解放軍文職招聘考試Patients and doctors 病人與醫(yī)生-解放軍文職人員招聘-軍隊(duì)文職考試-紅師教育
發(fā)布時(shí)間：2017-06-30 23:49:38This is a sceptical age, but although our faith in many of the things in which our forefathers fervently believed has weakened, our confidence in the curative properties of the bottle of medicine remains the same a theirs. This modern faith in medicines is proved the fact that the annual drug bill of the Health Services is mounting to astronomical figures and shows no signs at present of ceasing to rise. The majority of the patients attending the medical out-patients departments of our hospitals feel that they have not received adequate treatment unless they are able to carry home with them some tangible remedy in the shape of a bottle of medicine, a box of pills, or a small jar of ointment, and the doctor in charge of the department is only too ready to provide them with these requirements. There is no quicker method of disposing of patients then by giving them what they are asking for, and since most medical men in the Health Services are overworked and have little time for offering time-consuming and little-appreciated advice on such subjects as diet, right living, and the need for abandoning bad habits etc., the bottle, the box, and the jar are almost always granted them.Nor is it only the ignorant and ill-educated person who was such faith in the bottle of medicine. It is recounted of Thomas Carlyle that when him in his pocket what remained of a bottle of medicine formerly prescribed for an indisposition of Mrs. Carlyle"s. Carlyle was entirely ignorant of what the bottle in his pocket contained, of the nature of the illness from which his friend was suffering, and of what had previously been wrong with his wife, but a medicine that had worked so well in one form of illness would surely be of equal benefit in another, and comforted by the thought of the help he was bringing to his friend, he hastened to Henry