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全部话题 - 话题: spontaneous
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H****a
发帖数: 642
1
Shares of electric car company Tesla sank more than 6 percent Wednesday
after an Internet video showed flames spewing from one of the company's
vehicles near Seattle.
Shares of Tesla Motors Inc. fell $12.05 to $180.95 — the stock's biggest
one-day decline since July 16.
The incident happened Tuesday after 8 a.m. as the driver was traveling
southbound on state Route 167 through Kent, said Trooper Chris Webb of the
Washington State Patrol. The driver stated that he believed he had struck
some meta... 阅读全帖
k**0
发帖数: 19737
2
来自主题: Automobile版 - Tesla 又着火,抛股票吧
和以前一样,下边撞到东西了。
Tesla reports third fire involving Model S electric car
By Ben Klayman and Bernie Woodall
DETROIT (Reuters) - Tesla Motor Inc's(NSQ:TSLA) Model S electric car has
suffered its third fire in six weeks, sending its shares down nearly 9
percent in Thursday midday trading.
The Tesla Motors Club website contains pictures and a story about another
fire involving a Model S that a company spokeswoman confirmed. The accident
occurred on Wednesday in Smyrna, Tennessee, where Nissan Motor Co... 阅读全帖
K******S
发帖数: 10109
3
来自主题: Automobile版 - GM recall 的一些数字
晚上HBO的GOT后面有个总结上一周新闻的节目里提到了GM的RECALL,一些数字见仁见智
吧:
1.
2001年GM就知道这个BUG了,当时是从一个SATURN的小车的PROTYPE上发现的,2014年
RECALL,间隔13年
2.

(Reuters) - U.S. safety regulators have recorded 303 deaths when airbags
failed to deploy in 1.6 million compact cars recalled last month by General
Motors Co, according to a study released Thursday night by a safety watchdog
group.

GM自己宣称”只“死了12个人,有人还记得丰田自动加速死了多少人吗?
3.
GM培训员工不要用JUDGEMENT WORDS,而且避免用一个有上百个词的LIST

“Kevorkianesque,” “apocalyptic,” “Band-Aid,” “Challenger,” “C... 阅读全帖
r******o
发帖数: 1530
4
来自主题: Automobile版 - 今天终于把XC90提回来了
有点spontaneous,本来老婆大人就是一直拖着压着不让提,我好说歹说,终于同意了
,代价是提车回来的路上得先去趟mall,不多说了,你们懂的。
Trading in上面dealer有点磨不过我们,就加了800,还是不到期望值,不过就像有些
同学说的,买车嘛,又不是买deal,还打扰人家试车三次,最后也就从了,算上
service credit $200块,也就让dealer少啃了$1000块,不过也够我给保姆发小半个月
工资了,这样算下来每个月车的花费本身也就$333,加上油钱刚$400出头,做保养没出
过一毛钱,想想也不算太浪费。
我郑重声明一下,关于噪音问题,我今天开了70迈吧,local加highway,同样的路,风
噪路噪不比GL大,同样的路,我经常坐一个朋友的今年新的GL去打球,所以有比较。差
别在于发动机的声音,这个声音反正我不反感,跟GL的发动机的声音肯定有差别,GL的
声音可能听着更习惯更顺耳,这个是双加压4缸,听起来肯定不一样,动力上比老T6更
smooth,感觉不到turbo lag,Eco mode下的声音比Dynamic mode悦耳一些,总体来说
,我觉... 阅读全帖

发帖数: 1
5
In a case of an old idea gaining new legs, Achates Power says it expects the
first commercial use of its unique two-stroke, opposed-piston design to
occur by 2020, following an initial in-vehicle demonstration in early 2018.
It’s based on a design that’s well over 100 years old.
