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勉县治疗性功能障碍多少钱飞度新闻搜医生

2017年10月21日 20:10:30|来源:国际在线|编辑:度排名医院排行
Confession: There was once a time in my life when I was Office Bike Guy. I was the chatty guy in the office who could not stop talking about bikes. I#39;d be at someone#39;s desk or in the hallway or in a meeting and I had a mortifying habit of turning any conversation to my new and thrilling passion. I#39;d talk about the long bike rides I#39;d gone on, the fancy-pants new equipment I#39;d bought, the amazing fitness I#39;d achieved. How my poor co-workers humored this! They would politely compliment my riding endeavors, ask questions and sometimes even solicit advice about what bike they should buy. Wow, would I give them the most long-winded answers. I was utterly the worst. When I walked away, I am sure they rolled their eyes.告白:有段时间我是办公室里的自行车男。我在办公室里总是滔滔不绝地聊自行车。无论是在某个同事的办公桌旁,或是走廊里,还是开会中,我都有个令人痛心疾首的习惯,那就是能把任何谈话都转到这个令我兴奋的新爱好上。我会聊我的长途骑行经历,新买的炫酷新装备,还有超棒的健身效果。我那些可怜的同事们配合得也真是太好了!他们会礼貌地称赞我的骑行经历,问些问题,有时甚至会咨询我他们应该买什么样的自行车。我肯定会给他们最?嗦的。我绝对是表现最差劲的。我走开的时候,他们肯定在翻白眼。Over time, I began to ride my bike less, I got jaded about the Tour de France, and Office Bike Guy began to slowly vanish from the office. I#39;m sure my co-workers appreciated the break. It was probably best for everyone. I still cringe when I think about talking everyone#39;s ear off about the Giro d#39;Italia. They just wanted to get back to their email.后来,我骑车开始不那么频繁了,对环法自行车赛(Tour de France)开始感到厌倦,办公室自行车男开始慢慢从办公室里消失。我的同事们肯定对此很是欣慰。这对所有人可能都是最好的。想起自己聊环意自行车赛(Giro d#39;Italia)聊到所有人都耳朵起茧子的时候,我还是会觉得后怕。他们那时候肯定只想回去查邮件。But you know what? Sometimes I miss Office Bike Guy.不过你可能想不到,有时我会想念办公室自行车男。Lately in the Journal there#39;s been some provocative and very entertaining discussion about personal fitness and the idea that it should be experienced and not shared, that marathoners and triathletes and cyclists should feel free to do their races and workouts, but all of the broadcasting of accomplishments has gotten to be a bit much. Last week the writer Chad Stafko wrote an amusing essay in the Journal called #39;OK, You#39;re a Runner. Get Over It,#39; and the title really said it all, that fitness narcissism was reaching record heights, with the endless parade of bumper stickers and T-shirts and self-promotion. Didn#39;t anyone just run for the sake of running anymore?最近在《华尔街日报》掀起了对个人健身的讨论,讨论很激烈,也非常有趣。大家认为健身应该是自己体验就好,不应该分享给别人,马拉松选手、铁人三项运动员和自行车手随便怎么比赛和训练都行,但是对他们成就的大肆宣扬有点过头了。前不久,作家查德?斯塔福柯(Chad Stafko)在《华尔街日报》发表了一篇题为《好,你喜欢跑步。没什么大不了的。》(OK, You#39;re a Runner. Get Over It)的趣味文章,标题确实说明了一切,即健身的自我陶醉正达到前所未有的高潮,保险杠贴纸、T恤衫和自我推销的炫耀似乎永无止境。难道现在没人只是为了跑步而跑步了吗?And as a former Office Bike Guy, I hear this complaint, I really do. As Stafko noted, this oversharing is not limited to athletics; it also extends to every banality of modern life, from taking selfies at a piano recital to the Instagrammer who really, really wants you to look at the organic artichoke he or she just bought. Artichokes! That is what life is coming to. Praise my artichoke. Please.