In summer, in a small fishing village by the Xingkai Lake, under the shade of a big willow tree that is said to be over a hundred years old, a gray-haired old woman sits on the wooden bench that has witnessed many winds and rains. Slowly mending a fishing net.

　　Not far away, a large clay pot filled with well water, with a few green cucumbers floating on it. On the low wooden yard wall, some morning glory lowered their heads shyly, two reed chickens patiently searched for the insects hidden in the soil, and a small cat chased the pair of dancing butterflies and ran into it. A small vegetable garden full of life.

　　A little further away, it is a dense cornfield like a green gauze tent, and those corn with red tassels around their waists are enjoying the hot caress of the scorching sun in full energy. In the Fangtang nearby, a few simple lotus flowers bloom unfettered, and a few silent cloud shadows look like an old photo from the Republic of China.

　　This was an ordinary encounter on the road. It was like seeing a plant I was familiar with from childhood. My eyes were immediately attracted by a touch of gentleness, as if a simple ballad was ringing from the head of a wild flower that bloomed at random. I couldn't help stopping, standing still, listening to the clear footsteps of time slowly passing by.

　　I still remember that on that bright spring day many years ago, I lay down on the balcony religiously, with a little excitement and a little bit of anxiety, unable to hide anxiously looking at the intersection of a plane tree stretched out, waiting for the postman Appeared, but I don't know if he will bring me a beautiful answer, or a suspense that makes me toss and turn.

　　Also, on that autumn day with red leaves, a large and calm river was flowing without any surprises. On the other side of the river, two slender Russian girls, holding a drawing board, walked towards the thick white birch forest, like a photograph. Astral moving oil painting.

　　Also, at midnight on a snowy winter day, I was in a small wooden house in the Arctic Village of Mohe, with a photographer from Jiangnan Water Village, holding a charcoal fire, two bowls of authentic Northeast stew, and a bottle Locally produced strong sorghum wine, two big men who have known each other for a short time, immediately expelled all the strangeness, and aroused the feelings of the sky.

　　I was surprised to find that what I often miss and remember very clearly is often some ordinary days in the past, as well as some ordinary scenes, objects, people, and things in those days. The weeds are as trivial, simple and simple as weeds, and they are shining and moving. luster. Most of the time, they just lie silently in the depths of memory, but at a certain moment inadvertently, they will suddenly visit, just like a silent friend standing in front of me in surprise.

　　Perhaps it is because of the continuous growth of annual rings, the bit by bit in the world, because of a gaze, or a moment of listening, suddenly there is a little beautiful taste, really true, like the wind on the water, like the branches of flowers. The writer Xiao Hong sighed joyfully in "March in a Small Town": "The weather is warm every day, and every inch of the day is interesting." It turns out that the goodness of the soul is so within reach, every inch of it.

 　　Since the outbreak of the epidemic in 2020, related typical incidents such as the disruption of global logistics and freight, detention in ports, and price increases have been rampant, making international trade that was already in dire straits worse. Although railway transportation and air transportation have also played a significant role in the epidemic, sea transportation is still the mainstream mode of transportation and a key link in global trade in goods. The obstruction of sea transportation will undoubtedly affect the large-scale import and export of goods and disrupt the normal order of international trade. In a wave of countercurrents, Sweden's largest port, Gothenburg, is busy and orderly, and it has become a "sacred needle" for container transportation in Europe.

The old port goes upstream

　　The Port of Gothenburg is located on the west coast of Sweden. It is not only the largest port in Sweden, but also the largest port in the Nordic region. Its important position is self-evident. The Port of Gothenburg is the only port in Sweden capable of receiving the world's largest container ships, with oil, automobiles, ro-ro ships, container and passenger terminals, and routes covering Europe, Asia, Africa and North America.

　　Nearly 30% of Sweden's foreign trade goes global through the Port of Gothenburg, and about half of the container traffic goes through the Port of Gothenburg. Export products mainly include steel, automobiles, paper, pulp and wood, etc., while imported products are mainly consumer products such as clothing, furniture, food and electronics.

　　According to data recently released by the Swedish authorities, the port of Gothenburg has seen a greater increase in traffic compared with other ports in Sweden and Europe.

　　In 2020, container traffic in the Port of Gothenburg increased by 0.5%. Although it is almost a slight increase, in the once chaotic environment of the global freight market, this performance has been considered commendable. This year, the container throughput of many major ports around the world has experienced a sharp drop, among which the container throughput of the 15 largest ports in Europe has dropped by an average of 2.8%.

　　Not only that, the Port of Gothenburg continues to occupy a larger share of the Swedish market. In 2020, Sweden handled a total of about 1.6 million TEUs, of which more than 770,000 TEUs (48%) were transported through the Port of Gothenburg. The Port of Gothenburg's market share in Sweden has increased by 1% compared to 2019.

　　"Although the epidemic has brought uncertainty to many industries, the Port of Gothenburg has successfully provided customers with safe and continuous services. The Port of Gothenburg has managed to remain open during the spread of the epidemic, and communication methods are relatively stable. Many shipping companies have priority. Consider calling at the Port of Gothenburg. Railway operators have also done amazing work and we managed to further increase the proportion of rail container cargo. The entire port has become synonymous with'reliability', which makes us very proud." Elvir Dzanic said.

　　The Port of Gothenburg has also managed to strike a balance between import and export, and imported containers can be quickly emptied and used for export. Therefore, it has not reached the level of a global shortage of containers. The Port of Gothenburg has reduced the potential impact of the shortage of containers on the Swedish market by strengthening cooperation with the port's inland terminals and carrying out more joint activities.

　　As early as February 2020, the Port of Gothenburg has taken measures to keep the port open and undisturbed in this unprecedented era of crisis. In the short term, the Port of Gothenburg will focus on operations to ensure that it maintains its leading position in the industry during difficult times. When there is a shortage of containers in many parts of the world, the Port of Gothenburg has to a certain extent ensured that the Swedish industry can obtain empty containers.

　　"We are very happy that the Port of Gothenburg can contribute to the stability of Swedish industry. When so many companies are in difficult times, in Gothenburg, we have done something right." Elver Dezanic said.

Mitigating the impact of the Suez Canal blockage

　　On March 23, 2020, the large freighter "Long Ci" ran aground on the Suez Canal, rendering a large number of cargo ships impassable. This dilemma was relieved 6 days later. Although the Suez Canal has been reopened, the chain impact of this incident has not been completely eliminated.

　　This situation means that the main European ports between the Suez Canal and Gothenburg will have a "ketchup effect"-many ships call at ports such as Rotterdam, Hamburg and Antwerp almost simultaneously.

　　In fact, many European ports and their storage yards were already full of cargo before the Suez Canal clogging problem appeared, and the epidemic was the main cause. The relevant ports lack the yard management capacity to handle a large number of docked ships and cargo in transit. Therefore, the impact of the Suez Canal incident will continue.

　　The Port of Gothenburg has taken countermeasures to ensure that goods in the area reach the port faster and to alleviate congestion in European ports.

　　Not long ago, the Gothenburg Port Authority and Gothenburg Port container terminal operator APM Terminals introduced new market offers to global shipping companies. In addition, the Port of Gothenburg also provides an opportunity to unload additional cargo. These cargoes can then be transferred to smaller feeder vessels for further transportation to other European ports. In this way, large ships can return to the transportation cycle faster.

　　Elver Dezanic said: “We provide the opportunity to go directly to the port of Gothenburg instead of queuing in several European ports. Here, shipping companies can unload the cargo, and the cargo can reach the customer quickly.”

　　In addition to having the opportunity to ship directly to the Port of Gothenburg, shipping companies can also enjoy additional discounts.

　　"We hope to do everything possible to contribute to solving the problem of the Suez Canal congestion. Price is always a factor, and many companies eventually increase their costs due to this congestion. The sooner the Port of Gothenburg returns to its normal state, it will be important to every company in the logistics chain. The better the company." Elville Dezanic said.

Open short-distance shipping terminal

　　As the main cargo transshipment hub on the European continent, the Port of Gothenburg plans to open a short-distance shipping terminal dedicated to container transportation within Europe. The terminal is operated by APM Terminals.

　　Elville Dezanic said: “As the epidemic spreads, shippers move part of their global production system closer to Europe, and new logistics models are also evolving. Short-distance shipping is a growing market segment, and we are very I am glad that APM Terminals can meet the market demand in a timely manner and at the same time expand the overall service range of the port."

　　As the destinations of short-distance shipping are concentrated in Europe, storage and transshipment facilities close to the dock area need to be provided to enhance flexibility and further encourage transporters to shift more intra-European freight from roads to more environmentally friendly shipping.

　　"As a global company with close ties to Europe, we have gained good experience from the short-distance shipping solutions previously launched. At present, we are working hard to develop new solutions to meet the needs of the Swedish market." APM Terminals Managing Director Dennis Olesen (Dennis Olesen) said.

　　The new terminal can also handle coastal and inland shipping matters. The loading and unloading of barges and small ships constitute the main link of these modes of transportation. At present, the short-distance shipping terminal is adjusting and improving the loading and unloading system.

　　Elville Dezanic said: "This is a typical example of the benefits of systematic thinking. It further expands our scope of services and gives us even more reason to call ourselves an'unrestricted port'."

