Thursday, April 18, 2024

一个中国人来海外的故事。新加坡給了她一个在国外学习和工作的机会。海外华人故事。移民海外人的故事。

T-bill: How do I read T-bills auction results? [By Monetary Authority of Singapore (MAS)] 2024-0-18

In a uniform-price auction, successful non-competitive and competitive applications will be allotted the T-bills at the Cut-off Yield and Cut-off Price. The Cut-off Yield refers to the highest accepted yield of successful competitive applications, and the Cut-off Price refers to the price corresponding to the Cut-off Yield. See question on "How do I compute my initial investment amount for my T-bills based on the cut-off yield?" for the formula to compute the cut-off price.

If you have placed a non-competitive application, you may refer to the % of Non-Competitive Applications Allotted for the percentage of allotment given to non-competitive applications for the auction. If you have placed a competitive application at the Cut-off Yield, you may refer to the % of Competitive Applications at Cut-off Allotted for the percentage of allotment given to applicants who bid exactly at the cut-off yield for the auction.

Do note that in the event of over-subscription, individual allotments will be adjusted on a randomised basis to ensure that allotments are in denomination of S$1,000.

For more information on the competitive bidding behaviour in an auction, you may also refer to the Median Yield and Average Yield. The Median Yield refers to the yield corresponding to the median of successful competitive applications, while the Average Yield refers to the sum product of the amount of successful competitive applications and the respective application yields, divided by the total amount of successful competitive applications. The results for each T-bills issue may differ depending on investors’ bidding behaviour.

Wednesday, April 17, 2024

著名医学专家华益慰患胃癌去世,临终告诫:癌症 千万别过度治疗

打开App
APP内打开

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

关注

«——【·前言·】——»

华益慰,他一生为抗癌而战,可以说是中国医学界里抗癌的顶级医生。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

然而,哪怕是如此医术高明的医生,也难以逃脱病症的折磨,他因胃癌而去世,去世前,他告诫人们,癌症,千万不要过度治疗。

«——【·知名医生·】——»

华益慰,是我国著名的医学专家之一,他一生都在抗癌防治第一线奋斗,56年如一日,为无数患者带来了福音。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

作为北京军区总医院外一科主任,他在医院内从事抗癌工作长达半个多世纪,进行了数不清的手术,几乎每一年都能保持100台以上的手术量。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

可以说,他的一生都奉献给了医学事业,成为无数医学工作者的学习榜样。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

即便到了退休年龄,医院也没有放过这位德高望重的老专家,仍然再次挽留他,希望他能继续为医学事业贡献自己的力量。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

华益慰毫不犹豫地重新回到了医院,继续在抗癌前线奋战。在他看来,只要自己还有一丝力气,就应该全身心地投入到这项事业中去,去拯救更多的生命。

«——【·胃癌晚期·】——»

然而,命运对这位医者无疑是残酷的。2005年的一个夏日,72岁的华益慰在进行常规体检时,发现自己竟然也罹患了胃癌,而且已经是晚期。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

作为一名医学专家,他对自己的病情再清楚不过,这对他来说无疑是一个巨大的打击。

从一名医生转变到一名患者,华益慰亲身体验到了癌症给生命带来的痛苦,这也让他思考癌症后期治疗是否还有意义。

«——【·痛苦的治疗·】——»

华益慰确诊胃癌晚期后,毫不迟疑地选择了常规的全胃切除手术。作为资深的医学专家,他对这种手术方式再熟悉不过,这也是他多年来一直采用的治疗手段。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

但是,当亲身经历了全胃切除手术后,他才真正体会到了这种手术给患者带来的痛苦。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

全胃切除手术后,华益慰开始出现了严重的反流问题,因为贲门也被一并切除了。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

这导致他的食道和胃部被胆汁和肠液严重刺激,烧心难忍,只能半卧在床上勉强维持着生命。为了防止癌细胞的扩散,他还不得不接受一个月8次的腹腔热疗。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

所谓"腹腔热疗",就是利用专业设备将病人的腹腔加热到41摄氏度,持续一个半小时。

这个过程对于普通人来说都是难以忍受的,更别说已经身体极度虚弱的华益慰了。每次结束后,他都浑身冒汗,只能依赖止痛药来缓解痛苦。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