作为曾经的办公室自行车男,这种抱怨的意思我懂,我确实懂。就像斯塔福柯指出的,这种过度分享并不仅限于竞技运动,它还延伸到了现代平凡生活中的点点滴滴,从在钢琴独奏会上自拍,到那个很想让你看他/她刚买的有机洋蓟的玩Instagram的人。洋蓟!这就是生活!赞美我的洋蓟吧!拜托了!But I am OK with this. Let#39;s be clear about what we#39;re saying when we ask people to curb their enthusiasm for their athletic achievements. We are saying that it bothers us. But what about it is irritating? Public displays of enthusiasm are everywhere. There is a guy in my neighborhood who wears a Star Wars hat all the time. This does not trouble me. I do not ask him to stop wearing the Star Wars hat (though I wonder if he has other hats.) Same goes for pets: I don#39;t see the #39;I Love My Corgi#39; sticker on the back of a car and think, Wow, the Corgi people are really getting to be annoying. Whatever happened to someone just owning a Corgi and shutting up about it? I just think that someone in that car loves Corgis. And that the interior of that car probably smells like Corgis.不过这些我能接受。我们要弄清楚,我们在让别人克制对自己运动成就的热情时是什么意思。我们的意思是这样会让我们觉得烦。但到底是什么让我们觉得烦呢?公开表达热情随处可见。我所在的社区有一个人总是戴着《星球大战》(Star Wars)的帽子。我不会觉得不爽。我不会要求他不要戴这顶帽子(不过我好奇他是不是还有其他帽子)。宠物也一样:我不会看到某辆车后面贴着“我爱我的柯基犬”就想,啊,养柯基犬的人真的很讨人厌。有人刚养了一只柯基犬并且绝口不提又怎么样呢?我只会想那辆车里的人很爱柯基犬,或许车里也有柯基犬的味道。If you are bothered by a 26.2 sticker on the back of a car, it probably says more about you than it does the occupant of the car. Drivers have been crowing about their honor students, their vacation destinations, their favorite members of the Grateful Dead (LET PHIL SING) as long as bumpers have existed. My colleague (and athlete) Kevin Helliker had a fascinating column the other day in which he theorized that fitness is the new rich, that runners and other athletes are regarded (and even targeted) as smug elitists. I fear he is right, and this is scary: The idea that fitness is elitist is not so far from the idea that higher education is elitist, a bizarro worldview that has actually arrived in modern politics without voters bursting out laughing.如果一辆车后面贴着26.2的贴纸让你觉得不爽,或许说明有问题的是你而不是车主。从保险杠贴纸问世以来,车主们就总是在炫耀家里的优秀学生、度假目的地,还有感恩而死乐队(Grateful Dead)里他们最喜欢的成员。我的同事(同时也是运动员)凯文?赫里克(Kevin Helliker)写过一篇很棒的专栏文章,他指出健身是新富,而跑步者及其他运动员被认为是(甚至被攻击为)自命不凡的精英。我担心他是对的,这很可怕:认为健身是精英化的无异于认为高等教育是精英化的,这种怪异的世界观出现在现代政治中的时候,选民们没有不哈哈大笑的。It#39;s true that fitness has a way of transforming a life in such a way that the newly fit have a habit of becoming shameless and talkative, but this shamelessness is essentially benign, and I haven#39;t even gotten to the part where we talk about the obesity rate in this country and how we should be encouraging anybody who breaks a sweat more than twice a month. Want to toot your own horn about it? I say knock yourself out. To share is human, and reasonable sharing has its place. We#39;re talking about exercising! We#39;re not asking you to watch a three-hour slide show of a trip to the Galapagos Islands.健身确实能够以某种方式改变一个人的生活,刚健身的人会有“恬不知耻”和话多的习惯,但这种“恬不知耻”在本质上是好的,我还没提到这个国家的肥胖率以及我们该如何鼓励每个月运动出汗超过两次的人。你也想炫耀?那就行动吧。分享是人的天性,适度的分享无可厚非。我们说的可是锻炼!