Investment is still expanding

　　The Gothenburg region has been rated as the "Best Logistics Location in Sweden" by the Swedish trade magazine "Smart Logistics" for 20 consecutive years. The Port of Gothenburg's global service network and its ongoing investment plans are key factors in achieving this ranking. Nevertheless, the port still faces challenges.

　　As a large port, the Port of Gothenburg has performed well in the past year, especially in terms of finances, while other cargo hubs in Sweden and abroad have been hit even more during the same period. Elver Dezanic said: "The Port of Gothenburg is in a good position to welcome the future. We will continue to expand investment to further enhance customer value and competitiveness."

　　At present, the Port of Gothenburg is in the expansion stage of development, and the Skandia Gateway, a channel deepening project that requires investment of billions of dollars, has already received funding. The project plans to deepen the channel from 14.5 meters to 17.5 meters.

　　This is one of many investment projects that pave the way for the continued growth and development of the Port of Gothenburg. Other key projects include the construction of a new Arendal terminal, digital platform transformation, and investment in coastal power and electrification.

　　"Logistics space is very important, this is the direction of our efforts. The next thing worth paying attention to is the logistics land with an area of ​​500,000 square meters, which is only a stone’s throw away from the port. We will build here in 2022. Logistics facilities." Elville Dezanic said.

　　Historically, cargo ships departing from the port of Gothenburg have already travelled to coastal areas of China. The port occupies an irreplaceable position in the bilateral trade between China and Sweden. Driven by the “One Belt, One Road” practice in recent years, the Port of Gothenburg has played an important role in the transportation of goods between China and the Nordic region.

　　For hundreds of years, this "unrestricted port" has always been facing the boundless ocean, quietly watching the arrival and departure of goods. In the new era of digital economy, it is expected that it will accept the giant ship of digital shipping and use digital technology to face the storm.

 Recently, people often say: "We young people must be able to live this lonely day." I think this "lonely day" is not a plight, but a kind of happiness.

I feel that all the light in the world is found out of loneliness. For example, there is a winter in the sky, which is a lonely day of the year. At this time, thousands of trees withered and yellow, the weather withered, and the silence and calmness are its characteristics. But wasn't it the most beautiful spring of that year that came out of this lonely winter?

There is a dark night in a day, and it is also a lonely period of the day. At this time, all kinds of clamor and noisy, there are moments of rest. But isn't it the most glorious dawn of the day that comes from this lonely dark night? What is contained in the excitement is depression and disappearance; what is contained in darkness and loneliness is all happening, all creation, and all light.

 Hide from the sky

　　Gongjie is 43 years old this year. He is a disgraced office worker, busy with his daily life.

　　On this day, the agency went to the suburbs to see a second-hand house. That house was actually very good, but the price was too high, 10 million yen more than the agency's budget, and he couldn't get it all at once. Right now, their family of four lives in a small rented house. Both their son and daughter are in their teens, but they have to sleep together in the same room. Recently, the landlord has rushed to drive them away. As the head of the family, the pressure of the agency can be imagined.

　　It was 6 o'clock in the evening after seeing the room, the sky was getting darker, and it started to rain. The agency walked on the ridge leading to the county road in a frustrated mood. At this moment, a car drove from not far away, but a figure suddenly appeared on the side of the road. At this moment, the figure flew up on the hood of the car and then fell down.

　　The public agency hurried over and saw a child lying in the wheat field, his head turned unnaturally, apparently no longer working. The driver who caused the accident on the side wanted to drive away, but was stopped by the agency. The driver poked his head and said, "Are you taking a ride?" The agency felt that the other party's voice was a bit familiar, and when he looked closely, he was a middle-aged man with a familiar face. "Get in the car!" the other party urged again.

　　When the agency got into the car, the driver slammed on the accelerator, and the narrow compartment was full of alcohol. After a short silence, the driver said, "You don't think you have seen it. It is estimated that someone will find the body tomorrow morning, and the crash marks will be washed away by the rain." The public agency subconsciously looked back at the accident. At the scene, no one was seen.

　　The driver said: "That child suddenly jump from beside the road, startled me as long as you do not say anything, there would be nothing!."

　　Public media and some distraught: "? ...... But this really hiding maintained"

　　"Shoo . As long as you stay out of the matter, there is no problem. I know that your family is crowded and you are now at a stage where you need to spend money. I will open the door for you as long as you have never met me.” The

　　car stopped. No, the agency jumped out of the car like fleeing an ominous place. The driver said something and would call him, and drove away.

　　The driver is Qi, the president of a bank, and the agency is in this bank to apply for a loan when buying a house. According to current conditions, the agency can only borrow 20 million yen from the bank at most. If you can borrow 30 million yen, you can buy the ideal house you just looked at.

　　"Open the door of convenience for you!" These words rang in the ears of the agency again. He suddenly felt that the desire he had been thinking about in the past few months had encountered an unexpected opportunity and was about to be successfully realized.

　　In the evening, President Qi really called: "You have to keep it secret for me! I will try my best to handle your house loan for 30 million yen. No, more is no problem. You can come and go through the formalities tomorrow. For the children, you should also have a decent house." After hearing these words, the agency struggled for a while and agreed.

　　The next day, the Evening News published a report on the escape of the perpetrator of the car accident. The report said that the police had encountered difficulties in the investigation. There were no witnesses, and the traces on the scene were washed away by heavy rain as the governor had expected.

　　After seeing this, the agency had struggled in his heart, but in the end he was relieved: Although the child who was struck to death was pitiful, he would not be able to get back to life just because he called the police; besides, the police would not bring anything to his family. Happiness. He made up his mind to buy the house he yearned for.

Frightened

　　One late night two days later, the agency took the tram home after get off work as usual. After the tram arrived at the station, the agency followed the crowd and got off the bus. It takes 30 minutes to get home from the station on the main road, but it only takes 20 minutes to take a shortcut. The public agency intends to take a shortcut.

　　On the street in front of the station, every household has turned off the lights, and only one fruit shop is still on. The owner of this fruit shop lives near the agency’s house and knows each other. The agency watched many people get together to buy fruit in the fruit shop. The owner was so busy that he couldn't help but sighed, "It's good to have money, and I don't have to be forced to do something that violates my conscience."

　　In this way, while thinking about this, the agency walked past the fruit shop and entered a path that was hidden from view. At this moment, he suddenly felt a strange feeling behind him. It seemed that someone was following him at the same pace, neither approaching nor far away, about 30 meters away from him, and a burst of unfounded fear penetrated his back. .

　　Gongjie had a lung resection operation more than ten years ago. His lung capacity is small. As long as he walks faster, his heart feels as uncomfortable as jumping out of his throat, so he walks very slowly. And now, he felt that the people behind were walking with his slow pace. What is that man going to do? With the faint street light, the agency quietly looked back and observed that the man was wearing a peaked cap!

　　Is it that peaked cap? A burst of fear hit my heart again. The agency remembered that on the tram just now, there was indeed a man wearing a peaked cap, with a low brim, wide shoulders, a flat nose, and high cheekbones. Later, everyone around him got out of the car halfway, and only this guy stood motionless. Could it be that he has been watching since then?

　　There are residences on both sides of this path, but another two to three hundred meters is a narrow mountain road cut out by a cliff, and there are no people around. A few years ago, a girl was killed on that road. From then on, even passing there in broad daylight will make people feel uncomfortable. And further forward, there is a trail in the open field.

　　The agency stood still on the side of the road, pretending to explain, and the man disappeared immediately. Gongjie breathed a sigh of relief and continued on the road, but soon the figure slowly followed, probably hiding behind the telephone pole just now.

　　At this time, Kosuke's face suddenly appeared in front of his eyes. On the surface, the bank leader seemed to have a pretty smile, but he always felt unfathomable. After thinking about it carefully, holding the other party's handle in his hand, after the other party takes out a little advantage to buy himself, it is impossible to sit back and relax. Could it be the killer the other party was looking for, who wanted to kill someone?

　　"Ah!" The agency couldn't help but whispered, and then remembered another thing. Yesterday he was walking on a road with few pedestrians when he was almost hit by a car. At that time, he was thinking about the house, and felt that it should be his own negligence, but now he feels that since witnessing the scene of the car accident, he seems to be stared at by invisible sight.

　　Seeing that when he reached the narrow road between the mountains, the man seemed to be moving faster, and the agency couldn't help but speed up. As a result, his heart beat violently again. Not to mention anything else, as long as this situation lasts longer, he will die. The sound of footsteps and breathing are getting closer and closer. There is no one around here, no matter how loudly you call for help, no one will hear it. It's over, what should I do?

　　At this moment, there was a burst of singing from the field ahead, and it sounded like two or three people were singing, and the voice was a little immature. Saved! Gong Jie's heart was a little relieved, and he continued to walk quickly toward the field path. He felt that at the moment the song sounded, the footsteps of the person behind him seemed to shrink a little.

　　The field trail is different from the narrow mountain road just now. The field of vision is much wider, and the public agency can vaguely see it, and there are several students walking towards him on the opposite side. Behind him, the pace of the peaked cap slowed down, and the distance from the agency was opened to about 30 meters.

　　Next, as long as the students cross the field trails when they are not far away, they will be fine when they enter the residential area, and they will be their home after another minute or two. While thinking about it, the agency deliberately raised his voice and greeted the opposite student: "Good evening!" Several students seemed startled at first, and then all responded: "Good evening!"

　　Soon, the agency gasped. Quickly walked across the field path, entered the residential area, and walked towards his home. The peaked cap at the back still followed closely.

