Tag: medical anthropology

Medicine Disoriented

Once a week, I get to play doctor. Setting aside the endless anki cards and slide decks familiar to all medical students in their preclinical training, I turn instead to my patient interview skills and exam maneuvers as I enter the Kanbar Center. Located on the lower floor of the UCSF campus library behind an unassuming door, the Kanbar Center opens into a large simulation center where we hone our clinical skills with the help of standardized patients. Inside, the quiet, carpet-lined hallways of our library give way to a busy assemblage of medical cabinets, recliners, assorted supplies, and sterile rooms outlined by equipment-adorned walls. This signals our official entry into The Clinic. Against this backdrop, my peers and I don our white coats and adjust our stethoscopes before stepping into the simulation. (read more...)

Waves of Well-being: Surfing at the Shaka Surf Club in Kodi Bengre, India

Surfing’s roots are in long-standing cultures in the Pacific Islands, South America, and West Africa. After wave-riding was banned by European Missionaries who deemed it leisurely and “savage,” surfing’s contemporary “revitalisation” took place in Hawaii where it became a notable phenomenon of the 20th century. Nowadays, surfing represents a subculture around an “alternative” sport, a lifestyle, and an art with profound personal and lifestyle implications (Ford & Brown, 2006). Likewise, in India, particularly in the fishing village Kodi Bengre, surfing means much more than simply sliding along a wave. This qualitative study captures how the Shaka Surf Club shapes perceptions of well-being and mental health in surfers and surrounding community members in Kodi Bengre. (read more...)

Bed-Time Storytelling

Bedtime stories are stories narrated by adults to children before they fall asleep. As an essential parenting skill, the storytelling scene is infused with love and trust. These stories make the transition from day to night easier. Rest well, tomorrow will be another day. In this piece, I wish to introduce an alternate narrative form I have named bed-time-storytelling—a practice of care born within the confines of hospice care beds. This approach redefines our understanding of storytelling, bridging the realms of the living and the departing, and opening a new chapter on how we engage with tales shared in the threshold between two worlds. (read more...)

Funeral for an Embryo

On a freezing February morning, I pulled my rental car into the small parking lot behind a sprawling Minnesota church. I had flown halfway across the country to take part in a Catholic burial of lab-grown frozen embryos. The event was organized by a midwestern Christian organization, the Holy Trinity Guardians, a group that had been burying embryos in this cemetery for several years. Some of the embryos were sent from local fertility clinics; others were shipped from labs around the United States. As I walked through the snow-covered burial grounds looking for signs of other attendees, I spotted an elderly man standing solemnly by a large stone monument. He waved and introduced himself as Fred. He was also looking for directions to the embryo remains burial. Fred had taken a detour to this spot, which marked the buried remains of miscarried fetuses and stillborn infants. Together, we made our way along the icy wooded path toward the larger cemetery where people had begun to gather. As we walked, Fred recounted how, decades earlier, his wife had suffered a late-term miscarriage. This very church had buried the remains. Fred never forgot that baby, he told me, and he had come today to honor what he saw as other unborn lives who would never have the chance to grow up. (read more...)

How to Imagine the Unknown: Choosing an Arm Prosthesis

When amputation happens, it is an un-ignorable event. After the surgery, the person learns how to be an amputee, they learn to conceptualize their altered body. This work belongs to the inner world of the amputee, their bodily experience, and to the attitudes and environment around them. Many amputees will adopt a prosthesis. However, the journey of choosing, training on, and incorporating a prosthesis into one’s practice and identity requires the amputee to imagine future bodily experiences and knowledge. Much of this imagining happens in unfamiliar and mediated settings: in doctors’ offices that are also hi-tech device shops, or in meetings with other prosthesis users. (read more...)

Staring Contest

It’s 3 in the morning. I’m sitting at the end of the hallway of the boomerang-shaped intensive care unit (ICU) where I work, looking into the darkness beyond the unit’s only window. When I’m on the unit, the world outside the hospital transforms into something entirely remote—intangible, imperceptible, inconsequential. I force myself to imagine the scent of the fresh air I will inhale when I leave. It’s hard to remember that the world is pulsing with life outside these walls. The hospital’s resistance to darkness and quiet permeates the boundaries of reality itself. The fluorescent lights transform me into something other than a person, washing out the details that make me Sophie. In here, I can lose myself. In here, I am lost. (read more...)

The Wild Pantry

Finally, it’s time. As a team we have arrived in Cambodia—a geographer and an anthropologist embarking on a journey that we have joyfully planned for the last few months. The project we are working on is Plant Planet Plate, which brings together the work of the Green Shoots Foundation, which is led by me (a geographer), in rural development and agriculture with the research and skills in plant humanities of Dr. Ashley Thuthao Keng Dam, a medical anthropologist. Our fieldwork consists of conducting 50 interviews with people living in Oddar Meanchey Province, located in the North West of Cambodia, on wild foods and medicinal plants that they forage. We also intend to take voucher specimens of plants we come across to be submitted to the herbarium at Royal University of Phnom Penh. Once the data is collected, we will analyse and conduct further desk-based research to write essays on the different plants we think stand out in cultural significance and overall preference. A crucial component of the work is having these essays available online in English, Khmer, and French, so they are more accessible to both Khmer nationals and those abroad. This is essential for science communication and knowledge sharing, especially as it relates to biodiversity preservation initiatives, along with a greater understanding of food ingredients, where they come from, perhaps even how they got there and ensure sustainable diets for all. (read more...)

Between Pain and Relief: Morphine’s Ambiguities in India

The root of the word morphine is Morpheus, the Greek god of dreams. Neil Gaiman’s contemporary reimagining of the character in his magnum opus Sandman likewise thrusts upon us a gothic titular figure, constantly morose, deeply troubled, and yet a benevolent god of dreams that embodies everything human. Perhaps it should be no surprise then that in the modern world this character’s namesake, morphine, the gold standard of medically prescribed painkillers (Ruiz-Garcia and Lopez-Briz 2008), offers a similarly troubling medical story, evoking in equal measure the contingent histories of pleasure and war, relief and addiction, commerce and regulation. In few places is this more apparent than in India. Legal opium is grown throughout certain regions of the country for the sole purpose of pharmaceutical production, yet irrespective of this robust industrial production, very little morphine is used within the country’s own hospitals (Rajagopal and Joranson 2007). This is a story that involves both the everyday impacts of restrictive regulation, and a local palliative care movement intent on widening access to the drug. (read more...)