogg,"That is, we can put this basic knowledge"
data/train/781633.0000_783633.0000.ogg,let patients know
data/train/783633.0000_784433.0000.ogg,repeatedly
data/train/784433.0000_785266.0000.ogg,Let's put it this way
data/train/785266.0000_787933.0000.ogg,Then you will also have this awareness of him
data/train/787933.0000_790766.0000.ogg,He will be able to guide him better
data/train/790766.0000_793666.0000.ogg,Then how to prevent such bad things from happening to him?
data/train/793666.0000_795466.0000.ogg,Such a serious illness
data/train/795466.0000_797000.0000.ogg,Thank you Dr. Zhou
data/train/797000.0000_799900.0000.ogg,Support our four-dimensional health program
data/train/832466.0000_835000.0000.ogg,Then let’s go back and talk about this issue of prevention.
data/train/835000.0000_838533.0000.ogg,"By the time we got to the hospital, it was already serious."
data/train/838533.0000_840466.0000.ogg,So this kind of patient
data/train/840466.0000_843600.0000.ogg,What characteristics did you find about them?
data/train/843600.0000_847533.0000.ogg,"For example, what type of diabetic patients are they?"
data/train/847600.0000_849433.0000.ogg,So in their living habits
data/train/849433.0000_851666.0000.ogg,"Family genetics, etc."
data/train/851766.0000_853533.0000.ogg,Is there anything special about it?
data/train/854166.0000_855466.0000.ogg,I just talked about it
data/train/855466.0000_857666.0000.ogg,The vast majority of hospitalized patients
data/train/857666.0000_860266.0000.ogg,It is the most common among patients with type 2 diabetes
data/train/860266.0000_861933.0000.ogg,That is to say
data/train/861933.0000_864766.0000.ogg,They have had diabetes diagnosed for many years
data/train/864766.0000_867900.0000.ogg,Most of them are because he is not very good
data/train/867900.0000_869333.0000.ogg,Go and cooperate with the doctor
data/train/869333.0000_871366.0000.ogg,Diabetes is very poorly controlled
data/train/871633.0000_872833.0000.ogg,These are the most common
data/train/872833.0000_876233.0000.ogg,These patients have not been able to control their blood sugar well recently.
data/train/876233.0000_878133.0000.ogg,His complications are not well controlled
data/train/878133.0000_881165.0000.ogg,Maybe this is one of the more common reasons why he is hospitalized.
data/train/881266.0000_882466.0000.ogg,Diabetes is relatively
data/train/882466.0000_885533.0000.ogg,is an immunocompromised patient
data/train/885633.0000_887333.0000.ogg,So he is susceptible to infection
data/train/887333.0000_890433.0000.ogg,after infection with various pathogens
data/train/890433.0000_891700.0000.ogg,had a great impact on him
data/train/891700.0000_893266.0000.ogg,"That is, once he has a slight infection"
data/train/893466.0000_896966.0000.ogg,These patients said that their illnesses were more serious.
data/train/896966.0000_898100.0000.ogg,So many such patients
data/train/898100.0000_899665.0000.ogg,All require hospitalization
data/train/899665.0000_900366.0000.ogg,That's the most common
data/train/900366.0000_903466.0000.ogg,Just now we talked about some skin and soft tissue infections
data/train/903633.0000_906666.0000.ogg,Osteomyelitis and urinary tract infection
data/train/906666.0000_908366.0000.ogg,An ordinary person like us
data/train/908366.0000_909233.0000.ogg,a urinary tract infection
data/train/909233.0000_910500.0000.ogg,Maybe see a doctor
data/train/910500.0000_912100.0000.ogg,Just take antibiotics for a few days and you'll be fine
data/train/912100.0000_912900.0000.ogg,What about these patients?
data/train/912900.0000_913900.0000.ogg,Words from diabetic patients
data/train/913900.0000_916066.0000.ogg,Sometimes his urinary tract infection is not actively controlled
data/train/916066.0000_918766.0000.ogg,It may cause some kidney cysts
data/train/918766.0000_919366.0000.ogg,something like that
data/train/919366.0000_921066.0000.ogg,So many patients have urinary tract infections
data/train/921066.0000_922333.0000.ogg,He may be hospitalized
data/train/922433.0000_923733.0000.ogg,And there's pneumonia
data/train/923833.0000_925933.0000.ogg,There are also some infections of the gastrointestinal tract
data/train/925933.0000_928333.0000.ogg,You just mentioned the issue of renal failure
data/train/928333.0000_931366.0000.ogg,Diabetic patients develop renal failure
data/train/931366.0000_932700.0000.ogg,Is this common?
data/train/932700.0000_933900.0000.ogg,It's quite common
data/train/934033.0000_935866.0000.ogg,Because especially in the long term
data/train/935866.0000_937466.0000.ogg,Patients with poor blood sugar control
data/train/937466.0000_938133.0000.ogg,why is that
data/train/938133.0000_939733.0000.ogg,It was when we were in the outpatient clinic
data/train/939733.0000_942366.0000.ogg,His urine protein status will be checked every year
data/train/942833.0000_944165.0000.ogg,Just through the urethra
data/train/944165.0000_945300.0000.ogg,It can also be reflected
data/train/945300.0000_947366.0000.ogg,"That is to say, the impact on his kidney function"
data/train/947366.0000_949866.0000.ogg,His kidney function is checked every year
data/train/950133.0000_952966.0000.ogg,You can see the kidney function of these patients
data/train/952966.0000_954100.0000.ogg,If blood sugar is not well controlled
data/train/954100.0000_955533.0000.ogg,It will become more and more serious
data/train/955866.0000_958233.0000.ogg,Especially if he has other diseases
data/train/958233.0000_959665.0000.ogg,because of heart reasons
data/train/959665.0000_961433.0000.ogg,Or some other causes of infection
data/train/961433.0000_962533.0000.ogg,He especially uses medicine
data/train/962566.0000_963366.0000.ogg,because of his kidneys
data/train/963366.0000_967066.0000.ogg,Let’s just say that function is at the stage where it has reached the edge.
data/train/967066.0000_968633.0000.ogg,I'm on the verge of kidney failure
data/train/968633.0000_971266.0000.ogg,Sometimes he suffers from heart failure
data/train/971266.0000_972866.0000.ogg,You need to give him diuretics
data/train/972866.0000_975033.0000.ogg,Or maybe he has some skin infection
data/train/975033.0000_976466.0000.ogg,You need to give him some antibiotics
data/train/976466.0000_979700.0000.ogg,These drugs may be another blow to the kidneys
data/train/979733.0000_982633.0000.ogg,Then it would be easy to push it to
data/train/982633.0000_984866.0000.ogg,What is needed is severe renal failure
data/train/984866.0000_986366.0000.ogg,The state that requires kidney dialysis
data/train/987833.0000_990700.0000.ogg,Is it very painful for that person when he reaches the stage of kidney dialysis?
data/train/990700.0000_992433.0000.ogg,The quality of life is greatly affected
data/train/992433.0000_994333.0000.ogg,Do you think you need 3 days a week?
data/train/994333.0000_997100.0000.ogg,You have to go to the dialysis center
data/train/997100.0000_998165.0000.ogg,Then what do you do?
data/train/998165.0000_1001633.0000.ogg,It’s just that I basically can’t do my job.
data/train/1001633.0000_1002900.0000.ogg,So type one diabetes
data/train/1002900.0000_1005966.0000.ogg,It is often due to congenital genetic factors.
data/train/1006500.0000_1008100.0000.ogg,So type 2 diabetes
data/train/1008333.0000_1009700.0000.ogg,Is it preventable?
data/train/1010066.0000_1013433.0000.ogg,I think type 2 diabetes is actually
data/train/1013433.0000_1015033.0000.ogg,Because we just talked about
data/train/1015033.0000_1016766.0000.ogg,There are so many diabetic patients
data/train/1016766.0000_1018133.0000.ogg,"In fact, in the United States"
data/train/1018133.0000_1020366.0000.ogg,"There are also many, many, many"
data/train/1020366.0000_1022066.0000.ogg,patients with prediabetes
data/train/1022500.0000_1024266.0000.ogg,Then these patients have high blood sugar
data/train/1024333.0000_1027633.0000.ogg,But he hasn't reached the stage where diabetes has been diagnosed yet.
data/train/1027733.0000_1031433.0000.ogg,"Then this is a very, very critical period"
data/train/1031500.0000_1032300.0000.ogg,at this stage
data/train/1032300.0000_1035900.0000.ogg,If we control the patient's diet well
data/train/1035965.0000_1037500.0000.ogg,go for exercise
data/train/1037500.0000_1039500.0000.ogg,And adjust their life
data/train/1039500.0000_1040233.0000.ogg,"In fact, these patients"
data/train/1040233.0000_1043133.0000.ogg,It can prevent him from reaching the stage of diabetes.
data/train/1043133.0000_1045566.0000.ogg,Speaking of the early stages of diabetes
data/train/1045566.0000_1047032.0000.ogg,It's really important
data/train/1047333.0000_1048933.0000.ogg,What does this early stage mean?
data/train/1048933.0000_1052233.0000.ogg,It’s just that the body is no longer sensitive to insulin.
data/train/1052233.0000_1053433.0000.ogg,blood sugar begins to rise
data/train/1053533.0000_1055933.0000.ogg,The insulin also started to rise
data/train/1056300.0000_1058566.0000.ogg,"However, although insulin increases"
data/train/1058566.0000_1061666.0000.ogg,He still can't achieve the effect of lowering blood sugar
data/train/1061666.0000_1065266.0000.ogg,"Therefore, the pancreatic islets must continuously increase the secretion of insulin."
data/train/1065300.0000_1067500.0000.ogg,This will cause islet fatigue
data/train/1067500.0000_1070733.0000.ogg,Then he won't be able to produce more insulin.
data/train/1070966.0000_1071866.0000.ogg,Then at this time
data/train/1071866.0000_1073833.0000.ogg,The spike in blood sugar is more severe
data/train/1073833.0000_1076900.0000.ogg,Then we will treat the pre-diabetes
data/train/1076900.0000_1078633.0000.ogg,Regression to the stage of diabetes
data/train/1078633.0000_1080433.0000.ogg,Although they are called early stage
data/train/1080566.0000_1084233.0000.ogg,"In fact, it is just a continuous process of development."
data/train/1084233.0000_1085866.0000.ogg,There is no essential difference
data/train/1086133.0000_1088266.0000.ogg,So don’t think it’s the early stage
data/train/1088266.0000_1089666.0000.ogg,Just don’t pay attention to it
data/train/1089733.0000_1091766.0000.ogg,"In fact, in the early stages"
data/train/1091833.0000_1093366.0000.ogg,Everyone must regard it as
data/train/1093366.0000_1095233.0000.ogg,Treat real diabetes
data/train/1095566.0000_1097100.0000.ogg,So the prevention of diabetes
data/train/1097100.0000_1099300.0000.ogg,We talked about it in previous programs
data/train/1099366.0000_1101033.0000.ogg,Diet is very important
data/train/1101033.0000_1105566.0000.ogg,"Processed foods with high sugar content and various additives, etc."
data/train/1105566.0000_1108833.0000.ogg,Then it will put a huge burden on our pancreatic islet regeneration.
data/train/1108933.0000_1110366.0000.ogg,If you have a family history
data/train/1110366.0000_1111333.0000.ogg,Where are you on this?
data/train/1111333.0000_1112833.0000.ogg,Be especially careful
data/train/1113100.0000_1114533.0000.ogg,if something goes wrong
data/train/1114533.0000_1115833.0000.ogg,You can use it first
data/train/1115833.0000_1118466.0000.ogg,A more natural way to lower blood sugar
data/train/1118466.0000_1120066.0000.ogg,Reduce inflammation in the body
data/train/1120100.0000_1122933.0000.ogg,Reduce the chance of this blood sugar spike
data/train/1123166.0000_1125100.0000.ogg,Use some important nutrients
data/train/1125100.0000_1127066.0000.ogg,Including what we have introduced before
data/train/1127066.0000_1128666.0000.ogg,Berberine extracted from traditional Chinese medicine
data/train/1128666.0000_1131633.0000.ogg,"In fact, it has a very good blood sugar lowering effect"
data/train/1131633.0000_1133900.0000.ogg,The bitter melon peptide we introduced today
data/train/1133900.0000_1135233.0000.ogg,Products from Taiwan Biotechnology
data/train/1135233.0000_1137300.0000.ogg,Peptide stabilization also has this effect
data/train/1137300.0000_1139233.0000.ogg,So everyone must focus on prevention
data/train/1139433.0000_1140733.0000.ogg,So at our Northern Medical Center
data/train/1140733.0000_1143233.0000.ogg,We pay special attention to preventing this matter
data/train/1143233.0000_1145566.0000.ogg,Then let’s talk about it later
data/train/1145566.0000_1146900.0000.ogg,diabetes problem
data/train/1146966.0000_1149366.0000.ogg,So people exercise and mental stress
data/train/1149366.0000_1150933.0000.ogg,Is it related to diabetes?
data/train/1151266.0000_1152233.0000.ogg,Of course it doesn't matter
data/train/1152233.0000_1153966.0000.ogg,"That is to say, during the exercise"
data/train/1153966.0000_1155933.0000.ogg,He can lower blood sugar
data/train/1155933.0000_1159100.0000.ogg,This is why we all tell patients
data/train/1159100.0000_1161566.0000.ogg,It takes about half an hour every day
data/train/1161566.0000_1164566.0000.ogg,Or time for 40 minutes of exercise
data/train/1164700.0000_1168266.0000.ogg,Then do this exercise 3 to 4 times a week
data/train/1168266.0000_1170166.0000.ogg,Stressful words
data/train/1170833.0000_1173666.0000.ogg,"In fact, this is an issue that everyone often ignores."
data/train/1173666.0000_1174700.0000.ogg,Just nervous
data/train/1174700.0000_1175666.0000.ogg,mental stress
data/train/1175833.0000_1177066.0000.ogg,I am a doctor myself
data/train/1177066.0000_1178666.0000.ogg,For my own personal health
data/train/1178666.0000_1181100.0000.ogg,I didn't even pay much attention to this mental pressure
data/train/1181100.0000_1184833.0000.ogg,"In fact, it affects this aspect of each of our bodies"
data/train/1185266.0000_1186100.0000.ogg,That might be in the next few years
data/train/1186100.0000_1188766.0000.ogg,I may have some health problems myself
data/train/1188766.0000_1190166.0000.ogg,Then I realized
data/train/1190166.0000_1192133.0000.ogg,Mental stress is not just something we talk about
data/train/1192133.0000_1193100.0000.ogg,Just mentally
data/train/1193100.0000_1195033.0000.ogg,"In fact, it will do something to our bodies"
data/train/1195033.0000_1198300.0000.ogg,There will be subtle influences in all aspects
data/train/1198300.0000_1200066.0000.ogg,It's just that we can't see it
data/train/1200066.0000_1202533.0000.ogg,Maybe Dr. Yang will be more experienced in this area
data/train/1202666.0000_1203566.0000.ogg,to mental stress
data/train/1203566.0000_1205566.0000.ogg,It actually causes our bodies to produce
data/train/1205566.0000_1207333.0000.ogg,The so-called stress hormone
data/train/1207333.0000_1210033.0000.ogg,"In fact, it is this glucocorticoid"
data/train/1210033.0000_1211366.0000.ogg,After this hormone is produced
data/train/1211366.0000_1213366.0000.ogg,It can also cause blood sugar to rise
data/train/1213366.0000_1215433.0000.ogg,This accumulation of fat is caused
data/train/1215433.0000_1218566.0000.ogg,Then the fat cells are not sensitive enough to our insulin
data/train/1218766.0000_1221300.0000.ogg,so it actually itself
data/train/1221300.0000_1224633.0000.ogg,It just plays a role in raising blood sugar
data/train/1224900.0000_1227066.0000.ogg,So it's a matter of mental stress
data/train/1227066.0000_1229633.0000.ogg,There is another situation
data/train/1229633.0000_1231866.0000.ogg,The one I pay special attention to is called pyrroliuria
data/train/1231966.0000_1233333.0000.ogg,Patients with this type of pyrroliuria
data/train/1233333.0000_1235566.0000.ogg,Because he is deficient in B6 and zinc
data/train/1235700.0000_1238300.0000.ogg,His ability to withstand pressure is particularly poor
data/train/1238366.0000_1241433.0000.ogg,So anything will put a lot of pressure on him
data/train/1241633.0000_1242333.0000.ogg,So actually
data/train/1242333.0000_1244366.0000.ogg,Not only this B6 and zinc deficiency
data/train/1244366.0000_1245966.0000.ogg,cause immune function
data/train/1245966.0000_1247700.0000.ogg,neurological deficits
data/train/1247733.0000_1250466.0000.ogg,It also allows it to produce more
data/train/1250466.0000_1252166.0000.ogg,The hormonal response to stress
data/train/1252333.0000_1253933.0000.ogg,So these situations
data/train/1253933.0000_1256333.0000.ogg,It’s all preventable and treatable
data/train/308709.0000_310751.0000.ogg,including implant reconstruction
data/train/311375.0000_313709.0000.ogg,"However, Margaret chose to use..."
data/train/313709.0000_316959.0000.ogg,tissue from her abdomen to reconstruct her breast
data/train/318459.0000_323999.0000.ogg,Using your own tissue will be more natural in appearance and touch
data/train/324000.0000_327876.0000.ogg,The flap will also slowly droop over time
data/train/327876.0000_329959.0000.ogg,This will appear more natural
data/train/333542.0000_336417.0000.ogg,"However, this is a complex operation..."
data/train/336417.0000_339125.0000.ogg,that is expected to take eight hours to complete
data/train/339834.0000_344125.0000.ogg,"Flap reconstruction can take longer to operate,"
data/train/344125.0000_347209.0000.ogg,hence there is a relative anaesthesia risk
data/train/349292.0000_352834.0000.ogg,"(8.30 am, Margaret is put under anaesthesia)"
data/train/352834.0000_354667.0000.ogg,"In order to shorten the operation time,"
data/train/354667.0000_357375.0000.ogg,Dr Jerry and Dr Jolie will be operating at the same time
data/train/358999.0000_360709.0000.ogg,I'll be sitting here -Okay
data/train/360709.0000_361626.0000.ogg,You know where I'll be
data/train/361626.0000_363918.0000.ogg,"Yeah, I'll be out of your way"
data/train/365042.0000_366667.0000.ogg,"Of course, in the initial part..."
data/train/366667.0000_368125.0000.ogg,"when you set this up,"
data/train/368125.0000_370542.0000.ogg,it will take some time to get used to it
data/train/370542.0000_372584.0000.ogg,We have to work with all people...
data/train/372584.0000_374709.0000.ogg,and understand from their side
data/train/378999.0000_380751.0000.ogg,"(9.00 am, the operation begins)"
data/train/381334.0000_383542.0000.ogg,Do we have two sets ready?
data/train/384082.0000_385375.0000.ogg,Forceps
data/train/386876.0000_388209.0000.ogg,Can we have a blade?
data/train/389375.0000_393334.0000.ogg,A total of six doctors were involved in the first part of the operation
data/train/393334.0000_396417.0000.ogg,"To avoid blocking each other's views and movements,"
data/train/396417.0000_399459.0000.ogg,each doctor stands or sits...
data/train/399459.0000_402459.0000.ogg,in their pre-arranged positions in an orderly manner
data/train/403375.0000_405959.0000.ogg,"I'm not obstructing you, right, Jolie?"
data/train/406792.0000_407918.0000.ogg,"In addition,"
data/train/407918.0000_411792.0000.ogg,the removal team has to keep the skin of the breast intact...
data/train/411792.0000_413709.0000.ogg,for the plastic surgery team
data/train/413709.0000_417667.0000.ogg,"Therefore, the surgery is relatively more challenging"
data/train/417667.0000_419792.0000.ogg,"We have to dissect very carefully,"
data/train/419792.0000_421959.0000.ogg,not to injure the blood supply...
data/train/421959.0000_425042.0000.ogg,and the subdermal area of the skin
data/train/425459.0000_426334.0000.ogg,Hook here
data/train/426334.0000_429375.0000.ogg,"According to statistics, with the development of modern medicine,"
data/train/429375.0000_433000.0000.ogg,survival rates for breast cancer patients are on the rise
data/train/433000.0000_436334.0000.ogg,"Even so, most people are still very fearful..."
data/train/436334.0000_439792.0000.ogg,when they face a cancer diagnosis
data/train/440125.0000_441292.0000.ogg,Does she have kids?
data/train/441292.0000_442250.0000.ogg,She had kids before
data/train/442250.0000_444501.0000.ogg,I couldn't really feel the rectus just now
data/train/448918.0000_451459.0000.ogg,(Three days before the operation)
data/train/451459.0000_455501.0000.ogg,I'm more worried about my children rather than my husband
data/train/456167.0000_459250.0000.ogg,Margaret and her husband have a son and a daughter
data/train/459250.0000_461792.0000.ogg,Both children are still in school
data/train/462209.0000_466459.0000.ogg,Both parents leave early and return late on weekdays for work
data/train/466459.0000_470459.0000.ogg,"During weekends, they make time to spend with their children"
data/train/471792.0000_476167.0000.ogg,My daughter doesn't show her emotions outwardly
data/train/476167.0000_478209.0000.ogg,She keeps it all in her heart
data/train/478667.0000_484000.0000.ogg,My son would search for information on breast cancer online
data/train/484000.0000_488000.0000.ogg,"He tells his dad to give me a massage every day, something like that"
data/train/490417.0000_493042.0000.ogg,"Look at that turtle, it's waiting for bread"
data/train/493042.0000_496209.0000.ogg,"But we don't have bread, see how it keeps looking at us"
data/train/496751.0000_499542.0000.ogg,Everyone has emotions
data/train/501584.0000_505042.0000.ogg,How many months will you be resting for?
data/train/505042.0000_507584.0000.ogg,I will recover fast
data/train/507584.0000_511417.0000.ogg,The doctor said to rest for at least seven days
data/train/511417.0000_514667.0000.ogg,I will be discharged if there are no complications
data/train/516082.0000_517918.0000.ogg,"When I am not around,"
data/train/517918.0000_520792.0000.ogg,you and your sister have to wash your own clothes
data/train/520792.0000_522584.0000.ogg,Is that okay? You have to wake yourselves up
data/train/522584.0000_524959.0000.ogg,Wash and iron your own school uniforms
data/train/526626.0000_528626.0000.ogg,It will be okay
data/train/543709.0000_545667.0000.ogg,(Khoo Teck Puat Hospital)
data/train/545667.0000_548167.0000.ogg,"Margaret Lim, a stage 3 breast cancer patient,"
data/train/548167.0000_549542.0000.ogg,arrived at the hospital in the morning...
data/train/549542.0000_552584.0000.ogg,to undergo an oncoplastic breast surgery
data/train/553250.0000_554834.0000.ogg,New gauze
data/train/556792.0000_558209.0000.ogg,Right angle
data/train/560542.0000_562626.0000.ogg,Specimen out
data/train/562626.0000_564459.0000.ogg,Stitch -Okay
data/train/565542.0000_567000.0000.ogg,"After two hours,"
data/train/567000.0000_571375.0000.ogg,the tissue specimen from Margaret's left breast was completely removed
data/train/571375.0000_574083.0000.ogg,"This specimen will be sent to the laboratory,"
data/train/574083.0000_577667.0000.ogg,to examine the edges of the tissue specimen for cancer cells
data/train/578209.0000_582167.0000.ogg,A positive margin means that the tumour has not been removed completely
data/train/582167.0000_585209.0000.ogg,The patient may have to undergo another operation...
data/train/585209.0000_587542.0000.ogg,to avoid the recurrence of cancer
data/train/590125.0000_592167.0000.ogg,"Fortunately, it's very rare..."
data/train/592167.0000_595834.0000.ogg,to get a positive margin for mastectomy
data/train/595834.0000_597959.0000.ogg,"With the current advances,"
data/train/597959.0000_600083.0000.ogg,"with the adjuvant treatment,"
data/train/600083.0000_602209.0000.ogg,that has reduced the chances...
data/train/602209.0000_604125.0000.ogg,of a local recurrence
data/train/606167.0000_607751.0000.ogg,"In breast cancer treatment,"
data/train/607751.0000_611459.0000.ogg,the surgeon is often also the patient's primary care physician
data/train/611459.0000_613250.0000.ogg,"From chemotherapy to surgery,"
data/train/613250.0000_616999.0000.ogg,they accompany patients through the long process of treatment
data/train/616999.0000_620292.0000.ogg,"However, the battle is not easy"
data/train/620876.0000_623667.0000.ogg,"There are times when the patient,"
data/train/623667.0000_625459.0000.ogg,"despite all the treatment,"
data/train/625459.0000_629000.0000.ogg,still had a relapse or passed away
data/train/629751.0000_632334.0000.ogg,Some people can't handle that
data/train/632334.0000_634918.0000.ogg,I still find handling that not easy
data/train/636167.0000_638292.0000.ogg,"Hello, Mr Tai"
data/train/638292.0000_641542.0000.ogg,I'm Dr Jerry Goo from Khoo Teck Puat Hospital
data/train/641542.0000_643209.0000.ogg,Is it a good time?
data/train/643876.0000_644876.0000.ogg,"I think as a surgeon,"
data/train/644876.0000_647083.0000.ogg,"you just need to be strong, take it..."
data/train/647083.0000_650000.0000.ogg,and then keep treating patients...
data/train/650000.0000_651959.0000.ogg,and save lives
data/train/651959.0000_653999.0000.ogg,That will help the doctor or the surgeon...
data/train/653999.0000_655542.0000.ogg,to move forward
data/train/656375.0000_659083.0000.ogg,"I have finished my part of the surgery,"
data/train/659083.0000_662626.0000.ogg,so the surgery went well
data/train/671542.0000_673834.0000.ogg,"After the mastectomy team left,"
data/train/673834.0000_677501.0000.ogg,other doctors in the plastic surgery team entered the operating theatre...
data/train/677501.0000_680209.0000.ogg,"to support Dr Jolie, who was leading the operation"
data/train/680209.0000_684209.0000.ogg,"Patients undergoing reconstructive surgery want the most beautiful scars,"
data/train/684250.0000_687501.0000.ogg,and the perfect reconstructions
data/train/687501.0000_690667.0000.ogg,This aspect is the most challenging for me
data/train/691626.0000_696709.0000.ogg,"Before the operation, I would feel like I""m going to war"
data/train/696709.0000_700751.0000.ogg,I am determined to work hard and do my best for the operation
data/train/703584.0000_704999.0000.ogg,"After the flap is removed,"
data/train/704999.0000_707292.0000.ogg,"the plastic surgery team will use a fluorescence equipment,"
data/train/707292.0000_710417.0000.ogg,"to ensure that the flap has proper blood circulation,"
data/train/710417.0000_712918.0000.ogg,before transplanting the flap to the breast
data/train/713292.0000_716667.0000.ogg,This next step of the operation is critical
data/train/716667.0000_720083.0000.ogg,Forming a new breast mound using the flap
data/train/721459.0000_723959.0000.ogg,I need to cut much more
data/train/725751.0000_728209.0000.ogg,Let me just trim a bit first
data/train/729042.0000_732876.0000.ogg,"During the operation, we will adjust the operating table..."
data/train/732876.0000_734626.0000.ogg,to sit the patient up
data/train/734626.0000_739459.0000.ogg,Their breasts are in the most natural position when they sit up
data/train/739459.0000_743792.0000.ogg,"This way, we can ensure that the breasts are symmetrical"
data/train/744459.0000_746999.0000.ogg,"Ok, I'm going to cut a bit more"
data/train/747334.0000_748542.0000.ogg,Nice
data/train/748918.0000_751999.0000.ogg,"For patients newly diagnosed with breast cancer,"
data/train/751999.0000_756167.0000.ogg,plastic surgery may not be a major consideration for them
data/train/756167.0000_759751.0000.ogg,"However, as recovery rate increases,"
data/train/759751.0000_764709.0000.ogg,more people are also considering breast reconstruction surgery
data/train/764709.0000_770167.0000.ogg,This is usually the last part of the patient's recovery
data/train/770167.0000_772209.0000.ogg,"After the reconstruction surgery,"
data/train/772209.0000_777083.0000.ogg,they can slowly return to their normal lives
data/train/781709.0000_784209.0000.ogg,(Three days before the operation)
data/train/784209.0000_787626.0000.ogg,"Usually, early in the morning, after my children are in school,"
data/train/787626.0000_791000.0000.ogg,I will take a walk around the neighbourhood...
data/train/791000.0000_792667.0000.ogg,to relax myself
data/train/793501.0000_797167.0000.ogg,The most important thing for people is to...
data/train/797751.0000_799459.0000.ogg,live a happier life
data/train/800501.0000_803250.0000.ogg,"For example, when we are not feeling well,"
data/train/803250.0000_807792.0000.ogg,"or fall sick, just don't keep dwelling on it"
data/train/809042.0000_811334.0000.ogg,Margaret is a sports enthusiast
data/train/811334.0000_814667.0000.ogg,"She enjoys swimming, running, hiking and ball sports"
data/train/814667.0000_816542.0000.ogg,"If she wears a breast prosthesis,"
data/train/816542.0000_819250.0000.ogg,it will be inconvenient to her
data/train/819250.0000_821501.0000.ogg,"However, her decision to reconstruct her breast..."
data/train/821501.0000_823751.0000.ogg,was also based on other considerations
data/train/824334.0000_827709.0000.ogg,Reconstruction gives you self-confidence
data/train/827709.0000_830417.0000.ogg,People won't know that you've undergone surgery for breast cancer...
data/train/830417.0000_832584.0000.ogg,"if you don't tell them, right?"
data/train/833334.0000_836709.0000.ogg,You won't feel different from other people
data/train/838751.0000_841334.0000.ogg,"In the six months since her cancer diagnosis,"
data/train/841334.0000_844250.0000.ogg,Margaret has been resting at home
data/train/844250.0000_848584.0000.ogg,"She looks forward to returning to work after she recovers from her surgery,"
data/train/848584.0000_850918.0000.ogg,and resume her life before
data/train/851375.0000_853000.0000.ogg,I enjoy working...
data/train/853000.0000_856417.0000.ogg,because I am someone who enjoys going out
data/train/856792.0000_860417.0000.ogg,I think we should live life to the fullest
data/train/860417.0000_865626.0000.ogg,It is very much like giving yourself a new hope and a new life
data/train/873709.0000_878083.0000.ogg,"(6.00 pm, two hours after the operation)"
data/train/884709.0000_887876.0000.ogg,Were you distracted at work today?
data/train/888125.0000_892667.0000.ogg,"Yes, my heart has been heavy"
data/train/893000.0000_895375.0000.ogg,"My loved one is sick,"
data/train/895375.0000_898501.0000.ogg,so I definitely feel some heartache
data/train/912459.0000_914083.0000.ogg,(6.30 pm)
data/train/918834.0000_920626.0000.ogg,Can you eat?
data/train/920959.0000_922999.0000.ogg,I'm worried that you will vomit later
data/train/923292.0000_926292.0000.ogg,Margaret has just woken up from surgery...
data/train/926292.0000_928459.0000.ogg,and still feels a little weak
data/train/928959.0000_933542.0000.ogg,It is a big load off her husband Tai Woei Haur's mind...
data/train/933542.0000_935667.0000.ogg,after seeing her wake up
data/train/939751.0000_941167.0000.ogg,Is it too dry?
data/train/941667.0000_942999.0000.ogg,It's okay
data/train/942999.0000_948417.0000.ogg,This isn't the first time that Tai has seen his wife hospitalized
data/train/948417.0000_952626.0000.ogg,Margaret was involved in a terrible car accident 15 years ago
data/train/952626.0000_955000.0000.ogg,She even foamed at the mouth on the spot
data/train/955000.0000_958918.0000.ogg,It took considerable medical effort to save her life
data/train/959250.0000_961834.0000.ogg,"After the operation, I was transported to the ward"
data/train/961834.0000_966375.0000.ogg,The most memorable moment was when my husband hugged me tightly
data/train/966375.0000_968459.0000.ogg,That was the most memorable
data/train/968834.0000_970334.0000.ogg,Do you want to try the soup?
data/train/970334.0000_973626.0000.ogg,He has always been there for me when I'm sick
data/train/973626.0000_975918.0000.ogg,I'm very grateful to him
data/train/976709.0000_980000.0000.ogg,It is not tiring to do this for my wife
data/train/980459.0000_983542.0000.ogg,"I married someone who is willing to go through hardships with me,"
data/train/983542.0000_987000.0000.ogg,travelling in and out of Singapore together on a motorcycle
data/train/987375.0000_989209.0000.ogg,Sometimes we grumble
data/train/989209.0000_992584.0000.ogg,But everyone still remains happy after grumbling about it
data/train/992584.0000_994417.0000.ogg,"I'm content with the life we have now,"
data/train/994417.0000_996250.0000.ogg,I dare not ask for too much
data/train/998918.0000_1001250.0000.ogg,Are you leaving? -Yes
data/train/1001250.0000_1003125.0000.ogg,I want to hold your hand
data/train/1011125.0000_1014334.0000.ogg,"(6.00 am, the day after the operation)"
data/train/1015667.0000_1020000.0000.ogg,"Twice a year, surgeons in various fields from Khoo Teck Puat Hospital..."
data/train/1020000.0000_1023792.0000.ogg,"meet for a morning jog in the park next to the hospital,"
data/train/1023792.0000_1026375.0000.ogg,as a team bonding activity
data/train/1026834.0000_1030501.0000.ogg,"For surgeons, when we first start training,"
data/train/1030501.0000_1031751.0000.ogg,technical excellence...
data/train/1031751.0000_1035459.0000.ogg,is something that we always aim for
data/train/1035459.0000_1038375.0000.ogg,We always want to do the perfect surgery
data/train/1038375.0000_1040083.0000.ogg,But a better way...
data/train/1040083.0000_1043209.0000.ogg,"would actually consider the patient itself,"
data/train/1043209.0000_1046416.0000.ogg,and I think working as a team...
data/train/1046416.0000_1049292.0000.ogg,brings about the best outcome for the patient
data/train/1050999.0000_1053209.0000.ogg,(7.00 am)
data/train/1054459.0000_1056334.0000.ogg,"So, you're quite happy with the flap?"
data/train/1056375.0000_1058417.0000.ogg,"Yes, it looks quite good"
data/train/1058417.0000_1059999.0000.ogg,I tried to spare the skin...
data/train/1059999.0000_1061501.0000.ogg,"as much as possible, so..."
data/train/1061501.0000_1064334.0000.ogg,"Yeah, so it's a nice pocket"
data/train/1064334.0000_1069000.0000.ogg,"During surgeries such as the oncoplastic breast surgery,"
data/train/1069000.0000_1073459.0000.ogg,the cooperation and coordination between Dr Jerry and Dr Jolie are very important
data/train/1073459.0000_1076292.0000.ogg,"Good morning, Mdm Lim, how do you feel?"
data/train/1076292.0000_1078334.0000.ogg,"For example, Dr Jerry would usually arrange for patients..."
data/train/1078334.0000_1080375.0000.ogg,"to receive electrotherapy after surgery,"
data/train/1080375.0000_1083083.0000.ogg,which reduces the size of the breast
data/train/1083083.0000_1086542.0000.ogg,"Therefore, during the reconstruction surgery,"
data/train/1086542.0000_1089375.0000.ogg,Dr Jolie will reconstruct the breast larger
data/train/1089375.0000_1091125.0000.ogg,Let me take a look -We'll take a look
data/train/1091125.0000_1094417.0000.ogg,Does it still hurt? -It looks good
data/train/1095000.0000_1098209.0000.ogg,"After confirming that the grafted skin flap is healthy,"
data/train/1098209.0000_1101083.0000.ogg,the operation can be said to have gone well
data/train/1101083.0000_1105626.0000.ogg,"However, Margaret's challenge has just begun"
data/train/1106792.0000_1108542.0000.ogg,"Hello, Mdm Lim"
data/train/1112667.0000_1116250.0000.ogg,"-I'm going to learn how to walk? -Yes, take a few steps"
data/train/1116250.0000_1118626.0000.ogg,"One leg at a time, slowly"
data/train/1119417.0000_1122042.0000.ogg,"One, two, three"
data/train/1122083.0000_1123709.0000.ogg,That's great
data/train/1123709.0000_1125626.0000.ogg,Let's continue to move out slowly
data/train/1125626.0000_1127709.0000.ogg,"Okay, have your feet touched the ground?"
data/train/1127709.0000_1129542.0000.ogg,"Okay, sit tight"
data/train/1129542.0000_1134125.0000.ogg,We usually try to get them out of bed and walk on the first day
data/train/1134125.0000_1137918.0000.ogg,"It's mainly to prevent them from lying in bed for too long,"
data/train/1137918.0000_1140709.0000.ogg,"which may lead to a minor lung infection,"
data/train/1140709.0000_1143334.0000.ogg,or problems such as a reduction in stamina
data/train/1143334.0000_1147584.0000.ogg,It's beneficial for them to get out of bed and walk earlier
data/train/1147584.0000_1150584.0000.ogg,"Now, try to lift your hand up high"
data/train/1150584.0000_1153667.0000.ogg,It's a day filled with challenges for Margaret...
data/train/1153667.0000_1158042.0000.ogg,as she learns to walk and move her arms
data/train/1158042.0000_1160501.0000.ogg,Squeeze your hands like this
data/train/1160501.0000_1161918.0000.ogg,"That's right, okay"
data/train/1166709.0000_1171417.0000.ogg,"The first time I had chemotherapy, I had so much blood drawn"
data/train/1171417.0000_1173501.0000.ogg,My cousin...
data/train/1173501.0000_1178042.0000.ogg,brought me to take some photos before I shaved my hair
data/train/1179501.0000_1182125.0000.ogg,Then I met my wonderful landlord
data/train/1182125.0000_1184999.0000.ogg,"Whenever I'm not feeling well from chemotherapy,"
data/train/1185000.0000_1188584.0000.ogg,she will cook porridge and make soup for me
data/train/1188584.0000_1189999.0000.ogg,It warms my heart
data/train/1191459.0000_1193709.0000.ogg,I will remember it...
data/train/1193709.0000_1198459.0000.ogg,because it is something worth remembering in my life
data/train/1198459.0000_1201542.0000.ogg,I'll keep these as a memento
data/train/1206792.0000_1210999.0000.ogg,"Since her diagnosis, Margaret has gone through a lot"
data/train/1210999.0000_1213000.0000.ogg,"She has been cooperative with her treatment,"
data/train/1213000.0000_1215375.0000.ogg,in order to recover
data/train/1215375.0000_1219751.0000.ogg,"And on this day, she finally arrived at an important milestone,"
data/train/1219751.0000_1222417.0000.ogg,which is the removal of her tumour
data/train/1223250.0000_1226209.0000.ogg,Every patient looks forward to this day
data/train/1227709.0000_1229792.0000.ogg,My surgery is done
data/train/1229792.0000_1233417.0000.ogg,It really hurts to have an incision in my stomach
data/train/1237209.0000_1242000.0000.ogg,"(Next, Margaret will have to undergo electrotherapy and regular follow-ups)"
data/train/1243209.0000_1246209.0000.ogg,(Only when the cancer does not relapse in five years...)
data/train/1246209.0000_1249167.0000.ogg,(will the patient be considered to be clear of danger)
data/train/1251876.0000_1253292.0000.ogg,"From the patient's point of view,"
data/train/1253292.0000_1256334.0000.ogg,"the hospital is quite a high-risk place,"
data/train/1256334.0000_1258584.0000.ogg,where anything can happen
data/train/1258626.0000_1262000.0000.ogg,"That's why I go back to the word ""trust"""
data/train/1262709.0000_1263542.0000.ogg,"A lot of the time,"
data/train/1263542.0000_1266292.0000.ogg,"we manage to cure or treat the patient,"
data/train/1266292.0000_1268292.0000.ogg,"and the patient can be discharged,"
data/train/1268292.0000_1270375.0000.ogg,so it's a good place
data/train/1275584.0000_1278167.0000.ogg,(A month after the operation)
data/train/1279125.0000_1280542.0000.ogg,Good morning
data/train/1280542.0000_1283292.0000.ogg,It's time for my morning exercise
data/train/1283667.0000_1287000.0000.ogg,It's a cool and refreshing day
data/train/1287000.0000_1289542.0000.ogg,"All is well with me, thank you!"
data/train/1289542.0000_1290542.0000.ogg,Subtitles: CaptionCube
data/train/739327.0000_740607.0000.ogg,The possibility of a surge
data/train/741119.0000_741887.0000.ogg,2nd
data/train/742399.0000_745215.0000.ogg,Expenses for mutual aid outpatient insurance
data/train/745471.0000_746239.0000.ogg,I didn't see
data/train/746495.0000_747007.0000.ogg,because
data/train/747263.0000_749311.0000.ogg,The total outpatient clinic itself is
data/train/751871.0000_754943.0000.ogg,"Expenses, everyone has to pay to see the clinic"
data/train/755455.0000_758015.0000.ogg,"Since social security has allocated money, so"
data/train/758271.0000_760575.0000.ogg,The possibility of these two substantial increases does not exist
data/train/761087.0000_765695.0000.ogg,"So the rest, Article 5 retirees account, retirees"
data/train/766207.0000_767487.0000.ogg,87 million
data/train/767743.0000_772095.0000.ogg,The number of retirees enrolled in medical insurance has not increased significantly
data/train/774399.0000_776703.0000.ogg,Civil service medical security and senior officials
data/train/776959.0000_779519.0000.ogg,Has the protection increased significantly? I can't see either
data/train/781567.0000_782079.0000.ogg,Significantly increased space
data/train/782335.0000_785151.0000.ogg,"A substantial increase is possible, there are some fluctuations in the amount"
data/train/785919.0000_791295.0000.ogg,"But if you want to change the system to solve this problem, it’s definitely not"
data/train/792319.0000_795135.0000.ogg,The increase of a certain item cost
data/train/795647.0000_796671.0000.ogg,What does that mean?
data/train/797183.0000_798463.0000.ogg,Means less income
data/train/798719.0000_799743.0000.ogg,In other words
data/train/799999.0000_803071.0000.ogg,Less money collected from the overall fund
data/train/804863.0000_809727.0000.ogg,"The money collected by the overall fund is small, and how small is this money?"
data/train/810239.0000_816127.0000.ogg,"As little as one and a half years of subsidies can not solve the problem, it can only change the system"
data/train/817919.0000_819199.0000.ogg,Can only change the system
data/train/820223.0000_822783.0000.ogg,Why pool the fund
data/train/823551.0000_825087.0000.ogg,Are there less funds collected?
data/train/826879.0000_828415.0000.ogg,Then there is only one case
data/train/828927.0000_830207.0000.ogg,what's the situation
data/train/831487.0000_831999.0000.ogg,Just
data/train/832767.0000_834303.0000.ogg,The number of unemployed has increased
data/train/835071.0000_835839.0000.ogg,In other words
data/train/836351.0000_837119.0000.ogg,Currently
data/train/837631.0000_839935.0000.ogg,Number of people paying medical insurance
data/train/840447.0000_841215.0000.ogg,Decreasing
data/train/841983.0000_844799.0000.ogg,And this reduced number is not a
data/train/845311.0000_848127.0000.ogg,"1%, 2%, 3% of this level"
data/train/848383.0000_851967.0000.ogg,"Is a very large reduction, resulting in"
data/train/852479.0000_855807.0000.ogg,Government subsidies
data/train/856063.0000_857087.0000.ogg,Can't figure it out
data/train/857855.0000_859647.0000.ogg,Just need
data/train/859903.0000_864767.0000.ogg,"Everyone should know, what is the level of this adjustment we are talking about?"
data/train/865535.0000_868095.0000.ogg,The original personal account accounted for 44%
data/train/868863.0000_870399.0000.ogg,Co-ordinated funds account for 56%
data/train/871935.0000_872959.0000.ogg,After adjustment
data/train/873215.0000_875263.0000.ogg,Personal accounts account for 20%
data/train/875775.0000_877311.0000.ogg,24% less
data/train/877567.0000_879103.0000.ogg,that is
data/train/879615.0000_881663.0000.ogg,Cut half and more
data/train/882175.0000_884735.0000.ogg,Personal account money is half less and more
data/train/886015.0000_887807.0000.ogg,What's happening here?
data/train/888831.0000_889855.0000.ogg,In other words
data/train/890111.0000_893183.0000.ogg,The hole in the co-ordination fund is not so big
data/train/893695.0000_897023.0000.ogg,"Is very, very big, so our title today"
data/train/897279.0000_898559.0000.ogg,Definitely not
data/train/899839.0000_903679.0000.ogg,"A sensational news, this is a"
data/train/904191.0000_906495.0000.ogg,Very well-founded judgment
data/train/907263.0000_908031.0000.ogg,Is social security
data/train/908287.0000_908799.0000.ogg,Can't hold it anymore
data/train/909823.0000_911615.0000.ogg,"Otherwise, he cannot be of this level"
data/train/911871.0000_915967.0000.ogg,"There is more to cut in half, 44% cut to 20%"
data/train/919039.0000_920063.0000.ogg,and so
data/train/920831.0000_923647.0000.ogg,"As mentioned above, what happened?"
data/train/924159.0000_925695.0000.ogg,There are two situations
data/train/925951.0000_926719.0000.ogg,1st
data/train/927487.0000_928511.0000.ogg,Unemployed population
data/train/928767.0000_931583.0000.ogg,"Is rising sharply, and rising sharply"
data/train/931839.0000_934911.0000.ogg,"The ratio is not 10%, 20% problem"
data/train/935679.0000_941823.0000.ogg,"It’s a problem of more than 20%. I always think that China’s unemployment rate must exceed 20%, about 30%, which is 319 00:15:42,079 --> 00:15:42,847 Level rise"
data/train/943871.0000_946687.0000.ogg,"Otherwise, how could he cut half?"
data/train/946943.0000_947455.0000.ogg,2nd
data/train/948991.0000_951295.0000.ogg,The income of employees is declining
data/train/951807.0000_953599.0000.ogg,Employee income decline
data/train/954111.0000_956415.0000.ogg,The number of people paying medical insurance is decreasing
data/train/956671.0000_959743.0000.ogg,Will lead to such a big hole in the overall fund
data/train/961279.0000_963327.0000.ogg,Only need to adjust this level
data/train/964095.0000_966143.0000.ogg,This is a very big adjustment
data/train/966399.0000_967423.0000.ogg,Not a normal adjustment
data/train/968191.0000_970495.0000.ogg,"Not a certain one, think about it if it is"
data/train/971007.0000_973567.0000.ogg,A short time
data/train/974079.0000_976895.0000.ogg,A situation in time and space
data/train/977663.0000_979199.0000.ogg,The government subsidizes
data/train/979455.0000_980735.0000.ogg,Financial subsidy
data/train/981247.0000_985087.0000.ogg,"First of all, the fiscal subsidy is definitely not coming, because the fiscal itself"
data/train/985855.0000_989951.0000.ogg,"We’ve said it countless times, but China’s finances are now in a mess."
data/train/990207.0000_992511.0000.ogg,2 trillion to support local governments
data/train/993023.0000_995839.0000.ogg,Support the county government
data/train/996863.0000_997631.0000.ogg,2 trillion
data/train/997887.0000_999423.0000.ogg,This is a
data/train/999679.0000_1001215.0000.ogg,Very severe situation
data/train/1003775.0000_1007103.0000.ogg,"We are going to talk about some basic situations, one"
data/train/1008127.0000_1008639.0000.ogg,Medical insurance
data/train/1008895.0000_1011199.0000.ogg,When will it be established? Established in 1998
data/train/1011455.0000_1014527.0000.ogg,What is the structure of medical insurance? The structure of medical insurance is
data/train/1015039.0000_1015807.0000.ogg,personal account
data/train/1016063.0000_1017855.0000.ogg,Plus pooling fund
data/train/1018111.0000_1020415.0000.ogg,This is a huge shady
data/train/1020671.0000_1023231.0000.ogg,The overall fund is a huge shady
data/train/1024255.0000_1029118.0000.ogg,2019 Statistical Bulletin of the National Medical Security Development
data/train/1029887.0000_1031423.0000.ogg,Participate in employee medical insurance
data/train/1031679.0000_1032446.0000.ogg,How many people
data/train/1033214.0000_1035519.0000.ogg,329.25 million people
data/train/1039103.0000_1041151.0000.ogg,Of which employees
data/train/1041406.0000_1043711.0000.ogg,Two hundred and forty-two twenty four million
data/train/1045759.0000_1048319.0000.ogg,240 million
data/train/1049087.0000_1050111.0000.ogg,Retired employee
data/train/1050367.0000_1051391.0000.ogg,87 million
data/train/1052159.0000_1055231.0000.ogg,"87 million, this ratio is very high"
data/train/1055487.0000_1057535.0000.ogg,China's medical insurance
data/train/1058815.0000_1061631.0000.ogg,Itself is very
data/train/1062655.0000_1066239.0000.ogg,"Fragile, think about 240 million"
data/train/1066751.0000_1069567.0000.ogg,1/3 of people
data/train/1070079.0000_1071615.0000.ogg,Is that retired employees account for
data/train/1072383.0000_1075199.0000.ogg,The one who pays is the one who spends the money
data/train/1075711.0000_1077759.0000.ogg,People who only spend money without paying
data/train/1078527.0000_1079551.0000.ogg,Take up
data/train/1079807.0000_1082879.0000.ogg,1/3 of those who spend and pay
data/train/1084927.0000_1086719.0000.ogg,This is very fragile
data/train/1087231.0000_1089791.0000.ogg,"Second, how many civil servants are there? How many people are there in the financial support?"
data/train/1090559.0000_1091327.0000.ogg,90 million people
data/train/1091839.0000_1094655.0000.ogg,"90 million people, most of them"
data/train/1095167.0000_1096191.0000.ogg,Unpaid
data/train/1096703.0000_1097983.0000.ogg,Go inside without paying
data/train/1098239.0000_1099007.0000.ogg,take money
data/train/1099263.0000_1099775.0000.ogg,Reimbursed
data/train/1100543.0000_1101311.0000.ogg,What else?
data/train/1101567.0000_1102591.0000.ogg,There are civil servants
data/train/1102847.0000_1104127.0000.ogg,Senior ward
data/train/1104639.0000_1106431.0000.ogg,How much does the senior ward cost?
data/train/1106943.0000_1107967.0000.ogg,do not know
data/train/1108735.0000_1109503.0000.ogg,So we speak
data/train/1109759.0000_1111295.0000.ogg,Pooling fund
data/train/1112063.0000_1113343.0000.ogg,Is a huge shady
data/train/1113855.0000_1116671.0000.ogg,China's social security is a scam. Where is the scam?
data/train/1117183.0000_1118463.0000.ogg,Three things
data/train/1119231.0000_1121023.0000.ogg,"The first one, institutional loopholes"
data/train/1122559.0000_1126655.0000.ogg,What is an institutional loophole? This system is in the design
data/train/1127935.0000_1130239.0000.ogg,Where is the loophole? Two loopholes
data/train/1130495.0000_1131263.0000.ogg,the first
data/train/1131519.0000_1133311.0000.ogg,"He talks about insurance, but it's not insurance"
data/train/1134079.0000_1135615.0000.ogg,He is a ledger system
data/train/1135871.0000_1138175.0000.ogg,What is the equivalent? Equivalent to savings
data/train/1139455.0000_1142527.0000.ogg,Is how much money you save in
data/train/1143039.0000_1144319.0000.ogg,How much you spend
data/train/1144575.0000_1147135.0000.ogg,"He is not insurance, insurance is"
data/train/1147391.0000_1149183.0000.ogg,I pay a fee to go out
data/train/1149695.0000_1152255.0000.ogg,This fee is not spent or not
data/train/1153023.0000_1155583.0000.ogg,I can use it when I need it
data/train/1155839.0000_1158143.0000.ogg,The larger one
data/train/1158399.0000_1160447.0000.ogg,But you don’t have to spend this money
data/train/1161471.0000_1165311.0000.ogg,"So the so-called social security is actually not insurance, it is the ledger 407 00:19:25,823 --> 00:19:27,103 Equivalent to savings"
data/train/1168127.0000_1168895.0000.ogg,this is
data/train/1169151.0000_1169919.0000.ogg,piece
data/train/1170431.0000_1172223.0000.ogg,What about this system
data/train/1172479.0000_1174783.0000.ogg,Actually there are very big limitations
data/train/1175039.0000_1178111.0000.ogg,Is that his coverage is very limited
data/train/1178879.0000_1180927.0000.ogg,This is an institutional defect
data/train/1181695.0000_1182207.0000.ogg,Article 2
data/train/1184255.0000_1189375.0000.ogg,"At the beginning of the system, there were a lot of loopholes"
data/train/1189887.0000_1190655.0000.ogg,What loophole?
data/train/1191423.0000_1197567.0000.ogg,There are a lot of people from state-owned enterprises and institutions. They didn’t pay the money in the first place.
data/train/1197823.0000_1199103.0000.ogg,Entered this system
data/train/1199359.0000_1201663.0000.ogg,Then think about it like this
data/train/1201919.0000_1202431.0000.ogg,know
data/train/1202687.0000_1205503.0000.ogg,"You didn’t pay upfront, but later you want"
data/train/1205759.0000_1208319.0000.ogg,"When taking money, there is a hole in the middle"
data/train/1209343.0000_1211903.0000.ogg,Does the Communist Party manage? Leave this hole alone
data/train/1212159.0000_1213439.0000.ogg,So the Communist Party
data/train/1213695.0000_1215487.0000.ogg,Managing the country and managing finances is a mess
data/train/1216511.0000_1218303.0000.ogg,Just ignore it completely
data/train/1218559.0000_1220863.0000.ogg,"I don’t care, in fact, this loophole will get bigger and bigger"
data/train/1221631.0000_1224703.0000.ogg,This institutional loophole did not arrange this matter properly
data/train/1225215.0000_1226495.0000.ogg,Why is it not arranged?
data/train/1227007.0000_1228543.0000.ogg,The Communist Party didn’t plan to live
data/train/1229055.0000_1230847.0000.ogg,"This is the first, institutional loophole"
data/train/1232127.0000_1232639.0000.ogg,second
data/train/1232895.0000_1234175.0000.ogg,Institutional injustice
data/train/1234943.0000_1236991.0000.ogg,What does the so-called institutional injustice talk about?
data/train/1237759.0000_1239039.0000.ogg,I'm talking about senior ward
data/train/1239807.0000_1241087.0000.ogg,Talking about civil servants
data/train/1242111.0000_1244159.0000.ogg,"These are two big pieces, institutional injustice"
data/train/1244415.0000_1246463.0000.ogg,Consequences of institutional injustice
data/train/1246719.0000_1248255.0000.ogg,The hole is getting bigger and bigger
data/train/1249023.0000_1251839.0000.ogg,How much did the senior ward cost?
data/train/1252351.0000_1253631.0000.ogg,Don't know how much it will cost
data/train/1257215.0000_1257983.0000.ogg,"Third 445 00:20:58,495 --> 00:21:01,823 Without transparency, it is simply a black box operation"
data/train/1263359.0000_1265151.0000.ogg,How much do people pay?
data/train/1265663.0000_1267711.0000.ogg,Where is the money spent?
data/train/1268479.0000_1271295.0000.ogg,How to spend it? Who did it?
data/train/1271551.0000_1272575.0000.ogg,do not know
data/train/1272831.0000_1274111.0000.ogg,Completely unclear
data/train/1276159.0000_1277696.0000.ogg,Why is he not clear?
data/train/1278208.0000_1280768.0000.ogg,Because of the institutional injustice behind him
data/train/1281024.0000_1282560.0000.ogg,Has huge loopholes
data/train/1282816.0000_1284096.0000.ogg,Very fragile
data/train/1284864.0000_1286656.0000.ogg,Would have such a situation
data/train/1287680.0000_1288704.0000.ogg,He dare not
data/train/1288960.0000_1290240.0000.ogg,public
data/train/1291264.0000_1293824.0000.ogg,He dare not open because there are so many problems
data/train/1295104.0000_1298944.0000.ogg,We talk about China's social security
data/train/1299200.0000_1300736.0000.ogg,It's a big scam
data/train/1303808.0000_1305088.0000.ogg,One of them
data/train/1305856.0000_1308160.0000.ogg,The most vulnerable part is the two parts
data/train/1309952.0000_1310976.0000.ogg,One part is medical insurance
data/train/1311744.0000_1313024.0000.ogg,One part is retirement protection
data/train/1313536.0000_1316352.0000.ogg,Retirement protection is pension
data/train/1317120.0000_1320192.0000.ogg,"Pension, endowment insurance"
data/train/1320704.0000_1322752.0000.ogg,Pension insurance is also a big piece
data/train/1323008.0000_1323776.0000.ogg,Loophole
data/train/1325568.0000_1328896.0000.ogg,Pension and medical insurance are difficult brothers
data/train/1329408.0000_1332480.0000.ogg,"Their problem is the same, we haven’t seen it yet"
data/train/1332736.0000_1338880.0000.ogg,"After the pension insurance is adjusted, the hole in the pension insurance is even bigger"
data/train/1342976.0000_1344000.0000.ogg,Everybody knows
data/train/1344256.0000_1345536.0000.ogg,So-called medical insurance
data/train/1345792.0000_1349120.0000.ogg,"In fact, in China, individuals pay a lot of money"
data/train/1353984.0000_1358336.0000.ogg,"We have seen some places before, and its hospitals are in trouble"
data/train/1359104.0000_1360128.0000.ogg,Everybody knows
data/train/1360384.0000_1363200.0000.ogg,China’s medical system is actually two systems
data/train/1363456.0000_1367040.0000.ogg,"One system is the entire medical system, and the other is the medical insurance system"
data/train/1367808.0000_1368576.0000.ogg,they are
data/train/1368832.0000_1369856.0000.ogg,Symbiosis
data/train/1371392.0000_1376512.0000.ogg,"As you can see, some hospitals are closing down now"
data/train/1376768.0000_1382912.0000.ogg,"Of course, one of the reasons is that there are fewer people in hospitals now. Why? Dare not go to the doctor because there is"
data/train/1383424.0000_1383936.0000.ogg,epidemic
data/train/1384704.0000_1389312.0000.ogg,"Many did not dare to go to see a doctor, leading to large hospitals that were originally expanded"
data/train/1389568.0000_1391104.0000.ogg,There is a financial crisis
data/train/1391616.0000_1396224.0000.ogg,"It’s the case of the hospital closing down, one of the reasons"
data/train/1396480.0000_1399040.0000.ogg,What is the other reason? Medical insurance
data/train/1400064.0000_1402880.0000.ogg,Where does most of the hospital's income come from?
data/train/1403136.0000_1404672.0000.ogg,Funds allocated from medical insurance
data/train/1406208.0000_1409024.0000.ogg,If medical insurance goes wrong
data/train/1409536.0000_1412608.0000.ogg,There was a problem with the funding process to the hospital
data/train/1412864.0000_1413888.0000.ogg,He has no money
data/train/1414656.0000_1415680.0000.ogg,Empty
data/train/1416192.0000_1419264.0000.ogg,"If there is no money to allocate to the hospital, won't the hospital close down? 503 00:23:40,032 --> 00:23:41,568 The current situation is"
data/train/1422080.0000_1427456.0000.ogg,When China’s economy continues to rise and continues to grow rapidly
data/train/1428224.0000_1428992.0000.ogg,We just talked about
data/train/1429248.0000_1430016.0000.ogg,Social security
data/train/1430272.0000_1431808.0000.ogg,What is the actual problem?
data/train/1432320.0000_1434624.0000.ogg,"Structural problems, what are structural problems?"
data/train/1434880.0000_1435904.0000.ogg,Is what we just talked about
data/train/1436416.0000_1437184.0000.ogg,Loophole
data/train/1437440.0000_1440512.0000.ogg,"Institutional injustice, etc., a series of problems"
data/train/1440768.0000_1443840.0000.ogg,"The accounts are not public, there are a lot of bad debts in the middle"
data/train/1444096.0000_1446656.0000.ogg,A bunch of bad debts
data/train/1447680.0000_1450752.0000.ogg,"This is a structural problem, collectively referred to as a structural problem"
data/train/1451520.0000_1456896.0000.ogg,"When the economy continues to grow, the number of people participating in social security continues to increase. Why?"
data/train/1457152.0000_1458176.0000.ogg,Good economy
data/train/1458688.0000_1463808.0000.ogg,"More and more people are participating in work, everyone has a job, and everyone’s income is increasing"
data/train/1464064.0000_1467904.0000.ogg,The funds collected by medical insurance continue to grow
data/train/1468416.0000_1469696.0000.ogg,These problems can be covered
data/train/1470208.0000_1471232.0000.ogg,Can cover
data/train/1471744.0000_1474048.0000.ogg,"Senior ward, spend some money 522 00:24:34,304 --> 00:24:36,096 Three to five billion, no problem"
data/train/1476352.0000_1476864.0000.ogg,Can pay
data/train/1477888.0000_1480192.0000.ogg,Wait for economic growth
data/train/1481216.0000_1483264.0000.ogg,When it started to fall
data/train/1484288.0000_1487616.0000.ogg,"Unemployment has increased, wage income has fallen"
data/train/1487872.0000_1490944.0000.ogg,The money collected in the medical insurance will be less
data/train/1491968.0000_1495808.0000.ogg,"When the collection is getting less and less, less when you first start"
data/train/1496320.0000_1497344.0000.ogg,Government subsidy
data/train/1497600.0000_1498112.0000.ogg,Passed
data/train/1498880.0000_1500928.0000.ogg,"A little less, a little more subsidy, it's over again"
data/train/1501952.0000_1506816.0000.ogg,"When you are reduced to a certain level, the government itself has no money, and wages cannot be paid"
data/train/1507584.0000_1509120.0000.ogg,Then this hole can't be covered
data/train/1509632.0000_1510912.0000.ogg,What should I do if I can't cover it?
data/train/1511168.0000_1512192.0000.ogg,first
data/train/1512448.0000_1514496.0000.ogg,"Make an adjustment 537 00:25:15,008 --> 00:25:15,776 when"
data/train/1517312.0000_1518336.0000.ogg,Pooling fund
data/train/1518592.0000_1521920.0000.ogg,"Can't cover it anymore, what should I do? Just make an adjustment"
data/train/1522176.0000_1524992.0000.ogg,Move the money in your personal account to the overall fund
data/train/1525248.0000_1526528.0000.ogg,Now do the first step
data/train/1527808.0000_1529088.0000.ogg,This step 1
data/train/1529344.0000_1530880.0000.ogg,Just solve it first
data/train/1531136.0000_1533696.0000.ogg,"The problem that this hole can continue to run 546 00:25:34,976 --> 00:25:37,280 What if it continues to develop?"
data/train/1537536.0000_1541376.0000.ogg,Individuals collected now
data/train/1541632.0000_1544704.0000.ogg,"Just put it on your personal account, there is actually a problem"
data/train/1545472.0000_1546240.0000.ogg,what is the problem?
data/train/1546496.0000_1547776.0000.ogg,It's a matter of fairness
data/train/1548544.0000_1549568.0000.ogg,For individuals
data/train/1550336.0000_1553920.0000.ogg,I have a very important condition for joining social security. What are the conditions?
data/train/1554944.0000_1556480.0000.ogg,Is the unit to help me pay
data/train/1557760.0000_1561856.0000.ogg,"I pay 2%, the unit pays 8%, I am very happy, why"
data/train/1562112.0000_1563648.0000.ogg,Because the unit pays more than me
data/train/1564160.0000_1566208.0000.ogg,I can still get 30% of it
data/train/1566464.0000_1568256.0000.ogg,"Put it in my personal, I'll spend"
data/train/1568768.0000_1571328.0000.ogg,"What is the problem now? You take this 30% 559 00:26:11,584 --> 00:26:13,120 All set away"
data/train/1573376.0000_1576448.0000.ogg,My personal account only has money that I personally paid. Why should I give you this money?
data/train/1577728.0000_1583104.0000.ogg,Is it not good for me to take the money directly to buy commercial insurance? Why am I leaving it to you?
data/train/1583616.0000_1584896.0000.ogg,Here comes the problem
data/train/1585664.0000_1587712.0000.ogg,What are the consequences of his action?
data/train/1587968.0000_1590016.0000.ogg,His action is very serious
data/train/1590528.0000_1591040.0000.ogg,Just
data/train/1591552.0000_1593856.0000.ogg,The motivation to join social security is reduced
data/train/1595136.0000_1596928.0000.ogg,"Think about it, although the law requires"
data/train/1599488.0000_1601280.0000.ogg,Must join social security
data/train/1601536.0000_1604608.0000.ogg,"Must pay medical insurance, must pay endowment insurance"
data/train/1605120.0000_1607936.0000.ogg,"But if you think about it, where is the core problem?"
data/train/1608448.0000_1609216.0000.ogg,Core problem
data/train/1609728.0000_1614080.0000.ogg,My personal account only has the money I paid. Why should I buy social insurance?
data/train/1614592.0000_1616384.0000.ogg,Why can't you use this money to buy commercial insurance?
data/train/1616896.0000_1619712.0000.ogg,"Commercial insurance is much more efficient than social insurance 575 00:26:59,968 --> 00:27:01,504 Cover a wider range"
data/train/1622528.0000_1623808.0000.ogg,This is the big problem
data/train/1624320.0000_1625344.0000.ogg,look
data/train/1625600.0000_1628160.0000.ogg,"The first step, look at all"
data/train/1628416.0000_1631488.0000.ogg,All payments made by the unit are transferred to the overall account
data/train/1631744.0000_1633536.0000.ogg,Explain the hole in the coordinating account
data/train/1633792.0000_1635584.0000.ogg,Very big
data/train/1635840.0000_1636608.0000.ogg,Can't cover
data/train/1637632.0000_1639168.0000.ogg,So the question now
data/train/1639424.0000_1641728.0000.ogg,Already done
data/train/1643520.0000_1647360.0000.ogg,"In the next stage, if this situation continues to deteriorate"
data/train/1648896.0000_1654016.0000.ogg,"You can also transfer from your personal account, personal payment to the overall account? Can't tell"
data/train/1655040.0000_1659392.0000.ogg,"Now this situation is actually very serious, think about it"
data/train/1659648.0000_1660672.0000.ogg,Turns out I have 100 yuan
data/train/1660928.0000_1661952.0000.ogg,"Personal account 591 00:27:42,208 --> 00:27:43,488 The collection used to have 100 yuan"
data/train/1663744.0000_1665280.0000.ogg,Add 100 yuan to both ends
data/train/1665792.0000_1666560.0000.ogg,Take a look now
data/train/1666816.0000_1667840.0000.ogg,40 yuan left
data/train/1670144.0000_1671680.0000.ogg,100 yuan becomes 40 yuan
data/train/1672448.0000_1675776.0000.ogg,I will pay another 60 yuan myself
data/train/1676544.0000_1679616.0000.ogg,"In other words, personal medical expenses"
data/train/1680128.0000_1680640.0000.ogg,Will increase
data/train/1681408.0000_1683968.0000.ogg,"I don’t know how much it will increase, but it must increase dramatically"
data/train/1684736.0000_1687040.0000.ogg,This is a very big problem
data/train/1687296.0000_1689344.0000.ogg,So we often say
data/train/1689856.0000_1691904.0000.ogg,China's policies hedge against each other
data/train/1693184.0000_1698048.0000.ogg,Are you not financially bad now? What is the problem with bad economy? The problem with a bad economy is insufficient consumption
data/train/1698304.0000_1701120.0000.ogg,What are the reasons for underconsumption? No money
data/train/1701888.0000_1703424.0000.ogg,"Then no money, no confidence"
data/train/1703936.0000_1705216.0000.ogg,"No confidence, no money"
data/train/1705728.0000_1709824.0000.ogg,"So if you want to find a way to stimulate consumption, what should you do to stimulate consumption? Should increase income"
data/train/1710080.0000_1714688.0000.ogg,"But look at this situation, if my medical expenses increase"
data/train/1715968.0000_1716480.0000.ogg,Correct
data/train/1716736.0000_1718528.0000.ogg,Policies to stimulate consumption are hedging
data/train/1719040.0000_1720320.0000.ogg,Don't you forget
data/train/1720576.0000_1722880.0000.ogg,Medical and education are rigid expenditures
data/train/1723648.0000_1726720.0000.ogg,"For the family, it is a very important expenditure"
data/train/1727744.0000_1733888.0000.ogg,"It’s a heavy burden. If you still have to increase your personal expenses 616 00:28:54,656 --> 00:28:55,936 If you increase personal expenses"
data/train/1736192.0000_1737984.0000.ogg,For the whole society
data/train/1738496.0000_1739520.0000.ogg,The consequences are quite serious
data/train/1740288.0000_1744384.0000.ogg,What can we see through the health insurance situation?
data/train/1745152.0000_1746688.0000.ogg,Seeing the problem of pension insurance
data/train/1747200.0000_1751552.0000.ogg,"The problem of pension insurance will only be bigger than medical insurance, not less"
data/train/1752064.0000_1752576.0000.ogg,why?
data/train/1752832.0000_1753856.0000.ogg,the reason is simple
data/train/1754368.0000_1755904.0000.ogg,Medical insurance
data/train/1757184.0000_1761024.0000.ogg,"He is only part of the entire medical expenditure, not all"
data/train/1761280.0000_1763328.0000.ogg,Because a lot of them are paid by individuals
data/train/1764864.0000_1770752.0000.ogg,"Endowment insurance is not true, all endowment insurance must be used for pension"
data/train/1771008.0000_1771776.0000.ogg,This is one end
data/train/1772032.0000_1772800.0000.ogg,The other end
data/train/1773312.0000_1778688.0000.ogg,Not many people reach out to the pension
data/train/1778944.0000_1779968.0000.ogg,a lot of
data/train/1780224.0000_1783040.0000.ogg,"The stock market has to reach out, the bond market has to reach out"
data/train/1783296.0000_1784320.0000.ogg,All reaching out
data/train/1785088.0000_1788416.0000.ogg,He is a stepping stone to the capital market
data/train/1789952.0000_1790976.0000.ogg,The consequences are also very serious
data/train/1794304.0000_1795072.0000.ogg,and so
data/train/1795328.0000_1797888.0000.ogg,Let's take a look
data/train/1798912.0000_1803520.0000.ogg,What is happening in Chinese society? With the Chinese economy
data/train/1804032.0000_1804800.0000.ogg,appear
data/train/1805056.0000_1810432.0000.ogg,"This year’s rate has actually increased due to the epidemic, but in fact"
data/train/1810688.0000_1813760.0000.ogg,"Even if there is no epidemic, this will still happen"
data/train/1814784.0000_1817856.0000.ogg,We also analyzed in previous programs
data/train/1818112.0000_1821184.0000.ogg,China's social security is not sustainable
data/train/1821696.0000_1825792.0000.ogg,"We just talked about three problems, one problem is"
data/train/1827328.0000_1828608.0000.ogg,Institutional defect
data/train/1828864.0000_1830656.0000.ogg,Institutional injustice
data/train/1832448.0000_1835008.0000.ogg,Not transparent
data/train/1835520.0000_1836800.0000.ogg,Full of loopholes
data/train/1837056.0000_1838848.0000.ogg,Is running fast
data/train/1839104.0000_1845248.0000.ogg,"Moreover, the government does not have a bottom line in these two areas, which is actually a big"
data/train/1845504.0000_1846016.0000.ogg,Large sum of money
data/train/1846272.0000_1849088.0000.ogg,But there are a lot of people behind
data/train/1850112.0000_1855744.0000.ogg,You can see that with the economic downturn
data/train/1856512.0000_1858304.0000.ogg,"This social security system, I think"
data/train/1859072.0000_1862144.0000.ogg,The social risks and social unrest that he brings
data/train/1862400.0000_1863424.0000.ogg,getting more serious
data/train/1863936.0000_1866752.0000.ogg,"We must attach great importance to this issue, why?"
data/train/1867264.0000_1869824.0000.ogg,Because it affects thousands of families
data/train/1871104.0000_1871872.0000.ogg,eat
data/train/1872384.0000_1878528.0000.ogg,"Illness and medical treatment are all issues of family rigidity, and there is no room for retreat."
data/train/1880576.0000_1882368.0000.ogg,I often speak
data/train/1882624.0000_1883136.0000.ogg,Chinese Communist Party
data/train/1883648.0000_1884672.0000.ogg,Is two characteristics
data/train/1886208.0000_1887232.0000.ogg,Do business
data/train/1887488.0000_1889792.0000.ogg,"Riddled with holes, a mess"
data/train/1890304.0000_1891328.0000.ogg,Do bad things
data/train/1891584.0000_1892608.0000.ogg,Not leaking
data/train/1894656.0000_1896448.0000.ogg,Just look
data/train/1896704.0000_1900288.0000.ogg,You give your life to him
data/train/1900800.0000_1902336.0000.ogg,Just like this ghost
data/train/1903616.0000_1907456.0000.ogg,"Okay, that’s all for today’s topic"
data/train/1907712.0000_1910784.0000.ogg,"Let’s enter the interaction below, I try my best"
data/train/1911040.0000_1914112.0000.ogg,Control time
data/train/1917184.0000_1920512.0000.ogg,"Before entering the interaction, please do a routine, please like"
data/train/1920768.0000_1925632.0000.ogg,"New netizens please subscribe, please join our members, support us to do better"
data/train/1925888.0000_1926400.0000.ogg,program
data/train/1927680.0000_1931520.0000.ogg,"One more sentence, the washing powder on this platform is very serious recently"
data/train/1935360.0000_1941504.0000.ogg,"In my impression, we probably washed off 2000-3000 last week"
data/train/1941760.0000_1943296.0000.ogg,Subscriptions
data/train/1944064.0000_1945856.0000.ogg,So I invite everyone
data/train/1946368.0000_1952512.0000.ogg,"Check, is your subscription still available? If it's not there, book it back and check again"
data/train/1952768.0000_1953792.0000.ogg,Did the little bell light up
data/train/1956608.0000_1962752.0000.ogg,"If you cannot receive the live broadcast notification from the platform, then you can follow my Facebook account and"
data/train/1963008.0000_1963520.0000.ogg,Twitter
data/train/1964032.0000_1969920.0000.ogg,We will post the live link to these two platforms about 10 minutes before the start of the show
data/train/1970176.0000_1974272.0000.ogg,"Everyone pays attention to my account, you can enter our live broadcast 695 through the link 00:32:54,528 --> 00:32:58,624 I still hope you all come to the live broadcast, because live broadcast is a very valuable"
data/train/1978880.0000_1979904.0000.ogg,interactive session
data/train/1980672.0000_1986816.0000.ogg,"Then we will enter the interaction below, please do not chat after entering the interaction"
data/train/1987584.0000_1988352.0000.ogg,Three
data/train/1988864.0000_1989376.0000.ogg,Ask questions
data/train/1989632.0000_1992704.0000.ogg,"View, situation, okay?"
data/train/1993216.0000_1993728.0000.ogg,it is good
data/train/1995520.0000_1996544.0000.ogg,Thanks
data/train/1996800.0000_1998848.0000.ogg,"Thanks, point of view"
data/train/1999872.0000_2003712.0000.ogg,"China’s social security cannot support this problem, it was a matter of time from the beginning"
data/train/2004224.0000_2007296.0000.ogg,"When I first entered society, the company asked me"
data/train/2007552.0000_2010112.0000.ogg,"Social security is still a few hundred dollars more, I choose the latter"
data/train/2010880.0000_2015232.0000.ogg,"When I was fifteen or sixteen, I often heard CCTV news that social security was in deficit"
data/train/2015488.0000_2017536.0000.ogg,I always thought it was a big scam
data/train/2017792.0000_2018304.0000.ogg,Precise
data/train/2020096.0000_2026240.0000.ogg,"Situation: The five insurances and one housing fund are now compulsory. As long as you are in a compliant company, the money must be paid. There is no room for negotiation. 711 00:33:46,496 --> 00:33:47,776 Precise"
data/train/2028032.0000_2030592.0000.ogg,But there are a large number of companies that are not compliant
data/train/2031360.0000_2032640.0000.ogg,and so
data/train/2033152.0000_2034176.0000.ogg,Not necessarily
data/train/2035968.0000_2037248.0000.ogg,Viewpoint: an analogy
data/train/2037504.0000_2043648.0000.ogg,"In the past, if you spend 1,000 yuan for a medical visit, the 200 yuan saved by the individual payment in your own medical insurance card, the unit"
data/train/2043904.0000_2045184.0000.ogg,Hand over the remaining 800
data/train/2045696.0000_2049280.0000.ogg,"Then look at this disease, all the expenses can be reimbursed with this money"
data/train/2049792.0000_2051328.0000.ogg,Don't have to pay for it
data/train/2051583.0000_2054400.0000.ogg,"But in the future it will cost 1,000 yuan to see an illness"
data/train/2054911.0000_2058752.0000.ogg,"The medical insurance no longer has the money given to you by the unit, only the 200 yuan saved by the individual is left"
data/train/2059520.0000_2062848.0000.ogg,"1000 yuan is reimbursed for 50%, only"
data/train/2063103.0000_2068224.0000.ogg,"200 plus 500, the remaining 300 meters out of pocket, very accurate"
data/train/2068480.0000_2070527.0000.ogg,This question is very accurate
data/train/2071808.0000_2076159.0000.ogg,"Situation: I have just received a notice, compulsory request to give the individual provident fund"
data/train/2076416.0000_2080000.0000.ogg,"In the past, the provident fund could be selected, now it must be selected"
data/train/2080512.0000_2082560.0000.ogg,"Previously optional, now mandatory"
data/train/2083840.0000_2088192.0000.ogg,The provident fund has no meaning at all. The provident fund should be cancelled at all. Why?
data/train/2088447.0000_2089216.0000.ogg,Very simple
data/train/2089984.0000_2094080.0000.ogg,"Now that the market is buying commercial housing, what do we need a provident fund for?"
data/train/2094848.0000_2096639.0000.ogg,I give you the money?
data/train/2096896.0000_2097920.0000.ogg,I can't save myself?
data/train/2098176.0000_2099712.0000.ogg,The problem is
data/train/2099968.0000_2103808.0000.ogg,The government is doing things because there is no money
data/train/2110720.0000_2112768.0000.ogg,"The more the government does this, the worse the economy"
data/train/2113536.0000_2116096.0000.ogg,why?
data/train/2116608.0000_2119168.0000.ogg,"The money has all gone to you, what are you going to spend?"
data/train/2119424.0000_2120192.0000.ogg,How is it possible to consume?
data/train/2121728.0000_2127872.0000.ogg,"Viewpoint: Aging is not the most fundamental reason, the reason why the big hole always exists is"
data/train/2128128.0000_2129152.0000.ogg,Structural imbalance
data/train/2129664.0000_2134016.0000.ogg,It’s not surprising that the morbid wage structure of Chinese society explodes at any time
data/train/2134528.0000_2136320.0000.ogg,Coordination is to gouge the flesh to repair sores
data/train/2140160.0000_2142208.0000.ogg,Viewpoint: Personal account is a burden
data/train/2142464.0000_2144256.0000.ogg,The average person is about 800 a year
data/train/2144768.0000_2149888.0000.ogg,"Consume a lot of manpower and material resources to maintain, resulting in"
data/train/2150144.0000_2156288.0000.ogg,"Unfair competition in the pharmaceutical retail industry, and the CCP does not want to honor individuals"
data/train/2156544.0000_2157056.0000.ogg,Account money
data/train/2157568.0000_2159872.0000.ogg,Do everything possible to restrict people's use
data/train/2160128.0000_2161920.0000.ogg,Want to make this money into numbers
data/train/2162432.0000_2164480.0000.ogg,Another one is that you are not careful
data/train/2164736.0000_2168320.0000.ogg,"You stopped paying for a few months, immediately before all"
data/train/2169088.0000_2170368.0000.ogg,Empty
data/train/2170624.0000_2172672.0000.ogg,That's it
data/train/2172928.0000_2173696.0000.ogg,shameless
data/train/2173952.0000_2174976.0000.ogg,Shameless
data/train/2176768.0000_2181632.0000.ogg,"Situation: Two years ago, my dad returned to his hometown at the age of 58, and someone promoted my dad to buy social insurance"
data/train/2181888.0000_2185472.0000.ogg,"Speaking of 60 years old, you can make up for 15 years at a time, and you will have a pension"
data/train/2185984.0000_2192128.0000.ogg,"My family’s financial situation is not good and I have not been able to buy it. My dad thought that after buying it, he would not burden his children."
data/train/2192640.0000_2195200.0000.ogg,Why would anyone believe it?
data/train/2195968.0000_2196736.0000.ogg,This kind of
data/train/2197248.0000_2198528.0000.ogg,Words of a liar
data/train/2199296.0000_2200320.0000.ogg,Think about it
data/train/2200576.0000_2206464.0000.ogg,"You gave him the money, gave him all at once, and then he kept giving you more money than before"
data/train/2206976.0000_2211328.0000.ogg,"10 times, 20 times the money, I think why everyone believes"
data/train/2212096.0000_2218240.0000.ogg,"I paid social security for more than a year. By the age of 60, the Social Security Bureau told my dad that the country had changed its policies."
data/train/2218496.0000_2224640.0000.ogg,"Can’t make it up for 15 years, and then pay another year of social security, but I can’t get it back, and I don’t have a pension, so I was scammed for nothing."
data/train/2226176.0000_2230784.0000.ogg,This matter is all over China
data/train/2231296.0000_2232576.0000.ogg,Keep happening
data/train/2232832.0000_2234624.0000.ogg,Just
data/train/2235136.0000_2241280.0000.ogg,"Let you buy it for a period of time, saying that it will continue to be given to you later, and then someone will buy it"
data/train/2241536.0000_2242816.0000.ogg,"After the purchase, it will be gone"
data/train/2244352.0000_2245120.0000.ogg,in fact
data/train/2245632.0000_2248192.0000.ogg,"Think about it, can he suffer?"
data/train/2248704.0000_2253056.0000.ogg,"Can he pay you? He can’t pay you, do you think it’s the truth?"
data/train/2253312.0000_2254336.0000.ogg,Must be like this
data/train/2254592.0000_2256128.0000.ogg,Can't count on social security
data/train/2256640.0000_2258176.0000.ogg,How can you count on social security?
data/train/2259200.0000_2265344.0000.ogg,"The money went into the pocket of Hob Meat, what do you think it would be? Think about how many corrupt officials there are"
data/train/2266112.0000_2267648.0000.ogg,How many fakes
data/train/2267904.0000_2269440.0000.ogg,How many civil servants
data/train/2269696.0000_2274048.0000.ogg,How many officials eat and take cards in it
data/train/2274560.0000_2276096.0000.ogg,The money is on his account
data/train/2276352.0000_2277632.0000.ogg,You can't control it
data/train/2277888.0000_2283008.0000.ogg,"And you don’t know what the account is like, how could you give him the money?"
data/train/2283520.0000_2284800.0000.ogg,Do you think this is true
data/train/2285056.0000_2286848.0000.ogg,"Let's think about it, think about it with common sense"
data/train/2287360.0000_2288384.0000.ogg,"Don’t make sense, right?"
data/train/2292736.0000_2296064.0000.ogg,Situation: The mobile phone received a government text message today
data/train/2296320.0000_2299904.0000.ogg,Found that the sender is XX city
data/train/2300160.0000_2303232.0000.ogg,The Big Data Administration realized that there are such departments
data/train/2305024.0000_2305536.0000.ogg,some
data/train/2305792.0000_2310144.0000.ogg,"I know, the Big Data Administration is all your data"
data/train/2310400.0000_2312448.0000.ogg,All personal data is with him
data/train/2313472.0000_2317056.0000.ogg,"Situation: I have a friend who is an employee of Wuhan Grade-A hospital, dental"
data/train/2317568.0000_2321408.0000.ogg,"According to him, in recent months after the epidemic"
data/train/2321664.0000_2324224.0000.ogg,"Only sent 1,000-2,000 yuan a month"
data/train/2325248.0000_2329600.0000.ogg,Situation: My former colleague from the hospital said that the bonus is getting later and later
data/train/2329856.0000_2333952.0000.ogg,The temporary workers hired now are signed by third parties and the wages are very low
data/train/2334208.0000_2336256.0000.ogg,What is the third party? Is a labor company
data/train/2336512.0000_2339328.0000.ogg,The labor service company signs with the hospital
data/train/2341120.0000_2344448.0000.ogg,This company signs with employees and signs with this third party
data/train/2344960.0000_2346240.0000.ogg,Does not belong to this hospital
data/train/2346496.0000_2350080.0000.ogg,"Employee, only belongs to labor export"
data/train/2350336.0000_2353152.0000.ogg,How much money do you want?
data/train/2354176.0000_2358784.0000.ogg,Why is the hospital willing to do this kind of thing? Actually not a hospital
data/train/2359040.0000_2360832.0000.ogg,Many governments do this kind of thing
data/train/2361856.0000_2363904.0000.ogg,This is the so-called PPP
data/train/2364672.0000_2367232.0000.ogg,PPP actually talks about this
data/train/2370048.0000_2376192.0000.ogg,"The government provides benefits, but it can’t be fired, and it can’t be moved if it’s not obedient"
data/train/2377216.0000_2381568.0000.ogg,"OK, I will sign this to a third party, I will recruit 10 people"
data/train/2382080.0000_2386432.0000.ogg,"He sent me 10 people, these 10 people belong to this unit, this company"
data/train/2387200.0000_2389248.0000.ogg,"Not obedient, one second, second fried"
data/train/2390528.0000_2396416.0000.ogg,"The benefits are gone, the original unit’s benefits are not given, only wages"
data/train/2396928.0000_2398208.0000.ogg,What is this? This is
data/train/2398464.0000_2399232.0000.ogg,Two words
data/train/2399488.0000_2400512.0000.ogg,Exploit
data/train/2400768.0000_2401536.0000.ogg,Very shameless
data/train/2401792.0000_2402816.0000.ogg,Different pay for equal work
data/train/2403328.0000_2404864.0000.ogg,A very shameless thing
data/train/2405632.0000_2408448.0000.ogg,The Communist Party can do this kind of thing
data/train/2409216.0000_2411776.0000.ogg,The so-called socialism is actually a lie
data/train/2413824.0000_2416640.0000.ogg,Situation: 15 years ago when I was still working in a tertiary hospital
data/train/2417152.0000_2422528.0000.ogg,"The retired hospitals at a given point in the country allocate 8,000 yuan per year"
data/train/2422784.0000_2426368.0000.ogg,"More than the hospital’s own burden, why is the medical insurance so big?"
data/train/2426624.0000_2430208.0000.ogg,Another reason is that many people go to the clinic
data/train/2430464.0000_2435840.0000.ogg,"For the sake of income, the hospital treats some patients who do not need to be admitted and those who do not meet the hospitalization standards"
data/train/2436096.0000_2438400.0000.ogg,"Write the condition more seriously, and meet the hospitalization standards"
data/train/2438656.0000_2439936.0000.ogg,"To put it bluntly, it is a fraud"
data/train/2440704.0000_2443520.0000.ogg,The hospital generally has a good relationship with the medical insurance department
data/train/2443776.0000_2448640.0000.ogg,"Every time I check medical insurance, the doctors are too busy to deal with them, and they are busy changing their medical records."
data/train/2451200.0000_2455296.0000.ogg,Fraud insurance is not only in medical insurance
data/train/2455808.0000_2457600.0000.ogg,Insurance company also has
data/train/2457856.0000_2461440.0000.ogg,But the insurance company
data/train/2461952.0000_2468096.0000.ogg,"He will send someone to check, the medical insurance also checks, and the medical insurance also checks these years"
data/train/2469120.0000_2471168.0000.ogg,"But repeated prohibitions continue, why?"
data/train/2471680.0000_2473472.0000.ogg,Cheating in China is
data/train/2474240.0000_2475264.0000.ogg,normal
data/train/2475520.0000_2479872.0000.ogg,"From the government to the top leaders, cheating from top to bottom"
data/train/2480384.0000_2482432.0000.ogg,This is a social phenomenon
data/train/2482688.0000_2484992.0000.ogg,So not surprising
data/train/2485760.0000_2491648.0000.ogg,"Situation: Let’s talk about the medical insurance hospitalization, the classmate works as a doctor in Zhangjiakou Hospital"
data/train/2492160.0000_2496768.0000.ogg,"Said that a few years ago, the hospital just pulled people in the street directly"
data/train/2497280.0000_2499328.0000.ogg,"Include food, housing and medical examination"
data/train/2499584.0000_2500864.0000.ogg,Just to defraud medical insurance
data/train/2502656.0000_2507008.0000.ogg,Situation: My classmate’s hospital is privately owned. The dean is the original
data/train/2507264.0000_2509056.0000.ogg,Local retired health director
data/train/2509824.0000_2515711.0000.ogg,"In fact, there are not many patients in the hospital. Doctors write novels every day and compile medical records to cheat medical insurance."
data/train/2515967.0000_2517503.0000.ogg,This is even more outrageous
data/train/2518271.0000_2520319.0000.ogg,Situation: the county seat yesterday
data/train/2521087.0000_2523391.0000.ogg,Commercial Food Bureau
data/train/2525183.0000_2526719.0000.ogg,My civil servant friend told me
data/train/2527487.0000_2528767.0000.ogg,Unified government
data/train/2529023.0000_2530815.0000.ogg,"Next, only basic salary"
data/train/2531071.0000_2532607.0000.ogg,All bonus benefits are gone
data/train/2533119.0000_2536959.0000.ogg,"He told me, let me not rush back to my country, lest people roll my eyes"
data/train/2539007.0000_2540031.0000.ogg,You abroad
data/train/2540287.0000_2541311.0000.ogg,be careful
data/train/2544639.0000_2548735.0000.ogg,"Situation: The doctor in the hospital has an indicator, how much money you have in the medical insurance card"
data/train/2548991.0000_2550271.0000.ogg,Then choose medicine
data/train/2550783.0000_2553087.0000.ogg,Try to make your money empty soon
data/train/2553343.0000_2556415.0000.ogg,Situation: China's promised expansion of unemployment benefits
data/train/2556671.0000_2558463.0000.ogg,"Applicants, one month"
data/train/2558719.0000_2559999.0000.ogg,Many people did not arrive
data/train/2560767.0000_2565631.0000.ogg,"Viewpoint: Sooner or later mainland social security will have trouble, embezzling investment funds"
data/train/2565887.0000_2569727.0000.ogg,"Infrastructure, etc., profits and losses are not reported and unsupervised"
data/train/2569983.0000_2574079.0000.ogg,"The local government uses social security to become the government's treasury, which is very accurate"
data/train/2574847.0000_2579711.0000.ogg,"It turned out that Chen Liangyu, the mayor of Shanghai, embezzled money from the social security fund"
data/train/2580223.0000_2586367.0000.ogg,"What to do? To do their government projects and moved a lot of money, Chen Liangyu just like that"
data/train/2586623.0000_2587647.0000.ogg,Down
data/train/2588671.0000_2593279.0000.ogg,Chen Liangyu was what Hu Jintao cleaned up
data/train/2593535.0000_2596607.0000.ogg,Jiang Zemin’s people just caught Chen Liangyu
data/train/2598399.0000_2603263.0000.ogg,Situation: I slowly understood why the Lao Cong had to restrict talents in first- and second-tier cities
data/train/2603775.0000_2606591.0000.ogg,Come to Taiwan to exchange students
data/train/2606847.0000_2609151.0000.ogg,Many children of civil servants
data/train/2609407.0000_2611967.0000.ogg,Make Taiwanese feel that mainlanders are rich
data/train/2612223.0000_2614527.0000.ogg,I really found out after going deep into Chinese society
data/train/2614783.0000_2617855.0000.ogg,The Lao Cong showed Taiwanese society the coolest group of people
data/train/2621439.0000_2622463.0000.ogg,to be honest
data/train/2622719.0000_2627839.0000.ogg,1 billion people in China do not have passports
data/train/2630655.0000_2633215.0000.ogg,These 1 billion people without passports have never been on a plane
data/train/2633983.0000_2635263.0000.ogg,China's 1.4 billion population
data/train/2635775.0000_2638335.0000.ogg,But only 400 million people have passports
data/train/2638847.0000_2643199.0000.ogg,The other 1 billion people don’t have passports. Just remember this reality.
data/train/2643455.0000_2644735.0000.ogg,How about mainland China?
data/train/2644991.0000_2649087.0000.ogg,"600 million people in China earn no more than 1,000 yuan a month"
data/train/2650367.0000_2651391.0000.ogg,This is the national conditions
data/train/2651903.0000_2653183.0000.ogg,China is like this
data/train/2658815.0000_2659583.0000.ogg,and so
data/train/2660607.0000_2662143.0000.ogg,What we often talk about is
data/train/2662399.0000_2665727.0000.ogg,"Roll your eyes as soon as you pinch your neck, and brag as soon as you let go"
data/train/2665983.0000_2667519.0000.ogg,Talking about the CCP
data/train/2669055.0000_2674431.0000.ogg,"Viewpoint: By comparison, you can see that the crime of CCP is that if an official gets sick, he lives in the senior ward"
data/train/2674687.0000_2677247.0000.ogg,Read the newspaper and drink tea
data/train/2677503.0000_2679039.0000.ogg,Compare with ordinary Chinese
data/train/2679295.0000_2683135.0000.ogg,"If you are seriously ill, borrow money everywhere, sell the house to raise money"
data/train/2685183.0000_2690303.0000.ogg,"Instead, it aggravated the condition and died in pain in the hospital bed"
data/train/2690815.0000_2692095.0000.ogg,Make people angry
data/train/2692607.0000_2697727.0000.ogg,This kind of human tragedy happens all the time every day
data/train/2698495.0000_2700287.0000.ogg,Who should pay this account?
data/train/2700543.0000_2701311.0000.ogg,Is the CCP
data/train/2701823.0000_2704639.0000.ogg,"It’s all the responsibility of the CCP, no one else’s responsibility"
data/train/2705151.0000_2707199.0000.ogg,He made a country like this
data/train/2707455.0000_2708479.0000.ogg,Very shameful
data/train/2710015.0000_2712575.0000.ogg,Situation: My relatives in the countryside
data/train/2713087.0000_2719231.0000.ogg,"Liver cancer, the treatment of nearly 100,000 pieces together, the nuclear treatment policy received last week is"
data/train/2719487.0000_2720511.0000.ogg,25% at own expense
data/train/2721023.0000_2723071.0000.ogg,"Report 75%, the upper limit is 30,000"
data/train/2723583.0000_2728447.0000.ogg,"Calculate according to the money we spend, if we take into account the domestic cost of medical treatment"
data/train/2728703.0000_2730239.0000.ogg,Basically equal to zero
data/train/2730495.0000_2731263.0000.ogg,Medical insurance
data/train/2732031.0000_2733311.0000.ogg,Yes that's it
data/train/2736639.0000_2739711.0000.ogg,I often talk about a problem
data/train/2739967.0000_2744831.0000.ogg,"When I was in the unit, I told my colleagues"
data/train/2745343.0000_2746623.0000.ogg,There are two industries
data/train/2746879.0000_2748671.0000.ogg,Is very needed
data/train/2749695.0000_2750975.0000.ogg,Ethically regulated
data/train/2751743.0000_2752767.0000.ogg,Two industries
data/train/2753279.0000_2756863.0000.ogg,"In the entire industry, two industries are in great need"
data/train/2757119.0000_2759167.0000.ogg,"Ethical supervision, what is an industry?"
data/train/2759423.0000_2759935.0000.ogg,education
data/train/2760703.0000_2761471.0000.ogg,An industry is
data/train/2762495.0000_2763263.0000.ogg,Medical treatment
data/train/2763775.0000_2767359.0000.ogg,What are these two industries related to? One is life is a matter of life
data/train/2767871.0000_2770431.0000.ogg,One is the human heart and soul
data/train/2771199.0000_2774271.0000.ogg,These two things are the most important and precious things of mankind
data/train/2775807.0000_2777599.0000.ogg,Precisely in these two areas
data/train/2777855.0000_2782207.0000.ogg,"It's a problem that the Chinese spend countless money, but they can't figure it out. Why?"
data/train/2782719.0000_2783743.0000.ogg,For one reason
data/train/2784255.0000_2785279.0000.ogg,Is politics
data/train/2787583.0000_2788863.0000.ogg,The CCP's dictatorship
data/train/2789375.0000_2791167.0000.ogg,Caused by these two industries
data/train/2791679.0000_2794495.0000.ogg,Brought endless suffering to the Chinese
data/train/2796287.0000_2800127.0000.ogg,"I can’t see it now, there were many on the Internet before"
data/train/2800639.0000_2804735.0000.ogg,Someone ran up crying about what happened to him
data/train/2805503.0000_2810111.0000.ogg,"Now it’s clean, there’s nowhere to go."
data/train/2810879.0000_2813183.0000.ogg,A disease eliminates a middle class
data/train/2813439.0000_2813951.0000.ogg,family
data/train/2814207.0000_2817023.0000.ogg,This is what happens every day in China
data/train/2817791.0000_2819583.0000.ogg,Don't think
data/train/2819839.0000_2822655.0000.ogg,"The CCP’s dictatorship has nothing to do with me, my own years are quiet"
data/train/2822911.0000_2826239.0000.ogg,"I live my life steadily by myself, it’s fine, not like this"
data/train/2826751.0000_2827775.0000.ogg,Actually not like this
data/train/2828799.0000_2831103.0000.ogg,The tree wants to be quiet but the wind keeps on
data/train/2833919.0000_2837247.0000.ogg,Nothing passes peacefully
data/train/2838015.0000_2839039.0000.ogg,Someday
data/train/2839295.0000_2841599.0000.ogg,You will encounter a problem that will make you difficult
data/train/2842111.0000_2843903.0000.ogg,What is the core of that question?
data/train/2844159.0000_2844927.0000.ogg,Is the CCP dictatorship
data/train/2847999.0000_2853375.0000.ogg,"Situation: The medical system in the U.S. treats patients first and then collects money, as long as the patient is sent to the hospital"
data/train/2853631.0000_2859775.0000.ogg,"After registering personal information, if there is no insurance, the hospital will treat the sick first, and then the social worker will help apply"
data/train/2860031.0000_2860799.0000.ogg,Government welfare
data/train/2861311.0000_2864895.0000.ogg,"If the patient really has no money, he doesn’t have to pay a dime"
data/train/2865407.0000_2866687.0000.ogg,Sign and you can go home
data/train/2867711.0000_2868223.0000.ogg,Basically like this
data/train/2871295.0000_2874879.0000.ogg,Question: Why is medical insurance so much more expensive than commercial insurance
data/train/2875391.0000_2881535.0000.ogg,"Commercial insurance can be profitable, but medical insurance cannot sustain it? Because the government is making money in it"
data/train/2881791.0000_2883583.0000.ogg,Took the money away
data/train/2884351.0000_2884863.0000.ogg,Can't hold it
data/train/2885631.0000_2891775.0000.ogg,Question: Is there any reliable domestic commercial insurance? Is it feasible to replace social insurance with commercial insurance?
data/train/2893055.0000_2895103.0000.ogg,This is homework
data/train/2895615.0000_2897151.0000.ogg,No one can help you
data/train/2898943.0000_2902271.0000.ogg,"Situation: I have been wholly-owned foreign commercial insurance 977 00:48:23,039 --> 00:48:25,599 As a result, the dogs are going to loop inside"
data/train/2906879.0000_2910975.0000.ogg,Question: My mortgage interest rate is almost the highest in the world
data/train/2911231.0000_2914047.0000.ogg,Recognized in the real estate field
data/train/2915327.0000_2919423.0000.ogg,Full loan amount should be used
data/train/2919679.0000_2921215.0000.ogg,Does buying a house
data/train/2921727.0000_2922495.0000.ogg,The full amount
data/train/2922751.0000_2924543.0000.ogg,Or use full leverage?
data/train/2926847.0000_2931711.0000.ogg,China’s mortgage interest rates are indeed relatively high
data/train/2932479.0000_2934527.0000.ogg,"Is that the highest in the world, I don’t know"
data/train/2934783.0000_2936063.0000.ogg,"This is the first, the second"
data/train/2936831.0000_2942719.0000.ogg,Is it full or full leverage? There are two problems
data/train/2943487.0000_2945023.0000.ogg,You have to measure it yourself
data/train/2945535.0000_2947839.0000.ogg,Your own financial situation
data/train/2948351.0000_2950143.0000.ogg,Then you say I have 1 billion in my account
data/train/2950655.0000_2953983.0000.ogg,"I bought a 100 million house, I won’t borrow it, no one cares about you"
data/train/2955007.0000_2956031.0000.ogg,But if you
data/train/2956287.0000_2957567.0000.ogg,There may only be
data/train/2957823.0000_2961663.0000.ogg,"5 million, then you want to buy a house for 10 million, then you must take a loan"
data/train/2962687.0000_2963967.0000.ogg,Some situations
data/train/2964735.0000_2969599.0000.ogg,"For example, I am in business and I have liquidity needs"
data/train/2970111.0000_2975743.0000.ogg,"I don’t do business, I want to invest, I have some investment needs, etc., many, many factors"
data/train/2975999.0000_2977279.0000.ogg,Comprehensive consideration
data/train/2977535.0000_2979071.0000.ogg,But there are two points
data/train/2980863.0000_2986495.0000.ogg,Although you just said that mortgage is the highest mortgage interest rate in the world
data/train/2987263.0000_2987775.0000.ogg,but
data/train/2988543.0000_2991871.0000.ogg,The mortgage interest rate is among all bank interest rates
data/train/2992127.0000_2993151.0000.ogg,Still the lowest
data/train/2993919.0000_2994687.0000.ogg,and so
data/train/2995199.0000_2999551.0000.ogg,"If you use a mortgage, try to use as much leverage as possible, and use the money in other areas"
data/train/2999807.0000_3001599.0000.ogg,From a financial point of view
data/train/3001855.0000_3002623.0000.ogg,Is reasonable
data/train/3003135.0000_3004927.0000.ogg,If you have a need
data/train/3005183.0000_3006975.0000.ogg,"If you don’t have a need, that’s another matter"
data/train/3007231.0000_3008511.0000.ogg,If you need
data/train/3008767.0000_3013375.0000.ogg,Then you can fully use the leverage of the mortgage and use the money for other things
data/train/3013887.0000_3014399.0000.ogg,Why not?
data/train/3014911.0000_3015679.0000.ogg,and so
data/train/3015935.0000_3019775.0000.ogg,Everyone should know that the interest rate of a mortgage is usually the lowest because it is a mortgage
data/train/3020799.0000_3022079.0000.ogg,Lowest risk cost
data/train/3023359.0000_3028223.0000.ogg,"Situation: First-line satellite TV employee, Mango Channel, suffered a loss for the first time this year"
data/train/3028735.0000_3029503.0000.ogg,Lost 1 billion
data/train/3029759.0000_3031551.0000.ogg,Pay cut
data/train/3031807.0000_3034111.0000.ogg,"If the mango station is losing money, there is no money left"
data/train/3035135.0000_3036415.0000.ogg,Jiangsu Satellite TV also suffers
data/train/3036927.0000_3037695.0000.ogg,Because why?
data/train/3038207.0000_3039743.0000.ogg,Because Mango Station makes the most money
data/train/3042303.0000_3043327.0000.ogg,If mango stand
data/train/3043583.0000_3045887.0000.ogg,"Lost money, and lost 1 billion"
data/train/3046655.0000_3050495.0000.ogg,"There is no TV station in China that makes money, all of them are making huge losses"
data/train/3053055.0000_3054847.0000.ogg,There will be many problems in these areas
data/train/3056127.0000_3058687.0000.ogg,Situation: Many companies in the east come to work
data/train/3059199.0000_3062527.0000.ogg,"They don’t want to pay five social insurances and one housing fund, because after they work and have money,"
data/train/3063551.0000_3068671.0000.ogg,"Many will go home instead of staying there, but the government stipulates five social insurance and one housing fund"
data/train/3068927.0000_3070975.0000.ogg,一定要交，这对企业
data/train/3071231.0000_3074303.0000.ogg,与外来务工者来说，都是双输
data/train/3074559.0000_3079423.0000.ogg,毕竟对外来务工者来说，五险一金要占自己工资约10%
data/train/3080191.0000_3081983.0000.ogg,不止，不止10%
data/train/3082239.0000_3084543.0000.ogg,企业要交的部分
data/train/3085055.0000_3087615.0000.ogg,是自己交的2.5倍
data/train/3088895.0000_3089919.0000.ogg,2.5倍差不多
data/train/3090431.0000_3092479.0000.ogg,大概3倍吧
data/train/3096575.0000_3099391.0000.ogg,这是一个盘剥
data/train/3099647.0000_3102719.0000.ogg,对个人是盘剥，对企业是盘剥
data/train/3103231.0000_3109375.0000.ogg,去年不是减费降税吗？
data/train/3110399.0000_3111679.0000.ogg,减费就是减的社保
data/train/3112191.0000_3114495.0000.ogg,所以我觉得社保
data/train/3115007.0000_3115775.0000.ogg,不可持续
data/train/3118079.0000_3118591.0000.ogg,View
data/train/3119103.0000_3122431.0000.ogg,拆东墙补西墙需要一个前提
data/train/3122943.0000_3124479.0000.ogg,东墙会自动补缺
data/train/3124735.0000_3126271.0000.ogg,西墙的窟窿堵得住
data/train/3126783.0000_3131647.0000.ogg,如果西墙是个堵不住的无底洞，而东墙不但没有自动补缺
data/train/3131903.0000_3137279.0000.ogg,而且会越拆越小，那么最终东墙西墙都要垮掉，非常正确
data/train/3138303.0000_3139071.0000.ogg,Precise
data/train/3139839.0000_3142655.0000.ogg,情况：我的公积金，我都辞职了还不给我
data/train/3142911.0000_3147519.0000.ogg,说我是本地户口，除非自己把户口转到外省去，简直就是强盗
data/train/3147775.0000_3148543.0000.ogg,very true
data/train/3149311.0000_3152383.0000.ogg,情况：支付宝现在不给查询养老
data/train/3152639.0000_3154175.0000.ogg,保险费的明细
data/train/3154943.0000_3155711.0000.ogg,In addition
data/train/3156223.0000_3159295.0000.ogg,人社部和社保基金理事会
data/train/3160063.0000_3165439.0000.ogg,强推今明两年省级层面养老金统筹
data/train/3165695.0000_3167999.0000.ogg,目测养老金也彻底
data/train/3168511.0000_3169791.0000.ogg,盖不住了
data/train/3170815.0000_3173119.0000.ogg,我觉得养老金这块比医保
data/train/3173631.0000_3174911.0000.ogg,问题还要严重
data/train/3177983.0000_3182335.0000.ogg,情况：我那老粉红的爸爸非常相信，一次性付了近10万块钱
data/train/3182591.0000_3184639.0000.ogg,然后每个月给1000多块钱
data/train/3184895.0000_3188479.0000.ogg,我妈就不相信，我妈说有10万块钱，我不会自己存着？
data/train/3188991.0000_3191551.0000.ogg,出了什么事儿，随时可以拿出来，非常准确
data/train/3192319.0000_3193343.0000.ogg,very true
data/train/3193599.0000_3195135.0000.ogg,为什么要把钱给
data/train/3195391.0000_3196159.0000.ogg,共产党？
data/train/3197695.0000_3203839.0000.ogg,观点：根据新劳动法，公司不交五险，需要支付员工两倍工资
data/train/3204095.0000_3207935.0000.ogg,没有合同，有事实劳动关系试用
data/train/3208191.0000_3210751.0000.ogg,所以不合规的公司，法律风险非常大
data/train/3211519.0000_3212287.0000.ogg,是这样吗？
data/train/3212543.0000_3214335.0000.ogg,但是很多公司还是不愿意交
data/train/3215615.0000_3220479.0000.ogg,情况：社保是政府让你强制交的，你没得选，不交，看病
data/train/3220735.0000_3223551.0000.ogg,孩子上学，买房买车都会受影响
data/train/3225087.0000_3226879.0000.ogg,is it?他怎么控制？
data/train/3227135.0000_3228159.0000.ogg,好像控制不了吧
data/train/3232511.0000_3235839.0000.ogg,情况：台湾的健保本质是福利，很少锁卡
data/train/3236351.0000_3238143.0000.ogg,如果山穷水尽
data/train/3238399.0000_3240447.0000.ogg,没缴
data/train/3240703.0000_3244031.0000.ogg,可以跟行政执行处的人谈还款计划
data/train/3244543.0000_3245567.0000.ogg,只要开始还
data/train/3246079.0000_3248895.0000.ogg,即使只还1块钱，也会解卡
data/train/3249663.0000_3252991.0000.ogg,那是因为你有选票，你没选票试试
data/train/3253247.0000_3254527.0000.ogg,跟大陆一样
data/train/3255295.0000_3258623.0000.ogg,请问：为什么大陆社保可以骗民众？他不是官部门嘛？
data/train/3258879.0000_3260927.0000.ogg,老百姓可以告他吗?
data/train/3261439.0000_3262463.0000.ogg,你告告试试
data/train/3262719.0000_3266303.0000.ogg,告不动啊，你连情况是什么你都不知道，怎么告？
data/train/3267839.0000_3270911.0000.ogg,情况：一个朋友去年退伍后进入公安局
data/train/3271167.0000_3273215.0000.ogg,户籍管理正式编制
data/train/3273471.0000_3277055.0000.ogg,前几天聊起来，一个月住房补贴5000多
data/train/3277567.0000_3282431.0000.ogg,每天上班去打游戏，屁事没有，终于明白为什么好多人挤破头
data/train/3282943.0000_3284223.0000.ogg,考公务员
data/train/3286271.0000_3292415.0000.ogg,观点：我觉得大陆依然稳定，就是因为退休人员还拿得到养老金，还有医保
data/train/3292671.0000_3293439.0000.ogg,可以看病
data/train/3293695.0000_3296767.0000.ogg,等他们拿不到钱了，中国才会真的不稳定
data/train/3297023.0000_3299839.0000.ogg,起码我爸妈觉得现在日子很满足
data/train/3300095.0000_3300607.0000.ogg,OK
data/train/3302143.0000_3305215.0000.ogg,王老师好，美希好，情况
data/train/3305471.0000_3307007.0000.ogg,近期大陆
data/train/3307519.0000_3309823.0000.ogg,官媒宣传提示，1
data/train/3310335.0000_3314687.0000.ogg,关于国内个别企业为了避免美国制裁
data/train/3314943.0000_3318527.0000.ogg,计划解聘新疆籍务工人员，不许报道
data/train/3320319.0000_3324927.0000.ogg,2，按照国家统一部署，今年秋季学期起
data/train/3325439.0000_3328511.0000.ogg,内蒙古自治区民族语言授课
data/train/3328767.0000_3332863.0000.ogg,小学一年级和初中一年级使用国家统编语文教材
data/train/3333375.0000_3336959.0000.ogg,并使用国家通用语言文字授课
data/train/3337215.0000_3339007.0000.ogg,一律不报道，不评论
data/train/3339263.0000_3340031.0000.ogg,Just
data/train/3341567.0000_3342079.0000.ogg,内蒙
data/train/3342335.0000_3344127.0000.ogg,不再用蒙语
data/train/3344639.0000_3346943.0000.ogg,蒙古不再使用蒙古语
data/train/3347711.0000_3351039.0000.ogg,我讲过很多次，中共是文化的敌人
data/train/3351551.0000_3353343.0000.ogg,它消灭所有的文化现象
data/train/3354111.0000_3357695.0000.ogg,然后把他的那堆垃圾，装在大家的大脑里
data/train/3358207.0000_3361279.0000.ogg,这70年，他就在干这样的事情
data/train/3362815.0000_3363839.0000.ogg,乐此不疲
data/train/3364095.0000_3366399.0000.ogg,观点：我在大陆开厂17年
data/train/3366911.0000_3371775.0000.ogg,车间员工400多人，但是我们一直只办办公室16人的
data/train/3372031.0000_3374591.0000.ogg,其实大家都知道，这些所谓的社保
data/train/3375103.0000_3377663.0000.ogg,一点都不靠谱，大家都不愿意买
data/train/3380223.0000_3385343.0000.ogg,情况：医药行业人士，目前医保剔除了大部分进口药
data/train/3385855.0000_3387135.0000.ogg,很多仿制药
data/train/3387647.0000_3389951.0000.ogg,进入带量采购
data/train/3390207.0000_3394047.0000.ogg,药企恶性竞争，很多几毛几块钱一片的药
data/train/3394303.0000_3397887.0000.ogg,说是经过药品一致性评价
data/train/3398399.0000_3401983.0000.ogg,想也知道这种价格生产出来什么劣质药品
data/train/3404031.0000_3407103.0000.ogg,讲到药品，我讲一下我的体会
data/train/3407871.0000_3411711.0000.ogg,我来美国这段时间，我自己也吃些药，买一些药
data/train/3412479.0000_3416831.0000.ogg,我发现中国的药跟美国的药，差别是什么？
data/train/3417343.0000_3417855.0000.ogg,Just
data/train/3418367.0000_3420159.0000.ogg,你在药房里买的药
data/train/3420415.0000_3422975.0000.ogg,在美国，你在药房里买的药
data/train/3424255.0000_3425023.0000.ogg,都是有效的
data/train/3426303.0000_3429887.0000.ogg,就是你用了以后，你知道那是有效的
data/train/3430399.0000_3432703.0000.ogg,在中国，不知道买的药是否有效
data/train/3433215.0000_3434751.0000.ogg,Just
data/train/3436031.0000_3442175.0000.ogg,一路试下去，为什么你在中国不想去看病的原因
data/train/3442431.0000_3442943.0000.ogg,Yes
data/train/3443455.0000_3445759.0000.ogg,医生也是让你来试药
data/train/3446015.0000_3448063.0000.ogg,you are
data/train/3448831.0000_3452927.0000.ogg,白内障是吧，先给你开一下，这个药吃吃看
data/train/3453951.0000_3455487.0000.ogg,不行，我们换药
data/train/3455743.0000_3458047.0000.ogg,中国的药，有效性不确定
data/train/3458815.0000_3462143.0000.ogg,但是你在美国药房买的药，基本上都是确定有效的
data/train/3463423.0000_3464959.0000.ogg,药效好坏
data/train/3465215.0000_3467007.0000.ogg,每个人不一样
data/train/3467263.0000_3468799.0000.ogg,但是肯定是有效的
data/train/3469567.0000_3470335.0000.ogg,可见
data/train/3470591.0000_3473407.0000.ogg,中国的劣质药已经到了什么地步？
data/train/3477759.0000_3479295.0000.ogg,情况：亲戚
data/train/3479551.0000_3481343.0000.ogg,局级离休干部
data/train/3481599.0000_3486207.0000.ogg,去医院看病，每次可以打电话叫政府专车接送
data/train/3486719.0000_3490815.0000.ogg,看病有指定三甲医院，指定专家检查
data/train/3491327.0000_3492607.0000.ogg,诊疗费免费
data/train/3492863.0000_3495167.0000.ogg,医药费只需要付1%
data/train/3497983.0000_3503871.0000.ogg,情况：在中国大学里面，其实很多同学也觉得毕业当公务员不太体面
data/train/3504127.0000_3505407.0000.ogg,但是当
data/train/3505919.0000_3510015.0000.ogg,毕业大学生上过半年班之后，立刻反转了态度
data/train/3511295.0000_3513599.0000.ogg,情况：八年前移民欧洲
data/train/3514111.0000_3515391.0000.ogg,5年前入籍
data/train/3515647.0000_3518463.0000.ogg,国内银行工龄20年，社保中断
data/train/3518719.0000_3521791.0000.ogg,经咨询，个人缴费部分可以退10000块钱
data/train/3523071.0000_3524095.0000.ogg,国外同事
data/train/3524863.0000_3529727.0000.ogg,中，经常有在多个国家工作的经历，退休后
data/train/3529983.0000_3536127.0000.ogg,各国会根据不同的功能给予不同的退休金，加在一起和在一个国家工作
data/train/3536383.0000_3537407.0000.ogg,一辈子差不多
data/train/3537919.0000_3539711.0000.ogg,我的前20年为0
data/train/3540479.0000_3543039.0000.ogg,可我无怨无悔，放弃国内的一切
data/train/3543295.0000_3545343.0000.ogg,非常准确，那个真的不值得留恋
data/train/3547135.0000_3552511.0000.ogg,问题：周围有很多癌症，我父母就是，王老师能做
data/train/3552767.0000_3555583.0000.ogg,一期国内癌症情况的节目吗？
data/train/3556351.0000_3558399.0000.ogg,这个是有一个问题
data/train/3558655.0000_3559935.0000.ogg,我看过一些资料
data/train/3560191.0000_3560959.0000.ogg,but
data/train/3561727.0000_3564031.0000.ogg,有机会我做吧，好不好，我也很想
data/train/3564287.0000_3565823.0000.ogg,讲这个议题
data/train/3566591.0000_3570431.0000.ogg,情况：在上海作为一个普通便利店店员，属于正职
data/train/3571967.0000_3573759.0000.ogg,岗位，需要交社保
data/train/3574015.0000_3577343.0000.ogg,7月入职，8月离职，只做了半个月
data/train/3577599.0000_3581439.0000.ogg,但正常交两个月的社保公积金，全扣在8月份
data/train/3581695.0000_3583999.0000.ogg,半个月工资上
data/train/3584511.0000_3587583.0000.ogg,每月社保518元，公积金300多
data/train/3588095.0000_3589631.0000.ogg,到手只有400-500了
data/train/3590143.0000_3593727.0000.ogg,有种辛辛苦苦半个月打工白打的感觉
data/train/3594239.0000_3596031.0000.ogg,现在回老家了，不再去上海
data/train/3596799.0000_3599359.0000.ogg,这两个月的社保相当于白交了
data/train/3599615.0000_3602431.0000.ogg,是这样的情况，我朋友在小县城
data/train/3602687.0000_3604735.0000.ogg,单位这个月突然
data/train/3604991.0000_3611135.0000.ogg,住房公积金比例提高，实际上拿到手的工资减少，本来3000多，现在不到3000
data/train/3611647.0000_3614207.0000.ogg,他说我都有房子，交那么多公积金干嘛
data/train/3614463.0000_3615999.0000.ogg,每个月生活费都不够
data/train/3616511.0000_3617535.0000.ogg,more importantly
data/train/3618559.0000_3621119.0000.ogg,自己只有同意的份儿，没人问他的意见
data/train/3622143.0000_3622911.0000.ogg,情况
data/train/3623167.0000_3627007.0000.ogg,我若干年前应邀参加过一次同学聚会
data/train/3630335.0000_3631359.0000.ogg,都是教师
data/train/3631615.0000_3632639.0000.ogg,一桌人
data/train/3633151.0000_3635967.0000.ogg,谈的都是房子、奖金、补贴
data/train/3636223.0000_3639551.0000.ogg,家长送不送礼，我吃进去的都想吐出来
data/train/3640319.0000_3641855.0000.ogg,从此以后再也不参加
data/train/3642111.0000_3644415.0000.ogg,所有人拉黑
data/train/3644927.0000_3646719.0000.ogg,同流合污染的教师
data/train/3647743.0000_3651583.0000.ogg,教师这个行业我很熟悉，我有同学当老师
data/train/3652351.0000_3655167.0000.ogg,这个行业已经
data/train/3655423.0000_3659263.0000.ogg,失去了我刚才讲的道德的
data/train/3660031.0000_3661823.0000.ogg,standard
data/train/3662079.0000_3666687.0000.ogg,and so
data/train/3667199.0000_3670271.0000.ogg,学校这个场景，已经不能够指望了
data/train/3671807.0000_3672575.0000.ogg,鸣谢
data/train/3672831.0000_3674367.0000.ogg,Thank you
data/train/3674623.0000_3676415.0000.ogg,谢谢，支持王生
data/train/3676671.0000_3677439.0000.ogg,A person
data/train/3677951.0000_3681535.0000.ogg,坚持做专业的节目不容易，感谢你的支持和理解
data/train/3682303.0000_3686399.0000.ogg,好，我们今天的节目就到这里，感谢大家的参与，我们下期节目再见
data/train/3686911.0000_3690751.0000.ogg,再见之前，请大家点赞，请新来的网友订阅
data/train/3691007.0000_3693567.0000.ogg,请大家加入我的会员，支持我们
data/train/3693823.0000_3694847.0000.ogg,做更好的节目
data/train/3695103.0000_3695871.0000.ogg,做更好的自己
data/train/3697151.0000_3697663.0000.ogg,Thank you
data/train/257366.0000_258966.0000.ogg,可能会救更多的人
data/train/259200.0000_260766.0000.ogg,我当时真的是
data/train/261366.0000_264332.0000.ogg,作为一个病患来说我是着急吗
data/train/264400.0000_266900.0000.ogg,你知道可能大家没病可能没这个
data/train/266933.0000_268199.0000.ogg,病了后才知道
data/train/268800.0000_270900.0000.ogg,呃什么病了乱投医啊
data/train/270900.0000_272066.0000.ogg,有很多人说我是病了
data/train/272066.0000_273799.0000.ogg,但是只有病的话才知道哈
data/train/273800.0000_274600.0000.ogg,每天的病情
data/train/274600.0000_276766.0000.ogg,如果没有一点点小小的变化
data/train/276866.0000_277766.0000.ogg,你都会着急
data/train/277766.0000_278666.0000.ogg,你别说恶化
data/train/278666.0000_280366.0000.ogg,要是恶化的话就更
data/train/280866.0000_282099.0000.ogg,更是着急了
data/train/282733.0000_284166.0000.ogg,所以有才有这样的话
data/train/284733.0000_288299.0000.ogg,然后今天正好在等着这个过程中呃
data/train/288300.0000_290066.0000.ogg,找个安静的地方去聊一聊
data/train/290300.0000_292000.0000.ogg,我今天想说一下
data/train/292933.0000_293766.0000.ogg,呃这个
data/train/294266.0000_295399.0000.ogg,阿兹夫丁片呢啊
data/train/295866.0000_298466.0000.ogg,包括我后来打的现在打的激素啊
data/train/298533.0000_299666.0000.ogg,的一些反应吧
data/train/299666.0000_302433.0000.ogg,因为很多人都说反应特别大嘛
data/train/303066.0000_306199.0000.ogg,OK这里个环境还不错后面还有个亭子
data/train/306500.0000_307300.0000.ogg,是吧
data/train/309566.0000_311966.0000.ogg,唉 我老婆也在看病她说她在4楼
data/train/313600.0000_314400.0000.ogg,呃
data/train/315900.0000_319966.0000.ogg,其实那个抗病毒的阿兹夫定片啊
data/train/320366.0000_321399.0000.ogg,包括那些（激素）
data/train/321400.0000_324400.0000.ogg,确实是有一定的反应或者是
data/train/324752.0000_325900.0000.ogg,疗效就不说了吧
data/train/325900.0000_326566.0000.ogg,我当然说了
data/train/326566.0000_327166.0000.ogg,立竿见影
data/train/327166.0000_328754.0000.ogg,这个疗效还是很肯定
data/train/328754.0000_329566.0000.ogg,副作用啊
data/train/329866.0000_331566.0000.ogg,我自己自身体验啊
data/train/331866.0000_333999.0000.ogg,我最先开始觉得很奇怪的一些现象啊
data/train/334000.0000_334933.0000.ogg,就是给大家分享一下
data/train/334933.0000_336199.0000.ogg,我也不知道他是不是
data/train/336366.0000_338766.0000.ogg,呃副作用或者是什么
data/train/338766.0000_341866.0000.ogg,只是说一下我个人啊身体的一些
data/train/342366.0000_343407.0000.ogg,表现
data/train/343407.0000_345766.0000.ogg,我最先开始到发病的时候啊
data/train/345966.0000_347899.0000.ogg,那时候还没吃阿兹夫定片啊
data/train/348332.0000_349133.0000.ogg,我就
data/train/350000.0000_352332.0000.ogg,住院当时住院的时候那个
data/train/352700.0000_355600.0000.ogg,住院大夫就问我除了这个发高烧啊
data/train/355600.0000_356766.0000.ogg,然后阳了呀
data/train/357133.0000_359399.0000.ogg,双肺感染了你还有什么基础病
data/train/359533.0000_360599.0000.ogg,我说我啥病都没有
data/train/360600.0000_362366.0000.ogg,可能就是有点高血压
data/train/362500.0000_365200.0000.ogg,去年和今年的测的血压都比较高
data/train/365200.0000_366166.0000.ogg,但是我没吃药
data/train/366266.0000_368866.0000.ogg,大部分平均在140
data/train/368966.0000_372366.0000.ogg,高压140左右低压90几啊
data/train/373133.0000_375133.0000.ogg,这样的但没吃药好
data/train/375133.0000_375766.0000.ogg,他就住院后
data/train/375766.0000_377533.0000.ogg,他就跟我做一个全身检查嘛
data/train/377766.0000_380099.0000.ogg,后来一测让我觉得很奇怪
data/train/380100.0000_382933.0000.ogg,我当时的血压降到了126
data/train/383400.0000_385600.0000.ogg,80几就是非常正常的血压
data/train/386166.0000_388933.0000.ogg,我这几年从来就没有这么正常的血压
data/train/388933.0000_390366.0000.ogg,就在我发病的过程中啊
data/train/390666.0000_393133.0000.ogg,就很奇怪 那几天 天天有跟我测
data/train/393966.0000_395899.0000.ogg,第二天要跟我测还是一百二十几
data/train/395900.0000_397766.0000.ogg,这非常漂亮的血压值
data/train/397966.0000_400399.0000.ogg,我当时都不相信我说我有血压呀
data/train/401200.0000_402966.0000.ogg,搞得医生也很郁闷
data/train/403800.0000_405400.0000.ogg,好到第三天我就
data/train/405733.0000_407999.0000.ogg,呃吃了那个阿兹夫丁片之后
data/train/408533.0000_410099.0000.ogg,就血压就发生变化
data/train/410100.0000_411366.0000.ogg,就血压就恢复正常了
data/train/411366.0000_415107.0000.ogg,我认为是恢复正常了 其实他本身比平均值是要高的
data/train/415200.0000_416733.0000.ogg,所以那个大夫当时一测
data/train/416900.0000_418566.0000.ogg,出现了144
data/train/418566.0000_419666.0000.ogg,106
data/train/419866.0000_421566.0000.ogg,我当时就特别开心
data/train/421566.0000_425333.0000.ogg,我说对这个血压值就是我真正的
data/train/425400.0000_428166.0000.ogg,真实的每年测出来的那个血压值
data/train/428933.0000_430966.0000.ogg,本来血压有点高我还很开心
data/train/430966.0000_432933.0000.ogg,我是认为血压正常了
data/train/433100.0000_433900.0000.ogg,就
data/train/434666.0000_437799.0000.ogg,一码是一码是吧这个可能
data/train/438700.0000_440000.0000.ogg,呃新冠这个
data/train/440466.0000_442166.0000.ogg,影响到我的血压了还是咋的
data/train/443066.0000_445299.0000.ogg,那个阿兹夫定片我吃了3天
data/train/445300.0000_447332.0000.ogg,但是因为网络很多回复
data/train/447366.0000_449332.0000.ogg,包括有很多人给我看那些连接
data/train/449332.0000_450533.0000.ogg,国外的一些专家
data/train/450600.0000_452700.0000.ogg,关于阿兹夫定片的这个药呢
data/train/452700.0000_453766.0000.ogg,他的
data/train/454733.0000_457366.0000.ogg,用药安全这个问题没有得到
data/train/458500.0000_461400.0000.ogg,公公就是一个认可吧
data/train/461566.0000_462866.0000.ogg,所以当时我也很害怕吧
data/train/462866.0000_464066.0000.ogg,所以没有得到专业人士
data/train/464066.0000_465499.0000.ogg,就是到处乱投医
data/train/465500.0000_466900.0000.ogg,到处看一些信息吗
data/train/467000.0000_468600.0000.ogg,自己判断自己诊断
data/train/470066.0000_470733.0000.ogg,所以我吃了
data/train/470733.0000_473599.0000.ogg,所以我吃了3天这个药就停下来了
data/train/474469.0000_476933.0000.ogg,有人说激素有骨坏死我不知道啊
data/train/476933.0000_478466.0000.ogg,不知道会不会有骨坏死
data/train/478533.0000_479799.0000.ogg,但是还有一个问题
data/train/479800.0000_481266.0000.ogg,我发现打完激素以后
data/train/481533.0000_483133.0000.ogg,我的血压会变得更高
data/train/483133.0000_484166.0000.ogg,我刚才说了
data/train/484333.0000_485133.0000.ogg,吃完
data/train/485500.0000_487800.0000.ogg,阿兹夫定片之后我的血压是变成144
data/train/487800.0000_489600.0000.ogg,就是趋向于正常哈
data/train/489600.0000_492100.0000.ogg,就是我平时的一个血压状态
data/train/492100.0000_494366.0000.ogg,但是打完激素以后
data/train/494400.0000_499866.0000.ogg,我嗯前天和昨天有测血压就变成168了
data/train/499866.0000_501332.0000.ogg,就接近170的血压
data/train/501400.0000_503600.0000.ogg,低压都有110几
data/train/503600.0000_504566.0000.ogg,这个血压就
data/train/504700.0000_507866.0000.ogg,就比我平时的那个血压要高很多了
data/train/508166.0000_509966.0000.ogg,但比正常值就高更多了
data/train/509966.0000_512099.0000.ogg,像这种血压应该就是吃药了对不对
data/train/512133.0000_514099.0000.ogg,所以我有时候打完
data/train/514732.0000_516599.0000.ogg,激素以后晚上就还是有昏睡
data/train/516600.0000_519133.0000.ogg,当时我想是不是体温没有降下来
data/train/519165.0000_520332.0000.ogg,所以我就量了体温
data/train/520533.0000_521533.0000.ogg,量了多次啊
data/train/521533.0000_522999.0000.ogg,都只有36度7
data/train/523000.0000_525900.0000.ogg,但是 没有想我的血压的问题
data/train/525966.0000_528899.0000.ogg,是后来到我父母家那边好了吗
data/train/528900.0000_529700.0000.ogg,到父母家
data/train/529900.0000_532000.0000.ogg,去探访的时候正好他那边有
data/train/532000.0000_534165.0000.ogg,我就测了一下我的血压就168
data/train/534165.0000_534966.0000.ogg,这个就让我
data/train/535266.0000_536133.0000.ogg,挺害怕的
data/train/536466.0000_539665.0000.ogg,还包括心跳我平时的心跳是60多下
data/train/540100.0000_541800.0000.ogg,呃不会超过70下
data/train/541800.0000_543733.0000.ogg,但是自从打完激素以后
data/train/543733.0000_545799.0000.ogg,我的心跳就是80多下
data/train/545800.0000_547300.0000.ogg,就心跳一直跳的很快
data/train/547500.0000_548800.0000.ogg,然后还有人说打
data/train/549466.0000_550533.0000.ogg,激素或者这个病啊
data/train/550533.0000_553699.0000.ogg,就是会对男性的这个功能性有影响
data/train/553766.0000_555699.0000.ogg,这这点我我我同意
data/train/555700.0000_558266.0000.ogg,确确实有这这多少天了
data/train/558366.0000_559466.0000.ogg,大半个月了吧
data/train/559600.0000_560733.0000.ogg,就完全没有
data/train/561100.0000_563600.0000.ogg,下面完全没反应哈哈哈
data/train/564100.0000_565733.0000.ogg,哈哈哈哈
data/train/566900.0000_569100.0000.ogg,真的是这样的包括那个
data/train/569600.0000_571200.0000.ogg,小便啊什么的都无力
data/train/571333.0000_573860.0000.ogg,那可能是不是跟身体虚弱有一定关系啊
data/train/574100.0000_576000.0000.ogg,希望后期会有所改善啊
data/train/576000.0000_578366.0000.ogg,这这个让我很很很很让我很糟心
data/train/578366.0000_579733.0000.ogg,很糟心这让我
data/train/580800.0000_582300.0000.ogg,什么血压高我觉得
data/train/582866.0000_583733.0000.ogg,都都觉得
data/train/583733.0000_586165.0000.ogg,还不是特别害怕血压高 到时吃药呗
data/train/586500.0000_588866.0000.ogg,你看这个这个这个接受不了
data/train/588866.0000_590399.0000.ogg,希望他这个后遗症
data/train/590500.0000_593800.0000.ogg,能够通过后面的好转有所有所改变
data/train/593800.0000_595566.0000.ogg,啊哈哈啊
data/train/595566.0000_597499.0000.ogg,然后刚才说的那个血压高的事
data/train/597500.0000_598866.0000.ogg,等会拍完片了以后
data/train/598866.0000_599665.0000.ogg,要找
data/train/599800.0000_601600.0000.ogg,急诊的内科医生也跟他去反应一下
data/train/601600.0000_603000.0000.ogg,看一下他怎么说
data/train/603000.0000_604100.0000.ogg,这是不是
data/train/604133.0000_607166.0000.ogg,打完激素的一些自然的反应
data/train/607166.0000_608266.0000.ogg,或者是什么
data/train/608333.0000_609999.0000.ogg,然后其他的可能就没有了
data/train/610900.0000_611700.0000.ogg,好吧
data/train/612200.0000_614333.0000.ogg,就跟大家说一下这个嗯
data/train/615533.0000_617599.0000.ogg,然后再进去看看多少号了
data/train/618533.0000_620699.0000.ogg,请到13检查室检查
data/train/629566.0000_631599.0000.ogg,请到13检查室检查
data/train/634566.0000_635366.0000.ogg,看一下
data/train/635866.0000_638165.0000.ogg,现在人是不是少多了是不是
data/train/638533.0000_639766.0000.ogg,我今天
data/train/639900.0000_642500.0000.ogg,呃现在已经10:40了刚刚吊上了针
data/train/642766.0000_645165.0000.ogg,你想想10:40现在就这多人 所以
data/train/646400.0000_648800.0000.ogg,第一波已经快结束了接近尾声了
data/train/648933.0000_650933.0000.ogg,然后呢我现在还在吊针啊
data/train/650933.0000_652533.0000.ogg,告诉大家一个好消息
data/train/653366.0000_654933.0000.ogg,那个拍片出来了
data/train/654933.0000_657799.0000.ogg,结果非常非常的好
data/train/658000.0000_659133.0000.ogg,听医生说呢
data/train/659133.0000_662266.0000.ogg,我的肺吸收啊恢复都非常好
data/train/662266.0000_663266.0000.ogg,就证明这个
data/train/663466.0000_666699.0000.ogg,呃激素的治疗还是非常对症的
data/train/667266.0000_669399.0000.ogg,我已经迫不及待的给大家分享一下
data/train/669400.0000_670700.0000.ogg,这个片子哈
data/train/671100.0000_671866.0000.ogg,给大家看一下
data/train/671866.0000_673733.0000.ogg,我到底是怎么样子一个情况
data/train/673733.0000_675866.0000.ogg,就是从（坏）到（好）的一个过程
data/train/675866.0000_676566.0000.ogg,我告诉你
data/train/676566.0000_679966.0000.ogg,我现在成看片高手了啊我来来来
data/train/679966.0000_682099.0000.ogg,给大家简单的说一下
data/train/682500.0000_685800.0000.ogg,这是我前期发现这个肺炎的情况
data/train/685866.0000_687099.0000.ogg,这个和我之前所说的
data/train/687100.0000_688066.0000.ogg,你看这是左肺
data/train/688066.0000_689899.0000.ogg,看这里这个
data/train/690400.0000_692800.0000.ogg,左肺这里一点两点3点四点看
data/train/692900.0000_695266.0000.ogg,像不像那个靶
data/train/695333.0000_696533.0000.ogg,靶子打穿了
data/train/697133.0000_698466.0000.ogg,白的像洞一样的
data/train/699133.0000_700399.0000.ogg,这也有一点点
data/train/701133.0000_701933.0000.ogg,你看
data/train/702165.0000_704533.0000.ogg,这里 它是不同的角度在转吗
data/train/704533.0000_706933.0000.ogg,你看这边都像都是洞看到没
data/train/707333.0000_710665.0000.ogg,这左边比右肺要严重很多对不对
data/train/711000.0000_711600.0000.ogg,啊
data/train/711600.0000_713266.0000.ogg,好我们再来看一下今天的
data/train/713933.0000_714733.0000.ogg,你看
data/train/714766.0000_716199.0000.ogg,他如果正常的影片的话
data/train/716200.0000_718165.0000.ogg,它应该是照出的是黑色的
data/train/718165.0000_719866.0000.ogg,黑色的这个肺
data/train/719866.0000_720933.0000.ogg,为什么叫白肺呢
data/train/720933.0000_722899.0000.ogg,就是因为 它不是肺是白的
data/train/722900.0000_726400.0000.ogg,而是嗯有有那个叫炎症的时候呢
data/train/726400.0000_727400.0000.ogg,拍出就是偏白
data/train/727400.0000_730366.0000.ogg,你看这个片子拍你看这个肺是白的
data/train/730366.0000_731999.0000.ogg,然后呢你看这里
data/train/733300.0000_735700.0000.ogg,这个有的白的是那个血管
data/train/735700.0000_737566.0000.ogg,就像那个支流一样的
data/train/737566.0000_738799.0000.ogg,这这这里
data/train/738933.0000_741466.0000.ogg,这里还有一点点一点2点3点4点是吧
data/train/741500.0000_743966.0000.ogg,但是明显比之前是不是要好很多
data/train/744400.0000_745266.0000.ogg,你看这边
data/train/745866.0000_748766.0000.ogg,比之前的那个我说像靶子打穿的
data/train/749366.0000_750733.0000.ogg,是不是要好很多
data/train/750733.0000_751666.0000.ogg,你看这个
data/train/752100.0000_752933.0000.ogg,这个也是的
data/train/752933.0000_754466.0000.ogg,这个就是血管
data/train/755133.0000_755766.0000.ogg,这就是这
data/train/755766.0000_756733.0000.ogg,这就是比较
data/train/756766.0000_758566.0000.ogg,比之前要吸收好很多
data/train/758566.0000_762566.0000.ogg,就这里还有一点点看到没这里12344个
data/train/762900.0000_764900.0000.ogg,啊对不对这这就好
data/train/765300.0000_766600.0000.ogg,这里白的还有一点点
data/train/767333.0000_768799.0000.ogg,这下面看不懂了啊
data/train/769700.0000_771200.0000.ogg,我相信就刚才我简单介绍
data/train/771200.0000_772733.0000.ogg,大家能够看得出来这个
data/train/773665.0000_774766.0000.ogg,靶场的肺
data/train/774900.0000_775933.0000.ogg,靶场的肺
data/train/776133.0000_778665.0000.ogg,就和现在就已经淡化了很多是吧
data/train/778800.0000_779600.0000.ogg,呃
data/train/779700.0000_782500.0000.ogg,所以啊有时候啊身体他是不会骗人的
data/train/782500.0000_783900.0000.ogg,你看我现在说话呀
data/train/783933.0000_787533.0000.ogg,语气呀那个包括就是有气吧
data/train/787566.0000_790066.0000.ogg,之前都没气啊现在有气有力的哈
data/train/790066.0000_792533.0000.ogg,原来是没气没力的那种感觉
data/train/793200.0000_794800.0000.ogg,所以身体身体不会骗人的
data/train/794800.0000_796533.0000.ogg,所以肺就有一定的好转
data/train/796533.0000_799299.0000.ogg,然后那个大夫也非常呃
data/train/799300.0000_801466.0000.ogg,跟我叮嘱说我现在打了5天
data/train/801466.0000_802566.0000.ogg,还让我再打两天吧
data/train/802566.0000_803899.0000.ogg,打两天以后就可以停药了
data/train/803900.0000_806200.0000.ogg,就不用不用再去医院了
data/train/806200.0000_807566.0000.ogg,自己在家调养
data/train/807800.0000_808966.0000.ogg,或者自己
data/train/809333.0000_811566.0000.ogg,嗯吃点那个化痰的药给我开了
data/train/811700.0000_812600.0000.ogg,或者你自己操作
data/train/812600.0000_816665.0000.ogg,你可以用那个中医调理一下这个肺啊
data/train/816665.0000_817866.0000.ogg,也是可以的那
data/train/818600.0000_820266.0000.ogg,但是也不用着急拍片
data/train/820266.0000_823133.0000.ogg,他说一个月以后再来复检
data/train/823165.0000_824899.0000.ogg,就看一下肺的吸收
data/train/825000.0000_825900.0000.ogg,就和今天的
data/train/825900.0000_829199.0000.ogg,刚才隐隐约约上面还有接近四五个那个
data/train/829266.0000_831999.0000.ogg,燥点的那个白色的毛玻璃样的点
data/train/832000.0000_836466.0000.ogg,就看一个月以后看能不能够恢复吸收
data/train/837333.0000_839266.0000.ogg,这就挺好的对不对哎
data/train/839300.0000_840733.0000.ogg,就很开心排两天吧
data/train/840733.0000_842333.0000.ogg,今天的药好像有所变化
data/train/842366.0000_845535.0000.ogg,那个呃激素好像跟我换了
data/train/845535.0000_848533.0000.ogg,激素 原来打了个叫什么尼龙玻璃
data/train/849266.0000_851066.0000.ogg,尼龙什么玻璃琥珀
data/train/851166.0000_853366.0000.ogg,什么钠酸什么玩意的
data/train/853933.0000_855299.0000.ogg,现在换成了
data/train/856566.0000_858566.0000.ogg,来还是和大家继续分享我
data/train/858566.0000_860133.0000.ogg,用药的一个过程啊
data/train/860133.0000_862299.0000.ogg,这个也是激素这个叫
data/train/862600.0000_863666.0000.ogg,地塞米松
data/train/863866.0000_865566.0000.ogg,然后下面这个盐酸溴
data/train/865800.0000_867333.0000.ogg,它是化痰用的
data/train/867800.0000_868933.0000.ogg,之前没打的
data/train/868933.0000_870266.0000.ogg,今天给我打了3只
data/train/870400.0000_874133.0000.ogg,还继续在打这个莫西沙星继续在打
data/train/874300.0000_875466.0000.ogg,炎琥宁也继续在打
data/train/875466.0000_878066.0000.ogg,但是炎琥宁这一次给我加了3只
data/train/878066.0000_879599.0000.ogg,之前只有2只的哈
data/train/880165.0000_882066.0000.ogg,然后这下面是那个医师啊
data/train/882366.0000_884299.0000.ogg,这个叫袁珊
data/train/884700.0000_886700.0000.ogg,这个医生非常的过细（认真负责）
data/train/886700.0000_888800.0000.ogg,非常非常好一个女的
data/train/892257.0000_895549.0000.ogg,好 谢谢您
data/train/898800.0000_900364.0000.ogg,给我滚一个
data/train/902300.0000_904688.0000.ogg,没得法 磨死人 脑淤血
data/train/904689.0000_906689.0000.ogg,瘫痪
data/train/912357.0000_916148.0000.ogg,非要这样歪着 那你别掉下来了 你把他看着啊
data/train/916195.0000_918195.0000.ogg,你把这收一下了
data/train/955766.0000_959599.0000.ogg,医院这个地方真的不能够常来
data/train/960800.0000_963100.0000.ogg,本来今天很开心的是吧
data/train/963100.0000_966100.0000.ogg,知道这个肺部变好消息其实很开心
data/train/966733.0000_968199.0000.ogg,然后呢就接着打针
data/train/968700.0000_972133.0000.ogg,然后就看到了刚才的那一幕
data/train/973400.0000_976066.0000.ogg,一个和我年龄相当的应该比我
data/train/976533.0000_978066.0000.ogg,应该和我年龄相当的
data/train/978666.0000_981766.0000.ogg,嗯 他的父亲应该是脑瘫
data/train/982533.0000_983499.0000.ogg,行动不便
data/train/983766.0000_986466.0000.ogg,然后也是因为这个病刚才有点发牢骚
data/train/987333.0000_989166.0000.ogg,每天来打针每天来打针
data/train/989866.0000_991366.0000.ogg,一待好几个小时
data/train/991700.0000_994200.0000.ogg,今天好像是刚刚才挂上针吗
data/train/994200.0000_995900.0000.ogg,已经下午现在1点半了吗
data/train/996466.0000_998266.0000.ogg,然后他打完针回去都五六点钟了
data/train/998266.0000_999099.0000.ogg,他就说
data/train/999466.0000_1002066.0000.ogg,这样搞他哪有时间上班呢
data/train/1002500.0000_1004366.0000.ogg,不上班了我不上班了
data/train/1005766.0000_1007799.0000.ogg,多少说话带点气吧
data/train/1008733.0000_1010699.0000.ogg,看得出来他父亲也是
data/train/1012066.0000_1013499.0000.ogg,脑瘫已经很久了
data/train/1013533.0000_1016933.0000.ogg,别人说 久病床前无孝子
data/train/1018133.0000_1020799.0000.ogg,哎呀然后又看到旁边的那一床
data/train/1020866.0000_1024766.0000.ogg,两个儿子在那精心的照顾自己的父亲
data/train/1025133.0000_1026133.0000.ogg,这两个家庭啊
data/train/1026133.0000_1027665.0000.ogg,这两张病床上面
data/train/1027965.0000_1029933.0000.ogg,感觉到就反差特别大
data/train/1031300.0000_1032700.0000.ogg,让人感觉
data/train/1033665.0000_1034665.0000.ogg,很无助
data/train/1035400.0000_1036866.0000.ogg,这是突然发生的
data/train/1037133.0000_1038465.0000.ogg,看到了随想
data/train/1038599.0000_1040500.0000.ogg,本来呢你看
data/train/1041133.0000_1043165.0000.ogg,肺也慢慢的变好是好事
data/train/1044300.0000_1045665.0000.ogg,护照也办到了
data/train/1045965.0000_1048133.0000.ogg,我曾经还在想这两天一直在想啊
data/train/1048133.0000_1049733.0000.ogg,好了以后干嘛干嘛
data/train/1051000.0000_1053333.0000.ogg,很多计划很多宏伟的计划
data/train/1055200.0000_1057600.0000.ogg,哎但是看到这一幕想到
data/train/1059000.0000_1060166.0000.ogg,哎呀
data/train/1061933.0000_1063933.0000.ogg,或者一些评论里面也说啊
data/train/1063933.0000_1066199.0000.ogg,润润润赶紧润什么的
data/train/1066700.0000_1069000.0000.ogg,哪有那么轻松那么简单
data/train/1070066.0000_1072066.0000.ogg,没有家庭啊不顾家庭的
data/train/1072066.0000_1073199.0000.ogg,不顾老人的
data/train/1073933.0000_1075366.0000.ogg,不管不顾的
data/train/1076933.0000_1077799.0000.ogg,做不到啊
data/train/1077866.0000_1078733.0000.ogg,我们这个年龄
data/train/1079066.0000_1082266.0000.ogg,看到那个脑瘫的那一幕就我就会遐想
data/train/1082266.0000_1083799.0000.ogg,我看到了甚至想哭
data/train/1085400.0000_1086400.0000.ogg,我想到
data/train/1087533.0000_1088999.0000.ogg,说不定n年以后你
data/train/1089900.0000_1091000.0000.ogg,你也是这个样子
data/train/1091000.0000_1092533.0000.ogg,我们大家可能都是这样的
data/train/1092533.0000_1093999.0000.ogg,因为老人需要照顾
data/train/1094566.0000_1096599.0000.ogg,又不能够说哎
data/train/1098000.0000_1100133.0000.ogg,就就突然那种反差
data/train/1100866.0000_1101799.0000.ogg,特别无助
data/train/1101800.0000_1102900.0000.ogg,那种感觉
data/train/1104100.0000_1105300.0000.ogg,能走哪去呢
data/train/1105733.0000_1107566.0000.ogg,父母永远都是你
data/train/1108000.0000_1110066.0000.ogg,最牵绊的那一个点
data/train/1112333.0000_1113766.0000.ogg,哎受罪啊
data/train/1115466.0000_1117066.0000.ogg,就感觉到很受罪
data/train/1119066.0000_1119866.0000.ogg,哎
data/train/1122966.0000_1127099.0000.ogg,想想 谈什么未来谈什么梦想
data/train/1129266.0000_1130066.0000.ogg,如果真的
data/train/1130600.0000_1133933.0000.ogg,家庭也发生别人那样子的情况
data/train/1134200.0000_1135566.0000.ogg,还有啥梦想啊
data/train/1136933.0000_1138466.0000.ogg,嗯都不是希望
data/train/1139200.0000_1141200.0000.ogg,家人都快快的
data/train/1141900.0000_1143933.0000.ogg,好起来对不对
data/train/1145100.0000_1145900.0000.ogg,哎
data/train/1146866.0000_1149166.0000.ogg,算了算了这些事情还是得自己去想吧
data/train/1149166.0000_1151599.0000.ogg,自己那个 只是跟大家分享一下（随想）
data/train/1151900.0000_1153333.0000.ogg,然后呢明天吧
data/train/1153333.0000_1156899.0000.ogg,明天打最后一针应该就结束了医生说
data/train/1157200.0000_1159566.0000.ogg,就不用去再挂号啊看病了
data/train/1159566.0000_1161166.0000.ogg,他说你就回去就静养就行了
data/train/1161166.0000_1164499.0000.ogg,他就给我开了一个这个药嗯
data/train/1164600.0000_1165400.0000.ogg,要我
data/train/1166400.0000_1167600.0000.ogg,要我回去
data/train/1168066.0000_1170333.0000.ogg,泡着喝也是治那个
data/train/1170866.0000_1173166.0000.ogg,肺肺这块的吧好像说是
data/train/1174533.0000_1176533.0000.ogg,哎搞得没有心情
data/train/1176866.0000_1179166.0000.ogg,看到这一幕 就搞得自己也没有心情
data/train/1184166.0000_1184966.0000.ogg,医院
data/train/1190066.0000_1190933.0000.ogg,就这样了
data/train/1191733.0000_1192599.0000.ogg,拜拜了
data/train/275800.0000_278000.0000.ogg,I don't like how sunscreens. They make my skin sticky
data/train/278000.0000_281600.0000.ogg,"If you want to engage in outdoor activities,"
data/train/281800.0000_285200.0000.ogg,you should apply sunscreen to protect your skin
data/train/285400.0000_288200.0000.ogg,"Even if you're reluctant to apply sunscreen because it's sticky,"
data/train/288200.0000_290000.0000.ogg,"there's oral sunblock, right?"
data/train/290000.0000_293600.0000.ogg,That's right. There are oral sunblock supplements
data/train/293600.0000_297400.0000.ogg,"They contain herbal ingredients,"
data/train/297400.0000_299200.0000.ogg,so they are safe to use
data/train/299200.0000_304800.0000.ogg,"However, oral sunblocks cannot replace topical sunscreens,"
data/train/304800.0000_310600.0000.ogg,"so in addition to applying sunscreen and for increased protection,"
data/train/310600.0000_313400.0000.ogg,I will encourage everyone to take oral sunblock pills
data/train/313400.0000_316600.0000.ogg,Do we apply sunscreen only once?
data/train/316600.0000_321200.0000.ogg,"Sunscreen provides protection for only three to four hours,"
data/train/321200.0000_324400.0000.ogg,"so if you are exercising outdoors for a long time,"
data/train/324400.0000_328400.0000.ogg,you will need to apply it again after three to four hours
data/train/328800.0000_331000.0000.ogg,"If it's not convenient to do so,"
data/train/331000.0000_333800.0000.ogg,use an umbrella or wear a hat
data/train/333800.0000_337600.0000.ogg,These are simple ways to cover your skin
data/train/337600.0000_340000.0000.ogg,You block off the sun -Precisely
data/train/340000.0000_344600.0000.ogg,I understand that sunblocks are divided into...
data/train/344600.0000_348200.0000.ogg,physical sunscreen and chemical sunscreen
data/train/348200.0000_354800.0000.ogg,Chemical sunscreens contain organic chemical compounds
data/train/354800.0000_357400.0000.ogg,They are known as chemical sunscreens...
data/train/357400.0000_359200.0000.ogg,because of their chemical compositions
data/train/359200.0000_361800.0000.ogg,"Chemical sunscreens absorb UV rays,"
data/train/361800.0000_365600.0000.ogg,convert the rays into heat and release them from the body
data/train/365600.0000_368000.0000.ogg,This reduces damage to the skin
data/train/368000.0000_368800.0000.ogg,Okay
data/train/368800.0000_370200.0000.ogg,"Comparatively,"
data/train/370200.0000_374200.0000.ogg,the main composition of physical sunscreens is...
data/train/374200.0000_377600.0000.ogg,nano particles
data/train/377600.0000_379600.0000.ogg,Physical sunscreen will not be absorbed by the skin
data/train/379600.0000_382600.0000.ogg,It sits on top of the skin
data/train/382600.0000_386200.0000.ogg,The nano particles reflect the sun's rays...
data/train/386400.0000_390000.0000.ogg,to achieve the effects of protection and isolation
data/train/390000.0000_390800.0000.ogg,Okay
data/train/390800.0000_394200.0000.ogg,Physical sunscreen is more suitable for...
data/train/394200.0000_398000.0000.ogg,toddlers and people with sensitive skin...
data/train/398000.0000_402000.0000.ogg,because it's a physical blocker which is not absorbed by the skin
data/train/402000.0000_406400.0000.ogg,It will also not irritate the skin to cause a skin allergy
data/train/406400.0000_409800.0000.ogg,"But physical sunscreen has one disadvantage, that is,"
data/train/409800.0000_411400.0000.ogg,it doesn't have a good texture
data/train/411400.0000_412600.0000.ogg,It's very thick
data/train/412600.0000_415000.0000.ogg,"And after applying it, the skin becomes whitish"
data/train/415000.0000_418400.0000.ogg,It takes a long time for it to blend in
data/train/418400.0000_422800.0000.ogg,I once saw a man at a beach. He looked so scary!
data/train/422800.0000_426000.0000.ogg,He applied so much of it that his face was white
data/train/426000.0000_429400.0000.ogg,"And when your sweat flows near the eyes, you feel a smarting pain"
data/train/429800.0000_431200.0000.ogg,It's so irritating
data/train/431680.0000_432480.0000.ogg,Yes
data/train/432480.0000_434880.0000.ogg,How do we choose a sunscreen?
data/train/434880.0000_439080.0000.ogg,"Normally, as long as the SPF of the sunscreen lotion is above 30,"
data/train/439080.0000_440480.0000.ogg,it's enough
data/train/440480.0000_444480.0000.ogg,That can block off 97% to 99% of UV rays
data/train/444480.0000_446080.0000.ogg,"Secondly,"
data/train/446080.0000_449280.0000.ogg,"if you are going to engage in an outdoor sport like swimming,"
data/train/449280.0000_453080.0000.ogg,you should use an anti-perspirant and water-resistant sunscreen lotion
data/train/453080.0000_456080.0000.ogg,"Thirdly, the amount"
data/train/456080.0000_459480.0000.ogg,Many people do not apply enough sunscreen lotion
data/train/459880.0000_463280.0000.ogg,How much sunscreen should one apply?
data/train/463280.0000_465880.0000.ogg,It's a test question - how much sunscreen to apply?
data/train/465880.0000_467280.0000.ogg,Squeeze it onto your palm
data/train/467280.0000_469480.0000.ogg,"For my face? -Yes, your own face"
data/train/469480.0000_472880.0000.ogg,Do you usually only use that much? I think that's too little
data/train/472880.0000_473680.0000.ogg,Doctor
data/train/473680.0000_477280.0000.ogg,Take a look. Who has the correct amount?
data/train/478280.0000_480680.0000.ogg,Hanwei's amount is closer to the ideal
data/train/480880.0000_481880.0000.ogg,So much?
data/train/481880.0000_485880.0000.ogg,We usually recommend a teaspoon of it
data/train/485880.0000_488080.0000.ogg,It's enough for the whole face
data/train/488080.0000_491680.0000.ogg,"Okay. After the commercial break, we'll delve deeper into the subject"
data/train/491680.0000_494080.0000.ogg,Yes. A TCM physician will be joining us. See you later!
data/train/494080.0000_495280.0000.ogg,See you later
data/train/505960.0000_508960.0000.ogg,"Welcome, Dr Dong Jing Jing, to our discussion on melasma"
data/train/508960.0000_509960.0000.ogg,Thank you
data/train/509960.0000_512559.0000.ogg,"Dr Dong, what is the TCM view on melasma?"
data/train/512960.0000_515559.0000.ogg,"In TCM, melasma is known as ""liheiban"" (brownish-black pigmentation)"
data/train/515559.0000_517559.0000.ogg,"In TCM, this condition is caused by..."
data/train/517559.0000_521360.0000.ogg,qi and blood failing to flow upwards to the head
data/train/521360.0000_524560.0000.ogg,"Nutrients are unable to reach the face,"
data/train/524560.0000_526360.0000.ogg,thus leading to this problem
data/train/526360.0000_528360.0000.ogg,There are four causes
data/train/529320.0000_532120.0000.ogg,The first cause is liver depression and qi stagnation
data/train/532120.0000_533920.0000.ogg,It has to do with emotions
data/train/534520.0000_538520.0000.ogg,The second cause has to do with liver and kidney deficiency
data/train/538520.0000_541920.0000.ogg,"For example, malnutrition can also lead to melasma"
data/train/541920.0000_545720.0000.ogg,The third cause has to do with qi stagnation and blood stasis
data/train/545720.0000_548520.0000.ogg,This is a result of some chronic diseases
data/train/549120.0000_552120.0000.ogg,The fourth cause is spleen deficiency
data/train/552120.0000_555920.0000.ogg,It means that it's a result of poor diet
data/train/555920.0000_558320.0000.ogg,"For instance, some people like to eat..."
data/train/558320.0000_561720.0000.ogg,"pan-fried, deep-fried and oily foods"
data/train/561920.0000_563720.0000.ogg,Is melasma difficult to treat?
data/train/563720.0000_566720.0000.ogg,The most important consideration in treating melasma is...
data/train/566720.0000_568920.0000.ogg,protecting your skin adequately from the sun
data/train/569720.0000_573120.0000.ogg,Other effective methods of lightening pigmentation include...
data/train/573120.0000_575320.0000.ogg,using skincare products with whitening effect
data/train/575320.0000_576720.0000.ogg,But you must be patient
data/train/576720.0000_579120.0000.ogg,It will take three to six months
data/train/579120.0000_581120.0000.ogg,And you must make effort to avoid excessive sun exposure...
data/train/581120.0000_583320.0000.ogg,to achieve some results
data/train/583320.0000_584120.0000.ogg,Okay
data/train/584120.0000_587120.0000.ogg,"Other methods are laser treatments,"
data/train/587120.0000_588520.0000.ogg,"intense pulsed light therapy,"
data/train/588520.0000_590520.0000.ogg,"that is, different types of light therapy..."
data/train/590520.0000_593120.0000.ogg,to break up the pigmentation
data/train/594040.0000_598240.0000.ogg,One can also undergo chemical peel...
data/train/598240.0000_603440.0000.ogg,by applying an acidic solution on the skin...
data/train/603440.0000_605240.0000.ogg,to whiten the skin and...
data/train/605240.0000_607840.0000.ogg,accelerate skin metabolism by...
data/train/607840.0000_613640.0000.ogg,treating the dead skin for a quick exfoliation
data/train/613640.0000_618040.0000.ogg,Does the exfoliation make the skin thinner?
data/train/618040.0000_620240.0000.ogg,The skin may become sensitive
data/train/620640.0000_623640.0000.ogg,"But you can't do it on a long-term basis, right?"
data/train/623640.0000_626040.0000.ogg,Chemical peel should be done only when necessary
data/train/626040.0000_627840.0000.ogg,That's right. Do it after a long while
data/train/627840.0000_631240.0000.ogg,"If the acidity is high, that will injure the skin"
data/train/631240.0000_632840.0000.ogg,It'll injure the skin -Yes
data/train/632840.0000_635640.0000.ogg,What are the treatment methods in TCM?
data/train/635640.0000_638440.0000.ogg,Let me tell you about the six methods of treatment
data/train/638440.0000_640840.0000.ogg,The first one is the prescription of Chinese medicines
data/train/641440.0000_644040.0000.ogg,I mentioned the four causes earlier
data/train/644040.0000_644840.0000.ogg,Yes
data/train/644840.0000_647640.0000.ogg,The first cause relates to emotional disorder
data/train/647640.0000_648840.0000.ogg,"In this instance,"
data/train/648840.0000_651840.0000.ogg,we will prescribe chaihu (Thorowax root) and baishao (white peony root)
data/train/651840.0000_654240.0000.ogg,The second cause relates to...
data/train/654240.0000_655040.0000.ogg,Malnutrition
data/train/655040.0000_657440.0000.ogg,"Yes, it has to do with malnutrition"
data/train/657440.0000_661440.0000.ogg,"Therefore, we prescribe shudi (Chinese foxglove root) and Chinese yam..."
data/train/661440.0000_663040.0000.ogg,for the treatment
data/train/663640.0000_666840.0000.ogg,The third cause relates to chronic diseases
data/train/666840.0000_668040.0000.ogg,"In this case,"
data/train/668040.0000_671440.0000.ogg,we prescribe peach kernels and safflower for the treatment
data/train/671440.0000_674440.0000.ogg,The fourth cause relates to diet
data/train/674440.0000_678440.0000.ogg,We prescribe baizhu (white Atractylodes rhizome) and fuling (Poria)
data/train/678440.0000_681040.0000.ogg,The second method of treatment is acupuncture
data/train/681040.0000_683440.0000.ogg,Acupuncture is divided into three types
data/train/683440.0000_686440.0000.ogg,The first type is body acupuncture
data/train/686440.0000_688240.0000.ogg,We administer acupuncture on...
data/train/688240.0000_691440.0000.ogg,"acupoints on the face, hands and feet..."
data/train/691440.0000_693240.0000.ogg,to achieve the effects of...
data/train/693240.0000_695840.0000.ogg,invigorating blood and removing pigmentations
data/train/695840.0000_699840.0000.ogg,The second type of acupuncture involves acupoints on the ears
data/train/699840.0000_701240.0000.ogg,Treatment is carried out on...
data/train/701240.0000_704840.0000.ogg,auricular acupuncture points associated with the face
data/train/704840.0000_706640.0000.ogg,"On the ears? -Yes, on the ears"
data/train/706640.0000_708640.0000.ogg,The third type is skin acupuncture
data/train/708640.0000_711240.0000.ogg,There are three types of skin acupuncture
data/train/711240.0000_713640.0000.ogg,The first type is Plum Blossom Needling
data/train/713640.0000_717640.0000.ogg,"A plum blossom has five petals, so the acupuncture tool has five needles"
data/train/717640.0000_720640.0000.ogg,The second type is Seven-Star Needling
data/train/720640.0000_722640.0000.ogg,The acupuncture tool has seven needles
data/train/722640.0000_724840.0000.ogg,Seven? You're referring to needles?
data/train/724840.0000_726040.0000.ogg,"Yes, needles"
data/train/726040.0000_727240.0000.ogg,What's the third type?
data/train/727240.0000_730640.0000.ogg,The third type is Luohan Needling. The acupuncture tool has 18 needles
data/train/730640.0000_731640.0000.ogg,Wow!
data/train/731640.0000_734240.0000.ogg,This is the tool with seven needles
data/train/734240.0000_735440.0000.ogg,You hammer it? -Yes
data/train/735440.0000_738440.0000.ogg,Hammer where? -On the melasma
data/train/738440.0000_740240.0000.ogg,How do you hammer it?
data/train/740240.0000_742840.0000.ogg,It's light tapping. Does it hurt?
data/train/742840.0000_744240.0000.ogg,No -It's not painful?
data/train/744640.0000_748240.0000.ogg,Medium tapping increases the amplitude
data/train/748240.0000_750440.0000.ogg,But I think I can feel the needling
data/train/750440.0000_754240.0000.ogg,That's right. It's because of the nerves
data/train/754240.0000_755840.0000.ogg,"So, it stimulates the nerves?"
data/train/755840.0000_757240.0000.ogg,I could feel it
data/train/757240.0000_759240.0000.ogg,And that causes a dispersion?
data/train/759440.0000_761840.0000.ogg,Yes. It stimulates the meridians...
data/train/761840.0000_763640.0000.ogg,to promote blood circulation
data/train/763840.0000_766040.0000.ogg,The third method of treatment is guasha (scraping)
data/train/766040.0000_768840.0000.ogg,Scrape only the area with spots?
data/train/768840.0000_772240.0000.ogg,"For melasma, guasha is carried out on the whole face"
data/train/772240.0000_774240.0000.ogg,"It detoxifies, beautifies skin and..."
data/train/774240.0000_776240.0000.ogg,promotes blood circulation in the face
data/train/776240.0000_777440.0000.ogg,It promotes blood circulation
data/train/777440.0000_780640.0000.ogg,That's the effect. It also reduces wrinkles
data/train/780640.0000_783440.0000.ogg,Facial guasha has to be done gently
data/train/783440.0000_784640.0000.ogg,Don't scrape roughly
data/train/784640.0000_785840.0000.ogg,Gently -Right
data/train/785840.0000_787640.0000.ogg,Are there other methods of treatment besides guasha?
data/train/787640.0000_790240.0000.ogg,The fourth method of treatment is self-massage
data/train/790240.0000_792240.0000.ogg,Do it on the ear lobes
data/train/793240.0000_796840.0000.ogg,Massage the ear lobe gently
data/train/797240.0000_799640.0000.ogg,There is no restriction on the duration and number of times
data/train/799640.0000_801840.0000.ogg,It can help to reduce the appearance of melasma
data/train/801840.0000_802640.0000.ogg,Okay
data/train/802640.0000_804640.0000.ogg,The fifth method of treatment is food therapy
data/train/804640.0000_805840.0000.ogg,That's very important
data/train/805840.0000_811440.0000.ogg,"Yes. Melasma and vitamin C are closely linked,"
data/train/811440.0000_814240.0000.ogg,so we must increase our intake of vitamin C
data/train/814240.0000_817240.0000.ogg,Examples of fruits and vegetables rich in vitamin C are...
data/train/817240.0000_820240.0000.ogg,"kiwi fruit, tomatoes, lemons,"
data/train/820240.0000_826840.0000.ogg,"potatoes, cabbage, winter melons and loofahs"
data/train/826840.0000_827840.0000.ogg,They are okay
data/train/827840.0000_829240.0000.ogg,Yes. Eat more of them
data/train/829240.0000_831040.0000.ogg,Okay. What's the last one?
data/train/831040.0000_832840.0000.ogg,The sixth method of treatment is facial mask
data/train/832840.0000_836040.0000.ogg,Facial mask? Facial mask in TCM? Did you bring it here?
data/train/836040.0000_837440.0000.ogg,"Yes, a traditional facial mask"
data/train/837440.0000_839240.0000.ogg,Great! Let's take a look
data/train/840400.0000_843000.0000.ogg,What I'm going to prepare is Sanmei White Powder
data/train/843920.0000_846520.0000.ogg,What are the herbal ingredients?
data/train/846520.0000_847720.0000.ogg,Baifuling (Poria)
data/train/847720.0000_850720.0000.ogg,Baixianpi (cortex of Chinese dittany root) and baiji (Bletilla rhizome)
data/train/850720.0000_853120.0000.ogg,All three are ground into powder?
data/train/853120.0000_854320.0000.ogg,That's right
data/train/854520.0000_858120.0000.ogg,Mix the three types of powder together
data/train/858120.0000_859920.0000.ogg,Mix equal amounts
data/train/860520.0000_862520.0000.ogg,Is this baifuling?
data/train/862520.0000_863520.0000.ogg,That's right
data/train/863520.0000_865320.0000.ogg,Baifuling -How many grams?
data/train/865320.0000_867920.0000.ogg,The amount is based on what we need
data/train/867920.0000_869520.0000.ogg,Prepare the amount you need
data/train/870080.0000_872280.0000.ogg,I'm adding baixianpi now
data/train/872280.0000_874480.0000.ogg,Okay. The amount is also depending on the individual?
data/train/874480.0000_875880.0000.ogg,That's right
data/train/875880.0000_877880.0000.ogg,Next is baiji? -Yes
data/train/877880.0000_879680.0000.ogg,"Besides the face,"
data/train/879680.0000_882680.0000.ogg,can it be applied on other parts of the body like the neck?
data/train/882680.0000_883680.0000.ogg,Yes
data/train/883680.0000_885680.0000.ogg,Can we add pearl powder?
data/train/885680.0000_887080.0000.ogg,"Yes, you can add that"
data/train/887680.0000_890280.0000.ogg,"You'll only need a bit of pearl powder, right?"
data/train/890280.0000_891480.0000.ogg,That's right
data/train/891480.0000_894440.0000.ogg,Pearl powder has whitening properties
data/train/894480.0000_897080.0000.ogg,It's also beneficial to the body in other ways
data/train/897080.0000_898080.0000.ogg,It's edible
data/train/898080.0000_900680.0000.ogg,"Yes, children and adults can consume it"
data/train/900680.0000_903880.0000.ogg,"Today, I'm using water to make the mask"
data/train/903880.0000_905280.0000.ogg,"Apart from water,"
data/train/905280.0000_908680.0000.ogg,you can also use egg white or honey
data/train/908680.0000_909880.0000.ogg,Egg white is protein
data/train/909880.0000_910680.0000.ogg,Exactly
data/train/911800.0000_913600.0000.ogg,Don't add too much water
data/train/913600.0000_916800.0000.ogg,Start by adding water slowly and in the right amount
data/train/916800.0000_918600.0000.ogg,"Otherwise, it will become watery"
data/train/918600.0000_919600.0000.ogg,That's true
data/train/919600.0000_920800.0000.ogg,Under what circumstances...
data/train/920800.0000_924000.0000.ogg,would you recommend this method to those who have melasma?
data/train/924000.0000_925400.0000.ogg,People in general can use it
data/train/925400.0000_927400.0000.ogg,Can people without melasma use it?
data/train/927400.0000_928400.0000.ogg,I guess so
data/train/928400.0000_930600.0000.ogg,They can use it as a whitening mask
data/train/930600.0000_931600.0000.ogg,For beautiful skin
data/train/931600.0000_934600.0000.ogg,"It doesn't tighten the skin, does it?"
data/train/934800.0000_936000.0000.ogg,It does -It does?
data/train/936000.0000_939200.0000.ogg,The herbs can help to tighten skin
data/train/939200.0000_941200.0000.ogg,Really? Adding eggs makes the skin even tighter
data/train/941200.0000_942600.0000.ogg,That's right
data/train/943200.0000_945400.0000.ogg,Adding an egg has the effect of removing wrinkles
data/train/947320.0000_949720.0000.ogg,This is roughly the consistency
data/train/949720.0000_952320.0000.ogg,Give me your hand. Feel it
data/train/955360.0000_957160.0000.ogg,"You need to smooth it out, right?"
data/train/958840.0000_960240.0000.ogg,Apply it evenly
data/train/960240.0000_961440.0000.ogg,"Yes, evenly"
data/train/962240.0000_963240.0000.ogg,So little
data/train/963640.0000_964840.0000.ogg,It's okay
data/train/965640.0000_967640.0000.ogg,Why do you need so much?
data/train/968480.0000_969680.0000.ogg,Apply it evenly
data/train/969680.0000_973280.0000.ogg,We're going to use this facial mask during the commercial break
data/train/973280.0000_974880.0000.ogg,See you later
data/train/977160.0000_978560.0000.ogg,It smells nice
data/train/978960.0000_983760.0000.ogg,Vitiligo is a chronic autoimmune skin disorder
data/train/983960.0000_986360.0000.ogg,Michael Jackson has this skin disorder
data/train/986360.0000_987360.0000.ogg,That's right
data/train/987360.0000_989360.0000.ogg,It seems that it's untreatable
data/train/989360.0000_993160.0000.ogg,"They should eat more black rice, black beans and black sesame"
data/train/993160.0000_996160.0000.ogg,This is done by applying a strong depigmenting agent...
data/train/996160.0000_999560.0000.ogg,to lighten the pigment permanently
data/train/1010600.0000_1013000.0000.ogg,"Apart from melanin deposits in the face which bothers people,"
data/train/1013000.0000_1018000.0000.ogg,there is another skin disorder which manifests as white patches
data/train/1018000.0000_1019200.0000.ogg,Have you seen it before?
data/train/1019200.0000_1021200.0000.ogg,I have a friend who has this problem
data/train/1021200.0000_1024200.0000.ogg,The patches started from the mouth or the forehead
data/train/1024200.0000_1026800.0000.ogg,I think they are fixed at certain areas
data/train/1026800.0000_1029800.0000.ogg,It seems that it's untreatable. Is that true? I don't know
data/train/1029800.0000_1031800.0000.ogg,"Doctor, what kind of skin problem is that?"
data/train/1031800.0000_1034800.0000.ogg,This skin problem is called vitiligo
data/train/1035400.0000_1040800.0000.ogg,Vitiligo is a chronic autoimmune skin disease
data/train/1041000.0000_1044000.0000.ogg,The patient suffers from immune system dysregulation...
data/train/1044000.0000_1047200.0000.ogg,which causes immune cells to attack melanin-producing cells
data/train/1047200.0000_1049600.0000.ogg,This leads to the loss of melanin and...
data/train/1049600.0000_1052400.0000.ogg,makes patches of skin lose their pigment
data/train/1053280.0000_1058480.0000.ogg,The disease is prevalent among individuals in the 20-30 age group
data/train/1058480.0000_1060480.0000.ogg,The severity is not consistent
data/train/1060480.0000_1062680.0000.ogg,It can be mild with small white spots
data/train/1062680.0000_1064080.0000.ogg,"In severe cases,"
data/train/1064080.0000_1067080.0000.ogg,a lot of white spots will appear
data/train/1067080.0000_1068080.0000.ogg,Will they spread?
data/train/1068080.0000_1069280.0000.ogg,They may spread
data/train/1070080.0000_1073680.0000.ogg,"Although the condition is not painful, itchy or dangerous,"
data/train/1073680.0000_1076680.0000.ogg,"one's appearance is severely affected,"
data/train/1076680.0000_1078880.0000.ogg,so one feels very troubled
data/train/1078880.0000_1081080.0000.ogg,One will be emotionally troubled -Exactly
data/train/1081080.0000_1082280.0000.ogg,Greatly troubled
data/train/1082280.0000_1086680.0000.ogg,"I recall Michael Jackson, the international superstar, had a skin problem"
data/train/1086680.0000_1088280.0000.ogg,That's right -He had vitiligo
data/train/1088280.0000_1090680.0000.ogg,Was it a universal vitiligo?
data/train/1090680.0000_1092480.0000.ogg,"According to media reports,"
data/train/1092480.0000_1097080.0000.ogg,Michael Jackson and his father had vitiligo
data/train/1097080.0000_1098480.0000.ogg,Is it hereditary?
data/train/1098480.0000_1103480.0000.ogg,Yes. The main cause of vitiligo is that it's genetic
data/train/1103480.0000_1109080.0000.ogg,"Secondly, vitiligo is closely linked to other autoimmune diseases,"
data/train/1109080.0000_1111480.0000.ogg,especially thyroid disease
data/train/1111880.0000_1115080.0000.ogg,Your risk of developing vitiligo will also increase
data/train/1115280.0000_1118280.0000.ogg,What's the TCM view on vitiligo?
data/train/1118680.0000_1121680.0000.ogg,"In TCM, vitiligo is known as ""baibofeng"""
data/train/1122080.0000_1125480.0000.ogg,"In TCM theory, it's linked to disharmony of qi and blood,"
data/train/1125480.0000_1127280.0000.ogg,and venous stasis
data/train/1127480.0000_1129480.0000.ogg,There are three causes
data/train/1129480.0000_1131880.0000.ogg,The first cause is liver depression and qi stagnation
data/train/1131880.0000_1133880.0000.ogg,Emotional disorder leads to it
data/train/1133880.0000_1135880.0000.ogg,"For example, the person has a bad temper"
data/train/1135880.0000_1140080.0000.ogg,Poor emotional health will also lead to vitiligo
data/train/1140120.0000_1143320.0000.ogg,"The second cause is liver and kidney deficiency,"
data/train/1143320.0000_1145720.0000.ogg,"that is, malnutrition leads to it"
data/train/1146320.0000_1149720.0000.ogg,The third cause is qi stagnation and blood stasis...
data/train/1149720.0000_1152720.0000.ogg,resulting from physical injuries and burns
data/train/1153320.0000_1155520.0000.ogg,What are the treatment methods?
data/train/1155520.0000_1159520.0000.ogg,"If the condition is not serious, with only one or two patches,"
data/train/1159520.0000_1162520.0000.ogg,we will usually recommend topical ointments that...
data/train/1162520.0000_1165920.0000.ogg,calm the immune system and...
data/train/1165920.0000_1169320.0000.ogg,drive away dysfunctional immune cells
data/train/1169320.0000_1171120.0000.ogg,"If the condition is serious,"
data/train/1171120.0000_1174120.0000.ogg,we can consider laser treatment or light therapy...
data/train/1174120.0000_1177920.0000.ogg,to awaken the body into producing normal pigments
data/train/1178120.0000_1179920.0000.ogg,If the development is fast and...
data/train/1180320.0000_1183120.0000.ogg,"new white patches appear every few weeks,"
data/train/1183120.0000_1187320.0000.ogg,we will prescribe oral immunosuppressants...
data/train/1187320.0000_1189320.0000.ogg,to calm the immune system
data/train/1189520.0000_1192720.0000.ogg,Other methods of treatment include...
data/train/1192720.0000_1193920.0000.ogg,skin grafting
data/train/1193920.0000_1196720.0000.ogg,A normal pigmented skin is...
data/train/1196720.0000_1198920.0000.ogg,removed and grafted in the affected area
data/train/1199320.0000_1202520.0000.ogg,What if the vitiligo spreads too fast and can't be controlled?
data/train/1202520.0000_1204920.0000.ogg,"If the condition is severe,"
data/train/1204920.0000_1210520.0000.ogg,"and the patient is really troubled by the vitiligo,"
data/train/1210520.0000_1214520.0000.ogg,depigmentation therapy can be considered...
data/train/1214520.0000_1217720.0000.ogg,in which the whole body is depigmented
data/train/1217720.0000_1221320.0000.ogg,Normal skin colour is lightened to blend with the discoloured areas
data/train/1221320.0000_1224520.0000.ogg,This is done by applying a strong depigmenting agent...
data/train/1224520.0000_1227920.0000.ogg,to lighten the skin permanently
data/train/1228120.0000_1231720.0000.ogg,But this is not a treatment method that we often recommend
data/train/1231920.0000_1234320.0000.ogg,"So, are there any treatment methods in TCM?"
data/train/1234320.0000_1237520.0000.ogg,"In TCM, vitiligo cannot be treated completely,"
data/train/1237520.0000_1240920.0000.ogg,so when it appears at the corners of the mouth and...
data/train/1240920.0000_1242320.0000.ogg,"at the edges of the fingernails,"
data/train/1242320.0000_1244520.0000.ogg,"we resort to control therapy,"
data/train/1244720.0000_1246320.0000.ogg,"prescription of Chinese medicines,"
data/train/1246320.0000_1247720.0000.ogg,"acupuncture,"
data/train/1247720.0000_1252120.0000.ogg,massaging of the ear lobes and...
data/train/1252120.0000_1253320.0000.ogg,guasha
data/train/1253320.0000_1256920.0000.ogg,The guasha is a bit different from that for melasma
data/train/1256920.0000_1259320.0000.ogg,It's done mainly on the areas affected by vitiligo
data/train/1259320.0000_1260120.0000.ogg,Okay
data/train/1260120.0000_1261920.0000.ogg,There's also food therapy
data/train/1262120.0000_1265720.0000.ogg,People with vitiligo should lower their intake of vitamin C
data/train/1265920.0000_1270320.0000.ogg,"They should eat more black rice,"
data/train/1270320.0000_1275120.0000.ogg,"black beans, black sesame and foods that nourish the kidneys"
data/train/1275920.0000_1277320.0000.ogg,They can also apply a facial mask
data/train/1277320.0000_1278720.0000.ogg,We normally prescribe medicines...
data/train/1278720.0000_1280720.0000.ogg,to promote qi flow and invigorate blood
data/train/1280720.0000_1282520.0000.ogg,"For example, peach kernels,"
data/train/1282520.0000_1284520.0000.ogg,safflower and chuanxiong (Sichuan lovage root)
data/train/1284520.0000_1286520.0000.ogg,"They are ground into powder and prepared as a facial mask,"
data/train/1286520.0000_1288720.0000.ogg,with alcohol as the medium
data/train/1288720.0000_1290120.0000.ogg,Why use alcohol?
data/train/1290120.0000_1291920.0000.ogg,It has a stimulating effect
data/train/1291920.0000_1294920.0000.ogg,It stimulates blood circulation in the skin
data/train/1294920.0000_1297120.0000.ogg,It's applied to any areas with vitiligo
data/train/1297120.0000_1297920.0000.ogg,Right
data/train/1298760.0000_1299760.0000.ogg,We understand now
data/train/1299760.0000_1302760.0000.ogg,"Sometimes, we apply a sunscreen not for for vanity reasons but to..."
data/train/1302760.0000_1304960.0000.ogg,make our skin healthier
data/train/1304960.0000_1306560.0000.ogg,This is one of the steps
data/train/1306560.0000_1308960.0000.ogg,"That's right. The skin is the largest organ of the body,"
data/train/1308960.0000_1310760.0000.ogg,so you must cherish it
data/train/1310960.0000_1314760.0000.ogg,We'd like to thank our doctor and TCM physician
data/train/1314760.0000_1315760.0000.ogg,Thank you
data/train/1315760.0000_1317160.0000.ogg,And our artistes
data/train/1317160.0000_1318360.0000.ogg,Thank you
data/train/1318360.0000_1322960.0000.ogg,<i>Let's Talk About Health</i> and learn more
data/train/1322960.0000_1324560.0000.ogg,Bye!
data/train/1324560.0000_1325560.0000.ogg,"Subtitles: LG Ho, Mediacorp Pte Ltd"
data/train/641840.0000_643240.0000.ogg,"In fact, this is not something"
data/train/643240.0000_645520.0000.ogg,that a scientist should do.
data/train/645520.0000_647640.0000.ogg,The things we should do
data/train/647640.0000_649960.0000.ogg,"is to do a lot of things others have not done,"
data/train/649960.0000_652440.0000.ogg,something more professional.
data/train/654400.0000_657360.0000.ogg,"Innovation is the leading driving force behind development,"
data/train/657920.0000_661320.0000.ogg,and opportunities always belong to those who are brave enough to innovate.
data/train/662160.0000_664000.0000.ogg,"""I don't want to die,"
data/train/664000.0000_666200.0000.ogg,"I want to live"""
data/train/667280.0000_668320.0000.ogg,"In 2018,"
data/train/668800.0000_670840.0000.ogg,"the popularity of the movie ""I am not the God of Medicine"""
data/train/671040.0000_672720.0000.ogg,"grabbed widespread attention,"
data/train/673520.0000_676280.0000.ogg,and even more Chinese people remember one phrase
data/train/676840.0000_677720.0000.ogg,– targeted medicine.
data/train/678280.0000_679600.0000.ogg,I didn't finish watching it.
data/train/679600.0000_681280.0000.ogg,I thought it looked hard to take.
data/train/681760.0000_683240.0000.ogg,"Before I watched this movie,"
data/train/683240.0000_684240.0000.ogg,I knew this.
data/train/684760.0000_686640.0000.ogg,Zhou Yanru never expected that
data/train/687120.0000_689000.0000.ogg,a routine medical checkup before retirement
data/train/689480.0000_691160.0000.ogg,"would reveal that she had lung cancer,"
data/train/691160.0000_693160.0000.ogg,and it was at an advanced stage.
data/train/693160.0000_696120.0000.ogg,"On November 11, 2014,"
data/train/696120.0000_699880.0000.ogg,I was diagnosed with lung cancer in the lower left lung.
data/train/699880.0000_700960.0000.ogg,It was a big blow.
data/train/701880.0000_702920.0000.ogg,My mom and dad
data/train/703520.0000_709120.0000.ogg,"(Zhou Yanru, Chongqing citizen)"
data/train/702920.0000_704000.0000.ogg,"are both 86 years old,"
data/train/704000.0000_706280.0000.ogg,"so I didn't want them to know I had the disease,"
data/train/706280.0000_707640.0000.ogg,"my sister was over there,"
data/train/707640.0000_709480.0000.ogg,sad and crying like hell.
data/train/710320.0000_711000.0000.ogg,"Just like this,"
data/train/711200.0000_713640.0000.ogg,Zhou Yanru's fate was changed instantly.
data/train/715160.0000_716120.0000.ogg,"To cure her disease,"
data/train/716120.0000_718320.0000.ogg,she started to take imported targeted drugs.
data/train/719200.0000_720320.0000.ogg,When I was diagnosed and
data/train/720600.0000_725840.0000.ogg,"(Zhou Yanru, Chongqing citizen)"
data/train/720640.0000_722960.0000.ogg,"had the opportunity to take targeted drugs,"
data/train/723360.0000_725040.0000.ogg,I felt as if
data/train/725120.0000_726840.0000.ogg,I had been reborn.
data/train/727320.0000_729920.0000.ogg,But then came a bigger blow.
data/train/730880.0000_733480.0000.ogg,"After taking imported targeted drugs for a while,"
data/train/733880.0000_735240.0000.ogg,the doctor told her that she had to stop and change her medication
data/train/735240.0000_739080.0000.ogg,because of serious side effects.
data/train/739080.0000_741280.0000.ogg,"When there is a serious adverse reaction,"
data/train/740960.0000_747080.0000.ogg,"(Zhou Xiangdong, Director of Respiratory Medicine, First Affiliated Hospital of the Army Medical University)"
data/train/741280.0000_743640.0000.ogg,"you have to change the medication, you simply must change it."
data/train/743640.0000_744960.0000.ogg,"If you don't change the medication and stop taking it,"
data/train/745360.0000_747600.0000.ogg,it means that she won't last long.
data/train/748400.0000_751280.0000.ogg,"Zhou Xiangdong, Zhou Yanru's primary care physician,"
data/train/751280.0000_753040.0000.ogg,told Zhou Yanru
data/train/753040.0000_754400.0000.ogg,a story of his own.
data/train/754880.0000_758200.0000.ogg,He said his father died of lung cancer.
data/train/758400.0000_763920.0000.ogg,"(Zhou Yanru, Chongqing citizen)"
data/train/758200.0000_760240.0000.ogg,"At that time, he was still an attending physician,"
data/train/760240.0000_763440.0000.ogg,and he did not have so much clinical experience
data/train/763440.0000_765440.0000.ogg,"to take care of his father's disease,"
data/train/765440.0000_768840.0000.ogg,"and he watched his father decline,"
data/train/769200.0000_770880.0000.ogg,which was very difficult for him at that time.
data/train/772240.0000_773800.0000.ogg,"So, I was determined to take lung cancer"
data/train/773720.0000_779960.0000.ogg,"(Zhou Xiangdong, Director of Respiratory Medicine, First Affiliated Hospital of the Army Medical University)"
data/train/773800.0000_776880.0000.ogg,"as a research direction,"
data/train/776880.0000_779320.0000.ogg,and I have done so until today.
data/train/783040.0000_784560.0000.ogg,"Ding Lieming, MD,"
data/train/784560.0000_787160.0000.ogg,"never met Zhou Yanru and Zhou Xiangdong,"
data/train/788040.0000_789920.0000.ogg,but the fates of all three of them
data/train/789920.0000_792600.0000.ogg,were intertwined
data/train/792600.0000_794880.0000.ogg,by the terrible disease of lung cancer.
data/train/797200.0000_799000.0000.ogg,"As early as 2002,"
data/train/799000.0000_801000.0000.ogg,"Ding Lieming, together with two colleagues,"
data/train/801440.0000_803720.0000.ogg,successfully developed
data/train/803720.0000_806000.0000.ogg,a pre-targeted anti-cancer drug compound for lung cancer.
data/train/807160.0000_809160.0000.ogg,"At that time,"
data/train/809160.0000_810640.0000.ogg,there was zero development of targeted drugs in China.
data/train/812480.0000_815200.0000.ogg,"More than 10,000 new cancer patients"
data/train/815840.0000_817120.0000.ogg,"are diagnosed every day in China,"
data/train/817120.0000_819040.0000.ogg,with 7.5 people diagnosed per minute on average.
data/train/819040.0000_820120.0000.ogg,They are facing the same dilemma
data/train/820120.0000_821880.0000.ogg,as Zhou Yanru.
data/train/822760.0000_825200.0000.ogg,Ding Lieming chose to make a difference.
data/train/826400.0000_828320.0000.ogg,To provide affordable and effective
data/train/828320.0000_829760.0000.ogg,"targeted drugs for Chinese people,"
data/train/830360.0000_831960.0000.ogg,Ding Lieming decided
data/train/831960.0000_833400.0000.ogg,to complete the development of the new drug in China.
data/train/834120.0000_834800.0000.ogg,Some friends
data/train/834800.0000_835960.0000.ogg,and experts
data/train/835960.0000_842280.0000.ogg,(Dr. Ding Lieming Domestic Targeted Drug Developer)
data/train/836640.0000_838680.0000.ogg,"are worried about us,"
data/train/839800.0000_841480.0000.ogg,thinking that
data/train/842240.0000_843200.0000.ogg,"we were doing something incredible,"
data/train/843720.0000_846640.0000.ogg,"that is, something with very little chance of success."
data/train/847040.0000_848520.0000.ogg,That's why
data/train/848520.0000_850360.0000.ogg,"we are sometimes advised to do generic drugs,"
data/train/850360.0000_851680.0000.ogg,"because the risk is small, right?"
data/train/851680.0000_853400.0000.ogg,The likelihood of success is a little bit higher
data/train/853400.0000_855240.0000.ogg,while innovation is indeed just too difficult.
data/train/856240.0000_858560.0000.ogg,The process of new drug development is a long one.
data/train/859200.0000_862080.0000.ogg,From initial screening to laboratory design validation
data/train/862080.0000_863880.0000.ogg,"and to animal model experiments,"
data/train/863880.0000_866320.0000.ogg,all these links are essential.
data/train/867800.0000_868880.0000.ogg,Seven years have passed
data/train/869280.0000_870760.0000.ogg,in a flash
data/train/870760.0000_872200.0000.ogg,amidst countless trials and tribulations.
data/train/872760.0000_874400.0000.ogg,Ding Lieming and his new drug
data/train/874400.0000_876040.0000.ogg,"finally received the ""big test"""
data/train/876040.0000_877800.0000.ogg,- double-blind trials.
data/train/877800.0000_879960.0000.ogg,"To everyone's surprise,"
data/train/879960.0000_881200.0000.ogg,Ding Lieming wanted to do a double-blind trial
data/train/881200.0000_884000.0000.ogg,with the world's best targeted drug.
data/train/884000.0000_886160.0000.ogg,What is meant by a double-blind experiment?
data/train/886160.0000_888600.0000.ogg,The doctor is not in the know
data/train/888640.0000_894960.0000.ogg,"(Sun Yan, Academician of Chinese Academy of Engineering)"
data/train/888600.0000_889960.0000.ogg,and neither is the patient.
data/train/890360.0000_894440.0000.ogg,Only the statistician knows.
data/train/894440.0000_897440.0000.ogg,"However, he randomly divides the drug into two groups"
data/train/897440.0000_900200.0000.ogg,in a more evenhanded and balanced way.
data/train/901840.0000_902880.0000.ogg,(Imported targeted drugs)
data/train/902880.0000_905520.0000.ogg,were the first drugs of their kind
data/train/904320.0000_910640.0000.ogg,"(Shi Yuankai Vice President of Cancer Hospital, Chinese Academy of Medical Sciences)"
data/train/905520.0000_907080.0000.ogg,"to be marketed in the world,"
data/train/907080.0000_908000.0000.ogg,which is akin to
data/train/908000.0000_910600.0000.ogg,setting a benchmark in this field.
data/train/910600.0000_913960.0000.ogg,"Whether your drug can be on a par with others,"
data/train/913960.0000_916560.0000.ogg,or whether it can be better than others
data/train/916560.0000_918840.0000.ogg,is all down
data/train/920120.0000_921720.0000.ogg,to the product
data/train/921720.0000_923520.0000.ogg,and its clinical value.
data/train/924320.0000_927480.0000.ogg,"I am very nervous as the person hosting this project,"
data/train/927480.0000_929400.0000.ogg,I am very apprehensive as to
data/train/929640.0000_934240.0000.ogg,"(Sun Yan, Academician of Chinese Academy of Engineering)"
data/train/930080.0000_932280.0000.ogg,whether its efficacy is comparatively good
data/train/932280.0000_934280.0000.ogg,or adverse reaction are comparatively less.
data/train/936600.0000_940120.0000.ogg,"Innovation is often full of risk and uncertainty,"
data/train/940840.0000_942000.0000.ogg,but Ding Lieming is determined
data/train/942000.0000_944480.0000.ogg,"to follow the path he has chosen, to the end."
data/train/944480.0000_946360.0000.ogg,"Nine months have passed,"
data/train/947040.0000_948560.0000.ogg,and Ding Lieming has waited in torment
data/train/948560.0000_950920.0000.ogg,for the day of the double-blind trial to be announced.
data/train/952760.0000_954680.0000.ogg,A very dramatic scene.
data/train/955040.0000_958280.0000.ogg,"At that time,"
data/train/956480.0000_961800.0000.ogg,(Dr. Ding Lieming Domestic Targeted Drug Developer)
data/train/958280.0000_960680.0000.ogg,our research partners in the office of academician Sun Yan
data/train/960680.0000_962680.0000.ogg,came together to wait for the revelations of the blind trial.
data/train/963680.0000_966200.0000.ogg,"Once it was disclosed,"
data/train/966440.0000_969560.0000.ogg,the efficacy of our group
data/train/969560.0000_971200.0000.ogg,"was 4.6 months in duration,"
data/train/971640.0000_974480.0000.ogg,34% longer than the control drug's length of 3.4 months.
data/train/975200.0000_977720.0000.ogg,"In terms of safety and the proportion of adverse reactions,"
data/train/977720.0000_981240.0000.ogg,"in total we were 60 and the control group was 70,"
data/train/981600.0000_984160.0000.ogg,"and the numbers were less and the degree less severe,"
data/train/984440.0000_985640.0000.ogg,so we were excited
data/train/986160.0000_987520.0000.ogg,and happy.
data/train/987680.0000_990560.0000.ogg,"After the blind trial was disclosed,"
data/train/991440.0000_992840.0000.ogg,"it was proved to be equivalent,"
data/train/992840.0000_996520.0000.ogg,but the two most important adverse reactions
data/train/996520.0000_997760.0000.ogg,of Icotinib on skin/diarrhea
data/train/998040.0000_1001520.0000.ogg,"(Sun Yan, Academician of Chinese Academy of Engineering)"
data/train/997760.0000_999800.0000.ogg,"were less than (foreign-made) Gefitinib,"
data/train/999800.0000_1001760.0000.ogg,and there was a statistically significant difference.
data/train/1002760.0000_1005080.0000.ogg,Even a small statistical difference
data/train/1005640.0000_1006680.0000.ogg,may mean life or death
data/train/1006840.0000_1009560.0000.ogg,for the patient.
data/train/1009800.0000_1011040.0000.ogg,"Happily,"
data/train/1011360.0000_1013040.0000.ogg,the targeted drug developed by Ding Lieming
data/train/1013280.0000_1014680.0000.ogg,achieved the same efficacy
data/train/1014680.0000_1016240.0000.ogg,"as the imported targeted drug,"
data/train/1016800.0000_1017720.0000.ogg,while the side effect index
data/train/1017720.0000_1020040.0000.ogg,was significantly better than the imported targeted drug.
data/train/1021160.0000_1023600.0000.ogg,This targeted drug developed by Chinese people themselves
data/train/1023880.0000_1026079.0000.ogg,was awarded the National Science and Technology Progress first prize
data/train/1026079.0000_1028000.0000.ogg,in 2016.
data/train/1029119.0000_1030000.0000.ogg,"Very honorable,"
data/train/1030560.0000_1033440.0000.ogg,to do a great thing for the country.
data/train/1030560.0000_1033359.0000.ogg,"(Sun Yan, Academician of Chinese Academy of Engineering)"
data/train/1035240.0000_1036319.0000.ogg,The research and development of new drugs
data/train/1036319.0000_1038680.0000.ogg,is recognized worldwide as a high technology industry
data/train/1038720.0000_1042119.0000.ogg,"with a lengthy cycle, big investment and high risk."
data/train/1042599.0000_1044800.0000.ogg,It is common international practice to sell at a reasonable price
data/train/1044800.0000_1046599.0000.ogg,at a certain stage of research and development.
data/train/1048160.0000_1050000.0000.ogg,Ding Lieming refused a takeover offer
data/train/1050000.0000_1052360.0000.ogg,from a multinational company.
data/train/1053560.0000_1057120.0000.ogg,(Multinational Company) The offer was 250 million U.S. dollars
data/train/1055200.0000_1061520.0000.ogg,(Dr. Ding Lieming Domestic Targeted Drug Developer)
data/train/1057120.0000_1059160.0000.ogg,"and that was in 2010,"
data/train/1059160.0000_1061480.0000.ogg,which was a sky-high price
data/train/1061480.0000_1062920.0000.ogg,"in China at that time,"
data/train/1063240.0000_1064560.0000.ogg,and it was a very big figure
data/train/1065200.0000_1067240.0000.ogg,"for us,"
data/train/1067240.0000_1070720.0000.ogg,because at that time
data/train/1070720.0000_1072560.0000.ogg,"we owed 150 million RMB to the bank,"
data/train/1072560.0000_1074560.0000.ogg,and frankly we needed the money just too much.
data/train/1077520.0000_1079600.0000.ogg,Ding Lieming insisted on keeping the pricing power
data/train/1079600.0000_1082360.0000.ogg,"firmly in the hands of Chinese people,"
data/train/1083000.0000_1084480.0000.ogg,he set the price of the drug
data/train/1084480.0000_1087960.0000.ogg,at 60% of the price of similar imported drugs
data/train/1088520.0000_1090040.0000.ogg,"and at the same time,"
data/train/1090040.0000_1092360.0000.ogg,he also formulated a more lenient drug-donation policy.
data/train/1093920.0000_1096080.0000.ogg,Since its approval and launch
data/train/1096080.0000_1097720.0000.ogg,"on August 12, 2011,"
data/train/1097720.0000_1099040.0000.ogg,"more than 90,000"
data/train/1099040.0000_1100520.0000.ogg,eligible lung cancer patients
data/train/1100520.0000_1102280.0000.ogg,"have received free medication,"
data/train/1102280.0000_1105000.0000.ogg,at a market cost of more than 10 billion yuan.
data/train/1108200.0000_1110480.0000.ogg,"More than 40 days after stopping the drug,"
data/train/1110480.0000_1113400.0000.ogg,Dr. Zhou Xiangdong recommended this
data/train/1113400.0000_1115480.0000.ogg,domestically-made targeted drug to Zhou Yanru.
data/train/1117240.0000_1119720.0000.ogg,Zhou Yanru became the first patient in southwest China
data/train/1119720.0000_1122760.0000.ogg,to take this targeted drug.
data/train/1123640.0000_1125280.0000.ogg,"When I took, I took it in a way that was quite ritualistic,"
data/train/1125760.0000_1132080.0000.ogg,"(Zhou Yanru, Chongqing citizen)"
data/train/1125280.0000_1127760.0000.ogg,"that is, I often said,"
data/train/1127760.0000_1129200.0000.ogg,"""Baby, I like you, save me,"""
data/train/1129200.0000_1130920.0000.ogg,"and then I would take it,"
data/train/1130920.0000_1133480.0000.ogg,"and then I felt so good, just like that."
data/train/1134360.0000_1135240.0000.ogg,"Four months later,"
data/train/1135680.0000_1137200.0000.ogg,"when Zhou Yanru went for a review,"
data/train/1137640.0000_1140920.0000.ogg,she finally heard the words she most wanted to hear.
data/train/1141280.0000_1142840.0000.ogg,"Especially if you look at this bit,"
data/train/1142840.0000_1143920.0000.ogg,"here it's protruding,"
data/train/1143920.0000_1145640.0000.ogg,and here it's shrinking back.
data/train/1145640.0000_1146920.0000.ogg,"If we look further down,"
data/train/1146920.0000_1148640.0000.ogg,it's actually quite obvious.
data/train/1148640.0000_1149480.0000.ogg,"You see this is a large area,"
data/train/1150000.0000_1151760.0000.ogg,"and here there is absorption,"
data/train/1151760.0000_1153960.0000.ogg,"as is the pathology of the left lower lung,"
data/train/1153960.0000_1156640.0000.ogg,the upper part of the lung is still well controlled.
data/train/1156640.0000_1158360.0000.ogg,This domestically-produced targeted drug
data/train/1158360.0000_1160520.0000.ogg,"worked on Zhou Yanru,"
data/train/1161640.0000_1163920.0000.ogg,and the miracle she had been silently praying for
data/train/1163920.0000_1167680.0000.ogg,really happened for her.
data/train/1168040.0000_1170440.0000.ogg,"For patients with advanced tumours,"
data/train/1169440.0000_1173400.0000.ogg,"(Shi Yuankai Vice President of Cancer Hospital, Chinese Academy of Medical Sciences)"
data/train/1170440.0000_1173760.0000.ogg,we have to make continuous efforts
data/train/1174480.0000_1175840.0000.ogg,to develop new anti-tumour drugs
data/train/1175840.0000_1178160.0000.ogg,"as the generations progress,"
data/train/1179440.0000_1180960.0000.ogg,and to apply comprehensive treatment
data/train/1180960.0000_1182960.0000.ogg,"in a rational manner,"
data/train/1184040.0000_1184880.0000.ogg,so that although the patient
data/train/1184400.0000_1190760.0000.ogg,"(Shi Yuankai Vice President of Cancer Hospital, Chinese Academy of Medical Sciences)"
data/train/1186200.0000_1190960.0000.ogg,"has an advanced tumour,"
data/train/1190960.0000_1196160.0000.ogg,it can become a controllable chronic disease
data/train/1196640.0000_1199760.0000.ogg,like hypertension or diabetes.
data/train/1201600.0000_1204680.0000.ogg,"Zhou Yanru has been taking this drug for five years,"
data/train/1205200.0000_1207680.0000.ogg,and it is her greatest source of happiness
data/train/1208080.0000_1209880.0000.ogg,to be able to live a normal life again.
data/train/1218800.0000_1220080.0000.ogg,"The first five years have passed,"
data/train/1220080.0000_1221880.0000.ogg,and we are striving for the second five years.
data/train/1221880.0000_1224040.0000.ogg,What I have in my heart is gratitude
data/train/1224960.0000_1226160.0000.ogg,"and with this gratitude,"
data/train/1226160.0000_1229680.0000.ogg,I have the strength to live. Really.
data/train/1231360.0000_1233720.0000.ogg,"I think if life is a story,"
data/train/1233720.0000_1235440.0000.ogg,my story is also okay
data/train/1236200.0000_1238480.0000.ogg,"and if this story is to end,"
data/train/1238480.0000_1241320.0000.ogg,I think this story is also perfect.
data/train/1250240.0000_1251240.0000.ogg,"In Beijing,"
data/train/1251240.0000_1252960.0000.ogg,Houchang Village is known as
data/train/1252960.0000_1255240.0000.ogg,"the ""China's Internet Wave Center"","
data/train/1256000.0000_1258360.0000.ogg,a place where young people
data/train/1258360.0000_1259800.0000.ogg,chase their dreams in the Internet era.
data/train/1260920.0000_1265200.0000.ogg,(Beijing Digital Valley)
data/train/1261160.0000_1263840.0000.ogg,Yang Hua is one of them.
data/train/1267520.0000_1271640.0000.ogg,(Yang Hua Internet Engineer)
data/train/1267200.0000_1269600.0000.ogg,"The pace in Beijing is really fast,"
data/train/1269600.0000_1271160.0000.ogg,"and our tasks are also demanding,"
data/train/1271160.0000_1272240.0000.ogg,so pressure is really pretty high.
data/train/1273560.0000_1276320.0000.ogg,"Recently,"
data/train/1276320.0000_1277960.0000.ogg,"frequent stomach aches made Yang Hua a bit restless,"
data/train/1278560.0000_1279960.0000.ogg,and some Internet data
data/train/1280240.0000_1281680.0000.ogg,has made him rather concerned.
data/train/1282320.0000_1283360.0000.ogg,"In China,"
data/train/1283480.0000_1286240.0000.ogg,"stomach cancer is one of the most common forms of malignant tumour,"
data/train/1286840.0000_1288040.0000.ogg,and the reason
data/train/1288040.0000_1289360.0000.ogg,for the high incidence of stomach cancer
data/train/1289520.0000_1291440.0000.ogg,is actually related to people's negligence regarding examinations.
data/train/1293080.0000_1294920.0000.ogg,Yang Hua had to
data/train/1294920.0000_1296200.0000.ogg,press pause on work.
data/train/1298520.0000_1299840.0000.ogg,Come sit down.
data/train/1302400.0000_1303920.0000.ogg,How long has it been?
data/train/1303920.0000_1305040.0000.ogg,About a month now.
data/train/1305680.0000_1307040.0000.ogg,What are the main symptoms of discomfort?
data/train/1307040.0000_1308840.0000.ogg,What are the main symptoms of discomfort?
data/train/1308840.0000_1311240.0000.ogg,"Stomach bloating, occasional acid reflux."
data/train/1311280.0000_1312480.0000.ogg,The doctor suggested
data/train/1312480.0000_1314200.0000.ogg,"that Yang Hua have a gastroscopy,"
data/train/1314960.0000_1316680.0000.ogg,which is the preferred method of examination
data/train/1316680.0000_1318360.0000.ogg,for upper gastrointestinal lesions.
data/train/1318920.0000_1320520.0000.ogg,"However,"
data/train/1320520.0000_1321520.0000.ogg,the vomiting sensation that occurs during this procedure
data/train/1321800.0000_1324560.0000.ogg,is often unbearable for the person under examination.
data/train/1325960.0000_1327120.0000.ogg,"Like many people,"
data/train/1327600.0000_1329000.0000.ogg,"fearing the gastroscope,"
data/train/1329360.0000_1332000.0000.ogg,Yang Hua recoiled at the idea.
data/train/1336040.0000_1337680.0000.ogg,This is a magic capsule.
data/train/1338680.0000_1340680.0000.ogg,It is this magical little fellow
data/train/1340680.0000_1342640.0000.ogg,that dispelled Yang Hua's worries.
data/train/1347560.0000_1348720.0000.ogg,"Wang Xinhong,"
data/train/1349120.0000_1350320.0000.ogg,originally an engineer engaged in
data/train/1350320.0000_1352560.0000.ogg,"the development of image communication products,"
data/train/1353160.0000_1354680.0000.ogg,"also because of a set of data,"
data/train/1355000.0000_1356440.0000.ogg,as a middle-aged person
data/train/1356440.0000_1358640.0000.ogg,resolutely chose to change career path.
data/train/1359360.0000_1362400.0000.ogg,"There are less than 40,000 endoscopists in China,"
data/train/1362720.0000_1365240.0000.ogg,and how many do they serve? They serve 80 to 100 million people.
data/train/1364840.0000_1371000.0000.ogg,"(Dr. Wang Xinhong, Magnetically controlled capsule gastroscopy system Co-developer)"
data/train/1365560.0000_1368400.0000.ogg,Performing gastroscopies in China
data/train/1368680.0000_1371080.0000.ogg,faces the problem of medical resources.
data/train/1372480.0000_1373080.0000.ogg,This troublesome point of imbalance
data/train/1373080.0000_1375040.0000.ogg,between supply and demand of medical resources
data/train/1375280.0000_1377680.0000.ogg,was the original intention of this R&D team.
data/train/1378840.0000_1381440.0000.ogg,They developed the world's first
data/train/1381680.0000_1383640.0000.ogg,"""magnetically controlled capsule gastroscopy system"""
data/train/1383640.0000_1385920.0000.ogg,by integrating high technology from multiple fields.
data/train/1387200.0000_1388760.0000.ogg,This small capsule took
data/train/1388880.0000_1391760.0000.ogg,several years of hard work by the R&D team.
data/train/1393080.0000_1394840.0000.ogg,"This 27 mm long capsule,"
data/train/1394840.0000_1396360.0000.ogg,"11.8 mm in diameter,"
data/train/1396480.0000_1398600.0000.ogg,"weighing less than 5 grams,"
data/train/1398840.0000_1400760.0000.ogg,"contains hundreds of components,"
data/train/1401160.0000_1403000.0000.ogg,"and is the result of a combination of medical and industrial science,"
data/train/1404040.0000_1406320.0000.ogg,and is considered a revolutionary innovation
data/train/1406320.0000_1408400.0000.ogg,in the examination of gastric disease.
data/train/1417080.0000_1420000.0000.ogg,"Yang Hua, who was naturally intrigued by the new technology,"
data/train/1420000.0000_1422480.0000.ogg,decided to experience it.
data/train/1425280.0000_1425960.0000.ogg,"Swallow carefully and don't bite it,"
data/train/1425960.0000_1428960.0000.ogg,put it in your mouth.
data/train/1436800.0000_1439200.0000.ogg,"After the magnetically controlled capsule gastroscope enters the esophagus,"
data/train/1439880.0000_1442680.0000.ogg,"a 150-degree wide-angle micro-lens,"
data/train/1443000.0000_1446400.0000.ogg,"with a micro-angle and millimeter-level precision, is used to take photos."
data/train/1448360.0000_1450760.0000.ogg,"In 15 to 30 minutes,"
data/train/1451160.0000_1454080.0000.ogg,"it captures several thousand images of the stomach,"
data/train/1454600.0000_1457000.0000.ogg,which are transmitted wirelessly
data/train/1457000.0000_1460240.0000.ogg,and presented clearly on a computer screen in real time.
data/train/1461200.0000_1463040.0000.ogg,"This painless, non-invasive,"
data/train/1463040.0000_1465160.0000.ogg,no-anesthesia screening method
data/train/1465280.0000_1466640.0000.ogg,cannot yet
data/train/1466640.0000_1468440.0000.ogg,perform the function of electronic gastroscopy
data/train/1468560.0000_1470240.0000.ogg,in taking biopsies and endoscopic treatment.
data/train/1470680.0000_1473600.0000.ogg,"However, it solves the problem of gastrointestinal examination"
data/train/1473680.0000_1476880.0000.ogg,for patients with cardiology diseases
data/train/1477600.0000_1480640.0000.ogg,"and people with contraindications to gastroscopy,"
data/train/1482400.0000_1484560.0000.ogg,and is a useful supplement to electronic gastroscopy.
data/train/1483840.0000_1489280.0000.ogg,"(Dr. Wang Xinhong, Magnetically controlled capsule gastroscopy system Co-developer)"
data/train/1484720.0000_1487040.0000.ogg,To meet the clinical requirements of doctors
data/train/1487040.0000_1489600.0000.ogg,"and be able to observe different lesions in different places in the stomach,"
data/train/1489600.0000_1491840.0000.ogg,and to be able to control accuracy within millimeters.
data/train/1491840.0000_1494640.0000.ogg,This is what we call precision magnetic control.
data/train/1495600.0000_1496440.0000.ogg,"According to statistics,"
data/train/1496920.0000_1499840.0000.ogg,a survival rate of 5 years after surgery
data/train/1499840.0000_1502000.0000.ogg,is only 20% for middle and late-stage gastric cancer.
data/train/1502000.0000_1503960.0000.ogg,"If it is detected at an early stage,"
data/train/1503960.0000_1507240.0000.ogg,the survival rate 5 years after surgery can be more than 95%.
data/train/1508560.0000_1510360.0000.ogg,The small magnetically controlled capsule
data/train/1510360.0000_1514120.0000.ogg,eliminates people's fear of gastric examinations
data/train/1514120.0000_1517200.0000.ogg,and lessens people's fears of seeking medical treatment.
data/train/1518840.0000_1520520.0000.ogg,The changes brought about by technological innovation
data/train/1520520.0000_1522880.0000.ogg,have brought convenience to more people.
data/train/1527480.0000_1528880.0000.ogg,"In early 2020,"
data/train/1528880.0000_1531400.0000.ogg,"the Covid-19 epidemic swept the world,"
data/train/1531400.0000_1532240.0000.ogg,catching the world off guard.
data/train/1532240.0000_1534280.0000.ogg,catching the world off guard.
data/train/1536920.0000_1539320.0000.ogg,"Feng Fen,"
data/train/1539320.0000_1540160.0000.ogg,is a head nurse of the Ninth Hospital in Xi'an.
data/train/1541120.0000_1544160.0000.ogg,"At the critical moment,"
data/train/1544160.0000_1545000.0000.ogg,Feng Fen volunteered to fight and became a member
data/train/1545000.0000_1547920.0000.ogg,of the medical team of Shaanxi to assist Hubei.
data/train/1547920.0000_1549480.0000.ogg,"I didn't tell my parents at that time,"
data/train/1549480.0000_1550640.0000.ogg,I was afraid they would be worried;
data/train/1550800.0000_1553360.0000.ogg,"(Feng fen, Xi'an Ninth People's Hospital Head Nurse, Department of Geriatrics)"
data/train/1550640.0000_1551760.0000.ogg,we were in Wuhan for 55 days
data/train/1551760.0000_1553120.0000.ogg,and I hid it from them for 54 days.
data/train/1554920.0000_1556520.0000.ogg,Although Feng Fen and her teammates
data/train/1556520.0000_1557800.0000.ogg,had prepared for all aspects of the trip
data/train/1557800.0000_1559280.0000.ogg,"before they left,"
data/train/1559880.0000_1561560.0000.ogg,a small problem
data/train/1561560.0000_1563840.0000.ogg,became a big problem for them.
data/train/1568080.0000_1570280.0000.ogg,"Goggles covered with water droplets and mist,"
data/train/1570640.0000_1571840.0000.ogg,"we have to see,"
data/train/1571840.0000_1578240.0000.ogg,"(Feng fen, Xi'an Ninth People's Hospital Head Nurse, Department of Geriatrics)"
data/train/1571840.0000_1573880.0000.ogg,"to observe, to operate,"
data/train/1573880.0000_1577000.0000.ogg,through a gap in this mist to see.
data/train/1577760.0000_1580400.0000.ogg,We wear gloves in three layers
data/train/1580400.0000_1582160.0000.ogg,"and when we use a needle on a patient,"
data/train/1582160.0000_1584560.0000.ogg,the sensation in the hand is totally reduced.
data/train/1586680.0000_1588920.0000.ogg,"When a teammate tried to use a needle,"
data/train/1588640.0000_1592080.0000.ogg,"(Feng fen, Xi'an Ninth People's Hospital Head Nurse, Department of Geriatrics)"
data/train/1588920.0000_1591080.0000.ogg,"twice it did not puncture through,"
data/train/1591080.0000_1592080.0000.ogg,so we were all quite anxious;
data/train/1592480.0000_1593200.0000.ogg,I asked 'isn't it the case that
data/train/1593200.0000_1595280.0000.ogg,we have a new piece of equipment'?
data/train/1595280.0000_1597120.0000.ogg,"Consequently,"
data/train/1597120.0000_1598040.0000.ogg,we tried it out successfully
data/train/1598040.0000_1600120.0000.ogg,and we all felt very happy.
data/train/1603520.0000_1605000.0000.ogg,"This new type of weapon,"
data/train/1605000.0000_1606680.0000.ogg,"which can identify blood vessels through the skin,"
data/train/1607400.0000_1610000.0000.ogg,comes from Chinese aerospace technology.
data/train/1611040.0000_1612800.0000.ogg,"This is an infrared vascular imager,"
data/train/1612880.0000_1614240.0000.ogg,which solves the problem that
data/train/1614240.0000_1616800.0000.ogg,"when we are injecting intravenously,"
data/train/1616800.0000_1619680.0000.ogg,"there are many people whose blood vessels cannot be seen and found,"
data/train/1619680.0000_1620640.0000.ogg,"and with this thing,"
data/train/1620640.0000_1622520.0000.ogg,they can be seen very clearly.
data/train/1622760.0000_1624080.0000.ogg,Photographs of the ground from space
data/train/1624080.0000_1626400.0000.ogg,need to pass through layers of clouds
data/train/1625920.0000_1631320.0000.ogg,"(Zhu Rui, Xi'an Institute of Optics and Precision Mechanics, Chinese Academy of Sciences Director of Biophotonics Engineering Center)"
data/train/1626400.0000_1628760.0000.ogg,"and if image processing is not used,"
data/train/1628760.0000_1629920.0000.ogg,the signal will actually be heavily affected
data/train/1629920.0000_1631680.0000.ogg,and it's somewhat the same
data/train/1631680.0000_1634640.0000.ogg,when we want to see subcutaneous blood vessels.
data/train/1637160.0000_1638640.0000.ogg,This full-moon image
data/train/1638560.0000_1645000.0000.ogg,"(November 12, 2008 Chang'e-1 shot)"
data/train/1638640.0000_1640520.0000.ogg,is the clearest and most complete image
data/train/1640520.0000_1643680.0000.ogg,of the Moon published in the world so far.
data/train/1643680.0000_1646120.0000.ogg,The panoramic camera that took this picture
data/train/1646120.0000_1647200.0000.ogg,"was developed by the Xi'an Institute of Optics and Precision Machinery,"
data/train/1647200.0000_1650320.0000.ogg,at the Chinese Academy of Sciences.
data/train/1651040.0000_1654040.0000.ogg,Taking images is optical technology
data/train/1652760.0000_1659040.0000.ogg,"(Zhu Rui, Xi'an Institute of Optics and Precision Mechanics, Chinese Academy of Sciences Director of Biophotonics Engineering Center)"
data/train/1654600.0000_1656400.0000.ogg,"and how to make the image look good,"
data/train/1656760.0000_1659640.0000.ogg,"so that you can see things you could not see before,"
data/train/1659640.0000_1660640.0000.ogg,is algorithm technology.
data/train/1662400.0000_1664160.0000.ogg,Demand is often the driving force
data/train/1664160.0000_1665360.0000.ogg,behind scientific and technological innovation.
data/train/1666520.0000_1668200.0000.ogg,The needs of the country and its people
data/train/1668200.0000_1670800.0000.ogg,are the mission and role of science and technology workers.
data/train/1675280.0000_1676480.0000.ogg,Give me your hand.
data/train/1678720.0000_1679400.0000.ogg,"With the children, it took two or three attempts"
data/train/1679400.0000_1680840.0000.ogg,for the injections to successfully inject.
data/train/1680840.0000_1683000.0000.ogg,It was heartbreaking to watch.
data/train/1683000.0000_1684800.0000.ogg,"The nurse asked if we,"
data/train/1684800.0000_1685880.0000.ogg,"doing research at the Chinese Academy of Sciences,"
data/train/1685880.0000_1687320.0000.ogg,"could do something,"
data/train/1687400.0000_1690680.0000.ogg,"(Zhu Rui, Xi'an Institute of Optics and Precision Mechanics, Chinese Academy of Sciences Director of Biophotonics Engineering Center)"
data/train/1687320.0000_1689320.0000.ogg,so that us doctors can see the blood vessels
data/train/1689320.0000_1690720.0000.ogg,to making injecting with needles more straightforward.
data/train/1692160.0000_1694920.0000.ogg,"Seeing the helplessness and expectations of the nurses,"
data/train/1694920.0000_1697160.0000.ogg,Zhu Rui decided to try.
data/train/1698320.0000_1700280.0000.ogg,"We were to innovate something independently,"
data/train/1700280.0000_1702280.0000.ogg,and then we developed
data/train/1702280.0000_1703320.0000.ogg,our own original system.
data/train/1703680.0000_1705960.0000.ogg,"Since we invented this system,"
data/train/1705120.0000_1711440.0000.ogg,"(Zhu Rui, Xi'an Institute of Optics and Precision Mechanics, Chinese Academy of Sciences Director of Biophotonics Engineering Center)"
data/train/1705960.0000_1708200.0000.ogg,other latecomers around the world
data/train/1708200.0000_1709560.0000.ogg,"are copying our system,"
data/train/1710280.0000_1711880.0000.ogg,which is something that makes us quite proud.
data/train/1712280.0000_1713080.0000.ogg,"Eight months later,"
data/train/1713080.0000_1716120.0000.ogg,the first generation of projection infrared vascular imaging products
data/train/1716480.0000_1717560.0000.ogg,was developed successfully.
data/train/1717960.0000_1720800.0000.ogg,"Since then, the new product,"
data/train/1721160.0000_1722520.0000.ogg,"which has been continuously iterated and upgraded,"
data/train/1722520.0000_1724600.0000.ogg,"can not only clearly see the blood vessels under the skin,"
data/train/1724600.0000_1726840.0000.ogg,but also clearly see the position
data/train/1726840.0000_1728880.0000.ogg,of the needle in the blood vessels.
data/train/1729600.0000_1731800.0000.ogg,(The vascular imager) is a kind of nurse's eye.
data/train/1731000.0000_1736880.0000.ogg,"(Feng fen, Xi'an Ninth People's Hospital Head Nurse, Department of Geriatrics)"
data/train/1731800.0000_1734720.0000.ogg,It reduces the stress for nurses when making injections.
data/train/1734720.0000_1737040.0000.ogg,Another thing is that it is less painful for the patient.
data/train/1738080.0000_1739360.0000.ogg,"In China,"
data/train/1739360.0000_1742760.0000.ogg,there are 4.45 million nurses like Feng Fen
data/train/1742760.0000_1744120.0000.ogg,administering to patients every day.
data/train/1746200.0000_1748560.0000.ogg,The technology comes from the high-tech field of aeronautical science
data/train/1748920.0000_1751840.0000.ogg,"in simple fashion to the hospital ward,"
data/train/1752280.0000_1753960.0000.ogg,solving medical problems
data/train/1754280.0000_1756160.0000.ogg,"and bringing doctors and patients closer together,"
data/train/1756160.0000_1758680.0000.ogg,"enhancing the sense of achievement of health care workers,"
data/train/1758680.0000_1761960.0000.ogg,and improving the happiness of the majority of patients.
data/train/1767920.0000_1769720.0000.ogg,"Like Feng Fen,"
data/train/1769720.0000_1771240.0000.ogg,"the imaging department of Beijing Haidian Hospital,"
data/train/1771240.0000_1773600.0000.ogg,"which was on the front line of the epidemic,"
data/train/1773600.0000_1776400.0000.ogg,was once in a state of overwhelming busyness.
data/train/1777000.0000_1779120.0000.ogg,The number of patients seen by the hospital's imaging department
data/train/1779120.0000_1782000.0000.ogg,"more than doubled around the Chinese New Year in 2020,"
data/train/1782320.0000_1784120.0000.ogg,leaving the medical team of just 42 people
data/train/1784120.0000_1786960.0000.ogg,in the imaging department overwhelmed.
data/train/1788280.0000_1789760.0000.ogg,A CT scan
data/train/1789760.0000_1792440.0000.ogg,covering the whole lung from top to bottom
data/train/1790280.0000_1792200.0000.ogg,"(Li Dasheng, Director, Imaging department of Beijing Haidian Hospital)"
data/train/1792440.0000_1793640.0000.ogg,"and there are more than 300 images,"
data/train/1793640.0000_1794640.0000.ogg,so it still takes some time
data/train/1794640.0000_1796720.0000.ogg,to look at them all.
data/train/1796720.0000_1798680.0000.ogg,"If you focus your attention,"
data/train/1798040.0000_1804400.0000.ogg,"(Li Dasheng, Director, Imaging department of Beijing Haidian Hospital)"
data/train/1798680.0000_1801520.0000.ogg,"it will take perhaps about 10 or 15 minutes to do,"
data/train/1801520.0000_1802520.0000.ogg,"but when circumstances are bad,"
data/train/1802520.0000_1803880.0000.ogg,"such as when you are tired,"
data/train/1803880.0000_1805520.0000.ogg,it could take longer.
data/train/1805520.0000_1808240.0000.ogg,"At times like this, Li Dasheng was eager to have"
data/train/1808240.0000_1810280.0000.ogg,an effective piece of equipment.
data/train/1811120.0000_1813360.0000.ogg,The core application of AI in the medical context
data/train/1812880.0000_1819160.0000.ogg,"(Chen Kuan, Medical Artificial Intelligence Expert)"
data/train/1813360.0000_1816120.0000.ogg,is to significantly improve
data/train/1816120.0000_1818160.0000.ogg,"the efficiency of a doctor's work,"
data/train/1818160.0000_1819600.0000.ogg,so that it can diagnose
data/train/1819600.0000_1820920.0000.ogg,and treat more patients
data/train/1820920.0000_1823520.0000.ogg,with limited time and resources
data/train/1823520.0000_1825320.0000.ogg,and can rapidly improve
data/train/1825320.0000_1827320.0000.ogg,the quality of the doctor's diagnosis.
