Thursday, April 16, 2020

What Is a Good Doctor free essay sample

What is a good doctor? What makes a good doctor perfect? In the articles Phlebitis by Lair Eigther,The Doctors as Stranger by David Rothman, and the book The Spirit Catches You and You Fall Down by Anne Fadiman these authors state different situations and outlooks the patients were in. For instance the writers explored whether the patients had good medical treatment. Furthermore the authors view the disconnection between the doctors and the patients on how physicians should be able to train differently so we can enrich the relationship between the doctor and patient. Patients believe a good doctor is a doctor that is compassionate. A good doctor is a doctor who communicates with their patient, gives medical information and understands the culture, beliefs and the situation of the patient. For example my niece Gabriela De La Rosa was born without an ear, so her doctor was going to construct her left ear. We will write a custom essay sample on What Is a Good Doctor or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page My aunt doesn’t speak English just Spanish, my aunt had a hard time communicating with the physician. She came to my house a day before the surgery to ask me if I could help her translate, I gladly said yes. In Loma Linda Hospital her surgery was taken at eleven in the morning her doctor and nurses were ready for the surgery. Her doctor kept in touch with me every thirty minutes. The doctor gave us information about any complication, on every step they were doing. He kept in contact for the six hours my niece was in surgery. My niece’s doctor understood our culture because he was also Hispanic he knew that my aunt was passing thru a difficult time and understood her. After the surgery the doctor was checking on my niece at least 3 times a day. He was communicating with us and telling us how fast she was progressing and how she can go home tomorrow in the afternoon and she kept up the good work. This is a good doctor. A doctor that is doing his job on helping his patients in need. Additionally in the book The Spirit Catches You and You Fall Down Anne Fadiman writes about Lia who had good doctors and she was still suffering with her health. Fadiman forces us to question what makes a â€Å"perfect† doctor. A good physician is not a perfect one for example in the book The Spirit Catches You and You Fall Down Dr. Bill explain that the Dr. Neil is not a perfect physician â€Å"If Neil made a mistake, it’s because every physician makes mistakes. If it had been a brand new kid walking off the  street, I guarantee you Neil would have done a septic work up and he would have caught it. But this was Lia . No one at Merced Community Medical Center would have notice anything but her seizures. Lia was her seizures(Fadiman 256). The quote explains that if Dr. Neil was dealing with any other child off the street he would have done an extraordinary job and wouldnt have a difficult time with the pa tient is health, and understanding the culture and language. What is a bad physician? A bad doctor is one who views the patient as a profit but not a human. Therefore author Rothman states on his article that many doctors view the patients as profit not human beings that need medical help. For example â€Å"The Doctor Business , tell about an accident in which a young boy fell into a well ; after volunteers worked unstintingly for twenty four hours to dig him out, his parents took him to a local doctor, who proceeded to bill $1500 for his services† (Rothman 141). What Rothman explains that No physician has the right to refuse health care to anybody if they are not stable financially. Every patient has the right to have health care in any clinic, hospital, and emergency room. Another way of proving that a doctor is a bad doctor is by giving his patient the medication he believes it’s better for the patient. A doctor that believes on giving him the medication he believes is better for its patient. When the patient knows that the medication that was given to him was not helping his pain. For example referring back to Eightner article he states this â€Å"I asked that the Vicodin be changed to Naprosyn another nonsteroid pain reliever and anti-inflammatory drug comparable in effect to Ibuprofen. Eventually a nurse brought me some Ibuprofen. Perhaps if I had asked for ibuprofen I would have got Naprosyn† (Eighner 151). Eighner asked for certain medication to help him out on his pain but the faculty believes on giving him the medication they consider is better for his medical help he states if he would of asked for another medication he would of got the m edication he need . What is the patient’s bill of rights? Many Patients dont know what their rights are. Everyone has the right to health care in any clinic, hospital and emergency room the bill of rights form should be given to the patients so they could know and understand what their rights are. Eighner was one of the few