Windy night. A little cold. But it feels good. ,bailey UGG boots
I went to the XH. How long has it went. Really long time.
White sweater. Kutch trousers. Brown wool cap. Black scarf . simple cotton boots. headset. black shoulder bag.
you have not seen her. a woman walking alone.
he said. Your endless journey.
the ground covered with leaves. in the foot doodle circles.
air palm leaves fall. and then fall. settled.
street cafes. filled with the thick smell of Christmas. all the romance is not outrageous.
sudden miss .
a December. see a lot of people are said to leave in the winter.
Perhaps we have forgotten. This is a never-ending journey.
I said. I was so sober. I do not want to leave.
Christmas. twenty days after the beautiful moment. I would expect as in previous years.
Christmas this year. lost her lead. lost her love. still is good. did not you.
as long as my hand is still there. there is warm.
the afternoon accompanied her to the full to eat dessert in mind. is like. very warm.
Mom to note body. Do not be too tired. I can not accompany you every day.
BLOG originally going to change the background music. but I changed back the song. because it is like.
you. Good night.
Tuesday, November 9, 2010
Monday, November 8, 2010
Emperor's New Clothes
How old a story,UGG boots cheap, then we will mock the silly self-deception that the Emperor laughed, we continue to grow, but seem to have forgotten that ridiculous story, but now I can understand how many silly cute emperor who had , Like father everyone would be living the good things blind eyes can not see the front, only to see that it looks gorgeous from the outside world that is not affected by the impact its own way of people, I think I can do it, I think it is worth how many times I will not give up, someone told myself how stupid you are, I just laugh it off many times, to come out to see what their doing in the end, they find themselves completely to their imprisonment always thought the world things will be there forever, but when they saw a meteor across the sky from the moment finally came to understand that all the so-called permanent are temporary, not a minister may be the same people that will never admit that he is wrong, even in the eyes of all you have is wrong,UGG shoes, but why do they want to cover up their mistake after another might be, perhaps in order not to lose,UGG boots clearance, why do not blind people to be hypocritical,UGG bailey button, no self-deception and its yourself wearing the
Friday, November 5, 2010
July and Anson
Anson first met in July, when the time was thirteen years old.
New to report at the meeting, a lot of lining up the unfamiliar classmates. Is a hot autumn afternoon, the sun shone bright, people's eyes grow dim . Suddenly a girl turned to the July, we went to the playground around it. girl smile happy. July inexplicably ran to follow her.
much later, in July of the family confessed, she and her between quiet, she was a chosen result. but she was willing.
Although this willingly, and she can not explain more.
My name is July. When asked her Anson When, in July said to her, that she was born in June. very hot summer of that year. For the mother, the heat and giving birth was a disaster. But in July she took a plain name.
Like many things in the world. People do not approach the idea from its silence on the speculation to the undercurrents. For example, a person meets another person. or their departure.
and quiet, she said she only just proved to his own life. her hands spread out in July, with her fingertips under the simple strokes painted his face with self-deprecating smile. It was their first meet of the scene. autumn afternoon sun in the quiet of the jump on the back of the hand. like a bunch of lively birds vibrating wings and fly away.
time she was not told in July that she was not the father of the child. her mother because the love of a man, gave birth to a child, but destined for his secretive life. July did not tell Anson, Anson's name at that moment in her palm imprint left behind no trace.
as quiet in the summer as a season full of illusion and confusion. < br> thirteen to sixteen. It was July and quiet go hand in hand for three years.
July is the quiet shadow sometimes. Sometimes the quiet shadow of July. with the homework. run to the store to see underwear. Anson to July weekend dinner, overnight.
go on the road to be hand in hand.
July for the first time to play when the house of Anson, Anson was felt lonely.
quiet a large apartment to live alone. her mother outside year round. hired a nanny and quiet life together. quiet room decorated like a princess in the palace, a full wardrobe of beautiful clothes. but because No one, appeared to be very cold.
July for a ride to feel the body trembling. Anson to air conditioning and all the lights are turned on. She said she often when a person on it. then she brought to the July see her mother raised a tank of tropical fish. Anson lost feed going down, a beautiful fish like a gorgeous silk in the jitter article.
Anson said, where the water is warm. But some fish, they will become group to cross the cold ocean, migrate to the vast distance. because there is their home.
quiet time in the face with a very gloomy look.
in school, Anson is a headache for teachers of children . words sharp and defiant, often because teachers dress down and be expelled from the classroom. juvenile quiet sitting alone on the open space outside the classroom. stubborn sun shines on her face. July secretly withdrawn from the bag and the novel plum, throw out the window of the quiet. and then she knew her nest Anson would go read a book.
it was in the school that afternoon they went to the playground to find the tree. very old camphor trees, the leaves will emitting a pungent fragrance.
quiet kicked off your shoes, take a few minutes you can climb the highest tree branches. She like a bird hiding in the bushes. shaking the two naked legs, overlooking the playground grass in the empty and remote. July asked what she could see. She said the green of the river, there is a field full of yellow daisies, and a stone bridge. a very, very long rails, do not know where it goes .
Then she reached for her, cried loudly, July, ah. July looked up, twisted with his fingers, and excitement and fear. but she never learned to climb a tree with Anson.
Finally one day, they decided to take a look at that railway. They come so far for a long time. until dusk blurred, there is no inside pocket to the patch of the field. halfway suddenly began to rain. two girls fled into the street thatched house broken. July, we still go home. Anson said, I am sure go a little farther to go. I have vowed to go to see this every day on the railway walk. Then rain , the two girls with an umbrella propped gallop to the front. skirts and shoes are wet. finally saw the long tracks. in the evening and spread to the vast rain and fog in the distance. and the field already faded daisy .
Anson's hair and face are the rain. she said, in July, one day I will get rid of all the constraints to further afield.
July bowed his head a little sad she said. , then I do. Anson said,Discount UGG boots, you go with me.
she seems to do a good job going back for July.
junior high school, 16 years old. July admitted to the city the focus of the best school.
Anson on the vocational high school, learning advertising design.
July to become outstanding school girl. good grades, has always been gentle temper, and very beautiful. She took part in the school literary society. Although the writing is often in the game award-winning, really well written, but she knows people are quiet. they had borrowed large set of large sets of foreign novels to read, the most favorite author is Ernest Hemingway. just not bother to participate in these activities has always been quiet.
and her total composition is the decadence of the teacher comments as unhealthy.
activities not accompanied Anson, July seemed a little lonely. The first meeting of the Literary Society, from July to early. meeting of the classroom are the sun and the sweet-scented osmanthus fragrance, there are a boy writing on the chalkboard. July opened the door and said, I. and then the boy turned around, he said, in July, came in a meeting. His smile was gentle.
New to report at the meeting, a lot of lining up the unfamiliar classmates. Is a hot autumn afternoon, the sun shone bright, people's eyes grow dim . Suddenly a girl turned to the July, we went to the playground around it. girl smile happy. July inexplicably ran to follow her.
much later, in July of the family confessed, she and her between quiet, she was a chosen result. but she was willing.
Although this willingly, and she can not explain more.
My name is July. When asked her Anson When, in July said to her, that she was born in June. very hot summer of that year. For the mother, the heat and giving birth was a disaster. But in July she took a plain name.
Like many things in the world. People do not approach the idea from its silence on the speculation to the undercurrents. For example, a person meets another person. or their departure.
and quiet, she said she only just proved to his own life. her hands spread out in July, with her fingertips under the simple strokes painted his face with self-deprecating smile. It was their first meet of the scene. autumn afternoon sun in the quiet of the jump on the back of the hand. like a bunch of lively birds vibrating wings and fly away.
time she was not told in July that she was not the father of the child. her mother because the love of a man, gave birth to a child, but destined for his secretive life. July did not tell Anson, Anson's name at that moment in her palm imprint left behind no trace.
as quiet in the summer as a season full of illusion and confusion. < br> thirteen to sixteen. It was July and quiet go hand in hand for three years.
July is the quiet shadow sometimes. Sometimes the quiet shadow of July. with the homework. run to the store to see underwear. Anson to July weekend dinner, overnight.
go on the road to be hand in hand.
July for the first time to play when the house of Anson, Anson was felt lonely.
quiet a large apartment to live alone. her mother outside year round. hired a nanny and quiet life together. quiet room decorated like a princess in the palace, a full wardrobe of beautiful clothes. but because No one, appeared to be very cold.
July for a ride to feel the body trembling. Anson to air conditioning and all the lights are turned on. She said she often when a person on it. then she brought to the July see her mother raised a tank of tropical fish. Anson lost feed going down, a beautiful fish like a gorgeous silk in the jitter article.
Anson said, where the water is warm. But some fish, they will become group to cross the cold ocean, migrate to the vast distance. because there is their home.
quiet time in the face with a very gloomy look.
in school, Anson is a headache for teachers of children . words sharp and defiant, often because teachers dress down and be expelled from the classroom. juvenile quiet sitting alone on the open space outside the classroom. stubborn sun shines on her face. July secretly withdrawn from the bag and the novel plum, throw out the window of the quiet. and then she knew her nest Anson would go read a book.
it was in the school that afternoon they went to the playground to find the tree. very old camphor trees, the leaves will emitting a pungent fragrance.
quiet kicked off your shoes, take a few minutes you can climb the highest tree branches. She like a bird hiding in the bushes. shaking the two naked legs, overlooking the playground grass in the empty and remote. July asked what she could see. She said the green of the river, there is a field full of yellow daisies, and a stone bridge. a very, very long rails, do not know where it goes .
Then she reached for her, cried loudly, July, ah. July looked up, twisted with his fingers, and excitement and fear. but she never learned to climb a tree with Anson.
Finally one day, they decided to take a look at that railway. They come so far for a long time. until dusk blurred, there is no inside pocket to the patch of the field. halfway suddenly began to rain. two girls fled into the street thatched house broken. July, we still go home. Anson said, I am sure go a little farther to go. I have vowed to go to see this every day on the railway walk. Then rain , the two girls with an umbrella propped gallop to the front. skirts and shoes are wet. finally saw the long tracks. in the evening and spread to the vast rain and fog in the distance. and the field already faded daisy .
Anson's hair and face are the rain. she said, in July, one day I will get rid of all the constraints to further afield.
July bowed his head a little sad she said. , then I do. Anson said,Discount UGG boots, you go with me.
she seems to do a good job going back for July.
junior high school, 16 years old. July admitted to the city the focus of the best school.