data/train/1830120.0000_1832280.0000.ogg,The essence of artificial intelligence is that
data/train/1832280.0000_1833200.0000.ogg,human beings
data/train/1833200.0000_1834440.0000.ogg,use the intelligence created
data/train/1834440.0000_1836640.0000.ogg,to better serve human beings.
data/train/1838240.0000_1841400.0000.ogg,Chen Kuan has dedicated himself to the development and application
data/train/1841400.0000_1844360.0000.ogg,of artificial intelligence technology in the field of lung cancer screening.
data/train/1845000.0000_1846280.0000.ogg,"In his opinion,"
data/train/1846280.0000_1849160.0000.ogg,"China, with its vast area and large population,"
data/train/1849160.0000_1850760.0000.ogg,is a fruitful domain
data/train/1850760.0000_1852480.0000.ogg,"for the application of AI technology,"
data/train/1853200.0000_1855360.0000.ogg,itself a unique resource advantage
data/train/1855360.0000_1857840.0000.ogg,for the development of AI in China.
data/train/1859760.0000_1861880.0000.ogg,A large number of these neural network structures
data/train/1861480.0000_1867760.0000.ogg,"(Chen Kuan, Medical Artificial Intelligence Expert)"
data/train/1861880.0000_1863800.0000.ogg,are simulated by computer
data/train/1863800.0000_1866000.0000.ogg,and they learn like human beings.
data/train/1866000.0000_1867200.0000.ogg,"If a certain question is correct,"
data/train/1867200.0000_1868760.0000.ogg,"I will reward the artificial intelligence,"
data/train/1868760.0000_1870480.0000.ogg,"if it is wrong, I will punish it."
data/train/1870480.0000_1871400.0000.ogg,"In this process,"
data/train/1871400.0000_1872920.0000.ogg,it will learn to be more and more intelligent
data/train/1872920.0000_1874160.0000.ogg,"and the more it studies, the more aware it becomes."
data/train/1874160.0000_1875600.0000.ogg,The process of artificial intelligence learning
data/train/1875600.0000_1877200.0000.ogg,is just the same as teaching a child
data/train/1877200.0000_1879160.0000.ogg,or student;
data/train/1879160.0000_1880760.0000.ogg,"indeed, there is no mystery."
data/train/1881600.0000_1883960.0000.ogg,The outbreak of the Coronavirus pneumonia epidemic
data/train/1883960.0000_1885840.0000.ogg,made Chen Kuan keenly aware of
data/train/1885840.0000_1888760.0000.ogg,the ability of artificial intelligence to influence the world.
data/train/1888760.0000_1891120.0000.ogg,"Beginning with the Spring Festival in 2020,"
data/train/1891120.0000_1894320.0000.ogg,"Chen Kuan promptly adjusted the research direction of the team,"
data/train/1894320.0000_1896960.0000.ogg,"by collecting coronavirus pneumonia cases,"
data/train/1896960.0000_1898040.0000.ogg,using artificial intelligence to accumulate
data/train/1898040.0000_1901120.0000.ogg,"and analyze huge amounts of data,"
data/train/1901120.0000_1902600.0000.ogg,and quickly developed
data/train/1902600.0000_1904520.0000.ogg,"a ""pneumonia intelligent auxiliary screening"
data/train/1904520.0000_1906440.0000.ogg,"and epidemic monitoring system"","
data/train/1906440.0000_1908600.0000.ogg,"with independent intellectual property rights,"
data/train/1908600.0000_1910640.0000.ogg,which was first used online
data/train/1910640.0000_1912200.0000.ogg,in more than 50 hospitals.
data/train/1914000.0000_1915560.0000.ogg,The hospital where Li Dasheng is at;
data/train/1915560.0000_1917960.0000.ogg,the first time the system is applied.
data/train/1919480.0000_1921280.0000.ogg,You see when you turn on the system
data/train/1921280.0000_1922120.0000.ogg,"on this side,"
data/train/1922120.0000_1923960.0000.ogg,a red warning appears
data/train/1923960.0000_1924640.0000.ogg,which determines that
data/train/1924640.0000_1927120.0000.ogg,this patient may have pneumonia.
data/train/1927640.0000_1929680.0000.ogg,AI has does not get tired
data/train/1929360.0000_1935320.0000.ogg,"(Li Dasheng, Director, Imaging department of Beijing Haidian Hospital)"
data/train/1929680.0000_1931520.0000.ogg,"and it can continuously,"
data/train/1931520.0000_1934400.0000.ogg,"that is, very quickly and more accurately,"
data/train/1934400.0000_1935840.0000.ogg,give you a result.
data/train/1935840.0000_1937160.0000.ogg,It can greatly reduce
data/train/1937160.0000_1938960.0000.ogg,"the diagnosis time of our images,"
data/train/1938960.0000_1940200.0000.ogg,basically in two or three minutes.
data/train/1941760.0000_1943560.0000.ogg,"(Rome, Italy)"
data/train/1943640.0000_1946120.0000.ogg,What do you think was the biggest challenge
data/train/1946120.0000_1947680.0000.ogg,with the launch?
data/train/1948640.0000_1951480.0000.ogg,I think there is still a certain impact
data/train/1951480.0000_1953040.0000.ogg,"on the psychology of our team,"
data/train/1952000.0000_1955920.0000.ogg,(Infervision comes to the aid of Italian hospitals)
data/train/1953040.0000_1956280.0000.ogg,"Rome, after all, is an epidemic area."
data/train/1956760.0000_1957520.0000.ogg,"Although there were challenges,"
data/train/1957520.0000_1959240.0000.ogg,we overcame them very well.
data/train/1959240.0000_1962240.0000.ogg,"A powerful tool at hand, benefiting the world."
data/train/1962760.0000_1964560.0000.ogg,"In just a few months,"
data/train/1964560.0000_1967120.0000.ogg,China's AI system
data/train/1967120.0000_1969320.0000.ogg,has been used in 14 European countries
data/train/1969320.0000_1972840.0000.ogg,and more than 90 medical institutions worldwide
data/train/1972840.0000_1975480.0000.ogg,to provide screening services for coronavirus pneumonia.
data/train/1979520.0000_1981360.0000.ogg,Go for it!
data/train/1982520.0000_1985080.0000.ogg,The future of artificial intelligence
data/train/1983960.0000_1990280.0000.ogg,"(Chen Kuan, Medical Artificial Intelligence Expert)"
data/train/1985080.0000_1988320.0000.ogg,"in the medical field is to help doctors,"
data/train/1988320.0000_1989560.0000.ogg,"to help the whole industry,"
data/train/1989560.0000_1992080.0000.ogg,to establish a community of destiny that
data/train/1992080.0000_1995560.0000.ogg,we call human diagnosis and treatment capabilities.
data/train/1995560.0000_1997240.0000.ogg,"Artificial intelligence,"
data/train/1997240.0000_2000000.0000.ogg,"expressing mankind's pursuit of beauty,"
data/train/2000000.0000_2003960.0000.ogg,achieved the dream of mankind's desire for health.
data/train/2006640.0000_2010120.0000.ogg,Health is the dream of everyone.
data/train/2010120.0000_2011120.0000.ogg,"In Beijing,"
data/train/2011120.0000_2014160.0000.ogg,a young girl in a desperate situation
data/train/2014160.0000_2016960.0000.ogg,prays for a blessing from fate
data/train/2016960.0000_2020320.0000.ogg,and looks forward to a miracle.
data/train/2021480.0000_2023800.0000.ogg,"Actually, you didn't have any symptoms, right?"
data/train/2023800.0000_2026160.0000.ogg,Just perhaps palpitations after activity.
data/train/2026160.0000_2027600.0000.ogg,"A little tired, right?"
data/train/2027600.0000_2029280.0000.ogg,Today's bilirubin is also very high.
data/train/2029880.0000_2032200.0000.ogg,High bilirubin is another problem.
data/train/2032200.0000_2035000.0000.ogg,I went for a medical examination
data/train/2035000.0000_2036440.0000.ogg,I went for a medical examination
data/train/2036440.0000_2039240.0000.ogg,and was diagnosed with MDS.
data/train/2039240.0000_2041520.0000.ogg,"MDS, as Li Shuang said,"
data/train/2041520.0000_2043880.0000.ogg,is myelodysplastic syndrome.
data/train/2044760.0000_2046800.0000.ogg,In some of these high-risk patients
data/train/2046800.0000_2048760.0000.ogg,it will become leukemia.
data/train/2049480.0000_2050560.0000.ogg,"Unfortunately,"
data/train/2050960.0000_2053719.0000.ogg,Li Shuang is already in the preleukemia stage.
data/train/2055480.0000_2057239.0000.ogg,"Blood stem cell transplantation,"
data/train/2057239.0000_2058840.0000.ogg,"also known as bone marrow transplantation,"
data/train/2059480.0000_2061719.0000.ogg,is one of the effective treatments for leukemia.
data/train/2064960.0000_2068360.0000.ogg,"This is the Chinese Bone Marrow Bank of the Red Cross Society of China,"
data/train/2068960.0000_2071440.0000.ogg,a platform for leukemia patients to survive.
data/train/2073120.0000_2075239.0000.ogg,It has more than 2.8 million pieces
data/train/2075239.0000_2077840.0000.ogg,of blood stem cell information from volunteers
data/train/2077840.0000_2080800.0000.ogg,and at the same time shares resources with bone marrow banks
data/train/2080800.0000_2083920.0000.ogg,in 58 countries and regions around the world.
data/train/2085400.0000_2088840.0000.ogg,But finding a perfect match
data/train/2088840.0000_2091400.0000.ogg,"is like looking for a needle in a haystack,"
data/train/2091400.0000_2092840.0000.ogg,and the probability of an exact match
data/train/2092840.0000_2095000.0000.ogg,in the general population
data/train/2095000.0000_2096840.0000.ogg,"is only one in 100,000."
data/train/2098320.0000_2100120.0000.ogg,The test results of Li Shuang and her family
data/train/2100120.0000_2101560.0000.ogg,were half-matched
data/train/2101560.0000_2104880.0000.ogg,and could not meet the requirement of an exact match.
data/train/2107440.0000_2108960.0000.ogg,But Li Shuang's condition meant
data/train/2108960.0000_2111560.0000.ogg,she could not afford to wait a long time.
data/train/2117840.0000_2120040.0000.ogg,"At that time my heart was really thumping,"
data/train/2119480.0000_2123240.0000.ogg,(Li Shuang's mother)
data/train/2120040.0000_2121800.0000.ogg,I am sure I was anxious
data/train/2121800.0000_2123080.0000.ogg,and cried;
data/train/2123080.0000_2124880.0000.ogg,I did not dare let her see this
data/train/2124880.0000_2125720.0000.ogg,and also didn't tell her;
data/train/2125720.0000_2127280.0000.ogg,"I arrived, wiped my tears dry,"
data/train/2127280.0000_2129720.0000.ogg,at the very least I needed to give her strong backing
data/train/2129720.0000_2132520.0000.ogg,so there wasn't total panic.
data/train/2134520.0000_2135800.0000.ogg,"When Li Shuang was diagnosed,"
data/train/2135800.0000_2138720.0000.ogg,she had just been dating her boyfriend for a month.
data/train/2138720.0000_2140680.0000.ogg,"The encouragement from her boyfriend and family,"
data/train/2140680.0000_2142760.0000.ogg,"as well as the desire for a future life,"
data/train/2142760.0000_2145520.0000.ogg,made the young Li Shuang never give up.
data/train/2146160.0000_2148720.0000.ogg,There is always hope.
data/train/2149640.0000_2153160.0000.ogg,Dr. Huang Xiaojun of Peking University People's Hospital
data/train/2153160.0000_2156440.0000.ogg,and his colleagues from all around the world
data/train/2156440.0000_2158080.0000.ogg,share the common desire to
data/train/2158080.0000_2160080.0000.ogg,"""realise a blood stem cell transplant donor for everyone""."
data/train/2161160.0000_2163200.0000.ogg,"T cells,"
data/train/2163200.0000_2165400.0000.ogg,the key to a successful bone marrow transplant:
data/train/2165400.0000_2167600.0000.ogg,"they are highly aggressive,"
data/train/2167600.0000_2169440.0000.ogg,killing both tumour cells
data/train/2169440.0000_2172040.0000.ogg,and normal cells in the patient's body.
data/train/2173240.0000_2174520.0000.ogg,Huang Xiaojun's goal
data/train/2174520.0000_2176480.0000.ogg,"is to tame the ""T"" cells."
data/train/2178160.0000_2182000.0000.ogg,"We all think that T cells are the key,"
data/train/2181040.0000_2186960.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2182000.0000_2184720.0000.ogg,so foreigners have been thinking that
data/train/2184720.0000_2187040.0000.ogg,the answer is simple and they can just remove T cells.
data/train/2187040.0000_2188280.0000.ogg,You remove the T cells
data/train/2188280.0000_2190000.0000.ogg,and the cells do not grow in
data/train/2190000.0000_2191400.0000.ogg,and the risk of them not growing in is greater.
data/train/2191400.0000_2193280.0000.ogg,"After they have grown in, it has no anti-tumour effect,"
data/train/2193280.0000_2196080.0000.ogg,"so you have removed the anti-host disease,"
data/train/2196080.0000_2197920.0000.ogg,and finally the patient dies.
data/train/2197920.0000_2200800.0000.ogg,"Huang Xiaojun has been researching for more than a decade,"
data/train/2200800.0000_2202240.0000.ogg,hoping to find a way
data/train/2202240.0000_2204600.0000.ogg,"to make T cells ""good""."
data/train/2207200.0000_2209800.0000.ogg,And we changed the way
data/train/2209080.0000_2215000.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2209800.0000_2211720.0000.ogg,"we ""educate"" the patient's T cells"
data/train/2211720.0000_2214880.0000.ogg,before doing it
data/train/2214880.0000_2217200.0000.ogg,and instructed the patient's T cells to
data/train/2217200.0000_2218360.0000.ogg,not attack our patients after going in and
data/train/2218360.0000_2223040.0000.ogg,to at least in the early stages not to attack the illness
data/train/2223040.0000_2224040.0000.ogg,but to wait until they have grown before going to fight it.
data/train/2224040.0000_2227840.0000.ogg,We can take it if there is only
data/train/2227840.0000_2229600.0000.ogg,a little bit of accidental injury.
data/train/2229600.0000_2232560.0000.ogg,The core problem of transplantation itself is solved.
data/train/2232560.0000_2235720.0000.ogg,"The idea is simple and straightforward,"
data/train/2235720.0000_2238640.0000.ogg,but the process is far more complicated than imagined.
data/train/2238640.0000_2239680.0000.ogg,"In the year 2000,"
data/train/2239680.0000_2240760.0000.ogg,Huang Xiaojun's first
data/train/2240760.0000_2244280.0000.ogg,semi-compatible bone marrow transplant was a success.
data/train/2245960.0000_2247640.0000.ogg,"When we did the first case in 2000,"
data/train/2248480.0000_2250880.0000.ogg,we were wondering
data/train/2251280.0000_2257240.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2250880.0000_2252640.0000.ogg,if we had been accidentally successful
data/train/2252640.0000_2253720.0000.ogg,if we had been accidentally successful
data/train/2253720.0000_2255600.0000.ogg,"as it was not necessarily the right solution,"
data/train/2255600.0000_2257400.0000.ogg,"as it was not necessarily the right solution,"
data/train/2257400.0000_2258440.0000.ogg,"and when we did the second case,"
data/train/2258440.0000_2259760.0000.ogg,we were not so sure either;
data/train/2259760.0000_2261760.0000.ogg,we did many cases
data/train/2261760.0000_2264000.0000.ogg,and then looked for commonalities.
data/train/2264000.0000_2266800.0000.ogg,"When we got to more than 100 cases,"
data/train/2266800.0000_2269520.0000.ogg,we were more convinced that it was reliable.
data/train/2269520.0000_2271280.0000.ogg,"In 2016,"
data/train/2271280.0000_2273400.0000.ogg,"the World Bone Marrow Transplant Association said,"
data/train/2271760.0000_2277680.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2273400.0000_2275000.0000.ogg,"""This system you have made is really a solution"
data/train/2275000.0000_2278280.0000.ogg,"to the problem of semi-compatibility,"
data/train/2278280.0000_2280520.0000.ogg,"so it became the ""Beijing Program""."
data/train/2280520.0000_2281640.0000.ogg,The Beijing Program allows
data/train/2281640.0000_2283120.0000.ogg,"the Institute of Hematology at Peking University People's Hospital,"
data/train/2283120.0000_2286200.0000.ogg,"led by Huang Xiaojun,"
data/train/2286200.0000_2288360.0000.ogg,to be the center with the highest transplant survival rate
data/train/2288360.0000_2291960.0000.ogg,"for patients worldwide,"
data/train/2291960.0000_2296600.0000.ogg,"with an overall survival rate of 75% to 89%,"
data/train/2296600.0000_2298960.0000.ogg,which is consistent with
data/train/2298960.0000_2300880.0000.ogg,that of fully compatible transplants.
data/train/2302760.0000_2303920.0000.ogg,"There is a donor for everyone,"
data/train/2303920.0000_2308400.0000.ogg,"that is, semi-compatible,"
data/train/2304760.0000_2310640.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2308400.0000_2311280.0000.ogg,"from the perspective of the population,"
data/train/2311280.0000_2313280.0000.ogg,a person can find such a donor almost 100% of the time.
data/train/2313280.0000_2314480.0000.ogg,"In fact,"
data/train/2314480.0000_2316200.0000.ogg,there are some exceptions that do not exceed 1 or 2%.
data/train/2316200.0000_2318840.0000.ogg,"So, our accurate statement is that"
data/train/2318840.0000_2322120.0000.ogg,the Beijing plan basically realizes that
data/train/2322120.0000_2324560.0000.ogg,everyone has a transplant donor.
data/train/2326680.0000_2328920.0000.ogg,"On August 26, 2019,"
data/train/2329520.0000_2332960.0000.ogg,Li Shuang and her family will always remember this day
data/train/2332960.0000_2335840.0000.ogg,when they were admitted to Peking University People's Hospital
data/train/2335840.0000_2337720.0000.ogg,"with the last shred of hope for life,"
data/train/2338640.0000_2340360.0000.ogg,and Li Shuang put her life
data/train/2340360.0000_2342600.0000.ogg,in the hands of Dr. Huang Xiaojun.
data/train/2343960.0000_2346400.0000.ogg,"At this time, it can be said that the bilirubin level has dropped."
data/train/2347840.0000_2349880.0000.ogg,I reckon this patient has a chance.
data/train/2352080.0000_2354040.0000.ogg,Dr. Huang Xiaojun wants to save Li Shuang
data/train/2354040.0000_2355520.0000.ogg,"with the ""Beijing Program""."
data/train/2355960.0000_2358080.0000.ogg,"Li Shuang's sister, who is six years younger than her,"
data/train/2358080.0000_2361360.0000.ogg,provided her with bone marrow
data/train/2362000.0000_2363800.0000.ogg,"and peripheral blood stem cells,"
data/train/2363800.0000_2365960.0000.ogg,even though she was only semi-matched with Li Shuang.
data/train/2368600.0000_2369040.0000.ogg,"It hurts, right?"
data/train/2369680.0000_2371560.0000.ogg,"If it hurts, I will give you some more anaesthetic."
data/train/2376080.0000_2376760.0000.ogg,I was more scared because
data/train/2376760.0000_2378440.0000.ogg,"I didn't quite understand at the time,"
data/train/2378440.0000_2383200.0000.ogg,"and then I felt that it might be particularly painful, really painful."
data/train/2383200.0000_2386960.0000.ogg,I did a lot of psychological preparation for a long time.
data/train/2387960.0000_2390200.0000.ogg,"In fact, after doing it I discovered it was ok"
data/train/2389280.0000_2392840.0000.ogg,(Li Shuang's sister)
data/train/2390200.0000_2392600.0000.ogg,and it's just like having a dream.
data/train/2393120.0000_2396800.0000.ogg,"Everything was as unreal as a dream,"
data/train/2397480.0000_2400720.0000.ogg,and everything was as clear as a dream.
data/train/2401280.0000_2404400.0000.ogg,"In the sterile chamber, her sister's bone marrow blood"
data/train/2404400.0000_2407240.0000.ogg,was slowly fed into Li Shuang's body.
data/train/2411520.0000_2412640.0000.ogg,"There are many scientific issues,"
data/train/2412640.0000_2414640.0000.ogg,"the road to simplicity is this truth,"
data/train/2413240.0000_2419560.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2414640.0000_2416960.0000.ogg,once you have successfully made the first step
data/train/2416960.0000_2418800.0000.ogg,then lots of things are very simple.
data/train/2418800.0000_2420560.0000.ogg,"Science and technology changes life,"
data/train/2420560.0000_2424040.0000.ogg,"it doesn't always go the way you want it to go,"
data/train/2424040.0000_2425200.0000.ogg,you need to make the effort.
data/train/2425200.0000_2428320.0000.ogg,Li Shuang's life was changed in this way.
data/train/2431240.0000_2433480.0000.ogg,Pretty good for you.
data/train/2433480.0000_2436760.0000.ogg,It was difficult to decide whether to do it or not.
data/train/2436760.0000_2438800.0000.ogg,"The bilirubin was too high,"
data/train/2438800.0000_2441400.0000.ogg,"and finally after discussing it, it was still good."
data/train/2442200.0000_2443760.0000.ogg,What kind of work do you do?
data/train/2443760.0000_2445160.0000.ogg,I was doing sales before.
data/train/2445160.0000_2446520.0000.ogg,What kind of sales do you do?
data/train/2446520.0000_2448960.0000.ogg,"Education, a pretty stressful industry."
data/train/2448960.0000_2450440.0000.ogg,"You can consider working hard next year,"
data/train/2450440.0000_2452040.0000.ogg,but not this year.
data/train/2453880.0000_2455240.0000.ogg,"In China,"
data/train/2455240.0000_2457360.0000.ogg,leukemia accounts for the 9th highest number of deaths
data/train/2457360.0000_2458960.0000.ogg,due to malignant tumours.
data/train/2460000.0000_2462920.0000.ogg,"Each year, even about 15,000 new leukemia patients"
data/train/2462920.0000_2464560.0000.ogg,under the age of 18
data/train/2464560.0000_2466440.0000.ogg,are identified in China alone.
data/train/2467960.0000_2470600.0000.ogg,Huang Xiaojun faces patients' requests for help every day
data/train/2470600.0000_2472320.0000.ogg,and is entrusted with life and death.
data/train/2474360.0000_2477640.0000.ogg,"Good morning, everyone. I feel fine."
data/train/2477640.0000_2479280.0000.ogg,I don't have any side effect.
data/train/2479280.0000_2480280.0000.ogg,"I am very happy, I'm very glad"
data/train/2480280.0000_2483160.0000.ogg,and very proud to be your patient.
data/train/2483160.0000_2484480.0000.ogg,I am proud of you.
data/train/2492400.0000_2493760.0000.ogg,Medicine
data/train/2493760.0000_2496720.0000.ogg,"is an art based on science,"
data/train/2494160.0000_2500080.0000.ogg,"(Dr. Huang Xiaojun, Peking University People's Hospital, Director, Institute of Hematology)"
data/train/2496720.0000_2498720.0000.ogg,it has both the characteristics of
data/train/2498720.0000_2500440.0000.ogg,science and society and humanity;
data/train/2500440.0000_2502800.0000.ogg,"it needs to have knowledge, skills,"
data/train/2502800.0000_2504040.0000.ogg,"innovation,"
data/train/2504040.0000_2507760.0000.ogg,"more responsibility and commitment and humanistic feelings,"
data/train/2507760.0000_2512080.0000.ogg,and only with these can you become a great doctor.
data/train/2513400.0000_2515240.0000.ogg,I think that without China's
data/train/2515240.0000_2517560.0000.ogg,"semi-compatible technology being so mature,"
data/train/2517560.0000_2519800.0000.ogg,it really would be incurable
data/train/2519800.0000_2522680.0000.ogg,for patients like us.
data/train/2522680.0000_2525680.0000.ogg,The results after my transplant are quite good.
data/train/2525680.0000_2526560.0000.ogg,"Up to now,"
data/train/2526560.0000_2528680.0000.ogg,my body temperature is very normal
data/train/2528680.0000_2531800.0000.ogg,"and my diet is also very good,"
data/train/2531800.0000_2533760.0000.ogg,and essentially I have quite an appetite.
data/train/2533760.0000_2535800.0000.ogg,The Beijing program provided by China
data/train/2535800.0000_2538240.0000.ogg,has created hope
data/train/2538240.0000_2540440.0000.ogg,among leukemia patients around the world.
data/train/2552080.0000_2554600.0000.ogg,"On the New Year's eve 2020,"
data/train/2554600.0000_2555800.0000.ogg,the Shenzhen Symphony Orchestra's
data/train/2555800.0000_2558400.0000.ogg,New Year's Concert was held as scheduled.
data/train/2559360.0000_2560800.0000.ogg,The fact that cellist Mao Chengyu
data/train/2560800.0000_2562560.0000.ogg,was able to attend this performance
data/train/2562560.0000_2564720.0000.ogg,is a miracle for her life
data/train/2564720.0000_2567760.0000.ogg,and is even more a miracle of medicine.
data/train/2571120.0000_2572480.0000.ogg,"Four years ago,"
data/train/2572680.0000_2574440.0000.ogg,"Mao Chengyu, who was studying music"
data/train/2574440.0000_2576440.0000.ogg,"at the National University of Singapore,"
data/train/2576440.0000_2577840.0000.ogg,was pushed to the limits of her life
data/train/2577840.0000_2580480.0000.ogg,by a diagnosis letter.
data/train/2586080.0000_2587160.0000.ogg,My mom and dad
data/train/2588040.0000_2591320.0000.ogg,even went grey overnight
data/train/2588920.0000_2592800.0000.ogg,"(Mao Chengyu, Cellist of Shenzhen Symphony Orchestra)"
data/train/2591320.0000_2593400.0000.ogg,and were particularly distraught
data/train/2593400.0000_2595560.0000.ogg,because they didn't know what would happen.
data/train/2595560.0000_2596840.0000.ogg,The doctor's diagnosed that
data/train/2596840.0000_2599480.0000.ogg,"a hemangioma was growing in Mao Chengyu's brain,"
data/train/2600440.0000_2603240.0000.ogg,located near the music function region of the brain.
data/train/2603240.0000_2606200.0000.ogg,"Not only was her life in danger,"
data/train/2606200.0000_2608680.0000.ogg,"but her dream of playing music, which she considers her life,"
data/train/2608680.0000_2610920.0000.ogg,would also be in vain.
data/train/2611920.0000_2613000.0000.ogg,"I like her very much,"
data/train/2613040.0000_2614760.0000.ogg,"she is very lively and sunny,"
data/train/2614440.0000_2619480.0000.ogg,"(Gu Jianwen, Director of Strategic Support Force Specialty Medical Center (Former Director of PLA Hospital No. 306))"
data/train/2614760.0000_2616240.0000.ogg,"I said we must handle this child well, to perform a good surgery"
data/train/2616240.0000_2619200.0000.ogg,and let her successfully return to the stage.
data/train/2619760.0000_2621600.0000.ogg,It was important to remove the hemangioma
data/train/2621600.0000_2624480.0000.ogg,without damaging the musical functions of the brain.
data/train/2624480.0000_2627640.0000.ogg,"For this reason, Dr. Gu Jianwen developed"
data/train/2627640.0000_2630480.0000.ogg,a surgical plan for a conscious craniotomy.
data/train/2631480.0000_2633560.0000.ogg,"To ensure the precision,"
data/train/2633560.0000_2635520.0000.ogg,"reliability and foolproof nature of the surgery,"
data/train/2635520.0000_2636800.0000.ogg,he was specially equipped
data/train/2636800.0000_2638720.0000.ogg,with the Remebot
data/train/2638720.0000_2640760.0000.ogg,developed by Dr. Liu Da's team.
data/train/2646280.0000_2647880.0000.ogg,"This highly complex human-and-machine combination surgery,"
data/train/2647880.0000_2650000.0000.ogg,the first of its kind in China and
data/train/2650000.0000_2652840.0000.ogg,"extremely rare in the world,"
data/train/2652840.0000_2654520.0000.ogg,was created.
data/train/2656640.0000_2658200.0000.ogg,The Remebot
data/train/2658200.0000_2659600.0000.ogg,is the first neurosurgical navigation
data/train/2659600.0000_2662760.0000.ogg,and positioning system developed in China.
data/train/2665520.0000_2668400.0000.ogg,"Previously,"
data/train/2668400.0000_2670640.0000.ogg,"for the calculation of the location of the patient's brain tumor,"
data/train/2670640.0000_2672160.0000.ogg,the doctor needed an hour with an error margin of 3 mm.
data/train/2673960.0000_2676480.0000.ogg,"With the help of Remebot,"
data/train/2676480.0000_2680040.0000.ogg,it can be accurately positioned within 2 minutes
data/train/2680040.0000_2682880.0000.ogg,with an error margin of 0.5 mm.
data/train/2686440.0000_2687600.0000.ogg,It can solve the problem of high risk
data/train/2687600.0000_2690080.0000.ogg,using traditional craniotomy
data/train/2690080.0000_2693000.0000.ogg,and multiple incisions during frame surgery.
data/train/2696600.0000_2698320.0000.ogg,The doctor uses the three-dimensional image
data/train/2698320.0000_2700320.0000.ogg,"to do the surgical plan,"
data/train/2700320.0000_2702480.0000.ogg,"that is, where to start the incision"
data/train/2702480.0000_2704280.0000.ogg,"and how deep to go,"
data/train/2704280.0000_2705160.0000.ogg,which is customized by the doctor
data/train/2705160.0000_2707520.0000.ogg,on the three-dimensional model.
data/train/2712040.0000_2714000.0000.ogg,This is a step-by-step scene
data/train/2714000.0000_2716600.0000.ogg,that is both shocking and awe-inspiring.
data/train/2723600.0000_2725000.0000.ogg,"During the operation,"
data/train/2725000.0000_2728360.0000.ogg,Mao Chengyu was awakened from anesthesia.
data/train/2729480.0000_2731440.0000.ogg,Is my head open?
data/train/2731440.0000_2733400.0000.ogg,"No, just a small hole, you understand."
data/train/2733400.0000_2736200.0000.ogg,And the doctor asked her to sing and keep singing.
data/train/2736200.0000_2742800.0000.ogg,Happy birthday to you.
data/train/2735800.0000_2742120.0000.ogg,(On-the-spot documentary)
data/train/2743600.0000_2746160.0000.ogg,"In the case of functional testing,"
data/train/2746160.0000_2748720.0000.ogg,the surgery was performed to achieve
data/train/2749240.0000_2750440.0000.ogg,the function without causing damage.
data/train/2750440.0000_2752160.0000.ogg,During the operation
data/train/2752160.0000_2752840.0000.ogg,we cut out
data/train/2752840.0000_2754440.0000.ogg,the hemangioma in the most precise fashion
data/train/2756520.0000_2757720.0000.ogg,"because if there was any damage,"
data/train/2757720.0000_2759360.0000.ogg,she would not be able to sing
data/train/2759360.0000_2761000.0000.ogg,and her rhythm would stop.
data/train/2761920.0000_2766400.0000.ogg,Happy birthday to you.
data/train/2762160.0000_2767320.0000.ogg,(On-the-spot documentary)
data/train/2767000.0000_2769880.0000.ogg,This should be the song of life.
data/train/2770600.0000_2772600.0000.ogg,"Mao Chengyu's voice is as light as silk,"
data/train/2772880.0000_2774680.0000.ogg,but her rhythm is sound.
data/train/2775520.0000_2776960.0000.ogg,The doctor's skill
data/train/2776960.0000_2779600.0000.ogg,"and respect for life,"
data/train/2779600.0000_2782560.0000.ogg,"Mao Chengyu's love of music as life,"
data/train/2782560.0000_2783560.0000.ogg,and the perfect and precise execution
data/train/2783560.0000_2785760.0000.ogg,"of the surgical robot,"
data/train/2785760.0000_2787280.0000.ogg,together played
data/train/2787280.0000_2790200.0000.ogg,a symphony in honour of life.
data/train/2793120.0000_2793960.0000.ogg,I'm excited
data/train/2793960.0000_2795800.0000.ogg,"because I've done a lot of surgeries,"
data/train/2795800.0000_2798160.0000.ogg,but it's the first time I've been able to
data/train/2798160.0000_2800520.0000.ogg,come away from the operating table
data/train/2800520.0000_2802160.0000.ogg,and come out of the operating room singing.
data/train/2802160.0000_2804320.0000.ogg,The most gratifying thing is that
data/train/2804320.0000_2806320.0000.ogg,a child's artistic life
data/train/2806320.0000_2807960.0000.ogg,has been preserved.
data/train/2809360.0000_2811320.0000.ogg,A very typical and perfect surgery done
data/train/2809400.0000_2813240.0000.ogg,"(Dr. Liu Da, Developer of Remebot)"
data/train/2811320.0000_2813240.0000.ogg,in combination with the robot.
data/train/2813560.0000_2816320.0000.ogg,"I am grateful, very grateful,"
data/train/2814960.0000_2818800.0000.ogg,"(Mao Chengyu, Cellist of Shenzhen Symphony Orchestra)"
data/train/2816320.0000_2818440.0000.ogg,and thankful to 306 Hospital
data/train/2818440.0000_2821520.0000.ogg,for giving me a chance to be born again.
data/train/2821960.0000_2823360.0000.ogg,I am especially grateful
data/train/2823360.0000_2825680.0000.ogg,to our country
data/train/2825680.0000_2827880.0000.ogg,for having such a powerful and rapidly developing technology.
data/train/2846200.0000_2849320.0000.ogg,The expectation and pursuit of a long and healthy life
data/train/2849320.0000_2852720.0000.ogg,is the best wish of human beings.
data/train/2852720.0000_2855280.0000.ogg,"Cutting-edge technology and innovative ideas,"
data/train/2853880.0000_2860760.0000.ogg,"(By 2020, China's personal health expenditure as a share of total health expenditure is 28%.)"
data/train/2855280.0000_2857400.0000.ogg,"like a dose of new sunshine every day,"
data/train/2857400.0000_2859680.0000.ogg,"shines into people's lives,"
data/train/2859680.0000_2861560.0000.ogg,"making life brighter,"
data/train/2861360.0000_2867840.0000.ogg,"(By 2020, China's overall basic medical insurance coverage rate stabilizes at over 95%.)"
data/train/2861560.0000_2864480.0000.ogg,"warmer and more secure,"
data/train/2864480.0000_2866520.0000.ogg,and making everyone's life
data/train/2866520.0000_2868280.0000.ogg,more colourful
data/train/2868600.0000_2875360.0000.ogg,"(By 2020, the number of physicians in China reaches 3.867 million, with 8.72 billion annual visits.)"
data/train/2868280.0000_2869960.0000.ogg,and full of hope.
data/train/247860.0000_250659.0000.ogg,当然肛门测试是会非常不舒服
data/train/250700.0000_254040.0000.ogg,对于儿童婴儿还合比较适合
data/train/254040.0000_256084.0000.ogg,对于成人相对来说就不适合了
data/train/257034.0000_259685.0000.ogg,那么呢在测试体温之后
data/train/260474.0000_263285.0000.ogg,发烧的概念或者发烧的度
data/train/264313.0000_265746.0000.ogg,都是不一样的
data/train/265746.0000_268253.0000.ogg,像肛门测试我们说38度以上
data/train/268386.0000_270013.0000.ogg,就属于有发烧了
data/train/270386.0000_272213.0000.ogg,口腔里面37度5
data/train/272546.0000_274253.0000.ogg,腋下37度4
data/train/274770.0000_276433.0000.ogg,耳朵是37度8
data/train/276746.0000_277713.0000.ogg,而额头就不一样
data/train/278026.0000_281066.0000.ogg,儿童由于不同的年龄层
data/train/281066.0000_283073.0000.ogg,特别对孩子他们的皮肤比较嫩
data/train/283226.0000_284913.0000.ogg,所以说呢他在
data/train/285666.0000_288593.0000.ogg,额头的体温会有很大的差异
data/train/289714.0000_291772.0000.ogg,三个月以下38度1
data/train/292107.0000_293692.0000.ogg,以上我们才说是发烧
data/train/294067.0000_295052.0000.ogg,如果说是
data/train/295387.0000_298212.0000.ogg,3个月到四十七个月也就是四岁
data/train/298907.0000_300612.0000.ogg,以下37度9
data/train/300667.0000_302572.0000.ogg,然后4岁以上是37度8
data/train/302707.0000_305012.0000.ogg,四岁以上的基本上就是和
data/train/305267.0000_306492.0000.ogg,成人一样了
data/train/307978.0000_310141.0000.ogg,所以呢这个大家也要需要
data/train/310738.0000_311661.0000.ogg,有一个概念
data/train/312258.0000_315021.0000.ogg,所以说呢大家在量体温的时候
data/train/315735.0000_317217.0000.ogg,要用同一种方法
data/train/317602.0000_320217.0000.ogg,同一个温度计在同一个地方量
data/train/320482.0000_321777.0000.ogg,不要换来换去
data/train/321842.0000_323170.0000.ogg,经常我们看到的呢
data/train/323170.0000_325130.0000.ogg,就是有很多人就来说
data/train/325130.0000_326297.0000.ogg,我这温度计不准
data/train/326522.0000_328322.0000.ogg,我额头是什么什么温度
data/train/328322.0000_330337.0000.ogg,我腋下是什么什么温度
data/train/330922.0000_332962.0000.ogg,这个温度计是坏掉了
data/train/332962.0000_334337.0000.ogg,其实并不是这个样子
data/train/335110.0000_337674.0000.ogg,这是由于两种不同的
data/train/337845.0000_338634.0000.ogg,温度计
data/train/338765.0000_342074.0000.ogg,在不同的地方测试而造成的差异
data/train/343026.0000_345671.0000.ogg,所以大家在发病的同时
data/train/345988.0000_348271.0000.ogg,尽量用同一个温度计
data/train/348428.0000_350868.0000.ogg,再用同一样的方法去测试
data/train/350868.0000_353351.0000.ogg,那么呢相对来说我们可以知道
data/train/353548.0000_356951.0000.ogg,自己到底是不是发烧了还是一种误读
data/train/361173.0000_362281.0000.ogg,那么发烧
data/train/362281.0000_363378.0000.ogg,很多人担心
data/train/363401.0000_365338.0000.ogg,发烧会不会有各种各样的危害
data/train/365441.0000_366818.0000.ogg,大部分的来说的话
data/train/366881.0000_368578.0000.ogg,发烧是一个自然反应
data/train/368761.0000_371138.0000.ogg,并没有太大的危害
data/train/371681.0000_375058.0000.ogg,但是对于孩子来说的话这是另当别论了
data/train/375441.0000_376778.0000.ogg,对于孩子来说的话
data/train/377892.0000_380498.0000.ogg,最容易出现的一种形象叫癫痫症
data/train/380921.0000_381770.0000.ogg,癫痫症的时候
data/train/381770.0000_383521.0000.ogg,那时候就孩子就会翻白眼
data/train/383521.0000_385978.0000.ogg,然后失去意识
data/train/386001.0000_389298.0000.ogg,这个是往往是家长们最最最最担心的
data/train/389561.0000_390030.0000.ogg,一般呢
data/train/390030.0000_392818.0000.ogg,这种发病呢是六个月到5岁左右
data/train/393161.0000_393858.0000.ogg,会发生
data/train/395268.0000_397560.0000.ogg,一般的儿童2%-5%
data/train/398299.0000_400520.0000.ogg,的情况会有出现这种现况
data/train/401659.0000_402050.0000.ogg,这个呢
data/train/402050.0000_404310.0000.ogg,和家庭的癫痫是有一定的关联
data/train/404310.0000_405219.0000.ogg,但不是100%
data/train/405219.0000_406720.0000.ogg,什么叫家族癫痫史？
data/train/406779.0000_409440.0000.ogg,就是说在于直系亲属里面
data/train/409499.0000_411280.0000.ogg,父母亲 爷爷奶奶
data/train/411419.0000_413440.0000.ogg,叔叔伯伯
data/train/414006.0000_417811.0000.ogg,这些人里面有人有癫痫的历史
data/train/417928.0000_419728.0000.ogg,那么儿童发这个癫痫的可能性
data/train/419728.0000_421011.0000.ogg,相对就高一点
data/train/422168.0000_423971.0000.ogg,如果偶然的发一次
data/train/425586.0000_428770.0000.ogg,对孩子智商是没有多大的影响的
data/train/428770.0000_431591.0000.ogg,或者说是没有影响的
data/train/432428.0000_434111.0000.ogg,但是反复发作这个就有危险性了
data/train/434588.0000_438028.0000.ogg,所以说一旦孩子有这种癫痫情况出现
data/train/438028.0000_439911.0000.ogg,不管体温是多少
data/train/440108.0000_443031.0000.ogg,就需要马上就医不要耽搁了
data/train/444608.0000_447199.0000.ogg,另外呢对于儿童来说大家都比较小心
data/train/447199.0000_450239.0000.ogg,这以下这种情况也是需要马上就医
data/train/450239.0000_453700.0000.ogg,不要自己盲目的用药物帮孩子治疗
data/train/454239.0000_455820.0000.ogg,小于三个月的时候
data/train/456409.0000_459360.0000.ogg,小于3月，38度以上就要注意
data/train/459659.0000_462000.0000.ogg,因为婴儿发烧
data/train/462979.0000_465600.0000.ogg,可能对孩子的危害相对比较大一点
data/train/466571.0000_468619.0000.ogg,三个月以上那么呢可以
data/train/469440.0000_471640.0000.ogg,到40度以上如果没有其他症状
data/train/471640.0000_472819.0000.ogg,小孩子很好的
data/train/472920.0000_474960.0000.ogg,也可以那个时候再就医
data/train/474960.0000_477619.0000.ogg,但是我的建议这个因为是
data/train/478761.0000_481504.0000.ogg,儿科医生的一些建议 就是
data/train/481795.0000_484064.0000.ogg,美国儿科儿科协会的一个建议
data/train/484075.0000_485664.0000.ogg,但是我的建议就是说
data/train/485675.0000_487384.0000.ogg,如果说三个月以上
data/train/487435.0000_490355.0000.ogg,如果孩子发烧了38度
data/train/490355.0000_491664.0000.ogg,38度5左右
data/train/491755.0000_494464.0000.ogg,最起码你不用马上跑急诊室
data/train/494475.0000_497544.0000.ogg,可是最起码给你的儿科医生打个电话
data/train/497820.0000_499027.0000.ogg,在电话里面
data/train/499452.0000_500827.0000.ogg,听他们的指引
data/train/501252.0000_503987.0000.ogg,也不要等到40度虽然他们说40度
data/train/504212.0000_506387.0000.ogg,他们的意思就是40度的左右
data/train/506412.0000_508027.0000.ogg,你需要去急诊室了
data/train/508470.0000_510332.0000.ogg,而并不是说到了40度
data/train/510332.0000_512652.0000.ogg,才打电话给医生
data/train/512652.0000_515327.0000.ogg,38度到40度之间你们觉得
data/train/515532.0000_517172.0000.ogg,自己无法掌控的话
data/train/517172.0000_520212.0000.ogg,就马上打电话给自己的儿科医生
data/train/520212.0000_521727.0000.ogg,确定一下
data/train/522251.0000_523486.0000.ogg,以下那些情况
data/train/524328.0000_526354.0000.ogg,你就需要马上去急诊室
data/train/526354.0000_528685.0000.ogg,如果说孩子有这癫痫的情况出现
data/train/528874.0000_531925.0000.ogg,孩子意识开始模糊了你
data/train/532114.0000_534074.0000.ogg,就是你叫他，他孩子都睁不开眼睛
data/train/534074.0000_535925.0000.ogg,迷迷糊糊一直昏昏欲睡
data/train/536034.0000_536845.0000.ogg,这个情况
data/train/537758.0000_538990.0000.ogg,快点去急诊室
data/train/539129.0000_540670.0000.ogg,如果孩子在
data/train/541129.0000_544710.0000.ogg,发烧的同时有呕吐严重的腹泻的现象
data/train/544809.0000_546889.0000.ogg,快点去就医
data/train/546889.0000_548209.0000.ogg,因为这个情况的话
data/train/548209.0000_550430.0000.ogg,会往往会非常快的脱水
data/train/551059.0000_551895.0000.ogg,非常危险
data/train/552004.0000_552975.0000.ogg,然后呢还有呢
data/train/553004.0000_555975.0000.ogg,孩子的头颈 僵硬转头的时候不大灵活
data/train/556244.0000_559130.0000.ogg,这个时候也需要快点就医
data/train/559130.0000_561095.0000.ogg,因为这个可能有其他原因
data/train/561324.0000_563019.0000.ogg,造成的
data/train/563075.0000_564584.0000.ogg,对于成人来说的话
data/train/564795.0000_567744.0000.ogg,他也是会造成一些伤害的
data/train/567755.0000_569584.0000.ogg,但是呢由于成人呢
data/train/569715.0000_572904.0000.ogg,一般的体格比较好一点 人比较强
data/train/572995.0000_575384.0000.ogg,强壮一点如果单单发烧的话
data/train/575675.0000_576544.0000.ogg,一般要到
data/train/576715.0000_579195.0000.ogg,41度以上就是口腔温度
data/train/579195.0000_581024.0000.ogg,41度以上我们才说
data/train/581275.0000_581775.0000.ogg,是非常危险了
data/train/582510.0000_585407.0000.ogg,这个需要马上去急诊
data/train/585412.0000_588410.0000.ogg,如果是39度4以下的话一般呢
data/train/588410.0000_589967.0000.ogg,我们觉得危险度不大
data/train/590172.0000_591212.0000.ogg,危险度不大
data/train/591212.0000_594767.0000.ogg,但是如果说这个成人在39度4以下的时候
data/train/596732.0000_598412.0000.ogg,也出现了癫痫呢
data/train/598412.0000_601167.0000.ogg,红疹呢意识模糊头颈僵硬多种
data/train/601650.0000_603030.0000.ogg,这种类型的情况的话
data/train/603149.0000_605590.0000.ogg,也是要尽快的就医
data/train/606069.0000_609430.0000.ogg,尽快就医不要盲目的使用非处方药物
data/train/610029.0000_613350.0000.ogg,好这个就是我说一下发烧的危险以及
data/train/613869.0000_615030.0000.ogg,什么时候该
data/train/615709.0000_616590.0000.ogg,去解医生
data/train/617328.0000_618780.0000.ogg,或者说跑急诊室
data/train/619159.0000_620639.0000.ogg,下面就说说发烧
data/train/620639.0000_623420.0000.ogg,如果说有些人想自己治疗的话
data/train/623559.0000_625580.0000.ogg,在家里治疗应该用什么方法
data/train/626469.0000_628875.0000.ogg,其实呢发烧的本身
data/train/629244.0000_631315.0000.ogg,并不是一个坏事来的
data/train/631884.0000_635715.0000.ogg,如果轻度的发烧对人体是有好处的
data/train/636016.0000_637620.0000.ogg,特别是对感染以后
data/train/637620.0000_639540.0000.ogg,被病毒和细菌感染以后
data/train/639778.0000_640818.0000.ogg,轻度的发烧
data/train/640818.0000_643298.0000.ogg,可以让人体增加人体的干扰素的产生
data/train/644178.0000_647101.0000.ogg,那么干扰素这个东西呢就可以破坏
data/train/647298.0000_649781.0000.ogg,或者帮助人体去破坏
data/train/649858.0000_652901.0000.ogg,那些外来侵入的病毒和细菌
data/train/653844.0000_654360.0000.ogg,而且呢
data/train/654360.0000_657697.0000.ogg,有些病毒和细菌呢对温度非常敏感
data/train/658622.0000_661337.0000.ogg,他往往增加一度左右的话
data/train/661582.0000_665057.0000.ogg,很有些病毒或者细菌就可能
data/train/665182.0000_667137.0000.ogg,丧失了很大的活性
data/train/667182.0000_670977.0000.ogg,也就是说他无法扩散感染人体
data/train/671272.0000_673788.0000.ogg,所以说如果你们当时
data/train/673951.0000_676948.0000.ogg,盲盲目目的把这个体温硬压下来的话
data/train/677031.0000_680748.0000.ogg,对于控制这个细菌和病毒是不利的
data/train/682320.0000_683680.0000.ogg,我们的治疗的准则
data/train/683680.0000_687240.0000.ogg,并不是要把体温完全降到37度
data/train/687240.0000_688320.0000.ogg,并不是这个样子
data/train/688440.0000_691360.0000.ogg,最主要是让患者感到舒服
data/train/692310.0000_693015.0000.ogg,举个例子说
data/train/693015.0000_695335.0000.ogg,一般的人到38度5左右的话
data/train/695335.0000_696464.0000.ogg,开始觉得不舒服
data/train/696815.0000_697904.0000.ogg,开始觉得发冷
data/train/698255.0000_701055.0000.ogg,开始觉得肌肉酸疼关关节酸疼
data/train/701055.0000_703584.0000.ogg,那个时候服药是完全正常的
data/train/704380.0000_706310.0000.ogg,但是一般的情况下的
data/train/706570.0000_708510.0000.ogg,口服的一些降（温）药
data/train/709090.0000_710050.0000.ogg,一般帮人降
data/train/710050.0000_712130.0000.ogg,体温是降1度或者2度左右
data/train/712130.0000_714270.0000.ogg,也就是说他是从38度5
data/train/714410.0000_715950.0000.ogg,降到37度5
data/train/716770.0000_718150.0000.ogg,只是这个一度之差
data/train/718530.0000_720630.0000.ogg,让人会觉得舒服了很多很多
data/train/721365.0000_722817.0000.ogg,在这个情况之下的话
data/train/722942.0000_725577.0000.ogg,不要因为患者只是37度5
data/train/725742.0000_728097.0000.ogg,大家说哎呀这个体温还没有正常
data/train/728102.0000_730417.0000.ogg,我还要再降下来一定要降到37度
data/train/730462.0000_733577.0000.ogg,这个是没有必要的 而且呢往往呢
data/train/734306.0000_735698.0000.ogg,就是由于这个原因
data/train/735698.0000_737401.0000.ogg,而造成了药物的过量
data/train/737898.0000_738618.0000.ogg,药物的过量
data/train/738618.0000_740618.0000.ogg,其实那个药物已经发生作用了
data/train/740618.0000_742298.0000.ogg,已经把体温降下来了
data/train/742298.0000_744801.0000.ogg,如果那个时候再加大量的话
data/train/744978.0000_747321.0000.ogg,你可能的温度也降不下来
data/train/747618.0000_750241.0000.ogg,反而造成了药物的过量
data/train/751065.0000_754432.0000.ogg,对治疗的准则一般的方式
data/train/754987.0000_757307.0000.ogg,刚开始的时候温度比较低的时候
data/train/757307.0000_758672.0000.ogg,用物理散热
data/train/759210.0000_761110.0000.ogg,物理上面有这几种一种呢
data/train/761110.0000_762551.0000.ogg,就是用温水
data/train/762551.0000_763948.0000.ogg,略微温度的
data/train/764351.0000_766628.0000.ogg,水擦拭身子就可以了
data/train/766911.0000_768908.0000.ogg,这是为什么呢因为温水
data/train/769191.0000_770831.0000.ogg,他是水蒸气会蒸发
data/train/770831.0000_772471.0000.ogg,当水蒸气蒸发的时候呢
data/train/772471.0000_775228.0000.ogg,他会带走人体的一定的热量
data/train/776028.0000_779010.0000.ogg,这样子呢就可以让体温下降过去呢
data/train/779010.0000_781339.0000.ogg,有些人喜欢用酒精去擦拭
data/train/781339.0000_783400.0000.ogg,酒精擦拭的效果确实是很好
data/train/783579.0000_785680.0000.ogg,但是对儿童绝对不适合
data/train/785939.0000_788800.0000.ogg,因为酒精因为儿童的皮肤比较嫩
data/train/788899.0000_790499.0000.ogg,当酒精擦拭的时候
data/train/790499.0000_792200.0000.ogg,一来他们会很不舒服
data/train/792379.0000_793636.0000.ogg,第二有
data/train/793636.0000_795036.0000.ogg,可能把这个酒精
data/train/795036.0000_797063.0000.ogg,从过皮肤里面吸收进去
data/train/797076.0000_800476.0000.ogg,而造成一定程度的酒精中毒
data/train/800476.0000_801183.0000.ogg,所以对
data/train/801196.0000_803743.0000.ogg,儿童来说的话用温水擦拭就可以了
data/train/803796.0000_806183.0000.ogg,不要用酒精擦拭
data/train/806516.0000_807463.0000.ogg,然后呢让
data/train/808076.0000_810070.0000.ogg,大家呢就衣服穿的略微少一点
data/train/810070.0000_811423.0000.ogg,不要裹得紧紧的
data/train/811710.0000_813190.0000.ogg,因为发烧的时候呢
data/train/813190.0000_816096.0000.ogg,往往有些人就会觉得发冷
data/train/816096.0000_818530.0000.ogg,这由于就是身体的温度
data/train/818530.0000_820363.0000.ogg,和外界的温度的这些温差
data/train/820496.0000_822203.0000.ogg,而造成的一种不适合的一种反应
data/train/823936.0000_827643.0000.ogg,而并不是说那个人需要用裹起来他会
data/train/827970.0000_829428.0000.ogg,发热并不这个样子
data/train/829790.0000_830468.0000.ogg,应该要
data/train/830911.0000_833588.0000.ogg,适得其反应该把衣服穿少一点
data/train/833671.0000_835068.0000.ogg,穿的宽松一点
data/train/835071.0000_837231.0000.ogg,把里面的热量给散发掉
data/train/837231.0000_838591.0000.ogg,如果裹得紧紧的话
data/train/838591.0000_840351.0000.ogg,你热量散发不掉的话
data/train/840351.0000_843468.0000.ogg,你体温反而会更加高的涨上升
data/train/844651.0000_846169.0000.ogg,最后呢就是要多喝水
data/train/846250.0000_848489.0000.ogg,那么多喝水呢一来是有促
data/train/849010.0000_851009.0000.ogg,有益于促进出汗
data/train/851430.0000_854019.0000.ogg,另外呢还有个问题呢就是
data/train/854440.0000_855240.0000.ogg,多喝水呢
data/train/855240.0000_857570.0000.ogg,可以防止脱水的现象
data/train/857570.0000_860459.0000.ogg,这是物理散热治疗的一些方法
data/train/860600.0000_864179.0000.ogg,然后药物在美国非处方药物
data/train/864360.0000_866848.0000.ogg,里面有两种药物是我们最常用
data/train/866951.0000_869111.0000.ogg,用于治疗退烧的一种呢
data/train/869111.0000_870991.0000.ogg,就是 Acetaminophen
data/train/870991.0000_871808.0000.ogg,就是我们
data/train/871951.0000_874808.0000.ogg,在头疼片的时候我说过的就Tylenol
data/train/875953.0000_878886.0000.ogg,另外一种呢是 Ibuprofen
data/train/878886.0000_883033.0000.ogg,有两个厂家出 就是有两个品牌
data/train/883350.0000_884270.0000.ogg,一个呢是Motrin
data/train/884270.0000_886139.0000.ogg,一个是 Advil。这两个是一模一样的
data/train/886139.0000_887025.0000.ogg,都是 Ibuprofen
data/train/887179.0000_888299.0000.ogg,所以我就告诉大家
data/train/888299.0000_891560.0000.ogg,在买药的时候一定要看有效成分
data/train/891659.0000_893240.0000.ogg,不要看那个品牌
data/train/893339.0000_894360.0000.ogg,因为品牌
data/train/894779.0000_896320.0000.ogg,不一定
data/train/896959.0000_898520.0000.ogg,可以说明很多问题
data/train/898559.0000_901760.0000.ogg,品牌有些两个不同的品牌
data/train/902199.0000_904080.0000.ogg,他用的有效成分是一模一样的
data/train/904080.0000_906160.0000.ogg,这个希望大家注意
data/train/906199.0000_908440.0000.ogg,Ibuprofen呢中文叫布洛芬
data/train/908599.0000_909799.0000.ogg,这两个药物呢
data/train/909799.0000_911919.0000.ogg,在于分解的方式是不一样的
data/train/911919.0000_915080.0000.ogg,泰诺的分解的方式是用肝脏分解
data/train/915626.0000_917958.0000.ogg,所以呢这个药物过量的时候呢
data/train/917958.0000_920181.0000.ogg,会对肝脏有损伤
data/train/920678.0000_922501.0000.ogg,而这个泰诺呢
data/train/922518.0000_924470.0000.ogg,这个成分的 Acetaminophen
data/train/924470.0000_925981.0000.ogg,在很多的
data/train/926278.0000_928318.0000.ogg,不同的复方药里面有
data/train/928318.0000_930540.0000.ogg,举个例子做康泰克
data/train/930540.0000_933468.0000.ogg,举个例子说像 Nyquil，Day'qui'l 里面都有
data/train/933571.0000_934468.0000.ogg,泰诺成分
data/train/934531.0000_936908.0000.ogg,如果由于感冒而引起发烧
data/train/937011.0000_937948.0000.ogg,有些人就
data/train/938091.0000_938811.0000.ogg,用了一个药
data/train/938811.0000_941828.0000.ogg,又用另外一个药的话就往往就会造成
data/train/942611.0000_945014.0000.ogg,acetaminophen就是泰诺的过量
data/train/945145.0000_946734.0000.ogg,所以还是这句话
data/train/946945.0000_948934.0000.ogg,大家尽量多看一看
data/train/949065.0000_951574.0000.ogg,有效成分不要造成过量
data/train/954316.0000_956131.0000.ogg,Ibuprofen 呢这个药物呢
data/train/956348.0000_957771.0000.ogg,最主要的是伤胃
data/train/958068.0000_960971.0000.ogg,他容易引起胃部的不适
data/train/961148.0000_964068.0000.ogg,所以呢这个药物在服用的时之前呢
data/train/964068.0000_967051.0000.ogg,最好不要空腹一定要吃一点东西
data/train/967575.0000_970227.0000.ogg,这两个药物呢起效时间基本差不多
data/train/970232.0000_972387.0000.ogg,大概在半个小时到一个小时左右
data/train/972472.0000_974032.0000.ogg,所以呢不要因为吃了药
data/train/974032.0000_976027.0000.ogg,十分钟十五分钟就去量体温
data/train/976072.0000_978427.0000.ogg,那个时候体温可能没有任何变化
data/train/978752.0000_981632.0000.ogg,这是也就是往往有些家长犯的错误
data/train/981632.0000_982952.0000.ogg,他们给孩子吃的药
data/train/982952.0000_984552.0000.ogg,十分钟十五分钟就去量体温
data/train/984552.0000_985667.0000.ogg,体温还没下降来
data/train/985712.0000_987570.0000.ogg,好我再给他多吃一点
data/train/987570.0000_988510.0000.ogg,没有这个必要
data/train/988590.0000_989590.0000.ogg,耐心等待一下
data/train/989590.0000_991830.0000.ogg,一般半个小时到一个小时左右
data/train/991950.0000_994470.0000.ogg,就会出现体温下降的现象
data/train/995663.0000_998068.0000.ogg,有效时间这两个药也有点不一样
data/train/998131.0000_1000588.0000.ogg,泰伦诺的一般的情况呢是4
data/train/1000891.0000_1002628.0000.ogg,到6个小时的有效时间
data/train/1003290.0000_1006068.0000.ogg,而 ibuprofen 比较长是6-8个小时
data/train/1007285.0000_1008222.0000.ogg,那么有些人
data/train/1008277.0000_1009917.0000.ogg,经常问我们的问题就是说
data/train/1009917.0000_1012037.0000.ogg,好我给孩子吃的泰诺
data/train/1012037.0000_1013342.0000.ogg,或者我自己吃泰诺
data/train/1013597.0000_1015622.0000.ogg,到三个小时时候体温就上来了
data/train/1016037.0000_1018742.0000.ogg,那个时候我可不可以吃 Ibuprofen
data/train/1019517.0000_1021342.0000.ogg,理论上是可以
data/train/1022037.0000_1022742.0000.ogg,但是
data/train/1023117.0000_1026222.0000.ogg,我建议如果有这种情况出现的话
data/train/1026810.0000_1028646.0000.ogg,打个电话问一下医生
data/train/1028892.0000_1032767.0000.ogg,为什么？因为这么让Tylenol无效
data/train/1033452.0000_1036646.0000.ogg,这往往有两个可能性
data/train/1036732.0000_1039926.0000.ogg,一你用的药的剂量和用的药的方法错了
data/train/1040417.0000_1041140.0000.ogg,第二个
data/train/1041259.0000_1044700.0000.ogg,你可能有一些比较严重的问题在哪里
data/train/1045179.0000_1048020.0000.ogg,需要医生去判断到底是什么原因
data/train/1048863.0000_1052313.0000.ogg,一般的情况下不会这么快的失去效果
data/train/1052746.0000_1054113.0000.ogg,如果医生按
data/train/1054586.0000_1057146.0000.ogg,要求你们或者告诉你们去混合
data/train/1057146.0000_1059513.0000.ogg,他会告诉你们应该怎么样混合
data/train/1059586.0000_1061186.0000.ogg,这个两个药物
data/train/1061186.0000_1065073.0000.ogg,不要自己盲目的去混合使用退烧药
data/train/1066240.0000_1067870.0000.ogg,好最后我要讲一个的
data/train/1067870.0000_1069510.0000.ogg,就是说有些人说哎
data/train/1069510.0000_1071870.0000.ogg,我听说阿司匹林也可以退烧
data/train/1071870.0000_1072969.0000.ogg,为什么你没有说
data/train/1074090.0000_1076395.0000.ogg,阿司匹林在刚刚开始出来的时候
data/train/1076395.0000_1077875.0000.ogg,确实是一种退烧药
data/train/1077875.0000_1080684.0000.ogg,而且是一个非常有效的退烧药来
data/train/1081167.0000_1081936.0000.ogg,但是
data/train/1082423.0000_1085576.0000.ogg,后来大家发现阿司匹林退烧的时候
data/train/1085903.0000_1089400.0000.ogg,有可能会诱发一种叫Reyes Syndrome
data/train/1089423.0000_1091696.0000.ogg,就是瑞氏综合症
data/train/1092120.0000_1093340.0000.ogg,特别是对儿童
data/train/1093779.0000_1096779.0000.ogg,在儿童病毒感染之后像流感呐
data/train/1096779.0000_1098220.0000.ogg,感冒 水痘
data/train/1098539.0000_1100739.0000.ogg,在治疗和康复过程当中
data/train/1100739.0000_1102700.0000.ogg,因为服用了阿司匹林
data/train/1103019.0000_1105699.0000.ogg,会产生这个Reyes Syndrome
data/train/1105699.0000_1106540.0000.ogg,一种比较罕见的疾病
data/train/1107176.0000_1110971.0000.ogg,这个疾病会影响身体的所有器官
data/train/1110988.0000_1113171.0000.ogg,造成很多器官的水肿
data/train/1113828.0000_1114651.0000.ogg,最容易
data/train/1115468.0000_1117588.0000.ogg,造成伤害的是肝脏和大脑
data/train/1117588.0000_1119851.0000.ogg,造成肝脏和大脑的水肿
data/train/1120700.0000_1123485.0000.ogg,如果抢救治疗不及时的话
data/train/1123485.0000_1125934.0000.ogg,会造成肝肾的衰竭
data/train/1126125.0000_1129174.0000.ogg,脑部的损伤甚至于死亡
data/train/1129605.0000_1131254.0000.ogg,这个是非常危险的
data/train/1131510.0000_1134080.0000.ogg,具体原因至今为止还不明确
data/train/1134619.0000_1138360.0000.ogg,所以说如果要用阿司匹林退烧的话
data/train/1138459.0000_1142720.0000.ogg,一定是需要医生的嘱咐才行
data/train/1143120.0000_1146020.0000.ogg,如果医生说这个孩子需要用阿司匹林
data/train/1146020.0000_1148131.0000.ogg,因为有一些特殊的案例
data/train/1148188.0000_1150531.0000.ogg,确实需要用阿司匹林来治疗
data/train/1150668.0000_1154291.0000.ogg,包括儿童。 这个需要有医生的去评估
data/train/1154348.0000_1157051.0000.ogg,而自己千万不要盲盲然的
data/train/1157068.0000_1158491.0000.ogg,去用阿司匹林退烧
data/train/1159029.0000_1161680.0000.ogg,由于我们发现了这个Reyes Syndrome之后
data/train/1161979.0000_1163840.0000.ogg,1988年至今美国
data/train/1163979.0000_1165840.0000.ogg,至今为止只有20例Reyes Syndrome
data/train/1166019.0000_1169560.0000.ogg,所以这是非常非常罕见
data/train/1170030.0000_1172051.0000.ogg,所以大家不用过多的担心
data/train/1172051.0000_1173371.0000.ogg,只是我想提醒大家
data/train/1173371.0000_1176008.0000.ogg,如果儿童出现发烧现象的话
data/train/1176091.0000_1179088.0000.ogg,千万不要用阿司匹林去退烧
data/train/1179371.0000_1181448.0000.ogg,除非是医生的嘱咐
data/train/1182305.0000_1184092.0000.ogg,好了今天就讲到这里
data/train/1184092.0000_1186092.0000.ogg,希望大家对退烧和发烧
data/train/1186092.0000_1188347.0000.ogg,这个情况有了一个初步的了解
data/train/1188452.0000_1189292.0000.ogg,有什么问题
data/train/1189292.0000_1190787.0000.ogg,欢迎在下面提问
data/train/1191330.0000_1192916.0000.ogg,再次提醒大家
data/train/1193103.0000_1196703.0000.ogg,不要盲目的自己使用非处方药物
data/train/1196703.0000_1200276.0000.ogg,如果你对自己的病情病症不了解的话
data/train/1200303.0000_1201636.0000.ogg,不要盲目
data/train/1201783.0000_1203716.0000.ogg,谢谢大家。祝大家都健康
data/train/250720.0000_254920.0000.ogg,that will lead to bowel and urinary incontinence
data/train/254920.0000_259519.0000.ogg,It may even weaken the legs and render one immobile
data/train/259519.0000_260920.0000.ogg,These are late-stage symptoms
data/train/260920.0000_264480.0000.ogg,"If the condition is serious, hospitalisation is inevitable"
data/train/264480.0000_267960.0000.ogg,"There will be medical expenses incurred for medications, surgery and so on"
data/train/267960.0000_269720.0000.ogg,"That's true, which is why..."
data/train/269720.0000_272200.0000.ogg,we keep advocating the need to seek treatment for health problems
data/train/272200.0000_274720.0000.ogg,It's best to buy medical insurance for...
data/train/274720.0000_276720.0000.ogg,yourself and your family
data/train/276720.0000_277920.0000.ogg,That's important
data/train/277920.0000_280520.0000.ogg,How do we prevent prostate cancer? -How?
data/train/280520.0000_282720.0000.ogg,You have to go for screening
data/train/282720.0000_283920.0000.ogg,Screening? -Right
data/train/283920.0000_287920.0000.ogg,"In the past, prostate cancer was screened by..."
data/train/287920.0000_290120.0000.ogg,a blood test to assess...
data/train/290120.0000_292520.0000.ogg,the level of prostate-specific antigen or PSA
data/train/292520.0000_294720.0000.ogg,Take a blood sample -That's right
data/train/294720.0000_299120.0000.ogg,PSA is one of the proteins produced by the prostate
data/train/299720.0000_302120.0000.ogg,It can be found in men's blood
data/train/302120.0000_306520.0000.ogg,A blood test can reveal the PSA index
data/train/306520.0000_307920.0000.ogg,How accurate is it?
data/train/307920.0000_311520.0000.ogg,"If the PSA level is between 4% and 10%,"
data/train/311520.0000_314920.0000.ogg,the probability of developing prostate cancer is around 38%
data/train/314920.0000_319720.0000.ogg,There may be other factors which may lead to a rise in PSA
data/train/319720.0000_321920.0000.ogg,The most common factor is an enlarged prostate
data/train/321920.0000_325320.0000.ogg,Prostate inflammation may also lead to a rise in PSA
data/train/325520.0000_328640.0000.ogg,"Therefore, a high PSA level doesn't necessarily mean it's prostate cancer"
data/train/328640.0000_331720.0000.ogg,"If the PSA level is elevated, what's the next course of action?"
data/train/331720.0000_333440.0000.ogg,"Generally speaking, there are two ways"
data/train/333440.0000_336680.0000.ogg,"One, do a biopsy"
data/train/336760.0000_341800.0000.ogg,"Two, do an MRI or Magnetic Resonance Imaging,"
data/train/341800.0000_344600.0000.ogg,to detect any abnormalities
data/train/345360.0000_348360.0000.ogg,You mentioned biopsy. How is it done?
data/train/348360.0000_352400.0000.ogg,I have brought something here to give a demonstration
data/train/352400.0000_353200.0000.ogg,It's long
data/train/353200.0000_355560.0000.ogg,That's long. Don't tell me...
data/train/355560.0000_359480.0000.ogg,It's used for extracting cells
data/train/359480.0000_361000.0000.ogg,Where is it inserted?
data/train/361000.0000_364320.0000.ogg,It's inserted either into the rectum or perineum
data/train/364320.0000_367080.0000.ogg,Let's ask the doctor to give us a demonstration
data/train/367640.0000_370320.0000.ogg,This is an MRI image
data/train/370320.0000_373360.0000.ogg,This pink area is called L1
data/train/373360.0000_376000.0000.ogg,It's the abnormal part
data/train/376600.0000_378880.0000.ogg,You can see two colours
data/train/378880.0000_381680.0000.ogg,The pink one is the MRI image
data/train/381840.0000_385400.0000.ogg,The green area is an image obtained with ultrasound from...
data/train/385400.0000_387960.0000.ogg,a patient who was anaesthetised
data/train/387960.0000_390200.0000.ogg,The two images are merged
data/train/390320.0000_393440.0000.ogg,The two white spots are what we have determined...
data/train/393440.0000_395520.0000.ogg,to be areas with abnormalities
data/train/395520.0000_397480.0000.ogg,They could be prostate cancer areas
data/train/397480.0000_398600.0000.ogg,This is a 2-D image
data/train/398600.0000_401680.0000.ogg,The pink area indicates abnormality
data/train/402000.0000_404480.0000.ogg,The machine helps us to pinpoint the location
data/train/404480.0000_406880.0000.ogg,This is the area we want to examine
data/train/407280.0000_408920.0000.ogg,"So, you've to pin it with needles"
data/train/408920.0000_410480.0000.ogg,"Yes, so..."
data/train/411159.0000_412080.0000.ogg,So many!
data/train/412080.0000_415240.0000.ogg,We are guided by the machine to examine the area
data/train/415240.0000_418360.0000.ogg,How do you carry out a biopsy?
data/train/418480.0000_420200.0000.ogg,Let me demonstrate
data/train/420520.0000_422800.0000.ogg,The patient will be under general anaesthesia
data/train/422800.0000_425680.0000.ogg,This is inserted into the patient's anus
data/train/425680.0000_431520.0000.ogg,The use of ultrasound enables us to pinpoint the location instantly
data/train/431520.0000_433360.0000.ogg,The machine has pinned the location
data/train/433360.0000_436840.0000.ogg,The needle is inserted via this part
data/train/437440.0000_439240.0000.ogg,The cells are extracted
data/train/439240.0000_442640.0000.ogg,"After the extraction, the machine will move to the next location"
data/train/442640.0000_445720.0000.ogg,"Doctor, I understand that you can also do digital rectal examination"
data/train/445880.0000_448840.0000.ogg,It can assess whether or not you have prostate cancer
data/train/449280.0000_451400.0000.ogg,Surgeons will usually insert their index finger...
data/train/451400.0000_453400.0000.ogg,into the rectum to feel the prostate
data/train/453680.0000_457720.0000.ogg,A normal prostate feels like rubber
data/train/457720.0000_459360.0000.ogg,"But if you have prostate cancer,"
data/train/459360.0000_462520.0000.ogg,you will probably feel a lump that's as hard as a stone
data/train/462800.0000_468200.0000.ogg,Then you can conclude whether or not the patient has prostate cancer
data/train/468200.0000_471240.0000.ogg,But digital rectal examination is not 100% accurate...
data/train/471240.0000_475360.0000.ogg,"because your finger can only touch the back of the prostate,"
data/train/475360.0000_476720.0000.ogg,the part near the anus
data/train/476720.0000_481880.0000.ogg,The finger is unable to reach the sides and front of the prostate
data/train/481880.0000_484040.0000.ogg,"And in some cases of prostate cancer,"
data/train/484040.0000_487560.0000.ogg,"there is no lump at all, so there is nothing to feel"
data/train/487560.0000_491320.0000.ogg,"Generally speaking, the accuracy of digital rectal examination is only 30%"
data/train/491320.0000_492400.0000.ogg,I see
data/train/492400.0000_495000.0000.ogg,Let's take a break now -That's right
data/train/495000.0000_497080.0000.ogg,A TCM physician will join us after the commercial break
data/train/497080.0000_499040.0000.ogg,See you later -See you soon
data/train/509360.0000_511440.0000.ogg,"Let's welcome our TCM physician, Dr Li Guang Jun, to our discussion"
data/train/511440.0000_512640.0000.ogg,Welcome
data/train/512640.0000_513840.0000.ogg,"Welcome, Mr Li"
data/train/513840.0000_517240.0000.ogg,What's your view on prostate cancer?
data/train/517240.0000_521320.0000.ogg,"In TCM, the causes of diseases with tumours are similar"
data/train/521320.0000_523240.0000.ogg,One of them is active pathogenic qi
data/train/523240.0000_526640.0000.ogg,"Pathogenic qi may include blood stasis,"
data/train/526640.0000_529520.0000.ogg,phlegm-dampness and toxic heat
data/train/529520.0000_531960.0000.ogg,Another cause is zhengqi deficiency
data/train/531960.0000_533800.0000.ogg,"For prostate cancer patients,"
data/train/533800.0000_537400.0000.ogg,the deficiency is manifested as dysfunctional liver and kidneys
data/train/537400.0000_541200.0000.ogg,"Actually, TCM has no way of diagnosing cancer with accuracy"
data/train/541440.0000_543560.0000.ogg,Cancer detection relies on diagnostic methods in Western medicine
data/train/543560.0000_544360.0000.ogg,Through tests
data/train/544360.0000_547240.0000.ogg,"Right, but as for the presence of pathogenic qi,"
data/train/547240.0000_549240.0000.ogg,"in the early stage,"
data/train/549240.0000_553920.0000.ogg,we can know where it is through observation
data/train/553920.0000_556160.0000.ogg,"For example, someone with blood stasis..."
data/train/556160.0000_557920.0000.ogg,will suffer from poor flow of qi and blood
data/train/557920.0000_560520.0000.ogg,His tongue may appear dark
data/train/561400.0000_564040.0000.ogg,"For some people, there is bruising on the tongue"
data/train/564040.0000_566600.0000.ogg,"If you examine the veins under their tongues,"
data/train/566600.0000_570720.0000.ogg,they tend to be thicker and longer
data/train/570960.0000_574720.0000.ogg,"And of course, we will talk about risk factors for prostate cancer"
data/train/574720.0000_576080.0000.ogg,What are they?
data/train/576080.0000_578640.0000.ogg,There are several risk factors for prostate cancer
data/train/578640.0000_581080.0000.ogg,"One, family history"
data/train/581080.0000_585200.0000.ogg,"If your father and brothers have prostate cancer,"
data/train/585240.0000_588320.0000.ogg,then your chances of contracting prostate cancer are doubled
data/train/588640.0000_590680.0000.ogg,The second risk factor is diet
data/train/590680.0000_592480.0000.ogg,It has to do with food
data/train/592720.0000_597080.0000.ogg,Research findings have revealed that a high intake of...
data/train/597080.0000_600080.0000.ogg,"foods high in animal fat and saturated fat,"
data/train/600080.0000_601440.0000.ogg,or deep-fried foods...
data/train/601440.0000_604480.0000.ogg,may increase your chances of contracting prostate cancer
data/train/604480.0000_605560.0000.ogg,Okay
data/train/605560.0000_607760.0000.ogg,"Conversely, if your diet consists of..."
data/train/607760.0000_613480.0000.ogg,"mainly vegetables, grains, nuts and fish,"
data/train/613480.0000_615400.0000.ogg,then your chances of contracting prostate cancer...
data/train/615400.0000_617040.0000.ogg,will probably be lower
data/train/617040.0000_618840.0000.ogg,"In fact, studies have shown that..."
data/train/618840.0000_624440.0000.ogg,"you should eat more than 10 servings of tomatoes daily,"
data/train/624440.0000_627040.0000.ogg,but the tomatoes must be cooked or processed
data/train/627040.0000_629960.0000.ogg,Eating raw tomatoes isn't really beneficial
data/train/629960.0000_634360.0000.ogg,Then your chances of developing prostate cancer may decrease by 18%
data/train/634720.0000_636480.0000.ogg,Other studies have revealed that...
data/train/636480.0000_639040.0000.ogg,"if your waist circumference is more than 102 cm,"
data/train/639040.0000_641280.0000.ogg,"which is roughly 40 inches,"
data/train/641280.0000_645040.0000.ogg,then your chances of developing prostate cancer may also increase
data/train/645440.0000_647400.0000.ogg,I have a question for Mr Li
data/train/647400.0000_649720.0000.ogg,Could you share a memorable case with us?
data/train/649720.0000_650720.0000.ogg,Do you have any?
data/train/650720.0000_654560.0000.ogg,"Recently, I encountered a challenging case"
data/train/654560.0000_656040.0000.ogg,This person is in his 60s
data/train/656040.0000_658320.0000.ogg,He consulted you after surgery?
data/train/658320.0000_660680.0000.ogg,Four months after surgery and radiotherapy
data/train/660840.0000_664120.0000.ogg,"When he came, his primary issue was urinary incontinence"
data/train/664120.0000_665280.0000.ogg,Urinary incontinence
data/train/665280.0000_666960.0000.ogg,"It's fine when he is lying flat,"
data/train/666960.0000_669400.0000.ogg,"but when he stands up, his urine leaks"
data/train/669400.0000_670720.0000.ogg,Was it because of the surgery?
data/train/670720.0000_672000.0000.ogg,It didn't happen before
data/train/672000.0000_676160.0000.ogg,"It affects his life, so he has to wear diapers at work"
data/train/676720.0000_678400.0000.ogg,"If the weather is very hot,"
data/train/678400.0000_682400.0000.ogg,"it's uncomfortable, so he has to clip his penis"
data/train/682480.0000_685840.0000.ogg,"After a period of time, he will relieve himself in the toilet"
data/train/685840.0000_688640.0000.ogg,I guess he sought treatment from you?
data/train/688640.0000_692520.0000.ogg,Yes. I administered acupuncture in the hope that...
data/train/692520.0000_694640.0000.ogg,it would help him do away with the diapers
data/train/694640.0000_695840.0000.ogg,Was it effective?
data/train/695840.0000_699840.0000.ogg,It has helped as the urine leak is lesser now
data/train/700040.0000_701680.0000.ogg,We are using this opportunity...
data/train/701680.0000_705640.0000.ogg,to learn more about the experience of a prostate cancer patient
data/train/705640.0000_708000.0000.ogg,He has recovered. Let's take a look
data/train/709120.0000_712480.0000.ogg,Many people say that the prostate is like a walnut
data/train/712480.0000_716920.0000.ogg,"Prostate cancer survivors are known as ""walnut warriors"""
data/train/716920.0000_718240.0000.ogg,"In 2017,"
data/train/718240.0000_722240.0000.ogg,I became a walnut warrior
data/train/726840.0000_728640.0000.ogg,Prostate Cancer Survivor
data/train/729240.0000_731840.0000.ogg,"Sam Ho Kum Fai, 64. Retiree"
data/train/732000.0000_736160.0000.ogg,I was 57 when I went for a health screening at a hospital
data/train/736680.0000_740640.0000.ogg,The doctor discovered that my prostate was enlarged and...
data/train/740640.0000_745240.0000.ogg,advised me to do a prostate-specific antigen test (PSA)
data/train/745240.0000_747760.0000.ogg,"The test result showed that my PSA level was 6.0 ng/mL,"
data/train/747760.0000_751680.0000.ogg,which is higher than the normal PSA level of 4.0 ng/mL
data/train/751680.0000_755440.0000.ogg,The doctor advised me to do a biopsy immediately
data/train/755440.0000_757160.0000.ogg,But I was reluctant to do so...
data/train/757160.0000_759480.0000.ogg,"because it was nearing Christmas and the New Year,"
data/train/759480.0000_761280.0000.ogg,so I procrastinated
data/train/761280.0000_763080.0000.ogg,"Two months later,"
data/train/763080.0000_766880.0000.ogg,I did the PSA test again
data/train/767160.0000_770040.0000.ogg,My PSA level had risen to 8.0 ng/mL
data/train/770040.0000_774760.0000.ogg,My doctor said that I must do a biopsy
data/train/774920.0000_778720.0000.ogg,The biopsy confirmed that I had prostate cancer
data/train/782120.0000_785360.0000.ogg,I didn't even know what a prostate was
data/train/785360.0000_790160.0000.ogg,What's prostate cancer? Is it serious?
data/train/790160.0000_792000.0000.ogg,How long will I live?
data/train/793240.0000_796120.0000.ogg,I had so many questions
data/train/796120.0000_798160.0000.ogg,I didn't know who to ask
data/train/798400.0000_800480.0000.ogg,I was still working back then
data/train/801000.0000_803400.0000.ogg,How long does the treatment take?
data/train/803400.0000_806600.0000.ogg,"Under the circumstances, I was really frustrated"
data/train/806600.0000_808600.0000.ogg,I felt really helpless
data/train/811960.0000_816520.0000.ogg,My doctor quickly arranged for me to undergo prostatectomy
data/train/817000.0000_821400.0000.ogg,"Fortunately, the cancer didn't spread,"
data/train/821400.0000_824160.0000.ogg,so radiotherapy was not necessary
data/train/825120.0000_829400.0000.ogg,Of course there were post-surgery complications
data/train/829400.0000_833520.0000.ogg,Urinary incontinence means that I had to do Kegel exercises...
data/train/833520.0000_835320.0000.ogg,to control my bladder
data/train/835320.0000_836720.0000.ogg,"After I recovered,"
data/train/836720.0000_840160.0000.ogg,I was referred to a rehabilitation centre...
data/train/840160.0000_842400.0000.ogg,to do some rehabilitation exercises...
data/train/842400.0000_845760.0000.ogg,to train all my muscles
data/train/848040.0000_851760.0000.ogg,My condition made me appreciate even more the importance of keeping healthy
data/train/852000.0000_855160.0000.ogg,And I believe that many people...
data/train/855160.0000_857480.0000.ogg,are clueless like me
data/train/857600.0000_862920.0000.ogg,You don't know what to do after the diagnosis
data/train/863080.0000_867520.0000.ogg,"Therefore, I joined the Walnut Warriors Support Group of..."
data/train/867520.0000_870080.0000.ogg,the Singapore Cancer Society
data/train/870160.0000_874200.0000.ogg,"Every week, together with other walnut warriors,"
data/train/874200.0000_877640.0000.ogg,"we exercise, participate in activities and attend seminars"
data/train/877640.0000_880440.0000.ogg,I've also become a Walnut Warrior Ambassador
data/train/880440.0000_884720.0000.ogg,"With my experience, I help new patients"
data/train/884720.0000_885960.0000.ogg,I encourage them and...
data/train/885960.0000_889240.0000.ogg,walk with them on this difficult journey
data/train/892840.0000_896400.0000.ogg,This is what I want to say to prostate cancer patients
data/train/896400.0000_897600.0000.ogg,Don't be afraid
data/train/897600.0000_903400.0000.ogg,Listen to the advice of your urologist and oncologist
data/train/904160.0000_909040.0000.ogg,"Even if you have to remove your prostate, don't worry"
data/train/909040.0000_910840.0000.ogg,"You can be like me,"
data/train/910840.0000_913200.0000.ogg,living healthily and happily
data/train/913280.0000_915840.0000.ogg,You're definitely not alone
data/train/916120.0000_919080.0000.ogg,Someone will walk this journey with you
data/train/921320.0000_922760.0000.ogg,Really
data/train/922880.0000_927560.0000.ogg,"Sometimes, hiding your condition from others stresses yourself out even more"
data/train/927560.0000_928560.0000.ogg,Emotionally
data/train/928560.0000_930960.0000.ogg,If you open up and share your experience...
data/train/930960.0000_934760.0000.ogg,"like this recovered patient, you'll feel better"
data/train/934760.0000_936920.0000.ogg,There's nothing fearful about prostate cancer
data/train/936920.0000_940280.0000.ogg,We heard from him that he'd had surgery to remove his prostate
data/train/940280.0000_944160.0000.ogg,"Apart from prostatectomy, are there other treatment methods?"
data/train/944400.0000_945600.0000.ogg,"In recent years,"
data/train/945600.0000_949520.0000.ogg,most prostate surgeries are performed with the aid of robots
data/train/949520.0000_953680.0000.ogg,Does prostatectomy affect male fertility?
data/train/953680.0000_956520.0000.ogg,Auriculotherapy is a very good treatment method
data/train/956520.0000_960600.0000.ogg,Can you really improve sexual performance with just a patch and acupressure?
data/train/971560.0000_974880.0000.ogg,"Apart from prostatectomy, are there other treatment methods?"
data/train/974880.0000_978480.0000.ogg,Not every case of prostate cancer requires treatment
data/train/978480.0000_983320.0000.ogg,"For prostate cancer in the early stages, especially the first stage,"
data/train/983320.0000_985160.0000.ogg,we could use active monitoring...
data/train/985160.0000_989280.0000.ogg,because the onset and growth of this type of prostate cancer...
data/train/989280.0000_991080.0000.ogg,"will probably be very slow,"
data/train/991080.0000_994360.0000.ogg,so it may not be life-threatening
data/train/994360.0000_998880.0000.ogg,"However, it's necessary to go for regular check-ups to prevent it from advancing,"
data/train/998880.0000_1000560.0000.ogg,which would require timely treatment
data/train/1000560.0000_1003360.0000.ogg,Treatment methods are divided broadly into two types
data/train/1003360.0000_1004920.0000.ogg,The first type is radiotherapy
data/train/1005080.0000_1009240.0000.ogg,Radiotherapy is subdivided into brachytherapy and teletherapy
data/train/1009240.0000_1010840.0000.ogg,"In brachytherapy,"
data/train/1010840.0000_1015200.0000.ogg,a sealed radiation source is placed directly in the prostate and...
data/train/1015200.0000_1016400.0000.ogg,radiates outwards
data/train/1016400.0000_1018040.0000.ogg,"Diffusion -Yes, diffusion"
data/train/1018040.0000_1020240.0000.ogg,"Generally, is the whole prostate removed?"
data/train/1020240.0000_1022880.0000.ogg,The whole prostate is taken out
data/train/1022880.0000_1027040.0000.ogg,There are different ways to carry out surgery
data/train/1027040.0000_1030079.0000.ogg,The most traditional way is open surgery
data/train/1030079.0000_1033280.0000.ogg,The incision is made from the navel to the penis
data/train/1033280.0000_1035480.0000.ogg,The advantage is that the surgeon...
data/train/1035480.0000_1038119.0000.ogg,"can put his hands into the patient's body,"
data/train/1038119.0000_1040240.0000.ogg,enabling the surgeon to move his hands dexterously
data/train/1040240.0000_1043200.0000.ogg,"But the prostate is in the inner area of the pelvis,"
data/train/1043200.0000_1045400.0000.ogg,so the line of sight may not be clear
data/train/1046079.0000_1048760.0000.ogg,"As for conventional laparoscopic surgery,"
data/train/1048760.0000_1052160.0000.ogg,"the advantage is that the surgeon can see the entire prostate,"
data/train/1052160.0000_1053920.0000.ogg,and its position
data/train/1053920.0000_1057320.0000.ogg,The disadvantage is that it's not flexible
data/train/1057320.0000_1062120.0000.ogg,Conventional 2-D laparoscopy produces 2-D images
data/train/1062120.0000_1063800.0000.ogg,There is no depth perception
data/train/1064160.0000_1065920.0000.ogg,"Thus, in recent years,"
data/train/1065920.0000_1070600.0000.ogg,most prostate surgeries are performed with the assistance of a robot
data/train/1070600.0000_1072440.0000.ogg,It combines the advantages of...
data/train/1072440.0000_1075440.0000.ogg,"open surgery and conventional laparoscopic surgery,"
data/train/1075440.0000_1079200.0000.ogg,"that is, through a small wound,"
data/train/1079200.0000_1081920.0000.ogg,the robotic hand can go into the body
data/train/1082000.0000_1083560.0000.ogg,What we see are 3-D images
data/train/1083560.0000_1086000.0000.ogg,The robotic hand is highly dexterous
data/train/1086000.0000_1088920.0000.ogg,"In other words, it can suture quickly and with precision"
data/train/1088920.0000_1091840.0000.ogg,This is also advantageous to...
data/train/1091840.0000_1096840.0000.ogg,the treatment and recovery of prostate cancer patients
data/train/1097360.0000_1101200.0000.ogg,Does the surgery affect sexual function?
data/train/1101200.0000_1104240.0000.ogg,It will affect sexual function more or less
data/train/1104240.0000_1107160.0000.ogg,The biggest problem lies with the prostatic plexus
data/train/1107160.0000_1110040.0000.ogg,It's located very near the prostate
data/train/1110320.0000_1114680.0000.ogg,Does prostatectomy affect male fertility?
data/train/1114680.0000_1118480.0000.ogg,"If you want natural conception, that's not possible..."
data/train/1118480.0000_1121240.0000.ogg,because the prostate has been removed
data/train/1121240.0000_1123880.0000.ogg,"But because sperm are produced by the testicles,"
data/train/1123880.0000_1129280.0000.ogg,one can still resort to artificial insemination to produce offspring
data/train/1129280.0000_1131080.0000.ogg,Can it be treated with medications?
data/train/1131080.0000_1133880.0000.ogg,"If medicines are prescribed, it's usually at the terminal stage"
data/train/1133880.0000_1135160.0000.ogg,That's Stage 4 cancer
data/train/1135160.0000_1138920.0000.ogg,It means that the cancer has spread to other organs
data/train/1138920.0000_1140520.0000.ogg,Medicines are prescribed only at the terminal stage?
data/train/1140520.0000_1142080.0000.ogg,That's because the cancer has spread
data/train/1142080.0000_1144200.0000.ogg,"For example, if it spreads to the bones,"
data/train/1144200.0000_1147040.0000.ogg,you can't possibly remove all the bones
data/train/1147040.0000_1150080.0000.ogg,What about the TCM perspective? How is it treated?
data/train/1150080.0000_1152320.0000.ogg,The first choice is oral medicines
data/train/1152320.0000_1156080.0000.ogg,"Based on the patient's condition, we will prescribe the medicines accordingly"
data/train/1156080.0000_1159360.0000.ogg,Supposing this person has a bad case of phlegm-dampness
data/train/1159360.0000_1162360.0000.ogg,"Then we will prescribe Chinese medicines that dissolve phlegm, remove dampness,"
data/train/1162360.0000_1165120.0000.ogg,soften hard lumps and dispel nodes
data/train/1165120.0000_1166960.0000.ogg,"If the pathogenic heat and toxins are strong,"
data/train/1166960.0000_1169880.0000.ogg,then the primary medicines are those that clear heat and neutralise toxins
data/train/1169880.0000_1174680.0000.ogg,Some clinical and experimental studies have revealed that certain Chinese medicines...
data/train/1174680.0000_1178000.0000.ogg,"can destroy or inhibit the growth of tumour cells,"
data/train/1178000.0000_1180240.0000.ogg,"for example, banzhilian (Barbat Skullcap)"
data/train/1180240.0000_1182240.0000.ogg,"These are banzhilian, baihua sheshecao (Oldenlandia diffusa) and..."
data/train/1182240.0000_1185080.0000.ogg,lingzhi which everyone is familiar with
data/train/1185320.0000_1188000.0000.ogg,These Chinese medicines destroy cancer cells or...
data/train/1188000.0000_1190320.0000.ogg,"inhibit the growth of tumours,"
data/train/1190320.0000_1191920.0000.ogg,so you can use them appropriately
data/train/1191920.0000_1193560.0000.ogg,I see. Any other treatment methods?
data/train/1193560.0000_1196720.0000.ogg,"Besides Chinese medicines, acupuncture is a good option"
data/train/1196920.0000_1200200.0000.ogg,Some patients experience urine leakage after surgery
data/train/1200200.0000_1203800.0000.ogg,"We can select ciliao and zhongliao acupoints,"
data/train/1203800.0000_1206440.0000.ogg,using electroacupuncture to stimulate these two acupoints
data/train/1206440.0000_1207440.0000.ogg,Electric current?
data/train/1207440.0000_1210160.0000.ogg,"Yes, electric current is passed to the needles..."
data/train/1210160.0000_1212160.0000.ogg,to intensify the stimulation
data/train/1212240.0000_1213560.0000.ogg,There are also ear acupressure points
data/train/1213560.0000_1215080.0000.ogg,"Cancer patients,"
data/train/1215080.0000_1218080.0000.ogg,"especially those with prostate cancer,"
data/train/1218080.0000_1220080.0000.ogg,will have peripheral symptoms
data/train/1220080.0000_1222560.0000.ogg,"For example, this patient's immune system has been weakened or..."
data/train/1222560.0000_1225200.0000.ogg,some people are feeling down
data/train/1225200.0000_1228000.0000.ogg,"In severe cases, they have insomnia or anxiety"
data/train/1228000.0000_1231560.0000.ogg,"In this instance, auriculotherapy is good"
data/train/1231560.0000_1233520.0000.ogg,How does auriculotherapy work?
data/train/1233520.0000_1236040.0000.ogg,This ear patch is often used clinically
data/train/1236040.0000_1240920.0000.ogg,Vaccaria seeds are attached to a patch
data/train/1240920.0000_1243640.0000.ogg,Remove the backing and paste it on the acupoint of the ear...
data/train/1243640.0000_1244960.0000.ogg,to achieve the healing effect
data/train/1244960.0000_1248280.0000.ogg,"He's nearest to you. Cavin, let's do it"
data/train/1248280.0000_1251240.0000.ogg,The ear is disinfected first
data/train/1251240.0000_1253640.0000.ogg,I understand that this patch also helps to improve vision?
data/train/1253640.0000_1254680.0000.ogg,Yes
data/train/1254680.0000_1257040.0000.ogg,"As long as you choose the correct acupoint,"
data/train/1257040.0000_1260400.0000.ogg,"it can treat myopia, presbyopia and even cataract"
data/train/1260400.0000_1263080.0000.ogg,I see -It can help
data/train/1263080.0000_1265320.0000.ogg,How long do you leave the patch on?
data/train/1265320.0000_1266680.0000.ogg,About two days
data/train/1266680.0000_1270240.0000.ogg,Stick under the skin first. Roughly here
data/train/1271840.0000_1273320.0000.ogg,How many patches?
data/train/1273320.0000_1274800.0000.ogg,According to the condition
data/train/1274800.0000_1276880.0000.ogg,Paste on both ears? -That's right
data/train/1277200.0000_1280120.0000.ogg,He can massage it by himself at home
data/train/1280120.0000_1280960.0000.ogg,Press on it
data/train/1280960.0000_1282640.0000.ogg,Press it as and when you like
data/train/1282640.0000_1284280.0000.ogg,"Yes, press it by himself -For how long?"
data/train/1284280.0000_1288000.0000.ogg,Three minutes -Three minutes per spot?
data/train/1288000.0000_1293120.0000.ogg,Can you really improve sexual performance with just a patch and acupressure?
data/train/1293120.0000_1294320.0000.ogg,Is that so?
data/train/1294320.0000_1296280.0000.ogg,"Yes, you can -Really?"
data/train/1296280.0000_1298440.0000.ogg,Some acupoints in the kidneys and liver...
data/train/1298440.0000_1301120.0000.ogg,can help to fortify the kidneys
data/train/1301200.0000_1304800.0000.ogg,I didn't know auriculotherapy had so many benefits
data/train/1305200.0000_1309320.0000.ogg,We guys have certainly benefited a lot from today's discussion
data/train/1309640.0000_1313000.0000.ogg,"We must take good care of our ""precious asset"""
data/train/1313000.0000_1317200.0000.ogg,That's right. We'd like to thank Dr Lim and Mr Li
data/train/1317200.0000_1318200.0000.ogg,Thank you
data/train/1318200.0000_1320400.0000.ogg,"And thank you, our two artistes"
data/train/1320800.0000_1324400.0000.ogg,<i>Let's Talk About Health</i> and learn together
data/train/1324400.0000_1326000.0000.ogg,See you next week! Bye!
data/train/1326000.0000_1326800.0000.ogg,Bye!
data/train/1326800.0000_1327800.0000.ogg,"Subtitles: LG Ho, Mediacorp Pte Ltd"
data/train/80731.0000_92340.0000.ogg,"On the 25th alone, the fever clinic of Peking Union Medical College Hospital received more than 340 patients, most of whom were elderly. Almost every patient needs to be treated with oxygen inhalation in time."
data/train/92340.0000_107819.0000.ogg,"We have job responsibilities, but when we are really busy, it cannot be said that everyone is fixed in their own job to do what, everyone is interspersed. Maybe the person it needs for this position is busy with other things, then I will definitely step up to do this job, everyone helps each other."
data/train/108019.0000_117193.0000.ogg,"In the past few days, the patients who came to see the doctor were generally older, and the serious condition made the front-line doctors feel the unprecedented pressure and huge challenge."
data/train/117360.0000_131538.0000.ogg,"The most tense time may still be in the middle of this month, but now it is slowly, I think it is still different from before. In the past, it may be obvious that more people just started to have a fever and feel nervous, but now more people may be older. There will be a lot of these patients who really have pneumonia."
data/train/132539.0000_142613.0000.ogg,"The ages are all here, basically you can see that they are all in their sixties or seventies. There are many more than ninety. Because they are indeed relatively serious patients, they need to be closely monitored, observed, and treated. I hope now is the hardest time, let's watch as we go."
data/train/147617.0000_158359.0000.ogg,"For the latter, I think it may be that the critically ill patients will be the main ones, and it is also more challenging. I think as everyone understands the virus and the epidemic better, and the treatment becomes more experienced, it should get better and better."
data/train/161562.0000_170002.0000.ogg,"The reporter saw in the emergency department that a doctor was carrying an oxygen cylinder, and after quickly explaining the condition to the patient and his family, he turned around and ran to the fever clinic."
data/train/171003.0000_172320.0000.ogg,The reporter found the reason after following the consultation room. There are patients waiting for treatment here.
data/train/172320.0000_189017.0000.ogg,"This patient is, basically, a chronic renal failure, and now he has an exacerbation of acute heart failure. He has indications for emergency dialysis and may need hemofiltration. So I contacted the second line of the emergency room. Then they told him to go to the emergency department and give him further treatment."
data/train/191072.0000_193821.0000.ogg,"There's a spot over there, shall we ask him to move his stuff?"
data/train/193821.0000_212402.0000.ogg,"No matter how hard it is, no matter how hard it is, the care for patients cannot be missed. The old lady who lives in Hufang Bridge is 79 years old this year. She came to hospital to see a doctor by herself. The medical staff helped the old lady get the oxygen cylinder and find a seat. After the infusion was over, the medical staff had to measure her blood oxygen before letting her leave."
data/train/212402.0000_216906.0000.ogg,"Are you more comfortable now than you were two days ago? Well, well, it's a little more comfortable."
data/train/218906.0000_224879.0000.ogg,"You can ask the doctor, are you going to observe and observe here, or go home first and then come for infusion tomorrow? I will come over tomorrow."
data/train/225679.0000_235020.0000.ogg,"According to the emergency grading standard, more than 75% of the patients who come to the emergency department of Peking Union Medical College Hospital are patients with relatively serious illnesses and rapid progress."
data/train/235020.0000_261507.0000.ogg,"I have been practicing medicine for about 30 years. It can be said that it was the most difficult time. There were a lot of patients and the severity of the disease was higher than usual. Like in the past, the proportion of first-, second- and third-level patients is about 50% in normal times. In the past few days, we have monitored the proportion of first-, second- and third-level emergency patients. It got Seventy-five or even eighty percent. The high proportion of critically ill patients makes us face an unprecedented challenge."
data/train/261744.0000_270014.0000.ogg,"In the face of the urgent emergency, many professors and directors of Peking Union Medical College Hospital also rushed to support and rescued patients on the front line."
data/train/270014.0000_286161.0000.ogg,"Our professors and directors have all come to the front line to fight side by side with us, which is also a good encouragement for us. It also told us that as a doctor, no matter what title and position you have, as long as there is a need for patients, we will go wherever it needs."
data/train/286451.0000_317152.0000.ogg,"What the emergency department takes in has to be divided out. On November 19, Peking Union Medical College Hospital officially opened the first isolation ward for new COVID-19 patients in the hospital. Afterwards, multiple isolation wards have been opened successively, and each specialty has been transitioned to treat the new patients in the specialty. For the seriously ill patients with new coronary pneumonia who have become more serious, there is a first-diagnosis responsibility system implemented in the emergency room of the emergency department, and then transferred to various ICUs for rescue. Each specialty has an intensive care bed and an ICU within the specialty. When needed, intensive care unit conversion can be completed within 24 hours."
data/train/317152.0000_334165.0000.ogg,"We are also working hard, and our doctors are returning to work one after another, our medicines are gradually catching up, the response speed of our other societies is also catching up, and our support forces are also catching up, so We will definitely get better and better."
data/train/1089566.0000_1090466.0000.ogg,在那实习
data/train/1090566.0000_1093600.0000.ogg,但是他们那边是心脏外科手术
data/train/1093800.0000_1095400.0000.ogg,当然并不是很多
data/train/1095633.0000_1098366.0000.ogg,但是从那看过两台手术之后
data/train/1098600.0000_1100900.0000.ogg,我对心脏外科就有了一个感觉
data/train/1100900.0000_1102066.0000.ogg,还有一个憧憬
data/train/1102433.0000_1104000.0000.ogg,当时我印象挺深
data/train/1104166.0000_1105866.0000.ogg,是两台冠状动脉搭桥
data/train/1106066.0000_1107300.0000.ogg,当时还是
data/train/1107300.0000_1109600.0000.ogg,请的北京的那个专家过来做的
data/train/1109600.0000_1113000.0000.ogg,那是叫黄方炯
data/train/1113000.0000_1115266.0000.ogg,黄方炯是这个整个国内
data/train/1115500.0000_1118233.0000.ogg,顶尖的这种心脏外科搭桥专家
data/train/1118233.0000_1119900.0000.ogg,大咖 是大咖
data/train/1120033.0000_1125400.0000.ogg,那时候不太懂啊 他这个
data/train/1126166.0000_1129766.0000.ogg,黄教授来的时候 围了好多人在看
data/train/1130166.0000_1132033.0000.ogg,我是感觉那时很震撼
data/train/1132366.0000_1135466.0000.ogg,因为感觉这是个行云流水
data/train/1135600.0000_1139700.0000.ogg,当时第一次看 第一次看搭桥非常快
data/train/1139833.0000_1142200.0000.ogg,他搭的搭桥速度很快
data/train/1142566.0000_1143866.0000.ogg,而且这个
data/train/1144366.0000_1146500.0000.ogg,没有一个废动作当时就感觉
data/train/1146700.0000_1149766.0000.ogg,这个因为那是转
data/train/1149766.0000_1152600.0000.ogg,实习的时候转很多外科就轮转
data/train/1152766.0000_1153800.0000.ogg,每个科要
data/train/1153800.0000_1156100.0000.ogg,每个科都要转一段时间 都要转
data/train/1156233.0000_1159266.0000.ogg,都要转每个科的手术都有所了解
data/train/1159266.0000_1160433.0000.ogg,所以你实习的时候
data/train/1160433.0000_1162433.0000.ogg,是还没有确定自己未来的方向呢
data/train/1162433.0000_1163800.0000.ogg,没有没有
data/train/1163800.0000_1165766.0000.ogg,那只是 就是那是实习
data/train/1165766.0000_1168966.0000.ogg,实习就是内科也转外科也转
data/train/1169600.0000_1172066.0000.ogg,当时肯定 当时对外科是感兴趣了
data/train/1172200.0000_1174766.0000.ogg,他当时看了两台冠状动脉搭桥之后啊
data/train/1175066.0000_1177200.0000.ogg,就特别感兴趣 对这个心脏外科
data/train/1177500.0000_1178300.0000.ogg,所以
data/train/1178466.0000_1180100.0000.ogg,那时一有心脏外科手术
data/train/1180100.0000_1182166.0000.ogg,我自己去画示意图
data/train/1182866.0000_1185400.0000.ogg,就是这个手术怎么做的
data/train/1185666.0000_1187100.0000.ogg,然后自己去画啊
data/train/1187100.0000_1188900.0000.ogg,在这个纸上去画
data/train/1189266.0000_1191966.0000.ogg,当然现在我也延续了当时实习的时候
data/train/1192100.0000_1193233.0000.ogg,这么一个习惯
data/train/1193433.0000_1194700.0000.ogg,喜欢画一画
data/train/1194700.0000_1197600.0000.ogg,就把操作步骤
data/train/1197766.0000_1200400.0000.ogg,就是一个简单的就是怎么做的
data/train/1200400.0000_1201900.0000.ogg,示意图
data/train/1202033.0000_1203166.0000.ogg,就简单画画
data/train/1203266.0000_1205200.0000.ogg,然后把一些步骤都记下来
data/train/1205200.0000_1208166.0000.ogg,所以当时这个
data/train/1208866.0000_1210066.0000.ogg,我实习的时候
data/train/1210066.0000_1211800.0000.ogg,我的代教老师就感觉我
data/train/1212000.0000_1213500.0000.ogg,这小伙子太认真了
data/train/1214833.0000_1217666.0000.ogg,就是因为我做笔记做的这么认真
data/train/1219666.0000_1221633.0000.ogg,当时养成了一个一个好习惯
data/train/1221633.0000_1222766.0000.ogg,但是那时对这个
data/train/1222900.0000_1225400.0000.ogg,心脏外科也有了一个崇敬
data/train/1225766.0000_1227566.0000.ogg,就当时正好
data/train/1227966.0000_1229766.0000.ogg,那时候
data/train/1229866.0000_1232700.0000.ogg,本科自己的成绩还是不错的
data/train/1232800.0000_1233900.0000.ogg,作为一个保送
data/train/1234633.0000_1235966.0000.ogg,作为一个保送生
data/train/1235966.0000_1238700.0000.ogg,当时正好有这个心脏外科
data/train/1238866.0000_1239866.0000.ogg,这个名额
data/train/1240200.0000_1241266.0000.ogg,当时就报了
data/train/1241266.0000_1244700.0000.ogg,而且如愿也上了心脏外科的硕博连读的
data/train/1244700.0000_1246033.0000.ogg,这个研究生啊
data/train/1246500.0000_1247433.0000.ogg,慢慢就
data/train/1247466.0000_1250266.0000.ogg,就开始了自己这个心脏外科的生涯
data/train/1251033.0000_1254500.0000.ogg,一台心脏外科手术是什么样的
data/train/1254800.0000_1256166.0000.ogg,就是每个心脏外科手术
data/train/1256166.0000_1256966.0000.ogg,都要
data/train/1258200.0000_1260566.0000.ogg,开胸吗 还是
data/train/1261400.0000_1263966.0000.ogg,这个理念可能就比较狭隘
data/train/1264233.0000_1266266.0000.ogg,因为我脑子里的心脏外科
data/train/1266266.0000_1267233.0000.ogg,就是以为是那个
data/train/1267366.0000_1268833.0000.ogg,就是医用的那种锯
data/train/1268833.0000_1270700.0000.ogg,他们把锯拉开那种
data/train/1271366.0000_1274266.0000.ogg,传统的那种心脏外科手术是开胸
data/train/1274266.0000_1275166.0000.ogg,正中开胸
data/train/1275200.0000_1278766.0000.ogg,这个胸廓上有前边有个胸骨嘛
data/train/1278766.0000_1281900.0000.ogg,用电锯一般锯开
data/train/1282100.0000_1283833.0000.ogg,这是传统
data/train/1284300.0000_1286866.0000.ogg,传统的术式 而且经典术式
data/train/1287166.0000_1289200.0000.ogg,经典术式就是这正中开胸
data/train/1289200.0000_1291200.0000.ogg,心脏外科这个
data/train/1291366.0000_1294400.0000.ogg,这基本上这个经常做 多少年都在做的
data/train/1294700.0000_1297900.0000.ogg,但现在随着心脏外科的发展很多技术
data/train/1298066.0000_1300700.0000.ogg,这种微创技术都在都在发展
data/train/1300700.0000_1302266.0000.ogg,所以现在做这个
data/train/1302633.0000_1305300.0000.ogg,微创介入了
data/train/1305500.0000_1307266.0000.ogg,还有这个胸腔镜了
data/train/1307466.0000_1308466.0000.ogg,胸腔镜辅助了
data/train/1308466.0000_1310966.0000.ogg,全胸腔镜手术了这种小切口手术了
data/train/1311100.0000_1313400.0000.ogg,甚至这种达芬奇机器人手术了
data/train/1313500.0000_1317466.0000.ogg,这都全部心脏外科都在发展
data/train/1317466.0000_1318833.0000.ogg,就是技术都在发展
data/train/1318833.0000_1320900.0000.ogg,所以说现在很多手术
data/train/1321033.0000_1323033.0000.ogg,都不用正中开胸了
data/train/1323033.0000_1324466.0000.ogg,什么很多通过这个
data/train/1324700.0000_1326400.0000.ogg,通过这个我们大腿根
data/train/1326400.0000_1327866.0000.ogg,骨动脉啊 骨静脉啊
data/train/1328100.0000_1329633.0000.ogg,做的手术
data/train/1329700.0000_1331766.0000.ogg,甚至做这种打孔手术啊
data/train/1331966.0000_1333066.0000.ogg,全循环镜手术啊
data/train/1333166.0000_1336666.0000.ogg,打孔两三个毫米的那种刀口好进去
data/train/1336700.0000_1338233.0000.ogg,那很小了两三毫米啊
data/train/1338466.0000_1339833.0000.ogg,两三毫米的刀口
data/train/1340100.0000_1341833.0000.ogg,这就是和这个正中这种
data/train/1341900.0000_1343700.0000.ogg,十几公分的这种口子
data/train/1343700.0000_1346566.0000.ogg,就有很鲜明的对比了
data/train/1346566.0000_1348700.0000.ogg,而且我们在不断的发展
data/train/1348700.0000_1351033.0000.ogg,所以说微创手术技术
data/train/1351200.0000_1354233.0000.ogg,在未来这下去这
data/train/1354266.0000_1356566.0000.ogg,十年二十年里边肯定会有一个
data/train/1357166.0000_1358266.0000.ogg,很好的一个发展
data/train/1358266.0000_1360233.0000.ogg,现在这趋势已经出来了
data/train/1360633.0000_1361400.0000.ogg,因为这个
data/train/1361400.0000_1363366.0000.ogg,病人的需求也是需求这种微创
data/train/1363366.0000_1364266.0000.ogg,手术
data/train/1364366.0000_1368166.0000.ogg,谁也不想弄那个大的（伤口） 对 创伤小
data/train/1368166.0000_1370033.0000.ogg,是你刚刚提到这个达芬奇手术
data/train/1370033.0000_1372000.0000.ogg,所谓达芬奇手术就是
data/train/1372500.0000_1374833.0000.ogg,医生操作机器人来做的手术吗
data/train/1374833.0000_1376633.0000.ogg,还是所谓这个定义是什么
data/train/1376633.0000_1378900.0000.ogg,达芬奇机器人
data/train/1378966.0000_1382500.0000.ogg,在各个外科行业里边其实都有发展
data/train/1382866.0000_1386866.0000.ogg,我们心外科起步在达芬奇进行手术里边
data/train/1387166.0000_1389400.0000.ogg,起步还是属于稍微晚点的
data/train/1389466.0000_1392433.0000.ogg,因为心脏外科这个这个复杂程度
data/train/1392700.0000_1394466.0000.ogg,应该是最高了啊
data/train/1394466.0000_1397100.0000.ogg,所以说就是用达芬奇的辅助
data/train/1397266.0000_1398633.0000.ogg,机器人来辅助
data/train/1398633.0000_1401233.0000.ogg,其实还是这个 他具体做什么
data/train/1401233.0000_1403800.0000.ogg,但是成熟具体是做这个干嘛呢
data/train/1403800.0000_1404966.0000.ogg,这达芬奇呃
data/train/1404966.0000_1405600.0000.ogg,他是这样
data/train/1405600.0000_1409066.0000.ogg,他是相当于一个远程操控
data/train/1409666.0000_1412166.0000.ogg,他有一种操作手柄
data/train/1412166.0000_1414500.0000.ogg,主刀大夫远程操作手柄
data/train/1414500.0000_1417666.0000.ogg,这个单位机器人的最大的优势是在于
data/train/1417866.0000_1419266.0000.ogg,他那个机械
data/train/1419266.0000_1422400.0000.ogg,机械臂在里边可以360度旋转
data/train/1422400.0000_1424033.0000.ogg,他比人手最大
data/train/1424033.0000_1425600.0000.ogg,因为人不可能这么过来的
data/train/1425700.0000_1427966.0000.ogg,最大的优势在于它是无死角
data/train/1428400.0000_1430633.0000.ogg,一些很难的一些操作
data/train/1430633.0000_1433500.0000.ogg,可能通过达芬奇来实现
data/train/1433500.0000_1436166.0000.ogg,但是达芬奇机器人这个手术
data/train/1436300.0000_1437800.0000.ogg,他有他的优势
data/train/1437800.0000_1439866.0000.ogg,也有他的一些现在目前来讲
data/train/1439866.0000_1440966.0000.ogg,面临的一些不足
data/train/1440966.0000_1442366.0000.ogg,然后他不足就是
data/train/1442433.0000_1445900.0000.ogg,他这个整个操作复杂程度比较高
data/train/1446300.0000_1447666.0000.ogg,就是就是
data/train/1447866.0000_1449366.0000.ogg,就是难操纵吗
data/train/1449366.0000_1453233.0000.ogg,成长曲线很长 就作为一个
data/train/1453400.0000_1456833.0000.ogg,如果那个能培养一个那种达芬奇机器人的时候
data/train/1457033.0000_1461366.0000.ogg,外科大夫这个曲线会比较长啊
data/train/1461366.0000_1463900.0000.ogg,而且整个这个手术过程当中
data/train/1464000.0000_1466466.0000.ogg,这个操作复杂程度比较高
data/train/1466766.0000_1468300.0000.ogg,就是这个手术时间
data/train/1468966.0000_1470566.0000.ogg,甚至要长于这个
data/train/1470566.0000_1473800.0000.ogg,人工的这正常的这种开刀手术
data/train/1473800.0000_1474600.0000.ogg,因为他
data/train/1474800.0000_1476200.0000.ogg,不光是一个人能完成
data/train/1476200.0000_1477833.0000.ogg,因为他需要一个团队配合
data/train/1478066.0000_1479100.0000.ogg,他需要助手
data/train/1479366.0000_1480966.0000.ogg,助手在辅助操作
data/train/1480966.0000_1483033.0000.ogg,这个机械臂就是在这个病人身上
data/train/1483033.0000_1484800.0000.ogg,虽然病人身上是打孔的
data/train/1484866.0000_1488433.0000.ogg,但那个很多就是因为要来回换
data/train/1488500.0000_1491233.0000.ogg,换器械 那需要就人手动来
data/train/1491466.0000_1494766.0000.ogg,是有助手在台上更换器械
data/train/1494800.0000_1496666.0000.ogg,这更换器械的时候过程有时
data/train/1497000.0000_1500100.0000.ogg,肯定就不如这个传统手术
data/train/1500300.0000_1502000.0000.ogg,他这个来回你
data/train/1502000.0000_1503466.0000.ogg,用手来更换器械快
data/train/1503466.0000_1506066.0000.ogg,所以这个手术时间
data/train/1506066.0000_1507366.0000.ogg,是他的一个制约因素
data/train/1507366.0000_1508700.0000.ogg,其实在心脏外科手术里边
data/train/1508700.0000_1510600.0000.ogg,手术时间长其实是一个坏事
data/train/1511300.0000_1512433.0000.ogg,确实是个劣势
data/train/1512500.0000_1513900.0000.ogg,说时间长了是个劣势
data/train/1513900.0000_1514400.0000.ogg,明白
data/train/1514400.0000_1517033.0000.ogg,当然他肯定是在慢慢的发展过程当中
data/train/1517033.0000_1518366.0000.ogg,很多技术还在发展
data/train/1518366.0000_1521066.0000.ogg,我在想达芬奇这个技术
data/train/1521166.0000_1524066.0000.ogg,假如说你人在山东
data/train/1524566.0000_1528100.0000.ogg,假如说青海某个县或者某个地方的人需要手术
data/train/1528100.0000_1529266.0000.ogg,你是不是可以远程操纵
data/train/1529266.0000_1530200.0000.ogg,有这么一说吗
data/train/1530466.0000_1534433.0000.ogg,现在达芬奇机器人其实可以实现这个
data/train/1534700.0000_1536566.0000.ogg,这是他的一个一个优点
data/train/1536566.0000_1537433.0000.ogg,可以实现
data/train/1537766.0000_1540000.0000.ogg,但是前提是必须得保证安全
data/train/1540233.0000_1541700.0000.ogg,那如果是这个
data/train/1541700.0000_1544066.0000.ogg,你的主刀大夫在操作过程当中
data/train/1544166.0000_1545900.0000.ogg,如果是远程
data/train/1546033.0000_1548400.0000.ogg,比如说这个远在新疆的这个病人
data/train/1548433.0000_1550066.0000.ogg,一旦出现紧急情况
data/train/1550466.0000_1551833.0000.ogg,你是无能为力的
data/train/1552566.0000_1554600.0000.ogg,一旦出现紧急情况你只能终止手术
data/train/1554600.0000_1555466.0000.ogg,这个
data/train/1555466.0000_1557200.0000.ogg,这个远程手术必须得终止
data/train/1557866.0000_1558766.0000.ogg,因为之前
data/train/1558966.0000_1562566.0000.ogg,在美国那边有报道
data/train/1562766.0000_1564833.0000.ogg,这种突然有种这种
data/train/1565066.0000_1568033.0000.ogg,这种程序故障甚至机械故障的时候
data/train/1568200.0000_1570766.0000.ogg,他会出现一种灾难性的操作
data/train/1570966.0000_1571900.0000.ogg,这种
data/train/1571900.0000_1573900.0000.ogg,有时候这种灾难性操作是致命的
data/train/1574566.0000_1577833.0000.ogg,所以作为你们职业的外科医生
data/train/1577833.0000_1580100.0000.ogg,你们你现在的态度对这个
data/train/1580500.0000_1583033.0000.ogg,是支持 你觉得这个是个未来越来越好
data/train/1583033.0000_1583833.0000.ogg,还是说
data/train/1585033.0000_1587033.0000.ogg,他已经到了一定的局限性了
data/train/1587266.0000_1588166.0000.ogg,有一定局限性
data/train/1588166.0000_1590633.0000.ogg,但是我感觉终究还是要发展的
data/train/1590633.0000_1592600.0000.ogg,这所有的新技术
data/train/1592766.0000_1593700.0000.ogg,其实新技术
data/train/1593866.0000_1595433.0000.ogg,他必定要引领一个
data/train/1595433.0000_1597266.0000.ogg,一个专业
data/train/1597266.0000_1599400.0000.ogg,往前走
data/train/1599633.0000_1601466.0000.ogg,有优点必然有缺点
data/train/1601466.0000_1603266.0000.ogg,很多技术很多新技术都是这样
data/train/1603266.0000_1605433.0000.ogg,在这个优点和缺点当中
data/train/1605800.0000_1607300.0000.ogg,不断的就是交替
data/train/1607500.0000_1609100.0000.ogg,交替前进
data/train/1609100.0000_1611100.0000.ogg,我感觉就是所有的微创新技术
data/train/1611200.0000_1612500.0000.ogg,都有他发展的空间
data/train/1612500.0000_1615666.0000.ogg,他所带来的肯定是
data/train/1616233.0000_1617033.0000.ogg,好处
data/train/1617433.0000_1620033.0000.ogg,慢慢带来的好处肯定是越来越多的
data/train/1620033.0000_1621600.0000.ogg,他这种劣势
data/train/1621833.0000_1626100.0000.ogg,当然一种技术如果劣势呈现的越来越多的时候
data/train/1626100.0000_1628200.0000.ogg,可能就被淘汰了 必然会被淘汰
data/train/1628266.0000_1629800.0000.ogg,因为这个所有的新技术
data/train/1629800.0000_1631600.0000.ogg,其实都是为临床来服务的
data/train/1631600.0000_1633100.0000.ogg,你只有服务的更好
data/train/1633100.0000_1634600.0000.ogg,他才有长远的一个发展
data/train/1635566.0000_1638700.0000.ogg,说到这个医疗的未来的你觉得从一个
data/train/1639266.0000_1641966.0000.ogg,这个职业这个从业者的角度
data/train/1642033.0000_1643466.0000.ogg,未来你的会像电影里边
data/train/1643466.0000_1644666.0000.ogg,有这么一个仪器
data/train/1645366.0000_1646433.0000.ogg,心脏破裂了
data/train/1646433.0000_1648400.0000.ogg,或者是出现什么身体出现大麻烦了
data/train/1648400.0000_1649433.0000.ogg,我得躺进去
data/train/1649500.0000_1651033.0000.ogg,然后 就这么就好了
data/train/1651033.0000_1653500.0000.ogg,你觉得会有这种情况吗 未来
data/train/1654066.0000_1655633.0000.ogg,我感觉是这样啊
data/train/1655866.0000_1658200.0000.ogg,就是这时候
data/train/1658366.0000_1661433.0000.ogg,医学就是这样 我一直
data/train/1661900.0000_1663666.0000.ogg,我比较喜欢的一句话就是什么
data/train/1663666.0000_1664633.0000.ogg,敬畏生命
data/train/1664633.0000_1666400.0000.ogg,一定要敬畏生命
data/train/1666633.0000_1669466.0000.ogg,就是对于这种疾病这种治疗
data/train/1669800.0000_1673866.0000.ogg,我感觉不可能机器来取代人
data/train/1674766.0000_1676100.0000.ogg,因为
data/train/1676100.0000_1678800.0000.ogg,这个人体是非常复杂的
data/train/1679200.0000_1680100.0000.ogg,是这个
data/train/1680300.0000_1681800.0000.ogg,这是整个这个
data/train/1681800.0000_1683500.0000.ogg,疾病的这个治疗
data/train/1683766.0000_1686366.0000.ogg,和这个整个的这个医学的发展
data/train/1686433.0000_1687300.0000.ogg,是不断的进展
data/train/1687300.0000_1689066.0000.ogg,当然新技术越来越介入
data/train/1689200.0000_1690633.0000.ogg,但是不管怎么介入
data/train/1690633.0000_1691633.0000.ogg,我个人的观点
data/train/1691633.0000_1694833.0000.ogg,我还是感觉他终究离不开人
data/train/1694833.0000_1698200.0000.ogg,这个机器毕竟还是机器
data/train/1698200.0000_1699566.0000.ogg,是他没有自己的思维
data/train/1699566.0000_1702000.0000.ogg,他只是他是程序化模式化
data/train/1702000.0000_1704500.0000.ogg,但这个人体是很复杂的
data/train/1704666.0000_1706700.0000.ogg,那你接触了这么多病患
data/train/1706700.0000_1708366.0000.ogg,和以及病患的家属之后
data/train/1708666.0000_1710400.0000.ogg,你觉得
data/train/1710500.0000_1713033.0000.ogg,他们或者说外界对你们这个职业
data/train/1713466.0000_1714900.0000.ogg,最大的误解是什么
data/train/1716866.0000_1718966.0000.ogg,我还是说我是心脏外科吧
data/train/1718966.0000_1721400.0000.ogg,不能说是误解
data/train/1721600.0000_1725433.0000.ogg,因为这个心脏外科和生死打交道
data/train/1726700.0000_1730366.0000.ogg,出现这种紧突发情况这种死亡的病例
data/train/1730433.0000_1732866.0000.ogg,甚至这种并发症严重并发症这种病例
data/train/1732866.0000_1735966.0000.ogg,在我们这个心脏外科其实是
data/train/1736266.0000_1737633.0000.ogg,是时有发生的
data/train/1737633.0000_1740866.0000.ogg,这个有的是家属
data/train/1740966.0000_1742200.0000.ogg,他最大的
data/train/1742200.0000_1742600.0000.ogg,有时候
data/train/1742600.0000_1745300.0000.ogg,对我们压力最大的就是家属的不理解
data/train/1746566.0000_1747833.0000.ogg,那时是
data/train/1748000.0000_1750800.0000.ogg,一个大夫最疲惫最无助的时候
data/train/1751100.0000_1752666.0000.ogg,作为心脏外科大夫
data/train/1753233.0000_1754033.0000.ogg,偶尔
data/train/1755200.0000_1757200.0000.ogg,就会有种感觉啊
data/train/1757566.0000_1759766.0000.ogg,那你们怎么去消化这种感觉呢
data/train/1760466.0000_1762266.0000.ogg,还是在沉淀
data/train/1762266.0000_1764200.0000.ogg,因为从学生时代
data/train/1764300.0000_1765266.0000.ogg,就跟着老师
data/train/1765266.0000_1768000.0000.ogg,一步一步的经历过这种事情
data/train/1768000.0000_1771966.0000.ogg,我的老师
data/train/1772166.0000_1773866.0000.ogg,就是我的老师都很多了
data/train/1773866.0000_1776433.0000.ogg,就是每一个都是我崇拜的对象
data/train/1776866.0000_1779766.0000.ogg,他们都是在这个过程当中也是有
data/train/1780100.0000_1782800.0000.ogg,也是有非常这种无助
data/train/1783000.0000_1784200.0000.ogg,沮丧的时候
data/train/1784466.0000_1786900.0000.ogg,但是很快自己就会调整过来
data/train/1787033.0000_1787833.0000.ogg,因为
data/train/1788500.0000_1791500.0000.ogg,不断的吸取教训才有不断的这种发展
data/train/1791500.0000_1795000.0000.ogg,所以这种挫折只是暂时的
data/train/1795000.0000_1797200.0000.ogg,这是这种
data/train/1797433.0000_1800100.0000.ogg,这不好的这种情况还只是少数
data/train/1800266.0000_1801766.0000.ogg,就是极少数的情况
data/train/1801766.0000_1805266.0000.ogg,他终究还会作为
data/train/1805466.0000_1806766.0000.ogg,这种经验
data/train/1806766.0000_1809233.0000.ogg,来为以后的这种
data/train/1809366.0000_1812166.0000.ogg,医疗行为啊 来提供更好的这个
data/train/1812566.0000_1814233.0000.ogg,帮助
data/train/1814566.0000_1817333.0000.ogg,像作为一个外科医生你们有这个
data/train/1817533.0000_1818700.0000.ogg,对于个人来说
data/train/1818700.0000_1823100.0000.ogg,有没有我最喜欢的某一类手术有这有这么一说吗
data/train/1823833.0000_1826100.0000.ogg,有自己感兴趣的
data/train/1826100.0000_1828633.0000.ogg,一般就是自己的这个感兴趣
data/train/1830533.0000_1832833.0000.ogg,我吧 比较感兴趣的还是微创
data/train/1832833.0000_1835100.0000.ogg,因为我感觉这个这微创
data/train/1835266.0000_1836933.0000.ogg,在整个这个
data/train/1836933.0000_1838966.0000.ogg,心外科发展里边来讲
data/train/1839266.0000_1841566.0000.ogg,还是一个大趋势
data/train/1841700.0000_1843266.0000.ogg,当然自己目前来讲
data/train/1843266.0000_1844933.0000.ogg,做的还是远远不够啊
data/train/1844933.0000_1847300.0000.ogg,这个这很多种新技术
data/train/1847833.0000_1849433.0000.ogg,还继续去掌握
data/train/1849433.0000_1851366.0000.ogg,你说到这个新技术了
data/train/1851366.0000_1852900.0000.ogg,你们是怎么去
data/train/1853166.0000_1855933.0000.ogg,发现新技术以及学习这个新技术呢
data/train/1856466.0000_1858066.0000.ogg,其实现在我们
data/train/1858266.0000_1861833.0000.ogg,学习新技术最快的办法就是开会
data/train/1862133.0000_1866500.0000.ogg,各种会议包括国内的一些顶级会议啊
data/train/1866666.0000_1868700.0000.ogg,还有国际国际上一些会议
data/train/1868700.0000_1871633.0000.ogg,他就会传递一些非常新的一些信息
data/train/1871966.0000_1873833.0000.ogg,就说一个新的 他们是这么做的
data/train/1873833.0000_1876233.0000.ogg,然后可能大家都没听过说啊
data/train/1876466.0000_1877366.0000.ogg,他们是这个步骤
data/train/1877366.0000_1879066.0000.ogg,或者是大家在做
data/train/1879066.0000_1880333.0000.ogg,但是他们有一些
data/train/1880733.0000_1882666.0000.ogg,改良改进啊
data/train/1882666.0000_1884533.0000.ogg,有一些这个数据的反馈
data/train/1885100.0000_1888700.0000.ogg,会让你有个全新的这种感受
data/train/1888700.0000_1890566.0000.ogg,所以说这时候
data/train/1891100.0000_1891900.0000.ogg,开会
data/train/1892533.0000_1895466.0000.ogg,会议这种学术会议你们会场观观摩吗
data/train/1895466.0000_1897466.0000.ogg,还是说只是纯会议
data/train/1897633.0000_1899233.0000.ogg,手术观摩
data/train/1899666.0000_1901533.0000.ogg,手术观摩也是很关键
data/train/1901733.0000_1902766.0000.ogg,手术学习啊
data/train/1902966.0000_1905833.0000.ogg,比如说到这种上级医院这种大的
data/train/1905833.0000_1908066.0000.ogg,北上广这种大的这种心脏中心
data/train/1908233.0000_1910066.0000.ogg,甚至国外这种心脏中心
data/train/1910500.0000_1914333.0000.ogg,去参观呀去学习交流啊
data/train/1914500.0000_1917233.0000.ogg,对这种个人的这种
data/train/1917466.0000_1918966.0000.ogg,技术的发展非常关键
data/train/1919033.0000_1920033.0000.ogg,明白
data/train/1920466.0000_1921300.0000.ogg,像这种交流的机会
data/train/1921300.0000_1923033.0000.ogg,一般是医院和医院之间交流吗
data/train/1923033.0000_1924666.0000.ogg,还是你们自己就是
data/train/1924666.0000_1926433.0000.ogg,假如说您对这个微创
data/train/1926433.0000_1927300.0000.ogg,手术感兴趣
data/train/1927300.0000_1929433.0000.ogg,是您自己自发的去联系这些医院
data/train/1929433.0000_1931766.0000.ogg,还说你们这个圈内是怎么交流呢
data/train/1931933.0000_1934700.0000.ogg,一般就是还是有自己的意愿
data/train/1935100.0000_1935700.0000.ogg,自己的医院
data/train/1935700.0000_1938866.0000.ogg,当然通过这个自己科室领导
data/train/1938866.0000_1940033.0000.ogg,医院领导来反映
data/train/1940033.0000_1941466.0000.ogg,就是很多种技术机会
data/train/1941466.0000_1943433.0000.ogg,其实学习的机会非常多
data/train/1943433.0000_1944866.0000.ogg,各种机会都很多
data/train/1944933.0000_1947933.0000.ogg,其实很多还是自己去关注
data/train/1947933.0000_1948900.0000.ogg,自己去申请
data/train/1948900.0000_1950533.0000.ogg,去参加这种学术会议 什么的
data/train/1950533.0000_1952233.0000.ogg,明白
data/train/1952233.0000_1953433.0000.ogg,很多现在这种
data/train/1953633.0000_1956533.0000.ogg,这种学习的这种资源都非常多
data/train/1956533.0000_1959133.0000.ogg,很多都可以共享
data/train/1959233.0000_1961966.0000.ogg,很多有时候你甚至比如疫情期间
data/train/1962500.0000_1963933.0000.ogg,你出不去
data/train/1964066.0000_1965933.0000.ogg,那很多这种线上会议
data/train/1965933.0000_1968366.0000.ogg,其实也可以学到很多
data/train/1969533.0000_1972233.0000.ogg,没有有时候没必要非得到现场去
data/train/1972233.0000_1973333.0000.ogg,有这些学术会议
data/train/1974100.0000_1977266.0000.ogg,就可以新的一些理念明白可以学到
data/train/1977366.0000_1978166.0000.ogg,所以说
data/train/1978466.0000_1981233.0000.ogg,不断的学习才能不断的进步
data/train/1981233.0000_1983033.0000.ogg,那作为一个心外科医生
data/train/1983033.0000_1984833.0000.ogg,你们的一天是什么样的呢
data/train/1984833.0000_1986700.0000.ogg,能不能形容一下你的一天的
data/train/1987333.0000_1990066.0000.ogg,日程安排和你的工作量啊
data/train/1990333.0000_1994866.0000.ogg,我大概讲一下吧 一般早晨7点
data/train/1995466.0000_1998700.0000.ogg,一般7点之前到医院
data/train/1998700.0000_2003700.0000.ogg,到医院之后就开始做这种查房啊
data/train/2004033.0000_2004866.0000.ogg,这个
data/train/2005166.0000_2007833.0000.ogg,看一看前天做的这个
data/train/2007933.0000_2010933.0000.ogg,这个病人手术病人的情况
data/train/2010933.0000_2011866.0000.ogg,然后再查房
data/train/2011866.0000_2013766.0000.ogg,看看这个整个病房里边
data/train/2013766.0000_2015566.0000.ogg,术后病人术后的一些情况
data/train/2016366.0000_2018266.0000.ogg,看完了之后然后就早交班
data/train/2018466.0000_2020166.0000.ogg,早交班完了以后
data/train/2020433.0000_2023633.0000.ogg,就做一些简单的这种
data/train/2023700.0000_2027300.0000.ogg,就是交班啊学术这种学术交流
data/train/2027433.0000_2028566.0000.ogg,或者病例讨论
data/train/2028866.0000_2032433.0000.ogg,讨论完了以后大概8点半左右
data/train/2032466.0000_2034333.0000.ogg,一般就准备进手室了
data/train/2034700.0000_2036633.0000.ogg,这一天的手术
data/train/2036900.0000_2038866.0000.ogg,基本上到
data/train/2038900.0000_2041566.0000.ogg,没什么特殊情况大概5 6点钟结束
data/train/2043466.0000_2046966.0000.ogg,这从8 9点到下午5 6点一直在手术
data/train/2047500.0000_2049632.0000.ogg,每两台手术中间
data/train/2050033.0000_2052166.0000.ogg,有休息这个吃饭的时间
data/train/2052166.0000_2055033.0000.ogg,大家忙点自己的一些事情
data/train/2055300.0000_2056632.0000.ogg,如果是
data/train/2057233.0000_2058466.0000.ogg,没有加台手术的话
data/train/2058466.0000_2060466.0000.ogg,下午大概五六点钟就结束了
data/train/2060466.0000_2062100.0000.ogg,如果有加台手术的话
data/train/2062266.0000_2066266.0000.ogg,加班手术的话基本上就到晚上10点11点了
data/train/2066333.0000_2067900.0000.ogg,像这种加台手术的是那种
data/train/2067900.0000_2069466.0000.ogg,一般是急诊过来的还是
data/train/2069900.0000_2072766.0000.ogg,有急诊手术啊有时候比如说我们
data/train/2072933.0000_2076833.0000.ogg,前段时间就是病人很多的时候啊
data/train/2076833.0000_2078632.0000.ogg,我们就想就在想着
data/train/2079300.0000_2080233.0000.ogg,加台做
data/train/2080466.0000_2083333.0000.ogg,尽量让这个这整个这个病房
data/train/2083866.0000_2086132.0000.ogg,这个病人周转起来
data/train/2086132.0000_2088132.0000.ogg,这样病人能更容易的入院
data/train/2088466.0000_2090065.0000.ogg,而且手术就是
data/train/2090333.0000_2092699.0000.ogg,你这个手术做的多了以后
data/train/2092699.0000_2095366.0000.ogg,这个病人这个入院才能才能快一些
data/train/2095366.0000_2097366.0000.ogg,出院才能快一些
data/train/2097433.0000_2100033.0000.ogg,就整个这个把这个这个节奏
data/train/2100500.0000_2101733.0000.ogg,这个加紧
data/train/2101733.0000_2102300.0000.ogg,要不然
data/train/2102300.0000_2104366.0000.ogg,没有别的可以解决这个问题了
data/train/2104366.0000_2106666.0000.ogg,就没有足够的床位能腾出来
data/train/2106666.0000_2108333.0000.ogg,因为床位是固定的
data/train/2108466.0000_2110900.0000.ogg,床位是固定的手术间是固定的
data/train/2110900.0000_2112700.0000.ogg,你只有去加班加台做
data/train/2112933.0000_2113900.0000.ogg,你才能
data/train/2114233.0000_2116633.0000.ogg,去那个缓解这个问题解决这个问题
data/train/2116633.0000_2118900.0000.ogg,是就像一周来说
data/train/2119333.0000_2121300.0000.ogg,你们能休息能休息两天吗
data/train/2121766.0000_2124233.0000.ogg,两天太奢侈了不可能的 太奢侈了
data/train/2124300.0000_2127933.0000.ogg,我们常规的这个手术时间是周一到周六
data/train/2128633.0000_2130100.0000.ogg,我们周六是常规
data/train/2130100.0000_2132366.0000.ogg,也属于手术日
data/train/2132366.0000_2133666.0000.ogg,属于手术日
data/train/2133766.0000_2134566.0000.ogg,所以你们
data/train/2135033.0000_2137500.0000.ogg,您只平时一个一周只能休息一天
data/train/2137500.0000_2140233.0000.ogg,一天也不能完全休吧
data/train/2140233.0000_2141433.0000.ogg,因为你到
data/train/2141633.0000_2144666.0000.ogg,礼拜天的时候你还有好多好多事情
data/train/2145166.0000_2149233.0000.ogg,你有时候可能是大部分时间
data/train/2149366.0000_2151633.0000.ogg,半天 差不多一周休半天
data/train/2151633.0000_2154233.0000.ogg,一周休半天 还是可以的
data/train/2154233.0000_2157733.0000.ogg,甚至你再比如说加上有开会啊
data/train/2157966.0000_2159466.0000.ogg,有周末的学术活动啊
data/train/2159466.0000_2160900.0000.ogg,那就基本上没有时间了
data/train/2161700.0000_2163766.0000.ogg,或者外出会诊手术啊
data/train/2164333.0000_2166333.0000.ogg,再加上这些时间的安排
data/train/2166366.0000_2167266.0000.ogg,整个周末
data/train/2167433.0000_2169233.0000.ogg,一满了之后就没有自己的时间了
data/train/2169233.0000_2170533.0000.ogg,那您家人像您爱人
data/train/2170533.0000_2172900.0000.ogg,是不是这个向你抗议
data/train/2173300.0000_2174500.0000.ogg,习惯了
data/train/2174500.0000_2176433.0000.ogg,有时候这个得陪家人啊
data/train/2176666.0000_2179833.0000.ogg,一起陪孩子的时间还是比较少啊
data/train/2180700.0000_2185100.0000.ogg,因为我当时印象很深的是
data/train/2185733.0000_2187666.0000.ogg,有一年的父亲节
data/train/2188133.0000_2189933.0000.ogg,然后我儿子
data/train/2190466.0000_2194066.0000.ogg,幼儿园里边 幼儿园老师
data/train/2194066.0000_2195933.0000.ogg,让他们每一个小朋友
data/train/2195933.0000_2197666.0000.ogg,都对爸爸说一句话
data/train/2198333.0000_2200333.0000.ogg,我儿子当时说了一句话
data/train/2200333.0000_2201733.0000.ogg,让我印象非常深
data/train/2202066.0000_2205500.0000.ogg,我儿子当时就说爸爸非常喜欢工作
data/train/2205633.0000_2207966.0000.ogg,他白天在工作晚上在工作
data/train/2207966.0000_2209300.0000.ogg,他一直在工作
data/train/2209633.0000_2212266.0000.ogg,所以我感觉对我 感触很深
data/train/2212266.0000_2217366.0000.ogg,其实孩子他其实是很懂得的
data/train/2217466.0000_2220300.0000.ogg,他有时 他慢慢孩子在长大才知道
data/train/2220433.0000_2223066.0000.ogg,确实爸爸在非常努力的工作
data/train/2223066.0000_2224233.0000.ogg,作为一个大夫
data/train/2224233.0000_2227100.0000.ogg,作为一个外科大夫在非常努力的工作
data/train/2227333.0000_2230633.0000.ogg,所以我儿子也是挺崇拜我的
data/train/2230966.0000_2234433.0000.ogg,但是有时候有些怨言也是比较正常的
data/train/2234766.0000_2235633.0000.ogg,所以说有时候
data/train/2236033.0000_2238133.0000.ogg,一旦有个半天或者甚至
data/train/2238333.0000_2239266.0000.ogg,比较奢侈的时候
data/train/2239266.0000_2241766.0000.ogg,有个1到2天的时候休息时间
data/train/2242033.0000_2244300.0000.ogg,就抓紧还是陪陪家人 陪陪孩子
data/train/2244333.0000_2247333.0000.ogg,这有时候弥补一下
data/train/2247533.0000_2250066.0000.ogg,这个对他们的欠缺吧
data/train/2252533.0000_2253066.0000.ogg,对于公共
data/train/2253066.0000_2255033.0000.ogg,你们有公共假日休息这一说吗
data/train/2255366.0000_2256900.0000.ogg,这刚刚过去的端午节
data/train/2256900.0000_2258233.0000.ogg,你能你休了几天
data/train/2258633.0000_2260666.0000.ogg,还不错吧
data/train/2260666.0000_2263566.0000.ogg,我做了一天半手术
data/train/2263566.0000_2266033.0000.ogg,休了休息了一天半
data/train/2266466.0000_2267900.0000.ogg,还可以
data/train/2268266.0000_2271966.0000.ogg,用一用用一天半的时间来陪陪家人
data/train/2272833.0000_2275133.0000.ogg,但是有时经常的这个有突发情况
data/train/2275133.0000_2277700.0000.ogg,你可能假期就取消了
data/train/2277700.0000_2278966.0000.ogg,就得返回医院了
data/train/2278966.0000_2281533.0000.ogg,一个外科病人
data/train/2281566.0000_2283833.0000.ogg,那您一般负责多少个床位啊
data/train/2285100.0000_2286433.0000.ogg,有这么一说吗
data/train/2286433.0000_2288766.0000.ogg,就是你们负责固定的啊
data/train/2288766.0000_2291233.0000.ogg,你像我这个
data/train/2291633.0000_2293766.0000.ogg,这个资质就是这个大夫吧
data/train/2293766.0000_2295166.0000.ogg,就是我这做这个
data/train/2295533.0000_2296833.0000.ogg,副主任医师
data/train/2296833.0000_2298666.0000.ogg,基本上就是说
data/train/2299700.0000_2302700.0000.ogg,管十十几个病人吧
data/train/2302700.0000_2304300.0000.ogg,就同时在管十几个病人
data/train/2304633.0000_2307333.0000.ogg,就是十几张床有时候可能更多一些
data/train/2307333.0000_2308866.0000.ogg,比如说忙的时候
data/train/2309633.0000_2311966.0000.ogg,可能要挂到20多个病人
data/train/2311966.0000_2313300.0000.ogg,所以你早上查房的时候
data/train/2313300.0000_2316066.0000.ogg,你要查这20多个人的情况啊
data/train/2316066.0000_2317166.0000.ogg,对
data/train/2317166.0000_2318900.0000.ogg,这个是每天都是这样的啊
data/train/2318900.0000_2320066.0000.ogg,日常工作
data/train/2321366.0000_2322866.0000.ogg,就是每个病人的
data/train/2323100.0000_2324466.0000.ogg,这个安危啊
data/train/2324466.0000_2326566.0000.ogg,每个病人的情况
data/train/2326833.0000_2330266.0000.ogg,其实自己心里边都还是都比较有数的
data/train/2330266.0000_2332933.0000.ogg,所以早晨查房
data/train/2332933.0000_2334966.0000.ogg,每天早上的查房都是有重点的
data/train/2334966.0000_2336500.0000.ogg,明白
data/train/2336666.0000_2337966.0000.ogg,很多特殊病人啊
data/train/2337966.0000_2339366.0000.ogg,其实都是
data/train/2339366.0000_2342166.0000.ogg,自己在本子里边都是有详细记录的
data/train/2342333.0000_2344100.0000.ogg,那你每周
data/train/2344100.0000_2346066.0000.ogg,或者说每天这么高强度的工作
data/train/2346066.0000_2346933.0000.ogg,你是怎么
data/train/2347733.0000_2349133.0000.ogg,平衡自己的健康呢
data/train/2349266.0000_2351333.0000.ogg,你打球的时间都没有了你肯定
data/train/2352300.0000_2355266.0000.ogg,那我感觉这个体育锻炼的这个时间
data/train/2355333.0000_2356933.0000.ogg,对于我们这个年龄段
data/train/2357066.0000_2357933.0000.ogg,就是大夫来讲
data/train/2357933.0000_2360133.0000.ogg,就是这个心外科大夫来讲
data/train/2360233.0000_2361433.0000.ogg,是比较奢侈的
data/train/2362100.0000_2363500.0000.ogg,那你怎么
data/train/2364033.0000_2365700.0000.ogg,去平衡自己的健康呢
data/train/2365933.0000_2368866.0000.ogg,最关键的还是休息好
data/train/2369533.0000_2371100.0000.ogg,我们这个一般
data/train/2371100.0000_2371966.0000.ogg,我们心外科大夫
data/train/2371966.0000_2373833.0000.ogg,这睡眠质量还是很好的
data/train/2374100.0000_2376900.0000.ogg,就是抓住点滴的时间去休息
data/train/2377466.0000_2378766.0000.ogg,就是这个
data/train/2378900.0000_2381500.0000.ogg,能在能在最短的时间内
data/train/2381766.0000_2384900.0000.ogg,达到这种这个身体
data/train/2384966.0000_2387433.0000.ogg,就是疲惫的时候调节恢复啊
data/train/2387433.0000_2388633.0000.ogg,那体力的恢复
data/train/2389033.0000_2390066.0000.ogg,那我可以这么问问你
data/train/2390066.0000_2391233.0000.ogg,你一周里边
data/train/2391433.0000_2392666.0000.ogg,用于运动的时间
data/train/2392666.0000_2394666.0000.ogg,能平均能有多长时间
data/train/2395133.0000_2396433.0000.ogg,自己运动
data/train/2396466.0000_2397533.0000.ogg,我目前来讲
data/train/2397533.0000_2400266.0000.ogg,还没有一个比较整装的时间
data/train/2400266.0000_2402333.0000.ogg,去做这个身体锻炼和运动
data/train/2402333.0000_2405166.0000.ogg,其实平时自己很想
data/train/2405500.0000_2409966.0000.ogg,因为这个这是过了40
data/train/2410266.0000_2412666.0000.ogg,外科大夫过了40之后
data/train/2412666.0000_2416566.0000.ogg,有时很多他的体力确实是有差别的
data/train/2416733.0000_2419466.0000.ogg,和40岁之前是有差别的
data/train/2419633.0000_2422500.0000.ogg,就是这个各方面自己能感觉到
data/train/2422966.0000_2423700.0000.ogg,有时候
data/train/2423700.0000_2427033.0000.ogg,这体力的恢复要明显比之前要慢一些
data/train/2427466.0000_2428433.0000.ogg,所以你选择了
data/train/2428466.0000_2430466.0000.ogg,就也确实没有时间去运动
data/train/2430466.0000_2432866.0000.ogg,没有时间 其实
data/train/2433966.0000_2435666.0000.ogg,如果是自己能休息好
data/train/2435766.0000_2438333.0000.ogg,其实就对自己这个就很满足
data/train/2438333.0000_2441166.0000.ogg,是很好的
data/train/2441500.0000_2443433.0000.ogg,这个调节了
data/train/2443500.0000_2445300.0000.ogg,还是
data/train/2445300.0000_2446666.0000.ogg,自己也想着
data/train/2446666.0000_2449633.0000.ogg,去做一个这种身体这种规划
data/train/2449766.0000_2451633.0000.ogg,去挤这种点滴的时间
data/train/2451633.0000_2453300.0000.ogg,但有时候发现那样更疲惫
data/train/2453633.0000_2454733.0000.ogg,但是随着这个
data/train/2454933.0000_2456933.0000.ogg,比如说自己
data/train/2457166.0000_2458666.0000.ogg,这个团队的越来越
data/train/2458666.0000_2460300.0000.ogg,这个扩大呀
data/train/2460300.0000_2461900.0000.ogg,自己的学生比较多啊
data/train/2461900.0000_2463566.0000.ogg,这个团队建立起来之后
data/train/2463700.0000_2465766.0000.ogg,自己可能就会有一些空闲时间
data/train/2465766.0000_2467100.0000.ogg,明白
data/train/2467466.0000_2468766.0000.ogg,自己还是期待
data/train/2468866.0000_2471733.0000.ogg,对自己的身体还是有一个
data/train/2471833.0000_2473300.0000.ogg,有一个适当的一个放松
data/train/2473300.0000_2474633.0000.ogg,肯定的
data/train/2476300.0000_2478700.0000.ogg,像当一名外科医生和一名内科医生比
data/train/2478700.0000_2480266.0000.ogg,他们这个外科医生
data/train/2480266.0000_2481500.0000.ogg,尤其外科心脏外科医生
data/train/2481500.0000_2482866.0000.ogg,他的门槛是什么
data/train/2482966.0000_2484433.0000.ogg,刚才提到一个手不能抖
data/train/2485066.0000_2486033.0000.ogg,手抖不行
data/train/2486733.0000_2487666.0000.ogg,就算一个门槛
data/train/2487866.0000_2488833.0000.ogg,其他学习成绩
data/train/2488833.0000_2490266.0000.ogg,是不是也在这个医科学生里边
data/train/2490266.0000_2494266.0000.ogg,必须是顶尖的才能读这个心脏外科呢
data/train/2494266.0000_2495633.0000.ogg,也不是啊
data/train/2495666.0000_2499366.0000.ogg,他其实还是当时是自己研究生的时候
data/train/2499366.0000_2500233.0000.ogg,选择的时候
data/train/2500566.0000_2502233.0000.ogg,这个方向
data/train/2502233.0000_2503933.0000.ogg,一般研究生选择这个方向
data/train/2503933.0000_2505533.0000.ogg,一般要没什么特殊情况
data/train/2505633.0000_2507300.0000.ogg,一般就没什么变化了
data/train/2507300.0000_2509700.0000.ogg,但是有极有极少见的那种情况
data/train/2509700.0000_2510500.0000.ogg,可能
data/train/2510500.0000_2513266.0000.ogg,自己这种这种专业可能发生一些变化
data/train/2513266.0000_2514933.0000.ogg,一般没有特殊情况一般就不变
data/train/2514933.0000_2517066.0000.ogg,你本科的学位是什么
data/train/2519133.0000_2521866.0000.ogg,那时就是临床临床医学叫临床医学
data/train/2521866.0000_2523333.0000.ogg,所以说临床医学
data/train/2523333.0000_2524566.0000.ogg,你们学的都是一样的
data/train/2524566.0000_2525066.0000.ogg,都是一样的
data/train/2525066.0000_2526966.0000.ogg,就到了研究生可能他偏向于外科
data/train/2526966.0000_2528466.0000.ogg,他偏向于不同的科室
data/train/2528466.0000_2529833.0000.ogg,到研究生他不光是偏向
data/train/2529900.0000_2531933.0000.ogg,就是完全细化了 完全细化
data/train/2531933.0000_2533166.0000.ogg,研究生是完全细化
data/train/2533166.0000_2534566.0000.ogg,自己的这种专业方向了
data/train/2534566.0000_2536666.0000.ogg,就具体到哪个专业去了
data/train/2536666.0000_2537533.0000.ogg,明白
data/train/2537766.0000_2541300.0000.ogg,你什么时候发现自己特别特别喜欢这个专业呢
data/train/2541833.0000_2545466.0000.ogg,其实在随着整个这个研究生
data/train/2545466.0000_2547300.0000.ogg,然后慢慢自己作为主治大夫啊
data/train/2547300.0000_2548900.0000.ogg,作为这个副主任医师啊
data/train/2548900.0000_2550266.0000.ogg,慢慢一步一步走来
data/train/2550266.0000_2554866.0000.ogg,其实感觉对这个心脏外科其实是
data/train/2555300.0000_2556433.0000.ogg,越来越喜欢了
data/train/2556433.0000_2557966.0000.ogg,就整个这个
data/train/2557966.0000_2561333.0000.ogg,你整个这个行业走下来之后
data/train/2561333.0000_2562233.0000.ogg,你会发现
data/train/2562933.0000_2565933.0000.ogg,非常喜欢自己所干的一个事情
data/train/2565933.0000_2567466.0000.ogg,就是这个
data/train/2567500.0000_2568333.0000.ogg,因为你每
data/train/2568500.0000_2570766.0000.ogg,每当你这个手术做成功了之后
data/train/2570866.0000_2574700.0000.ogg,你会有一个非常非常自豪的一种感觉
data/train/2574700.0000_2575900.0000.ogg,非常有成就感
data/train/2575966.0000_2578500.0000.ogg,当你这个手术完全按照你的计划
data/train/2578500.0000_2579500.0000.ogg,来进行的
data/train/2579566.0000_2581866.0000.ogg,而且手术效果非常好的时候
data/train/2582066.0000_2583733.0000.ogg,这个病人家属
data/train/2584033.0000_2586333.0000.ogg,和病人笑着
data/train/2586333.0000_2588733.0000.ogg,笑着感激 离开这个医院
data/train/2588933.0000_2590733.0000.ogg,然后回来复查的时候
data/train/2590966.0000_2593700.0000.ogg,这个非常满足的过来复查
data/train/2593833.0000_2597266.0000.ogg,拿着锦旗拿着感谢信回来的时候
data/train/2597266.0000_2599066.0000.ogg,那时你就感觉非常值
data/train/2599066.0000_2600566.0000.ogg,非常喜欢这个专业
data/train/2601566.0000_2602366.0000.ogg,就是这个
data/train/2602433.0000_2603633.0000.ogg,按照自己的这种
data/train/2603866.0000_2606700.0000.ogg,这种规划来
data/train/2606700.0000_2610133.0000.ogg,一步一步的这病人这病情啊
data/train/2610366.0000_2612033.0000.ogg,治疗一步一步的在走
data/train/2612033.0000_2614500.0000.ogg,就是非常喜欢确实非常喜欢
data/train/2614500.0000_2616466.0000.ogg,外科医生我觉得和
data/train/2616466.0000_2617733.0000.ogg,普通人还有一点
data/train/2618666.0000_2621533.0000.ogg,非常不一样的就是你真的是挽救了
data/train/2621566.0000_2623700.0000.ogg,就可能在当时就如果你不在
data/train/2623700.0000_2624766.0000.ogg,这个人命没了
data/train/2624966.0000_2626733.0000.ogg,就你当救了这个人命的时候
data/train/2626733.0000_2628133.0000.ogg,你那个感觉是什么样的
data/train/2629433.0000_2633500.0000.ogg,那是这种感觉是真是无法形容
data/train/2633666.0000_2636966.0000.ogg,我印象比较深的是
data/train/2637233.0000_2639700.0000.ogg,具体哪一年不太记得了啊
data/train/2639700.0000_2641066.0000.ogg,就是印象最深
data/train/2641066.0000_2642533.0000.ogg,我对这个病人印象最深
data/train/2642833.0000_2645233.0000.ogg,30多岁的一个年轻女性
data/train/2645333.0000_2646233.0000.ogg,她这个
data/train/2646466.0000_2649266.0000.ogg,冠状动脉重度狭窄是在左主干
data/train/2649300.0000_2652733.0000.ogg,因为作为一个心脏科大夫都知道
data/train/2652900.0000_2654466.0000.ogg,左主干这个重度狭窄
data/train/2654466.0000_2656033.0000.ogg,是随时有生命危险的
data/train/2656133.0000_2658366.0000.ogg,这个病人当时在病房里边
data/train/2658366.0000_2661500.0000.ogg,就因为她很年轻
data/train/2662566.0000_2665233.0000.ogg,有三个孩子
data/train/2665233.0000_2666766.0000.ogg,她最小的孩子还在
data/train/2666900.0000_2668233.0000.ogg,还在那个喂奶
data/train/2668233.0000_2670533.0000.ogg,因为她有病就被迫就是终止
data/train/2670700.0000_2671933.0000.ogg,终止喂奶了
data/train/2671933.0000_2672966.0000.ogg,所以这个
data/train/2673133.0000_2675466.0000.ogg,这是整个是三个孩子的妈妈
data/train/2675633.0000_2677466.0000.ogg,是
data/train/2677666.0000_2680166.0000.ogg,手术前也是做了充分的这种预案
data/train/2680433.0000_2683733.0000.ogg,就是这个用药啊预防的心绞痛发作
data/train/2683733.0000_2686533.0000.ogg,因为这种病人一旦心绞痛发作很危险
data/train/2686833.0000_2688266.0000.ogg,猝死率非常高
data/train/2688266.0000_2691133.0000.ogg,但我们虽然做的时候预案了
data/train/2691233.0000_2693233.0000.ogg,就做了很充分的术前准备了
data/train/2693466.0000_2695833.0000.ogg,还是在麻醉的时候还是出情况了
data/train/2695933.0000_2697100.0000.ogg,就在这个
data/train/2697100.0000_2699533.0000.ogg,一麻醉突然心脏就停了
data/train/2699900.0000_2702266.0000.ogg,就不跳了 就室颤了
data/train/2702300.0000_2704033.0000.ogg,今天我们心脏外科
data/train/2704533.0000_2705966.0000.ogg,室颤就是说停跳的意思吗
data/train/2705966.0000_2707733.0000.ogg,对 心脏就停止工作了
data/train/2707733.0000_2709300.0000.ogg,就这种突发情况
data/train/2709466.0000_2710733.0000.ogg,紧急抢救
data/train/2711566.0000_2715100.0000.ogg,然后我就是让我的那个
data/train/2716700.0000_2717866.0000.ogg,实习大夫
data/train/2717966.0000_2720600.0000.ogg,按压你首先得按压按压的
data/train/2720600.0000_2722133.0000.ogg,保证脑子供胸
data/train/2722133.0000_2723200.0000.ogg,胸外压
data/train/2723366.0000_2725300.0000.ogg,胸外压然后紧急消毒
data/train/2725700.0000_2727500.0000.ogg,消毒紧急开胸啊
data/train/2727500.0000_2729266.0000.ogg,然后在最短的时间里
data/train/2729266.0000_2731366.0000.ogg,也就是10分钟多一点吧
data/train/2731366.0000_2734800.0000.ogg,就是给她紧急插管
data/train/2735000.0000_2736200.0000.ogg,建立体外循环
data/train/2736600.0000_2737766.0000.ogg,当然最后这个
data/train/2737800.0000_2740266.0000.ogg,这个手术很顺利
data/train/2740266.0000_2743466.0000.ogg,在那和我的老师一块做的
data/train/2743700.0000_2744600.0000.ogg,非常顺利
data/train/2744600.0000_2746733.0000.ogg,然后病人恢复的非常好
data/train/2747266.0000_2749866.0000.ogg,当时病人出院的时候非常感激
data/train/2749866.0000_2751466.0000.ogg,而且回来复查特别好
data/train/2751466.0000_2753666.0000.ogg,我对这个病人印象非常深
data/train/2754133.0000_2754933.0000.ogg,因为这个
data/train/2755400.0000_2757366.0000.ogg,整个这个三个孩子妈妈
data/train/2757366.0000_2759133.0000.ogg,这个如果她出现问题
data/train/2759133.0000_2761500.0000.ogg,可能对这个家庭就灾难性
data/train/2761500.0000_2762400.0000.ogg,是灾难性的
data/train/2762400.0000_2764133.0000.ogg,当时这个
data/train/2764300.0000_2768100.0000.ogg,当把病人 把这个病人拉回来的时候
data/train/2768466.0000_2770766.0000.ogg,你会感觉非常有成就感
data/train/2770933.0000_2773066.0000.ogg,所以这种就是就感觉这些累啊
data/train/2773066.0000_2774200.0000.ogg,这些苦都都值了
data/train/2774200.0000_2775700.0000.ogg,感觉心外科的
data/train/2775933.0000_2777666.0000.ogg,魅力所在就在于
data/train/2777666.0000_2780400.0000.ogg,说心脏外科是一个重建外科
data/train/2780766.0000_2782900.0000.ogg,他把很多重建啊
data/train/2782900.0000_2784700.0000.ogg,重建外科他这个
data/train/2784700.0000_2787766.0000.ogg,因为很多这种外科手他叫损毁外科
data/train/2787900.0000_2790300.0000.ogg,是把病变的地方切除掉
data/train/2790300.0000_2791766.0000.ogg,损毁外科
data/train/2791766.0000_2794533.0000.ogg,但是心脏外科是重建
data/train/2794600.0000_2797333.0000.ogg,把很多结构重建 把瓣膜重建呀
data/train/2797500.0000_2798933.0000.ogg,把血管重建呀
data/train/2799166.0000_2800500.0000.ogg,把这个
data/train/2800500.0000_2803700.0000.ogg,这个整个那个畸形重建
data/train/2804000.0000_2807300.0000.ogg,都重建成这健康那种结构啊
data/train/2807300.0000_2810333.0000.ogg,所以说是确实心脏外科的魅力所在
data/train/2810333.0000_2812100.0000.ogg,所以说这个
data/train/2812566.0000_2814000.0000.ogg,心外科医生在值班的时候
data/train/2814000.0000_2815400.0000.ogg,他们的状态是什么样的
data/train/2815733.0000_2818800.0000.ogg,我们这个心外科值班是一线值班
data/train/2818800.0000_2820733.0000.ogg,真正的一线值班就是
data/train/2821166.0000_2822733.0000.ogg,挑战其实很大了
data/train/2822766.0000_2824766.0000.ogg,因为心脏外科
data/train/2824800.0000_2826500.0000.ogg,术前术后的病人
data/train/2826566.0000_2828666.0000.ogg,都随时可能发生了突发情况
data/train/2828666.0000_2831800.0000.ogg,还是这个心外科值班
data/train/2832100.0000_2833733.0000.ogg,这个神经是紧绷着的
data/train/2834366.0000_2835933.0000.ogg,所以值班是
data/train/2836133.0000_2838300.0000.ogg,当天晚上住在医院的那种
data/train/2838300.0000_2840800.0000.ogg,当然是包括白天晚上
data/train/2840800.0000_2843533.0000.ogg,我们一般的这个这值班状态就是
data/train/2843666.0000_2845900.0000.ogg,就是白班夜班吗
data/train/2845900.0000_2848900.0000.ogg,就是比如说这个
data/train/2849166.0000_2851700.0000.ogg,你第一天值白班
data/train/2851700.0000_2853066.0000.ogg,然后第二天晚上就值夜班
data/train/2853066.0000_2854900.0000.ogg,一般就就是这样轮
data/train/2854900.0000_2856266.0000.ogg,一般是一周
data/train/2856266.0000_2857766.0000.ogg,一周轮一次左右
data/train/2857800.0000_2860466.0000.ogg,明白 就每周你要值一次夜班
data/train/2860466.0000_2862300.0000.ogg,所以夜班就是可能一次夜班
data/train/2862300.0000_2863666.0000.ogg,一次夜班一次白班
data/train/2863666.0000_2865200.0000.ogg,一般是这样
data/train/2865200.0000_2866966.0000.ogg,就这个值班强度
data/train/2867000.0000_2869400.0000.ogg,心外科值班强度应该是很高了
data/train/2869400.0000_2870600.0000.ogg,这神经需要什么样子
data/train/2870600.0000_2871766.0000.ogg,需要紧绷着
data/train/2871766.0000_2872400.0000.ogg,因为随时
data/train/2872400.0000_2876333.0000.ogg,其实随时这个准备是去处理突发情况
data/train/2876333.0000_2877966.0000.ogg,有时候他们开玩笑
data/train/2877966.0000_2880600.0000.ogg,就是心脏外科大夫叫神预判
data/train/2880766.0000_2882166.0000.ogg,神预判
data/train/2882166.0000_2885066.0000.ogg,就是你知道这个病人往哪方向走
data/train/2885266.0000_2886000.0000.ogg,因为你值班的时候
data/train/2886000.0000_2887800.0000.ogg,你就盯着这部分病人
data/train/2888066.0000_2890466.0000.ogg,有的病人这个状态不好可能他有先兆
data/train/2891200.0000_2891733.0000.ogg,所以说
data/train/2891733.0000_2894400.0000.ogg,这个值班大夫要捕捉到这个先兆
data/train/2894400.0000_2896766.0000.ogg,去值班是在住院部值班
data/train/2896900.0000_2898266.0000.ogg,在病房里边 病房里边
data/train/2898266.0000_2899600.0000.ogg,病房就是可能已经做完手术
data/train/2899600.0000_2901066.0000.ogg,或者还没有即将做手术
data/train/2901100.0000_2902166.0000.ogg,可能出现一些紧急情况
data/train/2902900.0000_2907133.0000.ogg,甚至有些情况是值班护士她发现了
data/train/2908333.0000_2911266.0000.ogg,让值班大夫过去看看处理什么情况
data/train/2911366.0000_2914000.0000.ogg,但是值班大夫如果是这个
data/train/2914000.0000_2914900.0000.ogg,又是我们心外科大夫
data/train/2914900.0000_2916400.0000.ogg,经验丰富的那种心外科大夫
data/train/2916400.0000_2918266.0000.ogg,他会发现这种问题
data/train/2918866.0000_2921666.0000.ogg,预防这个整个这个病人
data/train/2921766.0000_2924066.0000.ogg,往更差在这个
data/train/2924200.0000_2925933.0000.ogg,这个状态里边走
data/train/2926133.0000_2929566.0000.ogg,及时终止的 有时神预判叫什么叫
data/train/2929700.0000_2932533.0000.ogg,就是这个病人感觉快抢救了
data/train/2932700.0000_2934900.0000.ogg,抓紧让护士准备抢救车
data/train/2935133.0000_2937333.0000.ogg,抢救药品而且 你有点感觉了
data/train/2937333.0000_2939000.0000.ogg,对 有时候经常
data/train/2939200.0000_2940533.0000.ogg,经常开玩笑
data/train/2940800.0000_2943866.0000.ogg,因为我这也是个老大夫了
data/train/2944066.0000_2945100.0000.ogg,值班的时候
data/train/2945666.0000_2946900.0000.ogg,然后这个
data/train/2947500.0000_2948966.0000.ogg,他们护士
data/train/2949166.0000_2951666.0000.ogg,喜欢和我搭班什么的说是
data/train/2951733.0000_2953766.0000.ogg,说厚荣哥在就踏实啊
data/train/2954133.0000_2954966.0000.ogg,为什么因为
data/train/2955966.0000_2957833.0000.ogg,盯病人盯的比较准
data/train/2957833.0000_2959533.0000.ogg,因为你经常干以后
data/train/2959533.0000_2962933.0000.ogg,你会这病情判断的比较准
data/train/2962933.0000_2964500.0000.ogg,因为这个病人要出问题了
data/train/2964500.0000_2966000.0000.ogg,你可能会及早发现
data/train/2966400.0000_2969600.0000.ogg,所以我记得有一次值班就是
data/train/2969933.0000_2971600.0000.ogg,这个
data/train/2972000.0000_2973333.0000.ogg,护士让我过去看
data/train/2973533.0000_2977766.0000.ogg,病人就是心律失常啊 就是反复那种
data/train/2978066.0000_2980133.0000.ogg,室早啊 室上速
data/train/2980266.0000_2983200.0000.ogg,我过去看这个病人那时还自己那交流
data/train/2983300.0000_2984533.0000.ogg,和护士在那交流
data/train/2984600.0000_2986166.0000.ogg,我一看这心电图有问题
data/train/2986733.0000_2988866.0000.ogg,我说我就赶紧给让护士
data/train/2988933.0000_2990466.0000.ogg,我说赶紧拿来这个
data/train/2990566.0000_2992466.0000.ogg,抢救车和除颤仪
data/train/2992566.0000_2993766.0000.ogg,我说抓紧拿
data/train/2993900.0000_2997433.0000.ogg,我刚说完没有两秒钟病人室颤了
data/train/2997933.0000_3000566.0000.ogg,我就赶紧上手按
data/train/3001066.0000_3003466.0000.ogg,完事病人抢救过来以后说是神预判
data/train/3003466.0000_3004300.0000.ogg,我说不是神预判
data/train/3004300.0000_3006533.0000.ogg,我说他现在突然已经有苗头了
data/train/3006533.0000_3008366.0000.ogg,他下一步要颤了
data/train/3008733.0000_3009966.0000.ogg,虽然病人可能是
data/train/3010100.0000_3014100.0000.ogg,他自己可能感觉不到 但是他很快就要
data/train/3014100.0000_3016400.0000.ogg,就要进入到这种时差的这种状态
data/train/3016400.0000_3018466.0000.ogg,因为很多种病人
data/train/3018466.0000_3020200.0000.ogg,如果你室颤时间长了以后
data/train/3020266.0000_3022066.0000.ogg,这病人就拉不回来了
data/train/3022066.0000_3024200.0000.ogg,这生命就拉不回来了
data/train/3024333.0000_3026800.0000.ogg,再就是在碰到紧急情况下
data/train/3027366.0000_3028066.0000.ogg,不能慌
data/train/3028066.0000_3030666.0000.ogg,就像我之前说过的这个
data/train/3030800.0000_3033500.0000.ogg,你这个有可能你这个潜意识的
data/train/3033500.0000_3035400.0000.ogg,这个抢救模式已经出来了
data/train/3035800.0000_3036866.0000.ogg,你就会下指令
data/train/3037100.0000_3040866.0000.ogg,调度是下指令
data/train/3040933.0000_3042666.0000.ogg,要调度抢救的东西
data/train/3043000.0000_3045166.0000.ogg,抢救车 最常用滴人抢救车
data/train/3045533.0000_3046766.0000.ogg,红色的抢救车
data/train/3046766.0000_3048866.0000.ogg,抢救车是个什么东西是一个床吗
data/train/3048866.0000_3049400.0000.ogg,不
data/train/3049400.0000_3051100.0000.ogg,他是一个带滑轮的
data/train/3051100.0000_3053866.0000.ogg,一个储存车
data/train/3053866.0000_3056900.0000.ogg,那个储存车带那个各种那个
data/train/3057100.0000_3057866.0000.ogg,抢救用药
data/train/3057866.0000_3059766.0000.ogg,他分门别类的
data/train/3059766.0000_3062000.0000.ogg,各种抢救用药都贴着签
data/train/3062133.0000_3064733.0000.ogg,就在那个车上随时拉来随时用
data/train/3064733.0000_3067100.0000.ogg,除颤仪都在上边
data/train/3067100.0000_3069533.0000.ogg,就是随时这个抢救啊
data/train/3069533.0000_3070600.0000.ogg,所以因为我这个
data/train/3071066.0000_3075266.0000.ogg,我的科里边也是这种抢救病人啊
data/train/3075266.0000_3076900.0000.ogg,也是出了名
data/train/3076900.0000_3078333.0000.ogg,小有名气
data/train/3078333.0000_3081166.0000.ogg,这是在值班的时候尤其是各种穿刺
data/train/3081333.0000_3084166.0000.ogg,各种穿刺操作也是也是这个
data/train/3084333.0000_3087600.0000.ogg,这个确实他们或者比较服
data/train/3087666.0000_3090166.0000.ogg,有时候就是抢救因为这个
data/train/3090333.0000_3092466.0000.ogg,你这种
data/train/3092866.0000_3095766.0000.ogg,做的到位 这种各种急症穿刺
data/train/3095766.0000_3096866.0000.ogg,你做的到位
data/train/3096866.0000_3100666.0000.ogg,可能病人就能在最有效的时间内把他拉回来
data/train/3100700.0000_3102700.0000.ogg,因为这当时
data/train/3102966.0000_3105366.0000.ogg,我觉得抢救一个一个病人
data/train/3105700.0000_3106666.0000.ogg,就在这个
data/train/3106900.0000_3110300.0000.ogg,室颤的时候 室颤的时候
data/train/3110566.0000_3111766.0000.ogg,就在他们这个
data/train/3112100.0000_3113933.0000.ogg,护士按压的同时
data/train/3113966.0000_3116100.0000.ogg,在这心脏不工作的时候
data/train/3116100.0000_3117600.0000.ogg,通过按压
data/train/3117600.0000_3118500.0000.ogg,循环按压
data/train/3118800.0000_3120566.0000.ogg,然后我这给他穿刺
data/train/3120566.0000_3122166.0000.ogg,这个动脉和静脉
data/train/3122333.0000_3123900.0000.ogg,因为只要这穿的成功了
data/train/3124200.0000_3126533.0000.ogg,就有抢救的那种成功的那种希望
data/train/3126533.0000_3129066.0000.ogg,就是你只有这个
data/train/3129466.0000_3132466.0000.ogg,很沉稳 因为那时你在按压的时候
data/train/3132466.0000_3136533.0000.ogg,整个这个病人这个活动幅度是很大的
data/train/3137500.0000_3141300.0000.ogg,你能再说这大幅度这种这
data/train/3141466.0000_3145966.0000.ogg,这种那种状态下能给他穿刺成功了
data/train/3146266.0000_3148500.0000.ogg,那别人抢 很难很难穿准吗
data/train/3148900.0000_3152933.0000.ogg,那就是咱整个这个抢救运动过程当中
data/train/3152933.0000_3154700.0000.ogg,你给他穿进去
data/train/3154700.0000_3157333.0000.ogg,所以说这个你需要相当的这个
data/train/3158166.0000_3163900.0000.ogg,勇气和技术和这个多少年的经验的积累
data/train/3163966.0000_3165733.0000.ogg,抢救病人的时候
data/train/3165733.0000_3167400.0000.ogg,脑子里不会想很多
data/train/3167533.0000_3169166.0000.ogg,其实有些思路非常清楚
data/train/3169333.0000_3170100.0000.ogg,这个话题
data/train/3170100.0000_3171600.0000.ogg,你在抢救一个病人的时候
data/train/3171600.0000_3172900.0000.ogg,你脑子在想什么呢
data/train/3173266.0000_3174600.0000.ogg,就是想让他活下来
data/train/3176166.0000_3177933.0000.ogg,就必须得把这个病人拉回来
data/train/3178000.0000_3180733.0000.ogg,因为我们的理念就是
data/train/3180733.0000_3182900.0000.ogg,人脑子里边就是有一个什么个理念
data/train/3183066.0000_3184566.0000.ogg,就是你这个
data/train/3184700.0000_3187533.0000.ogg,思路非常非常单纯
data/train/3188133.0000_3189933.0000.ogg,就是想把他拉回来
data/train/3190500.0000_3192100.0000.ogg,在值班的时候
data/train/3192100.0000_3194700.0000.ogg,有时候是不管是不是自己管的病人
data/train/3194700.0000_3196333.0000.ogg,只要病人出现紧急情况
data/train/3196333.0000_3198333.0000.ogg,就想把病人拉回来啊
data/train/3198366.0000_3200866.0000.ogg,所以说这个拉回来
data/train/3201066.0000_3202133.0000.ogg,这是最有效的
data/train/3202133.0000_3204933.0000.ogg,一些抢救措施啊
data/train/3205133.0000_3206000.0000.ogg,一些穿刺
data/train/3206266.0000_3207366.0000.ogg,都非常关键的
data/train/3207366.0000_3212566.0000.ogg,这是作为一个经验丰富的这个心外科值班大夫
data/train/3212566.0000_3213933.0000.ogg,不容易 真是不容易
data/train/3213933.0000_3215566.0000.ogg,都是历练出来的
data/train/3215933.0000_3218700.0000.ogg,通过每一个夜班的这种这种沉淀
data/train/3218700.0000_3220400.0000.ogg,每一台手术的沉淀
data/train/3220400.0000_3222566.0000.ogg,你现在还在做记录吗
data/train/3222766.0000_3227500.0000.ogg,遇到这种疑难杂症的特殊的都要做记录
data/train/3227600.0000_3233400.0000.ogg,当时跟着我一个老师就是学习的这个优良传统
data/train/3233400.0000_3236666.0000.ogg,你会你会把这个记录分享给你的同事吗
data/train/3236666.0000_3238566.0000.ogg,这是你的独家秘籍
data/train/3238566.0000_3239466.0000.ogg,不能叫独家秘籍
data/train/3239600.0000_3240966.0000.ogg,就是自己记下来吗
data/train/3241100.0000_3244566.0000.ogg,有时自己去翻一翻看一看
data/train/3244566.0000_3247366.0000.ogg,对自己这个有时
data/train/3247733.0000_3249533.0000.ogg,时间长了以后啊就翻一翻
data/train/3249700.0000_3250866.0000.ogg,相似的病例啊
data/train/3250866.0000_3254333.0000.ogg,相似的情况都翻翻看一看啊
data/train/3254333.0000_3257200.0000.ogg,那你们心外科医生之间会聊吗
data/train/3257200.0000_3260133.0000.ogg,经常交流我经常交流 你交流才有进步
data/train/3260166.0000_3264000.0000.ogg,你不能说通过自己闷着头自己去琢磨去
data/train/3264000.0000_3268333.0000.ogg,那肯定没有进步
data/train/3268333.0000_3270800.0000.ogg,还是得互相交流
data/train/3270800.0000_3272133.0000.ogg,互相交流互相进步
data/train/3272133.0000_3276566.0000.ogg,像你们在作为 你看你是齐鲁医院的心外科大夫
data/train/3276566.0000_3278200.0000.ogg,你会和其他医院的情况和大夫交流吗
data/train/3278200.0000_3279800.0000.ogg,还是说一般都是院内的
data/train/3280900.0000_3282533.0000.ogg,我和院外的交流更多
data/train/3282533.0000_3285200.0000.ogg,和院外交流更多 当然更喜欢
data/train/3285200.0000_3288066.0000.ogg,和我们的这个更高水平的心脑中心大夫
data/train/3288066.0000_3291000.0000.ogg,去交流 他们见的案例更多呀
data/train/3291000.0000_3292900.0000.ogg,就是学术交流
data/train/3293066.0000_3296300.0000.ogg,非常喜欢和人打卡交流听他们讲课
data/train/3296600.0000_3298533.0000.ogg,如果有机会能和他们交流的话
data/train/3298666.0000_3299766.0000.ogg,那是最好了
data/train/3300100.0000_3301933.0000.ogg,在医生这个行业里
data/train/3303333.0000_3305800.0000.ogg,医院平台的重要性有多大
data/train/3306166.0000_3308666.0000.ogg,然后他对一个医生的成长的影响
data/train/3308666.0000_3309566.0000.ogg,又是什么呢
data/train/3309866.0000_3312800.0000.ogg,我感觉这个医院这个平台啊
data/train/3312900.0000_3314766.0000.ogg,对于一个医生的非常关键
data/train/3314766.0000_3318466.0000.ogg,打比方我我是在齐鲁医院
data/train/3319000.0000_3321366.0000.ogg,这个平台非常
data/train/3321766.0000_3324466.0000.ogg,非常好 因为对个人发展来讲很关键
data/train/3324466.0000_3327200.0000.ogg,他是不熟悉医院吗
data/train/3327200.0000_3328866.0000.ogg,他这个很多资源
data/train/3328866.0000_3330566.0000.ogg,就是科研资源呀
data/train/3330800.0000_3333200.0000.ogg,然后出去进修的资源呀
data/train/3333200.0000_3336133.0000.ogg,然后学习的时候机会啊 都特别多
data/train/3336133.0000_3338466.0000.ogg,说个对个人这种成长
data/train/3338466.0000_3339333.0000.ogg,还有这个
data/train/3339466.0000_3341166.0000.ogg,这个职业生涯的时候
data/train/3341266.0000_3343000.0000.ogg,发展规划非常关键
data/train/3343133.0000_3345100.0000.ogg,所以说是
data/train/3345100.0000_3346900.0000.ogg,作为一个齐鲁医院的这个
data/train/3346900.0000_3347866.0000.ogg,这个心外科大夫
data/train/3347866.0000_3349600.0000.ogg,自己就是幸福感
data/train/3350066.0000_3352566.0000.ogg,也是很高了
data/train/3352666.0000_3355566.0000.ogg,就是这老师的水平要高
data/train/3355733.0000_3356666.0000.ogg,因为我是
data/train/3357200.0000_3362266.0000.ogg,从我研究生 我老师是吴树明
data/train/3362400.0000_3363200.0000.ogg,吴主任
data/train/3363333.0000_3366200.0000.ogg,现在那个张希全张主任啊
data/train/3366333.0000_3367566.0000.ogg,马增山马主任
data/train/3367566.0000_3370566.0000.ogg,还有谷兴华谷主任 再有李跃华李主任
data/train/3370866.0000_3372766.0000.ogg,就我这些老师我都是
data/train/3373366.0000_3374400.0000.ogg,历历在目的
data/train/3374400.0000_3376700.0000.ogg,他们教给我的
data/train/3376800.0000_3379066.0000.ogg,就是每一个老师都有自己的特长
data/train/3379066.0000_3380366.0000.ogg,都有自己的特色
data/train/3380600.0000_3381533.0000.ogg,跟他们学
data/train/3381533.0000_3384733.0000.ogg,学他们的长处 以后对我个人的
data/train/3384800.0000_3387500.0000.ogg,这个职业的这种发展非常关键
data/train/3387500.0000_3390533.0000.ogg,所以说有一句话我自己
data/train/3390700.0000_3393100.0000.ogg,一直就是我是铭记在心的
data/train/3393100.0000_3394366.0000.ogg,就是这个
data/train/3394533.0000_3396700.0000.ogg,一日为师终生为
data/train/3397066.0000_3398333.0000.ogg,终身为父
data/train/3398466.0000_3401166.0000.ogg,我对老师这种崇敬
data/train/3401400.0000_3404666.0000.ogg,是从心底打心眼里边就是
data/train/3404666.0000_3405866.0000.ogg,对老师这种
data/train/3405966.0000_3407466.0000.ogg,崇敬尊敬
data/train/3407466.0000_3408800.0000.ogg,就是他们
data/train/3408866.0000_3411566.0000.ogg,从他们身上学到的这个这个技术
data/train/3411566.0000_3413200.0000.ogg,你是从课本上
data/train/3413400.0000_3415000.0000.ogg,从老师那学到的东西
data/train/3415066.0000_3416766.0000.ogg,从课本上你是学不到的
data/train/3417266.0000_3419366.0000.ogg,心脏外科手术的成功率和
data/train/3419533.0000_3420700.0000.ogg,患者的生存率
data/train/3420700.0000_3422900.0000.ogg,可能是医生最关心的指标之一
data/train/3423200.0000_3425866.0000.ogg,你是如何评估手术的
data/train/3426500.0000_3429266.0000.ogg,成功以及患者的生存率的呢
data/train/3430100.0000_3432166.0000.ogg,一般一台心脏心脏手术
data/train/3432166.0000_3436466.0000.ogg,心脏外科手术他都是从入院就开始
data/train/3436766.0000_3440200.0000.ogg,做这个手术方案的制定
data/train/3440200.0000_3441200.0000.ogg,这个手术方案
data/train/3441533.0000_3443000.0000.ogg,定好了之后
data/train/3443500.0000_3446666.0000.ogg,就是做这种手术前准备按照
data/train/3446666.0000_3449533.0000.ogg,这个最安全的这个
data/train/3449600.0000_3450933.0000.ogg,效果最好的
data/train/3451066.0000_3453966.0000.ogg,这个手术方案 然后去准备手术
data/train/3454366.0000_3457400.0000.ogg,包括术中去按照这个进行方案去做
data/train/3457466.0000_3460300.0000.ogg,当然有时候虽然可能这个手术过程
data/train/3461200.0000_3463600.0000.ogg,有时会调整 不可能
data/train/3463600.0000_3465933.0000.ogg,有时可能会调整出手术方案
data/train/3465933.0000_3468500.0000.ogg,因为这个术前有时一些检查
data/train/3468566.0000_3470000.0000.ogg,还有一些局限性在这边
data/train/3470000.0000_3471333.0000.ogg,他不是100%准确了
data/train/3471333.0000_3474500.0000.ogg,因为在术中会发现一些新的变化
data/train/3474500.0000_3476900.0000.ogg,需要去更改手术方案
data/train/3476900.0000_3481700.0000.ogg,但不管怎么更改这个手术效果还是第一位的
data/train/3481700.0000_3483366.0000.ogg,你做完了以后
data/train/3483566.0000_3487900.0000.ogg,做这个心脏这个重建
data/train/3487900.0000_3488866.0000.ogg,达到自己的这种
data/train/3488866.0000_3492300.0000.ogg,达到就是自己预期的这个效果了
data/train/3492366.0000_3494066.0000.ogg,术后复查也比较理想了
data/train/3494100.0000_3497166.0000.ogg,那这样这个手术就达到目的了
data/train/3497166.0000_3499933.0000.ogg,就是作为一个成功的一个手术
data/train/3499966.0000_3503400.0000.ogg,所以这就是一台心外科手术
data/train/3503400.0000_3505300.0000.ogg,所需要 要求的
data/train/3505333.0000_3507400.0000.ogg,这个生存率一般
data/train/3507600.0000_3511933.0000.ogg,我们心外科这个死亡率应该是
data/train/3512066.0000_3515133.0000.ogg,在整个外科系统里边来讲应该是
data/train/3515300.0000_3518333.0000.ogg,最高的 高大概是个有比例吗
data/train/3518666.0000_3521500.0000.ogg,大概一个比例来讲啊
data/train/3522300.0000_3523733.0000.ogg,百分之
data/train/3523733.0000_3525166.0000.ogg,当然一个成熟的心脏中心
data/train/3525166.0000_3529800.0000.ogg,一个病死率大概是在1%点几
data/train/3530266.0000_3532733.0000.ogg,就是已经很高了
data/train/3532733.0000_3535400.0000.ogg,下不来手术台就是1%点多的概率
data/train/3535500.0000_3538300.0000.ogg,1%点多 我以为是会很高呢
data/train/3538500.0000_3540466.0000.ogg,听起来很高了
data/train/3540466.0000_3544600.0000.ogg,一点多的在整个外科系统这边来讲就是很高了
data/train/3544700.0000_3547966.0000.ogg,但整个从心脏外科应该是个
data/train/3548166.0000_3549700.0000.ogg,最基本的一个要求
data/train/3549766.0000_3554900.0000.ogg,如果你太高的话你肯定说明整个这个中心的这个
data/train/3555200.0000_3558100.0000.ogg,技术水平和各方面还是需要有待提高
data/train/3558133.0000_3559333.0000.ogg,慢慢去
data/train/3559700.0000_3563133.0000.ogg,在这个发展啊沉淀过程当中啊
data/train/3563166.0000_3567400.0000.ogg,这些在临床里边你们会拒诊吗
data/train/3568266.0000_3571600.0000.ogg,拒绝诊治他吗
data/train/3572266.0000_3573400.0000.ogg,不能说拒诊啊
data/train/3573400.0000_3576400.0000.ogg,就说有的手术确实没有手术机会了
data/train/3577066.0000_3579500.0000.ogg,因为就是如果一台手术的时候
data/train/3579700.0000_3581400.0000.ogg,预期死亡率过高
data/train/3581400.0000_3583966.0000.ogg,就是我们这个
data/train/3584366.0000_3587533.0000.ogg,在这个指南里边来讲就手术禁忌了
data/train/3587666.0000_3589533.0000.ogg,那是不能手术了
data/train/3589700.0000_3590700.0000.ogg,因为你这个
data/train/3590800.0000_3593533.0000.ogg,这是他是违反诊疗原则的
data/train/3595566.0000_3597266.0000.ogg,这个是当你没有手术指证
data/train/3597266.0000_3598300.0000.ogg,或者风险过高
data/train/3598300.0000_3599666.0000.ogg,死亡率过高的时候
data/train/3599733.0000_3602166.0000.ogg,你明明知道就是人财两空
data/train/3602366.0000_3605400.0000.ogg,你钱花了可能人也没了
data/train/3605400.0000_3606900.0000.ogg,预期人会没
data/train/3607000.0000_3608000.0000.ogg,所以这种情况
data/train/3608100.0000_3611133.0000.ogg,你是不能去做这个开刀的 明白
data/train/3611400.0000_3615366.0000.ogg,能不能给那些想当心脏外科手术医生的
data/train/3615466.0000_3617333.0000.ogg,青年医科学生一些建议
data/train/3617666.0000_3619000.0000.ogg,我感觉是
data/train/3619600.0000_3622000.0000.ogg,自己在这个慢慢这个
data/train/3622000.0000_3624133.0000.ogg,整个作为一个心脏外科大夫来讲
data/train/3624133.0000_3625800.0000.ogg,当然一开始从学生
data/train/3625966.0000_3626966.0000.ogg,慢慢慢慢
data/train/3626966.0000_3629566.0000.ogg,也是成长为一个老师
data/train/3629566.0000_3631733.0000.ogg,当越来越多的时候
data/train/3631966.0000_3633966.0000.ogg,实习大夫
data/train/3634166.0000_3636700.0000.ogg,还有进修医师啊
data/train/3636800.0000_3638100.0000.ogg,喊老师的时候
data/train/3638133.0000_3640533.0000.ogg,感觉自己的这责任的重大呀
data/train/3641100.0000_3644300.0000.ogg,我当时就是说是在
data/train/3645066.0000_3647300.0000.ogg,印象很深的是
data/train/3647566.0000_3649766.0000.ogg,有一个实习大夫
data/train/3649766.0000_3652366.0000.ogg,跟我跟了我两个月吧
data/train/3652600.0000_3654866.0000.ogg,他就是对心脏外科
data/train/3654866.0000_3659066.0000.ogg,通过我给他慢慢那个讲解
data/train/3659166.0000_3662966.0000.ogg,每台手术都跟台 就是带他
data/train/3662966.0000_3664933.0000.ogg,然后最后他就非常感兴趣
data/train/3665133.0000_3666333.0000.ogg,最后也成为一个
data/train/3666866.0000_3668400.0000.ogg,非常优秀的心外科大夫了
data/train/3668400.0000_3669900.0000.ogg,我就感觉就是
data/train/3670200.0000_3676933.0000.ogg,自己这个通过慢慢的自己这个言传身教
data/train/3676933.0000_3677900.0000.ogg,让这个
data/train/3677900.0000_3680166.0000.ogg,让他们感受到这种心脏外科的魅力
data/train/3680300.0000_3681866.0000.ogg,自己也是很有成就感
data/train/3681866.0000_3684466.0000.ogg,但是作为一个心外科大夫
data/train/3684466.0000_3689533.0000.ogg,最应该是需要的这个特性
data/train/3689533.0000_3691500.0000.ogg,特性是什么啊
data/train/3691533.0000_3695300.0000.ogg,这个非常的这种沉稳
data/train/3695733.0000_3696900.0000.ogg,细心
data/train/3696933.0000_3700166.0000.ogg,然后是这个手上的
data/train/3700566.0000_3703533.0000.ogg,这种技巧啊 还是得掌握啊
data/train/3703766.0000_3708100.0000.ogg,就是得非常非常稳重啊 不能太浮
data/train/3708500.0000_3710100.0000.ogg,若是太浮了
data/train/3711133.0000_3713766.0000.ogg,做不了一个很好的这种心外科大夫
data/train/3713766.0000_3714866.0000.ogg,明白
data/train/3715100.0000_3718000.0000.ogg,而且明年您将成为这个硕士生导师了
data/train/3718000.0000_3719566.0000.ogg,而且要招自己的学生了
data/train/3719966.0000_3722933.0000.ogg,我就想问一问
data/train/3723166.0000_3724966.0000.ogg,您喜欢什么样的学生
data/train/3725466.0000_3727933.0000.ogg,然后你如果来挑学生的话
data/train/3728100.0000_3732366.0000.ogg,你看中他们的什么能力或者品质呢
data/train/3734533.0000_3738500.0000.ogg,如果是我对想招这个
data/train/3738500.0000_3741133.0000.ogg,研究生的话 还是希望他一个
data/train/3741666.0000_3744366.0000.ogg,现在因为是需要全面发展吗
data/train/3744366.0000_3750300.0000.ogg,因为现在我们这个学科的发展 也需要科研的发展
data/train/3750300.0000_3755133.0000.ogg,所以说首先科研啊 临床都感兴趣的学生
data/train/3755133.0000_3757500.0000.ogg,首先是优先考虑的
data/train/3757500.0000_3760100.0000.ogg,他得对这个东西感本身就确实感兴趣
data/train/3760200.0000_3764166.0000.ogg,对整个这个心脏外科确实非常感兴趣
data/train/3764366.0000_3767733.0000.ogg,从科研水平还是从这个这个临床水平
data/train/3768000.0000_3769566.0000.ogg,都非常感兴趣的学生
data/train/3769566.0000_3771966.0000.ogg,而且比较稳重啊
data/train/3771966.0000_3774933.0000.ogg,比较稳重的学生应该是还是
data/train/3775100.0000_3778266.0000.ogg,我优先考虑的这个条件啊
data/train/3779333.0000_3782300.0000.ogg,所以说我给你提一个不太恰当的问题啊
data/train/3782733.0000_3786733.0000.ogg,假如说我是一个医科学生
data/train/3786766.0000_3788133.0000.ogg,假如说啊
data/train/3788666.0000_3791533.0000.ogg,有5个老师在我面前
data/train/3791900.0000_3793133.0000.ogg,你能不能
data/train/3793400.0000_3796766.0000.ogg,营销一下自己 来选你当老师呢
data/train/3797700.0000_3799166.0000.ogg,你们会 你会遇到这种问题吗
data/train/3799166.0000_3800466.0000.ogg,可能现实中都不会
data/train/3800700.0000_3801966.0000.ogg,就是为什么要选我
data/train/3802733.0000_3803766.0000.ogg,当了你的老师
data/train/3804533.0000_3807200.0000.ogg,这个其实现在学生选老师
data/train/3807200.0000_3811300.0000.ogg,其实他之前就有过反复的这种查
data/train/3811300.0000_3814100.0000.ogg,因为现在很多种网上这种资料
data/train/3814133.0000_3816166.0000.ogg,都是共享的
data/train/3816166.0000_3818333.0000.ogg,对而且这种老师的口碑啊
data/train/3818333.0000_3820400.0000.ogg,学生其实都是知道了
data/train/3821300.0000_3822200.0000.ogg,有时候
data/train/3822533.0000_3824133.0000.ogg,他其实
data/train/3824300.0000_3825700.0000.ogg,不用这个推荐自己了
data/train/3825700.0000_3826800.0000.ogg,不用推荐
data/train/3827266.0000_3830000.0000.ogg,因为现在学生这个信息都是很全面的
data/train/3830000.0000_3832600.0000.ogg,他们感兴趣哪一方面
data/train/3832766.0000_3834400.0000.ogg,然后认可哪个老师
data/train/3834500.0000_3837400.0000.ogg,他们大概都有一个规划
data/train/3837400.0000_3837966.0000.ogg,明白
data/train/3837966.0000_3842066.0000.ogg,所以很多学生他如果是想选的话
data/train/3842066.0000_3844200.0000.ogg,他其实他提前都做功课
data/train/3844200.0000_3847933.0000.ogg,他们有机会可以面对面交流吗
data/train/3847966.0000_3850066.0000.ogg,他就是有的学生你想报的话
data/train/3850066.0000_3851100.0000.ogg,他就提前会
data/train/3851366.0000_3854200.0000.ogg,会到医院里边来去找
data/train/3854200.0000_3857100.0000.ogg,找导师一般就会提前沟通一下
data/train/3857100.0000_3859700.0000.ogg,就是表达一下自己的决心呀
data/train/3859700.0000_3862333.0000.ogg,你也想面试一下
data/train/3862333.0000_3863900.0000.ogg,就是提前见个面吧
data/train/3863900.0000_3865300.0000.ogg,当然面试还是后边
data/train/3865500.0000_3868766.0000.ogg,你真是自己这个笔试成绩啊
data/train/3869666.0000_3870933.0000.ogg,要一步一步过
data/train/3870933.0000_3872500.0000.ogg,能不能达到这
data/train/3873333.0000_3874133.0000.ogg,是
data/train/3874400.0000_3877066.0000.ogg,我问一个稍微大点的问题
data/train/3877466.0000_3879766.0000.ogg,您在齐鲁医院工作了十来年了
data/train/3880000.0000_3881166.0000.ogg,在齐鲁医院
data/train/3881166.0000_3883133.0000.ogg,这么一个山东最好的医院之一
data/train/3883133.0000_3884966.0000.ogg,工作是一种什么体验呢
data/train/3885900.0000_3887366.0000.ogg,首先来讲
data/train/3887366.0000_3889100.0000.ogg,在齐鲁医院工作
data/train/3889100.0000_3891766.0000.ogg,确实有一种这个自豪感
data/train/3892166.0000_3895566.0000.ogg,因为这个平台所提供的是机会非常多
data/train/3896166.0000_3899800.0000.ogg,而且很多这种原量大 病人多
data/train/3900200.0000_3902766.0000.ogg,这个全省的
data/train/3902866.0000_3907866.0000.ogg,各个地市级这种这种病人就是疑难危重啊
data/train/3907866.0000_3910166.0000.ogg,什么病人都往这边集中
data/train/3910666.0000_3912800.0000.ogg,所以自己这种水平
data/train/3913200.0000_3917933.0000.ogg,发展水平成长啊其实还是比较快
data/train/3918100.0000_3920066.0000.ogg,所以说个人感觉还是
data/train/3920733.0000_3922366.0000.ogg,平台确实是
data/train/3922466.0000_3923333.0000.ogg,很关键
data/train/3923366.0000_3927000.0000.ogg,他会造就造就一个一个比较
data/train/3927200.0000_3929566.0000.ogg,造就一个比较合格的一个大夫
data/train/3929933.0000_3931733.0000.ogg,他会给你带来压力吗
data/train/3931733.0000_3933133.0000.ogg,你是齐鲁医院的大夫
data/train/3933500.0000_3935300.0000.ogg,你可能一个正常医生
data/train/3935300.0000_3937100.0000.ogg,可能假如说可能犯10个错
data/train/3937100.0000_3938733.0000.ogg,但对不起 你是齐鲁医院的医生
data/train/3938766.0000_3940666.0000.ogg,你可能只能允许犯3个错
data/train/3940666.0000_3941800.0000.ogg,你会有这种压力吗
data/train/3942200.0000_3943066.0000.ogg,压力有
data/train/3943733.0000_3944866.0000.ogg,必须得做到
data/train/3945300.0000_3947066.0000.ogg,很多事情必须要做到完美
data/train/3947066.0000_3949133.0000.ogg,这对自己这个要求
data/train/3949400.0000_3954333.0000.ogg,你像这个平时就是养成习惯了其实
data/train/3954600.0000_3958333.0000.ogg,自己还是有很多的时候是有强迫症的
data/train/3958700.0000_3963466.0000.ogg,必须要做到完美 有很多这种这种结果
data/train/3964000.0000_3965733.0000.ogg,都是力求完美的
data/train/3965733.0000_3968700.0000.ogg,这方面也不算是个压力吧
data/train/3968933.0000_3970500.0000.ogg,就是形成了一种职业习惯
data/train/3970500.0000_3972166.0000.ogg,尤其作为心脏外科
data/train/3972166.0000_3974066.0000.ogg,你只有做的完美了
data/train/3974166.0000_3975866.0000.ogg,你自己才问心无愧
data/train/3976100.0000_3978600.0000.ogg,对病人来讲 这多少年之后
data/train/3978600.0000_3980000.0000.ogg,然后再回来
data/train/3980100.0000_3981600.0000.ogg,病人回来复查的时候
data/train/3981866.0000_3982666.0000.ogg,看到
data/train/3982800.0000_3985366.0000.ogg,自己这个手术这个完美的一个结果
data/train/3985600.0000_3987466.0000.ogg,自己才有一种成就感
data/train/3987466.0000_3988800.0000.ogg,真正的一种成就感
data/train/3990400.0000_3991733.0000.ogg,这也太伟大了
data/train/3992200.0000_3995500.0000.ogg,OK问几个行业相关的就是
data/train/3995800.0000_3997800.0000.ogg,由于我们国家的这个医疗资源呢
data/train/3997800.0000_3999866.0000.ogg,相对的不平衡
data/train/3999866.0000_4000666.0000.ogg,那很多人呢
data/train/4000666.0000_4002933.0000.ogg,像您之前提到的可能从农村
data/train/4002933.0000_4005800.0000.ogg,从县里从地市来到省会城市来就医
data/train/4006566.0000_4008466.0000.ogg,作为一个患者
data/train/4008466.0000_4011166.0000.ogg,他们来如何选择合适的医院
data/train/4011166.0000_4012666.0000.ogg,和合适的医生呢
data/train/4013666.0000_4018600.0000.ogg,现在都是 还是推出分级诊疗
data/train/4018733.0000_4021566.0000.ogg,因为这简单的病 小病
data/train/4021800.0000_4025700.0000.ogg,在那个下边医院 在基层医院去治
data/train/4025800.0000_4027200.0000.ogg,这种大病
data/train/4027533.0000_4028933.0000.ogg,到再到这个分诊
data/train/4028933.0000_4031466.0000.ogg,到时候上级医院里边来 所以说
data/train/4031600.0000_4033766.0000.ogg,确实是比较复杂
data/train/4033766.0000_4036666.0000.ogg,比如说心脏外科手术如果是这个
data/train/4036766.0000_4038333.0000.ogg,这是个比较复杂点的
data/train/4038333.0000_4039800.0000.ogg,当然还是建议到时候
data/train/4040300.0000_4042700.0000.ogg,我们这啊 省级院里边的
data/train/4042700.0000_4046666.0000.ogg,到省部级医院来治疗
data/train/4046866.0000_4049700.0000.ogg,可能这个效果更好一些
data/train/4049700.0000_4051733.0000.ogg,所以说他这个
data/train/4051966.0000_4055266.0000.ogg,分诊首先在下边这个基层医院
data/train/4055466.0000_4057733.0000.ogg,基层医院做一个初步的一个分诊
data/train/4057733.0000_4058600.0000.ogg,可规划
data/train/4058600.0000_4060600.0000.ogg,对病人来讲他有个基本的规划
data/train/4060600.0000_4063466.0000.ogg,当然这部分宣传和工作
data/train/4063666.0000_4067400.0000.ogg,就是也在不断的在开展
data/train/4067400.0000_4070933.0000.ogg,就是不能浪费是不是
data/train/4071666.0000_4077166.0000.ogg,优势中的医疗资源 把这个优势的医疗资源浪费在
data/train/4077400.0000_4080066.0000.ogg,看些基础病和这个小病上
data/train/4080300.0000_4081200.0000.ogg,那时候没必要
data/train/4081200.0000_4083900.0000.ogg,确实从一个从那个角度来讲
data/train/4083900.0000_4086766.0000.ogg,确实是对医疗资源的一个浪费
data/train/4086766.0000_4089000.0000.ogg,那你刚才提到啊
data/train/4089300.0000_4092366.0000.ogg,你像无论是像山东省省立医院啊
data/train/4092366.0000_4095200.0000.ogg,这个齐鲁医院 山东省最好的医院
data/train/4095333.0000_4098265.0000.ogg,那么也存在全国最相当好的医院
data/train/4098332.0000_4100466.0000.ogg,上海的瑞金 北京的福爱啊
data/train/4100800.0000_4106100.0000.ogg,那什么病你觉得应该去这种全国知名的医院
data/train/4106200.0000_4109500.0000.ogg,什么病就可以去齐鲁省立呢
data/train/4109733.0000_4110800.0000.ogg,是这样
data/train/4111166.0000_4113966.0000.ogg,现在确实北上广的这种大的心脑中心
data/train/4113966.0000_4115533.0000.ogg,确实是这个
data/train/4115765.0000_4118566.0000.ogg,这是这个整体这个手术量呀
data/train/4118566.0000_4122733.0000.ogg,还有在部分技术的发展来讲
data/train/4122733.0000_4124866.0000.ogg,要优于我们
data/train/4125000.0000_4128300.0000.ogg,我们这一级的那种心脏中心
data/train/4128332.0000_4130500.0000.ogg,但是现在随时这个
data/train/4130933.0000_4132933.0000.ogg,整个这个发展和这个医疗资源
data/train/4133733.0000_4135733.0000.ogg,这个医疗技术这种共享啊
data/train/4135733.0000_4137000.0000.ogg,这种进步啊
data/train/4137366.0000_4139000.0000.ogg,我感觉
data/train/4139300.0000_4143200.0000.ogg,基本上没有说什么特别的种病
data/train/4143300.0000_4147300.0000.ogg,再往北上广这么大的中心去了啊
data/train/4147332.0000_4149300.0000.ogg,因为现在是整发展
data/train/4149300.0000_4156000.0000.ogg,"像我们现在 已经达到这个每年就是3,000多例的"
data/train/4156399.0000_4158700.0000.ogg,这个体量了 这个手术量了是吧
data/train/4158700.0000_4159765.0000.ogg,而且我们也在
data/train/4159933.0000_4164332.0000.ogg,不断的在全国去个排名啊
data/train/4164332.0000_4167000.0000.ogg,在心脏在全国心脏中心的排名
data/train/4167100.0000_4170899.0000.ogg,我们的不断的这个往上靠
data/train/4170966.0000_4173899.0000.ogg,所以说 也就是意思说这种
data/train/4174500.0000_4177300.0000.ogg,全国知名的医院不见得 一定去那
data/train/4177300.0000_4181933.0000.ogg,而其实省里边这种靠前医院 其实已经具备了这个能力实际上
data/train/4183800.0000_4187300.0000.ogg,你们可能是特别特别疑难杂症的
data/train/4187300.0000_4189166.0000.ogg,有这种情况你们治不了这种
data/train/4189166.0000_4190166.0000.ogg,有确实有
data/train/4190332.0000_4191899.0000.ogg,确实有人真是这种
data/train/4192066.0000_4193533.0000.ogg,非常复杂的这种病
data/train/4193533.0000_4197166.0000.ogg,当然这我们感觉其实在我们这个
data/train/4197466.0000_4199933.0000.ogg,这一级的心脏中心里边来讲
data/train/4200000.0000_4203266.0000.ogg,这个确实有难度嗯啊
data/train/4203366.0000_4204566.0000.ogg,其实我感觉
data/train/4205500.0000_4207733.0000.ogg,目前来讲应该是极个别的时候
data/train/4207733.0000_4209500.0000.ogg,极个别 就是极个别的情况
data/train/4209500.0000_4213866.0000.ogg,就是还是到这种更高的层次这种心脏中心啊
data/train/4213866.0000_4214733.0000.ogg,明白
data/train/4214733.0000_4215266.0000.ogg,就这样
data/train/4215266.0000_4218333.0000.ogg,像很多医院还都是三甲医院
data/train/4219166.0000_4220766.0000.ogg,他们的区别是什么
data/train/4222200.0000_4223366.0000.ogg,其实
data/train/4223366.0000_4226966.0000.ogg,三甲医院也分这个这个水平高低啊
data/train/4227333.0000_4231566.0000.ogg,这是 主要是看这个所谓的这个门诊量吗
data/train/4231566.0000_4232766.0000.ogg,还有这个手术量
data/train/4232766.0000_4233666.0000.ogg,对
data/train/4233666.0000_4236666.0000.ogg,综合你现在要看
data/train/4236666.0000_4238400.0000.ogg,不光是那个手术量
data/train/4238400.0000_4241366.0000.ogg,你要看这个手术难度系数
data/train/4241366.0000_4244900.0000.ogg,很多现在CM都是提倡这个CMI值
data/train/4244900.0000_4250066.0000.ogg,这手术CMI就是一个手术难度系数
data/train/4250100.0000_4252200.0000.ogg,所以为什么我们这个心脏外科现在
data/train/4252400.0000_4255333.0000.ogg,在整个这个外科占比呀
data/train/4255700.0000_4256966.0000.ogg,就是整个外科系统
data/train/4256966.0000_4260133.0000.ogg,这个占比越来越重就是
data/train/4260766.0000_4262366.0000.ogg,因为这个整个心脏外科
data/train/4262366.0000_4264133.0000.ogg,手术难度系数非常高
data/train/4264133.0000_4264866.0000.ogg,整个手术量
data/train/4264866.0000_4265500.0000.ogg,明白
data/train/4265500.0000_4267166.0000.ogg,难度系数高以后
data/train/4267600.0000_4268700.0000.ogg,他占比就高
data/train/4268700.0000_4270533.0000.ogg,一些患者
data/train/4270733.0000_4275766.0000.ogg,他们对医生医院就是他可能抱有不信任的态度
data/train/4275766.0000_4277466.0000.ogg,因为他看了很多社会的新闻啊
data/train/4277466.0000_4278300.0000.ogg,负面的新闻
data/train/4278300.0000_4282866.0000.ogg,他们认为医生医院在赚我的钱
data/train/4283133.0000_4284800.0000.ogg,然后你觉得这个医生
data/train/4285400.0000_4287766.0000.ogg,和患者的这种信任
data/train/4288300.0000_4291000.0000.ogg,该怎么建立呢
data/train/4291700.0000_4294333.0000.ogg,但您说的我听完之后我就感受就是
data/train/4294533.0000_4296000.0000.ogg,没有一个医生希望
data/train/4296700.0000_4301433.0000.ogg,希望自己的患者变坏 都希望救回来
data/train/4301433.0000_4304800.0000.ogg,都希望变得更好但是很多新闻
data/train/4305666.0000_4308300.0000.ogg,出现了 他们觉得 这些医院挣我钱呢
data/train/4309100.0000_4310666.0000.ogg,我是感觉
data/train/4310866.0000_4317300.0000.ogg,其实是这样啊 整个这个媒体啊 他这个新闻的
data/train/4317533.0000_4319400.0000.ogg,这个导向作用非常关键
data/train/4319400.0000_4322000.0000.ogg,因为有时候出现一些误导
data/train/4322333.0000_4324533.0000.ogg,一些媒体都误导这种情况发生
data/train/4324533.0000_4327600.0000.ogg,很多那种民众他是不了解真情
data/train/4327700.0000_4328800.0000.ogg,不了解事情
data/train/4328866.0000_4330066.0000.ogg,一旦出现误导
data/train/4330066.0000_4333366.0000.ogg,他可能就会就会激化这种隐患矛盾
data/train/4333366.0000_4338000.0000.ogg,就是在这个在疫情之前吧
data/train/4338000.0000_4340000.0000.ogg,有一段时间其实是
data/train/4340166.0000_4343300.0000.ogg,是医疗行业的一个非常黑暗的一个阶段
data/train/4343300.0000_4344933.0000.ogg,那时候还出现一些恶性事件
data/train/4344933.0000_4346533.0000.ogg,而恶性事件不止一个
data/train/4346533.0000_4348600.0000.ogg,全国出现了很多件
data/train/4348666.0000_4354733.0000.ogg,但那段时间整个医疗行业是一个冷门
data/train/4354733.0000_4355766.0000.ogg,就是从这个
data/train/4355933.0000_4358600.0000.ogg,高考报考志愿就能看出来
data/train/4358866.0000_4362566.0000.ogg,那段时间整个医疗是非常冷门
data/train/4362566.0000_4367533.0000.ogg,那段时间我们都知道整个医学院
data/train/4367733.0000_4369800.0000.ogg,本科班都招不起来
data/train/4370100.0000_4371400.0000.ogg,还有学生招不起来
data/train/4371400.0000_4374133.0000.ogg,有段时间确实这个学生招不满
data/train/4374166.0000_4376266.0000.ogg,或者说他是被新闻吓到了
data/train/4376300.0000_4378666.0000.ogg,就是整个感觉
data/train/4378733.0000_4381900.0000.ogg,一个是有时候那个家长感觉
data/train/4382333.0000_4383733.0000.ogg,这个太危险
data/train/4383800.0000_4389500.0000.ogg,因为这个恶性伤医事件有段时间非常多啊
data/train/4389500.0000_4390766.0000.ogg,感觉比较危险
data/train/4390933.0000_4392966.0000.ogg,但是整个这个医患
data/train/4392966.0000_4395300.0000.ogg,这个矛盾非常非常尖锐
data/train/4395533.0000_4398066.0000.ogg,所以说这个负面
data/train/4398200.0000_4404366.0000.ogg,整个这个媒体的负面影响其实比较关键
data/train/4404366.0000_4406533.0000.ogg,那该怎么建立这种信任呢
data/train/4406966.0000_4408666.0000.ogg,这种信任其实还是
data/train/4408933.0000_4412900.0000.ogg,通过这个良性的时候媒体导向
data/train/4413300.0000_4414866.0000.ogg,所以你想
data/train/4415466.0000_4419766.0000.ogg,这种黑暗的这阶段已经过去了
data/train/4419766.0000_4424333.0000.ogg,因为这个经历了这疫情这几年之后 从今年开始
data/train/4424733.0000_4426466.0000.ogg,这个报考
data/train/4426466.0000_4427500.0000.ogg,这个是整个
data/train/4427500.0000_4429900.0000.ogg,医学又重新回到这个热门上
data/train/4429900.0000_4432966.0000.ogg,是因为从分数线就能看出来
data/train/4432966.0000_4436333.0000.ogg,现在这个整个还是很关键的
data/train/4436333.0000_4440866.0000.ogg,整个社会的导向要去报道正面的事情
data/train/4440866.0000_4441700.0000.ogg,那是
data/train/4444066.0000_4446133.0000.ogg,问一个费用的问题
data/train/4446133.0000_4447300.0000.ogg,就是我们做一台心脏手术
data/train/4447300.0000_4449533.0000.ogg,我们印象里这种手术非常昂贵
data/train/4449566.0000_4452266.0000.ogg,你要做一台手术花一定是我的钱
data/train/4452266.0000_4455166.0000.ogg,他们一般的一台手术的费用构成是什么样的
data/train/4455900.0000_4461800.0000.ogg,其实现在整个这个医疗费用 其实都是
data/train/4462066.0000_4463866.0000.ogg,国家也出台一些政策之后
data/train/4463866.0000_4470066.0000.ogg,都是有压缩了 一些费用都是比之前便宜
data/train/4470066.0000_4472366.0000.ogg,都要有下降了
data/train/4472566.0000_4473700.0000.ogg,整个这个手术
data/train/4474100.0000_4475400.0000.ogg,其实大头的费用
data/train/4475666.0000_4480166.0000.ogg,还得手术的一个这个中间用的
data/train/4480166.0000_4484500.0000.ogg,手术器械呀和手术这个耗材
data/train/4484666.0000_4485066.0000.ogg,耗材
data/train/4485066.0000_4487866.0000.ogg,还有就是手术费
data/train/4487966.0000_4493000.0000.ogg,中国和西方的这个心脏外科水平的这个差距
data/train/4493566.0000_4494566.0000.ogg,现在的差距大吗
data/train/4494566.0000_4497900.0000.ogg,或者说是一个什么样的差距呢 中西方的对比
data/train/4498266.0000_4504000.0000.ogg,确实从这个医疗心外科医疗技术水平来讲
data/train/4504300.0000_4506366.0000.ogg,确实是个是欧美那边
data/train/4506933.0000_4508166.0000.ogg,他确实是领先了
data/train/4508166.0000_4514133.0000.ogg,因为很多技术确实是在一开始还是在学习吗
data/train/4514133.0000_4516600.0000.ogg,那边
data/train/4516866.0000_4519666.0000.ogg,心脏行业很多大咖
data/train/4519766.0000_4520666.0000.ogg,国际大咖
data/train/4520766.0000_4522933.0000.ogg,也基本上都是都是他们那边的
data/train/4522933.0000_4524566.0000.ogg,我们很崇拜的一些大咖
data/train/4524566.0000_4528900.0000.ogg,确实是这个很经典的一些术式呀
data/train/4528900.0000_4533466.0000.ogg,这是个技术啊 都是那个欧美那边发明
data/train/4533466.0000_4536966.0000.ogg,但是现在是这样
data/train/4538133.0000_4539900.0000.ogg,近来我们中国的这个
data/train/4539900.0000_4542500.0000.ogg,整个这个心脏外科技术发展非常快
data/train/4542500.0000_4545933.0000.ogg,都有自己的一些专长
data/train/4545933.0000_4546966.0000.ogg,技术专长
data/train/4547100.0000_4551933.0000.ogg,还有一些那个手术器械的发明
data/train/4551933.0000_4557400.0000.ogg,因为这个中国的外科大夫其实手是非常巧的
data/train/4557866.0000_4560800.0000.ogg,而且他相信他那个案例应该是做的多
data/train/4560800.0000_4563466.0000.ogg,数量要比 那肯定是多吧
data/train/4563466.0000_4564766.0000.ogg,数量肯定是
data/train/4564966.0000_4568166.0000.ogg,这个是我们中国大夫这个很大的一个优势
data/train/4568166.0000_4569333.0000.ogg,手巧
data/train/4569400.0000_4572866.0000.ogg,咱这个是中国大夫确实手巧
data/train/4572866.0000_4574700.0000.ogg,而且现在理念呀
data/train/4575133.0000_4576366.0000.ogg,进步也非常快
data/train/4576366.0000_4580466.0000.ogg,因为在很多这种国际大会上的发言
data/train/4580466.0000_4583566.0000.ogg,现在这个我们中国的心脏外科医生
data/train/4583733.0000_4585166.0000.ogg,发言比例越来越高
data/train/4585733.0000_4588300.0000.ogg,看出来就是国际的认可度
data/train/4589133.0000_4591733.0000.ogg,对中国心外科大夫认可度越来越高
data/train/4591733.0000_4592533.0000.ogg,明白
data/train/4592533.0000_4595666.0000.ogg,很多大会发言都有这个
data/train/4595700.0000_4597000.0000.ogg,中国医生
data/train/4597466.0000_4599966.0000.ogg,所以说我比较向往的一个事情就是
data/train/4599966.0000_4602600.0000.ogg,尽快还是在国际大会上
data/train/4602800.0000_4605900.0000.ogg,能有自己的这种学术发言
data/train/4606000.0000_4607866.0000.ogg,期待那一天 我期待那个
data/train/4608166.0000_4609333.0000.ogg,看到你的照片
data/train/4609600.0000_4610666.0000.ogg,期望期望
data/train/4610666.0000_4612266.0000.ogg,一定 一定会发生
data/train/4612266.0000_4614900.0000.ogg,问你几个 可能好玩的问题啊
data/train/4614933.0000_4617266.0000.ogg,假如坐上时间机器
data/train/4618166.0000_4619700.0000.ogg,回到20岁的自己
data/train/4620000.0000_4622366.0000.ogg,你想对20岁的自己说些什么
data/train/4623333.0000_4624600.0000.ogg,说点什么
data/train/4625500.0000_4627400.0000.ogg,那时还是想着嗯
data/train/4627966.0000_4629500.0000.ogg,对那时候自己说
data/train/4630000.0000_4634533.0000.ogg,还是要抓紧一切可以利用的时间
data/train/4634733.0000_4636766.0000.ogg,多去学知识多去学习
data/train/4636866.0000_4640900.0000.ogg,因为那是大学的时候确实玩心比较重啊
data/train/4641566.0000_4642900.0000.ogg,确实还是这个
data/train/4642966.0000_4644666.0000.ogg,所以现在再回想起来
data/train/4644900.0000_4648733.0000.ogg,还是把这个时间利用的可能更充分一些
data/train/4648733.0000_4653200.0000.ogg,可能是现在自己会更优秀一些
data/train/4653200.0000_4655766.0000.ogg,要求太高了
data/train/4655900.0000_4658933.0000.ogg,OK 还是这个时间机器的问题
data/train/4659300.0000_4662333.0000.ogg,时间去到20年后 你就是2043年
data/train/4662333.0000_4665400.0000.ogg,你已经在国际会议上发言若干次了
data/train/4665966.0000_4668000.0000.ogg,你想对那个时候的自己说些什么
data/train/4670933.0000_4672400.0000.ogg,自己的技术已经定型了
data/train/4672400.0000_4674466.0000.ogg,那个时候其实这个
data/train/4674500.0000_4676933.0000.ogg,这自己再进步的空间已经很小了
data/train/4676933.0000_4679800.0000.ogg,实话实讲一个外科大夫
data/train/4680500.0000_4682266.0000.ogg,当在这个退休以后
data/train/4682266.0000_4684466.0000.ogg,一般就是就是求稳了
data/train/4686533.0000_4691333.0000.ogg,比较安心的带带自己的这个这学生啊
data/train/4691333.0000_4694933.0000.ogg,教给他们怎么更好的
data/train/4695300.0000_4698166.0000.ogg,就是去学自己的技术呀
data/train/4698333.0000_4701600.0000.ogg,长长知识呀
data/train/4701933.0000_4705933.0000.ogg,这个可能那时候更多的期望和希望
data/train/4705933.0000_4708533.0000.ogg,还是寄托在自己的学生身上了
data/train/4709300.0000_4710066.0000.ogg,说你20年后
data/train/4710066.0000_4712500.0000.ogg,想象一下 你20年后现在看到你这段视频
data/train/4714100.0000_4715300.0000.ogg,你想对他说点什么
data/train/4717766.0000_4720766.0000.ogg,更好的享受生活吧
data/train/4720766.0000_4721466.0000.ogg,太累了
data/train/4722066.0000_4722766.0000.ogg,太累了
data/train/4724666.0000_4727400.0000.ogg,有没有一些道理或者说教训
data/train/4727400.0000_4730366.0000.ogg,你是希望自己能够更早的知道的
data/train/4732466.0000_4736300.0000.ogg,在这个心脏外科这方面
data/train/4736666.0000_4738266.0000.ogg,确实是这个
data/train/4738400.0000_4740866.0000.ogg,还是说到这个手术啊
data/train/4741766.0000_4744333.0000.ogg,对于手术来讲这个
data/train/4744400.0000_4746266.0000.ogg,一些病情的预判
data/train/4746266.0000_4748866.0000.ogg,还有一些并发症的预判
data/train/4748900.0000_4751966.0000.ogg,也是自己 一旦发生之后
data/train/4752100.0000_4754766.0000.ogg,需要自己吸取这些教训
data/train/4754766.0000_4760900.0000.ogg,而且再反过头来去想怎么能那个避免他
data/train/4760900.0000_4764700.0000.ogg,甚至有的时候可能你自己感觉避免不了
data/train/4764766.0000_4767100.0000.ogg,然后怎么来提升这种技术
data/train/4767600.0000_4770300.0000.ogg,让这个手术方案更优化一些
data/train/4771600.0000_4775300.0000.ogg,这是需要更多思考的地方
data/train/4776366.0000_4779766.0000.ogg,我在想因为一些
data/train/4781366.0000_4783966.0000.ogg,知识上的缺陷或者说经验上的缺陷
data/train/4783966.0000_4793300.0000.ogg,你会在假如说 你事后想你可能当时没有采用最好的处理方式
data/train/4793566.0000_4795733.0000.ogg,你会有这种后悔吗
data/train/4796700.0000_4797800.0000.ogg,有时候
data/train/4798333.0000_4800900.0000.ogg,在这个手术过程当中确实是有
data/train/4801300.0000_4804333.0000.ogg,关键是有时候手术方案的更改
data/train/4806000.0000_4808100.0000.ogg,在属于有这个突发情况的时候
data/train/4808100.0000_4809166.0000.ogg,手术方案更改
data/train/4810266.0000_4812066.0000.ogg,一旦出现这种情况的时候
data/train/4812200.0000_4814666.0000.ogg,这个有时候可能是在瞬间
data/train/4814766.0000_4816733.0000.ogg,瞬间要定这个方案
data/train/4816733.0000_4819733.0000.ogg,当然这个方案定了之后
data/train/4821066.0000_4822300.0000.ogg,做完这台手术了
data/train/4822300.0000_4824366.0000.ogg,在回想的时候可能感觉不够完美
data/train/4824366.0000_4826333.0000.ogg,但是有时确实有一种
data/train/4826400.0000_4829200.0000.ogg,你尽力了
data/train/4830066.0000_4832600.0000.ogg,他有时候这种结果也是有好有坏
data/train/4832600.0000_4834300.0000.ogg,有时候方案中更改
data/train/4834466.0000_4837100.0000.ogg,带来的可能是很好的结果
data/train/4837100.0000_4839133.0000.ogg,也可能带来是一种不良的结果
data/train/4839133.0000_4840533.0000.ogg,明白
data/train/4840800.0000_4842400.0000.ogg,能不能给那些还在迷茫
data/train/4842400.0000_4845200.0000.ogg,和困惑中的年轻人一些人生建议
data/train/4847566.0000_4850933.0000.ogg,我还是就对这种
data/train/4851200.0000_4853600.0000.ogg,本科生比如医学本科生
data/train/4853600.0000_4855333.0000.ogg,还有研究生
data/train/4855333.0000_4856166.0000.ogg,因为现在
data/train/4858100.0000_4860666.0000.ogg,在这个平时的这个手术
data/train/4860900.0000_4862700.0000.ogg,手术过程和诊断过程当中
data/train/4863000.0000_4866900.0000.ogg,也是有很多实习包括实习医生
data/train/4867500.0000_4868966.0000.ogg,研究生
data/train/4868966.0000_4870966.0000.ogg,还有说规培医生啊
data/train/4870966.0000_4874333.0000.ogg,都跟着到这个科室里边来学习呀
data/train/4874533.0000_4875766.0000.ogg,学手术呀
data/train/4876200.0000_4878866.0000.ogg,学这个疾病的一些诊疗啊
data/train/4879000.0000_4882100.0000.ogg,也给他们讲了不少 但有时候发现
data/train/4882400.0000_4885933.0000.ogg,现在很多这种年轻的医生
data/train/4885933.0000_4889533.0000.ogg,年轻的时候这种本科生现在一般
data/train/4889766.0000_4892566.0000.ogg,大部分学生都是00后了
data/train/4893000.0000_4895366.0000.ogg,辅导的还是比较多
data/train/4895800.0000_4897666.0000.ogg,因为扎不下心来
data/train/4897866.0000_4901133.0000.ogg,确实是因为和这个年龄段有关系
data/train/4901300.0000_4902466.0000.ogg,但是你现在这个
data/train/4902666.0000_4905600.0000.ogg,这个00后和他们差
data/train/4906100.0000_4907700.0000.ogg,确实是个代
data/train/4907700.0000_4910966.0000.ogg,可以说有有有代沟了 但是
data/train/4911266.0000_4914366.0000.ogg,不管是你这个年龄段的特点是什么
data/train/4914533.0000_4919666.0000.ogg,有一部分学生确实自我中心比较强
data/train/4919666.0000_4921800.0000.ogg,比较强啊 这个学东西不扎实
data/train/4922100.0000_4927133.0000.ogg,所以说我想对这种年轻的医生啊
data/train/4927166.0000_4933466.0000.ogg,他们一个建议 就是还是作为一个医学生 尤其以后
data/train/4933600.0000_4935766.0000.ogg,如果是想学这个外科的话
data/train/4936100.0000_4937500.0000.ogg,还是要扎扎实实
data/train/4938133.0000_4943966.0000.ogg,脚踏实地的 那就真正的去学习去领悟
data/train/4944966.0000_4946966.0000.ogg,因为技多不压身
data/train/4947866.0000_4949866.0000.ogg,一定不能怕累
data/train/4949966.0000_4956133.0000.ogg,如果你怕累的话你肯定成不了一个合格的医生
data/train/4956400.0000_4957533.0000.ogg,当然更成不了
data/train/4957533.0000_4958066.0000.ogg,如果你怕累
data/train/4958066.0000_4960166.0000.ogg,更成不了一个优秀的一个外科医生了
data/train/4960166.0000_4962500.0000.ogg,这是对他们的一个忠告
data/train/4962500.0000_4963300.0000.ogg,明白
data/train/4963533.0000_4966266.0000.ogg,作为一名医生作为一名心脏外科医生
data/train/4966766.0000_4968166.0000.ogg,你怎么看待死亡
data/train/4968466.0000_4969933.0000.ogg,你恐惧死亡吗
data/train/4972333.0000_4979466.0000.ogg,心脏外科这个其实我们对这种死亡生命的终止啊
data/train/4979666.0000_4985300.0000.ogg,其实有时看的还是比较清晰的 那不能叫恐惧死亡
data/train/4985800.0000_4990266.0000.ogg,我们做的日常工作
data/train/4990500.0000_4992266.0000.ogg,就是怎么去规避死亡
data/train/4992500.0000_4996533.0000.ogg,这是我们一个很 这个我们心脏外科专业
data/train/4996900.0000_4999266.0000.ogg,也是一个很重要的一个任务
data/train/4999266.0000_5000333.0000.ogg,怎么去规避它
data/train/5000333.0000_5004266.0000.ogg,当然真正要面临的时候
data/train/5004800.0000_5006000.0000.ogg,要非常冷静
data/train/5006333.0000_5007966.0000.ogg,因为这个
data/train/5008466.0000_5011100.0000.ogg,最不希望别人出问题
data/train/5011366.0000_5013700.0000.ogg,最希望别人活下来了肯定是（医生）
data/train/5014466.0000_5015966.0000.ogg,你们见了这么多
data/train/5016566.0000_5018000.0000.ogg,危重的病人
data/train/5018333.0000_5022133.0000.ogg,会对你的个人的生死关会产生影响吗
data/train/5023333.0000_5027800.0000.ogg,会有 当然经历了这个
data/train/5027966.0000_5030800.0000.ogg,很多种生死之后啊
data/train/5030933.0000_5037933.0000.ogg,其实自己会有一个清晰的认识 因为生命
data/train/5037933.0000_5040966.0000.ogg,生命的这种
data/train/5041366.0000_5044566.0000.ogg,这种敬我对生命的这种敬畏
data/train/5044566.0000_5047000.0000.ogg,自己可能有个更清晰的一个认识
data/train/5047000.0000_5050700.0000.ogg,对自己的价值观也有一个影响
data/train/5050700.0000_5052133.0000.ogg,就是这个什么影响呢
data/train/5052866.0000_5054933.0000.ogg,可能就是说这个
data/train/5054933.0000_5057466.0000.ogg,对一些问题看待一些问题啊
data/train/5057466.0000_5059200.0000.ogg,更理性一些
data/train/5059766.0000_5063200.0000.ogg,这个思路可能更清晰一些
data/train/5063566.0000_5064533.0000.ogg,就是
data/train/5065200.0000_5068100.0000.ogg,很多问题都看的是比较淡的
data/train/5068300.0000_5069800.0000.ogg,比如说一些对于一些
data/train/5069900.0000_5071800.0000.ogg,一些名利各方面的一些
data/train/5071800.0000_5073466.0000.ogg,一些东西
data/train/5073466.0000_5074866.0000.ogg,可能会比较淡
data/train/5074866.0000_5075933.0000.ogg,因为感觉
data/train/5076466.0000_5078566.0000.ogg,其实你经历了生死之后啊
data/train/5078566.0000_5079966.0000.ogg,经历了很多这种这种
data/train/5080366.0000_5081333.0000.ogg,生死之后
data/train/5081333.0000_5084200.0000.ogg,这种病人都是这生与死啊
data/train/5084200.0000_5085533.0000.ogg,你才感觉
data/train/5086133.0000_5088933.0000.ogg,其实这个最珍贵的
data/train/5089800.0000_5090900.0000.ogg,还是生命
data/train/5091866.0000_5094733.0000.ogg,这个其他的应该是
data/train/5095466.0000_5098799.0000.ogg,生命和健康这都是排在后边的啊
data/train/5099566.0000_5101900.0000.ogg,所以说你只有这个
data/train/5102400.0000_5105666.0000.ogg,有了一个健康的身体健康的体魄之后
data/train/5105766.0000_5107733.0000.ogg,你能考虑其他的一些事情
data/train/5109166.0000_5113000.0000.ogg,所以这是有时候也是我们也是注意身体
data/train/5113000.0000_5114000.0000.ogg,每个人都注意身体
data/train/5114000.0000_5115933.0000.ogg,包括外科大夫
data/train/5115933.0000_5118600.0000.ogg,心外科大夫更得注意自己身体
data/train/5118600.0000_5121533.0000.ogg,你觉得人生的意义是什么
data/train/5123666.0000_5125266.0000.ogg,这个话题有点大
data/train/5125266.0000_5128100.0000.ogg,没想这么深呀
data/train/5129000.0000_5130366.0000.ogg,我感觉这个
data/train/5130766.0000_5132533.0000.ogg,这个作为
data/train/5134366.0000_5138800.0000.ogg,人生的这个就是自我价值的一个体现吧
data/train/5139333.0000_5143966.0000.ogg,就是怎么去做好自己正在做的事情
data/train/5144066.0000_5146266.0000.ogg,做好自己的工作啊
data/train/5146266.0000_5150000.0000.ogg,怎么让自己的这个社会价值
data/train/5150000.0000_5151866.0000.ogg,得到一个最大的一个体现
data/train/5152533.0000_5154166.0000.ogg,一个职业满足感吧
data/train/5154366.0000_5157300.0000.ogg,因为我感觉我还是非常喜欢这种
data/train/5157566.0000_5159133.0000.ogg,个人职业这种满足感
data/train/5159133.0000_5161133.0000.ogg,作为一个心脏外科大夫
data/train/5161466.0000_5163666.0000.ogg,这个治病救人
data/train/5164266.0000_5165733.0000.ogg,我感觉应该是这个
data/train/5165733.0000_5168466.0000.ogg,自我价值的一个最大的一个体现
data/train/5168533.0000_5169766.0000.ogg,明白
data/train/5169966.0000_5174066.0000.ogg,那你怎么看待自己这一生的意义和目标呢
data/train/5175266.0000_5176866.0000.ogg,给自己
data/train/5177700.0000_5179733.0000.ogg,也没定特别大的目标吧
data/train/5179733.0000_5183333.0000.ogg,就是希望自己也是在不断的进步
data/train/5185800.0000_5189733.0000.ogg,这是整个这个医学的进步
data/train/5189733.0000_5192766.0000.ogg,整个这技术的进步是永无止境的
data/train/5192800.0000_5196966.0000.ogg,这个活到老学到老这句话
data/train/5197000.0000_5198966.0000.ogg,这是一直是一
data/train/5199800.0000_5200733.0000.ogg,很有道理的
data/train/5200733.0000_5202600.0000.ogg,确实要不断的学习
data/train/5203300.0000_5204266.0000.ogg,不断的进步
data/train/5204266.0000_5205133.0000.ogg,明白
data/train/5205133.0000_5208400.0000.ogg,所以说你现在一个儿子一个女儿 是吧
data/train/5208400.0000_5210166.0000.ogg,对对
data/train/5210200.0000_5212600.0000.ogg,问一个相对私人的问题
data/train/5213100.0000_5215200.0000.ogg,若干年后他们看到了今天的视频
data/train/5215200.0000_5216966.0000.ogg,你想对他们说点什么
data/train/5219966.0000_5222800.0000.ogg,其实两个孩子来讲吧
data/train/5222800.0000_5224900.0000.ogg,陪伴他们的时间比较少
data/train/5224900.0000_5225900.0000.ogg,但是
data/train/5226100.0000_5230666.0000.ogg,孩子在耳濡目染这个过程当中知道
data/train/5230800.0000_5234166.0000.ogg,他的爸爸是也是非常非常用功
data/train/5234166.0000_5237266.0000.ogg,非常认真非常喜欢自己的工作
data/train/5237266.0000_5238533.0000.ogg,这样就说
data/train/5240466.0000_5245900.0000.ogg,对他们的影响可能对他们的成长也是
data/train/5245900.0000_5251100.0000.ogg,也应该来讲也是一个正面积极的一个影响吧
data/train/5251100.0000_5252500.0000.ogg,你想对他们说点什么呢
data/train/5254333.0000_5256600.0000.ogg,还是规划好规划好自己的
data/train/5256600.0000_5258266.0000.ogg,不管他们
data/train/5259366.0000_5261333.0000.ogg,对什么行业
data/train/5261766.0000_5263166.0000.ogg,什么职业感兴趣
data/train/5263266.0000_5264733.0000.ogg,就是还是要规划好
data/train/5264900.0000_5267666.0000.ogg,自己的这个人生发展方向
data/train/5267666.0000_5273300.0000.ogg,就是做自己感兴趣的事情啊
data/train/5274200.0000_5276400.0000.ogg,还是体现自己的这个价值吧
data/train/5278133.0000_5280900.0000.ogg,感谢您收听我和孙厚荣医生的对话
data/train/5281333.0000_5283366.0000.ogg,医生是希望的信使
data/train/5283500.0000_5285633.0000.ogg,无论在黑暗中多么困惑
data/train/5285766.0000_5287933.0000.ogg,他们都点亮着生命的灯塔
data/train/5288333.0000_5290400.0000.ogg,向所有以孙医生为代表的
data/train/5290400.0000_5292133.0000.ogg,一线医疗工作者们致敬
data/train/5293133.0000_5294100.0000.ogg,再次感谢收听
data/train/5294100.0000_5295600.0000.ogg,这里是李秋林的播客
data/train/5295600.0000_5297333.0000.ogg,我们下期再见
data/train/587900.0000_590940.0000.ogg,I have been thinking about it since yesterday
data/train/591280.0000_592660.0000.ogg,think again and again
data/train/592800.0000_593720.0000.ogg,carbon dioxide partial pressure went up yesterday
data/train/593940.0000_596540.0000.ogg,the problem on his lung is urgent
data/train/596540.0000_597920.0000.ogg,soon will lose vitality
data/train/598020.0000_600180.0000.ogg,this patient is not stable every day
data/train/600480.0000_601080.0000.ogg,stable in the morning
data/train/601080.0000_602740.0000.ogg,something always went wrong at night
data/train/603440.0000_604720.0000.ogg,the final result of using ECMO
data/train/604720.0000_606520.0000.ogg,we need to set it down
data/train/607020.0000_608460.0000.ogg,whether to rescue or extend patient's time
data/train/608460.0000_610000.0000.ogg,we need to be clear on that
data/train/610000.0000_610500.0000.ogg,we use ECMO
data/train/610500.0000_612460.0000.ogg,it is only for assisting
data/train/612460.0000_613300.0000.ogg,in the end
data/train/613380.0000_614640.0000.ogg,the treatment is about etiology
data/train/616080.0000_618080.0000.ogg,at the temporary Leishenshan Hospital
data/train/618860.0000_620860.0000.ogg,doctor's choice is purer at this time
data/train/621280.0000_623280.0000.ogg,there's only one standard
data/train/624200.0000_626200.0000.ogg,"now, Bed 5 and Bed 15"
data/train/626640.0000_628640.0000.ogg,who is more fitted to the indication to put on ECMO
data/train/628640.0000_630100.0000.ogg,whose breathing system
data/train/630100.0000_631540.0000.ogg,needs ECMO's support the most
data/train/639000.0000_641000.0000.ogg,but this choice question
data/train/641660.0000_643660.0000.ogg,"is extremely tough, when it comes to making the decision"
data/train/643900.0000_645900.0000.ogg,what others have done
data/train/645900.0000_647160.0000.ogg,we will definitely do
data/train/647160.0000_648160.0000.ogg,what others haven't done before
data/train/648160.0000_649640.0000.ogg,we find out a way to do it
data/train/649640.0000_651500.0000.ogg,this is our characteristic
data/train/651500.0000_653360.0000.ogg,it has come to this step anyway
data/train/653360.0000_655340.0000.ogg,do whatever we can
data/train/655340.0000_657000.0000.ogg,what are you saving for? go for it
data/train/659100.0000_661100.0000.ogg,from 8:30 to 9:50
data/train/662600.0000_664600.0000.ogg,the discussion lasts 80 minutes
data/train/664600.0000_666540.0000.ogg,I took a look
data/train/667540.0000_669540.0000.ogg,this is what we discussed last week
data/train/669540.0000_670920.0000.ogg,this patient is the one that
data/train/670920.0000_672120.0000.ogg,has some chance for surviving
data/train/672120.0000_673560.0000.ogg,"therefore, the treatment for this patient"
data/train/673840.0000_675840.0000.ogg,treatments need to be positive
data/train/676320.0000_678320.0000.ogg,corresponding treatments need to be done ahead of time
data/train/678320.0000_679940.0000.ogg,in advance
data/train/679940.0000_681540.0000.ogg,don't be saving him
data/train/681540.0000_683300.0000.ogg,when he is in danger
data/train/683300.0000_684460.0000.ogg,then it's too late
data/train/685460.0000_687460.0000.ogg,the result of the discussion
data/train/688240.0000_690240.0000.ogg,is to put ECMO on Bed 15
data/train/691420.0000_693420.0000.ogg,according to the situation
data/train/693420.0000_694940.0000.ogg,doctors determined
data/train/695960.0000_697960.0000.ogg,Bed 5 has a longer window
data/train/697960.0000_699240.0000.ogg,maybe Bed 5 can hold on
data/train/699800.0000_701800.0000.ogg,until the second ECMO arrive
data/train/702880.0000_704880.0000.ogg,after Bed 15 is put on ECMO
data/train/706160.0000_708160.0000.ogg,"there are no other risks, right?"
