Dr. Rastall obtained his doctorate in osteopathic medicine from Michigan State University College of Osteopathic Medicine, where he remained for residency training in neurology and ophthalmology. He underwent fellowship training in vestibular and ocular motor oto-neurology at the Johns Hopkins University School of Medicine.

David Werner, a biologist by profession, but a doctor and doctor in practical life, was born in Ohio, USA, and is the author of countless books on working in communities, mainly in the mountains where there are no doctors. You have worked with families without financial resources to pay for the services of a doctor or hospital.


Where There Is No Doctor By David Werner Pdf Download


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David: Awareness raising is most important. In the Sierra Madre (the mountains that are home to Project Piaxtla), almost all of the people in communities that have been involved in discussions about NAFTA understand what would happen if they give up their ejidos, and they have voted to keep them. In other parts of Mexico, where there has been less sociopolitical education, the farmers have been deceived into giving up their ejido land rights.tag_hash_108

I found our local health post staff to be compassionate and skilled. But many poor and low caste villagers feared all health professionals and medical institutions. It wasn't, as foreigners might imagine, because people harbored a cultural mistrust of Western medicine. Anthropologists have found that Nepali communities often mix allopathic, Ayurvedic, and shamanistic approaches. From what I gathered, poor and low caste villagers disliked encounters with the health care system for the same reasons many of us do anywhere in the world. They'd had their concerns dismissed, been sold expensive medicines or exams with dubious benefits, been chastised, misdiagnosed, misunderstood, inconvenienced, lost work time waiting for all-too-brief exams, been looked down on for their skin color, ethnic status, poverty, and/or gender.

Still, I felt unsettled by my medical role, partly because I was as puzzled by my own body as advice-seekers often were about theirs. I was four months into an unplanned pregnancy when I moved in with my husband's family. I had only recently recovered from extreme morning sickness and weight loss. I felt uncomfortable throughout pregnancy and fretted over where to give birth. Patronizing, dismissive doctors I'd met in the US, especially when asking for advice on reproductive health problems or birth control, made me reluctant to trust doctors in India and Nepal, especially when they told me I'd have to give birth flat on my back with my feet in stirrups and without my husband present.

After I became a mother, more and more women came to me with ailments they didn't want to talk about with anyone else: odd aches and pains "down below," things sliding around inside, itchy crotch, smelly secretions, painful urination, unbearable cramps, too much or too little blood in menstruation. I offered soap and water for foot fungus during rice planting season, cleaned out infected fingers, bandaged cuts and burns, advised people to take full courses of antibiotics, and urged nourishing food for mothers who had just delivered. I only recommended what would do no harm. But I learned what most women health-seekers everywhere do: even in better funded health systems, ailments specific to women are often under-researched and poorly understood. Many health problems that women in our village in Nepal described to me were beyond the scope of a single book, even one as thoughtful and practical as Where There is No Doctor. It became impossible for me as a layperson to offer any intelligent advice beyond, "go see a doctor." 006ab0faaa

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