　　When the agency arrived home, he immediately locked the entrance door, panting heavily while observing the scene outside the house from the cat's eyes. I saw the peaked cap standing outside the door and looking penetratingly, as if regretting that the prey that was about to arrive had escaped. The public agency turned on the door light, and the man immediately avoided and walked away.

Dumbfounding

　　The public agency walked into the room and looked at the sleeping son and daughter lying side by side in a small corner, feeling guilty for the children again.

　　That night, the agency tossed and turned, and did not close his eyes overnight. He didn't make up his mind until it was almost dawn. At breakfast, he said to his wife: "The bank loan is still only 20 million yen." The

　　wife was unsure, and said dissatisfied: "What's wrong? Didn't you say that you can borrow more a few days ago?" "

　　The world is difficult." Gongjie sighed and went out. However, instead of going to work at the company, he went straight to the police station.

　　The agency told the police officer who was receiving, the whole thing was told exactly. Fortunately, judging from the autopsy results, the child died on the spot. If he did not die on the spot, then the agency would not save him, and his situation would be bad.

　　After making the transcript, the police severely reprimanded the public agent, then let him go, and soon issued an arrest warrant to Saki.

　　Late that night, after get off work, the agency took the tram home as usual. Thinking back on this incident along the way, he still felt upset. Although reporting to the police station made him feel more at ease, after all, his favorite house was soaked up. After walking out of the station, the agency saw that the fruit shop was still open, so he stopped. He wanted to buy some fruit to take home to comfort his family.

　　The public agency said to the shopkeeper: "Give me four persimmons." The

　　shopkeeper replied politely: "Okay! I didn't come home so late. It's hard work!" The

　　public agency replied, "Well, it's okay." The

　　shopkeeper packed quickly while packing. , While chatting to the sky: "A few days ago in the middle of the night, at about this time, someone asked me about Mr. Hadye's home."

　　"Mr. Hadye?" The agency was a little curious.

　　The shopkeeper nodded and said, "Yes, isn't his house and your house separated by two doorways? Because the journey from here to his house is complicated, it is not clear at once, and it happens to be passing by your house to get to his house. , So I said to that person, just let him follow you. When you get to your house, go a little further, the third doorway is. I don’t know if I found it later..."

　　Gongjie realized something at once, and tremblingly asked, "So, what does that person look like?" The

　　shopkeeper handed the persimmon, and said nonchalantly, "I can't remember, I just remember that he was wearing a peaked cap."

 　　In the UK, postmen wearing only shorts has become the default rule in the industry. Whether it's the summer when sweat is soaking in the crotch or the winter when the snow is knee-high, wearing shorts is their distinctive label as a postman. They practiced steel and iron bones during the daily trip of more than ten kilometers, and also used shorts to ensure that they would not be soaked in sweat and snow. Many British netizens received the express in shock. The shorts fluttering under the postman's crotch made them think they were still alive in the summer. They were more punctual than Santa Claus, but they were far less tightly bound than him.

　　Most people think this is just a silly and brave game popular among postmen: "Their calves are usually hot, you can imagine them running on the road." "I saw them dressed in the snow more than once. Postmen in shorts, their lower body is always more conspicuous than the red vest."

　　There is no doubt that being a postman in the UK is a job that requires willpower. However, within the postman, only shorts can be called a professional. Every newcomer who has just received the postman’s vest will be told to forget the trousers and overalls, but they will always put on the trousers and go out on the first day, and then think of it in the snow. The predecessor's advice and the pity of his colleagues before going out. In many cases, the postman cannot park the car directly in front of the customer's door. They need to walk hundreds of meters on the snow-covered road to put the courier under the customer's doormat. This means that the trousers will remain attached to the skin of the calf after being soaked in snow.

　　"Imagine that when the cold wind blows through the damp or even stiff trouser legs, your skin will look like dead pork that has been in the cold storage for a year, pale and lose its elasticity." Martin, a postman who has been in the business for many years, said, "You can see. Until every postman’s calf is red, a lot of exercise will keep their muscles hot.”

　　Martin has only worn shorts during his work for the past ten years, including winter. "So far, the record I have kept is octaves below zero. Our muscles have hardened and I have not caught a cold for two years." Martin said, "Of course, not everyone has such courage. Older postmen will do. Equipped with waterproof trousers, they will endure the noise from the friction of the water release material."

　　When the British Post provided uniforms for postmen, it was not just shorts. In the Victorian era, postmen were required to wear uniform trousers at work. On the contrary, postmen wearing shorts would be despised for lack of money. But after the winter trek, almost all postmen showed strong calves.

　　In fact, as early as 2013, the Wenquan Town Post Office issued a ban on shorts after a postman fell and scratched his leg, but this safety measure was jointly boycotted by all local postmen, who preferred to wear shorts all day. To maintain the freedom of the legs: "In the agreement between the Royal Mail and the trade union, no one mentions that shorts are prohibited." It can even become the easiest topic between us and our customers.”

　　Royal Mail spokesperson Adrian Booth said: “Our priority is to maintain the health and safety of our employees, and don’t underestimate frostbite and dry skin.”

　　About shorts The controversy continued throughout the winter, until the temperature returned to warmer and ceased implementation. During this period, no postman actually changed into trousers. So far, only wearing shorts is still an unspoken rule among British postmen.

　　In order to keep the temperature of their legs in the cold wind, they will always run on the road of delivery, just like to save the lost love, you will also bend your knees. Like every British girl who shows her thighs in winter, this is just their way of keeping their charm.

 　　I said that I am not a scholar. The first is to be honest, the second is to tell the irony, the third is to talk angry, and the fourth is to be a little frustrated. But I want to tell everyone that when I say that I am not a scholar, I want to reserve the last point of sincerity and respect for knowledge and books.

　　One cannot just say that he is a scholar. I have a relationship with books because I have written a few articles over the years and put them together into a book. People say: "You write books and you can't deny them." Someone suddenly said that I was an excellent essayist. This is really necessary. "Fate"-I am no more than a guest star in writing, but I cannot say "I am a scholar" to others.

　　Everyone knows that Shanghai and Beijing used to have used bookstores. The writer A Cheng is very familiar with Beijing Liulichang. He said that his reading experience was in the 1950s. After class, he went to Liulichang to read miscellaneous books and stood there to read. There is a Fuzhou Road in Shanghai. The second-hand bookstore left over from the Republic of China is connected to one family. There are many books from the Song, Ming and Qing editions. I passed by these second-hand bookstores when I was a child, and I can still see them.

　　I went to Tokyo the year before last and asked the locals where is the second-hand bookstore street? They said it was in Jimbocho. I took the subway and when I came out and saw that street, I immediately thought of Fuzhou Road in Shanghai when I was a child. The bookstores in Jimbo Machiya are very old and small in size. The owner is sitting in a pile of books. The whole space is about the size of a table. There is lunch, a small electric fan, and a small light bulb. He is not poor, he is not tattered, he is showing the score, he really has the score to show: how many generations of used bookstore I am!

　　I said that I am not a scholar, and I am a little bit ironic—the first sentence is honest, the latter is the irony—reading is a very quiet thing, and there are people in the room. If there is no sound at all, then I must be reading. It is also possible now. Become looking at the computer. There is a sound when watching TV, and it is very noisy-in terms of upbringing, if you are really a scholar, you will not speak out or tell others.

　　Whether you study or do art, don’t make yourself an identity—this is not a great thing. You can paint, you can compose two lines of poem, or you can play the piano, don't talk to others. In 1992, after returning to China, I slowly made some new friends. I found that some people would say "I am a scholar", "I am a scholar", "I am an artist", "I am a sculptor", "I am a poet", and "I am a poet". Composer"...I'm ashamed to hear it: How can I say it so embarrassingly? Moreover, the business card was printed with "Second-level painter of XX Painting Academy", and then called: "Danqing, I passed the first-level painter. Let's eat and drink." I don't know when it started and how it changed. There is a trend: a person’s identity is so important.

　　Although I read very little, the book tells me: You know very little, there are many things and many truths, you don't know. Every time the media asks me to talk about reading, I will refuse, especially asking me to recommend a book. I am embarrassed to say which book I have read this year, and then I will publish it in the newspaper and let others read it-how do you know that others have not read it? ? If there is a very sincere young man standing in front of me, I might think about it. I will ask him "Have you read it?" If he says he hasn't read it, I will say "You go try it", but the media does this every year. I will politely decline the invitation, I can’t do it. Why? Because all books teach me one thing-don't be self-righteous, you must be self-righteous.

　　Finally, I want to say to everyone that every book will become your own room. It allows you to hide in, shelters you, and quiets you. Because there are books, you have your own room, and every book is your own room.

 Wheezing is painful, like drowning

　　Normally speaking, the normal lung tissue is like a big sponge, and the alveoli are like many small bubbles in the sponge. Each bubble is roughly uniform in size. The bubbles cannot be free due to the fixation of the surrounding connective tissue. Swing ensures the synchronization and efficiency of breathing. Normally, there are some fibrous filaments in the connective tissue around the bubble, such as the reinforcing steel in reinforced concrete, that is, collagen fibers. These "fiber filaments" are slender and thin, and will not prevent the oxygen in the inhaled air from dispersing into the blood vessels around the bubbles; at the same time, the lungs are maintained elasticity. The lungs can not only contract and exhale air freely, but also fully expand and accommodate more. More air ensures the oxygen supply to the whole body. These supporting tissues around the alveoli, including blood vessels and lymphatic vessels, are called "interstitial". Diseases that mainly invade the interstitium are called "interstitial lung diseases". In fact, interstitial lung diseases can also invade the "lung parenchyma" such as alveoli. Only the center or main part of the disease is in the "interstitium".

