To every thing there is a season, and a time to every purpose under the heaven:
A time to be born, and a time to die; a time to plant, and a time to pluck up that which is planted;
A time to kill, and a time to heal; a time to break down, and a time to build up;
A time to weep, and a time to laugh; a time to mourn, and a time to dance;
A time to cast away stones, and a time to gather stones together; a time to embrace, and a time to refrain from embracing;
A time to get, and a time to lose; a time to keep, and a time to cast away;
A time to rend, and a time to sew; a time to keep silence, and a time to speak;
A time to love, and a time to hate; a time of war, and a time of peace. - Ecc. 3

El Yunque, Puerto Rico

Wednesday, April 28, 2010

this isn't a mood swing

"We have been lost to each other for so long. My name means nothing to you. My memory is dust. This is not your fault, or mine. The chain connecting mother to daughter was broken and the word passed to the keeping of men, who had no way of knowing."
- Anita Diamant, The Red Tent

so, a man grows his whole life not having health insurance, we know it happens-- i mean happened!?-- in our great nation. he's about 45, maybe slightly overweight but in seemingly healthy condition. he goes to a free check-up day in the clinic and finds out that he has had a certain heart disease for years-- a chronic disease. however, shortly after receiving the news, he begins to show symptoms, becomes sick and dies from what would seem to be an acute onset of the disease. an acute onset of a chronic disease? seems oxymoronic, no? relate it to the placebo effect-- some people taking the drug, others unknowingly taking the sugar pill but effectiveness of the respective pills across the two groups is virtually the same. therefore, the body reacts equally to information given as it does to the actual agents working within the body. ah, the power of the mind. was he better off not knowing?

in the article, The Americanization of Mental Illness, author Ethan Watters says, "The idea that our Western conception of mental health and illness might be shaping the expression of illnesses in other cultures is rarely discussed in the professional literature."

i can't speak for other cultures but i think we can look at the male-female relationship as a microcosm for this culture to culture relationship (or lack thereof) that Watters is discussing (or the culture to culture relationship as a microcosm of the male-female relationship-- depending on how you look at the world). And if we think about what makes these two relationships similar is that A- they are dynamic and B- there is potential for there to be a "dominant" and a "submissive," if we aren't careful.

in looking at the male-female relationship within the realm of health, the power struggle is at play. let's take P.M.S. for example. Pre-Menstrual Syndrome. Syndrome. hey disease-namers... it's not a syndrome, it's just what happens. it is what it is and now it has a scary name to make it into something ugly and not the natural, life-giving process it is. (Semi-sidebar: I'd like to see these words come to pass: "After we pass this bill, being a woman will no longer be a preexisting medical condition."— Nancy Pelosi, Speaker of the U.S. House of Representatives.) maybe we just shouldn't name "illnesses" at all (we should definitely stop labeling things that aren't illnesses as such). sure it helps the doctors and maybe it calms patients to know that they have X and can treat it with Y. but, maybe, as an entire society we are calling illness upon ourselves by giving the Enemy a name. we have power in our words; sticks and stones may break my bones but words will never hurt me? WRONG. More like: "Reckless words pierce like a sword,but the tongue of the wise brings healing." - Proverbs 12:18

so, maybe we are better off not knowing, after all.

6 comments:

  1. Very nice entry, Dana. In regard to the homeless individual, if he is in Brooklyn and slightly overweight, he already has many risks for the unrelenting doom that is Diabetes. With Diabetes, even patients with heart disease will have difficulty feeling their symptoms (ie the infamous 'silent myocardial infarction'). I don't know what his condition was so I cannot comment for sure, but just mere speculation.

    As for the issue of women and medicine, you have to realize that the medical 'normal' (the basis from which we obtain all our normal lab values,calculations and diagnosis criteria) is the young healthy white male. Everything else is 'abnormal'

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  2. Oh, and 'acute onset' in this case means "a situation in which a pre-existing disability or condition comes sharply to a crisis".

    Also, pregnancy is a medical condition, so insurance companies bill it as a "planned illness" and for those who seek insurance, it is a "pre-existing condition" (essentially, get insurance before or after you're pregnant, but not during your pregnancy).

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  3. Oops, addendum:
    The 'pre-existing condition' status of pregnancy depends on whether or not the insurance company honors the 1996 HIPAA regulations stating that insurance companies can't consider pregnancy a pre-existing condition.
    All of this is confusing...that's why people don't get healthy. Proper health education should start from a young age. Prevention is always key.

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  4. Arjan, your expertise is necessary and appreciated. you are going to be a great doctor. :)hehe, i love my smart friends!

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  5. Blu here,

    Wow. I must agree, this anonymous medical person has offered some super than intuitive insight on the implications of acute onset and the industry practice behind "preexisting conditions." like at what point in time must the condition exist prior to in order to qualify as preexisting? before the diagnosing physician sees it at the clinic? or just before a point specified by the insurance policy as not profit-generating enough to treat?

    Regarding Ethan Watter's article, I thinks its nuts that the trend of overmedicalization practiced by western physicians since Reaganomics, is being coined as Americanization. Loaded, but accurate. The article seemed almost conservative in its scope of condemning the creation of mental illness for profit. The anonymous medical commenter can correct me if Im wrong, but given my understanding of medication, its prescription indicates the presence of an undesirable symptom in the patient. a symptom which Watter established is not necessarily in line with any naturally occurring illness, just a symptom. This point he could've beaten more. Im not mad at him, but, I believe this singular point could have easily been the impetus for the massive health care restructuring currently underway in DC. dana killed it quoting Speaker Pelosi on her ambition to make being a woman not a preexisting condition anymore. Tough.

    Like really, pregnancy is seen as what? planned illness? A Times Online op-ed contributor published this article marking the unadvertised realities of The Pill (http://www.nytimes.com/2010/04/25/opinion/25may.html). Even with this we can see how pervasive this practice of abnormalizing nature has become. Everyone knows someone who uses or has used The Pill.The fact that there are some women wise enough to have fell for it and stopped relieves me. There's hope yet.

    I personally am superpsychedcity.com/healthcare to see some legislation including medical language that more accurately reflects the how most of us feel in regards to re-distributing power in this country; on the wealthy-not-so-wealthy plane as well as between women and men. That's just the sociologist in me.

    Thanks for the inspiration dana.

    Blu out.

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  6. i like that article :)
    thanks!!!
    mwa

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