for my two cents if I hadn't make the
decision about push to do I have the
presentation about it than my pictures
so I thought it might be fun to try to
introduce what I've been doing for the
last 18 years and see if we can't
integrate it into what I'm doing
currently in partnership with the what
is now called the Wayman horse and
Rebecca's so the title of my talk is
called what is medical anthropology and
what does that have to do with medicines
okay so the the audience is small enough
that I will entertain new questions as
we go along so my disability get my
attention raise your hand or shout at me
or something as we're going on and I
think we've got plenty of time I've got
a lot of slides but I think I keep to
about 40 minutes or so so what role does
that advance equality have to play in
fibromyalgia and what we now call the
MBE and CFS and also which was is being
called SPID or systemic exertion
intolerance disease and how can that
apologist be of help in clarifying
issues interpreting what's going on
between patients and dog and physicians
and in the medical field altogether and
also very very importantly with family
and friends and what once of our
patients who are struggling with this
these two diseases and the purpose of
the talk is how can that that's what is
helping the acceptance of the diseases I
think this is really important I think
it's one of the civil issues that were
having with the medical community right
now so as Scott when Senator Boozman he
talks about so my career being that of
essentially an applied anthropologist
and I served in the role of executive
director
the street actually founded it in what
manager essentially a broom closet at
Saint Vincent DePaul Center on Rio
Grande Street and a second South in 1988
and I also see some similarities not
necessarily with people who suffer from
these two diseases being homeless but
with how they struggle with the medical
community and and interact so well tie
some things like that together nurse we
progressed first of all what I might do
is do a very very quick introduction to
what is anthropology
I just finished teaching the course the
senior level and graduate level called
medical anthropology the number was four
one nine three at the University or six
one nine three for graduate students and
I found that people could get all the
way through college and become seniors
and graduate students without ever
taking as opposed offense which kind of
frightened me a little but if they were
internet advanced applause of course but
most of the one that been pretty well so
most people when they think of
anthropology think of archaeology and
they immediately you could consider or
assume that I'm an archaeologist so I'll
clarify that just a little bit without
spending an awful lot of time in this
area so this is an archaeological site
many of you seen pictures like this the
general public mixes up the field of
archaeology and physical anthropology
very often so I'm not an unworthy on
distant would have some a physical
anthropologist and I'm neither of those
either so and then also a paleontology
is also brought in and people assume
that we're digging up dinosaur bones and
things
that's very very romantic and I think
Indiana Jones publicly-available pretty
large will than that so that's only part
of what anthropology is about here you
can see an excavation site and this is I
have no idea where this is from probably
someplace in Europe but this has
significance for both archaeology and
discipline topology so an archeologist
might well have discovered this dug down
with a very systematic procedure with
established procedures and so forth and
discovered this and these roommates will
ultimately put in be put in some Museum
someplace book will be categorized a
catalogue and then it will be
interpreted what happened with these
people in this case perhaps 2,000 years
ago something like that who were they
where they come from what has happened
to them there's also a significance for
physical anthropology because of this
eclectic apologists could come in and
say out of ic2 for I see about six
skulls six people in this picture what
did they die of did they have
degenerative diseases where they killed
at some type of physical accident were
they in warfare what was more hunters so
there's a lot of interpretation that
goes on both with archaeology and
physical anthropology the field
generally and this is disputed within my
own field at this point but I'm kind of
an old style guy and my friend Marco
Nika has had some experience with
anthropology as well and I consider that
quality has four fields sorry theology
which was talked about and that's the
interpretation of historic and
prehistoric remains then socio-cultural
anthropology which is the interpretation
of current cultures in this
consider myself and then physical
anthropology which we just talked about
briefly more and more that's the
interpretation of DNA and so forth and
it's becoming what wins no Mia's up
evolutionary ecology and finally
linguistics so here's a picture of what
you might expect this is a very common
picture our evolution of humans seem
quite risky variations of this and then
finally linguistics and linguistics is
the evolution of language and writing
through time so with that so it might
I'll start drilling down and talk to you
more about medical anthropology even
within that apology there are numerous
things that you can do my particular
specialty is about what contemporary or
why people believe about health wellness
and disease and this is where we start
beginning to drill down and talk about
some why I might be interested in
helmand CFS so I've worked with numerous
Native American groups I've stayed with
their health care and wellness beliefs
including the use of plants and their
healing modalities and of trying to
bring that to bear also with what we're
doing here so medical anthropology and
my solution does matter what it's