　　Lungs with interstitial lung disease When the lungs form interstitial lung disease, the "fibrils" around the alveoli will increase and thicken, and at the same time these "fibrils" will shrink and pull the surrounding tissues. Alveoli are easily ruptured after being pulled, and the ruptured bubbles will fuse with each other to form a honeycomb-like change; pulling the bronchus will cause bronchiectasis. The entire lung will also shrink and become hardened due to being stretched. In addition, these fibrous filaments will also wrap the alveoli layer by layer. The alveoli seem to be entangled with iron chains, which makes the lungs lose their elasticity and reduce their diastolic and contraction functions. One breath and one breath become shallower, and the amount of air inhaled into the lung becomes smaller. The oxygen of the worm is blocked by the "fibers" and cannot enter the blood vessels around the alveoli freely, resulting in insufficient oxygen to support the needs of the whole body, resulting in hypoxia and even respiratory failure. To use an analogy, the lungs of interstitial lung disease are like loofah flesh, hardened and thickened with fibrils, and inside are large and small bubbles with extremely poor breathing efficiency. Of course, "fiber silk" is a simplified image metaphor, and the mechanism of interstitial lung disease is much more complicated.

Normal lungs have a moderate volume, good elasticity, and no excessive fiber deposition.

The volume of the fibrotic lung is significantly reduced. The white fibrillar fibers increase. There are many honeycombs formed.

What checks should be done for interstitial lung disease

　　High-resolution CT (HRCT) HRCT is an important examination method for diagnosing and judging the severity of interstitial lung disease. On HRCT, interstitial lung disease is mainly manifested as strip shadow, grid shadow, and honeycomb shadow, and some are manifested as film Ground glass shadow, diffuse nodular shadow, etc. Ordinary CT cannot show the details of the fibrotic lesions, and sometimes the fibrous cord shadows appear as patchy shadows, so the diagnosis of interstitial lung disease is mainly based on HRCT.

　　Lung function The lung has two functions, one is ventilation function and the other is diffusion function. Ventilation function refers to the function of the lungs to inhale air into the alveoli, and the diffusion function refers to the function of oxygen in the air entering the blood vessels around the alveoli. Interstitial lung disease affects these two functions at the same time, leading to severe hypoxia, and ultimately causing respiratory failure and life-threatening.

　　A series of blood tests Because there are many causes of interstitial lung disease, the process of diagnosis is a process of continuous verification and elimination of the cause. We must perform a series of blood tests to determine whether there are related causes of interstitial lung disease, and also to exclude other causes that may cause interstitial lung disease, such as rheumatic immune diseases that most commonly cause interstitial lung disease (including Rheumatoid arthritis, systemic sclerosis, myositis/dermatomyositis, etc.), which need to be determined or ruled out by checking rheumatic antibodies in the blood; check blood tumor markers to rule out tumors; check some pathogen-related antibodies to rule out infections Possible. All the causes have been ruled out. Idiopathic pulmonary fibrosis can be diagnosed only when HRCT meets the diagnostic conditions.

Interstitial lung disease treatment

　　Interstitial lung disease is more difficult to treat. Mainly interstitial fiber filaments are more difficult to absorb and remove. The curative effect varies according to the cause of the disease. If it is caused by drug side effects, after removing the drug, the fiber can be loosened and cleared; rheumatoid immune diseases such as rheumatoid arthritis and pulmonary fibrosis caused by systemic sclerosis can be treated with hormones and immunosuppressants. Some The patient's curative effect is better. The most serious is idiopathic pulmonary fibrosis, the treatment effect is not good, the treatment is often ineffective, and only lung transplantation can be done in the end.

　　Oxygen therapy is undoubtedly the most important treatment method for the treatment of interstitial lung disease. Because most interstitial lung diseases, especially idiopathic pulmonary fibrosis, currently lack effective drugs that can reverse the disease, it is important to relieve treatment that may cause damage to other organs in the body. The symptom of interstitial lung disease that affects the whole body is hypoxia. In patients with severe interstitial lung disease, all the organs of the whole body are soaked in the hypoxic blood, which will be damaged by hypoxia. The lungs are already diseased, and if other organ damage is added, it will be worse. Therefore, inhaling oxygen to maintain the oxygen concentration in the blood so that other organs are not damaged is an important measure to prolong life.

　　The hormone glucocorticoids are commonly used drugs for the treatment of many types of interstitial lung diseases, and even the most effective drugs. For interstitial lung diseases such as collagen vascular disease-related interstitial pneumonia, non-specific interstitial pneumonia, and sarcoidosis, hormone therapy can be used to reverse or even cure the disease. However, the treatment course of the drug is long, and even requires 6 months or more of medication. And its long-term side effects are extremely great, which may lead to a decline in immunity, combined with rare bacterial infections, and even high blood pressure, diabetes, and femoral head necrosis. It is important to note that taking hormones for a long time may inhibit the secretion of their own glucocorticoids and cause adrenal atrophy. If the drug is suddenly reduced, it may lead to a sharp reduction of glucocorticoids in the body and a rebound of the disease. Therefore, the drug must be slowly reduced. .

　　Acetylcysteine ​​Although there have been articles proving that acetylcysteine ​​is not effective in the treatment of common types of idiopathic pulmonary fibrosis in interstitial lung diseases, there are still many patients with other interstitial lung diseases who obtain it from the drug. Benefit. The drug mainly exhibits phlegm-reducing effect at normal doses, but has certain anti-oxidation and anti-fibrosis effects at high doses, and long-term use of some patients can maintain a stable condition. The drug needs to be taken for a long time or even for life, so it is also a longer treatment course.

　　Pirfenidone and nintedanib Pirfenidone and nintedanib are currently two anti-fibrotic drugs clinically proven to control idiopathic pulmonary fibrosis. Observed for one year between patients using these drugs and patients in the control group, it was found that the rate of decline in lung function was significantly reduced, and the number of acute exacerbations in the next year was significantly reduced. However, these two drugs still cannot play a role in reversing the condition, but can only stabilize the condition. The long-term side effects are mainly photosynthesis, liver damage and other gastrointestinal reactions.

　　The symptoms of interstitial lung disease with cough suppressants are mainly cough, which is very stubborn and even tends to stop until the lungs are coughed up. Using a good cough medicine to stop coughing can significantly improve the quality of life of patients with interstitial lung disease, while reducing the frequency of coughing, prolonging the duration of normal breathing, and alleviating the hypoxia caused by coughing. Normally, mild cough is mainly based on proprietary Chinese medicines, and strong cough suppressants, such as codeine, can be used when necessary. However, the drug is addictive and needs to be used with caution.

　　Lung transplantation interstitial lung disease, especially idiopathic pulmonary fibrosis, is an important indication for lung transplantation. Lung transplantation is also an important measure to cure idiopathic pulmonary fibrosis. Both single-lung transplantation and double-lung transplantation can be used. At present, the technology of lung transplantation has been relatively mature. The success rate of lung transplantation in some hospitals has reached more than 80%, and most patients can benefit from it. Some patients who can only lie down and rely on ventilators to maintain their lives can even take care of themselves and participate in social activities after lung transplantation. Of course, not every type of interstitial lung disease is suitable for lung transplantation. Some interstitial lung diseases caused by rheumatic immune diseases progress rapidly. After transplantation, the new lung will still be invaded, and the prognosis is relatively poor. Of course, this is not absolute. Patients with interstitial lung disease caused by rheumatic immune diseases can still benefit from lung transplantation. It is best for willing patients to register and queue in advance at a hospital capable of lung transplantation, because most patients cannot have a donor lung immediately when they must be transplanted, and patients often lose their lives without waiting for the source of their lungs.

　　Most of the interstitial lung diseases are chronic diseases, not only the disease develops slowly, the duration is long, and the treatment course is also relatively long, basically requiring more than half a year of treatment. Some of the therapeutic drugs, such as glucocorticoids, can receive relatively good results, but the long-term side effects are large, and the dose cannot be reduced or stopped arbitrarily.

 Common diseases of the prostate

　　Prostatitis refers to inflammation that occurs in the prostate tissue. The most common cause is bacterial infection, which can be divided into transurethral, ​​blood, and lymphatic system infections. Transurethral infection is when bacteria enter the prostate through the urethra, causing acute or chronic prostatitis; transurethral infection is a bacterial infection from other parts of the body that is transported to the prostate through the blood, causing prostatitis. In addition, the rectum, bladder, urethra and other organs near the prostate are inflamed, and bacteria may also enter the prostate through the lymphatic vessels.

　　Prostatic hyperplasia refers to the abnormally enlarged prostate, which is a common disease in elderly men. Benign prostatic hyperplasia refers to the appearance of non-cancerous hyperplasia of glandular tissue, which is generally considered to be the physiological process of normal aging in men. However, hypertrophy of glandular tissue blocks the urethra and hinders normal urination, causing symptoms such as frequent urination, weak urine flow, and burning or tingling when urinating. In severe cases, the inability to urinate may cause swelling and pain in the lower abdomen.