patients that knew what his bills of rights were, but also had some knowledge of medication. Eighner was a patient that only had a watery swelling ankle that needed medical attention. Eightner’s rights were  violated by the faculty and doctors. Eighner was not allowed to view his medical chart, and he was given different medication. Doctors had lied to him about his medical condition. They also stated that if he left the hospital he was not going to survive because he had a deadly medical condition. Eigther realize the doctors were lying to him because the physician didn’t allow him to view his medical chart. For example Eighther remembered pointing out to Dr. Stalin when Dr. Velasquez said he could view his chart whenever he wanted. â€Å"I pointed out that he had been in the room when Dr. Stalin had said I could look at the chart whenever I wanted. He claims he had been called out of the room and had not heard her say that. Of course he had not been called out of the room. I knew for a fact he was there† (Eightner 153). Eightner rights were violated and his doctors were bad doctors because they lied about his medical condition. He was one of a kind patient that knew his bill of rights and notice on time that the doctors were lying to him . How can we change doctors training system? Society believes that doctors training system need to change because of the miscommunication with the patients and their culture. Fadiman doctors have misunderstanding of the Hmong culture. The book The Spirit Catches You and You Fall Down has several conflicts doctors vs. parents, parent vs. doctors, doctors vs. Doctors, miscommunication with each other. Physician had conflicts with Lia’s parents because of their culture, language and belief’s. â€Å"Merced Community Medical Hospital had not yet hired any interpreters, de jure or de facto, for any shift. At that time the only employee who sometimes translated for the Hmong patients was a janitor, a Laotian immigrant fluent in his own language, Laos which few Hmong understand; halting in Hmong; and even more halting in English. (Fadiman 25-26). This quote means that Merced Community Medical Hospital had not hired an interpreter to help doctors communicate with Lia’s Parent and the only person that would help them communicate would be there janitor. Additionally Fadiman had seen the conflict between doctors vs. parents, when Lia’s do ctor tried to apply a medication to her but her parents refused. The doctors called child services because they believed that Lia was safer in a foster home because they need to give her the right amount of medication, her patents were giving her too much or too little of it; it was never the right amount because of the misunderstanding of the language. For example  Ã¢â‚¬Å"Lia’s prescriptions had been changed so often, her parents might been more likely to give her, her medication since they would have been less confused and more confident that the doctors knew what they were doing (Fadiman 78).Lia’s parents had a difficult time giving her the medication because and Lias prescription was changed of often, he parents were most likely given her to much or too little of it. Parents vs. Doctors were having a difficult time because the parent thought the doctors were harmful. The Hmong’s fear doctors because they believe American Doctors would eat them after their dead. â€Å"When Hmong people die in the United States, is it tru e that they cut into pieces and put it in tin cans and sold as food† (Fadiman 32). The Hmong culture believed that American doctors cut them and sold their bodies in food cans after they were dead. The doctors vs. doctors were arguing that one was better than the other. â€Å"Later on when I figured out what had happen, or not happened on the earlier visits to the ER, I felt good. It’s kind of a thrill to find something someone else missed, especially when you a resident and you are looking for excuse to make yourself feel smarter than the other physicians†(Fadiman 27,28). Meaning one of the doctors that helped Lia before in the ER didn’t pay attention to Lia’s symptoms and bragging that you’re a great doctor in MCMC but Dr.Murphy diagnose her with epilepsy.Dr. Dan Murphy diagnose Lias seizures. Lia parents already know how to diagnose their daughter problem. They believe it was her spirit catches you and you fall down. Lias parents never knew that Dr. Dan had diagnosed Lia with epilepsy. Dr. Dan would have been surprised to hear they were caused by soul loss. What makes a good doctor good? One can conclude that even a good doctor can make mistakes and there is no perfect doctor even if it’s good or bad. All doctors have different way of doing their medical job. Every patient needs to know their rights so Doctors wont violate their right just like Eighner. Eighner is one of the few patients that knew his bill of right. How society wants to change the doctors training system so they could understand other cultures and be connected with its patients.