Achates, aiming to power both heavy-duty trucking and passenger vehicles,
won’t say which will be the first to hit the streets using its technology,
but much of the company’s development work so far appears tilted toward... 阅读全帖
c*****7
发帖数: 168
6
来自主题: ebiz版 - 论某公司打来电话说我fraud
有没有高手指点一下
还能否继续搞A公司了?
我倒是可以打回去理论甚至投诉Chad,
武断(spontaneous)觉得我作为订卡人就不该自己用卡
但是他不知道
我公司人少,
或者我可以说我们公司买卡就是为了给我做incentive用的,
或者随便编个理由,
但是又觉得没必要,
因为大多数公司投诉起来遥遥无期
而且他们最后都reserve the right of explanation
而且他也说到high risk,不和你做生意。
面对这种垄断公司
我是不是应该认栽,自认弱势群体
然后服服帖帖。。。
h*s
发帖数: 574
7
来自主题: Faculty版 - 找faculty的一些tips
我相信有些很general的principle大家都知道,就没必要说了,但能不能做到
又是另外一回事了。
我觉得很重要的一点是放低身段,把自己当作学生的朋友而不是高他们一辈的,
比如一个题不难,但学生觉得难,你应该说这个不容易啊,我们一起来想想。
出作业要让学生一开始觉得难,但做出来会觉得很有用!经济系的作业都是
数学题,我教大四的课总发现大部分学生还不知道为什么要用数学来解决那
些问题,总觉得无聊和无用,只能说他们之前的老师太失败了。
给学生留一个好的第一印象极其重要,我每次介绍自己的时候都有满堂大笑的
效果。我能把自己和学生最熟悉的漫画,我们城市的特色联系到一起。
另外了解美国文化,上课用他们的传统来解释一些概念,这个都是积累出来的。
(千万不要自觉不如美国人懂这些,实际上他们teaching经验不见得好,一些
比较难懂的概念,定理背后intuitive的解释他们未必比你理解深),例子这些,
我的感觉是没必要刻意去准备,spontaneous的效果会更好,包括joke啊之类的。
(最最简单的joke,就是要把自己学校吹上天,把Harvard贬一贬,学生非常
喜欢,我几年前看别人这么
D*********t
发帖数: 370
8
来自主题: Faculty版 - 敏感与不谨慎之过
co-cft. Just read your other post...
I prefer spontaneous and frank posts to polite and phony ones... although I
don't necessarily agree with the contents. Keep posting.
w******t
发帖数: 1422
9
实话实说.系主任也需要听听两方的道理. 他在谁一边也不一定.
但读你的文字感到你的思路有些乱, 可能是刚听到系主任的信太吃惊了. 个人以为要
将重点给系主任讲出来, 以下是我的建议, 供抛砖引玉 - 版上有些老道的人, 他们
或许也会给你出主意
1. tell the chair that you are every surprised becuase the lecturer never
indicated any disappointment about your TA assistance before;
(this tells the chair that the lecturer is a spontaneous person. she should
communicate with you first, a few times, before she goes to the chair. It
is a lecturer's responsibility to ensure that TA works well, not the chair's)
2. you actua... 阅读全帖
L***s
发帖数: 9258
10
【 以下文字转载自 Returnee 讨论区 】
发信人: oceaneyes (oceaneyes), 信区: Returnee
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学(转载)
发信站: BBS 未名空间站 (Thu Oct 10 13:54:54 2013, 美东)
发信人: honde (宏德之坚韧不拔), 信区: SanFrancisco
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学(转载)
发信站: BBS 未名空间站 (Thu Oct 10 12:27:01 2013, 美东)
发信人: honde (宏德之坚韧不拔), 信区: Biology
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学生ZZ
发信站: BBS 未名空间站 (Thu Oct 10 12:24:37 2013, 美东)
诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学生
楼主:bxdfhbh 时间:2013-10-09 22:57:00 点击:3363 回复:32

新浪微博有人爆料... 阅读全帖
L***s
发帖数: 9258
11
