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Megatrends现代医学诊疗(zhěnliáo)模式大趋势MDT是国际顶尖综合(zōnghé)医院和专科医院的共识MDT适用(shìyòng)于各个学科例如:我院内分泌科:以多学科协作为特色的理念甲状腺疾病会诊中心(内分泌、外科、眼科、妇产科、核医学)糖尿病足防治中心(内分泌、整形、血管外科、骨科、社区医院)妊娠糖尿病产后随访门诊(内分泌、产科)糖尿病并发症筛查和治疗随访门诊(内分泌、肾内、心内、眼科)肥胖和糖尿病前期管理(guǎnlǐ)门诊(内分泌、营养)内分泌高血压专业门诊(内分泌、泌尿外科、影像、神外、介入)MDT适用于各个学科肿瘤治疗是典型(diǎnxíng)的例证今年80岁,有严重(yánzhòng)的冠心病、肺气肿,刚刚被确诊前列腺癌,我该怎么办?传统(chuántǒng)医疗模式下,医患双方的共同困惑MDT是医患双方(shuāngfāng)的必然选择综合(zōnghé)医院案例:MDTatMass.General就诊(jiùzhěn)途径一:TheCancerCenterProstateCancer:MultidisciplinaryPatientCareNewpatientsaregenerallyseenwithintwoweeksofreferral.Atyourfirstappointment,youwillmeetthegenitourinarycancerspecialistswhowillbeinvolvedinyourcare.Thesespecialistsmayinclude:Urologistsandsurgicaloncologistsexperiencedinthelatestprostatecancersurgeryapproaches,includinglaparoscopicandroboticsurgeryRadiationOncologistswhospecializeindeliveringtheoptimaltherapeuticdosewhileprotectinghealthytissueMedicalOncologiststoprescribethemosteffectivetreatments,includinghormonetherapy,chemotherapyandimmunotherapyInaddition,youmayalsosee:PathologistsspecializinginurologiccancersRadiologistsspecializingingenitourinarycancerimagingOncologynursesandnursepractitionerswhospecializeincancercareOncologypsychiatristsandsocialworkersexperiencedinhelpingwiththecognitivesideeffectsofcancerandtreatment,aswelltheemotionalandspiritualsideofthecancerexperienceAnutritionisttohelpyouwithquestionsaboutdietandnutritionduringtreatmentPalliativecareproviderstoimprovequalityoflifeThisteamwillworkwithyoutodevelopatreatmentplanthatbalancespotentialsideeffectsandbenefitsoftreatment.Theywillcontinuetomonitoryourcareandcommunicateregularlywithyouandyourreferringphysicianaboutyourprogress.就诊(jiùzhěn)途径二:DepartmentofUrologyCompassionate&PersonalizedCareOururologistsworkcloselywithallofthecliniciansoneachpatient'streatmentteam,acomprehensiveandhighlycoordinatedapproachmanagedthroughtheworld-renownedMassGeneralCancerCenter.Dependingonyourillnessanddiagnosis,yourtreatmentteamincludesyoururologistalongwithm