Monday, April 13, 2020

Sample Reflective Essay on Group Work

Sample Reflective Essay on Group WorkThe material in this article was adapted from a sample reflective essay on group work. If you're interested in taking the sample reflective essay and improving it, then it's time to take action!Before I get into some examples of reflective essays on group work, let me begin by explaining why you might want to take a reflective essay for granted. Reflective essays are simply essays that showcase your own skills and interests as a group leader. They are written on topics like leadership or team management or mentoring or other topics that show you are a great leader. Of course, they are also written on topics that will allow you to show off the virtues of being a group leader, and some will be written on topics that allow you to show off your leadership capabilities.The other side of the reflective essay is about sharing your leadership perspectives. There are several ways to do this, but one of the best ways is to invite someone to read the reflect ive essay, and tell them that you have read it and liked it, but that you'd like them to contribute an idea or two. You can read this individual's thoughts, as well as discuss their ideas with them, and then write up your reflections about their ideas.This approach makes the reflective essay not only interactive and interesting, but also the outcome of more than one person's thoughts. You'll find that when the process is done correctly, you'll get feedback from more than one person. In fact, if you can get three or four people to read your reflective essay, you'll get a very good sense of how well it was received.The sample reflective essay that I used to do my research was one that included this specific approach to reflection. I found that the topic of group leadership came up frequently, and I thought it was an important subject for me to cover in my own reflective essay. That said, I didn't just write about group leadership; I thought it would be interesting and helpful to show how I was a great leader and also how I could lead others to be leaders, too.In order to write a reflective essay on group work, it's not enough to just read and think about how you're a great leader. You need to use reflective writing as a tool to help you sharpen your leadership skills. Reflective writing can also teach you how to lead others by helping you think about them, how you need to interact with them, and how you can learn from their experiences. This allows you to use reflective writing to not only write your own reflective essay, but also to train your group to think critically and act responsibly, which will help improve the attitudes and behaviors of the group.The reflective essay that I have on my web site is a perfect example of what I mean. In it, I share some of my leadership lessons learned and some of my thoughts about the common characteristics of great leaders. In particular, I focused on leadership with respect to behavior and how to create opportunities for others to do great things.

Friday, March 13, 2020

Yasser Arafat Essays

Yasser Arafat Essays Yasser Arafat Essay Yasser Arafat Essay The interests of the people of Palestine had all along been protected by Yasser Arafat. A very important contribution of Yasser Arafat consisted in drawing the attention of the world to the interests of the Palestinians. It can be construed that he was a true messiah of the Palestinians due to the fact that his was the only voice that conveyed their plight to the rest of the world, when the status of the Palestinians was at its nadir. This represented a stage in the development of the Palestinian nation, when Palestinians were considered to be nothing better than criminals . The loss of the Fatah party at the hustings to the Hamas indicates that Arafat’s death was a serious blow to the partys popularity. This political debacle was further aided by the fact that Arafat’s successor Mahmoud Abbas was his antithesis. Political observers like Khaled Duzdar, analyst at the Israel-Palestine Center for Research and Information, had observed the success of Hamas as a result of the failures of Fatah. A number of these failures have been attributed to the failure of Arafat as an able administrator and the failure of his government to curb corruption, indolence in discharging the duties of public administration and the failure to create public good . Despite these drawbacks the fact remains that Arafat succeeded in establishing the state of Palestine and was instrumental in providing an identity to the dispersed Palestinians. The Palestine Liberation Organisation or the P. L. O. under the domination and control of Fatah, according to Arafat, was the sole and legitimate representative of the Palestinian people. The PLO was secular and did not allow Hamas, the fundamentalist Islamic party, to take part in. However, after the demise of Arafat, the successors in the party failed to maintain its integrity. This brought about divisions in the party as the internal conflicts increased. The beneficiary of these internal conflicts was the Hamas . The reasons that brought about Arafat’s death were not made public by the French doctors who attended upon him when he had been admitted for a stroke in the hospital. The doctors were unable to diagnose the health problem that hastened his death. On the 11th of November, 2004 Arafat died at the age of 75 in a French hospital. A few of Arafat’s followers still believe that their leader was poisoned by Israeli agents. However, it was reported by the New York Times that the medical reports did not establish any possibility of poisoning. Further the newspaper announced that medical experts had examined the reports on its behalf to establish that Arafat had not succumbed to AIDS. Moreover, Arafat’s personal physicians conducted exhaustive diagnoses that failed to detect the source of infection which had caused the bleeding disorder that had escalated the severity of the fatal stroke. Initially Arafat was treated for reduced platelet count in his blood and during the course of treatment his health condition worsened. He was shifted to a French military hospital near Paris where he became comatose which proved to be fatal . The actual reason for Arafat’s death was not disclosed to the public by his wife Suha and the Palestinian authorities delivered contradictory statements. Ashraf Kurdi, the personal physician of Arafat, stated that evidence of AIDS was found but this was not mentioned in the medical records. Even the test performed to detect AIDS was not described. Kurdi further added that Arafat was injected with the HIV virus to camouflage the symptoms of poisoning .

