Health Information Patient Handout Assignment Example | Topics and Well Written Essays - 500 words

Health Information Patient Handout - Assignment Example The frequency of the disease is towering and something needs to be done on it. Diabetes is a disease that is results from the incapacity of the human body to create insulin (Type 1) or use insulin effectively to control glucose levels in the blood cells and take it to the body cells (Peacock, 2011). When this happens, one develops a condition that is known as hyperglycemia which is a condition of high glucose levels in the blood. When the condition of hyperglycemia persists, it may lead to damage to the human heart, kidney failure, poor blood circulation as well as blindness (Peacock, 2011). Four out of ten patients suffering from Hyperglycemia develop long term complications of diabetes. They include damage to large blood vessels causing high blood pressure, heart attack and in some cases stroke. It may also lead to damage of small blood vessel leading to blindness, importance and kidney failure. Therefore the effects of Diabetes are catastrophic. Even though the single cause of diabetes is not clear, there are risk factors, both genetic and environmental that increases the likelihood of getting diabetes. On genetic risk factors, studies have shown that heredity can contribute to getting diabetes. Someone with a family account of diabetes, insulin resistance and obesity is likelier to suffer from the diseases that the one who does not have such history. Environmental risks such as obesity, exposure to cow’s milk proteins at infancy and auto antibodies puts one at risk of getting diabetes. Age and lifestyle also puts one at risk. Those above 55 have been found to have more cases of diabetes because of the inability of their body to respond to insulin. However this does not mean the young are not at risk. Several young people are obese and some lifestyles that are sedentary. Apart from the symptoms and complications associated with diabetes, the disease has implications such as cost of treatment, change

Research Methods Essay Example | Topics and Well Written Essays - 1750 words - 2

Research Methods - Essay Example Every organization requires resourcefulness and ingenuity as well as pragmatic decision-making for its sustenance. There is always a balance between the benefit of the business and the benefit of the people being affected by the business, directly or indirectly. Therefore, it is not possible to set up any permanent basis by which decisions can be made—they have to be made with regard to the circumstances and according to whatever has maximum significance at that point of time in the list of priorities. However, the point is to make the required compromise without violating the ethical code of conduct in business. The very existence of an ethical code of conduct in all professions implies that it is present to create a situation in which no individual has to compromise on his basic needs or functions in life. I see myself grappling very frequently with ethical issues as a part of my involvement with clients. There might often be situations in which profit for my company does not directly translate into benefits for my client. In this case, it would be necessary to consider whether as an eth ical person I would ensure that my client has reasonable knowledge of the situation. Hence, in dealing with other individuals, especially the consumer end of the business, I consider it necessary to view ethics as a major proponent in decision-making.

Comparison Between Self-rated and Dentist-rated Dental Care

Comparison Between Self-rated and Dentist-rated Dental Care Comparison between self-rated and dentist-rated dental care need among university students in Xi’an city, China Running title: self-rated and dentist-rated dental care ABSTRACT Objective: This study aimed to compare the difference between the self-rated and dentist-rated dental care need among university students in China and to evaluate the related factors. Participants: 757 university students aged 17-26 years. Methods: The study was carried out in 2013 in Xi’an city, China. The students were asked to complete a questionnaire that included the participants’ general information, the self-rated dental care need and their experiences of dental care. Dental conditions of each student were examined by six dentists by field survey. Results: Totally 52% of the students had consistent self-rating with dentist-rating (30.1% need and 21.9% not need). 