我们不是让你看三个小时的去加拉帕戈斯群岛(Galapagos Islands)旅游的幻灯片。To be passionate is to be alive. I am no longer Office Bike Guy. Office Bike Guy has given way to Crazy New Father. If you#39;re interested -- and even if you#39;re not interested -- I can show you dozens of photos of an 8-month-old crawling, sitting up in his crib, eating breakfast, ing Chekhov (what can I say, my baby is brilliant). It is the most lovely thing in the world. . .to me. And in the end, that#39;s the thing to remember about Office Runner and Office Triathlete and Office CrossFitter and everyone else who can#39;t stop talking about their workouts: These are people who have fallen in love. And this love is making them healthier and happier people. So what if we have to listen to a few boring stories. OK, you#39;re a runner? I love you. Tell me more.拥有就是拥有活力。我不再是办公室自行车男了。办公室自行车男已经让位给了疯狂新爸爸(Crazy New Father)。如果你有兴趣――就算没有兴趣――我会给你看几十张八个月大的婴儿爬行、坐在婴儿床里、吃早饭、看契科夫文章(没办法,我的孩子就是聪明)的照片。这是世界上最美好的事情……对我来说。归根结底,这是办公室里喜欢跑步、喜欢铁人三项和喜欢综合交叉训练、以及其他滔滔不绝谈论健身的人让人记住的一点:这是一群陷入爱河的人。这种爱让他们成为更健康和更快乐的人。所以如果我们不得不听些无聊的故事该怎么应答呢?噢,你喜欢跑步?我喜欢你。再多说一些吧。 /201312/269899

When it came to pharmacological solutions to life#39;s despairs, Aldous Huxley was ahead of the curve. In Huxley#39;s 1932 novel about a dystopian future, the Alphas, Betas and others populating his ;Brave New World; have at their disposal a drug called soma. A little bit of it chases the blues away: ;A gramme; — Huxley was English, remember, spelling included — ;is better than a damn.; With a swallow, negative feelings are dispelled.说到以药物手段来医治生活中的绝望,奥尔德斯·赫胥黎(Aldous Huxley)可谓走在了时代的前面。在赫胥黎1932年的小说《美丽新世界》(Brave New World)中,生活在那个反乌托邦未来世界中的阿尔法、贝塔和其他种姓的人类手头常备一种名叫“苏麻”的万能灵药,只要一点点就可以驱散生活中的阴霾。“药胜过受煎熬。”只要吞下药丸,负面情绪也随之烟消云散。Prozac, the subject of this week#39;s documentary from Retro Report, is hardly soma. But its guiding spirit is not dissimilar: A few milligrams of this drug are preferable to the many damns that lie at the core of some people#39;s lives. Looking back at Prozac#39;s introduction by Eli Lilly and Company in 1988, and hopscotching to today, the documentary explores the enormous influence, both chemical and cultural, that Prozac and its brethren have had in treating depression, a concern that gained new resonance with the recent suicide of the comedian Robin Williams.本周(指9月22日那周)的;Retro Report;(以重新审视历史上的重大事件为主题的系列纪录片)的主题百忧解(Prozac)和“苏麻”当然不是一码事,但其宗旨却并无不同:对某些人而言,用几毫克这种药物总比应付生活中的大堆烦恼合算多了。继回顾了1988年美国礼来制药(Eli Lilly and Company)推出百忧解的经过之后,这部纪录片又将视角转回当下,从化学和文化的双重角度探讨了百忧解及其同类产品在抑郁症的治疗领域造成的巨大影响。由于喜剧演员罗宾·威廉姆斯(Robin Williams)不久前自杀,抑郁症又成为当今人们关注的热点。In the late 1980s and the 90s, Prozac was widely viewed as a miracle pill, a life preserver thrown to those who felt themselves drowning in the high waters of mental anguish. It was the star in a class of new pharmaceuticals known as S.S.R.I.s — selective serotonin reuptake inhibitors. Underlying their use is a belief that depression is caused by a shortage of the neurotransmitter serotonin. Pump up the levels of this brain chemical and, voilà, the mood lifts. Indeed, millions have embraced Prozac, and swear by it. Depression left them emotionally paralyzed, they say. Now, for the first time in years, they think clearly and can embrace life.