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Dignity Health 2017

When your culture doesn't believe in medicine, how can a hospital bridge that gap and provide health care when you really need it?

That was the Hmong community's dilemma when they resettled in Merced, California. Originally from the rural mountains of southeast Asia, the Hmong mainly worked as farmers before getting caught in the crossfire of the Vietnam War. With the death toll rising, the Hmong were forced to flee to countries such as Thailand, France, and the United States.

All images via Dignity Health.


When it comes to treating illnesses, the Hmong believe in the healing power of shamans — not doctors — to ward off bad spirits, which they consider to be the true source of sickness. Hmong shamans are mediators between the physical and spiritual world and are known to sacrifice animals and go into trances to retrieve wayward spirits and heal their patients.

This method, however, isn't recognized by western culture. So when many Hmong first moved to the U.S., they were understandably overwhelmed by the advancements in modern medicine that some of them were seeing for the first time. Because of that, they would avoid the hospital and only go for treatment when their condition was absolutely critical.

Mercy Medical Center decided to bridge this cultural gap and take a different approach to make their new patients comfortable. Watch how it all unfolded right here:

When cultures blend, wires can get crossed. So when Western medicine practices were getting lost in translation with Hmong traditions, this hospital was there to help.

Posted by Upworthy on Friday, February 10, 2017

There was a huge culture shock on both sides when Hmong community members first made their way to Merced.

Hospital procedures can be a scary thing, but just imagine how scary they can be if they're all new to you. The Hmong weren't aware of the science of the human body and how the body functions. Their language also doesn't directly translate many medical terms, so they often didn't understand what doctors were telling them.

Mercy Medical Center also initially wasn't aware of the practices of the Hmong shamans. For example, they didn't know that shamans tie a string around the wrist of the patient to keep bad spirits away, and, not knowing its meaning, some hospital staff would cut it off.

But as time went by, both sides came to understand that each had the patient's interest in mind, and everyone wanted to find a way to make sure that patients were getting the best treatment possible. The answer? Make shamans part of the hospital culture.

"We wanted to bring the shaman into the hospital because we understand that healing is looking at the person as a whole," says Janice Wilkerson, mission integration director at Mercy Medical Center. "It’s body, mind, and spirit."

Hmong shamans and doctors now work hand in hand to heal their patients.

The shamans are taught how a hospital functions, and in turn, the shamans expose the doctors more about their culture. "To learn more about the traditional belief, the spiritual healer, to listen to them, to see how they do it, how do they help the patient," adds Palee Moua, director of S.E.A. engagement.

Shamans are now able to go through a series of classes that help seamlessly integrate them into the hospital culture. In addition, the hospital allows nine different ceremonies that shamans are able to perform for their patients. Most of these ceremonies involve soft chanting where, according to the shamans, they are able to strengthen the patient's body or, in certain cases, retrieve their soul.

"The doctors respect me as much as a doctor," says Xia Vang, a Hmong shaman who works at Mercy Medical Center.

Other hospitals around the U.S. are following suit and embracing the cultural practices of their immigrant communities.

A 2007 survey conducted by The Joint Commission shows how hospitals around the U.S. are embracing these cultural changes and listening more to the needs of their patients. The survey not only identified the challenges that arise, but also pointed out concrete ways to address them — whether it's fixing the language barrier or employing a more diverse staff. Because of advancements like this, the relationship between health care provider and patient can only get stronger.

That's why we're seeing health care developments such as the Good Samaritan Hospital putting Korean seaweed soup on their maternity ward menu and birthing doulas being provided for Somali women in cities like Minneapolis.

When hospitals, like Mercy Medical Center, provide treatment and respect their patients' cultures, they're able to improve their quality of life in a much more impactful way.

It can be a challenging hurdle to overcome for sure, but when we open our minds and hearts to the differences that other cultures bring, amazing things can happen.

"Whatever issues we have, we should be open and go learn with our western counterparts," adds Xia Vang. "We should not stay at home, or else we won’t see the larger path ahead of us."

Photo courtesy of Girls at Work

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Pop Culture

Artist uses AI to create ultra realistic portraits of celebrities who left us too soon

What would certain icons look like if nothing had happened to them?

Mercury would be 76 today.

Some icons have truly left this world too early. It’s a tragedy when anyone doesn’t make it to see old age, but when it happens to a well-known public figure, it’s like a bit of their art and legacy dies with them. What might Freddie Mercury have created if he were granted the gift of long life? Bruce Lee? Princess Diana?

