一位护士眼里的1500名艾滋病毒感染者
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">去年一位农民来的时候身上<span style="color: black;">仅有</span>90元,连挂号的<span style="color: black;">花费</span>都<span style="color: black;">不足</span>,午饭<span style="color: black;">亦</span>没吃。我赶紧把办公室里能找到的零食都给他吃,<span style="color: black;">大众</span>又<span style="color: black;">一块</span>凑钱,给他回去的路费。第二次他来,还是没带钱,<span style="color: black;">咱们</span>只能给他做<span style="color: black;">有些</span>免费的<span style="color: black;">检测</span>,反复嘱咐他,<span style="color: black;">必定</span>要好好吃药。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">还有一位农民工,<span style="color: black;">一月</span>赚3200元,其中2800元都要寄回家给他的母亲,养家里的两个<span style="color: black;">孩儿</span>。我觉得他穿得挺干净,而他告诉我,他的衣服、裤子、皮鞋都是从垃圾箱里捡来的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">这般</span>的人不少,<span style="color: black;">她们</span>都是迫切<span style="color: black;">必须</span>国家<span style="color: black;">帮忙</span>的人。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">本文约</span><span style="color: black;">4000</span><span style="color: black;">字</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">预计阅读时间</span><span style="color: black;">11</span><span style="color: black;">分钟</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/qNPg7BB4JgibZIbo9Uq5OYtqicav4ULvBwia5p694icOUAs8wjmmSuCTyCCicfxcFAccAjbLtic3FVaKLKZNjR01XdJg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">2017年世界艾滋病日,北京协和医院各科室医护人员举起标语:<span style="color: black;">每一个</span>人的参与都<span style="color: black;">要紧</span>。受访者供图</span></strong></span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">作者 | 王嘉兴采访整理</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">编辑<strong style="color: blue;"><span style="color: black;"> | 秦珍子</span></strong></span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我叫宋晓璟,是北京协和医院的一名护士。我工作17年,在艾滋病专科做了7年,是<span style="color: black;">这儿</span>的第3任专科护士。我以前在别的科室当过护士长,但还是想做专科护士。<span style="color: black;">这儿</span>缺人,加上我觉得工作比较有<span style="color: black;">道理</span>,就来了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">咱们</span>的<span style="color: black;">目的</span>是让<span style="color: black;">病人</span>有尊严、有质量、负责任地活着,为<span style="color: black;">她们</span><span style="color: black;">供给</span>信息,帮<span style="color: black;">她们</span>应对困难。门诊时间有限,<span style="color: black;">大夫</span>做不到的部分,专科护士来<span style="color: black;">弥补</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">这儿</span>有一个<span style="color: black;">要紧</span>原则,专业名词叫做non-judgemental(不予评判的)。我会时时刻刻提醒自己,感染者到医院就诊的目的是<span style="color: black;">得到</span><span style="color: black;">帮忙</span>,而不是在道德、<span style="color: black;">行径</span>方面被别人评判。要<span style="color: black;">否则</span>,<span style="color: black;">她们</span>下次就不会来了。<span style="color: black;">倘若</span>感染者离开了医疗系统,艾滋病防控就<span style="color: black;">没</span>从谈起。<span style="color: black;">因此</span>不管<span style="color: black;">她们</span>因<span style="color: black;">为何</span>感染上艾滋病,<span style="color: black;">咱们</span>要给<span style="color: black;">她们</span>一条能走得通的路。在这个过程中,<span style="color: black;">奋斗</span>做到共情而非同情。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这些话说起来<span style="color: black;">好似</span>容易,真做起来其实很难,但<span style="color: black;">倘若</span>做到了,就能<span style="color: black;">得到</span><span style="color: black;">病人</span>实实在在的信任。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">1</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">护士为所有感染者做<span style="color: black;">第1</span>次咨询的时候,都会有一个环节,跟<span style="color: black;">她们</span>讲什么<span style="color: black;">状况</span>下会比较容易传染给别人,什么<span style="color: black;">状况</span>下相对安全。这个环节<span style="color: black;">不可</span>只谈枯燥的数字和概率。