Alice Guo @carice
消化内科医生一枚 Ningbo Joined July 2009-
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Following250
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回家亲朋好友见了 也该回了
大年初一，晒太阳，走走逛逛，放烟花，看星星，放空自己，一天就这样无喜无悲的过去
阳光灿烂的周末 ，看高手ERCP演示
@SRGUO 今天父亲去厦门精艺达公司找韦总打他你的信息，韦总给你打电话你知道的吧，拜托你给家里打个电话
Alice Guo retweeted
哇，这个还蛮动人的……
Alice Guo retweeted
辉瑞的进口阿奇霉素其实在集采的时候报价并不算高，一包才 5 块多，跟所谓的天价完全不沾边，甚至可以说比较亲民，然而就这样的价格，依然被国内仿制药厂商挤到撤网，因为国产仿制药可以报到 1/10 的价格，用集采的游戏规则把辉瑞们挤下去。这个过程是非常典型的「劣币驱逐良币」的操作。这么低的价格，还要考虑到「运作」的成本，那么，为什么还要在药品质量上下功夫？药品有点杂质，纯度不够甚至单位虚标，就变成了必然，而不是偶然。临床医生肉眼可见的这药不行，根本不是夸张。可以说理论上国产仿制药企业当然可以生产出跟辉瑞阿奇霉素一样的药物，但是人家为什么药要生产这么好的呢？他们道德水平有那么高吗？有道德的话谁还去做这种仿制药？别说别的，国内仿制药企业，连阿斯匹林和对乙酰氨基酚都做不好。当然，又不是不能用，吃了多少也是管用，但就是不够好。 国内制药企业造假的经典之作是：有那么一段时间，国产「自研」的糖尿病药物偷偷在成分里违规添加格列苯脲，然而最天才的那一家，人家的格列苯脲不是夹在药物成分里，而是加在胶囊壳里。躲过了无数次抽查，最后才露馅。发生了这样的事情之后，这个套路会消失吗？不会，现在依然是行业里普遍的花样。比如来历不明的：减肥药、降压药、降糖药…… 或许讨论这个问题的时候，要有一种谦卑的态度，才能更多了解到这个行业的不堪。否则就会陷入天真和傲慢的想当然。
Alice Guo retweeted
The W.H.O. really blew it. For some reason, funded largely by the United States, yet very China centric. We will be giving that a good look. Fortunately I rejected their advice on keeping our borders open to China early on. Why did they give us such a faulty recommendation?
Alice Guo retweeted
解剖发现，武汉病毒疾主要造成是肺脏伤害，导致肺内出血、血栓和坏死，同时也造成免疫系统受创严重。一位哈佛大学任教的流行病学家披露，武汉病毒新冠肺炎是热核武级别的瘟疫，是史上最毒的病毒疫情。他说，在他的职业生涯中，从未实际见过那么猛的系数，R0值竟然是3.8！这样病毒很难是自然进化而来的
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