Anson on the vocational high school, learning advertising design.
July to become outstanding school girl. good grades, has always been gentle temper, and very beautiful. She took part in the school literary society. Although the writing is often in the game award-winning, really well written, but she knows people are quiet. they had borrowed large set of large sets of foreign novels to read, the most favorite author is Ernest Hemingway. just not bother to participate in these activities has always been quiet.
and her total composition is the decadence of the teacher comments as unhealthy.
activities not accompanied Anson, July seemed a little lonely. The first meeting of the Literary Society, from July to early. meeting of the classroom are the sun and the sweet-scented osmanthus fragrance, there are a boy writing on the chalkboard. July opened the door and said, I. and then the boy turned around, he said, in July, came in a meeting. His smile was gentle.
Thursday, November 4, 2010
Simatai Great Wall of the statue in the Ninth Five-Year
Two of the Ninth of the statue before the grievances of the Forbidden City and the Temple of Heaven is, this is a wall Canqiang sigh.
Deserved.
I mean the Great Wall.
Chinese people often like to explore the family tree or origins , ancestors, or ancient ancestors, the predecessor of the predecessor before or after several variations to find the origin of the end of the flash.
Therefore, the order of the Chinese nation for the first time as the base foundation of the Qin Shi Huang, the famous Great Wall, the natural contamination of the nine Five habits of respect. Chin, domination of the territory's people and culture dominate the world, co-emperor Ying Zheng to be forged between the two of respect Ninth template, Ying Zheng has also trimmed the existence of each country section of the Great Wall to want to .
regime change in China was that this point of history or even a foreigner can Chuitiaolaosou blurted out.
how many people was to dominate the world, then get the number of so-called fate that the Ninth Five-Year Throne, are actors, such as transitions, play strike step down. but the only remaining props that the Great Wall, also.
Therefore, compared to the rise in the Yuan, Ming and the Forbidden City and Temple of Heaven, which block wall ninety-five more worthy of respect, but respect the strength of character of this ninety-five a bit too long.
long wall that blocked the final scene is played against the Ming and Qing dynasties, is also a continuation of the Great Wall last breath the years.
repair of the Ming Dynasty Great Wall to fend off the strong forces among themselves for this dynasty end, but at least people are still into this channel and accounted for within the walls of its seat. So, at least most do not believe this can Jiangshan Yong solid block walls. But we have to thank the Ming Dynasty, the first people, whether because of passive or and renovation of the Great Wall reluctantly, after all, they are the whole Chinese nation, the Great Wall makeup last time that the Great Wall today, I can see a certain old wall of the residual pattern.
that certain Simatai Great Wall is the wall.
the timing and equipment problems can only select a short walk east Simatai,UGG shoes, another reason is not the first time I saw the Badaling Great Wall we can see them embedded in the walls of neon lights and even the iron fence.
subway ride out 980 trolley bus lines and then subcontract it to Simatai, spent a morning drive time. Simatai feet, saw the wall on the wall of the ridge, the dorsal fin is almost the mountain, the mountain may not seem too ambitious .
backpack backpack climb the Great Wall climbing Huangshan obviously stupid than more than 3 hours because the east and from a can.
Yuanyang Lake's Shuibao Zhixie down,Bailey UGG boots, said two parts of hot and cold water, in the foothills will bear such a body of water to wash it always cracked slaughter. Yuanyang Lake first in the top of the tower, the tower with the other side of the West confrontation. aisles of bricks had already lost their edges and corners, stairs still intact, along the wall also considered generous.
afraid of barren mountain in late autumn, look at this wall is too sad, to the 5th floor board when the mountain is covered with emerald mantle back. Jinshanling Great Wall across the thin, wrapped in the shades of Green Mountain disc on. Each floor space is different, but every climb on the first floor, looking back, not the same fineness.
mountains.
description of the Great Wall which is the only scene of words to explain. there blew Tao water, are bound to have blew mountain. and the South Gushan Xiufeng different mountains beyond the Great Wall back panel cross each other. Although there is no obscenity individual carry out a beauty, look around the entire disk surface when the momentum almost equal to the door. come here, to Now, before we know what is the mountains.
Zhang pleased to say that the essence of the Jinshanling Great Wall is the capital city, but unfortunately this can not continue to pass through, it will have a reason to get the next sigh.
no culture Diaogu the How sad, but fortunately I just spectators.
many places had fallen off the wall, only the main frame, the direction of the city not the same brick columns, in addition to most of the steps, but there is a certain segment level puzzle, they said the number of species Fort House, how many kinds of Embrasure, it is probably not just for decoration so simple, but the war has been abandoned ancient centuries, textbooks can not be detailed explanation, just from the tour guide's interpretation of the tongue in that rare.
tour guide was more local residents, visitors of nations to attract middle-aged women, with non-standard but very fluent in English words, a single individual to give them the broad side to side this Canqiang, broken sentences like broken walls, strings of this great country can not afford the long feudal history, or even can not generalize the wholeness of the family tree repair the wall. So, these foreigners here in Canqiang left with incomplete anecdotes, leaving a few notes, and history has nothing to do.
and In particular hobby shy people are willing to whitewash, so that the truth or the original uncertainty structure is more ambiguous. not to mention Lady Meng Jiang crying after the Great Wall is not passed on to the political unrest toward the interpretation of the story, even the recent also cut a prelude to building the Great Wall. probably shy outsider spontaneously think of the Great Wall built snow under their feet bones base scene, is the creation of civilization, ancient civilizations, but not necessarily be civilization that there is no contradiction between the human animal kingdom. with NBC Introduction to comment this country in the first ten centuries mankind has created the GDP first nine centuries, what is there to hide.
position has always been something the politicians, as a tourist only interested in landscape, led the way a little history of molars.
board to the 13th floor when it was stopped in front until the 16th floor of the Wangjing building, are prohibited from climbing. because the ladder is too advantageous and steep, have also had many visitors Zhuiya forget. At this point, missed Wangjing floor,bailey UGG boots, Wangjing.
eastern Simatai Jinshanling Great Wall is only a small part of Gubeikou, such as the outside of the capital to enjoy the city wall of temperament, even from the three sections have to walk. Unfortunately, the Dragon Boat Festival Platinum Star did not participate in camp only to go off-road activities, looking forward to the next.
travel experience:
1, everyone says that the suburbs of Beijing's Badaling Great Wall, Great Wall, 箭扣 Great Wall, Wall, Gold mountains and the Great Wall, Simatai Great Wall by Great Wall and Simatai Jinshanling Great Wall is the most essence. As for the walking sina online everywhere, have the time might have to look at, but the timing to Jinshanling and Simatai, then go to Look for the good.
2, the best route is to start across from Gubeikou until Simatai Wangjing floor, so do not go back, but needs a longer time, about 2 days to three days or one day forced march, Comparison of fatigue. If you have camping or participate in teams to prepare more suitable. not equipped with it, to better separate the three sections, Gubeikou to Jinshanling, from Jinshanling to Simatai.
3, on the route, 980 long-distance bus preferably,UGG boots clearance, directly to Simatai. and then a few people rented car to the foot of Simatai, about 120 dollars (we are talking about the price), time 30 minutes. goes down, there are many local taxi, if the weather was too late , you can car rentals to Gubeikou, about 50 bucks, overnight farm. farmhouse accommodation fee per person plus 30 restaurants, including the supper meal of breakfast meal to sleep. Gubeikou around the next day to play, and then ride back to Beijing. Gubeikou train station in the village behind, I feel good, but do not recommend taking the train back to Beijing. We take the train from 9 am until 3 pm only to train in the valley to Sahuan the A wandering waste of time to play one day, and 1 hour to reach by car.
4, on the equipment. Of course, if not camping, I do not recommend to bring anything. I've seen a lot of the little girl a sexy short dresses on the Great Wall. If the car, then put everything in the car, put the camera or video camera on it. Also, a tripod is best not to take, checked out to buckle on the outside.
5, on the fare evasion. ha ha, catch the early or late can catch fare evasion, as long as the staff did not work very smoothly go in, said that many foreigners are so dry. but personal recommendation is not necessary to fare evasion, a total of 40 dollars (not more than 300 Huangshan , Wuzhen 100), there is no need for morning and afternoon, and not conducive to play, runs the risk.
Deserved.
I mean the Great Wall.
Chinese people often like to explore the family tree or origins , ancestors, or ancient ancestors, the predecessor of the predecessor before or after several variations to find the origin of the end of the flash.
Therefore, the order of the Chinese nation for the first time as the base foundation of the Qin Shi Huang, the famous Great Wall, the natural contamination of the nine Five habits of respect. Chin, domination of the territory's people and culture dominate the world, co-emperor Ying Zheng to be forged between the two of respect Ninth template, Ying Zheng has also trimmed the existence of each country section of the Great Wall to want to .
regime change in China was that this point of history or even a foreigner can Chuitiaolaosou blurted out.
how many people was to dominate the world, then get the number of so-called fate that the Ninth Five-Year Throne, are actors, such as transitions, play strike step down. but the only remaining props that the Great Wall, also.
Therefore, compared to the rise in the Yuan, Ming and the Forbidden City and Temple of Heaven, which block wall ninety-five more worthy of respect, but respect the strength of character of this ninety-five a bit too long.
long wall that blocked the final scene is played against the Ming and Qing dynasties, is also a continuation of the Great Wall last breath the years.
repair of the Ming Dynasty Great Wall to fend off the strong forces among themselves for this dynasty end, but at least people are still into this channel and accounted for within the walls of its seat. So, at least most do not believe this can Jiangshan Yong solid block walls. But we have to thank the Ming Dynasty, the first people, whether because of passive or and renovation of the Great Wall reluctantly, after all, they are the whole Chinese nation, the Great Wall makeup last time that the Great Wall today, I can see a certain old wall of the residual pattern.
that certain Simatai Great Wall is the wall.
the timing and equipment problems can only select a short walk east Simatai,UGG shoes, another reason is not the first time I saw the Badaling Great Wall we can see them embedded in the walls of neon lights and even the iron fence.
subway ride out 980 trolley bus lines and then subcontract it to Simatai, spent a morning drive time. Simatai feet, saw the wall on the wall of the ridge, the dorsal fin is almost the mountain, the mountain may not seem too ambitious .
backpack backpack climb the Great Wall climbing Huangshan obviously stupid than more than 3 hours because the east and from a can.
