Fight or Flight: A Story of Survival and Justice in Cancer Alley
zoefrieseGiven the vastness of Formosa Plastics' influence, there are many ways to tell its story to the world. As environmental justice activists and researchers, how do we describe a company and its negative impact when there is so much to say? Limited by time, word count, and the audience's attention span, we must decide what goes unsaid. As a result, we could write countless answers to the same question, "What is Formosa Plastics?"
In this published academic case study, I introduce Formosa Plastics through a local lens--specifically, through the eyes of a grandmother-turned-activist in the small town of Welcome, Louisiana. Her family's history with social justice activism, as well as the area's connection to centuries of slavery, make the environmental racism of Formosa Plastics' Sunshine Project especially salient. Although Formosa Plastics is a global force, telling its story on the microscale is an equally important perspective. After all, in Sharon Lavigne's eyes, her small town is her world. How many of these little worlds have Formosa Plastics destroyed as they wreak havoc across international borders?
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joerene.avilesThe central argument is that healthcare professionals are not trained well enough in mentally/ emotionally handling patient relationships when providing end-of-life care for terminal/ chronic illnesses.
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joerene.avilesThe narrative is sustained through Atul Gawande's experience and research into improving his end-of-life care for his own patients by meeting with other healthcare professionals (oncologists, palliative care experts and surgeons), and analyzing his actions with his father. The film has strong emotional appeal, as loss of loved ones is a common experience, and difficult for all parties involved.
Scientific info isn't really in depth (disease processes aren't talked about) mostly just psycho-social aspects discussed.
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joerene.avilesThe stakeholders are Dr. Atul Gawande, other healthcare professionals, and the patients with terminal illnesses. They have to decide what the patient's priorities are, treatment options, and basically how much time and quality of life patients are willing to trade for extended years to live. Is the treatment making the patient worse or better? Doctors have to put themselves in a position of vulnerability by personally getting to know their patients, and deal with the guilt and blame if their treatments aren't successful or what they had said to the patient's family.
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joerene.avilesEmergency responders not portrayed in the film; only medical professionals involved in long-term patient care are addressed.
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wolmadEmergency responders are not portrayed in this film. This film focuses on long term care and the ethics of dealing with death, hospice, and gravely ill patients.
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wolmadIn this film, three groups of stakeholders are portrayed; doctors, patients, and mortality. The doctors depicted fight a loosing battle against aging, death, and terminal illness like cancer. They need to come to terms with the fact that they can't save everyone and they need to honor their patients wishes for how they want to conduct the end of their lives. The patients need to accept their impending death with the assistance of their doctors and advocate for how they want to conduct the end of their lives. And mortality is an object which is immaterial but ever present, and both doctors and patients need to learn how to grasp with it.
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wolmadThe narrative is sustained through emotional stories of end of life care from both the physician and patient perspectives performed by both Dr. Atul Gawande and by other healthcare professionals such as oncologists, palliative care experts, other surgeons. The scientific background of end of life care isn't really discussed in detail, as this film focuses more on the social and emotional aspects of this topic.
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wolmadThe central argument of the film is that healthcare professionals are for the most part believe that they can defeat most diseases, and that they consider not being able to fix something a failure on their part. As such, they are not trained well in handling palliative and end-of-life care, prioritizing the patients wishes and dignity over putting up a fight against the disease.