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LI Salon 11

By Judy Walker,2014-11-07 11:06
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LI Salon 11

Preparation LI Salon 11

Stay healthy 保持健康

    What do you do to stay healthy? List 5 things

    What do you do when you get sick? List 5 things.

    Which is better, Chinese medicine or Western medicine?

    What are the names of traditional Chinese treatments in English?

    What is the ER or A&E?

    Why would you go there? List 5 things.

    What do you say when you go there?

What You Can Do To Stay Healthy

    Evidence shows that some of the leading causes of death in the United States, such as heart disease, cancer, stroke, some lung diseases, injuries, and HIV/AIDS, often can be prevented by improving personal health habits. Eating right, staying physically active, and not smoking are a few examples of good habits that can help you stay healthy.

Creating a Healthy Lifestyle

    Last year, I started walking with a group of women five times a week. We're now up to 3 miles each time. It's both my social and exercise time of the day. I actually miss our time together on the days we don't walk.

Eating Right

    Eating the right foods and the right amounts of foods can help you live a longer, healthier life. Research has proven that many illnessessuch as diabetes, heart disease, and high blood pressurecan be prevented or controlled by eating

    right. Getting the nutrients you need, such as calcium and iron, and keeping your weight under control can help. Try to balance the calories you get from food with the calories you use through physical activity (select for more information about physical activity). It is never too late to start eating right. Here are some helpful tips.

Eat a variety of foods, especially:

     Vegetables. Choose dark-green leafy and deep-yellow vegetables.

     Fruits. Choose citrus fruits or juices, melons, and berries.

     Dry beans (such as red beans, navy beans, and soybeans), lentils, chickpeas, and peanuts.

     Whole grains, such as wheat, rice, oats, corn, and barley.

     Whole grain breads and cereals.

Eat foods low in fat, saturated fat, and cholesterol, especially:

     Fish.

     Poultry prepared without skin; lean meat.

     Low-fat dairy products.

Weight Control

    Weighing too much or too little can lead to health problems. After age 45, many people gain too much weight. You can control your weight by eating healthy foods and being physically active. For more information, select the next section, "Physical Activity."

Ask your health care professional:

     What is a healthy weight for me?

     What are some ways I can control my weight?

Keep track of your weight. Use your personal prevention chart.

Physical Activity

    Research shows that physical activity can help prevent at least six diseases: heart disease, high blood pressure, obesity (excess weight), diabetes, osteoporosis, and mental disorders, such as depression. Physical activity also will help you feel better and stay at a healthy weight. Research suggests that brisk walking can be just as good for you as an activity such as jogging. Try to do a total of 30 minutes of constant physical activity, such as fast walking, most days of the week.

Before you start being physically active:

     Talk with your doctor about ways to get started.

     Choose something that fits into your daily life, such as walking, gardening, raking leaves, or even washing windows.

     Choose an activity you like, such as dancing or swimming.

     Try a new activity, like biking.

     Ask a friend to start with you, or join a group.

Don't quit:

     Make time for physical activity, start slowly, and keep at it.

     If the weather is bad, try an exercise show on TV, watch an exercise tape in your home, walk in the mall, or work around the house.

Safe Sex

    Sexually transmitted diseases. Sexually transmitted diseases (STDs), such as herpes, syphilis, gonorrhea, and chlamydia, are passed easily from one person to the next through sexual intercourse. STDs are more common in people under the age of 50. But, if you or your partner have other sexual partners, you are at risk for STDs. You can lower your chances of getting an STD by using a latex condom every time you have sex. If you have not taken this step, you may need testing for STDs.HIV and AIDS. AIDS is a disease that breaks down the body's ability to fight infection and illness. AIDS is caused by the HIV virus. By preventing HIV infection, you can prevent AIDS.

    People in midlife and those who are older can become infected with HIV. In fact, 10 percent of all AIDS cases in the United States have occurred in people over the age of 50.

    .................................................................................................... How do you get HIV?