Yuanyang Lake's Shuibao Zhixie down,Bailey UGG boots, said two parts of hot and cold water, in the foothills will bear such a body of water to wash it always cracked slaughter. Yuanyang Lake first in the top of the tower, the tower with the other side of the West confrontation. aisles of bricks had already lost their edges and corners, stairs still intact, along the wall also considered generous.
afraid of barren mountain in late autumn, look at this wall is too sad, to the 5th floor board when the mountain is covered with emerald mantle back. Jinshanling Great Wall across the thin, wrapped in the shades of Green Mountain disc on. Each floor space is different, but every climb on the first floor, looking back, not the same fineness.
mountains.
description of the Great Wall which is the only scene of words to explain. there blew Tao water, are bound to have blew mountain. and the South Gushan Xiufeng different mountains beyond the Great Wall back panel cross each other. Although there is no obscenity individual carry out a beauty, look around the entire disk surface when the momentum almost equal to the door. come here, to Now, before we know what is the mountains.
Zhang pleased to say that the essence of the Jinshanling Great Wall is the capital city, but unfortunately this can not continue to pass through, it will have a reason to get the next sigh.
no culture Diaogu the How sad, but fortunately I just spectators.
many places had fallen off the wall, only the main frame, the direction of the city not the same brick columns, in addition to most of the steps, but there is a certain segment level puzzle, they said the number of species Fort House, how many kinds of Embrasure, it is probably not just for decoration so simple, but the war has been abandoned ancient centuries, textbooks can not be detailed explanation, just from the tour guide's interpretation of the tongue in that rare.
tour guide was more local residents, visitors of nations to attract middle-aged women, with non-standard but very fluent in English words, a single individual to give them the broad side to side this Canqiang, broken sentences like broken walls, strings of this great country can not afford the long feudal history, or even can not generalize the wholeness of the family tree repair the wall. So, these foreigners here in Canqiang left with incomplete anecdotes, leaving a few notes, and history has nothing to do.
and In particular hobby shy people are willing to whitewash, so that the truth or the original uncertainty structure is more ambiguous. not to mention Lady Meng Jiang crying after the Great Wall is not passed on to the political unrest toward the interpretation of the story, even the recent also cut a prelude to building the Great Wall. probably shy outsider spontaneously think of the Great Wall built snow under their feet bones base scene, is the creation of civilization, ancient civilizations, but not necessarily be civilization that there is no contradiction between the human animal kingdom. with NBC Introduction to comment this country in the first ten centuries mankind has created the GDP first nine centuries, what is there to hide.
position has always been something the politicians, as a tourist only interested in landscape, led the way a little history of molars.
board to the 13th floor when it was stopped in front until the 16th floor of the Wangjing building, are prohibited from climbing. because the ladder is too advantageous and steep, have also had many visitors Zhuiya forget. At this point, missed Wangjing floor,bailey UGG boots, Wangjing.
eastern Simatai Jinshanling Great Wall is only a small part of Gubeikou, such as the outside of the capital to enjoy the city wall of temperament, even from the three sections have to walk. Unfortunately, the Dragon Boat Festival Platinum Star did not participate in camp only to go off-road activities, looking forward to the next.
travel experience:
1, everyone says that the suburbs of Beijing's Badaling Great Wall, Great Wall, 箭扣 Great Wall, Wall, Gold mountains and the Great Wall, Simatai Great Wall by Great Wall and Simatai Jinshanling Great Wall is the most essence. As for the walking sina online everywhere, have the time might have to look at, but the timing to Jinshanling and Simatai, then go to Look for the good.
2, the best route is to start across from Gubeikou until Simatai Wangjing floor, so do not go back, but needs a longer time, about 2 days to three days or one day forced march, Comparison of fatigue. If you have camping or participate in teams to prepare more suitable. not equipped with it, to better separate the three sections, Gubeikou to Jinshanling, from Jinshanling to Simatai.
3, on the route, 980 long-distance bus preferably,UGG boots clearance, directly to Simatai. and then a few people rented car to the foot of Simatai, about 120 dollars (we are talking about the price), time 30 minutes. goes down, there are many local taxi, if the weather was too late , you can car rentals to Gubeikou, about 50 bucks, overnight farm. farmhouse accommodation fee per person plus 30 restaurants, including the supper meal of breakfast meal to sleep. Gubeikou around the next day to play, and then ride back to Beijing. Gubeikou train station in the village behind, I feel good, but do not recommend taking the train back to Beijing. We take the train from 9 am until 3 pm only to train in the valley to Sahuan the A wandering waste of time to play one day, and 1 hour to reach by car.
4, on the equipment. Of course, if not camping, I do not recommend to bring anything. I've seen a lot of the little girl a sexy short dresses on the Great Wall. If the car, then put everything in the car, put the camera or video camera on it. Also, a tripod is best not to take, checked out to buckle on the outside.
5, on the fare evasion. ha ha, catch the early or late can catch fare evasion, as long as the staff did not work very smoothly go in, said that many foreigners are so dry. but personal recommendation is not necessary to fare evasion, a total of 40 dollars (not more than 300 Huangshan , Wuzhen 100), there is no need for morning and afternoon, and not conducive to play, runs the risk.
Wednesday, November 3, 2010
Fujia the romantic past
Is a weekend, nothing else.
Grass said to him: we meet it.
He smiled and answered: Well, you said where?
Grass Yanzhuyizhuan: Take me to the five Wan Dou Yiquan!
So, two on the road!
the ring, into the Badaling Expressway, plug rings.
weather is not very good, as in Beijing, a large spring, the vast dust clouds on both sides of the scenery looked dirty and old. But this does not affect the mood of grass, green grass is like the feeling of sitting on Fujia - and his sense of the road.
habitual, green grass out left hand, rubbing his thumb and index finger of the right ear, soft, like a green mood. his side about face, fingertips gently kiss the grass. earlobe does not play, he would use the right hand left to live green, green grass of the wrist, thumb in the plan to plan to go, the itch. two people to the East a West a gossip, make fun of a strong arm, he reached out Lan Guo thick green grass, a holding force to the chest, homeopathy in the forehead kiss the grass. students the kind of coach is peace of mind. then a few people share a car, the driving school on the day of consumption can not get a half hour drive, but the grass learn very well. exam crash course the last time Lianju , turn green, the coach said, how you love how to open to open it. Thus, the grass on a downhill with a bend, do not accept the oil does not slow down,UGG boots clearance, a round down the hill, the car tracks and smooth. car one exclaimed, coaches thundered: This examination must not!
road test day, skillfully coherent, stretch into Kazakhstan. car completely stopped, the examiner's attention on the forms in the hands of the photos and a few green faces wavering times, suddenly asked: What is today the day? grass hesitated, and instantly react to the examiner with a blossoming smile: It was my birthday, very clever Oh, you gave me a special gift. I thought, does he think grass is to represent the exam?
grass so easy to get a driver's license. But now the grass is a car race, because the grass has been sitting watching the scenery Fujia addiction.
Beijing in the spring, the wind will have a more clear and transparent after the good weather. grass off work at five o'clock, from east to west line to the ring on. blue sky, such as washing, far Western Hills faintly visible, when the sun is golden and the natured, infected with a layer of gold to the reach of the scene. open the window, wind blowing in his face like a lot of water to wash cotton underwear, personal and comfortable. the air was filled with the smell of new leaves, the music flows, slide out of the window. this time to enjoy the green grass of a relaxed focus, hand on his palm, still feeling the first heart.
the first time, that day is a day of spring, green grass, and he also each stage of exploration in the heart, the grass still do not understand him, not his own heart to him. Meet with dinner, after dinner he sent home the green grass, green grass sitting on Fujia. car started, he naturally stretched out his right hand, left hand grip in the palm of grass. at the moment the green grass, while smiling, to hear him laughing, his face calmly looked out the window views, but not stop the heartbeat, all the senses are concentrated in what has been Hold hands. grass cold fingers of his hands quickly to pass the warmth assimilation of the invasion from the fingertips to warm the body. the car to turn around, and thought to be from the warm grass, but he only used a hand car turn so successful, the hand holding the green, still tender. Along the way, so be on the hands of grass he had been holding. green hope this road never get head.
since , grass see, how willing to sit with him on Fujia see scenery en route to his hand on his palm. for life, life after life.
Grass said to him: we meet it.
He smiled and answered: Well, you said where?
Grass Yanzhuyizhuan: Take me to the five Wan Dou Yiquan!
So, two on the road!
the ring, into the Badaling Expressway, plug rings.
weather is not very good, as in Beijing, a large spring, the vast dust clouds on both sides of the scenery looked dirty and old. But this does not affect the mood of grass, green grass is like the feeling of sitting on Fujia - and his sense of the road.
habitual, green grass out left hand, rubbing his thumb and index finger of the right ear, soft, like a green mood. his side about face, fingertips gently kiss the grass. earlobe does not play, he would use the right hand left to live green, green grass of the wrist, thumb in the plan to plan to go, the itch. two people to the East a West a gossip, make fun of a strong arm, he reached out Lan Guo thick green grass, a holding force to the chest, homeopathy in the forehead kiss the grass. students the kind of coach is peace of mind. then a few people share a car, the driving school on the day of consumption can not get a half hour drive, but the grass learn very well. exam crash course the last time Lianju , turn green, the coach said, how you love how to open to open it. Thus, the grass on a downhill with a bend, do not accept the oil does not slow down,UGG boots clearance, a round down the hill, the car tracks and smooth. car one exclaimed, coaches thundered: This examination must not!
road test day, skillfully coherent, stretch into Kazakhstan. car completely stopped, the examiner's attention on the forms in the hands of the photos and a few green faces wavering times, suddenly asked: What is today the day? grass hesitated, and instantly react to the examiner with a blossoming smile: It was my birthday, very clever Oh, you gave me a special gift. I thought, does he think grass is to represent the exam?
grass so easy to get a driver's license. But now the grass is a car race, because the grass has been sitting watching the scenery Fujia addiction.
