l*h
发帖数: 4124 | 1 you should choose a specialist based on your wife's symptoms. if she has
cough, she should choose a pulmonary medicine specialist. actinomyces is
often found in sputum samples incidentally. if infecting the lung, it causes
abscess rather than pneumonia. it is important to know that actinomyces
does NOT cause pathogenic infection without the aid of other bacteria.
actinomyces infection is quite rare except for periodontal infection. |
|
j****d
发帖数: 123 | 2 1. 这样的情况应该做PET检查吗？
yes, do it right now. PET scan is not invasive.
If PET scan result is positive, then you consider biopsy or bronchoscopy, or
needle aspiration, which are all invasive.
Statistically, 40% solid pulmonary nodules turn out to be cancer/malignant
医生根据CT做良性考虑 - stay away from this doctor! |
|
M*******8
发帖数: 78 | 3 一个朋友的７个月大儿子已经在ICU呆了２个月了，病症应该是肺动脉高压Pulmonary
hypertension，但是这种病在婴儿中非常罕见，他们的医生动用了当地所有的资源至今
没有找出病因。请问这里有这方面的专家或者认识的吗？最好有在波士顿的。如果有相
关信息
请站内联系我，感激不尽！ |
|
l*h
发帖数: 4124 | 4 肺结核: tuberculosis of the lung.
see an infectious diseases specialist
钙化点: spots of calcification
支气管炎: bronchitis
慢性支气管炎: chronic bronchitis
痰多: too much phlegm
see a lung specialist (pulmonary medicine) |
|
l*h
发帖数: 4124 | 5 this is NOT true. there are many methods of preparing BCG. only the British
method has been linked to ~10% PPD positive rate. all other methods have
nothing to do with positive PPD. unfortunately Chinese patients are so
successful in brainwashing doctors in other countries. the truth is TB
infection is still very common in China. in such wards as neurology,
pulmonary medicine and gastroenterology, you always see 10-20% of the
inpatients in most medium to big hospitals are TB patients even though... 阅读全帖 |
|
l*h
发帖数: 4124 | 6 the main factor to consider is whether there is already pulmonary
hypertension and if yes, how serious it is. |
|
l*h
发帖数: 4124 | 7 most symptomatic gallbladder stones are treated surgically.
70 of age is not a problem as long as his general health is good. on the
other hand, some young patients may have big risks for anesthesia due to
cardiac, pulmonary and other problems. |
|
f****o
发帖数: 2770 | 8 查pulmonary function, echocardiogram, 去医院做个全面检查吧 |
|
s****r
发帖数: 2386 | 9 Hi, one of my friend's dad has Chronic Obstructive Pulmonary Disease, he
needs to buy a 呼吸机 for him, is there anyone who know about these, as he
is confused by what the doctors in China told him.
Any information will be appreciated |
|
l*h
发帖数: 4124 | 10 type of intracranial hemorrhage? epidural, subdural or SAH? any brain
regions injured? any medication, including antibiotics?
where and what type of hospital is she in? in neurological intensive care?
if in the US, you can ask the doctor to have an internal medicine specialist
(pulmonary, GI and infectious disease) consultation.
期。 |
|
l*h
发帖数: 4124 | 11 type of intracranial hemorrhage? epidural, subdural or SAH? any brain
regions injured? any medication, including antibiotics?
where and what type of hospital is she in? in neurological intensive care?
if in the US, you can ask the doctor to have an internal medicine specialist
(pulmonary, GI and infectious disease) consultation.