39.0% of the students in need of dental care chose â€Å"not need† and 9.0% did not need but chose â€Å"need†. The self-rated dental care need had statistical differences in gender, census register and major. While the dentist-rated dental care need did not. Only 30.9% of the respondent stu dents did not need dental care. Conclusion: Self-rated dental care need was significantly associated with gender, census register and major and a number of Chinese university students inaccurately rated their dental care need. Their dental health status was not good. Key words: dental care; self-rating; dentist-rating; university students; major; census register Introduction Survey of the self-rated dental care need is a basic method for dental care studies. It is a simple direct way to study the perceptions of dental health, which is considered valid, reliable and cost-effective 1. And the accuracy of the self-rated dental care need can truly reflects the dental care ability of either individuals or communities. Hongjun Yin, from the Long Island University thinks that self-rated method has already been widely used in health surveys as a single-item measurement of health-rated quality of life 2. And it has been proved reliable and valid 3. There are few differences in the effects of variables associated with self-rated dental care need by different nationalities 4. So self-rated dental care need is an important method to observe dental health status and attitudes of either individuals or communities. Self-rated dental care need has been extensively studied in university students, where a range of associated factors has been identified 1-5. Now days, most research on self-rated dental care need is concentrating on the factors that affect the need 2, 6-15. What’s more, these studies have found many associated factors, such as gender, socioeconomic characteristics, age and education 16. However, the significance of each factor stills remained to be confirmed. Meanwhile, there has been relatively less study on the comparison of self-rated and dentist-rated dental care need. The comparison can truly reflect the accuracy of the self-rated dental care need and the dental care need status. It can also provide reference for the public health bureaus in policy making. The data from National Bureau of Statistics showed that, by the end of 2010, the number of university students would reach to 22.318 million in China 17. The age of university students ranges between 17-24 years. This age group is considered less vulnerable to sicknesses. Meanwhile, they also considered themselves to be less likely to get sick 18. So the public health bureaus often ignore this group of people 19. However, there is little study focusing on this group of people’s dental status to which we must pay attention. Therefore, we carried out the survey of the self-rated dental care need and dentist-rated need among university students in Xi’an city, China. In this study, we investigated both the census register and major, which two were seldom reported before. We also designed a new classification for the dental care need to replace the â€Å"need† and â€Å"not need† classification, which is more detailed and comprehensive. Methods and materials Subjects The study was approved by the University of Nebraska Lincolns institutional review board; all subjects gave informed consent. The subjects, undergraduate students ranging from 18 years of age and above, were recruited from 11AMto 1:30 PM during January 2009 at the 2 university unions. Participants received nominal gifts for completing the questionnaires. Study Sample This study was carried out in 2013 in the city of Xi’an (population 8.467.837) in Shaanxi province, China. Sample design consisted of 5 universities that were selected randomly in Xi’an. The 757 students, including 574 males and 183 females were selected randomly from each department of every university and the age ranged from 17 to 26 years old (20.5 ±1.4 years old, median 21 years old). The student source was nationwide, that covered 31 different provincial administrative regions of China (there are total 34 provincial administrative regions in China) (Table 1). 2.2 Design of the Dentist-Rated Dental Care Need the Self-Rated Dental Care Need According to the damage and urgency of dental diseases, we divided dental care need into four degrees by different conditions20. The first degree was designed to represent healthy dental condition, and the other three degrees were designed to include various dental diseases. The first degree: Dental condition is healthy. The respondent does not need specific dental care. The second degree: Dental condition is not healthy. The respondent needs selective dental care, but does not need treatment urgently, including 6 types: (1) moderate dental calculus; (2) shallow caries do not develop; (3) periodontal disease localizing in a small range, do not develop (4) need orthodontic treatment (5) need preventative treatment (6) need prosthodontics treatment. The third degree: Dental condition is not healthy. The respondent needs dental care as soon as possible, including 6 types: (1) severe caries; (2) severe periodontal disease; (3) chronic dental pulp disease or periapical disease; (4) severe dental calculus; (5) chronic oral infections; (6) one or more teeth need extraction. The fourth degree: Dental condition is not healthy. The respondent needs dental care urgently, including 4 types: (1) oral and maxillofacial trauma (2) acute dental pulp disease or periapical disease (3) acute oral infections (4) acute pericoronitis. 