data/train/708840.0000_710840.0000.ogg,"no other risks, right?"
data/train/710840.0000_711540.0000.ogg,except inflammation
data/train/711540.0000_712820.0000.ogg,"and this patient, Bed 15"
data/train/712820.0000_714140.0000.ogg,hemoglobin is 6 point something already
data/train/714140.0000_715560.0000.ogg,how are we going to solve the blood problem?
data/train/715560.0000_716720.0000.ogg,can't be done today
data/train/716720.0000_717360.0000.ogg,if can't be done
data/train/717360.0000_718820.0000.ogg,can you get us 800 ml blood?
data/train/718880.0000_722340.0000.ogg,"800 ml blood, 400 ml plasma"
data/train/722340.0000_723760.0000.ogg,1 unit of blood platelet
data/train/724540.0000_726540.0000.ogg,send in the application
data/train/726840.0000_728840.0000.ogg,To Leishenshan Hospital
data/train/734980.0000_736980.0000.ogg,now we need to wait for Bed 15's
data/train/736980.0000_738340.0000.ogg,blood supply for ECMO surgery
data/train/740740.0000_742740.0000.ogg,From this night
data/train/742740.0000_744540.0000.ogg,Dr. Wang broke into the vortex of life
data/train/745060.0000_747060.0000.ogg,of Bed 5 and Bed 15
data/train/756720.0000_758720.0000.ogg,push in the adrenaline
data/train/758720.0000_760220.0000.ogg,"push in the adrenaline, okay?"
data/train/761520.0000_763520.0000.ogg,after only 8 hours
data/train/764720.0000_766720.0000.ogg,lung functions of Bed 5 suddenly weakened
data/train/768040.0000_770040.0000.ogg,it disturbed all the plans Dr.Wang made
data/train/775800.0000_777800.0000.ogg,possibility of Bed 5 making through till tomorrow is small
data/train/778560.0000_780560.0000.ogg,"when the machine comes tomorrow, everything is set up"
data/train/780560.0000_781860.0000.ogg,maybe too late for him
data/train/783060.0000_785060.0000.ogg,so Bed 5 is more urgent I think
data/train/785600.0000_787600.0000.ogg,if the accessories can arrive tomorrow
data/train/787600.0000_788800.0000.ogg,we can work on Bed 5 first
data/train/789980.0000_791980.0000.ogg,let me call to confirm again
data/train/791980.0000_792940.0000.ogg,I mean
data/train/793620.0000_795620.0000.ogg,whatever happens
data/train/795620.0000_796600.0000.ogg,Bed 15 can hang in until tomorrow
data/train/800400.0000_802400.0000.ogg,but it is very questionable whether Bed 5 can make through until tomorrow
data/train/802400.0000_804280.0000.ogg,he can lose vitality anytime
data/train/804560.0000_806560.0000.ogg,this disease can change in seconds
data/train/809080.0000_811080.0000.ogg,"not answering, maybe in procedure"
data/train/812640.0000_814640.0000.ogg,we have a set of Sorin's ECMO
data/train/817100.0000_819100.0000.ogg,"no cannulas, no venous circuit"
data/train/819140.0000_821140.0000.ogg,"we don't have all of these, right?"
data/train/821140.0000_822780.0000.ogg,"except we have a console, from Sorin"
data/train/822780.0000_824660.0000.ogg,all the consumables are short
data/train/825400.0000_827400.0000.ogg,and a bracket for the curcuit
data/train/827400.0000_829100.0000.ogg,the bracket for ECMO
data/train/829560.0000_831560.0000.ogg,ask them if they can put together a set for me
data/train/831560.0000_832880.0000.ogg,let me write it down
data/train/834480.0000_836480.0000.ogg,because the machine is not complete yet
data/train/836480.0000_838020.0000.ogg,you don't know whether it will work or not
data/train/839300.0000_842160.0000.ogg,how about we assemble that ECMO first?
data/train/842160.0000_843500.0000.ogg,assemble it first
data/train/843760.0000_845760.0000.ogg,then when the accessories arrive we can finish it
data/train/853060.0000_855060.0000.ogg,bro
data/train/855060.0000_857060.0000.ogg,let me prepare the second set of ECMO
data/train/859060.0000_861060.0000.ogg,accessories will probably arrive tonight
data/train/861880.0000_863880.0000.ogg,I assure you Bed 15 will be put on (ECMO)
data/train/868820.0000_870820.0000.ogg,perfect
data/train/875740.0000_877740.0000.ogg,Dr.Wang wants to quickly assemble the second ECMO
data/train/878340.0000_880340.0000.ogg,for both Bed 5 and Bed 15
data/train/880920.0000_882920.0000.ogg,a chance to live at the same time
data/train/882920.0000_884480.0000.ogg,1:00 p.m.?
data/train/884480.0000_886380.0000.ogg,ask them to give Bed 15 another blood gas test
data/train/889580.0000_891580.0000.ogg,"but after half way through, Dr. Wang realize"
data/train/891580.0000_893280.0000.ogg,the second ECMO
data/train/893280.0000_894840.0000.ogg,not only lack of the line pack
data/train/895740.0000_897740.0000.ogg,there's even problem with the water tank tubes
data/train/901440.0000_903440.0000.ogg,there's no tubes for the water tank
data/train/906240.0000_908240.0000.ogg,no tubes for the water tank
data/train/911900.0000_913900.0000.ogg,call again
data/train/913900.0000_915600.0000.ogg,see if we can borrow it
data/train/918300.0000_920300.0000.ogg,you go for it
data/train/938120.0000_940120.0000.ogg,the reality has pushed Dr. Wang
data/train/940120.0000_942000.0000.ogg,back to the starting point
data/train/945940.0000_947940.0000.ogg,Dr. Wang is 53 years old
data/train/947940.0000_951260.0000.ogg,he's been learning ECMO techniques since 2003
data/train/951460.0000_953460.0000.ogg,it's been 17 years
data/train/954200.0000_956200.0000.ogg,he has done dozens of ECMO surgeries
data/train/956200.0000_957980.0000.ogg,he has never had a moment
data/train/958600.0000_960600.0000.ogg,struggled like now in the Leishenshan Hospital
data/train/961280.0000_963280.0000.ogg,doing these surgeries we never had 100% certainty
data/train/963680.0000_965680.0000.ogg,never
data/train/966460.0000_968460.0000.ogg,just fight for creating opportunities
data/train/972380.0000_974380.0000.ogg,"now, the reality that Dr. Wang is facing"
data/train/974380.0000_975760.0000.ogg,is more brutal
data/train/977180.0000_979180.0000.ogg,it is clear that Bed 5 is on the edge today
data/train/979180.0000_980760.0000.ogg,starve for life support
data/train/980760.0000_982220.0000.ogg,judging based on common sense
data/train/983140.0000_985140.0000.ogg,Bed 5 should be put on this ECMO
data/train/985500.0000_987500.0000.ogg,because an emergency is more urgent
data/train/987940.0000_989940.0000.ogg,but from reality
data/train/989940.0000_991660.0000.ogg,only 1 ECMO
data/train/991660.0000_993020.0000.ogg,even if Bed 5 is put on
data/train/993060.0000_995060.0000.ogg,doctors cannot be certain
data/train/995120.0000_997120.0000.ogg,that it will help him through
data/train/1007140.0000_1009140.0000.ogg,comparing to Bed 5
data/train/1009680.0000_1011680.0000.ogg,Bed 15 is in a better condition
data/train/1012240.0000_1014240.0000.ogg,"he has a higher chance to live without the machine later, and heal"
data/train/1016020.0000_1018020.0000.ogg,if Bed 15 cannot be put on ECMO now
data/train/1018020.0000_1019800.0000.ogg,he might miss
data/train/1020060.0000_1022060.0000.ogg,the best window for having ECMO surgery
data/train/1023120.0000_1025119.0000.ogg,nobody can tell what is going to happen tomorrow
data/train/1026099.0000_1028099.0000.ogg,COVID-19 patients are different from patients before
data/train/1028800.0000_1030800.0000.ogg,I heard the successful rate (of taking off the ECMO)
data/train/1030800.0000_1032280.0000.ogg,is only ten something percent in total
data/train/1032760.0000_1034760.0000.ogg,"in these ten percent, there are conditions"
data/train/1034760.0000_1036440.0000.ogg,timing
data/train/1036440.0000_1037460.0000.ogg,indications
data/train/1040099.0000_1042099.0000.ogg,Dr. Wang's struggle is not alone
data/train/1042619.0000_1044619.0000.ogg,especially in the early stage of the epidemic
data/train/1047060.0000_1049060.0000.ogg,"mask, ventilators, protection gears, and other medical resources"
data/train/1049060.0000_1050380.0000.ogg,shortage is severe
data/train/1050380.0000_1052300.0000.ogg,then when we came in
data/train/1052300.0000_1053700.0000.ogg,there's only bed and night stand
data/train/1053940.0000_1055940.0000.ogg,there's lack of rescue equipments
data/train/1055940.0000_1057480.0000.ogg,the only ventilator was used
data/train/1057480.0000_1058520.0000.ogg,there were no ventilators later on
data/train/1063600.0000_1065600.0000.ogg,this often will
data/train/1065600.0000_1067180.0000.ogg,push the doctors to an ethical dilemma
data/train/1067320.0000_1069320.0000.ogg,all lives should to be saved
data/train/1069600.0000_1071600.0000.ogg,but which one first
data/train/1071600.0000_1073600.0000.ogg,Bed 15 still needs ECMO today
data/train/1073600.0000_1074600.0000.ogg,no problem
data/train/1074600.0000_1076480.0000.ogg,we can be more active
data/train/1076820.0000_1078820.0000.ogg,"hopefully, for the intention of protection"
data/train/1078820.0000_1081520.0000.ogg,save one at a time
data/train/1081520.0000_1082840.0000.ogg,right
data/train/1083220.0000_1085220.0000.ogg,then I'll go prepare
data/train/1087220.0000_1089220.0000.ogg,there's no time for doctors to hesitate
data/train/1089220.0000_1090840.0000.ogg,they chosed
data/train/1090840.0000_1092640.0000.ogg,the one with the higher survival rate
data/train/1092640.0000_1094020.0000.ogg,Bed 15
data/train/1095560.0000_1097560.0000.ogg,Follow the steps when you go in
data/train/1097560.0000_1099180.0000.ogg,steps you planned
data/train/1099180.0000_1100480.0000.ogg,"step by step, no rush"
data/train/1100480.0000_1102380.0000.ogg,"okay, go for it"
data/train/1102500.0000_1104500.0000.ogg,you can do it
data/train/1109860.0000_1111860.0000.ogg,[hospital name and doctor name on the back of the protective suit]
data/train/1111860.0000_1113480.0000.ogg,what's the blood pressure
data/train/1113820.0000_1115820.0000.ogg,"slow down, slow down"
data/train/1117260.0000_1119260.0000.ogg,1000 ml saline
data/train/1121000.0000_1123000.0000.ogg,this is the first ECMO surgery in ICU of district B
data/train/1124780.0000_1126780.0000.ogg,the patient who has been deeply sedated
data/train/1126780.0000_1128120.0000.ogg,will not know
data/train/1128260.0000_1129220.0000.ogg,how hard it is
data/train/1129560.0000_1131660.0000.ogg,to make this life-saving surgery happen
data/train/1138320.0000_1140320.0000.ogg,the only pack of consumable
data/train/1140500.0000_1142500.0000.ogg,is carefully opened up
data/train/1142500.0000_1143460.0000.ogg,open again
data/train/1152340.0000_1154340.0000.ogg,"now, all doctors are aware"
data/train/1154720.0000_1156720.0000.ogg,how precious these consumables are
data/train/1166820.0000_1168820.0000.ogg,the red tubes have connected the life of the patient
data/train/1169160.0000_1171160.0000.ogg,and the ECMO machine
data/train/1171960.0000_1173960.0000.ogg,"Dafu, let's start (the ECMO)"
data/train/1173960.0000_1175160.0000.ogg,what time is it
data/train/1175700.0000_1177700.0000.ogg,6:48
data/train/1177700.0000_1179660.0000.ogg,what's the blood pressure
data/train/1179660.0000_1180740.0000.ogg,122
data/train/1180740.0000_1182340.0000.ogg,is pressure booster not working?
data/train/1182340.0000_1183420.0000.ogg,no
data/train/1183800.0000_1185800.0000.ogg,relying on this machine
data/train/1186260.0000_1188260.0000.ogg,patient's lung can take a rest from now
data/train/1189820.0000_1191820.0000.ogg,which will earn some time for future treatments
data/train/1229900.0000_1231900.0000.ogg,the word dilemma is abstract and vague
data/train/1232280.0000_1234280.0000.ogg,"but actually, it is the normality of human life"
data/train/1234360.0000_1236360.0000.ogg,at Leishenshan Hospital
data/train/1236360.0000_1237420.0000.ogg,as photographers
data/train/1237800.0000_1239800.0000.ogg,the dilemma we see each day
data/train/1240680.0000_1242680.0000.ogg,"direct, specific, unescapable"
data/train/1243300.0000_1245300.0000.ogg,don't think about it too much
data/train/1246340.0000_1248340.0000.ogg,just heal your body in here
data/train/1248340.0000_1249600.0000.ogg,"why do you think about all of that, right?"
data/train/1249600.0000_1251260.0000.ogg,in the ICU
data/train/1252600.0000_1254600.0000.ogg,Bed 23 is in the best situation among others
data/train/1255480.0000_1258700.0000.ogg,but he is apparently losing patience over the long treatment
data/train/1260760.0000_1262760.0000.ogg,think of that (suicide) all the time
data/train/1264340.0000_1266340.0000.ogg,life is good
data/train/1266340.0000_1268200.0000.ogg,return with healthy is the best
data/train/1268200.0000_1268700.0000.ogg,oh my
data/train/1269580.0000_1271580.0000.ogg,what are you thinking
data/train/1271580.0000_1273260.0000.ogg,hang in there
data/train/1274460.0000_1276460.0000.ogg,drink some porridge
data/train/1276460.0000_1277860.0000.ogg,open your mouth
data/train/1277860.0000_1279760.0000.ogg,you don't want to drink like this?
data/train/1280120.0000_1282120.0000.ogg,what about just drink a little?
data/train/1282120.0000_1283440.0000.ogg,just one bite
data/train/1285120.0000_1287120.0000.ogg,Bed 8 suddenly refuse to eat today
data/train/1287780.0000_1289780.0000.ogg,nurse have to feed using a syringe
data/train/1289860.0000_1291860.0000.ogg,no more?
data/train/1292340.0000_1294340.0000.ogg,drink more
data/train/1294820.0000_1296820.0000.ogg,one more?
data/train/1296880.0000_1298880.0000.ogg,"one more, okay?"
data/train/1300880.0000_1302880.0000.ogg,"he doesn't want medicine, no water"
data/train/1305660.0000_1307660.0000.ogg,he is completely not willing to cooperate
data/train/1312680.0000_1314680.0000.ogg,Bed 7 is only about 200 meters away from his wife
data/train/1314940.0000_1316940.0000.ogg,they are both COVID-19 patients
data/train/1316940.0000_1318380.0000.ogg,in quarantine and accepting treatments
data/train/1318900.0000_1320900.0000.ogg,haven't seen each other for 20 days
data/train/1321700.0000_1323700.0000.ogg,"you hang in there, okay?"
data/train/1323700.0000_1325660.0000.ogg,"you really miss your wife, isn't it?"
data/train/1325840.0000_1327840.0000.ogg,"so you need to cooperate with us, okay?"
data/train/1328160.0000_1330160.0000.ogg,"you shouldn't shake your head, you should nod"
data/train/1330160.0000_1332040.0000.ogg,will you cooperate?
data/train/1332040.0000_1333540.0000.ogg,can you hang in there?
data/train/1333540.0000_1335260.0000.ogg,nod
data/train/1335360.0000_1337360.0000.ogg,have faith in yourself
data/train/1337600.0000_1339600.0000.ogg,tell me you will try hard
data/train/1339600.0000_1340740.0000.ogg,nod
data/train/1340740.0000_1341920.0000.ogg,nod
data/train/1345600.0000_1347600.0000.ogg,there are 32 districts in the Leishenshan Hospital
data/train/1347600.0000_1349340.0000.ogg,1600 beds
data/train/1351200.0000_1353200.0000.ogg,in these stories of humans fight with the disease
data/train/1353200.0000_1354940.0000.ogg,we should not only see
data/train/1355040.0000_1357040.0000.ogg,sadness and difficulties
data/train/1358820.0000_1360820.0000.ogg,there is also the determination and strength
data/train/1360820.0000_1361860.0000.ogg,of us defeating the dilemma
data/train/1362340.0000_1364340.0000.ogg,eat a little more
data/train/1364340.0000_1365940.0000.ogg,I don't want to eat
data/train/1365940.0000_1367620.0000.ogg,I don't want to eat
data/train/1368260.0000_1370260.0000.ogg,I don't want to eat
data/train/1370260.0000_1371500.0000.ogg,two more bites
data/train/1371520.0000_1373520.0000.ogg,I don't want to eat
data/train/1373780.0000_1375780.0000.ogg,"no, no"
data/train/1377320.0000_1379320.0000.ogg,not eating at all
data/train/1383680.0000_1385680.0000.ogg,this porridge was specifically made for you
data/train/1385680.0000_1387520.0000.ogg,I don't want to eat
data/train/1390980.0000_1392980.0000.ogg,like this mother and son
data/train/1393160.0000_1395160.0000.ogg,Son was infected
data/train/1395160.0000_1396820.0000.ogg,when getting hemodialysis
data/train/1398180.0000_1400180.0000.ogg,The mom insisted to enter the Red Zoon for him
data/train/1400620.0000_1402620.0000.ogg,eat and live together
data/train/1402620.0000_1404560.0000.ogg,eat some more porridge
data/train/1404560.0000_1405460.0000.ogg,be quite
data/train/1405460.0000_1406840.0000.ogg,"okay, pat first"
data/train/1411900.0000_1414980.0000.ogg,is it more comfortable when patting the upper or lower?
data/train/1414980.0000_1416700.0000.ogg,the middle is the most comfortable
data/train/1416700.0000_1417720.0000.ogg,middle?
data/train/1423700.0000_1425700.0000.ogg,he was not in a good health condition beforehand
data/train/1425700.0000_1426860.0000.ogg,many underlying diseases
data/train/1429660.0000_1431660.0000.ogg,now he is not able to eat
data/train/1431660.0000_1433780.0000.ogg,he will through up after eating
data/train/1433940.0000_1436680.0000.ogg,I don't think it is looking good
data/train/1436900.0000_1438900.0000.ogg,"of course, I worry a lot"
data/train/1453940.0000_1455940.0000.ogg,Because my son is a special case
data/train/1455940.0000_1457920.0000.ogg,he is Intellectually disabled
data/train/1458080.0000_1460080.0000.ogg,"therefore, I have been accompanying my son myself"
data/train/1460080.0000_1461920.0000.ogg,how to put it
data/train/1461920.0000_1463620.0000.ogg,as a healthy person
data/train/1463620.0000_1464960.0000.ogg,"of course, I am afraid of this COVID-19"
data/train/1465340.0000_1467340.0000.ogg,"but as a mother, I am not afraid"
data/train/1469640.0000_1471640.0000.ogg,"when I was accompanying him in the hospital, at the beginning"
data/train/1471800.0000_1473800.0000.ogg,the doctors didn't allow me to
data/train/1474780.0000_1476780.0000.ogg,then I told them that my son is a special case
data/train/1476780.0000_1478160.0000.ogg,he said that he needed to consult the dean
data/train/1478160.0000_1479960.0000.ogg,"later on, the dean said okay"
data/train/1481500.0000_1483500.0000.ogg,"as a mother, what should I be afraid of when my son is in this condition?"
data/train/1484780.0000_1486780.0000.ogg,sometimes I feel like if my son dies
data/train/1486780.0000_1488080.0000.ogg,I won't be able to live
data/train/1488080.0000_1489100.0000.ogg,therefore I am not afraid
data/train/1489100.0000_1490900.0000.ogg,"wherever he goes, I go"
data/train/1490900.0000_1492240.0000.ogg,I will take all the risks
data/train/1495040.0000_1497040.0000.ogg,"just now, Dr. Zha tested me for antibody"
data/train/1497300.0000_1499300.0000.ogg,he said that I am not infected
data/train/1499340.0000_1501340.0000.ogg,I am lucky
data/train/1501400.0000_1503400.0000.ogg,I have been accompanying my son for so long
data/train/1503400.0000_1504460.0000.ogg,yet still not infected
data/train/1528120.0000_1530120.0000.ogg,I'll install the packages outside first
data/train/1530120.0000_1531880.0000.ogg,don't install it inside
data/train/1531880.0000_1533660.0000.ogg,in case parts missing
data/train/1533660.0000_1535380.0000.ogg,I'll have everything ready outside
data/train/1535620.0000_1537620.0000.ogg,the consumables for the second ECMO
data/train/1537620.0000_1538660.0000.ogg,is finally complete
data/train/1539720.0000_1541720.0000.ogg,Bed 5 have to be put on
data/train/1541720.0000_1543300.0000.ogg,ECMO today
data/train/1544780.0000_1546780.0000.ogg,"otherwise, when the ECMO live window passed over"
data/train/1547480.0000_1549480.0000.ogg,Bed 5 is going to lose all the hope
data/train/1549900.0000_1551900.0000.ogg,Bro Jun
data/train/1552780.0000_1554780.0000.ogg,you might need to come to check out Bed 5
data/train/1555660.0000_1557660.0000.ogg,Bed 5 is on pure oxygen
data/train/1557660.0000_1561100.0000.ogg,oxygen saturation is only 85%
data/train/1563520.0000_1565520.0000.ogg,is it necessary to put on ECMO first
data/train/1565680.0000_1567680.0000.ogg,I am afraid that he won't make it by then
data/train/1567780.0000_1569780.0000.ogg,I'm afraid he won't make it
data/train/1570140.0000_1572140.0000.ogg,I'm afraid he won't make it
data/train/1573560.0000_1575560.0000.ogg,"regardless, we are rescuing at no cost"
data/train/1575980.0000_1577980.0000.ogg,but other members in your family
data/train/1577980.0000_1579860.0000.ogg,including brothers and sisters
data/train/1579860.0000_1581340.0000.ogg,should be prepared
data/train/1581460.0000_1582980.0000.ogg,after the treatment
data/train/1582980.0000_1583940.0000.ogg,there are possibilities that he will make it through today
data/train/1583940.0000_1585700.0000.ogg,we will see what happens after
data/train/1586560.0000_1588560.0000.ogg,it is possible that even with the help of ECMO
data/train/1588560.0000_1590300.0000.ogg,or before put on the ECMO
data/train/1590300.0000_1592120.0000.ogg,"the patient will, it is possible"
data/train/1592920.0000_1594920.0000.ogg,"this patient I suppose, it is hard to make through"
data/train/1594920.0000_1596620.0000.ogg,so I need to be prepared early
data/train/1622500.0000_1624500.0000.ogg,"okay, okay, all the best"
data/train/1624620.0000_1626620.0000.ogg,"okay, you can shut the door"
data/train/1632460.0000_1635660.0000.ogg,"Bed 5, norepinephrine adjust to 15 ml, please"
data/train/1639440.0000_1642820.0000.ogg,norepinephrine is already 20 ml/hr
data/train/1644240.0000_1646240.0000.ogg,"after being in the cabin, Dr. Wang realize"
data/train/1646940.0000_1648940.0000.ogg,Bed 5 is getting worse
data/train/1649940.0000_1651940.0000.ogg,half unit adrenaline
data/train/1653900.0000_1655900.0000.ogg,"at this moment, Bed 5's blood pressure is very unstable"
data/train/1658160.0000_1660160.0000.ogg,normal people's blood oxygen saturation index is usually at 100
data/train/1661580.0000_1663580.0000.ogg,the blood oxygen saturation index for Bed 5 is
data/train/1663580.0000_1664700.0000.ogg,only 52
data/train/1664700.0000_1666160.0000.ogg,51
data/train/1666160.0000_1667580.0000.ogg,50
data/train/1667580.0000_1669220.0000.ogg,49
data/train/1671920.0000_1673920.0000.ogg,"and then it switched to question mark, which means not detectable"
data/train/1673920.0000_1675540.0000.ogg,"adrenaline was given, right?"
data/train/1675540.0000_1676420.0000.ogg,yes
data/train/1676420.0000_1678180.0000.ogg,heparin 20mg
data/train/1678180.0000_1679700.0000.ogg,and 1000ml saline
data/train/1680500.0000_1682500.0000.ogg,ECMO has to be put on as soon as possible
data/train/1682760.0000_1684760.0000.ogg,to save Bed 5
data/train/1687820.0000_1689820.0000.ogg,"sterile scissors, quickly"
data/train/1694400.0000_1696400.0000.ogg,how many?
data/train/1696400.0000_1697600.0000.ogg,"just one, quickly"
data/train/1704700.0000_1706700.0000.ogg,dip it
data/train/1708380.0000_1710380.0000.ogg,done
data/train/1710880.0000_1712880.0000.ogg,release
data/train/1714360.0000_1716360.0000.ogg,"40 minutes later, ECMO for Bed 5"
data/train/1716360.0000_1717600.0000.ogg,is operating
data/train/1718180.0000_1720180.0000.ogg,his blood oxygen saturation index is back to
data/train/1720180.0000_1722000.0000.ogg,normal
data/train/1722400.0000_1724400.0000.ogg,"hopefully, after ECMO is on"
data/train/1725820.0000_1727820.0000.ogg,provides him another opportunity of life
data/train/1752480.0000_1754480.0000.ogg,this is medical miracle
data/train/1764340.0000_1766340.0000.ogg,"great, now we have no spare ECMO"
data/train/1766340.0000_1768140.0000.ogg,"yeah, both ECMO is in use"
data/train/1768140.0000_1769580.0000.ogg,now we can't help if others need it
data/train/1769580.0000_1771060.0000.ogg,how is Bed 15 doing?
data/train/1771060.0000_1772760.0000.ogg,Bed 15 is stable
data/train/1772760.0000_1774500.0000.ogg,I feel like Bed 15 is much better than Bed 5
data/train/1774500.0000_1775740.0000.ogg,much better for sure
data/train/1775740.0000_1777740.0000.ogg,"luckily, after using ECMO"
data/train/1777740.0000_1778600.0000.ogg,(blood pressure) becomes stable
data/train/1778600.0000_1780220.0000.ogg,if circulatory failure happened
data/train/1780220.0000_1781340.0000.ogg,blood pressure will not be stable
data/train/1781340.0000_1782980.0000.ogg,"if not stable, then we will lose him"
data/train/1793640.0000_1795640.0000.ogg,you can go take a break first
data/train/1795640.0000_1797080.0000.ogg,"I'm fine, busy all the time"
data/train/1802100.0000_1804100.0000.ogg,almost never rested in these 2 or 3 weeks
data/train/1804100.0000_1805540.0000.ogg,getting wind up
data/train/1805540.0000_1807300.0000.ogg,never sleep well since I came
data/train/1807300.0000_1808660.0000.ogg,"me too, can't sleep"
data/train/1808660.0000_1810040.0000.ogg,"because everyday, after shifts"
data/train/1810100.0000_1812100.0000.ogg,I keep thinking about a lot of issues
data/train/1812100.0000_1814040.0000.ogg,taking sleeping pills everyday
data/train/1814200.0000_1816200.0000.ogg,how long did you sleep?
data/train/1816200.0000_1817900.0000.ogg,about 4 hours today
data/train/1819380.0000_1821380.0000.ogg,went to bed before 11 p.m. yesterday
data/train/1821520.0000_1823520.0000.ogg,woke up by 3 a.m.
data/train/1823520.0000_1825100.0000.ogg,couldn't sleep anymore
data/train/1826560.0000_1828560.0000.ogg,from successfully installed the first ECMO
data/train/1828560.0000_1830300.0000.ogg,to making the decision on putting ECMO on Bed 15 first
data/train/1830860.0000_1832860.0000.ogg,"followed by today, using ECMO"
data/train/1833300.0000_1835300.0000.ogg,to save Bed 5 from dying
data/train/1836900.0000_1838900.0000.ogg,through tortuous and bumpy roads
data/train/1840740.0000_1842740.0000.ogg,it not only described the limitation of mankind's under the epidemic
data/train/1842880.0000_1844880.0000.ogg,but also the courageous we showed
data/train/1844880.0000_1846800.0000.ogg,in dilemmas
data/train/1853700.0000_1855700.0000.ogg,"deserts everyday, hah?"
data/train/1857940.0000_1859940.0000.ogg,this is the deserts we brought from Shanghai
data/train/1871360.0000_1873360.0000.ogg,this candy is from a special local brand from Shanghai
data/train/1873360.0000_1874740.0000.ogg,do you know?
data/train/1875620.0000_1877620.0000.ogg,"this candy is tasty, I know"
data/train/1877820.0000_1879820.0000.ogg,very tasty
data/train/1879980.0000_1881980.0000.ogg,sometimes when we think of it
data/train/1881980.0000_1882660.0000.ogg,it's really difficult
data/train/1882660.0000_1884460.0000.ogg,her mom was just one step away
data/train/1884460.0000_1886000.0000.ogg,lost her life
data/train/1886000.0000_1887880.0000.ogg,ask her
data/train/1891500.0000_1893500.0000.ogg,I don't want to bring it up
data/train/1896460.0000_1898460.0000.ogg,deeply from my heart
data/train/1899460.0000_1901460.0000.ogg,it is like a
data/train/1901560.0000_1903560.0000.ogg,having nightmares every night
data/train/1903980.0000_1905980.0000.ogg,if it is not because our government has a great policy
data/train/1905980.0000_1907520.0000.ogg,I really don't know
data/train/1907520.0000_1908860.0000.ogg,how much more we will suffer
data/train/1908860.0000_1910580.0000.ogg,how many more will fall
data/train/1910580.0000_1911900.0000.ogg,really
data/train/1911900.0000_1913740.0000.ogg,this is so scary
data/train/1914720.0000_1916720.0000.ogg,we will never forget all the doctors and nurses
data/train/1916840.0000_1918840.0000.ogg,from Shanghai No.1 hospital
data/train/1918840.0000_1920620.0000.ogg,some are even younger than my child
data/train/1920620.0000_1922400.0000.ogg,doing things my child are not able to do
data/train/1931220.0000_1934920.0000.ogg,"March 19th, 2020, 1:28 p.m."
data/train/1939560.0000_1941560.0000.ogg,stick out your tongue
data/train/1942100.0000_1944100.0000.ogg,stick out and I can wipe it away for you
data/train/1951380.0000_1954860.0000.ogg,"March 19th, Bed 15 has recovered lung functions, ready to remove ECMO"
data/train/1955980.0000_1957980.0000.ogg,ECMO stopped working
data/train/1958680.0000_1960680.0000.ogg,for almost an hour
data/train/1961660.0000_1963660.0000.ogg,we tested blood gas for two times
data/train/1964920.0000_1966920.0000.ogg,oxygenation index both higher than 200
data/train/1966920.0000_1968620.0000.ogg,stable blood pressure
data/train/1968620.0000_1970160.0000.ogg,heart rate at approx 100
data/train/1971860.0000_1973860.0000.ogg,requesting for removing ECMO
data/train/1974400.0000_1976400.0000.ogg,approve
data/train/1976760.0000_1978760.0000.ogg,"1,2,3"
data/train/2002380.0000_2007640.0000.ogg,"The same day, after using ECMO for 51 hours, Bed 5 suffered from multiple organs failure, passed away."
data/train/2014420.0000_2016420.0000.ogg,"the second patient, so unfortunate"
data/train/2020260.0000_2022260.0000.ogg,"not enough time, changes happened too fast"
data/train/2022260.0000_2023420.0000.ogg,too fast
data/train/2033400.0000_2042700.0000.ogg,"April 4th, 2020. National Moment of Remembrance, to mourn the deceased in the epidemic"
data/train/2050080.0000_2052080.0000.ogg,those who are deceased
data/train/2052540.0000_2054540.0000.ogg,"taught us even more, how precious lives are"
data/train/2058600.0000_2060600.0000.ogg,"therefore, in the rest of the days"
data/train/2061400.0000_2063400.0000.ogg,"Dr. Wang is going to accompanying Bed 15, with his collegues"
data/train/2063400.0000_2065219.0000.ogg,"going forward, step by step"
data/train/2065219.0000_2067199.0000.ogg,I'm gonna get into the cabin today
data/train/2068060.0000_2070060.0000.ogg,sitting by Bed 15
data/train/2070060.0000_2071500.0000.ogg,see what adjustment can be made
data/train/2074460.0000_2077120.0000.ogg,"After the second day of removing ECMO, Bed 15 was infected by klebsiella pneumoniae"
data/train/2077260.0000_2079260.0000.ogg,infected by another bacteria
data/train/2079260.0000_2080840.0000.ogg,"Dean Zhang, no matter what"
data/train/2080840.0000_2082260.0000.ogg,I go in
data/train/2082260.0000_2083260.0000.ogg,with 3rd level protection
data/train/2083260.0000_2084179.0000.ogg,to find out what is the cause
data/train/2084179.0000_2085600.0000.ogg,you see the heart rate is so fast
data/train/2085600.0000_2086600.0000.ogg,there must be a reason
data/train/2086600.0000_2087600.0000.ogg,patient is irritated
data/train/2087600.0000_2089100.0000.ogg,"therefore, I told you all when we were outside"
data/train/2089100.0000_2090120.0000.ogg,follow up the fluid infusion
data/train/2090120.0000_2091280.0000.ogg,but you guys have not done what I have been asking
data/train/2093480.0000_2095480.0000.ogg,originally 3400 ml
data/train/2095480.0000_2097000.0000.ogg,get rid of 1650 ml
data/train/2097000.0000_2098120.0000.ogg,left with 1800 ml
data/train/2098120.0000_2099560.0000.ogg,I think the volume of fluid infusion is too much
data/train/2099560.0000_2101380.0000.ogg,otherwise more needs to come in a short time
data/train/2107140.0000_2109140.0000.ogg,"The 8th day on ECMO, Bed 15's infection was under control"
data/train/2109960.0000_2111960.0000.ogg,his infection is getting under control
data/train/2112540.0000_2114540.0000.ogg,his heart functions have no problems
data/train/2114840.0000_2116840.0000.ogg,"chest radiograph of lungs, nucleic acid tests"
data/train/2116840.0000_2118460.0000.ogg,all looks good
data/train/2118460.0000_2119780.0000.ogg,at this moment
data/train/2120400.0000_2122400.0000.ogg,he needs to do some movement over the joints
data/train/2122400.0000_2124000.0000.ogg,"1,2,3"
data/train/2132720.0000_2134720.0000.ogg,straightened
data/train/2134780.0000_2136780.0000.ogg,2
data/train/2141760.0000_2143760.0000.ogg,the 13th day
data/train/2143760.0000_2145620.0000.ogg,Bed 15 starts talking
data/train/2147460.0000_2149460.0000.ogg,speak
data/train/2150480.0000_2151360.0000.ogg,make sound
data/train/2152140.0000_2154140.0000.ogg,"cough has sound, right?"
data/train/2154660.0000_2156660.0000.ogg,you see?
data/train/2156660.0000_2158120.0000.ogg,what do you want to do the most now?
data/train/2158120.0000_2159360.0000.ogg,you need to get better soon
data/train/2159360.0000_2160380.0000.ogg,right?
data/train/2160380.0000_2162360.0000.ogg,say one sentence
data/train/2162360.0000_2163820.0000.ogg,"say, miss home, want to go home"
data/train/2163820.0000_2165520.0000.ogg,say it to me
data/train/2165520.0000_2166820.0000.ogg,want to go home
data/train/2167900.0000_2169900.0000.ogg,want to go home
data/train/2169900.0000_2171060.0000.ogg,"great, has sound"
data/train/2171060.0000_2172700.0000.ogg,good job
data/train/2172840.0000_2174840.0000.ogg,great job
data/train/2177920.0000_2181340.0000.ogg,"the 16th day, Bed 15 removed tracheal intubation, started breath by himself"
data/train/2182200.0000_2184200.0000.ogg,all your numbers are good
data/train/2184620.0000_2188200.0000.ogg,"so, today we can remove this ventilator at ease"
data/train/2189120.0000_2191120.0000.ogg,"after removing it, you will feel much more comfortable"
data/train/2191120.0000_2192380.0000.ogg,do you get it?
data/train/2192380.0000_2193260.0000.ogg,no worries
data/train/2193260.0000_2194700.0000.ogg,the most difficult part has passed
data/train/2194700.0000_2195660.0000.ogg,radiographs looking good
data/train/2195660.0000_2196940.0000.ogg,blood tests results are good
data/train/2196940.0000_2198820.0000.ogg,there is no reason that you are not getting better
data/train/2199380.0000_2201380.0000.ogg,do you understand?
data/train/2201400.0000_2203400.0000.ogg,remember one more thing
data/train/2205040.0000_2207040.0000.ogg,after you get your phone and turn it on
data/train/2208420.0000_2210420.0000.ogg,you will see a call from a Shanghai number
data/train/2212140.0000_2214140.0000.ogg,"My last name is Mao, keep in touch"
data/train/2221840.0000_2223840.0000.ogg,there was this thing in your trachea
data/train/2224940.0000_2226940.0000.ogg,you see? so uncomfortable right?
data/train/2226940.0000_2228840.0000.ogg,removed
data/train/2229520.0000_2231520.0000.ogg,take a photo for him to see
data/train/2232020.0000_2234020.0000.ogg,closed up for you now
data/train/2234540.0000_2236540.0000.ogg,this part has been closed up
data/train/2236540.0000_2238040.0000.ogg,handsome boy again
data/train/2239340.0000_2241340.0000.ogg,"we did it, really did it"
data/train/2241340.0000_2243100.0000.ogg,this is great
data/train/2243100.0000_2244860.0000.ogg,this is fate
data/train/2245540.0000_2247540.0000.ogg,that we encountered each other
data/train/2248880.0000_2253080.0000.ogg,we need to go back to Shanghai in a few days
data/train/2253260.0000_2255260.0000.ogg,I am working at Renji Hospital
data/train/2255260.0000_2256780.0000.ogg,brain surgery department
data/train/2258760.0000_2260760.0000.ogg,our birthdays are both in March
data/train/2260860.0000_2262860.0000.ogg,hand shake
data/train/2264580.0000_2266580.0000.ogg,it is our fate that we met each other
data/train/2266960.0000_2268960.0000.ogg,"next time we see each other, it will be a happy reunion, right?"
data/train/2269960.0000_2271960.0000.ogg,"be good, cooperate with them,"
data/train/2271960.0000_2273200.0000.ogg,when you are completely healed
data/train/2273200.0000_2274700.0000.ogg,I'll go to Wuhan and visit
data/train/2275480.0000_2277480.0000.ogg,"don't think too much, take care of your self"
data/train/2278780.0000_2280780.0000.ogg,"Grandma is all good now, we are all waiting for you at home"
data/train/2281000.0000_2283000.0000.ogg,take care of yourself
data/train/2286100.0000_2288100.0000.ogg,"the 17th day, Bed 15 is transferred to quarantined rehab section"
data/train/2289900.0000_2291900.0000.ogg,"1,2,3"
data/train/2302900.0000_2304900.0000.ogg,"Old Qian, bye"
data/train/2308100.0000_2310100.0000.ogg,"thanks, good work"
data/train/2345480.0000_2347480.0000.ogg,year 2020
data/train/2350220.0000_2352220.0000.ogg,April 5th
data/train/2353300.0000_2355300.0000.ogg,"I announce, Leishenshan Hospital of Wuhan"
data/train/2356460.0000_2358460.0000.ogg,"infection department 2, critical care ward"
data/train/2358460.0000_2360340.0000.ogg,closing up!
data/train/2363440.0000_2365440.0000.ogg,"so happy, just so happy"
data/train/2365440.0000_2366980.0000.ogg,"finally, we are done"
data/train/2367180.0000_2369180.0000.ogg,"everyone, being here so many days"
data/train/2369180.0000_2371100.0000.ogg,come here everyday
data/train/2371680.0000_2373680.0000.ogg,"fighting for it, together"
data/train/2373720.0000_2375720.0000.ogg,we have built an emotion for here
data/train/2384280.0000_2388380.0000.ogg,[Dr. Wang]
data/train/2390700.0000_2392700.0000.ogg,I will never forget it my whole life
data/train/2392760.0000_2394760.0000.ogg,"how we did it, how we get over it"
data/train/2395240.0000_2397240.0000.ogg,that day the patient of Bed 15 was discharged
data/train/2397240.0000_2398820.0000.ogg,I was in the monitor room
data/train/2398860.0000_2400860.0000.ogg,I was watching his bed
data/train/2400860.0000_2402800.0000.ogg,until he left the room
data/train/2404280.0000_2406280.0000.ogg,I left after that
data/train/2407240.0000_2409240.0000.ogg,hard to say goodbye
data/train/2409240.0000_2410880.0000.ogg,touched
data/train/2410880.0000_2412580.0000.ogg,emotions
data/train/2419740.0000_2422600.0000.ogg,mission accomplished successfully
data/train/2422600.0000_2424580.0000.ogg,all the keys from the outside doors
data/train/2425340.0000_2427340.0000.ogg,this is all the keys
data/train/2428260.0000_2430260.0000.ogg,"just like this, we said goodbye to Leishenshan Hospital"
data/train/2430400.0000_2432400.0000.ogg,many years later
data/train/2432400.0000_2434020.0000.ogg,when we talk about
data/train/2434020.0000_2435680.0000.ogg,the victory of this epidemic
data/train/2438200.0000_2440200.0000.ogg,"people should be aware, how difficult it was"
data/train/2440580.0000_2442580.0000.ogg,"1,2,3"
data/train/2443380.0000_2445380.0000.ogg,I have a big ICU at home to be taken care of
data/train/2446500.0000_2448500.0000.ogg,"go home, keep working on it"
data/train/2448500.0000_2450180.0000.ogg,"as long as it is not this disease, it is good enough"
data/train/2465840.0000_2467840.0000.ogg,when I'm back home
data/train/2468920.0000_2470920.0000.ogg,I still think about what happened from time to time
data/train/2473620.0000_2475620.0000.ogg,but when at work
data/train/2477080.0000_2479080.0000.ogg,I try not to think about this
data/train/2479720.0000_2481720.0000.ogg,it has passed
data/train/2492440.0000_2494440.0000.ogg,connected
data/train/2494440.0000_2496020.0000.ogg,"Old Qian, hello"
data/train/2497260.0000_2499260.0000.ogg,I am Dr. Wang
data/train/2501080.0000_2503080.0000.ogg,You look amazing
data/train/2504220.0000_2506220.0000.ogg,I remember Dean Mao promised
data/train/2506220.0000_2507480.0000.ogg,when you are fully recovered
data/train/2507860.0000_2509860.0000.ogg,we will go hiking on Luojia mountain together
data/train/2509860.0000_2511300.0000.ogg,you promised too
data/train/2511300.0000_2512600.0000.ogg,no problem
data/train/272600.0000_275800.0000.ogg,Does that mean weightlifters have a lot of calcium?
data/train/277040.0000_278440.0000.ogg,"All right, here's the third question"
data/train/278440.0000_280840.0000.ogg,"If you take calcium tablets regularly,"
data/train/280840.0000_284040.0000.ogg,there is no need to worry that you will develop osteoporosis
data/train/284040.0000_285240.0000.ogg,True or false?
data/train/285240.0000_286240.0000.ogg,That will do?
data/train/286240.0000_287840.0000.ogg,"3, 2, 1... Please show your answers"
data/train/287840.0000_290840.0000.ogg,"That's what I do, so I believe the answer is true"
data/train/290840.0000_291840.0000.ogg,Why false?
data/train/291840.0000_295840.0000.ogg,Nothing is absolute. There may be some benefits
data/train/295840.0000_299640.0000.ogg,But there are other factors leading to osteoporosis
data/train/299640.0000_300440.0000.ogg,Got it
data/train/300440.0000_304040.0000.ogg,It's because of this reason that I take calcium tablets regularly
data/train/304040.0000_308040.0000.ogg,But I also do some exercises regularly like brisk walking
data/train/308240.0000_310440.0000.ogg,"If you're taking calcium tablets, that's good"
data/train/310440.0000_312240.0000.ogg,"If you're not, it's cause for concern"
data/train/312240.0000_314240.0000.ogg,"Doctor, is it true or false?"
data/train/314240.0000_315640.0000.ogg,It's false -False?
data/train/317680.0000_321080.0000.ogg,"If you do not do any anti-gravity exercises,"
data/train/321080.0000_323680.0000.ogg,taking calcium tablets will not stop calcium loss
data/train/323680.0000_326080.0000.ogg,I understand that taking too many calcium tablets is bad
data/train/326080.0000_327680.0000.ogg,Wrong
data/train/327680.0000_332080.0000.ogg,Not unless you take a high amount of calcium for a long time and...
data/train/332080.0000_333480.0000.ogg,drink very little water
data/train/333480.0000_335280.0000.ogg,Then you will have kidney stones
data/train/335280.0000_337080.0000.ogg,It's kidney stones
data/train/337080.0000_338880.0000.ogg,"Doctor, I have kidney stones,"
data/train/338880.0000_342280.0000.ogg,but I've been taking calcium tablets daily for several years
data/train/342280.0000_345280.0000.ogg,Will that aggravate my kidney stones?
data/train/345280.0000_349080.0000.ogg,"If you drink enough water, there's nothing to worry about"
data/train/349280.0000_352480.0000.ogg,"For people of our age, how much calcium should we take?"
data/train/352480.0000_355120.0000.ogg,"For men and women aged between 30 and 50,"
data/train/355120.0000_358680.0000.ogg,"it's best to take 1,000mg of calcium daily"
data/train/358680.0000_363280.0000.ogg,"For men aged 70 onwards, this is increased to 1,200mg daily"
data/train/363280.0000_364680.0000.ogg,"For women, however,"
data/train/364680.0000_367080.0000.ogg,it should be increased earlier because of menopause
data/train/367080.0000_368880.0000.ogg,"So, from the age of 50,"
data/train/368880.0000_372080.0000.ogg,"it's best to increase it to 1,200mg"
data/train/372080.0000_374680.0000.ogg,"So, you still need to take calcium supplements"
data/train/374680.0000_377080.0000.ogg,"All right, the next myth"
data/train/377280.0000_382880.0000.ogg,Small and thin people have a higher probability of developing osteoporosis
data/train/382880.0000_384280.0000.ogg,True or false?
data/train/384280.0000_385680.0000.ogg,False. False. False
data/train/386360.0000_387960.0000.ogg,Physical size has no bearing on it
data/train/387960.0000_391960.0000.ogg,"Tall or short, bone density is what matters"
data/train/391960.0000_392760.0000.ogg,Yes
data/train/392760.0000_393560.0000.ogg,Brandon
data/train/393560.0000_395360.0000.ogg,Let's take this table as an example
data/train/395360.0000_399960.0000.ogg,A big table needs sturdy legs to support it
data/train/399960.0000_401960.0000.ogg,A small table needs smaller legs
data/train/402159.0000_405360.0000.ogg,"Therefore, it's got nothing to do with size"
data/train/405360.0000_407560.0000.ogg,Okay. Is the answer true or false?
data/train/407560.0000_408360.0000.ogg,True
data/train/408360.0000_409560.0000.ogg,It's true?
data/train/409560.0000_410360.0000.ogg,True?
data/train/410360.0000_411960.0000.ogg,Why is it true?
data/train/412159.0000_414960.0000.ogg,A big-framed patient has higher bone mass
data/train/414960.0000_417760.0000.ogg,A small-framed patient has lower bone mass
data/train/417960.0000_421360.0000.ogg,Take your savings as an example
data/train/421360.0000_426160.0000.ogg,"If you have a lot of savings and you lose 1% of it every year,"
data/train/426160.0000_430160.0000.ogg,it'll take you a longer time to lose all your savings
data/train/430160.0000_431160.0000.ogg,Got it
data/train/431160.0000_433160.0000.ogg,The last myth. Please listen carefully
data/train/433160.0000_434560.0000.ogg,"If one becomes shorter,"
data/train/434560.0000_437960.0000.ogg,it's probably because one has osteoporosis
data/train/437960.0000_439160.0000.ogg,True or false?
data/train/439160.0000_440360.0000.ogg,True. True. True
data/train/440360.0000_443760.0000.ogg,"If I get this wrong, ask Mark Lee to come back"
data/train/444360.0000_445160.0000.ogg,Why?
data/train/445160.0000_447360.0000.ogg,A small-framed person is more likely to have osteoporosis
data/train/447360.0000_450360.0000.ogg,Your bone mass will shrink until there's nothing left
data/train/450360.0000_452360.0000.ogg,Okay. Xiang Yun
data/train/452360.0000_453560.0000.ogg,That's true
data/train/453760.0000_458159.0000.ogg,"When you have osteoporosis, the ability of your bones to support the body diminishes..."
data/train/458159.0000_460760.0000.ogg,and you start to shrink
data/train/460760.0000_461560.0000.ogg,Okay
data/train/461960.0000_464560.0000.ogg,"We often say that the elderly will ""shrink"""
data/train/464560.0000_468360.0000.ogg,I guess it means that they are losing bone mass
data/train/468360.0000_470360.0000.ogg,"Therefore, osteoporosis does affect one's height"
data/train/470360.0000_472159.0000.ogg,Is the answer true or false?
data/train/472159.0000_472960.0000.ogg,True
data/train/474960.0000_476159.0000.ogg,"Okay, why?"
data/train/476159.0000_480760.0000.ogg,"People with osteoporosis become shorter because their bones are ""flattened"""
data/train/480760.0000_483160.0000.ogg,Every segment loses a few centimetres
data/train/483160.0000_484560.0000.ogg,It's accumulative
data/train/484560.0000_486360.0000.ogg,"So, one becomes shorter -Right"
data/train/486360.0000_488760.0000.ogg,Are there risk factors we should be aware of?
data/train/488760.0000_491960.0000.ogg,"Some patients require long-term medications, that is, steroids"
data/train/491960.0000_494560.0000.ogg,"Unhealthy lifestyle and diet, for example,"
data/train/494560.0000_496560.0000.ogg,excessive drinking and smoking
data/train/496560.0000_498560.0000.ogg,Drinking alcohol and smoking weaken...
data/train/498560.0000_501160.0000.ogg,the ability of the body to absorb calcium
data/train/501160.0000_503360.0000.ogg,Okay. There is another group
data/train/503360.0000_507760.0000.ogg,Women who begin menopause before they are 40
data/train/507760.0000_509560.0000.ogg,Are they prone to osteoporosis?
data/train/509560.0000_512760.0000.ogg,Definitely. It has to do with hormones
data/train/512960.0000_514960.0000.ogg,"Once menopause begins,"
data/train/514960.0000_518559.0000.ogg,they lose a large amount of calcium in the next 10 years
data/train/518559.0000_521159.0000.ogg,Their risk of developing osteoporosis is increased
data/train/521559.0000_524360.0000.ogg,"Simply put, men or women, early prevention is important"
data/train/524560.0000_527560.0000.ogg,"After the commercial break, we will delve deeper into osteoporosis"
data/train/527560.0000_531160.0000.ogg,"Yes, and a TCM physician will join our discussion. See you later"
data/train/541160.0000_544160.0000.ogg,"Welcome, Dr Ong Kwee Nam, to our discussion"
data/train/544160.0000_544960.0000.ogg,Hello
data/train/544960.0000_547760.0000.ogg,What's the TCM view on osteoporosis?
data/train/547760.0000_551360.0000.ogg,Osteoporosis is caused by many factors
data/train/551360.0000_553360.0000.ogg,"In addition, it has no subjective symptoms"
data/train/553360.0000_555760.0000.ogg,"In other words, you can't feel it"
data/train/555760.0000_559960.0000.ogg,"It's the main cause of back pain,"
data/train/559960.0000_564360.0000.ogg,hunched back and fractures in the elderly because...
data/train/564360.0000_566160.0000.ogg,the onset is slower
data/train/566160.0000_568960.0000.ogg,"That's why it's called ""guwei"" in TCM"
data/train/568960.0000_572760.0000.ogg,It means bone atrophy and the loss of bone functions
data/train/573160.0000_574760.0000.ogg,What are the causes?
data/train/574960.0000_578360.0000.ogg,"Generally, they are associated with what TCM described as..."
data/train/578360.0000_582960.0000.ogg,"liver, spleen and kidney deficiencies as well as blood stasis"
data/train/582960.0000_585160.0000.ogg,Let's start with the kidneys
data/train/585160.0000_587160.0000.ogg,It includes the kidneys
data/train/587160.0000_591360.0000.ogg,"But most of the time, it also includes our physical functions,"
data/train/591360.0000_594760.0000.ogg,"for example, our growth, development and ageing"
data/train/594760.0000_600160.0000.ogg,"In TCM, our hair, teeth and bones also belong to the kidney system"
data/train/600160.0000_603160.0000.ogg,The kidney is the congenital constitution
data/train/603160.0000_607560.0000.ogg,It governs bones and stores essence
data/train/607560.0000_610560.0000.ogg,"Therefore, when one is deficient in essence and blood,"
data/train/610560.0000_612760.0000.ogg,the bones appear fragile
data/train/613160.0000_616160.0000.ogg,A present-day epidemiological research study discovered that...
data/train/616160.0000_619360.0000.ogg,"for osteoporosis patients with kidney deficiency,"
data/train/619560.0000_623960.0000.ogg,the mineral content of their radius and ulna is lower than that of...
data/train/623960.0000_626960.0000.ogg,healthy individuals of the same age or...
data/train/626960.0000_632560.0000.ogg,who do not have a problem with kidney deficiency
data/train/632760.0000_636160.0000.ogg,"In other words, their symptoms are more serious"
data/train/636560.0000_639960.0000.ogg,"From the TCM perspective, the spleen is the acquired constitution"
data/train/639960.0000_641960.0000.ogg,It is the origin of the production and transformation of qi and blood
data/train/641960.0000_647360.0000.ogg,It is responsible for absorbing nutrients and food essence
data/train/647560.0000_651960.0000.ogg,The spleen also governs the four limbs and muscles
data/train/652920.0000_657320.0000.ogg,The spleen is equivalent to the digestive system in present-day medicine
data/train/657520.0000_660320.0000.ogg,"Thus, if a person's spleen and stomach functions are poor,"
data/train/660320.0000_663120.0000.ogg,nutrients cannot be absorbed
data/train/663120.0000_666720.0000.ogg,"Then, of course, the bones and muscles will be weak"
data/train/666720.0000_670120.0000.ogg,"As for the liver, it stores blood and..."
data/train/670120.0000_673320.0000.ogg,"governs the tendons and ligaments of the bones,"
data/train/673320.0000_676720.0000.ogg,"so when the tendons and ligaments are in trouble, they affect the bones"
data/train/676720.0000_679120.0000.ogg,"When there are problems with the tendons, ligaments and bones,"
data/train/679120.0000_680720.0000.ogg,the bones become brittle and...
data/train/680720.0000_682520.0000.ogg,"this will cause joint pain,"
data/train/682920.0000_685720.0000.ogg,mobility issues and bone atrophy
data/train/685920.0000_688920.0000.ogg,Another factor I mentioned earlier is blood stasis
data/train/688920.0000_690920.0000.ogg,"As we understand it now,"
data/train/690920.0000_693920.0000.ogg,blood stasis is abnormal blood flow
data/train/693920.0000_696320.0000.ogg,"If blood stasis occurs,"
data/train/696320.0000_699720.0000.ogg,"it will cause the blood to becomes thicker,"
data/train/699720.0000_702320.0000.ogg,leading to a microcirculatory disorder
data/train/702920.0000_706920.0000.ogg,This will be detrimental to the movements of...
data/train/706920.0000_710920.0000.ogg,intracellular and extracellular fluids in our body
data/train/710920.0000_712720.0000.ogg,"Moreover, it will lead to..."
data/train/712720.0000_716120.0000.ogg,poor absorption of calcium and collagen
data/train/716320.0000_720720.0000.ogg,That will weaken the bones further and trigger osteoporosis
data/train/721720.0000_724320.0000.ogg,"So, actually, there are interconnections"
data/train/724320.0000_725120.0000.ogg,Yes
data/train/725120.0000_726720.0000.ogg,Is there a diagnostic method?
data/train/726720.0000_731520.0000.ogg,We will usually order a DEXA scan which is a type of X-ray
data/train/731520.0000_736120.0000.ogg,The scanner will pass over your hip and spine to measure bone density
data/train/736120.0000_738920.0000.ogg,Why the hip and spine?
data/train/739280.0000_742680.0000.ogg,"That's because when someone has osteoporosis,"
data/train/742680.0000_746480.0000.ogg,these are the two common areas affected
data/train/746480.0000_749880.0000.ogg,Okay. Supposing someone has a fall and you perform the surgery
data/train/749880.0000_753480.0000.ogg,How is the recovery? Can your patient recover to walk like before?
data/train/753480.0000_758680.0000.ogg,Some patients were walking normally before they had a fall
data/train/758680.0000_760280.0000.ogg,"After they recover,"
data/train/760280.0000_766080.0000.ogg,some of them require walking aids
data/train/766680.0000_771280.0000.ogg,If people are already using a walking stick...
data/train/771280.0000_774880.0000.ogg,"and then they fall, undergo surgery and recover,"
data/train/776080.0000_778680.0000.ogg,most of them will end up using a wheelchair
data/train/779760.0000_782360.0000.ogg,Their condition will start to...
data/train/782360.0000_783560.0000.ogg,Deteriorate -That's right
data/train/783560.0000_785080.0000.ogg,What's the worst scenario?
data/train/785160.0000_786760.0000.ogg,The worst that can happen is death
data/train/786760.0000_788160.0000.ogg,Is the fatality rate high?
data/train/788160.0000_791960.0000.ogg,"For every 100 seniors who have a fall and fracture their hips,"
data/train/791960.0000_794760.0000.ogg,20% of them will pass away a year later
data/train/795240.0000_797840.0000.ogg,20% is a rather alarming figure
data/train/797840.0000_799240.0000.ogg,It sounds scary
data/train/799240.0000_804040.0000.ogg,Do go for a check-up if you suspect that you have osteoporosis
data/train/804040.0000_807040.0000.ogg,"After our game on myths, we are giving you a test"
data/train/807040.0000_810840.0000.ogg,The doctor will show some X-ray images of the spine
data/train/810840.0000_814640.0000.ogg,Guess which one shows osteoporosis?
data/train/814640.0000_816640.0000.ogg,There may be more than one answer
data/train/816640.0000_818240.0000.ogg,"Okay, what's your answer?"
data/train/818240.0000_819640.0000.ogg,A and C
data/train/819640.0000_820440.0000.ogg,Why?
data/train/820440.0000_822640.0000.ogg,The spines in A and C look hollow
data/train/822640.0000_825240.0000.ogg,The bones in B seem dense
data/train/825640.0000_829640.0000.ogg,I also pick A and C because B seems to show a young body
data/train/829640.0000_832840.0000.ogg,The spines in A and C are already curved
data/train/832840.0000_834840.0000.ogg,The curvature suggests older persons
data/train/834840.0000_836840.0000.ogg,Production won't set such simple questions
data/train/837040.0000_838840.0000.ogg,"It must be A, B and C"
data/train/839040.0000_839840.0000.ogg,Why?
data/train/839840.0000_844440.0000.ogg,The spaces in between are too wide
data/train/844840.0000_846640.0000.ogg,"Doctor, what's the answer?"
data/train/846640.0000_848640.0000.ogg,The correct answer is A and C
data/train/850080.0000_851880.0000.ogg,"So, B is normal?"
data/train/851880.0000_852680.0000.ogg,Yes
data/train/852680.0000_855080.0000.ogg,"Once a patient has osteoporosis,"
data/train/855080.0000_858680.0000.ogg,the bone thickness is reduced
data/train/859480.0000_863880.0000.ogg,"Secondly, there is reduced bone density"
data/train/863880.0000_866080.0000.ogg,"So, it looks hollow"
data/train/866960.0000_869160.0000.ogg,Compare that with this young patient's spine
data/train/869160.0000_874360.0000.ogg,The bones are rich in calcium as shown by the white shadows
data/train/876240.0000_879040.0000.ogg,"The spines of osteoporosis patients usually show serious deterioration,"
data/train/879040.0000_881640.0000.ogg,so you can see many spurs on the spine
data/train/883120.0000_887720.0000.ogg,"In C, the patient's spine is already curved"
data/train/888280.0000_890080.0000.ogg,The bone density is also low
data/train/890080.0000_892880.0000.ogg,"Thank you for the explanation, Dr Lee. It's clear now"
data/train/893560.0000_896160.0000.ogg,This type of medication can only be taken for about five years
data/train/896160.0000_899560.0000.ogg,"Otherwise, the bones will become as hard as marble"
data/train/899560.0000_901960.0000.ogg,"When you fall, the bones will be shattered"
data/train/902160.0000_905960.0000.ogg,You can alleviate osteoporosis by massaging this acupoint
data/train/906160.0000_909560.0000.ogg,"It can also ease back pain, headache and so on"
data/train/921400.0000_922800.0000.ogg,"Dr Ong, I have a question"
data/train/922800.0000_927520.0000.ogg,Have you ever had patients with both osteoporosis and scoliosis?
data/train/927680.0000_933000.0000.ogg,One of the triggers for scoliosis is osteoporosis
data/train/933000.0000_935000.0000.ogg,"In the case of severe scoliosis,"
data/train/935000.0000_939400.0000.ogg,the person is unable to straighten his back and hunches over when walking
data/train/939400.0000_943400.0000.ogg,But part of the reason for scoliosis is physiological
data/train/943400.0000_946000.0000.ogg,"For instance, scoliosis in young people..."
data/train/946000.0000_948200.0000.ogg,is not necessarily caused by osteoporosis
data/train/948200.0000_951600.0000.ogg,"Dr Lee, what's the osteoporosis like for your patients?"
data/train/951600.0000_954400.0000.ogg,"For elderly patients with osteoporosis,"
data/train/954400.0000_957400.0000.ogg,"their bones are soft like tofu, breaking apart when cut"
data/train/957400.0000_960680.0000.ogg,Under what circumstances do you cut bones?
data/train/960680.0000_965200.0000.ogg,Orthopaedic surgeons perform knee and thigh surgeries
data/train/965200.0000_966600.0000.ogg,Bone-cutting is necessary? -Yes
data/train/966600.0000_969600.0000.ogg,"Damaged and degenerated bones are surgically removed,"
data/train/969600.0000_973080.0000.ogg,"to be replaced with metal implants, so bone-cutting is necessary"
data/train/973080.0000_975520.0000.ogg,"I see. So, are there other treatment methods?"
data/train/975520.0000_978800.0000.ogg,There are two types - non-medicinal and medicinal
data/train/978800.0000_981600.0000.ogg,"For non-medicinal treatment, it's a change of lifestyle"
data/train/981600.0000_983600.0000.ogg,Avoid drinking excessively and don't smoke
data/train/983600.0000_985200.0000.ogg,Exercise regularly
data/train/985200.0000_987000.0000.ogg,Do anti-gravity exercises
data/train/987000.0000_989000.0000.ogg,Go for morning jogs. Watch your diet
data/train/989000.0000_994400.0000.ogg,"Try to eat foods high in calcium like milk,"
data/train/995560.0000_999160.0000.ogg,"cheese, ikan bilis and soy products"
data/train/999160.0000_1000560.0000.ogg,Bean products
data/train/1000560.0000_1001760.0000.ogg,"Speaking of milk,"
data/train/1001760.0000_1004960.0000.ogg,I'm encouraging my wife to drink more milk and...
data/train/1004960.0000_1007360.0000.ogg,eat cheese snacks
data/train/1007360.0000_1009360.0000.ogg,The most important thing is...
data/train/1009360.0000_1011960.0000.ogg,to obtain enough calcium from our diet
data/train/1011960.0000_1012760.0000.ogg,Right
data/train/1012760.0000_1017160.0000.ogg,That will decrease the risk of developing osteoporosis
data/train/1017960.0000_1021560.0000.ogg,"If all that you've said fail to improve the condition,"
data/train/1021560.0000_1023160.0000.ogg,then it'll be medicinal treatment?
data/train/1023160.0000_1027160.0000.ogg,Yes. The medications are broadly divided into two types
data/train/1027160.0000_1029160.0000.ogg,The first type targets osteoblasts and...
data/train/1029160.0000_1031960.0000.ogg,the other type targets osteoclasts
data/train/1032560.0000_1035960.0000.ogg,"When we reach the age of 35 to 40 years old,"
data/train/1035960.0000_1038960.0000.ogg,"our osteoblasts are more active than the osteoclasts,"
data/train/1039160.0000_1041160.0000.ogg,so there is nothing to worry about
data/train/1041160.0000_1042960.0000.ogg,"After the age of 40,"
data/train/1042960.0000_1046359.0000.ogg,the osteoclasts are more active than the osteoblasts
data/train/1046359.0000_1048760.0000.ogg,That leads to bone loss
data/train/1048960.0000_1054160.0000.ogg,That's why our first choice of medications is usually targeted at osteoclasts
data/train/1054160.0000_1055560.0000.ogg,They are called bisphosphonates
data/train/1055560.0000_1056360.0000.ogg,Oral?
data/train/1056360.0000_1057560.0000.ogg,"Yes, they are oral medicines. However,"
data/train/1057560.0000_1060760.0000.ogg,this type of medication can only be taken for about five years
data/train/1060760.0000_1064760.0000.ogg,"Otherwise, the bones will become as hard as marble"
data/train/1064760.0000_1066960.0000.ogg,"When you fall, the bones will be shattered"
data/train/1066960.0000_1070360.0000.ogg,The other type of medicines targets osteoblasts
data/train/1070960.0000_1072360.0000.ogg,Teriparatide
data/train/1072360.0000_1074520.0000.ogg,It's injected into your fat
data/train/1074760.0000_1076360.0000.ogg,It can used for around two years
data/train/1076360.0000_1078360.0000.ogg,"If it's used for more than two years,"
data/train/1078360.0000_1080960.0000.ogg,we are concerned that it will lead to bone cancer
data/train/1080960.0000_1083760.0000.ogg,"Therefore, this medicine is not for bone cancer patients"
data/train/1083760.0000_1086360.0000.ogg,Can osteoporosis be reversed?
data/train/1086760.0000_1088160.0000.ogg,"Yes, of course"
data/train/1088360.0000_1092560.0000.ogg,"There are certain risk factors,"
data/train/1092560.0000_1094560.0000.ogg,"for example, smoking"
data/train/1094960.0000_1096760.0000.ogg,Eliminating them can alleviate the condition
data/train/1097400.0000_1101000.0000.ogg,"So, start with lifestyle and dietary changes"
data/train/1101600.0000_1103600.0000.ogg,"Dr Ong, how is osteoporosis treated in TCM?"
data/train/1103600.0000_1106000.0000.ogg,"Generally, the primary treatment is regulating one's health..."
data/train/1106000.0000_1107800.0000.ogg,through Chinese medicines
data/train/1107800.0000_1113000.0000.ogg,Chinese medicines can help improve bone and joint degeneration
data/train/1113000.0000_1116400.0000.ogg,"In addition, they can also alleviate clinical symptoms..."
data/train/1116400.0000_1118400.0000.ogg,such as pain and so on
data/train/1118400.0000_1121000.0000.ogg,You can also stimulate blood circulation locally
data/train/1121000.0000_1124000.0000.ogg,"In addition, it can help to increase bone density and..."
data/train/1124000.0000_1126800.0000.ogg,delay the development of osteoporosis
data/train/1127200.0000_1129600.0000.ogg,"And of course, the purpose of Chinese medicines is generally..."
data/train/1129600.0000_1133600.0000.ogg,"to strengthen the liver, kidneys, muscles, bones, spleen, stomach and..."
data/train/1133600.0000_1136000.0000.ogg,to clear the blood vessels
data/train/1136200.0000_1141800.0000.ogg,I'm going to introduce three distinctive Chinese herbs
data/train/1141880.0000_1145280.0000.ogg,"This is xuduan (Japanese teasel root) which means ""restore what is broken"""
data/train/1145280.0000_1149680.0000.ogg,"This is gusuibu (Drynaria rhizome) which means ""mender of shattered bones"""
data/train/1150080.0000_1153760.0000.ogg,This is niuxi (Achyranthes root). It's a kind of root
data/train/1153880.0000_1157080.0000.ogg,Its effect is like a cow's knee (niuxi)
data/train/1157080.0000_1161080.0000.ogg,It makes the joints and bones very strong
data/train/1161080.0000_1163280.0000.ogg,"Of course before you use these Chinese herbs,"
data/train/1163280.0000_1166280.0000.ogg,you must consult a TCM physician for an assessment
data/train/1166280.0000_1170080.0000.ogg,"For efficacy and safety, take herbs based on your constitution"
data/train/1170880.0000_1173080.0000.ogg,Some people believe in taking foods corresponding to the affected area
data/train/1173080.0000_1176080.0000.ogg,Does that mean drinking pork bone soup is good for your bones?
data/train/1176080.0000_1179080.0000.ogg,"Actually, the efficacy of pork bone soup is minimal..."
data/train/1179080.0000_1181480.0000.ogg,unless you drink a lot of it
data/train/1182080.0000_1185480.0000.ogg,"Basically, our nutrients should be obtained from normal meals"
data/train/1185480.0000_1189480.0000.ogg,Another problem with pork bone soup is that it contains a lot of fat
data/train/1189480.0000_1192480.0000.ogg,Drinking too much of it does not benefit the body
data/train/1192480.0000_1195000.0000.ogg,Can the affected area be stimulated by acupressure?
data/train/1195000.0000_1196880.0000.ogg,Yes. I'm going to show you...
data/train/1196880.0000_1199880.0000.ogg,how to massage the shugu (bone-binding) acupoint
data/train/1199880.0000_1202680.0000.ogg,Let's bind the bones! Come on!
data/train/1204680.0000_1206280.0000.ogg,"Shugu acupoint is located on the lateral aspect of the foot,"
data/train/1206280.0000_1207880.0000.ogg,"posterior to the joint of the little toe,"
data/train/1207880.0000_1210480.0000.ogg,"at the junction of the ""red and white skin"""
data/train/1210480.0000_1212680.0000.ogg,This is the shugu acupoint
data/train/1213080.0000_1216680.0000.ogg,Use your index finger to massage and stimulate it
data/train/1216680.0000_1220280.0000.ogg,Shugu acupoint belongs to the Taiyang Bladder Meridian of Foot
data/train/1220280.0000_1224280.0000.ogg,This meridian governs diseases caused by tendons
data/train/1224280.0000_1228680.0000.ogg,"As osteoporosis is linked to tendon and qi deficiencies,"
data/train/1228680.0000_1231680.0000.ogg,massaging this acupoint helps to alleviate the condition
data/train/1231680.0000_1236880.0000.ogg,This acupoint can also help to relieve back pain and headaches
data/train/1238080.0000_1242480.0000.ogg,Is it true that osteoporosis patients should not receive tuina or massage?
data/train/1242480.0000_1245480.0000.ogg,"Yes, because for people with severe osteoporosis,"
data/train/1245480.0000_1250680.0000.ogg,"any pressure on the bones will easily cause fractures,"
data/train/1250680.0000_1252480.0000.ogg,so we need to be extra careful
data/train/1252480.0000_1254480.0000.ogg,"During a massage or tuina,"
data/train/1254880.0000_1258280.0000.ogg,exercise caution or it will lead to pathological fractures
data/train/1259120.0000_1261520.0000.ogg,Osteoporosis can only be alleviated
data/train/1261520.0000_1263520.0000.ogg,Is there a way to prevent it?
data/train/1263520.0000_1266920.0000.ogg,Keep your bones healthy at a young age
data/train/1266920.0000_1271920.0000.ogg,"The earlier you start taking calcium-rich foods and calcium supplements,"
data/train/1271920.0000_1274920.0000.ogg,the better it is to store bone essentials effectively
data/train/1274920.0000_1276920.0000.ogg,That will prevent osteoporosis
data/train/1276920.0000_1278920.0000.ogg,"Dr Ong, do you have anything to add?"
data/train/1278920.0000_1283720.0000.ogg,Exercise regularly to strengthen your bones and muscles
data/train/1283720.0000_1287920.0000.ogg,"In addition, have adequate sun exposure to improve bone quality"
data/train/1287920.0000_1290520.0000.ogg,Most important of all is to prevent falls
data/train/1291120.0000_1294920.0000.ogg,"If you have elderly folks at home, consider installing grab bars"
data/train/1294920.0000_1295920.0000.ogg,That's right
data/train/1295920.0000_1297120.0000.ogg,"Also, anti-slip mats"
data/train/1297120.0000_1302120.0000.ogg,That's right. Remember to do anti-gravity exercises
data/train/1302120.0000_1302920.0000.ogg,Yes
data/train/1302920.0000_1304320.0000.ogg,Get some sun
data/train/1304320.0000_1306120.0000.ogg,Take foods rich in calcium
data/train/1306320.0000_1310120.0000.ogg,"Hopefully, this programme has increased your knowledge of osteoporosis"
data/train/1310120.0000_1313520.0000.ogg,That's right. We'd like to thank Dr Lee and Dr Ong
data/train/1313520.0000_1315320.0000.ogg,"Thank you, Xiang Yun and Brandon"
data/train/1315320.0000_1316320.0000.ogg,Thank you
data/train/1316320.0000_1318720.0000.ogg,<i>Let's Talk About Health</i> and learn more
data/train/1318720.0000_1319920.0000.ogg,See you next week
data/train/1319920.0000_1321120.0000.ogg,Bye!
data/train/1321120.0000_1322120.0000.ogg,"Subtitles: LG Ho, Mediacorp Pte Ltd"
data/train/599560.0000_601280.0000.ogg,Those who got off were armed to the teeth
data/train/601280.0000_603040.0000.ogg,wearing protective clothing
data/train/603300.0000_604250.0000.ogg,I stood on the balcony
data/train/604250.0000_605800.0000.ogg,We didn't have much
data/train/605800.0000_606880.0000.ogg,clinical work to do then
data/train/606880.0000_608540.0000.ogg,only the regular shifts
data/train/609420.0000_610520.0000.ogg,Although when on duty
data/train/610520.0000_612200.0000.ogg,we looked into psychological issues
data/train/612200.0000_613540.0000.ogg,not infectious diseases
data/train/613540.0000_615110.0000.ogg,we were armed to the teeth
data/train/615660.0000_617460.0000.ogg,When I was standing on the balcony
data/train/617460.0000_618490.0000.ogg,looking down at
data/train/618490.0000_620490.0000.ogg,ambulances rushing across
data/train/620910.0000_623070.0000.ogg,tears would fall down in spite of myself
data/train/623600.0000_624910.0000.ogg,my heart would beat faster
data/train/624910.0000_626280.0000.ogg,sweat would easily run from my head to feet
data/train/626360.0000_628620.0000.ogg,and my mind was filled with troubling thoughts
data/train/628620.0000_629580.0000.ogg,I started to suspect
data/train/629580.0000_630600.0000.ogg,suspect everything
data/train/631270.0000_632100.0000.ogg,I then realized
data/train/632100.0000_633530.0000.ogg,luckily that's my major
data/train/633530.0000_634510.0000.ogg,I realized
data/train/634680.0000_635760.0000.ogg,it was anxiety
data/train/636470.0000_637350.0000.ogg,So at that time
data/train/637350.0000_638630.0000.ogg,I diagnosed myself
data/train/638630.0000_639950.0000.ogg,and asked a colleague to prescribe me some medicine
data/train/640180.0000_642860.0000.ogg,"Meanwhile, I adopted a non-drug cure"
data/train/642860.0000_644760.0000.ogg,which was behavioural cure
data/train/645080.0000_646510.0000.ogg,I knew then
data/train/646620.0000_648430.0000.ogg,even as a professional
data/train/648500.0000_650510.0000.ogg,by the rage of SARS
data/train/650510.0000_651460.0000.ogg,I was so panicked
data/train/651620.0000_653050.0000.ogg,What would the public feel?
data/train/653280.0000_654960.0000.ogg,I supposed they would panic too
data/train/654960.0000_655850.0000.ogg,sometimes they could get
data/train/655850.0000_657240.0000.ogg,even worse than me
data/train/657470.0000_659030.0000.ogg,So I took action immediately
data/train/659090.0000_661050.0000.ogg,I called the director of the hospital
data/train/661130.0000_662890.0000.ogg,I said we had to do something
data/train/663410.0000_664840.0000.ogg,The director was very supportive
data/train/664910.0000_666590.0000.ogg,and gave me 8 phones
data/train/666590.0000_668260.0000.ogg,Later the number increased to 16
data/train/668720.0000_672050.0000.ogg,SARS psychology hotline was thus initiated
data/train/670760.0000_674360.0000.ogg,"Wei Jing Director of Psychological Medicine Department, Peking Union Medical College Hospital"
data/train/682880.0000_685440.0000.ogg,"When I could put my attention, energy"
data/train/685440.0000_686670.0000.ogg,and my focus
data/train/686990.0000_689080.0000.ogg,into this initiative
data/train/689080.0000_690550.0000.ogg,with the help of medical treatment
data/train/690690.0000_693640.0000.ogg,soon my anxiety relieved
data/train/693890.0000_695810.0000.ogg,So during that period
data/train/695810.0000_698810.0000.ogg,my symptoms had proved I had the anxiety disorder
data/train/698810.0000_700690.0000.ogg,a mental disease
data/train/701350.0000_703820.0000.ogg,It is a universal issue
data/train/704360.0000_705540.0000.ogg,Why don't we think
data/train/705540.0000_706560.0000.ogg,it can be acceptable
data/train/706560.0000_707880.0000.ogg,and admitted?
data/train/708390.0000_709500.0000.ogg,I think it's because we don't know
data/train/709160.0000_716160.0000.ogg,Why do some people refuse to admit or face their psychological diseases?
data/train/709500.0000_712830.0000.ogg,psychological disturbance and problems well enough
data/train/713790.0000_715850.0000.ogg,"Actually, psychological disturbance and diseases"
data/train/715850.0000_717750.0000.ogg,have the following attributes
data/train/717970.0000_721120.0000.ogg,The first one is changeability
data/train/719600.0000_726280.0000.ogg,Wei Jing: First attribute of psychological diseases: changeability
data/train/721690.0000_724790.0000.ogg,That must mean someone deviates
data/train/724790.0000_726590.0000.ogg,from his usual tone and normal self
data/train/726970.0000_728520.0000.ogg,If we keep it
data/train/728520.0000_729400.0000.ogg,stable
data/train/729400.0000_730810.0000.ogg,and stick to our own tone
data/train/730810.0000_732350.0000.ogg,with only slight changes
data/train/732360.0000_734250.0000.ogg,it won't be diagnosed as psychological disturbance
data/train/734860.0000_735850.0000.ogg,The second one
data/train/735850.0000_738090.0000.ogg,is non-selectivity
data/train/736560.0000_743280.0000.ogg,Wei Jing: Second attribute of psychological diseases: non-selectivity
data/train/738860.0000_740150.0000.ogg,It may seem
data/train/740150.0000_742150.0000.ogg,psychological disturbance and diseases
data/train/742280.0000_745080.0000.ogg,tend to beat the weaker ones
data/train/745220.0000_746240.0000.ogg,That's not true
data/train/746240.0000_750280.0000.ogg,"No matter whether you are male or female, old or young"
data/train/750470.0000_752110.0000.ogg,no matter what job you do
data/train/752290.0000_754880.0000.ogg,you are extrovert or introvert
data/train/755140.0000_756790.0000.ogg,you are loud
data/train/756790.0000_758180.0000.ogg,or quiet
data/train/758640.0000_759630.0000.ogg,psychological disturbance
data/train/759630.0000_761820.0000.ogg,"depression for example, may find its way to you"
data/train/762800.0000_763640.0000.ogg,Of course
data/train/763700.0000_766320.0000.ogg,during certain special periods
data/train/766320.0000_768030.0000.ogg,such as pregnancy or after delivery
data/train/767280.0000_774080.0000.ogg,Wei Jing: Pregnancy and after delivery are high-risk periods when depression is triggered
data/train/768080.0000_769530.0000.ogg,attention will be more
data/train/769530.0000_771110.0000.ogg,because those are
data/train/771110.0000_772490.0000.ogg,high-risk periods
data/train/772900.0000_775010.0000.ogg,Another attribute is also important
data/train/775070.0000_776600.0000.ogg,It's reversibility
data/train/776120.0000_782800.0000.ogg,Wei Jing: Third attribute of psychological diseases: reversibility
data/train/777120.0000_778890.0000.ogg,So what's our goal
data/train/778890.0000_781010.0000.ogg,in the treatment of psychological disturbance?
data/train/781010.0000_783530.0000.ogg,It's to rehabilitate to the condition before the disease
data/train/783810.0000_784840.0000.ogg,to become what one
data/train/784840.0000_786250.0000.ogg,used to be
data/train/786250.0000_788740.0000.ogg,Only then are your psychological disturbance and problems
data/train/788740.0000_789560.0000.ogg,resolved
data/train/789800.0000_790800.0000.ogg,Another
data/train/790800.0000_792220.0000.ogg,important attribute
data/train/792220.0000_794220.0000.ogg,is medical nature
data/train/793560.0000_800160.0000.ogg,Wei Jing: Fourth attribute of psychological diseases: medical nature
data/train/797010.0000_798890.0000.ogg,I'll give an example on medical nature
data/train/799360.0000_800410.0000.ogg,Normally
data/train/800410.0000_802840.0000.ogg,when we get a skin cut
data/train/802840.0000_803710.0000.ogg,the pain you feel
data/train/803710.0000_805540.0000.ogg,where do you think it comes from?
data/train/806210.0000_809600.0000.ogg,Do you think we feel it by the skin?
data/train/812420.0000_815870.0000.ogg,Those who think by the nerves
data/train/816000.0000_816850.0000.ogg,raise your hands
data/train/818270.0000_820570.0000.ogg,How many of you think we feel it by the brain?
data/train/822970.0000_824940.0000.ogg,Many of you have medical knowledge
data/train/825540.0000_828250.0000.ogg,Pain really isn't felt by your skin
data/train/828250.0000_830250.0000.ogg,but by your brain
data/train/830580.0000_831650.0000.ogg,Think about it
data/train/831650.0000_832730.0000.ogg,I cited this example
data/train/832730.0000_833770.0000.ogg,to show
data/train/833770.0000_836700.0000.ogg,where our emotions come from
data/train/836700.0000_838520.0000.ogg,"For example, fear"
data/train/839270.0000_840890.0000.ogg,Where do you think it comes from?
data/train/841280.0000_843520.0000.ogg,Does fear really come from
data/train/843570.0000_844910.0000.ogg,what we saw
data/train/845120.0000_846910.0000.ogg,and what we heard?
data/train/847110.0000_847890.0000.ogg,No
data/train/848710.0000_850560.0000.ogg,we feel it by our brain
data/train/850710.0000_853200.0000.ogg,I have two diagrams here
data/train/853200.0000_854870.0000.ogg,Let's have a look together
data/train/855190.0000_856960.0000.ogg,This is the cross section of brain
data/train/857240.0000_859020.0000.ogg,The grey surrounding
data/train/859090.0000_860670.0000.ogg,is called cerebral cortex
data/train/860670.0000_862740.0000.ogg,Inside there is the action brain
data/train/863300.0000_866320.0000.ogg,which is in charge of the action of our arms and legs
data/train/866370.0000_868240.0000.ogg,Some parts are sense brain
data/train/868240.0000_869000.0000.ogg,Like I just said
data/train/869000.0000_870270.0000.ogg,this part decides where the pain goes
data/train/870270.0000_871510.0000.ogg,and which part of the body
data/train/871510.0000_872550.0000.ogg,can be sensed
data/train/872550.0000_873800.0000.ogg,by the brain
data/train/874500.0000_876210.0000.ogg,The colored parts in the middle
data/train/876210.0000_877200.0000.ogg,green and blue ones
data/train/877200.0000_878680.0000.ogg,we call them limbic system
data/train/878680.0000_880730.0000.ogg,They are the emotion brain
data/train/880910.0000_882850.0000.ogg,Okay. There is a green
data/train/882850.0000_885040.0000.ogg,not very regular sphere
data/train/881440.0000_886440.0000.ogg,How does the brain control emotions? Why can't one cheer up?
data/train/885240.0000_887580.0000.ogg,It's the locus for fear
data/train/888760.0000_890320.0000.ogg,amygdala
data/train/890540.0000_891510.0000.ogg,Our fear
data/train/891510.0000_893050.0000.ogg,when we see some images
data/train/893050.0000_894630.0000.ogg,or hear certain sounds
data/train/894760.0000_896550.0000.ogg,the amygdala is activated
data/train/896870.0000_898720.0000.ogg,and we will feel strong fear
data/train/899800.0000_900900.0000.ogg,Unfortunately
data/train/900990.0000_902430.0000.ogg,when amygdala is activated
data/train/902430.0000_904070.0000.ogg,and fear is generated
data/train/904120.0000_907440.0000.ogg,it will be transmitted to other parts of the brain
data/train/907580.0000_909990.0000.ogg,Then the perception of brain is changed
data/train/911120.0000_912660.0000.ogg,Brain starts to judge
data/train/912660.0000_914190.0000.ogg,that this is a scary event
data/train/914320.0000_916080.0000.ogg,So when the amygdala constantly experiences
data/train/916080.0000_917580.0000.ogg,abnormal activation
data/train/917580.0000_919320.0000.ogg,people become extremely scared
data/train/919420.0000_921790.0000.ogg,"Similarly, many parts surrounding"
data/train/921790.0000_923080.0000.ogg,our emotion brain
data/train/923180.0000_925840.0000.ogg,are related to depression
data/train/927720.0000_929920.0000.ogg,It's not really what happens outside
data/train/929920.0000_931080.0000.ogg,that makes me
data/train/931930.0000_932670.0000.ogg,sick
data/train/932670.0000_934020.0000.ogg,or something
data/train/934280.0000_935600.0000.ogg,It's my brain
data/train/935600.0000_937980.0000.ogg,the emotion center
data/train/937980.0000_939230.0000.ogg,or the so-called emotion brain
data/train/939640.0000_941530.0000.ogg,that experiences an exceptional event
data/train/942540.0000_945250.0000.ogg,So one feels unhappy
data/train/945570.0000_946910.0000.ogg,unable to cheer up
data/train/946910.0000_948310.0000.ogg,and uninterested
data/train/948510.0000_950380.0000.ogg,One does not feel as energetic as
data/train/950380.0000_951610.0000.ogg,he used to be in the past
data/train/952290.0000_955010.0000.ogg,when he would get excited for a cheerful event
data/train/955170.0000_956560.0000.ogg,and laugh out loud
data/train/956670.0000_958840.0000.ogg,Everything just becomes boring to him
data/train/959240.0000_961000.0000.ogg,He no longer feels those
data/train/961000.0000_962870.0000.ogg,"exciting, happy and cheerful parts"
data/train/962870.0000_964720.0000.ogg,so much negative experience instead
data/train/964720.0000_967030.0000.ogg,When the emotion brain senses
data/train/967110.0000_968630.0000.ogg,the depression
data/train/968850.0000_969900.0000.ogg,this would happen
data/train/970230.0000_972750.0000.ogg,"Unfortunately, it will transmit"
data/train/972750.0000_976000.0000.ogg,this nerve activation to everywhere in the brain
data/train/976490.0000_978750.0000.ogg,to our thinking area
data/train/979370.0000_980870.0000.ogg,our action area
data/train/981160.0000_982660.0000.ogg,and some parts of our body
data/train/982750.0000_984230.0000.ogg,So when depressed
data/train/984290.0000_987150.0000.ogg,many of our thoughts are turned upside down
data/train/988000.0000_989590.0000.ogg,I used to see things in a certain way
data/train/989590.0000_990920.0000.ogg,Now I've got depression
data/train/990920.0000_992560.0000.ogg,I see things in a different way
data/train/992850.0000_994560.0000.ogg,I used to be confident
data/train/994580.0000_995650.0000.ogg,and comfortable with myself
data/train/995650.0000_997290.0000.ogg,but now I feel it all wrong
data/train/997430.0000_999880.0000.ogg,So it's of medical nature
data/train/1000100.0000_1002560.0000.ogg,People always say
data/train/1002670.0000_1005670.0000.ogg,mental disease must be cured by mental medicine
data/train/1005760.0000_1007670.0000.ogg,Those who agree with this saying please raise your hand
data/train/1004520.0000_1009520.0000.ogg,Should mental disease be cured by mental medicine?
data/train/1009630.0000_1011830.0000.ogg,Almost everyone
data/train/1013220.0000_1013800.0000.ogg,Alright
data/train/1013870.0000_1015290.0000.ogg,Could you tell me
data/train/1015800.0000_1016410.0000.ogg,Yes
data/train/1016430.0000_1018540.0000.ogg,the handsome guy wearing glasses
data/train/1018540.0000_1020360.0000.ogg,How do you understand it?
data/train/1020360.0000_1022190.0000.ogg,If someone is mentally going through
data/train/1022190.0000_1023910.0000.ogg,this abnormal situation
data/train/1023910.0000_1025630.0000.ogg,he knows what the sticking point is
data/train/1025630.0000_1027329.0000.ogg,and he has to sort it out
data/train/1027329.0000_1028180.0000.ogg,on his own
data/train/1028180.0000_1029319.0000.ogg,Then I'd like to ask
data/train/1029319.0000_1031839.0000.ogg,"what you think is ""mental medicine"""
data/train/1031940.0000_1034410.0000.ogg,I think his point is his mental medicine
data/train/1035359.0000_1036119.0000.ogg,You mean
data/train/1036119.0000_1038160.0000.ogg,to find the origin of his disturbance
data/train/1038160.0000_1038760.0000.ogg,The thing that disturbs him
data/train/1038760.0000_1039280.0000.ogg,The origin
data/train/1039710.0000_1042579.0000.ogg,Who could prescribe this mental medicine?
data/train/1042579.0000_1043480.0000.ogg,Those who know him best
data/train/1043480.0000_1044970.0000.ogg,are probably people around him
data/train/1045160.0000_1046270.0000.ogg,"So, please be seated"
data/train/1046500.0000_1048079.0000.ogg,So this handsome young man
data/train/1048079.0000_1049920.0000.ogg,naturally reveals
data/train/1049920.0000_1052050.0000.ogg,what I just said about the misunderstanding
data/train/1054510.0000_1058400.0000.ogg,Mental disease must be cured by mental medicine
data/train/1058450.0000_1060190.0000.ogg,"Personally, I don't think the saying has any problem itself"
data/train/1061040.0000_1063830.0000.ogg,The problem is how we define mental medicine
data/train/1064920.0000_1069920.0000.ogg,Mental disease needs to be cured by mental medicine What is mental medicine?
data/train/1064960.0000_1067960.0000.ogg,If it's like what you just said
data/train/1067960.0000_1070960.0000.ogg,that mental medicine is his sticking point
data/train/1071300.0000_1072440.0000.ogg,that would be wrong
data/train/1073740.0000_1076720.0000.ogg,Mental medicine is a kind of medicine above all
data/train/1077390.0000_1078850.0000.ogg,When depression appears
data/train/1078850.0000_1080290.0000.ogg,as I just showed you
data/train/1080290.0000_1081700.0000.ogg,the emotion brain
data/train/1081760.0000_1083350.0000.ogg,is malfunctioning
data/train/1083840.0000_1085960.0000.ogg,If we try to persuade him at this time
data/train/1086040.0000_1088790.0000.ogg,and help him find his sticking point in real life then
data/train/1088920.0000_1090510.0000.ogg,it's not convincing to him at all
data/train/1091120.0000_1092360.0000.ogg,Because at this time
data/train/1092360.0000_1094270.0000.ogg,his thinking mode is completely
data/train/1094270.0000_1095530.0000.ogg,different from usual
data/train/1095650.0000_1097060.0000.ogg,He will tell you
data/train/1097060.0000_1098320.0000.ogg,"""I know everything you are saying"""
data/train/1099120.0000_1100140.0000.ogg,Usually
data/train/1100140.0000_1100680.0000.ogg,when tired
data/train/1100760.0000_1101750.0000.ogg,we can rest
data/train/1101750.0000_1103160.0000.ogg,"and then our strength will be recovered, right?"
data/train/1103390.0000_1104640.0000.ogg,But if it's paralysis
data/train/1104640.0000_1105840.0000.ogg,will rest be able to cure you?
data/train/1106620.0000_1107360.0000.ogg,No
data/train/1107700.0000_1109810.0000.ogg,Paralysis requires treatment
data/train/1109910.0000_1110910.0000.ogg,That's illness
data/train/1111330.0000_1112430.0000.ogg,So is depression
data/train/1112430.0000_1114140.0000.ogg,If we are just in a bad mood
data/train/1114380.0000_1115800.0000.ogg,we can just rest
data/train/1115800.0000_1117260.0000.ogg,"and get rid of the gloom, then it'll be fine"
data/train/1117520.0000_1119560.0000.ogg,But if it's depression or anxiety
data/train/1119560.0000_1121440.0000.ogg,with psychological disturbance like this
data/train/1121440.0000_1122650.0000.ogg,even psychological diseases
data/train/1123190.0000_1125330.0000.ogg,you can't stay away from depression anyway
data/train/1126040.0000_1128090.0000.ogg,Understanding the reasoning alone won't help
data/train/1128780.0000_1132860.0000.ogg,So mental medicine is drug plus non-drug
data/train/1133280.0000_1135070.0000.ogg,Who will prescribe it?
data/train/1135260.0000_1137090.0000.ogg,Not his family
data/train/1137240.0000_1139850.0000.ogg,It must be a professional
data/train/1149640.0000_1151240.0000.ogg,Another attribute is
data/train/1151510.0000_1153010.0000.ogg,knowability
data/train/1152080.0000_1158800.0000.ogg,Wei Jing: Fifth attribute of psychological diseases: knowability
data/train/1153580.0000_1155760.0000.ogg,You have in your hands
data/train/1155760.0000_1157680.0000.ogg,a PHQ-9
data/train/1158220.0000_1159590.0000.ogg,You may have a look
data/train/1159860.0000_1161450.0000.ogg,There are nine criteria in it
data/train/1162910.0000_1164860.0000.ogg,It's something we often use
data/train/1164860.0000_1167420.0000.ogg,"called PHQ-9, a depression test questionnaire"
data/train/1167420.0000_1169560.0000.ogg,"Just score 1, 2"
data/train/1169560.0000_1170670.0000.ogg,3 or 4
data/train/1171660.0000_1173960.0000.ogg,Having looked at it
data/train/1173960.0000_1175570.0000.ogg,who have 0 score?
data/train/1175570.0000_1176520.0000.ogg,How many people?
data/train/1180160.0000_1181760.0000.ogg,It's hard to get a 0
data/train/1182130.0000_1184440.0000.ogg,How many of you scored less than 10?
data/train/1186040.0000_1188580.0000.ogg,If you find yourself a fixed 15
data/train/1188580.0000_1189660.0000.ogg,or 20
data/train/1189900.0000_1192010.0000.ogg,don't hesitate and go see a doctor
data/train/1192950.0000_1194190.0000.ogg,You need to have a talk
data/train/1194780.0000_1195860.0000.ogg,Because this questionnaire
data/train/1195860.0000_1199010.0000.ogg,directly asks about your mental state
data/train/1199210.0000_1200790.0000.ogg,your emotions and feelings
data/train/1200920.0000_1202510.0000.ogg,So it's knowable
data/train/1202690.0000_1204180.0000.ogg,just like physical diseases
data/train/1204180.0000_1205600.0000.ogg,Other doctors
data/train/1205600.0000_1207600.0000.ogg,may focus on a certain symptom
data/train/1207080.0000_1210800.0000.ogg,"Wei Jing Director of Psychological Medicine Department, Peking Union Medical College Hospital"
data/train/1207680.0000_1209880.0000.ogg,Your leg hurts. Which part?
data/train/1210060.0000_1211230.0000.ogg,What kind of pain?
data/train/1211540.0000_1213340.0000.ogg,A psychological doctor
data/train/1213340.0000_1215630.0000.ogg,will focus on the person
data/train/1215720.0000_1216920.0000.ogg,and his feelings
data/train/1217390.0000_1218360.0000.ogg,I'll give you an example
data/train/1218360.0000_1218840.0000.ogg,For example
data/train/1218840.0000_1221220.0000.ogg,the problem hard to speak out
data/train/1221220.0000_1223390.0000.ogg,and communicate is about suicide
data/train/1224020.0000_1224460.0000.ogg,Right?
data/train/1224460.0000_1225740.0000.ogg,Because when speaking of depression
data/train/1225830.0000_1227710.0000.ogg,we can't avoid this word
data/train/1227940.0000_1229230.0000.ogg,But clinically
data/train/1229230.0000_1230540.0000.ogg,if we ask someone
data/train/1230990.0000_1233050.0000.ogg,"""You are in a bad mood recently"
data/train/1233050.0000_1233880.0000.ogg,like you said
data/train/1233880.0000_1235340.0000.ogg,sometimes you are pessimist
data/train/1235340.0000_1237830.0000.ogg,"Do you ever think about the question of life and death?"""
data/train/1238450.0000_1239460.0000.ogg,If he answers
data/train/1239460.0000_1240640.0000.ogg,"""Yes, doctor"
data/train/1240760.0000_1242690.0000.ogg,I think more often of
data/train/1242690.0000_1243790.0000.ogg,life and death than usual
data/train/1243920.0000_1246160.0000.ogg,"but I'm only thinking"""
data/train/1246360.0000_1248490.0000.ogg,If another person answers
data/train/1248670.0000_1251060.0000.ogg,"""I think I'm no good at all"
data/train/1251570.0000_1252930.0000.ogg,"alive, I'm"
data/train/1253090.0000_1255360.0000.ogg,"a burden on my family and the society"""
data/train/1255580.0000_1257730.0000.ogg,If he gives another answer
data/train/1258480.0000_1260450.0000.ogg,"""Doctor, telling me all this"
data/train/1260450.0000_1262600.0000.ogg,"is a waste of your precious time"""
data/train/1263950.0000_1265650.0000.ogg,That means
data/train/1265650.0000_1268430.0000.ogg,I must pay close attention to his safety
data/train/1269530.0000_1271390.0000.ogg,So although it's the same topic
data/train/1271510.0000_1273720.0000.ogg,we need to stay extremely sensitive
data/train/1273720.0000_1275080.0000.ogg,to different things they express
data/train/1275080.0000_1277640.0000.ogg,and keep evaluating
data/train/1278200.0000_1279990.0000.ogg,That's knowability
data/train/1280200.0000_1281340.0000.ogg,The real problem is
data/train/1281340.0000_1282610.0000.ogg,not talking about
data/train/1282610.0000_1283880.0000.ogg,such psychological disturbance
data/train/1284300.0000_1286990.0000.ogg,If we are afraid of talking without holding back
data/train/1286990.0000_1288430.0000.ogg,our psychological disturbance
data/train/1288430.0000_1289280.0000.ogg,and problems
data/train/1289280.0000_1290530.0000.ogg,will only get worse
data/train/1291730.0000_1293840.0000.ogg,That's very unfortunate
data/train/1294590.0000_1296320.0000.ogg,So this year
data/train/1296320.0000_1298660.0000.ogg,World Health Day
data/train/1298820.0000_1300400.0000.ogg,has nailed down the theme
data/train/1300720.0000_1302720.0000.ogg,Depression: Let's talk
data/train/1303060.0000_1304200.0000.ogg,"I think, for us"
data/train/1303360.0000_1310240.0000.ogg,Depression: Let's talk
data/train/1303360.0000_1310240.0000.ogg,Depression: Let's talk
data/train/1304200.0000_1305750.0000.ogg,this is a new opportunity
data/train/1306180.0000_1307600.0000.ogg,We should be able to face
data/train/1307600.0000_1309390.0000.ogg,psychological disturbance and problems
data/train/1309810.0000_1312050.0000.ogg,We should be able to talk about them
data/train/1312200.0000_1314450.0000.ogg,We really hope your confusion
data/train/1314450.0000_1316310.0000.ogg,can be resolved sooner
data/train/1316470.0000_1318130.0000.ogg,rather than being put off all the time
data/train/1318300.0000_1319550.0000.ogg,"Of course, I sincerely wish"
data/train/1319550.0000_1321310.0000.ogg,now that
data/train/1321490.0000_1322960.0000.ogg,our country
data/train/1324220.0000_1327320.0000.ogg,is paying more attention to psychological problems
data/train/1327320.0000_1329210.0000.ogg,and mental health than ever
data/train/1329440.0000_1331530.0000.ogg,we can do more
data/train/1331810.0000_1334520.0000.ogg,If our mental health is not yet established
data/train/1334960.0000_1337400.0000.ogg,our material prosperity
data/train/1338050.0000_1340360.0000.ogg,cannot be widely
data/train/1340360.0000_1342360.0000.ogg,recognized either
data/train/1343030.0000_1344850.0000.ogg,So mental health really determines
data/train/1344850.0000_1347100.0000.ogg,many aspects in our life
data/train/1347800.0000_1349150.0000.ogg,That's all for my speech
data/train/1349150.0000_1350030.0000.ogg,Thank you
data/train/1357400.0000_1359120.0000.ogg,"Thank you, Ms. Wei. Thank you"
data/train/1359120.0000_1360160.0000.ogg,Thank you. Thank you
data/train/1361180.0000_1362110.0000.ogg,Taste the China Power Wine
data/train/1362110.0000_1363010.0000.ogg,Experience the Chinese wisdom
data/train/1363010.0000_1364260.0000.ogg,You are now watching
data/train/1364260.0000_1365570.0000.ogg,"the first TV public lecture for youths in China, Voice"
data/train/1365570.0000_1367020.0000.ogg,Our show is solely sponsored
data/train/1367020.0000_1368750.0000.ogg,by China Power Wine
data/train/1368750.0000_1369480.0000.ogg,promoter of healthy-drinking
data/train/1372120.0000_1373460.0000.ogg,It doesn't seem a big deal if it is not mentioned
data/train/1374070.0000_1376250.0000.ogg,"but once the topic is brought up, it's surprising"
data/train/1376860.0000_1378380.0000.ogg,While you were speaking
data/train/1378380.0000_1379820.0000.ogg,many people would examine themselves
data/train/1380180.0000_1382740.0000.ogg,according to what you were saying with themselves
data/train/1382920.0000_1384350.0000.ogg,"""Isn't it me myself?"""
data/train/1385270.0000_1386420.0000.ogg,"The more you say, the more nervous they get"
data/train/1386470.0000_1387660.0000.ogg,But as a matter of fact
data/train/1387690.0000_1389640.0000.ogg,most people do not get to that extent
data/train/1389640.0000_1390110.0000.ogg,Yes
data/train/1390110.0000_1391130.0000.ogg,To the extent where one must go see a doctor
data/train/1390600.0000_1395600.0000.ogg,How to distinguish depressed feelings from depression?
data/train/1391130.0000_1393210.0000.ogg,even requires medication and treatment
data/train/1393210.0000_1393970.0000.ogg,Can't go that far
data/train/1393970.0000_1394280.0000.ogg,Right
data/train/1394280.0000_1396380.0000.ogg,"Because quite often, it's just temporary"
data/train/1396380.0000_1397280.0000.ogg,Do you suggest
data/train/1397280.0000_1398860.0000.ogg,seeing a doctor whenever one feels troubled?
data/train/1399260.0000_1399800.0000.ogg,How can one tell
data/train/1399800.0000_1401290.0000.ogg,if he needs to see a doctor?
data/train/1401290.0000_1401780.0000.ogg,Right
data/train/1401780.0000_1403460.0000.ogg,If we find the feeling
data/train/1403460.0000_1404660.0000.ogg,understandable
data/train/1405420.0000_1407630.0000.ogg,I know why
data/train/1408310.0000_1409490.0000.ogg,I'm feeling troubled
data/train/1409490.0000_1410610.0000.ogg,unhappy
data/train/1410610.0000_1411750.0000.ogg,uncomfortable
data/train/1412390.0000_1413780.0000.ogg,I want to figure it out
data/train/1413780.0000_1416360.0000.ogg,and I know what can make me feel better
data/train/1416730.0000_1418910.0000.ogg,If the feeling is understandable
data/train/1419400.0000_1421020.0000.ogg,it hasn't reached a disease level
data/train/1421290.0000_1423100.0000.ogg,But if even I myself notice that
data/train/1423100.0000_1425770.0000.ogg,my feelings are beyond comprehension
data/train/1426270.0000_1427770.0000.ogg,I wasn't like this before
data/train/1428930.0000_1430760.0000.ogg,It seems I don't have any reason
data/train/1430840.0000_1432220.0000.ogg,to be feeling this way
data/train/1432570.0000_1434120.0000.ogg,People around me fail to understand either
data/train/1434410.0000_1436420.0000.ogg,"Everyone says, ""You are great in many ways"
data/train/1436420.0000_1437290.0000.ogg,"How could you have become like this?"""
data/train/1437290.0000_1439420.0000.ogg,Yes. I'm great in many ways
data/train/1439420.0000_1440530.0000.ogg,Why am I feeling like this?
data/train/1440530.0000_1441470.0000.ogg,I don't understand
data/train/1441640.0000_1443840.0000.ogg,When there is a lack of comprehensibility
data/train/1444140.0000_1445940.0000.ogg,the feeling is often abnormal
data/train/1444160.0000_1448920.0000.ogg,Wei Jing: When having incomprehensible emotions it is advised to talk with a doctor
data/train/1446760.0000_1447980.0000.ogg,The standard is simple
data/train/1447980.0000_1449810.0000.ogg,You may be able to judge yourself
data/train/1450170.0000_1452000.0000.ogg,The number of questions today
data/train/1452400.0000_1454780.0000.ogg,is probably twice as much
data/train/1454780.0000_1456640.0000.ogg,as we usually receive from the audience on the show
data/train/1456790.0000_1457660.0000.ogg,The first question
data/train/1457950.0000_1459600.0000.ogg,Is being single for too long a disease?
data/train/1459240.0000_1464080.0000.ogg,Audience question: Is being single for too long a disease?
data/train/1461440.0000_1462350.0000.ogg,Bluntly
data/train/1462510.0000_1464240.0000.ogg,Being single for too long is a choice
data/train/1471420.0000_1472970.0000.ogg,What if the one who asked this question says
data/train/1472970.0000_1474320.0000.ogg,"""I want to choose not to be single"
data/train/1474320.0000_1475320.0000.ogg,"but no one chooses me"""
data/train/1476080.0000_1478490.0000.ogg,"Quite often, people are conflicted"
data/train/1478800.0000_1480890.0000.ogg,They want to form bonds with others
data/train/1481440.0000_1483530.0000.ogg,and be recognized by others
data/train/1483790.0000_1484600.0000.ogg,But
data/train/1484660.0000_1488720.0000.ogg,they avoid communication with others as much as possible
data/train/1488840.0000_1490910.0000.ogg,They hope for others to
data/train/1490910.0000_1491940.0000.ogg,accept them more actively
data/train/1492260.0000_1493080.0000.ogg,In this case
data/train/1493080.0000_1495080.0000.ogg,psychologists have to use
data/train/1495080.0000_1496090.0000.ogg,this pattern
data/train/1496230.0000_1498550.0000.ogg,and let them try to change their behaviour
data/train/1498680.0000_1500660.0000.ogg,to accord with their expectations
data/train/1500830.0000_1502160.0000.ogg,One must open his own door first
data/train/1502160.0000_1503110.0000.ogg,and step out of it
data/train/1503110.0000_1503770.0000.ogg,Exactly
data/train/1503870.0000_1505280.0000.ogg,I like this question
data/train/1505580.0000_1508000.0000.ogg,Among the four main characters in Journey to the West
data/train/1508000.0000_1509780.0000.ogg,which one do you think most likely to have psychological diseases?
data/train/1507040.0000_1511840.0000.ogg,Audience question: Among the four main characters in Journey to the West which one is most likely to have psychological diseases?
data/train/1511880.0000_1513360.0000.ogg,Those who think it's Xuanzang please raise your hand
data/train/1514740.0000_1516810.0000.ogg,Those who think it's Sha Wujing please raise your hand
data/train/1519350.0000_1521840.0000.ogg,Those who think it's Zhu Bajie please raise your hand
data/train/1522480.0000_1523380.0000.ogg,There are a few
data/train/1523380.0000_1525190.0000.ogg,Those who think it's Monkey King please raise your hand
data/train/1526930.0000_1527900.0000.ogg,So many people think so
data/train/1528050.0000_1528800.0000.ogg,Interesting
data/train/1528920.0000_1530080.0000.ogg,This question is fun
data/train/1530080.0000_1531320.0000.ogg,What does it tell then?
data/train/1531320.0000_1533320.0000.ogg,Psychological problems are non-selective
data/train/1533940.0000_1535780.0000.ogg,Nobody's personality
data/train/1535780.0000_1536960.0000.ogg,or behaviour
data/train/1536960.0000_1537800.0000.ogg,No matter how powerful you are
data/train/1537800.0000_1539520.0000.ogg,can make him an exception
data/train/1539600.0000_1540990.0000.ogg,and save from psychological problems
data/train/1540990.0000_1542880.0000.ogg,Is there no difference in the probability either?
data/train/1543160.0000_1544680.0000.ogg,"For example, how's Zhu Bajie's"
data/train/1544680.0000_1546190.0000.ogg,chance of getting ill
data/train/1546330.0000_1548640.0000.ogg,compared to Monkey King who worries about everything?
data/train/1549230.0000_1549990.0000.ogg,Hard to say
data/train/1550200.0000_1551440.0000.ogg,My answer is hard to say
data/train/1551620.0000_1553400.0000.ogg,Someone like Zhu Bajie
data/train/1553400.0000_1554180.0000.ogg,would think
data/train/1554260.0000_1556670.0000.ogg,"""Why am I so difficult to be satisfied?"""
data/train/1559250.0000_1561340.0000.ogg,"Unlike Monkey King, right?"
data/train/1561340.0000_1563220.0000.ogg,He is content enough to hear a few nice words
data/train/1563220.0000_1565180.0000.ogg,His standard for satisfaction is rather low
data/train/1565290.0000_1567180.0000.ogg,So everyone is really different
data/train/1567250.0000_1569030.0000.ogg,But if we must work out a ratio
data/train/1569030.0000_1570210.0000.ogg,we can see that
data/train/1570250.0000_1571310.0000.ogg,as for pressure management
data/train/1571400.0000_1573980.0000.ogg,Monkey King is weaker in this respect
data/train/1573980.0000_1575780.0000.ogg,He is carrying too much on his shoulders
data/train/1576040.0000_1577190.0000.ogg,Poor Monkey King
data/train/1579600.0000_1581640.0000.ogg,The next question is also fun
data/train/1582120.0000_1583910.0000.ogg,Does diet lead to depression?
data/train/1584840.0000_1585960.0000.ogg,Good question
data/train/1585960.0000_1587630.0000.ogg,I really want to remind you
data/train/1587630.0000_1589240.0000.ogg,I think even I can answer this one
data/train/1589720.0000_1591680.0000.ogg,Long-term diet without effect
data/train/1591720.0000_1595050.0000.ogg,may lead to depression
data/train/1599700.0000_1602070.0000.ogg,I totally agree with Doctor Sa
data/train/1602070.0000_1603440.0000.ogg,That is one possibility
data/train/1603440.0000_1605630.0000.ogg,"More importantly, we see people"
data/train/1605630.0000_1607130.0000.ogg,who take diet pills clinically
data/train/1607920.0000_1609970.0000.ogg,If anyone here wants to lose weight
data/train/1609970.0000_1612480.0000.ogg,please be careful with diet pills
data/train/1612950.0000_1615300.0000.ogg,No less than one type of diet pills
data/train/1615440.0000_1617320.0000.ogg,may directly cause depression
data/train/1619310.0000_1621750.0000.ogg,It has the effect of central mediation
data/train/1622940.0000_1624100.0000.ogg,Via mediation
data/train/1624260.0000_1625650.0000.ogg,of central nerves in brain
data/train/1625760.0000_1628510.0000.ogg,it inhibits our satiety center
data/train/1629440.0000_1631430.0000.ogg,as well our hunger center
data/train/1631960.0000_1634480.0000.ogg,But other things are also inhibited
data/train/1634600.0000_1635930.0000.ogg,Because hunger center
data/train/1635930.0000_1638510.0000.ogg,is close to our emotion center
data/train/1638510.0000_1639540.0000.ogg,about the size of a thumb
data/train/1641070.0000_1644610.0000.ogg,So losing weight in a healthy way is the most important
data/train/1644750.0000_1645980.0000.ogg,That is the key
data/train/1646800.0000_1648270.0000.ogg,Now let's ask the six youth representatives
data/train/1648270.0000_1648890.0000.ogg,Liu Yuxuan
data/train/1649720.0000_1651280.0000.ogg,"Hello, Sa. Hello, Ms. Wei"
data/train/1651280.0000_1653090.0000.ogg,Please allow me to introduce myself
data/train/1653090.0000_1654230.0000.ogg,I'm from Communication University
data/train/1654230.0000_1656180.0000.ogg,I'm in the third year
data/train/1656180.0000_1657280.0000.ogg,I haven't really
data/train/1657280.0000_1659750.0000.ogg,experienced many negative feelings
data/train/1659840.0000_1662160.0000.ogg,but that's just me
data/train/1662160.0000_1664600.0000.ogg,My classmates are contrary
data/train/1664820.0000_1667880.0000.ogg,It seems everyone claims to be somehow depressed
data/train/1667880.0000_1670440.0000.ogg,like if you don't say you're depressed
data/train/1670440.0000_1671190.0000.ogg,à la mode
data/train/1671190.0000_1672720.0000.ogg,"Yeah, not à la mode, not up to date"
data/train/1672720.0000_1673760.0000.ogg,you are left behind
data/train/1673760.0000_1674940.0000.ogg,But meanwhile
data/train/1674940.0000_1675800.0000.ogg,I think there are some
data/train/1675800.0000_1678810.0000.ogg,disturbing questionnaires
data/train/1678890.0000_1680680.0000.ogg,There is a list of things
data/train/1680680.0000_1681870.0000.ogg,Which ones have you done before?
data/train/1681870.0000_1683990.0000.ogg,Grass-root psychology. Things like that
data/train/1683990.0000_1685840.0000.ogg,"Yeah, if you have done over a certain number of them"
data/train/1685840.0000_1686610.0000.ogg,you have reached a certain level
data/train/1686610.0000_1688120.0000.ogg,"Another number, another level"
data/train/1688120.0000_1689690.0000.ogg,I've done some of them too
data/train/1689690.0000_1691410.0000.ogg,"After completion, I just want to be left alone"
data/train/1692480.0000_1695310.0000.ogg,So I'd like to ask a question
data/train/1695310.0000_1697350.0000.ogg,What should we think of
data/train/1695520.0000_1702320.0000.ogg,Question from the youth representatives: Are online depression questionnaires reliable?
data/train/1697350.0000_1698610.0000.ogg,online
data/train/1698610.0000_1701020.0000.ogg,grass-root depression questionnaires?
data/train/1701160.0000_1702600.0000.ogg,All the questionnaires and tools
data/train/1702600.0000_1704190.0000.ogg,including what I gave you today
data/train/1704190.0000_1705690.0000.ogg,mustn't be taken
data/train/1705690.0000_1706720.0000.ogg,as a diagnosis
data/train/1706720.0000_1708800.0000.ogg,or a clinical judgement
data/train/1708960.0000_1709480.0000.ogg,No
data/train/1710300.0000_1711940.0000.ogg,All of them are nothing but
data/train/1711940.0000_1714320.0000.ogg,screening and evaluation
data/train/1714400.0000_1716550.0000.ogg,Do not take it for a diagnosis tool
data/train/1716630.0000_1718330.0000.ogg,This is very very important
data/train/1718700.0000_1720540.0000.ogg,My pressure usually comes from
data/train/1720550.0000_1721440.0000.ogg,for example
data/train/1721440.0000_1724890.0000.ogg,comparison with classmates
data/train/1724890.0000_1726540.0000.ogg,Why someone else is so good at a core course
data/train/1726540.0000_1727910.0000.ogg,but I perform poorly at the course?
data/train/1727910.0000_1729270.0000.ogg,It usually comes from
data/train/1729270.0000_1731100.0000.ogg,peer pressure
data/train/1731230.0000_1733680.0000.ogg,In this case
data/train/1733770.0000_1735870.0000.ogg,should we discourage people
data/train/1734360.0000_1739440.0000.ogg,Question from the youth representatives: Is it good to compare with others?
data/train/1735870.0000_1738490.0000.ogg,from comparing with each other too much?
data/train/1738650.0000_1739610.0000.ogg,Unfortunately
data/train/1739610.0000_1741780.0000.ogg,pressure does not come from the outside world
data/train/1741780.0000_1743220.0000.ogg,Pressure management means
data/train/1743220.0000_1745450.0000.ogg,knowing clearly
data/train/1743440.0000_1750200.0000.ogg,Wei Jing: Yourself is the primary person to be responsible for pressure management
data/train/1745890.0000_1748450.0000.ogg,on what level my need
data/train/1748450.0000_1749540.0000.ogg,should be met
data/train/1749640.0000_1750850.0000.ogg,and whether it's good enough
data/train/1752160.0000_1754690.0000.ogg,If for me now
data/train/1754690.0000_1756580.0000.ogg,a 1.2-meter bed to sleep in
data/train/1756580.0000_1758290.0000.ogg,is more than enough
data/train/1758290.0000_1760050.0000.ogg,I don't necessarily have to get
data/train/1760050.0000_1761120.0000.ogg,a 2.3-meter bed
data/train/1761910.0000_1763730.0000.ogg,But everyone wants a 2.3-meter bed
data/train/1763730.0000_1764290.0000.ogg,Yeah
data/train/1764290.0000_1765760.0000.ogg,That's pressure management
data/train/1765760.0000_1767040.0000.ogg,But like you just said
data/train/1767040.0000_1768520.0000.ogg,we all know it
data/train/1768520.0000_1769080.0000.ogg,Yeah
data/train/1769320.0000_1771080.0000.ogg,"But in real life, when it comes to work"
data/train/1771080.0000_1771940.0000.ogg,to career
data/train/1771940.0000_1774550.0000.ogg,you always want to do better
data/train/1774620.0000_1775910.0000.ogg,to make more progress
data/train/1776080.0000_1777280.0000.ogg,If the comparison
data/train/1777280.0000_1780580.0000.ogg,gives me motivation
data/train/1781220.0000_1782580.0000.ogg,it is a must-have
data/train/1782630.0000_1784410.0000.ogg,But if the comparison evokes nothing
data/train/1784660.0000_1786220.0000.ogg,but jealousy
data/train/1786320.0000_1787490.0000.ogg,and regret
data/train/1787760.0000_1789170.0000.ogg,then don't do it
data/train/1793800.0000_1796680.0000.ogg,I'm not a professional psychologist
data/train/1796680.0000_1798190.0000.ogg,If someone around me
data/train/1798220.0000_1800700.0000.ogg,gets this negative feeling
data/train/1800700.0000_1802000.0000.ogg,or even worse
data/train/1802000.0000_1803280.0000.ogg,gets depression
data/train/1803280.0000_1804450.0000.ogg,When that happens
data/train/1804450.0000_1806170.0000.ogg,how should I get along with her?
data/train/1806300.0000_1809490.0000.ogg,Should I pretend that nothing happened
data/train/1809490.0000_1810800.0000.ogg,and act normally
data/train/1810800.0000_1812040.0000.ogg,Or should I
data/train/1811800.0000_1818640.0000.ogg,Question from the youth representatives: How to treat a friend with depression?
data/train/1812130.0000_1815430.0000.ogg,treat him as a patient?
data/train/1815430.0000_1817430.0000.ogg,A very good question
data/train/1817510.0000_1819250.0000.ogg,In everyday life
data/train/1819250.0000_1822590.0000.ogg,if he does not reveal anything related to the disease
data/train/1822590.0000_1824300.0000.ogg,depression and emotions
data/train/1824300.0000_1825270.0000.ogg,treat him as
data/train/1825270.0000_1826940.0000.ogg,a normal person just like you
data/train/1827320.0000_1828800.0000.ogg,There is no need to pay extra attention
data/train/1828800.0000_1830490.0000.ogg,or to treat him as a patient
data/train/1831060.0000_1832920.0000.ogg,When he is willing to express
data/train/1832920.0000_1834980.0000.ogg,his psychological confusion
data/train/1834980.0000_1836120.0000.ogg,his thoughts
data/train/1836320.0000_1838330.0000.ogg,including his condition
data/train/1838460.0000_1840640.0000.ogg,you have to treat him
data/train/1840780.0000_1842250.0000.ogg,as a patient
data/train/1842440.0000_1843490.0000.ogg,How to do then?
data/train/1843940.0000_1844990.0000.ogg,Do not try to persuade him
data/train/1845290.0000_1847680.0000.ogg,"""Don't be like this. Take it easy"
data/train/1847860.0000_1849340.0000.ogg,Everything is fine
data/train/1849420.0000_1850590.0000.ogg,"You are overthinking"""
data/train/1850590.0000_1851590.0000.ogg,That would be wrong
data/train/1852040.0000_1853140.0000.ogg,When he is willing
data/train/1853140.0000_1854370.0000.ogg,to talk to you about his disease
data/train/1854370.0000_1856210.0000.ogg,and psychological confusion
data/train/1856400.0000_1857500.0000.ogg,do not overlook it
data/train/1854160.0000_1860920.0000.ogg,Wei Jing: Face and listen to them sincerely. Avoid inappropriate persuasion
data/train/1858250.0000_1859820.0000.ogg,But if he doesn't talk about it
data/train/1859820.0000_1861400.0000.ogg,treat him like everyone else
data/train/1862280.0000_1863730.0000.ogg,Give him his tasks as usual
data/train/1864340.0000_1865550.0000.ogg,Scold him if he makes a mistake
data/train/1866400.0000_1867510.0000.ogg,Demand him when necessary
data/train/1868310.0000_1869160.0000.ogg,Love him as you should
data/train/1870160.0000_1871280.0000.ogg,At times like that
data/train/1879040.0000_1880860.0000.ogg,we often do the opposite
data/train/1881600.0000_1883640.0000.ogg,When a patient
data/train/1883640.0000_1885240.0000.ogg,does not talk about his depression
data/train/1885240.0000_1886710.0000.ogg,we treat him differently
data/train/1887160.0000_1888710.0000.ogg,always taking him for ill
data/train/1888710.0000_1890210.0000.ogg,and believing he can't be equally treated
data/train/1890440.0000_1891990.0000.ogg,When he finally starts to talk about
data/train/1891990.0000_1893890.0000.ogg,his psychological confusion
data/train/1893960.0000_1895050.0000.ogg,we oppose him
data/train/1895770.0000_1896860.0000.ogg,"""Don't think like that"
data/train/1896860.0000_1899230.0000.ogg,It's an awful thought. Right?
data/train/1899340.0000_1900500.0000.ogg,Try to look on the positive side
data/train/1900600.0000_1901900.0000.ogg,Be strong. Be strong
data/train/1901900.0000_1902750.0000.ogg,"It's alright"""
data/train/1902860.0000_1904260.0000.ogg,But sometimes we do something out of care
data/train/1904350.0000_1905530.0000.ogg,"like you said, persuading him"
data/train/1905530.0000_1906620.0000.ogg,not to think like that
data/train/1906620.0000_1908740.0000.ogg,Do you know why it's not good to say so?
data/train/1909390.0000_1910560.0000.ogg,When someone
data/train/1910560.0000_1911560.0000.ogg,indeed thinks this way
data/train/1911560.0000_1912410.0000.ogg,others tell him
data/train/1912410.0000_1913370.0000.ogg,"""Don't think like that"
data/train/1913370.0000_1914090.0000.ogg,"It's wrong"""
data/train/1914220.0000_1915320.0000.ogg,How would he feel?
data/train/1915840.0000_1916840.0000.ogg,Being denied by them
data/train/1917460.0000_1918920.0000.ogg,and also feeling guilty
data/train/1918920.0000_1919870.0000.ogg,Very guilty
data/train/1920000.0000_1921220.0000.ogg,"See, others can do it"
data/train/1921220.0000_1922020.0000.ogg,without breaking a sweat
data/train/1922020.0000_1922950.0000.ogg,But I can't
data/train/1923450.0000_1926110.0000.ogg,So his negative experience will be enhanced
data/train/1926240.0000_1927520.0000.ogg,"Thank you, Ms. Wei"
data/train/1927520.0000_1930400.0000.ogg,for telling us how to love ourselves and others
data/train/1930400.0000_1931140.0000.ogg,Thank you
data/train/1932690.0000_1933390.0000.ogg,Next one
data/train/1933960.0000_1934550.0000.ogg,Hou
data/train/1936130.0000_1936780.0000.ogg,"Hello, Mr. Sa"
data/train/1936780.0000_1937310.0000.ogg,Hello
data/train/1937310.0000_1937780.0000.ogg,"Hello, Ms. Wei"
data/train/1937780.0000_1938330.0000.ogg,It's been a while
data/train/1938330.0000_1939420.0000.ogg,"It's been a while, yeah"
data/train/1939770.0000_1940560.0000.ogg,A frequent guest?
data/train/1940640.0000_1941530.0000.ogg,About three years ago
data/train/1941530.0000_1942840.0000.ogg,you were on the show Amazing Chinese
data/train/1942840.0000_1943360.0000.ogg,Yes
data/train/1943580.0000_1945210.0000.ogg,And two years ago
data/train/1945420.0000_1949230.0000.ogg,CCTV Lantern Festival Evening
data/train/1949230.0000_1949960.0000.ogg,Yes
data/train/1950630.0000_1953230.0000.ogg,This kid plays joyful piano
data/train/1951000.0000_1952640.0000.ogg,"Funny piano Piano battle Writer: Hou Letian Director: Hou Letian Actors: Hou Letian, Qu Dawei, Shen Wenyu"
data/train/1953230.0000_1954840.0000.ogg,in sketch comedies
data/train/1954840.0000_1955820.0000.ogg,He turned piano playing
data/train/1955820.0000_1956880.0000.ogg,into sketch comedies
data/train/1964500.0000_1966320.0000.ogg,His performance will make you laugh
data/train/1966320.0000_1967830.0000.ogg,and he is an excellent piano player
data/train/1967830.0000_1969240.0000.ogg,such a young man
data/train/1969240.0000_1970160.0000.ogg,But I haven't seen him for two years
data/train/1970240.0000_1971240.0000.ogg,"Yes, yes"
data/train/1971390.0000_1973910.0000.ogg,"Thank you, Ms. Wei"
data/train/1973910.0000_1975200.0000.ogg,for giving us
data/train/1975200.0000_1976530.0000.ogg,such a great speech today
data/train/1976530.0000_1977980.0000.ogg,I have a question for you
data/train/1977980.0000_1978940.0000.ogg,But before that
data/train/1978940.0000_1981760.0000.ogg,I would like to share with everyone here
data/train/1981760.0000_1983230.0000.ogg,including Mr. Sa and Ms. Wei
data/train/1983320.0000_1984740.0000.ogg,my own story
data/train/1986000.0000_1988310.0000.ogg,I started to play piano since childhood
data/train/1988490.0000_1989840.0000.ogg,then I grew to like comedy
data/train/1989840.0000_1992200.0000.ogg,so I combined piano and comedy together
data/train/1992350.0000_1994770.0000.ogg,I hope in this way
data/train/1994770.0000_1996550.0000.ogg,I can bring joy to audience
data/train/1996780.0000_1998360.0000.ogg,So what I'm doing
data/train/1998360.0000_1999780.0000.ogg,is to bring joy to people
data/train/2000090.0000_2001880.0000.ogg,In 2014
data/train/2001880.0000_2003880.0000.ogg,I went to record the show Amazing Chinese
data/train/2003880.0000_2004980.0000.ogg,It was hosted by Mr. Sa
data/train/2005070.0000_2006330.0000.ogg,From then on
data/train/2006330.0000_2007620.0000.ogg,my work load increased strikingly
data/train/2007850.0000_2009060.0000.ogg,Straight after I finished
data/train/2009060.0000_2010980.0000.ogg,the recording of Lantern Festival Evening in 2015
data/train/2011050.0000_2011610.0000.ogg,I made a decision
data/train/2011610.0000_2013560.0000.ogg,I had been too busy for two years
data/train/2013680.0000_2014880.0000.ogg,and needed a vacation
data/train/2015210.0000_2017180.0000.ogg,But after the vacation
data/train/2017180.0000_2018720.0000.ogg,I suddenly realized
data/train/2019420.0000_2020820.0000.ogg,I had lost many things
data/train/2020990.0000_2021860.0000.ogg,Firstly
data/train/2022160.0000_2023440.0000.ogg,I began to lose sleep
data/train/2023910.0000_2024780.0000.ogg,I could not fall into sleep
data/train/2025180.0000_2027850.0000.ogg,Then I felt
data/train/2027850.0000_2029270.0000.ogg,constantly in a low mood
data/train/2030020.0000_2033210.0000.ogg,Then I started to lose control of my emotions
data/train/2033480.0000_2034640.0000.ogg,Sometimes when chatting
data/train/2034640.0000_2035290.0000.ogg,with friends
data/train/2035290.0000_2036590.0000.ogg,I would start to cry
data/train/2036830.0000_2038630.0000.ogg,all of a sudden with no reason
data/train/2039090.0000_2040490.0000.ogg,I once stood on the top of
data/train/2040490.0000_2042720.0000.ogg,a 27-storey building
data/train/2043390.0000_2046100.0000.ogg,It was the first time I'd considered it seriously
data/train/2046100.0000_2048050.0000.ogg,I
data/train/2048900.0000_2050230.0000.ogg,really did not want to
data/train/2050230.0000_2051550.0000.ogg,carry on with my life
data/train/2051790.0000_2054040.0000.ogg,And I talked about it
data/train/2054320.0000_2055250.0000.ogg,with a childhood friend
data/train/2055250.0000_2057480.0000.ogg,because his mother was working at Anding Hospital
data/train/2058090.0000_2060520.0000.ogg,Later I was diagnosed
data/train/2060520.0000_2061790.0000.ogg,with major depression
data/train/2063300.0000_2065320.0000.ogg,Our theme today
data/train/2065320.0000_2065780.0000.ogg,like Mr. Sa said
data/train/2065780.0000_2067310.0000.ogg,is to talk without holding back
data/train/2067310.0000_2069710.0000.ogg,So since the beginning
data/train/2069960.0000_2072179.0000.ogg,I never thought
data/train/2072179.0000_2073270.0000.ogg,the fact I got depression
data/train/2073270.0000_2074170.0000.ogg,embarrassing
data/train/2074170.0000_2075590.0000.ogg,I am willing to speak out loud
data/train/2075590.0000_2076409.0000.ogg,There is no choice to make
data/train/2076409.0000_2077679.0000.ogg,It came and you can only accept it
data/train/2077679.0000_2078290.0000.ogg,"Yes, yes"
data/train/2078449.0000_2080980.0000.ogg,Then I began to actively cooperate with my treatment
data/train/2081239.0000_2083600.0000.ogg,I took medicine according to doctor's advice
data/train/2083600.0000_2085560.0000.ogg,I remember I took more medicine than food at that time
data/train/2086080.0000_2088469.0000.ogg,I might take 7 or 8 drugs a day
data/train/2088469.0000_2089449.0000.ogg,Very disciplined
data/train/2089449.0000_2090610.0000.ogg,"Yes, very disciplined"
data/train/2090710.0000_2092770.0000.ogg,I found it was working
data/train/2092770.0000_2094310.0000.ogg,Half a month later
data/train/2094590.0000_2096739.0000.ogg,some side effects began to disappear
data/train/2097000.0000_2098740.0000.ogg,Then I was back to normal
data/train/2098740.0000_2099800.0000.ogg,I could communicate with others
data/train/2099800.0000_2101020.0000.ogg,in a normal way
data/train/2101160.0000_2103870.0000.ogg,In August the same year
data/train/2104110.0000_2106400.0000.ogg,I performed on my first comeback show
data/train/2106800.0000_2108400.0000.ogg,and returned to stage
data/train/2108470.0000_2109600.0000.ogg,What's more
data/train/2109600.0000_2111310.0000.ogg,I learned much
data/train/2111310.0000_2113640.0000.ogg,from this illness
data/train/2114400.0000_2116180.0000.ogg,Perhaps only by thinking about life and death
data/train/2116340.0000_2117800.0000.ogg,can you better know
data/train/2118300.0000_2119840.0000.ogg,or better feel the meaning of life and death
data/train/2119840.0000_2122480.0000.ogg,My belief was
data/train/2122760.0000_2124480.0000.ogg,if I had to take medicine my whole life
data/train/2124480.0000_2125810.0000.ogg,because of this disease
data/train/2126010.0000_2126810.0000.ogg,I would do it
data/train/2126810.0000_2128030.0000.ogg,because nothing
data/train/2128030.0000_2130030.0000.ogg,is more important than life
data/train/2131760.0000_2132550.0000.ogg,Thank you
data/train/2132620.0000_2136010.0000.ogg,So your question for Ms. Wei is...
data/train/2136110.0000_2138010.0000.ogg,Could it reoccur?
data/train/2137240.0000_2143960.0000.ogg,Question from the youth representatives: Could depression reoccur?
data/train/2138320.0000_2139380.0000.ogg,A good question
data/train/2139600.0000_2141140.0000.ogg,You speak for many
data/train/2141270.0000_2142920.0000.ogg,who suffer from depression
data/train/2143420.0000_2146030.0000.ogg,"Firstly, depression"
data/train/2146030.0000_2147380.0000.ogg,in clinical terms
data/train/2147450.0000_2148780.0000.ogg,You may find online
data/train/2148780.0000_2150100.0000.ogg,people sharing information
data/train/2150100.0000_2152320.0000.ogg,But I think it is not that professional
data/train/2152610.0000_2155100.0000.ogg,and does not utterly comply with clinical laws
data/train/2155100.0000_2155860.0000.ogg,You may think
data/train/2155860.0000_2157370.0000.ogg,depression could easily return
data/train/2157370.0000_2158310.0000.ogg,But that's not true
data/train/2158470.0000_2159800.0000.ogg,Clinically
data/train/2159800.0000_2162040.0000.ogg,most cases of depression are single course
data/train/2162430.0000_2163560.0000.ogg,It is one-off
data/train/2164460.0000_2166380.0000.ogg,"When it's cured, it's cured"
data/train/2166770.0000_2168930.0000.ogg,The relapse of depression is theoretical
data/train/2169440.0000_2172350.0000.ogg,"In theory, we have a disease"
data/train/2172350.0000_2173370.0000.ogg,and its chance of reoccurring
data/train/2173370.0000_2174580.0000.ogg,does exist
data/train/2174580.0000_2175480.0000.ogg,"for example, cold"
data/train/2176330.0000_2178390.0000.ogg,I don't know how many times in my life
data/train/2178390.0000_2179870.0000.ogg,I catch a cold again
data/train/2180350.0000_2181370.0000.ogg,But I'm not afraid of it
data/train/2181610.0000_2183160.0000.ogg,"When having a cold, I can realize"
data/train/2183510.0000_2185420.0000.ogg,I'm familiar with those symptoms
data/train/2185720.0000_2187080.0000.ogg,I can tell immediately
data/train/2187080.0000_2188310.0000.ogg,I'm having a cold in fact
data/train/2188460.0000_2189320.0000.ogg,I also know
data/train/2189320.0000_2190820.0000.ogg,how long it takes for a cold to disappear
data/train/2190910.0000_2192120.0000.ogg,what help I need
data/train/2192180.0000_2193430.0000.ogg,what treatment it requires
data/train/2193590.0000_2195560.0000.ogg,So for those who had depression before
data/train/2195560.0000_2197800.0000.ogg,even if similar symptoms reoccur in the future
data/train/2197800.0000_2200040.0000.ogg,you would know it before others
data/train/2200470.0000_2201680.0000.ogg,I know this feeling
data/train/2202470.0000_2203550.0000.ogg,You are more likely to realize
data/train/2203730.0000_2204900.0000.ogg,there is some emotion
data/train/2204900.0000_2206340.0000.ogg,you can't understand
data/train/2206520.0000_2207860.0000.ogg,You would sense it more easily
data/train/2208160.0000_2210120.0000.ogg,So you may
data/train/2210320.0000_2211680.0000.ogg,ask for help sooner
data/train/2212110.0000_2213570.0000.ogg,Perhaps it wouldn't break out
data/train/2214170.0000_2215370.0000.ogg,You just said
data/train/2215510.0000_2217910.0000.ogg,this career you love
data/train/2218510.0000_2219810.0000.ogg,this stage
data/train/2219920.0000_2221040.0000.ogg,and your beloved
data/train/2221040.0000_2223150.0000.ogg,audience who love you the same
data/train/2223420.0000_2224410.0000.ogg,all of them
data/train/2225060.0000_2226920.0000.ogg,I guess to some extent
data/train/2226920.0000_2228130.0000.ogg,are your mental medicine
data/train/2228290.0000_2228890.0000.ogg,Yes
data/train/2229160.0000_2230340.0000.ogg,My attending doctor said
data/train/2230340.0000_2231940.0000.ogg,you had to stick to
data/train/2231940.0000_2233090.0000.ogg,one thing you love
data/train/2233530.0000_2236100.0000.ogg,because when you are committed to this hobby
data/train/2236100.0000_2237730.0000.ogg,it's the best treatment
data/train/2237920.0000_2239990.0000.ogg,I share your feelings
data/train/2239990.0000_2241830.0000.ogg,If I get some time off
data/train/2242520.0000_2243510.0000.ogg,three days are fine
data/train/2244000.0000_2244990.0000.ogg,seven days are fine
data/train/2245390.0000_2247190.0000.ogg,but if it's more than ten days
data/train/2247590.0000_2248420.0000.ogg,I'd become unsettled
data/train/2248920.0000_2249670.0000.ogg,I couldn't stand it
data/train/2249880.0000_2252200.0000.ogg,I would suddenly feel myself worthless
data/train/2253050.0000_2254600.0000.ogg,Once I let go of the world
data/train/2254600.0000_2255900.0000.ogg,in less than ten days
data/train/2255960.0000_2257900.0000.ogg,the world would naturally do the same to me
data/train/2258000.0000_2259830.0000.ogg,So if possible
data/train/2259830.0000_2261240.0000.ogg,one must establish multiple stages
data/train/2261240.0000_2264220.0000.ogg,in life to support oneself
data/train/2264620.0000_2266950.0000.ogg,instead of only having one working mode
data/train/2267580.0000_2269750.0000.ogg,"In this way, you can live a balanced life"
data/train/2270730.0000_2271390.0000.ogg,Thank you
data/train/2272770.0000_2273740.0000.ogg,"Carry on, Hou"
data/train/2273740.0000_2273970.0000.ogg,Yes
data/train/2273970.0000_2274600.0000.ogg,"Thank you, Mr. Sa"
data/train/2274600.0000_2275350.0000.ogg,"Thank you, Ms. Wei"
data/train/2275880.0000_2276500.0000.ogg,Chang Xin
data/train/2277270.0000_2278890.0000.ogg,"Hello, Ms. Wei. Hello, Sa"
data/train/2278890.0000_2279310.0000.ogg,Hello
data/train/2279310.0000_2282270.0000.ogg,I am a hard core fan of psychology
data/train/2282270.0000_2284350.0000.ogg,so I got a psychological consultant certificate
data/train/2284960.0000_2287540.0000.ogg,but when I use psychological knowledge
data/train/2287540.0000_2289180.0000.ogg,to observe the world
data/train/2289270.0000_2291140.0000.ogg,I become its victim too
data/train/2291140.0000_2293500.0000.ogg,I would apply psychological knowledge
data/train/2293500.0000_2295260.0000.ogg,to my own life
data/train/2295790.0000_2296610.0000.ogg,For example
data/train/2296610.0000_2298780.0000.ogg,Sa's gesture now
data/train/2298780.0000_2300480.0000.ogg,holding his arms across the chest
data/train/2300480.0000_2302600.0000.ogg,I would think in psychology
data/train/2302670.0000_2305360.0000.ogg,this gesture corresponds to denial and refusal
data/train/2305710.0000_2306540.0000.ogg,How about this?
data/train/2306620.0000_2307630.0000.ogg,Any better?
data/train/2307840.0000_2309230.0000.ogg,"Like now, he lifts his leg"
data/train/2309230.0000_2310340.0000.ogg,and eyebrows
data/train/2310340.0000_2311330.0000.ogg,it is a suspicion
data/train/2311330.0000_2314370.0000.ogg,A colleague once told me
data/train/2314630.0000_2316280.0000.ogg,my habitual gesture
data/train/2316280.0000_2317320.0000.ogg,which is holding arms
data/train/2317320.0000_2318150.0000.ogg,on stage
data/train/2318150.0000_2320050.0000.ogg,could be a sort of defense
data/train/2320310.0000_2323040.0000.ogg,or keeping others at a distance
data/train/2323180.0000_2325240.0000.ogg,But I truly have nothing to guard against
data/train/2325290.0000_2326240.0000.ogg,When someone
data/train/2326240.0000_2327940.0000.ogg,feels interpersonal pressure
data/train/2327940.0000_2329760.0000.ogg,and reacts in this way
data/train/2329990.0000_2331400.0000.ogg,it could be a sort of protection
data/train/2331900.0000_2332410.0000.ogg,But if
data/train/2332410.0000_2334410.0000.ogg,there is no interpersonal pressure
data/train/2334410.0000_2335620.0000.ogg,it could just be a habit
data/train/2335620.0000_2337220.0000.ogg,It's easy to overthink
data/train/2337220.0000_2339440.0000.ogg,It's easy to overthink or think too fast
data/train/2339640.0000_2340970.0000.ogg,Studying psychology
data/train/2340970.0000_2341830.0000.ogg,could bring such problems
data/train/2341830.0000_2343400.0000.ogg,We shouldn't try to apply something we learned
data/train/2343400.0000_2344600.0000.ogg,everywhere
data/train/2344600.0000_2346900.0000.ogg,If I learned some cooking techniques
data/train/2346900.0000_2348040.0000.ogg,and can cook some dishes
data/train/2348210.0000_2349780.0000.ogg,and tell everyone everywhere
data/train/2349780.0000_2350920.0000.ogg,"""I can cook. Let me cook for you"""
data/train/2350920.0000_2353200.0000.ogg,Or I might cook in a restaurant I go to
data/train/2353380.0000_2354960.0000.ogg,"That would be too much, right?"
data/train/2354960.0000_2356270.0000.ogg,When we learn something
data/train/2356270.0000_2357680.0000.ogg,we need to know where it should be used
data/train/2358080.0000_2359460.0000.ogg,"For example, what you said about"
data/train/2359460.0000_2360780.0000.ogg,Mr. Sa's gesture
data/train/2360910.0000_2361950.0000.ogg,even I didn't notice it
data/train/2363580.0000_2364510.0000.ogg,In real life
data/train/2364510.0000_2366230.0000.ogg,As long as he doesn't show up in my consulting room
data/train/2366420.0000_2367810.0000.ogg,I wouldn't focus
data/train/2367810.0000_2371330.0000.ogg,on the information he implies
data/train/2371440.0000_2373220.0000.ogg,"Looking at him, I would only think he's handsome"
data/train/2373770.0000_2374510.0000.ogg,and looking sharp
data/train/2375040.0000_2376710.0000.ogg,My advice for you is
data/train/2376710.0000_2378940.0000.ogg,we don't have to use it everywhere
data/train/2379520.0000_2381840.0000.ogg,Set up an alert for yourself
data/train/2382460.0000_2384020.0000.ogg,When you realize
data/train/2384020.0000_2384560.0000.ogg,in daily life
data/train/2384560.0000_2386070.0000.ogg,you are applying such knowledge again
data/train/2386350.0000_2387510.0000.ogg,pull back
data/train/2387690.0000_2389770.0000.ogg,Yes. Like you said in the opening
data/train/2389770.0000_2392410.0000.ogg,you wouldn't take it into real life
data/train/2392410.0000_2393450.0000.ogg,I really think it admirable
data/train/2393450.0000_2394130.0000.ogg,As a result
data/train/2394130.0000_2395720.0000.ogg,I have a second suggestion
data/train/2395720.0000_2398000.0000.ogg,If you work in the field of psychological consultation
data/train/2398540.0000_2400300.0000.ogg,you have to take supervision
data/train/2401270.0000_2403550.0000.ogg,A supervisor is a professional
data/train/2403610.0000_2405790.0000.ogg,who assists you in your work
data/train/2405790.0000_2406840.0000.ogg,when communicating with people
data/train/2406840.0000_2408690.0000.ogg,to distinguish what's your role
data/train/2408790.0000_2410070.0000.ogg,and what's others
data/train/2410480.0000_2411050.0000.ogg,Next please
data/train/2412090.0000_2413050.0000.ogg,"Hello, Ms. Wei"
data/train/2413050.0000_2414090.0000.ogg,-And hello Sa -Hello
data/train/2414180.0000_2415500.0000.ogg,I'm from Peking University
data/train/2415500.0000_2416820.0000.ogg,I'm majoring in clinical medicine
data/train/2417040.0000_2419240.0000.ogg,Hearing Ms. Wei's speech
data/train/2419240.0000_2420770.0000.ogg,a point particularly resonating with me is
data/train/2420850.0000_2422630.0000.ogg,like you 32 years ago
data/train/2422630.0000_2424440.0000.ogg,I'm about to graduate from medical school
data/train/2424600.0000_2425470.0000.ogg,and this October
data/train/2425470.0000_2427090.0000.ogg,I will go to Oxford University
data/train/2427090.0000_2428560.0000.ogg,to study psychiatry
data/train/2428740.0000_2430710.0000.ogg,I will become your colleague one day
data/train/2431120.0000_2432480.0000.ogg,"Yes, I really"
data/train/2434980.0000_2435970.0000.ogg,Thank you. Thank you
data/train/2436280.0000_2438280.0000.ogg,So listening to your speech
data/train/2438280.0000_2439330.0000.ogg,it resonates with me in many ways
data/train/2439330.0000_2440460.0000.ogg,The first resonance
data/train/2440460.0000_2443420.0000.ogg,is what you said about your family's reaction
data/train/2443420.0000_2444480.0000.ogg,to the choice you'd made
data/train/2444700.0000_2445920.0000.ogg,Because my family was like
data/train/2445920.0000_2447480.0000.ogg,I received a scholarship
data/train/2447910.0000_2450690.0000.ogg,and I told a relative immediately
data/train/2450850.0000_2451880.0000.ogg,She is also a doctor
data/train/2452170.0000_2454250.0000.ogg,"I said, ""Auntie, I got this scholarship"""
data/train/2454520.0000_2455520.0000.ogg,My aunt's first reaction was
data/train/2455520.0000_2456100.0000.ogg,Wow!
data/train/2456370.0000_2458360.0000.ogg,She was very happy and surprised
data/train/2459050.0000_2460530.0000.ogg,Then my aunt asked me
data/train/2460530.0000_2463150.0000.ogg,"""Maomao, what will you study at Oxford?"""
data/train/2463150.0000_2464590.0000.ogg,"I said, ""Psychiatry"""
data/train/2464960.0000_2465680.0000.ogg,What?
data/train/2466510.0000_2467470.0000.ogg,On the other side of the phone
data/train/2467470.0000_2467870.0000.ogg,the first voice was
data/train/2467870.0000_2468320.0000.ogg,Wow!
data/train/2468570.0000_2469250.0000.ogg,the second voice was
data/train/2469250.0000_2469790.0000.ogg,What?
data/train/2469790.0000_2471080.0000.ogg,The second one was
data/train/2471080.0000_2473020.0000.ogg,What? Can you still change it?
data/train/2473020.0000_2475120.0000.ogg,"I said, ""No, it's already done"""
data/train/2475280.0000_2477000.0000.ogg,I said I had made this decision
data/train/2477000.0000_2478470.0000.ogg,after careful consideration
data/train/2478870.0000_2481370.0000.ogg,"As a matter of fact, I do"
data/train/2481370.0000_2483610.0000.ogg,aspire this profession
data/train/2483610.0000_2485070.0000.ogg,I really want to ask you
data/train/2485070.0000_2486640.0000.ogg,looking back at these 32 years
data/train/2486640.0000_2488300.0000.ogg,of your medical career
data/train/2488300.0000_2490170.0000.ogg,what do you think is
data/train/2490300.0000_2492590.0000.ogg,the warmest and the most charming
data/train/2491120.0000_2497880.0000.ogg,Question from the youth representatives: What's the biggest charm of psychology studies?
data/train/2492720.0000_2493640.0000.ogg,aspect of this job?
data/train/2494130.0000_2495710.0000.ogg,Many people asked me
data/train/2496400.0000_2497640.0000.ogg,"""Doing this job for a long time…"""
data/train/2497640.0000_2498870.0000.ogg,I don't know if others ever asked you
data/train/2499170.0000_2500390.0000.ogg,If you are going to pursue this career
data/train/2500390.0000_2501350.0000.ogg,like psychological consultation
data/train/2501570.0000_2503400.0000.ogg,others take you for a trash bin
data/train/2504040.0000_2506120.0000.ogg,When others throw their negative feelings
data/train/2506120.0000_2508790.0000.ogg,"problems, difficulties, confusion"
data/train/2508860.0000_2510010.0000.ogg,and complaints to you
data/train/2510240.0000_2511890.0000.ogg,doesn't it make you a trash bin?
data/train/2513060.0000_2513760.0000.ogg,"Well, sorry"
data/train/2513760.0000_2515130.0000.ogg,but I never see it that way
data/train/2515840.0000_2517640.0000.ogg,Because I think those things are treasure
data/train/2518950.0000_2520590.0000.ogg,In what situation
data/train/2520590.0000_2523040.0000.ogg,would someone show what he thinks is confusing
data/train/2521960.0000_2528640.0000.ogg,Wei Jing: Patients' sincerity and trust are my treasure
data/train/2523200.0000_2524610.0000.ogg,problematic
data/train/2524830.0000_2526160.0000.ogg,difficult to resolve
data/train/2526160.0000_2528480.0000.ogg,and private
data/train/2528770.0000_2529730.0000.ogg,to you?
data/train/2530160.0000_2531380.0000.ogg,He has to trust you above all
data/train/2531380.0000_2532560.0000.ogg,He thinks you can help him
data/train/2533080.0000_2535310.0000.ogg,So he will tell you what he thinks
data/train/2535440.0000_2537550.0000.ogg,and feels
data/train/2538830.0000_2540110.0000.ogg,This is precious
data/train/2540940.0000_2543520.0000.ogg,very precious information
data/train/2543650.0000_2545440.0000.ogg,So I see it as
data/train/2545610.0000_2547020.0000.ogg,this person
data/train/2547790.0000_2549470.0000.ogg,opening up the treasure
data/train/2549470.0000_2551670.0000.ogg,in his heart to me
data/train/2552320.0000_2554100.0000.ogg,I will go through it with him
data/train/2555010.0000_2556570.0000.ogg,"At this time, he is confused"
data/train/2556770.0000_2558070.0000.ogg,But I can definitely
data/train/2558070.0000_2560500.0000.ogg,"with his cooperation, sort it out"
data/train/2560720.0000_2563040.0000.ogg,and make it clear
data/train/2563540.0000_2564360.0000.ogg,That's for sure
data/train/2564680.0000_2566710.0000.ogg,So career choice is very important
data/train/2566710.0000_2568260.0000.ogg,"Again, like I just said"
data/train/2568260.0000_2569590.0000.ogg,when I learned to think later
data/train/2569590.0000_2570320.0000.ogg,I understood
data/train/2570500.0000_2571810.0000.ogg,choosing a career
data/train/2571810.0000_2572400.0000.ogg,was really important
data/train/2572400.0000_2573900.0000.ogg,There are three matches to be measured
data/train/2574440.0000_2576800.0000.ogg,"First, it has to match your interest"
data/train/2577010.0000_2579380.0000.ogg,"Second, it has to match your capacity"
data/train/2577400.0000_2583960.0000.ogg,Wei Jing: Career choice has to match one's interest and capacity
data/train/2579890.0000_2581620.0000.ogg,So when studying psychology
data/train/2581620.0000_2582960.0000.ogg,you may need to train yourself
data/train/2583020.0000_2584240.0000.ogg,to be sensitive
data/train/2584460.0000_2586110.0000.ogg,and good at capturing information
data/train/2586860.0000_2589490.0000.ogg,The last one is perseverance
data/train/2589040.0000_2595640.0000.ogg,Wei Jing: Career choice requires perseverance
data/train/2590820.0000_2591660.0000.ogg,Do not be shaken
data/train/2592180.0000_2592980.0000.ogg,Because you will
data/train/2592980.0000_2594730.0000.ogg,often be challenged
data/train/2594980.0000_2596760.0000.ogg,Because so far this discipline
data/train/2596760.0000_2598640.0000.ogg,is the most unknown one in medical science
data/train/2600590.0000_2602800.0000.ogg,"Until now, we are still unable of revealing"
data/train/2602800.0000_2604040.0000.ogg,how the emotion brain
data/train/2604230.0000_2605500.0000.ogg,changes
data/train/2606280.0000_2608650.0000.ogg,If there is innovation
data/train/2608650.0000_2609490.0000.ogg,in our discipline
data/train/2609490.0000_2610490.0000.ogg,if there is any innovation
data/train/2610490.0000_2611210.0000.ogg,I encourage you
data/train/2611360.0000_2613500.0000.ogg,to study the change process of emotion brain
data/train/2615620.0000_2616670.0000.ogg,I'm sure you'll achieve something
data/train/2616830.0000_2618280.0000.ogg,You will make a contribution to medical science
data/train/2618590.0000_2619500.0000.ogg,"Okay, thank you, Ms. Wei"
data/train/2619840.0000_2621500.0000.ogg,I will love this profession more than ever
data/train/2621500.0000_2622280.0000.ogg,"Thank you, Ms. Wei"
data/train/2622280.0000_2622810.0000.ogg,Thanks
data/train/2623830.0000_2624890.0000.ogg,"Hello, Ms. Wei"
data/train/2624890.0000_2625820.0000.ogg,"Hello, Sa"
data/train/2625920.0000_2629210.0000.ogg,I'm a professional traveler
data/train/2629210.0000_2631280.0000.ogg,Traveling is my job
data/train/2631350.0000_2633200.0000.ogg,So my key word today
data/train/2632560.0000_2637560.0000.ogg,"Why after six years of traveling, is he becoming more and more confused?"
data/train/2633200.0000_2634260.0000.ogg,is travel
data/train/2632880.0000_2634000.0000.ogg,Travel
data/train/2634430.0000_2636720.0000.ogg,There is a trend of thought online
data/train/2636720.0000_2638800.0000.ogg,I don't know if you've noticed
data/train/2638800.0000_2641790.0000.ogg,In urban environment
data/train/2641800.0000_2643580.0000.ogg,there are times when life pressure gets huge
data/train/2643580.0000_2644520.0000.ogg,and people are anxious
data/train/2644520.0000_2645450.0000.ogg,and depressed
data/train/2645550.0000_2647360.0000.ogg,Some voice online will always tell you
data/train/2647360.0000_2648620.0000.ogg,to quit your job and go traveling
data/train/2648620.0000_2649920.0000.ogg,to drop out of school to travel
data/train/2649920.0000_2651920.0000.ogg,as if once on road
data/train/2651920.0000_2653920.0000.ogg,your real-life pressure
data/train/2653920.0000_2655200.0000.ogg,anxiety
data/train/2655200.0000_2656260.0000.ogg,and depression will all be resolved
data/train/2656260.0000_2657690.0000.ogg,But I find it not true
data/train/2657690.0000_2659360.0000.ogg,I've been traveling
data/train/2659360.0000_2660990.0000.ogg,for almost six years
data/train/2660990.0000_2662480.0000.ogg,But I realize my real-life problems
data/train/2662480.0000_2663370.0000.ogg,are not solved
data/train/2663480.0000_2664440.0000.ogg,When traveling
data/train/2664440.0000_2666150.0000.ogg,I can easily open up to others
data/train/2666620.0000_2667800.0000.ogg,communicate with others
data/train/2667800.0000_2669110.0000.ogg,and say all the words inside my head
data/train/2669110.0000_2669840.0000.ogg,out
data/train/2669840.0000_2670680.0000.ogg,Because when traveling
data/train/2670680.0000_2672500.0000.ogg,I may stay with someone
data/train/2672500.0000_2673740.0000.ogg,for three or five days
data/train/2673900.0000_2675130.0000.ogg,People I meet when traveling
data/train/2675130.0000_2676840.0000.ogg,will treat me likewise
data/train/2676840.0000_2678900.0000.ogg,I think this sincerity extremely precious
data/train/2678900.0000_2681280.0000.ogg,but when back in real life
data/train/2681280.0000_2682830.0000.ogg,I find in real life
data/train/2682830.0000_2684150.0000.ogg,there are things I can't say
data/train/2684490.0000_2686530.0000.ogg,Sometimes if I say the truth
data/train/2686530.0000_2687480.0000.ogg,I might get hurt
data/train/2688290.0000_2690240.0000.ogg,"In this way, when I get back"
data/train/2690240.0000_2691340.0000.ogg,I can't handle
data/train/2691340.0000_2692610.0000.ogg,long-term interpersonal relationships
data/train/2692750.0000_2695060.0000.ogg,So I've been wondering
data/train/2695320.0000_2697750.0000.ogg,if I should keep
data/train/2697750.0000_2699490.0000.ogg,avoiding my real-life
data/train/2699490.0000_2700640.0000.ogg,interaction with people like this
data/train/2701200.0000_2702670.0000.ogg,Whenever I am under pressure
data/train/2702670.0000_2703760.0000.ogg,should I just go traveling?
data/train/2704580.0000_2705760.0000.ogg,Thanks for sharing your experience
data/train/2705840.0000_2706720.0000.ogg,First of all
data/train/2706720.0000_2708860.0000.ogg,I agree with the first part
data/train/2708860.0000_2710220.0000.ogg,of your sharing
data/train/2710220.0000_2712540.0000.ogg,There is more than one type of mental medicine
data/train/2712540.0000_2713030.0000.ogg,Yes
data/train/2713590.0000_2714880.0000.ogg,"For example, to travel"
data/train/2714880.0000_2716380.0000.ogg,to leave temporarily
data/train/2716380.0000_2719000.0000.ogg,this high pressure environment
data/train/2719080.0000_2720230.0000.ogg,to get close
data/train/2720230.0000_2721740.0000.ogg,to nature for a short period
data/train/2721740.0000_2723380.0000.ogg,to gain some resources
data/train/2723620.0000_2724820.0000.ogg,"In the second part, you mentioned"
data/train/2724820.0000_2726040.0000.ogg,a very serious question
data/train/2726390.0000_2728200.0000.ogg,What you mentioned is basically
data/train/2728500.0000_2729740.0000.ogg,something we have to highlight
data/train/2729740.0000_2730990.0000.ogg,clinically
data/train/2731340.0000_2734570.0000.ogg,No matter how old one is
data/train/2734980.0000_2737740.0000.ogg,he generally has several basic emotional needs
data/train/2738340.0000_2739830.0000.ogg,This is a psychological law
data/train/2740440.0000_2741900.0000.ogg,What do these basic emotional needs
data/train/2741900.0000_2742840.0000.ogg,include then?
data/train/2743750.0000_2745240.0000.ogg,"Firstly, close relationships"
data/train/2746960.0000_2749580.0000.ogg,"secondly, confidence and self-esteem"
data/train/2750610.0000_2751890.0000.ogg,"thirdly, independence"
data/train/2752450.0000_2754350.0000.ogg,What's more
data/train/2754530.0000_2755660.0000.ogg,a team that can support you
data/train/2755660.0000_2756900.0000.ogg,and make you feel
data/train/2757090.0000_2760200.0000.ogg,love and being loved
data/train/2758880.0000_2769060.0000.ogg,"Wei Jing: Close relationships, confidence and self-esteem, independence and team work are indispensable emotional needs"
data/train/2760640.0000_2761660.0000.ogg,So we have many
data/train/2761660.0000_2763040.0000.ogg,basic emotional needs
data/train/2763460.0000_2765140.0000.ogg,When these basic emotional needs
data/train/2765140.0000_2766150.0000.ogg,at many times
data/train/2766150.0000_2767780.0000.ogg,can't be satisfied
data/train/2768790.0000_2770420.0000.ogg,one's mentality will be imbalanced
data/train/2771140.0000_2772280.0000.ogg,So like you said
data/train/2772280.0000_2773890.0000.ogg,"in long term, you deviate"
data/train/2774060.0000_2775980.0000.ogg,maybe you are doing good in that condition
data/train/2776050.0000_2776910.0000.ogg,but possibly
data/train/2777020.0000_2779250.0000.ogg,your other basic emotional needs
data/train/2779250.0000_2780350.0000.ogg,are deprived
data/train/2781260.0000_2783760.0000.ogg,"Yes, there is a sense of helplessness"
data/train/2783850.0000_2786020.0000.ogg,"For me, my anxiety and depression"
data/train/2786020.0000_2787330.0000.ogg,are understandable
data/train/2787330.0000_2789280.0000.ogg,But they directly cause
data/train/2789280.0000_2790890.0000.ogg,physical problems to me
data/train/2791410.0000_2794480.0000.ogg,"For example, in my most anxious period"
data/train/2794480.0000_2796610.0000.ogg,when I went to get a haircut
data/train/2796690.0000_2797860.0000.ogg,the hairdresser told me
data/train/2797860.0000_2799950.0000.ogg,I had an alopecia areata the size of a coin
data/train/2800180.0000_2803410.0000.ogg,I was really panicked
data/train/2803410.0000_2804760.0000.ogg,I thought I was so young
data/train/2804760.0000_2805880.0000.ogg,but I was starting to lose my hair
data/train/2806180.0000_2809320.0000.ogg,so I couldn't go on like that
data/train/2809440.0000_2811100.0000.ogg,so I would go traveling
data/train/2811160.0000_2813050.0000.ogg,but when I go back to daily life
data/train/2813120.0000_2814830.0000.ogg,such situations would repeat
data/train/2814830.0000_2817270.0000.ogg,"So I think, like Ms. Wei just said"
data/train/2817340.0000_2818880.0000.ogg,there is more than one type of mental medicine
data/train/2819270.0000_2821510.0000.ogg,"Any type of medicine, if taken too much"
data/train/2821720.0000_2823350.0000.ogg,will develop a resistance
data/train/2823880.0000_2824890.0000.ogg,We should know
data/train/2824920.0000_2826480.0000.ogg,one's negative emotions
data/train/2826650.0000_2828480.0000.ogg,must have their own reasons
data/train/2829090.0000_2830310.0000.ogg,If I feel
data/train/2830310.0000_2832620.0000.ogg,obvious negative emotions
data/train/2832620.0000_2834810.0000.ogg,"such as anxiety, depression, anger"
data/train/2834810.0000_2835400.0000.ogg,and resentment
data/train/2835920.0000_2838410.0000.ogg,I would cherish those emotions
data/train/2838730.0000_2840300.0000.ogg,because they are meaningful to me
data/train/2841080.0000_2843090.0000.ogg,They show that
data/train/2843090.0000_2843880.0000.ogg,in reality
data/train/2843880.0000_2846780.0000.ogg,there must be problems that I need to deal with
data/train/2847130.0000_2849160.0000.ogg,"For me, they are a revelation"
data/train/2848320.0000_2855080.0000.ogg,Wei Jing: Negative emotions can be a revelation and reminder
data/train/2849770.0000_2850910.0000.ogg,a reminder
data/train/2851590.0000_2852970.0000.ogg,So in this respect
data/train/2853110.0000_2855170.0000.ogg,we cherish those negative emotions
data/train/2855290.0000_2856130.0000.ogg,face them
data/train/2856210.0000_2857000.0000.ogg,and think about them
data/train/2860540.0000_2861670.0000.ogg,Like traveling
data/train/2861670.0000_2863350.0000.ogg,it may solve the problem
data/train/2863350.0000_2864140.0000.ogg,in a certain period of time
data/train/2864140.0000_2865890.0000.ogg,But they say life is a journey
data/train/2865890.0000_2867910.0000.ogg,"in this journey, you need stops to rest"
data/train/2868070.0000_2869910.0000.ogg,We also say
data/train/2869910.0000_2872970.0000.ogg,one hero is not enough for a good show
data/train/2873060.0000_2875430.0000.ogg,one star player is not enough for a good match
data/train/2875870.0000_2878300.0000.ogg,We need various ways to support ourselves
data/train/2878300.0000_2880050.0000.ogg,We can't just rely on one type of medicine
data/train/2880650.0000_2882560.0000.ogg,"Thank you, Ms. Wei. Thank you, Sa"
data/train/2882560.0000_2883080.0000.ogg,Thank you
data/train/2887500.0000_2889360.0000.ogg,Mental health
data/train/2889360.0000_2890920.0000.ogg,is a very broad topic
data/train/2891410.0000_2893470.0000.ogg,World Health Day this year
data/train/2893470.0000_2895980.0000.ogg,only took depression alone
data/train/2896200.0000_2897700.0000.ogg,for its theme
data/train/2897700.0000_2898230.0000.ogg,The issue of public health
data/train/2898230.0000_2898930.0000.ogg,Let's talk
data/train/2898930.0000_2899330.0000.ogg,Yes
data/train/2899880.0000_2900480.0000.ogg,Depression
data/train/2900640.0000_2902060.0000.ogg,So I think
data/train/2902260.0000_2903710.0000.ogg,focusing on mental health
data/train/2903870.0000_2905590.0000.ogg,means today's Chinese
data/train/2905590.0000_2909220.0000.ogg,when our material life is relatively satisfied
data/train/2909220.0000_2911310.0000.ogg,start to turn to our inner world
data/train/2911310.0000_2912550.0000.ogg,and pay attention to our mental health
data/train/2912550.0000_2914510.0000.ogg,A problem which
data/train/2914510.0000_2915890.0000.ogg,has been overlooked in the past
data/train/2915980.0000_2917450.0000.ogg,is brought up again today
data/train/2917450.0000_2918610.0000.ogg,Let's talk
data/train/2918610.0000_2921340.0000.ogg,So why are we having this speech today?