    People get HIV by coming into contact with the blood or body fluids (semen or vaginal fluid) of a person with HIV. You cannot get infected with HIV from casual contact, such as shaking hands or hugging. If you or your partner have other sexual partners or if you share needles or syringes, you may need testing for HIV. To protect yourself, use a latex condom every time you have sex and do not share needles or syringes.

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    Taking Charge of Your Health

    Since I have been taking medicine to lower my cholesterol and treat my arthritis, I have been feeling tired and have had an upset stomach. I didn't know which medicine was causing me to feel this way. I was also getting confused about when I should take each medicine. I brought in the booklet "Prescriptions Medicines and You" and asked the doctor the questions in the booklet. I wrote down the answers. Then, the doctor and I talked about what I could do to prevent the side effects from the medicines.

Menopause

    Between ages 35 and 50, the levels of two female hormones, estrogen and progesterone, start to change. The shifting

    levels of hormones may cause you to skip periods, have irregular bleeding, or both. You may also have such symptoms as hot flashes, mood swings, sleep problems, and painful intercourse. Talk to your doctor about these changes and how to relieve them. You can still get pregnant during this time, so you may want to use some method of birth control. Menopause occurs when you stop menstruating for good. Most women reach menopause in their late 40s or early 50s. If you have not had a period for at least 1 year, you are likely to be in menopause. At this point, your hormone levels drop so you are no longer producing eggs. Once this happens, there is no chance of becoming pregnant. You can take a pill or use a skin patch that contains the hormones estrogen and progesterone to help relieve some symptoms of menopause. Taking these hormones is called hormone replacement therapy (HRT). HRT also may help keep your bones strong and prevent heart disease. But HRT also has risksit is not for everyone. Talk to your doctor to

    see whether HRT is right for you.

Osteoporosis

    Osteoporosis is a condition in which the bones break easily. About 70 percent of fractures in people over the age of 45 are related to osteoporosis. Osteoporosis is more common in women than in men. The loss of hormones that occurs after women have gone through menopause causes their bones to become less dense, or thinner, and therefore more prone to breaking.

You can help prevent osteoporosis by:

     Doing weight-bearing exercises, such as walking, stair climbing, jogging, yoga, and lifting weights.

     Getting 1,000-1,300 mg of calcium per day (see below).

     Not smoking.

     Taking hormone replacement therapy (HRT).

Ask your health care provider:

     How can I get enough calcium?

     What medicines, such as HRT (for women), can help prevent osteoporosis?

    A bone density test can help determine whether your bones are prone to breaking. But there is no evidence that a bone density test is needed for everyone. You may want to ask your health care provider if you should receive this test. ............................................................................................... Foods That Can Help You Add Calcium To Your Diet

    Most foods in the milk group (choose lower fat, lower cholesterol foods most often, such as skim milk): Milk and dishes made with milk, such as puddings and soups made with milk. Cheeses, such as mozzarella, cheddar, swiss, and parmesan. Yogurt. Canned fish with soft bones, such as sardines, anchovies, and salmon. Dark-green leafy vegetables, such as kale, mustard greens, turnip greens, and spinach. Tofu, if processed with calcium sulfate. Read the labels. Tortillas made from lime-processed corn. Read the labels.

    .................................................................................................... Injury Prevention

    Following basic safety rules can prevent many serious injuries. Here is a checklist to follow to help keep you safe. To help protect yourself when you are home:

     Use smoke detectors in your home. Remember to check the batteries every month. Change the batteries every year.

     If you keep a gun in your home, lock up the gun and the ammunition separately and keep them out of children's reach. To help prevent falls:

     Make sure that hallways and stairwells are well lit.

     Remove or repair things that could make you trip, such as loose rugs, electrical cords, and toys.

     Put handrails and traction strips on stairways and in bathtubs.

    To protect yourself when you are away from home:

     Always wear seat belts while in the car.

     Never drive after drinking alcohol.

     Always wear a safety helmet while riding a motorcycle or bicycle.

     Be alert for hazards in your workplace and follow all safety rules.