　　Prostate cancer is caused by the proliferation of malignant (tumor) cells in the prostate tissue. Tumor cells continue to multiply in an uncontrolled manner, sometimes spreading beyond the prostate into nearby or distant parts of the body. Prostate cancer is usually a slow-growing cancer that can lie in the body for many years without being detected, and most of it has reached an advanced stage when it is diagnosed. The best way to prevent and treat prostate cancer is early detection and diagnosis.

4 major factors increase the risk of cancer

　　The cause of prostate cancer has not yet been definitively concluded. Based on the data of various anti-cancer foundations, the following factors will increase the risk of men’s cancer and prostate cancer: ①Ageing; ②High-fat diet; ③Long-term lack of exercise; ④Family Some of them have had prostate cancer (especially close relatives).

5 warning signs to uncover prostate cancer

　　Early-stage prostate cancer usually has no obvious symptoms, but careful observation is still there to follow. Although the following warning signs may be symptoms of benign prostatic hyperplasia, once the following symptoms are noticed, it is recommended to ask a urologist for further examination and diagnosis to detect prostate cancer as soon as possible.

　　①Related symptoms of prostate enlargement (such as dysuria, weak urinary flow, frequent urination, pain, slow or intermittent urination, etc.); ②blood in the urine; ③skeletal pain (such as pelvic, back, buttocks pain); ④weight Decrease; ⑤ PSA index asks for higher.

How to detect and diagnose prostate cancer

　　Doctors usually perform blood tests and physical examinations to check the health of the prostate, mainly digital rectal examination (the doctor wears lubricated gloves and puts his fingers into the rectum to check the size of the prostate and assess whether there are abnormalities) and through blood tests Test prostate specific antigen (PSA for short).

　　PSA is a simple, painless blood test. Although a high PSA index is not necessarily prostate cancer, a positive PSA screening can provide medical staff with early warning signals for further examination and diagnosis.

　　If the test results show that there may be a risk of prostate cancer, further biopsy is required. Biopsy is the only way to accurately diagnose prostate cancer. The urologist will use an ultra-fine hollow needle guided by ultrasound to take a small tissue sample from the prostate for pathological examination. For patients who have been diagnosed with prostate cancer, the PSA index is an indicator for judging the level of cancer, the effect of treatment, and whether there is recurrence.

What to do if you suffer from prostate cancer

　　Doctors can formulate an appropriate treatment plan for prostate cancer only if they understand the patient’s condition and personal condition. Factors to consider include the stage of the cancer, symptoms, age of the patient, and general health.

　　The current feasible treatment options include surgical removal of the prostate, radiation therapy, hormone therapy, chemotherapy and so on. There is no one-size-fits-all, universally applicable treatment plan. The flexible application of various modern treatment techniques to customize personalized treatment plans for patients can not only improve the survival rate of patients, but also effectively improve the experience and treatment effects of patients.

　　The key to a good treatment effect or cure for prostate cancer lies in early diagnosis and treatment. Once the cancer spreads to adjacent bones or enters an advanced stage, the direction of treatment is often aimed at controlling symptoms and prolonging life.

 　　 In my friend’s small study room, there is a small refrigerator, which contains perfume and some skin care products that are not frequently used, facial masks, and skin care samples. In summer, she also put some soda in handily, and took it out to drink while reading.

　　 This small refrigerator has been there since she rented the house. Later, she bought a house by herself and moved in with it.

　　 "Renting a house doesn't have much of its own furniture, and all use the landlord's. Such a small refrigerator, filled with my beautiful wishes, moving from one home to another, feels quite a sense of belonging." She said.

　　 She is not a hoarder. There are five or six perfume bottles and seven or eight lipsticks—most urban girls have so many. But everyone who goes to her house curiously opens this small cosmetic refrigerator, and can't help but sigh: Wow, it's so extravagant.

　　 She smiled modestly and explained that Shanghai is hot in summer and perfumes are easy to smell. At the beginning, I bought this refrigerator mainly to preserve the perfume. Later I found that the mask is also very good in it. Put it on the face coldly, and the skin becomes firm all at once. Up.

　　 A small single-door refrigerator is the meticulousness and exquisiteness that does not need to spend a lot of money. It is the heart that you are willing to make yourself better.

　　 Another friend has two children in the family. The children build nests everywhere like swallows, smashing the housewife’s glorious dream of cooking and decorating her husband.

　　 But no matter how skinned the children are, they all know that their mother's desk is sacred and inviolable.

　　 On that desk, there is a handmade tablecloth of the "Wuyou" brand, a Japanese "Ukiyo-e" koi, a "MUJI" incense lamp, and an Austrian crystal vase with different flowers flowing in the four seasons. There is also a laptop and a book or two.

　　 This corner is the cleanest and tidy place for the whole family. Even if my mother comes to my aunt when she catches a cold, she will keep it spotless and beautiful. This is also a restricted area for children. Who dares to touch the things on this table? Really want to bloom.

　　 The mother of the child's playmate comes to play at home, and when she sees this paradise-style desk, she will also sigh: You are too extravagant.

　　 This kind of luxury also doesn't need to spend any money, but I don't know how many mothers' bitter tears are brought.

　　 When a woman becomes a mother, she becomes XX’s mother in the community social group or the kindergarten QQ group. As a girl, she is often dormant. Her life revolves around the child, and the family becomes her. The most important thing.

　　 To be able to maintain a complete and own thing in this complicated world, and often immerse yourself in it, is a luxury.

　　 Luxury is the thing that allows us to find ourselves.

　　 I like the word luxury, and of course I like luxury. But the luxury goods I understand may be different from ordinary people. I don’t think that a bag bought with a lot of money is a luxury. If I buy such a thing, I usually say to my friend: "I bought an expensive bag today."

　　 Expensive is the most intuitive feeling for these things. As for whether it is extravagant or not, it depends on how you use it in what mood.

　　 An internet celebrity friend has made a lot of money doing live broadcasts in the past few years. She bought a bunch of expensive bags and threw them in a room. Because there was no time to clean up, the room looked like a rich man’s attic, dusty and messy. , This kind of life is expensive, but not extravagant.

　　 The most luxurious thing in life is not money, but companionship. It is luxury to spend money to buy high-quality companionship. Whether it is the small cosmetic refrigerator or the exquisite desk corner in the home occupied by bear children, they are essentially companions that can truly comfort people, and are the tranquility we obtain outside the chaotic life

 　　In the northernmost part of Xinjiang, China, there is an amazing place, where there is a charming scenery all year round, that is, the mysterious and magnificent Altay. Altay is located under the famous Altai Mountains, just north of Urumqi. The northwest is connected to Kazakhstan and Russia, and the northeast is bordered by Mongolia. It is known as the "four countries".

　　Altay has azure blue lakes, dense birch forests, wild Gobi deserts, colorful river valleys, and ancient Mongolian Tuva people... In the hearts of many people, Altay is often connected with Kanas. Kanas is Mongolian, meaning "beautiful, rich and mysterious." Kanas Lake was formed 200,000 years ago. Moraine objects blocked the river course, forming a magical and spectacular mountain lake.

　　Kanas Lake and the surrounding snow-capped mountains, grasslands, and birch forests form beautiful scenery. Shenxian Bay, Wolong Bay, and Moon Bay are well-known and are photographers' paradise all year round. There is a quaint little village by the lake—Hemu Village. The warm air and quiet atmosphere here make people feel as if they are in a private manor, which is quiet and beautiful from any angle.

　　Hemu Village is inhabited by Kazakhs and Tuvas. They are mainly nomads and hunters. They eat homemade cheese, milk tea, and milk bumps. They live in a wooden yurt built by themselves, and live quietly and leisurely with the sheep from the south to the north. Life.

　　Baihaba Village is located in the deep valleys of the Altai Mountains, surrounded by dense forests. It is the village with the highest concentration of Tuva people in the Altay region. One of the small towns. This is a village where the natural ecology and the ancient traditional culture are in harmony, everything still preserves the original style inherent for hundreds of years. The Tuva dwellings were built on a long and narrow terrace between two small streams. Wooden house fences made of logs stand against the mountains and rivers, scattered in pine and birch forests. When you arrive at Bai Haba, you must take pictures of the smoke that rises in the morning. The virgin forest, log cabins, the faint morning mist and the mysterious residents together form a fairy tale kingdom.

　　Wucai Beach is famous for "a river with two banks, different from north to south". The blue Irtysh River passes by, under the sunlight, multicolored tiny plants are intertwined to form a dreamy river beach. The north bank of the river is a cliff-like Yadan landform, and the color changes of the river beach become richer as you go west. The south bank across the river is lush and verdant valley scenery, Populus euphratica stretches into forests, and there are suspension bridges, windmills, and the vast Gobi desert in the distance.

 　　After the duckling pecked open the eggshell and came into the world, it would closely follow the first moving object it saw. Whether or not the object was really its mother duck, it would attach to it as a mother. This phenomenon is called the imprinting phenomenon by the Austrian biologist Lorenz. In fact, humans also have this behavior, but what humans "recognize their mothers" does not rely on sight, but smell.

　　People appreciate the role of

　　the fetus in the womb of time also depending on the material and can not distinguish between them, the mother was able to smell the smell, and as the mother and others to distinguish. After ten months of pregnancy, the smell of food and the smell of the mother's body will constitute the mother's overall impression of the fetus's mind, so that the fetus will naturally get close to the mother who emits a familiar smell, just like the "branding phenomenon of birds". "Same.