happened in medicine specifically is
that we have really turned medicine into
a very strict scientific method and it's
become what and all is called bio
medicine majority of medical
practitioners now actually in last
emission as a medical policy of setting
them as a culture I consider that they
have allowed their biases to get in the
way of diagnosing both
and what we call as sa ID or our CFS
hospital emergency department physicians
are now trained to refer people with
these symptoms often to mental health
providers I've talked with some recent
graduates of the School of Medicine at
University of Utah and what they're
telling me is that they are instructed
when they are in their residency and
they're working at local emergency
hospitals to be very funded with people
when they come in and complain of the
symptoms that are often presented with
new diseases they do not prescribe the
vacations and they're referred to mental
health providers essentially so while
you're dismissed
in a real sense so I it one of my close
friends who has a reason to graduate at
the University of Utah in the School of
Medicine after a lot of our conversation
with them said I actually will not do
that yet so they've made a lot of
difference okay so for subcultural
reasons the majority of medical
practitioners as I said allow this
applies to get away and one of the
things that we're doing with the Bateman
Horne Center is to begin to educate the
physicians and other providers one
person at a time if necessary in order
to get the message across so if a
provider in his or her office or at a
hospital emergency departments can't
diagnose within about ten or fifteen
minutes if they can't draw blood and
ascertain what's going on with the
provider then they essentially will
referre and one of the principal
referral points in Salt Lake County is
with dr. Bateman
with the programmatic clinic so patients
B are labeled as quacks that's a pretty
common term in the medical terminology
and they're put into a specific category
and unfortunately dismissed as I said
what it does is create a pool of
undiagnosed and untreated people who
suffer needlessly because of this so one
of the skills that I've obtained through
time with my training is to be a
participant of server and among the
first things that I think that even
while I was contemplating whether it
take the position as CEO of what has now
become the great horn Center was to sit
in with some of the treatment sessions
that dr. Bateman was part of she invited
me to spend a half pace with her so I
was able to read a number of patients
and one of the things that most
attracted me and most affected my
decision was that dr. Bateman would
spend as much as two hours with the
patient and listen intently and I'll
talk more about that as we go forward so
among the people that I serve our health
care providers themselves they are they
make up a subculture within our American
culture and then also there's a
subculture that in my estimation has
been formed with people who are people
who are experiencing both FMN CFS
so biomedicine what's more I'll go
everywhere tailed with that Western meta
health care providers since at least the
19th century certainly trained earclip
so became the biomedical approach which
means a very very heavy emphasis on the
biology and you see a common picture of
a microscope and so if you can see it in
a microscope if you can be trained to
observe what's going under that on an
under that microscope then you begin to
form your diagnosis and for me or your
feeling about what's going on with the
patient you make a pretty sad decision
about whether you can treat or not and
as I said earlier about referral so part
of this what has been priming
practitioners to do what they do is what
Arthur Kleinman has called the hard and
the soft
medical schools have become divided into
hard and soft sciences the hard sciences
are specialists specialties like surgery
pathology if you can take a tissue
seminal which might be removed during
surgery you can put it under that
microscope and you can make a diagnosis
the slops concepts in the hard concepts
signify a very deep cultural logic in
North America that's reflective of what
has become known as a scientific method
I guess it's very very appearing all
very materialistic
so talk therapies and other cognitive
activities such as maps
we call a family practice in internal
medicine yoga and so forth are
considered soft so psychiatry pediatrics
general internal medicine and family
medicine are all considered soft
sciences
even though they're still in the field
of medicine the implications are that if
you are a soft scientist then you're
probably not going to be paid as much
and more often than not you're female so
look at this slide for just a moment and
it might be just a little bit hard to
tell whether this individual gets a
nurse or a physician she's dressed a
little bit informally she does have a
stethoscope on she's wearing tennis
shoes she has scrubs on so that you
could be a surgery but so this picture i
think is a really good indication of
what's going on in the field and the
hearts best of specialties attract more
males and pay as much it's considerably
more so there's a real dichotomy in the
medical field between hard and soft
sciences look at this individual he's a
male he's got a stethoscope on this
white coat on he has fresh shoes on he's
wearing his high so this indicates that
he's probably pretty well paid and very
well-respected possibly very
paternalistic with his patients as well
I'm just characterizing this as a as a
picture off of the clip art so I just
provided them online so this is a pretty
dehumanizing process when the heart
scientists can't make it a diagnosis
they are pretty dismissive of patients
they
they're impatient with their time
there's 10 or 15 minute time allotment
and so forth that doesn't take place in
this all science is very often saw
Sciences will allow people to as dr.
