Thursday, October 10, 2019
A Review of Abraham Verghes’ My Own Country Essay
Introduction            Nursing transcends cultures and geographical boundaries. With the emergence of a lot of medical conditions in the world, nurses and even doctors have a lot of stories to share with each other concerning the way they treat patients. Some of these stories are common while some are more peculiar than others. When those from the medical profession write about their experiences, those who read their work are bound to be immersed in their world and in their worldview.            Dr. Ambraham Verghese wrote about the emergence of AIDS in Johnson City, Tennessee during the time the HIV virus has not yet become as prevalent as it is now. Dr. Verghese chronicles his journey together with his patients and the way he struggled in balancing his medical profession and his personal life. As Dr. Verghese came in contact with the persons with AIDS, he had to confront his own stereotypes and see his patients for who they really are and not for the labels and the stigma directed against them by society. The families of the persons with AIDS also struggled in accepting their identity as homosexuals.            Verghese then spent time with these persons with AIDS, talked with them, listened to their stories, and went to their families so he can know them more deeply. By doing so, Verghese succeeded in presenting the humane side of persons with AIDS. The stories he told were filled with emotions and the experiences of people who have AIDS. He also looked at the health care system in the United States and the kind of health care service delivered to persons with AIDS. Apparently, there are incidences when patients are victimized, privacy problems are impinged on and confidentiality between doctors and patients are compromised. On top of this, a lot of people in the society still have their own prejudices, preconceptions and biases concerning AIDS. Verghese, Identity and AIDS            My Own Country: A Doctor’s Story is not only about the life of Verghese and his medical practice. It was a book about his awakening to the vocation of being a doctor. His book is a courageous look at a topic considered to be taboo by the rest of the society. It is revolutionary because during the 1980s, AIDS was slowly coming to the consciousness of the American society. Although he focused on Johnson City in Tennessee, his story dealt with the human condition and how love and fear can make changes in the lives of people.            The autobiographical work of Dr. Verghese talked about the importance of identity. The doctor, himself wrestled with questions about his identity and various influences. He is of Indian decent although with an Ethiopian birth. To confound things more, he was also a Christian. He speaks of being an outsider because of his ethnicity and the way he was labeled as an â€Å"outsider.†He also thought that he was only needed as a doctor and when there are no longer medical conditions he needs to treat, then the community will no longer need him.            Against the backdrop of race and his practice of profession, he managed to identify with the persons suffering with AIDS. He also explored how society gives identity to a disease and by association, such identity is imposed to the persons who are afflicted with such disease. To show this further, Dr. Verghese explained how society equated AIDS with homosexuality and sin. When morality comes in, the society looks at the labels and stereotypes instead of looking at the real identity of the individuals concerned. Because of this, Verghese managed to identify with the persons with AIDS and gathered their trust enough for him to help them reconstruct their identity and explore his own identity. Death, Illness and Narratives            One of the lost art of medicine that Verghese rediscovered is listening and telling stories and narratives. He wrote that through stories, the dignity of an individual can be reaffirmed. Through stories, too, such dignity could also be denied to a person. Through the book he has written, he showed the way that the narratives of his patients got intertwined with his. Along the process, he becomes changed and even relates the narratives from the family members of those persons with AIDS.            The reality of death is very much present in the awareness of the persons living with AIDS. Family members are also aware with the possibility of death. Yet, at first they cannot see beyond the stigma of AIDS. With narratives and stories, however, they get to be made aware of the real personality of the individual with AIDS and recall their love and care for them as family member. Verghese, through his direct interaction with his patients and even with their families learned as much how families react to impending death.  The price of his method of treatment, or rather his going out of his way beyond mere delivery of health care is the way in which he became an â€Å"outsider†from his colleagues from the medical profession. As the persons with AIDS deal with their own lifestyles and impending death, Verghese continues learning from the way they muster courage and inspiration to live. Personal Response            The approach of Verghese in dealing with his patients with AIDS is amazing. He went beyond the stigma of the society and the accepted way of doing things in his profession just to understand his patients and along the way, he managed to understand himself more deeply. What really touched me is the way that he spoke to persons with AIDS and listened to their stories. The benefit was not only for the patients. Verghese, himself benefited greatly from such an experience.            If I were in his situation, I might have stuck to the tried and accepted way of dealing with AIDS patients without going the extra mile for them. The example of Dr. Verghese is worth emulating. What he did transcended culture, social norms and stereotypes and eventually empowered the persons with AIDS. He was very brave in pursuing the questions he was asking himself. More than just providing them with health care services, he connected with them as a friend would. That is one thing that I could certainly use in my own medical career. Patients should not be seen as just one disease to be treated after another. Rather, the dynamics of human relationships and narratives should be utilized to the full. Implications to Advanced Nursing Practice            Narratives and stories are important means of connecting with a person and developing relationships with them. With the example shown by Dr. Verghese, narrative should be a part of the delivery of health care so that they will not only be treated for their medical condition but their treatment could be hastened with the sharing of stories and listening to the concerns of the patients. This may entail additional work for doctors but it is also worth pursuing because of its good effects to the patients and to the doctors and nurses.            Nurses tend to interact with patients more. As such, they need to learn how to interact effectively with their patients and share stories and narratives. It does not have to be very deliberate or contrived. Rather, it should be as natural as possible so as to encourage better interaction.            Nurses who provide care to patients in the hospital has to engage the assistance of family members too because they can greatly help in the treatment of the medical condition of the patients. Furthermore, as the family members and the patient interact more, they can be drawn closer together. Some nurses already practice this kind of meaningful interaction with patients. Yet as the need for nurses to engage in narratives and stories, they have to learn how to do this. Reference Verghese, A. (1994). My Own Country: A Doctor’s Story. New York: Simon and Schuster.
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