　　Not only does the mother's smell make babies feel familiar and close, but the strong "milk fragrance" on the newborn's body often attracts people to get close to them. Studies have shown that the scent of a newborn can activate the reward circuit in people's brains. Close to a newborn, the brain will produce more dopamine, which makes people feel happy. This smell also attracts adults to take care of them willingly.

　　But the pleasant smell of newborn babies gradually disappeared at about 6 weeks of age, and a unique personal body odor slowly formed.

　　Scientists believe that everyone has a smell and is unique, even twins who look very similar have a unique smell.

　　Appreciate the origins of

　　studies have shown that each person's body odor, mainly from sweat, sweat and these can form a unique body odor, and genes, microbes and more people living in the body related.

　　First of all, the amount of sweat per person is mainly determined by genes.

　　We usually have the impression that, compared with Asians, Europeans and Africans are usually taller and rougher and have a stronger body odor. And why is the body odor of Asians not so great? It turns out that about 70% of Asians have a mutation in the ABCC11 gene on chromosome 16, which reduces the secretion of sweat glands.

　　So does sweat smell like sweat? It's not. The smell we just sweat is not detectable. The three most abundant components in people’s sweat are mercaptans, steroids and acidic substances. These three substances themselves are colorless and odorless. The main reason why people have body odor is sweat. After being secreted, it is transformed by the parasitic microorganisms on the skin surface to produce odorous compounds. Africans and Europeans secrete more sweat and have more raw materials for microbial "fermentation", and the body odor will be greater.

　　Scientists already know some rules. For example, people with more coryneform bacteria tend to have a pungent odor, and men usually have more coryneform bacteria than women, so their body odor is stronger; on the contrary, women usually have more coryneform bacteria. There are more staphylococci on the body than men, so the body odor is lighter.

　　It is under the dual effects of genetic inheritance and microorganisms that we have obtained our own unique smell.

　　Interestingly olfactory memory

　　Research shows that people appreciate is selective memory. The results of EEG showed that smells similar to those of the body can activate the middle and front area of ​​the right side of the brain, which makes people feel comfortable and their emotions more calm.

　　Among couples, taste memories are even more profound. Researchers at McGill University in Montreal, Canada have done such an experiment: They found 20 couples, men who were required to wear the same cotton T-shirt to sleep for 7 consecutive nights, with juice-absorbing pads sewn under the arms of the T-shirt. After that, the girls were asked to smell the pads and pick out the one worn by their lover from the 3 pieces of clothing. As a result, all women can find clothes worn by their lovers at once.

　　Of course, compared with animals, we rarely get information through body odor. Dogs get information through scents. Ants rely on the pheromone odors left along the way to know the way. Cats release the scent of sex hormones when they are in heat. Humans use language, hearing and vision to transmit and receive this information.

　　Therefore, even though body odor contains pheromone, it is generally difficult for people to distinguish each person by smell. Scientists suspect that the decline in the ability of humans to smell body odor may be due to evolution. I really don’t know if this is happiness or sadness.

 　　When you get sick, people will suddenly have no masters, asking about how to treat them. There are often complaints from patients that when they go to many hospitals, the doctors say they are not the same. Even in a hospital, what the experts say is different. Faced with different diagnosis and treatment options, who should you listen to?

　　In fact, medicine has developed rapidly, and doctors are not very clear about many diseases, and there are still great limitations. In addition, even if doctors are well aware of some diseases, there are still individual differences. Each patient's treatment is different. It can be said that no two patients in the world are exactly the same. Therefore, there is no "gold standard" for the diagnosis of many diseases, only expert consensus.

　　After the patient got sick, he was eager to know what kind of disease he was, thinking that the disease was either black or white. The doctor must give me a clear statement. However, many times your disease is gray.

　　Clinical medicine is an empirical medicine. There are many diseases that will not follow the book. Atypical symptoms are also the reason why some doctors misdiagnose.

　　When the patient encounters such a situation, he must be patient and wait for the examination. In fact, most of the time the opinions of doctors are not very different. If there is a big difference, listen to their reasons. Every doctor has a different perspective, and the opinions given may vary. Of course, the diagnosis and treatment of a good hospital will not vary greatly, and there are standards for the same diseases, and there is evidence to follow. The multidisciplinary consultation system can focus on consultations to give directions and opinions for examinations, and avoid patients with difficult diagnosis from running back and forth between various departments.

　　Listen more to the doctor's opinions, not only use medical knowledge to analyze whether what each doctor said is reasonable, but also use logical thinking to find out the results you mainly want. In the treatment of diseases, there are few methods that have the best of both worlds. There are gains and losses, and there is no regret medicine. It should be right to follow one direction to the end.

　　In addition, "finding evidence" is also the essence of modern medicine. Most of today's medicines and treatment plans need to go through rigorous clinical trials and have sufficient scientific evidence before they can be applied in practice.

　　For example, the new crown pneumonia vaccine that is being vaccinated is not started by a very authoritative or experienced person who said that it is necessary to vaccinate. It is a large-scale vaccination after scientists have conducted arduous research and experiments and have evidence to ensure that the vaccine is safe and effective.

　　What is evidence? The doctor's personal clinical experience, published academic literature, etc. are all evidence, but the level of effectiveness is different. The clinical trial method with the highest level of evidence is called a "multicenter randomized controlled study".

　　Simply put, the patients were randomly divided into two groups. One group took the new medicine and the other group took the old medicine, but the doctors and patients did not know who used what medicine. This is the so-called "double-blind" test. And this trial must be done not only in one family, but also in many hospitals around the world, that is, multiple centers. In this case, if everyone comes to the same conclusion, it means that the medicine is effective. This is the highest level of research evidence.

　　Treating a disease is a lot like solving a case. Doctors do various examinations on patients, just like the police are looking for clues to the crime. When the clues are not enough, there may be several suspects, just like diseases, different doctors may have different judgments. The more clues and the better the evidence, the more likely it is to find the real culprit.

　　In this sense, in the face of different statements from doctors or different treatment options, finding more evidence may be more important than finding "authority."

　　Of course, this is not easy, because the evidence will not jump out on its own, and the complicated information also needs to be screened out as valid evidence.

　　Some people may think that patients do not understand medical knowledge and how to make decisions. But the objective reality is that the final decision is for the patient to make, which cannot be replaced by others. After all, the results of all treatments, good or bad, are borne by the patient's body.

　　In short, don't go to the hospital in a hurry. When choosing a reliable hospital and doctor, you can consider the following points:

　　Choose a specialist hospital. As the saying goes, "what are you doing and what to drink". Doctors in non-specialist hospitals are smarter than general hospitals, but they just yell at this, and they are always good at it.

　　Go to the general hospital to find a specialist doctor. Now general hospitals are also divided into specialties, and doctors above the deputy chief physician also have specialties. There are relatively few large and comprehensive general hospitals. Many general hospitals also focus on one or two specialties. For example, Beijing's Tiantan Hospital is well-known for brain surgery, and Jishuitan Hospital is leading the Department of Orthopedics and Burns.

　　You can first ask the doctor's friends for their opinions. If you can know doctors, their recommendations are more reliable because they understand the situation in the industry.

　　Patient recommendations should be carefully considered. This is relatively subjectively affected, and is directly related to the patient's treatment effect and medical experience, and is not very objective.

　　Don't take the results online too seriously. At this stage, there are not too many reliable ones, so don't be misled.

　　Private private hospitals are currently a mixed bag, and some do not follow the standard treatment and practice medicine, eager for quick success and instant benefits. If you want to choose these hospitals, try to find a larger hospital for treatment, and it is not ruled out that individual private hospitals are very standardized.

　　Some patients believe in Chinese medicine and traditional Chinese medicine, and they even look for public hospitals when they go to Chinese medicine hospitals. For example, Guang'anmen Hospital of Traditional Chinese Medicine, Xiyuan Hospital of Traditional Chinese Medicine, etc.

 　　Speaking of India recently, it’s hard not to think of the raging new crown epidemic, the variant Delta virus, and many news screens, regardless of the plague, still intensively bathing, praying, holding funerals, and drifting corpses in the "Mother River" Ganges. people.

　　Many countries have their own representative rivers. They have bred ancient civilizations, flowed with the texture of the times, and are spiritual symbols of the nation and the country. But there is rarely a river like the Ganges, which carries so much hope and sorrow inside, and is covered with layers of misunderstanding and ridicule on the outside.

　　In addition to the famous Ganges River, India also has an "Indus River" with the same name as the country. The central plain of India lies between the Indus and Ganges and forms the main part of the Indian granary-but most of the Indus does not belong to India. Over the years, this river has been under the jurisdiction of India and Pakistan, and contradictions have emerged one after another.

　　One inside and one outside, one mystery and one dispute are the Indian reality represented by two important rivers: it is a torn hierarchical society in the country, and it is also an endless dispute that cannot be avoided in the world.

Garbage floating on the Ganges

Indians believe that the holy water of the Ganges can wash away stains and bad luck

The mother river that washes away sins

　　Like many rivers in the world that are revered as the "Mother River", the Ganges has a long meandering length and abundant water volume, bringing the extremely important Ganges Plain to India. This plain with an area of ​​about 520,000 square kilometers is fertile and has a large population of people. It also hosts many major cities in India, such as Lucknow, the capital of Uttar Pradesh, and Kanpur, an important industrial center in North India.