Beijing in the spring, the wind will have a more clear and transparent after the good weather. grass off work at five o'clock, from east to west line to the ring on. blue sky, such as washing, far Western Hills faintly visible, when the sun is golden and the natured, infected with a layer of gold to the reach of the scene. open the window, wind blowing in his face like a lot of water to wash cotton underwear, personal and comfortable. the air was filled with the smell of new leaves, the music flows, slide out of the window. this time to enjoy the green grass of a relaxed focus, hand on his palm, still feeling the first heart.
the first time, that day is a day of spring, green grass, and he also each stage of exploration in the heart, the grass still do not understand him, not his own heart to him. Meet with dinner, after dinner he sent home the green grass, green grass sitting on Fujia. car started, he naturally stretched out his right hand, left hand grip in the palm of grass. at the moment the green grass, while smiling, to hear him laughing, his face calmly looked out the window views, but not stop the heartbeat, all the senses are concentrated in what has been Hold hands. grass cold fingers of his hands quickly to pass the warmth assimilation of the invasion from the fingertips to warm the body. the car to turn around, and thought to be from the warm grass, but he only used a hand car turn so successful, the hand holding the green, still tender. Along the way, so be on the hands of grass he had been holding. green hope this road never get head.
since , grass see, how willing to sit with him on Fujia see scenery en route to his hand on his palm. for life, life after life.
Tuesday, November 2, 2010
Insider January 23, 2008 the time-sharing plan is coming out this way - the smell of happy dog ...
At 08:30 on January 23 in the century, the wealth, the National Unification, securities commissions, the SASAC, the U.S. Consul on arrival at 08:44 on the 23rd .1 Xinhua News Agency, the Central Propaganda Department, the media group reaches 08 .1 23 : 56 based, community-based, the IMF, both inside and outside the base were hurried admission. at 08:56 on January 23 in the base, community-based, the IMF, both inside and outside the base entrance .1 rush financial card at 09:03 on the 23rd April 5, the Central Committee 2 .1 from the post-road entrance on the main parade at 09:17 on the 23rd to bring the word State Analyst 3 seat. at 09:29 on January 23 Shanghai Shenzhen Stock Exchange price of the complete set of hosted, reporting to the table. 1 on the main parade at 09:48 on the 23rd then prompt the National Unification indicators notice issued as scheduled opening .1 stable main parade at 10:01 on the 23rd month break line warning, oil and bank sponsored the report is completed, the Christian Social-based hastily ordered the IMF .1 departure outside the base at 10:25 on the 23rd January deadpan, the three hurried to leave the base and the National meet. at 10:25 on January 23 at the same time, the record made on the basis of a plan to bring a new Chinese Central Propaganda wide injunction ,UGG bailey button, then left the meeting. at 10:27 on January 23 in the Xuan Xinhua SMG all the established half-hour ahead of schedule at 10:58 on the 23rd .1 oil on Bank-sponsored report is completed. the main operating program block. at 11:01 on January 23 hurried back to the field inside and outside the base. at 11:04 on Jan. 23 outside the base face lightly, with the main three characters symbolically speaking face to face, came to the Central Committee of 7 financial card and talk to the U.S. leader in a moment,bailey UGG boots, then leave to return to the country three bases at. at 11:28 on January 23 the Central Committee of Finance 7 post card channel as well, which there are the US-led, it seems to pay quite well made,UGG boots cheap, but the financial card 2 out of 5 preoccupied. January 23 12:44 in the base, community-based,Discount UGG boots, the IMF, both inside and outside the base end of meeting, the five base dispersion, the parties do not seem to re-bid farewell ceremony, the base rate to a base outside the United States and the leading place. atmosphere dull. 23 Jan. 12 : 56 in the money, the National Unification, securities commissions, the SAC have been evacuated home. cordial atmosphere .1 Xuan Xinhua on at 13:27 on the 23rd in a hurry after the writer left SMG .1 departure from the close of May at 13:30 on the 23rd of more than one and a half hours left in the main arena of operation 1, the word of the country 3, the media writer 3, turned over the leadership of the host 5 .1 closed on finishing work at 15:32 on the 23rd all over, all remaining personnel evacuated home. < ;><>( the original post:
Monday, November 1, 2010
June 8 day online doctor
Interview Guest: Xiao Fei Jia Yuhua Zhang Xuewu
Moderator: We are particularly pleased to invite three guests to the studio to the Sohu health chat with friends about guests are in the book we are talking about give us a platform to communicate with us with netizens, the greatest concern for our society today and the most sensitive topics doctors and patients the contradiction between the two groups, common ground, understand, and do not understand the aspects of dialogue, I very happy, users do my best to answer your questions, answer questions from moderator, is here Thank you for understanding and support for doctors.
Zhang Xuewu: the netizens, the host, Hello everybody! I am a day a certain degree of trust, so I think the improvement of doctor-patient relationship can play a good role in promoting.
Jia Yuhua: netizens, Hello everybody! also very grateful for this platform with Sohu Health Channel and you talk to friends, We still used to call me Dr. Jia, I am very happy to book the entire publishing process and book author, and we have such a communication, but also allow more people to understand the platform by Sohu real life doctors.
patients to see how doctors do not trust
Moderator: just three guests introduce myself, I heard everyone had talked about a case, among doctors and patients hope to enhance mutual understanding, I want to know whether You worked in the medical industry or you are still engaged in this industry, you usually work or live or have heard of them feel that patients do not trust you?
Zhang Xuewu: definitely yes Of course, I think this distrust is not necessarily a bad thing, sometimes better to urge us to improve ourselves, we, as the doctor, I think the vast majority of doctors is still very strong initiative and responsibility, regardless of the patient What is the reason might be that we have some misunderstandings. as I mentioned earlier, every day we encounter cases of Ye Hao, Ye Hao handled the issue, we hope to do so one hundred percent patient satisfaction and hope for each critically ill reverse and cure disease, but now the scientific and technological means does not mean that all cases are able to achieve one hundred percent of the state less than ideal, so we really want to brave the risk of a certain percentage of this job, it also acknowledged the community is indeed a doctor a high-risk industry. Once hit by a major effort is still not able to resolve the problem, for example, that diagnosis is not clear or there are some side effects of treatment time, although we think that is 1% or 2% risk However, one hundred percent sure the patient is concerned, this really is some distrust.
Xiao Fei: I have done a doctor, I have been a patient, medical researchers now become a doctor as a partner, I see a lot. Actually, I think this distrust is the result of several aspects, first of all, our patients in the disease when the mood is very, very urgent, speaking from his family at this time is to do our utmost to find the most Good doctors do the best treatment for patients at this time because of the body resulting in abnormal psychology is not normal, then the threshold will change, bowel of very strong, and when he felt the doctor did not take him seriously, or There is a sense of his own mistakes, but also caused the reaction to his radical, or overreact to the families, this is normal.
second aspect, our doctors because of work overload, intensity of their work beyond their load, they can not have a lot of time with patients in a very delicate psychological comfort, such as we encountered a patient two days ago, a young girl found a breast lump, ask the doctor would be very serious? doctor answered 50% likelihood of malignancy, the possibility of 50% of benign and malignant is the cancer, she saw, next to the patient to do a radical mastectomy for breast cancer, removal of the pectoralis major, armpit lymph nodes, with a tube continues to attract the young girl looking down after the frightened, crying, can not accept, has collapsed. this time, her doctors explained that many of the treatment of breast cancer, radical surgery is an option , but not necessarily the diagnosis after the patient comfort by talking to the mood turned into another way. but it takes time and careful comfort. We are now doctors, when faced with a lot of scenes that a large number of patients Yongru his outpatient, he can not have a lot of time to do the work in this area, this is a doctor on the one hand the situation.
one more, I think the doctor-patient relationship is the media misled the public over-promote the Yi Xie extreme example. such as excessive fees, Harbin incident happened last year, many of the details we do not pursue the matter, but this is an extreme example. there caused some of our friends from the press for sensationalism, take tea and pretending to use urine modern machines detect abnormal or normal, you can imagine, we are now playing this biochemical analyzer into the boiled water or tea to show definitely is not normal,bailey UGG boots, this way is a crime in the United States, which are lured by fraudulent means another crime, or manufacture of criminal fact false. that such a move has misled our public, which creates a lot of the anger of the public to vent to our body and our doctors on medical institutions.
further social and economic reasons. In the past management of our health care system classification completely broken, and the West in the management of our school, past the village barefoot doctor, they are higher primary school, will be classified, will be vaccinated, then the level is the commune health centers will be appendicitis. county hospital will do the gallbladder surgery, City Hospital can do more complex operations, such as liver resection. Now our system has changed, central hospitals and tertiary level hospitals have become first line of defense, these large busy hospital to die, our community hospital is wants to come, such a waste of resources and the layout is unreasonable, resulting in a large influx of overseas patients to our center city, from the system to create a medical treatment is difficult.
I have Union Hospital, three o'clock passed, then an assistant U.S. ambassador over there seriously ill, to see him. three o'clock in the Union Hospital parking lot, I saw a person lying there waiting to line up, these people cold dressed in cotton coat, shivering. They must have heavy complaints and medical treatment. our broken health care system, grading, resulting in a lot of seriously ill patients regardless of minor ailments, sometimes just a question to a large hospital to find doctors will , drag relationship, gifts, looking for the dealers back number, then the hotel fees, transportation fees, registration fees, ticket dealers added to the cost of all medical expenses, there are also factors in this regard.
Moderator: should be a society aspects.
Xiao Fei: Yes, it is an integrated element. our patients, their families do not understand the doctors best efforts to change the status of medical treatment is difficult, and do not understand the doctors have been working in a state of overload life, the contradictions of all medical treatment is difficult to point a doctor, which is more one-sided. So I think we see in the doctor-patient relationship to see a lot of contradictions, but in fact we have a lot of these contradictions can be hard to change and resolve, For example, a dialogue like this, in fact, our doctors are very willing, in this platform to answer people's questions. Yinggai efforts of our people through dialogue, avoid intensifying the conflict, but through communication, then we understand each other and jointly promote Doctor-patient rapport.