Tuesday, February 25, 2020

Theory and Practice Research Paper Example | Topics and Well Written Essays - 1500 words

Theory and Practice - Research Paper Example For instance, studies in mathematics and sciences have shown that better performance emanates from depth rather than breadth (Cogan & Schmidt, 2002). Teaching is termed successful, if students learn what has been taught. Therefore, this paper focuses on what students are learning. It is subdivided into three sections: the role of assessment in the context of instruction, most essential and long lasting concepts the students should be taught and, finally, the role of assessments. Beginning from looking at the role of assessment in the context of instruction, assessment is supposed to be developed to fit the learning targets set for the students in order to be supportive to the students. It should be consistent with methods of instruction as poor connection among learning targets. Instructions and assessment only amount to more than confusion and frustration leading to anger and despair. Learning is accompanied by a cognitive change and behavioral experience among people. Contrary to w hat teachers believe, much of what students learn come from experiences outside school rather than from classroom. Therefore, an ideal relationship should be established among learning targets, instructions and assessment. ... In determining what students are to learn, it best begins with one’s knowledge of the subject combined with their values as an educator. No time is sufficient for a student to learn all that is required of them. Factory model of schooling in which teachers rush to cover a topic after topic leaves little or no time for internalizing ideas and making the concepts gained a solid part of the student’s cognitive and behavioral experience. Students retain little of what is taught in courses that is based on content coverage other than deep understanding of the concepts. In the event that students cannot learn all that is taught, wise choices ought to be made about what is possible in a given fixed time. Learning goals and learning objectives are the terms used as labels for statements about what teachers want students to learn. Learning goals reflect ultimate aims of schooling; whereas, learning objectives focus more on knowledge and skills that help students attain their goa ls. The term subject areas are used to refer to conventional titles of content taught in school, while discipline refers to fields or study and work. Four questions can assist in framing learning goals for teaching and these include: evaluating the dimensions of the subject are to be taught, the chief aspects of these subject areas to students of a certain year and the level of sophistication. Students can, hence, continue working on the broad goals after moving to other teachers. The third question is the knowledge and skills within the discipline that will help students understand the working of other people in the field, the knowledge of people in the field that makes them successful and their

