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当ユーチューブチャンネル「緩和ケアの本流」では、がん対策やがん治療、寿命や命の大切さなど、様々なテーマついて緩和ケア医の目線でお話しております。 ドクタートシと呼んで頂く事もあります。 よろしくお願いいたします。 今日のテーマは「医師の伝える余命はどこまで正確なのか？ 」です。 サムネイルの言葉に衝撃を受けて観に来てくださっている方...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3839128/0501f533e7d0787cb1b2e24df0bb72d4/564x318_1"},"target":"_self","position":"2","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D1IDbuzKkPEM","linkTemplate":"/video/preview/10325866889487294364?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"ガン患者に医師が伝える余命はどこまで正確なのか","related_orig_text":"ドクタートッシュ 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今日は若い治療医の先生にお話します。 皆さんは、積極的抗がん治療を終え、終末期を迎えた患者さんに、余命を伝えていますか？ 「命の限られた患者さんに、余命を告げるなんて、死刑宣告をするようでつらくて言えない」という先生もいるでしょう。 「残された時間が短いからこそ、悔いなく過ごしてほしいと思って余命を言っています。 今日の動画では、終末期の余命につ...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/2968351/a8cf337df53daae930fe32ed6b46e7e4/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/BgRFDAIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"3","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D96weLMtLytA","linkTemplate":"/video/preview/4291803320221151250?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"患者さんのために終末期の余命をどのように伝えたらよいのか＃18","related_orig_text":"ドクタートッシュ 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倦怠感は最も多くのがん患者さんを悩ませているにも関わらず、医療者はそ...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3106479/32e2c4600ac18b9079cd2722a51d41b9/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/luJKOAIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"6","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DobFpaYbgS3Y","linkTemplate":"/video/preview/17854082922040758061?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"がんの2種類の倦怠感をアセスメントできるようになろう#62","related_orig_text":"ドクタートッシュ 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当ユーチューブチャンネル「緩和ケアの本流」では、がん対策やがん治療、寿命や命の大切さなど、様々なテーマついて緩和ケア医の目線でお話しております。 ドクタートシと呼んで頂く事もあります。 よろしくお願いいたします。 今日のテーマは「乳がんのホルモン療法を続けるコツ」です。 みなさんは乳がんのホルモン療法を知っていますか？ 乳がんにな...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3335307/785e275e9a48192958fe7d83d185ac4e/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/C3FwDQIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"7","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DPTB6z-9MLDo","linkTemplate":"/video/preview/1529092022839403482?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"乳がんの7割の人が行うホルモン療法のつらい副作用は改善できる","related_orig_text":"ドクタートッシュ 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今日は若い治療医の先生方にお話します。 私が医者になって間もなく、心療内科医として勤務していた頃、原因不明の腹痛の患者さんがいました。 前触れもなく急に差し込むような痛みが起こるのです。 色々な薬を試しましたが、痛みの改善はほとんどありませんでした。 ある時、同僚の漢方に詳しい先生から、ある薬を教えてもらいました。 患者さんがそれ...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/4364898/47340fe9f9cf7f5befa7e403bfa9f8e1/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/obbyRQIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"8","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DbAYtROLeJqI","linkTemplate":"/video/preview/6120711138715673306?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"【漢方薬】機能的な痛みに、即効性のある芍薬甘草湯を紹介します＃14","related_orig_text":"ドクタートッシュ 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ここでは、患者さんが日単位・時間単位の頃の臨死期に起こる症状...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3046380/98ec89039f30f8b391f2df917defc8fd/564x318_1"},"target":"_self","position":"9","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DtiPi7noQOfQ","linkTemplate":"/video/preview/11964348321955206436?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"終末期後期に起こりやすい独特の口臭の原因と対策を緩和ケア医が具体的に解説します#56","related_orig_text":"ドクタートッシュ 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腹部膨満感は医師なら当然知っている症状だと思います。","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3674244/1e13da8159f086175d0b973d59f3b0e8/564x318_1","videoSrc":"https://video-preview.s3.yandex.net/GB4QFAIAAAA.mp4","videoType":"video/mp4"},"target":"_self","position":"10","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DCdsyY2VVI6U","linkTemplate":"/video/preview/17386187308755033504?