期。 |
|
k****o
发帖数: 728 | 12 我这个毛病有一年了。看了仨医生，最后结论是，不是大毛病，但也不好治愈。
基本症状是，每天都有几次随机的咳嗽，很多诱因，主要是食物（尤其是辣的，甜的）
，冷空气什么的。有时候身体保持一个状态突然扭动一下也会咳嗽几下。倒也不严重，
最多也就是咽喉有一丁点算不上痰的淡白色液体咳出来。过去在国内时，咳得很了就吃
antibiotic，很快就能完全压下去。在美国医生不主张随便吃antibiotic，我也觉得吃
多了以后真要用的时候就不起作用了。这回咳嗽挨了大半年了，既没加重，但也不能完
全自己康复。去医院先后看了三个医生，第一个年青医生怀疑是asthma（哮喘），给开
了inhalor。这玩意治标不治本。第二个医生是个门诊的chair，靠谱多了，让做了
blood test和pulmonary function test，都没问题。但马上退休了就让第三个少壮医
生（新chair）接着治。做了第二次blood test并且在我要求下做了X-ray，还是一切正
常。于是他怀疑是胃里reflux导致酸液刺激呼吸道导致频繁随机地咳嗽。让我吃了
Zantac，2周下来，确实咳嗽频率下降很多，但Zantac... 阅读全帖 |
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M****0
发帖数: 877 | 13 I am not a specialist in this field. I will try to answer some of your
questions.
Based on what you have described,this is most likely TB with supra infection
with other bacteria. Cultures for other bacteria should also be sent which
I believe they did.
Usually we determine the pleural effusion as exudate vs transudate.
Sanguineous purulent pleural effusion is highly indicated exudate, and
infection and malignancy both could cause this type of pleural effusion.
Therefore, ruling out malignancy i... 阅读全帖 |
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l*h
发帖数: 4124 | 14 why do you think the concern was Eisenmenger? it was NOT.
why do you think the pulmonary artery is significantly enlarged and extends
well into its branches? why do you think it should be ignored?
i do NOT think it is directly linked to the ASD.
why do you think Fawai's experts take that much pride in short-term visits
to small US hospitals unknown in cardiac surgery as short-term observers,
even list the visits on their online CV's as their major training, if it
were as good as you said? |
|
W********r
发帖数: 158 | 15 It depends on the stage. Overall, the cure rate for Wilm's tumor is 90%. You
need to find a good surgeon do a complete gross total resection,
immediately followed by radiation, then a few months chemotherapy. Most kids
will be cured with almost no long term side effect. If there is pulmonary
metastasis, will need whole lung radiation and the outcome is still
excellent. The tough ones are the ones with bilateral wilm's tumor. |
|
x**********e
发帖数: 3 | 16 国内有个朋友的女儿前几天突然查出来患肺动脉高压 （pulmonary arterial
hypertension, PAH）, 目前还没有渡过危险期，据说后期也需要长期治疗主要以来进
口药物。国内的医生说没有什么特别有效的治疗方法。
不知道国外这边对于此病有没有有效点的治疗方式，以及哪些医院对此病的诊断治疗比
较有经验，可否能提供远程会诊。小女孩的家人现在都特别特别急，如果有治疗这个病
的成功案例能分享一下各种信息的话万分感谢！ |
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m**********r
发帖数: 2099 | 17 在New Jersey本地的医疗网站 搜索一下使用sliding scale 收费的医院或诊所，都会
比较便宜。
这些集中在上呼吸道的症状，首选ENT，head and neck, pulmonary医生。喉部肿瘤隐
袭起病，有想到，引起重视很重要。 |
|
s*******2
发帖数: 1182 | 18 1 首先用指间脉氧仪(Finger Pulse Oximeter) 测一下是否缺氧（氧饱和度小于90%）
，就要吸氧。 否则加重肺动脉高压，导致心衰。 O2 is medication.
2. 防寒，尤其冬天，反复感染加重病情。
3. 适度活动，pulmonary rehab。
4. 症状明显期要住院控制感染，解痉平喘等。
5. 此病不可逆，尽可能减缓病情进展速度。
COPD |
|
s*******2
发帖数: 1182 | 19 1 首先用指尖脉氧仪(Finger Pulse Oximeter) 测一下是否缺氧（氧饱和度小于90%）
，就要吸氧。 否则加重肺动脉高压，导致心衰。 O2 is medication.