data/train/2921540.0000_2923340.0000.ogg,I think it's to
data/train/2923340.0000_2924990.0000.ogg,open a mental window to everyone
data/train/2925270.0000_2926930.0000.ogg,to talk without holding back
data/train/2926930.0000_2928190.0000.ogg,and let the sunshine come in
data/train/2928190.0000_2930490.0000.ogg,so that we can all face ourselves
data/train/2930790.0000_2932690.0000.ogg,and our most precious treasures
data/train/2933260.0000_2934540.0000.ogg,A few days ago
data/train/2934540.0000_2937320.0000.ogg,"deputy director of Tiantan Hospital, Mr. Wang Yongjun"
data/train/2938400.0000_2941100.0000.ogg,said something that really moved me
data/train/2941100.0000_2943420.0000.ogg,I'd like to use his expression
data/train/2943680.0000_2945000.0000.ogg,to pay tribute
data/train/2945000.0000_2946690.0000.ogg,to all doctors who guard
data/train/2946690.0000_2947390.0000.ogg,our mental health
data/train/2947390.0000_2948030.0000.ogg,which is
data/train/2948570.0000_2951050.0000.ogg,doctors are those who save lives
data/train/2951410.0000_2954680.0000.ogg,but some doctors not only save lives
data/train/2954740.0000_2956730.0000.ogg,but also save humanity
data/train/2958500.0000_2961460.0000.ogg,Let's applaud Ms. Wei once again
data/train/2961460.0000_2962730.0000.ogg,Thank you for bringing us your remarkable voice
data/train/2962730.0000_2965020.0000.ogg,As long as we focus on our mental health
data/train/2965020.0000_2968040.0000.ogg,everyone can be their own great doctor
data/train/2968440.0000_2969890.0000.ogg,Thank you for watching this episode
data/train/2970130.0000_2970680.0000.ogg,Goodbye
data/train/2973880.0000_2975480.0000.ogg,Thank you. Thank you
data/train/358130.0000_359518.0000.ogg,就方式翻出一本旧书来
data/train/359518.0000_361215.0000.ogg,就是这个敖氏伤寒金镜录
data/train/361215.0000_362604.0000.ogg,这本书翻出来以后
data/train/362604.0000_363375.0000.ogg,他一看里边
data/train/363375.0000_365998.0000.ogg,哎呦 这个舌头从原来那些人看的是这个书
data/train/365998.0000_366924.0000.ogg,他知道以后
data/train/366924.0000_368930.0000.ogg,因为薛立斋这个人境界比较高嘛
data/train/368930.0000_369855.0000.ogg,他就怎么样
data/train/369855.0000_371244.0000.ogg,他说不是自己藏起来
data/train/371244.0000_372140.0000.ogg,我看病很厉害
data/train/372140.0000_375124.0000.ogg,他没有 他就把这个书给翻译出版了
data/train/375124.0000_376190.0000.ogg,就是那个印啊
data/train/376190.0000_377256.0000.ogg,按这个颜色
data/train/377256.0000_380028.0000.ogg,这个颜色怕失真都给标上字儿
data/train/380028.0000_382140.0000.ogg,红色的呢标上以后
data/train/382140.0000_383285.0000.ogg,出版了出版以后
data/train/383285.0000_385576.0000.ogg,这样舌诊才大行于天下
data/train/385576.0000_386950.0000.ogg,开始出现了
data/train/386950.0000_390387.0000.ogg,那么舌诊出现以后恰恰改成什么呢
data/train/390387.0000_392210.0000.ogg,改成温热病开始
data/train/392600.0000_394609.0000.ogg,这个大家开始关注了
data/train/394609.0000_397623.0000.ogg,那么从金元以后到了明代开始
data/train/397623.0000_400386.0000.ogg,瘟病的学说开始萌芽了
data/train/400386.0000_403400.0000.ogg,然后这个时候从明代开始
data/train/403400.0000_405200.0000.ogg,舌诊跟什么结合上了呢
data/train/405200.0000_407690.0000.ogg,这个是得到方案跟瘟疫结合上了
data/train/408040.0000_414778.0000.ogg,跟瘟疫经常因为明代的时候很这个当时大家知道明代这个社会动荡比较厉害嘛
data/train/414778.0000_415595.0000.ogg,很贫穷
data/train/415595.0000_418454.0000.ogg,那么这个时候有很多人得了瘟疫
data/train/418454.0000_419670.0000.ogg,大型大规模的
data/train/419670.0000_422602.0000.ogg,这个流行的瘟疫得了瘟疫以后啊
data/train/422602.0000_427566.0000.ogg,然后大家发现按照以前伤寒病的那个方法治不行
data/train/427566.0000_428919.0000.ogg,诶 说这个不灵
data/train/428919.0000_430970.0000.ogg,突然一下子好多这个
data/train/430970.0000_433183.0000.ogg,一个村那个村的成百上千人得病
data/train/433183.0000_435871.0000.ogg,然后用这个过去治伤寒的那个方法不灵
data/train/435871.0000_436503.0000.ogg,怎么办呢
data/train/436503.0000_438084.0000.ogg,大家就说明这是叫瘟疫
data/train/438084.0000_439824.0000.ogg,所以这个瘟疫开始出现了
data/train/439824.0000_442650.0000.ogg,当时有一个叫无又渴的医生写了一本书叫
data/train/442650.0000_443430.0000.ogg,瘟疫论
data/train/443780.0000_445703.0000.ogg,当时的温还用温热的温呢
data/train/445703.0000_447102.0000.ogg,不是病字旁的瘟呢
data/train/447102.0000_449025.0000.ogg,然后这个书出来的时候呢
data/train/449025.0000_449890.0000.ogg,它就把舌诊
data/train/450220.0000_452166.0000.ogg,跟这个热症联系起来了
data/train/452166.0000_456058.0000.ogg,大家注意舌诊最早出现的就是它的发展
data/train/456058.0000_457572.0000.ogg,跟热症联系起来了
data/train/457572.0000_460580.0000.ogg,就是舌象无论是舌胎还是舌质
data/train/460580.0000_463341.0000.ogg,发现它这个人体这个热越增加呢
data/train/463341.0000_465252.0000.ogg,它这个变化越明显
data/train/465252.0000_466314.0000.ogg,然后怎么办呢
data/train/466314.0000_469076.0000.ogg,这个时候它就把它直接联系了
data/train/469076.0000_470350.0000.ogg,联系了以后呢
data/train/470350.0000_471170.0000.ogg,然后到
data/train/471170.0000_472016.0000.ogg,到了清代
data/train/472016.0000_472863.0000.ogg,明代后期
data/train/472863.0000_474133.0000.ogg,到清代的时候
data/train/474133.0000_477520.0000.ogg,这个从瘟病里边又分出一个学术分支
data/train/477520.0000_478155.0000.ogg,叫什么呢
data/train/478155.0000_478760.0000.ogg,温病
data/train/479090.0000_479862.0000.ogg,温暖的温，温病
data/train/479862.0000_482951.0000.ogg,就是我们现在说伤寒温病两大学派嘛
data/train/482951.0000_486041.0000.ogg,瘟病是从瘟疫这个学说里分出来的
data/train/486041.0000_487199.0000.ogg,分出来以后呢
data/train/487199.0000_489690.0000.ogg,然后这个温病学家就发现了
data/train/489730.0000_491761.0000.ogg,所以这个我们怎么来标示热呢
data/train/491761.0000_494470.0000.ogg,因为之前认为是得病都受的都是寒嘛
data/train/494470.0000_497687.0000.ogg,之前认为所有的这个外形外感病都是受寒了
data/train/497687.0000_500735.0000.ogg,那么大家就温病学家说不一定都是受寒
data/train/500735.0000_502070.0000.ogg,还有受热的热邪的
data/train/502070.0000_504523.0000.ogg,那么什么能证明我是受热邪呢
data/train/504523.0000_505545.0000.ogg,怎么证明呢
data/train/505545.0000_507600.0000.ogg,什么最有利能证明呢
data/train/507930.0000_511175.0000.ogg,温病学家就发现舌诊是最有力的证据
data/train/511175.0000_512798.0000.ogg,就是舌像最明显
data/train/512798.0000_514015.0000.ogg,脉你都号不出来
data/train/514015.0000_516855.0000.ogg,怎么那个号你都不一定能搞清楚
data/train/516855.0000_518072.0000.ogg,舌诊是清楚的
data/train/518072.0000_520679.0000.ogg,所以温病学家就大力发展舌诊
data/train/520679.0000_522240.0000.ogg,这样舌诊就发展起来了
data/train/522240.0000_523453.0000.ogg,结果发展起来了
data/train/523453.0000_525013.0000.ogg,随着温病学术发展
data/train/525013.0000_525706.0000.ogg,结果发现哎
data/train/525706.0000_527440.0000.ogg,内伤病看的也很清楚
data/train/527440.0000_528826.0000.ogg,结果越发展越发展
data/train/528826.0000_530213.0000.ogg,最后到清代的时候
data/train/530213.0000_531610.0000.ogg,舌诊就基本成型了
data/train/531610.0000_533382.0000.ogg,到清代晚期的时候
data/train/533382.0000_538477.0000.ogg,舌诊已经基本完成了他的这个学说的建立非常完整了
data/train/538477.0000_540250.0000.ogg,到现在呢建国以后
data/train/540250.0000_543150.0000.ogg,后来因为科学技术手段又多了
data/train/543150.0000_547254.0000.ogg,现代对舌诊古代舌诊的内容发展并不多
data/train/547254.0000_549185.0000.ogg,现在都干什么了呢
data/train/549185.0000_553290.0000.ogg,现在都是用现代科技手段来分析舌诊了
data/train/553290.0000_556236.0000.ogg,分析为什么它这个会表反映人体的变化
data/train/556236.0000_559356.0000.ogg,通过各种各样的细微的这个现代科学技术
data/train/559356.0000_561610.0000.ogg,比如说这个舌苔是什么构成的
data/train/561610.0000_564230.0000.ogg,那么舌苔里面到底有什么进行分析
data/train/564230.0000_566291.0000.ogg,发现舌苔里有各种各样的东西
data/train/566291.0000_568987.0000.ogg,那么为什么当毛细血管这个聪明的时候
data/train/568987.0000_570097.0000.ogg,舌苔有什么变化
data/train/570097.0000_571682.0000.ogg,你看分析的越来越细了
data/train/571682.0000_572000.0000.ogg,对吧
data/train/572000.0000_573110.0000.ogg,那么越来越细呢
data/train/573110.0000_575320.0000.ogg,我们反过来越来越清楚的认识到
data/train/575320.0000_576647.0000.ogg,舌诊是非常灵敏的
data/train/576647.0000_578923.0000.ogg,那么为什么舌诊这么灵敏呢
data/train/578923.0000_579682.0000.ogg,是这样的
data/train/579682.0000_581200.0000.ogg,就是我们人体啊
data/train/581670.0000_582239.0000.ogg,很奇怪
data/train/582239.0000_585087.0000.ogg,人体大家看我们切脉这个很微妙吧
data/train/585087.0000_585656.0000.ogg,对不对
data/train/585656.0000_586605.0000.ogg,你不能打开
data/train/586605.0000_588124.0000.ogg,看着血管怎么跳啊
data/train/588124.0000_589832.0000.ogg,你要通过手指和感受
data/train/589832.0000_592870.0000.ogg,大家知道人这个手指灵敏度是不同的
data/train/592870.0000_593240.0000.ogg,对吧
data/train/593240.0000_595100.0000.ogg,您您说您经常经常干活儿
data/train/595100.0000_597468.0000.ogg,这是这是就后半年就不灵敏一些
data/train/597468.0000_597976.0000.ogg,打篮球
data/train/597976.0000_599498.0000.ogg,天天打篮球就不灵敏
data/train/599498.0000_601190.0000.ogg,每个人的感受是不一样的
data/train/601190.0000_602881.0000.ogg,所以这教起来就费劲了
data/train/602881.0000_605080.0000.ogg,比如说这个老师呢教的学生
data/train/605080.0000_606265.0000.ogg,学生天天打篮球
data/train/606265.0000_607250.0000.ogg,手模都是讲的
data/train/607250.0000_609890.0000.ogg,他就摸的感觉跟老师不一样
data/train/609890.0000_611810.0000.ogg,给老师只能跟他说
data/train/611810.0000_613730.0000.ogg,那么这个不直观
data/train/613730.0000_617330.0000.ogg,所以这个脉诊的研究现在真的挺累的
data/train/617330.0000_619030.0000.ogg,脉诊基本上在损失
data/train/619030.0000_623018.0000.ogg,古代人是应该是切脉如神一般切脉都知道
data/train/623018.0000_624812.0000.ogg,真的是现代人的切脉
data/train/624812.0000_625780.0000.ogg,基本上就是
data/train/626220.0000_627852.0000.ogg,能切个大概就不错了
data/train/627852.0000_630300.0000.ogg,这个内容因为师承的这个原因
data/train/630300.0000_632136.0000.ogg,师承的人越来越少
data/train/632136.0000_633360.0000.ogg,所以越来越流失
data/train/633360.0000_635410.0000.ogg,最后现在我们这个
data/train/635850.0000_638010.0000.ogg,有真正脉诊经验的人
data/train/638010.0000_640410.0000.ogg,脉诊特别好的人很少了
data/train/640410.0000_642090.0000.ogg,就慢慢开始少了
data/train/642090.0000_644010.0000.ogg,那么这个是很难的
data/train/644010.0000_644730.0000.ogg,然后呢
data/train/644730.0000_646640.0000.ogg,我们说望闻问切吧
data/train/646640.0000_647536.0000.ogg,闻是什么呢
data/train/647536.0000_649105.0000.ogg,闻是听古代说的
data/train/649105.0000_651346.0000.ogg,听声音不是现在说的闻
data/train/651346.0000_654240.0000.ogg,古代那个古代说闻气味叫嗅
data/train/654690.0000_656270.0000.ogg,闻是听，听什么
data/train/656270.0000_659958.0000.ogg,听声音听这个比如说咳嗽的声音
data/train/659958.0000_661802.0000.ogg,听你说话的声音
data/train/661802.0000_663646.0000.ogg,说话声音的高低
data/train/663646.0000_665480.0000.ogg,听这些声音这个
data/train/665880.0000_666780.0000.ogg,我们今天也丢了
data/train/666780.0000_667680.0000.ogg,为什么呢
data/train/667680.0000_670920.0000.ogg,因为现在我们就听一个咳嗽声音差不多了
data/train/670920.0000_672540.0000.ogg,这这个其他的不会了
data/train/672540.0000_673800.0000.ogg,古代人听什么呢
data/train/673800.0000_675780.0000.ogg,古代人听你说话的这个音调
data/train/675780.0000_676140.0000.ogg,音律
data/train/676140.0000_679810.0000.ogg,然后来判断你这个人的身体的状态如何
data/train/679810.0000_681368.0000.ogg,这个基本全丢了
data/train/681368.0000_684486.0000.ogg,已经从黄帝内经以后就开始丢了
data/train/684486.0000_686470.0000.ogg,出现不久就丢了
data/train/686470.0000_686938.0000.ogg,为什么呢
data/train/686938.0000_690061.0000.ogg,因为古代的时候张景岳写内经的时候写黄帝经
data/train/690061.0000_692247.0000.ogg,注释黄帝内容张景岳都不知道
data/train/692247.0000_694433.0000.ogg,这大家知道张景岳是明代的名医
data/train/694433.0000_697713.0000.ogg,对吧 张景岳都不知道这部分内容怎么怎么来解释了
data/train/697713.0000_698660.0000.ogg,他都不会了
data/train/698800.0000_701584.0000.ogg,张景岳其实对这个水平已经很高了
data/train/701584.0000_703627.0000.ogg,张景岳当年在辽东的时候
data/train/703627.0000_706783.0000.ogg,在辽东听到那个听到老百姓的田间唱歌
data/train/706783.0000_708660.0000.ogg,他一听就知道这是悲声
data/train/708830.0000_709463.0000.ogg,将要亡国
data/train/709463.0000_710730.0000.ogg,所以他赶快回家了
data/train/710730.0000_712155.0000.ogg,你看他从音律就知道
data/train/712155.0000_713738.0000.ogg,这边他那么有研究的人
data/train/713738.0000_717855.0000.ogg,黄帝内经的内容都不知道黄帝内经这部分呢是阴阳二十五人
data/train/717855.0000_718646.0000.ogg,有专门有过
data/train/718646.0000_719755.0000.ogg,大家可以感兴趣
data/train/719755.0000_720220.0000.ogg,可以看
data/train/720220.0000_721882.0000.ogg,论述阴阳二十五人
data/train/721882.0000_725930.0000.ogg,这阴阳二十五人呢就是把人体质分成
data/train/726260.0000_727044.0000.ogg,五种类型
data/train/727044.0000_729791.0000.ogg,每个五种类型里面又分五种类型
data/train/729791.0000_730576.0000.ogg,怎么评价
data/train/730576.0000_732341.0000.ogg,怎么来分的五种类型
data/train/732341.0000_734107.0000.ogg,它是根据音律来分的
data/train/734107.0000_736069.0000.ogg,宫商角徵羽五音来分的
data/train/736069.0000_738620.0000.ogg,那这五种人有不同的身体状态
data/train/738630.0000_740584.0000.ogg,这个不同身体状态呢
data/train/740584.0000_742321.0000.ogg,他说出的话来音调
data/train/742321.0000_743160.0000.ogg,而不同的
data/train/743490.0000_744807.0000.ogg,这个音调是不同的
data/train/744807.0000_747631.0000.ogg,这个我建议大家可以看看什么书呢
data/train/747631.0000_749137.0000.ogg,一位先生叫高也陶
data/train/749137.0000_749701.0000.ogg,写的书
data/train/749701.0000_750831.0000.ogg,高也陶先生
data/train/750831.0000_753070.0000.ogg,高也陶先生写了大约六本书
data/train/753590.0000_757179.0000.ogg,他就研究这个黄帝内经的阴阳二十五人
data/train/757179.0000_757852.0000.ogg,然后呢
data/train/757852.0000_760096.0000.ogg,他还搞出来一个仪器
data/train/760096.0000_761217.0000.ogg,用这个仪器啊
data/train/761217.0000_763880.0000.ogg,就按照音乐学的那个方法
data/train/763880.0000_765407.0000.ogg,来测定这个人的音频
data/train/765407.0000_766498.0000.ogg,录下来以后
data/train/766498.0000_769334.0000.ogg,测定的音频处于什么样的状态
data/train/769334.0000_775870.0000.ogg,然后来分析这个人的就是身体哪一部分弱哪一部分弱哪一部分强
data/train/775870.0000_779088.0000.ogg,这个仪器呢在好多科研机构做过测试
data/train/779088.0000_782508.0000.ogg,当时在北京同仁医院体检科测试的时候
data/train/782508.0000_783313.0000.ogg,我也在场
data/train/783313.0000_783917.0000.ogg,我也看了
data/train/783917.0000_786100.0000.ogg,其实有有很高的准确度
data/train/786100.0000_788368.0000.ogg,就是曾经我亲眼看到一个得肺病的人
data/train/788368.0000_789988.0000.ogg,这个来了这个女儿一侧
data/train/789988.0000_791932.0000.ogg,她费就是这个这个问题在肺上
data/train/791932.0000_794038.0000.ogg,就是她说我两个月前刚得肺炎
data/train/794038.0000_797440.0000.ogg,这个我是亲眼看到的这个这个这样的例子
data/train/797440.0000_798700.0000.ogg,就是测试很准确
data/train/798700.0000_803740.0000.ogg,那么他这个学他这个这个人就特别钻研这个音律这块儿这个什么
data/train/803740.0000_804820.0000.ogg,这是闻的内容
data/train/804820.0000_809320.0000.ogg,现在呢很少有人就能够听这个通过听声音来判断这个病人
data/train/809320.0000_811450.0000.ogg,这个是我们中医丢失的一块
data/train/811450.0000_814262.0000.ogg,然后其实呢这里边儿有这个人说话的尾音
data/train/814262.0000_814614.0000.ogg,如何
data/train/814614.0000_816372.0000.ogg,中气不足的人尾音会低
data/train/816372.0000_816723.0000.ogg,对吧
data/train/816723.0000_817778.0000.ogg,等等等等
data/train/817778.0000_820063.0000.ogg,都能证明这个人身体哪部分有问题
data/train/820063.0000_821450.0000.ogg,这是闻的内容
data/train/821450.0000_821940.0000.ogg,闻基本丢了
data/train/821940.0000_824068.0000.ogg,那么现在我们的闻是什么呢
data/train/824068.0000_825030.0000.ogg,变成闻气味
data/train/825360.0000_827138.0000.ogg,就是增加一部分闻气味啊
data/train/827138.0000_829095.0000.ogg,这个这个这个气味如何呀
data/train/829095.0000_830310.0000.ogg,这个这个这个
data/train/830640.0000_831617.0000.ogg,闻这些东西
data/train/831617.0000_832268.0000.ogg,那么
data/train/832268.0000_834963.0000.ogg,问什么望闻问切嘛
data/train/834963.0000_835810.0000.ogg,问什么问
data/train/835810.0000_836868.0000.ogg,就是问病史
data/train/836868.0000_840679.0000.ogg,问这个我们张景岳整理过最详细的十问歌嘛
data/train/840679.0000_842373.0000.ogg,最详细从这个人的
data/train/842373.0000_844480.0000.ogg,比如说我孩子的咳嗽
data/train/844480.0000_845736.0000.ogg,咳嗽声音如何啊
data/train/845736.0000_847202.0000.ogg,一天几点咳嗽啊
data/train/847202.0000_849087.0000.ogg,每次咳嗽多少多少声啊
data/train/849087.0000_850552.0000.ogg,这个谈如何呀
data/train/850552.0000_855160.0000.ogg,这个这什么这都是这个现在我们都问诊的内容了
data/train/855160.0000_855805.0000.ogg,痰如何呀
data/train/855805.0000_857258.0000.ogg,这成块儿不成块儿啊
data/train/857258.0000_858065.0000.ogg,是不是黄的
data/train/858065.0000_858549.0000.ogg,是白的
data/train/858549.0000_860002.0000.ogg,青的青的什么程度啊
data/train/860002.0000_860970.0000.ogg,全是问的内容
data/train/860970.0000_863230.0000.ogg,那么问的内容现在变得最详细了
data/train/863230.0000_863876.0000.ogg,为什么呢
data/train/863876.0000_865167.0000.ogg,因为其他丢了以后
data/train/865167.0000_866297.0000.ogg,我们只能靠问了
data/train/866297.0000_866600.0000.ogg,对吧
data/train/866600.0000_867912.0000.ogg,问的最详细了
data/train/867912.0000_868700.0000.ogg,那么
data/train/869030.0000_871425.0000.ogg,最后切脉切脉变成一个什么
data/train/871425.0000_874020.0000.ogg,我们验证就是这个我们来判断
data/train/874020.0000_877214.0000.ogg,因为现在切脉的水平也在降低在下降
data/train/877214.0000_879390.0000.ogg,所以切脉就变成我们看看
data/train/879390.0000_881568.0000.ogg,这个前面对不对再判断一下
data/train/881568.0000_884182.0000.ogg,然后再判断一下这样的切脉
data/train/884182.0000_887013.0000.ogg,这个到其实其实到清代的时候
data/train/887013.0000_889390.0000.ogg,切脉还很厉害的这个
data/train/889620.0000_893496.0000.ogg,到现在呢切脉的这个水平就好多人跟我反映
data/train/893496.0000_896480.0000.ogg,说上中医院说切脉这个叫
data/train/896810.0000_898504.0000.ogg,浮皮潦草就是去了
data/train/898504.0000_899352.0000.ogg,按了两下
data/train/899352.0000_900834.0000.ogg,然后就就就算了
data/train/900834.0000_902317.0000.ogg,也没有没有怎么
data/train/902317.0000_904224.0000.ogg,然后赶快做b超来吧
data/train/904224.0000_905071.0000.ogg,就这样了
data/train/905071.0000_907170.0000.ogg,那么切脉学问丢了那么
data/train/907170.0000_908110.0000.ogg,我为什么要说
data/train/908110.0000_911494.0000.ogg,我说这个望诊里边的舌诊内容很关键呢
data/train/911494.0000_913186.0000.ogg,因为这样的舌诊最特殊
data/train/913186.0000_914314.0000.ogg,就是我们身体
data/train/914314.0000_915442.0000.ogg,你看千万不好学
data/train/915442.0000_916382.0000.ogg,对吧 问诊很重要
data/train/916382.0000_918420.0000.ogg,大家都要学会
data/train/918470.0000_921576.0000.ogg,这个闻诊呢听声音那个呢我们也不好学
data/train/921576.0000_922547.0000.ogg,那个更高难了
data/train/922547.0000_925072.0000.ogg,我觉得全中国会的都没几个人
data/train/925072.0000_927208.0000.ogg,那么就这个舌诊比较好学
data/train/927208.0000_928179.0000.ogg,为什么
data/train/928179.0000_929130.0000.ogg,因为身体啊
data/train/929130.0000_933424.0000.ogg,大家看我的手就是看不到里边肌肉的颜色
data/train/933424.0000_934617.0000.ogg,对吧 为什么呢
data/train/934617.0000_937718.0000.ogg,因为肌肉外边包裹的是皮肤
data/train/937718.0000_939130.0000.ogg,皮肤分很多层
data/train/939130.0000_939919.0000.ogg,这么多层皮肤
data/train/939919.0000_941892.0000.ogg,把肌肉的颜色就挡上了
data/train/941892.0000_944458.0000.ogg,所以您看到的是黄白色的皮肤
data/train/944458.0000_946036.0000.ogg,看不到肌肉的颜色
data/train/946036.0000_948010.0000.ogg,但是就舌头很特殊
data/train/948970.0000_953475.0000.ogg,舌头肌肉外边包裹的是粘膜粘膜
data/train/953475.0000_956040.0000.ogg,什么样的半透明的
data/train/956370.0000_959450.0000.ogg,粘膜里边又有很多毛细血管
data/train/960010.0000_962420.0000.ogg,那么这个肌肉
data/train/963090.0000_964984.0000.ogg,里边气血充盈的情况
data/train/964984.0000_967721.0000.ogg,尤其是我们说血液充盈的情况
data/train/967721.0000_969405.0000.ogg,透过半透明的黏膜
data/train/969405.0000_971090.0000.ogg,您是可以观测到的
data/train/971090.0000_972984.0000.ogg,然后你血液是否充足
data/train/972984.0000_975100.0000.ogg,在粘膜里边的那些血管
data/train/975330.0000_976670.0000.ogg,也是可以观测到
data/train/976670.0000_979733.0000.ogg,因为它有血液流丰富的话就呈淡红色
data/train/979733.0000_981074.0000.ogg,血液不充足的话
data/train/981074.0000_982414.0000.ogg,颜色就开始退了
data/train/982414.0000_982797.0000.ogg,对吧
data/train/982797.0000_986052.0000.ogg,所以舌头是身体最大的一个这样的器官
data/train/986052.0000_988360.0000.ogg,就是可以透过半透明的黏膜
data/train/988360.0000_990918.0000.ogg,观测到体内血液充盈的状态
data/train/990918.0000_993263.0000.ogg,然后舌头这个是一个舌质
data/train/993263.0000_997953.0000.ogg,大家这个听我讲课都知道舌头舌体是一个椭圆形的
data/train/997953.0000_998360.0000.ogg,对吧
data/train/998360.0000_1000790.0000.ogg,舌边露出来的淡红色的
data/train/1000790.0000_1002410.0000.ogg,这个叫什么
data/train/1002410.0000_1004030.0000.ogg,叫舌质本质的质
data/train/1004030.0000_1004570.0000.ogg,对吧
data/train/1004570.0000_1009720.0000.ogg,舌头的正中间铺的应该是什么薄白的舌苔
data/train/1010210.0000_1016067.0000.ogg,那么这个舌苔呢又能反映出来我们身体这个气血这个充盈
data/train/1016067.0000_1017472.0000.ogg,它的功能如何
data/train/1017472.0000_1020060.0000.ogg,不是充足状态而功能如何
data/train/1020060.0000_1021973.0000.ogg,就是舌质反映的是什么
data/train/1021973.0000_1025034.0000.ogg,是我们身体的物质基础充分的对不对
data/train/1025034.0000_1026946.0000.ogg,因为你里边血液足的话
data/train/1026946.0000_1027904.0000.ogg,它就变红了
data/train/1027904.0000_1030200.0000.ogg,你血液不足它就变白了那么
data/train/1031780.0000_1034589.0000.ogg,体内整个温度在下降
data/train/1034920.0000_1035406.0000.ogg,它又变白了
data/train/1035406.0000_1036057.0000.ogg,温度上升
data/train/1036057.0000_1036869.0000.ogg,它又变红了
data/train/1036869.0000_1037845.0000.ogg,这是这样的
data/train/1037845.0000_1039795.0000.ogg,这个大家我一会儿给大家细讲
data/train/1039795.0000_1041095.0000.ogg,大家了解一下就行
data/train/1041095.0000_1043045.0000.ogg,那么舌苔反映的是什么呢
data/train/1043045.0000_1043694.0000.ogg,舌苔很奇怪
data/train/1043694.0000_1046589.0000.ogg,舌苔反映的是你身体里边的功能如何
data/train/1046619.0000_1048194.0000.ogg,你功能正常的话
data/train/1048194.0000_1049770.0000.ogg,舌苔就薄白苔
data/train/1049770.0000_1051975.0000.ogg,功能低下以后
data/train/1051975.0000_1054810.0000.ogg,舌苔向两个方向发展
data/train/1054810.0000_1056700.0000.ogg,要么变厚
data/train/1056700.0000_1058066.0000.ogg,变腻等等等等
data/train/1058066.0000_1058977.0000.ogg,要么消失
data/train/1058977.0000_1062850.0000.ogg,所以舌苔又反映了你身体的功能怎么样
data/train/1062850.0000_1065128.0000.ogg,所以大家看这个舌头啊
data/train/1065128.0000_1070160.0000.ogg,这个舌头能够反映我们身体内的这个正气是否充足
data/train/1070190.0000_1072014.0000.ogg,它的运行是否正常
data/train/1072014.0000_1077050.0000.ogg,所以呢这个舌头是身体的最灵敏的一个这样的器官
data/train/1077590.0000_1079806.0000.ogg,如果我们能学会看舌头
data/train/1079806.0000_1082910.0000.ogg,那么你身体里边的大概的情况啊
data/train/1082910.0000_1085550.0000.ogg,基本上自己就可以做个了解
data/train/1085880.0000_1088361.0000.ogg,那么在结构上望诊的其他内容以后
data/train/1088361.0000_1089889.0000.ogg,我们会有这样的课
data/train/1089889.0000_1090843.0000.ogg,教大家望诊
data/train/1090843.0000_1094852.0000.ogg,看这个如何看脸上不同部位的长了什么东西啊
data/train/1094852.0000_1096370.0000.ogg,颜色如何呀等等
data/train/1096370.0000_1099910.0000.ogg,来判断这个人的这个疾病如何这个
data/train/1100890.0000_1102300.0000.ogg,大家学会以后
data/train/1102300.0000_1103690.0000.ogg,我觉得大家就
data/train/1104020.0000_1107354.0000.ogg,向着中医诊断的最高层那个进发了，望
data/train/1107354.0000_1108934.0000.ogg,望而知之谓之神 向那个进发了
data/train/1108934.0000_1112093.0000.ogg,那么这个就我觉得是对大家健康有好处的
data/train/1112093.0000_1113672.0000.ogg,为什么我总讲这句话
data/train/1113672.0000_1116480.0000.ogg,我说这个健康啊其实不在医生手里边
data/train/1116480.0000_1116831.0000.ogg,对吧
data/train/1116831.0000_1118030.0000.ogg,我每次讲都讲
data/train/1118040.0000_1119924.0000.ogg,实际上在自己手里边
data/train/1119924.0000_1120971.0000.ogg,你随时调整
data/train/1120971.0000_1125160.0000.ogg,随时知道自己的这个状态如何随时去去去改善
data/train/1125160.0000_1127254.0000.ogg,那么你就真正能够健康
data/train/1127254.0000_1128690.0000.ogg,尤其大家是妈妈
data/train/1128690.0000_1131595.0000.ogg,这个肩负着一个家庭的健康的这个重任
data/train/1131595.0000_1135275.0000.ogg,所以你们要学会以后经常给家人看一看
data/train/1135275.0000_1138180.0000.ogg,这个我觉得要养成每天看看舌头的习惯
data/train/1138180.0000_1139740.0000.ogg,经常看看舌头
data/train/1139740.0000_1141106.0000.ogg,这个干嘛做筛查
data/train/1141106.0000_1142082.0000.ogg,就是我筛查
data/train/1142082.0000_1143449.0000.ogg,我看看没问题的
data/train/1143449.0000_1144425.0000.ogg,当然最好了
data/train/1144425.0000_1146181.0000.ogg,有问题赶快调整一下
data/train/1146181.0000_1148914.0000.ogg,这个是这个是我们大家都要学的
data/train/1148914.0000_1152038.0000.ogg,我曾经看过一个国外的一个健康的书
data/train/1152038.0000_1153570.0000.ogg,这个让我也很吃惊
data/train/1153570.0000_1154312.0000.ogg,这个健康的书
data/train/1154312.0000_1155982.0000.ogg,这个这法国一本书
data/train/1155982.0000_1157466.0000.ogg,这个作者是一个女士
data/train/1157466.0000_1159693.0000.ogg,是一个电视台的主持人
data/train/1159693.0000_1161363.0000.ogg,然后他这就特别盲目啊
data/train/1161363.0000_1162662.0000.ogg,身体一塌糊涂
data/train/1162662.0000_1163570.0000.ogg,这几近崩溃
data/train/1163570.0000_1165030.0000.ogg,结果他就找了一个健康专家
data/train/1165030.0000_1167074.0000.ogg,就国外那种自然调理方法的专家
data/train/1167074.0000_1167950.0000.ogg,专家看他舌头
data/train/1167950.0000_1168826.0000.ogg,看完舌头以后
data/train/1168826.0000_1171893.0000.ogg,就是说你身体营养代谢充分的这个西方的舌诊啊
data/train/1171893.0000_1173645.0000.ogg,看完以后结果他就按着调整
data/train/1173645.0000_1175670.0000.ogg,调整完以后说我太了不起了
data/train/1175670.0000_1176609.0000.ogg,于是他就跟着学
data/train/1176609.0000_1180837.0000.ogg,结果他现在变成了一个著名的一个就是西方的一种这个功能
data/train/1180837.0000_1182872.0000.ogg,医学的健康专家开始出健康的书
data/train/1182872.0000_1184595.0000.ogg,大家看能学到什么程度
data/train/1184595.0000_1186161.0000.ogg,我看你们写的书法作品
data/train/1186161.0000_1188500.0000.ogg,我充分相信大家能学到很高的水平
data/train/1188500.0000_1190617.0000.ogg,这个四个月能把书法学到这个程度
data/train/1190617.0000_1191757.0000.ogg,就是大家很厉害
data/train/1191757.0000_1194037.0000.ogg,你们学者得真的经常看一看
data/train/1194037.0000_1195502.0000.ogg,你们以后也可以出书的
data/train/1195502.0000_1199890.0000.ogg,也可以说健康心得自己加健康心得加的书书给别人怎么看的
data/train/1199890.0000_1201058.0000.ogg,这个这个健康啊
data/train/1201058.0000_1203200.0000.ogg,大家都可以去自己掌握的
data/train/1203200.0000_1205537.0000.ogg,掌握以后自己就能够把握它
data/train/1205537.0000_1208459.0000.ogg,我觉得真的能成自己都能成专家
data/train/1208459.0000_1211770.0000.ogg,将来你们的字都可以在琉璃厂去流通的
data/train/1211770.0000_1213974.0000.ogg,我刚才夸大家真的是这样
data/train/1213974.0000_1217982.0000.ogg,那么这个舌诊呢大家学会以后就能有这个效果
data/train/1217982.0000_1219986.0000.ogg,是我我是为什么学生呢
data/train/1219986.0000_1221770.0000.ogg,我跟大家说是这样的
data/train/1221770.0000_1224356.0000.ogg,我之前呢我学中医学了好久
data/train/1224356.0000_1227610.0000.ogg,大家知道我我硕士的课题搞的就是
data/train/1228380.0000_1230985.0000.ogg,各家学说就是古代医生的研究
data/train/1230985.0000_1234392.0000.ogg,我硕士的论文研究就是清代名医叶天士
data/train/1234392.0000_1236596.0000.ogg,我把叶天士的书都翻烂了
data/train/1236596.0000_1236997.0000.ogg,研究
data/train/1236997.0000_1238410.0000.ogg,所以我古代文献
data/train/1238410.0000_1240640.0000.ogg,我在宿舍的时候就看了大量的国外文献
data/train/1241140.0000_1244620.0000.ogg,那个时候我觉得自己觉得啊理论水平已经很高了
data/train/1244620.0000_1245780.0000.ogg,但是我跟大家说
data/train/1245780.0000_1247437.0000.ogg,我我看病的效果还不好
data/train/1247437.0000_1247934.0000.ogg,为什么
data/train/1247934.0000_1250420.0000.ogg,因为学中医的大家总来找你看病嘛
data/train/1250420.0000_1251560.0000.ogg,亲戚朋友来了说
data/train/1251560.0000_1253217.0000.ogg,因为我们都学了中医硕士
data/train/1253217.0000_1253820.0000.ogg,开个方子
data/train/1253820.0000_1254874.0000.ogg,我最近这么不好
data/train/1254874.0000_1255628.0000.ogg,我告诉大家
data/train/1255628.0000_1256682.0000.ogg,我开完方子以后
data/train/1256682.0000_1257436.0000.ogg,下次再见面
data/train/1257436.0000_1258360.0000.ogg,人都躲着我走
data/train/1259600.0000_1261049.0000.ogg,我也不好意思去问
data/train/1261049.0000_1262670.0000.ogg,我看你怎么绕着就走了呢
data/train/1263630.0000_1265752.0000.ogg,实在忍不住这个好奇了之后
data/train/1265752.0000_1268052.0000.ogg,上课开过方的我按我理论推断
data/train/1268052.0000_1272651.0000.ogg,应该不错的五行辩证这个那个那个那个那个生那个辩证很好
data/train/1272651.0000_1273536.0000.ogg,怎么回事呢
data/train/1273536.0000_1273870.0000.ogg,我就
data/train/1273870.0000_1275356.0000.ogg,就让你问我怎么样啊
data/train/1275356.0000_1276657.0000.ogg,放在放在旁边
data/train/1276657.0000_1277771.0000.ogg,人家就很尴尬
data/train/1277771.0000_1279072.0000.ogg,不知道怎么回答我
data/train/1279072.0000_1280559.0000.ogg,您说直接说没笑吧
data/train/1280559.0000_1281673.0000.ogg,等于你白学了
data/train/1281673.0000_1282974.0000.ogg,学了这么多年
data/train/1282974.0000_1284460.0000.ogg,白学了说你有效果吧
data/train/1284460.0000_1285380.0000.ogg,那是说谎
data/train/1285450.0000_1287246.0000.ogg,所以人就说哎呀还行啊
data/train/1287246.0000_1288843.0000.ogg,这个但是那个并没好
data/train/1288843.0000_1290440.0000.ogg,就吃了没什么坏处
data/train/1290440.0000_1293235.0000.ogg,但是并没好我我我自己就很难过
data/train/1293235.0000_1296420.0000.ogg,真的我我我碰过很多次这样的事
data/train/1296610.0000_1299880.0000.ogg,有的时候害的人都花了很多钱
data/train/1300450.0000_1301490.0000.ogg,真是这样
data/train/1303690.0000_1306206.0000.ogg,比如您开的这个方子里边
data/train/1306206.0000_1307121.0000.ogg,药挺贵的
data/train/1307121.0000_1308951.0000.ogg,害的人花了很多钱
data/train/1308951.0000_1311030.0000.ogg,结果人家没什么效果
data/train/1311520.0000_1312735.0000.ogg,我觉得很惭愧
data/train/1312735.0000_1314760.0000.ogg,我说我理论学的够好的
data/train/1314760.0000_1316380.0000.ogg,我看了那么多古书
data/train/1316940.0000_1323088.0000.ogg,然后这个理论中心理论学的号称这个在当时我硕士那个同学里边
data/train/1323088.0000_1326382.0000.ogg,那个里边同学里边就连教授都有了
data/train/1326382.0000_1327940.0000.ogg,我说我说这个我
data/train/1328190.0000_1329334.0000.ogg,我在他们里边
data/train/1329334.0000_1330860.0000.ogg,我也是学术倡导者
data/train/1330860.0000_1332767.0000.ogg,我怎么看病效果这么差
data/train/1332767.0000_1333500.0000.ogg,我很困惑
data/train/1333830.0000_1335864.0000.ogg,硕士毕业以后跟老中医抄方子
data/train/1335864.0000_1336788.0000.ogg,也抄了方子
data/train/1336788.0000_1338638.0000.ogg,然后也跟老中医学
data/train/1338638.0000_1339193.0000.ogg,但是又不行
data/train/1339193.0000_1341966.0000.ogg,那么我就发现这个欠缺在哪儿呢
data/train/1341966.0000_1343631.0000.ogg,就是诊断是有问题的
data/train/1343631.0000_1345295.0000.ogg,我把诊断看做什么呢
data/train/1345295.0000_1347350.0000.ogg,这个火车道的这个道岔
data/train/1347390.0000_1348616.0000.ogg,就搬到岔门
data/train/1348616.0000_1349598.0000.ogg,你知道吗
data/train/1349598.0000_1351315.0000.ogg,就是诊断是上来
data/train/1351315.0000_1356222.0000.ogg,你看你分析疾病分泌健康的上来的这个第一步
data/train/1356222.0000_1358420.0000.ogg,这一步一旦分析错了
data/train/1358420.0000_1361143.0000.ogg,后边儿你技巧再高没用
data/train/1361143.0000_1364410.0000.ogg,就好比说你从上海想到北京来
data/train/1364410.0000_1366861.0000.ogg,你上来就奔南边走了
data/train/1366861.0000_1367406.0000.ogg,对吧
data/train/1367406.0000_1369050.0000.ogg,你技巧越好
data/train/1369050.0000_1369952.0000.ogg,越出问题
data/train/1369952.0000_1371758.0000.ogg,你坐火车跑会更快
data/train/1371758.0000_1372210.0000.ogg,对吧
data/train/1372210.0000_1373800.0000.ogg,很快到到广州了
data/train/1374270.0000_1375362.0000.ogg,你要慢点走呢
data/train/1375362.0000_1376820.0000.ogg,还好人患者没受害
data/train/1376820.0000_1377912.0000.ogg,你开的药越猛
data/train/1377912.0000_1378823.0000.ogg,这个药越好
data/train/1378823.0000_1379734.0000.ogg,越什么什么
data/train/1379734.0000_1381555.0000.ogg,反而患者受害的越越多
data/train/1381555.0000_1384490.0000.ogg,你开的三克两克的可能看不出来什么
data/train/1384490.0000_1386237.0000.ogg,所以我发现诊断是低的
data/train/1386237.0000_1387985.0000.ogg,所以我就可能我就发誓
data/train/1387985.0000_1390257.0000.ogg,我一定要在诊断上要提高水平
data/train/1390257.0000_1393403.0000.ogg,然后我就报北京中医药大学的诊断学博士
data/train/1393403.0000_1394277.0000.ogg,就考博士嘛
data/train/1394277.0000_1394976.0000.ogg,就玩命考
data/train/1394976.0000_1396570.0000.ogg,那是真的费了好大劲
data/train/1396570.0000_1399773.0000.ogg,学英语必须跟西医一起考英语全国统考
data/train/1399773.0000_1401657.0000.ogg,然后就是看那些累坏了
data/train/1401657.0000_1405426.0000.ogg,那么考考上以后就是选择这个选导师的时候啊
data/train/1405426.0000_1408253.0000.ogg,就想说这个诊断里边哪一部分好呢
data/train/1408253.0000_1408600.0000.ogg,其实
data/train/1408600.0000_1410742.0000.ogg,诊断里边两大部分非常好
data/train/1410742.0000_1412105.0000.ogg,一部分是什么呢
data/train/1412105.0000_1413468.0000.ogg,就学问诊那部分
data/train/1413468.0000_1415221.0000.ogg,学问诊那部分叫什么
data/train/1415221.0000_1415805.0000.ogg,叫症候
data/train/1415805.0000_1417947.0000.ogg,我们的专业叫症候症候学
data/train/1417947.0000_1419310.0000.ogg,学症候学干嘛呢
data/train/1419310.0000_1419690.0000.ogg,就是
data/train/1419690.0000_1421853.0000.ogg,到时候上医院去填问量表
data/train/1421853.0000_1422443.0000.ogg,填问卷
data/train/1422443.0000_1424213.0000.ogg,就是你有什么症状啊
data/train/1424213.0000_1425393.0000.ogg,填的特别详细
data/train/1425393.0000_1427163.0000.ogg,这个症候最后分成症
data/train/1427163.0000_1429523.0000.ogg,你是什么症什么症的学症候
data/train/1429523.0000_1430320.0000.ogg,学好的人
data/train/1430320.0000_1431284.0000.ogg,问诊特别好
data/train/1431284.0000_1434948.0000.ogg,就是上来会会问诊问你问那几个问题以后啊
data/train/1434948.0000_1436491.0000.ogg,基本上把你归类了
data/train/1436491.0000_1437455.0000.ogg,这个很关键
data/train/1437455.0000_1441100.0000.ogg,然后还有呢我一看这个专业里边有这个舌诊
data/train/1441100.0000_1442515.0000.ogg,脉诊的我根本没想
data/train/1442515.0000_1446560.0000.ogg,我知道这个这个现在会诊脉的那个高手很少了
data/train/1446560.0000_1449593.0000.ogg,学校里边不一定有那么多的高手
data/train/1449593.0000_1452030.0000.ogg,然后我就想这个舌诊非常好
data/train/1452030.0000_1453339.0000.ogg,因为舌诊很直观
data/train/1453339.0000_1455022.0000.ogg,我就报这个舌诊专业
data/train/1455022.0000_1458388.0000.ogg,我觉得这个是因为我平时我看老中医看病
data/train/1458388.0000_1459697.0000.ogg,看舌头特别重要
data/train/1459697.0000_1461193.0000.ogg,然后我就报这个了
data/train/1461193.0000_1463240.0000.ogg,报这个以后学了三年博士
data/train/1463240.0000_1463606.0000.ogg,哎呀
data/train/1463606.0000_1464524.0000.ogg,对我的影响太大
data/train/1464524.0000_1469670.0000.ogg,我今天今天这给大家我给大家看的好多照片都是我当时拍的
data/train/1470030.0000_1472165.0000.ogg,我当时拍照片拍到什么程度
data/train/1472165.0000_1473588.0000.ogg,我们上医院天没亮
data/train/1473588.0000_1475012.0000.ogg,就要往同仁医院跑
data/train/1475012.0000_1475901.0000.ogg,哥上医院去
data/train/1475901.0000_1477325.0000.ogg,在那冬天起大早去
data/train/1477325.0000_1478392.0000.ogg,那时候真很苦
data/train/1478392.0000_1479282.0000.ogg,坐地铁去了
data/train/1479282.0000_1480360.0000.ogg,上医院就拍呀
data/train/1480360.0000_1482223.0000.ogg,拍完了有什么好处呢
data/train/1482223.0000_1483051.0000.ogg,是这样的
data/train/1483051.0000_1485950.0000.ogg,我们拍舌诊照片不是拍就完事了
data/train/1485950.0000_1486985.0000.ogg,拍舌诊照片
data/train/1486985.0000_1489884.0000.ogg,同时把患者的诊断资料全都拿来
data/train/1489884.0000_1490505.0000.ogg,干嘛呢
data/train/1490505.0000_1490910.0000.ogg,对应
data/train/1490910.0000_1492357.0000.ogg,对照就是这个舌诊
data/train/1492357.0000_1494167.0000.ogg,我们中医说他有什么病
data/train/1494167.0000_1496157.0000.ogg,那么他的诊断是不是这样
data/train/1496157.0000_1497786.0000.ogg,他的检查啊他的诊断
data/train/1497786.0000_1499414.0000.ogg,他的问诊是不是如此
data/train/1499414.0000_1500500.0000.ogg,我们要对照的
data/train/1500500.0000_1502310.0000.ogg,我拿来全都挨个对照看
data/train/1502310.0000_1503687.0000.ogg,结果这三年下来呢
data/train/1503687.0000_1505580.0000.ogg,这个是实际是搞的科研了
data/train/1505580.0000_1510055.0000.ogg,那么一般搞科研给给导师给上课题干活 干完了就算了
data/train/1510055.0000_1511605.0000.ogg,就数据收集完就算了
data/train/1511605.0000_1512790.0000.ogg,自己没什么提纲
data/train/1512790.0000_1514254.0000.ogg,当时我当时我就一直在看
data/train/1514254.0000_1516695.0000.ogg,我后来练这个一般收集数据的时候
data/train/1516695.0000_1517183.0000.ogg,我就练
data/train/1517183.0000_1519624.0000.ogg,我看这个舌头分析什么什么样的
data/train/1519624.0000_1520763.0000.ogg,然后我猜他的问卷
data/train/1520763.0000_1523530.0000.ogg,他的这个症状描述应该是什么样的
data/train/1523530.0000_1526683.0000.ogg,然后我拿了证券对我看看是不是这样的这么练
data/train/1526683.0000_1528576.0000.ogg,然后我看到这个问卷的时候
data/train/1528576.0000_1530626.0000.ogg,我想象的舌头应该是什么样的
data/train/1530626.0000_1534726.0000.ogg,我再对到舌头照片这么来回对以后结果搞了三年下来以后呢
data/train/1534726.0000_1535830.0000.ogg,我对舌头就特别
data/train/1535970.0000_1536457.0000.ogg,熟悉了
data/train/1536457.0000_1537432.0000.ogg,我说我总讲课
data/train/1537432.0000_1537920.0000.ogg,我总讲
data/train/1537920.0000_1540033.0000.ogg,我说电脑里面三千多个舌头照片
data/train/1540033.0000_1541171.0000.ogg,我读博士的时候
data/train/1541171.0000_1543608.0000.ogg,没事的时候闲的就在宿舍里看照片
data/train/1543608.0000_1545884.0000.ogg,一个电脑一个过这个看着说哎呀
data/train/1545884.0000_1547184.0000.ogg,特别喜欢看看照片
data/train/1547184.0000_1548800.0000.ogg,看到我总开个玩笑
data/train/1548800.0000_1549978.0000.ogg,就真正到那种程度
data/train/1549978.0000_1551354.0000.ogg,就是看电视
data/train/1551354.0000_1553318.0000.ogg,看那个歌唱家张嘴唱歌啊
data/train/1553318.0000_1554104.0000.ogg,唱歌的时候
data/train/1554104.0000_1557051.0000.ogg,我说人家听到的是美妙的歌声啊
data/train/1557051.0000_1558800.0000.ogg,我本能的看人舌头
data/train/1559000.0000_1560422.0000.ogg,前两天我看了一个手机
data/train/1560422.0000_1561133.0000.ogg,一个广告
data/train/1561133.0000_1563267.0000.ogg,电视广告说一一个少女啊
data/train/1563267.0000_1565401.0000.ogg,说什么糖好吃不什么好吃的
data/train/1565401.0000_1566112.0000.ogg,伸舌头对吧
data/train/1566112.0000_1568800.0000.ogg,什么什么那么美味的滋味什么
data/train/1568800.0000_1569852.0000.ogg,做广告的事情
data/train/1569852.0000_1571080.0000.ogg,我一看又是女孩
data/train/1571080.0000_1571956.0000.ogg,肝气不舒服
data/train/1571956.0000_1573330.0000.ogg,然后怎么有肝火啊
data/train/1573690.0000_1574904.0000.ogg,就是他是拍的很美
data/train/1574904.0000_1576270.0000.ogg,然后拿一个什么什么
data/train/1576270.0000_1577787.0000.ogg,好像几个少女组合什么
data/train/1577787.0000_1579001.0000.ogg,然后伸舌头那么一转
data/train/1579001.0000_1580367.0000.ogg,舌头在外面伸了一圈
data/train/1580367.0000_1581430.0000.ogg,我一看这舌头
data/train/1581430.0000_1582188.0000.ogg,哎呦 干气不舒
data/train/1582188.0000_1583554.0000.ogg,这女孩儿压力挺大的
data/train/1583554.0000_1584054.0000.ogg,应该
data/train/1584438.0000_1585067.0000.ogg,就是我
data/train/1585067.0000_1589464.0000.ogg,我本能的是看这个就是其他都忘记了到这个程度
data/train/1589464.0000_1590092.0000.ogg,然后呢
data/train/1590092.0000_1591977.0000.ogg,是对舌头了解以后呢
data/train/1591977.0000_1593652.0000.ogg,就慢慢变成我在舌
data/train/1593652.0000_1594690.0000.ogg,就我因为这
data/train/1594690.0000_1597604.0000.ogg,我每个谁来咨询有问题我都要看舌头
data/train/1597604.0000_1598698.0000.ogg,然后看了以后呢
data/train/1598698.0000_1601066.0000.ogg,我就会这个有的会记录下来
data/train/1601066.0000_1602159.0000.ogg,我记录了很多
data/train/1602159.0000_1604163.0000.ogg,这个也慢慢整理记录很多
data/train/1604163.0000_1604527.0000.ogg,然后我
data/train/1604527.0000_1605896.0000.ogg,慢慢的变成什么样呢
data/train/1605896.0000_1607254.0000.ogg,慢慢变成开始远程了
data/train/1607254.0000_1608913.0000.ogg,就是比如好多各地朋友
data/train/1608913.0000_1611175.0000.ogg,比如说像在美国的朋友身体有问题
data/train/1611175.0000_1612533.0000.ogg,他不可能飞回来一趟吧
data/train/1612533.0000_1615530.0000.ogg,他这个这个有的人都没有力气飞回来那种病
data/train/1615530.0000_1616222.0000.ogg,那怎么办
data/train/1616222.0000_1617434.0000.ogg,我让舌头拍下来
data/train/1617434.0000_1618472.0000.ogg,发到我邮箱里吧
data/train/1618472.0000_1619857.0000.ogg,我就分析分析完了
data/train/1619857.0000_1622281.0000.ogg,我发现呢哎这个居然分析的都对
data/train/1622281.0000_1623666.0000.ogg,慢慢身体也调好了
data/train/1623666.0000_1626060.0000.ogg,所以后来慢慢变成什么情形呢
data/train/1626390.0000_1627755.0000.ogg,就是我给人调身体吧
data/train/1627755.0000_1628950.0000.ogg,基本上看舌头了
data/train/1628950.0000_1631169.0000.ogg,这个号脉都变成了一个辅助的
data/train/1631169.0000_1632364.0000.ogg,有的人是这样的
data/train/1632364.0000_1633558.0000.ogg,不看什么都不看
data/train/1633558.0000_1635265.0000.ogg,我先号脉，号完脉以后
data/train/1635265.0000_1636260.0000.ogg,然后我再这个
data/train/1636260.0000_1637131.0000.ogg,路数不一样啊
data/train/1637131.0000_1638352.0000.ogg,号脉以后我再问呢
data/train/1638352.0000_1640619.0000.ogg,再看到我来验证我号脉的结果
data/train/1640619.0000_1641142.0000.ogg,我不是
data/train/1641142.0000_1642711.0000.ogg,我是先看舌头看舌头
data/train/1642711.0000_1644978.0000.ogg,然后再号脉是验证舌头的结果
data/train/1644978.0000_1647410.0000.ogg,然后再问是验证舌头的结果
data/train/1647410.0000_1649414.0000.ogg,那么如果什么条件没有的话
data/train/1649414.0000_1652019.0000.ogg,我单凭舌头都会做出一些判断
data/train/1652019.0000_1653221.0000.ogg,做出一些判断
data/train/1653221.0000_1657410.0000.ogg,所以这个是就是我慢慢发展起来自己的优势
data/train/1657410.0000_1659930.0000.ogg,那么这个呢我把心得这两天跟大家讲
data/train/1659930.0000_1662440.0000.ogg,把这个舌诊的这些这个教给大家
data/train/282300.0000_284159.0000.ogg,它可以把肺里边的这个氧气
data/train/284180.0000_286079.0000.ogg,带到身体的各个部位 对吧
data/train/286100.0000_288639.0000.ogg,那么这里面功能最重要的是哪一个呢
data/train/288759.0000_289980.0000.ogg,是这个左心室
data/train/290159.0000_290680.0000.ogg,为什么呢
data/train/290680.0000_292159.0000.ogg,因为左心室的功能
data/train/292399.0000_294720.0000.ogg,是把动脉血泵到全身各处
data/train/294720.0000_296800.0000.ogg,如果你左心室不工作了
data/train/296800.0000_298079.0000.ogg,或者工作能力很差的话
data/train/298079.0000_300399.0000.ogg,这个血液就没有办法泵到全身各处了
data/train/300560.0000_302860.0000.ogg,它如果不能泵到全身各处的话
data/train/302920.0000_305220.0000.ogg,那么身体的细胞就会缺血而死亡
data/train/305220.0000_306480.0000.ogg,最主要的就是大脑
data/train/306500.0000_307420.0000.ogg,大脑一旦缺血了
data/train/307420.0000_309220.0000.ogg,这个人就会不可逆的受损 对吧
data/train/309240.0000_310019.0000.ogg,最后就死亡了
data/train/310279.0000_312379.0000.ogg,所以左心室是绝对不能够出问题的
data/train/312399.0000_314620.0000.ogg,心房出问题倒还问题不大 是吧
data/train/314639.0000_316480.0000.ogg,因为心房主要是接受回流血
data/train/316480.0000_318519.0000.ogg,所以有些人心房出现了房颤
data/train/318519.0000_320480.0000.ogg,或者是这个有人天生没有心房
data/train/320540.0000_321360.0000.ogg,但他还可以活
data/train/321360.0000_322720.0000.ogg,但心室如果出了问题
data/train/322720.0000_324079.0000.ogg,那这人就一定会死 是吧
data/train/324079.0000_325839.0000.ogg,就是因为它的作用是把血泵出去
data/train/325839.0000_326879.0000.ogg,它的作用非常大
data/train/326959.0000_329980.0000.ogg,那么为什么心脏可以有规律地一次一次泵呢
data/train/330100.0000_333860.0000.ogg,我们来讨论一下心脏的节律是如何产生的
data/train/334040.0000_335819.0000.ogg,就是你说这个细胞可以收缩
data/train/335839.0000_336259.0000.ogg,我知道
data/train/336279.0000_338699.0000.ogg,但是它为什么能够有规律地收缩 是吧
data/train/338720.0000_340259.0000.ogg,我每分钟心跳的次数
data/train/340259.0000_342199.0000.ogg,就是什么80到100 还是120
data/train/342199.0000_342980.0000.ogg,这些次数
data/train/343000.0000_344980.0000.ogg,为什么它是有规律的收缩呢
data/train/345159.0000_346379.0000.ogg,我们再来画一个心脏
data/train/346720.0000_347939.0000.ogg,好 我又画了一个心脏
data/train/347939.0000_348480.0000.ogg,大家来看
data/train/348759.0000_352620.0000.ogg,在这个心脏的大静脉和右心房之间
data/train/352959.0000_353959.0000.ogg,在这个地方
data/train/354040.0000_357019.0000.ogg,有一个特异化的心肌细胞结
data/train/357040.0000_361100.0000.ogg,那这个结我们给它起个名字叫窦房结
data/train/361620.0000_363399.0000.ogg,窦房结
data/train/363740.0000_365279.0000.ogg,为什么叫窦房结呢
data/train/365279.0000_367720.0000.ogg,窦就是身体内部空洞的意思
data/train/367899.0000_370019.0000.ogg,比如说鼻子这有个空洞叫鼻窦 是吧
data/train/370079.0000_371740.0000.ogg,鼻窦发炎了就叫鼻窦炎
data/train/372060.0000_373699.0000.ogg,那么这里面有一个大静脉
data/train/373699.0000_374800.0000.ogg,这大静脉也是空洞
data/train/374800.0000_375579.0000.ogg,所以叫窦
data/train/375579.0000_376819.0000.ogg,这边是心房
data/train/376819.0000_378959.0000.ogg,所以就是窦和房中间的一个结
data/train/378959.0000_379740.0000.ogg,叫窦房结
data/train/379839.0000_381439.0000.ogg,这个窦房结有什么特点呢
data/train/381439.0000_384600.0000.ogg,就是它可以有规律地释放出电信号
data/train/385000.0000_388720.0000.ogg,它的这个电信号其实就是指挥整个心脏跳动的
data/train/388899.0000_390459.0000.ogg,所以它就是司令部 是吧
data/train/390459.0000_392220.0000.ogg,它可以释放电信号
data/train/392220.0000_395459.0000.ogg,这个电信号首先会释放到心房这儿
data/train/395459.0000_397079.0000.ogg,释放到心房这个部位
data/train/397540.0000_398519.0000.ogg,释放到心房这个部位
data/train/398540.0000_400319.0000.ogg,让心房出现收缩的情况
data/train/400899.0000_402360.0000.ogg,但是除了这个主司令
data/train/402379.0000_403480.0000.ogg,它可以有规律的跳动
data/train/403500.0000_405879.0000.ogg,而且这个周期是0.86秒
data/train/406139.0000_408000.0000.ogg,周期大约是0.86秒
data/train/408360.0000_410839.0000.ogg,所以你可以算出来一分钟你应该心跳多少次
data/train/410980.0000_412659.0000.ogg,那么除了这个主司令以外
data/train/412659.0000_413899.0000.ogg,其实还有一个副司令
data/train/413899.0000_416860.0000.ogg,就是在这个心房和心室中间
data/train/416920.0000_418839.0000.ogg,这个地方还有一个结
data/train/419240.0000_423660.0000.ogg,这个结就叫房室结 房室结
data/train/423959.0000_426139.0000.ogg,就是心房和心室之间的结
data/train/426800.0000_428740.0000.ogg,它也可以发出指令 是吧
data/train/428759.0000_429899.0000.ogg,如果这个不工作了
data/train/429920.0000_430959.0000.ogg,那它就跟着工作
data/train/430959.0000_432660.0000.ogg,它是副司令 它是主司令
data/train/432819.0000_433899.0000.ogg,那么继续
data/train/434019.0000_436259.0000.ogg,这个电信号是如何传导的呢
data/train/436259.0000_439540.0000.ogg,首先这个窦房结出现了一次电脉冲
data/train/439540.0000_443180.0000.ogg,之后它就会沿着这个一条路径
data/train/443180.0000_444699.0000.ogg,传到这个房室结这儿
data/train/444699.0000_446939.0000.ogg,这条路径就叫做结间束
data/train/446939.0000_448339.0000.ogg,两个结之间的一束
data/train/448699.0000_450879.0000.ogg,然后这个路径会继续往下传
data/train/451139.0000_453279.0000.ogg,这个电冲动继续往下传
data/train/453379.0000_456500.0000.ogg,传到这样的一个分叉的结构上
data/train/456519.0000_457819.0000.ogg,这个分叉的结构
data/train/458079.0000_462720.0000.ogg,我们给它起个名字叫做希氏束 希氏束
data/train/463420.0000_466800.0000.ogg,然后这个希氏束继续往前传 是吧
data/train/466800.0000_467439.0000.ogg,继续往前传
data/train/467439.0000_471079.0000.ogg,从底下再传回来 再传回来
data/train/471180.0000_472060.0000.ogg,这些个部位
data/train/472060.0000_474220.0000.ogg,这个可以接受电信号的这个纤维
data/train/474220.0000_475420.0000.ogg,我们给它起个名字
data/train/475420.0000_480040.0000.ogg,叫做浦肯野纤维
data/train/480040.0000_482180.0000.ogg,这些个名字大家都不用管
data/train/482199.0000_485139.0000.ogg,你只要知道这个黄色的部分就是什么呢
data/train/485160.0000_487759.0000.ogg,就是传递电信号的通道
data/train/487860.0000_489480.0000.ogg,这个地方应该不是黄色的
data/train/490319.0000_493120.0000.ogg,就这个黄色的部分从这个窦房结开始是吧
data/train/493120.0000_495519.0000.ogg,到这个房室结到这边希氏束到这儿
data/train/495860.0000_496920.0000.ogg,浦肯野纤维
data/train/496920.0000_500040.0000.ogg,它有一个这样的这个电信号的传导过程
data/train/500040.0000_502360.0000.ogg,也就是说我司令部一说咱们开始收缩
data/train/502600.0000_504079.0000.ogg,首先就是心房开始收缩
data/train/504079.0000_505560.0000.ogg,然后电信号接着往下传
data/train/505560.0000_507000.0000.ogg,这样一来心室也开始收缩
data/train/507000.0000_508160.0000.ogg,完成一个收缩过程
data/train/508160.0000_509560.0000.ogg,然后这次电信号再来
data/train/509560.0000_511519.0000.ogg,然后再进行一次又一次的收缩
data/train/511720.0000_513919.0000.ogg,所以如果有规律地收缩的话
data/train/514019.0000_516820.0000.ogg,它就应该是由窦房结的冲动开始的
data/train/516840.0000_519700.0000.ogg,因此我们管正常的心跳的就叫什么心率
data/train/519720.0000_521200.0000.ogg,就叫窦性心律
data/train/521600.0000_524700.0000.ogg,但是如果说你这个心跳不是由窦房结出发的
data/train/524720.0000_526000.0000.ogg,它心跳是乱跳的
data/train/526179.0000_529740.0000.ogg,那就出现了颤抖 颤抖又分为房颤和室颤
data/train/529740.0000_531019.0000.ogg,根据我们刚才的叙述
data/train/531059.0000_534299.0000.ogg,我们已经知道了这个心室它是用来泵血的
data/train/534379.0000_536779.0000.ogg,所以说如果心室发生了颤抖的话
data/train/536779.0000_538080.0000.ogg,结果会非常可怕
data/train/538100.0000_541500.0000.ogg,我们所知的心源性猝死大部分都会出现室颤
data/train/541580.0000_542980.0000.ogg,如果我们打个比方的话
data/train/543019.0000_544580.0000.ogg,这个泵部的这个功能
data/train/544740.0000_546519.0000.ogg,就好像军队的作战单位一样
data/train/546519.0000_548139.0000.ogg,它可以执行某些功能作战
data/train/548559.0000_551019.0000.ogg,而这个整个的节律传导的过程
data/train/551179.0000_553500.0000.ogg,却好像是一个司令部 一个指挥系统
data/train/553519.0000_556500.0000.ogg,那么一般来讲军队不会一下子所有人都死光
data/train/556519.0000_558179.0000.ogg,但是如果指挥系统被干掉了
data/train/558220.0000_559419.0000.ogg,或者出现了混乱的话
data/train/559419.0000_561539.0000.ogg,那么整个这个军队就有可能会失去战斗力
data/train/561539.0000_562179.0000.ogg,而猝死
data/train/562179.0000_564700.0000.ogg,就是因为它的节律调节系统出了问题
data/train/564779.0000_568659.0000.ogg,我们来讲一讲这个心源性的休克
data/train/568919.0000_571899.0000.ogg,心源性休克
data/train/571899.0000_578360.0000.ogg,我们也可以管它叫心源性的猝死 猝死
data/train/578500.0000_581320.0000.ogg,所谓猝死就是很短的时间内这个人就死亡了
data/train/581700.0000_585000.0000.ogg,心源性猝死是最常见的一个猝死的原因
data/train/585019.0000_587759.0000.ogg,心源性猝死当然它本身是有病因的
data/train/587779.0000_590360.0000.ogg,一个正常人 他不会心源性猝死
data/train/591259.0000_592080.0000.ogg,病因是什么呢
data/train/592120.0000_595419.0000.ogg,比如说这个人可能有冠心病 冠心病
data/train/595419.0000_597179.0000.ogg,虽然有可能没有什么表现
data/train/597620.0000_598980.0000.ogg,有可能有心肌炎
data/train/599620.0000_602580.0000.ogg,这个心的肌肉 这个心细胞它发炎了
data/train/602659.0000_605500.0000.ogg,或者说他有先天性的心肌病等等
data/train/606019.0000_608879.0000.ogg,不一而足 有很多种原因
data/train/608899.0000_610799.0000.ogg,但是这些原因不一定有症状
data/train/610820.0000_612559.0000.ogg,比如埃里克森平时非常强壮
data/train/612940.0000_614559.0000.ogg,但他肯定是心脏是有问题的
data/train/614580.0000_616759.0000.ogg,如果他非常正常 他是不会突然倒地的
data/train/616980.0000_619480.0000.ogg,这是病因 然后就是诱因
data/train/619740.0000_623379.0000.ogg,什么时候会突然之间出现心源性猝死呢
data/train/623379.0000_625200.0000.ogg,那么经过这个统计调查
data/train/625220.0000_627139.0000.ogg,人们发现有一些比较常见的诱因
data/train/627139.0000_629139.0000.ogg,第一个就是情绪波动
data/train/629220.0000_631740.0000.ogg,突然之间特别激动 特别兴奋
data/train/632740.0000_635740.0000.ogg,或者是这个特别害怕 特别恐惧等等
data/train/635980.0000_638200.0000.ogg,情绪激动是心源性猝死的一个
data/train/638259.0000_639379.0000.ogg,最重大的一个原因
data/train/639480.0000_643000.0000.ogg,其次还有过劳 长时间劳动
data/train/643539.0000_644600.0000.ogg,比如说那个高以翔
data/train/644779.0000_647279.0000.ogg,他就连续录制节目录制了好长时间 过劳
data/train/647299.0000_651759.0000.ogg,第三个就是这个醉酒 醉酒
data/train/651840.0000_653200.0000.ogg,有人喝了很多酒
data/train/653220.0000_655000.0000.ogg,结果诱发了心源性猝死等等
data/train/655299.0000_657440.0000.ogg,还有一些比如说担心自己的病情
data/train/657700.0000_659799.0000.ogg,反正综合很多种原因等等
data/train/659940.0000_662200.0000.ogg,就跟你的身体或者心理的这个环境
data/train/662399.0000_663360.0000.ogg,有一定的关系
data/train/663360.0000_666399.0000.ogg,那么直接致死的原因是什么呢
data/train/666639.0000_670779.0000.ogg,直接致死的原因就是我们刚才所说的室颤
data/train/671240.0000_672879.0000.ogg,什么叫室颤呢
data/train/672980.0000_674139.0000.ogg,刚才我们说过了
data/train/674139.0000_676500.0000.ogg,就是心脏的整个收缩和舒张过程
data/train/676500.0000_679740.0000.ogg,应该是在窦房结细胞的这个控制之下
data/train/680080.0000_683700.0000.ogg,每0.86秒收缩一次 是这种窦性的心律
data/train/683720.0000_685340.0000.ogg,但是因为某些原因
data/train/685360.0000_688519.0000.ogg,比如说心脏病 冠心病 心肌炎等等这些原因
data/train/688639.0000_690779.0000.ogg,突然之间这个节奏被打乱了
data/train/691259.0000_693919.0000.ogg,整个心脏的跳动不受窦房结控制
data/train/693940.0000_697700.0000.ogg,底下的这个心室开始乱颤 蠕动得非常快
data/train/697720.0000_699779.0000.ogg,可能是每分钟要跳200到500次
data/train/699799.0000_701539.0000.ogg,你本来是每分钟跳100来次
data/train/701539.0000_702820.0000.ogg,结果你跳200到500次
data/train/702820.0000_705360.0000.ogg,正常情况下你每0.86秒崩一次
data/train/705360.0000_706740.0000.ogg,你这么一崩 一崩 一崩
data/train/706759.0000_709039.0000.ogg,这个血液就被挤到这个动脉里边去了
data/train/709460.0000_712139.0000.ogg,但是现在你是这样非常非常快地蠕动
data/train/712139.0000_714120.0000.ogg,这个血液根本来不及到动脉里去
data/train/714120.0000_716039.0000.ogg,血液就在心室里边来回打转
data/train/716039.0000_717600.0000.ogg,它根本就上不到动脉里去
data/train/717700.0000_719620.0000.ogg,上不到动脉里去会有什么情况
data/train/719899.0000_723179.0000.ogg,那比如说你这个上不到主动脉里面去了
data/train/723179.0000_724419.0000.ogg,所以大脑就会缺氧
data/train/724419.0000_725820.0000.ogg,大脑一缺氧怎么着
data/train/725820.0000_729419.0000.ogg,就意识丧失 意识丧失
data/train/729440.0000_732019.0000.ogg,意识一丧失 这个人当然就倒地了
data/train/732039.0000_734100.0000.ogg,像埃里克森 当时就倒地了 对吧
data/train/734320.0000_734940.0000.ogg,除此之外
data/train/734960.0000_737279.0000.ogg,这个血液也没有办法进到这个肺动脉里面去
data/train/737279.0000_738019.0000.ogg,所以怎么样
data/train/738100.0000_742559.0000.ogg,呼吸又会暂停 呼吸暂停
data/train/743399.0000_744179.0000.ogg,除此之外
data/train/744480.0000_747399.0000.ogg,因为这个心脏在频繁的这个蠕动的过程中
data/train/747399.0000_751019.0000.ogg,没有有效地泵步 所以脉搏也消失了
data/train/751360.0000_752820.0000.ogg,所以没有脉搏
data/train/753919.0000_756379.0000.ogg,既没有呼吸 也没有脉搏
data/train/756399.0000_758559.0000.ogg,这种现象人是不是死了呢
data/train/758559.0000_759740.0000.ogg,他不是真正的死亡
data/train/759759.0000_763200.0000.ogg,但是我们给它起个名字 叫做临床死亡
data/train/763519.0000_767720.0000.ogg,临床死亡的意思就是快死了 快死了
data/train/767740.0000_768960.0000.ogg,他有可能被救回来
data/train/768980.0000_771879.0000.ogg,但是他现在正在走向死亡的过程中
data/train/771879.0000_774059.0000.ogg,就根据统计 从这个室颤开始
data/train/774080.0000_777100.0000.ogg,每过一分钟 这个人的救活的概率
data/train/777120.0000_778879.0000.ogg,就减少7%-10%
data/train/779179.0000_781279.0000.ogg,十分钟以后基本上是救不活的 为什么呢
data/train/781419.0000_783519.0000.ogg,因为随着你这个时间的进行
data/train/783620.0000_785759.0000.ogg,你脑部的缺氧时间越来越长
data/train/785779.0000_786720.0000.ogg,所以就出现了什么
data/train/786740.0000_788120.0000.ogg,出现了脑细胞的死亡
data/train/788139.0000_792159.0000.ogg,也就是你的组织 身体的各部分组织会缺氧
data/train/792179.0000_795259.0000.ogg,因为没有血液循环了 所以它就缺乏氧气
data/train/795360.0000_798460.0000.ogg,缺乏氧气之后 那就出现了脑的死亡
data/train/798480.0000_801379.0000.ogg,那紧跟着其他部位也就都死亡了
data/train/801480.0000_803820.0000.ogg,那么一旦组织缺氧 脑死亡
data/train/803840.0000_805139.0000.ogg,身体其他部位也死亡了
data/train/805159.0000_809159.0000.ogg,我们就称之为生物学的死亡 生物学死亡
data/train/809179.0000_810960.0000.ogg,这回就是真死了 救不活了
data/train/810980.0000_813200.0000.ogg,那么从临床死亡到生物学死亡
data/train/813220.0000_814320.0000.ogg,一共需要多长时间呢
data/train/814340.0000_815200.0000.ogg,刚才我们说过
data/train/815220.0000_818720.0000.ogg,每过一分钟生存概率下降7%-10%
data/train/818740.0000_820299.0000.ogg,大约是十分钟
data/train/820399.0000_823159.0000.ogg,如果在十分钟内没有任何抢救的话
data/train/823159.0000_826639.0000.ogg,一个人一旦室颤了 几乎是必死无疑
data/train/826659.0000_829159.0000.ogg,就一个人突然之间没有任何意识 然后倒地了
data/train/829179.0000_830320.0000.ogg,呼吸暂停 心跳停止
data/train/830340.0000_832759.0000.ogg,这个时候如果十分钟之内不抢救
data/train/832779.0000_834120.0000.ogg,这个人必死无疑
data/train/834240.0000_834940.0000.ogg,而且我们说过
data/train/835120.0000_837659.0000.ogg,中国有每年55万的心源性猝死病例
data/train/837679.0000_839299.0000.ogg,绝大多数都是在医院以外的
data/train/839320.0000_840659.0000.ogg,没有专业的护理人员
data/train/840919.0000_843259.0000.ogg,周围你也没有办法在十分钟之内叫到救护车
data/train/843460.0000_845299.0000.ogg,所以说我们必须要每一个普通人
data/train/845299.0000_846899.0000.ogg,都能学会一点急救的常识
data/train/846899.0000_850179.0000.ogg,那我们到底该怎么样进行急救呢
data/train/850259.0000_852899.0000.ogg,我们就来讲一讲急救的话题
data/train/852899.0000_854740.0000.ogg,普通人至少要掌握两件事
data/train/854740.0000_857399.0000.ogg,第一件事叫CPR 心肺复苏
data/train/857399.0000_860820.0000.ogg,第二件事叫操作AED 体外除颤机
data/train/860820.0000_862379.0000.ogg,我们就来介绍一下这两件事
data/train/862480.0000_863899.0000.ogg,首先你发现有一个人
data/train/863899.0000_865860.0000.ogg,像埃里克森一样突然无意识倒地了
data/train/865860.0000_867179.0000.ogg,然后这个时候 你怎么办
data/train/867279.0000_870539.0000.ogg,你首先要确认环境的安全
data/train/870779.0000_873340.0000.ogg,确认环境安全
data/train/873340.0000_874039.0000.ogg,举个例子
data/train/874379.0000_875940.0000.ogg,你比如说这个人倒地了
data/train/875980.0000_878139.0000.ogg,可能是因为 比如说一氧化碳中毒
data/train/878139.0000_878779.0000.ogg,那这个时候
data/train/878779.0000_880820.0000.ogg,你还在这个一氧化碳中毒的地方进行操作
data/train/880820.0000_882100.0000.ogg,那可能过一会你也中毒了
data/train/882500.0000_884460.0000.ogg,所以这个时候我们首先要确认环境安全
data/train/884460.0000_885179.0000.ogg,如果不安全
data/train/885240.0000_888340.0000.ogg,赶紧把人和自己都拖到安全的地方
data/train/888340.0000_889379.0000.ogg,然后再进行处理
data/train/889500.0000_891960.0000.ogg,那么下一步就是按照四个步骤来进行
data/train/891980.0000_894960.0000.ogg,这四个步骤我们分为叫 叫 压 电
data/train/895159.0000_895840.0000.ogg,这四个步骤
data/train/896039.0000_897879.0000.ogg,我们先说第一个步骤 叫
data/train/898100.0000_900139.0000.ogg,什么叫叫呢 就是这个人没有意识了
data/train/900139.0000_902879.0000.ogg,那么他到底是睡着了呢 还是他是晕过去了
data/train/902899.0000_904759.0000.ogg,还是他真正的处于临床死亡状态
data/train/904879.0000_906899.0000.ogg,你得进行判断 怎么判断呢
data/train/906940.0000_910779.0000.ogg,第一个就是拍肩 就是把这个人平躺着
data/train/910840.0000_914179.0000.ogg,然后拍他的肩膀说问 说你还好吗
data/train/914179.0000_915779.0000.ogg,你在不在 能不能听见我说话
data/train/915779.0000_918519.0000.ogg,拍他的肩膀 一边拍一边大声地去喊他
data/train/918899.0000_919679.0000.ogg,然后呼唤
data/train/920419.0000_922340.0000.ogg,那么他如果没有反应怎么办呢
data/train/922340.0000_926820.0000.ogg,这个时候就观察他的呼吸 观察呼吸
data/train/927100.0000_929080.0000.ogg,看一看他有没有呼吸
data/train/929740.0000_931799.0000.ogg,因为普通人判断脉搏 判断不准
data/train/932019.0000_934039.0000.ogg,你摸脖子或者摸手腕摸不出来
data/train/934059.0000_936000.0000.ogg,你看到他呼吸 呼吸怎么看
data/train/936000.0000_938080.0000.ogg,就看他的胸腹部有没有起伏
data/train/938100.0000_941159.0000.ogg,因为正常人他要是晕过去了或者是睡觉了
data/train/941179.0000_942200.0000.ogg,他胸部会这样
data/train/945860.0000_946840.0000.ogg,他会有起伏
data/train/947220.0000_949279.0000.ogg,如果说一个人他心脏骤停了
data/train/949299.0000_950679.0000.ogg,这个时候他胸部不会有起伏
data/train/950700.0000_952840.0000.ogg,观察5到10秒 不要太长
data/train/953259.0000_955700.0000.ogg,因为下面一步紧跟着面临抢救
data/train/955840.0000_958299.0000.ogg,如果他有自主呼吸 胸部有起伏
data/train/958320.0000_959220.0000.ogg,就说明他没事
data/train/959240.0000_960500.0000.ogg,你不要随便去按他
data/train/960620.0000_962399.0000.ogg,但他如果没有自主呼吸
data/train/962419.0000_964000.0000.ogg,而你拍他肩膀 他也没有反应
data/train/964019.0000_966039.0000.ogg,这个时候就要进入下一个步骤了
data/train/966240.0000_968460.0000.ogg,下一个步骤还叫叫
data/train/968580.0000_969419.0000.ogg,叫谁呢
data/train/969419.0000_971899.0000.ogg,叫其他人来帮忙 就是大声求救
data/train/972179.0000_975500.0000.ogg,说有人出现了心源性猝死 是吧
data/train/975500.0000_976299.0000.ogg,快来帮帮我
data/train/976299.0000_977259.0000.ogg,帮我干什么呢
data/train/977620.0000_978580.0000.ogg,打急救电话
data/train/978580.0000_981919.0000.ogg,比如说120 打急救电话
data/train/982080.0000_983120.0000.ogg,帮你打电话
data/train/983220.0000_985639.0000.ogg,同时还要去找一个东西
data/train/985659.0000_989320.0000.ogg,那就是救命神器体外除颤机AED
data/train/989399.0000_990440.0000.ogg,如果有AED
data/train/990440.0000_992360.0000.ogg,让别人赶快把AED给你拿过来
data/train/992360.0000_993639.0000.ogg,这是第三个步骤
data/train/993899.0000_996080.0000.ogg,那么第四个步骤就是压
data/train/996539.0000_999659.0000.ogg,在120赶来的这个过程中
data/train/999659.0000_1002220.0000.ogg,以及别人去找AED的这过程中 你不能停下
data/train/1002340.0000_1003960.0000.ogg,你要做一个最重要的过程
data/train/1003960.0000_1006320.0000.ogg,那就是心肺复苏 也就是CPR
data/train/1006899.0000_1008279.0000.ogg,什么叫心肺复苏呢
data/train/1008299.0000_1010559.0000.ogg,就是把这个人这个衣服解开 是吧
data/train/1010580.0000_1012240.0000.ogg,露出胸膛 平躺露出胸膛
data/train/1012259.0000_1017320.0000.ogg,然后两个手交叉地按到他双乳中间的这个部位
data/train/1017320.0000_1018860.0000.ogg,然后往下按 按 按 按
data/train/1019039.0000_1023600.0000.ogg,每一次按 就是按5-6厘米
data/train/1023620.0000_1025240.0000.ogg,成人的话 按5-6厘米
data/train/1025259.0000_1027200.0000.ogg,小孩的话 是按4厘米 是吧
data/train/1027220.0000_1028980.0000.ogg,就是往下按 按5-6厘米
data/train/1028980.0000_1029559.0000.ogg,然后松开
data/train/1029579.0000_1031519.0000.ogg,一定要注意松开 让他恢复
data/train/1031598.0000_1033279.0000.ogg,再按5到6厘米再松开
data/train/1033299.0000_1038720.0000.ogg,频率大概是100到120次每分钟
data/train/1039339.0000_1040858.0000.ogg,这个过程是非常难的
data/train/1040880.0000_1044380.0000.ogg,一个强壮的人按个几分钟他就会非常累
data/train/1044380.0000_1045680.0000.ogg,所以他得换班 是吧
data/train/1045700.0000_1047440.0000.ogg,这一个人按个几分钟
data/train/1047460.0000_1049000.0000.ogg,另外一个人再换过来再去按
data/train/1049079.0000_1051740.0000.ogg,中间的停顿时间不要超过10秒
data/train/1051759.0000_1053619.0000.ogg,我们按的过程到底是要干什么
data/train/1053759.0000_1055700.0000.ogg,就是他现在心脏不是不工作了吗
data/train/1055720.0000_1057980.0000.ogg,现在我用力往下按 按他的心脏
data/train/1058000.0000_1060660.0000.ogg,让这个心室的血液还是可以泵出去 对吧
data/train/1060660.0000_1061940.0000.ogg,虽然你心脏不工作了
data/train/1061940.0000_1063420.0000.ogg,但是我通过这种按的方法
data/train/1063420.0000_1065900.0000.ogg,我可以让你的血还是泵到主动脉里去
data/train/1066019.0000_1068440.0000.ogg,维持你身体的这个血液的循环
data/train/1068460.0000_1069819.0000.ogg,如果没有这个步骤
data/train/1069819.0000_1072299.0000.ogg,很快他的大脑就会因为缺氧而死亡
data/train/1072299.0000_1075099.0000.ogg,你现在每按一下 就是给他的大脑一些氧
data/train/1075180.0000_1077619.0000.ogg,你再按一下 就是再给他大脑一些氧
data/train/1077759.0000_1079900.0000.ogg,咱们可以想象 这过程是不能停下来的
data/train/1080619.0000_1083259.0000.ogg,要按照100到120次/分的这个频率
data/train/1083279.0000_1084900.0000.ogg,按5-6厘米这么往下按
data/train/1084920.0000_1088319.0000.ogg,然后按30次之后 再加两次人工呼吸
data/train/1088579.0000_1091259.0000.ogg,30次之后再加两次人工呼吸
data/train/1091259.0000_1092420.0000.ogg,那么现在疫情期间
data/train/1093220.0000_1095579.0000.ogg,这个国际上也说你也可以不做人工呼吸
data/train/1095579.0000_1097460.0000.ogg,你就一直按 你就一直按 是吧
data/train/1097480.0000_1098380.0000.ogg,当然要换班
data/train/1098380.0000_1099839.0000.ogg,一个人按的话 可能会比较费劲儿
data/train/1099839.0000_1102700.0000.ogg,一定要按到5-6厘米才会有效
data/train/1103160.0000_1104240.0000.ogg,一定要按到这个深度
data/train/1104240.0000_1105500.0000.ogg,那5-6厘米大概是这么深
data/train/1105599.0000_1107039.0000.ogg,因此活人是不能按的
data/train/1107039.0000_1109000.0000.ogg,你活人按的话会非常疼痛
data/train/1109059.0000_1111039.0000.ogg,甚至可能会把这个肋骨压断
data/train/1111039.0000_1113619.0000.ogg,那你说如果这个人他是临床死亡的
data/train/1113619.0000_1115059.0000.ogg,你这么按 不会把肋骨压断吗
data/train/1115119.0000_1115980.0000.ogg,也有可能
data/train/1116000.0000_1119180.0000.ogg,但是把肋骨压断不是致死性的
data/train/1119180.0000_1121299.0000.ogg,如果缺氧 他是致死性的
data/train/1121319.0000_1123220.0000.ogg,所以两害相权取其轻
data/train/1123240.0000_1125299.0000.ogg,这种情况下 宁可把肋骨压断
data/train/1125319.0000_1127380.0000.ogg,也要按到5-6厘米 是吧
data/train/1127400.0000_1128380.0000.ogg,要这么一直按下去
data/train/1128500.0000_1130160.0000.ogg,好 这是第四个步骤压
data/train/1130160.0000_1133460.0000.ogg,那么最后我们终于有人找来了这个体外除颤机
data/train/1133460.0000_1134000.0000.ogg,也就是AED
data/train/1134000.0000_1136519.0000.ogg,我们找到这个体外除颤机之后干什么呢
data/train/1136819.0000_1139279.0000.ogg,把这个体外除颤机拿过来电人
data/train/1139279.0000_1140400.0000.ogg,这就最后一个步骤
data/train/1140400.0000_1142539.0000.ogg,也就是使用AED
data/train/1142839.0000_1144880.0000.ogg,那么AED的使用是非常简单的
data/train/1144880.0000_1147180.0000.ogg,因为它是全自动的傻瓜式的
data/train/1147319.0000_1149839.0000.ogg,你只要开机了之后 它就会给你自动语音提示
data/train/1149839.0000_1151920.0000.ogg,第一个步骤 把这个片贴上
data/train/1151920.0000_1153319.0000.ogg,它有一个电极片
data/train/1153420.0000_1155539.0000.ogg,你把这个电极片上面那个膜撕下来
data/train/1155539.0000_1157299.0000.ogg,然后按照那个图示贴到两个部位
data/train/1157299.0000_1160920.0000.ogg,一个是这个人的右上方这个肩膀以下的部位
data/train/1161019.0000_1162980.0000.ogg,另外一个是他左乳下的部位
data/train/1162980.0000_1165579.0000.ogg,这两个上面都会有提示的 按照提示贴好了
data/train/1165680.0000_1167240.0000.ogg,贴好之后松手
data/train/1167480.0000_1169440.0000.ogg,松手 让所有人松手
data/train/1169440.0000_1172000.0000.ogg,然后这个机器会自动进行分析
data/train/1172099.0000_1175859.0000.ogg,分析一下 说这个人到底应不应该进行电除颤
data/train/1175859.0000_1177299.0000.ogg,什么叫电除颤呢
data/train/1177299.0000_1180019.0000.ogg,就是给一个强大的电流通到心脏里面去
data/train/1180099.0000_1182440.0000.ogg,你这个心室不是在那乱颤吗 对不对
data/train/1182460.0000_1183440.0000.ogg,乱颤 不听指挥
data/train/1183700.0000_1185960.0000.ogg,我现在一声令下 全都给我老实点
data/train/1186099.0000_1189200.0000.ogg,所有的这个心肌细胞都停下来 谁都不要再动
data/train/1189220.0000_1190279.0000.ogg,这个时候你不要忘了
data/train/1190299.0000_1193440.0000.ogg,这个窦房结它是有自主的这个节律功能的
data/train/1193440.0000_1194880.0000.ogg,所以当所有人都停下来之后
data/train/1194900.0000_1196920.0000.ogg,它就会说 好 现在我们再动起来吧
data/train/1196920.0000_1198980.0000.ogg,你就会恢复窦性心律了 是吧
data/train/1198980.0000_1201420.0000.ogg,所以就是当你发生房颤的时候
data/train/1201420.0000_1202920.0000.ogg,你这个心脏出现了问题
data/train/1202940.0000_1204380.0000.ogg,我让你所有都停下来
data/train/1204380.0000_1206420.0000.ogg,我分析分析你有没有这个症状
data/train/1206420.0000_1208259.0000.ogg,如果有 我就放电
data/train/1208400.0000_1210299.0000.ogg,那放电的时候它会提示你的
data/train/1210299.0000_1211859.0000.ogg,那么如果你不是这个样子的
data/train/1211859.0000_1214539.0000.ogg,比如说你整个心脏都已经停了
data/train/1214539.0000_1215920.0000.ogg,那这个时候放电是没有用的
data/train/1216019.0000_1217099.0000.ogg,我们在电视里面看到说
data/train/1217099.0000_1219279.0000.ogg,说这个人他的心电图已经直线了
data/train/1219299.0000_1220839.0000.ogg,我再去电他 那没有用
data/train/1220859.0000_1222720.0000.ogg,你必须是心电图还有
data/train/1222740.0000_1224920.0000.ogg,只不过他的这个跳动非常紊乱
data/train/1225039.0000_1226819.0000.ogg,这个时候我去电他才是有用的
data/train/1226839.0000_1227599.0000.ogg,我的目的
data/train/1227599.0000_1230059.0000.ogg,是为了把这些乱七八糟的这个颤抖停下来
data/train/1230140.0000_1230980.0000.ogg,全都老实的
data/train/1231000.0000_1234339.0000.ogg,然后从窦房结开始重新引起这个跳动 是不是
data/train/1234339.0000_1235819.0000.ogg,当然你不要去担心
data/train/1235819.0000_1237579.0000.ogg,说万一要是这个人明明是活的
data/train/1237579.0000_1238900.0000.ogg,我电他一下他电死了怎么办
data/train/1238900.0000_1239440.0000.ogg,不会的
data/train/1239539.0000_1240059.0000.ogg,为什么呢
data/train/1240059.0000_1241799.0000.ogg,因为这个AED是非常智能的
data/train/1241819.0000_1242839.0000.ogg,它会先去分析
data/train/1242859.0000_1244599.0000.ogg,如果它分析完了之后说
data/train/1244619.0000_1246779.0000.ogg,这个人他不需要进行电击
data/train/1246960.0000_1249539.0000.ogg,那么它会提示你请继续进行CPR
data/train/1249559.0000_1251619.0000.ogg,你就重复第四个步骤 是吧
data/train/1251640.0000_1253779.0000.ogg,如果它提示你说现在应该放电了
data/train/1253799.0000_1256259.0000.ogg,那么请所有人松手 然后按一下放电的按钮
data/train/1256400.0000_1257700.0000.ogg,这个时候它就会进行放电
data/train/1257819.0000_1260880.0000.ogg,放完了电之后它还会提示你请继续进行CPR
data/train/1260880.0000_1262259.0000.ogg,然后你还得进行按压
data/train/1262359.0000_1263640.0000.ogg,所以这个过程是非常累的
data/train/1263640.0000_1266180.0000.ogg,按到什么时候才不按了呢
data/train/1266200.0000_1267160.0000.ogg,有几个标准
data/train/1267160.0000_1269519.0000.ogg,第一个标准就是按到救护车来了
data/train/1269519.0000_1270480.0000.ogg,你就可以不按了
data/train/1270559.0000_1271420.0000.ogg,第二个标准就是
data/train/1271440.0000_1274319.0000.ogg,按到这个人恢复意识 恢复自主呼吸了
data/train/1274319.0000_1275299.0000.ogg,你就可以不按了
data/train/1275299.0000_1278619.0000.ogg,第三就是按照你实在按不动了 就可以不按了
data/train/1278940.0000_1280220.0000.ogg,就是这么几种情况
data/train/1280220.0000_1281900.0000.ogg,那么经过统计发现
data/train/1281900.0000_1283579.0000.ogg,如果这个人什么都不干
data/train/1283880.0000_1285660.0000.ogg,遇到了室颤的这种情况
data/train/1285660.0000_1287740.0000.ogg,死亡率咱说的是100%嘛 对吧
data/train/1287740.0000_1290059.0000.ogg,那么如果我们单纯的进行CPR
data/train/1290059.0000_1291619.0000.ogg,就是按压的这个工作
data/train/1291640.0000_1294740.0000.ogg,那么他的生存率可以达到16.6%
data/train/1294880.0000_1297319.0000.ogg,16.6%的人可以生存下来
data/train/1297319.0000_1299880.0000.ogg,那么如果他有了这个AED除颤机呢
data/train/1299880.0000_1303240.0000.ogg,他的生存率可以达到53.3%
data/train/1303680.0000_1306500.0000.ogg,所以在黄金的几分钟时间内
data/train/1306500.0000_1308220.0000.ogg,快速地进行心肺复苏
data/train/1308220.0000_1309759.0000.ogg,以及用AED进行除颤
data/train/1309759.0000_1311759.0000.ogg,只有这样才能让这个人生存下来
data/train/1312000.0000_1314000.0000.ogg,就像埃里克森 他就是非常的幸运
data/train/1314079.0000_1316359.0000.ogg,应该说我们国家这个AED的配备
data/train/1316519.0000_1317880.0000.ogg,跟发达国家还是差得很远的
data/train/1317880.0000_1318880.0000.ogg,比如说美国和日本
data/train/1319079.0000_1321880.0000.ogg,他们每10万人配备的AED有好几百台
data/train/1321920.0000_1323119.0000.ogg,在2002年的时候
data/train/1323119.0000_1324960.0000.ogg,日本明仁天皇的弟弟宪仁亲王
data/train/1325039.0000_1327220.0000.ogg,就是因为这个心源性猝死而死的
data/train/1327220.0000_1328599.0000.ogg,所以从2004年开始
data/train/1328599.0000_1330559.0000.ogg,日本就开始在全国大规模的推广
data/train/1330559.0000_1332200.0000.ogg,公共场所的这个AED设备
data/train/1332200.0000_1333960.0000.ogg,现在你在日本的城市街头
data/train/1333960.0000_1335680.0000.ogg,随处可见都是AED设备
data/train/1335680.0000_1337359.0000.ogg,同时还有一个AED地图
data/train/1337539.0000_1338519.0000.ogg,你只要打开地图
data/train/1338519.0000_1340940.0000.ogg,就能够找到离你最近的这个AED除颤机
data/train/1340940.0000_1342779.0000.ogg,在国内做得比较好的是深圳
data/train/1342980.0000_1345779.0000.ogg,每10万人拥有AED设备17.5台
data/train/1345779.0000_1348460.0000.ogg,大约相当于美国和日本的二三十分之一
data/train/1348859.0000_1350500.0000.ogg,但是我们在很多其它的城市
data/train/1350500.0000_1352400.0000.ogg,可能很多人都没有见过AED这个东西
data/train/1352400.0000_1355019.0000.ogg,按照中国每年55万人的比例进行计算
data/train/1355119.0000_1356220.0000.ogg,每一个人在一年之中
data/train/1356240.0000_1358900.0000.ogg,发生心源性猝死的概率大约是万分之四
data/train/1358940.0000_1360140.0000.ogg,这个比例可不低
data/train/1360160.0000_1361059.0000.ogg,所以有专家建议
data/train/1361200.0000_1363619.0000.ogg,在人数超过三千人的工厂 学校
data/train/1363799.0000_1365039.0000.ogg,商店 医院里面
data/train/1365039.0000_1366900.0000.ogg,都应该配备这种AED设备
data/train/1367000.0000_1368440.0000.ogg,2020年10月27日
data/train/1368700.0000_1370339.0000.ogg,北京市开始在轨道交通
data/train/1370339.0000_1372240.0000.ogg,也就是地铁站上面布置AED设备
data/train/1372240.0000_1374079.0000.ogg,在2021年5月24号的时候
data/train/1374240.0000_1376660.0000.ogg,9号线北京西站就有一位乘客
data/train/1376660.0000_1378279.0000.ogg,突然之间发生心源性猝死
data/train/1378279.0000_1381079.0000.ogg,而站台的工作人员也熟练地使用了AED设备
data/train/1381079.0000_1382019.0000.ogg,并且把他救活了
data/train/1382079.0000_1384339.0000.ogg,现在国家也加大了这方面的投入
data/train/1384359.0000_1386740.0000.ogg,我们在很多地方都能够看到AED设备
data/train/1387119.0000_1389460.0000.ogg,我们先到这里来看一下
data/train/1392519.0000_1393380.0000.ogg,这里有一台
data/train/1395339.0000_1397019.0000.ogg,我们再到这个楼里看一下
data/train/1399220.0000_1400660.0000.ogg,这边好像没有
data/train/1402039.0000_1403920.0000.ogg,这里就有
data/train/1404319.0000_1406880.0000.ogg,隐藏在我的这个夹角这 看不见
data/train/1407200.0000_1408420.0000.ogg,看食堂里面有没有
data/train/1410940.0000_1412779.0000.ogg,一进门就有一台
data/train/1413700.0000_1415019.0000.ogg,我们再来看看这个楼
data/train/1417980.0000_1420000.0000.ogg,在电梯口这有一台
data/train/1420700.0000_1422660.0000.ogg,再看看这上面也写着
data/train/1423259.0000_1424799.0000.ogg,如果我们发现了这个标志
data/train/1424819.0000_1427019.0000.ogg,就说明附近一定有AED
data/train/1429640.0000_1430839.0000.ogg,很好找 对吧
data/train/1431180.0000_1433039.0000.ogg,希望大家如果见到这种设备的话
data/train/1433059.0000_1434759.0000.ogg,不妨把它拍下来发一个朋友圈
data/train/1434779.0000_1437400.0000.ogg,让周围的人也知道这些设备究竟在什么地方
data/train/1437420.0000_1438480.0000.ogg,以备不时之需
data/train/1438500.0000_1441240.0000.ogg,还有人说就算我有AED设备 我也不会去用的
data/train/1441259.0000_1442000.0000.ogg,第一 我不会
data/train/1442200.0000_1442940.0000.ogg,第二 我不敢
data/train/1443099.0000_1445180.0000.ogg,不会的原因是因为我没有经过培训
data/train/1445180.0000_1447420.0000.ogg,不敢的原因是怕被救的人讹我
data/train/1447420.0000_1450319.0000.ogg,实际上体外自动除颤机是非常智能化的
data/train/1450319.0000_1451720.0000.ogg,你只要根据它的语音提示
data/train/1451720.0000_1452940.0000.ogg,即便你从来没有接触过
data/train/1453059.0000_1454519.0000.ogg,一样是可以进行操作的
data/train/1454539.0000_1456859.0000.ogg,而在2017年的时候《民法典》也规定
data/train/1456859.0000_1458680.0000.ogg,因自愿实行紧急救助行为
data/train/1458700.0000_1460539.0000.ogg,而使受助人发生损害的
data/train/1460539.0000_1461960.0000.ogg,救助人不承担民事责任
data/train/1461980.0000_1462920.0000.ogg,我们可以想象一下
data/train/1462940.0000_1465299.0000.ogg,假如我们有一天突然出现了心源性猝死
data/train/1465299.0000_1466039.0000.ogg,而倒在地上
data/train/1466059.0000_1468680.0000.ogg,我们是否希望周围的人用AED救我们呢
data/train/1636619.0000_1637579.0000.ogg,大家如果喜欢我的的视频
data/train/1637579.0000_1639039.0000.ogg,可以在YouTube账号李永乐老师里订阅我
data/train/1639039.0000_1641240.0000.ogg,点击小铃铛可以第一时间获得更新信息
data/train/282300.0000_284159.0000.ogg,它可以把肺里边的这个氧气
data/train/284180.0000_286079.0000.ogg,带到身体的各个部位 对吧
data/train/286100.0000_288639.0000.ogg,那么这里面功能最重要的是哪一个呢
data/train/288759.0000_289980.0000.ogg,是这个左心室
data/train/290159.0000_290680.0000.ogg,为什么呢
data/train/290680.0000_292159.0000.ogg,因为左心室的功能
data/train/292399.0000_294720.0000.ogg,是把动脉血泵到全身各处
data/train/294720.0000_296800.0000.ogg,如果你左心室不工作了
data/train/296800.0000_298079.0000.ogg,或者工作能力很差的话
data/train/298079.0000_300399.0000.ogg,这个血液就没有办法泵到全身各处了
data/train/300560.0000_302860.0000.ogg,它如果不能泵到全身各处的话
data/train/302920.0000_305220.0000.ogg,那么身体的细胞就会缺血而死亡
data/train/305220.0000_306480.0000.ogg,最主要的就是大脑
data/train/306500.0000_307420.0000.ogg,大脑一旦缺血了
data/train/307420.0000_309220.0000.ogg,这个人就会不可逆的受损 对吧
data/train/309240.0000_310019.0000.ogg,最后就死亡了
data/train/310279.0000_312379.0000.ogg,所以左心室是绝对不能够出问题的
data/train/312399.0000_314620.0000.ogg,心房出问题倒还问题不大 是吧
data/train/314639.0000_316480.0000.ogg,因为心房主要是接受回流血
data/train/316480.0000_318519.0000.ogg,所以有些人心房出现了房颤
data/train/318519.0000_320480.0000.ogg,或者是这个有人天生没有心房
data/train/320540.0000_321360.0000.ogg,但他还可以活
data/train/321360.0000_322720.0000.ogg,但心室如果出了问题
data/train/322720.0000_324079.0000.ogg,那这人就一定会死 是吧
data/train/324079.0000_325839.0000.ogg,就是因为它的作用是把血泵出去
data/train/325839.0000_326879.0000.ogg,它的作用非常大
data/train/326959.0000_329980.0000.ogg,那么为什么心脏可以有规律地一次一次泵呢
data/train/330100.0000_333860.0000.ogg,我们来讨论一下心脏的节律是如何产生的
data/train/334040.0000_335819.0000.ogg,就是你说这个细胞可以收缩
data/train/335839.0000_336259.0000.ogg,我知道
data/train/336279.0000_338699.0000.ogg,但是它为什么能够有规律地收缩 是吧
data/train/338720.0000_340259.0000.ogg,我每分钟心跳的次数
data/train/340259.0000_342199.0000.ogg,就是什么80到100 还是120
data/train/342199.0000_342980.0000.ogg,这些次数
data/train/343000.0000_344980.0000.ogg,为什么它是有规律的收缩呢
data/train/345159.0000_346379.0000.ogg,我们再来画一个心脏
data/train/346720.0000_347939.0000.ogg,好 我又画了一个心脏
data/train/347939.0000_348480.0000.ogg,大家来看
data/train/348759.0000_352620.0000.ogg,在这个心脏的大静脉和右心房之间
data/train/352959.0000_353959.0000.ogg,在这个地方
data/train/354040.0000_357019.0000.ogg,有一个特异化的心肌细胞结
data/train/357040.0000_361100.0000.ogg,那这个结我们给它起个名字叫窦房结
data/train/361620.0000_363399.0000.ogg,窦房结
data/train/363740.0000_365279.0000.ogg,为什么叫窦房结呢
data/train/365279.0000_367720.0000.ogg,窦就是身体内部空洞的意思
data/train/367899.0000_370019.0000.ogg,比如说鼻子这有个空洞叫鼻窦 是吧
data/train/370079.0000_371740.0000.ogg,鼻窦发炎了就叫鼻窦炎
data/train/372060.0000_373699.0000.ogg,那么这里面有一个大静脉
data/train/373699.0000_374800.0000.ogg,这大静脉也是空洞
data/train/374800.0000_375579.0000.ogg,所以叫窦
data/train/375579.0000_376819.0000.ogg,这边是心房
data/train/376819.0000_378959.0000.ogg,所以就是窦和房中间的一个结
data/train/378959.0000_379740.0000.ogg,叫窦房结
data/train/379839.0000_381439.0000.ogg,这个窦房结有什么特点呢
data/train/381439.0000_384600.0000.ogg,就是它可以有规律地释放出电信号
data/train/385000.0000_388720.0000.ogg,它的这个电信号其实就是指挥整个心脏跳动的
data/train/388899.0000_390459.0000.ogg,所以它就是司令部 是吧
data/train/390459.0000_392220.0000.ogg,它可以释放电信号
data/train/392220.0000_395459.0000.ogg,这个电信号首先会释放到心房这儿
data/train/395459.0000_397079.0000.ogg,释放到心房这个部位
data/train/397540.0000_398519.0000.ogg,释放到心房这个部位
data/train/398540.0000_400319.0000.ogg,让心房出现收缩的情况
data/train/400899.0000_402360.0000.ogg,但是除了这个主司令
data/train/402379.0000_403480.0000.ogg,它可以有规律的跳动
data/train/403500.0000_405879.0000.ogg,而且这个周期是0.86秒
data/train/406139.0000_408000.0000.ogg,周期大约是0.86秒
data/train/408360.0000_410839.0000.ogg,所以你可以算出来一分钟你应该心跳多少次
data/train/410980.0000_412659.0000.ogg,那么除了这个主司令以外
data/train/412659.0000_413899.0000.ogg,其实还有一个副司令
data/train/413899.0000_416860.0000.ogg,就是在这个心房和心室中间
data/train/416920.0000_418839.0000.ogg,这个地方还有一个结
data/train/419240.0000_423660.0000.ogg,这个结就叫房室结 房室结
data/train/423959.0000_426139.0000.ogg,就是心房和心室之间的结
data/train/426800.0000_428740.0000.ogg,它也可以发出指令 是吧
data/train/428759.0000_429899.0000.ogg,如果这个不工作了
data/train/429920.0000_430959.0000.ogg,那它就跟着工作
data/train/430959.0000_432660.0000.ogg,它是副司令 它是主司令
data/train/432819.0000_433899.0000.ogg,那么继续
data/train/434019.0000_436259.0000.ogg,这个电信号是如何传导的呢
data/train/436259.0000_439540.0000.ogg,首先这个窦房结出现了一次电脉冲
data/train/439540.0000_443180.0000.ogg,之后它就会沿着这个一条路径
data/train/443180.0000_444699.0000.ogg,传到这个房室结这儿
data/train/444699.0000_446939.0000.ogg,这条路径就叫做结间束
data/train/446939.0000_448339.0000.ogg,两个结之间的一束
data/train/448699.0000_450879.0000.ogg,然后这个路径会继续往下传
data/train/451139.0000_453279.0000.ogg,这个电冲动继续往下传
data/train/453379.0000_456500.0000.ogg,传到这样的一个分叉的结构上
data/train/456519.0000_457819.0000.ogg,这个分叉的结构
data/train/458079.0000_462720.0000.ogg,我们给它起个名字叫做希氏束 希氏束
data/train/463420.0000_466800.0000.ogg,然后这个希氏束继续往前传 是吧
data/train/466800.0000_467439.0000.ogg,继续往前传
data/train/467439.0000_471079.0000.ogg,从底下再传回来 再传回来
data/train/471180.0000_472060.0000.ogg,这些个部位
data/train/472060.0000_474220.0000.ogg,这个可以接受电信号的这个纤维
data/train/474220.0000_475420.0000.ogg,我们给它起个名字
data/train/475420.0000_480040.0000.ogg,叫做浦肯野纤维
data/train/480040.0000_482180.0000.ogg,这些个名字大家都不用管
data/train/482199.0000_485139.0000.ogg,你只要知道这个黄色的部分就是什么呢
data/train/485160.0000_487759.0000.ogg,就是传递电信号的通道
data/train/487860.0000_489480.0000.ogg,这个地方应该不是黄色的
data/train/490319.0000_493120.0000.ogg,就这个黄色的部分从这个窦房结开始是吧
data/train/493120.0000_495519.0000.ogg,到这个房室结到这边希氏束到这儿
data/train/495860.0000_496920.0000.ogg,浦肯野纤维
data/train/496920.0000_500040.0000.ogg,它有一个这样的这个电信号的传导过程
data/train/500040.0000_502360.0000.ogg,也就是说我司令部一说咱们开始收缩
data/train/502600.0000_504079.0000.ogg,首先就是心房开始收缩
data/train/504079.0000_505560.0000.ogg,然后电信号接着往下传
data/train/505560.0000_507000.0000.ogg,这样一来心室也开始收缩
data/train/507000.0000_508160.0000.ogg,完成一个收缩过程
data/train/508160.0000_509560.0000.ogg,然后这次电信号再来
data/train/509560.0000_511519.0000.ogg,然后再进行一次又一次的收缩
data/train/511720.0000_513919.0000.ogg,所以如果有规律地收缩的话
data/train/514019.0000_516820.0000.ogg,它就应该是由窦房结的冲动开始的
data/train/516840.0000_519700.0000.ogg,因此我们管正常的心跳的就叫什么心率
data/train/519720.0000_521200.0000.ogg,就叫窦性心律
data/train/521600.0000_524700.0000.ogg,但是如果说你这个心跳不是由窦房结出发的
data/train/524720.0000_526000.0000.ogg,它心跳是乱跳的
data/train/526179.0000_529740.0000.ogg,那就出现了颤抖 颤抖又分为房颤和室颤
data/train/529740.0000_531019.0000.ogg,根据我们刚才的叙述
data/train/531059.0000_534299.0000.ogg,我们已经知道了这个心室它是用来泵血的
data/train/534379.0000_536779.0000.ogg,所以说如果心室发生了颤抖的话
data/train/536779.0000_538080.0000.ogg,结果会非常可怕
data/train/538100.0000_541500.0000.ogg,我们所知的心源性猝死大部分都会出现室颤
data/train/541580.0000_542980.0000.ogg,如果我们打个比方的话
data/train/543019.0000_544580.0000.ogg,这个泵部的这个功能
data/train/544740.0000_546519.0000.ogg,就好像军队的作战单位一样
data/train/546519.0000_548139.0000.ogg,它可以执行某些功能作战
data/train/548559.0000_551019.0000.ogg,而这个整个的节律传导的过程
data/train/551179.0000_553500.0000.ogg,却好像是一个司令部 一个指挥系统
data/train/553519.0000_556500.0000.ogg,那么一般来讲军队不会一下子所有人都死光
data/train/556519.0000_558179.0000.ogg,但是如果指挥系统被干掉了
data/train/558220.0000_559419.0000.ogg,或者出现了混乱的话
data/train/559419.0000_561539.0000.ogg,那么整个这个军队就有可能会失去战斗力
data/train/561539.0000_562179.0000.ogg,而猝死
data/train/562179.0000_564700.0000.ogg,就是因为它的节律调节系统出了问题
data/train/564779.0000_568659.0000.ogg,我们来讲一讲这个心源性的休克
data/train/568919.0000_571899.0000.ogg,心源性休克
data/train/571899.0000_578360.0000.ogg,我们也可以管它叫心源性的猝死 猝死
data/train/578500.0000_581320.0000.ogg,所谓猝死就是很短的时间内这个人就死亡了
data/train/581700.0000_585000.0000.ogg,心源性猝死是最常见的一个猝死的原因
data/train/585019.0000_587759.0000.ogg,心源性猝死当然它本身是有病因的
data/train/587779.0000_590360.0000.ogg,一个正常人 他不会心源性猝死
data/train/591259.0000_592080.0000.ogg,病因是什么呢
data/train/592120.0000_595419.0000.ogg,比如说这个人可能有冠心病 冠心病
data/train/595419.0000_597179.0000.ogg,虽然有可能没有什么表现
data/train/597620.0000_598980.0000.ogg,有可能有心肌炎
data/train/599620.0000_602580.0000.ogg,这个心的肌肉 这个心细胞它发炎了
data/train/602659.0000_605500.0000.ogg,或者说他有先天性的心肌病等等
data/train/606019.0000_608879.0000.ogg,不一而足 有很多种原因
data/train/608899.0000_610799.0000.ogg,但是这些原因不一定有症状
data/train/610820.0000_612559.0000.ogg,比如埃里克森平时非常强壮
data/train/612940.0000_614559.0000.ogg,但他肯定是心脏是有问题的
data/train/614580.0000_616759.0000.ogg,如果他非常正常 他是不会突然倒地的
data/train/616980.0000_619480.0000.ogg,这是病因 然后就是诱因
data/train/619740.0000_623379.0000.ogg,什么时候会突然之间出现心源性猝死呢
data/train/623379.0000_625200.0000.ogg,那么经过这个统计调查
data/train/625220.0000_627139.0000.ogg,人们发现有一些比较常见的诱因
data/train/627139.0000_629139.0000.ogg,第一个就是情绪波动
data/train/629220.0000_631740.0000.ogg,突然之间特别激动 特别兴奋
data/train/632740.0000_635740.0000.ogg,或者是这个特别害怕 特别恐惧等等
data/train/635980.0000_638200.0000.ogg,情绪激动是心源性猝死的一个
data/train/638259.0000_639379.0000.ogg,最重大的一个原因
data/train/639480.0000_643000.0000.ogg,其次还有过劳 长时间劳动
data/train/643539.0000_644600.0000.ogg,比如说那个高以翔
data/train/644779.0000_647279.0000.ogg,他就连续录制节目录制了好长时间 过劳
data/train/647299.0000_651759.0000.ogg,第三个就是这个醉酒 醉酒
data/train/651840.0000_653200.0000.ogg,有人喝了很多酒
data/train/653220.0000_655000.0000.ogg,结果诱发了心源性猝死等等
data/train/655299.0000_657440.0000.ogg,还有一些比如说担心自己的病情
data/train/657700.0000_659799.0000.ogg,反正综合很多种原因等等
data/train/659940.0000_662200.0000.ogg,就跟你的身体或者心理的这个环境
data/train/662399.0000_663360.0000.ogg,有一定的关系
data/train/663360.0000_666399.0000.ogg,那么直接致死的原因是什么呢
data/train/666639.0000_670779.0000.ogg,直接致死的原因就是我们刚才所说的室颤
data/train/671240.0000_672879.0000.ogg,什么叫室颤呢
data/train/672980.0000_674139.0000.ogg,刚才我们说过了
data/train/674139.0000_676500.0000.ogg,就是心脏的整个收缩和舒张过程
data/train/676500.0000_679740.0000.ogg,应该是在窦房结细胞的这个控制之下
data/train/680080.0000_683700.0000.ogg,每0.86秒收缩一次 是这种窦性的心律
data/train/683720.0000_685340.0000.ogg,但是因为某些原因
data/train/685360.0000_688519.0000.ogg,比如说心脏病 冠心病 心肌炎等等这些原因
data/train/688639.0000_690779.0000.ogg,突然之间这个节奏被打乱了
data/train/691259.0000_693919.0000.ogg,整个心脏的跳动不受窦房结控制
data/train/693940.0000_697700.0000.ogg,底下的这个心室开始乱颤 蠕动得非常快
data/train/697720.0000_699779.0000.ogg,可能是每分钟要跳200到500次
data/train/699799.0000_701539.0000.ogg,你本来是每分钟跳100来次
data/train/701539.0000_702820.0000.ogg,结果你跳200到500次
data/train/702820.0000_705360.0000.ogg,正常情况下你每0.86秒崩一次
data/train/705360.0000_706740.0000.ogg,你这么一崩 一崩 一崩
data/train/706759.0000_709039.0000.ogg,这个血液就被挤到这个动脉里边去了
data/train/709460.0000_712139.0000.ogg,但是现在你是这样非常非常快地蠕动
data/train/712139.0000_714120.0000.ogg,这个血液根本来不及到动脉里去
data/train/714120.0000_716039.0000.ogg,血液就在心室里边来回打转
data/train/716039.0000_717600.0000.ogg,它根本就上不到动脉里去
data/train/717700.0000_719620.0000.ogg,上不到动脉里去会有什么情况
data/train/719899.0000_723179.0000.ogg,那比如说你这个上不到主动脉里面去了
data/train/723179.0000_724419.0000.ogg,所以大脑就会缺氧
data/train/724419.0000_725820.0000.ogg,大脑一缺氧怎么着
data/train/725820.0000_729419.0000.ogg,就意识丧失 意识丧失
data/train/729440.0000_732019.0000.ogg,意识一丧失 这个人当然就倒地了
data/train/732039.0000_734100.0000.ogg,像埃里克森 当时就倒地了 对吧
data/train/734320.0000_734940.0000.ogg,除此之外
data/train/734960.0000_737279.0000.ogg,这个血液也没有办法进到这个肺动脉里面去
data/train/737279.0000_738019.0000.ogg,所以怎么样
data/train/738100.0000_742559.0000.ogg,呼吸又会暂停 呼吸暂停
data/train/743399.0000_744179.0000.ogg,除此之外
data/train/744480.0000_747399.0000.ogg,因为这个心脏在频繁的这个蠕动的过程中
data/train/747399.0000_751019.0000.ogg,没有有效地泵步 所以脉搏也消失了
data/train/751360.0000_752820.0000.ogg,所以没有脉搏
data/train/753919.0000_756379.0000.ogg,既没有呼吸 也没有脉搏
data/train/756399.0000_758559.0000.ogg,这种现象人是不是死了呢
data/train/758559.0000_759740.0000.ogg,他不是真正的死亡
data/train/759759.0000_763200.0000.ogg,但是我们给它起个名字 叫做临床死亡
data/train/763519.0000_767720.0000.ogg,临床死亡的意思就是快死了 快死了
data/train/767740.0000_768960.0000.ogg,他有可能被救回来
data/train/768980.0000_771879.0000.ogg,但是他现在正在走向死亡的过程中
data/train/771879.0000_774059.0000.ogg,就根据统计 从这个室颤开始
data/train/774080.0000_777100.0000.ogg,每过一分钟 这个人的救活的概率
data/train/777120.0000_778879.0000.ogg,就减少7%-10%
data/train/779179.0000_781279.0000.ogg,十分钟以后基本上是救不活的 为什么呢
data/train/781419.0000_783519.0000.ogg,因为随着你这个时间的进行
data/train/783620.0000_785759.0000.ogg,你脑部的缺氧时间越来越长
data/train/785779.0000_786720.0000.ogg,所以就出现了什么
data/train/786740.0000_788120.0000.ogg,出现了脑细胞的死亡
data/train/788139.0000_792159.0000.ogg,也就是你的组织 身体的各部分组织会缺氧
data/train/792179.0000_795259.0000.ogg,因为没有血液循环了 所以它就缺乏氧气
data/train/795360.0000_798460.0000.ogg,缺乏氧气之后 那就出现了脑的死亡
data/train/798480.0000_801379.0000.ogg,那紧跟着其他部位也就都死亡了
data/train/801480.0000_803820.0000.ogg,那么一旦组织缺氧 脑死亡
data/train/803840.0000_805139.0000.ogg,身体其他部位也死亡了
data/train/805159.0000_809159.0000.ogg,我们就称之为生物学的死亡 生物学死亡
data/train/809179.0000_810960.0000.ogg,这回就是真死了 救不活了
data/train/810980.0000_813200.0000.ogg,那么从临床死亡到生物学死亡
data/train/813220.0000_814320.0000.ogg,一共需要多长时间呢
data/train/814340.0000_815200.0000.ogg,刚才我们说过
data/train/815220.0000_818720.0000.ogg,每过一分钟生存概率下降7%-10%
data/train/818740.0000_820299.0000.ogg,大约是十分钟
data/train/820399.0000_823159.0000.ogg,如果在十分钟内没有任何抢救的话
data/train/823159.0000_826639.0000.ogg,一个人一旦室颤了 几乎是必死无疑
data/train/826659.0000_829159.0000.ogg,就一个人突然之间没有任何意识 然后倒地了
data/train/829179.0000_830320.0000.ogg,呼吸暂停 心跳停止
data/train/830340.0000_832759.0000.ogg,这个时候如果十分钟之内不抢救
data/train/832779.0000_834120.0000.ogg,这个人必死无疑
data/train/834240.0000_834940.0000.ogg,而且我们说过
data/train/835120.0000_837659.0000.ogg,中国有每年55万的心源性猝死病例
data/train/837679.0000_839299.0000.ogg,绝大多数都是在医院以外的
data/train/839320.0000_840659.0000.ogg,没有专业的护理人员
data/train/840919.0000_843259.0000.ogg,周围你也没有办法在十分钟之内叫到救护车
data/train/843460.0000_845299.0000.ogg,所以说我们必须要每一个普通人
data/train/845299.0000_846899.0000.ogg,都能学会一点急救的常识
data/train/846899.0000_850179.0000.ogg,那我们到底该怎么样进行急救呢
data/train/850259.0000_852899.0000.ogg,我们就来讲一讲急救的话题
data/train/852899.0000_854740.0000.ogg,普通人至少要掌握两件事
data/train/854740.0000_857399.0000.ogg,第一件事叫CPR 心肺复苏
data/train/857399.0000_860820.0000.ogg,第二件事叫操作AED 体外除颤机
data/train/860820.0000_862379.0000.ogg,我们就来介绍一下这两件事
data/train/862480.0000_863899.0000.ogg,首先你发现有一个人
data/train/863899.0000_865860.0000.ogg,像埃里克森一样突然无意识倒地了
data/train/865860.0000_867179.0000.ogg,然后这个时候 你怎么办
data/train/867279.0000_870539.0000.ogg,你首先要确认环境的安全
data/train/870779.0000_873340.0000.ogg,确认环境安全
data/train/873340.0000_874039.0000.ogg,举个例子
data/train/874379.0000_875940.0000.ogg,你比如说这个人倒地了
data/train/875980.0000_878139.0000.ogg,可能是因为 比如说一氧化碳中毒
data/train/878139.0000_878779.0000.ogg,那这个时候
data/train/878779.0000_880820.0000.ogg,你还在这个一氧化碳中毒的地方进行操作
data/train/880820.0000_882100.0000.ogg,那可能过一会你也中毒了
data/train/882500.0000_884460.0000.ogg,所以这个时候我们首先要确认环境安全
data/train/884460.0000_885179.0000.ogg,如果不安全
data/train/885240.0000_888340.0000.ogg,赶紧把人和自己都拖到安全的地方
data/train/888340.0000_889379.0000.ogg,然后再进行处理
data/train/889500.0000_891960.0000.ogg,那么下一步就是按照四个步骤来进行
data/train/891980.0000_894960.0000.ogg,这四个步骤我们分为叫 叫 压 电
data/train/895159.0000_895840.0000.ogg,这四个步骤
data/train/896039.0000_897879.0000.ogg,我们先说第一个步骤 叫
data/train/898100.0000_900139.0000.ogg,什么叫叫呢 就是这个人没有意识了
data/train/900139.0000_902879.0000.ogg,那么他到底是睡着了呢 还是他是晕过去了
data/train/902899.0000_904759.0000.ogg,还是他真正的处于临床死亡状态
data/train/904879.0000_906899.0000.ogg,你得进行判断 怎么判断呢
data/train/906940.0000_910779.0000.ogg,第一个就是拍肩 就是把这个人平躺着
data/train/910840.0000_914179.0000.ogg,然后拍他的肩膀说问 说你还好吗
data/train/914179.0000_915779.0000.ogg,你在不在 能不能听见我说话
data/train/915779.0000_918519.0000.ogg,拍他的肩膀 一边拍一边大声地去喊他
data/train/918899.0000_919679.0000.ogg,然后呼唤
data/train/920419.0000_922340.0000.ogg,那么他如果没有反应怎么办呢
data/train/922340.0000_926820.0000.ogg,这个时候就观察他的呼吸 观察呼吸
data/train/927100.0000_929080.0000.ogg,看一看他有没有呼吸
data/train/929740.0000_931799.0000.ogg,因为普通人判断脉搏 判断不准
data/train/932019.0000_934039.0000.ogg,你摸脖子或者摸手腕摸不出来
data/train/934059.0000_936000.0000.ogg,你看到他呼吸 呼吸怎么看
data/train/936000.0000_938080.0000.ogg,就看他的胸腹部有没有起伏
data/train/938100.0000_941159.0000.ogg,因为正常人他要是晕过去了或者是睡觉了
data/train/941179.0000_942200.0000.ogg,他胸部会这样
data/train/945860.0000_946840.0000.ogg,他会有起伏
data/train/947220.0000_949279.0000.ogg,如果说一个人他心脏骤停了
data/train/949299.0000_950679.0000.ogg,这个时候他胸部不会有起伏
data/train/950700.0000_952840.0000.ogg,观察5到10秒 不要太长
data/train/953259.0000_955700.0000.ogg,因为下面一步紧跟着面临抢救
data/train/955840.0000_958299.0000.ogg,如果他有自主呼吸 胸部有起伏
data/train/958320.0000_959220.0000.ogg,就说明他没事
data/train/959240.0000_960500.0000.ogg,你不要随便去按他
data/train/960620.0000_962399.0000.ogg,但他如果没有自主呼吸
data/train/962419.0000_964000.0000.ogg,而你拍他肩膀 他也没有反应
data/train/964019.0000_966039.0000.ogg,这个时候就要进入下一个步骤了
data/train/966240.0000_968460.0000.ogg,下一个步骤还叫叫
data/train/968580.0000_969419.0000.ogg,叫谁呢
data/train/969419.0000_971899.0000.ogg,叫其他人来帮忙 就是大声求救
data/train/972179.0000_975500.0000.ogg,说有人出现了心源性猝死 是吧
data/train/975500.0000_976299.0000.ogg,快来帮帮我
data/train/976299.0000_977259.0000.ogg,帮我干什么呢
data/train/977620.0000_978580.0000.ogg,打急救电话
data/train/978580.0000_981919.0000.ogg,比如说120 打急救电话
data/train/982080.0000_983120.0000.ogg,帮你打电话
data/train/983220.0000_985639.0000.ogg,同时还要去找一个东西
data/train/985659.0000_989320.0000.ogg,那就是救命神器体外除颤机AED
data/train/989399.0000_990440.0000.ogg,如果有AED
data/train/990440.0000_992360.0000.ogg,让别人赶快把AED给你拿过来
data/train/992360.0000_993639.0000.ogg,这是第三个步骤
data/train/993899.0000_996080.0000.ogg,那么第四个步骤就是压
data/train/996539.0000_999659.0000.ogg,在120赶来的这个过程中
data/train/999659.0000_1002220.0000.ogg,以及别人去找AED的这过程中 你不能停下
data/train/1002340.0000_1003960.0000.ogg,你要做一个最重要的过程
data/train/1003960.0000_1006320.0000.ogg,那就是心肺复苏 也就是CPR
data/train/1006899.0000_1008279.0000.ogg,什么叫心肺复苏呢
data/train/1008299.0000_1010559.0000.ogg,就是把这个人这个衣服解开 是吧
data/train/1010580.0000_1012240.0000.ogg,露出胸膛 平躺露出胸膛
data/train/1012259.0000_1017320.0000.ogg,然后两个手交叉地按到他双乳中间的这个部位
data/train/1017320.0000_1018860.0000.ogg,然后往下按 按 按 按
data/train/1019039.0000_1023600.0000.ogg,每一次按 就是按5-6厘米
data/train/1023620.0000_1025240.0000.ogg,成人的话 按5-6厘米
data/train/1025259.0000_1027200.0000.ogg,小孩的话 是按4厘米 是吧
data/train/1027220.0000_1028980.0000.ogg,就是往下按 按5-6厘米
data/train/1028980.0000_1029559.0000.ogg,然后松开
data/train/1029579.0000_1031519.0000.ogg,一定要注意松开 让他恢复
data/train/1031598.0000_1033279.0000.ogg,再按5到6厘米再松开
data/train/1033299.0000_1038720.0000.ogg,频率大概是100到120次每分钟
data/train/1039339.0000_1040858.0000.ogg,这个过程是非常难的
data/train/1040880.0000_1044380.0000.ogg,一个强壮的人按个几分钟他就会非常累
data/train/1044380.0000_1045680.0000.ogg,所以他得换班 是吧
data/train/1045700.0000_1047440.0000.ogg,这一个人按个几分钟
data/train/1047460.0000_1049000.0000.ogg,另外一个人再换过来再去按
data/train/1049079.0000_1051740.0000.ogg,中间的停顿时间不要超过10秒
data/train/1051759.0000_1053619.0000.ogg,我们按的过程到底是要干什么
data/train/1053759.0000_1055700.0000.ogg,就是他现在心脏不是不工作了吗
data/train/1055720.0000_1057980.0000.ogg,现在我用力往下按 按他的心脏
data/train/1058000.0000_1060660.0000.ogg,让这个心室的血液还是可以泵出去 对吧
data/train/1060660.0000_1061940.0000.ogg,虽然你心脏不工作了
data/train/1061940.0000_1063420.0000.ogg,但是我通过这种按的方法
data/train/1063420.0000_1065900.0000.ogg,我可以让你的血还是泵到主动脉里去
data/train/1066019.0000_1068440.0000.ogg,维持你身体的这个血液的循环
data/train/1068460.0000_1069819.0000.ogg,如果没有这个步骤
data/train/1069819.0000_1072299.0000.ogg,很快他的大脑就会因为缺氧而死亡
data/train/1072299.0000_1075099.0000.ogg,你现在每按一下 就是给他的大脑一些氧
data/train/1075180.0000_1077619.0000.ogg,你再按一下 就是再给他大脑一些氧
data/train/1077759.0000_1079900.0000.ogg,咱们可以想象 这过程是不能停下来的
data/train/1080619.0000_1083259.0000.ogg,要按照100到120次/分的这个频率
data/train/1083279.0000_1084900.0000.ogg,按5-6厘米这么往下按
data/train/1084920.0000_1088319.0000.ogg,然后按30次之后 再加两次人工呼吸
data/train/1088579.0000_1091259.0000.ogg,30次之后再加两次人工呼吸
data/train/1091259.0000_1092420.0000.ogg,那么现在疫情期间
data/train/1093220.0000_1095579.0000.ogg,这个国际上也说你也可以不做人工呼吸
data/train/1095579.0000_1097460.0000.ogg,你就一直按 你就一直按 是吧
data/train/1097480.0000_1098380.0000.ogg,当然要换班
data/train/1098380.0000_1099839.0000.ogg,一个人按的话 可能会比较费劲儿
data/train/1099839.0000_1102700.0000.ogg,一定要按到5-6厘米才会有效
data/train/1103160.0000_1104240.0000.ogg,一定要按到这个深度
data/train/1104240.0000_1105500.0000.ogg,那5-6厘米大概是这么深
data/train/1105599.0000_1107039.0000.ogg,因此活人是不能按的
data/train/1107039.0000_1109000.0000.ogg,你活人按的话会非常疼痛
data/train/1109059.0000_1111039.0000.ogg,甚至可能会把这个肋骨压断
data/train/1111039.0000_1113619.0000.ogg,那你说如果这个人他是临床死亡的
data/train/1113619.0000_1115059.0000.ogg,你这么按 不会把肋骨压断吗
data/train/1115119.0000_1115980.0000.ogg,也有可能
data/train/1116000.0000_1119180.0000.ogg,但是把肋骨压断不是致死性的
data/train/1119180.0000_1121299.0000.ogg,如果缺氧 他是致死性的
data/train/1121319.0000_1123220.0000.ogg,所以两害相权取其轻
data/train/1123240.0000_1125299.0000.ogg,这种情况下 宁可把肋骨压断
data/train/1125319.0000_1127380.0000.ogg,也要按到5-6厘米 是吧
data/train/1127400.0000_1128380.0000.ogg,要这么一直按下去
data/train/1128500.0000_1130160.0000.ogg,好 这是第四个步骤压
data/train/1130160.0000_1133460.0000.ogg,那么最后我们终于有人找来了这个体外除颤机
data/train/1133460.0000_1134000.0000.ogg,也就是AED
data/train/1134000.0000_1136519.0000.ogg,我们找到这个体外除颤机之后干什么呢
data/train/1136819.0000_1139279.0000.ogg,把这个体外除颤机拿过来电人
data/train/1139279.0000_1140400.0000.ogg,这就最后一个步骤
data/train/1140400.0000_1142539.0000.ogg,也就是使用AED
data/train/1142839.0000_1144880.0000.ogg,那么AED的使用是非常简单的
data/train/1144880.0000_1147180.0000.ogg,因为它是全自动的傻瓜式的
data/train/1147319.0000_1149839.0000.ogg,你只要开机了之后 它就会给你自动语音提示
data/train/1149839.0000_1151920.0000.ogg,第一个步骤 把这个片贴上
data/train/1151920.0000_1153319.0000.ogg,它有一个电极片
data/train/1153420.0000_1155539.0000.ogg,你把这个电极片上面那个膜撕下来
data/train/1155539.0000_1157299.0000.ogg,然后按照那个图示贴到两个部位
data/train/1157299.0000_1160920.0000.ogg,一个是这个人的右上方这个肩膀以下的部位
data/train/1161019.0000_1162980.0000.ogg,另外一个是他左乳下的部位
data/train/1162980.0000_1165579.0000.ogg,这两个上面都会有提示的 按照提示贴好了
data/train/1165680.0000_1167240.0000.ogg,贴好之后松手
data/train/1167480.0000_1169440.0000.ogg,松手 让所有人松手
data/train/1169440.0000_1172000.0000.ogg,然后这个机器会自动进行分析
data/train/1172099.0000_1175859.0000.ogg,分析一下 说这个人到底应不应该进行电除颤
data/train/1175859.0000_1177299.0000.ogg,什么叫电除颤呢
data/train/1177299.0000_1180019.0000.ogg,就是给一个强大的电流通到心脏里面去
data/train/1180099.0000_1182440.0000.ogg,你这个心室不是在那乱颤吗 对不对
data/train/1182460.0000_1183440.0000.ogg,乱颤 不听指挥
data/train/1183700.0000_1185960.0000.ogg,我现在一声令下 全都给我老实点
data/train/1186099.0000_1189200.0000.ogg,所有的这个心肌细胞都停下来 谁都不要再动
data/train/1189220.0000_1190279.0000.ogg,这个时候你不要忘了
data/train/1190299.0000_1193440.0000.ogg,这个窦房结它是有自主的这个节律功能的
data/train/1193440.0000_1194880.0000.ogg,所以当所有人都停下来之后
data/train/1194900.0000_1196920.0000.ogg,它就会说 好 现在我们再动起来吧
data/train/1196920.0000_1198980.0000.ogg,你就会恢复窦性心律了 是吧
data/train/1198980.0000_1201420.0000.ogg,所以就是当你发生房颤的时候
data/train/1201420.0000_1202920.0000.ogg,你这个心脏出现了问题
data/train/1202940.0000_1204380.0000.ogg,我让你所有都停下来
data/train/1204380.0000_1206420.0000.ogg,我分析分析你有没有这个症状
data/train/1206420.0000_1208259.0000.ogg,如果有 我就放电
data/train/1208400.0000_1210299.0000.ogg,那放电的时候它会提示你的
data/train/1210299.0000_1211859.0000.ogg,那么如果你不是这个样子的
data/train/1211859.0000_1214539.0000.ogg,比如说你整个心脏都已经停了
data/train/1214539.0000_1215920.0000.ogg,那这个时候放电是没有用的
data/train/1216019.0000_1217099.0000.ogg,我们在电视里面看到说
data/train/1217099.0000_1219279.0000.ogg,说这个人他的心电图已经直线了
data/train/1219299.0000_1220839.0000.ogg,我再去电他 那没有用
data/train/1220859.0000_1222720.0000.ogg,你必须是心电图还有
data/train/1222740.0000_1224920.0000.ogg,只不过他的这个跳动非常紊乱
data/train/1225039.0000_1226819.0000.ogg,这个时候我去电他才是有用的
data/train/1226839.0000_1227599.0000.ogg,我的目的
data/train/1227599.0000_1230059.0000.ogg,是为了把这些乱七八糟的这个颤抖停下来
data/train/1230140.0000_1230980.0000.ogg,全都老实的
data/train/1231000.0000_1234339.0000.ogg,然后从窦房结开始重新引起这个跳动 是不是
data/train/1234339.0000_1235819.0000.ogg,当然你不要去担心
data/train/1235819.0000_1237579.0000.ogg,说万一要是这个人明明是活的
data/train/1237579.0000_1238900.0000.ogg,我电他一下他电死了怎么办
data/train/1238900.0000_1239440.0000.ogg,不会的
data/train/1239539.0000_1240059.0000.ogg,为什么呢
data/train/1240059.0000_1241799.0000.ogg,因为这个AED是非常智能的
data/train/1241819.0000_1242839.0000.ogg,它会先去分析
data/train/1242859.0000_1244599.0000.ogg,如果它分析完了之后说
data/train/1244619.0000_1246779.0000.ogg,这个人他不需要进行电击
data/train/1246960.0000_1249539.0000.ogg,那么它会提示你请继续进行CPR
data/train/1249559.0000_1251619.0000.ogg,你就重复第四个步骤 是吧
data/train/1251640.0000_1253779.0000.ogg,如果它提示你说现在应该放电了
data/train/1253799.0000_1256259.0000.ogg,那么请所有人松手 然后按一下放电的按钮
data/train/1256400.0000_1257700.0000.ogg,这个时候它就会进行放电
data/train/1257819.0000_1260880.0000.ogg,放完了电之后它还会提示你请继续进行CPR
data/train/1260880.0000_1262259.0000.ogg,然后你还得进行按压
data/train/1262359.0000_1263640.0000.ogg,所以这个过程是非常累的
data/train/1263640.0000_1266180.0000.ogg,按到什么时候才不按了呢
data/train/1266200.0000_1267160.0000.ogg,有几个标准
data/train/1267160.0000_1269519.0000.ogg,第一个标准就是按到救护车来了
data/train/1269519.0000_1270480.0000.ogg,你就可以不按了
data/train/1270559.0000_1271420.0000.ogg,第二个标准就是
data/train/1271440.0000_1274319.0000.ogg,按到这个人恢复意识 恢复自主呼吸了
data/train/1274319.0000_1275299.0000.ogg,你就可以不按了
data/train/1275299.0000_1278619.0000.ogg,第三就是按照你实在按不动了 就可以不按了
data/train/1278940.0000_1280220.0000.ogg,就是这么几种情况
data/train/1280220.0000_1281900.0000.ogg,那么经过统计发现
data/train/1281900.0000_1283579.0000.ogg,如果这个人什么都不干
data/train/1283880.0000_1285660.0000.ogg,遇到了室颤的这种情况
data/train/1285660.0000_1287740.0000.ogg,死亡率咱说的是100%嘛 对吧
data/train/1287740.0000_1290059.0000.ogg,那么如果我们单纯的进行CPR
data/train/1290059.0000_1291619.0000.ogg,就是按压的这个工作
data/train/1291640.0000_1294740.0000.ogg,那么他的生存率可以达到16.6%
data/train/1294880.0000_1297319.0000.ogg,16.6%的人可以生存下来
data/train/1297319.0000_1299880.0000.ogg,那么如果他有了这个AED除颤机呢
data/train/1299880.0000_1303240.0000.ogg,他的生存率可以达到53.3%
data/train/1303680.0000_1306500.0000.ogg,所以在黄金的几分钟时间内
data/train/1306500.0000_1308220.0000.ogg,快速地进行心肺复苏
data/train/1308220.0000_1309759.0000.ogg,以及用AED进行除颤
data/train/1309759.0000_1311759.0000.ogg,只有这样才能让这个人生存下来
data/train/1312000.0000_1314000.0000.ogg,就像埃里克森 他就是非常的幸运
data/train/1314079.0000_1316359.0000.ogg,应该说我们国家这个AED的配备
data/train/1316519.0000_1317880.0000.ogg,跟发达国家还是差得很远的
data/train/1317880.0000_1318880.0000.ogg,比如说美国和日本
data/train/1319079.0000_1321880.0000.ogg,他们每10万人配备的AED有好几百台
data/train/1321920.0000_1323119.0000.ogg,在2002年的时候
data/train/1323119.0000_1324960.0000.ogg,日本明仁天皇的弟弟宪仁亲王
data/train/1325039.0000_1327220.0000.ogg,就是因为这个心源性猝死而死的
data/train/1327220.0000_1328599.0000.ogg,所以从2004年开始
data/train/1328599.0000_1330559.0000.ogg,日本就开始在全国大规模的推广
data/train/1330559.0000_1332200.0000.ogg,公共场所的这个AED设备
data/train/1332200.0000_1333960.0000.ogg,现在你在日本的城市街头
data/train/1333960.0000_1335680.0000.ogg,随处可见都是AED设备
data/train/1335680.0000_1337359.0000.ogg,同时还有一个AED地图
data/train/1337539.0000_1338519.0000.ogg,你只要打开地图
data/train/1338519.0000_1340940.0000.ogg,就能够找到离你最近的这个AED除颤机
data/train/1340940.0000_1342779.0000.ogg,在国内做得比较好的是深圳
data/train/1342980.0000_1345779.0000.ogg,每10万人拥有AED设备17.5台
data/train/1345779.0000_1348460.0000.ogg,大约相当于美国和日本的二三十分之一
data/train/1348859.0000_1350500.0000.ogg,但是我们在很多其它的城市
data/train/1350500.0000_1352400.0000.ogg,可能很多人都没有见过AED这个东西
data/train/1352400.0000_1355019.0000.ogg,按照中国每年55万人的比例进行计算
data/train/1355119.0000_1356220.0000.ogg,每一个人在一年之中
data/train/1356240.0000_1358900.0000.ogg,发生心源性猝死的概率大约是万分之四
data/train/1358940.0000_1360140.0000.ogg,这个比例可不低
data/train/1360160.0000_1361059.0000.ogg,所以有专家建议
data/train/1361200.0000_1363619.0000.ogg,在人数超过三千人的工厂 学校
data/train/1363799.0000_1365039.0000.ogg,商店 医院里面
data/train/1365039.0000_1366900.0000.ogg,都应该配备这种AED设备
data/train/1367000.0000_1368440.0000.ogg,2020年10月27日
data/train/1368700.0000_1370339.0000.ogg,北京市开始在轨道交通
data/train/1370339.0000_1372240.0000.ogg,也就是地铁站上面布置AED设备
data/train/1372240.0000_1374079.0000.ogg,在2021年5月24号的时候
data/train/1374240.0000_1376660.0000.ogg,9号线北京西站就有一位乘客
data/train/1376660.0000_1378279.0000.ogg,突然之间发生心源性猝死
data/train/1378279.0000_1381079.0000.ogg,而站台的工作人员也熟练地使用了AED设备
data/train/1381079.0000_1382019.0000.ogg,并且把他救活了
data/train/1382079.0000_1384339.0000.ogg,现在国家也加大了这方面的投入
data/train/1384359.0000_1386740.0000.ogg,我们在很多地方都能够看到AED设备
data/train/1387119.0000_1389460.0000.ogg,我们先到这里来看一下
data/train/1392519.0000_1393380.0000.ogg,这里有一台
data/train/1395339.0000_1397019.0000.ogg,我们再到这个楼里看一下
data/train/1399220.0000_1400660.0000.ogg,这边好像没有
data/train/1402039.0000_1403920.0000.ogg,这里就有
data/train/1404319.0000_1406880.0000.ogg,隐藏在我的这个夹角这 看不见
data/train/1407200.0000_1408420.0000.ogg,看食堂里面有没有
data/train/1410940.0000_1412779.0000.ogg,一进门就有一台
data/train/1413700.0000_1415019.0000.ogg,我们再来看看这个楼
data/train/1417980.0000_1420000.0000.ogg,在电梯口这有一台
data/train/1420700.0000_1422660.0000.ogg,再看看这上面也写着
data/train/1423259.0000_1424799.0000.ogg,如果我们发现了这个标志
data/train/1424819.0000_1427019.0000.ogg,就说明附近一定有AED
data/train/1429640.0000_1430839.0000.ogg,很好找 对吧
data/train/1431180.0000_1433039.0000.ogg,希望大家如果见到这种设备的话
data/train/1433059.0000_1434759.0000.ogg,不妨把它拍下来发一个朋友圈
data/train/1434779.0000_1437400.0000.ogg,让周围的人也知道这些设备究竟在什么地方
data/train/1437420.0000_1438480.0000.ogg,以备不时之需
data/train/1438500.0000_1441240.0000.ogg,还有人说就算我有AED设备 我也不会去用的
data/train/1441259.0000_1442000.0000.ogg,第一 我不会
data/train/1442200.0000_1442940.0000.ogg,第二 我不敢
data/train/1443099.0000_1445180.0000.ogg,不会的原因是因为我没有经过培训
data/train/1445180.0000_1447420.0000.ogg,不敢的原因是怕被救的人讹我
data/train/1447420.0000_1450319.0000.ogg,实际上体外自动除颤机是非常智能化的
data/train/1450319.0000_1451720.0000.ogg,你只要根据它的语音提示
data/train/1451720.0000_1452940.0000.ogg,即便你从来没有接触过
data/train/1453059.0000_1454519.0000.ogg,一样是可以进行操作的
data/train/1454539.0000_1456859.0000.ogg,而在2017年的时候《民法典》也规定
data/train/1456859.0000_1458680.0000.ogg,因自愿实行紧急救助行为
data/train/1458700.0000_1460539.0000.ogg,而使受助人发生损害的
data/train/1460539.0000_1461960.0000.ogg,救助人不承担民事责任
data/train/1461980.0000_1462920.0000.ogg,我们可以想象一下
data/train/1462940.0000_1465299.0000.ogg,假如我们有一天突然出现了心源性猝死
data/train/1465299.0000_1466039.0000.ogg,而倒在地上
data/train/1466059.0000_1468680.0000.ogg,我们是否希望周围的人用AED救我们呢
data/train/1636619.0000_1637579.0000.ogg,大家如果喜欢我的的视频
data/train/1637579.0000_1639039.0000.ogg,可以在YouTube账号李永乐老师里订阅我
data/train/1639039.0000_1641240.0000.ogg,点击小铃铛可以第一时间获得更新信息
data/train/283167.0000_286959.0000.ogg,the surgery even incorporated 3D printing technology
data/train/288334.0000_290125.0000.ogg,We will first print out two models
data/train/290125.0000_292918.0000.ogg,"One is the model of her humerus,"
data/train/292918.0000_296918.0000.ogg,the other is the model of the replacement bone to fill the notch
data/train/297209.0000_302959.0000.ogg,We use this model to create a mould to shape the bone that will be grafted
data/train/303417.0000_304083.0000.ogg,"Okay, it's ready"
data/train/304834.0000_310042.0000.ogg,This minimally invasive surgery has many benefits and minimizes risks
data/train/310042.0000_312834.0000.ogg,"However, it prolonged the surgery"
data/train/312834.0000_316626.0000.ogg,It is estimated that this surgery would need at least seven hours
data/train/317584.0000_320334.0000.ogg,"If the replacement bone doesn't fit nicely,"
data/train/320334.0000_324417.0000.ogg,we'll have to switch to open surgery instead
data/train/324417.0000_326542.0000.ogg,Let's do it one more time
data/train/345082.0000_346667.0000.ogg,Mr Goh Ching Wang
data/train/346667.0000_347792.0000.ogg,Yes
data/train/348751.0000_352125.0000.ogg,Steven's rectal cancer surgery is in two days
data/train/352125.0000_353542.0000.ogg,He is in the hospital today...
data/train/353542.0000_356792.0000.ogg,so that a mark can be made on his abdomen before the surgery...
data/train/356792.0000_360417.0000.ogg,for the ease of creating a colostomy if necessary
data/train/360417.0000_364209.0000.ogg,If a malignant tumour is found in the rectum or anus...
data/train/364209.0000_366083.0000.ogg,"and needs to be removed,"
data/train/366083.0000_368250.0000.ogg,that will cause anal closure
data/train/368250.0000_373501.0000.ogg,"An opening in the abdomen, called a stoma, will be necessary for patients to defecate"
data/train/373501.0000_374250.0000.ogg,Okay
data/train/375209.0000_379375.0000.ogg,"Steven's tumour is near the pelvis,"
data/train/379375.0000_382042.0000.ogg,which increases the difficulty of the surgery
data/train/382082.0000_383082.0000.ogg,"Over the past year,"
data/train/383125.0000_388751.0000.ogg,Steven has undergone many chemotherapies and radiotherapies to shrink the tumour
data/train/389876.0000_391584.0000.ogg,I just tell myself that...
data/train/391584.0000_393459.0000.ogg,I have to go through this
data/train/393459.0000_396334.0000.ogg,"No matter how hard it is,"
data/train/396334.0000_398292.0000.ogg,it is something I need to go through
data/train/400584.0000_403834.0000.ogg,"To prevent his loved ones from worrying,"
data/train/403834.0000_407125.0000.ogg,Steven kept telling himself to face these challenges bravely
data/train/407918.0000_410501.0000.ogg,"Of course, my family members are concerned,"
data/train/410501.0000_413792.0000.ogg,"especially my wife and daughter,"
data/train/413792.0000_416125.0000.ogg,"who are really concerned about my health,"
data/train/416125.0000_417250.0000.ogg,They usually remind me...
data/train/417292.0000_420167.0000.ogg,when I have to take my chemo medicine
data/train/423626.0000_425918.0000.ogg,"To patients who are about to undergo surgery,"
data/train/425918.0000_428083.0000.ogg,family support is very important
data/train/428083.0000_431459.0000.ogg,"Yet, to prevent their families from worrying,"
data/train/431459.0000_433876.0000.ogg,many patients choose to hide their conditions
data/train/433876.0000_435417.0000.ogg,"Come, Dad"
data/train/437834.0000_439167.0000.ogg,I'm actually a bit sad...
data/train/439167.0000_440000.0000.ogg,because...
data/train/441918.0000_445542.0000.ogg,"if I had known this earlier,"
data/train/445542.0000_448209.0000.ogg,I would've been able to guide my dad along
data/train/451999.0000_454999.0000.ogg,"10 years ago, when my dad was still healthy,"
data/train/454999.0000_456959.0000.ogg,I didn't bother about his conditions...
data/train/456959.0000_458959.0000.ogg,as he always goes to medical appointments...
data/train/458999.0000_460167.0000.ogg,with my mum
data/train/460167.0000_462167.0000.ogg,"Every time he returns,"
data/train/462167.0000_464167.0000.ogg,"we would ask, ""Dad, how are you?"""
data/train/464167.0000_465375.0000.ogg,"He would say,"
data/train/465375.0000_467082.0000.ogg,"""Nothing's wrong. I'm fine"""
data/train/469999.0000_470959.0000.ogg,"Until one day,"
data/train/470959.0000_473250.0000.ogg,we received a call
data/train/473250.0000_475459.0000.ogg,My dad got a heart attack
data/train/475459.0000_476709.0000.ogg,That was when I knew...
data/train/476709.0000_479042.0000.ogg,that my dad was not okay since 10 years ago
data/train/479042.0000_480375.0000.ogg,He was actually sick
data/train/480375.0000_482417.0000.ogg,Maybe he didn't want us to worry
data/train/484999.0000_488042.0000.ogg,"Sharil's 71-year-old father, Satar,"
data/train/488042.0000_490792.0000.ogg,"not only has heart disease and diabetes,"
data/train/490792.0000_495083.0000.ogg,but he has also been recently diagnosed with stage five chronic kidney disease
data/train/495083.0000_500999.0000.ogg,He will soon have to undergo dialysis treatment
data/train/502375.0000_505667.0000.ogg,"(In Singapore, more than 11,000 people suffer from kidney disease or kidney failure)"
data/train/505667.0000_508250.0000.ogg,"(On average, six new cases are diagnosed daily)"
data/train/508250.0000_511125.0000.ogg,(Diabetes is the cause for every two out of three cases)
data/train/511125.0000_514167.0000.ogg,(This ratio is the highest in the world)
data/train/517501.0000_520792.0000.ogg,My brother works in the hospital
data/train/520792.0000_523167.0000.ogg,He told me that this condition...
data/train/523167.0000_524209.0000.ogg,is very problematic
data/train/528667.0000_530083.0000.ogg,"Dad,"
data/train/530083.0000_531959.0000.ogg,are you done cooking?
data/train/531959.0000_532542.0000.ogg,Yes
data/train/532999.0000_534417.0000.ogg,"When I found out about this,"
data/train/534417.0000_537459.0000.ogg,he was already in stage five
data/train/537459.0000_539999.0000.ogg,There was nothing much that can be done
data/train/539999.0000_542792.0000.ogg,The only way I can contribute as a son...
data/train/542792.0000_546167.0000.ogg,"is to support him mentally,"
data/train/546167.0000_548667.0000.ogg,financially and physically
data/train/551459.0000_553667.0000.ogg,Dialysis treatment may be inconvenient...
data/train/553667.0000_555250.0000.ogg,but it can prolong one's life
data/train/555250.0000_558375.0000.ogg,"With the current medical advancements,"
data/train/558375.0000_560375.0000.ogg,we are able to ease the procedure
data/train/561250.0000_564626.0000.ogg,Those who need long-term dialysis treatment will first need to go through a surgery...
data/train/564626.0000_568876.0000.ogg,which creates an access point that connects the arteries and veins
data/train/569292.0000_571999.0000.ogg,"However, such surgeries can cause thrombosis"
data/train/571999.0000_576125.0000.ogg,"Hence, SGH launched a three-year pilot programme..."
data/train/576125.0000_581209.0000.ogg,substituting surgery with a non-surgical approach using an arteriovenous fistula
data/train/581999.0000_586501.0000.ogg,The usual surgery would require an incision
data/train/586501.0000_589125.0000.ogg,"On the other hand, this approach only requires a keyhole opening"
data/train/589792.0000_591250.0000.ogg,We'll open it bigger...
data/train/591250.0000_593876.0000.ogg,for better blood flow in the fistula
data/train/595083.0000_597667.0000.ogg,This surgery reduces the number of times...
data/train/597667.0000_601501.0000.ogg,patients need to return to the hospital to unclog their blood vessels
data/train/602834.0000_606999.0000.ogg,"Dr Chong suggested for Satar to make arrangements for this as soon as he can,"
data/train/606999.0000_609125.0000.ogg,in order to prepare for dialysis treatment
data/train/614501.0000_619667.0000.ogg,"Manikam, who lives alone, fell at home, causing a broken scapula"
data/train/619667.0000_623792.0000.ogg,"Today, she needs to go to the hospital for arthroscopic shoulder surgery"
data/train/625999.0000_629959.0000.ogg,Dr Woo Yew Lok is trying to insert the 3D printed replacement bone...
data/train/629959.0000_632334.0000.ogg,into the humeral notch
data/train/632334.0000_636584.0000.ogg,"The doctors are fully focused, not allowing for any errors"
data/train/636584.0000_640501.0000.ogg,(Four hours into the shoulder arthroscopy surgery)
data/train/642083.0000_644459.0000.ogg,This is considered a complicated surgery...
data/train/644459.0000_648709.0000.ogg,as the area of the notch which we can see is small
data/train/649000.0000_652959.0000.ogg,"If the replacement bone fractures after we screw it in,"
data/train/652959.0000_655042.0000.ogg,it will cause joint instability
data/train/655042.0000_659083.0000.ogg,There will be a higher chance of dislocations recurring
data/train/660542.0000_662876.0000.ogg,(Six hours into the arthroscopic shoulder surgery)
data/train/663167.0000_664834.0000.ogg,"After shaping it multiple times,"
data/train/664834.0000_668417.0000.ogg,Dr Woo was finally able to insert the replacement bone in the right area
data/train/670751.0000_674542.0000.ogg,This model is printed on a one-to-one scale...
data/train/674542.0000_678375.0000.ogg,so it is very compatible with the patient's notch
data/train/678999.0000_681334.0000.ogg,The x-ray looks good. There's no problem
data/train/682918.0000_685792.0000.ogg,"In order to develop and promote 3D printing technology,"
data/train/685792.0000_690542.0000.ogg,SGH established a 3D printing lab in 2022
data/train/690918.0000_694334.0000.ogg,"However, this technology still has its challenges"
data/train/695292.0000_698459.0000.ogg,"For example, for this surgery, switching from tomography..."
data/train/698459.0000_700959.0000.ogg,"to 3D printed models,"
data/train/700959.0000_703417.0000.ogg,took a total of 24 hours
data/train/704792.0000_705876.0000.ogg,We will need to ensure that...
data/train/705876.0000_708876.0000.ogg,"all the prints done are validated beforehand,"
data/train/708876.0000_709999.0000.ogg,and that they are accurate...
data/train/709999.0000_711876.0000.ogg,to the patient's imaging...
data/train/711876.0000_713959.0000.ogg,before we use them in any way
data/train/713959.0000_716459.0000.ogg,We are very happy that the outcome was good
data/train/721042.0000_722083.0000.ogg,Hello
data/train/722083.0000_724250.0000.ogg,I'm already here. I'm walking in
data/train/725083.0000_727999.0000.ogg,"Satar, who has stage five chronic kidney disease,"
data/train/727999.0000_732250.0000.ogg,is undergoing the non-surgical arteriovenous fistula procedure
data/train/732250.0000_734999.0000.ogg,"As it is estimated to take only 30 minutes,"
data/train/734999.0000_738959.0000.ogg,Satar did not want to trouble his family and planned to go to the hospital alone
data/train/738959.0000_741959.0000.ogg,"However, Sharil insisted on accompanying him"
data/train/742751.0000_744167.0000.ogg,It's all done
data/train/746250.0000_749292.0000.ogg,Dialysis treatment is costly...
data/train/749292.0000_751167.0000.ogg,but I won't give up
data/train/751167.0000_753167.0000.ogg,I will try my best to...
data/train/753167.0000_754209.0000.ogg,support all the treatments...
data/train/754209.0000_755709.0000.ogg,"that the doctor recommends,"
data/train/755709.0000_757834.0000.ogg,regardless of the cost
data/train/760209.0000_763292.0000.ogg,"Although this procedure is non-surgical,"
data/train/763292.0000_768125.0000.ogg,Satar still has to be put under anaesthesia before the procedure
data/train/768125.0000_772000.0000.ogg,The entire process can be done through a keyhole opening
data/train/772000.0000_773834.0000.ogg,"With no incision made,"
data/train/773834.0000_778584.0000.ogg,doctors use ultrasound to pinpoint the position of the fistula
data/train/779999.0000_782626.0000.ogg,"Wait, I don't like that position"
data/train/782626.0000_786375.0000.ogg,We'll find a nice spot
data/train/787125.0000_792667.0000.ogg,"Next, doctors inserted a small pin into a vein through the keyhole"
data/train/792999.0000_793959.0000.ogg,Okay. Hold the wire
data/train/795417.0000_800167.0000.ogg,Dr Chong then created a closed catheter between the arteries and veins
data/train/801375.0000_805292.0000.ogg,"Like other surgeries, this surgery also has some risks"
data/train/805626.0000_808000.0000.ogg,There may be infections or complications...
data/train/808000.0000_811000.0000.ogg,such as the need to return to unclog blood vessels
data/train/811334.0000_813375.0000.ogg,No tension
data/train/813375.0000_814751.0000.ogg,I just pushed it in a bit
data/train/814751.0000_816709.0000.ogg,I'm going to pull it back again
data/train/817375.0000_818584.0000.ogg,"Okay, it's done"
data/train/819125.0000_820834.0000.ogg,45 minutes have passed
data/train/820834.0000_822999.0000.ogg,The surgery took longer than expected
data/train/822999.0000_827959.0000.ogg,"Thankfully, there were no complications during Satar's surgery"
data/train/830584.0000_832167.0000.ogg,"Hello, sir. Are you okay?"
data/train/832167.0000_832959.0000.ogg,Okay
data/train/832959.0000_834334.0000.ogg,It's all finished
data/train/834334.0000_836000.0000.ogg,Do you feel any pain?
data/train/836000.0000_837250.0000.ogg,"No pain -No pain, right?"
data/train/838334.0000_841000.0000.ogg,This patient's surgery was very successful
data/train/841000.0000_845292.0000.ogg,We created this arteriovenous fistula in a short amount of time
data/train/845292.0000_847584.0000.ogg,The patient didn't feel much pain
data/train/847999.0000_850584.0000.ogg,The fistula is created here
data/train/850584.0000_851709.0000.ogg,You can feel it
data/train/851709.0000_853834.0000.ogg,it's just a small poke over here
data/train/853834.0000_855083.0000.ogg,Everything is good
data/train/855083.0000_858792.0000.ogg,"Your arm will be weak for a few hours, okay?"
data/train/858792.0000_860751.0000.ogg,It will regain strength later
data/train/860751.0000_863250.0000.ogg,It's because they blocked the nerve
data/train/863250.0000_864709.0000.ogg,We'll let your family know as well
data/train/864709.0000_867334.0000.ogg,It feels like I'm... -Like dreaming?
data/train/868334.0000_870334.0000.ogg,"Hopefully, it is a good dream"
data/train/888167.0000_893250.0000.ogg,The day that Steven looked forward to with trepidation has finally arrived
data/train/893667.0000_895792.0000.ogg,"A stage three rectal cancer patient,"
data/train/895792.0000_899334.0000.ogg,he is about to undergo the most major surgery of his life
data/train/899709.0000_902125.0000.ogg,The nine-hour-long surgery...
data/train/902125.0000_905834.0000.ogg,starts once Steven is put under anaesthesia
data/train/905834.0000_907667.0000.ogg,Any potential difficulties?
data/train/907709.0000_908417.0000.ogg,Yes
data/train/908417.0000_909626.0000.ogg,This patient is post-radiation...
data/train/909626.0000_910918.0000.ogg,and post-chemotherapy
data/train/910918.0000_912125.0000.ogg,He has quite a big tumour
data/train/912125.0000_915083.0000.ogg,There could be up to one litre of blood loss
data/train/916501.0000_918417.0000.ogg,A typical colorectal surgery...
data/train/918417.0000_924083.0000.ogg,requires a large incision at the abdomen to access and remove the large intestines
data/train/924083.0000_926876.0000.ogg,There will be an increased level of pain after the surgery
data/train/926876.0000_929167.0000.ogg,Recovery will also take a longer time
data/train/929834.0000_932792.0000.ogg,"However, this is a minimally invasive surgery"
data/train/932792.0000_933959.0000.ogg,The incision will be smaller...
data/train/933959.0000_935876.0000.ogg,"and the patient will experience less pain,"
data/train/935876.0000_937459.0000.ogg,with a faster recovery time
data/train/937459.0000_942999.0000.ogg,"Our goal is to remove the rectum, tumour and surrounding tissues"
data/train/944667.0000_948876.0000.ogg,Dr Isaac first uses the four 0.5-centimetre openings...
data/train/948876.0000_950918.0000.ogg,to insert the medical equipment into the abdominal cavity
data/train/950918.0000_955209.0000.ogg,"Then, he uses laparoscopy to monitor the conditions in the abdomen"
data/train/955792.0000_958167.0000.ogg,The laparoscopic camera has zooming capabilities
data/train/958167.0000_960000.0000.ogg,"Compared to traditional open surgery,"
data/train/960000.0000_963501.0000.ogg,it can better display the intricate structure of one's body
data/train/963999.0000_966959.0000.ogg,(Two hours into the surgery)
data/train/966959.0000_968834.0000.ogg,What's happening to the lights?
data/train/969542.0000_971334.0000.ogg,I'm trying to turn on the blue light
data/train/971334.0000_972792.0000.ogg,"Okay, thanks"
data/train/973542.0000_976501.0000.ogg,"The nurses have changed the light in the operating room into blue light,"
data/train/976501.0000_979834.0000.ogg,as surgeons performing laparoscopic surgery...
data/train/979834.0000_982834.0000.ogg,will see blood-filled images for an extended period of time
data/train/982834.0000_985167.0000.ogg,"Their brains will experience a saturation phenomenon,"
data/train/985167.0000_989167.0000.ogg,which makes it difficult for them to see nuances in red-coloured areas
data/train/989167.0000_991751.0000.ogg,Blue and red are complementary colours
data/train/991751.0000_994918.0000.ogg,Using blue light can counter this phenomenon
data/train/995959.0000_998000.0000.ogg,This is the left colon
data/train/998000.0000_1001042.0000.ogg,It should be somewhere around here
data/train/1001042.0000_1005501.0000.ogg,"If the tumour cannot be fully removed from this position,"
data/train/1005501.0000_1008542.0000.ogg,the doctors will finish the operation from the anus
data/train/1009375.0000_1011709.0000.ogg,It is actually past the prostate
data/train/1011709.0000_1014999.0000.ogg,(Four hours into the surgery)
data/train/1016125.0000_1020083.0000.ogg,Dr Isaac decided to continue the surgery from the anus
data/train/1021626.0000_1023000.0000.ogg,Please turn off the gas
data/train/1023334.0000_1025666.0000.ogg,(Six hours into the surgery)
data/train/1026876.0000_1029459.0000.ogg,Steven's tumour is in the lower rectum
data/train/1029459.0000_1032083.0000.ogg,The bottom of the pelvic cavity is narrow
data/train/1032083.0000_1034709.0000.ogg,This increased the difficulty of the surgery
data/train/1034709.0000_1038917.0000.ogg,"However, Dr Isaac carefully removed the tumour bit by bit,"
data/train/1038917.0000_1043083.0000.ogg,"preventing the need to switch to open surgery,"
data/train/1044334.0000_1047375.0000.ogg,We have to find where it is
data/train/1047375.0000_1050459.0000.ogg,"Usually, I won't go in too deep..."
data/train/1050459.0000_1052542.0000.ogg,because of the prostate
data/train/1052542.0000_1053834.0000.ogg,"But I'm already past the prostate,"
data/train/1053834.0000_1055000.0000.ogg,"so it's okay, I guess"
data/train/1057876.0000_1059626.0000.ogg,Hard work pays off
data/train/1059626.0000_1062999.0000.ogg,There was a breakthrough in the seventh hour of the surgery
data/train/1064834.0000_1067751.0000.ogg,Dr Isaac managed to remove the rectal cancer tissues
data/train/1069792.0000_1071792.0000.ogg,Time is precious in the operating room
data/train/1071792.0000_1076209.0000.ogg,Dr Isaac quickly took the cancer tissue and performed an anatomy
data/train/1076209.0000_1078709.0000.ogg,The other surgeon in the medical team...
data/train/1078709.0000_1082584.0000.ogg,took over to remove the leftover lymphoma
data/train/1083626.0000_1087042.0000.ogg,Many people think that the credit of a surgery only goes to surgeons
data/train/1087042.0000_1092542.0000.ogg,"However, a successful surgery involves the whole team's dedication and effort"
data/train/1093834.0000_1096209.0000.ogg,"Regardless of the length of the surgery,"
data/train/1096209.0000_1099042.0000.ogg,I usually won't feel tired after performing a surgery
data/train/1099042.0000_1101751.0000.ogg,Perhaps it's because I'm filled with adrenaline...
data/train/1101751.0000_1107584.0000.ogg,and satisfaction for completing something meaningful
data/train/1108751.0000_1112000.0000.ogg,"However, Steven isn't done with his surgeries yet"
data/train/1114167.0000_1116209.0000.ogg,"Mdm Manikam, how are you today?"
data/train/1116209.0000_1117626.0000.ogg,"I'm fine, doctor"
data/train/1117626.0000_1121125.0000.ogg,"Manikam, who underwent a shoulder arthroscopy a few days ago,"
data/train/1121125.0000_1125167.0000.ogg,has returned to the clinic today for her first follow-up session
data/train/1126334.0000_1128626.0000.ogg,"There is a bone defect over here,"
data/train/1128626.0000_1130292.0000.ogg,where the bone is gone...
data/train/1130292.0000_1131459.0000.ogg,due to the infection
data/train/1131459.0000_1133250.0000.ogg,"After the surgery, we managed to put..."
data/train/1133250.0000_1134876.0000.ogg,a bone graft inside...
data/train/1134876.0000_1136999.0000.ogg,and secured it with a screw
data/train/1136999.0000_1140042.0000.ogg,That will help to prevent dislocation
data/train/1140042.0000_1143125.0000.ogg,We managed to repair the capsule for you...
data/train/1143125.0000_1145876.0000.ogg,but this repair will take a few weeks...
data/train/1145876.0000_1147334.0000.ogg,to mature
data/train/1147334.0000_1149125.0000.ogg,"For the time being, I don't want you..."
data/train/1149125.0000_1151042.0000.ogg,to move your shoulder too much
data/train/1151042.0000_1152501.0000.ogg,"Yes, move your wrist,"
data/train/1152501.0000_1154250.0000.ogg,move your fingers and that's it
data/train/1154918.0000_1157334.0000.ogg,"So, we'll try some simple movements first"
data/train/1157334.0000_1158501.0000.ogg,"Yes, sure"
data/train/1158501.0000_1161209.0000.ogg,I want to exercise more
data/train/1161209.0000_1163501.0000.ogg,I want to be very active
data/train/1163501.0000_1166250.0000.ogg,"Yes, open and close"
data/train/1166250.0000_1169167.0000.ogg,I must do my housework by myself
data/train/1169167.0000_1172751.0000.ogg,Both my hands must function
data/train/1172751.0000_1173999.0000.ogg,I like to be independent
data/train/1173999.0000_1177167.0000.ogg,I don't want to trouble others to help me
data/train/1177167.0000_1178501.0000.ogg,I want both my hands...
data/train/1178501.0000_1181250.0000.ogg,to stay healthy and well
data/train/1186375.0000_1190000.0000.ogg,"Steven, who finished his colorectal surgery a week ago,"
data/train/1190000.0000_1193918.0000.ogg,is sent into the operating room again for a second surgery
data/train/1194375.0000_1196167.0000.ogg,"After the previous surgery,"
data/train/1196167.0000_1200542.0000.ogg,the remaining colon and anal muscles are still weak
data/train/1200542.0000_1202125.0000.ogg,They were unsuitable for suture
data/train/1202125.0000_1205959.0000.ogg,Steven can only rely on a part of the excess colon set aside by the doctor...
data/train/1205959.0000_1207125.0000.ogg,to defecate
data/train/1208792.0000_1213292.0000.ogg,The second surgery is to remove the excess colon...
data/train/1213292.0000_1215918.0000.ogg,in order to suture the colon and anus together
data/train/1216459.0000_1217876.0000.ogg,"Okay, here you go"
data/train/1217876.0000_1221501.0000.ogg,The patient can avoid having a stoma through this approach
data/train/1221501.0000_1223375.0000.ogg,This is better for the patient
data/train/1224125.0000_1228292.0000.ogg,Every decision made by the doctors on the operating table...
data/train/1228292.0000_1233000.0000.ogg,will greatly affect the quality of life of patients after the surgery
data/train/1233999.0000_1234999.0000.ogg,"Okay, we're done"
data/train/1235584.0000_1237292.0000.ogg,The surgery was completed successfully
data/train/1237292.0000_1240083.0000.ogg,Steven no longer needs to rely on an artificial anus...
data/train/1240083.0000_1243751.0000.ogg,and can live like a regular person after his discharge
data/train/1244626.0000_1248542.0000.ogg,"Even though this surgery is complicated and challenging,"
data/train/1248542.0000_1250876.0000.ogg,I think it is successful
data/train/1250876.0000_1255792.0000.ogg,The patient stayed in the Medical High Dependency Unit for two days
data/train/1255792.0000_1257876.0000.ogg,He was soon transferred to a general ward
data/train/1258999.0000_1263417.0000.ogg,"After the second surgery, he could resume walking, eating, and pass motion normally"
data/train/1263417.0000_1265876.0000.ogg,He was scheduled to be discharged on the third day
data/train/1267083.0000_1269751.0000.ogg,"There's even peristalsis, can you see it?"
data/train/1269751.0000_1272667.0000.ogg,I suggest that everyone maintains a healthy lifestyle
data/train/1272667.0000_1275751.0000.ogg,Go for regular colorectal cancer screening
data/train/1275751.0000_1278125.0000.ogg,Most colorectal cancer...
data/train/1278125.0000_1281959.0000.ogg,"start from small polyps to large polyps, and eventually becomes malignant"
data/train/1281959.0000_1286375.0000.ogg,"If we remove it while it is still a small polyp,"
data/train/1286375.0000_1288125.0000.ogg,we can prevent colorectal cancer
data/train/1291292.0000_1292375.0000.ogg,May peace be upon you
data/train/1292375.0000_1293292.0000.ogg,And upon you too
data/train/1296876.0000_1299918.0000.ogg,"Today, Satar cooked for the family"
data/train/1299918.0000_1302876.0000.ogg,He is ready to spend some family time with his children and grandchildren
data/train/1304542.0000_1306834.0000.ogg,I've a friend who is also undergoing dialysis
data/train/1306834.0000_1309292.0000.ogg,I saw that his arm was very swollen...
data/train/1309292.0000_1311584.0000.ogg,because he went through...
data/train/1311584.0000_1313834.0000.ogg,the traditional approach
data/train/1313834.0000_1316959.0000.ogg,I was thinking if I had to go through that
data/train/1316959.0000_1318209.0000.ogg,I'm very happy...
data/train/1318209.0000_1320334.0000.ogg,there's new technology now
data/train/1320334.0000_1321250.0000.ogg,It's delicious...
data/train/1321250.0000_1322459.0000.ogg,paired with this sauce
data/train/1322459.0000_1323584.0000.ogg,It's not too spicy
data/train/1324209.0000_1326292.0000.ogg,"Initially, people always say that..."
data/train/1326292.0000_1327792.0000.ogg,"once you go for dialysis treatment,"
data/train/1327792.0000_1330209.0000.ogg,it's like the end of the world
data/train/1330209.0000_1332250.0000.ogg,But it's not
data/train/1332250.0000_1335626.0000.ogg,"After dialysis, it cleanses your blood"
data/train/1335626.0000_1337375.0000.ogg,"Okay, you won't be fully cured,"
data/train/1337375.0000_1340167.0000.ogg,but it will slow down the damage...
data/train/1340167.0000_1341417.0000.ogg,to your kidneys
data/train/1341417.0000_1343834.0000.ogg,"So, this process will make my dad..."
data/train/1343834.0000_1345918.0000.ogg,healthier day by day
data/train/1345918.0000_1349918.0000.ogg,Everyone who goes through this therapy...
data/train/1349918.0000_1352167.0000.ogg,can still go through daily activities...
data/train/1352167.0000_1353125.0000.ogg,"just like they had before,"
data/train/1353125.0000_1356083.0000.ogg,and not like someone who is sick and weak
data/train/1358667.0000_1359667.0000.ogg,Subtitles: CaptionCube
data/train/161932.0000_163487.0000.ogg,使用非处方药物
data/train/163692.0000_165247.0000.ogg,好这点我想声明一下
data/train/165452.0000_167527.0000.ogg,那么原发型的也有分类
data/train/167652.0000_169447.0000.ogg,第一种呢叫压力型的
data/train/170564.0000_171910.0000.ogg,压力型的这种东西呢
data/train/171910.0000_174242.0000.ogg,就是由于各种各样的生活
data/train/174257.0000_176682.0000.ogg,情况或者休眠情况
data/train/176777.0000_178042.0000.ogg,而造成的头疼
data/train/178417.0000_179362.0000.ogg,睡眠不好
data/train/179457.0000_180922.0000.ogg,工作压力过大
data/train/181017.0000_185002.0000.ogg,要考试心情烦躁而造成的头疼
data/train/185450.0000_187809.0000.ogg,这种呢70%的人
data/train/187890.0000_190689.0000.ogg,头疼里面70%是这种类型
data/train/191010.0000_193769.0000.ogg,压力型的一般的人一生当中
data/train/193970.0000_197889.0000.ogg,最起码可能会有一次，女性多过男性
data/train/198570.0000_201209.0000.ogg,这种头疼的现象一般是从头顶
data/train/201650.0000_203929.0000.ogg,一直到头颈都会头疼
data/train/205312.0000_208413.0000.ogg,持续时间呢从几个小时到几天不等
data/train/209306.0000_212380.0000.ogg,他发作开始呢是比较缓慢的开始发作
data/train/212380.0000_213800.0000.ogg,刚开始有一点点头疼
data/train/213800.0000_215333.0000.ogg,然后越来越疼越来越疼
data/train/215506.0000_217933.0000.ogg,然后才慢慢慢慢的好回去
data/train/218106.0000_219133.0000.ogg,这是压力型
data/train/219386.0000_221293.0000.ogg,第二种呢是比较严重的
data/train/221826.0000_223973.0000.ogg,偏头疼。偏头疼的一般
data/train/225241.0000_227809.0000.ogg,只是单边，头的单边有疼痛
data/train/228110.0000_230689.0000.ogg,15%的人群可能有这种情况
data/train/230790.0000_232569.0000.ogg,同样也是女性高于男性
data/train/233750.0000_235969.0000.ogg,这种情况呢一般会持续几个小时
data/train/236070.0000_237070.0000.ogg,到两三天
data/train/237070.0000_239889.0000.ogg,一般的情况我觉得最起码有一天时间
data/train/239990.0000_241889.0000.ogg,几个小时偏头疼的比较少
data/train/243143.0000_246093.0000.ogg,这种发作起来非常快一下子就来了
data/train/247086.0000_247813.0000.ogg,但是呢
data/train/247886.0000_250006.0000.ogg,很多人呢偏头疼患者告诉我们呢
data/train/250006.0000_251733.0000.ogg,就是在发作之前
data/train/251966.0000_254366.0000.ogg,他们有一个预兆的他们会有这个感觉
data/train/254366.0000_255533.0000.ogg,那个头疼要来了
data/train/256366.0000_258528.0000.ogg,这个偏头疼
data/train/258528.0000_259808.0000.ogg,如果是比较轻的
data/train/259808.0000_261491.0000.ogg,当然你可以用非处方药
data/train/261528.0000_265210.0000.ogg,但是如果非处方药无法压制的话
data/train/265210.0000_267251.0000.ogg,我建议见医生
data/train/267448.0000_269051.0000.ogg,因为医生那里有处方的
data/train/269207.0000_271771.0000.ogg,专门治偏头疼的药物
data/train/272008.0000_273731.0000.ogg,这点可要大家告诉一下
data/train/274288.0000_275251.0000.ogg,最后一种呢
data/train/275670.0000_277172.0000.ogg,相对常见的呢叫
data/train/277567.0000_280812.0000.ogg,窦性的鼻炎，窦性什么就是鼻窦炎
data/train/281487.0000_285372.0000.ogg,鼻窦是鼻腔四周围的几个空腔来的
data/train/285487.0000_290172.0000.ogg,这里面一旦发炎之后呢也会造成头疼
data/train/290687.0000_291490.0000.ogg,这种头疼
data/train/291490.0000_294852.0000.ogg,同时会伴随着什么现象就是鼻塞现象
data/train/295440.0000_296445.0000.ogg,这种头疼
data/train/296445.0000_298284.0000.ogg,他也不是单边也不是头顶
data/train/298284.0000_300334.0000.ogg,他是脸部正脸部
data/train/300405.0000_302374.0000.ogg,眼睛周围额头
data/train/303445.0000_305125.0000.ogg,脸颊这方面会头疼
data/train/305125.0000_307454.0000.ogg,因为鼻窦基本上是在这个附近
data/train/308257.0000_310791.0000.ogg,这种呢一般是等的鼻塞好了
data/train/311288.0000_313591.0000.ogg,他这个也就自然就会好了
data/train/314088.0000_315791.0000.ogg,这就是头疼的分类
data/train/315848.0000_317671.0000.ogg,当然还有一些其他的头疼
data/train/317768.0000_319871.0000.ogg,举个例子说有些是
data/train/320760.0000_322373.0000.ogg,戒啊戒酒啊
data/train/322626.0000_324053.0000.ogg,呃戒药啊
data/train/324226.0000_325413.0000.ogg,戒毒啊
data/train/325626.0000_326706.0000.ogg,戒咖啡啊
data/train/326706.0000_328866.0000.ogg,都会引起这种方面头疼
data/train/328866.0000_329453.0000.ogg,这是
data/train/329546.0000_331480.0000.ogg,不是我们这里最主要谈的一个问题
data/train/331480.0000_333226.0000.ogg,因为这也不是常见的
data/train/333226.0000_335973.0000.ogg,这种原发性的基本上这三种
data/train/336066.0000_338013.0000.ogg,大部分基本上在这里面了
data/train/338849.0000_340740.0000.ogg,那么用的药物有哪些呢
data/train/340879.0000_343479.0000.ogg,我们先说单方。单方的就是说单一
data/train/343479.0000_344460.0000.ogg,一味药物
data/train/344879.0000_345740.0000.ogg,就治头疼
data/train/345999.0000_347470.0000.ogg,这里面在市场上面
data/train/347470.0000_350140.0000.ogg,大概有这四种，分成三大类
data/train/350159.0000_351900.0000.ogg,一种叫 Acetaminophen
data/train/352290.0000_353731.0000.ogg,一种是NSAIDS
data/train/353848.0000_354810.0000.ogg,里面又分两种
data/train/354810.0000_357371.0000.ogg,一种是 Ibuprofen
data/train/357568.0000_359590.0000.ogg,还有一种就是Naproxen
data/train/359608.0000_360931.0000.ogg,这是中文的名称
data/train/361168.0000_362411.0000.ogg,所以你如果从
data/train/362688.0000_365128.0000.ogg,说中文的国家带药过来的话
data/train/365128.0000_367008.0000.ogg,那么你可以对照一下
data/train/367008.0000_367571.0000.ogg,这些
data/train/368040.0000_370929.0000.ogg,有效成分里面有没有这个
data/train/371310.0000_372329.0000.ogg,那么（可以）防止用药重复
data/train/373150.0000_374670.0000.ogg,Acetaminophen这个药呢
data/train/374670.0000_377830.0000.ogg,英文又有个名叫Tylenol
data/train/377830.0000_379209.0000.ogg,就是中文名泰诺
data/train/379470.0000_382696.0000.ogg,他一般4-8个小时有效
data/train/382706.0000_384346.0000.ogg,Acetaminophen最大的问题
data/train/384346.0000_387266.0000.ogg,他是用肝脏去分解这个药物的
data/train/387266.0000_388793.0000.ogg,所以呢在某种程度上
data/train/389250.0000_390392.0000.ogg,服用过量
data/train/390627.0000_392592.0000.ogg,会伤肝。记住是过量会伤肝
data/train/392627.0000_395112.0000.ogg,普通服用没什么大的问题
data/train/395347.0000_395992.0000.ogg,除非
data/train/396390.0000_399808.0000.ogg,你已经有了肝脏问题像脂肪肝
data/train/399808.0000_401648.0000.ogg,肝炎，肝硬化
data/train/401648.0000_403771.0000.ogg,那么你服用的时候需要小心一点
data/train/403848.0000_405651.0000.ogg,具体服用多少
data/train/405768.0000_408051.0000.ogg,如果你有肝脏疾病的话
data/train/408088.0000_410011.0000.ogg,咨询一下自己的医生
data/train/411399.0000_413284.0000.ogg,在服用Acetaminophen的时候
data/train/413284.0000_414615.0000.ogg,千万不能喝酒
data/train/414804.0000_416975.0000.ogg,同样的因为肝脏的问题
data/train/418004.0000_421295.0000.ogg,而 Acetaminophen的好处他有不同的
data/train/422401.0000_424639.0000.ogg,制剂有药片
data/train/424960.0000_427200.0000.ogg,有药水也有栓剂。栓剂是什么？
data/train/427200.0000_429180.0000.ogg,栓剂是塞在肛门里面的
data/train/429180.0000_432480.0000.ogg,所以说有些人如果不能口服的话
data/train/432520.0000_434600.0000.ogg,由于种种原因不能口服的话
data/train/434760.0000_436920.0000.ogg,Acetaminophen有他的优势
data/train/437080.0000_439720.0000.ogg,他是可以有栓剂
data/train/439840.0000_442600.0000.ogg,帮你解决头疼之类的问题的
data/train/443160.0000_446555.0000.ogg,啊由于这个东西只是伤肝
data/train/446764.0000_449355.0000.ogg,而对胃没有多大的影响
data/train/450004.0000_452659.0000.ogg,所以空腹情况之下也是可以服用的
data/train/452659.0000_453955.0000.ogg,因为他不伤胃
data/train/453964.0000_455034.0000.ogg,只伤肝
data/train/456290.0000_459339.0000.ogg,下面 Ibuprofen和Naproxen 这两种药物
data/train/460120.0000_461050.0000.ogg,Ibuprofen 的有效
data/train/461050.0000_462360.0000.ogg,时间是6-8个小时
data/train/462360.0000_464579.0000.ogg,Naproxen 有效时间是12个小时
data/train/464880.0000_467259.0000.ogg,但是这两个药是伤胃的
data/train/467600.0000_470379.0000.ogg,所以一定不能空腹服用
data/train/471065.0000_471837.0000.ogg,一定
data/train/472482.0000_475037.0000.ogg,需要吃一点东西然后再服用
data/train/475082.0000_478237.0000.ogg,然后服用之后需要观察一下
data/train/478322.0000_479277.0000.ogg,自己的大便
data/train/479322.0000_483482.0000.ogg,如果大便发黑，马上停药找自己的医生
data/train/483482.0000_486157.0000.ogg,因为这有可能是胃出血
data/train/486442.0000_488437.0000.ogg,或者胃部有些其他问题了
data/train/488682.0000_489757.0000.ogg,如果说
data/train/490908.0000_494230.0000.ogg,你有胃溃疡或者说严重胃病的话
data/train/494309.0000_497590.0000.ogg,那么我建议这类药物就不要吃了
data/train/498624.0000_501847.0000.ogg,另外如果你有严重的关节炎
data/train/502272.0000_504087.0000.ogg,或者说一些其他的问题
data/train/504152.0000_505567.0000.ogg,你在吃一些
data/train/506130.0000_507078.0000.ogg,止疼药的话
data/train/507078.0000_510141.0000.ogg,那么咨询一下药剂师或者自己的医生
data/train/510278.0000_511901.0000.ogg,看看是不是有
data/train/512238.0000_515341.0000.ogg,相同的或者相同类型的药物
data/train/515438.0000_517421.0000.ogg,你在已经在服用了。
data/train/517998.0000_519678.0000.ogg,因为NSAIDS非处方药只有这两种
data/train/519678.0000_521821.0000.ogg,但是处方药里面还有好多种
data/train/522150.0000_523756.0000.ogg,所以我不想大家
data/train/523943.0000_525744.0000.ogg,把这些混合在一起吃了
data/train/525744.0000_528144.0000.ogg,咨询一下医生咨询一下药剂师
data/train/528144.0000_529864.0000.ogg,如果说你有关节炎
data/train/529864.0000_531876.0000.ogg,那你有或者其他的炎症呢
data/train/531944.0000_533436.0000.ogg,你千万要小心了
data/train/534290.0000_536830.0000.ogg,这些基本都是药片和药水啊
data/train/537030.0000_537830.0000.ogg,药片药水
data/train/538110.0000_540750.0000.ogg,最后一种呢是阿司匹林。
data/train/540750.0000_542950.0000.ogg,阿司匹林有效时间比较短只有两到三个小时
data/train/542950.0000_545710.0000.ogg,同样他也会伤肝，伤胃他不伤肝
data/train/545710.0000_546590.0000.ogg,他是伤胃
data/train/547000.0000_548859.0000.ogg,严重的时候也会胃出血
data/train/548900.0000_549939.0000.ogg,也不要空腹吃
data/train/550420.0000_552240.0000.ogg,阿司匹林一般的情况下的药片呢
data/train/552240.0000_554780.0000.ogg,他有肠衣片。就是外面包裹了肠衣
data/train/554780.0000_556900.0000.ogg,肠衣在那对胃部的刺激
data/train/556900.0000_558099.0000.ogg,相对少了一点
data/train/558630.0000_560012.0000.ogg,但是呢阿司匹林呢
data/train/560012.0000_564047.0000.ogg,还有一种效果就是为降低人的血小板
data/train/564092.0000_566807.0000.ogg,所以很多心脏病的患者啊
data/train/567240.0000_569778.0000.ogg,他们是在长期服用阿司匹林
data/train/570021.0000_572018.0000.ogg,所以你在治头疼的时候
data/train/572540.0000_574098.0000.ogg,再服用阿司匹林的话
data/train/574221.0000_576458.0000.ogg,那么有可能会过量了
data/train/576501.0000_579381.0000.ogg,如果大家已经在服用阿司匹林
data/train/579381.0000_580858.0000.ogg,因为其他的疾病
data/train/581490.0000_584970.0000.ogg,那么就要避开阿司匹林这个药物
data/train/584970.0000_589569.0000.ogg,或者说如果你在服用一些血液稀释剂
data/train/589950.0000_591854.0000.ogg,叫Warfarin这种东西
data/train/592025.0000_595334.0000.ogg,那么呢你的出血的概率就会增加了
data/train/595345.0000_597185.0000.ogg,你再服用阿司匹林的话
data/train/597185.0000_600254.0000.ogg,就更加容易出现各种出血的现象
data/train/600265.0000_602345.0000.ogg,在这种情况之下的阿司匹林
data/train/602345.0000_604334.0000.ogg,可能就不能服用了啊
data/train/604494.0000_606242.0000.ogg,这种情况下我建议大家
data/train/606357.0000_608437.0000.ogg,咨询一下自己的医生或者药剂师
data/train/608437.0000_611322.0000.ogg,已确定你是可以服用阿司匹林的
data/train/612077.0000_614922.0000.ogg,好那么这是单方。
data/train/615197.0000_615880.0000.ogg,有些时候你去找药的时候
data/train/615880.0000_618602.0000.ogg,他会后面有些复方专门治头疼的
data/train/618717.0000_620517.0000.ogg,那么复方里面的其他成分
data/train/620517.0000_621882.0000.ogg,到底是什么作用的呢？
data/train/622543.0000_624113.0000.ogg,复方里面的一般的
data/train/625066.0000_627473.0000.ogg,里面包除了刚开始
data/train/627866.0000_629153.0000.ogg,说的这个四种
data/train/629426.0000_631433.0000.ogg,单方他还加了一些成分
data/train/631546.0000_634273.0000.ogg,加的成分是什么呢？第一种是咖啡因
data/train/635109.0000_636580.0000.ogg,最主要对头疼有效
data/train/636959.0000_638260.0000.ogg,但是你要知道
data/train/638959.0000_642060.0000.ogg,咖啡因这个东西可以使人亢奋
data/train/642399.0000_643500.0000.ogg,不容易睡觉
data/train/643799.0000_646380.0000.ogg,如果说你是压力性的头疼
data/train/646799.0000_650380.0000.ogg,而造成无法睡着的失眠的
data/train/650479.0000_653420.0000.ogg,再服用含有咖啡因的
data/train/654200.0000_655434.0000.ogg,头疼药的话
data/train/655465.0000_659194.0000.ogg,那么你反而会雪上加霜
data/train/659985.0000_662474.0000.ogg,所以说你要知道自己到底
data/train/662700.0000_664318.0000.ogg,该不该服用咖啡因
data/train/664318.0000_668121.0000.ogg,另外还有一些人对咖啡因有比较过敏
data/train/668558.0000_671918.0000.ogg,服用咖啡因之后他反而会造成偏头疼
data/train/671918.0000_675521.0000.ogg,那么这些人也不能服用这类的复方药
data/train/676548.0000_677620.0000.ogg,另外下面两种呢
data/train/677620.0000_679824.0000.ogg,是最主要是治疗鼻塞的
data/train/679824.0000_681624.0000.ogg,也是一种叫 Phenylephrine
data/train/681624.0000_682980.0000.ogg,一种叫 Pseudoephedrine
data/train/683264.0000_685104.0000.ogg,这两种都是治疗鼻塞的
data/train/685104.0000_688175.0000.ogg,那么对我们刚才所说的窦性的
data/train/688664.0000_691335.0000.ogg,头疼是会有比较好的作用
data/train/691980.0000_693587.0000.ogg,他一般的牌子上就说
data/train/693812.0000_696507.0000.ogg,Headache and sinus 啊这种
data/train/697332.0000_701772.0000.ogg,但是这两种药物也有可能会增加你的
data/train/701772.0000_702907.0000.ogg,提高血压
data/train/703052.0000_705074.0000.ogg,增加心跳
data/train/705285.0000_707794.0000.ogg,所以你有心脏病或者高血压的话
data/train/707885.0000_708834.0000.ogg,那么你就要
data/train/709325.0000_712194.0000.ogg,慎重的考虑该不该服用这类药物
data/train/712325.0000_713980.0000.ogg,咨询一下自己的医生了啊
data/train/713980.0000_716594.0000.ogg,不要盲目的觉得自己是窦性的
data/train/717405.0000_719394.0000.ogg,头疼马上去服用这个药物
data/train/719485.0000_722754.0000.ogg,这个可能对你的高血压什么会有影响
data/train/723639.0000_726650.0000.ogg,最后一种就是苯海拉明Diphenhydramine
data/train/726949.0000_728650.0000.ogg,diphenhydramine这个药物
data/train/728949.0000_732709.0000.ogg,最主要是用于失眠和过敏的
data/train/732709.0000_735170.0000.ogg,在以后我在失眠的或者过敏
data/train/735229.0000_737090.0000.ogg,讲座里面会详细介绍
data/train/737269.0000_740130.0000.ogg,现在混合用呢就是我们常说的
data/train/740944.0000_743407.0000.ogg,由于压力你睡不好
data/train/743472.0000_745727.0000.ogg,那么你想帮助自己的睡眠
data/train/745952.0000_746927.0000.ogg,那么你在
data/train/747032.0000_749472.0000.ogg,Acetaminophen或者 Ibuprofen 的基础上
data/train/749472.0000_751647.0000.ogg,在加Diphenhydramine
data/train/751712.0000_755002.0000.ogg,那么就比较好的帮你睡觉
data/train/755002.0000_756762.0000.ogg,或者说在过敏季节
data/train/756762.0000_759157.0000.ogg,你过敏的非常厉害而造成头疼
data/train/759242.0000_762957.0000.ogg,那么你也吃这个也没有多大问题啊
data/train/763002.0000_765202.0000.ogg,但是Diphenhydramine
data/train/765202.0000_766517.0000.ogg,这个药物有一个
data/train/766962.0000_770237.0000.ogg,非常大的副作用因为他是帮助失眠的
data/train/771173.0000_772588.0000.ogg,他会造成头晕
data/train/772911.0000_775548.0000.ogg,所以你开车啊之类的
data/train/775551.0000_779348.0000.ogg,千万要小心。服用了这类药物之后开车
data/train/779391.0000_781917.0000.ogg,千万要小心好
data/train/781917.0000_783782.0000.ogg,今天就大致介绍一下
data/train/783917.0000_785942.0000.ogg,关于头疼的非处方药
data/train/786037.0000_787557.0000.ogg,希望对大家有所帮助
data/train/787557.0000_790302.0000.ogg,有什么问题欢迎在下面提问。谢谢！
data/train/298131.0000_299932.0000.ogg,他就一直皮膚一直發癢
data/train/299932.0000_300967.0000.ogg,結果後來他去看
data/train/300967.0000_302535.0000.ogg,他就是變癢然後一塊硬硬的
data/train/302535.0000_304103.0000.ogg,對 變黑
data/train/304103.0000_304971.0000.ogg,結果後來去檢查
data/train/306606.0000_307907.0000.ogg,一般來講皮膚發炎
data/train/307907.0000_309442.0000.ogg,就說如果是局部
data/train/309442.0000_310943.0000.ogg,然後他這個皮膚癌是病變
data/train/310943.0000_312979.0000.ogg,但是痣當然你會看顏色病變
data/train/312979.0000_313680.0000.ogg,或有些皮膚
data/train/313680.0000_315548.0000.ogg,它有一些這個潰瘍發生
data/train/315548.0000_316316.0000.ogg,不過有的時候
data/train/318117.0000_319352.0000.ogg,像蕁麻疹那種嗎
data/train/319352.0000_319919.0000.ogg,當然不是
data/train/319919.0000_320586.0000.ogg,它那種發癢
data/train/320586.0000_321788.0000.ogg,不像蕁麻疹一塊一塊的
data/train/321788.0000_322655.0000.ogg,風疹塊
data/train/322655.0000_323723.0000.ogg,他是覺得慢性的癢
data/train/325358.0000_326592.0000.ogg,這個很可能是怎麼樣
data/train/326592.0000_327160.0000.ogg,我們的比如說
data/train/328861.0000_329462.0000.ogg,是肝臟
data/train/329462.0000_330730.0000.ogg,因為你可能大概這個
data/train/332131.0000_334334.0000.ogg,所以膽紅素會高一些
data/train/335968.0000_337670.0000.ogg,其實這會莫名其妙的發癢
data/train/337670.0000_338871.0000.ogg,也要稍微注意一下
data/train/338871.0000_340173.0000.ogg,如果假設發癢
data/train/340173.0000_341441.0000.ogg,又合併假如食慾不好
data/train/341441.0000_342275.0000.ogg,體重下降
data/train/342275.0000_343776.0000.ogg,一定會有事情的
data/train/343776.0000_344510.0000.ogg,要來看一看
data/train/344510.0000_345712.0000.ogg,因為今天請醫師來
data/train/345712.0000_347547.0000.ogg,就要跟我們講講防癌這件事情
data/train/347547.0000_348281.0000.ogg,很重要
data/train/348281.0000_349215.0000.ogg,既然剛剛講到說
data/train/349215.0000_351551.0000.ogg,癌症會發生的這種可能徵兆
data/train/351551.0000_352719.0000.ogg,那接下來我們應該怎麼吃呢
data/train/352719.0000_353586.0000.ogg,很重要
data/train/353586.0000_354987.0000.ogg,我們常常講說談癌色變
data/train/354987.0000_357523.0000.ogg,但是防癌其實我們常講一個重點
data/train/358957.0000_360393.0000.ogg,就是專家講得好的事情
data/train/361494.0000_362428.0000.ogg,比如以食物來講
data/train/362428.0000_363663.0000.ogg,我這邊列舉幾個
data/train/363663.0000_364464.0000.ogg,給大家參考一下
data/train/364464.0000_367200.0000.ogg,第一個十字花科的蔬菜
data/train/367200.0000_368701.0000.ogg,所有看過劉醫師門診的知道
data/train/368701.0000_370203.0000.ogg,劉醫師常建議尤其女孩子
data/train/370203.0000_371504.0000.ogg,那男生也是一樣
data/train/371504.0000_373773.0000.ogg,十字花科的蔬菜像花椰菜 高麗菜
data/train/373773.0000_375541.0000.ogg,大小白菜 青江菜等等
data/train/375541.0000_377310.0000.ogg,它這裡面有些特殊的營養素
data/train/379379.0000_380646.0000.ogg,這個好處在哪邊
data/train/380646.0000_380913.0000.ogg,它會
data/train/383116.0000_384717.0000.ogg,我剛才特別在前面講個重點
data/train/384717.0000_385218.0000.ogg,我們是不是有很多
data/train/388354.0000_390089.0000.ogg,我肝臟如果解毒力強的話
data/train/390089.0000_391391.0000.ogg,這些吃進去塑化劑
data/train/392992.0000_393292.0000.ogg,所以如果多喝水
data/train/393292.0000_393860.0000.ogg,所以如果多喝水
data/train/393860.0000_395395.0000.ogg,多吃十字花科的蔬菜
data/train/395395.0000_397196.0000.ogg,你的排毒機制會非常強
data/train/397196.0000_398398.0000.ogg,很重要的一個事情
data/train/398398.0000_399699.0000.ogg,可是怎麼烹調
data/train/399699.0000_401367.0000.ogg,比如說有生菜 清蒸
data/train/401367.0000_403369.0000.ogg,也有炸蔬菜可以嗎
data/train/404971.0000_406372.0000.ogg,炸下去
data/train/406372.0000_408007.0000.ogg,我們要吃蔬菜裡面什麼東西
data/train/408841.0000_410376.0000.ogg,第二來講它裡面很多的
data/train/410376.0000_411411.0000.ogg,我們講植物化素叫
data/train/412678.0000_413846.0000.ogg,它裡面不管葉綠素
data/train/413846.0000_415782.0000.ogg,很多胡蘿蔔素 葉黃素等等
data/train/415782.0000_417016.0000.ogg,這類叫植化素
data/train/417016.0000_417884.0000.ogg,什麼叫植化素
data/train/417884.0000_418718.0000.ogg,對於身體裡面
data/train/420286.0000_421020.0000.ogg,所以當你烹調
data/train/421020.0000_422355.0000.ogg,是屬於油炸的方式的話
data/train/422355.0000_423356.0000.ogg,就是慘了
data/train/423356.0000_424524.0000.ogg,當然我們講說
data/train/424524.0000_426592.0000.ogg,你說你要假設我們這麼多蔬菜
data/train/426592.0000_429395.0000.ogg,你說青花這個蘆筍一大堆
data/train/429395.0000_431230.0000.ogg,如果假設是我們川燙
data/train/431230.0000_432432.0000.ogg,水煮起來之後
data/train/433800.0000_434834.0000.ogg,你沒有加油的話
data/train/434834.0000_435802.0000.ogg,加點好油
data/train/435802.0000_437470.0000.ogg,要不然它很多植物的這些化合物
data/train/438838.0000_440106.0000.ogg,比如說我舉個例子番茄
data/train/440106.0000_441908.0000.ogg,番茄來講你如果吃生番茄
data/train/441908.0000_443743.0000.ogg,它裡面茄紅素沒有些油
data/train/443743.0000_444877.0000.ogg,它是油溶性的
data/train/446679.0000_448214.0000.ogg,所以剛一路講這個問題
data/train/448214.0000_449215.0000.ogg,我們這麼多的
data/train/449215.0000_451217.0000.ogg,這個像這類蔬菜來講
data/train/451217.0000_453186.0000.ogg,水煮 蒸
data/train/453186.0000_454754.0000.ogg,水炒都不錯
data/train/454754.0000_455655.0000.ogg,我們水炒叫
data/train/456789.0000_458191.0000.ogg,就是比如說你今天假設
data/train/458191.0000_459792.0000.ogg,我們舉個洋蔥好了
data/train/459792.0000_461227.0000.ogg,我洋蔥切一切之後
data/train/461227.0000_462728.0000.ogg,我丟到這個鍋子裡面去
data/train/462728.0000_464363.0000.ogg,我有點水加點油
data/train/464363.0000_466699.0000.ogg,中低溫的小火
data/train/466699.0000_468167.0000.ogg,這油水 油有水
data/train/468167.0000_470036.0000.ogg,這樣炒起來叫油水炒
data/train/470036.0000_470803.0000.ogg,它的溫度來講
data/train/472371.0000_473272.0000.ogg,不會跑得很高
data/train/473272.0000_474474.0000.ogg,這種時候蔬菜跟營養素
data/train/474474.0000_475374.0000.ogg,保存得非常好
data/train/475374.0000_477143.0000.ogg,是 剛剛你講的那個
data/train/477143.0000_479078.0000.ogg,炸的或烤的
data/train/479078.0000_480313.0000.ogg,這種東西來講 煎的
data/train/480313.0000_482648.0000.ogg,一定會把它幾個蔬菜裡面的營養素
data/train/483716.0000_484784.0000.ogg,西餐很喜歡用烤蔬菜
data/train/484784.0000_487086.0000.ogg,烤櫛瓜上面再淋一些什麼
data/train/487086.0000_487820.0000.ogg,醬什麼的
data/train/487820.0000_489655.0000.ogg,你講那個烤我還想補充一下
data/train/489655.0000_491791.0000.ogg,比如說我們講烤魚好了
data/train/491791.0000_492425.0000.ogg,烤魚來講
data/train/492425.0000_493426.0000.ogg,你看我們烤的魚
data/train/493426.0000_494293.0000.ogg,外面是黑黑的
data/train/494293.0000_496929.0000.ogg,但是我撕掉裡面肉是白嫩嫩的
data/train/496929.0000_498097.0000.ogg,這個時候我就說可以
data/train/498097.0000_499565.0000.ogg,你把那外面肉撕掉
data/train/499565.0000_500099.0000.ogg,那皮撕掉
data/train/501300.0000_502768.0000.ogg,一樣蔬菜來講
data/train/502768.0000_504136.0000.ogg,如果是烤的蔬菜
data/train/504136.0000_505838.0000.ogg,你只要焦的部分把它弄掉
data/train/505838.0000_506639.0000.ogg,但是裡面顏色
data/train/508707.0000_510209.0000.ogg,所以大概給大家提供參考一下
data/train/527493.0000_529395.0000.ogg,第二個來講就像大蒜或薑黃
data/train/529395.0000_530596.0000.ogg,我們常講大蒜來講
data/train/530596.0000_532398.0000.ogg,這個東西有它的歷史淵源
data/train/532398.0000_533199.0000.ogg,但是最主要是
data/train/533199.0000_534600.0000.ogg,大蒜裡面的大蒜素
data/train/534600.0000_536202.0000.ogg,大蒜烯裡面來講
data/train/536202.0000_537904.0000.ogg,它除了屬於抗菌等等
data/train/537904.0000_539505.0000.ogg,但是它對我們的細胞的
data/train/539505.0000_540840.0000.ogg,這種DNA的保護
data/train/540840.0000_542942.0000.ogg,預防細胞DNA的鍵結的斷裂
data/train/542942.0000_543709.0000.ogg,是有好處
data/train/543709.0000_545645.0000.ogg,所以在以前曾經研究過說
data/train/545645.0000_547179.0000.ogg,常常吃大蒜的朋友
data/train/547179.0000_548681.0000.ogg,大腸的息肉比較少
data/train/550816.0000_552051.0000.ogg,甚至有些研究認為
data/train/552051.0000_553953.0000.ogg,大蒜對於幽門桿菌的抑制
data/train/553953.0000_555955.0000.ogg,是有一定某種程度的效果
data/train/555955.0000_557623.0000.ogg,所以大蒜是我還蠻推薦
data/train/557623.0000_559625.0000.ogg,那除非有人是覺得味道不好
data/train/559625.0000_561260.0000.ogg,是另外一回事了 是
data/train/561260.0000_562595.0000.ogg,那像菇類來講
data/train/562595.0000_563829.0000.ogg,所有的菇都可以嗎
data/train/563829.0000_565231.0000.ogg,幾乎都可以
data/train/565231.0000_566198.0000.ogg,菇類來講很特殊
data/train/566198.0000_567066.0000.ogg,因為我們常講
data/train/567066.0000_567533.0000.ogg,大家聽過
data/train/569001.0000_570603.0000.ogg,其實最近的研究發現
data/train/570603.0000_571938.0000.ogg,常吃菇的女生
data/train/574507.0000_576642.0000.ogg,為什麼這個很讓人驚訝就是說
data/train/576642.0000_578711.0000.ogg,菇裡面第一個它有多醣體
data/train/578711.0000_579979.0000.ogg,有多醣體是幹什麼東西
data/train/579979.0000_581547.0000.ogg,它是一種葡萄糖聚合物
data/train/581547.0000_583015.0000.ogg,它在腸子裡面去
data/train/583015.0000_584951.0000.ogg,它促進我們腸子旁邊的
data/train/584951.0000_586752.0000.ogg,所有淋巴結的活化
data/train/588020.0000_590089.0000.ogg,另外菇裡面還有一些維生素D2
data/train/590089.0000_590356.0000.ogg,叫做
data/train/591757.0000_592992.0000.ogg,我們現在大家講吃D3
data/train/592992.0000_594994.0000.ogg,好像是個全民的運動對不對 對
data/train/594994.0000_596963.0000.ogg,因為大家知道D3的好處很多
data/train/596963.0000_598364.0000.ogg,菇裡面含的D2一樣
data/train/598364.0000_599532.0000.ogg,在身體裡面會轉換成
data/train/600733.0000_602435.0000.ogg,所以菇的好處非常多
data/train/602435.0000_603135.0000.ogg,有一些人講
data/train/603135.0000_604470.0000.ogg,不是說容易痛風的人
data/train/604470.0000_605871.0000.ogg,不要吃菇類嗎
data/train/605871.0000_606606.0000.ogg,其實這個來講
data/train/607807.0000_608608.0000.ogg,汙名化 對
data/train/608608.0000_611110.0000.ogg,就像有人講說痛風不要喝豆漿
data/train/611110.0000_613212.0000.ogg,這個已經算是已經被矯正過來的
data/train/613212.0000_614780.0000.ogg,我還有聽說過一個很可怕的
data/train/614780.0000_616182.0000.ogg,是說女生不可以吃菇類
data/train/616182.0000_618784.0000.ogg,否則你的就是私密處保養不好
data/train/618784.0000_619819.0000.ogg,就是對菇來說
data/train/621387.0000_624123.0000.ogg,反而是菇對免疫系統的那個提升
data/train/626192.0000_628494.0000.ogg,對 我們剛拉回一個重點
data/train/628494.0000_630529.0000.ogg,如果你尿酸過高痛風的話
data/train/630529.0000_631697.0000.ogg,我們普林太高
data/train/631697.0000_633165.0000.ogg,其實基本上要特別注意什麼
data/train/633165.0000_634066.0000.ogg,不要喝啤酒
data/train/634066.0000_635635.0000.ogg,不要吃動物的內臟
data/train/635635.0000_637003.0000.ogg,不要喝火鍋的湯頭
data/train/637003.0000_639672.0000.ogg,不要喝太甜的這種包括飲料
data/train/639672.0000_641140.0000.ogg,或太甜的果汁
data/train/642708.0000_644543.0000.ogg,可是你是少量的菇類
data/train/644543.0000_645678.0000.ogg,少量豆製品
data/train/647213.0000_648247.0000.ogg,所以這個是迷思
data/train/648247.0000_649548.0000.ogg,這個已經被矯正過了
data/train/649548.0000_650316.0000.ogg,是
data/train/650316.0000_651417.0000.ogg,另外魚
data/train/651417.0000_652585.0000.ogg,我們常講魚來講
data/train/652585.0000_654286.0000.ogg,尤其是比較偏海魚
data/train/654286.0000_655688.0000.ogg,它裡面EPA DHA
data/train/655688.0000_657123.0000.ogg,確實對我們的身體來講
data/train/657123.0000_658691.0000.ogg,抗發炎 這個是抗腫瘤
data/train/658691.0000_659558.0000.ogg,是有很大的好處
data/train/659558.0000_660826.0000.ogg,尤其是EPA
data/train/660826.0000_661861.0000.ogg,EPA來講叫
data/train/662828.0000_664463.0000.ogg,它對一些腫瘤預防
data/train/664463.0000_665998.0000.ogg,是有它的一個證據
data/train/665998.0000_667199.0000.ogg,醫師我特別想問
data/train/667199.0000_669669.0000.ogg,那魚方面的話要怎麼樣吃
data/train/669669.0000_671003.0000.ogg,像是生魚片也可以嗎
data/train/671003.0000_672071.0000.ogg,有沒有特別要挑選
data/train/672071.0000_673839.0000.ogg,什麼魚的烹調方式
data/train/673839.0000_675408.0000.ogg,我要特別提醒一個事情
data/train/675408.0000_677410.0000.ogg,我們講吃魚有好處對不對
data/train/677410.0000_678944.0000.ogg,可是你知道我們國內有醫學中心
data/train/678944.0000_679745.0000.ogg,做過研究
data/train/679745.0000_681080.0000.ogg,長期吃一些魚
data/train/684850.0000_685951.0000.ogg,過去的醫學中心
data/train/685951.0000_688554.0000.ogg,它們統計過有30個愛吃大型魚的
data/train/688554.0000_689789.0000.ogg,什麼叫大型魚
data/train/689789.0000_692458.0000.ogg,旗魚 鮪魚還有鯊魚
data/train/692458.0000_694794.0000.ogg,另外還有就是有一種那個圓鱈
data/train/694794.0000_695961.0000.ogg,圓鱈我知道
data/train/695961.0000_697096.0000.ogg,比較厚片對不對
data/train/697096.0000_698497.0000.ogg,我們現在都切片的那個
data/train/698497.0000_700299.0000.ogg,它不是真的 不是這種鱈魚
data/train/700299.0000_701467.0000.ogg,另外還有一個特別小心
data/train/701467.0000_702968.0000.ogg,有一種小型叫馬頭魚
data/train/702968.0000_703469.0000.ogg,馬頭魚
data/train/703469.0000_705071.0000.ogg,它的mercury汞很高
data/train/705071.0000_706572.0000.ogg,在美國FDA是blue
data/train/706572.0000_706839.0000.ogg,就說
data/train/707873.0000_710409.0000.ogg,你知道私廚很喜歡用馬頭魚 對
data/train/710409.0000_711310.0000.ogg,我每次講到這很多人
data/train/711310.0000_712411.0000.ogg,劉醫師這很貴
data/train/712411.0000_713546.0000.ogg,我們這有錢才吃得起
data/train/713546.0000_715147.0000.ogg,他特別推你說選馬頭魚
data/train/715147.0000_716915.0000.ogg,對 我說你偶爾吃一次不會怎麼樣
data/train/716915.0000_717950.0000.ogg,但是它裡面汞真的很高
data/train/717950.0000_718918.0000.ogg,不要常吃 對對對
data/train/718918.0000_721253.0000.ogg,所以基本上大型魚要特別小心
data/train/721253.0000_723389.0000.ogg,那相對來講鮭魚 鯖魚
data/train/723389.0000_724590.0000.ogg,秋刀 竹夾
data/train/724590.0000_725958.0000.ogg,這種比較中小型的海魚
data/train/727259.0000_728294.0000.ogg,那淡水魚來講
data/train/728294.0000_729929.0000.ogg,它EPA DHA比較少
data/train/729929.0000_730796.0000.ogg,所以我認為還是吃
data/train/730796.0000_733299.0000.ogg,比較中小型的海魚比較OK
data/train/733299.0000_733799.0000.ogg,是這樣子
data/train/733799.0000_735701.0000.ogg,那好的油脂到底是什麼
data/train/735701.0000_737069.0000.ogg,你知道我們油有這個
data/train/737069.0000_738370.0000.ogg,Omega369
data/train/738370.0000_740406.0000.ogg,其實不管飽和脂肪 369
data/train/740406.0000_742374.0000.ogg,其實現在目前對人體最健康的
data/train/742374.0000_743275.0000.ogg,你就記得兩個
data/train/743275.0000_745277.0000.ogg,一個叫9一個叫3
data/train/745277.0000_746112.0000.ogg,什麼叫9呢
data/train/746112.0000_747480.0000.ogg,比如說我們常講
data/train/747480.0000_748481.0000.ogg,我們在烹飪的油
data/train/748481.0000_749281.0000.ogg,苦茶油
data/train/749281.0000_751350.0000.ogg,橄欖油 酪梨油
data/train/751350.0000_752785.0000.ogg,或者所有的玄米油這一類的
data/train/752785.0000_755121.0000.ogg,它裡面有個叫油酸就Omega9
data/train/755121.0000_755921.0000.ogg,你知道很有名叫
data/train/757523.0000_758324.0000.ogg,那裡面怎麼樣
data/train/758324.0000_759425.0000.ogg,橄欖油
data/train/759425.0000_761560.0000.ogg,我們臺灣的這個
data/train/761560.0000_763596.0000.ogg,我們臺灣的就是什麼苦茶油
data/train/763596.0000_765197.0000.ogg,它裡面的這油酸特別高
data/train/765197.0000_767099.0000.ogg,它對心血管疾病預防蠻重要
data/train/767099.0000_767900.0000.ogg,但是最重要
data/train/769135.0000_770603.0000.ogg,就是Omega3脂肪酸
data/train/770603.0000_772204.0000.ogg,就是EPA DHA
data/train/772204.0000_773372.0000.ogg,魚 所以我剛才講魚
data/train/773372.0000_774740.0000.ogg,然後或是補充點魚油
data/train/774740.0000_776142.0000.ogg,那吃素的朋友怎麼辦
data/train/776142.0000_777977.0000.ogg,他說我不吃魚 對
data/train/777977.0000_779678.0000.ogg,那就偏素食的Omega3
data/train/779678.0000_782414.0000.ogg,像紫蘇油 亞麻仁籽油等等
data/train/782414.0000_783048.0000.ogg,這邊油叫
data/train/784183.0000_785117.0000.ogg,它的效果當然沒有像
data/train/785117.0000_786685.0000.ogg,魚油EPA DHA這麼好
data/train/786685.0000_788587.0000.ogg,但是多少補充的話
data/train/788587.0000_790156.0000.ogg,它會轉變到EPA DHA
data/train/790156.0000_792024.0000.ogg,還是有某種程度的抗發炎的效果
data/train/792024.0000_793392.0000.ogg,醫師我想問一下油
data/train/793392.0000_796262.0000.ogg,因為市場上面通路跟產品都很多
data/train/796262.0000_798564.0000.ogg,然後我既然知道這是方向 對
data/train/798564.0000_800699.0000.ogg,但是要怎麼最後在選產品的時候
data/train/800699.0000_802034.0000.ogg,選到對的好油
data/train/802034.0000_804603.0000.ogg,第一個這個油儘量是玻璃瓶
data/train/804603.0000_806539.0000.ogg,尤其暗色玻璃瓶裝
data/train/806539.0000_808207.0000.ogg,油如果它是有這個
data/train/808207.0000_808674.0000.ogg,比如說
data/train/810543.0000_811710.0000.ogg,然後如果玻璃瓶的話
data/train/811710.0000_812878.0000.ogg,儘量有暗色玻璃瓶
data/train/815147.0000_816816.0000.ogg,如果你是這個屬於暗色玻璃瓶
data/train/816816.0000_818717.0000.ogg,看到我們買那個冷壓初榨橄欖油
data/train/818717.0000_820452.0000.ogg,都是很暗很黑色的
data/train/821754.0000_822588.0000.ogg,當然它裡面來講
data/train/822588.0000_824089.0000.ogg,它的蓋子一定要旋得非常好
data/train/824089.0000_825558.0000.ogg,還有它裡面它有些
data/train/825558.0000_827760.0000.ogg,儘量是冷壓初榨的比較好
data/train/827760.0000_829161.0000.ogg,那冷壓初榨油我們講
data/train/829161.0000_829995.0000.ogg,大家都知道有概念
data/train/829995.0000_831764.0000.ogg,就是它不太適合去煎炒
data/train/831764.0000_833165.0000.ogg,因為它的發煙點的問題
data/train/833165.0000_834366.0000.ogg,發煙點 對
data/train/834366.0000_835701.0000.ogg,我們知道油有發煙點
data/train/835701.0000_836602.0000.ogg,有些發煙點
data/train/836602.0000_838337.0000.ogg,低發煙點 中發煙點 高發煙點
data/train/838337.0000_840506.0000.ogg,所以如果假設你是我們這樣講
data/train/840506.0000_841707.0000.ogg,就是涼拌蔬菜
data/train/841707.0000_843475.0000.ogg,你要做一些比較涼拌東西
data/train/843475.0000_844710.0000.ogg,像冷壓橄欖油
data/train/844710.0000_846545.0000.ogg,這種初榨的都不錯
data/train/846545.0000_848414.0000.ogg,那但是如果假設你要煮菜的話
data/train/848414.0000_850049.0000.ogg,像葡萄籽油
data/train/850049.0000_850916.0000.ogg,葵花籽油等等
data/train/851951.0000_852685.0000.ogg,高的對對對
data/train/852685.0000_853519.0000.ogg,那當然你要
data/train/853519.0000_855221.0000.ogg,如果是要煎或炸的話
data/train/855221.0000_856922.0000.ogg,可能要用更高發煙點的
data/train/856922.0000_858624.0000.ogg,但是他們說有人用點豬油
data/train/858624.0000_859825.0000.ogg,我倒不反對
data/train/859825.0000_861427.0000.ogg,除非你膽固醇過高
data/train/861427.0000_863596.0000.ogg,就儘量不要用太多豬油 是
data/train/863596.0000_864964.0000.ogg,所以你看油選好的話
data/train/864964.0000_866332.0000.ogg,就可以避免肺癌
data/train/866332.0000_867833.0000.ogg,這個其實還蠻重要的 對
data/train/867833.0000_869235.0000.ogg,就上次劉醫師來
data/train/869235.0000_871170.0000.ogg,很多來問防癌到底要怎麼吃
data/train/871170.0000_873205.0000.ogg,我們歸類出幾個迷思
data/train/873205.0000_875341.0000.ogg,現在要請醫師來幫我們解答
data/train/875341.0000_877042.0000.ogg,第一個水果跟蔬菜汁
data/train/877042.0000_878611.0000.ogg,可以防癌抗癌
data/train/878611.0000_879345.0000.ogg,這是真的嗎
data/train/879345.0000_880512.0000.ogg,你如果問我說
data/train/880512.0000_882381.0000.ogg,水果跟蔬菜可不可以防癌抗癌
data/train/882381.0000_883816.0000.ogg,我會講可以
data/train/883816.0000_884383.0000.ogg,但是如果
data/train/887386.0000_888187.0000.ogg,為什麼呢
data/train/888187.0000_888821.0000.ogg,蔬菜來講
data/train/888821.0000_890155.0000.ogg,其實它裡面纖維質非常高
data/train/890155.0000_891857.0000.ogg,我們講過是非常好
data/train/891857.0000_892825.0000.ogg,水果其實不錯
data/train/893726.0000_894526.0000.ogg,太甜了
data/train/894526.0000_895628.0000.ogg,我們現在水果的好處是
data/train/895628.0000_898063.0000.ogg,它裡面有些維生素c等等的營養素
data/train/898063.0000_898998.0000.ogg,但是它裡面的
data/train/900766.0000_902468.0000.ogg,哲青我如果叫你買個水果不甜
data/train/902468.0000_903335.0000.ogg,你一定會
data/train/903335.0000_903736.0000.ogg,這不好說
data/train/903736.0000_905170.0000.ogg,沒有我現在可以接受
data/train/905170.0000_906772.0000.ogg,以前我都不可以接受
data/train/906772.0000_908107.0000.ogg,現在我就可以接受了 對對對
data/train/908107.0000_909375.0000.ogg,羡慕
data/train/909375.0000_910843.0000.ogg,如果是蔬菜水
data/train/910843.0000_911543.0000.ogg,我現在常常講
data/train/912778.0000_914046.0000.ogg,就是希望避開糖
data/train/914046.0000_915047.0000.ogg,但是
data/train/915047.0000_915915.0000.ogg,蔬菜水果是不錯
data/train/915915.0000_918017.0000.ogg,但是你打成汁之後有個問題
data/train/918017.0000_919418.0000.ogg,比如水果我打成汁之後
data/train/921220.0000_922554.0000.ogg,那糖會增加
data/train/922554.0000_924356.0000.ogg,所以我本來要吃它的好的東西
data/train/924356.0000_925357.0000.ogg,可是我以前分享過
data/train/925357.0000_926558.0000.ogg,有人吃這個蔬菜水果
data/train/926558.0000_927826.0000.ogg,是水果汁
data/train/927826.0000_929261.0000.ogg,吃了會發胖了
data/train/929261.0000_930362.0000.ogg,造成心臟病都有的
data/train/930362.0000_931430.0000.ogg,所以這個來講
data/train/931430.0000_933165.0000.ogg,並不能講說可以防癌抗癌
data/train/933165.0000_934199.0000.ogg,但是對身體有幫助
data/train/934199.0000_935367.0000.ogg,但是記個原則
data/train/937002.0000_937503.0000.ogg,原型的食物
data/train/937503.0000_938470.0000.ogg,如果要打成汁
data/train/940139.0000_941173.0000.ogg,這個很重要一個關鍵
data/train/941173.0000_943976.0000.ogg,醫師剛剛說多蔬少果 對對對
data/train/943976.0000_944843.0000.ogg,醫師你是不是有碰到一個
data/train/944843.0000_947313.0000.ogg,光吃水果就吃到心肌梗塞
data/train/947313.0000_948013.0000.ogg,怎麼會這樣
data/train/948013.0000_949515.0000.ogg,那個女生我印象非常深刻
data/train/949515.0000_951283.0000.ogg,她拿一堆病例放我前面
data/train/951283.0000_951884.0000.ogg,來 我跟你講
data/train/951884.0000_954887.0000.ogg,我某天晚上睡覺胸悶 心悸 痛
data/train/954887.0000_956188.0000.ogg,到醫院去竟然跟我講說
data/train/957189.0000_958724.0000.ogg,我一看心肌梗塞
data/train/958724.0000_960326.0000.ogg,然後放了一個支架
data/train/960326.0000_961560.0000.ogg,可是你的節目我都有看
data/train/961560.0000_963729.0000.ogg,我都吃很多的蔬菜水果
data/train/963729.0000_964730.0000.ogg,我就蔬菜不吃
data/train/964730.0000_966598.0000.ogg,我把它補到9份水果
data/train/966598.0000_967599.0000.ogg,她的糖很高
data/train/967599.0000_969635.0000.ogg,她的三酸甘油脂一般是150
data/train/969635.0000_971236.0000.ogg,她平常我看她過去幾年來講
data/train/972705.0000_973439.0000.ogg,這不得了的
data/train/973439.0000_974907.0000.ogg,她連LDL低密度膽固醇
data/train/974907.0000_976342.0000.ogg,都大概150 160
data/train/976342.0000_978210.0000.ogg,我說妳這不心肌梗塞才怪
data/train/978210.0000_979211.0000.ogg,她說你為什麼不早點講
data/train/979211.0000_980012.0000.ogg,我說我怎麼知道
data/train/980012.0000_981714.0000.ogg,所以我現在上很多節目我都講
data/train/983015.0000_984616.0000.ogg,那這個蔬要怎麼吃
data/train/987619.0000_988921.0000.ogg,其實蔬菜來講
data/train/988921.0000_990055.0000.ogg,我們講說一個碗
data/train/990055.0000_990823.0000.ogg,煮熟的蔬菜
data/train/990823.0000_992591.0000.ogg,裡面大概是兩份蔬菜
data/train/992591.0000_993993.0000.ogg,所以大概一天來講
data/train/993993.0000_995327.0000.ogg,你大概早餐 中餐 晚餐
data/train/995327.0000_996895.0000.ogg,加起來至少有3個碗的
data/train/996895.0000_997730.0000.ogg,3個碗這樣 對
data/train/997730.0000_998864.0000.ogg,這樣算大概6份
data/train/998864.0000_1000766.0000.ogg,一個碗就謝天謝地了
data/train/1000766.0000_1001033.0000.ogg,我跟你講
data/train/1001033.0000_1003068.0000.ogg,難怪很多女孩子都容易便秘
data/train/1003068.0000_1004036.0000.ogg,排便不順暢
data/train/1005270.0000_1006438.0000.ogg,又會增加大腸息肉
data/train/1006438.0000_1007606.0000.ogg,大腸一些腫瘤的問題
data/train/1007606.0000_1009775.0000.ogg,所以真的要多吃點蔬菜 是
data/train/1009775.0000_1011810.0000.ogg,可是另外一個你看從蔬菜來說
data/train/1011810.0000_1014513.0000.ogg,第二個少吃飯可以餓死癌細胞
data/train/1014513.0000_1015614.0000.ogg,因為現在所有的減重法裡面
data/train/1015614.0000_1017850.0000.ogg,都叫我們就是少吃澱粉
data/train/1017850.0000_1018350.0000.ogg,對 沒錯
data/train/1018350.0000_1019385.0000.ogg,而且像這件事情
data/train/1019385.0000_1020886.0000.ogg,少吃飯會餓死癌細胞 對
data/train/1020886.0000_1022121.0000.ogg,真的迷死很多人
data/train/1024123.0000_1025790.0000.ogg,少吃飯是能給減重
data/train/1025790.0000_1026825.0000.ogg,但是餓死癌細胞
data/train/1027459.0000_1028093.0000.ogg,沒有這回事
data/train/1028093.0000_1028660.0000.ogg,應該要講這樣
data/train/1028660.0000_1029461.0000.ogg,餓不死對對對
data/train/1029461.0000_1031195.0000.ogg,我們有一種叫做生酮飲食
data/train/1031195.0000_1032031.0000.ogg,大家聽過對不對
data/train/1032031.0000_1032731.0000.ogg,好 生酮飲食就是說
data/train/1032731.0000_1036001.0000.ogg,我把我碳水從原來的可能5 60%
data/train/1037036.0000_1038670.0000.ogg,那個是非常嚴格的生酮
data/train/1038670.0000_1039905.0000.ogg,那逼著你的細胞來講
data/train/1039905.0000_1041140.0000.ogg,不去利用這個葡萄糖
data/train/1042241.0000_1043642.0000.ogg,那相對餓死癌細胞
data/train/1043642.0000_1044810.0000.ogg,你可以說得通
data/train/1044810.0000_1045411.0000.ogg,可是來講
data/train/1045411.0000_1047679.0000.ogg,我們一般來講這個你要少吃飯
data/train/1047679.0000_1049515.0000.ogg,可是一樣我吃水果
data/train/1049515.0000_1051016.0000.ogg,我其他的這個碳水加起來
data/train/1052217.0000_1053819.0000.ogg,所以它並不能夠說是什麼
data/train/1053819.0000_1054953.0000.ogg,餓死癌細胞
data/train/1054953.0000_1056588.0000.ogg,但是少吃飯少吃澱粉
data/train/1056588.0000_1058190.0000.ogg,確實可以讓你瘦下來
data/train/1058190.0000_1059458.0000.ogg,而且它裡面會讓你的
data/train/1060926.0000_1062094.0000.ogg,那也是我們常常講
data/train/1063529.0000_1064663.0000.ogg,一般我們現在糖來講
data/train/1064663.0000_1065798.0000.ogg,占了百分之50 60
data/train/1065798.0000_1066899.0000.ogg,如果你減到百分之
data/train/1066899.0000_1068801.0000.ogg,剩下百分之40 30 20的話
data/train/1068801.0000_1071070.0000.ogg,那就可以達到比較瘦的效果
data/train/1072638.0000_1074740.0000.ogg,到底要怎麼樣來吃碳水化合物呢
data/train/1074740.0000_1076909.0000.ogg,比如說我1天本來吃3碗飯
data/train/1076909.0000_1078444.0000.ogg,我可能剩下吃1碗飯
data/train/1078444.0000_1079411.0000.ogg,那我其它來講
data/train/1079411.0000_1080679.0000.ogg,我蔬菜夠我蛋白質多
data/train/1080679.0000_1081814.0000.ogg,其實基本上大腦
data/train/1083649.0000_1084817.0000.ogg,你吃好的油來講
data/train/1084817.0000_1086118.0000.ogg,減少這個碳水化合物
data/train/1086118.0000_1087252.0000.ogg,當然不是說沒有碳水
data/train/1087252.0000_1088720.0000.ogg,我們講第一點 要有一點 對
data/train/1088720.0000_1090889.0000.ogg,其實說你的生酮對5%的碳水
data/train/1092257.0000_1093859.0000.ogg,所以大概基本上來個減到
data/train/1097529.0000_1099832.0000.ogg,這個是很重要的一個概念
data/train/1099832.0000_1102901.0000.ogg,那當然你說這個所謂的消炎藥
data/train/1102901.0000_1104703.0000.ogg,跟食材食物的方面來講
data/train/1104703.0000_1107206.0000.ogg,我們講以前最早在西洋來講
data/train/1107206.0000_1108941.0000.ogg,我們常常講說吃阿斯匹靈
data/train/1108941.0000_1111143.0000.ogg,可以預防什麼大腸息肉什麼 對
data/train/1111143.0000_1111944.0000.ogg,可是發現問題
data/train/1111944.0000_1113145.0000.ogg,很多吃阿斯匹靈的朋友來講
data/train/1114580.0000_1115647.0000.ogg,其實基本上來講
data/train/1115647.0000_1117683.0000.ogg,用抗這個發炎的藥
data/train/1117683.0000_1120652.0000.ogg,其實在國外有些很好的藥物來講
data/train/1120652.0000_1122688.0000.ogg,剛開始設計出來實際上抗發炎
data/train/1122688.0000_1124490.0000.ogg,可是發現又有些像藥物
data/train/1124490.0000_1125524.0000.ogg,會產生副作用
data/train/1125524.0000_1127259.0000.ogg,還有心臟的副作用等等
data/train/1127259.0000_1128327.0000.ogg,所以拉回來一個重點
data/train/1130929.0000_1132197.0000.ogg,我剛提到這幾個食材
data/train/1132197.0000_1133699.0000.ogg,就是非常好抗發炎的食材
data/train/1133699.0000_1135934.0000.ogg,你每天把這食材放到身體裡面去
data/train/1135934.0000_1137703.0000.ogg,放到胃裡面去消化吸收
data/train/1139838.0000_1140439.0000.ogg,今天這本叫
data/train/1140439.0000_1142808.0000.ogg,營養醫學抗癌奇蹟裡面
data/train/1142808.0000_1143709.0000.ogg,就講到其實
data/train/1143709.0000_1145210.0000.ogg,包括好的蛋白質
data/train/1145210.0000_1145744.0000.ogg,好的油
data/train/1145744.0000_1146879.0000.ogg,還有營養素補充
data/train/1146879.0000_1148247.0000.ogg,是最重要的3個重點
data/train/1148247.0000_1149381.0000.ogg,抗癌必備的
data/train/1149381.0000_1150048.0000.ogg,對 沒錯
data/train/1150048.0000_1150716.0000.ogg,大概基本上
data/train/1150716.0000_1153318.0000.ogg,我們講說你大概犧牲碳水是OK的
data/train/1154887.0000_1155988.0000.ogg,我們看到現在很多的
data/train/1156989.0000_1158023.0000.ogg,你看一個女人來了
data/train/1158023.0000_1158690.0000.ogg,女生來了之後
data/train/1158690.0000_1159992.0000.ogg,她說瘦瘦的她很開心
data/train/1159992.0000_1161627.0000.ogg,可是肌肉少的一塌糊塗
data/train/1162995.0000_1163962.0000.ogg,我跟你講
data/train/1163962.0000_1165797.0000.ogg,這個很多女孩子是這樣子
data/train/1165797.0000_1166398.0000.ogg,所以蛋白質
data/train/1166398.0000_1168066.0000.ogg,好的protein一定要注意一下
data/train/1168066.0000_1169234.0000.ogg,那什麼叫好的蛋白質
data/train/1169234.0000_1170335.0000.ogg,基本上就是偏
data/train/1172337.0000_1174473.0000.ogg,那白肉蛋白質就是兩隻腳的
data/train/1174473.0000_1175307.0000.ogg,沒有腳的
data/train/1175307.0000_1177142.0000.ogg,沒有腳就像我們講魚類
data/train/1177142.0000_1178410.0000.ogg,那還有就植物蛋白
data/train/1178410.0000_1180345.0000.ogg,就像什麼我們講豆漿 毛豆 豆腐
data/train/1180345.0000_1181947.0000.ogg,這些東西植物蛋白
data/train/1181947.0000_1183282.0000.ogg,所以紅肉蛋白是怎麼樣
data/train/1183282.0000_1184483.0000.ogg,就4隻腳的
data/train/1184483.0000_1186018.0000.ogg,像牛肉豬肉
data/train/1186018.0000_1187452.0000.ogg,我不是說這種紅肉不能吃
data/train/1187452.0000_1188654.0000.ogg,你說女孩子有時候貧血
data/train/1188654.0000_1190155.0000.ogg,吃點紅肉當然OK
data/train/1190155.0000_1191056.0000.ogg,可是我們現在很容易
data/train/1192357.0000_1194893.0000.ogg,所以好的蛋白質儘量偏白肉多
data/train/1194893.0000_1195894.0000.ogg,偏植物蛋白多
data/train/1195894.0000_1197095.0000.ogg,這樣對抗癌來講
data/train/1197095.0000_1197896.0000.ogg,是有幫助的
data/train/1197896.0000_1199464.0000.ogg,好油也算是一個
data/train/1199464.0000_1201533.0000.ogg,其中必備的一類食物
data/train/1201533.0000_1204002.0000.ogg,對 我常一講句話就是人
data/train/1204002.0000_1204937.0000.ogg,這個就是說
data/train/1204937.0000_1206338.0000.ogg,70%水構成的
data/train/1206338.0000_1208240.0000.ogg,所以喝水很重要對不對
data/train/1208240.0000_1210342.0000.ogg,剩下30%裡面一半是油構成的
data/train/1211643.0000_1213145.0000.ogg,尤其我們上次談到大腦
data/train/1213145.0000_1214680.0000.ogg,大腦裡面60%是油脂
data/train/1214680.0000_1216014.0000.ogg,所以你要比如說
data/train/1216014.0000_1217950.0000.ogg,像各位兩個講話這麼迅速
data/train/1217950.0000_1219451.0000.ogg,那記憶力這麼好就要吃好油
data/train/1219451.0000_1220986.0000.ogg,對 要多一點點
data/train/1220986.0000_1222221.0000.ogg,什麼叫好油
data/train/1222221.0000_1224489.0000.ogg,就是我剛講Omegs9跟Omega3
data/train/1224489.0000_1226525.0000.ogg,如果你常常吃外食太多
data/train/1226525.0000_1228860.0000.ogg,外面都是比較調和油 沙拉油
data/train/1228860.0000_1230329.0000.ogg,這都Omega6很強的
data/train/1232764.0000_1234099.0000.ogg,所以我常跟一些癌友來講
data/train/1234099.0000_1235701.0000.ogg,我說你們既然已經生病了
data/train/1235701.0000_1237536.0000.ogg,你不要三餐老是在外面
data/train/1237536.0000_1239504.0000.ogg,你必須一天有一餐到兩餐
data/train/1239504.0000_1240906.0000.ogg,在家裡用好的油
data/train/1242040.0000_1242841.0000.ogg,醫生那有人想說
data/train/1242841.0000_1243942.0000.ogg,好 沒關係吃外食
data/train/1243942.0000_1246345.0000.ogg,但是我吃這種Omega3的補充品
data/train/1246345.0000_1248013.0000.ogg,然後就去很在意那個
data/train/1248013.0000_1249615.0000.ogg,補充品裡面幾%幾%
data/train/1249615.0000_1251049.0000.ogg,那這樣可以調和一下嗎
data/train/1252084.0000_1252818.0000.ogg,拉回來一點
data/train/1252818.0000_1254152.0000.ogg,有些人我看他吃很多魚油
data/train/1254152.0000_1255721.0000.ogg,可是他的63的比
data/train/1255721.0000_1256888.0000.ogg,就Omega6還是多
data/train/1256888.0000_1258156.0000.ogg,他可能外面吃了
data/train/1258156.0000_1260192.0000.ogg,太多外食的油很重
data/train/1260192.0000_1261627.0000.ogg,它就會把你吃Omega3的油
data/train/1263428.0000_1264696.0000.ogg,基本上還是有點效果
data/train/1264696.0000_1265497.0000.ogg,是這樣子
data/train/1265497.0000_1266999.0000.ogg,對 因為其實有最後一點
data/train/1266999.0000_1267966.0000.ogg,營養素補充裡面
data/train/1267966.0000_1269201.0000.ogg,我在醫師的書裡面看到
data/train/1269201.0000_1271603.0000.ogg,就大家現在很容易買綜合維他命
data/train/1271603.0000_1274006.0000.ogg,然後買一些例如說像魚油來吃
data/train/1274006.0000_1276341.0000.ogg,可是最容易忽略的是微型的
data/train/1276341.0000_1277976.0000.ogg,還有一些就是平常
data/train/1277976.0000_1280512.0000.ogg,比較不會聽到的一些營養素 對
data/train/1280512.0000_1281813.0000.ogg,其實來講有人說劉醫師
data/train/1281813.0000_1283115.0000.ogg,那我假設我是癌友
data/train/1283115.0000_1283815.0000.ogg,你有沒有推薦我
data/train/1283815.0000_1285851.0000.ogg,大概每天一定要吃的營養素
data/train/1285851.0000_1287152.0000.ogg,這大家都常常會問我一個
data/train/1287152.0000_1288720.0000.ogg,第一個當然我講就是
data/train/1290188.0000_1291290.0000.ogg,益生菌現在目前來講
data/train/1291290.0000_1293425.0000.ogg,已經證明它不是光什麼抗過敏
data/train/1293425.0000_1294459.0000.ogg,沒那麼簡單
data/train/1294459.0000_1295027.0000.ogg,它對於甚至
data/train/1298297.0000_1299197.0000.ogg,所以益生菌來講
data/train/1299197.0000_1301633.0000.ogg,它從腸道這個粘膜調整是很重要的
data/train/1301633.0000_1303535.0000.ogg,我們現在常常幫病人測腸道菌相
data/train/1303535.0000_1304703.0000.ogg,都可以測他的糞便裡面
data/train/1306004.0000_1307572.0000.ogg,你不要看有些身體很糟的
data/train/1307572.0000_1309574.0000.ogg,一測那個糞便菌壞的很多
data/train/1309574.0000_1311209.0000.ogg,我們常常抓這問題
data/train/1312144.0000_1313578.0000.ogg,你可以真的攝取點魚油
data/train/1313578.0000_1314346.0000.ogg,第三我們常常講
data/train/1315981.0000_1317949.0000.ogg,就從以前講是預防骨質疏鬆
data/train/1317949.0000_1319151.0000.ogg,現在認為跟抗癌抗發炎
data/train/1319151.0000_1320285.0000.ogg,是有關係的
data/train/1320285.0000_1322220.0000.ogg,第四個大家可能常忽略很少聽到
data/train/1322220.0000_1323322.0000.ogg,有人會聽到
data/train/1323322.0000_1325691.0000.ogg,石頭的石 東西南北的西這個硒
data/train/1325691.0000_1327192.0000.ogg,Selenium有人唸硒
data/train/1327192.0000_1327993.0000.ogg,這個元素來講
data/train/1327993.0000_1329494.0000.ogg,是我們在肝臟一個解毒酵素
data/train/1329494.0000_1331830.0000.ogg,叫谷胱甘肽裡面一個重要的因子
data/train/1331830.0000_1334166.0000.ogg,它對於一些像乳癌跟甲狀腺癌
data/train/1334166.0000_1335167.0000.ogg,大腸癌的預防
data/train/1336501.0000_1337536.0000.ogg,有常看到這個字 對
data/train/1337536.0000_1338870.0000.ogg,在大蒜裡面很多對不對
data/train/1338870.0000_1340238.0000.ogg,對 沒錯 大蒜裡面有這個
data/train/1340238.0000_1342341.0000.ogg,還有一些堅果裡面會有這東西
data/train/1342341.0000_1342941.0000.ogg,那另外來講
data/train/1342941.0000_1343975.0000.ogg,我再特別強調像
data/train/1345410.0000_1346645.0000.ogg,c來講它可以增加
data/train/1346645.0000_1348613.0000.ogg,我們講這個一些白血球的
data/train/1350415.0000_1351049.0000.ogg,還有一個叫
data/train/1351917.0000_1352751.0000.ogg,鋅來講
data/train/1352751.0000_1354619.0000.ogg,就我們現在COVID-19大家講說
data/train/1354619.0000_1355787.0000.ogg,劉醫師我要增加免疫系統
data/train/1355787.0000_1357789.0000.ogg,大家搶那個鋅搶得蠻多的
data/train/1357789.0000_1359157.0000.ogg,大概這幾個是很基本的
data/train/1359157.0000_1360892.0000.ogg,我認為大家可以不妨
data/train/1360892.0000_1362227.0000.ogg,這個著量攝取 是
data/train/1362227.0000_1363628.0000.ogg,那最後面一定要請醫師
data/train/1363628.0000_1364963.0000.ogg,來給我們一個勵志的
data/train/1364963.0000_1367499.0000.ogg,就是因為其實有很多癌友
data/train/1367499.0000_1369000.0000.ogg,後來是因為靠飲食
data/train/1369000.0000_1370302.0000.ogg,才慢慢逆轉過來
data/train/1370302.0000_1371503.0000.ogg,應該有這樣子的案例吧
data/train/1371503.0000_1372537.0000.ogg,很多癌症患者
data/train/1372537.0000_1374439.0000.ogg,並不是被癌細胞打敗的
data/train/1376174.0000_1377442.0000.ogg,之前有一個女孩子
data/train/1377442.0000_1378910.0000.ogg,大概30歲左右
data/train/1378910.0000_1381046.0000.ogg,她是被診斷這個子宮內膜癌
data/train/1381046.0000_1381947.0000.ogg,是原位的
data/train/1381947.0000_1383315.0000.ogg,大概很早期
data/train/1383315.0000_1384082.0000.ogg,子宮內膜癌來講
data/train/1384082.0000_1385350.0000.ogg,大概她的醫生建議說
data/train/1385350.0000_1385717.0000.ogg,可能要
data/train/1385717.0000_1386385.0000.ogg,大概要手術
data/train/1387152.0000_1389287.0000.ogg,她還沒有結婚我就想說
data/train/1389287.0000_1391390.0000.ogg,我說按照西醫的理論是要拿
data/train/1391390.0000_1392624.0000.ogg,因為你已經做了幾次切片
data/train/1392624.0000_1393792.0000.ogg,都是惡性的
data/train/1393792.0000_1395460.0000.ogg,然後她說不行
data/train/1395460.0000_1397129.0000.ogg,我一定要積極一點
data/train/1397129.0000_1398930.0000.ogg,那這女孩子以前比較忙
data/train/1398930.0000_1399898.0000.ogg,不太喝水
data/train/1399898.0000_1401767.0000.ogg,我覺得後來整個習慣我跟她講好
data/train/1401767.0000_1402634.0000.ogg,你從今天開始
data/train/1402634.0000_1403101.0000.ogg,我希望你
data/train/1404302.0000_1405070.0000.ogg,我說剛講那個
data/train/1406171.0000_1406605.0000.ogg,我說好
data/train/1406605.0000_1409574.0000.ogg,劉醫師我每天2到3種多吃
data/train/1410709.0000_1412310.0000.ogg,她比較發胖的體質
data/train/1412310.0000_1413278.0000.ogg,晚上不能熬夜
data/train/1414012.0000_1415947.0000.ogg,當然我有用一些抗癌營養素調
data/train/1415947.0000_1417082.0000.ogg,你知道過了半年之後回來
data/train/1417082.0000_1419284.0000.ogg,你知道她把那報告給我看
data/train/1419284.0000_1420719.0000.ogg,我以為是她已經切掉子宮了
data/train/1420719.0000_1422521.0000.ogg,結果沒想到各位報告是切片的
data/train/1424523.0000_1427159.0000.ogg,沒有癌細胞就no evidence of malignancy
data/train/1427159.0000_1428560.0000.ogg,我看了我也很開心
data/train/1428560.0000_1429694.0000.ogg,她也很開心
data/train/1429694.0000_1432130.0000.ogg,所以我想要給大家勵志一下就是說
data/train/1432130.0000_1433231.0000.ogg,我們大概有的時候
data/train/1433231.0000_1435233.0000.ogg,醫生診斷到癌症來講
data/train/1435233.0000_1437035.0000.ogg,我們不要說一直在反悔
data/train/1437035.0000_1438236.0000.ogg,過去做的事情
data/train/1438236.0000_1440539.0000.ogg,一定要現在站好往前看
data/train/1443008.0000_1444443.0000.ogg,我一直強調趨吉避凶
data/train/1445877.0000_1447245.0000.ogg,我想對整體的健康
data/train/1447245.0000_1448413.0000.ogg,都是有很大的好處
data/train/1448413.0000_1450715.0000.ogg,這樣子這樣聽完有沒有覺得
data/train/1450715.0000_1451817.0000.ogg,好 你要多吃點青菜
data/train/1451817.0000_1452584.0000.ogg,去喝水了
data/train/1452584.0000_1454619.0000.ogg,喝水要吃青菜
data/train/1454619.0000_1456421.0000.ogg,把冰箱的有糖飲料丟掉
data/train/1456421.0000_1456922.0000.ogg,對 好了
data/train/1456922.0000_1458023.0000.ogg,那就一定會更好
data/train/1458023.0000_1459090.0000.ogg,黑咖啡黑咖啡
data/train/1459090.0000_1461092.0000.ogg,黑咖啡不錯
data/train/1461092.0000_1463328.0000.ogg,謝謝醫師 謝謝謝謝
data/train/264920.0000_265720.0000.ogg,How old?
data/train/265720.0000_268120.0000.ogg,Above the age of 50
data/train/268120.0000_270520.0000.ogg,Look to your right to know who's above 50...
data/train/272360.0000_274560.0000.ogg,because those on this side are not above 50
data/train/274560.0000_276760.0000.ogg,"So, those aged above 50 are more susceptible to sarcopenia?"
data/train/276760.0000_278360.0000.ogg,"Yes, the chances are higher"
data/train/278360.0000_280760.0000.ogg,But people in their 30s and 40s can have it too
data/train/280760.0000_282560.0000.ogg,"Long-stay hospital patients,"
data/train/282560.0000_285360.0000.ogg,"people who have diabetes,"
data/train/285360.0000_289159.0000.ogg,"stroke or osteoporosis,"
data/train/289159.0000_292760.0000.ogg,"may also have sarcopenia because they are not very active,"
data/train/292760.0000_294560.0000.ogg,so their muscles become weaker
data/train/295040.0000_296840.0000.ogg,"Just by looking at the physical body,"
data/train/296840.0000_302000.0000.ogg,how can we tell if someone has lost weight or has sarcopenia?
data/train/302080.0000_305840.0000.ogg,It's not easy to tell based on the physical body alone
data/train/305840.0000_308640.0000.ogg,"Therefore, we still have to ask this person,"
data/train/308640.0000_310040.0000.ogg,"""Do you often fall?"""
data/train/310040.0000_312040.0000.ogg,"""Do you walk very slowly?"""
data/train/312640.0000_315440.0000.ogg,"""Can you get up from your seat?"""
data/train/315640.0000_317840.0000.ogg,"""Do you need help to get up?"""
data/train/317840.0000_322840.0000.ogg,The muscles are not strong enough to support the person
data/train/322840.0000_323640.0000.ogg,Right
data/train/323640.0000_327040.0000.ogg,It's simple. Can the doctor tell us if there's a way for self-assessment?
data/train/327040.0000_328040.0000.ogg,Yes
data/train/328040.0000_330240.0000.ogg,Yes? That' wonderful. Let's do it
data/train/330240.0000_331240.0000.ogg,Come on!
data/train/332159.0000_336560.0000.ogg,Make a circle with your thumbs and index fingers
data/train/336560.0000_341560.0000.ogg,Clasp it around the non-dominant calf
data/train/341560.0000_342960.0000.ogg,Non-dominant calf? -Right
data/train/342960.0000_344159.0000.ogg,"Clasp it like so,"
data/train/344159.0000_348159.0000.ogg,"I can't it, so my risk of developing sarcopenia is slightly lower"
data/train/348560.0000_350560.0000.ogg,I have a small gap
data/train/350560.0000_354560.0000.ogg,The small gap means that your risk is doubled mine
data/train/354760.0000_356560.0000.ogg,He is worse
data/train/356560.0000_358159.0000.ogg,That's a big gap
data/train/358560.0000_361160.0000.ogg,I can slide three fingers through it!
data/train/361160.0000_361960.0000.ogg,Yes
data/train/361960.0000_363360.0000.ogg,What a big gap!
data/train/363360.0000_366160.0000.ogg,His risk of developing sarcopenia is six times
data/train/366160.0000_369160.0000.ogg,Six times! But he works out in a gym
data/train/369160.0000_370960.0000.ogg,He has to put in more effort
data/train/370960.0000_374360.0000.ogg,"I work on my upper body, not my lower body"
data/train/374360.0000_375560.0000.ogg,Change your routine
data/train/375560.0000_377560.0000.ogg,Is it because my fingers are longer?
data/train/377560.0000_378560.0000.ogg,That's possible
data/train/378560.0000_380560.0000.ogg,Maybe my fingers are shorter
data/train/380560.0000_383360.0000.ogg,"Look, it's impossible for my fingers to meet!"
data/train/383360.0000_384560.0000.ogg,What about Richard?
data/train/384560.0000_387360.0000.ogg,"My thumbs touch each other, but there's a gap between my index fingers"
data/train/387360.0000_388360.0000.ogg,That's okay
data/train/388360.0000_390760.0000.ogg,"I guess the risk is lower? -Yes, it is"
data/train/390760.0000_395960.0000.ogg,"So, is it because Jeremy's fingers are long, or short like Michelle's?"
data/train/395960.0000_397360.0000.ogg,Is there another method?
data/train/397360.0000_399360.0000.ogg,Yes. Use a tape measure
data/train/399360.0000_400560.0000.ogg,Use a tape measure
data/train/400560.0000_401960.0000.ogg,Yes. You can measure it for her
data/train/401960.0000_403360.0000.ogg,I'll measure mine first -Sure
data/train/403360.0000_405760.0000.ogg,Tell me if it's normal -Okay
data/train/406520.0000_408120.0000.ogg,35.5 cm
data/train/408120.0000_409920.0000.ogg,Okay -I'm okay?
data/train/412240.0000_414040.0000.ogg,"Doctor, can you measure it for Michelle?"
data/train/414040.0000_415040.0000.ogg,Sure
data/train/415440.0000_418040.0000.ogg,It's about 44.5 cm
data/train/418920.0000_419920.0000.ogg,44.5 cm
data/train/419920.0000_421920.0000.ogg,I'm surprised your calf muscles are so developed
data/train/421920.0000_424320.0000.ogg,Your calf is thicker than my arm
data/train/424320.0000_427720.0000.ogg,"Okay, 35.5 cm and 44.5 cm"
data/train/427720.0000_429320.0000.ogg,Are these circumferences normal?
data/train/429320.0000_430520.0000.ogg,They are normal
data/train/430520.0000_434320.0000.ogg,"For Asians, there is a difference between men and women"
data/train/434520.0000_437920.0000.ogg,Men should be at least 34 cm
data/train/437920.0000_439120.0000.ogg,You're okay
data/train/439120.0000_440920.0000.ogg,It's a borderline pass
data/train/440920.0000_443520.0000.ogg,"For women, it's 33 cm and above"
data/train/443520.0000_445120.0000.ogg,Mine is far more than that
data/train/445120.0000_446320.0000.ogg,That's not conclusive
data/train/446320.0000_449720.0000.ogg,Our body has muscles and fat -Right
data/train/449720.0000_452120.0000.ogg,Maybe she has a lot of fat
data/train/452120.0000_454920.0000.ogg,"Right. Therefore, this test alone is not conclusive"
data/train/454920.0000_457720.0000.ogg,There are other instruments to test for sarcopenia
data/train/458120.0000_462320.0000.ogg,Yes. The DEXA scan tests the amount of muscle mass
data/train/462520.0000_466720.0000.ogg,"So, we need to do a scan at the hospital to see if we have sarcopenia"
data/train/466720.0000_467520.0000.ogg,Yes
data/train/467520.0000_470920.0000.ogg,"So, don't think we build up our muscles to look good"
data/train/470920.0000_473720.0000.ogg,Muscles are very important for body movements
data/train/473720.0000_475800.0000.ogg,You need to nourish the muscles
data/train/475800.0000_478800.0000.ogg,I drink milk for my protein intake
data/train/478800.0000_481720.0000.ogg,I will also eat eggs and lean meat
data/train/481720.0000_482720.0000.ogg,That's right
data/train/482720.0000_485320.0000.ogg,An adequate intake of protein can prevent sarcopenia
data/train/485320.0000_487320.0000.ogg,Yes. We're going for a short break
data/train/487320.0000_491320.0000.ogg,"After the commercial break, a TCM physician will join our discussion"
data/train/491320.0000_492520.0000.ogg,See you later
data/train/503640.0000_507440.0000.ogg,"All right, let's welcome Dr Chang Yun Te to our discussion"
data/train/507440.0000_509840.0000.ogg,"Dr Chang, what's the TCM perspective on sarcopenia?"
data/train/509840.0000_514240.0000.ogg,"Sarcopenia is associated with <i>weizheng (atrophy) and xulao (overexertion),"
data/train/514240.0000_516840.0000.ogg,two conditions under TCM internal medicine
data/train/517440.0000_520440.0000.ogg,"Generally, weizheng is characterised by weak muscles..."
data/train/520440.0000_523840.0000.ogg,which leads to the muscles becoming dysfunctional
data/train/523840.0000_527640.0000.ogg,"In TCM theory, when muscles and veins become weaker over time,"
data/train/527640.0000_532440.0000.ogg,the muscles will atrophy over time
data/train/533840.0000_537840.0000.ogg,"<i>Xulao is manifested by a decline in health,"
data/train/537840.0000_539560.0000.ogg,"caused by, for example, chronic illnesses"
data/train/539560.0000_541640.0000.ogg,"So, chronic illnesses are linked to age?"
data/train/541640.0000_543640.0000.ogg,Is it because of organ degeneration?
data/train/543640.0000_544640.0000.ogg,That's right
data/train/545240.0000_550240.0000.ogg,All right. What about the causes of sarcopenia?
data/train/550240.0000_551440.0000.ogg,I'll explain the causes
data/train/551440.0000_554040.0000.ogg,"Our muscles are live, that is,"
data/train/554040.0000_556240.0000.ogg,they are alive like organs
data/train/556240.0000_560040.0000.ogg,Our body loses and makes protein every day
data/train/560040.0000_562640.0000.ogg,"If it loses protein faster than it can produce protein,"
data/train/562640.0000_566040.0000.ogg,the muscles are replaced by fat
data/train/566240.0000_568240.0000.ogg,The result is sarcopenia
data/train/568240.0000_570640.0000.ogg,Okay. What about the TCM perspective?
data/train/570640.0000_574840.0000.ogg,"In TCM, the primary concerns in the ageing process are..."
data/train/574840.0000_576640.0000.ogg,"the kidneys, spleen and liver"
data/train/576840.0000_580040.0000.ogg,The process of losing essence and qi in the kidneys...
data/train/580040.0000_583040.0000.ogg,will lead to the development of sarcopenia
data/train/583840.0000_586440.0000.ogg,Then there are three issues relating to the spleen and stomach
data/train/586440.0000_590240.0000.ogg,"The first issue is, of course, a reduction in food intake"
data/train/590240.0000_591440.0000.ogg,Nutritional deficiency -Exactly
data/train/591440.0000_594440.0000.ogg,Next is the decrease in nutrition absorption
data/train/594640.0000_597840.0000.ogg,"Lastly, the decline in growth hormone secretion..."
data/train/597840.0000_599640.0000.ogg,which causes a decrease in muscle mass
data/train/599640.0000_601640.0000.ogg,Hormone secretion will also lead to muscle mass loss?
data/train/601640.0000_602440.0000.ogg,Yes
data/train/602440.0000_603840.0000.ogg,I see. What else?
data/train/603840.0000_605840.0000.ogg,"When essential liver qi is deficient,"
data/train/605840.0000_608840.0000.ogg,bones and joints lose their flexibility
data/train/609040.0000_611840.0000.ogg,The kidneys govern bones and the liver governs tendons
data/train/611840.0000_613640.0000.ogg,The kidneys store essence
data/train/613640.0000_615440.0000.ogg,The liver stores blood
data/train/615440.0000_617640.0000.ogg,"As the liver and kidneys have the same origin,"
data/train/617640.0000_620640.0000.ogg,they can transform into each other
data/train/621840.0000_624840.0000.ogg,"Dr Teo, can sarcopenia be treated with medications?"
data/train/624840.0000_626040.0000.ogg,"Yes, it can"
data/train/626040.0000_628640.0000.ogg,There are medications to treat it
data/train/629240.0000_633240.0000.ogg,These include anabolic steroids and growth hormones
data/train/633240.0000_635040.0000.ogg,"However, these medicines..."
data/train/635040.0000_638640.0000.ogg,have not been approved for use yet
data/train/638640.0000_642240.0000.ogg,"Therefore, we generally do not advocate the use of medications"
data/train/642240.0000_645640.0000.ogg,"If medications are not recommended, what are your methods of treatment?"
data/train/645640.0000_647840.0000.ogg,"Generally, we focus on diet,"
data/train/647840.0000_649840.0000.ogg,"in particular, protein intake"
data/train/650560.0000_654160.0000.ogg,People in general require 0.8g of protein per kilogram of body weight
data/train/654160.0000_655760.0000.ogg,"But if you have sarcopenia,"
data/train/655760.0000_660200.0000.ogg,you will need 1g to 1.2g of protein
data/train/660360.0000_662320.0000.ogg,"Yes, when I was hitting the gym,"
data/train/662400.0000_665680.0000.ogg,my gym instructor did some calculations based on my weight and...
data/train/665680.0000_669680.0000.ogg,estimated that I would need 100g to 130g of protein daily
data/train/669680.0000_671080.0000.ogg,How many eggs does that equate to?
data/train/671080.0000_674280.0000.ogg,One egg has about 4g to 5g of protein
data/train/674280.0000_676080.0000.ogg,"Wow, you had to eat a lot of eggs!"
data/train/676080.0000_678080.0000.ogg,"Yes, that's why I ate 24 eggs daily"
data/train/679280.0000_680680.0000.ogg,"Also, chicken breast"
data/train/680680.0000_684080.0000.ogg,Other kinds of meat also contain protein
data/train/684080.0000_688080.0000.ogg,"There are many sources of protein. Besides eggs, what else? Milk"
data/train/688080.0000_690480.0000.ogg,Meat has protein
data/train/690480.0000_692480.0000.ogg,Cheese -Seafood
data/train/692480.0000_694280.0000.ogg,"Fish, too -All have protein"
data/train/694280.0000_699280.0000.ogg,"Besides protein, is it necessary to take vitamins?"
data/train/699280.0000_702280.0000.ogg,What's most important for sarcopenia is vitamin D
data/train/702280.0000_703280.0000.ogg,Vitamin D?
data/train/703280.0000_705080.0000.ogg,Vitamin D is very important...
data/train/705480.0000_711280.0000.ogg,because it's very important to muscular health and our bones
data/train/711280.0000_712880.0000.ogg,Increase sun exposure? -Right
data/train/712880.0000_715680.0000.ogg,You must also pay attention to your diet
data/train/716440.0000_719240.0000.ogg,How many glasses of milk should people in general drink?
data/train/719240.0000_722840.0000.ogg,100ml of milk has 3.5g of protein
data/train/723040.0000_725440.0000.ogg,A glass of milk is about 200ml
data/train/725440.0000_727840.0000.ogg,That's about 7g of protein
data/train/727840.0000_729640.0000.ogg,"Based on the calculation,"
data/train/729640.0000_733040.0000.ogg,"someone who weighs 70kg like me and relies only on milk for my protein intake,"
data/train/733040.0000_735040.0000.ogg,will have to drink 10 glasses of milk
data/train/735040.0000_737440.0000.ogg,You need to have a balanced diet...
data/train/737440.0000_739440.0000.ogg,that includes vegetables and meat
data/train/739440.0000_743640.0000.ogg,"You're referring to people in general, but I'm not one of them"
data/train/744240.0000_748240.0000.ogg,Do elderly people need to drink more milk?
data/train/748240.0000_749440.0000.ogg,How much to drink?
data/train/749440.0000_752040.0000.ogg,There are issues specific to elderly people. Why?
data/train/752040.0000_754840.0000.ogg,"For example, teeth deteriorate with old age"
data/train/755040.0000_757640.0000.ogg,"You may not be able to chew meat,"
data/train/757640.0000_759640.0000.ogg,so you have to take soft foods
data/train/759640.0000_762840.0000.ogg,Soft foods usually lack protein
data/train/763040.0000_766640.0000.ogg,"Therefore, milk and eggs are good sources of protein"
data/train/766640.0000_769040.0000.ogg,"They are good for those who aren't ""people in general"""
data/train/769040.0000_770640.0000.ogg,I understand what you mean
data/train/770640.0000_772240.0000.ogg,For extraordinary people
data/train/772240.0000_775440.0000.ogg,What should one look out for in one's diet?
data/train/775640.0000_777440.0000.ogg,It's better to consume unprocessed foods
data/train/777440.0000_778840.0000.ogg,What are unprocessed foods?
data/train/778840.0000_781040.0000.ogg,"For instance, you want to eat pork"
data/train/781040.0000_784440.0000.ogg,It's far better to eat bak kut teh than luncheon meat
data/train/784440.0000_786040.0000.ogg,Food that isn't processed
data/train/786040.0000_788240.0000.ogg,Don't eat Chinese sausages
data/train/788240.0000_792840.0000.ogg,That's right. It's better to eat fish than fishballs
data/train/793240.0000_795240.0000.ogg,It has nutritional value and protein
data/train/795240.0000_798840.0000.ogg,Unless you know that the fishballs are made from purely fish paste
data/train/798840.0000_799840.0000.ogg,That's different
data/train/799840.0000_803240.0000.ogg,It's pure fishballs. Then there are salmon and seafood
data/train/803240.0000_804840.0000.ogg,Fishballs made from pure fish paste?