在20世纪80年代末和90年代,人们普遍将百忧解看作是一种“神奇药丸”,是那些觉得自己快要没顶于精神痛苦中的人们眼里的救生圈。百忧解是一类名为选择性血清素再摄取抑制剂(SSRI)的新型药物中的明星产品。其作用基于的观念为,抑郁症是由一种名叫血清素的神经递质不足引起的。只要能提高这种脑化学物质的浓度,好啦,精神一下子就振奋起来了。事实上,已经有成百上千万人接受了百忧解,并对它的作用深信不疑。抑郁症导致他们情感麻痹,他们说。而今,他们终于可以清楚地思考并热情地拥抱生活了——多年来,这样的感觉还是第一次。Pharmacological merits aside, the green-and-cream pill was also a marvel of commercial branding, down to its market-tested name. Its chemical name is fluoxetine hydrochloride, not the most felicitous of terms. A company called Interbrand went to work for Eli Lilly and came up with Prozac. ;Pro; sounds positive. Professional, too. ;Ac;? That could signify action. As for the Z, it suggests a certain strength, perhaps with a faint high-techy quality.除去其药理学价值,这种半截绿色半截奶油色的胶囊丸也堪称商业品牌推广中的奇迹,而这尤其要感谢它经过市场考验的商品名。它的化学名称为盐酸氟西汀,这显然不够朗朗上口。一家名为Interbrand的公司为礼来出谋划策,想出了Prozac这个名字。;Pro;听起来就给人胸有成竹、十分专业(professional)的感觉。;Ac;呢,可以认为它表示“行动”(action)。至于Z,这个字母代表了某种力量,可能还有一点点高科技的感觉。(X is a pharmacological cousin to Z. Both letters are somewhat unusual, worth many points in Scrabble. It is surely not a coincidence that a striking number of modern medications contain either Z or X, or both, in their names, like Luvox, Paxil, Celexa, Effexor, Zantac, Xanax, Zoloft, Lexapro and Zocor, to name but a few. Not surprisingly, confusion can set in. Zantac or Xanax — remind me which one is for heartburn and which for panic disorder?)(在制药领域,X与Z的地位近似。这两个字母在取名这种拼字游戏中享有异乎寻常的地位和价值。绝大多数现代药物的商品名都包含Z或X,或两者兼而有之。随便举几个例子,Luvox[兰释,亦称无郁宁]、Paxil[百可舒]、Celexa[喜普妙]、Effexor[郁复伸]、Zantac[善胃得]、Xanax[赞安诺]、Zoloft[左洛复]、Lexapro[来士普]和Zocor[舒降之]等等。这肯定不是用巧合可以解释的。由此产生困扰也就不足为奇了。Zantac和Xanax,哪个能治胃灼热,哪个又是用以治疗惊恐障碍的?看名字可真分不清。)Pendulums, by definition, swing, and the one on which Prozac rides is no exception. After the early talk about it as a wonder pill — a rather chic one at that — a backlash developed, perhaps unsurprisingly. Grave questions arose among some psychiatrists about whether the S.S.R.I.s increased chances that some people, notably teenagers, would commit suicide or at least contemplate it. No definite link was confirmed, but that did not end the concern of some prominent skeptics, like a British psychiatrist, Dr. David Healy. He has dismissed the notion of S.S.R.I.s as saviors as ;bio-babble.;但凡事都是三十年河东三十年河西,百忧解也不例外。起初它被尊为灵丹妙药,还是种十分时髦的灵丹妙药,后来人们却又开始强烈地抵制它(或许这种反应不足为奇)。关于SSRI是否会增加某些人,特别是青少年的自杀事件或自杀倾向,精神科医生提出了严厉的质问。目前尚无研究实两者之间存在必然的关联,但是这并没有打消某些著名的怀疑论者的疑虑,英国的精神病学家戴维·希利士(David Healy)正是其中之一。他将那些把SSRI类药物当成救世主的说法贬斥为“生物噪音”。If some users deem Prozac lifesaving, others consider it sensory-depriving. A loss of libido is a common side effect. Some writers and artists, while often relieved to be liberated from depression#39;s tightest grip, also say that Prozac leaves them mentally hazy. In his 2012 book, ;Antifragile: Things That Gain From Disorder,; Nassim Nicholas Taleb offered this: ;Had Prozac been available last century, Baudelaire#39;s ‘spleen,#39; Edgar Allan Poe#39;s moods, the poetry of Sylvia Plath, the lamentations of so many other poets, everything with a soul would have been silenced.;有人觉得百忧解可以救命,其他使用者则认为它剥夺了人正常的生理感觉。