遭受攻击的医疗保健(缅甸)

Q4 Medicine Narrative inquiry in bioethics Pub Date : 2023-10-01 DOI:10.1353/nib.0.a911244
One Exiled Doctor
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They had to make the hard choice between risking their lives and the payment they received that was at least four-fold what they would get from their governmental jobs. Finally, a call came. It was the one I was waiting for. The team leader told me in a tired voice, made even worse by the terrible signal that made his voice sound as if it were coming from a cave, that they managed to escape the village. They were all physically safe and he spared me the uncomfortable task of asking about the survey data by adding, ‘And we have the filled questionnaires with us.’ I cannot recall any comparable moment of relief. I called all the worried mothers and when the team arrived a day later, I joined them at each of their houses. No words could describe the feelings, the tears of joy, and the gaze of blame when the mothers saw their children safe. I gave them a break before asking them if they wanted to continue with the survey. I had to have an eye on the progress, the decaying budget spent on the daily payments, per diems, rentals, etc. and handle the growing feelings of concern. The headquarters in Khartoum was generous enough to send me an extra budget and a week’s extension. Seems like a happy end, right? I am not sure if a completed survey and well-paid yet traumatized young men and women counts as one. I had to move on and fly back to Khartoum, according to the plan for data entry and data analysis. The final reports had all the numbers the United Nations and the government needed. Very few people knew what the stories behind each of these numbers were. Even fewer people cared to know what the story is. We went to do a well-paid job and we did. When I returned to my office in Khartoum, one of my welcoming colleagues tried to tease me by saying, “Welcome the Lord of War!” with a smile on his face hinting at the generous payment I received. I smiled back and said, “You are right. 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引用次数: 0