然而,痛苦的治疗并没有带来理想的效果。相反,华益慰的身体状况每况愈下,出现了呕吐、无法进食等症状。为了缓解症状,他不得不再次接受手术,但这次手术的结果也并不理想,反而导致了腹腔严重感染。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

在接下来的日子里,华益慰承受着各种并发症的折磨,他曾多次对照顾他的同事说:“别输了,别再浪费了,我不想撑下去了。”最终,在2006年8月12日,这位伟大的医生永远离开了人世。

«——【·想法的改变·】——»

作为一名资深的专家,华益慰在治疗胃癌患者时,往往会选择全胃切除手术。他认为,这是从根本上解决问题的最佳方式。但是,当他亲身经历了全胃切除后,他的想法发生了改变。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

华益慰发现,全胃切除不仅没有从根本上解决问题,反而给患者带来了巨大的痛苦。他意识到,医生在治疗过程中,不能只顾及治疗疾病本身,更要考虑到患者的生活质量。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

于是,华益慰开始反思自己多年来的治疗方式。他认为,如果全胃切除后,患者只能活一年半,但整个过程都在痛苦中度过,那么不如不切除胃,只活一年,但患者可以过上幸福充实的生活。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

他认为,在面对晚期癌症患者时,医生首要考虑的应该是,是否还能从根本上缓解症状,提高患者的生活质量。如果手术只会给患者带来更多痛苦,那么就不应该强求进行。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

在华益慰离世前,他一再叮嘱同事们,以后在治疗胃癌患者时,一定要慎重考虑,能不全切就不要全切,至少要保留一部分胃。因为他亲身经历了全胃切除后的痛苦,深知这种手术给患者带来的巨大负担。

«——【·临终医嘱·】——»

在 2006年8月12日,华益慰感受到自己的生命即将走到尽头。临终前,他召集家人,留下了自己最后的遗嘱。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

首先,华益慰嘱咐家人,要帮他寻找一位叫张秋海的人,将当年他收下的1000元红包还给对方。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

原来在9年前的一次就诊中,这位患者为了表达感谢,曾经将1000元塞给华益慰,但华益慰一直没能联系到对方。现在,他希望在离世前能将这笔钱物归原主。

其次,华益慰要求家人,在他去世后,不要发布任何讣告,也不要举行遗体告别仪式。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

相反,他希望自己的遗体能够捐赠给国家,供医学研究使用。作为一名医学专家,他希望自己的离世能为医学事业做出最后一点贡献。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

华益慰的这些遗嘱,充分体现了他毕生追求的医者仁心精神。即便在生命的最后时刻,他依然关心着病患,希望能够帮助更多人摆脱疾病的困扰。他的无私奉献精神,无疑成为了后来者学习的楷模。

«——【·保护胃部·】——»

面对华益慰的遭遇,我们不禁要思考,如何才能预防胃癌的发生?

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

第一,要注意饮食习惯。尽量少食用腌制类、熏制类、烧烤类等食物,这些食物容易对胃粘膜造成刺激,增加患癌的风险。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

同时也要少食用冰凉、滚烫、辛辣的食品。保持健康、营养、易消化的饮食习惯很重要。

第二,要定期进行体检。一旦发现身体出现异常,一定要及时就医,不要因小事而掉以轻心。只有及时发现问题,才能有效地治疗和预防。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

第三,要注重心理健康。胃肠道疾病与情绪压力有很大关系,所以我们要合理安排工作生活,减轻自己的压力,保持良好的心态。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

只有我们时刻谨记预防的重要性,才能真正远离胃癌的威胁,拥抱健康的生活。

«——【·结语·】——»

华益慰的一生无疑是值得我们学习和敬佩的。作为一名医学专家,他把自己的一生都奉献给了抗癌事业,为无数患者带来了希望。

他的临终遗嘱更是体现了他的医者仁心。在离世前,他竟然还在想着如何将一笔小小的红包归还给当年的患者,这无疑是一种高尚的医德。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

他还希望自己的遗体能为医学事业做出贡献,可谓是至死不渝的医学事业追求者。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

我们相信,随着医学技术的不断进步,癌症的治疗方式一定会越来越先进,给患者带来更多的希望。

著名医学专家华益慰患胃癌去世,临终告诫:癌症,千万别过度治疗

但无论如何,我们都应该像华益慰那样,时刻关注患者的感受,让医疗不再只是单纯的治疗,而是一种温暖人心的人性关怀。

参考资料:

英雄烈士谱|华益慰:值得患者托付生命的人——新华社

华益慰生命最后的日子——健康时报

热门评论
洞庭汉
点赞34
赶紧发展好中医吧!中国中医才是保卫人类生命的王道——有尊严的活着。
1回复1天前
小区来了宣传队
点赞9
伟大的中医生去那里了???出来说说!干的湿的阳阴的?有什么方子,加加减减然后全愈了
1回复1天前
qzuser
点赞0
只看到你在说
回复33分钟前
查看更多评论
评论
95
收藏
点赞
分享
今日头条
版本号:9.7.7
产品功能
权限列表
隐私政策
开发者:北京抖音信息服务有限公司
评论 0
0 点赞0 转发
暂无评论

Words of wisdom from the dying: ‘Block out those who hurt you, stay positive’

×
The Straits TimesSPH Media Limited
INSTALL
For Subscribers

Words of wisdom from the dying: ‘Block out those who hurt you, stay positive’

Ms Haslina Wannor has systemic sclerosis, an uncommon autoimmune disorder that causes the skin and connective tissues in the body to harden. ST PHOTO: GIN TAY
Venessa Lee
Senior Correspondent
Updated
Apr 13, 2024, 02:30 PM
Published
Apr 13, 2024, 01:00 PM

SINGAPORE – At age 29, Ms Haslina Wannor was diagnosed with systemic sclerosis, an uncommon autoimmune disorder that causes the skin and connective tissues in the body to harden.

Nine years ago, her condition worsened, and she developed advanced pulmonary arterial hypertension, which affects the lungs and can lead to serious complications such as heart failure.

Now 44, she needs a supplemental oxygen supply from an oxygen concentrator 24 hours a day.

She used to work as a phlebotomist in a hospital, drawing blood from patients for medical tests. She has been a patient herself and has seen many patients come and go.

She says staying positive helps her live with conditions that feel like a “time bomb” that could explode at any time.

“The people whom I have lost seemed to deteriorate fast when they lost hope and their desire to live was gone. I believe my positive outlook and thoughts have helped me,” says Ms Haslina, who spends three days a week at Assisi Hospice in Thomson Road.

“You have to accept that this will be the end of your journey. If I didn’t accept my illness, I would still be having negative thoughts and focused on dying. It took quite a while for me. It was chaotic.”

When adversity strikes, her advice is to “take your time, cry, but don’t delay getting the motivation to move on”.

“You can focus on how you are going to use the time you have left wisely. You can design or curate your end and settle your affairs.”

The mother of an 18-year-old daughter adds: “My positivity also helps other patients. Some elderly patients, for instance, don’t have anyone to talk to, but I like to listen to them.”

In her journey, Ms Haslina has also learnt the importance of self-care. “It’s hard to learn that, when you’re at your lowest point, people run away,” she says. “I used to be a people pleaser, but I was hurt when I ignored my own feelings to please others. I’ve forgiven whoever hurt me, but I’ve also blocked many people.”

In recent years, Ms Haslina, who finds solace in her Islamic faith, has been supported by clinical care, therapy and other services at Assisi Hospice, where she takes part in activities such as leather craft and painting. 

“I found my talent and creativity at Assisi Hospice. I have this sense of joy and achievement. This is God’s gift to me, and I wish to give back. Make full use of your talents, which can bloom at any time, for the benefit of people around you,” says Ms Haslina, who has made leather bags and painted postcards for sale to support the hospice.

“Appreciate every little thing that is given to you. I’m so grateful to God, whom I thank for every breath,” says Ms Haslina. She routinely uses a six-litre tank of supplemental oxygen which lasts about 90 minutes before it has to be replaced with a new one. A larger oxygen tank, which contains several hours’ worth of oxygen, is used at home. 

“I didn’t think to give thanks until I had to buy oxygen to breathe,” she says.

Join ST's Telegram channel and get the latest breaking news delivered to you.