Maitland does to spend an hour or two
hours or even three hours in a process
of discovery that doesn't happen with
conventional hard scientists specialists
this has been a pretty successful
strategy for what we're now calling
biochemically oriented technology or
also the word that I use biomedicine but
what it does is ignore the patient's
experienced practitioners apart
scientists part science is sometimes
resisted forming the patient's
experience of their illness I think
that's a very common process that takes
place they resist social and
psychological and moral aspects of
physiology by dismissing admission and
then this ultimately compromises that
humane practice of medicine in my
estimation and in the in this tradition
of thought many of the authors that I've
read over the last several years so
complementary alternative medicine which
generally is considered far east or or
possibly people who have not been
trained
biomedically and so forth it includes
Chinese and Hindu medicine go by are
your data and so forth acupuncture
meditation metal joins don't have the
same concepts of health and healing that
biomedicine medical practitioners have
so this is a yoga pose and I'm assuming
that this dog is trying to do tree pose
I'm not too sure exactly what pose he's
trying to get into I thought this was a
very apropos for tonight stop and then
finally the evolution of practice and if
you can't read this and I don't know if
you can see it or not but it says I'm
giving up my practice mrs. Linden I've
optioned you off to dr. Knox so this is
also a bit interpretive of what's going
of hard science that science process
there's a feeling of disconnection from
the patient the patient is simply a
commodity I'm going to be practicing in
next year with a totally new practice
I've gotten a surgical appointment
prestigious university so long we'll be
gone and wish you well but you're sort
of not in my picture at this point so
what some anthropologists have noticed
and certainly many other disciplines is
that there's a real need for narrative
and all of this there's a db2 listen to
the story of the patient listen to the
patient's experience and suffering so
here's one example ah this is a disease
perspective that I'll call number one
and what you see is the healthcare
provider at the top a patient and a
society sort of that loan
very hierarchical disease perspective to
participation on top in society in the
healthcare provider in a triangle that
necessarily hierarchically so I consider
and many other people besides myself
consider that sickness is a social
category the way a whole person is
expected to behave includes what the
process of time the process of place and
power relations and you can see another
illustration in which healers and
relatives and friends and employers and
patients are all part of this circle and
it's a wide encircle than the other two
perspectives so sickness occurs on a
saying of time place and power relations
between patients and healers of their
relatives or employers and others in
society and often changes depending on
the circumstances so it's very very
important to establish relationships the
quest of healthcare encounters is the
relationship that's established between
patients and their physicians one that
has a great impact on the outcome of the
patient's trajectory through the
treatment dr. Kaitlyn in my solution has
excelled in this area and this is one of
the reasons why I chose to get involved
in this organization as I said she is a
very intensive listener she pays
attention and she doesn't make snap
judgments so this slide is entitled
finding the self and there's a my
intention for this line is if there's a
relationship between the patient and the
physician that pointedly influences the
patient's search for what we call a new
normal the ability to
perception itself and I think this is
really missing particularly in the hard
sciences there's a sense of loss of
control over one's life and loss of a
sense of being in a sense it also
where's the patient down there's a
weariness for the process of navigating
the system there's a lack of specificity
because the diseases are names in the
majority of cases this cultivates a
distrust of the healthcare system and a
feeling of fog essentially of fatalism
many patients that I'm aware of or have
now basically checked out of the medical
system the biomechanical system and
they're staying at home they're not
seeking a treatment they're not seeking
any type of diagnosis because they've
given up on the system and in my feeling
this is a system thought of dismissing
and actually not meeting the needs of a
patient herself so being seen I think
this is a very very important piece the
more recognition a patient receives this
has been tested many many times the
board of patient is recognized by the
provider the better the health care
experience than they're at the outcomes
what we're now beginning to perceive and
this is coming from particularly from