百忧解的一个常见的副作用是丧失性欲。还有一些作家和艺术家声称,虽然百忧解将他们从抑郁症的魔爪之下解脱了出来,却也让他们精神恍惚。纳齐姆·尼古拉斯·塔利布(Nassim Nicholas Taleb)在他2012年的著作《反脆弱:从无序中受益》(;Antifragile: Things That Gain From Disorder;)中提出:“如果百忧解早在上个世纪就问世的话,那么波德莱尔(Baudelaire)的“忧郁”、埃德加·爱伦·坡(Edgar Allan Poe)的浪漫主义情怀、西尔维亚·普拉斯(Sylvia Plath)的诗歌、以及那么多其他诗人的哀叹,所有那些有灵魂的作品都将遭到扼杀。”Then, too, S.S.R.I. critics express doubts that these drugs have proved themselves significantly more effective than placebos. Some among them question the very concept that serotonin levels, on their own, cause depression or prevent it. One psychotherapist in that camp is Gary Greenberg, an author of several books on mood disorders. Writing in The New Yorker last year, Dr. Greenberg said that scientists had ;concluded that serotonin was only a finger pointing at one#39;s mood — that the causes of depression and the effects of the drugs were far more complex than the chemical-imbalance theory implied.;此外,SSRI的批判者们还怀疑这些药物的效果是否显著优于安慰剂。其中一些人质疑单凭血清素水平是否就足以导致或防止抑郁症。心理治疗师加里·格林伯格(Gary Greenberg)就属于这一阵营,他撰写过若干本关于情绪障碍的著作。在去年的《纽约客》(The New Yorker)上,格林伯格士写道:科学家们认为,“血清素只是影响个人情绪的一个因素,抑郁症的成因以及药物的效应远比化学失衡理论所描述的更加复杂。”;The ensuing research,; he continued, ;has mostly yielded more evidence that the brain, which has more neurons than the Milky Way has stars and is perhaps one of the most complex objects in the universe, is an elusive target for drugs.;“人的大脑中包含的神经元数量比系中的恒星还要多,”他继续写道,“而后续的研究得到的据大多表明,大脑是药物很难作用到的靶标。”More broadly, this retrospective on Prozac introduces a discussion of whether the medical establishment, and perhaps society in general, has gone too far in turning normal conditions, like sadness, into pathologies. And have we paved a path — shades of soma — toward wanton reliance on drugs to enhance life, not to conquer true illness?广而言之,这个关于百忧解的回顾性纪录片提出了这样一个论题:医疗机构,或者更宽泛一点来说,整个社会是否走得太过,以至于将普通的情感,如悲伤,也纳入了病态的范畴。我们是否正一步步地放任自己依赖药物,以增添生活乐趣——就像小说中的人们依赖“苏麻”一样——而放弃了征真正的疾病?This is what a prominent psychiatrist, Dr. Peter Kramer, has called ;cosmetic psychopharmacology,; a Botox approach, if you will, to matters of the mind: Why not take Prozac and its S.S.R.I. mates even if you are not clinically depressed but believe that they can boost your confidence, or maybe help you make a stronger pitch at the sales meeting?著名精神病学家彼得·克雷默(Peter Kramer)士将这种现象称为“美容式精神药理学”,就像是自愿给情绪问题打上一肉毒杆菌毒素一样:即使你并非临床抑郁症患者,只要你相信用百忧解及其SSRI同类可以提升你的自信心,或者能帮助你在推销会上语惊四座,那又何乐而不为呢?A response from others in Dr. Kramer#39;s field is that we are taking traits that are normal parts of human nature and casting them as diseases simply because remedies now exist. For instance, shyness is now regarded by some as a condition in need of treatment. In its more severe form, it is placed under the heading of social anxiety disorder. Then there are those much-heralded life enhancers, Viagra and its erection-aiding cousins. They are marketed not only to men with sexual dysfunction but also to those whose aging bodies are enduring normal wear and tear.