Words of wisdom from the dying: ‘Accept your burdens and move forward’

×
The Straits TimesSPH Media Limited
INSTALL
For Subscribers

Words of wisdom from the dying: ‘Accept your burdens and move forward’

Mr Toh Kok Peng was diagnosed with ALS (amyotrophic lateral sclerosis), formerly known as Lou Gehrig’s disease, at the age of 36. ST PHOTO: AZMI ATHNI
Venessa Lee
Senior Correspondent
Updated
Apr 13, 2024, 02:30 PM
Published
Apr 13, 2024, 01:00 PM

SINGAPORE – Mr Toh Kok Peng was diagnosed with ALS (amyotrophic lateral sclerosis), formerly known as Lou Gehrig’s disease, at the age of 36. Over time, the rare motor neurone disease affects control of the muscles needed to move, speak, eat and breathe. There is no cure for ALS.

Now 39, Mr Toh is paralysed and he cannot talk. He uses an augmentative and alternative communication (AAC) device known as Tobii. AAC refers to all the ways in which a person communicates besides talking. By using a communication aid that is controlled with his eyes, he can use a digital voice or type messages. He used the latter method to respond to The Straits Times’ interview questions.

Mr Toh, who used to work as a senior manager at a biotechnology multinational corporation, had led a physically active lifestyle since his national service days, where he served as a naval diver.

But one day, he could not turn a screwdriver while fixing a cupboard door. His initial assessment that it was likely a muscle strain evaporated after a battery of medical tests.

He says: “I was in the prime of my life, having been promoted to the role of a senior manufacturing manager just months before getting my diagnosis in mid-2020. In the initial stages, I had trouble confronting my disease. I lost my appetite and was rushing to get my affairs settled due to the prognosis of two to five years that I was given.”

The first neurologist Mr Toh consulted told him plainly that he “just had to wait” for his muscles to deteriorate and that there was nothing to be done.

“I felt very helpless because he was essentially asking me to wait to die,” he recalls.

But another neurologist changed Mr Toh’s perspective.

“He said not to look at it as a disease that I am going to die from, but as a medical condition that I am living with.

“In sum, the sooner that you accept your condition, the more time you will have to create happy, cherished moments with your loved ones and for yourself. Accept your burdens and move forward, for their sake.”

‘Eat, drink and be merry’

Taking his doctor’s advice, Mr Toh continued to swim until he could no longer undress himself or lift his arms.

He recorded videos for his two sons, aged seven and five, and his 35-year-old wife, who works at a statutory board. He shared stories from his life and imparted advice he hoped they might find useful in the future, ranging from how to handle stress to the importance of insurance.

“I was fortunate to have had a persistent financial planner who kept asking me to buy insurance policies,” he quips.

He also advises: “Eat, drink and be merry while you can.”

He indulged in buffets and his favourite fried foods, and quaffed sake, whisky and Coke, knowing that he would eventually lose the ability to swallow. He has been tube-fed since March 2024.

“As positive as I seem to make it sound, I do face trials and tribulations in a roller-coaster way. With each milestone of disability, you must learn to calibrate and cope. Managing mental and emotional states is more difficult than the physical part.”

Using Tobii’s eye-gaze or eye-tracking technology to create Excel and PowerPoint files, Mr Toh continued working until 2023. He had to give up the work he loved because he could no longer sit for many hours.

He says: “Thanks to my new-found faith in Christianity, I learnt to lean on spiritual support that I had been missing for a long time. Previously, I depended on myself and others for physical and emotional support, but when humans fail, faith in God filled the void that I had.

“You have to continue finding the reason or support that will lift you up, be it an activity, a thing, a person or a religion.”

Mr Toh Kok Peng uses a communication aid by controlling it with his eyes, so he can type messages or use a digital voice. ST PHOTO: AZMI ATHNI

‘Don’t be quick to judge’

Mr Toh, who co-founded the Motor Neurone Disease Association Singapore in 2021, cautions against underestimating people living on the margins.

He says: “I can’t move my four limbs. I can’t talk or swallow. I am fed through a tube that goes directly into my stomach.

“But my cognitive functions are still sharp and my senses are intact. I am the CEO and CFO of my household. I buy the groceries online and plan the meals for our two helpers to cook. I also manage the finances at home.

“There are many people who misunderstand ALS because they see someone who is paralysed. By leveraging technology, we can still accomplish many things.

“Don’t be quick to judge or underestimate people who are different.”

He is grateful for the limited time he has left.

“We should live our lives as though we are living our last, so that we will cherish precious moments. What would you do today if you know that you are going to die tomorrow? But my wife keeps reminding me that I am not going to die tomorrow,” Mr Toh says.

Join ST's Telegram channel and get the latest breaking news delivered to you.