2. 防寒，尤其冬天，反复感染加重病情。
3. 适度活动，pulmonary rehab。
4. 症状明显期要住院控制感染，解痉平喘等。
5. 此病不可逆，尽可能减缓病情进展速度。
COPD |
|
l*h
发帖数: 4124 | 20 i am wondering what was done, or what was attempted right after the
discovery of her condition when she was half year old. at that time, there
might have been a chance for corrective surgery.
apparently when she was 3 yo, the surgery was palliative, not corrective,
likely because the right side pressure was already too high for corrective
surgery. all the efforts afterwards were to reduce right side pressure,
including Glenn.
the best chance is still to do something about the pulmonary artery st... 阅读全帖 |
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q*********8
发帖数: 81 | 21 多谢LMH， 朋友说三岁前由于医疗水平和当时的经济问题没做任何手术，现在上海医院
推荐的也是pulmonary artery stenosis。 以你个人经验，这种手术在国内和美国做效
果差别大么？他女儿好像不能坐飞机，来美国也只有坐船。不过朋友什么都愿意试，只
要能把女儿治好。。。 |
|
s*******2
发帖数: 1182 | 22 PE 诊断明确，接下来就是要规范的治疗了。让你的PCP 推荐一个pulmonologist. |
|
m*******r
发帖数: 595 | 23
谢谢回复，在住院期间见过一个年轻的pulmonologist，感觉经验很不丰富，希望版上
人能推荐个这领域的专家，谢谢 |
|
m**********r
发帖数: 2099 | 24 如果孩子还怀着，你这个属于高危妊娠。如果还是家庭医生在看你，要求转给产科医生
，要求hematologist会诊，要求pulmonologist会诊。这种事情如果产妇和孩子出了问
题，我不信哪个pcp兜得住，该转诊的不转诊，纽约州medical malpractice对精神损失
费没有上限。 |
|
m*******r
发帖数: 595 | 25
谢谢回复，现在怀孕13周，宝宝一切都好。我是同时在看ob/gyn和hematologist,问题
是他们谁也解释不清为什么我的右肺突然开始疼，在医院见到的唯一一个high risk ob
告诉我这可能也是正常的，让我再等几个月看看。我很需要second opinion，尤其是今
天和以前见过的一个老中医联系，中医告诉我一个极端例子，一个40多岁怀第二胎的产
妇也是有同样的问题结果死在了产床上，吓死人了！
目前我已经决定再找个high risk ob和hematologist听听他们的意见。不过，我在医院
见到的pulmonologist感觉年轻没什么经验，我想换个有经验的。如果版上有推荐的谢
谢了！
此外还有一个问题，前两天才拿到我的medical record，请大家看看我的血小板数值：
5/22 (一个月前住院当天，还没开始用blood thinner，当天之后便开始每天两次按最
高剂量用): 243,000
5/24: 267,000
5/25: 319,000
6/11: 319,000
6/20: 268,000
没有医学背景的我请问一下:我在开始用blood thinne... 阅读全帖 |
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f****o
发帖数: 2770 | 26 肺栓和血小板正不正常没有关系啊
blood thinner不是降低血小板而是inhibit clotting factor
我在想你的lovenox dose 是多少？体重多少？
还有会不会你有heparin resistance
factor III deficiency
怀孕了如果lovenox无效比较讨厌了，warfarin也不能用
肺栓还真是会死的病不弄好 |
|
C*******o
发帖数: 73 | 27 本人在加州。
我父亲持B2签证过来，我替我父亲买了Atlas的旅游保险，250美元的deductible,50000
美元的max limit,每个月我需要付160刀给保险公司。
保险合同说这个保险cover Acute Onset of Pre-existing Condition.