Taking Medicines

    Getting information about the medicines you are taking is important for people of all ages. It will help you get the full benefits from your medicine. It will also help avoid problems such as taking too much or too little of a medicine. Taking medicine in the wrong way can make you worse instead of better. Here are some questions you may want to ask your doctor or pharmacist.

About the medicine:

     What is the name of the medicine? Is this the brand or generic name?

     What is the medicine supposed to do?

     What written information is available about the medicine?

    How to take the medicine:

     How and when do I take itand for how long?

     What foods, drinks, other medicines, or activities should I avoid while taking this medicine? Side effects of the medicine:

     What are the possible side effects?

     What should I do if they occur?

    To help you keep track of the medicines you are taking, fill in the medicine chart. You may want to share this with your health care provider and pharmacist.Prescription Medicines and You, published by the Agency for Healthcare Research and Quality (AHRQ), is a free guide that gives practical tips on how to take medicines safely. It also gives advice on questions to ask your doctor, nurse, or pharmacist. To get a copy of this brochure, call the AHRQ Publications Clearinghouse at 1-800-358-9295.

Getting Help When You Need It

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    I was having trouble getting up in the mornings and seemed to have less energy than most people my age. Some of my friends started to make comments about my drinking. They tried to make them in a teasing way, but my feelings were hurt. I tried to tell myself that I didn't have a problem because I went to work every day and took care of my family. I felt I was a social drinker. Finally, I decided that I needed to do something about my drinking. I asked my doctor where to get help. I got the help I needed and now feel very proud of myself for taking control of my drinking problem.

Alcohol and Other Drug Use

    Abusing alcohol or using illegal drugs can cause serious medical and personal problems. Alcohol and drug abuse can lead to motor vehicle and other accidents, depression, and can cause problems with friends, family, and work. Drug use can cause heart and breathing problems. Alcohol abuse can cause liver and heart problems and throat and mouth cancer.

Advice on Alcohol and Other Drug Use:

     Don't use illegal (street) drugs of any kind, at any time.

     If you drink alcohol, limit the number of alcoholic drinksno more than one drink a day for women and two drinks

    a day for men.

     Do not drink alcohol before or while driving a motor vehicle or operating heavy machinery.

     If you have concerns about your alcohol or drug use, talk to your doctor.

    Read the questions below. A "yes" answer to any of the questions may be a warning sign that you have a drinking problem. Talk to your doctor or other health care provider. Ask yourself the following questions, and if you print this page, place a checkmark next to each question for which the answer is "yes."

     Have you ever felt that you should cut down on your drinking?

     Have people annoyed you by criticizing your drinking?

     Have you ever felt bad or guilty about drinking?

     Have you ever had a drink first thing in the morning to steady your nerves or to get rid of a hangover?

Smoking

    Research shows that smoking causes more major diseases than any other personal habit. Some examples are cancers of the lung, mouth, bladder, and throat; heart and lung disease; and strokes. If you stop smoking, you can help avoid these diseases. It is never too late to stop smoking. Half of all people who have ever smoked have quit. When you are getting ready to quit:

     Pick a date to quit.

     Begin by not smoking in places where you spend a lot of time, such as at home or in the car.

     Get support and encouragementyou may want to join a quit smoking program.

     Talk with your doctor about using nicotine replacement products such as gum, patch, nasal spray, or inhaler. Research shows that almost everyone can benefit from using these products.

Once you have quit:

     Don't try even one puff, and try to keep yourself away from all cigarettes.

     If you fail the first time, don't give up. Keep trying and learn from your experiences. Ask yourself what helped or did not help you in trying to quit. Every time children and others you care about are around cigarette smoke, they breathe in poisons that can cause asthma or cancer. Please, don't expose others to secondhand smoke. Quit for them.

Overcoming Depression

    Everybody feels "down" or "blue" at times. But, if these feelings are very strong or last for most of the day, nearly every day, they may be due to a medical illness called depression.The good news is that depression can be treated. But first you have to know you have it.People do not always know the warning signs of depression. Some of these signs are listed below. If you have four or more, be sure to talk to your doctor about depression. If you print out this list, place a checkmark next to each sign that you have.

