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Sociology of Medicine and Health CLASS 2&3

Sociology of Medicine and Health CLASS 2&3 - Topics...

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Topics in Medical Sociology – Lecture 2 & 3 I. Medical model of disease (how they treat disease) A. Looks only at biological aspects of disease i. Tremendous advances in 100 years (i.e. self contained artificial parts because there are not enough organ donors. Artificial organ runs by battery inside the source, therefore, the person can live a normal life) ii. Used by most health professionals iii. Ignore social aspects of disease 1. Offset problem – 40% of the time the doctor cannot find out what is wrong with the patient (biologically wrong)but still treats the patient anyway 2. They can save money by referring the patient to other, like psychologist II. Myth that more medical care is always better A. I.e. – Iatrogenic disease – treatment causes disease i. 15% of people who go to the hospital get a new disease ii. Many medical treatments have not been tested, they are assumed to work iii. Not really supported by science iv. I.e. – Bone marrow transplant for breast cancer (does not work) v. I.e. – Hormone replacement therapy to treat menopause was believed to prevent heart disease/stroke. There is not some evidence that it could increase the risk B. Self-limiting disease i. Diseases that go away by themselves – common cold ii. Disease that modern medicine cannot cure (useless medical are) iii. I.e. – Flu – the largest worldwide epidemic in history 1. The Spanish flu killed in the earth 20 th century a. Villages in Alaska died from Spanish flu (body was preserved because of ice) b. Found out that it is similar to bird flu (very lethal – but not transfer to humans, therefore not contagious) c. Once it can transfer to humans it will be a huge epidemic because there is no cure
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2. The black plague killed more of the population but not much world wide III. Huge increase in average life span in the US A. Effective vaccines available for many infectious diseases (reduce amount of disease) i. Mostly killed kids, 5% - 10% used to die B. But new infectious disease are appearing as fast as the old one disappear IV. Great success in reducing acute infectious disease (come on fast and strong) V. Little progress in reducing “disease of civilization” A. Chronic diseases such as heart disease and cancer relatively high in the US i. Many years to develop B. Caused mostly by unhealthy lifestyle C. Caused part by environmental pollution
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