然后我找到合同中 Acute Onset of Pre-existing Condition的定义：
Acute Onset of Pre-existing Condition:
The term “Acute Onset of a Pre-Existing Condition(s)” shall mean a sudden
and
unexpected outbreak or recurrence of a Pre-existing Condition(s) which
occurs spontaneously and without advance warning
either in the form of Physician recommendations or symptoms, is of s... 阅读全帖 |
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l******n
发帖数: 35 | 28 不太清楚如何回答lz提出的问题，但是就灵芝的回复说几句，也许能省lz一些时间查资料
光动力治疗主要应用于表皮病症，比如皮肤癌。主要原因在于激光可以穿透的深度在毫
米量级。
个人认为灵芝所说“建议用"光动力学疗法"治疗” 不靠谱，因为光动力治疗不普及，
而且对于sarcoma pulmonary metastases的治疗没有统计结果。已知的光动力治疗用于
肺癌的统计结果限于mesothelioma（间皮瘤），而对于预后来讲只是把幸存周期从半年
延长到一年多。而且对于肺癌的光动力治疗并没有灵芝所说副作用少，因为光动力治疗
肺癌是开胸手术切除肿瘤后在胸腔实施的，实际上还延长了手术时间。一般这样的手术
都是从早晨一直持续到晚上的。
如果想对光动力治疗应用于胸腔肉瘤转移有更多了解的话，可以读一读Roswell Park
Cancer Institute的这篇文章。
http://www.ncbi.nlm.nih.gov/pubmed/14666668
当然，灵芝所说“在北京等大城市一些医院有用这种疗法治肿瘤。在美国不是很常用。
”是准确的。是不是有统计结果，是不是有效就不好说了。
同时，放疗对... 阅读全帖 |
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i****o
发帖数: 30 | 29 谢谢你的回复。他一出生发现就是重度的，第二天做完球囊扩张以后变为轻度，但是1
个半月的时候复查又变为重度了，现在不知道是需要在做一次扩张手术呢，还是开胸。
宝宝太小，我们期待尽量不要做开胸手术。 |
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S****a
发帖数: 2568 | 30 复查在变严重，不乐观。只能跟负责的医生讨论，听取他们的建议。
1
，所 |
|
b***p
发帖数: 1398 | 31 depends on the annulus size, it is possible to implant sapien3 20mm thv
during the open heart surgery. the s3 can be further expanded as the infant
grows, which could minimize the number of open heart surgeries.
is
gradient |
|
|
b****e
发帖数: 26 | 33 Some of you may know her : wanger.. She had Pulmonary Embolism (肺栓塞) attack this morning.. she is ICU and really in pain.. please help with prayers..
blessing..anything...
PE is really dangerous. 1/3 die from it.. but if she makes past 48 hours. things will be looking good for her. .. i dont know how much longer i can hold on for this..it is killing me.
== Update: She seems to be doing better now.. heart rate is around 120.. she was about 130-140 last night and have huge pain in the chest. righ |
|
h*******3
发帖数: 327 | 34 在parenting看到你的贴子, 到这里来回一下...
我们家的小人从出生第一天就发现有杂音, 当天做了X-Ray, ECHO, 没什么问题. 二周
后在儿医的坚持下到儿童医院心脏专科又做了ECHO和心电图, 发现她有Pulmonary
Artery Stenosis, 第三周做了cath, 接下来就是很多follow up, 一个月大, 三个月大
, 半岁, 一岁, 等等, 前几次每次都有ECHO和心电图, 一岁的只有心电图, 总的来说一
切都好, 我们下一次复查是二周岁.
每次检查, 小朋友都是醒着的. 有时侯她会闹, technician就会让爸爸或妈妈横抱着她
做ECHO, 或者在床上搂着她做. 医院从来没用过什么药. 做心电图就更简单了, 直接让
坐在我们的腿上. 也许因为医院是儿童医院, 所以更耐心些?
话说回来, 这个镇定剂我不清楚, 但是我们三周大做cath是全麻的, 花了一小时左右,
当时再不愿意, 也是个孰轻孰重的选择. 小朋友现在17个月了, 活泼好动的, 所以MM也
不要太担心...