2.3 Assessments and Measurements The self-rated dental care need was represented by the question: â€Å"Considering to your dental status, do you think you have the need of dental care?† 21. The answers were: â€Å"need† and â€Å"not need† 6. The whole process was strictly based on the international dental survey method standards established by the WHO 22. Dental conditions of each student were examined by six dentists using field survey method1. All the dentists had passed the standard test survey. Inter and intra consistency check coincidence rate was higher than 95% 3. All the examinations were conducted under standard inspection light 23. 2.4 Statistical Analyses The age range was divided into three groups: â€Å"≠¤19†, â€Å"20† and â€Å"≠¥21†. Census register was divided into urban and rural; gender was divided into male and female; and the major was divided into science and artS 24. In addition, the self-rated dental care need was compared with the dentist-rated dental care need. Chi-square test was used to assess the significance (P 25. FoxPro 6.0 was used to build up the database. Afterwards, SPSS 17.0 (SN: 5068167, PN: 33132001) was used for statistical description and analysis. Results 3.1 The factors affecting the self-rated and dentist-rated dental care need The self-rated dental care need had statistical differences in gender, census register and major. In addition, the number of students who chose â€Å"need† increased accordingly with the age (Table 1). While the dentist-rated dental care need did not show significant differences in these four aspects (Table 2). 3.2 Comparisons between the self-rated and dentist-rated dental care need Self-rated dental care need showed that 296 students chose â€Å"need† and 461 students chose â€Å"not need†. The comparison between self-rated and dentist-rated dental care need showed that 48.0% (39.0%+9.0%) of the students rated their dental care need inaccurately. 39.0% of the students in need of dental care but chose â€Å"not need†; 9.0% of the students not in need but chose â€Å"need†. Totally 69.1% (39.0%+30.1%) of patients were in need of dental care rated by dentists (Table 3). 3.2 The dental care need rated by dentists and the clinic experience of the students The results of the dentist-rated dental care need showed that only 30.9 % of the students did not need dental care (the first degree); 57.2% of the students needed selective dental care (the second degree); 11.1% of the students needed dental care as soon as possible (the third degree); 0.8% of the students needed dental care urgently (the fourth degree) (Table 4). We collected the dental clinic experiences of the students at the same time. Among the 757 respondent students, 540 (71.3%) said that they didn’t have been to dental clinic before. Discussion 4.1 Associated factors with the self-rated dental care need (age, gender, census register, major) In community health studies, self-rated dental care need is frequently used, including national health surveys. It is a helpful general indicator of overall dental statuS10, 26-28. Jylha et al. from the University of Tampere believes that the way to judge the health status of the students may vary according to gender, age groups, social and cultural backgrounds8. Results showed that the rate of choosing â€Å"need† increases proportionately with age (Table 1). The study of 26,111 Hong Kong students conducted by Lee et al. from The Chinese University of Hong Kong showed that older students had higher prevalence rates of health-compromising behavior than younger students 19. At the same time, a study by Shin et al. from Chonnam National University Medical School showed that the older students rated their self-rated health more negatively in both men and women9. So, age could be one of the factors associated with the self-rated dental care need. In our study, 47.0% of the female students thought that they were in need of dental care. While only 36.6% of the male students thought they were in need of dental care (Table 1). It indicated that female students were more likely than male students to rate their dental conditions poorly. The results corresponded to the research by Hee-Young Shin et al. ,9 their studies also showed that women were more likely than men to rate their self-rated health as poor. Therefore, gender could be another factor associated with the self-rated dental care need. In accordance with their census register, university students can be divided into urban and rural sourced in China5. In this study, the students from rural areas were more likely to think that they were in need of dental care than the students from urban areas (Table 1), though these two groups were not statistically different in the dentist-rated dental care need (Table 2). Meanwhile, there were no previous studies we could refer to. Therefore, whether the census register is one of the factors associated with the self-rated dental need is still need to be confirmed by studies with larger sample size. The results also showed that the arts students were more likely to think themselves in need of dental