In my medical anthropology course in undergrad, I read the book The Spirit Catches You and You Fall Down by Anne Fadiman. It's a story about an epileptic Hmong girl and the narration of her story from worldviews of her parents and of her doctors.
Imagine my excitement when I learned she was giving a guest lecture at my med school earlier tonight! Of course I had RSVP'd like a month ago in advance. How could I miss the opportunity to meet the author of a book that captured the beginning of a shift within the medical profession? How could I miss an opportunity to hear what pearls of wisdom I may gain from this lecture, especially as I'm involved in the Hmong Health Education Program (HHEP) committee here? How could I, as a med student, not sit in on a lecture so relevant to cultural competency to aid me in better caring for a diverse patient population in the future (especially since cultural issues largely aren't discussed at length throughout medical training)?
It was a great lecture. She was more down-to-earth than I had envisioned. She discussed the conflict that could occur between two cultures due to mis-communication. Indeed, there is a medical culture that contains within it almost everything you'd expect of a culture - it has its own hierarchy, it's own rules, it's own language, it's own special clothes, it's own rituals, and it's own worldview. One thing she said that will stick in my mind is the idea of a Venn diagram of patient-physician communication. There is always overlap, however small. Sometimes the patient, sometimes the doctor, often both, must venture to the periphery of their circles into the area where the two circles overlap - to where there is common ground between patient and doctor. This overlap is (apparently) called the "lune," and we must seek it as both patients and doctors to promote maximal outcome.
Afterwards, I had the luck (and patience) to have her sign my book! Okay, I actually left my original copy back home in another state. But an M4 (incidentally the M4 who started the HHEP) gave me a free copy of her book for the signing, so now I have 2 books and one of them has her autograph!! She drew that Venn diagram in my book, reminding me to find the lune. I also got to take a picture with her. This must be the first time I was so close to a celebrity, lol.
Her work is well-known in medical anthropology and in the medical community. To think that a journalist would have such a profound effect on the way physicians, bioethicists, anthropologists, would view cultural differences and how those differences impact healthcare (Mirrorboy, if you read this take note, maybe one day you'll produce some work that'll be the beginning of a paradigm shift). Unfortunately, formal training in medicine concerning cultural differences is severely lagging, even today.
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Now, for the other randomness in my life.
1. Apparently I'm no longer fit (I was never that in shape, but I was way more in shape 2-3 years ago). I judge my fitness by my cardio endurance, and right now I'm at under a mile on the treadmill. This won't do as I used to be able to run 2.5-3 mi. Then again I hate the treadmill as I usually can't run as long on treadmills as on ground (oddly enough). Anyway, exercising has now been bumped up into my top 5 priorities.
2. I participated in the disembowelment of the dead today. After 2 of my labmates left early, leaving just Jon and me in the lab, we decided to disembowel our cadaver so we could expose the posterior (back) abdominal cavity. We stumbled upon a whole new world! After we ripped, tore, and cleaned away the fascia (which one of my labmates describes as being "incredibly satisfying" - it is), we were able to expose the abdominal inferior vena cava (main vein going into the heart), the renal veins leading from the kidneys, and the kidneys themselves. There was definitely something satisfying and exciting as a result of this disembowelment (which, might not be a "true" disembowelment as we just moved all the intestines upward until they sat in the upper chest cavity).
3. It's creepily humorous in lab these days. In order to get at certain things to dissect, one must remove organs and place them all over the place. We had the left lung on our cadaver's face, his massive heart on his groin, his right lung next to his head, and his ribcage and calvaria (skullcap) near his ankles. Yeah . . . organs everywhere. The more one dissects, the less human the body becomes.
Okay, that's all for this episode of anatomy lab. My eyes can't seem to focus tonight, blah.
Imagine my excitement when I learned she was giving a guest lecture at my med school earlier tonight! Of course I had RSVP'd like a month ago in advance. How could I miss the opportunity to meet the author of a book that captured the beginning of a shift within the medical profession? How could I miss an opportunity to hear what pearls of wisdom I may gain from this lecture, especially as I'm involved in the Hmong Health Education Program (HHEP) committee here? How could I, as a med student, not sit in on a lecture so relevant to cultural competency to aid me in better caring for a diverse patient population in the future (especially since cultural issues largely aren't discussed at length throughout medical training)?
It was a great lecture. She was more down-to-earth than I had envisioned. She discussed the conflict that could occur between two cultures due to mis-communication. Indeed, there is a medical culture that contains within it almost everything you'd expect of a culture - it has its own hierarchy, it's own rules, it's own language, it's own special clothes, it's own rituals, and it's own worldview. One thing she said that will stick in my mind is the idea of a Venn diagram of patient-physician communication. There is always overlap, however small. Sometimes the patient, sometimes the doctor, often both, must venture to the periphery of their circles into the area where the two circles overlap - to where there is common ground between patient and doctor. This overlap is (apparently) called the "lune," and we must seek it as both patients and doctors to promote maximal outcome.
Afterwards, I had the luck (and patience) to have her sign my book! Okay, I actually left my original copy back home in another state. But an M4 (incidentally the M4 who started the HHEP) gave me a free copy of her book for the signing, so now I have 2 books and one of them has her autograph!! She drew that Venn diagram in my book, reminding me to find the lune. I also got to take a picture with her. This must be the first time I was so close to a celebrity, lol.
Her work is well-known in medical anthropology and in the medical community. To think that a journalist would have such a profound effect on the way physicians, bioethicists, anthropologists, would view cultural differences and how those differences impact healthcare (Mirrorboy, if you read this take note, maybe one day you'll produce some work that'll be the beginning of a paradigm shift). Unfortunately, formal training in medicine concerning cultural differences is severely lagging, even today.
-----
Now, for the other randomness in my life.
1. Apparently I'm no longer fit (I was never that in shape, but I was way more in shape 2-3 years ago). I judge my fitness by my cardio endurance, and right now I'm at under a mile on the treadmill. This won't do as I used to be able to run 2.5-3 mi. Then again I hate the treadmill as I usually can't run as long on treadmills as on ground (oddly enough). Anyway, exercising has now been bumped up into my top 5 priorities.
2. I participated in the disembowelment of the dead today. After 2 of my labmates left early, leaving just Jon and me in the lab, we decided to disembowel our cadaver so we could expose the posterior (back) abdominal cavity. We stumbled upon a whole new world! After we ripped, tore, and cleaned away the fascia (which one of my labmates describes as being "incredibly satisfying" - it is), we were able to expose the abdominal inferior vena cava (main vein going into the heart), the renal veins leading from the kidneys, and the kidneys themselves. There was definitely something satisfying and exciting as a result of this disembowelment (which, might not be a "true" disembowelment as we just moved all the intestines upward until they sat in the upper chest cavity).
3. It's creepily humorous in lab these days. In order to get at certain things to dissect, one must remove organs and place them all over the place. We had the left lung on our cadaver's face, his massive heart on his groin, his right lung next to his head, and his ribcage and calvaria (skullcap) near his ankles. Yeah . . . organs everywhere. The more one dissects, the less human the body becomes.
Okay, that's all for this episode of anatomy lab. My eyes can't seem to focus tonight, blah.