what is now being called global medicine
coming is specifically out of Harvard
Medical School with two professors a
fella named Paul Farmer who's both the
medical anthropologist and a physician
and Arthur Kleinman who was the chair of
the
apartment net for her and it's also a
psychiatrist they had started looking at
a certain analyzing what we're doing
globally the United States and Western
Europe had certainly been the
predominant forces of biomedicine and
there's a new critical attitude that
these two professors are in the
forefront of they've written book called
reimagine and global health which I
would highly recommend and excitement at
the end but but they're saying yes that
what we have been doing with biomedicine
in general is that we're operating from
the top down the domenica system the
physicians are dictating what's going on
with the patient the patient is supposed
to be seen enough
that patient is supposed to conform or
what I would prefer to say is adhere to
certain medical machine measurements
take certain medications and so forth
and the patient is flamed yet if
something happens information doesn't
get better or if the patient misses a
medication patient actually might not be
able to afford the prescription that has
been prescribed but the physician often
doesn't really care when we're together
because he's about to be seeing another
patient another patient in our 15
minutes so what I put a percentage here
I hope is the role that the Bateman horn
Center is playing and shifting the
perspective of health and medical
services or operations instead of
accepting a top-down or biomedical
approach what I think we're doing at the
Bateman or Center and I feel the street
pretty confidently is that we're taking
a bottom-up approach so rather than
being dictated to by the healthcare
delivery systems of the medical system
we're in my estimation beginning to push
back on the system and where I think
very firmly that's up through our
education and advocacy processes that
were helping to empower our patients and
have them begin to speak back and and
find their voices this is the approach
that dr. Bateman started from what I
understand for about 2001 on and will
continue to strengthen this as we move
forward into the future we want the
change but to change the perspective of
the medical delivery system in some way
and to recognize our patients and
friends must be heard and that their
partners at the table as we change
perspective and treatment modalities for
those with these two diseases so the
purpose of this presentation is going to
talk about what role that like all
displayed happen real development
clarifying and interpreting the
interplay between the practitioners of
patients and their significant others
they're Community Network and then how
can we help in the process of acceptance
of the disease where the disease is I
should say so medical anthropologists
can serve as cultural interpreters we
can help to demystify the cultural
biases held by various professions
particularly the hard sciences we can
support and advocate for the patient's
viewpoints and we can educate the public
in the professional world this is my
perceived role as president and CEO of
the paperboard Center I bring the
experience in fundraising and grant
writing and 24 25 years in the
healthcare arena and also that say you
professor at the University of Utah and
so a whole new area of service and the
expectation that will be highly
successful in growing our new
organization so Bateman horns mission is
to develop and maintain a nationally
recognized center of excellence to
research the causes and treatment of SZ
ID or any CFS which is awkward
very confusing at this point but we'll
work all this out through time I won't
go into the recent background for the
name change but I'm sure that most of
you have at least as much knowledge
about that as I am so we also want to
assess and diagnose and medically treat
Stapf MS and then to raise public
awareness about the diseases advocate
for and
educate and to seek individual
foundation and government or other
funding to reach purposes outline
tomorrow our vision is to ensure that no
one goes undiagnosed or untreated for a
fibromyalgia and sei D or CFS I don't
know to what extent you've written
mission and value statements but my
feeling is that vision statement should
be lofty and this is a lofty lofty
vision just just for people in the
Suffolk County area so these are the
sources that I used for the presentation
the University California Press that was
looks like part of that's missing so
I'll have to correct that
then authors that I would highly suggest
are complying with who I mentioned his
book writing at the margin I think is a
very great important book and then my my
past lectures and in medical
anthropology and clinical anthropology
and completely contributed to my new
thinking process so bottom-up approaches
that a top-down listening for patients