care than the science students. Despite the fact that they had no statistical difference in the dentist-rated dental care need. Therefore, the major might be one factor associated with the self-rated dental need. 4.2 Comparison between Self-Rated and Dentist-Rated Dental Care Need In most developed countries and some developing countries, health care is regarded as one of the public services 14. Nowadays in China, health care reform is being intensified, and people are paying more and more attention to their health29. But overall, the demand for health care is the starting point for the Chinese government to make health care reform. In this study, there were a large number of Chinese university students who could not rate their dental care need accurately. The results showed that 60.9% of the students thought that they had no need of dental care, but only 36.0% of which were proved really not need dental care after dental examination. The remaining 64% of them all had dental care need at different degrees, among which 54.7% of them needed selective dental care, 8.5% of them needed dental care as soon as possible, and 0.9% of them needed dental care urgently (Table 4). The lack of dental care consciousness might account for a significant problem. In this study, 39.0% of the students had dental care need but considered themselves not in need. It showed that the university students were lack of dental knowledge and self-awareness30. Meanwhile, the results showed that only 30.9% of the respondent students did not need any specific dental care. The other 69.1% all had dental care needs to different degrees. It showed that dental diseases had become common among university students. There was an urgent need to strengthen the dental care services in universities31. The data from the National Bureau of Statistics showed that, by the end of 2010, the number of university student would reach to 22.318 million in China17. So it will be a huge need for dental care services. 4.3 Limitations Compared to the 45.7% given by the state council information office of the Peoples Republic of China, in this research, the female students accounted for 24.2% in all the respondent students. We think the difference came from the sample universities we chose. Because the major subjects for three of the five universities are science and technology, military or engineering, the students in these three universities are mostly male which led to the difference. 4.4 Implications School is one of the most basic places to prevent dental diseases. Students would benefit for a lifetime if they formed good dental care habits at university. We suggest strengthening the dental care knowledge propaganda in university students in China32. We also suggest adding dental knowledge, lectures and pictures in university TV shows and distributing dental care manuals to university students. Lastly, we suggest the Chinese government deepen the health care reform, pay more attention to the dental health care conditions of the university students. This research used a new design for dentist-rated dental care need, which was first introduced to the survey of university students. It have been applied in the survey of the residents in quake-hit areas in Dujiangyan city in 200820. It is designed to include most types of the dental diseases that a dentist could meet. Moreover, obviously, this new classification provides a unified reference for the dentists, which is more scientific and accurate. Background:When assessing health status, physicians may focus on objective symptoms and diagnoses, whereas individuals may focus more on subjective symptoms, functional limitations and quality of life.(25) Table 1. Results of the self-rated dental care needs, stratified by age, gender, census register and major (2013à ¯Ã‚ ¼Ã…’n=757) * The self-rated dental care need had statistical differences in gender, census register and major. * The number of students who chose â€Å"need† increased accordingly with the age. Table 2. Results of the dentist-rated dental care needs, stratified by age, gender, census register and major (2013à ¯Ã‚ ¼Ã…’n=757) * The dentist-rated dental care need did not show significant differences in age, gender, census register and major. Table 3. Comparison between the self-rated dental care needs and dentist-rated needs by different degree (2013, n=757) Dentist-rated dental care needs Self-rated Dental care needs Total n=757 χ2 P 2-sided Need n=296 Not need n=461 Sample % Sample % sample % The first degree 68 23.0 166 36.0 234 30.9 14.343 0.000 The second degree 181 61.1 252 54.7 433 57.2 3.732 0.053 Type 1 113 38.2 175 38.0 288 38.1 0.004 0.953 Type 2 45 15.2 57 12.4 102 13.5 1.246 0.264 Type 3 9 3.0 12 2.6 21 2.8 0.128 0.721 Type 4 61 20.6 69 15.0 130 17.2 4.032 0.045 Type 5 9 3.0 14 3.0 23 3.0 0.000 0.998 Type 6 13 4.4 2 4.0 15 2.0 14.540 0.000 The third degree 45 15.2 39 8.5 84 11.1 8.088 0.004 Type 1 19 6.4 13 2.8 32 4.2 5.767 0.016 Type 2 4 1.4 0 0.0 4 0.5 6.263 0.012 Type 3 7 2.4 1 0.2 8 1.1 7.954 0.005 Type 4 28 9.5 33 7.2 61 8.1 1.288 0.256 Type 5 5 1.7 3 0.7 8 1.1 1.859 0.173 Type 6 16 5.4 7 1.5 23 3.0 9.245 0.002 The forth degree 2 0.7 4 0.9 6 0.8 0.085 0.771 Type 1 0 0 0 0 0 0 0.000 0.000 Type 2 1 0.3 2 0.4 3 0.4 0.042 0.837 Type 3 0 0.0 1 0.2 1 0.1 0.643 0.423