我会让<span style="color: black;">病人</span>伸出手,紧紧按住它,问他,<span style="color: black;">倘若</span>你的手上有一个很大的伤口,流着鲜血,我<span style="color: black;">这般</span>按住你的伤口会不会被传染?</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有的感染者会觉得这是一种善意,一种接纳,我敢和他握手。我<span style="color: black;">亦</span>能看到<span style="color: black;">她们</span>的反应。7年前,大部分感染者的回答是,会传染。而7年后的今天,几乎所有感染者的回答都是“不会”。这种变化<span style="color: black;">表示</span>,中国对艾滋病的科普宣传还是<span style="color: black;">特别有</span>效的,对<span style="color: black;">咱们</span>开展工作有很大<span style="color: black;">帮忙</span>,我心里很感恩。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">得到</span>病人的信任是很难的事情。最糟的一点是,<span style="color: black;">她们</span>会自己<span style="color: black;">卑视</span>自己,真的会有一部分人觉得自己“乱搞”了,<span style="color: black;">生病</span>是<span style="color: black;">处罚</span>。<span style="color: black;">咱们</span>要做的,<span style="color: black;">便是</span>让他一点点放下<span style="color: black;">哪些</span>,把<span style="color: black;">重视</span>力完全放到<span style="color: black;">协同</span>治疗上来。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">艾滋病毒感染者属于很<span style="color: black;">敏锐</span>的人群。我刚做护士的时候,有个<span style="color: black;">青年</span>人在感染途径统计表上写的是“同性和异性性传播”,我看到<span style="color: black;">这儿</span>,迟疑了一下。下次他再来的时候,我<span style="color: black;">发掘</span>这个<span style="color: black;">地区</span>被他用黑笔涂掉了。其实我完全<span style="color: black;">无</span><span style="color: black;">消极</span>的感受,但他<span style="color: black;">重视</span>到我的反应,这<span style="color: black;">增多</span>了他的心理压力,后来我就会<span style="color: black;">尤其</span>提醒自己避免<span style="color: black;">显现</span>类似问题。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">咱们</span>会<span style="color: black;">通知</span><span style="color: black;">她们</span>的权利,<span style="color: black;">例如</span>隐私权,让<span style="color: black;">她们</span>对<span style="color: black;">晓得</span><span style="color: black;">她们</span>病情的人说清楚,<span style="color: black;">不可</span><span style="color: black;">无</span>经过<span style="color: black;">她们</span>的<span style="color: black;">准许</span>告诉别人,否则是违反国家法律的。再<span style="color: black;">例如</span>,工作单位的入职体检<span style="color: black;">不可</span>查艾滋病,<span style="color: black;">亦</span><span style="color: black;">不可</span>以<span style="color: black;">她们</span>感染艾滋病毒为由拒绝雇用<span style="color: black;">她们</span>或是解雇<span style="color: black;">她们</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">咱们</span>会讲,法律规定不<span style="color: black;">能够</span>恶意传播艾滋病。<span style="color: black;">倘若</span>要与<span style="color: black;">爱好</span>的人<span style="color: black;">出现</span>性关系,<span style="color: black;">必定</span>要做好<span style="color: black;">通知</span><span style="color: black;">况且</span>戴上安全套。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">咱们</span>解释说,<span style="color: black;">倘若</span>你决定告诉伴侣,说明你是一个对家庭<span style="color: black;">尤其</span>负责任的人。<span style="color: black;">倘若</span>你不<span style="color: black;">晓得</span>该怎么说,<span style="color: black;">能够</span>把伴侣带来,<span style="color: black;">咱们</span>帮你讲,家人<span style="color: black;">亦</span>是<span style="color: black;">咱们</span>照顾的对象。<span style="color: black;">病人</span>愿意接受<span style="color: black;">咱们</span>的<span style="color: black;">意见</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">比较起来,早年间的<span style="color: black;">病人</span>更听话,说什么<span style="color: black;">她们</span>都照做,不会问<span style="color: black;">为何</span>。<span style="color: black;">此刻</span>病人接收到的信息<span style="color: black;">更加多</span>了,<span style="color: black;">她们</span>会问<span style="color: black;">更加多</span>,<span style="color: black;">为何</span>这么吃药,什么药对我最合适,我有<span style="color: black;">无</span>别的<span style="color: black;">选取</span>?