　　In addition to nurturing and survival, the Ganges River is the holy river in the hearts of Indians, and the incarnation of the "God of God" Lord Shiva. According to legend, in order to redeem a king, Shiva spread her hair and let the river flow along her hair everywhere, becoming a trickle of the Ganges.

　　Since the Ganges can wash away the sins of ancient Indian kings and redeem 60,000 innocent creatures, then what are the small stains and bad luck in one's life? This is why Indians now generally love to bathe and pray in the Ganges River.

　　"Give me a handful of Ganges water, and Lord Shiva will watch me from the sky, so that I dare not lie or do bad things."

Tearing apart the miniature of society

　　The Ganges in the past can indeed wash everything away. As early as when the British colonized India, the Ganges water was used as a supply of fresh water for the ocean-going fleet, and it did not deteriorate for a long time. Before the 1980s, in the rainy season, the Ganges water could even reach drinking water standards.

　　The Ganges River's extraordinary self-purification ability is second to none in rivers worldwide-it seems to naturally contain more dissolved oxygen and beneficial microorganisms than other rivers. This kind of magical "non-corruption" is indeed worthy of worship.

　　Before the 1980s, in the rainy season, the Ganges water could even reach drinking water standards.

　　The Ganges water really began to get dirty after the 1990s. With the triumphant advancement of industrial civilization and the massive increase in population, Kanpur, a city along the Ganges, began to vigorously develop the original tanning industry-an industry with extremely high water consumption and high pollution. The family workshops scattered along the river discharge industrial sewage into the Ganges River uncontrollably. Even if the Ganges is really a river blessed by gods, it might not be able to withstand the overwhelming power of contemporary industry.

　　Under industrialization, the ills of the Indians’ past lifestyles began to emerge: the dead bodies were thrown into the Ganges to float, breeding a lot of bacteria; the corpses of cows regarded as gods were thrown into the Ganges, and the bacteria of sick cows were found. Arrived at the hotbed; the traditional funeral custom requires burning and praying by the river, which produces a lot of waste and pollution...Finally, these bacteria in the Ganges will be brought back into the body by the Indians by "drinking holy water" and "bathing in the river". , Causing various water-borne and intestinal diseases, such as cholera, dysentery, hepatitis A, and typhoid fever.

　　As a result, the increasingly dirty Ganges River began to daunt the outside world. It is no longer the mother river of gentleness, but the hometown of hideous cholera.

　　Now, the new crown epidemic has brought new disasters to the Ganges and to the poor Indians. The wealth that industrial civilization exchanges for the environment is not accessible to everyone, and those stinking corpses drifting in the river may mean the reality of the gap between the rich and the poor in India—as a believer, if you don’t have enough money to buy one The firewood that burned his own body could only float like this, bearing all kinds of infamy for "polluting the mother river".

　　The unburned remains by the Ganges, the cremation pile without firewood, the floating corpses, and the no longer clear river water are sorrows that cannot be saved by ancient myths and devout beliefs.

Indus Valley

Split water source

　　If you look at the "Indus River" that flows through the northern corner of India, you will find another kind of joys and sorrows about the river.

　　The conflicts between India and Pakistan have been disputed for a long time. Among them, the Kashmir issue and the issue of the ownership of the Indus River can be regarded as the two most important contradictions.

　　In 1947, India and Pakistan were divided, and the rich Punjab of northern India was also divided into two. "Punjab" means "land of five rivers". As the name suggests, 5 tributaries of the Indus River are gathered here. There is "Punjab Province" in Pakistan and "Punjab State" in India.

　　Conflicts between India and Pakistan are frequent, but no one has really been involved in fighting because of water sources.

　　This "divide and conquer" split the various species in India and Pakistan, as well as the planting and irrigation, land and water sources in this area. Pakistan has obtained most of the irrigated fields, but the rivers used to irrigate them-the five major rivers of the Indus. The upper reaches of the tributaries and their main streams are in Kashmir or India. In other words, if Pakistan wants to use the water from these rivers, it needs India’s consent.

　　India, which believes that Pakistan as a whole country should "should not appear", will naturally not give up such a once-in-a-lifetime "handling" opportunity.

　　April 1, 1948, was the expiry date of the "maintain the original water supply pattern before the partition" signed by the two countries. India, upstream, cut off the water. More than 1 million acres of land in Pakistan were irrigated without water and almost dried up, which was a devastating blow to the harvest that year. Since then, although India opened up the water source through negotiations, this kind of "cutting off supply" from time to time often occurred. Pakistan had to look at India's face and even had to pay water fees for this natural river.

　　If Pakistan does not count on the Indus River, can it avoid constraints and endless quarrels?

　　Pakistan without the Indus River is unimaginable. If you open the map and look at the geographic structure of Pakistan, you will find that almost all of its southeast areas are deserts, and 90% of Pakistan's annual water resources come from the Indus River Basin.

　　The Indus is to Pakistan as the Nile is to Egypt. It is not only dignity, but also the lifeblood.

Unfinished dispute

　　Pakistan's "life-saving water" is also a source that India desperately needs. India has a huge population and territories, and water sources are naturally the most important. By intercepting the Indus River and empowering the development of various states, India’s approach seems "virtuous", but it can be understood.

　　In the face of the International Court of Justice, India and Pakistan stand on their own terms. In India’s view, rivers should be treated with "absolute territorial sovereignty": the upper reaches belong to India, and India can freely transfer water and intercept freely; in Pakistan’s view, since it is a flowing river, it should be a river. For consideration, wherever it flows, the right to use it will be shared.

　　After all, it can't be pulled like this forever. In 1960, under the mediation of international organizations, the "Indus River Water Treaty" was signed, which divided the Indus River basin into two parts. It has full rights to use, and it obtains 166.5 billion cubic meters of surface runoff each year.” India has the “right to use about 40.7 billion cubic meters of water distributed by the three East Rivers (Ravi River, Bias River, and Satledje River) each year.”

Gilgit River

　　Wherever the river flows, it belongs to whoever, but there are several agreements: it must not be harmful to the river water; exchange river data once a month; know each other before developing water conservancy; establish the Indus River Standing Committee to deal with disputes between the two countries...

　　"India The "River Water Treaty" faithfully performed its duties: conflicts between India and Pakistan are frequent, but there is no one time because of the water source. The two parties also cooperated as far as possible to make the water source really benefit the coast. People.

　　It's just that the two sides still have frequent conflicts. India, which is located in the upper reaches, often builds water conservancy projects that over-store water or even change the flow of the river in order to more thoroughly "squeeze" the "Indus Water Treaty." Building dams in disputed areas, hoping to introduce more water resources...

　　Although human quarrels are noisy, they seem insignificant in the face of nature. The source of the Indus River and its tributaries is the familiar Himalaya glaciers. In the past 20 years, glaciers are rapidly "withering". A study showed that "90% of the glaciers in the Himalayas are melting, and some glaciers are melting at a rate close to 40 meters per year." In addition, the drought and rain in South Asia, the unbridled water pollution of major cities in India and Pakistan, and the uncontrolled development of groundwater... all these have dealt a heavy blow to the water sources of rivers, including the Indus.

　　The death of the Ganges originated from endless pollution, and behind the disputes over the Indus River was the disappearing water source. From the rivers of India, we may be able to see the cruel ending that humans will face if they use the rivers uncontrollably.

 　　From the "Powder Keg" to the Harvard PhD in Psychology, he only did one thing. I believe many people know him. He has recorded "Signs of Heart" with many celebrities and served as a psycho-emotional expert in it. In the second season of "I'm a Speaker", I won the national championship and conquered the teachers and the audience with heart-to-heart stories and eloquence. He is Liu Xuan, the son of the writer Liu Yong.

　　Behind the success, few people know that in the face of the storms of life, Liu Xuan, like most people, was nervous, anxious, and stressed, and was overwhelmed by emotions. When he was young, his father's success brought more pressure to Liu Xuan. For Liu Xuan, who was entering the rebellious period at that time, the intention to get rid of this heavy identity became the choice to relieve pressure. I don't like to study, fall in love early, cry, and have a bad temper... But the more so, the more sad the life and the more emotional breakdown.

　　Finally, Liu Xuan realized that these measures were definitely not the best way to get along with emotions. As a result, he read a lot of psychology books, from which he mastered and practiced many small skills to deal with emotions correctly. Time is getting longer, and there will be gains in the end. He also obtained a Ph.D. in psychology from Harvard University and became a leading psychology expert in China. His meticulously original psychology works have been praised as "a rare psychology work that increases people's positive emotions". Many readers come here every time at the signing ceremony. Thanks to Liu Xuan's sharing, tens of thousands of viewers have found out how to correctly understand bad emotions and even face and resolve bad emotions step by step.