Warning Signs of Depression

    Changes in the way you feel:

     Feeling sad, hopeless, or guilty most of the time.

     Feeling tired, low energy, or feeling "slowed down."

     Crying a lot.

     Having thoughts of suicide or death.

    Changes in eating and sleeping habits:

     Sleep problems, either too much or too little.

     Changes in appetite or weight (up or down).

    Changes in your daily living:

     Loss of interest and pleasure in daily activities.

     Problems making decisions or thinking clearly.

Treatment

    The earlier you get treatment for depression, the sooner you will begin to feel better. The longer you wait, the harder depression is to treat.Depression usually is treated with medicine, counseling, or medicine combined with counseling. Medicines for depression are not addicting or habit forming. They work for people with severe depression and may be useful for people with mild to moderate depression. Treatment works gradually over several weeks. If you do not start to feel better after this time, call your doctor. It may take some time to find what works best for you.For more

    information, read Depression Is A Treatable Illness, which answers some common questions about depression. To get a print copy of this free booklet, written by the Agency for Healthcare Research and Quality (AHRQ), call the AHRQ Publications Clearinghouse at 1-800-358-9295.

What to Do if You Get Sick with Flu

    Flu Symptoms

    The flu is a contagious respiratory illness caused by influenza viruses. It can cause mild to severe illness, and at times can lead to death.

    Symptoms of flu include:

    fever (usually high)

    headache

    extreme tiredness

    dry cough

    sore throat

    runny or stuffy nose

    muscle aches

    Stomach symptoms, such as nausea, vomiting, and diarrhea, also can occur but are more common in children than adults. While getting a flu vaccine each year is the best way to protect against flu, influenza antiviral drugs can fight against influenza, offering a second line of defense against the flu.

Antiviral Drugs

    Antiviral drugs are an important second line of defense in the prevention and treatment of flu. Antiviral drugs are important in the treatment and prevention influenza.

    Influenza antiviral drugs can be used to treat the flu or to prevent infection with flu viruses. Treatment with antivirals should begin within 48 hours of getting sick, and can reduce your symptoms and shorten the time you are sick. When used for prevention, antivirals are 70% to 90% effective in preventing infection with influenza viruses. Antiviral drugs are effective across all age and risk groups. Two antiviral drugs (oseltamivir, brand name Tamiflu?, and zanamivir, brand name Relenza?) are approved for treatment of the

flu.

    Oseltamivir is approved to treat flu in people one year of age and older.

    Zanamivir is approved to treat flu in people 7 years and older.

    These are prescription medications, and a doctor should be consulted before the drugs are used. Antiviral treatment lasts for 5 days and should be started within 2 days of illness, so if you get flu-like symptoms, seek medical care early on.

    If You Get Sick

    Most healthy people recover from the flu without complications. If you get the flu:

    Stay home,

    Get lots of rest, drink plenty of liquids, and avoid using alcohol and tobacco.

    There are over-the-counter (OTC) medications to relieve the symptoms of the flu (but never give aspirin to children or teenagers who have flu-like symptoms, particularly fever). Remember that serious illness from the flu is more likely in certain groups of people including people 65 and older, pregnant women, people with certain chronic medical conditions and young children. Consult your doctor early on for the best treatment, but also be aware of emergency warning signs that require urgent medical attention. Emergency Warning Signs In children, emergency warning signs that need urgent medical attention include:

    Fast breathing or trouble breathing

    Bluish skin color

    Not drinking enough fluids

Not waking up or not interacting

    Being so irritable that the child does not want to be held

    Flu-like symptoms improve but then return with fever and worse cough

    Fever with a rash

    In adults, emergency warning signs that need urgent medical attention include:

Difficulty breathing or shortness of breath

    Pain or pressure in the chest or abdomen

    Sudden dizziness

    Confusion

    Severe or persistent vomiting

    Seek medical care immediately (call your doctor or go to an emergency room) if you or someone you know is experiencing any of the signs above. When you arrive, tell the reception staff that you think you have the flu. You may be asked to wear a mask and/or sit in a separate area to protect others from getting sick.

