彼路易·切奇博士是一位有着30多年临床经验的意大利儿科专家。两年前，他受意大利ZF派遣，作为意方负责人到北京执行两国卫生合作项目。在北京儿童医院特需门诊坐诊的两年间，切奇先生以一位西方医生诚实、敏锐的眼光，观察到了目前在中国医学界普遍存在的难以理解的现象，而其中的某些现象决不能简单归结为是由中国的国情或中西方文化的差异造成的。以下为他在接受记者数次采访时所谈到的主要内容。
为什么不用药或少用药世界上的妈妈都害怕自己的孩子生病，一生病就吓得不得了，一有病就带孩子看医生。方才，一个小孩的姥姥带着她的外孙急急忙忙来看皮肤病，你们的儿科医生要给孩子抽血检验。我检查一看，那是蚊子咬的一个包，不用抽血。最后老太太给在香港工作的孩子妈妈打了一个长途电话，孩子的妈妈坚决反对给孩子抽血，才算了事。结果我也没给孩子开药。这就是属于患者家属的无知。
意大利的妈妈在30年前，也是这样想的，认为用一根针扎到身体里(输液)，要比口服的药物药效发生得更快。不是我不用药或少用药，而是没有必要给这些孩子开药。可是他们的妈妈会说："我们的孩子有病了，你为什么不给我们药吃？"这是家长的问题，不是孩子本身的问题。
现在感冒、咳嗽、腹泻患儿，是来北京儿童医院就诊量最大的一部分。感冒发烧在39度以下，我们西方医生从来不给患儿开药，建议家长回家给孩子用冰袋降温，同时要给孩子喝大量的水，几天就可以好。一般孩子咳嗽，是他生理本能的自卫反应。小孩子不会咳痰，尤其睡觉时把鼻涕流到喉咙，早晨起来就咳嗽，这不用吃药。但是如果孩子的咳嗽是由细菌引起的，如支气管感染、肺炎、百日咳等，就需要用抗生素。
儿童腹泻，一般多是因为受凉，或消化不良引起的。我们西方的医生会建议家长在24小时之内不要给孩子进食，只喝水，很快就会好。有个腹泻患儿的妈妈明白我为什么不开药的道理，她很高兴地抱着孩子走了，事实证明不用药病也好了。如果是细菌性腹泻，那就要用抗生素治疗。我所说的这些是大部份患儿的普通症状，不用开药，只要给家长解释清楚，就可以了。关键是医生在诊断时一定要和家长交流，一定要搞清楚患儿症状的原因。
你们习惯打吊针(输抗生素)，好让发烧的孩子的体温降下来，那是靠药物强制性降体温，对孩子病情的恢复没有积极的意义。
现在还流行给孩子注射什么"流感疫苗"，预防流感。实际上流感是无法预防的，因为流感病毒每年都在变化，你去年研究的疫苗，怎么预防今年的流感？西方医生和中国医生都知道，世界上没有有效治疗和预防感冒的药。
■滥用抗生素的危害
去年4月，有一个家长带着一个11个月大的男孩子来我们这里看病，这个孩子咽喉扁桃体肿大，一直发烧不退，在北京朝阳区的一家医院治疗了一个月，那里的医生一直给这小孩子用各种抗生素医疗，但是孩子的烧一直没退，让人家花了1万多块钱。孩子这时已经出现菌种紊乱现象，产生了"抗药性"，这就是滥用抗生素的结果。
我告诉孩子的爸爸，如果孩子发烧在38度5以上，可以给他吃点退烧药，如果在38度5以下不要吃退烧药，采用物理降温，大量喝水，用冰袋降温。结果孩子的爸爸按照我说的去做，很快孩子的体温就降下来了。
我并没有给这个孩子开任何药。如果我发现孩子症状是由细菌感染引起，需要服用抗生素，我会给孩子服用抗生素。一般口服抗生素的效果与打吊针（输液）的效果是一样的，但前者更便于治疗。想用抗生素来预防疾病，这是不正确的观念。我再强调一遍，如果患儿没有出现细菌感染的现象，就不要使用抗生素。如果这个孩子需要治疗、开药，我肯定会给他治疗和开药的。
有时医生也很为难，做母亲的总是让医生多开药，开好药。我认为医生和家长之间有一个很重要的问题，就是一定要把孩子的病情讲得很清楚。医生要多和家长交流，来教育家长如何看待孩子的这个病，同时向家长普及一些一般的医疗卫生常识。但是要让家长理解这个问题就要花一定的时间。
我给孩子看病一定要把孩子的衣服都脱光来检查。你们的家长就担心孩子感冒了怎么办？给孩子看病不脱光了衣服是没法检查的，否则你怎么知道孩子有什么病？方才有一个8个月大的小女孩，表面上看是咳嗽，但是我还要通过对她身体状况的观察，确定她的咳嗽是否由别的病因引起，她要是穿着衣服我怎么看得出来？我看一个患儿要1个小时，就是这个道理。这样的门诊模式在中国目前要实行起来还很困难。
■医疗系统的不完善
在意大利，我们在各个社区都建有门诊诊所，每个家庭都有自己的家庭医生，出诊治疗是免费的。在我们那里做心脏手术、住院治疗4月以下的患者全部是免费。当然这在中国目前还是很不现实的。
北京的医疗系统建立时间还不长，许多地方需要改进。这里的人们一有病就上北京的各大医院来，一天的门诊量就达到三四千人，医生每三五分钟就要看一个病人。你们的医院要想效益好，医生就得多看病人，一天下来头昏脑涨，非常疲倦。这样也很容易出现误诊。中国是一个人口众多的国家，这个问题确实不好解决。我也没有什么好的办法。
