the spirit catches you and you fall down a hmong child her american doctors and the collision of two cultures fsg classics

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The Spirit Catches You And You Fall Down

Author : Anne Fadiman
ISBN : 1429931116
Genre : Social Science
File Size : 21. 33 MB
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Winner of the National Book Critics Circle Award for Nonfiction When three-month-old Lia Lee Arrived at the county hospital emergency room in Merced, California, a chain of events was set in motion from which neither she nor her parents nor her doctors would ever recover. Lia's parents, Foua and Nao Kao, were part of a large Hmong community in Merced, refugees from the CIA-run "Quiet War" in Laos. The Hmong, traditionally a close-knit and fiercely people, have been less amenable to assimilation than most immigrants, adhering steadfastly to the rituals and beliefs of their ancestors. Lia's pediatricians, Neil Ernst and his wife, Peggy Philip, cleaved just as strongly to another tradition: that of Western medicine. When Lia Lee Entered the American medical system, diagnosed as an epileptic, her story became a tragic case history of cultural miscommunication. Parents and doctors both wanted the best for Lia, but their ideas about the causes of her illness and its treatment could hardly have been more different. The Hmong see illness aand healing as spiritual matters linked to virtually everything in the universe, while medical community marks a division between body and soul, and concerns itself almost exclusively with the former. Lia's doctors ascribed her seizures to the misfiring of her cerebral neurons; her parents called her illness, qaug dab peg--the spirit catches you and you fall down--and ascribed it to the wandering of her soul. The doctors prescribed anticonvulsants; her parents preferred animal sacrifices.

The Spirit Catches You And You Fall Down

Author : Anne Fadiman
ISBN : 9780374533403
Genre : Family & Relationships
File Size : 57. 62 MB
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A study in the collision between Western medicine and the beliefs of a traditional culture focuses on a hospitalized child of Laotian immigrants whose belief that illness is a spiritual matter comes into conflict with doctors' methods.

A Reader In Medical Anthropology

Author : Byron J. Good
ISBN : 9781405183154
Genre : Social Science
File Size : 69. 33 MB
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A Reader in Medical Anthropology: Theoretical Trajectories, Emergent Realities brings together articles from the key theoretical approaches in the field of medical anthropology as well as related science and technology studies. The editors’ comprehensive introductions evaluate the historical lineages of these approaches and their value in addressing critical problems associated with contemporary forms of illness experience and health care. Presents a key selection of both classic and new agenda-setting articles in medical anthropology Provides analytic and historical contextual introductions by leading figures in medical anthropology, medical sociology, and science and technology studies Critically reviews the contribution of medical anthropology to a new global health movement that is reshaping international health agendas

Drone

Author : Hugh Gusterson
ISBN : 9780262334372
Genre : Technology & Engineering
File Size : 37. 87 MB
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"[A] thoughtful examination of the dilemmas this new weapon poses." -- Foreign AffairsDrones are changing the conduct of war. Deployed at presidential discretion, they can be used in regular war zones or to kill people in such countries as Yemen and Somalia, where the United States is not officially at war. Advocates say that drones are more precise than conventional bombers, allowing warfare with minimal civilian deaths while keeping American pilots out of harm's way. Critics say that drones are cowardly and that they often kill innocent civilians while terrorizing entire villages on the ground. In this book, Hugh Gusterson explores the significance of drone warfare from multiple perspectives, drawing on accounts by drone operators, victims of drone attacks, anti-drone activists, human rights activists, international lawyers, journalists, military thinkers, and academic experts. Gusterson examines the way drone warfare has created commuter warriors and redefined the space of the battlefield. He looks at the paradoxical mix of closeness and distance involved in remote killing: is it easier than killing someone on the physical battlefield if you have to watch onscreen? He suggests a new way of understanding the debate over civilian casualties of drone attacks. He maps "ethical slippage" over time in the Obama administration's targeting practices. And he contrasts Obama administration officials' legal justification of drone attacks with arguments by international lawyers and NGOs.

