Carolyn: Week 2 in Oaxaca

This past week, I had the opportunity of visiting Hospital Civil in which I shadowed doctors in the neonatal unit, in the emergency room, and during a surgery (hysterectomy). After 2 weeks in Oaxaca and some reflection, I believe that the way in which we have described patient-doctor interactions is not, for the most part, dehumanizing. In many of our end-of-day reflections, I notice that the patient-doctor interactions that are shared have to do with concerns regarding confidentiality, respect, and trust. Ultimately, many these observations are objectively critical and I believe this type of observation is necessary to maximize learning. However, I do believe that one area in which we could have been too critical is observations involving sanitation practices. There have been many times in which some of us have discussed physicians not using gloves, reusing equipment without cleaning it, etc. Although it’s normal to be surprised about these practices at first, it is important to recognize that these practices are due to lack of funding and resources than to lack of knowledge. The way in which some of us could be attributing such practices to the latter reason could be considered dehumanizing but overall I believe that we all have been good about keeping objective lenses when observing health facilities.
When observing patients and physicians, I am aware of whether my personal biases and expectations are affirmed or contradicted. One recent example is when observing the hysterectomy, I initially thought that the surgeon would mostly be using a scalpel to perform the surgery, as was usually used the US. Instead, he used a tool that burned the body tissue in order to cut it. It was surprising because I had never been exposed to that technique and it seemed rather strange at first. As the surgery progressed, however, I noticed that there were no complications and the procedure was completed within an hour which is rather quick. My expectation was contradicted but in an enlightening manner. This experience taught me that the doctor is, almost all the time, the medical expert and they make certain decisions because they’re aware of what they’re doing.

632 comments on “Carolyn: Week 2 in Oaxaca”

  1. Thank you for your thoughtful response. I think you make some really great points here. I, too, feel like we have been aware of the language we use when discussing patients in order to minimize any aspect of dehumanization. However, you are right to point out that the idea of sanitation could have been looked at through a different lens perhaps. Your experience in the operating room is very interesting, but I think that it is great that you used it as a learning opportunity, rather than holding fast in a belief that this technique wasn’t correct.

  2. Hi Carolyn, I also have been surprised by some of the sanitation practices I’ve observed, and I appreciated how you pointed out that upstream factors such as supplies, time, and training could affect how doctors work to protect their patients from infection. Overall, I’ve gotten the sense that most doctors are doing the best they can to provide care to their patients within the constraints of the health care system, and interpreting interactions through a systemic perspective as you do here has helped me better understand other interactions I’ve initially found surprising.

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  165. Deha Nakliyat kurulduğu günden bu yana kaliteli hizmetleri ve müşteri memnuniyet esaslı çalışma sistemiyle siz değerli müşterilerin taşımacılıkta güvenilir adresi olmaktadır. Ankara ve diğer illerde ev ve iş yeri taşımacılığının vazgeçilmez adreslerinden birisi olarak bilinmektedir. Sizler de taşımacılıkta üstün hizmet kalitesi sağlamak istiyorsanız firmamızı tercih edebilirsiniz. Ankara evden eve nakliyat ile Ankara ve çevresinde kaliteli hizmet alabileceğiniz gibi çevre iller için de aynı değer ve kalitede nakliye hizmetini başarılı bir şekilde alabilirsiniz. Nakliye çalışmalarında kaliteli güvence, ekonomik fiyat ve hızlı teslimat ayrıcalığı gerçekleştirmek için iletişim numaralardan bizlere ulaşabilir ve anında sorunsuz ve güvenilir nakliye hizmeti almaya başlayabilirsiniz. Evden eve ya da diğer nakliye alanlarında profesyonel nakliye desteği almak için randevu için 0312 319 65 65 numaralı telefondan bizlere istediğiniz zaman ulaşabilirsiniz. Günün her saatinde 7/24 iletişim için biz buradayız.

  166. Şanlı Temizlik Şirketi istanbul Temizlik sektöründe ev temizliği, inşaat sonrası temizlik, merdiven temizliği, ofis temizliği hizmetlerinde uzmanlaşmış bir istanbul temizlik firmasıdır temizlik sektöründe her zaman profesyonel olarak hizmet vermekteyiz istanbulda temizlik hizmetï için bize ulaşın.