【 以下文字转载自 Returnee 讨论区 】
发信人: oceaneyes (oceaneyes), 信区: Returnee
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学(转载)
发信站: BBS 未名空间站 (Thu Oct 10 13:54:54 2013, 美东)
发信人: honde (宏德之坚韧不拔), 信区: SanFrancisco
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学(转载)
发信站: BBS 未名空间站 (Thu Oct 10 12:27:01 2013, 美东)
发信人: honde (宏德之坚韧不拔), 信区: Biology
标 题: 诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学生ZZ
发信站: BBS 未名空间站 (Thu Oct 10 12:24:37 2013, 美东)
诺贝尔奖获得者Sudhof老婆是踹了原配找美国老头的中国裔女留学生
楼主:bxdfhbh 时间:2013-10-09 22:57:00 点击:3363 回复:32

新浪微博有人爆料... 阅读全帖
A*******8
发帖数: 1453
12
来自主题: Faculty版 - 脑力劳动容易让人发胖
Citation of the original research is here
Chaput, J. P., Drapeau, V., Poirier, P., Teasdale, N., & Tremblay, A. (2008)
. Glycemic instability and spontaneous energy intake: association with
knowledge-based work. Psychosomatic Medicine, 70(7), 797-804.
H****y
发帖数: 2992
13
首先,我对你原帖里的很多理论都持保留意见,但是说起来就长了。如果你就是想知道
“这第一个动作电位是怎么被启动的”,我的理解可能是这两点:1)spontaneous, 2)
stochastic的性质。
第一个说的就是,很多peripheral nerves,比如听觉神经,在没有任何声音的情况下
,会有自发的电行为,从而导致整个神经系统的很多神经元(但不是全部)都有这种自
发行为。
第二个说的是,各种neuron的电信号不是完全deterministic的。也就是说,哪怕你严
格控制外部的sensory input,neuron们的反应也有很多stochastic property。这个表
面上看来是与信号无关的noise,但后来人们研究发现,stochastic 的存在是利大于弊。
尤其是当你考虑一个巨大的神经网络的时候,如果网络到处都存在上述两点的话,是不
需要有一个“第一启动电位”的。
k**x
发帖数: 2611
14
来自主题: Family版 - [BSSD]关于夫妻间的相互付出
我来说说我家的成功经验吧。
第一,要对对方的付出加以赞美!不管是多小的,要说出来,要用温柔的眼神。
第二,可以告诉对方自己的付出,但是不要是一副“讨债”的口气。Tell him/her, I
love
you so much so that I do all these for you, spontaneously and naturally.
所谓的良性循环是建立这种positive feedback,而不是negative feedback.
b*****h
发帖数: 821
15
http://www.telegraph.co.uk/news/worldnews/europe/9572187/Couple
he-housework-are-more-likely-to-divorce-study-finds.html
In what appears to be a slap in the face for gender equality, the report fou
nd the divorce rate among couples who shared housework equally was around 50
per cent higher than among those where the woman did most of the work.
揥hat we抳e seen is that sharing equal responsibility for work in the home d
oesn抰 necessarily contribute to contentment,said Thomas Hansen, co-author
of th... 阅读全帖
G*******X
发帖数: 1101
16
我就是在传说中最佳生育年龄生的,现在也还没过30,好处还暂时没有体会到。不过
稍有遗憾是人生中再也不可能有说走就走的旅行,再也没有随心所欲的spontaneous的
任何活动,没有一个人迷失在陌生城市转角discover一些小惊喜的闲心。。。出个门,
所有注意力都在孩子身上,根本法无心享受跟观察周围。所幸体力还不错,生得容易,
恢复也快。不能想象十年之后重复怀孕生娃这一切。。。
M*****a
发帖数: 7122
17
嗯嗯,一般来说是的。可他也太spontaneous了,突然想要一套,就赖死赖活的,不知
道哪根筋断了。还威胁我这周末refuse to cook...
s*******d
发帖数: 126
18
来自主题: Investment版 - 先付清车贷,还是做投资??