Oedipus Rex †a Christ Figure Essay -- Oedipus the King Oedipus Rex

Oedipus Rex – a Christ Figure  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚  Ã‚        Ã‚   Sophocles’ famous tragedy, Oedipus Rex, perhaps â€Å"the most important and influential drama ever written† (â€Å"Sophocles† 717), presents in the person of   Oedipus the model of a good ruler, a humanely intelligent and vigorously active leader, a man who earlier saved his adopted city Thebes from disaster. Is Oedipus an alter Christus besides?    The numerous parallels between the figure of the king Oedipus and the figure of Christ in the Scriptures prompts the reader to ask the above question.    For example, in the opening lines of the drama, Oedipus greets the crowd of suppliants (including old men, boys and children) waiting at his palace doors with the words: â€Å"My children, latest born to Cadmus old, /Why sit ye here as suppliants, in your hands /Branches of olive filleted with wool†? Later, the king’s second address to the crowd begins: â€Å"Ah! my poor children, known, ah, known too well,/The quest that brings you hither and your need.† Other addresses to the people on the part of the king refer to them as â€Å"children.† There are many parallels to this in the Bible when Jesus addressed the people. In the gospel of Matthew alone, the word children is used 20 times, for example 3:9: â€Å". . .and do not presume to say to yourselves, `We have Abraham as our father'; for I tell you, God is able from these stones to raise up children to Abraham.† Jesus also said in Matthew 18:3: "Truly, I say to you, unless you turn and become like children, you will never enter the kingdom of heaven.† In the same book (23:37) Jesus said, "O Jerusalem, Jerusalem, killing the prophets and stoning those who are sent to you! How often would I have gathered your children together as a hen gathers her b... ...says â€Å"I thank my God through Jesus Christ,† thus associating the two very closely.    Thus it is seen that there are many parallels between Sophocles’ drama, Oedipus Rex, in its treatment of the king, and the Bible with its treatment of Jesus, even though the latter was written some 400 years later than the former.    WORKS CITED       Oedipus the King. Tranlsted by Stephen Berg and Diskin Clay. In Literature of the Western World, edited by Brian Wilkie and James Hurt. NewYork: Macmillan Publishing Co., 1984.    â€Å"Sophocles† In Literature of the Western World, edited by Brian Wilkie and James Hurt. NewYork: Macmillan Publishing Co., 1984.    Sophocles. Oedipus Rex. Transl. by F. Storr. http://etext.lib.virginia.edu/etcbin/browse-mixed new?tag=public&images=images/modeng&data=/texts/english/modeng/parsed&part=0&id=SopOedi   

Introduction to Ethics & Social

Medicine at Tufts University, wrote a version of the oath that talks about how a doctor should care for the sick with compassion, humanely, and says nothing about working to get rich off of those who are suffering (Lasagna, 1964). In the United States, there should not be anyone who cannot see a doctor because they are poor; a doctor takes an oath to heal the sick wherever he can, not to heal the sick only if they are rich. If being alive is an inalienable right, as documented by the Declaration of Independence, would it not be common sense that healthcare would also be a right rather than a privilege?The United States is the only wealthy, industrialized nation that does not make sure that all of its citizens receive proper health coverage. In 2004 lack of coverage is estimated to have caused 18,000 deaths that have been considered unnecessary (loom. Due, 2004). It is common knowledge that if a parent has an extremely ill child, and refuses to take that child to the doctor, the paren t can be charged with neglect. If the child is the healthy one, and her single father is diagnosed with cancer, who will be charged with neglect when he dies for no other reason than he doesn't have insurance?Could you imagine being so desperate for health care that you were willing to commit a federal crime in the hopes of going to prison to get the care you need? Richard James Vernon handed a teller in an ROB Bank in Gaston, N. C. A note, claiming he had a gun but was unarmed (Mousse, 2011). Mr.. Vernon, who had a growth in his chest, two ruptured disks, and no Job said that he asked for only one dollar. He wanted to show that his motives were medical, and not about the money (Mousse, 2011). The charge he was booked on was Larceny and would not give him the prison stay he hoped to get in order to get the treatment he desperately wanted.In a country as wealthy as the United States, why should any citizen even be tempted to do such a thing? It is terrible that a person who was law-a biding beforehand would have to become a criminal in order to save his life. Should health