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  181. Ankara nakliyat sektörü ülkenin en göz bebeği durumundadır. Gerek coğrafi yapısı gerekse de nüfusu bakımından nakliyatın kalbi durumunda olan bu şehirde taşımacılık oldukça önemli bir yere sahiptir. Bundan dolayıda Ankara nakliyat firmaları sayısı oldukça fazla ve üzerlerine düşen görev bir o kadar fazladır. Bu bilgiler doğrultusunda hareket ederek kullanışmlı bir uygulama planlayarak Ankara nakliyat platformu uygulamamızı devreye soktuk. Hem müşterilerin hemde nakliyecilerin yararına olan sitemiz sayesinde nakliye süreçlerinde oluşan sorunları tamamen ortadan kaldırmış durumdayız. Ankara evden eve nakliyat hizmetine ihtiyaç duyan müşterileri en iyi Ankara nakliyat şirketleriyle buluşturarak profesyonel çalışmalar elde etmekteyiz. Nitekim ki binlerce mutlu müşteriyle sektörün lider platformu olmayı çok kısa sürede başardık.

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  182. Bursa evden eve nakliyat şirketimiz şehiriçi ve şehirler arası ev eşyası taşımada öncü ve eski firma olmakla kaliteli hizmet veren asönsörlü ev taşıması yapan Karacabey’in en büyük firmasıdır.Ekonomik ve uygun fiyatla ev taşımacılık bizim işimizdir.Hızlı ve güvenilir bir evden eve şirketi ile çalışmak için K1 yetki.belgesi olması çok önemlidir.Günümüzde özellik yaz sezonunda evden eve taşımacılık korsan çalışan çok firma vardır.Bu kişiler ev eşya taşımasında sorun yaşayabileğiniz kişililer mutlaka K1 belgesini isteyiniz.Kaliteli hızlı sorunsuz taşımada tek adres biziz mutlaka diyat alınız.

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  184. Antalya havalimanı trasfer Taşımacılık Hizmeti Sektöründe faaliyet gösteren antalya transfer clk şirketimiz. Deneyimli, Profesyonel ve Güler Yüzlü personeliyle vip ve lüx taşımacılıkta en iyi hizmeti siz değerli müşterilerimize sunmayı ve özel transfer sektöründe en önlerde olmayı hedeflemiştir. Müşteri Memnuniyetini Şirketimizin kalite politikası olarak kabul etmiştir.

  185. Hatay evden eve nakliyat işlemine ihtiyaç duyan tüm müşterilerin güler yüzlü ve profesyonel hizmet alması için kurulmuş olan Hatay nakliyat platformumuz başarıya koşmaktadır. Kuruluş tarihinden beri internet üzerinden binlerce müşteriyi Hatay nakliyat firması ile buluşturarak taşınma işlemlerini yerine getirmiştir. Günümüzde kaliteli bir firma bulmak ve güvenli şekilde Hatay nakliyat hizmetini gerçekleştirmek oldukça zor ve meşakkatli bir hale geldiği görünmektedir. Ancak hızlı ve kolay ara yüzü ile bu dert ve sıkıntıları ortadan kaldıran uygulamamız gayet başarılı şekilde sürdürülmektedir. Hatay evden eve taşımacılık alanında görev yapan en Hatay’ın en iyi nakliyat firmaları platformumuz bünyesinde görev almış durumdadırlar. Hatay evden eve nakliyat talebiniz için özel olarak tasarladığımız sitemiz ve teklif al formumuz bu güne kadar yapılmış olan en basit ve kullanışlı bir uygulama olmuştur. On üç yaşındaki gencin bile kolaylıkla nakliyat talebi oluşturması sağlanmıştır. Hatay evden eve nakliyat ihtiyaçlarınızda anında 4 farklı firmadan nakliyat teklifi alarak müşteri yorumları ve oranların karşılaştırılmasını yapıp doğru kararı verebilirsiniz. Sizin için değerli olan her şey bizler için kıymetli olduğu bilinciyle taşımacılık işlemlerinizin tamamına talibiz.

  186. Antalya evden eve nakliyat sorumluluk isteyen büyük bir hizmet dalıdır. Kendi içerisinde bile çok farklı dallara yarılmış durumdadır. Bu sebeplerden dolayı itina ile yapılması ve özen gösterilmesi gerekmektedir. Tabi özen göstermenin de gerektirdiği birçok kural ve kaide vardır. Bu kurallara harfiyen uymak gerekir. Antalya nakliyat firmaları arasında işini layıkıyla yapan firma olduğu gibi sorunların yaşanmasına neden olan kuruluşlarda ne yazık ki bulunmaktadır. Bizim amacımız en iyiler ile sizleri buluşturmak üzerine kurulmuş bir düşüncedir. Bu düşüncenin temelinde mutlu müşteri kitlesini olabildiğince üste çıkarmak vardır. Bunun içinde Antalya nakliyat alanında uzun yılardır görev üstlenen ve müşterilerine önem veren kurumsal firmaları yeni müşterilere daha iyi hizmet sağlaması için bünyemizde barındırmaktayız. ‘’ Taşınmanın Kolay Adı ‘’ sloganıyla çıktığımız bu yolda binlerce kişiye sağladığımız hizmet bunun en büyük göstergesi ve bizlerin referansı olmuştur. Bu nedenle sizlerde taşınmaya karar verdiğinizde Antalya evden eve nakliyat için firmalarımızdan güvenle hizmet talebinde bulunabilirsiniz. Sizlere özel olarak sunulacak olan Antalya evden eve nakliyat fiyatları tercihleri arasında karar vermek için birde firmaların Antalya evden eve nakliyat tavsiye sonuçlarıyla daha net ve doğru karar verebilirsiniz.

