Author Archive

Ex Nursing Professor Suing UCF   1 comment

VERY interesting article about cultural sensitivity and ethical responsibility…..I’m not saying either side is right (the article is a little slanted)….but never the less it addresses an important issue in education and is pretty relevant to our curricular unit.

 

http://www.orlandosentinel.com/news/local/breakingnews/os-teacher-sues-ucf-racism-text-20101116,0,6835228.story

 

Posted November 17, 2010 by terieleawatkins in Uncategorized

Dumit and EHRs   2 comments

While I was reading Dumit, I was questioning how in the world I was really going to be able to connect to all of this scientific talk, until I got to the middle of chapter 2 and ran across this quote:

The historical turning point or scientific catalyst will be the new source of information and the device that provides it.  The challenge to its inventor is to gain the recognition for it from peers who are not prepared to change their perceptions or their stakes to accept this new information.  In fact, Phelps describes most of science in this vein of difficult revolution…..(38).

While his example below this quote deals with PET scans, this absolutely relates to the opposition we are dealing with in terms of EHRs.  While I am not sure that only one inventor is going to have to gain recognition, I believe it will be a system that has to be recognized, and it is the doctors and patients who are going to prepare themselves for a change in perception of the effectiveness of this system and reevaluate their stakes in paper record management.

And Phelp’s PET scan example isn’t much far fetched from what we are seeing with the EHRs.  When Johns Hopkins made the leap and people saw that the approach was possible, it became an accepted approach.  With EHRs, once these trial programs that different medical groups are working with become visible to the populations they will serve and viable as an approach, people  will be able to acknowledge just how effective they are; and then as with the PET scan, the EHR system can become “a really powerful thing” (39).

Posted November 9, 2010 by terieleawatkins in Uncategorized

Google Health and UnitedHealth Group   Leave a comment

SOOOO…apparently…after UHG signed on for a pilot of google health……they ended up creating their own “free” EHR hosting website that also offers information on diseases and wellness.  What I think is REALLY interesting is that, to use this site, you do NOT have to be an insurant of UHG….so access is not limited…..interesting.

 

http://www.myoptumhealth.com/portal/

Posted October 27, 2010 by terieleawatkins in Uncategorized

Patients Like Me   Leave a comment

In searching for info for our group project, I came across this website that I think is super interesting and quite relative to the reading in Our Bodies from the author POV.

http://www.patientslikeme.com/

Check out their FAQs and About Us pages – there is some eyebrow lifting info in there:).

Posted October 12, 2010 by terieleawatkins in Uncategorized

Advice to NOT be a “good patient”   1 comment

http://www.cnn.com/2010/HEALTH/09/30/bad.patient.save.life/index.html?hpt=T2

Interesting story today on CNN about NOT being a “good patient…” it is a plug for Cohen’s new book but never the less super interesting:).

Posted September 30, 2010 by terieleawatkins in Uncategorized

I need to have experienced pregnancy to avoid being hypocritical.   7 comments

I am going to have to say that I feel like such a hypocrite having formed such strong opinions on situations such as those Rapp has given in her text…but I really just can’t help it.  I can’t imagine what this is like for all the guys in the class….

Every single section of every single chapter, I keep returning to that notion of female responsibility – motherly responsibility – caregiver responsibility.  In Chapter 4, she states that, “Most obviously, scientific knowledge assigns each parent a 50 percent contribution to the hereditary materials of a fetus at the moment of conception…” but later brings to light the reality that, “The widespread, popular accountability of women for the ‘quality control’ of fetuses and children contrasts with notions of male responsibility” (86-87).

This overwhelming scale tipping weight of responsibility on the woman or mother in Chapter 5 gives me a second thought on even entertaining the notion of becoming pregnant.  As much as pro-choicers like to give women the autonomy to choose life or abortion, in the case of the amnio test, the woman not only has a responsibility  to a fetus (or life), but also to her commitment to carry out a preganacy (and especially if there is a disability involved due to the shift of the sociocultural view on protection of disabled persons in heavy contrast with those views less than a century ago).  If she has already told friends, family members, facebook – and most importantly shared this information with her partner – how much of a let down/stage for disappointment will be reflected upon her as she vocalizes her desire to abort the fetus based on a disability?  Not only does she have expectations of responsibility for herself- so do others in her life and the society she lives in.

Rapp states that, “Ending a pregnancy to which one is already commited because of a particular diagnosed disability foces each woman to act as a moral philosopher of the limits, adjudicating the standards guarding entry into the human community for which she serves as normalizing gatekeeper” (131).  As insincere this may sounds, brought to mind here is the notion of natural selection and survival of the fittest in nature at large.  As we place the responsibility of life or death of the disabled lions, birds, tigers, etc. in the wild on nature itself (I hear myself saying as I watch National Geographic, “That’s just the way it is, they wouldn’t have been able to survive and the mother can’t look after that baby forever because she has to survive and live as well”)….as humans the value of life is too great to view reproduction in this manner, primarily due to ethical discussions such as these in Rapp’s text.  So while we place no responsibilities on mothers in the wild for adjudicating the standards guarding entry into their communities, there is such a heavy weight for mothers in the human community.

So, I guess my questions that revolve around ethical responsibility are:

By performing amnio tests, who’s best interests are really at mind – mother or fetus?

Also, I question the intentions of this test – is it really designed as an informational tool for parents – or is it designed really to turn mothers into these so called gatekeepers, forcing them to assume the responsibility of sole permissor for life in this world – perpetuating that male responsibility is just a “creative spark”…after all – it IS all about a woman’s choice – right (sarcasm in its heaviest here)?

Posted September 28, 2010 by terieleawatkins in Uncategorized

  1 comment

I saw this story today on cnn.com – thought some of yall might like to see it;).

http://www.cnn.com/2010/HEALTH/09/21/medical.mysteries.mother.intuition/index.html?hpt=C1

What I think is particularly relative to T&T and what we have been discussing regarding documenting our health narratives is that this family decided to video tape the progression of Kylie’s illness…..from minor twitches all the way to her uncontrollable writhing.  As technology advances, coming up with smaller, convenient versions of our dinosaurs (such as the Flip camera, a thumbnail sized video camera that can hold I think up to 8gb of memory…or the Droid evo…10 megapixel camera/video that is accessible any time you have your cell phone on you)…are more people going to be able to visually document their narratives for doctors to see the progression of symptoms – such as Kylie’s?? 

On another note – I wish that Sally would have been able to document her progression by video tape.  I could only imagine seeing a woman with no weightroom or steroid access to “bulk up” like a body builder.  The impact those visuals could have had on the doctors is unreal.  I mean – just unbelievable to me seeing as I know personally how much hard work it takes just to drop 1% on the BMI.  I bet this poor lady is under 10%, which for women is not exactly “healthy” –  but fascinating that she hasn’t lifted a finger.  But then again, I can also only imagine, how it must feel to have your body crushing you and not knowing (and those doctors/web sites that we trust so much) to not be able to give a straight answer.

Lastly, I thought I would link yall to the NIH Rare Diseases website – pretty good info.

http://rarediseases.info.nih.gov/Default.aspx

Posted September 21, 2010 by terieleawatkins in Uncategorized