care be something that should only be available to the highest bidder? In 2005 the per-capita health care spending reached $6797, this is 40% higher than any other nation with health care outcomes ranking 37th according to the World Health Organization (Beebe, 2009).Between 2003 and 2007, the combined profits of the largest insurance impasses rose by over 170%, which left their approval rating lower that tobacco companies. This was the resulted as worker's out-of-pocket spending for health care shot into the atmosphere 87% since 2000 (Beebe, 2009). It is estimated that 47 million Americans lived without insurance before our economy fell apart and unemployment's rise did nothing but add to those numbers (Beebe, 2009).It is estimated that half of all personal bankruptcies stem from drowning in the expenses of medical care, and in 76% of those cases, it was the main income that had insurance cove rage for the family (Beebe, 2009). Could there really be a better example that something needs to be done than what Mr.. Vernon did Just to get healthcare? Ethnologists of ethics don't look at the consequences of actions before coming up with an idea. One way they might see the healthcare debate could be that healthcare should be a personal responsibility. It could be argued that healthcare is something is a personal responsibility.It is up to the individual or family to make sure that they have the coverage that they need. A Ethnologist might say that by the government ensuring that there is healthcare available for people, it s government interference into people's affairs. If people want health insurance, than they can but it, or become employed at a Job that provides healthcare. However, when healthcare costs are so high that they are choking on the gases in Supplier's atmosphere, those who may wish to have a family doctor so they can get regular checkups yet cannot afford it.Lo oking at it from a utilitarian point of view, the majority of the public would benefit from healthcare being available for all. For example, a hospital in Costa Mesa, California, dumped Steven Davis in skid row at the New Image Shelter in 2008. The thirty-two year old man was diagnosed as schizophrenic and was considered to be dangerously delusional and paranoid (LA times, 2009). Not only did Mr.. Davis need care and medication, the hospital dumping him on the street could have turned out to be dangerous for someone else. Sadly, his is not the only case in which a hospital negligently dumped a patient for not having insurance.James Booking, a veteran of this country, was dumped in the parking lot of a shelter in California by the Department of Veteran Affairs medical center after his toe was removed due to a bone infection. He was wearing hospital pants, carrying urine bottle, and screaming for help from the wheelchair he was sitting in (Winston According to the 2006 Human Developme nt Report, the life & saves, 2011). Expectancy of someone living in the United Kingdom is 78. 5, France is 79. 5, Canadians can expect 80. 2, with the American expecting around 77. 5 (Watkins, 2006).The only major difference between these countries is that all but one ensures that their citizens have healthcare. The only one would be America that doesn't. Common sense should indicate that if we as Americans had access to preventative care, we might be able to save some change in our pockets by avoiding costly ERE In 2004, retiring representative Billy Taught of Louisiana stepped down visits. Early with the intention of taking a Job as the new president and CEO of the drug industry top lobbying group, Pharmaceutical Research and Manufacturers of America (Welch, 2004).According to watchdog groups such as the Center fro Responsive Politics, prior to this event, Taught received $218,000 in campaign contributions from those in the pharmaceutical industry with contributions reaching $91 , 500 for 2002 which was the year he first became chairman of the committee with jurisdiction over the drug industry (Welch, 2004). There have been so many arguments over the separation of church and state, how about we start the argument over the separation of corporations and the state? In Cuba, 75% of the people are feeling positive regarding their education and healthcare systems (Worldpublicopinion. Rig, 2011). While many may not be so happy with their individual freedoms, they are happy with the fact that they can be seen by a doctor when they feel like it, considering their healthcare is universal. If a dictatorship which our government sees as an enemy will ensure that its citizens have healthcare, what goes that say about the government of a free country like ours? Should a woman be forced to choose between buying groceries and paying for her prescription medications in the United States? In a personal interview, Melissa Tearful shared her story about how she lost her health insurance, Just when she needed it the most.In 2006 she was diagnosed as having bipolar depression and post- traumatic stress syndrome. She started going to therapy once a week and got on