</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我还会告诉每一个病人,你有任何不满、<span style="color: black;">需求</span>,<span style="color: black;">必定</span>要充分向我表达,哪怕和我争论都<span style="color: black;">不碍事</span>,我不会<span style="color: black;">留意</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="https://mmbiz.qpic.cn/mmbiz_jpg/qNPg7BB4JgibZIbo9Uq5OYtqicav4ULvBw3INpvt1iaKPmKALhj6has4WusAAs3AHPejzjtJUYw8Hw4nsyzJqfBhg/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">防艾志愿者穿上病号服,模拟<span style="color: black;">病人</span>接受<span style="color: black;">朋友</span>的拥抱。视觉中国供图</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">其实在医院里,<span style="color: black;">大夫</span><span style="color: black;">亦</span>不可能天然支持护士的一切工作。但所有<span style="color: black;">大夫</span>都<span style="color: black;">剧烈</span><span style="color: black;">意见</span><span style="color: black;">病人</span>到<span style="color: black;">咱们</span><span style="color: black;">这儿</span>来聊聊,<span style="color: black;">由于</span><span style="color: black;">她们</span><span style="color: black;">发掘</span>,有了这个过程,<span style="color: black;">她们</span>和<span style="color: black;">病人</span>的沟通会顺畅得多。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我刚来做专科护士的时候,会觉得尴尬,有些事情<span style="color: black;">欠好</span>开口。一些<span style="color: black;">病人</span>会给我很<span style="color: black;">仔细</span>地描述<span style="color: black;">她们</span><span style="color: black;">患病</span>时的经过,还会向我描述性<span style="color: black;">行径</span>的细节,问我会不会传染给别人。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">后来我就能接受这些了。<span style="color: black;">倘若</span>在<span style="color: black;">这儿</span>连性都<span style="color: black;">不可</span>谈,那艾滋病的防控<span style="color: black;">便是</span>空谈了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><strong style="color: blue;"><span style="color: black;">2</span></strong></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我常常接到病人的<span style="color: black;">tel</span>,从<span style="color: black;">tel</span>里就能感受到<span style="color: black;">她们</span>的焦虑和担心。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">“我忘记了今天吃没吃药怎么办,要补吗?”“我<span style="color: black;">刚才</span>吃药后<span style="color: black;">尤其</span>恶心,吐了。我看里面<span style="color: black;">亦</span><span style="color: black;">无</span>药片,还要不要再吃?”“我孙子把我的鼻子挠破了,他会被感染吗?”“<span style="color: black;">刚才</span>有人碰到我的血了,会有事吗?”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我还接到过<span style="color: black;">tel</span>,一名<span style="color: black;">病人</span>说自己在天台站了2小时了。我<span style="color: black;">晓得</span>,那其实是<span style="color: black;">药品</span>的副<span style="color: black;">功效</span>,会<span style="color: black;">引起</span>抑郁<span style="color: black;">心情</span>。我就在<span style="color: black;">tel</span>里<span style="color: black;">持续</span>安慰他,<span style="color: black;">而后</span>安排他<span style="color: black;">次日</span>就来更换<span style="color: black;">药品</span><span style="color: black;">方法</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">病人的经济<span style="color: black;">要求</span>、家庭<span style="color: black;">情况</span>会直接影响<span style="color: black;">她们</span>的治疗效果,当然,<span style="color: black;">咱们</span>不会直接地问,而是靠专业的“谈话”来<span style="color: black;">认识</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有个病人自己偷偷把药停了,下一次来的时候,指标比刚来的时候还差。问他药吃了吗,他说吃了,我再使劲儿问,他才说,觉得这个药对自己<span style="color: black;">损伤</span><span style="color: black;">尤其</span>大,<span style="color: black;">因此</span>没吃,喝了3个月中药。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">她们</span><span style="color: black;">这般</span>,还是出于对医疗系统的不信任。