and helping build an advocate for
themselves and not dismissing or helping
people to bring a sense of themselves
5du terrific questions I'm pretty fast I
wasn't too sure how long this would take
and whether people would ask us such
another please stay
the question is what are the parallels
between my past experience with the
homeless population and people who are
currently experiencing these diseases
all I see is a sense of
disenfranchisement among both groups of
people people who don't have a voice
people who are not listened to by the
medical establishment people who may be
under employer unemployed possibly
because of their diseases people who may
be underinsured or uninsured because of
their diseases as well in the homeless
population many many people have gone so
long without health care that once they
got to forestry plenty of which is a
primary healthcare source for homeless
people they were so dealt with a number
of both acute and chronic diseases that
it took several months and several
visits in order to sort out what was
really going on with the patient and
then sometimes the patient would
disappear for a time period and we would
wait patiently because we didn't predict
they got without phone numbers or
addresses obviously with homeless people
and so we would wait patiently for those
two of the healthcare encounter for us
to continue but sigh keeping active very
accurate and specific records electronic
health records to say particularly and I
think this is the case offered with FM
and CFS as well so people lose their
energy they will disappear into their
home's for periods of time they feel
very fatalistic about their chances of
diagnosis and treatment I think the same
can be said with the homeless population
as well with fourth street we had the
privilege and honor to be able to have a
free pharmaceutical process a free
pharmacy most of the medications were
donated by pharmaceutical companies and
so we were when I left and about four
years ago we were dispensing about
65,000 prescriptions per year which is
pretty large it's work well with the
busier pharmacies in us in Utah and just
happens not to charge for the
medications that are dispensed this is
not the case where people who sort
the two diseases that were discussing
tonight those are the general
parallelism I see I also see some
possibility that people with NF knowing
CFS have become homeless because they
have not been diagnosed and they've lost
their economic their financial resources
so guess what we think that there are
perhaps thirty thousand people in betar
between the two diseases and our current
practice is pretty much capped at a
thousand people per year so there's
there are a lot of people just in Utah
who would have either not been diagnosed
or I have been seen by us briefly but
are not particularly being treated and
once again they're dismissed by the
medical system where they go whether
there are community health centers or
Intermountain health care
the question is are there other medical
practices either in salt lake or
throughout the United States that are
dealing with this population and I will
say yes with a very very small number I
think there are something like seven
recognized centers in the United States
east coast being one of the active
centers west coast being active and we
want to be the middle and be truly a
center of excellence other questions
we've got time so please
so the comment is disappointment about
the medical students and how they're
being educated and that is one of our
goals and we're trying to get the
attention of the school of medicine
particularly Family Practice and
internal medicine they are not
particularly interested in talking to us
because they dismiss the patients that
we're seeing and our clinical practice
itself so we're taking the approach
right now of one new graduate of the
School of Medicine at a time but so we
do really intend to make inroads there
and the onus briefly mention the
announcement back in February of the
name change and the Institute of
Medicine and the National Science
Foundation so other prestigious
organizations actually spent about a
year and a half looking at this issue
redefining and medication about sort of
redefining the the CFS renaming yet
which has been a controversial but so
rather than calling the syndrome
actually calling a disease I think is a
huge step forward
so within five years we hope that
regular internal medicine practitioners
Family Practice practitioners will be
seeing these two diseases and
feel very comfortable in doing so and
that insurance will pay for it
so the company is in nursing school very
very similar process as a Korean I
absolutely agree with that and part of
it yes that it doesn't doesn't pay to be
informed so the curriculum in nursing
school and PA school and in Venice and
Medical School I guess you've got to
concentrate on as successful practice to
kind of figure out really really quickly
how the health care delivery system