medication which she said greatly improved her situation. â€Å"It was unbelievable, the difference I felt after I got on the right medications. It was like a weight had been lifted off of my shoulders. For the first time in years I was able to think clearly' (M. Tearful, personal interview September 21, 2011). She was on state health insurance and was kicked off of it because of a political decision by former Governor Blunt.Previously, single mothers were allowed to get state health insurance until their child became 18, but a recent bill passed saying that after the child turned one, the mother would lose the insurance. This meant more money for the state of Missouri, but it also meant that single mothers like Melissa were left without healthcare. She stated that she tried to apply for disabilit y insurance so that she could continue with her therapy and medications, but was rejected. Because she was able to maintain a Job, she was not considered eligible for any assistance. L felt like I was being punished for actually trying to better myself. You hear all the time how people with the same condition I have are not able to hold down a Job, or care for their kids, but because I am trying and making it, I cannot get any help. † (M. Tearful, personal interview, September 21 , 2011). Soon after losing her healthcare, she had to abandon both the medications and the therapy. Melissa stated that it was very difficult going off of the medications â€Å"cold turkey. † She shared that it was a very emotion-filled time for her.According to Melissa, her moods fluctuated frequently and she experienced many panic attacks in the first months afterwards. She said that as time went on, it became easier for her to cope, but that there are times when it is extremely difficult. Me lissa stated that she â€Å"can handle herself when she is manic by keeping herself busy, but when I am depressed, I can't think straight. Right and wrong sometimes go out the window when I get really into that state. It's like what ever feels good at the time seems so logical† (M. Tearful, personal interview, September 21, 2011).We tell our children that money is not everything, but yet when it comes down to the choice of more money or the well-being of a human, more often than not it is the money that wins out. Melissa Tearful went on to share with me the story of her coworker of seven years, Bruce Patterson. According to Ms. Tearful, Mr.. Patterson has been on high-blood pressure medicine for quite sometime, but when his hours got cut at work, he had to make some drastic changes n his lifestyle to be able to stay on his pills. Just to stay on the medicine that he very much needs, he stopped paying his electric bill for months in his trailer.Melissa said that it was during the winter of this year when he lost power for his home and would do things like stay at his Job at Burger King for many hours after his shift, sometimes even napping at the store in order to sleep some place warm (M. Tearful, personal interview, September 2, 2011). Via electronic communication Ms. Patti Hollies shared her sister's story of how she was left in pain because of lack of healthcare overage. According to Ms. Hollies, her sister had been experiencing pain in her leg and hip so she went to the ERE in Gerard, Ohio.The doctors did a CAT scan, which revealed nothing that would cause her to be in so much pain. They gave her a shot and sent her home. Over the next days she her condition did not improve, even after going to the ERE three more times. Because she had no insurance, the doctors refused to continue to seek out the cause of her condition. Her sister then brought her to SST. Elizabeth Free Medical Clinic in a wheelchair because, by this time, her sister was not blew to walk. Here X-rays were conducted, which also revealed nothing, so her sister was told that there was nothing more that they would do.She asked if maybe and MR. would help, but the nurse practitioner refused to order that test. Seeing her sister crying in pain, and knowing they were running out of options, she placed a phone call her own doctor (P. Hollies, electronic communication, September 26, 2011). This doctor recommended her sister be taken to the ERE in SST. Elizabethan Clinic by ambulance. She followed her doctor's advice, and her sister was admitted into the hospital. After getting an MR., her sister learned she had a herniated disc and had to have surgery. They also learned that she was diabetic.Once the surgery was performed, the pain went away and was doing very well. However, even after diagnosing her with having diabetes and prescribing her insulin, at no point was she taught how to take the medicine. A phone call was placed to the director of the hospital about the po or treatment her sister received at SST. Elizabethan and she was assured that her sister would be taken care of. It is the firm belief of Ms. Hollies that her sister's suffering was totally unnecessary. Had her sister had health insurance, she believes that the doctors would have been much more inclined to order tests.

