Jul21 ,08最難診治的胰臟癌The most difficult diagnosis and treatment of pancreatic cancer+創世記Genesis31:23 -33

創世記

31:23	拉班帶領他的眾弟兄去追趕，追了七日，在基列山就追上了。
31:24	夜間，　神到亞蘭人拉班那裡，在夢中對他說：“你要小心，不可與雅各說好說歹！”
31:25	拉班追上雅各。雅各在山上支搭帳棚；拉班和他的眾弟兄也在基列山上支搭帳棚。
31:26	拉班對雅各說：“你做的是甚麼事呢？你背著我偷走了，又把我的女兒們帶了去，如同用刀劍擄去的一般。
31:27	你為甚麼暗暗地逃跑，偷著走，並不告訴我，叫我可以歡樂、唱歌、擊鼓、彈琴地送你回去？
31:28	又不容我與外孫和女兒親嘴，你所行的真是愚昧！
31:29	我手中原有能力害你，只是你父親的　神昨夜對我說：‘你要小心，不可與雅各說好說歹！’
31:30	現在你雖然想你父家，不得不去，為甚麼又偷了我的神像呢？”
31:31	雅各回答拉班說：“恐怕你把你的女兒從我奪去，所以我逃跑。
31:32	至於你的神像，你在誰那裡搜出來，就不容誰存活，當著我們的眾弟兄你認一認，在我這裡有甚麼東西是你的，就拿去。”原來雅各不知道拉結偷了那些神像。
31:33	拉班進了雅各、利亞並兩個使女的帳棚，都沒有搜出來，就從利亞的帳棚出來，進了拉結的帳棚。

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武斷地肯定了一些事實上是未明真相的事情，會帶來甚麼影響？
31:32　你曾否對某件事有絕對的把握呢？雅各絕對肯定自己的妻妾兒女沒有偷拉班的偶像，甚至起誓要處死偷偶像的人，這話極其危險，幾乎令拉結喪命。所以，即使我們十分肯定某一件事，也不要貿然下定論，以免別人抓住我們的把柄，使我們無法脫身。
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Genesis

31:23		And he took his brethren with him, and pursued after him seven days' journey; and they overtook him in the mount Gilead.
31:24		And God came to Laban the Syrian in a dream by night, and said unto him, Take heed that thou speak not to Jacob either good or bad.
31:25		Then Laban overtook Jacob. Now Jacob had pitched his tent in the mount: and Laban with his brethren pitched in the mount of Gilead.
31:26		And Laban said to Jacob, What hast thou done, that thou hast stolen away unawares to me, and carried away my daughters, as captives taken with the sword?
31:27		Wherefore didst thou flee away secretly, and steal away from me; and didst not tell me, that I might have sent thee away with mirth, and with songs, with tabret, and with harp?
31:28		And hast not suffered me to kiss my sons and my daughters? thou hast now done foolishly in so doing.
31:29		It is in the power of my hand to do you hurt: but the God of your father spake unto me yesternight, saying, Take thou heed that thou speak not to Jacob either good or bad.
31:30		And now, though thou wouldest needs be gone, because thou sore longedst after thy father's house, yet wherefore hast thou stolen my gods?
31:31		And Jacob answered and said to Laban, Because I was afraid: for I said, Peradventure thou wouldest take by force thy daughters from me.
31:32		With whomsoever thou findest thy gods, let him not live: before our brethren discern thou what is thine with me, and take it to thee. For Jacob knew not that Rachel had stolen them.
31:33		And Laban went into Jacob's tent, and into Leah's tent, and into the two maidservants' tents; but he found them not. Then went he out of Leah's tent, and entered into Rachel's tent.

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Arbitrarily certainly some truth in fact is not clear what about the impact »
31:32 on something you ever have the absolute grasp it » Jacob absolutely sure their children did not steal Qiqie Laban idol, and even swear to execute the stolen idols, and this, extremely dangerous, almost killed the guitar pull. Therefore, even if we are very sure of a thing, and do not draw a conclusion hastily, lest we grasp the handle to others, so that we can not get away.

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最難診治的胰臟癌 台灣前教育部長吳京於今年1月14日在成大附屬醫院得因壺腹癌(Ampulla of Voter Cancer 屬胰臟癌)病逝，享年74歲，距發病日不到三個月。 前些月回臺省親之際，也聽到親朋多人得此病先後短期內往生。美前總統卡特之姐弟，因得此癌而死。還有美資深參議員邱池(Frank Church)，蘋果電腦史蒂夫‧卓布(Steve Jobs)也為此癌掙扎中。這段時間可說談「胰」色變！ 在沒談胰臟癌之前時，先舉一病例： 我在1963年當臺大醫院實習醫師，就有一位黃姓女立委，晚婚嫁給師大藝術系美籍客座教授(曾轟動一時)，她先在內科，疑為胰臟癌，送外科，每晚腹痛，有賴強止痛劑Demerol來控制，並作腹部開刀，作進一步診治，沒料到，打開腹腔後竟找不到病灶，因此又將之縫起來。不過後來病人要求轉到台灣療養院，不久後因胰臟癌致命。由此病例，可見胰臟癌很難確切診斷，開腹有時也難找到病灶，所以預防勝於治療。 ／李彥輝 2008-07-20

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The most difficult diagnosis and treatment of pancreatic cancer

Taiwan's former Minister of Education Wu on January 14 at National Cheng Kung University Hospital in the ampullary cancer because (Ampulla of Voter Cancer is a pancreatic cancer) death, the age of 74-year-old, from the onset, less than three months.
More before returning to Taiwan on the occasion of Shengqin, relatives and friends also heard more than a short time the disease has reborn. Former U.S. President Jimmy Carter's siblings, died of cancer because of this. There are senior U.S. senator Chi Chiu (Frank Church), Apple's Steve ‧ Zhuobu (Steve Jobs) also struggled in this cancer. During this period of time can be said about "pancreatic"色变!

In pancreatic cancer did not talk about before, to cite one case:

I in 1963 when the National Taiwan University Hospital interns, there is a female legislator, Huang Xing, later marriage to marry an American art professor at National Taiwan Normal University (once hit), her first in internal medicine, suspected pancreatic cancer, surgical delivery , Abdominal pain every night, Laiqiang of Demerol to control pain, and abdominal surgery, for further treatment, did not expect, open the abdominal cavity after the lesion was not found, so will the seam together. But the patient was transferred to Taiwan's request infirmary, shortly after the fatal result of pancreatic cancer. From this case, that it is difficult precise diagnosis of pancreatic cancer, sometimes difficult to find open lesions, so prevention is better than cure.

/ Li Yanhui

2008-07-20

For more information, see World Journal News ePaper.