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< 1月15日はＭＬＫの誕生日 | メイン | タランチュラもペットかよ？ >
2010.01.17 22:30 |  診療  |  仕事 / 職場  |  その他（一般）  |  その他（医療関連）  |  ミチバ  | 推薦数 : 2

マイ手帳大賞25：やくざでなくても、現代人はなかなか「畳の上では死ねません」

・そういえば、悪者を評して、「あいつは畳の上では死ねない」なんて言っていましたが、最近のＴＶや小説でもこういうセリフを使うのかな？

・超蛇足ですが、死亡後数カ月してミイラ化された状態で自宅で死亡しているというのを「畳の上で死ぬ」とは言いませんね。でも、それが増えているかも。

（今回の出典：「畳の上で死ぬことの薦め」『MIN-IREN いつでも元気』NO.219　2010年1月。p32「医者の言い分　患者の本音」）

平成２０年人口動態統計の年間推計↓

 http://www.mhlw.go.jp/toukei/saikin/hw/jinkou/suikei08/dl/suikei.pdf

これの死亡のところ貼り付けます。

死亡数は114万3000人で、平成19年の110万8334人より3万5000人増と推計される。
　死亡率（人口千対）は9.1となり、平成19年の8.8を上回る。
　なお、３大死因の死亡数は、第１位悪性新生物34万3000人、第２位心疾患18万4000人、
　
第３位脳血管疾患12万6000人と推計される。（次頁参照）
　また、死産数は2万8000胎、死産率（出産千対）は25.0と推計される。

 

・これでは、在宅での死亡と医療機関での死亡の割合がわからないので、ちょっと調べてみましたが、短時間では、ぴったりの資料をようみつけませんでしたが、下のスライドにはいっています。（厚労省の「
平成１８年度医療制度改革関連資料」）

http://www.mhlw.go.jp/bunya/shakaihosho/iryouseido01/pdf/tdfk01-02.pdf

 

曰く「医療機関において死亡する者の割合は年々増加しており、昭和５１年に自宅で死亡する者の割合を上回り、更に近年では８割を超える水準となっている。」

ついで：厚生労働白書↓

http://www.mhlw.go.jp/za/0825/c04/c04.html

 

・現在、自宅で亡くなる方は、全死亡の２割にも満たないわけですね。ひとつの大きな原因は介護力の低下でしょうね。でも、それ以外に医療の「目標」をどうするかという問題もあるのでは？治癒を目指した治療から、あるところでギアチェンジしそこねて、そのまま病院で亡くなってしまう。そういう事が多いのではないかと思うのですが。多分、在宅死が減少した原因をいろいろ分析した文献があるのでしょうが、私は知らず．．．

 

以下日記

・おそ起きして、朝眠気覚ましにブログみていたら、ビックリしました。「ブルースin東京」というブログで紹介されていたんですが、実験で使用されていた食道がんのcell　lineにコンタミがあったということです。「きょうれつ～～うっ！」！詳しくは↓

Verification and Unmasking of Widely Used Human Esophageal Adenocarcinoma Cell Lines

http://jnci.oxfordjournals.org/cgi/content/abstract/djp499

（私は、抄録しか読めませんでしたが） 

食道がんに関する今までの文献を洗い直す必要がありますね。

・ころっと、話変わって。最近は自宅に引きこもっていますが、本日は暖かく、ちょっと疲労と痛みがましなので、午後から映画を見にいきました。「アバター」の３Ｄです。３Ｄは好きなので良かったし、森林の植物の形、色は奇麗だなとおもいましたね。色遣いが、紫、青系統が使われ、イラストレーターの加賀屋穣を連想しました。ただ、ストリーがね．．．ちょっと大味じゃないっていうかんじ。まあ、こういうたぐいのアメリカ映画って、そういうもんですかね。（少なくとも私が見てきたＳＦやアクションなんかはね）画像を楽しむ映画ですね。

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週末外来当直お疲れ様でした。

小生は昨日兵庫県北中部に日帰りでスキーに行きましたがところどころ岩肌が露出しており、来年から兵庫県でスキーをするのは難しくなるかも、と寂しくなりました。

＞Paul Carpenterさま、コメントありがとうございます。
私は、スキーは下手の横好きでした。しかし、スーツでスキーを滑るというひそかな野望を抱いていましたが、年のせいかそういう野望もなくなってしまいました。
しかし、今の時期に岩肌露出なんて、かないませんな。
written by Paul Carpenter / 2010.01.18 08:53

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