  187. Samsun nakliyat sektörü içerisinde onlarca nakliyat firması görev yapmaktadır. Bu güne kadar sunulan hizmetlerin büyük bir bölümünden müşteriler memnun kalmış olsa da sorunların yaşandığı nakliyat süreçleri de ne yazık ki vardır. Bu sorunların üstesinden gelme adına yaptığımız çalışmalar kısa sürede meyvesini vermiştir. Samsun nakliyat platformumuz sayesinde hem firmaların kalite derecesi ortaya çıkmış hem de daha başarılı taşımacılık işlemleri gerçekleştirilmiştir. Samsun evden eve nakliyat denilince akla gelen ilk firmalar bünyemizde yer almakta ve aynı hassasiyetle işlerini icra etmektedirler. Samsun nakliyat firmaları düzgün hizmet ve uygun rekabet sistemi uygulayarak müşteri sorunlarını çözme adına adımlar atmışlardır. Taşımacılık en zor hizmetlerin başında geldiği herkes tarafından bilinir ve öyle kabul edilir. Ancak buna neden olan bizler ve tercihlerimizdir. Örnek verecek olursak Samsun nakliyat hizmeti almak istediğimiz nakliyat firması hakkında iyi bir araştırma yapmadığımız sonucuna varabiliriz.

  188. bursa evden eve nakliyat şirketimiz ev eşya taşıması yapılmadan önce müsterilerden randevu alınarak ev taşıması hakında bilgi verir.Osmangazi evden eve nakliyat firmamız eleman ve eksper elemanları ile ev eşyalarının zarar görmemesi için ambalajlamasını kaliteli malzeme kullanarak yapar.Bu işlemlerden sonra ev esyalarınız guvenli bir şekilde nakil olur

  189. İstanbul Temizlik şirketi Şanlı Temizlik, haftanın 7 günü hizmet vermektedir. Ayrıca vardiyalı çalışma sistemi uygulayan işletmeler için 24 saat tam zamanlı çalışma veya vardiyalarına uygun çalışma saatleri uygulayabilmektedir. İstanbul bölgesinde talep edeceğiniz tüm temizlik işleri için İstanbul temizlik firması Şanlı Temizliği arayabilir, en uygun fiyatla temizlik gerçekleştirebilirsiniz. (istanbul) temizlik şirketleri arasında Şanlı Temizlik çok kısa bir süre içerisinde yerini almıştır.

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  191. Hatay asansörlü nakliyat ve taşımacılık alanında en iyi hizmet sunan uygun fiyatlar belirleyen firmalarımızdan sizlerde fiyat teklifi alarak kolay ve hızlı şekilde taşının. Yüksek katları sorun olmaktan çıkaran bu sistem ile taşınmak çok daha kolay ve daha kısa sürede yapılmaktadır. Hatay asansörlü evden eve nakliyat talebinizi on beş saniye kadar kısa sürede oluşturarak dört farklı firmadan teklif alın. Size en uygun teklifi seçerek rahatça taşının.

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  196. Sivas nakliyat için yoğun gayret ve çabayla büyük çalışmalara imza atmış bulunmaktayız. Nakliyat platformumuz sayesinde kurumsal nakliyat firmalarını bünyemizde toplayarak siz müşterilerin daha kaliteli bir hizmet almasını amaçlıyoruz. Sivas evden eve nakliyat süreçlerinde yaşanan aksaklıklara son vermek adına yaptığımız bu çalışmalar oldukça başarılı olmuş durumdadır. Sivas nakliyat için anında farklı firmalardan fiyat teklifi alarak yorum incelemesi yapıp karar vermeniz çok kolay şekilde olmaktadır.

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  202. Ankara küçük nakliye hizmeti sunan bir firma olarak kurulduğumuz günden bugüne küçük nakliye işleri için gerekli alt yapı ve donanıma sahibiz. Müşteri düşüncesi ile hareket eden firmamız her daim gerek duyulan nakliye hizmetinin her bölümünde aktif olarak yer almaktadır.

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