Jia Yuhua: Doctors are indeed some patients to doubt the whole essay process we found some of the articles, said that some patients enter the hospital from the moment the door began to want to find a doctor to stubble, He would like to acknowledge a doctor would be irresponsible, or how, so in the environment in such a psychological impact, he was time the hospital had been hit in the head with a question mark, this state, as just Dr. Xiao row for a long time about the team, from the center of the field came to the city hospital, the time may be only 2 minutes to communicate directly with the doctors, a lot of communication and understanding there is no way to do so completely and causing more and more questions The doctor suspected the patient to be more and more that I have encountered some cases.
doctor's day is spent how
Moderator: Dr. Xiao's remarks, we just know, it should be said In this interview, see our Internet users may also be able to understand that the patient is now intensifying the conflict is really a social problem, we put aside other social issues aside, we mainly talk about the ;, tells us the interview in the online users to see the doctor of the day came in the end is how the.
we know today that we are talking about the book, in fact, probably including eight parts, which are unusual patient, the choice of no regrets, life returns, angels tears, the doctor of the day sentiment, the doctor's frustration, Xingyuxinyuan, it should be said that we selected a number of categories, including the very real life, including emotional curve, including normal work and life experience, let's talk about the working hours of a doctor, because I think this book is indeed also seen a lot of time on the distribution of their work, in particular, I am rather impressed that there is a emergency The doctor said Branch must register his day time is 25 hours, that is, that hour really do not know where to come out. including, as the new millennium, many doctors in the holidays, when the child birthday can not accompany his family had a full account of the holiday, I would like to ask about working hours for doctors to know how much?
Zhang Xuewu: You said one day the doctor, take me, I, as a clinical doctor In the People's Hospital, Beijing, People's Hospital should be very famous hospital, we asked the top three hospitals, and the Affiliated Hospital of Peking University. The responsibility of the hospital doctor in the end is what? People's Hospital Medical teaching and research are the Trinity, to see a doctor , to teach and pursue research, as I am no bit of the. go to work at 8 o'clock to go to work, open the door so that dozens of patients, this is not the same as with the foreign, foreign countries such as Switzerland, I went to a few appointments for patients, is the bottom of my heart, today I Look 5 patients, these 5 patients how to how to deal with, relatively few heart, time is also more abundant. As a doctor can not do this now, you is linked to expert patient No. 15, behind the 15 patients also will be followed, patients will come to tell you that I came from Hunan, I come from Shanxi, hanging here this morning is not on the number, you could not give him a plus tick read, and the general experts in terms of our people out-patient hospital at 12 o'clock rarely read, and 1 point, 2 points are common things.
we are generally so still have to read the out-patient wards, hospital medicine, health education and nurses waiting for you to give them guidance about how to deal with patients, you have to give him some of the patients developed the program. Why is not the time off work a little, a few minutes the patient to hospital is not controlled, and sometimes emergency The patient may just have to work to night, especially the more low-level existence of the problem the more the doctor, the total deal to shift relief to the doctor for duty, such as 6 o'clock in the succession can not 6:00 that I give you the patient left, this is impossible, you have to tell him a piece of observation, explain these things.
I have with Shaw also speak, I said I love nothing to do with doctors, and we lived together for ten years She now sometimes does still not fully able to understand why do I as a doctor all day from dawn to dusk of the endless, really there is no holiday, holidays, Saturdays, Sundays, are likely to run into health care things or other things, not nine to five, having a long holiday, which is impossible.
and often there are some sections, can not say that all the departments, many departments feel half asleep, the night side of a Phone call back have to go, not just a matter of emergency.
Moderator: What we just heard, like that of emergency surgery late at night or when to have an emergency surgery, but now the same way as medicine The.
Zhang Xuewu: Internal Medicine there are some departments that do issue, health care is one. talk about teaching, as our top three teaching hospitals, teaching also penetrate into the inside every day, although the teaching undertaken by many medical care can not let go of things, trying to squeeze time to do the. see that I talk about a class, two classes in two hours, to see how much the bottom, you want to become a famous doctor, to get students satisfaction, pay for more health care than it is time to to do. researchers also have dry ah.
Moderator: I think there is a good question.
Zhang Xuewu: Why is that a medical student tired, when you entered the hospital to face the door that day the number of examinations, the first year is to be positive, in terms of Take People's Hospital, Affiliated Hospital of Peking University, the first year to be positive, to three years to a stage of examination, from the Hospitalization said chief resident, a stage of examination, as the examiner I know this stuff. a doctor to test for a stage five examinations, clinical, case, etc., the hospital doctors, the doctors feel like a gate of hell examination, which is three years. five years to get into attending physician, another test, or face such a test. then give Deputy Chief Physician, Associate Professor, also chief physician assessment, but also comments, Professor urge for you step by step It's that's going up. you get a professor to Daiyanjiusheng, but also graduate with a completed application with a Ph.D., you engage in research funding come from, have to apply for funds, apply for a National Natural Science Foundation Ye Hao, a variety of the numerous fund Ye Hao, not to talk about able to get this money, hundreds of thousands Ye Hao, hundreds of thousands of Ye Hao, have to have a team, after a certain period of time, checking the literature, their brain do some analysis to find a breakthrough.
Moderator: Let the parties to accept the application that this is indeed feasible, but is necessary.
Zhang Xuewu: In fact, these pressures are great, it also does not mention Among the work that I come across any particular things do not go well, the patient's family to the often have some questions, these problems do not involve it, to just your normal thing to do on those of the.
my article inside this book do something else also mentioned, for example, worked for two years as a doctor you host, I do not know if you have the experience, your family and friends and family think you're very easy to work in the hospital, they often say, I Here patients receive hospital you gave me it, can not take today to go in, his sentence is very difficult to do sometimes. as in the People's Hospital, patients should know that a row of conventional department probably a week, ten days live without in, a lot of people you want to be hospitalized patient, you sometimes very difficult, so dealing with interpersonal relationships, dealing with all aspects of the thing, I think doctors have the ability to have the ability to be very comprehensive.
Moderator: I After you are finished the lap that I think you are very tired. That is in addition to doctors to see patients for example, ordinary people that the only duty is to physicians with a patient, in fact, other than in addition to seeing patients, such as you just mentioned need to consider teaching and research need to be considered, but now we know that, as the whole country in the implementation of health care, some time ago is what to write the appropriate name.
Zhang Xuewu: About one out of health care issues involved, such as Beijing's health care and foreign health care is a difference, Beijing and Shanghai is not the same, the same drugs can be reimbursed in Beijing in the field can not be reimbursed, the same drugs can be reimbursed hospital, outpatient clinic can not be reimbursed, or reimbursement, hospital reimbursement is not, what can be reported when the disease, such as albumin, blood protein levels must be less than 25 grams of time can offer, to 26 grams is useless. like this side there is an article written much trouble, so this is such a problem.
Xinkai companies have been Shaw's second essay, I would have wanted to write What dream? my biggest dream is to do a purely medical doctors to think of the patient's condition, I face the patient, I do not consider what economic problems, the problem, that problem, if people all walks of life Tracy can be innocent of their own problems to consider, I think certainly on the harmony of this society. As a doctor you can consider taking into account all aspects of it all you got? This is what I think might be able to achieve this dream.
doctors there are a lot of pressure
Moderator: So the doctor that is boxed all aspects of occupational restrictions, in fact, the doctor also increased the burden on a lot of work some of the above.
Xiao Fei: Yes, I know the doctors, when they prescribe, to give the patient accounts, that may limit your health insurance a hundred dollars a prescription, how I like to give you the best combination of the drugs used to open out. such as rheumatism, rheumatoid arthritis, need combination therapy, any kind of drugs are not completely satisfied with the role play, how to do? need a good combination, according to individualized treatment of the patient's condition, but sometimes grouped together more than one health insurance restrictions, it is difficult, this time the patient is not willing to pay more, so doctors wanted to help him afterwards, delays, delays energy. So Director Zhang said in the article, the role of doctors is more, so we say Indeed, relatively heavy burden on doctors, foreign doctors have the burden, for example, insurance companies have to face him, but also they complain about most, their insurance companies drug card, the card they give the patient's treatment, standardized, to come and check , but they are because the income is relatively high, they can hire such a dedicated manager to give him work in this area, and our doctors do not have such power.
Moderator: What should a hands.
Xiao Fei: Yes, just tell the doctor professional. We say to become a good doctor, she is a medical scientist, but to do this would be a doctor, to be lectures, will write articles, and that doctors very tired. we see our doctors more than 70 years old, is still running for their own research, more than 60 years old, is still behind the distribution of their own to find ways to graduate, our 50-year-old doctor still care 80-year-old doctors, their professional life is very long. my teacher Professor Wu Mengchao, a day to spend about six hours in the ward fifteen, he received the highest scientific award, and he loved his own career. In fact, the original intention of our doctors is absolutely first want to cure the sick, the same time, they will heat their career, so they put a lot of energy and time spent in, regardless of cost.
Shanghai Ruijin Hospital yesterday, and I The Professor Chen Nan together, he is vice chairman of Society of Nephrology, talk to our doctor-patient relationship, and his teacher Professor Dong 86-year veteran of his life, conversation until ten o'clock, she wants to Sign back, because the United States of ASN (American Society of Nephrology) General Assembly, the deadline for submission is 0:00, she had two hours to look over his more than a dozen articles, cast out from the Internet, she must be before 12 intense work, this is their time. He took his team hurried back to his office, we went to trial the articles for the kidney in the U.S. Congress to show the data of Chinese medical research, not to be missed this time, So they give quite a big pressure on their own, these times are not calculated.
Moderator: We know that China has a lot of places like Beijing and Shanghai are relatively large cities, most people are likely to each days of eating only one meal at home is dinner, I would like to ask Professor Zhang in Beijing because of your own, you can have several Dayton about a week at home to eat dinner?
Zhang Xuewu: it may be a two meals weekends sometimes hard to tell, other families may also exist such features, some of the general hospital will research, teaching and research some of the will, or some other something else, is always on the weekend to do, may weekend and some time to travel, to the field consultation, to open a time will be academic or related with the drug will be observed, such as I have also received a phone call, said the drug next Saturday depth review, which are generally on the weekend, we are willing to put the weekend, as usual is really no time.
Zhuchi Ren: At least do not delay the time with a patient.
Zhang Xuewu: Yes, Bing Ren doctor time or to guarantee, Otherwise, even more intense doctor-patient relationship, of course,cheap UGG boots, sometimes can not exclude the usual number of consultation evening. In general, the whole family is actually not a lot of time to eat.
how the income of Chinese doctors?
Moderator: On the issue of working hours of doctors for the time being we have a paragraph, the next question I think that Shaw also talked about just a matter of fact, medical treatment abroad may be relatively high, and stir until like the Internet have been one, said the Chinese doctors treated the doctor with the United States make a comparison, there were some people said, this doctor may from abroad for education is not the same with China, because he may have to go through four years of undergraduate , go through the medical profession is a few years to do inside the hospital intern, and finally came up step by step, is a lot of years, I would like to ask, first, please tell us about Dr. Xiao is simple, because you also abroad to be However, you probably feel that foreign doctors what kind of treatment? income is not comparable?