I honestly cannot stand Dave Ramsey. He is good at mixing different concepts
to the extent of creating confusions and misleading interpretations in
order to achieve his no-debt-at-all-cost rational.
I am not saying that the original poster should do it one way or another,
this is more of a spontaneous comment on Dave Ramsey.
s*******d
发帖数: 126
19
来自主题: Investment版 - 先付清车贷,还是做投资??
I honestly cannot stand Dave Ramsey. He is good at mixing different concepts
to the extent of creating confusions and misleading interpretations in
order to achieve his no-debt-at-all-cost rational.
I am not saying that the original poster should do it one way or another,
this is more of a spontaneous comment on Dave Ramsey.
T**********n
发帖数: 480
20
来自主题: JobHunting版 - Tango.me扩招 (转载)
【 以下文字转载自 SanFrancisco 讨论区 】
发信人: TurnTurnTurn (逗你玩), 信区: SanFrancisco
标 题: Tango.me扩招
关键字: 招人
发信站: BBS 未名空间站 (Sun Jan 12 01:21:23 2014, 美东)
公司网址 http://www.tango.me/
简要情况,公司成立4年,位于Mountain View
注册用户1.8亿,员工160人,工程师占大半
一句话介绍产品是一个国际版的微信
目前员工和用户都在高速增长中
公司给办H1b,绿卡
招以下职位的Senior工程师,工资可以match到FLG的对应level
iOS 客户端
Android 客户端
Core Java with Hibernate/Spring 服务器(大量需求)
Hadoop/Hive/Hbase 商业智能
Puppet/Python/Linux hacker 运维偏DevOps
QA 偏服务器端
上面基本上一行对应一个opening
欢迎发简历到 t************[email protected] 内推会比recruiter快很多
想... 阅读全帖
T**********n
发帖数: 480
21
来自主题: JobHunting版 - Tango.me扩招 (转载)
【 以下文字转载自 SanFrancisco 讨论区 】
发信人: TurnTurnTurn (逗你玩), 信区: SanFrancisco
标 题: Tango.me扩招
关键字: 招人
发信站: BBS 未名空间站 (Sun Jan 12 01:21:23 2014, 美东)
公司网址 http://www.tango.me/
简要情况,公司成立4年,位于Mountain View
注册用户1.8亿,员工160人,工程师占大半
一句话介绍产品是一个国际版的微信
目前员工和用户都在高速增长中
公司给办H1b,绿卡
招以下职位的Senior工程师,工资可以match到FLG的对应level
iOS 客户端
Android 客户端
Core Java with Hibernate/Spring 服务器(大量需求)
Hadoop/Hive/Hbase 商业智能
Puppet/Python/Linux hacker 运维偏DevOps
QA 偏服务器端
上面基本上一行对应一个opening
欢迎发简历到 t************[email protected] 内推会比recruiter快很多
想... 阅读全帖
y**********u
发帖数: 6366
22
来自主题: JobHunting版 - Tango.me扩招 (转载)
水平不够的要么

spontaneous
,
release
can
that
T**********n
发帖数: 480
23
来自主题: JobMarket版 - Tango.me扩招 (转载)
【 以下文字转载自 CS 讨论区 】
发信人: TurnTurnTurn (逗你玩), 信区: CS
标 题: Tango.me扩招
关键字: 招人
发信站: BBS 未名空间站 (Sat Jan 11 02:42:41 2014, 美东)
公司网址 http://www.tango.me/
简要情况,公司成立4年,位于Mountain View
注册用户1.8亿,员工160人,工程师占大半
一句话介绍产品是一个国际版的微信
目前员工和用户都在高速增长中
招以下职位的Senior工程师
iOS 客户端
Android 客户端
Core Java with Hibernate/Spring 服务器(大量需求)
Hadoop/Hive/Hbase 商业智能
Puppet/Python/Linux hacker 运维偏DevOps
QA 偏服务器端
上面基本上一行对应一个opening
欢迎发简历到 t************[email protected] 内推会比recruiter快很多
想了解进一步信息也可以发邮件到上面的地址
多谢!以下是recruiter使用的官方介绍
Founded in... 阅读全帖
F***Q
发帖数: 6599
24
来自主题: Living版 - 你懂怎么用电线吗?

