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Is it true that good death is worse than living? Talk about the overhealth of the elderly
 
Author:中国铭铉 企划部  Release Time:2017-9-7 10:46:43  Number Browse:896
 
The medical net on September 7th is better than to live, this is the principle that everyone knows and is being used by some people to guide the life, the inheritance has been feared for more than a thousand years. In the period of political turmoil and civil strife, we support people to live a strong life and hope to have a great spiritual pillar of tomorrow. But is this rule universally applicable? Should you do this when you are terminally ill? The individual thinks there is something to be questioned about.

It is the natural law of life to live and die, regardless of your dignity. Although the life expectancy of the Chinese people has been extended from 47 years before liberation to more than 70 today and to 80, they have moved into an aging society in advance. To life-threatening diseases are mainly caused by a variety of infectious diseases such as cancer, cardiovascular disease, diabetes and other chronic non-communicable diseases, but no matter what kind of disease, all roads lead to Rome, death is still the ultimate end-result of everyone. Click on the next page

Unfortunately, a major shortcoming of Chinese culture is the taboo of death, and this little involved in school teaching, to help to establish the correct concept of death, the people have a fear of death, this is probably the main reason of the "lai live.

Since human beings are mortal, it's worth a good push. Apart from political, social and other factors, the individual considers that the quality of life without quality of life is better than "good death" without pain and dignity.

Throughout the world today, because "lai" has been deeply rooted in the hearts of people, its drawbacks have also been born. One is that certain social good people, given their contributions to the country or society in the past, deserve special medical care, and the public can understand and accept it. But for some patients with chronic diseases who are ill, not only for a lost consciousness must use nasogastric nutrition, breathing machine, keep lung function, and by all kinds of piping, equipment and drugs, maintain normal physiological function for a person is not rare. What used to be called as long as one breath should be fully resuscitated, is now even if has "not qi" still need careful diagnosis and treatment. The mood of the family is understandable, but it is undoubtedly a waste of medical resources.

Second, China has entered an aging society, and as life expectancy increases, so do various chronic diseases. Cancer, for example, accounts for more than 63 percent of all cancer deaths among people over the age of 60. So is cardiovascular disease. Respecting old age is one of the great virtues of our society, and I have no intention of advocating the health care of the elderly without advocating it. But when certain chronic diseases have been developed to cure hopeless end-stage, it is necessary to treat "disease" from the perspective of "disease", so as to save its decline. Or from the perspective of "people", the purpose of making is helping them to maintain a higher quality of life, and not to the fierce, though it could prolong the survival period, but harm to the quality of life of the treatment.

I have participated in a world famous international oncology conference years ago. Conference poster, with participation of many countries, the prospective study of pancreatic cancer targeted therapy, through the joint efforts of all participation units for many years, finally have the positive results, the effect of chemotherapy combined with targeted therapy, superior to the traditional single chemotherapy treatment, the differences were statistically significant. Because pancreatic cancer is a notoriously difficult cancer. So the much-hyped news was so well received that there were almost 10,000 people in the audience. The data presented in the report are like posters, with very scientific conclusions and positive effects. But when examined closely, the team found that the group actually lived 13 days longer than the control group. Although a well-designed clinical trial has been devised, no one can question it, and how will it be evaluated? I believe that opinions vary from person to person. In my opinion, this new treatment scheme may not be worth the cost of social resources. Similarly, it is not uncommon to be clinically uncommon, so should the over-health care of the elderly be considered?

Third, the "person" or "cure" although in most cases they are unified, but when facing the aging old man, the personage inside course of study with consensus is not with me, but what is quite difficult to form the social consensus? In my humble opinion, there are probably two reasons. One is the healer in view of the anomalies of the doctor-patient relationship nowadays, to avoid unnecessary disputes, even for some curative effect is not very accurate, or the chances of that benefit from therapy, also will use ning don't "right" way to "left". Try to treat "the disease" as much as possible, so as not to give the handle to the poor. The second is that the patient's relatives show their filial piety, and they usually ask the physician to do their best to treat it, and even try all kinds of curative effects not exactly single, but not speaking out of turn.

In fact, it is a blessing that a man must die. Remember the year before to Alma mater, the annual global alumni association, there was a old alumni in Hong Kong on the way from Canada to Beijing died connection, when all the alumni to smell after informed all deep regret, even someone proposed, considering many alumni have been old, to avoid an accident, no longer have a similar party in the future. But one since the beauty to the participants and nearly 90 - year - old alumni rise against, that man is mortal, such as can in delight in the process of sudden death are welcome, such as playing mahjong "hard man to convince flower", and said that the future will well-founded sex-discrimination to here every year. The old man was very thoughtful. Guang-wei xu

Author introduction: guang-wei xu professor, honorary President of the Peking University cancer hospital, Chinese anti-cancer association, honorary director of social work by the special foundation for prevention and treatment of breast cancer in China, honorary director of the institute of Beijing boya medical health
 
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