北京周边省市的患者也到北京的大医院来，因为北京的医疗条件和医生的水平是很高的。我个人认为，如果在各个社区都有像这样的大医院下属的医疗诊所，把各大医院的医生分散到各个社区的医院，患者就可以得到分流，在社区医院对患者可以作一个初步的筛选，把重病患者送到大医院就诊，这样既减轻了大医院门诊医生的负担，提高了诊断质量，也给患者提供了享受一流医疗水准就医的便利。
中国在今后的医疗改革方面应该能做到这一步。听说北京的某些地区已经开始尝试。你们可以在医院建立一些高档的诊室和有空调的高级病房，为高收入患者提供一流的医疗条件，可以多收他们钱，用他们交的费用承担低收入者的医疗费用，让低收入者也能享受一流的医疗服务。同时我认为中国医生有很丰富的医学知识，虽然他们拿的钱并不多。
■职业道德问题
我认为一个好的医生应具有的品质有两条。
第一，他首先要诚实，谦虚，尊重患者。医生当然不是圣人，他们也要养家糊口，但是医生挣钱要像中国一句古老的格言那样："君子爱财，取之有道"。
我上学的时候，我的老师就教导我，做医生一定要每时每刻地考虑这样的问题：不能给患者误诊，要很慎重地考虑你下的药是否对患者的疾病有效。
做一个医生一定要谦虚，自己的知识不够，看不懂的病一定要向有经验的医生请教，或请有经验的医生会诊，不要怕在患者面前丢面子，不懂装懂会造成误诊，给患者和家属带来很大的悲哀。
第二，作为医生一定要注重自己的职业道德，如果你诊断的这个患者的病确实治不好了，就要告诉他的家人不要再花钱治疗了。如果明明知道患者的病不能治，你还给他治，让人家花很多的钱，这是非常不道德的。
我举个例子。2000年，我被请到北京房山县北海镇，去给一个当时只有11岁的男孩看病。这是一个长得非常漂亮的男孩，他的两条大腿肌肉萎缩，这种病叫"迪何二氏肌萎缩"，是一种罕见的家族遗传性疾病，根本无法治愈。我估计他只能再活10年到15年就要离开人世。但是他的家人从孩子一出生就带他到各个医院治了10年，花了很多的钱......居然就没有一个医生告诉孩子的家人他患的是什么病，告诉家长这种病根本无法治。这是非常不道德的。
我对孩子的家人说，你们不要再带他去医院治疗了，染上这种病，从孩子出生起就根本治不好。如果你们真为他好，就给他买一辆残疾人的电动车，改善一下他的生活质量吧。
后来，我们这些在北京的使馆、企业、医疗系统工作的意大利人，捐款买了一辆残疾人的电动车，送给这个孩子，他得到这辆车，高兴极了。啊，那是个非常漂亮的小男孩！他太不幸了。
还有像恶性肿瘤患者，绝大多数是无法治愈的，住院治疗是没有用的。对于这种情况，医生就应该劝告患者或他的家人，不要再为患者治疗了，在家里护养就很好，只要能抑制患者的疼痛，在他疼痛时给他服止痛的药就可以了。
在你们这里还给孩子做"心脏瓣膜手术"，其实根本没有必要做这种手术，孩子长大了自然就会好了。在西方，医生是不给孩子做这类手术的。一个医生不应让患者花太多的钱去做无谓的治疗，这一点很重要。我认为一个好医生应该是诚实的，谦虚的，对患者应该是尊重的。
现在在中国有的医院医生就是这样，只想开药而且还是价钱比较贵的，意大利的医疗水平中国还需要一段时间，望国人努力！
这个文章不错！！呵呵！！！
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Server 2007 - Enterprise (x64)-FDJDK-66WCT-2HD9C-4TY63-38C4G Office Forms Server 2007-FDJDK-66WCT- 2HD9C-4TY63-38C4G Microsoft2007 Workplace Professional Plus 2007 MTP6Q-D868F-448FG-B6MG7-3DBKT System Requirements Microsoft2007 Office Visio2007 Professional 2007 QB6MH-Q82HX-BFWPK-8TXTY-HHJT6 System Requirements Microsoft2007 Workplace Outlook2007 2007 with Business Contact Manager Not Applicable System Requirements Microsoft2007 Office Project Server 2007 BWPMX-XY8XF-KGBQ6-XKT8R-GHXD3 