    Eating right and exercising will hopefully prevent illness, and being careful will prevent some accidents. When accidents do happen, a well-stocked first aid kit can come in handy.

    You should see a doctor if:

    You have fever of greater than 101? F (39? C) that doesn't get better with ibuprofen or acetaminophen. Especially a fever associated with a shaking chill. You have severe pain that's unexplained - not caused by a muscle injury, tension headache, or menstrual cramps. You're having upper respiratory problems. If you have been coughing for several days, cough syrup doesn't help and your chest is getting sore, or if you're short of breath and can't take a deep breath. You have suffered extensive burns or serious cuts.

    FIRST AID KIT CHECKLIST:

    Have your first aid kit ready, because it's essential. Sooner or later, you will get sick or injured, and chances are, it may not be during normal business hours. You'll probably need:

    SOMETHING FOR A HEADACHE: You can get brand names, or buy generic medications, which are generally just as good and a lot cheaper. The ones are acetaminophen (the key ingredient in Tylenol), ibuprofen (found in Advil or Motrin) and naproxin (found in Aleve). Before you buy, read the labels. Some pain relievers do not mix well with alcohol and can damage your liver.

    Others can irritate your stomach. Aspirin is not good for some people, like flu patients, because it may cause undesirable side effects. Also aspirin goes bad quickly if not used for a long time.

    ANTISEPTIC TOWELETTE: To cleanse any affected skin area before applying some kind of medication. ANTISEPTIC & BURN CREAM: For minor burns, scalds, small wounds, scratches, cuts and abrasions. ANTIBIOTIC OINTMENT: To prevent infections.

    STERILE BANDAGES/PADS: Get a multipurpose box, with a variety of sizes. Cover affected area after cleaning and applying medication.

    COTTON BALLS, TISSUES, SWABS, TWEEZERS AND A SEWING NEEDLE: for splinter removal.

    THERMOMETER

    SCISSORS

    TAPE

    When you have diabetes and you get sick, it's definitely a time to be paying special attention to your treatment plan. You certainly need to be paying attention to the kinds of foods that you can tolerate, but you also need to be paying attention to the medication that you're on. Food and medication and activity work together to manage your blood sugars and your diabetes. So you may need to be making some medication adjustments if you can't eat your usual amount of food.

    Some of the things that you may want to be taking a look at, again, are things that are more easy to eat and more easy to digest. So liquid is a good place to start. People get dehydrated; it's not uncommon, when you're ill, to be dehydrated. So it's important that you start by getting plenty of fluids. Water is, of course, a good one. In order to get calories, though, you want to be looking at some things like maybe some juices that are easier to consume, soups -- things that are, again, liquid and clear. It's sometimes referred to as a 'clear-liquid diet.' Those are oftentimes the easiest to be eating and consuming when you've got any sort of nausea or are not able to keep foods down. But if you are able to eat more solid foods, it's, again, things that are easier for you to eat; it could be some things like cottage cheese, or things that don't have a lot of chewing and fiber contained in them that may be giving you some problems. So a lot of it is determining what you are most able to tolerate and handle when you're ill.

Related

    ABC News OnCall+ Diabetes CenterMore ABC News Stories/Videos On DiabetesAdditional Diabetes Resources Most importantly, you really need to talk about these with your healthcare professional so that you can plan, in case of illness, that you've got a plan ready to go. You want to know what you should do if you're getting a cold or the flu, and what you may need to do if your illness is more serious. So be sure to talk with your healthcare professional about some specifics that will make sure that you get the kinds of food intake and medication adjustments that you need when you do get sick.

    You may have heard everyone talking about this year's flu season, but you might not give it another thought unless you actually get the flu. If you do get sick, knowing what to do can help you feel better faster.

Try these tips if you get the flu:

    Drink lots of fluids.

    Get lots of sleep and take it easy. This is a great time to chill with your favorite DVDs without your mom or dad asking you to help out around the house!