data/train/804840.0000_805840.0000.ogg,That's right
data/train/805840.0000_808640.0000.ogg,"As mentioned, muscles are not for flaunting"
data/train/808640.0000_810240.0000.ogg,They help in body movements
data/train/810240.0000_811240.0000.ogg,The functions
data/train/811240.0000_813840.0000.ogg,What exercises are more effective?
data/train/814280.0000_817480.0000.ogg,Most important of all are resistance exercises
data/train/817480.0000_818480.0000.ogg,For example?
data/train/818480.0000_821480.0000.ogg,You can walk or climb stairs
data/train/822280.0000_824880.0000.ogg,Stretching and squatting are also good
data/train/824880.0000_826480.0000.ogg,There's also step-up exercise
data/train/826480.0000_829640.0000.ogg,"Yes, you step up and down a staircase"
data/train/829720.0000_832320.0000.ogg,I think Richard looks a bit confused
data/train/832320.0000_834480.0000.ogg,He doesn't know what it is. Shall we do a demo?
data/train/834480.0000_838120.0000.ogg,Let's show him. Shall we do the demo together?
data/train/838120.0000_838920.0000.ogg,Come!
data/train/840000.0000_844200.0000.ogg,"High-rise buildings are everywhere in Singapore, so there are many staircases"
data/train/844200.0000_847600.0000.ogg,"These staircases are useful ""exercise equipment"""
data/train/847600.0000_850200.0000.ogg,"How do we use them? Actually, it's very simple"
data/train/850200.0000_853200.0000.ogg,Place your whole foot on the step
data/train/853200.0000_855800.0000.ogg,"Don't place it halfway as you'll tend to fall,"
data/train/855800.0000_857200.0000.ogg,especially older people
data/train/857200.0000_859000.0000.ogg,Rest the whole foot on the step
data/train/859000.0000_861400.0000.ogg,"Take note that when you climb up,"
data/train/861400.0000_863600.0000.ogg,"not only do you raise the thigh,"
data/train/863600.0000_865600.0000.ogg,but you also tuck in your buttocks
data/train/865800.0000_868400.0000.ogg,Go up like this
data/train/868640.0000_869840.0000.ogg,Come down
data/train/870240.0000_871440.0000.ogg,Go up
data/train/871440.0000_872440.0000.ogg,Lift the thigh
data/train/872440.0000_874240.0000.ogg,Right. Come down again
data/train/874240.0000_877640.0000.ogg,You may only be able to take 5 or 10 steps on your first attempt
data/train/877640.0000_878840.0000.ogg,Don't feel discouraged
data/train/878840.0000_882440.0000.ogg,Keep going until you do 20 steps which means you have enough strength
data/train/882440.0000_885440.0000.ogg,Then you can make it more difficult. How do you do that?
data/train/885440.0000_887440.0000.ogg,Look for a staircase with higher steps
data/train/887440.0000_889440.0000.ogg,"For instance, steps that are this high"
data/train/889440.0000_891440.0000.ogg,"Place your whole foot on the step,"
data/train/891440.0000_894440.0000.ogg,tuck in your buttocks and lift your foot like this
data/train/894640.0000_896440.0000.ogg,"Similarly, do this 20 times"
data/train/896440.0000_898640.0000.ogg,"Once you can do 20 times,"
data/train/898640.0000_902440.0000.ogg,find another staircase with even higher steps to do the step-up exercise
data/train/902440.0000_903840.0000.ogg,I will have a problem
data/train/903840.0000_906640.0000.ogg,"For people with bad knees, will it injure the knees?"
data/train/906640.0000_908640.0000.ogg,Be very careful when you do the step-up exercise
data/train/908640.0000_911440.0000.ogg,The main thing is to focus and tuck in your buttocks
data/train/911440.0000_914640.0000.ogg,"If you don't tuck in your buttocks but rely only on your thighs,"
data/train/914640.0000_915840.0000.ogg,that will injure the knees
data/train/915840.0000_917040.0000.ogg,You're exerting with your buttocks
data/train/917040.0000_919040.0000.ogg,"Use the right area, otherwise,"
data/train/919040.0000_920640.0000.ogg,the knees will be painful
data/train/921840.0000_923640.0000.ogg,It's really convenient to do this exercise
data/train/923640.0000_926240.0000.ogg,You can do it anywhere where there are staircases
data/train/926240.0000_929640.0000.ogg,"Therefore, all of us can try training our lower body"
data/train/929640.0000_931440.0000.ogg,Right. I have a question
data/train/931440.0000_934440.0000.ogg,We're exercising here. Where's the TCM physician?
data/train/934440.0000_935840.0000.ogg,He is awesome
data/train/935840.0000_938840.0000.ogg,He's going to show us a food therapy recipe which is beneficial for sarcopenia
data/train/938840.0000_940640.0000.ogg,Let's take a look -Let's go
data/train/940640.0000_941640.0000.ogg,Let's try it
data/train/941640.0000_942440.0000.ogg,Good
data/train/942760.0000_945160.0000.ogg,Sishen Soup fortifies the spleen and improves appetite
data/train/945160.0000_949360.0000.ogg,"It promotes the metabolic functions of the intestines, spleen and kidneys"
data/train/949360.0000_951160.0000.ogg,It seems to promote urination -Yes
data/train/951160.0000_952360.0000.ogg,Two acupoints
data/train/952360.0000_954960.0000.ogg,"One of them, hegu acupoint, is on the dorsum of the hand"
data/train/954960.0000_957960.0000.ogg,It's used for the treatment of facial and oropharyngeal ailments and is one of four general acupoints
data/train/957960.0000_960360.0000.ogg,"For example, it can soothe toothache and dissipate heat"
data/train/971160.0000_973360.0000.ogg,I have prepared Sishen Soup
data/train/973360.0000_974760.0000.ogg,Please have some
data/train/974760.0000_976360.0000.ogg,Great! What are the ingredients?
data/train/976360.0000_978160.0000.ogg,"They are shanyao (Chinese yam),"
data/train/978160.0000_981160.0000.ogg,"fuling (poria), lotus seeds and qianshi (Euryale seeds)"
data/train/981160.0000_982760.0000.ogg,What is it good for?
data/train/982760.0000_984760.0000.ogg,"It strengthens the spleen, promotes urination and..."
data/train/984760.0000_987360.0000.ogg,fortifies the intestines through astringency
data/train/987360.0000_989280.0000.ogg,How is it prepared?
data/train/989280.0000_993360.0000.ogg,Soak the ingredients for one to two hours...
data/train/993360.0000_996160.0000.ogg,so that the water is absorbed into the ingredients
data/train/996360.0000_1000360.0000.ogg,Then add some water and pork ribs or chicken
data/train/1000360.0000_1002280.0000.ogg,It's just to enhance the flavour
data/train/1003200.0000_1006600.0000.ogg,Boil it on low heat for an hour
data/train/1006600.0000_1007600.0000.ogg,Low heat
data/train/1007600.0000_1009800.0000.ogg,You mean simmer? -Yes
data/train/1009800.0000_1011400.0000.ogg,Let's try it
data/train/1011400.0000_1012200.0000.ogg,Okay
data/train/1012200.0000_1013400.0000.ogg,Sishen Soup
data/train/1013600.0000_1015800.0000.ogg,"It doesn't need any seasonings, does it?"
data/train/1015800.0000_1019200.0000.ogg,You can add some salt mainly to balance the flavours
data/train/1019200.0000_1021200.0000.ogg,It depends on your taste
data/train/1021200.0000_1023000.0000.ogg,Don't season it heavily
data/train/1023000.0000_1024000.0000.ogg,Light-tasting -Yes
data/train/1024000.0000_1024800.0000.ogg,Well?
data/train/1024800.0000_1028000.0000.ogg,Very good. Can you drink it like plain water?
data/train/1028200.0000_1030400.0000.ogg,If you add enough water
data/train/1030400.0000_1032400.0000.ogg,And drink it for the whole day? -Yes
data/train/1033599.0000_1035599.0000.ogg,How many times can you drink it per week?
data/train/1035599.0000_1036800.0000.ogg,Once or twice
data/train/1038440.0000_1039640.0000.ogg,That's enough
data/train/1040040.0000_1042040.0000.ogg,"It fortifies the spleen, improves appetite and controls discharges through astringency"
data/train/1042040.0000_1046040.0000.ogg,"It promotes the metabolic functions of the intestines, spleen and kidneys"
data/train/1046040.0000_1048040.0000.ogg,It seems to promote urination -Yes
data/train/1048040.0000_1051840.0000.ogg,"If it's difficult to get qianshi, can it be replaced with a substitute?"
data/train/1051840.0000_1055440.0000.ogg,You can substitute it with Chinese barley
data/train/1056040.0000_1059040.0000.ogg,"But I'm curious. Why is this soup called ""Sishen""?"
data/train/1059040.0000_1060840.0000.ogg,There is a story behind it
data/train/1060840.0000_1064240.0000.ogg,"When Emperor Qianlong of the Qing dynasty went on an inspection tour in the south,"
data/train/1064240.0000_1068240.0000.ogg,four of his accompanying ministers fell ill
data/train/1068240.0000_1071840.0000.ogg,He asked an imperial physician to prescribe a four-herb soup remedy...
data/train/1071840.0000_1073640.0000.ogg,which represented the four ministers (sichen)
data/train/1073640.0000_1075040.0000.ogg,"Why did ""sichen"" become ""sishen""?"
data/train/1075040.0000_1080240.0000.ogg,"In the Minnan dialect, both words have the same pronunciation"
data/train/1081320.0000_1083720.0000.ogg,It's homophonic
data/train/1084120.0000_1087320.0000.ogg,Okay. You've also brought three Chinese herbs here
data/train/1087320.0000_1088920.0000.ogg,What are their properties?
data/train/1088920.0000_1090720.0000.ogg,This is roucongrong (Broomrape stem)
data/train/1090720.0000_1093320.0000.ogg,"It nourishes kidney yang, essence and blood"
data/train/1093320.0000_1096200.0000.ogg,Elderly people tend to suffer from constipation
data/train/1096520.0000_1099720.0000.ogg,"When qi, blood and essence deficiencies lead to constipation,"
data/train/1099720.0000_1102720.0000.ogg,we want to moisten the intestines to improve bowel movements
data/train/1102720.0000_1105920.0000.ogg,It's suitable for elderly people suffering from cold limbs
data/train/1107080.0000_1108880.0000.ogg,Huangqi (Astragalus) is prescribed for...
data/train/1108880.0000_1111680.0000.ogg,"spleen and lung qi deficiency, and poor digestive functions of the spleen and stomach,"
data/train/1111680.0000_1113080.0000.ogg,to supplement qi
data/train/1113080.0000_1114480.0000.ogg,This is huangqi?
data/train/1114480.0000_1116080.0000.ogg,"Yes, it's huangqi"
data/train/1116280.0000_1120080.0000.ogg,"Next, danggui (Chinese angelica root) is prescribed for liver blood deficiency"
data/train/1120080.0000_1121880.0000.ogg,It supplements and invigorates blood
data/train/1121880.0000_1124880.0000.ogg,Danggui regulates menstruation and relieves pain
data/train/1124880.0000_1128280.0000.ogg,"And of course, it also moistens the intestines"
data/train/1128280.0000_1130280.0000.ogg,It's also suitable for consumption by elderly people
data/train/1130280.0000_1133880.0000.ogg,"These three are tonifying herbs, so they are warming"
data/train/1133880.0000_1135680.0000.ogg,"They are ""heaty"""
data/train/1135880.0000_1138680.0000.ogg,It's best to consult a qualified and licensed TCM physician...
data/train/1138680.0000_1141280.0000.ogg,before using Chinese herbs or medicinal foods
data/train/1141280.0000_1144480.0000.ogg,Yes. Of course you still have to heed the physician's advice
data/train/1144480.0000_1146680.0000.ogg,It's important that you don't consume Chinese herbs indiscriminately
data/train/1147280.0000_1149880.0000.ogg,Can we add a bit of it when we make soups at home?
data/train/1149880.0000_1152280.0000.ogg,Yes. Adding a bit of herbs...
data/train/1152280.0000_1155880.0000.ogg,turn your dishes into health or medicinal foods
data/train/1155880.0000_1158880.0000.ogg,"Try to follow the principle of avoiding ""heatiness"""
data/train/1159280.0000_1162880.0000.ogg,"If the soup causes you to have, for example, dry mouth, stop drinking it"
data/train/1163280.0000_1164280.0000.ogg,All right
data/train/1164480.0000_1167280.0000.ogg,"Beside food therapy, are there acupoints to help sarcopenia?"
data/train/1167280.0000_1168480.0000.ogg,Two acupoints
data/train/1168480.0000_1170880.0000.ogg,"One of them, hegu acupoint, is on the hand"
data/train/1170880.0000_1172880.0000.ogg,Extend your thumb and...
data/train/1172880.0000_1176880.0000.ogg,place it between the thumb and index finger of the other hand
data/train/1176880.0000_1178080.0000.ogg,Press down
data/train/1178480.0000_1180880.0000.ogg,"You can feel a dull pain, right?"
data/train/1180880.0000_1183480.0000.ogg,This is the hegu acupoint of the Yangming Large Intestine Meridian of Hand
data/train/1183480.0000_1186680.0000.ogg,The hegu acupoint can be massaged for several ailments
data/train/1186680.0000_1188680.0000.ogg,"""Hegu acupoint cures 100 diseases"""
data/train/1188680.0000_1192160.0000.ogg,It's used for the treatment of facial and oropharyngeal ailments and is one of four general acupoints
data/train/1192160.0000_1194360.0000.ogg,"For example, it can soothe toothache and dissipate heat"
data/train/1194360.0000_1195160.0000.ogg,Headache
data/train/1195160.0000_1197760.0000.ogg,Yes. Discomfort in the face and head
data/train/1198160.0000_1200160.0000.ogg,You can press it to relieve anxiety
data/train/1200160.0000_1202960.0000.ogg,"Yes, because it has the strongest stimulus"
data/train/1202960.0000_1204160.0000.ogg,It boosts immunity
data/train/1204160.0000_1207160.0000.ogg,That's right. It can stimulate the central nervous system
data/train/1207160.0000_1209160.0000.ogg,It has the effect of refreshing the mind
data/train/1209160.0000_1211760.0000.ogg,"So, we can massage either the left or right hand?"
data/train/1211760.0000_1213360.0000.ogg,"It's in the Yangming meridian,"
data/train/1213360.0000_1215560.0000.ogg,so it can strengthen the spleen and stomach
data/train/1215560.0000_1218440.0000.ogg,Okay. You mentioned another acupoint earlier. Where is it?
data/train/1218440.0000_1219960.0000.ogg,It's below the kneecap
data/train/1219960.0000_1221960.0000.ogg,Let me demonstrate -All right
data/train/1221960.0000_1224560.0000.ogg,What's the name of the acupoint below the kneecap?
data/train/1224560.0000_1225560.0000.ogg,Zusanli
data/train/1225560.0000_1227760.0000.ogg,Zusanli is a rather common acupoint
data/train/1227760.0000_1232160.0000.ogg,Right. Move your finger to the outer side of the kneecap
data/train/1232160.0000_1234360.0000.ogg,Place four fingers three cun below the knees
data/train/1234360.0000_1238160.0000.ogg,Then move one cun downwards
data/train/1238160.0000_1240960.0000.ogg,Press it and you will feel a dull pain
data/train/1240960.0000_1246160.0000.ogg,You can take a pen and massage it with the tip
data/train/1247040.0000_1249040.0000.ogg,"This is why we say ""dufu sanli liu"""
data/train/1249040.0000_1250840.0000.ogg,Zusanli is also one of the four general acupoints
data/train/1250840.0000_1252240.0000.ogg,"While watching TV,"
data/train/1252240.0000_1255440.0000.ogg,you can massage the acupoint at the same time
data/train/1255440.0000_1257840.0000.ogg,Zusanli is an acupoint for strengthening and keeping healthy
data/train/1257840.0000_1260840.0000.ogg,"Besides massaging the acupoints, what other exercises are good?"
data/train/1260840.0000_1262640.0000.ogg,You can practise traditional...
data/train/1262640.0000_1266040.0000.ogg,Chinese health exercises like tai chi and baduanjin
data/train/1266040.0000_1269640.0000.ogg,Even doing the horse stance squats can train the muscles in the lower body
data/train/1269640.0000_1271240.0000.ogg,These are good options
data/train/1271240.0000_1273640.0000.ogg,"In TCM, it's called a horse stance squat"
data/train/1273640.0000_1275440.0000.ogg,"Generally, we call it a squat -Yes"
data/train/1275440.0000_1277840.0000.ogg,Different names but similar postures
data/train/1277840.0000_1278840.0000.ogg,I see
data/train/1278840.0000_1281440.0000.ogg,"Thank you, Dr Chang, for sharing these exercises with us"
data/train/1281440.0000_1285240.0000.ogg,Many people think that they need to do strenuous exercises to prevent sarcopenia
data/train/1285240.0000_1286440.0000.ogg,It isn't so
data/train/1286440.0000_1290240.0000.ogg,We can practise tai chi or the step-up exercise that Dr Teo demonstrated
data/train/1290240.0000_1292120.0000.ogg,They are suitable for us
data/train/1292360.0000_1296320.0000.ogg,Sarcopenia weakens us. We lose some control over things in life
data/train/1296320.0000_1297360.0000.ogg,"It makes us helpless,"
data/train/1297360.0000_1299960.0000.ogg,so we must face this problem and actively prevent it
data/train/1299960.0000_1303560.0000.ogg,"That's true. With exercise and an adequate intake of protein,"
data/train/1303560.0000_1305360.0000.ogg,we can build up our muscles
data/train/1305360.0000_1306160.0000.ogg,Precisely
data/train/1306160.0000_1309560.0000.ogg,We'd like to thank Dr Teo and Dr Chang...
data/train/1310360.0000_1313160.0000.ogg,as well as Richard and Michelle
data/train/1314360.0000_1317760.0000.ogg,<i>Let's Talk About Health</i> and learn together
data/train/1317760.0000_1319960.0000.ogg,See you next week. Bye!
data/train/1319960.0000_1320960.0000.ogg,"Subtitles: LG Ho, Mediacorp Pte Ltd"
data/train/283751.0000_285584.0000.ogg,We can take the stairs
data/train/285584.0000_287584.0000.ogg,Let's go
data/train/287584.0000_290584.0000.ogg,Dr Oh Han Boon is on shift today
data/train/290584.0000_293125.0000.ogg,He's been doing his rounds with the Emergency Surgical Unit team...
data/train/293125.0000_294792.0000.ogg,since early this morning
data/train/294792.0000_296751.0000.ogg,Doctors can't afford to waste any time
data/train/296751.0000_301083.0000.ogg,They usually jog from one ward to another
data/train/301083.0000_303542.0000.ogg,Dr Oh will be performing an emergency operation...
data/train/303542.0000_307918.0000.ogg,soon after making his rounds
data/train/307918.0000_310542.0000.ogg,I'll ask the oesophageal specialist...
data/train/310542.0000_311834.0000.ogg,"to come and see you, okay?"
data/train/312918.0000_316042.0000.ogg,This patient felt stomach pains in the morning...
data/train/316042.0000_317542.0000.ogg,and came to the emergency department
data/train/317542.0000_319999.0000.ogg,There were no abnormalities in her blood test results...
data/train/319999.0000_322292.0000.ogg,or her hepatobiliary index
data/train/322292.0000_323751.0000.ogg,She didn't have a fever either
data/train/323751.0000_328626.0000.ogg,"However, she was in considerable pain during our examination"
data/train/328626.0000_333584.0000.ogg,"We suspected that she might be in the early stages of cholecystitis,"
data/train/333584.0000_337209.0000.ogg,so we arranged for an emergency ultrasound...
data/train/337209.0000_340292.0000.ogg,to check for signs of inflammation in the liver and gallbladder
data/train/341375.0000_342959.0000.ogg,The patient seeking consultation...
data/train/342959.0000_346667.0000.ogg,"is Ng Li Ching, a 44-year-old real estate agent"
data/train/346667.0000_350125.0000.ogg,Her poor eating habits due to her hectic work schedule...
data/train/350125.0000_354375.0000.ogg,have resulted in a myriad of gastrointestinal problems
data/train/354375.0000_356999.0000.ogg,I had always assumed that they were just gastric pains
data/train/356999.0000_360999.0000.ogg,I would go to the 24-hour clinic if it wasn't too painful
data/train/360999.0000_364501.0000.ogg,I was admitted at about 5 am that day
data/train/364501.0000_368083.0000.ogg,I had been feeling unwell since 11 pm the previous night...
data/train/368083.0000_369876.0000.ogg,and I had taken some medicine for it
data/train/369876.0000_372042.0000.ogg,I was still experiencing pain at about 5 am
data/train/372042.0000_374501.0000.ogg,I told my husband that I needed to go to the hospital
data/train/374501.0000_377959.0000.ogg,It felt like my stomach was burning
data/train/377959.0000_380959.0000.ogg,I experienced nausea...
data/train/380959.0000_386501.0000.ogg,and the pain was so intense that I felt an incredible strain on my back
data/train/386501.0000_388459.0000.ogg,It felt like I was dying
data/train/388459.0000_390209.0000.ogg,It was more painful than giving birth
data/train/391626.0000_396542.0000.ogg,The ultrasound revealed multiple gallstones
data/train/396542.0000_399667.0000.ogg,Our advice was to immediately carry out...
data/train/399667.0000_403167.0000.ogg,a laparoscopic cholecystectomy
data/train/407292.0000_414834.0000.ogg,(Foreign autopsy reports have revealed gallstones in 20% of men and 30% of women)
data/train/415626.0000_422167.0000.ogg,(Many people may have unknowingly lived with gallstones their entire lives)
data/train/424834.0000_427667.0000.ogg,Gallstones can cause many problems
data/train/427667.0000_430834.0000.ogg,Cholecystitis may occur if the gallstone is too big
data/train/430834.0000_434042.0000.ogg,A small gallstone could easily enter the bile duct...
data/train/434042.0000_436459.0000.ogg,and cause inflammation in the bile duct or jaundice
data/train/436459.0000_440501.0000.ogg,There may be a blockage in the pancreas if the gallstone is too deep
data/train/440501.0000_444542.0000.ogg,This can lead to breathing difficulties or even organ damage...
data/train/444542.0000_447082.0000.ogg,if the pancreatic inflammation is severe
data/train/447082.0000_450375.0000.ogg,The probability of death could be as high as 50 percent
data/train/450375.0000_455334.0000.ogg,"When we suspect that someone is in the early stages of cholecystitis,"
data/train/455334.0000_460667.0000.ogg,an operation should be carried out within the next 24 to 48 hours of detection
data/train/471918.0000_474876.0000.ogg,(Ng Teng Fong General Hospital)
data/train/478709.0000_481125.0000.ogg,"Ng, who was found to have gallstones,"
data/train/481125.0000_484834.0000.ogg,is now undergoing an operation after general anaesthesia
data/train/484834.0000_485999.0000.ogg,This operation is completed...
data/train/485999.0000_490250.0000.ogg,with the help of small instruments and a camera
data/train/492375.0000_495999.0000.ogg,"Sometimes, the duodenum, the stomach, the liver..."
data/train/495999.0000_499334.0000.ogg,and even the large intestine may be connected to the inflamed gallbladder
data/train/499334.0000_505167.0000.ogg,We have to carefully cut the surrounding intestines and stomach
data/train/505167.0000_508792.0000.ogg,"After that, we cut the cystic duct..."
data/train/508792.0000_512375.0000.ogg,and the gallbladder vessel between the bile ducts
data/train/512375.0000_515959.0000.ogg,Ensuring that these organs are not damaged is our biggest challenge
data/train/515999.0000_518334.0000.ogg,The patient may require a second or even a third operation...
data/train/518334.0000_521542.0000.ogg,"if the bile duct is damaged,"
data/train/522459.0000_525918.0000.ogg,The cystic duct must be cut during the removal of the gallbladder
data/train/525918.0000_529999.0000.ogg,"However, it may lead to serious problems like peritonitis or jaundice,"
data/train/529999.0000_532459.0000.ogg,"if the bile duct is damaged in the process,"
data/train/532459.0000_535542.0000.ogg,causing bile leakage or bile duct obstruction
data/train/535542.0000_538876.0000.ogg,After determining the area to be cut...
data/train/538876.0000_541042.0000.ogg,"around the cystic duct and the cystic artery,"
data/train/541042.0000_544209.0000.ogg,"Dr Oh used a pair of forceps to make incisions and sutures,"
data/train/544209.0000_547250.0000.ogg,ligating the cystic duct and the artery
data/train/547250.0000_551542.0000.ogg,The gallbladder is separated from the liver after the cuts have been made
data/train/551542.0000_555167.0000.ogg,"Finally, the gallbladder is removed through the umbilicus"
data/train/558834.0000_560751.0000.ogg,There are many gallstones
data/train/560751.0000_562250.0000.ogg,There are so many gallstones
data/train/562250.0000_565250.0000.ogg,A lot of them
data/train/565626.0000_570125.0000.ogg,There are still many gallstones left
data/train/570125.0000_574959.0000.ogg,The patient experienced intense pain...
data/train/574959.0000_577709.0000.ogg,because of this large gallstone at the top
data/train/577709.0000_580709.0000.ogg,It obstructed the neck of the gallbladder
data/train/580709.0000_582459.0000.ogg,This is the biggest gallstone
data/train/582459.0000_584709.0000.ogg,There are other large gallstones as well
data/train/584709.0000_586876.0000.ogg,This one is about two centimetres
data/train/586876.0000_588375.0000.ogg,This is the biggest one
data/train/588375.0000_591417.0000.ogg,We will return these to the patient
data/train/592334.0000_596709.0000.ogg,"After the operation, Dr Oh immediately did an endoscopy..."
data/train/596709.0000_600459.0000.ogg,"to ensure that the patient wasn't suffering from gastritis or gastric ulcers,"
data/train/600459.0000_604626.0000.ogg,both of which have similar symptoms to gallbladder inflammation
data/train/604626.0000_609042.0000.ogg,"Thankfully, no abnormalities were found in the patient's stomach"
data/train/613167.0000_616125.0000.ogg,"One, two, three"
data/train/616667.0000_619459.0000.ogg,"Ang, who has been diagnosed with appendicitis,"
data/train/619459.0000_621125.0000.ogg,is in the operating theatre...
data/train/621125.0000_624542.0000.ogg,getting ready to undergo a laparoscopic appendicectomy
data/train/624542.0000_628709.0000.ogg,This operation is estimated to take 30 minutes to complete
data/train/629626.0000_634209.0000.ogg,We used pinhole incisions to perform this appendicitis operation
data/train/634209.0000_636542.0000.ogg,We made three small incisions in the abdomen
data/train/636542.0000_639626.0000.ogg,The biggest incision was about one centimetre long
data/train/639626.0000_642542.0000.ogg,The main objective was to...
data/train/642542.0000_645542.0000.ogg,cut off the blood vessels around the appendix...
data/train/645542.0000_650083.0000.ogg,and prevent the bleeding before removing the appendix
data/train/650542.0000_653959.0000.ogg,Dr Thng inserted special surgical tools and a camera...
data/train/653959.0000_657083.0000.ogg,into the patient's abdomen to remove the appendix
data/train/657083.0000_661501.0000.ogg,Patients usually have shorter recovery times when they undergo laparoscopic surgeries
data/train/661501.0000_665751.0000.ogg,The recovery process is also less painful and leaves less obvious scars
data/train/665751.0000_669375.0000.ogg,"However, not all patients are suitable for laparoscopic surgeries"
data/train/669375.0000_673459.0000.ogg,"If the appendix were to rupture, spreading the infection beyond the appendix,"
data/train/673459.0000_675209.0000.ogg,"or there is an abscess,"
data/train/675209.0000_678999.0000.ogg,the patient may need to undergo an open appendicectomy...
data/train/678999.0000_681167.0000.ogg,so that it's easier to clean the abdominal cavity
data/train/681584.0000_684584.0000.ogg,"When performing an operation for appendicitis, it's important..."
data/train/684584.0000_687042.0000.ogg,to remove the appendix...
data/train/687042.0000_689209.0000.ogg,and ligate the blood vessels...
data/train/689209.0000_690459.0000.ogg,to prevent bleeding
data/train/690459.0000_694999.0000.ogg,The area around the appendix must be thoroughly cleaned...
data/train/694999.0000_697959.0000.ogg,to prevent bacterial infections in future
data/train/697959.0000_701501.0000.ogg,These are the two critical areas for such operations
data/train/702959.0000_705083.0000.ogg,"20 minutes into the surgery,"
data/train/705083.0000_708709.0000.ogg,something that Dr Thng feared the most has happened
data/train/709459.0000_711501.0000.ogg,The water has no pressure
data/train/711501.0000_713584.0000.ogg,The water is not flowing
data/train/713584.0000_715000.0000.ogg,Come on
data/train/715999.0000_718459.0000.ogg,"The patient's appendix was slightly ruptured,"
data/train/718459.0000_722501.0000.ogg,so contaminated fluids were flowing out from it
data/train/722501.0000_724375.0000.ogg,There was a danger of bacterial infection
data/train/724375.0000_727792.0000.ogg,Any delays could be fatal
data/train/738999.0000_742334.0000.ogg,(Ng Teng Fong General Hospital)
data/train/744751.0000_748501.0000.ogg,There were complications 20 minutes into Ang's surgery
data/train/748501.0000_752167.0000.ogg,A hole was discovered in her appendix
data/train/752167.0000_754209.0000.ogg,The water is not flowing
data/train/754209.0000_755959.0000.ogg,Come on
data/train/755959.0000_759876.0000.ogg,We need to clean the abdominal area...
data/train/759876.0000_762876.0000.ogg,and suck out the contaminated fluids
data/train/762876.0000_766125.0000.ogg,There may be a chance that the patient will die if this is delayed
data/train/766834.0000_771959.0000.ogg,"The procedure was successfully completed by Dr Thng and his team,"
data/train/771959.0000_777667.0000.ogg,so the patient didn't have to undergo an open appendicectomy
data/train/778709.0000_781667.0000.ogg,We have removed the patient's appendix
data/train/781667.0000_785918.0000.ogg,The patient's condition usually improves once the appendix has been removed
data/train/785918.0000_788584.0000.ogg,This is the patient's appendix
data/train/788584.0000_791375.0000.ogg,The patient is usually admitted to the general ward at this point...
data/train/791375.0000_793876.0000.ogg,and will be discharged after a couple of days of recuperation
data/train/795501.0000_796999.0000.ogg,The procedure was very fast...
data/train/796999.0000_799167.0000.ogg,and you won't feel it anyway
data/train/799167.0000_802292.0000.ogg,"The best thing to do, when you feel any pain,"
data/train/802292.0000_804667.0000.ogg,is to see the doctor without hesitation
data/train/804667.0000_807709.0000.ogg,You won't know when it will rupture
data/train/808083.0000_809501.0000.ogg,This is very important
data/train/810459.0000_813667.0000.ogg,Appendicitis is generally beyond our control
data/train/813667.0000_818167.0000.ogg,It isn't caused by vigorous exercise after meals
data/train/818167.0000_822999.0000.ogg,"In such situations, professional help should be sought at the hospital"
data/train/822999.0000_826334.0000.ogg,Don't put it off until the condition worsens
data/train/831959.0000_834083.0000.ogg,"Good morning, Ms Ng"
data/train/834083.0000_835751.0000.ogg,How are you?
data/train/836417.0000_840042.0000.ogg,"Ng, a real estate agent who underwent..."
data/train/840042.0000_842209.0000.ogg,"an operation to remove her gallstones the day before,"
data/train/842209.0000_848125.0000.ogg,"was greeted by her surgeon, Dr Oh, and a gift when she woke up"
data/train/848542.0000_851334.0000.ogg,Let me show you the cover first
data/train/851334.0000_853125.0000.ogg,Do you want to see how many stones you had?
data/train/853125.0000_854334.0000.ogg,Look at all these
data/train/854334.0000_855792.0000.ogg,"You ""made"" them"
data/train/855792.0000_857709.0000.ogg,"My first thought was,"
data/train/857709.0000_861167.0000.ogg,"""Did you pick some stones from the garden?"""
data/train/861167.0000_862999.0000.ogg,I didn't expect them to be this big
data/train/862999.0000_864501.0000.ogg,The biggest stone was stuck...
data/train/864501.0000_866042.0000.ogg,"at the neck of the gallbladder,"
data/train/866042.0000_867999.0000.ogg,which was why you were in such severe pain
data/train/867999.0000_869959.0000.ogg,I was shocked
data/train/869959.0000_875709.0000.ogg,The first thing I asked him was how long I've had these gallstones for
data/train/875709.0000_878000.0000.ogg,He said it must have been quite a few years
data/train/878000.0000_880626.0000.ogg,Your stomach scope is normal
data/train/880626.0000_882626.0000.ogg,"There aren't any ulcers,"
data/train/882626.0000_884000.0000.ogg,so just try to eat more healthily
data/train/884000.0000_885999.0000.ogg,Avoid food that is fatty or oily
data/train/885999.0000_886918.0000.ogg,Thank you
data/train/886918.0000_888918.0000.ogg,"No problem, so we'll let you go home today"
data/train/888918.0000_890501.0000.ogg,Goodbye
data/train/891542.0000_894459.0000.ogg,"When I was working in the real estate industry,"
data/train/894459.0000_897125.0000.ogg,I led a fast-paced life
data/train/897125.0000_899334.0000.ogg,My meals were irregular
data/train/899334.0000_901584.0000.ogg,I often had to socialize for work
data/train/901584.0000_906417.0000.ogg,There was a tendency to eat greasy food during these gatherings
data/train/906417.0000_909292.0000.ogg,It's not good for your digestion
data/train/909292.0000_912542.0000.ogg,I feel that my digestion has improved
data/train/912542.0000_915542.0000.ogg,It is now a fast and smooth process
data/train/915542.0000_918334.0000.ogg,My problem has been resolved
data/train/919417.0000_923292.0000.ogg,This is the fourth day of Dr Thng's shift...
data/train/923292.0000_925250.0000.ogg,in the Emergency Surgical Unit this month
data/train/925250.0000_930709.0000.ogg,Dr Thng enjoys spending his breaks in the hospital's garden
data/train/930709.0000_937250.0000.ogg,The fresh air here helps him to relieve his stress from work
data/train/937250.0000_941626.0000.ogg,"This tranquillity, however, is short-lived"
data/train/946417.0000_951542.0000.ogg,"Seetharam, a 79-year-old lady, awaits him in the ward"
data/train/951542.0000_955292.0000.ogg,"To avoid troubling her children, Seetharam, a retiree of many years,"
data/train/955292.0000_958501.0000.ogg,chose to live alone after her husband passed away
data/train/958501.0000_962250.0000.ogg,"Today, she was brought to the hospital because of a dislocated joint"
data/train/962250.0000_966626.0000.ogg,She unexpectedly discovered that she was suffering from something more serious
data/train/966626.0000_970083.0000.ogg,They took an X-ray and found a hole
data/train/971876.0000_975083.0000.ogg,They told me that I needed an operation
data/train/975083.0000_976042.0000.ogg,I got a shock
data/train/976042.0000_977459.0000.ogg,"My son said,"
data/train/977459.0000_980501.0000.ogg,"""Don't worry, they know what to do"""
data/train/981209.0000_983083.0000.ogg,We did a scan for her
data/train/983083.0000_987375.0000.ogg,The scan showed a lot of trapped air in her stomach
data/train/987375.0000_990417.0000.ogg,There was a knot in the small intestine...
data/train/990417.0000_994083.0000.ogg,that cut off blood flow to the small intestine...
data/train/994083.0000_997375.0000.ogg,and created a hole in it
data/train/998667.0000_1000751.0000.ogg,This is an emergency case
data/train/1000751.0000_1004334.0000.ogg,"It is considered a P1, or Priority 1, operation"
data/train/1005125.0000_1008834.0000.ogg,The Emergency Surgical Unit considers the urgency of each case...
data/train/1008834.0000_1013709.0000.ogg,"and categorizes them as P1, P2 or P3 cases"
data/train/1013709.0000_1018042.0000.ogg,The least severe cases are in P3 while the most severe ones are in P1
data/train/1018042.0000_1021792.0000.ogg,P1 patients must undergo surgery within two hours
data/train/1021792.0000_1025751.0000.ogg,There will be a bacterial infection...
data/train/1025751.0000_1028626.0000.ogg,when the contaminated fluids from the small intestine enter the stomach
data/train/1028626.0000_1033000.0000.ogg,The patient could die in a short time if the operation is not done promptly
data/train/1033000.0000_1037000.0000.ogg,That's why we had to operate on her within two hours...
data/train/1037000.0000_1039416.0000.ogg,to remove the diseased part of the small intestine...
data/train/1039416.0000_1042209.0000.ogg,and reconnect the healthy parts
data/train/1042876.0000_1050626.0000.ogg,(A perforation in the small intestine can cause severe and life-threatening infections)
data/train/1051250.0000_1054792.0000.ogg,(Research has shown that such patients who are transferred to the ICU...)
data/train/1054792.0000_1060626.0000.ogg,(after an emergency operation have a high chance of complications or death)
data/train/1061542.0000_1064667.0000.ogg,A perforated bowel is also known as a ruptured bowel
data/train/1064667.0000_1066834.0000.ogg,It can lead to septicaemia...
data/train/1066834.0000_1071999.0000.ogg,"and medical conditions like tachycardia, shortness of breath, fever,"
data/train/1071999.0000_1073751.0000.ogg,a state of unconsciousness and so on
data/train/1073751.0000_1078667.0000.ogg,This is why Dr Thng has to immediately operate on Seetharam
data/train/1079042.0000_1081876.0000.ogg,It looks like the tightening occurred here
data/train/1082209.0000_1085000.0000.ogg,This lady is frail and prone to illness
data/train/1085000.0000_1089667.0000.ogg,The risks increase as time passes
data/train/1089667.0000_1095417.0000.ogg,"She is in danger of getting a heart attack, a stroke or a bacterial infection,"
data/train/1095417.0000_1098083.0000.ogg,so the operation must be completed as quickly as possible
data/train/1098417.0000_1101999.0000.ogg,"With the advent of minimally invasive surgery that avoids the use of large incisions,"
data/train/1101999.0000_1106334.0000.ogg,open surgeries are on the decline in the modern medical industry
data/train/1106334.0000_1108501.0000.ogg,"In Seetharam's case, however,"
data/train/1108501.0000_1111959.0000.ogg,an open surgery would give the surgeons a better view...
data/train/1111959.0000_1115375.0000.ogg,to ensure greater accuracy when resectioning the small intestine
data/train/1115709.0000_1118292.0000.ogg,"Firstly, we have to determine the position of the knot"
data/train/1118292.0000_1120459.0000.ogg,"A small intestine is five to six metres long,"
data/train/1120459.0000_1123417.0000.ogg,so we have to first figure out where the knot is...
data/train/1123417.0000_1127000.0000.ogg,before we can undo it
data/train/1127334.0000_1130042.0000.ogg,Here you go
data/train/1130834.0000_1132834.0000.ogg,The hole is here
data/train/1132834.0000_1134125.0000.ogg,You can see it
data/train/1134125.0000_1137083.0000.ogg,"Secondly, we need to locate the hole"
data/train/1137083.0000_1141375.0000.ogg,We will remove part of the small intestine once that has been done
data/train/1142167.0000_1146542.0000.ogg,"The medical staff in the operating theatre, except those who are already dressed in blue,"
data/train/1146542.0000_1150709.0000.ogg,"must don an additional layer of white, protective clothing"
data/train/1150709.0000_1151709.0000.ogg,This is because Seetharam...
data/train/1151709.0000_1154334.0000.ogg,has a Methicillin-resistant Staphylococcus aureus (MRSA) infection
data/train/1154334.0000_1159999.0000.ogg,This virus spreads through contact with an infected person
data/train/1159999.0000_1164459.0000.ogg,"An MRSA infection causes the body to resist the effects of common antibiotics,"
data/train/1164459.0000_1166667.0000.ogg,making it more difficult to treat many illnesses
data/train/1166667.0000_1169167.0000.ogg,It can also be life-threatening
data/train/1170042.0000_1171250.0000.ogg,Burn two sides
data/train/1171250.0000_1172626.0000.ogg,"Stapler, please"
data/train/1173000.0000_1174167.0000.ogg,Stapler
data/train/1175876.0000_1179876.0000.ogg,A special medical stapler is commonly used...
data/train/1179876.0000_1181375.0000.ogg,to clamp the small intestine...
data/train/1181375.0000_1184834.0000.ogg,and create an anastomosis
data/train/1184834.0000_1187751.0000.ogg,This method is faster
data/train/1188584.0000_1191709.0000.ogg,"Can you get us two more reloads, please?"
data/train/1192250.0000_1194501.0000.ogg,Every second counts in this operation
data/train/1194501.0000_1199626.0000.ogg,Dr Thng removed the diseased parts of the small intestine in one and a half hours
data/train/1202709.0000_1206501.0000.ogg,We found a hole in the small intestine during the operation
data/train/1206501.0000_1209751.0000.ogg,We removed this section of the small intestine...
data/train/1209751.0000_1212542.0000.ogg,before reconnecting the remaining sections
data/train/1212542.0000_1215334.0000.ogg,The patient will be transferred to the Intensive Care Unit (ICU)
data/train/1215334.0000_1220501.0000.ogg,She can be transferred to a general ward in a few days
data/train/1222375.0000_1224375.0000.ogg,Stitch
data/train/1226626.0000_1229959.0000.ogg,(One month after the operation)
data/train/1230542.0000_1232417.0000.ogg,"Seetharam, who has completed the operation,"
data/train/1232417.0000_1235000.0000.ogg,is staying temporarily in the hospital to recuperate...
data/train/1235000.0000_1237667.0000.ogg,while her son arranges to hire a helper
data/train/1237667.0000_1241334.0000.ogg,This operation has taught her a lesson
data/train/1242626.0000_1245751.0000.ogg,I will tell my son if something happens
data/train/1245751.0000_1249626.0000.ogg,I won't hide it from him
data/train/1249626.0000_1251626.0000.ogg,I have to tell my son...
data/train/1251626.0000_1254375.0000.ogg,to bring me to the hospital to see the doctor
data/train/1254375.0000_1256626.0000.ogg,"Otherwise, if I don't tell my son,"
data/train/1256626.0000_1259959.0000.ogg,the problem may worsen
data/train/1261876.0000_1267334.0000.ogg,"The operating theatre may be a forbidding and daunting place to many,"
data/train/1267334.0000_1271167.0000.ogg,but it is the battlefield where medical staff save lives
data/train/1271167.0000_1274000.0000.ogg,"Surgeons are not superheroes,"
data/train/1274000.0000_1276999.0000.ogg,but they serve as the protective barriers between patients and diseases...
data/train/1276999.0000_1282083.0000.ogg,"when they don their blue battle gear,"
data/train/1282083.0000_1285167.0000.ogg,doing their best to protect lives
data/train/1309876.0000_1310876.0000.ogg,Subtitles: CaptionCube
data/train/253334.0000_256959.0000.ogg,I also didn't know why I kept feeling dizzy and vomiting
data/train/256959.0000_259875.0000.ogg,I wasn't able to sleep after midnight
data/train/260999.0000_263792.0000.ogg,I would only be able to sleep for two to three hours
data/train/267667.0000_269250.0000.ogg,The scar will be very small
data/train/269250.0000_271584.0000.ogg,It would be somewhere along your neck here
data/train/271584.0000_274125.0000.ogg,Would it be big? Here?
data/train/274125.0000_276250.0000.ogg,It'll be a small scar
data/train/276250.0000_279292.0000.ogg,"The patient had gastric ulcers 10 years ago,"
data/train/279292.0000_281667.0000.ogg,which could have been due to hypercalcemia
data/train/281667.0000_285375.0000.ogg,Some patients may also feel easily fatigued
data/train/285417.0000_287334.0000.ogg,These are very common symptoms
data/train/288667.0000_291876.0000.ogg,"For long-term symptoms, hypercalcemia could lead to osteoporosis"
data/train/292375.0000_296417.0000.ogg,"This patient had a slight fall two years ago,"
data/train/296417.0000_299999.0000.ogg,which caused a fracture in her foot
data/train/306876.0000_309834.0000.ogg,Also awaiting surgery in the hospital this day...
data/train/309876.0000_314125.0000.ogg,"is 56-year-old Rosna, who suffers from pancreatic cancer"
data/train/314667.0000_315999.0000.ogg,"Okay, it's better"
data/train/315999.0000_317375.0000.ogg,37.1
data/train/317375.0000_320999.0000.ogg,"Accompanied by her husband, she was admitted to the hospital..."
data/train/320999.0000_326709.0000.ogg,for a seven-hour Whipple operation
data/train/328999.0000_330918.0000.ogg,"Apparently, the ship is not anchored..."
data/train/330918.0000_332667.0000.ogg,in the uncertain sea
data/train/332667.0000_334792.0000.ogg,Rosna is an English teacher...
data/train/334792.0000_339292.0000.ogg,"and has a history of hypertension, hyperlipidemia and diabetes"
data/train/340375.0000_344000.0000.ogg,She has been using medication to keep these conditions under control
data/train/344334.0000_348000.0000.ogg,"But this time, the symptoms were unexpected"
data/train/348375.0000_350209.0000.ogg,I noticed that the white of my eyes...
data/train/350209.0000_351959.0000.ogg,were turning yellow
data/train/351959.0000_355999.0000.ogg,"But again, I didn't visit the doctor"
data/train/355999.0000_359709.0000.ogg,And I had diarrhoea for two weeks straight
data/train/359709.0000_361834.0000.ogg,I still didn't see the doctor
data/train/361834.0000_363417.0000.ogg,I self-medicated
data/train/363417.0000_365584.0000.ogg,I tried to take charcoal pills...
data/train/365584.0000_367042.0000.ogg,and stuff like that
data/train/367042.0000_369334.0000.ogg,I know it's wrong of me
data/train/369334.0000_370417.0000.ogg,I was being stubborn...
data/train/370417.0000_373792.0000.ogg,and sticking to my own medication
data/train/373792.0000_375292.0000.ogg,"Then, I came to a point..."
data/train/375292.0000_377250.0000.ogg,when I told myself that this cannot be
data/train/377250.0000_379709.0000.ogg,Because my eyes were turning yellow
data/train/379709.0000_382626.0000.ogg,And my diarrhoea kept recurring
data/train/382626.0000_384250.0000.ogg,It came to a point where my son...
data/train/384250.0000_386292.0000.ogg,encouraged me to see a doctor
data/train/389375.0000_393876.0000.ogg,"So, I went, and I was warded that very day"
data/train/393876.0000_398000.0000.ogg,"After many checks,"
data/train/398000.0000_402000.0000.ogg,"X-rays, CT scans and an endoscopy,"
data/train/402000.0000_403292.0000.ogg,the doctors found out that...
data/train/403292.0000_406082.0000.ogg,there were problems with my pancreas
data/train/407584.0000_410584.0000.ogg,"Okay, breathe in, breathe out"
data/train/410584.0000_413542.0000.ogg,"Breathe in, breathe out. Slow, deep breaths"
data/train/415250.0000_418918.0000.ogg,The scan showed that there was a blockage in the bile duct
data/train/418918.0000_423626.0000.ogg,"The main reason for this bile duct blockage is because she has pancreatic cancer,"
data/train/423626.0000_425876.0000.ogg,which blocked the bile duct
data/train/425876.0000_430542.0000.ogg,"So, we did other scans first to make sure that the cancer hasn't spread"
data/train/430542.0000_432375.0000.ogg,"Then, we arranged for a surgery"
data/train/432375.0000_436082.0000.ogg,"(Pancreatic cancer has the 7th-highest cancer mortality rate globally,)"
data/train/436082.0000_439667.0000.ogg,(and ranks 5th in Singapore)
data/train/439667.0000_442918.0000.ogg,"(Pancreatic cancer is more common among males,)"
data/train/442918.0000_448042.0000.ogg,(with patients averaging 71 years old and above)
data/train/448667.0000_452792.0000.ogg,Pancreatic cancer is one of the most difficult cancers to cure
data/train/453209.0000_455792.0000.ogg,"But for early pancreatic cancer,"
data/train/455792.0000_458751.0000.ogg,"if the pancreas is removed surgically,"
data/train/458751.0000_460959.0000.ogg,"and the surrounding lymph glands are cleared,"
data/train/460959.0000_463792.0000.ogg,the survival rate of the patient can be improved
data/train/464792.0000_467375.0000.ogg,The first thing that came to my mind...
data/train/467375.0000_468125.0000.ogg,when I was told...
data/train/468125.0000_470999.0000.ogg,that I had to go through this surgery was...
data/train/470999.0000_474292.0000.ogg,"Obviously, I was scared and anxious"
data/train/474292.0000_476125.0000.ogg,Because I've never gone through this before
data/train/478959.0000_481626.0000.ogg,A lot of things were going through my mind
data/train/481626.0000_484542.0000.ogg,"All the negative feelings and thoughts,"
data/train/484542.0000_487792.0000.ogg,"like, what if I don't survive the surgery?"
data/train/487792.0000_489083.0000.ogg,Whether my body can withstand...
data/train/489083.0000_491834.0000.ogg,the long and major surgery?
data/train/492375.0000_494626.0000.ogg,I want everything to go well
data/train/494626.0000_497375.0000.ogg,I just want to wake up alive...
data/train/497375.0000_498417.0000.ogg,after the operation
data/train/499542.0000_501334.0000.ogg,"In the face of his wife's worries,"
data/train/501334.0000_502999.0000.ogg,"Rosli, as a husband,"
data/train/502999.0000_506834.0000.ogg,felt that the best solution was to be by her side
data/train/507417.0000_511042.0000.ogg,She's actually just a bit scared and nervous
data/train/511042.0000_513876.0000.ogg,"But as a family, we always encourage her,"
data/train/513876.0000_514751.0000.ogg,"and tell her not to worry,"
data/train/514751.0000_517667.0000.ogg,because all of the doctors are professionals
data/train/517667.0000_518584.0000.ogg,They will take care of you
data/train/529999.0000_533042.0000.ogg,(Ng Teng Fong General Hospital)
data/train/534751.0000_536709.0000.ogg,"Nurse, open the ligature"
data/train/537209.0000_539125.0000.ogg,"Rosna, who suffers from pancreatic cancer,"
data/train/539125.0000_544918.0000.ogg,is at Ng Teng Fong General Hospital today for a Whipple operation
data/train/544959.0000_546209.0000.ogg,"Can I have the power clip, please?"
data/train/546626.0000_548834.0000.ogg,"After Rosna received general anaesthesia,"
data/train/548834.0000_553000.0000.ogg,"the doctors immediately began the operation, which was expected to last up to seven hours"
data/train/554375.0000_558584.0000.ogg,The Whipple operation is an extremely complex operation...
data/train/558584.0000_563542.0000.ogg,because the pancreas is located in the deepest part of the abdominal cavity
data/train/563999.0000_566167.0000.ogg,It is located behind the stomach...
data/train/566167.0000_569167.0000.ogg,and in front of the aorta and spinal cord
data/train/570042.0000_573167.0000.ogg,"Rosna's tumour is near the head of the pancreas,"
data/train/573167.0000_575959.0000.ogg,which caused her to have jaundice
data/train/579083.0000_580375.0000.ogg,Retractor
data/train/581083.0000_583375.0000.ogg,"After removing the pancreas,"
data/train/583375.0000_587417.0000.ogg,"many other parts need to be connected, so it takes a long time"
data/train/588292.0000_590250.0000.ogg,"In the final part of the operation,"
data/train/590250.0000_593000.0000.ogg,Dr Thng must reconnect the small intestine...
data/train/593000.0000_597334.0000.ogg,"with the remaining pancreas, stomach and bile duct"
data/train/597876.0000_600918.0000.ogg,This makes the surgery even more complicated
data/train/601876.0000_603459.0000.ogg,"Wait, don't move"
data/train/608667.0000_610542.0000.ogg,"Another pair of forceps for Dr Joel, please"
data/train/610959.0000_611918.0000.ogg,"In the other theatre,"
data/train/611918.0000_613042.0000.ogg,"Tan Mei Ping,"
data/train/613042.0000_618250.0000.ogg,"who was diagnosed with primary hyperparathyroidism two weeks ago,"
data/train/618250.0000_622501.0000.ogg,is about to start surgery after receiving general anaesthesia
data/train/622918.0000_626292.0000.ogg,We usually use two scans...
data/train/626292.0000_630709.0000.ogg,to detect which parathyroid gland has a tumour
data/train/630709.0000_632876.0000.ogg,The first scan is the ultrasound
data/train/632876.0000_634792.0000.ogg,The ultrasound will show...
data/train/634792.0000_637834.0000.ogg,"which of these four parathyroids are swollen,"
data/train/637834.0000_640250.0000.ogg,Normal parathyroid glands...
data/train/640250.0000_641709.0000.ogg,can't be seen on the ultrasound...
data/train/641709.0000_642876.0000.ogg,as they're less than one centimetre
data/train/643792.0000_648334.0000.ogg,The second scan is what we call Sestamibi or Parathyroid scan
data/train/648334.0000_653876.0000.ogg,This scan shows which parathyroid gland is hyperfunctioning
data/train/654250.0000_656834.0000.ogg,"For this patient, both scans show that..."
data/train/656834.0000_659918.0000.ogg,"she only has one tumour, in the bottom right"
data/train/659918.0000_665834.0000.ogg,This allows us to do a smaller and less invasive surgery
data/train/666292.0000_667584.0000.ogg,3-0 tie
data/train/667584.0000_672209.0000.ogg,Dr Oh performed an open surgery on Tan
data/train/672667.0000_676167.0000.ogg,He first made a small incision of about two centimetres...
data/train/676167.0000_679083.0000.ogg,"in the low curved collar on the sternal notch,"
data/train/679083.0000_682250.0000.ogg,and removed the parathyroid glands with manual retractors...
data/train/682250.0000_683999.0000.ogg,and the help of a headlamp
data/train/685584.0000_688918.0000.ogg,Most cases of thyroiditis are quite small
data/train/688918.0000_694876.0000.ogg,"So, we want to make sure that we're able to locate the tumour and remove it"
data/train/695459.0000_696751.0000.ogg,We need to get to the plain...
data/train/696751.0000_699918.0000.ogg,between the thyroid and the parathyroid
data/train/700209.0000_703584.0000.ogg,"The advantages of this type of operation is that the operation distance is short,"
data/train/703584.0000_705042.0000.ogg,"the operation time is short,"
data/train/705042.0000_708876.0000.ogg,and the area that could be damaged is relatively small
data/train/709459.0000_714501.0000.ogg,"In addition, the incision marks can easily be covered up after the operation"
data/train/715250.0000_718959.0000.ogg,"However, such an operation also presents certain challenges"
data/train/719292.0000_723918.0000.ogg,"For this surgery, the scar won't exceed two centimetres"
data/train/723918.0000_726918.0000.ogg,"So, as you can imagine, a small scar..."
data/train/726918.0000_731042.0000.ogg,would mean that we have to be more careful and use smaller tools...
data/train/731042.0000_733375.0000.ogg,to remove the tumour
data/train/739375.0000_742167.0000.ogg,(Two hours into the Whipple operation)
data/train/742167.0000_743792.0000.ogg,Give me the medium clip
data/train/744918.0000_746209.0000.ogg,I'll need two
data/train/746209.0000_749959.0000.ogg,Rosna's surgery has been going on for two hours
data/train/750334.0000_751375.0000.ogg,One more clip
data/train/751709.0000_753125.0000.ogg,"In the 1960s and 1970s,"
data/train/753125.0000_757709.0000.ogg,the mortality rate for such complex operations was 33 percent
data/train/758334.0000_760999.0000.ogg,"However, with the rapid development of medical research,"
data/train/760999.0000_765999.0000.ogg,the mortality rate for this operation has been reduced to about 2 to 3 percent
data/train/766751.0000_767999.0000.ogg,Take your time
data/train/771375.0000_773626.0000.ogg,Patient's 12th
data/train/775542.0000_779918.0000.ogg,The biggest risk of this surgery is bleeding
data/train/779918.0000_784250.0000.ogg,"When a patient bleeds, we can usually stop the bleeding in the operation theatre"
data/train/784250.0000_787209.0000.ogg,The second risk is at the connection sites
data/train/787209.0000_791876.0000.ogg,"Sometimes, if the patient isn't able to heal well,"
data/train/792584.0000_794959.0000.ogg,there may be signs of a leak
data/train/794959.0000_798918.0000.ogg,This would cause the patient to show signs of inflammation...
data/train/799292.0000_801667.0000.ogg,and to develop a fever
data/train/801999.0000_805626.0000.ogg,"Their white blood cell count would rise, and they would need antibiotics"
data/train/805626.0000_809459.0000.ogg,"New tubes may need to be inserted to remove the dirty fluids,"
data/train/809459.0000_811250.0000.ogg,or another surgery may be required
data/train/825501.0000_828209.0000.ogg,(Ng Teng Fong General Hospital)
data/train/828542.0000_830876.0000.ogg,It's actually bigger than what we saw...
data/train/830876.0000_832209.0000.ogg,on the ultrasound
data/train/832876.0000_836709.0000.ogg,Tan's operation has been going on for an hour and a half
data/train/837375.0000_842417.0000.ogg,Dr Oh Han Boon is carefully removing her parathyroid gland
data/train/843417.0000_846167.0000.ogg,"During the operation, Dr Oh was most worried about..."
data/train/846167.0000_848709.0000.ogg,accidentally injuring the recurrent laryngeal nerve
data/train/849999.0000_853751.0000.ogg,This would cause the patient to lose the ability to breathe normally
data/train/853751.0000_857709.0000.ogg,It will be difficult to live a normal life even if salvaged
data/train/858584.0000_860918.0000.ogg,The patient has quite a lot of symptoms
data/train/860918.0000_866999.0000.ogg,But she is also worried that the surgery would affect her quality of life
data/train/867792.0000_873584.0000.ogg,Her job requires her to use her voice to communicate with many people
data/train/873584.0000_876667.0000.ogg,"Hence, we have to ensure the safety of the operation"
data/train/876667.0000_881417.0000.ogg,We also hope to reduce the risk of damage to her voice and vocal cords
data/train/883417.0000_886667.0000.ogg,She felt that the symptoms were affecting her very much
data/train/886667.0000_891459.0000.ogg,"Hence, we hope that her symptoms will start to disappear after the surgery"
data/train/891459.0000_896334.0000.ogg,"Her bones would also be stronger, so she might be able to..."
data/train/896334.0000_900999.0000.ogg,do activities such as mountain climbing and so on
data/train/901334.0000_903626.0000.ogg,How high was the pre-excision?
data/train/903626.0000_908999.0000.ogg,"Two hours later, Dr Oh successfully removed Tan's parathyroid"
data/train/909334.0000_912459.0000.ogg,"After removing it, we can see that..."
data/train/912459.0000_916999.0000.ogg,the tumour is bigger than what we saw from the ultrasound
data/train/916999.0000_918417.0000.ogg,That could also explain...
data/train/918417.0000_922083.0000.ogg,why the parathyroid hormone levels were so high before the surgery
data/train/922999.0000_924292.0000.ogg,"Okay, the blood has been taken"
data/train/924292.0000_926209.0000.ogg,We can take a look at it
data/train/926209.0000_927375.0000.ogg,"Forceps, please"
data/train/927375.0000_929000.0000.ogg,When we tested the blood...
data/train/929000.0000_932792.0000.ogg,"in about 10 minutes after the gland was removed,"
data/train/932792.0000_936250.0000.ogg,her index levels were already returning to normal
data/train/936584.0000_938542.0000.ogg,"It was down to about 10, 12"
data/train/953876.0000_955584.0000.ogg,Your voice is very good
data/train/955584.0000_957999.0000.ogg,The operation went very well
data/train/957999.0000_959501.0000.ogg,The scar is very small
data/train/960334.0000_963000.0000.ogg,"After we took out the tumour,"
data/train/963000.0000_967000.0000.ogg,the parathyroid hormone levels dropped a lot
data/train/967000.0000_968876.0000.ogg,It's almost normal now
data/train/968876.0000_969999.0000.ogg,"Now, the worry is that..."
data/train/969999.0000_973042.0000.ogg,your calcium levels may fall...
data/train/973042.0000_975542.0000.ogg,"because now, your bones are very hungry"
data/train/975542.0000_978501.0000.ogg,They are trying to suck all the calcium back
data/train/978501.0000_981375.0000.ogg,We may give you some calcium pills
data/train/981375.0000_982959.0000.ogg,"If everything goes well,"
data/train/982959.0000_986292.0000.ogg,you can go back tomorrow
data/train/986292.0000_987584.0000.ogg,"After this, you can eat and drink..."
data/train/987584.0000_989334.0000.ogg,anything you want
data/train/989334.0000_990459.0000.ogg,"Thank you, doctor"
data/train/990459.0000_992375.0000.ogg,No problem
data/train/992375.0000_994375.0000.ogg,I will see you tomorrow morning
data/train/994375.0000_995918.0000.ogg,"Okay, bye-bye"
data/train/1002709.0000_1004751.0000.ogg,5-0
data/train/1005792.0000_1007459.0000.ogg,"No, new line"
data/train/1007459.0000_1009375.0000.ogg,(Four hours into the Whipple operation)
data/train/1009375.0000_1010250.0000.ogg,Forceps
data/train/1010250.0000_1012417.0000.ogg,"Rosna, who suffers from pancreatic cancer,"
data/train/1012417.0000_1014959.0000.ogg,is still undergoing surgery on the operating table
data/train/1015709.0000_1019876.0000.ogg,"In addition to resecting the head of the pancreas, where the tumour is located,"
data/train/1019876.0000_1024626.0000.ogg,Dr Thng also has to resect the duodenum surrounding the head and neck of the pancreas
data/train/1025083.0000_1026083.0000.ogg,T Breaker
data/train/1026416.0000_1027584.0000.ogg,The difficulty is that...
data/train/1027584.0000_1030876.0000.ogg,the duodenum is connected to the stomach and the small intestine
data/train/1030876.0000_1033166.0000.ogg,"In the process of removing the duodenum,"
data/train/1033166.0000_1036250.0000.ogg,a part of the stomach often has to be removed as well
data/train/1036626.0000_1038501.0000.ogg,The end of the bile duct...
data/train/1038501.0000_1041709.0000.ogg,passes through the head of the pancreas to connect to the duodenum
data/train/1042501.0000_1047334.0000.ogg,"Therefore, the bile duct and gallbladder must also be removed during surgery"
data/train/1050334.0000_1051209.0000.ogg,Suction
data/train/1051709.0000_1055417.0000.ogg,"Dr Thng has been working continuously for nearly five hours,"
data/train/1055417.0000_1059000.0000.ogg,but he is still completely focused on the operation
data/train/1059501.0000_1063918.0000.ogg,"As the pancreas is surrounded by a complex network of large blood vessels,"
data/train/1063918.0000_1067999.0000.ogg,"during the operation, if the angle or distance is not precise,"
data/train/1067999.0000_1070999.0000.ogg,massive bleeding may occur at any time
data/train/1072334.0000_1075501.0000.ogg,(Six hours into the Whipple operation)
data/train/1076667.0000_1080584.0000.ogg,"Finally, Dr Thng successfully removed..."
data/train/1080584.0000_1083250.0000.ogg,all the tumours six hours into the operation
data/train/1086209.0000_1089000.0000.ogg,"This is the pancreas, and this is the duodenum"
data/train/1089417.0000_1092209.0000.ogg,This is the patient's gallbladder
data/train/1092209.0000_1096209.0000.ogg,The cancer is probably around here
data/train/1096209.0000_1098584.0000.ogg,We have removed the cancerous tissues
data/train/1098999.0000_1101834.0000.ogg,This operation took about seven hours
data/train/1103042.0000_1107542.0000.ogg,"It was a difficult operation because she had an inflamed pancreas previously,"
data/train/1107542.0000_1112000.0000.ogg,which resulted in a lot of internal scars
data/train/1112292.0000_1115334.0000.ogg,"Hence, the surgery took a little longer"
data/train/1115709.0000_1118125.0000.ogg,"Of course, I do feel a little tired"
data/train/1118125.0000_1121542.0000.ogg,"However, what's most important is that the operation was successful..."
data/train/1121542.0000_1124584.0000.ogg,and the patient recovers
data/train/1125250.0000_1130167.0000.ogg,"But even after removing the tumour, the operation is not over"
data/train/1130709.0000_1133751.0000.ogg,Dr Thng has to rebuild the continuity and integrity...
data/train/1133751.0000_1138000.0000.ogg,"of the intestinal tract, bile duct and pancreatic duct for Rosna"
data/train/1138709.0000_1141250.0000.ogg,This is another major undertaking
data/train/1141584.0000_1142918.0000.ogg,"Hold the top, please"
data/train/1143459.0000_1147709.0000.ogg,"Of these, reconnecting the pancreatic duct to the intestine is the most difficult"
data/train/1148083.0000_1149999.0000.ogg,This is because the diameter of the pancreatic duct...
data/train/1149999.0000_1153042.0000.ogg,"is only about 0.2 to 0.5 centimetres,"
data/train/1153042.0000_1156876.0000.ogg,so the doctor has to spend some time to connect the intestines
data/train/1159125.0000_1160751.0000.ogg,(The Whipple operation ended after eight hours)
data/train/1160751.0000_1162792.0000.ogg,The surgery was a success
data/train/1162792.0000_1165709.0000.ogg,The patient went home five days after surgery
data/train/1165709.0000_1169751.0000.ogg,"This morning, I saw the patient in the outpatient department"
data/train/1169792.0000_1174167.0000.ogg,She has recovered and has gone back to work
data/train/1174501.0000_1177417.0000.ogg,(A month after the surgery)
data/train/1177417.0000_1178876.0000.ogg,"Nobody likes to go through an operation,"
data/train/1178876.0000_1180751.0000.ogg,"but if it's for your own good, why not?"
data/train/1180751.0000_1184083.0000.ogg,Just put all these negative thoughts aside
data/train/1184083.0000_1185459.0000.ogg,You must remember that...
data/train/1185459.0000_1187876.0000.ogg,"there are so many people supporting you,"
data/train/1187876.0000_1189709.0000.ogg,so you just have to go for it
data/train/1191459.0000_1195918.0000.ogg,Pancreatic cancer is 20 percent genetic...
data/train/1195918.0000_1198751.0000.ogg,and 80 percent sporadic
data/train/1198751.0000_1203209.0000.ogg,It's caused by some genetic mutation
data/train/1204334.0000_1206751.0000.ogg,"For now, we're not able to prevent it"
data/train/1207209.0000_1213209.0000.ogg,"If you experience jaundice, fever or persistent stomach pain,"
data/train/1213584.0000_1215459.0000.ogg,you should seek medical attention immediately
data/train/1216083.0000_1218209.0000.ogg,(A month after surgery)
data/train/1218209.0000_1223542.0000.ogg,"After surgery, Tan has also returned to the daily life she longed for"
data/train/1224000.0000_1228501.0000.ogg,"She goes to the gym in her condominium to exercise almost every day,"
data/train/1228501.0000_1232751.0000.ogg,hoping to return to her pre-illness state of health as soon as possible
data/train/1233042.0000_1236167.0000.ogg,I feel that my life has improved
data/train/1236167.0000_1239209.0000.ogg,I'm not as tired as before
data/train/1239209.0000_1240918.0000.ogg,I don't have issues sleeping any more
data/train/1241459.0000_1243709.0000.ogg,"I go to bed earlier,"
data/train/1243709.0000_1245167.0000.ogg,and get up earlier
data/train/1246876.0000_1251042.0000.ogg,I will encourage my friends and relatives...
data/train/1251042.0000_1253000.0000.ogg,to go for annual medical check-ups
data/train/1253417.0000_1258375.0000.ogg,"This way, any issues can be treated sooner and the risks will be lower"
data/train/1286375.0000_1287375.0000.ogg,Subtitles: CaptionCube
data/train/678750.0000_682410.0000.ogg,我常常講說2020年到現在 台灣防疫
data/train/682560.0000_684570.0000.ogg,成功的3個要素裡面 其中一個就是
data/train/684570.0000_687240.0000.ogg,我們台灣民眾的公民素質 我們台灣人
data/train/687450.0000_689880.0000.ogg,水準全世界一流的 這個時候
data/train/689879.0000_692460.0000.ogg,我拜託大家再拿出這個公民素質出來
data/train/693090.0000_695580.0000.ogg,能夠配合醫院的醫療的計畫
data/train/696149.0000_697230.0000.ogg,醫生不會說
data/train/697679.0000_699600.0000.ogg,不能讓你出院 讓你出院 不可能
data/train/699629.0000_701340.0000.ogg,但是醫生認定你可以出院
data/train/701399.0000_703289.0000.ogg,就拜託大家配合一下
data/train/703500.0000_705960.0000.ogg,因為你出院了 我後面的人就可以進來
data/train/706110.0000_709139.0000.ogg,我們可以把中重症的 這樣一個病床留給
data/train/709169.0000_710789.0000.ogg,更需要的人入住進來
data/train/710819.0000_712980.0000.ogg,這是要在這節目上特別拜託大家
data/train/713009.0000_715289.0000.ogg,不過也呼應副院長剛剛講的 第一個
data/train/715289.0000_718799.0000.ogg,就是說我們以為說社區篩檢站是
data/train/718829.0000_720659.0000.ogg,獨立的 是源源不絕的
data/train/720659.0000_724049.0000.ogg,這個量能 恐怕不是因為社區篩檢站也是要
data/train/724049.0000_725699.0000.ogg,醫院體系去支持
data/train/725909.0000_729239.0000.ogg,而且常常是設在醫院急診旁邊 這個叫
data/train/729239.0000_732689.0000.ogg,社區篩檢站 所以如果急診塞爆恐怕
data/train/732689.0000_734849.0000.ogg,那個社區篩檢站早就也塞爆了
data/train/735059.0000_738090.0000.ogg,那社區篩檢站耗的還是醫療的人力資源
data/train/738389.0000_739770.0000.ogg,所以這部分應該想
data/train/739769.0000_743670.0000.ogg,另外一個辦法 第二個剛剛我們如果來看這個
data/train/743879.0000_747720.0000.ogg,目前我們中症是大概240個
data/train/748320.0000_751620.0000.ogg,重症大概是35個 那理論上
data/train/751740.0000_754710.0000.ogg,這大概是那個300個人 應該都是在
data/train/754740.0000_755490.0000.ogg,醫院裡面
data/train/756120.0000_759210.0000.ogg,說如果全台灣300個 怎麼可能光新光
data/train/759419.0000_760950.0000.ogg,85%以上
data/train/760950.0000_762720.0000.ogg,的這些專責病房都佔滿了呢
data/train/763259.0000_765060.0000.ogg,恐怕不是這樣子 第一個呢
data/train/765299.0000_767220.0000.ogg,是這是現在中重症的
data/train/768419.0000_770519.0000.ogg,第二個呢 有一些輕症
data/train/770549.0000_773100.0000.ogg,但是高風險的 他也要住院
data/train/773639.0000_775649.0000.ogg,譬如說他有癌症 他有什麼的
data/train/776009.0000_778139.0000.ogg,其實他看起來症狀是輕微
data/train/778169.0000_781020.0000.ogg,但是他是高風險 這些人也要住院 那更重要
data/train/781019.0000_783480.0000.ogg,就是可能剛剛副院長講的 有些早就
data/train/783480.0000_785789.0000.ogg,應該出院的 但是他可能擔心
data/train/785909.0000_788100.0000.ogg,他就是要留到最後最後一刻
data/train/788370.0000_791370.0000.ogg,但是那個床就被佔住了 我再請教一下
data/train/791399.0000_791909.0000.ogg,周醫師
data/train/792840.0000_796620.0000.ogg,很顯然當我們確診數是一百個二百
data/train/796620.0000_800039.0000.ogg,個 這些問題都不存在 當我們確診數是1萬
data/train/800039.0000_800309.0000.ogg,個
data/train/800789.0000_801689.0000.ogg,1萬七
data/train/802200.0000_804990.0000.ogg,也許像剛剛陳部長所說的
data/train/805350.0000_809430.0000.ogg,預估最高峰 如果單日20萬的話 所有問題
data/train/809460.0000_810509.0000.ogg,都是大問題
data/train/811049.0000_813720.0000.ogg,現在整個醫療資源有辦法去做調整嗎
data/train/814470.0000_816600.0000.ogg,剛才那個副院長講得非常好
data/train/816629.0000_820019.0000.ogg,就是說有一些病人 其實他可以不要再住
data/train/820049.0000_821490.0000.ogg,專責病房這些病人
data/train/821490.0000_824490.0000.ogg,因為他擔心 或是家人擔心他沒有辦法轉
data/train/824490.0000_824850.0000.ogg,出來
data/train/825509.0000_826590.0000.ogg,那其實我們現在
data/train/827189.0000_828989.0000.ogg,那個我們的政府是有規定
data/train/829169.0000_829620.0000.ogg,就是說
data/train/830220.0000_832860.0000.ogg,除了那個中重症以外的人 有些人
data/train/832860.0000_835800.0000.ogg,還是要住醫院 就是75歲以上了 在血液
data/train/835830.0000_836310.0000.ogg,透析
data/train/836850.0000_839909.0000.ogg,懷孕三十六周以上 還有一些小孩子 他是是
data/train/839909.0000_841169.0000.ogg,比較小的這個要住
data/train/841679.0000_845279.0000.ogg,那其實中間到醫院 再回家走中間還有一個
data/train/845279.0000_846209.0000.ogg,buffer就是
data/train/846779.0000_848339.0000.ogg,加強版的集中檢疫所
data/train/848370.0000_849360.0000.ogg,或是防疫旅館
data/train/849870.0000_852840.0000.ogg,所以我們其實 你直接叫他回家 如果可以說
data/train/852929.0000_855419.0000.ogg,我們到這個加強版的集中檢疫所去
data/train/855959.0000_859500.0000.ogg,做這樣子一個中間的一個緩衝區的話 我想
data/train/859500.0000_860850.0000.ogg,這個可能病人也比較
data/train/861360.0000_862619.0000.ogg,降轉不一定要直接轉到家裡
data/train/863099.0000_865079.0000.ogg,到集中檢疫所是那 最重要
data/train/865079.0000_868740.0000.ogg,就是說那些那我們講的是有99.75
data/train/868829.0000_869159.0000.ogg,是
data/train/869669.0000_872579.0000.ogg,輕症或是無症狀的 那我們把這個
data/train/873089.0000_874350.0000.ogg,把一些需要住在醫院
data/train/874349.0000_876900.0000.ogg,或是加強版的集中檢疫所的這個
data/train/877019.0000_879179.0000.ogg,防疫旅館的人扣掉以後 接下來
data/train/879179.0000_880799.0000.ogg,就是有一個是69歲以下
data/train/880829.0000_883649.0000.ogg,沒有血液透析也沒有懷孕 他可以做一些
data/train/883649.0000_884909.0000.ogg,居家照護 居家照護
data/train/884909.0000_887970.0000.ogg,就是他直接在家裡 好像我這幾天
data/train/888629.0000_891870.0000.ogg,遇到 我在診所裡面有遇到一些那個病人
data/train/891900.0000_892530.0000.ogg,打電話來
data/train/893040.0000_895440.0000.ogg,其實他是確診者 但他是輕症
data/train/895470.0000_897419.0000.ogg,或是無症狀的 他就打電話要
data/train/897900.0000_898170.0000.ogg,到
data/train/898770.0000_902220.0000.ogg,診所來說 他因為有症狀他想要吃藥這樣子
data/train/902670.0000_904890.0000.ogg,那其實我們現在政府 其實他有一個
data/train/904890.0000_908220.0000.ogg,居家照護的一個計畫 是要基層醫師來做負責
data/train/908520.0000_911279.0000.ogg,那在4月中旬的時候已經定調下來的
data/train/911580.0000_913710.0000.ogg,但是因為定調下來的時候 沒有一個很好
data/train/913710.0000_917460.0000.ogg,的規則 現在各縣市它處理方法都不一樣那
data/train/917970.0000_920850.0000.ogg,處理那尤其是台北市 給聯醫系統去做
data/train/920970.0000_924300.0000.ogg,那聯醫他自己很忙 他他有人要照顧照護中
data/train/924300.0000_927870.0000.ogg,重症 而且他做這個篩檢 其實他量吃不下來
data/train/928050.0000_931050.0000.ogg,所以我接獲到的都是衛生局丟丟給他
data/train/931050.0000_933539.0000.ogg,一個視訊診察的這個診所的名單
data/train/933629.0000_934799.0000.ogg,他自己找上門來
data/train/935340.0000_937950.0000.ogg,那我們當然就是幫他看診以後 我們有
data/train/938009.0000_939000.0000.ogg,診所一個 APP
data/train/939539.0000_941639.0000.ogg,那我們也是就是義務的
data/train/941819.0000_944399.0000.ogg,就是每天在問候他 看他有沒有什麼變化
data/train/944429.0000_947099.0000.ogg,其實我也接到有很多小孩子 是3歲以下的
data/train/947250.0000_949169.0000.ogg,有好幾個 還有的是老人
data/train/949500.0000_951059.0000.ogg,其實這些都是高風險的
data/train/951599.0000_953610.0000.ogg,那說剛剛講到說 我們的這個
data/train/954599.0000_958529.0000.ogg,急診的篩檢 其實像在去年 去年5月的
data/train/958529.0000_959700.0000.ogg,時候 那時候也是一樣的
data/train/959730.0000_961320.0000.ogg,狀況 就是急診都爆量
data/train/961710.0000_964200.0000.ogg,所以那時候就啟動了所謂的社區篩檢站
data/train/964500.0000_966660.0000.ogg,就是另外再獨立出來的 那時候我們
data/train/966690.0000_969480.0000.ogg,基層醫師也是動員出來去支援
data/train/969600.0000_972000.0000.ogg,就是在醫院以外的 我們再去設立
data/train/972000.0000_973920.0000.ogg,一些比較熱點的地方 多設幾個
data/train/974250.0000_976710.0000.ogg,然後我們可以去把它承接下來 做一些排班
data/train/976890.0000_979379.0000.ogg,這個我們可以做得到 因為這個已經過去的
data/train/979379.0000_979799.0000.ogg,有run的經驗
data/train/980340.0000_983820.0000.ogg,還有就是在機構裡面 台北市的某個機構
data/train/983850.0000_986850.0000.ogg,他裡面其實有確診病人 那你就變成其他的
data/train/986850.0000_988920.0000.ogg,住民都要去做採檢 其實他們
data/train/989190.0000_991170.0000.ogg,醫院現在也沒辦法去做這件事情 我們
data/train/991170.0000_993480.0000.ogg,台北市醫師公會 跟台北市衛生局也有
data/train/993480.0000_997440.0000.ogg,這樣的一個這個機制 其實過2天 這2天
data/train/997500.0000_1000230.0000.ogg,明天後天我們也有醫師 會進駐進入到
data/train/1000230.0000_1001760.0000.ogg,到機構去幫他做採檢
data/train/1002240.0000_1005840.0000.ogg,是再來第3個就是 我本身是耳鼻喉科醫師
data/train/1005990.0000_1008419.0000.ogg,我們耳鼻喉科醫學會 就我們對這個
data/train/1008870.0000_1011660.0000.ogg,我們是呼吸道的專家 對這個篩檢我們是
data/train/1012170.0000_1013700.0000.ogg,最最專精的
data/train/1014210.0000_1017720.0000.ogg,所以其實我們在4月下旬的時候 我們有去
data/train/1017750.0000_1018139.0000.ogg,一個文
data/train/1018590.0000_1020210.0000.ogg,給那個指揮中心
data/train/1020659.0000_1023449.0000.ogg,說我們願意來承擔這個
data/train/1023929.0000_1027170.0000.ogg,這個分擔這個篩 篩檢的這個量能
data/train/1027710.0000_1029630.0000.ogg,那指揮中心已經給我們回文了
data/train/1029809.0000_1032960.0000.ogg,因為之前我們要在診所裡面做這個篩檢的
data/train/1032960.0000_1033619.0000.ogg,時候 其實
data/train/1034098.0000_1036859.0000.ogg,他那個規定是非常嚴格 幾乎我們的診所
data/train/1036858.0000_1039648.0000.ogg,都沒有辦法達到 譬如說他的一些感染管控
data/train/1039829.0000_1042289.0000.ogg,或是有一些空間的規劃 其實我們診所
data/train/1042529.0000_1044989.0000.ogg,大概都達不到 只有少數比較大型
data/train/1044990.0000_1046220.0000.ogg,的診所 他有辦法達到
data/train/1046789.0000_1049340.0000.ogg,但是因為隨著疫情的變化 大家疫苗也打了
data/train/1049519.0000_1052489.0000.ogg,然後現在這個Omicron也是一種其他輕症化
data/train/1052639.0000_1055309.0000.ogg,所以這次他給我們這個指引其實有放寬
data/train/1055490.0000_1057409.0000.ogg,那我們現在就是在調查說 我們
data/train/1057409.0000_1060710.0000.ogg,這個耳鼻喉科診所 有哪些他符合這個條
data/train/1060710.0000_1063439.0000.ogg,件 他認為他的診所可以承接的 我們在
data/train/1063440.0000_1065690.0000.ogg,5月5號之前會把他調查完
data/train/1065720.0000_1068750.0000.ogg,然後把這個名單 會送回去指揮中心 到時候
data/train/1068779.0000_1070940.0000.ogg,這些診所 如果說符合條件者
data/train/1071420.0000_1073279.0000.ogg,那也可以在診所裡面幫
data/train/1073850.0000_1075169.0000.ogg,這個病人做PCR
data/train/1075590.0000_1078410.0000.ogg,那這樣子的話 可能可以分擔一些這個我們
data/train/1078410.0000_1079759.0000.ogg,這個醫院的醫療
data/train/1079850.0000_1080810.0000.ogg,就是說三個方面
data/train/1080990.0000_1082370.0000.ogg,第一個就是社區採檢站
data/train/1082400.0000_1084529.0000.ogg,多設一點我們可以去 第二個是診所裡面
data/train/1084529.0000_1086119.0000.ogg,有些人可以做那 第三個
data/train/1086120.0000_1088400.0000.ogg,就是機構裡面這個我們可以來承接 其實這
data/train/1088400.0000_1090260.0000.ogg,個在我們去年
data/train/1090680.0000_1092839.0000.ogg,那次大流行爆發的時候 我們都已經有
data/train/1092839.0000_1096439.0000.ogg,這個經驗 隨時都可以上手 換句話說希望
data/train/1096440.0000_1099680.0000.ogg,很快的時候 就可以在理想上 我們有
data/train/1099680.0000_1101509.0000.ogg,醫院急診的PCR
data/train/1102019.0000_1105049.0000.ogg,我們也會有更多的社區 PCR的
data/train/1105049.0000_1107809.0000.ogg,篩檢站 希望這些所謂的
data/train/1107809.0000_1111529.0000.ogg,基層社區 可以落實到更多的診所
data/train/1111950.0000_1114500.0000.ogg,診所的醫師就可以直接應該也是
data/train/1114500.0000_1117560.0000.ogg,PCR篩檢 而不是快篩 是我們就跟那個
data/train/1117950.0000_1120769.0000.ogg,檢驗所還有一些醫院合作 然後檢體
data/train/1120799.0000_1122479.0000.ogg,送到那邊去一樣 是是是
data/train/1122509.0000_1125450.0000.ogg,不過我們來看看 今天指揮中心也宣布為了
data/train/1125450.0000_1128390.0000.ogg,要緩解急診的這個塞爆的問題呢
data/train/1129289.0000_1133069.0000.ogg,要幾個作法 第一個各地方政府要加設社區
data/train/1133069.0000_1133849.0000.ogg,的篩檢站
data/train/1134509.0000_1137899.0000.ogg,第二個呢 急救責任醫院要開設防疫
data/train/1137900.0000_1141620.0000.ogg,發燒門診來分流病人 還有最最最重要
data/train/1141620.0000_1145160.0000.ogg,的啦 如果你沒有症狀你必須要
data/train/1145190.0000_1148130.0000.ogg,快篩陽性 他沒有講幾次
data/train/1148340.0000_1151399.0000.ogg,理論上應該是一次 如果你沒有症狀
data/train/1151489.0000_1155329.0000.ogg,而且你自己在家裡面快篩是陽性 是二條線
data/train/1155329.0000_1158089.0000.ogg,的話 你才可以去做 PCR
data/train/1159049.0000_1160849.0000.ogg,否則你就是應該先快篩
data/train/1160939.0000_1163549.0000.ogg,再來決定要不要PCR 免得那邊耗那些
data/train/1163549.0000_1164539.0000.ogg,PCR 的量能
data/train/1164959.0000_1167960.0000.ogg,那當然如果你有其他症狀 或者是說高風險
data/train/1167959.0000_1169940.0000.ogg,的你當然還是可以直接去做 PCR
data/train/1170509.0000_1173569.0000.ogg,那鼓勵基層診所投入採檢
data/train/1173569.0000_1175640.0000.ogg,的服務 就是剛剛周醫師所說的
data/train/1175910.0000_1177410.0000.ogg,但我還是要請教孔醫師
data/train/1177980.0000_1180409.0000.ogg,現在整個當我們的確診
data/train/1180410.0000_1183500.0000.ogg,人 隔離人越來越多 每天確診
data/train/1183500.0000_1186980.0000.ogg,是超過1萬 隔離可能都超過10萬的情形下
data/train/1187160.0000_1189440.0000.ogg,整個醫療資源排擠的問題 如何解決
data/train/1189440.0000_1192230.0000.ogg,我們再來看看 還是有很多人在提議說
data/train/1192410.0000_1196159.0000.ogg,是不是直接用快篩就取代掉 PCR
data/train/1198019.0000_1201259.0000.ogg,台北市社區篩檢站外 大排長龍等著
data/train/1201289.0000_1204710.0000.ogg,做PCR 眼看確診人數飆升雙北
data/train/1204740.0000_1208100.0000.ogg,都喊出 應該將快篩陽性系統確診
data/train/1231500.0000_1234829.0000.ogg,不過指揮中心表示 通常是在疫情趨緩
data/train/1234829.0000_1238670.0000.ogg,時才會這樣做 因此現階段並不合適
data/train/1260839.0000_1264620.0000.ogg,專家認為快篩陽性視同確診 方向正確
data/train/1264649.0000_1267919.0000.ogg,但應該要有配套 台大醫院品管中心
data/train/1267920.0000_1271609.0000.ogg,主任陳世英指出 這些配套包含民眾
data/train/1271609.0000_1275599.0000.ogg,有足夠快篩 藥物充足 並放寬給藥標準
data/train/1275809.0000_1279529.0000.ogg,讓基層診所參與診療 才能降低重症率
data/train/1279740.0000_1283819.0000.ogg,防止醫院量能被新冠肺炎消耗殆盡 記者
data/train/1284120.0000_1285920.0000.ogg,報導 不過現在請教你
data/train/1286610.0000_1289070.0000.ogg,在上個禮拜的時候 其實我們自己在禮拜三
data/train/1289100.0000_1292280.0000.ogg,也有討論 是不是應該用快篩取代PCR
data/train/1292880.0000_1295400.0000.ogg,但這幾天其實雙北市長也一直在要求
data/train/1295400.0000_1297739.0000.ogg,這件 阿中部長當然有不同的考量
data/train/1297769.0000_1301370.0000.ogg,可是今天指揮中心講的是說 我做一些調整
data/train/1301610.0000_1304730.0000.ogg,你必須快篩陽才可以去做 PCR
data/train/1305059.0000_1307969.0000.ogg,某種程度 這也可以降低一些需求跟量能
data/train/1308359.0000_1310489.0000.ogg,你怎麼看這件事情 PCR跟快篩
data/train/1311029.0000_1313159.0000.ogg,今天剛剛講的那個 其實基本上
data/train/1313159.0000_1315949.0000.ogg,就是我覺得是有症狀再去做檢查
data/train/1316490.0000_1319009.0000.ogg,無症狀的話 因為強調無症狀要抓出
data/train/1319039.0000_1321320.0000.ogg,無症狀感染者的隱形傳播鏈
data/train/1321319.0000_1323959.0000.ogg,我覺得比較清零時候的思維跟作法
data/train/1324259.0000_1326119.0000.ogg,現在其實我覺得大家一個原則
data/train/1326120.0000_1329179.0000.ogg,就是有症狀再去檢查就好了 不要
data/train/1330589.0000_1333439.0000.ogg,這個常常這樣大驚小怪 所以理論上指揮中心
data/train/1333440.0000_1337249.0000.ogg,應該改成說有症狀先快篩再PCR
data/train/1337819.0000_1339740.0000.ogg,而不是無症狀先快篩再PCR
data/train/1339889.0000_1342649.0000.ogg,無症狀的話 我覺得除非遇到特殊情境
data/train/1342679.0000_1344539.0000.ogg,不然真的不需要去篩
data/train/1344990.0000_1346699.0000.ogg,可能會有蠻多問題的
data/train/1346819.0000_1347659.0000.ogg,因為快篩這些東西
data/train/1347690.0000_1351019.0000.ogg,本來就是有症狀 病毒量高才容易出來
data/train/1351230.0000_1354950.0000.ogg,然後才容易陳其邁市長上有po臉書 陽性率
data/train/1354980.0000_1355759.0000.ogg,預測率
data/train/1356390.0000_1359809.0000.ogg,會比較高 然後你其實就比較沒有偽陽性
data/train/1359809.0000_1363829.0000.ogg,的問題 那像是雙北目前盛行率這麼高
data/train/1364039.0000_1367069.0000.ogg,上禮拜五指揮中心有show出一個各縣市
data/train/1367339.0000_1371120.0000.ogg,那個盛行率可以差非常多 大家可以看到
data/train/1371150.0000_1373190.0000.ogg,平均上個禮拜7日的
data/train/1373460.0000_1376940.0000.ogg,這個陽性率 新北已經超過二十 台北十幾
data/train/1377150.0000_1379490.0000.ogg,那有一些比較不嚴重的地方 還大概只有
data/train/1379490.0000_1383150.0000.ogg,二到三 所以我覺得每一個地方可能要各自
data/train/1383150.0000_1385250.0000.ogg,用不同的防疫策略 那
data/train/1385280.0000_1386690.0000.ogg,為什麼雙北市長
data/train/1386720.0000_1389960.0000.ogg,然後有一些專家 包括我自己 我不是專家就
data/train/1389960.0000_1393139.0000.ogg,都在說我們那應該要把快篩陽
data/train/1393139.0000_1396529.0000.ogg,的其實 就可以開始啟動這些防疫的作為了
data/train/1396740.0000_1399049.0000.ogg,的原因是因為 我們已經發現了
data/train/1399619.0000_1401569.0000.ogg,很多民眾 他就是快篩陽
data/train/1401599.0000_1403460.0000.ogg,然後他就跑來急診
data/train/1403879.0000_1405440.0000.ogg,塞爆急診要做PCR
data/train/1406009.0000_1409789.0000.ogg,那可是我們看起來 目前雙北這種盛行率
data/train/1409789.0000_1413150.0000.ogg,之下 有症狀並在家裡快篩陽之後
data/train/1413720.0000_1415700.0000.ogg,非常非常高比例就PCR
data/train/1415700.0000_1417740.0000.ogg,就是陽了 它就是了 那
data/train/1417740.0000_1420740.0000.ogg,所以假如因為我們現在一定要快篩陽
data/train/1420769.0000_1424009.0000.ogg,然後要經過PCR確診 才能繼續往下
data/train/1424009.0000_1427970.0000.ogg,走流程的話 其實有蠻多問題 第一個很多
data/train/1427970.0000_1431810.0000.ogg,都是輕症跟無症狀的小孩或年輕人 那
data/train/1431809.0000_1433879.0000.ogg,可是他為了他要確診 那快篩
data/train/1433880.0000_1435590.0000.ogg,那他就要跑去急診
data/train/1435620.0000_1437779.0000.ogg,然後佔掉急診的那量能
data/train/1437810.0000_1439880.0000.ogg,而且要排隊好幾個小時後 排隊
data/train/1439880.0000_1442550.0000.ogg,他還可能會污染別人 交叉感染
data/train/1442760.0000_1445640.0000.ogg,那我覺得其實這些東西多半這些人
data/train/1446060.0000_1447890.0000.ogg,反正他也不會住院
data/train/1448340.0000_1451610.0000.ogg,那他沒有風險因子 其實他也不需要給用藥
data/train/1452210.0000_1454549.0000.ogg,那些人在很多像國外 我們今天有話好說
data/train/1454700.0000_1456710.0000.ogg,有整理一張國外怎麼做的
data/train/1457159.0000_1460009.0000.ogg,因為國外很多地方其實也是面臨 omicron
data/train/1460039.0000_1460460.0000.ogg,這個
data/train/1460940.0000_1464690.0000.ogg,到頂的時候 那個檢測量能不夠 像
data/train/1464690.0000_1466820.0000.ogg,比方說香港 就是最近一個很明顯
data/train/1466819.0000_1468439.0000.ogg,的例子 香港遇到的問題是
data/train/1468589.0000_1471410.0000.ogg,他PCR來不及做 他做一個PCR
data/train/1471440.0000_1473360.0000.ogg,他要4 5天之後才有結果
data/train/1473509.0000_1475970.0000.ogg,這是今年大概1月2月的時候的事情
data/train/1476210.0000_1479360.0000.ogg,所以他們不得已 他只好那快篩陽就算陽
data/train/1480679.0000_1483799.0000.ogg,那他不是 他是還沒到尖峰的時候他就
data/train/1483799.0000_1485779.0000.ogg,這樣做 但我們其實不太需要去管
data/train/1485779.0000_1486740.0000.ogg,什麼順時鐘逆
data/train/1486739.0000_1489049.0000.ogg,時中這個 所謂的比較政治問題我請教
data/train/1489049.0000_1490490.0000.ogg,你阿中部長講了一個
data/train/1490969.0000_1494539.0000.ogg,第一個 其他國家都是在整個疫情往下
data/train/1494539.0000_1495049.0000.ogg,的時候
data/train/1495469.0000_1496849.0000.ogg,才用快篩替代PCR
data/train/1497779.0000_1500660.0000.ogg,第二個 快篩它的偽陽性
data/train/1500900.0000_1504560.0000.ogg,你以為他是陽 其實他是陰 大概有10% 如果是
data/train/1504559.0000_1507440.0000.ogg,10%這麼高 那可能我們會在人權上
data/train/1507440.0000_1510440.0000.ogg,有疑慮 或者是會耗費更多的醫療
data/train/1510470.0000_1513200.0000.ogg,資源 這二點真的可以適用在
data/train/1513200.0000_1516110.0000.ogg,台北市新北市 就直接快篩替代PCR嗎
data/train/1516619.0000_1519920.0000.ogg,我自己看了一下 不管是紐西蘭 今天整理
data/train/1519919.0000_1523759.0000.ogg,一張 紐西蘭 新加坡 韓國其實都是類似香港
data/train/1523759.0000_1526639.0000.ogg,那個狀況 他其實就是他要解決問題
data/train/1526909.0000_1529399.0000.ogg,因為他們面臨快到那個高峰
data/train/1529849.0000_1532700.0000.ogg,Omicron的那個山頭 快到之前他就面臨檢測
data/train/1532699.0000_1536479.0000.ogg,量能不夠的問題 他只好被逼的快篩陽就算
data/train/1536479.0000_1540019.0000.ogg,陽 那有一個很極端的例子 跟人家
data/train/1540019.0000_1543619.0000.ogg,不一樣 我今天特別想講一下 英國不是 英國
data/train/1543619.0000_1546589.0000.ogg,他的這一波尖端發生在1月4號
data/train/1546799.0000_1550459.0000.ogg,可是他1月11號 他說快篩陽就不用再去
data/train/1550579.0000_1553249.0000.ogg,你就直接開始居家照護 你不用
data/train/1553250.0000_1554210.0000.ogg,再去做PCR
data/train/1554750.0000_1557329.0000.ogg,他的確不是在到山頭之前做的
data/train/1557690.0000_1560269.0000.ogg,可是大家看一下英國的狀態 跟我們完全
data/train/1560269.0000_1564109.0000.ogg,不一樣 大家看一下這個是每天 每1000人
data/train/1564170.0000_1568069.0000.ogg,你會做多少的檢測 大家看到英國
data/train/1568070.0000_1571190.0000.ogg,是數一數二的 PCR做的超高的國家
data/train/1571490.0000_1573440.0000.ogg,所以他們可以撐到他的 omicron
data/train/1573470.0000_1574549.0000.ogg,wave的山頭
data/train/1575000.0000_1577759.0000.ogg,他的PCR 還相對都可以撐得住 大家看一下
data/train/1577759.0000_1580879.0000.ogg,這個藍色的 就是PCR陽性率三到五
data/train/1581329.0000_1582710.0000.ogg,他其實撐得很不錯
data/train/1582950.0000_1586039.0000.ogg,可是我下面特別抓了我們 跟友好的日本
data/train/1586429.0000_1589190.0000.ogg,我們是攤在下面 我們的PCR量能其實
data/train/1589220.0000_1591199.0000.ogg,跟別人比 天差地別
data/train/1591559.0000_1594379.0000.ogg,所以我覺得我們現在已經看到狀況是 我們
data/train/1594649.0000_1597019.0000.ogg,過去這個禮拜 大概1天做的 PCR
data/train/1597019.0000_1598160.0000.ogg,是6到7萬
data/train/1598700.0000_1601099.0000.ogg,然後我們的陽性率已經 這一個禮拜
data/train/1601130.0000_1604819.0000.ogg,節節上升 那就代表你其實檢測已經
data/train/1604850.0000_1606350.0000.ogg,不夠你做得不夠 散坐在
data/train/1606920.0000_1610579.0000.ogg,外面很多 各國的經驗恐怕那個模式不在於
data/train/1610580.0000_1613099.0000.ogg,說他是在疫情的往上
data/train/1613130.0000_1614839.0000.ogg,或是高峰 或是往下
data/train/1615380.0000_1618440.0000.ogg,而是在於說你究竟的 PCR量能
data/train/1618560.0000_1621440.0000.ogg,能不能跟上現在疫情發展 沒錯最重要的
data/train/1621440.0000_1621920.0000.ogg,跟不上
data/train/1622579.0000_1624709.0000.ogg,就得改 這些重症容易重症
data/train/1624710.0000_1628129.0000.ogg,的老人家 千萬不能被這些拖到
data/train/1628130.0000_1630860.0000.ogg,因為假如你就是輕症的這些人 我們還堅持
data/train/1630860.0000_1632420.0000.ogg,你一定要快篩然後PCR
data/train/1632720.0000_1635750.0000.ogg,可是問題是 假如以後老人家慢慢增多
data/train/1635840.0000_1639379.0000.ogg,你要知道這是搶時間是 老人家做了檢測
data/train/1639769.0000_1642979.0000.ogg,你要在5天內出來 你要及時把藥物給他
data/train/1643009.0000_1646129.0000.ogg,他才能夠降他的致死率 住院率
data/train/1646609.0000_1648559.0000.ogg,所以這個這個量能非常重要
data/train/1648559.0000_1650779.0000.ogg,不過同樣問題 等一下多請教一下副院長
data/train/1650809.0000_1653779.0000.ogg,現在透過視訊連線 剛剛孔醫師有談到說
data/train/1653929.0000_1657289.0000.ogg,就是有民眾他PCR快篩陽性之後
data/train/1657469.0000_1661399.0000.ogg,他就必須 不管自己騎腳踏車 自己騎摩托車
data/train/1661429.0000_1664700.0000.ogg,或是他的同住家人開車 到急診那邊等個
data/train/1664700.0000_1667729.0000.ogg,幾個小時 等幾個小時之後才能做PCR
data/train/1668210.0000_1670339.0000.ogg,PCR 之後又要等好久
data/train/1670369.0000_1673399.0000.ogg,也許是半天 也許是一天 甚至有人等了2天
data/train/1673609.0000_1677119.0000.ogg,才可以拿到PCR是否確診結果
data/train/1677420.0000_1678619.0000.ogg,那現在就有一個案例
data/train/1679069.0000_1682759.0000.ogg,現在正在居家照護 也是確診民眾 潘儀
data/train/1683180.0000_1685519.0000.ogg,可不可以跟我們談一談 你是什麼時候
data/train/1685789.0000_1687950.0000.ogg,好像覺得自己有危險
data/train/1688370.0000_1690259.0000.ogg,然後自己什麼時候做快篩
data/train/1690440.0000_1693260.0000.ogg,然後什麼時候去做PCR 做了多久
data/train/1693350.0000_1695690.0000.ogg,什麼時候拿到結果 而現在的情形又是什麼
data/train/1696890.0000_1697400.0000.ogg,好 我
data/train/1698090.0000_1699140.0000.ogg,謝謝 謝謝主持人 我是
data/train/1700340.0000_1704210.0000.ogg,4月23號的時候吃飯 那4月25日
data/train/1704240.0000_1708139.0000.ogg,下午 朋友跟我說他自己在家裡做快篩
data/train/1708140.0000_1712160.0000.ogg,是陽性 那正在去做PCR的途中
data/train/1712190.0000_1716029.0000.ogg,那我馬上就在辦公室就做了快篩 那我那時候
data/train/1716029.0000_1718759.0000.ogg,快篩 結果是陽性 那隔天
data/train/1719330.0000_1721250.0000.ogg,朋友的 PCR 結果是陽性
data/train/1721279.0000_1723740.0000.ogg,那我又再次在家裡的快篩
data/train/1724460.0000_1727909.0000.ogg,就變成陽性 那我那天就馬上自己走路
data/train/1727909.0000_1731779.0000.ogg,去醫院去排隊做PCR 我自己是排了
data/train/1731779.0000_1732619.0000.ogg,3個小時
data/train/1733220.0000_1737090.0000.ogg,那隔天一早就收到 PCR 的陽性確診
data/train/1737750.0000_1740720.0000.ogg,那但是至今到現在是還沒有收到
data/train/1740720.0000_1742640.0000.ogg,任何衛生單位的通知
data/train/1743210.0000_1746839.0000.ogg,然後也沒有任何衛生單位打電話來匡列
data/train/1747079.0000_1749900.0000.ogg,我的密切接觸者 那
data/train/1751190.0000_1754790.0000.ogg,我的同居人是在4月30號的時候 做了
data/train/1754940.0000_1756650.0000.ogg,快篩 發現他是陰性
data/train/1756680.0000_1759769.0000.ogg,然後自己去醫院排隊做了PCR
data/train/1760130.0000_1761660.0000.ogg,他這次是排了5個多小時這樣
data/train/1763189.0000_1764150.0000.ogg,你現在有症狀嗎
data/train/1765919.0000_1769909.0000.ogg,有 我 我現在已經比前幾天好很多
data/train/1770210.0000_1773779.0000.ogg,主要就是鼻塞 喉嚨痛 發燒 肌肉
data/train/1773779.0000_1776059.0000.ogg,痠痛 然後咳嗽
data/train/1776809.0000_1779899.0000.ogg,那這一段時間 你剛剛談說 其實前幾天
data/train/1780230.0000_1781610.0000.ogg,衛生單位沒有跟你聯繫
data/train/1781879.0000_1783559.0000.ogg,可是當你有症狀之後
data/train/1783889.0000_1787489.0000.ogg,你有試著不管是打1922 乃至於是遠距
data/train/1787490.0000_1790970.0000.ogg,的去請教醫生去看診 或者是其他的醫療
data/train/1790970.0000_1791450.0000.ogg,協助嗎
data/train/1795410.0000_1796580.0000.ogg,1922
data/train/1797029.0000_1800750.0000.ogg,我有試著要打到各式各樣的衛生單位
data/train/1800750.0000_1801559.0000.ogg,跟機構
data/train/1802039.0000_1804440.0000.ogg,包括了汐止區的衛生所
data/train/1804740.0000_1807770.0000.ogg,然後還有汐止的 還有新北市的衛生局
data/train/1808279.0000_1809899.0000.ogg,那但是他們
data/train/1810350.0000_1812839.0000.ogg,要不是打不進去 或者是接電話的人員
data/train/1812839.0000_1815539.0000.ogg,他其實沒有辦法提供給我相關的消息
data/train/1815899.0000_1819140.0000.ogg,他們只能跟我說在家裡等待相關的
data/train/1819139.0000_1821450.0000.ogg,人來聯繫我這樣子 那
data/train/1821480.0000_1822890.0000.ogg,因為我知道
data/train/1823339.0000_1826850.0000.ogg,清冠1號是一個 在一開始發病
data/train/1826849.0000_1829759.0000.ogg,的時候可以吃的中藥 所以我其實有透過
data/train/1829759.0000_1830569.0000.ogg,線上
data/train/1831079.0000_1832279.0000.ogg,看診的 APP系統
data/train/1833150.0000_1833540.0000.ogg,看了一次
data/train/1833990.0000_1837470.0000.ogg,中醫 有再請快遞 跟朋友的
data/train/1837470.0000_1840259.0000.ogg,協助 幫忙把藥快遞來我家這樣子
data/train/1840620.0000_1843289.0000.ogg,但是除此之外 我沒有接受到
data/train/1843319.0000_1844970.0000.ogg,其他衛生單位的電話
data/train/1844970.0000_1848180.0000.ogg,或是任何通知 瞭解 您是新北市嗎
data/train/1849859.0000_1851270.0000.ogg,是 我是新北市在汐止區
data/train/1852410.0000_1854660.0000.ogg,不過因為其實新北市每天的
data/train/1854660.0000_1858350.0000.ogg,確診數量真的是很多很多 但我同樣再請教
data/train/1858350.0000_1860600.0000.ogg,您 剛剛我們回到整個制度的部分
data/train/1861080.0000_1864740.0000.ogg,依照你自己的經驗 你自己應該是兩次
data/train/1864769.0000_1866029.0000.ogg,快篩都是陽性
data/train/1866060.0000_1867890.0000.ogg,所以你就趕快跑去做PCR
data/train/1868550.0000_1871609.0000.ogg,你做不做 PCR 對你自己而言 是一個
data/train/1871610.0000_1872510.0000.ogg,重要的事情嗎
data/train/1874879.0000_1875629.0000.ogg,對我自己
data/train/1875629.0000_1878509.0000.ogg,而言 我可以說不會那麼重要 因為我覺得
data/train/1879379.0000_1881960.0000.ogg,這個身體的反應很清楚
data/train/1881990.0000_1884059.0000.ogg,就是我應該是 就已經生病了
data/train/1884539.0000_1888080.0000.ogg,那但是對於有一些人 譬如說他們可能需要
data/train/1888409.0000_1889969.0000.ogg,居家隔離的通知書
data/train/1890059.0000_1892699.0000.ogg,或是確診通知書才可以申請
data/train/1893390.0000_1896960.0000.ogg,在家上班等等的這些東西 我就覺得對於
data/train/1896960.0000_1898700.0000.ogg,這些人而言其實是很需要
data/train/1899329.0000_1899990.0000.ogg,然後
data/train/1900589.0000_1903169.0000.ogg,像我自己是家人住在附近
data/train/1903200.0000_1904789.0000.ogg,所以有一些生活上
data/train/1904789.0000_1906800.0000.ogg,的需求 還是可以請家人協助
data/train/1907069.0000_1909530.0000.ogg,但是就像剛剛各位醫師
data/train/1909529.0000_1912590.0000.ogg,有說 我們其實應該要有足夠的配套措施
data/train/1912890.0000_1916430.0000.ogg,特別是當政府規定說 如果你要解除隔離
data/train/1916670.0000_1919940.0000.ogg,或是居家隔離3+4的人 他們要解除
data/train/1919970.0000_1922460.0000.ogg,居家隔離的時候 他們必須要做快篩
data/train/1922759.0000_1926240.0000.ogg,但是現在狀況就是大家都在家裡居家隔離
data/train/1926450.0000_1927200.0000.ogg,被我
data/train/1927740.0000_1930800.0000.ogg,主動 就是我主動請他們居家隔離的同事們
data/train/1930830.0000_1932960.0000.ogg,他們在家是沒有辦法取得快篩
data/train/1933500.0000_1937849.0000.ogg,所以如果我沒有被匡列 政府不知道我是個
data/train/1937849.0000_1941119.0000.ogg,確診者 我也沒有辦法匡列的朋友 我的同事們
data/train/1941419.0000_1944779.0000.ogg,他們就沒有足夠的資源可以協助他們
data/train/1944930.0000_1948019.0000.ogg,來解隔離 這樣的一個狀況 那包含我
data/train/1948019.0000_1951410.0000.ogg,自己 我其實現在都不知道 政府到底是不是到是
data/train/1951409.0000_1954439.0000.ogg,一個確診者 那知不知道 我有什麼樣子相關
data/train/1954440.0000_1955759.0000.ogg,的照護上的需求
data/train/1956659.0000_1959269.0000.ogg,你認為 你現在遇到的問題 是地方的
data/train/1959269.0000_1962600.0000.ogg,問題 還是中央跟地方協調溝通 資源整合的
data/train/1962599.0000_1962899.0000.ogg,問題
data/train/1965119.0000_1968390.0000.ogg,這個問題好像不應該是由我來回答
data/train/1968630.0000_1970969.0000.ogg,因為我知道 我是27號就收到
data/train/1971690.0000_1974959.0000.ogg,那個健保快易通裡面 健康存摺陽性
data/train/1974960.0000_1977540.0000.ogg,的這個結果 那我不知道要花多久
data/train/1977539.0000_1981289.0000.ogg,的時間 通報到中央 中央要再花多久的時間
data/train/1981529.0000_1984019.0000.ogg,到地方 所以我其實不知道我自己的
data/train/1984019.0000_1985759.0000.ogg,案子 現在到底是
data/train/1986240.0000_1990199.0000.ogg,卡在哪裡 還是因為只是地方的衛生單位
data/train/1990200.0000_1992390.0000.ogg,他們因為一次的量太多了
data/train/1992600.0000_1994370.0000.ogg,還沒有辦法一一通知我
data/train/1994670.0000_1997099.0000.ogg,但是我知道我的朋友在台北
data/train/1997130.0000_2000489.0000.ogg,他是大概隔了3天 就已經拿到相關的
data/train/2000490.0000_2003819.0000.ogg,通知書 也收到了這個確診 這個
data/train/2003819.0000_2006069.0000.ogg,居家關懷照護箱 是 是
data/train/2006099.0000_2008410.0000.ogg,不過潘儀我請教你 其實我們今天的一個重要的
data/train/2008470.0000_2011619.0000.ogg,點是在於說 是不是可以大量地
data/train/2011649.0000_2015639.0000.ogg,減少中症 重症甚至死亡的個案
data/train/2015639.0000_2019089.0000.ogg,數 我還是請教您 回到自己是一個確診者
data/train/2019089.0000_2019659.0000.ogg,的角度
data/train/2020109.0000_2023529.0000.ogg,你在這一段時間 你有症狀 那你看了
data/train/2023529.0000_2024490.0000.ogg,一次中醫
data/train/2025390.0000_2029200.0000.ogg,能不能在制度上 您認為給你更多的協助
data/train/2029230.0000_2033009.0000.ogg,讓你有更多對自己疾病的認識 避免
data/train/2033339.0000_2037240.0000.ogg,突然間病情急轉直下 變成中症 重症 甚至
data/train/2037240.0000_2038259.0000.ogg,更嚴重的情形
data/train/2038710.0000_2040029.0000.ogg,制度上該怎麼做
data/train/2042399.0000_2046089.0000.ogg,制度上 我是覺得只要在 PCR 這邊
data/train/2046119.0000_2047740.0000.ogg,確診是陽性的話
data/train/2047829.0000_2050589.0000.ogg,我覺得政府如果可以的話 我們應該要統一
data/train/2050590.0000_2054039.0000.ogg,的 收到相關的病症的相關資訊 比如說
data/train/2054039.0000_2055539.0000.ogg,病毒的相關懶人包
data/train/2055719.0000_2058089.0000.ogg,然後告訴我們 我們可以應該做
data/train/2058449.0000_2058960.0000.ogg,因為
data/train/2059650.0000_2059860.0000.ogg,我自己
data/train/2060279.0000_2063280.0000.ogg,有主動打電話到衛生單位 衛生單位唯一能
data/train/2063280.0000_2066310.0000.ogg,跟我說就是 如果你開始胸悶 氣喘
data/train/2066340.0000_2070090.0000.ogg,喘不過氣來 你就要必須要打119 這
data/train/2070090.0000_2073510.0000.ogg,是他唯一告訴我的一個 比較有用
data/train/2073510.0000_2075219.0000.ogg,的相關資訊 其實
data/train/2075219.0000_2076300.0000.ogg,就是只有這樣子而已
data/train/2076690.0000_2077980.0000.ogg,所以我覺得如果
data/train/2078579.0000_2080170.0000.ogg,政府一旦知道PCR
data/train/2080650.0000_2084400.0000.ogg,是陽性 我們應該每個人都要有 相關的醫療
data/train/2084518.0000_2088179.0000.ogg,上面的資訊 而不是像我一開始確診之後
data/train/2088389.0000_2090340.0000.ogg,要自己不斷地在網路上
data/train/2090820.0000_2094509.0000.ogg,找各式各樣的就診資料 或者是
data/train/2094630.0000_2097690.0000.ogg,居家這種關懷箱要怎麼申請
data/train/2097960.0000_2101289.0000.ogg,那我要去哪裡自主通報 這些東西
data/train/2101320.0000_2105130.0000.ogg,都花了我滿多的時間跟精神 在一邊對抗
data/train/2105130.0000_2108789.0000.ogg,著這個病毒的時候 一邊要自己再上網找
data/train/2108820.0000_2111909.0000.ogg,這些相關資訊 甚至還要一邊
data/train/2111940.0000_2115840.0000.ogg,煩惱 我的 被我居家隔離的這些同事們 他們
data/train/2115840.0000_2119859.0000.ogg,有沒有辦法快速得到他們相關的資源
data/train/2120250.0000_2121659.0000.ogg,可不可以拿到快篩
data/train/2122109.0000_2125619.0000.ogg,相關的事情 對 所以希望政府有一個比較統一
data/train/2125619.0000_2127389.0000.ogg,快速的管道 讓我們得知
data/train/2127869.0000_2131650.0000.ogg,相關的資訊 而不是我 我們這些病人不斷地
data/train/2132369.0000_2135550.0000.ogg,一而再 再而三 從不同的管道上面 得到這樣的消息 是
data/train/2135579.0000_2138820.0000.ogg,非常謝謝潘儀 在居家照護期間 還跟我們
data/train/2138820.0000_2141970.0000.ogg,做視訊連線 非常謝謝 也祝福你趕快那個可以
data/train/2142150.0000_2144699.0000.ogg,解除隔離後 恢復正常的生活 我再請教
data/train/2144700.0000_2147670.0000.ogg,一下副院長 剛剛潘儀其實講得很清楚 就他
data/train/2147670.0000_2150429.0000.ogg,自己的個案 他可以看到說 包括說
data/train/2150670.0000_2153460.0000.ogg,他到PCR 這段時間 其實要花很多時間
data/train/2154000.0000_2156460.0000.ogg,然後PCR 確診 又要再一段時間
data/train/2156789.0000_2160539.0000.ogg,而其實這中間 不管是資訊即時地提供 中央
data/train/2160539.0000_2164500.0000.ogg,跟地方在整個資訊的整合 甚至醫療照護的
data/train/2164529.0000_2166989.0000.ogg,及時提供上 恐怕還有很多很多
data/train/2166989.0000_2169419.0000.ogg,要學習的地方 可以再怎麼做 是的 我想
data/train/2169449.0000_2172749.0000.ogg,這個就我剛才講的 這個在這個與病毒
data/train/2172779.0000_2175780.0000.ogg,共存的過程中 我們真的是需要一段時間
data/train/2175780.0000_2178299.0000.ogg,的陣痛期之後的調整跟適應
data/train/2178780.0000_2181059.0000.ogg,包含以這個個案為例 事實上來講
data/train/2181510.0000_2184210.0000.ogg,如果是一般的人 他如果說快篩陽性的
data/train/2184570.0000_2188530.0000.ogg,快篩陽性 基本上來講 你就先回到家裡面去
data/train/2188800.0000_2191379.0000.ogg,然後你如果要做 PCR 確認的話
data/train/2191559.0000_2192759.0000.ogg,事實上來講的話
data/train/2193449.0000_2196299.0000.ogg,除了是說在醫院的這個社區篩檢站做之外
data/train/2196539.0000_2197589.0000.ogg,事實上來講 我覺得
data/train/2197589.0000_2199119.0000.ogg,就是說 以現在的情況
data/train/2199329.0000_2201459.0000.ogg,就是說 慢慢地 我覺得在未來
data/train/2201789.0000_2203439.0000.ogg,就是說 因為這個大部分都是輕症的
data/train/2203439.0000_2206169.0000.ogg,情況之下 可能我們慢慢就是 像剛剛周醫師
data/train/2206169.0000_2209170.0000.ogg,講的 我們是不是慢慢要把基層醫師的力量
data/train/2209199.0000_2210099.0000.ogg,要納進來
data/train/2210309.0000_2212920.0000.ogg,才有辦法來一起來面對這個omicron
data/train/2212919.0000_2214210.0000.ogg,在大流行過程
data/train/2214210.0000_2216880.0000.ogg,之中 能夠平穩過度 因為我們從新加坡的
data/train/2216880.0000_2217960.0000.ogg,案例也慢慢看到
data/train/2218170.0000_2220960.0000.ogg,因為你想想看大部分的人 其實都是一個
data/train/2220990.0000_2223480.0000.ogg,比較輕症的一個 一個症狀而已 那其實
data/train/2223480.0000_2227470.0000.ogg,這些人 如果說像現在我們的政策是說 這個
data/train/2227470.0000_2230980.0000.ogg,所謂的急門診要開在 也是開在急診 事實上
data/train/2230980.0000_2233650.0000.ogg,某種程度也是加重了醫院的醫療
data/train/2233830.0000_2236410.0000.ogg,人力的一個一個使用 因為急門診
data/train/2236440.0000_2238479.0000.ogg,來看的 大部分我認為還是以輕症
data/train/2238480.0000_2239830.0000.ogg,為主 才叫急門診
data/train/2240130.0000_2241750.0000.ogg,但是問題是我常常講的
data/train/2241750.0000_2243070.0000.ogg,就是說omicron 這個病
data/train/2243250.0000_2247059.0000.ogg,我們常講是輕重分流 放輕救重 那既然輕重
data/train/2247150.0000_2249099.0000.ogg,分流 要放輕救重的時候 當然這裡面
data/train/2249099.0000_2250570.0000.ogg,最重要就是基層醫生primary care
data/train/2250990.0000_2252519.0000.ogg,的這部分的一個使用
data/train/2252610.0000_2254409.0000.ogg,我覺得是變得很重要 尤其是
data/train/2254619.0000_2258309.0000.ogg,我覺得是像這感冒什麼這個 這種疾病
data/train/2258309.0000_2261070.0000.ogg,來講 其實專治這種疾病的高手都是在
data/train/2261069.0000_2262750.0000.ogg,我們的基層醫師的身上
data/train/2262839.0000_2265869.0000.ogg,所以基層醫師的話 在這樣的一個過程中 怎麼樣
data/train/2265900.0000_2266559.0000.ogg,慢慢能夠recruit
data/train/2266980.0000_2267490.0000.ogg,進來
data/train/2268090.0000_2270699.0000.ogg,能夠在目前的 因為現在所有的狀況 你看
data/train/2270849.0000_2273850.0000.ogg,採檢也在醫院 治療也在醫院 輕症
data/train/2273849.0000_2276189.0000.ogg,也大部分都跑來 有些會跑來醫院 重症
data/train/2276190.0000_2277960.0000.ogg,當然要在醫院 但是慢慢的
data/train/2277960.0000_2279490.0000.ogg,就是說 如果我們要把這件事情
data/train/2279489.0000_2281710.0000.ogg,要共同面對的時候 可能我覺得 可能
data/train/2282130.0000_2285219.0000.ogg,primary care 基層醫師 我想他們也都非常有熱心
data/train/2285250.0000_2287919.0000.ogg,熱忱 要投入的情況 我們應該來思考一下
data/train/2287949.0000_2290170.0000.ogg,怎麼將把基層的力量也要納進來
data/train/2290170.0000_2292269.0000.ogg,因為新加坡就是這樣 他們後來就是到
data/train/2292269.0000_2294309.0000.ogg,社區診所 社區診所去
data/train/2294819.0000_2297460.0000.ogg,快篩陽到社區診所 看是不是要拿一些感冒藥回去吃
data/train/2297460.0000_2300039.0000.ogg,還是要在那邊做確認 如果
data/train/2300039.0000_2301599.0000.ogg,社區診所能recruit 進來
data/train/2301690.0000_2304239.0000.ogg,我覺得慢慢的 我們才能夠提高我們的
data/train/2304239.0000_2307929.0000.ogg,量能 就是確診的量能 剛剛周醫師有談到說 那個就篩檢的部分 社區
data/train/2307960.0000_2309160.0000.ogg,基層診所願意
data/train/2309160.0000_2310929.0000.ogg,而且應該很快就可以投入這個能量
data/train/2311740.0000_2315070.0000.ogg,但醫治的部分是 我想說不管是
data/train/2315070.0000_2316269.0000.ogg,你快篩陽
data/train/2316750.0000_2319750.0000.ogg,甚至PCR 陽確診之後
data/train/2319809.0000_2322510.0000.ogg,那些輕症的 譬如說剛剛潘儀那個例子
data/train/2322930.0000_2324760.0000.ogg,社區診所能不能幫上忙
data/train/2324910.0000_2328150.0000.ogg,所以我 如果大家前兩天有看到一個報告 就
data/train/2328150.0000_2331900.0000.ogg,是我們目前本土個案有6萬多例 對不對 是 6萬
data/train/2331900.0000_2336039.0000.ogg,多例裡面 中重症目前是189位 你把
data/train/2336039.0000_2337029.0000.ogg,那個189位 你
data/train/2337030.0000_2339730.0000.ogg,去分析一下 你就會發現說 目前的6萬
data/train/2339730.0000_2343000.0000.ogg,多位的確診者裡面 其實確診人數最多
data/train/2343000.0000_2345579.0000.ogg,是集中在20歲到50歲這個族群
data/train/2345940.0000_2348279.0000.ogg,這3個族群加起來就佔了確診者
data/train/2348280.0000_2350049.0000.ogg,的比例差不多是6成左右
data/train/2350650.0000_2352779.0000.ogg,如果你再加計20歲以下
data/train/2352779.0000_2354609.0000.ogg,的 大概就80% 的人
data/train/2355029.0000_2357249.0000.ogg,都是在50歲以下的人確診
data/train/2357579.0000_2361299.0000.ogg,可是50歲以下的確診 他在中重症的人數
data/train/2361900.0000_2363880.0000.ogg,10% 不到 189
data/train/2363879.0000_2365769.0000.ogg,個 大概只有27個人
data/train/2366190.0000_2368289.0000.ogg,27人 10幾趴的這個
data/train/2368830.0000_2372400.0000.ogg,這個中症跟重症是在50歲以下 相反
data/train/2372400.0000_2374770.0000.ogg,的 我們看一下60歲以上
data/train/2374769.0000_2377920.0000.ogg,的60 70 80 90以上的 染疫
data/train/2377920.0000_2380560.0000.ogg,的比例只佔10% 10%
data/train/2380890.0000_2384580.0000.ogg,可是他的中重症的人數是189個人
data/train/2384580.0000_2387519.0000.ogg,就佔到148 148個都在
data/train/2387519.0000_2389889.0000.ogg,60歲以上 所以這裡面已經告訴我們一個
data/train/2389920.0000_2392949.0000.ogg,很重要的訊息 目前的這整個的感染
data/train/2392949.0000_2395679.0000.ogg,的分布狀況 不是最嚴峻的時候
data/train/2395829.0000_2397029.0000.ogg,因為目前看起來 是
data/train/2397030.0000_2399280.0000.ogg,就是年輕人的染疫是為主
data/train/2399550.0000_2402610.0000.ogg,可是我們不能太樂觀的是說 這個流行繼續
data/train/2402610.0000_2405760.0000.ogg,往下走的時候 慢慢的 50歲 60歲以上
data/train/2405760.0000_2408579.0000.ogg,的 染疫的比例會逐漸增加 尤其是你看到 那
data/train/2408579.0000_2411639.0000.ogg,個報表 你真的會很擔心 你看90歲以上的
data/train/2411639.0000_2414219.0000.ogg,他的中重症比例已經來到9.27%了
data/train/2414489.0000_2418119.0000.ogg,就是90歲以上的 100個人裡面有9個是
data/train/2418119.0000_2419829.0000.ogg,中重症 80歲以上
data/train/2419829.0000_2421090.0000.ogg,的有2.13%
data/train/2421210.0000_2423940.0000.ogg,所以你可以想像到說 未來如果
data/train/2424150.0000_2426849.0000.ogg,我們不能趁現在的時候 趕快來調整 練兵
data/train/2426880.0000_2430690.0000.ogg,調整我們的隊伍的時候 將來如果確診人數
data/train/2430690.0000_2434080.0000.ogg,的族群開始在移動 不是 不再是中壯 不再是
data/train/2434080.0000_2436120.0000.ogg,這個中壯年而是
data/train/2436630.0000_2439510.0000.ogg,70 80 90以上的老人 開始被感染
data/train/2439510.0000_2441760.0000.ogg,的時候 是 我覺得那時候對醫院
data/train/2441760.0000_2444459.0000.ogg,來講的醫療量能 可能是更大的挑戰 沒錯
data/train/2444519.0000_2447070.0000.ogg,所以現在就是在練兵 在練兵
data/train/2447070.0000_2448809.0000.ogg,所以在這個時候 我們要趕快調整我們的
data/train/2448810.0000_2451869.0000.ogg,陣容 怎麼樣把基層進來 壯大我們的醫療
data/train/2452110.0000_2454959.0000.ogg,隊伍 然後這樣子壓力也可以稍微分散
data/train/2454960.0000_2455530.0000.ogg,到社區
data/train/2455650.0000_2457510.0000.ogg,因為這個omicron 如果是感冒
data/train/2457690.0000_2459280.0000.ogg,那當然就是以前 感冒
data/train/2459280.0000_2461980.0000.ogg,就是在社區看感冒 怎麼會跑來醫院看感冒
data/train/2462070.0000_2464830.0000.ogg,是是是 所以我想這個觀念來講 可能今天周醫師
data/train/2464829.0000_2466690.0000.ogg,在 我就覺得說 可能我們回去
data/train/2466720.0000_2469390.0000.ogg,大家再思考一下 怎麼樣把基層診所的這個
data/train/2469389.0000_2472929.0000.ogg,隊伍納進來 尤其現在說真的 有些基層醫生
data/train/2473079.0000_2476019.0000.ogg,說不定自己也確診 等到他確診康復了
data/train/2476079.0000_2478599.0000.ogg,他再出來看診 他也沒有壓力了 對不對
data/train/2478599.0000_2479859.0000.ogg,因為他自己也得過了 是
data/train/2479889.0000_2480909.0000.ogg,所以我想說 這部分
data/train/2480909.0000_2483159.0000.ogg,來講 我們可以慢慢共同來思考這個問題 是 至少有
data/train/2483159.0000_2485019.0000.ogg,三個方向 一個是剛剛周醫師
data/train/2485019.0000_2488920.0000.ogg,所說的基層診所 會大量的投入篩檢的能量
data/train/2489309.0000_2491680.0000.ogg,第二個剛剛談到醫治的部分
data/train/2492189.0000_2496179.0000.ogg,也別忘了 我們有非常強的這些診所醫師們
data/train/2496209.0000_2497349.0000.ogg,他們應該要投入
data/train/2497799.0000_2501190.0000.ogg,第三個 恐怕我們是在 所謂的確診這個階段
data/train/2501429.0000_2505449.0000.ogg,能不能 就不要耗掉醫院 甚至不要耗掉診所
data/train/2505449.0000_2508779.0000.ogg,的這能量 我們來看看各界的看法 雙北市長
data/train/2508809.0000_2512380.0000.ogg,都認為說 其實在這兩個地方快篩
data/train/2512410.0000_2515080.0000.ogg,的這個陽性率這麼高的時候 快篩
data/train/2515079.0000_2516730.0000.ogg,就可以替代掉所謂的 PCR
data/train/2516760.0000_2519400.0000.ogg,就可以直接確診了 那陳時中部長他也
data/train/2519579.0000_2522489.0000.ogg,談到說 其實我們的 PCR 能量是夠的
data/train/2522579.0000_2524199.0000.ogg,只是分布不均勻的問題
data/train/2524230.0000_2527110.0000.ogg,所以現在指揮中心是說 再把我們 PCR
data/train/2527110.0000_2530769.0000.ogg,的量提升 不管社區篩檢站 不管說其他的
data/train/2530769.0000_2531550.0000.ogg,這些部分
data/train/2532059.0000_2536109.0000.ogg,那現在也減少匡列的強度跟天數 那關鍵
data/train/2536139.0000_2537909.0000.ogg,還是在疫苗 不過我們來看看 不同的
data/train/2537909.0000_2539470.0000.ogg,一些看法 我們請看下一張
data/train/2540009.0000_2543280.0000.ogg,陳其邁市長也談說陽性預測率跟盛行率
data/train/2543279.0000_2544719.0000.ogg,有關 那高雄
data/train/2544719.0000_2547659.0000.ogg,現在其實還不太適合快篩取代pcr
data/train/2548409.0000_2549369.0000.ogg,林氏璧 孔醫師 他
data/train/2549369.0000_2551139.0000.ogg,就是說 盛行率很高
data/train/2551199.0000_2554079.0000.ogg,而且你要有症狀 快篩偽陽性
data/train/2554109.0000_2557139.0000.ogg,那個所謂的10% 這問題不大 那事實上
data/train/2557139.0000_2560889.0000.ogg,你如果怕10% 你可以篩兩次不就變1%嗎 那
data/train/2560889.0000_2563679.0000.ogg,因此將姜冠宇姜醫師他說 無症狀
data/train/2563679.0000_2566139.0000.ogg,者 快篩兩次 那他的準確率
data/train/2566139.0000_2569949.0000.ogg,就可以高達95% 有症狀快篩一次
data/train/2570129.0000_2573309.0000.ogg,陽性者就可以確診了 我們來看看其他國家
data/train/2573309.0000_2576610.0000.ogg,的這些經驗 紐西蘭快篩陽性就
data/train/2576610.0000_2580000.0000.ogg,居家隔離 之後快篩陰性就解隔離
data/train/2580450.0000_2581409.0000.ogg,你根本不用PCR
data/train/2582010.0000_2585730.0000.ogg,新加坡也是用快篩作為確診的依據
data/train/2586000.0000_2589270.0000.ogg,那南韓是診所快篩 這其實給我們一個經驗
data/train/2589960.0000_2593469.0000.ogg,是不是 不一定要在醫院的 PCR 確診
data/train/2594009.0000_2597400.0000.ogg,而是可以在診所的快篩確診
data/train/2597399.0000_2599679.0000.ogg,你讓醫生來幫你做居家快篩
data/train/2600129.0000_2601629.0000.ogg,用醫生說了算
data/train/2602320.0000_2604480.0000.ogg,那也不是自己說了算 那南韓的
data/train/2604480.0000_2607210.0000.ogg,經驗可不可以作為我們參考 香港在
data/train/2607210.0000_2610210.0000.ogg,第五波疫情出現的時候 他的檢測量能
data/train/2610210.0000_2613030.0000.ogg,也吃緊 所以他也說快篩陽
data/train/2613059.0000_2615490.0000.ogg,就是陽 就不用在那邊 pcr
data/train/2615880.0000_2618970.0000.ogg,我再請教一下周醫師 那三個面向 醫師
data/train/2618970.0000_2621610.0000.ogg,的檢測 基層診所檢測能量 基層
data/train/2621640.0000_2624759.0000.ogg,診所醫治能量 還有所謂的快篩
data/train/2625420.0000_2627190.0000.ogg,PCR 確診 的這些差異
data/train/2628030.0000_2631210.0000.ogg,其實在以往 我們在流行性
data/train/2631240.0000_2634479.0000.ogg,感冒的時候 那我們在診所裡面 也是有在做
data/train/2634510.0000_2638379.0000.ogg,快篩 那其實我們有一些 我們手上就有一些
data/train/2638380.0000_2640120.0000.ogg,那個抗病毒藥物 像
data/train/2640570.0000_2642220.0000.ogg,Tamiflu就是克流感
data/train/2642909.0000_2643329.0000.ogg,其實
data/train/2643900.0000_2646659.0000.ogg,政府都跟我們講 如果說 他沒有做快篩
data/train/2647530.0000_2650079.0000.ogg,你臨床診斷認為是的話 就可以給予
data/train/2650590.0000_2652300.0000.ogg,符合一定的條件就可以給予
data/train/2652840.0000_2656410.0000.ogg,那現在問題就是說 我們 我們做那麼久的 像
data/train/2656440.0000_2659440.0000.ogg,這個流行性感冒的這個快篩 其實對我們
data/train/2659440.0000_2662049.0000.ogg,來講 這對我們來講是輕而易舉 問題
data/train/2662050.0000_2665710.0000.ogg,就是說 他現在 他的條件 比如說你的那個
data/train/2665740.0000_2668650.0000.ogg,感染管控什麼 他過於嚴格 我們在裡面
data/train/2668680.0000_2670870.0000.ogg,沒有辦法 就是說 譬如說 我如果說 是不是
data/train/2670869.0000_2673060.0000.ogg,我做完一個以後 我要看 去看別的病人
data/train/2673059.0000_2675609.0000.ogg,的時候 我整套防護設備都要去把他換掉
data/train/2676059.0000_2677050.0000.ogg,衣服都要換一遍
data/train/2677260.0000_2679179.0000.ogg,因為我做完快篩以後 我要看一般病人
data/train/2679180.0000_2680230.0000.ogg,那是不能一起 因為
data/train/2680769.0000_2681670.0000.ogg,可能會被污染
data/train/2682329.0000_2685719.0000.ogg,所以如果說 到時候有 有可能會越來越鬆啦
data/train/2685720.0000_2687789.0000.ogg,因為我看到這一版的這個 他的
data/train/2688389.0000_2690399.0000.ogg,這個指引他有越來越鬆的
data/train/2690519.0000_2693789.0000.ogg,不過我們就是在期待 現在能夠已經符合
data/train/2693789.0000_2694929.0000.ogg,條件的人 就趕快去加入 你如果有那個
data/train/2695800.0000_2699670.0000.ogg,專責基層診所 我就專門來看Covid-19的不可以嗎
data/train/2699670.0000_2702670.0000.ogg,像新加坡他其實是有這樣
data/train/2702699.0000_2705790.0000.ogg,不過那個政府就對他們很好 包括他們的
data/train/2705789.0000_2707590.0000.ogg,裝備 他們的給付
data/train/2707949.0000_2710500.0000.ogg,都非常非常好 因為其實在疫情一開始
data/train/2710500.0000_2712419.0000.ogg,的時候 新加坡就有這樣的專責的診所
data/train/2712719.0000_2716619.0000.ogg,那其實我們之前也有 公會也有向這個我們的
data/train/2716619.0000_2717099.0000.ogg,這個
data/train/2717939.0000_2719019.0000.ogg,指揮中心去提出
data/train/2719199.0000_2720489.0000.ogg,不過因為那時候我們國內
data/train/2720489.0000_2722889.0000.ogg,的病例很少 大部分都是集中在醫院
data/train/2722889.0000_2723849.0000.ogg,他們就可以承受
data/train/2723969.0000_2726820.0000.ogg,所以那個東西建議到現在 不了了之
data/train/2727510.0000_2730179.0000.ogg,不過我覺得剛才主持人還講到一個就是說
data/train/2730329.0000_2732819.0000.ogg,除了篩檢出來以後 我們怎麼樣去做
data/train/2732820.0000_2735309.0000.ogg,一個投入 剛才潘小姐是在新北市
data/train/2735730.0000_2737110.0000.ogg,跟台北市有點類似
data/train/2737170.0000_2738820.0000.ogg,就是說在4月中旬
data/train/2738820.0000_2742030.0000.ogg,的時候 指揮中心就說 你輕症無症狀
data/train/2742030.0000_2745300.0000.ogg,的人 符合一定條件可以做居家照護
data/train/2745539.0000_2748869.0000.ogg,這個是一個名詞 就要收個案有人來照護
data/train/2749409.0000_2753309.0000.ogg,那其實在高雄 在花蓮 他們衛生單位都分給
data/train/2753339.0000_2756039.0000.ogg,基層醫師去做 而且也做得不錯 那
data/train/2756039.0000_2759189.0000.ogg,因為在台北跟新北 他是給醫院做 那醫院
data/train/2759190.0000_2761110.0000.ogg,現在都已經是火燒屁股
data/train/2761259.0000_2764259.0000.ogg,所以才會有潘小姐這樣的一個 case
data/train/2764259.0000_2766809.0000.ogg,就是說 沒有人 好像沒有人去主動地去跟他
data/train/2766809.0000_2769780.0000.ogg,做一些聯繫 在台北市 我最近也是遇到很多
data/train/2769780.0000_2771730.0000.ogg,就是他 他就看視訊診察
data/train/2771760.0000_2774309.0000.ogg,就主動來找我 而不是說衛生單位派案的
data/train/2774760.0000_2777250.0000.ogg,那我們這幾天 這幾天已經
data/train/2777550.0000_2780280.0000.ogg,因為指揮中心已經定調下來 一個很好
data/train/2780280.0000_2781900.0000.ogg,的SOP 那我們已經跟衛生局
data/train/2781900.0000_2784630.0000.ogg,已經有開過幾次會議 明天會再開 最後
data/train/2784660.0000_2786460.0000.ogg,一次會議 要做一個定調
data/train/2787570.0000_2790060.0000.ogg,這是我們明天要開會裡面的內容
data/train/2790179.0000_2792039.0000.ogg,就是說我們台北市的防疫的戰略
data/train/2792130.0000_2794889.0000.ogg,剛剛我們講過確診者他會去三個地方
data/train/2794889.0000_2797019.0000.ogg,那有一些就是要到醫院 這中重症
data/train/2797409.0000_2799570.0000.ogg,那有一些就是雖然他是輕症
data/train/2799659.0000_2801579.0000.ogg,但是他的條件 比如說他年紀
data/train/2801579.0000_2804190.0000.ogg,比較大還是有些 他會在專責旅館
data/train/2804400.0000_2805900.0000.ogg,那再來就是有一些 剛才
data/train/2805900.0000_2807639.0000.ogg,我們講的居家照護 就像潘小姐
data/train/2807699.0000_2810249.0000.ogg,這樣的一個case 我們就做居家照護 那
data/train/2810250.0000_2813549.0000.ogg,但是又這個專責旅館作為備援 保留
data/train/2813549.0000_2814629.0000.ogg,醫院的量能
data/train/2815049.0000_2818169.0000.ogg,那症狀減輕的話 他可以用下轉到
data/train/2818769.0000_2821469.0000.ogg,防疫專責旅館 才不會像剛才像副院長
data/train/2821469.0000_2822850.0000.ogg,講 大家不願意去離開
data/train/2823029.0000_2826000.0000.ogg,這是我們明天要討論 這是明天要討論
data/train/2826000.0000_2828339.0000.ogg,的power point 我先拿出來給大家看 我們就是
data/train/2828519.0000_2831640.0000.ogg,要定調這樣做 然後居家照護的流程
data/train/2832059.0000_2835600.0000.ogg,就像說如果我們現在居家照護 假設衛生局
data/train/2835750.0000_2838630.0000.ogg,他把這個案子派給我們 他分為兩個部分
data/train/2838720.0000_2840789.0000.ogg,台北市他的作法 第一個是生活上
data/train/2840789.0000_2843040.0000.ogg,的照護 區公所他會去給他做一些關懷
data/train/2843400.0000_2845620.0000.ogg,第二個就是醫療照護 他會發
data/train/2846760.0000_2849309.0000.ogg,之前是在聯合醫院 責任醫院
data/train/2849460.0000_2850990.0000.ogg,但是問題是他們現在做不來
data/train/2851860.0000_2854260.0000.ogg,所以健康服務中心 他會派案給我們
data/train/2854920.0000_2858039.0000.ogg,那我們可能就是一開始 會在幾個區
data/train/2858160.0000_2861009.0000.ogg,就比較熱心的 像我們中山區 我可能就找10
data/train/2861010.0000_2863530.0000.ogg,幾家診所就開始先做 派案給我們的時候
data/train/2863530.0000_2865359.0000.ogg,我們要做什麼呢 第一個我們
data/train/2865360.0000_2868900.0000.ogg,就是要在派案以後 趕快跟這個
data/train/2869230.0000_2872650.0000.ogg,居家照護的 居家照護的這個case來做
data/train/2872650.0000_2875140.0000.ogg,聯絡 我們做一個初步的評估
data/train/2875470.0000_2878259.0000.ogg,就是健康狀況的 他現在的狀況是怎麼樣
data/train/2878380.0000_2881079.0000.ogg,危險因子是怎麼樣 再給他做一些適度的
data/train/2881079.0000_2883060.0000.ogg,衛教 因為有時候他
data/train/2883750.0000_2885789.0000.ogg,發到這邊來 結果我們覺得不對勁這個
data/train/2885789.0000_2886630.0000.ogg,應該住院
data/train/2886690.0000_2889300.0000.ogg,怎麼怎麼會變成居家照護 我們就趕快把他
data/train/2889329.0000_2890740.0000.ogg,轉回去 其實我們有跟
data/train/2891190.0000_2893469.0000.ogg,市政府講好 我們要有一個綠色通道
data/train/2893500.0000_2895809.0000.ogg,我們轉回去 不用再那邊人家排隊的
data/train/2895989.0000_2896889.0000.ogg,我們 我們
data/train/2897400.0000_2899379.0000.ogg,已經case給我們 那我們回去
data/train/2899380.0000_2901719.0000.ogg,的時候 要有一個 一個很快的一個機制
data/train/2902289.0000_2905679.0000.ogg,那如果初次評估覺得說 他適合在家裡做
data/train/2905679.0000_2908259.0000.ogg,一些居家照護的話 那我們就每日給他
data/train/2908259.0000_2908889.0000.ogg,做關懷
data/train/2909309.0000_2911920.0000.ogg,譬如說用電話或是用app來詢問他
data/train/2912460.0000_2914620.0000.ogg,每天有什麼變化 包括他症狀
data/train/2914620.0000_2916960.0000.ogg,有些變化的時候 這我們要做一些因應 那
data/train/2916960.0000_2919360.0000.ogg,有時候如果我們認為說 這個時候
data/train/2919390.0000_2919870.0000.ogg,他應該
data/train/2920410.0000_2923440.0000.ogg,要做那個口服的抗病毒藥物的投予
data/train/2923769.0000_2926200.0000.ogg,要及早投入 這時候我們偵測出來的時候
data/train/2926350.0000_2929620.0000.ogg,我們就會向醫院去申請 趕快給他 不要說
data/train/2929620.0000_2931030.0000.ogg,到時候像我們有的 case
data/train/2931030.0000_2931269.0000.ogg,就是說
data/train/2931900.0000_2935050.0000.ogg,他在裡面沒有人管 管到 到最後他在裡面
data/train/2935199.0000_2937509.0000.ogg,是不是變成重症再送過去 已經來不及了
data/train/2938019.0000_2940870.0000.ogg,其實我們就是在做這個偵測 每天再看看
data/train/2940869.0000_2942519.0000.ogg,這個有沒有變化 譬如說他
data/train/2943840.0000_2946420.0000.ogg,隔離完了以後 居家照護完了以後 他10天 他
data/train/2946480.0000_2950470.0000.ogg,現在的規定是說 如果是輕症跟無症狀
data/train/2950470.0000_2952990.0000.ogg,的人 他其實10天到了 他不用做任何檢測
data/train/2952990.0000_2955029.0000.ogg,他就可以解隔離 那我們這個case
data/train/2955030.0000_2957070.0000.ogg,就可以放下來 那我們再看看
data/train/2957220.0000_2961179.0000.ogg,就是說像我們的同僚在 譬如說現在在花蓮
data/train/2961210.0000_2964210.0000.ogg,在高雄 其實他每天都會接到一些個案 其實
data/train/2964599.0000_2967060.0000.ogg,對我們來講 我們要花很多時間去做
data/train/2967059.0000_2969369.0000.ogg,這些事情 就是以上班以外 我們還要照顧
data/train/2969400.0000_2970240.0000.ogg,其他病人 是
data/train/2970719.0000_2971500.0000.ogg,那其實我們
data/train/2972219.0000_2975070.0000.ogg,覺得說這種東西要責無旁貸 你把他
data/train/2975070.0000_2977529.0000.ogg,接手下來的時候 那這些病人就不會像
data/train/2977559.0000_2979809.0000.ogg,潘小姐在那邊 那沒有人關心我
data/train/2980170.0000_2981969.0000.ogg,其實我們每天去跟他 say hello
data/train/2981969.0000_2983980.0000.ogg,的時候 其實他心理上說 這個醫師就
data/train/2984099.0000_2986559.0000.ogg,好像我們是他的主治醫師 天天去查房
data/train/2986799.0000_2988750.0000.ogg,問候他 像我最近
data/train/2988779.0000_2990399.0000.ogg,有幾個case 其實我們沒有
data/train/2991089.0000_2993969.0000.ogg,不是市政府派案給我們 他主動找上我的 那
data/train/2993969.0000_2995170.0000.ogg,而且我們也都不認識
data/train/2995799.0000_2997390.0000.ogg,那我還是去給他關懷 就像
data/train/2997839.0000_3000599.0000.ogg,我自己在診所 也有發一些快篩給人家
data/train/3000839.0000_3003959.0000.ogg,有1天我發了12支快篩 有8個就陽性
data/train/3004320.0000_3005580.0000.ogg,結果是家庭裡面的
data/train/3006000.0000_3008490.0000.ogg,那有時候他打電話來說 他藥沒有了 那
data/train/3008490.0000_3009359.0000.ogg,我們用視訊的
data/train/3009810.0000_3011520.0000.ogg,結果他說 那怎麼辦 我現在這個
data/train/3011760.0000_3014490.0000.ogg,沒有人去拿藥 我說你在我診所附近
data/train/3014910.0000_3018270.0000.ogg,我下班的拿去給他 你還兼送藥 我就拿去給他 那
data/train/3018269.0000_3020280.0000.ogg,因為我們本來就是關係就很好 了解了解
data/train/3020460.0000_3022770.0000.ogg,那我覺得這種能夠做得到 就儘量去做
data/train/3022800.0000_3026610.0000.ogg,這件事就是只有基層的診所醫師才有可能
data/train/3026610.0000_3029070.0000.ogg,做 真的不管是新光醫院 台大醫院的
data/train/3029070.0000_3030839.0000.ogg,醫院裡面 醫師是不可能做
data/train/3030869.0000_3033269.0000.ogg,因為他就是沒有辦法在社區 有那麼緊密
data/train/3033269.0000_3035820.0000.ogg,的關聯 但我再請教一下孔醫師 一個很重要
data/train/3035820.0000_3036300.0000.ogg,的事情
data/train/3036989.0000_3040739.0000.ogg,如果能夠及時 甚至提早
data/train/3040739.0000_3044459.0000.ogg,給藥 是不是接下來 我們遇到那麼多的
data/train/3044460.0000_3047159.0000.ogg,確診的人的時候 我們就可以大幅降低
data/train/3047190.0000_3048809.0000.ogg,中重症甚至死亡的部分
data/train/3049049.0000_3051299.0000.ogg,我們來看看 我們確實現在藥買得不夠
data/train/3051719.0000_3053129.0000.ogg,但我們發得更少
data/train/3053549.0000_3056100.0000.ogg,默沙東 我們進貨的5千份
data/train/3056309.0000_3058859.0000.ogg,可是到目前為止我們只用3百份
data/train/3059639.0000_3062849.0000.ogg,我們進5千絕對不夠 但我們只有3百份
data/train/3063419.0000_3066929.0000.ogg,輝瑞的這個藥到貨了37萬
data/train/3066929.0000_3069959.0000.ogg,份用了多少 用了6百多份
data/train/3069960.0000_3072539.0000.ogg,就是你可以很清楚 現在的情形是 你只有
data/train/3072539.0000_3075179.0000.ogg,住院 醫師才可以開藥給他
data/train/3076349.0000_3079559.0000.ogg,現在門診不行 診所根本不可能看得到
data/train/3079829.0000_3082889.0000.ogg,那你根本不可能在藥局買得到 遠距
data/train/3082920.0000_3083909.0000.ogg,當然也可以
data/train/3084119.0000_3087659.0000.ogg,但是遠距可能現在藥還沒到 不過現在
data/train/3088019.0000_3091590.0000.ogg,從明天開始 指揮中心講說 包括病房
data/train/3091619.0000_3095730.0000.ogg,包括門診 包括急診 醫師都可以開那個
data/train/3095730.0000_3097050.0000.ogg,抗病毒口服藥
data/train/3097500.0000_3100619.0000.ogg,居家照護 像是周醫師這樣子的話
data/train/3100799.0000_3104339.0000.ogg,也可以遠距開藥 讓藥師送藥
data/train/3104369.0000_3107819.0000.ogg,到宅 我還是想問的是說 及時甚至
data/train/3107909.0000_3111599.0000.ogg,提早給藥 台灣該怎麼做 那個重要性又是
data/train/3111599.0000_3111750.0000.ogg,什麼
data/train/3112739.0000_3115349.0000.ogg,正好 上禮拜六 指揮中心有辦一個用藥
data/train/3115349.0000_3116430.0000.ogg,的治療的
data/train/3117329.0000_3119639.0000.ogg,研討會 所以我很簡單的
data/train/3120089.0000_3122099.0000.ogg,跟大家用幾分鐘 一點點時間
data/train/3122460.0000_3126089.0000.ogg,在我們不需要用氧氣的這種 沒有進到
data/train/3126119.0000_3126690.0000.ogg,重症
data/train/3127139.0000_3129839.0000.ogg,之前 在病毒量還正在增加
data/train/3129839.0000_3131669.0000.ogg,的時候 我們現在有很多藥可以使用
data/train/3131819.0000_3134490.0000.ogg,然後都已經證明 他可以降低死亡率
data/train/3135000.0000_3138300.0000.ogg,那大家很熟悉的 打針的瑞德西韋 還有我們
data/train/3138300.0000_3141779.0000.ogg,今天提到的輝瑞跟默沙東的藥都可以 那
data/train/3141870.0000_3143639.0000.ogg,單株抗體 因為現在omicron
data/train/3143640.0000_3145590.0000.ogg,它已經有一些都沒有效
data/train/3145650.0000_3147780.0000.ogg,所以主要就是這三種藥
data/train/3148140.0000_3151199.0000.ogg,可是這張是上禮拜 陳抱宇 台大陳抱宇醫師
data/train/3151230.0000_3155190.0000.ogg,幫大家整理 很棒 以後假如大家都有機會
data/train/3155280.0000_3155970.0000.ogg,遠端
data/train/3156510.0000_3157739.0000.ogg,看診 就用藥
data/train/3157740.0000_3160800.0000.ogg,的話 我覺得有兩點可以提醒大家 第一個
data/train/3161010.0000_3164490.0000.ogg,我們大概就是選擇這個是莫納皮拉韋 還有
data/train/3164490.0000_3164970.0000.ogg,這個Paxlovid
data/train/3165630.0000_3167579.0000.ogg,這兩個 你要開什麼給他嘛
data/train/3167849.0000_3170489.0000.ogg,那我們現在台灣多半都下注在這個
data/train/3170789.0000_3172170.0000.ogg,輝瑞藥物70萬
data/train/3172199.0000_3174599.0000.ogg,因為檯面上他臨床試驗做出來
data/train/3174989.0000_3176909.0000.ogg,他減少89% 的
data/train/3176909.0000_3178440.0000.ogg,後續 變成住院或死亡
data/train/3178980.0000_3181259.0000.ogg,那莫納皮拉韋只有30%
data/train/3181500.0000_3183809.0000.ogg,那可是他們有一些不太一樣的地方
data/train/3184199.0000_3186360.0000.ogg,第一個莫納皮拉韋 他其實
data/train/3186809.0000_3188910.0000.ogg,他是膠囊 所以他可以管灌
data/train/3189449.0000_3193409.0000.ogg,然後這個輝瑞是不可以磨碎的 那第二個
data/train/3193440.0000_3196020.0000.ogg,輝瑞的藥物 有很多藥物交互作用
data/train/3196050.0000_3199139.0000.ogg,所以我們要開藥的時候 其實有非常多
data/train/3199170.0000_3201719.0000.ogg,藥物交互作用 要去跟民眾衛教
data/train/3202019.0000_3205919.0000.ogg,另外他還肝腎功能 萬一有問題的長者
data/train/3205949.0000_3209639.0000.ogg,你還要調劑量 所以這個其實假如是線上
data/train/3209699.0000_3212249.0000.ogg,然後假如這個長輩其實半年內沒有抽血
data/train/3212429.0000_3213719.0000.ogg,這個給藥有點困難
data/train/3214049.0000_3217349.0000.ogg,所以我其實就私下跟羅副說 這個我們
data/train/3217500.0000_3220470.0000.ogg,想 反過來說莫納皮拉韋 他又可以磨粉
data/train/3220950.0000_3222750.0000.ogg,就是他可以管灌飲食給
data/train/3223019.0000_3224580.0000.ogg,然後他又可以不用
data/train/3224580.0000_3226110.0000.ogg,因為肝腎功能調劑量
data/train/3226140.0000_3228480.0000.ogg,他也沒有藥物交互作用 那
data/train/3228510.0000_3231510.0000.ogg,所以是不是我們也不應該完全賭在輝瑞上
data/train/3231600.0000_3235200.0000.ogg,是那一鈞跟我透露 他說有 我們
data/train/3235200.0000_3237389.0000.ogg,有要再多買一點莫納皮拉韋
data/train/3237570.0000_3240000.0000.ogg,所以以後兩種藥可以開 那
data/train/3240000.0000_3240749.0000.ogg,另外正好WHO
data/train/3241260.0000_3245250.0000.ogg,上禮拜 他有出了一個關於這一些藥物的
data/train/3245250.0000_3245940.0000.ogg,效力
data/train/3246360.0000_3249329.0000.ogg,大家可以看這個第一行 他整理的這些藥物
data/train/3249360.0000_3252900.0000.ogg,他到底 每1000人大概可以降多少死亡率
data/train/3253230.0000_3255810.0000.ogg,其實莫納皮拉韋 還有這個
data/train/3256920.0000_3260189.0000.ogg,那個輝瑞的藥物 在這邊 他們其實大概每
data/train/3260369.0000_3262019.0000.ogg,1000人都可以降6個人
data/train/3262529.0000_3265739.0000.ogg,因為那兩個臨床試驗 我們說的30
data/train/3265739.0000_3269009.0000.ogg,跟89 其實是降死亡跟住院 是
data/train/3269219.0000_3271829.0000.ogg,可是大家知道住院是一個比較主觀的
data/train/3272400.0000_3274349.0000.ogg,然後他這裡住院 是 是有差
data/train/3274980.0000_3277019.0000.ogg,然後大家看瑞德西韋也有 他1000個可以
data/train/3277019.0000_3280079.0000.ogg,降73 然後莫納皮拉韋降只有43
data/train/3280199.0000_3282900.0000.ogg,可是你降死亡 這兩個口服藥其實
data/train/3283139.0000_3286919.0000.ogg,目前累積的 有限的數字 一樣有效
data/train/3287309.0000_3289979.0000.ogg,所以我覺得 我們以後應該短期內
data/train/3289980.0000_3292619.0000.ogg,應該也會有另外一個藥可以用 那信聰說的
data/train/3292619.0000_3296430.0000.ogg,很重要 他們大概都要及時給予
data/train/3296820.0000_3299190.0000.ogg,臨床試驗中 這個是5天內
data/train/3299640.0000_3303000.0000.ogg,有症狀5天內 那瑞德西韋做到的是7天內
data/train/3303059.0000_3304259.0000.ogg,他可以稍微晚一點
data/train/3304559.0000_3308370.0000.ogg,可是重點 就是你要趁這個病毒量高起來之前
data/train/3309329.0000_3312689.0000.ogg,然後趁他深入到肺部造成重症之前 把
data/train/3312689.0000_3316409.0000.ogg,這個病毒量壓下來 他才有效 兩個決戰點
data/train/3316589.0000_3320399.0000.ogg,一個就是維持更大的醫療量能 第二個
data/train/3320639.0000_3323819.0000.ogg,及時 立即有效的給他藥物
data/train/3324299.0000_3327329.0000.ogg,我們才可以真正降低我們的中重症住院
data/train/3327359.0000_3328589.0000.ogg,以及死亡率
data/train/3329130.0000_3331590.0000.ogg,這可能是接下來 全台灣都一定要追求
data/train/3331590.0000_3333449.0000.ogg,的 這兩個非常重要的工作 謝謝您的收看
data/train/3372899.0000_3374729.0000.ogg,很好 兩邊時間都不一樣 時間到
data/train/3375960.0000_3377310.0000.ogg,這位喜出望外的朋友
data/train/3378420.0000_3379679.0000.ogg,恭喜你遭到淘汰
data/train/3381690.0000_3384089.0000.ogg,誰才是最後的大贏家
data/train/255667.0000_258250.0000.ogg,"Hence, it was more troublesome"
data/train/258875.0000_261000.0000.ogg,"Last year, my mum passed away"
data/train/261000.0000_267417.0000.ogg,"So, in December, I told Dr Yap to proceed with the surgery"
data/train/268042.0000_270709.0000.ogg,"In the beginning, I was apprehensive"
data/train/270709.0000_274667.0000.ogg,"In the end, after thinking about it, I tried my best to relax"
data/train/275250.0000_277667.0000.ogg,Life is short
data/train/277667.0000_278876.0000.ogg,"I must do it even if I'm nervous,"
data/train/278876.0000_282959.0000.ogg,I must deal with this situation calmly
data/train/286209.0000_291334.0000.ogg,There are 38 specialist clinics in the National Heart Centre Singapore
data/train/291334.0000_292834.0000.ogg,"In addition to cardiology,"
data/train/292876.0000_296250.0000.ogg,cardiothoracic surgery is also an important specialty care
data/train/296999.0000_298209.0000.ogg,(7.30 am)
data/train/299082.0000_300125.0000.ogg,How are you today?
data/train/300125.0000_300918.0000.ogg,Okay
data/train/300918.0000_302250.0000.ogg,Did you sleep in the night?
data/train/302250.0000_303000.0000.ogg,Yes
data/train/303000.0000_303792.0000.ogg,Can I just check...
data/train/303792.0000_306334.0000.ogg,your arrow markings on the right side?
data/train/306792.0000_309584.0000.ogg,Also waiting for surgery at the centre on this day...
data/train/309584.0000_314250.0000.ogg,"is Francis Goh, 68, who suffers from lung nodules"
data/train/314250.0000_318042.0000.ogg,This is the second surgery he will be undergoing in as many years
data/train/318501.0000_320209.0000.ogg,We shall take good care of you
data/train/320209.0000_321834.0000.ogg,Don't worry
data/train/328751.0000_331375.0000.ogg,Francis is a business management consultant
data/train/331375.0000_333542.0000.ogg,"In recent years, he has been busy setting up..."
data/train/333542.0000_336250.0000.ogg,a new business management consulting company
data/train/336250.0000_339918.0000.ogg,But he was forced to shelve this plan a year ago...
data/train/339918.0000_343375.0000.ogg,"because he was diagnosed with squamous cell carcinoma,"
data/train/343375.0000_345542.0000.ogg,a common type of skin cancer
data/train/347542.0000_351042.0000.ogg,He then underwent tumour-removal surgery and radiotherapy...
data/train/351042.0000_353000.0000.ogg,to eradicate the cancer cells
data/train/353000.0000_354584.0000.ogg,"Unfortunately,"
data/train/354584.0000_359125.0000.ogg,the scan results after radiotherapy brought him another round of bad news
data/train/359792.0000_363626.0000.ogg,"In July 2021, Francis underwent a CT scan..."
data/train/363626.0000_364501.0000.ogg,that showed that he had...
data/train/364501.0000_366709.0000.ogg,a seven-millimetre lung nodule
data/train/366709.0000_369209.0000.ogg,"There are many reasons for lung nodules,"
data/train/369209.0000_371375.0000.ogg,"including infection, benign growths,"
data/train/371375.0000_372334.0000.ogg,or even cancer
data/train/374375.0000_376125.0000.ogg,I was given some options
data/train/376125.0000_378584.0000.ogg,"One, to continue monitoring it..."
data/train/378584.0000_380792.0000.ogg,and do a scan every six months
data/train/380792.0000_382709.0000.ogg,"Two, to do a biopsy"
data/train/382709.0000_384918.0000.ogg,"Or three, to have it taken out"
data/train/389876.0000_393584.0000.ogg,The three options the doctor provided to him had different pros and cons
data/train/393584.0000_395918.0000.ogg,"If he chose to continue to observe the condition,"
data/train/395918.0000_398999.0000.ogg,he wouldn't undergo unnecessary surgery and biopsy
data/train/399334.0000_400459.0000.ogg,But the risk is that...
data/train/400459.0000_404918.0000.ogg,"if there are cancer cells, there is a chance that cancer will spread"
data/train/406375.0000_407999.0000.ogg,The second option of a biopsy...
data/train/407999.0000_411082.0000.ogg,"is less invasive than surgery,"
data/train/411082.0000_412999.0000.ogg,but sometimes it can't be done...
data/train/412999.0000_416626.0000.ogg,if the location or the size of the nodule...
data/train/416626.0000_418918.0000.ogg,is unfavourable for biopsy
data/train/418918.0000_420834.0000.ogg,"It's also not a form of treatment,"
data/train/420834.0000_422626.0000.ogg,so patients often have to go for...
data/train/422626.0000_425542.0000.ogg,other treatments after the biopsy
data/train/425542.0000_427459.0000.ogg,The benefit of surgery is that...
data/train/427459.0000_429292.0000.ogg,we will get the diagnosis...
data/train/429292.0000_431584.0000.ogg,and perform treatment at the same time
data/train/431584.0000_433167.0000.ogg,"Also, it usually can be performed..."
data/train/433167.0000_435000.0000.ogg,even when it is small
data/train/436501.0000_440417.0000.ogg,"In the latest scan, it has grown a little,"
data/train/440417.0000_443000.0000.ogg,from 0.7 centimetres to 0.9 centimetres
data/train/443834.0000_445999.0000.ogg,The lung nodule had increased in size
data/train/445999.0000_447542.0000.ogg,"Therefore, we were worried that..."
data/train/447542.0000_449082.0000.ogg,it could contain cancer
data/train/449959.0000_451751.0000.ogg,"In the worst-case scenario,"
data/train/451751.0000_453250.0000.ogg,"if this is cancer, and has spread..."
data/train/453250.0000_455667.0000.ogg,"beyond the lungs to other parts of the body,"
data/train/455667.0000_456876.0000.ogg,then this would be a cancer...
data/train/456876.0000_458584.0000.ogg,"that is no longer curable,"
data/train/458584.0000_461876.0000.ogg,and can only be controlled with medication
data/train/462834.0000_467167.0000.ogg,"(In Singapore, lung cancer is the second-largest killer of men...)"
data/train/467167.0000_469999.0000.ogg,(and the third-largest killer of women)
data/train/470959.0000_475125.0000.ogg,"(An average of 1,044 people per year were diagnosed with lung cancer...)"
data/train/475125.0000_479542.0000.ogg,(in Singapore from 2015 to 2019)
data/train/480542.0000_482751.0000.ogg,"Unfortunately, the lung nodule remains..."
data/train/482751.0000_485417.0000.ogg,too small for a biopsy to be performed...
data/train/485417.0000_488042.0000.ogg,to confirm whether or not it contains cancer
data/train/488042.0000_489834.0000.ogg,"So, we had to perform surgery..."
data/train/489834.0000_491375.0000.ogg,to remove it instead
data/train/492584.0000_495125.0000.ogg,"My immediate reaction at the time,"
data/train/495125.0000_498292.0000.ogg,"given that I was an ex-smoker,"
data/train/498292.0000_501792.0000.ogg,"was, ""What can I do?"""
data/train/501792.0000_503876.0000.ogg,It was already infected
data/train/503876.0000_505709.0000.ogg,We do not know what it is
data/train/505709.0000_506834.0000.ogg,It's better to take it out...
data/train/506834.0000_507999.0000.ogg,and find out what it is
data/train/511626.0000_512876.0000.ogg,"Consulting with Dr Ong,"
data/train/512876.0000_514334.0000.ogg,I felt that I'm in good hands
data/train/514334.0000_517000.0000.ogg,"So, I said, ""Okay, we will proceed"""
data/train/518459.0000_520000.0000.ogg,I'm prepared
data/train/520000.0000_521250.0000.ogg,It has to be taken out
data/train/521250.0000_523584.0000.ogg,I'll just let it be
data/train/523584.0000_525792.0000.ogg,Because I'll be asleep. I won't know
data/train/540667.0000_543542.0000.ogg,(National Heart Centre Singapore)
data/train/545584.0000_549501.0000.ogg,"Tay, who was diagnosed with aortic stenosis a year ago,"
data/train/549501.0000_551792.0000.ogg,is here at National Heart Centre Singapore today...
data/train/551792.0000_555083.0000.ogg,"for the transcatheter aortic valve implantation,"
data/train/555083.0000_556792.0000.ogg,or TAVI for short
data/train/557292.0000_561709.0000.ogg,"He didn't want to bother his family, so he refused to let them come with him"
data/train/562751.0000_565999.0000.ogg,The operation is expected to be completed within an hour
data/train/565999.0000_571083.0000.ogg,"But if complications arise, it may be extended to five or six hours"
data/train/572000.0000_577292.0000.ogg,The difficulty in this surgery is that it requires the aorta in the patient's leg...
data/train/577292.0000_579459.0000.ogg,to have no stenosis or calcifications
data/train/579459.0000_583083.0000.ogg,"Once that aorta is calcified or narrowed,"
data/train/583083.0000_587751.0000.ogg,we'd have to consider other points of entry...
data/train/587751.0000_590792.0000.ogg,to insert the replacement heart valve
data/train/590792.0000_594584.0000.ogg,We may consider using blood vessels in the arm...
data/train/594584.0000_598709.0000.ogg,or blood vessels in the neck to insert the replacement heart valve
data/train/599459.0000_601584.0000.ogg,What time did you have your last meal?
data/train/601584.0000_604459.0000.ogg,It was around 5 or 6 pm last night
data/train/604459.0000_605209.0000.ogg,I see
data/train/605209.0000_607167.0000.ogg,-Did you take any medication this morning? -I did
data/train/608918.0000_612501.0000.ogg,Our first choice for TAVI is to insert the replacement heart valve...
data/train/612501.0000_614834.0000.ogg,from the aorta in the leg
data/train/614834.0000_618709.0000.ogg,"That is because it is less invasive than open-heart surgery,"
data/train/618709.0000_623834.0000.ogg,or inserting it through the blood vessels in the neck or the arm
data/train/625125.0000_627167.0000.ogg,"Before TAVI was developed,"
data/train/627167.0000_630083.0000.ogg,patients could only undergo open-heart valve replacement surgery
data/train/630083.0000_633417.0000.ogg,"The patient will need to go under general anaesthesia,"
data/train/633417.0000_636083.0000.ogg,"sternum incision, cardiac arrest,"
data/train/636083.0000_638876.0000.ogg,cardiopulmonary bypass support procedures and so on
data/train/638876.0000_641459.0000.ogg,"For older patients, have a history of thoracotomy,"
data/train/641459.0000_645334.0000.ogg,"have poor liver and kidney or cardiopulmonary function,"
data/train/645334.0000_647083.0000.ogg,the risk is relatively high
data/train/650209.0000_652125.0000.ogg,The surgery has officially started
data/train/652125.0000_655000.0000.ogg,"Through the femoral artery at the base of the thigh,"
data/train/655000.0000_657250.0000.ogg,the doctor inserts a stented valve...
data/train/657250.0000_660918.0000.ogg,to where the aortic valve is via a catheter
data/train/660918.0000_664751.0000.ogg,"This surgery has its risks, including stroke"
data/train/664751.0000_668042.0000.ogg,"Patients may bleed when intubated, rupturing the blood vessel"
data/train/669000.0000_671959.0000.ogg,The risk of severe bleeding is about 10 percent
data/train/671959.0000_675334.0000.ogg,"If it does happen, it may require an emergency blood transfusion..."
data/train/675334.0000_679751.0000.ogg,or change from a minimally invasive surgery to a major surgery to stop the bleeding
data/train/680417.0000_685167.0000.ogg,"Finally, our heartbeats are triggered by electrical impulses"
data/train/685167.0000_689375.0000.ogg,"When placing the stent, it may interfere with or suppress the electrical impulses,"
data/train/689375.0000_691209.0000.ogg,resulting in a slower heartbeat
data/train/691209.0000_694542.0000.ogg,"In this scenario, an additional pacemaker may be needed"
data/train/695459.0000_696876.0000.ogg,Valve is ready
data/train/696876.0000_701626.0000.ogg,"Before doing this procedure, we usually perform different scans for the patient..."
data/train/701626.0000_705501.0000.ogg,"to see if the femoral artery is large enough,"
data/train/706125.0000_708209.0000.ogg,"and to look at the size of the heart valve,"
data/train/708209.0000_710876.0000.ogg,so that we can choose a suitable size for the replacement
data/train/711209.0000_714459.0000.ogg,"If we plan and prepare well,"
data/train/714459.0000_717834.0000.ogg,we can usually predict potential issues...
data/train/717834.0000_719626.0000.ogg,"and make preparations in advance,"
data/train/719626.0000_722334.0000.ogg,making this procedure safer
data/train/725042.0000_728000.0000.ogg,"Elsewhere, Francis, who suffers from lung nodules,"
data/train/728000.0000_731626.0000.ogg,is also about to start his operation after receiving general anaesthesia
data/train/732000.0000_734417.0000.ogg,"Due to the small size of this lung nodule,"
data/train/734417.0000_735459.0000.ogg,it may not be easy to find...
data/train/735459.0000_736792.0000.ogg,at the time of surgery
data/train/736792.0000_739751.0000.ogg,"So, we divided this operation into two parts"
data/train/739751.0000_741417.0000.ogg,"During the first part of the operation,"
data/train/741417.0000_742792.0000.ogg,I used a technique called...
data/train/742792.0000_744792.0000.ogg,Electromagnetic Navigation Bronchoscopy...
data/train/744792.0000_746751.0000.ogg,in our hybrid operating theatre...
data/train/746751.0000_748918.0000.ogg,to find the lung nodule
data/train/748918.0000_749709.0000.ogg,We know it's in...
data/train/749709.0000_752584.0000.ogg,the right upper lobe anterior segment
data/train/752584.0000_754334.0000.ogg,"Okay, put it in"
data/train/755501.0000_759167.0000.ogg,"Electromagnetic Navigation Bronchoscopy, or ENB for short,"
data/train/759167.0000_762250.0000.ogg,is the latest minimally invasive clinical technology
data/train/763167.0000_765250.0000.ogg,I use a special computer software...
data/train/765250.0000_766918.0000.ogg,to convert Francis' CT scan...
data/train/766918.0000_769375.0000.ogg,into a 3D map of his airways
data/train/769375.0000_771417.0000.ogg,This allows me to see how his airways...
data/train/771417.0000_772375.0000.ogg,lead to the lung nodule...
data/train/772375.0000_773834.0000.ogg,that we want to remove
data/train/774542.0000_775918.0000.ogg,"When Francis is asleep,"
data/train/775918.0000_777918.0000.ogg,we place several electromagnetic sensors...
data/train/777918.0000_779083.0000.ogg,on his body
data/train/779918.0000_782167.0000.ogg,"Under the guidance of ENB,"
data/train/782167.0000_785792.0000.ogg,Dr Ong passed the guide wire to the lesion site through a surgical channel...
data/train/785792.0000_788292.0000.ogg,with a diameter of about two millimetres
data/train/789542.0000_791000.0000.ogg,"Okay, let's try again"
data/train/792250.0000_793501.0000.ogg,Right on target
data/train/794125.0000_795292.0000.ogg,"Perfect, okay"
data/train/795876.0000_796918.0000.ogg,Ready
data/train/796918.0000_798125.0000.ogg,When we think that we have reached...
data/train/798125.0000_799167.0000.ogg,"the lung nodule,"
data/train/799167.0000_800876.0000.ogg,I'll then use the hybrid operating room's...
data/train/800876.0000_803542.0000.ogg,CT scanner to perform a CT scan...
data/train/803542.0000_804292.0000.ogg,to confirm that...
data/train/804292.0000_805918.0000.ogg,the tip of the bronchoscope...
data/train/805918.0000_808125.0000.ogg,is indeed at the lung nodule
data/train/809167.0000_810876.0000.ogg,This is the lung nodule
data/train/810876.0000_814417.0000.ogg,You can see that the tip of our needle...
data/train/814417.0000_816918.0000.ogg,is right next to it
data/train/819042.0000_820959.0000.ogg,Injecting dye
data/train/820959.0000_826542.0000.ogg,Dr Ong then used a medical dye to localize the lung nodules...
data/train/826542.0000_829501.0000.ogg,"so that during the second part of the operation,"
data/train/829501.0000_833334.0000.ogg,the lung nodules could be removed easily and accurately
data/train/834209.0000_836876.0000.ogg,We can see it glow fluorescent green...
data/train/836876.0000_839334.0000.ogg,even to a depth of up to two centimetres...
data/train/839334.0000_840876.0000.ogg,from the surface of the lung
data/train/840876.0000_842334.0000.ogg,Even if the lung nodule...
data/train/842334.0000_844375.0000.ogg,"is deep inside the lung tissue,"
data/train/844375.0000_845751.0000.ogg,as long as the dye is injected within...
data/train/845751.0000_847834.0000.ogg,"two centimetres of the surface of the lung,"
data/train/847834.0000_849792.0000.ogg,we will still be able to see it
data/train/851834.0000_853667.0000.ogg,(Two hours into the lung nodule surgery)
data/train/858375.0000_860667.0000.ogg,"Two hours into the surgery,"
data/train/861125.0000_866083.0000.ogg,Dr Ong used the minimally invasive Video-Assisted Thoracoscopic Surgery...
data/train/866083.0000_868250.0000.ogg,to remove the lung nodules
data/train/869209.0000_870834.0000.ogg,I made three small incisions...
data/train/870834.0000_872292.0000.ogg,"on Francis' body,"
data/train/872292.0000_873375.0000.ogg,which will allow us...
data/train/873375.0000_875501.0000.ogg,to introduce surgical instruments
data/train/875501.0000_877083.0000.ogg,"Through one of the incisions,"
data/train/877083.0000_878834.0000.ogg,"we place a special camera,"
data/train/878834.0000_880209.0000.ogg,which allows us to see...
data/train/880209.0000_882125.0000.ogg,"the previously injected dye,"
data/train/882125.0000_883626.0000.ogg,so that we can find a lung nodule...
data/train/883626.0000_884834.0000.ogg,that we want to remove
data/train/885459.0000_887375.0000.ogg,"Okay, right angle. Thank you"
data/train/888125.0000_889375.0000.ogg,"Through the other two incisions,"
data/train/889375.0000_890417.0000.ogg,we place instruments...
data/train/890417.0000_891876.0000.ogg,"to remove the lung nodule,"
data/train/891876.0000_893125.0000.ogg,the segment of lung tissue...
data/train/893125.0000_894918.0000.ogg,"around that lung nodule,"
data/train/894918.0000_896334.0000.ogg,the blood vessels and airways...
data/train/896334.0000_897709.0000.ogg,leading to the segment of the lung...
data/train/897709.0000_898876.0000.ogg,"that we want to remove,"
data/train/898876.0000_900626.0000.ogg,as well as the surrounding lymph nodes
data/train/900626.0000_902792.0000.ogg,(Three hours into the lung nodule surgery)
data/train/902792.0000_904209.0000.ogg,Can I get the hook?
data/train/906417.0000_908709.0000.ogg,"In the third hour of the surgery,"
data/train/908709.0000_912417.0000.ogg,Dr Ong successfully removed Francis' lung nodules...
data/train/912417.0000_914626.0000.ogg,and their surrounding tissues
data/train/915709.0000_920584.0000.ogg,These excised sections are immediately sent to the pathology department for testing
data/train/921250.0000_922209.0000.ogg,If there is cancer...
data/train/922209.0000_924834.0000.ogg,at the edge of the resected specimen...
data/train/924834.0000_926542.0000.ogg,"or the surrounding lymph nodes,"
data/train/926542.0000_928250.0000.ogg,then we are required to perform...
data/train/928250.0000_929918.0000.ogg,a more extensive resection...
data/train/929918.0000_931250.0000.ogg,known as a lobectomy
data/train/943876.0000_946292.0000.ogg,(National Heart Centre Singapore)
data/train/948042.0000_951250.0000.ogg,Tay's surgery has gone on for one hour
data/train/951250.0000_954083.0000.ogg,The doctor is attempting to open a stent in his heart...
data/train/954083.0000_957542.0000.ogg,to push the original diseased valve to the sides of the blood vessel
data/train/957542.0000_962250.0000.ogg,The new biological replacement valve can then begin to function normally
data/train/962709.0000_964751.0000.ogg,The valve position is good
data/train/964751.0000_966250.0000.ogg,Flow is good
data/train/966250.0000_968042.0000.ogg,It's working very nicely
data/train/969667.0000_972209.0000.ogg,"This surgical method is less traumatic,"
data/train/972209.0000_974292.0000.ogg,and doesn't require extracorporeal circulation
data/train/974292.0000_979209.0000.ogg,"Patients recover faster after surgery, making it more suitable for elderly patients"
data/train/980626.0000_982876.0000.ogg,The surgery was very successful
data/train/982876.0000_986125.0000.ogg,"After the TAVI surgery,"
data/train/986125.0000_989375.0000.ogg,the patient's symptoms will be completely eliminated
data/train/989375.0000_993918.0000.ogg,They would rarely require hospital admissions thereafter
data/train/993918.0000_997626.0000.ogg,The new heart valve can last at least 8 to 10 years
data/train/1000751.0000_1003792.0000.ogg,"The lung tissues of Francis, who has lung nodules,"
data/train/1003792.0000_1006876.0000.ogg,has been sent to the pathology department for examination
data/train/1008292.0000_1010459.0000.ogg,"In order to get the test results faster,"
data/train/1010459.0000_1014751.0000.ogg,Dr Ong went to the pathology department to wait for the test report
data/train/1016751.0000_1020334.0000.ogg,"One of the nodes is positive, the hilar node"
data/train/1020334.0000_1021751.0000.ogg,Mesenchymal stroma cell
data/train/1021751.0000_1023751.0000.ogg,"All right, thank you very much"
data/train/1023792.0000_1027501.0000.ogg,"Unfortunately, the test results were not as Dr Ong had hoped"
data/train/1029541.0000_1031334.0000.ogg,"Unfortunately, in Francis' case,"
data/train/1031334.0000_1032375.0000.ogg,there was evidence that...
data/train/1032375.0000_1033584.0000.ogg,the cancer had spread...
data/train/1033584.0000_1035291.0000.ogg,to the surrounding lymph nodes
data/train/1035291.0000_1037250.0000.ogg,We had to go on to perform...
data/train/1037250.0000_1038999.0000.ogg,"a lobectomy in this case,"
data/train/1038999.0000_1040584.0000.ogg,to make sure that all of the cancer...
data/train/1040584.0000_1042459.0000.ogg,is removed at the time of surgery
data/train/1045125.0000_1047250.0000.ogg,"After receiving the bad news,"
data/train/1047250.0000_1051459.0000.ogg,"Dr Ong quickly recovered, redonning his surgical gown,"
data/train/1051459.0000_1054501.0000.ogg,and performed a right upper lobectomy for Francis
data/train/1058709.0000_1062375.0000.ogg,Dr Ong opened the mediastinal pleura along the upper border of the hilum...
data/train/1062375.0000_1066709.0000.ogg,and extended it lower and backwards to the position of the middle bronchus
data/train/1066709.0000_1070250.0000.ogg,This was followed by dissection in front of the free pulmonary artery
data/train/1070250.0000_1073292.0000.ogg,This reduces the incidence of post-operative air leaks...
data/train/1073292.0000_1076292.0000.ogg,and shortens the patient's hospital stay
data/train/1078542.0000_1080417.0000.ogg,I was a bit disappointed that the cancer...
data/train/1080417.0000_1081999.0000.ogg,"had spread to the lymph nodes,"
data/train/1081999.0000_1084042.0000.ogg,because this obviously meant that...
data/train/1084042.0000_1085459.0000.ogg,the cancer was more aggressive...
data/train/1085459.0000_1086667.0000.ogg,than we initially thought
data/train/1086667.0000_1088167.0000.ogg,But the good thing is that...
data/train/1088167.0000_1089709.0000.ogg,the surgery went well
data/train/1089709.0000_1091125.0000.ogg,"He recovered quickly,"
data/train/1091125.0000_1092709.0000.ogg,and we found out later on that...
data/train/1092709.0000_1093834.0000.ogg,all the cancer cells...
data/train/1093834.0000_1095709.0000.ogg,were successfully removed
data/train/1098999.0000_1100542.0000.ogg,(16 days after the surgery)
data/train/1101834.0000_1105417.0000.ogg,"Tay, who completed the TAVI surgery more than two weeks ago,"
data/train/1105417.0000_1108626.0000.ogg,came back to National Heart Centre Singapore for a follow-up consultation today
data/train/1109542.0000_1110834.0000.ogg,Let's take a look
data/train/1110834.0000_1114626.0000.ogg,The newly installed valve is over here
data/train/1114626.0000_1120167.0000.ogg,Let's see if there is any regurgitation or any narrowing
data/train/1120167.0000_1122459.0000.ogg,Everything seems to be fine
data/train/1122459.0000_1124375.0000.ogg,There are no major issues
data/train/1125167.0000_1129125.0000.ogg,I feel better after the surgery
data/train/1129667.0000_1133709.0000.ogg,"For one thing, before the surgery,"
data/train/1134083.0000_1137125.0000.ogg,my feet and hands often felt numb
data/train/1137125.0000_1140709.0000.ogg,"After the surgery, my feet feel better"
data/train/1140709.0000_1142751.0000.ogg,They feel less numb
data/train/1142751.0000_1144876.0000.ogg,My hands feel better too
data/train/1145751.0000_1150918.0000.ogg,The main cause of aortic stenosis is ageing
data/train/1150918.0000_1155209.0000.ogg,It's more common in older patients
data/train/1155209.0000_1159542.0000.ogg,"As early aortic stenosis is asymptomatic,"
data/train/1159542.0000_1161626.0000.ogg,"without treatment,"
data/train/1161626.0000_1165209.0000.ogg,patients will start wheezing and fainting
data/train/1165209.0000_1168375.0000.ogg,Symptoms of chest discomfort or pain...
data/train/1168375.0000_1172959.0000.ogg,may appear as some complications due to aortic stenosis
data/train/1173459.0000_1179125.0000.ogg,"The older we get, the greater the possibility and risk of experiencing aortic stenosis"
data/train/1181542.0000_1186709.0000.ogg,"After the surgery, Francis has slowly resumed his daily life"
data/train/1186709.0000_1189876.0000.ogg,Chanting scriptures is his daily practice
data/train/1189876.0000_1194709.0000.ogg,He believes that this can train his willpower and make him stronger
data/train/1195250.0000_1197876.0000.ogg,"It might also be a good thing,"
data/train/1197876.0000_1199918.0000.ogg,because we found this by accident
data/train/1201042.0000_1203042.0000.ogg,I learnt that cancer detection...
data/train/1203042.0000_1204959.0000.ogg,is usually accidental
data/train/1204959.0000_1207375.0000.ogg,"I also found out that, in lung cancer,"
data/train/1207375.0000_1210167.0000.ogg,you may not have any signs or symptoms...
data/train/1210167.0000_1211584.0000.ogg,until it's too late
data/train/1211584.0000_1215417.0000.ogg,"So, I felt comforted that I was fortunate"
data/train/1215417.0000_1216459.0000.ogg,With my spiritual faith...
data/train/1216459.0000_1218167.0000.ogg,"and my faith in my doctors,"
data/train/1218167.0000_1220417.0000.ogg,I am very sure that we can...
data/train/1220417.0000_1222709.0000.ogg,overcome this successfully...
data/train/1222709.0000_1225959.0000.ogg,to clear my body of cancer cells
data/train/1226918.0000_1229042.0000.ogg,I think it's important to know that...
data/train/1229042.0000_1231876.0000.ogg,"if you have a medical issue, such as cancer,"
data/train/1231876.0000_1233042.0000.ogg,it's better to pick it up...
data/train/1233042.0000_1234999.0000.ogg,earlier rather than later
data/train/1234999.0000_1236999.0000.ogg,That's the importance of going for...
data/train/1236999.0000_1239626.0000.ogg,cancer screening or health screening
data/train/1239626.0000_1240792.0000.ogg,When problems are picked up...
data/train/1240792.0000_1242250.0000.ogg,"earlier rather than later,"
data/train/1242250.0000_1244542.0000.ogg,"firstly, there are more options available..."
data/train/1244542.0000_1245751.0000.ogg,for treating them
data/train/1245751.0000_1247334.0000.ogg,"Secondly, these treatments..."
data/train/1247334.0000_1249250.0000.ogg,tend to be more effective
data/train/1281834.0000_1282834.0000.ogg,Subtitles: CaptionCube
data/train/320350.0000_322160.0000.ogg,但是好像还有的比这更早 是吧
data/train/322160.0000_322760.0000.ogg,更早 更早
data/train/322760.0000_323480.0000.ogg,八九岁还有来月经的
data/train/323480.0000_325080.0000.ogg,小于十岁那就是像
data/train/325080.0000_327770.0000.ogg,一个叫卵巢的早熟了 这个就
data/train/327770.0000_328490.0000.ogg,其实这并不正常
data/train/328490.0000_329680.0000.ogg,这个就不正常了
data/train/329680.0000_331740.0000.ogg,我们说正常的应该是十一岁左右
data/train/331740.0000_334120.0000.ogg,现在还是属于正常的范畴
data/train/334120.0000_336940.0000.ogg,那这是初潮的年龄
data/train/336940.0000_339450.0000.ogg,还有就是可能还有就是绝经 是吧
data/train/339450.0000_340920.0000.ogg,那绝经是到什么时候呢
data/train/340920.0000_342650.0000.ogg,是七七 我们
data/train/342650.0000_343850.0000.ogg,对 咱们叫七七四十九
data/train/343850.0000_344780.0000.ogg,七七四十九
data/train/344780.0000_347130.0000.ogg,七七的时候就是天癸渐竭
data/train/347130.0000_349600.0000.ogg,冲任脉亏虚 然后地道不通
data/train/349600.0000_350990.0000.ogg,形坏故无子也
data/train/350990.0000_353500.0000.ogg,那个时候就是七七是四十九岁
data/train/353500.0000_355370.0000.ogg,那么 我们古人是这样认为的
data/train/355370.0000_357550.0000.ogg,那现在我们说平均的年龄
data/train/357550.0000_360380.0000.ogg,大概是46岁到52岁左右
data/train/360380.0000_361920.0000.ogg,这样平均的年龄
data/train/361920.0000_364810.0000.ogg,这个时候如果出现了月经的停闭
data/train/364810.0000_365580.0000.ogg,绝经了
data/train/365580.0000_367740.0000.ogg,她的卵巢功能萎缩了
data/train/367740.0000_369440.0000.ogg,没有再有生育能力
data/train/369440.0000_370810.0000.ogg,就是停止了
data/train/370810.0000_373240.0000.ogg,那这呢也是一个生理的现象
data/train/373240.0000_376300.0000.ogg,所以这就是一个正常的月经的
data/train/376300.0000_377450.0000.ogg,一个情况
data/train/377450.0000_378860.0000.ogg,正常月经的一个
data/train/378860.0000_381070.0000.ogg,周期表现的一个情况吧
data/train/381070.0000_384640.0000.ogg,你刚才提到了月经停闭一般说是
data/train/384640.0000_386560.0000.ogg,49岁左右 对 绝经
data/train/386560.0000_388490.0000.ogg,但是好像个体差异也是挺大的
data/train/388490.0000_389400.0000.ogg,是吧 对
data/train/389400.0000_390400.0000.ogg,一般我们认为
data/train/390400.0000_393310.0000.ogg,比如说四十二三岁这算正常吗
data/train/393310.0000_396200.0000.ogg,四十二三岁其实对每个女性来说
data/train/396200.0000_398730.0000.ogg,她们可能还是比较难以接受的
data/train/398730.0000_400909.0000.ogg,觉得四十二三就没有月经了
data/train/400909.0000_403290.0000.ogg,总是觉得自己已经衰老了 至少
data/train/403290.0000_404430.0000.ogg,其实呢它是指的是
data/train/404430.0000_407280.0000.ogg,生理就是你的生殖功能衰退了
data/train/407280.0000_408570.0000.ogg,生殖功能衰退了
data/train/408570.0000_410360.0000.ogg,我们还不能叫卵巢早衰
data/train/410360.0000_411920.0000.ogg,我们现在WHO
data/train/411920.0000_413920.0000.ogg,就是世界卫生组织规定的
data/train/413920.0000_415920.0000.ogg,要小于四十岁
data/train/415920.0000_417770.0000.ogg,如果这个时候停闭了月经
data/train/417770.0000_418970.0000.ogg,没有生育能力了
data/train/418970.0000_420040.0000.ogg,没有生殖功能了
data/train/420040.0000_421120.0000.ogg,月经绝经了
data/train/421120.0000_423440.0000.ogg,那这个叫卵巢早衰
data/train/423440.0000_424540.0000.ogg,四十岁以后
data/train/424540.0000_426350.0000.ogg,出现了卵巢功能的衰退
data/train/426350.0000_428190.0000.ogg,都属于正常的范围
data/train/428190.0000_431370.0000.ogg,这是人体差异有一些差别
data/train/431370.0000_432440.0000.ogg,另外 我还想问了啊
data/train/432440.0000_433850.0000.ogg,就是这个月经
data/train/433850.0000_435760.0000.ogg,你刚才讲了正常的这种情况
data/train/435760.0000_438010.0000.ogg,周期 量 颜色等等
data/train/438010.0000_440350.0000.ogg,但是你比如说这个周期或者量
data/train/440350.0000_442170.0000.ogg,可能有一定的个体差异
data/train/442170.0000_444430.0000.ogg,在临床上有时候会碰到一些病人的
data/train/444430.0000_445600.0000.ogg,月经量特别多
data/train/445600.0000_447500.0000.ogg,我记得我大学有个同学就经常说
data/train/447500.0000_449150.0000.ogg,哎呀 我每次月经量特别多
data/train/449150.0000_451320.0000.ogg,她还形象地称叫红河激浪
data/train/451320.0000_453440.0000.ogg,有的人就说这个月经可能
data/train/453440.0000_455930.0000.ogg,两个月来一次 三个月来一次 是吧
data/train/455930.0000_457790.0000.ogg,咱们中医呢对这样的现象
data/train/457790.0000_458960.0000.ogg,有没有描述呢
data/train/458960.0000_460300.0000.ogg,是不是还算正常范围
data/train/460300.0000_462440.0000.ogg,这里边有一个生理和病理的
data/train/462440.0000_464200.0000.ogg,一个问题
data/train/464200.0000_466620.0000.ogg,就是如果她的月经量
data/train/466620.0000_469159.0000.ogg,就像您刚才形容说这个同学形容的
data/train/469159.0000_472110.0000.ogg,那么那么地波涛汹涌的那种的
data/train/472110.0000_473640.0000.ogg,超过80毫升了
data/train/473640.0000_475390.0000.ogg,那肯定就是一个病态了
data/train/475390.0000_476890.0000.ogg,她月经量多
data/train/476890.0000_479480.0000.ogg,也是属于我们月经病里面的一个
data/train/479480.0000_480590.0000.ogg,一个疾病了 经量变多
data/train/480590.0000_482510.0000.ogg,经量变多 叫月经量多
data/train/482510.0000_484200.0000.ogg,就是有这样一个疾病了
data/train/484200.0000_485200.0000.ogg,那这个就是
data/train/485200.0000_487470.0000.ogg,另外呢 您刚才说的月经周期
data/train/487470.0000_489040.0000.ogg,月经周期可能有的人
data/train/489040.0000_491230.0000.ogg,会有一些提前 错后
data/train/491230.0000_493000.0000.ogg,我们刚才说有一个范围
data/train/493000.0000_494760.0000.ogg,提前7天错后7天
data/train/494760.0000_496510.0000.ogg,这个都是在正常的一个
data/train/496510.0000_497680.0000.ogg,生理周期内
data/train/497680.0000_499070.0000.ogg,我们算是正常的
data/train/499070.0000_501850.0000.ogg,但还是有一些 有一些生理的状况
data/train/501850.0000_503480.0000.ogg,就是我们在这个
data/train/503480.0000_505930.0000.ogg,王叔和在《脉经》里边他就提到
data/train/505930.0000_507360.0000.ogg,有一些女性的
data/train/507360.0000_510400.0000.ogg,可能叫并月 居经
data/train/510400.0000_511980.0000.ogg,也叫季经 季节的季
data/train/511980.0000_514090.0000.ogg,也叫季经 还有叫避年
data/train/514090.0000_516250.0000.ogg,是这样的一些生理的现象
data/train/516250.0000_517419.0000.ogg,那么就是说什么
data/train/517419.0000_519520.0000.ogg,这个女性她从来月经一开始呢
data/train/519520.0000_521020.0000.ogg,她就两个月来一次月经
data/train/521020.0000_521690.0000.ogg,非常规律
data/train/521690.0000_522970.0000.ogg,对 对
data/train/522970.0000_524680.0000.ogg,有的呢是三个月来一次月经
data/train/524680.0000_526680.0000.ogg,就叫季经 或者叫居经
data/train/526680.0000_528750.0000.ogg,就是一个季节来一次月经
data/train/528750.0000_529950.0000.ogg,那么 还有的女性呢
data/train/529950.0000_531720.0000.ogg,是一年才来一次月经
data/train/531720.0000_534120.0000.ogg,那么她的一个生理性的前提就是
data/train/534120.0000_536120.0000.ogg,它不影响生育 像这些
data/train/536120.0000_536880.0000.ogg,可以照常生孩子
data/train/536880.0000_537740.0000.ogg,照常生孩子
data/train/537740.0000_539450.0000.ogg,那这些女性还是比较好的
data/train/539450.0000_540220.0000.ogg,是生理性的
data/train/540220.0000_542110.0000.ogg,但是还是非常少见
data/train/542110.0000_544060.0000.ogg,我们在临床上还是非常少见的
data/train/544060.0000_546300.0000.ogg,大多数的女性还是按月来月经的
data/train/546300.0000_546830.0000.ogg,那也就是说
data/train/546830.0000_548670.0000.ogg,也要具体情况具体分析了 是吧
data/train/547950.0000_548670.0000.ogg,具体分析
data/train/548670.0000_549900.0000.ogg,不能认为说 对 对
data/train/549900.0000_551120.0000.ogg,我这就一定是
data/train/551120.0000_552200.0000.ogg,生理现象
data/train/551580.0000_552200.0000.ogg,生理形成的
data/train/552200.0000_553850.0000.ogg,对 那不是这样的
data/train/553850.0000_555000.0000.ogg,那么咱们再谈谈这个
data/train/555000.0000_556400.0000.ogg,中医对它的认识
data/train/556400.0000_558360.0000.ogg,因为中医就是说刚才你也提到了
data/train/558360.0000_561320.0000.ogg,说女子就是二七 天癸至 是吧
data/train/561320.0000_562700.0000.ogg,这时候就会来月经了
data/train/562700.0000_564570.0000.ogg,就能怀孕生孩子了 对吧
data/train/564570.0000_566990.0000.ogg,那么除了跟这肾的关系特别密切
data/train/566990.0000_568490.0000.ogg,你觉着这个月经跟
data/train/568490.0000_570810.0000.ogg,哪一个脏腑关系还是很密切的呢
data/train/570810.0000_573390.0000.ogg,就是月经的这个产生
data/train/573390.0000_575340.0000.ogg,事实上月经的产生吧
data/train/575340.0000_578570.0000.ogg,它的这个是有一个轴 它的调节
data/train/578570.0000_579640.0000.ogg,我刚才说咱们
data/train/579640.0000_582990.0000.ogg,就是女子的这个二七 肾气盛
data/train/582990.0000_585280.0000.ogg,刚才王老师已经说了是肾气盛
data/train/585280.0000_587930.0000.ogg,肾主藏精 主生殖嘛
data/train/587930.0000_588810.0000.ogg,肾气盛
data/train/588810.0000_590940.0000.ogg,然后肾气充盛的情况下呢
data/train/590940.0000_592250.0000.ogg,它就天癸至了
data/train/592250.0000_594120.0000.ogg,所以来月经它有几个条件呢
data/train/594120.0000_595450.0000.ogg,一个是肾气充盛
data/train/595450.0000_596540.0000.ogg,一个是天癸
data/train/596540.0000_598060.0000.ogg,有来潮就是标志着
data/train/598060.0000_600060.0000.ogg,这个生育能力的成熟
data/train/600060.0000_602140.0000.ogg,这个发育到有生育能力了
data/train/602140.0000_603950.0000.ogg,就是生殖功能的一个成熟
data/train/603950.0000_606240.0000.ogg,天癸至 然后是任脉通
data/train/606240.0000_608380.0000.ogg,这个太冲脉充盛
data/train/608380.0000_611480.0000.ogg,这个任脉通 太冲脉充盛
data/train/611480.0000_613230.0000.ogg,然后再作用于胞宫
data/train/613230.0000_615480.0000.ogg,那么冲任脉这个充盛
data/train/615480.0000_617340.0000.ogg,还有它的气血充盛是在
data/train/617340.0000_618620.0000.ogg,是因为靠什么呢
data/train/618620.0000_621470.0000.ogg,是靠的我们五脏六腑的气血来充养
data/train/621470.0000_621840.0000.ogg,是吧
data/train/621840.0000_623840.0000.ogg,我们的冲任的气血
data/train/623840.0000_626240.0000.ogg,那么这个五脏六腑的这个气血呢
data/train/626240.0000_628510.0000.ogg,除了我们刚才说的肾气充足以外
data/train/628510.0000_632080.0000.ogg,和肝脏的这个功能也非常密切
data/train/632080.0000_634830.0000.ogg,那么肝是主藏血 是吧 肝的
data/train/634830.0000_636030.0000.ogg,还有主疏泄 对
data/train/636030.0000_637500.0000.ogg,它肝藏的有余之血
data/train/637500.0000_640330.0000.ogg,就下注于我们胞宫形成月经
data/train/640330.0000_640960.0000.ogg,另外呢
data/train/640960.0000_644540.0000.ogg,月经的按月每个月的这个疏泄有秩
data/train/644540.0000_647560.0000.ogg,也是在肝的疏泄功能的支配下
data/train/647560.0000_649880.0000.ogg,使它先充盈然后再溢泻
data/train/649880.0000_652890.0000.ogg,然后呢就是怎么讲这个词叫
data/train/652890.0000_654570.0000.ogg,从满溢到溢泻
data/train/654570.0000_656750.0000.ogg,然后从胞脉的空虚
data/train/656750.0000_659240.0000.ogg,然后到充盈然后再排泄
data/train/659240.0000_661520.0000.ogg,这样一个周期性的一个变化
data/train/661520.0000_664190.0000.ogg,也和肝的疏泄功能是有关的
data/train/663020.0000_664460.0000.ogg,也就是说这个功能不但
data/train/664460.0000_666720.0000.ogg,跟这个肾所藏的精气有关系
data/train/665880.0000_666720.0000.ogg,都有关
data/train/666720.0000_669020.0000.ogg,跟肝的疏泄有关
data/train/667210.0000_669020.0000.ogg,肝的疏泄也有关系
data/train/669020.0000_671240.0000.ogg,肝的疏泄和藏血也有关系
data/train/671240.0000_672780.0000.ogg,另外和脾脏的
data/train/672780.0000_675150.0000.ogg,脾的运化功能
data/train/675150.0000_677370.0000.ogg,那么脾是后天之本了
data/train/677370.0000_678970.0000.ogg,其实也生化之源 是吧
data/train/678970.0000_681360.0000.ogg,它的水谷精微化生成气血
data/train/681360.0000_683260.0000.ogg,另外呢 脾是主统血的
data/train/683260.0000_684890.0000.ogg,那统血就让脾这个
data/train/684890.0000_686890.0000.ogg,让我们这个血循脉道
data/train/686890.0000_688780.0000.ogg,如果脾的统血功能差了
data/train/688780.0000_689920.0000.ogg,或者藏血功能差了
data/train/689920.0000_691820.0000.ogg,经常会出现一些 出血性的
data/train/691820.0000_693080.0000.ogg,出血性的疾病
data/train/693080.0000_694940.0000.ogg,包括我们月经（期间）的一个（不规律）出血
data/train/694940.0000_696720.0000.ogg,有的时候都是和脾虚的
data/train/696720.0000_700380.0000.ogg,这个脾虚 脾失固涩都是有关系的
data/train/700380.0000_702640.0000.ogg,所以 这些脏腑的作用下
data/train/702640.0000_704080.0000.ogg,还有我们气血冲和的
data/train/704080.0000_705740.0000.ogg,这样一个作用下
data/train/705740.0000_709040.0000.ogg,使得任脉通太冲脉充盛
data/train/709040.0000_711130.0000.ogg,这样的话我们作用于胞宫
data/train/711840.0000_713980.0000.ogg,那么才能让子宫来月经
data/train/713980.0000_716030.0000.ogg,是这样的一个情况
data/train/716030.0000_718640.0000.ogg,这就是月经产生的一些基本的条件
data/train/718640.0000_721280.0000.ogg,和一些 和这样一个调节的过程
data/train/721280.0000_723160.0000.ogg,那么咱们刚才是从中医角度
data/train/723160.0000_725880.0000.ogg,谈了一下这个月经发生的一个原理
data/train/726250.0000_728650.0000.ogg,以及和月经相关的一些脏腑
data/train/728650.0000_729850.0000.ogg,那么从西医角度
data/train/729850.0000_732040.0000.ogg,你能不能简单地用一句话概括一下
data/train/732040.0000_733600.0000.ogg,这个月经这种现象
data/train/733600.0000_735600.0000.ogg,是一个什么样的情况
data/train/735600.0000_736780.0000.ogg,西医学认为
data/train/736780.0000_739340.0000.ogg,所谓的这个子宫周期性的出血
data/train/739340.0000_742080.0000.ogg,是在卵巢激素的作用下
data/train/742080.0000_745610.0000.ogg,然后使得子宫有内膜周期性地脱落
data/train/745610.0000_747020.0000.ogg,就形成了月经
data/train/747020.0000_749230.0000.ogg,那么子宫 这个卵巢激素
data/train/749230.0000_750760.0000.ogg,是分泌激素作用于子宫
data/train/750760.0000_753230.0000.ogg,那么卵巢激素是受哪儿支配的呢
data/train/753230.0000_755120.0000.ogg,是受了下丘脑垂体
data/train/755120.0000_756910.0000.ogg,支配了卵巢分泌激素
data/train/756910.0000_758620.0000.ogg,然后再作用于子宫
data/train/758620.0000_760730.0000.ogg,使子宫内膜一个周期性地脱落
data/train/760730.0000_761920.0000.ogg,这样形成的月经
data/train/761920.0000_763550.0000.ogg,所以呢它是属于一个什么
data/train/763550.0000_766170.0000.ogg,下丘脑 垂体 卵巢 子宫
data/train/766170.0000_768170.0000.ogg,这样一个轴的一个支配
data/train/768170.0000_770540.0000.ogg,那它们之间还存在着一些
data/train/770540.0000_772490.0000.ogg,这个整个周期的过程的一些
data/train/772490.0000_774190.0000.ogg,反馈和负反馈的作用
data/train/774190.0000_775200.0000.ogg,这个可能到以后
data/train/775200.0000_776800.0000.ogg,我们真正学妇科的时候
data/train/776800.0000_778910.0000.ogg,还要提到这样一些的功能
data/train/778910.0000_780460.0000.ogg,那现代医学认为
data/train/780460.0000_783500.0000.ogg,就是这样一个生殖轴的一个调配
data/train/783500.0000_785500.0000.ogg,那么 其实和我们刚才提到的
data/train/785500.0000_788240.0000.ogg,中医的这个肾 天癸
data/train/788240.0000_789840.0000.ogg,冲任 胞宫的这个轴
data/train/789840.0000_791050.0000.ogg,其实是相应的
data/train/791050.0000_793280.0000.ogg,她们把那个轴叫HPO轴 是吧
data/train/793280.0000_793850.0000.ogg,对对对对
data/train/793850.0000_795680.0000.ogg,其实一个生殖轴的一个调控
data/train/795680.0000_796860.0000.ogg,行 那谈完了月经呢
data/train/796860.0000_799130.0000.ogg,那咱们再说说这个带下的事
data/train/799130.0000_801390.0000.ogg,月经谈完了 我们就谈带下
data/train/801390.0000_802590.0000.ogg,这都是女性的一个
data/train/802590.0000_804780.0000.ogg,生殖的一个生理状况
data/train/804780.0000_807520.0000.ogg,生殖特点或者是生理的一个特点
data/train/807520.0000_810700.0000.ogg,那么带下 其实它是有这个广义的
data/train/810700.0000_812680.0000.ogg,还有狭义的带下
data/train/812680.0000_815820.0000.ogg,广义的说泛指这个带下那就是指的
data/train/815820.0000_819320.0000.ogg,泛指的就是女性的妇女的疾病
data/train/819320.0000_820750.0000.ogg,就是在那个
data/train/820750.0000_823100.0000.ogg,《扁鹊仓公列传》里面它就提到
data/train/823100.0000_825500.0000.ogg,扁鹊过沧州 然后闻贵妇人
data/train/825500.0000_826650.0000.ogg,然后就为带下医
data/train/826650.0000_827870.0000.ogg,那个带下事实上
data/train/827870.0000_829840.0000.ogg,就是指的一个广义的带下
data/train/829840.0000_832480.0000.ogg,就是指的泛指的妇科女性的疾病
data/train/832480.0000_834830.0000.ogg,那么狭义的带下呢又有两个意义
data/train/834830.0000_837790.0000.ogg,就是一个指的是生理性的带下
data/train/837790.0000_839790.0000.ogg,还有一个是病理性的带下
data/train/839790.0000_841230.0000.ogg,那么生理性的带下呢
data/train/841230.0000_843450.0000.ogg,是指的女性阴道里边
data/train/843450.0000_846000.0000.ogg,分泌的一些无色透明的
data/train/846000.0000_848410.0000.ogg,无嗅的这样一个分泌物
data/train/848410.0000_849520.0000.ogg,没有特殊气味
data/train/849520.0000_851870.0000.ogg,没有特殊气味的这样一个分泌物
data/train/851870.0000_853630.0000.ogg,它一个是充养
data/train/853630.0000_856670.0000.ogg,充润我们这个阴户 也就是阴道
data/train/856670.0000_860220.0000.ogg,然后另外一个就是防御外邪入侵
data/train/860220.0000_861760.0000.ogg,起到这样一个保护的作用
data/train/861760.0000_864250.0000.ogg,那这个是一个生理性的带下
data/train/864250.0000_867690.0000.ogg,它一般都是在这个月经前后
data/train/867690.0000_869930.0000.ogg,还有排卵期还有妊娠期
data/train/869930.0000_871720.0000.ogg,可能会量增加一些
data/train/871720.0000_873560.0000.ogg,好像这个排卵期这个带下
data/train/873560.0000_875560.0000.ogg,好像跟平时有点不太一样 是吧
data/train/875560.0000_877680.0000.ogg,要不你也再介绍一下 对
data/train/877680.0000_879120.0000.ogg,这个排卵期的时候
data/train/879120.0000_882200.0000.ogg,大家可能都 都会这个这个听到
data/train/882200.0000_884200.0000.ogg,是不是叫排卵期的白带
data/train/884200.0000_886490.0000.ogg,或者是我们就叫锦丝带
data/train/886490.0000_887600.0000.ogg,还有叫锦丝带
data/train/887600.0000_888960.0000.ogg,就是它形容它这个
data/train/888960.0000_891040.0000.ogg,那个时候的白带是一种生理的状况
data/train/891040.0000_892010.0000.ogg,有的时候说
data/train/892010.0000_894650.0000.ogg,像鸡蛋清一样然后但是它能拉丝
data/train/894650.0000_897360.0000.ogg,能拉丝那种生理的状态
data/train/897360.0000_900670.0000.ogg,这个呢主要是指我们在中医学认为
data/train/900670.0000_902830.0000.ogg,我们整个月经周期刚才也提到了
data/train/902830.0000_905370.0000.ogg,它是有一个阴阳气血的转换
data/train/905370.0000_907150.0000.ogg,那么到排卵期的时候呢
data/train/907150.0000_910620.0000.ogg,我们也叫氤氲期 的候期 真机期
data/train/910620.0000_911880.0000.ogg,也叫这些期
data/train/911880.0000_914480.0000.ogg,那这个时候呢她的阴精就充实
data/train/914480.0000_916060.0000.ogg,在阳气的鼓动下呢
data/train/916060.0000_917770.0000.ogg,就要出现阴阳的转化
data/train/917770.0000_919320.0000.ogg,那么这个时候就要排卵了
data/train/919320.0000_921210.0000.ogg,这是我们女性在这个时候
data/train/921210.0000_923980.0000.ogg,是阴精最充实的一个这样一个状态
data/train/923980.0000_925260.0000.ogg,那么 现代医学认为呢
data/train/925260.0000_927180.0000.ogg,就是在排卵前的时候
data/train/927180.0000_928540.0000.ogg,由于雌激素
data/train/928540.0000_930490.0000.ogg,雌孕激素达到了一个高峰
data/train/930490.0000_932490.0000.ogg,那么 在雌激素的作用下
data/train/932490.0000_934860.0000.ogg,宫颈腺体的一个上皮细胞
data/train/934860.0000_936280.0000.ogg,它就出现了增生
data/train/936280.0000_938190.0000.ogg,那么这些分泌物就增加
data/train/938190.0000_941080.0000.ogg,那个液体 就是宫颈的分泌物
data/train/941080.0000_942350.0000.ogg,就变得稀薄
data/train/942350.0000_943740.0000.ogg,那这个时候呢
data/train/943740.0000_945560.0000.ogg,一个呢当然是能起到一个
data/train/945560.0000_947360.0000.ogg,滋养我们的阴户的作用
data/train/947360.0000_948200.0000.ogg,一个就是
data/train/948200.0000_950560.0000.ogg,它因为宫颈的黏液变得稀薄了
data/train/950560.0000_953210.0000.ogg,这个时候就有利于精子的穿透
data/train/953210.0000_955870.0000.ogg,所以 这个时候是很容易受孕的
data/train/955870.0000_957800.0000.ogg,所以 这个时候排卵期的白带
data/train/957800.0000_960010.0000.ogg,是帮助女性受孕的
data/train/960010.0000_962010.0000.ogg,这样一种生理的状态
data/train/962010.0000_962650.0000.ogg,那也就是说
data/train/962650.0000_963560.0000.ogg,根据这个情况
data/train/963560.0000_965260.0000.ogg,如果女性比如想受孕的话
data/train/965260.0000_967200.0000.ogg,她可以观察一下她的白带的特点
data/train/967200.0000_967930.0000.ogg,是吧 对 对对对
data/train/967930.0000_969210.0000.ogg,如果出现这种情况
data/train/969210.0000_971000.0000.ogg,可以考虑要孩子 是吧
data/train/971000.0000_971420.0000.ogg,对对对
data/train/971420.0000_972760.0000.ogg,是最佳的一个时机 是吧
data/train/972760.0000_973690.0000.ogg,对 对 是这样的
data/train/974720.0000_975960.0000.ogg,什么叫月经
data/train/981980.0000_984360.0000.ogg,问月经的内容包括哪些方面
data/train/992360.0000_994640.0000.ogg,正常的月经表现是什么
data/train/1004510.0000_1006760.0000.ogg,有些人的月经虽然有规律
data/train/1006760.0000_1009310.0000.ogg,但不是每月一次 是否正常
data/train/1022380.0000_1023930.0000.ogg,根据中医理论
data/train/1023930.0000_1026859.0000.ogg,为什么有女子以肝为先天的说法
data/train/1039180.0000_1041390.0000.ogg,什么是生理性带下
data/train/1041390.0000_1043390.0000.ogg,生理性带下的作用是什么
data/train/1054680.0000_1055820.0000.ogg,那么 刚才我们谈了
data/train/1055820.0000_1057390.0000.ogg,这个月经带下的一个生理
data/train/1057390.0000_1059360.0000.ogg,咱们现在给大家总结总结
data/train/1059360.0000_1060570.0000.ogg,那么 在临床上
data/train/1060570.0000_1063160.0000.ogg,对病人有月经病 带下病的时候
data/train/1063160.0000_1064650.0000.ogg,我们应该怎么询问
data/train/1064650.0000_1065720.0000.ogg,比如说问月经的时候
data/train/1065720.0000_1067720.0000.ogg,我们应该抓住哪些要点 怎么去问
data/train/1068670.0000_1070810.0000.ogg,那这个当然我们还是要围绕着
data/train/1070810.0000_1072040.0000.ogg,月经的一个周期
data/train/1072040.0000_1073470.0000.ogg,像我们刚才提到了
data/train/1073470.0000_1077150.0000.ogg,问月经要问它的期 量 色 质
data/train/1077150.0000_1078330.0000.ogg,那我刚才也说了
data/train/1078330.0000_1079080.0000.ogg,问它的期
data/train/1079080.0000_1082090.0000.ogg,首先要问它的周期和带经期
data/train/1082090.0000_1083580.0000.ogg,那么 问它的量
data/train/1083580.0000_1087560.0000.ogg,你要问它的多少 量有多和少
data/train/1087560.0000_1089790.0000.ogg,像我们现在一般地问就用
data/train/1089790.0000_1092160.0000.ogg,问你带你20毫升还是80毫升
data/train/1092160.0000_1093660.0000.ogg,有时候病人 不好（回答）
data/train/1092830.0000_1093660.0000.ogg,对 病人没法（回答）
data/train/1093660.0000_1096600.0000.ogg,有的时候问你用几个卫生巾
data/train/1096600.0000_1098460.0000.ogg,是加长的 夜用的
data/train/1098460.0000_1099680.0000.ogg,用多少个卫生巾
data/train/1099680.0000_1100920.0000.ogg,我们大概估算一下
data/train/1100920.0000_1103390.0000.ogg,比如她一天用十个加长的卫生巾
data/train/1103390.0000_1105760.0000.ogg,那一定是量很大很大了 是吧
data/train/1105760.0000_1107310.0000.ogg,然后她还会给你描述
data/train/1107310.0000_1109180.0000.ogg,甚至把衣裤都湿透了
data/train/1109180.0000_1110960.0000.ogg,那一定也是很大的量了
data/train/1110960.0000_1112280.0000.ogg,要问她的量
data/train/1112280.0000_1114880.0000.ogg,然后要问她的有没有血块
data/train/1114880.0000_1116880.0000.ogg,来月经的时候伴没伴有痛经
data/train/1116880.0000_1118880.0000.ogg,这些都是我们要问到的
data/train/1118880.0000_1121070.0000.ogg,再有一个呢我们要强调一下
data/train/1121070.0000_1123180.0000.ogg,就是一定要问她的末次月经
data/train/1123580.0000_1125720.0000.ogg,问她末次月经 非常重要
data/train/1125720.0000_1127530.0000.ogg,因为有一些女性
data/train/1127530.0000_1129290.0000.ogg,甚至有的女性月经不规律的
data/train/1129290.0000_1131470.0000.ogg,我们还要问到末次前月经
data/train/1131470.0000_1133760.0000.ogg,这个呢你问到她末次月经
data/train/1133760.0000_1134640.0000.ogg,就最后一次月经
data/train/1134640.0000_1135680.0000.ogg,你什么时候来的
data/train/1135680.0000_1138480.0000.ogg,和这次来看病的日子你算一下
data/train/1138480.0000_1141400.0000.ogg,那么如果这个月经已经超过期了
data/train/1141400.0000_1143710.0000.ogg,那她平时月经又是正常的
data/train/1143710.0000_1145290.0000.ogg,所以我们这个时候要是一个
data/train/1145290.0000_1146830.0000.ogg,育龄期的女性
data/train/1146830.0000_1148090.0000.ogg,已经结婚了
data/train/1148090.0000_1149950.0000.ogg,或者有性生活
data/train/1149950.0000_1152320.0000.ogg,我们就要除外一下妊娠的可能
data/train/1152320.0000_1154030.0000.ogg,对 我觉得这个也特别重要
data/train/1154030.0000_1155370.0000.ogg,否则你把它当闭经治疗
data/train/1155370.0000_1157530.0000.ogg,用活血化瘀的这种方法来治疗
data/train/1157530.0000_1158410.0000.ogg,可能会出事的
data/train/1158410.0000_1159210.0000.ogg,对对对
data/train/1159210.0000_1159800.0000.ogg,提到这儿的时候
data/train/1159800.0000_1161120.0000.ogg,我想就想起来一个事
data/train/1161120.0000_1162410.0000.ogg,就是我在上学的时候
data/train/1162410.0000_1163470.0000.ogg,老师教我们问这个
data/train/1163470.0000_1165520.0000.ogg,妇女的这个 这个个人史的时候
data/train/1165520.0000_1167290.0000.ogg,经常问结婚了没有
data/train/1167290.0000_1170640.0000.ogg,因为过去意味着结婚才有性生活史
data/train/1170640.0000_1172640.0000.ogg,现在我觉得好像 时代不同了
data/train/1172640.0000_1173850.0000.ogg,问法也不一样了
data/train/1173850.0000_1175400.0000.ogg,你在临床上是怎么问的
data/train/1175400.0000_1176830.0000.ogg,我们只要着重问她
data/train/1176830.0000_1178240.0000.ogg,如果是育龄期女性
data/train/1178240.0000_1180540.0000.ogg,你一定要问她有没有过性生活史
data/train/1180540.0000_1181840.0000.ogg,这是最重要的
data/train/1181840.0000_1183100.0000.ogg,如果有性生活史
data/train/1183100.0000_1185280.0000.ogg,那么就一定要再问月经病的时候
data/train/1185280.0000_1188890.0000.ogg,要除外一些这个妊娠的病的可能
data/train/1189560.0000_1191120.0000.ogg,确实是这样一个情况
data/train/1191120.0000_1192560.0000.ogg,因为时代变化了
data/train/1192560.0000_1194250.0000.ogg,那么现在并不一定就是
data/train/1194250.0000_1195880.0000.ogg,未婚先孕的女性
data/train/1195880.0000_1198110.0000.ogg,也很多很多了这个
data/train/1198110.0000_1200270.0000.ogg,所以 一定要除外这样一些
data/train/1200270.0000_1202760.0000.ogg,治疗月经病的一个隐患
data/train/1202760.0000_1203450.0000.ogg,我们可以说
data/train/1203450.0000_1204810.0000.ogg,可以说是这样一个情况
data/train/1204810.0000_1206650.0000.ogg,有的时候如果是病人
data/train/1206650.0000_1209770.0000.ogg,看起来她的这个不太好描述的话
data/train/1209770.0000_1211770.0000.ogg,你最好把跟她来的这个
data/train/1211770.0000_1213340.0000.ogg,家属或者朋友
data/train/1213340.0000_1215610.0000.ogg,先让他们回避一下
data/train/1215610.0000_1217840.0000.ogg,然后我们跟病人认真地交流
data/train/1217840.0000_1219400.0000.ogg,这样的话我们问出来她
data/train/1219400.0000_1222990.0000.ogg,确实是 是这个有没有过性生活史
data/train/1222990.0000_1223770.0000.ogg,来判断一下
data/train/1223770.0000_1226200.0000.ogg,下一步要不要除外一个妊娠的疾病
data/train/1226200.0000_1227960.0000.ogg,这个确实是很重要
data/train/1227960.0000_1229160.0000.ogg,甚至有一些女性说她
data/train/1229160.0000_1231000.0000.ogg,月经按周期来了
data/train/1231000.0000_1233100.0000.ogg,但是这次的量和上次不一样
data/train/1233100.0000_1234760.0000.ogg,我们都要除外
data/train/1234760.0000_1236890.0000.ogg,这个是不是有过性生活史都要除外
data/train/1236890.0000_1238200.0000.ogg,妊娠疾病的
data/train/1238200.0000_1240030.0000.ogg,是不是有可能是先兆流产的
data/train/1240030.0000_1241180.0000.ogg,对 也可能是先兆流产
data/train/1241180.0000_1242760.0000.ogg,甚至是宫外孕的表现
data/train/1242760.0000_1244110.0000.ogg,比如她这次来月经了
data/train/1244110.0000_1246110.0000.ogg,她看 说哎呦 我这次来的就是
data/train/1246110.0000_1246940.0000.ogg,特别不舒服
data/train/1246940.0000_1249390.0000.ogg,好像就是肚子胀 下不来似的
data/train/1249390.0000_1251390.0000.ogg,那个你给我开一点活血的药
data/train/1251390.0000_1252800.0000.ogg,让它来得痛快一点
data/train/1252800.0000_1254860.0000.ogg,那如果她有性生活史的话
data/train/1254860.0000_1257000.0000.ogg,这次的量和上次少了很多
data/train/1257000.0000_1258300.0000.ogg,我们还是要除外
data/train/1258300.0000_1259980.0000.ogg,她这次是不是妊娠
data/train/1259980.0000_1261630.0000.ogg,如果是妊娠了我们还要除外
data/train/1261630.0000_1263710.0000.ogg,她是先兆流产还是宫外孕
data/train/1263710.0000_1265280.0000.ogg,这个是很重要的
data/train/1265280.0000_1267790.0000.ogg,否则的话一旦贻误了你开错药了
data/train/1267790.0000_1269920.0000.ogg,对病人的这个身体
data/train/1269920.0000_1271850.0000.ogg,是有很大的影响的
data/train/1271850.0000_1272460.0000.ogg,还有一个就是
data/train/1272460.0000_1274110.0000.ogg,有很多病人月经不规律
data/train/1274110.0000_1276360.0000.ogg,本来就几个月来一次 是吧
data/train/1276360.0000_1277880.0000.ogg,但是偶尔它可能会来一次
data/train/1277880.0000_1278280.0000.ogg,排卵
data/train/1278280.0000_1280350.0000.ogg,她可能也有可能怀孕的可能性是吧
data/train/1279290.0000_1280350.0000.ogg,对对对对
data/train/1280350.0000_1281740.0000.ogg,我有一次就碰到一个病人
data/train/1281740.0000_1283740.0000.ogg,就是两三个月月经不来了
data/train/1283740.0000_1284200.0000.ogg,她就找我
data/train/1284200.0000_1285790.0000.ogg,说你看大夫我这个月经老不来
data/train/1285790.0000_1287790.0000.ogg,你给我开点药让我月经来吧
data/train/1287790.0000_1289080.0000.ogg,我看了看她的情况
data/train/1289080.0000_1290960.0000.ogg,我说你是不是先去排除一下怀孕
data/train/1290960.0000_1292700.0000.ogg,她跟我说我坚决不可能怀孕
data/train/1292700.0000_1294080.0000.ogg,后来我说你这样吧
data/train/1294080.0000_1295150.0000.ogg,你还是先去查
data/train/1295150.0000_1296620.0000.ogg,查完了你再吃我的药
data/train/1296620.0000_1297740.0000.ogg,结果第二次她来了说
data/train/1297740.0000_1299290.0000.ogg,大夫 对不起我怀孕了
data/train/1299290.0000_1300570.0000.ogg,我还想要这个孩子
data/train/1300570.0000_1301850.0000.ogg,所以 如果这种情况下
data/train/1301850.0000_1303850.0000.ogg,你就是 断然就觉着说是个闭经
data/train/1303850.0000_1305440.0000.ogg,你去治疗的话 可能会出事的
data/train/1305440.0000_1307100.0000.ogg,还有个事我觉着就是
data/train/1307100.0000_1308140.0000.ogg,关于这个月经周期
data/train/1308140.0000_1309600.0000.ogg,我觉得很多病人都闹不清楚
data/train/1309600.0000_1311880.0000.ogg,我也希望咱们谈谈让学生明白
data/train/1311880.0000_1313480.0000.ogg,这个月经周期怎么算
data/train/1313480.0000_1314250.0000.ogg,很多病人都说
data/train/1314250.0000_1316730.0000.ogg,比如她1号来的月经 7号完的
data/train/1316730.0000_1317610.0000.ogg,她说她的月经周期
data/train/1317610.0000_1320300.0000.ogg,从7号到下周来之间去算
data/train/1320300.0000_1321770.0000.ogg,其实是不对的 对吧
data/train/1321770.0000_1323930.0000.ogg,我们应该从来月经的第一天
data/train/1323930.0000_1325580.0000.ogg,到下一次的第一天之间
data/train/1325580.0000_1328240.0000.ogg,这才能叫作月经周期 对 对
data/train/1328240.0000_1329470.0000.ogg,这个也是很重要
data/train/1329470.0000_1331710.0000.ogg,其实这是一个很科普的一个知识
data/train/1331710.0000_1332940.0000.ogg,但是好多人不知道啊
data/train/1332940.0000_1336160.0000.ogg,说月经周期我们所有我们跟病人说
data/train/1336160.0000_1338160.0000.ogg,只要是说到月经的周期
data/train/1338160.0000_1340990.0000.ogg,一定是从你这次来月经的第一天
data/train/1340990.0000_1343440.0000.ogg,到下次来月经的第一天来算
data/train/1343440.0000_1344880.0000.ogg,这是一个月经周期
data/train/1344880.0000_1346590.0000.ogg,所以有的病人就来了就描述
data/train/1346590.0000_1349900.0000.ogg,就说我月经中间停了7天
data/train/1349900.0000_1352330.0000.ogg,我这7天之内我就又来月经了
data/train/1352330.0000_1354140.0000.ogg,所以我们有的时候我们刚开始
data/train/1354140.0000_1355980.0000.ogg,写问诊的时候 没有太多经验
data/train/1355980.0000_1357130.0000.ogg,就月经7天一潮
data/train/1357130.0000_1358080.0000.ogg,那其实根本不是
data/train/1358080.0000_1359470.0000.ogg,我们再仔细问一下
data/train/1359470.0000_1360780.0000.ogg,月经来了多少天了
data/train/1360780.0000_1362560.0000.ogg,她月经来了10几天
data/train/1362560.0000_1363950.0000.ogg,甚至来了12天
data/train/1363950.0000_1366140.0000.ogg,那么中间它又隔了7天
data/train/1366140.0000_1367520.0000.ogg,7天以后才又来了
data/train/1367520.0000_1369150.0000.ogg,那其实这是一个月经周期
data/train/1369150.0000_1370400.0000.ogg,可能就是20天左右
data/train/1370400.0000_1371600.0000.ogg,她来了一次月经
data/train/1371600.0000_1373130.0000.ogg,所以我觉着 让病人说
data/train/1373130.0000_1374480.0000.ogg,假设说你1号来的上次
data/train/1374480.0000_1376190.0000.ogg,这次什么时候来的 这次一定从
data/train/1376190.0000_1377840.0000.ogg,比如说从第一次来的
data/train/1377840.0000_1380460.0000.ogg,到下一次来月经的那一天
data/train/1380460.0000_1382160.0000.ogg,这才是一个月经周期
data/train/1382160.0000_1384520.0000.ogg,有的病人算排卵期都能算错
data/train/1384520.0000_1385610.0000.ogg,就是她认为
data/train/1385610.0000_1387360.0000.ogg,从月经完了的那一天
data/train/1387360.0000_1388920.0000.ogg,才开始算月经周期
data/train/1388920.0000_1391290.0000.ogg,然后她算这十天之内都是安全的
data/train/1391290.0000_1392510.0000.ogg,岂不知你这十天之内
data/train/1392510.0000_1393500.0000.ogg,正好到了排卵期
data/train/1393500.0000_1394040.0000.ogg,因为什么呢
data/train/1394040.0000_1396140.0000.ogg,是从月经的第一天开始算
data/train/1396140.0000_1398200.0000.ogg,那么你正好月经来了7天
data/train/1398200.0000_1399050.0000.ogg,又过了7天
data/train/1399050.0000_1400920.0000.ogg,正好这是就到排卵期了
data/train/1400920.0000_1403320.0000.ogg,你怎么能从月经干净了7天再算
data/train/1403320.0000_1405470.0000.ogg,再算那就已经过了排卵期了
data/train/1405470.0000_1407150.0000.ogg,除了刚才这些内容之外呢
data/train/1407150.0000_1408480.0000.ogg,其实我们在
data/train/1408480.0000_1409840.0000.ogg,那你月经的时候还要注意
data/train/1409840.0000_1411280.0000.ogg,就像你前边也提到的
data/train/1411280.0000_1413280.0000.ogg,你月经前后有没有不舒服 是吧
data/train/1413280.0000_1415870.0000.ogg,比如乳房胀痛啊 触痛啊
data/train/1415870.0000_1419480.0000.ogg,有没有觉得头疼啊 水肿啊
data/train/1419480.0000_1422270.0000.ogg,就你以后要说的那个月经前后诸证
data/train/1422270.0000_1425340.0000.ogg,对于这个月经紊乱了快绝经的病人
data/train/1425340.0000_1426510.0000.ogg,我们也要问问她
data/train/1426510.0000_1427820.0000.ogg,是不是伴有轰热汗出啊
data/train/1427820.0000_1428960.0000.ogg,对 等等是吧
data/train/1428960.0000_1430720.0000.ogg,当然这个病呢咱们就不展开讲了
data/train/1430720.0000_1432720.0000.ogg,等将来到你们妇科的时候呢
data/train/1432720.0000_1434410.0000.ogg,再给大家详细讲
data/train/1434410.0000_1435610.0000.ogg,另外咱们再谈谈就是
data/train/1435610.0000_1437050.0000.ogg,在（区）分带下的时候
data/train/1437050.0000_1438190.0000.ogg,一个病理性带下的时候
data/train/1438190.0000_1440350.0000.ogg,我们应该从哪几个要点去询问呢
data/train/1440780.0000_1442350.0000.ogg,带下它就是
data/train/1442350.0000_1445710.0000.ogg,我们看月经是问的期 量 色 质
data/train/1445710.0000_1448350.0000.ogg,带下是问的量 色 质 味
data/train/1448350.0000_1450600.0000.ogg,从她的带下的量开始问
data/train/1450600.0000_1452270.0000.ogg,那么 我们刚才是讲了一下
data/train/1452270.0000_1453260.0000.ogg,生理性的带下
data/train/1453260.0000_1454320.0000.ogg,就是它是一种
data/train/1454320.0000_1456320.0000.ogg,女性正常的生理状态
data/train/1456320.0000_1458140.0000.ogg,那么狭义的那个带下
data/train/1458140.0000_1459440.0000.ogg,有一个生理性的带下
data/train/1459440.0000_1461100.0000.ogg,还有一个病理性的带下
data/train/1461100.0000_1463690.0000.ogg,那么就属于我们带下病的范畴了
data/train/1463690.0000_1466360.0000.ogg,那这个它的时候量 色 质 味
data/train/1466360.0000_1467840.0000.ogg,就都出现了异常
data/train/1467840.0000_1470300.0000.ogg,也就是说量看看是不是比正常多了
data/train/1470300.0000_1471870.0000.ogg,颜色 质地是不是发生了改变
data/train/1471870.0000_1472510.0000.ogg,对 对
data/train/1472510.0000_1474350.0000.ogg,是不是伴随着一些气味 是吧
data/train/1474350.0000_1475950.0000.ogg,对 这都是我们问带下的
data/train/1475950.0000_1477480.0000.ogg,带下应该问的内容
data/train/1477480.0000_1478600.0000.ogg,甚至我们有时候必要的话
data/train/1478600.0000_1480040.0000.ogg,还结合一些化验 是吧
data/train/1480040.0000_1480460.0000.ogg,没错
data/train/1480460.0000_1482000.0000.ogg,看看是哪一种细菌
data/train/1482000.0000_1483100.0000.ogg,或者是其他的微生物
data/train/1483100.0000_1484000.0000.ogg,而导致的是不是啊
data/train/1484000.0000_1484700.0000.ogg,对 对是这样的
data/train/1484700.0000_1486240.0000.ogg,那看来这个月经呢
data/train/1486240.0000_1489820.0000.ogg,我们说跟人的这个肾 肝 脾
data/train/1489820.0000_1491360.0000.ogg,还有我们的气血 精血
data/train/1491360.0000_1493040.0000.ogg,关系是非常密切的
data/train/1493040.0000_1494300.0000.ogg,不但就是说这个病人因为
data/train/1494300.0000_1495610.0000.ogg,月经病 带下病
data/train/1495610.0000_1496590.0000.ogg,找我们看病的时候
data/train/1496590.0000_1497740.0000.ogg,我们要问这些内容
data/train/1497740.0000_1499500.0000.ogg,其实咱们中医传统
data/train/1499500.0000_1501710.0000.ogg,比如 十问歌 特别强调要问妇女
data/train/1501710.0000_1503770.0000.ogg,就是说即使没有月经 带下
data/train/1503770.0000_1505340.0000.ogg,专门的这种病变的话
data/train/1505340.0000_1506860.0000.ogg,我们也可以问问她的情况
data/train/1506860.0000_1509720.0000.ogg,可能对于我们从整体上来辨别病证
data/train/1509720.0000_1511520.0000.ogg,也是非常有意义的 对吧
data/train/1511520.0000_1512990.0000.ogg,那么 月经相关的病
data/train/1512990.0000_1514190.0000.ogg,我们总结起来就是
data/train/1514190.0000_1515880.0000.ogg,一个就是月经周期的异常 是吧
data/train/1515880.0000_1517880.0000.ogg,先期 后期 先后不定期
data/train/1517880.0000_1519580.0000.ogg,第二个就是月经量的变化
data/train/1519580.0000_1520830.0000.ogg,你比如月经量少啊
data/train/1520830.0000_1522460.0000.ogg,月经量多呀等等
data/train/1522460.0000_1524910.0000.ogg,另外一些月经相关的病变
data/train/1524910.0000_1526620.0000.ogg,比如还有崩漏 是吧
data/train/1526620.0000_1528620.0000.ogg,还有这个月经来的时候肚子疼
data/train/1528620.0000_1529580.0000.ogg,叫痛经
data/train/1529580.0000_1531310.0000.ogg,另外呢 就是说跟月经
data/train/1531310.0000_1533500.0000.ogg,来有关系的一些表现
data/train/1533500.0000_1535120.0000.ogg,叫作月经前后诸证
data/train/1535120.0000_1537020.0000.ogg,还有这个就是分为
data/train/1537020.0000_1538140.0000.ogg,绝经期妇女有关系的
data/train/1538140.0000_1542330.0000.ogg,比如叫作绝经前后诸证等等
data/train/1542330.0000_1544970.0000.ogg,这些都是跟月经相关的一些病变
data/train/1544970.0000_1545600.0000.ogg,疾病 对
data/train/1545600.0000_1546300.0000.ogg,一些疾病
data/train/1546300.0000_1547820.0000.ogg,然后呢 带下呢就相对来说
data/train/1547820.0000_1549230.0000.ogg,比较单纯一点点儿了 是吧
data/train/1549230.0000_1550940.0000.ogg,那带下就是属于一个
data/train/1550940.0000_1552090.0000.ogg,也是一个章节
data/train/1552090.0000_1554440.0000.ogg,它是一下 专门的带下病
data/train/1553600.0000_1554440.0000.ogg,带下病 对
data/train/1554440.0000_1555480.0000.ogg,在诊断那门课里呢
data/train/1555480.0000_1558040.0000.ogg,我们就给大家会简单地介绍一下
data/train/1558040.0000_1559340.0000.ogg,怎么去问带下
data/train/1559340.0000_1561630.0000.ogg,以及常见的这些带下异常的表现
data/train/1561630.0000_1563630.0000.ogg,那么特别详细的内容呢
data/train/1563630.0000_1564970.0000.ogg,可能都得学生将来到
data/train/1564970.0000_1567470.0000.ogg,你们那里学习妇科学的时候呢
data/train/1567470.0000_1569960.0000.ogg,才会去学习这些内容 对 是吧
data/train/1570360.0000_1571720.0000.ogg,通过刚才的谈论呢
data/train/1571720.0000_1573320.0000.ogg,可能大家已经熟悉了
data/train/1573320.0000_1574520.0000.ogg,月经 带下
data/train/1574520.0000_1576750.0000.ogg,都是我们正常的一种生理现象
data/train/1576750.0000_1578220.0000.ogg,在一定的条件下呢
data/train/1578220.0000_1580640.0000.ogg,这些现象会发生一些病理性的改变
data/train/1580640.0000_1582410.0000.ogg,表现为各种各样的病
data/train/1582410.0000_1583530.0000.ogg,那么这些病呢
data/train/1583530.0000_1585070.0000.ogg,我将在下一节课当中
data/train/1585070.0000_1586540.0000.ogg,给大家详细地讲解
data/train/1586540.0000_1588080.0000.ogg,今天的课就到这里
data/train/1588080.0000_1589640.0000.ogg,谢谢雁峰教授的参与
data/train/281167.0000_286375.0000.ogg,Any deviation could cause great inconvenience or even danger to the patient
data/train/286375.0000_290667.0000.ogg,"Hence, when we decide to walk this path with the patient,"
data/train/290667.0000_292751.0000.ogg,we could all feel the weight of responsibility
data/train/302042.0000_306584.0000.ogg,"This morning, NUH Surgery Centre..."