<span style="color: black;">倘若</span>他信任,停药前<span style="color: black;">必定</span>会和你商量。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">有的<span style="color: black;">病人</span>文化水平不高,缺乏基本的医学常识,<span style="color: black;">必须</span>和<span style="color: black;">她们</span>反复沟通。我抓住他最关心的事情,到底能<span style="color: black;">不可</span>结婚,能<span style="color: black;">不可</span>生小孩,能<span style="color: black;">不可</span>抽烟喝酒,能活多少岁。<span style="color: black;">有些</span>人不<span style="color: black;">晓得</span>艾滋病能治疗,听<span style="color: black;">咱们</span>讲完还问,居然能活<span style="color: black;">那样</span>久吗?</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">此刻</span>,艾滋病的治疗<span style="color: black;">已然</span>有了很大<span style="color: black;">发展</span>。我经常跟病人说,只要规律吃药,就有<span style="color: black;">期盼</span>撑到艾滋病被治愈的那一天。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">当<span style="color: black;">她们</span>生活<span style="color: black;">出现</span>变故的时候,治疗<span style="color: black;">常常</span>会受影响。有一个老年病人,某次来了门诊就<span style="color: black;">起始</span>发脾气、挑刺儿,聊了很<span style="color: black;">长期</span>才<span style="color: black;">晓得</span>,他前一阵得了脑梗,家里<span style="color: black;">仅有</span>一个哥哥,自己<span style="color: black;">无</span>家庭和小孩,住在养老院里。他其实是非常恐惧和失落的,<span style="color: black;">由于</span>他照顾自己的能力大幅下降了。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">还有一个病人,以前治疗效果很好,<span style="color: black;">然则</span>某次<span style="color: black;">检测</span><span style="color: black;">忽然</span>指标反弹了。再问,才<span style="color: black;">晓得</span>他失业了,有一种<span style="color: black;">药品</span>是自费的,<span style="color: black;">此刻</span>吃不起了。但他不<span style="color: black;">晓得</span>,国家的免费药<span style="color: black;">非常多</span>,拿<span style="color: black;">医疗保险</span>覆盖的药顶上就行。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">这些事情,你不问,<span style="color: black;">她们</span><span style="color: black;">欠好</span>意思主动说。我要做的,<span style="color: black;">便是</span>从<span style="color: black;">检测</span>乃至聊天的蛛丝马迹中<span style="color: black;">发掘</span>问题,<span style="color: black;">因此</span>要带着<span style="color: black;">目的</span>去聊。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我<span style="color: black;">亦</span>遇到过<span style="color: black;">有些</span><span style="color: black;">欠好</span>“管”的。有一个病人<span style="color: black;">第1</span>次来的时候就告诉我,之前杀过人,刚从牢里放出来,当时我就想,要多关注他。果然,他<span style="color: black;">无</span>按时吃药,<span style="color: black;">由于</span>他的<span style="color: black;">药品</span>会有拉肚子的副<span style="color: black;">功效</span>,这会影响他的工作,于是值夜班的时候,当晚的药就不吃。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我劝他,他很逆反,于是我自己设了个闹钟,<span style="color: black;">每日</span>早晚7点给他打<span style="color: black;">tel</span>。<span style="color: black;">这般</span><span style="color: black;">连续</span>了3天,他和我说,对不起,我没想到你会这么关心我,我以后会按时吃药的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">结果下次来,他告诉我,每次他都吃了双倍的药。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">虽然加了<span style="color: black;">非常多</span><span style="color: black;">病人</span>的<span style="color: black;">微X</span>,但我会屏蔽<span style="color: black;">她们</span>的<span style="color: black;">伴侣</span>圈。我认为医患关系<span style="color: black;">这般</span>处理更好,<span style="color: black;">期盼</span><span style="color: black;">她们</span>有什么<span style="color: black;">情况</span>主动来告诉我,而不是我在窥探。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">由于</span>不想暴露自己的身份,<span style="color: black;">咱们</span>的病人从来不写感谢信、不送锦旗,但<span style="color: black;">咱们</span>诊室常常收到<span style="color: black;">病人</span>的礼物,有<span style="color: black;">果蔬</span>,护手霜和<span style="color: black;">各样</span>土特产。<span style="color: black;">她们</span>结婚了,生<span style="color: black;">孩儿</span>了,给<span style="color: black;">咱们</span>发来照片。