there has been many studies on spontaneous knotting, this PNAS paper was on
the news everywhere a few years ago:
http://www.pnas.org/content/104/42/16432.full
z**********u
发帖数: 23
25
来自主题: Medicine版 - A good emotional state is vital!
According to postmortem autopsy, most people have tumors. The spontaneous
mutations in our DNA can be explained by quantum physics, even when there's no
biological, physical, or chemical hazard.
A good mood is the most important thing for survival.
b****b
发帖数: 199
26
来自主题: Medicine版 - Re: 白癜风怎么治疗?
I just checked my medical book "Current Medical Diagnosis and Treatment 2001"
on that. vitiligo is a type of hypopigmentation (low-color).
"In vitiligo, pigment cells (melanocytes) are destroyed. the greater the
pigment loss, the fewer the number of melanocytes. Vitiligo, present in
approximately 1% of the population, may be associated with hyperthyroidism and
hypothyroidism, pernicious anemia, diabetes mellitus, and Addison's disease."
(p.177)
"...spontaneous return of pigment is rare in vitili
s*********e
发帖数: 77
27
来自主题: Medicine版 - Re: [转载] 得病了
no, not 富贵病. it actually includes 2 diseases, ulcerative colitis (uc) and
crohn's disease (cd). etiology is unknown. i think there are arguments on
both autoimmune-like triggers and viral etiologies.
uc is mostly bloody diarrhea. many people with uc can have spontaneous
remission, even if not, it can be cured by surgically removing the colon.
and the colon will need to be removed after 10 years of uc anyway to prevent
the development or colon cancer.
cd on the other hand is a life-time disea
y**e
发帖数: 66
28
【 以下文字转载自 MedicalCareer 讨论区 】
发信人: Phino (混在费城), 信区: MedicalCareer
标 题: 谈谈我得过的脑科/神经科怪病,另外complain一下国内的医生及得病感悟
发信站: BBS 未名空间站 (Tue Feb 19 02:48:05 2008)
看到这里好像不少来自国内的医生,就想谈一下我曾经得过的怪病,Spontaneous
intracranial hypotension syndrome, 由于到现在也没得到医生的确切诊断,所以还
是挺担心是不是会有后遗症的(虽然现在已经完全没有症状了)
发病在2年前,事前只是觉得很累,头疼,忽然在周末就头疼的不行,一坐起来或者站
起来就头疼甚至呕吐,躺下后就会好很多。到了周一联系了中日医院的神经科主任看病
,在看病过程中就头疼并呕吐,医生立即安排我入院。当时脊髓穿刺测脑压降到了20mm
汞柱(好像是这个吧,反正是不及正常水平一半)血压也讲到了50. 后来住院过程中又
进行了两次脊髓穿刺,居然没有能够测到脑脊压。 MR发现脑部有阴影。于是医生怀疑
我得了脑膜癌,但是做了骨髓穿刺,没有发现
f******I
发帖数: 769
29
来自主题: Medicine版 - 阴道B超会导致流产????