Xiao Fei: I give you some data, should be in March this year, Journal of American College of Rheumatology has done a good article, the United States rheumatologists need of a forecast team has been predicted that by 2020, a few figures here give side, let me say that backwards, from the attending physician, specialists Let's talk about. registered in the United States 4900 Rheumatology specialist, this 4900 doctors to their average wage is 120,000 to 200,000, should be 11 million dollars to 50 million dollars range, their daily average of 10 outpatients should be a few patients, each patient appointment time is about two weeks, 1.3 billion people of our country, they are 300 million people, our rheumatologists may be more than one thousand point, which is the number of meetings each year, there are 200 doctors on duty in various places . Our country has just put the whole of China, in addition to outside of Taiwan, the establishment of rheumatology of the Professional Committee, Zhejiang finally built, and sent to Tibet. us a little more than one thousand to take care of rheumatologists rheumatology population of 1.3 billion people a total of 130 kinds of arthritis, the United States has cried enough doctors, and we actually state rheumatologists care for our patients overload. Our specialist registration Meiyou the United States may be less stringent, but as far as I We know that the wage income of the legitimate public how many people should not be more than 8 thousand dollars, is on the list of your wages, including overtime. Some experts who can give lectures, additional income, this is a special population.
It Online data suggest that a medical school in Guangzhou old doctor, who see 92 patients from morning to night, this should be four or five times more than the United States, but our wages should be the U.S. one-tenth of the annual income of less than So this caused a great imbalance doctor is such a situation. look at the residents, the U.S. residency relatively low wages, usually 30,000 to 45,000 annual salary, I work in the United States, I had surgery certain amount of income, in addition to wages for each surgery, they are training, they can not get the cost of surgery, only a month of food stamps, the meal ticket to get me and they are free to eat in the hospital cafeteria We always go out the liver. but they have a hope, they passed a 5-year surgical resident, two years of specialist training, they can join a large hospital or open their own hospitals, all of a sudden wage can go to 20 million, 30 million dollars, this period is very hard, bite through this period, and then into the doctor. residencies during which they are in debt, and their medical fees in general,UGG bailey button, if the words of Harvard University on a year of tuition should be forty or fifty thousand dollars, such as the University of California, like UCLA, should be 8 per year from 1000 to 10,000 dollars in tuition, they generally are loans, but banks are willing to lend them money because they must have income after graduation, as they graduated as a doctor, and immediately bought car loans, banks willing to lend to them, because they know they'll be able to make money, attention to their career development.
fact, the U.S. hospital when doctors and medical students is very similar to us, from the education system is concerned, I feel like the German system of our country, if correct, could after graduating from high school than medical school, but we have the follow-up national education, such as we are now medical doctors are required to graduate, three master's degree Dr. years. The United States is entering into the college art and science of only two sub-professional, student materials can be mechanical, so you four years after graduation you can choose in the end, as a law, or school, medical, or other industry study , you can choose. American education system I think he can not be applied mechanically to our education system, because our education system is a continuation of, the hospital close to school textbooks, teaching materials, because we are similar with the United States. and our teachers, including the present Director Zhang, MD, director of many of our Western culture all came back, level of education should be equivalent. In this case, if we put in front of the public simply is not judge us on the four-year university National College level, when inappropriate, because the surface of a small medical school undergraduate study and can not high salaries,UGG boots, is wrong, Chinese doctors and medical school at the high school after they make back.
In fact, we now have a great system of perplexity. American doctors and lawyers considerable income, for example, I served as an intern lawyer, I entered a law firm, a partner after I do, there is a large wage increases. their way to doctors and lawyers stage of development similar to, but not the same as in our country, I know the income of our current law can be ten times the doctor, public revenues, this caused the elite , the same high level of education will have a different class, the doctor's legitimate income or very low stage of a lawsuit through his lawyer, to do consulting, including litigation with the doctors, get a high income. This is a social is not balanced, through education, through efforts, we have no way to get a good income, is a very confusing place, showing that society is not very great importance to education, which also resulted in a tendency that we now have, we do not willing to do a doctor, is willing to shop and go Lvshi. I saw the post at that time, we Yaozuolvshi, with the doctors to court, so a good win, especially now that there are many doctors to Xuelv Shi.
Moderator: And specifically to fight medical lawsuits.
Xiao Fei: hit medical lawsuits, a phenomenon that is not really a normal phenomenon, I have asked the host about the education system and the revenue, we with the similarities and differences between the United States to put in here.
Moderator: and then ask Zhang, you just said the People's Hospital is a tertiary level hospitals, and we have talked about the book, saying that the value of a 24 hours of overtime, emergency 24-hour classes, overtime is 20 yuan, excluding the income of meals three times a day, it should be said that a few dollars of the proceeds, I would like to ask, for example, a night shift in the People's Hospital, you may occasionally look at the value of night, your night fee How much?
Zhang Xuewu: For me in terms of the level of 30 dollars, because our people were divided into three-class hospitals, doctors from the hospital, the first layer, to the chief resident, I belong to the general duty, hospital doctors is Each ward should have a person, something you'll have to attend the patient, chief resident is the second layer, the management of several wards, for me the value of third-line classes, may be the whole People's Hospital, medical, or surgical, gynecological, all involved to the time when medical problems have come forward, means that the hospital this evening, what medical problems you will be solely responsible, and this time you really involves the level of human life in the end of this how kind.
Moderator: for example, the line you just said, the second line, third line because you are you, this is the same as you?
Zhang Xuewu: the same, is 30 dollars.
Moderator: But is not under the title is not the same as the amount of money, right? like you are the director of health.
Zhang Xuewu: This money is the same as the fee is the same night, but doctors are not the same with the nurses, nurses value of slightly more than a night , because she could not sleep, the doctor did not matter if you can rest, the provisions of our hospital nurses is 60 dollars.
Moderator: Because she had been on duty.
Zhang Xuewu: She has always wanted to stare, open eyes monitor the eyes, she wanted to visit. emergency should be a little more, but I have a few years did not go to the emergency department, how much money I 搞不太清楚, not too much.
Moderator: I remember before is inside in our forums, because that possible Bushi as in Beijing, Shanghai, nor is such a high another hospital, doctors said at the time of the Zhiban night fee is five dollars, because now a lot of hot lesbian Biru Qu their hair, cut a hair at least 50 dollars or 100 dollars, but the value of a doctor or nurse when the patient or the treatment of disease, does his work only worth five dollars to do?
Zhang Xuewu: This is the same as outpatient or emergency department registered the essentially similar, such as our registered only 5 dollars, 7 dollars, of course, some well-known experts in particular linked to special needs patient, it is very individual, speaking for the majority of clinics are still very cheap stage.
Moderator: I see this book in fact part of the time I first moved, I feel a little sad, which talked about ; Africa practice in mind, , one foot in the door is a cross-court, another issue, we are now including some hospital for infectious diseases is more concentrated, but the general hospital as the Director Zhang inside, do not know the arrival of a number is not whether the patient is potent infectious diseases, or the usual course of treatment also should be some way, protection may not be noticed, it is likely infected with some disease, you usually work ...
Moderator: We are particularly pleased to invite three guests to the studio to the Sohu health chat with friends about guests are in the book we are talking about give us a platform to communicate with us with netizens, the greatest concern for our society today and the most sensitive topics doctors and patients the contradiction between the two groups, common ground, understand, and do not understand the aspects of dialogue, I very happy, users do my best to answer your questions, answer questions from moderator, is here Thank you for understanding and support for doctors.
Zhang Xuewu: the netizens, the host, Hello everybody! I am a day a certain degree of trust, so I think the improvement of doctor-patient relationship can play a good role in promoting.
Jia Yuhua: netizens, Hello everybody! also very grateful for this platform with Sohu Health Channel and you talk to friends, We still used to call me Dr. Jia, I am very happy to book the entire publishing process and book author, and we have such a communication, but also allow more people to understand the platform by Sohu real life doctors.
patients to see how doctors do not trust
Moderator: just three guests introduce myself, I heard everyone had talked about a case, among doctors and patients hope to enhance mutual understanding, I want to know whether You worked in the medical industry or you are still engaged in this industry, you usually work or live or have heard of them feel that patients do not trust you?
Zhang Xuewu: definitely yes Of course, I think this distrust is not necessarily a bad thing, sometimes better to urge us to improve ourselves, we, as the doctor, I think the vast majority of doctors is still very strong initiative and responsibility, regardless of the patient What is the reason might be that we have some misunderstandings. as I mentioned earlier, every day we encounter cases of Ye Hao, Ye Hao handled the issue, we hope to do so one hundred percent patient satisfaction and hope for each critically ill reverse and cure disease, but now the scientific and technological means does not mean that all cases are able to achieve one hundred percent of the state less than ideal, so we really want to brave the risk of a certain percentage of this job, it also acknowledged the community is indeed a doctor a high-risk industry. Once hit by a major effort is still not able to resolve the problem, for example, that diagnosis is not clear or there are some side effects of treatment time, although we think that is 1% or 2% risk However, one hundred percent sure the patient is concerned, this really is some distrust.