    Take acetaminophen or ibuprofen to relieve fever and aches. Over-the-counter cold or cough medicines may also relieve some flu symptoms. Avoid taking aspirin, though, unless your doctor says it's OK. Aspirin can put teens at greater risk of developing Reye syndrome, a serious illness that sometimes follows infection with the flu virus. Wear layers. You might be cold one minute and hot the next, and wearing several layers like a T-shirt, sweatshirt,

    and robe makes it easy to add or remove clothes as needed.

    Wash your hands frequently. You don't want to spread the flu to everyone else, if you can help it. Also, avoid sharing cups and eating utensils with other people.

    Most people who get the flu get better without having to see their doctor. But if your flu symptoms get worse, if you have a high temperature for more than a few days, if you have any trouble breathing, or if you seem to get better but then feel worse again, call your doctor right away.

    Comparative History of Chinese and Western Medicine

     Traditional Chinese medicine and “Western” medicine are the products of two great civilizations in the history of mankind, and they contribute to the health of a huge proportion of the world population. Western medicine is seen widely as the orthodox modern medicine, while Chinese medicine is often regarded as an alternate and parallel system of medicine. To more fully comprehend their uneasy and sometimes contradictory and competitive relationship, it is worthwhile to examine their historical development within their respective civilizations. However, most treatise on the medical history of the East and the West examine them longitudinally, chronologically from the pre-historic to the present, for the West, and then separately, for the East. In this lecture, the speaker proposes to briefly review them horizontally, comparing their progress at various time points in history. The amazing finding of such an exercise was that, although these two civilizations were virtually isolated from each other until the famed visit of Marco Polo to the imperial court of China in the 13th century, there were nearly concordant advances in their respective landmarks of medical history.

     Around two millennium BC, Egyptian papyrus revealed ancient medical practices in the West including the use of herbs such as the willow bark containing aspirin, while in the East the classic Yellow Emperor’s Pharmacopeia appeared, reflecting knowledge available in that era . Striking similarities in the philosophical concept of elements and their relationships which constitute the universe and affect human health can be noted between the ancient East and West; and the anatomical depiction of the heart and circulation appeared almost like a variation of the same sketch. Considering how two isolated worlds existed without communication between them in ancient times, one wonders whether these similarities reflected some sort of common genetic expressions of homo sapiens in their civilizations.

     Two historic figures, Confucius (551-479 BC) in China and Hippocrates (460-367 BC) in Greece, lived almost at the same historic time, since Hippocrates was born within two decades of the death of Confucius. More amazing was the contemporary appearance of two great physicians, Hua Tuo (110-207AD) and Galen (130-218 AD). Hua Tuo, a legendary Chinese surgeon who reportedly used anesthesia (Ma Fei San) for surgery centuries before such achievement in the West, could have met Galen in Rome for a medical conference, if they could have traveled by air ! Galen of course was a titan in Western medicine, whose idea influenced European medicine for more than a millennium. Imagine while Hua Tuo was draining an abscess for an army general, Galen was amputating the mauled leg of a gladiator in a Roman theatre !

    According to Professor Joseph Needham of Oxford, by the time William Harvey explained our modern concept of blood circulation in “De Motu Cordis” (1628), Chinese physicians were already able to make differential diagnosis between typhoid fever and typhus fever, and extracted steroids from urines. Then an epochal event happened which propelled the Western medicine to a new height, while the Eastern medicine stagnated and even atrophied. The great event was the renaissance.

     How and why at this point Western medicine took off in a trajectory toward becoming a scientific and global medicine, while that of the East remained an empirical medicine will be speculated and discussed. The speaker will use his own experience to illustrate how surgery, a branch of western medicine which is his specialty, advanced in such a scientific milieu. The importance of seeing Chinese traditional medicine as a great empirical medicine which represents pre-scientific era, rather than as a parallel alternate medical paradigm to scientific medicine, will be stressed.