data/train/306584.0000_308459.0000.ogg,has just completed one surgery
data/train/308459.0000_312375.0000.ogg,The medical team had to immediately prepare for the next one
data/train/316542.0000_318999.0000.ogg,"Hello, Mr Afendi"
data/train/318999.0000_320667.0000.ogg,Dr Wang here
data/train/320667.0000_323999.0000.ogg,26-year-old Afendi is also at the hospital today...
data/train/323999.0000_326834.0000.ogg,to undergo the first surgery of his life
data/train/326834.0000_330667.0000.ogg,This is to mark out the surgical site
data/train/330667.0000_332792.0000.ogg,"I understand people usually get worried,"
data/train/332792.0000_334876.0000.ogg,"but you know, you always go for surgery..."
data/train/334876.0000_336918.0000.ogg,to get better
data/train/336918.0000_338876.0000.ogg,"So, I look forward to it"
data/train/339334.0000_340792.0000.ogg,Can you move your knee straight?
data/train/340792.0000_343334.0000.ogg,"Had it not been for an incident three months ago,"
data/train/343334.0000_347250.0000.ogg,"Afendi, who has always been healthy, would not have needed an operation"
data/train/351375.0000_353626.0000.ogg,Afendi loved playing soccer since he was a child
data/train/353626.0000_357626.0000.ogg,He rarely plays since he started his family
data/train/358125.0000_360083.0000.ogg,"However, three months ago,"
data/train/360083.0000_364417.0000.ogg,a colleague's invitation rekindled his passion for the sport
data/train/364417.0000_366000.0000.ogg,"During a friendly match,"
data/train/366000.0000_368125.0000.ogg,Afendi had only been on the field for a short while...
data/train/368125.0000_370459.0000.ogg,when there was a loud sound from his leg
data/train/373709.0000_375083.0000.ogg,"So, how it happened was,"
data/train/375083.0000_378375.0000.ogg,I wanted to pass the ball across...
data/train/378375.0000_381542.0000.ogg,and might have wrongly twisted my knee
data/train/382667.0000_385459.0000.ogg,I think that caused the knee to give away
data/train/385459.0000_387959.0000.ogg,"In that moment, I thought I broke my leg"
data/train/387959.0000_389709.0000.ogg,It was really painful. I couldn't bear it
data/train/390959.0000_392209.0000.ogg,"After diagnosis,"
data/train/392209.0000_396209.0000.ogg,doctors found out that Afendi had torn his ACL
data/train/396209.0000_399375.0000.ogg,This is a fairly common injury
data/train/399751.0000_404542.0000.ogg,ACL is one of the most important ligaments in the knee
data/train/404542.0000_407542.0000.ogg,It is located on the inside of the knee
data/train/407542.0000_411292.0000.ogg,"Its function is to prevent the knee from moving back and forth,"
data/train/411292.0000_413375.0000.ogg,"hence, keeping the joint stable"
data/train/414082.0000_419375.0000.ogg,(33% of Singaporeans exercise regularly)
data/train/419375.0000_428000.0000.ogg,(Sports injuries are expected to rise as the amount of exercise increases)
data/train/429000.0000_431751.0000.ogg,"Hello, are you ready? -Yes"
data/train/432209.0000_437125.0000.ogg,Today's surgery is to reconstruct Afendi's torn ligaments
data/train/437125.0000_440000.0000.ogg,"However, although he was looking forward to having the surgery,"
data/train/440000.0000_442626.0000.ogg,he is feeling a little nervous at this point
data/train/443125.0000_446042.0000.ogg,"Now that I'm all gowned up,"
data/train/446042.0000_447709.0000.ogg,the nerves have started to kick in
data/train/451584.0000_453999.0000.ogg,Everyone was waiting for me
data/train/453999.0000_456542.0000.ogg,Everyone just gathered around me
data/train/456542.0000_458667.0000.ogg,It was something really new
data/train/476918.0000_480709.0000.ogg,(National University Hospital)
data/train/481125.0000_483125.0000.ogg,(45 minutes before spine surgery)
data/train/483459.0000_485417.0000.ogg,"Royston, who suffers from cervical spondylosis,"
data/train/485417.0000_487667.0000.ogg,came to the hospital this morning for surgery
data/train/487667.0000_489999.0000.ogg,"One, two, three, up"
data/train/489999.0000_492999.0000.ogg,"As the incision site is very close to the spinal cord,"
data/train/492999.0000_497167.0000.ogg,"which can affect the function of upper and lower limbs if damaged,"
data/train/497167.0000_499417.0000.ogg,"or even cause paralysis,"
data/train/499417.0000_502501.0000.ogg,the surgical team must check the patient's nerve functions...
data/train/502501.0000_505834.0000.ogg,periodically during the surgery
data/train/507125.0000_508209.0000.ogg,"Basically, this is inserted..."
data/train/508209.0000_509918.0000.ogg,into the patient's muscle...
data/train/509959.0000_511667.0000.ogg,to be able to detect activity
data/train/511709.0000_513167.0000.ogg,"During the surgery,"
data/train/513209.0000_514459.0000.ogg,this will be run in real time...
data/train/514501.0000_515709.0000.ogg,to see if there's any irritation...
data/train/515709.0000_518042.0000.ogg,of the muscles and the nerves
data/train/524042.0000_525417.0000.ogg,Image
data/train/525792.0000_527751.0000.ogg,This is five and six?
data/train/528918.0000_533209.0000.ogg,"After everything was ready, Dr Dennis made the first cut"
data/train/539542.0000_542042.0000.ogg,"Okay, I see the oesophagus"
data/train/542042.0000_543667.0000.ogg,"Okay, drill"
data/train/544000.0000_548209.0000.ogg,The first part of the surgery is to remove the damaged disc...
data/train/548209.0000_551167.0000.ogg,to relieve pressure on the nerve
data/train/551167.0000_553626.0000.ogg,What you're seeing is actually the disc space
data/train/553626.0000_555042.0000.ogg,These two are bones
data/train/555042.0000_556042.0000.ogg,And that's the disc space
data/train/556042.0000_557584.0000.ogg,We're going to enter the disc space...
data/train/557584.0000_558876.0000.ogg,to take out the disc
data/train/558876.0000_560375.0000.ogg,"Okay, knife"
data/train/568125.0000_573709.0000.ogg,A surgery is like a journey through life
data/train/573709.0000_578876.0000.ogg,"When we encounter bones, it is like encountering setbacks in life"
data/train/578876.0000_583292.0000.ogg,"As bones are hard structures,"
data/train/583292.0000_586417.0000.ogg,we need to fight and work our way through
data/train/587751.0000_590042.0000.ogg,"Sometimes, because of degeneration,"
data/train/590042.0000_591667.0000.ogg,this segment is quite stiff
data/train/591667.0000_593542.0000.ogg,We need to start it moving again
data/train/594999.0000_596459.0000.ogg,"Now we go for the depth,"
data/train/596459.0000_598584.0000.ogg,where we should see the spinal cord
data/train/600292.0000_603584.0000.ogg,The nerve cord is a soft tissue
data/train/603584.0000_606167.0000.ogg,Encountering it is like something...
data/train/606167.0000_610792.0000.ogg,that needs to be taken slow and with caution in life
data/train/610792.0000_614292.0000.ogg,This is like a reflection of life
data/train/614918.0000_616250.0000.ogg,"That's the last layer,"
data/train/616250.0000_618167.0000.ogg,this shiny pearly white layer
data/train/618167.0000_620709.0000.ogg,"After this layer, you'll see the spinal cord"
data/train/626375.0000_627876.0000.ogg,Do you see it?
data/train/633167.0000_638042.0000.ogg,(15 minutes before ACL reconstruction surgery)
data/train/640542.0000_644334.0000.ogg,"Afendi, who accidentally tore his ACL playing soccer,"
data/train/644334.0000_648542.0000.ogg,is undergoing ACL reconstruction surgery in another operating theatre
data/train/649667.0000_651042.0000.ogg,Archer
data/train/651042.0000_655667.0000.ogg,"ACL reconstruction, in fact, has been around for over a hundred years"
data/train/655667.0000_657626.0000.ogg,"To replace the torn ligament,"
data/train/657626.0000_661834.0000.ogg,doctors previously even experimented with ribbons and carbon fibres
data/train/661834.0000_666999.0000.ogg,"However, many procedures now utilize the patient's own grafts instead"
data/train/667501.0000_671125.0000.ogg,The basic procedure for ACL surgery...
data/train/671125.0000_673125.0000.ogg,is to first obtain...
data/train/673125.0000_675792.0000.ogg,the patient's hamstring tendon
data/train/675792.0000_678125.0000.ogg,"Once, that is done, we prep it for grafting"
data/train/678125.0000_679751.0000.ogg,"Okay, stitch please"
data/train/680042.0000_681667.0000.ogg,The function of the hamstring tendon...
data/train/681709.0000_685292.0000.ogg,is mainly to attach the muscles of the leg to the bone
data/train/685292.0000_687542.0000.ogg,It can usually regrow after removal
data/train/687959.0000_690959.0000.ogg,"After Dr Wang removed the graft,"
data/train/690959.0000_693209.0000.ogg,he hands it over to his assistant for preparation
data/train/693209.0000_697083.0000.ogg,"That way, he can move on to the next part of the surgery,"
data/train/697083.0000_699417.0000.ogg,which is to repair the menisci
data/train/701250.0000_702959.0000.ogg,These two are the menisci
data/train/703626.0000_707334.0000.ogg,The menisci are the cartilages between the thigh bone and the calf bone
data/train/707334.0000_712417.0000.ogg,Many patients with torn ligaments will also have damaged menisci
data/train/712918.0000_715834.0000.ogg,The menisci are closed now
data/train/715834.0000_720709.0000.ogg,We will move it in such a way that we can open up this space...
data/train/720709.0000_722626.0000.ogg,so that we can see more clearly
data/train/723626.0000_728334.0000.ogg,It is not easy to operate in the narrow space of the knee
data/train/729334.0000_731584.0000.ogg,Bend the knee 90 degrees
data/train/731918.0000_735209.0000.ogg,"If we want to drill a hole in the thigh bone,"
data/train/735209.0000_738125.0000.ogg,we need to bend his knee
data/train/738125.0000_742918.0000.ogg,We can then drill the hole from the inner side
data/train/743792.0000_746959.0000.ogg,"In fact, once the ACL is torn,"
data/train/746959.0000_750125.0000.ogg,"symptoms such as pain and swelling,"
data/train/750125.0000_752042.0000.ogg,will gradually reduce
data/train/752042.0000_755000.0000.ogg,"However, without reconstruction surgery,"
data/train/755000.0000_757959.0000.ogg,it is difficult for the patient to participate in certain sports in the future
data/train/758918.0000_761918.0000.ogg,The knee injury may be at the knee only
data/train/761918.0000_765042.0000.ogg,"However, it can affect them in many ways"
data/train/765042.0000_768334.0000.ogg,"For example, if the patient is very fond of playing soccer,"
data/train/768334.0000_771626.0000.ogg,he might feel that he lost certain joys in life
data/train/771626.0000_774959.0000.ogg,His overall health may deteriorate as a result
data/train/783209.0000_785042.0000.ogg,(One hour into the spine surgery)
data/train/785042.0000_786876.0000.ogg,"In another operating theatre,"
data/train/786876.0000_791751.0000.ogg,Dr Dennis Hey is carefully removing the cervical disc...
data/train/791751.0000_796334.0000.ogg,as he is getting closer to the spinal cord hidden in the spine
data/train/796334.0000_797834.0000.ogg,Any issues with the nerves?
data/train/797876.0000_799000.0000.ogg,No irritation
data/train/799042.0000_799959.0000.ogg,Thank you
data/train/800542.0000_801459.0000.ogg,That's the spinal cord
data/train/801459.0000_802876.0000.ogg,That shiny thing is the spinal cord
data/train/805959.0000_807626.0000.ogg,Whatever was touching the spinal cord...
data/train/807626.0000_808542.0000.ogg,has been removed...
data/train/808542.0000_809417.0000.ogg,because his spinal cord...
data/train/809417.0000_810918.0000.ogg,is entirely visualized
data/train/811250.0000_812792.0000.ogg,"After much effort,"
data/train/812792.0000_815918.0000.ogg,the disc was safely removed
data/train/815918.0000_820042.0000.ogg,Dr Dennis' next task is to insert an artificial disc
data/train/820375.0000_821375.0000.ogg,"Now, we're going to trial..."
data/train/821375.0000_823542.0000.ogg,the size of the prosthesis
data/train/826250.0000_828292.0000.ogg,"Okay, everyone is hidden. I-i-shoot"
data/train/828292.0000_829792.0000.ogg,"Okay, i-i-shooting"
data/train/830959.0000_831792.0000.ogg,Tilt left
data/train/833584.0000_834501.0000.ogg,Stop
data/train/834501.0000_836000.0000.ogg,And i-i-shoot
data/train/836000.0000_838125.0000.ogg,I-i-shooting
data/train/838125.0000_840375.0000.ogg,Looks quite acceptable
data/train/840375.0000_843292.0000.ogg,The surgery then comes to a critical point
data/train/843626.0000_845876.0000.ogg,"Before inserting the artificial disc,"
data/train/845876.0000_849667.0000.ogg,the surgical team has to test the patient's nervous function
data/train/850334.0000_851375.0000.ogg,Can you stimulate one time?
data/train/851375.0000_852334.0000.ogg,Yes. Sure
data/train/852334.0000_853876.0000.ogg,Stimulating
data/train/866334.0000_868751.0000.ogg,(National University Hospital)
data/train/873334.0000_878626.0000.ogg,(1.5 hours into the spine surgery)
data/train/878626.0000_879709.0000.ogg,Can you stimulate one time?
data/train/879709.0000_880667.0000.ogg,Yes. Sure
data/train/880667.0000_881667.0000.ogg,Stimulating
data/train/881667.0000_883876.0000.ogg,"Before inserting the artificial disc,"
data/train/883876.0000_887542.0000.ogg,the surgical team has to check on Royston's nervous system
data/train/887542.0000_891834.0000.ogg,Time stood still in the originally busy operating theatre
data/train/897959.0000_899792.0000.ogg,Left C6 improvement noted
data/train/899792.0000_901125.0000.ogg,Okay
data/train/901125.0000_904083.0000.ogg,Tests have shown that Royston's nervous function...
data/train/904083.0000_907667.0000.ogg,has shown improvement after the disc was removed
data/train/907667.0000_909417.0000.ogg,Can we get some lights here?
data/train/909918.0000_911250.0000.ogg,"After receiving the good news,"
data/train/911250.0000_914542.0000.ogg,Dr Dennis got right back to work
data/train/915999.0000_920375.0000.ogg,"Royston actually has two discs that need to be removed and replaced,"
data/train/920375.0000_924292.0000.ogg,so the surgery is only half complete so far
data/train/924292.0000_928584.0000.ogg,"Furthermore, Dr Dennis has two other surgeries to perform"
data/train/929083.0000_930584.0000.ogg,Okay
data/train/931209.0000_935626.0000.ogg,"We are used to these surgical procedures,"
data/train/935626.0000_941292.0000.ogg,"hence, we don't feel any muscle soreness or aches and so on"
data/train/941292.0000_944959.0000.ogg,Especially when we are all focused on the surgery
data/train/946167.0000_951125.0000.ogg,Cervical disc problems are often caused by poor posture
data/train/951125.0000_954459.0000.ogg,"Therefore, surgeons are actually among the high-risk group..."
data/train/954459.0000_957125.0000.ogg,for developing cervical spondylosis
data/train/958459.0000_963250.0000.ogg,"(According to a multinational study, 17% of surgeons...)"
data/train/963250.0000_966709.0000.ogg,(suffer from degenerative cervical spine diseases)
data/train/967167.0000_970501.0000.ogg,It is true that many of our doctors have some of these symptoms...
data/train/970501.0000_975083.0000.ogg,and even a few of us have had surgery
data/train/975083.0000_977292.0000.ogg,I have thought about this issue many times as well
data/train/977292.0000_980999.0000.ogg,How will I face it if I have a cervical spine problem
data/train/981709.0000_983876.0000.ogg,"In addition to the risks of surgery,"
data/train/983876.0000_986667.0000.ogg,cervical artificial disc replacement...
data/train/986667.0000_990999.0000.ogg,may not always lead to a full recovery
data/train/990999.0000_994125.0000.ogg,"Therefore, when it comes to cervical spine diseases,"
data/train/994125.0000_996501.0000.ogg,prevention is often better than cure
data/train/1004083.0000_1006209.0000.ogg,"The minute I step into the house,"
data/train/1006209.0000_1007876.0000.ogg,I will put my bag down...
data/train/1007876.0000_1010209.0000.ogg,"and collect my partner, the vacuum cleaner,"
data/train/1010209.0000_1013042.0000.ogg,and I will vacuum the whole house
data/train/1016000.0000_1018999.0000.ogg,Cooking and cleaning...
data/train/1018999.0000_1021542.0000.ogg,are two things that I like to do in my life
data/train/1022417.0000_1025375.0000.ogg,Royston is a hands-on person...
data/train/1025375.0000_1029709.0000.ogg,who has spent most of his career in the food and service industry
data/train/1029709.0000_1032791.0000.ogg,"However, perhaps it was the ""heavy labour"","
data/train/1032791.0000_1034999.0000.ogg,that caused his cervical spine injury
data/train/1035501.0000_1038291.0000.ogg,I think it's lifting a lot of heavy things
data/train/1038291.0000_1040541.0000.ogg,And I always like to put it on my head...
data/train/1040541.0000_1042626.0000.ogg,when I carry those things
data/train/1042666.0000_1045250.0000.ogg,"My wife will definitely nag at me,"
data/train/1045291.0000_1047083.0000.ogg,"""You can't do it and why are you still..."""
data/train/1047083.0000_1049999.0000.ogg,It's because I like to do things...
data/train/1049999.0000_1051542.0000.ogg,that are challenging for me
data/train/1052167.0000_1055501.0000.ogg,"For Royston, it was too late for regrets"
data/train/1055501.0000_1058250.0000.ogg,"After deciding to undergo the surgery,"
data/train/1058250.0000_1061709.0000.ogg,he could only face the unknown with grace
data/train/1064542.0000_1065999.0000.ogg,"He's okay, he's perfect"
data/train/1065999.0000_1067542.0000.ogg,I'm the one that's nervous
data/train/1068292.0000_1072501.0000.ogg,Royston's wife has been quietly waiting outside the operating theatre...
data/train/1072501.0000_1076584.0000.ogg,since he stepped inside this morning
data/train/1076584.0000_1079000.0000.ogg,"Let's say I'm not here and I'm at work,"
data/train/1079000.0000_1080876.0000.ogg,I don't think I'll be able to work
data/train/1080876.0000_1081999.0000.ogg,Because I'll be worried...
data/train/1081999.0000_1084042.0000.ogg,and wondering what's happening
data/train/1084042.0000_1086918.0000.ogg,"So, no matter how many operations he goes,"
data/train/1086918.0000_1089042.0000.ogg,I will still come and I will accompany him
data/train/1094417.0000_1097292.0000.ogg,(1.5 hours into the ACL Reconstruction surgery)
data/train/1097292.0000_1098834.0000.ogg,"Through the team's efforts,"
data/train/1098834.0000_1102501.0000.ogg,the removed tendon is ready to be grafted into the knee joint
data/train/1107792.0000_1109626.0000.ogg,This direction
data/train/1113834.0000_1116292.0000.ogg,"Towel clip, four"
data/train/1116292.0000_1117751.0000.ogg,"One, two, three, four"
data/train/1118584.0000_1122709.0000.ogg,"The surgical team cleaned, stitched..."
data/train/1122709.0000_1124459.0000.ogg,and attached stents at the surgical site
data/train/1124459.0000_1129334.0000.ogg,Afendi exited the operating theatre in less than two hours
data/train/1129334.0000_1132959.0000.ogg,"However, this is only the beginning of his recovery"
data/train/1134209.0000_1138459.0000.ogg,"In general, it takes 9 to 12 months..."
data/train/1138459.0000_1140584.0000.ogg,to get back to where they used to be
data/train/1141042.0000_1142792.0000.ogg,They need to have more patience...
data/train/1142834.0000_1146209.0000.ogg,as the recovery process is a long one
data/train/1149042.0000_1152542.0000.ogg,"On the other hand, Royston, who has completed his cervical spine surgery,"
data/train/1152584.0000_1154584.0000.ogg,is coming to
data/train/1154584.0000_1155834.0000.ogg,(Five hours after the spine surgery)
data/train/1155834.0000_1156876.0000.ogg,Can you turn your head?
data/train/1157375.0000_1158125.0000.ogg,A little bit
data/train/1158125.0000_1159083.0000.ogg,No pain?
data/train/1160834.0000_1161751.0000.ogg,A little bit
data/train/1162167.0000_1164999.0000.ogg,"Other than some discomfort at the incision site,"
data/train/1164999.0000_1167918.0000.ogg,Royston is in good physical condition
data/train/1169042.0000_1173000.0000.ogg,Very relieved now that everything is over
data/train/1174000.0000_1175334.0000.ogg,He's doing good
data/train/1175334.0000_1177959.0000.ogg,He was asking for Rafael
data/train/1177959.0000_1180417.0000.ogg,That is his precious son
data/train/1180417.0000_1181667.0000.ogg,Not asking for you?
data/train/1181667.0000_1185083.0000.ogg,"No, no. Not me"
data/train/1185083.0000_1186083.0000.ogg,Just kidding
data/train/1187334.0000_1189542.0000.ogg,He's massaging him now
data/train/1190626.0000_1195542.0000.ogg,It remains to be seen what Royston's recovery will be
data/train/1195542.0000_1199501.0000.ogg,But he and his family have positive hopes for recovery
data/train/1200125.0000_1203834.0000.ogg,"As you can imagine, this patient has had a rough couple of years"
data/train/1204501.0000_1207751.0000.ogg,We believe the surgery will help him greatly
data/train/1207751.0000_1210667.0000.ogg,"Hence, we have to give him more information"
data/train/1210667.0000_1213709.0000.ogg,The likelihood of paralysis or surgical failure is actually very low
data/train/1213751.0000_1218667.0000.ogg,Most patients are able to accept this fact after you explain it to them carefully
data/train/1223000.0000_1225709.0000.ogg,"Hello, how are you? -Good"
data/train/1225709.0000_1226876.0000.ogg,How's the pain?
data/train/1226876.0000_1227834.0000.ogg,Bearable
data/train/1227834.0000_1231417.0000.ogg,"For the next few weeks after ACL reconstruction surgery,"
data/train/1231417.0000_1235042.0000.ogg,Afendi has to wear a brace and rely on crutches to get around
data/train/1235375.0000_1240125.0000.ogg,"Perhaps many people may consider this incident to be a stroke of bad luck,"
data/train/1240167.0000_1243000.0000.ogg,but Afendi sees it differently
data/train/1243999.0000_1246083.0000.ogg,"Sometimes, you know, even an accident,"
data/train/1246083.0000_1247542.0000.ogg,"like falling from a bike,"
data/train/1247542.0000_1251292.0000.ogg,you will get this knee injury
data/train/1251292.0000_1252999.0000.ogg,"So, I'll still go back to soccer after this,"
data/train/1252999.0000_1254125.0000.ogg,but I'll be more careful
data/train/1254834.0000_1257501.0000.ogg,"Guys, come see. Daddy is okay now"
data/train/1257999.0000_1260125.0000.ogg,"I have kids and in adulthood,"
data/train/1260125.0000_1261542.0000.ogg,you can't simply enjoy...
data/train/1261542.0000_1263375.0000.ogg,without thinking of the consequences
data/train/1263375.0000_1264417.0000.ogg,"Daddy, you can walk..."
data/train/1264417.0000_1266292.0000.ogg,"after you recover tomorrow, okay?"
data/train/1266292.0000_1267751.0000.ogg,I can walk after I recover tomorrow?
data/train/1267751.0000_1268501.0000.ogg,Yes
data/train/1268501.0000_1269584.0000.ogg,"Never mind, later you see"
data/train/1269584.0000_1271876.0000.ogg,My leg is like a robot
data/train/1273709.0000_1276292.0000.ogg,(Six weeks after surgery)
data/train/1277501.0000_1279125.0000.ogg,(Afendi was able to remove the brace)
data/train/1279125.0000_1284292.0000.ogg,(He is undergoing physical rehabilitation and is back on his feet)
data/train/1284667.0000_1287042.0000.ogg,(One month after surgery)
data/train/1287834.0000_1291167.0000.ogg,"(Royston still experiences numbness in his left arm,)"
data/train/1291167.0000_1294501.0000.ogg,(but the neck pain is almost gone)
data/train/1316918.0000_1317918.0000.ogg,Subtitles: CaptionCube
data/train/322400.0000_324360.0000.ogg,before carrying out some tests
data/train/324680.0000_325880.0000.ogg,Thank you
data/train/333600.0000_336280.0000.ogg,"Jerry, you're 11 years old this year, right?"
data/train/337000.0000_338520.0000.ogg,He has always been healthy
data/train/338840.0000_341159.0000.ogg,"But for some reason, he started losing hair half a year ago"
data/train/341240.0000_342880.0000.ogg,It can't be malnutrition
data/train/342960.0000_345280.0000.ogg,I prepare cod and chicken drumsticks for him every day
data/train/348680.0000_350240.0000.ogg,Take your hat off. Let me have a look
data/train/354960.0000_357520.0000.ogg,"I've taken him to see many doctors, but none could treat him"
data/train/358040.0000_359400.0000.ogg,I heard there was a famous paediatric specialist...
data/train/359480.0000_361480.0000.ogg,at Woon Seng Tong's Outpatient Centre
data/train/361800.0000_363360.0000.ogg,That's why I came all the way here
data/train/363760.0000_365240.0000.ogg,Can you get him to see us?
data/train/368800.0000_371000.0000.ogg,"Sorry, Dr Baey is busy at the moment"
data/train/371680.0000_374160.0000.ogg,Do you have any family members with the same condition?
data/train/374240.0000_375360.0000.ogg,No
data/train/378520.0000_381480.0000.ogg,"Jerry, is anything else troubling you?"
data/train/383520.0000_385800.0000.ogg,What are your hobbies?
data/train/385880.0000_387080.0000.ogg,He loves studying
data/train/392280.0000_393800.0000.ogg,There are many causes of premature balding
data/train/393920.0000_396640.0000.ogg,"Apart from hereditary causes and hormonal imbalances,"
data/train/397600.0000_399560.0000.ogg,it can also be caused by stress
data/train/399960.0000_401120.0000.ogg,Stress?
data/train/401200.0000_403760.0000.ogg,My son is a brilliant student. How could it be stress?
data/train/404720.0000_406760.0000.ogg,Stress is experienced by the individual
data/train/406840.0000_408600.0000.ogg,No one else can judge that
data/train/409400.0000_412320.0000.ogg,I'm his mother. I know him best
data/train/412800.0000_414480.0000.ogg,You doctors are all the same
data/train/414720.0000_416600.0000.ogg,You blame all complicated problems on stress
data/train/417120.0000_418440.0000.ogg,Can you cure my son?
data/train/418520.0000_419560.0000.ogg,"If you can, give him medicine"
data/train/419640.0000_420920.0000.ogg,"Otherwise, get a senior doctor here"
data/train/422160.0000_423160.0000.ogg,Please wait here
data/train/436720.0000_438520.0000.ogg,Is it good? -Yes
data/train/438720.0000_440280.0000.ogg,Do you want more? -There's no hurry
data/train/440360.0000_442600.0000.ogg,"Dr Baey, you'd better not eat any more"
data/train/442800.0000_443840.0000.ogg,Why?
data/train/443920.0000_445280.0000.ogg,I made this myself
data/train/445360.0000_447440.0000.ogg,It's low in sugar and good for health
data/train/447960.0000_449440.0000.ogg,Pineapples symbolize prosperity
data/train/449520.0000_450760.0000.ogg,Do you think we need more business?
data/train/450840.0000_452800.0000.ogg,"I'm not that superstitious. If you won't eat it, I will"
data/train/453600.0000_455800.0000.ogg,"Dr Baey, there's an 11-year-old boy..."
data/train/455880.0000_457360.0000.ogg,suffering from alopecia areata
data/train/457560.0000_458880.0000.ogg,It seems serious
data/train/459320.0000_461240.0000.ogg,I feel that it's stress-induced
data/train/461600.0000_462840.0000.ogg,Should I refer him to a specialist?
data/train/463120.0000_464240.0000.ogg,I'll take a look
data/train/464920.0000_467240.0000.ogg,"Dr Baey, there's a 70-year-old patient..."
data/train/467320.0000_469680.0000.ogg,with no other symptoms apart from slightly elevated blood pressure
data/train/469760.0000_471840.0000.ogg,But he complained of headaches and nausea
data/train/472400.0000_474080.0000.ogg,I'm worried that it might be a cerebral haemorrhage
data/train/474159.0000_475440.0000.ogg,But the patient refuses to undergo a scan
data/train/475840.0000_478480.0000.ogg,-Where's the patient? -In the OR. I just gave him painkillers
data/train/478560.0000_481360.0000.ogg,I'll settle Dr Ho's case before checking on him in the OR
data/train/481440.0000_482440.0000.ogg,OK
data/train/482720.0000_484160.0000.ogg,"Dr Baey, would you like more?"
data/train/484320.0000_486520.0000.ogg,OK. They're delicious. I'll have two more
data/train/486600.0000_487720.0000.ogg,Thank you
data/train/488840.0000_490080.0000.ogg,Dr Baey!
data/train/500480.0000_502600.0000.ogg,"Dr Baey, I'd like half a day off"
data/train/503680.0000_504760.0000.ogg,Are you really unwell?
data/train/505320.0000_507280.0000.ogg,I thought your allergic rhinitis was getting better
data/train/507840.0000_510840.0000.ogg,A patient and his wife used strong-smelling cologne
data/train/511200.0000_513000.0000.ogg,My nose is really killing me
data/train/514559.0000_516120.0000.ogg,"All right, take your medicine and rest well"
data/train/516200.0000_517840.0000.ogg,I'll get someone else to stand in for you
data/train/518480.0000_519640.0000.ogg,"I'll pack up and go home, then"
data/train/519720.0000_520880.0000.ogg,"Thank you, Dr Baey"
data/train/520960.0000_522440.0000.ogg,Rest well -Bye
data/train/526840.0000_528120.0000.ogg,Hello
data/train/528800.0000_530000.0000.ogg,Are you a senior doctor?
data/train/530840.0000_533080.0000.ogg,Dr Baey is our Outpatient Centre's Chief Resident...
data/train/533160.0000_534760.0000.ogg,and our paediatric specialist
data/train/534960.0000_537480.0000.ogg,"That's great! Dr Baey, you're the one I'm looking for"
data/train/537560.0000_538760.0000.ogg,Examine my son
data/train/538840.0000_540200.0000.ogg,His hair loss is serious
data/train/540520.0000_542320.0000.ogg,Don't worry. Let me examine him
data/train/542840.0000_544560.0000.ogg,I'm relieved to have a senior doctor
data/train/550360.0000_551360.0000.ogg,OK
data/train/551440.0000_553480.0000.ogg,"Mrs Chan, how about this?"
data/train/553560.0000_555160.0000.ogg,Let me talk to your son alone
data/train/555240.0000_556400.0000.ogg,Why?
data/train/556600.0000_559360.0000.ogg,He knows nothing. I know his condition best
data/train/559440.0000_560440.0000.ogg,I know. It's like this
data/train/560520.0000_561920.0000.ogg,Dr Ho will take you out...
data/train/562000.0000_564560.0000.ogg,to find out more about the shampoo or hair restorers he's using...
data/train/564640.0000_566440.0000.ogg,"or any drug allergies he might have, all right?"
data/train/567960.0000_569160.0000.ogg,Let's settle the registration outside
data/train/569240.0000_571480.0000.ogg,The records will facilitate the prescription of medicine
data/train/571640.0000_573120.0000.ogg,All right
data/train/579960.0000_582680.0000.ogg,"Here, have a sweet"
data/train/584400.0000_586680.0000.ogg,I loved these sweets as a kid
data/train/587280.0000_590920.0000.ogg,The right amount of sugar stimulates blood circulation in the brain...
data/train/591000.0000_592040.0000.ogg,and reduces anxiety
data/train/592120.0000_593840.0000.ogg,"More importantly, these sweets taste great"
data/train/596360.0000_599200.0000.ogg,My mum says sweets are fattening
data/train/599440.0000_602560.0000.ogg,You're not fat at all. Eat all you like
data/train/609320.0000_610840.0000.ogg,"You're Jerry, right?"
data/train/611440.0000_612920.0000.ogg,I really like this name
data/train/613000.0000_615520.0000.ogg,"When I was little, I watched a cartoon called Tom and Jerry"
data/train/615600.0000_616720.0000.ogg,Have you seen it?
data/train/618560.0000_619800.0000.ogg,You don't watch cartoons?
data/train/621600.0000_626000.0000.ogg,Mum says I can't watch TV...
data/train/626280.0000_628120.0000.ogg,unless I score above 90 marks for every subject
data/train/629040.0000_632240.0000.ogg,She also says cartoons are not worth watching
data/train/634720.0000_636200.0000.ogg,Do you feel stressed?
data/train/647360.0000_649480.0000.ogg,"Dr Baey, how's my son?"
data/train/649960.0000_652560.0000.ogg,You must give him the best medicine. I don't care how much it costs
data/train/652840.0000_654720.0000.ogg,I don't intend to give him any medicine
data/train/655520.0000_657920.0000.ogg,Jerry says you're very worried about his studies
data/train/658000.0000_660480.0000.ogg,"You're always busy, and you're always tired and listless"
data/train/661160.0000_664960.0000.ogg,I'll prescribe some muscle relaxants or sleeping pills for you
data/train/666400.0000_667920.0000.ogg,But I'm not sick
data/train/668040.0000_669440.0000.ogg,I'm not saying you're sick
data/train/669520.0000_671640.0000.ogg,But your tension will affect yourself...
data/train/671720.0000_673240.0000.ogg,and those around you
data/train/674680.0000_675680.0000.ogg,Here's a referral letter
data/train/675760.0000_677800.0000.ogg,"You and Jerry should go for counselling together, all right?"
data/train/679840.0000_681520.0000.ogg,But his hair...
data/train/682560.0000_684240.0000.ogg,He pulled his own hair out
data/train/687160.0000_688480.0000.ogg,How could it be?
data/train/688840.0000_690400.0000.ogg,"He's actually under great pressure,"
data/train/690480.0000_691560.0000.ogg,and he has no one to confide in
data/train/691640.0000_693240.0000.ogg,This is his way of dealing with stress
data/train/694040.0000_695120.0000.ogg,You needn't worry
data/train/695200.0000_696600.0000.ogg,At least we've found the cause
data/train/696680.0000_699520.0000.ogg,"Have a good talk with him. He'll improve very soon, all right?"
data/train/703520.0000_704880.0000.ogg,"OK,"
data/train/704960.0000_706320.0000.ogg,you can have all these sweets
data/train/708800.0000_710040.0000.ogg,"Thank you, doctor"
data/train/710400.0000_711560.0000.ogg,Do your best!
data/train/718920.0000_720280.0000.ogg,Go back and get some rest
data/train/720600.0000_721800.0000.ogg,Good afternoon
data/train/721920.0000_723000.0000.ogg,Dr Baey -Dr Baey
data/train/723400.0000_724560.0000.ogg,Uncle Wang
data/train/724920.0000_726680.0000.ogg,"Here, let me check your blood pressure"
data/train/726760.0000_727760.0000.ogg,All right
data/train/731760.0000_732760.0000.ogg,Thank you
data/train/738000.0000_740160.0000.ogg,"Uncle Wang, you're here again"
data/train/740640.0000_742600.0000.ogg,What's troubling you this time?
data/train/742960.0000_744200.0000.ogg,I'm dizzy
data/train/746760.0000_748760.0000.ogg,Your blood pressure and pulse are normal
data/train/748840.0000_750160.0000.ogg,Do you still have a headache?
data/train/750240.0000_751480.0000.ogg,It's not too bad
data/train/753600.0000_756880.0000.ogg,"Uncle Wang, you're all right"
data/train/756960.0000_760200.0000.ogg,"Do you still have painkillers at home? If you don't, I'll give you more"
data/train/760280.0000_762320.0000.ogg,But remember to take them only when you have a headache
data/train/762400.0000_763760.0000.ogg,"And sleep well after taking them, OK?"
data/train/764280.0000_765880.0000.ogg,Do you want me to go home now?
data/train/766360.0000_768160.0000.ogg,"Uncle Wang, this is a hospital"
data/train/768560.0000_771080.0000.ogg,We need to take care of patients who really need help
data/train/772080.0000_773640.0000.ogg,Are you so reluctant to go home...
data/train/773720.0000_775880.0000.ogg,because your daughter-in-law doesn't want to look after you...
data/train/775960.0000_777200.0000.ogg,and leaves you here?
data/train/777280.0000_778840.0000.ogg,"No, it's not that!"
data/train/778920.0000_781400.0000.ogg,Young people can be blunt. Please don't mind her
data/train/781480.0000_784360.0000.ogg,But I think you should only see the doctor if you're sick
data/train/784440.0000_786000.0000.ogg,Don't come to the hospital when you're well
data/train/786080.0000_787360.0000.ogg,There are lots of germs around here
data/train/787640.0000_789040.0000.ogg,"If you have any other issues,"
data/train/789120.0000_791480.0000.ogg,"I'll refer you to a social worker, all right?"
data/train/792080.0000_794440.0000.ogg,"No, I'll go home"
data/train/795480.0000_797960.0000.ogg,I'll get the nurse to tell your daughter-in-law to pick you up
data/train/798840.0000_800640.0000.ogg,I'll call her myself
data/train/800720.0000_802920.0000.ogg,"All right, it's fine. Rest well"
data/train/803000.0000_804200.0000.ogg,Thank you
data/train/806640.0000_808400.0000.ogg,I know you're acting in the hospital's interests
data/train/808480.0000_810800.0000.ogg,But you need to be more tactful
data/train/812960.0000_814080.0000.ogg,I couldn't help it
data/train/825920.0000_827520.0000.ogg,Is your neck aching?
data/train/828120.0000_829520.0000.ogg,It seems worse lately
data/train/830080.0000_831160.0000.ogg,Sit down. Let me have a look
data/train/831840.0000_832920.0000.ogg,Are you changing professions?
data/train/833000.0000_834120.0000.ogg,No
data/train/834200.0000_835720.0000.ogg,A TCM practitioner friend told me...
data/train/835800.0000_838960.0000.ogg,that there's an acupoint effective for an aching neck
data/train/839040.0000_840040.0000.ogg,It's...
data/train/840120.0000_841160.0000.ogg,Here it is
data/train/841240.0000_842680.0000.ogg,It's called the Jianjing acupoint
data/train/843480.0000_845680.0000.ogg,Does it hurt? -It's all right
data/train/845800.0000_847040.0000.ogg,You can apply pressure here too
data/train/847120.0000_848440.0000.ogg,I'll apply a bit more pressure...
data/train/848520.0000_850440.0000.ogg,to relieve the stiffness
data/train/850520.0000_852000.0000.ogg,It'll work through the meridians
data/train/853280.0000_854760.0000.ogg,"And... -Dr Baey, Sister Ang"
data/train/855560.0000_856800.0000.ogg,"Thank you, Dr Baey -It's nothing"
data/train/856880.0000_858040.0000.ogg,Are your shoulders aching?
data/train/858560.0000_860720.0000.ogg,You'd better have a check-up
data/train/861120.0000_863560.0000.ogg,It's just muscle fatigue. I'll be fine after a massage
data/train/864560.0000_867680.0000.ogg,"Dr Choo, I'm counting on you for my mother-in-law's surgery this afternoon"
data/train/868560.0000_869560.0000.ogg,No problem
data/train/870800.0000_871960.0000.ogg,So Auntie finally agreed?
data/train/872200.0000_873760.0000.ogg,I had a hard time convincing her
data/train/873840.0000_875480.0000.ogg,Would you like half a day off to keep her company?
data/train/875560.0000_877960.0000.ogg,I've already made the arrangements. I'll be there right after work
data/train/878040.0000_880120.0000.ogg,The operation should end around that time
data/train/889560.0000_891240.0000.ogg,"Uncle Wang, why are you still here?"
data/train/891520.0000_894800.0000.ogg,Can't I stay here? I'm not in your way
data/train/895240.0000_897920.0000.ogg,How could your daughter-in-law leave you here?
data/train/898000.0000_899080.0000.ogg,I'll call her for you
data/train/899360.0000_900680.0000.ogg,Don't rush her
data/train/900760.0000_902200.0000.ogg,I have plenty of time
data/train/902480.0000_904440.0000.ogg,I don't mind waiting
data/train/904640.0000_906080.0000.ogg,She'll be here very soon
data/train/906320.0000_907320.0000.ogg,Yige
data/train/908080.0000_909160.0000.ogg,You're here
data/train/910160.0000_911720.0000.ogg,I worked the night shift yesterday
data/train/911800.0000_913720.0000.ogg,I only slept for three hours after getting home...
data/train/913800.0000_915200.0000.ogg,when you called and asked me to stand in for you
data/train/915280.0000_916400.0000.ogg,How will you repay the favour?
data/train/918160.0000_920840.0000.ogg,I'll prepare a meal for you personally
data/train/922000.0000_924640.0000.ogg,"No, thank you. Save it for yourself"
data/train/924720.0000_926200.0000.ogg,I want to live longer
data/train/927360.0000_929000.0000.ogg,You must be tired of living!
data/train/929080.0000_930200.0000.ogg,Father
data/train/930920.0000_932080.0000.ogg,You're here -I'm sorry
data/train/932160.0000_933720.0000.ogg,Did you wait long? -It's fine
data/train/933800.0000_935480.0000.ogg,Uncle Wang waited a long time
data/train/936080.0000_937920.0000.ogg,He's old and has limited mobility
data/train/938000.0000_939240.0000.ogg,He needs someone to look after him
data/train/939440.0000_941080.0000.ogg,How could you leave him alone?
data/train/941680.0000_942840.0000.ogg,Sorry
data/train/943360.0000_945960.0000.ogg,"Auntie, thank you for your help earlier"
data/train/946040.0000_947880.0000.ogg,No problem. Let's go -Let's go
data/train/952400.0000_954400.0000.ogg,"Take care, Uncle Wang -Bye"
data/train/958400.0000_959560.0000.ogg,Do you know her?
data/train/959640.0000_960720.0000.ogg,Why did you thank her?
data/train/961320.0000_962680.0000.ogg,I dropped my staff pass earlier
data/train/968280.0000_969640.0000.ogg,Hello
data/train/971200.0000_972760.0000.ogg,You dropped your staff pass
data/train/977760.0000_978760.0000.ogg,Thank you
data/train/981000.0000_982760.0000.ogg,<i>She's really enjoying herself!</i>
data/train/982840.0000_984760.0000.ogg,She goes out for walks and tea...
data/train/984840.0000_986680.0000.ogg,and leaves the old man here!
data/train/994440.0000_995600.0000.ogg,Grace
data/train/996080.0000_997080.0000.ogg,Sister Ang
data/train/997480.0000_998600.0000.ogg,Is my mother-in-law out yet?
data/train/998960.0000_1000840.0000.ogg,She didn't come. Don't you know?
data/train/1001320.0000_1003080.0000.ogg,She didn't come? How could it be?
data/train/1003480.0000_1004600.0000.ogg,Is Dr Choo in?
data/train/1004720.0000_1007280.0000.ogg,Dr Choo left in a hurry over something urgent too
data/train/1007360.0000_1009040.0000.ogg,His surgeries were also rescheduled
data/train/1015760.0000_1017240.0000.ogg,"Hello, Dr Choo?"
data/train/1018120.0000_1019840.0000.ogg,My mother-in-law is with you?
data/train/1020640.0000_1022600.0000.ogg,"All right, I'm going back now"
data/train/1032480.0000_1033800.0000.ogg,Come in -All right
data/train/1034200.0000_1036280.0000.ogg,"Mother, what happened?"
data/train/1036760.0000_1037880.0000.ogg,It's nothing
data/train/1038520.0000_1041160.0000.ogg,"Dr Choo, I'm sorry to take up your time"
data/train/1042040.0000_1044480.0000.ogg,"Mother, didn't you agree to undergo surgery today?"
data/train/1044560.0000_1045680.0000.ogg,Why didn't you go?
data/train/1045760.0000_1047560.0000.ogg,Dr Choo even had to take you home
data/train/1048680.0000_1052360.0000.ogg,"I went, but I didn't get there"
data/train/1053120.0000_1054160.0000.ogg,What do you mean?
data/train/1056040.0000_1058200.0000.ogg,My vision was blurry
data/train/1058640.0000_1061040.0000.ogg,I saw the wrong number and boarded the wrong bus
data/train/1061200.0000_1064120.0000.ogg,It took me to some place I didn't recognize
data/train/1064400.0000_1066080.0000.ogg,"Why didn't you call me, then?"
data/train/1066160.0000_1067360.0000.ogg,You were at work
data/train/1067560.0000_1069200.0000.ogg,And so you called Dr Choo?
data/train/1069880.0000_1071120.0000.ogg,No
data/train/1071760.0000_1072920.0000.ogg,Don't interrogate her
data/train/1073520.0000_1074960.0000.ogg,I called Auntie...
data/train/1075040.0000_1076760.0000.ogg,"to ask why she hadn't arrived yet,"
data/train/1076840.0000_1078560.0000.ogg,and I found out she took the wrong bus
data/train/1079200.0000_1081600.0000.ogg,I told her to wait for me to pick her up at the bus stop
data/train/1081960.0000_1083880.0000.ogg,"Yes, that's what happened"
data/train/1084360.0000_1086880.0000.ogg,"Thank you so much, Dr Choo"
data/train/1086960.0000_1090040.0000.ogg,I don't know when I'd ever have gotten home without your help
data/train/1090280.0000_1093560.0000.ogg,It's really hot. I'll get you a cup of chrysanthemum tea
data/train/1095880.0000_1097280.0000.ogg,"It's all right, Auntie"
data/train/1097520.0000_1099520.0000.ogg,I have other things on. I'm going
data/train/1099800.0000_1101880.0000.ogg,Drop by whenever you're free -All right
data/train/1101960.0000_1104080.0000.ogg,"Mother, I'll see Dr Choo out"
data/train/1110520.0000_1113120.0000.ogg,"Dr Choo, thank you for bringing my mother-in-law back"
data/train/1114440.0000_1115640.0000.ogg,We're not strangers
data/train/1116080.0000_1117920.0000.ogg,You can use my first name in private
data/train/1118360.0000_1120200.0000.ogg,"After all, we've known each other for years"
data/train/1122720.0000_1125640.0000.ogg,"Yes, we've known each other for a long time"
data/train/1125720.0000_1128920.0000.ogg,Now I know what fine acting skills you have
data/train/1129680.0000_1131880.0000.ogg,You can be an actor instead of a doctor
data/train/1134200.0000_1136560.0000.ogg,Nothing escapes your eyes indeed
data/train/1140760.0000_1142000.0000.ogg,Just what happened?
data/train/1144280.0000_1145360.0000.ogg,Auntie
data/train/1145720.0000_1146800.0000.ogg,Dr Choo
data/train/1147760.0000_1151480.0000.ogg,I'm really sorry for missing the appointment
data/train/1151760.0000_1154440.0000.ogg,I even had to trouble you to look for me here
data/train/1154800.0000_1157600.0000.ogg,"Auntie, your eyesight is really deteriorating"
data/train/1158120.0000_1159840.0000.ogg,That's why you took the wrong bus
data/train/1161080.0000_1163400.0000.ogg,I guess I'll have to work overtime today
data/train/1163680.0000_1165400.0000.ogg,I'll take you to the hospital for the surgery now
data/train/1166000.0000_1167120.0000.ogg,There's no need
data/train/1168760.0000_1170520.0000.ogg,Taking the wrong bus was just an excuse
data/train/1171160.0000_1172920.0000.ogg,"You're worried about the operation, right?"
data/train/1175000.0000_1178240.0000.ogg,How could I not fear eye surgery?
data/train/1179280.0000_1183040.0000.ogg,"Auntie, cataract surgery is a very minor operation"
data/train/1183120.0000_1184440.0000.ogg,There's nothing to worry about
data/train/1185040.0000_1188000.0000.ogg,The cataract in your right eye is so serious that you can't even see
data/train/1188520.0000_1190400.0000.ogg,You're completely reliant on your left eye
data/train/1190840.0000_1192360.0000.ogg,You really need surgery as soon as possible
data/train/1192440.0000_1193520.0000.ogg,You can't put it off any longer
data/train/1194280.0000_1195360.0000.ogg,"All right, then"
data/train/1195800.0000_1199000.0000.ogg,I'll undergo surgery after I attend the wedding
data/train/1199080.0000_1201440.0000.ogg,"All right, I'll schedule another appointment for you"
data/train/1201920.0000_1204840.0000.ogg,You can wait for me at home. I'll pick you up
data/train/1205440.0000_1208040.0000.ogg,"No, I'll take a taxi there"
data/train/1209160.0000_1210360.0000.ogg,It's a deal
data/train/1210440.0000_1211840.0000.ogg,Don't miss the appointment again
data/train/1215840.0000_1218480.0000.ogg,She needs to undergo surgery quickly after the wedding
data/train/1218840.0000_1221400.0000.ogg,Her cataract is seriously affecting her eyesight
data/train/1221480.0000_1222680.0000.ogg,We really can't put it off any longer
data/train/1223360.0000_1225720.0000.ogg,"All right, I'll make the arrangements"
data/train/1226600.0000_1229640.0000.ogg,I'll personally take Mother to your clinic this time
data/train/1236040.0000_1237120.0000.ogg,What is it?
data/train/1237880.0000_1240520.0000.ogg,Nothing. I'll leave you here. Bye
data/train/1248600.0000_1249680.0000.ogg,Sister Ang
data/train/1250040.0000_1251160.0000.ogg,What do you want this time?
data/train/1252880.0000_1254960.0000.ogg,Can you lend me some money?
data/train/1255240.0000_1257280.0000.ogg,I just lent you $300 last month
data/train/1257960.0000_1259760.0000.ogg,Everything is so expensive these days
data/train/1260320.0000_1261960.0000.ogg,$300 will be used up in no time
data/train/1262120.0000_1263440.0000.ogg,I'm not an ATM machine!
data/train/1263520.0000_1264760.0000.ogg,I don't have that much money for you!
data/train/1265440.0000_1267320.0000.ogg,Help me once more
data/train/1268320.0000_1271200.0000.ogg,"Sister Ang, I'm really pitiful"
data/train/1280960.0000_1282280.0000.ogg,What are you doing?
data/train/1288040.0000_1289520.0000.ogg,I was wondering who it was
data/train/1290320.0000_1292160.0000.ogg,So it's Dr Choo
data/train/1293120.0000_1297200.0000.ogg,"It's been a long time. You haven't forgotten me, have you?"
data/train/1304400.0000_1305400.0000.ogg,Subtitles: Iyuno-SDI Group
data/train/459850.0000_462200.0000.ogg,要把他写死的话就用白血病比较好
data/train/462500.0000_463920.0000.ogg,但事实上来统计的话
data/train/463920.0000_465630.0000.ogg,白血病其实是癌症里面
data/train/465630.0000_467450.0000.ogg,相对治疗效果比较好的一个
data/train/467600.0000_468700.0000.ogg,从生存率来说
data/train/468700.0000_474050.0000.ogg,现在白血病五年的生存率已经超过70%
data/train/474100.0000_477770.0000.ogg,对于某一些亚型的白血病来说甚至超过90%
data/train/478450.0000_482750.0000.ogg,所以白血病被治好甚至治愈的概率
data/train/482750.0000_483670.0000.ogg,是非常非常高的
data/train/483670.0000_484600.0000.ogg,但是很多人都不知道
data/train/484700.0000_486200.0000.ogg,一听白血病就是个死
data/train/487070.0000_492620.0000.ogg,事实上现在全球已经有超过3500万人带瘤生存
data/train/492620.0000_495770.0000.ogg,就现在地球上这个时刻有3500万人
data/train/497200.0000_499120.0000.ogg,可以认为是战胜了肿瘤
data/train/499320.0000_501620.0000.ogg,他就和肿瘤一起和谐地共存着
data/train/502770.0000_504920.0000.ogg,为什么我们现在能够战胜癌症
data/train/504920.0000_508500.0000.ogg,为什么刚才看到了在很长的时间
data/train/508500.0000_510470.0000.ogg,我们得癌症的生存率已经翻番了
data/train/510750.0000_513220.0000.ogg,是因为我们对癌症的认知发生了革命
data/train/513799.0000_514850.0000.ogg,在古代的时候
data/train/514850.0000_516620.0000.ogg,不管是中国还是西方
data/train/516970.0000_520320.0000.ogg,对于癌症基本都是束手无策的
data/train/520470.0000_521669.0000.ogg,但是现在不一样了
data/train/521669.0000_523299.0000.ogg,因为癌症在过去的一百年
data/train/523299.0000_525750.0000.ogg,我们对它的认知产生了三次巨大的革命
data/train/525750.0000_529450.0000.ogg,第一次是我们知道了癌细胞是快速生长的产物
data/train/529450.0000_531070.0000.ogg,我们知道癌细胞生长得很快
data/train/531920.0000_534570.0000.ogg,第二次我们知道了癌症会发生基因突变
data/train/534570.0000_536320.0000.ogg,这是在基因检测出现以后
data/train/536920.0000_539370.0000.ogg,第三次我们知道了它不仅要发生基因突变
data/train/539370.0000_540820.0000.ogg,还要逃脱免疫系统的监管
data/train/540970.0000_542320.0000.ogg,这是最近几十年的事
data/train/542750.0000_544120.0000.ogg,不仅认知了它
data/train/544120.0000_546620.0000.ogg,而且因为这三个我们开发出了不同的疗法
data/train/546650.0000_548370.0000.ogg,因为我们知道它失控生长
data/train/548370.0000_550570.0000.ogg,所以我们发现了化疗放疗等办法
data/train/550570.0000_553150.0000.ogg,能够杀死这些快速生长的肿瘤细胞
data/train/553370.0000_556420.0000.ogg,后来因为基因突变我们发明了靶向疗法
data/train/556500.0000_559170.0000.ogg,因为知道免疫逃逸所以我们开发了免疫疗法
data/train/559300.0000_563070.0000.ogg,这是预计的2020年全球销量前十的抗癌药物
data/train/563070.0000_565620.0000.ogg,全部都是新型的靶向药物和免疫药物
data/train/565820.0000_567660.0000.ogg,现在我们真的越来越希望
data/train/567660.0000_570570.0000.ogg,能够让更多的患者不用接受化疗
data/train/570870.0000_572450.0000.ogg,因为化疗不是无效
data/train/572450.0000_573870.0000.ogg,是它的副作用太强了
data/train/574070.0000_578300.0000.ogg,如果我们能够无限地给病人用化疗药物的话
data/train/578300.0000_579500.0000.ogg,我们早就把癌症攻克了
data/train/579500.0000_580620.0000.ogg,但很多时候是因为
data/train/580620.0000_583170.0000.ogg,我们没有用到足够多的剂量病人就受不了了
data/train/583500.0000_586810.0000.ogg,那靶向药物和免疫药物的副作用
data/train/586810.0000_588520.0000.ogg,通常来说比化疗要好很多
data/train/588520.0000_590500.0000.ogg,所以我们希望叫去化疗化
data/train/590650.0000_592620.0000.ogg,当然现在还不能做到百分之百
data/train/592620.0000_596270.0000.ogg,但是某一些肿瘤类型已经开始出现这样的迹象
data/train/597300.0000_598550.0000.ogg,给大家举一个例子
data/train/598550.0000_601120.0000.ogg,什么叫做科学进步改变人类
data/train/601870.0000_604500.0000.ogg,2012年的时候美国有个小女孩叫Emily
data/train/604620.0000_608500.0000.ogg,她得了一种非常罕见的儿童白血病
data/train/608970.0000_611770.0000.ogg,她经历了当时的标准疗法 就是化疗
data/train/612100.0000_614270.0000.ogg,化疗完了以后效果不错
data/train/614270.0000_615420.0000.ogg,于是她就回家了
data/train/615420.0000_618720.0000.ogg,但是她很不幸成为那20%30%会复发的病人
data/train/618850.0000_620800.0000.ogg,于是过了一年她肿瘤又复发了
data/train/620820.0000_623750.0000.ogg,到了医院以后当时的标准疗法就是更大剂量的化疗
data/train/623850.0000_625800.0000.ogg,于是她又接受了更大剂量化疗
data/train/625800.0000_627520.0000.ogg,但是很不幸地 过了半年又复发了
data/train/628320.0000_631470.0000.ogg,当两次复发的时候当时就已经没有标准治疗了
data/train/631620.0000_634800.0000.ogg,医生就直接告诉家长说我推荐你就不要治疗
data/train/634800.0000_635620.0000.ogg,你就回家算了
data/train/635620.0000_636920.0000.ogg,让她最后走得轻松一点
data/train/637100.0000_638070.0000.ogg,这是没有问题的
data/train/638250.0000_639970.0000.ogg,我觉得这是非常正确的建议
data/train/640070.0000_641850.0000.ogg,但是当时家长没有放弃
data/train/642100.0000_645250.0000.ogg,他到网上搜索有没有新的临床实验
data/train/645370.0000_649470.0000.ogg,于是被他发现找到了一个新的还没有人用过的疗法
data/train/649470.0000_650700.0000.ogg,叫CAR-T免疫治疗
data/train/651350.0000_653450.0000.ogg,这个东西具体是什么我们不讲了
data/train/653450.0000_657300.0000.ogg,但大概意思是从病人体内把免疫细胞拿出来
data/train/657300.0000_661120.0000.ogg,通过基因改造的办法让它对癌细胞的杀伤更强
data/train/661720.0000_664070.0000.ogg,但当时没有人知道这个东西会不会有效
data/train/664500.0000_667620.0000.ogg,Emily成了第一个尝试这种疗法的小孩
data/train/668350.0000_670450.0000.ogg,但是最后结果是震惊的
data/train/670450.0000_674600.0000.ogg,这是2012年Emily绝望的时候的状态
data/train/675350.0000_676820.0000.ogg,这是2013年
data/train/677200.0000_678970.0000.ogg,一年以后她去复查
data/train/678970.0000_680670.0000.ogg,one year cancer free
data/train/680700.0000_682370.0000.ogg,就是身体里面已经没有癌细胞了
data/train/682900.0000_684150.0000.ogg,这是两年的时候
data/train/684370.0000_685600.0000.ogg,这是三年的时候
data/train/685600.0000_686900.0000.ogg,这是四年的时候
data/train/686950.0000_688170.0000.ogg,这是五年的时候
data/train/688250.0000_690150.0000.ogg,马上她就会拍第六年的照片
data/train/691600.0000_693920.0000.ogg,所以科学的进步
data/train/693920.0000_695070.0000.ogg,包括抗癌上面
data/train/695070.0000_696870.0000.ogg,永远都不是渐进式的
data/train/696870.0000_699350.0000.ogg,科学的进步是阶梯式的 跳跃式的
data/train/700000.0000_703110.0000.ogg,像Emily这样的小孩在五年之前
data/train/703470.0000_704650.0000.ogg,基本就死定了
data/train/704950.0000_705970.0000.ogg,没有任何的办法
data/train/705970.0000_708750.0000.ogg,但是在现在像Emily这样的小孩
data/train/708750.0000_709850.0000.ogg,因为CAR-T疗法
data/train/709850.0000_711570.0000.ogg,因为别的一些治疗的办法
data/train/711700.0000_714150.0000.ogg,80%到90%都能够存活
data/train/715450.0000_717300.0000.ogg,所以这是革命性的突破
data/train/717650.0000_719470.0000.ogg,大众应该知道这样的情况
data/train/719500.0000_721220.0000.ogg,而不应该随便地放弃
data/train/722320.0000_723570.0000.ogg,下面一个给大家讲的
data/train/723570.0000_724800.0000.ogg,就是很多人有一个误区
data/train/724800.0000_727300.0000.ogg,刚才我也给大家展示Emily体内没有癌细胞了
data/train/727700.0000_732270.0000.ogg,我们要战胜癌症是否一定需要杀死每一个癌细胞
data/train/734120.0000_735320.0000.ogg,其实是不需要的
data/train/737120.0000_740000.0000.ogg,一个例子就是其实在座的男性
data/train/740770.0000_742000.0000.ogg,包括我自己在内
data/train/742470.0000_747600.0000.ogg,可能大概有30%体内都已经有前列腺癌细胞
data/train/748470.0000_749910.0000.ogg,因为这个在以前
data/train/749910.0000_752300.0000.ogg,有人对这些因为意外死亡的男性
data/train/752300.0000_753250.0000.ogg,做解剖的时候
data/train/753250.0000_755150.0000.ogg,就发现其实很多人前列腺里面
data/train/755150.0000_756650.0000.ogg,已经出现了癌变的细胞
data/train/756800.0000_760950.0000.ogg,但是绝大多数人都不会因为前列腺癌而去世
data/train/760950.0000_763760.0000.ogg,我们就是携带着这样的癌细胞
data/train/763760.0000_765650.0000.ogg,存活了一辈子而不知而已
data/train/765750.0000_769000.0000.ogg,所以并不是说一定要杀死每一个癌细胞
data/train/769620.0000_771650.0000.ogg,而是说只要把它控制住
data/train/771650.0000_773500.0000.ogg,把它变成慢性病和它共存就可以
data/train/773500.0000_774770.0000.ogg,给大家再举一个例子
data/train/774900.0000_778000.0000.ogg,我们在座的肯定都看过《我不是药神》这个电影对不对
data/train/778420.0000_781500.0000.ogg,里面有一个药厂很邪恶
data/train/781550.0000_782950.0000.ogg,开发了一种药
data/train/782950.0000_784470.0000.ogg,虽然效果好但很贵
data/train/784500.0000_786450.0000.ogg,那个药厂就是以前我工作的药厂
data/train/786450.0000_787570.0000.ogg,所以大家不要再骂了
data/train/792620.0000_795200.0000.ogg,它开发的这个药是一个神药
data/train/795300.0000_799120.0000.ogg,它的出现直接让这一类患者
data/train/799120.0000_800900.0000.ogg,叫慢粒白血病的患者
data/train/800900.0000_804120.0000.ogg,生存率从30%提高到了90%
data/train/805200.0000_807870.0000.ogg,而且随着后来时间的延长
data/train/807870.0000_810300.0000.ogg,对这些病人跟踪得越来越久
data/train/810500.0000_813820.0000.ogg,发现这些人的寿命和正常人无异
data/train/814520.0000_816070.0000.ogg,给大家看一个现实的例子
data/train/816070.0000_817400.0000.ogg,这个人叫刘正琛
data/train/817620.0000_821620.0000.ogg,他是当年北大高材生
data/train/821620.0000_824470.0000.ogg,北大毕业数学系毕业以后
data/train/824470.0000_826320.0000.ogg,保送进了光华管理学院做研究生
data/train/827020.0000_828170.0000.ogg,前途一片光明
data/train/829250.0000_832620.0000.ogg,但是很不幸地在他研一的时候 20多岁的时候
data/train/832620.0000_834500.0000.ogg,突然就被诊断为慢粒白血病
data/train/834500.0000_837920.0000.ogg,当时医生就告诉他你五年的生存率就是30%
data/train/838000.0000_839170.0000.ogg,但是他运气很好
data/train/839170.0000_841450.0000.ogg,在合适的时间得了这种合适的癌症
data/train/842650.0000_846850.0000.ogg,因为2001年的时候正好是这个格列卫被开发出来的时候
data/train/846850.0000_849070.0000.ogg,他成了中国第一批使用这个药的人
data/train/849700.0000_851820.0000.ogg,现在他还活得好好的
data/train/852400.0000_853700.0000.ogg,他是我非常好的朋友
data/train/853800.0000_855170.0000.ogg,而且不仅好好的
data/train/855400.0000_857020.0000.ogg,还做了几件事情
data/train/857300.0000_860400.0000.ogg,第一他成立了新阳光公益基金会
data/train/860520.0000_862970.0000.ogg,现在每一年募资几千万
data/train/863250.0000_865900.0000.ogg,为白血病的家庭 白血病的患者
data/train/866550.0000_868300.0000.ogg,能够让他们用得起这种药物
data/train/868300.0000_870400.0000.ogg,能够对他进行生命的关怀
data/train/870400.0000_871670.0000.ogg,对他心理的辅导等等等等
data/train/872270.0000_874100.0000.ogg,这是第一件非常了不起的事情
data/train/874350.0000_875850.0000.ogg,第二件事情他娶了个老婆
data/train/877000.0000_878600.0000.ogg,就是照片上的这位女生
data/train/879420.0000_881670.0000.ogg,他的太太也是慢粒白血病患者
data/train/882770.0000_884900.0000.ogg,他们俩是因为做公益的时候认识的
data/train/885570.0000_887250.0000.ogg,这是很牛的一件事情
data/train/887320.0000_889650.0000.ogg,第三个他们俩还生了一个孩子
data/train/891450.0000_895070.0000.ogg,所以说我们一听到觉得白血病就是个死
data/train/895070.0000_896900.0000.ogg,得了癌症就不行了 等等等等
data/train/896900.0000_898700.0000.ogg,其实都是误区
data/train/899020.0000_900850.0000.ogg,但是很多人不知道嘛
data/train/900950.0000_904800.0000.ogg,所以癌症可能是一个谣言最最多的东西
data/train/905250.0000_908420.0000.ogg,大家可能在朋友圈里面老能看到这样的东西
data/train/909050.0000_911690.0000.ogg,比如说老是会有澳大利亚的什么东西
data/train/911690.0000_913070.0000.ogg,突然就治愈癌症了
data/train/914370.0000_915750.0000.ogg,如果我说你不知道的话
data/train/915750.0000_917470.0000.ogg,你还以为澳大利亚是宇宙中心
data/train/917700.0000_920050.0000.ogg,但其实澳大利亚的制药业是非常弱的
data/train/921620.0000_923350.0000.ogg,我给大家讲几个例子
data/train/923350.0000_925220.0000.ogg,第一个是纯天然无公害
data/train/925220.0000_927620.0000.ogg,这是咱们在中国传统文化
data/train/928120.0000_931650.0000.ogg,被这个东西洗礼以后的一个巨大的误区
data/train/931650.0000_935050.0000.ogg,就老觉得人工的东西不好 天然的东西就好
data/train/935700.0000_937570.0000.ogg,但其实你仔细想一想
data/train/937670.0000_940270.0000.ogg,我们古代所有的毒药都是天然的
data/train/942000.0000_944420.0000.ogg,你问问武大郎纯天然的东西好不好
data/train/946820.0000_947650.0000.ogg,举一个例子
data/train/947870.0000_950250.0000.ogg,马兜铃酸很多人可能都不知道是什么东西
data/train/950300.0000_951120.0000.ogg,它是一种化合物
data/train/951120.0000_952800.0000.ogg,这个东西最开始是怎么被发现的呢
data/train/952800.0000_956650.0000.ogg,是因为比利时突然有一些女性出现了急性肾衰竭
data/train/957520.0000_960220.0000.ogg,莫名其妙一群年轻女性就出现急性肾衰竭
data/train/960220.0000_963820.0000.ogg,后来去研究发现她们都在吃一种中草药来减肥
data/train/964270.0000_965570.0000.ogg,吃得太多了
data/train/965970.0000_968500.0000.ogg,那个中草药里面后来发现含有马兜铃酸
data/train/968500.0000_969860.0000.ogg,但马兜铃酸这个东西
data/train/969860.0000_972000.0000.ogg,如果吃的低剂量的话会不会有问题
data/train/972000.0000_972950.0000.ogg,也有问题
data/train/973200.0000_976420.0000.ogg,是因为它能够直接刺激基因突变
data/train/976820.0000_979770.0000.ogg,事实上马兜铃酸是现在世界上
data/train/979770.0000_984070.0000.ogg,已知的化合物里面引起突变最强的之一
data/train/984070.0000_985250.0000.ogg,甚至超过了吸烟
data/train/986220.0000_990050.0000.ogg,马兜铃酸造成的突变现在能够通过基因检测发现
data/train/990050.0000_991920.0000.ogg,就是说你给我一个癌症患者
data/train/991920.0000_996320.0000.ogg,我能告诉你他是不是吃了含马兜铃酸的药物
data/train/996900.0000_999970.0000.ogg,中国大家都知道是一个肝癌的高发区
data/train/1000000.0000_1002820.0000.ogg,全世界一半以上的肝癌患者都在中国
data/train/1003220.0000_1005270.0000.ogg,这里面有个特别严重的问题
data/train/1005270.0000_1007500.0000.ogg,就是因为咱们的乙肝病毒携带者特别地多
data/train/1009100.0000_1010320.0000.ogg,但是很不幸的
data/train/1010320.0000_1011600.0000.ogg,很多人为了保肝
data/train/1011600.0000_1013450.0000.ogg,就去吃了一些中草药
data/train/1013900.0000_1016820.0000.ogg,结果这个中草药正好含有马兜铃酸
data/train/1016820.0000_1018250.0000.ogg,对他造成了双重刺激
data/train/1019320.0000_1022010.0000.ogg,最近的一些研究就发现中国的肝癌患者里面
data/train/1022520.0000_1024369.0000.ogg,有很大一部分
data/train/1024369.0000_1026619.0000.ogg,都携带这样的马兜铃酸突变
data/train/1027319.0000_1028700.0000.ogg,第二个谣言是什么
data/train/1029319.0000_1031000.0000.ogg,去医院死得更快
data/train/1031150.0000_1033650.0000.ogg,这是一个90后非常年轻的演员
data/train/1033650.0000_1035300.0000.ogg,前段时间也炒得非常地热
data/train/1035400.0000_1037099.0000.ogg,她得了淋巴瘤
data/train/1037349.0000_1041670.0000.ogg,相对是一种可能治疗效果还不错的 通过正规治疗
data/train/1041670.0000_1042550.0000.ogg,但是她很怕
data/train/1042650.0000_1044550.0000.ogg,所以听信了周围的人说
data/train/1044550.0000_1045599.0000.ogg,我们不要去医院了
data/train/1045599.0000_1047470.0000.ogg,我们去找一个山东烟台
data/train/1047470.0000_1049570.0000.ogg,某个农村里面的一个老神医
data/train/1050350.0000_1051370.0000.ogg,所以她就去了
data/train/1051370.0000_1055420.0000.ogg,那个老神医对她进行了拔火罐和针灸的办法来治疗癌症
data/train/1056520.0000_1059820.0000.ogg,这又是一种纯天然的疗法
data/train/1060500.0000_1061720.0000.ogg,但是很不幸地
data/train/1061720.0000_1065050.0000.ogg,她得病后很快就去世了
data/train/1065320.0000_1067370.0000.ogg,后来她被送到医院抢救的时候
data/train/1067370.0000_1068500.0000.ogg,其实已经没有什么办法了
data/train/1068520.0000_1069700.0000.ogg,很遗憾的是什么呢
data/train/1069700.0000_1071250.0000.ogg,她其实最后不是死于癌症
data/train/1071350.0000_1073550.0000.ogg,而是死于因为拔火罐和针灸的时候
data/train/1073550.0000_1074870.0000.ogg,造成了严重的感染
data/train/1076050.0000_1077520.0000.ogg,因为她得淋巴癌以后
data/train/1077520.0000_1079600.0000.ogg,她体内免疫系统其实已经很弱了
data/train/1079650.0000_1081550.0000.ogg,这时候用像拔火罐
data/train/1081550.0000_1084020.0000.ogg,这种造成毛细血管的破裂等等
data/train/1084020.0000_1085250.0000.ogg,极容易被感染
data/train/1085250.0000_1087400.0000.ogg,她其实最后到医院所拍的照片
data/train/1087450.0000_1088650.0000.ogg,手都是黑的
data/train/1089150.0000_1090450.0000.ogg,非常痛苦
data/train/1090570.0000_1093650.0000.ogg,所以当时后来她妹妹发了一个微博
data/train/1093650.0000_1094900.0000.ogg,我觉得非常有说服力
data/train/1094900.0000_1098920.0000.ogg,就是说三姐现在终于开始接受西医的化疗了
data/train/1098920.0000_1101700.0000.ogg,但是被骗子骗到现在才开始接受化疗
data/train/1102850.0000_1103850.0000.ogg,第三个谣言
data/train/1104970.0000_1107200.0000.ogg,这个可能是更多人会上当受骗的
data/train/1107200.0000_1108800.0000.ogg,叫酸性体质致癌
data/train/1109300.0000_1110670.0000.ogg,多少人听过这个东西
data/train/1111450.0000_1113250.0000.ogg,多少人觉得自己非常酸
data/train/1115650.0000_1118100.0000.ogg,酸性体质致癌是一个非常有趣的理论
data/train/1118100.0000_1119270.0000.ogg,它告诉你有三点
data/train/1119270.0000_1122850.0000.ogg,第一点叫正常的血液PH值都是7.35到7.45
data/train/1124000.0000_1125300.0000.ogg,大家觉得这个有没有问题
data/train/1126200.0000_1127100.0000.ogg,没有问题
data/train/1127700.0000_1130120.0000.ogg,所有的伪科学第一句话都是科学的
data/train/1132250.0000_1135220.0000.ogg,第二个说我们的PH值如果小于7就会死
data/train/1136670.0000_1137800.0000.ogg,这句话也没有问题
data/train/1137920.0000_1141220.0000.ogg,因为我们所有人的血液PH值都是7.35到7.45
data/train/1141320.0000_1143150.0000.ogg,但是如果做过体检的话
data/train/1143150.0000_1145050.0000.ogg,你仔细去看你的血液检查表
data/train/1145050.0000_1146550.0000.ogg,里面没有PH值这一项
data/train/1146720.0000_1147500.0000.ogg,为什么呢
data/train/1147500.0000_1148450.0000.ogg,测也白测
data/train/1148450.0000_1149120.0000.ogg,都是这么高
data/train/1149700.0000_1152570.0000.ogg,但是他跟你说如果你的身体不行了
data/train/1152800.0000_1154900.0000.ogg,你从健康到亚健康就是酸了
data/train/1154900.0000_1157400.0000.ogg,到疾病到死亡就是酸+ 酸++
data/train/1157820.0000_1159320.0000.ogg,越酸就死得越快
data/train/1160650.0000_1163270.0000.ogg,然后有人就说这个怎么判断自己酸了没有呢
data/train/1164070.0000_1166120.0000.ogg,他说有两个办法 不要着急
data/train/1166600.0000_1168870.0000.ogg,这是伪科学的一贯办法 非常强
data/train/1168920.0000_1170400.0000.ogg,第一个说自我感觉
data/train/1171770.0000_1173720.0000.ogg,如果你感觉不好你就酸了
data/train/1177170.0000_1178350.0000.ogg,在座大家都笑
data/train/1178350.0000_1180270.0000.ogg,因为咱们的素养比较高一点
data/train/1180270.0000_1182120.0000.ogg,第二个很有欺骗性 说
data/train/1182720.0000_1183520.0000.ogg,你不信吗
data/train/1183520.0000_1186450.0000.ogg,我就给你免费寄一个PH值试纸给你
data/train/1186450.0000_1187070.0000.ogg,最简单
data/train/1187070.0000_1189470.0000.ogg,连续三天早上起来测自己的唾液
data/train/1189470.0000_1193600.0000.ogg,如果低于7的话你就是酸性体质
data/train/1194150.0000_1195650.0000.ogg,大家觉得有没有什么问题
data/train/1198350.0000_1200770.0000.ogg,这里面用了一个非常强的偷换概念
data/train/1201100.0000_1202650.0000.ogg,刚才讲的是血液
data/train/1202650.0000_1203550.0000.ogg,现在是唾液
data/train/1203550.0000_1205650.0000.ogg,大家知道我们唾液正常的PH值是多少
data/train/1206620.0000_1207870.0000.ogg,6.8到7.1
data/train/1209050.0000_1213100.0000.ogg,所以说你只要敢测
data/train/1213550.0000_1215330.0000.ogg,你就一定是酸性体质
data/train/1216220.0000_1218300.0000.ogg,所以很多人测完以后吓死了
data/train/1218300.0000_1220620.0000.ogg,说这么酸还没死真的是万幸
data/train/1222400.0000_1225670.0000.ogg,所以赶快要到淘宝上去买点什么东西才可以
data/train/1225970.0000_1229650.0000.ogg,为什么酸性体质这件事它是个很奇葩的理论
data/train/1229650.0000_1230420.0000.ogg,奇葩在哪儿呢
data/train/1230420.0000_1232420.0000.ogg,就是咱们中医也没有这个理论
data/train/1232420.0000_1233850.0000.ogg,西医也没有这个理论
data/train/1234650.0000_1236000.0000.ogg,为什么它会出现呢
data/train/1236000.0000_1238640.0000.ogg,所有的网络平台如果你去搜索
data/train/1238950.0000_1240350.0000.ogg,排酸产品
data/train/1241050.0000_1242520.0000.ogg,感受一下
data/train/1243870.0000_1245000.0000.ogg,很吓人
data/train/1245000.0000_1247420.0000.ogg,我说为什么我们这些辟谣的人
data/train/1247420.0000_1249900.0000.ogg,总是辟不过那些传播谣言的人
data/train/1250170.0000_1251250.0000.ogg,为什么呢
data/train/1251300.0000_1253400.0000.ogg,因为我们是兼职在辟谣
data/train/1253400.0000_1255770.0000.ogg,别人是全职在传播伪科学
data/train/1261900.0000_1265120.0000.ogg,别人每一天早上起来的第一件事就是说
data/train/1265120.0000_1267300.0000.ogg,怎么能把这个伪科学传播出去
data/train/1267300.0000_1269000.0000.ogg,你怎么能搞过别人呢
data/train/1269270.0000_1271220.0000.ogg,第四个谣言我觉得也很重要
data/train/1271220.0000_1272200.0000.ogg,就是饿死癌细胞
data/train/1275000.0000_1277320.0000.ogg,饿死癌细胞这件事大家想得很简单
data/train/1277320.0000_1278120.0000.ogg,它的理论是什么
data/train/1278120.0000_1279700.0000.ogg,说癌细胞特别爱吃糖
data/train/1281120.0000_1282920.0000.ogg,它生长很快 特别爱吃糖
data/train/1282920.0000_1284850.0000.ogg,所以咱们就不要吃东西 饿死它
data/train/1286100.0000_1288700.0000.ogg,这个东西想起来好像是靠谱的
data/train/1289100.0000_1290800.0000.ogg,但其实有个问题是什么呢
data/train/1290800.0000_1294020.0000.ogg,就说生命里面癌细胞喜欢吃糖
data/train/1294020.0000_1296350.0000.ogg,平时的很多细胞也爱吃糖
data/train/1296350.0000_1298070.0000.ogg,比如说我们的脑神经细胞
data/train/1298250.0000_1299750.0000.ogg,比如说我们的免疫细胞
data/train/1299750.0000_1302400.0000.ogg,所以通常来说在饿死癌细胞之前
data/train/1302600.0000_1303800.0000.ogg,你已经把人饿死了
data/train/1304500.0000_1308970.0000.ogg,就像大家说的我们每一个月的工资不足
data/train/1309900.0000_1311570.0000.ogg,税收得太多了
data/train/1311950.0000_1313400.0000.ogg,如果税收得太多
data/train/1313400.0000_1316470.0000.ogg,你觉得你应该采用的办法是多发钱
data/train/1316700.0000_1318370.0000.ogg,还是应该少发工资呢
data/train/1319170.0000_1323100.0000.ogg,其实你完全把钱扣掉说我们要饿死税收局
data/train/1324600.0000_1326320.0000.ogg,饿死民政部
data/train/1326850.0000_1327800.0000.ogg,那不行
data/train/1327800.0000_1330150.0000.ogg,你还不如多发点钱大家都过得好一点就行了
data/train/1330150.0000_1334400.0000.ogg,所以中国20%到30%的患者最后是被饿死的
data/train/1335670.0000_1336970.0000.ogg,真的 不开玩笑
data/train/1336970.0000_1339750.0000.ogg,所以在美国现在营养的支持
data/train/1339750.0000_1343720.0000.ogg,是非常非常重要的治疗中的一个整体的环节
data/train/1343720.0000_1345870.0000.ogg,中国现在这方面还非常地落后
data/train/1345950.0000_1347150.0000.ogg,但是很有幸地
data/train/1347150.0000_1348850.0000.ogg,现在有些专家已经开始呼吁
data/train/1348970.0000_1351170.0000.ogg,我们会对这方面做得更多一些
data/train/1351250.0000_1354520.0000.ogg,希望大家以后也不要盲目地相信饿死癌细胞这件事情
data/train/1355120.0000_1357700.0000.ogg,癌症病人真的更要吃好吃饱
data/train/1358520.0000_1360620.0000.ogg,刚才讲到很多都是治疗方面的东西
data/train/1360620.0000_1362200.0000.ogg,其实对于在座的各位
data/train/1362200.0000_1363000.0000.ogg,大家都是健康人
data/train/1363000.0000_1365050.0000.ogg,我其实永远都要强调的是什么呢
data/train/1365270.0000_1367400.0000.ogg,预防大于筛查 大于治疗
data/train/1368200.0000_1369270.0000.ogg,预防是上策
data/train/1369270.0000_1370270.0000.ogg,筛查是中策
data/train/1370270.0000_1371200.0000.ogg,治疗是下策
data/train/1371200.0000_1372900.0000.ogg,我们希望它防患于未然
data/train/1373250.0000_1374400.0000.ogg,先讲讲筛查
data/train/1374400.0000_1376050.0000.ogg,为什么筛查这么重要呢
data/train/1376050.0000_1378450.0000.ogg,是因为癌症发现得早的话
data/train/1378450.0000_1379950.0000.ogg,其实通常都是不致命的
data/train/1380450.0000_1382800.0000.ogg,这是美国五年癌症生存率
data/train/1382800.0000_1385520.0000.ogg,大家看到零期 一期 二期的癌症
data/train/1385520.0000_1387500.0000.ogg,其实存活率是非常非常高的
data/train/1387500.0000_1389520.0000.ogg,即使到三期也是很不错的
data/train/1389520.0000_1390400.0000.ogg,但是到了四期
data/train/1390400.0000_1392770.0000.ogg,当它广泛转移以后就比较困难了
data/train/1393200.0000_1396800.0000.ogg,所以如果能通过筛查的办法早点发现就会好很多
data/train/1397570.0000_1398570.0000.ogg,举一个例子
data/train/1398570.0000_1400620.0000.ogg,美国结直肠癌发病率非常地高
data/train/1400620.0000_1403970.0000.ogg,但是在最近二三十年其实持续地
data/train/1403970.0000_1406300.0000.ogg,不管是发生率还是死亡率都在下降
data/train/1406820.0000_1407600.0000.ogg,为什么呢
data/train/1407600.0000_1409470.0000.ogg,其实最最重要的一个原因就是
data/train/1409470.0000_1412520.0000.ogg,它推广了一些筛查的手段
data/train/1412720.0000_1414420.0000.ogg,推广了一些预防的手段
data/train/1415550.0000_1416670.0000.ogg,比如说筛查
data/train/1416670.0000_1420170.0000.ogg,其实美国现在是推荐50到75岁的人
data/train/1420870.0000_1423050.0000.ogg,进行常规的肠镜筛查
data/train/1423670.0000_1425270.0000.ogg,但是2000年的时候
data/train/1425270.0000_1427600.0000.ogg,当时其实这个筛查还推广得不好 20%
data/train/1427600.0000_1429770.0000.ogg,到现在应该有70%左右这个年龄段的人
data/train/1429770.0000_1432370.0000.ogg,都会去做肠镜筛查
data/train/1432370.0000_1435000.0000.ogg,为什么这么多人开始做筛查呢
data/train/1436100.0000_1437400.0000.ogg,一方面是科普
data/train/1437450.0000_1440400.0000.ogg,但这个其实不是最最有效的办法
data/train/1440650.0000_1442950.0000.ogg,因为很多人知道也不一定会去做
data/train/1443050.0000_1444250.0000.ogg,它还做了两件事情
data/train/1444250.0000_1446450.0000.ogg,第一个让你免费筛查 进医保
data/train/1446450.0000_1447770.0000.ogg,筛查是免费的
data/train/1447770.0000_1449470.0000.ogg,第二个反向的经济利益
data/train/1449470.0000_1451620.0000.ogg,就是如果你不筛查你的医保就涨
data/train/1453450.0000_1455970.0000.ogg,如果你不筛查你发病的概率就高
data/train/1455970.0000_1458020.0000.ogg,国家就涨你的医保的费用
data/train/1458020.0000_1459500.0000.ogg,如果中国也这么做的话
data/train/1459520.0000_1460900.0000.ogg,相信会有更多人接受筛查
data/train/1460900.0000_1462350.0000.ogg,中国现在的比例多少呢
data/train/1463050.0000_1464620.0000.ogg,大概是10%左右
data/train/1465020.0000_1467220.0000.ogg,其实为什么肠镜筛查这么有效呢
data/train/1467220.0000_1470470.0000.ogg,是因为刚才讲了癌症的发生是需要20年左右的
data/train/1470650.0000_1473820.0000.ogg,如果你能在20年这个范围之内
data/train/1473820.0000_1476170.0000.ogg,提前就能发现它的话
data/train/1476320.0000_1477400.0000.ogg,把它切掉
data/train/1477400.0000_1478570.0000.ogg,它就是一个良性的肿瘤
data/train/1478570.0000_1479770.0000.ogg,切掉以后就治愈了
data/train/1479950.0000_1481750.0000.ogg,另外再给大家举一些例子
data/train/1481750.0000_1483620.0000.ogg,别的一些癌症肿瘤的筛查办法
data/train/1484000.0000_1485920.0000.ogg,很重要的一点是什么呢
data/train/1485920.0000_1490200.0000.ogg,就是现有的技术里面没有一种靠谱的技术
data/train/1490200.0000_1491670.0000.ogg,能够筛查多种癌症
data/train/1493270.0000_1494520.0000.ogg,为什么强调这一点
data/train/1494520.0000_1497220.0000.ogg,是因为我们现在社会上太多的商家在推广说
data/train/1497220.0000_1499270.0000.ogg,我要一滴血查所有癌症
data/train/1499670.0000_1502020.0000.ogg,我要什么什么东西能够查几十种癌症
data/train/1502520.0000_1504420.0000.ogg,或者我到日本做一个什么体检
data/train/1504420.0000_1505600.0000.ogg,就能查很多很多癌症
data/train/1507970.0000_1509870.0000.ogg,不能说它完全虚假
data/train/1509870.0000_1511050.0000.ogg,但是至少是过度宣传
data/train/1511050.0000_1514870.0000.ogg,现在经过专家认证推广的也就是下面的这一些
data/train/1515020.0000_1516470.0000.ogg,可能还有一两个漏掉的
data/train/1516470.0000_1520720.0000.ogg,但绝大多数情况一种筛查方式针对的就是一种癌症类型
data/train/1521750.0000_1522850.0000.ogg,然后讲讲预防
data/train/1524120.0000_1525220.0000.ogg,为什么能够预防
data/train/1525220.0000_1527000.0000.ogg,是因为刚才讲了癌症时间很长
data/train/1527000.0000_1529500.0000.ogg,它其实就是因为基因突变和免疫逃逸
data/train/1529500.0000_1530950.0000.ogg,这两个综合结果造成的
data/train/1531020.0000_1536950.0000.ogg,所以如果我们能够避免一些会引起基因突变
data/train/1536950.0000_1540170.0000.ogg,能够引起免疫逃逸的环境因素
data/train/1540220.0000_1541720.0000.ogg,或者是别的一些因素的话
data/train/1541720.0000_1544450.0000.ogg,其实现在认为50%的癌症
data/train/1544450.0000_1546100.0000.ogg,都是可以预防的 可以避免的
data/train/1546570.0000_1547970.0000.ogg,有哪些因素呢
data/train/1548850.0000_1550270.0000.ogg,烟 酒 缺乏运动
data/train/1550270.0000_1551020.0000.ogg,不良饮食习惯
data/train/1551020.0000_1551970.0000.ogg,缺乏膳食纤维
data/train/1551970.0000_1552550.0000.ogg,慢性炎症
data/train/1552550.0000_1552970.0000.ogg,电离辐射
data/train/1552970.0000_1554620.0000.ogg,感染 免疫缺陷
data/train/1554650.0000_1555200.0000.ogg,环境污染
data/train/1555200.0000_1555900.0000.ogg,等等等等
data/train/1555900.0000_1556750.0000.ogg,有很多种
data/train/1557370.0000_1559100.0000.ogg,我想给大家强调几种癌症
data/train/1559100.0000_1560500.0000.ogg,大家可能都经常听说过
data/train/1560500.0000_1563320.0000.ogg,叫鼻咽癌 胃癌 宫颈癌 食道癌和肝癌
data/train/1563670.0000_1566550.0000.ogg,这几个东西是罕见的在发展中国家
data/train/1566550.0000_1567550.0000.ogg,包括中国
data/train/1567550.0000_1569150.0000.ogg,发病率比发达国家高的
data/train/1569150.0000_1570620.0000.ogg,它们被称为穷人癌
data/train/1570750.0000_1575700.0000.ogg,根本的原因就是它们的最主要的因素不是年龄
data/train/1575870.0000_1578100.0000.ogg,而是环境因素
data/train/1578100.0000_1579220.0000.ogg,比如说胃癌
data/train/1579700.0000_1581850.0000.ogg,它和咱们的饮食习惯密切相关
data/train/1581850.0000_1584250.0000.ogg,和幽门螺旋杆菌的感染密切相关
data/train/1584250.0000_1586950.0000.ogg,因为中国不实行分餐制 所以经常交叉感染
data/train/1586950.0000_1589720.0000.ogg,咱们70%以上的成年人都携带幽门螺旋杆菌
data/train/1590900.0000_1592400.0000.ogg,这在欧美是非常少的
data/train/1592650.0000_1593920.0000.ogg,所以胃癌发病率很高
data/train/1594050.0000_1595870.0000.ogg,宫颈癌 HPV的感染
data/train/1596750.0000_1598370.0000.ogg,然后筛查做得不好
data/train/1598470.0000_1599470.0000.ogg,食管癌
data/train/1599500.0000_1600670.0000.ogg,喜欢吃烫的东西
data/train/1601300.0000_1603570.0000.ogg,咱们中国有个恶习 叫趁热喝
data/train/1607870.0000_1610250.0000.ogg,这个是一个非常糟糕的习惯
data/train/1610250.0000_1614420.0000.ogg,现在世界卫生组织已经把65度以上的饮品
data/train/1614420.0000_1615700.0000.ogg,定义为致癌物
data/train/1617520.0000_1618920.0000.ogg,大家下次就尽量地
data/train/1618920.0000_1620270.0000.ogg,不管你是爱喝茶还是咖啡
data/train/1620270.0000_1621570.0000.ogg,都很好 没问题
data/train/1621650.0000_1623570.0000.ogg,稍微凉一凉再喝
data/train/1624550.0000_1625700.0000.ogg,讲讲肺癌
data/train/1626800.0000_1629170.0000.ogg,肺癌现在是中国的第一大杀手
data/train/1629800.0000_1631370.0000.ogg,无论男女都是第一大杀手
data/train/1631370.0000_1634620.0000.ogg,每年死于肺癌的人是所有癌症里面最多的
data/train/1635050.0000_1637470.0000.ogg,中国占了世界1/5的人口
data/train/1637470.0000_1639400.0000.ogg,但是有1/3的肺癌患者在中国
data/train/1640300.0000_1641420.0000.ogg,大家觉得为什么
data/train/1642800.0000_1643900.0000.ogg,其实很简单
data/train/1643900.0000_1647720.0000.ogg,就是因为中国有全世界1/3的吸烟人口
data/train/1648570.0000_1651900.0000.ogg,中国的吸烟人口庞大到什么数量呢
data/train/1651970.0000_1656400.0000.ogg,就是超过了排在第2位到第30位的29个国家的总和
data/train/1657770.0000_1661170.0000.ogg,你看中国右边这个吸烟的这一块多么庞大
data/train/1662050.0000_1663650.0000.ogg,印度和咱们人口差不多
data/train/1663650.0000_1664720.0000.ogg,吸烟人少非常多
data/train/1664770.0000_1665870.0000.ogg,肺癌也少非常多
data/train/1666350.0000_1668870.0000.ogg,所以别天天去骂什么PM2.5这些东西
data/train/1669220.0000_1670300.0000.ogg,需要处理
data/train/1670300.0000_1671950.0000.ogg,但是不是最最关键的原因
data/train/1672600.0000_1673700.0000.ogg,吸烟才是
data/train/1674270.0000_1675780.0000.ogg,很多人都说你怎么知道
data/train/1675780.0000_1677270.0000.ogg,吸烟和肺癌关系这么大
data/train/1677270.0000_1678520.0000.ogg,我们戒烟到底有没有用
data/train/1678520.0000_1679320.0000.ogg,我告诉你有用
data/train/1679320.0000_1680950.0000.ogg,不是说一拍脑袋说有用
data/train/1681050.0000_1682970.0000.ogg,而是美国的经验告诉我们
data/train/1682970.0000_1685370.0000.ogg,这是美国的肺癌死亡率的曲线图
data/train/1685600.0000_1687300.0000.ogg,大家看到是不是非常奇葩
data/train/1687370.0000_1688750.0000.ogg,前面一骑绝尘
data/train/1688750.0000_1691370.0000.ogg,从1920年到1970年几乎是直线上升
data/train/1691370.0000_1692970.0000.ogg,突然就往下走
data/train/1693700.0000_1695350.0000.ogg,这个和新药没有关系
data/train/1695420.0000_1697570.0000.ogg,这个和任何别的办法
data/train/1697570.0000_1699250.0000.ogg,甚至和筛查都没有什么关系
data/train/1699500.0000_1702770.0000.ogg,它唯一的做对了一件事情就是
data/train/1703600.0000_1705870.0000.ogg,它的人均吸烟量开始
data/train/1706520.0000_1708770.0000.ogg,比咱们早早早得多就开始下降了
data/train/1708950.0000_1711300.0000.ogg,事实上在香烟发生之前
data/train/1711300.0000_1713070.0000.ogg,大家可能不知道 很难想象
data/train/1713100.0000_1714950.0000.ogg,肺癌是一种罕见病
data/train/1716300.0000_1719220.0000.ogg,肺癌是一种极其少会发生的癌症种类
data/train/1720050.0000_1721800.0000.ogg,但是香烟出来以后
data/train/1722400.0000_1723150.0000.ogg,刚才讲了
data/train/1723150.0000_1725650.0000.ogg,你有没有发现蓝色和黑色的线差了20年
data/train/1726750.0000_1728820.0000.ogg,就是因为癌症的发生需要20年
data/train/1729100.0000_1732670.0000.ogg,烟草流行大概20多年以后发生肺癌的概率大幅提高
data/train/1733700.0000_1735950.0000.ogg,美国当时也发现了这个问题
data/train/1735950.0000_1738350.0000.ogg,吸烟一上去以后就出了肺癌这个事
data/train/1738350.0000_1740250.0000.ogg,然后就说我们要禁烟 我们要控烟
data/train/1740250.0000_1743500.0000.ogg,但是就是不停地几个方面的人在博弈
data/train/1743500.0000_1746520.0000.ogg,经济利益 税收 健康 怎么办
data/train/1746850.0000_1747620.0000.ogg,博弈博弈
data/train/1747620.0000_1751730.0000.ogg,你看中间50年代到70年代就是几方对垒
data/train/1751730.0000_1753020.0000.ogg,居高不下
data/train/1753070.0000_1756150.0000.ogg,最后直到后面控烟成功
data/train/1756150.0000_1757970.0000.ogg,年轻一代吸烟的越来越少
data/train/1757970.0000_1759570.0000.ogg,公共场合全面禁烟
data/train/1759570.0000_1761970.0000.ogg,然后它的吸烟量就开始大幅下降
data/train/1761970.0000_1764250.0000.ogg,大幅下降过了以后20年
data/train/1764820.0000_1768170.0000.ogg,90年代美国的肺癌死亡率才开始下降
data/train/1769120.0000_1772650.0000.ogg,中国现在还没有进入这个下降的时期
data/train/1772650.0000_1775270.0000.ogg,我们虽然北京上海已经好很多了
data/train/1775270.0000_1776600.0000.ogg,公共场合开始禁烟
data/train/1776600.0000_1779600.0000.ogg,但是咱们中国的吸烟量并没有下降
data/train/1779600.0000_1782800.0000.ogg,所以说在未来的二三十年
data/train/1782850.0000_1786170.0000.ogg,中国的肺癌死亡人数绝对不会下降
data/train/1786600.0000_1790720.0000.ogg,给大家看一个很可怕的视频
data/train/1832170.0000_1835350.0000.ogg,感谢快手和抖音对本视频的赞助
data/train/1838250.0000_1840470.0000.ogg,刚才我在练习的时候
data/train/1840470.0000_1841870.0000.ogg,别人说你这音乐太欢快了
data/train/1842300.0000_1844800.0000.ogg,我说我确实也不知道配什么音乐会比较合适
data/train/1845650.0000_1847600.0000.ogg,看到这个我觉得感触良多
data/train/1847600.0000_1849800.0000.ogg,其实从视频的背景大家能看出来
data/train/1849800.0000_1852900.0000.ogg,这些人其实是比较贫困的地区
data/train/1853850.0000_1855270.0000.ogg,这些人 如果我们不管他们
data/train/1855270.0000_1857620.0000.ogg,或者我们不减少这种人群的话
data/train/1857800.0000_1859800.0000.ogg,在30年以后 20年以后
data/train/1859800.0000_1861520.0000.ogg,他们就会成为肺癌患者
data/train/1861520.0000_1864600.0000.ogg,然后他们就会到轻松筹 水滴筹上去筹款
data/train/1864600.0000_1867570.0000.ogg,因为他们完全无法承受肺癌治疗的费用
data/train/1867600.0000_1868950.0000.ogg,然后我们就要开始讨论
data/train/1868950.0000_1871150.0000.ogg,如何让肺癌患者能够用得起药的问题
data/train/1872150.0000_1876520.0000.ogg,所以永远永远都是预防大于筛查 大于治疗
data/train/1876520.0000_1879570.0000.ogg,我们有些事情要把它遏制在萌芽之中
data/train/1879570.0000_1882000.0000.ogg,像肺癌这种完全能够预防的疾病
data/train/1882000.0000_1883200.0000.ogg,只要把烟草一控
data/train/1883200.0000_1885020.0000.ogg,它就会回归到罕见病的状态
data/train/1885970.0000_1887930.0000.ogg,最后一部分我想跟大家分享
data/train/1887930.0000_1889500.0000.ogg,我为什么从美国回来
data/train/1889920.0000_1892670.0000.ogg,另外一个大家可能完全没有听说过的人群
data/train/1892670.0000_1894370.0000.ogg,就是儿童癌症患者
data/train/1895900.0000_1899450.0000.ogg,每一年中国有4万个儿童会得癌症
data/train/1900950.0000_1901920.0000.ogg,非常不幸
data/train/1902070.0000_1903670.0000.ogg,多数都是先天的原因
data/train/1903670.0000_1906800.0000.ogg,不管是家庭遗传的还是因为发育的过程中
data/train/1906800.0000_1907500.0000.ogg,出现了一些问题
data/train/1908100.0000_1910900.0000.ogg,每年会有15万的小孩正在接受治疗
data/train/1911800.0000_1914200.0000.ogg,我们身边有100万左右的孩子
data/train/1914200.0000_1917020.0000.ogg,是儿童癌症的康复者和幸存者
data/train/1917950.0000_1919570.0000.ogg,这是个非常庞大的人群
data/train/1919770.0000_1921450.0000.ogg,但最重要的数据是这个
data/train/1921950.0000_1925350.0000.ogg,儿童癌症的存活率中国远远低于美国
data/train/1926620.0000_1928070.0000.ogg,显著地低于美国
data/train/1928150.0000_1929520.0000.ogg,为什么是这样子
data/train/1929920.0000_1931420.0000.ogg,不是因为咱们没有新药
data/train/1931420.0000_1932700.0000.ogg,因为儿童癌症的治疗
data/train/1932700.0000_1935600.0000.ogg,其实多数都是化疗放疗手术这样的手段
data/train/1936570.0000_1941020.0000.ogg,也不是因为我们先进的医院水平不够
data/train/1941050.0000_1943670.0000.ogg,中国的顶尖儿童的三甲医院
data/train/1943670.0000_1945420.0000.ogg,其实和欧美的水平是差不了太多的
data/train/1946220.0000_1947870.0000.ogg,为什么会有这项差距
data/train/1948170.0000_1949400.0000.ogg,我给大家看一个例子
data/train/1950300.0000_1954850.0000.ogg,有一种儿童癌症叫做视网膜母细胞瘤 Rb
data/train/1954850.0000_1957400.0000.ogg,如果你是学生物的你会对这个东西非常熟悉
data/train/1957400.0000_1961070.0000.ogg,因为Rb这个基因是当时发现导致这种肿瘤的原因
data/train/1961070.0000_1962700.0000.ogg,它也是最重要的一个抑癌基因
data/train/1963850.0000_1965520.0000.ogg,它长在眼球里面
data/train/1965520.0000_1966820.0000.ogg,它是眼睛里面的一个肿瘤
data/train/1967120.0000_1968720.0000.ogg,很多的小孩得这个病的时候
data/train/1968720.0000_1971900.0000.ogg,由于家长不重视不知道而被耽误了
data/train/1973020.0000_1975700.0000.ogg,一个2岁的小男孩被耽误了以后
data/train/1975720.0000_1978100.0000.ogg,当已经进展到比较晚期的时候
data/train/1978100.0000_1979600.0000.ogg,到一个他们的市医院
data/train/1979650.0000_1982650.0000.ogg,他的主任告诉他你别治了 回去吧 人财两空
data/train/1984370.0000_1985950.0000.ogg,但这个家长没有放弃
data/train/1985950.0000_1988650.0000.ogg,做了一件我认为在中国非常勇敢的事情
data/train/1988650.0000_1989650.0000.ogg,就是去百度
data/train/1993620.0000_1995400.0000.ogg,然后还真让他百度到了
data/train/1996320.0000_1998720.0000.ogg,找到了一个百度上的家长QQ群
data/train/1999300.0000_2001170.0000.ogg,然后就找到了一个民间经验手册
data/train/2001170.0000_2002720.0000.ogg,发现现在有一种新的治疗方法
data/train/2002720.0000_2003950.0000.ogg,叫眼动脉介入治疗
data/train/2003950.0000_2006970.0000.ogg,对于这种晚期的肿瘤可能还有希望
data/train/2007220.0000_2011250.0000.ogg,上海有三甲医院可以做这样的手术治疗
data/train/2011370.0000_2012420.0000.ogg,然后他就去了
data/train/2012470.0000_2014250.0000.ogg,结果现在这个小孩还好好的
data/train/2015070.0000_2016400.0000.ogg,但是你不禁要问
data/train/2016400.0000_2019170.0000.ogg,如果没有找到这样的QQ群怎么办呢
data/train/2020420.0000_2023770.0000.ogg,为什么家长要通过百度找QQ群的方式来找
data/train/2024220.0000_2025750.0000.ogg,什么样的治疗方法是最好的
data/train/2025750.0000_2027150.0000.ogg,还有没有救这样的事情
data/train/2029120.0000_2030420.0000.ogg,根本原因是什么
data/train/2030420.0000_2033450.0000.ogg,是中国没有一个专业的儿童癌症的科普网站
data/train/2034020.0000_2035500.0000.ogg,如果你去Google的话
data/train/2036020.0000_2038450.0000.ogg,搜索英文的pediatric cancer
data/train/2038450.0000_2039320.0000.ogg,或者children cancer
data/train/2039320.0000_2041150.0000.ogg,你会发现有一系列的
data/train/2041150.0000_2042120.0000.ogg,政府的也好
data/train/2042120.0000_2043150.0000.ogg,公益机构的也好
data/train/2043550.0000_2045020.0000.ogg,甚至是盈利机构的
data/train/2045020.0000_2046650.0000.ogg,它都有系统性的科普
data/train/2046670.0000_2047800.0000.ogg,非常地权威
data/train/2047800.0000_2050969.0000.ogg,做好以后 还有医生 专业人士审核过的放在那
data/train/2051370.0000_2052449.0000.ogg,非常好
data/train/2052449.0000_2054070.0000.ogg,大家一看就知道怎么回事
data/train/2054199.0000_2055920.0000.ogg,但在中国你一搜儿童癌症
data/train/2055920.0000_2057850.0000.ogg,出来的就是
data/train/2058100.0000_2059400.0000.ogg,比如说第一个就是
data/train/2059400.0000_2061820.0000.ogg,儿童为什么会得癌 大部分还是和妈妈有关
data/train/2064719.0000_2066550.0000.ogg,然后你进去以后就各种广告
data/train/2068120.0000_2070070.0000.ogg,所以中国没有一个这样的网站
data/train/2070219.0000_2074570.0000.ogg,家长完全是在一堆完全不知道什么东西的里面
data/train/2074570.0000_2075920.0000.ogg,去搜索有用的信息
data/train/2075920.0000_2076920.0000.ogg,这个成本太高了
data/train/2077370.0000_2080870.0000.ogg,所以这是为什么督促我在大概三年前
data/train/2080870.0000_2082600.0000.ogg,开始做向日葵儿童
data/train/2082750.0000_2086920.0000.ogg,做这个网站的一个根本原因就是我们要做一个系统性的
data/train/2086920.0000_2090850.0000.ogg,中国最好的 最全面的 最权威的 最专业的 最信得过的
data/train/2091570.0000_2093100.0000.ogg,儿童癌症科普网站
data/train/2093100.0000_2094820.0000.ogg,所以大概呈现出来就是这样
data/train/2094820.0000_2096170.0000.ogg,它是一个可以搜索的
data/train/2096170.0000_2097970.0000.ogg,可以分门别类查找的一个东西
data/train/2098220.0000_2100320.0000.ogg,这个的后台我们动用了大概
data/train/2100320.0000_2103570.0000.ogg,当时第一部分的时候我们用了一百多个
data/train/2104000.0000_2107620.0000.ogg,在全球各地的博士级别的志愿者来做这样的事情
data/train/2108070.0000_2109170.0000.ogg,但是这还不够
data/train/2109170.0000_2110270.0000.ogg,科普还不够
data/train/2110270.0000_2115050.0000.ogg,科普也许能够解决中国60%和美国80%之间的差距
data/train/2115050.0000_2119920.0000.ogg,但是剩下的20%的小孩怎么办
data/train/2120100.0000_2121370.0000.ogg,所以我们还要做科研
data/train/2121400.0000_2123350.0000.ogg,为什么要在中国来做科研
data/train/2123370.0000_2125850.0000.ogg,就是为什么我要回到中国来做这件事情
data/train/2125850.0000_2128420.0000.ogg,是因为这件事只有中国能做
data/train/2128420.0000_2131650.0000.ogg,中国有着全球最庞大的儿童癌症患者群
data/train/2131650.0000_2133920.0000.ogg,因为这个就是一个随机的事件
data/train/2133920.0000_2136100.0000.ogg,所以人口越多 患者越多
data/train/2136100.0000_2139900.0000.ogg,而且中国有一个全球都没有的甚至欧美都没有的优势
data/train/2139900.0000_2140370.0000.ogg,是什么呢
data/train/2140370.0000_2141500.0000.ogg,咱们好医院特别少
data/train/2144070.0000_2145470.0000.ogg,为什么它是一个优势
data/train/2145470.0000_2147070.0000.ogg,对患者来说绝对是不好的
data/train/2147070.0000_2149900.0000.ogg,但是对科研来说极其好
data/train/2149900.0000_2153350.0000.ogg,因为所有的患者都集中在这几个医院里面
data/train/2154400.0000_2158870.0000.ogg,中国一个主任医师经手的儿童癌症的患者量
data/train/2158870.0000_2160250.0000.ogg,有可能超过美国全年
data/train/2160320.0000_2162570.0000.ogg,对于某一种亚型的儿童癌症来说
data/train/2163050.0000_2167870.0000.ogg,所以这些临床资源如果能够被好好地利用
data/train/2167870.0000_2170700.0000.ogg,能够用国际先进的科研的办法来做的话
data/train/2170850.0000_2177200.0000.ogg,我们有可能像盖茨基金会推动传染病的研究和解决一样
data/train/2177200.0000_2182200.0000.ogg,在中国能够解决怎么把80%提高到100%这个任务
data/train/2182720.0000_2185900.0000.ogg,所以这是为什么我和5000多个志愿者
data/train/2185900.0000_2189650.0000.ogg,和我们几十个主任级的专家顾问
data/train/2189650.0000_2191270.0000.ogg,一起来做这样的事情的原因
data/train/2191820.0000_2194070.0000.ogg,所以最后特别想呼吁
data/train/2194070.0000_2195320.0000.ogg,大家可能会问
data/train/2195400.0000_2197200.0000.ogg,如果我不懂生物医学
data/train/2197200.0000_2198420.0000.ogg,能不能参与这样的事情
data/train/2198470.0000_2199520.0000.ogg,肯定可以
data/train/2199520.0000_2202200.0000.ogg,我们需要各种各样各方面的人才
data/train/2202320.0000_2206520.0000.ogg,我们要让大家知道做公益不只是捐钱这么简单
data/train/2206550.0000_2209570.0000.ogg,更重要的是利用自己的专业知识
data/train/2209570.0000_2213170.0000.ogg,来做一些能够帮助到这些患者的地方
data/train/2213370.0000_2215170.0000.ogg,刚才我和傅（拥军）老师其实已经讲了
data/train/2215170.0000_2217220.0000.ogg,就希望他能够用他的专业知识
data/train/2217220.0000_2219250.0000.ogg,我们能不能跟拍很多的孩子
data/train/2220170.0000_2224120.0000.ogg,把他们从治疗过程到治愈的整个过程
data/train/2224120.0000_2225900.0000.ogg,展现给社会上的大众
data/train/2226000.0000_2229750.0000.ogg,让所有孩子不幸被诊断为儿童癌症的家长
data/train/2229750.0000_2231050.0000.ogg,能够有信心
data/train/2231050.0000_2234400.0000.ogg,能够相信孩子能够康复 能够过得更好
data/train/2234400.0000_2235620.0000.ogg,不要轻言放弃
data/train/2236420.0000_2239520.0000.ogg,所以在这里我张开怀抱
data/train/2239520.0000_2242270.0000.ogg,欢迎大家加入到向日葵的行列
data/train/2242270.0000_2244300.0000.ogg,我们一起来帮助这些孩子
data/train/2244300.0000_2246170.0000.ogg,让他们的家庭不再孤单
data/train/2246400.0000_2247850.0000.ogg,谢谢大家
data/train/299566.0000_301766.0000.ogg,它主要分布在血管壁
data/train/301866.0000_305066.0000.ogg,和我们就是常见的一些内脏的器官上
data/train/305066.0000_307266.0000.ogg,那我就问问大家嗯
data/train/307366.0000_310199.0000.ogg,知道什么属于平滑肌吗
data/train/310200.0000_312966.0000.ogg,那那那是不是脸上可能会有啊
data/train/312966.0000_315566.0000.ogg,你看脸上挺平滑的光溜的
data/train/315566.0000_316366.0000.ogg,哈哈哈
data/train/316366.0000_318733.0000.ogg,所以这个肌肉是不叫平滑肌啊
data/train/318900.0000_319766.0000.ogg,内脏壁
data/train/321066.0000_323166.0000.ogg,肠子里边的肌肉对是吧
data/train/323166.0000_324399.0000.ogg,对对对对
data/train/324500.0000_327533.0000.ogg,肠管呢他就属于那个平滑肌的一种啊
data/train/327600.0000_330666.0000.ogg,那我们吃63样里边基本都是平滑肌
data/train/330666.0000_333099.0000.ogg,那对对对对是不啊
data/train/333100.0000_334332.0000.ogg,像骨骼肌啊
data/train/334332.0000_336933.0000.ogg,他是受躯体神经的一个支配
data/train/337000.0000_338766.0000.ogg,他属于随意肌
data/train/338766.0000_340799.0000.ogg,也就是说受我们主观的一个控制
data/train/340800.0000_343300.0000.ogg,但是像那个心肌啊和平滑肌啊
data/train/343300.0000_344933.0000.ogg,他是受植物神经的一个控制
data/train/344933.0000_346133.0000.ogg,他属于不随意肌
data/train/346166.0000_346799.0000.ogg,也就是说
data/train/346800.0000_348332.0000.ogg,他不是说的我们让他运动
data/train/348332.0000_349399.0000.ogg,他就能运动的
data/train/349400.0000_350666.0000.ogg,所以说就像心脏
data/train/350700.0000_352466.0000.ogg,不是说我们让他跳他就能跳
data/train/352466.0000_354299.0000.ogg,让他停就能停的嗯
data/train/354566.0000_356133.0000.ogg,这可真是挺长学问的哈
data/train/356133.0000_357332.0000.ogg,但是您还没说啊
data/train/357332.0000_359766.0000.ogg,为什么这个心肌和骨骼肌
data/train/359766.0000_361733.0000.ogg,他们都是横纹肌呢嗯
data/train/361766.0000_363733.0000.ogg,那我们就在显微镜下看一下
data/train/363733.0000_366066.0000.ogg,这3大类肌肉的一个肌肉显微吧
data/train/366066.0000_367066.0000.ogg,嗯像呃
data/train/367066.0000_368499.0000.ogg,心肌和骨骼肌啊
data/train/368500.0000_369733.0000.ogg,在显微镜下能看到
data/train/369733.0000_371299.0000.ogg,就是一拧一按的这种横纹
data/train/371533.0000_373199.0000.ogg,所以他属于横纹肌
data/train/373266.0000_375666.0000.ogg,而平滑肌呢就没有哦
data/train/375900.0000_378766.0000.ogg,那心肌也是属于这个横纹肌
data/train/378800.0000_380332.0000.ogg,那他也会溶解呀啊
data/train/380332.0000_381332.0000.ogg,这个并不会
data/train/381332.0000_382499.0000.ogg,一般横纹肌溶解呢
data/train/382500.0000_384966.0000.ogg,一般只会发生在骨骼肌这种横纹肌上
data/train/384966.0000_387199.0000.ogg,没有说心心没了的哈对
data/train/387533.0000_388799.0000.ogg,哎呀压压惊吧
data/train/388800.0000_391166.0000.ogg,看来这个可能发生溶解的是骨骼肌
data/train/391166.0000_393166.0000.ogg,横纹肌溶解又是啥意思
data/train/393166.0000_393733.0000.ogg,溶解啊
data/train/393733.0000_395533.0000.ogg,这个词如果大家学过物理的话
data/train/395533.0000_396499.0000.ogg,应该知道啊
data/train/396733.0000_398866.0000.ogg,溶解它既可能是一个物理的变化
data/train/398866.0000_400733.0000.ogg,也可能是一个化学的变化嗯
data/train/400733.0000_401599.0000.ogg,恒温基溶解呢
data/train/401600.0000_403466.0000.ogg,在这里就属于一个化学的变化
data/train/403466.0000_404332.0000.ogg,嗯是因为什么呢
data/train/404332.0000_405499.0000.ogg,是因为各种原因呢
data/train/405500.0000_407866.0000.ogg,导致这个骨骼肌细胞破裂
data/train/407900.0000_410300.0000.ogg,可能会释放出一些有毒的一些物质
data/train/410332.0000_411933.0000.ogg,比如说像蛋白质啊
data/train/411966.0000_413999.0000.ogg,呃电解质这些东西呃
data/train/414000.0000_416466.0000.ogg,这类东西在肌肉里呢他是个宝
data/train/416466.0000_419199.0000.ogg,但是如果说释放到血液当中呢
data/train/419200.0000_420933.0000.ogg,他就是个祸害了嗯
data/train/421166.0000_422299.0000.ogg,那要说拉伤哈
data/train/422300.0000_423800.0000.ogg,他就是个物理变化呗
data/train/423800.0000_426333.0000.ogg,也就是肌肉那一嘎达一块啥的
data/train/426333.0000_428266.0000.ogg,我感觉损伤也不能太大
data/train/428500.0000_431300.0000.ogg,那都溶解了那都得是化学变化了
data/train/431300.0000_433500.0000.ogg,那肯定就不止是那一嘎达一块的吧
data/train/433500.0000_435600.0000.ogg,那后果不得老严重了对
data/train/435600.0000_436466.0000.ogg,恒温肌溶解
data/train/436466.0000_438599.0000.ogg,是一种非常严重的一个病症啊
data/train/438700.0000_440766.0000.ogg,它多数会伴有急性的肾衰竭
data/train/440933.0000_442666.0000.ogg,还有严重的电解质紊乱
data/train/442800.0000_445133.0000.ogg,如果说救治及时的话呢
data/train/445133.0000_447933.0000.ogg,这些损伤这种急性的损伤是可以说
data/train/448066.0000_449366.0000.ogg,呃逆转过来的
data/train/449366.0000_450566.0000.ogg,如果说不及时的话呢
data/train/450566.0000_452533.0000.ogg,会可能会造成一个永久性的损伤
data/train/452533.0000_453566.0000.ogg,甚至是死亡
data/train/453600.0000_455400.0000.ogg,哎那这个挺挺严重的
data/train/455400.0000_457266.0000.ogg,急诊的工作里面遇到过
data/train/457266.0000_459266.0000.ogg,就是严重的横纹肌溶解症
data/train/459266.0000_461199.0000.ogg,应该说经常遇到吧呃
data/train/461300.0000_463266.0000.ogg,我前一段时间刚接触一个
data/train/463266.0000_464933.0000.ogg,一个年轻的男患啊
data/train/464933.0000_467133.0000.ogg,他平时就是坐办公室呃
data/train/467133.0000_467999.0000.ogg,很少运动
data/train/468000.0000_470100.0000.ogg,但他觉得自己上学的时候吧
data/train/470100.0000_471066.0000.ogg,是个运动健将
data/train/471066.0000_472766.0000.ogg,8800米的冠军
data/train/472866.0000_474332.0000.ogg,那天就突发奇想
data/train/474332.0000_476066.0000.ogg,合计合计就是锻炼身体吧
data/train/476066.0000_477199.0000.ogg,啊跑完之后呢
data/train/477200.0000_478666.0000.ogg,就是也没有什么太大的感觉
data/train/478666.0000_480066.0000.ogg,就觉得乏力也没有劲
data/train/480066.0000_482266.0000.ogg,他可能就觉得是运动之后的一个
data/train/482333.0000_483599.0000.ogg,常态的一个反应
data/train/483600.0000_486166.0000.ogg,正常然后对他也没有太过的在意
data/train/486400.0000_487500.0000.ogg,过了两3天
data/train/487566.0000_489566.0000.ogg,然后这种感觉还没有缓解
data/train/489666.0000_492733.0000.ogg,突然之间感觉自己排尿颜色不正常了
data/train/492733.0000_495799.0000.ogg,甚至说的排尿的量比之前也减少了
data/train/495800.0000_496900.0000.ogg,才来医院看病
data/train/496933.0000_499499.0000.ogg,到医院之后就是一个严重的肾衰竭了
data/train/499500.0000_500266.0000.ogg,嗯
data/train/500266.0000_501999.0000.ogg,他的原因是恒温基溶解
data/train/502000.0000_502666.0000.ogg,对对对
data/train/502666.0000_504733.0000.ogg,恒温基到底经历了什么才会溶解
data/train/504966.0000_507166.0000.ogg,我们从这个崔女士的盘腿久坐
data/train/507166.0000_509166.0000.ogg,喝酒导致恒温肌溶解的新闻里边
data/train/509166.0000_511733.0000.ogg,咱们看看能不能找到一丝蛛丝马迹
data/train/511933.0000_514799.0000.ogg,浙江省杭州市30多岁的崔女士
data/train/514799.0000_516066.0000.ogg,在前不久的一天
data/train/516066.0000_518165.0000.ogg,双腿盘坐十几个小时
data/train/518165.0000_519933.0000.ogg,一杯接一杯的喝酒
data/train/519966.0000_522133.0000.ogg,被家人发现时全身冰冷
data/train/522133.0000_523133.0000.ogg,精神萎靡
data/train/523500.0000_525800.0000.ogg,被紧急送到余杭区第二人民医院
data/train/525800.0000_526966.0000.ogg,急诊室抢救后
data/train/526966.0000_528333.0000.ogg,医生检查发现
data/train/528366.0000_531466.0000.ogg,他双下肢肌肉已经有坏死的迹象
data/train/531533.0000_534599.0000.ogg,还出现了急性多脏器功能损伤
data/train/534800.0000_537333.0000.ogg,急诊医生说这不是简单的醉酒
data/train/537333.0000_539066.0000.ogg,是恒温肌溶解症
data/train/539066.0000_540866.0000.ogg,这个热搜一出来给大伙干蒙了
data/train/541100.0000_543200.0000.ogg,不知道何文姬溶解是该赖喝酒啊
data/train/543200.0000_545800.0000.ogg,还是该赖这个盘腿搁的酒座呢
data/train/545800.0000_547533.0000.ogg,这事你俩咋看
data/train/547533.0000_549366.0000.ogg,我觉得应该就是赖喝酒
data/train/549366.0000_551499.0000.ogg,毕竟这个酒是万恶之源嘛
data/train/551500.0000_553166.0000.ogg,我也站赖喝酒哈
data/train/553166.0000_555933.0000.ogg,你看这没事盘个腿往那一坐
data/train/555966.0000_557566.0000.ogg,多得劲啊是不是
data/train/557733.0000_559266.0000.ogg,而且我亲眼所见啊
data/train/559266.0000_561866.0000.ogg,我们办公室主编在那就是改稿的时候
data/train/561866.0000_563366.0000.ogg,一坐那也是好几个小时
data/train/563366.0000_565466.0000.ogg,虽然不像人家坐了10几个点哈
data/train/565566.0000_567066.0000.ogg,那时间也挺长吧
data/train/567466.0000_570666.0000.ogg,那他咋恒温机还没溶解呢哈哈哈
data/train/570666.0000_572399.0000.ogg,不是是不是得你脑子了不是
data/train/572400.0000_573700.0000.ogg,哎呀我就说嘛
data/train/573700.0000_575866.0000.ogg,那人家那恒温机就没溶解啊对不
data/train/575866.0000_578266.0000.ogg,这到底该来喝酒还是该来盘腿久坐呢
data/train/578266.0000_578866.0000.ogg,应该说
data/train/578866.0000_581066.0000.ogg,就是崔女士的这种恒温机溶解啊
data/train/581066.0000_583466.0000.ogg,应该是酗酒和盘腿久坐
data/train/583566.0000_585533.0000.ogg,两种原因共同导致的一个结果
data/train/585733.0000_586165.0000.ogg,其实啊
data/train/586165.0000_588199.0000.ogg,我有一个事不明白咱们都知道哈
data/train/588200.0000_590200.0000.ogg,以前呢听说这个恒温机溶解
data/train/590200.0000_591665.0000.ogg,最著名的两个诱因的
data/train/591665.0000_593399.0000.ogg,一个就是吃小龙虾过量啊
data/train/593400.0000_595600.0000.ogg,再一个呢就是运动过量啊
data/train/595600.0000_598665.0000.ogg,那我们刚刚说的这个盘腿久坐和运
data/train/598665.0000_600133.0000.ogg,动过量的这两件事
data/train/600200.0000_601766.0000.ogg,这不就是矛盾的吗
data/train/602200.0000_602700.0000.ogg,哎
data/train/602700.0000_605000.0000.ogg,你还真是提了一个挺有质量的问题哈
data/train/605000.0000_605933.0000.ogg,真不容易
data/train/605933.0000_607533.0000.ogg,哈哈哈什么意思又开
data/train/607533.0000_608733.0000.ogg,始阴阳怪气的呢
data/train/608733.0000_610866.0000.ogg,哈哈那那我们互动群朋友呢
data/train/610866.0000_612133.0000.ogg,也是发来了一条新闻
data/train/612133.0000_613566.0000.ogg,跟你说的特别类似
data/train/613666.0000_614799.0000.ogg,他还是挺支持你的
data/train/614800.0000_617666.0000.ogg,浙江宁波14岁的初三女生小鹿
data/train/617666.0000_619066.0000.ogg,平时很少锻炼
data/train/619266.0000_620699.0000.ogg,为了备战中考体育
data/train/620733.0000_621799.0000.ogg,前不久的一天
data/train/621800.0000_624400.0000.ogg,他在家一口气做了200个深蹲
data/train/624533.0000_627399.0000.ogg,又接着练起了仰卧起坐和跳绳
data/train/627533.0000_628933.0000.ogg,当天就觉得很累
data/train/628966.0000_631066.0000.ogg,第二天一早双腿酸痛
data/train/631066.0000_632333.0000.ogg,轻轻一碰就痛
data/train/632366.0000_634099.0000.ogg,走路都有点不稳了
data/train/634165.0000_636599.0000.ogg,刚开始家人以为休息一下会好
data/train/636600.0000_639400.0000.ogg,可后来小鹿的尿色都发生了
data/train/639400.0000_641500.0000.ogg,家人马上带他来到了医院
data/train/641500.0000_644500.0000.ogg,最后被医院诊断为恒温肌溶解症
data/train/644500.0000_645300.0000.ogg,为什么
data/train/645333.0000_646866.0000.ogg,运动过度和久坐不动
data/train/646866.0000_648933.0000.ogg,都可能损伤骨骼疾这种横纹肌
data/train/648933.0000_650165.0000.ogg,造成横纹肌溶解呢
data/train/650165.0000_653099.0000.ogg,健康一身轻下节更精彩
data/train/653165.0000_654999.0000.ogg,一口气做了200个深蹲
data/train/655133.0000_656999.0000.ogg,诊断为恒温肌溶解症
data/train/657000.0000_658766.0000.ogg,是跟那个脱水有没有关系
data/train/658766.0000_660699.0000.ogg,肌肉在高热的时候呢
data/train/660700.0000_662866.0000.ogg,这种降解酶的活性就会提高了
data/train/662866.0000_664199.0000.ogg,那吃小龙虾过量
data/train/664200.0000_666100.0000.ogg,为什么会出现恒温肌溶解
data/train/666533.0000_668299.0000.ogg,正在播出的是
data/train/668733.0000_670133.0000.ogg,健康一身轻
data/train/673133.0000_674766.0000.ogg,正在播出的是
data/train/675200.0000_676600.0000.ogg,健康一身轻
data/train/678933.0000_681599.0000.ogg,广告之后欢迎回来这里是健康一身轻
data/train/681600.0000_682666.0000.ogg,欢迎大家呢观众
data/train/682666.0000_685499.0000.ogg,健康一身轻的微信公众号以及抖音号
data/train/685500.0000_687066.0000.ogg,随时和我们进行互动
data/train/687133.0000_687933.0000.ogg,好今天来到现场
data/train/687933.0000_689499.0000.ogg,为大家传递靠谱健康知识的
data/train/689500.0000_690066.0000.ogg,是老朋友
data/train/690066.0000_692299.0000.ogg,来自中国医科大学附属第一医院
data/train/692366.0000_694665.0000.ogg,急诊科主治医师姜甲子医生
data/train/694665.0000_695499.0000.ogg,欢迎江老师
data/train/695500.0000_696800.0000.ogg,欢迎嗯
data/train/696800.0000_699200.0000.ogg,为什么运动过度和久坐不动
data/train/699200.0000_701300.0000.ogg,都可能损伤骨骼肌这种横纹肌
data/train/701300.0000_702665.0000.ogg,造成横纹肌溶解呢
data/train/702700.0000_704800.0000.ogg,长时间的静止不动呢
data/train/704933.0000_707165.0000.ogg,呃就比如说这个盘腿久坐
data/train/707533.0000_710533.0000.ogg,呃他会造成局部的这个血管神经啊
data/train/710533.0000_711866.0000.ogg,呃造成了压迫
data/train/711900.0000_714500.0000.ogg,然后就会使到那个肌肉缺血
data/train/714600.0000_717200.0000.ogg,缺血呢就会损伤这个肌肉呃
data/train/717200.0000_717600.0000.ogg,说白了
data/train/717600.0000_720500.0000.ogg,就是在缺血和低氧这个条件之下呢
data/train/720566.0000_723399.0000.ogg,细胞这个能量的供应就会逐渐的减少
data/train/723400.0000_725333.0000.ogg,然后损伤的这个骨骼肌细胞呢
data/train/725333.0000_726899.0000.ogg,就会释放出一些有毒的物质
data/train/726900.0000_728100.0000.ogg,就像我刚才说的
data/train/728100.0000_728900.0000.ogg,比如像呃
data/train/728900.0000_730866.0000.ogg,蛋白质啊电解质这些东西啊
data/train/730866.0000_732866.0000.ogg,就会流向血液当中
data/train/732966.0000_735066.0000.ogg,然后那个运动过度呢
data/train/735166.0000_737399.0000.ogg,会造成肌肉急速的这种损伤
data/train/737533.0000_740766.0000.ogg,也会使得这个肌肉的细胞呃坏死
data/train/740766.0000_742366.0000.ogg,细胞膜这个破坏
data/train/742366.0000_745066.0000.ogg,也会释放出一些肌肉的一些蛋白质啊
data/train/745066.0000_746399.0000.ogg,和肌球蛋白呀
data/train/746533.0000_747866.0000.ogg,呃渗漏出来
data/train/747866.0000_749166.0000.ogg,然后流向血液当中
data/train/749166.0000_751799.0000.ogg,最后会导致这个肾脏的一个损伤
data/train/751800.0000_752300.0000.ogg,所以说啊
data/train/752300.0000_755800.0000.ogg,这个久坐不动和运动过度导致的呃
data/train/755800.0000_756733.0000.ogg,横纹肌溶解的
data/train/756733.0000_759566.0000.ogg,其实说到底啊这个原因呢是一样的
data/train/759733.0000_762566.0000.ogg,对其实横纹肌溶解就那么几个步骤
data/train/762665.0000_763966.0000.ogg,首先呢呃
data/train/763966.0000_764899.0000.ogg,由于外因
data/train/764900.0000_767333.0000.ogg,会导致这个骨骼肌细胞的一个损伤
data/train/767566.0000_769899.0000.ogg,其次呢这个损伤的这个肌肉细胞呢
data/train/769900.0000_773066.0000.ogg,会向血液当中释放出一些有害的物质
data/train/773066.0000_774366.0000.ogg,比如说蛋白质啊
data/train/774366.0000_775299.0000.ogg,电解质等等
data/train/775400.0000_776500.0000.ogg,然后再然后呢
data/train/776500.0000_777733.0000.ogg,就是这些有毒的物质
data/train/777733.0000_779133.0000.ogg,随着血液的一个流动
data/train/779133.0000_780533.0000.ogg,流向了心脏和肾脏
data/train/780533.0000_782333.0000.ogg,造成心脏和肾脏的一个损伤
data/train/782333.0000_783899.0000.ogg,我们再回答大家比较不熟悉的
data/train/783900.0000_786300.0000.ogg,久坐也能引起横纹肌溶解啊
data/train/786566.0000_789066.0000.ogg,新闻里的崔女士盘腿坐了十几个小时
data/train/789066.0000_790199.0000.ogg,这个时间太长了
data/train/790200.0000_791766.0000.ogg,不过有的地方吃饭
data/train/791933.0000_793999.0000.ogg,咱们说那小炕席那种的啊
data/train/794000.0000_797400.0000.ogg,他那盘腿坐个俩3.34个点也都是正常的
data/train/797400.0000_799666.0000.ogg,是吧那盘腿坐多长时间
data/train/799666.0000_801999.0000.ogg,可能会有横纹肌溶解的风险
data/train/802100.0000_805100.0000.ogg,呃在肌肉缺血达到4个小时以上
data/train/805100.0000_807200.0000.ogg,在这种缺氧缺血的条件之下
data/train/807266.0000_809333.0000.ogg,就有可能会导致这个横纹肌
data/train/809533.0000_811666.0000.ogg,呃这种不可逆的一个损伤嗯
data/train/811966.0000_813733.0000.ogg,但是咱说这个心理崔女士哈
data/train/813733.0000_816333.0000.ogg,他是喝酒喝了那么多的酒
data/train/816333.0000_818899.0000.ogg,是不是酒精得他这个麻痹了啊
data/train/819200.0000_820400.0000.ogg,那倒不是啊
data/train/820400.0000_820933.0000.ogg,酗酒
data/train/820933.0000_823499.0000.ogg,导致恒温肌溶解的主要原因是在于呢
data/train/823533.0000_826299.0000.ogg,乙醇他会直接损伤到肌肉啊
data/train/826366.0000_828999.0000.ogg,然后这种肌肉细胞损伤了之后
data/train/829000.0000_830933.0000.ogg,会释放那个有毒的物质
data/train/830933.0000_831966.0000.ogg,就像我刚才说的
data/train/831966.0000_833665.0000.ogg,那除了这种有毒的物质之外呢
data/train/833665.0000_835566.0000.ogg,还会释放出一些细胞的信号
data/train/835600.0000_837900.0000.ogg,这种有毒的物质和细胞的信号呢
data/train/838066.0000_841299.0000.ogg,释放到血液当中呢就会激活人体
data/train/841566.0000_843766.0000.ogg,一个卫视叫中性粒细胞
data/train/843800.0000_845333.0000.ogg,中性粒细胞是干啥的呢
data/train/845333.0000_847566.0000.ogg,就是说分解和吞噬作用的
data/train/847600.0000_849566.0000.ogg,所以就把受伤的这个激细胞
data/train/849566.0000_850466.0000.ogg,给溶解掉了
data/train/850466.0000_851733.0000.ogg,你看长时间不动
data/train/851866.0000_852533.0000.ogg,再加上酗酒
data/train/852533.0000_855766.0000.ogg,两个其实都是恒温肌溶解的原因
data/train/855900.0000_857733.0000.ogg,那这两个风险叠加在一起
data/train/857733.0000_859299.0000.ogg,他就更大概率的出现了
data/train/859300.0000_860466.0000.ogg,这个崔女士这种情况
data/train/860466.0000_861499.0000.ogg,就是横纹肌溶解了
data/train/861500.0000_862333.0000.ogg,对的没错
data/train/862333.0000_864999.0000.ogg,那崔女士呢他是盘腿久坐啊
data/train/865000.0000_866700.0000.ogg,喝酒长达10几个小时
data/train/866700.0000_868500.0000.ogg,就导致了横纹肌溶解
data/train/868566.0000_870099.0000.ogg,那他是就这一次的情况
data/train/870100.0000_871566.0000.ogg,就会导致这个问题吗
data/train/871900.0000_874000.0000.ogg,啊这个应该是这个双重作用
data/train/874066.0000_875566.0000.ogg,危险这个就翻翻的
data/train/875566.0000_876899.0000.ogg,但也不一定会得这是
data/train/876900.0000_878665.0000.ogg,这就是一个概率问题吧
data/train/879100.0000_881000.0000.ogg,我们互动群不少朋友都在问哈
data/train/881000.0000_882200.0000.ogg,这个恒温肌溶解
data/train/882200.0000_884000.0000.ogg,他有什么特殊的症状吗
data/train/884000.0000_885466.0000.ogg,当天就觉得很累
data/train/885466.0000_887566.0000.ogg,第二天一早双腿酸痛
data/train/887566.0000_888866.0000.ogg,轻轻一碰就痛
data/train/888866.0000_890499.0000.ogg,走路都有点不稳了
data/train/890665.0000_893099.0000.ogg,刚开始家人以为休息一下会好
data/train/893100.0000_895766.0000.ogg,可后来小鹿的尿色都发生了
data/train/895766.0000_898199.0000.ogg,刚开始这两个症状泪和肌肉痛
data/train/898200.0000_899400.0000.ogg,这个太普遍了
data/train/899400.0000_902666.0000.ogg,谁干完活或者运动完了能不这样呢
data/train/902700.0000_903866.0000.ogg,一般人不会再
data/train/903866.0000_905999.0000.ogg,往恒温肌溶解上就想这个事了
data/train/906000.0000_907000.0000.ogg,这个小鹿啊
data/train/907000.0000_909400.0000.ogg,还真就把恒温肌溶解这个典型症状
data/train/909700.0000_911066.0000.ogg,都给占齐了啊
data/train/911066.0000_911866.0000.ogg,其实
data/train/912000.0000_914533.0000.ogg,你要想知道自己是不是恒温基溶解了
data/train/914533.0000_916466.0000.ogg,你要记住恒温基溶解的3个症状
data/train/916466.0000_918499.0000.ogg,也就是三连征激痛
data/train/918500.0000_920133.0000.ogg,乏力和酱油尿
data/train/920133.0000_922299.0000.ogg,酱油尿到底是啥色啊
data/train/922300.0000_924300.0000.ogg,我们互动群朋友真是神通广大哈
data/train/924300.0000_925533.0000.ogg,这就发来图片了
data/train/925700.0000_927133.0000.ogg,这酱油尿大伙看看啊
data/train/927133.0000_928733.0000.ogg,瞅着颜色不一般深呢
data/train/928733.0000_931366.0000.ogg,那为啥会出现这么深颜色的尿呢
data/train/931400.0000_934133.0000.ogg,嗯而且啊就是一提到这个尿变色啊
data/train/934133.0000_936066.0000.ogg,我这个第一个想到的呀
data/train/936133.0000_937599.0000.ogg,应该就是呃
data/train/937665.0000_938599.0000.ogg,肾出问题了
data/train/938600.0000_939333.0000.ogg,那如果说啊
data/train/939333.0000_940933.0000.ogg,是不是出现了酱油尿
data/train/940933.0000_942899.0000.ogg,就代表他的这个恒温剂溶解
data/train/942900.0000_945500.0000.ogg,已经是达到了肾衰竭的一个程度了呢
data/train/945500.0000_946300.0000.ogg,嗯
data/train/946300.0000_947133.0000.ogg,那倒不是啊
data/train/947133.0000_947899.0000.ogg,恒温肌溶解
data/train/947900.0000_950500.0000.ogg,它首先是会导致急性的一个肾损伤
data/train/950600.0000_952100.0000.ogg,呃是因为这个
data/train/952200.0000_954266.0000.ogg,大量的肌肉组织坏死了之后呢
data/train/954266.0000_956066.0000.ogg,会产生激酶啊一些东西
data/train/956066.0000_957499.0000.ogg,这些大分子的物质
data/train/957566.0000_958866.0000.ogg,这些大分子的物质呢
data/train/958866.0000_960699.0000.ogg,最终也是通过肾来排泄的
data/train/960700.0000_962966.0000.ogg,但是这些大分子的物质呢呃
data/train/963200.0000_966166.0000.ogg,不容易经过这个肾小管排泄出去
data/train/966166.0000_967366.0000.ogg,如果说大量的续集呢
data/train/967366.0000_969166.0000.ogg,就会导致这个肾小管堵塞
data/train/969333.0000_971266.0000.ogg,但如果说没有及时的救治的话
data/train/971266.0000_973299.0000.ogg,最后就会导致急性的肾衰竭
data/train/973700.0000_975933.0000.ogg,那就是其实肾已经出现损伤
data/train/975933.0000_976933.0000.ogg,才可能有酱油尿
data/train/976933.0000_977933.0000.ogg,对对对
data/train/978200.0000_980933.0000.ogg,鸡痛乏力酱油尿这3个三连征吗
data/train/980933.0000_982399.0000.ogg,恒温基溶解三连征出现
data/train/982500.0000_983966.0000.ogg,有没有先后的顺序
data/train/984300.0000_987166.0000.ogg,酱油尿是不是最后是集齐了这一套
data/train/987166.0000_987999.0000.ogg,才能判断
data/train/988000.0000_989266.0000.ogg,和我们集中解症吗
data/train/989333.0000_991499.0000.ogg,也不是很多就是呃
data/train/991500.0000_993665.0000.ogg,病人吧到医院来就诊的时候
data/train/993665.0000_995499.0000.ogg,不是说因为见过尿了
data/train/995500.0000_997066.0000.ogg,是因为他自个觉得没有尿了
data/train/997066.0000_997699.0000.ogg,嗯
data/train/997700.0000_1000533.0000.ogg,嗯或者说是尿量见少了才来看的病
data/train/1000533.0000_1002266.0000.ogg,这3联针一下都出现了
data/train/1002266.0000_1004733.0000.ogg,师傅肯定就能跑跑不了了横纹肌肉对
data/train/1004733.0000_1006165.0000.ogg,那基本上就是了嗯
data/train/1006333.0000_1009933.0000.ogg,姜老师您说这个恒温机溶解它很急吗
data/train/1009933.0000_1011799.0000.ogg,那发作是在几天之内呀
data/train/1011800.0000_1013100.0000.ogg,还是几小时之内呀
data/train/1013100.0000_1014333.0000.ogg,那咱说它这个
data/train/1014366.0000_1016665.0000.ogg,呃可能会引起急性肾衰吗
data/train/1016665.0000_1018866.0000.ogg,那这事是挺紧急的吧
data/train/1019266.0000_1019899.0000.ogg,对
data/train/1019900.0000_1022166.0000.ogg,恒温肌溶解造成了这个急性的肾衰竭
data/train/1022166.0000_1023599.0000.ogg,其实还是挺紧迫的
data/train/1023600.0000_1026000.0000.ogg,因为肌肉释放这些有毒的这些物质啊
data/train/1026000.0000_1027532.0000.ogg,也就34个小时的时间
data/train/1027566.0000_1029098.0000.ogg,所以说还是很急迫的
data/train/1029165.0000_1031366.0000.ogg,那我要发现自己三连针呢
data/train/1031366.0000_1033665.0000.ogg,恒温肌溶解了那我应该怎么办
data/train/1033665.0000_1034465.0000.ogg,第一时间
data/train/1034500.0000_1037532.0000.ogg,那就你首先是应该是休息了
data/train/1037532.0000_1039266.0000.ogg,不能再运动了这是肯定的了
data/train/1039266.0000_1041165.0000.ogg,然后要大量的喝水啊
data/train/1041165.0000_1043398.0000.ogg,促进这些有毒物质的一个排泄
data/train/1043465.0000_1044566.0000.ogg,再就是尽快的就医
data/train/1044566.0000_1045398.0000.ogg,不要耽误了
data/train/1045400.0000_1046465.0000.ogg,我们互动群里呢
data/train/1046465.0000_1048133.0000.ogg,也有不少的运动爱好者
data/train/1048133.0000_1050133.0000.ogg,大伙呢就想提两个问题哈
data/train/1050133.0000_1051966.0000.ogg,第一个就是我疑似
data/train/1052400.0000_1053466.0000.ogg,运动过量了
data/train/1053466.0000_1055666.0000.ogg,会不会容易出现横纹肌溶解呢
data/train/1055666.0000_1057166.0000.ogg,然后另外还有一个就是
data/train/1057166.0000_1059266.0000.ogg,运动的合适量是因人而异的
data/train/1059266.0000_1059699.0000.ogg,那咱们
data/train/1059700.0000_1062333.0000.ogg,该怎么找到合适自己的这个运动量呢
data/train/1062966.0000_1064466.0000.ogg,呃一次运动过量
data/train/1064466.0000_1066799.0000.ogg,就可能会导致这个急性的肾衰竭
data/train/1066800.0000_1069166.0000.ogg,那你就找合适的运动量得怎么找
data/train/1069400.0000_1072000.0000.ogg,这个的话你就可以摸摸脉搏吗
data/train/1072000.0000_1074266.0000.ogg,就像刚才这个新闻里这个小女孩
data/train/1074500.0000_1077466.0000.ogg,他这个理想的这个运动脉搏
data/train/1077700.0000_1080366.0000.ogg,数应该是在123到175之间
data/train/1080500.0000_1083500.0000.ogg,你真的整的有0有整的你咋算的
data/train/1084166.0000_1086333.0000.ogg,其实呢就是以你停止
data/train/1086333.0000_1089599.0000.ogg,锻炼之后的一分钟这个脉搏数为基准
data/train/1089600.0000_1092933.0000.ogg,用220减去年龄是最高的脉搏数
data/train/1093066.0000_1094599.0000.ogg,用你这个最高脉搏数呢
data/train/1094600.0000_1095866.0000.ogg,乘以百分之六十
data/train/1095900.0000_1099733.0000.ogg,是就是理想锻炼脉搏术的一个下限
data/train/1099933.0000_1101566.0000.ogg,像呃体弱呀
data/train/1101566.0000_1104166.0000.ogg,老年人呢是以取这个下限为一
data/train/1104166.0000_1106599.0000.ogg,用你那个最高脉搏术乘以85%
data/train/1106600.0000_1109366.0000.ogg,是理想锻炼脉搏术的一个上限
data/train/1109500.0000_1112966.0000.ogg,如果说你在锻炼之后超过上限了
data/train/1113066.0000_1115099.0000.ogg,就建议你就是一定要
data/train/1115400.0000_1116566.0000.ogg,减少你这个运动量了
data/train/1116566.0000_1118766.0000.ogg,刚才姜老师教的我们是一个公式
data/train/1118800.0000_1121066.0000.ogg,我们拿小鹿的这个做个应用题
data/train/1121133.0000_1122699.0000.ogg,小鹿呢是14岁
data/train/1122766.0000_1125866.0000.ogg,220呢减去14就是206对吧
data/train/1125900.0000_1130566.0000.ogg,然后呢206我们要是85%是他的上限对吧
data/train/1130666.0000_1134799.0000.ogg,那20685%就175206再乘以60%
data/train/1134866.0000_1137199.0000.ogg,他的下限就是123对对对吧
data/train/1137200.0000_1138866.0000.ogg,数学挺好哈哈哈
data/train/1139000.0000_1143166.0000.ogg,所以他的得出的结论就是123-175之间啊
data/train/1143166.0000_1145333.0000.ogg,对对对除了运动量控制之外
data/train/1145466.0000_1148266.0000.ogg,运动期间的补充水分是不是非常重要
data/train/1148500.0000_1149133.0000.ogg,对是的
data/train/1149133.0000_1151333.0000.ogg,在运动之前和运动的过程当中
data/train/1151333.0000_1153299.0000.ogg,要及时的补充这个水分
data/train/1153400.0000_1155000.0000.ogg,电解质还有维生素
data/train/1155133.0000_1157266.0000.ogg,嗯要少量多次
data/train/1157300.0000_1159133.0000.ogg,避免出现这个脱水的情况
data/train/1159133.0000_1159733.0000.ogg,这样呢
data/train/1159733.0000_1162566.0000.ogg,能大大的降低这个恒温肌溶解的风险
data/train/1162733.0000_1164466.0000.ogg,节目一开始的时候还有一条新闻
data/train/1164600.0000_1167100.0000.ogg,天太热有一位朋友中暑了
data/train/1167100.0000_1168366.0000.ogg,结果到医院一检查
data/train/1168366.0000_1170566.0000.ogg,不光中暑严重查出了横纹肌溶解
data/train/1170566.0000_1173666.0000.ogg,广东省深圳市60岁的黄先生
data/train/1173700.0000_1176333.0000.ogg,在高温下连续工作5个小时以上
data/train/1176333.0000_1178499.0000.ogg,随后出现恶心呕吐
data/train/1178500.0000_1180066.0000.ogg,肌肉痉挛的情况
data/train/1180200.0000_1182933.0000.ogg,他被送到深圳市龙华区中心医院
data/train/1182933.0000_1185999.0000.ogg,最后被诊断为严重中暑导致的恒
data/train/1186000.0000_1186900.0000.ogg,温及溶解
data/train/1187000.0000_1189100.0000.ogg,最后引起了急性肾衰竭
data/train/1189100.0000_1191333.0000.ogg,这位朋友中暑已经是挺严重了
data/train/1191333.0000_1193099.0000.ogg,我知道要是中暑严重的话还
data/train/1193100.0000_1194333.0000.ogg,会导致热血病
data/train/1194333.0000_1196066.0000.ogg,是不这事要命吧
data/train/1196500.0000_1198200.0000.ogg,正在播出的是
data/train/1198733.0000_1200199.0000.ogg,健康一身轻
data/train/1203066.0000_1204699.0000.ogg,正在播出的是
data/train/1205133.0000_1206699.0000.ogg,健康一身轻
data/train/1208800.0000_1210166.0000.ogg,好广告之后感谢回来
data/train/1210166.0000_1211599.0000.ogg,这里是健康一身轻
data/train/1211600.0000_1213333.0000.ogg,越看越年轻
data/train/1213366.0000_1213566.0000.ogg,今天
data/train/1213566.0000_1215666.0000.ogg,到现场为大家传递靠谱健康知识的
data/train/1215666.0000_1216166.0000.ogg,是老朋友
data/train/1216166.0000_1218533.0000.ogg,来自中国医科大学附属第一医院
data/train/1218666.0000_1221299.0000.ogg,急诊科主治医师姜甲子医生
data/train/1221300.0000_1222066.0000.ogg,欢迎姜老师
data/train/1222066.0000_1222866.0000.ogg,欢迎
data/train/1222866.0000_1224533.0000.ogg,我知道要是中暑严重的话
data/train/1224533.0000_1226266.0000.ogg,还会导致热血病是不
data/train/1226266.0000_1227499.0000.ogg,这事要命吧
data/train/1227933.0000_1228966.0000.ogg,没错呃
data/train/1228966.0000_1232099.0000.ogg,中暑呢一般分为轻中中毒的中暑
data/train/1232266.0000_1235566.0000.ogg,中毒的中暑呢是非常危险的
data/train/1235566.0000_1237566.0000.ogg,到了最严重的这种中暑
data/train/1237566.0000_1240099.0000.ogg,也就是热血病了之后才会导致这个
data/train/1240333.0000_1241666.0000.ogg,呃横纹肌的溶解
data/train/1242100.0000_1243700.0000.ogg,那严重的中暑
data/train/1243700.0000_1246100.0000.ogg,怎么还会导致横纹肌溶解呢
data/train/1246133.0000_1248133.0000.ogg,哎那咱们就分析分析呗
data/train/1248133.0000_1249199.0000.ogg,下雪这个提问
data/train/1249200.0000_1251666.0000.ogg,咱知道横纹肌溶解是咋回事了对不对
data/train/1251666.0000_1253333.0000.ogg,你说中暑跟他有啥关系呢
data/train/1253500.0000_1254666.0000.ogg,我们刚刚不是说到吗
data/train/1254666.0000_1255733.0000.ogg,这个恒温剂溶解啊
data/train/1255733.0000_1258066.0000.ogg,其实就是把肌肉里面的一些啊
data/train/1258066.0000_1260933.0000.ogg,血管其实不太好的物质啊分泌进去了
data/train/1260933.0000_1262266.0000.ogg,分泌到血管里边了
data/train/1262266.0000_1264266.0000.ogg,所以说我觉得原理还是一样的呗
data/train/1264266.0000_1266499.0000.ogg,是跟那个那个脱水有没有关系
data/train/1266500.0000_1268600.0000.ogg,你看中暑的话他可能会出大量的汗
data/train/1268600.0000_1270133.0000.ogg,然后容易脱水什么的
data/train/1270200.0000_1271666.0000.ogg,然后这个脱水了之后
data/train/1271666.0000_1272399.0000.ogg,才会导致
data/train/1272400.0000_1274600.0000.ogg,刚才他在说那些一系列的细胞啊
data/train/1274600.0000_1275300.0000.ogg,什么的症状
data/train/1275300.0000_1277533.0000.ogg,是不是肌肉在高热的时候呢
data/train/1277533.0000_1279966.0000.ogg,这种降解酶的活性就会提高了
data/train/1280000.0000_1281266.0000.ogg,呃当这个
data/train/1281500.0000_1283933.0000.ogg,外界的这种温度提高了1摄氏度
data/train/1283933.0000_1286266.0000.ogg,这种活力就会提升10%
data/train/1286500.0000_1289566.0000.ogg,就会加速这个肌肉啊坏死溶解
data/train/1289566.0000_1291399.0000.ogg,如果说当天气热的时候啊
data/train/1291400.0000_1294566.0000.ogg,你就是自己觉得出现了这种头疼啊
data/train/1294566.0000_1297466.0000.ogg,头晕呐四肢没有力气嗯
data/train/1297666.0000_1298566.0000.ogg,身体没有出汗
data/train/1298566.0000_1300666.0000.ogg,但是体温却达到了40度以上
data/train/1300666.0000_1302666.0000.ogg,这个时候一定要注意了
data/train/1302933.0000_1304499.0000.ogg,有可能就已经达到了热血
data/train/1304500.0000_1305533.0000.ogg,病的这个程度了
data/train/1305533.0000_1307133.0000.ogg,你一定要尽快的就医
data/train/1307133.0000_1309399.0000.ogg,避免产生这个恒温肌的溶解
data/train/1309400.0000_1310533.0000.ogg,造成生命的危险
data/train/1310533.0000_1311733.0000.ogg,既然有了恒温肌溶
data/train/1311733.0000_1313699.0000.ogg,解的原理做基础支撑
data/train/1313933.0000_1315266.0000.ogg,那吃小龙虾过量
data/train/1315266.0000_1316766.0000.ogg,为什么会出现恒温剂溶解
data/train/1316766.0000_1318366.0000.ogg,小龙虾也够惨的了
data/train/1318500.0000_1319733.0000.ogg,吃了人家吧
data/train/1319766.0000_1321099.0000.ogg,得病了还得赖人家
data/train/1321800.0000_1324066.0000.ogg,但是咱以前就老听人家说
data/train/1324066.0000_1327399.0000.ogg,什么小龙虾其实生长在挺埋汰的地方
data/train/1327500.0000_1329866.0000.ogg,是不是他身体里有些埋汰的物质
data/train/1329866.0000_1332999.0000.ogg,然后我们吃了之后就到身体里了
data/train/1333366.0000_1335533.0000.ogg,对我觉得也差不多是这意思
data/train/1335533.0000_1337499.0000.ogg,而而且就是一般新闻里边哈
data/train/1337600.0000_1339200.0000.ogg,吃小龙虾造成的恒温剂溶解
data/train/1339200.0000_1340733.0000.ogg,都是他吃了大量的
data/train/1340733.0000_1342666.0000.ogg,所以应该是吃了他的某一个物质
data/train/1342666.0000_1343966.0000.ogg,达到了一定的量
data/train/1343966.0000_1345533.0000.ogg,变变质变了之后
data/train/1345700.0000_1347400.0000.ogg,是不是就导致了这个呢
data/train/1347900.0000_1349000.0000.ogg,其实啊这个事啊
data/train/1349000.0000_1352066.0000.ogg,你不能赖这个小龙虾本虾啊
data/train/1352266.0000_1354133.0000.ogg,你造成那个恒温基溶解
data/train/1354666.0000_1357066.0000.ogg,刚才说了他是一种化学的一种变化吗
data/train/1357066.0000_1358966.0000.ogg,他不是说的小龙虾本身的原因
data/train/1359100.0000_1360700.0000.ogg,其实很有可能是这个
data/train/1360700.0000_1362533.0000.ogg,这种就是环境的水污染
data/train/1362600.0000_1364600.0000.ogg,或者是在清洗小龙虾的过程当中
data/train/1364600.0000_1366000.0000.ogg,使用了这个洗虾粉
data/train/1366266.0000_1367866.0000.ogg,呃有一些化学的物质
data/train/1368100.0000_1369500.0000.ogg,被小龙虾吸收了
data/train/1369500.0000_1371766.0000.ogg,或者是残留在了小龙虾的身上
data/train/1371766.0000_1373733.0000.ogg,你吃下去之后是这种物质导致的
data/train/1373733.0000_1375866.0000.ogg,你这个恒温剂溶解不是小龙虾
data/train/1376200.0000_1378100.0000.ogg,今年小龙虾据说还挺便宜
data/train/1378133.0000_1380699.0000.ogg,嘱咐大家啊从正规市场来购买啊
data/train/1380700.0000_1382800.0000.ogg,总量呢大家一定得控制好
data/train/1382800.0000_1385533.0000.ogg,那毕竟他就是一个打打牙剂的啊
data/train/1385566.0000_1387866.0000.ogg,千万别这个暴饮暴食
data/train/1388100.0000_1391266.0000.ogg,这个降低从吃小龙虾的这个渠道来的
data/train/1391266.0000_1392899.0000.ogg,这个可能性没错啊
data/train/1392900.0000_1394800.0000.ogg,小龙虾即使你再好吃啊
data/train/1394800.0000_1395933.0000.ogg,清洗的再干净
data/train/1396100.0000_1397200.0000.ogg,你就是一个人
data/train/1397200.0000_1399500.0000.ogg,如果说一次吃你这个35斤
data/train/1399500.0000_1401000.0000.ogg,我觉得还是不可取的
data/train/1401133.0000_1403099.0000.ogg,因为这有一个概率的问题嘛
data/train/1403100.0000_1404266.0000.ogg,就是你吃的越多
data/train/1404266.0000_1405799.0000.ogg,你吃到这种就是
data/train/1405966.0000_1408499.0000.ogg,不干净的小龙虾的几率就越大嘛
data/train/1408500.0000_1408966.0000.ogg,对吧
data/train/1408966.0000_1410133.0000.ogg,是你这么看的话
data/train/1410133.0000_1413166.0000.ogg,能引起恒温肌溶解的因素有不少啊
data/train/1413500.0000_1413866.0000.ogg,对
data/train/1413866.0000_1416366.0000.ogg,其实恒温肌溶解的原因实在是太多了
data/train/1416366.0000_1419166.0000.ogg,现在已知的原因就能有190多种
data/train/1419200.0000_1420766.0000.ogg,但是我们常见的就是
data/train/1420766.0000_1422266.0000.ogg,像什么运动过量啊
data/train/1422300.0000_1425533.0000.ogg,长时间的这个肌肉受到了挤压啊中暑
data/train/1425700.0000_1427700.0000.ogg,呃高热呃
data/train/1427866.0000_1430533.0000.ogg,药物毒物或者是食物
data/train/1431000.0000_1433100.0000.ogg,等等这些原因可能会导致嗯
data/train/1433133.0000_1436466.0000.ogg,吃喝冻热都能让肌肉化了
data/train/1436500.0000_1437700.0000.ogg,运动过量
data/train/1437700.0000_1440000.0000.ogg,长时间肌肉受压中暑
data/train/1440133.0000_1442199.0000.ogg,都可能会导致恒温肌溶解
data/train/1442366.0000_1443466.0000.ogg,一定要注意哦
data/train/1443466.0000_1444599.0000.ogg,好今天节目就到这了
data/train/1444600.0000_1445266.0000.ogg,提醒大家
data/train/1445266.0000_1447166.0000.ogg,关注健康一身轻的公众号和抖音号
data/train/1447166.0000_1449533.0000.ogg,里面有更多的健康信息跟各位分享
data/train/288640.0000_289270.0000.ogg,皇家儿童医院
data/train/289280.0000_291250.0000.ogg,但是来到医院之后
data/train/291260.0000_293430.0000.ogg,经过一番检查就被告知
data/train/293440.0000_295640.0000.ogg,像弟弟这种只有发烧没有其他
data/train/295650.0000_297430.0000.ogg,症状的这种病患
data/train/297440.0000_301260.0000.ogg,在今天晚上等待时间最少要四个
data/train/301270.0000_302370.0000.ogg,小时以上
data/train/302380.0000_303750.0000.ogg,所以说我也没说什么
data/train/303760.0000_305030.0000.ogg,抱起弟弟就回家了
data/train/305030.0000_307990.0000.ogg,那么第二天早晨弟弟还在发烧
data/train/308000.0000_310560.0000.ogg,因为早晨通常都不应该是很烧的
data/train/310570.0000_312500.0000.ogg,所以说我们二话没说带着弟弟就
data/train/312510.0000_315210.0000.ogg,来到离家不太远这个叫
data/train/315220.0000_315970.0000.ogg,莫那什儿童医院
data/train/315980.0000_318870.0000.ogg,这里的设施看起来也是非常棒的
data/train/319480.0000_322430.0000.ogg,但只不过在澳洲这边医院的选择
data/train/322440.0000_324750.0000.ogg,可能没有国内那么多
data/train/324750.0000_327980.0000.ogg,然后再对比一下国内上次回北京
data/train/327990.0000_329060.0000.ogg,弟弟也是一模一样的
data/train/329070.0000_329810.0000.ogg,感冒发烧
data/train/329820.0000_330760.0000.ogg,而且还有咳嗽
data/train/330770.0000_333090.0000.ogg,也是几天之后我们就不得不去医院
data/train/333560.0000_335500.0000.ogg,但因为弟弟是澳大利亚的国籍
data/train/335510.0000_338320.0000.ogg,所以能去的医院只是这些保险上
data/train/338330.0000_339390.0000.ogg,指定的医院
data/train/339400.0000_341550.0000.ogg,因此我们就选了一个名气比较大
data/train/341560.0000_344340.0000.ogg,然后离我们家不太远的儿童医院
data/train/344350.0000_344950.0000.ogg,国际部
data/train/345140.0000_347220.0000.ogg,还有一个名字叫新世纪儿童医院
data/train/347230.0000_350550.0000.ogg,然后去了之后我发现医院不论是
data/train/350560.0000_351370.0000.ogg,设施也好
data/train/351380.0000_352270.0000.ogg,规模也好
data/train/352280.0000_354080.0000.ogg,还是整体环境也好
data/train/354090.0000_356620.0000.ogg,真的是比墨尔本医院差了很多
data/train/356909.0000_358650.0000.ogg,然后我也是出于好奇
data/train/358659.0000_362440.0000.ogg,就去旁边的儿童医院普通门诊看
data/train/362450.0000_363490.0000.ogg,了一眼 挺大的
data/train/363500.0000_366080.0000.ogg,厅里全都是抱着孩子
data/train/366090.0000_368760.0000.ogg,的那些家庭 就感觉全中国的
data/train/368770.0000_370440.0000.ogg,儿童都集中在这儿了
data/train/370450.0000_373300.0000.ogg,这场面真的是真还挺壮观的
data/train/373300.0000_376390.0000.ogg,那么第二个我们就来说说整个
data/train/376400.0000_377310.0000.ogg,看病的流程
data/train/377320.0000_377890.0000.ogg,对比一下
data/train/378340.0000_380630.0000.ogg,这个部分真的是非常有意思
data/train/380640.0000_381590.0000.ogg,先说澳洲这边
data/train/381600.0000_384170.0000.ogg,我们进了医院之后
data/train/384180.0000_386930.0000.ogg,第一步先到一个柜台录入各种
data/train/386940.0000_387350.0000.ogg,数据
data/train/387360.0000_389170.0000.ogg,可能就相当于国内的挂号
data/train/389180.0000_390810.0000.ogg,然后挂完号之后
data/train/390820.0000_395430.0000.ogg,然后会到一个护士的分诊台
data/train/395440.0000_395909.0000.ogg,什么意思
data/train/395909.0000_398070.0000.ogg,就是他来给你检查一下基本的
data/train/398080.0000_398909.0000.ogg,一些病症
data/train/398920.0000_400070.0000.ogg,然后测一下体温
data/train/400080.0000_401909.0000.ogg,问一下基本的情况
data/train/401920.0000_404570.0000.ogg,然后根据这些情况来决定你等待
data/train/404580.0000_405310.0000.ogg,的时间
data/train/405320.0000_407790.0000.ogg,那么急症的话你可能不用等待
data/train/407800.0000_408909.0000.ogg,很快就会见医生
data/train/408920.0000_410659.0000.ogg,那么如果没有那么急的话
data/train/410670.0000_412409.0000.ogg,他可能就让你等待时间长一点
data/train/412420.0000_415540.0000.ogg,因为毕竟儿童医院里去等急诊的
data/train/415550.0000_417640.0000.ogg,病患的孩子还是挺多的
data/train/417650.0000_419210.0000.ogg,这也是为什么我们第一次去到
data/train/419220.0000_421450.0000.ogg,皇家儿童医院就会等很长时间
data/train/421460.0000_423180.0000.ogg,因为根据他的分诊
data/train/423340.0000_425320.0000.ogg,弟弟没有症状的发烧
data/train/425330.0000_427300.0000.ogg,属于那种不是很着急的
data/train/427310.0000_428740.0000.ogg,所以等的时间就长一些
data/train/428750.0000_430620.0000.ogg,我们来到这个莫纳什儿童医院
data/train/430630.0000_431940.0000.ogg,实际上是早晨
data/train/431950.0000_432900.0000.ogg,所以没有那么忙
data/train/432910.0000_436150.0000.ogg,我们之前只有一个小朋友在等待
data/train/436160.0000_438340.0000.ogg,但即便如此
data/train/438350.0000_440820.0000.ogg,我们也是等了45分钟才进去
data/train/440830.0000_441580.0000.ogg,看上病
data/train/441580.0000_442920.0000.ogg,那么近去看病的时候
data/train/442930.0000_446800.0000.ogg,澳洲的急诊里头还真不像国内的急诊
data/train/447130.0000_449050.0000.ogg,他不是说医生在一个办公室里
data/train/449060.0000_451360.0000.ogg,坐在一个办公桌旁边去看孩子
data/train/451720.0000_455390.0000.ogg,孩子是被带到一个设施一应俱全
data/train/455400.0000_456150.0000.ogg,的病房里
data/train/456159.0000_457960.0000.ogg,然后坐在病床上
data/train/457970.0000_460640.0000.ogg,医生开始给孩子们检查
data/train/460650.0000_463730.0000.ogg,我们家弟弟就属于那种就窝里横
data/train/463740.0000_466190.0000.ogg,然后初来乍到新环境属于那种
data/train/466200.0000_467050.0000.ogg,适应型
data/train/467060.0000_469270.0000.ogg,就观察 不敢太造次的
data/train/469460.0000_472000.0000.ogg,所以说就比较配合的医生各种检查
data/train/472710.0000_475159.0000.ogg,然后医生看到这么配合孩子就
data/train/475170.0000_476760.0000.ogg,一口一个nice boy
data/train/476770.0000_477570.0000.ogg,good boy
data/train/477570.0000_481250.0000.ogg,但是后面当医生企图为他吃药的时候
data/train/481780.0000_484550.0000.ogg,估计肯定是特别后悔说了多说了
data/train/484560.0000_485910.0000.ogg,这么多赞美的话
data/train/485920.0000_488590.0000.ogg,那么医生的检查流程就是先给
data/train/488600.0000_491470.0000.ogg,弟弟看看耳朵有没有中耳炎
data/train/491480.0000_492850.0000.ogg,然后再看看鼻腔
data/train/492860.0000_494720.0000.ogg,口腔有没有上呼吸道感染
data/train/494730.0000_497570.0000.ogg,接着再听一听肺部呼吸音是不是
data/train/497580.0000_499140.0000.ogg,有肺炎的可疑
data/train/499330.0000_503110.0000.ogg,然后再去检查问一下大小便
data/train/503120.0000_505800.0000.ogg,看看有没有这个泌尿系感染的
data/train/505810.0000_506660.0000.ogg,这种可能性
data/train/506880.0000_509450.0000.ogg,然后经过一番检查之后发现没有
data/train/509460.0000_510350.0000.ogg,任何症状
data/train/510360.0000_512850.0000.ogg,只是一个发烧
data/train/512860.0000_516210.0000.ogg,那么医生就很肯定的判断这是
data/train/516220.0000_518710.0000.ogg,一个病毒性的感冒
data/train/518919.0000_520080.0000.ogg,病毒引起来的
data/train/520090.0000_522860.0000.ogg,尤其是经常会在短时间内就烧的
data/train/522870.0000_524210.0000.ogg,温度非常高
data/train/524220.0000_526570.0000.ogg,所以说医生就建议还是以吃
data/train/526580.0000_527120.0000.ogg,退烧药
data/train/527130.0000_528010.0000.ogg,喝水为主
data/train/528020.0000_530850.0000.ogg,然后自己就开始尝试弟弟吃药
data/train/530860.0000_532360.0000.ogg,结果是直接喂也不行
data/train/532370.0000_533450.0000.ogg,把药放在冰激凌里
data/train/533460.0000_534150.0000.ogg,胃也不行
data/train/534160.0000_535810.0000.ogg,我心想不用试了
data/train/535820.0000_538290.0000.ogg,我们这几年跟他作战的经验总结下来
data/train/538570.0000_540490.0000.ogg,就是你用什么方法都没用的
data/train/540490.0000_542890.0000.ogg,后来经过多方尝试无果之后
data/train/542900.0000_545480.0000.ogg,医生建议让弟弟躺在这儿好好
data/train/545490.0000_546150.0000.ogg,休息一下
data/train/546160.0000_546860.0000.ogg,多喝点水
data/train/546870.0000_548290.0000.ogg,稍微观察一段时间
data/train/548300.0000_549110.0000.ogg,然后就走了
data/train/549120.0000_551590.0000.ogg,然后等了好久医生终于又回来了
data/train/551600.0000_552850.0000.ogg,然后就问他说
data/train/552860.0000_554450.0000.ogg,你看孩子烧的挺厉害
data/train/554460.0000_555680.0000.ogg,是不是要处理一下
data/train/555980.0000_556650.0000.ogg,后来医生跟我们说
data/train/556660.0000_558930.0000.ogg,就是说像这种病毒引起来的没有
data/train/558940.0000_559670.0000.ogg,其他症状
data/train/559680.0000_560490.0000.ogg,这种发热的
data/train/560500.0000_562330.0000.ogg,其实不吃药也可以
data/train/562340.0000_565190.0000.ogg,但前提是要做好水分的补充
data/train/565390.0000_566960.0000.ogg,只要在水分充足
data/train/566970.0000_568640.0000.ogg,电解质充足的前提下的
data/train/568650.0000_570930.0000.ogg,这孩子其实是不会烧坏的
data/train/570940.0000_572290.0000.ogg,绝对没有任何问题
data/train/572300.0000_575610.0000.ogg,也许你会看到可能有3%这种发热
data/train/575620.0000_576470.0000.ogg,癫痫的出现
data/train/576480.0000_579380.0000.ogg,但这个多半也出现在有一些病史
data/train/579390.0000_580430.0000.ogg,的孩子情况下
data/train/580440.0000_582670.0000.ogg,所以说跟我们说只要是补充水分
data/train/582680.0000_584070.0000.ogg,然后做好物理降温
data/train/584080.0000_585430.0000.ogg,基本就没有任何问题
data/train/585610.0000_587920.0000.ogg,然后在临走之前就建议我们让
data/train/587930.0000_590250.0000.ogg,弟弟在病房里好好的睡一觉
data/train/590260.0000_591150.0000.ogg,休息一下
data/train/591160.0000_593090.0000.ogg,然后留下来再观察一下
data/train/593510.0000_595860.0000.ogg,我现在明白为什么在外面等时间
data/train/595870.0000_596810.0000.ogg,那么长了好嘛
data/train/596820.0000_600260.0000.ogg,和还有睡觉的
data/train/600270.0000_603960.0000.ogg,我们再说说国内的 国内真的是让我挺感慨的
data/train/603970.0000_606220.0000.ogg,我们当时印象特别深
data/train/606230.0000_607500.0000.ogg,然后带弟弟去了医院
data/train/607510.0000_608620.0000.ogg,交完费
data/train/608630.0000_610240.0000.ogg,做完前期的手续之后
data/train/610250.0000_610900.0000.ogg,就坐在那
data/train/610910.0000_613410.0000.ogg,等很快大概也就三五分钟的样子
data/train/613420.0000_615540.0000.ogg,就被医生叫到办公室了
data/train/615550.0000_617470.0000.ogg,就跟这边的全科医生一样
data/train/617480.0000_619310.0000.ogg,医生是有一个自己的办公室
data/train/619320.0000_621250.0000.ogg,然后你是坐在办公桌旁边
data/train/621260.0000_622510.0000.ogg,然后医生给你看病
data/train/623010.0000_625960.0000.ogg,除了像这种常规检查之外
data/train/625970.0000_628870.0000.ogg,医生一定要给你做各种辅助的检查
data/train/629290.0000_631240.0000.ogg,比如说验一下血
data/train/631250.0000_633350.0000.ogg,然后弟弟还要拍一个胸片等等
data/train/633360.0000_635000.0000.ogg,就各种各样的检查
data/train/635060.0000_637720.0000.ogg,然后整个过程非常短暂
data/train/637730.0000_641340.0000.ogg,大概也就不到七八分钟的样子
data/train/641350.0000_643960.0000.ogg,然后就去主要是做各种检查去了
data/train/644190.0000_646690.0000.ogg,然后这一圈检查做下来之后
data/train/646700.0000_649070.0000.ogg,也没有别的什么再去做的
data/train/649080.0000_650430.0000.ogg,就在那等着结果
data/train/650440.0000_653360.0000.ogg,然后结果出来之后我印象特别深
data/train/653370.0000_655890.0000.ogg,医生看了一下验血什么都没有
data/train/655900.0000_656640.0000.ogg,太大问题
data/train/656650.0000_658100.0000.ogg,应该也是病毒的
data/train/658110.0000_660840.0000.ogg,然后他看了一下胸片上的写这个
data/train/660850.0000_662430.0000.ogg,结果模棱两可
data/train/662440.0000_666330.0000.ogg,就等于是把诊断最后推给临床的医生
data/train/666970.0000_669100.0000.ogg,然后我问临床医生这是肺炎吗
data/train/669110.0000_670930.0000.ogg,临床医生说什么呢
data/train/670940.0000_673770.0000.ogg,说“疑似” 也不跟我说出明确结果
data/train/673780.0000_674730.0000.ogg,就是“疑似”
data/train/674740.0000_679480.0000.ogg,但是他建议以防发展成比较严重
data/train/679490.0000_679960.0000.ogg,的情况
data/train/679970.0000_683500.0000.ogg,他建议还是进驻住院输液治疗
data/train/683900.0000_687230.0000.ogg,因为我们从来没有弟弟输过液
data/train/687240.0000_689390.0000.ogg,因为我在澳洲生活时间很长
data/train/689400.0000_691970.0000.ogg,我知道输液在澳洲来讲就跟小
data/train/691980.0000_692490.0000.ogg,手术一样
data/train/692500.0000_693810.0000.ogg,所以我很犹豫
data/train/693820.0000_697690.0000.ogg,但是禁不住国内这些亲人们的劝
data/train/697700.0000_700240.0000.ogg,再加上孩子当时确实也很难受
data/train/700250.0000_702830.0000.ogg,所以说我们就办了入院手续
data/train/702840.0000_705450.0000.ogg,然后准备给弟弟输液治疗
data/train/705450.0000_708260.0000.ogg,然后再说一说第三点
data/train/708270.0000_712720.0000.ogg,在国内和澳洲都是如何最终离开
data/train/712730.0000_714980.0000.ogg,医院的出院的这些特征指征
data/train/714990.0000_717890.0000.ogg,那么在澳洲我说句实话
data/train/717900.0000_720690.0000.ogg,这次带弟弟看病确实是感觉医生
data/train/720700.0000_721710.0000.ogg,非常耐心
data/train/721970.0000_724010.0000.ogg,最后出院是我们申请的
data/train/724020.0000_726580.0000.ogg,因为如果我们感觉我们不说出来的话
data/train/727120.0000_731220.0000.ogg,弟弟可以一直在医院里睡觉
data/train/731230.0000_731560.0000.ogg,喝水
data/train/731570.0000_732260.0000.ogg,观察
data/train/732340.0000_734220.0000.ogg,然后弟弟在医院又睡不好
data/train/734230.0000_736220.0000.ogg,所以说我们就想如果确定没有
data/train/736230.0000_736750.0000.ogg,什么问题
data/train/736760.0000_738840.0000.ogg,是不是可以回家去睡觉
data/train/739010.0000_740420.0000.ogg,然后医生也是
data/train/740430.0000_743000.0000.ogg,他需要跟他自己的上级医生去请示
data/train/743670.0000_745420.0000.ogg,看了所有的症状之后
data/train/745430.0000_746520.0000.ogg,然后确保无误
data/train/746530.0000_748530.0000.ogg,然后他就同意了我们的请求可以回家
data/train/749170.0000_751520.0000.ogg,但是走之前也是嘱咐了
data/train/751530.0000_754330.0000.ogg,很多事情你该怎么去护理弟弟
data/train/754340.0000_756560.0000.ogg,然后如果出现了什么样症状
data/train/756570.0000_757760.0000.ogg,你要马上回来
data/train/757770.0000_759860.0000.ogg,然后等等不拉就很多嘱咐
data/train/759870.0000_763280.0000.ogg,那么在中国给我感觉这个病
data/train/763290.0000_765880.0000.ogg,得一定完全好了才能出院
data/train/765890.0000_767820.0000.ogg,其实我们最终也没有住院
data/train/767830.0000_770060.0000.ogg,只不过是在医院里进行治疗
data/train/770070.0000_771330.0000.ogg,因为弟弟不愿住在医院里
data/train/771340.0000_772800.0000.ogg,所以我们也是回家住的
data/train/773040.0000_775020.0000.ogg,但是好像是四天之后
data/train/775030.0000_777770.0000.ogg,弟弟基本上没有任何症状了
data/train/777780.0000_779250.0000.ogg,完全恢复了
data/train/779260.0000_782150.0000.ogg,然后这个时候彻底可以出院走了
data/train/782160.0000_786090.0000.ogg,不过出院时的心情是完全不一样的
data/train/786170.0000_788650.0000.ogg,在澳洲还是提心吊胆的
data/train/788660.0000_790710.0000.ogg,还是比较焦虑比较着急的
data/train/790720.0000_793610.0000.ogg,那么在中国可以说是笑口颜开的出院
data/train/793960.0000_795830.0000.ogg,因为孩子们完全已经恢复了
data/train/795830.0000_797110.0000.ogg,那么第四点
data/train/797120.0000_799540.0000.ogg,我来说说医护人员的态度
data/train/800240.0000_803430.0000.ogg,在澳洲真的是不愧是孩子的天堂
data/train/803440.0000_804950.0000.ogg,就是我不太清楚其他
data/train/804960.0000_806790.0000.ogg,就我个人的经历来看
data/train/806800.0000_809570.0000.ogg,你别说这个服务不好的了
data/train/809580.0000_812660.0000.ogg,就连态度很平淡的医护人员几乎
data/train/812670.0000_813840.0000.ogg,都看不到
data/train/813850.0000_816760.0000.ogg,医生和护士基本上都是非常的友善
data/train/817420.0000_818400.0000.ogg,非常热情
data/train/818410.0000_820900.0000.ogg,而且特别会鼓舞和鼓励孩子
data/train/820910.0000_822310.0000.ogg,让孩子配合治疗
data/train/822690.0000_826540.0000.ogg,然后面挂微笑可以说是最常见的
data/train/826550.0000_827150.0000.ogg,事情了
data/train/827160.0000_828100.0000.ogg,当然也不是说全部
data/train/828110.0000_831380.0000.ogg,我也碰到过那些比较走程序化
data/train/831390.0000_832550.0000.ogg,这种年轻护士
data/train/832560.0000_835090.0000.ogg,当然这个真的是极个别的少数
data/train/835100.0000_837220.0000.ogg,然后再说国内医生的态度
data/train/837230.0000_840900.0000.ogg,我没有太多这方面的经验和经历
data/train/840910.0000_843180.0000.ogg,所以我只能拿新世纪儿童医院这
data/train/843190.0000_844490.0000.ogg,次看病经历来讲一讲
data/train/844500.0000_847960.0000.ogg,我就觉得这医生你说这态度不好
data/train/847970.0000_848540.0000.ogg,也不是
data/train/848740.0000_851520.0000.ogg,但是非常的平淡似水
data/train/851530.0000_853200.0000.ogg,而且不是很热情
data/train/853200.0000_856400.0000.ogg,就给我感觉最深的一个地方是哪儿呢
data/train/856590.0000_860950.0000.ogg,就是医生似乎生怕去说错了些
data/train/860960.0000_862900.0000.ogg,什么或者做错些什么事儿
data/train/862910.0000_865830.0000.ogg,所以他的行为和举止特别的谨慎
data/train/866020.0000_869580.0000.ogg,那么这四天期间也碰到过特别
data/train/869590.0000_870100.0000.ogg,喜爱弟弟
data/train/870110.0000_871200.0000.ogg,我们家弟弟挺可爱的
data/train/871210.0000_872090.0000.ogg,胖乎乎的
data/train/872290.0000_874750.0000.ogg,然后也特别喜爱弟弟的医生也逗一下
data/train/875220.0000_878610.0000.ogg,但这感觉远没有澳洲医院里这些
data/train/878620.0000_880230.0000.ogg,医生就那么放松
data/train/880990.0000_882340.0000.ogg,后来我也很纳闷
data/train/882350.0000_884070.0000.ogg,你说这个孩子也挺可爱的
data/train/884080.0000_887260.0000.ogg,而且确实也非常配合医生的检查
data/train/887270.0000_889750.0000.ogg,医生为什么一个个都这么紧张
data/train/889760.0000_890980.0000.ogg,或者是这么不放松
data/train/890990.0000_894260.0000.ogg,后来我们家父母也跟我讲说
data/train/894270.0000_895710.0000.ogg,因为我在澳洲时间特别长
data/train/895720.0000_898260.0000.ogg,没有经历过国内这么多年来的
data/train/898270.0000_899020.0000.ogg,这些发展
data/train/899030.0000_901380.0000.ogg,因为现在国内的医患关系确实是
data/train/901390.0000_902160.0000.ogg,不太好
data/train/902170.0000_903430.0000.ogg,因为前一段刚出现吗
data/train/903440.0000_906450.0000.ogg,在急诊里就一个98岁老人的
data/train/906460.0000_909760.0000.ogg,家属砍死了一个急诊医生
data/train/909890.0000_912540.0000.ogg,所以说这些医生都是特别谨慎
data/train/912550.0000_915450.0000.ogg,尤其像在这种新世纪儿童医院
data/train/915460.0000_917250.0000.ogg,那么弟弟因为是澳洲国籍
data/train/917260.0000_918490.0000.ogg,所以必须来这儿看
data/train/918500.0000_921670.0000.ogg,但是国内来这看病的这些患者
data/train/921680.0000_923710.0000.ogg,基本上家庭条件都非常好
data/train/923720.0000_925160.0000.ogg,对孩子也特别重视
data/train/925170.0000_926350.0000.ogg,都视为掌上明珠
data/train/926360.0000_928820.0000.ogg,所以说医生说话做事真的是要
data/train/928830.0000_929950.0000.ogg,非常的小心
data/train/930110.0000_932810.0000.ogg,所以说这个可能就是把医疗行业
data/train/932820.0000_935150.0000.ogg,放入市场中的这么一个副作用
data/train/935160.0000_938510.0000.ogg,因此有些行业它是不能放进市场的
data/train/938640.0000_939910.0000.ogg,比如像医疗
data/train/939920.0000_941470.0000.ogg,比如说像教育
data/train/942190.0000_945360.0000.ogg,那么第5点我们再聊聊看病的费用
data/train/946320.0000_949630.0000.ogg,那么在澳洲孩子只要是孩子在
data/train/949640.0000_950950.0000.ogg,医院里看病
data/train/950960.0000_951610.0000.ogg,检查
data/train/951620.0000_952120.0000.ogg,用药
data/train/952130.0000_952710.0000.ogg,住院
data/train/952720.0000_955590.0000.ogg,所有的费用全部由政府来出
data/train/955600.0000_957840.0000.ogg,自己是一分钱不用来花的
data/train/958190.0000_960090.0000.ogg,那么可能出院时候医生会给你
data/train/960100.0000_960880.0000.ogg,一些处方药
data/train/960890.0000_962770.0000.ogg,那么这个处方药你是拿着医生的
data/train/962780.0000_965090.0000.ogg,处方可以去药店来买的
data/train/965100.0000_966140.0000.ogg,但也非常便宜
data/train/966150.0000_968380.0000.ogg,因为澳洲全民医疗保险叫
data/train/968390.0000_971740.0000.ogg,Medicare 能报销大部分的花销
data/train/972190.0000_974060.0000.ogg,当然这个是你必须是澳洲公民
data/train/974070.0000_976050.0000.ogg,或者是澳洲绿卡才有全民医疗保险
data/train/976410.0000_979120.0000.ogg,如果你是没有绿卡的话
data/train/979130.0000_981910.0000.ogg,你也要到私人保险里买这么一个
data/train/981920.0000_983980.0000.ogg,和Medicare相当的这么一个
data/train/983990.0000_984680.0000.ogg,保险才行
data/train/985250.0000_986990.0000.ogg,然后我们再说说中国
data/train/987000.0000_988610.0000.ogg,我就两个字天啊
data/train/988620.0000_990570.0000.ogg,这我都不多说了
data/train/990580.0000_994190.0000.ogg,我把四天看病的账单我放在屏幕上
data/train/994380.0000_995230.0000.ogg,大家可以看一眼
data/train/996040.0000_997890.0000.ogg,这个是第一天的
data/train/997900.0000_1000500.0000.ogg,因为里面有检查
data/train/1000510.0000_1002670.0000.ogg,各种检查所以费用高一点
data/train/1002680.0000_1004730.0000.ogg,那么这个是第二天
data/train/1007950.0000_1009820.0000.ogg,这个是第三天的
data/train/1012530.0000_1014800.0000.ogg,其实最后一天好像没有输液
data/train/1014810.0000_1015820.0000.ogg,只做一些雾化
data/train/1015830.0000_1016720.0000.ogg,这是第四天的
data/train/1017210.0000_1018400.0000.ogg,四天下来
data/train/1018570.0000_1020060.0000.ogg,12000多人民币
data/train/1020070.0000_1020970.0000.ogg,呵呵
data/train/1021830.0000_1022120.0000.ogg,对
data/train/1022130.0000_1023270.0000.ogg,我就只能呵呵了
data/train/1023270.0000_1026339.0000.ogg,最后我们再聊聊在中国和澳洲
data/train/1026349.0000_1028520.0000.ogg,带孩子看病各自的优点和缺点
data/train/1028530.0000_1029500.0000.ogg,先从澳洲说起
data/train/1029510.0000_1030589.0000.ogg,先说说优点
data/train/1030599.0000_1033530.0000.ogg,那么在澳洲看病不用花一分钱
data/train/1033540.0000_1034710.0000.ogg,这肯定是一个优点了
data/train/1034720.0000_1037310.0000.ogg,而且澳洲医院的环境也好
data/train/1037319.0000_1038050.0000.ogg,设施也好
data/train/1038060.0000_1039470.0000.ogg,医护人员的态度也好
data/train/1039480.0000_1040670.0000.ogg,真的是非常棒
data/train/1040849.0000_1042950.0000.ogg,就感觉大家是在一个彬彬有礼的
data/train/1042960.0000_1044750.0000.ogg,环境下进行这种工作的
data/train/1044760.0000_1046569.0000.ogg,急诊也是如此
data/train/1046670.0000_1048720.0000.ogg,但是很多朋友这里面有个误区
data/train/1048730.0000_1051160.0000.ogg,就觉得似乎在澳洲看病
data/train/1051170.0000_1052050.0000.ogg,给孩子看病
data/train/1052060.0000_1054660.0000.ogg,医生总是不去治病
data/train/1054670.0000_1056010.0000.ogg,让孩子喝水
data/train/1056020.0000_1056840.0000.ogg,生扛
data/train/1057080.0000_1059880.0000.ogg,然后尤其是父母这一辈就总是
data/train/1059890.0000_1062340.0000.ogg,抱怨澳洲的医护人员无所作为
data/train/1062350.0000_1064110.0000.ogg,然后你像我们家弟弟去了医院
data/train/1064120.0000_1066250.0000.ogg,你也不给治病就让回来了
data/train/1066260.0000_1068560.0000.ogg,其实这个真的是一个误区
data/train/1068570.0000_1069910.0000.ogg,你像弟弟这次得的病
data/train/1069920.0000_1072170.0000.ogg,它是一个病毒性的感冒
data/train/1072180.0000_1073510.0000.ogg,然后没有其他症状
data/train/1073520.0000_1076390.0000.ogg,那么这个时候实际上这个病是
data/train/1076400.0000_1077470.0000.ogg,完全可以自愈的
data/train/1077480.0000_1079390.0000.ogg,那么你让他从头到尾自己自愈
data/train/1079400.0000_1082270.0000.ogg,会对孩子免疫系统有一个巨大的
data/train/1082280.0000_1082920.0000.ogg,提升
data/train/1082930.0000_1085720.0000.ogg,相反你在中间进行人为干预之后
data/train/1085730.0000_1086450.0000.ogg,反而不好
data/train/1086560.0000_1089370.0000.ogg,所以说这里最好的处理就是不去处理
data/train/1089760.0000_1092190.0000.ogg,而且世界公认的一个治疗原则
data/train/1092200.0000_1093990.0000.ogg,能不吃药就不吃药
data/train/1094000.0000_1095350.0000.ogg,能吃药就不要打针
data/train/1095360.0000_1097420.0000.ogg,能打针就不要去输液
data/train/1097510.0000_1098720.0000.ogg,那么通过这次看病
data/train/1098730.0000_1101180.0000.ogg,其实也感觉到并非是澳洲医护
data/train/1101190.0000_1102530.0000.ogg,人员无所作为
data/train/1102540.0000_1105320.0000.ogg,而他们非常严格的按照这种世界
data/train/1105330.0000_1107620.0000.ogg,公认的治疗程序来进行的
data/train/1107630.0000_1110620.0000.ogg,相反澳洲的医学也是非常发达的
data/train/1110940.0000_1112360.0000.ogg,那么在急诊的时候
data/train/1112370.0000_1115830.0000.ogg,医护人员也是根据小朋友疾病的
data/train/1115840.0000_1118960.0000.ogg,轻重缓急来安排等待时间的长短
data/train/1119060.0000_1121530.0000.ogg,你比如说两年前还是我们家弟弟
data/train/1121540.0000_1122440.0000.ogg,也是一次感冒
data/train/1122450.0000_1124560.0000.ogg,但引发了一些哮喘的症状
data/train/1124570.0000_1125880.0000.ogg,有点喘不上气来
data/train/1126070.0000_1127680.0000.ogg,然后我们去到急诊之后真的是
data/train/1127690.0000_1128670.0000.ogg,没有任何等待
data/train/1128680.0000_1129930.0000.ogg,直接进去看医生
data/train/1129940.0000_1132820.0000.ogg,因为这种症状确实是比较急的症状
data/train/1133480.0000_1135370.0000.ogg,那么这次看病虽然医生没有给
data/train/1135380.0000_1136140.0000.ogg,弟弟开药
data/train/1136150.0000_1138640.0000.ogg,但是也做了一个非常详细的检查
data/train/1138650.0000_1141480.0000.ogg,而且嘱咐我们怎么去护理弟弟
data/train/1141480.0000_1142840.0000.ogg,最后也告诉我们
data/train/1142850.0000_1145620.0000.ogg,如果我们有任何就觉得不放心的
data/train/1145630.0000_1145980.0000.ogg,地方
data/train/1145990.0000_1146670.0000.ogg,不要犹豫
data/train/1146680.0000_1148420.0000.ogg,马上带孩子来医院
data/train/1148430.0000_1151010.0000.ogg,那么尽管澳洲医院的设施环境
data/train/1151020.0000_1151580.0000.ogg,非常棒
data/train/1151590.0000_1153340.0000.ogg,然后医护人员态度也非常好
data/train/1153350.0000_1156120.0000.ogg,然后整体也是按照公认的医学
data/train/1156130.0000_1157320.0000.ogg,流程来治病
data/train/1157330.0000_1159920.0000.ogg,但是缺点也是很明显的
data/train/1159930.0000_1161720.0000.ogg,有些缺点甚至还是很致命的
data/train/1162080.0000_1164400.0000.ogg,首先真的是让人很着急
data/train/1164410.0000_1167670.0000.ogg,你自己想想你家最亲爱的宝贝在
data/train/1167680.0000_1169360.0000.ogg,急诊上烧得红呼呼的
data/train/1169370.0000_1171210.0000.ogg,而且还要等待几个小时
data/train/1171220.0000_1172830.0000.ogg,你当时是什么样的心情
data/train/1173030.0000_1177470.0000.ogg,还有这种尽量减少干预的治疗
data/train/1177480.0000_1178910.0000.ogg,方式固然是好
data/train/1178920.0000_1181930.0000.ogg,但这其中出现这种人为的判断
data/train/1181940.0000_1184470.0000.ogg,失误所造成的贻误病情
data/train/1184480.0000_1186930.0000.ogg,甚至死亡的病例也是非常多
data/train/1186940.0000_1189650.0000.ogg,尤其是在一些比较小的地方
data/train/1189660.0000_1190830.0000.ogg,因为没有那么多人
data/train/1190840.0000_1193510.0000.ogg,这些医生虽然理论知识不错
data/train/1193520.0000_1196370.0000.ogg,但是却没有那么多的实践经验
data/train/1196380.0000_1199430.0000.ogg,所以说就会造成了这种贻误病情
data/train/1199440.0000_1200430.0000.ogg,的案例出现
data/train/1200430.0000_1203380.0000.ogg,然后我们再说说中国的优点
data/train/1203390.0000_1205670.0000.ogg,就是看病真的是非常的快
data/train/1205680.0000_1208690.0000.ogg,当然这个经验只是来自在中国
data/train/1208700.0000_1209270.0000.ogg,儿童医院
data/train/1209280.0000_1211360.0000.ogg,北京儿童医院国际部就是新世纪
data/train/1211370.0000_1212270.0000.ogg,儿童医院里的经验
data/train/1212280.0000_1213870.0000.ogg,我也听到我的朋友跟我讲
data/train/1213880.0000_1215610.0000.ogg,说在中国其他地方一样
data/train/1215620.0000_1217250.0000.ogg,可是要等很长时间的
data/train/1217600.0000_1218760.0000.ogg,那么另外一个优点
data/train/1218770.0000_1221480.0000.ogg,这是我个人感觉就是全面的检查
data/train/1221490.0000_1223860.0000.ogg,咱先不说这个医院不是为了盈利
data/train/1223870.0000_1227260.0000.ogg,或者说是减少自己的这种责任
data/train/1227270.0000_1228700.0000.ogg,承担风险这些责任
data/train/1228710.0000_1231240.0000.ogg,但这种全面的检查确实是能让
data/train/1231250.0000_1232510.0000.ogg,家长非常放心
data/train/1232520.0000_1236100.0000.ogg,而且确实也能够减少判断失误或
data/train/1236110.0000_1237380.0000.ogg,贻误病情的几率
data/train/1237390.0000_1239890.0000.ogg,而且中国的医护人员的办事效率
data/train/1239900.0000_1241200.0000.ogg,真的是非常的高
data/train/1241210.0000_1243840.0000.ogg,那么缺点肯定也是有的
data/train/1243850.0000_1245540.0000.ogg,当然每个人和每个人经历不同
data/train/1245550.0000_1248360.0000.ogg,我只说一下我个人的两个感受
data/train/1248370.0000_1250620.0000.ogg,那么第一个感受就是在中国给
data/train/1250630.0000_1252540.0000.ogg,孩子动不动就输液
data/train/1252550.0000_1254440.0000.ogg,这个真的是太危险了
data/train/1254440.0000_1257260.0000.ogg,中国安全注射联盟曾经统计过
data/train/1257270.0000_1258150.0000.ogg,一个数字
data/train/1258160.0000_1261680.0000.ogg,说在中国70%输液病例其实是
data/train/1261690.0000_1263500.0000.ogg,根本不需要输液的
data/train/1263680.0000_1265750.0000.ogg,而且有一个医学研究者曾经解剖
data/train/1265760.0000_1266460.0000.ogg,过一个
data/train/1266470.0000_1268920.0000.ogg,一生输液超过40升的一个
data/train/1268930.0000_1269900.0000.ogg,病患的尸体
data/train/1270100.0000_1272680.0000.ogg,就发现在那肺部要超过500处
data/train/1272690.0000_1273580.0000.ogg,的肉芽肿
data/train/1273590.0000_1277140.0000.ogg,然后数不清的那种微血管的堵塞
data/train/1277430.0000_1278980.0000.ogg,很多朋友不太清楚
data/train/1278990.0000_1282380.0000.ogg,有人说输液的危害堪比做了一次手术
data/train/1282880.0000_1284880.0000.ogg,这个真的不是危言耸听的
data/train/1284890.0000_1287370.0000.ogg,就是你看这一瓶非常干净的液体
data/train/1287380.0000_1288970.0000.ogg,但从它生产
data/train/1288980.0000_1290010.0000.ogg,然后加工
data/train/1290020.0000_1290580.0000.ogg,储存
data/train/1290590.0000_1293360.0000.ogg,运输到配置到使用这过程当中
data/train/1293630.0000_1297020.0000.ogg,产生超过了20万个这种细小的
data/train/1297030.0000_1297450.0000.ogg,微粒
data/train/1297460.0000_1301200.0000.ogg,而人的血管微血管大概也就
data/train/1301210.0000_1302890.0000.ogg,4~7微米的这种宽度
data/train/1302900.0000_1304990.0000.ogg,所以你可想而知这些微粒会给
data/train/1305000.0000_1307160.0000.ogg,血管造成多大的伤害
data/train/1307410.0000_1310330.0000.ogg,但是大部分家长对医学知识的匮乏
data/train/1310850.0000_1312660.0000.ogg,加上孩子得病后那种焦虑
data/train/1312670.0000_1315690.0000.ogg,再加上中国医患关系的紧张
data/train/1315880.0000_1318420.0000.ogg,所以说让我看到在儿童医院很多
data/train/1318430.0000_1320980.0000.ogg,小朋友都是在进行输液治疗
data/train/1320990.0000_1323700.0000.ogg,然后让人觉得真是挺可悲的
data/train/1323700.0000_1325800.0000.ogg,然后我问过一个当医生的同学
data/train/1325810.0000_1326380.0000.ogg,我就问他
data/train/1326390.0000_1328230.0000.ogg,我说你知道输液的危害
data/train/1328240.0000_1331200.0000.ogg,为什么中国还有这么多月不停的
data/train/1331210.0000_1332320.0000.ogg,给孩子去输液
data/train/1332330.0000_1335430.0000.ogg,我的同学特别无奈的说了这么
data/train/1335440.0000_1336130.0000.ogg,一句话
data/train/1336140.0000_1337130.0000.ogg,说你知道吗
data/train/1337140.0000_1339650.0000.ogg,当一个医生只有3~4分钟的
data/train/1339660.0000_1342270.0000.ogg,时间去给一个孩子看病的时候
data/train/1342280.0000_1344770.0000.ogg,这时候最安全
data/train/1344780.0000_1346910.0000.ogg,最保险也是最快
data/train/1346920.0000_1348650.0000.ogg,缓解症状的方式是什么
data/train/1348660.0000_1350670.0000.ogg,那就是给孩子输个液
data/train/1351020.0000_1352570.0000.ogg,那么另外一个缺点是什么
data/train/1352580.0000_1355470.0000.ogg,就是两个字超贵
data/train/1355470.0000_1357620.0000.ogg,我刚才给大家看了一下
data/train/1357630.0000_1361680.0000.ogg,这次弟弟在中国看病的这些单据
data/train/1361880.0000_1364750.0000.ogg,四天基本上就是
data/train/1364760.0000_1365790.0000.ogg,检查治疗
data/train/1365800.0000_1368610.0000.ogg,因为我们当时没有完全去住院
data/train/1368620.0000_1369770.0000.ogg,因为弟弟可能不太喜欢
data/train/1369780.0000_1372570.0000.ogg,所以每天只去医院一个小时进行治疗
data/train/1373390.0000_1376610.0000.ogg,那么四天一个小时加在一起下来
data/train/1376620.0000_1378610.0000.ogg,12000多人民币
data/train/1378620.0000_1379380.0000.ogg,呵呵
data/train/1379890.0000_1382940.0000.ogg,虽然说因为弟弟是没有选择他是
data/train/1382950.0000_1383520.0000.ogg,澳洲国籍
data/train/1383530.0000_1384680.0000.ogg,只能去这样的医院了
data/train/1384690.0000_1386750.0000.ogg,但是这种医院在国内来讲可以
data/train/1386760.0000_1388620.0000.ogg,算是这种VIP这种医院
data/train/1388630.0000_1391650.0000.ogg,因为我在楼道里医院走廊里听到
data/train/1391660.0000_1392950.0000.ogg,过一对父母的对话
data/train/1392960.0000_1395150.0000.ogg,他们就说其实到医院里看病是
data/train/1395160.0000_1396050.0000.ogg,不能报销的
data/train/1396060.0000_1397960.0000.ogg,他们只能去旁边那种儿童医院
data/train/1397970.0000_1399050.0000.ogg,看病才能报销
data/train/1399060.0000_1400170.0000.ogg,但因为孩子得病
data/train/1400180.0000_1401000.0000.ogg,他们比较着急
data/train/1401010.0000_1403710.0000.ogg,想孩子快点看上病快点好
data/train/1403720.0000_1406350.0000.ogg,所以才花费巨额的费用到这边来看病
data/train/1406800.0000_1409930.0000.ogg,那么以上就是我们家带孩子在
data/train/1409940.0000_1412530.0000.ogg,澳洲和中国看病这些切身的感受
data/train/1412540.0000_1413090.0000.ogg,和体验
data/train/1413100.0000_1414090.0000.ogg,大家无须抬杠
data/train/1414100.0000_1416250.0000.ogg,因为每个家庭和每个家庭故事都
data/train/1416260.0000_1416610.0000.ogg,不一样
data/train/1416620.0000_1418840.0000.ogg,所以欢迎大家把你自己的故事写
data/train/1418850.0000_1420570.0000.ogg,在视频下方的讨论区里头
data/train/1420840.0000_1423500.0000.ogg,另外Danny的澳洲笔记开播到现在
data/train/1423510.0000_1425250.0000.ogg,得到很多朋友的关注和支持
data/train/1425260.0000_1426370.0000.ogg,这里非常感谢
data/train/1426380.0000_1428740.0000.ogg,那么我也开通了两个比较有质量
data/train/1428750.0000_1429490.0000.ogg,的收费群
data/train/1429500.0000_1432020.0000.ogg,第一个就是我的打卡群
data/train/1432030.0000_1433390.0000.ogg,Danny的开心打卡群
data/train/1433610.0000_1435140.0000.ogg,这个群环境比较好
data/train/1435150.0000_1436770.0000.ogg,除了方便大家交流之外
data/train/1436780.0000_1439130.0000.ogg,如果你想坚持做某一件事
data/train/1439140.0000_1440010.0000.ogg,你一定要入群
data/train/1440020.0000_1441860.0000.ogg,因为我在群里每天会健身
data/train/1441870.0000_1443970.0000.ogg,打卡来激励带动大家
data/train/1443970.0000_1446630.0000.ogg,那么第二个群就是Danny的澳洲
data/train/1446640.0000_1448050.0000.ogg,留学移民资讯群
data/train/1448060.0000_1450270.0000.ogg,那么群里是我的朋友王羽
data/train/1450280.0000_1452810.0000.ogg,就是澳大利亚移民局的注册移民代理
data/train/1453120.0000_1455730.0000.ogg,他来坐镇负责解答各种各样的
data/train/1455740.0000_1457370.0000.ogg,关于澳洲移民留学的问题
data/train/1457830.0000_1458980.0000.ogg,具体的入群方式
data/train/1458990.0000_1461140.0000.ogg,大家可以参考一下这个视频下方
data/train/1461150.0000_1461960.0000.ogg,的描述区
data/train/1461970.0000_1464040.0000.ogg,另外有任何朋友比较喜欢有意思
data/train/1464050.0000_1464680.0000.ogg,的故事的话
data/train/1464690.0000_1466700.0000.ogg,也可以去关注订阅一下我的另外
data/train/1466710.0000_1467270.0000.ogg,一个频道
data/train/1467280.0000_1469580.0000.ogg,叫Danny的营销故事频道
data/train/1469580.0000_1470140.0000.ogg,好
data/train/1470150.0000_1472360.0000.ogg,我们今天这期就先到这里了
data/train/1472370.0000_1474280.0000.ogg,非常感谢大家的收看
data/train/1474290.0000_1476220.0000.ogg,如果喜欢的话别忘了帮我点赞
data/train/1476230.0000_1476600.0000.ogg,转发
data/train/1476610.0000_1477820.0000.ogg,并且关注订阅我的频道
data/train/1477830.0000_1478980.0000.ogg,我们下期再见
data/train/1479150.0000_1479560.0000.ogg,bye bye
data/train/260082.0000_263042.0000.ogg,Siddique decided to undergo surgery to lose weight
data/train/263042.0000_265999.0000.ogg,"Listen, Mikhail, Mishary"
data/train/265999.0000_268250.0000.ogg,Your dad is going to see the doctor
data/train/268250.0000_270626.0000.ogg,He's going to go to the hospital
data/train/270626.0000_272751.0000.ogg,Can you pray for him?
data/train/272751.0000_275584.0000.ogg,"God willing, the surgery will be good"
data/train/275584.0000_276999.0000.ogg,Take care of yourselves
data/train/277876.0000_278959.0000.ogg,I love you
data/train/278959.0000_280459.0000.ogg,"Sorry, Dad"
data/train/283375.0000_286626.0000.ogg,I had this epiphany
data/train/286626.0000_289125.0000.ogg,"I really want to see my kids grow up,"
data/train/289125.0000_291999.0000.ogg,so I decided to take the first step...
data/train/291999.0000_294167.0000.ogg,to lose weight
data/train/304083.0000_305959.0000.ogg,Good morning -Morning
data/train/310584.0000_313375.0000.ogg,"Dr Tan Chun Hai, Siddique's primary physician,"
data/train/313417.0000_317167.0000.ogg,has helped over 500 obese patients in the last few years...
data/train/317167.0000_319459.0000.ogg,by carrying out weight-loss surgeries
data/train/319459.0000_321667.0000.ogg,"Obesity is a common occurrence,"
data/train/321667.0000_324959.0000.ogg,but many people still have a poor understanding of it
data/train/325250.0000_328999.0000.ogg,This chair has no armrests
data/train/328999.0000_331999.0000.ogg,These are issues that obese people face
data/train/331999.0000_334918.0000.ogg,They will be trapped by the armrests if they sit down
data/train/334918.0000_337209.0000.ogg,This would embarrass them
data/train/337209.0000_340000.0000.ogg,It would also make them fear seeing the doctor
data/train/340501.0000_342334.0000.ogg,(Obesity is split into three tiers)
data/train/342334.0000_344876.0000.ogg,(Tier 1: BMI 27.5 -32.4 Tier 2: BMI 32.5 -37.4)
data/train/344876.0000_346792.0000.ogg,(Tier 3: BMI over 37.5)
data/train/346792.0000_351999.0000.ogg,(BMI is weight divided by height)
data/train/351999.0000_354292.0000.ogg,"(One week before the surgery, endoscopy examination)"
data/train/355959.0000_359334.0000.ogg,Most people can lose weight by exercising and dieting
data/train/359334.0000_364209.0000.ogg,"However, patients with Tier 3 obesity, like Siddique,"
data/train/364209.0000_367250.0000.ogg,often require medical assistance
data/train/367250.0000_368792.0000.ogg,"Hello, Mr Siddique"
data/train/368792.0000_369959.0000.ogg,How are you?
data/train/369959.0000_372626.0000.ogg,Patients with Tier 3 obesity...
data/train/372626.0000_377082.0000.ogg,are more likely to injure themselves when they start exercising
data/train/377082.0000_379417.0000.ogg,They wouldn't be able to move once they are injured
data/train/379417.0000_382250.0000.ogg,This would cause them to gain even more weight
data/train/382792.0000_385042.0000.ogg,Relax
data/train/387626.0000_394000.0000.ogg,50 to 70 percent of the stomach is removed during a sleeve gastrectomy
data/train/394000.0000_397626.0000.ogg,That leaves us with a thinner sleeve...
data/train/397626.0000_400999.0000.ogg,for food to pass through to the small intestine
data/train/400999.0000_402751.0000.ogg,"Are you okay, Mr Siddique?"
data/train/402751.0000_404792.0000.ogg,"Once the stomach capacity has been reduced,"
data/train/404792.0000_408375.0000.ogg,the patient will feel full despite eating less
data/train/408375.0000_410709.0000.ogg,"Before operating on Siddique,"
data/train/410709.0000_414626.0000.ogg,Dr Tan must first check for abnormalities in his stomach
data/train/414626.0000_418082.0000.ogg,"However, this is just one of the routine checks..."
data/train/418082.0000_420876.0000.ogg,that Siddique must complete before the surgery takes place
data/train/421584.0000_423083.0000.ogg,"Deep breaths, in and out"
data/train/423083.0000_425125.0000.ogg,You're doing okay
data/train/426000.0000_428167.0000.ogg,We're all done. Well done
data/train/429000.0000_431459.0000.ogg,Siddique must lose some weight before the operation...
data/train/431459.0000_433459.0000.ogg,to reduce the occurrence of surgical risks
data/train/433459.0000_437375.0000.ogg,That is why he was hospitalized two weeks before the surgery
data/train/438082.0000_440082.0000.ogg,"One, two, three, four,"
data/train/440082.0000_442209.0000.ogg,"five, six, seven, eight"
data/train/442209.0000_443751.0000.ogg,"Engage the core, hands in front..."
data/train/443751.0000_445042.0000.ogg,and try to kick backwards
data/train/445042.0000_445959.0000.ogg,Go
data/train/447459.0000_450375.0000.ogg,"After being hospitalized, Siddique had to complete..."
data/train/450375.0000_453584.0000.ogg,a series of tailor-made exercises every day
data/train/453918.0000_455542.0000.ogg,Are you okay?
data/train/456082.0000_457709.0000.ogg,Five more to go
data/train/458292.0000_461959.0000.ogg,He had not been exercising before this
data/train/461959.0000_462959.0000.ogg,That's why we chose...
data/train/462959.0000_466250.0000.ogg,"movements that he would carry out on a daily basis,"
data/train/466250.0000_467751.0000.ogg,such as half squats
data/train/467751.0000_470042.0000.ogg,He has a two-year-old daughter
data/train/470042.0000_474250.0000.ogg,He can lift her up after doing a half-squat
data/train/474250.0000_477542.0000.ogg,This is a common father-daughter activity
data/train/477999.0000_481751.0000.ogg,Siddique is wheezing barely five minutes into the exercise
data/train/481751.0000_483501.0000.ogg,You should feel slightly breathless...
data/train/483501.0000_484999.0000.ogg,but it should not be so extreme...
data/train/484999.0000_487375.0000.ogg,that you are unable to talk
data/train/487375.0000_488918.0000.ogg,Are you still okay?
data/train/488918.0000_491375.0000.ogg,I'm okay
data/train/491375.0000_492334.0000.ogg,"Although it was strenuous,"
data/train/492334.0000_496209.0000.ogg,Siddique pressed on and completed every exercise
data/train/498209.0000_500250.0000.ogg,We can put the weights down...
data/train/500250.0000_503125.0000.ogg,and take a one-minute break
data/train/504000.0000_507042.0000.ogg,"When you feel tired or lazy,"
data/train/507042.0000_508125.0000.ogg,just tell yourself...
data/train/508125.0000_510501.0000.ogg,that you must have a good reason...
data/train/510501.0000_513584.0000.ogg,for going on this journey
data/train/526959.0000_529459.0000.ogg,(Gleneagles Hospital)
data/train/530626.0000_533042.0000.ogg,Siddique weighs close to 200 kilograms
data/train/533042.0000_534667.0000.ogg,"In a bid to turn his life around,"
data/train/534667.0000_536709.0000.ogg,he was hospitalized two weeks ago...