　　Liu Xuan shared a case in which the protagonist of the story was the housewife Wang Jie, who had never gone to work in order to take care of the children. Last year, she chose another career. However, after a long absence from the workplace, how can it be so easy to return now? Originally, when a person is 40 years old, it is embarrassing enough in the workplace. In order to cope with the workplace, she had to re-apply for various professional title examinations. The family advised her to stop tossing and stay at home with peace of mind. The family's incomprehension and the exhaustion of old age make Sister Wang's efficiency very low even if she reads and studies every day. In the stalemate, a series of negative emotions developed in her heart. In the end, she even simply hid in the office and didn't want to go home, and her relationship with her family fell to a freezing point. She found Liu Xuan and wanted to solve these problems. When Liu Xuan heard it, it was clearly an emotional problem. There is no problem in pursuing a better life. But the problem is that Sister Wang puts too much pressure on herself. She has to take care of her family and take care of her family smoothly. If it doesn't work, she falls into self-doubt or denial, and finally refuses her family's concern by evading her. Starting from the actual situation, Liu Xuan took her to accept herself first, admitting that people cannot be perfect in everything. Then she used positive psychology tips to teach her to arrange work, exams and life. Unexpectedly, after accepting the facts, Sister Wang was less anxious and nervous, and the relationship with her family gradually eased. Later, she successfully passed the accounting exam.

　　Engaged in psychological counseling for many years, there are too many cases such as this: the marriage relationship is strained, and the divorce is the point, but because of the "glass heart rule", the couple is reconciled; the children in the rebellious period are all troubled, and the parent-child relationship is very tense. , But because of using Teacher Liu Xuan's "Inertial Emotion Method", now I am mingling with my children... In life, who has not experienced unsatisfactory things? Work is denied by superiors, disagrees with friends, because of a small matter arguing with your partner cold war, encountering unreasonable and unfair treatment in life... It is understandable that you have encountered all kinds of bad things and have some negative emotions, but if you are excited, Failure to control these negative emotions often leads to irreversible situations.

　　There is a saying in the market that is right that emotions are the demons. Although emotions are an instinct that is born with them, if they cannot be restrained and managed, they are likely to affect everything around people. On impulse, the family will no longer be harmonious, the career will be frustrated, and even the health of the body will be affected. As everyone knows, whatever emotions you have, you will be fate! Remember what Napoleon said: "A person who can control his emotions is better than a general who controls a city."

 　　Tomorrow will be a good day.

　　Of course, I cannot control everything that is about to happen, and I certainly know that there will be some unsatisfactory moments, but I believe that tomorrow will be a good day.

　　I am determined to make it a beautiful day.

　　If I can connect the good days, they can become a good week.

　　Similarly, there may be some small setbacks in life, but in general, if you have a good few days, it must be a good week.

　　A few good weeks will soon become a good month.

　　This is the current momentum.

　　Optimism is contagious, and other people are also receiving infection.

　　They walked with me on this journey, and it was an interesting journey.

　　The bright spots are far greater than the difficulties. This is what you expect for a good day or week.

　　Suddenly, it looked like a very good year.

　　And all this is because I decided to have a good day.

　　Day after day.

　　Not because of the impact of the environment on me, but because of my impact on the environment.

　　You have to admit that the good days are yet to come.

 　　Cancer is an incurable disease. People who have cancer have a high mortality rate and a low cure rate. Even if it is cured, there is a possibility of recurrence. Therefore, when people talk about cancer discoloration, they are also very concerned about whether the cancer is contagious.

　　Since the last century, scientists have been searching for the answer to this question. A large number of facts have shown that cancer is generally not easily transmitted through daily life such as physical contact, sexual activity or sharing utensils. However, the world is full of surprises, and there are always exceptions to everything. In a very small number of rare cases, scientists have also discovered a terrible phenomenon-cancer cells can indeed be passed from one person to another, and grow and develop in the new body, causing cancer.

The tragedy of organ transplantation

　　In 2007, a 53-year-old woman died of a stroke. She had signed a body donation agreement before her death. After her death, the doctor took out her healthy heart, lungs, liver and two kidneys, and then transplanted them to 5 people. Patients who need new organs. Before the transplant, the doctor conducted a detailed examination of the body of the organ donor and found no abnormalities. For the 5 patients undergoing transplantation, except for the failure of the heart disease patient's transplantation operation, the remaining 4 patients were successfully transplanted. They received new lungs, liver, left kidney and right kidney, and their bodies gradually recovered.

　　However, the good times did not last long, and unexpected things appeared. The female patient who received a lung transplant was hospitalized because of physical discomfort 16 months after the operation. The doctor checked and found that she had breast cancer. Even more surprising is that the doctors found through DNA sequencing that the female patient’s breast cancer cells were not her own, but came from the 53-year-old organ donor. Obviously, during transplantation, breast cancer cells are hidden in the lungs of organ donors. These cells are transferred to female patients along with the lungs, and then grow malignantly and cause cancer. After another short year, the female patient who was infected with breast cancer died unfortunately.

　　Female patients undergoing lung transplantation are not special cases. A few years later, three other patients undergoing organ transplantation also developed cancer. Two female patients who had their left kidney and liver transplanted died of breast cancer. The male patient who had their right kidney transplanted also detected metastatic breast cancer cells in their bodies. After discovering the tumor, the male patient chose to remove the transplanted kidney, stop the immunosuppressive drugs, and receive chemotherapy at the same time. Although his cancer is under control, he still needs a new kidney and can only wait for the second transplant opportunity.

Rare mother-to-child transmission

　　The traditional view of the medical profession believes that women who have cancer during pregnancy will not pass the cancer to their unborn baby, because even if the cancer can cross the barrier of the placenta, it will be blocked by the baby's immune system. However, this traditional view has been subverted.

　　In 2009, a 28-year-old Japanese mother suffered from cancer during pregnancy. She gave birth to a baby girl in the hospital. One month later, the mother had a heavy vaginal bleeding and was diagnosed with advanced leukemia and died. The baby girl was also diagnosed with leukemia when she was 11 months old.

　　Scientists at the National Cancer Institute in the United States used genetic fingerprinting to study this case. They found that both mother and baby's cancer cells carry the same mutated cancer gene, but this gene is not inherited. Therefore, the infant's cancer cells are not self-generated, but can only be derived from the mother. Further examining the genes in infant cancer cells, scientists found that there was a "deletion mutation" in the cancer cell genes-a molecule called "human leukocyte antigen" was missing. The main function of this molecule is to distinguish each person's own cells from the cells of others. The lack of these molecules in cancer cells means that the baby's immune system cannot distinguish them as foreign cells.

　　Therefore, in certain cancer cases, such as leukemia or melanoma, if the baby’s genes have "deletion mutations" that cannot identify destructive and aggressive cells, the cancer cells in the mother's body may cross the barriers of the placenta. It enters the developing fetus and successfully "falls to the ground". However, scientists pointed out that pregnant women with cancer have a very low chance of passing the cancer to their children-at present, only more than 30 such cases have been found worldwide.

Wound infections can also spread

　　In the animal kingdom, cancer is often contagious. The most famous example is the Tasmanian devil.

　　Tasmanian devil is a carnivorous mammal that only lives on the Australian island of Tasmania. They look like a cross between a mouse and a bear. They are not big and temperamental. They like to fight, and they like to bite each other's face, leaving scars. Tasmania has lived on Tasmania for 14,000 years, but since 1996, thousands of Tasmanians have started to develop tumors on their faces. This tumor is distributed on the face, head and neck of Tasmania. It is difficult for him to eat in his mouth and mouth.

　　Most of the Tasmanian devil suffering from facial tumors will die, and the number has been reduced by 80%. With such a high mortality rate, is this cancer contagious? Scientists conducted genetic research on the Tasmanian devil with cancer, and found that the facial tumors of these Tasmanian devil only originated from two Tasmanian devil-a type of tumor called "DF T1" originated from the nerve membrane cells of a female Tasmanian devil. Spread to the entire island; another type of "DFT2" tumor originated from a male Tasmanian devil and spread mainly in the southeastern region of Tasmania.

　　Scientists speculate that because the Tasmanian devil is often torn, its facial tumor cells often fall into the other's facial wounds, and because of the long-term isolation on an isolated island, most of the Tasmanian devil are related, and their immunity is very similar. , So that the tumor cells that the own immune system cannot fight against will naturally not be destroyed by the opponent's immune system. Therefore, during a fight, the facial tumor of one individual can spread to the next individual through the wound, so that a large-scale outbreak of cancer becomes a "mass plague."

　　There have also been cases of cancer spreading in wounds in humans. In the 1990s, a 53-year-old surgeon performed an abdominal tumor resection on a 32-year-old patient. When performing this operation, the surgeon accidentally cut his own hand, and he immediately disinfected the wound. Despite this, five months later, a tumor grew on the injured part of the surgeon's hand. When the tumor was removed and analyzed, it was found to be composed of cancer cells from the 32-year-old patient.

　　In addition, through wounds, sometimes cancer cells can even spread from animals to humans. In 1986, a laboratory technician accidentally poked an injection needle into his hand while injecting colon cancer cells into a mouse. A few weeks later, a tumor grew in the poked area, but fortunately it was successfully removed.

Don't worry too much

　　Although cancer cells can be passed from one person to another, people do not need to worry too much.

　　Scientists point out that under normal circumstances, cancer does not spread from person to person. On the one hand, cancer cells are very fragile outside the body and difficult to survive, so they are not highly infectious. On the other hand, if you think about it, you will find that the above cases of human beings infected with cancer are very rare. Only the case of organ transplantation requires a high degree of vigilance-because patients who have received organ transplantation, in order to solve the rejection reaction, they often take immunosuppression. Drugs, this will give cancer cells a chance to take advantage of. Therefore, before organ transplantation, doctors should strictly monitor the physical condition of the organ donor to prevent the tragedy of cancer infection from happening again.