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"腹水だけではない、とてもつらい腹部膨満感の原因と対処#58","related_orig_text":"ドクタートッシュ 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以前ピース研修会で「がんの神経障害性疼痛の時にタリージェ、サインバルタを具体的にどのように使うのですか？ 」と質問を受けました。 確かにがんの神経障害性疼痛の緩和は難渋することも事実です。 実は、がんの神経障害性疼痛に鎮痛補助薬を使うときには、様々なコツがあ...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/2389977/1d6cfe2b0d4693cab57d1f7582e7947d/564x318_1"},"target":"_self","position":"12","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DjYNQdRDBZZg","linkTemplate":"/video/preview/11729429029644302857?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"鎮痛補助薬を使ったがんの神経障害性疼痛に対する具体的なアプローチについて＃17","related_orig_text":"ドクタートッシュ 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みなさんは、医療用麻薬や消炎鎮痛薬、鎮痛補助薬を使っても、がん患者さんの痛みが取れずに困った経験はありませんか？ このような、どうしても取り切れない難治性のがん性疼痛には、メサペイン®というオピオイドは大変効果があります。 しかし、メサペイン®には他のオピオイドにはない副作用があり、使うためには様々な条件があります。 来ると思い...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3709500/5f0a49ad24eda63b69c25d487fbb31f4/564x318_1"},"target":"_self","position":"13","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DIyIgMHKHdsI","linkTemplate":"/video/preview/2792774487741908029?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"何を使っても取れない痛みに緩和ケア医が使う最強のオピオイド（メサドン、メサペイン®）#46","related_orig_text":"ドクタートッシュ 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当ユーチューブチャンネル「緩和ケアの本流」では、がん対策やがん治療、寿命や命の大切さなど、様々なテーマついて緩和ケア医の目線でお話しております。 ドクタートシと呼んで頂く事もあります。 よろしくお願いいたします。 今日のテーマは「がん患者さんが訴える倦怠感」です。 とても多くのがん患者さんが倦怠感に悩まされているという事実を、あなた...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3380849/c3617de328fed112cdf8bcc6977d999d/564x318_1"},"target":"_self","position":"14","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DpTC_btmgJx8","linkTemplate":"/video/preview/4395078019321007731?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"医療者として大事なことは、患者さんの倦怠感に気づいてあげることなのです#61","related_orig_text":"ドクタートッシュ 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あなたは、自分の死に向き合わざるを得なくなった患者さんから、答えにくい質問をされたことはありませんか？ 「なぜ私はこんな病気になってしまったの？」 「死んだら私はどうなるの？」 「家族を残して死んでしまうことを考えると、すごく苦しい。 この気持ちはどうしたらいいの？ 」 あなたはこんな質問をされた時、どうしますか？ 今日...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3431147/c1643a883c428761e2d72f8ec4782fb6/564x318_1"},"target":"_self","position":"15","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3D8-bRTYVKTUk","linkTemplate":"/video/preview/4282612888404097367?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"患者さんからのスピリチュアルペインへの具体的な対応を緩和ケア医がお伝えします＃44","related_orig_text":"ドクタートッシュ 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今日は治療医の先生にお話します。 強い腹痛を訴える患者さんがいて、Ctや内視鏡などの検査をしても、原因が見つからず、困った経験はありませんか。 今日は、明らかな原因がわからない腹痛の診断と、治療についてお話しますので、ぜひ最後までご覧ください。 今日もよろしくお願いします。 性消化管障害の治療・ケア 10:46 専門家へのコンサルト 12...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/4410525/2a34c64c92858da71656a9ef867296d1/564x318_1"},"target":"_self","position":"17","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DdQzu96ObGVs","linkTemplate":"/video/preview/4663269790391433081?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"原因不明の腹痛は機能性消化管障害を疑いましょう#32","related_orig_text":"ドクタートッシュ 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あなたは悪液質にはどのようなイメージがあるでしょうか。 終末期だけに起こり、対処ができないと思っている方も多いのではないでしょうか。 しかし、がんの悪液質は、抗がん治療中にも起こると言われています。 そして、実は終末期前期までの悪液質は治療が可能なのです。 悪液質を治療することで、QOL・Adlは向上し、治療効果も高まります。 また、それに...","preview":{"posterSrc":"//avatars.mds.yandex.net/get-vthumb/3296372/8ca027ad9c627b153f53451dfd10baee/564x318_1"},"target":"_self","position":"18","reqid":"1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL","summary":{"fullTextUrl":"/int_search_summary?data=http%3A%2F%2Fwww.youtube.com%2Fwatch%3Fv%3DzIZNJyDQXM8","linkTemplate":"/video/preview/17686278002345804498?parent-reqid=1765551990113725-2672703122412718820-balancer-l7leveler-kubr-yp-vla-17-BAL&text=%E3%83%89%E3%82%AF%E3%82%BF%E3%83%BC%E3%83%88%E3%83%83%E3%82%B7%E3%83%A5+%E5%8C%BB%E7%99%82%E8%80%85%E3%81%AE%E3%81%9F%E3%82%81%E3%81%AE%E7%B7%A9%E5%92%8C%E3%82%B1%E3%82%A2%E3%81%AE%E6%9C%AC%E6%B5%81&t=%%timestamp%%&ask_summarization=1"},"isAdultDoc":false,"relatedParams":{"text":"がんの悪液質は治療中にも起こり 実は改善可能です！＃ 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