克莱默士的同行中有人回应道,我们之所以将人性的正常组成部分当成疾病来对待,就是因为现在有了药。举例来说,今天有些人甚至将羞怯也归入了需要治疗的疾病,将其较为严重的形式纳入了社交焦虑症的范畴。此外,伟哥等促勃起药物也被当作能提升生活品质的东西而得到大肆炒作。在市场营销中,它们不仅被推销给需要治疗性功能障碍的男性,还被推荐给身体只是出现了正常衰老的普通人。One area of shyness that the S.S.R.I. class has helped overcome is discussion of depression. Decades ago, Hollywood stars and other celebrities dared not touch the subject. Now they routinely go public with their anguish. Robin Williams was an example.如果说SSRI类药物确实帮助人们克了某些问题,那么,使人们不再羞于讨论抑郁便是其中之一。几十年前,好莱坞明星和其他名人都对这个话题讳莫如深。现在,他们已经可以很习惯地公开谈论自己的苦恼了。罗宾·威廉姆斯就是一个例子。Of course, there are those in other realms of society for whom the topic remains taboo. Take one man who confesses to his wife that he is on Prozac but cautions her to tell no one. ;I#39;m serious,; he says. ;The wrong person finds out about this and I get a steel-jacketed antidepressant right in the back of the head.; This is Tony Soprano talking to his wife, Carmela. An extreme example from a work of fiction? Sure. But in all likelihood many Americans have similar fears about what others might think, and keep depression to themselves.当然,在其他社会领域中,有些人仍然十分忌讳这个话题。例如,有一个人在向自己的妻子承认他在用百忧解时,警告她不要告诉任何人。“我是说真的,”他说。“要是给不该知道的人听到点风声,我就得脑袋后面吃颗钢制的抗抑郁药。”这是《黑道家族》中的托尼·索普拉诺(Tony Soprano)对他的妻子卡尔梅拉(Carmela)说的话。这自然只是虚构作品中的一个极端的例子。但是,在美国人里,恐怕很多都会对别人的看法抱有类似的担忧,所以他们宁愿对自己的抑郁问题守口如瓶。 /201410/336081

Call it the Great Beer Bet of 2014. President Obama is putting a few brewskis on the line in a wager with Canadian Prime Minister Stephen Harper as the men’s and women’s hockey teams from the U.S. and Canada are set to face off in the Olympics. 未来几天,美国总统奥巴马需要送给加拿大总理哈珀一箱啤酒,然而奥巴马此举并不是以酒会友,而是因为他输了与哈珀的打赌。并且,奥巴马有可能会再输一箱。The president is betting cases of the White House Honey Porter, which is brewed on the White House grounds with honey from First Lady Michelle Obama’s beehives.Obama and Harper spent the day together in Toluca, Mexico, for the North American Leaders Summit Wednesday, where they “agreed to disagree on who to root for” in the upcoming hockey match-ups between the U.S. and Canada.据美国媒体2月20日报道,奥巴马和哈珀19日在墨西哥托卢卡市举行的北美领导人峰会上会面,除了谈论政治、经济等话题外,两人还达成了一项“协议”。该协议规定,在本届冬奥会女子冰球决赛和男子冰球半决赛中,奥巴马和哈珀持各自的国家队,输球的一方要送给胜者一箱啤酒。20日一早,美国白宫和哈珀本人分别在自己的官方微上宣布了上述消息。哈珀特意指明,他提供的赌注是加拿大产啤酒。而白宫表示,白宫自酿的“蜂蜜啤酒”将是奥巴马的赌注。“蜂蜜啤酒”有淡啤和黑啤两种,所用蜂蜜出自美国“第一夫人”米歇尔?奥巴马在白宫花园内的蜂箱,在奥巴马2012年竞选连任时“上市”并大获好评。“For a very brief period of time, I might not feel as warm towards Canadians as I normally do – at least until those matches are over,” President Obama said.Team USA’s women hockey players are going for the gold against Canada on Thursday while the men’s teams play Friday.“在一段非常短暂的时间里,我可能不会像往常一样对加拿大人感到温暖亲切……至少要等到比赛结束。”奥巴马开玩笑说,对于此次打赌,他可是认真对待。然而不幸的是,他已经输了一场。20日晚,索契冬奥会女子冰球比赛的冠军出炉,加拿大队以3:2击败美国。男子冰球半决赛将于当地时间21日举行。哈珀得知加拿大女子冰球队获胜的消息后,很高兴地发微说“我们是冠军”,他还表示准备看接下来的好戏、打算再赢一箱啤酒。 /201402/277419

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