System Requirements Microsoft2007 Workplace Project Professional 2007 GP24P-FC3DP-HXY7Q-YG3JR-J4G3G System Requirements Microsoft2007 Office Groove2007 2007 R83W8-GJQ82-GJ378-XQW9W-JBYKT System Requirements Microsoft2007 Office Groove2007 Server 2007 PGT8R-VBMBC-6V7GY-TW3HT-8FP36 System Requirements Microsoft2007 Workplace Language Pack 2007 - German DY7FP-TGTKC-2366R-8VJMB-DGYKT System Requirements Microsoft2007 Office OneNote2007 2007 TFKGD-9VXBG-T22DK-FQB9P-MBPG6 System Requirements Microsoft2007 Office SharePoint2007 Designer 2007 VQCR8-6KP8Q-Y2FTW-3YQD7-R22G6 System Requirements Microsoft2007 Workplace SharePoint2007 Server 2007 - Enterprise FDJDK-66WCT-2HD9C-4TY63-38C4G System Requirements Microsoft2007 Office SharePoint2007 Server 2007 - Enterprise (x64) FDJDK-66WCT -2HD9C-4TY63-38C4G System Requirements Microsoft2007 Workplace Forms Server 2007 FDJDK-66WCT-2HD9C-4TY63-38C4G System Requirements Microsoft2007 Office Forms Server 2007 (x64) FDJDK-66WCT-2HD9C-4TY63-38C4G System Requirements If the above did not help to you, you can also try the following o (∩ _ ∩) o General: DBXYD-TF477-46YM4-W74MH-6YDQ8 Office SharePoint Designer 2007 RTM Chinese version: key: W2JJW-4KYDP-2YMKW-FX36H-QYVD8 OFFICE2007 CDKEY: TT3M8-H3469-V89G6-8FWK7-D3Q9Q Windows Vista License Windows Vista PVYFQ-2JTBV-9KXQ2-FQHDY-MTBVH WGDJW-B8DYC-WVKX4-6MKF4 -B8PK82 WHPY8-M92RQ-2KMD9-QWQMK-8KV4M H2J4JT-P34KF-YMGH8-FKDRQ-JP8M9 JYFKBB-PQJJV-G996G-VWGXY-2V3X8 F73WT-WHD3J-CD4VR-2GWKD-T38YD C3HJX-FPCVK-V7KKQ-3GCYQ-9Y6HP GFT9CH-XVXW7-7BFCM-RPR49-VDHYD TBXVP- MB6YG-MH8W4-VXGW2-QYB9W D8PZY-F7H7D-M8D6M-DY4KC-FD83D P8QG2-HTYCH-MMC9D-22VK3-7YFK8 KT7Y4-XBJ88-GCQGW-CWTFM -JTFP6 GTXGD-DFWC6-9GRPC-3VH6P-Q428T RBDC9-VTRC8-D7972-J97JY-PRVMG MT93V-GXPJQ-W4HQ3-DV2Q7-8G64Y QP8X3-HFQPH-7R6X7-MJXYB-FDGQG RH6TWQ-TQQM8-HXJYG-D69F7-R84VM CXGDD-GP2B2-RKWWD-HG3HY-VDJ7J RK7J8- 2PGYQ-P47VV-V6PMB-F6XPQ GCDWW-28QJ8-3VXCD-RWYJT-WB3RX 2KGQ8-XGBY6-8TMBT-YRD6J-2HQVH