Mama Might Be Better Off Dead

Author : Laurie Kaye Abraham
ISBN : 0226001393
Genre : Medical
File Size : 89. 58 MB
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Mama Might Be Better Off Dead is an unsettling, profound look at the human face of health care. Both disturbing and illuminating, it immerses readers in the lives of four generations of a poor, African-American family beset with the devastating illnesses that are all too common in America's inner-cities. The story takes place in North Lawndale, a neighborhood that lies in the shadows of Chicago's Loop. Although surrounded by some of the city's finest medical facilities, North Lawndale is one of the sickest, most medically underserved communities in the country. Headed by Jackie Banes, who oversees the care of a diabetic grandmother, a husband on kidney dialysis, an ailing father, and three children, the Banes family contends with countless medical crises. From visits to emergency rooms and dialysis units, to trials with home care, to struggles for Medicaid eligibility, Abraham chronicles their access (or lack of access) to medical care. Told sympathetically but without sentimentality, their story reveals an inadequate health care system that is further undermined by the direct and indirect effects of poverty. When people are poor, they become sick easily. When people are sick, their families quickly become poorer. Embedded in the family narrative is a lucid analysis of the gaps, inconsistencies, and inequalities the poor face when they seek health care. This book reveals what health care policies crafted in Washington, D. C. or state capitals look like when they hit the street. It shows how Medicaid and Medicare work and don't work, the Catch-22s of hospital financing in the inner city, the racial politics of organ transplants, the failure of childhood immunization programs, the vexed issues of individual responsibility and institutional paternalism. One observer puts it this way: "Show me the poor woman who finds a way to get everything she's entitled to in the system, and I'll show you a woman who could run General Motors." Abraham deftly weaves these themes together to make a persuasive case for health care reform while unflinchingly presenting the complexities that will make true reform as difficult as it is necessary. Mama Might Be Better Off Dead is a book with the power to change the way health care is understood in America. For those seeking to learn what our current system of health care promises and what it delivers, it offers a place for the debate to begin.

Caring For Patients From Different Cultures

Author : Geri-Ann Galanti
ISBN : 9780812290271
Genre : Medical
File Size : 86. 32 MB
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Healthcare providers in the American medical system may find that patients from different cultures bring unfamiliar expectations, anxieties, and needs into the examination room. To provide optimal care for all patients, it is important to see differences from the patient's perspective and to work with patients from a range of demographics. Caring for Patients from Different Cultures has been a vital resource for nurses and physicians for more than twenty years, offering hundreds of case studies that illustrate crosscultural conflicts or misunderstandings as well as examples of culturally competent health care. Now in its fifth edition, Caring for Patients from Different Cultures covers a wide range of topics, including birth, end of life, communication, traditional medicine, mental health, pain, religion, and multicultural staff challenges. This edition includes more than sixty new cases with an expanded appendix, introduces a new chapter on improving adherence, and updates the concluding chapter with examples of changes various hospitals have made to accommodate cultural differences. Grounded in concepts from the fields of cultural diversity and medical anthropology, Caring for Patients from Different Cultures provides healthcare workers with a frame of reference for understanding cultural differences and sound alternatives for providing the best possible care to multicultural communities.

A Heart For The Work

Author : Claire L. Wendland
ISBN : 9780226893273
Genre : Medical
File Size : 43. 64 MB
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Burnout is common among doctors in the West, so one might assume that a medical career in Malawi, one of the poorest countries in the world, would place far greater strain on the idealism that drives many doctors. But, as A Heart for the Work makes clear, Malawian medical students learn to confront poverty creatively, experiencing fatigue and frustration but also joy and commitment on their way to becoming physicians. The first ethnography of medical training in the global South, Claire L. Wendland’s book is a moving and perceptive look at medicine in a world where the transnational movement of people and ideas creates both devastation and possibility. Wendland, a physician anthropologist, conducted extensive interviews and worked in wards, clinics, and operating theaters alongside the student doctors whose stories she relates. From the relative calm of Malawi’s College of Medicine to the turbulence of training at hospitals with gravely ill patients and dramatically inadequate supplies, staff, and technology, Wendland’s work reveals the way these young doctors engage the contradictions of their circumstances, shedding new light on debates about the effects of medical training, the impact of traditional healing, and the purposes of medicine.