我的一个病人是一位优秀的小提琴手,我悄悄地去看了他的演出,但不会告诉他我来过。<span style="color: black;">咱们</span>和<span style="color: black;">非常多</span>病人发展成<span style="color: black;">伴侣</span>,但在大街上见到了,<span style="color: black;">咱们</span>不会打招呼。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">一位<span style="color: black;">病人</span>留下了<span style="color: black;">这般</span>的话:“我是一个灰暗到准备负重沉江的人,是你们让我的世界重新春暖花开。”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"><span style="color: black;">3</span></strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">放眼世界,<span style="color: black;">无</span>国家能像中国<span style="color: black;">这般</span>,花这么多钱在艾滋病的<span style="color: black;">掌控</span>与预防上。国家免费<span style="color: black;">供给</span>抗艾滋病<span style="color: black;">药品</span>,两项比较贵但又<span style="color: black;">必要</span>做的<span style="color: black;">检测</span><span style="color: black;">亦</span>免费进行。针对经济<span style="color: black;">要求</span>较差的<span style="color: black;">病人</span>,有专门的贫困<span style="color: black;">补贴</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">去年一位农民来的时候身上<span style="color: black;">仅有</span>90元,连挂号的<span style="color: black;">花费</span>都<span style="color: black;">不足</span>,午饭<span style="color: black;">亦</span>没吃。我赶紧把办公室里能找到的零食都给他吃,<span style="color: black;">大众</span>又<span style="color: black;">一块</span>凑钱,给他回去的路费。第二次他来,还是没带钱,<span style="color: black;">咱们</span>只能给他做<span style="color: black;">有些</span>免费的<span style="color: black;">检测</span>,反复嘱咐他,<span style="color: black;">必定</span>要好好吃药。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">还有一位农民工,<span style="color: black;">一月</span>赚3200元,其中2800元都要寄回家给他的母亲,养家里的两个<span style="color: black;">孩儿</span>。我觉得他穿得挺干净,而他告诉我,他的衣服、裤子、皮鞋都是从垃圾箱里捡来的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">这般</span>的人不少,<span style="color: black;">她们</span>都是迫切<span style="color: black;">必须</span>国家<span style="color: black;">帮忙</span>的人。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">非常多</span><span style="color: black;">病人</span>会<span style="color: black;">由于</span>艾滋病丢掉工作,但很少人会打官司,<span style="color: black;">由于</span>很难取证。他们<span style="color: black;">常常</span>是先被分配更少的工作,慢慢收入减少,自己就离职了。我觉得去打官司的人都是<span style="color: black;">尤其</span>勇敢的人。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">遇到<span style="color: black;">这般</span>的事情,<span style="color: black;">她们</span>的<span style="color: black;">心情</span>会很低落,来门诊的时候都看得出来。要<span style="color: black;">准许</span><span style="color: black;">她们</span>有一段时间觉得自己很累、很苦。<span style="color: black;">咱们</span>会告诉他,他<span style="color: black;">无</span>做错什么。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">近几年,因同性性<span style="color: black;">行径</span>感染艾滋病的<span style="color: black;">病人</span>是<span style="color: black;">咱们</span>科的<span style="color: black;">重点</span><span style="color: black;">病人</span>源。看有的<span style="color: black;">分部</span><span style="color: black;">颁布</span>的报告,<span style="color: black;">非常多</span>人传染<span style="color: black;">原由</span>写的是“不详”,其实是不愿意说起。<span style="color: black;">咱们</span><span style="color: black;">这儿</span>几乎见不到“不详”,和病人的关系<span style="color: black;">创立</span>得越好,越能得到真实<span style="color: black;">状况</span>,这不<span style="color: black;">寓意</span>着<span style="color: black;">咱们</span>在讨好<span style="color: black;">她们</span>,<span style="color: black;">她们</span>是出于信任告诉<span style="color: black;">咱们</span>。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">非常多</span>人会把同性性<span style="color: black;">行径</span>单独看做一条艾滋病的传播途径,<span style="color: black;">咱们</span>反对<span style="color: black;">这般</span>的说法,这是给群体贴上标签。