Sunday, February 9, 2020

Literature Review Are Wound Vacuum Devices Healing Wounds Essay

Literature Review Are Wound Vacuum Devices Healing Wounds - Essay Example VAC was even compared with the traditional WM dressing method and proved to heal better. This only proves that VAC is indeed a promising and faster way to heal wounds. The main purpose of this research is to look through the new way of wound healing. In the United States, over 2.8 million patients have chronic wounds and treatments cost billions of dollars per year. Wound healing is a complex process which starts with removal of debris, control of infection, clearance of inflammation, angiogenesis, deposition of granulation tissue, contraction, remodeling of the connective tissue matrix and maturation. This sequence of events should be undergone by the wound for proper healing whilst if it fails to undergo these events, a chronic open wound without anatomical or functional integrity results (Joseph, 2008). Chronic wounds should be healed at a faster rate in order to decrease hospitalization days and thereby reduce costs. A product which delivers improved healing process could help in decreasing infection, amputation and length of hospital stay thus entails potential annual savings for healthcare cost. The introduction of vacuum-assisted closure (VAC) which utilizes subatmospheric technique may be the answer in this medical challenge. In VAC, placing an open-cell foam dressing is involved. It is placed into the wound cavity and controlled subatmospheric pressure is applied. The technique was observed to remove chronic edema which increases local blood flow and enhanced formation of granulation tissue (Joseph, 2008). VAC applies negative pressure to wounds hence fluid is removed and growth of granulation tissue is stimulated. Acute, subacute and chronic wounds may be applied with VAC. Argenta, et al. have previously described the use of the VAC device to enhance healing and promote closure of a variety of open wounds FDA cleared VAC for clinical use. Frequent dressing changes which required when using WM, could be lessen by using VAC which requires dressing changes only every 48 hours (Joseph, 2008). Review of the Literature Senchenkov et al. (2007) conducted a study on the use of vacuum assisted closure (VAC) dressing for irradiated wounds. This study aimed to examine the outcomes of split-thickness skin grafts (STSG) secured by VAC during the early part of the postoperative period. Reviews were done on the records of 17 preoperatively radiated patients with extremity sarcomas that was reconstructed with STSGs combined with VAC to assess the efficiency of VAC in this purpose. Through January 1997 and December 2005, there have been 19 patients identified to base on their records to have undergone STSG reconstruction of irradiated extremity defects with VAC. These patients had soft tissue sarcomas. External beam radiation was used to treat the tumor bed and added with intraoperative radiation or brachytherapy. This was done before skin was grafted. Two of these patients however were excluded in the study because one had necrosis of the underlying irradiate muscle flaps while the other had 40% skin graft placed with epidermis which faced the recipients bed. This left 17 patients (9 men and 8 women, age 42 to 82, mean 65) to be

Thursday, January 30, 2020

Prewriting Essay Example for Free

Prewriting Essay 1.   I would write about love because I feel love is a tree and romance is just one of its branches. There are other dimensions of love as well apart from romance. In the essay I would touch upon all these dimensions. Apart from love between a man and a woman, there is love between a teacher and a student, love between two friends, love between a man and his pet, love between a celebrity and his fans, love between siblings. I would touch upon all these dimensions of love in the essay. Then I would bring into focus the most divine form of love and that is the love between a mother and her child. I would elaborate on how unique this form of love is and it cannot die or change no matter how advanced the world becomes. I would write that the bond between a mother and her child is natural. This is because they are physically attached to each other for nine months. Due to the capacity of bearing children mothering instinct comes naturally to women. The intensity of this instinct might vary from person to person but it cannot be completely absent in a woman. A mother always prioritizes her child above herself. This selflessness is rare in all the other dimensions of love. I would also focus on the main concepts like jealousy, codependency, idealization, stereotyping etc. that involve different types of relations and would connect all these concepts to a mother-child relationship. This would help in understanding this divine attachment between two human beings in more depth. I would conclude the essay by weaving all the main points highlighted above into a string of points that would point towards the main idea that though there are many forms of love, the love between a mother and a child always excels above others. 2.   I would write about why we need gossip in our culture. I think that gossip is one of the necessities of human beings and all of us love to indulge in it whether consciously or unconsciously. But there are very few of us who like to accept our inclination to indulge in gossip. Even when we are gossiping about our classmates, colleagues, neighbors, celebrities, teachers etc. our conscious mind always tries to project ourselves as a person who does not indulge in this kind of lowly activities. In the essay I would like to focus on the fact that the intensity of our indulgence or love for gossip might differ from one person to another but just like other necessities like food, water, shelter etc. this also becomes one of our needs. I would write that one of the main reasons why some people gossip less when compared to others is because they have less time than the others in this fast paced world. In this context I would quote the example of the reality show, ‘Big Brother’ where the participants are not allowed anything other than the basic necessities and apart from food it is gossip that gives them the strength to survive in a controlled environment. I would write that no matter what the age or the background of the participants is every one uses this tool to ooze out his anger, distress or dissatisfaction. Some people start instantly while others take a little time to open up but ultimately every one engages in this activity. To conclude I would point out that all of us abhor the term gossip attached to our personalities. But in reality this should not be the case. We do not want to accept this important need of our existence because we relate only negative points to this activity. We should consider gossip as a way of socializing which is yet another important requirement of a healthy human mind. It helps in taking out the baggage that we carry in our inner self. However we should always try to indulge in healthy gossip instead of dirty gossip meant to malign others. In healthy gossip many people would be our friends while in the latter we will invite more foes. 3.   I would like to write about the changing attitude towards dating. Years ago dating was a taboo. Then it became an acceptable part of our society. Now it is indispensable for any relationship to bloom. The courtship period that comprises of dating and  calling cannot be imagined without these elements of love. In the essay I would write about changing attitude towards dating not only in the western culture but also in other cultures. There are a many cultures for, example in Asia, where interaction between girls and boys was not acceptable till recent times but since dating has become an integral part of western culture, these cultures are also getting influenced by this concept. The difference in the change of attitude in the  Asian countries compared to  the western  countries is that though it is being accepted the level of acceptance is lower in the Asian countries. I would highlight the point that how gradually dating has started being considered as a means of just spending a good time with the person towards whom one is romantically inclined unlike the yesteryears where it was considered a foundation of long term relationships. In the conclusion of the essay, I would write that courtship consists of dating but not vice versa. Where dating is just for fun, flirting is likely to be one of its components. 4.  Ã‚  I would like to write about anxiety disorder. In the beginning of the essay I would present an overview of the disease. I would mention that many disorders are collectively referred as anxiety disorder. These disorders are generalized anxiety disorder, post traumatic stress disorder, specific phobia, agoraphobia etc. In fact anxiety disorder is a blanket term that encompasses within itself different types of anxiety, fear, nervous condition or phobia. It can occur suddenly or gradually and can affect people of different age groups and genders. Then I would focus on the causes. Apart from the psychological causes, I would also touch upon the hereditary and genetic causes of the disease. This disease disrupts the day-to-day activities of the people suffering from it. I would write about the symptoms of anxiety disorders. For example there are psychological symptoms like social avoidance, depression, frustration, lack of concentration etc. Apart from that there are physical symptoms too, for example dizzy spells, fatigue, chest pain etc. This would throw light upon how it affects the people suffering from it. Apart from medication there are other things like good family atmosphere, indulgence in some constructive work and exercises that help in the recovery process. I would mention that the people suffering from it should be honest to the practitioners so that they  get cured in the right way.