     Western medicine and Chinese medicine are different science

    Seeing is believing, which is a principle for modern medical science. It is the principle for micro science. But with the principle of micro sciencewe can not understand many questions. why our heart can beat ? why our blood can flow? What does the vital power come from? The modern medicine can not answer these questions, because these are questions from the macro science.

    The Chinese medicine is a macro science, which is easy to answer the above questions. The soul for Chinese medicine is “Yin and Yang”, which means all things in the universe existed in comparison, opposite to each other. Left exists with

    right, up exists with down, men exists with women……further on, visible exists with invisible, visible human body exists with invisible soul. In the human body, visible circulation system is artery and vain, invisible circulation system is Jingluo, visible circulation matter is blood, invisible circulation matter is Qi or vital power. The invisible is more important than the visible and the invisible controls the visible. Now we can not find out de cause for many diseases, because their causes existed in the invisible side. The cause if CHD is the weakening of the invisible vital power. Seeing is believing, many people like to say: let me see the vital power then I will believe it. Invisible means there is, but can not be seen, it is wrong to try to see invisible things. Invisible things can not be seen but can be proved. You never see the attraction, but when you see the apple drop to the ground, you should believe that is the attraction of the earth.

    Combine micro science with macro science, causes for many diseases can be found and many incurable diseases can be cured.

    Merging Chinese Traditional Medicine into the American Health System

    Charles Feng

    Human Biology, Stanford University

    feng@jyi.org

    My grandmother, a frail 78-year-old woman who has spent her whole life in China and Taiwan, recently came to stay with my family in the San Francisco Bay area. At her age, health is of great concern - she takes four pills every morning for various ailments (such as chronic bronchitis and osteoporosis), and often spends a large portion of her days sleeping. All of her pills were prescribed by her doctors in Taiwan. To supplement her medications, she drinks various concoctions made from Chinese herbs and animal parts, also brought over from Taiwan. She doesn't have any desire to see a Western doctor, and even left the United States so she could go back for a physical check-up in Taiwan. On the other hand, my mother - my grandmother's daughter - has been in the United States for more than 25 years. There is not a trace of an accent in her English, and she goes to American doctors for all her sicknesses. On occasion, she also visits a Chinese-trained doctor for a massage or herbal medicines. Indeed, she actively uses both Western and Chinese traditional medicine. In contrast, I was born a few years after my mother immigrated to the United States, and the only medicines I have ever taken have been prescribed by American-trained doctors. However, just as my grandmother is skeptical of Western medicine, I in turn doubt many aspects of Chinese medicine. The yin-yang symbol

    (Courtesy of www.newton.mec.edu)

    In the United States, both Chinese and Chinese-Americans are forced to confront a world in which they have medical options from two very different cultures; their decisions in response to these contrasting systems have serious consequences on the outcome of their health. Under the American health care system, diseases that are more prevalent within the Asian-American community, such as Hepatitis B, are often overlooked when Asians are getting check-ups, largely because those diseases have a low prevalence in communities of other cultures. Likewise, sometimes American doctors are not as familiar with Chinese culture, either - such as the taboo on HIV and AIDS; the Chinese condemn the virus and its resulting illness as a disgrace to the family of the afflicted individual. On the other hand, traditional Chinese medicine is more subjective, and is often based more on notions of spirituality than on proven scientific rigor. My grandmother, for example, went to two different Chinese doctors for the same ailment, and received two completely different treatments.

    Should Chinese and Chinese-Americans choose either Chinese or Western medicine, or should they try to combine the two? Perhaps they can learn to adapt to a new medicinal culture, or maybe it is best to stay within the cultural contexts that are the most familiar. A Burgeoning Chinese Population in the United States

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    "Just as my grandmother is skeptical of Western medicine, I in turn doubt many aspects of Chinese medicine." --------------------------------------------------------------------------------

     The first modern wave of Chinese immigrants resulted from the passage of the Immigration Act of 1965, which allowed 20,000 Chinese per year to emigrate to the United States. Consequently, the Chinese population (both Chinese-Americans and Chinese citizens residing in the United States) has increased from 117,140 in 1950 to more

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