Huckleberry Finn Chapter 16 Analysis Essay

I just finished reading chapter 11 of my book The Adventures of Huckleberry fin. The woman lets Huck into the shack but thinks that he’s up to sometimes. Huck introduces himself as â€Å"Sarah Williams† from Hookerville. The woman chatters about a variety of subjects and eventually gets to the topic of Huck’s murder. She reveals that Pap was a suspect and that some townspeople nearly hanged him. Then, people began to suspect Jim because he ran away the same day Huck was killed. Soon, however, suspicions again turned against Pap, after he bought alcohol with the money that the judge gave him to find Jim. Pap left town before he could be lynched, and now there is a $200 reward being offered for him. Meanwhile, there is a $300 bounty out for Jim. The woman has noticed smoke over Jackson’s Island and has told her husband to look for Jim there. He planed to go there and fin him that night with another man and a gun. The woman looks at Huck suspiciously and asks his name. He replies, â€Å"Mary Williams.† When the woman asks about the change, he tries to cover himself by saying his full name is â€Å"Sarah Mary Williams.† She has him try to kill a rat by throwing a lump of lead at it, and he nearly hits the rat, increasing her suspicions. Finally, she asks him to reveal his real male identity, saying she understands that he is a runaway apprentice and claiming she will not turn him in to the authorities. Huck says his name is George Peters and describes himself as an apprentice to a mean farmer. She lets him go after quizzing him on several farm subjects to make sure he is telling the truth. She tells Huck to send for her, Mrs. Judith Loftus, if he has trouble.Back at the island, Huck built a decoy campfire far from the cave and then returns to the cave to tell Jim they must leave. They hurriedly pack their things and slowly ride out on a raft they found when the river flooded. Because Huck lied to the women giving her his fake identity, allowed him to potentially save Jim’s life. After the lady let him go he set up a fake campfire so the people that were going to kill jim went to a different place, which allowed Huck to find Jim and escape safely before anyone could kill either of them. His lying saved Jim’s life and even though he’s not the best kid he’s a genius. We see in these chapters that Huck, though open-minded, still largely subscribes to the Southern white conception of the world. When Jim assesses their â€Å"adventure,† Huck does admit that he has acted foolishly and risked Jim’s safety, but he qualifies his assessment by adding that Jim is smart, for a black person. Huck also genuinely struggles with the question of whether or not to turn over Jim to the white men who ask if he is harboring any runaway slaves. In some sense, Huck still believes that turning Jim in would be the â€Å"right† thing to do. Over the course of these chapters, as he spends more time with Jim, Huck is forced to question the facts that white society has taught him and that he has taken for granted. The arguments Huck and Jim have over Huck’s stories provide remarkable mini-allegories about slavery and race. When Huck tells the tale of King Solomon, who threatened to chop a baby in half, Jim argues that Solomon had so many childre n that he became unable to value human life properly. Huck’s comments lead me to compare Jim’s assessment of Solomon with whites’ treatments of blacks at the time as infinitely replaceable bodies, indistinguishable from one another. Later, Huck tells Jim that people in France don’t speak English. Huck tries to convince the skeptical Jim by pointing out that cats and cows don’t â€Å"talk† the same, and that, by theory, neither should French people and American people. Jim points out that both are men and that the theory is not fair. Although Jim is misinformed in a sense, he is correct in his assessment of Huck’s analogy. Jim’s argument provides yet another subtle reminder that, in American society at the time, not all men are treated as men. We see the moral and societal importance of Huck and Jim’s journey in Huck’s profound moral crisis about whether he should return Jim to Miss Watson. In the viewpoint of Southern white society, Huck has effectively stolen $800—the price the slave trader has offered for Jim—from Miss Watson. However, Jim’s comment that Huck is the only white man ever to keep his word to him shows that Huck has been treating Jim not as a slave but as a man. This newfound knowledge, along with Huck’s guilt, keep Huck from turning Jim in. Huck realizes that he would have felt worse for doing the â€Å"right† thing and turning Jim in than he does for not turning Jim in. When Huck reaches this realization, he makes a decision to reject conventional morality in favor of what his conscience dictates. This decision represents a big step in Huck’s development, as he realizes that his conscience may be a better guide than the dictates of the white society in which he has been raised.