Doctor Q&A: Larry Rand
How did you choose perinatology as a specialty?
Pregnancy has fascinated me since I was a little kid. A pregnant belly is an amazing thing. 如果你停下来想一想——你不可能设计出更好的机器! But sometimes things veer off course, even slightly, 并导致母亲或婴儿或两者的复杂情况. In those instances especially, this work can help change the course of their lives, and in turn, their family's lives. 这就是我的动力,让我为自己是一名产科十大赌博平台排行榜而自豪.
Why did you become a doctor?
I grew up with a dad who was ill. Here I was — a kid, an adolescent, a young adult, sitting on the other side of the stethoscope, 努力去理解他对我和我的家人说了些什么. 我很难过,也很沮丧,因为十大赌博平台排行榜很难解释事情, to teach us what was happening, or just to take the time.
对我来说,尖端医学不仅仅是拥有最新的技术和最优秀的人才. 让你成为最好的也是能够帮助病人理解发生了什么, to help them become a partner in the process. It is very important to me to teach the patient, just like I would teach my colleagues, 他们的疾病是什么,我们将如何尝试接近它. I spend a lot of time at the whiteboard, 把它抽出来,尽量让他们对这些信息感到舒服.
我认为那句老话是对的,知识就是力量. 但知识也能让你内心平静,冷静地处理问题.
Why did you choose UCSF?
As a New York native, 当我被加州大学旧金山分校招募搬到加州时, 我以为我永远做不到——我永远不能离开我在东海岸的根和家人. At first, I wasn't even going to accept the interview! 但是——他们都是聪明人——他们确信这是一份非常合适的工作,并说服我飞过去亲自看一看,见见这里的人.
果然,在面试的前一两个小时内,我就被吸引住了. 我遇到的这些人确实有一种难以形容的能力. 我记得我在想,如果我是病人,我就想待在这里. And that did it.
面试中遇到的人给你留下深刻印象的是什么?
我能从面试我的十大赌博平台排行榜的眼神里看出来 一天,她的动力和兴趣以及对这些病人的担心,都在这 比如,兴奋的胎儿手术帮他们克服了什么 they were facing. It was an electric, energetic atmosphere, but also 温暖和爱——这就是那种平衡 important to me in a doctor. I saw that in this doctor, and very quickly in all my interviewers that day.
加州大学旧金山分校有人才,有动力,有科学,有技术——但是 也许最吸引我的是它的复杂 research. 它源于真正想要有所作为,想要改变 things now, and to do so in an innovative way. Fetal surgery is one of the best examples of that. UCSF is where it all began — this is where 第一次手术进行时,人们认为“在外面” box.“没有人认为不可能的事情变成了可能.
You once described UCSF as a last stop. What did you mean by that?
在这家十大赌博平台排行榜,你可以做最接地气的分娩 想象一下,有个贤明的助产士在你身边,还有回忆 that will truly last you a lifetime. But this is also the center to 加州和全国的哪些医疗服务提供者会把他们的病人送到十大赌博平台排行榜 当她们怀孕有严重困难的时候.
这里不是让病人进出的地方 这个地方是关于病人和他们所遭受的痛苦 we're going to fix it. The people here go out of their way to come together as a group and find a solution.
加州大学旧金山分校是最后一站,因为这是我们要去的地方 care of you. 在这里你可以得到你需要的东西,不管你的案子 是简单直接还是困难罕见.
梅根·鲍尔怀双胞胎的时候你照顾过她. 你能解释一下威胁她孩子的情况吗?
在双胎输血中,两个婴儿共用一个胎盘 rather than each having their own. It's kind of like two tenants living 在同一栋楼里必须共用管道而不是每个人都有 他们自己的,无法控制每个人得到多少或者做得有多好 they share their resources.
在这个共享的胎盘中,“管道”是一个复杂的网络 在血管中,在双胞胎对双胞胎的输血中,双胞胎中的一个会输送血液 to its co-twin and that twin can't return that blood. So, one twin ends 它的血液循环太多了,而且超载了 体积,而另一个严重贫血,表现不佳. Ultimately 这对双胞胎都可能病得很重,有死亡的危险.
How was she treated?
梅根接受了一种名为激光消融的胎儿手术. To 切断血管之间的联系 共用胎盘,你需要在子宫里放一个装置 allows us to burn these bad connections.
This is not a simple process. You need a team of experts to take 同时照顾母亲和胎儿,三个病人. That includes 专门从事胎儿手术的麻醉师,儿科 外科十大赌博平台排行榜,像我这样的围产期十大赌博平台排行榜,专门研究 newborns, and nurse specialists. It also includes pediatric medical 社会工作者帮助组织一切并支持 patient and her family through the crisis.
你需要团队中最好的人来给你最好的结果,而UCSF吸引了这样的团队!