BLESS一个... |
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l******r
发帖数: 51 | 35 These are what I have done already: (Actually have no idea what is about)
First Time:
1. SYPHILIS IGG
2. HBSAG
3. HIV
4. URINALYSIS W REFLEX TO MICROSCOPY
5. RUBELLA IGG
6. ANTIBODY SCREEN
7. HEMOGLOBIN ELECTROPHORESIS
8. CULTURE, URINE
9. VARICELLA ZOSTER ANTIBODY
10. CBC WO DIFF
11. WBC DIFFERENTIAL, AUTOMATED
12. ABO-RH
13. GLUCOSE, QUANTITATIVE
Second Time:
1. ANTENATAL SCREENING
2. STD SCREENING
3. CHLAMYDIAL DISEASE SCREENING
4. SCREENING FOR CANCER OF THE CERVIX
5. PULMONARY TB (TUBERCULO... 阅读全帖 |
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G*******4
发帖数: 117 | 36 Progesterone (Prometrium)在pregnancy Risk Drug Category 中属于category D,也
就是说实验证明对胎儿有风险。除非用药的利大于弊。
它的副作用包括Pulmonary Embolism，由于怀孕本身容易造成凝血，这个时候用它，增
加了可能性。
知道自己以前流产的原因么？
不能乱投医。 |
|
s**p
发帖数: 702 | 37 可以测出以下疾病的得病概率
Abdominal Aortic Aneurysm
Age-related Macular Degeneration
Alcohol Dependence
Alopecia Areata
Ankylosing Spondylitis
Asthma
Atopic Dermatitis
Atrial Fibrillation
Atrial Fibrillation: Preliminary Research
Attention-Deficit Hyperactivity Disorder
Back Pain
Basal Cell Carcinoma
Behçet's Disease
Bipolar Disorder
Bipolar Disorder: Preliminary Research
Bladder Cancer
Brain Aneurysm
Breast Cancer
Breast Cancer Risk Modifiers
C... 阅读全帖 |
|
y***n
发帖数: 11261 | 38 Don't let your infant sleep in the car seat. Credit: andycarvin, Flickr
Parents who think an infant car seat is a good place for their baby to nap
at home should think again -- a new study shows that the devices can lower
oxygen levels in 20 percent of newborns.
Car seats are required safety gear, and you can't leave the hospital with
your newborn without one. But the seats require infants to be placed in an
upright position, which can potentially cause breathing problems in sleeping
babies. A n... 阅读全帖 |
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M*******8
发帖数: 78 | 39 一个朋友的７个月大儿子已经在ICU呆了２个月了，病症应该是肺动脉高压Pulmonary
hypertension，但是这种病在婴儿中非常罕见，他们的医生动用了当地所有的资源至今
没有找出病因。宝宝版的祝福一向很灵，这也是我第一次来求祝福，希望小宝贝能早日
康复回家！
同时各位有认识波士顿各大医院，尤其是Boston Children's Hospital的儿科医生或者
儿科
专家吗？考虑到波士顿的医疗实力，希望能找到有关方面的专家帮助。如果有相关信息
请站内联系我，感激不尽！ |
|
s**********r
发帖数: 11 | 40 bless!
一个朋友的７个月大儿子已经在ICU呆了２个月了，病症应该是肺动脉高压Pulmonary
hypertension，但是这种病在婴儿中非常罕见，他们的医生动用了当地所有的资源至今
........
★ Sent from iPhone App: iReader Mitbbs 7.52 - iPad Lite |
|
G****1
发帖数: 6908 | 41 Bless!
Have they contacted Mayo Clinlic? They are very strong in Pulmonary--ranked
#2 nationally. |
|
x********i
发帖数: 1147 | 42 It may be due to anemia or hypoglycemia. But MM be cautious that the worst
scenario could be pulmonary embolism. |
|
H**********l
发帖数: 44 | 43 I think you're talking about amniocentesis, right?