data/train/536709.0000_539000.0000.ogg,to make preparations for his weight-loss surgery
data/train/541334.0000_543667.0000.ogg,Most patients going through this surgery...
data/train/543667.0000_546209.0000.ogg,are not required to undergo so much preparation for it
data/train/546209.0000_549000.0000.ogg,"Siddique's obesity, however, is exceptionally severe,"
data/train/549000.0000_552834.0000.ogg,so reducing his weight would decrease the risks of the surgery
data/train/555125.0000_558501.0000.ogg,(Three days before the surgery)
data/train/562042.0000_563751.0000.ogg,"Here you go -Thank you, barista"
data/train/566417.0000_568000.0000.ogg,It's like a martini
data/train/568000.0000_569834.0000.ogg,"Shaken, not stirred"
data/train/570292.0000_571626.0000.ogg,"To lose weight,"
data/train/571626.0000_573542.0000.ogg,Siddique must exercise regularly...
data/train/573542.0000_578999.0000.ogg,and give up his favourite foods in favour of a very-low-calorie diet (VLCD)
data/train/578999.0000_581250.0000.ogg,How does this water taste?
data/train/581250.0000_583709.0000.ogg,"It's sweet, but it has no taste"
data/train/583709.0000_586167.0000.ogg,"It smells good -Yes, it does"
data/train/586918.0000_589459.0000.ogg,"Since he started dieting, Siddique confesses that..."
data/train/589459.0000_592584.0000.ogg,"there are times when he is unable to resist the temptation of delicious food,"
data/train/592584.0000_594709.0000.ogg,to the point where he feels like breaking his diet
data/train/594709.0000_598959.0000.ogg,"Fortunately, he has someone who will go through thick and thin with him"
data/train/598999.0000_600709.0000.ogg,Last drink?
data/train/600709.0000_601918.0000.ogg,Cheers!
data/train/602334.0000_604042.0000.ogg,Drink up -Go
data/train/605918.0000_608542.0000.ogg,I feel that it's a little unfair for him...
data/train/608584.0000_609876.0000.ogg,"to go through this,"
data/train/609876.0000_611209.0000.ogg,"so I told him, ""Okay, you know what?"
data/train/611209.0000_612626.0000.ogg,"""Since you have to go through this,"
data/train/612626.0000_613918.0000.ogg,"""I'll go through it with you"
data/train/613918.0000_615375.0000.ogg,"""We'll take the VLCD together"""
data/train/618083.0000_621626.0000.ogg,"Ever since Siddique embarked on this weight-loss journey,"
data/train/621626.0000_623751.0000.ogg,"no matter if it's exercising or dieting,"
data/train/623751.0000_627501.0000.ogg,"his wife, Zainon, has always been by his side"
data/train/628834.0000_631209.0000.ogg,I want him to know that...
data/train/631209.0000_633375.0000.ogg,I married him for a reason
data/train/633375.0000_635000.0000.ogg,We are in this together
data/train/635000.0000_638167.0000.ogg,I want him to know that I am there for him
data/train/639626.0000_640876.0000.ogg,Does it hurt?
data/train/642125.0000_644292.0000.ogg,My wife has been very supportive...
data/train/644292.0000_645999.0000.ogg,throughout my journey
data/train/645999.0000_649209.0000.ogg,"To be honest, I used to be a couch potato"
data/train/649209.0000_651751.0000.ogg,"In the past, I would tell my wife..."
data/train/651751.0000_653501.0000.ogg,to go to the market by herself
data/train/653501.0000_657375.0000.ogg,"But now, I want to get my body moving"
data/train/657375.0000_658584.0000.ogg,I want to spend more time...
data/train/658584.0000_660042.0000.ogg,with my wife and my kids
data/train/661834.0000_664209.0000.ogg,(One hour before the operation)
data/train/666042.0000_669209.0000.ogg,"Don't think of anything, dear"
data/train/669209.0000_671709.0000.ogg,I love you -I love you too
data/train/672000.0000_675334.0000.ogg,"As much as I try to put up a strong front,"
data/train/675334.0000_676667.0000.ogg,I'm very scared...
data/train/676667.0000_679918.0000.ogg,that he might go on without me
data/train/680542.0000_682292.0000.ogg,I'll see you soon
data/train/686751.0000_689167.0000.ogg,"(9.00 am, start of surgery)"
data/train/689501.0000_691083.0000.ogg,He's asleep
data/train/694083.0000_696292.0000.ogg,I'm starting
data/train/696709.0000_698167.0000.ogg,Knife
data/train/699417.0000_700999.0000.ogg,"Before the gastrectomy,"
data/train/700999.0000_703709.0000.ogg,the surgical team must first retract the liver
data/train/703709.0000_706792.0000.ogg,This procedure is one of the risks...
data/train/706792.0000_710959.0000.ogg,faced by obese patients during the weight-loss surgery
data/train/710959.0000_714042.0000.ogg,"He weighed 204 kilograms at the time,"
data/train/714042.0000_717834.0000.ogg,so it was likely for him to show signs of a fatty liver
data/train/717834.0000_722459.0000.ogg,We would only be able to see the stomach if we shifted the liver upwards
data/train/722459.0000_725584.0000.ogg,There was a risk of bleeding
data/train/727417.0000_728292.0000.ogg,Okay...
data/train/729459.0000_731667.0000.ogg,Nice -Nice
data/train/731667.0000_733834.0000.ogg,Siddique's efforts over the past two weeks...
data/train/733834.0000_735626.0000.ogg,were not carried out in vain
data/train/735626.0000_739709.0000.ogg,The surgery today went very well
data/train/739709.0000_745584.0000.ogg,I shifted his liver without any issues because it was sufficiently lean
data/train/748792.0000_753334.0000.ogg,The goal of a sleeve gastrectomy is to remove most of the patient's stomach...
data/train/753334.0000_755667.0000.ogg,and retain only a small part of it
data/train/755667.0000_757751.0000.ogg,"To achieve this, the surgical team..."
data/train/757751.0000_761501.0000.ogg,will insert a bougie through the oesophagus and into the stomach...
data/train/761501.0000_764250.0000.ogg,before the start of the surgery
data/train/764751.0000_765834.0000.ogg,Advance
data/train/765834.0000_768042.0000.ogg,Follow
data/train/768042.0000_771125.0000.ogg,"During the surgery, the surgeon, Dr Tan,"
data/train/771125.0000_775375.0000.ogg,must rely on this bougie to estimate the portion of the stomach to be removed
data/train/775375.0000_777792.0000.ogg,"Jiggle, pull out by five centimetres"
data/train/778167.0000_780167.0000.ogg,The person controlling this tube...
data/train/780167.0000_783999.0000.ogg,is another important figure in the operating theatre
data/train/785209.0000_787042.0000.ogg,"Most patients know the name of the surgeon,"
data/train/787042.0000_788542.0000.ogg,but not the anaesthetist
data/train/788542.0000_789459.0000.ogg,But it's okay
data/train/789459.0000_791959.0000.ogg,"It's still a hugely rewarding job for me,"
data/train/791959.0000_792918.0000.ogg,especially when I think of...
data/train/792918.0000_794209.0000.ogg,"the end of the day,"
data/train/794209.0000_796375.0000.ogg,"when we can safely send the patients home,"
data/train/796375.0000_798375.0000.ogg,back to their loved ones safely
data/train/799626.0000_801834.0000.ogg,The anaesthetist's main job...
data/train/801834.0000_804709.0000.ogg,is to ensure the patient's safety during the surgery
data/train/804709.0000_806125.0000.ogg,Besides ensuring that the patient...
data/train/806125.0000_809292.0000.ogg,"is in a painless, unconscious state when undergoing the surgery,"
data/train/809292.0000_811334.0000.ogg,the anaesthetist must also...
data/train/811334.0000_815584.0000.ogg,constantly monitor their vital signs throughout the surgery
data/train/815584.0000_817083.0000.ogg,Every patient is different
data/train/817083.0000_818334.0000.ogg,You can't replace anaesthetists...
data/train/818334.0000_819876.0000.ogg,with artificial intelligence (AI)
data/train/819876.0000_821000.0000.ogg,We are always ever-ready...
data/train/821000.0000_823042.0000.ogg,in any emergency situation...
data/train/823042.0000_824918.0000.ogg,to work through the crisis
data/train/827000.0000_828459.0000.ogg,"(10 am, one hour into the surgery)"
data/train/828459.0000_829834.0000.ogg,Stapler
data/train/833751.0000_835083.0000.ogg,Reload
data/train/835083.0000_836792.0000.ogg,"In the span of just one hour,"
data/train/836792.0000_840125.0000.ogg,Siddique's stomach has been divided into two parts
data/train/840999.0000_842501.0000.ogg,Can we cross?
data/train/842501.0000_844459.0000.ogg,We might need to do it two more times
data/train/845000.0000_849542.0000.ogg,A sleeve gastrectomy is a type of bariatric and metabolic surgery
data/train/849542.0000_851375.0000.ogg,The main goal of such surgeries...
data/train/851375.0000_856167.0000.ogg,is to facilitate long-term weight loss by altering the patients' digestive systems
data/train/856999.0000_859042.0000.ogg,A restriction in food intake...
data/train/859042.0000_862209.0000.ogg,isn't the only effect of bariatric and metabolic surgeries
data/train/862209.0000_867250.0000.ogg,The patients' hormones and metabolic rates will also experience changes
data/train/867250.0000_871667.0000.ogg,Patients will experience a loss in appetite due to post-surgery hormonal changes
data/train/871667.0000_876042.0000.ogg,Gradual weight loss is easier to maintain because of the changes in metabolic rates
data/train/877459.0000_879375.0000.ogg,This is the most difficult part
data/train/881042.0000_885375.0000.ogg,"However, this doesn't mean the patient is cured of obesity"
data/train/886459.0000_887292.0000.ogg,Gauze
data/train/890834.0000_892751.0000.ogg,The specimen is out
data/train/893501.0000_894999.0000.ogg,Clean. Stitch
data/train/895918.0000_897417.0000.ogg,Although this surgery...
data/train/897417.0000_901918.0000.ogg,"makes it easier for patients to lose weight after dieting and exercising,"
data/train/901918.0000_905501.0000.ogg,patients who continue to binge-eat...
data/train/905501.0000_908292.0000.ogg,may suffer a relapse and regain their lost weight
data/train/908626.0000_913626.0000.ogg,"I usually tell my patients that this is a 10,000-step journey"
data/train/913626.0000_918250.0000.ogg,Performing this surgery is just the first step of this journey
data/train/918250.0000_921292.0000.ogg,The patient will lose weight after the surgery
data/train/921292.0000_923751.0000.ogg,The patient's willpower will determine...
data/train/923751.0000_926792.0000.ogg,how much weight is lost and how long it will continue for
data/train/929918.0000_931918.0000.ogg,"(11 am, end of surgery)"
data/train/931918.0000_932834.0000.ogg,Siddique?
data/train/935000.0000_937209.0000.ogg,"The operation's over, Siddique"
data/train/937209.0000_938542.0000.ogg,Can you hear me?
data/train/938542.0000_940209.0000.ogg,I want you to take a deep breath
data/train/940209.0000_941751.0000.ogg,"Breathe in and out, big breath"
data/train/941751.0000_943000.0000.ogg,Open your eyes
data/train/954542.0000_956834.0000.ogg,(Gleneagles Hospital)
data/train/957834.0000_960083.0000.ogg,"(11.30 am, 30 minutes after the surgery)"
data/train/963042.0000_964334.0000.ogg,Are you okay?
data/train/964334.0000_965999.0000.ogg,My stomach is a bit sore
data/train/965999.0000_967792.0000.ogg,It's sore?
data/train/967792.0000_969417.0000.ogg,That's quite expected
data/train/969417.0000_970626.0000.ogg,We'll give you some painkillers...
data/train/970626.0000_971709.0000.ogg,if you need them
data/train/972292.0000_975042.0000.ogg,"Siddique, who underwent a weight-loss surgery this morning,"
data/train/975042.0000_979417.0000.ogg,found himself in a High Dependency Unit (HDU) upon waking up
data/train/979417.0000_981000.0000.ogg,HDU is a care unit...
data/train/981000.0000_983209.0000.ogg,"one step down from the ICU,"
data/train/983209.0000_985959.0000.ogg,or one step up from the general wards
data/train/985959.0000_986999.0000.ogg,It's an area for...
data/train/986999.0000_988459.0000.ogg,"the close monitoring of patients,"
data/train/988459.0000_990876.0000.ogg,"whose conditions are already quite serious,"
data/train/990876.0000_992876.0000.ogg,or are at risk of deteriorating...
data/train/992876.0000_994209.0000.ogg,at any point in time
data/train/994209.0000_995792.0000.ogg,I'm going to give you a bell
data/train/995792.0000_997709.0000.ogg,"If you need anything, press this, okay?"
data/train/997709.0000_1000292.0000.ogg,Give us a call
data/train/1000918.0000_1005334.0000.ogg,"Because Siddique has obstructive sleep apnea,"
data/train/1005334.0000_1008167.0000.ogg,he may experience breathing difficulties after the surgery
data/train/1008167.0000_1010751.0000.ogg,He needs to be closely monitored
data/train/1010751.0000_1015959.0000.ogg,"In an HDU, the patient's heart rate, blood pressure and oxygen levels..."
data/train/1015959.0000_1018751.0000.ogg,are transmitted to a central monitoring station
data/train/1018751.0000_1022167.0000.ogg,Any deviations will trigger an alarm
data/train/1030459.0000_1031791.0000.ogg,It's okay
data/train/1031791.0000_1035209.0000.ogg,"Although Siddique was in good condition after the surgery,"
data/train/1035209.0000_1038541.0000.ogg,he experienced common side effects such as nausea and vomiting
data/train/1038541.0000_1041334.0000.ogg,The nurses handled it in a calm manner
data/train/1041334.0000_1042876.0000.ogg,Do you feel better?
data/train/1042876.0000_1045876.0000.ogg,"It couldn't come out before, right? -Yes"
data/train/1045876.0000_1047709.0000.ogg,It's all out now
data/train/1048083.0000_1049209.0000.ogg,When someone is admitted...
data/train/1049209.0000_1050459.0000.ogg,"to the ICU or the HDU,"
data/train/1050459.0000_1052209.0000.ogg,it's usually the most terrifying...
data/train/1052209.0000_1054000.0000.ogg,and helpless time of their lives
data/train/1054000.0000_1056167.0000.ogg,Whether you're encouraging someone...
data/train/1056167.0000_1057918.0000.ogg,"who's lying helplessly in bed,"
data/train/1057918.0000_1059626.0000.ogg,or someone's loved one whose condition...
data/train/1059626.0000_1061083.0000.ogg,"has taken a turn for the worse,"
data/train/1061083.0000_1062834.0000.ogg,we have to be empathetic
data/train/1065542.0000_1068792.0000.ogg,"(5.00 pm, six hours after the surgery)"
data/train/1069751.0000_1070999.0000.ogg,Mr Siddique
data/train/1070999.0000_1072334.0000.ogg,How are you?
data/train/1072918.0000_1076751.0000.ogg,Siddique is gradually regaining his spirits
data/train/1077918.0000_1081083.0000.ogg,Sitting up will make you feel better
data/train/1081083.0000_1082792.0000.ogg,"This chair is better too, right?"
data/train/1083626.0000_1086042.0000.ogg,Dr Tan had previously instructed the medical team...
data/train/1086042.0000_1089751.0000.ogg,to prepare a suitable chair for Siddique in his ward
data/train/1090792.0000_1092250.0000.ogg,I'm really appreciative...
data/train/1092250.0000_1094209.0000.ogg,of how committed they are
data/train/1094209.0000_1096042.0000.ogg,I would say the operation...
data/train/1096042.0000_1097375.0000.ogg,went as smoothly as it could
data/train/1097375.0000_1098542.0000.ogg,There were no surprises
data/train/1098542.0000_1100250.0000.ogg,Good job
data/train/1100250.0000_1102250.0000.ogg,"Thank you, Dr Tan -You're welcome"
data/train/1102667.0000_1105542.0000.ogg,"Before going for this bariatric surgery,"
data/train/1105542.0000_1107834.0000.ogg,I thought it would just be one surgeon...
data/train/1107834.0000_1108834.0000.ogg,"operating on me,"
data/train/1108834.0000_1111459.0000.ogg,but there were many other people...
data/train/1111459.0000_1113709.0000.ogg,going through this journey with me
data/train/1113709.0000_1115334.0000.ogg,I want to give my best...
data/train/1115334.0000_1118083.0000.ogg,because I know that they gave their best
data/train/1122250.0000_1124542.0000.ogg,(Six weeks later)
data/train/1129417.0000_1134334.0000.ogg,Siddique has lost about 14 kilograms after undergoing the surgery
data/train/1135542.0000_1138959.0000.ogg,"Hello, it's nice to see you again"
data/train/1140083.0000_1141709.0000.ogg,I feel that I'm losing weight...
data/train/1141709.0000_1143542.0000.ogg,at a very comfortable pace
data/train/1144334.0000_1146042.0000.ogg,"When losing weight,"
data/train/1146042.0000_1148250.0000.ogg,"many people try to motivate themselves,"
data/train/1148250.0000_1149626.0000.ogg,only to lose motivation instead
data/train/1149626.0000_1152250.0000.ogg,"But if you have self-discipline,"
data/train/1152250.0000_1154834.0000.ogg,then you tend to keep at it every day
data/train/1155959.0000_1160083.0000.ogg,"Although Siddique doesn't appear to be drastically different on the outside,"
data/train/1160083.0000_1163584.0000.ogg,he has made some major changes to his lifestyle
data/train/1163584.0000_1164876.0000.ogg,"As you can see,"
data/train/1164876.0000_1167375.0000.ogg,"if you were to use sesame oil,"
data/train/1167375.0000_1168751.0000.ogg,"1 teaspoon, which is 5 millilitres,"
data/train/1168751.0000_1170542.0000.ogg,contains 41 calories
data/train/1172709.0000_1174834.0000.ogg,He is a calorie counter now
data/train/1174834.0000_1178834.0000.ogg,My husband never used to care...
data/train/1178834.0000_1180792.0000.ogg,about calorie-counting
data/train/1180792.0000_1184999.0000.ogg,"But directly after the surgery, he was like,"
data/train/1184999.0000_1186834.0000.ogg,"""I need to research"""
data/train/1187209.0000_1189459.0000.ogg,"It's like, who is this person?"
data/train/1191999.0000_1194250.0000.ogg,(Patients who undergo a sleeve gastrectomy surgery...)
data/train/1194250.0000_1196083.0000.ogg,(normally lose 20 to 30 percent of their body weight...)
data/train/1196083.0000_1198083.0000.ogg,(within 12 to 18 months)
data/train/1199375.0000_1200751.0000.ogg,Are you ready?
data/train/1200751.0000_1203999.0000.ogg,Losing weight is a long and arduous battle
data/train/1203999.0000_1208334.0000.ogg,Siddique is still far from reaching a healthy weight
data/train/1208334.0000_1211375.0000.ogg,"Nevertheless, he has already started to experience..."
data/train/1211375.0000_1217042.0000.ogg,the small joys in life that only a healthy body can bring
data/train/1217042.0000_1218834.0000.ogg,"In the past, I would just sit at the side..."
data/train/1218834.0000_1220167.0000.ogg,and watch as they played
data/train/1220167.0000_1222334.0000.ogg,"Now, I can help them..."
data/train/1222334.0000_1224417.0000.ogg,climb around the playground
data/train/1224417.0000_1227709.0000.ogg,"Sometimes, I chase them briefly"
data/train/1228083.0000_1230709.0000.ogg,My father can catch me now
data/train/1232542.0000_1237042.0000.ogg,Performing operations isn't the only thing we do
data/train/1237042.0000_1240125.0000.ogg,Some patients get pregnant within a year or two of their surgeries...
data/train/1240125.0000_1242667.0000.ogg,and start their own families
data/train/1242667.0000_1246167.0000.ogg,There was a patient who was afraid to leave his home...
data/train/1246167.0000_1249000.0000.ogg,because he feared being mocked by others
data/train/1249000.0000_1253626.0000.ogg,He was able to take the MRT on his own after the surgery
data/train/1253626.0000_1259959.0000.ogg,Doctors gain considerable satisfaction from improving the lives of others
data/train/1289209.0000_1290209.0000.ogg,Subtitles: CaptionCube
data/train/96866.0000_99666.0000.ogg,那其中可能會有一到兩位的流動護士是
data/train/100000.0000_101633.0000.ogg,他不會上到刀檯上面
data/train/101633.0000_104500.0000.ogg,他會是在開刀房的開放空間裡面
data/train/104600.0000_107666.0000.ogg,做麻醉科跟手術團隊當中的協調
data/train/107666.0000_109433.0000.ogg,他會做一個病人身分的核對
data/train/109433.0000_112933.0000.ogg,然後在病人睡著之前確認病人的病史
data/train/112933.0000_114900.0000.ogg,過敏史以及他的身分
data/train/114900.0000_116400.0000.ogg,這個是最重要的部分
data/train/123366.0000_125966.0000.ogg,進入外科這個領域其實每一支器械
data/train/125966.0000_127400.0000.ogg,它都有自己的名字
data/train/127400.0000_129800.0000.ogg,每一個外科醫師他人生之中的
data/train/129800.0000_132500.0000.ogg,第一個學習就要了解每一支器械的名字
data/train/132666.0000_134133.0000.ogg,對民眾來講大家可能覺得
data/train/134133.0000_135600.0000.ogg,外科醫師就是動刀
data/train/135600.0000_138366.0000.ogg,事實上我們用比較多的可能不是刀
data/train/138366.0000_139166.0000.ogg,而是剪刀
data/train/139466.0000_141600.0000.ogg,光是刀的話通常我們使用的
data/train/141600.0000_143300.0000.ogg,除了一般我們印象中
data/train/143633.0000_145200.0000.ogg,手術當中的手術刀之外
data/train/145200.0000_147266.0000.ogg,最常使用的其中一個是電燒刀
data/train/147933.0000_151333.0000.ogg,電燒刀它通常就會有一個看起來
data/train/151333.0000_153900.0000.ogg,像是一個塑膠介面的連接器
data/train/153900.0000_155766.0000.ogg,然後它會連接到一台機器上面
data/train/155900.0000_160033.0000.ogg,最主要使用上面是做切割止血的動作
data/train/160033.0000_161900.0000.ogg,除此之外的話還有剪刀
data/train/161900.0000_164633.0000.ogg,剪刀除了大家覺得分長短以外
data/train/164633.0000_166133.0000.ogg,它還有各種不同的頭
data/train/166466.0000_168400.0000.ogg,有尖頭跟普通的頭
data/train/168400.0000_171600.0000.ogg,其它器械方面有一些長得很像剪刀
data/train/171600.0000_174200.0000.ogg,有這樣子圓圈圈的米老鼠頭的東西
data/train/174400.0000_175400.0000.ogg,其實它不是剪刀
data/train/175466.0000_177300.0000.ogg,像這個是我們外科醫師的好朋友
data/train/177300.0000_178500.0000.ogg,它是持針器
data/train/178600.0000_181766.0000.ogg,持針器的重點是你切割了一定要做縫合
data/train/181766.0000_184766.0000.ogg,縫合的時候我們不是用手直接直針縫
data/train/184766.0000_186933.0000.ogg,我們會用彎針然後用持針器
data/train/187133.0000_189133.0000.ogg,持這個針去做縫合的動作
data/train/189466.0000_192533.0000.ogg,有長短的差別是因為傷口有深跟有淺
data/train/192533.0000_195166.0000.ogg,淺的時候我們就是用短的持針器
data/train/195300.0000_197233.0000.ogg,深的地方我們會用長的持針器
data/train/197233.0000_199000.0000.ogg,所以用途會在不同的地方
data/train/199266.0000_201933.0000.ogg,右手拿持針器或者是刀或者是剪刀
data/train/202133.0000_205066.0000.ogg,左手一定要有一個抓組織的東西
data/train/205433.0000_207133.0000.ogg,就會用到我們的鑷子
data/train/207466.0000_208833.0000.ogg,每種鑷子也是會有不一樣
data/train/208833.0000_210666.0000.ogg,我們會有長鑷子跟短鑷子
data/train/210833.0000_212633.0000.ogg,但長鑷子短鑷子之外
data/train/212633.0000_215300.0000.ogg,每一支鑷子的長相跟名字也都不一樣
data/train/215300.0000_218133.0000.ogg,鑷子有分是尖頭的或是平頭的
data/train/218400.0000_220233.0000.ogg,這個對組織的傷害都不一樣
data/train/220233.0000_221666.0000.ogg,那也會用在不同的地方
data/train/222100.0000_224466.0000.ogg,除此之外的話還有就是夾子
data/train/224466.0000_225933.0000.ogg,夾子很重要的地方是
data/train/226100.0000_229100.0000.ogg,這個夾子除了可以夾組織
data/train/229333.0000_232700.0000.ogg,跟我們手術當中的視野做配合之外
data/train/233000.0000_234700.0000.ogg,最主要是出血的時候我們可以
data/train/234700.0000_236700.0000.ogg,做夾住血管止血的動作
data/train/236700.0000_238566.0000.ogg,所以雖然長得很像剪刀
data/train/238566.0000_241066.0000.ogg,但它不是剪刀它是一支夾子
data/train/241500.0000_244566.0000.ogg,夾子當然有自己的名字像手中的這支
data/train/244566.0000_246933.0000.ogg,我們常常使用的我們叫做Pean
data/train/246933.0000_249133.0000.ogg,除此之外大家如果看過醫龍的話
data/train/249133.0000_251833.0000.ogg,就會聽到說他們有時候會叫器械的名字
data/train/252000.0000_254900.0000.ogg,因為發明器械的人很多都是德國的
data/train/254900.0000_256399.0000.ogg,或是英美的人士
data/train/256600.0000_258600.0000.ogg,所以他們會用他們的名字來命名
data/train/258866.0000_261033.0000.ogg,像常常會聽到我們會叫一個Metz
data/train/261033.0000_263266.0000.ogg,Metz是什麼東西它是Metzenbaum
data/train/263266.0000_264866.0000.ogg,它其實是指剪刀的名字
data/train/264866.0000_266066.0000.ogg,就是我手上這把剪刀
data/train/266466.0000_267466.0000.ogg,它其實是組織剪
data/train/274533.0000_277366.0000.ogg,這每一支器械我們了解它的名字之後
data/train/277366.0000_279966.0000.ogg,在器械台上有的時候如果大手術
data/train/279966.0000_282700.0000.ogg,我們就會藉由外科醫師叫這個器械來
data/train/282900.0000_284933.0000.ogg,由刷手護士遞到我們手上
data/train/285332.0000_287733.0000.ogg,為什麼一定要人家遞不是為了很大牌
data/train/287733.0000_289000.0000.ogg,是因為你在手術的時候
data/train/289000.0000_291332.0000.ogg,你會專注在手術的視野當中
data/train/291332.0000_293500.0000.ogg,你沒有辦法回頭去挑選你的器械
data/train/293600.0000_295733.0000.ogg,所以你叫了器械之後人家遞給你
data/train/295733.0000_299000.0000.ogg,就可以不間斷地在手術視野之中做動作
data/train/306200.0000_307966.0000.ogg,比較特別是在台灣因為
data/train/307966.0000_310366.0000.ogg,台灣是傳承於日式的教育
data/train/310366.0000_313600.0000.ogg,所以我們在刀檯上面的老師
data/train/313933.0000_315833.0000.ogg,就我們的老老師大概都是
data/train/315833.0000_317800.0000.ogg,日式教育傳承下來的
data/train/318000.0000_318800.0000.ogg,他們會講台語
data/train/319100.0000_322233.0000.ogg,所以在刀檯上常常都是台語跟英文交雜
data/train/322233.0000_323400.0000.ogg,比較少聽到國語
data/train/323500.0000_325800.0000.ogg,所以你聽到他們叫他們通常都不會說
data/train/325800.0000_327666.0000.ogg,就是除了器械的名字之外
data/train/327900.0000_329700.0000.ogg,有的時候它只是叫一支普通的剪刀
data/train/329700.0000_330966.0000.ogg,來剪線的時候
data/train/330966.0000_332133.0000.ogg,它會直接叫「剪刀」
data/train/332700.0000_334766.0000.ogg,然後叫刀子來的時候
data/train/334766.0000_336400.0000.ogg,他也不會用英文的Scalpel
data/train/336400.0000_339066.0000.ogg,或者是中文的刀他會直接叫「刀子來」
data/train/339500.0000_342100.0000.ogg,所以這個就是我們台灣比較特別的地方
data/train/349366.0000_351200.0000.ogg,有很多人會強調正壓或者是
data/train/351200.0000_352300.0000.ogg,無菌這個部分
data/train/352366.0000_354233.0000.ogg,講的都是感染上面的感控
data/train/354233.0000_357400.0000.ogg,手術本身的視野必須是一個無菌的
data/train/357633.0000_359633.0000.ogg,無非你是在真空的環境裡面
data/train/359633.0000_362466.0000.ogg,你很難完全保持這個環境跟空氣裡面
data/train/362466.0000_363633.0000.ogg,是完全無菌的
data/train/363733.0000_366033.0000.ogg,正壓的環境其實它要強調的
data/train/366033.0000_368233.0000.ogg,並不是什麼壓力的問題
data/train/368233.0000_371800.0000.ogg,它強調的是細菌的菌落數被控制在
data/train/371800.0000_375733.0000.ogg,我們可以被控制的低菌落數範圍內
data/train/375733.0000_377733.0000.ogg,刷手檯是更重要的一環
data/train/377733.0000_379700.0000.ogg,刷手檯上所有的器械
data/train/380000.0000_382832.0000.ogg,都必須經過高溫高壓的消毒跟滅菌
data/train/383066.0000_386766.0000.ogg,每一個上刀檯的人員也需要穿戴
data/train/386766.0000_389566.0000.ogg,無菌的手術衣跟手術手套
data/train/389832.0000_392233.0000.ogg,這樣子才能夠保持這個手術視野
data/train/392233.0000_394000.0000.ogg,裡面的菌落量在最低的數目
data/train/394133.0000_397100.0000.ogg,手術之後病人感染率才會降低
data/train/397100.0000_401033.0000.ogg,因為手術當中的照明相對來講是
data/train/401033.0000_402200.0000.ogg,一個比較困難的部分
data/train/402200.0000_404533.0000.ogg,如果手術的範圍大的話
data/train/404533.0000_406400.0000.ogg,它一定會有照明上的死角
data/train/406400.0000_409400.0000.ogg,無影燈它其實是組合式的光源
data/train/409766.0000_413366.0000.ogg,它可以在四面八方的燈聚焦的狀況之下
data/train/413566.0000_417033.0000.ogg,把我們在手術當中拿器械的手
data/train/417033.0000_419500.0000.ogg,或器械本身的陰影降到最低
data/train/419500.0000_421333.0000.ogg,所以你沒有陰影就沒有死角
data/train/421333.0000_423266.0000.ogg,在手術當中就可以看得非常清楚
data/train/423266.0000_424333.0000.ogg,以利手術進行
data/train/262866.0000_263766.0000.ogg,专家提醒
data/train/264133.0000_265199.0000.ogg,近视的防控
data/train/265200.0000_266300.0000.ogg,还需要确保
data/train/266300.0000_268900.0000.ogg,孩子有足够的户外活动时间
data/train/269100.0000_270533.0000.ogg,暑假即将来临
data/train/270533.0000_273766.0000.ogg,建议家长陪同有近视苦恼的儿童
data/train/273800.0000_276500.0000.ogg,到正规机构进行诊治
data/train/281600.0000_283600.0000.ogg,让老曼知告别咳痰喘
data/train/283666.0000_286399.0000.ogg,让哮喘慢阻肺不再反复发作
data/train/286400.0000_289866.0000.ogg,健康朋友圈联合烟都呼吸病医院购物
data/train/289866.0000_292399.0000.ogg,打造让爱开心公益活动
data/train/292400.0000_296700.0000.ogg,详情请咨询零二四二二八三七九九九
data/train/298066.0000_299299.0000.ogg,中医传承
data/train/299600.0000_301300.0000.ogg,匠心悠远
data/train/301533.0000_304199.0000.ogg,高真堂传承国粹
data/train/304866.0000_306866.0000.ogg,弘扬中医药文化
data/train/307300.0000_309266.0000.ogg,创新理念技术
data/train/309333.0000_313766.0000.ogg,全生命周期诊疗养一体医疗连锁
data/train/314066.0000_315599.0000.ogg,对常见病
data/train/315733.0000_317733.0000.ogg,慢病疑难病
data/train/318200.0000_319332.0000.ogg,为病先防
data/train/319666.0000_320999.0000.ogg,御病防病
data/train/321200.0000_322500.0000.ogg,乙病防措
data/train/322866.0000_324366.0000.ogg,育后防富
data/train/324566.0000_325966.0000.ogg,一人一方
data/train/326200.0000_327733.0000.ogg,辩证失志
data/train/328000.0000_329332.0000.ogg,造福百姓
data/train/329566.0000_331933.0000.ogg,助力健康中国梦
data/train/332533.0000_334099.0000.ogg,大衣京城
data/train/334700.0000_337133.0000.ogg,良医好药风险效
data/train/337933.0000_340699.0000.ogg,熬制后烦1人心
data/train/341300.0000_345666.0000.ogg,高珍糖倒地药材秘法炮制
data/train/346366.0000_347933.0000.ogg,好医好药
data/train/348500.0000_349966.0000.ogg,好膏方
data/train/350900.0000_352666.0000.ogg,提高诊疗效果
data/train/352900.0000_355800.0000.ogg,为健康保驾护航
data/train/361666.0000_363566.0000.ogg,在很多女性心目当中啊
data/train/363566.0000_366299.0000.ogg,健康的卵巢是保持年轻漂亮
data/train/366300.0000_367700.0000.ogg,青春常驻的关键
data/train/368066.0000_369466.0000.ogg,所以呢在近些年
data/train/369466.0000_371699.0000.ogg,越来越多的女性开始关注
data/train/371700.0000_373333.0000.ogg,卵巢保养的项目了
data/train/373400.0000_374766.0000.ogg,但提到卵巢
data/train/374766.0000_377066.0000.ogg,又总绕不开各种真真假假
data/train/377066.0000_378699.0000.ogg,让人傻傻分不清楚的
data/train/378700.0000_381600.0000.ogg,谣言俗话说得好造谣张张嘴
data/train/381600.0000_382966.0000.ogg,辟谣跑断腿
data/train/382966.0000_384499.0000.ogg,为此我们编导团队呢
data/train/384500.0000_386766.0000.ogg,也特意推出了辟谣板块
data/train/386800.0000_387766.0000.ogg,帮助大家
data/train/387766.0000_391133.0000.ogg,分辨这些健康传言的事实与传言
data/train/391566.0000_392566.0000.ogg,那接下来呢
data/train/392566.0000_396399.0000.ogg,就让我们掌声有请本期的谣言辩证官
data/train/396400.0000_399200.0000.ogg,电视机前的观众朋友们大家好
data/train/399200.0000_400600.0000.ogg,我是沈阳医学院
data/train/400600.0000_403600.0000.ogg,附属中心医院妇科门诊周晓庆
data/train/403966.0000_407566.0000.ogg,本期特邀嘉宾周晓庆主任医师副教授
data/train/407700.0000_410666.0000.ogg,沈阳医学院附属中心医院妇科
data/train/410966.0000_412933.0000.ogg,辽宁省药学会第九届
data/train/412933.0000_413966.0000.ogg,药物临床
data/train/413966.0000_416799.0000.ogg,评价研究专业委员会副主任委员
data/train/416800.0000_418733.0000.ogg,中国妇幼保健协会
data/train/418733.0000_421099.0000.ogg,盆底康复专业委员会委员
data/train/421266.0000_423066.0000.ogg,辽宁省中西医结合
data/train/423066.0000_426166.0000.ogg,孕期营养与代谢专业委员会委员
data/train/431200.0000_432533.0000.ogg,欢迎欢迎我们的周主任
data/train/432533.0000_434566.0000.ogg,我们周主任可是妇产科的大咖
data/train/434566.0000_435899.0000.ogg,所以说今天您来
data/train/435900.0000_438000.0000.ogg,一定要给大家好好辟辟谣
data/train/438200.0000_439000.0000.ogg,那接下来啊
data/train/439000.0000_442266.0000.ogg,我们来给大家上一组快问快答
data/train/442400.0000_443666.0000.ogg,那这些关键词啊
data/train/443666.0000_444799.0000.ogg,有请我们的周主任
data/train/444800.0000_446900.0000.ogg,来帮助我们一起来判断一下
data/train/446900.0000_448666.0000.ogg,到底是不是对的
data/train/448866.0000_451866.0000.ogg,我们来看看这第1条月经量多
data/train/451900.0000_453933.0000.ogg,卵巢功能一定好
data/train/453933.0000_455566.0000.ogg,这种说法到底对不对呢
data/train/455566.0000_458666.0000.ogg,错每次的月经量超过80毫升
data/train/458666.0000_459999.0000.ogg,叫月经量过多
data/train/460000.0000_463466.0000.ogg,比如说啊黏膜下的子宫肌瘤啊
data/train/463533.0000_464566.0000.ogg,比如说呃
data/train/464566.0000_466699.0000.ogg,子宫内膜异位症啊等等
data/train/466700.0000_469100.0000.ogg,都有可能造成月经量的增多啊
data/train/469300.0000_471100.0000.ogg,呃甚至在维洁经期的时候
data/train/471100.0000_473066.0000.ogg,因为这个孕激素的减少啊
data/train/473066.0000_474666.0000.ogg,雌激素相对过多啊
data/train/474666.0000_477099.0000.ogg,也会出现啊月经量的增多
data/train/477100.0000_478666.0000.ogg,经期的延长啊
data/train/478700.0000_480333.0000.ogg,甚至是几次不来月经
data/train/480333.0000_481866.0000.ogg,突然出现一次月经啊
data/train/481866.0000_483366.0000.ogg,大量的流血啊
data/train/483566.0000_485566.0000.ogg,所以说月经量的多
data/train/485566.0000_489066.0000.ogg,跟卵巢功能好之间没有必然的联系啊
data/train/489133.0000_491266.0000.ogg,如果你的月经量过多啊
data/train/491266.0000_493866.0000.ogg,每次大姨妈来的时候都血流成河
data/train/493900.0000_495333.0000.ogg,面色苍白啊
data/train/495400.0000_497133.0000.ogg,甚至是心慌气短
data/train/497166.0000_498899.0000.ogg,那应该到医院去治疗
data/train/498933.0000_501332.0000.ogg,而不能而不能是自己在家觉得哎
data/train/501332.0000_503366.0000.ogg,我自己的卵巢功能特别好
data/train/507600.0000_508733.0000.ogg,我们再来看第2条啊
data/train/508733.0000_509799.0000.ogg,就是月经量少
data/train/509800.0000_512700.0000.ogg,就一定代表卵巢功能衰退了吗
data/train/513265.0000_515265.0000.ogg,这个呢是不一定的啊
data/train/515400.0000_517366.0000.ogg,呃什么叫月经量的少
data/train/517366.0000_520533.0000.ogg,如果每次月经这个整体的出血量啊
data/train/520533.0000_521698.0000.ogg,不到5毫升啊
data/train/521700.0000_524665.0000.ogg,那么就考虑为月经的过少啊
data/train/524900.0000_526266.0000.ogg,月经的过少呢
data/train/526266.0000_529199.0000.ogg,虽然说跟卵巢功能啊有一定关系
data/train/529266.0000_530499.0000.ogg,但是一些疾病啊
data/train/530500.0000_532966.0000.ogg,也有可能引起月经量的减少啊
data/train/533165.0000_535899.0000.ogg,其中病比较常见的原因啊就是说
data/train/536000.0000_539665.0000.ogg,呃这种呃人流啊导致了宫腔的粘连
data/train/539766.0000_542499.0000.ogg,子宫内膜呢不能正常的生长啊
data/train/542666.0000_545299.0000.ogg,或或者是说呢这种宫颈的粘连
data/train/545466.0000_546366.0000.ogg,月经血呢
data/train/546366.0000_548766.0000.ogg,不能顺利的排出啊等问题
data/train/548800.0000_551466.0000.ogg,就会造成这种月经量的减少
data/train/551533.0000_552733.0000.ogg,还有一种情况啊
data/train/552733.0000_555666.0000.ogg,月经量的少啊一定要排除怀孕啊
data/train/555733.0000_558666.0000.ogg,这个有很多呃年轻的女性朋友来看
data/train/558666.0000_560099.0000.ogg,说我月经量减少啊
data/train/560100.0000_562200.0000.ogg,来看是不是卵巢功能不好了
data/train/562200.0000_565366.0000.ogg,那么我们经常通常会让他验一个这个
data/train/565466.0000_566266.0000.ogg,妊娠实验
data/train/566333.0000_568099.0000.ogg,有的时候患者非常不理解啊
data/train/568100.0000_570733.0000.ogg,说我来月经了怎么还能怀孕呢
data/train/570733.0000_571766.0000.ogg,其实不一定的啊
data/train/571766.0000_574766.0000.ogg,有可能你这个只是一个异常的出血啊
data/train/574866.0000_576066.0000.ogg,那么呢呃
data/train/576066.0000_578899.0000.ogg,正好也赶上月呃来月经的时间啊
data/train/578900.0000_581133.0000.ogg,这个时期你误以为他是个月经
data/train/581165.0000_583165.0000.ogg,所以要除外一下这个怀孕
data/train/583366.0000_585133.0000.ogg,那么还有一些很多疾病啊
data/train/585133.0000_587066.0000.ogg,比如多脑卵巢综合症啊
data/train/587100.0000_589366.0000.ogg,这种高催乳促血症啊
data/train/589366.0000_590799.0000.ogg,还有一些假碱啊
data/train/590800.0000_591900.0000.ogg,那么如果啊
data/train/592200.0000_594266.0000.ogg,排除了这些问题以后啊
data/train/594300.0000_596500.0000.ogg,的确考虑是因为激素原因导致
data/train/596500.0000_598066.0000.ogg,的月经量减少啊
data/train/598133.0000_600699.0000.ogg,啊考虑这种卵巢功能衰退的话呢
data/train/600766.0000_604399.0000.ogg,还需要结合这种储性健激素啊fsh啊
data/train/604400.0000_605500.0000.ogg,还有储黄体素
data/train/605600.0000_608133.0000.ogg,黄体素啊ls等的数值啊
data/train/608200.0000_609866.0000.ogg,还有以及患者的年龄啊
data/train/609866.0000_611399.0000.ogg,来综合的进行诊断啊
data/train/611400.0000_613700.0000.ogg,而且呢有的时候月经量啊
data/train/613700.0000_615733.0000.ogg,也会受到这种情绪啊
data/train/615733.0000_618766.0000.ogg,运动啊等因素的这种影响啊
data/train/618800.0000_621100.0000.ogg,所以说月经量减少不一定啊
data/train/621100.0000_622800.0000.ogg,是你卵巢功能不好
data/train/623133.0000_625499.0000.ogg,其实啊每个人这个月经量啊
data/train/625500.0000_627000.0000.ogg,都会有差异的
data/train/627000.0000_630466.0000.ogg,这种经验量的多不代表你多排毒啊
data/train/630533.0000_633733.0000.ogg,月经量的少啊也不代表你就衰老了
data/train/634000.0000_636200.0000.ogg,所以说啊你是10毫升的月经
data/train/636200.0000_637766.0000.ogg,他是60毫升的月经啊
data/train/637766.0000_638799.0000.ogg,都不是重点
data/train/638933.0000_640599.0000.ogg,那么重点要关注的是
data/train/640600.0000_642266.0000.ogg,月经量针对个人啊
data/train/642266.0000_644333.0000.ogg,基本他不会有太大的波动啊
data/train/644366.0000_645199.0000.ogg,有没有
data/train/645500.0000_648165.0000.ogg,突然的出现了持续周期啊较久的
data/train/648165.0000_649766.0000.ogg,这种经量的减少啊
data/train/649900.0000_651566.0000.ogg,才是大家需要关注的
data/train/651566.0000_653299.0000.ogg,好我们再来看看下一条
data/train/653300.0000_655600.0000.ogg,下一条说了这脸上有斑
data/train/655600.0000_659133.0000.ogg,皮肤不好是卵巢功能不好的一种表现
data/train/659500.0000_661500.0000.ogg,这个说法呀是不一定的啊
data/train/661566.0000_661799.0000.ogg,啊
data/train/661800.0000_664733.0000.ogg,卵巢啊为我们是我们女性的一个性限
data/train/664866.0000_667499.0000.ogg,那它主要的功能呢是产生卵子啊
data/train/667500.0000_668466.0000.ogg,并且排卵
data/train/668700.0000_671466.0000.ogg,那还有一个功能呢就是产生性激素啊
data/train/671466.0000_673099.0000.ogg,有这个内分泌的功能
data/train/673466.0000_675166.0000.ogg,那么卵巢的内分泌功能啊
data/train/675166.0000_677166.0000.ogg,的确会对我们的身体状况啊
data/train/677266.0000_678933.0000.ogg,产生一定的影响啊
data/train/679066.0000_681866.0000.ogg,那你呃皮肤的这种肤色呀
data/train/681866.0000_683466.0000.ogg,还有斑点的问题啊
data/train/683533.0000_684799.0000.ogg,嗯很多时候啊
data/train/684800.0000_687066.0000.ogg,其实跟我们的先天的遗传啊
data/train/687066.0000_689699.0000.ogg,还有平时的护护肤的这个习惯呢
data/train/689700.0000_691100.0000.ogg,是息息相关的
data/train/691266.0000_693999.0000.ogg,所以说不能把所有的锅啊都甩给卵巢
data/train/694133.0000_696799.0000.ogg,一一听有人告诉你说你这个长斑啊
data/train/696800.0000_697866.0000.ogg,是这个妇科疾病
data/train/697866.0000_700266.0000.ogg,引起的你这卵巢功能不行了
data/train/700266.0000_701866.0000.ogg,你就傻傻相信了啊
data/train/701866.0000_703699.0000.ogg,其实他的原因是很多的
data/train/703966.0000_705566.0000.ogg,我们再来看看最后一条
data/train/705566.0000_706899.0000.ogg,说绝经后
data/train/706933.0000_710699.0000.ogg,用来月经是卵巢恢复活力的表现吗
data/train/710766.0000_712333.0000.ogg,这个是错误的啊
data/train/712466.0000_713266.0000.ogg,嗯
data/train/713300.0000_716266.0000.ogg,呃我们也要看啊他再来月经的时期
data/train/716333.0000_719566.0000.ogg,如果是在闭经的第1年内哈
data/train/719665.0000_722133.0000.ogg,出现了这种阴道出血呀啊
data/train/722133.0000_724533.0000.ogg,还可能是因为处于为绝经期的啊
data/train/724533.0000_727099.0000.ogg,这个女性的卵巢的分泌功能呢
data/train/727100.0000_728733.0000.ogg,还没有完全的退化
data/train/728866.0000_729399.0000.ogg,所以说呢
data/train/729400.0000_732366.0000.ogg,它还有分泌这种激素的这种可能啊
data/train/732366.0000_733733.0000.ogg,那么子宫内膜呢
data/train/733800.0000_735766.0000.ogg,受到这个激素的刺激啊
data/train/735933.0000_737933.0000.ogg,也出现了一些阴道的流血啊
data/train/737933.0000_739666.0000.ogg,这个时候呢算正常的
data/train/739666.0000_742366.0000.ogg,但是也要到医院来啊由医生来判断
data/train/742366.0000_744166.0000.ogg,但是到了后期啊
data/train/744166.0000_747266.0000.ogg,随着卵巢功能继续的衰退啊
data/train/747266.0000_749166.0000.ogg,激素分泌呢继续减少
data/train/749200.0000_751800.0000.ogg,那么及体内所有的这种分泌器官
data/train/751800.0000_753066.0000.ogg,逐渐的萎缩啊
data/train/753165.0000_754933.0000.ogg,激素水平啊普遍降低
data/train/754933.0000_757566.0000.ogg,便会慢慢的完全的绝经了啊
data/train/757700.0000_759966.0000.ogg,但是如果超过了1年以上啊
data/train/759966.0000_761866.0000.ogg,阴道又出现这种出血了
data/train/761866.0000_763165.0000.ogg,它就不是月经了
data/train/763165.0000_766099.0000.ogg,而是这种异常的子宫出血了啊
data/train/766100.0000_767866.0000.ogg,那么这个是很可怕的啊
data/train/767866.0000_769866.0000.ogg,比较常见的有
data/train/769933.0000_772566.0000.ogg,子宫内膜的子宫内膜癌呀啊
data/train/772566.0000_774766.0000.ogg,或者是说宫颈癌呀等等啊
data/train/774766.0000_775266.0000.ogg,当然了
data/train/775266.0000_778165.0000.ogg,一些呃炎症啊或萎缩性阴道炎啊
data/train/778165.0000_781133.0000.ogg,也会造成阴道的这种不规则的出血啊
data/train/781166.0000_782133.0000.ogg,那这个情况呢
data/train/782133.0000_784099.0000.ogg,绝对不是卵巢恢复了功能
data/train/784100.0000_785966.0000.ogg,而是一种病态的改变
data/train/790900.0000_791500.0000.ogg,那刚刚啊
data/train/791500.0000_792566.0000.ogg,我们的周主任呢
data/train/792566.0000_794899.0000.ogg,把关于卵巢方面的一些问题
data/train/794900.0000_796333.0000.ogg,帮助大家解答了
data/train/796333.0000_797766.0000.ogg,也给大家辟谣了
data/train/797766.0000_798399.0000.ogg,所以说啊
data/train/798400.0000_800933.0000.ogg,大家呢一定要把这些都牢记在心
data/train/800933.0000_803899.0000.ogg,20岁的姑娘去拥有50岁的卵巢
data/train/804000.0000_804866.0000.ogg,周主任这
data/train/804866.0000_808799.0000.ogg,个卵巢的保养到底应不应该保养呢
data/train/808800.0000_811066.0000.ogg,到底怎么样的保养最好呢
data/train/811066.0000_813966.0000.ogg,我们经常做美容的一些女性朋友知道
data/train/813966.0000_816599.0000.ogg,哈有一种卵巢保养的项目啊
data/train/816700.0000_819300.0000.ogg,那他到底有没有用呢啊
data/train/819766.0000_823266.0000.ogg,他卵巢保养呢是用人工按摩的手法啊
data/train/823266.0000_827333.0000.ogg,将精油啊通过按摩导入到卵巢中去啊
data/train/827333.0000_829333.0000.ogg,来做一种卵巢保养啊
data/train/829333.0000_831766.0000.ogg,这是美容院常用的一种方法啊
data/train/831933.0000_834665.0000.ogg,那么我们先来说一下这个按摩啊
data/train/834966.0000_838266.0000.ogg,嗯肌肉呢确实是可以按摩放松的啊
data/train/838300.0000_840766.0000.ogg,但是你隔着肚皮去按卵巢啊
data/train/840766.0000_842899.0000.ogg,这个是几乎不可能的啊
data/train/843100.0000_844100.0000.ogg,啊首先啊
data/train/844166.0000_847099.0000.ogg,没有任何的诊疗指南里指出啊
data/train/847100.0000_850200.0000.ogg,这个按摩对卵巢呢是有用的啊
data/train/850266.0000_853533.0000.ogg,另外一个卵巢呢是在我们的啊
data/train/853533.0000_855366.0000.ogg,脐下两侧洽窝内
data/train/855400.0000_858933.0000.ogg,它是在女性的这个盆腔的最深处的啊
data/train/858933.0000_859933.0000.ogg,它非常的深
data/train/859933.0000_861599.0000.ogg,所以正常大小的卵巢
data/train/861733.0000_864266.0000.ogg,你在肚子上根本是按不到的
data/train/864266.0000_865333.0000.ogg,触摸不到的
data/train/865466.0000_867933.0000.ogg,如果你真的按摩到了卵巢啊
data/train/867933.0000_869566.0000.ogg,这就是很奇怪了啊
data/train/869566.0000_871533.0000.ogg,你需要到医院去检查了啊
data/train/871533.0000_874966.0000.ogg,大概率的是卵巢上面长了什么东西啊
data/train/875000.0000_878500.0000.ogg,或者是卵巢出现了异常的一些情况啊
data/train/878665.0000_879699.0000.ogg,那么这个时候呢
data/train/879700.0000_881400.0000.ogg,卵巢是比较脆弱的
data/train/881400.0000_884200.0000.ogg,这个时候你再去按这个卵巢呢啊
data/train/884200.0000_886000.0000.ogg,它就会造成这种卵巢
data/train/886300.0000_888300.0000.ogg,囊肿的一种踢扭转啊
data/train/888333.0000_891299.0000.ogg,或者是说啊卵巢的一种破裂啊
data/train/891300.0000_893300.0000.ogg,啊最后内出血啊
data/train/893300.0000_896400.0000.ogg,剧烈的腹痛啊到医院进行开刀啊等等
data/train/896500.0000_898333.0000.ogg,所以说我们在临床中啊
data/train/898333.0000_900699.0000.ogg,这样的病例也是见到过的啊
data/train/900766.0000_903366.0000.ogg,那么我们再说一下这个精油啊
data/train/903666.0000_905166.0000.ogg,那么呃精油啊
data/train/905166.0000_907766.0000.ogg,对这个腹部进行短时间的按摩呢
data/train/907766.0000_909133.0000.ogg,其实他大部分啊
data/train/909133.0000_912733.0000.ogg,是被这个皮肤表面啊和局部来吸收了
data/train/913133.0000_915266.0000.ogg,即使啊你的精油特别好
data/train/915266.0000_916299.0000.ogg,而且它成分呢
data/train/916300.0000_916933.0000.ogg,能
data/train/916933.0000_919766.0000.ogg,突破了这7层的皮肤细胞层的这个壁
data/train/919766.0000_923366.0000.ogg,垒啊进入到了全身的血液循环啊
data/train/923366.0000_925466.0000.ogg,那么他又在通过啊
data/train/925466.0000_926166.0000.ogg,心脏啊
data/train/926166.0000_929499.0000.ogg,经过呃这种循环啊进入动脉到
data/train/929500.0000_931900.0000.ogg,再去滋养这种卵巢啊
data/train/931933.0000_933366.0000.ogg,那对卵巢的作用啊
data/train/933366.0000_935533.0000.ogg,可以说是微乎其微的
data/train/935700.0000_937165.0000.ogg,而且刚才也说过啊
data/train/937165.0000_940366.0000.ogg,病态的病态下的卵巢是非常脆弱的啊
data/train/940500.0000_942700.0000.ogg,那你这种不适当的外力按压
data/train/942700.0000_944165.0000.ogg,会加重病情啊
data/train/944165.0000_946299.0000.ogg,造成非常严重的后果
data/train/946566.0000_947699.0000.ogg,嗯那周主任
data/train/947700.0000_949165.0000.ogg,除了这种按摩的方式
data/train/949200.0000_951866.0000.ogg,很多人说像什么红光啊热敷啊
data/train/951866.0000_954066.0000.ogg,还有理疗这些靠不靠谱啊
data/train/954100.0000_955733.0000.ogg,比如说我们自己买一个仪器
data/train/955733.0000_957066.0000.ogg,回家自己做做保养
data/train/957066.0000_958266.0000.ogg,这样可不可行啊
data/train/958466.0000_959866.0000.ogg,嗯理疗呢
data/train/959866.0000_962299.0000.ogg,对于这种慢性的盆腔炎啊
data/train/962300.0000_965533.0000.ogg,盆腔黏连啊是有一定的缓解作用的啊
data/train/965700.0000_968600.0000.ogg,的确可以减轻患者的一部分痛苦啊
data/train/968666.0000_971899.0000.ogg,那么像呃许多医院其实也在开展啊
data/train/972100.0000_974166.0000.ogg,同时啊这种热敷啊
data/train/974166.0000_976566.0000.ogg,烤电啊都是通过电能啊
data/train/976566.0000_979166.0000.ogg,产产生的热量啊来进行治疗
data/train/979300.0000_981600.0000.ogg,它对于一些原发性痛经呢
data/train/981600.0000_983566.0000.ogg,也有一定的缓解作用啊
data/train/983566.0000_984499.0000.ogg,另外一个呢
data/train/984500.0000_984900.0000.ogg,它还
data/train/984900.0000_987900.0000.ogg,被外科广泛的应用于这种颈椎病啊
data/train/987966.0000_989466.0000.ogg,肩周炎啊等等
data/train/989600.0000_990066.0000.ogg,但是呢
data/train/990066.0000_992766.0000.ogg,他对卵巢还是起不到保养作用的
data/train/992766.0000_994533.0000.ogg,既然我们无法给予
data/train/994533.0000_997266.0000.ogg,子宫和卵巢提供额外的保养
data/train/997266.0000_998999.0000.ogg,但是在我们的日常生活当中
data/train/999000.0000_1000100.0000.ogg,有一些行为
data/train/1000133.0000_1003165.0000.ogg,确实会给子宫和卵巢带来一些伤害
data/train/1003366.0000_1003933.0000.ogg,那周主任
data/train/1003933.0000_1004899.0000.ogg,哪些行为
data/train/1004900.0000_1007566.0000.ogg,会影响到我们的卵巢和子宫的健康呢
data/train/1007566.0000_1011133.0000.ogg,那到底什么才是真正的卵巢保养呢
data/train/1011133.0000_1013366.0000.ogg,还是请我们的周主任来给大家讲一讲
data/train/1013366.0000_1015333.0000.ogg,嗯我们在生活中啊
data/train/1015333.0000_1017165.0000.ogg,的确啊会有一些行为啊
data/train/1017165.0000_1018966.0000.ogg,伤害了我们的卵巢啊
data/train/1019165.0000_1022166.0000.ogg,比如说第一个这种脾气的暴躁啊
data/train/1022166.0000_1025098.0000.ogg,你如果长期处于一种不良的情绪中
data/train/1025133.0000_1028299.0000.ogg,自己呢又不懂得去自我去排解啊
data/train/1028300.0000_1030766.0000.ogg,那么长时间的这种不良的行为啊
data/train/1030766.0000_1031866.0000.ogg,心理暗示啊
data/train/1031866.0000_1034333.0000.ogg,就会对下丘脑垂体卵巢轴
data/train/1034333.0000_1035866.0000.ogg,造成了刺激啊
data/train/1035900.0000_1038733.0000.ogg,就干扰了下丘脑和卵巢的功能啊
data/train/1038965.0000_1041165.0000.ogg,从而造成你内分泌的紊紊乱
data/train/1041165.0000_1042866.0000.ogg,改变了月经的周期
data/train/1042900.0000_1045599.0000.ogg,最终呢有可能发展为闭经啊
data/train/1046000.0000_1046933.0000.ogg,那么第二个呢
data/train/1046933.0000_1048566.0000.ogg,就是过度的减肥啊
data/train/1048566.0000_1049599.0000.ogg,有些女孩子啊
data/train/1049600.0000_1051700.0000.ogg,追求这种低低体重啊
data/train/1051700.0000_1053366.0000.ogg,甚至是极低的体重啊
data/train/1053366.0000_1056733.0000.ogg,那么这种呢就会造成这种营养的不良
data/train/1056800.0000_1059166.0000.ogg,蛋白质的摄入的不足啊
data/train/1059166.0000_1062099.0000.ogg,影响了这种卵巢的功能啊啊
data/train/1062100.0000_1062866.0000.ogg,第三个呢
data/train/1062866.0000_1063966.0000.ogg,就还有的一些人呢
data/train/1063966.0000_1066333.0000.ogg,去吸烟啊和被动的吸烟
data/train/1066566.0000_1067399.0000.ogg,烟草中啊
data/train/1067400.0000_1069066.0000.ogg,这种有害的这些物质呢
data/train/1069066.0000_1070699.0000.ogg,通过你的吸收啊
data/train/1070700.0000_1072333.0000.ogg,进入了血液循环啊
data/train/1072566.0000_1075533.0000.ogg,那么呢他也会抑制卵巢的分泌激素啊
data/train/1075600.0000_1078600.0000.ogg,造成这种卵巢功能的损伤啊
data/train/1078600.0000_1079900.0000.ogg,也有研究表明
data/train/1079900.0000_1083300.0000.ogg,这种每天吸烟超过十只以上的女性
data/train/1083366.0000_1085866.0000.ogg,他发生这种卵巢早衰的几率啊
data/train/1085866.0000_1088299.0000.ogg,是达到了40%啊
data/train/1088333.0000_1089066.0000.ogg,所以说呢
data/train/1089066.0000_1092299.0000.ogg,吸烟对这个卵巢的伤害呢是非常大的
data/train/1092966.0000_1093966.0000.ogg,呃还有的呢
data/train/1093966.0000_1097333.0000.ogg,就是多次啊做这种人工流产的手术啊
data/train/1097466.0000_1097766.0000.ogg,那么
data/train/1097766.0000_1100733.0000.ogg,你多次的做这种人工流产的手术呢
data/train/1100733.0000_1104499.0000.ogg,会导致你下丘脑垂体卵巢轴功能失调
data/train/1104600.0000_1106733.0000.ogg,那么导致这种月经的不调
data/train/1106766.0000_1109966.0000.ogg,可能表现为经期的延长啊或缩短啊
data/train/1110000.0000_1112333.0000.ogg,经量的增多呀或减少啊
data/train/1112333.0000_1114733.0000.ogg,甚至是造成这种闭经啊
data/train/1114733.0000_1115399.0000.ogg,严重的呢
data/train/1115400.0000_1117900.0000.ogg,就造成了卵巢功能的一种衰竭
data/train/1118666.0000_1119999.0000.ogg,那么还有一种呢
data/train/1120000.0000_1122300.0000.ogg,是做了一些盆腔的手术啊
data/train/1122300.0000_1123700.0000.ogg,比如说包括子宫
data/train/1123700.0000_1127966.0000.ogg,的切除卵巢囊肿的这种玻璃拨除术啊
data/train/1127966.0000_1129699.0000.ogg,还有卵巢的切除啊
data/train/1129700.0000_1131400.0000.ogg,还有输卵管的结扎呀
data/train/1131500.0000_1133733.0000.ogg,还有子宫内膜异位症等手术啊
data/train/1133933.0000_1135599.0000.ogg,那么这些盆腔的手术呢
data/train/1135600.0000_1138566.0000.ogg,他如果损伤了卵巢的血供啊
data/train/1138566.0000_1139466.0000.ogg,或者是说
data/train/1139466.0000_1143099.0000.ogg,他直接的直接的损伤了卵巢的组织啊
data/train/1143100.0000_1145400.0000.ogg,那么都会对卵巢的功能呢啊
data/train/1145400.0000_1147866.0000.ogg,造成了一些影响啊
data/train/1147866.0000_1149366.0000.ogg,再有呢还有一些啊
data/train/1149366.0000_1151533.0000.ogg,经常使用紧急避孕药呃
data/train/1151533.0000_1152766.0000.ogg,紧急避孕药中啊
data/train/1152766.0000_1154199.0000.ogg,这个呃呃
data/train/1154200.0000_1156700.0000.ogg,孕激素的成分呢是非常高的啊
data/train/1156900.0000_1158700.0000.ogg,含有大量的这个孕激素
data/train/1158700.0000_1161966.0000.ogg,那么长期去服用这种紧急的避孕药啊
data/train/1161966.0000_1164866.0000.ogg,这孕激素呢就会结抗你的雌激素啊
data/train/1164866.0000_1167599.0000.ogg,导致了这种雌激素水平的下降啊
data/train/1167600.0000_1170366.0000.ogg,对下丘脑垂体啊就会产生抑制作用
data/train/1170366.0000_1171299.0000.ogg,解除了
data/train/1171400.0000_1173800.0000.ogg,他解除了下胸脑垂体的抑制作用
data/train/1173800.0000_1176900.0000.ogg,那么就引起了这个除卵泡刺激素啊
data/train/1177000.0000_1178900.0000.ogg,储黄体生成素的升高
data/train/1178900.0000_1181566.0000.ogg,导致了这卵巢功能的损伤
data/train/1186800.0000_1188800.0000.ogg,让老曼知告别咳痰喘
data/train/1188866.0000_1191599.0000.ogg,让哮喘慢阻肺不再反复发作
data/train/1191600.0000_1195000.0000.ogg,健康朋友圈联合烟都呼吸病医院购物
data/train/1195000.0000_1197600.0000.ogg,打造让爱信息公益活动
data/train/1197600.0000_1201900.0000.ogg,详情请咨询零二四二二八三七九九九
data/train/1204900.0000_1206133.0000.ogg,这小鸡炖蘑菇啊
data/train/1206133.0000_1208466.0000.ogg,在咱东北可必须能算上一道大菜
data/train/1208533.0000_1211533.0000.ogg,现在啊这素食出的东西可真方便啊
data/train/1211533.0000_1213066.0000.ogg,5分钟就搞定了
data/train/1213066.0000_1214133.0000.ogg,是肉也不柴
data/train/1214133.0000_1216166.0000.ogg,蘑菇新鲜粉条也真香
data/train/1216166.0000_1218966.0000.ogg,这小鸡炖蘑菇啊是真不错呀
data/train/1219466.0000_1221866.0000.ogg,哎呀这大块老有食欲了
data/train/1221933.0000_1224666.0000.ogg,嗯这鸡肉太香了
data/train/1228366.0000_1231699.0000.ogg,嗨购大测评这个确实行
data/train/1231733.0000_1233766.0000.ogg,怎么才能加入大海热线会员啊
data/train/1233866.0000_1235366.0000.ogg,打开手机微信扫一扫
data/train/1235366.0000_1236533.0000.ogg,就扫这个二维码
data/train/1236533.0000_1238699.0000.ogg,看见红包可劲点出了二维码
data/train/1238700.0000_1240333.0000.ogg,按住识别授权登录
data/train/1240733.0000_1242733.0000.ogg,加入会员就能抢红包微信
data/train/1242733.0000_1244299.0000.ogg,支付里就能查到
data/train/1244300.0000_1246700.0000.ogg,如果红包真到账了没没发挥好
data/train/1246700.0000_1247533.0000.ogg,怎么还能抢
data/train/1248133.0000_1249733.0000.ogg,打开手机微信扫一扫
data/train/1249733.0000_1252399.0000.ogg,还是扫这个二维码进入抢红包页面
data/train/1252700.0000_1254166.0000.ogg,点击右侧转发按钮
data/train/1254166.0000_1255799.0000.ogg,出来个大海兄弟的海报
data/train/1255800.0000_1258066.0000.ogg,按住识别转发给亲朋好友
data/train/1258066.0000_1258999.0000.ogg,他们加入会员
data/train/1259000.0000_1260933.0000.ogg,你还能抢现金红包
data/train/1262900.0000_1264766.0000.ogg,这是一双什么样的手
data/train/1266733.0000_1269933.0000.ogg,是凌晨3点唤醒城市的手
data/train/1272500.0000_1276366.0000.ogg,是连续36小时守护生命的手
data/train/1277866.0000_1281133.0000.ogg,是传承百年文明瑰宝的手
data/train/1283733.0000_1287466.0000.ogg,是历经上千次繁复试验的手
data/train/1289100.0000_1292500.0000.ogg,是上万次翻阅书卷的手
data/train/1294500.0000_1295900.0000.ogg,是播种孕育
data/train/1296366.0000_1298466.0000.ogg,万亩麦田的手
data/train/1302666.0000_1306399.0000.ogg,是无数岗位共同凝聚的生活
data/train/1311533.0000_1314733.0000.ogg,这是14亿人荣耀的时刻
data/train/1315700.0000_1320466.0000.ogg,此刻我们都是护旗手
data/train/1326733.0000_1328766.0000.ogg,非常感谢今天大家的收看
data/train/1328766.0000_1330133.0000.ogg,也感谢我们的周主任
data/train/1330133.0000_1331899.0000.ogg,跟大家分享了这么多
data/train/1332000.0000_1335100.0000.ogg,嗯最后呢想跟所有的女性朋友说
data/train/1335300.0000_1337733.0000.ogg,女性的美丽健康跟卵
data/train/1337766.0000_1340199.0000.ogg,卵巢的确是息息相关的
data/train/1340333.0000_1342866.0000.ogg,所以呢我们要需要正确的对待
data/train/1342933.0000_1345499.0000.ogg,用科学的方法呵护自己的卵巢
data/train/1345533.0000_1347266.0000.ogg,保护好自己的健康
data/train/1347266.0000_1348733.0000.ogg,感谢周主任的分享
data/train/1348766.0000_1350766.0000.ogg,在这呢也要提醒各位圈友
data/train/1350866.0000_1353699.0000.ogg,周晓庆主任的出诊时间是每周一
data/train/1353700.0000_1355500.0000.ogg,周三周五的全天
data/train/1355500.0000_1357866.0000.ogg,有就诊需要的朋友记得提前预约
data/train/1357866.0000_1360366.0000.ogg,好啦今天节目到这里就要结束了
data/train/1360366.0000_1362199.0000.ogg,想健康就到圈里来
data/train/1362200.0000_1363000.0000.ogg,明天20点
data/train/73880.0000_76720.0000.ogg,And also very guilty
data/train/76720.0000_78640.0000.ogg,"About two months later, he passed away"
data/train/78640.0000_81000.0000.ogg,And I handed over the picture to his family solemnly
data/train/82039.0000_84160.0000.ogg,Everyone gave a different answer
data/train/84160.0000_86560.0000.ogg,A primary school teacher said
data/train/86560.0000_92039.0000.ogg,What made him the most regretful was that he was unable to write a book
data/train/93680.0000_96320.0000.ogg,An old tailor from Shanghai said
data/train/96320.0000_101280.0000.ogg,What made him the most regretful was that he was unable to attend his brother’s funeral in Taiwan
data/train/102039.0000_106080.0000.ogg,I had an emergency patient
data/train/106080.0000_109440.0000.ogg,Who had colon cancer with metastasis
data/train/109440.0000_113479.0000.ogg,He had finished his wills and he was sent to hospital because of overdose
data/train/114000.0000_115680.0000.ogg,Today I’m going to shot the patient’s daughter
data/train/115680.0000_118600.0000.ogg,She is my 406th interviewee
data/train/119360.0000_123680.0000.ogg,It’s been 3 years since my father was diagnosed with cancer
data/train/123680.0000_127640.0000.ogg,He received chemotherapy for over 30 times and two major operations
data/train/127640.0000_130680.0000.ogg,So he suffered a lot
data/train/130680.0000_133800.0000.ogg,He also asked why there was no euthanasia in China
data/train/133800.0000_136560.0000.ogg,Did you see him writing the wills
data/train/136560.0000_139120.0000.ogg,"No, I didn’t"
data/train/139120.0000_141000.0000.ogg,But I saw the scene when he had finished it
data/train/141000.0000_146400.0000.ogg,There was a small stool upon which a pen and a pair of presbyopic glasses were placed
data/train/146400.0000_147440.0000.ogg,When did he write it
data/train/147440.0000_151720.0000.ogg,It should be the night before the emergency
data/train/151720.0000_154640.0000.ogg,He might think he could leave in peace
data/train/154640.0000_157040.0000.ogg,He put that piece of paper on his chest
data/train/157040.0000_158680.0000.ogg,‘Do not save me’
data/train/161600.0000_166240.0000.ogg,Everyone said they were not afraid death
data/train/166240.0000_168960.0000.ogg,Lots of patients had advanced tumors
data/train/168960.0000_171320.0000.ogg,Death meant relief to them
data/train/171320.0000_174840.0000.ogg,I asked them ‘what’s the most important thing in life’
data/train/174840.0000_179520.0000.ogg,"They answered ‘health’, ‘joy’, ‘happiness’"
data/train/179520.0000_182120.0000.ogg,Nobody said ‘money’
data/train/182120.0000_186360.0000.ogg,But the reliance on or desire for money
data/train/186360.0000_187800.0000.ogg,Still existed
data/train/191320.0000_193560.0000.ogg,What broke my heart the most
data/train/193560.0000_196240.0000.ogg,Was the 44-year-old patient with lung cancer
data/train/196560.0000_200560.0000.ogg,He didn’t know what disease he had until the last moment
data/train/200560.0000_202079.0000.ogg,In those three months
data/train/202079.0000_209160.0000.ogg,From an alive and kicking middle-age man
data/train/209160.0000_213160.0000.ogg,He became bony and left us in then end
data/train/213160.0000_216040.0000.ogg,He left no words
data/train/216040.0000_223400.0000.ogg,His wife was crying during the whole process of shooting
data/train/225120.0000_226800.0000.ogg,Picture is just the result
data/train/226800.0000_230960.0000.ogg,"While communicating with me, they kept releasing their pressure"
data/train/230960.0000_234760.0000.ogg,And they could feel warmth
data/train/235760.0000_237960.0000.ogg,A lot of people shed tears
data/train/237960.0000_239960.0000.ogg,But they were grateful to me in the end
data/train/242760.0000_245640.0000.ogg,I’m a doctor so I can’t flinch
data/train/245640.0000_251600.0000.ogg,I would offer them a therapy decisively when they are the most vulnerable
data/train/251600.0000_254800.0000.ogg,It’s possible to be warm and calm at the same time
data/train/254800.0000_258160.0000.ogg,"When I saw a patient before, I only saw the disease"
data/train/258160.0000_260800.0000.ogg,A bed number represented all
data/train/261399.0000_265000.0000.ogg,After I knew their unique stories
data/train/265000.0000_267520.0000.ogg,I found that everyone is so different
data/train/268680.0000_270600.0000.ogg,I name my shooting project ‘People in Hospital’
data/train/270600.0000_272920.0000.ogg,You can also consider it as the stare from a doctor
data/train/272920.0000_276960.0000.ogg,I hope I can show the realest living state of ordinary people
data/train/276960.0000_280520.0000.ogg,With hospital as the setting
data/train/280520.0000_284360.0000.ogg,That’s all
data/train/261875.0000_263334.0000.ogg,isn't what matters the most
data/train/263334.0000_264626.0000.ogg,What matters is that...
data/train/264626.0000_266834.0000.ogg,we safely complete the operation
data/train/266834.0000_267584.0000.ogg,He will do his best...
data/train/267584.0000_268709.0000.ogg,to do the keyhole surgery
data/train/268709.0000_270584.0000.ogg,"It's okay, I'll let him do it"
data/train/270584.0000_273918.0000.ogg,He knows that doing a surgery is inevitable this time
data/train/273918.0000_276751.0000.ogg,He can't avoid it
data/train/292709.0000_296125.0000.ogg,"During World War II,"
data/train/296125.0000_297501.0000.ogg,there were little tunnels...
data/train/297501.0000_299459.0000.ogg,running through this complex
data/train/299459.0000_300876.0000.ogg,They were escape tunnels...
data/train/300876.0000_302584.0000.ogg,that led out of the hospital
data/train/302584.0000_304584.0000.ogg,It didn't work in the end...
data/train/304584.0000_307083.0000.ogg,because the vast majority of the people...
data/train/307083.0000_308542.0000.ogg,died here in the hospital
data/train/308542.0000_309918.0000.ogg,You could say that working in a hospital...
data/train/309918.0000_311000.0000.ogg,is a real killer
data/train/312751.0000_318501.0000.ogg,Alexandra Hospital was built by the British colonial government in the 1940s
data/train/318501.0000_324501.0000.ogg,"The hospital is still in operation today, even after undergoing several reforms"
data/train/324501.0000_327918.0000.ogg,It has even found a new purpose in the 21st century
data/train/333292.0000_335751.0000.ogg,"Hey, Henrick, good morning"
data/train/335751.0000_337042.0000.ogg,How many do we have today?
data/train/337042.0000_338542.0000.ogg,We have 15 patients
data/train/338542.0000_341626.0000.ogg,"All right, we're good to go"
data/train/341626.0000_342918.0000.ogg,15 is a holiday
data/train/342918.0000_346667.0000.ogg,"Yesterday, I saw 26 patients"
data/train/346667.0000_353834.0000.ogg,Alexandra Hospital has been focusing on surgeries for the elderly in recent years
data/train/353834.0000_358042.0000.ogg,"Examples include hernia, joint replacement and eye surgeries"
data/train/358042.0000_360209.0000.ogg,"All right, we're ready. Let's get him in"
data/train/362167.0000_363792.0000.ogg,"Come in, Mr Ong -Good morning"
data/train/363834.0000_364792.0000.ogg,Come in and have a seat
data/train/364792.0000_366999.0000.ogg,"Please put your chin down, sir"
data/train/367959.0000_372417.0000.ogg,Eddie Ong started experiencing blurry vision nine months ago
data/train/372417.0000_375959.0000.ogg,He was diagnosed with cataract in his right eye
data/train/377459.0000_382792.0000.ogg,"(In Singapore, 80% of the population above 60 years old have cataracts)"
data/train/383834.0000_386375.0000.ogg,This is the lens
data/train/386375.0000_391501.0000.ogg,It becomes more opaque over time
data/train/392042.0000_393751.0000.ogg,"Okay, sit back, Mr Ong"
data/train/393751.0000_395250.0000.ogg,I'd like to know what hobbies...
data/train/395292.0000_396417.0000.ogg,you have right now
data/train/396417.0000_398542.0000.ogg,I do a lot of reading -I see
data/train/399584.0000_402042.0000.ogg,74-year-old Eddie Ong...
data/train/402042.0000_406751.0000.ogg,had already undergone cataract surgery on his left eye in October last year
data/train/406751.0000_409834.0000.ogg,"Although the cataract problem in his right eye was not serious,"
data/train/409834.0000_412834.0000.ogg,he decided to operate on it anyway
data/train/412834.0000_416459.0000.ogg,"I found that when I hit 70,"
data/train/416459.0000_417542.0000.ogg,I had many friends...
data/train/417542.0000_420584.0000.ogg,who were having this problem or that problem
data/train/420584.0000_423417.0000.ogg,"Since I'm still healthy and walking about,"
data/train/423417.0000_424459.0000.ogg,perhaps it's the right time...
data/train/424459.0000_426209.0000.ogg,to get everything cleared
data/train/427209.0000_431042.0000.ogg,The main aim of a cataract surgery is to remove the turbid lens...
data/train/431042.0000_433000.0000.ogg,and replace it with an intraocular lens (IOL)
data/train/433000.0000_436999.0000.ogg,"The patient's eye has to be measured by the doctor before the surgery,"
data/train/436999.0000_439667.0000.ogg,so that the IOL can be tailored to the patient's needs
data/train/439667.0000_444542.0000.ogg,The surgery will also correct the patient's myopia and hyperopia
data/train/446250.0000_448918.0000.ogg,The IOL is tiny
data/train/448918.0000_453334.0000.ogg,It is composed of the haptics and the optic in the middle
data/train/455250.0000_459375.0000.ogg,A cataract surgery usually takes 20 minutes to complete
data/train/459792.0000_461876.0000.ogg,"Although it is a simple procedure,"
data/train/461876.0000_465792.0000.ogg,complications may arise and cause damage to the eyes
data/train/467501.0000_469000.0000.ogg,"During surgery,"
data/train/469000.0000_473792.0000.ogg,the ideal incision would be 10 millimetres wide and 4 millimetres deep
data/train/473792.0000_478250.0000.ogg,Complications may arise if the incision goes beyond that
data/train/495709.0000_497709.0000.ogg,(Alexandra Hospital)
data/train/498751.0000_500709.0000.ogg,Will he come back here later?
data/train/500709.0000_501834.0000.ogg,Yes
data/train/501834.0000_503167.0000.ogg,Around 11 am?
data/train/503167.0000_503918.0000.ogg,After 11
data/train/503918.0000_505959.0000.ogg,He still needs to rest after he comes back
data/train/507209.0000_511751.0000.ogg,Chua will be undergoing an inguinal hernia surgery today
data/train/511751.0000_512834.0000.ogg,Rest and relax
data/train/512834.0000_514792.0000.ogg,Don't worry
data/train/515125.0000_519834.0000.ogg,He is accompanied by two daughters as well as his son-in-law
data/train/521626.0000_524250.0000.ogg,He kept reassuring us on the way here
data/train/524250.0000_528083.0000.ogg,He even carried our washing machine downstairs when it spoilt
data/train/528083.0000_529334.0000.ogg,Are you worried?
data/train/529334.0000_531501.0000.ogg,"No, I'm not worried"
data/train/531501.0000_533918.0000.ogg,There's nothing to be afraid of
data/train/535292.0000_539459.0000.ogg,"Despite Chua's reassurances, his children can't help but to feel uneasy"
data/train/539459.0000_543834.0000.ogg,"After all, this is his first major surgery"
data/train/543834.0000_547834.0000.ogg,We are a little worried because he's never done a surgery before
data/train/548167.0000_551584.0000.ogg,It's also worrying because of his age
data/train/552125.0000_556375.0000.ogg,You can just take it easy because it's a simple surgery
data/train/556375.0000_557959.0000.ogg,There's no need to be afraid
data/train/557959.0000_559584.0000.ogg,Just relax
data/train/559584.0000_561000.0000.ogg,You're always relaxed
data/train/561000.0000_562209.0000.ogg,I'm not afraid
data/train/581542.0000_583250.0000.ogg,There's a bird there
data/train/584959.0000_588417.0000.ogg,(One hour before the cataract surgery)
data/train/589209.0000_590334.0000.ogg,"In your younger days,"
data/train/590334.0000_593375.0000.ogg,you focus on your work and family
data/train/593375.0000_595959.0000.ogg,"Now that they are all independent,"
data/train/595959.0000_597667.0000.ogg,I think you have to spend some time to see...
data/train/597709.0000_599626.0000.ogg,whatever you have not seen
data/train/600417.0000_603709.0000.ogg,Eddie Ong worked in the airline industry before his retirement
data/train/603709.0000_606834.0000.ogg,He has travelled and lived in many countries
data/train/606834.0000_610876.0000.ogg,His desire to travel around the world has not been extinguished even after retiring
data/train/612542.0000_613751.0000.ogg,Are you feeling cold?
data/train/613751.0000_615167.0000.ogg,No
data/train/617125.0000_618709.0000.ogg,Everybody has been telling me...
data/train/618709.0000_621292.0000.ogg,not to worry because it's a 20-minute job
data/train/621292.0000_624167.0000.ogg,"Yes, but those 20 minutes are very important"
data/train/627292.0000_633334.0000.ogg,Eddie is nervous even though this will not be his first cataract surgery
data/train/633334.0000_636918.0000.ogg,"Dr Loon Seng Chee, the doctor in charge,"
data/train/636918.0000_641417.0000.ogg,is also feeling the pressure of having to operate on Eddie's other eye
data/train/642083.0000_644876.0000.ogg,"Since the first surgery went well,"
data/train/644876.0000_649292.0000.ogg,the patient would expect this surgery to go just as smoothly
data/train/651626.0000_652834.0000.ogg,Similar to the last time?
data/train/652834.0000_654250.0000.ogg,I didn't feel anything
data/train/654250.0000_656042.0000.ogg,No feeling? Okay
data/train/656042.0000_657584.0000.ogg,She'll have to give you...
data/train/657584.0000_660083.0000.ogg,"the ""no-feeling-sensation"" cocktail"
data/train/661000.0000_666417.0000.ogg,"You may feel the pressure when you're doing the surgery,"
data/train/666417.0000_672042.0000.ogg,but you have to put all these feelings aside...
data/train/672042.0000_676709.0000.ogg,and focus on the problem in front of you
data/train/680584.0000_683250.0000.ogg,"We're about to start, Mr Ong"
data/train/684584.0000_690959.0000.ogg,Making a small incision of 2.7 millimetres in the cornea is the surgery's first step
data/train/694459.0000_698292.0000.ogg,"Your hands mustn't tremble, that's the main thing"
data/train/698292.0000_700083.0000.ogg,This is of utmost importance
data/train/701250.0000_706000.0000.ogg,The doctor will insert a phacoemulsification probe through a small incision
data/train/706000.0000_708918.0000.ogg,This will liquefy the lens so that it can be removed by suction
data/train/708959.0000_710250.0000.ogg,What are my numbers?
data/train/710292.0000_711584.0000.ogg,"Power, three, five"
data/train/711626.0000_713459.0000.ogg,"Vacuum, three, zero"
data/train/713501.0000_714709.0000.ogg,Good
data/train/716125.0000_719417.0000.ogg,The doctor must be very careful during the surgery
data/train/719417.0000_722918.0000.ogg,The patient also plays an important role
data/train/722918.0000_725751.0000.ogg,The pulse rate is about 90
data/train/725751.0000_727584.0000.ogg,"If it goes up, we know that he's nervous"
data/train/729667.0000_733918.0000.ogg,The patient should not move throughout the entire surgery
data/train/733918.0000_739292.0000.ogg,The doctor has to make a judgement about the patient's level of cooperation
data/train/739292.0000_745792.0000.ogg,I would recommend general anaesthesia for patients who tend to get nervous
data/train/745792.0000_747792.0000.ogg,"Even though we are ophthalmologists,"
data/train/747792.0000_753375.0000.ogg,we also need to use our ears to perceive what is best for the patient
data/train/761250.0000_764417.0000.ogg,(15 minutes before the inguinal hernia surgery)
data/train/765250.0000_767292.0000.ogg,We're counting on you -Counting on me?
data/train/768250.0000_771292.0000.ogg,"When making a decision about whether to undergo surgery,"
data/train/771292.0000_776125.0000.ogg,the use of general anaesthesia is often a concern for elderly patients
data/train/776125.0000_778209.0000.ogg,"Therefore, prior to the surgery,"
data/train/778209.0000_782999.0000.ogg,a consultation would be arranged for patients at higher risk and the anaesthetist...
data/train/782999.0000_786751.0000.ogg,to evaluate the patients' suitability to use anaesthesia
data/train/788417.0000_793751.0000.ogg,The medical team begins the surgery once Chua's anaesthesia takes effect
data/train/804000.0000_806876.0000.ogg,"(The first incision, 2 centimetres)"
data/train/807334.0000_808834.0000.ogg,Laparoscopic surgeries...
data/train/808834.0000_810834.0000.ogg,have entirely changed how...
data/train/810834.0000_813999.0000.ogg,the patient goes through these procedures
data/train/814999.0000_818751.0000.ogg,"We introduce the camera using a small cut,"
data/train/818751.0000_820834.0000.ogg,so that we can visualize the area...
data/train/820834.0000_822792.0000.ogg,where we want to perform surgery
data/train/824334.0000_826751.0000.ogg,We perform the actual surgery...
data/train/826751.0000_829501.0000.ogg,by using small keyholes
data/train/829999.0000_834501.0000.ogg,"Open surgeries can be quite painful,"
data/train/834501.0000_836209.0000.ogg,so now we do the keyhole operation
data/train/836209.0000_838584.0000.ogg,This is how it has revolutionized...
data/train/838584.0000_839501.0000.ogg,the medical field
data/train/840792.0000_844459.0000.ogg,"Although keyhole surgeries are less risky for the patients,"
data/train/844459.0000_847501.0000.ogg,they pose a considerable challenge for the surgeons
data/train/847876.0000_848999.0000.ogg,Come back
data/train/848999.0000_851501.0000.ogg,Let me settle your screen
data/train/851501.0000_853792.0000.ogg,Now you can move in
data/train/853792.0000_857000.0000.ogg,Give me the grasper
data/train/858459.0000_860959.0000.ogg,"The first time I performed a keyhole surgery,"
data/train/860959.0000_863042.0000.ogg,I realized how difficult it could be
data/train/863042.0000_864959.0000.ogg,You don't feel with your own hands...
data/train/864999.0000_866918.0000.ogg,and you don't see with your own eyes
data/train/868834.0000_870501.0000.ogg,I'm going to divide...
data/train/870501.0000_872250.0000.ogg,all the arcuate attachments...
data/train/872250.0000_875000.0000.ogg,so as to free up the entire peritoneum
data/train/875000.0000_879334.0000.ogg,"To do that, let's go back to this side"
data/train/880292.0000_882834.0000.ogg,The first step of the inguinal hernia repair surgery...
data/train/882834.0000_885542.0000.ogg,is to push the protruding tissue back into the abdomen
data/train/885542.0000_889792.0000.ogg,"It is not an easy task, just as Dr Wijerathne had expected"
data/train/890751.0000_893209.0000.ogg,I can't bring down this part
data/train/893209.0000_896417.0000.ogg,Come back
data/train/903501.0000_904918.0000.ogg,I knew that this was going to be...
data/train/904918.0000_906042.0000.ogg,a difficult case
data/train/906042.0000_908751.0000.ogg,It's a big hernia on both sides
data/train/911125.0000_912417.0000.ogg,"We tried pulling from the outside,"
data/train/912417.0000_913918.0000.ogg,then we tried pulling the bowel...
data/train/913918.0000_915542.0000.ogg,from the inside
data/train/917876.0000_919792.0000.ogg,I had to make a decision...
data/train/919792.0000_922918.0000.ogg,about whether to adopt a hybrid approach
data/train/924459.0000_930125.0000.ogg,One and a half hours is usually enough to complete an inguinal hernia repair surgery
data/train/930125.0000_935792.0000.ogg,"However, Chua's surgery is still ongoing two hours in"
data/train/936792.0000_939417.0000.ogg,My sister was worried so she insisted on coming here
data/train/939417.0000_942876.0000.ogg,The medical team told us to wait so that's what I told her to do
data/train/942876.0000_947584.0000.ogg,"I'm worried because it's taking too long, but I don't want to rush them"
data/train/964000.0000_967834.0000.ogg,(Alexandra Hospital)
data/train/972042.0000_975501.0000.ogg,(15 minutes into the cataract surgery)
data/train/976584.0000_977626.0000.ogg,Lens
data/train/990292.0000_992542.0000.ogg,Lens is out. The new lens is in
data/train/995125.0000_1000584.0000.ogg,Eddie's cataract surgery is almost done after just 15 minutes
data/train/1000999.0000_1003834.0000.ogg,I am aware of what is happening...
data/train/1003834.0000_1005542.0000.ogg,during the surgery
data/train/1005542.0000_1006459.0000.ogg,The important thing is...
data/train/1006459.0000_1008918.0000.ogg,that the doctors must give confidence to...
data/train/1008918.0000_1009834.0000.ogg,"the older people,"
data/train/1009834.0000_1012125.0000.ogg,especially since they are very nervous
data/train/1012542.0000_1013709.0000.ogg,"Are you all right, Mr Ong?"
data/train/1013709.0000_1014751.0000.ogg,Yes
data/train/1014751.0000_1015999.0000.ogg,We're going to give you an injection
data/train/1015999.0000_1017375.0000.ogg,This is the antibiotic
data/train/1017375.0000_1019083.0000.ogg,"It might hurt a little, sir"
data/train/1020792.0000_1022501.0000.ogg,"The doctor gave advance notice,"
data/train/1022501.0000_1023626.0000.ogg,"""Don't worry,"
data/train/1023626.0000_1026041.0000.ogg,"""I am going to give you an injection"""
data/train/1026041.0000_1027541.0000.ogg,"So, we are all here together"
data/train/1027541.0000_1028751.0000.ogg,No problem
data/train/1028751.0000_1030166.0000.ogg,"Okay, we're done, sir"
data/train/1030166.0000_1031666.0000.ogg,The operation was very successful
data/train/1032917.0000_1035416.0000.ogg,"Although all surgeries bear a certain amount of risk,"
data/train/1035459.0000_1039083.0000.ogg,cataract surgeries generally have high success rates
data/train/1039083.0000_1044626.0000.ogg,"The patient's eyesight usually improves noticeably, several days after the operation"
data/train/1045751.0000_1046751.0000.ogg,"Mr Ong, are you all right?"
data/train/1046751.0000_1047541.0000.ogg,I'm okay
data/train/1047541.0000_1048667.0000.ogg,Do you feel any pain?
data/train/1048667.0000_1050125.0000.ogg,A little bit
data/train/1050125.0000_1051167.0000.ogg,"Usually, the injection..."
data/train/1051167.0000_1053167.0000.ogg,is the part that is very uncomfortable
data/train/1053167.0000_1054918.0000.ogg,"Otherwise, it's all okay"
data/train/1054918.0000_1057792.0000.ogg,(Japanese) Is everything okay?
data/train/1057792.0000_1059167.0000.ogg,(Japanese) Yes
data/train/1059167.0000_1061584.0000.ogg,(Japanese) See you later
data/train/1068459.0000_1072042.0000.ogg,(Two hours into the inguinal hernia surgery)
data/train/1072042.0000_1074375.0000.ogg,"No, you are pressing on the anterior wall"
data/train/1074375.0000_1075626.0000.ogg,I can't see clearly
data/train/1086959.0000_1088167.0000.ogg,Don't do anything. It's okay
data/train/1088167.0000_1090125.0000.ogg,No problem. Don't worry
data/train/1093083.0000_1095000.0000.ogg,"Even after two hours,"
data/train/1095000.0000_1098584.0000.ogg,the surgeons have still been unable to push the protruding tissue back into the abdomen
data/train/1098584.0000_1101751.0000.ogg,Just as Dr Wijerathne was about to change his strategy...
data/train/1101751.0000_1103626.0000.ogg,"and make a larger incision,"
data/train/1103626.0000_1105667.0000.ogg,there was a breakthrough in the surgery
data/train/1108542.0000_1110167.0000.ogg,"Okay, it's reduced"
data/train/1110167.0000_1111417.0000.ogg,It's reduced? -Yes
data/train/1111417.0000_1112876.0000.ogg,"Okay, go back"
data/train/1114542.0000_1118584.0000.ogg,Dr Wijerathne and his team finally broke out into relieved smiles
data/train/1119542.0000_1121876.0000.ogg,I have the need to deliver to my patients
data/train/1121876.0000_1123209.0000.ogg,Because any additional cut...
data/train/1123209.0000_1124584.0000.ogg,would cause more pain
data/train/1124584.0000_1127167.0000.ogg,We are very happy that we are able...
data/train/1127167.0000_1129000.0000.ogg,to do it with the keyhole method
data/train/1132501.0000_1137667.0000.ogg,The next part of the surgery involves repairing the weak or damaged areas
data/train/1137667.0000_1139667.0000.ogg,This prevents relapses
data/train/1141083.0000_1142167.0000.ogg,What we actually did...
data/train/1142167.0000_1144584.0000.ogg,"was to pull back the hernial sac,"
data/train/1144584.0000_1147459.0000.ogg,and then we stitched it in layers...
data/train/1147459.0000_1150250.0000.ogg,to fill the gap where the hernia goes in...
data/train/1150250.0000_1152751.0000.ogg,or to reduce the size of the hernia neck
data/train/1153959.0000_1157792.0000.ogg,This repair technique was developed by Dr Wijerathne and his medical team
data/train/1157792.0000_1160876.0000.ogg,It was developed in Alexandra Hospital in recent years
data/train/1160876.0000_1163542.0000.ogg,This repair technique has shown excellent results
data/train/1163542.0000_1168209.0000.ogg,Dr Wijerathne and his team have even shared it on international forums
data/train/1169417.0000_1171042.0000.ogg,"As Alexians,"
data/train/1171042.0000_1173000.0000.ogg,we are proud that some of these techniques...
data/train/1173000.0000_1174250.0000.ogg,actually originated...
data/train/1174250.0000_1176959.0000.ogg,from our own operation theatres here
data/train/1184834.0000_1187542.0000.ogg,(Three hours after the surgery)
data/train/1187542.0000_1189792.0000.ogg,I thought I was sleeping at home
data/train/1189792.0000_1192959.0000.ogg,I was surprised to see so many people
data/train/1194542.0000_1196667.0000.ogg,You're dreaming
data/train/1196667.0000_1199250.0000.ogg,I saw about five nurses when I woke up
data/train/1200167.0000_1201501.0000.ogg,Do you feel any intermittent pain...
data/train/1201501.0000_1202501.0000.ogg,on this side?
data/train/1202501.0000_1204542.0000.ogg,Only on the operated area
data/train/1204542.0000_1206292.0000.ogg,What about the tumour?
data/train/1206292.0000_1207209.0000.ogg,It's gone
data/train/1207209.0000_1208459.0000.ogg,The doctor is incredible
data/train/1209542.0000_1213667.0000.ogg,Chua is awake three hours after the surgery
data/train/1213667.0000_1216918.0000.ogg,"Upon waking up, the problem that had been troubling him for over 10 years..."
data/train/1216918.0000_1219542.0000.ogg,has now disappeared without a trace
data/train/1220125.0000_1221999.0000.ogg,Medicine is very advanced now
data/train/1221999.0000_1224292.0000.ogg,He is more relaxed now
data/train/1224292.0000_1228834.0000.ogg,He was constantly in pain because of the hernia
data/train/1228834.0000_1230375.0000.ogg,And mentally...
data/train/1230792.0000_1232918.0000.ogg,-I think he is more relaxed now -Yes
data/train/1234000.0000_1239709.0000.ogg,Chua will be discharged from the hospital after several hours of observation
data/train/1249709.0000_1250999.0000.ogg,Please read the numbers
data/train/1250999.0000_1253584.0000.ogg,"8, 6, 5, 9, 8"
data/train/1253584.0000_1255334.0000.ogg,"Excellent. Now, try the next row"
data/train/1255334.0000_1258999.0000.ogg,After performing cataract surgeries on elderly patients...
data/train/1259000.0000_1264042.0000.ogg,their eyesight will return to how it was when they were young
data/train/1264042.0000_1267209.0000.ogg,It's very satisfying for them
data/train/1267209.0000_1269959.0000.ogg,It also gives me a sense of accomplishment
data/train/1271167.0000_1273250.0000.ogg,I've got bionic eyes
data/train/1273250.0000_1275125.0000.ogg,It means I can see very clearly...
data/train/1275125.0000_1276999.0000.ogg,into the distance
data/train/1276999.0000_1279334.0000.ogg,The surgery has given me a second life
data/train/1285000.0000_1286000.0000.ogg,Subtitles: CaptionCube
data/test/166.0000_1166.0000.ogg,"Hello, audience friends"
data/test/1166.0000_2800.0000.ogg,Welcome to 4D Health
data/test/3100.0000_5966.0000.ogg,Today we have a special program
data/test/5966.0000_8866.0000.ogg,Just look at what we saw in the hospital
data/test/8866.0000_10400.0000.ogg,Who are the diabetics?
data/test/10400.0000_12800.0000.ogg,The guest I invited today is Dr. Zhou
data/test/13466.0000_14966.0000.ogg,Then let me introduce Dr. Zhou
data/test/14966.0000_18000.0000.ogg,Dr. Zhou is from our Northern Medical Center
data/test/18466.0000_19766.0000.ogg,Internal Medicine Attending Physician
data/test/20000.0000_23100.0000.ogg,Dr. Zhou graduated from Harbin Medical University in Mainland China
data/test/23100.0000_26200.0000.ogg,Studying for a master's degree at Sun Yat-Sen Medical University
data/test/26200.0000_29566.0000.ogg,Do research at the prestigious Vanderbilt University in the United States
data/test/30066.0000_33500.0000.ogg,I ended up doing a residency in internal medicine in New York.
data/test/33533.0000_36966.0000.ogg,Now he is the attending physician at our Northern Medical Center
data/test/37066.0000_39400.0000.ogg,Dr. Zhou before joining Northern Medical Center
data/test/39400.0000_41600.0000.ogg,Always working in the hospital
data/test/41666.0000_45166.0000.ogg,So she has seen many patients hospitalized with diabetes
data/test/45600.0000_47666.0000.ogg,Thank you Dr. Zhou for coming to our show
data/test/47666.0000_48766.0000.ogg,Thank you Jingduan for inviting me
data/test/48766.0000_51333.0000.ogg,It's an honor to come and participate in your 4D Health program.
data/test/51333.0000_52933.0000.ogg,Before the program officially starts
data/test/52933.0000_55566.0000.ogg,"First of all, we would like to thank Taiwan Biotechnology Company"
data/test/55566.0000_57700.0000.ogg,Support our 4D Health Program
data/test/57700.0000_59900.0000.ogg,"Dr. Zhou, let’s get down to business."
data/test/60266.0000_62666.0000.ogg,So you work in an American hospital?
data/test/62666.0000_65766.0000.ogg,Is it any different from working in a hospital in mainland China?
data/test/66333.0000_67900.0000.ogg,main difference
data/test/67900.0000_70966.0000.ogg,I think in the hospital here
data/test/70966.0000_74800.0000.ogg,It is not just about giving patients a treatment for their disease
data/test/74800.0000_77700.0000.ogg,There will be a better follow-up after discharge
data/test/77866.0000_79366.0000.ogg,There is also a social support
data/test/79366.0000_83066.0000.ogg,This way we can better prevent patients from
data/test/83066.0000_85166.0000.ogg,Able to be hospitalized repeatedly
data/test/85200.0000_87866.0000.ogg,And there will be a systematic treatment plan
data/test/87933.0000_90333.0000.ogg,Dr. Zhou is in your hospital
data/test/90333.0000_91800.0000.ogg,Are there many diabetic patients?
data/test/92066.0000_93466.0000.ogg,"Very, very much"
data/test/93500.0000_95800.0000.ogg,Probably more than 1/4 of patients
data/test/95900.0000_99765.0000.ogg,They are all patients directly or indirectly related to diabetes
data/test/99765.0000_102333.0000.ogg,"Of course, the United States has also done some investigations of its own."
data/test/102333.0000_105900.0000.ogg,"Among them, 25% of hospitalized patients"
data/test/106133.0000_109066.0000.ogg,are directly or indirectly related to diabetes
data/test/109700.0000_112600.0000.ogg,And the medical expenses are also very scary.
data/test/112600.0000_117933.0000.ogg,It’s because there are almost 30 million people with diabetes in the United States.
data/test/117933.0000_119800.0000.ogg,Almost 10% of the U.S. population
data/test/120333.0000_123766.0000.ogg,What kind of consumption of medical resources are these 10% of patients?
data/test/123766.0000_125400.0000.ogg,"It’s also very, very amazing"
data/test/125466.0000_127900.0000.ogg,The annual consumption of medical resources
data/test/127900.0000_130100.0000.ogg,Almost 400 billion
data/test/130199.0000_133666.0000.ogg,That's almost 1/4 of the medical expenses
data/test/133666.0000_138666.0000.ogg,are used directly or indirectly by diabetics.
data/test/138966.0000_141266.0000.ogg,So we say this number is astonishing
data/test/141266.0000_144933.0000.ogg,25% of hospitalized patients are related to diabetes
data/test/145000.0000_148566.0000.ogg,So it’s the prevention and treatment of diabetes
data/test/148900.0000_151566.0000.ogg,"In fact, it is closely related to each of us"
data/test/151566.0000_155566.0000.ogg,The impact on society as a whole is also very significant
data/test/155666.0000_158766.0000.ogg,1/4 is really a lot of patients
data/test/158766.0000_162400.0000.ogg,"Dear viewers, if you are not familiar with diabetes"
data/test/162400.0000_163933.0000.ogg,"In fact, to put it simply"
data/test/163966.0000_166966.0000.ogg,It is an increase in blood sugar caused by various reasons.
data/test/167366.0000_168966.0000.ogg,long-term elevated blood sugar
data/test/168966.0000_171366.0000.ogg,blood vessels in our body
data/test/171366.0000_173233.0000.ogg,various types of damage to organs
data/test/173333.0000_175533.0000.ogg,This will cause a series of complications
data/test/175533.0000_179166.0000.ogg,From brain to kidneys to cardiovascular and more
data/test/179166.0000_181533.0000.ogg,had very serious consequences
data/test/181533.0000_184000.0000.ogg,Dr. Zhou will introduce these consequences to us later.
data/test/184366.0000_186166.0000.ogg,Then there are two causes of diabetes
data/test/186166.0000_188133.0000.ogg,One is genetic reason
data/test/188133.0000_190833.0000.ogg,Many teenagers develop diabetes at a young age
data/test/190833.0000_192600.0000.ogg,We call it type 1 diabetes
data/test/192600.0000_194566.0000.ogg,Mainly an autoimmune disease
data/test/194566.0000_195800.0000.ogg,damaged pancreatic islets
data/test/196000.0000_197400.0000.ogg,Pancreatic islets cannot produce insulin
data/test/197400.0000_198600.0000.ogg,Insulin's mission
data/test/198600.0000_200333.0000.ogg,It brings blood sugar into the cells
data/test/200333.0000_201366.0000.ogg,make it work
data/test/6584.0000_8959.0000.ogg,"(On average, over 1,000 major and minor operations...)"
data/test/8959.0000_10459.0000.ogg,(are performed in Singapore every day)
data/test/10459.0000_12083.0000.ogg,"Are you okay, sir?"
data/test/12792.0000_13959.0000.ogg,"Now that I'm gowned up,"
data/test/13959.0000_15834.0000.ogg,the nerves have started to kick in
data/test/17250.0000_18501.0000.ogg,I'm counting on you
data/test/20125.0000_23000.0000.ogg,My biggest fear is not waking up
data/test/23000.0000_25709.0000.ogg,"(Inside and outside the operating theatre, there are always partings and reunions,)"
data/test/25709.0000_27250.0000.ogg,(and all kinds of emotions on display)
data/test/27751.0000_29209.0000.ogg,"Okay, starting"
data/test/29918.0000_33125.0000.ogg,"I would feel like I""m going to war"
data/test/33125.0000_35167.0000.ogg,I want to do my best in every operation
data/test/35834.0000_37334.0000.ogg,"Forceps for me, please?"
data/test/37334.0000_39209.0000.ogg,"Your hands must not shake,"
data/test/39209.0000_41292.0000.ogg,this is very important
data/test/41292.0000_42459.0000.ogg,I need the mallet
data/test/42999.0000_44709.0000.ogg,"If there is any deviation,"
data/test/44709.0000_47459.0000.ogg,the patient will be at great risk
data/test/48501.0000_49584.0000.ogg,Can you stimulate one time?
data/test/51459.0000_53751.0000.ogg,I need to cut much more
data/test/54417.0000_55918.0000.ogg,Go in with the camera
data/test/59167.0000_60209.0000.ogg,There it is
data/test/84792.0000_88501.0000.ogg,"(Johor Bahru, 6.00 am)"
data/test/93042.0000_95876.0000.ogg,41-year-old Margaret Lim and her husband...
data/test/95876.0000_98292.0000.ogg,are Singapore Permanent Residents
data/test/98292.0000_99292.0000.ogg,"Over the years,"
data/test/99292.0000_103292.0000.ogg,they travelled back and forth between Singapore and Malaysia daily for work
data/test/112959.0000_115709.0000.ogg,"We go out together like this every day,"
data/test/115709.0000_118751.0000.ogg,"and get off work around 5 to 6 pm,"
data/test/118751.0000_120751.0000.ogg,and reach home around 7 to 8 pm
data/test/122626.0000_125667.0000.ogg,We can talk about anything we see
data/test/126000.0000_127459.0000.ogg,"For example,"
data/test/127459.0000_131999.0000.ogg,why is there suddenly a house here
data/test/132542.0000_135167.0000.ogg,We lead a very normal life
data/test/136459.0000_139959.0000.ogg,"On this day, the couple left early in the morning as usual"
data/test/139959.0000_143083.0000.ogg,"However, they were not heading to work"
data/test/143083.0000_147918.0000.ogg,Today is the day of Margaret's operation
data/test/153459.0000_155834.0000.ogg,"(Khoo Teck Puat Hospital, 7.00 am)"
data/test/157459.0000_159792.0000.ogg,"Wait, the clinic is at..."
data/test/159792.0000_161000.0000.ogg,level three
data/test/165000.0000_166959.0000.ogg,"Six months ago,"
data/test/166959.0000_169709.0000.ogg,Margaret was diagnosed with stage three breast cancer
data/test/169709.0000_171584.0000.ogg,"Because the cancer had spread,"
data/test/171584.0000_176250.0000.ogg,she has to undergo an operation to remove her left breast
data/test/178083.0000_184000.0000.ogg,"(In Singapore, 1 in 13 women may develop breast cancer)"
data/test/184834.0000_186542.0000.ogg,Mdm Lim Fong Lew
data/test/186542.0000_187751.0000.ogg,It's your turn
data/test/191792.0000_196542.0000.ogg,(Cancer is the leading cause of death in Singapore)
data/test/198918.0000_201042.0000.ogg,Have you taken your COVID-19 vaccination yet?
data/test/201417.0000_203125.0000.ogg,What's my biggest fear?
data/test/203125.0000_206292.0000.ogg,My biggest fear is not waking up
data/test/208834.0000_210626.0000.ogg,Are you going off to work first?
data/test/211709.0000_214626.0000.ogg,"It's okay, later we will clean"
data/test/214626.0000_217167.0000.ogg,"It's okay. Bye, sir, you go home and rest"
data/test/217167.0000_218876.0000.ogg,Thank you -Give me a hug
data/test/220834.0000_223083.0000.ogg,-Don't think too much -Bye-bye
data/test/223083.0000_224501.0000.ogg,Bye-bye
data/test/225751.0000_227876.0000.ogg,The doctor told me not to worry
data/test/227876.0000_231083.0000.ogg,"As long as you follow our instructions and take it one step at a time,"
data/test/231125.0000_232626.0000.ogg,you will get better
data/test/238125.0000_240501.0000.ogg,"The moment Margaret stepped into the hospital,"
data/test/240501.0000_243083.0000.ogg,the operating theatre started getting busy
data/test/244042.0000_247042.0000.ogg,"Other than undergoing a mastectomy,"
data/test/247042.0000_249459.0000.ogg,Margaret will also do a breast reconstruction
data/test/249459.0000_251959.0000.ogg,"Therefore, there were two different teams..."
data/test/251959.0000_253751.0000.ogg,in the operating theatre
data/test/254459.0000_258292.0000.ogg,We'll put in a urine catheter as usual
data/test/258292.0000_261500.0000.ogg,"The mastectomy will be led by Dr Jerry Goo,"
data/test/261500.0000_265626.0000.ogg,while the breast reconstruction will be led by Dr Jolie Hwee
data/test/265918.0000_268751.0000.ogg,This two-in-one operation is also known as...
data/test/268751.0000_271751.0000.ogg,oncoplastic breast surgery
data/test/273250.0000_275876.0000.ogg,This is the enlarged lymph node
data/test/275876.0000_276918.0000.ogg,"In the past,"
data/test/276918.0000_279834.0000.ogg,"a lot of patients ended up with a flat chest,"
data/test/279834.0000_282459.0000.ogg,or unsightly breast shapes
data/test/5632.0000_10496.0000.ogg,"Subtitles: Tina. Hello everyone, today is August 27, 2020, Thursday"
data/test/11008.0000_14592.0000.ogg,Everyone is welcome to participate in Wang Jian’s daily observation live broadcast 1
data/test/15104.0000_17920.0000.ogg,Our topic today is: China's medical insurance
data/test/18176.0000_19200.0000.ogg,Employee health insurance
data/test/19456.0000_20224.0000.ogg,Can't hold it anymore
data/test/21760.0000_27904.0000.ogg,China has a social security system. I have always said that this social security system is a
data/test/28160.0000_28928.0000.ogg,Big scam
data/test/29696.0000_30720.0000.ogg,but
data/test/30976.0000_35328.0000.ogg,"No matter what he is, he currently supports China"
data/test/35584.0000_41728.0000.ogg,A very important medical and retirement system for hundreds of millions of people
data/test/42752.0000_44544.0000.ogg,We still have to pay attention to this matter
data/test/44800.0000_47360.0000.ogg,Let's talk about social security first
data/test/47872.0000_54016.0000.ogg,Social security actually talks about five social insurances and one housing fund. The five social insurances and one housing fund are pension insurance and medical insurance.
data/test/54272.0000_56832.0000.ogg,"Work injury insurance, unemployment insurance, maternity insurance"
data/test/57344.0000_57856.0000.ogg,Five insurance
data/test/58112.0000_60928.0000.ogg,One fund is a housing provident fund
data/test/61696.0000_67840.0000.ogg,Work injury insurance and maternity insurance are all paid by the unit
data/test/68096.0000_71168.0000.ogg,Which company you are in
data/test/71424.0000_74240.0000.ogg,"Which institution you are at, this institution pays"
data/test/74752.0000_76544.0000.ogg,Everything else is
data/test/76800.0000_79872.0000.ogg,Unit and individual
data/test/80896.0000_84224.0000.ogg,Deducted when paying
data/test/84480.0000_86783.0000.ogg,It turns out that social security is provided by
data/test/87551.0000_92672.0000.ogg,"The Social Security Bureau came to collect, what is collected? Collection is inductive collection"
data/test/94208.0000_95488.0000.ogg,and after
data/test/96000.0000_102144.0000.ogg,"China did one thing, what did it do?"
data/test/102400.0000_103680.0000.ogg,Close the Social Security Bureau
data/test/104448.0000_107008.0000.ogg,Collect social security by the tax bureau
data/test/107264.0000_108032.0000.ogg,Unified Social Security
data/test/108544.0000_113664.0000.ogg,It turns out that there are two lines of social security and wages. Many units are
data/test/113920.0000_114944.0000.ogg,Social security goes to social security
data/test/115456.0000_116479.0000.ogg,Wages
data/test/116735.0000_119551.0000.ogg,"But now it’s not working, when the salary is paid"
data/test/120064.0000_120832.0000.ogg,direct
data/test/121600.0000_124160.0000.ogg,Social security is collected by the tax bureau
data/test/124416.0000_128768.0000.ogg,"You can’t hide it, so this big piece has a very big impact"
data/test/129536.0000_133120.0000.ogg,What news is that? August 26
data/test/133632.0000_139776.0000.ogg,The National Medical Insurance Administration issued a report on the establishment and improvement of basic medical insurance for employees
data/test/140032.0000_144640.0000.ogg,Guiding Opinions on Outpatient Mutual Aid Guarantee Mechanism
data/test/145408.0000_146176.0000.ogg,(Draft for comments)
data/test/147712.0000_152832.0000.ogg,The title is very vague
data/test/153600.0000_155648.0000.ogg,"In fact, it is to change"
data/test/156416.0000_162560.0000.ogg,One of personal accounts and pooled funds
data/test/162816.0000_163328.0000.ogg,proportion
data/test/164864.0000_166912.0000.ogg,Whole guidance
data/test/167168.0000_169984.0000.ogg,"In fact, it’s just one, he"
data/test/170496.0000_174591.0000.ogg,"I spent a lot of space and talked about various things, but I still talk about"
data/test/174848.0000_177664.0000.ogg,"Somersault, turn around, and twist again"
data/test/177920.0000_179200.0000.ogg,"In fact, the core is one"
data/test/181760.0000_184320.0000.ogg,Just adjust
data/test/184576.0000_185344.0000.ogg,Medical insurance
data/test/185856.0000_187904.0000.ogg,Record method of personal account
data/test/188160.0000_190976.0000.ogg,"And record level, then how to adjust?"
data/test/191744.0000_195584.0000.ogg,"Existing medical insurance model 59 00:03:16,352 --> 00:03:22,496 Employee medical insurance, personal accounts are paid by individuals"
data/test/202752.0000_205312.0000.ogg,I just said that medical insurance is
data/test/205824.0000_209664.0000.ogg,Fees paid by units plus fees paid by individuals
data/test/209920.0000_212736.0000.ogg,How much are the fees paid by units and individuals?
data/test/213504.0000_215040.0000.ogg,The situation varies from place to place
data/test/215296.0000_218368.0000.ogg,But what is generally the same?
data/test/219392.0000_221440.0000.ogg,Basically personal pay 2%
data/test/222208.0000_224512.0000.ogg,Unit pays 8%
data/test/224768.0000_225792.0000.ogg,put them together
data/test/226304.0000_228608.0000.ogg,Is personal income
data/test/228864.0000_231936.0000.ogg,"10%, actually this ratio is very high"
data/test/236288.0000_237824.0000.ogg,10% of personal income
data/test/239360.0000_240640.0000.ogg,Pay medical insurance
data/test/243712.0000_247552.0000.ogg,The cost of the utility unit is quite high
data/test/248576.0000_254720.0000.ogg,Medical insurance consists of two accounts
data/test/255744.0000_257536.0000.ogg,A personal account
data/test/257791.0000_258559.0000.ogg,One
data/test/258815.0000_260351.0000.ogg,Called pool fund
data/test/260863.0000_264447.0000.ogg,What are personal accounts used for? Personal account for visiting clinic
data/test/265215.0000_268287.0000.ogg,I use the money saved in my personal account
data/test/268543.0000_269567.0000.ogg,Come to the clinic
data/test/270335.0000_274175.0000.ogg,What is the overall fund? The overall fund is used for hospitalization
data/test/274943.0000_278271.0000.ogg,"But in fact, the standards for hospitalization are the same"
data/test/278527.0000_280319.0000.ogg,No matter how much you pay
data/test/280575.0000_283135.0000.ogg,Can only reimburse so much
data/test/283647.0000_285951.0000.ogg,It is probably such a composition
data/test/286207.0000_288767.0000.ogg,Personal account and overall fund
data/test/290815.0000_295423.0000.ogg,"It constitutes an overall structure of medical insurance, which is very simple"
data/test/296703.0000_300799.0000.ogg,So how much money is in the personal account?
data/test/301055.0000_302335.0000.ogg,Personal accounts have
data/test/302591.0000_304895.0000.ogg,The 2% of all his personal payments
data/test/308479.0000_312063.0000.ogg,8% of the unit payment
data/test/312831.0000_315903.0000.ogg,30% inside
data/test/316159.0000_317183.0000.ogg,Put it in your personal account
data/test/318207.0000_319743.0000.ogg,How much is that personal account
data/test/322815.0000_325631.0000.ogg,Personal account
data/test/326143.0000_329727.0000.ogg,Personal accounts account for 44% of the total
data/test/330239.0000_331263.0000.ogg,Probably like this
data/test/332799.0000_335103.0000.ogg,Co-ordinated funds account for 56%
data/test/335871.0000_342015.0000.ogg,"So how do you adjust the law now? He talked a lot about it, in fact"
data/test/343039.0000_345087.0000.ogg,Is to transfer the money in the personal account
data/test/345855.0000_346367.0000.ogg,cut back
data/test/347135.0000_348159.0000.ogg,Where to call?
data/test/348415.0000_349183.0000.ogg,Dial to
data/test/349439.0000_350463.0000.ogg,Go inside the overall fund
data/test/350975.0000_353023.0000.ogg,So where is the adjustment?
data/test/353534.0000_354815.0000.ogg,Adjust personal account
data/test/355071.0000_357887.0000.ogg,Only the money paid by the individual
data/test/358143.0000_359167.0000.ogg,Put it in your personal account
data/test/361215.0000_364799.0000.ogg,The overall fund is the money paid by all units
data/test/365567.0000_367871.0000.ogg,What does this mean when it comes to the pooling fund?
data/test/368127.0000_368895.0000.ogg,mean
data/test/372223.0000_374015.0000.ogg,Personal account is
data/test/374271.0000_376319.0000.ogg,"A sum of money, everyone"
data/test/376575.0000_377599.0000.ogg,Every month
data/test/377855.0000_378879.0000.ogg,Pay 10%
data/test/379135.0000_380415.0000.ogg,This 10%
data/test/381439.0000_384511.0000.ogg,After handing over to the medical insurance bureau
data/test/384767.0000_388607.0000.ogg,Put 44% on your personal account
data/test/389375.0000_391167.0000.ogg,56%
data/test/391423.0000_393215.0000.ogg,Put to
data/test/393727.0000_395007.0000.ogg,Go inside the overall fund
data/test/396031.0000_400383.0000.ogg,So what does the new adjustment become? Turn into your account with only 2% left
data/test/401919.0000_402431.0000.ogg,Just
data/test/402687.0000_405247.0000.ogg,10% of the money only 2% left
data/test/405759.0000_408063.0000.ogg,8% went to the overall fund
data/test/408575.0000_411391.0000.ogg,This is the core of the whole notification
data/test/412671.0000_414207.0000.ogg,what does this mean?
data/test/416767.0000_418815.0000.ogg,Means the money you can personally use
data/test/420607.0000_424447.0000.ogg,Personally spend less money in outpatient clinics
data/test/424959.0000_429055.0000.ogg,"It turned out to be 40%, I paid 10 yuan, I have 4.4 in my personal account"
data/test/429823.0000_431871.0000.ogg,On the account
data/test/432127.0000_435199.0000.ogg,56%
data/test/435711.0000_436991.0000.ogg,To the pooling fund
data/test/440063.0000_443647.0000.ogg,"After the new adjustment, only 20% of the personal account remains"
data/test/444671.0000_447999.0000.ogg,"In other words, there is less money in the personal account"
data/test/449023.0000_454655.0000.ogg,The high probability thing is that when everyone is in the clinic
data/test/455167.0000_461311.0000.ogg,"Many times you have to post money yourself, and post money inside. If the outpatient expenses are too much"
data/test/463103.0000_464639.0000.ogg,But what is the other problem?
data/test/465663.0000_469759.0000.ogg,The reimbursement amount for hospitalization is uniform and unchanged
data/test/470527.0000_474623.0000.ogg,"That is, unless you raise the standard"
data/test/476415.0000_477951.0000.ogg,What is his statement?
data/test/478207.0000_479487.0000.ogg,His statement is
data/test/480255.0000_485887.0000.ogg,Reduce the money in the personal account and transfer the money to
data/test/486399.0000_487167.0000.ogg,Pooling fund
data/test/487423.0000_492031.0000.ogg,It is used to support a sound outpatient mutual aid guarantee
data/test/492287.0000_493567.0000.ogg,Improve outpatient treatment
data/test/494847.0000_496639.0000.ogg,Is the outpatient treatment poor now?
data/test/496895.0000_498943.0000.ogg,I don't know why to improve
data/test/499455.0000_505343.0000.ogg,But the situation is that it is allocated to the outpatient co-ordination fund
data/test/505599.0000_506879.0000.ogg,Then let's take a look
data/test/509183.0000_510975.0000.ogg,The standard of hospitalization is fixed
data/test/511999.0000_516351.0000.ogg,"Outpatient, you said to improve the level of outpatient"
data/test/517119.0000_518911.0000.ogg,The outpatient level is very high now
data/test/519423.0000_520959.0000.ogg,The charges are also very expensive
data/test/521471.0000_525823.0000.ogg,"Why improve? Let’s take a look first, there must be someone lying in it"
data/test/526079.0000_526847.0000.ogg,Tell lies
data/test/527615.0000_529919.0000.ogg,There are five uses for pooled funds
data/test/530687.0000_534783.0000.ogg,"So he said one of them, and only one of them is wrong"
data/test/535551.0000_538879.0000.ogg,"The overall fund has five functions, the first"
data/test/539647.0000_541951.0000.ogg,Reimbursement of hospitalization expenses is fixed
data/test/542207.0000_546815.0000.ogg,"No matter how many people it is, as long as you"
data/test/547327.0000_549631.0000.ogg,Participated in medical insurance
data/test/549887.0000_552447.0000.ogg,Your hospitalization standards are the same
data/test/552959.0000_556287.0000.ogg,"So no matter what, it is the same, so there is no change"
data/test/557055.0000_561407.0000.ogg,The second supportive outpatient mutual aid guarantee
data/test/562943.0000_563967.0000.ogg,There are two problems
data/test/564223.0000_566015.0000.ogg,"The first one, outpatient services are charged"
data/test/566783.0000_570879.0000.ogg,"The money in the personal account is used to pay for the outpatient service, so why use it?"
data/test/571135.0000_571647.0000.ogg,dial?
data/test/571903.0000_574719.0000.ogg,"There is improvement, OK, we accept"
data/test/574975.0000_575999.0000.ogg,This is the 2nd
data/test/576255.0000_578047.0000.ogg,But the demand is not that big
data/test/578303.0000_579327.0000.ogg,why
data/test/579583.0000_580351.0000.ogg,the reason is simple
data/test/581375.0000_583423.0000.ogg,Because the outpatient service is paid
data/test/583935.0000_584959.0000.ogg,Paid
data/test/585215.0000_586495.0000.ogg,Not free
data/test/586751.0000_587775.0000.ogg,Paid
data/test/588543.0000_592895.0000.ogg,"You didn’t say that the money you paid is not enough to cover, there is no such thing"
data/test/593151.0000_595199.0000.ogg,You raise this standard
data/test/595711.0000_597247.0000.ogg,3rd
data/test/597503.0000_599039.0000.ogg,Medical protection for civil servants
data/test/599295.0000_600575.0000.ogg,This is a lot of money
data/test/601855.0000_605695.0000.ogg,"In my impression, the annual reimbursement standard for civil servants"
data/test/605951.0000_607999.0000.ogg,"A division-level cadre is 300,000 a year"
data/test/608767.0000_609791.0000.ogg,This is a lot of money
data/test/610047.0000_612351.0000.ogg,Medical protection for civil servants
data/test/613119.0000_614911.0000.ogg,From the overall fund
data/test/615679.0000_617471.0000.ogg,So this is a big piece
data/test/618239.0000_619775.0000.ogg,This is the 3rd
data/test/620031.0000_620799.0000.ogg,4th
data/test/621311.0000_624895.0000.ogg,"High-ranking medical insurance is even worse, high-ranking ward"
data/test/625151.0000_626943.0000.ogg,Where does the money for the senior ward come from?
data/test/627711.0000_628735.0000.ogg,From overall planning
data/test/628991.0000_630271.0000.ogg,Out of medical management
data/test/631551.0000_635647.0000.ogg,"So, why these hospitals are so enthusiastic about running high-level wards"
data/test/636415.0000_637695.0000.ogg,The reason is because
data/test/638975.0000_641535.0000.ogg,High cost
data/test/642815.0000_644351.0000.ogg,5th
data/test/645119.0000_647167.0000.ogg,Retirees' accounts
data/test/647935.0000_650239.0000.ogg,All retirees
data/test/651007.0000_656639.0000.ogg,"Whether it’s his personal account, where do all the expenses of his overall fund come from?"
data/test/2733.0000_4766.0000.ogg,哈喽大家好
data/test/4900.0000_6026.0000.ogg,大家早
data/test/6340.0000_9599.0000.ogg,今天又是去医院打针 天天医院打针
data/test/9966.0000_12099.0000.ogg,但是今天打针不一样
data/test/12600.0000_16400.0000.ogg,我们已经打完激素治疗第五天了吧
data/test/16666.0000_18266.0000.ogg,今天是第6天
data/test/18533.0000_21133.0000.ogg,第一次我们看病的时候医生说
data/test/21400.0000_23266.0000.ogg,呃激素也不能打太多吧
data/test/23400.0000_24400.0000.ogg,先打一个疗程
data/test/24500.0000_26933.0000.ogg,最多是只能打10天吧
data/test/27267.0000_28266.0000.ogg,嗯
data/test/28266.0000_30866.0000.ogg,对 昨天打完了5天
data/test/31100.0000_32165.0000.ogg,今天第六天
data/test/32700.0000_36100.0000.ogg,就要先去拍一个胸部CT看一下
data/test/36366.0000_37733.0000.ogg,就这一个疗程
data/test/37733.0000_40333.0000.ogg,打激素对肺的吸收啊
data/test/40400.0000_42366.0000.ogg,肺的治疗是不是对症
data/test/42866.0000_45333.0000.ogg,是往好的方面发展呢还是
data/test/46100.0000_47666.0000.ogg,保持不动或者是恶化
data/test/47666.0000_48666.0000.ogg,但我感觉
data/test/48966.0000_52666.0000.ogg,从我的体征啊打激素以后体征还是
data/test/52933.0000_53699.0000.ogg,我感觉很好
data/test/53700.0000_54700.0000.ogg,现在都有劲了
data/test/54700.0000_55800.0000.ogg,看他说话这个
data/test/56000.0000_58933.0000.ogg,语气语气就是语速也快了
data/test/59133.0000_60366.0000.ogg,声音也大了
data/test/60366.0000_62533.0000.ogg,走路也带点风了
data/test/62733.0000_65666.0000.ogg,原来每天去那个
data/test/66166.0000_68333.0000.ogg,医院都是打的这个实在是走不动
data/test/68333.0000_69133.0000.ogg,走不动
data/test/69733.0000_72399.0000.ogg,而且跑了5天说实话有点贵
data/test/72866.0000_74266.0000.ogg,正好趁着身体好呢
data/test/74266.0000_76099.0000.ogg,我们今天决定去坐地铁
data/test/76966.0000_79265.0000.ogg,省点钱哈哈哈
data/test/79400.0000_80200.0000.ogg,是的嘛
data/test/80366.0000_83333.0000.ogg,打个的很贵啊 从我们这里打到
data/test/83600.0000_85200.0000.ogg,人民医院然后来回
data/test/86000.0000_86800.0000.ogg,120
data/test/87066.0000_87918.0000.ogg,是吧
data/test/87918.0000_92733.0000.ogg,100 120 （单边）55差不多在堵车120
data/test/93066.0000_95299.0000.ogg,每天打针250
data/test/95933.0000_96866.0000.ogg,370
data/test/97500.0000_98900.0000.ogg,然后打了5天
data/test/99666.0000_101333.0000.ogg,"就是去了1,800"
data/test/101933.0000_104166.0000.ogg,今天要去做那个
data/test/105133.0000_105933.0000.ogg,胸部CT
data/test/106029.0000_107333.0000.ogg,我要到那边买点水
data/test/107333.0000_108399.0000.ogg,哦你去买吧
data/test/109466.0000_110699.0000.ogg,我在前面等你啊
data/test/112466.0000_114265.0000.ogg,胸部CT 250
data/test/114400.0000_116366.0000.ogg,上次说过武汉
data/test/116366.0000_119598.0000.ogg,武汉做检查好像比鄂州要便宜些
data/test/119600.0000_123533.0000.ogg,我鄂州住院做胸部CT都是300多块钱
data/test/124166.0000_125933.0000.ogg,呃在这里做只有200多块钱
data/test/125933.0000_128166.0000.ogg,你看我这次交费是200
data/test/128532.0000_131299.0000.ogg,280258还是280
data/test/132266.0000_133933.0000.ogg,但没有超过300块钱
data/test/134933.0000_136199.0000.ogg,所以这五天
data/test/137133.0000_140966.0000.ogg,"加检查也就去了接近2,000块钱了"
data/test/141333.0000_142933.0000.ogg,然后还有后续
data/test/143500.0000_145133.0000.ogg,一个星期治疗的话
data/test/145966.0000_148066.0000.ogg,也得也得三千多块钱
data/test/148166.0000_151166.0000.ogg,所以为了省钱啊省一点是一点
data/test/151666.0000_154266.0000.ogg,刚才小孩今天周末嘛也上课
data/test/154733.0000_157366.0000.ogg,打个车先把他送到学校
data/test/157866.0000_159766.0000.ogg,然后我们再走到地铁站
data/test/161666.0000_162599.0000.ogg,坐地铁
data/test/166800.0000_167600.0000.ogg,到了
data/test/168066.0000_169799.0000.ogg,可换乘4号线
data/test/170366.0000_172499.0000.ogg,这个门口出来就蛮好吧
data/test/172500.0000_173766.0000.ogg,刚刚坐电梯上
data/test/174900.0000_175566.0000.ogg,今天人啊
data/test/175566.0000_176366.0000.ogg,这是下的
data/test/177166.0000_179199.0000.ogg,今天人好少啊这边这边
data/test/185200.0000_186600.0000.ogg,复兴路
data/test/186900.0000_187966.0000.ogg,今天是周末
data/test/187966.0000_190066.0000.ogg,所以坐地铁人少
data/test/208700.0000_210733.0000.ogg,这边是CT室
data/test/210733.0000_212399.0000.ogg,我今天拿到了排号
data/test/212766.0000_213933.0000.ogg,36号
data/test/214466.0000_215299.0000.ogg,然后
data/test/215533.0000_218299.0000.ogg,不能够先去打针要先做CT
data/test/219100.0000_222466.0000.ogg,放射科的袋子也挂号等着了这边
data/test/222600.0000_224533.0000.ogg,呃我排的是40号
data/test/224733.0000_226266.0000.ogg,前面还有20多个人
data/test/227700.0000_229566.0000.ogg,明显感觉到人是变少了很多
data/test/229566.0000_230799.0000.ogg,你看我原来哈
data/test/230800.0000_233266.0000.ogg,今天还是不慌不忙的坐地铁过来的
data/test/3080.0000_5080.0000.ogg,"Dark spots, white spots, sweat spots,"
data/test/5080.0000_7680.0000.ogg,"butterfly spots, solar lentigines, liver spots, age spots..."
data/test/7680.0000_10480.0000.ogg,What spots are you talking about? Are you taking an exam?
data/test/10480.0000_12880.0000.ogg,"No, I'm confused by all these spots"
data/test/12880.0000_14480.0000.ogg,What are their differences?
data/test/14480.0000_16480.0000.ogg,"That's easy, I'll tell you -You can?"
data/test/16480.0000_21680.0000.ogg,I can! I will invite a TCM physician and a doctor to discuss melasma
data/test/23200.0000_24800.0000.ogg,Does everyone have melanin?
data/test/24800.0000_27000.0000.ogg,"Some people have more and some people have less,"
data/test/27000.0000_28600.0000.ogg,so it isn't easy to have spots?
data/test/28600.0000_30000.0000.ogg,How do spots develop?
data/test/30000.0000_33600.0000.ogg,How much sunscreen do we have to apply?
data/test/33600.0000_35000.0000.ogg,"Apart from Chinese medicines,"
data/test/35000.0000_38000.0000.ogg,a TCM physician can also treat pigmentations with skin acupuncture
data/test/38000.0000_40600.0000.ogg,Do you want to learn more about Chinese herbal facial masks?
data/test/40600.0000_42200.0000.ogg,Find out in this episode of...
data/test/42200.0000_45000.0000.ogg,<i>Let's Talk About Health</i> and learn more
data/test/50200.0000_53400.0000.ogg,"Mark, Lee Teng said that you repeated a year in school"
data/test/53400.0000_55200.0000.ogg,No wonder he dared not show up today
data/test/55200.0000_56800.0000.ogg,"Besides repeating (liuban) a year in school,"
data/test/56800.0000_58600.0000.ogg,"you have melasma (heiban), freckles (queban) and age spot (laoren ban)"
data/test/58600.0000_62000.0000.ogg,Everyone has spots. Is there anyone who doesn't have them?
data/test/62000.0000_64000.0000.ogg,I don't know -You can always ask
data/test/64200.0000_68800.0000.ogg,"That's why we've invited Dr Wang Yi Shi, a dermatologist"
data/test/68800.0000_71600.0000.ogg,"Also, Chen Hanwei and Sunshine Cola"
data/test/71600.0000_74600.0000.ogg,A warm welcome to all of you
data/test/74600.0000_78200.0000.ogg,It's difficult to find spots on their faces
data/test/79120.0000_81520.0000.ogg,"All right, Handsome and Gorgeous, confess"
data/test/81520.0000_83320.0000.ogg,Do you have spots on your face?
data/test/83480.0000_87080.0000.ogg,I don't know whether these two are considered spots
data/test/87080.0000_88880.0000.ogg,Are they? -They are spots
data/test/88880.0000_90880.0000.ogg,"They are small, right? -It's mild"
data/test/92000.0000_93800.0000.ogg,Are those melasma or age spots?
data/test/93800.0000_94800.0000.ogg,Solar lentigines
data/test/94800.0000_95800.0000.ogg,Solar lentigines!
data/test/95800.0000_97200.0000.ogg,"It's ""upgraded"" spots"
data/test/97200.0000_99400.0000.ogg,It proves that you're hardworking
data/test/99600.0000_101000.0000.ogg,I'm under the sun all day
data/test/101000.0000_103200.0000.ogg,"That's right. Your turn, Cola"
data/test/103200.0000_108400.0000.ogg,I found a few tiny spots on my face because of excessive sun exposure
data/test/108400.0000_110800.0000.ogg,They were gone after I went for facial treatments
data/test/111600.0000_113200.0000.ogg,"They weren't spots, right? -Were they?"
data/test/113200.0000_115000.0000.ogg,They should be freckles
data/test/115000.0000_119800.0000.ogg,People who are younger and fairer like her...
data/test/119800.0000_121400.0000.ogg,tend to have freckles
data/test/121400.0000_124200.0000.ogg,Freckles fade when you protect yourself from the sun
data/test/124400.0000_125600.0000.ogg,Got it
data/test/125600.0000_129199.0000.ogg,"Doctor, I have a question. Does everyone have melanin?"
data/test/129199.0000_133200.0000.ogg,"Yes, everyone's skin has melanin"
data/test/133200.0000_136000.0000.ogg,"But people who are fair. for example, Caucasians,"
data/test/136000.0000_141000.0000.ogg,they have less melanin than Asians and black people
data/test/141800.0000_146200.0000.ogg,Melanin gives our hair and skin a natural colour
data/test/146200.0000_149800.0000.ogg,It also protects our skin from harmful UV rays
data/test/149800.0000_153200.0000.ogg,Long-term exposure to UV rays...
data/test/153200.0000_155800.0000.ogg,accelerates the ageing process of our skin...
data/test/155800.0000_158600.0000.ogg,as well as the development of melasma
data/test/158600.0000_160400.0000.ogg,What's more dangerous is that...
data/test/160400.0000_164200.0000.ogg,it increases the chances of one developing skin cancer
data/test/164400.0000_168400.0000.ogg,"Therefore, the function of melanin is to protect the skin"
data/test/168400.0000_171600.0000.ogg,Some people have nothing better to do than to tan themselves
data/test/171600.0000_173000.0000.ogg,That's not encouraged
data/test/173000.0000_175200.0000.ogg,"That's different, isn't it? -That's right"
data/test/175200.0000_178400.0000.ogg,I was required to do it for my show
data/test/178600.0000_181800.0000.ogg,"Anyway, what are the common types of skin pigmentation?"
data/test/181800.0000_182800.0000.ogg,That's right
data/test/182800.0000_184800.0000.ogg,"The common types include freckles,"
data/test/184800.0000_186800.0000.ogg,"chloasma, also known as melasma,"
data/test/186800.0000_188000.0000.ogg,and solar lentigines
data/test/188200.0000_190800.0000.ogg,What are solar lentigines? They result from sun exposure?
data/test/190800.0000_191800.0000.ogg,Yes
data/test/191800.0000_194000.0000.ogg,Solar lentigines are a common type of pigmentation
data/test/194000.0000_199000.0000.ogg,They usually appear on people 30 to 40 years of age
data/test/199000.0000_202000.0000.ogg,"Generally, solar lentigines develop on the cheeks,"
data/test/202000.0000_205000.0000.ogg,sides of the eyes or beside the eyebrows
data/test/205000.0000_208600.0000.ogg,"The size is usually that of a 5-cent, 10-cent or 20-cent coin"
data/test/208600.0000_210000.0000.ogg,That's rather big -Yes
data/test/210000.0000_211800.0000.ogg,"Furthermore, they are not symmetrical"
data/test/212800.0000_216200.0000.ogg,"Freckles are more common among younger people,"
data/test/216200.0000_218600.0000.ogg,"for example, those around Cola's age"
data/test/218600.0000_221000.0000.ogg,Young people are more likely to have freckles
data/test/221000.0000_223800.0000.ogg,Freckles are small brown spots on the cheeks
data/test/223800.0000_226600.0000.ogg,They are usually uniform and symmetrical on both sides of the face
data/test/226600.0000_229000.0000.ogg,Melasma is also known as chloasma
data/test/229000.0000_229800.0000.ogg,Okay
data/test/229800.0000_232200.0000.ogg,They usually appear in big patches
data/test/232200.0000_233800.0000.ogg,They are also symmetrical
data/test/233800.0000_235800.0000.ogg,"They usually develop on the cheeks,"
data/test/235800.0000_238200.0000.ogg,forehead or around the nose
data/test/238400.0000_241800.0000.ogg,"Very often, when women are pregnant or..."
data/test/241800.0000_245400.0000.ogg,"taking female hormone pills for treatment,"
data/test/60800.0000_74920.0000.ogg,(Better Plan for Better Life)
data/test/76600.0000_83000.0000.ogg,"(Bama Yao Autonomous County, Guangxi)"
data/test/79960.0000_81680.0000.ogg,"This is Bama Yao Autonomous County in Guangxi,"
data/test/81680.0000_85000.0000.ogg,"located in northwest Guangxi province,"
data/test/86200.0000_88720.0000.ogg,"where the population is less than 300,000"
data/test/88720.0000_91000.0000.ogg,"but there are more than 70 centenarians,"
data/test/92039.0000_94360.0000.ogg,the highest distribution of centenarians
data/test/94360.0000_96880.0000.ogg,among the five hometowns where people live the longest in the world.
data/test/98600.0000_100600.0000.ogg,"The fresh and natural environment,"
data/test/100600.0000_103080.0000.ogg,the simple and healthy lifestyles
data/test/103080.0000_106039.0000.ogg,and the longevity gene of the locals
data/test/106039.0000_108920.0000.ogg,"are the ""secret"" of the long-life of the old people."
data/test/111200.0000_112560.0000.ogg,A long and healthy life
data/test/112560.0000_115240.0000.ogg,has always been a goal relentlessly pursued by everyone;
data/test/115600.0000_118640.0000.ogg,it is a blessing for people and their greatest wish.
data/test/121400.0000_122800.0000.ogg,"At the beginning of the founding of New China,"
data/test/123320.0000_125720.0000.ogg,the average life expectancy of Chinese people was 35 years.
data/test/126800.0000_128280.0000.ogg,"By 2019,"
data/test/128280.0000_130680.0000.ogg,"the 70th anniversary of the founding of New China,"
data/test/131280.0000_135240.0000.ogg,the average life expectancy of Chinese people had grown to 77 years.
data/test/136040.0000_137560.0000.ogg,"When we look back at history,"
data/test/138360.0000_139480.0000.ogg,it is cold numbers
data/test/139480.0000_142280.0000.ogg,"that reveal their very temperature,"
data/test/142280.0000_144360.0000.ogg,because behind these numbers
data/test/144360.0000_146440.0000.ogg,"lie the vivid lives,"
data/test/146440.0000_148720.0000.ogg,the happiness of countless families
data/test/148720.0000_151920.0000.ogg,and the greatest progress of Chinese society.
data/test/153920.0000_156800.0000.ogg,"After the introduction of science and technology into medicine,"
data/test/156040.0000_162480.0000.ogg,"(Fan Daiming, Academician of Chinese Academy of Engineering)"
data/test/156800.0000_159400.0000.ogg,the development of medicine has been greatly promoted
data/test/159400.0000_160440.0000.ogg,and many diseases that we did not know about
data/test/160440.0000_162640.0000.ogg,"in the past we now know,"
data/test/162640.0000_165760.0000.ogg,some diseases we have also found drugs
data/test/165760.0000_167160.0000.ogg,and vaccines for
data/test/167160.0000_169560.0000.ogg,and we discovered a variety of treatment methods.
data/test/169560.0000_172720.0000.ogg,"It is only in the field of medicine or health,"
data/test/172720.0000_175000.0000.ogg,relying on the development of science and technology
data/test/175000.0000_177040.0000.ogg,to keep up with the requirements of the times
data/test/177040.0000_178520.0000.ogg,"and the needs of health,"
data/test/178920.0000_180720.0000.ogg,can we be more accurate and go further
data/test/181840.0000_184760.0000.ogg,in performing the great strategy of health in China
data/test/184760.0000_187960.0000.ogg,and the great cause of caring for human health.
data/test/187960.0000_190840.0000.ogg,To increase accuracy and go further
data/test/190840.0000_192680.0000.ogg,"and more importantly, to do even better."
data/test/195160.0000_196400.0000.ogg,"Life is the most important,"
data/test/196400.0000_197680.0000.ogg,and great doctors are sincere.
data/test/198280.0000_199480.0000.ogg,Today's world
data/test/199480.0000_200480.0000.ogg,is in a new era of constant change
data/test/200480.0000_203000.0000.ogg,and reshaping
data/test/203000.0000_204120.0000.ogg,by cutting-edge technology
data/test/204120.0000_205960.0000.ogg,and innovative ideas.
data/test/207320.0000_208320.0000.ogg,"More than ever,"
data/test/208320.0000_209720.0000.ogg,social progress and the improvement of people's livelihood
data/test/209720.0000_212240.0000.ogg,require science and technology
data/test/212240.0000_214440.0000.ogg,"to provide solutions,"
data/test/215480.0000_218200.0000.ogg,a scientific and intelligent solution
data/test/218200.0000_222040.0000.ogg,oriented towards people's life and health.
data/test/225640.0000_232400.0000.ogg,(Episode 2 Medicine Health)
data/test/232560.0000_238960.0000.ogg,"(Bama Yao Autonomous County, Guangxi)"
data/test/237960.0000_239160.0000.ogg,"In early spring,"
data/test/239680.0000_241960.0000.ogg,the air is still slightly cool.
data/test/243360.0000_245040.0000.ogg,"Huang Tao and his wife, Xiaoxue,"
data/test/245040.0000_246800.0000.ogg,left the house early.
data/test/248400.0000_249960.0000.ogg,"Xiaoxue is 12 weeks pregnant,"
data/test/250520.0000_252600.0000.ogg,today they are going to the county hospital
data/test/252600.0000_253720.0000.ogg,for a prenatal testing.
data/test/257959.0000_259040.0000.ogg,"Prenatal testing,"
data/test/259040.0000_260240.0000.ogg,in addition to providing conventional data
data/test/260240.0000_262760.0000.ogg,"such as fetal development,"
data/test/263440.0000_264200.0000.ogg,can also be used to
data/test/264200.0000_266720.0000.ogg,diagnose high-risk fetuses
data/test/266720.0000_268920.0000.ogg,through genetics and imaging tests.
data/test/270160.0000_272560.0000.ogg,Early prevention and early intervention
data/test/272560.0000_274240.0000.ogg,are key to reducing maternal and infant risks
data/test/274240.0000_277080.0000.ogg,and improving the quality of health of the population.
data/test/278360.0000_280760.0000.ogg,It's 12 weeks today.
data/test/280760.0000_283040.0000.ogg,Years of persistent promotion
data/test/283040.0000_285040.0000.ogg,in Chinese primary care institutions
data/test/285040.0000_287440.0000.ogg,have resulted in
data/test/287440.0000_289600.0000.ogg,a prenatal testing rate of 95.1%.
data/test/289600.0000_290960.0000.ogg,"According to the ultrasound report,"
data/test/290960.0000_292400.0000.ogg,the baby is growing quite well.
data/test/292400.0000_297200.0000.ogg,You may be advised to have a non-invasive DNA test.
data/test/297200.0000_300080.0000.ogg,"The couple opted for a non-invasive genetic birth test,"
data/test/300080.0000_301000.0000.ogg,a new option
data/test/301000.0000_302920.0000.ogg,that has only emerged in recent years.
data/test/303400.0000_304880.0000.ogg,Compared to traditional prenatal screening
data/test/304880.0000_306360.0000.ogg,"and diagnostic techniques,"
data/test/307320.0000_309960.0000.ogg,"non-invasive genetic maternity testing requires no penetration,"
data/test/309960.0000_312320.0000.ogg,"which reduces the pain for the mother-to-be and,"
data/test/314000.0000_315480.0000.ogg,"more critically,"
data/test/315480.0000_318440.0000.ogg,provides a broader and more accurate screening.
data/test/320080.0000_322040.0000.ogg,"Xiaoxue was afraid of blood,"
data/test/322040.0000_324880.0000.ogg,but still insists on having 5 ml of venous blood drawn.
data/test/327600.0000_329320.0000.ogg,This small tube of blood sample
data/test/329320.0000_332520.0000.ogg,conveys the highest expectations of mothers-to-be.
data/test/333560.0000_336800.0000.ogg,"Genes, which store all the information about the composition,"
data/test/336800.0000_339280.0000.ogg,"growth and decline of living things,"
data/test/340080.0000_342480.0000.ogg,are the code of life that determines the health of the human body.
data/test/343240.0000_345200.0000.ogg,"Since the discovery of genes,"
data/test/345200.0000_348520.0000.ogg,scientists have determined that
data/test/348520.0000_350000.0000.ogg,they can help human beings and guide the knowledge of life
data/test/350000.0000_352880.0000.ogg,to a whole new realm.
data/test/354000.0000_355159.0000.ogg,It means that basically
data/test/355159.0000_357440.0000.ogg,"all your data is in there,"
data/test/357440.0000_359159.0000.ogg,"the protein macromolecule data,"
data/test/359159.0000_360480.0000.ogg,"the gene data,"
data/test/360480.0000_362240.0000.ogg,and now at this very moment in time
data/test/362040.0000_368160.0000.ogg,"(Du Yutao, Chief scientist at BGI)"
data/test/362240.0000_363920.0000.ogg,"the small molecules in your body,"
data/test/363920.0000_366440.0000.ogg,"like amino acids, vitamins, hormones,"
data/test/366440.0000_368240.0000.ogg,"all the data is in there as well,"
data/test/368240.0000_370320.0000.ogg,so this blood tells us everything.
data/test/372000.0000_374920.0000.ogg,The DNA extracted from the peripheral blood of pregnant women
data/test/374920.0000_377840.0000.ogg,"is key to opening the code of life of the foetus,"
data/test/378840.0000_380640.0000.ogg,"from which more than 1,000 diseases"
data/test/380640.0000_382520.0000.ogg,can be screened at the same time
data/test/382520.0000_384280.0000.ogg,using the latest genetic technology.
data/test/385000.0000_386000.0000.ogg,A tube of blood
data/test/386000.0000_387560.0000.ogg,"may seem simple,"
data/test/387560.0000_389800.0000.ogg,but the testing process is extremely complex.
data/test/390960.0000_392159.0000.ogg,The latest genetic technology
data/test/392159.0000_393640.0000.ogg,can be used to detect
data/test/392920.0000_399280.0000.ogg,"(Du Yutao, Chief scientist at BGI)"
data/test/393640.0000_395040.0000.ogg,the presence of bacteria and viruses
data/test/395040.0000_396240.0000.ogg,the presence of bacteria and viruses
data/test/396240.0000_398240.0000.ogg,"in your blood,"
data/test/398240.0000_400680.0000.ogg,"which require a lot of sequencing,"
data/test/400680.0000_403120.0000.ogg,because bacteria and viruses are also foreign genes
data/test/403120.0000_404520.0000.ogg,that invade your body
data/test/404520.0000_406280.0000.ogg,and leave traces in your blood.
data/test/406280.0000_408600.0000.ogg,The test result can greatly help
data/test/408600.0000_410159.0000.ogg,our diagnosis and treatment accurately.
data/test/410159.0000_411320.0000.ogg,Genes
data/test/411320.0000_412520.0000.ogg,"help us better understand our body,"
data/test/412520.0000_414000.0000.ogg,as well as our health condition.
data/test/416600.0000_417800.0000.ogg,Xiaoxue and her husband need to
data/test/417800.0000_420520.0000.ogg,wait patiently for the test results.
data/test/421920.0000_423720.0000.ogg,106-year old Huang Matao
data/test/424040.0000_426240.0000.ogg,is the oldest elder in the village.
data/test/426920.0000_428240.0000.ogg,Talking with her for a while
data/test/428680.0000_431600.0000.ogg,makes Xiaoxue feel warm and at ease.
data/test/436280.0000_438400.0000.ogg,The results of Xiaoxue's genetic test arrived.
data/test/438920.0000_441280.0000.ogg,"Obviously, this is good news"
data/test/442200.0000_444960.0000.ogg,and good news for the whole family to celebrate.
data/test/446200.0000_448200.0000.ogg,The new life being conceived
data/test/448200.0000_451440.0000.ogg,"brings new hope to this ordinary family,"
data/test/452200.0000_454040.0000.ogg,and the growing happiness
data/test/454040.0000_456840.0000.ogg,makes them look forward
data/test/457159.0000_458440.0000.ogg,to the new life to come.
data/test/471360.0000_473960.0000.ogg,"This building, which resembles rice terraces,"
data/test/474640.0000_477240.0000.ogg,is the National Gene Bank in Shenzhen.
data/test/475680.0000_480840.0000.ogg,(National Gene Bank)
data/test/478360.0000_479240.0000.ogg,"Today, when genes have become"
data/test/479240.0000_481720.0000.ogg,"an important strategic resource for a country,"
data/test/481720.0000_484200.0000.ogg,this place will provide basic support
data/test/484200.0000_486960.0000.ogg,"for life science research,"
data/test/486960.0000_488480.0000.ogg,medical health and bio-industrial development.
data/test/489240.0000_491040.0000.ogg,"Preserving genes, knowing genes,"
data/test/491360.0000_492680.0000.ogg,and understanding the structure of genes
data/test/493320.0000_494600.0000.ogg,is one of the most important things
data/test/494560.0000_499160.0000.ogg,"(Wang Ren, Director of the National Gene Bank)"
data/test/494600.0000_496040.0000.ogg,that determines the life of a human being
data/test/496040.0000_498760.0000.ogg,in the present and also in the future.
data/test/500280.0000_501760.0000.ogg,Research in the field of genetics
data/test/502080.0000_503800.0000.ogg,is the key to the development and competition
data/test/503800.0000_505560.0000.ogg,of precision medicine in the future.
data/test/509280.0000_511480.0000.ogg,This mouse-headed little guy
data/test/511480.0000_513320.0000.ogg,with an unfamiliar name
data/test/513320.0000_514280.0000.ogg,tree shrew
data/test/516679.0000_518880.0000.ogg,is an animal
data/test/518880.0000_520559.0000.ogg,"closer to humans in evolutionary terms,"
data/test/520559.0000_522520.0000.ogg,except for primates.
data/test/523320.0000_524840.0000.ogg,"Here, here."
data/test/525520.0000_526760.0000.ogg,The history of modern medical development
data/test/526760.0000_527680.0000.ogg,is a history of the application and discovery
data/test/527680.0000_530000.0000.ogg,of animals used for experiments.
data/test/531040.0000_533880.0000.ogg,The tree shrew became a star among animals
data/test/533880.0000_535600.0000.ogg,used in experiments as it still lacks an opportunity.
data/test/539320.0000_542520.0000.ogg,This is the world's first genetically modified tree shrew.
data/test/542800.0000_544400.0000.ogg,"It's very, very exciting,"
data/test/544400.0000_546280.0000.ogg,and now we're very excited to see it.
data/test/547200.0000_549240.0000.ogg,"The tree shrew is of particular value,"
data/test/549680.0000_556080.0000.ogg,"(Zheng Ping, Researcher at Kunming Institute of Zoology, Chinese Academy of Sciences)"
data/test/549240.0000_550480.0000.ogg,"but when we do research,"
data/test/550480.0000_551840.0000.ogg,we need to
data/test/551840.0000_553080.0000.ogg,"perform some genetic modification of this gene,"
data/test/553080.0000_553880.0000.ogg,and then we can
data/test/553880.0000_556840.0000.ogg,"accurately know the function of the gene,"
data/test/557040.0000_558320.0000.ogg,"so at this time,"
data/test/558320.0000_561360.0000.ogg,we need to make platforms for genetic-modification technology.
data/test/561920.0000_563880.0000.ogg,Zheng Ping's team chose a field
data/test/563880.0000_566680.0000.ogg,that had never been attempted before.
data/test/567640.0000_569560.0000.ogg,They spent four years to successfully establish
data/test/569560.0000_571400.0000.ogg,an in vitro culture system for
data/test/571400.0000_574080.0000.ogg,"tree shrew spermatogonial stem cells,"
data/test/574680.0000_576600.0000.ogg,and took the lead in breeding the world's first
data/test/576600.0000_578640.0000.ogg,"genetically modified tree shrew,"
data/test/579280.0000_580800.0000.ogg,solving the technical bottleneck of the absence
data/test/580800.0000_583320.0000.ogg,of gene manipulation in tree shrew research.
data/test/584000.0000_585240.0000.ogg,Now the cells have been injected
data/test/585240.0000_587080.0000.ogg,into the testes of the tree shrew.
data/test/587080.0000_588320.0000.ogg,Let me take a look.
data/test/590480.0000_593000.0000.ogg,This time the cells were injected very well.
data/test/594040.0000_595680.0000.ogg,It could be said that our system
data/test/595680.0000_598360.0000.ogg,is a platform for technology
data/test/1650.0000_4824.0000.ogg,好。大家好！今天是5月28号星期五
data/test/5055.0000_8704.0000.ogg,今天我就回来和大家谈谈非处方药
data/test/8775.0000_12304.0000.ogg,这次谈一个非常常见的现象就是发烧
data/test/13175.0000_14944.0000.ogg,发烧这个东西
data/test/16479.0000_18269.0000.ogg,我相信大家在一生当中
data/test/18269.0000_20090.0000.ogg,或多或少都会经历过
data/test/21149.0000_24370.0000.ogg,一般成人发烧大家都不会过多的担心
data/test/24469.0000_26490.0000.ogg,会用一些非处方药帮自己降
data/test/26940.0000_29117.0000.ogg,但是对儿童来说的话
data/test/29282.0000_31597.0000.ogg,父母亲或者说是一些
data/test/31842.0000_33917.0000.ogg,爷爷奶奶就会特别担心
data/test/34282.0000_34922.0000.ogg,在美国
data/test/34922.0000_38197.0000.ogg,62%儿童去急诊室的原因
data/test/38202.0000_39037.0000.ogg,就是发烧
data/test/39202.0000_41357.0000.ogg,所以呢今天我就和大家说一说
data/test/41402.0000_42237.0000.ogg,什么时候
data/test/42482.0000_43682.0000.ogg,大家应该去就医
data/test/43682.0000_46517.0000.ogg,什么时候可以用非处方药物
data/test/47384.0000_49987.0000.ogg,在谈这之前我先做一个声明
data/test/50292.0000_51132.0000.ogg,这个声明
data/test/51132.0000_53227.0000.ogg,这系列的非处方药物的
data/test/53452.0000_55787.0000.ogg,视频都是一些医学的科普
data/test/56332.0000_59092.0000.ogg,大家并不要因为这个而自我诊断
data/test/59092.0000_60187.0000.ogg,或者自我治疗
data/test/60452.0000_61667.0000.ogg,这不是我的本意
data/test/61812.0000_64667.0000.ogg,我的本意就是为了让大家区分
data/test/65364.0000_66192.0000.ogg,非处方药
data/test/66192.0000_68432.0000.ogg,在什么时候相对来说是合适的
data/test/68432.0000_70527.0000.ogg,什么时候是不合适的
data/test/71192.0000_74047.0000.ogg,另外还有一些非处方药里面的禁忌
data/test/74340.0000_75967.0000.ogg,想和大家说明清楚
data/test/76152.0000_78926.0000.ogg,如果我说的视频里面
data/test/79072.0000_80792.0000.ogg,和你的情况不符合
data/test/80792.0000_82567.0000.ogg,因为每个人的病情不一样
data/test/82632.0000_85926.0000.ogg,请大家还是尽量的咨询自己的医生
data/test/86752.0000_90127.0000.ogg,我做这类视频也并不是为了鼓励大家
data/test/90832.0000_92807.0000.ogg,私自的服用非处方药
data/test/94235.0000_96247.0000.ogg,我只是为了告诉大家
data/test/96491.0000_98047.0000.ogg,哪些非处方药
data/test/98051.0000_101687.0000.ogg,在哪些情况下相对来说是合适的
data/test/101852.0000_104487.0000.ogg,而哪些情况是不合适的
data/test/105228.0000_108115.0000.ogg,很多情况之下我还是希望大家
data/test/108444.0000_110515.0000.ogg,和自己的医生联系一下
data/test/110604.0000_114084.0000.ogg,然后合情合理的服用药物
data/test/114084.0000_117075.0000.ogg,因为药物都是有一定的毒性
data/test/117124.0000_118555.0000.ogg,有一定禁忌的
data/test/119116.0000_120933.0000.ogg,在服用药物之前
data/test/120933.0000_123446.0000.ogg,不管是处方还是非处方药
data/test/123493.0000_127886.0000.ogg,希望大家看明看清说明书然后再服用
data/test/128213.0000_130205.0000.ogg,好那么说下发烧
data/test/130966.0000_132521.0000.ogg,发烧的概念
data/test/132698.0000_134110.0000.ogg,发烧其实是一种表症
data/test/134110.0000_136521.0000.ogg,就是一种表现来的。
data/test/136618.0000_137681.0000.ogg,发烧本身并不是一种病
data/test/138098.0000_142881.0000.ogg,发烧本身是人体对于各种原因的一种
data/test/143258.0000_144281.0000.ogg,反应来的
data/test/145618.0000_147801.0000.ogg,有哪些原因呢？有外因和内因
data/test/148258.0000_149761.0000.ogg,外因有感染
data/test/150923.0000_152733.0000.ogg,病毒细菌的感染
data/test/153086.0000_154733.0000.ogg,都有可能造成发烧
data/test/155446.0000_156646.0000.ogg,另外一种是药物
data/test/156646.0000_159813.0000.ogg,有些药物都会引起人体的发烧
data/test/160166.0000_162253.0000.ogg,举个例子说像肺结核
data/test/162805.0000_165733.0000.ogg,治疗的药物就会引发发烧
data/test/166329.0000_168300.0000.ogg,药物里面还有一种就是疫苗
data/test/168559.0000_170519.0000.ogg,最近大家都在打新冠疫苗
data/test/170519.0000_171980.0000.ogg,很多人都会说发烧
data/test/172159.0000_174460.0000.ogg,其实这个发烧只是一种表症
data/test/174519.0000_178319.0000.ogg,并不是说那个疫苗对人体有伤害
data/test/178319.0000_180020.0000.ogg,这是两种不同的概念
data/test/180922.0000_182246.0000.ogg,另外一种的是内因
data/test/182246.0000_182926.0000.ogg,内因，就是炎症
data/test/182926.0000_185966.0000.ogg,炎症和感染是不一样的
data/test/185966.0000_186973.0000.ogg,什么是炎症
data/test/187126.0000_189533.0000.ogg,炎症是人体修复
data/test/189766.0000_194253.0000.ogg,或者说是消灭一些被伤害的人体细胞
data/test/195295.0000_198262.0000.ogg,然后产生的一种一系列的反应
data/test/198337.0000_199982.0000.ogg,发烧是其中的一种
data/test/200297.0000_201942.0000.ogg,举个例子，关节炎
data/test/202337.0000_203022.0000.ogg,关节
data/test/204480.0000_208309.0000.ogg,有了炎症发病了这个时候也会
data/test/208730.0000_212050.0000.ogg,有些人会引起一些的发烧现象
data/test/212050.0000_214450.0000.ogg,所以发烧并不是一种病
data/test/214450.0000_216389.0000.ogg,发烧只是一种现象
data/test/3160.0000_6160.0000.ogg,"Mark, our topic today is closely related to us"
data/test/6160.0000_7160.0000.ogg,That's right
data/test/7160.0000_10360.0000.ogg,The second most common cancer among Singaporean men is prostate cancer
data/test/10360.0000_12360.0000.ogg,I recall that it was ranked third 10 years ago
data/test/12360.0000_13960.0000.ogg,How did it become second all of a sudden?
data/test/13960.0000_15960.0000.ogg,I don't know either. I need to clear some doubts
data/test/15960.0000_18360.0000.ogg,"So, our topic is prostate cancer"
data/test/19000.0000_23280.0000.ogg,Does frequent intercourse increase the risk of developing prostate cancer?
data/test/23280.0000_26280.0000.ogg,Is surgery a must for prostate cancer?
data/test/26280.0000_28480.0000.ogg,Or are there other treatment methods?
data/test/28480.0000_30280.0000.ogg,How do you detect it early?
data/test/30280.0000_32280.0000.ogg,What are the advantages of seeking TCM treatment?
data/test/32280.0000_36480.0000.ogg,<i>Let's Talk About Health <i>and learn together</i>
data/test/41360.0000_42560.0000.ogg,"Lee Teng, let me measure your waist"
data/test/42560.0000_43960.0000.ogg,Hold it! Why?
data/test/43960.0000_48560.0000.ogg,It's been said that the thickness of your waist indicates your risk for prostate cancer
data/test/48560.0000_51160.0000.ogg,You're scaring me. My waist has expanded recently
data/test/51160.0000_55760.0000.ogg,There are indeed some men who don't even know where the prostate is
data/test/55760.0000_56960.0000.ogg,Surely not?
data/test/56960.0000_59960.0000.ogg,How can a man know nothing about the prostate?
data/test/59960.0000_63160.0000.ogg,That's why the artistes we've invited know a lot about the prostate
data/test/63160.0000_66760.0000.ogg,Let's welcome our guests Yao Wen Long and Cavin Soh!
data/test/66760.0000_70960.0000.ogg,"And Dr Terence Lim, a urologist and senior consultant"
data/test/70960.0000_71960.0000.ogg,"Welcome, Dr Lim"
data/test/71960.0000_72960.0000.ogg,Welcome
data/test/72960.0000_74160.0000.ogg,Come
data/test/74160.0000_76360.0000.ogg,The valiant and high-spirited trio
data/test/76360.0000_77560.0000.ogg,Please be seated
data/test/78160.0000_81960.0000.ogg,How much do both of you know about the prostate?
data/test/81960.0000_85560.0000.ogg,The prostate should be in a man's lower half of the body
data/test/85560.0000_90960.0000.ogg,"Specifically, it's just below the bladder and in front of the rectum"
data/test/91560.0000_94560.0000.ogg,"Wen Long, do you know the functions of the prostate?"
data/test/94759.0000_96960.0000.ogg,I don't know the functions of the prostate
data/test/97759.0000_98759.0000.ogg,Never mind
data/test/98759.0000_100160.0000.ogg,Let's ask the specialist -That's right
data/test/101160.0000_103759.0000.ogg,"Dr Lim, what exactly is the prostate for?"
data/test/104360.0000_107960.0000.ogg,You can't see and touch the prostate
data/test/107960.0000_111960.0000.ogg,It sits deep in the pelvis and below the bladder
data/test/111960.0000_113360.0000.ogg,It surrounds the top of the urethra
data/test/113360.0000_117360.0000.ogg,"Urine drains from the bladder, passes through the prostate and discharges from the penis"
data/test/117759.0000_119960.0000.ogg,The primary function of the prostate is...
data/test/119960.0000_124160.0000.ogg,to produce prostatic fluid for semen and...
data/test/124160.0000_125960.0000.ogg,to help the sperm travel and...
data/test/125960.0000_129360.0000.ogg,survive the journey to a woman's body...
data/test/129360.0000_132560.0000.ogg,before swimming upwards to penetrate the eggs and...
data/test/132560.0000_134560.0000.ogg,increase the chances of conception
data/test/135160.0000_137160.0000.ogg,There is another function
data/test/137160.0000_139160.0000.ogg,"During climax,"
data/test/139160.0000_141360.0000.ogg,the prostate contracts
data/test/141360.0000_143560.0000.ogg,That helps in ejaculation
data/test/143560.0000_144760.0000.ogg,"At the same time,"
data/test/144760.0000_148360.0000.ogg,the urethral sphincter closes...
data/test/148360.0000_151960.0000.ogg,to prevent sperm from flowing backwards into the bladder...
data/test/151960.0000_153760.0000.ogg,and mixing with urine
data/test/153760.0000_155760.0000.ogg,"I see. That's very important, right?"
data/test/155760.0000_156360.0000.ogg,Yes
data/test/156360.0000_161560.0000.ogg,Does a patient with prostate cancer feel some sort of pain?
data/test/161560.0000_165560.0000.ogg,"The fact is, many cases of early-stage prostate cancer have no symptoms"
data/test/165560.0000_167160.0000.ogg,None at all? -None at all
data/test/167560.0000_171560.0000.ogg,Has frequent urination at night anything to do with the prostate?
data/test/171560.0000_175560.0000.ogg,Yes. This is the prostate and that is the bladder
data/test/175560.0000_180160.0000.ogg,"Urine flows from the bladder, runs through the prostate and is then discharged"
data/test/180160.0000_184160.0000.ogg,"So, you can imagine that when the prostate is enlarged,"
data/test/184160.0000_187560.0000.ogg,it will place pressure on the urethra
data/test/187560.0000_189560.0000.ogg,This will slow down urine flow
data/test/189560.0000_194360.0000.ogg,Prostate cancer may lead to urinary issues
data/test/194560.0000_198760.0000.ogg,"But in most cases, prostate cancer developed around the prostate"
data/test/198760.0000_201560.0000.ogg,"Therefore, the prostate has to be significantly enlarged..."
data/test/201560.0000_203560.0000.ogg,for it to press against the urethra
data/test/203960.0000_206960.0000.ogg,"In the case of benign prostate enlargement, however,"
data/test/206960.0000_209960.0000.ogg,there is swelling around the urethra
data/test/210320.0000_213520.0000.ogg,"If there are signs of an enlarged prostate,"
data/test/213520.0000_216920.0000.ogg,there will be early symptoms of urinary problems
data/test/217320.0000_218520.0000.ogg,What about the late stage?
data/test/218520.0000_221720.0000.ogg,Symptoms in the late stage are classified into two groups
data/test/221720.0000_223720.0000.ogg,The first group consists of peripheral symptoms
data/test/223720.0000_227120.0000.ogg,"Peripheral symptoms are, as mentioned earlier,"
data/test/6172.0000_11977.0000.ogg,"At 10 o'clock in the evening on December 25th, ambulances outside the emergency room of Peking Union Medical College Hospital brought the patients over one after another."
data/test/15179.0000_22852.0000.ogg,"Peking Union Medical College Hospital has expanded the emergency department and fever clinic through internal renovation, and now has two fever clinics and one emergency department."
data/test/23186.0000_31926.0000.ogg,"In the first fever clinic area, after eight o'clock in the evening, Professor Li Yi, the deputy director of the emergency department, was out of the clinic. He has been seeing patients continuously for more than seven hours today."
data/test/32526.0000_35529.0000.ogg,Does he now feel that there is such a trend going down?
data/test/35529.0000_44769.0000.ogg,"At present, I don't feel very good. We try our best to serve patients. As long as we're able to accommodate, we'll, uh, do our best."
data/test/44836.0000_62917.0000.ogg,"In the second fever clinic area, most of the patients are gray-haired elderly people. Because of the high fever for several days, the vascular condition of the elderly patients is already very bad. The nurses squatted next to the old man and looked carefully, hoping to get the needle right with one shot, so that the old man could get the infusion as soon as possible to control his condition."
data/test/63017.0000_69022.0000.ogg,"Is it for follow-up infusion? Is it your first time here? Come on, watch this, and answer the questions."
data/test/0.0000_2300.0000.ogg,每一个下不来手术台的这种
data/test/2866.0000_4100.0000.ogg,手术 案例
data/test/4400.0000_7566.0000.ogg,都会深深的砸在脑子里 会砸一辈子
data/test/7966.0000_9466.0000.ogg,你在抢救一个病人的时候
data/test/9466.0000_10766.0000.ogg,你脑子在想什么呢
data/test/11133.0000_12466.0000.ogg,就是想让他活下来
data/test/12533.0000_15366.0000.ogg,思路非常非常单纯
data/test/15966.0000_17766.0000.ogg,就是想把他拉回来
data/test/18700.0000_20466.0000.ogg,我比较喜欢的一句话就是什么
data/test/20466.0000_21433.0000.ogg,敬畏生命
data/test/21433.0000_23200.0000.ogg,一定要敬畏生命
data/test/23433.0000_26266.0000.ogg,就是对于这种疾病这种治疗
data/test/26600.0000_30666.0000.ogg,我感觉不可能机器来取代人
data/test/31066.0000_31833.0000.ogg,这是整个这个
data/test/31833.0000_33533.0000.ogg,疾病的这个治疗
data/test/33800.0000_36400.0000.ogg,和这个整个的这个医学的发展
data/test/36466.0000_37333.0000.ogg,是不断的进展
data/test/37333.0000_39100.0000.ogg,当然新技术越来越介入
data/test/39233.0000_40666.0000.ogg,但是不管怎么介入
data/test/40666.0000_41666.0000.ogg,我个人的观点
data/test/41666.0000_44866.0000.ogg,我还是感觉他终究离不开人
data/test/45966.0000_48566.0000.ogg,下面是我和孙厚荣医生的对话
data/test/48800.0000_50866.0000.ogg,孙厚荣是山东省齐鲁医院
data/test/50866.0000_52733.0000.ogg,心脏外科副主任医师
data/test/52733.0000_54933.0000.ogg,医学博士 硕士生导师
data/test/55266.0000_57600.0000.ogg,他本科就读于山东大学医学院
data/test/57600.0000_58866.0000.ogg,并以优异的成绩
data/test/58866.0000_61533.0000.ogg,保送山东大学齐鲁医院心脏外科
data/test/61533.0000_62466.0000.ogg,硕博连读
data/test/63066.0000_64833.0000.ogg,博士毕业之后留院工作
data/test/65233.0000_68966.0000.ogg,他每年为将近600个患者进行心脏外科手术
data/test/69133.0000_72633.0000.ogg,至今已经帮助数千名患者重获健康
data/test/73466.0000_75100.0000.ogg,我很幸运能和孙医生这样
data/test/75100.0000_77633.0000.ogg,杰出的心脏外科医生深入交谈
data/test/78033.0000_80765.0000.ogg,去感受医生的执着和勇气
data/test/81366.0000_83265.0000.ogg,朋友们 这里是李秋林的播客
data/test/83466.0000_86066.0000.ogg,下面是我和孙厚荣的对话
data/test/87300.0000_89666.0000.ogg,孙医生你到现在为止
data/test/89866.0000_91666.0000.ogg,你做过多少台心脏手术了
data/test/91966.0000_94300.0000.ogg,这个算下来我感觉
data/test/94633.0000_95800.0000.ogg,主治这段时间
data/test/95800.0000_98400.0000.ogg,"应该是做了接近得有4,000台手术"
data/test/98966.0000_100966.0000.ogg,然后说总量
data/test/100966.0000_103600.0000.ogg,"加起来应该是小5,000台了吧"
data/test/103600.0000_107433.0000.ogg,"5,000台心脏手术 整个各级手术"
data/test/107633.0000_111200.0000.ogg,包括比较简单的二级三级啊
data/test/111200.0000_112366.0000.ogg,那种介入手术
data/test/112366.0000_113133.0000.ogg,明白
data/test/113133.0000_116000.0000.ogg,"还有各种操作基本上就5,000"
data/test/116433.0000_117433.0000.ogg,所以说你从做
data/test/117433.0000_119466.0000.ogg,"第一台手术到做到第5,000台手术"
data/test/119466.0000_121600.0000.ogg,你的心境的变化
data/test/121700.0000_123166.0000.ogg,有这种变化吗
data/test/124066.0000_126900.0000.ogg,我记得那时是
data/test/127000.0000_131400.0000.ogg,做跟着第一台心脏手术的时候
data/test/131400.0000_134300.0000.ogg,是当时跟着值夜班跟着上级医师值夜班
data/test/134500.0000_137266.0000.ogg,是一个刀刺伤心脏破裂的
data/test/137433.0000_139466.0000.ogg,当时感觉那时感觉
data/test/140033.0000_140833.0000.ogg,这么神奇
data/test/140833.0000_143666.0000.ogg,这种病人一般救不活的 心脏破裂
data/test/143866.0000_145466.0000.ogg,然后跟着上台
data/test/145766.0000_147766.0000.ogg,然后就缝合那个破裂的心脏
data/test/147766.0000_149100.0000.ogg,开胸缝合破裂的心脏
data/test/149100.0000_151600.0000.ogg,当时病人血压都很低了
data/test/151600.0000_153600.0000.ogg,年轻人刀刺伤的
data/test/153700.0000_155233.0000.ogg,但最后缝好了以后
data/test/155233.0000_156900.0000.ogg,他很快这个这个手术
data/test/157166.0000_160000.0000.ogg,大概也就是半个小时左右吧
data/test/160000.0000_162100.0000.ogg,因为一直在出血吗
data/test/163833.0000_168066.0000.ogg,做完了以后很快病人两三天就康复了
data/test/168200.0000_169966.0000.ogg,所以感觉很神奇
data/test/170200.0000_171666.0000.ogg,但是像现在想起来
data/test/172033.0000_173033.0000.ogg,当然他这个
data/test/173200.0000_175366.0000.ogg,当时心脏他破裂的这个部位啊
data/test/175433.0000_178200.0000.ogg,是个比较比较好缝的一个部位
data/test/178200.0000_179600.0000.ogg,手术时间不会很长
data/test/179600.0000_181433.0000.ogg,当时时间长可能就不好说了
data/test/181433.0000_182566.0000.ogg,但现在想想的可能是
data/test/182566.0000_184100.0000.ogg,单纯就是心脏缝合
data/test/184366.0000_185866.0000.ogg,对于整个
data/test/185866.0000_187200.0000.ogg,对一个心脏外科大夫来讲
data/test/187200.0000_188500.0000.ogg,并不是很难这个事情
data/test/188633.0000_189666.0000.ogg,但当时候第一台
data/test/189666.0000_192600.0000.ogg,参加的这个手术感觉就充满了
data/test/193266.0000_194966.0000.ogg,对这个心脏外科
data/test/194966.0000_195966.0000.ogg,你缝的吗
data/test/196000.0000_197666.0000.ogg,不是不是那是跟着看呀
data/test/197666.0000_198300.0000.ogg,我跟着看
data/test/198300.0000_200600.0000.ogg,跟着看是刚
data/test/200633.0000_201600.0000.ogg,是博士的时候
data/test/201600.0000_203466.0000.ogg,那时候还没有正式参加工作
data/test/203466.0000_207300.0000.ogg,那是跟着跟着上级大夫一块
data/test/207300.0000_209033.0000.ogg,那到了做了这么多几百
data/test/209033.0000_211066.0000.ogg,后来就两千三千四千五千的时候
data/test/211066.0000_212900.0000.ogg,你的心理变化是什么
data/test/213066.0000_214300.0000.ogg,慢慢就沉淀下来了
data/test/214300.0000_217766.0000.ogg,因为一个心脏外科手术其实
data/test/218100.0000_219300.0000.ogg,各种难度系数
data/test/219300.0000_221633.0000.ogg,应该在整个外科系统来讲
data/test/221766.0000_223100.0000.ogg,应该属于最高的
data/test/223100.0000_225600.0000.ogg,我们心外科手术应该是走在这个
data/test/225700.0000_226800.0000.ogg,整个这个
data/test/227266.0000_228566.0000.ogg,外科发展的前沿
data/test/228866.0000_231266.0000.ogg,很多新技术每年都有新技术
data/test/231266.0000_233366.0000.ogg,就是隔上几年
data/test/233500.0000_235266.0000.ogg,就技术的翻新啊
data/test/235266.0000_236800.0000.ogg,就新技术的引进
data/test/236833.0000_238866.0000.ogg,而且很多术式都在改良
data/test/239000.0000_241800.0000.ogg,很多理念都在慢慢发生变化
data/test/242000.0000_243666.0000.ogg,所以说很多这种
data/test/244466.0000_245500.0000.ogg,课本上是
data/test/245500.0000_248633.0000.ogg,跟不上这个速度的
data/test/248766.0000_250400.0000.ogg,我们现在很多做的这个
data/test/250500.0000_252233.0000.ogg,这个术式啊
data/test/252233.0000_253800.0000.ogg,还有一些技术要点
data/test/254000.0000_255766.0000.ogg,在课本上是没有的
data/test/255766.0000_257266.0000.ogg,然后这个是什么叫术式
data/test/257600.0000_262033.0000.ogg,就是用来解决一个疾病的一个方式
data/test/262033.0000_265500.0000.ogg,手术方式 简单讲叫术式
data/test/265600.0000_268233.0000.ogg,这种手术方式在不断的发生进步
data/test/268233.0000_270100.0000.ogg,不断的提高
data/test/270100.0000_270433.0000.ogg,所以说
data/test/270433.0000_272166.0000.ogg,可能就是这个心脏外科的学生
data/test/272166.0000_274433.0000.ogg,是在实践中是学习最快的
data/test/274433.0000_276266.0000.ogg,而不是在医学院读书的时候
data/test/276266.0000_278800.0000.ogg,对 因为课本他肯定是
data/test/279033.0000_281766.0000.ogg,远远落后于这个技术的发展
data/test/281766.0000_284433.0000.ogg,那在整个这个外科体系里边
data/test/284433.0000_286166.0000.ogg,心外科他到底是个什么地位呢
data/test/287033.0000_288466.0000.ogg,大家都知道
data/test/288466.0000_290832.0000.ogg,这个整个外科系统里边来讲
data/test/290832.0000_293600.0000.ogg,最难的两个科应该是
data/test/293600.0000_295500.0000.ogg,心脏外科和神经外科
data/test/295500.0000_297866.0000.ogg,这个整个在这个所有的培训体系
data/test/297866.0000_299000.0000.ogg,包括欧美体系
data/test/299100.0000_300266.0000.ogg,包括亚洲体系
data/test/300266.0000_300800.0000.ogg,这所有的
data/test/300800.0000_302600.0000.ogg,这个整个世界范围这个体系里边
data/test/302600.0000_304300.0000.ogg,培训体系里边来讲
data/test/304666.0000_307166.0000.ogg,这是时间最长的
data/test/307233.0000_309300.0000.ogg,就是心脏外科是做手术时间最长
data/test/309300.0000_311866.0000.ogg,不是 整个成长曲线
data/test/311866.0000_314066.0000.ogg,和这培养一个成熟的
data/test/314366.0000_315100.0000.ogg,心脏外科医生
data/test/315100.0000_317566.0000.ogg,或者说外科医生至少你能入门
data/test/317566.0000_320266.0000.ogg,入门之前的这个培训是最长的
data/test/320266.0000_322000.0000.ogg,在整个这个外科系统里边
data/test/322000.0000_322800.0000.ogg,应该是最长的
data/test/322800.0000_326033.0000.ogg,难度系数是最高
data/test/326033.0000_327766.0000.ogg,所以说这个
data/test/328300.0000_330600.0000.ogg,在整个外科系统里边来讲
data/test/330600.0000_332966.0000.ogg,所以我们心外科应该是地位应该是挺高
data/test/333166.0000_334666.0000.ogg,这个不是说
data/test/335300.0000_336966.0000.ogg,自己夸自己
data/test/337033.0000_338832.0000.ogg,确实我们在外科系统里面
data/test/338832.0000_341266.0000.ogg,我们心外科的地位是非常高的
data/test/341666.0000_342900.0000.ogg,因为整个这个
data/test/343366.0000_345966.0000.ogg,我们和这个生死打交道
data/test/345966.0000_347900.0000.ogg,心脏外科确实和生死打交道
data/test/348200.0000_350100.0000.ogg,因为有时候这种突发情况
data/test/350266.0000_353100.0000.ogg,还有这个一些
data/test/353266.0000_355233.0000.ogg,这个生命的一些脆弱性
data/test/355433.0000_357700.0000.ogg,在我们心外科里边来讲是
data/test/357866.0000_359866.0000.ogg,体现的非常淋漓尽致
data/test/360033.0000_363466.0000.ogg,有时候这个病人
data/test/364000.0000_364600.0000.ogg,说不行
data/test/364600.0000_367400.0000.ogg,说出现这种突发情况就是在一瞬间
data/test/367500.0000_369000.0000.ogg,在几秒钟的时间
data/test/369233.0000_370633.0000.ogg,这是一个心外科大夫
data/test/370866.0000_372166.0000.ogg,他反应非常快
data/test/372166.0000_374033.0000.ogg,而且的沉稳老练
data/test/374166.0000_375400.0000.ogg,脑子里边带有一些
data/test/375400.0000_377600.0000.ogg,这个一些应急的一些办法
data/test/377966.0000_379400.0000.ogg,在脑子里是不是有那种公式
data/test/379400.0000_381000.0000.ogg,就是今天见的案例多了
data/test/381000.0000_382366.0000.ogg,就刚出现这个情况了
data/test/382366.0000_384766.0000.ogg,基本上已经想到了处置方式ABCD
data/test/385233.0000_388600.0000.ogg,有时可能是比如说作为一个
data/test/389366.0000_390266.0000.ogg,比较
data/test/390266.0000_392600.0000.ogg,比较经验丰富的一个心外科大夫
data/test/392600.0000_394266.0000.ogg,他有时候出现情况的时候
data/test/394266.0000_395832.0000.ogg,他可能是些潜意识的
data/test/396100.0000_397832.0000.ogg,他脑子这可能反应不过来
data/test/398066.0000_400000.0000.ogg,甚至有时候我们开玩笑说
data/test/400066.0000_403166.0000.ogg,我们有时候脑子可能慢于手
data/test/403900.0000_406100.0000.ogg,就是这个可能思维还在
data/test/406400.0000_407666.0000.ogg,思维还在路上的时候
data/test/407666.0000_409066.0000.ogg,可能手已经先过去了
data/test/409066.0000_410266.0000.ogg,这动作已经先过去了
data/test/410266.0000_411266.0000.ogg,因为开始开始执行
data/test/411266.0000_412466.0000.ogg,就是潜意识的
data/test/412500.0000_414033.0000.ogg,比如说病人出现突发情况
data/test/414033.0000_415433.0000.ogg,突然抢救的时候
data/test/415600.0000_416666.0000.ogg,这是这个
data/test/416966.0000_418700.0000.ogg,一些什么心脏骤停
data/test/418700.0000_421400.0000.ogg,这是一些突发的情况大出血
data/test/421666.0000_422666.0000.ogg,可能很快
data/test/422833.0000_424066.0000.ogg,在几秒钟之内
data/test/424633.0000_425900.0000.ogg,那可能那你
data/test/425900.0000_428166.0000.ogg,这个思维可能也在飞速的在
data/test/428166.0000_429100.0000.ogg,在旋转
data/test/429433.0000_432600.0000.ogg,但是你的手已经那动作已经开始了
data/test/432833.0000_434500.0000.ogg,你整个消毒了
data/test/434500.0000_436800.0000.ogg,然后这个这个紧急开胸了
data/test/436800.0000_438800.0000.ogg,这个按压了除颤了
data/test/438900.0000_439866.0000.ogg,所有这些动作
data/test/439866.0000_442633.0000.ogg,还有指挥的护士怎么去干啊
data/test/442633.0000_443433.0000.ogg,所有这些
data/test/443500.0000_446700.0000.ogg,有时你甚至有的指令
data/test/447166.0000_449166.0000.ogg,甚至不经过脑子就出来了
data/test/449266.0000_451366.0000.ogg,给护士讲怎么来抢救这病人
data/test/451366.0000_453066.0000.ogg,所以说达到这种状态的话
data/test/453066.0000_454866.0000.ogg,你刚开始的时候沉淀过的
data/test/454866.0000_456700.0000.ogg,沉淀过的确实是经过了
data/test/457466.0000_458900.0000.ogg,时间漫长的一个沉淀
data/test/458900.0000_460866.0000.ogg,锻炼出来
data/test/460866.0000_463233.0000.ogg,所以说一个心外科医生的这个手
data/test/463500.0000_465366.0000.ogg,是不是要格外的保护
data/test/465366.0000_466200.0000.ogg,你是不是不能
data/test/466366.0000_468266.0000.ogg,我猜啊 是不是不能打篮球啊
data/test/468266.0000_469000.0000.ogg,什么打乒乓球
data/test/469000.0000_471566.0000.ogg,不能打这种剧烈运动
data/test/471566.0000_472433.0000.ogg,没有这一说吗
data/test/472433.0000_473466.0000.ogg,没有没有没有
data/test/473766.0000_474600.0000.ogg,我想说万一
data/test/474600.0000_476300.0000.ogg,打篮球把这个手指头戳了
data/test/476300.0000_477832.0000.ogg,然后会不会说影响你们这个
data/test/477900.0000_479300.0000.ogg,缝合操刀什么的
data/test/479300.0000_481600.0000.ogg,当然我们可能平时在意一点
data/test/481600.0000_483400.0000.ogg,但是这个运动我们还是
data/test/483700.0000_485566.0000.ogg,没有那么在意
data/test/485566.0000_488033.0000.ogg,我因为在上大学的时候我就打篮球
data/test/488033.0000_490400.0000.ogg,很喜欢打篮球
data/test/490400.0000_493433.0000.ogg,这个手保护确实该保护
data/test/493566.0000_496433.0000.ogg,但是这个手的灵活性和稳定性
data/test/496666.0000_498166.0000.ogg,是在这个日积月累的
data/test/498166.0000_499566.0000.ogg,这个临床时间过程当中
data/test/499566.0000_500866.0000.ogg,获得产生了
data/test/501633.0000_502633.0000.ogg,心外科大夫
data/test/502966.0000_506600.0000.ogg,一个非常关键的一个品质
data/test/506600.0000_508633.0000.ogg,非常关键的一个品质就是什么
data/test/508766.0000_509666.0000.ogg,一定要稳
data/test/510500.0000_512600.0000.ogg,沉稳
data/test/512765.0000_515633.0000.ogg,而且手肯定至少一个要求
data/test/515633.0000_516500.0000.ogg,不能抖
data/test/516866.0000_518165.0000.ogg,因为非常精细
data/test/518566.0000_519700.0000.ogg,因为很多操作
data/test/519799.0000_521200.0000.ogg,我们是在放大镜底下做的
data/test/521200.0000_523200.0000.ogg,对我看眼睛上面有那个黑的那个
data/test/523200.0000_524600.0000.ogg,那是放大镜
data/test/524600.0000_527466.0000.ogg,比如说我们现在
data/test/527566.0000_530266.0000.ogg,做的非常多的一个是手术
data/test/530266.0000_532266.0000.ogg,是冠状动脉搭桥手术
data/test/533033.0000_536665.0000.ogg,他就是其实也就是一两毫米的血管
data/test/536665.0000_538665.0000.ogg,在一两毫米的血管上做操作
data/test/539033.0000_541233.0000.ogg,做吻合 其实是非常精细的
data/test/541233.0000_542466.0000.ogg,就那个搭桥
data/test/542466.0000_544100.0000.ogg,那个桥是多大的东西
data/test/545166.0000_547666.0000.ogg,其实这个血管的直径上是很细的
data/test/547666.0000_548466.0000.ogg,就一毫米
data/test/548466.0000_550300.0000.ogg,一到二毫米之间
data/test/550300.0000_552200.0000.ogg,就把那个小东西植入到那个血管里
data/test/552200.0000_552833.0000.ogg,给它撑起来
data/test/552833.0000_555266.0000.ogg,不是撑 那是内科的
data/test/555500.0000_558166.0000.ogg,我们就是一针一针的把它吻合起来
data/test/558166.0000_560033.0000.ogg,就是在这个跨过这个
data/test/560666.0000_563366.0000.ogg,狭窄这个血管狭窄的远端 重新接上
data/test/563366.0000_565266.0000.ogg,把这个血管吻合上去
data/test/565466.0000_567266.0000.ogg,让这个血管进行一个
data/test/567300.0000_568566.0000.ogg,血流的一个重建
data/test/569433.0000_571100.0000.ogg,非常精细 就搭起来
data/test/571100.0000_573500.0000.ogg,因为你的放大镜
data/test/573500.0000_575600.0000.ogg,你知道这一圈大概是10针
data/test/575766.0000_576900.0000.ogg,10针左右
data/test/577033.0000_579300.0000.ogg,这每一针怎么走
data/test/579400.0000_581200.0000.ogg,走的这个距离是什么
data/test/581833.0000_583700.0000.ogg,都提前都有一个预判
data/test/583700.0000_585266.0000.ogg,都是计算好了
data/test/585266.0000_587300.0000.ogg,所以说这个得非常精细
data/test/587300.0000_588766.0000.ogg,你拿针缝的不好啊
data/test/588766.0000_590966.0000.ogg,你可能你这血管搭的这个
data/test/590966.0000_593233.0000.ogg,这远期效果就不好
data/test/593233.0000_594433.0000.ogg,它这撑的时间就短
data/test/594433.0000_598333.0000.ogg,因为你搭桥你需要这个血管
data/test/598600.0000_599900.0000.ogg,撑的时间越长越好
data/test/599900.0000_600833.0000.ogg,甚至终生
data/test/600833.0000_603500.0000.ogg,终生通常他是最好的 病人是最获益的
data/test/603566.0000_606766.0000.ogg,所以说要达到这种远期的通畅率
data/test/606766.0000_608900.0000.ogg,所以你必须得做的很精细
data/test/609466.0000_610366.0000.ogg,每一针
data/test/610500.0000_613966.0000.ogg,都必须要按照自己这个预期的去缝
data/test/614066.0000_616866.0000.ogg,缝好了以后血管才通畅
data/test/616900.0000_619000.0000.ogg,那你做了这么多台手术
data/test/619000.0000_621266.0000.ogg,有没有一台手术让你是最深刻
data/test/622366.0000_623866.0000.ogg,对这种手术印象最深刻
data/test/623866.0000_626366.0000.ogg,做了这么多了
data/test/626433.0000_629233.0000.ogg,最深刻说不出来但是有很多印象深刻
data/test/629233.0000_632300.0000.ogg,当然印象深刻包括好的坏的
data/test/632400.0000_633633.0000.ogg,因为整个
data/test/633700.0000_637033.0000.ogg,这个一个心脏外科大夫成长
data/test/637165.0000_638433.0000.ogg,成长过程当中
data/test/639066.0000_640665.0000.ogg,会有些很成功的
data/test/640665.0000_643266.0000.ogg,一些手术是非常当然成功的
data/test/643266.0000_644665.0000.ogg,是占多数
data/test/644833.0000_647566.0000.ogg,但也有个别的这种失败的手术
data/test/647566.0000_648900.0000.ogg,包括跟着老师做
data/test/649033.0000_650866.0000.ogg,都面临着各种
data/test/650866.0000_652000.0000.ogg,这个突发情况啊
data/test/652000.0000_652900.0000.ogg,突发情况
data/test/652900.0000_655300.0000.ogg,甚至下不来手台的这种情况
data/test/655433.0000_657600.0000.ogg,每一个下不来手术台的这种
data/test/658165.0000_659400.0000.ogg,手术 案例
data/test/659700.0000_662866.0000.ogg,都会深深的砸在脑子里 会砸一辈子
data/test/663600.0000_664233.0000.ogg,那你记得你
data/test/664233.0000_665666.0000.ogg,第一次下不来台那种手术吗
data/test/665666.0000_667000.0000.ogg,所谓下不来台就是这个
data/test/667600.0000_669300.0000.ogg,病患在做手术过程中去世了
data/test/671000.0000_672233.0000.ogg,这个是对病人的
data/test/672433.0000_674900.0000.ogg,对大夫来讲是一个挑战
data/test/674900.0000_676166.0000.ogg,心理上是一个挑战
data/test/676233.0000_677966.0000.ogg,你还记得你第一次接受
data/test/679233.0000_680400.0000.ogg,或者目击这种情况
data/test/680400.0000_683066.0000.ogg,但具体第一次那个时间不记得了
data/test/683066.0000_685200.0000.ogg,那还是当学生的时候
data/test/685300.0000_686766.0000.ogg,但是需要
data/test/687233.0000_690233.0000.ogg,需要跟着上级医生出去谈话
data/test/690400.0000_692466.0000.ogg,那种感觉就是要和家属去
data/test/692466.0000_694433.0000.ogg,需要告知
data/test/694665.0000_696366.0000.ogg,需要告知家属
data/test/697000.0000_700500.0000.ogg,很多的时候确实还是痛苦加失望
data/test/700900.0000_702500.0000.ogg,你做过你自己
data/test/702500.0000_705066.0000.ogg,作为主要大夫你做过类似的谈话吗
data/test/705766.0000_707266.0000.ogg,也有过
data/test/707600.0000_709866.0000.ogg,确实是首先来讲
data/test/710100.0000_711866.0000.ogg,这个肯定是
data/test/713100.0000_716700.0000.ogg,用了12分的力量去想尽各种办法
data/test/717100.0000_718300.0000.ogg,来去做这台手术
data/test/718300.0000_721166.0000.ogg,来去挽救去抢救
data/test/721166.0000_723633.0000.ogg,但最后实在是没有办法的时候
data/test/723833.0000_725400.0000.ogg,那必须要面对现实
data/test/726100.0000_728833.0000.ogg,当看到这个慢慢拉直线的时候
data/test/728833.0000_730366.0000.ogg,这个当然是
data/test/730600.0000_731766.0000.ogg,出现这种情况的时候
data/test/731766.0000_733766.0000.ogg,要反复给家属交流
data/test/734233.0000_736233.0000.ogg,他得有个心理预期
data/test/736433.0000_737900.0000.ogg,因为这个是在手术前
data/test/738300.0000_740433.0000.ogg,还是手术中手术过程当中
data/test/740433.0000_741800.0000.ogg,当中就是手术过程当中
data/test/741800.0000_743433.0000.ogg,当出现突发情况的时候
data/test/743866.0000_746200.0000.ogg,这是个随着这种时间的这种推移
data/test/746200.0000_747000.0000.ogg,可能这个
data/test/747100.0000_749566.0000.ogg,慢慢病人的生命体征可能会越来越差
data/test/749600.0000_752266.0000.ogg,一些很多办法都用上了
data/test/752400.0000_753466.0000.ogg,可能不奏效
data/test/753466.0000_757165.0000.ogg,这种时候对大夫来讲
data/test/757500.0000_760000.0000.ogg,是非常非常难过非常难过的
data/test/760000.0000_761966.0000.ogg,也是很艰难的一个过程
data/test/761966.0000_765600.0000.ogg,你去面对家属的时候
data/test/765866.0000_768300.0000.ogg,你要首先让家属
data/test/768566.0000_771300.0000.ogg,得清楚的认识到这个现实
data/test/771433.0000_774200.0000.ogg,然后来给他讲这个情况
data/test/774500.0000_776966.0000.ogg,这种病人很痛苦的时候
data/test/777300.0000_779300.0000.ogg,这种情景
data/test/779433.0000_782100.0000.ogg,会深深的落在脑子里边
data/test/783033.0000_786366.0000.ogg,所以不断去促进我们去不断去反思
data/test/786966.0000_787633.0000.ogg,去反思
data/test/787633.0000_790166.0000.ogg,每一台这种出现突发情况的那种手术
data/test/790166.0000_793866.0000.ogg,尽量下次避免这种情况发生
data/test/793866.0000_796200.0000.ogg,就是这医生有有坐诊
data/test/796500.0000_798166.0000.ogg,就是去门诊吗
data/test/798166.0000_800000.0000.ogg,去看门诊有的呢
data/test/800200.0000_802700.0000.ogg,这个住院部可能是只做手术
data/test/802766.0000_804233.0000.ogg,可能有的可能
data/test/804233.0000_807700.0000.ogg,可能有些时间段是负责急诊
data/test/808600.0000_811366.0000.ogg,你们是这样轮岗吗
data/test/811366.0000_812900.0000.ogg,还是
data/test/813266.0000_816766.0000.ogg,这些工作是并行的
data/test/817066.0000_819233.0000.ogg,然后门诊是
data/test/819366.0000_822433.0000.ogg,门诊是每个人是必须要承担的
data/test/822433.0000_823800.0000.ogg,这个必须去看
data/test/823800.0000_825165.0000.ogg,门诊
data/test/825200.0000_826366.0000.ogg,门诊是这样
data/test/826566.0000_828566.0000.ogg,还是其实是为整个
data/test/828566.0000_830700.0000.ogg,这个临床服务了
data/test/830700.0000_832200.0000.ogg,因为这个门诊
data/test/832466.0000_834100.0000.ogg,门诊的工作也很关键
data/test/834566.0000_836633.0000.ogg,需要去接诊新的病人
data/test/837033.0000_840200.0000.ogg,需要去复查这个术后
data/test/840300.0000_841766.0000.ogg,术后复查
data/test/841766.0000_843233.0000.ogg,一些病人
data/test/843233.0000_844900.0000.ogg,需要到门诊来随访
data/test/845166.0000_847466.0000.ogg,这都是些挺关键的
data/test/847466.0000_848866.0000.ogg,这种工作
data/test/848866.0000_851400.0000.ogg,但是当然我们的这个
data/test/851633.0000_855100.0000.ogg,工作90%以上的时间吧
data/test/855100.0000_857000.0000.ogg,应该还是在手术室里边
data/test/857000.0000_857966.0000.ogg,还是做手术
data/test/857966.0000_860300.0000.ogg,那这个急诊的话是不是有
data/test/860300.0000_861566.0000.ogg,有急诊 是随时
data/test/861833.0000_863366.0000.ogg,就是假如你在看着一个病人
data/test/863366.0000_864900.0000.ogg,突然那边打电话了说马上过去
data/test/864900.0000_865800.0000.ogg,你就得马上过去
data/test/865800.0000_867000.0000.ogg,那是
data/test/867000.0000_869866.0000.ogg,这个急诊是随时24小时应对
data/test/870700.0000_872066.0000.ogg,假如咱们现在聊天
data/test/872066.0000_874066.0000.ogg,突然来个电话你可能就要马上走了
data/test/874066.0000_876033.0000.ogg,就值班啊
data/test/876100.0000_877766.0000.ogg,值班医生
data/test/878233.0000_881100.0000.ogg,值班医生有权利管这个病人
data/test/881500.0000_883066.0000.ogg,就是
data/test/883066.0000_884466.0000.ogg,第一
data/test/884466.0000_887433.0000.ogg,接诊大夫要要全力负责这种急诊病人
data/test/887700.0000_890665.0000.ogg,那假如说他发现自己这个处理不了
data/test/890665.0000_891233.0000.ogg,他会怎么办
data/test/891233.0000_894433.0000.ogg,及时向上级上级大夫汇报
data/test/894433.0000_895900.0000.ogg,你知道我们那种科室
data/test/896000.0000_897366.0000.ogg,科室领导科室主任
data/test/897833.0000_899800.0000.ogg,他们就得就无论可能在哪里
data/test/899800.0000_900800.0000.ogg,在家可能正在休息干嘛
data/test/900800.0000_901533.0000.ogg,就直接马上就
data/test/901533.0000_902566.0000.ogg,心脏外科
data/test/902566.0000_904033.0000.ogg,这急诊绝对是优先
data/test/904366.0000_905666.0000.ogg,优先等级是最高了
data/test/905666.0000_907866.0000.ogg,这种手术是这个
data/test/908366.0000_910300.0000.ogg,来了以后如果有急诊手术
data/test/910466.0000_911966.0000.ogg,需要立刻安排手术
data/test/911966.0000_913433.0000.ogg,叫绿色通道
data/test/913433.0000_917633.0000.ogg,这种绿色通道手术是抢命的手术
data/test/917633.0000_918566.0000.ogg,抢救生命
data/test/918766.0000_919566.0000.ogg,就像
data/test/920433.0000_922166.0000.ogg,最常见的是主动脉夹层
data/test/922633.0000_923833.0000.ogg,什么叫主动脉夹层
data/test/923833.0000_924833.0000.ogg,就是血管破裂
data/test/924833.0000_927566.0000.ogg,他是一般是高血压引起的血管撕裂
data/test/927566.0000_928966.0000.ogg,就这种老人身上是
data/test/928966.0000_931466.0000.ogg,不不不年轻人也很多
data/test/931466.0000_932433.0000.ogg,就是高血压
data/test/932566.0000_934266.0000.ogg,高血压引起来的血管撕裂
data/test/934400.0000_936233.0000.ogg,因为这种死亡率非常高
data/test/936766.0000_938433.0000.ogg,就是人的这个主动脉大动脉
data/test/938433.0000_939165.0000.ogg,大动脉的
data/test/939165.0000_941466.0000.ogg,突然因为高血压的这个原因啊
data/test/941500.0000_942665.0000.ogg,引起来的撕裂
data/test/943033.0000_944433.0000.ogg,这种是在我们
data/test/944566.0000_947433.0000.ogg,心外科急诊里边来 讲是占主要的
data/test/947900.0000_950700.0000.ogg,所以这种抢救似的
data/test/950900.0000_952700.0000.ogg,他随时来了随时做了
data/test/952833.0000_954300.0000.ogg,就是马上找那个破的血管
data/test/954300.0000_955800.0000.ogg,给他缝上
data/test/956165.0000_957866.0000.ogg,是换血管 要更换血管
data/test/958100.0000_959766.0000.ogg,要把大血管要更换掉
data/test/960066.0000_963200.0000.ogg,其实就是本质上他流血过多的话
data/test/963466.0000_964666.0000.ogg,他因为他一直在流血
data/test/964800.0000_966500.0000.ogg,流血过多可能人就没了 是这样
data/test/966500.0000_969100.0000.ogg,他这个血管 夹层形成
data/test/969433.0000_972100.0000.ogg,他主动脉大血管是分三层
data/test/972600.0000_975033.0000.ogg,他这个 他是夹层
data/test/975033.0000_978400.0000.ogg,他是里边两层破了还剩外边那层膜
data/test/978433.0000_980633.0000.ogg,外膜还包裹着
data/test/980966.0000_982666.0000.ogg,就是人暂时生命
data/test/56760.0000_58760.0000.ogg,"To the most lovely people in the new generation, Wuhan people thank you"
data/test/66240.0000_72720.0000.ogg,Leishenshan Hospital Medallion
data/test/75700.0000_77700.0000.ogg,Leishenshan Hospital
data/test/86300.0000_88300.0000.ogg,Director of the episode: Shuhao Xie
data/test/97400.0000_98600.0000.ogg,This is ECMO main console？
data/test/98600.0000_99560.0000.ogg,Yes
data/test/100680.0000_101860.0000.ogg,70 days ago
data/test/102840.0000_105240.0000.ogg,The first mission for Weijun Wang when he arrived at the Leishenshan Hospital
data/test/105420.0000_108180.0000.ogg,is to open up the boxes that contain ECMO machines
data/test/108740.0000_110100.0000.ogg,"These are all donated, right?"
data/test/110320.0000_111620.0000.ogg,"Yes, brand new"
data/test/112300.0000_115440.0000.ogg,"Very expensive, maybe a hundred some million RMB?"
data/test/115440.0000_117100.0000.ogg,a hundred some million RMB for sure
data/test/117720.0000_120820.0000.ogg,Weijun Wang is one of the top ECMO doctors in Shanghai
data/test/120820.0000_121940.0000.ogg,I need to figure out how to assemble this
data/test/122120.0000_122920.0000.ogg,Because this is different
data/test/123340.0000_124620.0000.ogg,Now he needs to hold on to every minute
data/test/125320.0000_128100.0000.ogg,To assemble two newly donated ECMO
data/test/128919.0000_131400.0000.ogg,In the case of emergency
data/test/132800.0000_134880.0000.ogg,"I definitely want to be prepared early, the earlier the better"
data/test/134880.0000_136440.0000.ogg,Feel assured
data/test/137840.0000_138940.0000.ogg,If you are not prepared
data/test/139340.0000_139920.0000.ogg,What if a patient comes in at midnight
data/test/140220.0000_142820.0000.ogg,"You don't have the equipment, then there's less you can do"
data/test/143540.0000_145520.0000.ogg,"Since the equipment is here, we should have it ready"
data/test/151940.0000_155500.0000.ogg,In the ICU that the eighth batch of the medical teams assisting Wuhan
data/test/156040.0000_159420.0000.ogg,Bed number 5 and 15 are in the most dangerous condition
data/test/160280.0000_162079.0000.ogg,Bed 15 has been having high fever with unknown reasons
data/test/163079.0000_164480.0000.ogg,For 7 days
data/test/164840.0000_166079.0000.ogg,Rely only on a ventilator
data/test/166820.0000_167820.0000.ogg,is hard to support his breathing
data/test/169079.0000_172260.0000.ogg,Bed 5 has been showing positive for COVID-19
data/test/172720.0000_176140.0000.ogg,His lung is losing functions gradually
data/test/177280.0000_179280.0000.ogg,Any reactions?
data/test/180760.0000_182080.0000.ogg,Seems not
data/test/182580.0000_184660.0000.ogg,There is no specific treatment to COVID-19
data/test/185260.0000_186940.0000.ogg,"What doctors can do,"
data/test/187360.0000_188220.0000.ogg,is to support patients
data/test/188500.0000_189200.0000.ogg,when they are in the most dangerous condition
data/test/189540.0000_190040.0000.ogg,live through together
data/test/193660.0000_196079.0000.ogg,Same for ECMO
data/test/196640.0000_198400.0000.ogg,It is a life supporting system
data/test/198940.0000_200300.0000.ogg,Can temporarily replace human's lung functions
data/test/200920.0000_202960.0000.ogg,Earn time for treatments
data/test/204340.0000_205460.0000.ogg,Same for all the patients
data/test/206040.0000_208700.0000.ogg,[Dr. Jie Zhuang]We need to earn time for all of them
data/test/209160.0000_212140.0000.ogg,"If we don't do that, they might not have a chance"
data/test/212620.0000_215460.0000.ogg,"Give them some time, there might be a chance for them to survive"
data/test/215860.0000_216920.0000.ogg,So what do you do?
data/test/217300.0000_218740.0000.ogg,We must try
data/test/219380.0000_222980.0000.ogg,If Bed 5 and 15 keep getting worse
data/test/223800.0000_224700.0000.ogg,The only way to save them
data/test/224980.0000_226640.0000.ogg,Is Dr. Wang's ECMO
data/test/228340.0000_229000.0000.ogg,Press down for me
data/test/229280.0000_230320.0000.ogg,"I got it, it won't move"
data/test/231000.0000_232340.0000.ogg,Not high enough
data/test/232940.0000_233820.0000.ogg,This is too thin
data/test/236079.0000_237040.0000.ogg,Doesn't work
data/test/237420.0000_239400.0000.ogg,He didn't give us the cart
data/test/239940.0000_241180.0000.ogg,I thought so
data/test/242280.0000_243060.0000.ogg,"Without the cart, there's no pole"
data/test/243200.0000_244000.0000.ogg,How can you assemble this?
data/test/244720.0000_245480.0000.ogg,Let me think
data/test/248420.0000_249600.0000.ogg,Dr. Wang didn't realize
data/test/250360.0000_251660.0000.ogg,Until the end of the assembling
data/test/252120.0000_254080.0000.ogg,that they only received the main console of ECMO
data/test/254400.0000_256060.0000.ogg,All the tubes and accessories are missing
data/test/258399.0000_259399.0000.ogg,There's one more thing missing
data/test/260600.0000_263100.0000.ogg,The mixed venous oxygen saturation monitor
data/test/264520.0000_265620.0000.ogg,One other part is missing
data/test/266160.0000_267420.0000.ogg,You can assemble this for now
data/test/267820.0000_268820.0000.ogg,Something is still missing
data/test/269400.0000_270320.0000.ogg,That I can't help with
data/test/270920.0000_271640.0000.ogg,"yup, something else is missing"
data/test/271920.0000_272520.0000.ogg,Let's assemble this for now
data/test/273040.0000_274060.0000.ogg,"Most importantly, how many consumables we need"
data/test/275300.0000_279460.0000.ogg,The corresponding package for this console
data/test/280140.0000_283120.0000.ogg,Which is the artificial lung and tubes
data/test/283600.0000_284600.0000.ogg,"Out of stock, totally"
data/test/288100.0000_289000.0000.ogg,For an ECMO to work
data/test/289840.0000_291120.0000.ogg,it needs a lot of accessories
data/test/292020.0000_294580.0000.ogg,"At this moment, the whole country is supporting Wuhan"
data/test/295260.0000_297520.0000.ogg,But the arrival of supplies has an order
data/test/298300.0000_299200.0000.ogg,[Dr. Zhuang]if it still doesn't work
data/test/299400.0000_299900.0000.ogg,and very urgent
data/test/300200.0000_304020.0000.ogg,I can talk to China Eastern Airlines and they can deliver them (parts) to Wuhan
data/test/304440.0000_307360.0000.ogg,I'll go get it and bring them here
data/test/307900.0000_308980.0000.ogg,Don't worry
data/test/309280.0000_310280.0000.ogg,As long as your machine and corresponding parts are enough and functioning
data/test/310860.0000_312360.0000.ogg,That's the most important
data/test/312640.0000_314060.0000.ogg,Other things can wait
data/test/316880.0000_318580.0000.ogg,This is the first impression
data/test/319460.0000_321200.0000.ogg,that Dr. Wang has for Leishenshan Hospital
data/test/321320.0000_321960.0000.ogg,So hot
data/test/322440.0000_325240.0000.ogg,"Nervous, hasty, all kinds of unexpected things"
data/test/326400.0000_328280.0000.ogg,The COVID-19 patients are obviously different
data/test/328780.0000_330420.0000.ogg,then the ARDS patients we had before
data/test/331300.0000_332480.0000.ogg,must detect early and treat early
data/test/332760.0000_333260.0000.ogg,must not delay
data/test/333520.0000_335500.0000.ogg,you never know what is changing if delayed
data/test/335780.0000_336780.0000.ogg,"once delayed, you can never save them"
data/test/337159.0000_339420.0000.ogg,so we should do our best to support each other
data/test/339920.0000_341420.0000.ogg,multi-task
data/test/341580.0000_344840.0000.ogg,usually we nurses don't assist in ACT tests and blood gas tests
data/test/345380.0000_346140.0000.ogg,only doctors do these tests
data/test/346480.0000_347159.0000.ogg,now we have no choice
data/test/347560.0000_349659.0000.ogg,now we are in Leishenshan Hospital
data/test/349700.0000_350740.0000.ogg,we have no choice
data/test/351100.0000_353440.0000.ogg,it is impossible for doctors to enter the rooms and do ACT tests and blood gas tests
data/test/354080.0000_356860.0000.ogg,"this is only gathering the blood, what if you need to suck phlegm?"
data/test/356860.0000_359640.0000.ogg,or turn over the patient? observing the wound?
data/test/360000.0000_361000.0000.ogg,a lot of things
data/test/362060.0000_362700.0000.ogg,because logically speaking
data/test/363000.0000_364760.0000.ogg,do nurses have the qualifications to do these processes
data/test/366480.0000_367760.0000.ogg,"well, I'm practicing off-site"
data/test/368600.0000_369600.0000.ogg,my site is Shanghai
data/test/370020.0000_370780.0000.ogg,this is a special time
data/test/379940.0000_382280.0000.ogg,now we do not emphasize on your professional scope
data/test/382280.0000_385460.0000.ogg,now we need to emphasize on the effectiveness of this team
data/test/385500.0000_388000.0000.ogg,"emergency situation, you have to do it if you can"
data/test/388060.0000_390780.0000.ogg,"there's no choice, it's emergency"
data/test/390780.0000_394080.0000.ogg,"at a situation like this, we need to cooperate"
data/test/394860.0000_397120.0000.ogg,this relationship is like sworn buddies
data/test/397480.0000_399060.0000.ogg,what do you say
data/test/399659.0000_400980.0000.ogg,this is risking life
data/test/403280.0000_408159.0000.ogg,"1,2,3, we are the ECMO team of the Leishenshan Hospital"
data/test/408659.0000_410659.0000.ogg,"Renji Hospital, Shanghai No.1 Hospital, Shanghai Yangpu District Central Hospital"
data/test/412140.0000_413940.0000.ogg,we are composed of 6 hospitals
data/test/413940.0000_416525.0000.ogg,"Shanghai No.5 Hospital, Shanghai No.6 Hospital, Shanghai No.7 Hospital"
data/test/416525.0000_419495.0000.ogg,the difficulty is every hospital have different habits( on doing certain things)
data/test/419500.0000_421540.0000.ogg,maybe different in processes too
data/test/422020.0000_423800.0000.ogg,our ECMO team
data/test/424380.0000_425620.0000.ogg,I feel like we need to put away the limitation of departments
data/test/425940.0000_427080.0000.ogg,we are one department now
data/test/427220.0000_428220.0000.ogg,Leishenshan Hospital
data/test/433540.0000_435540.0000.ogg,"Wuhan, hang in there!"
data/test/442700.0000_444580.0000.ogg,searched back and forth
data/test/444840.0000_445840.0000.ogg,compatible ECMO accessories
data/test/446380.0000_447380.0000.ogg,finally arrived
data/test/451200.0000_453100.0000.ogg,finally found it
data/test/457540.0000_458400.0000.ogg,"but awkwardly,"
data/test/459080.0000_461300.0000.ogg,"there are 2 ECMO machines, but only 1 accessory pack"
data/test/473560.0000_475900.0000.ogg,why indications to put on ECMO needs to be strong
data/test/475900.0000_477840.0000.ogg,because now you are saving one
data/test/477840.0000_479140.0000.ogg,spending so much effort
data/test/479360.0000_480160.0000.ogg,what if another patient suddenly needs it?
data/test/480840.0000_482080.0000.ogg,this has to be relatively speaking
data/test/482780.0000_484120.0000.ogg,we need to make a choice between the 2 ECMO indications
data/test/484120.0000_485900.0000.ogg,can't be farfetched
data/test/486400.0000_487420.0000.ogg,putting in all the efforts when there is no hope at all
data/test/487960.0000_488800.0000.ogg,the result is not the best
data/test/489220.0000_490940.0000.ogg,and wasting manpower and material resources
data/test/491200.0000_493160.0000.ogg,because if we are sent one more patient now
data/test/493460.0000_495000.0000.ogg,"or two, we will have no resource"
data/test/495340.0000_496680.0000.ogg,then it's possible to lose them
data/test/499160.0000_502240.0000.ogg,"like fighting a war, there are focal points"
data/test/508120.0000_511920.0000.ogg,"now, Dr.Wang only has 1 functioning ECMO"
data/test/512159.0000_514640.0000.ogg,"but now, he has to face"
data/test/515220.0000_518520.0000.ogg,the reality of Bed 5 and 15 in the ICU
data/test/520380.0000_522159.0000.ogg,Bed 5 has a malignant tumor
data/test/522460.0000_523460.0000.ogg,low resistance
data/test/523840.0000_525340.0000.ogg,oxygenation index is going down
data/test/528060.0000_530500.0000.ogg,Bed 15 has been on ventilators for 2 weeks
data/test/531080.0000_532080.0000.ogg,still having high fever
data/test/532620.0000_534780.0000.ogg,"carbon dioxide retention, high tidal volume"
data/test/3120.0000_4520.0000.ogg,"As our population ages,"
data/test/4520.0000_6520.0000.ogg,osteoporosis is becoming common
data/test/6520.0000_8520.0000.ogg,The two of us are middle-aged
data/test/8520.0000_10320.0000.ogg,We've to make an effort to prevent it
data/test/10320.0000_12320.0000.ogg,That's right. Don't procrastinate
data/test/12320.0000_14320.0000.ogg,Our topic for this episode is osteoporosis
data/test/14720.0000_18520.0000.ogg,Can you tell outwardly that one has osteoporosis?
data/test/18520.0000_20840.0000.ogg,Do small people have a higher probability of developing osteoporosis?
data/test/20840.0000_22320.0000.ogg,Is that a myth or a fact?
data/test/22320.0000_24120.0000.ogg,Does it help to stimulate acupoints?
data/test/24120.0000_25720.0000.ogg,Can patients receive tuina?
data/test/25720.0000_28520.0000.ogg,What are the tests and treatment methods in TCM and Western medicine?
data/test/28520.0000_29920.0000.ogg,Find out in this episode of...
data/test/29920.0000_32520.0000.ogg,<i>Let's Talk About Health</i> and learn more
data/test/37800.0000_39600.0000.ogg,"Whenever osteoporosis is mentioned,"
data/test/39600.0000_42200.0000.ogg,I seem to think that women are prone to having it
data/test/42200.0000_44800.0000.ogg,Does that mean the risk is even higher for elderly women?
data/test/44800.0000_46800.0000.ogg,Why don't we ask our guests? -Sure
data/test/46800.0000_49200.0000.ogg,"Let's welcome Xiang Yun, Brandon Wong and..."
data/test/49200.0000_52400.0000.ogg,"Dr Lee Kong Hwee, Senior Consultant in orthopaedic surgery and sports service"
data/test/52400.0000_53400.0000.ogg,Welcome!
data/test/53400.0000_54600.0000.ogg,"This way, please"
data/test/54600.0000_58000.0000.ogg,I wonder whether our guest artistes know this topic well
data/test/58000.0000_59800.0000.ogg,They should know. Please be seated
data/test/60000.0000_62400.0000.ogg,Did you invite me because you knew I'm...
data/test/63480.0000_65280.0000.ogg,See? He's a good actor
data/test/67400.0000_69800.0000.ogg,Do you have friends or family who have osteoporosis or...
data/test/69800.0000_71800.0000.ogg,are you worried about getting it?
data/test/71800.0000_76600.0000.ogg,I'm really scared about it because I have an elderly relative who had a fall
data/test/76600.0000_79000.0000.ogg,She became immobile subsequently
data/test/79000.0000_82800.0000.ogg,I've heard that some people had falls that are life-threatening
data/test/82800.0000_84000.0000.ogg,Yes. Brandon?
data/test/84000.0000_87000.0000.ogg,I'm more worried about my mother and my wife because...
data/test/87000.0000_90000.0000.ogg,"it seems that women tend to have osteoporosis,"
data/test/90000.0000_93000.0000.ogg,so I keep reminding them to increase their calcium intake
data/test/93000.0000_94800.0000.ogg,Do it while you're young -Exactly
data/test/94800.0000_96400.0000.ogg,I'm rather curious
data/test/96400.0000_101400.0000.ogg,Can you tell outwardly that one has osteoporosis?
data/test/101400.0000_103400.0000.ogg,"You can't tell -So, you can't"
data/test/104000.0000_107600.0000.ogg,"Osteoporosis is called the ""silent disease"""
data/test/108000.0000_111400.0000.ogg,Some people fall and sustain fractures
data/test/111800.0000_115200.0000.ogg,It's only after surgery that they find out about their osteoporosis
data/test/115200.0000_117600.0000.ogg,"So, some people may not know that they have osteoporosis"
data/test/117600.0000_120000.0000.ogg,But why are they not aware? -That's right
data/test/120000.0000_123000.0000.ogg,Osteoporosis is a problem of the bone structure
data/test/123200.0000_126200.0000.ogg,"Thus, although your skeleton is complete,"
data/test/126200.0000_128199.0000.ogg,the bones are not healthy and...
data/test/128199.0000_132800.0000.ogg,there is loss of calcium leading to bones with...
data/test/132800.0000_133600.0000.ogg,Holes?
data/test/133600.0000_136600.0000.ogg,"Right. If there are too many holes in the bones,"
data/test/136600.0000_138000.0000.ogg,your bones will be weakened
data/test/138000.0000_141800.0000.ogg,A light bump will cause bone fractures
data/test/142400.0000_145200.0000.ogg,There are myths surrounding osteoporosis
data/test/145200.0000_146600.0000.ogg,Let me test you
data/test/146600.0000_148600.0000.ogg,See how much you know about osteoporosis
data/test/148600.0000_149800.0000.ogg,The first question
data/test/150000.0000_154800.0000.ogg,Men and women have equal risks of developing osteoporosis
data/test/154800.0000_156400.0000.ogg,True or false?
data/test/156400.0000_158200.0000.ogg,Please show your answers
data/test/158400.0000_160200.0000.ogg,All say it's false. Why?
data/test/160200.0000_163800.0000.ogg,"Women lose calcium, among other things, because of pregnancy"
data/test/163800.0000_168800.0000.ogg,Menopausal women usually show signs of osteoporosis
data/test/168800.0000_171800.0000.ogg,People usually say that calcium loss is faster in women
data/test/172400.0000_174000.0000.ogg,The risks can't be equal
data/test/174400.0000_176800.0000.ogg,Let's ask the doctor to reveal the answer
data/test/176800.0000_178000.0000.ogg,It's false
data/test/178840.0000_181840.0000.ogg,"That was an easy question, to warm up"
data/test/182040.0000_184640.0000.ogg,"From the age of 30 to 40,"
data/test/184640.0000_188440.0000.ogg,the percentage of calcium loss in men and women is similar
data/test/188440.0000_191240.0000.ogg,We lose 1% to 2% of calcium every year
data/test/191640.0000_194440.0000.ogg,Women entering menopause at 50...
data/test/194440.0000_197240.0000.ogg,"will lose calcium quickly,"
data/test/197240.0000_199040.0000.ogg,at 2% to 3% every year
data/test/199040.0000_200840.0000.ogg,This will go on for about 10 years
data/test/200840.0000_201840.0000.ogg,Ten years?
data/test/201840.0000_204840.0000.ogg,"After 60, the rate of calcium loss in..."
data/test/204840.0000_207840.0000.ogg,both men and women is about the same
data/test/207960.0000_209600.0000.ogg,Both of you answered the first question correctly
data/test/209600.0000_210760.0000.ogg,Here's the second question
data/test/210760.0000_215760.0000.ogg,Jogging is more effective than swimming in preventing osteoporosis
data/test/215760.0000_216960.0000.ogg,Two say false
data/test/217360.0000_218560.0000.ogg,False. True. False
data/test/218560.0000_220960.0000.ogg,"Xiang Yun, you think it's swimming? Or jogging?"