Their futures might be mere musings of our imagination, but thanks to a lot of creativity (and a little tech) we can now get a glimpse into what these celebrities might have looked like when they were older.

Alper Yesiltas, an Istanbul-based lawyer and photographer, created a photography series titled “As If Nothing Happened,” which features eerily realistic portraits of long gone celebrities in their golden years. To make the images as real looking as possible, Yesiltas incorporated various photo editing programs such as Adobe Lightroom and VSCO, as well as the AI photo-enhancing software Remini.

“The hardest part of the creative process for me is making the image feel ‘real’ to me,” Yesiltas wrote about his passion project. “The moment I like the most is when I think the image in front of me looks as if it was taken by a photographer.”

Yesiltas’ meticulousness paid off, because the results are uncanny.

Along with each photo, Yesiltas writes a bittersweet message “wishing” how things might have gone differently … as if nothing happened.
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All images provided by Adewole Adamson

It begins with more inclusive conversations at a patient level

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Adewole Adamson, MD, of the University of Texas, Austin, aims to create more equity in health care by gathering data from more diverse populations by using artificial intelligence (AI), a type of machine learning. Dr. Adamson’s work is funded by the American Cancer Society (ACS), an organization committed to advancing health equity through research priorities, programs and services for groups who have been marginalized.

Melanoma became a particular focus for Dr. Adamson after meeting Avery Smith, who lost his wife—a Black woman—to the deadly disease.

melanoma,  melanoma for dark skin Avery Smith (left) and Adamson (sidenote)

This personal encounter, coupled with multiple conversations with Black dermatology patients, drove Dr. Adamson to a concerning discovery: as advanced as AI is at detecting possible skin cancers, it is heavily biased.

To understand this bias, it helps to first know how AI works in the early detection of skin cancer, which Dr. Adamson explains in his paper for the New England Journal of Medicine (paywall). The process uses computers that rely on sets of accumulated data to learn what healthy or unhealthy skin looks like and then create an algorithm to predict diagnoses based on those data sets.

This process, known as supervised learning, could lead to huge benefits in preventive care.

After all, early detection is key to better outcomes. The problem is that the data sets don’t include enough information about darker skin tones. As Adamson put it, “everything is viewed through a ‘white lens.’”

“If you don’t teach the algorithm with a diverse set of images, then that algorithm won’t work out in the public that is diverse,” writes Adamson in a study he co-wrote with Smith (according to a story in The Atlantic). “So there’s risk, then, for people with skin of color to fall through the cracks.”

Tragically, Smith’s wife was diagnosed with melanoma too late and paid the ultimate price for it. And she was not an anomaly—though the disease is more common for White patients, Black cancer patients are far more likely to be diagnosed at later stages, causing a notable disparity in survival rates between non-Hispanics whites (90%) and non-Hispanic blacks (66%).

As a computer scientist, Smith suspected this racial bias and reached out to Adamson, hoping a Black dermatologist would have more diverse data sets. Though Adamson didn’t have what Smith was initially looking for, this realization ignited a personal mission to investigate and reduce disparities.

Now, Adamson uses the knowledge gained through his years of research to help advance the fight for health equity. To him, that means not only gaining a wider array of data sets, but also having more conversations with patients to understand how socioeconomic status impacts the level and efficiency of care.

“At the end of the day, what matters most is how we help patients at the patient level,” Adamson told Upworthy. “And how can you do that without knowing exactly what barriers they face?”

american cancer society, skin cacner treatment"What matters most is how we help patients at the patient level."https://www.kellydavidsonstudio.com/

The American Cancer Society believes everyone deserves a fair and just opportunity to prevent, find, treat, and survive cancer—regardless of how much money they make, the color of their skin, their sexual orientation, gender identity, their disability status, or where they live. Inclusive tools and resources on the Health Equity section of their website can be found here. For more information about skin cancer, visit cancer.org/skincancer.

Pop Culture

'90s kids share movies that will 'take you back to a better time'

It was a magical time when animals played sports and yet somehow things were just simpler.

YouTube/Upworthy photo illustration

Honey, I shrunk the kid named Matilda while jamming in space!

Everyone knows that '90s movies just hit different. From sports movies to rom-coms to even horror, there was an undeniable innocence, without being overly simplistic or juvenile. They didn’t have nearly the amount of money going into production as they do today, but somehow managed to transport us to magical places.

Movies of the '90s are so iconic that there have been several attempts to reboot beloved titles. Which, let’s face it, tends to be a fool's errand at a cash grab. These movies are so timeless that simply viewing the original is more than fine.