i'm not in ob, but all three spontaneous abortions were within first tri-
mester, kind of wondering if there is something else at fault such as lupus,
my ob attending said you could have intercourse throughout the pregnany so i
'm not sure if transvaginal ultrasound would be much of difference,
f******I
发帖数: 769
30

the U.S., where autopsy data is fairly complete. I don't think there is any
data in China to indicate the percentage there.
what are other causes for spontaneous parenchymal bleed in elderly not on
anticoagulant?
f********t
发帖数: 486
31
老公已经是第4次发作了。
第一次是07年1月,因为胸痛胸闷进的ER,插了胸腔管,住了大概一周的医院。那次医
生劝他手术来着,但因为是第一次发作,然后自己恢复了,当然也是对手术比较怕,所
以没做。
后来是08年3月,第二次发作,同样的症状,同侧,进ER的时候他的整个右肺都
Collapse了。那次觉得这样反复发作不是个事儿,就做了胸腔镜。术后据医生说,他们
手术中并没有找到Leakage,就把右肺顶端的一部分可疑组织切了,然后用布摩擦,使
组织结痂。当时医生说,应该不会再复发了。
可是08年9月,这个倒霉的气胸又来了。这次好像比之前两次都轻些,60-70%塌陷。
医生也说不出为什么会这样,只是说的确有人就是手术后仍然会复发。那次插了胸腔管
,没手术,自己愈合的。
这次,1月2日,第4次发作,再次进了ER。感觉和第三次差不多,我们倾向于手术了,
因为这样隔几个月就发作一次,真的很麻烦。老公右侧手臂下面已经是伤痕累累了,下
次如果再发作,胸腔管都不知道该插哪里了。我看的很心疼,也很担心。上网查了些东
西,都说气胸就是这样处理的,抽气,手术,好像也没有什么好的办法;另外也没有什
么措施可以预防
f******I
发帖数: 769
32

seems quite severe, does he have history of TB or previous recurrent lung
infections? assume he doesn't have cystic fibrosis or marfan, has a brother
with lung cancer is a bad thing, what kind of lung cancer did he have then?
if 胸腔镜 means video assited thoracic surgery, would be interesting to know
what tissue biopsy showed?
don't know where he had the surgery done, if i understand it correctly, they
used a piece of "cloth" as sclerosing agent?
would like to have more detailed information,
f********t
发帖数: 486
33
谢谢恢复!
他TB+,但没有过肺部感染的历史,之前X光,CT Scan也都是没有问题。cystic
fibrosis or marfan,我不太懂,这个X光或CT看的出么?他哥哥具体是哪型我不太知
道,现在这个时候也不敢问,怕老公会担心和难过。我记得那时发现的时候已经是3-4
期,Golf球那么大的肿块,确诊后半年就过世了。我说的胸腔镜是VAT,上次手术后说
没看到可以组织,也做了病理化验,都正常。是不是所有的手术切下来的组织都会做病
理检查?感觉这里的医生就是进来告诉一声,手术完了,别的都不肯多说。对了,是在
Mass General Hospital做的。他们没做胸腔粘合,只是用“布”摩擦了肺部表面,使
之Scar。
我现在担心的是,他这样反复的发作,甚至在做了手术之后还会复发,是不是有别的问
题。但那天在ER,感觉医生们看了他前几次发作的记录,就照了个X光,看到有肺部
Collapse,就说是SP,然后上Chest Tube,接着就住院等手术,别的都不管了。我想找
医生谈谈,可是这些天都没见到他上次手术的主治医生,就是一个Assitant过来看看。
对了,上次那个医生也没露面,就
f********t
发帖数: 486
34
非常感谢您的回复。我先生不算高,但很瘦,非常Active,医生也说过他的样子比较象
容易发生SP的。
上一次手术,我不记得是医生没有看到Blebs,还是没有发现Leakage (CT Scan and
VAT),总之据说是切掉了肺部尖端的一部分组织。他的手术现在安排在明天,我会问问
清楚他们会用什么样的Strategey。
L*****o
发帖数: 499
35
来自主题: Medicine版 - 求救!我会聋掉吗??