works how health insurance works and if
you're not going to reimburse for seeing
a patient for two hours and we're not
going to bother with the curriculum to
teach or do that so I guess it's a bit
cynical but I hope it's more critical
than cynical other comments company time
yes
dogs here
pretty much as it worth dismissing this
issue
not positionally
the premise in that field and it
surprises me do you say
they're coming is the troubling feeling
about my earlier comment that so even
family practice providers are not are
dismissing these two diseases are not
really treating I firmly believe that's
the case we are wanting to hire a new
provider to expand our practice to
double our practice and I have contacted
a number of physicians that I even
consider personal friends and we cannot
convince anyone to date until tomorrow
afternoon we have our first candidate
going again but we're having trouble
actually recruiting people to to listen
and to think about agility of our
practice it continues and this this is
not to be dismissive of about only
practice or internal medicine providers
but to say that they were just simply
not aware they are quick to be part of
the cultural group that they were
trained in to categorize to pigeonhole
people who experience these diseases as
Crocs that's a that's a term that I
think is very I proposed this it's a
it's a term that's been used for a
number of patients from a long long time
and it actually does come out
of people showing up and basically
having mental health problems because
they can't define their illnesses they
can actually say exactly what is wrong
with them
I think the most important new
publication that acknowledges these
diseases is this Iowa report that I just
refer to and it is available on the
internet and I'm sorry that I didn't
actually cite that but it is February of
2015 and if you google mysteries of
Medicine and fibromyalgia or Shore or
CFS specifically for sure to my
knowledge there are no current articles
is anyone constantly amazed by people
who experience these diseases and how
eloquently are is know some good things
are showing that one basic a primary and
they're very curvature less lesser
months yes
and they're gonna be required to get
this information out every single penny
practice about 96 so there's gonna be a
dissemination of the Commission that
should be an explosion over the next
four months it hasn't taken place yet so
that's what we're out of both names
because right it hasn't positions all
requirement not just only to dissipate
the court and I'm not sure how well this
is working out okay you receiving the
information is going to
oh yeah two things happened with the IOM
report the first one is a new case
definition you know we talked about the
trouble of Family Practice and in terms
of had in terms of dealing with this
when somebody comes into the door is the
case definition that existed and one is
more than one that existed and number
two the last minute exists is still
quite complex and so what this group did
over the last two years is come up with
a much simpler case definition with a
lot of clarity and pinpointed everything
a lot easier for all of the general
practitioners to try to diagnose this
ones so that was a huge thing there just
that and then the name change is another
huge thing simply because it does define
it as a disease and it does touch on the
the most significant aspect of the
illness which is this exertion
intolerance and so it should be very
helpful to anybody who's a physician who
really wants to know a little bit about
it they're going to have information
that they haven't had before this is
going to get a simpler format and it's
also going to be very useful for a
Social Security Administration and for
people on disability trying to get it
framed so it's been a confused area for
a number of reasons for since 1980 so
this is a clarity that just happened
February 10th so it's a really exciting
time you have to explain my petition
isn't this is about
so a couple of things one what you said
Ted about this report being disseminated
widely to every clinicians office I mean
I'm wondering about the incentives so it
help care incentives are changing and
you talked a lot about family practice
Doc's internal medicine Doc's who are
constricted by the economic structure
they work within and so they are
supposed to see so many patients per
minute and they're supposed to have a
good nice tidy DSM code and these are
good people working really hard within a
structure but population health
reimbursement is shifting from from
fee-for-service so when we shift more
and more from fee-for-service to
population based reimbursement coupled
with what Ted was talking about this
information and this validation of this
being a disease and having this
information how do you see both of those
two things converging in terms of really
impacting of treating the 30,000 people
ultimately I think this is going to be a