Not sure which movie to start with? You’re in luck—a Reddit user by the name of YouBrokeMyTV asked ’90s kids to share movies that took them “back to a better time,” and because the internet can be a wonderful place, tons of people responded with some beloved classics.

These answers certainly don’t make a definitive list (there are just so, so many gems) but they're a fun glimpse into what made '90s cinema so special. A nostalgic romp through memory lane, if you will.

Enjoy these 14 titles that just might leave you jonesing for a rewatch:

1. "Honey, I Shrunk the Kids"

via GIPHY

A perfect example of how '90s movies were silly, but smart at the same time. And oh so wholesome.

2. "The Sandlot"

via GIPHY

It taught us nothing about baseball, but everything about friendship, rooting for the underdog and (most important) how to make s’mores.

3. "Drop Dead Fred"

via GIPHY

Critics might have run this cult classic through the mud during its inception, but audiences fell in love with the bizarre charm of this story about a mischievous little girl and her anarchist imaginary friend. So take that, snotfaces!

4. "The Goonies"

via GIPHY

Everyone just wanted to set off an epic quest with their friends for pirate treasure after seeing this movie.

5. Tim Burton's "Batman"

via GIPHY

Before the superhero genre was the behemoth it is today, a quirky director and the dude who was best known for playing the creepy demon in "Beetlejuice" breathed new life into comic-book movies. Marvel might be the leader on creating stories with adult themes that are digestible for kids nowadays, but this DC film was the first of its kind. Plus, that soundtrack … forget about it.

6. "Hook"

via GIPHY

Pretty much any '90s film starring Robin Williams was an absolute gem, but this one in particular is timeless. His gift of balancing childlike humor with emotional gravitas lent itself so well to playing the now grown and cynical Peter Pan, who must learn to reclaim his joy (relatable, millennials?). It was a bang-a-rang-er, no question.

7. "Space Jam"

via GIPHY

It had Looney Tunes, it had aliens and it had Michael Jordan. That’s a winning combination.

8. "Matilda"

via GIPHY

I don’t think I’m out of line when I say that this movie helped a lot of kids make their way through difficult childhoods.

9. "The Parent Trap"

via GIPHY

Even '90s reboots were awesome. And how fun it is to see that Lisa Ann Walker—the actress who played Chessy the housekeeper—is not only yet again gracing the screens in NBC’s “Abbott Elementary,” but is also being revered as a style icon on TikTok for her ultra casual looks in the film. We all knew she was onto something with long button downs and shorts.

10. "The Land Before Time"

via GIPHY


No cartoon, not even “The Lion King,” was a better depiction of childhood grief. And yet, despite encapsulating tragedy, director Don Bluth still left viewers hopeful. The subsequent 14 (yes 14) sequels definitely pale in comparison to the original, but "The Land Before Time" continues to stand the test of time nonetheless.

11. "Richie Rich"

via GIPHY

The scene where they play tag on four-wheelers is simply iconic.

12. "Dunston Checks In"

via GIPHY

Man, the '90s were the golden age of animal-centered films. And not just monkeys either—we got sports playing golden retrievers and not one, but two movies starring talking pigs. What a time to be alive. These films were made before CGI had reached the levels it’s at today, and the authentic interactions between humans and creatures reached right through the screen.

13. "George of the Jungle"
george of the jungle, brendan faser

Watch out for the tree!!!

Giphy

Have I seen this movie at least 20 times? Probably. It doesn’t get any better than this in terms of silly action films with bird puppets. It’s crazy to think that this role would eventually lead Brendan Fraser to "The Mummy" franchise, turning him into a household name. Though his career has had some tragic ups and downs, we are all grateful for the glorious comeback he’s been having.

14. Anything involving Mary-Kate and Ashley Olsen
mary kate and ashley

Yes, they were professional detectives.

Giphy

Whether vacationing in London, Paris or Rome, whether playing magical witches or making a huge billboard so their father could find love … Mary-Kate and Ashley Olsen offered zany, whimsical entertainment while wearing fun outfits. Sometimes, that’s all you need.

via Lewis Speaks Sr. / Facebook

This article originally appeared on 02.25.21


Middle school has to be the most insecure time in a person's life. Kids in their early teens are incredibly cruel and will make fun of each other for not having the right shoes, listening to the right music, or having the right hairstyle.

As if the social pressure wasn't enough, a child that age has to deal with the intensely awkward psychological and biological changes of puberty at the same time.

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