Xiao Fei: I have done a doctor, I have been a patient, medical researchers now become a doctor as a partner, I see a lot. Actually, I think this distrust is the result of several aspects, first of all, our patients in the disease when the mood is very, very urgent, speaking from his family at this time is to do our utmost to find the most Good doctors do the best treatment for patients at this time because of the body resulting in abnormal psychology is not normal, then the threshold will change, bowel of very strong, and when he felt the doctor did not take him seriously, or There is a sense of his own mistakes, but also caused the reaction to his radical, or overreact to the families, this is normal.
second aspect, our doctors because of work overload, intensity of their work beyond their load, they can not have a lot of time with patients in a very delicate psychological comfort, such as we encountered a patient two days ago, a young girl found a breast lump, ask the doctor would be very serious? doctor answered 50% likelihood of malignancy, the possibility of 50% of benign and malignant is the cancer, she saw, next to the patient to do a radical mastectomy for breast cancer, removal of the pectoralis major, armpit lymph nodes, with a tube continues to attract the young girl looking down after the frightened, crying, can not accept, has collapsed. this time, her doctors explained that many of the treatment of breast cancer, radical surgery is an option , but not necessarily the diagnosis after the patient comfort by talking to the mood turned into another way. but it takes time and careful comfort. We are now doctors, when faced with a lot of scenes that a large number of patients Yongru his outpatient, he can not have a lot of time to do the work in this area, this is a doctor on the one hand the situation.
one more, I think the doctor-patient relationship is the media misled the public over-promote the Yi Xie extreme example. such as excessive fees, Harbin incident happened last year, many of the details we do not pursue the matter, but this is an extreme example. there caused some of our friends from the press for sensationalism, take tea and pretending to use urine modern machines detect abnormal or normal, you can imagine, we are now playing this biochemical analyzer into the boiled water or tea to show definitely is not normal,bailey UGG boots, this way is a crime in the United States, which are lured by fraudulent means another crime, or manufacture of criminal fact false. that such a move has misled our public, which creates a lot of the anger of the public to vent to our body and our doctors on medical institutions.
further social and economic reasons. In the past management of our health care system classification completely broken, and the West in the management of our school, past the village barefoot doctor, they are higher primary school, will be classified, will be vaccinated, then the level is the commune health centers will be appendicitis. county hospital will do the gallbladder surgery, City Hospital can do more complex operations, such as liver resection. Now our system has changed, central hospitals and tertiary level hospitals have become first line of defense, these large busy hospital to die, our community hospital is wants to come, such a waste of resources and the layout is unreasonable, resulting in a large influx of overseas patients to our center city, from the system to create a medical treatment is difficult.
I have Union Hospital, three o'clock passed, then an assistant U.S. ambassador over there seriously ill, to see him. three o'clock in the Union Hospital parking lot, I saw a person lying there waiting to line up, these people cold dressed in cotton coat, shivering. They must have heavy complaints and medical treatment. our broken health care system, grading, resulting in a lot of seriously ill patients regardless of minor ailments, sometimes just a question to a large hospital to find doctors will , drag relationship, gifts, looking for the dealers back number, then the hotel fees, transportation fees, registration fees, ticket dealers added to the cost of all medical expenses, there are also factors in this regard.
Moderator: should be a society aspects.
Xiao Fei: Yes, it is an integrated element. our patients, their families do not understand the doctors best efforts to change the status of medical treatment is difficult, and do not understand the doctors have been working in a state of overload life, the contradictions of all medical treatment is difficult to point a doctor, which is more one-sided. So I think we see in the doctor-patient relationship to see a lot of contradictions, but in fact we have a lot of these contradictions can be hard to change and resolve, For example, a dialogue like this, in fact, our doctors are very willing, in this platform to answer people's questions. Yinggai efforts of our people through dialogue, avoid intensifying the conflict, but through communication, then we understand each other and jointly promote Doctor-patient rapport.
Jia Yuhua: Doctors are indeed some patients to doubt the whole essay process we found some of the articles, said that some patients enter the hospital from the moment the door began to want to find a doctor to stubble, He would like to acknowledge a doctor would be irresponsible, or how, so in the environment in such a psychological impact, he was time the hospital had been hit in the head with a question mark, this state, as just Dr. Xiao row for a long time about the team, from the center of the field came to the city hospital, the time may be only 2 minutes to communicate directly with the doctors, a lot of communication and understanding there is no way to do so completely and causing more and more questions The doctor suspected the patient to be more and more that I have encountered some cases.
doctor's day is spent how
Moderator: Dr. Xiao's remarks, we just know, it should be said In this interview, see our Internet users may also be able to understand that the patient is now intensifying the conflict is really a social problem, we put aside other social issues aside, we mainly talk about the ;, tells us the interview in the online users to see the doctor of the day came in the end is how the.
we know today that we are talking about the book, in fact, probably including eight parts, which are unusual patient, the choice of no regrets, life returns, angels tears, the doctor of the day sentiment, the doctor's frustration, Xingyuxinyuan, it should be said that we selected a number of categories, including the very real life, including emotional curve, including normal work and life experience, let's talk about the working hours of a doctor, because I think this book is indeed also seen a lot of time on the distribution of their work, in particular, I am rather impressed that there is a emergency The doctor said Branch must register his day time is 25 hours, that is, that hour really do not know where to come out. including, as the new millennium, many doctors in the holidays, when the child birthday can not accompany his family had a full account of the holiday, I would like to ask about working hours for doctors to know how much?
Zhang Xuewu: You said one day the doctor, take me, I, as a clinical doctor In the People's Hospital, Beijing, People's Hospital should be very famous hospital, we asked the top three hospitals, and the Affiliated Hospital of Peking University. The responsibility of the hospital doctor in the end is what? People's Hospital Medical teaching and research are the Trinity, to see a doctor , to teach and pursue research, as I am no bit of the. go to work at 8 o'clock to go to work, open the door so that dozens of patients, this is not the same as with the foreign, foreign countries such as Switzerland, I went to a few appointments for patients, is the bottom of my heart, today I Look 5 patients, these 5 patients how to how to deal with, relatively few heart, time is also more abundant. As a doctor can not do this now, you is linked to expert patient No. 15, behind the 15 patients also will be followed, patients will come to tell you that I came from Hunan, I come from Shanxi, hanging here this morning is not on the number, you could not give him a plus tick read, and the general experts in terms of our people out-patient hospital at 12 o'clock rarely read, and 1 point, 2 points are common things.
we are generally so still have to read the out-patient wards, hospital medicine, health education and nurses waiting for you to give them guidance about how to deal with patients, you have to give him some of the patients developed the program. Why is not the time off work a little, a few minutes the patient to hospital is not controlled, and sometimes emergency The patient may just have to work to night, especially the more low-level existence of the problem the more the doctor, the total deal to shift relief to the doctor for duty, such as 6 o'clock in the succession can not 6:00 that I give you the patient left, this is impossible, you have to tell him a piece of observation, explain these things.
I have with Shaw also speak, I said I love nothing to do with doctors, and we lived together for ten years She now sometimes does still not fully able to understand why do I as a doctor all day from dawn to dusk of the endless, really there is no holiday, holidays, Saturdays, Sundays, are likely to run into health care things or other things, not nine to five, having a long holiday, which is impossible.
and often there are some sections, can not say that all the departments, many departments feel half asleep, the night side of a Phone call back have to go, not just a matter of emergency.
Moderator: What we just heard, like that of emergency surgery late at night or when to have an emergency surgery, but now the same way as medicine The.
Zhang Xuewu: Internal Medicine there are some departments that do issue, health care is one. talk about teaching, as our top three teaching hospitals, teaching also penetrate into the inside every day, although the teaching undertaken by many medical care can not let go of things, trying to squeeze time to do the. see that I talk about a class, two classes in two hours, to see how much the bottom, you want to become a famous doctor, to get students satisfaction, pay for more health care than it is time to to do. researchers also have dry ah.
Moderator: I think there is a good question.
Zhang Xuewu: Why is that a medical student tired, when you entered the hospital to face the door that day the number of examinations, the first year is to be positive, in terms of Take People's Hospital, Affiliated Hospital of Peking University, the first year to be positive, to three years to a stage of examination, from the Hospitalization said chief resident, a stage of examination, as the examiner I know this stuff. a doctor to test for a stage five examinations, clinical, case, etc., the hospital doctors, the doctors feel like a gate of hell examination, which is three years. five years to get into attending physician, another test, or face such a test. then give Deputy Chief Physician, Associate Professor, also chief physician assessment, but also comments, Professor urge for you step by step It's that's going up. you get a professor to Daiyanjiusheng, but also graduate with a completed application with a Ph.D., you engage in research funding come from, have to apply for funds, apply for a National Natural Science Foundation Ye Hao, a variety of the numerous fund Ye Hao, not to talk about able to get this money, hundreds of thousands Ye Hao, hundreds of thousands of Ye Hao, have to have a team, after a certain period of time, checking the literature, their brain do some analysis to find a breakthrough.
Moderator: Let the parties to accept the application that this is indeed feasible, but is necessary.
Zhang Xuewu: In fact, these pressures are great, it also does not mention Among the work that I come across any particular things do not go well, the patient's family to the often have some questions, these problems do not involve it, to just your normal thing to do on those of the.
my article inside this book do something else also mentioned, for example, worked for two years as a doctor you host, I do not know if you have the experience, your family and friends and family think you're very easy to work in the hospital, they often say, I Here patients receive hospital you gave me it, can not take today to go in, his sentence is very difficult to do sometimes. as in the People's Hospital, patients should know that a row of conventional department probably a week, ten days live without in, a lot of people you want to be hospitalized patient, you sometimes very difficult, so dealing with interpersonal relationships, dealing with all aspects of the thing, I think doctors have the ability to have the ability to be very comprehensive.
Moderator: I After you are finished the lap that I think you are very tired. That is in addition to doctors to see patients for example, ordinary people that the only duty is to physicians with a patient, in fact, other than in addition to seeing patients, such as you just mentioned need to consider teaching and research need to be considered, but now we know that, as the whole country in the implementation of health care, some time ago is what to write the appropriate name.
Zhang Xuewu: About one out of health care issues involved, such as Beijing's health care and foreign health care is a difference, Beijing and Shanghai is not the same, the same drugs can be reimbursed in Beijing in the field can not be reimbursed, the same drugs can be reimbursed hospital, outpatient clinic can not be reimbursed, or reimbursement, hospital reimbursement is not, what can be reported when the disease, such as albumin, blood protein levels must be less than 25 grams of time can offer, to 26 grams is useless. like this side there is an article written much trouble, so this is such a problem.
Xinkai companies have been Shaw's second essay, I would have wanted to write What dream? my biggest dream is to do a purely medical doctors to think of the patient's condition, I face the patient, I do not consider what economic problems, the problem, that problem, if people all walks of life Tracy can be innocent of their own problems to consider, I think certainly on the harmony of this society. As a doctor you can consider taking into account all aspects of it all you got? This is what I think might be able to achieve this dream.
doctors there are a lot of pressure
Moderator: So the doctor that is boxed all aspects of occupational restrictions, in fact, the doctor also increased the burden on a lot of work some of the above.
Xiao Fei: Yes, I know the doctors, when they prescribe, to give the patient accounts, that may limit your health insurance a hundred dollars a prescription, how I like to give you the best combination of the drugs used to open out. such as rheumatism, rheumatoid arthritis, need combination therapy, any kind of drugs are not completely satisfied with the role play, how to do? need a good combination, according to individualized treatment of the patient's condition, but sometimes grouped together more than one health insurance restrictions, it is difficult, this time the patient is not willing to pay more, so doctors wanted to help him afterwards, delays, delays energy. So Director Zhang said in the article, the role of doctors is more, so we say Indeed, relatively heavy burden on doctors, foreign doctors have the burden, for example, insurance companies have to face him, but also they complain about most, their insurance companies drug card, the card they give the patient's treatment, standardized, to come and check , but they are because the income is relatively high, they can hire such a dedicated manager to give him work in this area, and our doctors do not have such power.