data/test/220960.0000_222960.0000.ogg,"Swimming works the whole body,"
data/test/222960.0000_228960.0000.ogg,but jogging is a weight-bearing exercise which helps to increase bone density
data/test/228960.0000_230960.0000.ogg,It's bad for the knees though
data/test/231360.0000_235760.0000.ogg,"Yes, jogging stresses the knees"
data/test/235960.0000_240360.0000.ogg,It's more harmful to the joints than swimming
data/test/240360.0000_242160.0000.ogg,"When the injury is mild,"
data/test/242160.0000_243960.0000.ogg,calcium loss is minimal
data/test/244400.0000_245800.0000.ogg,Is it? Prevention is best
data/test/15240.0000_17720.0000.ogg,Sometimes our body gets sick
data/test/18080.0000_19880.0000.ogg,It is said that
data/test/19960.0000_22480.0000.ogg,so does our mind
data/test/20940.0000_22550.0000.ogg,I stood on the balcony
data/test/22550.0000_24390.0000.ogg,Tears would fall down in spite of myself
data/test/24670.0000_26120.0000.ogg,my heart would beat faster
data/test/26120.0000_27480.0000.ogg,sweat would easily run from my head to feet
data/test/28050.0000_30430.0000.ogg,and my mind was filled with troubling thoughts
data/test/30430.0000_31400.0000.ogg,I started to suspect
data/test/31400.0000_32320.0000.ogg,suspect everything
data/test/33150.0000_35040.0000.ogg,I once stood on the top of
data/test/35040.0000_36590.0000.ogg,a 27-storey building
data/test/36910.0000_39590.0000.ogg,I really did not want to carry on with my life
data/test/40320.0000_41240.0000.ogg,Depression
data/test/41240.0000_43240.0000.ogg,we can't avoid this word
data/test/43480.0000_45720.0000.ogg,April 7th World Health Day
data/test/43480.0000_45300.0000.ogg,With World Health Day approaching
data/test/45300.0000_46400.0000.ogg,Peking Union Medical College Hospital's
data/test/46400.0000_48020.0000.ogg,"Director of Psychological Medicine Department, Wei Jing"
data/test/45920.0000_48080.0000.ogg,Wei Jing Director of Psychological Medicine Department at Peking Union Medical College Hospital
data/test/48020.0000_49540.0000.ogg,Depression: Let's talk
data/test/49540.0000_50770.0000.ogg,She has got depression
data/test/50770.0000_51960.0000.ogg,In this case
data/test/51960.0000_53620.0000.ogg,how should I get along with her?
data/test/53620.0000_55620.0000.ogg,Whenever I am under pressure
data/test/55620.0000_56680.0000.ogg,should I just go traveling?
data/test/56680.0000_58270.0000.ogg,We are really seeing those issues
data/test/58270.0000_59640.0000.ogg,with prejudice
data/test/59920.0000_60840.0000.ogg,Prejudice?
data/test/61190.0000_63560.0000.ogg,Health is no disease?
data/test/63560.0000_64269.0000.ogg,No
data/test/64530.0000_66910.0000.ogg,Depression can't be detected
data/test/66910.0000_69270.0000.ogg,"by apparatus, tests or index"
data/test/69310.0000_70940.0000.ogg,but by speech
data/test/71580.0000_73330.0000.ogg,If our mental health
data/test/73330.0000_74430.0000.ogg,is not yet established
data/test/74690.0000_77120.0000.ogg,our material prosperity
data/test/77120.0000_78910.0000.ogg,cannot be
data/test/78910.0000_80520.0000.ogg,widely recognized either
data/test/81090.0000_82920.0000.ogg,I do not think the fact I got depression
data/test/82920.0000_83890.0000.ogg,is embarrassing
data/test/83890.0000_85440.0000.ogg,I want to say it out loud
data/test/85440.0000_87190.0000.ogg,Talk without holding back
data/test/87190.0000_88490.0000.ogg,Talk without holding back
data/test/88490.0000_90430.0000.ogg,Talk without holding back
data/test/90630.0000_92380.0000.ogg,Great doctor's Voice on Healthy China
data/test/92720.0000_95470.0000.ogg,The speaker for this episode is Wei Jing
data/test/107060.0000_108400.0000.ogg,Taste the China Power Wine
data/test/108400.0000_109660.0000.ogg,Experience the Chinese wisdom
data/test/109660.0000_110110.0000.ogg,Hello everyone
data/test/110110.0000_111360.0000.ogg,You are now watching
data/test/111360.0000_113360.0000.ogg,the first TV public lecture for youths in China
data/test/113360.0000_115070.0000.ogg,solely sponsored by China Power Wine
data/test/115070.0000_116979.0000.ogg,promoter of healthy-drinking
data/test/116979.0000_117710.0000.ogg,Voice
data/test/114840.0000_118840.0000.ogg,Sa Beining
data/test/117710.0000_118960.0000.ogg,"I am your host, Sa Beining"
data/test/118960.0000_119789.0000.ogg,Welcome
data/test/124170.0000_126240.0000.ogg,"Each year, on April 7th"
data/test/126350.0000_129520.0000.ogg,to commemorate the foundation of World Health Organization
data/test/128160.0000_134320.0000.ogg,Follow Sina Weibo: @CCTV1 Voice
data/test/129720.0000_132330.0000.ogg,there's a specific event every World Health Day
data/test/132520.0000_134330.0000.ogg,On April 7th of this year
data/test/134330.0000_136440.0000.ogg,the theme for World Health Day is
data/test/136440.0000_139660.0000.ogg,Depression: Let's talk
data/test/140040.0000_144600.0000.ogg,Type #Voice# in Weibo to post your opinions and join the discussion
data/test/139660.0000_141090.0000.ogg,Literally
data/test/141440.0000_142910.0000.ogg,it seems to
data/test/143140.0000_146480.0000.ogg,aim at raising our attention to depression
data/test/146600.0000_147970.0000.ogg,But some people say
data/test/147970.0000_150930.0000.ogg,maybe the theme is trying to tell us
data/test/150930.0000_153310.0000.ogg,the best cure for depression
data/test/153310.0000_155370.0000.ogg,is to talk with someone
data/test/155450.0000_157400.0000.ogg,Let's talk without holding back
data/test/157530.0000_159720.0000.ogg,and put this hazard
data/test/159720.0000_161720.0000.ogg,which must be taken seriously
data/test/162320.0000_163790.0000.ogg,in human health
data/test/163790.0000_165000.0000.ogg,in front of us
data/test/165000.0000_167560.0000.ogg,Let's talk with it face to face
data/test/167720.0000_170190.0000.ogg,Today we've invited an expert
data/test/170230.0000_171960.0000.ogg,to join our discussion
data/test/172079.0000_174350.0000.ogg,Please welcome Peking Union Medical College Hospital's
data/test/174350.0000_176210.0000.ogg,director of Psychological Medicine Department
data/test/176270.0000_177420.0000.ogg,Ms. Wei Jing with an applause
data/test/177420.0000_178900.0000.ogg,"Welcome, Director Wei"
data/test/187940.0000_190040.0000.ogg,"Ms. Wei, you are stunning"
data/test/190670.0000_191420.0000.ogg,"Hello, sir"
data/test/191420.0000_192520.0000.ogg,"Hello, hello, hello"
data/test/200190.0000_201840.0000.ogg,Thank you. Thank you
data/test/202290.0000_203360.0000.ogg,Please be seated
data/test/204400.0000_204790.0000.ogg,What?
data/test/204790.0000_205780.0000.ogg,As soon as Ms. Wei walks out
data/test/205780.0000_207220.0000.ogg,"you can feel the difference, right?"
data/test/207770.0000_209160.0000.ogg,When staring
data/test/209160.0000_210220.0000.ogg,at the passage
data/test/210220.0000_211600.0000.ogg,waiting for your appearance
data/test/211600.0000_213160.0000.ogg,everyone was expecting someone in medical uniform
data/test/214160.0000_215990.0000.ogg,"Look at you, your hairstyle today"
data/test/216490.0000_218160.0000.ogg,makes people think that
data/test/218160.0000_219600.0000.ogg,you are actually rather fashionable
data/test/219650.0000_220829.0000.ogg,I learned it from him
data/test/220829.0000_222170.0000.ogg,While watching TV
data/test/222250.0000_223230.0000.ogg,I noticed that your hair
data/test/223230.0000_224510.0000.ogg,is always parted on one side
data/test/224510.0000_226120.0000.ogg,You can tell my psychological condition from that
data/test/226120.0000_226970.0000.ogg,"Yes, I can"
data/test/227380.0000_228910.0000.ogg,So talking with a psychologist
data/test/228910.0000_230550.0000.ogg,can be stressful
data/test/231090.0000_232620.0000.ogg,Can you really
data/test/232620.0000_234440.0000.ogg,"for example, exchange a few words with someone"
data/test/234440.0000_235930.0000.ogg,and get a general idea
data/test/235930.0000_237120.0000.ogg,about their psychological condition?
data/test/237360.0000_238680.0000.ogg,Clinically
data/test/238680.0000_240370.0000.ogg,if I'm sitting in a consulting room
data/test/240370.0000_241220.0000.ogg,by my worktable
data/test/241220.0000_242190.0000.ogg,I have to do so
data/test/242190.0000_243080.0000.ogg,I have to open up
data/test/243080.0000_244990.0000.ogg,all my sensitive cells
data/test/244990.0000_246250.0000.ogg,My eyes and ears
data/test/246250.0000_249600.0000.ogg,have to be tuned up to a high level of sensibility
data/test/249600.0000_251930.0000.ogg,to catch any clue he is trying to reveal
data/test/251930.0000_253710.0000.ogg,From one sentence
data/test/253710.0000_255450.0000.ogg,four layers of information must be grasped
data/test/254760.0000_259760.0000.ogg,Psychological doctor Wei Jing tells you how one sentence expresses four layers of information
data/test/256040.0000_257980.0000.ogg,Any sentence we say
data/test/258300.0000_259680.0000.ogg,"Sa, are you tired?"
data/test/260350.0000_262040.0000.ogg,Any sentence like that
data/test/262040.0000_264250.0000.ogg,contains four layers of information
data/test/264500.0000_265760.0000.ogg,The first layer is
data/test/265900.0000_268270.0000.ogg,the literal information
data/test/268390.0000_269700.0000.ogg,I notice that you are tired
data/test/270210.0000_271500.0000.ogg,Another is
data/test/271600.0000_273380.0000.ogg,the interpersonal information
data/test/274890.0000_275720.0000.ogg,Right now
data/test/275720.0000_277880.0000.ogg,the interpersonal information in this sentence is that
data/test/277980.0000_279580.0000.ogg,I care about you
data/test/280830.0000_283640.0000.ogg,This sentence also has a layer of emotional information
data/test/284280.0000_285850.0000.ogg,I feel bad for you
data/test/287320.0000_290040.0000.ogg,This sentence also contains a layer of request
data/test/291050.0000_292850.0000.ogg,You should relax
data/test/293540.0000_294620.0000.ogg,What's more
data/test/294620.0000_296170.0000.ogg,"What if someone just says, ""Hi"""
data/test/298560.0000_300130.0000.ogg,"It can also be analysed, actually"
data/test/300130.0000_300420.0000.ogg,Yes
data/test/300420.0000_302420.0000.ogg,Because there is also body language with you
data/test/302420.0000_304420.0000.ogg,When messages are passed
data/test/304420.0000_306280.0000.ogg,do you know the percentage words take up?
data/test/306280.0000_307910.0000.ogg,I mean the utterance itself
data/test/308100.0000_309480.0000.ogg,It took 60 years
data/test/309480.0000_311810.0000.ogg,for behavioral scientists to verify over and over again
data/test/311870.0000_312960.0000.ogg,I'll tell you
data/test/313150.0000_316540.0000.ogg,in face-to-face communication
data/test/316540.0000_318540.0000.ogg,words only account for 7% of the influence
data/test/321300.0000_323820.0000.ogg,and 40% to 50%
data/test/324660.0000_326460.0000.ogg,results from body language
data/test/328460.0000_330610.0000.ogg,The rest 30% to 40%
data/test/330900.0000_334550.0000.ogg,"results from voice, intonation and speech rate"
data/test/336150.0000_338750.0000.ogg,So behavioral scientists tell us
data/test/338750.0000_340480.0000.ogg,to capture information
data/test/340480.0000_343740.0000.ogg,beyond words and language
data/test/343950.0000_345050.0000.ogg,But in real life
data/test/345050.0000_347760.0000.ogg,I won't rouse those skills
data/test/347760.0000_349840.0000.ogg,You have a switch to control it
data/test/350350.0000_351330.0000.ogg,Of course
data/test/351830.0000_353560.0000.ogg,Speaking of depression
data/test/353690.0000_355070.0000.ogg,Just now
data/test/355110.0000_356960.0000.ogg,I don't know
data/test/356960.0000_357930.0000.ogg,when I was making the introduction
data/test/357930.0000_359310.0000.ogg,The expression that attracted me was
data/test/358640.0000_363640.0000.ogg,"Depression can only be diagnosed by ""counselling therapy""?"
data/test/359310.0000_361460.0000.ogg,"""talk without holding back"""
data/test/361460.0000_363460.0000.ogg,Speaking of depression
data/test/363460.0000_365730.0000.ogg,it necessarily involves
data/test/365730.0000_367680.0000.ogg,"human psychological activities, right?"
data/test/367680.0000_369620.0000.ogg,When we talk about psychological problems
data/test/369620.0000_371050.0000.ogg,"we refer to therapy, don't we?"
data/test/371050.0000_372200.0000.ogg,What kind of therapy? It sounds scary
data/test/372200.0000_374470.0000.ogg,"Yes, the talking therapy"
data/test/374470.0000_376040.0000.ogg,It's therapy through utterance
data/test/376110.0000_377260.0000.ogg,There must be talking
data/test/377470.0000_378530.0000.ogg,No one ever says
data/test/378530.0000_380700.0000.ogg,"""let's get depression examined"""
data/test/381110.0000_381830.0000.ogg,No
data/test/381830.0000_382700.0000.ogg,Because depression
data/test/382700.0000_385690.0000.ogg,can't be detected by apparatus
data/test/385690.0000_386610.0000.ogg,tests or index
data/test/386680.0000_388260.0000.ogg,but by speech
data/test/388430.0000_392220.0000.ogg,Everyone seems to have been given a form
data/test/392290.0000_394880.0000.ogg,Ms. Wei brought the form
data/test/395310.0000_396740.0000.ogg,specially for our show
data/test/397020.0000_398810.0000.ogg,as a lead-in
data/test/398810.0000_400010.0000.ogg,But it is
data/test/400010.0000_402630.0000.ogg,definitely the official form you use
data/test/402630.0000_403920.0000.ogg,for treatment
data/test/403920.0000_404720.0000.ogg,All the time
data/test/404720.0000_406940.0000.ogg,Let's focus for now
data/test/406940.0000_408290.0000.ogg,on the stage
data/test/408290.0000_411350.0000.ogg,Let's welcome Ms. Wei Jing
data/test/411350.0000_413540.0000.ogg,to speak her voice with an applause
data/test/418690.0000_419790.0000.ogg,Hello everyone
data/test/420520.0000_424280.0000.ogg,"Wei Jing Director of Psychological Medicine Department, Peking Union Medical College Hospital"
data/test/420070.0000_422320.0000.ogg,When I received the mission
data/test/422320.0000_424830.0000.ogg,to talk on Voice
data/test/425470.0000_427380.0000.ogg,I was really excited
data/test/427860.0000_431380.0000.ogg,Because when I started my career
data/test/431380.0000_432790.0000.ogg,thirty-two years ago
data/test/432790.0000_435050.0000.ogg,I had just graduated from medical school
data/test/432760.0000_437760.0000.ogg,A forced choice made 32 years ago became a passionate career for life
data/test/435050.0000_436090.0000.ogg,I was only 20
data/test/436090.0000_437990.0000.ogg,about your age
data/test/437990.0000_439180.0000.ogg,When I graduated
data/test/439180.0000_441100.0000.ogg,my first choice was surgery
data/test/441480.0000_443630.0000.ogg,and my second choice was cardiovascular department
data/test/443780.0000_446700.0000.ogg,Afterward I was transferred to neuropsychology department
data/test/446980.0000_449280.0000.ogg,I was quite unwilling back then
data/test/449280.0000_450720.0000.ogg,because it wasn't in popular demand
data/test/450800.0000_452140.0000.ogg,Many people even thought
data/test/452140.0000_454900.0000.ogg,it was for those who are idle
data/test/455140.0000_457000.0000.ogg,and not a decent work
data/test/457280.0000_458670.0000.ogg,Even my family
data/test/458670.0000_460790.0000.ogg,and my close classmates
data/test/460850.0000_462740.0000.ogg,"would say, ""How an excellent student like you"
data/test/462740.0000_464400.0000.ogg,"end up in such a major?"""
data/test/464650.0000_466500.0000.ogg,"Back then, I couldn't"
data/test/466500.0000_468820.0000.ogg,foresee what would happen now
data/test/468909.0000_470820.0000.ogg,It turned out the domain I work in
data/test/470820.0000_471810.0000.ogg,this major
data/test/471860.0000_473440.0000.ogg,can serve people in such a way
data/test/473440.0000_475950.0000.ogg,and can be regarded by so many people
data/test/475950.0000_477200.0000.ogg,I can even talk about my major
data/test/477200.0000_480860.0000.ogg,on this public stage
data/test/481080.0000_482480.0000.ogg,I was inspired by
data/test/482480.0000_484630.0000.ogg,the admission officer then
data/test/484630.0000_486010.0000.ogg,who told me
data/test/486170.0000_487680.0000.ogg,"""The domain you're entering"
data/test/487680.0000_489550.0000.ogg,is yet unknown
data/test/489620.0000_492450.0000.ogg,If you can accept it
data/test/492450.0000_493660.0000.ogg,and master it
data/test/493660.0000_496140.0000.ogg,"maybe you'll have a stronger sense of achievement"""
data/test/496860.0000_499630.0000.ogg,So these two adjectives attracted me
data/test/499740.0000_501570.0000.ogg,But I didn't know how to think then
data/test/501680.0000_503200.0000.ogg,It was many years later
data/test/503200.0000_504760.0000.ogg,when I was capable of thinking
data/test/504840.0000_508270.0000.ogg,that I realized deep down
data/test/508340.0000_509600.0000.ogg,exploring the unknown
data/test/509240.0000_516080.0000.ogg,Wei Jing: Exploring the unknown brings a stronger sense of achievement
data/test/509750.0000_511240.0000.ogg,and gaining a sense of achievement
data/test/511240.0000_512860.0000.ogg,were important to me
data/test/513390.0000_514830.0000.ogg,Nowadays
data/test/514830.0000_516409.0000.ogg,our country
data/test/516409.0000_517250.0000.ogg,even has
data/test/517250.0000_518140.0000.ogg,Mental Health Law of the People's Republic of China
data/test/518140.0000_519870.0000.ogg,Now with Healthy China coming up
data/test/519870.0000_522039.0000.ogg,mental health has become a national strategy
data/test/522250.0000_523929.0000.ogg,On such a high level
data/test/523929.0000_525650.0000.ogg,is mental health being emphasized
data/test/525730.0000_527800.0000.ogg,This is really the advance of an era
data/test/528130.0000_529560.0000.ogg,and the need of public
data/test/530170.0000_531490.0000.ogg,Why is that?
data/test/531730.0000_532840.0000.ogg,For everyone here
data/test/532040.0000_537040.0000.ogg,Are you mentally healthy?
data/test/532840.0000_535590.0000.ogg,whoever suffered from psychological disturbance
data/test/536070.0000_536960.0000.ogg,please raise your hand
data/test/537090.0000_539640.0000.ogg,Many hands are raising
data/test/25620.0000_26690.0000.ogg,中医啊
data/test/27210.0000_30360.0000.ogg,诊断的时候有望闻问切
data/test/30690.0000_33203.0000.ogg,四诊 那么望诊里边呢什么最直观呢
data/test/33203.0000_34117.0000.ogg,就是舌诊
data/test/34117.0000_34803.0000.ogg,最直观
data/test/34803.0000_37316.0000.ogg,这个舌诊包括在望诊里边
data/test/37316.0000_41440.0000.ogg,这个舌头能够反映我们身体内的
data/test/41440.0000_42600.0000.ogg,正气是否充
data/test/43120.0000_44928.0000.ogg,它的运行是否正常
data/test/44928.0000_49870.0000.ogg,所以呢这个舌头是身体的最灵敏的一个这样的器官
data/test/50200.0000_51408.0000.ogg,给大家讲舌诊
data/test/51408.0000_55334.0000.ogg,我觉得这个是大家一定要学的
data/test/55334.0000_56844.0000.ogg,为什么呢
data/test/56844.0000_59230.0000.ogg,因为就是我们的
data/test/59560.0000_60360.0000.ogg,中医啊
data/test/60360.0000_65540.0000.ogg,诊断的时候有望闻问切四诊
data/test/65870.0000_67895.0000.ogg,那么这里边呢
data/test/67895.0000_68570.0000.ogg,其实
data/test/68890.0000_70402.0000.ogg,望诊上来讲呢
data/test/70402.0000_72418.0000.ogg,就里边就有舌，望呢
data/test/72418.0000_75442.0000.ogg,实际上这个里边有很多内容
data/test/75442.0000_76954.0000.ogg,比如说望面色
data/test/76954.0000_77710.0000.ogg,望形态
data/test/77710.0000_80220.0000.ogg,望着人脸上不同的部位
data/test/80220.0000_82783.0000.ogg,这个颜色呀或者长了什么东西
data/test/82783.0000_84181.0000.ogg,或者明暗等等
data/test/84181.0000_85812.0000.ogg,代表不同的疾病
data/test/85812.0000_87210.0000.ogg,在不同的脏腑
data/test/87210.0000_90220.0000.ogg,这是望诊内容。望人的神气
data/test/90220.0000_90656.0000.ogg,形态等等
data/test/90656.0000_91748.0000.ogg,这个很关键
data/test/91748.0000_98733.0000.ogg,比如过去金源四大家质疑朱丹溪朱丹溪的医案上来一定写这个人形态如何
data/test/98733.0000_100490.0000.ogg,他的性情如何
data/test/100490.0000_103136.0000.ogg,然后形态这个人是比如说面色白
data/test/103136.0000_104271.0000.ogg,他会记得面白
data/test/104271.0000_107106.0000.ogg,然后这个人比如说这个丰腴特别胖
data/test/107106.0000_108241.0000.ogg,他要记载下来
data/test/108241.0000_110490.0000.ogg,这个是过去古人的一一部分
data/test/110490.0000_111309.0000.ogg,特别重视的内容
data/test/111309.0000_118481.0000.ogg,这部分内容呢我们会涉及到一些这个过去说呢望诊是中医诊断里面最重要的内容
data/test/118481.0000_119710.0000.ogg,为什么呢
data/test/119710.0000_121330.0000.ogg,你看上来先写望
data/test/121700.0000_122392.0000.ogg,古代人说
data/test/122392.0000_123314.0000.ogg,望而知之
data/test/123314.0000_124006.0000.ogg,谓之神
data/test/124006.0000_127928.0000.ogg,就是真正的人一旦会了这个望诊以后啊
data/test/127928.0000_128850.0000.ogg,诊病如神
data/test/128850.0000_132100.0000.ogg,或者是那种那种非常高的境界
data/test/132100.0000_135000.0000.ogg,他把境界分成神圣工巧
data/test/135350.0000_137989.0000.ogg,把望放在第一万而知之谓之神
data/test/137989.0000_140222.0000.ogg,就是大家看好多老中医啊
data/test/140222.0000_141846.0000.ogg,你们会有这个经验
data/test/141846.0000_143876.0000.ogg,就是去看老中医的时候
data/test/143876.0000_145906.0000.ogg,发现老中医看病非常快
data/test/145906.0000_147530.0000.ogg,短短两分三分钟哎
data/test/147530.0000_149309.0000.ogg,把你的问题都说出来了
data/test/149309.0000_153402.0000.ogg,那大家觉得这个老中医有的时候说这个号麦那么准吗
data/test/153402.0000_155360.0000.ogg,其实号脉不是往往老中医
data/test/155360.0000_156606.0000.ogg,我观察这老先生
data/test/156606.0000_158020.0000.ogg,你一进门的时候啊
data/test/158020.0000_158724.0000.ogg,他老先生说
data/test/158724.0000_160660.0000.ogg,他其实他一看你的面色
data/test/160660.0000_161892.0000.ogg,看你的形态等等
data/test/161892.0000_164708.0000.ogg,你的身体的状态已经猜个八九不离十了
data/test/164708.0000_166820.0000.ogg,就是根据望诊的这个内容
data/test/166820.0000_168579.0000.ogg,然后坐下来呢再看舌头
data/test/168579.0000_169900.0000.ogg,然后再去切脉
data/test/169900.0000_171660.0000.ogg,切脉是最后怎么样
data/test/171660.0000_172980.0000.ogg,最后验证一下
data/test/172980.0000_175400.0000.ogg,然后再问一问几个几句话
data/test/175400.0000_178260.0000.ogg,就跟他这个心里想的对应上了
data/test/178260.0000_179110.0000.ogg,说明正确
data/test/179110.0000_180010.0000.ogg,然后怎么样呢
data/test/180010.0000_181450.0000.ogg,他就心里就有数了
data/test/181450.0000_182710.0000.ogg,基本就定下来了
data/test/182710.0000_184150.0000.ogg,所以这个什么是经验
data/test/184150.0000_186840.0000.ogg,这个望诊呢是一个很重要内容
data/test/187170.0000_189741.0000.ogg,是中医必须要掌握的这个内容呢
data/test/189741.0000_191323.0000.ogg,很遗憾现在基本丢了
data/test/191323.0000_193498.0000.ogg,就是过去望诊的内容啊
data/test/193498.0000_195278.0000.ogg,是这个叫家里怎么传
data/test/195278.0000_195872.0000.ogg,男不传女
data/test/195872.0000_197870.0000.ogg,就是往下这么传的
data/test/197950.0000_198900.0000.ogg,又很难记录
data/test/198900.0000_200800.0000.ogg,因为你写写不清楚这个
data/test/200800.0000_202700.0000.ogg,那皇帝经里边望诊内容
data/test/202700.0000_204220.0000.ogg,现在基本没人会了
data/test/204220.0000_208200.0000.ogg,我曾经跟我们那个望诊的色诊大师王鸿谟先生讲
data/test/208200.0000_209934.0000.ogg,他说这个东西没人会学
data/test/209934.0000_210704.0000.ogg,没人会了
data/test/210704.0000_212824.0000.ogg,基本上他现在在讲色诊嘛
data/test/212824.0000_214173.0000.ogg,说这个太太难了
data/test/214173.0000_215522.0000.ogg,要真的写下来
data/test/215522.0000_218200.0000.ogg,你描述不清楚这个色泽什么什么
data/test/218200.0000_219132.0000.ogg,大家看完不懂
data/test/219132.0000_222394.0000.ogg,那么望诊里边呢什么最直观呢
data/test/222394.0000_223093.0000.ogg,就是舌诊
data/test/223093.0000_223792.0000.ogg,最直观
data/test/223792.0000_226588.0000.ogg,这个舌诊包括在望诊里边儿
data/test/226588.0000_228200.0000.ogg,那么舌诊呢
data/test/228200.0000_230150.0000.ogg,出现的年代比较晚
data/test/230930.0000_233305.0000.ogg,望诊是随着中医一起出现的
data/test/233305.0000_236546.0000.ogg,在黄帝内经里边望诊内容就很多了
data/test/236546.0000_238706.0000.ogg,但是就是我说望面色
data/test/238706.0000_239786.0000.ogg,望神态等等
data/test/239786.0000_241740.0000.ogg,但是舌诊的内容很少
data/test/241740.0000_243774.0000.ogg,舌诊什么时候出现的呢
data/test/243774.0000_246440.0000.ogg,是在金元时期宋以后才出现的
data/test/246770.0000_249478.0000.ogg,出现以后没有完全发展起来
data/test/249478.0000_251520.0000.ogg,后来到了清代的时候
data/test/252040.0000_253775.0000.ogg,跟什么一起出现的呢
data/test/253775.0000_255125.0000.ogg,一起发展起来的
data/test/255125.0000_257440.0000.ogg,跟温病学说一起发展起来的
data/test/257440.0000_258596.0000.ogg,在金元时期啊
data/test/258596.0000_260160.0000.ogg,当时出现过一本书
data/test/260540.0000_264015.0000.ogg,这本书呢是敖氏伤寒金镜录
data/test/264015.0000_265753.0000.ogg,这是讲舌诊的
data/test/265753.0000_268940.0000.ogg,但是讲的非常非常的这个
data/test/269270.0000_269627.0000.ogg,简单
data/test/269627.0000_271417.0000.ogg,他把舌诊跟什么对应的
data/test/271417.0000_273386.0000.ogg,跟患伤寒或外感病对应了
data/test/273386.0000_274638.0000.ogg,这么对应以后呢
data/test/274638.0000_278039.0000.ogg,然后提出了什么颜色的舌头代表什么什么病
data/test/278039.0000_279670.0000.ogg,什么什么外邪到哪了
data/test/279670.0000_281163.0000.ogg,提出来以后画出图来了
data/test/281163.0000_282507.0000.ogg,当时画的图很有意思
data/test/282507.0000_283702.0000.ogg,他那个用彩色画的
data/test/283702.0000_284598.0000.ogg,然后又标上了
data/test/284598.0000_285644.0000.ogg,怕那彩色失真嘛
data/test/285644.0000_288034.0000.ogg,后来后来又给标上什么颜色什么颜色
data/test/288034.0000_290274.0000.ogg,那么这个内容呢出现这个书以后呢
data/test/290274.0000_291021.0000.ogg,这个是敖氏
data/test/291021.0000_292216.0000.ogg,一个叫敖氏的医生
data/test/292216.0000_293680.0000.ogg,这个人叫什么都不知道
data/test/293680.0000_294450.0000.ogg,就知道他姓敖
data/test/294450.0000_296377.0000.ogg,这个人这出来以后呢
data/test/296377.0000_297341.0000.ogg,大家没有重视
data/test/297341.0000_299460.0000.ogg,大家就是这个民间有流传
data/test/299460.0000_301773.0000.ogg,后来是怎么这个书出来的呢
data/test/301773.0000_303680.0000.ogg,是明代的时候有个
data/test/303680.0000_305360.0000.ogg,太医院的院长叫薛立斋
data/test/305360.0000_308346.0000.ogg,大家看看我书的人知道我写过这段儿
data/test/308346.0000_311333.0000.ogg,这个薛立斋啊在北京的时候当太医
data/test/311333.0000_312640.0000.ogg,他爸爸就是太医
data/test/312640.0000_313013.0000.ogg,御医
data/test/313013.0000_315430.0000.ogg,后来上明上南京太医院当掾史
data/test/315430.0000_316084.0000.ogg,院院长
data/test/316084.0000_317392.0000.ogg,他他自己记载的
data/test/317392.0000_319790.0000.ogg,他说发现在北京的时候
data/test/319790.0000_321990.0000.ogg,发现有的大夫看病如神
data/test/320.0000_2379.0000.ogg,各位同学大家好 我是李永乐老师
data/test/2379.0000_3580.0000.ogg,在6月13号
data/test/3600.0000_5820.0000.ogg,欧洲杯B组芬兰对丹麦的比赛中
data/test/5839.0000_7500.0000.ogg,丹麦的核心球员埃里克森
data/test/7580.0000_9740.0000.ogg,在没有任何冲撞的情况下突然倒地
data/test/9740.0000_13039.0000.ogg,队医赶来之后发现他已经呼吸暂停 丧失意识
data/test/13039.0000_15679.0000.ogg,于是对他紧急进行了心肺复苏CPR
data/test/15800.0000_18059.0000.ogg,和体外除颤AED的抢救
data/test/18059.0000_19300.0000.ogg,经过十几分钟的抢救
data/test/19300.0000_20739.0000.ogg,埃里克森终于恢复了意识
data/test/20820.0000_22019.0000.ogg,被人抬下了球场
data/test/22039.0000_24219.0000.ogg,整个过程像教科书一样完美
data/test/24399.0000_27179.0000.ogg,中国每年有55万的心源性猝死病例
data/test/27199.0000_28960.0000.ogg,他们之中有很多普通人
data/test/29000.0000_31100.0000.ogg,也有像高以翔这样的社会名流
data/test/31120.0000_32659.0000.ogg,但是他们中的绝大多数人
data/test/32679.0000_34280.0000.ogg,没有像埃里克森那么幸运
data/test/34280.0000_35100.0000.ogg,抢救过来的比例
data/test/35200.0000_37259.0000.ogg,乐观估计也只有1%到2%
data/test/37280.0000_38979.0000.ogg,因为心源性猝死一旦发生
data/test/39079.0000_41060.0000.ogg,黄金抢救时间只有几分钟
data/test/41060.0000_41920.0000.ogg,十分钟以后
data/test/42039.0000_44500.0000.ogg,大脑就会因为缺氧而面临不可逆的损害
data/test/44520.0000_46100.0000.ogg,并让患者最终死亡
data/test/46119.0000_48420.0000.ogg,心源性猝死到底是怎么回事呢
data/test/48539.0000_52840.0000.ogg,心肺复苏CPR和体外除颤AED又应该如何使用呢
data/test/52840.0000_55399.0000.ogg,今天我们就带着大家来讨论一下这个问题
data/test/55880.0000_59100.0000.ogg,我们首先要讨论一下心脏的功能
data/test/59100.0000_62579.0000.ogg,因为我们要了解为什么要进行急救
data/test/62579.0000_64819.0000.ogg,我们得知道心脏到底是出了什么样的问题
data/test/65000.0000_65939.0000.ogg,我先画一个心脏
data/test/66480.0000_68500.0000.ogg,好 我们画完了一个心脏的示意图
data/test/68659.0000_70560.0000.ogg,心脏是两室两厅 是吧
data/test/70560.0000_72739.0000.ogg,有两个心房和两个心室
data/test/72879.0000_78219.0000.ogg,这个我们就称之为右心房 右心房
data/test/78239.0000_80900.0000.ogg,这个我们就称之为左心房
data/test/80920.0000_84459.0000.ogg,上面是心房 底下的是心室
data/test/84459.0000_87500.0000.ogg,这个叫右心室
data/test/88359.0000_92780.0000.ogg,底下的这个叫左心室 左心室
data/test/92780.0000_94700.0000.ogg,有人说你这个左右是不是反了
data/test/94700.0000_95340.0000.ogg,其实没反
data/test/95340.0000_96939.0000.ogg,因为我这是这样的一个人
data/test/97158.0000_98359.0000.ogg,这边就是他的右边
data/test/98359.0000_99519.0000.ogg,这边就是他的左边
data/test/99519.0000_101878.0000.ogg,所以是右心房 右心室 左心房 左心室
data/test/101878.0000_103400.0000.ogg,而且整个心脏的位置
data/test/103400.0000_105680.0000.ogg,大概在我们两乳中间这个位置
data/test/105680.0000_106719.0000.ogg,稍稍偏左
data/test/106819.0000_108219.0000.ogg,没有像电视里演的那样
data/test/108280.0000_109158.0000.ogg,说心脏在这个位置
data/test/109180.0000_109819.0000.ogg,打这儿就死了
data/test/109878.0000_111700.0000.ogg,不是 这个地方是左肺 是吧
data/test/111739.0000_113939.0000.ogg,心脏是中间偏左一点点的位置
data/test/114299.0000_117180.0000.ogg,好 这个就是心脏的这四个腔室
data/test/117180.0000_119098.0000.ogg,那么它的作用就是用来泵血
data/test/119098.0000_119640.0000.ogg,我们知道
data/test/119640.0000_122299.0000.ogg,人体的体细胞每时每刻都要进行呼吸作用
data/test/122579.0000_123560.0000.ogg,那么要进行呼吸作用
data/test/123700.0000_126200.0000.ogg,就得由血液带来氧气 带走二氧化碳 对吧
data/test/126219.0000_128478.0000.ogg,那么血液的运输就是靠心脏这个泵
data/test/128580.0000_131038.0000.ogg,所以我们睡觉的时候别的器官都休息 是吧
data/test/131038.0000_133280.0000.ogg,心脏不能休息 心脏一直这么跳着
data/test/133439.0000_134539.0000.ogg,那我们具体来看一下
data/test/134539.0000_136340.0000.ogg,这个血液的循环过程是怎么样子的
data/test/136520.0000_141439.0000.ogg,我们来研究一下这个血液的这个循环过程
data/test/141680.0000_142740.0000.ogg,循环过程
data/test/143159.0000_147219.0000.ogg,首先 静脉血从这个身体里边
data/test/147478.0000_149900.0000.ogg,带来很多二氧化碳的这种静脉血
data/test/149939.0000_152900.0000.ogg,它会从这个大静脉 主静脉
data/test/153099.0000_154579.0000.ogg,流回到右心房
data/test/154579.0000_158639.0000.ogg,从这个主静脉 主静脉
data/test/158819.0000_162719.0000.ogg,就是我们身体那些这个静脉汇到一块
data/test/162719.0000_164978.0000.ogg,主静脉流回到这个右心房里边去
data/test/165120.0000_167400.0000.ogg,然后这个血液流回到右心房里边之后
data/test/167719.0000_170759.0000.ogg,再通过心房和心室之间的这个瓣膜
data/test/170759.0000_171978.0000.ogg,叫三尖瓣儿
data/test/171978.0000_174360.0000.ogg,流到这个右心室里边去
data/test/174439.0000_176800.0000.ogg,然后这个右心室一收缩一挤
data/test/176800.0000_178840.0000.ogg,就把这个血液又挤上去了
data/test/179400.0000_181680.0000.ogg,通过上面的这根管道挤上去了
data/test/181740.0000_183280.0000.ogg,这根管道叫什么呢
data/test/183379.0000_187460.0000.ogg,这根管道叫肺动脉 肺动脉
data/test/187479.0000_188580.0000.ogg,那你可以想象
data/test/188599.0000_191259.0000.ogg,这个血液经过肺动脉之后流哪去了
data/test/191280.0000_192659.0000.ogg,是不是流到肺里面去了
data/test/192800.0000_196560.0000.ogg,所以这个血液就会流到肺中去
data/test/196719.0000_198879.0000.ogg,那么肺里面可以进行气体交换
data/test/198939.0000_199579.0000.ogg,也就是说
data/test/199840.0000_202139.0000.ogg,肺会把血液中的二氧化碳释放走
data/test/202139.0000_204079.0000.ogg,再从这个外界拿到新鲜的氧气
data/test/204079.0000_205360.0000.ogg,放到血液里边去
data/test/205360.0000_208400.0000.ogg,所以这个血液经过肺之后就变成了动脉血
data/test/208500.0000_209840.0000.ogg,富含氧气的动脉血
data/test/209978.0000_214740.0000.ogg,这个动脉血就会从这个肺静脉
data/test/214740.0000_218939.0000.ogg,又流回到左心房当中
data/test/218939.0000_220939.0000.ogg,然后再从这个左心房里边
data/test/221099.0000_223460.0000.ogg,左心房和左心室之间也有一个瓣膜
data/test/223579.0000_225120.0000.ogg,保证血液只能单向流动
data/test/225120.0000_226439.0000.ogg,这个瓣膜叫二尖瓣儿
data/test/226800.0000_230319.0000.ogg,通过这个瓣膜再流到了这个左心室里边去
data/test/230460.0000_232120.0000.ogg,流到左心室里边去之后
data/test/232199.0000_233960.0000.ogg,左心室一收缩怎么样呢
data/test/233978.0000_235418.0000.ogg,这个血液
data/test/235460.0000_237560.0000.ogg,鲜红的血液又流出来了
data/test/237680.0000_239579.0000.ogg,通过那这个管道流出来
data/test/239599.0000_241520.0000.ogg,这个管道就叫什么
data/test/241819.0000_244000.0000.ogg,主动脉
data/test/245060.0000_246979.0000.ogg,血液从主动脉流出来之后
data/test/246979.0000_248960.0000.ogg,就会流到身体的各个部分 是吧
data/test/248978.0000_250039.0000.ogg,包括大脑
data/test/250360.0000_251439.0000.ogg,向上流到大脑上
data/test/251460.0000_253240.0000.ogg,向下流到这个全身各处
data/test/320.0000_2379.0000.ogg,各位同学大家好 我是李永乐老师
data/test/2379.0000_3580.0000.ogg,在6月13号
data/test/3600.0000_5820.0000.ogg,欧洲杯B组芬兰对丹麦的比赛中
data/test/5839.0000_7500.0000.ogg,丹麦的核心球员埃里克森
data/test/7580.0000_9740.0000.ogg,在没有任何冲撞的情况下突然倒地
data/test/9740.0000_13039.0000.ogg,队医赶来之后发现他已经呼吸暂停 丧失意识
data/test/13039.0000_15679.0000.ogg,于是对他紧急进行了心肺复苏CPR
data/test/15800.0000_18059.0000.ogg,和体外除颤AED的抢救
data/test/18059.0000_19300.0000.ogg,经过十几分钟的抢救
data/test/19300.0000_20739.0000.ogg,埃里克森终于恢复了意识
data/test/20820.0000_22019.0000.ogg,被人抬下了球场
data/test/22039.0000_24219.0000.ogg,整个过程像教科书一样完美
data/test/24399.0000_27179.0000.ogg,中国每年有55万的心源性猝死病例
data/test/27199.0000_28960.0000.ogg,他们之中有很多普通人
data/test/29000.0000_31100.0000.ogg,也有像高以翔这样的社会名流
data/test/31120.0000_32659.0000.ogg,但是他们中的绝大多数人
data/test/32679.0000_34280.0000.ogg,没有像埃里克森那么幸运
data/test/34280.0000_35100.0000.ogg,抢救过来的比例
data/test/35200.0000_37259.0000.ogg,乐观估计也只有1%到2%
data/test/37280.0000_38979.0000.ogg,因为心源性猝死一旦发生
data/test/39079.0000_41060.0000.ogg,黄金抢救时间只有几分钟
data/test/41060.0000_41920.0000.ogg,十分钟以后
data/test/42039.0000_44500.0000.ogg,大脑就会因为缺氧而面临不可逆的损害
data/test/44520.0000_46100.0000.ogg,并让患者最终死亡
data/test/46119.0000_48420.0000.ogg,心源性猝死到底是怎么回事呢
data/test/48539.0000_52840.0000.ogg,心肺复苏CPR和体外除颤AED又应该如何使用呢
data/test/52840.0000_55399.0000.ogg,今天我们就带着大家来讨论一下这个问题
data/test/55880.0000_59100.0000.ogg,我们首先要讨论一下心脏的功能
data/test/59100.0000_62579.0000.ogg,因为我们要了解为什么要进行急救
data/test/62579.0000_64819.0000.ogg,我们得知道心脏到底是出了什么样的问题
data/test/65000.0000_65939.0000.ogg,我先画一个心脏
data/test/66480.0000_68500.0000.ogg,好 我们画完了一个心脏的示意图
data/test/68659.0000_70560.0000.ogg,心脏是两室两厅 是吧
data/test/70560.0000_72739.0000.ogg,有两个心房和两个心室
data/test/72879.0000_78219.0000.ogg,这个我们就称之为右心房 右心房
data/test/78239.0000_80900.0000.ogg,这个我们就称之为左心房
data/test/80920.0000_84459.0000.ogg,上面是心房 底下的是心室
data/test/84459.0000_87500.0000.ogg,这个叫右心室
data/test/88359.0000_92780.0000.ogg,底下的这个叫左心室 左心室
data/test/92780.0000_94700.0000.ogg,有人说你这个左右是不是反了
data/test/94700.0000_95340.0000.ogg,其实没反
data/test/95340.0000_96939.0000.ogg,因为我这是这样的一个人
data/test/97158.0000_98359.0000.ogg,这边就是他的右边
data/test/98359.0000_99519.0000.ogg,这边就是他的左边
data/test/99519.0000_101878.0000.ogg,所以是右心房 右心室 左心房 左心室
data/test/101878.0000_103400.0000.ogg,而且整个心脏的位置
data/test/103400.0000_105680.0000.ogg,大概在我们两乳中间这个位置
data/test/105680.0000_106719.0000.ogg,稍稍偏左
data/test/106819.0000_108219.0000.ogg,没有像电视里演的那样
data/test/108280.0000_109158.0000.ogg,说心脏在这个位置
data/test/109180.0000_109819.0000.ogg,打这儿就死了
data/test/109878.0000_111700.0000.ogg,不是 这个地方是左肺 是吧
data/test/111739.0000_113939.0000.ogg,心脏是中间偏左一点点的位置
data/test/114299.0000_117180.0000.ogg,好 这个就是心脏的这四个腔室
data/test/117180.0000_119098.0000.ogg,那么它的作用就是用来泵血
data/test/119098.0000_119640.0000.ogg,我们知道
data/test/119640.0000_122299.0000.ogg,人体的体细胞每时每刻都要进行呼吸作用
data/test/122579.0000_123560.0000.ogg,那么要进行呼吸作用
data/test/123700.0000_126200.0000.ogg,就得由血液带来氧气 带走二氧化碳 对吧
data/test/126219.0000_128478.0000.ogg,那么血液的运输就是靠心脏这个泵
data/test/128580.0000_131038.0000.ogg,所以我们睡觉的时候别的器官都休息 是吧
data/test/131038.0000_133280.0000.ogg,心脏不能休息 心脏一直这么跳着
data/test/133439.0000_134539.0000.ogg,那我们具体来看一下
data/test/134539.0000_136340.0000.ogg,这个血液的循环过程是怎么样子的
data/test/136520.0000_141439.0000.ogg,我们来研究一下这个血液的这个循环过程
data/test/141680.0000_142740.0000.ogg,循环过程
data/test/143159.0000_147219.0000.ogg,首先 静脉血从这个身体里边
data/test/147478.0000_149900.0000.ogg,带来很多二氧化碳的这种静脉血
data/test/149939.0000_152900.0000.ogg,它会从这个大静脉 主静脉
data/test/153099.0000_154579.0000.ogg,流回到右心房
data/test/154579.0000_158639.0000.ogg,从这个主静脉 主静脉
data/test/158819.0000_162719.0000.ogg,就是我们身体那些这个静脉汇到一块
data/test/162719.0000_164978.0000.ogg,主静脉流回到这个右心房里边去
data/test/165120.0000_167400.0000.ogg,然后这个血液流回到右心房里边之后
data/test/167719.0000_170759.0000.ogg,再通过心房和心室之间的这个瓣膜
data/test/170759.0000_171978.0000.ogg,叫三尖瓣儿
data/test/171978.0000_174360.0000.ogg,流到这个右心室里边去
data/test/174439.0000_176800.0000.ogg,然后这个右心室一收缩一挤
data/test/176800.0000_178840.0000.ogg,就把这个血液又挤上去了
data/test/179400.0000_181680.0000.ogg,通过上面的这根管道挤上去了
data/test/181740.0000_183280.0000.ogg,这根管道叫什么呢
data/test/183379.0000_187460.0000.ogg,这根管道叫肺动脉 肺动脉
data/test/187479.0000_188580.0000.ogg,那你可以想象
data/test/188599.0000_191259.0000.ogg,这个血液经过肺动脉之后流哪去了
data/test/191280.0000_192659.0000.ogg,是不是流到肺里面去了
data/test/192800.0000_196560.0000.ogg,所以这个血液就会流到肺中去
data/test/196719.0000_198879.0000.ogg,那么肺里面可以进行气体交换
data/test/198939.0000_199579.0000.ogg,也就是说
data/test/199840.0000_202139.0000.ogg,肺会把血液中的二氧化碳释放走
data/test/202139.0000_204079.0000.ogg,再从这个外界拿到新鲜的氧气
data/test/204079.0000_205360.0000.ogg,放到血液里边去
data/test/205360.0000_208400.0000.ogg,所以这个血液经过肺之后就变成了动脉血
data/test/208500.0000_209840.0000.ogg,富含氧气的动脉血
data/test/209978.0000_214740.0000.ogg,这个动脉血就会从这个肺静脉
data/test/214740.0000_218939.0000.ogg,又流回到左心房当中
data/test/218939.0000_220939.0000.ogg,然后再从这个左心房里边
data/test/221099.0000_223460.0000.ogg,左心房和左心室之间也有一个瓣膜
data/test/223579.0000_225120.0000.ogg,保证血液只能单向流动
data/test/225120.0000_226439.0000.ogg,这个瓣膜叫二尖瓣儿
data/test/226800.0000_230319.0000.ogg,通过这个瓣膜再流到了这个左心室里边去
data/test/230460.0000_232120.0000.ogg,流到左心室里边去之后
data/test/232199.0000_233960.0000.ogg,左心室一收缩怎么样呢
data/test/233978.0000_235418.0000.ogg,这个血液
data/test/235460.0000_237560.0000.ogg,鲜红的血液又流出来了
data/test/237680.0000_239579.0000.ogg,通过那这个管道流出来
data/test/239599.0000_241520.0000.ogg,这个管道就叫什么
data/test/241819.0000_244000.0000.ogg,主动脉
data/test/245060.0000_246979.0000.ogg,血液从主动脉流出来之后
data/test/246979.0000_248960.0000.ogg,就会流到身体的各个部分 是吧
data/test/248978.0000_250039.0000.ogg,包括大脑
data/test/250360.0000_251439.0000.ogg,向上流到大脑上
data/test/251460.0000_253240.0000.ogg,向下流到这个全身各处
data/test/5542.0000_6834.0000.ogg,This patient has post-radiation...
data/test/6834.0000_7709.0000.ogg,and chemotherapy
data/test/7709.0000_9000.0000.ogg,This is quite a big tumour
data/test/9000.0000_12334.0000.ogg,"I'd be lying if I say I'm not worried, right?"
data/test/13125.0000_13959.0000.ogg,I couldn't stand the pain
data/test/13959.0000_15334.0000.ogg,I told the doctor it was too painful
data/test/15626.0000_17792.0000.ogg,"If the replacement bone doesn't fit nicely,"
data/test/17792.0000_19918.0000.ogg,we'll need to do an open surgery instead
data/test/21584.0000_24125.0000.ogg,"There's a risk of infection for this surgery,"
data/test/24125.0000_26375.0000.ogg,and there may be other complications
data/test/26792.0000_28417.0000.ogg,"Hello, sir. Are you okay?"
data/test/28417.0000_30334.0000.ogg,My father was already in stage five
data/test/30334.0000_32792.0000.ogg,"If I had known earlier,"
data/test/32792.0000_35542.0000.ogg,I would've been able to guide my dad along
data/test/58209.0000_62292.0000.ogg,"Every day, Steven starts his mornings with some exercise"
data/test/62292.0000_64083.0000.ogg,"At 71 years old,"
data/test/64083.0000_67584.0000.ogg,he looks just as healthy as any other senior citizen
data/test/67584.0000_70417.0000.ogg,"However, he is suffering from stage three rectal cancer..."
data/test/70417.0000_76334.0000.ogg,and will be undergoing an estimated nine-hour-long operation in a week
data/test/76334.0000_80042.0000.ogg,"When he was diagnosed with cancer last year,"
data/test/80042.0000_82042.0000.ogg,he was devastated by the news
data/test/83584.0000_85083.0000.ogg,I definitely got a shock
data/test/85083.0000_88042.0000.ogg,My world darkened
data/test/88042.0000_90292.0000.ogg,"I thought, ""How did I get this problem?"
data/test/90292.0000_92292.0000.ogg,"""This problem with cancer"""
data/test/92751.0000_96083.0000.ogg,(Colorectal cancer is the most common and lethal cancer in Singapore)
data/test/96083.0000_99292.0000.ogg,"(Over 1,200 cases are diagnosed annually)"
data/test/100375.0000_102792.0000.ogg,"(In Singapore, colorectal cancer is the most common cancer among men...)"
data/test/102792.0000_107501.0000.ogg,"(and the second-most common cancer among women, especially those above 50)"
data/test/108709.0000_111209.0000.ogg,Steven is diagnosed with stage three colorectal cancer
data/test/111209.0000_114792.0000.ogg,"Due to its position, chemotherapy and radiotherapy..."
data/test/114792.0000_116667.0000.ogg,are needed to shrink the tumour before surgery
data/test/117250.0000_120375.0000.ogg,"If the surgery is not done promptly, the tumour will enlarge..."
data/test/120417.0000_124501.0000.ogg,"and affect surrounding organs like the prostate and bladder,"
data/test/124501.0000_128083.0000.ogg,"or even spread to other organs, like the lungs and liver"
data/test/128083.0000_130709.0000.ogg,This is a mandatory operation for Steven
data/test/132125.0000_133834.0000.ogg,I'd be lying...
data/test/133834.0000_136000.0000.ogg,"if I said I'm not worried, right?"
data/test/136000.0000_137417.0000.ogg,My main concern is...
data/test/137417.0000_139751.0000.ogg,that I just hope I can...
data/test/139751.0000_141417.0000.ogg,go through the surgery...
data/test/141417.0000_142999.0000.ogg,with peace of mind
data/test/142999.0000_146250.0000.ogg,"Hopefully, everything will go smoothly"
data/test/148375.0000_151334.0000.ogg,"(Singapore General Hospital, 6.30 am)"
data/test/151626.0000_153375.0000.ogg,It's 6.30 am
data/test/153375.0000_159000.0000.ogg,60-year-old Manikam broke her scapula after an accidental fall at home
data/test/159000.0000_163083.0000.ogg,She's at Singapore General Hospital (SGH) for a bone grafting surgery today
data/test/164417.0000_166792.0000.ogg,It was early in the morning at 5 am
data/test/166792.0000_168042.0000.ogg,I crawled out of bed...
data/test/168042.0000_170167.0000.ogg,and I think I fell down
data/test/171083.0000_174209.0000.ogg,I silently prayed and then I stood up
data/test/174209.0000_175250.0000.ogg,"After standing up,"
data/test/175250.0000_177918.0000.ogg,this area hurt even more
data/test/177918.0000_179999.0000.ogg,"Then, I went to the Emergency Department"
data/test/179999.0000_182375.0000.ogg,They asked me to lie down on a bed...
data/test/182375.0000_183626.0000.ogg,and they pulled my hand
data/test/183626.0000_184876.0000.ogg,The pain was intolerable
data/test/184876.0000_187417.0000.ogg,"I told the doctor, ""This is too painful!"""
data/test/188334.0000_192125.0000.ogg,"(In Singapore, one-third of those aged 65 and above fall at least once yearly)"
data/test/192125.0000_195459.0000.ogg,(This increases half for those aged 80 and above)
data/test/195459.0000_201417.0000.ogg,(Elderlies who have fallen before have a 30% higher risk of falling again)
data/test/202501.0000_204501.0000.ogg,Manikam is a retiree
data/test/204501.0000_208626.0000.ogg,She has been living alone since her husband passed away a few years ago
data/test/210959.0000_213876.0000.ogg,This patient's case is special...
data/test/213876.0000_217751.0000.ogg,as she has a recurrent right joint dislocation
data/test/217751.0000_220918.0000.ogg,I've already tried joint reduction...
data/test/220918.0000_222751.0000.ogg,but it failed twice...
data/test/222792.0000_225834.0000.ogg,as she has a large humeral notch
data/test/226209.0000_227334.0000.ogg,This is the reason...
data/test/227334.0000_231083.0000.ogg,why you suffered dislocation twice
data/test/234125.0000_235834.0000.ogg,"I'll be here, don't worry"
data/test/235834.0000_236999.0000.ogg,"Okay, on your count"
data/test/236999.0000_239125.0000.ogg,"Okay. One, two, three, turn"
data/test/239876.0000_241042.0000.ogg,"One, two, three, roll"
data/test/241417.0000_245959.0000.ogg,Manikam has a high body mass index of 37
data/test/245959.0000_247125.0000.ogg,"As she is overweight,"
data/test/247125.0000_251501.0000.ogg,Dr Woo is unable to use soft tissue filling for her humeral notch
data/test/251501.0000_256584.0000.ogg,Open surgery will mean a longer recovery period for Manikam
data/test/210.0000_840.0000.ogg,好大家好
data/test/840.0000_3535.0000.ogg,今天回来再和大家说说非处方药物
data/test/3535.0000_6224.0000.ogg,今天我最主要的课题是说头疼
data/test/6495.0000_10904.0000.ogg,头疼也是大家最最头疼的一种情况
data/test/11095.0000_11824.0000.ogg,基本上
data/test/11935.0000_15504.0000.ogg,每个人在一生当中最起码会遇到一次
data/test/15815.0000_18095.0000.ogg,头疼的现象
data/test/18095.0000_19024.0000.ogg,这也是
data/test/19740.0000_21733.0000.ogg,大家用非处方药
data/test/21906.0000_24613.0000.ogg,针对的最主要的病症之一
data/test/26266.0000_29266.0000.ogg,在做这次视频之前我先做一个声明
data/test/29266.0000_31493.0000.ogg,声明：这系列的
data/test/32676.0000_35916.0000.ogg,视频最主要是医学科普
data/test/36463.0000_38156.0000.ogg,大家不能作为诊断或者治疗的依据
data/test/38463.0000_41156.0000.ogg,每个人的情况不同，每个人的病情不同
data/test/41703.0000_43703.0000.ogg,如果你自己无法确定的话
data/test/43703.0000_45836.0000.ogg,我建议你咨询一下自己的医生
data/test/46143.0000_48316.0000.ogg,千万不要盲目的自己服药
data/test/48583.0000_52076.0000.ogg,包括非处方药或者借别人的药物
data/test/52929.0000_54769.0000.ogg,在服用非处方药的时候
data/test/54769.0000_57610.0000.ogg,也请大家仔细看看说明书
data/test/58089.0000_61729.0000.ogg,不要以为自己知道就盲目的服用
data/test/61729.0000_65370.0000.ogg,特别需要看看说明书上面的有效成分
data/test/65489.0000_67250.0000.ogg,我在第一集的时候已经说了
data/test/67250.0000_69330.0000.ogg,这里面的利害关系啊
data/test/69889.0000_70530.0000.ogg,药量
data/test/71234.0000_73832.0000.ogg,以及多长时间可以服用一次
data/test/74047.0000_75272.0000.ogg,到什么时候
data/test/75447.0000_78632.0000.ogg,你就不应该服用了，需要咨询医生了
data/test/78807.0000_79872.0000.ogg,诸如此类的
data/test/80567.0000_81067.0000.ogg,好
data/test/82645.0000_85662.0000.ogg,那么现在说说头疼应该怎么样分类
data/test/86037.0000_88117.0000.ogg,头疼一般分成两个大类
data/test/88117.0000_90957.0000.ogg,一种是原发型的就是头疼，
data/test/90957.0000_92582.0000.ogg,就是头疼没有其他的原因
data/test/92877.0000_94197.0000.ogg,另外一种是继发型的
data/test/94197.0000_96342.0000.ogg,也就是说一种并发症
data/test/96557.0000_97462.0000.ogg,其是他的
data/test/98187.0000_101566.0000.ogg,疾病而造成的头疼。这个包括外伤
data/test/101713.0000_103526.0000.ogg,头部受伤了，中风
data/test/104953.0000_106686.0000.ogg,细菌或者病毒的感染
data/test/107130.0000_109371.0000.ogg,神经特别脑神经的受损
data/test/110088.0000_112771.0000.ogg,还有呢就是脑瘤
data/test/113288.0000_116491.0000.ogg,造成里面压力啊这都会造成头疼
data/test/116527.0000_118451.0000.ogg,这种继发性的头疼
data/test/118848.0000_122971.0000.ogg,不要使用非处方药一定要找医生
data/test/123540.0000_124514.0000.ogg,找出里面的病因
data/test/125005.0000_125805.0000.ogg,这也就是说
data/test/125805.0000_128514.0000.ogg,如果说刚开始你认为是原发型
data/test/128725.0000_131514.0000.ogg,然后用了非处方药之后一直不好
data/test/131725.0000_133714.0000.ogg,我们的概念就是说一个星期
data/test/133965.0000_137554.0000.ogg,你三天，连续三天都有这个头疼
data/test/137605.0000_140594.0000.ogg,你用非处方药根本就无法治好
data/test/141378.0000_143499.0000.ogg,那么你要去见医生
data/test/143499.0000_145340.0000.ogg,或者说在一个月之内
data/test/1034.0000_3636.0000.ogg,你知道該怎麼樣來消滅癌細胞嗎
data/test/3636.0000_4204.0000.ogg,多喝水
data/test/4204.0000_4504.0000.ogg,多吃
data/test/5271.0000_5538.0000.ogg,它會
data/test/7107.0000_8375.0000.ogg,之前有一個女孩子
data/test/8375.0000_10510.0000.ogg,她是被診斷這個子宮內膜癌
data/test/10510.0000_11411.0000.ogg,是原位的
data/test/11411.0000_12545.0000.ogg,你知道過了半年之後回來
data/test/13913.0000_15915.0000.ogg,今天邀請到劉博仁醫師
data/test/15915.0000_17150.0000.ogg,來告訴大家
data/test/17150.0000_18018.0000.ogg,每個人1天
data/test/18018.0000_20120.0000.ogg,都會生產數千個癌細胞
data/test/20120.0000_21554.0000.ogg,為什麼有人得腫瘤
data/test/21554.0000_23089.0000.ogg,有人平安無事呢
data/test/23089.0000_25458.0000.ogg,預防癌症名醫教你該怎麼吃
data/test/31564.0000_33666.0000.ogg,對 我們這個劉博仁醫師
data/test/33666.0000_35902.0000.ogg,他從第一次來我們節目到現在
data/test/35902.0000_37504.0000.ogg,加起來點閱率都破百萬
data/test/37504.0000_38872.0000.ogg,超級受歡迎的醫師 對
data/test/38872.0000_41374.0000.ogg,那劉醫師是基因科學
data/test/41374.0000_41941.0000.ogg,包括了
data/test/44744.0000_45912.0000.ogg,好厲害 對對對
data/test/45912.0000_47981.0000.ogg,所以今天就好好地瞭解一下
data/test/47981.0000_49883.0000.ogg,這營養醫學抗癌
data/test/49883.0000_51351.0000.ogg,而且醫師在門診
data/test/52519.0000_53486.0000.ogg,是 對對對
data/test/53486.0000_55955.0000.ogg,罹癌或者防癌到底該怎麼吃
data/test/55955.0000_57357.0000.ogg,今天要請這個醫師
data/test/57357.0000_59559.0000.ogg,幫我們來解答這個問題 對
data/test/59559.0000_60460.0000.ogg,10大癌症
data/test/60460.0000_62095.0000.ogg,包括110年的最新統計
data/test/62095.0000_65932.0000.ogg,比如說像氣管 肝臟 結腸直腸癌
data/test/65932.0000_67000.0000.ogg,然後第四名的乳癌
data/test/67000.0000_68468.0000.ogg,就是我們剛才講到這個新聞
data/test/68468.0000_69502.0000.ogg,其實都是
data/test/69502.0000_71004.0000.ogg,這個是我們列出來的
data/test/71004.0000_73073.0000.ogg,10大癌症的排名
data/test/73073.0000_74240.0000.ogg,那就是想說
data/test/74240.0000_76376.0000.ogg,到底身體出現什麼樣的狀況
data/test/76376.0000_78978.0000.ogg,很有可能其實就是一個徵兆了
data/test/78978.0000_80513.0000.ogg,我們這邊也列出來了幾個
data/test/80513.0000_81247.0000.ogg,其中有一個
data/test/81247.0000_82715.0000.ogg,跟醫師也跟哲青哥分享
data/test/82715.0000_84317.0000.ogg,就是我自己有一個親戚 是
data/test/84317.0000_85518.0000.ogg,他一個月內
data/test/85518.0000_89155.0000.ogg,我月初看到他跟月底看到他
data/test/89155.0000_90789.0000.ogg,就覺得根本是兩個不同的人
data/test/90789.0000_92158.0000.ogg,一問之後才發現就是
data/test/94561.0000_95195.0000.ogg,10幾公斤
data/test/95195.0000_96795.0000.ogg,他也沒有刻意的
data/test/96795.0000_99199.0000.ogg,就是減肥或是節食等等的
data/test/99199.0000_100500.0000.ogg,然後後來我們才知道
data/test/100500.0000_101935.0000.ogg,其實他身體出狀況 對
data/test/101935.0000_103902.0000.ogg,其實莫名其妙的體重減輕
data/test/103902.0000_105705.0000.ogg,你不要以為 有人是跟我講
data/test/105705.0000_107307.0000.ogg,好棒 最近怎麼瘦很多
data/test/107307.0000_109275.0000.ogg,我居然沒有做任何運動也瘦下來
data/test/109275.0000_110143.0000.ogg,我說那你要小心
data/test/111744.0000_114447.0000.ogg,不是說瘦一定有癌症的問題
data/test/114447.0000_115648.0000.ogg,但是譬如我們講
data/test/116850.0000_118118.0000.ogg,譬如說我有一個病人
data/test/118118.0000_119719.0000.ogg,就是他一個太太過來
data/test/119719.0000_120787.0000.ogg,他說瘦
data/test/120787.0000_122722.0000.ogg,瘦的時候他說最近容易倦怠
data/test/122722.0000_124657.0000.ogg,像吃東西來講胃口比較不好
data/test/124657.0000_126326.0000.ogg,然後說我是不是營養不良這樣
data/test/126326.0000_128161.0000.ogg,怎麼最近瘦了大概7 8公斤
data/test/129863.0000_130663.0000.ogg,然後我就說
data/test/130663.0000_131965.0000.ogg,那你這有沒有其他的狀況
data/test/131965.0000_133500.0000.ogg,不會 肚子就是脹脹
data/test/133500.0000_134968.0000.ogg,但也沒什麼特殊問題
data/test/134968.0000_136569.0000.ogg,我們幫他掃個超音波一看到
data/test/137537.0000_138805.0000.ogg,胰臟有個東西
data/test/138805.0000_140473.0000.ogg,我們幫他抽一個胰臟癌的指標
data/test/141774.0000_142976.0000.ogg,我說不對
data/test/142976.0000_144844.0000.ogg,然後我再安排到大醫院去做斷層
data/test/147647.0000_148548.0000.ogg,所以這種有的時候
data/test/148548.0000_149883.0000.ogg,內臟的這個腫瘤來講
data/test/149883.0000_151017.0000.ogg,會導致我們這個
data/test/151017.0000_151951.0000.ogg,好像
data/test/154888.0000_156422.0000.ogg,所以要特別特別小心
data/test/156422.0000_158591.0000.ogg,是 因為這裡面有寫到很多
data/test/158591.0000_161027.0000.ogg,就包括什麼食慾不振 噁心想吐
data/test/161027.0000_163163.0000.ogg,我有碰過一個朋友他是
data/test/163163.0000_165531.0000.ogg,他是一直肚子脹脹你知道嗎
data/test/165531.0000_166533.0000.ogg,就脹氣 對 沒錯
data/test/166533.0000_167867.0000.ogg,他一直覺得脹氣
data/test/167867.0000_170136.0000.ogg,結果後來原來他一檢查也一樣
data/test/172105.0000_173173.0000.ogg,你記得一個重點
data/test/173173.0000_175775.0000.ogg,如果莫名的好像這個胃口不好
data/test/175775.0000_176643.0000.ogg,食慾下降
data/test/176643.0000_177577.0000.ogg,大概都是怎麼樣
data/test/177577.0000_178778.0000.ogg,消化系統從
data/test/180680.0000_181314.0000.ogg,包括我們
data/test/183116.0000_184984.0000.ogg,這些都可能導致食道
data/test/184984.0000_185718.0000.ogg,我們的胃口
data/test/186719.0000_187353.0000.ogg,都有可能
data/test/187353.0000_189355.0000.ogg,對 那這種的話要瘦多少
data/test/189355.0000_191658.0000.ogg,因為它既然講說莫名減輕
data/test/191658.0000_193726.0000.ogg,是瘦多少然後是多快
data/test/193726.0000_195361.0000.ogg,才能算是這種 警訊
data/test/199065.0000_200366.0000.ogg,3個月減輕5%
data/test/200366.0000_202468.0000.ogg,例如你本來是60公斤
data/test/202468.0000_203870.0000.ogg,5%是3公斤
data/test/203870.0000_205638.0000.ogg,你就上個月總共減了3公斤
data/test/205638.0000_207607.0000.ogg,好像那還有可能對不對 對
data/test/209676.0000_210210.0000.ogg,而且你
data/test/211578.0000_212679.0000.ogg,比如說節食
data/test/212679.0000_213746.0000.ogg,間接性斷食
data/test/213746.0000_215048.0000.ogg,你沒有去做運動
data/test/216382.0000_217584.0000.ogg,你不要開心
data/test/217584.0000_219219.0000.ogg,要檢查看看有沒有特別的問題
data/test/219219.0000_220353.0000.ogg,是
data/test/220353.0000_221387.0000.ogg,醫師我這邊還看到一個
data/test/221387.0000_222522.0000.ogg,像我們這個行業
data/test/222522.0000_223690.0000.ogg,常常會聽到有人說
data/test/223690.0000_226192.0000.ogg,忽然之間要登台或者要做直播
data/test/226192.0000_226926.0000.ogg,聲音就啞了
data/test/226926.0000_227560.0000.ogg,就覺得說
data/test/227560.0000_229596.0000.ogg,川貝枇杷膏就可以解除
data/test/229596.0000_230463.0000.ogg,沒錯沒錯
data/test/230463.0000_232865.0000.ogg,其實聲音沙啞來講是很常見到的
data/test/232865.0000_234133.0000.ogg,聲帶是兩個肌肉
data/test/234133.0000_234767.0000.ogg,我們聲帶
data/test/234767.0000_237470.0000.ogg,可能因為唱歌或者是說我們吸菸
data/test/237470.0000_239038.0000.ogg,酗酒 胃酸逆流會導致
data/test/240073.0000_241074.0000.ogg,可是重點來了
data/test/241074.0000_242408.0000.ogg,如果我的聲帶運動
data/test/242408.0000_243543.0000.ogg,有一邊聲帶不動
data/test/243543.0000_245311.0000.ogg,會造成聲音的沙啞
data/test/245311.0000_246379.0000.ogg,這種聲音沙啞很特別
data/test/246379.0000_247280.0000.ogg,比如說我們講說
data/test/247280.0000_248014.0000.ogg,我現在跟你講話
data/test/249749.0000_251618.0000.ogg,他的聲音沙啞如果是這種沙啞
data/test/251618.0000_252218.0000.ogg,特別小心
data/test/254921.0000_256322.0000.ogg,這代表什麼意思 變氣音這樣
data/test/256322.0000_256589.0000.ogg,對
data/test/257856.0000_258558.0000.ogg,可能是
data/test/260260.0000_262395.0000.ogg,以前最有名的就是鳳飛飛歌手
data/test/262395.0000_263930.0000.ogg,我們記得她那時候本來要登台
data/test/263930.0000_265465.0000.ogg,要準備做這個演唱會
data/test/265465.0000_267400.0000.ogg,後來大概在練的時候
data/test/267400.0000_268301.0000.ogg,她說怎麼聲音沙啞
data/test/268301.0000_269302.0000.ogg,她以為感冒
data/test/269302.0000_269802.0000.ogg,後來一查
data/test/270870.0000_271904.0000.ogg,後來就治療之後
data/test/271904.0000_274107.0000.ogg,演唱會就是STOP住了
data/test/3200.0000_4400.0000.ogg,"Not bad, bro"
data/test/4400.0000_7400.0000.ogg,I can see from your physique that your muscle mass is at its peak
data/test/7400.0000_8600.0000.ogg,Isn't it?
data/test/8600.0000_11600.0000.ogg,"I ate over 1,000 eggs within six weeks"
data/test/11600.0000_12800.0000.ogg,I got sick of it
data/test/12800.0000_17200.0000.ogg,That's for sure. But eating eggs is the best way to supplement protein
data/test/17200.0000_21600.0000.ogg,"Moreover, it's better to maintain a healthy muscle mass while one is young"
data/test/21600.0000_23000.0000.ogg,That makes sense because...
data/test/23000.0000_26600.0000.ogg,it seems that some people experience sarcopenia before the age of 50
data/test/26600.0000_30000.0000.ogg,Then you mustn't miss this episode. Get to know sarcopenia well
data/test/30520.0000_32320.0000.ogg,What are the symptoms of sarcopenia?
data/test/32320.0000_33920.0000.ogg,What exactly is sarcopenia?
data/test/33920.0000_36320.0000.ogg,"If you're unfortunate to have it, what's the treatment?"
data/test/36320.0000_39120.0000.ogg,There is a food therapy recipe in TCM that can increase muscle mass
data/test/39120.0000_41280.0000.ogg,Yes. What exercise is better?
data/test/41280.0000_43520.0000.ogg,What are the dietary issues to be aware of?
data/test/43520.0000_44920.0000.ogg,Find out in this episode of...
data/test/44920.0000_48120.0000.ogg,<i>Let's Talk About Health</i> and learn more
data/test/53120.0000_56520.0000.ogg,"Bro, let's talk about why we must actively prevent sarcopenia"
data/test/56520.0000_58320.0000.ogg,Okay. Think about it
data/test/58320.0000_62120.0000.ogg,If you're so weak that you can't even open a bottle or...
data/test/62120.0000_63720.0000.ogg,"you even have difficulty getting out of bed,"
data/test/63720.0000_66120.0000.ogg,isn't it as good as you've lost control of your life?
data/test/66120.0000_67920.0000.ogg,"That's true, which is why some people say that..."
data/test/67920.0000_71120.0000.ogg,sarcopenia is one of the killers of physical ability in the elderly
data/test/71120.0000_74120.0000.ogg,That's why we want to apprehend this killer today
data/test/74120.0000_76520.0000.ogg,"Therefore, we have to invite a doctor and call in the police"
data/test/76520.0000_79520.0000.ogg,"Of course! And gosh, we have the big brother of showbiz here"
data/test/79520.0000_84520.0000.ogg,Let's welcome Richard Low and Michelle Tay
data/test/84520.0000_88120.0000.ogg,"Also, Dr Teo Yee Hong, an orthopaedic surgeon"
data/test/88120.0000_90120.0000.ogg,Welcome to all three
data/test/91000.0000_93000.0000.ogg,We want to find out what sarcopenia is
data/test/93400.0000_95400.0000.ogg,Let me start with our two artistes
data/test/96240.0000_101840.0000.ogg,Do you think you can tell outwardly that a person has sarcopenia?
data/test/101840.0000_105440.0000.ogg,Look how big I am. Do you think I have sarcopenia?
data/test/105440.0000_107440.0000.ogg,"You can't tell, so I don't know either"
data/test/107440.0000_109440.0000.ogg,I guess she has accumulated a lot of it
data/test/110560.0000_113560.0000.ogg,"Are you referring to ""jirou"" (muscles) or something else?"
data/test/113560.0000_116160.0000.ogg,"Or ""jifang"" (literally ""muscle"" and ""fat"")"
data/test/118759.0000_120960.0000.ogg,See? I'm so fat that I am confused
data/test/120960.0000_121760.0000.ogg,Richard?
data/test/121760.0000_126560.0000.ogg,I think people who have sarcopenia look thin
data/test/126960.0000_129360.0000.ogg,But people do lose weight
data/test/129360.0000_133560.0000.ogg,"They don't necessary have sarcopenia, so I think it's difficult to tell"
data/test/133560.0000_134360.0000.ogg,Right
data/test/134560.0000_137320.0000.ogg,"Dr Teo, what exactly is sarcopenia?"
data/test/137320.0000_140560.0000.ogg,Sarcopenia is the gradual loss of muscles
data/test/140560.0000_145160.0000.ogg,"Not only that, muscle strength is also reduced"
data/test/145160.0000_148240.0000.ogg,Loss of muscles coupled with reduction in muscle strength...
data/test/148240.0000_150960.0000.ogg,prevent the muscles from functioning properly
data/test/151160.0000_153760.0000.ogg,This condition is called sarcopenia
data/test/153760.0000_156760.0000.ogg,I shouldn't have this problem because I've always had a lot of muscles
data/test/156760.0000_157760.0000.ogg,Is that so?
data/test/158360.0000_161320.0000.ogg,"Doctor, in the case of sarcopenia,"
data/test/161320.0000_165760.0000.ogg,which part of the body usually suffers from muscle loss first?
data/test/165760.0000_170160.0000.ogg,"When it comes to wrinkles, our face and whoe body will be affected"
data/test/170160.0000_174160.0000.ogg,so our whole body will suffer from muscle loss
data/test/174160.0000_175960.0000.ogg,What are the symptoms?
data/test/175960.0000_177960.0000.ogg,How do I know that I have sarcopenia?
data/test/177960.0000_182560.0000.ogg,The primary function of our muscles is to provide the body with movement
data/test/182560.0000_186760.0000.ogg,"Our musculoskeletal system is composed of bones,"
data/test/186760.0000_188760.0000.ogg,joints and muscles
data/test/188760.0000_191160.0000.ogg,The muscles operate the bones...
data/test/191160.0000_194360.0000.ogg,to move the arms and legs
data/test/194560.0000_196160.0000.ogg,"Once a person has sarcopenia,"
data/test/196160.0000_199760.0000.ogg,the muscles are unable to support the musculoskeletal system
data/test/200040.0000_201960.0000.ogg,"Firstly, the body becomes lighter"
data/test/201960.0000_204160.0000.ogg,"Secondly, the muscles begin to shrink"
data/test/204160.0000_205560.0000.ogg,You feel weak
data/test/205560.0000_208960.0000.ogg,"You want to walk, but can't stand up from your seat"
data/test/208960.0000_210560.0000.ogg,You have no confidence
data/test/210760.0000_214160.0000.ogg,Your walking speed slows down
data/test/214160.0000_215560.0000.ogg,Do you have this problem?
data/test/215560.0000_217560.0000.ogg,"When I was very fat,"
data/test/217560.0000_222160.0000.ogg,I had difficulty standing up and would ask other people to get up first
data/test/222160.0000_223760.0000.ogg,Then I'd take some time to get up
data/test/223760.0000_225160.0000.ogg,It's more difficult -Yes
data/test/225160.0000_227160.0000.ogg,"But now, it's easier"
data/test/227160.0000_228960.0000.ogg,You're lighter now
data/test/229560.0000_231760.0000.ogg,She has more muscles now -Right
data/test/231760.0000_237160.0000.ogg,"Or she is lighter, so the muscles can support her musculoskeletal system"
data/test/3250.0000_4918.0000.ogg,It felt like I was dying
data/test/4918.0000_6250.0000.ogg,It was more painful than giving birth
data/test/6250.0000_9250.0000.ogg,We think it may be the early stages of cholecystitis
data/test/9250.0000_13667.0000.ogg,We should operate within the next 24 to 48 hours
data/test/13667.0000_16999.0000.ogg,It's very painful when you touch it
data/test/16999.0000_18834.0000.ogg,There's a hole in the small intestine
data/test/18876.0000_23125.0000.ogg,The patient will die if we don't operate soon
data/test/46167.0000_48626.0000.ogg,64-year-old Ang Bee Kim...
data/test/48626.0000_52209.0000.ogg,was diagnosed with Sjögren's Syndrome eight years ago
data/test/52209.0000_56125.0000.ogg,It is a chronic autoimmune inflammatory disease
data/test/56125.0000_58959.0000.ogg,She quit her job at a restaurant...
data/test/58959.0000_60667.0000.ogg,to focus on recuperation
data/test/61292.0000_64501.0000.ogg,"My sons noticed that when I walk or stretch,"
data/test/64501.0000_66918.0000.ogg,I have shortness of breath
data/test/66918.0000_69959.0000.ogg,"The doctor diagnosed it in 2014,"
data/test/69959.0000_74626.0000.ogg,and I started taking medication in 2016
data/test/74626.0000_77000.0000.ogg,My medication is for life
data/test/77000.0000_81792.0000.ogg,I have to take about 16 tablets a day
data/test/81792.0000_84125.0000.ogg,I don't work out due to breathlessness
data/test/84125.0000_89125.0000.ogg,My son advised me to use a wheelchair
data/test/89125.0000_92876.0000.ogg,"If my wheelchair is not with me,"
data/test/92876.0000_94751.0000.ogg,I'll be worried
data/test/96584.0000_100417.0000.ogg,Ang had dealt with her illness positively all these years
data/test/100417.0000_104751.0000.ogg,"However, a sudden pain in her lower right abdomen last month..."
data/test/104751.0000_108292.0000.ogg,saw her admitted to the Emergency Department in Ng Teng Fong General Hospital (NTFGH)
data/test/108292.0000_112000.0000.ogg,She was then transferred to the Emergency Surgical Unit
data/test/114292.0000_115959.0000.ogg,It started in the morning
data/test/115959.0000_117626.0000.ogg,I felt a bit of pain...
data/test/117626.0000_119501.0000.ogg,after I woke up and had breakfast
data/test/119501.0000_122584.0000.ogg,"During lunch, it was quite painful"
data/test/122584.0000_125083.0000.ogg,It hurt more than it did during breakfast
data/test/125083.0000_127792.0000.ogg,Dinner was around 4 pm
data/test/127792.0000_129918.0000.ogg,My son ordered food for me
data/test/129918.0000_132209.0000.ogg,I ate a piece of fish and...
data/test/132209.0000_133834.0000.ogg,said that I couldn't bear it any longer
data/test/133834.0000_136083.0000.ogg,I told him I had to see a doctor
data/test/137209.0000_138959.0000.ogg,No strength
data/test/139876.0000_142125.0000.ogg,The pain was unbearable
data/test/142125.0000_143542.0000.ogg,It was so painful...
data/test/143542.0000_144834.0000.ogg,that I couldn't even touch it
data/test/144834.0000_146834.0000.ogg,The pain was excruciating if I did
data/test/148918.0000_152125.0000.ogg,This patient has appendicitis
data/test/152125.0000_156501.0000.ogg,Her condition is more complicated as compared to other patients...
data/test/156501.0000_159334.0000.ogg,"due to her autoimmune condition,"
data/test/159334.0000_162209.0000.ogg,known as Sjögren's disease
data/test/162209.0000_164999.0000.ogg,"One, two, three"
data/test/165334.0000_168167.0000.ogg,"Since her body produces blood clots,"
data/test/168167.0000_170501.0000.ogg,she has been taking anticoagulants
data/test/170501.0000_174626.0000.ogg,The biggest problem going into this operation...
data/test/174626.0000_176834.0000.ogg,"are the anticoagulants she has been taking,"
data/test/176834.0000_179042.0000.ogg,which will make it more difficult for the blood to coagulate
data/test/179042.0000_181876.0000.ogg,We need to give her some medicine...
data/test/181876.0000_184501.0000.ogg,to correct the coagulability...
data/test/184501.0000_187125.0000.ogg,and take her off anticoagulants...
data/test/187125.0000_190999.0000.ogg,before the appendicitis operation can be carried out
data/test/191792.0000_195292.0000.ogg,(Appendicitis can happen to anyone)
data/test/195292.0000_200167.0000.ogg,"(However, it is more common among those between the ages of 10 and 30)"
data/test/201125.0000_208709.0000.ogg,(A ruptured appendix could lead to a life-threatening abscess or peritonitis)
data/test/209000.0000_210918.0000.ogg,When the doctor told me that...
data/test/210918.0000_212876.0000.ogg,the appendix would have ruptured...
data/test/212876.0000_214250.0000.ogg,"if I had gone any later,"
data/test/214250.0000_216334.0000.ogg,I got the shock of my life
data/test/216334.0000_217918.0000.ogg,"I said, ""Oh dear,"
data/test/217918.0000_220125.0000.ogg,"""thank goodness I came here earlier"""
data/test/225125.0000_227959.0000.ogg,"Ng Teng Fong General Hospital, which is located in Jurong East,"
data/test/227959.0000_231501.0000.ogg,has 700 beds
data/test/231834.0000_236334.0000.ogg,"Besides providing general medical care, treatment, and rehabilitation services,"
data/test/236334.0000_239042.0000.ogg,the hospital has also established an Emergency Surgical Unit...
data/test/239042.0000_244334.0000.ogg,"that provides emergency services 24 hours a day, all year round"
data/test/250083.0000_252667.0000.ogg,Good morning
data/test/252667.0000_255584.0000.ogg,"Good morning, auntie"
data/test/255584.0000_258292.0000.ogg,"Let's draw the curtains, please"
data/test/258625.0000_260500.0000.ogg,Let's check the abdomen
data/test/6999.0000_8209.0000.ogg,"Wait, don't move"
data/test/8999.0000_11626.0000.ogg,This operation will take about six to seven hours
data/test/11626.0000_13167.0000.ogg,It's quite a difficult operation
data/test/13667.0000_14751.0000.ogg,Take it slow
data/test/17042.0000_19626.0000.ogg,I often get stomachaches
data/test/19626.0000_22626.0000.ogg,"Sometimes, I'll get dizzy and vomit"
data/test/23709.0000_24834.0000.ogg,The worry now is that...
data/test/24834.0000_27334.0000.ogg,your calcium levels may fall...
data/test/27334.0000_28999.0000.ogg,"because now, your bones are very hungry"
data/test/29667.0000_30501.0000.ogg,Patient's 12th
data/test/30834.0000_33209.0000.ogg,"She had an inflamed pancreas previously,"
data/test/33209.0000_36792.0000.ogg,which resulted in a lot of internal scars
data/test/37459.0000_40042.0000.ogg,What if I don't survive the surgery?
data/test/40042.0000_41542.0000.ogg,Whether my body withstand...
data/test/41542.0000_43999.0000.ogg,the long and major surgery?
data/test/63876.0000_67125.0000.ogg,(Ng Teng Fong General Hospital)
data/test/67125.0000_71501.0000.ogg,"Ng Teng Fong General Hospital, which was opened in 2015,"
data/test/71501.0000_74792.0000.ogg,"covers an area of about 55,000 square metres"
data/test/74792.0000_77209.0000.ogg,"It has an emergency department, internal medicine department,"
data/test/77209.0000_79834.0000.ogg,"hepatobiliary and pancreatic surgery department and so on,"
data/test/79834.0000_82959.0000.ogg,alleviating the strong demand for medical treatment in the West
data/test/84667.0000_85792.0000.ogg,No close contact
data/test/85792.0000_86667.0000.ogg,No
data/test/86667.0000_88959.0000.ogg,"Tan Mei Ping, 50 years old,"
data/test/88959.0000_93125.0000.ogg,is at Ng Teng Fong General Hospital today for an operation
data/test/93667.0000_96667.0000.ogg,"She is independent and didn't want to trouble her family,"
data/test/96667.0000_99876.0000.ogg,so she came to the hospital to settle the admission procedures on her own
data/test/100417.0000_104167.0000.ogg,I often had stomach issues
data/test/104167.0000_107959.0000.ogg,Every time I went to consult the neighbourhood doctor...
data/test/107959.0000_109417.0000.ogg,"and the company doctor,"
data/test/109417.0000_112876.0000.ogg,they all said I had gastric
data/test/113209.0000_118542.0000.ogg,"So, I thought that the gastric could be due to stress from work,"
data/test/118542.0000_122292.0000.ogg,or from being too busy
data/test/123000.0000_124042.0000.ogg,Is it a bit low?
data/test/124042.0000_124999.0000.ogg,No
data/test/124999.0000_127584.0000.ogg,(Blood pressure) 146/96
data/test/128501.0000_131125.0000.ogg,"Tan Mei Ping is a sales trainer,"
data/test/131125.0000_133042.0000.ogg,She has always loved outdoor activities
data/test/133042.0000_135834.0000.ogg,"From time to time, she would go out with relatives and friends,"
data/test/135834.0000_137834.0000.ogg,or cycle around the island together
data/test/137834.0000_139834.0000.ogg,She is also a frequent marathon runner
data/test/140459.0000_142584.0000.ogg,"Through her company's annual medical check-up,"
data/test/142584.0000_145209.0000.ogg,she only recently discovered that what she suffers from...
data/test/145209.0000_147459.0000.ogg,is not ordinary gastric pain
data/test/147876.0000_150667.0000.ogg,She actually suffers from what is known as...
data/test/150667.0000_156959.0000.ogg,primary hyperparathyroidism
data/test/156959.0000_160792.0000.ogg,It is the most common cause of hypercalcemia
data/test/162125.0000_164125.0000.ogg,Why does she have this issue?
data/test/164167.0000_166918.0000.ogg,"That's because in her neck,"
data/test/166918.0000_171792.0000.ogg,there is a parathyroid tumour on the lower right side
data/test/173167.0000_178209.0000.ogg,"(In Singapore, thyroid cancer is the eighth most common cancer among women)"
data/test/178209.0000_179709.0000.ogg,"(Between 2015 and 2019,)"
data/test/179709.0000_186334.0000.ogg,(an average of 312 women in Singapore were diagnosed with thyroid disease per year)
data/test/186334.0000_190501.0000.ogg,"Normally, parathyroid glands can't be seen"
data/test/190876.0000_193125.0000.ogg,We can't even see them through an ultrasound scan...
data/test/193125.0000_194626.0000.ogg,because they are really small
data/test/194626.0000_196667.0000.ogg,They are smaller than a grain of rice
data/test/196667.0000_202167.0000.ogg,"Usually, one of them may start to swell and become a tumour,"
data/test/202167.0000_205667.0000.ogg,causing hormone hyperactivity
data/test/206792.0000_211959.0000.ogg,Too much parathyroid hormone can lead to high levels of calcium in the blood
data/test/212334.0000_215834.0000.ogg,Hypercalcemia could be life-threatening
data/test/216501.0000_223125.0000.ogg,"So, in the long run, if we don't resolve hyperparathyroidism,"
data/test/223125.0000_226417.0000.ogg,the bones will become more and more porous
data/test/226417.0000_229501.0000.ogg,The probability of fracture would be higher
data/test/230834.0000_231959.0000.ogg,"Also,"
data/test/21089.0000_21660.0000.ogg,觀眾朋友你好
data/test/22169.0000_26039.0000.ogg,今天的疫情 今天新增本土病例1萬7千
data/test/26070.0000_29609.0000.ogg,801例 有不幸3個人
data/test/29609.0000_33000.0000.ogg,新增是死亡個案 那回到各縣市
data/test/33000.0000_36840.0000.ogg,那台北市今天新增了3718例
data/test/37170.0000_41430.0000.ogg,新北市是6584例 桃園市
data/test/41429.0000_45540.0000.ogg,呢也到2577例 每一個縣市
data/test/45540.0000_49439.0000.ogg,的新增的病例都是很多的 今天是1萬
data/test/49469.0000_53429.0000.ogg,7801例 除了3例新增死亡
data/test/53460.0000_57180.0000.ogg,之外 另外今天增加重症有
data/test/57180.0000_60780.0000.ogg,14個人 中症有14個人 重症有
data/test/60780.0000_64769.0000.ogg,7個人 加起來是21個人 那輕症
data/test/64769.0000_67859.0000.ogg,跟無症狀那這個比例依然是99.75%
data/test/67859.0000_71099.0000.ogg,那今天呢比較大
data/test/71099.0000_74819.0000.ogg,的問題是說 除了這3個死亡個案呢
data/test/74969.0000_78150.0000.ogg,大概一個是超過90歲 一個超過80歲 一
data/test/78150.0000_81390.0000.ogg,個超過70歲 那有一個打一劑 有一個打了
data/test/81510.0000_84780.0000.ogg,劑 有另外一個70幾歲是沒有打疫苗的
data/test/85049.0000_87840.0000.ogg,當然也許我們等一下會比較多來談一談
data/test/88050.0000_90840.0000.ogg,今天新增重症的部分
data/test/91590.0000_93989.0000.ogg,有1名20多歲的女性
data/test/94500.0000_98759.0000.ogg,打了三劑疫苗 沒有任何的慢性病史那
data/test/98789.0000_101130.0000.ogg,但是他今天是重症的 那
data/test/101128.0000_105149.0000.ogg,另外也有一個沒有滿5歲的小朋友 是女性
data/test/105180.0000_106589.0000.ogg,也是重症 那他
data/test/106590.0000_109079.0000.ogg,因為五 還沒有五歲 所以當然沒打疫苗
data/test/109109.0000_112380.0000.ogg,不過他是有神經系統疾病 那我們再來看看
data/test/112769.0000_114450.0000.ogg,這是我們長期是整理的
data/test/115049.0000_117329.0000.ogg,藍色這一塊就是新增本土
data/test/117359.0000_120900.0000.ogg,那其實已經接連好幾天突破萬例 今天是
data/test/120899.0000_124320.0000.ogg,17000多例 那重點還是看紅色
data/test/124319.0000_128128.0000.ogg,這條曲線 昨天中重症是增加
data/test/128158.0000_130710.0000.ogg,47例 今天是21例
data/test/130919.0000_134519.0000.ogg,不過相較及1 2個禮拜之前 中重症的人數
data/test/134519.0000_137459.0000.ogg,呢確實也有明顯的增加的情形
data/test/137669.0000_141419.0000.ogg,今天再來好好談一下 包括整體現在在醫院
data/test/141449.0000_144929.0000.ogg,急診的醫療資源該如何分配 包括
data/test/145079.0000_148590.0000.ogg,是不是真的可以用快篩來替代PCR
data/test/148919.0000_152490.0000.ogg,今天陳時中部長講得很清楚 現在政策
data/test/152519.0000_155969.0000.ogg,要再做調整 就是說你必須快篩
data/test/156030.0000_156780.0000.ogg,陽性
data/test/157319.0000_161250.0000.ogg,而且是沒有症狀的這些人才可以
data/test/161250.0000_163529.0000.ogg,去做PCR 那當然你如果有症狀
data/test/163530.0000_164759.0000.ogg,的話當然要去做PCR
data/test/165060.0000_168569.0000.ogg,可是呢 因此這所謂的快篩
data/test/168659.0000_171570.0000.ogg,陽性再做PCR 可以希望
data/test/171599.0000_173759.0000.ogg,降低整個急診
data/test/173759.0000_176639.0000.ogg,的這些醫療能量 我們再來好好談一下類似
data/test/176639.0000_178918.0000.ogg,的這題目 介紹3位特別來賓首先歡迎是
data/test/178918.0000_181469.0000.ogg,新光醫院副院長洪子仁 主持人好 各位
data/test/181500.0000_183029.0000.ogg,觀眾大家晚安 也感謝
data/test/183030.0000_185729.0000.ogg,台北市醫師公會常務理事周賢章 周醫師
data/test/185909.0000_186990.0000.ogg,主持人好 觀眾朋友
data/test/186989.0000_189809.0000.ogg,大家好 感染科醫師林氏璧 孔醫師你好 信聰
data/test/189810.0000_192929.0000.ogg,好各位觀眾大家好 還是先來看看今天的最新
data/test/192959.0000_193289.0000.ogg,疫情
data/test/195090.0000_198450.0000.ogg,國內新冠本土疫情持續升溫 2號週一新增
data/test/198478.0000_202139.0000.ogg,17801例 已經連續5天破萬例
data/test/202319.0000_205709.0000.ogg,也創疫情以來單日新高 其中以新北市新增
data/test/205739.0000_209159.0000.ogg,6584例最多 其次是台北市三千
data/test/209159.0000_212369.0000.ogg,多例 桃園市有2000多例 疫情指揮中心
data/test/212399.0000_215700.0000.ogg,指揮官陳時中表示 疫情高峰的單日確診
data/test/215728.0000_217319.0000.ogg,高推估為20萬例
data/test/229950.0000_232829.0000.ogg,另外也新增21例中
data/test/232829.0000_236489.0000.ogg,重症個案 其中重症有3人死亡年齡為七十
data/test/236490.0000_239310.0000.ogg,到90多歲高齡長者 都有慢性病史
data/test/239579.0000_241410.0000.ogg,值得注意的是重症當中有
data/test/241409.0000_244800.0000.ogg,1名20多歲女性 沒有慢性病史 打過三劑
data/test/244830.0000_246810.0000.ogg,疫苗 確診居家照護時
data/test/246840.0000_250439.0000.ogg,因為腹痛嘔吐惡化 目前插管及呼吸器
data/test/250710.0000_254010.0000.ogg,另外有1名未滿1歲女嬰 有神經系統疾病
data/test/254219.0000_257730.0000.ogg,因為發燒到診所就醫 當時未篩檢 2天後
data/test/257730.0000_260819.0000.ogg,呼吸困難送醫採檢陽性 目前插管
data/test/260850.0000_264239.0000.ogg,並使用瑞德西韋治療中 成為國內年紀最小
data/test/264240.0000_267360.0000.ogg,的重症個案
data/test/272009.0000_275310.0000.ogg,隨著
data/test/275339.0000_278519.0000.ogg,確診人數越來越多 陳時中首度透露如果
data/test/278519.0000_281429.0000.ogg,國內第三劑疫苗涵蓋率 達到某種程度
data/test/281639.0000_284879.0000.ogg,未來其實確診也可以免居隔 就跟歐美國家
data/test/284879.0000_285269.0000.ogg,一樣
data/test/298230.0000_302100.0000.ogg,至於國內口服抗
data/test/302100.0000_305070.0000.ogg,病毒藥物部分 指揮中心表示輝瑞口服
data/test/305100.0000_308400.0000.ogg,抗病毒藥物已經使用669人份 3日
data/test/308430.0000_311879.0000.ogg,會在配送到各地應變醫院 4號再配送到
data/test/311910.0000_315689.0000.ogg,各地藥局 以提供居家照護使用 到時不僅
data/test/315689.0000_318659.0000.ogg,門急診醫師可以開藥 居家照護團隊
data/test/318689.0000_322469.0000.ogg,也可以遠距開藥 再讓藥師送藥到宅
data/test/322769.0000_323759.0000.ogg,台北報導
data/test/324029.0000_325919.0000.ogg,副院長還是先請教 你如何看待現在
data/test/325919.0000_328409.0000.ogg,整個趨勢 1萬7801例今天
data/test/329159.0000_331110.0000.ogg,我想目前的整個
data/test/331109.0000_334170.0000.ogg,的發展 事實上之前大家都討論過了
data/test/334199.0000_337229.0000.ogg,然後我想這個確診個案數應該
data/test/338550.0000_340079.0000.ogg,還會再增加 我想這個大
data/test/340170.0000_342570.0000.ogg,但是我覺得經過這裡4月份
data/test/342569.0000_344790.0000.ogg,以來 到現在差不多經過一個月的時間
data/test/345089.0000_348060.0000.ogg,我覺得在某種程度上 民眾也慢慢
data/test/348089.0000_351659.0000.ogg,有一些開始在調整 包含心態上的調整
data/test/352170.0000_353520.0000.ogg,以及行動上的調整
data/test/353730.0000_354870.0000.ogg,但是我必須要講
data/test/355379.0000_357959.0000.ogg,就是學習跟病毒共存的這件事 是需要
data/test/357960.0000_361230.0000.ogg,一點時間的 就是說就像以這個新加坡
data/test/361230.0000_363569.0000.ogg,為例 他也是從去年8月份開始
data/test/364139.0000_365879.0000.ogg,才開始學習與病毒共存
data/test/366329.0000_367949.0000.ogg,但是新加坡在8月份開始
data/test/367949.0000_370410.0000.ogg,的時候 一開始他們也遇到跟我們一樣
data/test/370439.0000_373439.0000.ogg,這個情況 包含就是說這個1922
data/test/373439.0000_376290.0000.ogg,打不通啦 這個政府的這個專線被打到爆
data/test/376319.0000_378209.0000.ogg,等等 但是後來
data/test/378209.0000_381600.0000.ogg,就是說經過他們的一個調整之後 他們慢慢
data/test/381599.0000_384960.0000.ogg,才漸漸地適應在居家康復的這件事
data/test/385259.0000_387720.0000.ogg,所以事實上新加坡後來他們統計 他們居家
data/test/387750.0000_388800.0000.ogg,康復的比例大概
data/test/388829.0000_390420.0000.ogg,在七十九% 將近八十
data/test/390420.0000_392220.0000.ogg,% 人幾乎幾乎都在
data/test/392220.0000_395370.0000.ogg,居家裡面 就完成他們所有的這個這個程序
data/test/395610.0000_398760.0000.ogg,而且他們後來也才發現到說 在居家這個
data/test/398759.0000_402600.0000.ogg,康復有好處 就是那個心理支持的這個因素
data/test/402689.0000_403770.0000.ogg,佔了很重要一個
data/test/403769.0000_405810.0000.ogg,就是說在家裡面有歸屬感
data/test/406019.0000_409289.0000.ogg,然後有親人可以來幫忙 而不是說你一確診
data/test/409319.0000_412230.0000.ogg,就把你移走 一確診就移走 他說那種感受
data/test/412229.0000_414599.0000.ogg,跟在家裡面的感覺是完全不一樣
data/test/414750.0000_417210.0000.ogg,但是我必須講 以台灣目前的狀況我們
data/test/417239.0000_419579.0000.ogg,我覺得我們還在學習那樣的一個過程
data/test/419759.0000_423000.0000.ogg,還在學習的過程 就像這兩天大家一直問說
data/test/423029.0000_425849.0000.ogg,急診被塞爆的問題 確實我統計了一下我們
data/test/425850.0000_428430.0000.ogg,新光醫院最近的急診 大概有三十
data/test/428430.0000_429209.0000.ogg,% 的人
data/test/429449.0000_431009.0000.ogg,他就是屬於比較輕症的
data/test/431370.0000_434069.0000.ogg,患者他指示要來做PCR檢驗 譬如說是
data/test/434069.0000_436319.0000.ogg,晚上 社區篩檢站都關門了
data/test/436740.0000_439230.0000.ogg,那他是要來他要來做 PCR的採檢
data/test/439230.0000_442050.0000.ogg,的時候他可能就來急診 那當然他的一方面
data/test/442050.0000_444630.0000.ogg,是來做PCR的採檢 一方面他是來
data/test/445049.0000_447599.0000.ogg,他雖然是輕症 可是他來急診他起碼可以
data/test/447629.0000_448589.0000.ogg,拿到藥物
data/test/449189.0000_450780.0000.ogg,要回去就是說
data/test/451379.0000_453150.0000.ogg,有藥物回去可以治療等等
data/test/453300.0000_454439.0000.ogg,但是這30% 的
data/test/454439.0000_457710.0000.ogg,這樣一個輕症的一個一些人到急診來 其實
data/test/457740.0000_461159.0000.ogg,某種程度就影響到 急診能夠收治真的最critical
data/test/461610.0000_464010.0000.ogg,病人的那樣的情況 有關於急診塞爆
data/test/464519.0000_466140.0000.ogg,二個問題 第一個我們台北市
data/test/466139.0000_468930.0000.ogg,或是各縣市 不都有社區的篩檢站
data/test/469469.0000_472469.0000.ogg,那理論上這些人應該都是到社區篩檢站
data/test/472500.0000_473969.0000.ogg,而不是到醫院的急診
data/test/474000.0000_477240.0000.ogg,這是一個 第二個當然我知道說篩檢站他有
data/test/477240.0000_479159.0000.ogg,那個晚上就沒辦法有這個量能
data/test/479609.0000_481469.0000.ogg,那可能 你如果是三更半夜
data/test/481500.0000_482339.0000.ogg,不過我也不太清楚
data/test/482370.0000_483209.0000.ogg,為什麼三更半夜要做
data/test/483659.0000_484469.0000.ogg,快篩 現在
data/test/484889.0000_486000.0000.ogg,篩檢對 台北市
data/test/486000.0000_488550.0000.ogg,的七大的社區篩檢站 其實幾乎都是
data/test/488550.0000_491279.0000.ogg,醫院附設的比較多啦 比如說某個醫院
data/test/491280.0000_493470.0000.ogg,他就是急診 旁邊就社區篩檢站
data/test/493709.0000_496560.0000.ogg,所以他幾乎跟醫院的急診 也都是幾乎是
data/test/496560.0000_497670.0000.ogg,聯動在一起的
data/test/498329.0000_500579.0000.ogg,所以並不是說好像有個社區篩檢站是
data/test/500579.0000_503610.0000.ogg,完全脫離醫院的篩檢站 社區篩檢站也是屬於
data/test/503610.0000_506610.0000.ogg,醫院 他就是設在醫院裡面 比如由新光醫院
data/test/506639.0000_509310.0000.ogg,社區篩檢站 聯合醫院他也是他的他的
data/test/509310.0000_511529.0000.ogg,社區篩檢站也在醫院旁邊
data/test/511949.0000_513269.0000.ogg,戶外的另外一個區塊
data/test/513480.0000_514980.0000.ogg,所以這都是連在一起的
data/test/515549.0000_517289.0000.ogg,所以現在的我們有二個瓶頸
data/test/517469.0000_520709.0000.ogg,就是說大家在這個學習與病毒共存 病毒
data/test/520740.0000_523889.0000.ogg,共存的過程中要經過陣痛期 陣痛期
data/test/523919.0000_526409.0000.ogg,就是一些學習 就像我舉一個是除了
data/test/526409.0000_527879.0000.ogg,急診以外 第二個例子是什麼
data/test/528179.0000_530159.0000.ogg,我今天來的時候特別盤點一下我們醫院
data/test/530159.0000_533970.0000.ogg,的這個專責病房 那我們有七十七張的專責
data/test/533969.0000_536549.0000.ogg,病房已經開出 到目前也住了69個人
data/test/536759.0000_539700.0000.ogg,占床率已經到89.6 那現在
data/test/540150.0000_542580.0000.ogg,現在的人數是1萬七千多
data/test/542610.0000_545580.0000.ogg,那如果哪一天變成是5萬以上的時候 那
data/test/545610.0000_548399.0000.ogg,勢必我們醫院的這個 已經開到將近
data/test/548430.0000_550350.0000.ogg,15% 的專責病房可能
data/test/550379.0000_553379.0000.ogg,又不夠用再往上開 大家問說奇怪
data/test/553379.0000_555870.0000.ogg,為什麼中重症的人沒有那麼多 這個專
data/test/555870.0000_558300.0000.ogg,則病房會有這麼多人擠在這個專責
data/test/558299.0000_561089.0000.ogg,病房 需要去接受照顧跟治療 其中有
data/test/561090.0000_564240.0000.ogg,一個因素 我這邊還是要利用節目跟民眾
data/test/564480.0000_566610.0000.ogg,來就是跟大家來做溝通
data/test/566850.0000_570870.0000.ogg,就是說很多人他到了這個專責病房 其實事實上
data/test/570870.0000_574259.0000.ogg,來講 經過5天或7天他的這個病毒量
data/test/574259.0000_577409.0000.ogg,已經下來了 然後他也不需要再氧氣的協助
data/test/577470.0000_580919.0000.ogg,其實這樣的病人是可以下轉到集中
data/test/580919.0000_582480.0000.ogg,檢疫所 甚至回家
data/test/582870.0000_585719.0000.ogg,可是很多病人他 一方面是可能是擔心
data/test/585839.0000_586620.0000.ogg,是不瞭解
data/test/587039.0000_588329.0000.ogg,他會要求說不行
data/test/588750.0000_591839.0000.ogg,我要採檢到陰性 完全陰性我才要回去
data/test/592169.0000_595109.0000.ogg,那就變成說 有時候醫生如果要去請他出院
data/test/595110.0000_598650.0000.ogg,的時候就會 遭遇到一些病人的方面的困難
data/test/598860.0000_602490.0000.ogg,他會說我回去我家裡人很擔心 住醫院最安心
data/test/602909.0000_605610.0000.ogg,家裡面的人可能也覺得說 你最好在醫院
data/test/606090.0000_607289.0000.ogg,都陰性
data/test/607740.0000_608939.0000.ogg,你再回來 所以我要講
data/test/608939.0000_612120.0000.ogg,就是說 我們在從清零到與病毒共存的過程
data/test/4167.0000_6083.0000.ogg,The lung nodule had increased in size
data/test/6083.0000_7250.0000.ogg,"Therefore, we were worried..."
data/test/7250.0000_9501.0000.ogg,that it could contain cancer
data/test/9501.0000_11375.0000.ogg,Life is short
data/test/11375.0000_12584.0000.ogg,"I must do it even if I'm nervous,"
data/test/13083.0000_14167.0000.ogg,It's going to hurt a little
data/test/15250.0000_17167.0000.ogg,This procedure has its risks
data/test/17709.0000_18751.0000.ogg,Let's try again
data/test/20209.0000_21417.0000.ogg,I'm prepared
data/test/21417.0000_22834.0000.ogg,It has to be taken out
data/test/22834.0000_23959.0000.ogg,"If this is cancer,"
data/test/23959.0000_25042.0000.ogg,and has spread beyond the lungs...
data/test/25042.0000_26375.0000.ogg,"to other parts of the body,"
data/test/26375.0000_27626.0000.ogg,then this would be a cancer...
data/test/27626.0000_29292.0000.ogg,that is no longer curable
data/test/50417.0000_52709.0000.ogg,(National Heart Centre Singapore)
data/test/54250.0000_58834.0000.ogg,"National Heart Centre Singapore covers an area of 50,000 square metres"
data/test/58834.0000_61667.0000.ogg,"It receives more than 100,000 outpatients every year"
data/test/61667.0000_66918.0000.ogg,"It is estimated that the number of patients will increase to 200,000 by 2030"
data/test/70542.0000_74125.0000.ogg,"Tay Yew Chin, a 72-year-old retiree,"
data/test/74125.0000_78542.0000.ogg,is at the National Heart Centre Singapore today for surgery
data/test/81459.0000_82751.0000.ogg,(One month before surgery)
data/test/82751.0000_86042.0000.ogg,Our heart valves are thin and open well when we are young
data/test/86042.0000_89918.0000.ogg,"However, as we get older, calcification happens"
data/test/89918.0000_92542.0000.ogg,The white parts here represent calcification
data/test/92542.0000_97125.0000.ogg,"Once calcification happens, the heart valve doesn't open as well as before"
data/test/97125.0000_99709.0000.ogg,It also becomes thicker and harder
data/test/100292.0000_104584.0000.ogg,Tay discovered that he had heart problems 10 years ago
data/test/104584.0000_109125.0000.ogg,He had been relying on anticoagulants and cholesterol-lowering medication...
data/test/109125.0000_110834.0000.ogg,to manage his condition
data/test/110834.0000_114417.0000.ogg,But he felt that something was wrong last year
data/test/114751.0000_117292.0000.ogg,"It was difficult to breathe sometimes,"
data/test/117751.0000_122000.0000.ogg,and I felt like my heart was beating louder than usual
data/test/122000.0000_124667.0000.ogg,That's how the heart problem was discovered
data/test/125501.0000_127751.0000.ogg,"This is the state of our patient now,"
data/test/127751.0000_130709.0000.ogg,where the valve is severely narrowed
data/test/131334.0000_134501.0000.ogg,Heart valves are an important part of the heart
data/test/134501.0000_137667.0000.ogg,"When the heart contracts, the heart valves open"
data/test/137667.0000_140459.0000.ogg,Oxygenated blood can then flow through the body
data/test/140459.0000_144042.0000.ogg,"If the heart valves are narrow, it'll be difficult for blood to flow out,"
data/test/144042.0000_145792.0000.ogg,which could cause pleural effusion
data/test/146375.0000_150959.0000.ogg,"Without surgery, the heart valves will become increasingly narrow"
data/test/150959.0000_153250.0000.ogg,This may cause the heart to weaken
data/test/153626.0000_156000.0000.ogg,"In the worst-case scenario, it could be life-threatening"
data/test/156999.0000_159584.0000.ogg,"With the acceleration of population ageing in Singapore,"
data/test/159584.0000_163751.0000.ogg,the incidence of heart valve disease in the elderly is also growing
data/test/163751.0000_165876.0000.ogg,Diseases like aortic insufficiency...
data/test/165876.0000_169584.0000.ogg,"and aortic stenosis, the condition that Tay developed,"
data/test/169584.0000_172042.0000.ogg,are rather common
data/test/173125.0000_176375.0000.ogg,(Cardiovascular disease is the world's leading cause of death)
data/test/176375.0000_181834.0000.ogg,(1 in 3 people die from cardiovascular-related diseases)
data/test/182459.0000_188751.0000.ogg,"(Globally, 5 percent of people over 65 have severe aortic stenosis)"
data/test/189375.0000_193999.0000.ogg,"Tay's scans revealed calcifications in his heart,"
data/test/193999.0000_196167.0000.ogg,resulting in a narrowing of the heart valves
data/test/196792.0000_199709.0000.ogg,The doctor advised him to have an operation
data/test/200209.0000_203876.0000.ogg,"TAVI, or Transcatheter Aortic Valve Implantation,"
data/test/203876.0000_206083.0000.ogg,is a minimally invasive surgery
data/test/206083.0000_211250.0000.ogg,A catheter will be inserted from the aorta in the leg
data/test/211250.0000_216292.0000.ogg,A stent will then be placed at the narrowed heart valve
data/test/216292.0000_220584.0000.ogg,"The stent will then push open the old, narrow heart valve,"
data/test/220584.0000_224667.0000.ogg,allowing blood to easily flow from the heart to the rest of the body
data/test/224667.0000_228834.0000.ogg,The stent contains a replacement heart valve leaflet made of natural tissue...
data/test/22590.0000_23400.0000.ogg,大家好
data/test/23400.0000_26030.0000.ogg,今天我们开始学习问妇女的内容
data/test/26030.0000_27850.0000.ogg,今天我还特别邀请了
data/test/27850.0000_30400.0000.ogg,北京中医药大学东直门医院妇科的
data/test/30400.0000_32890.0000.ogg,刘雁峰主任医师一起跟我
data/test/32890.0000_34680.0000.ogg,来跟大家介绍有关
data/test/34680.0000_37550.0000.ogg,妇女月经 带下的生理病理特点
data/test/37550.0000_39420.0000.ogg,以及问诊的内容
data/test/39420.0000_41360.0000.ogg,和相关的一些注意事项
data/test/41360.0000_42460.0000.ogg,刘教授好
data/test/43230.0000_44920.0000.ogg,天芳老师好 大家好
data/test/45630.0000_47200.0000.ogg,雁峰老师这样的
data/test/47200.0000_50520.0000.ogg,妇女她有月经 有这个带下呀
data/test/50520.0000_53130.0000.ogg,胎孕呀 哺乳啊等等的生理特点
data/test/53130.0000_56160.0000.ogg,但是当这些功能发生紊乱的时候
data/test/56160.0000_58560.0000.ogg,也会出现一些相应的病症 是吧
data/test/58560.0000_60560.0000.ogg,那么 虽然说是在这个
data/test/61210.0000_62960.0000.ogg,学生们在中学吧大概是
data/test/62960.0000_64680.0000.ogg,学过这种生理课
data/test/64680.0000_66330.0000.ogg,提到一点点儿这个月经
data/test/66330.0000_68650.0000.ogg,但是我想为了让大家更好地就是说
data/test/68650.0000_70010.0000.ogg,了解月经病
data/test/70010.0000_71530.0000.ogg,我想还是有必要给大家
data/test/71530.0000_72720.0000.ogg,再介绍一下
data/test/72720.0000_74970.0000.ogg,正常的月经到底是怎么样的
data/test/74970.0000_76750.0000.ogg,要不麻烦你给大家介绍一下
data/test/77200.0000_78000.0000.ogg,好的
data/test/78000.0000_80330.0000.ogg,这个月经是一个女性
data/test/80330.0000_82700.0000.ogg,她生殖这个发育
data/test/82700.0000_84700.0000.ogg,以及成熟的一个表现
data/test/84700.0000_86220.0000.ogg,那就是说我们常说的
data/test/86220.0000_88400.0000.ogg,胞宫的一个周期性的出血
data/test/88400.0000_89150.0000.ogg,所谓的胞宫
data/test/89150.0000_91260.0000.ogg,我们中医叫胞宫也叫子宫
data/test/91260.0000_93630.0000.ogg,就是子宫的一个周期性的出血
data/test/93630.0000_96039.0000.ogg,因为它是一个周期性的出血
data/test/96039.0000_98620.0000.ogg,所谓的周期呢 它是以什么为周期呢
data/test/98620.0000_99470.0000.ogg,是以月
data/test/99470.0000_100960.0000.ogg,所以 我们叫月经
data/test/100960.0000_103280.0000.ogg,那么 它就是像月亮的
data/test/103280.0000_104030.0000.ogg,阴晴圆缺
data/test/104030.0000_107080.0000.ogg,阴晴圆缺 像海水的潮涨潮落
data/test/107080.0000_108509.0000.ogg,它是有规律的
data/test/108509.0000_109580.0000.ogg,那它是以月
data/test/109580.0000_112960.0000.ogg,每个月每个月这样有周期性地来潮
data/test/112960.0000_116650.0000.ogg,所以我们又叫月水 月信 月汛
data/test/116650.0000_118560.0000.ogg,都有这样一些称法
data/test/118560.0000_120700.0000.ogg,那么俗称呢 大姨妈来了
data/test/120700.0000_121630.0000.ogg,什么倒霉了
data/test/121630.0000_123880.0000.ogg,那这些都是指的月经的一些
data/test/124880.0000_127420.0000.ogg,别称或者说俗称
data/test/127420.0000_130560.0000.ogg,那么 一个正常的月经的表现
data/test/130560.0000_131480.0000.ogg,或者是体现吧
data/test/131480.0000_133450.0000.ogg,它首先要有一个周期 对吧
data/test/133450.0000_135000.0000.ogg,我们说它什么时间
data/test/135000.0000_137390.0000.ogg,什么时候是它的一个正常的周期呢
data/test/137390.0000_140800.0000.ogg,我们讲一般是21到35天
data/test/140800.0000_142490.0000.ogg,平均28天
data/test/142490.0000_144490.0000.ogg,那么就是以28天为周期
data/test/144490.0000_147050.0000.ogg,提前一周或者错后一周
data/test/147050.0000_149340.0000.ogg,都是在一个正常的范围
data/test/149340.0000_151500.0000.ogg,这是一个正常的月经的周期
data/test/151500.0000_153230.0000.ogg,我们叫作28加减7天
data/test/153230.0000_155840.0000.ogg,加减7天 这是一个正常的月经周期
data/test/155840.0000_158810.0000.ogg,那么如果提前超过了7天以上
data/test/158810.0000_160280.0000.ogg,可能叫月经先期
data/test/160280.0000_163400.0000.ogg,这个可能在它的疾病里边会提到
data/test/163400.0000_166540.0000.ogg,那么错后超过了这个7天
data/test/166540.0000_169100.0000.ogg,甚至到这个5个月之内
data/test/169100.0000_170829.0000.ogg,那可能叫月经后期
data/test/170829.0000_173930.0000.ogg,还有这些月经周期 带经期都异常的
data/test/173930.0000_176040.0000.ogg,还有经量的异常 可能叫崩漏
data/test/176040.0000_178160.0000.ogg,那么这个可能我们在以后的病理
data/test/178160.0000_179280.0000.ogg,疾病的时候也要讲
data/test/179280.0000_181520.0000.ogg,我们先讲正常的周期
data/test/181520.0000_183210.0000.ogg,首先是这个天数 是吧
data/test/183210.0000_185440.0000.ogg,是28天加减7天
data/test/185440.0000_188000.0000.ogg,还有一个期的意思就是行经期
data/test/188000.0000_189400.0000.ogg,也就是带经期
data/test/189400.0000_191660.0000.ogg,这个来几天是正常的呢
data/test/191660.0000_194350.0000.ogg,一般我们教材上说是2到8天
data/test/194350.0000_196280.0000.ogg,平均是4到6天
data/test/196280.0000_197880.0000.ogg,这是一个带经期
data/test/197880.0000_198940.0000.ogg,那这个带经期是不是
data/test/198940.0000_201470.0000.ogg,就是从她一开始有血开始算起
data/test/201470.0000_203000.0000.ogg,对 那也就是到血没了 是吧
data/test/203000.0000_203360.0000.ogg,对 对
data/test/203360.0000_204329.0000.ogg,不是说
data/test/204329.0000_206030.0000.ogg,非得血多了那天才算起
data/test/206030.0000_207710.0000.ogg,从月经见到血以后
data/test/207710.0000_210140.0000.ogg,一直到它全部都没有 干净了
data/test/210140.0000_212350.0000.ogg,这个算一个带经期
data/test/212350.0000_215560.0000.ogg,另外 还有就是它的这个经量
data/test/215560.0000_216829.0000.ogg,我们说的经量
data/test/216829.0000_218320.0000.ogg,那么 月经量呢
data/test/218320.0000_221630.0000.ogg,一般我们说是在20到80毫升
data/test/221630.0000_224270.0000.ogg,有的20毫升到80毫升之内
data/test/224270.0000_226780.0000.ogg,都算一个正常的月经量
data/test/226780.0000_229000.0000.ogg,这是月经的经期
data/test/229000.0000_231340.0000.ogg,然后它的量 然后它的颜色
data/test/231340.0000_234490.0000.ogg,我们说正常的月经的颜色是正红色
data/test/234490.0000_236490.0000.ogg,不稠不稀 没有血块
data/test/237230.0000_239480.0000.ogg,另外 月经的一个正常的周期呢
data/test/239480.0000_241600.0000.ogg,可能会有一些伴随症状
data/test/241600.0000_244590.0000.ogg,就比如说经前要来月经的时候
data/test/244590.0000_247720.0000.ogg,会有一些心烦 乳房胀痛
data/test/247720.0000_249720.0000.ogg,还有一些情绪的变化
data/test/249720.0000_252720.0000.ogg,但这些有一些伴随的症状是因为它
data/test/252720.0000_256079.0000.ogg,随着这个阴阳转化的这样一个情况
data/test/256079.0000_256560.0000.ogg,出现的
data/test/256560.0000_258410.0000.ogg,如果不影响到我们正常的
data/test/258410.0000_259529.0000.ogg,生活和工作
data/test/259529.0000_261370.0000.ogg,那也算是我们在正常的
data/test/261370.0000_262270.0000.ogg,月经周期里边
data/test/262270.0000_264360.0000.ogg,出现的一些轻微的症状
data/test/264360.0000_265660.0000.ogg,那么 如果它严重了
data/test/265660.0000_269020.0000.ogg,就可能会变成我们以后要讲到的
data/test/269020.0000_270540.0000.ogg,经前紧张综合征
data/test/270540.0000_273150.0000.ogg,或者我们叫月经前后诸证
data/test/273720.0000_274400.0000.ogg,另外一个
data/test/274400.0000_277659.0000.ogg,我们还要问她的一个月经的初潮
data/test/277659.0000_280920.0000.ogg,就是你什么时候来的第一次月经
data/test/281280.0000_283560.0000.ogg,这个就是可能待会儿
data/test/283560.0000_286250.0000.ogg,王老师还要提到就是这个 你这个
data/test/286250.0000_288360.0000.ogg,月经的问题 对吧 就是
data/test/288360.0000_290380.0000.ogg,就是《素问》上古天真论里边
data/test/5999.0000_8584.0000.ogg,"In that moment, I thought I broke my leg"
data/test/8584.0000_10417.0000.ogg,It was really painful. I couldn't bear it
data/test/11042.0000_14042.0000.ogg,A knee injury may seem like it is only at the knee
data/test/14042.0000_17501.0000.ogg,"However, it can affect one in many ways"
data/test/17959.0000_20083.0000.ogg,I can feel the pressure on my neck
data/test/20083.0000_21792.0000.ogg,It became so bad that I needed...
data/test/21792.0000_23751.0000.ogg,somebody to really bang on it
data/test/27250.0000_29918.0000.ogg,Spine surgery is a challenge
data/test/30417.0000_32750.0000.ogg,Everyone could feel the weight of responsibility
data/test/53209.0000_56792.0000.ogg,(National University Hospital)
data/test/62083.0000_65250.0000.ogg,"From the back, all the way to here..."
data/test/65250.0000_66292.0000.ogg,and then up to here?
data/test/66292.0000_67876.0000.ogg,"Yeah, only this part"
data/test/67876.0000_69292.0000.ogg,Only here
data/test/69292.0000_71417.0000.ogg,55-year-old Royston...
data/test/71417.0000_76167.0000.ogg,has been suffering from a problem for the past two years
data/test/76167.0000_79542.0000.ogg,His neck aches almost every day
data/test/80918.0000_89584.0000.ogg,"(In Singapore, one in four adults has had neck pain in the past six months)"
data/test/90000.0000_92417.0000.ogg,Neck pain can have many causes
data/test/92417.0000_93959.0000.ogg,"However, after diagnosis,"
data/test/93959.0000_96083.0000.ogg,doctors found out that Royston's problem...
data/test/96083.0000_100083.0000.ogg,involved two of the body's most important systems -
data/test/100083.0000_102709.0000.ogg,the nervous system and the cervical spine
data/test/104125.0000_105584.0000.ogg,The cervical spine refers to...
data/test/105584.0000_109417.0000.ogg,"the part of the body where our head, or brain, is connected"
data/test/112999.0000_113999.0000.ogg,"So, the incision will be..."
data/test/113999.0000_116292.0000.ogg,from the centre to the side
data/test/116334.0000_117751.0000.ogg,Disc herniation...
data/test/117751.0000_123042.0000.ogg,"occurs when the intervertebral disc between bones, also known as cartilage,"
data/test/123042.0000_127209.0000.ogg,"ruptures and moves backwards,"
data/test/127209.0000_131334.0000.ogg,"thus putting pressure on our spinal cord or nerve cord, causing pain"
data/test/131334.0000_132250.0000.ogg,"Okay, if you've no questions,"
data/test/132250.0000_134000.0000.ogg,later the anaesthetist nurse will see you
data/test/134000.0000_135501.0000.ogg,"Okay, I'll prepare myself inside"
data/test/135501.0000_136501.0000.ogg,Thank you so much
data/test/136501.0000_138792.0000.ogg,Royston came to the hospital for surgery today...
data/test/138792.0000_141709.0000.ogg,to have his damaged disc removed...
data/test/141709.0000_144459.0000.ogg,and to have an artificial disc inserted
data/test/144501.0000_148417.0000.ogg,"However, such procedures have a certain degree of risk"
data/test/149709.0000_151459.0000.ogg,He asked me to think about it carefully...
data/test/151459.0000_154501.0000.ogg,"and I told him to give me a month,"
data/test/154501.0000_156292.0000.ogg,so I could think it over...
data/test/156292.0000_158918.0000.ogg,because it comes to a point where it could...
data/test/158918.0000_161292.0000.ogg,even cause you to be paralyzed and all that
data/test/167501.0000_169792.0000.ogg,"Royston was a little apprehensive at first,"
data/test/169792.0000_173834.0000.ogg,"but after much consideration, he decided to go ahead with the surgery"
data/test/176501.0000_179042.0000.ogg,(Three days before surgery)
data/test/179042.0000_180792.0000.ogg,"When I sit for too long,"
data/test/180792.0000_183209.0000.ogg,I can feel the pressure on my neck
data/test/183209.0000_184918.0000.ogg,It became so bad that I needed...
data/test/184918.0000_187167.0000.ogg,somebody to really bang on it
data/test/187792.0000_191834.0000.ogg,"In addition to neck pain, as the nerves are affected,"
data/test/191834.0000_196999.0000.ogg,Royston's left upper arm has been numb for the past two years
data/test/196999.0000_202626.0000.ogg,He has to ask his son to massage his neck and shoulders almost every night
data/test/202626.0000_203334.0000.ogg,"To be honest,"
data/test/203334.0000_205125.0000.ogg,sometimes I will yell a little bit at him...
data/test/205167.0000_206667.0000.ogg,because he couldn't get the part...
data/test/206667.0000_207751.0000.ogg,that I want
data/test/207751.0000_210042.0000.ogg,"To your left a bit, to the left"
data/test/210042.0000_211834.0000.ogg,Down a bit
data/test/211834.0000_212542.0000.ogg,Yes
data/test/212542.0000_213417.0000.ogg,"After that, I'd feel bad..."
data/test/213417.0000_214876.0000.ogg,and I'll apologize to him
data/test/214876.0000_217501.0000.ogg,I'd explain that I was really in pain...
data/test/217501.0000_219292.0000.ogg,and it's very frustrating for me
data/test/223209.0000_226250.0000.ogg,Royston has not slept well for the past two years either
data/test/226250.0000_230250.0000.ogg,He often woke up in pain and had to take painkillers
data/test/230250.0000_233125.0000.ogg,He has also tried acupuncture and physical therapy
data/test/233125.0000_235125.0000.ogg,"However, things didn't improve"
data/test/235959.0000_237792.0000.ogg,A couple of friends said...
data/test/237792.0000_240250.0000.ogg,to not go for the surgery
data/test/240626.0000_242083.0000.ogg,Try not to
data/test/82080.0000_83080.0000.ogg,All right
data/test/83160.0000_85400.0000.ogg,Come back for a follow-up if there's no improvement in three days
data/test/85480.0000_86800.0000.ogg,All right. Thank you -You're welcome
data/test/88480.0000_90200.0000.ogg,<i>What? Mr Kok?</i>
data/test/94320.0000_96120.0000.ogg,"Hello, please take a seat"
data/test/100400.0000_102080.0000.ogg,"What's troubling you, Mr Kok?"
data/test/102520.0000_105680.0000.ogg,"Doctor, I've been having diarrhoea lately"
data/test/106080.0000_107680.0000.ogg,My stomach has been bloated
data/test/107960.0000_111080.0000.ogg,"I'm always feeling tired, and I don't have much appetite"
data/test/112000.0000_114280.0000.ogg,I'm worried that it might be rectal cancer
data/test/114360.0000_117160.0000.ogg,"Yes, it really stinks when he breaks wind"
data/test/117440.0000_118720.0000.ogg,Do you have medicine for him?
data/test/119360.0000_121200.0000.ogg,Let me examine you first
data/test/122040.0000_123160.0000.ogg,Over here
data/test/126760.0000_128280.0000.ogg,Please lift your shirt
data/test/131400.0000_134600.0000.ogg,I'll apply pressure to your abdomen. Tell me if you feel any pain
data/test/134680.0000_135760.0000.ogg,All right
data/test/138120.0000_139640.0000.ogg,Does it hurt? -No
data/test/141520.0000_142880.0000.ogg,How about here? -It's all right
data/test/152079.0000_153680.0000.ogg,Let's continue
data/test/153760.0000_154880.0000.ogg,All right
data/test/165040.0000_166680.0000.ogg,"Mr Kok, I've finished"
data/test/170360.0000_171640.0000.ogg,You poor thing!
data/test/171720.0000_174560.0000.ogg,You doctors have to work even when you're not well
data/test/175120.0000_176760.0000.ogg,Don't you have medical leave?
data/test/181280.0000_184080.0000.ogg,"Mr Kok, I've seen your medical history"
data/test/184160.0000_186200.0000.ogg,You suffer from gastrointestinal sensitivity
data/test/187560.0000_190000.0000.ogg,"Doctor, I did some research online"
data/test/190200.0000_193840.0000.ogg,Colorectal cancer is the most common cancer affecting men in Singapore
data/test/194200.0000_196840.0000.ogg,Men in their fifties like me are particularly at risk
data/test/197360.0000_201000.0000.ogg,"Diarrhoea and bloating are all symptoms of that, right?"
data/test/201440.0000_202880.0000.ogg,"If you're worried,"
data/test/202960.0000_204760.0000.ogg,you can have a colonoscopy done
data/test/204840.0000_207760.0000.ogg,"Doctor, must I undergo a colonoscopy?"
data/test/208280.0000_211640.0000.ogg,I read online that blood tests...
data/test/212040.0000_214040.0000.ogg,"or scans can be done, right?"
data/test/214400.0000_217680.0000.ogg,You can also go for stool or blood tests or a CT scan
data/test/217760.0000_220320.0000.ogg,But these aren't as accurate as a colonoscopy
data/test/220400.0000_222200.0000.ogg,There's another advantage to a colonoscopy
data/test/222280.0000_224160.0000.ogg,Polyps can be removed during the procedure
data/test/224240.0000_226720.0000.ogg,This will prevent them from multiplying and forming malignant tumours
data/test/226960.0000_229400.0000.ogg,What? The polyps need to be removed too?
data/test/229920.0000_232320.0000.ogg,People aged 50 and above...
data/test/232400.0000_234400.0000.ogg,should undergo regular colonoscopies...
data/test/234480.0000_237800.0000.ogg,roughly once every three to four years to remove polyps
data/test/238040.0000_240480.0000.ogg,It's the same principle as having our hair cut regularly...
data/test/240560.0000_241880.0000.ogg,because it keeps growing
data/test/242040.0000_243200.0000.ogg,The difference is that...
data/test/243280.0000_245520.0000.ogg,letting your hair grow won't affect your health
data/test/245600.0000_248200.0000.ogg,"But if polyps increase in size and number,"
data/test/248280.0000_249800.0000.ogg,there's a risk of pathological changes
data/test/255000.0000_256440.0000.ogg,We'll think about it
data/test/265680.0000_268240.0000.ogg,He complained of a headache and general malaise in the morning
data/test/273720.0000_275320.0000.ogg,His blood pressure is slightly high
data/test/276120.0000_278400.0000.ogg,"Uncle Wang, is anything else troubling you..."
data/test/278480.0000_279800.0000.ogg,besides the headache?
data/test/280840.0000_282000.0000.ogg,I have no appetite
data/test/282720.0000_285280.0000.ogg,"I'm slightly nauseous,"
data/test/286240.0000_287400.0000.ogg,dizzy...
data/test/287800.0000_290680.0000.ogg,and weak
data/test/291560.0000_293760.0000.ogg,"Doctor, is it serious?"
data/test/294960.0000_296440.0000.ogg,A CT scan of the brain...
data/test/296520.0000_298440.0000.ogg,will be necessary to determine the specific cause
data/test/298600.0000_300280.0000.ogg,I don't want to undergo a scan
data/test/300360.0000_304200.0000.ogg,"Father, listen to the doctor and get the test done"
data/test/14470.0000_17250.0000.ogg,2018.08.26 上海 李治中. 癌症的真相
data/test/17250.0000_19350.0000.ogg,今天非常高兴来到这里
data/test/19800.0000_21300.0000.ogg,还是先自我介绍一下
data/test/21300.0000_22300.0000.ogg,我叫李治中
data/test/22300.0000_23800.0000.ogg,我的笔名是菠萝
data/test/23970.0000_25720.0000.ogg,很多人问我为什么叫菠萝
data/test/25720.0000_27800.0000.ogg,是我从来没有想过自己会出名
data/test/27800.0000_29050.0000.ogg,如果知道我会出名
data/test/29050.0000_30700.0000.ogg,我会取一个格调更高的名字
data/test/31320.0000_34600.0000.ogg,今天来到这里是想和大家分享一下
data/test/35520.0000_37620.0000.ogg,一些关于癌症的故事
data/test/38420.0000_42350.0000.ogg,癌症是一个我相信几乎所有人都不愿意接触
data/test/42350.0000_44920.0000.ogg,但是又不得不面对的一个话题
data/test/45500.0000_47500.0000.ogg,比如说我们现在做一个简单的调研
data/test/47650.0000_49800.0000.ogg,在座的各位有多少人
data/test/49800.0000_52820.0000.ogg,身边有亲人或者朋友被诊断为癌症的
data/test/53620.0000_54750.0000.ogg,大家举手我看一下
data/test/56600.0000_58870.0000.ogg,其实有些时候我觉得这个调查应该反过来做
data/test/58870.0000_61050.0000.ogg,有多少人没有这样的人在身边呢
data/test/61050.0000_63020.0000.ogg,我相信其实几乎等于零
data/test/63350.0000_65000.0000.ogg,我毕业于清华大学生物系
data/test/65000.0000_66210.0000.ogg,然后到美国杜克大学
data/test/66210.0000_67870.0000.ogg,拿到癌症生物学的博士以后
data/test/67870.0000_70200.0000.ogg,一直在美国一个顶尖的药厂工作
data/test/70470.0000_71850.0000.ogg,工作了很多很多年
data/test/72150.0000_74500.0000.ogg,一直是在做抗癌新药的研发
data/test/74970.0000_76220.0000.ogg,但突然有一天
data/test/76220.0000_78220.0000.ogg,2013的时候我开始写科普
data/test/78770.0000_82200.0000.ogg,有人说什么东西让你在工作之余来写科普
data/test/82720.0000_84370.0000.ogg,让你坚持了这么多年
data/test/84820.0000_86800.0000.ogg,我说其实很多的事情（影响了我）
data/test/86800.0000_88770.0000.ogg,但是有一件事情对我触动很大
data/test/89320.0000_90900.0000.ogg,那就是魏则西的事件
data/test/91300.0000_93820.0000.ogg,大家都知道2016年4月份的时候
data/test/94170.0000_96270.0000.ogg,魏则西 一个大学生
data/test/96420.0000_101320.0000.ogg,由于被莆田系的医院忽悠去做了一个生物疗法
data/test/101520.0000_102600.0000.ogg,花掉了20多万
data/test/102600.0000_103550.0000.ogg,最后去世
data/test/103750.0000_107850.0000.ogg,他当时在知乎上发了一篇文章说
data/test/107850.0000_110550.0000.ogg,你认为人性最大的恶是什么
data/test/110550.0000_113800.0000.ogg,这件事情对很多人来说很愤怒
data/test/114000.0000_116670.0000.ogg,对很多人来说很痛苦
data/test/116670.0000_118370.0000.ogg,但是对我来说很遗憾
data/test/118650.0000_119870.0000.ogg,为什么很遗憾
data/test/119870.0000_124050.0000.ogg,是因为在魏则西事件发生一年半以前
data/test/124050.0000_127120.0000.ogg,我就已经写过科普文章说
data/test/127400.0000_129470.0000.ogg,他接受的这种疗法是无效的
data/test/130419.0000_136200.0000.ogg,当时我用的标题是《谋财不害命 中国的免疫疗法现状》
data/test/136470.0000_140020.0000.ogg,这篇文章出来以后没有引起太大的反响
data/test/140550.0000_145280.0000.ogg,因为这个东西被淹没在很多的伪科学里面
data/test/145280.0000_147870.0000.ogg,淹没在很多的商业推广里面
data/test/148870.0000_150520.0000.ogg,它后来也被收入我的书
data/test/150520.0000_153020.0000.ogg,但是很显然魏则西没有看到
data/test/154370.0000_158970.0000.ogg,所以为什么我坚持在科研的业余时间做科普
data/test/159120.0000_160260.0000.ogg,是因为我觉得
data/test/160370.0000_162950.0000.ogg,如果我写的东西能够让更多人看到
data/test/163520.0000_168270.0000.ogg,或许真的能够挽救他的生命 挽救他的家庭
data/test/168750.0000_170470.0000.ogg,不一定能够让他长生不老
data/test/170470.0000_173200.0000.ogg,但是至少到后来不会人财两空
data/test/173450.0000_176350.0000.ogg,这是让我坚持做科普的最大的一个动力
data/test/177220.0000_179520.0000.ogg,为什么刚才做调查很多人都举手了
data/test/179520.0000_182870.0000.ogg,是因为癌症现在确实是中国最大的一个问题
data/test/183770.0000_187450.0000.ogg,现在每一年中国新诊断的癌症患者数目
data/test/187450.0000_188900.0000.ogg,已经超过了400万
data/test/189420.0000_191600.0000.ogg,去世的人超过了280万
data/test/191720.0000_192700.0000.ogg,这是什么概念呢
data/test/192700.0000_193570.0000.ogg,就是每一分钟
data/test/193800.0000_196350.0000.ogg,我们会有超过8个人被诊断为癌症
data/test/196420.0000_198720.0000.ogg,会有5个人因为癌症而离去
data/test/199370.0000_201950.0000.ogg,所以我们每个人身边都会遇到这样的人
data/test/202620.0000_204470.0000.ogg,问问大家癌症这么多
data/test/204470.0000_207920.0000.ogg,大家觉得中国的癌症发病率在世界上排名是多少
data/test/208870.0000_210520.0000.ogg,很多人都会选择A
data/test/211200.0000_213170.0000.ogg,但其实答案是D
data/test/213320.0000_217970.0000.ogg,中国的癌症发病率现在在世界其实是排在近70位
data/test/218600.0000_220370.0000.ogg,远没有大家想象的高
data/test/220370.0000_223570.0000.ogg,事实上全世界癌症发病率最高的20个国家
data/test/223570.0000_226120.0000.ogg,几乎全部都是大家挣完钱以后想移民的国家
data/test/231100.0000_233300.0000.ogg,全部都是欧美的发达国家
data/test/235820.0000_237050.0000.ogg,为什么是这样子
data/test/237220.0000_238650.0000.ogg,其实原因很简单
data/test/238650.0000_242900.0000.ogg,因为癌症的发生最大的风险因素
data/test/243350.0000_246970.0000.ogg,不是大家想象的空气污染
data/test/247070.0000_249270.0000.ogg,不是大家想象的转基因食品
data/test/249470.0000_250550.0000.ogg,而是寿命
data/test/250950.0000_251970.0000.ogg,无论男女
data/test/251970.0000_253850.0000.ogg,当人超过55岁以后
data/test/254120.0000_256519.0000.ogg,癌症发病率就开始指数性地上升
data/test/256920.0000_261820.0000.ogg,现在我们上海的平均寿命已经是80岁以上了
data/test/261920.0000_265070.0000.ogg,所以是处在咱们的发病的顶端
data/test/265720.0000_268170.0000.ogg,为什么我们身边的癌症患者越来越多
data/test/268170.0000_270600.0000.ogg,是因为大家都活的时间越来越长
data/test/272720.0000_274820.0000.ogg,以前的皇帝从来不得癌症
data/test/275250.0000_276070.0000.ogg,不是御医好
data/test/276070.0000_276820.0000.ogg,是死得早
data/test/278020.0000_280300.0000.ogg,中国的皇帝从秦始皇到光绪
data/test/280300.0000_281900.0000.ogg,平均寿命大家知道是多少吗
data/test/284070.0000_285270.0000.ogg,39.8岁
data/test/286570.0000_288750.0000.ogg,所以他们没有什么太大的机会得癌症
data/test/289220.0000_291370.0000.ogg,以前咱们说人生七十古来稀
data/test/291370.0000_292050.0000.ogg,什么意思呢
data/test/292050.0000_293690.0000.ogg,字面上理解就是自古以来
data/test/293690.0000_295650.0000.ogg,活到70岁以上的人都是很少的
data/test/295900.0000_298950.0000.ogg,但现在中国70岁以上的人已经8000万以上了
data/test/300070.0000_301570.0000.ogg,所以风险会越来越高
data/test/301570.0000_302850.0000.ogg,发达国家越来越多
data/test/302850.0000_305550.0000.ogg,主要就是因为别的疾病都无法杀死我们
data/test/305550.0000_307720.0000.ogg,那么在癌症这边就出现了
data/test/308520.0000_311020.0000.ogg,为什么癌症是一个老年病 整体来看
data/test/311020.0000_313720.0000.ogg,是因为癌症的发生需要两个最核心的因素
data/test/313720.0000_314850.0000.ogg,第一个是基因突变
data/test/314850.0000_315870.0000.ogg,第二个是免疫逃逸
data/test/315970.0000_317000.0000.ogg,什么概念呢
data/test/317150.0000_319820.0000.ogg,其实它就像我们社会上要出现黑社会一样
data/test/319820.0000_320750.0000.ogg,它需要两个原因
data/test/320750.0000_322520.0000.ogg,第一人要一步一步地变坏
data/test/322700.0000_324920.0000.ogg,所以它需要积累不同的基因突变
data/test/325100.0000_327100.0000.ogg,第二个呢它不仅要变成坏蛋
data/test/327100.0000_330550.0000.ogg,还得逃脱咱们执法部门的监管
data/test/330950.0000_334070.0000.ogg,这样你才有可能慢慢做大 变成一个黑社会
data/test/334270.0000_335500.0000.ogg,癌症也是一样
data/test/335520.0000_336800.0000.ogg,它要积累很多突变
data/test/336800.0000_339350.0000.ogg,同时要摆脱体内所谓的执法部门
data/test/339350.0000_340500.0000.ogg,就是免疫系统的监管
data/test/340720.0000_343670.0000.ogg,这两个事情都是需要很多年才会发生的
data/test/343720.0000_344850.0000.ogg,正常情况下
data/test/344850.0000_348670.0000.ogg,一个癌细胞要从正常的细胞变成一个癌症
data/test/348670.0000_351050.0000.ogg,发生的话 需要20到30年
data/test/351720.0000_353470.0000.ogg,远远比大家想象的大
data/test/354250.0000_355800.0000.ogg,根据美国现在的统计
data/test/356420.0000_358120.0000.ogg,女性里面37%
data/test/358120.0000_359650.0000.ogg,男性中的42%
data/test/359650.0000_361200.0000.ogg,一生之中都会遇到癌症
data/test/362170.0000_364020.0000.ogg,这个比例远远高过大家的想象
data/test/364020.0000_365570.0000.ogg,如果是一个七口之家
data/test/365570.0000_367450.0000.ogg,爷爷 奶奶 姥姥 姥爷
data/test/367450.0000_368850.0000.ogg,再加上父母加小孩
data/test/368850.0000_369600.0000.ogg,现在还有二胎
data/test/369600.0000_370550.0000.ogg,八口之家的话
data/test/370620.0000_374700.0000.ogg,这八个人里面出现一个癌症患者的概率超过了90%
data/test/376150.0000_378020.0000.ogg,所以这个东西你躲是躲不掉的
data/test/378020.0000_380120.0000.ogg,以前咱们觉得癌症不吉利
data/test/380120.0000_381920.0000.ogg,我实在不想聊
data/test/381920.0000_384650.0000.ogg,我就像鸵鸟一样把头埋在沙子里假装看不到
data/test/384650.0000_385820.0000.ogg,我家里就不会得癌症了
data/test/385820.0000_387970.0000.ogg,这是非常幼稚的一种想法
data/test/388220.0000_389520.0000.ogg,为什么我坚持做科普
data/test/389520.0000_392120.0000.ogg,为什么觉得一定要向大家宣传这个理念
data/test/392120.0000_393120.0000.ogg,就是因为这件事
data/test/393720.0000_394950.0000.ogg,我们必须提前了解
data/test/394950.0000_396770.0000.ogg,不然的话一旦出现了问题
data/test/396900.0000_399350.0000.ogg,你就会是最容易上当受骗的那一个
data/test/399350.0000_400850.0000.ogg,因为你会非常地恐慌
data/test/400850.0000_402100.0000.ogg,因为你不了解真相
data/test/402550.0000_404700.0000.ogg,为什么很多人不愿意了解癌症
data/test/1366.0000_2266.0000.ogg,健康一身轻
data/test/2266.0000_3933.0000.ogg,越看越年轻
data/test/3933.0000_6199.0000.ogg,欢迎大家收看这一期的健康一身轻
data/test/6300.0000_7100.0000.ogg,今天来到现场
data/test/7100.0000_9066.0000.ogg,为大家传递靠谱健康知识的
data/test/9066.0000_10099.0000.ogg,是我们的老朋友
data/test/10100.0000_12600.0000.ogg,来自中国医科大学附属第一医院
data/test/12733.0000_15333.0000.ogg,急诊科主治医师江甲子医生
data/test/15333.0000_16166.0000.ogg,欢迎江老师
data/test/16166.0000_17599.0000.ogg,欢迎好嗯
data/test/17766.0000_20266.0000.ogg,今天我们的健康女主播是夏雪
data/test/20533.0000_21766.0000.ogg,大家好我是夏雪
data/test/21766.0000_22399.0000.ogg,欢迎大家呢
data/test/22400.0000_24933.0000.ogg,关注我们健康一身轻的微信公众号
data/test/24933.0000_26399.0000.ogg,随时和我们进行互动
data/test/26400.0000_28466.0000.ogg,今天在网络端为大家做服务的
data/test/28466.0000_29499.0000.ogg,是大莹莹啊
data/test/29700.0000_31166.0000.ogg,大家好我是你的大莹莹啊
data/test/31166.0000_32499.0000.ogg,你也可以关注我们健康一身轻
data/test/32500.0000_33100.0000.ogg,的抖音号
data/test/33100.0000_34166.0000.ogg,随时和我们联系哦
data/test/34266.0000_38566.0000.ogg,夏天盘着小腿吹着小风没事呢
data/test/38700.0000_40666.0000.ogg,再整两口小酒
data/test/41000.0000_43500.0000.ogg,这不这个浙江杭州啊
data/test/43500.0000_46200.0000.ogg,30多岁的崔女士和好多人一样
data/test/46400.0000_47666.0000.ogg,都好这口
data/test/47800.0000_50100.0000.ogg,但是呢我必须先给大伙提个醒哈
data/test/50133.0000_52199.0000.ogg,咱们喝酒是不提倡的
data/test/52200.0000_55733.0000.ogg,这个示威组织也是建议酒是越少越好
data/test/55800.0000_57666.0000.ogg,你看我这瓶里啥也没有
data/test/57666.0000_60799.0000.ogg,而且这是写的酒字他根本就没有酒哈
data/test/60800.0000_62466.0000.ogg,哎接下来说重点
data/test/62766.0000_65699.0000.ogg,崔女士这造型出事了
data/test/65733.0000_68766.0000.ogg,浙江省杭州市30多岁的崔女士
data/test/68766.0000_69999.0000.ogg,在前不久的一天
data/test/70000.0000_72066.0000.ogg,双腿盘坐十几个小时
data/test/72066.0000_73899.0000.ogg,一杯接一杯的喝酒
data/test/73900.0000_76133.0000.ogg,被家人发现时全身冰冷
data/test/76133.0000_77066.0000.ogg,精神萎靡
data/test/77466.0000_79765.0000.ogg,被紧急送到余杭区第二人民医院
data/test/79765.0000_80933.0000.ogg,急诊室抢救后
data/test/80933.0000_82299.0000.ogg,医生检查发现
data/test/82333.0000_85399.0000.ogg,他双下肢肌肉已经有坏死的迹象
data/test/85500.0000_88566.0000.ogg,还出现了急性多脏器功能损伤
data/test/88765.0000_91299.0000.ogg,急诊医生说这不是简单的醉酒
data/test/91300.0000_93100.0000.ogg,是恒温肌溶解症
data/test/93300.0000_94265.0000.ogg,哎呀妈呀
data/test/95066.0000_96733.0000.ogg,要说这崔女士哈
data/test/96733.0000_98765.0000.ogg,盘腿是坐了10几个小时
data/test/98765.0000_101299.0000.ogg,还一杯接一杯的喝酒哎
data/test/101300.0000_102666.0000.ogg,这不就出事了吗
data/test/102700.0000_104100.0000.ogg,那您注意到没
data/test/104133.0000_106866.0000.ogg,他得的是横纹肌溶解症
data/test/107333.0000_107966.0000.ogg,啥
data/test/107966.0000_110999.0000.ogg,您知道吃小龙虾吃太多了容易得这病
data/test/111100.0000_114066.0000.ogg,但是不理解为啥盘腿坐久了
data/test/114066.0000_116265.0000.ogg,再加上喝酒也得了这病
data/test/116666.0000_118299.0000.ogg,那接下来这位朋友呢
data/test/118300.0000_120366.0000.ogg,也是得了恒温肌溶解
data/test/120400.0000_122800.0000.ogg,原因呐您可能更不理解
data/test/122866.0000_125966.0000.ogg,广东省深圳市60岁的黄先生
data/test/125966.0000_128598.0000.ogg,在高温下连续工作5个小时以上
data/test/128600.0000_130765.0000.ogg,随后出现恶心呕吐
data/test/130765.0000_132299.0000.ogg,肌肉痉挛的情况
data/test/132400.0000_135166.0000.ogg,他被送到深圳市龙华区中心医院
data/test/135333.0000_136399.0000.ogg,最后被诊断为
data/test/136400.0000_139166.0000.ogg,严重中暑导致的恒温及溶解
data/test/139300.0000_141333.0000.ogg,最后引起了急性肾衰竭
data/test/141333.0000_143933.0000.ogg,哎呀呀这也太可怕了
data/test/143933.0000_145766.0000.ogg,我得赶紧回空调房了
data/test/146600.0000_148333.0000.ogg,要说是天热
data/test/148366.0000_150866.0000.ogg,怎么也能得恒温剂溶解呀
data/test/150966.0000_153133.0000.ogg,这个原因您能理解吗
data/test/153500.0000_154333.0000.ogg,科目理解哈
data/test/154500.0000_157100.0000.ogg,那我再给您来个灵魂追问
data/test/157300.0000_160400.0000.ogg,都听说过恒温肌溶解这个病是吧
data/test/160766.0000_163766.0000.ogg,到底恒温机是哪嘎的肌肉啊
data/test/164000.0000_165766.0000.ogg,溶解又是啥意思呀
data/test/165800.0000_168966.0000.ogg,很多的事都是好像咱们听过都稍微
data/test/169100.0000_169766.0000.ogg,明白一点
data/test/169766.0000_170799.0000.ogg,不是那么陌生
data/test/170900.0000_172366.0000.ogg,但是真要是较个真
data/test/172366.0000_174299.0000.ogg,这就是真的说不太清楚了
data/test/174300.0000_176900.0000.ogg,知其然不知所以然的意思呗
data/test/177200.0000_179133.0000.ogg,那这不就是叫似是而非吗
data/test/179133.0000_180933.0000.ogg,就比如说我问大伙哈
data/test/180933.0000_182733.0000.ogg,怎么预防横纹肌溶解症
data/test/182766.0000_185933.0000.ogg,这大伙可能也就是不可能真说清楚呗
data/test/185933.0000_188299.0000.ogg,哎咱咱们几个就别搁这研究了行吗
data/test/188366.0000_189266.0000.ogg,姜老师来了啊
data/test/189266.0000_191499.0000.ogg,咱们就一起来把横纹肌溶解症这个事
data/test/191500.0000_192966.0000.ogg,咱们得讲明白喽
data/test/193000.0000_194766.0000.ogg,因为他这也是个急症对吧
data/test/194966.0000_195899.0000.ogg,呃要想弄明白呢
data/test/195900.0000_197300.0000.ogg,为什么吃太多小龙虾
data/test/197300.0000_198866.0000.ogg,盘腿酒作家喝不少酒
data/test/198866.0000_199966.0000.ogg,过长时间暴晒
data/test/200000.0000_203000.0000.ogg,都可能引起横纹肌溶解综合征
data/test/203000.0000_204566.0000.ogg,咱们先来了解一个名词
data/test/204966.0000_206133.0000.ogg,横纹肌是什么肌
data/test/206133.0000_207266.0000.ogg,总听横纹肌
data/test/207266.0000_209266.0000.ogg,那横纹肌到底是哪块肌肉呢
data/test/209266.0000_211666.0000.ogg,横纹肌指的不是说某一块特定的肌
data/test/211666.0000_213799.0000.ogg,肉它是一类肌肉的统称
data/test/213933.0000_215899.0000.ogg,嗯我给大家降低一下难度吧
data/test/215900.0000_218700.0000.ogg,呃把名词解释转化成选择题
data/test/228566.0000_230866.0000.ogg,第一个视频看的是心脏的蹦蹦跳
data/test/230866.0000_232099.0000.ogg,收缩呀舒张啊
data/test/232100.0000_234600.0000.ogg,第2个视频这反应是走路的时候
data/test/234666.0000_236299.0000.ogg,肌肉的运动的情况
data/test/236300.0000_238066.0000.ogg,大家可以选择一下子啊
data/test/238066.0000_241266.0000.ogg,你觉得心肌和呃骨骼肌嗯
data/test/241333.0000_242799.0000.ogg,哪一个是横纹肌呢
data/test/242866.0000_244966.0000.ogg,我觉得是骨骼肌吧
data/test/244966.0000_247399.0000.ogg,因为我们总听就是运动过度会
data/test/247533.0000_248566.0000.ogg,横纹肌溶解
data/test/248566.0000_248733.0000.ogg,那
data/test/248733.0000_250666.0000.ogg,他是不是跟我们这个运动的肌肉有关
data/test/250666.0000_251066.0000.ogg,系呢
data/test/251066.0000_253533.0000.ogg,我觉得是心肌你看这是
data/test/253733.0000_256065.0000.ogg,这这玩意都是挺严重的事
data/test/256065.0000_257298.0000.ogg,是不是心肌
data/test/257666.0000_260298.0000.ogg,这个有点什么问题才能是严重的事呢
data/test/260399.0000_262100.0000.ogg,嗯我公布答案吧
data/test/262132.0000_264699.0000.ogg,心肌和骨骼肌呢都属于横纹肌
data/test/265366.0000_267766.0000.ogg,江老师您这个可不简单
data/test/267766.0000_269966.0000.ogg,您这纯属是挖坑让我们往里跳啊
data/test/370.0000_1440.0000.ogg,先不拍了
data/test/1450.0000_3980.0000.ogg,现在发烧太厉害得去医院
data/test/7210.0000_20870.0000.ogg,刚才大家看到带孩子看病这个
data/test/20880.0000_22870.0000.ogg,实际上是发生在圣诞节之前
data/test/22880.0000_24610.0000.ogg,那么现在孩子也好了
data/test/24620.0000_26030.0000.ogg,然后心里也踏实多了
data/test/26040.0000_28790.0000.ogg,不过当时看着我们家弟弟发烧
data/test/28800.0000_29510.0000.ogg,痛苦的样子
data/test/29520.0000_31270.0000.ogg,心里真的是特别着急
data/test/31280.0000_33340.0000.ogg,我相信很多为人父母的朋友都有
data/test/33350.0000_34410.0000.ogg,同样的感受
data/test/34590.0000_37220.0000.ogg,正好去年我带着孩子回国度假的
data/test/37230.0000_37550.0000.ogg,时候
data/test/37560.0000_40210.0000.ogg,这弟弟也演绎出了一个一模一样
data/test/40220.0000_41240.0000.ogg,的看病过程
data/test/41250.0000_43390.0000.ogg,只不过当时是在北京看的病
data/test/46900.0000_50110.0000.ogg,我们去的是新世纪儿童医院
data/test/50120.0000_52510.0000.ogg,所以说这一期我就根据我自己
data/test/52520.0000_54970.0000.ogg,切身体会来聊一聊
data/test/54980.0000_58130.0000.ogg,就是在澳洲和在中国带孩子看病
data/test/58140.0000_59050.0000.ogg,那些不同
data/test/59060.0000_60070.0000.ogg,一定要看到最后
data/test/60080.0000_62550.0000.ogg,因为不论是看病流程也好
data/test/62560.0000_64090.0000.ogg,还是最后的花费也好
data/test/64099.0000_65670.0000.ogg,真的是挺让人吃惊的
data/test/65670.0000_68390.0000.ogg,其实要说感冒发烧
data/test/68400.0000_70250.0000.ogg,在澳洲这边对于孩子来讲
data/test/70260.0000_71250.0000.ogg,真的是常事
data/test/71260.0000_72550.0000.ogg,几乎每年冬天都有
data/test/72560.0000_73810.0000.ogg,所以我们都习惯了
data/test/73820.0000_76140.0000.ogg,那么今年冬天还是我们家弟弟
data/test/76200.0000_78930.0000.ogg,但是我们家弟弟跟其他的孩子是
data/test/78940.0000_79820.0000.ogg,不太一样
data/test/79830.0000_82400.0000.ogg,什么地方呢 就是他吃不进去药
data/test/82560.0000_83980.0000.ogg,不论是什么样的方式
data/test/83990.0000_85360.0000.ogg,哪怕你逼他吃
data/test/85370.0000_87730.0000.ogg,他吃进去之后一样会吐出来
data/test/87740.0000_89720.0000.ogg,是身心都会去抗拒
data/test/89990.0000_91240.0000.ogg,然后很多人出招
data/test/91250.0000_93810.0000.ogg,比如说你把药加到一些吃的里去
data/test/93820.0000_94830.0000.ogg,那都没有用
data/test/94840.0000_95280.0000.ogg,为什么
data/test/95289.0000_98539.0000.ogg,因为弟弟练就出来抗拒吃药的能力
data/test/98550.0000_100979.0000.ogg,那是几年时间积累出来的
data/test/100990.0000_108009.0000.ogg,而且现在真的是能力暴增
data/test/108020.0000_111320.0000.ogg,你把这个药放到别管味道多大的饮料里
data/test/111330.0000_112640.0000.ogg,还是吃的里
data/test/112650.0000_115450.0000.ogg,他的舌头就堪比世界上最精美的
data/test/115460.0000_116570.0000.ogg,探测仪一样
data/test/116580.0000_118700.0000.ogg,能够探测出来
data/test/118710.0000_120050.0000.ogg,什么奶昔什么各种饮料
data/test/120060.0000_121160.0000.ogg,这都弱爆了
data/test/121160.0000_124860.0000.ogg,我记得去年弟弟和我们回国度假
data/test/124870.0000_125770.0000.ogg,然后不是发烧了吗
data/test/126220.0000_128639.0000.ogg,然后我妈就想出了一个招什么招呢
data/test/129509.0000_132160.0000.ogg,你要知道这个世界上这味道最
data/test/132170.0000_133660.0000.ogg,厉害的一种食品是什么
data/test/133670.0000_135680.0000.ogg,那就是韭菜盒子
data/test/135830.0000_136890.0000.ogg,什么香奈儿
data/test/136900.0000_139530.0000.ogg,迪奥碰着韭菜盒子全都靠边站
data/test/139540.0000_141880.0000.ogg,你再牛的香水你也干不过韭菜盒子
data/test/142560.0000_145500.0000.ogg,于是我妈就把这个味道不算太大
data/test/145510.0000_148079.0000.ogg,的美林退烧药就加了一点放在
data/test/148090.0000_148860.0000.ogg,韭菜盒子
data/test/148870.0000_151490.0000.ogg,然后自信满满的端着韭菜盒子
data/test/151500.0000_154320.0000.ogg,就把韭菜盒子送到弟弟嘴边了
data/test/154840.0000_157650.0000.ogg,结果弟弟就是抿了一下
data/test/157660.0000_160390.0000.ogg,说出一句瞬间击垮我妈
data/test/160400.0000_161960.0000.ogg,信心的话
data/test/161970.0000_163329.0000.ogg,这里面有药
data/test/163340.0000_167680.0000.ogg,那么圣诞节前就是学校放假了
data/test/167690.0000_168960.0000.ogg,然后在放假前的几天
data/test/168970.0000_171320.0000.ogg,有一天弟弟回来一看就是不太精神
data/test/171700.0000_172940.0000.ogg,有点打蔫的样子
data/test/173030.0000_175610.0000.ogg,这不出意外肯定是要发烧的节奏
data/test/175620.0000_177790.0000.ogg,就到了晚上果真没让我们失望
data/test/177800.0000_179670.0000.ogg,39度高烧烧起来了
data/test/179680.0000_181990.0000.ogg,虽然一次次把被弟弟不吃药的
data/test/182000.0000_183510.0000.ogg,残酷现实所打击
data/test/183520.0000_184690.0000.ogg,但是你还要得尝试
data/test/184700.0000_186710.0000.ogg,因为人生总要去尝试
data/test/187010.0000_189370.0000.ogg,结果这一尝试真的是没想到
data/test/189380.0000_193360.0000.ogg,经过非常耐心的解说之后
data/test/193370.0000_195790.0000.ogg,这弟弟居然配合吃了一次药
data/test/195800.0000_196900.0000.ogg,而且把药吃进去
data/test/196910.0000_197820.0000.ogg,还没有吐
data/test/197829.0000_200320.0000.ogg,就真的是把我们高兴的不要不要的
data/test/200550.0000_203600.0000.ogg,然后我们就此以为弟弟长大了
data/test/203610.0000_205240.0000.ogg,不吃药的日子再也没有了
data/test/205250.0000_207290.0000.ogg,从此以后真的会配合吃药
data/test/207300.0000_209880.0000.ogg,我们的解放日子也从此到来了
data/test/210079.0000_213930.0000.ogg,然而后面残酷的现实
data/test/213940.0000_216710.0000.ogg,把我们浪在九霄云暗的希望又
data/test/216720.0000_219180.0000.ogg,重重的摔回到地上了
data/test/219180.0000_221930.0000.ogg,让我们觉得我们自己真的是
data/test/221940.0000_222130.0000.ogg,Too Young
data/test/222140.0000_223050.0000.ogg,Too Naive
data/test/223050.0000_225820.0000.ogg,那么第二天弟弟又恢复了原样
data/test/225829.0000_227910.0000.ogg,仍旧开始不吃药了
data/test/227920.0000_229090.0000.ogg,然后是发烧
data/test/229100.0000_231079.0000.ogg,一烧就是四天
data/test/231090.0000_233329.0000.ogg,这期间给他做了很多物理降温
data/test/233340.0000_234460.0000.ogg,也喝了很多水
data/test/234470.0000_235640.0000.ogg,但是到第四天的时候
data/test/235650.0000_238100.0000.ogg,我们就觉得有必要要去一趟医院了
data/test/238190.0000_238579.0000.ogg,为什么
data/test/238590.0000_240370.0000.ogg,因为烧的时间比较长
data/test/240380.0000_242720.0000.ogg,你要查一下有没有其他的症状或
data/test/242730.0000_244320.0000.ogg,想一下办法去退烧
data/test/244320.0000_245600.0000.ogg,那么就像刚才说的
data/test/245610.0000_248640.0000.ogg,其实去年弟弟一模一样的演绎出
data/test/248650.0000_249960.0000.ogg,了这么一个发病过程
data/test/249970.0000_252500.0000.ogg,但是在国内除了发烧之外
data/test/252510.0000_254260.0000.ogg,还有一些咳嗽的症状
data/test/254270.0000_256480.0000.ogg,所以说这一次我就跟大家聊聊我
data/test/256490.0000_259560.0000.ogg,自己的切身体验和感受
data/test/3876.0000_7501.0000.ogg,This is a key turning point in my life
data/test/7501.0000_12999.0000.ogg,50 to 70 percent of the stomach is removed in a sleeve gastrectomy surgery
data/test/12999.0000_15000.0000.ogg,This is the most difficult part
data/test/15751.0000_17167.0000.ogg,Can you hear me?
data/test/17167.0000_19918.0000.ogg,The patient will lose weight after the surgery
data/test/19918.0000_21959.0000.ogg,The patient's willpower will determine...
data/test/21959.0000_24334.0000.ogg,how much weight is lost and how long it will continue for
data/test/25083.0000_27209.0000.ogg,"Hi, it's nice to see you again"
data/test/27209.0000_29375.0000.ogg,"It's like, who is this person?"
data/test/47751.0000_50751.0000.ogg,(Gleneagles Hospital)
data/test/53876.0000_56792.0000.ogg,"One, two, three, up"
data/test/56792.0000_59292.0000.ogg,A little higher
data/test/59292.0000_61999.0000.ogg,"Today, the surgeons and nurses..."
data/test/61999.0000_65125.0000.ogg,are extremely busy in an operating theatre in Gleneagles Hospital
data/test/65125.0000_66918.0000.ogg,Can I have the calf pumps...
data/test/66918.0000_68999.0000.ogg,and the gel pads?
data/test/71792.0000_73292.0000.ogg,Please give me one more pillow
data/test/73292.0000_74918.0000.ogg,Let's see if this works
data/test/74918.0000_75751.0000.ogg,Is this better?
data/test/75751.0000_77000.0000.ogg,"Yes, it's much better"
data/test/77000.0000_80042.0000.ogg,"Siddique, who is suffering from obesity, is 37 years old this year"
data/test/80042.0000_82334.0000.ogg,He weighs 190 kilograms
data/test/82334.0000_84959.0000.ogg,"Before operating on him,"
data/test/84959.0000_87209.0000.ogg,the medical team must make special preparations
data/test/87209.0000_89292.0000.ogg,Push up
data/test/89292.0000_92501.0000.ogg,"I need his head to be elevated during the surgery,"
data/test/92501.0000_95167.0000.ogg,which means that his weight will rest on his feet
data/test/95167.0000_97542.0000.ogg,We need to protect his feet because of that
data/test/98959.0000_101626.0000.ogg,"Obese patients consume oxygen very fast,"
data/test/101626.0000_103292.0000.ogg,so we need to fill their lungs...
data/test/103292.0000_104834.0000.ogg,with oxygen for a few minutes...
data/test/104834.0000_108626.0000.ogg,before we can put them under anaesthesia
data/test/108999.0000_110375.0000.ogg,Put your arm down
data/test/110375.0000_111792.0000.ogg,Okay
data/test/111792.0000_113000.0000.ogg,"There are many things going on,"
data/test/113000.0000_115542.0000.ogg,but this is all to take care of you
data/test/115542.0000_119083.0000.ogg,Siddique was initially very relaxed as he lay on the operating table
data/test/119083.0000_123999.0000.ogg,He became increasingly sombre as time passed
data/test/124834.0000_126334.0000.ogg,Don't worry
data/test/127375.0000_129292.0000.ogg,The most extreme worry that I have...
data/test/129292.0000_132209.0000.ogg,is the failure of the operation...
data/test/132209.0000_135792.0000.ogg,and me dying
data/test/137083.0000_138667.0000.ogg,We're just going to give you some oxygen...
data/test/138667.0000_140959.0000.ogg,to breathe for a few minutes
data/test/140959.0000_143000.0000.ogg,Just breathe in and out normally
data/test/143000.0000_145292.0000.ogg,"Despite his turbulent emotions,"
data/test/145292.0000_149999.0000.ogg,this is the day that Siddique has been looking forward to
data/test/149999.0000_154209.0000.ogg,He put in a lot of effort just to be able to do this operation
data/test/154209.0000_157918.0000.ogg,This is a key turning point in my life
data/test/158667.0000_160459.0000.ogg,"Slow, deep breaths"
data/test/161209.0000_162375.0000.ogg,Think of something nice
data/test/162375.0000_164417.0000.ogg,"Don't worry, Mr Siddique"
data/test/172751.0000_175459.0000.ogg,"Do you want sweets, dear?"
data/test/175459.0000_176584.0000.ogg,"You can't have any, right?"
data/test/176584.0000_179292.0000.ogg,"Yes, what are you talking about?"
data/test/180125.0000_181501.0000.ogg,She's trying to set me up
data/test/181501.0000_183209.0000.ogg,No
data/test/183501.0000_186292.0000.ogg,Food usually means happiness to me
data/test/186959.0000_189626.0000.ogg,"Sometimes, when I'm stressed out,"
data/test/189626.0000_191876.0000.ogg,I will binge-eat
data/test/192209.0000_194167.0000.ogg,Siddique has always loved eating from a young age
data/test/194167.0000_196334.0000.ogg,He works at an IT company
data/test/196334.0000_200542.0000.ogg,He has continuously gained weight since starting a family 10 years ago
data/test/200542.0000_204417.0000.ogg,He weighed 204 kilograms at his heaviest
data/test/205834.0000_213250.0000.ogg,"(In Singapore, 1 in 10 people are obese)"
data/test/213834.0000_216083.0000.ogg,"The thing is, I keep very good company,"
data/test/216083.0000_219626.0000.ogg,"so even though I was very obese,"
data/test/219626.0000_221751.0000.ogg,there was no negative impact on me
data/test/222876.0000_225626.0000.ogg,"However, something that happened one month ago..."
data/test/225626.0000_228083.0000.ogg,gave him a rude awakening
data/test/228751.0000_233792.0000.ogg,I was chasing my son to reprimand him
data/test/233792.0000_234999.0000.ogg,I got so worked up...
data/test/234999.0000_236667.0000.ogg,that I had an asthma attack
data/test/236667.0000_238083.0000.ogg,It was one of the worst attacks...
data/test/21980.0000_26200.0000.ogg,我想開刀房是一個很嚴肅很專業的場合
data/test/26200.0000_28300.0000.ogg,我們通常可以把裡面的人員
data/test/28300.0000_29800.0000.ogg,分成兩個大部分
data/test/29800.0000_32900.0000.ogg,就是手術團隊跟麻醉團隊兩個團隊
data/test/32900.0000_36433.0000.ogg,麻醉團隊通常會含有一位麻醉科醫師
data/test/36433.0000_39400.0000.ogg,搭配一個麻醉科的護士
data/test/39400.0000_41100.0000.ogg,他們的職責是保護病人
data/test/41100.0000_42833.0000.ogg,在麻醉當中的安全因為
data/test/43100.0000_45733.0000.ogg,病人在睡著的過程之中不是只有睡著
data/test/45733.0000_48633.0000.ogg,他的血壓、他的心跳可能血氧濃度
data/test/48633.0000_49766.0000.ogg,都會有一些些改變
data/test/49766.0000_53000.0000.ogg,所以這個部分的監控跟藥物上面的微調
data/test/53000.0000_53933.0000.ogg,是很重要的
data/test/54166.0000_56333.0000.ogg,因為手術畢竟是身體上面的一個壓力
data/test/56633.0000_58800.0000.ogg,他可能會有一些生命跡象改變的狀況
data/test/59033.0000_61933.0000.ogg,永遠都還是要準備可能會有緊急狀況
data/test/61933.0000_65333.0000.ogg,會需要急救或者會需要進一步的處理
data/test/65432.0000_67700.0000.ogg,所以這個時候有麻醉科醫師和護士
data/test/67700.0000_69600.0000.ogg,在這裡把關就是會增加
data/test/69600.0000_71900.0000.ogg,我們手術當中病人的安全度
data/test/71900.0000_75500.0000.ogg,手術團隊通常成員會包含一位外科醫師
data/test/75766.0000_78100.0000.ogg,可能會包含一位外科的助手
data/test/78100.0000_81066.0000.ogg,這位助手可能是醫師也可能是護士
data/test/81066.0000_83333.0000.ogg,刀檯上還會有另外一位是刷手護士
data/test/83333.0000_85933.0000.ogg,所謂刷手是他上到刀檯上
data/test/85933.0000_87933.0000.ogg,然後手是不能夠染污的
data/test/1366.0000_2666.0000.ogg,造谣张张嘴
data/test/2700.0000_4100.0000.ogg,辟谣跑断腿
data/test/4100.0000_6600.0000.ogg,本期谣言辩证官为您带来
data/test/6600.0000_7800.0000.ogg,月经量多
data/test/7866.0000_9933.0000.ogg,卵巢功能一定好
data/test/9933.0000_11666.0000.ogg,这种说法到底对不对呢
data/test/11666.0000_15133.0000.ogg,下一条是豆浆喝多了就会得卵巢癌
data/test/16332.0000_19599.0000.ogg,卵巢早衰的预警信号你真的了解吗
data/test/19600.0000_20933.0000.ogg,对卵巢的保养
data/test/21066.0000_23166.0000.ogg,不仅要按摩还要吃
data/test/23466.0000_24299.0000.ogg,花钱买药
data/test/24300.0000_26466.0000.ogg,顺水推福一气呵成
data/test/26466.0000_29466.0000.ogg,在这些为了达到美好愿望的同时呢
data/test/29466.0000_32466.0000.ogg,有一些不为人知的风险也悄悄来临了
data/test/32566.0000_35533.0000.ogg,到底什么是真正的卵巢保养
data/test/35533.0000_37866.0000.ogg,本期节目即将为您呈现
data/test/38866.0000_39366.0000.ogg,大家好
data/test/39366.0000_43299.0000.ogg,欢迎收看每晚20:20播出的健康朋友圈
data/test/43300.0000_45600.0000.ogg,我是您健康路上的好朋友白羊
data/test/45866.0000_48599.0000.ogg,欢迎我们的陪诊员文乐登场
data/test/48666.0000_50099.0000.ogg,陪看病防挂号
data/test/50100.0000_51600.0000.ogg,优享陪枕面面俱到
data/test/51600.0000_53200.0000.ogg,大家好我是陪枕员文乐
data/test/53300.0000_55266.0000.ogg,我们的暑假即将来临了
data/test/55266.0000_58299.0000.ogg,那近视防控又到了非常关键的时期
data/test/58366.0000_60299.0000.ogg,说到近视防控手段
data/test/60300.0000_62300.0000.ogg,目前主流的都有哪些呢
data/test/62300.0000_64733.0000.ogg,今天呢我来给大家盘点一下
data/test/64800.0000_67100.0000.ogg,比如说多参加户外的活动
data/test/67100.0000_69000.0000.ogg,每天累计两小时以上
data/test/69000.0000_70766.0000.ogg,时间呢是在户外的
data/test/70766.0000_72966.0000.ogg,另外呢减少这个用眼的负担
data/test/73000.0000_75900.0000.ogg,尤其呢是这个距离和时间上的
data/test/75900.0000_78500.0000.ogg,同时还有这个低浓度的阿托品
data/test/78700.0000_81333.0000.ogg,离焦近视防控框架眼镜
data/test/81400.0000_83600.0000.ogg,以及角膜塑形镜等等
data/test/83765.0000_87599.0000.ogg,不过最近啊有一种近视防控的新利器
data/test/87666.0000_89299.0000.ogg,是一款日抛家
data/test/89300.0000_91800.0000.ogg,白天佩戴的软性隐形眼镜
data/test/91866.0000_94166.0000.ogg,用完啊随机扔掉就可以了
data/test/94166.0000_97098.0000.ogg,同时呢还可以起到控制近视的功效
data/test/97166.0000_98299.0000.ogg,到底是什么呢
data/test/98300.0000_100166.0000.ogg,还是请大家跟随我们的镜头
data/test/100166.0000_101733.0000.ogg,一起去了解一下
data/test/107200.0000_109333.0000.ogg,我就发现他在家看书了
data/test/109333.0000_111333.0000.ogg,或者看电视的时候会眯眼
data/test/111733.0000_114098.0000.ogg,我就问他我说你是看不清吗
data/test/114133.0000_115699.0000.ogg,然后他说有点看不清
data/test/115765.0000_117265.0000.ogg,我就赶紧就带他上
data/test/117265.0000_118333.0000.ogg,医院去检查
data/test/118466.0000_119499.0000.ogg,然后就发现
data/test/119500.0000_122600.0000.ogg,孩子就是两个眼睛有已经有125度的近
data/test/122600.0000_124733.0000.ogg,视了然后还有点散光
data/test/124800.0000_125533.0000.ogg,近年来
data/test/125533.0000_129098.0000.ogg,我国儿童青少年近视率居高不下
data/test/129100.0000_130265.0000.ogg,不断攀升
data/test/130500.0000_133933.0000.ogg,很多孩子在小小的年纪就成了近视眼
data/test/134000.0000_136933.0000.ogg,这让宝爸宝妈们苦恼不已
data/test/137133.0000_139599.0000.ogg,因为高度近视可能会引发一些
data/test/139666.0000_142533.0000.ogg,不可逆的就视力损伤的并发症
data/test/142533.0000_144866.0000.ogg,比较严重的可能有视网膜脱离
data/test/145133.0000_146266.0000.ogg,眼底出血
data/test/146566.0000_147699.0000.ogg,以及白内障
data/test/147700.0000_148966.0000.ogg,青光眼等等
data/test/148966.0000_149699.0000.ogg,家长认为
data/test/149700.0000_150733.0000.ogg,我等成人的时候
data/test/150733.0000_152899.0000.ogg,做个手术就解解决的问题
data/test/152933.0000_154933.0000.ogg,实际上只是解决度数的问题
data/test/155000.0000_157000.0000.ogg,只是解决不戴眼镜的问题
data/test/157000.0000_158600.0000.ogg,但是眼睛结构的变化
data/test/158600.0000_160266.0000.ogg,比如说眼轴的增加
data/test/160266.0000_163133.0000.ogg,他可能会引发的这种并发症的隐患
data/test/163200.0000_164600.0000.ogg,一直是存在的
data/test/165000.0000_166200.0000.ogg,7月5日上午
data/test/166200.0000_167566.0000.ogg,同心双交软件
data/test/167666.0000_169066.0000.ogg,中国大陆地区
data/test/169133.0000_171866.0000.ogg,线上发布会在沈阳成功举办
data/test/172000.0000_174166.0000.ogg,多名国内外知名眼科
data/test/174166.0000_176533.0000.ogg,演示光专家莅临现场
data/test/176866.0000_178933.0000.ogg,进食防控的又一大利器
data/test/178933.0000_181333.0000.ogg,也成功的进入了我们的视野
data/test/181333.0000_185899.0000.ogg,他是呢经过第一个在药监局批准
data/test/185900.0000_188600.0000.ogg,认为他能够有效的延缓
data/test/188700.0000_190733.0000.ogg,青少年的进食的增长
data/test/190866.0000_193733.0000.ogg,所以说它除了能让你看清远处以外
data/test/193800.0000_196166.0000.ogg,它还有一个作用就是延缓近视发展
data/test/196166.0000_199166.0000.ogg,那它的主要的理论就是我刚才说的
data/test/199200.0000_201900.0000.ogg,减少周边视网膜的远视离焦
data/test/201900.0000_203666.0000.ogg,形成轻度的近视离焦
data/test/203966.0000_205733.0000.ogg,科技改变生活
data/test/205933.0000_206533.0000.ogg,据了解
data/test/206533.0000_210266.0000.ogg,这是一款白天佩戴的软性隐形眼镜
data/test/210400.0000_213900.0000.ogg,相比于角膜塑形镜佩戴清晰舒适
data/test/213900.0000_215000.0000.ogg,没有异物感
data/test/215100.0000_218733.0000.ogg,同时也填补了一些角膜塑形镜的短板
data/test/218900.0000_220600.0000.ogg,除了验配更简单
data/test/220600.0000_224266.0000.ogg,还可以随时根据需求调换度数
data/test/224666.0000_226099.0000.ogg,镜片立等可取
data/test/226100.0000_230133.0000.ogg,省去了护理液的经济成本和时间成本
data/test/230300.0000_231666.0000.ogg,呃今天的话是
data/test/231666.0000_233266.0000.ogg,麦赛的就是在中国正式上
data/test/233266.0000_234999.0000.ogg,市的这个日子呃
data/test/235000.0000_237733.0000.ogg,但是其实迈赛的就是在去年的话
data/test/6120.0000_8400.0000.ogg,I’m a doctor of cardiovascular medicine
data/test/9520.0000_12960.0000.ogg,"I started shooting in September, 2016"
data/test/13960.0000_17480.0000.ogg,I’ve shot 405 patients(and their family) in total
data/test/17920.0000_19280.0000.ogg,"And over 10,000 pictures"
data/test/19720.0000_20440.0000.ogg,I asked them
data/test/20440.0000_21720.0000.ogg,‘What’s the most important thing in life to you’
data/test/21720.0000_23600.0000.ogg,‘At which moment do you feel the happiest’
data/test/23600.0000_25400.0000.ogg,‘What’s your most painful memory’
data/test/25400.0000_26840.0000.ogg,‘Do you fear death’
data/test/27400.0000_29520.0000.ogg,It was one day in 2016
data/test/29520.0000_31120.0000.ogg,I was making the rounds of the wards
data/test/31120.0000_34640.0000.ogg,There was an old man talking about his past
data/test/35840.0000_39360.0000.ogg,Then suddenly it occurred to me that each old man is a history
data/test/39760.0000_42640.0000.ogg,I wanted to excavate the treasures
data/test/44560.0000_46640.0000.ogg,The first patient I shot
data/test/46640.0000_49600.0000.ogg,Got in hospital because of lung cancer
data/test/50440.0000_52320.0000.ogg,But he was always cheerful when I saw him
data/test/52320.0000_57400.0000.ogg,He was diagnosed with kidney cancer ten years ago
data/test/57400.0000_59240.0000.ogg,The operation was really successful
data/test/59240.0000_62160.0000.ogg,He had already died once and each day of his rest life was a gift
data/test/62160.0000_63800.0000.ogg,This is what he told me
data/test/5876.0000_9667.0000.ogg,We are worried about him undergoing a surgery at this age
data/test/10584.0000_12292.0000.ogg,"It's a 20-minute job,"
data/test/12292.0000_15042.0000.ogg,but it's a very important 20 minutes
data/test/15667.0000_18417.0000.ogg,Come back
data/test/18918.0000_20292.0000.ogg,I knew that this was going to be...
data/test/20292.0000_21375.0000.ogg,a difficult case
data/test/22667.0000_25000.0000.ogg,"It might hurt a little bit, sir"
data/test/25000.0000_26834.0000.ogg,Your hands must not tremble
data/test/26834.0000_28501.0000.ogg,This is crucial
data/test/49167.0000_52584.0000.ogg,(Alexandra Hospital)
data/test/54792.0000_56584.0000.ogg,Watch your step
data/test/62042.0000_68709.0000.ogg,(It is estimated that the elderly will make up half of the population by 2050)
data/test/68709.0000_69876.0000.ogg,Over here
data/test/75167.0000_77542.0000.ogg,Look at the CT Scan
data/test/77542.0000_78918.0000.ogg,You'll be fine
data/test/82042.0000_88250.0000.ogg,(82% of Singapore's elderly population have at least one chronic health condition)
data/test/89751.0000_92000.0000.ogg,There are many elderly people here
data/test/92000.0000_94167.0000.ogg,I don't want to be hospitalized
data/test/94167.0000_95584.0000.ogg,You won't
data/test/96542.0000_101542.0000.ogg,"80-year-old Chua Eng Ho has always maintained a healthy lifestyle,"
data/test/101542.0000_106626.0000.ogg,but he started to experience severe pain in his groin two weeks ago
data/test/106999.0000_109417.0000.ogg,He didn't tell us about his condition even though he was in severe pain
data/test/109417.0000_111667.0000.ogg,He even asked my mother to hide it from us
data/test/111667.0000_114125.0000.ogg,Our mother told us that he fainted from the pain
data/test/115042.0000_117459.0000.ogg,Chua has four children
data/test/117459.0000_120751.0000.ogg,They take turns to visit and take care of Chua and his wife
data/test/121584.0000_123334.0000.ogg,My daughter accompanied me today
data/test/123334.0000_124959.0000.ogg,She took leave many times...
data/test/124959.0000_125999.0000.ogg,even though I told her...
data/test/125999.0000_127834.0000.ogg,it was okay for her not to come
data/test/127834.0000_129626.0000.ogg,"Just that sometimes, I don't understand..."
data/test/129667.0000_132000.0000.ogg,the medical staff when they speak in English
data/test/133626.0000_139542.0000.ogg,Chua's children persuaded him to see the doctor two weeks ago
data/test/139542.0000_144334.0000.ogg,It was only then that they discovered what their father had been hiding from them
data/test/146292.0000_147751.0000.ogg,Breathe in
data/test/148042.0000_149334.0000.ogg,Hold your breath
data/test/149709.0000_154334.0000.ogg,A tumour was discovered in the groin area where Chua had been experiencing pain
data/test/154334.0000_157042.0000.ogg,"In fact, the tumour had already emerged 10 years ago"
data/test/157584.0000_159876.0000.ogg,This is the hernia
data/test/164959.0000_168375.0000.ogg,Inguinal hernia is a common ailment among the elderly
data/test/168375.0000_173292.0000.ogg,It is caused by the weakening of their muscles as they age
data/test/174876.0000_178209.0000.ogg,A hernia is actually a defect in the muscle
data/test/178209.0000_180542.0000.ogg,"What happens is, sometimes,"
data/test/180542.0000_183459.0000.ogg,fat can go through this space...
data/test/183459.0000_185709.0000.ogg,that is created between the muscles
data/test/185709.0000_188209.0000.ogg,"Sometimes, even the intestine..."
data/test/188209.0000_191209.0000.ogg,can go into the hernia
data/test/192083.0000_197167.0000.ogg,Patients whose conditions are not severe can opt for non-invasive treatments
data/test/197209.0000_201876.0000.ogg,"However, intestinal necrosis could arise if the hernia condition is serious"
data/test/201876.0000_205083.0000.ogg,It could even be life-threatening
data/test/205417.0000_208542.0000.ogg,"Chua, who had been reluctant to go to the hospital, was informed..."
data/test/208542.0000_210751.0000.ogg,that he needed to have an operation as soon as possible
data/test/210751.0000_212751.0000.ogg,Does it hurt? -No
data/test/212751.0000_213918.0000.ogg,It doesn't hurt
data/test/214501.0000_216334.0000.ogg,I think most elderly patients...
data/test/216334.0000_219250.0000.ogg,are afraid to come to the hospital
data/test/219709.0000_222667.0000.ogg,They think they have to be hospitalized...
data/test/222667.0000_225792.0000.ogg,"for a few days after a surgery,"
data/test/225792.0000_227584.0000.ogg,but we'll tell them that...
data/test/227584.0000_229000.0000.ogg,they can do a keyhole operation...
data/test/229000.0000_230876.0000.ogg,and be discharged on the same day
data/test/230876.0000_233751.0000.ogg,They can even walk on the same day
data/test/236626.0000_241459.0000.ogg,"Dr Sujith Wijerathne will perform Chua's keyhole surgery,"
data/val/201366.0000_202933.0000.ogg,it cannot produce insulin
data/val/202933.0000_205200.0000.ogg,Then the blood sugar is in the blood at this time
data/val/205200.0000_206600.0000.ogg,cells cannot use
data/val/206600.0000_209366.0000.ogg,So there will be very typical
data/val/209366.0000_211366.0000.ogg,"Weight loss, polydipsia, polyurination, polyphagia"
data/val/211366.0000_213400.0000.ogg,"At the same time, people are relatively thin"
data/val/214000.0000_216666.0000.ogg,The second one is more type 2 diabetes
data/val/216666.0000_217933.0000.ogg,These diabetic patients
data/val/217933.0000_220400.0000.ogg,Usually occurs after adulthood
data/val/220400.0000_221733.0000.ogg,They are all fat
data/val/221833.0000_222766.0000.ogg,consequences of obesity
data/val/222766.0000_224800.0000.ogg,It's because he's not sensitive to insulin
data/val/282459.0000_284584.0000.ogg,"Therefore, oncoplastic surgery..."
data/val/284584.0000_286042.0000.ogg,"aims to correct that,"
data/val/286042.0000_289292.0000.ogg,by reducing deformity as much as possible
data/val/290000.0000_292999.0000.ogg,"(8.00 am, one hour before the operation)"
data/val/293667.0000_295542.0000.ogg,Hello -Hello
data/val/297501.0000_300042.0000.ogg,"We're doing the left side today, right?"
data/val/300042.0000_302584.0000.ogg,"Okay, let me make a mark"
data/val/302584.0000_304959.0000.ogg,Don't worry
data/val/305959.0000_308709.0000.ogg,"There are many ways to reconstruct the breast,"
data/val/657407.0000_660223.0000.ogg,From the overall fund paid by everyone
data/val/661759.0000_663039.0000.ogg,So you think about it
data/val/665343.0000_668927.0000.ogg,"To coordinate the fund, the money in the personal account"
data/val/669695.0000_671487.0000.ogg,Set aside 24%
data/val/671999.0000_673535.0000.ogg,To the overall fund
data/val/674815.0000_678143.0000.ogg,"what is the reason? There are only two reasons, the first"
data/val/678911.0000_681471.0000.ogg,The cost of the overall fund has increased
data/val/681727.0000_682495.0000.ogg,Can't cover it
data/val/683263.0000_684287.0000.ogg,This is the first reason
data/val/684799.0000_685823.0000.ogg,Reason 2
data/val/686079.0000_688895.0000.ogg,The amount of funds collected by the overall fund is less
data/val/689151.0000_692223.0000.ogg,"It is nothing more than these two reasons. Otherwise, what are you calling to do?"
data/val/692479.0000_696319.0000.ogg,"In fact, the bottom line is to transfer money from the personal account to the overall fund.232 00:11:37,087 --> 00:11:40,159 Personal accounts actually come and go just the money"
data/val/700927.0000_703743.0000.ogg,"So it has nothing to do with the public, you can’t"
data/val/703999.0000_706303.0000.ogg,It’s impossible to transfer money from your personal account
data/val/706815.0000_708863.0000.ogg,Now is to change the allocation ratio
data/val/709119.0000_711679.0000.ogg,"In other words, the overall fund"
data/val/712191.0000_713215.0000.ogg,There are big holes
data/val/713983.0000_714751.0000.ogg,Can't make up
data/val/715263.0000_716543.0000.ogg,What should I do if I can’t make it up?
data/val/716799.0000_718591.0000.ogg,Dial from personal account
data/val/720127.0000_722687.0000.ogg,Why is there a big hole in the pooling account?
data/val/723455.0000_725759.0000.ogg,Is the money spent too much? possible
data/val/726783.0000_729599.0000.ogg,Item 1 and Item 2
data/val/730367.0000_733951.0000.ogg,The cost of hospitalization reimbursement cannot be increased because the standard has not increased
data/val/734463.0000_736511.0000.ogg,Unless the number of reimbursements surges
data/val/737023.0000_739071.0000.ogg,"But the number of reimbursements has soared, I can’t see"
data/val/233866.0000_235266.0000.ogg,坐地铁过来的
data/val/237155.0000_238366.0000.ogg,都只排到36号
data/val/238366.0000_242166.0000.ogg,之前打的过来都排到89号
data/val/242400.0000_243566.0000.ogg,呃60多号
data/val/243566.0000_244399.0000.ogg,所以说
data/val/244400.0000_247500.0000.ogg,我昨天说张文宏医生的那个消息
data/val/247500.0000_248933.0000.ogg,我当时听到我不是说嘛
data/val/248933.0000_249733.0000.ogg,就说这个
data/val/250066.0000_252533.0000.ogg,要是能够再早一点呃
data/val/253133.0000_254899.0000.ogg,把这个指导方针说出来
data/val/254900.0000_257366.0000.ogg,指导治疗方法能够分享出来的话
data/val/245400.0000_248200.0000.ogg,it may stimulate the appearance of melasma
data/val/248200.0000_253000.0000.ogg,Melasma can be triggered by female hormones
data/val/253000.0000_255800.0000.ogg,Okay. Who are likely to have skin pigmentation?
data/val/255800.0000_258200.0000.ogg,"Those who lead an active outdoor life,"
data/val/258200.0000_259800.0000.ogg,work outdoors or...
data/val/260680.0000_262680.0000.ogg,do not avoid excessive sun exposure
data/val/263520.0000_266320.0000.ogg,Fair-skinned people are also prone to skin pigmentation problems because...
data/val/266320.0000_267720.0000.ogg,"they have less melanin,"
data/val/267800.0000_271800.0000.ogg,so their skin is more likely to suffer damage from UV exposure
data/val/271800.0000_273400.0000.ogg,It's more obvious on fair skin -Exactly
data/val/273400.0000_275800.0000.ogg,Are sunscreens essential?
data/val/601120.0000_607480.0000.ogg,"(Zheng Ping, Researcher at Kunming Institute of Zoology, Chinese Academy of Sciences)"
data/val/599080.0000_602400.0000.ogg,"and in the future, no matter you are using tree shrews"
data/val/602400.0000_606720.0000.ogg,"for research on any disease modelling,"
data/val/606720.0000_609040.0000.ogg,you will need to perform gene editing
data/val/609040.0000_611080.0000.ogg,"and you can use our system for that,"
data/val/611080.0000_613160.0000.ogg,"so in terms of function,"
data/val/613160.0000_614880.0000.ogg,it is like a cornerstone.
data/val/615120.0000_616960.0000.ogg,The fundamental purpose of medical research
data/val/616960.0000_619840.0000.ogg,is to explore the pathogenesis of human diseases
data/val/620520.0000_621880.0000.ogg,to find methods of prevention
data/val/621880.0000_623160.0000.ogg,and treatment.
data/val/624080.0000_626120.0000.ogg,The scientific discovery of Zheng Ping's team
data/val/626360.0000_628360.0000.ogg,"is just a small step in the field of genetic research,"
data/val/629440.0000_632240.0000.ogg,or perhaps one of the countless small steps
data/val/632240.0000_635600.0000.ogg,"that will eventually lead to a larger, breakthrough step."
data/val/636920.0000_639400.0000.ogg,"Doing scientific research is to try out new things,"
data/val/639400.0000_640400.0000.ogg,"if you have a lot of things,"
data/val/640400.0000_641640.0000.ogg,you will know what to do.
data/val/641360.0000_644520.0000.ogg,"(Zheng Ping, Researcher at Kunming Institute of Zoology, Chinese Academy of Sciences)"
data/val/217523.0000_219121.0000.ogg,那么对于发烧来说的话
data/val/219121.0000_220878.0000.ogg,由于测量的方法不同
data/val/220921.0000_222358.0000.ogg,测量的地方不同
data/val/223441.0000_225558.0000.ogg,他的标准也是不一样的
data/val/226201.0000_230038.0000.ogg,一般来说的话肛门测试或者耳朵测试
data/val/230241.0000_232078.0000.ogg,（还有）额头，
data/val/232281.0000_235118.0000.ogg,他的一般的情况下温度会高一点
data/val/236180.0000_239059.0000.ogg,但是在口腔和腋下，特别是腋下
data/val/239140.0000_240859.0000.ogg,温度就会低一点
data/val/241140.0000_242899.0000.ogg,大家就看这是个平均值
data/val/243260.0000_244259.0000.ogg,一般我们
data/val/244500.0000_247859.0000.ogg,标准化的话是用肛门作为一种标准
data/val/227120.0000_230120.0000.ogg,urinary issues such as...
data/val/230120.0000_233320.0000.ogg,weak urine stream and frequent urination
data/val/233320.0000_239320.0000.ogg,Another symptom is caused by cancer spreading to other organs
data/val/239320.0000_241520.0000.ogg,"If the cancer spreads to the bones,"
data/val/241520.0000_244720.0000.ogg,the bones become brittle and susceptible to fractures
data/val/244920.0000_247520.0000.ogg,If the prostate cancer spreads to the spine and...
data/val/247520.0000_250720.0000.ogg,"presses against the nerves,"
data/val/69022.0000_80731.0000.ogg,"Jiang Xiying, a nurse born in 1993, is quickly handling various tasks at the triage desk. In the middle of this month, after she was infected with the new crown virus, as soon as her fever subsided, she returned to work as soon as her body allowed."
data/val/982766.0000_984100.0000.ogg,生命还留在那
data/val/984300.0000_986233.0000.ogg,但如果这个外膜再破了以后
data/val/986366.0000_988433.0000.ogg,那可能他到不了医院就人就没了
data/val/989166.0000_991433.0000.ogg,所以说为了抢这个时间
data/val/991600.0000_993366.0000.ogg,就抢在
data/val/993366.0000_994900.0000.ogg,这个外膜破裂之前
data/val/995100.0000_996766.0000.ogg,来把这个血管给他换掉
data/val/996800.0000_998466.0000.ogg,甚至把这个破口给他封掉
data/val/998600.0000_999466.0000.ogg,这是关键
data/val/999833.0000_1003165.0000.ogg,当一旦破了以后其实几秒钟
data/val/1003633.0000_1005100.0000.ogg,人就没了
data/val/1005100.0000_1008766.0000.ogg,主动脉夹层的病人我们都知道没有抢救价值
data/val/1009366.0000_1011300.0000.ogg,当初你为什么选择当医生呢
data/val/1011300.0000_1013466.0000.ogg,尤其是当心脏外科医生呢
data/val/1013466.0000_1014833.0000.ogg,我家是农村的
data/val/1014833.0000_1018100.0000.ogg,然后当时父母身体都不好
data/val/1018100.0000_1019866.0000.ogg,在农村看病不容易
data/val/1019966.0000_1021666.0000.ogg,那是乡村医生看病
data/val/1022100.0000_1024633.0000.ogg,你想到再到外边去看到县城
data/val/1024900.0000_1026400.0000.ogg,县城医院去看
data/val/1026400.0000_1029400.0000.ogg,甚至到那个大城市的医院去看病
data/val/1029400.0000_1033200.0000.ogg,太难了 那这个看病难度是非常大
data/val/1033200.0000_1035066.0000.ogg,从小脑子里边就有
data/val/1035066.0000_1036032.0000.ogg,这么个印象
data/val/1036200.0000_1039266.0000.ogg,看病确实确实难度大呀
data/val/1039300.0000_1041965.0000.ogg,所以说当时就想
data/val/1042233.0000_1043433.0000.ogg,这是 也是
data/val/1043433.0000_1045599.0000.ogg,可能考虑自己的这个性格吧
data/val/1045665.0000_1046766.0000.ogg,这个
data/val/1046766.0000_1049200.0000.ogg,慢慢感觉这个尤其上了高中的时候
data/val/1049566.0000_1050833.0000.ogg,还感觉自己就那会
data/val/1050833.0000_1053266.0000.ogg,你高中那会就已经有什么想法
data/val/1053266.0000_1054500.0000.ogg,有什么想法那时
data/val/1054500.0000_1056366.0000.ogg,但你对外科是心脏外科有了解吗
data/val/1056366.0000_1058100.0000.ogg,那时候没有
data/val/1058100.0000_1059866.0000.ogg,就是在大学的时候
data/val/1059866.0000_1061000.0000.ogg,在大学的时候没有
data/val/1061033.0000_1062966.0000.ogg,我对心脏外科的这个
data/val/1063266.0000_1065866.0000.ogg,这个了解那时还是实习的时候
data/val/1066366.0000_1068900.0000.ogg,那是上本科的时候
data/val/1068900.0000_1072066.0000.ogg,我们本科是六年
data/val/1072100.0000_1074266.0000.ogg,学医一般
data/val/1074266.0000_1076766.0000.ogg,比别的专业的本科一般要长一到两年
data/val/1076800.0000_1078566.0000.ogg,我当时念的本科是六年
data/val/1078633.0000_1081633.0000.ogg,六年就实习一般就是
data/val/1081966.0000_1082766.0000.ogg,大五吗
data/val/1082766.0000_1086466.0000.ogg,第五年 要进医院就是见习加实习
data/val/1086766.0000_1089566.0000.ogg,当时我是在那个济南市中心医院
data/val/537440.0000_540540.0000.ogg,"these medical vocabulary, professional and complicated"
data/val/540920.0000_542900.0000.ogg,but all point to the dangers of a life
data/val/546935.0000_548055.0000.ogg,1 ECMO
data/val/548505.0000_551155.0000.ogg,"Bed 5, Bed 15 both need it"
data/val/551580.0000_553220.0000.ogg,it is hard to choose
data/val/554740.0000_555920.0000.ogg,how many machines do you have?
data/val/556160.0000_556680.0000.ogg,only 1
data/val/557080.0000_558060.0000.ogg,"assembled 3, but only 1 is complete"
data/val/558680.0000_561580.0000.ogg,"I have only 1 ECMO, I want to discuss 2 patients together"
data/val/562200.0000_563220.0000.ogg,only 1 machine
data/val/563540.0000_566060.0000.ogg,let's see which patient is more fitted
data/val/567380.0000_568640.0000.ogg,from respiratory department
data/val/568980.0000_570220.0000.ogg,neurosurgery department
data/val/570520.0000_571680.0000.ogg,general surgery department
data/val/572080.0000_573260.0000.ogg,cardiovascular surgery department
data/val/573620.0000_574580.0000.ogg,cardiology department
data/val/575020.0000_576680.0000.ogg,"anesthesiology department, ultrasound department"
data/val/577620.0000_578960.0000.ogg,12 doctors from Shanghai
data/val/579280.0000_580420.0000.ogg,participated in the discussion
data/val/581420.0000_583260.0000.ogg,this is essential to
data/val/583340.0000_585120.0000.ogg,the future of Bed 5 and Bed 15
data/val/585480.0000_587580.0000.ogg,So whether this patient is going to put on ECMO
data/val/245800.0000_248000.0000.ogg,"Dr Lee, is the answer true or false?"
data/val/248000.0000_249200.0000.ogg,It's true
data/val/249200.0000_250800.0000.ogg,The answer is true?
data/val/250800.0000_254800.0000.ogg,Jogging is considered an anti-gravity exercise
data/val/254800.0000_258360.0000.ogg,Forcing the body to work against gravity enables it to absorb calcium
data/val/258800.0000_260800.0000.ogg,Take NASA astronauts as an example
data/val/261000.0000_265400.0000.ogg,"When they returned to earth after being in space for six to twelve months,"
data/val/265400.0000_268000.0000.ogg,doctors discovered that the astronauts had osteoporosis
data/val/269400.0000_272600.0000.ogg,"So, only by bearing weight can we absorb calcium?"
data/val/540280.0000_541520.0000.ogg,If you ever felt
data/val/541520.0000_544090.0000.ogg,you had any psychological disease
data/val/544130.0000_545700.0000.ogg,and maybe even required treatment
data/val/545700.0000_547130.0000.ogg,show me your hand
data/val/549980.0000_551270.0000.ogg,Not many
data/val/551880.0000_553740.0000.ogg,On the spot who thinks they ever
data/val/553740.0000_556090.0000.ogg,had mental illness?
data/val/557740.0000_559100.0000.ogg,I'm the only one
data/val/560250.0000_562220.0000.ogg,It shows that we are really seeing those issues
data/val/562220.0000_563690.0000.ogg,with prejudice
data/val/564460.0000_565800.0000.ogg,I tell you
data/val/565800.0000_567480.0000.ogg,I once had
data/val/567730.0000_570060.0000.ogg,in the medical framework
data/val/570130.0000_572230.0000.ogg,a mental disease that can be diagnosed
data/val/572230.0000_574590.0000.ogg,and even needs treatment
data/val/574920.0000_579920.0000.ogg,Psychological doctor Wei Jing confesses having suffered from mental disease
data/val/575360.0000_578510.0000.ogg,It was during the SARS breakout in 2003
data/val/578900.0000_581140.0000.ogg,I was living next to Union Medical College
data/val/581140.0000_583120.0000.ogg,From my window
data/val/583120.0000_584880.0000.ogg,I could see Dongdan North Street
data/val/584880.0000_585780.0000.ogg,That broad road
data/val/585850.0000_588120.0000.ogg,it used to be such a busy road
data/val/588470.0000_589530.0000.ogg,crowded with cars and people
data/val/589530.0000_591040.0000.ogg,and it used to be so noisy
data/val/591640.0000_594410.0000.ogg,"But then there were no people, no cars"
data/val/594810.0000_597510.0000.ogg,The only vehicles speeding by once in a while were ambulances
data/val/598390.0000_599560.0000.ogg,Then they drove into the hospital
data/val/322320.0000_323656.0000.ogg,看病效果特别好
data/val/323656.0000_325183.0000.ogg,比别人效果就是好
data/val/325183.0000_326520.0000.ogg,然后觉得很奇怪
data/val/326520.0000_328429.0000.ogg,他说这个你是什么本事
data/val/328429.0000_330147.0000.ogg,你怎么看病这么准呢
data/val/330147.0000_331483.0000.ogg,我说这事儿不说
data/val/331483.0000_332820.0000.ogg,我告诉他为什么
data/val/332820.0000_335135.0000.ogg,然后他他就观察发现这些大夫吧
data/val/335135.0000_336292.0000.ogg,看病人看人舌头
data/val/336292.0000_337284.0000.ogg,说这个奇怪了
data/val/337284.0000_337946.0000.ogg,以前没有
data/val/337946.0000_339765.0000.ogg,因为以前中医就是号脉嘛
data/val/339765.0000_342411.0000.ogg,他说这个你们跟哪儿学的这个功夫呢
data/val/342411.0000_343568.0000.ogg,不知道他问他们
data/val/343568.0000_344560.0000.ogg,他说笔中不严
data/val/344560.0000_346380.0000.ogg,那帮人始终不说从哪学的
data/val/346380.0000_348936.0000.ogg,然后后来薛立斋到了南京太医院了
data/val/348936.0000_350129.0000.ogg,他在南京太医院
data/val/350129.0000_354390.0000.ogg,南京有那个他们有那个就是那个学府那个学术机构有书库
data/val/354390.0000_355582.0000.ogg,他后边翻书一下
data/val/355582.0000_356435.0000.ogg,翻出来一本
data/val/356435.0000_358130.0000.ogg,因为皇室藏书很丰富嘛
data/val/253259.0000_254800.0000.ogg,所以就会经过身体
data/val/254800.0000_256000.0000.ogg,经过身体之后
data/val/256019.0000_257600.0000.ogg,它就会释放出很多氧气
data/val/257600.0000_259120.0000.ogg,所以这个血液变成了什么呢
data/val/259139.0000_260480.0000.ogg,就变成了静脉血
data/val/260600.0000_263040.0000.ogg,静脉血又会通过这个大静脉
data/val/263360.0000_265360.0000.ogg,流回到右心房里面去 是吧
data/val/265360.0000_268480.0000.ogg,所以这个就是整个的一个心脏血液循环的过程
data/val/268759.0000_271040.0000.ogg,就是血液先流到右心房里去
data/val/271040.0000_272199.0000.ogg,流到右心室里去
data/val/272199.0000_274159.0000.ogg,一泵 泵到了这个肺里去
data/val/274180.0000_277860.0000.ogg,然后肺中的血回来之后流到左心房 左心室
data/val/277860.0000_280240.0000.ogg,然后再一泵 就泵到了身体各个地方
data/val/280259.0000_282279.0000.ogg,然后就这样一次又一次的循环
data/val/253259.0000_254800.0000.ogg,所以就会经过身体
data/val/254800.0000_256000.0000.ogg,经过身体之后
data/val/256019.0000_257600.0000.ogg,它就会释放出很多氧气
data/val/257600.0000_259120.0000.ogg,所以这个血液变成了什么呢
data/val/259139.0000_260480.0000.ogg,就变成了静脉血
data/val/260600.0000_263040.0000.ogg,静脉血又会通过这个大静脉
data/val/263360.0000_265360.0000.ogg,流回到右心房里面去 是吧
data/val/265360.0000_268480.0000.ogg,所以这个就是整个的一个心脏血液循环的过程
data/val/268759.0000_271040.0000.ogg,就是血液先流到右心房里去
data/val/271040.0000_272199.0000.ogg,流到右心室里去
data/val/272199.0000_274159.0000.ogg,一泵 泵到了这个肺里去
data/val/274180.0000_277860.0000.ogg,然后肺中的血回来之后流到左心房 左心室
data/val/277860.0000_280240.0000.ogg,然后再一泵 就泵到了身体各个地方
data/val/280259.0000_282279.0000.ogg,然后就这样一次又一次的循环
data/val/257292.0000_262042.0000.ogg,The best solution is to fill the notch via bone grafting
data/val/262042.0000_264334.0000.ogg,"If she does not undergo surgery in time,"
data/val/264334.0000_269042.0000.ogg,she will suffer chronic pains and be unable to lift her arm
data/val/271417.0000_277250.0000.ogg,The shoulder arthroscopy Dr Woo arranged for Manikam is minimally invasive
data/val/277250.0000_280959.0000.ogg,The patient needs to be put under anaesthesia
data/val/280959.0000_283167.0000.ogg,"To ensure safety during the surgery,"
data/val/145499.0000_147539.0000.ogg,你反反复复第一一天好了
data/val/147539.0000_150060.0000.ogg,两天不好，两天好了一天又不好
data/val/150659.0000_153059.0000.ogg,一个月30天里面有15天
data/val/153059.0000_154380.0000.ogg,有头疼现象的
data/val/154459.0000_157060.0000.ogg,你也必须去找医生进行
data/val/157710.0000_159412.0000.ogg,必要的诊断和治疗
data/val/159412.0000_161887.0000.ogg,不要自己盲目的反复的
data/val/274107.0000_275441.0000.ogg,所以大概我們也碰過一些案例
data/val/275441.0000_277677.0000.ogg,是因為喉嚨的講話聲音沙啞
data/val/277677.0000_278444.0000.ogg,不過大家也不要太擔心
data/val/278444.0000_280446.0000.ogg,不要說沙啞我就是肺腺癌
data/val/280446.0000_282415.0000.ogg,最好請醫生幫你檢查確認一下
data/val/282415.0000_284384.0000.ogg,是 因為其實在上面
data/val/284384.0000_286953.0000.ogg,例如說身體長出不明硬塊
data/val/286953.0000_288955.0000.ogg,大小便不正常出血
data/val/288955.0000_290356.0000.ogg,這種痣明顯變化
data/val/290356.0000_292158.0000.ogg,這個已經變成一般的常識了
data/val/292158.0000_292457.0000.ogg,是的
data/val/292457.0000_293459.0000.ogg,可是有一個很特別的
data/val/293459.0000_295261.0000.ogg,我看到皮膚發癢
data/val/295261.0000_296796.0000.ogg,其實我們之前有一個
data/val/296796.0000_298131.0000.ogg,我有一個攝影師朋友也是一樣
data/val/237160.0000_239160.0000.ogg,Richard mentioned people losing weight
data/val/239160.0000_242960.0000.ogg,What if she becomes fatter? Does that mean her muscle mass will increase?
data/val/242960.0000_244160.0000.ogg,Not necessarily
data/val/244160.0000_247760.0000.ogg,"Sometimes, muscles are replaced by fat,"
data/val/247760.0000_250760.0000.ogg,so this is called sarcopenic obesity
data/val/250760.0000_254360.0000.ogg,It means that obesity does not necessarily equate to more muscles
data/val/254840.0000_259440.0000.ogg,Who are prone to developing sarcopenia?
data/val/260040.0000_263880.0000.ogg,Mainly women who have reached a certain age
data/val/261042.0000_264876.0000.ogg,"The Emergency Surgical Unit sees an average of 6,000 patients annually,"
data/val/264876.0000_269292.0000.ogg,"with about 4,000 of them coming from the hospital's emergency department"
data/val/269292.0000_273375.0000.ogg,"The most commonly seen cases include appendicitis, stomach ulcers,"
data/val/273375.0000_277417.0000.ogg,gallstones and life-threatening cases of intestinal obstructions
data/val/277417.0000_279417.0000.ogg,All surgeons employed by the hospital...
data/val/279417.0000_281959.0000.ogg,must take turns working a shift in the Emergency Surgical Unit...
data/val/281959.0000_283751.0000.ogg,for four days every month
data/val/231959.0000_236999.0000.ogg,we know that long-term hypercalcemia affects other parts of the body
data/val/237459.0000_239626.0000.ogg,She may experience heart problems
data/val/240209.0000_244959.0000.ogg,"Before this, I didn't know why I always had stomach pain..."
data/val/244959.0000_246959.0000.ogg,and backaches
data/val/246959.0000_251334.0000.ogg,I would go to TCM doctors for cupping...
data/val/251334.0000_253334.0000.ogg,and acupuncture
data/val/612120.0000_615539.0000.ogg,中 我覺得我們民眾也在學習 那個學習
data/val/615539.0000_618059.0000.ogg,就包含民眾心理面的那種擔憂
data/val/618240.0000_620490.0000.ogg,我們也要去考慮 就是說今天雖然他在
data/val/620490.0000_623399.0000.ogg,新光醫院以經住到醫生認定可以解隔離
data/val/623939.0000_625799.0000.ogg,CT值都大於三十是
data/val/625829.0000_628289.0000.ogg,可是你這時候讓他回家 他現在還是屬於
data/val/628319.0000_631289.0000.ogg,陽性 因為CT值大於三十是 還有CT
data/val/631289.0000_634529.0000.ogg,值 只是說他的病毒量已經很低 低到對社區
data/val/634559.0000_635579.0000.ogg,已經幾乎沒有影響
data/val/635789.0000_638220.0000.ogg,可是你請他回去之後 家人會擔心哪
data/val/639509.0000_639689.0000.ogg,他說你這個還沒完全到零的時候
data/val/640289.0000_643199.0000.ogg,你回來我也會很擔心
data/val/643409.0000_646649.0000.ogg,但是問題是說 那這樣問題就來了 專責病房
data/val/647009.0000_650159.0000.ogg,如果我們事實上這些已經 已經
data/val/650159.0000_652889.0000.ogg,就是說可以解隔的 或者他病毒量已經極低
data/val/652889.0000_653309.0000.ogg,的人
data/val/653730.0000_657149.0000.ogg,去佔用的時候 那我們後面有些真正需要的
data/val/657149.0000_659970.0000.ogg,中重症的病人怎麼又住進來 對不對
data/val/660000.0000_662819.0000.ogg,但是就是 所以我在講說我要跟民眾講
data/val/662820.0000_666690.0000.ogg,就是說要拜託大家 專責病房是一個很珍貴
data/val/666690.0000_670380.0000.ogg,的醫療資源 大家要發揮互相互助合作
data/val/670379.0000_673230.0000.ogg,的精神 就是說醫生如果一旦認定你
data/val/673230.0000_675000.0000.ogg,可以下轉或者你回家
data/val/675420.0000_678540.0000.ogg,我拜託大家 還是要按照醫生的醫囑去執行
data/val/228834.0000_233292.0000.ogg,which will replace the old heart valve leaflet
data/val/234999.0000_238959.0000.ogg,Risks of TAVI include death
data/val/238959.0000_242334.0000.ogg,The odds are about three to four percent
data/val/242334.0000_245709.0000.ogg,"But if you don't do TAVI and the heart valve continues to narrow,"
data/val/245709.0000_249083.0000.ogg,the risk of death is about 50 percent a year
data/val/252334.0000_255667.0000.ogg,"At that time, my mum was still living with me"
data/val/290380.0000_292170.0000.ogg,提到的女子二七
data/val/292170.0000_292970.0000.ogg,二七 天癸至
data/val/292970.0000_294560.0000.ogg,天癸至 任脉通 太冲脉盛
data/val/294560.0000_296560.0000.ogg,月事以时下 故有子 这一块
data/val/296560.0000_298810.0000.ogg,那么 就是我们古人一般认为呢
data/val/298810.0000_300300.0000.ogg,二七 天癸至
data/val/300300.0000_301210.0000.ogg,那这个时候呢
data/val/301210.0000_303710.0000.ogg,因为肾气充盛 天癸至了以后
data/val/303710.0000_305800.0000.ogg,它就有月经的来潮
data/val/305800.0000_308120.0000.ogg,那个是二七 是十四岁 对吧
data/val/308120.0000_311740.0000.ogg,那现在随着这个营养的丰富
data/val/311740.0000_314220.0000.ogg,还有这些其他的社会因素的影响
data/val/314220.0000_316650.0000.ogg,那么 女性她的月经的初潮的年龄
data/val/316650.0000_318650.0000.ogg,现在可以提前到十一岁
data/val/318650.0000_320350.0000.ogg,那这个都是正常的范围
data/val/242501.0000_244834.0000.ogg,But I told them that I've tried many ways...
data/val/244834.0000_246209.0000.ogg,and it didn't help
data/val/246209.0000_248626.0000.ogg,"So, this is my last solution"
data/val/260709.0000_263375.0000.ogg,Spine surgeon Dr Dennis Hey...
data/val/263375.0000_265918.0000.ogg,is going to operate on Royston's cervical spine today
data/val/266334.0000_268709.0000.ogg,He has to be very careful and focused
data/val/269042.0000_271375.0000.ogg,"This is because the cervical spine houses the spinal cord,"
data/val/271375.0000_274959.0000.ogg,an integral part of the body's central nervous system
data/val/277918.0000_280542.0000.ogg,Spine surgery is a challenge
data/val/305080.0000_309800.0000.ogg,It's just an old ailment. I don't need to waste money on a scan
data/val/310640.0000_313680.0000.ogg,"Doctor, please prescribe some painkillers..."
data/val/313760.0000_316400.0000.ogg,and keep me under observation for a while
data/val/318280.0000_320920.0000.ogg,"All right, I'll take you to the observation room first"
data/val/321000.0000_322320.0000.ogg,We'll observe you...
data/val/405120.0000_406120.0000.ogg,或者从另外一个角度
data/val/406120.0000_409320.0000.ogg,为什么大家一听到高血压或者糖尿病不会崩溃
data/val/411820.0000_414470.0000.ogg,是因为高血压糖尿病虽然和癌症一样
data/val/414470.0000_416050.0000.ogg,很多时候不可治愈
data/val/417020.0000_418970.0000.ogg,但是它不会立刻要命
data/val/418970.0000_421450.0000.ogg,大家不觉得高血压糖尿病是一个致死的疾病
data/val/421450.0000_423520.0000.ogg,但大家觉得癌症一定死定了
data/val/424550.0000_427770.0000.ogg,我相信在座的很多人一听到癌症就觉得死定了
data/val/428100.0000_429150.0000.ogg,比如说白血病
data/val/429520.0000_432100.0000.ogg,在座的有多少人觉得白血病得了就是一个死
data/val/435050.0000_436170.0000.ogg,很多人举手
data/val/436550.0000_439170.0000.ogg,你们身边可能没有出现过白血病的患者
data/val/439620.0000_441870.0000.ogg,但是你觉得白血病死定了 为什么
data/val/446200.0000_448020.0000.ogg,是因为咱们电视剧看太多了
data/val/448020.0000_449370.0000.ogg,尤其是日剧和韩剧
data/val/450570.0000_451500.0000.ogg,据统计
data/val/451500.0000_455350.0000.ogg,有超过1000部电视剧和电影里面的主角都死于白血病
data/val/456800.0000_459850.0000.ogg,我不知道最开始是哪一个编剧觉得男女主角
data/val/269966.0000_270933.0000.ogg,是这样的啊
data/val/270933.0000_272899.0000.ogg,我们身体呢有600多块肌肉
data/val/272900.0000_274332.0000.ogg,可以分为三大类
data/val/274332.0000_277533.0000.ogg,也就是心肌骨骼肌和平滑肌
data/val/277800.0000_279966.0000.ogg,呃骨骼肌呢是通过肌腱呢
data/val/279966.0000_281866.0000.ogg,附着在那个人体的骨骼上
data/val/281866.0000_284566.0000.ogg,分布在躯干呢或者是四肢
data/val/284900.0000_286200.0000.ogg,是运动的一个动力
data/val/286266.0000_287733.0000.ogg,就我们大家常看的这种
data/val/287733.0000_290066.0000.ogg,就是健美运动员练的这种肌肉块
data/val/290300.0000_291800.0000.ogg,就属于是骨骼肌
data/val/291966.0000_293966.0000.ogg,心肌呢它主要分布在呃
data/val/293966.0000_298299.0000.ogg,心脏和临近心脏的血管的一个近端啊
data/val/298332.0000_299566.0000.ogg,呃平滑肌呢
data/val/259570.0000_261750.0000.ogg,首先说一下医院的选择
data/val/261760.0000_263590.0000.ogg,因为我是住在澳大利亚的墨尔本
data/val/263600.0000_266642.0000.ogg,因此想到的第一个医院就是
data/val/266642.0000_268670.0000.ogg,Royal Children Hospital 皇家儿童医院
data/val/268900.0000_272220.0000.ogg,皇家儿童医院真的不愧是全世界
data/val/272230.0000_273970.0000.ogg,最棒的儿童医院之一
data/val/273980.0000_277140.0000.ogg,每天都要监测像这种空气的流动
data/val/277150.0000_278720.0000.ogg,含菌量这些微指标
data/val/278730.0000_281580.0000.ogg,而且门诊里你猜做了一个什么
data/val/281580.0000_284100.0000.ogg,给小朋友做了一个水族馆
data/val/284110.0000_285550.0000.ogg,所以说弟弟得病
data/val/285560.0000_288630.0000.ogg,我们就不远万里驱车来到
data/val/238083.0000_240542.0000.ogg,that I've ever had in my life
data/val/240542.0000_242584.0000.ogg,It made me really scared
data/val/242584.0000_247209.0000.ogg,Is this going to be the day that I die?
data/val/247626.0000_250292.0000.ogg,(Obesity puts you at higher risk of other health issues...)
data/val/250292.0000_256292.0000.ogg,"(such as heart disease, diabetes and severe asthma)"
data/val/256959.0000_260082.0000.ogg,"After consulting with doctors and undergoing some careful consideration,"
data/val/87933.0000_90900.0000.ogg,這三位人員我們剛剛敘述的是
data/val/90900.0000_94700.0000.ogg,固定在刀檯上在我們的開刀視野當中
data/val/94900.0000_96700.0000.ogg,負責進行手術的部分
data/val/237733.0000_239599.0000.ogg,我们呃是在去年的8月份
data/val/239600.0000_242200.0000.ogg,得到国家这个食品药品监督管理局的
data/val/242266.0000_243266.0000.ogg,优先审批
data/val/243266.0000_245399.0000.ogg,随着就是今天的正式上市的话
data/val/245533.0000_247999.0000.ogg,呃也相信这个产品的话其实会被
data/val/248266.0000_251366.0000.ogg,更多的家长和儿童呃所熟知
data/val/251600.0000_253700.0000.ogg,我们希望就是跟我们国内的
data/val/253733.0000_254999.0000.ogg,眼科医生一起
data/val/255000.0000_257766.0000.ogg,共同呵护我们国呃青少年儿童的
data/val/257766.0000_258798.0000.ogg,这个眼健康
data/val/258933.0000_261332.0000.ogg,共同为我们的青少年儿童的
data/val/261500.0000_262866.0000.ogg,眼健康保驾护航
data/val/64640.0000_68600.0000.ogg,His daughter failed in the entrance examination of senior high school
data/val/68600.0000_70400.0000.ogg,And got schizophrenia later
data/val/70400.0000_73840.0000.ogg,He felt very sorry about that
data/val/241459.0000_244292.0000.ogg,using mainly three small incisions
data/val/244292.0000_247000.0000.ogg,"However, due to the large size of Chua's tumour,"
data/val/247000.0000_253626.0000.ogg,a larger incision may be needed if the keyhole surgery is unsuccessful
data/val/254250.0000_257167.0000.ogg,"Hopefully, he won't need a longer incision"
data/val/257167.0000_258459.0000.ogg,Can we try the keyhole surgery first?
data/val/258459.0000_260792.0000.ogg,"Yes, his safety comes first"
data/val/260792.0000_261834.0000.ogg,The keyhole surgery...