传播艾滋病的是不安全的性<span style="color: black;">行径</span>,和性取向没<span style="color: black;">相关</span>系。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">有些</span><span style="color: black;">病人</span>是和父母<span style="color: black;">一块</span>来的,父母关心<span style="color: black;">孩儿</span>的婚育问题。曾有一位<span style="color: black;">病人</span>把自己的病情和<span style="color: black;">生病</span>的<span style="color: black;">原由</span>告诉家人,他的父亲<span style="color: black;">晓得</span>后,追到我家楼下,<span style="color: black;">必定</span>要与我谈话。在咖啡厅里,他的母亲沉默不语,父亲<span style="color: black;">持续</span>追问,能<span style="color: black;">不可</span>在30岁之前把性取向扭转回来,“不是有种手术,只要切掉小脑的一部分,性取向就正常了?”</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">包含</span>我在内,很多医护人员一<span style="color: black;">起始</span>接触艾滋病,心里还是会有恐惧的。但当<span style="color: black;">咱们</span>和<span style="color: black;">病人</span>有了<span style="color: black;">更加多</span>的接触,会<span style="color: black;">发掘</span>,<span style="color: black;">她们</span>其实是很可爱的一群人,<span style="color: black;">有些</span><span style="color: black;">大夫</span>护士告诉我,相比其他<span style="color: black;">病人</span>,艾滋病人是最听话的。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">过去,<span style="color: black;">非常多</span>医院和科室都拒绝给<span style="color: black;">她们</span>做手术。但<span style="color: black;">此刻</span>,艾滋病<span style="color: black;">病人</span>被越来越多医务工作者接受。每年,<span style="color: black;">咱们</span>会在医院内和医院外做<span style="color: black;">非常多</span>场关于“职业暴露”的培训,每一次我做培训时都会问医学生们,你愿意将来给HIV阳性的<span style="color: black;">病人</span>抽血、治疗<span style="color: black;">或</span>做手术吗?</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">我看到越来越多人举起手,每一只手都是一盏小灯。</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">中国青年报·中青在线<span style="color: black;">出品</span></strong></span></p><img src="https://mmbiz.qpic.cn/mmbiz_jpg/qNPg7BB4Jg8Axsl6lMaUOnZC2pq8O6E8GBZukpIMm7wzZZZe1cibO9Djedia16raOTsibiadEVGBIIFh0KT8VwEwKw/640?wx_fmt=jpeg&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;">
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">作者简介</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">▼</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;">王嘉兴</strong></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">毕业于清华大学<span style="color: black;">理学</span>系</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">可能是记者里最懂<span style="color: black;">理学</span>的人之一</span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">他此前的冰点<span style="color: black;">文案</span></span></span></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><strong style="color: blue;"><span style="color: black;"><span style="color: black;">青年长江学者与她“404”的论文</span></span></strong></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">泉州碳九泄漏事故:化工区</span></a>距<span style="color: black;">近期</span>居民区仅174米</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><a style="color: black;"><span style="color: black;">她可能是协和最有名的艾滋病人</span></a></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><strong style="color: blue;"> 欢迎留言,跟作者沟通互动 </strong></span></p>
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<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;"><span style="color: black;">觉得好看</span><span style="color: black;">请点<span style="color: black;">这儿</span></span><img src="https://mmbiz.qpic.cn/mmbiz_png/Ljib4So7yuWhVmrUFsCNdeuo8sIlDKvU6a5Q2G7QNLmk1NWaC4ibD3MIDBicGyfibmHkZBtJHHDWF81FOslJHeSXQA/640?wx_fmt=png&tp=webp&wxfrom=5&wx_lazy=1&wx_co=1" style="width: 50%; margin-bottom: 20px;"></span></p>
你的话语如春风拂面,温暖了我的心房,真的很感谢。 说得好啊!我在外链论坛打滚这么多年,所谓阅人无数,就算没有见过猪走路,也总明白猪肉是啥味道的。 论坛的成功是建立在我们诚恳、务实、高效、创新和团结合作基础上,我们要把这种精神传递下去。 期待更新、坐等、迫不及待等。
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