Fieldnote May 9 2023 - 6:20pm
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這周是我們第一次參與文建站的活動,我和Annabelle見到了李金妹、李金蘭阿嬤兩姊妹,還有何秀妹阿嬤。金蘭阿嬤的五官深邃,總覺得看起來有點酷;金妹阿嬤看起來很聰明,而且相當健談,說話很有條理;秀妹阿嬤則是非常的活潑可愛,說話有很多生動的小動作。
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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.
The first portion of the article focuses on the shift of sexual violence from a woman's rights issue to the larger title of "gender-violence". From there, Dr. Ticktin argues the nuances of this transition necessitated medicalizing sexual violence, and turned it into a condition to be treated by tools within the humanitarian kit. Just as how we now attempt to treat polio by handing out vaccines and flyers, rape is covered by blanket protocols and procedures. In attempts to make this issue more respected, we sacrificed the nuances of care necessary for adequate treatment.
This is further exemplified in Dr. Ticktin's description of humanitarian aid-- the preservation of life itself, with disregard to the kind of life being lived. She goes on to contend that sexual violence is by its very definition a "kind" of life, thus creating an inherent conflict in the overarching goal of treating sexual violence and humanitarian interventions.
Dr. Ticktin also pays respect to the inherent difficulty in maintaining the typical principles used during humanitarian aid efforts, especially when attempting to treat gender violence. One of her primary examples is the work of MSF in the Congo Republic. During the conflict, roadblocks would be set by armed men, and thus MSF were forced to accept military escorts-- destroying the key humanitarian tenant of neutrality. Moreover, many of these militia men were perpetrators of the sexual violence, something MSF was seeking to treat.
Emergency response is literally the main focus of the entire article. While it seems to be only a short chapter in a much larger collection of similar essays, the report fully analyzes past and present responses to nuclear emergencies. Moreover, Dr. Schmid builds a case for how future emergencies should be handled by an international team built on expertise. This includes expertise of nuclear energy, disaster response, and nuclear policy/regulation. While she refrains from commenting fully on whether the response mounted for Fukushima can be classified as "good" or "bad", her assertions indicates a need to shift focus from preventing emergencies to how nations respond to nuclear emergencies.
As an ambulatory agency, BSVAC obviously utilizes the typical EMS technologies, such as oxygen, BVM, ambulance, pulse oximetry, ect. However, it should be noted at the time of publication (2014), an article by the New York Times describing BSVAC's economic struggles, only 1 of the 6 functional rigs could be used due to lack of funding. At the time of the article, this rig had broken down-- and only through the volunteer maintenance by an EMT student's father had it been returned to commission. This leads me to believe that well BSVAC has all the available technologies, these may be dated or somewhat worn in nature.