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pece_annotation_1478996107

Sara.Till

The article primarily asserts that how a patient narrates or describes their medical history is deeply rooted in their native culture. As such, physicians must be aware of how an individual's medical experiences can be altered based on this. In turn, physicians must recognize the importance of story-telling and anecdotes when receiving information directly from patients. Narratives project the patient's experience and events through their perspective, granting professionals a glimpse into their thought processes and action patterns.

pece_annotation_1479066671

Sara.Till

Emergency response is not specifically addressed in the article. However, medical professional-patient relations are a key component of emergency response; as such, Dr. Good's assertions surrounding patient narrative should be taken into consideration in emergency situations. He notes that the methodology and cultural nuances of narration can provide a cornucopia of information that would otherwise be ignored.  

pece_annotation_1475429926

Sara.Till

This article primarily focuses on a French law instituted in 1997 allowing for the acceptance of immigrant residents on the basis of illness. This landmark law deviated from the typical methodologies of achieving residency-- most often through work or familial/marital ties. The article examines this "humanitarian reason" for immigrant inclusion, discussing the historical progression to its creation and how it can be implemented. The article also discusses how and why this criteria came to be-- how the bodily capability of an immigrant could suddenly ascend to such a high level of regard.

pece_annotation_1478987747

Sara.Till

Byron Good, Ph.D., is a professor of Medical Anthropology at Harvard Medical School. His primary area of research is mental illness and how social perceptions evolves around these issues, in terms of both treatment and social acceptance. Dr. Good has several works on these issues, including several that explore the perspective of bio-medicine in non-western medical knowledge, the cultural meaning of mental illness, and patient narrative during illness. His publications including several papers, books, and edited volumes; he is regarded as a major contributor to the field of psychological anthropology. 

pece_annotation_1479066550

Sara.Till

The majority of information in the report comes from interviews performed by Dr. Good himself while on a medical trip in the Middle East. The article also includes stories and tales from other professionals as well; as such, the report encompasses not just experiences with epilepsy in the Middle East, but a multitude of diseases among unique cultural settings. 

pece_annotation_1475427732

Sara.Till

Didier Fassian is a french anthropologist and sociologist with extensive global field work. He currently teaches as a professor in the School of Social Science in the Institute for Advanced Study. Fassin, although trained as an internal medicine specialist, focuses the vast body of his publication and research focuses on the intersection of the State, justice, and humanitarianism.

pece_annotation_1475466534

Sara.Till

1) Jean-Pierre Chevenement:  a key player in passing this immigration legislation, the leader has since stepped away from the political scene after running for the presidency in 2002. As the sitting minister, Mr. Chevenement has been described as a key member of the left; I'd be intrigued to see what other pieces of legislation he has worked on

2) Didier Fassin: Dr. Fassin, a reigning expert in french state anthropology, appears to bring an element of medical background to his analysis. Obviously, he seems to be a well-respected member of the anthropological community-- where and what other projects he has on-going would be interesting 

3) French healthcare: this type of legislation obviously puts a tremendous amount of strain on the general healthcare; depending on the system utilized by the French state, this could have a detrimental effect on the quality and timing of care delivered. 

pece_annotation_1479066419

Sara.Till

1) early on the article, Dr. Good discuses how individuals would use the word "fainting" to described their tonic-clonic seizure episodes. This was quite divergent from the word "epilepsy" in Turkish, thus allowing the patient to distance themselves from the well-stigmatized diagnosis of epilepsy. It also served as a point of reference for what linguistic nuances could be expected during the course of the interview, as these can play a great deal into the narrative.

2) Dr. Good also discusses the work of Dr. Evelyn Early, who interviewed members of the Turkish female population. His description of Dr. Early's work states these narratives “allow the women she studied to develop an interpretation of the illness in relation to a local explanatory logic and the biographic context of the illness, to negotiate right action in the face of uncertainty, and to justify actions taken, thus embedding the illness and therapeutic efforts within local moral norms".

3) Dr. Good includes the story of Zeki Bey, an individual with generalized seizures for 15 years at the time of interaction. Dr. Good describes his narrative of his illness as being "[told with] immediacy, drama, and poignancy... His illness had a powerful and meaningful beginning, which gave shape and coherence to the larger narrative."

pece_annotation_1475463366

Sara.Till

The chapter appears to be a compilation of accounts of immigrant medical treatments and overviews of the historical context behind several key situations. There is no bibliography, making it difficult to discern where these accounts came from. I can only assume most of this historical context came from Fissan's peers or other peer-reviewed works-- potentially another anthropological book. 

pece_annotation_1479064932

Sara.Till

1) Hocas: an anglicized ottoman-Turkish word meaning "master, professor, teacher"; it evolved from "khawaja", and is an honorific title given to a teacher of the Muslim faith, particularly a sufi teacher. 

2) Tonic-clonic seizure: formerly described as "grand mal seizures", they include two sections (hence the "tonic" and "clonic"). The tonic phase includes the initial rigor and consciousness, while the clonic phase is the characteristic muscle spasms. These phases each last around 1 minute and 3 minutes, respectively.

3) Jinns: anglicized to "genie", this is the term for a supernatural creature in the Muslim faith. Many of the patients interviewed in Dr. Good's work spoke of a terrifying event prior to the onset of their epilepsy, often involving the presence of a "jinn".