摘要

战地医疗:武装冲突期间医护人员的故事我在两件事上寻求帮助。我想知道团队出了什么事,如何拯救他们。第一个请求得到了安抚,第二个请求得到了最好的希望。最终,每个组织都有其限制和授权。他们都没有任务去拯救被困在一个村庄的数据收集者,当随机选择时,他们被认为是安全的。在炮火之下,令人尴尬的是,几乎没有什么是确定的,而能做的事情就更少了。那是战场上最艰难的五天。手头的任务不仅是找到我失踪的孩子,还要让其他不得不离开尼亚拉的小组继续进行调查。我能看到他们眼中的恐惧,也能从他们的话中感受到。他们不得不做出艰难的选择,是冒着生命危险,还是领取至少是他们在政府工作所得四倍的报酬。最后,电话来了。这是我一直在等的。队长用疲惫的声音告诉我,他们设法逃离了村庄,他的声音听起来像是从山洞里发出来的可怕信号,使他的声音变得更糟。他们的身体都很安全,他免去了我询问调查数据的尴尬任务,他补充说:“我们带着填好的调查问卷。”“我想不起还有什么比这更轻松的时刻了。我给所有忧心忡忡的妈妈们打了电话,一天后救援队到达时,我去了她们每个人的家里。当母亲们看到自己的孩子安然无恙时,她们喜悦的泪水和责备的目光是无法用言语形容的。我让他们休息一下,然后问他们是否想继续调查。我必须密切关注事态的发展,关注日常支出、日常津贴、租金等方面的预算支出,并处理日益增长的担忧情绪。喀土穆的总部非常慷慨,给了我额外的预算和一周的延期。看起来是个皆大欢喜的结局,对吧?我不确定一项完整的调查和高薪但受到精神创伤的年轻男女是否算在一起。根据数据输入和数据分析的计划,我必须继续前进,飞回喀土穆。最终报告包含了联合国和政府需要的所有数据。很少有人知道这些数字背后的故事。更少的人关心这个故事是什么。我们去做一份高薪的工作,我们做到了。当我回到喀土穆的办公室时,一位欢迎我的同事试图取笑我说:“欢迎战争之主!他脸上带着微笑,暗示着我收到了丰厚的报酬。我也笑着说:“你说得对。我觉得自己是一个,但我敢打赌尼古拉斯·凯奇的薪水要高得多。”我指的是他主演的同名电影。让我觉得自己不那么像“战争之王”的是我给那些我离开的人的承诺,我要确保他们的故事继续存在,而不是隐藏在下一次调查报告的图表之间。我在多伦多大学生物伦理学硕士课程上提交的几乎所有作业都是关于达尔富尔和达尔富尔人民的。我在伯明翰大学(University of Birmingham)的生物伦理学博士学位就是关于它们的,并致力于研究它们。我在这里与你们分享这个故事,是希望当你们看到下一个在武装冲突中进行的调查报告时,你们会看到人们。你会听到人们的声音。你会感受到人们——不仅是那些被调查者,还有调查者。我们都是值得讲述的故事的一部分。我曾经在一个比许多大城市还不发达的邦当过医生…
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Healthcare Under Fire (Myanmar)
 Healthcare Under Fire: Stories from Healthcare Workers During Armed Conflict 13 asked for help with two things. I wanted to know what happened to the team and how to save them. The first request was met with appeasement, the second with hope for the best. Eventually, every organization had its limits and mandates. None of them had the mandate to save trapped data collectors in a village that was thought to be safe when randomly selected. Under fire, embarrassingly little is certain and what can be done is even less. Those were the hardest five days in the field. The task at hand was not only about finding my missing children but about keeping the survey running by the other teams who had to travel outside Nyala. I could see the fear in their eyes and feel it in their words. They had to make the hard choice between risking their lives and the payment they received that was at least four-fold what they would get from their governmental jobs. Finally, a call came. It was the one I was waiting for. The team leader told me in a tired voice, made even worse by the terrible signal that made his voice sound as if it were coming from a cave, that they managed to escape the village. They were all physically safe and he spared me the uncomfortable task of asking about the survey data by adding, ‘And we have the filled questionnaires with us.’ I cannot recall any comparable moment of relief. I called all the worried mothers and when the team arrived a day later, I joined them at each of their houses. No words could describe the feelings, the tears of joy, and the gaze of blame when the mothers saw their children safe. I gave them a break before asking them if they wanted to continue with the survey. I had to have an eye on the progress, the decaying budget spent on the daily payments, per diems, rentals, etc. and handle the growing feelings of concern. The headquarters in Khartoum was generous enough to send me an extra budget and a week’s extension. Seems like a happy end, right? I am not sure if a completed survey and well-paid yet traumatized young men and women counts as one. I had to move on and fly back to Khartoum, according to the plan for data entry and data analysis. The final reports had all the numbers the United Nations and the government needed. Very few people knew what the stories behind each of these numbers were. Even fewer people cared to know what the story is. We went to do a well-paid job and we did. When I returned to my office in Khartoum, one of my welcoming colleagues tried to tease me by saying, “Welcome the Lord of War!” with a smile on his face hinting at the generous payment I received. I smiled back and said, “You are right. I feel like one, but I bet you Nicholas Cage was paid much more.” I was referring to the movie that starred him with the same name. What made me feel less of a ‘Lord of War’ was a promise I gave to the people I left behind to make sure their stories remain alive and not hidden between the lines of the graphs in the report of the next survey.Almost all the assignments I submitted for the courses in my master’s in bioethics at the University of Toronto were about Darfur and the people of Darfur. My PhD in bioethics at the University of Birmingham was about them and dedicated to them. And here I am sharing this story with you in the hope that when you come across the next report from a survey conducted during an armed conflict, you would see the people. You would hear the people. You would feel the people—not only those surveyed but also the surveyors. We are all part of a story worth telling. B Healthcare Under Fire (Myanmar) One Exiled Doctor I used to work as a medical doctor in a less developed state than many big cities...
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来源期刊
Narrative inquiry in bioethics
Narrative inquiry in bioethics Medicine-Medicine (all)
CiteScore
0.20
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0.00%
发文量
27
期刊介绍: Narrative Inquiry in Bioethics (NIB) is a unique journal that provides a forum for exploring current issues in bioethics through personal stories, qualitative and mixed-methods research articles, and case studies. NIB is dedicated to fostering a deeper understanding of bioethical issues by publishing rich descriptions of complex human experiences written in the words of the person experiencing them. While NIB upholds appropriate standards for narrative inquiry and qualitative research, it seeks to publish articles that will appeal to a broad readership of healthcare providers and researchers, bioethicists, sociologists, policy makers, and others. Articles may address the experiences of patients, family members, and health care workers.
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