Taylor"s house. History does not relate whether his friend accepted his medical help, but in all probability he did. The great advantage of taking medicine is that it makes no demands on the taker beyond that of putting up for a moment with a disgusting taste, and that is what all patients demand of their doctors -- to be cured at no inconvenience to themselves.參考譯文這是一個(gè)懷疑一切的時(shí)代，可是雖然我們對(duì)我們祖先篤信的許多事物已不太相信，我們對(duì)瓶裝藥品療效的信心仍與祖輩一樣堅(jiān)定。衛(wèi)生部門的處度藥費(fèi)上升到了天文數(shù)字，并且目前尚無停止上升的跡象，這個(gè)事實(shí)證實(shí)了現(xiàn)代人對(duì)藥物的依賴。在醫(yī)院門診部看病的大多數(shù)人覺得，如果不能帶回一些看得見、摸得著的藥物，如一瓶藥水，一盒藥丸、一小瓶藥膏回家的話，就沒算得到了充分的治療。負(fù)責(zé)門診的醫(yī)生也非常樂意為前來看病的人提供他們想要得到的藥物，病人要什么就給什么，沒有比這樣處理病人更快的方法了。因?yàn)樾l(wèi)生部門的大多數(shù)醫(yī)生超負(fù)荷工作，所以沒有多少時(shí)間提出一些既費(fèi)時(shí)而又不受人歡迎的忠告，如注意飲食、生活有規(guī)律，需要克服壞習(xí)慣等等，結(jié)果就是把瓶藥、盒藥、罐藥開給看病的人而完事大吉。并不只是那些無知和沒受過良好教育的人才迷信藥瓶子。據(jù)說托馬斯.卡萊爾有過這么一件事：他聽說朋友亨利.泰勒病了，就立刻跑去看他，衣袋里裝上了他妻子不舒服時(shí)吃剩下的一瓶藥。卡萊爾不知道藥瓶子里裝的是什么藥，不知道他的朋友得的是什么病，也不知道妻子以前得的是什么病，只知道一種藥對(duì)一種病有好處，肯定對(duì)另一種病也會(huì)有好處。想到能對(duì)朋友有所幫助，他感到很欣慰，于是急急忙忙來到了亨利.泰勒的家里，他的朋友是否接受了他的藥物治療，歷史沒有記載，但很可能接受了。服藥的最大優(yōu)點(diǎn)是：除了暫時(shí)忍受一下令人作嘔的味道外，對(duì)服藥人別無其他要求。這也正是病人對(duì)醫(yī)生的要求 -- 病要治好，但不要太麻煩。
解放軍文職招聘考試醫(yī)生電梯勸阻老人吸煙對(duì)方猝死 補(bǔ)償1.5萬冤不冤-解放軍文職人員招聘-軍隊(duì)文職考試-紅師教育
解放軍文職招聘考試醫(yī)生電梯勸阻老人吸煙對(duì)方猝死 補(bǔ)償1.5萬冤不冤發(fā)布時(shí)間：2017-11-03 18:33:05原標(biāo)題：醫(yī)生電梯勸阻老人吸煙對(duì)方猝死 補(bǔ)償1.5萬冤不冤文 | 敬一山最近又有一起好人可能 被冤枉 的新聞，在網(wǎng)上引起熱議。大概半年前，河南鄭州一位醫(yī)生楊君，在小區(qū)電梯里勸一名老漢不要抽煙，結(jié)果引發(fā)爭(zhēng)執(zhí)，老人情緒激動(dòng)心臟病發(fā)作離世。后來家屬將楊君告上法庭，要求40余萬元的賠償。法院一審認(rèn)為楊君的行為與老漢死亡沒有必然的因果關(guān)系，所以不承擔(dān)侵權(quán)責(zé)任，但根據(jù)公平原則，楊君要向死者家屬補(bǔ)償1.5萬元。這一判決引發(fā)家屬不滿，目前正處于二審階段。該事件傳到網(wǎng)上后，各路網(wǎng)友也紛紛表示不滿。只不過這個(gè)不滿是針對(duì)死者家屬，代表性的意見是認(rèn)為，老漢在電梯抽煙，屬于絕對(duì)的過錯(cuò)方，醫(yī)生出面勸阻是公民權(quán)利，甚至可以說是見義勇為，因此賠一毛錢都是冤枉。（圖文無關(guān)）網(wǎng)友在這件事情中的態(tài)度，的確代表著一種樸素的正義觀。 不能讓好人吃虧 ，這是網(wǎng)絡(luò)持續(xù)已久的訴求。這種訴求在標(biāo)志性的南京彭宇案中曾得到集中表達(dá)。如果一個(gè)扶老人的年輕人被冤，以后誰還敢去做好人？