TCYX3-TWTR4-BTYGT-KG7M4 -8X8XJ9 PPH4P-RMTRM-RGD4Y-P3T8T-CM8DX J8WYR-BVYM6-XWB2Y-T7P6W-TXVC4 HVMCG-WVJWH-FC9YH-F7F7K-D94X8 Microsoft Office Office House and Pupil 2007 Essential Microsoft Office House and Pupil 2007 product important DDY79-433JV-2RXGX-MQFQP-PFDH8 I can DBXYD- TF477-46YM4-W74MH-6YDQ8 C4TCG-G2PKP-7TMK9-737BJ-YWK38 DBXYD-TF477-46YM4-W74MH-6YDQ8 DDY79-433JV-2RXGX-MQFQP-PFDH8 1. making use of the serial number installed (which may be pirated,Office Home And Business Key, so long as confirmed.) 2. Near all Office applications start,Office Professional Plus 2010 Key, run regedit, open the registry discover HKEY_LOCAL_MACHINE Software Microsoft Office 12.0 Registration delete subkey ProductName, DigitalProductID and ProductID Near the Registry I have verified find C: ProgramFiles CommonFiles MicrosoftShared OFFICE12 OfficeSetup Controller Proof.en Proof.XML file modify XVQC3-KY4GQ-DQFQP-JC624-QJRMJ M6KWT-FQ3FG-3XRT4-8GK23-XQ3Q8 T8WB8-3XD69-X6QPQ-FKB8H-QB6HW C8D36-9TF34-PDD9R-DKW7H-VGDQ8 BF6H3-4F6RP-YX83G-4TCFF-M8W7W T669Q-H2294-399R9-3FFWM-C7FMJ JXX3G-3X2TM-XW73T-QM9HJ-2JGHW RMJT2-C4DR6-7BBBQ-69Q8T-TGPVW Q642R-9PC26-R4DFJ-4HDG7-WKCVW H2QH4-KXCMP-R6T7M-GCHM6-B6YYJ TH8D9-47HGY-JWH8R-4T23H-FRX38 R4F66-K6QH2-FG2Y6-BMV2C-2JGHW VW9B7- XK3RX-QQMK8-8CHJW-PYDQ8 W3JBH-9GQYD-FR3JM-9JDGV-FCQQ8 VM6MY-W643Y-QFXRJ-KRKXJ-XXMYJ M97W8-JPVK3-D986J-BR6XV-HP2VW RXMJP-2G89Y- KQJM2-HRC3P-MB938 WV7QQ-M3K73-GD3XV-8TX6B-FDW7W M88X8-MXMGX-G6JGR-36VMH-TBPVW R6TWR-8TW63-7Y44W-HBM8X-CY6HW MRJY3-VFG8Y-DGY2R- KXQMY-QJ8BJ GCP7C-X87YQ-B9FCR-P3PB9-DM938 T6PPD-FY4FR-Y99PW-PTJXT-KVFMJ XBCJH-BPGH9-DBX2C-Y2G6V-CCQQ8 PJ9TK-9W28R-PYB2B-2W48H- CVFMJ QXGK4-PF3P3-P8XB2-2F7KX-6C2VW T98C4-89KG9-BM72D-C9C2Q-7MJBJ DP37G-8BBDM-9Y4BW-WT2K8-2WRMJ P64QH-V3F2K-RXY44-29DMV-JVWBJ VVYHQ-RRQTD-YVBF6-P79D3-2TYYJ MFR2X-R96Y2-XM97W-8HD6H-Y9HD8 TV8BY-HFBWX-889M6-VR4QH-76VD8 P3787-68DH6-GMKHB-GY2BR-Y2FMJ
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