Wednesday, January 22, 2020

Glass Menagerie :: essays research papers

  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Laura and Her Ways   Ã‚  Ã‚  Ã‚  Ã‚  Laura is a woman who has reached the body of a full adult, but she has yet to gain the brain and thought process of an adult. Laura is a woman that lives in her own dream world, and is not motivated by what is going on in the real world. She is a woman that fails to grow mentally as she does physically.   Ã‚  Ã‚  Ã‚  Ã‚  Laura is very shy around people, especially around strangers or someone she likes such as Jim. Jim is a friend of Laura’s brother who is invited to dinner one night. Laura had a crush on him in high school, but she is still shy around him. When Jim talks to Laura during the night he is at dinner she does not fully respond to Jim’s friendly questions and his gentle talk, rather she replies slowly and does not fully respond. Laura says that â€Å"I know, but I did, and I-â€Å" (608), then Jim has to finish where Laura left off by saying, â€Å"you mean you were shy with people (609).† Laura said that wanted Jim’s autograph in High School because he was in a play called The Pirates of Penzance but didn’t get it because â€Å"you were always surrounded by your own friends so much that I never had a chance.†   Ã‚  Ã‚  Ã‚  Ã‚  Laura lives in her dream world all day and feels that what she does is important. Laura responds to Jim questioning about what she has done since High School by saying â€Å"My glass collection takes a good deal of time...(610)† Laura feels as if the glass animals that she has are real, â€Å"he stays on the shelf with some horses...and they all seem to get together (611).†   Ã‚  Ã‚  Ã‚  Ã‚  Laura is very concerned about others opinion about her. The reason that she drops out of High School is that she had a brace and felt that it was very loud and everyone heard it. Jim tells her that he didn’t â€Å"hear any clumping† and Laura responds by saying, â€Å"it sounded like thunder.