really good thing for people with both
diseases my feeling is that getting away
from the fee-for-service process is
going to be a real advantage for both
the patient and the provider because
providers will be prepaid per patient
and it will cost an average of twelve to
fifteen hundred dollars a year to manage
a person's disease so I do see this as a
real advantage in the long term but the
health insurance companies are going to
take a while to catch up and the
providers themselves are going to take a
while to gain the understanding that
this will be a real good process for
themselves and they can continue to
focus on quality health care instead of
quality health care other comments yes
please
very good pussy okay I have written a 21
page strategic plan that I haven't
shared with the board yet it's still
being published I just I've been doing
double-duty as a professor at the
University and I just ended that last
week essentially so I'll be devoting
more time with the development of the
plan so we've got a short-term plan a
medium-term plan in the longer term plan
but among the first things that we want
to do are to fundraise obviously we
definitely need to increase our funding
and then we want to hire a another
full-time practitioner with what we want
to hire a family practice or internal
medicine physician that would be very
very happy with the PA as well of
someone who has had some experience and
it is knowledgeable enough about the
system that they know that they need to
sit and talk with the patient and
empower the patient so we're looking for
a particular kind of practice or patient
experience that are provided with
providers that's redundant so so yes we
do have
short-term plans we're also going to be
emphasizing research for Emily that's
been a large part of what dr. Bergman
has been the master will continue to
emphasize that and actually expand on
that and we want to be one of the
primary research centers in the United
States here with some accents they're
gone so I guess I'm dr. Bateman this is
well published and then there are other
very well among people in the field as
well and I'm about new and up to the
process that I don't give names but if
you google CFS and the FM you'll you'll
find those notifications and then the
following websites it is we're changing
the website when we thought to be named
in traditional where this one from offer
to the Bateman horn Center of Excellence
and that would say is under construction
and there are pieces that you can see
right now and that will be even more
improved by early next week compacted
them so we're really redoubling our
efforts and research and clinical care
and education advocacy are very very
viable form parts of what we're doing so
other comments
the question is certain types of
volunteers while I was teaching magnets
apology I did have some discussions with
I have had 97 students in two sections
in my course and I did mention that I
had taken this position and I got a
plethora of volunteers I think we have
15 pre-med students who have volunteered
so far and saying that you want to
volunteer and actually showing up at
doing the work for two different things
but so we are looking for pre-med I
think we have one pre-dental student if
I'm not mistaken so people who are in
the healthcare field we have a couple of
people that want to go into physical
therapy and I think that's a very good
fit as well so we're not looking for a
specific kind of volunteer but someone
who will show up consistently and learn
and be available for a patient's needs
we're looking for so we're in danger of
having too many volunteers we one of the
things that I experienced the fourth
street we had more than 100 volunteers
there I guess having someone to manage
the volunteer experience and actually
making an alerting experience for them
and making sure that they don't step on
the toes of patients and the providers
other wishes or opponents yes
you're being pointed at this point to
the Bateman Center
I'm sorry Hornets and replacements so
well we're we're in the process of
reconstruction so I can't say that every
page is going to be active but we'll
we'll get there through time so we're
reading what the website looks like and
how it functions we want to make it as
user friendly for patients as we
possibly can and this is a pretty
expensive endeavor and we're trying to
do it with some volunteer help certainly
Stephens our current chair has been an
excellent source with with us he's a
self-taught webmaster he's done a very
good job in my estimation so stay tuned
also give us comments if if you see
something that's not working that you
want to see would be happy to to try to
meet your needs
if there are no other comments or
questions thank you very much I know
it's been a kind of a whirlwind only
three medical anthropology and talking
about biomass and top-down and bottom-up
and so forth and I hope it's been fun
and educational and I really like that
dog pose