看前两个图,感觉像耳膜穿孔,或者是耳硬化(otosclerosis)。特别是左耳。这两种
情况的pure tone图通常都是在2000赫兹那里重合的。
引用我的教材的几句话:
1. 耳膜穿孔:
In general, if a perforation causes a hearing loss, it will be a mild,
conductive hearing loss (正好是你的情况)。
Regardless of type, most perforation heal spontaneously. Those that do not
are usually too large or are sustained by recurrent infection (你说你有中耳
炎史,所以可能与这个有关). In such cases, surgery may be necessary.
2. 耳硬化:
Otosclerosis is a disorder of bone growth that affects the stapes and the
bony labyrinth
g***r
发帖数: 285
36
in general, if the patient is only 4 yrs old, the chance of significant
bleeding is very low, about 1/3 of peds pts with ITP will turn into chronic
ITP but generally don't have any significant bleeding episode and often will
resolve spontaneously,
there is really no consensus guideline, but mainly being supportive, like
restrict contact sports, avoid antiplatelet medicines such as aspirin,
if there is servere bleeding, then can consider platelet transfusion,
steroid, IVIG, or anti Rho Ig, these
g***r
发帖数: 285
37
来自主题: Medicine版 - 发烧了,38.2度

probably rhinosinusitis, can be either viral or bacterial, it is virtually
impossible to distinguish viral from bacterial within the first 7 to 10 days
, since both can resolve spontaneously,
i would recommend mechanical irrigation, you can get from walgreen this
packets that has salt and bicarb, disolve in water and rinse with bulb
syringe; you can take tylenol/motrin for fever and pain; can also get
mucinex to thin the secretions,
if your symptoms gets better then gets worse, it's probably vi
g***r
发帖数: 285
38

05
just read your initial post again, just some curious points,
1. i looked it up and 基底节区 it basal ganglia, assume she had significant
spontaneous intracranial bleed due to poorly controlled hypertension and the
bleed extended into ventricules, so she had ventriculostomy to relieve the
intracranial pressure, is that right? this would be much different than
subarachnoid bleed that needs to look for any aneurysms or vasculitis and
such,
2. since she was diagnosed with diabetes, how often do they
c********e
发帖数: 496
39
most intracranial hemorrhages resulted from trauma is subdural hemorrhage,
but this one is subarachanoid hemorrhage.
brain death is defined as irreversible end of all brain activity.
it is important to distinguish between brain death and coma. Some comatose
patients can recover, and some patients with severe irreversible
neurological dysfunction will nonetheless retain some lower brain functions
such as spontaneous respiration.
g*****j
发帖数: 1211
40
来自主题: Medicine版 - 得了阑尾炎
That is a bad decision in my opinion.
Acute appendicitis is a surgical emergency and should always be treated
properly. It is not because appendicitis cannot self-resolve. Yes, it can
resolve spontaneously. But you are risking perforating your appendix, and
developing into a much more complicated situation, leading to peritonitis,
abscess, adhesion or even death. Surgery will be much more complicated if
it perforates. Acute appendicitis has a death rate of 0.2-0.8%, not because
of surgical ... 阅读全帖
g*****j
发帖数: 1211
41
来自主题: Medicine版 - 跪求帮助:妈妈得了紫癜
Not all purpura is ITP. However, ITP tend to recur. I don't know what
information you found. But I would recommend reading these links:
http://emedicine.medscape.com/article/779545-overview
In terms of 能治好吗?
Here is cited from the above link:
Adults
Only 2% of adults have a spontaneous recovery; however, approximately 64%
of adults eventually recover. Approximately 30% of patients have chronic
disease, and 5% of patients die from hemorrhage.
You can also read:
http://www.webmd.com/cancer/tc/... 阅读全帖
g*****j
发帖数: 1211
42
Well, apparently you had the right work up. The original ECG should
inferior ischemia (an obstruction of blood flow) at one point. It is
important to exam the coronary artery direct, which you did through CT
angiogram. The question is why you had the ischemia in the first place.