99% accuracy
0.5 to 1% fetal loss rate
0.32 to 1.6% chance that the cells won't grow after early amniocentesis
1 in 700 chance of nongrowth with second trimester amniocentesis (which
means the test must be repeated)
An inadequate amount of fluid or contamination of the sample also
necessitates a repeat test
Decaying cells are used, which often makes it difficult to determine whether
abnormalities are truly present
Errors can cause false-positive... 阅读全帖 |
|
w******y
发帖数: 4871 | 44 FEV1多少？占标准参考值的百分之多少？
FVC多少？占标准参考值的百分之多少？
FEV1/FVC是多少？
还要看那个吸气呼气的loop图是什么样的。
Any night time awakening, wheezing, SOB, chest tightness, any trigger,体检发
现了些啥？
Chronic cough work up起来是比较费事的。但是基本上大部分是由rhinitis/
postnatal drip,asthma(asthma也可以有种asthma叫cough variant asthma), GERD引
起来的。
你要是信不过你的医生，你就让他refer你去看pulmonary or allergy doctor吧。俺也
给不了你啥建议了。也没法给，因为你不是我的门诊病人，不了解你的情况，而且没有
医患bond的义务在里面，不能误导。 |
|
b******8
发帖数: 1251 | 45 医生说的是不是：你娃儿不是COPD?chronic obstructive pulmonary disease? or
chronic brnchitis?这个小孩得的是很少，一般都是中年人吸烟得的。acute
bronchitis小孩有可能是viral infection |
|
p********5
发帖数: 7433 | 46 我本人如果遇上，会选择生下。我是个赌徒，从来只看最好的一面。但是，每个人决定
，我们只有祝福与理解。
****努南氏症是1963年由小兒科醫師Dr Jacquline Noonan 首次提出並闡述。
主要是特殊心臟缺損、身材短小及罕見的臉部特徵，屬於一種多發性先天異常症候群。
目前尚無產前檢查可確診，但可在懷孕早期經由超音波掃描瞭解是否有心臟異常，約50
%的患者有PTPN Type11的基因缺陷，發生率為1/1,000 ~1/2,500出生新生兒。
疾病簡介
此症個案外觀像透納氏症患者，具有個子矮、八字眉、內眥贅皮、後髮緣低、脖子短、
蹼狀頸、手肘外翻、隱睪症、青春期延遲等表徵，但不同之處在於透納氏症個案為染色
體數目少了一條X所致，而努南氏症候群則為基因變異所造成，因此此症的發生不分性
別、男女生都可能發生，且半數以上個案伴隨有先天性心臟病（肺動脈狹窄較常見），
部分則有輕度智能不足的問題。
臨床表徵：
1. 蹼狀頸 Webbing of the neck
2. 漏斗胸 Pectus excavatum
3. 厚且低位或不正常外形的耳朵 Thick, low-set or abno... 阅读全帖 |
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w******y
发帖数: 4871 | 47 这个如果不是Peds cardiology,其它医生不太敢说的啊，毕竟隔行如隔山啊。
Overall,不算严重的：比如法了四联，单主动脉，室缺，肺动脉高压。。。
房缺手术效果还不错的，具体什么时候手术俺记不得了，也不属于我们专科应该掌握的
内容。
Pulmonary valve sternosis,该什么时候扩一下或换瓣应该是有guideline可循的，不
然最后等不可逆转的肺动脉高压出现了，prognosis就不好了。
Bless! |
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h******e
发帖数: 152 | 48 只能pat pat您
一切听医生的， 该做手术就要做，大部分先心病，不治疗，只能进一步加重。
现在要做的，就是选择相信医生。实在不放心，再咨询下两三个新生儿心脏专科医生，
如果诊疗方案类似，妈妈就不要在犹豫了。 |
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r****o
发帖数: 3932 | 49 我们这里看专科医生Allergy & Pulmonary基本都在一起的。我娃当时湿疹看过敏科医
生做过敏测试就有测螨虫，当时医生还给科普说40%的过敏会有呼吸道症状。 |
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m*********n
发帖数: 11525 | 50 ☆─────────────────────────────────────☆
firstsnow (戒网&减肥) 于 (Mon Dec 3 12:50:18 2012, 美东) 提到:
看见不幸的故事就转过来想说更多人看见总有机会帮那个人忙
别都来bless我，我妈活的好好地
太晦气了，请版主合集，或者我就删帖了
——————————————————————
RIP，谁有朋友可能同机去帮帮忙吧
发信人: lucyhh3 (LucyLucy), 信区: LosAngeles
标 题: 母亲于国航意外身亡, 求同机知情者协助
发信站: BBS 未名空间站 (Sun Dec 2 12:36:54 2012, 美东)
母亲于2012年11月29日回国, 乘坐国航CA984从洛山矶飞至北京, 不幸去世. 国航提供
的报告有许多前后矛盾之处, 包括去世的时间,地点,是否得到救治等.母亲临走前一个
月刚刚体检,身体健康. 她的突然去世让亲人无法接受. 我们希望尽可能了解当时情况.
如果您乘坐同一航班, 恳请能同我们联系: j*********[email protected]
☆───────... 阅读全帖 |
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