God S Hotel

Author : Victoria Sweet
ISBN : 9781101561812
Genre : Biography & Autobiography
File Size : 67. 63 MB
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For readers of Paul Kalanithi’s When Breath Becomes Air, a medical “page-turner” that traces one doctor’s “remarkable journey to the essence of medicine” (The San Francisco Chronicle). San Francisco’s Laguna Honda Hospital is the last almshouse in the country, a descendant of the Hôtel-Dieu (God’s hotel) that cared for the sick in the Middle Ages. Ballet dancers and rock musicians, professors and thieves—“anyone who had fallen, or, often, leapt, onto hard times” and needed extended medical care—ended up here. So did Victoria Sweet, who came for two months and stayed for twenty years. Laguna Honda, relatively low-tech but human-paced, gave Sweet the opportunity to practice a kind of attentive medicine that has almost vanished. Gradually, the place transformed the way she understood her work. Alongside the modern view of the body as a machine to be fixed, her extraordinary patients evoked an older idea, of the body as a garden to be tended. God’s Hotel tells their story and the story of the hospital itself, which, as efficiency experts, politicians, and architects descended, determined to turn it into a modern “health care facility,” revealed its own surprising truths about the essence, cost, and value of caring for the body and the soul.

Cultural Competency For The Health Professional

Author : Patti R. Rose
ISBN : 9781449614515
Genre : Medical
File Size : 24. 54 MB
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Cultural Competency for the Health Professional reviews the importance of the implementation of cultural competency by allied health professionals, and the process of assessment, training and evaluation. This comprehensive text includes a clear and concise overview of the necessary tools to apply cultural competency processes as well as systematic and disciplined approaches to the process of achieving it. Attention is also given to some of the reservations that may exist in various health professions with interests in moving in the direction of cultural competency such as associated costs, limited time, and beyond. Cultural Competency for the Health Professional provides health professions students with key cultural competency information and practical insight into how to apply this knowledge in their day-to-day work environments as they deal with patients on a clinical basis. Interview With Dr. Shalala Chapter 10 includes an interview with Dr. Shalala conducted by the author of this text. Dr. Donna Shalala is currently the President of the University of Miami, in Florida. She has been in this position since 2001. Prior to her current role, she was appointed by President Clinton to serve as U.S. Secretary of Health and Human Services (HHS) and held this position for 8 years which amounted to the longest serving HHS Secretary in U.S. history to date. She was responsible for a budget of almost $600 billion, overseeing a number of programs such as Social Security, Medicare, Medicaid, Child Care and Head Start, Welfare, the Public Health Service, the National Institute of Health (NIH), The Center for Disease Control and Prevention (CDC) and the Food and Drug Administration (FDA) (Shalala,2011). FEATURES Overview of the demographic changes in the United States Accreditation requirements (programmatic, specialized and institutional) Cultural nuances of specific groups Comprehensive view of the Culturally and Linguistically Appropriate Services (CLAS) standards with an emphasis on the clinical aspect of various allied health professions Attitudinal survey with established reliability and validity INSTRUCTOR RESOURCES • PowerPoint Slides • Over 150 Test Questions • Case Studies STUDENT RESOURCES Companion Site including: o Additional Case Studies o Crossword Puzzles o Interactive Glossary o Flashcards o Matching Exercises o Web Links o Acronyms Glossary o Acronyms Flashcards

Introducing Medical Anthropology

Author : Merrill Singer
ISBN : 9780759120907
Genre : Social Science
File Size : 72. 40 MB
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This revised textbook provides students with a first exposure to the growing field of medical anthropology. The narrative is guided by unifying themes. First, medical anthropology is actively engaged in helping to address pressing health problems around the globe through research, intervention, and policy-related initiatives. Second, illness and disease cannot be fully understood or effectively addressed by treating them solely as biological in nature; rather, health problems involve complex biosocial processes and resolving them requires attention to range of factors including systems of belief, structures of social relationship, and environmental conditions. Third, through an examination of health inequalities on the one hand and environmental degradation and environment-related illness on the other, the book underlines the need for going beyond cultural or even ecological models of health toward a comprehensive medical anthropology. The authors show that a medical anthropology that integrates biological, cultural, and social factors to truly understand the origin of ill health will contribute to more effective and equitable health care systems.

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