There could be many explanations, such as vasospasm, a transient stenosis
which luckily resolved spontaneously or many others including panic attack (
unlikely though to an extent of ECG changes). It will be difficu... 阅读全帖
W***M
发帖数: 50
43
来自主题: Medicine版 - 请教血液病专家
ITP can be acute and chronic. A lot of cases is just one or a few episodes,
however, some patient will become chronic ITP. During the acute phase,
prednisone usually works. It can also be treated by WinRho is the patient's
blood type is Rh+. If it become chronic, it depends on how low the platelet
count is. If it is usually above 20K, no specific treatment needed because
the risk of spontaneously bleeding is low. It is dip down less than 10K, can
do steroids pulse again. A new class of drug was ... 阅读全帖
j*******y
发帖数: 24
44
我也是深受美国庸医牙医其害的victim, 根据我的惨痛经历,给LZ和版上所有类似经历
的一点建议:
1.你描述现在的情况是吃东西才痛,那么你再试试喝点冰水,如果也很痛的话,那么
你就应该马上找一位endodontist帮你做检查,是否需要做Root canal treatment(RCT)
. 如果需要做的话,最好尽快做,不要等到目前的pressure pain恶化成spontaneous
throbbing pain, 到那时你不光牙痛,还会半边头痛,无法平躺,不能入睡。
2. 如果真要做的话,RCT+CROWN一起是必须的,因为RCT做了以后,endodontist只会
给你在伤口上面放很少的一点temporary filling, 如果不在1-2个月内加crown,一旦
filling脱落,你又得返回做RCT.
3. 你的case找律师上法庭没用,不仅赢的可能性很低,你还得付$1500-$2000去找
third party牙医帮你出证明,那个黑人女牙医的negligence, deviated from the
standard of care. 如果拿不到这个证... 阅读全帖
l*h
发帖数: 4124
45
this is too little information. basically she needs a spontaneous hemorrhage
workup before any judgment can be done.
v**5
发帖数: 745
46
So far these are what I got, I would update it after I get more
test results. And would you pls explain what is a spontaneous hemorrhage
workup? Thank you!

hemorrhage
l*h
发帖数: 4124
47
for drowning, at very early stage:
1. maintain airway open, mechanical ventilation if necessary
2. maintain stable cardiac rhythm and blood pressure
3. maintain proper amount of fluid for kidney functions
the following is very rarely done in China, but very very important for the
brain:
4. if consciousness is not restored immediately after cardiac resuscitation,
manitol, diuretics and dexamethasone should be given, intracranical
pressure should be monitored, if ICP is elevated, emergency decompr... 阅读全帖
l*h
发帖数: 4124
48
来自主题: Medicine版 - 脑水肿 help
i already commented on this.
but, absence of spontaneous respiratory rhythm should NOT be the reason that
surgery cannot be done. however, if the surgeon refuses to do it, no one
outside can help.
l*h
发帖数: 4124
49
i do NOT agree that her disease is mild. the sonography report contains
findings that pulmonary artery pressure might be seriously off mark.
unfortunate for patients, many famous Chinese heart "experts"' understanding
of disease mechanism and hemodynamics is much worse than that of mine, and
i am not a heart specialist. if she was seen by a famous "expert" at Fuwai,
she'd better go to another hospital. there was a similar patient that i
reviewed the medical summary and found the pulmonary artery... 阅读全帖
l*h
发帖数: 4124
50
来自主题: Medicine版 - 婶婶肺癌Gefitinib产生抗药求意见
good to hear.
one big thing of EGFR inhibitors is the high rate of ILD-like response in
Chinese/Japanese/Koreans patients, which has a high fatality rate. afatinib
showed roughly the same rate of ILD-like response in east Asian patients as
that of erlotinib/gefitinib. so if she develops new breathing problems, don'
t spontaneously assume it's the cancer getting worse. a simple plain chest X
-ray can detect ILD-like response if read carefully.
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