Moderator: What should a hands.
Xiao Fei: Yes, just tell the doctor professional. We say to become a good doctor, she is a medical scientist, but to do this would be a doctor, to be lectures, will write articles, and that doctors very tired. we see our doctors more than 70 years old, is still running for their own research, more than 60 years old, is still behind the distribution of their own to find ways to graduate, our 50-year-old doctor still care 80-year-old doctors, their professional life is very long. my teacher Professor Wu Mengchao, a day to spend about six hours in the ward fifteen, he received the highest scientific award, and he loved his own career. In fact, the original intention of our doctors is absolutely first want to cure the sick, the same time, they will heat their career, so they put a lot of energy and time spent in, regardless of cost.
Shanghai Ruijin Hospital yesterday, and I The Professor Chen Nan together, he is vice chairman of Society of Nephrology, talk to our doctor-patient relationship, and his teacher Professor Dong 86-year veteran of his life, conversation until ten o'clock, she wants to Sign back, because the United States of ASN (American Society of Nephrology) General Assembly, the deadline for submission is 0:00, she had two hours to look over his more than a dozen articles, cast out from the Internet, she must be before 12 intense work, this is their time. He took his team hurried back to his office, we went to trial the articles for the kidney in the U.S. Congress to show the data of Chinese medical research, not to be missed this time, So they give quite a big pressure on their own, these times are not calculated.
Moderator: We know that China has a lot of places like Beijing and Shanghai are relatively large cities, most people are likely to each days of eating only one meal at home is dinner, I would like to ask Professor Zhang in Beijing because of your own, you can have several Dayton about a week at home to eat dinner?
Zhang Xuewu: it may be a two meals weekends sometimes hard to tell, other families may also exist such features, some of the general hospital will research, teaching and research some of the will, or some other something else, is always on the weekend to do, may weekend and some time to travel, to the field consultation, to open a time will be academic or related with the drug will be observed, such as I have also received a phone call, said the drug next Saturday depth review, which are generally on the weekend, we are willing to put the weekend, as usual is really no time.
Zhuchi Ren: At least do not delay the time with a patient.
Zhang Xuewu: Yes, Bing Ren doctor time or to guarantee, Otherwise, even more intense doctor-patient relationship, of course,cheap UGG boots, sometimes can not exclude the usual number of consultation evening. In general, the whole family is actually not a lot of time to eat.
how the income of Chinese doctors?
Moderator: On the issue of working hours of doctors for the time being we have a paragraph, the next question I think that Shaw also talked about just a matter of fact, medical treatment abroad may be relatively high, and stir until like the Internet have been one, said the Chinese doctors treated the doctor with the United States make a comparison, there were some people said, this doctor may from abroad for education is not the same with China, because he may have to go through four years of undergraduate , go through the medical profession is a few years to do inside the hospital intern, and finally came up step by step, is a lot of years, I would like to ask, first, please tell us about Dr. Xiao is simple, because you also abroad to be However, you probably feel that foreign doctors what kind of treatment? income is not comparable?
Xiao Fei: I give you some data, should be in March this year, Journal of American College of Rheumatology has done a good article, the United States rheumatologists need of a forecast team has been predicted that by 2020, a few figures here give side, let me say that backwards, from the attending physician, specialists Let's talk about. registered in the United States 4900 Rheumatology specialist, this 4900 doctors to their average wage is 120,000 to 200,000, should be 11 million dollars to 50 million dollars range, their daily average of 10 outpatients should be a few patients, each patient appointment time is about two weeks, 1.3 billion people of our country, they are 300 million people, our rheumatologists may be more than one thousand point, which is the number of meetings each year, there are 200 doctors on duty in various places . Our country has just put the whole of China, in addition to outside of Taiwan, the establishment of rheumatology of the Professional Committee, Zhejiang finally built, and sent to Tibet. us a little more than one thousand to take care of rheumatologists rheumatology population of 1.3 billion people a total of 130 kinds of arthritis, the United States has cried enough doctors, and we actually state rheumatologists care for our patients overload. Our specialist registration Meiyou the United States may be less stringent, but as far as I We know that the wage income of the legitimate public how many people should not be more than 8 thousand dollars, is on the list of your wages, including overtime. Some experts who can give lectures, additional income, this is a special population.
It Online data suggest that a medical school in Guangzhou old doctor, who see 92 patients from morning to night, this should be four or five times more than the United States, but our wages should be the U.S. one-tenth of the annual income of less than So this caused a great imbalance doctor is such a situation. look at the residents, the U.S. residency relatively low wages, usually 30,000 to 45,000 annual salary, I work in the United States, I had surgery certain amount of income, in addition to wages for each surgery, they are training, they can not get the cost of surgery, only a month of food stamps, the meal ticket to get me and they are free to eat in the hospital cafeteria We always go out the liver. but they have a hope, they passed a 5-year surgical resident, two years of specialist training, they can join a large hospital or open their own hospitals, all of a sudden wage can go to 20 million, 30 million dollars, this period is very hard, bite through this period, and then into the doctor. residencies during which they are in debt, and their medical fees in general,UGG bailey button, if the words of Harvard University on a year of tuition should be forty or fifty thousand dollars, such as the University of California, like UCLA, should be 8 per year from 1000 to 10,000 dollars in tuition, they generally are loans, but banks are willing to lend them money because they must have income after graduation, as they graduated as a doctor, and immediately bought car loans, banks willing to lend to them, because they know they'll be able to make money, attention to their career development.
fact, the U.S. hospital when doctors and medical students is very similar to us, from the education system is concerned, I feel like the German system of our country, if correct, could after graduating from high school than medical school, but we have the follow-up national education, such as we are now medical doctors are required to graduate, three master's degree Dr. years. The United States is entering into the college art and science of only two sub-professional, student materials can be mechanical, so you four years after graduation you can choose in the end, as a law, or school, medical, or other industry study , you can choose. American education system I think he can not be applied mechanically to our education system, because our education system is a continuation of, the hospital close to school textbooks, teaching materials, because we are similar with the United States. and our teachers, including the present Director Zhang, MD, director of many of our Western culture all came back, level of education should be equivalent. In this case, if we put in front of the public simply is not judge us on the four-year university National College level, when inappropriate, because the surface of a small medical school undergraduate study and can not high salaries,UGG boots, is wrong, Chinese doctors and medical school at the high school after they make back.
In fact, we now have a great system of perplexity. American doctors and lawyers considerable income, for example, I served as an intern lawyer, I entered a law firm, a partner after I do, there is a large wage increases. their way to doctors and lawyers stage of development similar to, but not the same as in our country, I know the income of our current law can be ten times the doctor, public revenues, this caused the elite , the same high level of education will have a different class, the doctor's legitimate income or very low stage of a lawsuit through his lawyer, to do consulting, including litigation with the doctors, get a high income. This is a social is not balanced, through education, through efforts, we have no way to get a good income, is a very confusing place, showing that society is not very great importance to education, which also resulted in a tendency that we now have, we do not willing to do a doctor, is willing to shop and go Lvshi. I saw the post at that time, we Yaozuolvshi, with the doctors to court, so a good win, especially now that there are many doctors to Xuelv Shi.
Moderator: And specifically to fight medical lawsuits.
Xiao Fei: hit medical lawsuits, a phenomenon that is not really a normal phenomenon, I have asked the host about the education system and the revenue, we with the similarities and differences between the United States to put in here.
Moderator: and then ask Zhang, you just said the People's Hospital is a tertiary level hospitals, and we have talked about the book, saying that the value of a 24 hours of overtime, emergency 24-hour classes, overtime is 20 yuan, excluding the income of meals three times a day, it should be said that a few dollars of the proceeds, I would like to ask, for example, a night shift in the People's Hospital, you may occasionally look at the value of night, your night fee How much?
Zhang Xuewu: For me in terms of the level of 30 dollars, because our people were divided into three-class hospitals, doctors from the hospital, the first layer, to the chief resident, I belong to the general duty, hospital doctors is Each ward should have a person, something you'll have to attend the patient, chief resident is the second layer, the management of several wards, for me the value of third-line classes, may be the whole People's Hospital, medical, or surgical, gynecological, all involved to the time when medical problems have come forward, means that the hospital this evening, what medical problems you will be solely responsible, and this time you really involves the level of human life in the end of this how kind.
Moderator: for example, the line you just said, the second line, third line because you are you, this is the same as you?
Zhang Xuewu: the same, is 30 dollars.
Moderator: But is not under the title is not the same as the amount of money, right? like you are the director of health.
Zhang Xuewu: This money is the same as the fee is the same night, but doctors are not the same with the nurses, nurses value of slightly more than a night , because she could not sleep, the doctor did not matter if you can rest, the provisions of our hospital nurses is 60 dollars.
Moderator: Because she had been on duty.
Zhang Xuewu: She has always wanted to stare, open eyes monitor the eyes, she wanted to visit. emergency should be a little more, but I have a few years did not go to the emergency department, how much money I 搞不太清楚, not too much.
Moderator: I remember before is inside in our forums, because that possible Bushi as in Beijing, Shanghai, nor is such a high another hospital, doctors said at the time of the Zhiban night fee is five dollars, because now a lot of hot lesbian Biru Qu their hair, cut a hair at least 50 dollars or 100 dollars, but the value of a doctor or nurse when the patient or the treatment of disease, does his work only worth five dollars to do?
Zhang Xuewu: This is the same as outpatient or emergency department registered the essentially similar, such as our registered only 5 dollars, 7 dollars, of course, some well-known experts in particular linked to special needs patient, it is very individual, speaking for the majority of clinics are still very cheap stage.
Moderator: I see this book in fact part of the time I first moved, I feel a little sad, which talked about ; Africa practice in mind, , one foot in the door is a cross-court, another issue, we are now including some hospital for infectious diseases is more concentrated, but the general hospital as the Director Zhang inside, do not know the arrival of a number is not whether the patient is potent infectious diseases, or the usual course of treatment also should be some way, protection may not be noticed, it is likely infected with some disease, you usually work ...
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