盡管彭宇案本身的真相，后來變得撲朔迷離，但這種正義焦慮在網(wǎng)絡(luò)延續(xù)至今。套用當(dāng)初的困惑就是 如果電梯勸阻抽煙還要賠錢，以后誰還敢說話？相比當(dāng)初的彭宇案，這一次的醫(yī)生勸阻吸煙案，因?yàn)橛幸曨l有真相，事實(shí)層面并不存在爭(zhēng)議，所以法院的判決也相對(duì)容易。法院一審判決醫(yī)生不承擔(dān)侵權(quán)責(zé)任，家屬因?yàn)樗幬恢貌煌?，表達(dá)什么樣的意見從感情上都能理解，而在吃瓜群眾看來，這還是比較公允的。有爭(zhēng)議的是補(bǔ)償1.5萬元 既然醫(yī)生沒責(zé)任，為什么還要補(bǔ)償？在法律和情理上，這倒也說得通。按照《侵權(quán)責(zé)任法》第24條： 受害人和行為人對(duì)損害的發(fā)生都沒有過錯(cuò)的，可以根據(jù)實(shí)際情況，由雙方分擔(dān)損失。 這個(gè)分擔(dān)在定性上不是賠償，也不是不問是非的各打五十大板，而是綜合考慮雙方經(jīng)濟(jì)狀況、主觀意愿等多種因素，做出的帶有救濟(jì)受害人性質(zhì)的一種安排。醫(yī)生自己也有表態(tài)，即便家屬不索賠，他發(fā)自內(nèi)心也想給予家屬一定補(bǔ)償，可見法律和人情在人道主義層面是有共識(shí)的。（圖文無關(guān)）對(duì)醫(yī)生都認(rèn)的補(bǔ)償，網(wǎng)友之所以不滿，則是出于更現(xiàn)實(shí)的考量，叫 賠償 還是 補(bǔ)償 ，雖然性質(zhì)和內(nèi)涵不一樣，但最終都是要掏錢。電梯遭遇吸煙在生活中并不罕見，現(xiàn)實(shí)中礙于情面不敢發(fā)作的居多，好容易有個(gè)勇士發(fā)聲，竟還要莫名賠錢。網(wǎng)友一旦代入醫(yī)生的立場(chǎng)，難免更加憤憤不平。尤其是現(xiàn)在死者家屬并不領(lǐng)情，仍要堅(jiān)持上訴索賠，這讓補(bǔ)償?shù)娜说乐髁x立場(chǎng)更顯尷尬。補(bǔ)償這一旨在保障弱勢(shì)權(quán)益的法律規(guī)定，的確有其天然 缺陷 。無過錯(cuò)即無責(zé)任，這本應(yīng)是法律的基本原則。補(bǔ)償條款等于是強(qiáng)制讓私人承擔(dān)了社會(huì)救助的義務(wù)，遇到愿意配合的人還好，如果當(dāng)事人堅(jiān)決不出這個(gè)錢，很容易陷入法律和道德的困境。而且在輿論層面，也容易造成 好人被冤 的印象。所以在執(zhí)行中，這樣的補(bǔ)償條款還是應(yīng)該少用慎用。不知道這一特殊案例法院最終如何判定，當(dāng)下就很明確的是，即便未來還是有補(bǔ)償，也絕不代表醫(yī)生的勸阻行為有錯(cuò)。補(bǔ)償并不是懲罰，不是鼓勵(lì)面對(duì)電梯里有人抽煙時(shí)沉默，更不是混淆是非，不過是對(duì)一個(gè)生命意外亡故的安慰。
2017軍隊(duì)文職人員招聘考試（醫(yī)學(xué)類基礎(chǔ)綜合）精選試題及答案一-解放軍文職人員招聘-軍隊(duì)文職考試-紅師教育
2017軍隊(duì)文職人員招聘考試（醫(yī)學(xué)類基礎(chǔ)綜合）精選試題及答案一發(fā)布時(shí)間：2017-11-17 22:42:451). 對(duì)胸腰筋膜的描述，不正確的是 ( )A.胸背區(qū)較薄B.覆于斜方肌和背闊肌的表面C.覆于豎脊肌表面，向上續(xù)項(xiàng)筋膜D.在胸背區(qū)內(nèi)側(cè)附于胸椎棘突和棘上韌帶E.腰區(qū)較厚并分為前、中、后3層正確答案：B2). 某中年男患者因心臟病發(fā)作被送到急診室，癥狀及檢查結(jié)果均明確提示心肌梗死。患者此時(shí)很清醒，但由于費(fèi)用等原因，患者拒絕住院，堅(jiān)持回家。此時(shí)醫(yī)生應(yīng)該( )A.尊重患者自主權(quán)，同意他回家，醫(yī)生無任何責(zé)任B.尊重患者自主權(quán)，但應(yīng)盡力勸導(dǎo)患者住院，無效時(shí)辦好相關(guān)手續(xù)C.尊重患者自主權(quán)，但應(yīng)盡力勸導(dǎo)患者住院，無效時(shí)行使干涉權(quán)D.行使醫(yī)生自主權(quán)，為救治患者強(qiáng)行留患者住院E.行使醫(yī)生特殊干涉權(quán)，強(qiáng)行把患者留在醫(yī)院正確答案：C
